2025-02-25T15:45:36-06:00 2024-05-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-06-01 911138675 TRI-CITIES COMMUNITY HEALTH TRI- 5095472204 PO BOX 1452 PASCO WA 99301 KRISTY NEEDHAM CEO 5095472204 2025-02-24 1 1 KURT BENNION P01469618 4252506100 2025-02-24 2023 2025-03-06 01:10:19Z KRISTY NEEDHAM PO BOX 1452 PASCO WA 99301 42111881 0 X WWW.MYTCCH.ORG X 1981 WA DELIVER THE HIGHEST QUALITY HEALTH CARE TO EVERY PERSON, EVERY TIME. 12 12 388 15 0 0 11092266 8404769 37482462 32671137 35464 655314 132121 214314 48742313 41945534 4100 12500 0 0 29056850 27940212 0 0 0 14417087 14303127 43478037 42255839 5264276 -310305 47699344 47623533 7643644 7801613 40055700 39821920 X WE ARE DEDICATED TO THE COMMUNITIES WE SERVE, BRINGING TOGETHER A UNIFIED TEAM THAT DELIVERS THE HIGHEST QUALITY HEALTH CARE TO EVERY PERSON, EVERY TIME. 0 0 19320163 12500 16704741 THE CLINIC PROVIDES MEDICAL, DENTAL, VISION AND A PRIMARY CARE WALK-IN CLINIC TO MIGRANT AND LOW-INCOME PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE CLINIC PROVIDED 91,275 MEDICAL, DENTAL AND VISION ENCOUNTERS DURING THE FISCAL YEAR. 7758978 0 13043477 THE CLINIC OFFERS PHARMACY SERVICES THAT ALLOWS THE LOW-INCOME PATIENTS TO RECEIVE DEEP DISCOUNTS ON THE COST OF MANY PRESCRIPTION MEDICATIONS AND VACCINES THAT THEY WOULD NOT BE ABLE TO AFFORD OTHERWISE. PHARMACY SAVINGS ARE ALSO USED TO SUPPORT MEDICAL, MENTAL HEALTH, SUBSTANCE USE, AND ENABLING SERVICES THAT THE CLINIC PROVIDES TO THE COMMUNITY. TCCH PROVIDED 111,018 PRESCRIPTIONS DURING THE FISCAL YEAR. 1954864 0 1013528 THE CLINIC PROVIDES MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING, THERAPY AND PSYCHIATRIC SERVICES TO MIGRANT AND LOW INCOME PERSONS THROUGHOUT BENTON, FRANKLIN AND WALLA WALLA COUNTIES. THE CLINIC PROVIDED 8,529 MENTAL HEALTH AND SUBSTANCE ABUSE ENCOUNTERS DURING THE FISCAL YEAR. 1395915 0 1909391 THE CLINIC OFFERS MATERNITY SUPPORT SERVICES (MSS), INFANT CASE MANAGEMENT (ICM), SOCIAL SERVICES (OUTREACH) AND WIC NUTRITION EDUCATION APPOINTMENTS, AND CLASSES TO HIGH RISK MOMS PRE- AND POST-DELIVERY. A LARGE PERCENTAGE OF THOSE TCCH SERVES ARE MIGRANT AND SEASONAL FARM WORKERS. TCCH PROVIDED 3,398 ENCOUNTERS DURING THE FISCAL YEAR. THESE PROGRAMS IMPROVE ACCESS TO CARE AND PROMOTE PROACTIVE HEALTH CARE MESSAGES TO IMPROVE HEALTHY DELIVERIES AND LIVING. 1395915 0 1909391 30429920 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 23 0 388 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X CHRIS SHARPE 5095472204 PO BOX 1452 PASCO WA 99301 RICHARD WILLIAMS PHYSICIAN (THROUGH JANUARY 2024) 40.00 0.00 X 514945 0 42149 EMAD ABU-KHEIRAN PHYSICIAN (THROUGH DECEMBER 2023) 40.00 0.00 X 319209 0 49297 STEPHANIE WHEELER PHYSICIAN 40.00 0.00 X 316688 0 47951 MICHAEL CABASUG PHYSICIAN 40.00 0.00 X 280118 0 46830 RINAH GUTIERREZ PHYSICIAN 40.00 0.00 X 275932 0 25053 KRISTY NEEDHAM COO INTERIM CEO & CEO (AS OF JANUARY 2024) 40.00 0.00 X 224506 0 45593 AMANDA LANG CMO 40.00 0.00 X 196957 0 34879 BRIAN SCHUR DENTAL DIRECTOR 40.00 0.00 X 179584 0 44245 CHRISTOPHER SHARPE CFO 40.00 0.00 X 120177 0 3935 BRYAN CURTIS CIO (THROUGH JUNE 2023) 40.00 0.00 X 79377 0 18714 RUDY MENDOZA CHAIR 1.00 0.00 X X 0 0 0 RICHA SIGDEL VICE CHAIR (THROUGH JUNE 2023) 1.00 0.00 X X 0 0 0 FELIPE GARCIA SARGEANT-AT-ARMS & VICE CHAIR 1.00 0.00 X X 0 0 0 STEPHANIE MATTHEWS TREASURER (THROUGH JUNE 2023) 1.00 0.00 X X 0 0 0 JEFF MADISON BOARD MEMBER & TREASURER 1.00 0.00 X X 0 0 0 DEE DICKERSON SECRETARY 1.00 0.00 X X 0 0 0 HONG CHEN BOARD MEMBER 1.00 0.00 X 0 0 0 IVONNE GUILLEN BOARD MEMBER 1.00 0.00 X 0 0 0 LARRY KURZ BOARD MEMBER (THROUGH OCTOBER 2023) 1.00 0.00 X 0 0 0 JUAN LOPEZ BOARD MEMBER 1.00 0.00 X 0 0 0 MARIA LUNA BOARD MEMBER 1.00 0.00 X 0 0 0 GRETCHEN PATRICK BOARD MEMBER 1.00 0.00 X 0 0 0 CYNTHIA PEREZ BOARD MEMBER AT LARGE 1.00 0.25 X 0 0 0 GUADALUPE RODRIQUEZ BOARD MEMBER 1.00 0.00 X 0 0 0 LEON ERIC SMITH BOARD MEMBER 1.00 0.00 X 0 0 0 KRISTINE TAGGARES BOARD MEMBER (THROUGH JULY 2023) 1.00 0.25 X 0 0 0 2507493 0 358646 37 0 1 0 BARTON ASSOCIATES 3700 S MARYLAND PARKWAY 525D LAS VEGAS NV 89119 LOCUM TENENS STAFFING 687823 STRATUS INDEMAND PO BOX 674954 DETROIT MI 482674954 LANGUAGE SERVICES 579710 ATHENAHEALTH 135 SOUTH ROAD FARMINGTON CT 06032 I.T. SERVICES 569345 ADVANCED PROTECTION SERVICES 3130 VARNEY LANE SUITE 101 PASCO WA 99301 SECURITY SERVICES 211732 KADLEC LB 1142 PO BOX 35146 SEATTLE WA 981245146 ON-CALL MEDICAL SERVICES 101419 5 8394531 10238 1202808 8404769 PATIENT SERVICE REVENUE, NET 624100 30996624 30996624 CAPITATION REVENUE 624100 1082467 1082467 RISK POOL REVENUE 624100 413384 413384 EHR INCENTIVE 624100 178662 178662 32671137 635661 635661 186000 166347 19653 19653 19653 OTHER REVENUE 900099 214314 214314 214314 41945534 32671137 0 869628 12500 12500 1112100 1112100 21235460 16597746 4637714 391498 292889 98609 3681547 2705636 975911 1519607 1067078 452529 230831 230831 165725 165725 3589755 2212591 1377164 307675 31333 276342 218611 55964 162647 134229 34362 99867 728634 246713 481921 135677 70995 64682 119010 62273 56737 38230 3991 34239 1439506 818532 620974 133963 133963 MEDICAL SUPPLIES 6138582 6105075 33507 MISCELLANEOUS 539122 6431 532691 EQUIPMENT LEASE, REPAIR 184467 58409 126058 LICENSES & DUES 121339 12667 108672 77771 34735 43036 42255839 30429920 11825919 0 21030589 23283255 655540 330389 4467002 3223555 567680 552680 266383 364402 271304 362144 33644440 17091377 17359843 16553063 1208575 1324474 1872428 1629571 47699344 47623533 3953346 5032646 506580 7000 1490469 1496554 1117994 1004329 575255 261084 7643644 7801613 X 40055700 39821920 40055700 39821920 47699344 47623533 -310305 76525 0 X 0 1 X 1 1 1 X 1 158 12056 11121 1093 1 X 2523601 2523601 21534050 10646324 10887726 229725 145479 84246 7659961 6299574 1360387 1697103 1697103 16553063 RIGHT-OF-USE LEASE LIABILITIES 261084 261084 X 41309873 0 41309873 635661 635661 41945534 42255839 0 42255839 0 42255839 PART IV, LINE 1B: CHECK BOOKS ARE HELD FOR ONE PATIENT. THE BANK ACCOUNT IS UNDER THE PATIENT'S NAME. TCCH MAKES SURE BILLS ARE PAID BUT THE MONEY IS NOT PROVIDED TO TCCH DIRECTLY. PART IV, LINE 2B: STATE DEPARTMENT OF COMMERCE: THESE FUNDS ARE AVAILABLE TO SUPPORT HOUSING PROJECTS FOR INDIVIDUALS FOR 50 YEARS. HOUSING ASSISTANCE COUNCIL: THESE FUNDS ARE FOR THE PURCHASE OF LOTS FOR THE SELF-HELP HOUSING PROGRAM. THE FUNDS ARE DRAWN DOWN AT THE TIME OF PURCHASE. WHEN THE LOTS ARE SOLD, 75 PERCENT OF THE FUNDS ARE HELD IN A REVOLVING FUND FOR FUTURE LOT PURCHASES WITH THE REMAINING 25 PERCENT RETURNED TO THE HOUSING ASSISTANCE COUNCIL. HOUSING AND URBAN DEVELOPMENT: THESE FUNDS ARE ALLOCATED FOR USE AS SPECIFIED BY THE GRANT AGREEMENTS. FUNDS RECEIVED BY THE CLINIC ARE FOR THE PURCHASE OF LOTS TO BE SOLD TO FAMILIES IN THE SELF-HELP PROGRAM AND ARE INCLUDED IN A REVOLVING ACCOUNT UNTIL IT IS NO LONGER USED FOR LOT PURCHASES OR SUBSIDIES, AT WHICH TIME IT IS TO BE RETURNED TO HOUSING AND URBAN DEVELOPMENT. COMMUNITY HOUSING DEVELOPMENT ORGANIZATION: THESE FUNDS ARE TO BE RETURNED SHOULD THE HOME BE SOLD OR FORECLOSED BEFORE THE MINIMUM AFFORDIBILITY PERIOD ENDS, WHICH VARIES BETWEEN 5 AND 15 YEARS BASED ON THE COST OF THE UNIT. AFTER THE MINIMUM AFFORDIBILITY PERIOD HAS BEEN ACHIEVED, THE ASSOCIATED DEBT IS FORGIVEN AND THE FUNDS ARE RECOGNIZED AS REVENUE BY THE CLINIC. PART X, LINE 2: THE CLINIC HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE 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 FINANCIAL STATEMENTS. MANAGEMENT EVALUATED THE CLINICS' TAX POSITIONS AND CONCLUDED THAT THE CLINIC HAD TAKEN NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. PART XI, LINE 4B - OTHER ADJUSTMENTS: NET INVESTMENT INCOME 635,661. 1 PART I, LINE 2: PRIOR TO MAKING A CONTRIBUTION TO ANOTHER ORGANIZATION, TRI-CITIES COMMUNITY HEALTH CONFIRMS THAT THE RECIPIENT IS A QUALIFIED CHARITY OR GOVERNMENT AGENCY. X X 0 0 0 1 0 0 0 0 0 RICHARD WILLIAMS PHYSICIAN (THROUGH JANUARY 2024) 502945 0 12000 0 0 0 9811 0 32338 0 557094 0 0 0 EMAD ABU-KHEIRAN PHYSICIAN (THROUGH DECEMBER 2023) 289149 0 30060 0 0 0 9760 0 39537 0 368506 0 0 0 STEPHANIE WHEELER PHYSICIAN 308688 0 8000 0 0 0 9660 0 38291 0 364639 0 0 0 MICHAEL CABASUG PHYSICIAN 265118 0 15000 0 0 0 8539 0 38291 0 326948 0 0 0 RINAH GUTIERREZ PHYSICIAN 275932 0 0 0 0 0 8340 0 16713 0 300985 0 0 0 KRISTY NEEDHAM COO INTERIM CEO & CEO (AS OF JANUARY 2024) 224506 0 0 0 0 0 6900 0 38693 0 270099 0 0 0 AMANDA LANG CMO 189957 0 7000 0 0 0 6075 0 28804 0 231836 0 0 0 BRIAN SCHUR DENTAL DIRECTOR 179584 0 0 0 0 0 5534 0 38711 0 223829 0 0 0 PART I, LINE 5 MEDICAL PROVIDERS MAY QUALIFY FOR INCENTIVE COMPENSATION TIED TO A COMBINATION OF ENCOUNTERS AND QUALITY MEASURES, WHICH IS CLOSELY CONNECTED WITH THE ORGANIZATION'S REVENUES. X 82 1202808 INVOICE PRICE 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE GOVERNING BOARD, THE IMMEDIATE PAST CHAIR OF THE BOARD, AND ONE OTHER BOARD MEMBER TO BE DESIGNATED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE IS THE ONLY COMMITTEE AUTHORIZED TO REVIEW AND TAKE ANY NECESSARY ACTION, WHICH, IN THE OPINION OF A MAJORITY OF THE COMMITTEE UPON VOTE WHERE FOUR MEMBERS ARE PRESENT, CANNOT WAIT FOR THE NEXT REGULARLY SCHEDULED BOARD MEETING OR WHERE CALLING A SPECIAL BOARD MEETING IS NOT PRACTICAL. ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE MUST BE RATIFIED BY THE FULL BOARD AT THE NEXT BOARD MEETING AND DOCUMENTED IN THE MINUTES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CFO AND ANY COMMENTS OR QUESTIONS WERE ADDRESSED WITH THE PREPARER. A FINAL DRAFT WAS PRESENTED TO THE CEO, WHO THEN APPROVED THE 990. ONCE MANAGEMENT WAS SATISFIED WITH THE 990, IT WAS REVIEWED BY THE FINANCE COMMITTEE. THE FORM 990 WAS THEN REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST AT THE TIME OF APPOINTMENT TO THE BOARD OR THROUGH SELF-DISCLOSURE IN THE INTERIM. DISCLOSURES ARE REVIEWED BY THE FULL BOARD. IF A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER IS EXCUSED FROM ALL DISCUSSIONS AND ANY VOTING THAT RELATES TO THE MATTER IN QUESTION. IT IS UNDERSTOOD THAT ALL BOARD MEMBERS HAVE AN OBLIGATION TO REPORT ANY MATTERS OR ISSUES THAT MAY GIVE RISE TO A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE HUMAN RESOURCE DEPARTMENT REGULARY CONDUCTS SALARY REVIEWS AND SURVEYS FOR ALL POSITIONS, INCLUDING KEY EMPLOYEES AND OFFICERS, AND ADVISES THE BOARD OF DIRECTORS OF THEIR FINDINGS UPON REQUEST. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE CEO'S COMPENSATION. THE CEO REVIEWS AND APPROVES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES, ALTHOUGH THE BOARD OF DIRECTORS APPROVES THE SALARY RANGES OF ALL POSITIONS IN THE ORGANIZATION EVERY THREE YEARS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. TRI-CITIES COMMUNITY HEALTH FOUNDATION PO BOX 1452 PASCO WA 99301 851217043 FUNDRAISING TO SUPPORT TRI-CITIES COMMUNITY HEALTH WA 501(C)(3) LINE 7 TRI-CITIES COMMUNITY HEALTH 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0