MOSES LAKE COMMUNITY HEALTH CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MOSES LAKE COMMUNITY HEALTH CENTER (EIN 91-1537371)
Tax period: 2012-04-01 to 2013-03-31
Filed: 2013-12-19
IRS object ID: 201323539349300632
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule K
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-12-19T16:26:32-06:00	Timestamp
Tax Period End Date	2013-03-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	911194016	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLARK NUBER PS	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	10900 NE 4TH STREET SUITE 1700	AddressLine1
City	BELLEVUE	City
State	WA	State
ZIP Code	98004	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-04-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	911537371	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MOSES LAKE COMMUNITY HEALTH CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MOSE	NameControl
Phone	5097650674	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	605 COOLIDGE DRIVE	AddressLine1
City	MOSES LAKE	City
State	WA	State
ZIP Code	98837	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MIKE HARRELL	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	5097650674	Phone
Date Signed	2013-12-19	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SARA ELIZABETH J HYRE	Name
PTIN	P00235495	PTIN
Phone	4254544919	Phone
Date Prepared	2013-12-20	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	SHEILA CHILSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	605 COOLIDGE DRIVE	AddressLine1
City	MOSES LAKE	City
State	WA	State
ZIP Code	98837	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	28775701	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MLCHC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1991	YearFormation
State Legal Domicile	WA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE HIGH QUALITY, COMPASSIONATE AND COMPREHENSIVE PRIMARY HEALTH SERVICES FOR THE ENTIRE FAMILY, WITH A SPECIAL FOCUS ON THE UNDERSERVED AND MIGRANT FARM-WORKERS IN THE COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	277	TotalNbrEmployees
Total Nbr Volunteers	12	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3939664	ContributionsGrantsPriorYear
Contributions Grants Current Year	3891803	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	16837428	ProgramServiceRevenuePriorYear
Program Service Revenue CY	16153106	ProgramServiceRevenueCY
Investment Income Prior Year	330379	InvestmentIncomePriorYear
Investment Income Current Year	351053	InvestmentIncomeCurrentYear
Other Revenue Prior Year	197524	OtherRevenuePriorYear
Other Revenue Current Year	84360	OtherRevenueCurrentYear
Total Revenue Prior Year	21304995	TotalRevenuePriorYear
Total Revenue Current Year	20480322	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	13082310	SalariesEtcPriorYear
Salaries Etc Current Year	14182515	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	16291	TotalFundrsngExpCurrentYear
Other Expense Prior Year	5751150	OtherExpensePriorYear
Other Expenses Current Year	5126689	OtherExpensesCurrentYear
Total Expenses Prior Year	18833460	TotalExpensesPriorYear
Total Expenses Current Year	19309204	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2471535	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1171118	RevenuesLessExpensesCY
Total Assets BOY	25734565	TotalAssetsBOY
Total Assets EOY	27073486	TotalAssetsEOY
Total Liabilities BOY	6501730	TotalLiabilitiesBOY
Total Liabilities EOY	6961393	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	19232835	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	20112093	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE HIGH QUALITY, COMPASSIONATE AND COMPREHENSIVE PRIMARY HEALTH SERVICES FOR THE ENTIRE FAMILY, WITH A SPECIAL FOCUS ON THE UNDERSERVED AND MIGRANT FARM-WORKERS IN THE COMMUNITY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	9198922	Expense
Revenue	12366930	Revenue
Description	MEDICAL SERVICES - THIS PROGRAM INCLUDES MEDICAL, BEHAVIORAL HEALTH AND PHARMACY SERVICES PROVIDED TO PATIENTS OF THE HEALTH CENTER. MOSES LAKE COMMUNITY HEALTH CENTER (MLCHC) PROVIDES PRIMARY CARE SERVICES INCLUDING OBSTETRICS CARE WITH 7 PHYSICIANS AND 12 MID-LEVEL PHYSICIANS ON STAFF. IN 2012, 20,456 MEDICAL PATIENTS WERE SEEN WITH A TOTAL OF 73,925 VISITS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	2748038	Expense
Revenue	2722284	Revenue
Description	DENTAL SERVICES - MLCHC HAS 6 DENTISTS AND 3 DENTAL HYGIENISTS ON STAFF TO PROVIDE PREVENTATIVE, RESTORATIVE AND EMERGENCY CARE TO THE HEALTH CENTER'S INSURED AND UNINSURED PATIENTS. IN 2012, 8,866 PATIENTS WERE SEEN IN THE DENTAL DEPARTMENT WITH A TOTAL OF 23,533 VISITS PROVIDED.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	1810653	Expense
Revenue	1063895	Revenue
Description	OTHER HEALTH PROGRAMS - MLCHC PROVIDES MATERNITY SUPPORT SERVICES, WIC, INFANT TODDLER EARLY INTERVENTION AND DEVELOPMENTAL DISABILITY PARENT TRAINING PROGRAMS. THE MATERNITY SUPPORT SERVICES DEPARTMENT PROVIDED 6,445 VISITS TO APPROXIMATELY 1,400 PATIENTS. THE WIC PROGRAM SERVICES ELIGIBLE CLIENTS THROUGHOUT GRANT COUNTY IN MULTIPLE LOCATIONS.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	13757613	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	26	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	277	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MIKE HARRELL	NamePerson
Telephone Number	5097650674	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	605 COOLIDGE DRIVE	AddressLine1
City	MOSES LAKE	City
State	WA	State
ZIP Code	98837	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
SCOTT CAMPBELL
BOARD CHAIRMAN	1.00	X	X	0	0	0
SHERRY DELGADO
VICE CHAIR	1.00	X	X	0	0	0
SHARON LANGE
SECRETARY	1.00	X	X	0	0	0
AMY RAYMOND
TREASURER	1.00	X	X	0	0	0
CAROL SCHIMKE
DIRECTOR	1.00	X		0	0	0
LYNN MACKEY
DIRECTOR	1.00	X		0	0	0
DANIEL CHAVEZ
DIRECTOR	1.00	X		0	0	0
MATTHEW BENSON
DIRECTOR	1.00	X		0	0	0
JACINTO VALVERDE
DIRECTOR	1.00	X		0	0	0
AMELIA CAMPOS
DIRECTOR	1.00	X		0	0	0
ORALIA CERRILLO
DIRECTOR	1.00	X		0	0	0
JUAN CARLOS MAGALLANES-MORALES
DIRECTOR	1.00	X		0	0	0
SHEILA CHILSON
CEO	40.00		X	153907	0	24358
SHIRLEY MERKLE
DEPUTY DIRECTOR	40.00		X	121159	0	9362
CAROLYN BRANDENBURG
CFO THRU 12/2012	40.00		X	98128	0	9679
MIKE HARRELL
CFO	40.00		X	0	0	0
LARRY VERHAGE
MEDICAL DIRECTOR	40.00			316733	0	36344	X
BRETT PACK
DENTAL DIRECTOR	40.00			215976	0	30962	X
ANDRE NYE
PHYSICIAN	40.00			349070	0	36344		X
RYAN TOLLEY
PHYSICIAN	40.00			317339	0	36344		X
KRISTY THOMPSON
PHYSICIAN	40.00			238144	0	33072		X
COLE HEMMERLING
PHYSICIAN	40.00			287311	0	28305		X
ANDREA CARTER
PHYSICIAN	40.00			232307	0	26103		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2330074	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	270873	TotalOtherCompensation
Number Individuals GT100 K	23	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
NUVODIA LLC
801 SOUTH STEVENS STREET	SPOKANE	WA	99204	INFORMATION TECHNOLOGY SERVICE	384676
TROI IT SOLUTIONS
801 SOUTH STEVENS STREET	SPOKANE	WA	99204	INFORMATION TECHNOLOGY SERVICE	266747
QUEST DIAGNOSTICS
LOCK BOX 91514 QUEST DIAGNOSTICS	LOS ANGELES	CA	90074	OUTSIDE LAB SERVICE	216139
CLEANPROS
POST OFFICE BOX 305	MOSES LAKE	WA	98837	JANITORIAL	192110

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Government Grants	3876520	GovernmentGrants
All Other Contributions	15283	AllOtherContributions
Total Contributions	3891803	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES	624100	10185170	10185170
MANAGED CARE	624100	5671724	5671724
CONTRACT SERVICES	624100	296212	296212

Field	Value	IRS element (for citing)
Total Program Service Revenue	16153106	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	256737	TotalRevenueColumn
Exclusion	$256,737	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	8383450	Securities
Other	6245	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	8283768	Securities
Other	11611	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	99682	Securities
Other	-5366	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	94316	TotalRevenueColumn
Exclusion	$94,316	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
EHR INCENTIVE PAYMENTS	900099	63750	$63,750
MEDICAL RECORDS FEES	561000	3319	$3,319
UNDERGRAD STIPENDS	611710	2100	$2,100

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	15191	TotalRevenueColumn
Exclusion	$15,191	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	84360	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	20480322	TotalRevenueColumn
Related Or Exempt Function Income	16153106	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$435,413	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	953310	Total
Program Services	300399	ProgramServices
Management And General	636620	ManagementAndGeneral
Fundraising	16291	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	10621951	Total
Program Services	8706259	ProgramServices
Management And General	1915692	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	288694	Total
Program Services	225789	ProgramServices
Management And General	62905	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1402467	Total
Program Services	1099473	ProgramServices
Management And General	302994	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	916093	Total
Program Services	712111	ProgramServices
Management And General	203982	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	155828	Total
Program Services	29366	ProgramServices
Management And General	126462	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2899	Total
Program Services	1623	ProgramServices
Management And General	1276	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	48796	Total
Management And General	48796	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	54732	Total
Management And General	54732	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	26231	Total
Program Services	26231	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	51386	Total
Program Services	9028	ProgramServices
Management And General	42358	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	295640	Total
Program Services	150221	ProgramServices
Management And General	145419	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	507446	Total
Program Services	209997	ProgramServices
Management And General	297449	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	216018	Total
Program Services	54299	ProgramServices
Management And General	161719	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	122581	Total
Program Services	88660	ProgramServices
Management And General	33921	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	50294	Total
Program Services	35054	ProgramServices
Management And General	15240	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	73981	Total
Management And General	73981	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	795135	Total
Program Services	108689	ProgramServices
Management And General	686446	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	84829	Total
Program Services	36394	ProgramServices
Management And General	48435	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MED & PHARM SUPPLIES	1262490	1262490
PURCHASED SERVICES	680868	313624	367244
REPAIRS AND MAINTENANCE	257987	44964	213023

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	439548	Total
Program Services	342942	ProgramServices
Management And General	96606	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	19309204	Total
Program Services	13757613	ProgramServices
Management And General	5535300	ManagementAndGeneral
Fundraising	16291	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1972993	BOY
EOY	1151305	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1473609	BOY
EOY	2460738	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	295523	BOY
EOY	262680	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2984041	BOY
EOY	2392370	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	322374	BOY
EOY	300876	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	163329	BOY
EOY	309150	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	16049386	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6131643	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	9859162	BOY
EOY	9917743	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	8557886	BOY
EOY	10175807	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	47648	BOY
EOY	44817	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	58000	BOY
EOY	58000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	25734565	BOY
EOY	27073486	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3248807	BOY
EOY	3972506	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	2021626	BOY
EOY	1921639	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1231297	BOY
EOY	1067248	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	6501730	BOY
EOY	6961393	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	19097835	BOY
EOY	20018006	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	135000	BOY
EOY	94087	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	19232835	BOY
EOY	20112093	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	25734565	BOY
EOY	27073486	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	1171118	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	-291860	ReconciliationUnrealizedInvest
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4170422	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4537962	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4660479	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3939664	CurrentTaxYearMinus1Year
Current Tax Year	3891803	CurrentTaxYear
Total	21200330	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4170422	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4537962	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4660479	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3939664	CurrentTaxYearMinus1Year
Current Tax Year	3891803	CurrentTaxYear
Total	21200330	Total

Field	Value	IRS element (for citing)
Public Support Total170	21200330	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	148603	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	211755	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	198349	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	227236	CurrentTaxYearMinus1Year
Current Tax Year	256737	CurrentTaxYear
Total	1042680	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	86478	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4274	CurrentTaxYearMinus1Year
Current Tax Year	20610	CurrentTaxYear
Total	111362	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	193250	CurrentTaxYearMinus1Year
Current Tax Year	63750	CurrentTaxYear
Total	257000	Total

Field	Value	IRS element (for citing)
Total Support	22611372	TotalSupport
Gross Receipts From Admissions Etc	77151756	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.93760	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.94410	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
General Explanation	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INCENTIVE PAYMENTS - 2011 AMOUNT: $ 193,250. 2012 AMOUNT: $ 63,750.	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	362467	OtherCostOrOtherBasis
Book Value	362467	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7862635	OtherCostOrOtherBasis
Depreciation	1873749	Depreciation
Book Value	5988886	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2945351	OtherCostOrOtherBasis
Depreciation	1286939	Depreciation
Book Value	1658412	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4393246	OtherCostOrOtherBasis
Depreciation	2970955	Depreciation
Book Value	1422291	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	485687	OtherCostOrOtherBasis
Book Value	485687	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	9917743	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	20188462	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-291860	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	-291860	RevenueNotRptdF990
Revenue Subtotal	20480322	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	20480322	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	19309204	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	19309204	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	19309204	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SHEILA CHILSON
CEO	153592	0	100	0	215	0	5253	0	19105	0	178265	0	0	0
LARRY VERHAGE
MEDICAL DIRECTOR	316033	0	460	0	240	0	10000	0	26344	0	353077	0	0	0
BRETT PACK
DENTAL DIRECTOR	173691	0	42046	0	239	0	8218	0	22744	0	246938	0	0	0
ANDRE NYE
PHYSICIAN	347530	0	1300	0	240	0	10000	0	26344	0	385414	0	0	0
RYAN TOLLEY
PHYSICIAN	296999	0	20100	0	240	0	10000	0	26344	0	353683	0	0	0
KRISTY THOMPSON
PHYSICIAN	237684	0	220	0	240	0	9028	0	24044	0	271216	0	0	0
COLE HEMMERLING
PHYSICIAN	266463	0	20608	0	240	0	5561	0	22744	0	315616	0	0	0
ANDREA CARTER
PHYSICIAN	231967	0	100	0	240	0	3359	0	22744	0	258410	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
WASHINGTON HEALTH CARE FACILITIES
A	911108929	93978EUWO	2003-01-23	943250	SEE PART VI	0	0	1
WASHINGTON HEALTH CARE FACILITIES
B	911108929	NONEAVAIL	2006-07-21	1550000	CONSTRUCTION OF FACILITIES	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	226584	943250	52580	18866	19476	852363	2003	0	0	1	1
B	345027	1550000				1550000	2006	0	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0	0	1
B	0	0	0	0	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	0	RebateNotDueYet
Exception To Rebate	0	ExceptionToRebate
No Rebate Due	0	NoRebateDue
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K, PART I, LINE A, COLUMN F	Identifier
Explanation	BOND ISSUE A WAS PART OF A POOLED FINANCING ISSUE, AND THE AMOUNTS REPORTED ARE THE ALLOCATED PORTIONS OF THE ISSUE. THE PURPOSE OF THE BOND ISSUE WAS FOR ACQUISITION, CONSTRUCTION, AND/OR RENOVATION OF THE HEALTHCARE CLINIC IN QUINCY, WA.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART I, LINE 6	THE BOARD OF DIRECTORS PER MLCHC BYLAWS REQUIRES A BOARD COMPOSITION OF 9 TO 15 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 3 HOURS A MONTH IN THIS CAPACITY.
FORM 990, PART VI, SECTION B, LINE 11	UPON COMPLETION OF THE FORM 990, THE RETURN WILL BE REVIEWED IN DETAIL WITH THE BOARD FINANCE COMMITTEE AND THEN IN SUMMARY WITH THE BOARD OF DIRECTORS. 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 12C	OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED ON A CONTINUOUS BASIS TO COMPLY WITH THE CONFLICT OF INTEREST POLICY AND REQUIRED TO DISCLOSE TO THE BOARD OF DIRECTORS OR COMPLIANCE OFFICER ANY ISSUES OR CONCERNS. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING AND REPORTING ANY CONFLICTS OF INTEREST BROUGHT TO THE ATTENTION OF THE ORGANIZATION. A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST, IN ANY MATTER BROUGHT BEFORE THE BOARD, SHALL DECLARE SUCH CONFLICT AND MAY BE INCLUDED IN, OR OFFER INFORMATION TO THE DISCUSSION, BUT SHALL ABSTAIN FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15	FOR THE CEO, THE BOARD OF DIRECTORS REVIEWS SALARY SURVEYS AND REGIONAL MARKET COMPARISONS TO DETERMINE APPROPRIATE COMPENSATION LEVELS. THE CONTRACT IS REVIEWED BY THE BOARD OF DIRECTORS EVERY THREE YEARS AND APPROVED BY THE ENTIRE BOARD. OTHER OFFICERS AND KEY EMPLOYEES ARE REVIEWED UTILIZING SALARY SURVEYS AND REGIONAL MARKET COMPARISONS AS WELL. THIS PROCESS IS LED BY THE CEO WITH THE ASSISTANCE OF THE HR DIRECTOR. COMPENSATION INFORMATION IS REVIEWED WITH THE BOARD CHAIR BY THE CEO. THE LAST COMPENSATION REVIEW WAS PERFORMED IN 2013.
FORM 990, PART VI, SECTION C, LINE 19	THESE DOCUMENTS ARE AVAILABLE UPON REQUEST FOR VIEWING AT THE ORGANIZATION'S MAIN BUSINESS OFFICE IN THE PRESENCE OF THE CFO OR CEO.