2022-02-15T22:47:56-06:00 2021-03-31 910189318 MOSS ADAMS LLP 1301 A STREET SUITE 600 TACOMA WA 984024205 990 2020-04-01 911020139 SEA MAR COMMUNITY HEALTH CENTERS SEAM 2067635277 1040 SOUTH HENDERSON STREET SEATTLE WA 98108 DUSTIN GREER CFO 2067635277 2022-02-15 1 DUSTIN GREER 999009999 COLLEEN RAMIRES P01251320 2535724100 2 AAL1 IAL1 2020 2022-03-31 18:45:55Z ROGELIO RIOJAS 1040 SOUTH HENDERSON STREET SEATTLE WA 98108 404633317 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 3316 140 603927 0 20611169 53182414 353217289 348166736 266765 109655 19143582 1663833 393238805 403122638 41492351 34904295 0 0 182464938 194708732 0 0 0 152791908 144718544 376749197 374331571 16489608 28791067 280565151 332327000 134747835 163669526 145817316 168657474 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 300297243 34376505 306014518 IN FY 2021, SEA MAR COMMUNITY HEALTH CENTERS WAS ONE OF THE LEADING PROVIDERS OF MEDICAL, DENTAL, BEHAVIORAL HEALTH, SOCIAL AND HOUSING SERVICES FOR LOW-INCOME, UNINSURED AND OTHERWISE UNDERSERVED INDIVIDUALS AND FAMILIES IN WESTERN WASHINGTON STATE. SEA MAR'S NETWORK OF SERVICES SPANS 18 COUNTIES, INCLUDING ADAMS, CHELAN, CLALLUM, CLARK, COWLITZ, FRANKLIN, GRANT, GRAYS HARBOR, ISLAND, KING, PIERCE, SKAGIT, SKAMANIA, SNOHOMISH, SPOKANE, THURSTON, WHATCOM AND YAKIMA. TOGETHER, IN FY 2021 SEA MAR SERVED OVER 308,000 PATIENTS WITH OVER 1.4 MILLION ENCOUNTERS. THESE SERVICES REACH THE MOST VULNERABLE MEMBERS OF THESE WESTERN WASHINGTON COMMUNITIES, WITH 85% LIVING BELOW THE 200% FEDERAL POVERTY LEVEL. SEA MAR'S 35 MEDICAL CLINICS SERVED OVER 148,000 PATIENTS WITH OVER 415,000 VISITS IN FY 2021. 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. DURING THE COVID-19 PANDEMIC, SEA MAR CLINICS ADAPTED TO BE ABLE TO CONTINUE PROVIDING SERVICES IN PERSON AND VIA TELEHEALTH IN A MANNER SAFE FOR BOTH EMPLOYEES AND PATIENTS, AS WELL AS ADDED COVID TESTING AND COVID VACCINES. BY THE END OF FY 2021, SEA MAR PROVIDED OVER 37,000 COVID TESTS AND OVER THE COURSE OF CALENDAR YEAR 2021 WOULD GO ON TO PROVIDE OVER 63,000 TESTS. COVID VACCINES BECAME AVAILABLE IN DECEMBER 2020 AND SEA MAR WAS ONE OF THE FIRST PROVIDERS TO OFFER COVID VACCINES FOR PATIENTS AND THE GENERAL COMMUNITY. BY THE END OF FY 2021, SEA MAR PROVIDED OVER 108,000 VACCINES AND OVER THE COURSE OF CALENDAR YEAR 2021 WOULD GO ON TO PROVIDE OVER 350,000 COVID VACCINES.SEA MAR'S 30 DENTAL CLINICS SERVED OVER 70,000 PATIENTS WITH OVER 178,000 VISITS IN FY 2021. 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. DENTAL SERVICES WERE DISRUPTED FOR HALF OF THE YEAR DUE TO THE COVID-19 PANDEMIC. 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 39 OUTPATIENT BEHAVIORAL HEALTH CLINICS SERVED OVER 18,000 CLIENTS WITH OVER 180,000 VISITS IN FY 2021. 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. DURING THE PANDEMIC, SEA MAR'S BEHAVIORAL HEALTH SERVICES ADAPTED TO HYBRID TELEHEALTH AND IN-PERSON SERVICE DELIVERY MODEL TO AVOID ANY DISRUPTIONS IN SERVICE AND TO ENSURE CLIENTS' NEEDS WERE MET. 10417381 11704243 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, AND MATERNITY SUPPORT SERVICES (MSS), WHICH SUPPORTS PREGNANT WOMEN AND NEW MOTHERS TO ENSURE HEALTH PREGNANCY AND INFANCY OUTCOMES. IN FY 2021, SEA MAR'S MSS, NUTRITION AND HEALTH EDUCATION PROGRAMS SERVED 10,347 PATIENTS WITH 35,083 VISITS. SEA MAR'S WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM IS THE LARGEST PRIVATE WIC PROVIDER IN THE STATE OF WASHINGTON, SERVING 31,319 CLIENTS WITH APPROXIMATELY 100,000 ENCOUNTERS IN FY 2021. THE PROGRAM PROVIDES FOOD VOUCHERS ALONGSIDE HEALTH, BREASTFEEDING AND NUTRITION EDUCATION FOR PREGNANT WOMEN, NEW MOTHERS AND YOUNG CHILDREN. 6334704 7151099 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 2021, SEA MAR'S INPATIENT TREATMENT CENTERS PROVIDED 13,965 PATIENT DAYS TO 369 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. 3156300 2276826 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 29,930 PATIENT DAYS TO CANNON HOUSE RESIDENTS IN FY 2021. NEARLY ALL CANNON HOUSE RESIDENTS ARE MEDICAID/MEDICARE RECIPIENTS LIVING BELOW THE 200% FEDERAL POVERTY LEVEL. 3176142 1378810 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 2020, SEA MAR'S MANAGED CARE OUTREACH AND ENROLLMENT TEAM SERVED 55,225 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. THERE ARE OVER 127,000 PATIENTS ASSIGNED TO SEA MAR IN THE MANAGED CARE SERVICES PROGRAM. 17077672 527790 19641240 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 AFFORDABLE HOUSING, 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. 23410114 527790 23296876 340459442 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 0 0 0 0 0 1 1 0 0 0 1 50 0 1 3316 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 X GREG MA CHAIR 1.00 3.00 X X 0 0 0 AUGUSTINO DELGADO VICE CHAIR 1.00 3.00 X X 0 0 0 ERASMO GAMBOA TREASURER 1.00 3.00 X X 0 0 0 DIANA SAVELLE SECRETARY 1.00 3.00 X X 0 0 0 KATHERINE LOWE MEMBER 1.00 3.00 X 0 0 0 FELIPE TINIDAD MARTINEZ MEMBER 1.00 3.00 X 0 0 0 SILVERIO VIVANCO SANCHEZ MEMBER 1.00 3.00 X 0 0 0 MICHELLE DANLEY MEMBER 1.00 3.00 X 0 0 0 JAMES CAUDLE MEMBER 1.00 3.00 X 0 0 0 DAVID GASCA MEMBER 1.00 3.00 X 0 0 0 ROGELIO RIOJAS EXECUTIVE DIRECTOR 45.00 7.00 X 1415898 0 20737 DUSTIN GREER CHIEF FINANCE OFFICER 42.00 6.00 X 312160 0 16520 MARY BARTOLO DEPUTY DIRECTOR 42.00 4.00 X 686835 0 85079 RAMOS R JIMENEZ VP MEDICAL AFFAIRS & CMO 40.00 X 671312 0 19779 ALEJANDRO NARVAEZ VP DENTAL AFFAIRS & CDO 40.00 X 520252 0 20737 CLAUDIA D'ALLEGRI VP OF BEHAVIORAL HEALTH 40.00 X 375136 0 49384 JOSE BAZAN VP ARCHITECTURE & FACILITIES 20.00 20.00 X 465015 0 17547 MICHAEL LEONG VP OF CORPORATE & LEGAL AFFAIRS 40.00 X 366921 0 54576 PHILIP REILLY PHYSICIAN REGIONAL MEDICAL 40.00 X 373210 0 16520 JULIO JIMENEZ PHYSICIAN 40.00 X 332278 0 23996 MIGUEL JIMENEZ PHYSICIAN 30.00 10.00 X 331250 0 21375 5850267 0 346250 239 0 1 0 STAFF CARE INC PO BOX 281923 ATLANTA GA 30384 CONTRACTUAL STAFFING SERVICES 918728 COMPHEALTH 200 E MARKET ST VANCOUVER WA 98666 CONTRACTUAL STAFFING SERVICES 819578 R SYSTEMS INTERNATIONAL LIMITED 5110 GALLEON DR NE SEATTLE WA 98108 CODING SERVICES 616464 NORTHSTAR ELECTRICAL LLC PO BOX 1909 BOTHELL WA 98041 CONSTRUCTION LABOR 547494 LOCUMTENENSCOM PO BOX 2238 DETROIT MI 48267 CONTRACTUAL STAFFING SERVICES 442706 32 878 177768 11165600 35399412 6438756 53182414 PATIENT SERVICES 623990 269249105 269249105 MEDICARE/MEDICAID PAYMENTS 623990 53699566 53699566 OTHER SERVICES 623990 21661508 21661508 CONTRACT REVENUE 623990 3556557 3556557 348166736 99693 99693 1586348 1461273 125075 125075 125075 11815 1853 9962 9962 9962 56302 177768 47553 8749 8749 PARTNERSHIP HOUSING SERVICES 561000 859585 859585 RADIO BROADCASTING 515100 603927 603927 OTHER INCOME 900099 66497 66497 1530009 403122638 348166736 603927 1169561 422722 422722 34481573 34481573 5010383 179985 4830398 147568298 139856727 7711571 3499042 2791460 707582 24301364 21638479 2662885 14329645 12535495 1794150 378459 378459 351597 351597 8817303 6962305 1854998 19906198 16327288 3578910 3763974 735048 3028926 5791028 5004075 786953 565821 496186 69635 200347 177306 23041 2460960 2001873 459087 7760081 4357685 3402396 858985 170698 688287 CONTRACTUAL ALLOWANCES 71471396 71471396 PROVISIONS FOR BAD DEBT 20492473 20492473 EDUCATION & TRAINING 888520 310701 577819 1011402 45967 965435 374331571 340459442 33872129 0 30925670 49616372 168630 14049768 77605346 85296407 250397 244163 2953555 2804369 230167901 68596198 154676482 161571703 3328336 2112987 7927118 12327118 2675000 2675000 54617 1629113 280565151 332327000 55834367 47215903 2182652 3443743 68203904 105325840 5415157 6165095 1416402 380310 1695353 1138635 134747835 163669526 X 145817316 168657474 145817316 168657474 280565151 332327000 X 28791067 363743 -6314652 X 0 1 X 1 1 1 X 15390367 18206926 20780860 20611169 53182414 128171736 15390367 18206926 20780860 20611169 53182414 128171736 82974 128088762 424096 1622782 1733765 1693646 1686041 7160330 0 0 0 0 8749 8749 42021 9085102 18526252 926082 28579457 163920272 1510517697 0.78140 0.70520 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: PARTNERSHIP HOUSING SERVICES - 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 8,935,620. 2019 AMOUNT: $ 16,382,902. 2020 AMOUNT: $ 859,585. PARTNERSHIP ADMINISTRATIVE FEE - 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 2,032,060. 2020 AMOUNT: $ 0. OTHER INCOME - 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 42,021. 2018 AMOUNT: $ 149,482. 2019 AMOUNT: $ 111,290. 2020 AMOUNT: $ 66,497. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36785242 36785242 135940318 35447318 100493000 982539 679783 302756 48544602 32469097 16075505 7915200 7915200 161571703 SUPPLEMENTAL RETIREMENT ACCRUAL 1138635 1138635 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. GOLF TOURNAMENT 234070 177768 56302 775 31834 14944 234070 177768 56302 775 31834 14944 47553 8749 1 SEA MAR SKILLED NURSING FACILITY 1040 S HENDERSON ST SEATTLE WA 98108 943126743 501(C)(3) 284790 GENERAL SUPPORT UNIVERSITY OF WASHINGTON FOUNDATION 320 MARY GATES HALL BOX 352835 SEATTLE WA 98195 943079432 501(C)(3) 82000 ENDOWED STUDENT SUPPORT NORTHWEST COMMUNITIES' EDUCATION CENTER PO BOX 800 GRANGER WA 98932 910969818 501(C)(3) 55932 GENERAL SUPPORT 3 0 HOLIDAY PARTY FOR UNDER PRIVILEGED CHILDREN 5100 105068 FMV TOYS FOR LOW INCOME INDIVIDUALS CHARITY CARE 53644 34376505 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. CARE IS PROVIDED TO CERTAIN PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. PRIMARY CARE SERVICES TO LOW-INCOME PATIENTS IS PROVIDED AT A REDUCED FEE BASED ON A PATIENT'S INCOME AND FAMILY SIZE. X X 0 1 0 0 0 0 0 0 0 ROGELIO RIOJAS EXECUTIVE DIRECTOR 1364069 0 0 0 51829 0 8700 0 12037 0 1436635 0 0 0 DUSTIN GREER CHIEF FINANCE OFFICER 310923 0 0 0 1237 0 8700 0 7820 0 328680 0 0 0 MARY BARTOLO DEPUTY DIRECTOR 680730 0 0 0 6105 0 73042 0 12037 0 771914 0 0 0 RAMOS R JIMENEZ VP MEDICAL AFFAIRS & CMO 669574 0 0 0 1738 0 8700 0 11079 0 691091 0 0 0 ALEJANDRO NARVAEZ VP DENTAL AFFAIRS & CDO 518514 0 0 0 1738 0 8700 0 12037 0 540989 0 0 0 CLAUDIA D'ALLEGRI VP OF BEHAVIORAL HEALTH 373782 0 0 0 1354 0 41564 0 7820 0 424520 0 0 0 JOSE BAZAN VP ARCHITECTURE & FACILITIES 179099 0 0 0 285916 0 5510 0 12037 0 482562 0 284939 0 MICHAEL LEONG VP OF CORPORATE & LEGAL AFFAIRS 365332 0 0 0 1589 0 43497 0 11079 0 421497 0 0 0 PHILIP REILLY PHYSICIAN REGIONAL MEDICAL 372252 0 0 0 958 0 8700 0 7820 0 389730 0 0 0 JULIO JIMENEZ PHYSICIAN 331283 0 0 0 995 0 8700 0 15296 0 356274 0 0 0 MIGUEL JIMENEZ PHYSICIAN 330293 0 0 0 957 0 8700 0 12675 0 352625 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 - $64,342 - 33 YEAR EMPLOYEE MICHAEL LEONG - $34,797 - 23 YEAR EMPLOYEE CLAUDIA D'ALLEGRI - $32,864 - 28 YEAR EMPLOYEE THE FOLLOWING INDIVIDUAL WAS VESTED AND RECEIVED A PAYOUT: JOSE BAZAN - $284,939 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 2015-12-18 6965000 REFINANCE DEBT & ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 D WASHINGTON HEALTH CARE FACILITIES 911108929 2016-03-09 4875000 REFINANCE EXISTING BONDS 0 0 0 A 5524348 32902500 182725 20717155 12002620 2016 1 0 1 1 B 1146520 7067400 67315 7000085 2015 0 0 1 1 C 1035478 6965000 2565000 4400000 2016 1 0 1 1 D 603546 4875000 93268 4781732 2018 1 0 1 1 A 0 1 0 0 0.00000 0.00000 0 0 1 B 0 1 0 0 0.00000 0.00000 0 0 1 C 0 1 0 0 0.00000 0.00000 0 0 1 D 0 1 0 0 0.00000 0.00000 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 1 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: 10/12/2017 ISSUER NAME: WASHINGTON STATE HOUSING FINANCE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2021 A WASHINGTON HEALTH CARE FACILITIES 911108929 2016-09-28 6000000 ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 B WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 2016-11-18 855600 ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 C WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 2017-07-27 11500000 ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 D WASHINGTON HEALTH CARE FACILITIES 911108929 2020-04-17 26916000 REFINANCE DEBT & ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 A 528447 6000000 120000 5880000 2018 0 0 1 1 B 70765 855600 16604 838996 0 0 0 1 C 4539863 11500000 50000 10350000 2019 0 0 1 1 D 762967 26916000 11441476 13479990 1994534 1 0 0 1 A 0 1 0 0 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0 0 1 D 0 1 0 0 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 0 1 0 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 2020-12-18 16281203 REFINANCE DEBT & ACQUISITION, RENOVATION, REMODELING FACILITIES 0 0 0 A 123653 16281203 7811946 4140236 4329020 1 0 0 1 A 0 1 0 0 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 0 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. FORM 990, PART IX, LINE 24: OTHER EXPENSES DETAIL: CONTRACTUAL ALLOWANCES TO UNCOMPENSATED CARE: 71,471,396 PROVISIONS FOR BAD DEBT: 20,492,473 EDUCATION & TRAINING: 888,520 FORM 990, PART XI, LINE 9: BOOK TO TAX VARIANCE IN CONTRIBUTED PROPERTY -6,314,652. 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