2024-01-26T13:49:51-06:00 2023-03-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2022-04-01 911537371 MOSES LAKE COMMUNITY HEALTH CENTER MOSE 5097650674 605 SOUTH COOLIDGE STREET MOSES LAKE WA 98837 AMANDA BARTA CHIEF FINANCIAL OFFICER 5097650674 2024-01-25 1 AMANDA BARTA 999009999 0 FRANCES OLSON P01228048 4254544919 2024-01-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SHEILA BERSCHAUER 605 SOUTH COOLIDGE STREET MOSES LAKE WA 98837 73051128 0 X WWW.MLCHC.ORG X 1991 WA TO 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. 12 12 382 12 0 0 10539466 10635072 34212064 38670105 620965 727241 7530 1100 45380025 50033518 1537 3500 0 0 27620513 29279800 0 0 0 10702420 11317529 38324470 40600829 7055555 9432689 61098216 68664406 15727965 14205675 45370251 54458731 TO 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. 0 0 19203908 3500 29835403 MEDICAL 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 17 MID-LEVEL PHYSICIANS ON STAFF. IN 2022, 24,701 MEDICAL PATIENTS WERE SEEN WITH A TOTAL OF 80,479 VISITS. 7429140 7114314 DENTAL SERVICES - MLCHC HAS 10 DENTISTS AND 7 DENTAL HYGIENISTS ON STAFF TO PROVIDE PREVENTATIVE, RESTORATIVE AND EMERGENCY CARE TO THE HEALTH CENTER'S INSURED AND UNINSURED PATIENTS. IN 2022, 13,766 PATIENTS WERE SEEN IN THE DENTAL DEPARTMENT WITH A TOTAL OF 36,656 VISITS PROVIDED. 2270677 1720388 OTHER HEALTH PROGRAMS - MLCHC PROVIDES MATERNITY SUPPORT SERVICES, WIC, INFANT TODDLER EARLY INTERVENTION AND DEVELOPMENTAL DISABILITY PARENT TRAINING PROGRAMS. THE MATERNITY SUPPORT SERVICES DEPARTMENT PROVIDED 7,059 VISITS TO APPROXIMATELY 890 PATIENTS. THE WIC PROGRAM SERVES ELIGIBLE CLIENTS THROUGHOUT GRANT COUNTY IN MULTIPLE LOCATIONS. 28903725 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 40 0 382 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X AMANDA BARTA 5097650674 605 SOUTH COOLIDGE STREET MOSES LAKE WA 98837 DAVE CAMPBELL CHAIR 2.00 X X 0 0 0 DAYANA RUIZ VICE CHAIR 2.00 X X 0 0 0 AMELIA CAMPOS SECRETARY 2.00 X X 0 0 0 JOSE AGUINAGA TREASURER 2.00 X X 0 0 0 SHARON LANGE DIRECTOR 1.00 X 0 0 0 EVA HIDALGO DIRECTOR 1.00 X 0 0 0 CAROL SCHIMKE DIRECTOR 1.00 X 0 0 0 MATTHEW BENSON DIRECTOR 1.00 X 0 0 0 MICHAEL HOMER DIRECTOR 1.00 X 0 0 0 LADELL YADA DIRECTOR 1.00 X 0 0 0 ULISES INFANTE DIRECTOR 1.00 X 0 0 0 HILIEL BARRIOS DIRECTOR 1.00 X 0 0 0 SHEILA BERSCHAUER CEO 40.00 X 332969 0 22949 BRETT PACK CHIEF DENTAL OFFICER 40.00 X 322337 0 25568 ALLEN NOBLE CHIEF MEDICAL OFFICER 40.00 X 313637 0 29685 AMANDA BARTA CFO 40.00 X 229739 0 25896 MICHEAL TOLLEY MEDICAL DIRECTOR / PHYSICIAN 40.00 X 340507 0 34979 CARLINA MENJIVAR PHYSICIAN 40.00 X 327886 0 29688 COLE HEMMERLING PHYSICIAN 40.00 X 272654 0 32779 BETHANY MULDER PHYSICIAN 40.00 X 255701 0 32008 LOGAN MIMS PHYSICIAN 40.00 X 264428 0 21376 MORGAN FIFE PHYSICIAN 40.00 X 240694 0 33848 2900552 0 288776 56 0 1 0 NUVODIA LLC 801 S STEVENS ST SPOKANE VALLEY WA 99204 INFORMATION TECHNOLOGY SERVICES 1143520 NORTHWEST JANITORIAL 11523 E MISSION AVE SPOKANE VALLEY WA 99206 JANITORIAL SERVICES 483520 VVC HOLDING CORP PO BOX 840952 DALLAS TX 75284 PRACTICE MANAGEMENT SYSTEM SUPPORT 301953 INTERPATH LABORATORY PO BOX 1208 PENDLETON OR 97801 OUTSIDE LAB FEES 261742 COMMUNITY LINK CONSULTING INC PO BOX 276 NEWMAN LAKE WA 99025 BUSINESS MANAGEMENT CONSULTANTS 187346 7 9889544 745528 10635072 PATIENT SERVICES 624100 25333234 25333234 MANAGED CARE 624100 13257113 13257113 CONTRACT SERVICES 624100 79758 79758 38670105 737716 737716 600 0 600 600 600 23005396 1739 23017529 81 -12133 1658 -10475 -10475 BACK TO SCHOOL FAIR 900099 500 500 500 50033518 38670105 0 728341 3500 3500 1744484 582466 1162018 21898014 16962334 4935680 572694 419936 152758 3203364 2384334 819030 1861244 1361108 500136 6108 6108 141881 56290 85591 379152 211047 168105 91284 29840 61444 277641 126779 150862 1709724 492569 1217155 407841 131560 276281 167742 126558 41184 93501 76884 16617 494176 367035 127141 1862886 1383605 479281 163829 34458 129371 SUPPLIES 3146409 3122676 23733 PURCHASED SERVICES 1239943 647187 592756 REPAIRS AND MAINTENANCE 541840 39606 502234 593572 343953 249619 40600829 28903725 11697104 0 7326520 3750630 490605 33216 677549 271157 3697562 5056982 350026 426212 347748 389475 43958366 13439709 31141477 30518657 17066729 28196044 0 22033 61098216 68664406 3934954 4334051 192372 0 11600639 9849591 0 22033 15727965 14205675 X 45370251 54458731 45370251 54458731 61098216 68664406 9432689 -344209 0 X 0 1 X 1 1 1 X 6916220 6721524 13376866 10539466 10635072 48189148 6916220 6721524 13376866 10539466 10635072 48189148 48189148 329728 290837 335705 646695 738316 2341281 6000 16860 5705 6930 500 35995 50566424 156819759 0.95300 0.95830 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: PRECEPTOR - 2018 AMOUNT: $ 6,000. 2019 AMOUNT: $ 1,312. 2020 AMOUNT: $ 4,000. TRAINING - 2019 AMOUNT: $ 13,500. REIMBURSEMENTS - 2019 AMOUNT: $ 2,048. 2020 AMOUNT: $ 1,705. 2021 AMOUNT: $ 6,930. BACK TO SCHOOL FAIR - 2022 AMOUNT: $ 500. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 700 700 0 PART II-B, LINE 1: A PORTION OF THE ASSOCIATION MEMBERSHIP DUES THE ORGANIZATION PAYS ARE EARMARKED FOR LOBBYING EFFORTS. 2168261 2168261 33785460 8902773 24882687 6423202 4536936 1886266 1581443 1581443 30518657 OPERATING LEASE LIABILITY 22033 22033 49689309 -344209 -344209 50033518 0 50033518 40600829 0 40600829 0 40600829 X X X X X 0 0 0 0 0 0 0 0 0 MICHEAL TOLLEY MEDICAL DIRECTOR / PHYSICIAN 330307 0 10200 0 0 0 12200 0 22779 0 375486 0 0 0 CARLINA MENJIVAR PHYSICIAN 317536 0 10350 0 0 0 6909 0 22779 0 357574 0 0 0 SHEILA BERSCHAUER CEO 332269 0 700 0 0 0 12200 0 10749 0 355918 0 0 0 BRETT PACK CHIEF DENTAL OFFICER 301737 0 20600 0 0 0 12200 0 13368 0 347905 0 0 0 ALLEN NOBLE CHIEF MEDICAL OFFICER 293037 0 20600 0 0 0 6906 0 22779 0 343322 0 0 0 COLE HEMMERLING PHYSICIAN 272454 0 200 0 0 0 11302 0 21477 0 305433 0 0 0 BETHANY MULDER PHYSICIAN 235501 0 20200 0 0 0 9229 0 22779 0 287709 0 0 0 LOGAN MIMS PHYSICIAN 264228 0 200 0 0 0 10627 0 10749 0 285804 0 0 0 MORGAN FIFE PHYSICIAN 230494 0 10200 0 0 0 10390 0 23458 0 274542 0 0 0 AMANDA BARTA CFO 229139 0 600 0 0 0 9403 0 16493 0 255635 0 0 0 FORM 990, PART I, LINE 6: MOSES LAKE COMMUNITY HEALTH CENTER (MLCHC) HAS 12 BOARD MEMBERS WHO PARTICIPATE IN A MONTHLY BOARD MEETING. SOME OF THE BOARD MEMBERS ARE ALSO COMMITTEE MEMBERS WHO PARTICIPATE IN EITHER MONTHLY OR QUARTERLY MEETINGS. FORM 990, PART VI, SECTION B, LINE 11B UPON 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 12C BOARD MEMBERS, OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED ON A CONTINUOUS BASIS TO COMPLY WITH THE CONFLICT OF INTEREST POLICY AND ARE 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 15 FOR 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. THE LAST COMPENSATION REVIEW WAS PERFORMED IN JULY 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST AT THE ORGANIZATION'S MAIN BUSINESS OFFICE IN THE PRESENCE OF THE CFO OR CEO.