2023-11-16T12:47:38-05:00 2021-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2021-01-01 237100868 COUNTRY DOCTOR COMMUNITY CLINIC COUN 2062991941 2101 E YESLER WAY SE STE 210 SEATTLE WA 98122 BRANDY TAYLOR EXECUTIVE DIRECTOR 2062991941 2023-11-15 true BRANDY TAYLOR 999009999 THOMAS DINGUS P00951009 5092420874 2023-11-16 2021 2023-04-26 12:10:37Z BRANDY TAYLOR 2101 EAST YESLER WAY SE STE 120 SEATTLE WA 98122 33007552 false X CDCHC.ORG X 1971 WA TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING HIGH QUALITY, CARING, CULTURALLY APPROPRIATE PRIMARY HEALTH CARE THAT ADDRESSES THE NEEDS OF PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. 9 9 302 41 0 9290166 9797728 25258250 22650899 31874 16490 2468771 542435 37049061 33007552 5358 4453 0 18357210 21097283 0 146243 13397154 12342035 31759722 33443771 5289339 -436219 30444919 31082020 13711619 14785071 16733300 16296949 TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING HIGH QUALITY, CARING, CULTURALLY APPROPRIATE PRIMARY HEALTH CARE THAT ADDRESSES THE NEEDS OF PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. false false 25877980 4453 22650899 COUNTRY DOCTOR COMMUNITY CLINIC PROVIDED 42,407 MEDICAL VISITS, 6,249 DENTAL VISITS AND 4,834 MENTAL HEALTH VISITS DURING 2021. 49% OF THE PATIENTS SEEN DURING THE YEAR HAD INCOME LESS THAN 200% OF THE FEDERAL POVERTY LEVEL (FPL) WHILE 23% WERE UNINSURED. 2819370 THE OTHER HEALTH SERVICES PROGRAMS PROVIDED 1,013 ANCILLARY VISITS (E.G. NUTRITION, WIC, ELIGIBILITY) TO LOW-INCOME PATIENTS. 28697350 true true false false false false false false false true true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 26 0 true 302 true false false false false false false false false false false false false X 9 9 false false false false false false false true true false true true false true true true true true true true false X BRANDY TAYLOR 2062991941 2101 EAST YESLER WAY SE STE 120 SEATTLE WA 98122 KRISTIN ANDERSON PHYSICIAN 24.00 X 225986 0 19670 MATTHEW LOGALBO CMO 40.00 X 225165 0 21019 LAURA ADLER PHYSICIAN 36.00 X 214006 0 10515 EMILY FLYNN PHYSICIAN 40.00 X 210747 0 12601 SARAH HUFBAUER PHYSICIAN 20.00 X 191192 0 14906 RICHARD KOVAR PHYSICIAN 32.00 X 191012 0 20762 BESSIE CHI PHARMACY DIR 40.00 X 186624 0 17366 BRANDY TAYLOR EXECUTIVE DI 40.00 X 181676 0 18623 MARGARET TAYLOR CFO 40.00 X 178918 0 17441 RALEIGH WATTS EXEC DIRECTO 40.00 X 86648 0 3914 RIK WYMAN CHAIR 1.00 X X 0 0 0 CHRISTINE ASIIMWE VICE CHAIR 1.00 X X 0 0 0 KUSH DOSHI SECRETARY 1.00 X X 0 0 0 ROB ROCHE TREASURER 1.00 X X 0 0 0 COLT DE WOLF PAST CHAIR 1.00 X X 0 0 0 GRANT SCULL DIRECTOR 1.00 X 0 0 0 MARLON BROWN DIRECTOR 1.00 X 0 0 0 ROI-MARTIN BROWN DIRECTOR 1.00 X 0 0 0 SCOTT CRAIN DIRECTOR 1.00 X 0 0 0 1891974 156817 35 false true false ADJ INTEGRATION SOLUTIONS 19409 99TH STREET COURT E BONNEY LAKE WA 98391 IT SUPPORT 610119 OCHIN INC 1881 SW NAITO PARKWAY PORTLAND OR 97201 IT SERVICES 516842 STRATUS INDEMAND INC PO BOX 675248 DETROIT MI 48267 INTERPRETER 186944 ULTIMATE SOFTWARE GROUP INC 2250 N COMMERCE PKWY WESTON FL 33326 PAYROLL SERVICE 123237 SOUND PHYSICIANS 1498 PACIFIC AVENUE SUITE 400 TACOMA WA 98402 BEHAVIORAL HEAL 109616 5 9394290 403438 9797728 NET PATIENT SERVICES 621400 11635688 11635688 PHARMACY REVENUE 621400 11015211 11015211 22650899 14832 14832 198189 198189 198189 198189 1658 1658 1658 1658 RISK POOL & INCENTIVES 900099 323847 323847 OTHER REVENUE 900099 20399 20399 344246 33007552 22650899 558925 X 4453 4453 937393 450174 487219 16483218 15363702 1008959 110557 621063 567750 48065 5248 1700038 1124150 567834 8054 1355571 1136783 207987 10801 79119 79119 84701 84701 3346754 2547886 791759 7109 27036 27036 581437 200234 381203 1755 1755 576597 405110 168650 2837 3992 2029 1963 60009 54310 5699 8450 8450 704872 673717 29518 1637 150301 23297 127004 MEDICAL SUPPLIES 6060531 6060531 TAXES 311840 311840 REPAIR & MAINTENANCE 165045 20448 144597 179596 61021 118575 33443771 28697350 4600178 146243 11812499 12213321 5118 4998 2082892 1598562 2984796 1195513 150294 250946 21449277 9262602 12806865 12186675 602455 3632005 30444919 31082020 2971246 3417441 7720373 7504990 3020000 3862640 13711619 14785071 X 16650245 16213894 83055 83055 16733300 16296949 30444919 31082020 -436219 -132 X false true X true true true X 6491795 6490239 7048419 9290166 9797728 39118347 6491795 6490239 7048419 9290166 9797728 39118347 39118347 76720 62002 213989 263521 213021 829253 474041 466795 388171 2217233 344246 3890486 43838086 105550135 0.89230 0.89030 X PART II, LINE 10 RISK POOL & INCENTIVES 3,581,237 OTHER REVENUE 199,448 FUNDRAISING EVENT REVENUE 109,801 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 83055 83055 83055 83055 83055 83055 83055 83055 83055 83055 1.00000 false false 184000 184000 16601647 5825262 10776385 182047 182047 4481583 3255293 1226290 12186675 PPP LOAN PAYABLE 3020000 THIRD-PARTY SETTLEMENTS 695158 CAPITAL LEASE OBLIGATION 147482 3862640 X 33007552 33007552 33007552 33443771 33443771 33443771 SCHEDULE D, PAGE 2, PART V, LINE 4 THE ENDOWMENT FUNDS ARE ASSETS SET ASIDE AND RESTRICTED BY DONORS. THE INCOME GENERATED FROM THESE ASSETS IS USED TO FUND OPERATIONS OF THE ORGANIZATION. SCHEDULE D, PAGE 3, PART X CDCHC'S ACTIVITIES ARE GENERALLY EXEMPT FROM FEDERAL INCOMES TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; HOWEVER, UNRELATED BUSINESS ACTIVITIES WOULD BE SUBJECT TO INCOME TAX. SINCE CDCHC IS EXEMPT FROM FEDERAL INCOME TAX LIABILITY, NO PROVISION IS MADE FOR CURRENT OR DEFERRED INCOME TAX EXPENSE. MANAGEMENT EVALUATED CDCHC'S TAX POSITIONS AND CONCLUDED THAT CDCHC HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. ALL TAX-EXEMPT ENTITIES ARE SUBJECT TO REVIEW AND AUDIT BY FEDERAL, STATE, AND OTHER APPLICABLE STATE STATUTE 5, USUALLY FOR THREE YEARS SUBSEQUENT TO THE DATE THE RETURN WAS FILED. X X X X X false false false false false false false false false KRISTIN ANDERSON PHYSICIAN 206983 500 18503 11564 8106 245656 MATTHEW LOGALBO CMO 205165 500 19500 10696 10323 246184 LAURA ADLER PHYSICIAN 194818 500 18688 10515 224521 EMILY FLYNN PHYSICIAN 190747 500 19500 9618 2983 223348 SARAH HUFBAUER PHYSICIAN 164692 500 26000 8284 6622 206098 RICHARD KOVAR PHYSICIAN 165512 500 25000 9788 10974 211774 BESSIE CHI PHARMACY DIRECTOR 166802 500 19322 9661 7705 203990 BRANDY TAYLOR EXECUTIVE DIRECTOR 181176 500 5504 13119 200299 MARGARET TAYLOR CFO 160357 500 18061 8733 8708 196359 FORM 990, PAGE 6, PART VI, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR AND AT LEAST THREE OTHER BOARD MEMBERS. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY AS EXPRESSLY DELEGATED TO IT BY RESOLUTION OF THE BOARD IN THE GOVERNANCE OF THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR AND THE FINANCE TEAM WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING THE RETURN. THE FORM 990 WILL BE PROVIDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS AT THEIR NEXT MEETING AFTER THE FORM 990 IS FILED. FORM 990, PAGE 6, PART VI, LINE 12C COMPLIANCE AND NON-COMPLIANCE WITH THE ORGANIZATIONS CONFLICT OF INTEREST POLICY ARE REGULARLY AND CONSISTENTLY MONITORED AND ENFORCED DURING THE MONTHLY MEETINGS. BOARD MEMBERS SIGN A CONFLICT OF INTEREST FORM ANNUALLY. ANY MEMBER WITH A STATED CONFLICT OF INTEREST IS REVIEWED BY THE EXECUTIVE COMMITTEE. THE BOARD CHAIR DETERMINES THE EXTENT OF THE CONFLICT AND WHETHER THE CONFLICTED BOARD MEMBER SHOULD NOT VOTE ON AN ISSUE OR SHOULD RECUSE HIM OR HERSELF FROM THE DISCUSSION. FORM 990, PAGE 6, PART VI, LINE 15A THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. EVERY TWO YEARS, THIS PROCESS IS ASSISTED BY AN INDEPENDENT COMPENSATION CONSULTANT AS WELL AS A MILLIMAN SURVEY THAT ASSESSES MARKET COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B THE DIRECTOR OF FINANCE'S COMPENSATION IS REVIEWED BY THE EXECUTIVE DIRECTOR BASED ON A MILLIMAN SURVEY THAT ASSESSES MARKET COMPENSATION. THE BOARD THEN REVIEWS IT ALONG WITH ALL OTHER EMPLOYEES AS A GROUP. FORM 990, PAGE 6, PART VI, LINE 19 CDCHC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G 2,547,886 791,759 7,109