2024-05-15T13:21:50-05:00 2023-06-30 912011386 JACOBSON JARVIS & CO PLLC 200 1ST AVE W SUITE 200 SEATTLE WA 98119 990 2022-07-01 911485176 PEDIATRIC INTERIM CARE CENTER THE NEWBORN NURSERY PEDI 2538525253 328 4TH AVENUE SOUTH KENT WA 98032 BARBARA DRENNEN EXECUTIVE DIRECTOR 2538525253 2024-05-09 1 BARBARA DRENNEN 999009999 0 ZOE JOENS CPA P02389255 2066288990 2024-05-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BARBARA DRENNEN 328 4TH AVENUE SOUTH KENT WA 98032 1617169 0 X WWW.PICC.NET X 1990 WA TO PROVIDE HEALTH CARE SERVICES CONSISTING OF, BUT NOT LIMITED TO, DIAGNOSIS AND REFERRAL, EDUCATION AND TRAINING, CONSULTATION AND TREATMENT. 7 7 45 7 0 0 2020529 1591338 0 0 5078 25553 -1412 -35430 2024195 1581461 0 500 0 0 1223877 1280748 0 0 3345 234123 445784 1458000 1727032 566195 -145571 3803887 3703331 24280 20863 3779607 3682468 PICC PROVIDES A SECURE LOW-STIMULUS ENVIRONMENT WHERE DRUG-EXPOSED AND MEDICALLY FRAGILE INFANTS RECEIVE 24-HOUR MONITORING, NARCOTIC ASSISTED WITHDRAWAL WHEN NEEDED AND THERAPEUTIC NURSING CARE UNTIL THEY ARE READY FOR DISCHARGE. 0 0 957603 500 GROUP CARE: CARE FOR INFANTS IN NEED OF MEDICALLY INTENSIVE SERVICES DUE TO PRENATAL EXPOSURE TO DRUGS OR ALCOHOL, PREMATURITY COMPLICATIONS, AS WELL AS NON-HOSPITAL CARE. 28 INFANTS WERE CARED FOR IN THIS PROGRAM DURING FYE 06/30/23. 49427 FOSTER CARE: IMPLEMENT TRAINING AND FOLLOW UP SUPPORT FOR FOSTER CARE FAMILIES. 49111 FAMILY SUPPORT: PROVIDE EDUCATION AND SUPPORT FOR FAMILIES WITH DRUG AFFECTED INFANTS. SUPPORT IS PROVIDED UP TO SIX MONTHS AFTER BABIES ARE REUNITED WITH THEIR FAMILIES. 1056141 1 1 0 0 0 0 0 0 0 0 1 0 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 0 0 0 0 0 1 3 0 1 45 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 1 0 WA X BARBARA WRIGHT 2538525253 328 4TH AVENUE SOUTH KENT WA 98032 ERIC DREVER PRESIDENT 1.00 X X 0 0 0 MONICA OCHS VICE PRESIDENT 1.00 X X 0 0 0 KEN BUSSEY TREASURER 1.00 X X 0 0 0 BETSY HALBERG BOARD MEMBER 1.00 X 0 0 0 JC HALL BOARD MEMBER 1.00 X 0 0 0 RUBY HILL BOARD MEMBER 1.00 X 0 0 0 KAREN WICKSTROM BOARD MEMBER 1.00 X 0 0 0 BARBARA DRENNEN EXECUTIVE DIRECTOR 40.00 X 95000 0 50000 BARBARA WRIGHT FINANCIAL MANAGER 40.00 X 86135 0 0 181135 0 50000 0 0 0 0 0 151497 867609 572232 1591338 19260 19260 6293 0 6293 6293 6293 0 151497 35708 -35708 -35708 MISCELLANEOUS 900099 278 278 278 1581461 0 0 -9877 500 500 231135 173351 57784 892572 669429 223143 54044 40533 13511 102997 77248 25749 1916 1916 4630 4630 30568 28900 1614 54 1756 1317 439 42687 24123 15273 3291 3023 2026 997 119688 23594 96094 2559 2559 861 861 201 151 50 162802 162802 37835 37835 EQUIPMENT EXPENSES 17904 17904 MEDICAL SUPPLIES 8404 7329 1075 MEMORIALS AND GIFTS 6666 6666 LICENSES, PERMITS AND F 3919 3919 365 301 64 1727032 1056141 667546 3345 X 159830 182021 1326433 1289115 108853 7940 47176 4754408 2941214 1985859 1813194 222912 363885 3803887 3703331 24280 20863 24280 20863 X 3779607 3682468 3779607 3682468 3803887 3703331 -145571 36690 11742 0 X 0 0 0 X 1782584 1594579 1490197 2020529 1591338 8479227 1782584 1594579 1490197 2020529 1591338 8479227 420788 8058439 17487 14587 6672 5078 19260 63084 1 580 278 859 8543170 0.94330 0.77620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 461934 461934 3857436 2506176 1351260 36849 36849 0 398189 398189 0 1813194 LUNCHEON 118556 118556 32609 WALK FOR THE BABIES 32941 32941 3099 151497 151497 35708 35708 -35708 FORM 990, PART VI, SECTION A, LINE 6 PICC IS OWNED BY TWO SHAREHOLDERS. FORM 990, PART VI, SECTION A, LINE 7A THE TWO MEMBERS HAVE THE RIGHTS TO AMEND THE BY-LAWS, TO ELECT THE BOARD OF DIRECTORS, TO DISSOLVE THE COMPANY AND TO REMOVE A BOARD MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS IS ACCOUNTABLE TO THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B BOARD IS NOT PROVIDED WITH A COPY OF THE FORM 990 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS THE POWER TO INCREASE COMPENSATION OF THE EXECUTIVE DIRECTOR. THIS HAS BEEN DONE IN THE PAST BY A REVIEW OF ACTIVITIES BY A BOARD MEMBER, AND A COMPENSATION COMPARISON DONE TO DETERMINE PROPER LEVEL OF COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.