2011-08-11T11:37:30-05:00 2010-12-31 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2010-01-01 910893287 NEIGHBORCARE HEALTH NEIG 2064616935 905 SPRUCE STREET NO 300 SEATTLE WA 981042474 MARK SECORD 2064616935 2011-08-09 1 SARA ELIZABETH J HYRE 4254544919 2010 2016-02-24 21:20:13Z MARK SECORD 905 SPRUCE STREET NO 300 SEATTLE WA 981042474 49251374 0 X WWW.NEIGHBORCARE.ORG X 1969 WA THE MISSION OF NEIGHBORCARE HEALTH IS TO PROVIDE COMPREHENSIVE HEALTH CARE TO FAMILIES AND INDIVIDUALS WHO HAVE DIFFICULTY ACCESSING CARE; RESPOND WITH SENSITIVITY TO THE NEEDS OF OUR CULTURALLY DIVERSE PATIENTS; AND ADVOCATE AND WORK WITH OTHERS TO IMPROVE THE OVERALL HEALTH STATUS OF THE COMMUNITIES WE SERVE. 14 14 564 78 0 0 15745847 16152894 22411924 24738660 703295 247362 135088 64210 38996154 41203126 0 0 0 0 25805417 25335657 0 0 211611 11923222 11581125 37728639 36916782 1267515 4286344 40192687 59074182 13698094 28373418 26494593 30700764 X THE ORGANIZATION IS A COMMUNITY-BASED, NON-PROFIT AGENCY THAT OPERATES 20 MEDICAL, DENTAL, AND SCHOOL-BASED HEALTH CENTERS THROUGHOUT SEATTLE AND PROVIDES SERVICES TO OVER 48,600 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 19285680 18156711 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 DEPENDENCYSERVICES. 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 2010, NEIGHBORCARE HEALTH PROVIDED 142,309 VISITS TO 35,069 PATIENTS. NEIGHBORCARE HEALTH PROVIDED $5,920,194 OF CHARITY CARE IN 2010. 7469377 5820271 GENERAL DENTISTRY SERVICES INCLUDE ORAL HEALTH EXAMS, HYGIENE AND RESTORATIVE SERVICES TO CONTAIN THE DISEASE PROCESS. PERIODONTAL AND ENDODONTIC CARE IS ALSO PROVIDED. IN 2010, NEIGHBORCARE PROVIDED 51,184 DENTAL VISITS TO 19,008 CHILDREN AND ADULTS. 1327155 626248 SCHOOL BASED HEALTH SERVICES INCLUDE PRIMARY MEDICAL SERVICES, MENTAL HEALTH AND 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 TO BUILD STRONG RELATIONSHIPS AT SCHOOL, HOME AND IN THEIR COMMUNITY. IN 2010, NEIGHBORCARE HEALTH PROVIDED 11,210 VISITS TO 2,079 SCHOOL-BASED PATIENTS. 1010286 135430 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. 1010286 135430 29092498 1 1 0 1 0 0 0 0 0 1 0 0 1 1 0 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 0 1 1 1 0 0 1 79 0 1 564 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 0 1 1 1 1 1 1 1 1 0 WA X X JANINE CHILDS 2065483034 905 SPRUCE STREET STE 300 SEATTLE WA 98104 JOYCE LAMMERT 4.00 X X 0 0 0 SANTOKH GILL 2.00 X X 0 0 0 TONY BOZZUTI 3.00 X X 0 0 0 ANDREA DAHL 1.00 X X 0 0 0 FARIBA ALAMDARI 1.00 X 0 0 0 ROSE FELICIANO 2.00 X 0 0 0 DAVID FRIEDMAN 1.00 X 0 0 0 OCTAVIA EDWARDS 1.00 X 0 0 0 BOB GREENLEE 1.00 X 0 0 0 JOHN MASON 1.00 X 0 0 0 NANCY NIPPLES 1.00 X 0 0 0 GEORGE PARKER 2.00 X 0 0 0 TIM RANDALL 1.00 X 0 0 0 RICK RUBIN 1.00 X 0 0 0 TOM SPARKS 2.00 X 0 0 0 TAMIKO MIYANO 2.00 X 0 0 0 ROM LEE 1.00 X 0 0 0 MARK SECORD 48.00 X 159530 0 10420 KATIE BELL 50.00 X 129155 0 9212 JANINE CHILDS 40.00 X 118374 0 8588 KAREN YOUNG 40.00 X 12109 0 810 MARCUS REMPEL 50.00 X 179076 0 10740 MARTIN LIEBERMAN 40.00 X 167846 0 10421 THOMAS P SCOTT 40.00 X 166370 0 10306 ALLISON A FITZGERALD 40.00 X 154041 0 9947 DIANA RYBAKOV 50.00 X 149453 0 10157 BEVERLY J SIMPSON 40.00 X 149211 0 9758 JOHN CHARLES OLSON 40.00 X 132338 0 582 1517503 0 90941 29 0 1 0 WG CLARK CONSTRUCTION CO 408 AURORA AVE N SEATTLE WA 98109 CONSTRUCTION 8050046 JONES BOYS MAINTENANCE CO 1813 130TH AVE NE SUITE 110 BELLEVUE WA 98005 JANITORIAL 299119 MILLER HAYASHI ARCHITECTS LLC 118 N-35TH ST SUITE 200 SEATTLE WA 98103 ARCHITECTURE 241291 LORIG ASSOCIATES LLC 2025 FIRST AVE 420 SEATTLE WA 98121 CONSTRUCTION PROJECT MONITORING 240223 THE GUIDANCE CORPORATION PO BOX 823473 PHILIDELPHIA PA 19182 TEMP STAFFING 179696 7 83954 52373 12283821 3732746 1031813 16152894 MEDICARE/MEDICAID PMT 621400 10752398 10752398 CAPITATED PLAN 621400 6493305 6493305 PATIENT FEES 621400 5219060 5219060 OTHER SERVICE REVENUE 621400 2273897 2273897 24738660 263749 263749 8001905 8003038 15254 -1133 -15254 -16387 -16387 38860 52373 29956 8904 8904 501C AGENCY TRUST 900099 16412 16412 BOARD MEETING REIMB 900099 12793 12793 UNCLAIMED PROPERTY 900099 8374 8374 17727 17727 55306 41203126 24738660 0 311572 816282 196420 619862 20030889 16796701 3175111 59077 406076 324685 80855 536 2605174 1805021 796854 3299 1477236 1237117 235447 4672 90041 45027 45014 60394 30201 30193 4000 4000 1657988 800458 857530 21007 9502 7505 4000 1730446 1459680 244283 26483 848301 424214 424087 656834 580650 76184 72573 30265 42308 185738 100206 85532 262534 262125 409 1379768 874509 505259 171120 128561 42559 PHARMACEUTICALS 1755433 1755433 BAD DEBT EXPENSE 1509160 1509160 LABORATORY FEES 238490 238490 DUES & TAXES 167926 27255 140671 EQUIPMENT MAINTENANCE 159036 119552 39484 610336 337266 159526 113544 36916782 29092498 7612673 211611 1207784 643776 1078117 2090984 2619792 2784431 2282840 3123457 7200000 3253686 153873 162309 866022 735428 34017000 8232414 16345719 25784586 7736903 6983671 701637 13511854 40192687 59074182 3562458 4095986 214703 198678 9679167 23783704 241766 295050 13698094 28373418 X 25555456 29969687 939137 731077 26494593 30700764 40192687 59074182 X 4286344 -80173 X 0 1 0 X 1 1 X 12049050 13316945 14265187 15745847 16152894 71529923 12049050 13316945 14265187 15745847 16152894 71529923 71529923 388227 575052 552266 410434 263749 2189728 65820 83298 72934 101539 64222 387813 74107464 119482324 0.96520 0.96350 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 4000 4000 36942738 36946738 1000000 250000 0 0 1000000 1000000 2000000 3000000 11000 4000 15000 250000 250000 500000 750000 2592380 2592380 9869660 4102437 5767223 3450762 1244089 2206673 4861676 2885888 1975788 13242522 13242522 25784586 FACILITY CONTRIBUTION RECEIVABLE 701077 NEIGHBORCARE HEALTH LENDER RECEIVABLE 12810777 13511854 INTEREST RATE SWAP 295050 295050 41203126 36916782 4286344 -26889 -53284 -80173 4206171 41504136 -26889 274074 53825 301010 41203126 0 41203126 37177073 274074 274074 36902999 13783 13783 36916782 PART XI, LINE 8 - OTHER ADJUSTMENTS: INTEREST RATE SWAP AGREEMENT -53,284. PART XII, LINE 2D - OTHER ADJUSTMENTS: INDIRECT SPECIAL EVENTS EXPESNE -13,783. INTEREST RATE SWAP AGREEMENT -53,284. NEIGHBORCARE LENDER, LLC INTEREST REVENUE 120,892. PART XIII, LINE 4B - OTHER ADJUSTMENTS: INDIRECT SPECIAL EVENTS EXPENSE 13,783. PUMPKIN PUSH 62480 47970 14510 1300 21510 FEAST AT THE MARKET 28753 4403 24350 7146 91233 52373 38860 1300 7146 21510 29956 8904 X X X 0 0 0 0 0 0 0 0 0 MARK SECORD 159530 0 0 0 0 0 5061 0 5359 0 169950 0 0 0 MARCUS REMPEL 179076 0 0 0 0 0 5504 0 5236 0 189816 0 0 0 MARTIN LIEBERMAN 167846 0 0 0 0 0 5062 0 5359 0 178267 0 0 0 THOMAS P SCOTT 166370 0 0 0 0 0 4947 0 5359 0 176676 0 0 0 ALLISON A FITZGERALD 154041 0 0 0 0 0 4711 0 5236 0 163988 0 0 0 DIANA RYBAKOV 149453 0 0 0 0 0 4626 0 5531 0 159610 0 0 0 BEVERLY J SIMPSON 149211 0 0 0 0 0 4399 0 5359 0 158969 0 0 0 X 7 17576 SELLING PRICE X 12 1012937 SELLING PRICE X AMTRAK TICKET 1 1300 SELLING PRICE 0 0 1 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): VARIOUS METHODS ARE USED TO MEASURE THE NUMBER OF CONTRIBUTIONS OR ITEMS RECEIVED. FOR PUBLICLY TRADED SECURITIES, THE NUMBER OF CONTRIBUTIONS RECEIVED IS COUNTED. FOR THE AMTRAK TICKET, THE NUMBER OF CONTRIBUTORS IS COUNTED. THE ORGANIZATION RECEIVES VACCINES AND PHARMACEUTICALS THROUGHOUT THE MONTH FOR ITS VARIOUS CLINICS. IT IS DIFFICULT TO TRACK THE NUMBER OF ITEMS RECEIVED EACH MONTH HOWEVER WE ESTMATED THAT WE RECEIVE AT LEAST ONE CONTRIBUTION PER MONTH THROUGHOUT THE YEAR FOR OUR VACCINES AND PHARMACEUTICALS. WE HAVE BEEN KEEPING TRACK OF THE VALUE OF NON-CASH CONTRIBUTIONS WE RECEIVE. FORM 990, PART I, LINE 6: OUR VOLUNTEERS PROVIDE MEDICAL, DENTAL, NATUROPATHIC CARE, AS WELL AS CLERICAL ASSISTANCE IN THE CLINICS, INTERPRETER SERVICES, AND ASSISTANCE WITH FUNDRAISING EVENTS. IN ADDITION, THERE ARE 17 VOLUNTEER BOARD OF DIRECTORS. FORM 990, PART I, LINE 19: PART I, LINE 19 INCLUDE EXCESS OPERATING SUPPORT AND REVENUES OF ($1,493,738) IN 2009 AND $1,790,693 IN 2010. THE REMAINING AMOUNTS REPRESENT CAPITAL CAMPAIGN INCOME FOR THE ORGANIZATION'S RAINIER BEACH MEDICAL AND DENTAL CLINIC. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPRISED OF THE BOARD CHAIRPERSON, VICE CHAIRPERSON, SECRETARY, TREASURER, AND UP TO THREE OTHER BOARD MEMBERS. THE COMMITTEE MAKES RECOMMENDATIONS TO THE BOARD AND CARRIES OUT SPECIAL RESPONSIBILITIES ASSIGNED TO IT BY THE BOARD. ALSO, IT OVERSEES THE STRATEGIC PLANNING PROCESS AND APPROVES ANNUAL WORK PLANS. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE, WITH AUTHORITY FROM THE BOARD OF DIRECTORS, REVIEWS THE FORM 990 WITH THE CHIEF FINANCIAL OFFICER. A FULL COPY OF THE TAX RETURN IS 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. THE EXECUTIVE DIRECTOR'S SALARY IS REVIEWED ANNUALLY WITH THE LAST REVIEW IN JUNE/JULY 2010. OTHER MANAGEMENT SALARIES ARE REVIEWED BY HUMAN RESOURCES DEPARTMENT AND ARE DETERMINED BY MARKET DATA. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC FORM 990, PART X, LINES 10 AND 23: IN JANUARY 2010, NEIGHBORCARE HEALTH ENTERED INTO A NEW MARKET TAX CREDIT TRANSACTION AS PART OF THE FINANCING OF THE CONSTRUCTION FOR ITS NEW RAINIER BEACH MEDICAL AND DENTAL CLINIC. THE NEW MARKET TAX CREDIT PROGRAM WAS DESIGNED TO STIMULATE INVESTMENT AND ECONOMIC GROWTH IN LOW-INCOME COMMUNITIES BY OFFERING A SEVEN-YEAR, 39% FEDERAL TAX CREDIT FOR QUALIFIED EQUITY INVESTMENTS (QEI) MADE THROUGH INVESTMENT VEHICLES KNOWN AS COMMUNITY DEVELOPMENT ENTITIES (CDE). CDES USE CAPITAL DERIVED FROM TAX CREDITS TO MAKE LOANS TO OR INVESTMENTS IN BUSINESSES AND PROJECTS IN LOW-INCOME AREAS. AS OF DECEMBER 31, 2010, PART X, LINE 10 REPRESENTS THE AMOUNT OF WORK IN PROGRESS TOWARDS BUILDING THE RAINIER BEACH MEDICAL AND DENTAL CLINIC AND LINE 23 REPRESENTS THE AMOUNT OF LOAN PAYABLE TO THE COMMUNITY DEVELOPMENT ENTITIES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -26,889. INTEREST RATE SWAP AGREEMENT -53,284. TOTAL TO FORM 990, PART XI, LINE 5: -80,173. NEIGHBORCARE LENDER LLC 905 SPRUCE STREET SUITE 300 SEATTLE WA 98104 271529844 FINANCIAL SERVICES WA N/A C 120892 12931669 1.00000 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NEIGHBORCARE LENDER LLC D 12810777 CASH