2024-11-06T07:44:02-06:00 2023-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-01-01 201056268 COLUMBIA RIVER HEALTH COLU 5414817212 PO BOX 397 BOARDMAN OR 97818 JOELL ZITTERKOB INTERIM CEO/FINANCE MANAGER 5414817212 2024-11-02 1 0 MICHAEL J PETERSON CPA P01833529 2187224705 2024-11-02 2023 2024-10-15 13:58:12Z X JOELL ZITTERKOB PO BOX 397 BOARDMAN OR 97818 8536941 0 X WWW.CRHCLINIC.NET X 2005 OR EMPOWERING MEMBERS OF OUR COMMUNITY TO IMPROVE THEIR QUALITY OF LIFE, ONE PATIENT AT A TIME. 9 9 70 9 0 0 2733047 2033526 2889861 3139129 862 58266 1379839 1517473 7003609 6748394 0 0 0 0 4627157 4808127 0 0 0 1572112 1482401 6199269 6290528 804340 457866 8877813 9912074 531062 1107457 8346751 8804617 X COLUMBIA RIVER HEALTH EXISTS TO PROVIDE EXCEPTIONAL HEALTHCARE FOR EVERYONE IN OUR COMMUNITY. 0 0 4072461 0 3139129 THE PURPOSE OF COLUMBIA RIVER HEALTH (CRH) IS TO PROTECT AND IMPROVE THE QUALITY OF LIFE FOR ALL PEOPLE, PARTICULARLY THE MEDICALLY UNDERSERVED AND VULNERABLE POPULATION, BY PROVIDING ACCESS TO HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTHCARE. IN ADDITION, CRH OFFERS A SLIDING FEE DISCOUNT PROGRAM FOR THOSE BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. ELIGIBILITY IS BASED ON INCOME AND FAMILY SIZE. APPLICANTS WHO QUALIFY HAVE THEIR CHARGES WRITTEN OFF AND ARE ONLY REQUIRED TO PAY THEIR APPLICABLE SLIDING FEE. CRH HAD AN OVERALL INCREASE IN PATIENT VISITS FROM 11,198 IN 2022 TO 11,551 IN 2023. IN ADDITION, WE ALSO OFFER A DENTAL PROGRAM FOR OUR SLIDING FEE ELIGIBLE PATIENTS WHO HAVE NO DENTAL INSURANCE. THIS WORK IS DONE IN CONJUNCTION WITH ADVANTAGE DENTAL CLINICS FOR EMERGENCY AND PREVENTATIVE TREATMENTS. WE OFFER IN-HOUSE LIMITED X-RAY AND HAVE 3 STAFF MEMBERS WHO ARE X-RAY CERTIFIED. THE MAJORITY OF OUR PATIENT-FACING STAFF IS SPANISH SPEAKING. IN ADDITION, A LANGUAGE LINE IS ALSO AVAILABLE FOR ANY NON-ENGLISH SPEAKING PATIENTS. THE LANGUAGE LINE SERVICE IS USED ANYWHERE FROM 15-180 MINUTES PER MONTH. THIS IS A GREAT RESOURCE ESPECIALLY FOR PATIENTS WHO DO NOT SPEAK ENGLISH OR SPANISH SO THAT WE CAN ENSURE WE MEET EVERYONE'S NEEDS. WE OFFER INTEGRATED BEHAVIORAL HEALTH TO SUPPORT OUR PATIENTS. OUR PROVIDERS ALSO OFFER SUBSTANCE USE DISORDER TREATMENT. THE PHARMACY IS LOCATED IN THE LOCAL GROCERY STORE IN TOWN, WHICH MAKES IT A CONVENIENT LOCATION. ADDITIONALLY, CRH IS CONTRACTED WITH CAPTURE RX, WHO CONTRACTS WITH THE LOCAL HOSPITAL AND SAFEWAY PHARMACIES IN THE REGION TO DISPENSE 340B DRUGS. ALL OF OUR PATIENTS ARE ELIGIBLE. A COMPUTER PROGRAM SCRUBS THE PRESCRIPTIONS, AND GIVES THEM THE BETTER PRICING OF THE PHARMACIST STOCK AND THE 340B PRICING. THE MEDS ARE DISPENSED BY THE CONTRACTED PHARMACIES, AND RESTOCKED BY CAPTURE RX. THEY BILL US FOR THE MEDS RESTOCKED AND ALSO ISSUE US PAYMENTS FROM PROCEEDS FROM THE PROGRAM. WE ARE AN OUT STATIONED OUTREACH WORKER (OSOW) WITH THE STATE OF OREGON. WE PROVIDE ASSISTANCE WITH THE OREGON HEALTH PLAN APPLICATION PROCESS (MEDICAID). FREE TRANSPORTATION IS PROVIDED FOR OUR SERVICE AREA PATIENTS. SPANISH-ENGLISH BILINGUAL STAFF IS THROUGHOUT THE VARIOUS DEPARTMENTS, TO ASSIST WITH OUR HIGH NUMBER OF SPANISH SPEAKING ONLY PATIENTS. IN 2023, THE UNINSURED PATIENTS WERE 9% OF THE TOTAL, MEDICARE AND MEDICAID WAS 49% OF THE TOTAL. ON AVERAGE, 2% OF PRIMARY CARE VISITS WERE VIA TELEHEALTH AND 4% OF BEHAVIORAL HEALTH VISITS WERE VIA TELEHEALTH FOR 2023. 4072461 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 26 0 70 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X JOELL ZITTERKOB 5414817212 450 TATONE ST BOARDMAN OR 97818 YVES LEFRANC CHIEF MEDICAL OFFICER 40.00 X 392920 0 35559 GEOFFREY THOMAS CHIEF MEDICAL OFFICER 40.00 X 332437 0 32698 ANDREW CREMORE PHARMACIST 40.00 X 171224 0 35685 DAVID AYALA EXECUTIVE DIRECTOR 40.00 X 176713 0 37920 SARAH ULRICH PHYSICIAN ASSISTANT 40.00 X 134585 0 26831 CHAOFEN TAN PHARMACIST 40.00 X 133362 0 13132 SONYA NEAL DIRECTOR OF OPERATIONS 40.00 X 109891 0 17541 SHEILA CORPUS CHAIR 1.00 X X 0 0 0 MICHAEL HUGHES VICE CHAIR 1.00 X X 0 0 0 STAN CHAFFIN SECRETARY 1.00 X X 0 0 0 JASON HENDRICKS TREASURER 1.00 X X 0 0 0 ELVIA AYALA MEMBER 1.00 X 0 0 0 LUIS CAMPOS MEMBER 1.00 X 0 0 0 MARYANN HANCOCK MEMBER 1.00 X 0 0 0 NATALIE MELENDEZ MEMBER 1.00 X 0 0 0 CYNTHIA NAVARRO MEMBER (THRU JUNE) 1.00 X 0 0 0 JUAN REYNA MEMBER (THRU AUGUST) 1.00 X 0 0 0 AMBER SAVAGE MEMBER 1.00 X 0 0 0 1451132 0 199366 7 0 1 0 BUTLER AMERICA LLC DBA PIONEER GROUP 3820 STATE ST - STE B SANTA BARBARA CA 93105 CLINIC REMODEL 342950 OCHIN PO BOX 5426 PORTLAND OR 97228 EHR 285609 DYNAMIC COMPUTER CONSULTING INC PO BOX 1133 PENDLETON OR 97801 IT CONSULTANT 269079 3 2030622 2904 2033526 PATIENT REVENUE, NET 621400 3139107 3139107 OTHER REVENUE 621400 22 22 3139129 58266 58266 16800 0 16800 16800 16800 3289220 1788547 1500673 1500673 6748394 3139129 0 1575739 1008247 950172 58075 2934264 1822795 1111469 78972 55545 23427 442871 311493 131378 343773 241793 101980 39898 39898 9813 9813 78163 34742 43421 189201 131958 57243 441291 326196 115095 92564 38586 53978 22498 22498 70583 70583 394 394 170886 15705 155181 58468 58468 REPAIRS & MAINTENANCE 86093 14425 71668 DUES & SUBSCRIPTIONS 78141 78141 144408 144408 6290528 4072461 2218067 0 2022 2237 5053716 5818777 210911 287748 212045 147279 197704 253063 33920 0 5847543 2444573 3167495 3402970 8877813 9912074 509351 1103386 21711 4071 531062 1107457 X 8008386 8466252 338365 338365 8346751 8804617 8877813 9912074 457866 0 X X 0 1 X 1 1 1 X 1679912 2301210 3547772 2733047 2033526 12295467 1679912 2301210 3547772 2733047 2033526 12295467 12295467 1739 1953 1240 7862 75066 87860 12383327 26839830 0.99290 0.99860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 741075 741075 3863963 1689962 2174001 14219 8311 5908 793619 746300 47319 434667 434667 3402970 6748394 0 6748394 0 6748394 6290528 0 6290528 0 6290528 X X X 0 0 0 0 0 0 0 0 0 YVES LEFRANC CHIEF MEDICAL OFFICER 349370 0 43550 0 0 0 8979 0 26580 0 428479 0 0 0 GEOFFREY THOMAS CHIEF MEDICAL OFFICER 319012 0 13425 0 0 0 9717 0 22981 0 365135 0 0 0 ANDREW CREMORE PHARMACIST 170113 0 1111 0 0 0 5315 0 30370 0 206909 0 0 0 DAVID AYALA EXECUTIVE DIRECTOR 160629 0 16084 0 0 0 5049 0 32871 0 214633 0 0 0 SARAH ULRICH PHYSICIAN ASSISTANT 119238 0 15347 0 0 0 3742 0 23089 0 161416 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 DAVID AYALA AND ELVIA AYALA HAVE A FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR REVIEWS THE 990 PRIOR TO FILING. IT WILL ALSO BE DISTRIBUTED TO EACH BOARD MEMBER BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C COLUMBIA RIVER COMMUNITY HEALTH SERVICES REGULARLY MONITORS AND ENFORCES THEIR CONFLICT OF INTEREST POLICY BY HAVING ALL BOARD MEMBERS AND OFFICERS FILL OUT A DECLARATION OF CONFLICT OF INTEREST DISCLOSURE FORM, WHICH IS REVIEWED AND UPDATED PERIODICALLY AS NEEDED. THE CONFLICT OF INTEREST POLICY COVERS ALL EMPLOYEES AND BOARD MEMBERS. CONFLICTS MAY BE DETERMINED AND REVIEWED AT ALL LEVELS WITHIN THE ORGANIZATION, INCLUDING BOARD MEMBERS, MANAGEMENT, AND EMPLOYEES, BUT THE BOARD IS RESPONSIBLE FOR FINAL DECISIONS AND COURSES OF ACTION REGARDING POTENTIAL OR ACTUAL CONFLICTS. RESTRICTIONS IMPOSED MAY INCLUDE PROHIBITING THE CLINIC FROM ENTERING INTO TRANSACTIONS WHERE A CONFLICT EXISTS. ADDITIONALLY, THE CLINIC EXCLUDES THOSE FOR WHICH A CONFLICT EXISTS FROM PARTICIPATION IN DELIBERATION AND DECISIONS ON SUCH TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE DETERMINED BY USING A SALARY SCALE. THE SALARY SCALE HAS A RATE RANGE. THE EMPLOYEE'S RATE IS SELECTED BY USING THE SALARY SCALE AND TAKING INTO CONSIDERATION EDUCATION AND EXPERIENCE. THE DATA FOR THE SALARY SCALE IS DETERMINED BY COMPARING SALARY SURVEYS IN THE REGION. THE SALARY SCALE IS APPROVED BY THE BOARD. SUPERVISORS AND THE EXECUTIVE DIRECTOR APPROVED ALL EMPLOYEE'S COMPENSATION. THE BOARD OF DIRECTORS APPROVED THE EXECUTIVE DIRECTOR'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 ALL ORGANIZATION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND APPROVAL OF THE CEO. PART XII, LINE 2C FINANCIAL STATEMENTS ARE PREPARED BY THE FINANCE MANAGER AND REVIEWED BY THE EXECUTIVE DIRECTOR. THEY ARE THEN PRESENTED MONTHLY TO THE BOARD OF DIRECTORS BY THE EXECUTIVE DIRECTOR. THE ENTIRE BOARD REVIEWS THE FINANCIALS AND ARE RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT FOR AUDITING. THERE HAVE BEEN NO CHANGES FROM PRIOR YEARS.