2022-05-24T12:00:15-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2021-01-01 910893287 NEIGHBORCARE HEALTH NEIG 2064616935 1200 12TH AVENUE SOUTH 901 SEATTLE WA 98144 JANINE CHILDS CFO & INTERIM CEO 2064616935 2022-05-23 1 JANINE CHILDS 999009999 KURT BENNION CPA P01469618 4252506100 2022-05-23 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JANINE CHILDS 1200 12TH AVENUE SOUTH 901 SEATTLE WA 98144 94454969 0 X WWW.NEIGHBORCARE.ORG X 1969 WA PROVIDE COMPREHENSIVE HEALTH CARE TO FAMILIES AND INDIVIDUALS WHO HAVE DIFFICULTY ACCESSING CARE. 12 12 927 20 0 0 24963805 25192627 49729676 59655982 201705 72684 3694066 2504127 78589252 87425420 3500 3500 0 0 51850678 55694805 0 0 332682 26229175 27946069 78083353 83644374 505899 3781046 75436366 74913475 20870044 16622625 54566322 58290850 X THE ORGANIZATION IS A COMMUNITY-BASED, NON-PROFIT AGENCY THAT OPERATES 32 MEDICAL, DENTAL, AND SCHOOL-BASED HEALTH CENTERS THROUGHOUT SEATTLE AND PROVIDES SERVICES TO OVER 58,282 PEOPLE EACH YEAR. OUR CLINICS ARE LOCATED THROUGHOUT AREAS OF KING COUNTY THAT HAVE THE HIGHEST RATES OF 0 0 40215315 3500 36400935 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 2021, NEIGHBORCARE HEALTH PROVIDED 92,548 IN-CLINIC VISITS AND 46,717 VIRTUAL VISITS TO 43,494 PATIENTS AND $8,440,448 OF CHARITY CARE. 17375641 0 15868304 GENERAL DENTISTRY SERVICES INCLUDE ORAL HEALTH EXAMS, HYGIENE, AND RESTORATIVE SERVICES TO CONTAIN THE DISEASE PROCESS. PERIODONTAL AND ENDODONTIC CARE IS ALSO PROVIDED. IN 2021, NEIGHBORCARE PROVIDED 62,046 DENTAL VISITS TO 23,056 CHILDREN AND ADULTS. 5522094 0 4920403 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 2021, NEIGHBORCARE HEALTH PROVIDED 12,660 VISITS TO 3,153 SCHOOL-BASED PATIENTS. 4031966 0 3592639 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. 4031966 0 3592639 67145016 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 29 0 927 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 12 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 2064616935 1200 12TH AVENUE SOUTH SUITE 901 SEATTLE WA 98144 MEENA MITAL MD CHIEF MEDICAL OFFICER 50.00 0.00 X 296227 0 42720 MEREDITH VAUGHAN MHA INTERIM CHIEF EXECUTIVE OFFICER 50.00 0.00 X 279146 0 30396 JANINE CHILDS MHA CHIEF FINANCIAL OFFICER 49.40 0.60 X 237639 0 45590 JONATHAN WELLS MD ASSOCIATE CHIEF MEDICAL OFFICER 45.00 0.00 X 211813 0 44154 DIANA RYBAKOV DDS DENTIST 40.00 0.00 X 174377 0 54136 THOMAS SCOTT MD PHYSICIAN 45.00 0.00 X 181049 0 43477 FU-KYONG BAI DDS SITE DENTAL DIRECTOR 45.00 0.00 X 181834 0 36452 MARCUS REMPEL MD PHYSICIAN 45.00 0.00 X 174495 0 41263 CORA WEED INTERIM CHIEF OPERATING OFFICER 50.00 0.00 X 170840 0 28594 WADE KENDALL DDS INTERIM CHIEF DENTAL OFFICER 50.00 0.00 X 159850 0 36050 SARAH VANDER BEEK DMD CHIEF DENTAL OFFICER 50.00 0.00 X 149791 0 27676 MICHAEL ERIKSON FORMER CHIEF EXECUTIVE OFFICER 0.00 0.00 X 172250 0 0 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 ROSE FELICIANO TREASURER 1.00 0.00 X X 0 0 0 NWANDO ANYAOKU MD MPH DIRECTOR 1.00 0.00 X 0 0 0 KEN ASO DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH GARCIA DIRECTOR 1.00 0.00 X 0 0 0 BOB GREENLEE CPA DIRECTOR 1.00 0.00 X 0 0 0 LUCY GUNTER DIRECTOR 1.00 0.00 X 0 0 0 ROM LEE DIRECTOR (THROUGH JAN 2021) 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 2389311 0 430508 95 1 1 0 STRATUS INDEMAND INC 555 ANDOVER PARK W SUITE 201 TUKWILA WA 98188 INTERPRETATION SERVICES 981610 OPEN WORKS 4742 N 24TH STREET SUITE 450 PHOENIX AZ 85016 JANITORIAL SERVICES 429148 SLALOM LLC 821 2ND AVENUE SUITE 1900 SEATTLE WA 98104 CONSULTING SERVICES 428265 PACIFIC SECURITY 2009 IRON STREET BELLINGHAM WA 98225 SECURITY SERVICES 320707 AEROTEK INC 11000 NE 33RD PLACE 220 BELLEVUE WA 98004 STAFFING SERVICES 254794 12 125000 23956585 1111042 1465213 25192627 PATIENT FEES 621400 59655982 59655982 59655982 112104 112104 1126299 0 1126299 1126299 1126299 6990129 6995951 33598 -5822 -33598 -39420 -39420 OTHER REVENUE 621990 1377828 1377828 1377828 87425420 60782281 0 1450512 3500 3500 1504519 302801 1201718 44934560 36737414 7973124 224022 1511881 1287260 217133 7488 4360762 3469422 871720 19620 3383083 2670319 697689 15075 21109 21109 52775 52775 6425082 4312614 2093486 18982 215395 45206 168154 2035 3572783 2537406 1011687 23690 790709 495350 292994 2365 3661372 3312471 338483 10418 46770 26971 19642 157 5253 3029 2206 18 5569 17896 -12327 2271849 1993373 278476 321922 193931 126986 1005 BAD DEBT EXPENSE 5271554 5271554 MEDICAL SUPPLIES 3310244 3310244 MISCELLANEOUS EXPENSES 745767 153752 584936 7079 EQUIPMENT 425976 283233 142637 106 801940 717270 84048 622 83644374 67145016 16166676 332682 2907797 4128482 16389399 16389399 6225276 5547007 3358541 1558835 275759 298509 1427593 1785044 50193966 25651287 26330684 24542679 1005822 2959183 17515495 17704337 75436366 74913475 18904981 14890362 1410896 1353096 554167 379167 20870044 16622625 X 50648061 54407161 3918261 3883689 54566322 58290850 75436366 74913475 3781046 -56518 0 X 0 1 X 1 1 1 X 25011875 19577694 19978824 24963805 25192627 114724825 25011875 19577694 19978824 24963805 25192627 114724825 114724825 974234 1197175 1282863 1163422 1238403 5856097 1056532 1621630 1344437 2792713 1377823 8193135 128774057 285888960 0.89090 0.88320 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE SPECIAL FUNDRAISING EVENT REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 44700 44700 83266992 83311692 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 39694 43450 29700 44700 157544 250000 250000 250000 250000 1000000 1500000 2592380 2592380 27330893 11515879 15815014 5099867 4190562 909305 15103379 9944846 5158533 67447 67447 24542679 FACILITY CONTRIBUTION RECEIVABLE 3833687 MERIDIAN CENTER FOR HEALTH RECEIVABLE 13870650 17704337 X 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. X X X X X 1 0 0 0 0 0 0 0 0 MEENA MITAL MD CHIEF MEDICAL OFFICER 295227 0 1000 0 0 0 33091 0 9629 0 338947 0 0 0 MEREDITH VAUGHAN MHA INTERIM CHIEF EXECUTIVE OFFICER 278146 0 1000 0 0 0 16922 0 13474 0 309542 0 0 0 JANINE CHILDS MHA CHIEF FINANCIAL OFFICER 236639 0 1000 0 0 0 37720 0 7870 0 283229 0 0 0 JONATHAN WELLS MD ASSOCIATE CHIEF MEDICAL OFFICER 209613 0 2200 0 0 0 29766 0 14388 0 255967 0 0 0 DIANA RYBAKOV DDS DENTIST 169806 0 4571 0 0 0 33638 0 20498 0 228513 0 0 0 THOMAS SCOTT MD PHYSICIAN 176475 0 4574 0 0 0 33130 0 10347 0 224526 0 0 0 FU-KYONG BAI DDS SITE DENTAL DIRECTOR 178740 0 3094 0 0 0 22322 0 14130 0 218286 0 0 0 MARCUS REMPEL MD PHYSICIAN 170104 0 4391 0 0 0 33431 0 7832 0 215758 0 0 0 CORA WEED INTERIM CHIEF OPERATING OFFICER 165587 0 5253 0 0 0 27320 0 1274 0 199434 0 0 0 WADE KENDALL DDS INTERIM CHIEF DENTAL OFFICER 158109 0 1741 0 0 0 26524 0 9526 0 195900 0 0 0 SARAH VANDER BEEK DMD CHIEF DENTAL OFFICER 148791 0 1000 0 0 0 26990 0 686 0 177467 0 0 0 MICHAEL ERIKSON FORMER CHIEF EXECUTIVE OFFICER 0 0 0 0 172250 0 0 0 0 0 172250 0 0 0 PART I, LINE 4A MICHAEL ERICKSON, THE FORMER CHIEF EXECUTIVE OFFICER, RECEIVED A SEVERANCE PAYMENT OF $172,250 IN 2021. X 9757 DONOR VALUED X 20922 1427527 SELLING PRICE X PPE 7176 27930 FMV ESTIMATE 0 0 1 0 FORM 990, PART III, LINE 1: 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. SINCE THE COVID-19 PANDEMIC BEGAN, WE HAVE BEEN ADAPTING OUR SERVICES AND QUICKLY RESPONDING TO THE EVER-CHANGING NEEDS OF THE COMMUNITY. WE TRANSITIONED MANY OF OUR SERVICES TO TELEHEALTH TO PROVIDE SAFE, SOCIALLY-DISTANCED CARE FOR OUR PATIENTS. WE BEGAN OFFERING FREE COVID-19 TESTING AT OUR CLINICS, COMMUNITY TESTING EVENTS, AND THROUGH OUR MOBILE TESTING TEAM. WE HAVE HOSTED LARGE SCALE COVID-19 VACCINATION CLINICS AND ALSO PROVIDED VACCINATIONS DAILY AT OUR MEDICAL CLINICS AND COMMUNITY SITES. OUR TEAMS HAVE PROVIDED COVID-19 TESTING, COVID-19 VACCINATIONS AND EDUCATION, AND DISTRIBUTED PPE AT COMMUNITY SITES WEEKLY - OFTEN AT AFFORDABLE HOUSING LOCATIONS - TAKING SERVICES DIRECTLY TO THOSE WHO FACE BARRIERS TO ACCESSING CARE. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE FOUR OFFICERS AND ONE ADDITIONAL BOARD MEMBER. 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 2021. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. 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 NEIGHBORCARE HEALTH FOUNDATION 1200 12TH AVENUE SOUTH SUITE 901 SEATTLE WA 98144 852861558 SUPPORT NEIGHBORCARE HEALTH WA 501(C)(3) LINE 7 NEIGHBORCARE HEALTH 1 0 0 1 0 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0