2024-10-22T10:23:21-05:00 2024-05-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-06-01 471444061 NORTH OLYMPIC HEALTHCARE NETWORK NORT 3604527891 240 WEST FRONT STREET A PORT ANGELES WA 98362 BEAU BROWN CFO 3604527981 2024-10-21 1 1 KURT BENNION CPA P01469618 4252506100 2024-10-21 2023 2024-10-15 13:58:12Z DR MICHAEL MAXWELL 240 WEST FRONT STREET A PORT ANGELES WA 98362 20964085 0 X WWW.NOHN-PA.ORG X 2015 WA TO PROVIDE PATIENT-CENTERED, QUALITY-DRIVEN, WHOLE-PERSON HEALTHCARE SERVICES, ACCESSIBLE TO EVERYONE IN OUR COMMUNITY. 10 10 198 13 0 0 5220335 2651778 15434452 18115962 47998 162196 30109 34149 20732894 20964085 22671 72738 0 0 13183905 15385348 0 0 0 5569271 6092700 18775847 21550786 1957047 -586701 22474035 21396862 8771841 8185843 13702194 13211019 X TO PROVIDE PATIENT-CENTERED, QUALITY-DRIVEN, WHOLE-PERSON HEALTHCARE SERVICES, ACCESSIBLE TO EVERYONE IN OUR COMMUNITY. 1 0 9859792 72738 12039427 PRIMARY CARE IS THE TOP PROGRAM FOR NOHN BY ANY MEASURE. THE CLINIC HAS 18,023 UNIQUE PATIENTS THROUGH FISCAL YEAR-END 2024 AND EMPLOYED 23 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. 2744842 0 3351624 PHARMACY SERVICES IS A NEW DIRECT SERVICE LINE OF THE CLINIC OPENING IN MAY 2024 AND NOHN EMPLOYS 3 PHARMACISTS. WE ARE PLEASED TO OFFER DIRECT PHARMACY CARE AS A PART OF TOTAL HEALTHCARE OFFERINGS. 1191272 0 1454618 DENTAL SERVICES ARE ANOTHER DIRECT SERVICE LINE OF THE CLINIC AND EMPLOYED 4 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. 767244 0 936853 BEHAVIORAL HEALTH SERVICES EMPLOYED A PHD PSYCHOLOGIST, 2 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. 273073 0 333439 DIRECT VISION SERVICES HAS PROVEN TO BE AN IMPORTANT PART OF NOHN. WE EMPLOY 1 OPTOMETRIST AND HAVE PLANS TO EXPAND FURTHER, WE ARE PLEASED TO OFFER VISION CARE AS A PART OF OUR WHOLE PERSON HEALTHCARE SERVICE LINE. 1040317 0 1270292 14836223 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 34 0 198 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 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 W FRONT ST PORT ANGELES WA 98362 DR MICHAEL MAXWELL CEO 40.00 X 303661 0 31849 DR JESSICA COLWELL MEDICAL PROVIDER 40.00 X 270002 0 28847 DR BENJAMIN CURRAN MEDICAL PROVIDER 40.00 X 256956 0 39533 DR KATRINA WELLER CMO 40.00 X 260327 0 23632 DR BRIANNE HUFFSTETLER-ROWAN MEDICAL PROVIDER 40.00 X 211927 0 43290 DR SAMUEL EPSTEIN MEDICAL PROVIDER 40.00 X 214795 0 37570 DR JESSICA DIBARI MEDICAL PROVIDER 40.00 X 200632 0 46004 JACQUELINE BRIGGS LEBIHAN COO 40.00 X 157945 0 40491 BEAU BROWN CFO 40.00 X 164844 0 32304 WILLIAM BACCUS CHAIR & PAST CHAIR 1.00 X X 0 0 0 THOMAS SANFORD CHAIR ELECT & CHAIR 1.00 X X 0 0 0 CATHERINE COPASS PAST CHAIR (THROUGH JUNE 2023) 1.00 X X 0 0 0 JODY MOSS BOARD MEMBER & CHAIR ELECT 1.00 X X 0 0 0 ALLISON MAHANEY TREASURER 1.00 X X 0 0 0 STACY RITCHIE SECRETARY 1.00 X X 0 0 0 SUZY AMES DIRECTOR 1.00 X 0 0 0 JOHN BREWER DIRECTOR (THROUGH APRIL 2024) 1.00 X 0 0 0 DAVID CHANCE DIRECTOR 1.00 X 0 0 0 RUTH KUCH DIRECTOR 1.00 X 0 0 0 JANET LUCAS DIRECTOR 1.00 X 0 0 0 JENNIFER SWANSON DIRECTOR 1.00 X 0 0 0 2041089 0 323520 29 0 1 0 NEELEY CONSTRUCTION COMPANY 111 23RD STREET SE PUYALLUP WA 98372 GENERAL CONTRACTOR 696133 RS SCHMIDT JANITORIAL LLC PO BOX 933 PORT ANGELES WA 98362 JANITORIAL SERVICES 200113 2 1146009 1505769 2651778 NET PATIENT REVENUE 624100 17067926 17067926 OTHER PROGRAM REVENUE 812900 1048036 1048036 18115962 162084 162084 34149 0 34149 34149 34149 112 0 112 112 112 20964085 18115962 0 196345 72738 72738 1071235 89413 981822 10916169 8354429 2561740 505915 370884 135031 2060944 1470135 590809 831085 571491 259594 750 750 49554 49554 1877836 880799 997037 108683 49648 59035 385939 298956 86983 422489 343639 78850 508665 274468 234197 74963 60973 13990 205971 205971 908384 736490 171894 59019 48004 11015 MEDICAL SUPPLIES 1358261 1091171 267090 BAD DEBT EXPENSE 82889 82889 0 DUES & SUBSCRIPTIONS 38148 31028 7120 LICENSES & PERMITS 11044 8983 2061 105 85 20 21550786 14836223 6714563 0 44147 200208 6108082 5079219 107768 59158 1626142 1644539 4629 58137 61095 13646260 2449879 11559326 11196381 254050 263500 210800 2706933 2686783 22474035 21396862 584323 941066 676567 51653 6357812 6087550 1153139 1105574 8771841 8185843 X 13702194 13211019 13702194 13211019 22474035 21396862 -586701 95526 0 X X 0 1 X 1 1 1 X 2958497 4655677 4083297 5220335 2651778 19569584 12745889 14204459 14360494 15434452 18115962 74861256 15704386 18860136 18443791 20654787 20767740 94430840 0 0 0 94430840 27435 56455 43469 78107 196233 401699 27435 56455 43469 78107 196233 401699 15731821 18916591 18487260 20732894 20963973 94832539 0.99580 0.99760 0.00420 0.00240 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. 11202078 960359 10241719 612462 315215 297247 1831720 1174305 657415 11196381 ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS 1676939 SECURITY DEPOSITS 1628 RIGHT-OF-USE LEASE ASSETS 882916 ASSETS RESTRICTED FOR DEFERRED COMPENSATION 125300 2686783 ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYORS 80275 RIGHT-OF-USE LEASE LIABILITIES 899999 DEFERRED COMPENSATION 125300 1105574 20719000 0 20719000 245085 245085 20964085 21467785 0 21467785 83001 83001 21550786 PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN ON DISPOSAL OF FIXED ASSETS 112. INTEREST INCOME 162,084. BAD DEBT EXPENSE 82,889. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 82,889. GAIN ON DISPOSAL OF FIXED ASSETS 112. 1 PENINSULA ADVENTURE SPORTS 434 W 11TH STREET PORT ANGELES WA 98362 465606072 7500 0 SPONSORSHIP OLYMPIC MEDICAL CENTER FOUNDATION 939 CAROLINE STREET PORT ANGELES WA 98362 916001709 501(C)(3) 10100 0 SPONSORSHIP PORT ANGELES WATERFRONT PO BOX 71 PORT ANGELES WA 98362 813062077 501(C)(3) 35000 0 SPONSORSHIP 2 1 PART I, LINE 2: NORTH OLYMPIC HEALTH NETWORK DOES NOT CONDUCT FOLLOW-UP ACTIVITIES TO MONITOR THE USE OF FUNDS. X X X 0 1 0 1 0 0 0 0 0 DR MICHAEL MAXWELL CEO 303661 0 0 0 0 0 12523 0 19326 0 335510 0 0 0 DR JESSICA COLWELL MEDICAL PROVIDER 268802 0 0 0 1200 0 10855 0 17992 0 298849 0 0 0 DR BENJAMIN CURRAN MEDICAL PROVIDER 248656 0 7100 0 1200 0 10686 0 28847 0 296489 0 0 0 DR KATRINA WELLER CMO 259127 0 0 0 1200 0 10559 0 13073 0 283959 0 0 0 DR BRIANNE HUFFSTETLER-ROWAN MEDICAL PROVIDER 200627 0 10100 0 1200 0 9110 0 34180 0 255217 0 0 0 DR SAMUEL EPSTEIN MEDICAL PROVIDER 214795 0 0 0 0 0 9000 0 28570 0 252365 0 0 0 DR JESSICA DIBARI MEDICAL PROVIDER 188032 0 11400 0 1200 0 8774 0 37230 0 246636 0 0 0 JACQUELINE BRIGGS LEBIHAN COO 156745 0 0 0 1200 0 6848 0 33643 0 198436 0 0 0 BEAU BROWN CFO 163644 0 0 0 1200 0 6902 0 25402 0 197148 0 0 0 PART I, LINE 4B THE ORGANIZATION MAINTAINS A 457(F) RETIREMENT PLAN. THE FOLLOWING CONTRIBUTIONS WERE MADE IN CALENDAR YEAR 2023: JESSICA COLWELL - $10,000 BEN CURRAN - $10,000 JESSICA DIBARI - $8,750 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 49058 EMPLOYEE COMPENSATION 0 FORM 990, PART III, LINE 2 DURING THE FISCAL YEAR, NORTH OLYMPIC HEALTHCARE NETWORK BEGAN PROVIDING PHARMACY SERVICES TO THE COMMUNITY. 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 REVIEWED BY THE FINANCE COMMITTEE AND A COMPLETE COPY WAS PROVIDED TO THE BOARD FOR REVIEW. 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.