2024-04-15T14:26:46-05:00 2023-06-30 910189318 MOSS ADAMS LLP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2022-07-01 911255170 COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY COMM 4257893700 8609 EVERGREEN WAY EVERETT WA 98208 JOSEPH VESSEY CHIEF EXECUTIVE OFFICER 4257893700 2024-04-12 1 JOSEPH VESSEY 999009999 1 COLLEEN RAMIRES P01251320 4252597227 2024-03-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NA JOSEPH VESSEY 8609 EVERGREEN WAY EVERETT WA 98208 87305422 0 X WWW.CHCSNO.ORG X 1986 WA TO PROVIDE OUR DIVERSE COMMUNITY WITH ACCESS TO HIGH QUALITY, AFFORDABLE PRIMARY HEALTH CARE 8 8 772 8 0 0 13663039 13461503 54899226 65271878 678380 582489 3195014 2538317 72435659 81854187 0 0 0 0 48866497 57860834 0 0 0 20472427 25955083 69338924 83815917 3096735 -1961730 92563819 101902847 17496778 28735584 75067041 73167263 X COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY ("CHC") PROVIDES MEDICAL AND DENTAL CARE TO LOW-INCOME/HOMELESS INDIVIDUALS WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES ON A SLIDING FEE BASIS. ALL PATIENTS ARE REQUIRED TO PAY A MINIMUM FEE, AND NO PATIENT IS DENIED SERVICES DUE TO AN INABILITY TO PAY. SINCE MANAGEMENT DOES NOT EXPECT PAYMENT FOR THE DISCOUNTED PORTION OF CARE, THE DISCOUNTED SERVICES ARE EXCLUDED FROM REVENUE. DURING THE YEAR ENDED JUNE 30, 2023, CHC PROVIDED $5,126,194 OF CHARITY CARE UNDER THIS POLICY. 0 0 32053790 35848076 MEDICAL - DURING 2023, COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY (CHC) PROVIDED 120,613 MEDICAL ENCOUNTERS TO 48,078 PATIENTS AT TWELVE CLINICAL SITES LOCATED IN EVERETT (EIGHT SITES), LYNNWOOD (TWO SITES), EDMONDS, AND ARLINGTON. SERVICES INCLUDE COMPREHENSIVE PRIMARY MEDICAL SERVICES FOR CHILDREN AND ADULTS, EMPHASIZING A WHOLE-PERSON, PATIENT-CENTERED APPROACH. CHC CONTINUES TO WELCOME AND SERVE ALL MEDICAID PATIENTS WHILE REMAINING ONE OF THE LARGEST PROVIDERS OF COMMERCIAL AND MEDICARE PATIENTS IN OUR REGION. 19980636 22345793 DENTAL - IN 2023, CHC PROVIDED DENTAL VISITS TO 86,511 CHILDREN AND ADULTS FOR PREVENTATIVE AND RESTORATIVE CARE. DENTAL SERVICES ARE PROVIDED AT SEVEN CLINICAL SITES IN EVERETT (THREE SITES), LYNNWOOD (TWO SITES), EDMONDS, ARLINGTON, AS WELL AS OUR DENTAL OUTREACH PROGRAM SERVING STUDENTS AT FORTY-ONE SCHOOLS THROUGHOUT THE REGION. SERVICES INCLUDE PREVENTATIVE CARE, ORAL EXAMS, ORAL HYGIENE, X-RAYS, EMERGENCY CARE AND DENTAL EDUCATION. REFERRAL SERVICES ARE OFFERED FOR MORE SPECIALIZED CARE. CHC REMAINS THE LARGEST DENTAL PROVIDER IN THE REGION. 6643127 7429490 PHARMACY - IN 2023, CHC PROVIDED 159,205 PRESCRIPTIONS TO ITS PATIENTS. FULLY LICENSED PHARMACIES ARE LOCATED AT SIX CLINICAL SITES IN EVERETT (THREE SITES), LYNNWOOD, EDMONDS, AND ARLINGTON. 1537942 1719993 BEHAVIORAL HEALTH - DURING 2023, CHC PROVIDED 12,433 BEHAVIORAL HEALTH ENCOUNTERS TO 2,537 PATIENTS AT NINE CLINICAL SITES LOCATED IN EVERETT (FIVE SITES), LYNNWOOD (TWO SITES), EDMONDS, AND ARLINGTON. BY FOCUSING ON A PATIENT'S BEHAVIORAL HEALTH AS PART OF AN INTEGRATED CARE MODEL, WE ARE ABLE TO BETTER COORDINATE COMPLETE AND TIMELY ACCESS TO CARE. OUR LICENSED, CERTIFIED COUNSELORS AND SUBSTANCE USE DISORDER PROFESSIONALS ADDRESS THE INDIVIDUALIZED NEEDS OF OUR PATIENTS BY WORKING ALONGSIDE OUR PRIMARY CARE PROVIDERS. 1537942 1719993 60215495 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 38 0 1 772 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JOSEPH VESSEY 4257893700 8609 EVERGREEN WAY EVERETT WA 98208 JOSEPH E VESSEY CHIEF EXECUTIVE OFFICER 40.00 X 332044 0 24860 STEVEN C COHEN PHYSICIAN, PER DIEM 40.00 X 262276 0 20374 SUZANNE H POWELL PHYSICIAN, FP WITH OB 40.00 X 238880 0 22232 SIMI KOHLI PHYSICIAN, PER DIEM 40.00 X 238130 0 21901 AMY E RODRIGUEZ CLINICAL DIRECTOR, MEDICAL (THRU 11/22) 40.00 X 238926 0 20731 DION C KAPETANOV CHIEF ADMINISTRATIVE OFFICER 40.00 X 237898 0 21275 DAVID M GORDON PHYSICIAN, IM 40.00 X 231444 0 20502 MICHELLE R RICHARDS PHYSICIAN, FP WITH OB 40.00 X 221738 0 21588 THOMAS M TOCHER CHIEF MEDICAL OFFICER (THRU 08/24) 40.00 X 224013 0 17735 DOUGLAS D MCMILLEN INTERIM CHIEF MEDICAL OFFICER 40.00 X 217322 0 21227 SUE M YOON CHIEF DENTAL OFFICER 40.00 X 214298 0 20628 TOVE R DOYLE-SKAFTUN CHIEF NURSING OFFICER 40.00 X 204622 0 20192 ADAM HEATH CHIEF OPERATING OFFICER 40.00 X 193377 0 19147 AIMI MIZUTANI CLINICAL DIRECTOR, DENTAL 40.00 X 189272 0 19736 QUAN D NGUYEN PHARMACY SERVICES DIRECTOR 40.00 X 184658 0 17136 CHRISTOPHER A SMITH CLINICAL DIRECTOR, DENTAL 40.00 X 181837 0 19330 BENJAMIN A LUETY CHIEF FINANCIAL OFFICER 40.00 X 169320 0 19507 JESSICA ENICK BOARD CHAIR 2.00 X X 0 0 0 CHARLES MISTER BOARD VICE-CHAIR 2.00 X X 0 0 0 ANGELICA MONTANARI BOARD VICE-CHAIR (THRU 09/22) 2.00 X X 0 0 0 ROBERT MAX MAXWELL BOARD TREASURER 2.00 X X 0 0 0 SANDRA TOUSSAINT BOARD SECRETARY 2.00 X X 0 0 0 COURTNEY MILLER BOARD SECRETARY (THRU 10/22) 2.00 X X 0 0 0 JULIAN KING BOARD MEMBER 2.00 X 0 0 0 ED ROGAN BOARD MEMBER 2.00 X 0 0 0 OLIVIA MATHISEN-HOLLOMAN BOARD MEMBER 2.00 X 0 0 0 LENORA ROSE BOARD MEMBER 2.00 X 0 0 0 RAZAQ RAJI BOARD MEMBER 2.00 X 0 0 0 3780055 0 348101 108 0 1 0 JEAN-PAUL CREUSAT 850 PIMLICON PLACE SUWANEE GA 30034 CONSULTANT SERVICES 177840 THREE THIRTY-SIX CONSULTING LLC 3193 HEALTHCHASE LANE SUWANEE GA 30024 CONSULTING SERVICES 154474 COMMUNITY CLINIC CONTRACTING NETWORK LL 18 S MISSION ST STE 300 WENATCHEE WA 98801 OUTSIDE SERVICES 143844 SERVICEMASTER BUILDING MAINTENANCE PO BOX 1365 MUKILTEO WA 98275 JANITORIAL SERVICES 133994 JKR LLC PO BOX 957 RENTON WA 98057 LAUNDRY SERVICES 133989 5 160 13137352 323991 1222170 13461503 CAPITATED REVENUE 621110 29488310 29488310 MEDICARE/MEDICAID 621400 27180714 27180714 PATIENT FEES 621110 6982874 6982874 RESEARCH & CLINICAL STUDIES INCOM 621110 1510149 1510149 STUDENT ROTATIONS 621110 109831 109831 65271878 566282 566282 2794478 40858 2819129 0 -24651 40858 16207 16207 4703580 2632106 2071474 2071474 PROPERTY INSURANCE CLAIM 524298 315222 315222 MISCELLANEOUS INCOME 561000 88756 88756 PATIENT RECORD 561000 62865 62865 466843 81854187 67343352 0 1049332 2984467 2984467 42640185 36677183 5963002 1393635 307468 1086167 7301638 5881504 1420134 3540909 2793719 747190 154169 154169 54064 54064 49523 49523 5238512 1292660 3945852 94241 41171 53070 404771 282474 122297 2077960 1764300 313660 456998 295694 161304 368786 368786 4483214 2755598 1727616 329269 197242 132027 PATIENT SUPPLIES 3523139 3498934 24205 EQUIPMENT RENTAL AND MA 3401306 490263 2911043 BAD DEBT 1987424 1987424 MINOR EQUIPMENT 1212750 843612 369138 2118957 1106249 1012708 83815917 60215495 23600422 0 14156614 10027213 2357682 5851914 380665 173728 5443291 13970858 1220598 1215641 674111 637622 86203785 37873070 48188514 48330715 20142344 20449398 0 1245758 92563819 101902847 10723241 13956367 105744 0 6667793 13518022 0 1261195 17496778 28735584 X 75067041 73167263 75067041 73167263 92563819 101902847 -1961730 61592 360 0 X 0 1 X 1 1 1 X 6911782 10177919 9681740 13663039 13461503 53895983 54485411 51580144 55267547 60379719 69975458 291688279 26195 37692 55979 65674 62685 248225 61423388 61795755 65005266 74108432 83499646 345832487 0 0 0 345832487 441192 501549 425304 470890 566282 2405217 441192 501549 425304 470890 566282 2405217 58761 51241 42942 176845 403978 733767 61923341 62348545 65473512 74756167 84469906 348971471 0.99100 0.99170 0.00690 0.00710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 100456 6436883 6537339 62559091 25051775 37507316 37002 2923 34079 16512284 12812379 3699905 558069 5993 552076 48330715 LEASE LIABILITIES 1261195 1261195 X 82511298 61952 2632106 2694058 79817240 49523 1987424 2036947 81854187 84411076 2632106 2632106 81778970 49523 1987424 2036947 83815917 PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT CHC IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF CHC HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U.S. GOVERNMENT. CHC HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF JUNE 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASS COST OF GOODS SOLD 2,632,106. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS BAD DEBT 1,987,424. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASS COST OF GOODS SOLD 2,632,106. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS BAD DEBT 1,987,424. X X X X 0 0 0 0 0 0 0 0 0 JOSEPH E VESSEY CHIEF EXECUTIVE OFFICER 302044 0 30000 0 0 0 13223 0 11637 0 356904 0 0 0 STEVEN C COHEN PHYSICIAN, PER DIEM 242276 0 20000 0 0 0 10598 0 9776 0 282650 0 0 0 SUZANNE H POWELL PHYSICIAN, FP WITH OB 219813 0 19067 0 0 0 10631 0 11601 0 261112 0 0 0 SIMI KOHLI PHYSICIAN, PER DIEM 220259 0 17871 0 0 0 10310 0 11591 0 260031 0 0 0 AMY E RODRIGUEZ CLINICAL DIRECTOR, MEDICAL (THRU 11/22) 218552 0 20374 0 0 0 10154 0 10577 0 259657 0 0 0 DION C KAPETANOV CHIEF ADMINISTRATIVE OFFICER 237898 0 0 0 0 0 9663 0 11612 0 259173 0 0 0 DAVID M GORDON PHYSICIAN, IM 226105 0 5339 0 0 0 9662 0 10840 0 251946 0 0 0 MICHELLE R RICHARDS PHYSICIAN, FP WITH OB 209183 0 12555 0 0 0 9995 0 11593 0 243326 0 0 0 THOMAS M TOCHER CHIEF MEDICAL OFFICER (THRU 08/24) 216905 0 7108 0 0 0 9782 0 7953 0 241748 0 0 0 DOUGLAS D MCMILLEN INTERIM CHIEF MEDICAL OFFICER 214278 0 3044 0 0 0 10088 0 11139 0 238549 0 0 0 SUE M YOON CHIEF DENTAL OFFICER 213450 0 848 0 0 0 9491 0 11137 0 234926 0 0 0 TOVE R DOYLE-SKAFTUN CHIEF NURSING OFFICER 204622 0 0 0 0 0 8594 0 11598 0 224814 0 0 0 ADAM HEATH CHIEF OPERATING OFFICER 191237 0 2140 0 0 0 8735 0 10412 0 212524 0 0 0 AIMI MIZUTANI CLINICAL DIRECTOR, DENTAL 161474 0 27798 0 0 0 8279 0 11457 0 209008 0 0 0 QUAN D NGUYEN PHARMACY SERVICES DIRECTOR 177507 0 7151 0 0 0 5653 0 11483 0 201794 0 0 0 CHRISTOPHER A SMITH CLINICAL DIRECTOR, DENTAL 168378 0 13459 0 0 0 8076 0 11254 0 201167 0 0 0 BENJAMIN A LUETY CHIEF FINANCIAL OFFICER 169320 0 0 0 0 0 7932 0 11575 0 188827 0 0 0 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2020-09-16 7960000 BUILDING CONSTRUCTION AND REFUND OF 2013 BOND 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2022-12-16 8000000 BUILDING CONSTRUCTION 0 0 0 A 1976112 7960000 65857 4032368 3861775 2020 1 0 1 1 B 323989 8000000 115237 3195429 4689334 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 X 12 1222170 COST 0 0 1 0 PART I, COLUMN (B): THE NUMBER IN COLUMN (B) IS BASED ON THE NUMBER OF CONTRIBUTIONS, ONE PER MONTH. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWS AND APPROVES CHC'S FORM 990 AND SCHEDULE B PRIOR TO ITS FILING WITH THE IRS. THE APPROVAL PROCESS IS AS FOLLOWS: THE BOARD OF DIRECTORS RECEIVE A COPY OF FORM 990 AND SCHEDULE B TO MAKE A MOTION AND VOTE TO APPROVE THE FORM 990. UPON THE BOARD OF DIRECTORS' APPROVAL, THE FORM 990 AND SCHEDULE B IS ELECTRONICALLY FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CHC OF SNOHOMISH COUNTY EMPLOYEE HANDBOOK CONTAINS THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. EACH EMPLOYEE AND BOARD MEMBER IS REQUIRED TO SIGN OFF AS HAVING READ THE HANDBOOK AND HAVING UNDERSTOOD THIS CONFLICT OF INTEREST POLICY. PER THIS POLICY, ALL EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO AVOID AND REPORT SITUATIONS THAT COULD CREATE OR RESULT IN A REAL OR PERCEIVED CONFLICT OF INTEREST BY DISCLOSING THE RELATIONSHIP, ACTIVITY OR ASSOCIATION TO THEIR MANAGER OR HUMAN RESOURCES. BOARD MEMBERS WHO BELIEVE THAT A CONFLICT OF INTEREST EXISTS NEED TO INFORM THE CHAIR OF THE BOARD, WHO WOULD WORK WITH THE CEO TO INQUIRE INTO THE FACTS AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WHERE A CONFLICT OF INTEREST OCCURS, THE INDIVIDUAL IS RECUSED FROM ANY DECISION MAKING PROCESS OR MEETINGS RELATED TO THAT SITUATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE CHIEF EXECUTIVE OFFICER'S COMPENSATION AND PERFORMS A PERFORMANCE EVALUATION TO SET COMPENSATION. THE HUMAN RESOURCES MANAGER MAY ASSIST AS NECESSARY. ALL OTHER OFFICERS' COMPENSATION IS SET BY HUMAN RESOURCES. THE SALARY RANGE IS BASED ON COMMUNITY COMPENSATION DATA AND YEARS OF PROFESSIONAL EXPERIENCE AND QUALIFICATIONS. ANNUAL REVIEWS OF COMPENSATION WERE LAST PERFORMED IN MARCH 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST ONLY.