2021-12-21T09:55:49-06:00 2021-03-31 930743240 HOFFMAN STEWART & SCHMIDT PC 3 CENTERPOINTE DRIVE SUITE 300 LAKE OSWEGO OR 970358663 990 2020-04-01 930717997 VIRGINIA GARCIA MEMORIAL HEALTH CENTER VIRG 5033598505 PO BOX 6149 ALOHA OR 970070149 ARACELI GAYTAN CFO 5033598505 2021-12-16 1 ARACELI GAYTAN 999009999 TODD D MASSINGER P00075883 5032205900 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z ARACELI GAYTAN PO BOX 6149 ALOHA OR 970070149 82918447 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 15 679 131 0 0 12172703 18762804 41132133 53399548 228732 174893 6872208 7730443 60405776 80067688 0 0 0 0 48323632 47858824 0 0 1213793 15649407 14890052 63973039 62748876 -3567263 17318812 47686493 67880019 7571383 9658703 40115110 58221316 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 48446686 60794182 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. 48446686 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 96 0 1 679 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 GEOFFREY CARDEN TEACHING HEALTH CTR PROG D 36.00 X 229419 0 12416 LAURA BYERLY CO-MED DIRECTOR 40.00 X 218948 0 22640 KELLY CRAWFORD PHYSICIAN, LEAD CLINICIAN 40.00 X 222172 0 13599 KATHRYN MENNINGER PHYSICIAN,W/PB FELLOWSHIP 40.00 X 221941 0 12326 MARION HULL PHYSICIAN, LEAD CLINICIAN 36.00 X 209724 0 11484 CHRISTIAN HILL ASSOC MED DIRECTOR 32.00 X 186970 0 29992 LISA BOZZETTI DENTAL DIRECTOR 40.00 X 200412 0 11906 KATHERINE ELSTUN PHYSICIAN, LEAD CLINICIAN 40.00 X 207631 0 3550 GILLES MUNOZ CEO 40.00 X 181373 0 29633 CHRISTINE HICKS PHARMACY DIRECTOR 40.00 X 160174 0 22375 ARACELI GAYTAN CFO 40.00 X 157850 0 22314 SARAH DEINES DIRECTOR OF QUALITY 40.00 X 143433 0 27789 MARIA LOREDO COO 40.00 X 130832 0 19171 RACHEL LI TALENT AND ORGANIZATION DEVELOPMENT DIRECTOR 40.00 X 126295 0 13391 JUAN GARFIAS IT DIRECTOR 40.00 X 106889 0 25747 FREDERICK DOLGIN DCOO 40.00 X 91257 0 25177 ALEJANDRA AGUILAR MEMBER 1.00 X 0 0 0 ERNESTINA ARANDA 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 SECRETARY, FIN COMM 1.00 X 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 CRAIG HOSTETLER TREASURE, FIN COMM 1.00 X X 0 0 0 KETAN SAMPAT MEMBER 1.00 X 0 0 0 MICHAEL YATES MEMBER 1.00 X 0 0 0 MARY LUDLUM MEMBER 1.00 X 0 0 0 JOAQUIN BORREGO MEMBER 1.00 X 0 0 0 TIM FLEISCHMANN MEMBER, FIN COMM 1.00 X 0 0 0 SUSAN FELSTINER MEMBER 1.00 X 0 0 0 JESSICA KITT MEMBER 1.00 X 0 0 0 2795320 0 303510 15 0 1 0 LIFEWORKS NORTHWEST 14600 NW CORNELL ROAD PORTLAND OR 97229 MENTAL HEALTH PROFESSIONAL SERVICES 1287106 PASSPORT TO LANGUAGES 3912 SW 43RD AVE PORTLAND OR 97221 TRANSLATION SERVICES 268891 THE ONE'S JANITORIAL SERVICES 11485 SW SPRINGWOOD DRIVE TIGARD OR 97223 JANITORIAL SERVICES 152363 ALLSTREAM PO BOX 2966 MILWAUKEE WI 53201 TELEPHONE/DATA LINE SERVICE PROVIDER 147617 COMCAST PO BOX 37601 PHILADELPHIA PA 19101 INTERNET SERVICES 118463 5 2547212 15690543 525049 177593 18762804 MEDICAL/DENTAL SERVICES 621110 53399548 53399548 53399548 148891 148891 107863 0 107863 107863 107863 26002 0 26002 26002 26002 10245393 2850759 7394634 7394634 MISCELLANEOUS REVENUE 621110 227946 227946 227946 80067688 60794182 0 510702 2023329 1552537 429844 40948 35554439 27281564 7553323 719552 6053759 4645159 1286084 122516 1242942 953732 264055 25155 2984355 2289950 634008 60397 42505 32608 9634 263 116720 89543 26454 723 34709 34709 2263895 1736556 513302 14037 1909758 1837273 55014 17471 1728441 1370726 339964 17751 3848669 2836904 922438 89327 1871278 1491634 347396 32248 358441 250398 103570 4473 OTHER 934357 651919 230512 51926 EQUIPMENT AND VEHICLES 852503 663995 185246 3262 MEDICAL CONTRACTS AND S 529675 529550 125 TRAINING AND EDUCATION 222982 120858 92486 9638 176119 111780 60233 4106 62748876 48446686 13088397 1213793 5104428 6654201 5496699 6079919 63803 157467 986652 999950 39740365 14427341 26940980 25313024 9029459 27956906 64472 718552 47686493 67880019 4095729 6123607 3475654 3535096 7571383 9658703 X 40115110 58221316 40115110 58221316 47686493 67880019 17318812 787394 0 X X 0 1 X 1 1 1 X 11106098 18941200 12363631 12172703 18762804 73346436 11106098 18941200 12363631 12172703 18762804 73346436 73346436 54242 54663 173155 331179 282756 895995 225378 154325 97951 228117 227946 933717 75176148 227983523 0.97570 0.98320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 637449 637449 16774761 4339760 12435001 12741007 2966588 9774419 9587148 7120993 2466155 25313024 X 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 GEOFFREY CARDEN TEACHING HEALTH CTR PROG D 229419 0 0 0 0 0 11721 0 695 0 241835 0 0 0 LAURA BYERLY CO-MED DIRECTOR 218948 0 0 0 0 0 11073 0 11567 0 241588 0 0 0 KELLY CRAWFORD PHYSICIAN, LEAD CLINICIAN 222172 0 0 0 0 0 11335 0 2264 0 235771 0 0 0 KATHRYN MENNINGER PHYSICIAN,W/PB FELLOWSHIP 221941 0 0 0 0 0 11173 0 1153 0 234267 0 0 0 MARION HULL PHYSICIAN, LEAD CLINICIAN 209724 0 0 0 0 0 9724 0 1760 0 221208 0 0 0 CHRISTIAN HILL ASSOC MED DIRECTOR 186970 0 0 0 0 0 9697 0 20295 0 216962 0 0 0 LISA BOZZETTI DENTAL DIRECTOR 200412 0 0 0 0 0 10305 0 1601 0 212318 0 0 0 KATHERINE ELSTUN PHYSICIAN, LEAD CLINICIAN 207631 0 0 0 0 0 1949 0 1601 0 211181 0 0 0 GILLES MUNOZ CEO 181373 0 0 0 0 0 9338 0 20295 0 211006 0 0 0 CHRISTINE HICKS PHARMACY DIRECTOR 160174 0 0 0 0 0 8165 0 14210 0 182549 0 0 0 ARACELI GAYTAN CFO 157850 0 0 0 0 0 8104 0 14210 0 180164 0 0 0 SARAH DEINES DIRECTOR OF QUALITY 143433 0 0 0 0 0 7494 0 20295 0 171222 0 0 0 MARIA LOREDO COO 130832 0 0 0 0 0 6794 0 12377 0 150003 0 0 0 X SUPPLIES 1 177599 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 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 VIRGINIA GARCIA MEMORIAL FOUNDATION C 2547212 AMOUNT RECEIVED