2017-05-12T11:34:51-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2016-01-01 910884412 HEALTHPOINT HEAL 4252771311 955 POWELL AVENUE SW RENTON WA 98057 THOMAS TROMPETER CEO 4252771311 2017-05-12 1 KURT BENNION CPA P01469618 4252506100 67.137.57.251 2017-05-12 07:23:59 PD P 59F77CAF55642346F007A3584950FC8177DC94A0 FA31AA04F1E9B994011BE7FD015D0A50D50384CF 2016 2021-01-29 14:40:06Z THOMAS TROMPETER 955 POWELL AVENUE SW RENTON WA 98057 86025985 0 X WWW.HEALTHPOINTCHC.ORG X 1987 WA HEALTHPOINT IMPROVES PEOPLE'S HEALTH BY DELIVERING QUALITY HEALTHCARE SERVICES. 10 10 929 114 0 0 9891159 15459677 59665660 68548659 681231 585576 696465 738406 70934515 85332318 0 0 0 0 48321383 54650261 0 0 0 27334691 29814174 75656074 84464435 -4721559 867883 89270481 92226451 46916250 47904318 42354231 44322133 HEALTHPOINT STRENGTHENS COMMUNITIES AND IMPROVES PEOPLE'S HEALTH BY DELIVERING QUALITY SERVICES, BREAKING DOWN BARRIERS AND PROVIDING ACCESS TO ALL. 0 0 54887845 0 54780107 PRIMARY MEDICAL CARE - COMPREHENSIVE HEALTH CARE FOR MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS IN KING COUNTY.CHARITY CARE - DURING 2016, HEALTHPOINT PROVIDED $4,125,368 OF MEDICAL CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS WITHOUT CHARGE OR AT AMOUNTS LESS THAN HEALTHPOINT'S ESTABLISHED RATES. 13577930 0 13768552 PRIMARY DENTAL CARE - COMPREHENSIVE DENTAL CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS IN KING COUNTY.CHARITY CARE - DURING 2016, HEALTHPOINT PROVIDED $840,193 OF DENTAL CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS WITHOUT CHARGE OR AT AMOUNTS LESS THAN HEALTHPOINT'S ESTABLISHED RATES. 68465775 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 41 0 929 1 0 0 0 0 0 1 1 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 0 0 X X VICKI HAMMOND CFO 4252030416 955 POWELL AVENUE SW RENTON WA 98057 MEGAN WILDENRADT CHAIR 3.10 X X 0 0 0 LAURENCE DESHIELDS II VICE CHAIR 1.50 X X 0 0 0 VICTORIA GOETZ SECRETARY 2.10 X X 0 0 0 CAROL BELLAND TREASURER 1.10 X X 0 0 0 NOEMI ERICKSON BOARD MEMBER 1.00 X 0 0 0 LUIS GARCIA SR BOARD MEMBER 1.30 X 0 0 0 CHAD HORNER BOARD MEMBER 1.00 X 0 0 0 EDWARD LEE BOARD MEMBER 1.30 X 0 0 0 SHERYL POT BOARD MEMBER 1.00 X 0 0 0 GRACE SSEBUGWAWO BOARD MEMBER 1.00 X 0 0 0 THOMAS TROMPETER CHIEF EXECUTIVE OFFICER 40.00 X 431222 0 27433 VICKI HAMMOND CHIEF FINANCIAL OFFICER 40.00 X 163317 0 10339 DEBRA WILKINSON CHIEF OPERATING OFFICER 40.00 X 163276 0 22355 DR JUDITH FEATHERSTONE CHIEF MEDICAL OFFICER 40.00 X 211858 0 51764 DR JOHN CARON CHIEF DENTAL OFFICER 32.00 X 137969 0 6618 LISA YOHALEM CHIEF STRATEGY AND DEVELOPMENT OFFICER 40.00 X 166503 0 4225 DR SUZANNE LAUREL FAMILY PRACTITIONER LEAD 36.00 X 198201 0 39058 DR BETH NAUERT CLINICAL DIRECTOR OF PEDIATRICS 40.00 X 199773 0 23076 DR EVAN OAKES MEDICAL DIRECTOR 40.00 X 187967 0 38981 DR RUTH MICHAELIS FAMILY PRACTITIONER OB 40.00 X 184929 0 39466 DR ESTHER JOHNSTON FAMILY PRACTITIONER LEAD 40.00 X 196814 0 26601 2241829 0 289916 100 0 1 0 PTSO OF WASHINGTON 2101 FOURTH AVE STE 850 SEATTLE WA 98121 SOFTWARE SUPPORT 1926611 JR ABBOTT CONSTRUCTION INC 3408 1ST AVE S STE 101 SEATTLE WA 98134 GENERAL CONTRACTING 1656788 PACIFIC INTERPRETERS 707 SE WASHINGTON STE 200 PORTLAND OR 97205 TRANSLATION SERVICES 852590 VISTA STAFFING SOLUTIONS INC FILE 50834 LOS ANGELES CA 900740834 TEMPORARY STAFFING 743257 COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 PHYSICIAN STAFFING 616238 13 153461 11878303 3427913 2907690 15459677 PATIENT SERVICE REV. 621110 68548659 68548659 68548659 384345 384345 428194 143922 284272 284272 284272 500000 149395 274348 173816 225652 -24421 201231 201231 80334 153461 101581 -21247 -21247 MISCELLANEOUS INCOME 900099 475381 475381 475381 85332318 68548659 0 1323982 1396877 1396877 44401820 36354913 8046907 414216 344532 69684 5195529 4221906 973623 3241819 2582403 659416 134123 134123 123417 123417 64794 64794 5121081 4216648 904433 4807721 3659350 1148371 2396134 2101829 294305 460618 243110 217508 719284 476261 243023 4848166 3585374 1262792 269724 218579 51145 MED. & DENTAL SUPPLIES 8649056 8640570 8486 BAD DEBT 981760 981760 MISCELLANEOUS 855202 634039 221163 DUES & SUBSCRIPTIONS 383094 204501 178593 84464435 68465775 15998660 0 9950 99855 2951758 3574221 1086564 1819158 3698079 6318682 475592 585123 1259985 728144 80889047 27129255 55247635 53759792 24037415 24967766 299903 70110 203600 303600 89270481 92226451 11047035 12949007 43527 31238 25829010 24547772 1340307 1266901 8656371 9109400 46916250 47904318 X 42191021 44023234 163210 298899 42354231 44322133 89270481 92226451 X 867883 885348 214671 X 0 1 X 1 1 1 X 9036292 9516009 9157993 9891159 15459677 53061130 9036292 9516009 9157993 9891159 15459677 53061130 53061130 640982 667952 802538 787654 812539 3711665 83510 443194 765822 579376 555715 2427617 59200412 274942665 0.89630 0.88860 X 0.98200 0.01200 SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME LOSS ON EXTINGUISHMENT OF DEBT FUNDRAISING EVENT REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 5370 0 0 5370 0 PART II-B, LINE 1: HEALTHPOINT EMPLOYEES PARTICIPATED IN WASHINGTON STATE'S LEGISLATIVE DAYS DISCUSSING AND EDUCATING LEGISLATORS ON THE IMPACT OF CURRENT AND PROPOSED LEGISLATION TO THE FQHC COMMUNITIES. LEADERS ALSO ATTENDED THE NACHC POLICIES AND ISSUES CONFERENCE TO DISCUSS WITH AND EDUCATE FEDERAL ELECTED OFFICIALS ON THE IMPACT OF CURRENT AND PROPOSED LEGISLATION TO THE FQHC COMMUNITIES. 3714537 3714537 53465958 11981887 41484071 8814407 5147081 3667326 14783648 10000287 4783361 110497 110497 53759792 FEDERALLY OBLIGATED FUNDS 9008367 SWAP 101033 9109400 X 81129785 36999 245503 282502 80847283 4485035 4485035 85332318 81839247 36999 245503 282502 81556745 2907690 2907690 84464435 PART X, LINE 2: HEALTHPOINT'S ACTIVITIES ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; HOWEVER, UNRELATED BUSINESS ACTIVITIES WOULD BE SUBJECT TO INCOME TAX. SINCE HEALTHPOINT IS EXEMPT FROM FEDERAL INCOME TAX LIABILITY, NO PROVISION IS MADE FOR CURRENT OR DEFERRED INCOME TAX EXPENSE. FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015, MANAGEMENT EVALUATED HEALTHPOINT'S TAX POSITIONS AND CONCLUDED THAT HEALTHPOINT HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. 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 101,581. RENTAL EXPENSES 143,922. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST AND DIVIDEND INCOME 384,345. CONTRIBUTIONS 262,931. RENTAL INCOME 428,194. HOSPITAL AND SPECIALTY POOL SAVINGS 276,223. REALIZED GAINS ON INVESTMENTS 225,652. DONATED VACCINES 2,907,690. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 101,581. RENTAL EXPENSES 143,922. PART XII, LINE 4B - OTHER ADJUSTMENTS: DONATED VACCINES 2,907,690. KALEIDOSCOPE DINNER 221734 141400 80334 252 1060 50444 27710 17150 HEROS 5K WALK/RUN 12061 12061 427 465 4073 233795 153461 80334 252 1487 50444 28175 21223 101581 -21247 X X X X X 0 0 0 0 0 0 0 0 0 THOMAS TROMPETER CHIEF EXECUTIVE OFFICER 379722 0 51500 0 0 0 5598 0 21835 0 458655 0 0 0 VICKI HAMMOND CHIEF FINANCIAL OFFICER 157597 0 5000 0 720 0 2502 0 7837 0 173656 0 0 0 DEBRA WILKINSON CHIEF OPERATING OFFICER 163276 0 0 0 0 0 2296 0 20059 0 185631 0 0 0 DR JUDITH FEATHERSTONE CHIEF MEDICAL OFFICER 211858 0 0 0 0 0 3361 0 48403 0 263622 0 0 0 LISA YOHALEM CHIEF STRATEGY AND DEVELOPMENT OFFICER 160783 0 5000 0 720 0 2475 0 1750 0 170728 0 0 0 DR SUZANNE LAUREL FAMILY PRACTITIONER LEAD 198201 0 0 0 0 0 2956 0 36102 0 237259 0 0 0 DR BETH NAUERT CLINICAL DIRECTOR OF PEDIATRICS 199773 0 0 0 0 0 2999 0 20077 0 222849 0 0 0 DR EVAN OAKES MEDICAL DIRECTOR 187967 0 0 0 0 0 2936 0 36045 0 226948 0 0 0 DR RUTH MICHAELIS FAMILY PRACTITIONER OB 184929 0 0 0 0 0 2866 0 36600 0 224395 0 0 0 DR ESTHER JOHNSTON FAMILY PRACTITIONER LEAD 196814 0 0 0 0 0 2993 0 23608 0 223415 0 0 0 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2013-05-20 27738761 REFUND SERIES 2008 BONDS; ACQUIRE, CONSTRUCT, AND RENOVATE FACILITIES 0 0 0 A 3190989 27738761 156540 20890568 6691653 2013 1 0 0 1 A 0 1 0 0 0.02260 0.02260 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 X 54860 2907690 DONOR VALUED 0 0 0 0 PART I, COLUMN (B): THE NUMBER REPORTED IN PART I, LINE 20, COLUMN B IS THE NUMBER OF DONATED MEDICAL SUPPLIES RATHER THAN THE NUMBER OF DONATIONS. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS AND ONE AT-LARGE MEMBER OF THE BOARD OF DIRECTORS. WHEN AUTHORIZED BY THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE HAS THE POWER TO TAKE SPECIFIED ACTIONS OR PASS RESOLUTIONS IN THE NAME OF THE BOARD. IN THE EVENT OF AN EMERGENCY, THE EXECUTIVE COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE BOARD WITH THE UNDERSTANDING THAT THE BOARD OF DIRECTORS WILL BE APPRISED AT THE FIRST AVAILABLE DATE. A MAJORITY OF THE CURRENT COMMITTEE MEMBERS MUST BE PRESENT FOR THE EXECUTIVE COMMITTEE TO HAVE A QUORUM AND CONDUCT BUSINESS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BASED ON DATA PROVIDED TO THE AUDITORS FROM THE ORGANIZATION AND THE ANNUAL AUDIT. THE DRAFT FORM WAS REVIEWED BY SENIOR ACCOUNTING STAFF, THE CFO, AND THE CEO BEFORE IT WAS DISTRIBUTED TO THE GOVERNING BODY. A DRAFT OF THE FORM 990 WAS SHARED WITH THE GOVERNING BODY BEFORE IT WAS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C PARTICIPATION IN THE PROCUREMENT OF GOODS AND SERVICES IS PROHIBITED WHEN THERE IS A CONFLICT OF INTEREST. NO EMPLOYEE, OFFICERS, BOARD MEMBER, OR AGENT MAY PARTICIPATE IN THE SELECTION, AWARD, OR ADMINISTRATION OF A CONTRACT IF A REAL OR APPARENT CONFLICT OF INTERESTS EXISTS. IF A CONFLICT ARISES, THE CEO IS INFORMED AND IS RESPONSIBLE FOR ENSURING COMPLIANCE. VIOLATIONS OF THE THIS RULE WOULD RESULT IN REMOVAL FROM ANY FURTHER INVOLVEMENT IN ANY ASPECT OF THE PROCUREMENT PROCESS. FORM 990, PART VI, SECTION B, LINE 15A ANNUALLY, THE BOARD OF DIRECTORS EXAMINES EXTERNAL MARKET DATA TO DETERMINE COMPENSATION FOR THE CEO. COMPARISONS WITH SIMILAR ORGANIZATIONS ARE MADE AND COMPENSATION IS DETERMINED BASED ON THOSE COMPARISONS. THE PROCESS WAS LAST UNDERTAKEN IN 2016. ANNUALLY, THE CEO EXAMINES EXTERNAL MARKET DATA TO DETERMINE APPROPRIATE COMPENSATION RANGES FOR ALL POSITIONS AT HEALTHPOINT, INCLUDING TOP MANAGEMENT AND OTHER KEY EMPLOYEES. COMPARISONS WITH SIMILAR ORGANIZATIONS ARE MADE AND COMPENSATION IS DETERMINED BASED ON THOSE COMPARISONS. THE PROCESS WAS LAST UNDERTAKEN IN 2016. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. INDIVIDUALS CAN ALSO REVIEW OUR ANNUAL REPORT ON OUR WEBSITE, WWW.HEALTHPOINTHC.ORG. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 214,671.