2024-10-24T11:37:10-05:00 2024-03-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-04-01 237297657 COLUMBIA VALLEY COMMUNITY HEALTH COLU 5096626000 600 ORONDO AVENUE 1 WENATCHEE WA 98801 MANUEL NAVARRO CEO 5096626000 2024-10-16 1 0 KURT BENNION CPA P01469618 4252506100 2024-10-16 2023 2024-10-15 13:58:12Z MANUEL NAVARRO 600 ORONDO AVENUE 1 WENATCHEE WA 98801 62298138 0 X WWW.CVCH.ORG X 1972 WA PARTNERING TO ACHIEVE OPTIMAL HEALTH AND WELLNESS WITH COMPASSION AND RESPECT FOR ALL. 9 9 573 11 0 0 15088437 10228747 42625474 49577240 -125273 941944 80533 127457 57669171 60875388 30815 32538 0 0 36591015 40880536 0 0 0 16617158 19546917 53238988 60459991 4430183 415397 96756213 104313200 28105574 34720563 68650639 69592637 THE MISSION OF COLUMBIA VALLEY COMMUNITY HEALTH IS PARTNERING TO ACHIEVE OPTIMAL HEALTH AND WELLNESS WITH COMPASSION AND RESPECT FOR ALL. 0 0 44993068 32538 49577240 PROVIDE COMPREHENSIVE MEDICAL, DENTAL, MENTAL HEALTH, AND SUBSTANCE USE DISORDER SERVICES TO SEASONAL AND MIGRANT FARM WORKERS AND THE MEDICALLY UNDERSERVED POPULATION OF THE AREA. THIS INCLUDES GENERAL MEDICINE, DENTAL, PRENATAL, AND OBSTETRIC CARE ON AN OUTPATIENT BASIS. AN ON-SITE PHARMACY PROVIDES PATIENT PRESCRIPTION SERVICES TO ENSURE PATIENTS OBTAIN NEEDED MEDICATIONS. 592247 0 0 INTERMEDIARY FOR PROVIDING SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN. INCLUDES NUTRITION EDUCATION, REFERRAL FOR HEALTH CARE FOR LOWINCOME WOMEN AS WELL AS INFANTS AND CHILDREN UNDER AGE FIVE. PROGRAM FOCUS IS FOR BOTH INFANTS AND CHILDREN IN THE CRITICAL PERIODS OF GROWTH AND DEVELOPMENT UNDER AGE FIVE. 45585315 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 0 0 0 0 1 77 0 573 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 X SUMMER KELLEY 5096626000 600 ORONDO AVENUE SUITE 1 WENATCHEE WA 98801 DR FELIPE GUTIERREZ CMO 40.00 X 367218 0 41517 JENNIFER SNYDER ASSOCIATE MEDICAL DIRECTOR 40.00 X 364376 0 41517 TOBE HARBERD RTT SITE DIRECTOR 40.00 X 361082 0 41517 DR JEFFERY HINCKLEY DENTIST & DENTAL DIRECTOR 40.00 X 345519 0 41517 MANUEL NAVARRO CEO 40.00 X 340400 0 41517 NATHAN SCHREIBER ASSOCIATE MEDICAL DIRECTOR 40.00 X 315587 0 41198 MALCOLM BUTLER FORMER CMO 40.00 X 295658 0 33859 PETER STEADMAN DENTIST 40.00 X 251111 0 38462 KATHERINE JOSLIN PHYSICIAN 38.00 X 253386 0 33436 MICHAEL ROMINE CFO 40.00 X 232515 0 30431 DANIELLE NOELL COO 40.00 X 223186 0 34671 SASHA SLEIMAN PRESIDENT (THROUGH FEBRUARY 2024) 2.00 X X 0 0 0 CLARK HANSON VICE PRESIDENT & PRESIDENT 2.00 X X 0 0 0 ROBERT SCOTT JR TREASURER 2.00 X X 0 0 0 EVELYN MEJIA SECRETARY (THROUGH SEPTEMBER 2023) 2.00 X X 0 0 0 KRISTINA STEPPER BOARD MEMBER & SECRETARY 2.00 X X 0 0 0 KEVIN BROWN BOARD MEMBER 2.00 X 0 0 0 DIANA COBOS BOARD MEMBER 2.00 X 0 0 0 LOLY LARSON BOARD MEMBER 2.00 X 0 0 0 MICHAEL MACHADO BOARD MEMBER 2.00 X 0 0 0 DUSTI MAHONEY BOARD MEMBER 2.00 X 0 0 0 PHIL WILLIAMS BOARD MEMBER 2.00 X 0 0 0 3350038 0 419642 79 1 1 0 CHERVENELL CONSTRUCTION COMPANY 107422 E DETRICK PR SE KENNEWICK WA 99338 CONSTRUCTION SERVICES 13829869 KDA ARCHITECTURE 1310 N 16TH AVENUE YAKIMA WA 98902 ARCHITECTURAL SERVICES 1312967 ATHENAHEALTH PO BOX 415615 BOSTON MA 022415615 EHR, PRACTICE MGMT & PATIENT BILLING 911828 ABM JANITORIAL SERVICES 14141 SOUTHWEST FREEWAY SUITE 400 SUGARLAND TX 77478 JANITORIAL SERVICES 479132 COMMUNITY CLINIC CONTRACTING NETWORK IN 18 S MISSION ST 300 WENATCHEE WA 98801 VARIOUS CONSULTING SERVICES 333146 11 10047658 181089 1506304 10228747 PATIENT SERVICE REVENUE 621400 32499850 32499850 ENHANCEMENTS REVENUE 621400 13989829 13989829 CAPITATION REVENUE 621400 3048929 3048929 MEDICAL RECORD REVENUE 621400 38632 38632 49577240 890551 890551 1474143 1422750 51393 51393 51393 MISCELLANEOUS INCOME 900099 127457 127457 127457 60875388 49577240 0 1069401 10000 10000 22538 22538 1851607 257872 1593735 296974 296974 30431821 25776186 4655635 1172934 1098800 74134 4854983 3668291 1186692 2272217 1691835 580382 23905 23905 80680 80680 87548 87548 1816284 1039176 777108 352736 323832 28904 1378061 761342 616719 2688633 1592005 1096628 1533511 1083071 450440 36473 30294 6179 309411 309411 2583602 1881387 702215 97772 97772 MEDICAL SUPPLIES 6716050 5207640 1508410 MISCELLANEOUS EXPENSES 731995 204318 527677 CONTINUING EDUCATION 616679 344023 272656 BAD DEBT EXPENSE 200213 200213 293364 95518 197846 60459991 45585315 14874676 0 25741699 15284581 1614173 3845177 80397 87829 3661916 5441524 275228 492934 979937 1531616 86868061 26186041 47628214 60682020 14805692 14451165 1200000 1200000 768957 1296354 96756213 104313200 7485543 6474038 19851075 26820225 768956 0 1426300 28105574 34720563 X 68410106 69285344 240533 307293 68650639 69592637 96756213 104313200 X 415397 643028 -116427 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3013200 3013200 64244086 18120182 46123904 792644 576925 215719 12339598 7488934 4850664 6478533 6478533 60682020 FAIR MARKET VALUE OF SWAP AGREEMENT 116427 RIGHT-OF-USE LEASE LIABILITIES 1309873 1426300 X 61141357 643028 643028 60498329 87548 289511 377059 60875388 60172230 0 60172230 87548 200213 287761 60459991 PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS USING A STANDARD THAT PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. AS OF MARCH 31, 2024 AND 2023, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS WITH DONOR RESTRICTIONS 89,298. BAD DEBT EXPENSE 200,213. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 200,213. 1 WENATCHEE RESCUE MISSION PO BOX 2046 WENATCHEE WA 98807 911268801 501(C)(3) 10000 0 GENERAL OPERATING SUPPORT 1 0 HELPING HANDS FUND 125 22538 PART I, LINE 2: GRANTS ARE MADE TO LOCAL CHARITIES AND GOVERNMENT AGENCIES THAT ARE WELL KNOWN IN THE COMMUNITY. GRANTS ARE INTENDED FOR GENERAL OPERATING SUPPORT SO NO FOLLOW-UP IS CONDUCTED RELATED TO THE USE OF THE FUNDS. PER THE FUNDING POLICY, TO BE CONSIDERED FOR THE HELPING HANDS FUND, THE PATIENT'S HOUSEHOLD INCOME SHOULD NOT EXCEED TWO HUNDRED PERCENT (200%) OF THE POVERTY GUIDELINES. THE COMMITTEE WILL REVIEW AND VOTE ON ELIGIBLE APPLICATIONS ON A CASE BY CASE BASIS. FOR APPLICATIONS REFERRED BY PROVIDERS, AN URGENT NEED REQUEST FORM WILL BE COMPLETED BY THE PROVIDER AND SIGNED BY A COMMITTEE MEMBER. IF THE ESTIMATED COST IS BETWEEN $200 AND $299, A MANAGEMENT TEAM MEMBER'S SIGNATURE IS ALSO REQUIRED. URGENT NEED REQUEST EQUAL TO OR GREATER THAN $300 MUST BE APPROVED BY THE COMMITTEE VIA EMAIL VOTE BEFORE FUNDING CAN OCCUR. NON URGENT NEED APPLICATIONS WILL BE REVIEWED AT MONTHLY COMMITTEE MEETINGS. PAYMENTS ARE MADE DIRECTLY TO CREDITORS TO ENSURE PROPER USE OF ALL FUNDS. X 1 1 X X X X X 0 0 0 0 0 1 0 1 0 DR FELIPE GUTIERREZ CMO 348530 0 17614 0 1074 0 14850 0 26667 0 408735 0 0 0 JENNIFER SNYDER ASSOCIATE MEDICAL DIRECTOR 331740 0 32470 0 166 0 14850 0 26667 0 405893 0 0 0 TOBE HARBERD RTT SITE DIRECTOR 331935 0 28981 0 166 0 14850 0 26667 0 402599 0 0 0 DR JEFFERY HINCKLEY DENTIST & DENTAL DIRECTOR 293662 0 51857 0 0 0 14850 0 26667 0 387036 0 0 0 MANUEL NAVARRO CEO 269696 0 70704 0 0 0 14850 0 26667 0 381917 0 0 0 NATHAN SCHREIBER ASSOCIATE MEDICAL DIRECTOR 285974 0 29463 0 150 0 14531 0 26667 0 356785 0 0 0 MALCOLM BUTLER FORMER CMO 263673 0 28436 0 3549 0 13506 0 20353 0 329517 0 0 0 PETER STEADMAN DENTIST 166918 0 84193 0 0 0 11837 0 26625 0 289573 0 0 0 KATHERINE JOSLIN PHYSICIAN 227563 0 25574 0 249 0 6769 0 26667 0 286822 0 0 0 MICHAEL ROMINE CFO 213251 0 18167 0 1097 0 10653 0 19778 0 262946 0 0 0 DANIELLE NOELL COO 190011 0 33175 0 0 0 9731 0 24940 0 257857 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDES EITHER A $30 MONTHLY REIMBURSEMENT FOR GYM MEMBERSHIPS OR A $150 ANNUAL REIMBURSEMENT FOR WORKOUT PROGRAMS. THIS BENEFIT IS OFFERED TO ALL EMPLOYEES, INCLUDING THE INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A. THIS AMOUNT IS INCLUDED IN EMPLOYEES' TAXABLE COMPENSATION. PART I, LINE 6 THE ORGANIZATION'S LEADERSHIP TEAM PARTICIPATES IN AN INCENTIVE-BASED PROGRAM WITH FOUR PILLARS, INCLUDING FINANCIAL SUSTAINABILITY (I.E. OPERATING MARGIN), CUSTOMER SATISFACTION, QUALITY AND EXCELLENCE OF CARE, AND EMPLOYEE SATISFACTION AND RETENTION. EACH PILLAR IS EQUALLY WEIGHTED. PART I, LINE 7 IN 2023, THE CEO RECEIVED A DISCRETIONARY BONUS AS DETERMINED BY THE BOARD OF DIRECTORS. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2022-02-17 24600000 BUILDING EXPANSION AND REFINANCE SERIES 2017 BONDS 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2024-03-22 15000000 BUILDING EXPANSION 0 0 0 A 651418 24600000 220013 16823243 7556744 1 0 0 0 B 15000000 179509 3120338 11700153 0 0 0 0 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 X 16767 1506304 INVOICE PRICE 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD AND ONE AT-LARGE BOARD MEMBER. THE EXECUTIVE COMMITTEE IS AUTHORIZED TO REVIEW AND TAKE ANY NECESSARY ACTION THAT, IN THE OPINION OF A MAJORITY OF THE COMMITTEE, CANNOT WAIT FOR THE NEXT REGULARLY SCHEDULED BOARD MEETING OR WHERE THE CALLING OF A SPECIAL BOARD MEETING IS NOT PRACTICAL. THE EXECUTIVE COMMITTEE CHAIR MUST REPORT TO THE BOARD AT ITS NEXT REGULAR MEETING ALL ACTIONS TAKEN BY THE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING WITH THE IRS, A DRAFT OF THE FORM 990 WAS REVIEWED BY THE ACCOUNTING TEAM AND THE CFO, THEN PRESENTED TO THE FINANCE COMMITTEE, A SUBCOMMITTEE OF THE BOARD. THE FINANCE COMMITTEE REVIEWED THE FORM 990 AND THEN PRESENTED ITS RECOMMENDATION TO THE BOARD OF DIRECTORS TO FILE. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER SIGNS THE CONFLICT OF INTEREST STATEMENT WHEN THEY JOIN THE BOARD. IN ADDITION, AT THE ANNUAL BOARD MEETING IN MARCH ALL BOARD MEMBERS SIGN THE STATEMENT AGAIN TO ENSURE NOTHING HAS CHANGED FROM THE PRIOR YEAR OR TO BRING ATTENTION TO SOMETHING THAT HAS. ALSO, BOARD MEMBERS ARE ENCOURAGED TO DISCLOSE NEW INFORMATION THAT MIGHT COME UP AFTER THE STATEMENT WAS SIGNED. IF A CONFLICT EXISTS, THAT BOARD MEMBER DOES NOT VOTE ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15A SALARY DATA IS PULLED FROM MULTIPLE SALARY SURVEY SOURCES, IN ADDITION TO INDEPENDENT SALARY SURVEYS CONDUCTED THROUGH HR. THE BOARD OF DIRECTORS'S COMPENSATION COMMITTEE REVIEWS AND APPROVES THE CEO'S COMPENSATION. THE CEO REVIEWS AND APPROVES ALL OTHER EMPLOYEES' COMPENSATION. THE PROCESS WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, BUT THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -116,427.