Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 420,910 | 535,809 | 725,243 | 683,361 | 625,887 | 2,991,210 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 70,395 | 124,950 | 195,345 | |||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 420,910 | 535,809 | 725,243 | 753,756 | 750,837 | 3,186,555 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 7,559 | 11,640 | 17,963 | 21,850 | 59,012 | |
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 7,559 | 11,640 | 17,963 | 21,850 | 59,012 | |
| 8 | Public support. (Subtract line 7c from line 6.) | 3,127,543 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 420,910 | 535,809 | 725,243 | 753,756 | 750,837 | 3,186,555 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,286 | 406 | 6 | 46 | 2,744 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 2,286 | 406 | 6 | 46 | 2,744 | |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 9,873 | 6,129 | 16,002 | |||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 423,196 | 535,809 | 725,649 | 763,635 | 757,012 | 3,205,301 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2023 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 | BATTLE GROUND HEALTHCARE (BGHC) IS A FAITH BASED NON-PROFIT ORGANIZATION THAT IS DEDICATED TO CARING FOR THE COMMUNITY. BGHC'S MISSION IS A "COMMUNITY SUPPORTED CLINIC PROVIDING COMPASSIONATE FREE HEALTH CARE TO UNDERSERVED ADULTS". WE PROVIDE COMPREHENSIVE AND INTEGRATED HEALTH SERVICES FOR PEOPLE WITH CHRONIC CONDITIONS AND COLLABORATE WITH COMMUNITY PARTNERS FOR SERVICES THAT WE ARE NOT ABLE PROVIDE. BGHC PROVIDES LIMITED FREE MEDICAL, DENTAL, PHYSICAL REHABILITATION, CASE MANAGEMENT, COMPREHENSIVE DIABETES MANAGEMENT, VISION, AND MENTAL HEALTH REFERRALS, TO CLIENTS AGES 18 AND ABOVE. BGHC'S CLIENTS ARE THE UNINSURED AND UNDER-INSURED, WHO ARE AT OR BELOW 300 % OF FEDERAL POVERTY LEVEL. BGHC PROVIDES AN OPPORTUNITY TO BRIDGE THE GAP IN ACCESS TO MEDICAL AND DENTAL SERVICES UNTIL PATIENTS QUALIFY FOR INSURANCE OR CAN FIND A PROVIDER. THE CARE PROVIDED INCLUDES PROFESSIONAL MEDICAL, DENTAL, PHYSICAL REHABILITATION DIAGNOSIS AND TREATMENT, LIMITED PRESCRIPTION SERVICES, LIMITED LABORATORY, NUTRITIONAL CONSULTATION, AND CARE MANAGEMENT. ACUTE OR EXACERBATION OF CHRONIC CONDITIONS ARE REFERRED TO OTHER HEALTH CARE FACILITIES OR PROVIDERS. BGHC SEES PATIENTS BY APPOINTMENT ONLY AND DOES NOT PROVIDE URGENT OR EMERGENT CARE. BGHC DOES NOT DISCRIMINATE BASED ON SEXUAL ORIENTATION, CITIZENSHIP STATUS, RESIDENCE, OR RELIGIOUS AFFILIATION. BGHC PROVIDES SERVICES TO THOSE MOST IMPACTED BY LOW SOCIOECONOMIC CONDITIONS, THE DISADVANTAGED, AND HOMELESS LIVING IN SOUTHWEST WASHINGTON AND BEYOND. BGHC DOES NOT TURN ANYONE AWAY BUT WILL FIND THEM ACCESS TO THE MOST APPROPRIATE SERVICES FOR THE INDIVIDUALS' CONDITIONS/NEEDS. BGHC USES THE NATIONALLY STANDARDIZED SCREENING TOOL, "PARPARE" TO ASSESS AND BETTER UNDERSTAND AN INDIVIDUAL'S SOCIAL DRIVERS OF HEALTH (SOCIAL DETERMINANTS OF HEALTH "(SDOH). BY SCREENING FOR SDOH AND THE USE OF THE PRAPARE FORM, BGHC REDUCES THE IMPACT OF CHRONIC CONDITIONS BY PROVIDING EVIDENCED BASED INTERVENTIONS SUCH AS COMPREHENSIVE, LIFESTYLE FOCUSED SELF-MANAGEMENT PROGRAMS THAT ADDRESS DIABETES, HYPERTENSION, OBESITY, AND OTHER CHRONIC CONDITIONS THAT AFFLICT SOCIETY TODAY. CONSEQUENTLY, HAVING A POSITIVE IMPACT AND IMPROVEMENT ON HEALTH EQUITY AT THE INDIVIDUAL, COMMUNITY, AND SYSTEMS LEVELS. BGHC IS A HYBRID ORGANIZATION OF MOSTLY ALL VOLUNTEERS WITH ONLY 8 PAID EMPLOYEES AND GOVERNED BY A DIVERSE ELEVEN-MEMBER BOARD OF DIRECTORS WITH EXPERTISE IN HEALTH CARE, GOVERNANCE, LEADERSHIP, SPIRITUAL CARE, ADMINISTRATION, FISCAL OVERSIGHT, AND FUNDRAISING. |
| FORM 990, PART III, LINE 1 | BATTLE GROUND HEALTHCARE (BGHC) IS A FAITH BASED NON-PROFIT ORGANIZATION THAT IS DEDICATED TO CARING FOR THE COMMUNITY. BGHC'S MISSION IS A "COMMUNITY SUPPORTED CLINIC PROVIDING COMPASSIONATE FREE HEALTH CARE TO UNDERSERVED ADULTS". WE PROVIDE COMPREHENSIVE AND INTEGRATED HEALTH SERVICES FOR PEOPLE WITH CHRONIC CONDITIONS AND COLLABORATE WITH COMMUNITY PARTNERS FOR SERVICES THAT WE ARE NOT ABLE PROVIDE. BGHC PROVIDES LIMITED FREE MEDICAL, DENTAL, PHYSICAL REHABILITATION, CASE MANAGEMENT, COMPREHENSIVE DIABETES MANAGEMENT, VISION, AND MENTAL HEALTH REFERRALS, TO CLIENTS AGES 18 AND ABOVE. BGHC'S CLIENTS ARE THE UNINSURED AND UNDER-INSURED, WHO ARE AT OR BELOW 300 % OF FEDERAL POVERTY LEVEL. BGHC PROVIDES AN OPPORTUNITY TO BRIDGE THE GAP IN ACCESS TO MEDICAL AND DENTAL SERVICES UNTIL PATIENTS QUALIFY FOR INSURANCE OR CAN FIND A PROVIDER. THE CARE PROVIDED INCLUDES PROFESSIONAL MEDICAL, DENTAL, PHYSICAL REHABILITATION DIAGNOSIS AND TREATMENT, LIMITED PRESCRIPTION SERVICES, LIMITED LABORATORY, NUTRITIONAL CONSULTATION, AND CARE MANAGEMENT. ACUTE OR EXACERBATION OF CHRONIC CONDITIONS ARE REFERRED TO OTHER HEALTH CARE FACILITIES OR PROVIDERS. BGHC SEES PATIENTS BY APPOINTMENT ONLY AND DOES NOT PROVIDE URGENT OR EMERGENT CARE. BGHC DOES NOT DISCRIMINATE BASED ON SEXUAL ORIENTATION, CITIZENSHIP STATUS, RESIDENCE, OR RELIGIOUS AFFILIATION. BGHC PROVIDES SERVICES TO THOSE MOST IMPACTED BY LOW SOCIOECONOMIC CONDITIONS, THE DISADVANTAGED, AND HOMELESS LIVING IN SOUTHWEST WASHINGTON AND BEYOND. BGHC DOES NOT TURN ANYONE AWAY BUT WILL FIND THEM ACCESS TO THE MOST APPROPRIATE SERVICES FOR THE INDIVIDUALS' CONDITIONS/NEEDS. BGHC USES THE NATIONALLY STANDARDIZED SCREENING TOOL, "PARPARE" TO ASSESS AND BETTER UNDERSTAND AN INDIVIDUAL'S SOCIAL DRIVERS OF HEALTH (SOCIAL DETERMINANTS OF HEALTH "(SDOH). BY SCREENING FOR SDOH AND THE USE OF THE PRAPARE FORM, BGHC REDUCES THE IMPACT OF CHRONIC CONDITIONS BY PROVIDING EVIDENCED BASED INTERVENTIONS SUCH AS COMPREHENSIVE, LIFESTYLE FOCUSED SELF-MANAGEMENT PROGRAMS THAT ADDRESS DIABETES, HYPERTENSION, OBESITY, AND OTHER CHRONIC CONDITIONS THAT AFFLICT SOCIETY TODAY. CONSEQUENTLY, HAVING A POSITIVE IMPACT AND IMPROVEMENT ON HEALTH EQUITY AT THE INDIVIDUAL, COMMUNITY, AND SYSTEMS LEVELS. BGHC IS A HYBRID ORGANIZATION OF MOSTLY ALL VOLUNTEERS WITH ONLY 8 PAID EMPLOYEES AND GOVERNED BY A DIVERSE ELEVEN-MEMBER BOARD OF DIRECTORS WITH EXPERTISE IN HEALTH CARE, GOVERNANCE, LEADERSHIP, SPIRITUAL CARE, ADMINISTRATION, FISCAL OVERSIGHT, AND FUNDRAISING. |
| FORM 990, PART III, LINE 3 | ADDED ACUTE CARE MEDICAL CLINICS, ADDED A PATIENT NAVIGATOR, AND COMMUNITY HEALTH WORKER TO THE TEAM. |
| FORM 990, PART VI, SECTION A, LINE 2 | CRYSTAL HAIGHT -BOARD MEMBER IS ALSO THE OWNER OF NORTHWEST BOOK PROS; LLOYD NEAL, PROJECT MANAGER & CONSULTANT, RELATED TO SUSAN K NEAL , EXECUTIVE DIRECTOR. |
| FORM 990, PART VI, SECTION B, LINE 11B | BGHC BOARD MEMBERS RECEIVE A COPY OF THE 990 FOR REVIEW AND GO THROUGH THE 990 IN A BOARD MEETING AND SIGN A DOCUMENT STATING THAT THEY HAVE REVIEWED THE 990 AND UNDERSTAND TO THE BEST OF THEIR ABILITY. |
| FORM 990, PART VI, SECTION B, LINE 12C | EVERY BOARD MEMBER IS ASKED TO SIGN DOCUMENT EACH YEAR AND ANY NEW BOARD MEMBER IS ASKED TO SIGN AND DISCLOSE. THESE SIGNED DOCUMENTS ARE SAVED IN THE ORGANIZATIONAL FILES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS MUST OBTAIN INFORMATION (I.E., WHAA, NAFC, LABOR & INDUSTRIES, GUIDESTAR COMPENSATION SURVEYS, AND/OR OTHER SALARY SURVEYS) ON THE SALARIES PAID TO EXECUTIVES OF SIMILAR ORGANIZATIONS EVERY THREE YEARS AND USE THAT BENCHMARK FOR SETTING EXECUTIVE SALARIES. SALARIES AND WAGES FOR THE EXECUTIVE DIRECTOR AND PAID STAFF WILL BE REVIEWED ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 25,906. MANAGEMENT AND GENERAL EXPENSES 29,660. FUNDRAISING EXPENSES 48,399. TOTAL EXPENSES 103,965. |
| FORM 990, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| Software ID: | |
| Software Version: |