2014-05-14T13:54:20-05:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2013-01-01 910893287 NEIGHBORCARE HEALTH NEIG 2064616935 905 SPRUCE STREET SUITE 300 SEATTLE WA 98104 MARK SECORD EXECUTIVE DIRECTOR 2064616935 2014-05-13 1 DANIEL M FREIN CPA P00856532 4252506100 2013 2015-11-30 17:44:51Z MARK SECORD 905 SPRUCE STREET SUITE 300 SEATTLE WA 98104 51695715 0 X WWW.NEIGHBORCARE.ORG X 1969 WA PROVIDE COMPREHENSIVE HEALTH CARE TO FAMILIES AND INDIVIDUALS WHO HAVE DIFFICULTY ACCESSING CARE. 15 15 636 165 0 0 13027656 14098483 23465477 27799833 -395436 96887 1221192 1005860 37318889 43001063 0 0 0 0 26902388 30445660 0 0 78946 12954778 14034136 39857166 44479796 -2538277 -1478733 58930907 57742301 27107770 25850405 31823137 31891896 X THE ORGANIZATION IS A COMMUNITY-BASED, NON-PROFIT AGENCY THAT OPERATES 24 MEDICAL, DENTAL, AND SCHOOL-BASED HEALTH CENTERS THROUGHOUT SEATTLE AND PROVIDES SERVICES TO OVER 52,872 PEOPLE EACH YEAR. OUR CLINICS ARE LOCATED THROUGHOUT AREAS OF KING COUNTY THAT HAVE THE HIGHEST RATES OF 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. 0 0 23958950 0 20262019 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 2013, NEIGHBORCARE HEALTH PROVIDED 157,086 VISITS TO 39,460 PATIENTS. NEIGHBORCARE HEALTH PROVIDED $6,950,746 OF CHARITY CARE IN 2013. 8276370 0 6859450 GENERAL DENTISTRY SERVICES INCLUDE ORAL HEALTH EXAMS, HYGIENE, AND RESTORATIVE SERVICES TO CONTAIN THE DISEASE PROCESS. PERIODONTAL AND ENDODONTIC CARE IS ALSO PROVIDED. IN 2013, NEIGHBORCARE PROVIDED 51,719 DENTAL VISITS TO 20,167 CHILDREN AND ADULTS. 2408206 0 574230 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 2013, NEIGHBORCARE HEALTH PROVIDED 14,159 VISITS TO 5,877 SCHOOL-BASED PATIENTS. 1617790 0 104134 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. 1617790 104134 36261316 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 72 0 1 636 1 0 0 0 0 0 1 1 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X X JANINE CHILDS 2065483034 905 SPRUCE STREET SUITE 300 SEATTLE WA 98104 JOYCE LAMMERT CHAIR 2.50 X X 0 0 0 RICK RUBIN VICE CHAIR 1.00 X X 0 0 0 ANDREA DAHL SECRETARY 1.00 X X 0 0 0 TONY BOZZUTI BOARD TREASURER 2.00 X X 0 0 0 FARIBA ALAMADARI DIRECTOR 0.50 X 0 0 0 DICK BARBIERI DIRECTOR 1.00 X 0 0 0 ALLISON BROWN DIRECTOR 0.50 X 0 0 0 NANCY DOUTY DIRECTOR 0.50 X 0 0 0 HOLLY FERRARO DIRECTOR 0.50 X 0 0 0 ROBERT GREENLEE DIRECTOR 1.00 X 0 0 0 ROM LEE DIRECTOR 1.50 X 0 0 0 TAMIKO MIYANO DIRECTOR 2.00 X 0 0 0 GEORGE PARKER DIRECTOR 1.00 X 0 0 0 EVELYN PICKETTS DIRECTOR 0.50 X 0 0 0 JENNIFER RYAN DIRECTOR 0.50 X 0 0 0 BARBARA SHICKICH DIRECTOR 2.00 X 0 0 0 MARK SECORD EXECUTIVE DIRECTOR 50.00 X 179586 0 11709 KATIE BELL CHIEF OPERATING OFFICER 50.00 X 154064 0 10679 JANINE CHILDS CHIEF FINANCIAL OFFICER 45.00 X 138411 0 10176 MARCUS REMPEL MEDICAL DIRECTOR 50.00 X 211950 0 12368 MARTIN LIEBERMAN DENTAL DIRECTOR 40.00 X 192676 0 11827 THOMAS SCOTT ASSISTANT MEDICAL DIRECTOR 40.00 X 185293 0 11590 ALLISON FITZGERALD PHYSICIAN 40.00 X 175116 0 11271 DIANA RYBAKOV DENTIST 50.00 X 168084 0 11788 JOHN OLSON PHYSICIAN 40.00 X 148485 0 4979 CHRISTOPHER DODD SITE MEDICAL DIRECTOR 40.00 X 159964 0 6017 1713629 0 102404 37 0 1 0 JONES BOYS MAINTENANCE CO 1813 130TH AVE NE STE 110 BELLEVUE WA 98005 JANITORIAL 415199 BAYLEY CONSTRUCTION 8005 SE 28TH ST MERCER ISLAND WA 98040 CONSTRUCTION 410887 NBBJ LP PO BOX 742088 LOS ANGELES CA 90074 ARCHITECTURE DESIGN 356254 UNIVERSAL LANGUAGE SERVICES INC PO BOX 4147 BELLEVUE WA 98009 INTERPRETER SERVICES 341879 SPECTRUM DEVELOPMENT SOLUTIONS LLC 1402 3RD AVE S STE 925 SEATTLE WA 98101 CONSTRUCTION MGMT & DEVELOPMENT 177115 7 97316 10660341 3340826 1190870 14098483 CAPITATED PLAN 621400 10744323 10744323 MEDICARE/MEDICAID PMT 621400 9318852 9318852 PATIENT FEES 621400 5481177 5481177 OTHER SERVICE REVENUE 621400 2255481 2255481 27799833 100658 100658 8608017 8611164 624 -3147 -624 -3771 -3771 173579 97316 82864 90715 90715 OTHER REVENUE 900099 915145 915145 915145 43001063 27799833 0 1102747 933446 156555 776891 24317640 21040221 3231636 45783 462448 389452 72070 926 2548187 2072002 471304 4881 2183939 1758761 421043 4135 72418 32636 39478 304 42915 19340 23395 180 2669165 1202880 1455087 11198 81277 61593 19444 240 346191 262347 82820 1024 35020 26538 8378 104 1186178 1079893 106285 32342 10698 21615 29 174877 57848 116875 154 183746 177635 6111 1609268 1235146 374122 154446 103243 51203 MEDICAL SUPPLIES 2769313 2098612 662512 8189 BAD DEBT EXPENSE 2296180 2296180 PHARMACEUTICALS 1972014 1972014 DUES AND TAXES 216361 17096 199265 192425 190626 1799 44479796 36261316 8139534 78946 1439539 1817108 2492581 1354556 1883907 1224349 2262599 3128995 2170752 1220814 239487 148617 917579 822332 36004584 11395692 23968316 24608892 10045490 9907288 13510657 13509350 58930907 57742301 5950226 5502128 136520 531254 20685736 19591704 335288 225319 27107770 25850405 X 31061607 31108364 761530 783532 31823137 31891896 58930907 57742301 X -1478733 -134808 1572331 109969 X 0 1 X 1 1 1 X 15745847 16152894 14862504 13027656 14098483 73887384 15745847 16152894 14862504 13027656 14098483 73887384 73887384 410434 263749 119128 114609 100658 1008578 98420 55306 1358772 1166476 915145 3594119 78490081 122929689 0.94140 0.95300 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: EHR INCENTIVE PAYMENT SETTLEMENT PAYMENT HRSA PAYMENT OTHER REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2592380 2592380 21882670 5667553 16215117 4455111 1989901 2465210 6087240 3738238 2349002 987183 987183 24608892 FACILITY CONTRIBUTION RECEIVABLE 698573 NEIGHBORCARE HEALTH LENDER RECEIVABLE 12810777 13509350 INTEREST RATE SWAP 225319 225319 X 42127632 1572331 -2213316 -640985 42768617 232446 232446 43001063 42266480 82864 82864 42183616 2296180 2296180 44479796 PART X, LINE 2: THE ORGANIZATION 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. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS SHOWN IN THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT EVALUATED NEIGHBORCARE HEALTH'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -2,296,180. FUNDRAISING EVENT EXPENSES 82,864. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EARNINGS 100,658. DEVELOPMENT GRANT REVENUE 70,008. LOSS ON SALE OF INVESTMENTS -3,147. CAPITAL CAMPAIGN 64,927. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 82,864. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 2,296,180. PUMPKIN PUSH 82968 48616 34352 0 3950 0 3650 0 19334 SPRING EVENT 135426 25125 110301 0 5000 3325 31683 0 650 1 52501 23575 28926 0 0 0 13595 0 1677 270895 97316 173579 8950 3325 48928 21661 82864 90715 X 0 0 0 0 0 0 0 0 0 MARK SECORD EXECUTIVE DIRECTOR 179586 0 0 0 0 0 5688 0 6021 0 191295 0 0 0 KATIE BELL CHIEF OPERATING OFFICER 154064 0 0 0 0 0 4658 0 6021 0 164743 0 0 0 MARCUS REMPEL MEDICAL DIRECTOR 211950 0 0 0 0 0 6351 0 6017 0 224318 0 0 0 MARTIN LIEBERMAN DENTAL DIRECTOR 192676 0 0 0 0 0 5806 0 6021 0 204503 0 0 0 THOMAS SCOTT ASSISTANT MEDICAL DIRECTOR 185293 0 0 0 0 0 5569 0 6021 0 196883 0 0 0 ALLISON FITZGERALD PHYSICIAN 175116 0 0 0 0 0 5254 0 6017 0 186387 0 0 0 DIANA RYBAKOV DENTIST 168084 0 0 0 0 0 5327 0 6461 0 179872 0 0 0 JOHN OLSON PHYSICIAN 148485 0 0 0 0 0 4449 0 530 0 153464 0 0 0 CHRISTOPHER DODD SITE MEDICAL DIRECTOR 159964 0 0 0 0 0 0 0 6017 0 165981 0 0 0 X 5 27120 SELLING PRICE X 12 1163750 SELLING PRICE 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE FOUR OFFICERS AND THREE ADDITIONAL BOARD MEMBERS. 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 11 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 15 THE BOARD USES MARKET DATA AVAILABLE FROM MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) AND NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) TO DETERMINE THE EXECUTIVE DIRECTOR'S SALARY. THE EXECUTIVE DIRECTOR'S SALARY IS REVIEWED ANNNUALLY WITH THE LAST REVIEW IN JUNE/JULY 2013. OTHER MANAGEMENT SALARIES ARE REVIEWED BY HUMAN RESOURCES DEPARTMENT AND ARE COMPARED TO MARKET DATA FROM MILLIMAN, ETC. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF SWAP 109,969. NEIGHBORCARE LENDER LLC 905 SPRUCE STREET SUITE 300 SEATTLE WA 98104 271529844 FINANCIAL SERVICES WA NEIGHBORCARE HEALTH C 126808 13314598 1.00000 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 NEIGHBORCARE LENDER LLC D 12810777 CASH