2019-11-25T14:39:48-06:00 2019-03-31 930743240 HOFFMAN STEWART & SCHMIDT PC 3 CENTERPOINTE DRIVE SUITE 300 LAKE OSWEGO OR 970358663 990 2018-04-01 930717997 VIRGINIA GARCIA MEMORIAL HEALTH CENTER VIRG 5033598505 PO BOX 6149 ALOHA OR 970070149 ARACELI GAYTAN CFO 5033598505 2019-11-22 1 TODD D MASSINGER P00075883 5032205900 74.95.39.225 2019-11-22 14:41:35 PS P D7F55FB2016D09330491DF6169533D5D77770AF6 3490557827B2F11B3E9022A25F961428F54FEF16 2018 2020-03-31 21:24:44Z ARACELI GAYTAN PO BOX 6149 ALOHA OR 970070149 57842368 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 11 744 131 0 34864 18941200 12353157 43212357 45143623 7427 13812 201561 231026 62362545 57741618 0 0 0 0 41822859 45879229 0 0 1231153 14661257 16429732 56484116 62308961 5878429 -4567343 54133170 50724824 6029660 7110297 48103510 43614527 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 48103512 45143623 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. 48103512 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 1 0 0 0 0 1 0 0 0 1 109 0 1 744 1 1 1 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 1 0 OR X ARACELI GAYTAN 5033598508 PO BOX 6149 CORNELIUS OR 970070149 ALEJANDRA AGUILAR MEMBER 1.00 X 0 0 0 ANN BARR-GILLESPIE MEMBER 1.00 X 0 0 0 ERNESTINA ARANDA MEMBER 1.00 X 0 0 0 WILFREDO FIGUEROA MEMBER 1.00 X 0 0 0 RAFAL DECKER MEMBER 1.00 X 0 0 0 MIGUEL CALDERON MEMBER 1.00 X 0 0 0 LAUREL DURHAM MEMBER 1.00 X 0 0 0 LAURINDA MACKENZIE CHAIR, FIN COMM 1.00 X X 0 0 0 RICARDO PALAZUELOS VICE-CHAIR, FIN COMM 1.00 X X 0 0 0 SUSAN T FELSTINER TREASURER, FIN COMM 1.00 X X 0 0 0 JESSICA KITT SECRETARY, FIN COMM 1.00 X X 0 0 0 GILLES MUNOZ CEO 40.00 X 168244 0 28250 ARACELI GAYTAN CFO 40.00 X 155584 0 21742 MARIA LOREDO COO 40.00 X 141465 0 21050 FREDERICK DOLGIN DCOO 40.00 X 90195 0 20400 LAURA BYERLY CO-MED DIRECTOR 40.00 X 239475 0 23281 SARAH DEINES DIRECTOR OF QUALITY 40.00 X 135785 0 26904 CHRISTINE HICKS PHARMACY DIRECTOR 40.00 X 173872 0 16212 CHRISTIAN HILL ASSOC MED DIRECTOR 32.00 X 202047 0 30002 LISA BOZZETTI DENTAL DIRECTOR 40.00 X 193841 0 23701 LENA ULVI HR DIRECTOR 40.00 X 129987 0 21646 JUAN GARFIAS IT DIRECTOR 40.00 X 101448 0 24725 RACHEL LI DIRECTOR OF ORGANIZATION 40.00 X 100239 0 6749 GEOFFREY CARDEN TEACHING HEALTH CTR PROG DEV 40.00 X 238646 0 12909 MELINDA STRNAD PHYSICIAN, LEAD CLINICIAN 40.00 X 180098 0 16120 KELLY CRAWFORD PHYSICIAN, LEAD CLINICIAN 40.00 X 204148 0 30000 KATHRYN MENNIGER PHYSICIAN, LEAD CLINICIAN 40.00 X 207015 0 17427 SASAN BAHERI DENTIST 40.00 X 184469 0 22659 2846558 0 363777 16 0 1 0 LIFEWORKS NORTHWEST 14600 NW CORNELL RD PORTLAND OR 97229 MENTAL HEALTH PROFESSIONAL SERVICES 1412436 PASSPORT TO LANGUAGES 3912 SW 43RD AVENUE PORTLAND OR 97221 TRANSLATION SERVICES 208497 THE ONE'S JANITOR SERVICE 11485 SW SPRINGWOOD DR TIGARD OR 97223 JANITORIAL CONTRACT 171462 ALLSTREAM PO BOX 2966 MILWAUKEE WI 53201 TELEPHONE/DATA LINE SERVICE PROVIDER 128761 4 1596402 9977200 779555 280902 12353157 MEDICAL/DENTAL SERVICES 621110 45143623 45143623 45143623 40080 40080 133075 0 133075 133075 133075 10363 64119 0 100750 10363 -36631 -26268 -26268 MISCELLANEOUS REVENUE 621110 97951 97951 97951 57741618 45143623 0 244838 3309337 2519414 725265 64658 33285255 25340223 7294701 650331 994648 757230 217984 19434 5458021 4155218 1196164 106639 2831968 2155991 620646 55331 30516 24448 5873 195 97405 78034 18748 623 2981204 2388342 573790 19072 3465697 3384886 67737 13074 1383360 1156425 218815 8120 3760102 2723948 944615 91539 1889696 1411500 446418 31778 304128 198208 100178 5742 EQUIPMENT AND VEHICLES 771347 650561 115281 5505 OTHER 653380 291690 224005 137685 MEDICAL CONTRACTS AND S 506221 505716 505 TRAINING AND EDUCATION 417422 250669 151342 15411 169254 111009 52229 6016 62308961 48103512 12974296 1231153 19216513 3727539 1970469 883252 5587105 7449724 50162 51454 816146 934336 39111565 10535928 25271905 28575637 9933713 337618 52421 54133170 50724824 4395007 3928916 1634653 3181381 6029660 7110297 X 44778880 43256152 3324630 358375 48103510 43614527 54133170 50724824 -4567343 78360 0 X X 0 1 X 1 1 1 X 10182811 11534074 11106098 18941200 12363631 64127814 10182811 11534074 11106098 18941200 12363631 64127814 64127814 57264 47261 54242 54663 173155 386585 214601 112088 225378 154325 97951 804343 65318742 210835038 0.98180 0.98300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 637449 637449 16774761 3478166 13296595 12553071 1599707 10953364 9146284 5458055 3688229 28575637 X 57830468 78360 10490 88850 57741618 0 57741618 62319451 10490 10490 62308961 0 62308961 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 GILLES MUNOZ CEO 168244 0 0 0 0 0 8661 0 19589 0 196494 0 0 0 ARACELI GAYTAN CFO 155584 0 0 0 0 0 8012 0 13730 0 177326 0 0 0 MARIA LOREDO COO 141465 0 0 0 0 0 7333 0 13717 0 162515 0 0 0 LAURA BYERLY CO-MED DIRECTOR 239475 0 0 0 0 0 12087 0 11194 0 262756 0 0 0 SARAH DEINES DIRECTOR OF QUALITY 135785 0 0 0 0 0 7315 0 19589 0 162689 0 0 0 CHRISTINE HICKS PHARMACY DIRECTOR 173872 0 0 0 0 0 8744 0 7468 0 190084 0 0 0 CHRISTIAN HILL ASSOC MED DIRECTOR 202047 0 0 0 0 0 10413 0 19589 0 232049 0 0 0 LISA BOZZETTI DENTAL DIRECTOR 193841 0 0 0 0 0 9971 0 13730 0 217542 0 0 0 LENA ULVI HR DIRECTOR 129987 0 0 0 0 0 2077 0 19569 0 151633 0 0 0 GEOFFREY CARDEN TEACHING HEALTH CTR PROG DEV 238646 0 0 0 0 0 12182 0 727 0 251555 0 0 0 MELINDA STRNAD PHYSICIAN, LEAD CLINICIAN 180098 0 0 0 0 0 9092 0 7028 0 196218 0 0 0 KELLY CRAWFORD PHYSICIAN, LEAD CLINICIAN 204148 0 0 0 0 0 10411 0 19589 0 234148 0 0 0 KATHRYN MENNIGER PHYSICIAN, LEAD CLINICIAN 207015 0 0 0 0 0 10399 0 7028 0 224442 0 0 0 SASAN BAHERI DENTIST 184469 0 0 0 0 0 3070 0 19589 0 207128 0 0 0 X SUPPLIES 1 280902 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 1606876 AMOUNT RECEIVED