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NEIGHBORCARE HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NEIGHBORCARE HEALTH (EIN 91-0893287)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-30
IRS object ID
201232129349300958
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-07-30T15:43:59-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1700AddressLine1
CityBELLEVUECity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN910893287EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NEIGHBORCARE HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEIGNameControl
Phone2064616935Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1905 SPRUCE STREET NO 300AddressLine1
CitySEATTLECity
StateWAState
ZIP Code981042474ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK SECORDName
TitleEXECUTIVE DIRECTORTitle
Phone2064616935Phone
Date Signed2012-07-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSARA ELIZABETH J HYREName
PTINP00235495PTIN
Phone4254544919Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK SECORDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1905 SPRUCE STREET NO 300AddressLine1
CitySEATTLECity
StateWAState
ZIP Code981042474ZIPCode
FieldValueIRS element (for citing)
Gross Receipts48625535GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NEIGHBORCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF NEIGHBORCARE HEALTH IS TO PROVIDE COMPREHENSIVE HEALTH CARE TO FAMILIES AND INDIVIDUALS WHO HAVE DIFFICULTY ACCESSING CARE; RESPOND WITH SENSITIVITY TO THE NEEDS OF OUR CULTURALLY DIVERSE PATIENTS; AND ADVOCATE AND WORK WITH OTHERS TO IMPROVE THE OVERALL HEALTH STATUS OF THE COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees537TotalNbrEmployees
Total Nbr Volunteers88TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year16152894ContributionsGrantsPriorYear
Contributions Grants Current Year14862504ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24738660ProgramServiceRevenuePriorYear
Program Service Revenue CY24105520ProgramServiceRevenueCY
Investment Income Prior Year247362InvestmentIncomePriorYear
Investment Income Current Year124659InvestmentIncomeCurrentYear
Other Revenue Prior Year64210OtherRevenuePriorYear
Other Revenue Current Year1371693OtherRevenueCurrentYear
Total Revenue Prior Year41203126TotalRevenuePriorYear
Total Revenue Current Year40464376TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year25335657SalariesEtcPriorYear
Salaries Etc Current Year25896632SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year91208TotalFundrsngExpCurrentYear
Other Expense Prior Year11581125OtherExpensePriorYear
Other Expenses Current Year12162964OtherExpensesCurrentYear
Total Expenses Prior Year36916782TotalExpensesPriorYear
Total Expenses Current Year38059596TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4286344RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2404780RevenuesLessExpensesCY
Total Assets BOY59074182TotalAssetsBOY
Total Assets EOY59699791TotalAssetsEOY
Total Liabilities BOY28373418TotalLiabilitiesBOY
Total Liabilities EOY26611840TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY30700764NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY33087951NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION IS A COMMUNITY-BASED, NON-PROFIT AGENCY THAT OPERATES 20 MEDICAL, DENTAL, AND SCHOOL-BASED HEALTH CENTERS THROUGHOUT SEATTLE AND PROVIDES SERVICES TO OVER 49,600 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 THOSE WHO ARE ISOLATED FROM SERVICES DUE TO TRANSPORTATION OR CULTURAL BARRIERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense20098263Expense
Revenue18203018Revenue
DescriptionPRIMARY 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 DEPENDENCYSERVICES. 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 2011, NEIGHBORCARE HEALTH PROVIDED 143,716 VISITS TO 36,848 PATIENTS. NEIGHBORCARE HEALTH PROVIDED $8,838,394 OF CHARITY CARE IN 2011.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense8094253Expense
Revenue5492358Revenue
DescriptionGENERAL DENTISTRY SERVICES INCLUDE ORAL HEALTH EXAMS, HYGIENE AND RESTORATIVE SERVICES TO CONTAIN THE DISEASE PROCESS. PERIODONTAL AND ENDODONTIC CARE IS ALSO PROVIDED. IN 2011, NEIGHBORCARE PROVIDED 48,225 DENTAL VISITS TO 18,793 CHILDREN AND ADULTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1523544Expense
Revenue470416Revenue
DescriptionSCHOOL BASED HEALTH SERVICES INCLUDE PRIMARY MEDICAL SERVICES, MENTAL HEALTH AND 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 TO BUILD STRONG RELATIONSHIPS AT SCHOOL, HOME AND IN THEIR COMMUNITY. IN 2011, NEIGHBORCARE HEALTH PROVIDED 12,050 VISITS TO 3,858 SCHOOL-BASED PATIENTS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1358228Expense
Revenue73965Revenue
DescriptionSERVICES 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.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1358228TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev73965TotalOfOtherProgramServiceRev
Total Program Service Expense31074288TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109669NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees537NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JANINE CHILDSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2065483034TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1905 SPRUCE STREET STE 300AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98104ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOYCE LAMMERT
CHAIR4.00XX000
RICK RUBIN
VICE CHAIR1.00XX000
TONY BOZZUTI
TREASURER3.00XX000
ANDREA DAHL
SECRETARY1.00XX000
FARIBA ALAMDARI
DIRECTOR1.00X000
DICK BARBIERI
DIRECTOR2.00X000
ALLY BROWN
DIRECTOR1.00X000
NANCY DOUTY
DIRECTOR0.50X000
OCTAVIA EDWARDS
DIRECTOR3.00X000
SANTOKH GILL
DIRECTOR1.00X000
BOB GREENLEE
DIRECTOR1.00X000
ROM LEE
DIRECTOR1.50X000
JOHN MASON
DIRECTOR2.00X000
TAMIKO MIYANO
DIRECTOR2.00X000
GEORGE PARKER
DIRECTOR1.00X000
TIM RANDALL
DIRECTOR1.00X000
MARK SECORD
EXECUTIVE DIRECTOR50.00X164812010880
KATIE BELL
CHIEF OPERATING OFFICER50.00X13539609734
JANINE CHILDS
CHIEF FINANCIAL OFFICER45.00X12396509378
MARCUS REMPEL
MEDICAL DIRECTOR50.00186914012228X
MARTIN LIEBERMAN
DENTAL DIRECTOR40.00175976010880X
THOMAS P SCOTT
ASSISTANT MEDICAL DIRECTOR40.00167676010767X
ALLISON A FITZGERALD
PHYSICIAN40.00166260010637X
DIANA RYBAKOV
DENTIST50.00156910010857X
BEVERLY J SIMPSON
ASSISTANT MEDICAL DIRECTOR40.00151268010290X
JOHN CHARLES OLSON
PHYSICIAN40.0013868404427X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1567861TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation100078TotalOtherCompensation
Number Individuals GT100 K31NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
JONES BOYS MAINTENANCE CO
1813 130TH AVE NE SUITE 110BELLEVUEWA98005JANITORIAL321987
UNIVERSAL LANGUAGE SERVICES INC
PO BOX 4147BELLEVUEWA98009INTERPRETATION SERVICES231002
THE GUIDANCE CORPORATION
PO BOX 823473PHILIDELPHIAPA19182TEMP STAFFING230160
OLYMPIC SECURITY SERVICES INC
631 STRANDER BLVD SUITE ATUKWILAWA98188SECURITY SERVICES143272
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Federated Campaigns81312FederatedCampaigns
Fundraising Events88549FundraisingEvents
Government Grants11138057GovernmentGrants
All Other Contributions3554586AllOtherContributions
Noncash Contributions821869NoncashContributions
Total Contributions14862504TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PMT62140092743109274310
CAPITATED PLAN62140064037366403736
PATIENT FEES62140058788695878869
OTHER SERVICE REVENUE62140025486052548605
FieldValueIRS element (for citing)
Total Program Service Revenue24105520TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column119128TotalRevenueColumn
Exclusion$119,128ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities8133126Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities8127595Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5531Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5531TotalRevenueColumn
Exclusion$5,531ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events46485GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events88549CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses33564FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column12921TotalRevenueColumn
Exclusion$12,921ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
EHR INCENTIVE PMT900099998750$998,750
SETTLEMENT PMT900099128164$128,164
HRSA PMT90009984161$84,161

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column147697TotalRevenueColumn
Exclusion$147,697ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1358772TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column40464376TotalRevenueColumn
Related Or Exempt Function Income24105520RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,634,409ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total840164Total
Program Services259627ProgramServices
Management And General580537ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20485571Total
Program Services17688449ProgramServices
Management And General2748262ManagementAndGeneral
Fundraising48860Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total426838Total
Program Services358047ProgramServices
Management And General68166ManagementAndGeneral
Fundraising625Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2605551Total
Program Services2101653ProgramServices
Management And General501902ManagementAndGeneral
Fundraising1996Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1538508Total
Program Services1300465ProgramServices
Management And General234332ManagementAndGeneral
Fundraising3711Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total103539Total
Program Services52375ProgramServices
Management And General51164ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total67170Total
Program Services33978ProgramServices
Management And General33192ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1524620Total
Program Services672746ProgramServices
Management And General851874ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total14498Total
Program Services8651ProgramServices
Management And General5847ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1651238Total
Program Services1480990ProgramServices
Management And General170248ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total734802Total
Program Services371701ProgramServices
Management And General363101ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total709468Total
Program Services607228ProgramServices
Management And General102240ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total70145Total
Program Services23408ProgramServices
Management And General46737ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total180620Total
Program Services98768ProgramServices
Management And General81852ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total260553Total
Program Services226135ProgramServices
Management And General34418ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1707214Total
Program Services1207200ProgramServices
Management And General500014ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total148521Total
Program Services103626ProgramServices
Management And General44895ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE22103202210320
PHARMACEUTICALS15515381551538
DUES & TAXES28622447021239203
LABORATORY FEES227099227099

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total715395Total
Program Services443263ProgramServices
Management And General236116ManagementAndGeneral
Fundraising36016Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total38059596Total
Program Services31074288ProgramServices
Management And General6894100ManagementAndGeneral
Fundraising91208Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY643776BOY
EOY1039748EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2090984BOY
EOY3374992EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2784431BOY
EOY1516750EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3123457BOY
EOY3598795EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3253686BOY
EOY2170535EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY162309BOY
EOY171220EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY735428BOY
EOY927261EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35123775LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9772347LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY25784586BOY
EOY25351428EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6983671BOY
EOY8037793EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13511854BOY
EOY13511269EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY59074182BOY
EOY59699791EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4095986BOY
EOY5182536EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY198678BOY
EOY202488EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY23783704BOY
EOY20866704EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY295050BOY
EOY360112EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28373418BOY
EOY26611840EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY29969687BOY
EOY32326421EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY731077BOY
EOY761530EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30700764BOY
EOY33087951EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY59074182BOY
EOY59699791EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2404780ReconcilationRevenueExpenses
Reconcilation Other Changes-17593ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13316945CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14265187CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15745847CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16152894CurrentTaxYearMinus1Year
Current Tax Year14862504CurrentTaxYear
Total74343377Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13316945CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14265187CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15745847CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16152894CurrentTaxYearMinus1Year
Current Tax Year14862504CurrentTaxYear
Total74343377Total
FieldValueIRS element (for citing)
Public Support Total17074343377PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years575052CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years552266CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years410434CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year263749CurrentTaxYearMinus1Year
Current Tax Year119128CurrentTaxYear
Total1920629Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44579CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35732CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3119CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8904CurrentTaxYearMinus1Year
Current Tax Year12921CurrentTaxYear
Total105255Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38719CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37202CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years98420CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year55306CurrentTaxYearMinus1Year
Current Tax Year1358772CurrentTaxYear
Total1588419Total
FieldValueIRS element (for citing)
Total Support77957680TotalSupport
Gross Receipts From Admissions Etc118623063GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95360PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96520PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: EHR INCENTIVE PROGRAM SETTLEMENT REIMBURSEMENT 501C AGENCY TRUST MISCELLANEOUS INSURANCE REIMBURSEMENT REBATES & INCENTIVES BOARD MEETING REIMBURSEMENT HRSA PAYMENTGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Total2000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$3,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus211000CurrentYearMinus2
Current Year Minus14000CurrentYearMinus1
Total15000Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Total500000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$750,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2592380OtherCostOrOtherBasis
Book Value2592380BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22735344OtherCostOrOtherBasis
Depreciation4749808Depreciation
Book Value17985536BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3450762OtherCostOrOtherBasis
Depreciation1469746Depreciation
Book Value1981016BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6274030OtherCostOrOtherBasis
Depreciation3552793Depreciation
Book Value2721237BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis71259OtherCostOrOtherBasis
Book Value71259BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings25351428TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
FACILITY CONTRIBUTION RECEIVABLE700492
NEIGHBORCARE HEALTH LENDER RECEIVABLE12810777
FieldValueIRS element (for citing)
Total Book Value Other Assets13511269TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTEREST RATE SWAPDescription
Amount$360,112Amount
FieldValueIRS element (for citing)
Total Of Amounts360112TotalOfAmounts
Total Revenue40464376TotalRevenue
Total Expenses38059596TotalExpenses
Excess Or Deficit For Year2404780ExcessOrDeficitForYear
Net Unrealized GL On Investments47469NetUnrealizedGLOnInvestments
Other-$65,062OtherAmount
Total Adjustments-17593TotalAdjustments
Excess Or Deficit Per FS2387187ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt40989267TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments47469NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities412384DonatedSrvcAndUseOfFacilities
Other Revenues65038OtherRevenues
Revenue Not Rptd F990524891RevenueNotRptdF990
Revenue Subtotal40464376RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99040464376TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt38472648TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities412384DonatedServicesUseOfFacilities
Other Expenses Included668OtherExpensesIncluded
Expenses Not Rptd F990413052ExpensesNotRptdF990
Expenses Subtotal38059596ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99038059596TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:INTEREST RATE SWAP AGREEMENT -65,062.
PART XII, LINE 2D - OTHER ADJUSTMENTS:INDIRECT SPECIAL EVENTS EXPESNE 668. INTEREST RATE SWAP AGREEMENT -65,062. NEIGHBORCARE LENDER, LLC INTEREST REVENUE 129,432.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:INDIRECT SPECIAL EVENTS EXPENSE 668.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1PUMPKIN PUSHNameOfEvent1
Gross Receipts Event194631GrossReceiptsEvent1
Charitable Contributions Event163764CharitableContributionsEvent1
Gross Revenue Event130867GrossRevenueEvent1
Non Cash Prizes Event19770NonCashPrizesEvent1
Other Direct Expenses Event121128OtherDirectExpensesEvent1
Name Of Event2FEAST AT THE MARKETNameOfEvent2
Gross Receipts Event240403GrossReceiptsEvent2
Charitable Contributions Event224785CharitableContributionsEvent2
Gross Revenue Event215618GrossRevenueEvent2
Food And Beverage Event22666FoodAndBeverageEvent2
Gross Receipts Total135034GrossReceiptsTotal
Charitable Contributions Total88549CharitableContributionsTotal
Gross Revenue Total Events46485GrossRevenueTotalEvents
Non Cash Prizes Total Events9770NonCashPrizesTotalEvents
Food And Beverage Total Events2666FoodAndBeverageTotalEvents
Other Direct Expenses Total Events21128OtherDirectExpensesTotalEvents
Direct Expense Summary Events33564DirectExpenseSummaryEvents
Net Income Summary12921NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARK SECORD
164812000005238056420175692000
MARCUS REMPEL
186914000006449057790199142000
MARTIN LIEBERMAN
175976000005238056420186856000
THOMAS P SCOTT
167676000005125056420178443000
ALLISON A FITZGERALD
166260000004991056460176897000
DIANA RYBAKOV
156910000005082057750167767000
BEVERLY J SIMPSON
151268000004648056420161558000

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions6NumberOfContributions
Noncash Contribs Rptd F99017446NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Real Estate Other RealEstateOther

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9900NoncashContribsRptdF990
Method Of Determining RevenuesVALUE OF PROPERTYMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions12NumberOfContributions
Noncash Contribs Rptd F990804423NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:PART I, COLUMN (B):VARIOUS METHODS ARE USED TO MEASURE THE NUMBER OF CONTRIBUTIONS OR ITEMS RECEIVED. FOR PUBLICLY TRADED SECURITIES, THE NUMBER OF CONTRIBUTIONS RECEIVED IS COUNTED. WE RECEIVED TWO PARCELS OF LAND IN BUTTONWILLOW, CALIFORNIA FROM AN ESTATE. THE ORGANIZATION RECEIVES VACCINES AND PHARMACEUTICALS THROUGHOUT THE MONTH FOR ITS VARIOUS CLINICS. IT IS DIFFICULT TO TRACK THE NUMBER OF ITEMS RECEIVED EACH MONTH HOWEVER WE ESTMATED THAT WE RECEIVE AT LEAST ONE CONTRIBUTION PER MONTH THROUGHOUT THE YEAR FOR OUR VACCINES AND PHARMACEUTICALS. WE HAVE BEEN KEEPING TRACK OF THE VALUE OF NON-CASH CONTRIBUTIONS WE RECEIVE.
THIRD PARTY USE:PART I, LINE 32B:A REALTOR HAS TRIED TO SELL THE LAND PARCELS.
NON REPORTING OF REVENUE:PART I, LINE 33:NO VALUE WAS BOOKED FOR THE LAND PARCELS BECAUSE THE VALUE CAN NOT BE DETERMINED OR IS MINIMAL.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART I, LINE 6:OUR VOLUNTEERS PROVIDE MEDICAL, DENTAL, NATUROPATHIC CARE, AS WELL AS CLERICAL ASSISTANCE IN THE CLINICS, INTERPRETER SERVICES, AND ASSISTANCE WITH FUNDRAISING EVENTS. IN ADDITION, THERE ARE 16 VOLUNTEER BOARD OF DIRECTORS.
FORM 990, PART I, LINE 19:PART I, LINE 19 INCLUDE EXCESS OPERATING SUPPORT AND REVENUES OF $1,790,693 IN 2010 AND $938,833 IN 2011. THE REMAINING AMOUNTS REPRESENT CAPITAL CAMPAIGN INCOME FOR THE ORGANIZATION'S RAINIER BEACH MEDICAL AND DENTAL CLINIC.
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE, WITH AUTHORITY FROM THE BOARD OF DIRECTORS, REVIEWS THE FORM 990 WITH THE CHIEF FINANCIAL OFFICER. A FULL COPY OF THE TAX RETURN IS MADE AVAILABLE TO THE BOARD PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CEACH 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 15THE 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 ANNUALLY WITH THE LAST REVIEW IN JUNE/JULY 2011, 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 19NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 47,469. INTEREST RATE SWAP AGREEMENT -65,062. TOTAL TO FORM 990, PART XI, LINE 5: -17,593.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1NEIGHBORCARE LENDER LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1905 SPRUCE STREET SUITE 300AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98104ZIPCode
FieldValueIRS element (for citing)
EIN271529844EIN
Primary ActivityFINANCIAL SERVICESPrimaryActivity
Legal Domicile StateWALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NEIGHBORCARE HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income129432ShareOfTotalIncome
Share Of EOY Assets13061101ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
NEIGHBORCARE LENDER LLC
D12810777CASH
NEIGHBORCARE LENDER LLC
Q129432CASH