2022-12-09T10:55:13-06:00 2022-03-31 930743240 HOFFMAN STEWART & SCHMIDT PC 3 CENTERPOINTE DRIVE SUITE 300 LAKE OSWEGO OR 970358663 990 2021-04-01 930717997 VIRGINIA GARCIA MEMORIAL HEALTH CENTER VIRG 5033598508 PO BOX 6149 ALOHA OR 970070149 ARACELI GAYTAN CFO 5033598508 2022-12-07 1 ARACELI GAYTAN 999009999 TODD D MASSINGER P00075883 5032205900 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z ARACELI GAYTAN PO BOX 6149 ALOHA OR 970070149 95692706 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. 13 13 714 231 0 0 18762804 19345372 53399548 65463145 174893 660493 7730443 7164807 80067688 92633817 0 0 0 0 47858824 53058562 0 0 1212038 14890052 19934924 62748876 72993486 17318812 19640331 67880019 86078591 9658703 9216964 58221316 76861627 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 55587430 72348890 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. 55587430 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 1 147 0 1 714 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 ARACELI GAYTAN 5033598508 PO BOX 6149 ALOHA OR 970070149 ALEJANDRA AGUILAR MEMBER 1.00 X 0 0 0 CRAIG HOSTETLER TREASURER 1.00 X X 0 0 0 JESSICA KITT MEMBER 1.00 X 0 0 0 JOAQUIN BORREGO MEMBER 1.00 X 0 0 0 KETAN SAMPAT MEMBER 1.00 X 0 0 0 LAUREL DURHAM SECRETARY 1.00 X X 0 0 0 LAURINDA MACKENZIE MEMBER 1.00 X 0 0 0 MARY LUDLUM VICE CHAIR 1.00 X X 0 0 0 MICHAEL YATES 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 RICARDO PALAZUELOS CHAIR 1.00 X X 0 0 0 SUSAN FELSTINER MEMBER 1.00 X 0 0 0 LAURA BYERLY MEDICAL DIRECTOR 40.00 X 253308 0 26001 GILLES MUNOZ CEO 40.00 X 247730 0 31308 LISA BOZZETTI DENTAL DIRECTOR 40.00 X 211635 0 25245 CHRISTIAN HILL ASSOC MED DIRECTOR 32.00 X 194496 0 30646 CHRISTINE HICKS PHARMACY DIRECTOR 40.00 X 190861 0 24098 ARACELI GAYTAN CFO 40.00 X 178669 0 23601 SARAH DEINES DIRECTOR OF QUALITY 40.00 X 152301 0 28475 RACHEL LI VP OF TALENT INSIGHTS 40.00 X 147814 0 14586 JUAN GABRIEL GARFIAS LOPEZ IT DIRECTOR 40.00 X 129010 0 27174 KIMBERLY WILCOX DIR OF BEHAVIORAL & MENTAL HEALTH 40.00 X 109155 0 18366 ANGELA HURLEY DOO 40.00 X 107675 0 13229 KAVITHA PRAKASH DIRECTOR OF DATA ANALYTICS 40.00 X 98664 0 11338 KASI WOIDYLA DIR OF MARKETING & COMMUNICATIONS 40.00 X 94516 0 5374 HAZEL WHEELER DIRECTOR OF PATIENT SUPPORT 40.00 X 84511 0 17564 MARIA LOREDO COO 40.00 X 83913 0 10902 MARK MILLAN COO 40.00 X 74458 0 3443 FREDERICK DOLGIN DCOO 40.00 X 58998 0 10569 KELLY CRAWFORD SITE MEDICAL DIRECTOR 40.00 X 231886 0 32379 MARION HULL PHYSICIAN 36.00 X 227653 0 23260 GEOFFREY CARDEN SIRE MEDICAL DIRECTOR 32.00 X 219138 0 11375 KATHERINE ELSTUN PHYSICIAN 40.00 X 218991 0 16617 SASAN BAHERI DENTIST 48.00 X 205280 0 23611 3520662 0 429161 16 0 1 0 LIFEWORKS NORTHWEST 5415 SW WESTGATE DR PORTLAND OR 97221 MENTAL HEALTH PROFESSIONAL SERVICES 1365175 MAXIM HEALTHCARE STAFFING SERVICES 12558 COLLECTIONS CENTER DR CHICAGO IL 60693 STAFFING AGENCY 320842 PASSPORT TO LANGUAGES 3912 SW 43RD AVENUE PORTLAND OR 97221 TRANSLATION SERVICES 271601 LINGUAVA INTERPRETERS INC 12106 NE MARX ST PORTLAND OR 97220 TRANSLATION SERVICES 159874 THE ONE'S JANITORIAL SERVICES 11485 SW SPRINGWOOD DR TIGARD OR 97223 JANITORIAL SERVICES 158024 9 2297981 16433411 613980 109101 19345372 MEDICAL/DENTAL SERVICES 621110 65463145 65463145 65463145 633610 633610 120137 0 120137 120137 120137 26788 95 0 0 26788 95 26883 26883 9944634 3058889 6885745 6885745 MISCELLANEOUS REVENUE 621110 158925 158925 158925 92633817 72348890 0 939555 2988977 2259441 677934 51602 40010636 30245019 9074865 690752 1483224 1121205 336412 25607 5393091 4076770 1223214 93107 3182634 2405831 721857 54946 24697 18959 5666 72 110439 84780 25336 323 48754 48754 4614670 3542503 1058664 13503 2099649 1994302 90999 14348 2906642 2305334 580586 20722 3919084 2881439 946769 90876 1850594 1487439 333791 29364 411061 294379 108901 7781 EQUIPMENT AND VEHICLES 1080941 825267 244738 10936 MEDICAL CONTRACTS AND S 738933 732720 6200 13 TRAINING AND EDUCATION 540859 321069 217778 2012 MEMBERSHIP DUES AND FEE 231111 144199 81070 5842 1357490 846774 410484 100232 72993486 55587430 16194018 1212038 6654201 9581651 6079919 7029135 157467 91010 999950 1095729 43296278 16088279 25313024 27207999 27956906 40568419 718552 504648 67880019 86078591 6123607 5565850 3535096 3651114 9658703 9216964 X 58221316 76861627 58221316 76861627 67880019 86078591 19640331 -1000020 0 X X 0 1 X 1 1 1 X 18941200 12363631 12172703 18762804 19345372 81585710 18941200 12363631 12172703 18762804 19345372 81585710 81585710 54663 173155 331179 282756 780630 1622383 154325 97951 228117 227946 158925 867264 84075357 248350805 0.97040 0.97570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1129348 1129348 19888577 5117495 14771082 11922409 3170672 8751737 9890963 7800112 2090851 464981 464981 27207999 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 LAURA BYERLY MEDICAL DIRECTOR 247908 0 5400 0 0 0 12812 0 13189 0 279309 0 0 0 GILLES MUNOZ CEO 198674 0 49056 0 0 0 10757 0 20551 0 279038 0 0 0 KELLY CRAWFORD SITE MEDICAL DIRECTOR 227277 0 4609 0 0 0 11828 0 20551 0 264265 0 0 0 MARION HULL PHYSICIAN 226653 0 1000 0 0 0 11544 0 11716 0 250913 0 0 0 LISA BOZZETTI DENTAL DIRECTOR 207135 0 4500 0 0 0 10850 0 14395 0 236880 0 0 0 KATHERINE ELSTUN PHYSICIAN 217991 0 1000 0 0 0 2222 0 14395 0 235608 0 0 0 GEOFFREY CARDEN SIRE MEDICAL DIRECTOR 215263 0 3875 0 0 0 10659 0 716 0 230513 0 0 0 SASAN BAHERI DENTIST 204280 0 1000 0 0 0 3060 0 20551 0 228891 0 0 0 CHRISTIAN HILL ASSOC MED DIRECTOR 190455 0 4041 0 0 0 10095 0 20551 0 225142 0 0 0 CHRISTINE HICKS PHARMACY DIRECTOR 186361 0 4500 0 0 0 9703 0 14395 0 214959 0 0 0 ARACELI GAYTAN CFO 174069 0 4600 0 0 0 9206 0 14395 0 202270 0 0 0 SARAH DEINES DIRECTOR OF QUALITY 149130 0 3171 0 0 0 7924 0 20551 0 180776 0 0 0 RACHEL LI VP OF TALENT INSIGHTS 144382 0 3432 0 0 0 7713 0 6873 0 162400 0 0 0 JUAN GABRIEL GARFIAS LOPEZ IT DIRECTOR 126182 0 2828 0 0 0 6684 0 20490 0 156184 0 0 0 X SUPPLIES 1 109101 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 6149 ALOHA OR 97007 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 0 0 0 0 0 0 VIRGINIA GARCIA MEMORIAL FOUNDATION C 2297981 AMOUNT RECEIVED