2026-03-27T16:50:59-05:00 2025-05-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-06-01 911138675 TRI-CITIES COMMUNITY HEALTH TRI- 5095472204 PO BOX 1452 PASCO WA 99301 KRISTY NEEDHAM CEO 5095472204 2026-03-25 1 0 KURT BENNION CPA P01469618 4252506100 2026-03-25 2024 2025-03-06 01:10:19Z KRISTY NEEDHAM PO BOX 1452 PASCO WA 99301 51944882 0 X WWW.MYTCCH.ORG X 1981 WA WE EXIST BECAUSE PEOPLE MATTER. 12 12 387 13 0 0 8404769 13418812 32671137 36540998 655314 1819000 214314 165482 41945534 51944292 12500 8600 0 0 27940212 30383720 0 0 0 14303127 15370632 42255839 45762952 -310305 6181340 47623533 55077814 7801613 9004417 39821920 46073397 X WE EXIST BECAUSE PEOPLE MATTER. 0 0 20073022 8600 20734399 THE CLINIC PROVIDES MEDICAL, DENTAL, VISION AND A PRIMARY CARE WALK-IN CLINIC TO MIGRANT AND LOW-INCOME PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE CLINIC PROVIDED 91,275 MEDICAL, DENTAL AND VISION ENCOUNTERS DURING THE FISCAL YEAR. 8917213 0 13144081 THE CLINIC OFFERS PHARMACY SERVICES THAT ALLOWS THE LOW-INCOME PATIENTS TO RECEIVE DEEP DISCOUNTS ON THE COST OF MANY PRESCRIPTION MEDICATIONS AND VACCINES THAT THEY WOULD NOT BE ABLE TO AFFORD OTHERWISE. PHARMACY SAVINGS ARE ALSO USED TO SUPPORT MEDICAL, MENTAL HEALTH, SUBSTANCE USE, AND ENABLING SERVICES THAT THE CLINIC PROVIDES TO THE COMMUNITY. TCCH PROVIDED 111,018 PRESCRIPTIONS DURING THE FISCAL YEAR. 2029353 0 1108339 THE CLINIC PROVIDES MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING, THERAPY AND PSYCHIATRIC SERVICES TO MIGRANT AND LOW INCOME PERSONS THROUGHOUT BENTON, FRANKLIN AND WALLA WALLA COUNTIES. THE CLINIC PROVIDED 8,529 MENTAL HEALTH AND SUBSTANCE ABUSE ENCOUNTERS DURING THE FISCAL YEAR. 1500886 0 1554179 THE CLINIC OFFERS MATERNITY SUPPORT SERVICES (MSS), INFANT CASE MANAGEMENT (ICM), SOCIAL SERVICES (OUTREACH) AND WIC NUTRITION EDUCATION APPOINTMENTS, AND CLASSES TO HIGH RISK MOMS PRE- AND POST-DELIVERY. A LARGE PERCENTAGE OF THOSE TCCH SERVES ARE MIGRANT AND SEASONAL FARM WORKERS. TCCH PROVIDED 3,398 ENCOUNTERS DURING THE FISCAL YEAR. THESE PROGRAMS IMPROVE ACCESS TO CARE AND PROMOTE PROACTIVE HEALTH CARE MESSAGES TO IMPROVE HEALTHY DELIVERIES AND LIVING. 1500886 0 1554179 32520474 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 29 0 1 387 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X SHELLEY SANDERS 5095472204 PO BOX 1452 PASCO WA 99301 MICHAEL CABASUG MD PHYSICIAN 40.00 0.00 X 284150 0 65137 DEEPTHI RIMMALIPUDI PHYSICIAN 40.00 0.00 X 274613 0 74449 SONIA AFSHARIYANCHLOU PHYSICIAN 40.00 0.00 X 275413 0 68335 STEPHANIE WHEELER MD PHYSICIAN 40.00 0.00 X 272043 0 59953 KRISTY NEEDHAM COO & INTERIM CEO 40.00 0.00 X 234266 0 73743 MARIA HUSSAIN PHYSICIAN 40.00 0.00 X 268767 0 16126 AMANDA LANG OD MS CMO 40.00 0.00 X 206022 0 56644 CHRISTOPHER SHARPE CFO (THROUGH APRIL 2025) 40.00 0.00 X 175845 0 21370 MONIQUE DUMOND CONTRACT CFO (AS OF MAY 2025) 20.00 0.00 X 0 0 0 RUDY MENDOZA CHAIR 1.00 0.00 X X 0 0 0 FELIPE GARCIA VICE CHAIR 1.00 0.00 X X 0 0 0 JEFF MADISON TREASURER 1.00 0.00 X X 0 0 0 DEE DICKERSON SECRETARY 1.00 0.00 X X 0 0 0 SAMANTHA BRAZINGTON BOARD MEMBER 1.00 0.00 X 0 0 0 HONG CHEN BOARD MEMBER 1.00 0.00 X 0 0 0 IVONNE GUILLEN BOARD MEMBER (THROUGH MARCH 2025) 1.00 0.00 X 0 0 0 JUAN LOPEZ BOARD MEMBER 1.00 0.00 X 0 0 0 MARIA LUNA BOARD MEMBER 1.00 0.00 X 0 0 0 GRETCHEN PATRICK BOARD MEMBER 1.00 0.00 X 0 0 0 CYNTHIA PEREZ BOARD MEMBER AT LARGE 1.00 0.25 X 0 0 0 GUADALUPE RODRIQUEZ BOARD MEMBER 1.00 0.00 X 0 0 0 LEON ERIC SMITH BOARD MEMBER 1.00 0.00 X 0 0 0 1991119 0 435757 46 0 1 0 BARTON ASSOCIATES PO BOX 417844 BOSTON MA 02241 LOCUM TENENS STAFFING 636452 ATHENAHEALTH PO BOX 415615 BOSTON MA 02241 I.T. SERVICES 595247 STRATUS INDEMAND PO BOX 674954 DETROIT MI 482674954 LANGUAGE SERVICES 590542 NORTHWEST CABLING 12020 E 3RD SPOKANE WA 99206 SECURITY SERVICES 172623 COMPUNET PO BOX 35143 SEATTLE WA 98124 I.T. SERVICES 145858 6 13401702 17110 1744481 13418812 PATIENT SERVICE REVENUE, NET 624100 34259655 34259655 CAPITATION REVENUE 624100 1300646 1300646 RISK POOL REVENUE 624100 810174 810174 EHR INCENTIVE 624100 170523 170523 36540998 1819590 1819590 22306 0 22306 22306 22306 590 -590 -590 -590 OTHER REVENUE 900099 143176 143176 143176 51944292 36540998 0 1984482 8600 8600 915927 915927 22965365 17604923 5360442 435936 359402 76534 4390843 2875366 1515477 1675649 1228535 447114 95880 95880 63739 63739 2836570 1212271 1624299 129327 129327 256631 49818 206813 804263 160322 643941 1012408 243077 769331 133424 83246 50178 89891 550 89341 33275 33275 1489544 851250 638294 174710 174710 MEDICAL SUPPLIES 7671091 7653600 17491 EQUIPMENT 246012 101458 144554 TAXES 117211 117211 LICENSES & DUES 110451 41310 69141 106205 46746 59459 45762952 32520474 13242478 0 23283255 26361262 330389 5817538 3223555 2667833 552680 544680 364402 423590 362144 252987 34495761 18547088 16553063 15948673 1324474 1470429 1629571 1590822 47623533 55077814 5032646 5858262 7000 538736 1496554 1501163 1004329 886621 261084 219635 7801613 9004417 X 39821920 46073397 39821920 46073397 47623533 55077814 6181340 70137 0 X X 0 1 X 1 1 1 X 1 1093 11460 11017 1536 1 X 2523601 2523601 23065770 11592517 11473253 229725 158380 71345 8508542 6796191 1712351 168123 168123 15948673 RIGHT-OF-USE LEASE LIABILITIES 219635 219635 X 50125135 590 590 50124545 1819747 1819747 51944292 45763385 590 590 45762795 157 157 45762952 PART IV, LINE 1B: CHECK BOOKS ARE HELD FOR ONE PATIENT. THE BANK ACCOUNT IS UNDER THE PATIENT'S NAME. TCCH MAKES SURE BILLS ARE PAID BUT THE MONEY IS NOT PROVIDED TO TCCH DIRECTLY. PART IV, LINE 2B: STATE DEPARTMENT OF COMMERCE: THESE FUNDS ARE AVAILABLE TO SUPPORT HOUSING PROJECTS FOR INDIVIDUALS FOR 50 YEARS. HOUSING ASSISTANCE COUNCIL: THESE FUNDS ARE FOR THE PURCHASE OF LOTS FOR THE SELF-HELP HOUSING PROGRAM. THE FUNDS ARE DRAWN DOWN AT THE TIME OF PURCHASE. WHEN THE LOTS ARE SOLD, 75 PERCENT OF THE FUNDS ARE HELD IN A REVOLVING FUND FOR FUTURE LOT PURCHASES WITH THE REMAINING 25 PERCENT RETURNED TO THE HOUSING ASSISTANCE COUNCIL. HOUSING AND URBAN DEVELOPMENT: THESE FUNDS ARE ALLOCATED FOR USE AS SPECIFIED BY THE GRANT AGREEMENTS. FUNDS RECEIVED BY THE CLINIC ARE FOR THE PURCHASE OF LOTS TO BE SOLD TO FAMILIES IN THE SELF-HELP PROGRAM AND ARE INCLUDED IN A REVOLVING ACCOUNT UNTIL IT IS NO LONGER USED FOR LOT PURCHASES OR SUBSIDIES, AT WHICH TIME IT IS TO BE RETURNED TO HOUSING AND URBAN DEVELOPMENT. COMMUNITY HOUSING DEVELOPMENT ORGANIZATION: THESE FUNDS ARE TO BE RETURNED SHOULD THE HOME BE SOLD OR FORECLOSED BEFORE THE MINIMUM AFFORDIBILITY PERIOD ENDS, WHICH VARIES BETWEEN 5 AND 15 YEARS BASED ON THE COST OF THE UNIT. AFTER THE MINIMUM AFFORDIBILITY PERIOD HAS BEEN ACHIEVED, THE ASSOCIATED DEBT IS FORGIVEN AND THE FUNDS ARE RECOGNIZED AS REVENUE BY THE CLINIC. PART X, LINE 2: THE CLINIC HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE THAT STATES IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS. MANAGEMENT EVALUATED THE CLINICS' TAX POSITIONS AND CONCLUDED THAT THE CLINIC HAD TAKEN NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 590. PART XI, LINE 4B - OTHER ADJUSTMENTS: NET INVESTMENT INCOME 1,060,590. INTEREST INCOME 759,000. BAD DEBT EXPENSE 157. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 590. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 157. 1 PART I, LINE 2: PRIOR TO MAKING A CONTRIBUTION TO ANOTHER ORGANIZATION, TRI-CITIES COMMUNITY HEALTH CONFIRMS THAT THE RECIPIENT IS A QUALIFIED CHARITY OR GOVERNMENT AGENCY. X X 0 0 0 1 0 0 0 0 0 MICHAEL CABASUG MD PHYSICIAN 272150 0 12000 0 0 0 8691 0 56446 0 349287 0 0 0 DEEPTHI RIMMALIPUDI PHYSICIAN 238489 0 36124 0 0 0 8534 0 65915 0 349062 0 0 0 SONIA AFSHARIYANCHLOU PHYSICIAN 258413 0 17000 0 0 0 5889 0 62446 0 343748 0 0 0 STEPHANIE WHEELER MD PHYSICIAN 272043 0 0 0 0 0 8304 0 51649 0 331996 0 0 0 KRISTY NEEDHAM COO & INTERIM CEO 231795 0 0 0 2471 0 8020 0 65723 0 308009 0 0 0 MARIA HUSSAIN PHYSICIAN 260987 0 7780 0 0 0 8063 0 8063 0 284893 0 0 0 AMANDA LANG OD MS CMO 178391 0 27631 0 0 0 6355 0 50289 0 262666 0 0 0 CHRISTOPHER SHARPE CFO (THROUGH APRIL 2025) 175094 0 0 0 751 0 5275 0 16095 0 197215 0 0 0 PART I, LINE 5 MEDICAL PROVIDERS MAY QUALIFY FOR INCENTIVE COMPENSATION TIED TO A COMBINATION OF ENCOUNTERS AND QUALITY MEASURES, WHICH IS CLOSELY CONNECTED WITH THE ORGANIZATION'S REVENUES. X 116 1744481 INVOICE PRICE 0 0 1 0 PART I, COLUMN (B): AMOUNTS REPORTED IN PART I, COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED DURING THE FISCAL YEAR. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE GOVERNING BOARD, THE IMMEDIATE PAST CHAIR OF THE BOARD, AND ONE OTHER BOARD MEMBER TO BE DESIGNATED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE IS THE ONLY COMMITTEE AUTHORIZED TO REVIEW AND TAKE ANY NECESSARY ACTION, WHICH, IN THE OPINION OF A MAJORITY OF THE COMMITTEE UPON VOTE WHERE FOUR MEMBERS ARE PRESENT, CANNOT WAIT FOR THE NEXT REGULARLY SCHEDULED BOARD MEETING OR WHERE CALLING A SPECIAL BOARD MEETING IS NOT PRACTICAL. ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE MUST BE RATIFIED BY THE FULL BOARD AT THE NEXT BOARD MEETING AND DOCUMENTED IN THE MINUTES. FORM 990, PART VI, SECTION A, LINE 3 STARTING IN MAY 2025, CONTRACT CFO SERVICES WERE PROVIDED BY COMMUNITY LINK CONSULTING. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CFO AND ANY COMMENTS OR QUESTIONS WERE ADDRESSED WITH THE PREPARER. A FINAL DRAFT WAS PRESENTED TO THE CEO, WHO THEN APPROVED THE 990. ONCE MANAGEMENT WAS SATISFIED WITH THE 990, IT WAS REVIEWED BY THE FINANCE COMMITTEE. THE FORM 990 WAS THEN REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST AT THE TIME OF APPOINTMENT TO THE BOARD OR THROUGH SELF-DISCLOSURE IN THE INTERIM. DISCLOSURES ARE REVIEWED BY THE FULL BOARD. IF A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER IS EXCUSED FROM ALL DISCUSSIONS AND ANY VOTING THAT RELATES TO THE MATTER IN QUESTION. IT IS UNDERSTOOD THAT ALL BOARD MEMBERS HAVE AN OBLIGATION TO REPORT ANY MATTERS OR ISSUES THAT MAY GIVE RISE TO A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE HUMAN RESOURCE DEPARTMENT REGULARY CONDUCTS SALARY REVIEWS AND SURVEYS FOR ALL POSITIONS, INCLUDING KEY EMPLOYEES AND OFFICERS, AND ADVISES THE BOARD OF DIRECTORS OF THEIR FINDINGS UPON REQUEST. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE CEO'S COMPENSATION. THE CEO REVIEWS AND APPROVES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES, ALTHOUGH THE BOARD OF DIRECTORS APPROVES THE SALARY RANGES OF ALL POSITIONS IN THE ORGANIZATION EVERY THREE YEARS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2025. FORM 990, PART VI, SECTION C, LINE 19 THE CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE RESPONSIBILITY AND PROCESS FOR SELECTING THE FINANCIAL STATEMENT AUDITOR AND FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE FISCAL YEAR. TRI-CITIES COMMUNITY HEALTH FOUNDATION PO BOX 1452 PASCO WA 99301 851217043 FUNDRAISING TO SUPPORT TRI-CITIES COMMUNITY HEALTH WA 501(C)(3) LINE 7 TRI-CITIES COMMUNITY HEALTH 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0