2019-11-15T14:35:43-06:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2018-01-01 910884412 HEALTHPOINT HEAL 4252771311 955 POWELL AVENUE SW RENTON WA 98057 VICKI HAMMOND CFO 4252771311 2019-11-14 1 KURT BENNION CPA P01469618 4252506100 2019-11-14 67.137.57.251 2019-11-14 13:27:50 PS P 84BDE7AD4ADB62213C7E1A191A12ED9082B4B320 437A48F7A65F248D0909731AA99F0A79285329FF 2018 2020-03-31 21:24:44Z THOMAS TROMPETER 955 POWELL AVENUE SW RENTON WA 98057 105172202 0 X WWW.HEALTHPOINTCHC.ORG X 1987 WA HEALTHPOINT IMPROVES PEOPLE'S HEALTH BY DELIVERING QUALITY HEALTHCARE SERVICES. 10 10 1067 139 0 39552 14078985 14448357 78776883 87973507 553901 760753 629296 1009169 94039065 104191786 0 1000 0 0 60446751 65084143 0 14368 14368 33613452 35541845 94060203 100641356 -21138 3550430 94359010 94518320 47715357 37649272 46643653 56869048 HEALTHPOINT STRENGTHENS COMMUNITIES AND IMPROVES PEOPLE'S HEALTH BY DELIVERING QUALITY SERVICES, BREAKING DOWN BARRIERS AND PROVIDING ACCESS TO ALL. 0 0 63264032 1000 72654259 PRIMARY MEDICAL CARE - COMPREHENSIVE HEALTH CARE FOR MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS IN KING COUNTY.CHARITY CARE - DURING 2018, HEALTHPOINT PROVIDED $4,458,241 OF MEDICAL CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS WITHOUT CHARGE OR AT AMOUNTS LESS THAN HEALTHPOINT'S ESTABLISHED RATES. 16643151 0 15319248 PRIMARY DENTAL CARE - COMPREHENSIVE DENTAL CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS IN KING COUNTY.CHARITY CARE - DURING 2018, HEALTHPOINT PROVIDED $973,461 OF DENTAL CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS WITHOUT CHARGE OR AT AMOUNTS LESS THAN HEALTHPOINT'S ESTABLISHED RATES. 79907183 1 1 0 1 0 0 0 0 1 0 1 0 0 0 0 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 52 0 1067 1 0 0 0 0 0 1 1 0 0 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 LAURENCE DESHIELDS II CHAIR 3.10 X X 0 0 0 VICTORIA GOETZ VICE CHAIR & BOARD MEMBER 1.50 X X 0 0 0 SHERYL POT SECRETARY & TREASURER 2.10 X X 0 0 0 CHAD HORNER BOARD MEMBER & SECRETARY 2.10 X X 0 0 0 CAROL BELLAND TREASURER & BOARD MEMBER 1.10 X X 0 0 0 NOEMI ERICKSON BOARD MEMBER 1.00 X 0 0 0 EDWARD LEE BOARD MEMBER 1.00 X 0 0 0 PATRICIO MENDOZA BOARD MEMBER 1.00 X 0 0 0 GRACE SSEBUGWAWO BOARD MEMBER 1.00 X 0 0 0 MEGAN WILDENRADT BOARD MEMBER 1.00 X 0 0 0 THOMAS TROMPETER CHIEF EXECUTIVE OFFICER 40.00 X 1113141 0 15840 DR JUDITH FEATHERSTONE CHIEF MEDICAL OFFICER 40.00 X 291704 0 21051 LISA YOHALEM CHIEF STRATEGY AND DEVELOPMENT OFFICER 40.00 X 274900 0 4264 VICKI HAMMOND CHIEF FINANCIAL OFFICER 40.00 X 296850 0 8174 DR JOHN CARON CHIEF DENTAL OFFICER 32.00 X 112349 0 1422 JASON OWENS CHIEF INFORMATION OFFICER 40.00 X 194136 0 32947 JULIE COLIN CLINICAL INFORMATICIST 32.00 X 220337 0 0 DR EVAN OAKES MEDICAL DIRECTOR 40.00 X 211178 0 26439 DR BETH NAUERT CLINICAL DIRECTOR OF PEDIATRICS 40.00 X 212043 0 13038 DR JEFFREY DASSEL FAMILY PRACTITIONER LEAD 40.00 X 208578 0 11914 DR SUZANNE LAUREL HEALTH CENTER CLINICAL DIRECTOR 37.60 X 204782 0 17650 3339998 0 152739 124 0 1 0 PTSO OF WASHINGTON 2101 FOURTH AVE STE 850 SEATTLE WA 98121 SOFTWARE SUPPORT 1743609 COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 MEDICAL STAFFING 1588579 PACIFIC INTERPRETERS 707 SW WASHINGTON STE 200 PORTLAND OR 97205 TRANSLATION SERVICES 1221615 BAYLEY CONSTRUCTION LP 8005 SE 28TH STREET MERCER ISLAND WA 98040 GENERAL CONTRACTOR 880537 BRIDGE PARTNERS LLC 3240 EASTLAKE AVENUE SEATTLE WA 98102 CHANGE MANAGEMENT 638380 13 216390 9838176 4393791 3127012 14448357 PATIENT SERVICE REVENUES 621110 87973507 87973507 87973507 545656 545656 412425 234659 177766 177766 177766 780526 26647 563268 28808 217258 -2161 215097 215097 36344 216390 153681 -117337 -117337 MISCELLANEOUS INCOME 900099 948740 948740 948740 104191786 87973507 0 1769922 1000 1000 2366778 62551 2304227 52056262 42036668 10019594 595411 465559 129852 6074169 4810701 1263468 3991523 3121021 870502 109720 109720 98863 98863 14368 14368 71449 71449 9130567 7170192 1960375 1828382 1520122 308260 2607163 2442574 164589 619995 280760 339235 630100 427588 202512 596744 391974 204770 4696711 3188144 1508567 305328 241711 63617 UBI TAXES 8306 8306 MEDICAL SUPPLIES 9561303 9555294 6009 EQUIPMENT LEASE & MAINT 3255826 2489590 766236 BAD DEBTS 984912 1113845 -128933 1036476 587889 448587 100641356 79907183 20719805 14368 6580978 5164688 1363031 1388162 5421735 7548299 627003 659844 749624 869134 88811816 36591342 51556340 52220474 27629098 26407232 431201 260487 94359010 94518320 15180871 14944809 31309 160439 23233737 21711802 10734 10734 905211 821488 8353495 0 47715357 37649272 X 46567271 56858853 76382 10195 46643653 56869048 94359010 94518320 X 3550430 -1905516 8432290 148191 X 0 1 X 1 1 1 X 9157993 9891159 15459677 14078985 14448357 63036171 9157993 9891159 15459677 14078985 14448357 63036171 63036171 802538 787654 812539 772948 958081 4133760 765822 579376 555715 514880 985084 3400877 70570808 353792609 0.89320 0.89660 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME FUNDRAISING EVENT REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 8632 0 0 8632 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. 0 1 X 3714537 3714537 56931078 15798334 41132744 9937592 6980152 2957440 17699101 13812856 3886245 529508 529508 52220474 X 103024263 62400 388340 450740 102573523 1618263 1618263 104191786 101092096 62400 388340 450740 100641356 0 100641356 PART IV, LINE 2B: THE ORGANIZATION HOLDS SECURITY DEPOSITS ON BEHALF OF TENANTS LEASING SPACE IN HEALTHPOINT PROPERTIES. THE SECURITY DEPOSITS ARE RETURNED, LESS ANY COSTS FOR REPAIRS, WHEN THE LEASE IS TERMINATED. 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, 2018 AND 2017, 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: RENTAL EXPENSES 234,659. FUNDRAISING EVENT EXPENSES 153,681. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST AND DIVIDEND INCOME 545,656. CAPITAL CONTRIBUTIONS 442,924. RENTAL INCOME 412,425. REALIZED GAINS ON INVESTMENTS 217,258. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 234,659. FUNDRAISING EVENT EXPENSES 153,681. KALEIDOSCOPE DINNER 239963 216390 23573 846 70832 20330 44642 HEROS 5K WALK/RUN 12771 12771 803 16228 252734 216390 36344 846 71635 20330 60870 153681 -117337 X X X X X 0 0 0 0 0 0 0 0 0 THOMAS TROMPETER CHIEF EXECUTIVE OFFICER 1038141 0 75000 0 0 0 0 0 15840 0 1128981 0 0 0 DR JUDITH FEATHERSTONE CHIEF MEDICAL OFFICER 281704 0 10000 0 0 0 0 0 21051 0 312755 0 0 0 LISA YOHALEM CHIEF STRATEGY AND DEVELOPMENT OFFICER 239900 0 35000 0 0 0 0 0 4264 0 279164 0 0 0 VICKI HAMMOND CHIEF FINANCIAL OFFICER 236850 0 60000 0 0 0 0 0 8174 0 305024 0 0 0 JASON OWENS CHIEF INFORMATION OFFICER 179136 0 15000 0 0 0 0 0 32947 0 227083 0 0 0 JULIE COLIN CLINICAL INFORMATICIST 220337 0 0 0 0 0 0 0 0 0 220337 0 0 0 DR EVAN OAKES MEDICAL DIRECTOR 211178 0 0 0 0 0 0 0 26439 0 237617 0 0 0 DR BETH NAUERT CLINICAL DIRECTOR OF PEDIATRICS 212043 0 0 0 0 0 0 0 13038 0 225081 0 0 0 DR JEFFREY DASSEL FAMILY PRACTITIONER LEAD 208578 0 0 0 0 0 0 0 11914 0 220492 0 0 0 DR SUZANNE LAUREL HEALTH CENTER CLINICAL DIRECTOR 204782 0 0 0 0 0 0 0 17650 0 222432 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 5852343 27738761 156540 20890568 6691653 2013 1 0 0 1 A 0 1 0 0 0.02260 0.00000 0.02260 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WASHINGTON HEALTH CARE FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/20/2018 X 55810 3127012 DONOR VALUED 0 0 0 0 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. THIS PROCESS, INCLUDING AN ANALYSIS OF MARKET COMPARABLES BY AN INDEPENDENT CONSULTING FIRM, WAS LAST COMPLETED IN 2018. 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. THIS PROCESS, INCLUDING AN ANALYSIS OF MARKET COMPARABLES BY AN INDEPENDENT CONSULTING FIRM, WAS LAST COMPLETED IN 2018. 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 148,191.