2024-04-09T09:11:41-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-07-01 842993036 NORTHWEST HEALTH ENTERPRISES NORT 5035885828 681 CENTER STREET NE SALEM OR 97301 LARRY GOODREAU PRESIDENT 5035885828 2024-03-27 1 LARRY GOODREAU 999009999 0 KURT BENNION CPA P01469618 4252506100 2024-03-27 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LARRY GOODREAU 681 CENTER STREET NE SALEM OR 97301 2741943 0 X N/A X 2019 OR TO SUPPORT NORTHWEST HUMAN SERVICES. 6 5 0 5 0 0 0 2226216 0 0 0 0 -31394 99725 -31394 2325941 0 0 0 0 0 0 0 0 0 0 33 0 33 -31394 2325908 15269847 16514468 13904303 12823016 1365544 3691452 TO SUPPORT NORTHWEST HUMAN SERVICES. 0 0 0 0 99725 NORTHWEST HEALTH ENTERPRISES WAS INCORPORATED IN 2019 TO FACILITATE THE NEW MARKETS TAX CREDIT FOR NORTHWEST HUMAN SERVICES TO REMODEL AND UPGRADE ITS EXISTING CLINIC. 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 1 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X X MATTHEW EMERY 5035885828 681 CENTER STREET NE SALEM OR 97301 MATTHEW EMERY TREASURER 2.50 47.50 X X 0 144101 55157 LARRY GOODREAU PRESIDENT 0.50 1.00 X X 0 0 0 DAN MCDOWELL SECRETARY 0.25 0.00 X X 0 0 0 ROBERT EDWARDS DIRECTOR 0.25 0.00 X 0 0 0 JOHN HAWKINS DIRECTOR 0.25 0.00 X 0 0 0 SHANNON RAYE MARTINEZ DIRECTOR 0.25 0.00 X 0 0 0 0 144101 55157 0 0 1 0 WHITE OAK CONSTRUCTION 2455 RIVER ROAD S SALEM OR 97302 CONSTRUCTION 3045629 1 2226216 2226216 515727 416002 99725 99725 99725 2325941 99725 0 0 33 33 33 0 33 0 1009960 942949 15667669 439877 14259887 15227792 0 343727 15269847 16514468 619674 600469 12169291 12184039 1115338 38508 13904303 12823016 X 1365544 3691452 1365544 3691452 15269847 16514468 2325908 0 X 0 1 X 1 0 X X X 1 NORTHWEST HUMAN SERVICES 930605570 7 1 416035 0 1 416035 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3: ONE BOARD MEMBER IS A MEMBER OF NORTHWEST HUMAN SERVICES' BOARD OF DIRECTORS. ANOTHER BOARD MEMBER IS NORTHWEST HUMAN SERVICES' CFO. ALTHOUGH THESE TWO BOARD MEMBERS CONSTITUTE A MINORITY OF THE BOARD OF DIRECTORS, THIS OVERLAP PROVIDES NORTHWEST HUMAN SERVICES WITH A SIGNIFICANT VOICE IN ALL OF NORTHWEST HEALTH ENTERPRISES' DECISIONS AT ALL TIMES DURING THE YEAR. PART IV, SECTION E, LINE 2A: NORTHWEST HEALTH ENTERPRISES' ACTIVITIES ARE LIMITED TO OWNING REAL PROPERTY AND LEASING IT TO NORTHWEST HUMAN SERVICES, THE SUPPORTED ORGANIZATION, AS PART OF THE NEW MARKETS TAX CREDIT. NORTHWEST HEALTH ENTERPRISES HAS NO OTHER ACTIVITIES. ANY COMMUNICATIONS FROM NORTHWEST HUMAN SERVICES ARE CONVEYED BY ITS CFO AND ONE OF ITS BOARD MEMBERS, WHO ARE ALSO ON NORTHWEST HEALTH ENTERPRISES' BOARD OF DIRECTORS. THESE TWO INDIVIDUALS ALSO ENSURE THAT NORTHWEST HEALTH ENTERPRISES IS RESPONSIVE TO THOSE COMMUNICATIONS. PART IV, SECTION E, LINE 2B: NORTHWEST HEALTH ENTERPRISES' SOLE PURPOSE AND ACTIVITY IS TO OWN REAL PROPERTY AND LEASE IT TO NORTHWEST HUMAN SERVICES AS PART OF THE NEW MARKETS TAX CREDIT. THE REAL PROPERTY WAS PREVIOUSLY OWNED BY NORTHWEST HUMAN SERVICES AND WOULD STILL BE OWNED BY NORTHWEST HUMAN SERVICES IF NOT FOR THE NEW MARKETS TAX CREDIT. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 907585 907585 12411124 361173 12049951 2348960 78704 2270256 15227792 DUE TO RELATED ORGANIZATION 38508 38508 X 515727 416002 416002 99725 2226216 2226216 2325941 416035 416002 416002 33 0 33 PART IV, LINE 2B: AS PART OF THE NEW MARKETS TAX CREDIT FINANCING, THE ORGANIZATION IS HOLDING ASSETS IN A RESTRICTED RESERVE ACCOUNT THAT WILL BE PAID OUT TO THE COMMUNITY DEVELOPMENT ENTITIES THROUGHOUT THE LIFE OF THE ORGANIZATION (APPROXIMATELY SEVEN YEARS). PART X, LINE 2: NO PROVISION FOR INCOME TAXES IS REPORTED IN THE FINANCIAL STATEMENTS BECAUSE THE ORGANIZATION IS A NONPROFIT ORGANIZATION, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITION AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 INCOME TAXES OF THE ACCOUNTING STANDARDS CODIFICATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 416,002. PART XI, LINE 4B - OTHER ADJUSTMENTS: TRANSFERS FROM RELATED ORGANIZATIONS 2,226,216. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 416,002. 0 0 0 0 0 0 0 0 0 MATTHEW EMERY TREASURER 0 140901 0 3200 0 0 0 27920 0 27237 0 199258 0 0 FORM 990, PART VI, SECTION A, LINE 3 ALL MANAGEMENT SERVICES ARE PROVIDED BY EMPLOYEES OF NORTHWEST HUMAN SERVICES, THE RELATED COMPANY. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS OF NWHS MAY REMOVE ANY DIRECTOR WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, A DRAFT OF THE FORM 990 WAS REVIEWED BY NORTHWEST HUMAN SERVICES' AUDIT AND FINANCE COMMITTEES. A DRAFT WAS ALSO PROVIDED TO THE BOARD OF DIRECTORS OF NORTHWEST HEALTH ENTERPRISES. THE FORM 990 WAS THEN SIGNED BY THE PRESIDENT AND ELECTONICALLY FILED BY THE PREPARER. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ANNUAL EVALUATION AND UPDATING. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES WOULD NOT BE ABLE TO DISCUSS OR VOTE ON AN ISSUE WHERE A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. NORTHWEST HUMAN SERVICES 681 CENTER STREET NE SALEM OR 97301 930605570 HEALTHCARE OR 501(C)(3) LINE 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0