2018-12-03T16:47:36-06:00 2018-03-31 930743240 HOFFMAN STEWART & SCHMIDT PC 3 CENTERPOINTE DRIVE SUITE 300 LAKE OSWEGO OR 970353295 990 2017-04-01 930717997 VIRGINIA GARCIA MEMORIAL HEALTH CENTER VIRG 5033598505 PO BOX 6149 ALOHA OR 970070149 ARACELI GAYTAN CFO 5033598505 2018-10-25 1 TODD D MASSINGER P00075883 5032205900 74.95.39.225 2018-10-25 09:36:13 PD P 4BB659624A0FCD622BDD287DAB85524322F13290 76E610E35C372A61DBF352CE270A820F287984D1 2017 2019-02-21 02:37:17Z ARACELI GAYTAN PO BOX 6149 ALOHA OR 970070149 62362545 0 X WWW.VIRGINIAGARCIA.ORG X 1978 OR VIRGINIA GARCIA MEMORIAL HEALTH CENTER IS A FULL SERVICE OUTPATIENT MEDICAL CLINIC. (SEE SCHEDULE O)THE MISSION OF THE VIRGINIA GARCIA MEMORIAL HEALTH CENTER IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE, AND CULTURALLY APPROPRIATE PRIMARY HEALTH CARE TO THE COMMUNITIES OF WASHINGTON AND YAMHILL COUNTIES WITH A SPECIAL EMPHASIS ON MIGRANT AND SEASONAL FARMWORKERS AND OTHERS WITH BARRIERS TO RECEIVING HEALTH CARE. 11 11 695 116 0 0 11106098 18941200 45095863 43212357 -14950 7427 294570 201561 56481581 62362545 0 0 0 0 37667822 41822859 0 0 1152345 12801619 14661257 50469441 56484116 6012140 5878429 48088547 54133170 5863466 6029660 42225081 48103510 X THE MISSION OF THE VIRGINIA GARCIA MEMORIAL HEALTH CENTER IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE, AND CULTURALLY APPROPRIATE PRIMARY HEALTH CARE TO THE COMMUNITIES OF WASHINGTON AND YAMHILL COUNTIES (SEE SCHEDULE O FOR CONTINUATION)WITH A SPECIAL EMPHASIS ON MIGRANT AND SEASONAL FARMWORKERS AND OTHERS WITH BARRIERS TO RECEIVING HEALTH CARE. 0 0 43153863 43212357 WE ARE A COMMUNITY HEALTH CENTER WITH FIVE PRIMARY CARE CLINICS, A WOMEN'S CLINIC, SIX DENTAL CLINICS, SIX SCHOOL-BASED HEALTH CENTERS AND A MOBILE CLINIC SERVING PATIENTS ACROSS TWO OREGON COUNTIES. WE OFFER MEDICAL, DENTAL, PHARMACY, MENTAL HEALTH, WELLNESS AND OUTREACH SERVICES. OUR PATIENTS SPEAK 62 LANGUAGES AND WE TAKE MANY OF OUR SERVICES TO THE AREA'S MOST VULNERABLE RESIDENTS, INCLUDING STUDENTS IN SCHOOLS AND FAMILIES LIVING IN MIGRANT CAMPS. WE TURN NO ONE AWAY FOR AN INABILITY TO PAY, AND WE OFFER SLIDING SCALE DISCOUNTS TO MAKE HIGH QUALITY CARE ACCESSIBLE FOR ALL. 43153863 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 1 125 0 1 695 1 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 1 0 OR X ARACELI GAYTAN 5033598508 PO BOX 6149 CORNELIUS OR 970070149 ANN BARR GILLESPIE MEMBER 1.00 X 0 0 0 ERNESTINA ARANDA MEMBER 1.00 X 0 0 0 MIGUEL CALDERON MEMBER 1.00 X 0 0 0 RAFAL DECKER MEMBER 1.00 X 0 0 0 SHERRILL KENNEDY MEMBER 1.00 X 0 0 0 WILFREDO FIGUEROA MEMBER 1.00 X 0 0 0 LAUREL DURHAM MEMBER 1.00 X 0 0 0 ALEJANDRA AGUILAR SECRETARY 1.00 X X 0 0 0 LAURINDA MACKENZIE CHAIR 1.00 X X 0 0 0 RICARDO PALAZUELOS VICE CHAIR 1.00 X X 0 0 0 SUSAN T FELSTINER TREASURER 1.00 X X 0 0 0 JESSICA KITT SECRETARY 1.00 X X 0 0 0 ARACELI GAYTAN CFO 40.00 X 130372 0 6788 CHRISTIAN HILL ASSOC MED DIR 40.00 X 199138 0 10290 CHRISTINE HICKS PHARMACY DIRECTOR 40.00 X 168956 0 8510 GILLES MUNOZ CEO 40.00 X 166120 0 8289 JUAN GARFIAS IT DIRECTOR 40.00 X 94928 0 4950 LAURA BYERLY CO-MED DIRECTOR 40.00 X 232569 0 11742 LISA BOZZETTI DENTAL DIRECTOR 40.00 X 187924 0 8034 MARIA LOREDO COO 40.00 X 126257 0 6562 TRAN MIERS CLINICAL PROGRAM DIRECTOR 40.00 X 68453 0 3455 FREDERICK DOLGIN DCOO 40.00 X 88569 0 918 JAMES AGIN PROCESS & SYSTEMS IMPROVEM 32.00 X 43754 0 2339 RACHEL LI DIRECTOR OF ORGANIZATION 40.00 X 88534 0 0 SARAH DEINES DIRECTOR OF QUALITY 40.00 X 130288 0 7032 LENA ULVI HR DIRECTOR 40.00 X 48320 0 0 GEOFFREY CARDEN TEACHING HEALTH CTR PROG D 40.00 X 227994 0 11650 KELLY CRAWFORD PHYSICIAN 40.00 X 187898 0 9599 KATHRYN MENNINGER PHYSICIAN 40.00 X 191422 0 8735 MICHAEL SCHIFERL PHYSICIAN 40.00 X 189350 0 9708 SASAN BAHERI DENTIST 40.00 X 176579 0 1806 2747425 0 120407 13 0 1 0 JAMES E JOHN CONSTRUCTION CO INC 1701 SE COLUMBIA RIVER DR VANCOUVER WA 98661 CONTRACTOR - CONSTRUCTION 3259203 LIFEWORKS NORTHWEST 14600 NW CORNELL RD PORTLAND OR 97229 MENTAL HEALTH PROFESSIONAL SERVICES 1180268 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 BILLING SERVICE PROVIDER 803134 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 LOCUM (TEMPORARY) PROVIDER SERVICE 382027 PACIFIC UNIVERSITY - PACU 2043 COLLEGE WAY FOREST GROVER OR 97116 CO-FACULTY PERSONNEL 318435 5 6134759 11354937 1451504 18941200 MEDICAL/DENTAL SERVICES 621110 43212357 43212357 43212357 7427 7427 47236 0 47236 47236 47236 MISCELLANEOUS REVENUE 621110 154325 154325 154325 62362545 43212357 0 208988 2104021 1610455 452712 40854 31523895 24128945 6782847 612103 829729 635089 178529 16111 4797285 3671927 1032209 93149 2567929 1965538 552529 49862 16623 12229 4342 52 99090 72900 25883 307 2588056 1883281 696511 8264 3250909 3151115 77895 21899 1176015 939108 228771 8136 3224486 2178694 952975 92817 1485684 979765 469375 36544 249114 177694 66434 4986 EQUIPMENT AND VEHICLES 902249 724637 165305 12307 TRAINING AND EDUCATION 597230 302363 281930 12937 OTHER 485735 196427 151507 137801 MEDICAL CONTRACTS AND S 380570 380570 0 0 205496 143126 58154 4216 56484116 43153863 12177908 1152345 17495902 19216513 1963156 1970469 342721 883252 4882676 5587105 65805 50162 853534 816146 34312775 9040870 21851950 25271905 632803 337618 48088547 54133170 3924180 4395007 1508883 1634653 430403 0 5863466 6029660 X 41519999 44778880 705082 3324630 42225081 48103510 48088547 54133170 5878429 0 X X 0 1 X 1 1 1 X 8107085 10182811 11534074 11106098 18941200 59871268 8107085 10182811 11534074 11106098 18941200 59871268 59871268 50093 57264 47261 54242 54663 263523 64515 214601 112088 225378 154325 770907 60905698 192855273 0.98300 0.98390 X 637449 637449 16774762 3047301 13727461 5381932 1205444 4176488 6889392 4788125 2101267 4629240 4629240 25271905 X 62441026 78481 78481 62362545 0 62362545 56562597 78481 78481 56484116 0 56484116 PART X, LINE 2: VIRGINIA GARCIA MEMORIAL HEALTH CENTER DOES NOT HAVE ANY TAX POSITION THAT DOES NOT MEET THE MORE LIKELY THAN NOT CRITERIA. ACCORDINGLY, MANAGEMENT HAS NOT RECORDED ANY LIABILITY FOR UNCERTAIN TAX POSITIONS TO THEIR MAJOR TAX JURISDICTIONS. X X 0 0 0 0 0 0 0 0 0 CHRISTIAN HILL ASSOC MED DIR 199138 0 0 0 0 0 10290 0 0 0 209428 0 0 0 CHRISTINE HICKS PHARMACY DIRECTOR 168956 0 0 0 0 0 8510 0 0 0 177466 0 0 0 GILLES MUNOZ CEO 161120 0 5000 0 0 0 8289 0 0 0 174409 0 0 0 LAURA BYERLY CO-MED DIRECTOR 232569 0 0 0 0 0 11742 0 0 0 244311 0 0 0 LISA BOZZETTI DENTAL DIRECTOR 187924 0 0 0 0 0 8034 0 0 0 195958 0 0 0 GEOFFREY CARDEN TEACHING HEALTH CTR PROG D 227994 0 0 0 0 0 11650 0 0 0 239644 0 0 0 KELLY CRAWFORD PHYSICIAN 187898 0 0 0 0 0 9599 0 0 0 197497 0 0 0 KATHRYN MENNINGER PHYSICIAN 191422 0 0 0 0 0 8735 0 0 0 200157 0 0 0 MICHAEL SCHIFERL PHYSICIAN 189350 0 0 0 0 0 9708 0 0 0 199058 0 0 0 SASAN BAHERI DENTIST 176579 0 0 0 0 0 1806 0 0 0 178385 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS AND RECOMMENDS THE FORM 990 TO THE BOARD OF DIRECTORS FOR APPROVAL TO SUBMIT. FORM 990, PART VI, SECTION B, LINE 12C PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING: (1) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S LENGTH BARGAINING.(2) WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT.(3) WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. (4) WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. FORM 990, PART VI, SECTION B, LINE 15 THE CHAIRMAN OF THE BOARD OF DIRECTORS PERFORMS A MARKET ANALYSIS OF COMPARABLE POSITIONS IN THE MARKET AND AT OTHER FQHCS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND POLICIES ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. VIRGINIA GARCIA MEMORIAL FOUNDATION PO BOX 568 CORNELIUS OR 97113 912077840 SUPPORTING ORGANIZATION OR 501(C)3 509(A)(3) VIRGINIA GARCIA MEMORIAL HEALTH CENTER 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 VIRGINIA GARCIA MEMORIAL FOUNDATION C 6134759 AMOUNT RECEIVED