2018-05-01T20:09:30-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2017-01-01 910893287 NEIGHBORCARE HEALTH NEIG 2064616935 1200 12TH AVENUE SOUTH NO 901 SEATTLE WA 98144 MICHAEL ERIKSON CEO 2064616935 2018-04-27 1 KURT BENNION CPA P01469618 4252506100 2018-04-27 2017 2022-09-23 18:48:47Z MICHAEL ERIKSON 1200 12TH AVENUE SOUTH NO 901 SEATTLE WA 98144 97557272 0 X WWW.NEIGHBORCARE.ORG X 1969 WA PROVIDE COMPREHENSIVE HEALTH CARE TO FAMILIES AND INDIVIDUALS WHO HAVE DIFFICULTY ACCESSING CARE. 14 14 967 82 0 0 25206046 25011875 49678477 57488501 144682 85028 3499936 1666128 78529141 84251532 0 4250 0 0 48854532 56227455 0 0 141154 24861835 25480680 73716367 81712385 4812774 2539147 79745839 68352904 28979207 15085222 50766632 53267682 X THE ORGANIZATION IS A COMMUNITY-BASED, NON-PROFIT AGENCY THAT OPERATES 28 MEDICAL, DENTAL, AND SCHOOL-BASED HEALTH CENTERS THROUGHOUT SEATTLE AND PROVIDES SERVICES TO OVER 72,215 PEOPLE EACH YEAR. OUR CLINICS ARE LOCATED THROUGHOUT AREAS OF KING COUNTY THAT HAVE THE HIGHEST RATES OF UNINSURED FAMILIES AND THE GREATEST ETHNIC DIVERSITY. INTEGRATED HEALTHCARE SERVICES ARE PROVIDED ON A SLIDING FEE SCALE FOR THE UNINSURED, AND NO ONE IS EVER TURNED AWAY DUE TO INABILITY TO PAY. WE ARE UNIQUELY SKILLED IN PROVIDING CULTURALLY RESPONSIVE SERVICES TO OUR DIVERSE PATIENT POPULATION, WHICH INCLUDES PATIENTS WHO SPEAK MORE THAN 100 DIFFERENT LANGUAGES AND DIALECTS AND REPRESENT MANY CULTURAL GROUPS. WE PROVIDE SERVICES TO RESIDENTS OF URBAN SEATTLE AND SURROUNDING AREAS. OUR TARGET POPULATION CONSISTS OF THE URBAN POOR, UNINSURED, MEDICAID ELIGIBLE, HOMELESS, RECENT IMMIGRANTS, NON-ENGLISH SPEAKING, AS WELL AS THOSE WHO ARE ISOLATED FROM SERVICES DUE TO TRANSPORTATION OR CULTURAL BARRIERS. 0 0 39539383 4250 37346859 PRIMARY MEDICAL CARE SERVICES INCLUDE THE DIAGNOSIS AND TREATMENT OF ILLNESS AND INJURY, CHRONIC DISEASE MANAGEMENT, HEALTH EDUCATION AND PREVENTIVE CARE (SUCH AS WELL-CHILD EXAMS, SCREENING SERVICES AND IMMUNIZATIONS), SOCIAL WORK, MENTAL HEALTH AND CHEMICAL DEPENDENCY SERVICES. NEIGHBORCARE HEALTH ALSO PROVIDES NUTRITION EDUCATION, MATERNITY SUPPORT SERVICES (INCLUDING MIDWIFERY SERVICES), WIC (WOMEN, INFANT, AND CHILDREN PROGRAM) SERVICES AND OUTREACH, AND PUBLIC INSURANCE APPLICATION ASSISTANCE. NEIGHBORCARE HEALTH PROVIDES SPECIALIZED PROGRAMS SUCH AS WOMEN'S HEALTH, TB, HIV, AND PROGRAMS FOCUSED ON CARING FOR HOMELESS YOUTH AND FAMILIES. THE MEDICAL PROGRAM ENCOURAGES PATIENT INVOLVEMENT IN IMPROVING AND MAINTAINING GOOD HEALTH. IN 2017, NEIGHBORCARE HEALTH PROVIDED 225,740 VISITS TO 57,619 PATIENTS AND $6,065,690 OF CHARITY CARE. 14927016 0 14228877 GENERAL DENTISTRY SERVICES INCLUDE ORAL HEALTH EXAMS, HYGIENE, AND RESTORATIVE SERVICES TO CONTAIN THE DISEASE PROCESS. PERIODONTAL AND ENDODONTIC CARE IS ALSO PROVIDED. IN 2017, NEIGHBORCARE PROVIDED 87,398 DENTAL VISITS TO 29,725 CHILDREN AND ADULTS. 3914392 0 3652963 SCHOOL-BASED HEALTH SERVICES INCLUDE PRIMARY MEDICAL SERVICES, MENTAL HEALTH, SUBSTANCE ABUSE COUNSELING, TOBACCO PREVENTION AND CESSATION PROGRAMS, AND A VARIETY OF SUPPORT GROUPS FOR YOUTH, ALL WITHIN SEATTLE PUBLIC SCHOOLS. EMPHASIS IS PLACED ON AGE-APPROPRIATE HEALTH EDUCATION AND SKILL-BUILDING TO HELP YOUTH MAKE HEALTHY LIFESTYLE CHOICES SO THAT THEY MAY THRIVE AT SCHOOL AND BUILD STRONG RELATIONSHIPS AT SCHOOL, HOME, AND IN THEIR COMMUNITY. IN 2017, NEIGHBORCARE HEALTH PROVIDED 20,230 VISITS TO 4,498 SCHOOL-BASED PATIENTS. 3221955 0 3006772 SERVICES FOR HOMELESS PATIENTS INCLUDE PROGRAMS OPERATED IN PARTNERSHIP WITH THE CITY OF SEATTLE'S HEALTH CARE FOR THE HOMELESS INITIATIVE. FAMILY TEAM FOCUSES ON CRISIS INTERVENTION THERAPY, MENTAL HEALTH COUNSELING, CHILD GROWTH AND DEVELOPMENT, IMMUNIZATION SCREENING, PARENTING SKILLS, SELF-CARE SKILLS, CHRONIC AND ACUTE DISEASE MANAGEMENT AND REFERRALS FOR LONG-TERM CARE. THE HOMELESS YOUTH CLINIC PROVIDES SERVICES TO HOMELESS AND STREET INVOLVED YOUTH, INCLUDING PRIMARY MEDICAL CARE, DENTAL CARE, SOCIAL SERVICES, MENTAL HEALTH COUNSELING, ACUPUNCTURE, NATUROPATHY, YOGA, AND OUTREACH, AS WELL AS A RANGE OF ALLOPATHIC COMPLEMENTARY AND ALTERNATIVE HEALTH CARE SERVICES. 3221955 0 3006772 61602746 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 92 0 967 1 0 0 0 0 0 1 1 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X X JANINE CHILDS 2065483034 1200 12TH AVENUE SOUTH SUITE 901 SEATTLE WA 98144 TONY BOZZUTI CHAIR (THROUGH MARCH 2017) 4.50 0.00 X X 0 0 0 BARBARA SHICKICH CHAIR 3.00 0.00 X X 0 0 0 JOYCE LAMMERT MD VICE CHAIR 2.00 0.00 X X 0 0 0 ANDREA DAHL SECRETARY (THROUGH MARCH 2017) 2.00 0.00 X X 0 0 0 JENNIFER BELL SECRETARY 2.00 0.00 X X 0 0 0 BOB GREENLEE TREASURER 2.00 0.00 X X 0 0 0 SARAH CHESEMORE DIRECTOR 1.00 0.00 X 0 0 0 ROSE FELICIANO DIRECTOR 1.00 0.00 X 0 0 0 ANDREW FEMLING DIRECTOR 1.00 0.00 X 0 0 0 HOLLY FERRARO DIRECTOR 1.00 0.00 X 0 0 0 SALIL GUPTE DIRECTOR 1.00 0.00 X 0 0 0 JOHN JENKEL DIRECTOR 1.00 0.00 X 0 0 0 ROM LEE DIRECTOR 1.00 0.00 X 0 0 0 TAMIKO MIYANO DIRECTOR (THROUGH OCTOBER 2017) 1.00 0.00 X 0 0 0 NANCY NIPPLES DIRECTOR 1.00 0.00 X 0 0 0 EVELYN PICKETTS DIRECTOR (THROUGH JUNE 2017) 1.00 0.00 X 0 0 0 RICK RUBIN DIRECTOR 1.00 0.00 X 0 0 0 JOYCE WILLIAMS DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL ERIKSON MSW CHIEF EXECUTIVE OFFICER 50.00 0.00 X 335687 0 44704 JANINE CHILDS MHA CHIEF FINANCIAL OFFICER 49.50 0.50 X 196049 0 27123 MEREDITH VAUGHAN MHA CHIEF OPERATING OFFICER 50.00 0.00 X 187553 0 16300 PEGGY EVANS PHD CHIEF TRANSFORMATION OFFICER 40.00 0.00 X 171048 0 24188 MARCUS REMPEL MD PHD CHIEF MEDICAL OFFICER 50.00 0.00 X 270845 0 44883 SARAH VANDER BEEK DMD CHIEF DENTAL OFFICER 40.00 0.00 X 201455 0 28374 AMANDA GAYLES CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 184818 0 28513 JOSEPH SPARACIO CHIEF DEVELOPMENT OFFICER 40.00 0.00 X 153159 0 32272 THOMAS SCOTT MD SITE MEDICAL DIRECTOR 40.00 0.00 X 216109 0 43517 KATHLEEN TUBRIDY MD SITE MEDICAL DIRECTOR 40.00 0.00 X 186764 0 29366 JESSICA WESCH MD SITE MEDICAL DIRECTOR 36.00 0.00 X 182200 0 21033 CRAIG SZELA MD PHYSICIAN 36.00 0.00 X 178844 0 8237 DENNIS HAACK MD SITE MEDICAL DIRECTOR 36.00 0.00 X 175515 0 39240 KATIE BELL MBA MHA FORMER COO 0.00 0.00 X 100699 0 4093 2740745 0 391843 79 1 1 0 INDEMAND INTERPRETING 555 ANDOVER PARK W STE 201 TUKWILA WA 98188 LANGUAGE INTERPRETATION 392329 CYPRESS SECURITY LLC 478 TEHAMA ST SAN FRANCISCO CA 94103 SECURITY 291008 TRIAD RESULTS INC 2661 N PEARL ST 138 TACOMA WA 98407 CONSULTING 257675 JONES BOYS MAINTENANCE CO INC 1813 130TH AVE NE STE 110 BELLEVUE WA 98005 JANITORIAL 243128 EDGEWOOD DENTAL LABORATORY INC 8221 44TH AVE W STE H MUKILTEO WA 98275 LAB SERVICES 230014 12 61390 1131532 15792751 8026202 1743422 25011875 PATIENT FEES 621400 57488501 57488501 57488501 227264 227264 746970 0 746970 746970 746970 13026130 13026688 141678 -558 -141678 -142236 -142236 183803 61390 137374 46429 46429 OTHER REVENUE 900099 872729 872729 872729 84251532 58235471 0 1004186 4250 4250 2051762 260730 1791032 44845940 36022722 8741215 82003 1344254 1079779 262017 2458 4020873 3187722 826742 6409 3964626 3143129 815177 6320 100279 32913 66917 449 57264 18795 38213 256 6653989 2203709 4421214 29066 237162 184069 48765 4328 3933373 3104113 822366 6894 42523 32826 8697 1000 2281232 1692003 588025 1204 79595 28507 50870 218 172782 61881 110427 474 65647 62114 3533 2543209 1977697 565512 295387 148835 146547 5 PHARMACEUTICALS 5103341 5103228 113 MEDICAL SUPPLIES 1571367 1242258 329109 BAD DEBT EXPENSE 1428430 1428430 LABORATORY FEES 558205 558205 356895 24831 331994 70 81712385 61602746 19968485 141154 3197563 152649 4167252 3315822 2669747 3889470 4727116 5065841 14471 225476 234725 1032077 1204042 45247434 18283828 28273925 26963606 5000268 9928272 30437944 17598477 79745839 68352904 9499542 13934239 331749 36646 19066704 1079167 81212 35170 28979207 15085222 X 45973247 49089306 4793385 4178376 50766632 53267682 79745839 68352904 X 2539147 -84138 46041 X 0 1 X 1 1 1 X 14098483 18049915 26991252 25206046 25011875 109357571 14098483 18049915 26991252 25206046 25011875 109357571 109357571 100658 89642 242960 904080 974234 2311574 1088724 1020529 1365937 2838360 1056532 7370082 119039227 209663421 0.91870 0.91600 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE SPECIAL FUNDRAISING EVENT REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 35000 35000 81536231 81571231 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 13000 12000 35000 60000 250000 250000 250000 250000 1000000 1500000 2592380 2592380 24685028 8245197 16439831 4518960 3067124 1451836 13399436 6971507 6427929 51630 51630 26963606 FACILITY CONTRIBUTION RECEIVABLE 3924897 MERIDIAN CENTER FOR HEALTH RECEIVABLE 13673580 17598477 INTEREST RATE SWAP 35170 35170 X 76912894 -84138 479043 137374 532279 76380615 7870917 7870917 84251532 80900372 479043 137374 616417 80283955 1428430 1428430 81712385 PART X, LINE 2: NEIGHBORCARE HEALTH HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) THAT STATES IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. MANAGEMENT EVALAUTED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. THE ORGANIZATION'S FEDERAL INCOME TAX RETURNS ARE GENERALLY SUBJECT TO EXAMINATION FOR THREE YEARS AFTER THEY ARE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 137,374. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT RETURN 142,568. AFFORDABLE CARE ACT CAPITAL DEVELOPMENT GRANT REVENUE 161,627. PROVISION FOR BAD DEBT 1,428,430. CAPITAL CAMPAIGN 5,006,760. TRANSFER FROM AFFILIATES 1,131,532. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 137,374. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 1,428,430. SPRING EVENT 192474 39806 152668 8748 71962 1000 28945 FEAST AT THE MARKET 52719 21584 31135 800 15730 10189 245193 61390 183803 9548 87692 1000 39134 137374 46429 X X X X X 1 0 0 0 0 0 0 0 0 MICHAEL ERIKSON MSW CHIEF EXECUTIVE OFFICER 335687 0 0 0 0 0 30439 0 14265 0 380391 0 0 0 JANINE CHILDS MHA CHIEF FINANCIAL OFFICER 196049 0 0 0 0 0 19625 0 7498 0 223172 0 0 0 MEREDITH VAUGHAN MHA CHIEF OPERATING OFFICER 187553 0 0 0 0 0 5459 0 10841 0 203853 0 0 0 PEGGY EVANS PHD CHIEF TRANSFORMATION OFFICER 171048 0 0 0 0 0 18000 0 6188 0 195236 0 0 0 MARCUS REMPEL MD PHD CHIEF MEDICAL OFFICER 270845 0 0 0 0 0 37109 0 7774 0 315728 0 0 0 SARAH VANDER BEEK DMD CHIEF DENTAL OFFICER 181455 0 20000 0 0 0 26696 0 1678 0 229829 0 0 0 AMANDA GAYLES CHIEF HUMAN RESOURCES OFFICER 184818 0 0 0 0 0 22600 0 5913 0 213331 0 0 0 JOSEPH SPARACIO CHIEF DEVELOPMENT OFFICER 153159 0 0 0 0 0 18841 0 13431 0 185431 0 0 0 THOMAS SCOTT MD SITE MEDICAL DIRECTOR 213309 0 2800 0 0 0 34492 0 9025 0 259626 0 0 0 KATHLEEN TUBRIDY MD SITE MEDICAL DIRECTOR 185964 0 800 0 0 0 20562 0 8804 0 216130 0 0 0 JESSICA WESCH MD SITE MEDICAL DIRECTOR 182200 0 0 0 0 0 5804 0 15229 0 203233 0 0 0 CRAIG SZELA MD PHYSICIAN 173044 0 5800 0 0 0 7205 0 1032 0 187081 0 0 0 DENNIS HAACK MD SITE MEDICAL DIRECTOR 175515 0 0 0 0 0 25691 0 13549 0 214755 0 0 0 KATIE BELL MBA MHA FORMER COO 100699 0 0 0 0 0 0 0 4093 0 104792 0 0 0 PART I, LINE 4A KATIE BELL, CHIEF OPERATING OFFICER, RECEIVED A SEVERANCE PAYMENT OF $104,792. X 6 33942 SELLING PRICE X 4 1709480 SELLING PRICE 0 0 1 1 PART I, LINE 32B: THE ORGANIZATION USES ITS BROKERAGE FIRM, WELLS FARGO SECURITIES LLC, TO ACCEPT AND SELL DONATED SECURITIES. FORM 990, PART VI, SECTION A, LINE 1 THE BOARD HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE FOUR OFFICERS AND TWO ADDITIONAL BOARD MEMBERS. THE EXECUTIVE COMMITTEE HAS THE POWERS CONFERRED BY THE BOARD OF DIRECTORS TO ACT BETWEEN MEETINGS, TO MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS, AND TO CARRY OUT SPECIAL RESPONSIBILITIES ASSIGNED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE FACILITATES AN ANNUAL EVALUATION OF THE CEO, AND ANNUALLY REVIEWS AND SETS THE COMPENSATION OF THE CEO. THE EXECUTIVE COMMITTEE DETERMINES AND RECOMMENDS TO THE BOARD OF DIRECTORS FROM TIME TO TIME THE SLATE OF CANDIDATES FOR NOMINATION TO ELECTION AS OFFICERS OF THE BOARD. ANY INTERIM ACTION TAKEN BY THE EXECUTIVE COMMITTEE MUST BE RATIFIED BY THE BOARD AT ITS NEXT MEETING TO BE VALID AS AN ACT OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE, WITH AUTHORITY FROM THE BOARD OF DIRECTORS, REVIEWED THE FORM 990 WITH THE CHIEF FINANCIAL OFFICER. A FULL COPY OF THE TAX RETURN WAS MADE AVAILABLE TO THE BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR ANNUALLY SIGNS A DECLARATION IDENTIFYING CONFLICTS BETWEEN PERSONAL INTERESTS AND THE INTERESTS OF THE ORGANIZATION OF WHICH HE/SHE IS AWARE. IF A CONFLICT EXISTS, IT SHALL BE FULLY DISCLOSED TO THE BOARD OF DIRECTORS AND IN CASES WHERE THE CONFLICT MIGHT INFLUENCE A DECISION, THE PERSON WITH THE CONFLICT SHALL NOT PARTICIPATE IN THE DISCUSSION OR VOTE RELATING TO THE MATTER IN WHICH THE CONFLICT EXISTS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD USES MARKET DATA AVAILABLE FROM MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) AND NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) TO DETERMINE THE EXECUTIVE DIRECTOR'S SALARY. OTHER MANAGEMENT SALARIES ARE REVIEWED BY HUMAN RESOURCES DEPARTMENT AND ARE COMPARED TO MARKET DATA FROM PAYSCALE. THESE PROCESSES LAST OCCURRED IN 2017. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF SWAP 46,041. NEIGHBORCARE HEALTH INVESTMENT FUND LLC 1200 12TH AVENUE SOUTH SUITE 901 SEATTLE WA 98144 271590223 NEW MARKETS TAX CREDIT DE 0 0 NEIGHBORCARE HEALTH MERIDIAN CENTER FOR HEALTH 1200 12TH AVENUE SOUTH SUITE 901 SEATTLE WA 98144 471766892 SUPPORT NEIGHBORCARE HEALTH WA 501(C)(3) LINE 12C, III-FI N/A 0 NEIGHBORCARE LENDER LLC 1200 12TH AVENUE SOUTH SUITE 901 SEATTLE WA 98144 271529844 FINANCIAL SERVICES WA NEIGHBORCARE HEALTH C 43412 1.00000 1 0 0 1 1 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0 NEIGHBORCARE LENDER LLC C 931532 CASH