Civic Intelligence

Mlchc Community Services

990 • Fiscal year 2020 • EIN 46-3517778

Apr 01, 2020 to Nov 17, 2020 • Filed on Feb 02, 2022

605 South Coolidge StreetMoses Lake, WA 98837

(509) 764-6102

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Down

$0

Down $6,660,854 (-100%) from 2019

Net Assets

Up

$0

Up $2,077,826 (+100%) from 2019

Liabilities

Down

$0

Down $8,738,680 (-100%) from 2019

Revenue And Expenses

Revenue

Up

$2,613,056

Up $2,479,856 (+1862%) from 2019

Expenses

Down

$247,322

Down $183,245 (-43%) from 2019

Net Income

Up

$2,365,734

Up $2,663,101 (+896%) from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0-$5.0MAssets 2014: $9,511,488Liabilities 2014: $9,426,910Net Assets 2014: $84,5782014Assets 2015: $7,858,301Liabilities 2015: $8,738,734Net Assets 2015: -$880,4332015Assets 2016: $7,542,081Liabilities 2016: $8,730,000Net Assets 2016: -$1,187,9192016Assets 2017: $7,265,590Liabilities 2017: $8,749,780Net Assets 2017: -$1,484,1902017Assets 2018: $6,969,321Liabilities 2018: $8,749,780Net Assets 2018: -$1,780,4592018Assets 2019: $6,660,854Liabilities 2019: $8,738,680Net Assets 2019: -$2,077,8262019Assets 2020: $6,375,366Liabilities 2020: $8,741,100Net Assets 2020: -$2,365,7342020Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2020

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2014: $139,518Expenses 2014: $54,940Net Income 2014: $84,5782014Revenue 2015: $133,200Expenses 2015: $1,098,211Net Income 2015: -$965,0112015Revenue 2016: $122,100Expenses 2016: $429,586Net Income 2016: -$307,4862016Revenue 2017: $133,200Expenses 2017: $429,471Net Income 2017: -$296,2712017Revenue 2018: $133,200Expenses 2018: $429,469Net Income 2018: -$296,2692018Revenue 2019: $133,200Expenses 2019: $430,567Net Income 2019: -$297,3672019Revenue 2020: $133,200Expenses 2020: $421,108Net Income 2020: -$287,9082020Revenue 2020: $2,613,056Expenses 2020: $247,322Net Income 2020: $2,365,7342020

Highlighted filing

2020

Revenue$2,613,056
Expenses$247,322
Net Income$2,365,734
Jump To
Filing Snapshot
Filing Period
Apr 1, 2020 to Nov 17, 2020
Signed
Feb 2, 2022
Return Version
2020v4.2
Gross Receipts
$2,613,056
Mission and Program Overview

Mission

Mlchc community services was created for the new market tax credit transaction. This allowed for the construction of a new quincy facility.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$6,231,564$0▼ $6,231,564
Cash and Non-Interest-Bearing Accounts$105,445$0▼ $105,445
Intangible Assets$38,357$0▼ $38,357
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$6,375,366$0▼ $6,375,366
Other Assets Total-$0-
Liabilities
Mortgage Notes Payable Secured by Investment Property$8,730,000$0▼ $8,730,000
Deferred Revenue$11,100$0▼ $11,100
Total Liabilities$8,741,100$0▼ $8,741,100
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-2,365,734$0▲ $2,365,734
Total Net Assets Fund Balance$-2,365,734$0▲ $2,365,734
Total Liabilities and Net Assets / Fund Balance$6,375,366$0▼ $6,375,366
Compensation and Service Providers

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$66,600
Investment Income
$0
Other Revenue
$2,546,456
Change in Net Assets
$2,365,734

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,613,056
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$43,171,179
Total Revenue per Audited Statements
$45,784,235
Total Revenue per Form 990
$2,613,056
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$247,322
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion-$152,726-$152,726
Interest-$61,143-$61,143
Fees for Services Legal-$33,453-$33,453
Total Functional Expenses$0$247,322$0$247,322

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$35,429,842
Expenses Not Reported on Form 990$35,182,520
Expenses per Audited Statements$247,322
Total Expenses per Form 990$247,322
Expenses Not Reported on Financial Statements$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 7A

Moses lake community health center, a related and supported organization, appoints a majority of the board members for the organization.

Form 990, Part VI, Section A, Line 8B

Due to the size of the organization and the low level of activity from year to year, committees are not deemed necessary.

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 of moses lake community health center (mlchc), a related organization, and then in summary with the board of directors of mlchc. 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 15

The compensation of both officers is reviewed by moses lake community health center, a related organization.

Form 990, Part VI, Section C, Line 19

These documents are available for viewing upon request at the organization's main business office in the presence of the cfo or ceo of moses lake community health center, a related organization.

FORM 990, PART VI, LINES 12, 13, AND 14:

Mlchc community services relies on the conflict of interest policy, whistleblower policy and document retention and destruction policy of moses lake community health center, a related organization.

Filing and Contact Details

Filer

Filer Name
Mlchc Community Services
EIN
46-3517778
Phone
5097646102
Address
605 SOUTH COOLIDGE STREET, MOSES LAKE, WA 98837

Signing Officer

Name
Amanda Barta
Title
Chief Financial Officer
Phone
5097646102
Signed
2022-02-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sheila Berschauer
Formed
2013
Legal Domicile
Wa
Voting Board Members
5
Independent Board Members
4
Employees
0
Volunteers
4

Preparer

Firm
Clark Nuber Ps
Address
10900 NE 4TH STREET SUITE 1400, BELLEVUE, WA 98004
Preparer
Kathryn J Okimoto
Phone
4254544919
Supplemental Narrative

Additional Explanations

FORM 990, PART I, LINE 6:

The board of directors per mlchc community services bylaws requires a board composition of five members. All four volunteer positions noted are related to involvement on the board, either as an elected member or advisory member. These individuals contribute a minimum of 1 hour per year in this capacity. The remaining board member is the non-volunteer ceo.

Form 990, Part III, Line 3

The organization was dissolved in fy21 and assets were transferred to its supported organization, moses lake community health center.

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Revenue from affiliate 43,171,179.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Expenses from affiliate 35,182,520.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1EXPENSES FROM AFFILIATE 35,182,520.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt0200
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt1200
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0303319
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1202792
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt010622
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt18084
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt115952
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0SHEILA BERSCHAUER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1AMANDA BARTA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHAIR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CFO
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IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0FOR THE CHAIR, THE BOARD OF DIRECTORS OF MOSES LAKE COMMUNITY HEALTH CENTER, A RELATED ORGANIZATION, REVIEWS SALARY SURVEYS AND REGIONAL MARKET COMPARISONS TO DETERMINE APPROPRIATE COMPENSATION LEVELS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd01
IRS990ScheduleN/EmployeeOfSuccessorInd01
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0ASSETS INCLUDING CASH AND FIXED ASSETS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0MOSES LAKE COMMUNITY HEALTH CENTER
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02020-09-11
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0911537371
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt06183545
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0BOOK
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0605 SOUTH COOLIDGE STREET
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0MOSES LAKE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0WA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd098837
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0PERSON(S) INVOLVED: IN REGARDS TO PART I, LINE 2A AND 2B: THIS REFERS TO VARIOUS BOARD MEMBERS, OFFICERS AND EMPLOYEES.
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1EXPLANATION OF INVOLVEMENT: THERE ARE SEVERAL COMMON BOARD MEMBERS, OFFICERS AND EMPLOYEES THAT HAVE AND WILL CONTINUE TO SERVE FOR THE SUCCESSOR/TRANSFEREE ORGANIZATION AFTER THE DISSOLUTION.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2E:
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 2E:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE BOARD OF DIRECTORS PER MLCHC COMMUNITY SERVICES BYLAWS REQUIRES A BOARD COMPOSITION OF FIVE MEMBERS. ALL FOUR VOLUNTEER POSITIONS NOTED ARE RELATED TO INVOLVEMENT ON THE BOARD, EITHER AS AN ELECTED MEMBER OR ADVISORY MEMBER. THESE INDIVIDUALS CONTRIBUTE A MINIMUM OF 1 HOUR PER YEAR IN THIS CAPACITY. THE REMAINING BOARD MEMBER IS THE NON-VOLUNTEER CEO.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION WAS DISSOLVED IN FY21 AND ASSETS WERE TRANSFERRED TO ITS SUPPORTED ORGANIZATION, MOSES LAKE COMMUNITY HEALTH CENTER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2MOSES LAKE COMMUNITY HEALTH CENTER, A RELATED AND SUPPORTED ORGANIZATION, APPOINTS A MAJORITY OF THE BOARD MEMBERS FOR THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DUE TO THE SIZE OF THE ORGANIZATION AND THE LOW LEVEL OF ACTIVITY FROM YEAR TO YEAR, COMMITTEES ARE NOT DEEMED NECESSARY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4UPON COMPLETION OF THE FORM 990, THE RETURN WILL BE REVIEWED IN DETAIL WITH THE BOARD FINANCE COMMITTEE OF MOSES LAKE COMMUNITY HEALTH CENTER (MLCHC), A RELATED ORGANIZATION, AND THEN IN SUMMARY WITH THE BOARD OF DIRECTORS OF MLCHC. UPON APPROVAL BY THE BOARD OF DIRECTORS, THE FINAL FORM 990 WILL BE SUBMITTED TO THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE COMPENSATION OF BOTH OFFICERS IS REVIEWED BY MOSES LAKE COMMUNITY HEALTH CENTER, A RELATED ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THESE DOCUMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST AT THE ORGANIZATION'S MAIN BUSINESS OFFICE IN THE PRESENCE OF THE CFO OR CEO OF MOSES LAKE COMMUNITY HEALTH CENTER, A RELATED ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7MLCHC COMMUNITY SERVICES RELIES ON THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY OF MOSES LAKE COMMUNITY HEALTH CENTER, A RELATED ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART I, LINE 6:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, LINES 12, 13, AND 14:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0MOSES LAKE COMMUNITY HEALTH CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0911537371
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0WA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0PRIMARY HEALTH SERVICES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0605 SOUTH COOLIDGE STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0MOSES LAKE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0WA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd098837
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd01
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd01
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd01
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt06375366
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt06375366
IRS990/TotalAssetsGrp/EOYAmt00

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