COMMUNITY HEALTH OF CENTRAL WASHINGTON: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH OF CENTRAL WASHINGTON (EIN 57-1140982)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2017-12-20
- IRS object ID
- 201713549349300641
- Schema version
- 2016v3.0
- 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 | 2017-12-20T17:47:20-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NORTH 39TH AVENUE | AddressLine1Txt |
| City | YAKIMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | 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 WASHINGTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 5094946700 | 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 | MIKE MAPLES | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5094946700 | PhoneNum |
| Signature | 2017-12-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RALPH A CONNER CPA | PreparerPersonNm |
| PTIN | P00185729 | PTIN |
| Phone | 5098232910 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-12-19 | IPDt |
| IP Tm | 11:44:41 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 59F77CAF55642346F007A3584950FC8177DC94A0 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7A7647E1AB80073BA1B4DB22529CDC61876F9E5D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MIKE MAPLES | 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 | $33,000,689 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://CHCW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HEALTH CARE FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE IN OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 369 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,764,293 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,430,335 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,600,373 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,270,421 | CYProgramServiceRevenueAmt |
| PY Investment Income | $41,942 | PYInvestmentIncomeAmt |
| CY Investment Income | $40 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$3,029 | PYOtherRevenueAmt |
| CY Other Revenue | $236,670 | CYOtherRevenueAmt |
| PY Total Revenue | $30,403,579 | PYTotalRevenueAmt |
| CY Total Revenue | $32,937,466 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,277,943 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,023,272 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $65,151 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,350,245 | PYOtherExpensesAmt |
| CY Other Expenses | $8,485,513 | CYOtherExpensesAmt |
| PY Total Expenses | $29,628,188 | PYTotalExpensesAmt |
| CY Total Expenses | $31,508,785 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $775,391 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,428,681 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $26,098,644 | TotalAssetsBOYAmt |
| Total Assets EOY | $32,226,048 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,026,203 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,730,385 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,072,441 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,495,663 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ESTABLISH AND OPERATE AN INSTITUTION FOR THE PROVISION OF HEALTH CARE AND TREAMENT FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE IN THE COMMUNITIES SERVED AND TO ESTABLISH AND OPERATE A PROGRAM TO TRAIN FAMILY PHYSICIANS TO CARE FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $23,354,309 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $23,270,421 | RevenueAmt |
| Desc | 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.THIS YEAR, CHCW SERVED 29,071 PATIENTS, RESULTING IN 122,359 VISITS AT OUR 5 MEDICAL CLINICS, 1 DENTAL CLINIC, SENIOR RESIDENTIAL CARE SERVICES, OUR SENIOR SMILES AND CONNECT PROGRAMS.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 HOME, AND HOME SETTINGS. ORAL HEALTH IS PROVIDED TO THE COMMUNITY IN GENERAL BY BOARD CERTIFIED DENTISTS AND AN EMPLOYED HYGIENIST.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 PAML, A CERTIFIED LABORATORY COMPANY. CHCW EMPLOYS A LICENSED RADIOLOGY TECHNICIAN WHO PROVIDES RADIOLOGY SERVICES AND EMPLOYS LICENSED PHARMACISTS AND TECHNICIANS WHO PROVIDE PHARMACY SERVICES. CHCW IS THE SOLE PROVIDER OF WIC AND MATERNITY SUPPORT SERVICES IN KITTITAS COUNTY. SUPPORT SERVICES - SUPPORT SERVICES INCLUDE BILLING, ADMINISTRATION, REFERRAL COORDINATION, PATIENT EDUCATION AND MEDICAL RECORDS. THESE SERVICES ARE NOT REIMBURSABLE BUT PROVIDED FOR THE BENEFIT OF PATIENTS IN THE COURSE OF PROVIDING PATIENT SERVICES. EMPLOYED STAFF PROVIDE ALL SUPPORT SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,959,965 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | THIS YEAR, CHCW HAD 30 RESIDENTS AND GRADUATED 10 FAMILY PHYSICIANS. SUPERVISORY TEACHING OF RESIDENTS - RESIDENTS PROVIDE MEDICAL SERVICES TO PATIENTS UNDER THE DIRECT SUPERVISION OF FACULTY. FACULTY REVIEW RESIDENTS' ASSESSMENT OF COMPLAINT 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.DIRECT RESIDENT TEACHING - DIRECT TEACHING INCLUDES PRESENTATIONS, DIDACTICS, SPEAKERS, SMALL GROUP DISCUSSIONS, LECTURES, AND HANDS-ON 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $27,314,274 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 369 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAUL KASCHMITTER CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5095746110 | 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ELIZABETH HERRES MILLER | ||||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| EARL WEATHERMAN | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAKE JUNDT | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DOUG BAULT | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JIM BOUTILLIER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MAYRA CHACON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS CORPRON MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY HOLMGREN RN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KRISTIN LARSON MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSEMARY LEIVA MURPHY | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MELISSA LEMP DO | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SONIA RODRIGUEZ-TRUE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRIS WAARVICK | ||||||||
| BOARD MEMBER | 40.00 | Yes (X) | $0 | $0 | $0 | |||
| MIKE MAPLES | ||||||||
| CEO | 40.00 | $288,568 | $0 | $27,234 | Yes (X) | |||
| PAUL KASCHMITTER | ||||||||
| CFO | 40.00 | $165,561 | $0 | $19,988 | Yes (X) | |||
| MICHAEL SCHAFFRINNA | ||||||||
| CMO | 40.00 | $216,616 | $0 | $23,207 | Yes (X) | |||
| RUSSEL MAIER | ||||||||
| PROGRAM DIRECTOR | 40.00 | $243,424 | $0 | $24,512 | Yes (X) | |||
| JOHN ASRIEL | ||||||||
| CHCW-E PHYSICIAN DIRECTOR | 40.00 | $203,402 | $0 | $33,189 | Yes (X) | |||
| JEFFREY BARTLETT | ||||||||
| YP PHYSICIAN DIRECTOR | 40.00 | $211,049 | $0 | $22,481 | Yes (X) | |||
| MARIA VERDUZCO | ||||||||
| CW PHYSICIAN DIRECTOR | 40.00 | $185,074 | $0 | $21,180 | Yes (X) | |||
| PAUL EMMANS II | ||||||||
| SENIOR CARE DIRECTOR | 40.00 | $253,590 | $0 | $25,424 | Yes (X) | |||
| KATINA RUE | ||||||||
| CW FACULTY PHYSICIAN | 40.00 | $195,059 | $0 | $8,950 | Yes (X) | |||
| JUDITH HARVEY | ||||||||
| CW FACULTY PHYSICIAN | 40.00 | $193,430 | $0 | $21,706 | Yes (X) | |||
| BRENT HERR | ||||||||
| HOSPITALIST | 40.00 | $192,497 | $0 | $19,431 | Yes (X) | |||
| PATRICK MORAN | ||||||||
| OB PHYSICIAN DIRECTOR | 40.00 | $196,617 | $0 | $21,608 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,544,887 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $268,910 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 35 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| M SEVIGNY CONSTRUCTION INC | |||||
| 1212 N 16TH AVENUE | YAKIMA | WA | 98902 | BUILDING REMODEL | $1,424,676 |
| CONCORD CONSTRUCTION INC | |||||
| 8557 LATERAL B ROAD | WAPATO | WA | 98951 | BUILDING REMODEL | $587,670 |
| LOOBURROW ARCHITECTS PS | |||||
| 201 W YAKIMA AVENUE | YAKIMA | WA | 98902 | ARCHITECT SERVICES | $218,900 |
| KDF ARCHITECTURE INC | |||||
| 1310 N 16TH AVENUE | YAKIMA | WA | 98902 | ARCHITECT SERVICES | $163,479 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,003,717 | GovernmentGrantsAmt |
| All Other Contributions | $3,426,618 | AllOtherContributionsAmt |
| Total Contributions | $9,430,335 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $23,270,421 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,270,421 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,270,421 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40 | TotalRevenueColumnAmt |
| Exclusion | $40 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $60,670 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $63,223 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$2,553 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,553 | TotalRevenueColumnAmt |
| Exclusion | -$2,553 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $239,223 | TotalRevenueColumnAmt |
| Exclusion | $239,223 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $239,223 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,937,466 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,270,421 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $236,710 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,224,314 | TotalAmt |
| Program Services | $970,059 | ProgramServicesAmt |
| Management And General | $1,206,049 | ManagementAndGeneralAmt |
| Fundraising | $48,206 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,058,281 | TotalAmt |
| Program Services | $15,257,856 | ProgramServicesAmt |
| Management And General | $798,170 | ManagementAndGeneralAmt |
| Fundraising | $2,255 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $719,892 | TotalAmt |
| Program Services | $693,905 | ProgramServicesAmt |
| Management And General | $25,852 | ManagementAndGeneralAmt |
| Fundraising | $135 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,483,968 | TotalAmt |
| Program Services | $2,302,073 | ProgramServicesAmt |
| Management And General | $178,600 | ManagementAndGeneralAmt |
| Fundraising | $3,295 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,536,817 | TotalAmt |
| Program Services | $1,383,376 | ProgramServicesAmt |
| Management And General | $149,311 | ManagementAndGeneralAmt |
| Fundraising | $4,130 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,095 | TotalAmt |
| Management And General | $22,095 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,500 | TotalAmt |
| Program Services | $9,500 | ProgramServicesAmt |
| Management And General | $37,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,158,142 | TotalAmt |
| Program Services | $586,366 | ProgramServicesAmt |
| Management And General | $565,062 | ManagementAndGeneralAmt |
| Fundraising | $6,714 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,376 | TotalAmt |
| Program Services | $44,907 | ProgramServicesAmt |
| Management And General | $26,469 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,186 | TotalAmt |
| Program Services | $206,667 | ProgramServicesAmt |
| Management And General | $80,103 | ManagementAndGeneralAmt |
| Fundraising | $416 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $816,031 | TotalAmt |
| Program Services | $756,089 | ProgramServicesAmt |
| Management And General | $59,942 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,346 | TotalAmt |
| Program Services | $196,489 | ProgramServicesAmt |
| Management And General | $66,857 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,440 | TotalAmt |
| Program Services | $265,525 | ProgramServicesAmt |
| Management And General | $27,915 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,157 | TotalAmt |
| Program Services | $235,542 | ProgramServicesAmt |
| Management And General | $54,615 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,043,743 | TotalAmt |
| Program Services | $737,062 | ProgramServicesAmt |
| Management And General | $306,681 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,785 | TotalAmt |
| Program Services | $57,058 | ProgramServicesAmt |
| Management And General | $9,727 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $2,632,466 | $2,583,302 | $49,164 |
| EQUPMENT RENTAL & MAINT | $664,292 | $451,355 | $212,937 |
| MISCELLANEOUS | $436,164 | $300,931 | $135,233 |
| EXCISE TAXES | $276,212 | $276,212 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,578 | TotalAmt |
| Management And General | $117,578 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,508,785 | TotalAmt |
| Program Services | $27,314,274 | ProgramServicesAmt |
| Management And General | $4,129,360 | ManagementAndGeneralAmt |
| Fundraising | $65,151 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,850 | BOYAmt |
| EOY | $5,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,746,796 | BOYAmt |
| EOY | $10,613,684 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,842,726 | BOYAmt |
| EOY | $2,741,831 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,246 | BOYAmt |
| EOY | $154,883 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,160 | BOYAmt |
| EOY | $10,621 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,159,157 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,459,128 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,286,866 | BOYAmt |
| EOY | $18,700,029 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,098,644 | BOYAmt |
| EOY | $32,226,048 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,866,403 | BOYAmt |
| EOY | $5,523,510 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,586 | BOYAmt |
| EOY | $349,872 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,225,146 | BOYAmt |
| EOY | $7,281,445 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,787,068 | BOYAmt |
| EOY | $1,575,558 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,026,203 | BOYAmt |
| EOY | $14,730,385 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,072,441 | BOYAmt |
| EOY | $17,495,663 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,072,441 | BOYAmt |
| EOY | $17,495,663 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,098,644 | BOYAmt |
| EOY | $32,226,048 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,428,681 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$5,459 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $5,287,805 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,455,103 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,395,522 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,764,293 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,430,335 | CurrentTaxYearAmt |
| Total | $40,333,058 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,287,805 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,455,103 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,395,522 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,764,293 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,430,335 | CurrentTaxYearAmt |
| Total | $40,333,058 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $6,560,800 | SubstantialContributorsTotAmt |
| Public Support Total170 | $33,772,258 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,780 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,838 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,910 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $61,346 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,710 | CurrentTaxYearAmt |
| Total | $181,584 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $239,223 | CurrentTaxYearAmt |
| Total | $239,223 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $40,753,865 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $103,896,215 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.82870 | PublicSupportCY170Pct |
| Public Support PY170 | 0.82340 | 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 | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME | 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 | $1,382,693 | OtherCostOrOtherBasisAmt |
| Book Value | $1,382,693 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,446,614 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,027,755 | DepreciationAmt |
| Book Value | $10,418,859 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $118,089 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,788 | DepreciationAmt |
| Book Value | $61,301 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,909,362 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,374,585 | DepreciationAmt |
| Book Value | $2,534,777 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,302,399 | OtherCostOrOtherBasisAmt |
| Book Value | $4,302,399 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,700,029 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $32,995,230 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$5,459 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $63,223 | OtherRevenueAmt |
| Revenue Not Reported | $57,764 | RevenueNotReportedAmt |
| Revenue Subtotal | $32,937,466 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $32,937,466 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $31,572,008 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $63,223 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $63,223 | ExpensesNotReportedAmt |
| Expenses Subtotal | $31,508,785 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $31,508,785 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | UNDER PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. AS OF JUNE 30, 2017 AND 2016, THE ORGANIZATION HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAXES. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE 63,223. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE 63,223. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MIKE MAPLES | ||||||||||||||
| CEO | $288,568 | $0 | $0 | $0 | $0 | $0 | $17,314 | $0 | $9,920 | $0 | $315,802 | $0 | $0 | $0 |
| PAUL KASCHMITTER | ||||||||||||||
| CFO | $165,561 | $0 | $0 | $0 | $0 | $0 | $9,934 | $0 | $10,054 | $0 | $185,549 | $0 | $0 | $0 |
| MICHAEL SCHAFFRINNA | ||||||||||||||
| CMO | $216,616 | $0 | $0 | $0 | $0 | $0 | $12,997 | $0 | $10,210 | $0 | $239,823 | $0 | $0 | $0 |
| RUSSEL MAIER | ||||||||||||||
| PROGRAM DIRECTOR | $243,424 | $0 | $0 | $0 | $0 | $0 | $14,605 | $0 | $9,907 | $0 | $267,936 | $0 | $0 | $0 |
| JOHN ASRIEL | ||||||||||||||
| CHCW-E PHYSICIAN DIRECTOR | $203,402 | $0 | $0 | $0 | $0 | $0 | $12,204 | $0 | $20,985 | $0 | $236,591 | $0 | $0 | $0 |
| JEFFREY BARTLETT | ||||||||||||||
| YP PHYSICIAN DIRECTOR | $211,049 | $0 | $0 | $0 | $0 | $0 | $12,663 | $0 | $9,818 | $0 | $233,530 | $0 | $0 | $0 |
| MARIA VERDUZCO | ||||||||||||||
| CW PHYSICIAN DIRECTOR | $185,074 | $0 | $0 | $0 | $0 | $0 | $11,104 | $0 | $10,076 | $0 | $206,254 | $0 | $0 | $0 |
| PAUL EMMANS II | ||||||||||||||
| SENIOR CARE DIRECTOR | $253,590 | $0 | $0 | $0 | $0 | $0 | $15,216 | $0 | $10,208 | $0 | $279,014 | $0 | $0 | $0 |
| KATINA RUE | ||||||||||||||
| CW FACULTY PHYSICIAN | $195,059 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,950 | $0 | $204,009 | $0 | $0 | $0 |
| JUDITH HARVEY | ||||||||||||||
| CW FACULTY PHYSICIAN | $193,430 | $0 | $0 | $0 | $0 | $0 | $11,606 | $0 | $10,100 | $0 | $215,136 | $0 | $0 | $0 |
| BRENT HERR | ||||||||||||||
| HOSPITALIST | $192,497 | $0 | $0 | $0 | $0 | $0 | $11,550 | $0 | $7,881 | $0 | $211,928 | $0 | $0 | $0 |
| PATRICK MORAN | ||||||||||||||
| OB PHYSICIAN DIRECTOR | $196,617 | $0 | $0 | $0 | $0 | $0 | $11,797 | $0 | $9,811 | $0 | $218,225 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 5 | 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 (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| WASHINGTON HEALTH CARE FACILITIES AUTHORITY | |||||||
| A | 911108929 | 2015-11-20 | $4,230,000 | BUILDING REMODEL & REFUND SERIES 2008 BONDS | 0 | 0 | 0 |
| WASHINGTON HEALTH CARE FACILITIES AUTHORITY | |||||||
| B | 911108929 | 2016-11-17 | $3,440,000 | BUILDING PURCHASE AND REMODEL | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $235,699 | $4,230,000 | $84,600 | $2,957,948 | $1,187,452 | 2016 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $3,440,000 | $68,800 | $3,371,200 | 2017 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | 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; TO ELECT, 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, PART VI, SECTION B, LINE 11B | LINE 11A EXPLANATION - THE 990 TAX RETURN WAS PRESENTED TO THE BOARD OF DIRECTORS AND UNANIMOUSLY APPROVED PRIOR TO THE ELECTRONIC SUBMISSION OF THE TAX RETURN. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION B, 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 REGARD 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, PART VI, SECTION B, LINE 15 | RESEARCH AND/OR SURVEY STUDIES AND CONSULTING IS DONE IF NECESSARY. COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS.OTHER TYPES OF CONSULTING AND RESEARCH IS DONE IF NECESSARY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT OPEN TO THE PUBLIC. |