COMMUNITY HEALTH CARE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CARE (EIN 91-1349657)
- Tax period
- 2012-06-01 to 2013-05-31
- Filed
- 2013-11-15
- IRS object ID
- 201343199349311089
- 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 C
- Schedule D
- Schedule G
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T18:39:05-06:00 | Timestamp |
| Tax Period End Date | 2013-05-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 NORTHUP WAY SUITE 200 | 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 | 2012-06-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911349657 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 2535974550 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1019 PACIFIC AVE NO 300 | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 98402 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID FLENTGE | Name |
| Title | CEO | Title |
| Phone | 2537221502 | Phone |
| Date Signed | 2013-11-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAUL MBAILEY | Name |
| PTIN | P00292653 | PTIN |
| Phone | 4252506100 | Phone |
| Date Prepared | 2013-11-07 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID FLENTGE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1019 PACIFIC AVE NO 300 | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 98402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 37778933 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COMMHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1987 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE THE HIGHEST QUALITY HEALTH CARE WITH COMPASSIONATE AND ACCESSIBLE SERVICE FOR ALL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 365 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4972679 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 14867928 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 20682576 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 22467821 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 47426 | InvestmentIncomePriorYear |
| Investment Income Current Year | 90758 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 867001 | OtherRevenuePriorYear |
| Other Revenue Current Year | 301367 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 26569682 | TotalRevenuePriorYear |
| Total Revenue Current Year | 37727874 | 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 | 19510042 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20931711 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 34890 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 233918 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8011453 | OtherExpensePriorYear |
| Other Expenses Current Year | 8351232 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 27556385 | TotalExpensesPriorYear |
| Total Expenses Current Year | 29282943 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -986703 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8444931 | RevenuesLessExpensesCY |
| Total Assets BOY | 38047999 | TotalAssetsBOY |
| Total Assets EOY | 52241806 | TotalAssetsEOY |
| Total Liabilities BOY | 10721229 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 16436950 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 27326770 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 35804856 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | COMMUNITY HEALTH CARE PROVIDES COMPREHENSIVE PRIMARY MEDICAL AND DENTAL CARE THROUGH A CLINIC SYSTEM THAT INCLUDES SIX MEDICAL AND TWO DENTAL CLINICS. IN ADDITION, CARE IS ALSO PROVIDED THROUGH A WOMEN'S HEALTH CLINIC. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 15135458 | Expense |
| Revenue | 12001388 | Revenue |
| Description | COMMUNITY HEALTH CARE (CHC) MEDICAL CLINICS OFFER MEDICAL SERVICES AND URGENT CARE CENTER SERVICES IN VARIOUS LOCATIONS IN PIERCE COUNTY ACCORDING TO A SLIDING FEE SCALE BASED ON INCOME AND FAMILY SIZE. DURING THE FISCAL YEAR ENDED 5/31/2013 CHC PROVIDED 30,949 PATIENTS WITH MEDICAL CARE FROM 97,522 PATIENT VISITS AT 7 MEDICAL CLINICS. 63% OF PATIENTS ARE AT POVERTY LEVEL AND 84% OF PATIENTS ARE LOW-INCOME. CHC PROVIDED $1,858,790 IN TOTAL SLIDE FEE DISCOUNTS FOR FISCAL YEAR END 5/31/13. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4838283 | Expense |
| Revenue | 490193 | Revenue |
| Description | COMMUNITY HEALTH CARE (CHC) DENTAL CLINICS OFFER PRIMARY CARE DENTAL SERVICES IN VARIOUS PIERCE COUNTY LOCATIONS ACCORDING TO THE SAME FEE STRUCTURE. DURING THE FISCAL YEAR ENDED 5/31/2013 CHC PROVIDED 35,309 DENTAL VISITS TO 13,453 PATIENTS AT TWO DENTAL CLINICS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2631533 | Expense |
| Revenue | 3776598 | Revenue |
| Description | FOUR PHARMACIES OFFER PHARMACEUTICAL SERVICES TO PATIENTS IN VARIOUS LOCATIONS IN PIERCE COUNTY ACCORDING TO THE SAME FEE STRUCTURE NOTED ABOVE. THE PHARMACY SERVED 13,430 PATIENTS THROUGH 94,378 MEDICATION FILLS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 774056 | Expense |
| Revenue | 1788642 | Revenue |
| Description | ARNP RESIDENCY PROGRAM OFFERS MEDICAL SERVICES IN THE CITY OF TACOMA ACCORDING TO A SLIDING FEE SCALE BASED ON INCOME AND FAMILY SIZE DURING THE FISCAL YEAR STARTING IN OCT 2012 ENDING MAY 31, 2013. THE RESIDENCY PROGRAM PROVIDED 1441 ENCOUNTERS TO 941 PATIENTS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 774056 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 1788642 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 23379330 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | 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 | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | 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 | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | 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 | 47 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 365 | 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | 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 | TONIA CAMPBELL | NamePerson |
| Telephone Number | 2535691510 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1019 PACIFIC AVE ST 300 | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 98402 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| BABULA RAY | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| BARBANO LYSA | ||||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | |||
| BOWE RICHARD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| BOWMAN LINDA | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| DEMPSEY PEG | ||||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | |||
| GRIFFIN-STALLWORTH LADEDRIA | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| HOGAN NAN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JOHNSON RIA | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| MAGANA MARTHA | ||||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | |||
| SETO PETER | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| SHIMAMOTO KYLE | ||||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | |||
| SLOAN DAN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| SWANBERG DOUG | ||||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | |||
| WEISS SHELLY | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| YOUNG DEBRA | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| FLENTGE DAVID | ||||||||
| CEO | 40.00 | 146353 | 0 | 28515 | X | |||
| SMITH JEFFREY | ||||||||
| MEDICAL DIRECTOR | 40.00 | 313699 | 0 | 66356 | X | |||
| NEIGHBOR RALPH | ||||||||
| MD OBGYN | 40.00 | 188789 | 0 | 28925 | X | |||
| SAMUELS CHUCK | ||||||||
| DENTIST | 40.00 | 174396 | 0 | 35321 | X | |||
| ESHER ERICA | ||||||||
| MD FP W/OB | 40.00 | 170205 | 0 | 33955 | X | |||
| REYNOLDS THOMAS | ||||||||
| DENTAL DIRECTOR | 40.00 | 145615 | 0 | 18750 | X | |||
| PENA-BENITEZ FRIDA | ||||||||
| MEDICAL DOCTOR | 40.00 | 145781 | 0 | 24048 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1284838 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 235870 | TotalOtherCompensation |
| Number Individuals GT100 K | 19 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| AMERISOURCEBERGEN | |||||
| PO BOX 100741 | PASADENA | CA | 91189 | PHARMACEUTICALS | 669655 |
| JOHNSON ARCHITECTURE | |||||
| 2124 3RD AVE STE 200 | SEATTLE | WA | 98121 | ARCHITECTURE SERVICES | 542470 |
| QUALITY SYSTEM | |||||
| PO BOX 511449 | LOS ANGELES | CA | 90051 | SOFTWARE/LICENSE | 254315 |
| LABCORP | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | PATIENT LAB SERVICES | 246838 |
| PHYSICIAN SALES AND SVC | |||||
| PO BOX 1269 | AUBURN | WA | 98071 | MEDICAL INVENTORY | 226761 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Fundraising Events | 53961 | FundraisingEvents |
| Government Grants | 10997082 | GovernmentGrants |
| All Other Contributions | 3816885 | AllOtherContributions |
| Noncash Contributions | 862476 | NoncashContributions |
| Total Contributions | 14867928 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| PATIENT FEES | 621400 | 19131521 | $19,131,521 |
| PHARMACY REVENUE | 621300 | 3336300 | $3,336,300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 22467821 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 90758 | TotalRevenueColumn |
| Exclusion | $90,758 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 32750 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 53961 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 51059 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -18309 | TotalRevenueColumn |
| Exclusion | -$18,309 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MEANINGFUL USE REVENUE | 711300 | 304229 | $304,229 |
| MISCELLANEOUS REVENUE | 900099 | 15447 | $15,447 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 319676 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 37727874 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $22,859,946 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 522063 | Total |
| Program Services | 324063 | ProgramServices |
| Management And General | 198000 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15838704 | Total |
| Program Services | 12793911 | ProgramServices |
| Management And General | 2911353 | ManagementAndGeneral |
| Fundraising | 133440 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 528216 | Total |
| Program Services | 408716 | ProgramServices |
| Management And General | 113263 | ManagementAndGeneral |
| Fundraising | 6237 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4042728 | Total |
| Program Services | 3225329 | ProgramServices |
| Management And General | 798414 | ManagementAndGeneral |
| Fundraising | 18985 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 177903 | Total |
| Program Services | 72210 | ProgramServices |
| Management And General | 105693 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54309 | Total |
| Program Services | 24 | ProgramServices |
| Management And General | 54285 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1602138 | Total |
| Program Services | 1318100 | ProgramServices |
| Management And General | 221814 | ManagementAndGeneral |
| Fundraising | 62224 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159769 | Total |
| Program Services | 29898 | ProgramServices |
| Management And General | 128503 | ManagementAndGeneral |
| Fundraising | 1368 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750969 | Total |
| Program Services | 441827 | ProgramServices |
| Management And General | 299199 | ManagementAndGeneral |
| Fundraising | 9943 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 406081 | Total |
| Program Services | 331768 | ProgramServices |
| Management And General | 74164 | ManagementAndGeneral |
| Fundraising | 149 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 602945 | Total |
| Program Services | 401566 | ProgramServices |
| Management And General | 201319 | ManagementAndGeneral |
| Fundraising | 60 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262538 | Total |
| Program Services | 141632 | ProgramServices |
| Management And General | 120364 | ManagementAndGeneral |
| Fundraising | 542 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 271744 | Total |
| Program Services | 193276 | ProgramServices |
| Management And General | 78468 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1077307 | Total |
| Program Services | 937119 | ProgramServices |
| Management And General | 140088 | ManagementAndGeneral |
| Fundraising | 100 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110331 | Total |
| Program Services | 76381 | ProgramServices |
| Management And General | 33950 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL AND DENTAL SUPP | 2244502 | 2242408 | 2094 | |
| FEES, TAXES, AND DUES | 268733 | 155436 | 113294 | 3 |
| REPAIRS AND MAINTENANCE | 223443 | 193698 | 29602 | 143 |
| MISCELLANEOUS | 119429 | 73104 | 45602 | 723 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19091 | Total |
| Program Services | 18864 | ProgramServices |
| Management And General | 226 | ManagementAndGeneral |
| Fundraising | 1 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29282943 | Total |
| Program Services | 23379330 | ProgramServices |
| Management And General | 5669695 | ManagementAndGeneral |
| Fundraising | 233918 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9175941 | BOY |
| EOY | 8690610 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3202630 | BOY |
| EOY | 1328047 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 433962 | BOY |
| EOY | 3192816 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2792823 | BOY |
| EOY | 16710910 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 105443 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198863 | BOY |
| EOY | 121360 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 204756 | BOY |
| EOY | 193224 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 30395162 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 10473531 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21383372 | BOY |
| EOY | 19921631 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 655652 | BOY |
| EOY | 1977765 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38047999 | BOY |
| EOY | 52241806 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6075559 | BOY |
| EOY | 7437488 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35498 | BOY |
| EOY | 40381 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1395000 | BOY |
| EOY | 1330000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3215172 | BOY |
| EOY | 7629081 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10721229 | BOY |
| EOY | 16436950 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26920586 | BOY |
| EOY | 35804856 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 406184 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27326770 | BOY |
| EOY | 35804856 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38047999 | BOY |
| EOY | 52241806 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 8444931 | ReconcilationRevenueExpenses |
| Reconcilation Donated Services | 33155 | ReconcilationDonatedServices |
| 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 Consolidated | X | FinancialStatementConsolidated |
| 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 | 9314479 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6331802 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4257171 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5639201 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14867928 | CurrentTaxYear |
| Total | 40410581 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9314479 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6331802 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4257171 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5639201 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14867928 | CurrentTaxYear |
| Total | 40410581 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 40410581 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 66235 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | -229272 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27717 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 47426 | CurrentTaxYearMinus1Year |
| Current Tax Year | 90758 | CurrentTaxYear |
| Total | 2864 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 291287 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | -12239 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4932 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 903624 | CurrentTaxYearMinus1Year |
| Current Tax Year | 319676 | CurrentTaxYear |
| Total | 1507280 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 41920725 | TotalSupport |
| Gross Receipts From Admissions Etc | 118579758 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.96400 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.95460 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 1 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 1 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $1,459 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1459 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | CEO SPENT APPROXIMATELY TEN HOURS LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3642530 | OtherCostOrOtherBasis |
| Book Value | 3642530 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16841286 | OtherCostOrOtherBasis |
| Depreciation | 3323997 | Depreciation |
| Book Value | 13517289 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2308465 | OtherCostOrOtherBasis |
| Depreciation | 1036586 | Depreciation |
| Book Value | 1271879 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7309157 | OtherCostOrOtherBasis |
| Depreciation | 6011674 | Depreciation |
| Book Value | 1297483 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 293724 | OtherCostOrOtherBasis |
| Depreciation | 101274 | Depreciation |
| Book Value | 192450 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19921631 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS BECAUSE THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION, EXEMPT FROM INCOME TAXES UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION (ASC). THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2010. | Explanation |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Individual | RICHARD OLDENBURG | NameOfIndividual |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6825 RAINER AVE | AddressLine1 |
| City | GIG HARBOR | City |
| State | WA | State |
| ZIP Code | 98335 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | MAJOR & PLANNED GIFT CONSULTING | Activity |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFunds |
| Gross Receipts | 0 | GrossReceipts |
| Amount Retained By Contractor | 71963 | AmountRetainedByContractor |
| Net To Organization | -71963 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | 71963 | TotalRetainedByContractors |
| Total Net To Organization | -71963 | TotalNetToOrganization |
| Licensed States | WA | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ANNUAL LUNCHEON | NameOfEvent1 |
| Gross Receipts Event1 | 86711 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 53961 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 32750 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 4000 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 11634 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 11500 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 23925 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 86711 | GrossReceiptsTotal |
| Charitable Contributions Total | 53961 | CharitableContributionsTotal |
| Gross Revenue Total Events | 32750 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 4000 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 11634 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 11500 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 23925 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 51059 | DirectExpenseSummaryEvents |
| Net Income Summary | -18309 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLENTGE DAVID | ||||||||||||||
| CEO | 146353 | 0 | 0 | 0 | 0 | 0 | 20568 | 0 | 7947 | 0 | 174868 | 0 | 0 | 0 |
| SMITH JEFFREY | ||||||||||||||
| MEDICAL DIRECTOR | 280394 | 0 | 33305 | 0 | 0 | 0 | 46657 | 0 | 19699 | 0 | 380055 | 0 | 0 | 0 |
| NEIGHBOR RALPH | ||||||||||||||
| MD OBGYN | 187730 | 0 | 1059 | 0 | 0 | 0 | 16597 | 0 | 12328 | 0 | 217714 | 0 | 0 | 0 |
| SAMUELS CHUCK | ||||||||||||||
| DENTIST | 148964 | 0 | 25432 | 0 | 0 | 0 | 27686 | 0 | 7635 | 0 | 209717 | 0 | 0 | 0 |
| ESHER ERICA | ||||||||||||||
| MD FP W/OB | 135236 | 0 | 34969 | 0 | 0 | 0 | 26320 | 0 | 7635 | 0 | 204160 | 0 | 0 | 0 |
| REYNOLDS THOMAS | ||||||||||||||
| DENTAL DIRECTOR | 145338 | 0 | 277 | 0 | 0 | 0 | 5766 | 0 | 12984 | 0 | 164365 | 0 | 0 | 0 |
| PENA-BENITEZ FRIDA | ||||||||||||||
| MEDICAL DOCTOR | 145781 | 0 | 0 | 0 | 0 | 0 | 14797 | 0 | 9251 | 0 | 169829 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WA HEALTH CARE FACILITIES AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 911108929 | IssuerEIN |
| CUSIP Number | 93978EUWO | CUSIPNumber |
| Date Issued | 2003-01-23 | DateIssued |
| Issue Price | 3320000 | IssuePrice |
| Description Of Purpose | TO FUND BUILDING | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 1 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 1990000 | AmountRetired |
| Total Proceeds | 3320000 | TotalProceeds |
| Amount In Reserve Fund | 96667 | AmountInReserveFund |
| Issuance Costs From Proceeds | 185620 | IssuanceCostsFromProceeds |
| Capital Expenditures | 3088333 | CapitalExpenditures |
| Year Of Subst Completion | 2003 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 0 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
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 | 1 | 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 |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | VACCINATIONS | 1 | 578484 | CDC PRICING |
| X | MEDICATIONS | 1 | 232877 | AWP |
| X | PROFESSIONAL TIME | 1 | 33115 | HOURLY RATE |
| X | EQUIPMENT MAINTENANCE | 1 | 18000 | INVOICE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | LEE PODOLL, AN EMPLOYEE OF COMMUNITY LINK CONSULTING, WAS ENGAGED AS TEMPORARY CFO. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING. THE BOARD IS GIVEN THE OPPORTUNITY TO FORWARD QUESTIONS AND OR CONCERNS TO THE FINANCE COMMITTEE SO THEY CAN BE ADDRESSED. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND MANAGEMENT TEAM MEMBERS ARE ASKED TO SIGN A CONFLICT OF INTEREST STATEMENT AT INITIAL ORIENTATION AND AGAIN ANNUALLY. EMPLOYEES SIGN STATEMENTS AT INITIAL ORIENTATION AND THEN EVERY SEVERAL YEARS. RECORDS ARE MAINTAINED BY EITHER THE HUMAN RESOURCES DIRECTOR OR THE ASSISTANT TO THE CEO. REPORTED OR POTENTIAL CONFLICTS ARE REVIEWED BY EITHER THE HUMAN RESOURCES DIRECTOR OR THE CEO. IF A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER OR MANAGEMENT TEAM MEMBER MUST EXCUSE THEMSELVES FROM THE DISCUSSION OR VOTING. IF A CONFLICT IS PERVASIVE WITH A BOARD MEMBER THEN THE CO-CHAIRS CAN PROCEED TO REMOVE THE BOARD MEMBER. IF A CONFLICT IS PERVASIVE WITH A MANAGEMENT TEAM MEMBER THEN THEY MAY BE TERMINATED. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMMUNITY HEALTH CARE USES SURVEYS OF LIKE ORGANIZATIONS TO REVIEW COMPENSATION. THE REVIEW IS COMPLETED BY THE HUMAN RESOURCES DEPARTMENT AND THEN PROVIDED TO THE CEO. THE CEO REVIEWS AND MAKES PROPOSALS TO THE PERSONNEL COMMITTEE WHO THEN MAKES PROPOSALS TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. KEY EMPLOYEES' SALARIES HAVE BEEN REVIEWED MORE RECENTLY AS INDIVIDUALS HAVE DEPARTED FROM POSITIONS, AS PAY RATE QUESTIONS HAVE COME UP, OR AS THE MARKET HAS DETERMINED THAT A REVIEW WAS NECESSARY. COMMUNITY HEALTH CARE USES NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION, NATIONAL ASSOCIATION FOR COMMUNITY HEALTH CENTERS, AND MILLIMAN SALARY SURVEYS AND DATA FROM THE PACIFIC NORTHWEST REGION AS COMPARATIVE DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VI, LINE 1A | THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF COMMUNITY HEALTH CARE (CHAIRPERSON OR CO-CHAIRS, VICE CHAIRPERSON, SECRETARY AND TREASURER) AND THE CHAIRPERSONS OF EACH OF THE STANDING COMMITTEES. IT HAS THE POWERS AND AUTHORITY OF THE BOARD TO MAKE BOARD LEVEL DECISIONS WHEN THE BOARD IS NOT IN SESSION. THE COMMITTEE SHALL OVERSEE THE RECRUITMENT, HIRING, AND EVALUATION (YEARLY) OF THE PRESIDENT/CEO. THE EXECUTIVE COMMITTEE KEEPS REGULAR MINUTES OF ITS PROCEEDINGS, CAUSE THEM TO BE FILED WITH THE CORPORATE RECORDS AND REPORT THE SAME TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR MEETING OF THE BOARD OF DIRECTORS. THE QUORUM FOR EXECUTIVE COMMITTEE MEETINGS IS 51%. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLTOP REGIONAL HEALTH CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1019 PACIFIC AVE | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 98402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455494488 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivities |
| Legal Domicile State | WA | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |