2019-05-10T14:49:01-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2018-01-01 910893287 NEIGHBORCARE HEALTH NEIG 2064616935 1200 12TH AVENUE SOUTH NO 901 SEATTLE WA 98144 MICHAEL ERIKSON CEO 2064616935 2019-05-02 1 KURT BENNION CPA P01469618 4252506100 2019-05-02 67.137.57.251 2019-05-02 08:21:00 PD P A52F513B8D8172ADA5E5426B2D9DBB033DEB48E6 35750801EA80A67E7A622951605A125DD121B6A7 2018 2019-02-21 02:37:17Z MICHAEL ERIKSON 1200 12TH AVENUE SOUTH NO 901 SEATTLE WA 98144 94246330 0 X WWW.NEIGHBORCARE.ORG X 1969 WA PROVIDE COMPREHENSIVE HEALTH CARE TO FAMILIES AND INDIVIDUALS WHO HAVE DIFFICULTY ACCESSING CARE. 13 13 1003 39 0 153721 25011875 19577694 57488501 59844468 85028 286666 1666128 2375568 84251532 82084396 4250 4000 0 0 56227455 55043138 0 0 356524 25480680 25355841 81712385 80402979 2539147 1681417 68352904 75513167 15085222 20525203 53267682 54987964 X THE ORGANIZATION IS A COMMUNITY-BASED, NON-PROFIT AGENCY THAT OPERATES 27 MEDICAL, DENTAL, AND SCHOOL-BASED HEALTH CENTERS THROUGHOUT SEATTLE AND PROVIDES SERVICES TO OVER 75,390 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 36265141 4000 37129295 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 DEPENDENCY SERVICES. 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 2018, NEIGHBORCARE HEALTH PROVIDED 219,745 VISITS TO 57,608 PATIENTS AND $5,688,090 OF CHARITY CARE. 15246666 0 15734972 GENERAL DENTISTRY SERVICES INCLUDE ORAL HEALTH EXAMS, HYGIENE, AND RESTORATIVE SERVICES TO CONTAIN THE DISEASE PROCESS. PERIODONTAL AND ENDODONTIC CARE IS ALSO PROVIDED. IN 2018, NEIGHBORCARE PROVIDED 89,199 DENTAL VISITS TO 30,313 CHILDREN AND ADULTS. 4370706 0 4413677 SCHOOL-BASED HEALTH SERVICES INCLUDE PRIMARY MEDICAL SERVICES, MENTAL HEALTH, 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 BUILD STRONG RELATIONSHIPS AT SCHOOL, HOME, AND IN THEIR COMMUNITY. IN 2018, NEIGHBORCARE HEALTH PROVIDED 22,774 VISITS TO 5,212 SCHOOL-BASED PATIENTS. 3379323 0 3412547 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. 3379323 0 3412547 59261836 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 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 0 0 0 1 71 0 1003 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 X X JANINE CHILDS 2065483034 1200 12TH AVENUE SOUTH SUITE 901 SEATTLE WA 98144 BARBARA SHICKICH CHAIR 3.00 0.00 X X 0 0 0 JOYCE LAMMERT MD VICE CHAIR 2.00 0.00 X X 0 0 0 JENNIFER BELL SECRETARY 2.00 0.00 X X 0 0 0 BOB GREENLEE CPA TREASURER & DIRECTOR 2.00 0.00 X X 0 0 0 SALIL GUPTE DIRECTOR & TREASURER 2.00 0.00 X X 0 0 0 NWANDO ANYAOKU MD MPH DIRECTOR 1.00 0.00 X 0 0 0 SARAH CHESEMORE DIRECTOR 1.00 0.00 X 0 0 0 ROSE FELICIANO DIRECTOR 1.00 0.00 X 0 0 0 ANDREW FEMLING DIRECTOR (THROUGH OCTOBER 2018) 1.00 0.00 X 0 0 0 HOLLY FERRARO DIRECTOR (THROUGH MARCH 2018) 1.00 0.00 X 0 0 0 JOHN JENKEL DIRECTOR 1.00 0.00 X 0 0 0 ROM LEE DIRECTOR 1.00 0.00 X 0 0 0 NANCY NIPPLES DIRECTOR 1.00 0.00 X 0 0 0 RICK RUBIN DIRECTOR 1.00 0.00 X 0 0 0 JOYCE WILLIAMS DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL ERIKSON MSW CHIEF EXECUTIVE OFFICER 50.00 0.00 X 342109 0 45770 JANINE CHILDS MHA CHIEF FINANCIAL OFFICER 49.50 0.50 X 220108 0 37310 MEREDITH VAUGHAN MHA CHIEF OPERATING OFFICER 50.00 0.00 X 212260 0 23170 PEGGY EVANS PHD CHIEF TRANSFORMATION OFFICER 50.00 0.00 X 208118 0 33690 JOSEPH SPARACIO CHIEF DEVELOPMENT OFFICER 50.00 0.00 X 156055 0 35430 SARAH VANDER BEEK DMD CHIEF DENTAL OFFICER 50.00 0.00 X 144235 0 23120 MARCUS REMPEL MD PHD CHIEF MEDICAL OFFICER (THROUGH AUG 2018) 50.00 0.00 X 229255 0 49940 MEENA MITAL MD CHIEF MEDICAL OFFICER 50.00 0.00 X 105064 0 7970 THOMAS SCOTT MD SITE MEDICAL DIRECTOR 45.00 0.00 X 216946 0 44850 JESSICA WESCH MD SITE MEDICAL DIRECTOR 45.00 0.00 X 189734 0 26730 JONATHAN WELLS MD SITE MEDICAL DIRECTOR 45.00 0.00 X 180283 0 28520 CRAIG SZELA MD PHYSICIAN 40.00 0.00 X 169126 0 11530 RICHARD WATERS MD SITE MEDICAL DIRECTOR 45.00 0.00 X 167292 0 33380 2540585 0 401410 78 0 1 0 INDEMAND INTERPRETING 555 ANDOVER PARK W SUITE 201 TUKWILA WA 98188 INTERPRETIVE SERVICES 491139 BAYLEY CONSTRUCTION LP 8005 SE 28TH STREET MERCER ISLAND WA 98040 CONSTRUCTION 481250 EDGEWOOD DENTAL LABORATORY INC 8221 44TH AVENUE W SUITE H MUKILTEO WA 98275 LAB SERVICES 355579 CYPRESS SECURITY LLC 478 TEHAMA STREET SAN FRANCISCO CA 94103 SECURITY 339817 NUWEST GROUP HOLDINGS LLC 325 118TH AVENUE SE 300 BELLEVUE WA 98005 SUPPORT STAFFING 299686 15 184946 75000 16059748 3258000 1743029 19577694 PATIENT FEES 621400 59844468 59844468 59844468 351152 351152 846023 0 846023 846023 846023 12005363 11999440 70409 5923 -70409 -64486 -64486 98542 184946 92085 6457 6457 OTHER REVENUE 900099 1523088 1523088 1523088 82084396 60690491 0 1816211 4000 4000 1873603 217797 1655806 43774199 34180006 9365894 228299 1399066 1092426 299343 7297 3885026 2909182 953085 22759 4111244 3078578 1008581 24085 91550 30089 60773 688 73437 24136 48749 552 6960710 2338641 4585382 36687 237559 193580 43979 4319453 3492515 793457 33481 43836 35105 7975 756 1744933 1165247 579686 62221 29426 32295 500 125871 59527 65332 1012 28045 27379 666 2515411 1969175 546236 283626 152511 131103 12 UBI TAXES 32281 32281 PHARMACEUTICALS 4212075 4212075 BAD DEBT EXPENSE 2185920 2185920 MEDICAL SUPPLIES 1514493 1234117 280376 924420 630404 293620 396 80402979 59261836 20784619 356524 152649 5170538 3315822 9868813 3889470 3763280 5065841 4925713 234725 246028 1204042 878458 44875713 18746497 26963606 26129216 9928272 6945841 17598477 17585280 68352904 75513167 13934239 19366540 36646 250740 1079167 904167 35170 3756 15085222 20525203 X 49089306 50986512 4178376 4001452 53267682 54987964 68352904 75513167 X 1681417 7451 31414 X 0 1 X 1 1 1 X 18049915 26991252 25206046 25011875 19577694 114836782 18049915 26991252 25206046 25011875 19577694 114836782 114836782 89642 242960 904080 974234 1197175 3408091 1020529 1365937 2838360 1056532 1621630 7902988 126147861 241708056 0.91030 0.91870 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE SPECIAL FUNDRAISING EVENT REVENUES 0 39694 39694 80006763 80046457 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 12000 35000 39694 86694 250000 250000 250000 250000 1000000 1500000 2592380 2592380 25195491 9015585 16179906 5013293 3472731 1540562 11869184 6258181 5611003 205365 205365 26129216 FACILITY CONTRIBUTION RECEIVABLE 3903612 MERIDIAN CENTER FOR HEALTH RECEIVABLE 13681668 17585280 INTEREST RATE SWAP 3756 3756 X 79836227 7451 531877 92085 631413 79204814 2879582 2879582 82084396 78841021 531877 92085 623962 78217059 2185920 2185920 80402979 PART X, LINE 2: NEIGHBORCARE HEALTH HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) THAT STATES IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. THE ORGANIZATION'S FEDERAL INCOME TAX RETURNS ARE GENERALLY SUBJECT TO EXAMINATION FOR THREE YEARS AFTER THEY ARE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 92,085. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT RETURN 364,526. AFFORDABLE CARE ACT CAPITAL DEVELOPMENT GRANT REVENUE 254,136. PROVISION FOR BAD DEBT 2,185,920. CAPITAL CAMPAIGN TRANSFER FROM AFFILIATES 75,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 92,085. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 2,185,920. SPRING EVENT 223443 153714 69729 10673 22816 2468 29663 FEAST AT THE MARKET 60045 31232 28813 1642 18924 112 5787 283488 184946 98542 12315 41740 2580 35450 92085 6457 X X X X X 0 0 0 0 0 0 0 0 0 MICHAEL ERIKSON MSW CHIEF EXECUTIVE OFFICER 342109 0 0 0 0 0 33080 0 12690 0 387879 0 0 0 JANINE CHILDS MHA CHIEF FINANCIAL OFFICER 214138 0 5970 0 0 0 28950 0 8360 0 257418 0 0 0 MEREDITH VAUGHAN MHA CHIEF OPERATING OFFICER 212260 0 0 0 0 0 11670 0 11500 0 235430 0 0 0 PEGGY EVANS PHD CHIEF TRANSFORMATION OFFICER 208118 0 0 0 0 0 26930 0 6760 0 241808 0 0 0 JOSEPH SPARACIO CHIEF DEVELOPMENT OFFICER 156055 0 0 0 0 0 23310 0 12120 0 191485 0 0 0 SARAH VANDER BEEK DMD CHIEF DENTAL OFFICER 144235 0 0 0 0 0 21620 0 1500 0 167355 0 0 0 MARCUS REMPEL MD PHD CHIEF MEDICAL OFFICER (THROUGH AUG 2018) 229255 0 0 0 0 0 36130 0 13810 0 279195 0 0 0 THOMAS SCOTT MD SITE MEDICAL DIRECTOR 216546 0 400 0 0 0 35120 0 9730 0 261796 0 0 0 JESSICA WESCH MD SITE MEDICAL DIRECTOR 189734 0 0 0 0 0 11760 0 14970 0 216464 0 0 0 JONATHAN WELLS MD SITE MEDICAL DIRECTOR 175483 0 4800 0 0 0 16510 0 12010 0 208803 0 0 0 CRAIG SZELA MD PHYSICIAN 166726 0 2400 0 0 0 10640 0 890 0 180656 0 0 0 RICHARD WATERS MD SITE MEDICAL DIRECTOR 167292 0 0 0 0 0 26740 0 6640 0 200672 0 0 0 X 5 11304 SELLING PRICE X 4 1731725 SELLING PRICE 0 0 1 1 PART I, LINE 32B: THE ORGANIZATION USES ITS BROKERAGE FIRM, WELLS FARGO ADVISORS FINANCIAL NETWORK LLC, TO ACCEPT AND SELL DONATED SECURITIES. FORM 990, PART VI, SECTION A, LINE 1 THE BOARD HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE FOUR OFFICERS AND TWO ADDITIONAL BOARD MEMBERS. THE EXECUTIVE COMMITTEE HAS THE POWERS CONFERRED BY THE BOARD OF DIRECTORS TO ACT BETWEEN MEETINGS, TO MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS, AND TO CARRY OUT SPECIAL RESPONSIBILITIES ASSIGNED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE FACILITATES AN ANNUAL EVALUATION OF THE CEO, AND ANNUALLY REVIEWS AND SETS THE COMPENSATION OF THE CEO. THE EXECUTIVE COMMITTEE DETERMINES AND RECOMMENDS TO THE BOARD OF DIRECTORS FROM TIME TO TIME THE SLATE OF CANDIDATES FOR NOMINATION TO ELECTION AS OFFICERS OF THE BOARD. ANY INTERIM ACTION TAKEN BY THE EXECUTIVE COMMITTEE MUST BE RATIFIED BY THE BOARD AT ITS NEXT MEETING TO BE VALID AS AN ACT OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE, WITH AUTHORITY FROM THE BOARD OF DIRECTORS, REVIEWED THE FORM 990 WITH THE CHIEF FINANCIAL OFFICER. A FULL COPY OF THE TAX RETURN WAS 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 15A THE BOARD USES MARKET DATA AVAILABLE FROM PAYSCALE TO DETERMINE THE CHIEF EXECUTIVE OFFICER'S SALARY. OTHER MANAGEMENT SALARIES ARE REVIEWED BY HUMAN RESOURCES DEPARTMENT AND THE CHIEF EXECUTIVE OFFICER AND ARE COMPARED TO MARKET DATA FROM PAYSCALE. THESE PROCESSES LAST OCCURRED IN 2018. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF SWAP 31,414. MERIDIAN CENTER FOR HEALTH 1200 12TH AVENUE SOUTH SUITE 901 SEATTLE WA 98144 471766892 SUPPORT NEIGHBORCARE HEALTH WA 501(C)(3) LINE 12C, III-FI N/A 0 0 0 1 0 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0