2025-02-05T18:32:21-06:00 2024-03-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2023-04-01 911537371 MOSES LAKE COMMUNITY HEALTH CENTER MOSE 5097650674 605 SOUTH COOLIDGE STREET MOSES LAKE WA 98837 AMANDA BARTA CHIEF FINANCIAL OFFICER 5097650674 2025-02-04 1 0 FRANCES OLSON P01228048 4254544919 2025-02-04 2023 2025-03-06 01:10:19Z AMANDA BARTA 605 SOUTH COOLIDGE STREET MOSES LAKE WA 98837 71304850 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 12 399 12 0 0 10635072 7240924 38670105 39523672 727241 914958 1100 1600 50033518 47681154 3500 0 0 0 29279800 32162082 0 0 0 11317529 13549467 40600829 45711549 9432689 1969605 68664406 70368097 14205675 12886843 54458731 57481254 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 22046737 30347121 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 2023, 25,252 MEDICAL PATIENTS WERE SEEN WITH A TOTAL OF 80,967 VISITS. 8437371 7779566 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 2023, 13,387 PATIENTS WERE SEEN IN THE DENTAL DEPARTMENT WITH A TOTAL OF 35,046 VISITS PROVIDED. 2356914 1396985 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 7,403 VISITS TO APPROXIMATELY 977 PATIENTS. THE WIC PROGRAM SERVES ELIGIBLE CLIENTS THROUGHOUT GRANT COUNTY IN MULTIPLE LOCATIONS. 32841022 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 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 49 0 399 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 ULISES INFANTE 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 CAROL SCHIMKE DIRECTOR 1.00 X 0 0 0 MATTHEW BENSON DIRECTOR 1.00 X 0 0 0 LADELL YADA DIRECTOR 1.00 X 0 0 0 SHARON LANGE DIRECTOR 1.00 X 0 0 0 EVA HIDALGO DIRECTOR 1.00 X 0 0 0 DAYANA RUIZ DIRECTOR 1.00 X 0 0 0 MICHAEL HOMER DIRECTOR 1.00 X 0 0 0 HILIEL BARRIOS DIRECTOR 1.00 X 0 0 0 SHEILA BERSCHAUER CEO 40.00 X 350379 0 25041 ALLEN NOBLE CHIEF MEDICAL OFFICER 40.00 X 322501 0 35816 BRETT PACK CHIEF DENTAL OFFICER 40.00 X 315880 0 27639 AMANDA BARTA CFO 40.00 X 253759 0 28717 SATVIR KAUR CHIEF COMPLIANCE OFFICER 40.00 X 203404 0 20102 VERNON TURNEY CIO (THRU 1/24) 40.00 X 184145 0 26553 COLLEEN HAZEL CHIEF HR OFFICER (THRU 3/24) 40.00 X 183131 0 25529 STEPHANIE DOWLAND CHIEF QUALITY OFFICER 40.00 X 181826 0 9946 FRANK KOOMSON COO (FROM 6/23) 40.00 X 116404 0 6379 MARK LAUTEREN CIO (FROM 10/23) 40.00 X 39884 0 4249 MICHELLE CULPEPPER CHIEF HR OFFICER (FROM 12/23) 40.00 X 0 0 0 MICHEAL TOLLEY MEDICAL DIRECTOR/PHYSICIAN 40.00 X 415065 0 38695 CARLINA MENJIVAR PHYSICIAN 40.00 X 369094 0 38695 LOGAN MIMS PHYSICIAN 40.00 X 303408 0 24011 COLE HEMMERLING PHYSICIAN 40.00 X 289019 0 33687 JILL SIMON PHYSICIAN 40.00 X 311749 0 32897 CAMERON BECK PHYSICIAN 40.00 X 257053 0 34611 4096701 0 412567 64 0 1 0 NUVODIA LLC 801 S STEVENS ST SPOKANE VALLEY WA 99204 INFORMATION TECHNOLOGY SERVICES 1190514 NORTHWEST JANITORIAL 11523 E MISSION AVE SPOKANE VALLEY WA 99206 JANITORIAL SERVICES 390272 VVC HOLDING CORP PO BOX 840952 DALLAS TX 75284 PRACTICE MANAGEMENT SYSTEM SUPPORT 348133 SMALLIDGE AND COMPANY 3020 27TH AVE W SEATTLE WA 98199 PROJECT MANAGEMENT CONSULTANT 191235 INTEGRA IMAGING 801 S STEVENS ST SPOKANE VALLEY WA 99204 IMAGING SERVICES 123100 6 6941579 299345 7240924 PATIENT SERVICES 624100 28004746 28004746 MANAGED CARE 624100 11408697 11408697 CONTRACT SERVICES 624100 110229 110229 39523672 1086086 1086086 600 0 600 600 600 23436355 16213 23221597 402099 214758 -385886 -171128 -171128 BACK TO SCHOOL FAIR 900099 1000 1000 1000 47681154 39523672 0 916558 2628701 584728 2043973 23561204 18756169 4805035 601169 482616 118553 3240066 2475384 764682 2130942 1575830 555112 3702 3702 97763 97763 15248 15248 843009 578124 264885 103954 51529 52425 296397 137809 158588 2099095 638802 1460293 347495 124452 223043 169606 111769 57837 152814 124891 27923 419111 322384 96727 1952206 1501654 450552 210190 35711 174479 SUPPLIES 4215552 4187741 27811 PURCHASED SERVICES 1071932 509413 562519 REPAIRS AND MAINTENANCE 568215 46702 521513 983178 595314 387864 45711549 32841022 12870527 0 3750630 3004884 33216 1284365 271157 488739 5056982 4926113 426212 375055 389475 375603 46248324 15221113 30518657 31027211 28196044 28886127 22033 0 68664406 70368097 4334051 4787006 9849591 8099837 22033 0 14205675 12886843 X 54458731 57481254 54458731 57481254 68664406 70368097 1969605 1052918 0 X 0 1 X 1 1 1 X 6721524 13376866 10539466 10635072 7240924 48513852 6721524 13376866 10539466 10635072 7240924 48513852 48513852 290837 335705 646695 738316 1086686 3098239 16860 5705 6930 500 1000 30995 51643086 170187409 0.93940 0.95300 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: PRECEPTOR - 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. 2023 AMOUNT: $ 1,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 971 971 0 PART II-B, LINE 1: A PORTION OF THE ASSOCIATION MEMBERSHIP DUES THE ORGANIZATION PAYS ARE EARMARKED FOR LOBBYING EFFORTS. 2318930 2318930 36581569 10271271 26310298 7056190 4949842 2106348 291635 291635 31027211 48734072 1052918 1052918 47681154 0 47681154 45711549 0 45711549 0 45711549 X X X X X 0 0 0 0 0 0 0 0 0 MICHEAL TOLLEY MEDICAL DIRECTOR/PHYSICIAN 384865 0 30200 0 0 0 13200 0 25495 0 453760 0 0 0 CARLINA MENJIVAR PHYSICIAN 357994 0 11100 0 0 0 13200 0 25495 0 407789 0 0 0 SHEILA BERSCHAUER CEO 350179 0 200 0 0 0 13131 0 11910 0 375420 0 0 0 ALLEN NOBLE CHIEF MEDICAL OFFICER 322301 0 200 0 0 0 10199 0 25617 0 358317 0 0 0 JILL SIMON PHYSICIAN 283049 0 28700 0 0 0 10946 0 21951 0 344646 0 0 0 BRETT PACK CHIEF DENTAL OFFICER 315680 0 200 0 0 0 12789 0 14850 0 343519 0 0 0 LOGAN MIMS PHYSICIAN 301125 0 2283 0 0 0 12101 0 11910 0 327419 0 0 0 COLE HEMMERLING PHYSICIAN 283819 0 5200 0 0 0 11736 0 21951 0 322706 0 0 0 CAMERON BECK PHYSICIAN 247603 0 9450 0 0 0 9116 0 25495 0 291664 0 0 0 AMANDA BARTA CFO 252059 0 1700 0 0 0 10323 0 18394 0 282476 0 0 0 SATVIR KAUR CHIEF COMPLIANCE OFFICER 203204 0 200 0 0 0 8192 0 11910 0 223506 0 0 0 VERNON TURNEY CIO (THRU 1/24) 183945 0 200 0 0 0 7693 0 18860 0 210698 0 0 0 COLLEEN HAZEL CHIEF HR OFFICER (THRU 3/24) 182931 0 200 0 0 0 6669 0 18860 0 208660 0 0 0 STEPHANIE DOWLAND CHIEF QUALITY OFFICER 181626 0 200 0 0 0 7283 0 2663 0 191772 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 2023. 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.