COWLITZ FAMILY HEALTH CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: COWLITZ FAMILY HEALTH CENTER (EIN 91-0896241)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-06-20
IRS object ID: 201311719349300026
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-06-20T14:11:17-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	930743240	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOFFMAN STEWART & SCHMIDT PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	4900 MEADOWS ROAD STE 200	AddressLine1
City	LAKE OSWEGO	City
State	OR	State
ZIP Code	970353295	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	910896241	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COWLITZ FAMILY HEALTH CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COWL	NameControl
Phone	3606363892	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1057 12TH AVENUE	AddressLine1
City	LONGVIEW	City
State	WA	State
ZIP Code	986322509	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DIAN COOPER	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	3606363892	Phone
Date Signed	2013-06-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ROBERT M PRILL	Name
PTIN	P00236613	PTIN
Phone	5032205900	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DIAN COOPER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1057 12TH AVENUE	AddressLine1
City	LONGVIEW	City
State	WA	State
ZIP Code	986322509	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	11181539	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.COWLITZFAMILYHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1972	YearFormation
State Legal Domicile	WA	StateLegalDomicile
Activity Or Mission Description	TO PROMOTE, ENCOURAGE AND PROVIDE HEALTH SERVICES IN ORDER TO IMPROVE THE QUALITY OF LIFE THROUGH SOUND NUTRITION, EDUCATION, PREVENTIVE HEALTH CARE, AND THE EMPOWERMENT OF CHOICE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	154	TotalNbrEmployees
Total Nbr Volunteers	28	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2240136	ContributionsGrantsPriorYear
Contributions Grants Current Year	2967414	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	8853319	ProgramServiceRevenuePriorYear
Program Service Revenue CY	8206778	ProgramServiceRevenueCY
Investment Income Prior Year	14106	InvestmentIncomePriorYear
Investment Income Current Year	4814	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2575	OtherRevenuePriorYear
Other Revenue Current Year	2533	OtherRevenueCurrentYear
Total Revenue Prior Year	11110136	TotalRevenuePriorYear
Total Revenue Current Year	11181539	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	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	6979917	SalariesEtcPriorYear
Salaries Etc Current Year	7376367	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	3349576	OtherExpensePriorYear
Other Expenses Current Year	3871871	OtherExpensesCurrentYear
Total Expenses Prior Year	10329493	TotalExpensesPriorYear
Total Expenses Current Year	11248238	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	780643	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-66699	RevenuesLessExpensesCY
Total Assets BOY	8327725	TotalAssetsBOY
Total Assets EOY	8245392	TotalAssetsEOY
Total Liabilities BOY	1675181	TotalLiabilitiesBOY
Total Liabilities EOY	1659547	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	6652544	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	6585845	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO PROMOTE, ENCOURAGE AND PROVIDE HEALTH SERVICES IN ORDER TO IMPROVE THE QUALITY OF LIFE THROUGH SOUND NUTRITION, EDUCATION, PREVENTIVE HEALTH CARE, AND THE EMPOWERMENT OF CHOICE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	4897796	Expense
Revenue	5170660	Revenue
Description	TO PROVIDE MEDICAL SERVICES TO LOW INCOME INDIVIDUALS. THE TOTAL MEDICAL ENCOUNTERS DURING THE YEAR WERE 40,957.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	622127	Expense
Description	TO PROVIDE SUPPLEMENTAL NUTRITION SERVICES FOR PREGNANT AND BREASTFEEDING WOMEN AND THEIR CHILDREN TO AGE 5. DURING 2012, THE CENTER SERVED 6,286 WOMEN, INFANTS AND CHILDREN.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	2199882	Expense
Revenue	1882851	Revenue
Description	TO PROVIDE DENTAL SERVICES TO LOW INCOME INDIVIDUALS. THE TOTAL DENTAL ENCOUNTERS DURING THE YEAR WERE 23,045.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	565605	Expense
Revenue	1160614	Revenue
Description	TO PROVIDE MEDICAL RELATED SERVICES TO LOW INCOME INDIVIDUALS. ENABLING SERVICE ENCOUNTERS AND MENTAL HEALTH ENCOUNTERS TOTALED 5,225 AND 3,496 RESPECTIVELY.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	565605	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	1160614	TotalOfOtherProgramServiceRev
Total Program Service Expense	8285410	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	0	ReportOtherLiabilities
Report Fin48 Footnote	1	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	0	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	20	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	154	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	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	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

Field	Value	IRS element (for citing)
Name Person	DIAN COOPER	NamePerson
Telephone Number	3066363892	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1057 12TH AVENUE	AddressLine1
City	LONGVIEW	City
State	WA	State
ZIP Code	98632	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 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
RICK HUCKABY
PRESIDENT	2.00	X	X	0	0	0
MELISSA TAYLOR
TREASURER	2.00	X	X	0	0	0
WANDA MCBEE
SECRETARY	2.00	X	X	0	0	0
CARLEEN WOLGAMOTT
DIRECTOR	2.00	X		0	0	0
CYNTHIA WASHINGTON-MATTSON
DIRECTOR	2.00	X		0	0	0
JOSIAH JOHNSON
DIRECTOR	2.00	X		0	0	0
GEORGE ROBERTSON
DIRECTOR	2.00	X		0	0	0
KENDALL RIVERS
DIRECTOR	2.00	X		0	0	0
QUINCEY SHINNICK
DIRECTOR	2.00	X		0	0	0
ALISABETH BUCK
DIRECTOR	2.00	X		0	0	0
ANN SHODDY
DIRECTOR	2.00	X		0	0	0
DONNA SETTERS
DIRECTOR	2.00	X		0	0	0
CARLOS CARREON
DIRECTOR	2.00	X		0	0	0
JOE TITUS
DIRECTOR	2.00	X		0	0	0
DIAN COOPER
EXECUTIVE DIRECTOR	40.00		X	101408	0	7318
ANDREA TRENNER
FINANCE DIRECTOR	40.00		X	68700	0	7318
GERARDO MELGAR
MEDICAL DIRECTOR	40.00			166624	0	7318	X
ROBERT PETERSON
PHYSICIAN	40.00			153440	0	7318		X
ROXANE OSHIRO
DENTIST DIRECTOR	40.00			147076	0	5489		X
TRESHA CARROLL
PHYSICIAN	40.00			127723	0	7318		X
PARTHA GONAVARAM
PHYSICIAN	40.00			142340	0	7318		X
DAVID STEVES
PHYSICIAN	40.00			150977	0	7318		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1058288	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	56715	TotalOtherCompensation
Number Individuals GT100 K	12	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
OCHIN INC
1881 SW NAITO PARKWAY	PORTLAND	OR	972015195	EMR AND PRACTICE MANAGEMENT FEES	485389
POLAR SYSTEMS
21890 WILLAMETTE DRIVE	WEST LINN	OR	97068	COMPUTER CONSULTING	361442
BOB LARGE CONSTRUCTION LLC
2240 34TH AVENUE	LONGVIEW	WA	98632	CONSTRUCTION SERVICES	329879

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	3	NumberOfContractorsGT100K
Government Grants	2963949	GovernmentGrants
All Other Contributions	3465	AllOtherContributions
Total Contributions	2967414	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU	624100	5980549	5980549
PREMIUM REVENUE	624100	2226229	2226229

Field	Value	IRS element (for citing)
Total Program Service Revenue	8206778	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4814	TotalRevenueColumn
Related Or Exempt Function Income	4814	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER REVENUE	Description
Business Code	624100	BusinessCode
Total Revenue Column	2533	TotalRevenueColumn
Related Or Exempt Function Income	2533	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	2533	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	11181539	TotalRevenueColumn
Related Or Exempt Function Income	8214125	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	387419	Total
Program Services	188160	ProgramServices
Management And General	199259	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	5742188	Total
Program Services	5109056	ProgramServices
Management And General	633132	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	756763	Total
Program Services	668503	ProgramServices
Management And General	88260	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	489997	Total
Program Services	435969	ProgramServices
Management And General	54028	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	38215	Total
Management And General	38215	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	27800	Total
Management And General	27800	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1114322	Total
Program Services	300453	ProgramServices
Management And General	813869	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	15728	Total
Program Services	14648	ProgramServices
Management And General	1080	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	280564	Total
Program Services	96563	ProgramServices
Management And General	184001	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	585983	Total
Program Services	142794	ProgramServices
Management And General	443189	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	39533	Total
Program Services	31243	ProgramServices
Management And General	8290	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	70362	Total
Program Services	55606	ProgramServices
Management And General	14756	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	33711	Total
Management And General	33711	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	408984	Total
Program Services	179048	ProgramServices
Management And General	229936	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	47987	Total
Management And General	47987	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	619829	619829
BAD DEBT	318872	318872
TAXES AND LICENSES	73819	49421	24398
TELEPHONE	69818	45860	23958

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	126344	Total
Program Services	29385	ProgramServices
Management And General	96959	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	11248238	Total
Program Services	8285410	ProgramServices
Management And General	2962828	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1615159	BOY
EOY	1425681	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3186714	BOY
EOY	3201070	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	104997	BOY
EOY	434853	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	829243	BOY
EOY	643158	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	55288	BOY
EOY	59309	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	132752	BOY
EOY	129180	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	5281716	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2929575	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2403572	BOY
EOY	2352141	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	8327725	BOY
EOY	8245392	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	903903	BOY
EOY	899053	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	771278	BOY
EOY	760494	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1675181	BOY
EOY	1659547	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6652544	BOY
EOY	6585845	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6652544	BOY
EOY	6585845	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	8327725	BOY
EOY	8245392	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-66699	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
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 Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2411332	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2835315	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2803464	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2240136	CurrentTaxYearMinus1Year
Current Tax Year	2967414	CurrentTaxYear
Total	13257661	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2411332	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2835315	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2803464	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2240136	CurrentTaxYearMinus1Year
Current Tax Year	2967414	CurrentTaxYear
Total	13257661	Total

Field	Value	IRS element (for citing)
Public Support Total170	13257661	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	65048	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	33922	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	23882	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	14106	CurrentTaxYearMinus1Year
Current Tax Year	4814	CurrentTaxYear
Total	141772	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	8318	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4679	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2575	CurrentTaxYearMinus1Year
Current Tax Year	2533	CurrentTaxYear
Total	18105	Total

Field	Value	IRS element (for citing)
Total Support	13417538	TotalSupport
Gross Receipts From Admissions Etc	39209777	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.98810	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.97940	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

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	83030	OtherCostOrOtherBasis
Book Value	83030	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	719994	OtherCostOrOtherBasis
Depreciation	146680	Depreciation
Book Value	573314	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1837143	OtherCostOrOtherBasis
Depreciation	1273954	Depreciation
Book Value	563189	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2298120	OtherCostOrOtherBasis
Depreciation	1508941	Depreciation
Book Value	789179	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	343429	OtherCostOrOtherBasis
Book Value	343429	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2352141	TotalOfBookValueLandBuildings
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	10862667	TotRevenueEtcAuditedFinclStmt
Other Revenues	-318872	OtherRevenues
Revenue Not Rptd F990	-318872	RevenueNotRptdF990
Revenue Subtotal	11181539	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	11181539	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	10929366	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-318872	OtherExpensesIncluded
Expenses Not Rptd F990	-318872	ExpensesNotRptdF990
Expenses Subtotal	11248238	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	11248238	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	MANAGEMENT OF COWLITZ FAMILY HEALTH CENTER DOES NOT BELIEVE THE CENTER HAS ANY UNCERTAIN TAX POSITIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		PROVISION FOR BAD DEBTS -318,872.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		PROVISION FOR BAD DEBTS -318,872.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (4 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
GERARDO MELGAR
MEDICAL DIRECTOR	166624	0	0	0	0	0	0	0	7318	0	173942	0	0	0
ROBERT PETERSON
PHYSICIAN	153440	0	0	0	0	0	0	0	7318	0	160758	0	0	0
ROXANE OSHIRO
DENTIST DIRECTOR	147076	0	0	0	0	0	0	0	5489	0	152565	0	0	0
DAVID STEVES
PHYSICIAN	150977	0	0	0	0	0	0	0	7318	0	158295	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11	THE ORGANIZATION SENDS AN EMAIL WITH THE FORM 990 TO ALL BOARD MEMBERS AND SOLICITS COMMENTS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE 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 15	THE 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 19	UPON REQUEST.
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.