2011-12-22T10:41:54-06:00 2011-03-31 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2010-04-01 911537371 MOSES LAKE COMMUNITY HEALTH CENTER MOSE 5097650674 605 COOLIDGE DRIVE MOSES LAKE WA 98837 SHEILA CHILSON 5097650674 2011-12-22 1 SARA ELIZABETH J HYRE 4254544919 2010 2016-02-24 21:20:13Z SHEILA CHILSON 605 COOLIDGE DRIVE MOSES LAKE WA 98837 25499793 0 X WWW.MLCHC.ORG X 1991 WA 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. 11 11 271 11 0 0 4537962 4660479 14418481 15957467 454593 219337 0 86478 19411036 20923761 0 0 0 0 13252987 12864690 0 0 15554 5014323 5437481 18267310 18302171 1143726 2621590 19924144 22643445 5449451 5664872 14474693 16978573 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. 0 0 9260451 11829013 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 9 PHYSICIANS AND 10 MID-LEVEL PHYSICIANS ON STAFF. IN 2010, 18,901 MEDICAL PATIENTS WERE SEEN WITH A TOTAL OF 72,186 VISITS. 2511296 2620529 DENTAL 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. 2036325 1594403 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 8,440 VISITS TO APPROXIMATELY 1,700 PATIENTS. THE WIC PROGRAM SERVICES ELIGIBLE CLIENTS THROUGHOUT GRANT COUNTY IN MULTIPLE LOCATIONS. 13808072 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 34 0 1 271 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X CAROLYN BRANDENBURG 5097650674 605 COOLIDGE DRIVE MOSES LAKE WA 98337 SCOTT CAMPBELL 1.00 X X 0 0 0 SHERRY DELGADO 1.00 X X 0 0 0 CAROL SCHIMKE 1.00 X X 0 0 0 AMY RAYMOND 1.00 X X 0 0 0 SHARON LANGE 1.00 X 0 0 0 JUAN CARLOS MAGALLANES-MORALES 1.00 X 0 0 0 DANIEL CHAVEZ 1.00 X 0 0 0 JUAN REYES CUIN 1.00 X 0 0 0 JACINTO VALVERDE 1.00 X 0 0 0 FRANCES LEINWEBER 1.00 X 0 0 0 ORALIA CERRILLO 1.00 X 0 0 0 SHEILA CHILSON 40.00 X 117457 0 18629 SHIRLEY MERKLE 40.00 X 101262 0 8617 CAROLYN BRANDENBURG 40.00 X 76328 0 17539 LARRY VERHAGE 40.00 X 301641 0 33740 BRETT PACK 40.00 X 150733 0 26783 ANDRE NYE 40.00 X 305485 0 29777 MICHAEL TOLLEY 40.00 X 231248 0 32862 JILL SIMON 40.00 X 220921 0 26881 KRISTY THOMPSON 40.00 X 177219 0 27344 MARK VANCE 40.00 X 175317 0 27203 1857611 0 249375 20 0 1 0 TROI IT SOLUTIONS 801 SOUTH STEVENS STREET SPOKANE WA 99204 INFORMATION TECHNOLOGY SERVICE 532060 QUEST DIAGNOSTICS LOCK BOX 91514 QUEST DIAGNOSTICS LOS ANGELES CA 90074 OUTSIDE LAB SERVICE 191056 CLEANPROS POST OFFICE BOX 305 MOSES LAKE WA 98837 JANITORIAL 179421 3 4554926 105553 4660479 PATIENT SERVICES 624100 15594916 15594916 CONTRACT SERVICES 624100 362551 362551 15957467 198349 198349 4597020 4526975 49057 70045 -49057 20988 20988 MISCELLANEOUS REVENUE 900099 86478 86478 86478 20923761 15957467 0 305815 870426 331229 523643 15554 9554304 7981636 1572668 246953 202444 44509 1246080 1000655 245425 946927 752250 194677 236343 4186 232157 1240 1240 37424 37424 38542 38542 168809 165298 3511 76815 8077 68738 53991 35924 18067 571036 89811 481225 44880 22874 22006 64059 51328 12731 47575 37174 10401 89025 89025 795255 622978 172277 127967 38938 89029 SUPPLIES 1161760 1126330 35430 BAD DEBTS 674957 674957 PURCHASED SERVICES 400742 323863 76879 REPAIRS AND MAINTENANCE 321918 60954 260964 525143 277166 247977 18302171 13808072 4478545 15554 1799486 983470 309000 1803004 438444 179905 913117 1993500 338471 313535 25695 87332 14848482 4709646 10341520 10138836 5647338 7035386 111073 108477 19924144 22643445 1697291 2159023 2202717 2113879 1549441 1391970 2 0 5449451 5664872 X 14474693 16978573 14474693 16978573 19924144 22643445 X 2621590 -117710 X 0 1 1 X 1 1 X 3433512 3582138 4170422 4537962 4660479 20384513 3433512 3582138 4170422 4537962 4660479 20384513 20384513 167500 166413 148603 211755 198349 892620 86478 86478 21363611 70846110 0.95420 0.96010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 362467 362467 7862635 1473820 6388815 2861356 938880 1922476 3745896 2296946 1448950 16128 16128 10138836 20923761 18302171 2621590 -117711 -117711 2503879 20806050 -117711 -117711 20923761 0 20923761 18302171 0 18302171 0 18302171 X X X 0 0 0 0 0 0 0 0 0 LARRY VERHAGE 239946 0 61455 0 240 0 9800 0 23940 0 335381 0 0 0 BRETT PACK 130422 0 20100 0 211 0 6312 0 20471 0 177516 0 0 0 ANDRE NYE 249245 0 56000 0 240 0 9800 0 19977 0 335262 0 0 0 MICHAEL TOLLEY 185693 0 45315 0 240 0 19718 0 13144 0 264110 0 0 0 JILL SIMON 205671 0 15010 0 240 0 8373 0 18508 0 247802 0 0 0 KRISTY THOMPSON 158857 0 18135 0 227 0 7371 0 19973 0 204563 0 0 0 MARK VANCE 172547 0 2530 0 240 0 6085 0 21118 0 202520 0 0 0 WASHINGTON HEALTH CARE FACILITIES 911108929 93978EUWO 2003-01-23 943250 SEE PART V 0 0 1 943250 52580 18866 19476 852363 2003 0 0 1 1 0 0 0 0 1 1 0 1 0 0 0 1 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. 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. 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. CHANGES IN NET ASSETS OR FUND BALANCES: 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.