2021-11-05T16:35:27-05:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2020-01-01 830597273 NORTH WHATCOM CLINIC NORT 3607882620 1616 CORNWALL AVENUE NO 205 BELLINGHAM WA 98225 JODI JOYCE CHIEF EXECUTIVE OFFICER 3607882620 2021-07-17 1 JODI JOYCE 999009999 KURT BENNION CPA P01469618 4252506100 2021-07-17 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JODI JOYCE 1616 CORNWALL AVENUE NO 205 BELLINGHAM WA 98225 222000 0 X N/A X 2018 WA CONSTRUCT AND HOLD REAL ESTATE TO SUPPORT UNITY CARE NORTHWEST. 5 5 0 5 0 0 342454 0 0 0 0 0 0 -707192 342454 -707192 0 0 0 0 0 0 0 0 0 1001886 45404 1001886 45404 -659432 -752596 14674493 13677895 14683237 14439235 -8744 -761340 THE ORGANIZATION IS ORGANIZED FOR THE PURPOSE OF HOLDING TITLE TO (OR ENTERING INTO A LONG-TERM LEASE OF) REAL ESTATE, COLLECTING INCOME THEREFROM, AND TURNING OVER THE ENTIRE AMOUNT THEREOF, LESS EXPENSES, TO UNITY CARE NORTHWEST. 0 0 THE ORGANIZATION IS ORGANIZED FOR THE PURPOSE OF HOLDING TITLE TO (OR ENTERING INTO A LONG-TERM LEASE OF) REAL ESTATE, COLLECTING INCOME THEREFROM, AND TURNING OVER THE ENTIRE AMOUNT THEREOF, LESS EXPENSES, TO UNITY CARE NORTHWEST. 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X JACQUELINE KAUHI 3607882620 1616 CORNWALL AVENUE NO 205 BELLINGHAM WA 98225 JODI JOYCE EXECUTIVE DIRECTOR 1.00 49.00 X 0 228981 6264 DESMOND SKUBI EXECUTIVE DIRECTOR (THRU JAN 2020) 1.00 49.00 X 0 74912 1270 DANIEL WHITTLE PRESIDENT 0.10 2.00 X X 0 0 0 MICHAEL BATES VICE PRESIDENT 0.10 0.00 X X 0 0 0 JENNIFER MOLDVER TREASURER 0.10 2.00 X X 0 0 0 MELVIN DE JONG SECRETARY 0.10 2.00 X X 0 0 0 JON MARTIN DIRECTOR 0.10 0.00 X 0 0 0 0 303893 7534 0 0 1 0 0 222000 929192 -707192 -707192 -707192 -707192 -707192 0 0 3200 LICENSES & PERMITS 42171 TAXES 33 45404 32797 358936 504776 59996 14176873 949620 14136920 13227253 0 31710 14674493 13677895 13237 14670000 14439235 14683237 14439235 X -8744 -761340 -8744 -761340 14674493 13677895 -752596 0 X 0 1 X 0 0 X X 2 2.08 0 2 0 1 1 0.00 0 0 279525 279525 13093302 800809 12292493 804046 148811 655235 13227253 X 222000 929192 929192 -707192 0 -707192 974596 929192 929192 45404 0 45404 PART II, LINE 9: THE CONSERVATION EASEMENTS, WHICH ARE UNDEVELOPED LAND, ARE INCLUDED WITH FIXED ASSETS ON THE BALANCE SHEET. THERE WERE NO REVENUES OR EXPENSES IN 2020 ASSOCIATED WITH THE EASEMENTS. PART X, LINE 2: NORTH WHATCOM CLINIC RECEIVED A DETERMINATION LETTER FROM THE IRS THAT STATES IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(2) OF THE IRC. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT RELATED TO THE CLINIC'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2020 AND 2019, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. ALL TAX-EXEMPT ENTITIES ARE SUBJECT TO REVIEW AND AUDIT BY FEDERAL, STATE, AND OTHER APPLICABLE STATE STATUTES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THEY ARE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 929,192. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 929,192. 0 0 0 JODI JOYCE EXECUTIVE DIRECTOR 0 226161 0 2820 0 0 0 0 0 6264 0 235245 0 0 PART I, LINE 3 THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY UNITY CARE NORTHWEST, A RELATED ORGANIZATION. UNITY CARE NORTHWEST USES THE FOLLOWING METHODS TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. FORM 990 OF OTHER ORGANIZATIONS 4. WRITTEN EMPLOYMENT CONTRACT 5. COMPENSATION SURVEY OR STUDY 6. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 3 ALL MANAGEMENT SERVICES ARE PROVIDED BY UNITY CARE NORTHWEST, THE SOLE MEMBER OF NORTH WHATCOM CLINIC. FORM 990, PART VI, SECTION A, LINE 6 UNITY CARE NORTHWEST IS THE SOLE MEMBER OF NORTH WHATCOM CLINIC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER, UNITY CARE NORTHWEST, APPOINTS ALL BOARD MEMBERS AND MAY REMOVE A BOARD MEMBER AT ANY TIME. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY UNITY CARE NORTHWEST'S CFO, CEO AND FINANCE COMMITTEE, THEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY FOR APPROVAL PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C WHEN A BOARD MEMBER HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE INDIVIDUAL INFORMS THE BOARD OF THE MATTER. THE BOARD PRESIDENT OR A MAJORITY OF THE BOARD MAY, AT THEIR DISCRETION, EXCLUDE THE INDIVIDUAL FROM ANY OF THE FOLLOWING ACTIVITIES RELATING TO THE CONFLICT: PARTICIPATION IN DISCUSSIONS OF THE ISSUE, PRESENCE FOR VOTES, AND/OR PARTICIPATION IN COMMITTEES. FORM 990, PART VI, SECTION B, LINE 15 ALL COMPENSATION DETERMINATIONS ARE MADE BY UNITY CARE NORTHWEST. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE UPON REQUEST AND ONLINE AT WWW.GUIDESTAR.ORG, A WEBSITE THAT THE PUBLIC CAN ACCESS TO OBTAIN INFORMATION ABOUT NON-PROFITS. THE FORM 1024 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. UNITY CARE NORTHWEST 1616 CORNWALL AVENUE SUITE 205 BELLIMGHAM WA 98225 912168190 HEALTH CARE WA 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0