2020-12-03T08:37:58-06:00 2020-03-31 930743240 HOFFMAN STEWART & SCHMIDT PC 3 CENTERPOINTE DRIVE SUITE 300 LAKE OSWEGO OR 970358663 990 2019-04-01 930717997 VIRGINIA GARCIA MEMORIAL HEALTH CENTER VIRG 5033598505 PO BOX 6149 ALOHA OR 970070149 ARACELI GAYTAN CFO 5033598505 2020-10-26 1 TODD D MASSINGER P00075883 5032205900 74.95.39.225 2020-10-26 14:04:08 PD P 0F37846BF7B8FFFBD92CA257587991EF3F8EDF80 622E67E4E07654AA54C5D84E2FA745AAEF6B7381 2019 2021-01-29 14:40:06Z ARACELI GAYTAN PO BOX 6149 ALOHA OR 970070149 62977062 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. 15 15 728 131 0 0 12353157 12172703 45143623 41132133 13812 228732 231026 6872208 57741618 60405776 0 0 0 0 45879229 48323632 0 0 1222107 16429732 15649407 62308961 63973039 -4567343 -3567263 50724824 47686493 7110297 7571383 43614527 40115110 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 49040645 47563218 WE ARE A COMMUNITY HEALTH CENTER WITH FIVE PRIMARY CARE CLINICS, A WOMEN'S CLINIC, SIX DENTAL CLINICS, FIVE 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. 49040645 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 1 111 0 1 728 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 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 LAURA BYERLY MEDICAL DIRECTOR 40.00 X 233387 0 22834 GEOFFREY CARDEN TEACHNG HEALTH CENTER PROGRAM DEV. DIRECTOR 40.00 X 239622 0 12800 KELLY CRAWFORD SITE MEDICAL DIRECTOR 40.00 X 209042 0 30110 KATHRYN MENNINGER SITE MEDICAL DIRECTOR 40.00 X 215981 0 17744 MELINDA STRNAD SITE MEDICAL DIRECTOR 40.00 X 211371 0 16670 KATHERINE ELSTUN PHYSICIAN 40.00 X 208705 0 11317 LISA BOZZETTI DENTAL DIRECTOR 40.00 X 194077 0 23538 CHRISTIAN HILL ASSOCIATE MEDICAL DIRECTOR 32.00 X 186587 0 29069 GILLES MUNOZ CEO 40.00 X 175202 0 28468 CHRISTINE HICKS PHARMACY DIRECTOR 36.00 X 171070 0 20696 ARACELI GAYTAN CFO 40.00 X 157103 0 21389 SARAH DEINES DIRECTOR OF QUALITY 40.00 X 140662 0 26870 MARIA LOREDO COO 40.00 X 142160 0 20939 JUAN GABRIEL GARFIAS LOPEZ IT DIRECTOR 40.00 X 104593 0 24772 RACHEL LI TALENT AND ORGANIZATIONAL DEVELOPMENT DIRECTOR 40.00 X 116828 0 12517 FREDERICK DOLGIN DCOO 40.00 X 91703 0 23412 TIM FLEISCHMANN MEMBER 1.00 X 0 0 0 MARY LUDLUM MEMBER 1.00 X 0 0 0 MICHAEL YATES MEMBER 1.00 X 0 0 0 KETAN SAMPAT MEMBER 1.00 X 0 0 0 CRAIG HOSTETLER MEMBER 1.00 X 0 0 0 LAUREL DURHAM 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 ERNESTINA ARANDA MEMBER 1.00 X 0 0 0 ANN BARR-GILLESPIE MEMBER 1.00 X 0 0 0 ALEJANDRA AGUILAR MEMBER 1.00 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 2798093 0 343145 15 0 1 0 LIFEWORKS NORTHWEST 14600 NW CORNELL RD PORTLAND OR 97229 MENTAL HEALTH PROFESSIONAL SERVICES 1313845 PASSPORT TO LANGUAGES 3912 SW 43RD AVENUE PORTLAND OR 97221 TRANSLATION SERVICES 283361 THE ONE'S JANITOR SERVICE 11485 SW SPRINGWOOD DR TIGARD OR 97223 JANITORIAL CONTRACT 161163 ALLSTREAM PO BOX 2966 MILWAUKEE WI 53201 TELEPHONE/DATA LINE SERVICE PROVIDER 125939 NATIONAL COUNCIL FOR BEHAVIORAL HEALTH 1400 K STREET NW SUITE 400 WASHINGTON DC 20005 CONSULTATION FOR BEHAVIORAL HEALTH PROGR 120229 5 1394000 10095909 682794 51697 12172703 MEDICAL/DENTAL SERVICES 621110 41132133 41132133 41132133 205263 205263 102447 0 102447 102447 102447 23469 0 23469 23469 23469 9002371 2571286 6431085 6431085 MISCELLANEOUS REVENUE 621110 228176 228176 MEANINGFUL USE INCOME 900099 110500 110500 338676 60405776 47563218 0 669855 3251311 2479208 711373 60730 35473602 27049528 7761471 662603 1166920 889806 255317 21797 5546104 4229046 1213464 103594 2885695 2200416 631378 53901 75864 54883 20863 118 105724 76485 29075 164 2844897 2057272 783196 4429 2198194 2103247 82881 12066 1734557 1411705 309624 13228 3821465 2787572 942217 91676 2041504 1595411 414426 31667 327467 222238 100210 5019 MEDICAL CONTRACTS AND S 647156 646818 338 EQUIPMENT AND VEHICLES 606109 515401 85397 5311 OTHER 524801 199725 184217 140859 TRAINING AND EDUCATION 393745 259792 122570 11383 327924 262092 62270 3562 63973039 49040645 13710287 1222107 3727539 5104428 7449724 5496699 51454 63803 934336 986652 39497043 12556063 28575637 26940980 9933713 9029459 52421 64472 50724824 47686493 3928916 4095729 3181381 3475654 7110297 7571383 X 43256152 40115110 358375 0 43614527 40115110 50724824 47686493 -3567263 67846 0 X X 0 1 X 1 1 1 X 11534074 11106098 18941200 12363631 12172703 66117706 11534074 11106098 18941200 12363631 12172703 66117706 66117706 47261 54242 54663 173155 331179 660500 112088 225378 154325 97951 228177 817919 67596125 217565491 0.97810 0.98180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 637449 637449 16774761 3909031 12865730 12741007 2276529 10464478 9343826 6370503 2973323 26940980 X 60476622 67846 3000 70846 60405776 0 60405776 63976039 3000 3000 63973039 0 63973039 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 LAURA BYERLY MEDICAL DIRECTOR 233387 0 0 0 0 0 11783 0 11051 0 256221 0 0 0 GEOFFREY CARDEN TEACHNG HEALTH CENTER PROGRAM DEV. 239622 0 0 0 0 0 12231 0 569 0 252422 0 0 0 KELLY CRAWFORD SITE MEDICAL DIRECTOR 209042 0 0 0 0 0 10656 0 19454 0 239152 0 0 0 KATHRYN MENNINGER SITE MEDICAL DIRECTOR 215981 0 0 0 0 0 10867 0 6877 0 233725 0 0 0 MELINDA STRNAD SITE MEDICAL DIRECTOR 211371 0 0 0 0 0 9793 0 6877 0 228041 0 0 0 KATHERINE ELSTUN PHYSICIAN 208705 0 0 0 0 0 0 0 11317 0 220022 0 0 0 LISA BOZZETTI DENTAL DIRECTOR 194077 0 0 0 0 0 9953 0 13585 0 217615 0 0 0 CHRISTIAN HILL ASSOCIATE MEDICAL DIRECTOR 186587 0 0 0 0 0 9615 0 19454 0 215656 0 0 0 GILLES MUNOZ CEO 175202 0 0 0 0 0 9014 0 19454 0 203670 0 0 0 CHRISTINE HICKS PHARMACY DIRECTOR 171070 0 0 0 0 0 8677 0 12019 0 191766 0 0 0 ARACELI GAYTAN CFO 157103 0 0 0 0 0 7804 0 13585 0 178492 0 0 0 SARAH DEINES DIRECTOR OF QUALITY 140662 0 0 0 0 0 7416 0 19454 0 167532 0 0 0 MARIA LOREDO COO 142160 0 0 0 0 0 7374 0 13565 0 163099 0 0 0 X SUPPLIES 1 51654 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 ALOHA 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 1397000 AMOUNT RECEIVED