COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY (EIN 91-1255170)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-04-09
- IRS object ID
- 201400999349300310
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-04-09T11:19:02-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911194016 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1700 | AddressLine1 |
| City | BELLEVUE | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911255170 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 4257893700 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8609 EVERGREEN WAY | AddressLine1 |
| City | EVERETT | City |
| State | WA | State |
| ZIP Code | 98208 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | VICTORIA M RINGNESS | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 4257893700 | Phone |
| Date Signed | 2014-04-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SARA ELIZABETH J HYRE | Name |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | Phone |
| Date Prepared | 2014-04-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT C FARRELL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8609 EVERGREEN WAY | AddressLine1 |
| City | EVERETT | City |
| State | WA | State |
| ZIP Code | 98208 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 33885459 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CHCSNO.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE OUR DIVERSE COMMUNITY WITH ACCESS TO HIGH QUALITY, AFFORDABLE PRIMARY HEALTH CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 285 | TotalNbrEmployees |
| Total Nbr Volunteers | 45 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3472657 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3689631 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 20123168 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 20764218 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 775548 | InvestmentIncomePriorYear |
| Investment Income Current Year | 870639 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2369726 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2213009 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 26741099 | TotalRevenuePriorYear |
| Total Revenue Current Year | 27537497 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 250 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 15507252 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 17918384 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 222105 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8122874 | OtherExpensePriorYear |
| Other Expenses Current Year | 8692438 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 23630376 | TotalExpensesPriorYear |
| Total Expenses Current Year | 26610822 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3110723 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 926675 | RevenuesLessExpensesCY |
| Total Assets BOY | 57569294 | TotalAssetsBOY |
| Total Assets EOY | 58358078 | TotalAssetsEOY |
| Total Liabilities BOY | 2638736 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2954454 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 54930558 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 55403624 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY PROVIDES MEDICAL AND DENTAL CARE TO LOW-INCOME/HOMELESS INDIVIDUALS WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES ON A SLIDING FEE BASIS. ALL PATIENTS ARE REQUIRED TO PAY A MINIMUM FEE, AND NO PATIENT IS DENIED SERVICES DUE TO AN INABILITY TO PAY. SINCE MANAGEMENT DOES NOT EXPECT PAYMENT FOR THE DISCOUNTED PORTION OF CARE, THE DISCOUNTED SERVICES ARE EXCLUDED FROM REVENUE. DURING THE YEAR ENDED JUNE 30, 2013, CHC PROVIDED $4,359,859 OF CHARITY CARE SERVICES UNDER THIS POLICY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 14269230 | Expense |
| Revenue | 14174236 | Revenue |
| Description | MEDICAL CARE - TO PROVIDE MEDICAL SERVICES IN PEDIATRICS, ACUTE GENERAL CARE AND OBSTETRICAL CARE TO LOW-INCOME/ HOMELESS PEOPLE AT FOUR DIFFERENT CLINIC LOCATIONS. COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY ALSO OFFERS PRENATAL CARE, BEHAVIORAL HEALTH SERVICES, IMMUNIZATIONS, AND CHRONIC DISEASE MANAGEMENT TO INDIVIDUALS AND FAMILIES FROM A WIDE VARIETY OF ETHNIC AND CULTURAL BACKGROUNDS. COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY EMPLOYS A MULTI-LINGUAL STAFF, PROVIDES EXTENDED HOURS AND SAME-DAY APPOINTMENTS FOR COMMUNITY RESIDENTS. FEES ARE PAID ON A SLIDING FEE SCALE AND BY THIRD-PARTY INSURANCE, MEDICARE AND MEDICAID. THERE WAS A TOTAL OF 81,577 PATIENT ENCOUNTERS FOR THIS FISCAL YEAR. CHARITY CARE SERVICES FOR THE YEAR TOTALED $3,426,621. IN ADDITION, CHC PROVIDED PRIMARY CARE OUTREACH SERVICES FOR HOMELESS INDIVIDUALS AND FAMILIES AT THREE TRANSITIONAL HOUSING AGENCIES IN SNOHOMISH COUNTY. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5673708 | Expense |
| Revenue | 6589982 | Revenue |
| Description | DENTAL CARE - TO PROVIDE DENTAL SERVICES TO LOW-INCOME/HOMELESS PEOPLE ON A SLIDING FEE BASIS AND BY THIRD-PARTY INSURANCE AND MEDICAID AT THREE DIFFERENT CLINICS. THERE WAS A TOTAL OF 39,322 PATIENT ENCOUNTERS FOR THIS FISCAL YEAR. CHARITY CARE SERVICES FOR THE YEAR TOTALED $933,238. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1431429 | Expense |
| Revenue | 1816276 | Revenue |
| Description | PHARMACY SERVICES - TO PROVIDE PHARMACY SERVICES TO LOW-INCOME PEOPLE ON A SLIDING FEE BASIS AND BY THIRD-PARTY INSURANCE AND MEDICAID AT THREE DIFFERENT CLINICS. 93,752 TOTAL PRESCRIPTIONS FILLED FOR THIS FISCAL YEAR. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 21374367 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 22 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 285 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VICTORIA M RINGNESS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4257893703 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8609 EVERGREEN WAY | AddressLine1 |
| City | EVERETT | City |
| State | WA | State |
| ZIP Code | 98208 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JASON HAMLIN | ||||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | ||
| LARRY WARNER | ||||||||
| CHAIR | 2.00 | X | X | 0 | 0 | 0 | ||
| BICH-NGA NGUYEN | ||||||||
| VICE-CHAIR/SECRETARY | 2.00 | X | X | 0 | 0 | 0 | ||
| KATHERINE GANTER | ||||||||
| VICE-CHAIR THRU 11/12 | 2.00 | X | X | 0 | 0 | 0 | ||
| JAMIE DUKE | ||||||||
| VICE-CHAIR THRU 10/12 | 2.00 | X | X | 0 | 0 | 0 | ||
| CHARLES JEREMIAH | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| COURTNEY MILLER | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| LARRY MCLYNN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| LINDA INGLIN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| NAZAR SAYED | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| PAUL WOLTZ | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| TAMIKO LEWIS | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| TAMMY MARTIN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| ROBERT FARRELL CPA | ||||||||
| CHIEF EXECUTIVE OFFICER | 45.00 | X | 149656 | 0 | 16403 | |||
| VICTORIA RINGNESS | ||||||||
| CHIEF FINANCIAL OFFICER | 45.00 | X | 94078 | 0 | 13214 | |||
| TOVE SKAFTUN RN | ||||||||
| CHIEF OPERATING OFFICER | 45.00 | X | 117155 | 0 | 14489 | |||
| DION KAPETANOV | ||||||||
| CHIEF ADMINISTRATIVE OFFICER | 45.00 | X | 115902 | 0 | 11340 | |||
| THOMAS TOCHER | ||||||||
| MEDICAL DIRECTOR | 45.00 | 227954 | 0 | 20359 | X | |||
| KISHORE SHETTY | ||||||||
| DENTAL DIRECTOR | 45.00 | 186593 | 0 | 18140 | X | |||
| ANDREW PERRY | ||||||||
| PHYSICIAN | 45.00 | 184907 | 0 | 18449 | X | |||
| YVONNE MA | ||||||||
| PHYSICIAN | 45.00 | 170494 | 0 | 17390 | X | |||
| HEIDI FINUCANE | ||||||||
| PHYSICIAN | 45.00 | 156028 | 0 | 16841 | X | |||
| SANJAY RAJ | ||||||||
| PHYSICIAN | 45.00 | 164315 | 0 | 17048 | X | |||
| TESS MOORE | ||||||||
| PHYSICIAN | 39.00 | 162965 | 0 | 16792 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1730047 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 180465 | TotalOtherCompensation |
| Number Individuals GT100 K | 35 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| STAFF CARE | |||||
| PO BOX 281923 | ATLANTA | GA | 303841923 | TEMP. HEALTHCARE STAFFING | 361923 |
| SUMMIT BUILDING MAINTENANCE INC | |||||
| 2366 EASTLAKE AVE E | SEATTLE | WA | 98102 | JANITORIAL SERVICES | 192260 |
| COMPHEALTH INC | |||||
| PO BOX 972670 | DALLAS | TX | 753972670 | TEMP. HEALTHCARE STAFFING | 145804 |
| TECHHEADS | |||||
| 16869 SW 65TH AVE 166 | LAKE OSWEGO | OR | 97035 | IT SUPPORT SERVICES | 142632 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Federated Campaigns | 4922 | FederatedCampaigns |
| Government Grants | 3592103 | GovernmentGrants |
| All Other Contributions | 92606 | AllOtherContributions |
| Noncash Contributions | 1028012 | NoncashContributions |
| Total Contributions | 3689631 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE/MEDICAID | 621400 | 17108762 | 17108762 |
| CAPITATED REVENUE | 621110 | 1960233 | 1960233 |
| PATIENT FEES | 621110 | 1695223 | 1695223 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 20764218 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 566492 | TotalRevenueColumn |
| Exclusion | $566,492 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6190110 | Securities |
| Other | 2494 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5881591 | Securities |
| Other | 6866 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 308519 | Securities |
| Other | -4372 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 304147 | TotalRevenueColumn |
| Exclusion | $304,147 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 2275781 | GrossSalesOfInventory |
| Cost Of Goods Sold | 459505 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1816276 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1816276 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| EHR INCENTIVE PAYMENTS | 900099 | 331500 | $331,500 |
| PATIENT RECORDS | 561000 | 30849 | $30,849 |
| REFUNDS & REBATES | 900099 | 24916 | $24,916 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9468 | TotalRevenueColumn |
| Exclusion | $9,468 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 396733 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27537497 | TotalRevenueColumn |
| Related Or Exempt Function Income | 22580494 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,267,372 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 834711 | Total |
| Management And General | 834711 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13834311 | Total |
| Program Services | 11568516 | ProgramServices |
| Management And General | 2178069 | ManagementAndGeneral |
| Fundraising | 87726 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 358271 | Total |
| Program Services | 298212 | ProgramServices |
| Management And General | 58005 | ManagementAndGeneral |
| Fundraising | 2054 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1741761 | Total |
| Program Services | 1418262 | ProgramServices |
| Management And General | 314816 | ManagementAndGeneral |
| Fundraising | 8683 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1149330 | Total |
| Program Services | 905043 | ProgramServices |
| Management And General | 237116 | ManagementAndGeneral |
| Fundraising | 7171 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114714 | Total |
| Management And General | 114714 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58344 | Total |
| Management And General | 58344 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65084 | Total |
| Management And General | 65084 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1106730 | Total |
| Program Services | 894107 | ProgramServices |
| Management And General | 207276 | ManagementAndGeneral |
| Fundraising | 5347 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74409 | Total |
| Fundraising | 74409 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 479213 | Total |
| Program Services | 312529 | ProgramServices |
| Management And General | 145026 | ManagementAndGeneral |
| Fundraising | 21658 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169099 | Total |
| Program Services | 130332 | ProgramServices |
| Management And General | 38767 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 789188 | Total |
| Program Services | 670472 | ProgramServices |
| Management And General | 115267 | ManagementAndGeneral |
| Fundraising | 3449 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20084 | Total |
| Program Services | 9371 | ProgramServices |
| Management And General | 10117 | ManagementAndGeneral |
| Fundraising | 596 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188018 | Total |
| Program Services | 111720 | ProgramServices |
| Management And General | 75655 | ManagementAndGeneral |
| Fundraising | 643 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36491 | Total |
| Program Services | 16390 | ProgramServices |
| Management And General | 20101 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1517395 | Total |
| Program Services | 1319158 | ProgramServices |
| Management And General | 194779 | ManagementAndGeneral |
| Fundraising | 3458 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128873 | Total |
| Program Services | 102899 | ProgramServices |
| Management And General | 25704 | ManagementAndGeneral |
| Fundraising | 270 | Fundraising |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising | Management And GeneralManagementAndGeneral |
|---|---|---|---|---|
| CLINICAL SUPPLIES | 1680189 | 1678343 | 1846 | |
| BAD DEBT EXPENSE | 1268398 | 1268398 | ||
| EQUIPMENT RENTAL/ MAINT | 569320 | 430805 | 1413 | 137102 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 426889 | Total |
| Program Services | 239810 | ProgramServices |
| Management And General | 183697 | ManagementAndGeneral |
| Fundraising | 3382 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26610822 | Total |
| Program Services | 21374367 | ProgramServices |
| Management And General | 5014350 | ManagementAndGeneral |
| Fundraising | 222105 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5416133 | BOY |
| EOY | 2444165 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2063380 | BOY |
| EOY | 1576588 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18322 | BOY |
| EOY | 62317 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2945673 | BOY |
| EOY | 3229398 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 306938 | BOY |
| EOY | 332601 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 348968 | BOY |
| EOY | 253025 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 38793589 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7800098 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28295756 | BOY |
| EOY | 30993491 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18174124 | BOY |
| EOY | 19466493 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57569294 | BOY |
| EOY | 58358078 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2538065 | BOY |
| EOY | 2846227 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70737 | BOY |
| EOY | 88640 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29934 | BOY |
| EOY | 19587 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2638736 | BOY |
| EOY | 2954454 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54827309 | BOY |
| EOY | 55306205 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103249 | BOY |
| EOY | 97419 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54930558 | BOY |
| EOY | 55403624 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57569294 | BOY |
| EOY | 58358078 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 926675 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -453609 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3663947 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5174039 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3633432 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3472657 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3689631 | CurrentTaxYear |
| Total | 19633706 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20370396 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19614048 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 19529566 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22237878 | CurrentTaxYearMinus1Year |
| Current Tax Year | 23039999 | CurrentTaxYear |
| Total | 104791887 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 31541 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 96820 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 86430 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 743519 | CurrentTaxYearMinus1Year |
| Current Tax Year | 387265 | CurrentTaxYear |
| Total | 1345575 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 24065884 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 24884907 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 23249428 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26454054 | CurrentTaxYearMinus1Year |
| Current Tax Year | 27116895 | CurrentTaxYear |
| Total | 125771168 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 125771168 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 681932 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 689086 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 733990 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 598703 | CurrentTaxYearMinus1Year |
| Current Tax Year | 566492 | CurrentTaxYear |
| Total | 3270203 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 681932 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 689086 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 733990 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 598703 | CurrentTaxYearMinus1Year |
| Current Tax Year | 566492 | CurrentTaxYear |
| Total | 3270203 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 21303 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 49943 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 88405 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10212 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9468 | CurrentTaxYear |
| Total | 179331 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 24769119 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25623936 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 24071823 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 27062969 | CurrentTaxYearMinus1Year |
| Current Tax Year | 27692855 | CurrentTaxYear |
| Total | 129220702 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.97330 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.96960 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.02530 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.02840 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6455267 | OtherCostOrOtherBasis |
| Book Value | 6455267 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24135889 | OtherCostOrOtherBasis |
| Depreciation | 4992827 | Depreciation |
| Book Value | 19143062 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 330653 | OtherCostOrOtherBasis |
| Depreciation | 117730 | Depreciation |
| Book Value | 212923 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4278386 | OtherCostOrOtherBasis |
| Depreciation | 2684639 | Depreciation |
| Book Value | 1593747 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3593394 | OtherCostOrOtherBasis |
| Depreciation | 4902 | Depreciation |
| Book Value | 3588492 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30993491 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CAPITAL LEASE | Description |
| Amount | $19,587 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 19587 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 27478309 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -453609 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -453609 | RevenueNotRptdF990 |
| Revenue Subtotal | 27931918 | RevenueSubtotal |
| Investment Expenses Not Included | 65084 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | -459505 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -394421 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 27537497 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 27005243 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 459505 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 459505 | ExpensesNotRptdF990 |
| Expenses Subtotal | 26545738 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 65084 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 65084 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 26610822 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | COST OF GOODS SOLD INCLUDED IN EXPENSE ON FINANCIAL STATEMENTS -459,505. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD INCLUDED IN EXPENSE ON FINANCIAL STATEMENTS 459,505. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT FARRELL CPA | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | 139656 | 0 | 10000 | 0 | 0 | 0 | 7656 | 0 | 8747 | 0 | 166059 | 0 | 0 | 0 |
| THOMAS TOCHER | ||||||||||||||
| MEDICAL DIRECTOR | 225766 | 0 | 2188 | 0 | 0 | 0 | 11437 | 0 | 8922 | 0 | 248313 | 0 | 0 | 0 |
| KISHORE SHETTY | ||||||||||||||
| DENTAL DIRECTOR | 183937 | 0 | 2656 | 0 | 0 | 0 | 9367 | 0 | 8773 | 0 | 204733 | 0 | 0 | 0 |
| ANDREW PERRY | ||||||||||||||
| PHYSICIAN | 182929 | 0 | 1978 | 0 | 0 | 0 | 9665 | 0 | 8784 | 0 | 203356 | 0 | 0 | 0 |
| YVONNE MA | ||||||||||||||
| PHYSICIAN | 168516 | 0 | 1978 | 0 | 0 | 0 | 8677 | 0 | 8713 | 0 | 187884 | 0 | 0 | 0 |
| HEIDI FINUCANE | ||||||||||||||
| PHYSICIAN | 148662 | 0 | 7366 | 0 | 0 | 0 | 8219 | 0 | 8622 | 0 | 172869 | 0 | 0 | 0 |
| SANJAY RAJ | ||||||||||||||
| PHYSICIAN | 163192 | 0 | 1123 | 0 | 0 | 0 | 8379 | 0 | 8669 | 0 | 181363 | 0 | 0 | 0 |
| TESS MOORE | ||||||||||||||
| PHYSICIAN | 153026 | 0 | 9939 | 0 | 0 | 0 | 8190 | 0 | 8602 | 0 | 179757 | 0 | 0 | 0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 24020 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1006370 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST OR SELLING PRICE | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | SOFTWARE | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 21642 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: | Identifier |
| Return Reference | PART I, COLUMN (B): | ReturnReference |
| Explanation | CONTRIBUTIONS ARE BASED ON THE NUMBER OF ITEMS CONTRIBUTED. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART I, LINE 6 | VOLUNTEERS STAFFED SEVERAL HEALTH FAIRS AND PATIENT EVENTS. THESE VOLUNTEERS WERE PREDOMINANTLY EMPLOYEES WHO VOLUNTEERED THEIR TIME. MEMBERS OF THE BOARD OF DIRECTORS ARE ALSO VOLUNTEERS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF DIRECTORS REVIEWS AND APPROVES CHC'S FORM 990 PRIOR TO ITS FILING WITH THE IRS. THE APPROVAL PROCESS IS AS FOLLOWS: THE BOARD OF DIRECTORS RECEIVE A COPY OF FORM 990 AND MAKE A MOTION AND VOTE TO APPROVE THE FORM 990. UPON THE BOARD OF DIRECTORS' APPROVAL, THE FORM 990 IS ELECTRONICALLY FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CHC OF SNOHOMISH COUNTY EMPLOYEE HANDBOOK CONTAINS THE ORGANIZATIONS CONFLICT OF INTEREST POLICY. EACH EMPLOYEE AND BOARD MEMBER IS REQUIRED TO SIGN OFF AS HAVING READ THE HANDBOOK AND HAVING UNDERSTOOD THIS CONFLICT OF INTEREST POLICY. PER THIS POLICY, ALL EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO AVOID AND REPORT SITUATIONS THAT COULD CREATE OR RESULT IN A REAL OR PERCEIVED CONFLICT OF INTEREST BY DISCLOSING THE RELATIONSHIP, ACTIVITY OR ASSOCIATION TO THEIR MANAGER OR HUMAN RESOURCES. BOARD MEMBERS WHO BELIEVE THAT A CONFLICT OF INTEREST EXISTS NEED TO INFORM THE CHAIR OF THE BOARD, WHO WOULD WORK WITH THE CEO TO INQUIRE INTO THE FACTS AND DETERMINE WHETHER A CONLICT OF INTEREST EXISTS. WHERE A CONFLICT OF INTEREST OCCURS, THE INDIVIDUAL IS RECUSED FROM ANY DECISION MAKING PROCESS OR MEETINGS RELATED TO THAT SITUATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE CEO COMPENSATION AND PERFORMS A PERFORMANCE EVALUATION TO SET COMPENSATION. THE HUMAN RESOURCES MANAGER MAY ASSIST AS NECESSARY. THE CHIEF FINANCIAL OFFICER, CHIEF ADMINISTRATIVE OFFICER, AND COO COMPENSATION IS SET BY HUMAN RESOURCES. THE SALARY RANGE IS BASED ON COMMUNITY COMPENSATION DATA AND THE APPLICANTS' YEARS OF PROFESSIONAL EXPERIENCE AND QUALIFICATIONS. ANNUAL REVIEWS WERE LAST PERFORMED IN MARCH 2013. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST ONLY. |