2021-11-04T16:51:56-05:00 2021-05-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2020-06-01 911349657 COMMUNITY HEALTH CARE COMM 2535974550 1148 BROADWAY NO 100 TACOMA WA 98402 DAVID FLENTGE CEO 2537221502 2021-11-03 1 DAVID FLENTGE 999009999 KURT BENNION CPA P01469618 4252506100 2021-11-03 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DAVID FLENTGE 1148 BROADWAY NO 100 TACOMA WA 98402 75657516 0 X WWW.COMMHEALTH.ORG X 1987 WA TO PROVIDE THE HIGHEST QUALITY HEALTH CARE WITH COMPASSIONATE AND ACCESSIBLE SERVICE FOR ALL. 13 13 757 83 0 0 28341845 13552668 56445944 62024092 128671 1531 7828447 79225 92744907 75657516 26592465 9356 0 0 45078860 45852481 64474 0 93811 23105604 23659679 94841403 69521516 -2096496 6136000 60241234 68534516 14186695 16343977 46054539 52190539 X COMMUNITY HEALTH CARE PROVIDES COMPREHENSIVE PRIMARY MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE THROUGH A CLINIC SYSTEM THAT INCLUDES SEVEN MEDICAL CLINICS, FIVE DENTAL CLINICS, AND FIVE PHARMACY LOCATIONS. IN ADDITION, CARE IS ALSO PROVIDED THROUGH A WOMEN'S HEALTH CLINIC. 0 0 33290226 9356 30768352 COMMUNITY HEALTH CARE (CHC) MEDICAL CLINICS OFFER MEDICAL SERVICES AND URGENT CARE CENTER SERVICES IN VARIOUS LOCATIONS IN PIERCE COUNTY ACCORDING TO A SLIDING FEE SCALE BASED ON INCOME AND FAMILY SIZE. CHC CONTINUES TO SUPPORT TWO MEDICAL RESIDENCY PROGRAMS:1. A FAMILY PHYSICIAN RESIDENCY PROGRAM THAT ACCEPTS 6 RESIDENTS EACH YEAR FOR A TOTAL OF 18 RESIDENTS DURING A 3 YEAR PROGRAM; AND2. A 1-YEAR FAMILY ADVANCED REGISTERED NURSE PRACTIONER RESIDENCY PROGRAM WITH TWO RESIDENTS.DURING THE FISCAL YEAR ENDED 5/31/21, CHC PROVIDED 32,925 PATIENTS WITH MEDICAL CARE FROM 115,434 PATIENT VISITS AT 7 MEDICAL CLINICS. 12732055 0 19926796 COMMUNITY HEALTH CARE (CHC) PHARMACIES OFFER PHARMACEUTICAL SERVICES TO PATIENTS IN VARIOUS LOCATIONS IN PIERCE COUNTY ACCORDING TO THE SAME FEE STRUCTURE NOTED ABOVE. THE CHC PHARMACY PROGRAM INCLUDES A 1-YEAR PHARMACY RESIDENCY PROGRAM.DURING THE FISCAL YEAR ENDED 5/31/21, CHC'S PHARMACIES SERVED 15,814 PATIENTS THROUGH 142,366 MEDICATION FILLS AT 5 CLINICS. 11221639 0 9169731 COMMUNITY HEALTH CARE (CHC) DENTAL CLINICS OFFER PRIMARY CARE DENTAL SERVICES IN VARIOUS PIERCE COUNTY LOCATIONS ACCORDING TO THE SAME FEE STRUCTURE. CHC DENTAL CLINICS INCLUDE A 1-YEAR DENTAL RESIDENCY PROGRAM.DURING THE FISCAL YEAR ENDED 5/31/21, CHC PROVIDED 20,207 PATIENTS WITH DENTAL CARE FROM 54,442 PATIENT VISITS AT 6 DENTAL CLINICS. 2888810 0 2159213 COMMUNITY HEALTH CARE (CHC) OFFERS MATERNITY SUPPORT, BEHAVIORAL HEALTH SERVICES, NUTRITION AND VISION SERVICES THROUGH THE CHC CLINICS IN PIERCE COUNTY.DURING THE FISCAL YEAR ENDED 5/31/21, CHC PROVIDED 3,952 PATIENTS WITH 17,181 VISITS. 2888810 0 2159213 60132730 1 1 0 1 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 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 36 0 757 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 1 0 X TONIA CAMPBELL 2535974550 1148 BROADWAY NO 100 TACOMA WA 98402 DAVID FLENTGE MSW CEO 40.00 X 346943 0 36718 JOHNNY ERKINS MD MEDICAL PROVIDER 40.00 X 326821 0 45794 JEFFREY SMITH MD CMO 40.00 X 349117 0 21071 CARRIE JO TIMMER DO RESIDENCY DIRECTOR 40.00 X 295340 0 38291 GAYLE MATTHEWS MD OBGYN MEDICAL PROVIDER 40.00 X 298891 0 31547 JAMES LENHART MD PHD MEDICAL PROVIDER 40.00 X 287187 0 32120 GARY REICHARD MD ASSISTANT RESIDENCY DIRECTOR 40.00 X 260708 0 40280 ERIN LONGLEY MD MEDICAL PROVIDER 40.00 X 281056 0 15956 CONSTANCE CAMPBELL MD MEDICAL PROVIDER 40.00 X 281234 0 9168 JEFF REYNOLDS DMD DENTAL DIRECTOR 40.00 X 223084 0 18254 TONIA CAMPBELL CPA CFO 40.00 X 182826 0 28767 CALLIE GARD COMPLIANCE OFFICER 40.00 X 162946 0 32382 GARY WALMER CHAIR & TREASURER 2.00 X X 0 0 0 MARCO VINIEGRA VICE CHAIR & CHAIR 2.00 X X 0 0 0 WILL SPEAKER BOARD MEMBER & VICE CHAIR 2.00 X X 0 0 0 DAN SLOAN SECRETARY & BOARD MEMBER 2.00 X X 0 0 0 KATIE PARKER BOARD MEMBER & SECRETARY 2.00 X X 0 0 0 LADEDRIA GRIFFITH STALLWORTH TREASURER & BOARD MEMBER 2.00 X X 0 0 0 LINDA BOWMAN BOARD MEMBER 2.00 X 0 0 0 PAUL HANSEN BOARD MEMBER 2.00 X 0 0 0 RIA JOHNSON BOARD MEMBER 2.00 X 0 0 0 MEI YUN LOYA BOARD MEMBER 2.00 X 0 0 0 ALMA PRICE BOARD MEMBER 2.00 X 0 0 0 KEN REPP BOARD MEMBER 2.00 X 0 0 0 ANNIE TUSTISON BOARD MEMBER 2.00 X 0 0 0 3296153 0 350348 74 0 1 0 NEXTGEN HEALTHCARE PO BOX 511449 LOS ANGELES CA 90051 EHR SOFTWARE SERVICES 610396 ABM JANITORIAL SERVICES PO BOX 419860 BOSTON MA 02241 JANITORIAL 471483 CHI FRANCISCAN HEALTH 1145 BROADWAY SUITE 1200 TACOMA WA 98402 OB DELIVERIES 205200 FASPSYCH LLC 8687 E VIA DE VENTURA SCOTTSDALE AZ 85258 MENTAL HEALTH SERVICES 146224 CROSS CULTURAL COMMUNICATIONS PO BOX 2166 SUMNER WA 98390 INTERPRETATION SERVICES 131016 14 13218131 334537 394025 13552668 PATIENT FEES 621400 44990297 44990297 PHARMACY REVENUE 621300 17033795 17033795 62024092 1531 1531 3023 0 3023 3023 3023 RISK POOL REVENUE 900099 46975 46975 MISCELLANEOUS REVENUE 900099 29227 29227 76202 75657516 62024092 0 80756 9356 9356 2477703 1499649 939454 38600 33862092 29468411 4347495 46186 1339928 1156631 183889 -592 5661210 4751322 903578 6310 2511548 2094617 413690 3241 130680 130680 51963 51963 20000 20000 3899231 3412943 486280 8 197675 127371 70304 1112643 795620 316989 34 694422 398556 295866 362945 233260 129685 218523 145405 73118 2895656 2521236 374397 23 206354 148769 57584 1 MEDICAL/DENTAL SUPPLIES 11234491 10912506 321985 BAD DEBT EXPENSE 1514889 1514889 MISCELLANEOUS 533752 439584 94168 REPAIRS & MAINTENANCE 363713 317185 46528 222742 185420 37322 69521516 60132730 9294975 93811 11523431 18832253 3652271 3653397 384627 649460 5860114 7821995 319396 267298 1422165 992224 67947444 31629555 37079230 36317889 60241234 68534516 5751582 7114894 1545204 615668 2746691 2603092 4143218 6010323 14186695 16343977 X 46054539 52190539 46054539 52190539 60241234 68534516 6136000 0 X 0 1 X 1 1 1 X 8685597 8192256 8691602 28341845 13552668 67463968 8685597 8192256 8691602 28341845 13552668 67463968 67463968 237793 243543 249769 207248 4554 942907 130875 54130 118231 7749870 76202 8129308 76536183 271545481 0.88150 0.86540 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE SPECIAL FUNDRAISING EVENT REVENUES GAIN ON NMTC TERMINATION RISK POOL REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 22787 0 0 22787 0 PART II-B, LINE 1: THE ORGANIZATION'S EMPLOYEES, INCLUDING THE CEO AND 2 ARNP RESIDENTS, SPENT APPROXIMATELY 35 HOURS LOBBYING. FOUR OF THE ORGANIZATION'S BOARD MEMBERS SPENT APPROXIMATELY 15 HOURS LOBBYING, IN ADDITION, A PORTION OF THE MEMBERSHIP DUES PAID TO CERTAIN ASSOCIATIONS ARE USED BY THOSE ASSOCIATIONS TO LOBBY ON BEHALF OF THEIR MEMBERS. 4604304 4604304 45316806 17906356 27410450 2998701 1890918 1107783 14967015 11832281 3134734 60618 60618 36317889 X 74154413 16340 16340 74138073 1519443 1519443 75657516 68022967 16340 16340 68006627 1514889 1514889 69521516 PART X, LINE 2: NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS BECAUSE THE ORGANIZATION IS A NONPROFIT ORGANIZATION, EXEMPT FROM INCOME TAXES UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. 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 (ASC). PART XI, LINE 4B - OTHER ADJUSTMENTS: OTHER NONOPERATING INCOME 4,554. BAD DEBT EXPENSE 1,514,889. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,514,889. 1 PART I, LINE 2: CHC DONATES TO LOCAL CHARITIES AND GOVERNMENT ENTITIES. CHC DOES NOT CONDUCT ANY SPECIAL FOLLOW-UP TO ENSURE FUNDS ARE USED FOR A CHARITABLE PURPOSE. X 1 1 X X X X X 0 0 0 0 0 1 0 0 0 DAVID FLENTGE MSW CEO 346943 0 0 0 0 0 25000 0 11718 0 383661 0 0 0 JOHNNY ERKINS MD MEDICAL PROVIDER 306640 0 20181 0 0 0 26000 0 19794 0 372615 0 0 0 JEFFREY SMITH MD CMO 315602 0 33515 0 0 0 3525 0 17546 0 370188 0 0 0 CARRIE JO TIMMER DO RESIDENCY DIRECTOR 267668 0 27672 0 0 0 18700 0 19591 0 333631 0 0 0 GAYLE MATTHEWS MD OBGYN MEDICAL PROVIDER 298891 0 0 0 0 0 19500 0 12047 0 330438 0 0 0 JAMES LENHART MD PHD MEDICAL PROVIDER 278557 0 8630 0 0 0 14000 0 18120 0 319307 0 0 0 GARY REICHARD MD ASSISTANT RESIDENCY DIRECTOR 247741 0 12967 0 0 0 24923 0 15357 0 300988 0 0 0 ERIN LONGLEY MD MEDICAL PROVIDER 255972 0 25084 0 0 0 13040 0 2916 0 297012 0 0 0 CONSTANCE CAMPBELL MD MEDICAL PROVIDER 251013 0 30221 0 0 0 0 0 9168 0 290402 0 0 0 JEFF REYNOLDS DMD DENTAL DIRECTOR 209016 0 14068 0 0 0 0 0 18254 0 241338 0 0 0 TONIA CAMPBELL CPA CFO 182826 0 0 0 0 0 9872 0 18895 0 211593 0 0 0 CALLIE GARD COMPLIANCE OFFICER 162946 0 0 0 0 0 21183 0 11199 0 195328 0 0 0 PART I, LINE 1A DURING 2020, COMMUNITY HEALTH CARE PAID ROTARY CLUB DUES OF $325 FOR DAVID FLENTGE, THE CEO. THIS AMOUNT WAS NOT INCLUDED IN HIS TAXABLE COMPENSATION. PART I, LINE 6 THE EXECUTIVE MANAGEMENT TEAM, OTHER THAN THE CEO, RECEIVED A BONUS THAT WAS PRIMARILY BASED ON ACHIEVING BOARD-APPROVED OPERATING SURPLUS/DEFICIT GOALS, AS WELL AS FOUR OTHER STRATEGIC GOALS SUCH AS PATIENT SATISFACTION AND NUMBER OF PATIENTS SERVED. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2016-08-19 3285000 TO FUND A FACILITY RENOVATION AND REFUND SERIES 2003 BONDS 0 0 0 A 648191 3285000 2311710 927290 2017 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 X 8024 391025 CDC PRICING 0 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN COLUMN IS THE NUMBER OF DONATED ITEMS RECEIVED DURING THE FISCAL YEAR. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF BOARD (CHAIR OR CO-CHAIRS, VICE CHAIR, SECRETARY AND TREASURER) AND THE CHAIRS OF EACH STANDING COMMITTEE. THE EXECUTIVE COMMITTEE HAS THE POWERS AND AUTHORITY OF THE BOARD TO MAKE DECISIONS WHEN THE BOARD IS NOT IN SESSION. THE EXECUTIVE COMMITTEE ALSO OVERSEES THE RECRUITMENT AND HIRING OF THE CEO. THE COMMITTEE OVERSEES THE COMPENSATION PROCESS OF THE CEO. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED AND APPROVED BY THE CFO, THEN BY THE FINANCE COMMITTEE, THEN BY THE BOARD OF DIRECTORS, PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND MANAGEMENT TEAM MEMBERS ARE ASKED TO SIGN A CONFLICT-OF-INTEREST STATEMENT AT INITIAL ORIENTATION AND AGAIN ANNUALLY. RECORDS ARE MAINTAINED BY THE HUMAN RESOURCES FOR THE MANAGEMENT TEAM AND THE ASSISTANT TO THE CEO FOR THE BOARD. THE COMPLIANCE OFFICER REVIEWS AND SIGNS EACH CONFLICT OF INTEREST FORM. REPORTED OR POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE OFFICER AND THE HUMAN RESOURCES DIRECTOR FOR MANAGEMENT TEAM AND CEO FOR THE BOARD. IF A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER OR MANAGEMENT TEAM MEMBER MUST EXCUSE THEMSELVES FROM DISCUSSION OR VOTES THAT INVOLVE THE SUBJECT OF THEIR CONFLICT. IF A CONFLICT IS PERVASIVE WITH A BOARD MEMBER, THEN THE CO-CHAIRS CAN PROCEED TO REMOVE THE BOARD MEMBER. IF A CONFLICT IS PERVASIVE WITH A MANAGEMENT TEAM MEMBER, THEY MAY BE TERMINATED. FORM 990, PART VI, SECTION B, LINE 15 COMMUNITY HEALTH CARE USES NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION, NATIONAL ASSOCIATION FOR COMMUNITY HEALTH CENTERS, AND MILLIMAN SALARY SURVEYS AND DATA FROM THE PACIFIC NORTHWEST REGION AS COMPARATIVE DATA. AN OUTSOURCED INDEPENDENT CONSULTANT IS ALSO USED TO DETERMINE SALARY EXPECTATION. THE BOARD REVIEWS THE CEO'S COMPENSATION AND APPROVES. THIS PROCESS WAS LAST COMPLETED IN 2021. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED BY THE CEO AND THEN THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THIS PROCESS WAS LAST COMPLETED IN 2021. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.