COMMUNITY HEALTH OF CENTRAL WASHINGTON: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH OF CENTRAL WASHINGTON (EIN 57-1140982)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-01-08
- IRS object ID
- 202410169349303996
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-01-08T18:24:30-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 571140982 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH OF CENTRAL | BusinessNameLine1Txt |
| Business Name Line2 | WASHINGTON | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 5094524520 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 SOUTH 5TH AVENUE | AddressLine1Txt |
| City | YAKIMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANGELA GONZALEZ | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5094524520 | PhoneNum |
| Signature | 2023-12-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANGELA | PersonFirstNm |
| Person Last | GONZALEZ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2024-01-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANGELA GONZALEZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 SOUTH 5TH AVENUE | AddressLine1Txt |
| City | YAKIMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $51,627,960 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | CHCW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE ACCESS TO QUALITY HEALTHCARE THROUGH SERVICE AND EDUCATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 483 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | -$16,847 | TotalGrossUBIAmt |
| PY Contributions Grants | $12,011,362 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,834,381 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $38,910,712 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $37,017,644 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,647 | PYInvestmentIncomeAmt |
| CY Investment Income | $344,014 | CYInvestmentIncomeAmt |
| PY Other Revenue | $239,841 | PYOtherRevenueAmt |
| CY Other Revenue | $395,446 | CYOtherRevenueAmt |
| PY Total Revenue | $51,187,562 | PYTotalRevenueAmt |
| CY Total Revenue | $51,591,485 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,893,007 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,611,834 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $90,433 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,944,094 | PYOtherExpensesAmt |
| CY Other Expenses | $14,980,218 | CYOtherExpensesAmt |
| PY Total Expenses | $45,837,101 | PYTotalExpensesAmt |
| CY Total Expenses | $51,592,052 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,350,461 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$567 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $57,582,212 | TotalAssetsBOYAmt |
| Total Assets EOY | $58,402,760 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,726,483 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,579,473 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $40,855,729 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $40,823,287 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE HEALTH CARE AND TREATMENT FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE IN THE COMMUNITIES SERVED AND A PROGRAM TO TRAIN FAMILY PHYSICIANS TO CARE FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $38,150,018 | ExpenseAmt |
| Revenue | $37,017,644 | RevenueAmt |
| Desc | PATIENT CARE - COMMUNITY HEALTH OF CENTRAL WASHINGTON PROVIDES COMPREHENSIVE PRIMARY CARE, MEDICAL AND DENTAL SERVICES TO UNDERSERVED PEOPLE IN YAKIMA AND KITTITAS COUNTIES. SERVICE IS PROVIDED REGARDLESS OF THE ABILITY TO PAY. LOW INCOME INDIVIDUALS AND FAMILIES MAY APPLY TO RECEIVE SERVICES ON A DISCOUNTED FEE BASIS. PATIENT CARE ACTIVITIES - CHCW SERVED 27,671 PATIENTS, RESULTING IN 118,660 VISITS AT OUR 5 MEDICAL CLINICS, 1 DENTAL CLINIC, SENIOR RESIDENTIAL CARE SERVICES AND OUR SENIOR SMILES PROGRAM THIS YEAR. SEE CONTINUATION ON SCHEDULE O. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,081,458 | ExpenseAmt |
| Desc | RESIDENCY PROGRAM - PROVIDES EDUCATIONAL TRAINING EXPERIENCE TO FAMILY DOCTORS TO HELP EASE THE PRIMARY CARE SHORTAGE. CHCW HAD 33 RESIDENTS AND GRADUATED 10 FAMILY PHYSICIANS THIS YEAR. SUPERVISORY TEACHING OF RESIDENTS - RESIDENTS PROVIDE MEDICAL SERVICES TO PATIENTS UNDER THE DIRECT SUPERVISION OF FACULTY. FACULTY REVIEW RESIDENTS' ASSESSMENT OF COMPLIANT AND TREATMENT PLANS AND PROVIDE FEEDBACK TO RESIDENTS. THE PURPOSE IS TO FURTHER RESIDENTS' MEDICAL SKILLS AND TO ENSURE QUALITY OF CARE. SUPERVISION OCCURS IN THE CLINIC, HOSPITAL AND OTHER SETTINGS. SEE CONTINUATION ON SCHEDULE O. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $43,231,476 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 53 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 483 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DESIREE ASHBROOKS | PersonNm |
| Phone | 5095746125 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 S 5TH AVENUE | AddressLine1Txt |
| City | YAKIMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| CAITLIN HILL | |||||||||
| PROGRAM DIR | 40.00 | Yes (X) | $269,443 | $0 | $26,735 | ||||
| GILLIAN ZUCKERMAN | |||||||||
| PHYSICIAN | 40.00 | $264,689 | $0 | $3,606 | Yes (X) | ||||
| ANGELA GONZALEZ | |||||||||
| CEO | 40.00 | $258,992 | $0 | $26,030 | Yes (X) | ||||
| ROBERT WAGENECK | |||||||||
| PHYSICIAN | 40.00 | $250,277 | $0 | $29,572 | Yes (X) | ||||
| EVE BARKER | |||||||||
| PHYSICIAN | 40.00 | $229,996 | $0 | $24,524 | Yes (X) | ||||
| MARK BAUER | |||||||||
| PHYSICIAN | 40.00 | $228,278 | $0 | $25,389 | Yes (X) | ||||
| CARLIN MILLER | |||||||||
| PHYSICIAN | 40.00 | $213,418 | $0 | $23,528 | Yes (X) | ||||
| DESIREE ASHBROOKS | |||||||||
| CFO | 40.00 | $200,358 | $0 | $22,797 | Yes (X) | ||||
| BRANDON ISAACS | |||||||||
| PROG DIR THR | 40.00 | $184,203 | $0 | $1,790 | Yes (X) | ||||
| MICHAEL SCHAFFRINNA | |||||||||
| CMO THRU JUL | 40.00 | Yes (X) | $160,990 | $0 | $16,086 | ||||
| ELIZABETH HERRES MILLER | |||||||||
| CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| DOUG BAULT | |||||||||
| VICE CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| NOEL MOXLEY | |||||||||
| VICE CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| KRISTEN LARSON MD | |||||||||
| AT LARGE | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| STEPHEN LITCHFIELD DO | |||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| ROSEMARY LEIVA | |||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| JIM SIMMONS | |||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| RODGER BRACCHI MD | |||||||||
| MAMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| CHARLES GOLL | |||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| NEVEAH MITCHELL | |||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| ROBIN REED | |||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| FATIMA ANDRACA | |||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| GINGER NEWMAN | |||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| ELESE WASHINES | |||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| DOUG ELLISON | |||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,260,644 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $200,057 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 67 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BARTON ASSOCIATES INC | |||||
| PO BOX 417844 | BOSTON | MA | 02241 | LOCUM | $770,796 |
| PREMIER PROPERTY MAINT & CONST | |||||
| 625 KEYS ROAD | YAKIMA | WA | 98901 | MAINTENANCE | $205,023 |
| INSIGHT MEDICAL GROUP PA | |||||
| PO BOX 392798 | PITTSBURG | PA | 15251 | TELEHEALTH | $149,240 |
| STUDIO 99 MULTIMEDIA | |||||
| 2807 W WASHINGTON AVENUE | YAKIMA | WA | 98903 | MULTIMEDIA | $125,005 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $10,798,533 | GovernmentGrantsAmt |
| All Other Contributions | $3,035,848 | AllOtherContributionsAmt |
| Total Contributions | $13,834,381 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICES | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $37,017,644 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,017,644 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $37,017,644 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $344,014 | TotalRevenueColumnAmt |
| Exclusion | $344,014 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $66,610 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $36,475 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $30,135 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,135 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$16,847 | UnrelatedBusinessRevenueAmt |
| Exclusion | $46,982 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $365,311 | TotalRevenueColumnAmt |
| Exclusion | $365,311 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $365,311 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,591,485 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,017,644 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$16,847 | UnrelatedBusinessRevenueAmt |
| Exclusion | $756,307 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,054,468 | TotalAmt |
| Program Services | $306,309 | ProgramServicesAmt |
| Management And General | $748,159 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,488,384 | TotalAmt |
| Program Services | $26,661,656 | ProgramServicesAmt |
| Management And General | $2,754,785 | ManagementAndGeneralAmt |
| Fundraising | $71,943 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,311,515 | TotalAmt |
| Program Services | $1,176,033 | ProgramServicesAmt |
| Management And General | $131,166 | ManagementAndGeneralAmt |
| Fundraising | $4,316 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,196,665 | TotalAmt |
| Program Services | $1,974,915 | ProgramServicesAmt |
| Management And General | $217,682 | ManagementAndGeneralAmt |
| Fundraising | $4,068 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,560,802 | TotalAmt |
| Program Services | $2,278,168 | ProgramServicesAmt |
| Management And General | $276,141 | ManagementAndGeneralAmt |
| Fundraising | $6,493 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,782 | TotalAmt |
| Program Services | $1,320 | ProgramServicesAmt |
| Management And General | $54,462 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,141 | TotalAmt |
| Management And General | $65,141 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,001,313 | TotalAmt |
| Program Services | $2,937,071 | ProgramServicesAmt |
| Management And General | $1,061,039 | ManagementAndGeneralAmt |
| Fundraising | $3,203 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,400 | TotalAmt |
| Program Services | $5,845 | ProgramServicesAmt |
| Management And General | $84,555 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $633,316 | TotalAmt |
| Program Services | $444,573 | ProgramServicesAmt |
| Management And General | $188,743 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,336,294 | TotalAmt |
| Program Services | $1,089,228 | ProgramServicesAmt |
| Management And General | $247,066 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $519,546 | TotalAmt |
| Program Services | $409,527 | ProgramServicesAmt |
| Management And General | $110,019 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,710 | TotalAmt |
| Program Services | $207,503 | ProgramServicesAmt |
| Management And General | $73,207 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,496 | TotalAmt |
| Program Services | $270,707 | ProgramServicesAmt |
| Management And General | $40,789 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $366,473 | TotalAmt |
| Program Services | $261,278 | ProgramServicesAmt |
| Management And General | $105,195 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,113,069 | TotalAmt |
| Program Services | $1,200,765 | ProgramServicesAmt |
| Management And General | $912,304 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,978 | TotalAmt |
| Program Services | $152,286 | ProgramServicesAmt |
| Management And General | $12,692 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,854,309 | $2,854,309 | |
| REPAIR & MAINTENANCE | $1,371,672 | $451,709 | $919,963 |
| LICENSES, DUES & SUBSCRIP | $359,071 | $305,510 | $53,561 |
| EXCISE TAX | $143,358 | $143,358 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,290 | TotalAmt |
| Program Services | $99,406 | ProgramServicesAmt |
| Management And General | $213,474 | ManagementAndGeneralAmt |
| Fundraising | $410 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,592,052 | TotalAmt |
| Program Services | $43,231,476 | ProgramServicesAmt |
| Management And General | $8,270,143 | ManagementAndGeneralAmt |
| Fundraising | $90,433 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,369,247 | BOYAmt |
| EOY | $18,858,259 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,608 | BOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $345,284 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,004,844 | BOYAmt |
| EOY | $2,573,679 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,817 | BOYAmt |
| EOY | $227,571 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,986 | BOYAmt |
| EOY | $130,365 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $41,972,691 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,529,537 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,977,211 | BOYAmt |
| EOY | $26,443,154 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,684,499 | BOYAmt |
| EOY | $9,001,332 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $823,116 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,582,212 | BOYAmt |
| EOY | $58,402,760 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,939,961 | BOYAmt |
| EOY | $5,363,282 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,500 | BOYAmt |
| EOY | $415,955 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,618,022 | BOYAmt |
| EOY | $8,448,366 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,000 | BOYAmt |
| EOY | $341,670 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,750,000 | BOYAmt |
| EOY | $3,010,200 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,726,483 | BOYAmt |
| EOY | $17,579,473 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,855,729 | BOYAmt |
| EOY | $40,823,287 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,855,729 | BOYAmt |
| EOY | $40,823,287 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,582,212 | BOYAmt |
| EOY | $58,402,760 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$567 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$31,875 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,990,483 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,321,779 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,369,375 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,011,362 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,834,381 | CurrentTaxYearAmt |
| Total | $68,527,380 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,990,483 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,321,779 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,369,375 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,011,362 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,834,381 | CurrentTaxYearAmt |
| Total | $68,527,380 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $13,554,796 | SubstantialContributorsTotAmt |
| Public Support Total170 | $54,972,584 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $145,289 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $126,143 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $116,955 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,183 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $410,624 | CurrentTaxYearAmt |
| Total | $894,194 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,553 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,870 | CurrentTaxYearMinus3YearsAmt |
| Total | $14,423 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $243,864 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $321,606 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $220,206 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $235,061 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $365,311 | CurrentTaxYearAmt |
| Total | $1,386,048 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $70,822,045 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $171,323,808 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.77620 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96960 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME 1,386,048 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,864,410 | OtherCostOrOtherBasisAmt |
| Book Value | $1,864,410 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,125,458 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,532,749 | DepreciationAmt |
| Book Value | $18,592,709 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $257,487 | OtherCostOrOtherBasisAmt |
| Depreciation | $168,787 | DepreciationAmt |
| Book Value | $88,700 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,266,731 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,828,001 | DepreciationAmt |
| Book Value | $5,438,730 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $458,605 | OtherCostOrOtherBasisAmt |
| Book Value | $458,605 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,443,154 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| REFUNDABLE ADVANCE | $1,750,000 |
| ESTIMATED THIRD-PARTY SETTLEMENT | $1,125,688 |
| OPERATING LEASE LIABILITY | $134,512 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,010,200 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $51,596,085 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$31,875 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $36,475 | OtherRevenueAmt |
| Revenue Not Reported | $4,600 | RevenueNotReportedAmt |
| Revenue Subtotal | $51,591,485 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $51,591,485 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $51,628,527 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $36,475 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $36,475 | ExpensesNotReportedAmt |
| Expenses Subtotal | $51,592,052 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $51,592,052 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF JUNE 30, 2023 AND 2022, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | RENTAL EXPENSE 36,475 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | RENTAL EXPENSE 36,475 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (true) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| CAITLIN HILL | ||||
| PROGRAM DIR THRU SEP | $269,443 | $16,161 | $10,574 | $296,178 |
| GILLIAN ZUCKERMAN | ||||
| PHYSICIAN | $264,689 | $3,606 | $268,295 | |
| ANGELA GONZALEZ | ||||
| CEO | $258,992 | $15,527 | $10,503 | $285,022 |
| ROBERT WAGENECK | ||||
| PHYSICIAN | $250,277 | $16,015 | $13,557 | $279,849 |
| EVE BARKER | ||||
| PHYSICIAN | $229,996 | $13,950 | $10,574 | $254,520 |
| MARK BAUER | ||||
| PHYSICIAN | $228,278 | $13,649 | $11,740 | $253,667 |
| CARLIN MILLER | ||||
| PHYSICIAN | $213,418 | $12,942 | $10,586 | $236,946 |
| DESIREE ASHBROOKS | ||||
| CFO | $200,358 | $12,156 | $10,641 | $223,155 |
| BRANDON ISAACS | ||||
| PROG DIR THRU JAN 22 | $184,203 | $1,608 | $182 | $185,993 |
| MICHAEL SCHAFFRINNA | ||||
| CMO THRU JUL 22 | $160,990 | $9,666 | $6,420 | $177,076 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 5A | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION COMPENSATES SOME OF THE PHYSICIANS, INCLUDING SOME OF THE SITE DIRECTORS, BASED ON THEIR INDIVIDUAL PRODUCTIVITY. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Business Name Line2IssuerName/BusinessNameLine2Txt | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| 2016 YPA BOND | ||||||||
| A | WA HEALTH CARE FACILITIES AUTHORITY | 911108929 | 2016-11-17 | $3,440,000 | BUILDING PURCHASE AND REMODEL | false | false | false |
| 2015 BOND PAYABLE | ||||||||
| B | WA HEALTH CARE FACILITIES AUTHORITY | 911108929 | 2015-11-20 | $4,230,000 | BUILDING REMODEL & REFUND 2008 SERIES | false | false | false |
| 2018 BOND PAYABLE | ||||||||
| C | WASHINGTON HEALTH CARE AUTHORITY | 911108929 | 2018-04-13 | $2,500,000 | BUILDING PURCHASE AND REMODEL | false | false | false |
| 2019 ADMIN BOND PAYABLE | ||||||||
| D | WA HEALTH CARE FACILITIES AUTHORITY | 911108929 | 2019-07-01 | $4,000,000 | BUILDING PURCHASE AND REMODEL | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $890,537 | $3,440,000 | $68,800 | $3,371,200 | 2017 | false | false | Yes (true) | Yes (true) | |
| B | $2,960,547 | $4,230,000 | $84,600 | $2,957,948 | 2016 | Yes (true) | false | Yes (true) | Yes (true) | $1,187,452 |
| C | $447,871 | $2,500,000 | $50,000 | $2,450,000 | 2019 | Yes (true) | false | false | false | |
| D | $1,445,860 | $4,000,000 | $80,000 | $3,920,000 | 2019 | false | false | false | false |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | Yes (true) |
| B | false | false | false | false | false | false | Yes (true) |
| C | false | false | false | false | false | false | Yes (true) |
| D | false | false | false | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | false | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | false | false | false | false | Yes (true) |
| C | false | Yes (true) | false | false | Yes (true) | false | false | false | Yes (true) |
| D | false | Yes (true) | false | false | Yes (true) | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PURPOSE OF ISSUE DESCRIPTION | 2016 YPA BOND BUILDING PURCHASE AND REMODEL |
| PURPOSE OF ISSUE DESCRIPTION | 2015 BOND PAYABLE BUILDING REMODEL & REFUND 2008 SERIES |
| PURPOSE OF ISSUE DESCRIPTION | 2018 BOND PAYABLE BUILDING PURCHASE AND REMODEL |
| PURPOSE OF ISSUE DESCRIPTION | 2019 ADMIN BOND PAYABLE BUILDING PURCHASE AND REMODEL |
| DATE REBATE COMPUTATION PERFORMED | 2016 YPA BOND 12/06/17 |
| DATE REBATE COMPUTATION PERFORMED | 2015 BOND PAYABLE 03/28/17 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III | FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT CONTINUED DIRECT PATIENT CARE MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY IN GENERAL BY BOARD CERTIFIED PHYSICIANS, FAMILY PRACTICE RESIDENTS, EMPLOYED MID-LEVEL PROVIDERS (PHYSICIANS ASSISTANTS AND NURSE PRACTITIONERS), AND CERTIFIED NURSING STAFF. PROVISION OF CARE IS RENDERED UNDER THE DIRECTION OF THE MEDICAL DIRECTOR. MEDICAL SERVICES INCLUDE ACUTE PRIMARY CARE (FAMILY PRACTICE, INTERNAL MEDICINE, AND PEDIATRICS), PREVENTIVE CARE, OBSTETRICS, GYNECOLOGY, PRIMARY CARE PROCEDURES, MINOR SURGERIES, BEHAVIORAL HEALTH, VACCINATIONS AND HEALTH CONSULTATIONS. SERVICES ARE PROVIDED IN THE CLINIC, HOSPITAL, NURSING HOMES, AND HOME SETTINGS. ORAL HEALTH ARE PROVIDED TO THE COMMUNITY IN GENERAL BY BOARD CERTIFIED DENTISTS AND EMPLOYED HYGIENISTS. ANCILLARY SERVICES - ANCILLARY SERVICES INCLUDE DIAGNOSTIC LABORATORY, RADIOLOGY AND PHARMACY. ANCILLARY SERVICES ARE PROVIDED ON-SITE FOR A MORE COMPREHENSIVE, EFFICIENT PROVISION OF CARE. LABORATORY SERVICES ARE SUB-CONTRACTED TO INTERPATH THROUGH FEBRUARY 2023, QUEST DIAGNOSTICS MARCH-JUNE 2023. CHCW EMPLOYS A LICENSED RADIOLOGY TECHNICIANS WHO PROVIDE PHARMACY SERVICES. CHCW IS THE SOLE PROVIDER OF WIC IN KITTITAS COUNTY. SUPPORT SERVICES - SUPPORT SERVICES INCLUDE BILLING, ADMINISTRATION, REFERRAL COORDINATION, PATIENT EDUCATION AND MEDICAL RECORDS. THESE SERVICES ARE NOT REIMBURSABLE BUT ARE PROVIDED FOR THE BENEFIT OF PATIENTS IN THE COURSE OF PROVIDING PATIENT SERVICES. EMPLOYED STAFF PROVIDE ALL SUPPORT SERVICES. FORM 990, PART III, LINE 4B - SECOND ACCOMPLISHMENT CONTINUED DIRECT RESIDENT TEACHING - DIRECT TEACHING INCLUDES PRESENTATIONS, DIDACTICS, SPEAKERS, SMALL GROUP DISCUSSIONS, LECTURES, AND HANDS-ON WORKSHOPS. DIRECT TEACHING IS DESIGNED TO FURTHER WORKSHOPS. DIRECT TEACHING IS DESIGNED TO FURTHER BIOMEDICAL, PSYCHOSOCIAL, AND PRACTICAL KNOWLEDGE IN A CLASSROOM AND/OR INTERACTIVE SETTING. DIRECT RESIDENT TEACHING MEETS THE ACCREDITATION REQUIREMENTS OUTLINED BY THE AMERICAN COLLEGE OF GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION. MOST DIRECT EDUCATIONAL ACTIVITIES OCCUR IN THE CLINIC AND HOSPITAL SETTING BY FACULTY AND ARE PROVIDED BY INVITED GUESTS. RESIDENT ADVISING - EACH RESIDENT IS ASSIGNED A FACULTY ADVISOR. ADVISORS PROVIDE FEEDBACK ON RESIDENT KNOWLEDGE AND PERFORMANCE, INFORMATION RESOURCES, CAREER COUNSELING, AND OTHER AREAS OF ADVICE AS IT AFFECTS RESIDENTS' SUCCESS WITHIN THE PROGRAM. RESIDENTS AND ADVISORS MEET ON AN INTERIM BASIS THROUGHOUT THEIR ACADEMIC PROGRAM. RESIDENT SUPERVISION AND OBSERVATION AT NON-CLINIC SITES - RESIDENTS ROTATE TO NON-CHCW SITES TO OBSERVE AND LEARN FROM PROVIDERS IN MEDICAL AND SURGICAL SPECIALTIES. RESIDENTS' INTERACT UNDER THE DIRECT SUPERVISION OF THE ATTENDING SPECIALIST FOR PURPOSES OF FURTHERING RESIDENTS' MEDICAL KNOWLEDGE AND EXPERIENCE. |
| FORM 990, PAGE 6, PART VI, LINE 1A | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS COMPRISED OF THE CHAIR, THE TWO VICE CHAIRS, AND ONE OTHER DIRECTOR. BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE HAS THE FULL AUTHORITY OF THE BOARD OF DIRECTORS, EXCEPT FOR THE FOLLOWING: TO AMEND, ALTER OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS; APPOINT OR REMOVE ANY MEMBER OF A COMMITTEE OR THE BOARD; TO ADOPT A PLAN OF MERGER OR CONSOLIDATION; TO AUTHORIZE THE SALE, LEASE OR EXCHANGE OF SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS; TO AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE ORGANIZATION OR ADOPT A PLAN FOR THE DISTRIBUTION OF THE ORGANIZATION'S ASSETS; AND TO AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD THAT BY ITS TERMS PROVIDES THAT AMENDMENT, ALTERATION OR REPEAL BY A COMMITTEE CANNOT HAPPEN. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CFO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES, CONTRACTORS, AGENTS, OFFICERS AND BOARD MEMBERS. THE POLICY IS DISSEMINATED AT STAFF MEETINGS AND DISCUSSED AT LEADERSHIP MEETINGS, WITH A CONTINUED HEIGHTENED AWARENESS OF CONFLICTS AND WHAT THEY LOOK LIKE FOR STAFF. IF A DIRECTOR HAS A CONFLICT OF INTEREST WITH REGARDS TO A MATTER UNDER CONSIDERATION BY THE BOARD, THE DIRECTOR DISCLOSES THE CIRCUMSTANCES AND ABSTAINS FROM THE DISCUSSION AND ANY VOTE ON THE MATTER. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS. OTHER TYPES OF CONSULTING AND RESEARCH ARE DONE IF NECESSARY. THE PROCESS WAS MOST RECENTLY CONDUCTED IN 2022. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE PART VI, SECTION B, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | RENTAL EXPENSE 36,475 RENTAL EXPENSE -36,475 |