2023-10-16T16:55:29-05:00 2023-05-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-06-01 471444061 NORTH OLYMPIC HEALTHCARE NETWORK NORT 3604527891 240 WEST FRONT STREET A PORT ANGELES WA 98362 BEAU BROWN CFO 3604527981 2023-10-13 1 BEAU BROWN XXX-XX-XXXX 0 KURT BENNION CPA P01469618 4252506100 2023-10-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DR MICHAEL MAXWELL 240 WEST FRONT STREET A PORT ANGELES WA 98362 20732894 0 X WWW.NOHN-PA.ORG X 2015 WA TO PROVIDE HIGH-QUALITY, FULL SPECTRUM PRIMARY CARE, IN CLALLAM COUNTY. 11 11 168 12 0 0 4083297 5220335 14360494 15434452 14237 47998 29232 30109 18487260 20732894 2570 22671 0 0 11799465 13183905 0 0 0 4474117 5569271 16276152 18775847 2211108 1957047 21023571 22474035 9301696 8771841 11721875 13702194 X TO PROVIDE PATIENT-CENTERED, QUALITY-DRIVEN, WHOLE-PERSON HEALTHCARE SERVICES, ACCESSIBLE TO EVERYONE IN OUR COMMUNITY. 1 0 9771065 22671 12978792 PRIMARY CARE IS THE TOP PROGRAM FOR NOHN BY ANY MEASURE. THE CLINIC HAS 17,126 UNIQUE PATIENTS THROUGH FISCAL YEAR-END 2023 AND EMPLOYED 20 MEDICAL PROVIDERS. OUR PHYSICIANS ARE FOCUSED ON CREATING LASTING, CARING RELATIONSHIPS WITH PATIENTS AND THEIR FAMILIES AT ALL STAGES OF LIFE. FROM PREVENTIVE MEDICINE TO DIAGNOSIS AND TREATMENT OF MINOR OR CHRONIC HEALTH CONDITIONS, OUR HIGHLY-TRAINED PHYSICIANS TREAT WHOLE HEALTH - PHYSICAL, MENTAL, AND EMOTIONAL. NOHN IS A PARTNER WITH SWEDISH HOSPITAL IN THE FAMILY MEDICINE RURAL TRAINING TRACK PROGRAM AND A MEDICAL STUDENT TRAINING SITE THROUGH COLLABORATIONS WITH WASHINGTON AND WASHINGTON STATE UNIVERSITIES. 721479 0 958332 BEHAVIORAL HEALTH SERVICES WERE THE SECOND HIGHEST PRODUCING SERVICE LINE OF THE CLINIC AND EMPLOYED A PHD PSYCHOLOGIST, 1 PSYCHIATRIST, 1 PSYCHIATRIAC NP, AND 4 BEHAVIORAL HEALTH SPECIALISTS. WE UNDERSTAND THAT PHYSICAL HEALTH IS CONNECTED TO EMOTIONAL AND PSYCHOLOGICAL HEALTH. TO TREAT PATIENTS IN ENTIRETY, OUR PROVIDERS ARE TRAINED IN EVALUATION AND TREATMENT OF COMMON DISORDERS SUCH AS ANXIETY AND DEPRESSION, AND WORK IN PARTNERSHIP WITH PENINSULA BEHAVIORAL HEALTH TO PROVIDE SPECIALTY EVALUATION, CONSULTATION AND REFERRAL SERVICES ON-SITE. 1071351 0 1423063 DENTAL SERVICES ARE ANOTHER DIRECT SERVICE LINE OF THE CLINIC AND EMPLOYED 2 DENTISTS AND 1 DENTAL HYGIENIST. AS WITH EMOTIONAL AND PSYCHOLOGICAL HEALTH WE RECOGNIZE THE IMPORTANCE OF ORAL HEALTH TO TOTAL HEALTHCARE AND ITS IMPORTANCE TO TREAT PATIENTS IN ENTIRETY. 55910 0 74265 VISION SERVICES IS A NEW DIRECT SERVICE LINE OF THE CLINIC IN 2023 AND NOHN EMPLOYS 1 OPTOMETRIST. WE ARE PLEASED TO OFFER VISION CARE AS A PART OF OUR HOLISTIC APPROACH TO HEALTHCARE. 55910 0 74265 11619805 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 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 19 0 168 1 0 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 1 1 0 0 X BEAU BROWN 3604527891 240 WEST FRONT STREET SUITE A PORT ANGELES WA 98362 DR MICHAEL MAXWELL CEO 40.00 X 276064 0 20880 DR KATRINA WELLER CMO 40.00 X 257209 0 37546 DR BENJAMIN CURRAN MEDICAL PROVIDER 40.00 X 263858 0 19919 DR JESSICA COLWELL MEDICAL PROVIDER 40.00 X 259421 0 10532 DR SAMUEL EPSTEIN MEDICAL PROVIDER 40.00 X 224799 0 15502 DR JESSICA DIBARI MEDICAL PROVIDER 40.00 X 205229 0 17257 DR BRIANNE HUFFSTETLER-ROWAN MEDICAL PROVIDER 40.00 X 213600 0 8714 BEAU BROWN CFO 40.00 X 152615 0 28165 JACQUELINE BRIGGS LEBIHAN COO 40.00 X 48245 0 9130 CATHERINE COPASS CHAIR & PAST CHAIR 1.00 X X 0 0 0 WILLIAM BACCUS CHAIR ELECT & CHAIR 1.00 X X 0 0 0 THOMAS SANFORD TREASURER & CHAIR ELECT 1.00 X X 0 0 0 ALLISON MAHANEY BOARD MEMBER & TREASURER 1.00 X X 0 0 0 STACY RITCHIE SECRETARY 1.00 X X 0 0 0 DAVID CHANCE PAST CHAIR & DIRECTOR 1.00 X X 0 0 0 JOHN BREWER BOARD MEMBER 1.00 X 0 0 0 RUTH KUCH BOARD MEMBER 1.00 X 0 0 0 JANET LUCAS BOARD MEMBER 1.00 X 0 0 0 JODY MOSS BOARD MEMBER 1.00 X 0 0 0 LUKE ROBINS BOARD MEMBER (THROUGH MAY 2023) 1.00 X 0 0 0 MARY ELLEN WINBORN BOARD MEMBER 1.00 X 0 0 0 1901040 0 167645 23 0 1 0 NEELEY CONSTRUCTION COMPANY 111 23RD STREET SE PUYALLUP WA 98372 GENERAL CONTRACTOR 2726916 RS SCHMIDT JANITORIAL LLC PO BOX 933 PORT ANGELES WA 98362 JANITORIAL SERVICES 137717 VANIR CONSTRUCTION MANGEMENT 4540 DUCKHORN DR STE 300 SACRAMENTO CA 95834 CONSTRUCTION MANAGEMENT 126949 INSIGHT HEALTHCARE ARCHITECTURE 12345 LAKE CITY WAY NE 2108 SEATTLE WA 98125 ARCHITECTURAL SERVICES 123319 5 3574347 1645988 129136 5220335 NET PATIENT REVENUE 624100 14910247 14910247 OTHER PROGRAM REVENUE 812900 524205 524205 15434452 47998 47998 30109 0 30109 30109 30109 20732894 15434452 0 78107 22450 22450 221 221 904886 83901 820985 9434117 6423042 3011075 354508 242505 112003 1804713 1156144 648569 685681 433719 251962 4483 4483 1426164 285905 1140259 319636 319636 322170 64384 257786 105318 81981 23337 73033 56850 16183 74571 74571 213466 213466 789947 722837 67110 40754 31724 9030 MEDICAL SUPPLIES 2342601 2342601 LICENSES & PERMITS 60839 47358 13481 DUES & SUBSCRIPTIONS 53307 41495 11812 MISCELLANEOUS EXPENSES -257018 -417312 160294 18775847 11619805 7156042 0 880255 44147 7790454 6108082 180489 107768 1390363 1626142 59781 58137 14683596 2029281 8862652 12654315 316200 263500 1543377 1611944 21023571 22474035 1226245 584323 1466110 676567 6608976 7481108 365 29843 9301696 8771841 X 11721875 13702194 11721875 13702194 21023571 22474035 1957047 23272 0 X X 0 1 X 1 1 1 X 2726834 2958497 4655677 4083297 5220335 19644640 11511693 12745889 14204459 14360494 15434452 68256987 14238527 15704386 18860136 18443791 20654787 87901627 0 0 0 87901627 8733 27435 56455 43469 78107 214199 8733 27435 56455 43469 78107 214199 14247260 15731821 18916591 18487260 20732894 88115826 0.99760 0.99830 0.00240 0.00170 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 PART II-B, LINE 1: NORTH OLYMPIC HEALTHCARE NETWORK PAYS ANNUAL MEMBERSHIP DUES TO NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION, AND WASHINGTON ASSOCIATION FOR COMMUNITY HEALTH. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 11081419 589401 10492018 612462 253096 359366 1684610 976668 707942 1305105 210116 1094989 12654315 ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS 1610316 SECURITY DEPOSITS 1628 1611944 ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYORS 29843 29843 X 19509737 0 19509737 1223157 1223157 20732894 18775847 0 18775847 0 18775847 PART X, LINE 2: THE ORGANIZATION HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME 47,998. RESTRICTED CONTRIBUTIONS 1,175,159. 1 PENINSULA ADVENTURE SPORTS 434 W 11TH STREET PORT ANGELES WA 98362 465606072 10000 0 SPONSORSHIP OLYMPIC MEDICAL CENTER FOUNDATION 939 CAROLINE STREET PORT ANGELES WA 98362 916001709 501(C)(3) 7450 0 SPONSORSHIP 1 1 PART I, LINE 2: NORTH OLYMPIC HEALTH NETWORK DOES NOT CONDUCT FOLLOW-UP ACTIVITIES TO MONITOR THE USE OF FUNDS. X X X X 0 0 0 1 0 0 0 0 0 DR MICHAEL MAXWELL CEO 274616 0 0 0 1448 0 10985 0 9895 0 296944 0 0 0 DR KATRINA WELLER CMO 247861 0 0 0 9348 0 36324 0 1222 0 294755 0 0 0 DR BENJAMIN CURRAN MEDICAL PROVIDER 263858 0 0 0 0 0 10968 0 8951 0 283777 0 0 0 DR JESSICA COLWELL MEDICAL PROVIDER 230573 0 0 0 28848 0 10402 0 130 0 269953 0 0 0 DR SAMUEL EPSTEIN MEDICAL PROVIDER 224799 0 0 0 0 0 9265 0 6237 0 240301 0 0 0 DR JESSICA DIBARI MEDICAL PROVIDER 205229 0 0 0 0 0 8306 0 8951 0 222486 0 0 0 DR BRIANNE HUFFSTETLER-ROWAN MEDICAL PROVIDER 213600 0 0 0 0 0 8584 0 130 0 222314 0 0 0 BEAU BROWN CFO 152615 0 0 0 0 0 25937 0 2228 0 180780 0 0 0 PART I, LINE 5 MEDICAL PROVIDERS MAY RECEIVE A BONUS BASED ON THE NUMBER OF PATIENTS TREATED, WHICH IS CONNECTED TO THE ORGANIZATION'S REVENUES. KIMBERLY BROWN SPOUSE OF BEAU BROWN, CFO 45935 EMPLOYEE COMPENSATION 0 X 1705 129136 INVOICE PRICE 0 0 0 0 FORM 990, PART III, LINE 2 DURING THE FISCAL YEAR, THE ORGANIZATION COMPLETED RENOVATIONS AND BEGAN SEEING PATIENTS AT A NEW CLINIC THAT PROVIDES MEDICAL AND VISION SERVICES. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE CONVENES AS NECESSARY AND, CONSISTENT WITH BOARD POLICIES AND UNDER THE DIRECTION OF THE FULL BOARD, ACTS FOR THE ORGANIZATION IN ALL MATTERS DURING THE INTERIM PERIODS BETWEEN MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE ALSO PERFORMS DUTIES AS MAY BE REQUESTED FROM TIME TO TIME BY THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A COPY OF THE 990 WAS REVIEWED BY MANAGEMENT AND THEN DISTRIBUTED TO THE FULL BOARD PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, OFFICERS, EMPLOYEES, CONTRACTORS, AND AGENTS ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. CONFLICTS OF INTEREST SHOULD BE REPORTED THROUGH NORMAL MANAGEMENT CHANNELS OR DIRECTLY TO THE COMPLIANCE OFFICER. REPORTS CAN BE MADE CONFIDENTIALLY OR ANONYMOUSLY. ANY PERSON VIOLATING THESE STANDARDS CAN BE REMOVED FROM EMPLOYMENT CONTRACT, AGENCY OR BOARD DUTIES. NO BOARD MEMBER MAY PARTICIPATE IN THE SELECTION, AWARD OR ADMINISTRATION OF ANY TRANSACTION IN WHICH THEY HAVE A REAL OR APPARENT CONFLICT OF INTEREST. SUCH TRANSACTIONS MAY BE APPROVED OR AUTHORIZED BY A MAJORITY OF THE DISINTERESTED BOARD MEMBERS IF THE FACTS OF THE CONFLICT HAVE BEEN DISCLOSED TO THE BOARD PRIOR TO DISCUSSION, THE INTERESTED INDIVIDUAL IS NOT COUNTED IN DETERMINING WHETHER A QUORUM EXISTS, AND THE INTERESTED INDIVIDUAL DOES NOT ATTEMPT TO INAPPROPRIATELY INFLUENCE THE DISCUSSION. THE INTERESTED INDIVIDUAL MAY SHARE PERTINENT FACTS AND ANSWER QUESTIONS FROM OTHER BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15A NORTH OLYMPIC HEALTHCARE NETWORK UTILIZES ITS BOARD OF DIRECTORS TO SET COMPENSATION FOR ITS CEO. THE BOARD USES NACHC AND NWRPCA COMPARABILITY DATA TO DETERMINE CEO COMPENSATION. THIS PROCESS IS RECORDED IN THE BOARD MINUTES. THE MOST RECENT COMPENSATION REVIEW OCCURRED IN 2022. THE CEO REVIEWS COMPENSATION FOR KEY EMPLOYEES AND OTHER OFFICERS OF THE ORGANIZATION. THE CEO USES NACHC AND NWRPCA COMPARABILITY DATA TO DETERMINE COMPENSATION. THE MOST RECENT COMPENSATION REVIEWS OCCURRED IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.