2019-02-08T15:24:02-06:00 2018-03-31 410746749 CLIFTONLARSONALLEN LLP 610 NORTH 39TH AVENUE YAKIMA WA 98902 990 2017-04-01 911019392 YAKIMA VALLEY FARM WORKERS CLINIC YAKI 5098655898 PO BOX 190 TOPPENISH WA 98948 K PETER TOOP CFO 5098655898 2019-02-06 1 RALPH A CONNER CPA P00185729 5098232910 67.137.57.251 2019-02-06 14:21:02 PS P 7CCED69CC7F7DA8765ED5670943801882D3A7A21 4F0DB10180B0B136453F8AAC03E8CB7047E914DC 2017 2019-02-21 02:37:17Z JUAN CARLOS OLIVARES PO BOX 190 TOPPENISH WA 98948 234614020 0 X WWW.YVFWC.ORG X 1978 WA YVFWC PROVIDES HEALTH SERVICES, EDUCATIONAL AND SOCIAL PROGRAMS IN UNDERSERVED AND RURAL REGIONS. 12 12 2264 205 0 0 42778453 41692139 144662378 158852160 710820 1478508 0 0 188151651 202022807 1371390 1776373 0 0 116550973 129665468 0 0 802084 66728470 67414645 184650833 198856486 3500818 3166321 199657660 201343501 79696714 79129311 119960946 122214190 THE MISSION OF YVFWC IS TO IMPROVE LIVES AND STRENGTHEN THE HEALTH OF THE COMMUNITIES WE SERVE BY PROVIDING QUALITY AND ACCESSIBLE HEALTH CARE TO ALL REGARDLESS OF ABILITY TO PAY. 0 0 140611208 89277 153716632 MEDICAL AND DENTAL PRIMARY CARE SERVICES, CASE MANAGEMENT, WIC AND OTHER SUCH PROGRAMS PROVIDED ON A SLIDING FEE BASIS. DURING THE YEAR, THERE WERE 440,538 MEDICAL AND CASE MANAGEMENT AND 151,804 DENTAL ENCOUNTERS. 6972669 1687096 18182 LOW INCOME ENERGY ASSISTANCE, HOME WEATHERIZATION, AND EDUCATION AND COUNSELING SERVICES. DURING THE YEAR THERE WERE 10,247 INDIVIDUALS SERVED. 6764588 5117346 MENTAL HEALTH COUNSELING AND CHEMICAL DEPENDENCY COUNSELING. MENTAL HEALTH AND CHEMICAL DEPENDENCY ENCOUNTERS DURNING THE YEAR WERE 27,857. 154348465 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 270 0 2264 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X K PETER TOOP 5098655898 604 WEST 1ST AVENUE TOPPENISH WA 989480190 VIRGINIA SANTILLANES CHAIR 1.00 X X 0 0 0 MIGUEL ESQUIVEL VICE CHAIR 1.00 X X 0 0 0 PATRICIA MYERS TREASURER 1.00 X X 0 0 0 ELIZA CERNA SECRETARY 1.00 X X 0 0 0 ALFEDO ACEVES DIRECTOR 1.00 X 0 0 0 JOSE ALBERTO NUNEZ DIRECTOR 1.00 X 0 0 0 ROBERTO ALVIZO DIRECTOR 1.00 X 0 0 0 SANDRA APRIL DIRECTOR 1.00 X 0 0 0 LORENZO CUEVAS DIRECTOR 1.00 X 0 0 0 TOM SAK DIRECTOR 1.00 X 0 0 0 LARRY SANCHEZ DIRECTOR 1.00 X 0 0 0 MARTIN TORREZ DIRECTOR 1.00 X 0 0 0 JUAN CARLOS OLIVARES EXECUTIVE DIRECTOR 40.00 X 649098 0 117607 K PETER TOOP CHIEF FINANCIAL OFFICER 40.00 X 442421 0 6882 GLEN W DAVIS DIRECTOR OF OPERATIONS 40.00 X 249819 0 7038 KEVIN S HEIDRICK CHIEF MEDICAL OFFICER 40.00 X 281954 0 25606 NORMAN J NAIDEN PHYSICIAN 40.00 X 451512 0 17498 HEATHER N DIAZ CLINIC MEDICAL DIRECTOR 40.00 X 483039 0 27244 STEPHANIE M PERSONDEK PHYSICIAN 40.00 X 477599 0 13217 LYLANYA R COX PHYSICIAN 40.00 X 462565 0 27244 STEPHEN DAVIS DENTAL DIRECTOR 40.00 X 417500 0 27244 3915507 0 269580 211 0 1 0 GLOBAL INFORMATION TECHNOLOGY 17011 BEACH BLVD SUITE 1260 HUNTINGTON BEACH CA 92647 INFORMATION TECHNOLOGY CONSULTANTS 2648349 M MODAL SERVICE LTD PO 538504 ATLANTA GA 30353 CLINICAL DOCUMENTATION 2337753 CHG COMPANIES INC PO BOX 972670 DALLAS TX 75397 LOCUM SERVICES 1405352 EPIC SYSTEMS CORPORATION - HOUSING BIN 88065 MILWAUKEE WI 53288 COMPUTER SERVICES 1373154 ABM JANITORIAL SERVICES PO BOX 60000 SAN FRANSICO CA 94107 CLEANING SERVICES 1232170 47 40695705 996434 41692139 MEDICAL, DENTAL, PHARMACY 621400 153716632 153716632 MENTAL HEALTH & SUBSTANCE 621400 5117346 5117346 COMMUNITY ACTION CENTER 621400 18182 18182 158852160 1596009 1596009 32472662 1050 32587363 3850 -114701 -2800 -117501 -117501 202022807 158852160 0 1478508 89277 89277 1687096 1687096 1804273 1804273 104108374 86350217 17189615 568542 2218526 1816668 381951 19907 13490014 11161228 2256837 71949 8044281 6424520 1577486 42275 260508 48545 211963 107722 107722 154989 154989 16402343 10509908 5839346 53089 840095 736867 103228 4059863 3272828 775286 11749 8518501 1728795 6780363 9343 4154755 3634187 520568 1875003 1035464 817481 22058 815099 815099 10421774 6613574 3808200 355475 3965 351510 MEDICAL SUPPLIES 14677716 14677716 RECRUITMENT 1405841 1086433 319408 EQUIPMENT 901300 834921 65925 454 2463661 1821157 639786 2718 198856486 154348465 43705937 802084 3632809 3178496 9062972 10367459 4081104 2709413 9247327 9558812 2464 4384 718782 588580 565435 611145 175498389 81956924 93596907 93541465 67350613 66607725 2332728 2832728 2857300 4495300 6209219 6847994 199657660 201343501 41041178 41623820 55014 36631 31788879 30657217 6811643 6811643 79696714 79129311 X 119960946 122214190 119960946 122214190 199657660 201343501 3166321 -913077 0 X X 0 1 X 1 1 1 X 33278599 34211772 38128737 42778453 41692139 190089700 33278599 34211772 38128737 42778453 41692139 190089700 190089700 2424976 1868626 1616923 1520835 1596009 9027369 199117069 669439148 0.95470 0.94920 X 11148237 11148237 99362365 43210324 56152041 20290280 8774442 11515838 39041094 29972158 9068936 5656413 5656413 93541465 PAYABLE TO RELATED PARTY 6811643 6811643 X PART X, LINE 2: PART X FIN 48 FOOTNOTE UNDER PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THE CLINIC IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. AS OF MARCH 31, 2018, THE CLINIC HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAXES. MANAGEMENT EVALUATED THE CLINIC'S TAX POSITIONS AND CONCLUDED THAT THE CLINIC HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS. 1 TOPPENISH COMMUNITY CHEST PO BOX 408 TOPPENISH WA 98948 550845518 501(C)(3) 12825 GENERAL SUPPORT WASHINGTON ASSOCIATION OF COMMUNITY & MIGRANT HEALTH CENTERS 101 CAPTIAL WAY N STE 200 OLYMPIA WA 98501 911323282 501(C)(3) 15000 GENERAL SUPPORT CENTRAL WASHINGTON FAIR ASSOCIATION 1301 S FAIR AVE YAKIMA WA 98901 910171268 501(C)(3) 18000 GENERAL SUPPORT JUNIOR ACHIEVEMENT OF WASHINGTON 1700 WESTLAKE AVE N STE 400 SEATTLE WA 98109 910604913 501(C)(3) 12500 GENERAL SUPPORT SPOKANE DISTRICT DENTAL SOCIETY FOUNDATION 2020 E 29TH AVE STE 100 SPOKANE WA 99203 208248281 501(C)(3) 5362 GENERAL SUPPORT 5 DIRECT PAYMENTS FOR HOUSING AND ENERGY SERVICES 10247 1687096 PART III, COLUMN (A) PART III, COLUMN (A) PROGRAM PAYMENTS FOR OTHER LIVING COST TO PATIENTS WHO ARE MANDATED BY THE STATE TO BE IN THIS ASSISTANCE PROGRAM AND DIRECT PAYMENTS FOR HOUSEHOLD ENERGY SERVICES(HEATING FUEL, GAS, OIL, ELECTRICITY, ETC.) FOR INDIVIDUALS AND FAMILIES. RECIPIENTS QUALIFY FOR ASSISTANCE BASED ON INCOME AND ALL PROGRAMS ARE NONDISCRIMINATORY. X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 JUAN CARLOS OLIVARES EXECUTIVE DIRECTOR 423548 0 144446 0 81104 0 100000 0 17607 0 766705 0 0 0 K PETER TOOP CHIEF FINANCIAL OFFICER 372867 0 27914 0 41640 0 0 0 6882 0 449303 0 0 0 GLEN W DAVIS DIRECTOR OF OPERATIONS 221806 0 15787 0 12226 0 0 0 7038 0 256857 0 0 0 KEVIN S HEIDRICK CHIEF MEDICAL OFFICER 264538 0 500 0 16916 0 18568 0 7038 0 307560 0 0 0 NORMAN J NAIDEN PHYSICIAN 445440 0 500 0 5572 0 0 0 17498 0 469010 0 0 0 HEATHER N DIAZ CLINIC MEDICAL DIRECTOR 249666 0 26932 0 206441 0 0 0 27244 0 510283 0 0 0 STEPHANIE M PERSONDEK PHYSICIAN 361843 0 31115 0 84641 0 0 0 13217 0 490816 0 0 0 LYLANYA R COX PHYSICIAN 250593 0 16334 0 195638 0 0 0 27244 0 489809 0 0 0 STEPHEN DAVIS DENTAL DIRECTOR 183576 0 112748 0 121176 0 0 0 27244 0 444744 0 0 0 PART I, LINE 3 COMPENSATION AND BENEFITS: COMPENSATION AND BENEFITS FOR THE CEO, CFO, AND TOP MANAGEMENT POSITIONS ARE BASED UPON MARKET RESEARCH AND RECOMMENDATIONS PROVIDED BY AN OUTSIDE COMPENSATION SPECIALTY FIRM ENGAGED BY THE BOARD OF DIRECTORS. FINAL COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS; FINAL COMPENSATION FOR THE CFO AND OTHER TOP MANAGEMENT IS DETERMINED BY THE CEO. A THE HOSPITAL FACILITY AUTHORITY OF UMATILLA COUNTY 931239006 2008-11-13 4189500 CONSTRUCT HERMISTON MEDICAL BUILDING 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2017-12-01 4626158 CONSTRUCT PROSSER MEDICAL BUILDING 0 0 0 C WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108930 2015-01-16 14250000 CONSTRUCT TOPPENISH MEDICAL BUILDING 0 0 0 D HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM OREGON 521542796 2016-09-20 9971012 CONSTRUCT SALEM MEDICAL BUILDING 0 0 0 A 4189500 5500 4184000 2008 0 0 1 1 B 4626158 4626158 2007 0 0 1 1 C 14250000 14250000 2016 0 0 1 1 D 9971012 97845 9873167 2017 0 0 0 1 A 0 0 0 0 0 0 0 B 0 1 0 0 0.06800 0.06800 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 1 0 0 0 0 C 0 0 0 0 1 0 0 0 0 D 0 0 0 0 0 0 0 0 0 A 1 B 1 C 1 D 1 JUAN CARLOS OLIVARES EXECUTIVE DIRECTOR REIMBURSEMENT OF TRAVEL EXPENSE NOT COVERED BY CORPORATION X 13483 4384 0 1 0 4384 FORM 990, PART VI, SECTION B, LINE 11B A PAPER OR ELECTRONIC COPY OF THE FORM 990 IS MADE AVALIABLE TO ALL BOARD MEMBERS. IN ADDITION, THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS MEETS TO REIVEW THE FORM 990 IN DETAIL WITH THE CHIEF FINANCIAL OFFICER AND CONTROLLER. FORM 990, PART VI, SECTION B, LINE 12C PERIODIC REMINDERS ARE MADE TO BOARD MEMBERS CONCERNING THE CONFLICT OF INTEREST POLICY. QUESTIONS CONCERNING CONFLICTS OF INTEREST AND DECLARATIONS OF CONFLICTS OF INTEREST ARE DULY RECORDED IN BOARD MEETING MINUTES. IN ADDITION, THE CHIEF COMPLIANCE OFFICER IS TASKED WITH INVESTIGATING ANY POTENTIAL VIOLATIONS OF THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER AND CORPORATE DIRECTOR OF OPERATIONS ARE REVIEWED ANNUALLY BY AN INDEPENDENT CONSULTANT USING COMPENSATION SURVEYS AND REVIEW OF OTHER ORGANIZATIONS FORM 990. THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE COMPENSATION OF THE CHIEF FINANCIAL OFFICER AND CORPORATE DIRECTOR OF OPERATIONS IS REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR AND THE HR DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 CORPORATE BYLAWS, CONFIICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AS RECORDED IN FORM 990 ARE AVALIAVLE UPON REQUEST MADE TO THE EXECUTIVE DIRECOR AT YVFWC ADMINISTRATIVE HEADQUARTERS AT P.O. BOX 190, TOPPENISH, WA 98948 FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. AGENA PO BOX 190 TOPPENISH WA 98948 203316363 SUPPORT ORGANIZATION WA 501 (C)(3) LINE 12A, I YAKIMA VALLEY FARM WORKERS CLINIC 1 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 AGENA (RECEIVABLE DUE FROM) D 4117974 CASH AGENA (PAYABLE DUE TO) E 6811643 CASH AGENA (SUBLEASE GRANGER FROM AGENA) K 136012 CASH