2020-02-18T13:10:59-06:00 2019-03-31 910189318 MOSS ADAMS LLP 1301 A STREET SUITE 600 TACOMA WA 984024205 990 2018-04-01 911020139 SEA-MAR COMMUNITY HEALTH CENTER SEA- 2067635277 1040 SOUTH HENDERSON STREET SEATTLE WA 98108 DUSTIN GREER CFO 2067635277 2020-02-17 1 COLLEEN RAMIRES P01251320 2535724100 12.129.4.211 2020-02-17 16:52:08 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 C07EA3D2EFE7589B691C7C6F5A7C1991A329BAB3 2018 2020-11-19 02:30:22Z ROGELIO RIOJAS 1040 SOUTH HENDERSON STREET SEATTLE WA 98108 321715511 0 X WWW.SEAMARCHC.ORG X 1977 WA SERVICES INCLUDE 90+ MEDICAL AND BEHAVIORAL HEALTH CLINICS AS WELL AS EDUCATIONAL AND SOCIAL SERVICES 10 10 3204 230 410931 -95415 18206926 20780861 274142824 288445690 258036 252275 1728497 10501968 294336283 319980794 16611704 25051185 0 0 162902220 170311227 0 0 0 104696596 115736097 284210520 311098509 10125763 8882285 233634304 269123656 113566904 139834746 120067400 129288910 X SEA MAR COMMUNITY HEALTH CENTERS IS A COMMUNITY-BASED ORGANIZATION COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE HEALTH, HUMAN, HOUSING, EDUCATIONAL AND CULTURAL SERVICES TO DIVERSE COMMUNITIES, SPECIALIZING IN SERVICE TO LATINOS. 0 0 242013503 24946723 259769136 IN FY 2019, SEA MAR COMMUNITY HEALTH CENTERS WAS ONE OF THE LEADING PROVIDERS OF MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES FOR LOW-INCOME, UNINSURED AND OTHERWISE UNDERSERVED INDIVIDUALS AND FAMILIES IN WESTERN WASHINGTON STATE. SEA MAR'S NETWORK OF CLINICS SPANS ELEVEN COUNTIES, INCLUDING CLALLAM, CLARK, COWLITZ, GRAYS HARBOR, ISLAND, KING, PIERCE, SKAGIT, SNOHOMISH, THURSTON AND WHATCOM. TOGETHER, IN FY 2019 THESE CLINICS SERVED 307,119 PATIENTS WITH 1,606,439 ENCOUNTERS. THESE SERVICES REACH THE MOST VULNERABLE MEMBERS OF THESE WESTERN WASHINGTON COMMUNITIES, WITH 79% LIVING BELOW THE 200% FEDERAL POVERTY LEVEL. SEA MAR'S 34 MEDICAL CLINICS SERVED 140,010 PATIENTS WITH 364,978 VISITS IN FY 2019. COMPREHENSIVE MEDICAL SERVICES RUN THE FULL SPECTRUM FROM FAMILY MEDICINE, OBSTETRICS AND PREVENTIVE CARE TO INTERNAL MEDICINE, CHRONIC DISEASE MANAGEMENT AND GERIATRICS. ADDITIONALLY, SEA MAR'S MEDICAL PROVIDERS HAVE PRIVILEGES IN COMMUNITY HOSPITALS THROUGHOUT THE AGENCY'S SERVICE AREA, ENSURING INPATIENT CARE FOR PATIENTS AS NEEDED. SEA MAR'S 26 DENTAL CLINICS SERVED 90,328 PATIENTS WITH 252,122 VISITS IN FY 2019. DENTAL SERVICES INCLUDE PEDIATRIC AND ADULT ORAL HEALTH EXAMS AND EDUCATION, CLEANINGS, FILLINGS, EXTRACTIONS, DIAGNOSIS AND TREATMENT OF VARIOUS DENTAL CONDITIONS, PREVENTIVE ORAL HEALTH CARE INCLUDING FLUORIDE TREATMENTS AND DENTAL SEALANTS, CONSULTATIONS FOR CROWNS AND BRIDGES, AND SOME ORTHODONTICS. SEA MAR'S MEDICAL AND DENTAL CLINICS OFFER SAME DAY APPOINTMENTS FOR EMERGENCY OR URGENT CARE, AND THE AGENCY HAS LAB, X-RAY AND PHARMACY SERVICES AVAILABLE IN SOME LOCATIONS THROUGHOUT ITS SERVICE AREA. SEA MAR FOLLOWS A PATIENT-CENTERED MEDICAL HOME MODEL OF CARE, AND FOCUSES ON POPULATION HEALTH MANAGEMENT. TO BEST SERVE ITS CLIENTS, SEA MAR PROVIDES ALL SERVICES IN ENGLISH, SPANISH AND OTHER LANGUAGES AS NEEDED, AND ALL CLIENTS ARE SERVED REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY FOR SERVICES.BEHAVIORAL HEALTH CARE SERVICES ARE AMONG THE MOST CHALLENGING FOR VULNERABLE POPULATIONS TO ACCESS, DUE TO STIGMA, COST, AND THE LIMITED AVAILABILITY OF SUCH SERVICES FOR LOW-INCOME, UNINSURED, HOMELESS, OR NON-ENGLISH SPEAKING INDIVIDUALS. SEA MAR'S OUTPATIENT BEHAVIORAL HEALTH CLINICS PROVIDE MULTI-LINGUAL, CULTURALLY-APPROPRIATE MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT SUPPORT TO CLIENTS REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY FOR SERVICES. SEA MAR'S 36 OUTPATIENT BEHAVIORAL HEALTH CLINICS SERVED 13,296 CLIENTS WITH 127,468 VISITS IN FY 2019. DURING THE FISCAL YEAR, SEA MAR CONTINUED TO FURTHER INTEGRATE ITS BEHAVIORAL HEALTH SERVICES WITH PRIMARY CARE WHEREVER POSSIBLE, ENSURING THAT PATIENTS IN NEED ARE ACCESSING ALL OPTIONS FOR ACHIEVING POSITIVE HEALTH OUTCOMES. 11083266 0 10075541 PREVENTIVE HEALTH SERVICES (PHS). SEA MAR'S MULTI-FUNCTIONAL PHS TEAM COVERS THREE MAJOR BRANCHES OF SERVICE. HEALTH EDUCATION INCLUDES PROGRAMS THAT PROVIDE PATIENTS WITH NUTRITIONAL COUNSELING AND GUIDANCE, WEIGHT CONTROL, FAMILY PLANNING, SMOKING CESSATION AND CHRONIC DISEASE MANAGEMENT SUPPORT. IN FY 2019, MATERNITY SUPPORT SERVICES (MSS) PROVIDED SUPPORT TO 4,846 PREGNANT WOMEN AND NEW MOTHERS TO ENSURE HEALTHY PREGNANCY AND INFANCY OUTCOMES. SEA MAR'S WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM IS THE LARGEST PRIVATE WIC PROVIDER IN THE STATE OF WASHINGTON, SERVING 32,533 PEOPLE WITH 187,584 ENCOUNTERS IN FY 2019. THE PROGRAM PROVIDES FOOD VOUCHERS ALONGSIDE HEALTH, BREASTFEEDING AND NUTRITION EDUCATION FOR PREGNANT WOMEN, NEW MOTHERS AND YOUNG CHILDREN. 7846887 0 6850262 CHEMICAL DEPENDENCY INPATIENT TREATMENT CENTERS. SEA MAR GOES BEYOND THE OUTPATIENT TREATMENT MODEL TO PROVIDE LONGER-TERM INPATIENT CHEMICAL DEPENDENCY TREATMENT FOR LOW-INCOME, UNINSURED OR UNDER-INSURED YOUTH AND ADULTS IN FOUR FACILITIES OFFERING A TOTAL OF 100 BEDS THROUGHOUT ITS SERVICE AREA. THESE TREATMENT CENTERS OFFER BILINGUAL, CULTURALLY-APPROPRIATE SERVICES TO PEOPLE WITH FEW OTHER OPTIONS FOR SUCH TREATMENT. IN FY 2019, SEA MAR'S INPATIENT TREATMENT CENTERS PROVIDED 21,601 PATIENT DAYS TO 1,000 INDIVIDUALS WITH SAFE DETOX, EVIDENCE-BASED TREATMENT, AND GUIDANCE DURING RE-ENTRY, INCLUDING TRANSITION TO SEA MAR'S OUTPATIENT BEHAVIORAL HEALTH SERVICES AS NEEDED. NEARLY ALL OF THESE PATIENTS WERE LIVING BELOW THE 200% FEDERAL POVERTY LEVEL. 18507814 104462 11750751 CANNON HOUSE ASSISTED LIVING FACILITY. CANNON HOUSE IS LOCATED IN THE DIVERSE CENTRAL DISTRICT NEIGHBORHOOD OF SEATTLE, AND PROVIDES SAFE AND AFFORDABLE ASSISTED LIVING SERVICES FOR SENIORS AND OTHERS IN NEED OF RESIDENTIAL CARE. THE FACILITY HOUSES AROUND 100 RESIDENTS, AND FOCUSES ON HELPING RESIDENTS MAINTAIN INDEPENDENCE AND A HIGH QUALITY OF LIFE. SEA MAR PROVIDED 31,180 PATIENT DAYS TO CANNON HOUSE RESIDENTS IN FY 2019. NEARLY ALL CANNON HOUSE RESIDENTS ARE MEDICAID/MEDICARE RECIPIENTS LIVING BELOW THE 200% FEDERAL POVERTY LEVEL.MANAGED CARE. THE MANAGED CARE DEPARTMENT HAS MADE SEA MAR A LEADER IN THE STATE OF WASHINGTON FOR PROVIDING HEALTH INSURANCE ENROLLMENT INFORMATION AND ASSISTANCE TO COMMUNITY MEMBERS IN NEED. IN FY 2019, SEA MAR'S MANAGED CARE OUTREACH AND ENROLLMENT TEAM SERVED 55,478 UNDUPLICATED INDIVIDUALS WITH INFORMATION ABOUT INSURANCE OPTIONS AND ENROLLMENT IN INSURANCE PLANS. SERVICES ARE PROVIDED IN PERSON AND OVER THE PHONE, IN ENGLISH, SPANISH, AND OTHER LANGUAGES AS NEEDED TO SERVE THE CLIENT. PATIENTS WHO BECOME MEDICAID BENEFICIARIES AND ENTER INTO MANAGED CARE SERVICES WITH SEA MAR RECEIVE MONITORING AND OUTREACH TO ENSURE THEY ARE OVERCOMING ANY BARRIERS TO ACCESSING THE SERVICES THEY NEED, AND SUCCESSFULLY ENGAGING IN TREATMENT AND FOLLOW UP TO REACH THE POSITIVE HEALTH OUTCOMES ESTABLISHED BETWEEN THE PATIENT AND THEIR PROVIDER. SEA MAR SERVES APPROXIMATELY 89,924 PATIENTS ENROLLED IN THE MANAGED CARE SERVICES PROGRAM.OTHER SERVICES. SEA MAR MEETS ITS MISSION IN PROVIDING COMPREHENSIVE SERVICES WITH A SPECIALIZATION IN SERVING THE LATINO COMMUNITY THROUGH A WIDE VARIETY OF PROGRAMS BEYOND THE CORE HEALTH CARE SERVICES. THESE PROGRAMS FOCUS ON ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH BY PROVIDING VARIOUS SOCIAL SUPPORTS THAT GIVE INDIVIDUALS AND FAMILIES THE SUPPORT AND CONNECTIONS THEY NEED TO MAINTAIN WELL-BEING. THESE PROGRAMS INCLUDE NUTRITION AND SERVICES OUTREACH FOR LATINO SENIOR CITIZENS, CANCER SCREENING PROGRAMS, COMMUNITY EVENTS, CITIZENSHIP CLASSES, CHILD CARE, CIVIC ENGAGEMENT, EDUCATION AND YOUTH EDUCATIONAL ACHIEVEMENT AND LEADERSHIP PROGRAMS, SPANISH-LANGUAGE RADIO PROGRAMMING, A BOXING CLUB FOR AT-RISK YOUTH, HOME CARE AND MORE. THROUGH THESE PROGRAMS, CLIENTS ACHIEVE INDEPENDENCE AND THE SKILLS NECESSARY TO SUCCEED IN THEIR LIVES, WHICH TRANSLATES TO SUCCESS IN ACHIEVING POSITIVE HEALTH OUTCOMES OVER THE LONG TERM. 18507814 104462 11750751 279451470 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 51 0 1 3204 1 1 1 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 0 0 1 1 1 1 1 1 1 0 WA X DUSTIN GREER 2067883209 1040 S HENDERSON ST SEATTLE WA 98108 GREG MA CHAIR 2.00 5.00 X X 0 0 0 AUGUSTINO DELGADO VICE CHAIR 2.00 5.00 X X 0 0 0 ERASMO GAMBOA TREASURER 2.00 5.00 X X 0 0 0 DIANA SAVELLE SECRETARY 2.00 5.00 X X 0 0 0 KATHERINE LOWE MEMBER 2.00 5.00 X 0 0 0 FELIPE TINIDAD MARTINEZ MEMBER 2.00 5.00 X 0 0 0 SILVERIO VIVANCO SANCHEZ MEMBER 2.00 5.00 X 0 0 0 MICHELLE DANLEY MEMBER 2.00 5.00 X 0 0 0 JAMES CAUDLE MEMBER 2.00 5.00 X 0 0 0 DAVID GASCA MEMBER 2.00 5.00 X 0 0 0 ROGELIO RIOJAS EXECUTIVE DIRECTOR 45.00 5.00 X 1286727 0 16070 DUSTIN GREER CHIEF FINANCE OFFICER 42.00 5.00 X 200355 0 16070 RICARDO RUNNELS VP OF FINANCE (THROUGH 10/18) 40.00 X 176654 0 9288 MARY BARTOLO DEPUTY DIRECTOR 40.00 2.00 X 637842 0 77938 CLAUDIA D'ALLEGRI VP OF BEHAVIORAL HEALTH 40.00 X 269827 0 43067 RAMOS R JIMENEZ MEDICAL DIRECTOR 40.00 X 594142 0 75034 ALEJANDRO NARVAEZ DENTAL DIRECTOR 40.00 X 480906 0 63519 MICHAEL LEONG VP OF CORPORATE & LEGAL AFFAIRS 40.00 X 336956 0 49528 WEI TIAN DENTIST 40.00 X 307839 0 16070 GREG SANDERS PHYSICIAN 40.00 X 294957 0 16070 JULIO JIMENEZ PHYSICIAN 40.00 X 295673 0 16070 MARY CAROLINA LUCERO SENIOR VICE PRESIDENT 40.00 X 313381 0 46750 5195259 0 445474 214 0 1 0 COMPHEALTH PO BOX 972651 DALLAS TX 75397 CONTRACTUAL STAFFING SERVICES 1453631 ADVANCED PRO BUILDERS LLC 148 GREYSTONE RD KALAMA WA 98625 CONSTRUCTION LABOR 1434292 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 30384 CONTRACTUAL STAFFING SERVICES 1369324 BAZAN & ASSOCIATES 2000 116TH AVENUE NE STE 4 BELLEVUE WA 98004 ARCHITECTURAL SERVICES 1162647 LINCOLN CONSTRUCTION INC PO BOX 730 SPANAWAY WA 98387 CONSTRUCTION LABOR 882665 35 6794 308428 16428627 4037012 2628319 20780861 PATIENT SERVICES 623990 162439303 162439303 MEDICARE/MEDICAID PAYMENTS 623990 109568572 109568572 OTHER SERVICES 623990 16144318 16144318 CONTRACT REVENUE 623990 293497 293497 288445690 252275 252275 1481490 424555 1056935 1056935 1056935 1176075 1176075 0 83087 308428 134087 -51000 -51000 PARTNERSHIP HOUSING SERVICES 561000 8935620 8935620 RADIO BROADCASTING 515100 410931 410931 OTHER INCOME 900099 149482 149482 9496033 319980794 288445690 410931 10343312 2800141 2800141 22251044 22251044 4625571 390088 4235483 130438129 123424851 7013278 2927794 2449817 477977 21329938 17690674 3639264 10989795 10106178 883617 118384 8676 109708 230657 230657 7755680 285163 7470517 19772993 18423694 1349299 3464868 918006 2546862 6494278 5874582 619696 957587 866898 90689 618292 493599 124693 1805780 1641127 164653 5830121 4532533 1297588 855101 216238 638863 CONTRACTUAL ALLOWANCES 51580969 51580969 PROVISIONS FOR BAD DEBT 8102769 8102769 CONTRACTUAL SERVICES 6490688 6260363 230325 HOUSING PROGRAM EXPENSE 655232 655232 1002698 478828 523870 311098509 279451470 31647039 0 40556285 45203180 166616 167618 12638572 14349280 31155792 48523098 715520 234115 1576861 3126941 192741971 53135128 124509228 139606843 5056772 4243408 7927118 7727118 2675000 2675000 6656540 3267055 233634304 269123656 33544609 50137408 2270551 2032652 67496062 78017903 5808379 5624301 1048066 1429385 3399237 2593097 113566904 139834746 X 120067400 129288910 120067400 129288910 233634304 269123656 8882285 50303 288922 0 X 0 1 X 1 1 1 X 22752135 11606877 15390367 18206926 20780860 88737165 22752135 11606877 15390367 18206926 20780860 88737165 1274809 87462356 1042387 389500 424096 1622782 1733765 5212530 95202 83087 178289 25415 1047957 42021 9085102 10200495 104328479 1182798693 0.83830 0.94590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 33079192 33079192 105997426 26981595 79015831 982539 621429 361110 36425110 25532104 10893006 16257704 16257704 139606843 SUPPLEMENTAL RETIREMENT ACCRUAL 2593097 2593097 X PART X, LINE 2: THE ORGANIZATION ADOPTED THE PROVISIONS OF ASC 740-10, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS ON APRIL 1, 2009, WHICH HAD NO FINANCIAL STATEMENT IMPACT TO THE ORGANIZATION. THE ORGANIZATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ORGANIZATION IS SUBJECT TO EXAMINATION BY U.S. FEDERAL (OR STATE AND LOCAL) INCOME TAX AUTHORITIES FOR THREE YEARS FROM THE FILING OF A TAX RETURN. GOLF TOURNAMENT 391515 308428 83087 17216 94087 8164 450 14170 391515 308428 83087 17216 94087 8164 450 14170 134087 -51000 1 SEA MAR SKILLED NURSING FACILITY 1040 S HENDERSON ST SEATTLE WA 98108 943126743 501(C)(3) 2478285 PAYMENTS FOR MEDICAL INSURANCE NORTHWEST COMMUNITIES EDUCATION CENTER PO BOX 800 GRANGER WA 98932 910969818 501(C)(3) 144882 GENERAL SUPPORT SOLID GROUND WASHINGTON 1501 N 45TH ST SEATTLE WA 98103 237421892 501(C)(3) 30000 GENERAL SUPPORT 3 0 HOLIDAY PARTY FOR UNDER PRIVILEGED CHILDREN 5140 104463 CHARITY CARE 35588 22126581 INTERN SCHOLARSHIPS 2 20000 PART I, LINE 2: THE ORGANIZATION ESTABLISHES A SCHOLARSHIP COMMITTEE TO REVIEW SCHOLARSHIP APPLICATIONS. SCHOLARSHIPS ARE AWARDED ON A NONDISCRIMINATORY BASIS BASED OFF NEED AND MERIT. AMOUNTS ARE ONLY DISBURSED AFTER STUDENT VERIFIES ENROLLMENT IN A QUALIFIED EDUCATIONAL INSTITUTION BY PROVIDING A CURRENT CLASS SCHEDULE WITH PERSONAL IDENTIFYING INFORMATION. X X 0 1 0 0 0 0 0 0 0 ROGELIO RIOJAS EXECUTIVE DIRECTOR 1272069 0 0 0 14658 0 8250 0 7820 0 1302797 0 0 0 DUSTIN GREER CHIEF FINANCE OFFICER 199930 0 0 0 425 0 8250 0 7820 0 216425 0 0 0 RICARDO RUNNELS VP OF FINANCE (THROUGH 10/18) 175546 0 0 0 1108 0 5300 0 3988 0 185942 0 0 0 MARY BARTOLO DEPUTY DIRECTOR 626153 0 0 0 11689 0 70118 0 7820 0 715780 0 0 0 CLAUDIA D'ALLEGRI VP OF BEHAVIORAL HEALTH 266770 0 0 0 3057 0 35247 0 7820 0 312894 0 0 0 RAMOS R JIMENEZ MEDICAL DIRECTOR 585012 0 0 0 9130 0 67214 0 7820 0 669176 0 0 0 ALEJANDRO NARVAEZ DENTAL DIRECTOR 468877 0 0 0 12029 0 55699 0 7820 0 544425 0 0 0 MICHAEL LEONG VP OF CORPORATE & LEGAL AFFAIRS 330627 0 0 0 6329 0 41708 0 7820 0 386484 0 0 0 WEI TIAN DENTIST 306565 0 0 0 1274 0 8250 0 7820 0 323909 0 0 0 GREG SANDERS PHYSICIAN 289865 0 0 0 5092 0 8250 0 7820 0 311027 0 0 0 JULIO JIMENEZ PHYSICIAN 292881 0 0 0 2792 0 8250 0 7820 0 311743 0 0 0 MARY CAROLINA LUCERO SENIOR VICE PRESIDENT 303171 0 0 0 10210 0 38930 0 7820 0 360131 0 0 0 PART I, LINE 4B AS PART OF SEA MAR'S DEFERRED COMPENSATION PROGRAM, THE FOLLOWING INDIVIDUALS RECEIVED A CONTRIBUTION TO A 457(F) PLAN: MARY BARTOLO - $61,868 - 31 YEAR EMPLOYEE MARY CAROLINA LUCERO - $30,680 - 31 YEAR EMPLOYEE RAMOS JIMENEZ - $58,964 - 29 YEAR EMPLOYEE ALEJANDRO NARVAEZ - $47,449 - 39 YEAR EMPLOYEE MICHAEL LEONG - $33,458 - 21 YEAR EMPLOYEE CLAUDIA D'ALLEGRI - $26,997 - 26 YEAR EMPLOYEE A WASHINGTON HEALTH CARE FACILITIES 911108929 2014-12-18 32902500 BOND REFINANCE OF 2006 AND 2007 ISSUES & CONSTRUCTION OF MEDICAL FACILITY 0 0 0 B WASHINGTON HEALTH CARE FACILITIES 911108929 2015-08-25 7067400 ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 C WASHINGTON HEALTH CARE FACILITIES 911108929 2015-10-16 4367450 ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 D WASHINGTON HEALTH CARE FACILITIES 911108929 2015-11-20 10845000 ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 A 2984024 32902500 182725 20717155 12002620 2016 1 0 0 1 B 626009 7067400 67315 7000085 2015 0 0 0 1 C 427267 4367450 45909 4321541 2015 0 0 0 1 D 876441 10845000 114046 10700954 2015 0 0 0 1 A 0 1 0 0 0 0 1 B 0 1 0 0 0 0 1 C 0 1 0 0 0 0 1 D 0 1 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 0 B 0 C 0 D 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WASHINGTON HEALTH CARE FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 10/12/2017 ISSUER NAME: WASHINGTON HEALTH CARE FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 12/27/2016 ISSUER NAME: WASHINGTON HEALTH CARE FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 10/12/2017 A WASHINGTON HEALTH CARE FACILITIES 911108929 2015-12-18 6965000 REFINANCE DEBT & ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 B WASHINGTON HEALTH CARE FACILITIES 911108929 2016-03-09 4875000 REFINANCE EXISTING BONDS 0 0 0 C WASHINGTON HEALTH CARE FACILITIES 911108929 2016-09-28 6000000 ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 D WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 2016-11-18 855600 ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 A 512149 6965000 2565000 4400000 2016 1 0 0 1 B 288813 4875000 93268 4781732 2018 1 0 0 1 C 132814 6000000 120000 600000 5280000 2018 0 0 0 1 D 38898 855600 16604 838996 0 0 0 1 A 0 1 0 0 0 0 1 B 0 1 0 0 0 0 1 C 0 1 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 0 B 0 C 0 D 0 A WASHINGTON HEALTH CARE FACILITIES 911108929 2016-12-21 5000000 ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 B WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 2017-07-27 11500000 ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 A 236850 5000000 71172 4928828 0 0 0 1 B 11500000 50001 10350000 0 0 0 1 A 0 1 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 0 B 0 X CSNW NET ASSET CONTRIBUTION 1 2628319 FMV 0 0 0 PART I, COLUMN (B): THE NUMBER REPORTED IN COLUMN (B) IS BASED ON THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION B, LINE 11B THE CURRENT TAX YEAR'S FORM 990 IS REVIEWED BY THE CEO AND CFO BEFORE BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A) DEFINITION - A BOARD MEMBER SHALL BE CONSIDERED TO HAVE A CONFLICT OF INTEREST WHEN HE/SHE (OR SOMEONE IN THAT BOARD MEMBER'S OWN IMMEDIATE FAMILY) COULD BE FINANCIALLY AFFECTED BY A RECOMMENDATION OR DECISION OF THE BOARD. (THIS EXCLUDES UTILIZATION OF SEA MAR SERVICES AND POLICIES REGARDING SERVICES PROVIDED BY SEA MAR.) ANY MEMBER SERVING ON ANOTHER DECISION-MAKING BODY THAT WOULD BE DIRECTLY AFFECTED BY AN ACTION OF THE BOARD WOULD ALSO HAVE A CONFLICT OF INTEREST. NO BOARD MEMBER MAY PARTICIPATE IN THE SELECTION, AWARD, OR ADMINISTRATION OF A CONTRACT SUPPORTED BY FEDERAL FUNDS IF A REAL OR APPARENT CONFLICT OF INTEREST WOULD BE INVOLVED. SUCH A CONFLICT WOULD ARISE WITH A BOARD MEMBER OR ANY OF HIS OR HER IMMEDIATE FAMILY, HIS OR HER PARTNER, OR AN ORGANIZATION WHICH EMPLOYS OR IS ABOUT TO EMPLOY ANY OF THE PARTIES INDICATED HEREIN, HAS A FINANCIAL OR OTHER INTEREST IN THE FIRM SELECTED FOR AN AWARD. THE BOARD MEMBERS SHALL NEITHER SOLICIT NOR ACCEPT GRATUITIES, FAVORS, OR ANYTHING OF MONETARY VALUE FROM CONTRACTORS OF THE CORPORATION OR PARTIES TO AGREEMENTS WITHIN THE CORPORATION. B) DETERMINATION OF CONFLICT OF INTEREST - ANY BOARD MEMBER WHO FEELS THAT HE/SHE HAS A POTENTIAL CONFLICT OF INTEREST REGARDING BUSINESS BEFORE THE BOARD SHOULD DECLARE THAT HE/SHE HAS A CONFLICT. ANY MEMBER MAY CHALLENGE ANOTHER MEMBER IF HE/SHE FEELS THAT A CONFLICT EXISTS AND HAS NOT BEEN DECLARED. IF THERE IS ANY QUESTION AS TO WHETHER A CONFLICT OF INTEREST EXISTS, THE MATTER SHALL BE DETERMINED BY A MAJORITY VOTE OF THE BOARD OR ITS COMMITTEES. C) ABSTENTION FOR BUSINESS AT HAND - ANY MEMBER DETERMINED TO HAVE A CONFLICT OF INTEREST SHALL BE EXCLUDED FROM VOTING ON THE MATTER AT HAND. D) VIOLATIONS - ANY BOARD MEMBER WHO KNOWINGLY VIOLATES THE PROVISIONS OF THIS SECTION 9 SHALL BE SUBJECT TO ACTION BY THE BOARD, INCLUDING BUT NOT LIMITED TO CENSURE, REMOVAL FROM THE BOARD PURSUANT TO SECTION 19, OR SUCH OTHER ACTION AS THE BOARD MAY DEEM APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE DIRECTOR COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS BASED UPON COMPENSATION COMPARISONS OF SIMILAR ORGANIZATIONS. SENIOR MANAGEMENT COMPENSATION IS REVIEWED INTERNALLY AGAINST SALARY SURVEYS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 AND FORM 1023 ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. THE ORGANIZATION'S GOVERNING/ORGANIZING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. 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