2024-03-28T08:56:48-05:00 2023-05-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-06-01 911138675 TRI-CITIES COMMUNITY HEALTH TRI- 5095472204 PO BOX 1452 PASCO WA 99301 KRISTY NEEDHAM CEO 5095472204 2024-03-26 1 KRISTY NEEDHAM 0 KURT BENNION P01469618 4252506100 2024-03-26 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KRISTY NEEDHAM PO BOX 1452 PASCO WA 99301 48742313 0 X WWW.MYTCCH.ORG X 1981 WA DELIVER THE HIGHEST QUALITY HEALTH CARE TO EVERY PERSON, EVERY TIME. 11 11 447 16 0 0 11998740 11092266 34907483 37482462 41430 35464 1634919 132121 48582572 48742313 4100 4100 0 0 29933247 29056850 0 0 0 14881574 14417087 44818921 43478037 3763651 5264276 40247237 47699344 5674239 7643644 34572998 40055700 WE ARE DEDICATED TO THE COMMUNITIES WE SERVE, BRINGING TOGETHER A UNIFIED TEAM THAT DELIVERS THE HIGHEST QUALITY HEALTH CARE TO EVERY PERSON, EVERY TIME. 0 0 29147796 4100 34466574 THE CLINIC PROVIDES MEDICAL, DENTAL, VISION AND URGENT CARE TO MIGRANT AND LOW-INCOME PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO SELF-PAY PATIENTS WAS $5,031,446 FOR THE FISCAL YEAR ENDED 5/31/2023. THE CLINIC PROVIDED 95,178 MEDICAL, DENTAL AND VISION ENCOUNTERS DURING THE FISCAL YEAR. 2104234 0 1269469 THE CLINIC PROVIDES MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING, THERAPY AND PSYCHIATRIC SERVICES TO MIGRANT AND LOW INCOME PERSONS THROUGHOUT BENTON AND FRANKLIN COUNTIES. THE CLINIC PROVIDED 10,302 MENTAL HEALTH AND SUBSTANCE ABUSE ENCOUNTERS DURING THE FISCAL YEAR. 1363747 0 1746419 THE CLINIC OFFERS MATERNITY SUPPORT SERVICES (MSS), INFANT CASE MANAGEMENT (ICM), SOCIAL SERVICES (OUTREACH) AND WIC NUTRITION EDUCATION APPOINTMENTS, AND CLASSES TO HIGH RISK MOMS DURING AND POST-DELIVERY. A LARGE PERCENTAGE OF THOSE TCCH SERVES ARE MIGRANT AND SEASONAL FARM WORKERS. TCCH PROVIDED 3,740 ENCOUNTERS DURING THE FISCAL YEAR. THESE PROGRAMS IMPROVE ACCESS TO CARE AND PROMOTE PROACTIVE HEALTH CARE MESSAGES TO IMPROVE HEALTHY DELIVERIES AND LIVING. 32615777 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 37 0 447 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 X CHRIS SHARPE 5095472204 PO BOX 1452 PASCO WA 99301 RICHARD WILLIAMS PHYSICIAN 40.00 0.00 X 562943 0 33223 SRINIVAS MASCAL PHYSICIAN (THROUGH NOVEMBER 2022) 40.00 0.00 X 498221 0 22299 COLIN MCKAY PHYSICIAN 40.00 0.00 X 473637 0 24482 EMAD ABU-KHIERAN PHYSICIAN 40.00 0.00 X 378240 0 34266 STEPHANIE WHEELER PHYSICIAN 40.00 0.00 X 346542 0 33395 JIM MERRILL INTERIM CEO & CEO (THROUGH OCTOBER 2022) 40.00 0.25 X 334722 0 27111 BRIAN SCHUR DENTAL DIRECTOR 40.00 0.00 X 196911 0 30256 AMANDA LANG CHIEF MEDICAL OFFICER 40.00 0.00 X 193498 0 16036 KRISTY NEEDHAM COO & INTERIM CEO 40.00 0.00 X 168530 0 29408 JIM DAVIS CEO (THROUGH FEBRUARY 2022) 40.00 0.00 X 165290 0 6621 BRYAN CURTIS CIO 40.00 0.00 X 66956 0 9226 MEGAN LAURION CHIEF FINANCIAL OFFICER (THROUGH JANUARY 2023) 40.00 0.00 X 54611 0 7551 STEVEN CLARK INTERIM CEO (SEPT-NOV 2022) 40.00 0.00 X 0 0 0 ANA RUIZ RAMIREZ CHAIR (THROUGH OCTOBER 2022) 1.00 0.00 X X 0 0 0 RUDY MENDOZA TREASURER & CHAIR 1.00 0.25 X X 0 0 0 RICHA SIGDEL VICE CHAIR 1.00 0.00 X X 0 0 0 KRISTINE TAGGARES SECRETARY & BOARD MEMBER 1.00 0.25 X X 0 0 0 DEE DICKERSON BOARD MEMBER & SECRETARY 1.00 0.00 X X 0 0 0 STEPHANIE MATHEWS BOARD MEMBER & TREASURER 1.00 0.00 X X 0 0 0 DR SHARON AHART BOARD MEMBER (THROUGH JUNE 2022) 1.00 0.25 X 0 0 0 FELIPE GARCIA SARGEANT-AT-ARMS 1.00 0.00 X 0 0 0 PHIL HILL BOARD MEMBER (THROUGH JANUARY 2023) 1.00 0.00 X 0 0 0 DR GUY JONES BOARD MEMBER (THROUGH JULY 2022) 1.00 0.25 X 0 0 0 LARRY KURZ BOARD MEMBER 1.00 0.00 X 0 0 0 JUAN LOPEZ BOARD MEMBER 1.00 0.00 X 0 0 0 JEFF MADDISON BOARD MEMBER 1.00 0.00 X 0 0 0 GRETCHEN PATRICK BOARD MEMBER 1.00 0.00 X 0 0 0 CYNTHIA PEREZ BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL TUOHY BOARD MEMBER (THROUGH MARCH 2023) 1.00 0.00 X 0 0 0 3440101 0 273874 57 1 1 0 STRATUS INDEMAND PO BOX 674954 DETROIT MI 482674954 LANGUAGE SERVICES 666331 ADI MOBILE HEALTH 19425 SW 89TH AVENUE TUALATIN OR 97062 MOBILE DENTAL CLINIC 414000 MEDICUS HEALTHCARE SOLUTIONS 22 ROULSTON ROAD WINDHAM NH 03087 LOCUM TENENS 398067 QUALITY CLEANING PO BOX 1381 YAKIMA WA 98907 CLEANING SERVICES 141819 COMMUNITY LINK CONSULTING PO BOX 276 NEWMAN LAKE WA 99025 INTERIM CEO, CONSULTING SERVICES 105295 5 11059766 32500 495837 11092266 PATIENT SERVICE REVENUE, NET 624100 35362070 35362070 CAPITATION REVENUE 624100 1114914 1114914 RISK POOL REVENUE 624100 606198 606198 EHR INCENTIVE 624100 399280 399280 37482462 35464 35464 OTHER REVENUE 900099 132121 132121 132121 48742313 37482462 0 167585 4100 4100 1238650 85680 1152970 22421940 18345016 4076924 400378 329093 71285 3465202 2738411 726791 1530680 1189628 341052 183633 183633 68533 68533 3737029 2150862 1586167 179896 21936 157960 275824 87248 188576 165794 52443 113351 869738 391504 478234 178610 87867 90743 122386 60207 62179 44427 14927 29500 1427091 798627 628464 110896 110896 MEDICAL SUPPLIES 6059608 5961569 98039 EQUIPMENT LEASE, REPAIR 445576 100579 344997 MISCELLANEOUS 304819 99694 205125 LICENSES & DUES 149199 50129 99070 94028 46257 47771 43478037 32615777 10862260 0 17788167 21030589 665519 655540 2825616 4467002 567680 567680 331021 266383 455544 271304 33150857 15791014 14926187 17359843 1239720 1208575 1447783 1872428 40247237 47699344 2768359 3953346 77308 506580 1490469 1490469 1338103 1117994 0 575255 5674239 7643644 X 34572998 40055700 34572998 40055700 40247237 47699344 5264276 -63505 281931 0 X 0 1 X 1 1 1 X 1 2759 19293 21894 158 1 X 2523601 2523601 21562473 9837420 11725053 229725 132129 97596 7167066 5821465 1345601 1667992 1667992 17359843 RIGHT-OF-USE LEASE LIABILITIES 575255 575255 X 48706849 0 48706849 35464 35464 48742313 43478037 0 43478037 0 43478037 PART IV, LINE 1B: CHECK BOOKS ARE HELD FOR ONE PATIENT. THE BANK ACCOUNT IS UNDER THE PATIENT'S NAME. TCCH MAKES SURE BILLS ARE PAID BUT THE MONEY IS NOT PROVIDED TO TCCH DIRECTLY. PART IV, LINE 2B: STATE DEPARTMENT OF COMMERCE: THESE FUNDS ARE AVAILABLE TO SUPPORT HOUSING PROJECTS FOR INDIVIDUALS FOR 50 YEARS. HOUSING ASSISTANCE COUNCIL: THESE FUNDS ARE FOR THE PURCHASE OF LOTS FOR THE SELF-HELP HOUSING PROGRAM. THE FUNDS ARE DRAWN DOWN AT THE TIME OF PURCHASE. WHEN THE LOTS ARE SOLD, 75 PERCENT OF THE FUNDS ARE HELD IN A REVOLVING FUND FOR FUTURE LOT PURCHASES WITH THE REMAINING 25 PERCENT RETURNED TO THE HOUSING ASSISTANCE COUNCIL. HOUSING AND URBAN DEVELOPMENT: THESE FUNDS ARE ALLOCATED FOR USE AS SPECIFIED BY THE GRANT AGREEMENTS. FUNDS RECEIVED BY THE CLINIC ARE FOR THE PURCHASE OF LOTS TO BE SOLD TO FAMILIES IN THE SELF-HELP PROGRAM AND ARE INCLUDED IN A REVOLVING ACCOUNT UNTIL IT IS NO LONGER USED FOR LOT PURCHASES OR SUBSIDIES, AT WHICH TIME IT IS TO BE RETURNED TO HOUSING AND URBAN DEVELOPMENT. COMMUNITY HOUSING DEVELOPMENT ORGANIZATION: THESE FUNDS ARE TO BE RETURNED SHOULD THE HOME BE SOLD OR FORECLOSED BEFORE THE MINIMUM AFFORDIBILITY PERIOD ENDS, WHICH VARIES BETWEEN 5 AND 15 YEARS BASED ON THE COST OF THE UNIT. AFTER THE MINIMUM AFFORDIBILITY PERIOD HAS BEEN ACHIEVED, THE ASSOCIATED DEBT IS FORGIVEN AND THE FUNDS ARE RECOGNIZED AS REVENUE BY THE CLINIC. PART X, LINE 2: THE CLINIC HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE THAT STATES IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS. MANAGEMENT EVALUATED THE CLINICS' TAX POSITIONS AND CONCLUDED THAT THE CLINIC HAD TAKEN NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. PART XI, LINE 4B - OTHER ADJUSTMENTS: NET INVESTMENT INCOME 35,464. X X X 1 0 0 1 0 0 0 0 0 RICHARD WILLIAMS PHYSICIAN 550943 0 12000 0 0 0 9061 0 24162 0 596166 0 0 0 SRINIVAS MASCAL PHYSICIAN (THROUGH NOVEMBER 2022) 256481 0 200834 0 40906 0 6768 0 15531 0 520520 0 0 0 COLIN MCKAY PHYSICIAN 321268 0 152369 0 0 0 7946 0 16536 0 498119 0 0 0 EMAD ABU-KHIERAN PHYSICIAN 345788 0 32452 0 0 0 9150 0 25116 0 412506 0 0 0 STEPHANIE WHEELER PHYSICIAN 333542 0 13000 0 0 0 9150 0 24245 0 379937 0 0 0 JIM MERRILL INTERIM CEO & CEO (THROUGH OCTOBER 2022) 224451 0 9000 0 101271 0 9150 0 17961 0 361833 0 0 0 BRIAN SCHUR DENTAL DIRECTOR 196911 0 0 0 0 0 6022 0 24234 0 227167 0 0 0 AMANDA LANG CHIEF MEDICAL OFFICER 193498 0 0 0 0 0 5865 0 10171 0 209534 0 0 0 KRISTY NEEDHAM COO & INTERIM CEO 168530 0 0 0 0 0 5188 0 24220 0 197938 0 0 0 JIM DAVIS CEO (THROUGH FEBRUARY 2022) 140616 0 0 0 24674 0 1756 0 4865 0 171911 0 0 0 PART I, LINE 4A DURING 2022, JIM MERRILL RECEIVED SEVERANCE PAYMENTS OF $62,503. PART I, LINE 5 MEDICAL PROVIDERS MAY QUALIFY FOR INCENTIVE COMPENSATION BASED ON THE NUMBER OF PATIENT ENCOUNTERS, WHICH IS CLOSELY CONNECTED WITH THE ORGANIZATION'S REVENUES. X 27925 FMV X 35 467912 INVOICE PRICE 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE GOVERNING BOARD, THE IMMEDIATE PAST CHAIR OF THE BOARD, AND ONE OTHER BOARD MEMBER TO BE DESIGNATED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE IS THE ONLY COMMITTEE AUTHORIZED TO REVIEW AND TAKE ANY NECESSARY ACTION, WHICH, IN THE OPINION OF A MAJORITY OF THE COMMITTEE UPON VOTE WHERE FOUR MEMBERS ARE PRESENT, CANNOT WAIT FOR THE NEXT REGULARLY SCHEDULED BOARD MEETING OR WHERE CALLING A SPECIAL BOARD MEETING IS NOT PRACTICAL. ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE MUST BE RATIFIED BY THE FULL BOARD AT THE NEXT BOARD MEETING AND DOCUMENTED IN THE MINUTES. FORM 990, PART VI, SECTION A, LINE 3 DURING THE FISCAL YEAR, TRI-CITIES COMMUNITY HEALTH CONTRACTED WITH COMMUNITY LINK CONSULTING TO PROVIDE INTERIM CEO SERVICES FOR APPROXIMATELY 90 DAYS. TRI-CITIES COMMUNITY HEALTH PAID COMMUNITY LINK CONSULTING $104,855 FOR THESE SERVICES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CFO AND ANY COMMENTS OR QUESTIONS WERE ADDRESSED WITH THE PREPARER. A FINAL DRAFT WAS PRESENTED TO THE CEO, WHO THEN APPROVED THE 990. ONCE MANAGEMENT WAS SATISFIED WITH THE 990, IT WAS REVIEWED BY THE FINANCE COMMITTEE. THE FORM 990 WAS THEN REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST AT THE TIME OF APPOINTMENT TO THE BOARD OR THROUGH SELF-DISCLOSURE IN THE INTERIM. DISCLOSURES ARE REVIEWED BY THE FULL BOARD. IF A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER IS EXCUSED FROM ALL DISCUSSIONS AND ANY VOTING THAT RELATES TO THE MATTER IN QUESTION. IT IS UNDERSTOOD THAT ALL BOARD MEMBERS HAVE AN OBLIGATION TO REPORT ANY MATTERS OR ISSUES THAT MAY GIVE RISE TO A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE HUMAN RESOURCE DEPARTMENT REGULARY CONDUCTS SALARY REVIEWS AND SURVEYS FOR ALL POSITIONS, INCLUDING KEY EMPLOYEES AND OFFICERS, AND ADVISES THE BOARD OF DIRECTORS OF THEIR FINDINGS UPON REQUEST. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE CEO'S COMPENSATION. THE CEO REVIEWS AND APPROVES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES, ALTHOUGH THE BOARD OF DIRECTORS APPROVES THE SALARY RANGES OF ALL POSITIONS IN THE ORGANIZATION EVERY THREE YEARS. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. TRI-CITIES COMMUNITY HEALTH FOUNDATION PO BOX 1452 PASCO WA 99301 851217043 FUNDRAISING TO SUPPORT TRI-CITIES COMMUNITY HEALTH WA 501(C)(3) LINE 7 TRI-CITIES COMMUNITY HEALTH 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0