2021-02-01T11:30:46-06:00 2020-03-31 410746749 CLIFTONLARSONALLEN LLP 1202 N 16TH AVE STE 100 YAKIMA WA 98902 990 2019-04-01 911019392 YAKIMA VALLEY FARM WORKERS CLINIC YAKI 5098655898 PO BOX 190 TOPPENISH WA 98948 CHRISTINE S TROTTER CFO 5098655898 2021-01-27 1 STACY SHORT P00837115 5098232910 2019 2022-09-23 18:48:47Z JUAN CARLOS OLIVARES PO BOX 190 TOPPENISH WA 98948 262574073 0 X WWW.YVFWC.ORG X 1978 WA YVFWC PROVIDES HEALTH SERVICES, EDUCATIONAL AND SOCIAL PROGRAMS IN UNDERSERVED AND RURAL REGIONS. 13 13 2579 183 0 0 41943094 36524100 179518488 195797269 1242493 1088877 0 1530866 222704075 234941112 11862987 14599899 0 0 134981521 149925177 0 0 817420 66822494 68228967 213667002 232754043 9037073 2187069 215817733 207992972 83911553 73162155 131906180 134830817 X 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 172310909 13064350 184654498 MEDICAL AND DENTAL PRIMARY CARE SERVICES, CASE MANAGEMENT, WIC AND OTHER SUCH PROGRAMS PROVIDED ON A SLIDING FEE BASIS. DURING THE YEAR, THERE WERE 496,104 MEDICAL AND CASE MANAGEMENT ENCOUNTERS, 157,337 DENTAL ENCOUNTERS AND 622,380 PRESCRIPTIONS FILLED. 6492122 1535549 3526 LOW INCOME ENERGY ASSISTANCE, HOME WEATHERIZATION, AND EDUCATION AND COUNSELING SERVICES. DURING THE YEAR THERE WERE 11,024 INDIVIDUALS SERVED. 8257481 0 10578245 MENTAL HEALTH COUNSELING AND CHEMICAL DEPENDENCY COUNSELING. MENTAL HEALTH AND CHEMICAL DEPENDENCY ENCOUNTERS DURING THE YEAR WERE 31,513. 561000 MEANINGFUL USE INCENTIVES 561000 187060512 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 1 313 0 2579 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 CHRISTINE S TROTTER 5098655898 604 WEST 1ST AVENUE TOPPENISH WA 989480190 JUAN CARLOS OLIVARES EXECUTIVE DIRECTOR 40.00 1.00 X 1062040 0 27672 K PETER TOOP CHIEF REX CONSILLARUS 40.00 1.00 X 485197 0 16142 RIDHIMA GUPTA PHYSICIAN 40.00 0.00 X 427109 0 50141 JENA WORLEY MEDICAL DIRECTOR BHS 38.00 0.00 X 352756 0 55791 GLEN DAVIS DIRECTOR OF OPERATIONS 40.00 0.00 X 331228 0 16298 KEVIN HEIDRICK CHIEF MEDICAL OFFICER 40.00 0.00 X 304146 0 36412 JOSEPH R WILSON DENTIST- LEAD 40.00 0.00 X 405661 0 27273 CHRISTINE S TROTTER CFO 40.00 1.00 X 267204 0 27917 AARON D ANDERSON PHYSICIAN 32.00 0.00 X 372375 0 38191 NORMAN NAIDEN PHYSICIAN 36.00 0.00 X 407704 0 14876 VIRGINIA SANTILLANES CHAIR 1.00 1.00 X X 0 0 0 MIGUEL ESQUIVEL DIRECTOR 1.00 1.00 X 0 0 0 ELIZA CERNA VICE CHAIR 1.00 0.00 X X 0 0 0 ROBERTO ALVIZO SECRETARY 1.00 0.00 X X 0 0 0 PATRICIA MYERS TREASURER 1.00 1.00 X X 0 0 0 TOM SAK PAST CHAIR 1.00 1.00 X 0 0 0 ALFREDO ACEVES DIRECTOR 1.00 0.00 X 0 0 0 SANDRA APRIL DIRECTOR 1.00 0.00 X 0 0 0 LORENZO CUEVAS DIRECTOR 1.00 0.00 X 0 0 0 JOSE ALBERTO NUNEZ DIRECTOR 1.00 0.00 X 0 0 0 LARRY SANCHEZ DIRECTOR 1.00 0.00 X 0 0 0 MARTIN TORRES DIRECTOR 1.00 0.00 X 0 0 0 IRENE TAYLOR DIRECTOR 1.00 0.00 X 0 0 0 4415420 0 310713 259 0 1 0 EPIC SYSTEMS CORPORATION-HOSTING BIN 88065 MILWAUKEE WI 53288 COMPUTER SERVICE 1983165 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 COMPUTER SERVICE 1777479 ABM JANITORIAL SERVICES PO BOX 419860 BOSTON MA 022419860 CLEANING SERVICES 1744970 NEENAN COMPANY LLLP 3325 S TIMBERLINE ROAD SUITE 100 FORT COLLINS CO 80525 DESIGN/CONSTRUCTION 1474620 MINH DAO PO BOX 1350 ZILLAH WA 98953 LOCUM SERVICES 856184 40 35045283 1478817 36524100 MEDICAL, DENTAL, PHARMACY 621400 184654498 184654498 MENTAL HEALTH & SUBSTANCE 621400 10578245 10578245 MEANINGFUL USE 621400 561000 561000 COMMUNITY ACTION CENTER 621400 3526 3526 195797269 1625973 1625973 368812 0 368812 368812 368812 27095865 27627986 4975 -532121 -4975 -537096 -537096 MISCELLANEOUS 900099 1162054 1162054 1162054 234941112 195797269 0 2619743 13064350 13064350 1535549 1535549 2538480 2538480 118734292 97072202 21059106 602984 2646764 2145438 483243 18083 17009637 14001202 2937265 71170 8996004 7626685 1307997 61322 139007 35699 103308 97250 97250 110671 110671 12715821 10911787 1770605 33429 862596 711857 150739 4784753 4185961 587853 10939 7374276 274043 7099780 453 4076566 3786427 290139 1930181 1097474 816658 16049 944041 944041 11574848 8248932 3325916 425874 3604 422270 MEDICAL SUPPLIES 16068136 16068136 EQUIPMENT 2333170 1644184 687577 1409 RECRUITMENT 1120550 829060 291076 414 BAD DEBT 651511 651511 3019716 2222370 796178 1168 232754043 187060512 44876111 817420 6181693 7746990 14861529 16643100 2151498 2647411 20324489 18342174 3645 0 607877 1012944 664906 822600 194491727 102636328 102334987 91855399 46452875 48014554 2832728 3045728 4650300 6659645 14751206 11202427 215817733 207992972 37262543 24692044 22632 290568 29540177 28307077 823 17086201 19871643 83911553 73162155 X 131906180 134830817 131906180 134830817 215817733 207992972 2187069 737568 0 X X 0 1 X 1 1 1 X 38128737 42778453 41692139 41943094 36524100 201066523 38128737 42778453 41692139 41943094 36524100 201066523 201066523 1616923 1520835 1596009 1572659 1994785 8301211 209367734 817291986 0.96040 0.96050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11801644 11801644 100557044 51857194 48699850 29877109 13125760 16751349 46454236 37653374 8800862 5801694 5801694 91855399 THIRD-PARTY PAYOR SETTLEMENTS 11202427 11202427 PAYABLE TO RELATED PARTY 19871643 19871643 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, 2020, 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 AGENA PO BOX 190 TOPPENISH WA 98948 203316363 501(C)(3) 13000000 GENERAL SUPPORT CENTRAL WASHINGTON FAIR ASSOCIATION 1301 S FAIR AVE YAKIMA WA 98901 910171268 501(C)(3) 18000 GENERAL SUPPORT SUNRISE OUTREACH CENTER PO BOX 10413 YAKIMA WA 98908 271028426 501(C)(3) 15000 GENERAL SUPPORT JUNIOR ACHIEVEMENT OF WASHINGTON 1700 WESTLAKE AVE N STE 400 SEATTLE WA 98109 910604913 501(C)(3) 12500 GENERAL SUPPORT 4 0 DIRECT PAYMENTS FOR HOUSING AND ENERGY SERVICES 11024 1535549 PART I, LINE 2: BEFORE YVFWC DONATES MONEY TO ANOTHER ORGANIZATION, YVFWC CONFIRMS THAT THE RECIPIENT ORGANIZATION IS A 501(C)(3) ORGANIZATION. CONTRIBUTIONS ARE UNRESTRICTED, SO YVFWC DOES NOT MONITOR THE USE OF FUNDS. 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 543749 0 461258 0 57033 0 8400 0 19272 0 1089712 0 0 0 K PETER TOOP CHIEF REX CONSILLARUS 392177 0 47243 0 45777 0 8400 0 7742 0 501339 0 0 0 RIDHIMA GUPTA PHYSICIAN 387628 0 32000 0 7481 0 20400 0 29741 0 477250 0 0 0 JENA WORLEY MEDICAL DIRECTOR BHS 315981 0 25556 0 11219 0 24550 0 31241 0 408547 0 0 0 GLEN DAVIS DIRECTOR OF OPERATIONS 291365 0 27378 0 12485 0 8400 0 7898 0 347526 0 0 0 KEVIN HEIDRICK CHIEF MEDICAL OFFICER 278655 0 8257 0 17234 0 28514 0 7898 0 340558 0 0 0 JOSEPH R WILSON DENTIST- LEAD 250897 0 57152 0 97612 0 8400 0 18873 0 432934 0 0 0 CHRISTINE S TROTTER CFO 250178 0 13380 0 3646 0 7769 0 20148 0 295121 0 0 0 AARON D ANDERSON PHYSICIAN 209879 0 19558 0 142938 0 7165 0 31026 0 410566 0 0 0 NORMAN NAIDEN PHYSICIAN 197139 0 0 0 210565 0 6833 0 8043 0 422580 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 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 $4,641. THE ORGANIZATION GROSSES UP EMPLOYEE COMPENSTAION TO COVER THE INCOME TAXES ON LIFE INSURANCE GREATER THAN $50,000. PART I, LINE 4B THE CLINIC INSTITUTED SUPPLEMENTAL EXECUTIVE BENEFIT PLANS EFFECTIVE NOVEMBER 1, 2001. THESE PLANS PROVIDE FOR EMPLOYER PAID LIFE INSURANCE AND A RETIREMENT BENEFIT PLAN FOR MANAGEMENT EXECUTIVES, CLINIC ADMINISTRATORS, PROGRAM DIRECTORS, EXECUTIVE SECRETARIES, FACILITY MANAGERS, BILLING MANAGERS, AND DENTAL COORDINATORS. A THE HOSPITAL FACILITY AUTHORITY OF UMATILLA COUNTY 931239006 2018-11-01 2956562 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 911108929 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 202251 3016900 60338 2956562 2008 0 0 1 1 B 551061 4626158 4626158 2007 0 0 1 1 C 1426464 14250000 14250000 2016 0 0 1 1 D 1290995 9971012 97845 9873167 2017 0 0 1 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 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 0 0 0 1 0 0 0 0 D 0 1 0 0 0 0 0 0 0 A 1 B 1 C 1 D 1 JUAN CARLOS OLIVARES CEO REIMBURSEMENT OF TRAVEL EXPENSE NOT COVERED BY CORPORATION X 823 823 0 1 0 823 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 AVAILABLE 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 (CONTRIBUTION) B 13000000 CASH AGENA (RECEIVABLE DUE FROM) D 7049063 CASH AGENA (PAYABLE DUE TO) E 19871643 CASH AGENA (SUBLEASE GRANGER FROM AGENA) K 217942 CASH AGENA (SHARED EMPLOYEES) O 257463 CASH