2020-02-18T19:03:32-06:00 2019-03-31 410746749 CLIFTONLARSONALLEN LLP 610 NORTH 39TH AVENUE YAKIMA WA 98902 990 2018-04-01 911019392 YAKIMA VALLEY FARM WORKERS CLINIC YAKI 5098655898 PO BOX 190 TOPPENISH WA 98948 CHRISTY BRACEWELL TROTTER CFO 5098655898 2020-02-18 1 STACY SHORT P00837115 5098232910 67.137.57.251 2020-02-18 18:25:11 PS P C6A37568A41E0AB8BE07FF512B9036924B050377 331EA8DF1396558E325600DF7E3D2817B0BFC210 2018 2020-11-19 02:30:22Z JUAN CARLOS OLIVARES PO BOX 190 TOPPENISH WA 98948 267820610 0 X WWW.YVFWC.ORG X 1978 WA YVFWC PROVIDES HEALTH SERVICES, EDUCATIONAL AND SOCIAL PROGRAMS IN UNDERSERVED AND RURAL REGIONS. 13 13 2539 213 0 0 41692139 41943094 158852160 179518488 1478508 1242493 0 0 202022807 222704075 1776373 11862987 0 0 129665468 134981521 0 0 813530 67414645 66822494 198856486 213667002 3166321 9037073 201343501 215817733 79129311 83911553 122214190 131906180 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 157098915 10297227 172103891 MEDICAL AND DENTAL PRIMARY CARE SERVICES, CASE MANAGEMENT, WIC AND OTHER SUCH PROGRAMS PROVIDED ON A SLIDING FEE BASIS. DURING THE YEAR, THERE WERE 444,571 MEDICAL AND CASE MANAGEMENT ENCOUNTERS,157,799 DENTAL ENCOUNTERS AND 594,208 PRESCRIPTIONS FILLED. 7260450 1565760 7060 LOW INCOME ENERGY ASSISTANCE, HOME WEATHERIZATION, AND EDUCATION AND COUNSELING SERVICES. DURING THE YEAR THERE WERE 7,102 INDIVIDUALS SERVED. 7669283 0 7407537 MENTAL HEALTH COUNSELING AND CHEMICAL DEPENDENCY COUNSELING. MENTAL HEALTH AND CHEMICAL DEPENDENCY ENCOUNTERS DURNING THE YEAR WERE 31,609. 172028648 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 321 0 2539 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 ELIZA CERNA VICE CHAIR & DIRECTOR 1.00 X X 0 0 0 ROBERTO ALVIZO DIRECTOR & SECRETARY 1.00 X X 0 0 0 PATRICIA MYERS TREASURER 1.00 X X 0 0 0 ALFREDO ACEVES DIRECTOR 1.00 X 0 0 0 IRENE TAYLOR DIRECTOR 1.00 X 0 0 0 JOSE ALBERTO NUNEZ DIRECTOR 1.00 X 0 0 0 LARRY SANCHEZ DIRECTOR 1.00 X 0 0 0 LORENZO CUEVAS DIRECTOR 1.00 X 0 0 0 MARTIN TORRES DIRECTOR 1.00 X 0 0 0 MIGUEL ESQUIVEL DIRECTOR 1.00 X 0 0 0 SANDRA APRIL DIRECTOR 1.00 X 0 0 0 TOM SAK PAST CHAIR 1.00 X 0 0 0 JUAN CARLOS OLIVARES EXECUTIVE DIRECTOR 39.50 X 1048820 0 26983 K PETER TOOP CFO 39.50 X 629653 0 15713 GLEN DAVIS DIRECTOR OF OPERATIONS 40.00 X 334796 0 15869 KEVIN HEIDRICK CHIEF MEDICAL OFFICER 40.00 X 302803 0 36071 MARK KODAY CHIEF DENTAL OFFICER 36.00 X 388894 0 26983 NORMAN NAIDEN PHYSICIAN 40.00 X 467537 0 26874 RICHARD CHUNG STAFF PSYCHIATRIST 40.00 X 365121 0 48172 RIDHIMA GUPTA PHYSICIAN 40.00 X 374056 0 26713 STEPHEN DAVIS DENTAL DIRECTOR 40.00 X 373803 0 37172 4285483 0 260550 247 0 1 0 KITT CONSTRUCTION & DEVELOPMENT LLC PO BOX 8249 YAKIMA WA 98908 CONSTRUCTION 2605102 GLOBAL INFORMATION TECHNOLOGY 17011 BEACH BLVD STE 1260 HUNTINGTON BEACH CA 92647 IT CONSULTANTS 2073351 EPIC SYSTEMS CORPORATION - HOSTING BIN 88065 MILWAUKEE WI 53288 COMPUTER SERVICES 1854903 ABM JANITORIAL SERVICES PO BOX 60000 SAN FRANSICO CA 94107 CLEANING SERVICES 1710920 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 COMPUTER SERVICES 1492489 41 40410836 1532258 41943094 MEDICAL, DENTAL, PHARMACY 621400 172103891 172103891 MENTAL HEALTH & SUBSTANCE 621400 7407537 7407537 COMMUNITY ACTION CENTER 621400 7060 7060 179518488 1572659 1572659 44768869 17500 45102733 13802 -333864 3698 -330166 -330166 222704075 179518488 0 1242493 10297227 10297227 1565760 1565760 2385437 2385437 107969311 89675481 17708157 585673 2543936 2046506 479400 18030 13710708 10889276 2753146 68286 8372129 7237380 1083708 51041 164712 68360 96352 113176 113176 13455454 10136665 3268170 50619 814402 679550 134852 4211536 3560301 638700 12535 6355291 717290 5636800 1201 4173607 3785924 387683 1904304 1022779 859412 22113 991905 991905 10216587 6754460 3462127 446942 15662 431280 MEDICAL SUPPLIES 14214123 14214123 0 BAD DEBT 3652781 3652781 EQUIPMENT 2180420 1926328 253950 142 RECRUITMENT 1100121 719164 380957 2827133 2071726 751517 3890 213667002 172028648 40824824 813530 3178496 6181693 10367459 14861529 2709413 2151498 15445121 20324489 4384 3645 588580 607877 611145 664906 194436894 92101907 93541465 102334987 66607725 46452875 2832728 2832728 4495300 4650300 961685 14751206 201343501 215817733 41623820 37262543 36631 22632 30657217 29540177 6811643 17086201 79129311 83911553 X 122214190 131906180 122214190 131906180 201343501 215817733 9037073 654917 0 X X 0 1 X 1 1 1 X 34211772 38128737 42778453 41692139 41943094 198754195 34211772 38128737 42778453 41692139 41943094 198754195 198754195 1868626 1616923 1520835 1596009 1572659 8175052 206929247 742110786 0.96050 0.95470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12237377 12237377 110092654 47643225 62449429 28041174 10669296 17371878 43588590 33789386 9799204 477099 477099 102334987 THIRD PARTY PAYER SETTLEMENTS 14751206 14751206 PAYABLE TO RELATED PARTY 17086201 17086201 X PART X, LINE 2: 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, 2019, 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) 11661 GENERAL SUPPORT AGENA PO BOX 190 TOPPENISH WA 98948 203316363 501(C)(3) 10274558 BOOK VALUE FIXED ASSETS - LAND & BUILDING GENERAL SUPPORT 2 0 DIRECT PAYMENTS FOR HOUSING AND ENERGY SERVICES 7102 1565760 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 X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 JUAN CARLOS OLIVARES EXECUTIVE DIRECTOR 641855 0 349351 0 57614 0 8250 0 18733 0 1075803 0 300000 0 K PETER TOOP CFO 396208 0 30315 0 203130 0 8250 0 7463 0 645366 0 0 0 GLEN DAVIS DIRECTOR OF OPERATIONS 246649 0 16857 0 71290 0 8250 0 7619 0 350665 0 0 0 KEVIN HEIDRICK CHIEF MEDICAL OFFICER 287364 0 1000 0 14439 0 28452 0 7619 0 338874 0 0 0 MARK KODAY CHIEF DENTAL OFFICER 263254 0 22566 0 103074 0 8250 0 18733 0 415877 0 0 0 NORMAN NAIDEN PHYSICIAN 462748 0 1000 0 3789 0 8250 0 18624 0 494411 0 0 0 RICHARD CHUNG STAFF PSYCHIATRIST 310940 0 26732 0 27449 0 19250 0 28922 0 413293 0 0 0 RIDHIMA GUPTA PHYSICIAN 339305 0 32000 0 2751 0 19250 0 7463 0 400769 0 0 0 STEPHEN DAVIS DENTAL DIRECTOR 188592 0 181857 0 3354 0 8250 0 28922 0 410975 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. PART I, LINE 4B K. PETER TOOP, CFO; 457F PLAN PAID OUT $164,113 GLEN DAVIS, DIRECTOR OF OPERATIONS; 457F PLAN PAID OUT $58,882 MARK KODAY, CHIEF DENTAL OFFICER; 457F PLAN PAID OUT $89,521 PART I, LINE 1 BOARD MEMBERS RECEIVED TRAVEL FOR ONE COMPANION TO THE BOARD'S ANNUAL RETREAT. AN OUTSIDE ORGANIZATION CONTRIBUTED THE MONEY TO PAY FOR THIS BENEFIT IN THE AMOUNT OF $4,257. THE ORGANIZATION GROSSES UP EMPLOYEE COMPENSATION TO COVER THE INCOME TAXES ON LIFE INSURANCE GREATER THAN $50,000. 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 9196 2707 0 1 0 PATRICIA MYERS TREASURER TRAVEL-PERSONAL X 938 938 0 0 0 3645 FORM 990, PART VI, SECTION B, LINE 11B BEFORE BEING FILED, THE FORM 990 WAS REVIEWED IN DETAIL BY THE CONTROLLER, THE CFO, AND THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND WAS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS. 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, CFO AND COO 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 CFO AND COO ARE 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 1 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 AGENA (BUILDING) B 10274558 BOOK VALUE AGENA (RECEIVABLE DUE FROM) D 6537329 CASH AGENA (PAYABLE DUE TO) E 17086329 CASH AGENA (SUBLEASE GRANGER FROM AGENA) K 136012 CASH AGENA (SHARED EMPLOYEES) O 269458 CASH