Liabilities / Assets
68th percentile
Higher debt load relative to assets than 68% of similar nonprofits.
Polyclinic Community Health Foundation
EIN 81-0584770 • 501(c)3 • Seattle, WA
Profile
Partnering with industry programs and individual grants to improve lives in our community.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.01x
Liabilities / Revenue
99th percentile
Higher debt load relative to revenue than 99% of similar nonprofits.
Net Margin
1st percentile
Higher net margin than 1% of similar nonprofits.
Top Officer Pay
81st percentile
Higher top officer pay than 81% of similar nonprofits.
Top officer pay equals 0.0% of source-year revenue.
Asset Growth
29th percentile
Faster asset growth than 29% of similar nonprofits.
Revenue Growth
4th percentile
Faster revenue growth than 4% of similar nonprofits.
Balance Sheet
Assets
Down$66,957
Down $22,585 (-25%) from 2016
Liabilities
Down$859
Down $16,320 (-95%) from 2016
Net Assets
Down$66,098
Down $6,265 (-8.7%) from 2016
Revenue
Down$95
Down $36,603 (-100%) from 2016
Expenses
Down$6,360
Down $72,495 (-92%) from 2016
Net Income
Up-$6,265
Up $35,892 (+85%) from 2016
Trend Graphs
Filings
Most recent year
2017 • Form 990EZDetailed filing. Detailed filing data is available for this year.
- Assets
- $66,957
- Liabilities
- $859
- Net assets
- $66,098
- Revenue
- $95
- Expenses
- $6,360
- Net income
- -$6,265
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2017 to Dec 31, 2017
- Signed
- Oct 30, 2018
- Return Version
- 2017v2.3
- Gross Receipts
- $95
Mission and Program Overview
Mission
The polyclinic community health foundation exists to improve the quality of health care delivery and to promote patient-centered, provider-based disease management initiatives within our community. The foundation primarily partners with physicians at the polyclinic, a multi-specialty medical clinic, to connect low-income, underinsured patients to medications they are otherwise unable to afford.
Partnering with industry programs and individual grants to improve lives in our community.
Program Services
| Description | Grants | Expenses |
|---|---|---|
| THE MISSION OF THE POLYCLINIC COMMUNITY HEALTH FOUNDATION IS TO IMPROVE THE LIVES OF THOSE IN OUR COMMUNITY STRUGGLING WITH CHRONIC ILLNESS. THE FOUNDATION CONNECTS LOW-INCOME PATIENTS WITH PHARMACEUTICAL INDUSTRY PROGRAMS AND INDIVIDUAL GRANT ASSISTANCE TO HELP PATIENTS GET THE MEDICATIONS THEY NEED TO MANAGE THEIR CHRONIC CONDITIONS. | $0 | $6,360 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| AMES SMITH MD | President | - | $0 | - | - |
| THOMAS KING MD | Vice President | - | $0 | - | - |
| RYAN OFTEBRO PHARMD | Treasurer | - | $0 | - | - |
| LLOYD DAVID | Trustee | - | $0 | - | - |
| MARC MILLER MD | Trustee | - | $0 | - | - |
| DARON VCHULEK | Trustee | - | $0 | - | - |
| TRACY CORGIAT | Executive Director (Ex-Officio) | - | $0 | - | - |
Filing and Contact Details
Filer
- Filer Name
- Polyclinic Community Health Foundation
- EIN
- 81-0584770
- Phone
- 2068604538
- Address
- 1145 BROADWAY, SEATTLE, WA 98122-4299
Signing Officer
- Name
- Tracy Corgiat
- Title
- Executive Director
- Phone
- 2068604538
- Signed
- 2018-10-30
- Discuss with paid preparer
- Yes
Preparer
- Firm
- Moss Adams Llp
- Address
- 999 3RD AVE 2800, SEATTLE, WA 98104
- Preparer
- Emina Cresswell
- Phone
- 2063026500
Supplemental Narrative
Additional Explanations
Form 990-ez, Part I, Line 16 - Other Expenses
“Description: insurance. Amount: 1,216. Description: software license. Amount: 421. Description: business license. Amount: 55. Description: bank fees. Amount: 2,453. Total to form 990-ez, line 16: 4,145.”
Form 990-ez, Part II, Line 24 - Other Assets
“Description: prepaid expenses. Beg. Of year amount: 912. End of year amount: 0.”
Form 990-ez, Part II, Line 26 - Other Liabilities
“Description: accounts payable and accrued expenses. Beg. Of year amount: 6,001. End of year amount: 304. Description: unsecured notes and loans payable to unrelated third parties. Beg. Of year amount: 11,178. End of year amount: 555.”
Raw XML Appendix171 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 4 | TRUSTEE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 5 | TRUSTEE |
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| IRS990EZ/OperateHospitalInd | 0 | 0 |
| IRS990EZ/Organization501c3Ind | 0 | X |
| IRS990EZ/OrganizationDissolvedEtcInd | 0 | 0 |
| IRS990EZ/OrganizationHadUBIInd | 0 | 0 |
| IRS990EZ/OtherAssetsTotalDetail/BOYAmt | 0 | 912 |
| IRS990EZ/OtherAssetsTotalDetail/EOYAmt | 0 | 0 |
| IRS990EZ/OtherChangesInNetAssetsAmt | 0 | 0 |
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| IRS990EZ/PartVIOfCompOfHghstPdEmplTxt | 0 | NONE |
| IRS990EZ/PoliticalCampaignActyInd | 0 | 0 |
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| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 0 | THE MISSION OF THE POLYCLINIC COMMUNITY HEALTH FOUNDATION IS TO IMPROVE THE LIVES OF THOSE IN OUR COMMUNITY STRUGGLING WITH CHRONIC ILLNESS. THE FOUNDATION CONNECTS LOW-INCOME PATIENTS WITH PHARMACEUTICAL INDUSTRY PROGRAMS AND INDIVIDUAL GRANT ASSISTANCE TO HELP PATIENTS GET THE MEDICATIONS THEY NEED TO MANAGE THEIR CHRONIC CONDITIONS. |
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| IRS990EZ/SchoolOperatingInd | 0 | 0 |
| IRS990EZ/SubjectToProxyTaxInd | 0 | 0 |
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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | DESCRIPTION: INSURANCE. AMOUNT: 1,216. DESCRIPTION: SOFTWARE LICENSE. AMOUNT: 421. DESCRIPTION: BUSINESS LICENSE. AMOUNT: 55. DESCRIPTION: BANK FEES. AMOUNT: 2,453. TOTAL TO FORM 990-EZ, LINE 16: 4,145. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 912. END OF YEAR AMOUNT: 0. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | DESCRIPTION: ACCOUNTS PAYABLE AND ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 6,001. END OF YEAR AMOUNT: 304. DESCRIPTION: UNSECURED NOTES AND LOANS PAYABLE TO UNRELATED THIRD PARTIES. BEG. OF YEAR AMOUNT: 11,178. END OF YEAR AMOUNT: 555. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES |
| TransferPrsnlBnftContractsDecl/DeclarationDesc | 0 | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. |
| ReturnHeader/BuildTS | 0 | 2019-02-21 02:37:17Z |
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| ReturnHeader/PreparerPersonGrp/PreparationDt | 0 | 2018-10-30 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | EMINA CRESSWELL |
| ReturnHeader/ReturnTs | 0 | 2018-11-07T17:47:52-06:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990EZ |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2017-01-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2017-12-31 |
| ReturnHeader/TaxYr | 0 | 2017 |
Document Assets
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