COMMUNITY HEALTH OF CENTRAL WASHINGTON: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH OF CENTRAL WASHINGTON (EIN 57-1140982)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2016-10-26
- IRS object ID
- 201603009349300515
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-10-26T09:36:17-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NORTH 39TH AVENUE | AddressLine1Txt |
| City | YAKIMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 571140982 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH OF CENTRAL WASHINGTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 5094524520 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 S 5TH AVENUE | AddressLine1Txt |
| City | YAKIMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL KASCHMITTER CFO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5094524520 | PhoneNum |
| Signature | 2016-10-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RALPH A CONNER CPA | PreparerPersonNm |
| PTIN | P00185729 | PTIN |
| Phone | 5098232910 | PhoneNum |
| Preparation | 2016-10-25 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAUL KASCHMITTER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 S 5TH AVENUE | AddressLine1Txt |
| City | YAKIMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,468,491 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHCW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | TO ESTABLISH AND OPERATE AN INSTITUTION FOR THE PROVISION OF HEALTH CARE AND TREAMENT FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE IN THE COMMUNITIES SERVED AND TO ESTABLISH AND OPERATE A PROGRAM TO TRAIN FAMILY PHYSICIANS TO CARE FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 348 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | -$1,848 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,847 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,395,522 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,764,293 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,892,407 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,600,373 | CYProgramServiceRevenueAmt |
| PY Investment Income | $506 | PYInvestmentIncomeAmt |
| CY Investment Income | $41,942 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$2,501 | PYOtherRevenueAmt |
| CY Other Revenue | -$3,029 | CYOtherRevenueAmt |
| PY Total Revenue | $30,285,934 | PYTotalRevenueAmt |
| CY Total Revenue | $30,403,579 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,313,978 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,277,943 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $87,361 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,219,802 | PYOtherExpensesAmt |
| CY Other Expenses | $7,350,245 | CYOtherExpensesAmt |
| PY Total Expenses | $26,533,780 | PYTotalExpensesAmt |
| CY Total Expenses | $29,628,188 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,752,154 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $775,391 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,951,269 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,119,579 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,654,219 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,047,138 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,297,050 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,072,441 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ESTABLISH AND OPERATE AN INSTITUTION FOR THE PROVISION OF HEALTH CARE AND TREAMENT FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE IN THE COMMUNITIES SERVED AND TO ESTABLISH AND OPERATE A PROGRAM TO TRAIN FAMILY PHYSICIANS TO CARE FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $22,040,820 | ExpenseAmt |
| Revenue | $20,600,373 | RevenueAmt |
| Desc | COMMUNITY HEALTH OF CENTRAL WASHINGTON PROVIDES COMPREHENSIVE PRIMARY CARE MEDICAL AND DENTAL SERVICES TO UNDERSERVED PEOPLE IN YAKIMA AND KITTITAS COUNTIES. SERVICE IS PROVIDED REGARDLESS OF THE ABILITY TO PAY. LOW INCOME INDIVIDUALS AND FAMILIES MAY APPLY TO RECEIVE SERVICES ON A DISCOUNTED FEE BASIS.PATIENT CARE ACTIVITIES: THIS YEAR CHCW SERVED 34,112 PATIENTS, RESULTING IN 113,446 VISITS AT OUR 5 MEDICAL CLINICS, 1 DENTAL CLINIC, SENIOR RESIDENTIAL CARE SERVICES AND OUR SENIOR SMILES PROGRAM.DIRECT PATIENT CARE MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY IN GENERAL BY BOARD CERTIFIED PHYSICIANS, FAMILY PRACTICE RESIDENTS, ADVANCE PRACTICE CLINICIANS (PHYSICIANS ASSISTANTS AND NURSE PRACTITIONERS), AND CERTIFIED NURSING STAFF. PROVISION OF CARE IS RENDERED UNDER THE DIRECTION OF THE MEDICAL DIRECTOR. MEDICAL SERVICES INCLUDE ACUTE PRIMARY CARE (FAMILY PRACTICE, INTERNAL MEDICINE, AND PEDIATRICS), PREVENTIVE CARE, OBSTETRICS, GYNECOLOGY, PRIMARY CARE PROCEDURES, MINOR SURGERIES, BEHAVIORAL HEALTH, VACCINATIONS AND HEALTH CONSULTATIONS. SERVICES ARE PROVIDED IN THE CLINIC, HOSPITAL, NURSING HOMES, AND HOME SETTINGS. ORAL HEALTH IS PROVIDED TO THE COMMUNITY IN GENERAL BY BOARD CERTIFIED DENTISTS AND AN EMPLOYED HYGIENIST.ANCILLARY SERVICES: ANCILLARY SERVICES INCLUDE DIAGNOSTIC LABORATORY, RADIOLOGY AND PHARMACY. ANCILLARY SERVICES ARE PROVIDED ON-SITE FOR A MORE COMPREHENSIVE, EFFICIENT PROVISION OF CARE. LABORATORY SERVICES ARE SUB-CONTRACTED TO PAML, A CERTIFIED LABORATORY COMPANY. CHCW EMPLOYS A LICENSED RADIOLOGY TECHNICIAN WHO PROVIDES RADIOLOGY SERVICES AND EMPLOYS LICENSED PHARMACISTS AND TECHNICIANS WHO PROVIDE PHARMACY SERVICES. CHCW IS THE SOLE PROVIDER OF WIC AND MATERNITY SUPPORT SERVICES IN KITTITAS COUNTY. SUPPORT SERVICES: SUPPORT SERVICES INCLUDE BILLING, ADMINISTRATION, REFERRAL COORDINATION, PATIENT EDUCATION AND MEDICAL RECORDS. THESE SERVICES ARE NOT REIMBURSABLE BUT PROVIDED FOR THE BENEFIT OF PATIENTS IN THE COURSE OF PROVIDING PATIENT SERVICES. EMPLOYED STAFF PROVIDE ALL SUPPORT SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,131,963 | ExpenseAmt |
| Desc | THIS YEAR CHCW HAD 30 RESIDENTS AND GRADUATED 10 FAMILY PHYSICIANS. SUPERVISORY TEACHING OF RESIDENTS PROVIDE MEDICAL SERVICES TO PATIENTS UNDER THE DIRECT SUPERVISION OF FACULTY. FACULTY REVIEW RESIDENTS' ASSESSMENT OF COMPLIANT AND TREATMENT PLANS AND PROVIDE FEEDBACK TO RESIDENTS. THE PURPOSE IS TO FURTHER RESIDENTS' MEDICAL SKILLS AND TO ENSURE QUALITY OF CARE. SUPERVISION OCCURS IN THE CLINIC, HOSPITAL AND OTHER SETTINGS.DIRECT RESIDENT TEACHING DIRECT TEACHING INCLUDES PRESENTATIONS, DIDACTICS, SPEAKERS, SMALL GROUP DISCUSSIONS, LECTURES, AND HANDS-ON WORKSHOPS. DIRECT TEACHING IS DESIGNED TO FURTHER BIOMEDICAL, PSYCHOSOCIAL, AND PRACTICAL KNOWLEDGE IN A CLASSROOM AND/OR INTERACTIVE SETTING. DIRECT RESIDENT TEACHING MEETS THE ACCREDITATION REQUIREMENTS OUTLINED BY THE AMERICAN COLLEGE OF GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION. MOST DIRECT EDUCATIONAL ACTIVITIES OCCUR IN THE CLINIC AND HOSPITAL SETTING BY FACULTY AND ARE PROVIDED BY INVITED GUESTS. RESIDENT ADVISING EACH RESIDENT IS ASSIGNED A FACULTY ADVISOR. ADVISORS PROVIDE FEEDBACK ON RESIDENT KNOWLEDGE AND PERFORMANCE, INFORMATION RESOURCES, CAREER COUNSELING, AND OTHER AREAS OF ADVICE AS IT AFFECTS RESIDENTS' SUCCESS WITHIN THE PROGRAM. RESIDENTS AND ADVISORS MEET ON AN INTERIM BASIS THROUGHOUT THEIR ACADEMIC PROGRAM. RESIDENT SUPERVISION AND OBSERVATION AT NON-CLINIC SITES RESIDENTS ROTATE TO NON-CHCW SITES TO OBSERVE AND LEARN FROM PROVIDERS IN MEDICAL AND SURGICAL SPECIALTIES. RESIDENTS' INTERACT UNDER THE DIRECT SUPERVISION OF THE ATTENDING SPECIALIST FOR PURPOSES OF FURTHERING RESIDENTS' MEDICAL KNOWLEDGE AND EXPERIENCE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $26,172,783 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 348 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAUL KASCHMITTER CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5095746110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 S 5TH AVENUE | AddressLine1Txt |
| City | YAKIMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ELIZABETH HERRES MILLER | ||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| EARL WEATHERMAN | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JIM BOUTILLIER | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DOUG BAULT | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NORMAN SHIVELY | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MAYRA CHACON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY HOLMGREN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAKE JUNDT | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSEMARY LEIVA MURPHY | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SONIA RODRIGUEZ | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRIS WAARVICK | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KRISTIN LARSON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS CORPRON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MIKE MAPLES | ||||||||
| CEO | 40.00 | Yes (X) | $265,829 | $0 | $25,319 | |||
| JUDY O'NEAL | ||||||||
| COO | 40.00 | Yes (X) | $108,549 | $0 | $15,623 | |||
| PAUL KASCHMITTER | ||||||||
| CFO | 40.00 | Yes (X) | $166,136 | $0 | $19,502 | |||
| MICHAEL SCHAFFRINNA | ||||||||
| CMO | 40.00 | Yes (X) | $211,813 | $0 | $22,496 | |||
| RUSSEL MAIER | ||||||||
| PROGRAM DIRECTOR | 40.00 | Yes (X) | $211,273 | $0 | $22,243 | |||
| JEFFREY BARTLETT | ||||||||
| YP PHYSICIAN DIRECTOR | 40.00 | $213,256 | $0 | $22,224 | Yes (X) | |||
| MARK BAUER | ||||||||
| NM PHYSICIAN DIRECTOR | 40.00 | $163,999 | $0 | $19,058 | Yes (X) | |||
| JOHN ASRIEL | ||||||||
| EC PHYSICIAN DIRECTOR | 40.00 | $200,672 | $0 | $32,114 | Yes (X) | |||
| MARIA VERDUZCO | ||||||||
| CW PHYSICIAN | 40.00 | $179,038 | $0 | $20,387 | Yes (X) | |||
| BENJAMIN BARSOTTI | ||||||||
| PEDIATRIC HOSPITALIST | 40.00 | $204,565 | $0 | $22,014 | Yes (X) | |||
| PATRICK MORAN | ||||||||
| CW FACULTY PHYSICIAN | 40.00 | $198,961 | $0 | $21,374 | Yes (X) | |||
| ERIKA MENDOZA | ||||||||
| PEDIATRIC HOSPITALIST | 40.00 | $230,149 | $0 | $21,707 | Yes (X) | |||
| PAUL EMMANS II | ||||||||
| SR PHYSICIAN | 40.00 | $257,052 | $0 | $25,038 | Yes (X) | |||
| MAUREEN WATSON | ||||||||
| SENIOR CARE PHYSICIAN | 40.00 | $201,758 | $0 | $14,203 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,813,050 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $303,302 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 41 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CONCORD CONSTRUCTION | |||||
| 8557 LATERAL B RD | WAPATO | WA | 98951 | BUILDING REMODEL | $1,890,438 |
| LOOFBURROW WETCH ARCHITECTS | |||||
| 201 WEST YAKIMA AVENUE | YAKIMA | WA | 98902 | BUILDING REMODEL | $220,283 |
| KITT CONSTRUCTION & DEVELOPMENT LLC | |||||
| 5010 W CHESTNUT AVE 49 | YAKIMA | WA | 98902 | BUILDING REMODEL | $198,671 |
| YAKIMA VALLEY MEMORIAL HOSPITAL | |||||
| 2811 TIETON DRIVE | YAKIMA | WA | 98902 | RENT | $161,960 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,522,389 | GovernmentGrantsAmt |
| All Other Contributions | $241,904 | AllOtherContributionsAmt |
| Total Contributions | $9,764,293 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $20,600,373 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,600,373 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,600,373 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,942 | TotalRevenueColumnAmt |
| Exclusion | $41,942 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $61,883 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $64,912 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$3,029 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,029 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$1,848 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$1,181 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,403,579 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,600,373 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$1,848 | UnrelatedBusinessRevenueAmt |
| Exclusion | $40,761 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,068,785 | TotalAmt |
| Program Services | $280,378 | ProgramServicesAmt |
| Management And General | $752,944 | ManagementAndGeneralAmt |
| Fundraising | $35,463 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,494,634 | TotalAmt |
| Program Services | $15,570,141 | ProgramServicesAmt |
| Management And General | $919,154 | ManagementAndGeneralAmt |
| Fundraising | $5,339 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $771,700 | TotalAmt |
| Program Services | $686,161 | ProgramServicesAmt |
| Management And General | $85,219 | ManagementAndGeneralAmt |
| Fundraising | $320 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,505,775 | TotalAmt |
| Program Services | $2,279,258 | ProgramServicesAmt |
| Management And General | $223,733 | ManagementAndGeneralAmt |
| Fundraising | $2,784 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,437,049 | TotalAmt |
| Program Services | $1,298,863 | ProgramServicesAmt |
| Management And General | $134,804 | ManagementAndGeneralAmt |
| Fundraising | $3,382 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,403 | TotalAmt |
| Program Services | $3,428 | ProgramServicesAmt |
| Management And General | $17,975 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,500 | TotalAmt |
| Management And General | $34,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $880,636 | TotalAmt |
| Program Services | $651,750 | ProgramServicesAmt |
| Management And General | $189,305 | ManagementAndGeneralAmt |
| Fundraising | $39,581 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,332 | TotalAmt |
| Program Services | $43,060 | ProgramServicesAmt |
| Management And General | $9,272 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,150 | TotalAmt |
| Program Services | $196,977 | ProgramServicesAmt |
| Management And General | $52,173 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $587,980 | TotalAmt |
| Program Services | $520,327 | ProgramServicesAmt |
| Management And General | $67,653 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,712 | TotalAmt |
| Program Services | $163,346 | ProgramServicesAmt |
| Management And General | $44,366 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,563 | TotalAmt |
| Program Services | $190,339 | ProgramServicesAmt |
| Management And General | $30,224 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,235 | TotalAmt |
| Program Services | $145,013 | ProgramServicesAmt |
| Management And General | $62,222 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $869,087 | TotalAmt |
| Program Services | $644,422 | ProgramServicesAmt |
| Management And General | $224,665 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,764 | TotalAmt |
| Program Services | $66,273 | ProgramServicesAmt |
| Management And General | $7,491 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $2,613,238 | $2,526,064 | $86,682 | $492 |
| EQUPMENT RENTAL & MAINT | $534,742 | $413,154 | $121,588 | |
| EXCISE TAXES | $230,562 | $230,562 | ||
| BAD DEBT EXPENSE | $174,410 | $174,410 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $392,931 | TotalAmt |
| Program Services | $263,267 | ProgramServicesAmt |
| Management And General | $129,664 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,628,188 | TotalAmt |
| Program Services | $26,172,783 | ProgramServicesAmt |
| Management And General | $3,368,044 | ManagementAndGeneralAmt |
| Fundraising | $87,361 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,375 | BOYAmt |
| EOY | $4,850 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,250,176 | BOYAmt |
| EOY | $8,746,796 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,895,984 | BOYAmt |
| EOY | $2,842,726 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,640 | BOYAmt |
| EOY | $194,246 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,378 | BOYAmt |
| EOY | $23,160 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,128,114 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,432,763 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,152,400 | BOYAmt |
| EOY | $11,695,351 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,708 | BOYAmt |
| EOY | $20,935 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $452,608 | BOYAmt |
| EOY | $2,591,515 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,951,269 | BOYAmt |
| EOY | $26,119,579 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,884,223 | BOYAmt |
| EOY | $3,866,403 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400,517 | BOYAmt |
| EOY | $147,586 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,369,479 | BOYAmt |
| EOY | $6,033,149 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,654,219 | BOYAmt |
| EOY | $10,047,138 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,297,050 | BOYAmt |
| EOY | $16,072,441 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,297,050 | BOYAmt |
| EOY | $16,072,441 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,951,269 | BOYAmt |
| EOY | $26,119,579 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $775,391 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,923,865 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,287,805 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,455,103 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,395,522 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,764,293 | CurrentTaxYearAmt |
| Total | $36,826,588 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,923,865 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,287,805 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,455,103 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,395,522 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,764,293 | CurrentTaxYearAmt |
| Total | $36,826,588 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $6,400,079 | SubstantialContributorsTotAmt |
| Public Support Total170 | $30,426,509 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,781 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,780 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,838 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,910 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $61,346 | CurrentTaxYearAmt |
| Total | $140,655 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | -$10,188 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | -$3,897 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | -$1,848 | CurrentTaxYearAmt |
| Total | -$15,933 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $36,951,310 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $96,746,894 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.82340 | PublicSupportCY170Pct |
| Public Support PY170 | 0.79670 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,382,693 | OtherCostOrOtherBasisAmt |
| Book Value | $1,382,693 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,595,505 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,582,814 | DepreciationAmt |
| Book Value | $8,012,691 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,149,916 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,849,949 | DepreciationAmt |
| Book Value | $2,299,967 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,695,351 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONSTRUCTION IN PROGRESS | Desc |
| Book Value | $2,591,515 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,591,515 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $30,468,491 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $64,912 | OtherRevenueAmt |
| Revenue Not Reported | $64,912 | RevenueNotReportedAmt |
| Revenue Subtotal | $30,403,579 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $30,403,579 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $29,693,100 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $64,912 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $64,912 | ExpensesNotReportedAmt |
| Expenses Subtotal | $29,628,188 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $29,628,188 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | UNDER PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. AS OF JUNE 30, 2016 AND 2015, THE ORGANIZATION HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAXES. 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. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE |
| SCHEDULE D, PART XI, LINE 2D | SUBLET RENTAL EXPENSES |
| SCHEDULE D, PART XII, LINE 2D | SUBLET RENTAL EXPENSES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MIKE MAPLES | ||||||||||||||
| CEO | $265,829 | $0 | $0 | $0 | $0 | $0 | $15,843 | $0 | $9,476 | $0 | $291,148 | $0 | $0 | $0 |
| PAUL KASCHMITTER | ||||||||||||||
| CFO | $166,136 | $0 | $0 | $0 | $0 | $0 | $9,861 | $0 | $9,641 | $0 | $185,638 | $0 | $0 | $0 |
| MICHAEL SCHAFFRINNA | ||||||||||||||
| CMO | $211,813 | $0 | $0 | $0 | $0 | $0 | $12,639 | $0 | $9,857 | $0 | $234,309 | $0 | $0 | $0 |
| RUSSEL MAIER | ||||||||||||||
| PROGRAM DIRECTOR | $211,273 | $0 | $0 | $0 | $0 | $0 | $12,639 | $0 | $9,604 | $0 | $233,516 | $0 | $0 | $0 |
| JEFFREY BARTLETT | ||||||||||||||
| YP PHYSICIAN DIRECTOR | $213,256 | $0 | $0 | $0 | $0 | $0 | $12,726 | $0 | $9,498 | $0 | $235,480 | $0 | $0 | $0 |
| MARK BAUER | ||||||||||||||
| NM PHYSICIAN DIRECTOR | $163,999 | $0 | $0 | $0 | $0 | $0 | $9,748 | $0 | $9,310 | $0 | $183,057 | $0 | $0 | $0 |
| JOHN ASRIEL | ||||||||||||||
| EC PHYSICIAN DIRECTOR | $200,672 | $0 | $0 | $0 | $0 | $0 | $11,933 | $0 | $20,181 | $0 | $232,786 | $0 | $0 | $0 |
| MARIA VERDUZCO | ||||||||||||||
| CW PHYSICIAN | $179,038 | $0 | $0 | $0 | $0 | $0 | $10,728 | $0 | $9,659 | $0 | $199,425 | $0 | $0 | $0 |
| BENJAMIN BARSOTTI | ||||||||||||||
| PEDIATRIC HOSPITALIST | $204,565 | $0 | $0 | $0 | $0 | $0 | $12,259 | $0 | $9,755 | $0 | $226,579 | $0 | $0 | $0 |
| PATRICK MORAN | ||||||||||||||
| CW FACULTY PHYSICIAN | $198,961 | $0 | $0 | $0 | $0 | $0 | $11,921 | $0 | $9,453 | $0 | $220,335 | $0 | $0 | $0 |
| ERIKA MENDOZA | ||||||||||||||
| PEDIATRIC HOSPITALIST | $230,149 | $0 | $0 | $0 | $0 | $0 | $12,204 | $0 | $9,503 | $0 | $251,856 | $0 | $0 | $0 |
| PAUL EMMANS II | ||||||||||||||
| SR PHYSICIAN | $257,052 | $0 | $0 | $0 | $0 | $0 | $15,189 | $0 | $9,849 | $0 | $282,090 | $0 | $0 | $0 |
| MAUREEN WATSON | ||||||||||||||
| SENIOR CARE PHYSICIAN | $201,758 | $0 | $0 | $0 | $0 | $0 | $6,767 | $0 | $7,436 | $0 | $215,961 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 5 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION COMPENSATES SOME OF THE PHYSICIANS INCLUDING SOME OF THE SITE DIRECTORS, BASED ON THEIR INDIVIDUAL PRODUCTION. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON HEALTH CARE FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 911108929 | BondIssuerEIN |
| Bond Issued | 2015-01-20 | BondIssuedDt |
| Issue Price | $4,230,000 | IssuePriceAmt |
| Purpose | BUILDING REMODEL | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $4,230,000 | TotalProceedsAmt |
| Refunding Escrow | $1,187,452 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $84,600 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $2,957,948 | CapitalExpendituresAmt |
| Substantial Completion | 2016 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | 0 | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | THE ORGANIZATION BEGAN OPERATION OF THE HIGHLAND CLINIC. |
| FORM 990, PART III, LINE 3 | THE ORGANIZATION DISCONTINUED OPERATION OF THE PEDIATRIC HOSPITALIST SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 11 | LINE 11A EXPLANATION - THE 990 TAX RETURN WAS PRESENTED TO THE BOARD OF DIRECTORS AND UNANIMOUSLY APPROVED PRIOR TO THE ELECTRONIC SUBMISSION OF THE TAX RETURN. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION B, LINE 12C | DISSEMINATION OF POLICY AT STAFF MEETINGS AND DISCUSSION AT LEADERSHIP MEETINGS AND A CONTINUED HEIGHTENED AWARENESS OF CONFLICT AND WHAT IT LOOKS LIKE FOR STAFF. SIGNATURE OF CONFLICT OF INTEREST POLICY AND ASSURING STAFF ARE AWARE OF NOT ONLY WHO THE COMPLIANCE OFFICER IS BUT THEIR ROLE AS WELL. |
| FORM 990, PART VI, SECTION B, LINE 15 | RESEARCH AND/OR SURVEY STUDIES AND CONSULTING IS DONE IF NECESSARY. COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS.OTHER TYPES OF CONSULTING AND RESEARCH IS DONE IF NECESSARY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE 990 IS AVAILABLE BY A THIRD PARTY WEBSITE, OTHERWISE AVAILABLE BY REQUEST. |
| FORM 990. PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR |
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