2024-02-15T17:04:54-06:00 2023-03-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-04-01 911019392 YAKIMA VALLEY FARM WORKERS CLINIC YAKI 5098655898 PO BOX 190 TOPPENISH WA 98948 GRACE ALMAGUER CFO 5098655898 2024-02-14 1 GRACE ALMAGUER 999009999 0 KURT BENNION CPA P01469618 4252506100 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CHRISTINE TROTTER PO BOX 190 TOPPENISH WA 98948 384678399 0 X WWW.YVFWC.ORG X 1978 WA YVFWC PROVIDES HEALTH SERVICES, EDUCATIONAL AND SOCIAL PROGRAMS IN UNDERSERVED AND RURAL REGIONS. 14 14 2519 71 0 0 55927473 58445225 242363110 283695097 1971372 5103117 1797328 1862214 302059283 349105653 2988179 34302051 0 0 167190244 187409111 0 0 1045819 81623390 100595115 251801813 322306277 50257470 26799376 272897094 334168717 84862916 120433272 188034178 213735445 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 249109586 32113500 274388037 MEDICAL AND DENTAL PRIMARY CARE SERVICES, CASE MANAGEMENT, WIC AND OTHER SUCH PROGRAMS PROVIDED ON A SLIDING FEE BASIS. DURING THE YEAR, THERE WERE 493,136 MEDICAL AND CASE MANAGEMENT ENCOUNTERS, 146,638 DENTAL ENCOUNTERS AND 962,203 PRESCRIPTIONS FILLED. 8400393 0 9279019 MENTAL HEALTH COUNSELING AND CHEMICAL DEPENDENCY COUNSELING. MENTAL HEALTH AND CHEMICAL DEPENDENCY ENCOUNTERS DURING THE YEAR WERE 26,964. 7668305 2188551 24454 LOW INCOME ENERGY ASSISTANCE, HOME WEATHERIZATION, AND EDUCATION AND COUNSELING SERVICES. DURING THE YEAR THERE WERE 7,971 INDIVIDUALS SERVED. 3587 MEANINGFUL USE INCENTIVES 3587 265178284 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 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 323 0 2519 1 0 0 0 0 0 0 0 0 0 0 1 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X GRACE ALMAGUER 5098655898 604 WEST 1ST AVENUE TOPPENISH WA 989480190 VIRGINIA SANTILLANES CHAIR 1.00 3.00 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 3.00 X X 0 0 0 JOSE ALBERTO NUNEZ DIRECTOR (THROUGH 12/2022) 1.00 0.00 X 0 0 0 ROBERTO ALVIZO DIRECTOR 1.00 0.00 X 0 0 0 SANDRA APRIL DIRECTOR (THROUGH 08/2022) 1.00 0.00 X 0 0 0 PAM CLEAVER 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 GINA GARCIA DIRECTOR 1.00 0.00 X 0 0 0 BRIANNA NUNEZ-WEBB DIRECTOR 1.00 0.00 X 0 0 0 ADRIAN OCHOA DIRECTOR 1.00 0.00 X 0 0 0 TOM SAK DIRECTOR 1.00 3.00 X 0 0 0 ERYKAH THONGDY DIRECTOR 1.00 0.00 X 0 0 0 MARTIN TORRES DIRECTOR 1.00 0.00 X 0 0 0 CHRISTINE TROTTER CHIEF EXECUTIVE OFFICER 37.00 3.00 X 732554 0 23596 GRACE ALMAGUER INTERIM CFO (AS OF 08/2022) 37.00 3.00 X 179620 0 37614 GLEN DAVIS CHIEF OPERATIONS OFFICER 40.00 0.00 X 407499 0 18090 KEVIN HEIDRICK CHIEF MEDICAL OFFICER 40.00 0.00 X 396560 0 18090 RIDHIMA GUPTA PHYSICIAN 40.00 0.00 X 523776 0 47103 K PETER TOOP CHIEF PROJECT OFFICER 40.00 0.00 X 531903 0 17920 SARAH E HENDRICKSON PHYSICIAN 40.00 0.00 X 467105 0 45803 SUMAN PANDEY PHYSICIAN 40.00 0.00 X 466684 0 33803 ELIZABETH JACOBSON PHYSICIAN 40.00 0.00 X 446207 0 28170 JUAN CARLOS OLIVARES FORMER CORP EXECUTIVE OFFICER 0.00 1.00 X 1381272 0 0 5533180 0 270189 370 1 1 0 NEENAN COMPANY LLLP 3325 S TIMBERLINE ROAD SUITE 100 FORT COLLINS CO 80525 DESIGN & CONSTRUCTION 3114735 EPIC HOSTING LLC PO BOX 88314 MILWAUKEE WI 53288 COMPUTER SERVICE 1906390 CHERVENELL CONSTRUCTION COMPANY 107422 E DETRICK WALTER PR SE KENNEWICK WA 99338 CONSTRUCTION 1419421 KDA ARCHITECTURE INC 1310 NORTH 16TH AVENUE YAKIMA WA 98902 ARCHITECT DESIGN 1408105 COMPUNETINC PO BOX 35143 SEATTLE WA 98124 COMPUTER SERVICE 1346116 67 54852030 3593195 4359046 58445225 MEDICAL, DENTAL, PHARMACY 621400 274388037 274388037 MENTAL HEALTH & SUBSTANCE 621400 9279019 9279019 COMMUNITY ACTION CENTER 621400 24454 24454 MEANINGFUL USE 621400 3587 3587 283695097 3428664 3428664 361703 0 361703 361703 361703 33453143 3794056 34251589 1321157 -798446 2472899 1674453 1674453 MISCELLANEOUS 900099 1500511 1500511 1500511 349105653 283695097 0 6965331 32113500 32113500 2188551 2188551 3922013 3922013 148382158 122896136 24714569 771453 3235333 2590946 621749 22638 18809586 14935235 3772908 101443 13060021 11041735 1950054 68232 310637 41470 269167 316950 316950 237082 237082 18587789 15105534 3446840 35415 1075593 172193 903400 6829560 5853826 964171 11563 10436575 447820 9986583 2172 5406848 5073456 333392 1501529 754387 722173 24969 110210 110210 1100613 1100613 11011211 9601643 1409568 540917 3280 537637 MEDICAL SUPPLIES 32127583 32124509 3074 EQUIPMENT 4332080 3956232 369789 6059 RECRUITMENT 2046645 1352769 693876 BAD DEBT 1133196 1133196 3490097 2691253 796969 1875 322306277 265178284 56082174 1045819 9217322 6695375 32216048 68565874 16021464 3699100 12323521 14813420 21680519 21656634 1118090 1015052 2627552 1354249 226971381 119001611 92897402 107969770 75645258 75844605 2923000 2923000 5535470 4761668 691448 24869970 272897094 334168717 41241029 33010490 28055242 26987210 1060 0 15055605 14584610 509980 45850962 84862916 120433272 X 188034178 213735445 188034178 213735445 272897094 334168717 26799376 -1098109 0 X X 0 1 X 1 1 1 X 41943094 36524100 50354950 55927473 58445225 243194842 41943094 36524100 50354950 55927473 58445225 243194842 243194842 1572659 1994785 1927367 2628467 3790367 11913645 1162054 1256646 1398157 1500511 5317368 260425855 1111165100 0.93380 0.94360 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13145240 13145240 133454562 75675445 57779117 23339724 8276554 15063170 42236024 35049612 7186412 14795831 14795831 107969770 THIRD-PARTY PAYOR SETTLEMENTS 288374 RIGHT-OF-USE ASSETS, NET 24581596 24869970 INTERCOMPANY PAYABLE 20879025 RIGHT-OF-USE LEASE LIABILITIES 24971937 45850962 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, 2023, 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) 18000000 0 GENERAL SUPPORT YVFWC HEALTHCARE FACILITIES DEVELOPMENT II PO BOX 190 TOPPENISH WA 98948 873691173 501(C)(3) 14001005 0 GENERAL SUPPORT GRACE CITY OUTREACH 1508 S 32ND AVE YAKIMA WA 98903 844485102 501(C)(3) 93000 0 GENERAL SUPPORT UNIVERSITY OF WASHINGTON LATINO CENTER FOR HEALTH 4311 11TH AVE NE SUITE 240 SEATTLE WA 98105 916001537 UNIV OF WASHINGTON 10762 0 GENERAL SUPPORT MEMORIAL FOUNDATION 3111 TIETON DRIVE YAKIMA WA 98902 911022358 501(C)(3) 0 8733 COST WINE GENERAL SUPPORT 5 0 DIRECT PAYMENTS FOR HOUSING AND ENERGY SERVICES 7971 2188551 PART I, LINE 2: BEFORE YVFWC DONATES MONEY TO ANOTHER ORGANIZATION, YVFWC CONFIRMS THAT THE RECIPIENT ORGANIZATION IS A 501(C)(3) ORGANIZATION OR GOVERNMENT AGENCY. 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 1 1 0 0 0 0 0 0 0 JUAN CARLOS OLIVARES FORMER CORP EXECUTIVE OFFICER 0 0 19500 0 1361772 0 0 0 0 0 1381272 0 0 0 CHRISTINE TROTTER CHIEF EXECUTIVE OFFICER 633211 0 43426 0 55917 0 9150 0 14446 0 756150 0 0 0 RIDHIMA GUPTA PHYSICIAN 482820 0 35104 0 5852 0 23150 0 23953 0 570879 0 0 0 K PETER TOOP CHIEF PROJECT OFFICER 304039 0 223434 0 4430 0 9150 0 8770 0 549823 0 0 0 SARAH E HENDRICKSON PHYSICIAN 396652 0 35054 0 35399 0 21150 0 24653 0 512908 0 0 0 SUMAN PANDEY PHYSICIAN 311790 0 24293 0 130601 0 9150 0 24653 0 500487 0 0 0 ELIZABETH JACOBSON PHYSICIAN 386969 0 24809 0 34429 0 22150 0 6020 0 474377 0 0 0 GLEN DAVIS CHIEF OPERATIONS OFFICER 358162 0 36864 0 12473 0 9150 0 8940 0 425589 0 0 0 KEVIN HEIDRICK CHIEF MEDICAL OFFICER 336122 0 34342 0 26096 0 9150 0 8940 0 414650 0 0 0 GRACE ALMAGUER INTERIM CFO (AS OF 08/2022) 156787 0 6703 0 16130 0 15880 0 21734 0 217234 0 0 0 PART I, LINE 1A THE ORGANIZATION GROSSES UP EMPLOYEE COMPENSATION TO COVER THE INCOME TAXES ON LIFE INSURANCE GREATER THAN $50,000. THESE GROSS-UP PAYMENTS ARE INCLUDED IN THE EMPLOYEE'S TAXABLE COMPENSATION. 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, LINES 4A-B DURING 2022, JUAN CARLOS OLIVARES, FORMER CEO, RECEIVED A SEVERANCE PAYMENT OF $165,000. 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 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 HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM OREGON 521542796 2016-09-20 9971012 CONSTRUCT SALEM MEDICAL BUILDING 0 0 0 D WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2021-09-28 14000000 CONSTRUCT SUMMIT VIEW MEDICAL BUILDING 0 0 0 A 697465 3016900 60338 2956562 2008 0 0 1 1 B 1346998 4626158 4626158 2007 0 0 1 1 C 2606663 9971012 97845 9873167 2017 0 0 1 1 D 223387 14000000 85175 13223796 691029 0 0 1 1 A 0 0 0 0 0 0 1 B 0 1 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: HOSPITAL FACILITY AUTHORITY OF THE CITY OF SALEM, OREGON DATE THE REBATE COMPUTATION WAS PERFORMED: 04/15/2023 X DONATED VACCINE 86621 4359046 COST 0 0 0 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTIONS IS BASED ON THE NUMBER OF DOSES DONATED. 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 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 HUMAN RESOURCE 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 YAKIMA VALLEY FARM WORKERS CLINIC 1 YVFWC HEALTHCARE FACILITIES DEVELOPMENT II PO BOX 190 TOPPENISH WA 98948 873691173 SUPPORT ORGANIZATION WA 501(C)(3) LINE 12C, III-FI YAKIMA VALLEY FARM WORKERS CLINIC 1 0 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 AGENA B 18000000 CASH AGENA D 224955 CASH AGENA E 20432066 CASH AGENA K 696316 CASH YVFWC HEALTHCARE FACILITIES DEVELOPMENT E 445570 CASH YVFWC HEALTHCARE FACILITIES DEVELOPMENT K 385301 CASH YVFWC HEALTHCARE FACILITIES DEVELOPMENT II B 14001005 CASH