2020-09-01T17:36:43-05:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2019-01-01 912168190 UNITY CARE NORTHWEST UNIT 3606766177 1616 CORNWALL AVENUE NO 205 BELLINGHAM WA 98225 JODI JOYCE CHIEF EXECUTIVE OFFICER 3606766177 2020-08-26 1 KURT BENNION CPA P01469618 4252506100 2020-08-26 67.137.57.251 2020-08-26 07:05:07 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 147C5BFBE6CB0A769A98F05292F6D94697C9BF55 2019 2021-01-29 14:40:06Z JODI JOYCE 1616 CORNWALL AVENUE NO 205 BELLINGHAM WA 98225 36622253 0 X HTTPS://UNITYCARENW.ORG X 2001 WA TO INCREASE THE YEARS OF HEALTHY LIFE IN THE PEOPLE AND COMMUNITIES WE SERVE. 10 10 324 12 0 0 4622608 3529645 30226108 32606285 172874 387297 48613 80753 35070203 36603980 653096 345380 0 0 19736781 22012057 0 0 113520 10513602 11266571 30903479 33624008 4166724 2979972 29316820 39711784 5899338 14344807 23417482 25366977 X OUR MISSION IS TO INCREASE THE YEARS OF HEALTHY LIFE IN THE PEOPLE AND COMMUNITIES WE SERVE. UNITY CARE NW IS A LOCAL, NON-PROFIT HEALTH CARE PROVIDER THAT IS PART OF A NATIONAL NETWORK OF COMMUNITY HEALTH CENTERS. ALSO KNOWN AS A FEDERALLY QUALIFIED HEALTH CENTER, WE WORK TO IMPROVE ACCESS TO HEALTH CARE FOR EVERYONE, REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY. CREATED BY A COALITION OF COMMUNITY LEADERS, HEALTH PROFESSIONALS, VOLUNTEERS, FAITH-BASED ORGANIZATIONS, AND CONCERNED CITIZENS, UNITY CARE NW HAS BEEN PROVIDING HIGH-QUALITY HEALTH CARE SERVICES FOR OVER 30 YEARS. 0 0 28314650 345380 32606285 UNITY CARE NORTHWEST PROVIDES HIGH QUALITY, PATIENT-CENTERED SERVICES TO THE PEOPLE OF WHATCOM COUNTY REGARDLESS OF ABILITY TO PAY. INTEGRATED CARE TEAMS PROVIDE COMPREHENSIVE COORDINATION OF PRIMARY MEDICAL HEALTH CARE NEEDS, AS WELL AS DENTAL, PHARMACY AND BEHAVIORAL HEALTH SERVICES. DURING 2019, UNITY CARE NORTHWEST PROVIDED SERVICES TO 21,446 UNDUPLICATED PATIENTS AND A TOTAL OF 100,154 VISITS AT THREE CLINIC SITES. OVER 41% OF PATIENTS SERVED LIVE AT OR BELOW THE FEDERAL POVERTY LINE AND 76% ARE AT OR UNDER 200% OF THIS SCALE. 28314650 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 1 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 36 0 324 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X JACQUELINE KAUHI 3606766177 1616 CORNWALL AVENUE NO 205 BELLINGHAM WA 98225 BARBARA CLURE MD MEDICAL DIRECTOR 50.00 0.00 X 282899 0 19003 DESMOND SKUBI EXECUTIVE DIRECTOR 47.50 2.50 X 257050 0 18265 DONALD BRUNK MD MEDICAL DOCTOR 45.00 0.00 X 245869 0 20587 JOHN TILLEY JR MD MEDICAL DOCTOR 45.00 0.00 X 238084 0 956 AARON MOORE MD PSYCHIATRIST 45.00 0.00 X 210383 0 16334 SHARON JUNGE MD MEDICAL DOCTOR 45.00 0.00 X 215521 0 7572 COLIN GOGGIN MD MEDICAL DIRECTOR 45.00 0.00 X 197214 0 16719 CARRIE SHANE DDS DENTAL DIRECTOR / DENTIST 50.00 0.00 X 192873 0 19454 SHANON HARDIE CHIEF OPERATIONS OFFICER 50.00 0.00 X 163272 0 14433 DIAHANN BARRERA CHIEF FINANCIAL OFFICER 50.00 0.00 X 134034 0 10609 MELVIN DE JONG PRESIDENT 2.00 0.10 X X 0 0 0 LARRY THOMPSON VICE PRESIDENT 2.00 0.00 X X 0 0 0 REBECCA SCHAYES ARNP SECRETARY 2.00 0.00 X X 0 0 0 JENNIFER MOLDVER TREASURER 2.00 0.10 X X 0 0 0 DANIEL WHITTLE PAST PRESIDENT 2.00 0.00 X X 0 0 0 JAMES BROWN DIRECTOR 1.00 0.00 X 0 0 0 ELIZABETH RAMOS DIRECTOR (THROUGH AUGUST 2019) 1.00 0.00 X 0 0 0 NAPEWASTEWIN SCHUTZER DIRECTOR 1.00 0.00 X 0 0 0 KELLIE SLATER DIRECTOR 1.00 0.00 X 0 0 0 REBECCA SPITHILL DIRECTOR 1.00 0.00 X 0 0 0 CHARLES WALTER DIRECTOR 1.00 0.00 X 0 0 0 ELAINE WOODS DIRECTOR (THROUGH JANUARY 2019) 1.00 0.00 X 0 0 0 2137199 0 143932 38 0 1 0 COMPHEALTH PO BOX 972670 DALLAS TX 753972670 CONTRACT MEDICAL PROVIDERS 273546 THE FRANKLIN CORPORATION 6459 PORTAL WAY FERNDALE WA 98248 GENERAL CONTRACTOR 182148 EVERGREEN WELLNESS ADVOCATES 115 UNITY STREET 302 BELLINGHAM WA 98225 CASE MANAGEMENT SERVICES 138170 3 75475 3049743 404427 212909 3529645 PATIENT SERVICE REVENUE 624100 32597785 32597785 MEANINGFUL USE 624100 8500 8500 32606285 387297 387297 9590 75475 18273 -8683 -8683 OTHER REVENUE 900099 89436 89436 89436 36603980 32606285 0 468050 344454 344454 926 926 1111892 514229 597663 17326671 14859469 2388825 78377 460672 391837 66217 2618 1675559 1402163 264346 9050 1437263 1201317 229610 6336 100362 100362 68613 68613 1282108 1051497 226216 4395 245961 114918 128654 2389 625736 457778 162076 5882 1490591 1328687 161904 16226 12136 4090 83813 13874 69939 174303 174303 661985 525766 136219 128268 109968 18300 MEDICAL SUPPLIES 5485969 5480473 4133 1363 TAXES & FEES 318753 19217 297157 2379 BAD DEBT EXPENSE 186879 186879 TRAINING 172196 116458 55554 184 224808 182604 41657 547 33624008 28314650 5195838 113520 13367950 15713743 326112 3015407 2047292 1849558 4535400 10089654 97911 122200 616425 770430 12806594 4655802 8325730 8150792 29316820 39711784 3405070 2470805 3677500 2494268 2386170 5507354 0 302978 5899338 14344807 X 23260324 25300974 157158 66003 23417482 25366977 29316820 39711784 X 2979972 -727500 -302978 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 2355 0 0 2355 0 PART II-B, LINE 1: UNITY CARE NORTHWEST LEADERS AND EMPLOYEES PARTICIPATED IN THE STATE'S LEGISLATIVE DAYS, DISCUSSING CURRENT AND PROPOSED LEGISLATION AS IT IMPACTS THE FQHC COMMUNITY. UNITY CARE NORTHWEST LEADERS ALSO MET WITH VARIOUS FEDERAL LEGISLATORS, DISCUSSED CURRENT AND PROPOSED LEGISLATION IMPACTING THE FQHC COMMUNITY, AND REPRESENTED THE INTERESTS OF FQHC'S. 1300000 1300000 6753287 2689307 4063980 2570060 1076428 1493632 2035331 890067 1145264 147916 147916 8150792 SWAP LIABILITY 302978 302978 X 35708064 18272 18272 35689792 914189 914189 36603981 33112947 18272 18272 33094675 529333 529333 33624008 PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS RECOGNIZED THE CENTER AS EXEMPT FROM FEDERAL INCOME TAXES UNDER PROVISION SECTION 501(A) OF THE INTERNAL REVENUE CODE AS A CENTER DESCRIBED IN SECTION 501(C)(3) AND NOT AS A PRIVATE FOUNDATION. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE CENTER EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2019 AND 2018, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. ALL TAX-EXEMPT ENTITIES ARE SUBJECT TO REVIEW AND AUDIT BY FEDERAL, STATE, AND OTHER APPLICABLE STATE STATUTES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 18,272. PART XI, LINE 4B - OTHER ADJUSTMENTS: CAPITAL CONTRIBUTIONS 424,332. CHANGE IN FAIR MARKET VALUE OF INTEREST RATE SWAP AGREEMENT 302,978. BAD DEBT EXPENSE 186,879. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 18,272. PART XII, LINE 4B - OTHER ADJUSTMENTS: TRANSFER TO AFFILIATE 342,454. BAD DEBT EXPENSE 186,879. ANNUAL GALA 85065 75475 9590 950 11410 5913 85065 75475 9590 950 11410 5913 18273 -8683 1 NORTH WHATCOM CLINIC 1616 CORNWALL AVENUE SUITE 205 BELLINGHAM WA 98225 830597273 501(C)(2) 342454 GENERAL OPERATING SUPPORT 0 1 PART I, LINE 2: TRANSFERS TO THE RELATED ORGANIZATION ARE MONITORED THROUGH COMMON BOARD OVERSIGHT AND EXECUTIVE OVERSIGHT BETWEEN THE ORGANIZATIONS. X X X X X X 0 0 0 0 0 0 0 1 0 BARBARA CLURE MD MEDICAL DIRECTOR 264138 0 18761 0 0 0 11200 0 7803 0 301902 0 0 0 DESMOND SKUBI EXECUTIVE DIRECTOR 257050 0 0 0 0 0 10435 0 7830 0 275315 0 0 0 DONALD BRUNK MD MEDICAL DOCTOR 233923 0 11946 0 0 0 10643 0 9944 0 266456 0 0 0 JOHN TILLEY JR MD MEDICAL DOCTOR 228779 0 9305 0 0 0 0 0 956 0 239040 0 0 0 AARON MOORE MD PSYCHIATRIST 204955 0 5428 0 0 0 8507 0 7827 0 226717 0 0 0 SHARON JUNGE MD MEDICAL DOCTOR 211568 0 3953 0 0 0 796 0 6776 0 223093 0 0 0 COLIN GOGGIN MD MEDICAL DIRECTOR 194122 0 3092 0 0 0 8747 0 7972 0 213933 0 0 0 CARRIE SHANE DDS DENTAL DIRECTOR / DENTIST 177941 0 14932 0 0 0 8184 0 11270 0 212327 0 0 0 SHANON HARDIE CHIEF OPERATIONS OFFICER 162072 0 1200 0 0 0 6583 0 7850 0 177705 0 0 0 PART I, LINE 7 DURING 2019, ALL EMPLOYEES WERE GIVEN A BONUS OF UP TO $1,200. THE AMOUNT WAS RECOMMENDED BY THE EXECUTIVE DIRECTOR AND APPROVED BY THE BOARD OF DIRECTORS. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2018-06-22 2614983 REFINANCE SERIES 2009 BONDS 0 0 0 A 185377 2614983 2614983 2010 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 JOHN BARRERA SPOUSE OF DIAHANN BARRERA, CFO 17994 EMPLOYEE COMPENSATION 0 X 636 FAIR MARKET VALUE X 5177 FAIR MARKET VALUE X 60 206101 INVOICE PRICE X RAFFLE PRIZES 3 995 FAIR MARKET VALUE 0 0 1 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CFO, THE CEO AND BY THE FINANCE COMMITTEE, THEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY FOR APPROVAL PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL OFFICERS, DIRECTORS, MEMBERS OF BOARD COMMITTEES, AND KEY EMPLOYEES. UPON JOINING THE ORGANIZATION, AND THEN ANNUALLY THEREAFTER, ALL COVERED INDIVIDUALS SIGN A DETAILED CONFLICT OF INTEREST STATEMENT THAT CLEARLY DEFINES EACH INDIVIDUAL'S RESPONSIBILITY TO DISCLOSE ANY POSSIBLE RELATIONSHIPS OR ARRANGEMENTS THAT COULD RESULT IN A CONFLICT OF INTEREST, AS WELL AS THE PROCEDURE FOR DEALING WITH THESE CONFLICTS IF THEY SHOULD ARISE. IF AN INDIVIDUAL HAS A POTENTIAL CONFLICT OF INTEREST, THEY DISCLOSE THE FACTS TO THE BOARD OR COMMITTEE CHAIR, AS APPROPRIATE. THE BOARD OR COMMITTEE DETERMINES WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT EXISTS, THE CONFLICTED INDIVIDUAL MUST LEAVE THE ROOM FOR ALL DISCUSSIONS AND VOTES ON THE MATTER. CONFLICT OF INTEREST DISCUSSIONS AND RESULTS ARE NOTED IN MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD HAS A POLICY REGARDING EXECUTIVE DIRECTOR AND KEY EMPLOYEE SALARY AND BENEFITS TO ENSURE THAT COMPENSATION FOR KEY EMPLOYEES IS REVIEWED AND APPROVED BY INDEPENDENT PERSONS, COMPARED AGAINST APPROPRIATE BENCHMARKS AND DOCUMENTED ADEQUATELY. TO ENSURE THAT THERE IS NO CONFLICT OF INTEREST IN THE DECISION MAKING PROCESS, THE EXECUTIVE COMMITTEE HAS ACCESS TO AN INDEPENDENT CONSULTANT TO ASSIST WITH EVALUATING SALARY AND BENEFIT STRUCTURES FOR KEY EMPLOYEES. THE PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2019. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE UPON REQUEST AND ONLINE AT WWW.GUIDESTAR.ORG, A WEBSITE THAT THE PUBLIC CAN ACCESS TO OBTAIN INFORMATION ABOUT NON-PROFITS. THE FORM 1023 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR MARKET VALUE OF INTEREST RATE SWAP AGREEMENT -302,978. NORTH WHATCOM CLINIC 1616 CORNWALL AVENUE SUITE 205 BELLINGHAM WA 98225 830597273 CONSTRUCT AND HOLD REAL ESTATE WA 501(C)(2) UNITY CARE NORTHWEST 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 NORTH WHATCOM CLINIC B 342454 CASH