2015-08-17T18:41:22-05:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2014-01-01 910884412 HEALTHPOINT HEAL 4252771311 955 POWELL AVENUE SW RENTON WA 98057 THOMAS TROMPETER CEO 4252771311 2015-08-13 1 KYLA DELGADO CPA P01874220 4252506100 2014 2016-03-07 17:11:31Z THOMAS TROMPETER 955 POWELL AVENUE SW RENTON WA 98057 69756373 0 X WWW.HEALTHPOINTCHC.ORG X 1987 WA HEALTHPOINT IMPROVES PEOPLE'S HEALTH BY DELIVERING QUALITY HEALTHCARE SERVICES. 8 8 826 92 0 0 9516009 9157993 50279708 58827900 458230 531842 623186 808544 60877133 69326279 0 0 0 0 37298749 43370953 46568 0 0 25960915 25016752 63306232 68387705 -2429099 938574 92974614 93200650 45400923 45235668 47573691 47964982 HEALTHPOINT STRENGTHENS COMMUNITIES AND IMPROVES PEOPLE'S HEALTH BY DELIVERING QUALITY SERVICES, BREAKING DOWN BARRIERS AND PROVIDING ACCESS TO ALL. 0 0 39555658 0 46123768 PRIMARY MEDICAL CARE - COMPREHENSIVE HEALTH CARE FOR MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS IN KING COUNTY. 5248048 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. 10447878 0 12704132 PRIMARY DENTAL CARE - COMPREHENSIVE DENTAL CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS IN KING COUNTY. 55251584 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 45 0 826 1 0 0 0 0 0 1 1 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 WA X X VICKI HAMMOND CFO 4252030447 955 POWELL AVENUE SW RENTON WA 98057 CHAD HORNER CHAIR 3.10 X X 0 0 0 MEGAN WILDENRADT VICE-CHAIR 2.10 X X 0 0 0 JULIE SHOJI TREASURER 1.10 X X 0 0 0 CAROL BELLAND MEMBER & TREASURER 1.50 X X 0 0 0 LAURENCE DESHIELDS II SECRETARY 1.00 X X 0 0 0 NOEMI ERIKSON BOARD MEMBER 1.30 X 0 0 0 LUIS GARCIA BOARD MEMBER 1.00 X 0 0 0 SABRINA MATSON BOARD MEMBER 1.30 X 0 0 0 SHERYL POT BOARD MEMBER 1.00 X 0 0 0 VICTORIA GOETZ MEMBER AT LARGE 1.00 X 0 0 0 THOMAS TROMPETER CHIEF EXECUTIVE OFFICER 40.00 X 345962 0 117797 VICKI HAMMOND CHIEF FINANCIAL OFFICER 40.00 X 149866 0 5768 DEBRA WILKINSON CHIEF OPERATING OFFICER 40.00 X 154141 0 14056 DR JUDITH FEATHERSTONE CHIEF MEDICAL OFFICER 40.00 X 197648 0 31936 DR JOHN CARON CHIEF DENTAL OFFICER 32.00 X 131063 0 4032 LISA YOLALEM CHIEF STRATEGY & DEVELOPMENT OFFICER 40.00 X 149949 0 3735 DR SUZANNE LAUREL PHYSICIAN 40.00 X 188114 0 16407 DR ERIC PARSONS PHYSICIAN 40.00 X 172943 0 15563 DR RUTH MICHAELIS PHYSICIAN 40.00 X 169742 0 15850 DR EVAN OAKES MEDICAL DIRECTOR 40.00 X 168595 0 15387 DR CRISTINA COVERT PHYSICIAN 40.00 X 163044 0 11863 1991067 0 252394 71 0 1 0 JR ABBOTT CONSTRUCTION 3408 1ST AVE S STE 101 SEATTLE WA 98134 GENERAL CONTRACTING 1614223 PTSO OF WASHINGTON 2101 FOURTH AVE STE 850 SEATTLE WA 98121 SOFTWARE SUPPORT 1226389 VISTA STAFFING SOLUTIONS INC FILE 50834 LOS ANGELES CA 900740834 TEMPORARY STAFFING 840655 COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 PHYSICIAN STAFFING 807769 WESTERN VENTURES CONSTRUCTION PO BOX 298 MOUNT LAKE TERRACE WA 98043 GENERAL CONTRACTING 532975 14 42136 150435 7561912 1403510 9157993 PATIENT SERVICE REV. 621110 58827900 58827900 58827900 452922 452922 349616 227356 122260 122260 122260 202120 51793 71407 150327 -71407 78920 78920 25075 150435 79538 -54463 -54463 MISCELLANEOUS INCOME 900099 740747 740747 740747 69326279 58827900 0 1340386 1305952 1305952 34380206 28142457 6237749 368729 288098 80631 4598437 3653297 945140 2717629 2123356 594273 80450 80450 39284 39284 48609 48609 3725140 3403615 321525 3610401 2783663 826738 1540563 1418255 122308 388572 158216 230356 785557 567773 217784 4185889 2659848 1526041 292518 48780 243738 CHARITY CARE 5248048 5248048 MEDICAL SUPPLIES/DENTAL 3609191 3602242 6949 MISCELLANEOUS 689769 467485 222284 BAD DEBT 557935 557935 214826 128516 86310 68387705 55251584 13136121 0 7225 9575 3495688 3544316 1927800 1237286 3288952 3841765 308708 386535 556100 943988 74961839 18610552 56711085 56351287 25401024 26301234 752464 505195 481064 20373 103600 92974614 93200650 6873356 7525463 64685 54106 27557978 26945082 1624265 1735725 9280639 8975292 45400923 45235668 X 47509355 47932390 64336 32592 47573691 47964982 92974614 93200650 X 938574 348844 -896127 X 0 1 X 1 1 1 X 8586535 7453338 9036292 9516009 9157993 43750167 33559762 37069261 37620738 50279708 58827900 217357369 25075 25075 42146297 44522599 46657030 59795717 68010968 261132611 0 0 0 261132611 685478 638313 640982 667952 802538 3435263 685478 638313 640982 667952 802538 3435263 50729 -66585 83510 443194 740747 1251595 42882504 45094327 47381522 60906863 69554253 265819469 0.98240 0.98330 0.01290 0.01420 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2010 AMOUNT: $ 50,729. 2011 AMOUNT: $ -66,585. 2012 AMOUNT: $ 83,510. 2013 AMOUNT: $ 526,570. 2014 AMOUNT: $ 740,747. LOSS ON EXTINGUISHMENT OF DEBT - 2013 AMOUNT: $ -83,376. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 3853 0 0 3853 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 IN MARCH 2014 AND MET WITH VARIOUS FEDERAL LEGISLATORS, DISCUSSED CURRENT AND PROPOSED LEGISLATION IMPACTING THE FQHC COMMUNITY, AND REPRESENTED THE INTERESTS OF FQHC'S. 3765593 3765593 51758519 8422087 43336432 7181498 3498653 3682845 12046512 6689812 5356700 209717 209717 56351287 FEDERALLY OBLIGATED FUNDS 8840044 SWAP 135248 8975292 X 61009449 348844 265413 306894 921151 60088298 9237981 9237981 69326279 63711964 265413 306894 572307 63139657 5248048 5248048 68387705 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, 2014 AND 2013, 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. WITH FEW EXCEPTIONS, HEALTHPOINT IS NO LONGER SUBJECT TO FEDERAL INCOME TAX EXAMINATIONS FOR YEARS BEFORE 2011. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 79,538. RENTAL EXPENSES 227,356. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHARITY CARE EXPENSE 5,248,048. INTEREST AND DIVIDEND INCOME 452,922. REALIZED AND UNREALIZED GAINS ON INVESTMENTS 499,171. CONTRIBUTIONS 431,861. RENTAL INCOME 349,616. HOSPITAL AND SPECIALTY POOL SAVINGS 2,245,163. CAPITAL CAMPAIGN CONTRIBUTIONS 11,200. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 227,356. FUNDRAISING EXPENSES 79,538. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHARITY CARE EXPENSE 5,248,048. ANNUAL DINNER 175510 150435 25075 32742 26615 20181 175510 150435 25075 32742 26615 20181 79538 -54463 X X X X X 0 0 0 0 0 0 0 0 0 THOMAS TROMPETER CHIEF EXECUTIVE OFFICER 305962 0 40000 0 0 0 100000 0 17797 0 463759 0 0 0 VICKI HAMMOND CHIEF FINANCIAL OFFICER 148866 0 1000 0 0 0 0 0 5768 0 155634 0 0 0 DEBRA WILKINSON CHIEF OPERATING OFFICER 153141 0 1000 0 0 0 0 0 14056 0 168197 0 0 0 DR JUDITH FEATHERSTONE CHIEF MEDICAL OFFICER 197648 0 0 0 0 0 0 0 31936 0 229584 0 0 0 LISA YOLALEM CHIEF STRATEGY & DEVELOPMENT OFFICER 149949 0 0 0 0 0 0 0 3735 0 153684 0 0 0 DR SUZANNE LAUREL PHYSICIAN 188114 0 0 0 0 0 0 0 16407 0 204521 0 0 0 DR ERIC PARSONS PHYSICIAN 172943 0 0 0 0 0 0 0 15563 0 188506 0 0 0 DR RUTH MICHAELIS PHYSICIAN 169742 0 0 0 0 0 0 0 15850 0 185592 0 0 0 DR EVAN OAKES MEDICAL DIRECTOR 168595 0 0 0 0 0 0 0 15387 0 183982 0 0 0 DR CRISTINA COVERT PHYSICIAN 163044 0 0 0 0 0 0 0 11863 0 174907 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 793679 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 SCHEDULE K, PART IV, LINE 3, VARIABLE RATE ISSUE: THE TAX-EXEMPT BOND'S INTEREST RATE HAS BEEN FIXED THROUGH AN INTEREST RATE SWAP AGREEMENT WITH KEYBANK NATIONAL ASSOCIATION. 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 2014. 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 2014. 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 -896,127.