2016-08-12T21:30:03-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2015-01-01 910884412 HEALTHPOINT HEAL 4252771311 955 POWELL AVENUE SW RENTON WA 98057 THOMAS TROMPETER CEO 4252771311 2016-08-05 1 KURT BENNION P01469618 4252506100 2015 2016-12-15 16:53:06Z THOMAS TROMPETER 955 POWELL AVENUE SW RENTON WA 98057 73123849 0 X WWW.HEALTHPOINTCHC.ORG X 1987 WA HEALTHPOINT IMPROVES PEOPLE'S HEALTH BY DELIVERING QUALITY HEALTHCARE SERVICES. 10 10 890 48 0 0 9157993 9891159 58827900 59665660 452922 681231 887464 696465 69326279 70934515 0 0 0 0 43370953 48321383 0 0 0 25016752 27334691 68387705 75656074 938574 -4721559 93200650 89474769 45235668 47120538 47964982 42354231 HEALTHPOINT STRENGTHENS COMMUNITIES AND IMPROVES PEOPLE'S HEALTH BY DELIVERING QUALITY SERVICES, BREAKING DOWN BARRIERS AND PROVIDING ACCESS TO ALL. 0 0 45598895 0 46009436 PRIMARY MEDICAL CARE - COMPREHENSIVE HEALTH CARE FOR MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS IN KING COUNTY. 4610203 0 0 CHARITY CARE - COMPREHENSIVE MEDICAL AND DENTAL CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS PROVIDED WITHOUT CHARGE OR AT AMOUNTS LESS THAN HEALTHPOINT'S ESTABLISHED RATES. 11813401 0 13656224 PRIMARY DENTAL CARE - COMPREHENSIVE DENTAL CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS IN KING COUNTY. 62022499 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 0 0 0 0 0 0 0 0 0 1 58 0 890 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 4252030447 955 POWELL AVENUE SW RENTON WA 98057 MEGAN WILDENRADT CHAIR 3.10 X X 0 0 0 VICTORIA GOETZ VICE-CHAIR 2.10 X X 0 0 0 CAROL BELLAND TREASURER 1.10 X X 0 0 0 LAURENCE DESHIELDS II SECRETARY 1.50 X X 0 0 0 NOEMI ERICKSON BOARD MEMBER 1.00 X 0 0 0 LUIS GARCIA 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 390822 0 22151 VICKI HAMMOND CHIEF FINANCIAL OFFICER 40.00 X 153151 0 10168 DEBRA WILKINSON CHIEF OPERATING OFFICER 40.00 X 158172 0 16573 DR JUDITH FEATHERSTONE CHIEF MEDICAL OFFICER 40.00 X 202818 0 36120 DR JOHN CARON CHIEF DENTAL OFFICER 32.00 X 134090 0 5185 LISA YOLALEM CHIEF STRATEGY AND DEVELOPMENT OFFICER 40.00 X 153996 0 7340 DR SUZANNE LAUREL FAMILY PRACTITIONER LEAD 40.00 X 192956 0 26533 DR BETH NAUERT CLINICAL DIRECTOR OF PEDIATRICS 40.00 X 190325 0 21923 DR EVAN OAKES MEDICAL DIRECTOR 40.00 X 180782 0 29748 DR CHRISTINA COVERT FAMILY PRACTITIONER OB 33.00 X 177087 0 17633 DR RALPH HAVENS FAMILY PRACTITIONER LEAD 40.00 X 176134 0 15393 2110333 0 208767 84 0 1 0 PTSO OF WASHINGTON 2101 FOURTH AVE STE 850 SEATTLE WA 98121 SOFTWARE SUPPORT 1519020 JR ABBOTT CONSTRUCTION INC 3408 1ST AVE S SEATTLE WA 98134 GENERAL CONTRACTING 1175617 VISTA STAFFING SOLUTIONS INC FILE 50834 LOS ANGELES CA 900740834 TEMPORARY STAFFING 902202 COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 PHYSICIAN STAFFING 618986 CAREERSTAFF UNLIMITED SEATTLE PO BOX 301076 DALLAS TX 753031076 PHYSICIAN STAFFING 407689 13 178270 8081653 1631236 9891159 PATIENT SERVICE REV. 621110 59665660 59665660 59665660 419112 419112 368542 162093 206449 206449 206449 2200000 1936233 1648 263767 -1648 262119 262119 30106 178270 89360 -59254 -59254 MISCELLANEOUS INCOME 900099 549270 549270 549270 70934515 59665660 0 1377696 1290586 1290586 38876709 31971133 6905576 399221 329920 69301 4707821 3808156 899665 3047046 2422657 624389 95549 95549 174985 174985 40900 40900 5250557 4845314 405243 4356714 3411250 945464 1834884 1677238 157646 420713 187621 233092 763267 542135 221132 4481943 3221253 1260690 246251 197990 48261 CHARITY CARE 4610203 4610203 MEDICAL SUPPLIES/DENTAL 3475261 3467345 7916 MISCELLANEOUS 697016 523624 173392 BAD DEBT 659667 659667 226781 146993 79788 75656074 62022499 13633575 0 9575 9950 3544316 2951758 1237286 1086564 3841765 3698079 386535 475592 943988 1259985 78194830 22947195 56351287 55247635 26301234 24037415 481064 504191 103600 203600 93200650 89474769 7525463 11047035 54106 43527 26945082 25829010 1735725 1544595 8975292 8656371 45235668 47120538 X 47932390 42191021 32592 163210 47964982 42354231 93200650 89474769 X -4721559 -708735 -180457 X 0 1 X 1 1 1 X 7453338 9036292 9516009 9157993 9891159 45054791 37069261 37620738 50279708 58827900 59665660 243463267 25075 30106 55181 44522599 46657030 59795717 68010968 69586925 288573239 0 0 0 288573239 638313 640982 667952 802538 787654 3537439 638313 640982 667952 802538 787654 3537439 -66585 83510 443194 740747 549270 1750136 45094327 47381522 60906863 69554253 70923849 293860814 0.98200 0.98240 0.01200 0.01290 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME LOSS ON EXTINGUISHMENT OF DEBT RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 4828 0 0 4828 0 PART II-B, LINE 1: HEALTHPOINT LEADERS AND EMPLOYEES PARTICIPATED IN THE STATE'S LEGISLATIVE DAYS, DISCUSSING CURRENT AND PROPOSED LEGISLATION AS IT IMPACTS THE FQHC COMMUNITY. HEALTHPOINT LEADERS ALSO ATTENDED THE NACHC POLICIES AND ISSUES ANNUAL CONFERENCE AND MET WITH VARIOUS FEDERAL LEGISLATORS, DISCUSSED CURRENT AND PROPOSED LEGISLATION IMPACTING THE FQHC COMMUNITY, AND REPRESENTED THE INTERESTS OF FQHC'S. 3714537 3714537 52637408 10172264 42465144 7994956 4220477 3774479 13218656 8554454 4664202 629273 629273 55247635 FEDERALLY OBLIGATED FUNDS 8340667 SWAP 315704 8656371 X 64723164 145144 251453 396597 64326567 6607948 6607948 70934515 71442468 145144 251453 396597 71045871 4610203 4610203 75656074 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, 2015 AND 2014, 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 89,360. RENTAL EXPENSES 162,093. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHARITY CARE EXPENSE 4,610,203. INTEREST AND DIVIDEND INCOME 419,112. CONTRIBUTIONS 373,957. RENTAL INCOME 368,542. HOSPITAL AND SPECIALTY POOL SAVINGS 572,367. REALIZED GAINS ON INVESTMENTS 263,767. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 89,360. RENTAL EXPENSES 162,093. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHARITY CARE EXPENSE 4,610,203. KALEIDOSCOPE DINNER 208376 178270 30106 46125 20854 22381 208376 178270 30106 46125 20854 22381 89360 -59254 X X X X X 0 0 0 0 0 0 0 0 0 THOMAS TROMPETER CHIEF EXECUTIVE OFFICER 345672 0 45150 0 0 0 3929 0 18222 0 412973 0 0 0 VICKI HAMMOND CHIEF FINANCIAL OFFICER 153151 0 0 0 0 0 2340 0 7828 0 163319 0 0 0 DEBRA WILKINSON CHIEF OPERATING OFFICER 158172 0 0 0 0 0 2318 0 14255 0 174745 0 0 0 DR JUDITH FEATHERSTONE CHIEF MEDICAL OFFICER 202818 0 0 0 0 0 3271 0 32849 0 238938 0 0 0 LISA YOLALEM CHIEF STRATEGY AND DEVELOPMENT OFFICER 153996 0 0 0 0 0 2325 0 5015 0 161336 0 0 0 DR SUZANNE LAUREL FAMILY PRACTITIONER LEAD 192956 0 0 0 0 0 2737 0 23796 0 219489 0 0 0 DR BETH NAUERT CLINICAL DIRECTOR OF PEDIATRICS 190325 0 0 0 0 0 2196 0 19727 0 212248 0 0 0 DR EVAN OAKES MEDICAL DIRECTOR 180782 0 0 0 0 0 2828 0 26920 0 210530 0 0 0 DR CHRISTINA COVERT FAMILY PRACTITIONER OB 177087 0 0 0 0 0 2652 0 14981 0 194720 0 0 0 DR RALPH HAVENS FAMILY PRACTITIONER LEAD 176134 0 0 0 0 0 2650 0 12743 0 191527 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 1909751 27738761 156540 19627431 6691653 1263137 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 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 11 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 2015. 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 2015. FORM 990, PART VI, SECTION C, LINE 19 THROUGH OUR WEBSITE, WWW.HEALTHPOINTCHC.ORG, INDIVIDUALS CAN REVIEW THE ANNUAL REPORT. IN ADDITION, OUR DATA IS UPLOADED TO THE FEDERAL CLEARING HOUSE, AND OUR 990'S ARE AVAILABLE THROUGH GUIDESTAR. WE ALSO PROVIDE CONTACT INFORMATION ONLINE AND THE INFORMATION CAN BE MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -180,457.