2022-11-15T18:48:04-06:00 2021-12-31 911663574 LARSON GROSS PLLC 2211 RIMLAND DR STE 422 BELLINGHAM WA 98226 990 2021-01-01 815020706 PIERCE COUNTY ACCOUNTABLE COMMUNITY OF HEALTH PIER 2533025508 2201 S 19TH STREET 101 TACOMA WA 98405 JOE LEROY BOARD CHAIR 2533025508 2022-11-15 1 JOE LEROY 999009999 JENNIFER KIRK - CPA P02162407 3607344280 0 AAL1 IAL1 2021 2022-09-23 18:48:47Z ELEVATE HEALTH JOE LEROY 2201 S 19TH STREET 101 TACOMA WA 98405 13623605 0 X ELEVATEHEALTH.ORG X 2016 WA TO ADVANCE THE HEALTH OF OUR POPULATION BY ELIMINATING HEALTH DISPARITIES INCLUDING PROMOTING EQUITABLE ACCESS TO HIGH QUALITY AND COST EFFECTIVE HEALTH AND HUMAN SERVICES AND RESOURCES, TO PREVENT DISEASE AND IMPROVE HEALTH. 14 13 39 14 0 0 10798721 245000 0 12873933 16186 72 0 504600 10814907 13623605 0 1357710 0 0 2427029 4278453 0 0 0 9300011 9257094 11727040 14893257 -912133 -1269652 16199803 16774292 713531 2603072 15486272 14171220 X TO ADVANCE THE HEALTH OF OUR POPULATION BY ELIMINATING HEALTH DISPARITIES INCLUDING PROMOTING EQUITABLE ACCESS TO HIGH QUALITY AND COST EFFECTIVE HEALTH AND HUMAN SERVICES AND RESOURCES, TO PREVENT DISEASE AND IMPROVE HEALTH, TO IMPROVE THE EFFICIENCY OF HEALTH CARE DELIVERY, TO EMPOWER INDIVIDUALS AND COMMUNITIES THROUGH ENGAGEMENT, COLLABORATION, AND INNOVATION, AND TO PROMOTE EQUITY IN HEALTH OUTCOMES, ACCESS TO HEALTH CARE AND COVERAGE, AND THE SOCIAL DETERMINANTS OF HEALTH THROUGHOUT PIERCE COUNTY. 0 0 10939729 1357710 13378533 TO ADVANCE THE HEALTH OF OUR POPULATION BY ELIMINATING HEALTH DISPARITIES INCLUDING PROMOTING EQUITABLE ACCESS TO HIGH QUALITY AND COST EFFECTIVE HEALTH AND HUMAN SERVICES AND RESOURCES, TO PREVENT DISEASE AND IMPROVE HEALTH, TO IMPROVE THE EFFICIENCY OF HEALTH CARE DELIVERY, TO EMPOWER INDIVIDUALS AND COMMUNITIES THROUGH ENGAGEMENT, COLLABORATION, AND INNOVATION, AND TO PROMOTE EQUITY IN HEALTH OUTCOMES, ACCESS TO HEALTH CARE AND COVERAGE, AND THE SOCIAL DETERMINANTS OF HEALTH THROUGHOUT PIERCE COUNTY. 10939729 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 150 0 1 39 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X GENA MORGAN 2533025508 2201 S 19TH STREET 101 TACOMA WA 98405 FEDERICO CRUZ-URIBE BOARD CHAIR 5.00 X X 0 0 0 JOE LEROY BOARD CHAIR & OFFICER 5.00 X X 0 0 0 HEATHER MOSS BOARD VICE CHAIR & OFFICER 5.00 X X 0 0 0 JOSE MENDOZA MD BOARD FINANCE CHAIR & OFFICER 5.00 X X 0 0 0 BETH JOHNSON BOARD SECRETARY & OFFICER 5.00 X X 0 0 0 LOIS BERNSTEIN GOVERNANCE CHAIR 5.00 5.00 X X 0 0 0 YUNI MEDLIN CAC BOARD LIASION 5.00 X X 0 0 0 MIKE CURRY INTERIM BOARD CHAIR 5.00 X X 0 0 0 ANTHONY CHEN MD BOARD MEMBER 5.00 X 0 0 0 NIGEL TURNER BOARD MEMBER 5.00 X 0 0 0 DHYAN LAL BOARD MEMBER 5.00 X 0 0 0 DAVID FLENTGE BOARD MEMBER 5.00 X 0 0 0 JAMES H WILLIAMS BOARD MEMBER 5.00 X 0 0 0 STEVE O'BAN BOARD MEMBER 5.00 5.00 X 0 0 0 COURTNEY SCHWARTZ CHIEF FINANCIAL OFFICER 38.00 2.00 X 270250 0 26296 ALISHA FEHRENBACHER CHIEF EXECUTIVE OFFICER 35.00 5.00 X 0 0 0 JODI CASTLE CHIEF OPERATING OFFICER 40.00 X 270000 0 46642 KIM BJORN SR DIRECTOR, CLINICAL INTERGRATION AND TRANSFORMAT 40.00 X 123750 0 33046 LAUREN FULTON EXECUTIVE DIRECTOR OF ONEPIERCE 2.00 38.00 X 164667 0 10923 RICHELLE MACKERSIE SR DIRECTOR OF OPERATIONS 40.00 X 110000 0 46926 MELISSA RAGGHIANTI COMPLIANCE OFFICER 39.00 1.00 X 106000 0 13314 LAUREEN TOMICH CCN CLINICAL INTEGRATION MANAGER 40.00 X 152500 0 24221 1197167 0 201368 7 0 1 0 UNIFY CONSULTING 8259 122ND AVE NE KIRKLAND WA 98003 PROJECT MANAGEMENT AND ANALYTICS 1011806 COVALENT SYSTEMS INC 1401 E KEARNEY STREET LARAMIE WY 82070 CEO 627584 ROBERT HALF INTERNATIONAL INC PO BOX 743295 LOS ANGELES CA 90074 TEMP EMPLOYEES FOR ACCOUNTING AND FINANC 350547 SCRIVEN LLC 2121 6TH AVE N316 SEATTLE WA 98121 COMMUNICATIONS SERVICES 119111 4 245000 245000 GOVERNMENT CONTRACTS 620000 12873933 12873933 12873933 72 72 MASTER SERVICE AGREEMENT-RELATED 561499 504600 504600 504600 13623605 13378533 0 72 1357710 1357710 1255045 423544 831501 2136299 849542 1286757 132627 52937 79690 491774 146981 344793 262708 120717 141991 90425 1938 88487 34766 34766 773214 218688 554526 56708 49666 7042 42746 8789 33957 3021962 2843205 178757 257683 20145 237538 48827 4279 44548 65936 20065 45871 26854 26854 2753 2753 PARTNER INCENTIVES 4821523 4821523 TAXES AND LICENSES 7377 7377 6320 6320 14893257 10939729 3953528 0 13634313 1348269 396142 413573 1228196 1123514 24890 214381 120884 120329 83664 52993 36665 673778 13706497 16199803 16774292 680028 2415004 145800 33503 42268 713531 2603072 X 15486272 14171220 15486272 14171220 16199803 16774292 -1269652 -45400 0 X 0 1 X 1 0 X 120000 2221557 245000 2586557 120000 2221557 245000 2586557 180903 2405654 7395 89472 16764 72 113703 504600 504600 3204860 89790685 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 104938 68424 36514 15391 15240 151 36665 CASH HELD IN ESCROW BY FIDUCIARY 13693397 SECURITY DEPOSITS 13100 13706497 DEFERRED RENT 42268 42268 1 PIERCE COUNTY COMMUNITY RESILIENCY FUND 2201 S 19TH STREET 101 TACOMA WA 98405 843962271 501(C)3 875629 0 FUNDING FOR COMMUNITY RESILIENCY FUND ASIAN COUNSELING & TRETMENT SERVICES (ACTS) 881 S TACOMA WAY 106 LAKEWOOD WA 98499 810585942 501(C)3 0 25014 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF CASCADE EYE & SKIN CENTER 4807 96TH AVE W UNVERSITY PLACE UNIVERSITY PLACE WA 98467 PROFESSIONAL SERVICE 0 9835 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF COMMUNITY HEALTH CARE 1148 BROADWAY STE 100 TACOMA WA 98402 911349657 501(C)3 0 12821 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF CONSEJO COUNSELING AND REFERRAL SERVICE 3808 SOUTH ANGELINE SEATTLE WA 98118 911021247 501(C)3 0 59396 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF GREATER CHRIST TEMPLE CHURCH 1926 S G ST TACOMA WA 98405 910982375 501(C)3 0 14289 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF LIVING WORD CHRISTIAN CHURCH 6437 SOUTH TACOMA WAY TACOMA WA 98409 201687683 501(C)3 0 6327 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF METROPOLITAN DEVELOPMENT COUNCIL (MDC) 945 SOUTH FAWCETT AVE TACOMA WA 98402 910780533 501(C)3 0 17588 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF NORTHWEST INTEGRATED HEALTH PO BOX 39680 LAKEWOOD WA 98496 800461504 S 0 87774 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF PEDIATRICS NORTHWAST PS 316 MARTIN L KING JR WAY STE 212 TACOMA WA 98405 912089965 C 0 7597 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF PENINSULA FAMILY MEDICAL CENTER 4700 PT FOSDICK DR NW STE 220 GIG HARBOR WA 98335 PROFIT LIMITED LIABI 0 47684 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF RI INTERNATIONAL FIFE 2701 N 16TH STREET STE 316 PHOENIX AZ 85006 711018775 C 0 6951 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF ST JOHN CHURCH 2155 SOUTH L ST TACOMA WA 98405 916199348 501(C)3 0 7160 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF TACOMA LUTHERAN RETIREMENT 1301 NORTH HIGHLANDS PARKWAYS TACOMA WA 98406 910963214 501(C)3 0 21872 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF TACOMA NEEDLE EXCHANGE 533 DOCK STREET STE 113 TACOMA WA 98402 911435394 501(C)3 0 48211 PERSONAL PROTECTIVE EQUIPMENT COVID RELIEF 10 5 PART I, LINE 2: GRANTS PROVIDED TO PIERCE COUNTY COMMUNITY RESILIENCY FUND ARE PART OF AN AGREEMENT VOTED ON BY THE BOARD OF DIRECTORS. OTHER GRANTS ARE APPROVED BY MANAGEMENT AND THE BOARD AND RECORDS OF WHO RECEIVED ASSISTANCE, INCLUDING THE TYPE OF ASSISTANCE, IS MAINTAINED. X X 0 0 0 0 0 0 0 0 0 JODI CASTLE CHIEF OPERATING OFFICER 270000 0 0 0 0 0 16200 0 30442 0 316642 0 0 0 COURTNEY SCHWARTZ CHIEF FINANCIAL OFFICER 270250 0 0 0 0 0 16020 0 10276 0 296546 0 0 0 LAUREEN TOMICH CCN CLINICAL INTEGRATION MANAGER 152500 0 0 0 0 0 9150 0 15071 0 176721 0 0 0 LAUREN FULTON EXECUTIVE DIRECTOR OF ONEPIERCE 164667 0 0 0 0 0 9880 0 1043 0 175590 0 0 0 RICHELLE MACKERSIE SR DIRECTOR OF OPERATIONS 110000 0 0 0 0 0 6600 0 40326 0 156926 0 0 0 KIM BJORN SR DIRECTOR, CLINICAL INTERGRATION A 123750 0 0 0 0 0 7425 0 25621 0 156796 0 0 0 ALDEN WILLARD SPOUSE OF BOARD MEMBER 54732 COMPENSATION AS EMPLOYEE OF THE FILING ORGANIZATION 0 JONATHAN CASTLE SPOUSE OF KEY EMPLOYEE 82399 COMPENSATION AS EMPLOYEE OF THE FILING ORGANIZATION 0 FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED THE BYLAWS TO INCLUDE A VOTING REQUIREMENT FOR DISSOLUTION OF AT LEAST 3/4 SUPERMAJORITY BY THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE COMMITTEE OF THE BOARD WILL REVIEW THE FILING AND MAKE RECOMMENDATIONS TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY AND ALL POLICIES ARE REVIEWED WITH THE BOARD ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD ACTS AS THE COMPENSATION COMMITTEE FOR REVIEW OF THE EXECUTIVE DIRECTOR/CEO'S CONTRACT AND SALARY. FOR THE INITIAL YEAR OF EMPLOYMENT, AN OUTSIDE CONSULTANT WAS ENGAGED TO PROVIDE COMPARATIVE COMPENSATION DATA FOR SIMILAR COMPANIES FOR ALL C-SUITE ROLES. COMPENSATION INCREASES HAVE BEEN IN LINE WITH COST-OF-LIVING RAISES. AS OF 2022, ELEVATE HEALTH IS WORKING WITH A 3RD PARTY TO PROVIDE A COMPENSATION ANALYSIS FOR EVERY EMPLOYEE. PRIOR TO THE COMPENSATION ANALYSIS, EMPLOYEES SALARIES WERE DETERMINED BY INTERNALLY REVIEWING COMPENSATION IN THE REGION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. PIERCE COUNTY COMMUNITY RESILIENCY FUND 2201 S 19TH STREET 101 TACOMA WA 98405 843962271 COMMUNITY RESILIENCY FUND WA 501(C)(3) LINE 7 PIERCE COUNTY ACCOUNTABLE COMMUNITY OF HEALTH 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0