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LEWIS COUNTY COMMUNITY HEALTH SERVICES: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES (EIN 42-1599749)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-05-20
IRS object ID
202031419349301608
Schema version
2019v5.0
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

FieldValueIRS element (for citing)
Return2020-05-20T14:45:12-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN200079326PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DINGUS ZARECOR & ASSOCIATES PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line112015 E MAIN AVEAddressLine1Txt
CitySPOKANE VALLEYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99206ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421599749EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEWIS COUNTY COMMUNITY HEALTHBusinessNameLine1Txt
Business Name Line2SERVICESBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLEWIBusinessNameControlTxt
Phone3603309595PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12690 NE KRESKY AVENUEAddressLine1Txt
CityCHEHALISCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98532ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGAELON SPRADLEYPersonNm
Person TitleCEOPersonTitleTxt
Phone3603309595PhoneNum
Signature2020-05-20SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS DINGUSPreparerPersonNm
PTINP00951009PTIN
Phone5092420874PhoneNum
Preparation2020-05-20PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address104.40.15.64IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-20IPDt
IP Tm14:45:12IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdBDB558D2839154CBA244025868728B30AD18FBA5AtSubmissionCreationDeviceId
At Submission Filing Device Id88E8E3E4BAC69E0C9162358B3AA4114E53627D17AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1VALLEY VIEW HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerGAELON SPRADLEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12690 NE KRESKY AVENUEAddressLine1Txt
CityCHEHALISCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98532ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,402,600GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VVHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY BY PROVIDING QUALITY AND COMPASSIONATE HEALTH CARE SERVICES IN A PATIENT-CENTERED ATMOSPHERE, RESPECTING INDIVIDUAL AND CULTURAL DIVERSITY.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee261TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,791,480PYContributionsGrantsAmt
CY Contributions Grants$2,804,684CYContributionsGrantsAmt
PY Program Service Revenue$17,759,673PYProgramServiceRevenueAmt
CY Program Service Revenue$19,243,158CYProgramServiceRevenueAmt
PY Investment Income-$12,718PYInvestmentIncomeAmt
CY Investment Income-$69,405CYInvestmentIncomeAmt
PY Other Revenue$168,140PYOtherRevenueAmt
CY Other Revenue$243,970CYOtherRevenueAmt
PY Total Revenue$20,706,575PYTotalRevenueAmt
CY Total Revenue$22,222,407CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,312,130PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,529,424CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,187,493PYOtherExpensesAmt
CY Other Expenses$6,144,953CYOtherExpensesAmt
PY Total Expenses$19,499,623PYTotalExpensesAmt
CY Total Expenses$20,674,377CYTotalExpensesAmt
PY Revenues Less Expenses$1,206,952PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,548,030CYRevenuesLessExpensesAmt
Total Assets BOY$17,796,508TotalAssetsBOYAmt
Total Assets EOY$17,115,645TotalAssetsEOYAmt
Total Liabilities BOY$8,003,241TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,649,544TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,793,267NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,466,101NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY BY PROVIDING QUALITY AND COMPASSIONATE HEALTH CARE SERVICES IN A PATIENT-CENTERED ATMOSPHERE, RESPECTING INDIVIDUAL AND CULTURAL DIVERSITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$9,604,370ExpenseAmt
Revenue$9,749,654RevenueAmt
DescVALLEY VIEW HEALTH CENTER (THE CENTER) PROVIDES MEDICAL SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. IN 2019, THE CENTER PROVIDED 56,231 MEDICAL ENCOUNTERS TO 20,799 PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CHARITY CARE TO THESE PATIENTS WAS APPROXIMATELY 622,000.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,358,467ExpenseAmt
Revenue$4,231,710RevenueAmt
DescTHE CENTER PROVIDES DENTAL RELATED SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. IN 2019, THE CENTER PROVIDED 21,639 DENTAL ENCOUNTERS TO 7,829 PATIENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,708,626ExpenseAmt
Revenue$4,556,620RevenueAmt
DescTHE CENTER PROVIDES PHARMACY RELATED SERVICES TO LOW INCOME INDIVIDUALS. IN 2019, THE CENTER'S PHARMACY FILLED 67,323 PRESCRIPTIONS FOR 4,562 PATIENTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$904,520ExpenseAmt
Revenue$705,175RevenueAmt
DescTHE CENTER PROVIDES BEHAVIORAL HEALTH AND RELATED SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. IN 2019, THE CENTER PROVIDED 3,086 BEHAVIORAL HEALTH ENCOUNTERS TO 510 PATIENTS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$904,520TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$705,175TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$16,575,983TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee261EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonHOLLY SLIVAPersonNm
Phone3603309595PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12690 NE KRESKY AVENUEAddressLine1Txt
CityCHEHALISCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98532ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
GREG MARTIN
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
BRUCE BINDER
VICE PRESIDE1.00Yes (X)Yes (X)$0$0$0
MARRIANNE SCHUMACHER
SECRETARY1.00Yes (X)Yes (X)$0$0$0
JEREMY GERMANN
TREASURER1.00Yes (X)Yes (X)$0$0$0
KIANDRE BRASHER
BOARD MEMBER1.00Yes (X)$0$0$0
TONI GWIN
BOARD MEMBER1.00Yes (X)$0$0$0
LYNDA NANNEY
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID PAVLETICH
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN BURTON
BOARD MEMBER1.00Yes (X)$0$0$0
GRICELDA SANCHEZ
BOARD MEMBER1.00Yes (X)$0$0$0
ANDY SKINNER
BOARD MEMBER1.00Yes (X)$0$0$0
ANNDREA ROSE
BOARD MEMBER1.00Yes (X)$0$0$0
PATRICIA SNYDER
BOARD MEMBER1.00Yes (X)$0$0$0
GAELON SPRADLEY
CEO40.00Yes (X)$173,303$0$6,879
STEVEN CLARK
EXECUTIVE DI40.00Yes (X)$128,965$0$7,940
HOLLY SLIVA
CFO40.00Yes (X)$138,019$0$11,040
DAVID LITTLE
MEDICAL DIRE40.00$229,730$0$18,849Yes (X)
LOU ANN MERCIER
DENTAL DIREC40.00$189,649$0$17,246Yes (X)
SARAH BAGBY
PHARMACY DIR40.00$162,260$0$7,143Yes (X)
STEPHEN HENNESSEY
ASSISTANT MD40.00$214,001$0$18,220Yes (X)
SUNDY HOLLAND
PHYSICIAN40.00$212,421$0$18,157Yes (X)
SARAH LANDRUM
ASSISTANT MD40.00$200,288$0$17,672Yes (X)
GARETT GODFREY
DENTIST40.00$184,433$0$8,040Yes (X)
CHARLOTTE CLARK-NEITZEL
ASSISTANT MD40.00$160,268$0$6,411Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,993,337TotalReportableCompFromOrgAmt
Total Other Compensation$137,597TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K33IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COMPUTER CONNECTIONS
213 E MAIN STCENTRALIAWA98531IT SERVICES$483,880
MEDESTAR
1603 LBJ FREEWAY STE 700DALLASTX75234STAFFING$228,036
INTEGRITY HEALTHCARE LOCUMS LLC
PO BOX 865777ORLANDOFL32886STAFFING$148,267
UNIVERSITY OF WASHINGTON
1959 NE PACIFIC STSEATTLEWA98195PYSCHIATRIC$128,778
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$2,723,211GovernmentGrantsAmt
All Other Contributions$81,473AllOtherContributionsAmt
Total Contributions$2,804,684TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM SERVICE REVENUE, NET624100$18,978,620$18,978,620
CAPITATION REVENUE624100$264,538$264,538
FieldValueIRS element (for citing)
Total Program Service Revenue$19,243,158TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,788TotalRevenueColumnAmt
Exclusion$110,788ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$41,859RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$41,859RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$41,859TotalRevenueColumnAmt
Exclusion$41,859ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$180,193OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$180,193OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$180,193TotalRevenueColumnAmt
Exclusion-$180,193ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
HEALTHCARE INITIATIVE REVENUE900099$169,175$169,175
MEDICAL RECORDS REVENUE900099$21,501$21,501
OTHER REVENUE900099$11,435$11,435
FieldValueIRS element (for citing)
Other Revenue Total$202,111OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,222,407TotalRevenueColumnAmt
Related Or Exempt Func Income$19,243,158RelatedOrExemptFuncIncomeAmt
Exclusion$174,565ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,091,024TotalAmt
Program Services$624,878ProgramServicesAmt
Management And General$466,146ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,733,152TotalAmt
Program Services$8,664,292ProgramServicesAmt
Management And General$2,068,860ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$260,240TotalAmt
Program Services$209,318ProgramServicesAmt
Management And General$50,922ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,481,952TotalAmt
Program Services$1,200,947ProgramServicesAmt
Management And General$281,005ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$963,056TotalAmt
Program Services$819,367ProgramServicesAmt
Management And General$143,689ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,479TotalAmt
Management And General$49,479ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,981,554TotalAmt
Program Services$1,436,434ProgramServicesAmt
Management And General$545,120ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$24,483TotalAmt
Management And General$24,483ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$749,147TotalAmt
Program Services$578,662ProgramServicesAmt
Management And General$170,485ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$470,766TotalAmt
Program Services$369,915ProgramServicesAmt
Management And General$100,851ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$50,140TotalAmt
Program Services$30,859ProgramServicesAmt
Management And General$19,281ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$129,689TotalAmt
Program Services$70,721ProgramServicesAmt
Management And General$58,968ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$170,370TotalAmt
Program Services$170,370ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$621,481TotalAmt
Program Services$617,667ProgramServicesAmt
Management And General$3,814ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$66,449TotalAmt
Management And General$66,449ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,383,806$1,383,806
LICENSES & FEES$81,085$70,737$10,348
DUES & SUBSCRIPTIONS$52,849$16,072$36,777
REPAIRS & MAINTENANCE$36,611$34,894$1,717

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$277,044TotalAmt
Program Services$277,044ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,674,377TotalAmt
Program Services$16,575,983ProgramServicesAmt
Management And General$4,098,394ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$215,031BOYAmt
EOY$3,405,068EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,758,244BOYAmt
EOY$466,289EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$97,804BOYAmt
EOY$137,486EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$966,003BOYAmt
EOY$1,003,141EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$172,088BOYAmt
EOY$137,697EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$92,193BOYAmt
EOY$103,092EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,564,550LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,121,940LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,099,331BOYAmt
EOY$7,442,610EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,160,366BOYAmt
EOY$4,354,905EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$235,448BOYAmt
EOY$65,357EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,796,508BOYAmt
EOY$17,115,645EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,196,412BOYAmt
EOY$1,368,646EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$67,598EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,134,011BOYAmt
EOY$4,027,373EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,672,818BOYAmt
EOY$185,927EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,003,241BOYAmt
EOY$5,649,544EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,793,267BOYAmt
EOY$11,466,101EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,793,267BOYAmt
EOY$11,466,101EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,796,508BOYAmt
EOY$17,115,645EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,548,030ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$87,571NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$37,233OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,124,276OtherCostOrOtherBasisAmt
Book Value$1,124,276BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,955,368OtherCostOrOtherBasisAmt
Depreciation$3,153,123DepreciationAmt
Book Value$5,802,245BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,484,906OtherCostOrOtherBasisAmt
Depreciation$1,968,817DepreciationAmt
Book Value$516,089BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,442,610TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescESTIMATED THIRD-PARTY SETTLEMENTSDesc
Amt$185,927Amt
FieldValueIRS element (for citing)
Total Liability$185,927TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$22,371,181TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$87,571NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$23,970DonatedServicesAndUseFcltsAmt
Other Revenue$37,233OtherRevenueAmt
Revenue Not Reported$148,774RevenueNotReportedAmt
Revenue Subtotal$22,222,407RevenueSubtotalAmt
Total Revenue Per Form990$22,222,407TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,698,347TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$23,970DonatedServicesUseFcltsAmt
Expenses Not Reported$23,970ExpensesNotReportedAmt
Expenses Subtotal$20,674,377ExpensesSubtotalAmt
Total Expenses Per Form990$20,674,377TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 3, PART XTHE CENTER 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 CENTER EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2019 AND 2018, THE CENTER HAD NO UNCERTIAN TAX POSITIONS REQUIRING ACCRUAL.
SCHEDULE D, PAGE 4, PART XI, LINE 2DCHPW POOL SETTLEMENT 37,233

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
GAELON SPRADLEY
CEO$173,193$110$6,879$180,182
DAVID LITTLE
MEDICAL DIRECTOR$229,068$662$18,849$248,579
LOU ANN MERCIER
DENTAL DIRECTOR$188,366$1,283$17,246$206,895
SARAH BAGBY
PHARMACY DIRECTOR$145,015$17,245$7,143$169,403
STEPHEN HENNESSEY
ASSISTANT MD$206,867$7,134$18,220$232,221
SUNDY HOLLAND
PHYSICIAN$203,565$8,856$18,157$230,578
SARAH LANDRUM
ASSISTANT MD$199,520$768$17,672$217,960
GARETT GODFREY
DENTIST$184,288$145$8,040$192,473
CHARLOTTE CLARK-NEITZEL
ASSISTANT MD$159,156$1,112$6,411$166,679

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PAGE 1, PART I, LINE 7FormAndLineReferenceDesc
ExplanationTHE EXECUTIVES AND PHYSICIANS ARE EVALUATED BASED ON MULTIPLE MEASURES OF PERFORMANCE. MEASURES INCLUDE QUALITY OF PATIENT CARE METRICS AND PRODUCTIVITY STANDARDS. THESE METRICS ARE EVALUATED QUARTERLY AND ANNUALLY, AND HAVE AN IMPACT ON PAY-FOR-PERFORMANCE AND PAY INCREASES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4DTHE CENTER PROVIDES BEHAVIORAL HEALTH AND RELATED SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. IN 2019, THE CENTER PROVIDED 3,086 BEHAVIORAL HEALTH ENCOUNTERS TO 510 PATIENTS.
FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE FORM 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM AND SCHEDULES. ALL COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE FORM 990. ONCE MANAGEMENT IS SATISFIED WITH THE FORM 990, THE CEO SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN.
FORM 990, PAGE 6, PART VI, LINE 12CIT IS THE POLICY OF THE CENTER TO ENSURE TRANSPARENCY REGARDING ANY CONFLICTS OF INTEREST AND PREVENT ANY REAL OR PERCEIVED CONFLICTS OF INTERESTS FROM OCCURRING WITH RESPECT TO BOARD MEMBERS, EMPLOYEES, CONSULTANTS, AND THOSE WHO FURNISH GOODS OR SERVICES. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON; HAS RECEIVED, REVIEWED, AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. EACH MEMBER OF THE CENTER'S MANAGEMENT TEAM COMPLETES THE CONFLICT OF INTEREST STATEMENT ANNUALLY. POTENTIAL CONFLICTS AT THE BOARD LEVEL ARE REVIEWED BY THE GOVERNING BOARD. ALL EMPLOYEES ARE EXPECTED TO AVOID PLACING THEMSELVES IN A POSITION THAT MAY CREATE OR LEAD TO A CONFLICT OF INTEREST OR THE APPEARANCE OF ONE. THEY ARE PROHIBITED FROM ENGAGING IN ANY OUTSIDE BUSINESS ACTIVITY, FINANCIAL RELATIONSHIP, OR INVESTMENT THAT CONFLICTS WITH THE CENTER'S INTERESTS, COMPETES WITH THE CENTER, OR MAY INTERFERE WITH THEIR RESPONSIBILITIES TO THE CENTER, OR HAS THE APPEARANCE OF INFLUENCING THEM TO ACT OR MAKE DECISIONS IN A BIASED MANNER OR CONTRARY TO THE BEST INTERESTS OF THE CENTER.
FORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE SETS THE COMPENSATION OF THE EXECUTIVE DIRECTOR EQUAL TO THE FIFTIETH PERCENTILE OF THE CURRENT NATIONAL SALARY SURVEYS FOR THE STATE OF WASHINGTON, SUBJECT TO INCREASES AND DECREASES DUE TO ECONOMIC NECESSITY. THE NATIONAL SURVEY IS OBTAINED ANNUALLY BY HUMAN RESOURCES, AND REVIEWED AND UPDATED ANNUALLY BY THE EXECUTIVE COMMITTEE. PAY FOR PERFORMANCE IS CALCULATED AND ADJUSTED ANNUALLY BASED ON THE DIFFERENCE BETWEEN THE BASE SALARY AND THE SEVENTY- FIFTH PERCENTILE OF THE CURRENT NATIONAL SALARY SURVEYS FOR THE STATE OF WASHINGTON AND BASED ON FINANCIAL AND QUALITY PERFORMANCE METRICS OF THE CENTER. IN THE EVENT THAT THE SALARY LEVEL DECREASES ACCORDING TO THE SURVEY, THE ANNUAL BASE COMPENSATION WILL REMAIN UNCHANGED.
FORM 990, PAGE 6, PART VI, LINE 15BTHE COMPENSATION REVIEW FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED USING NATIONAL SALARY SURVEYS OBTAINED BY HUMAN RESOURCES. THE SALARIES ARE REVIEWED AND UPDATED ANNUALLY OR ON THE EMPLOYEE'S CONTRACT TERMS. THIS PROCESS INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION IN 2018.
FORM 990, PAGE 6, PART VI, LINE 19THE CENTER MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9CHPW POOL SETTLEMENT 37,233