2022-11-10T18:08:28-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2021-01-01 910884412 HEALTHPOINT HEAL 4252771311 955 POWELL AVENUE SW RENTON WA 98057 VICKI HAMMOND CFAO 4252771311 2022-11-10 1 VICKI HAMMOND 999009999 KURT BENNION CPA P01469618 4252506100 2022-11-10 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z LISA YOHALEM 955 POWELL AVENUE SW RENTON WA 98057 148249614 0 X WWW.HEALTHPOINTCHC.ORG X 1987 WA STRENGTHEN COMMUNITIES AND IMPROVE HEALTH BY DELIVERING QUALITY SERVICE TO ALL. 10 10 1228 11 0 0 16304364 21535649 106812179 125324702 332456 792919 521352 -591898 123970351 147061372 0 1500000 0 0 78628429 88544609 17226 700 700 37574114 47220481 116219769 137265790 7750582 9795582 109135260 133379416 33989083 46104389 75146177 87275027 HEALTHPOINT STRENGTHENS COMMUNITIES AND IMPROVES PEOPLE'S HEALTH BY DELIVERING QUALITY SERVICES, BREAKING DOWN BARRIERS AND PROVIDING ACCESS TO ALL. 0 0 93880205 1500000 111721099 PRIMARY MEDICAL CARE - COMPREHENSIVE HEALTH CARE FOR MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS IN KING COUNTY. CHARITY CARE - DURING 2021, HEALTHPOINT PROVIDED $3,812,827 OF MEDICAL CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS WITHOUT CHARGE OR AT AMOUNTS LESS THAN HEALTHPOINT'S ESTABLISHED RATES. 19789182 0 13603602 PRIMARY DENTAL CARE - COMPREHENSIVE DENTAL CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS IN KING COUNTY.CHARITY CARE - DURING 2021, HEALTHPOINT PROVIDED $1,028,906 OF DENTAL CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS WITHOUT CHARGE OR AT AMOUNTS LESS THAN HEALTHPOINT'S ESTABLISHED RATES. 113669387 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 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 39 0 1228 1 0 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 1 1 1 1 1 1 1 1 1 0 0 X X VICKI HAMMOND CFAO 4257576764 955 POWELL AVENUE SW RENTON WA 98057 LISA YOHALEM CHIEF EXECUTIVE OFFICER 39.00 1.00 X 401062 0 5709 DR JUDITH FEATHERSTONE CHIEF HEALTH OFFICER 40.00 0.00 X 390859 0 13265 VICKI HAMMOND CHIEF FINANCIAL & ADMINISTATIVE OFFICER 39.00 1.00 X 348955 0 10940 DR LIZA PERPUSE REGIONAL DIRECTOR OF CLINICAL CARE 40.00 0.00 X 268665 0 11407 DR EVAN OAKES VP CLINICAL CARE 40.00 0.00 X 260720 0 12706 DR JULIE COLIN VP CLINICAL INFORMATICS & APPLICATIONS 33.60 0.00 X 252742 0 4637 DR CAROLYN HALLEY MEDICAL DIRECTOR 40.00 0.00 X 237804 0 16440 DR SUZANNE LAUREL HEALTH CENTER CLINICAL DIRECTOR 37.60 0.00 X 234893 0 8584 LAURENCE DESHIELDS II CHAIR 3.10 0.50 X X 0 0 0 SHERYL POT TREASURER 2.10 0.50 X X 0 0 0 CHAD HORNER SECRETARY 2.10 0.50 X X 0 0 0 NOEMI ERICKSON BOARD MEMBER (THROUGH JULY 2021) 1.00 0.00 X 0 0 0 JUAN GANZ BOARD MEMBER 1.00 0.00 X 0 0 0 VICTORIA GOETZ BOARD MEMBER 1.00 0.00 X 0 0 0 LUYI KING BOARD MEMBER 1.00 0.00 X 0 0 0 EDWARD LEE BOARD MEMBER 1.00 0.50 X 0 0 0 GRACE SSEBUGWAWO BOARD MEMBER 1.00 0.00 X 0 0 0 LAURA WARD BOARD MEMBER 1.00 0.00 X 0 0 0 MEGAN WILDENRADT BOARD MEMBER 1.00 0.00 X 0 0 0 2395700 0 83688 201 0 1 0 BAYLEY CONSTRUCTION LP 8005 SE 28TH STREET MERCER ISLAND WA 98040 CONSTRUCTION 2321019 NEXTGEN HEALTHCARE INC 18111 VON KARMAN AVENUE SUITE 700 IRVINE CA 92612 SOFTWARE SUPPORT 1960126 COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 MEDICAL STAFFING 1946819 JR ABBOTT CONSTRUCTION INC 3408 1ST AVENUE S SUITE 101 SEATTLE WA 98134 CONSTRUCTION 1187220 RIGHT SYSTEMS INC 11911 NE 1ST STREET SUITE 212 BELLEVUE WA 98005 IT CONSULTING 1062330 35 195873 16836163 4503613 3172455 21535649 PATIENT SERVICE REVENUES 621110 125324702 125324702 125324702 356224 356224 97224 1089143 -991919 -991919 -991919 436695 0 436695 436695 436695 4350 195873 99099 -94749 -94749 MISCELLANEOUS INCOME 900099 494770 494770 494770 147061372 125324702 0 201021 1500000 1500000 1170792 80825 1089967 72647283 63085579 9561704 913612 803764 109848 8361619 7233749 1127870 5451303 4710231 741072 452067 452067 229950 229950 700 700 85932 85932 8735500 7291868 1443632 2324198 1871736 452462 3065323 2679511 385812 337610 175109 162501 599715 388655 211060 622822 296464 326358 4593920 2749091 1844829 545830 370737 175093 MEDICAL SUPPLIES 14039000 13990182 48818 EQUIPMENT LEASE & MAINT 8177279 4087364 4089915 BAD DEBT EXPENSE 1509755 1509755 DUES & SUBSCRIPTIONS 1069626 241382 828244 831954 603385 228569 137265790 113669387 23595703 700 6417489 18668569 3294876 3146269 8667539 14017174 1104237 923020 1738059 1881032 109788615 50199508 55500542 59589107 32364148 35099646 48370 54599 109135260 133379416 10314865 17097445 31948 3615409 18837592 17922890 1499 0 1849322 5742974 2953857 1725671 33989083 46104389 X 74264497 86267344 881680 1007683 75146177 87275027 109135260 133379416 X 9795582 2037568 295700 X 0 1 X 1 1 1 X 14078985 14448357 11761292 16304364 21535649 78128647 14078985 14448357 11761292 16304364 21535649 78128647 78128647 772948 958081 764194 423278 453448 3371949 514880 985084 618214 1408244 499120 4025542 85526138 502994918 0.91350 0.90220 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME FUNDRAISING EVENT REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 1540 0 0 1540 0 PART II-B, LINE 1: HEALTHPOINT EMPLOYEES PARTICIPATED IN WASHINGTON STATE'S LEGISLATIVE DAYS VIRTUALLY DISCUSSING AND EDUCATING LEGISLATORS ON THE IMPACT OF CURRENT AND PROPOSED LEGISLATION TO THE FQHC COMMUNITIES. LEADERS ALSO ATTENDED VIRTUALLY THE NACHC POLICIES AND ISSUES CONFERENCE TO DISCUSS WITH AND EDUCATE FEDERAL ELECTED OFFICIALS ON THE IMPACT OF CURRENT AND PROPOSED LEGISLATION TO THE FQHC COMMUNITIES. 0 1 X 3714537 3714537 64883057 22242682 42640375 12941065 9210629 3730436 23544691 18746197 4798494 4705265 4705265 59589107 INTEREST RATE SWAP 374220 DEFERRED EMPLOYMENT TAXES 1351451 1725671 X 144445503 2037568 88250 1188242 3314060 141131443 5929928 5929928 147061371 135532527 88250 1188242 1276492 134256035 3009755 3009755 137265790 PART IV, LINE 2B: UNTIL 2021, HEALTHPOINT ACTED AS FISCAL AGENT FOR THE COMMUNITY HEALTH COUNCIL OF KING COUNTY. PART X, LINE 2: HEALTHPOINT'S ACTIVITIES ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; HOWEVER, UNRELATED BUSINESS ACTIVITIES WOULD BE SUBJECT TO INCOME TAX. SINCE HEALTHPOINT IS EXEMPT FROM FEDERAL INCOME TAX LIABILITY, NO PROVISION IS MADE FOR CURRENT OR DEFERRED INCOME TAX EXPENSE. FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, MANAGEMENT EVALUATED HEALTHPOINT'S TAX POSITIONS AND CONCLUDED THAT HEALTHPOINT HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. ALL TAX-EXEMPT ENTITIES ARE SUBJECT TO REVIEW AND AUDIT BY FEDERAL, STATE, AND OTHER APPLICABLE STATE STATUTES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 1,089,143. FUNDRAISING EVENT EXPENSES 99,099. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST AND DIVIDEND INCOME 356,224. RENTAL INCOME 97,224. REALIZED AND UNREALIZED GAINS ON INVESTMENTS 2,474,263. BAD DEBT EXPENSE 1,509,755. CONTRIBUTIONS WITH DONOR RESTRICTIONS 1,492,462. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 1,089,143. FUNDRAISING EVENT EXPENSES 99,099. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,509,755. TRANSFERS TO AFFILIATE 1,500,000. KALEIDOSCOPE DINNER 200223 195873 4350 25218 6500 67381 200223 195873 4350 25218 6500 67381 99099 -94749 1 HEALTHPOINT CARES 955 POWELL AVENUE SW RENTON WA 98057 874043211 501(C)(3) 1500000 0 GENERAL OPERATING SUPPORT 1 0 PART I, LINE 2: THE ONLY GRANT MADE IN 2021 WAS TO A RELATED ORGANIZATION. COMMON MANAGERIAL AND EXECUTIVE OVERSIGHT BETWEEN THE ORGANIZATIONS ENSURE THAT THE GRANTED FUNDS ARE USED FOR APPROPRIATE PURPOSES. X X X X X 0 0 0 0 0 0 0 0 0 LISA YOHALEM CHIEF EXECUTIVE OFFICER 275776 0 125286 0 0 0 1681 0 4028 0 406771 0 0 0 DR JUDITH FEATHERSTONE CHIEF HEALTH OFFICER 336109 0 54750 0 0 0 8822 0 4443 0 404124 0 0 0 VICKI HAMMOND CHIEF FINANCIAL & ADMINISTATIVE OFFICER 283699 0 65256 0 0 0 8149 0 2791 0 359895 0 0 0 DR LIZA PERPUSE REGIONAL DIRECTOR OF CLINICAL CARE 255544 0 13121 0 0 0 8649 0 2758 0 280072 0 0 0 DR EVAN OAKES VP CLINICAL CARE 232934 0 27786 0 0 0 8706 0 4000 0 273426 0 0 0 DR JULIE COLIN VP CLINICAL INFORMATICS & APPLICATIO 249210 0 3532 0 0 0 501 0 4136 0 257379 0 0 0 DR CAROLYN HALLEY MEDICAL DIRECTOR 229609 0 8195 0 0 0 13364 0 3076 0 254244 0 0 0 DR SUZANNE LAUREL HEALTH CENTER CLINICAL DIRECTOR 228914 0 5979 0 0 0 7954 0 630 0 243477 0 0 0 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2013-05-20 27738761 REFUND SERIES 2008 BONDS; ACQUIRE, CONSTRUCT, AND RENOVATE FACILITIES 0 0 0 A 9670819 27738761 156540 20890568 6691653 2013 1 0 0 1 A 0 1 0 0 0.02260 0.02260 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WASHINGTON HEALTH CARE FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/20/2018 X 46270 3172455 DONOR VALUED 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD AND ONE BOARD MEMBER APPOINTED BY THE BOARD CHAIR. WHEN AUTHORIZED BY THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE HAS THE POWER TO TAKE SPECIFIED ACTIONS OR PASS RESOLUTIONS IN THE NAME OF THE BOARD, SUBJECT TO THE LIMITATIONS IMPOSED BY THE LAWS OF THE STATE OF WASHINGTON. IN THE EVENT OF AN EMERGENCY, THE EXECUTIVE COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE BOARD WITH THE UNDERSTANDING THAT THE BOARD OF DIRECTORS WILL BE APPRISED OF THE EXECUTIVE COMMITTEE'S ACTION AT THE FIRST AVAILABLE DATE AND WILL RATIFY THE ACTION AT THE NEXT MEETING OF THE BOARD OF DIRECTORS. A MAJORITY OF THE CURRENT COMMITTEE MEMBERS MUST BE PRESENT FOR THE EXECUTIVE COMMITTEE TO HAVE A QUORUM AND CONDUCT BUSINESS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BASED ON DATA PROVIDED TO THE AUDITORS FROM THE ORGANIZATION AND THE ANNUAL AUDIT. THE DRAFT FORM WAS REVIEWED BY SENIOR ACCOUNTING STAFF, THE CFO, AND THE CEO BEFORE IT WAS DISTRIBUTED TO THE GOVERNING BODY. A DRAFT OF THE FORM 990 WAS SHARED WITH THE GOVERNING BODY BEFORE IT WAS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C PARTICIPATION IN THE PROCUREMENT OF GOODS AND SERVICES IS PROHIBITED WHEN THERE IS A CONFLICT OF INTEREST. NO EMPLOYEE, OFFICERS, BOARD MEMBER, OR AGENT MAY PARTICIPATE IN THE SELECTION, AWARD, OR ADMINISTRATION OF A CONTRACT IF A REAL OR APPARENT CONFLICT OF INTERESTS EXISTS. IF A CONFLICT ARISES, THE CEO IS INFORMED AND IS RESPONSIBLE FOR ENSURING COMPLIANCE. VIOLATIONS OF THE THIS RULE WOULD RESULT IN REMOVAL FROM ANY FURTHER INVOLVEMENT IN ANY ASPECT OF THE PROCUREMENT PROCESS. FORM 990, PART VI, SECTION B, LINE 15A ANNUALLY, THE BOARD OF DIRECTORS EXAMINES EXTERNAL MARKET DATA TO DETERMINE COMPENSATION FOR THE CEO. COMPARISONS WITH SIMILAR ORGANIZATIONS ARE MADE AND COMPENSATION IS DETERMINED BASED ON THOSE COMPARISONS. THIS PROCESS, INCLUDING AN ANALYSIS OF MARKET COMPARABLE BY AN INDEPENDENT CONSULTING FIRM, WAS LAST COMPLETED IN 2021. ANNUALLY, THE CEO EXAMINES EXTERNAL MARKET DATA TO DETERMINE APPROPRIATE COMPENSATION RANGES FOR ALL POSITIONS AT HEALTHPOINT, INCLUDING TOP MANAGEMENT AND OTHER KEY EMPLOYEES. COMPARISONS WITH SIMILAR ORGANIZATIONS ARE MADE AND COMPENSATION IS DETERMINED BASED ON THOSE COMPARISONS. THIS PROCESS, INCLUDING AN ANALYSIS OF MARKET COMPARABLE BY AN INDEPENDENT CONSULTING FIRM, WAS LAST COMPLETED IN 2021. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. INDIVIDUALS CAN ALSO REVIEW OUR ANNUAL REPORT ON OUR WEBSITE, WWW.HEALTHPOINTHC.ORG. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 295,700. HEALTHPOINT CARES 955 POWELL AVENUE SW RENTON WA 98057 874043211 FUNDRAISING WA 501(C)(3) LINE 12A, I HEALTHPOINT 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 HEALTHPOINT CARES B 1500000 CASH