2022-02-15T18:53:28-06:00 2021-03-31 410746749 CLIFTONLARSONALLEN LLP 1202 N 16TH AVE STE 100 YAKIMA WA 98902 990 2020-04-01 911019392 YAKIMA VALLEY FARM WORKERS CLINIC YAKI 5098655898 PO BOX 190 TOPPENISH WA 98948 CHRISTY BRACEWELL TROTTER CFO AND INTERIM CEO 5098655898 2022-02-15 1 CHRISTY BRACEWELL TROTTER 999009999 STACY SHORT P00837115 5098232910 3 AAL1 IAL1 2020 2022-05-20 13:21:51Z CHRISTY BRACEWELL TROTTER PO BOX 190 TOPPENISH WA 98948 284126227 0 X WWW.YVFWC.ORG X 1978 WA YVFWC PROVIDES HEALTH SERVICES, EDUCATIONAL AND SOCIAL PROGRAMS IN UNDERSERVED AND RURAL REGIONS. 13 13 2322 150 0 0 36524100 50354950 195797269 209791135 1088877 2405306 1530866 1655601 234941112 264206992 14599899 33883880 0 0 149925177 153006576 0 0 808110 68228967 70854792 232754043 257745248 2187069 6461744 207992972 231543974 73162155 90178361 134830817 141365613 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 199488791 31116642 198196124 MEDICAL AND DENTAL PRIMARY CARE SERVICES, CASE MANAGEMENT, WIC AND OTHER SUCH PROGRAMS PROVIDED ON A SLIDING FEE BASIS. DURING THE YEAR, THERE WERE 437,256 MEDICAL AND CASE MANAGEMENT ENCOUNTERS, 140,386 DENTAL ENCOUNTERS AND 739,555 PRESCRIPTIONS FILLED. 6244281 2767238 3688 LOW INCOME ENERGY ASSISTANCE, HOME WEATHERIZATION, AND EDUCATION AND COUNSELING SERVICES. DURING THE YEAR THERE WERE 9,635 INDIVIDUALS SERVED. 8091001 0 11438250 MENTAL HEALTH COUNSELING AND CHEMICAL DEPENDENCY COUNSELING. MENTAL HEALTH AND CHEMICAL DEPENDENCY ENCOUNTERS DURING THE YEAR WERE 31,812. 0 0 153073 MEANINGFUL USE INCENTIVES 0 0 153073 213824073 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 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 328 0 2322 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 CHRISTY BRACEWELL TROTTER 5098655898 604 WEST 1ST AVENUE TOPPENISH WA 989480190 JUAN CARLOS OLIVARES CHIEF EXECUTIVE OFFICER 40.00 1.00 X 1025375 0 23696 SARAH E HENDRICKSON PHYSICIAN 40.00 0.00 X 466983 0 33696 RIDHIMA GUPTA PHYSICIAN 40.00 0.00 X 454790 0 43946 K PETER TOOP CHIEF REX CONSILIARIUS 39.00 1.00 X 436629 0 16515 RICHARD CHUNG STAFF PSYCHIATRIST 32.00 0.00 X 399023 0 41346 AARON W GRIGG PHYSICIAN 40.00 0.00 X 406693 0 30118 HILARY A CONWAY PHYSICIAN 32.00 0.00 X 392494 0 34145 GLEN W DAVIS DIRECTOR OF OPERATIONS 40.00 0.00 X 359871 0 16671 CHRISTY BRACEWELL TROTTER CHIEF FINANCIAL OFFICER 39.00 1.00 X 339078 0 23852 KEVIN S HEIDRICK CHIEF MEDICAL OFFICER 40.00 0.00 X 318122 0 37027 VIRGINIA SANTILLANES CHAIR 1.00 2.00 X X 0 0 0 ELIZABETH CERNA VICE CHAIR 1.00 0.00 X X 0 0 0 IRENE TAYLOR SECRETARY 1.00 0.00 X X 0 0 0 PATRICIA MYERS TREASURER 1.00 2.00 X X 0 0 0 ALFREDO ACEVES DIRECTOR 1.00 0.00 X 0 0 0 JOSE ALBERTO NUNEZ DIRECTOR 1.00 0.00 X 0 0 0 ROBERTO ALVIZO 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 MIGUEL ESQUIVEL DIRECTOR 1.00 1.00 X 0 0 0 ADRIAN OCHOA DIRECTOR 1.00 0.00 X 0 0 0 TOM SAK DIRECTOR 1.00 2.00 X 0 0 0 MARTIN TORRES DIRECTOR 1.00 0.00 X 0 0 0 4599058 0 301012 278 0 1 0 NEENAN COMPANY LLLP 3325 S TIMBERLINE ROAD SUITE 100 FORT COLLINS CO 80525 DESIGN/CONSTRUCTION 7114165 EPIC SYSTEMS CORPORATION-HOSTING BIN 88065 MILWAUKEE WI 53288 COMPUTER SERVICE 1996478 ABM JANITORIAL SERVICES PO BOX 419860 BOSTON MA 022419860 CLEANING SERVICES 1900619 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 COMPUTER SERVICE 1742014 KITT CONSTRUCTION & DEVELOPMENT LLC PO BOX 8249 YAKIMA WA 98908 CONSTRUCTION 1027471 52 47974150 2380800 50354950 MEDICAL, DENTAL, PHARMACY 621400 198196124 198196124 MENTAL HEALTH & SUBSTANCE 621400 11438250 11438250 MEANINGFUL USE 621400 153073 153073 COMMUNITY ACTION CENTER 621400 3688 3688 209791135 1528412 1528412 398955 0 398955 398955 398955 20794324 1805 19904706 14529 889618 -12724 876894 876894 MISCELLANEOUS 900099 1256646 1256646 1256646 264206992 209791135 0 4060907 31116642 31116642 2767238 2767238 2637444 2637444 118613741 97832981 20192313 588447 2818665 2329634 472623 16408 18235042 14762362 3391802 80878 10701684 8805967 1828084 67633 153798 17803 135995 135831 135831 114749 114749 13374311 11035752 2298491 40068 531358 326765 204593 4976974 4468165 501579 7230 8643388 749540 7891009 2839 4650733 4583875 66858 483920 217346 262815 3759 1019845 1019845 10659901 9326526 1333375 618046 3758 614288 MEDICAL SUPPLIES 18851855 18851855 EQUIPMENT 2707590 2365465 341985 140 RECRUITMENT 861439 676074 185365 BAD DEBT 432931 432931 2638123 2133549 503866 708 257745248 213824073 43113065 808110 7746990 9338573 16643100 23859351 2647411 2162397 18342174 13547228 0 11634513 1012944 928751 822600 731585 189382055 104162860 91855399 85219195 48014554 66941154 3045728 3045728 6659645 6312133 11202427 7823366 207992972 231543974 24692044 26209807 290568 68395 28307077 27375149 823 2462 0 15514453 19871643 21008095 73162155 90178361 X 134830817 141365613 134830817 141365613 207992972 231543974 6461744 73052 0 X X 0 1 X 1 1 1 X 42778453 41692139 41943094 36524100 50354950 213292736 42778453 41692139 41943094 36524100 50354950 213292736 213292736 1520835 1596009 1572659 1994785 1927367 8611655 1162054 1256646 2418700 224323091 888621431 0.95080 0.96040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13133262 13133262 103474188 56207867 47266321 31626365 15637851 15988514 39290432 32317142 6973290 1857808 1857808 85219195 PAYABLE TO RELATED PARTY 21008095 21008095 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, 2021, 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) 21000000 0 N/A N/A GENERAL SUPPORT YVFWC HEALTHCARE FACILITIES DEVELOPMENT PO BOX 190 TOPPENISH WA 98948 850939228 501(C)(3) 4178556 5875892 FMV TRANSFER OF CIP AND LAND GENERAL SUPPORT CLINICA MEDICAL NUESTRA SENORA DE GUADALUPE 1495 LIBERTY ST NE SALEM OR 97302 931104289 501(C)(3) 30000 0 N/A N/A GENERAL SUPPORT GRACE CITY OUTREACH 500 UNIVERSITY PARKWAY APT 211 YAKIMA WA 98901 844485102 501(C)(3) 15000 0 N/A N/A GENERAL SUPPORT WASHINGTON STATE UNIVERSITY FOUNDATION PO BOX 641927 PULLMAN WA 991641927 911075542 501(C)(3) 5000 0 N/A N/A GENERAL SUPPORT 5 0 DIRECT PAYMENTS FOR HOUSING AND ENERGY SERVICES 9635 2767238 0 N/A N/A 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 1 1 X X X X X 0 1 0 0 0 1 0 0 0 JUAN CARLOS OLIVARES CHIEF EXECUTIVE OFFICER 596370 0 353567 0 75438 0 8550 0 15146 0 1049071 0 0 0 SARAH E HENDRICKSON PHYSICIAN 426828 0 21072 0 19083 0 18550 0 15146 0 500679 0 0 0 RIDHIMA GUPTA PHYSICIAN 425346 0 21072 0 8372 0 21550 0 22396 0 498736 0 0 0 K PETER TOOP CHIEF REX CONSILIARIUS 375993 0 30691 0 29945 0 8550 0 7965 0 453144 0 0 0 RICHARD CHUNG STAFF PSYCHIATRIST 377082 0 13500 0 8441 0 18950 0 22396 0 440369 0 0 0 AARON W GRIGG PHYSICIAN 242527 0 12665 0 151501 0 7722 0 22396 0 436811 0 0 0 HILARY A CONWAY PHYSICIAN 366804 0 17058 0 8632 0 20550 0 13595 0 426639 0 0 0 GLEN W DAVIS DIRECTOR OF OPERATIONS 316189 0 31188 0 12494 0 8550 0 8121 0 376542 0 0 0 CHRISTY BRACEWELL TROTTER CHIEF FINANCIAL OFFICER 305150 0 25019 0 8909 0 8550 0 15302 0 362930 0 0 0 KEVIN S HEIDRICK CHIEF MEDICAL OFFICER 283932 0 8299 0 25891 0 28906 0 8121 0 355149 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 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. PART I, LINE 1 THE ORGANIZATION GROSSES UP EMPLOYEE COMPENSTAION TO COVER THE INCOME TAXES ON LIFE INSURANCE GREATER THAN $50,000. A THE HOSPITAL FACILITY AUTHORITY OF UMATILLA COUNTY 931239006 2018-11-01 3016900 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 PAYROLL DEDUCTIONS IN EXCESS OF TRAVEL ADVANCES X 823 2462 0 1 0 2462 FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 IS REVIEWED IN DETAIL BY THE CFO AND THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND IS 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 CEO, CFO AND COO ARE REVIEWED ANNUALLY BY AN INDEPENDENT CONSULTANT USING COMPENSATION SURVEYS AND REVIEW OF OTHER ORGANIZATIONS' FORM 990. THE COMPENSATION OF THE CEO IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE COMPENSATION OF THE CFO AND COO ARE REVIEWED AND APPROVED BY THE CEO AND THE HR DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 CORPORATE BYLAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AS RECORDED IN FORM 990 ARE AVAILABLE UPON REQUEST MADE TO THE CEO AT YVFWC ADMINISTRATIVE HEADQUARTERS AT P.O. BOX 190, TOPPENISH, WA 98948 FORM 990 PART XII, LINE 2C: THE ORGANIZATION'S PROCESS FOR SELECTING AN INDEPENDENT AUDITOR AND FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE YEAR. AGENA PO BOX 190 TOPPENISH WA 98948 203316363 SUPPORT ORGANIZATION WA 501(C)(3) LINE 12A, I YAKIMA VALLEY FARM WORKERS CLINIC 1 YVFWC HEALTHCARE FACILITIES DEVELOPMENT PO BOX 190 TOPPENISH WA 98948 850939228 SUPPORT ORGANIZATION WA 501(C)(3) LINE 12C, III-FI N/A 1 0 1 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 1 0 AGENA (CONTRIBUTION) B 21000000 CASH AGENA (RECEIVABLE DUE FROM) D 1053446 CASH AGENA (PAYABLE DUE TO) E 21008095 CASH AGENA (SUBLEASE GRANGER FROM AGENA) K 755972 CASH AGENA (SHARED EMPLOYEES) O 280489 CASH YVFWC HEALTHCARE FACILITIES DEVELOPMENT (CONTRIBUTION) B 4178556 CASH YVFWC HEALTHCARE FACILITIES DEVELOPMENT (TRANSFER OF PROPERTY) R 5875892 FMV