2021-04-15T18:14:00-05:00 2020-05-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2019-06-01 911349657 COMMUNITY HEALTH CARE COMM 2535974550 1148 BROADWAY NO 100 TACOMA WA 98402 DAVID FLENTGE CEO 2537221502 2021-04-13 1 KURT BENNION CPA P01469618 4252506100 2021-04-13 2019 2022-09-23 18:48:47Z DAVID FLENTGE 1148 BROADWAY NO 100 TACOMA WA 98402 92744907 0 X WWW.COMMHEALTH.ORG X 1987 WA TO PROVIDE THE HIGHEST QUALITY HEALTH CARE WITH COMPASSIONATE AND ACCESSIBLE SERVICE FOR ALL. 15 15 820 23 0 0 8691602 28341845 56075520 56445944 227772 128671 104599 7828447 65099493 92744907 13200 26592465 0 0 41849743 45078860 77591 64474 138114 19747793 23105604 61688327 94841403 3411166 -2096496 61063021 60241234 12911986 14186695 48151035 46054539 X COMMUNITY HEALTH CARE PROVIDES COMPREHENSIVE PRIMARY MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE THROUGH A CLINIC SYSTEM THAT INCLUDES SIX MEDICAL CLINICS, FIVE DENTAL CLINICS, AND FIVE PHARMACY LOCATIONS. IN ADDITION, CARE IS ALSO PROVIDED THROUGH A WOMEN'S HEALTH CLINIC. 0 0 48076278 26592465 26933393 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; AND 2. A 1-YEAR FAMILY ADVANCED REGISTERED NURSE PRACTIONER RESIDENCY PROGRAM WITH TWO RESIDENTS.DURING THE FISCAL YEAR ENDED 5/31/20, CHC PROVIDED 35,299 PATIENTS WITH MEDICAL CARE FROM 110,294 PATIENT VISITS AT 6 MEDICAL CLINICS. 16148676 0 8898662 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 5/31/20, CHC PROVIDED 22,745 PATIENTS WITH DENTAL CARE FROM 59,404 PATIENT VISITS AT 5 DENTAL CLINICS. 17811781 0 18436692 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 5/31/20, CHC'S PHARMACIES SERVED 16,602 PATIENTS THROUGH 159,714 MEDICATION FILLS AT 5 CLINICS. 4247393 0 2177197 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 5/31/20, CHC PROVIDED 4,777 PATIENTS WITH 17,796 VISITS. 4247393 0 2177197 86284128 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 43 0 820 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 15 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 JEFFREY SMITH MD CMO 40.00 0.00 X 377595 0 28836 JOHNNY ERKINS MD MEDICAL PROVIDER 40.00 0.00 X 329015 0 76677 DAVID FLENTGE MSW CEO 40.00 2.00 X 350319 0 42306 SANDRA WERNER MD MEDICAL PROVIDER 40.00 0.00 X 290519 0 40415 CARRIE JO TIMMER DO RESIDENCY DIRECTOR 40.00 0.00 X 270816 0 50071 JAMES LENHART MD PHD MEDICAL PROVIDER 40.00 0.00 X 278053 0 39281 GAYLE MATTHEWS MD OBGYN MEDICAL PROVIDER 40.00 0.00 X 269196 0 19288 ERIN LONGLEY MD MEDICAL PROVIDER 40.00 0.00 X 254917 0 31742 GARY REICHARD MD ASSISTANT RESIDENCY DIRECTOR 40.00 0.00 X 232951 0 50422 JEFF REYNOLDS DMD DENTAL DIRECTOR 40.00 0.00 X 238032 0 27680 TONIA CAMPBELL CPA CFO 40.00 2.00 X 187309 0 32944 GODWIN ASEMOTA PHARMD PHARMACY DIRECTOR 40.00 0.00 X 158836 0 52767 CALLIE GARD DIRECTOR OF OPERATIONS 40.00 2.00 X 152238 0 35778 GARY WALMER CHAIR 2.00 2.00 X X 0 0 0 MARCO VINIEGRA VICE CHAIR 2.00 0.00 X X 0 0 0 DAN SLOAN SECRETARY 2.00 2.00 X X 0 0 0 LADEDRIA GRIFFITH STALLWORTH TREASURER 2.00 0.00 X X 0 0 0 LINDA BOWMAN BOARD MEMBER 2.00 0.00 X 0 0 0 LIZ GOLDBERG BOARD MEMBER 2.00 0.00 X 0 0 0 PAUL HANSEN BOARD MEMBER 2.00 0.00 X 0 0 0 RIA JOHNSON BOARD MEMBER 2.00 0.00 X 0 0 0 MEI YUN LOYA BOARD MEMBER 2.00 0.00 X 0 0 0 KATIE PARKER BOARD MEMBER 2.00 0.00 X 0 0 0 ALMA PRICE BOARD MEMBER 2.00 0.00 X 0 0 0 KEN REPP BOARD MEMBER 2.00 0.00 X 0 0 0 DOUG SWANBERG BOARD MEMBER 2.00 2.00 X 0 0 0 WILL SPEAKER BOARD MEMBER 2.00 0.00 X 0 0 0 ANNIE TUSTISON BOARD MEMBER 2.00 0.00 X 0 0 0 ANTHONY VELEZ BOARD MEMBER (THROUGH MARCH 2019) 2.00 0.00 X 0 0 0 3389796 0 528207 81 0 1 0 SCRIBE-X NORTHWEST LLC 931 SW KING AVENUE PORTLAND OR 97205 MEDICAL SCRIBES 580284 NEXTGEN HEALTHCARE PO BOX 511449 LOS ANGELES CA 90051 EHR SOFTWARE SERVICES 580084 ABM JANITORIAL SERVICES PO BOX 419860 BOSTON MA 02241 JANITORIAL 481953 OAK HILLS CONSTRUCTION 901 ALGONA BLVD S ALGONA WA 98001 CONSTRUCTION SERVICES 240987 FASPSYCH LLC 8687 E VIA DE VENTURA SCOTTSDALE AZ 85258 MENTAL HEALTH SERVICES 231592 23 17989138 10121855 230852 18284952 28341845 PATIENT FEES 621400 40203229 40203229 PHARMACY REVENUE 621300 16081215 16081215 MEANINGFUL USE REVENUE 621400 161500 161500 56445944 128671 128671 78577 0 78577 78577 78577 GAIN ON NMTC TERMINATION 900099 7599462 7599462 MISCELLANEOUS REVENUE 900099 150408 150408 7749870 92744907 56445944 0 7957118 26592465 26592465 2398820 1588369 770682 39769 33347573 29207503 4115144 24926 1216198 1058583 158387 -772 5710970 4847481 857559 5930 2405299 2031090 371102 3107 184063 184063 70480 70480 3626 3626 64474 64474 3597689 2986538 611085 66 160379 78287 82092 1053069 705914 346817 338 852921 555927 296992 2 457555 341158 116299 98 106000 38523 67472 5 2301183 2189848 111227 108 189571 129993 59566 12 MEDICAL/DENTAL SUPPLIES 10618696 10604139 14549 8 BAD DEBT EXPENSE 2337072 2337072 MISCELLANEOUS 577189 469055 108101 33 REPAIRS & MAINTENANCE 345040 306957 38083 251071 215226 35835 10 94841403 86284128 8419161 138114 8184569 11523431 4218073 3652271 312456 384627 8149662 5860114 169728 319396 1292201 1422165 65813128 28733898 19559783 37079230 19176549 0 61063021 60241234 5573223 5751582 269481 1545204 2887332 2746691 4181950 4143218 12911986 14186695 X 48151035 46054539 48151035 46054539 61063021 60241234 -2096496 0 X 0 1 X 1 1 1 X 6040011 8685597 8192256 8691602 28341845 59951311 6040011 8685597 8192256 8691602 28341845 59951311 59951311 234721 237793 243543 249769 207248 1173074 96865 130875 54130 118231 7749870 8149971 69274356 246341086 0.86540 0.95710 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE SPECIAL FUNDRAISING EVENT REVENUES GAIN ON NMTC TERMINATION RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 3626 0 0 3626 0 PART II-B, LINE 1: THE ORGANIZATION'S EMPLOYEES, INCLUDING THE CEO AND 2 ARNP RESIDENTS, SPENT APPROXIMATELY 45 HOURS LOBBYING. THREE 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. 4282892 4282892 44601725 16126930 28474795 2431980 1777654 654326 14060693 10829314 3231379 435838 435838 37079230 X 64452572 37430 37430 64415142 28329765 28329765 92744907 65965750 37430 37430 65928320 28913083 28913083 94841403 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 207,248. CAPITAL CAMPAIGN CONTRIBUTIONS 196,845. BAD DEBT EXPENSE 2,337,072. GAIN ON TERMINATION OF NEW MARKETS TAX CREDIT 7,599,462. GRANT FROM HILLTOP REGIONAL HEALTH CENTER 17,989,138. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 2,337,072. GRANT TO HILLTOP REGIONAL HEALTH CENTER 26,576,011. X X X X X X X 1 RICHARD OLDENBURG 6825 RAINIER AVE GIG HARBOR WA 98335 MAJOR & PLANNED GIFT CONSULTING 0 394534 64474 330060 394534 64474 330060 WA 1 HILLTOP REGIONAL HEALTH CENTER 1148 BROADWAY SUITE 100 TACOMA WA 98402 455494488 501(C)(3) 26576011 DEBT-FORGIVENESS AS PART OF HILLTOP'S DISSOLUTION 1 0 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 JEFFREY SMITH MD CMO 335870 0 41725 0 0 0 4912 0 23924 0 406431 0 0 0 JOHNNY ERKINS MD MEDICAL PROVIDER 279336 0 49679 0 0 0 25000 0 51677 0 405692 0 0 0 DAVID FLENTGE MSW CEO 350319 0 0 0 0 0 25000 0 17306 0 392625 0 0 0 SANDRA WERNER MD MEDICAL PROVIDER 255621 0 34898 0 0 0 25000 0 15415 0 330934 0 0 0 CARRIE JO TIMMER DO RESIDENCY DIRECTOR 217826 0 52990 0 0 0 15061 0 35010 0 320887 0 0 0 JAMES LENHART MD PHD MEDICAL PROVIDER 240792 0 37261 0 0 0 13000 0 26281 0 317334 0 0 0 GAYLE MATTHEWS MD OBGYN MEDICAL PROVIDER 247196 0 22000 0 0 0 19000 0 288 0 288484 0 0 0 ERIN LONGLEY MD MEDICAL PROVIDER 209551 0 45366 0 0 0 19690 0 12052 0 286659 0 0 0 GARY REICHARD MD ASSISTANT RESIDENCY DIRECTOR 227128 0 5823 0 0 0 24000 0 26422 0 283373 0 0 0 JEFF REYNOLDS DMD DENTAL DIRECTOR 217709 0 20323 0 0 0 0 0 27680 0 265712 0 0 0 TONIA CAMPBELL CPA CFO 175339 0 11970 0 0 0 7749 0 25195 0 220253 0 0 0 GODWIN ASEMOTA PHARMD PHARMACY DIRECTOR 146866 0 11970 0 0 0 25000 0 27767 0 211603 0 0 0 CALLIE GARD DIRECTOR OF OPERATIONS 140268 0 11970 0 0 0 20155 0 15623 0 188016 0 0 0 PART I, LINE 1A DURING 2019, COMMUNITY HEALTH CARE PAID ROTARY CLUB DUES OF $450 FOR DAVID FLENTGE, THE CEO. THIS AMOUNT WAS NOT INCLUDED IN HIS TAXABLE COMPENSATION. PART I, LINE 6 THE EXECUTIVE MANAGEMENT TEAM RECEIVES A BONUS THAT IS 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 503872 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 100 DONOR VALUED X 1 17804273 NET BOOK VALUE X 17 480579 CDC PRICING 0 0 1 0 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 BY THE CFO AND BY THE FINANCE COMMITTEE, AND A COPY WAS PROVIDED TO 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 EITHER THE HUMAN RESOURCES DIRECTOR OR THE ASSISTANT TO THE CEO. REPORTED OR POTENTIAL CONFLICTS ARE REVIEWED BY EITHER THE HUMAN RESOURCES DIRECTOR OR THE CEO. IF A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER OR MANAGEMENT TEAM MEMBER MUST EXCUSE THEMSELVES FROM THE DISCUSSION OR VOTING. 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 THEN 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 2018. 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 2018. 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. HILLTOP REGIONAL HEALTH CENTER 1148 BROADWAY SUITE 100 TACOMA WA 98402 455494488 HEALTHCARE WA 501(C)(3) LINE 12D, III-O COMMUNITY HEALTH CARE 1 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 HILLTOP REGIONAL HEALTH CENTER B 26576011 CASH HILLTOP REGIONAL HEALTH CENTER C 17989138 CASH & NET BOOK VALUE HILLTOP REGIONAL HEALTH CENTER K 77000 FMV BASED ON LOW-COST FINANCING