MOSES LAKE COMMUNITY HEALTH CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MOSES LAKE COMMUNITY HEALTH CENTER (EIN 91-1537371)
Tax period
2010-04-01 to 2011-03-31
Filed
2011-12-22
IRS object ID
201103569349300950
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-12-22T10:41:54-06:00Timestamp
Tax Period End Date2011-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1700AddressLine1
CityBELLEVUECity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911537371EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOSES LAKE COMMUNITY HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOSENameControl
Phone5097650674Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1605 COOLIDGE DRIVEAddressLine1
CityMOSES LAKECity
StateWAState
ZIP Code98837ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSHEILA CHILSONName
TitleCEOTitle
Phone5097650674Phone
Date Signed2011-12-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSARA ELIZABETH J HYREName
Phone4254544919Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSHEILA CHILSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1605 COOLIDGE DRIVEAddressLine1
CityMOSES LAKECity
StateWAState
ZIP Code98837ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25499793GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MLCHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTO 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 Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees271TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4537962ContributionsGrantsPriorYear
Contributions Grants Current Year4660479ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14418481ProgramServiceRevenuePriorYear
Program Service Revenue CY15957467ProgramServiceRevenueCY
Investment Income Prior Year454593InvestmentIncomePriorYear
Investment Income Current Year219337InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year86478OtherRevenueCurrentYear
Total Revenue Prior Year19411036TotalRevenuePriorYear
Total Revenue Current Year20923761TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13252987SalariesEtcPriorYear
Salaries Etc Current Year12864690SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year15554TotalFundrsngExpCurrentYear
Other Expense Prior Year5014323OtherExpensePriorYear
Other Expenses Current Year5437481OtherExpensesCurrentYear
Total Expenses Prior Year18267310TotalExpensesPriorYear
Total Expenses Current Year18302171TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1143726RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2621590RevenuesLessExpensesCY
Total Assets BOY19924144TotalAssetsBOY
Total Assets EOY22643445TotalAssetsEOY
Total Liabilities BOY5449451TotalLiabilitiesBOY
Total Liabilities EOY5664872TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14474693NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16978573NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9260451Expense
Revenue11829013Revenue
DescriptionMEDICAL 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 9 PHYSICIANS AND 10 MID-LEVEL PHYSICIANS ON STAFF. IN 2010, 18,901 MEDICAL PATIENTS WERE SEEN WITH A TOTAL OF 72,186 VISITS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2511296Expense
Revenue2620529Revenue
DescriptionDENTAL SERVICES - MLCHC HAS 7 DENTISTS AND 2 DENTAL HYGIENISTS ON STAFF TO PROVIDE PREVENTATIVE, RESTORATIVE AND EMERGENCY CARE TO THE HEALTH CENTER'S INSURED AND UNINSURED PATIENTS. IN 2010, 8,440 PATIENTS WERE SEEN IN THE DENTAL DEPARTMENT WITH A TOTAL OF 21,429 VISITS PROVIDED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2036325Expense
Revenue1594403Revenue
DescriptionOTHER HEALTH PROGRAMS - MLCHC PROVIDES MATERNITY SUPPORT SERVICES, WIC, INFANT TODDLER EARLY INTERVENTION AND DEVELOPMENTAL DISABILITY PARENT TRAINING PROGRAMS. THE MATERNITY SUPPORT SERVICES DEPARTMENT PROVIDED 8,440 VISITS TO APPROXIMATELY 1,700 PATIENTS. THE WIC PROGRAM SERVICES ELIGIBLE CLIENTS THROUGHOUT GRANT COUNTY IN MULTIPLE LOCATIONS.Description
FieldValueIRS element (for citing)
Total Program Service Expense13808072TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees271NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCAROLYN BRANDENBURGNamePerson
Telephone Number5097650674TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1605 COOLIDGE DRIVEAddressLine1
CityMOSES LAKECity
StateWAState
ZIP Code98337ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SCOTT CAMPBELL
BOARD CHAIRMAN1.00XX000
SHERRY DELGADO
VICE CHAIR1.00XX000
CAROL SCHIMKE
SECRETARY1.00XX000
AMY RAYMOND
TREASURER1.00XX000
SHARON LANGE
DIRECTOR1.00X000
JUAN CARLOS MAGALLANES-MORALES
DIRECTOR1.00X000
DANIEL CHAVEZ
DIRECTOR1.00X000
JUAN REYES CUIN
DIRECTOR1.00X000
JACINTO VALVERDE
DIRECTOR1.00X000
FRANCES LEINWEBER
DIRECTOR1.00X000
ORALIA CERRILLO
DIRECTOR1.00X000
SHEILA CHILSON
CEO40.00X117457018629
SHIRLEY MERKLE
DEPUTY DIRECTOR40.00X10126208617
CAROLYN BRANDENBURG
CFO40.00X76328017539
LARRY VERHAGE
MEDICAL DIRECTOR40.00301641033740X
BRETT PACK
DENTAL DIRECTOR40.00150733026783X
ANDRE NYE
PHYSICIAN40.00305485029777X
MICHAEL TOLLEY
PHYSICIAN40.00231248032862X
JILL SIMON
PHYSICIAN40.00220921026881X
KRISTY THOMPSON
PHYSICIAN40.00177219027344X
MARK VANCE
PHYSICIAN40.00175317027203X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1857611TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation249375TotalOtherCompensation
Number Individuals GT100 K20NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TROI IT SOLUTIONS
801 SOUTH STEVENS STREETSPOKANEWA99204INFORMATION TECHNOLOGY SERVICE532060
QUEST DIAGNOSTICS
LOCK BOX 91514 QUEST DIAGNOSTICSLOS ANGELESCA90074OUTSIDE LAB SERVICE191056
CLEANPROS
POST OFFICE BOX 305MOSES LAKEWA98837JANITORIAL179421
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants4554926GovernmentGrants
All Other Contributions105553AllOtherContributions
Total Contributions4660479TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES6241001559491615594916
CONTRACT SERVICES624100362551362551
FieldValueIRS element (for citing)
Total Program Service Revenue15957467TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column198349TotalRevenueColumn
Exclusion$198,349ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4597020Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4526975Securities
Other49057Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities70045Securities
Other-49057Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column20988TotalRevenueColumn
Exclusion$20,988ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column86478TotalRevenueColumn
Exclusion$86,478ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue86478TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20923761TotalRevenueColumn
Related Or Exempt Function Income15957467RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$305,815ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total870426Total
Program Services331229ProgramServices
Management And General523643ManagementAndGeneral
Fundraising15554Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9554304Total
Program Services7981636ProgramServices
Management And General1572668ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total246953Total
Program Services202444ProgramServices
Management And General44509ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1246080Total
Program Services1000655ProgramServices
Management And General245425ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total946927Total
Program Services752250ProgramServices
Management And General194677ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total236343Total
Program Services4186ProgramServices
Management And General232157ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1240Total
Management And General1240ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total37424Total
Management And General37424ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total38542Total
Management And General38542ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total168809Total
Program Services165298ProgramServices
Management And General3511ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total76815Total
Program Services8077ProgramServices
Management And General68738ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total53991Total
Program Services35924ProgramServices
Management And General18067ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total571036Total
Program Services89811ProgramServices
Management And General481225ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total44880Total
Program Services22874ProgramServices
Management And General22006ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total64059Total
Program Services51328ProgramServices
Management And General12731ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total47575Total
Program Services37174ProgramServices
Management And General10401ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total89025Total
Management And General89025ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total795255Total
Program Services622978ProgramServices
Management And General172277ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total127967Total
Program Services38938ProgramServices
Management And General89029ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1161760112633035430
BAD DEBTS674957674957
PURCHASED SERVICES40074232386376879
REPAIRS AND MAINTENANCE32191860954260964

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total525143Total
Program Services277166ProgramServices
Management And General247977ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18302171Total
Program Services13808072ProgramServices
Management And General4478545ManagementAndGeneral
Fundraising15554Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1799486BOY
EOY983470EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY309000BOY
EOY1803004EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY438444BOY
EOY179905EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY913117BOY
EOY1993500EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY338471BOY
EOY313535EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY25695BOY
EOY87332EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14848482LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4709646LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10341520BOY
EOY10138836EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5647338BOY
EOY7035386EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY111073BOY
EOY108477EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19924144BOY
EOY22643445EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1697291BOY
EOY2159023EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2202717BOY
EOY2113879EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1549441BOY
EOY1391970EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5449451BOY
EOY5664872EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14474693BOY
EOY16978573EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14474693BOY
EOY16978573EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19924144BOY
EOY22643445EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2621590ReconcilationRevenueExpenses
Reconcilation Other Changes-117710ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3433512CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3582138CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4170422CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4537962CurrentTaxYearMinus1Year
Current Tax Year4660479CurrentTaxYear
Total20384513Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3433512CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3582138CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4170422CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4537962CurrentTaxYearMinus1Year
Current Tax Year4660479CurrentTaxYear
Total20384513Total
FieldValueIRS element (for citing)
Public Support Total17020384513PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years167500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years166413CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years148603CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year211755CurrentTaxYearMinus1Year
Current Tax Year198349CurrentTaxYear
Total892620Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year86478CurrentTaxYear
Total86478Total
FieldValueIRS element (for citing)
Total Support21363611TotalSupport
Gross Receipts From Admissions Etc70846110GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95420PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96010PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis362467OtherCostOrOtherBasis
Book Value362467BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7862635OtherCostOrOtherBasis
Depreciation1473820Depreciation
Book Value6388815BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2861356OtherCostOrOtherBasis
Depreciation938880Depreciation
Book Value1922476BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3745896OtherCostOrOtherBasis
Depreciation2296946Depreciation
Book Value1448950BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16128OtherCostOrOtherBasis
Book Value16128BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10138836TotalOfBookValueLandBuildings
Total Revenue20923761TotalRevenue
Total Expenses18302171TotalExpenses
Excess Or Deficit For Year2621590ExcessOrDeficitForYear
Net Unrealized GL On Investments-117711NetUnrealizedGLOnInvestments
Total Adjustments-117711TotalAdjustments
Excess Or Deficit Per FS2503879ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt20806050TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-117711NetUnrealizedGainsInvestments
Revenue Not Rptd F990-117711RevenueNotRptdF990
Revenue Subtotal20923761RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99020923761TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18302171TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal18302171ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018302171TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LARRY VERHAGE
2399460614550240098000239400335381000
BRETT PACK
1304220201000211063120204710177516000
ANDRE NYE
2492450560000240098000199770335262000
MICHAEL TOLLEY
18569304531502400197180131440264110000
JILL SIMON
2056710150100240083730185080247802000
KRISTY THOMPSON
1588570181350227073710199730204563000
MARK VANCE
172547025300240060850211180202520000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON HEALTH CARE FACILITIESBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN911108929IssuerEIN
CUSIP Number93978EUWOCUSIPNumber
Date Issued2003-01-23DateIssued
Issue Price943250IssuePrice
Description Of PurposeSEE PART VDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing1PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds943250TotalProceeds
Amount In Reserve Fund52580AmountInReserveFund
Issuance Costs From Proceeds18866IssuanceCostsFromProceeds
Credit Enhancement19476CreditEnhancement
Capital Expenditures852363CapitalExpenditures
Year Of Subst Completion2003YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART I, LINE 6THE 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.
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 11
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, 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.
FORM 990, PART VI, SECTION B, LINE 15FOR 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.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST FOR VIEWING AT THE ORGANIZATION'S MAIN BUSINESS OFFICE IN THE PRESENCE OF THE CFO OR CEO.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -117,711. ROUNDING 1. TOTAL TO FORM 990, PART XI, LINE 5: -117,710.CHANGES IN NET ASSETS OR FUND BALANCES:

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