2015-02-16T17:06:41-06:00 2014-03-31 910189318 MOSS ADAMS LLP 1301 A STREET SUITE 600 TACOMA WA 984024205 990 2013-04-01 911020139 SEA-MAR COMMUNITY HEALTH CENTER SEA- 2067635277 1040 SOUTH HENDERSON STREET SEATTLE WA 98108 DOUGLAS DALE VP OF FINANCE 2067635277 2015-02-17 1 NANCY SCHAUER CPA MS TAX P01326437 2535724100 2013 2016-02-25 16:41:14Z DOUGLAS DALE 1040 S HENDERSON ST SEATTLE WA 98108 163548694 0 X WWW.SEAMARCHC.ORG X 1977 WA SEA-MAR COMMUNITY HEALTH CENTERS IS A COMMUNITY- BASED ORGANIZATION COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE HEALTH AND HUMAN SERVICES TO DIVERSE COMMUNITIES, SPECIALIZING IN SERVICE TO LATINOS. 11 11 2117 350 628378 12396 22842015 22898750 127151045 138958799 119033 157338 935165 646621 151047258 162661508 392155 248956 0 0 86218950 91269440 0 0 0 58138128 67199226 144749233 158717622 6298025 3943886 125625142 144234087 65548430 79989244 60076712 64244843 X SEA MAR COMMUNITY HEALTH CENTERS IS A COMMUNITY-BASED ORGANIZATION COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE HEALTH, HUMAN AND HOUSING SERVICES TO DIVERSE COMMUNITIES, SPECIALIZING IN SERVICE TO LATINOS. 0 0 105791287 0 91786812 MEDICAL/DENTAL CLINICS. SEA MAR COMMUNITY HEALTH CENTERS PROVIDES MEDICAL AND DENTAL SERVICES TO LOW INCOME PERSONS. A TOTAL OF 109,376 PATIENTS WERE PROVIDED MEDICAL SERVICES AND A TOTAL OF 57,224 PATIENTS WERE PROVIDED DENTAL SERVICES DURING THE TWELVE MONTH PERIOD WITH A TOTAL OF 468,277 MEDICAL AND DENTAL ENCOUNTERS. 56% OF PATIENTS WERE 100% OR BELOW FEDERAL POVERTY LEVEL. SEA MAR IS IN ITS 36TH YEAR OF PROVIDING SERVICES AS A COMPREHENSIVE HEALTH CARE AGENCY WITH MEDICAL AND DENTAL CLINICS AND SERVICE SITES IN NINE WASHINGTON COUNTIES: CLARK, GRAYS HARBOR, ISLAND, KING, PIERCE, SKAGIT, SNOHOMISH, THURSTON, AND WHATCOM. SEA MAR PROVIDES THE COMPREHENSIVE PRIMARY MEDICAL AND DENTAL SERVICES INCLUDING FAMILY MEDICINE, OBSTETRICS, INTERNAL MEDICINE, PREVENTIVE CARE, ADOLESCENT HEALTH CARE, CHRONIC DISEASE MANAGEMENT, IMMIGRATION PHYSICALS, INDUSTRIAL/OCCUPATIONAL HEALTH CARE, GERIATRICS, WALK-IN, EMERGENCY CARE, 24-HOUR ON-CALL, HOSPITALIZATION, PHARMACY, LAB, X-RAY, ORAL HEALTH EXAMS AND CONSULTATIONS, ORAL SCREENINGS FOR INFANTS AND YOUNG CHILDREN, SAME DAY APPOINTMENTS FOR EMERGENCY OR URGENT DENTAL CARE, LIMITED ORTHODONTIC TREATMENT, AND CONSULTATIONS FOR CROWNS AND BRIDGES. SEA MAR PROVIDES ALL SERVICES IN ENGLISH AND SPANISH. 14160473 26840983 OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE. SEA MAR PROVIDES MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO LOW INCOME PERSONS. A TOTAL OF 107,937 ENCOUNTERS FOR 6,884 MENTAL HEALTH AND 3,394 SUBSTANCE ABUSE CLIENTS OCCURRED DURING THE TWELVE MONTH PERIOD. SEA MAR HAS EXPANDED BEHAVIORAL HEALTH SERVICES TO 21 OUTPATIENT SITES LOCATED IN NINE COUNTIES ACROSS WESTERN WASHINGTON. SEA MAR IS COMMITTED TO PROVIDING HOLISTIC INTERVENTION UTILIZING EVIDENCE-BASED MODELS THAT HAVE PROVEN TO BE EFFECTIVE IN TREATING MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS IN CLIENTS. SEA MAR PROVIDES ALL SERVICES IN ENGLISH AND SPANISH. 4510090 0 3988560 SEA MAR DRUG & ALCOHOL INPATIENT TREATMENT CENTERS. SEA MAR PROVIDES RESIDENTIAL TREATMENT FOR ALCOHOL AND SUBSTANCE ABUSE TO ADULTS AND YOUTH, INCLUDING LEVEL II SECURE FACILITIES FOR MALE AND FEMALE YOUTH. SEA MAR PROVIDES ALL SERVICES IN ENGLISH AND SPANISH. 7574470 0 2659763 PREVENTIVE HEALTH SERVICES. INCLUDES PROGRAM SUCH AS HEALTH EDUCATION, WHICH PROVIDES PATIENTS WITH INFORMATION ON WEIGHT CONTROL, FAMILY PLANNING, SMOKING CESSATION, DIABETES, AND MANY OTHER HEALTH ISSUES. MATERNITY SUPPORT SERVICES HELPS WOMEN HAVE A HEALTHY PREGNANCY OUTCOME. WOMEN, INFANTS AND CHILDREN (WIC) IS A SUPPLEMENTAL FOOD AND NUTRITION/BREASTFEEDING EDUCATION PROGRAM. SEA MAR IS THE LARGEST PRIVATE PROVIDER OF WIC SERVICES IN THE STATE. 1883457 0 793559 MANAGED CARE. CONDUCTS OUTREACH TO INFORM THE COMMUNITY ABOUT RESOURCES AVAILABLE AND ASSISTS ELIGIBLE CLIENT IN APPLYING FOR HEALTH COVERAGE AND OTHER RESOURCES. SEA MAR MONITORS CLIENTS IN MANAGED CARE TO ENSURE THEY ARE ACCESSING THE SERVICES NECESSARY TO MAINTAIN THEIR HEALTH. 3353583 2674141 CANNON HOUSE, IN SEATTLE. CANNON HOUSE PROVIDES SAFE, AFFORDABLE, AND HIGH-QUALITY ASSISTED LIVING FOR RETIREES, SENIORS, AND OTHERS IN NEED OF RESIDENTIAL CARE WHO WANTS TO LIVE AS INDEPENDENTLY AS POSSIBLE. MOST CANNON HOUSE RESIDENTS ARE INDIVIDUALS NEAR OR AT RETIREMENT AGE, AND ALSO THOSE WHO SHOW ONGOING HEALTH-CARE NEEDS AND ASSISTANCE. 7236136 248956 10372319 OTHER SERVICES SEA MAR OFFERS A WIDE RANGE OF SOCIAL SERVICE PROGRAMS INCLUDING AFFORDABLE HOUSING, LATINO SENIOR NUTRITION AND OUTREACH, EMPLOYMENT TRAINING, EDUCATIONAL ACHIEVEMENT PROGRAMMING, CHILD DEVELOPMENT CENTER, LEADERSHIP TRAINING, LATINO INFORMATION AND ASSISTANCE, HOME CARE, CITIZENSHIP, LIFE SKILLS, SPANISH-LANGUAGE RADIO PROGRAMMING, AND A YOUTH BOXING CLUB. 20047646 248956 16499782 144509496 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 60 0 0 2117 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 1 1 WA X X DOUGLAS DALE 2067883209 1040 S HENDERSON ST SEATTLE WA 98108 GREG MA CHAIRMAN 4.00 X 0 0 0 JESUS SANCHEZ VICE CHAIR 4.00 X 0 0 0 ERASMA GAMBOA TREASURER 4.00 X 0 0 0 DIANA SAVELLE SECRETARY 4.00 X 0 0 0 JAMES CAUDLE COMMUNITY REPRESENTATIVE 4.00 X 0 0 0 MICHELLE DANLEY COMMUNITY REPRESENTATIVE 4.00 X 0 0 0 AGUSTIN DELGADO COMMUNITY REPRESENTATIVE 4.00 X 0 0 0 KATHERINE LOWE PATIENT REREPSENTATIVE 4.00 X 0 0 0 FELIPE TRINIDAD-MARTINEZ COMMUNITY REPRESENTATIVE 4.00 X 0 0 0 SILVERIO VIVANCO SANCHEZ MIGRANT REPRESENTATIVE 4.00 X 0 0 0 ROGELIO RIOJAS EXECUTIVE DIRECTOR 30.00 X 0 733088 10607 MARY E BARTOLO DEPUTY DIRECTOR 30.00 X 0 391340 10607 DOUGLAS R DALE VP OF FINANCE 30.00 X 0 245171 10670 CAROLINA LUCERO SENIOR VP 30.00 X 0 187352 9328 MICHAEL LEONG VP OF LEGAL AND CORP AFFAIRS 40.00 X 0 273534 10607 RAMOS R JIMENEZ MEDICAL DIRECTOR 40.00 X 0 483595 10607 ALEJANDRO NARVAEZ DENTAL DIRECTOR 40.00 X 0 393038 10607 JULIO JIMENEZ EMPLOYEE 40.00 X 0 247436 10607 MIGUEL F JIMENEZ EMPLOYEE 40.00 X 0 243710 10607 PATRICK L GEMPERLINE EMPLOYEE 40.00 X 0 228458 10607 TIMOTHY P TIMMONS EMPLOYEE 40.00 X 0 225581 10474 GREG S SANDERS EMPLOYEE 40.00 X 0 224906 10454 0 3877209 125782 0 0 1 0 STAFFCARE INC PO BOX 281923 ATLANTA GA 30384 CONTRACTUAL STAFFING SERVICES 1264258 DENTAL PROFESSIONAL 4700 42ND AVE SW STE 460 SEATTLE WA 98116 CONTRACTUAL STAFFING SERVICES 541450 COMPHEALTH PO BOX 713100 SALT LAKE CITY UT 84171 CONTRACTUAL STAFFING SERVICES 444988 3 206313 8585120 14107317 -28602 22898750 PATIENT SERVICES 623990 78852130 78852130 MEDICARE/MEDICAID PAYMENTS 623990 58776287 58776287 OTHER SERVICES 623990 1031525 1031525 CONTRACT REVENUE 623990 181997 181997 MEDICAL RECORD REVENUE 623990 116860 116860 138958799 157338 157338 580475 777832 -197357 -197357 -91357 -106000 84843 206313 109354 -24511 -24511 RADIO BROADCASTING 515100 719735 719735 OTHER 900099 148754 148754 868489 162661508 139116137 628378 18243 248956 248956 2707116 2707116 71106169 67360142 3746027 1725458 1131858 593600 9713070 8338657 1374413 6017627 5667217 350410 473505 21495 452010 102000 102000 2400 2400 255662 254724 938 9474782 8670898 803884 1560787 778686 782101 4274367 3816036 458331 688697 649674 39023 197344 132908 64436 1542386 1358569 183817 3408125 2365413 1042712 736648 258324 478324 CONTRACTUAL ALLOWANCES 35803139 35803139 PROVISIONS FOR BAD DEBT 3844033 3844033 CONTRACTUAL SERVICES 3507477 3252097 255380 OTHER 660081 421217 238864 667793 135453 532340 158717622 144509496 14208126 0 8123786 36249237 23505565 2672968 5035324 13228802 11330844 11415793 78957 187554 840665 1190199 99117160 27732007 68541148 71385153 5260572 5229381 2908281 2675000 125625142 144234087 14114408 24735169 108950 1262305 12763237 14920492 27902742 23115645 10659093 15955633 65548430 79989244 X 60076712 64244843 60076712 64244843 125625142 144234087 3943886 224245 0 X X 0 1 X 0 1 1 X 20537860 25838831 23559068 22892675 24462575 117291009 20537860 25838831 23559068 22892675 24462575 117291009 117291009 968241 789473 279832 904325 737813 3679684 120970693 0.96960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 1 2400 2400 0 20311521 20311521 56521982 27732007 28789975 10460908 10460908 11822749 11822749 71385153 SHORT TERM OTHER 11977259 LINE OF CREDIT 2727045 CURRENT PORTION LTD 1251329 15955633 X 163454623 793115 793115 162661508 0 162661508 159510735 793113 793113 158717622 0 158717622 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 THAT 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. THE ORGANIZATION IS SUBJECT TO EXAMINATION BY U.S. FEDERAL (OR STATE AND LOCAL) INCOME TAX AUTHORITIES FOR THREE YEARS FROM THE FILING OF A TAX RETURN. FUNDRAISING 84843 84843 109354 84843 84843 109354 109354 -24511 0 SCHOLARSHIP 148 148000 0 0 0 0 0 0 0 0 0 ROGELIO RIOJAS EXECUTIVE DIRECTOR 0 733088 0 0 0 0 0 0 10607 0 10607 733088 0 0 MARY E BARTOLO DEPUTY DIRECTOR 0 391340 0 0 0 0 0 0 10607 0 10607 391340 0 0 DOUGLAS R DALE VP OF FINANCE 0 245171 0 0 0 0 0 0 10670 0 10670 245171 0 0 CAROLINA LUCERO SENIOR VP 0 187352 0 0 0 0 0 0 9328 0 9328 187352 0 0 MICHAEL LEONG VP OF LEGAL AND CORP AFFAIRS 0 273534 0 0 0 0 0 0 10607 0 10607 273534 0 0 RAMOS R JIMENEZ MEDICAL DIRECTOR 0 483595 0 0 0 0 0 0 10607 0 10607 483595 0 0 ALEJANDRO NARVAEZ DENTAL DIRECTOR 0 393038 0 0 0 0 0 0 10607 0 10607 393038 0 0 JULIO JIMENEZ EMPLOYEE 0 247436 0 0 0 0 0 0 10607 0 10607 247436 0 0 MIGUEL F JIMENEZ EMPLOYEE 0 243710 0 0 0 0 0 0 10607 0 10607 243710 0 0 PATRICK L GEMPERLINE EMPLOYEE 0 228458 0 0 0 0 0 0 10607 0 10607 228458 0 0 TIMOTHY P TIMMONS EMPLOYEE 0 225581 0 0 0 0 0 0 10474 0 10474 225581 0 0 GREG S SANDERS EMPLOYEE 0 224906 0 0 0 0 0 0 10454 0 10454 224906 0 0 A WASHINGTON HEALTH CARE FACILITIES 911108929 2007-05-24 11475000 REFINANCE 2000 & 2001 BONDS 0 0 0 B WASHINGTON HEALTH CARE FACILITIES 911108929 2005-08-01 3600000 MEDICAL CLINIC AQUISITION 0 0 0 C WASHINGTON HEALTH CARE FACILITIES 911108929 2006-05-18 2500000 EMR & EQUIPMENT AQUISITION 0 0 0 D WASHINGTON HEALTH CARE FACILITIES 911108929 2006-12-21 3140000 MEDICAL FACILITY ACQUISITION 0 0 0 A 0 0 0 0 B 0 0 0 0 C 0 0 0 0 D 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE CURRENT YEAR 990 WILL BE PRESENTED AND DISCUSSED AT A MONTHLY BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S WRITTEN CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUESTS. POTENTIAL CONFLICTS ARE DISCUSSED AT BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE DIRECTOR COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS BASED UPON COMPENSATION COMPARISONS OF SIMILAR ORGANIZATIONS. SENIOR MANAGEMENT COMPENSATION IS REVIEWED INTERNALLY AGAINST SALARY SURVEYS. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 AND FORM 1023 ARE AVAILABLE UPON REQUEST. FORM 990 IS ALSO LISTED ON GUIDESTAR. 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 XII, LINE 2C: SEA MAR COMMUNITY HEALTH CENTER HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE YEAR. SEA-MAR COMMUNITY CARE CENTER 1040 S HENDERSON ST SEATTLE WA 98108 943126743 SKILLED NURSING FACILITY WA 501(C)(3) LINE 9 SEA-MAR COMMUNITY HEALTH CENTER 0 SEA-MAR FARMWORKER HOUSING DEVELOPMENT 1040 S HENDERSON ST SEATTLE WA 98108 460494906 MIGRANT AND LOW INCOME HOUSING WA 501(C)(3) LINE 7 SEA-MAR COMMUNITY HEALTH CENTER 0 SEA-MAR SOUTH PARK FAMILY HOUSING 1040 S HENDERSON ST SEATTLE WA 98108 261721326 LOW INCOME HOUSING WA SEA-MAR COMMUNITY HEALTH CENTER RELATED 0 0 BAZAN & ASSOCIATES INC 1040 S HENDERSON ST SEATTLE WA 98108 582668638 ARCHITECTURAL WA SEA-MAR COMMUNITY HEALTH CENTER 1.00000 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 BAZAN SEA-MAR SOUTH PARK FAMILY HOUSING LLC SEA-MAR FARMWORKER HOUSING DEVELOPMENT