STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COWLITZ FAMILY HEALTH CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COWLITZ FAMILY HEALTH CENTER (EIN 91-0896241)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-24
IRS object ID
201702979349300420
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

FieldValueIRS element (for citing)
Return2017-10-24T09:29:04-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN930743240PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HOFFMAN STEWART & SCHMIDT PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14900 MEADOWS ROAD STE 200AddressLine1Txt
CityLAKE OSWEGOCityNm
State AbbreviationORStateAbbreviationCd
ZIP970353295ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910896241EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COWLITZ FAMILY HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOWLBusinessNameControlTxt
Phone3606363892PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11057 12TH AVENUEAddressLine1Txt
CityLONGVIEWCityNm
State AbbreviationWAStateAbbreviationCd
ZIP986322509ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDIAN COOPERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3606363892PhoneNum
Signature2017-10-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT M PRILLPreparerPersonNm
PTINP00236613PTIN
Phone5032205900PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDIAN COOPERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11057 12TH AVENUEAddressLine1Txt
CityLONGVIEWCityNm
State AbbreviationWAStateAbbreviationCd
ZIP986322509ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$23,661,887GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COWLITZFAMILYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionEVERYONE DESERVES HIGH-QUALITY COMPASSIONATE CARE. WE DO THIS BY PROVIDING COMPREHENSIVE HEALTH SERVICES AND EDUCATION, REGARDLESS OF CIRCUMSTANCES OR INCOME. TOGETHER WE IMPROVE QUALITY OF LIFE AND TRANSFORM OUR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee295TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,299,952PYContributionsGrantsAmt
CY Contributions Grants$4,577,613CYContributionsGrantsAmt
PY Program Service Revenue$15,298,632PYProgramServiceRevenueAmt
CY Program Service Revenue$19,080,420CYProgramServiceRevenueAmt
PY Investment Income$3,501PYInvestmentIncomeAmt
CY Investment Income$3,854CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$19,602,085PYTotalRevenueAmt
CY Total Revenue$23,661,887CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,139,983PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,263,423CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,463,613PYOtherExpensesAmt
CY Other Expenses$8,002,893CYOtherExpensesAmt
PY Total Expenses$17,603,596PYTotalExpensesAmt
CY Total Expenses$20,266,316CYTotalExpensesAmt
PY Revenues Less Expenses$1,998,489PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,395,571CYRevenuesLessExpensesAmt
Total Assets BOY$16,109,540TotalAssetsBOYAmt
Total Assets EOY$18,374,915TotalAssetsEOYAmt
Total Liabilities BOY$4,135,674TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,005,478TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,973,866NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,369,437NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionEVERYONE DESERVES HIGH-QUALITY COMPASSIONATE CARE. WE DO THIS BY PROVIDING COMPREHENSIVE HEALTH SERVICES AND EDUCATION, REGARDLESS OF CIRCUMSTANCES OR INCOME. TOGETHER WE IMPROVE QUALITY OF LIFE AND TRANSFORM OUR COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,943,189ExpenseAmt
Revenue$12,956,015RevenueAmt
DescTO PROVIDE MEDICAL SERVICES TO LOW INCOME INDIVIDUALS. THE TOTAL MEDICAL ENCOUNTERS DURING THE YEAR WERE 53,858.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,924,354ExpenseAmt
Revenue$2,954,765RevenueAmt
DescTO PROVIDE DENTAL SERVICES TO LOW INCOME INDIVIDUALS. THE TOTAL DENTAL ENCOUNTERS DURING THE YEAR WERE 21,548.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$630,322ExpenseAmt
DescTO PROVIDE SUPPLEMENTAL NUTRITION SERVICES FOR PREGNANT AND BREASTFEEDING WOMEN AND THEIR CHILDREN TO AGE 5. DURING 2016, THE CENTER SERVED 5,799 WOMEN, INFANTS AND CHILDREN.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$4,027,592ExpenseAmt
Revenue$3,169,640RevenueAmt
DescTO PROVIDE MEDICAL RELATED SERVICES TO LOW INCOME INDIVIDUALS. ENABLING SERVICE ENCOUNTERS AND MENTAL HEALTH ENCOUNTERS TOTALED 6,097 AND 5,938 RESPECTIVELY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$4,027,592TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$3,169,640TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$16,525,457TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document57IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee295EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDIAN COOPERPersonNm
Phone3066363892PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11057 12TH AVENUEAddressLine1Txt
CityLONGVIEWCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98632ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RICK HUCKABY
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
MELISSA TAYLOR
TREASURER2.00Yes (X)Yes (X)$0$0$0
WANDA MCBEE
SECRETARY2.00Yes (X)Yes (X)$0$0$0
CARLEEN WOLGAMOTT
DIRECTOR2.00Yes (X)$0$0$0
CYNTHIA WASHINGTON-MATTSON
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
ALISABETH BUCK
DIRECTOR2.00Yes (X)$0$0$0
SANDRA BENBROOK RIEDER
DIRECTOR2.00Yes (X)$0$0$0
EM HOYHTYA
DIRECTOR2.00Yes (X)$0$0$0
WAYNE CAIN
DIRECTOR2.00Yes (X)$0$0$0
ELIZABETH CATTIN
DIRECTOR2.00Yes (X)$0$0$0
JEFFREY KEDDIE
DIRECTOR2.00Yes (X)$0$0$0
JOHN PAUL PRADO
DIRECTOR2.00Yes (X)$0$0$0
DIAN COOPER
EXECUTIVE DIRECTOR40.00Yes (X)$188,346$0$7,754
PAM SPEARS
FINANCE DIRECTOR40.00Yes (X)$107,471$0$7,304
JAMES COFFEE
COO40.00Yes (X)$102,798$0$8,284
GERARDO MELGAR
MEDICAL DIRECTOR40.00$252,575$0$7,304Yes (X)
GAIL CONWAY
PHYSICIAN40.00$168,417$0$7,304Yes (X)
ANTHONY REYES
PHYSICIAN40.00$172,135$0$7,304Yes (X)
DAVID MEYERS
DENTIST40.00$152,462$0$7,304Yes (X)
TRESHA CARROLL
PHYSICIAN40.00$161,806$0$7,754Yes (X)
TATIANNA TROTT
DENTIST40.00$141,896$0$8,284Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,447,906TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$68,596TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K20IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
OCHIN INC
1881 SW NAITO PARKWAYPORTLANDOR972015195EMR AND PRACTICE MANAGEMENT FEES$1,237,367
STAFF CARE
5001 STATESMAN DRIVEIRVINGTX75063LOCUM TENENS$963,272
MCKESSON
PO BOX 933027ATLANTAGA31193MEDICAL PRODUCT DISTRIBUTOR$609,523
POLAR SYSTEMS
21890 WILLAMETTE DRIVEWEST LINNOR97068COMPUTER CONSULTING$462,207
ABM JANITORIAL SERVICES
PO BOX 742049LOS ANGELESCA90074JANITORIAL SERVICES$276,954
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Government Grants$4,573,783GovernmentGrantsAmt
All Other Contributions$3,830AllOtherContributionsAmt
Total Contributions$4,577,613TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE624100$9,820,487$9,820,487
PREMIUM REVENUE AND INCENTIVE624100$8,259,621$8,259,621
PHARMACY FEES624100$910,035$910,035
PROGRAM SERVICE REVENUE624100$72,678$72,678
OTHER624100$17,599$17,599
FieldValueIRS element (for citing)
Total Program Service Revenue$19,080,420TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,854TotalRevenueColumnAmt
Exclusion$3,854ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,661,887TotalRevenueColumnAmt
Related Or Exempt Func Income$19,080,420RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,854ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$681,836TotalAmt
Program Services$259,879ProgramServicesAmt
Management And General$421,957ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,366,914TotalAmt
Program Services$8,173,359ProgramServicesAmt
Management And General$1,193,555ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,344,958TotalAmt
Program Services$1,149,676ProgramServicesAmt
Management And General$195,282ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$869,715TotalAmt
Program Services$731,492ProgramServicesAmt
Management And General$138,223ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$209,957TotalAmt
Management And General$209,957ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$30,866TotalAmt
Management And General$30,866ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,403,011TotalAmt
Program Services$2,242,049ProgramServicesAmt
Management And General$1,160,962ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$13,518TotalAmt
Program Services$12,868ProgramServicesAmt
Management And General$650ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$521,186TotalAmt
Program Services$431,353ProgramServicesAmt
Management And General$89,833ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,433,943TotalAmt
Program Services$1,338,691ProgramServicesAmt
Management And General$95,252ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$70,741TotalAmt
Program Services$56,700ProgramServicesAmt
Management And General$14,041ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$49,014TotalAmt
Program Services$39,285ProgramServicesAmt
Management And General$9,729ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$25,466TotalAmt
Program Services$25,459ProgramServicesAmt
Management And General$7ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$443,093TotalAmt
Program Services$406,003ProgramServicesAmt
Management And General$37,090ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$107,381TotalAmt
Program Services$80,978ProgramServicesAmt
Management And General$26,403ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,038,724$1,038,724
BAD DEBT$338,050$338,050
RECRUITMENT & RETENTION$101,919$78,528$23,391
TAXES AND LICENSES$88,039$87,559$480

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$127,985TotalAmt
Program Services$34,804ProgramServicesAmt
Management And General$93,181ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,266,316TotalAmt
Program Services$16,525,457ProgramServicesAmt
Management And General$3,740,859ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,588,350BOYAmt
EOY$2,038,597EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,776,464BOYAmt
EOY$4,800,696EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$518,956BOYAmt
EOY$338,730EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,509,377BOYAmt
EOY$5,044,792EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$113,289BOYAmt
EOY$126,883EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$322,446BOYAmt
EOY$714,443EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,934,051LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,623,277LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,280,658BOYAmt
EOY$5,310,774EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,109,540BOYAmt
EOY$18,374,915EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,426,566BOYAmt
EOY$1,328,735EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,709,108BOYAmt
EOY$1,676,743EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,135,674BOYAmt
EOY$3,005,478EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,937,940BOYAmt
EOY$15,338,185EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$35,926BOYAmt
EOY$31,252EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,973,866BOYAmt
EOY$15,369,437EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,109,540BOYAmt
EOY$18,374,915EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,395,571ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,967,414CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,426,912CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,408,144CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,299,952CurrentTaxYearMinus1YearAmt
Current Tax Year$4,577,613CurrentTaxYearAmt
Total$18,680,035TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,967,414CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,426,912CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,408,144CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,299,952CurrentTaxYearMinus1YearAmt
Current Tax Year$4,577,613CurrentTaxYearAmt
Total$18,680,035TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$18,680,035PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,814CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,452CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,158CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,501CurrentTaxYearMinus1YearAmt
Current Tax Year$3,854CurrentTaxYearAmt
Total$16,779TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,533CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$5,677CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,167CurrentTaxYearMinus1YearAmt
Current Tax Year$17,599CurrentTaxYearAmt
Total$36,976TotalAmt
FieldValueIRS element (for citing)
Total Support$18,733,790TotalSupportAmt
Gross Receipts Rltd Activities$63,659,517GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99710PublicSupportCY170Pct
Public Support PY1700.99700PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$559,980OtherCostOrOtherBasisAmt
Book Value$559,980BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,642,121OtherCostOrOtherBasisAmt
Depreciation$329,784DepreciationAmt
Book Value$3,312,337BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,364,800OtherCostOrOtherBasisAmt
Depreciation$1,805,745DepreciationAmt
Book Value$559,055BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,025,843OtherCostOrOtherBasisAmt
Depreciation$2,469,979DepreciationAmt
Book Value$555,864BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$341,307OtherCostOrOtherBasisAmt
Depreciation$17,769DepreciationAmt
Book Value$323,538BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,310,774TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$23,323,837TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$23,323,837RevenueSubtotalAmt
Other Revenues Not Included$338,050OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$338,050RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$23,661,887TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$19,928,266TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$19,928,266ExpensesSubtotalAmt
Other Expenses Not Included$338,050OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$338,050ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,266,316TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:MANAGEMENT OF COWLITZ FAMILY HEALTH CENTER DOES NOT BELIEVE THE CENTER HAS ANY UNCERTAIN TAX POSITIONS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 338,050.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 338,050.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DIAN COOPER
EXECUTIVE DIRECTOR$188,146$0$200$0$0$0$0$0$7,754$0$196,100$0$0$0
GERARDO MELGAR
MEDICAL DIRECTOR$252,375$0$200$0$0$0$0$0$7,304$0$259,879$0$0$0
GAIL CONWAY
PHYSICIAN$165,191$0$3,226$0$0$0$0$0$7,304$0$175,721$0$0$0
ANTHONY REYES
PHYSICIAN$169,835$0$2,300$0$0$0$0$0$7,304$0$179,439$0$0$0
DAVID MEYERS
DENTIST$149,795$0$2,667$0$0$0$0$0$7,304$0$159,766$0$0$0
TRESHA CARROLL
PHYSICIAN$157,966$0$3,840$0$0$0$0$0$7,754$0$169,560$0$0$0
TATIANNA TROTT
DENTIST$140,759$0$1,137$0$0$0$0$0$8,284$0$150,180$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FINANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS MUST REVIEW THE DRAFT FORM 990 PRIOR TO SUBMITTAL.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION INQUIRES ABOUT CONFLICTS OF INTEREST AT INITIAL INTERVIEWS WITH CANDIDATES FOR EMPLOYMENT AND BOARD MEMBERS ARE REQUIRED TO SIGN A STATEMENT OF DECLARATION OF ANY CONFLICTS OF INTEREST. BOARD MEMBERS ARE REQUIRED TO FILL OUT AN ANNUAL CONFLICT OF INTEREST FORM.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE CEO'S PAY BASED ON PERFORMANCE AND COMPARABLE MARKET SALARIES. COMPENSATION FOR KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE CEO BASED ON PERFORMANCE AND COMPARABLE MARKET SALARIES.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,242,049. MANAGEMENT AND GENERAL EXPENSES 1,160,962. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,403,011.
FORM 990, PART XII, LINE 2C:THERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR REGARDING THE OVERSIGHT OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANTS' THAT AUDIT THE FINANCIAL STATEMENTS OF THE ORGANIZATION.