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MOSES LAKE COMMUNITY HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MOSES LAKE COMMUNITY HEALTH CENTER (EIN 91-1537371)
Tax period
2011-04-01 to 2012-03-31
Filed
2012-12-21
IRS object ID
201233569349300018
Schema version
2011v1.2
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)
Timestamp2012-12-21T10:04:55-06:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN911194016EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1700AddressLine1
CityBELLEVUECity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911537371EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOSES LAKE COMMUNITY HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOSENameControl
Phone5097650674Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1605 COOLIDGE DRIVEAddressLine1
CityMOSES LAKECity
StateWAState
ZIP Code98837ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCAROLYN BRANDENBURGName
TitleCHIEF FINANCIAL OFFICERTitle
Phone5097650674Phone
Date Signed2012-12-20DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSARA ELIZABETH J HYREName
PTINP00235495PTIN
Phone4254544919Phone
Date Prepared2012-12-21DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSHEILA CHILSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1605 COOLIDGE DRIVEAddressLine1
CityMOSES LAKECity
StateWAState
ZIP Code98837ZIPCode
FieldValueIRS element (for citing)
Gross Receipts28132083GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MLCHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH QUALITY, COMPASSIONATE AND COMPREHENSIVE PRIMARY HEALTH SERVICES FOR THE ENTIRE FAMILY, WITH A SPECIAL FOCUS ON THE UNDERSERVED AND MIGRANT FARM-WORKERS IN THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees272TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4660479ContributionsGrantsPriorYear
Contributions Grants Current Year3939664ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15957467ProgramServiceRevenuePriorYear
Program Service Revenue CY16837428ProgramServiceRevenueCY
Investment Income Prior Year219337InvestmentIncomePriorYear
Investment Income Current Year330379InvestmentIncomeCurrentYear
Other Revenue Prior Year86478OtherRevenuePriorYear
Other Revenue Current Year197524OtherRevenueCurrentYear
Total Revenue Prior Year20923761TotalRevenuePriorYear
Total Revenue Current Year21304995TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12864690SalariesEtcPriorYear
Salaries Etc Current Year13082310SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year15781TotalFundrsngExpCurrentYear
Other Expense Prior Year5437481OtherExpensePriorYear
Other Expenses Current Year5751150OtherExpensesCurrentYear
Total Expenses Prior Year18302171TotalExpensesPriorYear
Total Expenses Current Year18833460TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2621590RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2471535RevenuesLessExpensesCY
Total Assets BOY22643445TotalAssetsBOY
Total Assets EOY25734565TotalAssetsEOY
Total Liabilities BOY5664872TotalLiabilitiesBOY
Total Liabilities EOY6501730TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16978573NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19232835NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HIGH QUALITY, COMPASSIONATE AND COMPREHENSIVE PRIMARY HEALTH SERVICES FOR THE ENTIRE FAMILY, WITH A SPECIAL FOCUS ON THE UNDERSERVED AND MIGRANT FARM-WORKERS IN THE COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9116927Expense
Revenue12759488Revenue
DescriptionMEDICAL SERVICES - THIS PROGRAM INCLUDES MEDICAL, BEHAVIORAL HEALTH AND PHARMACY SERVICES PROVIDED TO PATIENTS OF THE HEALTH CENTER. MOSES LAKE COMMUNITY HEALTH CENTER (MLCHC) PROVIDES PRIMARY CARE SERVICES INCLUDING OBSTETRICS CARE WITH 9 PHYSICIANS AND 10 MID-LEVEL PHYSICIANS ON STAFF. IN 2011, 19,286 MEDICAL PATIENTS WERE SEEN WITH A TOTAL OF 69,258 VISITS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2518657Expense
Revenue2864761Revenue
DescriptionDENTAL SERVICES - MLCHC HAS 7 DENTISTS AND 2 DENTAL HYGIENISTS ON STAFF TO PROVIDE PREVENTATIVE, RESTORATIVE AND EMERGENCY CARE TO THE HEALTH CENTER'S INSURED AND UNINSURED PATIENTS. IN 2011, 8,214 PATIENTS WERE SEEN IN THE DENTAL DEPARTMENT WITH A TOTAL OF 22,054 VISITS PROVIDED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1794995Expense
Revenue1213179Revenue
DescriptionOTHER HEALTH PROGRAMS - MLCHC PROVIDES MATERNITY SUPPORT SERVICES, WIC, INFANT TODDLER EARLY INTERVENTION AND DEVELOPMENTAL DISABILITY PARENT TRAINING PROGRAMS. THE MATERNITY SUPPORT SERVICES DEPARTMENT PROVIDED 6,639 VISITS TO APPROXIMATELY 1,600 PATIENTS. THE WIC PROGRAM SERVICES ELIGIBLE CLIENTS THROUGHOUT GRANT COUNTY IN MULTIPLE LOCATIONS.Description
FieldValueIRS element (for citing)
Total Program Service Expense13430579TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109633NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees272NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCAROLYN BRANDENBURGNamePerson
Telephone Number5097650674TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1605 COOLIDGE DRIVEAddressLine1
CityMOSES LAKECity
StateWAState
ZIP Code98337ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SCOTT CAMPBELL
BOARD CHAIRMAN1.00XX000
SHERRY DELGADO
VICE CHAIR1.00XX000
SHARON LANGE
SECRETARY1.00XX000
AMY RAYMOND
TREASURER1.00XX000
CAROL SCHIMKE
DIRECTOR1.00X000
LYNN MACKEY
DIRECTOR1.00X000
DANIEL CHAVEZ
DIRECTOR1.00X000
MATTHEW BENSON
DIRECTOR1.00X000
JACINTO VALVERDE
DIRECTOR1.00X000
FRANCES LEINWEBER
DIRECTOR1.00X000
ORALIA CERRILLO
DIRECTOR1.00X000
JUAN CARLOS MAGALLANES-MORALES
DIRECTOR1.00X000
JUANITA KILPATRICK
DIRECTOR1.00X000
JUAN REYES CUIN
DIRECTOR1.00X000
SHEILA CHILSON
CEO40.00X122257019430
SHIRLEY MERKLE
DEPUTY DIRECTOR40.00X10383508200
CAROLYN BRANDENBURG
CFO40.00X69396018681
LARRY VERHAGE
MEDICAL DIRECTOR40.00314432034037X
ANDRE NYE
PHYSICIAN40.00311552032883X
MICHAEL TOLLEY
PHYSICIAN40.00266818030957X
KRISTY THOMPSON
PHYSICIAN40.00234979029275X
MARK VANCE
PHYSICIAN40.00181042028695X
GREGG LIEDTKA
DENTIST40.00149493021300X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1753804TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation223458TotalOtherCompensation
Number Individuals GT100 K20NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TROI IT SOLUTIONS
801 SOUTH STEVENS STREETSPOKANEWA99204INFORMATION TECHNOLOGY SERVICE608697
QUEST DIAGNOSTICS
LOCK BOX 91514 QUEST DIAGNOSTICSLOS ANGELESCA90074OUTSIDE LAB SERVICE196513
CLEANPROS
POST OFFICE BOX 305MOSES LAKEWA98837JANITORIAL189530
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants3918281GovernmentGrants
All Other Contributions21383AllOtherContributions
Total Contributions3939664TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES6241001123418911234189
MANAGED CARE62410052832945283294
CONTRACT SERVICES624100319945319945
FieldValueIRS element (for citing)
Total Program Service Revenue16837428TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column227236TotalRevenueColumn
Exclusion$227,236ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6930231Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6823145Securities
Other3943Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities107086Securities
Other-3943Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column103143TotalRevenueColumn
Exclusion$103,143ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
INCENTIVE PAYMENTS900099191250$191,250
UNDERGRAD STIPENDS6117103300$3,300
MEDICAL RECORDS FEES5610002000$2,000

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column974TotalRevenueColumn
Exclusion$974ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue197524TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21304995TotalRevenueColumn
Related Or Exempt Function Income16837428RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$527,903ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total704077Total
Program Services116620ProgramServices
Management And General571676ManagementAndGeneral
Fundraising15781Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9997014Total
Program Services8237279ProgramServices
Management And General1759735ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total254694Total
Program Services207477ProgramServices
Management And General47217ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1226519Total
Program Services964229ProgramServices
Management And General262290ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total900006Total
Program Services673430ProgramServices
Management And General226576ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17536Total
Program Services10396ProgramServices
Management And General7140ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total46981Total
Management And General46981ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total45032Total
Management And General45032ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total232458Total
Program Services129682ProgramServices
Management And General102776ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total82587Total
Program Services28000ProgramServices
Management And General54587ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total272255Total
Program Services136996ProgramServices
Management And General135259ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total922417Total
Program Services190176ProgramServices
Management And General732241ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total236193Total
Program Services58769ProgramServices
Management And General177424ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total118682Total
Program Services102819ProgramServices
Management And General15863ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total58332Total
Program Services42071ProgramServices
Management And General16261ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total80467Total
Management And General80467ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total742407Total
Program Services98977ProgramServices
Management And General643430ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total93939Total
Program Services43045ProgramServices
Management And General50894ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MED & PHARM SUPPLIES1091522109143191
PURCHASED SERVICES49568741220983478
BAD DEBTS489212489212
REPAIRS AND MAINTENANCE27980745196234611

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total445636Total
Program Services352565ProgramServices
Management And General93071ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18833460Total
Program Services13430579ProgramServices
Management And General5387100ManagementAndGeneral
Fundraising15781Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY983470BOY
EOY1972993EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2003004BOY
EOY1473609EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY179905BOY
EOY295523EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1993500BOY
EOY2984041EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY313535BOY
EOY322374EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY87332BOY
EOY163329EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15265976LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5406814LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10138836BOY
EOY9859162EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6835386BOY
EOY8557886EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY50477BOY
EOY47648EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY58000BOY
EOY58000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22643445BOY
EOY25734565EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2159023BOY
EOY3512849EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2113879BOY
EOY2021626EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1391970BOY
EOY967255EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5664872BOY
EOY6501730EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16978573BOY
EOY19097835EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY135000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16978573BOY
EOY19232835EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22643445BOY
EOY25734565EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2471535ReconcilationRevenueExpenses
Reconcilation Other Changes-217273ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3582138CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4170422CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4537962CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4660479CurrentTaxYearMinus1Year
Current Tax Year3939664CurrentTaxYear
Total20890665Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3582138CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4170422CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4537962CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4660479CurrentTaxYearMinus1Year
Current Tax Year3939664CurrentTaxYear
Total20890665Total
FieldValueIRS element (for citing)
Public Support Total17020890665PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years166413CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years148603CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years211755CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year198349CurrentTaxYearMinus1Year
Current Tax Year227236CurrentTaxYear
Total952356Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year86478CurrentTaxYearMinus1Year
Current Tax Year4274CurrentTaxYear
Total90752Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year193250CurrentTaxYear
Total193250Total
FieldValueIRS element (for citing)
Total Support22127023TotalSupport
Gross Receipts From Admissions Etc74615969GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.94410PublicSupportPertcentage170
Public Support Pertcent Prior Year0.95420PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis362467OtherCostOrOtherBasis
Book Value362467BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7862635OtherCostOrOtherBasis
Depreciation1673784Depreciation
Book Value6188851BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2931245OtherCostOrOtherBasis
Depreciation1111096Depreciation
Book Value1820149BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4054551OtherCostOrOtherBasis
Depreciation2621934Depreciation
Book Value1432617BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis55078OtherCostOrOtherBasis
Book Value55078BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9859162TotalOfBookValueLandBuildings
Total Revenue21304995TotalRevenue
Total Expenses18833460TotalExpenses
Excess Or Deficit For Year2471535ExcessOrDeficitForYear
Net Unrealized GL On Investments-217273NetUnrealizedGLOnInvestments
Total Adjustments-217273TotalAdjustments
Excess Or Deficit Per FS2254262ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21087722TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-217273NetUnrealizedGainsInvestments
Revenue Not Rptd F990-217273RevenueNotRptdF990
Revenue Subtotal21304995RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99021304995TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18833460TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal18833460ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018833460TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LARRY VERHAGE
31409201000240098000242370348469000
ANDRE NYE
31121201000240098000230830344435000
MICHAEL TOLLEY
26627803000240088490221080297775000
KRISTY THOMPSON
2196390151000240087920204830264254000
MARK VANCE
177732030700240061350225600209737000
GREGG LIEDTKA
1341760151000217061570151430170793000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON HEALTH CARE FACILITIESBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN911108929IssuerEIN
CUSIP Number93978EUWOCUSIPNumber
Date Issued2003-01-23DateIssued
Issue Price943250IssuePrice
Description Of PurposeSEE PART VDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing1PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired186584AmountRetired
Total Proceeds943250TotalProceeds
Amount In Reserve Fund52580AmountInReserveFund
Issuance Costs From Proceeds18866IssuanceCostsFromProceeds
Credit Enhancement19476CreditEnhancement
Capital Expenditures852363CapitalExpenditures
Year Of Subst Completion2003YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K, PART I, LINE A, COLUMN FIdentifier
ExplanationTHE BOND ISSUE WAS PART OF A POOLED FINANCING ISSUE, AND THE AMOUNTS REPORTED ARE THE ALLOCATED PORTIONS OF THE ISSUE. THE PURPOSE OF THE BOND ISSUE WAS FOR ACQUISITION, CONSTRUCTION, AND/OR RENOVATION OF THE HEALTHCARE CLINIC IN QUINCY, WA.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART I, LINE 6THE BOARD OF DIRECTORS PER MLCHC BYLAWS REQUIRES A BOARD COMPOSITION OF 9 TO 15 MEMBERS. ALL VOLUNTEER POSITIONS ARE RELATED TO INVOLVEMENT ON THE BOARD, EITHER AS AN ELECTED MEMBER OR ADVISORY MEMBER. THESE INDIVIDUALS CONTRIBUTE A MINIMUM OF 3 HOURS A MONTH IN THIS CAPACITY.
FORM 990, PART VI, SECTION B, LINE 11UPON COMPLETION OF THE FORM 990, THE RETURN WILL BE REVIEWED IN DETAIL WITH THE BOARD FINANCE COMMITTEE AND THEN IN SUMMARY WITH THE BOARD OF DIRECTORS. UPON APPROVAL BY THE BOARD OF DIRECTORS, THE FINAL FORM 990 WILL BE SUBMITTED TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED ON A CONTINUOUS BASIS TO COMPLY WITH THE CONFLICT OF INTEREST POLICY AND REQUIRED TO DISCLOSE TO THE BOARD OF DIRECTORS OR COMPLIANCE OFFICER ANY ISSUES OR CONCERNS. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING AND REPORTING ANY CONFLICTS OF INTEREST BROUGHT TO THE ATTENTION OF THE ORGANIZATION. A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST, IN ANY MATTER BROUGHT BEFORE THE BOARD, SHALL DECLARE SUCH CONFLICT AND MAY BE INCLUDED IN, OR OFFER INFORMATION TO THE DISCUSSION, BUT SHALL ABSTAIN FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15FOR THE CEO, THE BOARD OF DIRECTORS REVIEWS SALARY SURVEYS AND REGIONAL MARKET COMPARISONS TO DETERMINE APPROPRIATE COMPENSATION LEVELS. THE CONTRACT IS REVIEWED BY THE BOARD OF DIRECTORS EVERY THREE YEARS AND APPROVED BY THE ENTIRE BOARD. OTHER OFFICERS AND KEY EMPLOYEES ARE REVIEWED UTILIZING SALARY SURVEYS AND REGIONAL MARKET COMPARISONS AS WELL. THIS PROCESS IS LED BY THE CEO WITH THE ASSISTANCE OF THE HR DIRECTOR. COMPENSATION INFORMATION IS REVIEWED WITH THE BOARD CHAIR BY THE CEO.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST FOR VIEWING AT THE ORGANIZATION'S MAIN BUSINESS OFFICE IN THE PRESENCE OF THE CFO OR CEO.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -217,273.CHANGES IN NET ASSETS OR FUND BALANCES: