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WILLAMETTE HEALTH COUNCIL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
WILLAMETTE HEALTH COUNCIL (EIN 84-2658002)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-10-10
IRS object ID
202302839349302050
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-10-10T13:55:54-07:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN931122378PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RANDY MITCHELL CPA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1309 N First StAddressLine1Txt
CitySilvertonCityNm
State AbbreviationORStateAbbreviationCd
ZIP97381ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN842658002EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLAMETTE HEALTH COUNCILBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWILLBusinessNameControlTxt
Phone5037402952PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3759AddressLine1Txt
CitySALEMCityNm
State AbbreviationORStateAbbreviationCd
ZIP97302ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJustin HopkinsPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Signature2023-10-10SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJustinPersonFirstNm
Person LastHopkinsPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRANDALL E MITCHELL CPAPreparerPersonNm
PTINP00182074PTIN
Phone5038732310PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJUSTIN HOPKINSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12580 BOLTON TER SAddressLine1Txt
CitySALEMCityNm
State AbbreviationORStateAbbreviationCd
ZIP97302ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,754,129GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswillamettehealthcouncil.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2020FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionThe Willamette Health Council improves the well-being of residents in our region by governing our local Coordinated Care Organization, investing in our communities, and fostering collaborative partnerships.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee9TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$6,667,856PYContributionsGrantsAmt
CY Contributions Grants$17,754,129CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$6,667,856PYTotalRevenueAmt
CY Total Revenue$17,754,129CYTotalRevenueAmt
PY Grants And Similar Paid$4,856,307PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$15,742,991CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$165,225PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$584,131CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$451,281PYOtherExpensesAmt
CY Other Expenses$343,989CYOtherExpensesAmt
PY Total Expenses$5,472,813PYTotalExpensesAmt
CY Total Expenses$16,671,111CYTotalExpensesAmt
PY Revenues Less Expenses$1,195,043PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,083,018CYRevenuesLessExpensesAmt
Total Assets BOY$2,326,042TotalAssetsBOYAmt
Total Assets EOY$3,409,060TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,326,042NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,409,060NetAssetsOrFundBalancesEOYAmt
MissionThe Willamette Health Council improves the well-being of residents in our region by governing our local Coordinated Care Organization, investing in our communities, and fostering collaborative partnerships.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$16,671,111ExpenseAmt
DescTo improve the well-being of residents in our region by governing our local Coordinated Care Organization, investing in our communities, and fostering collaborative partnerships.Desc
Total Program Service Expenses$16,671,111TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee9EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRandy Mitchell CPAPersonNm
Phone5038732310PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1309 N First StreetAddressLine1Txt
CitySilvertonCityNm
State AbbreviationORStateAbbreviationCd
ZIP97381ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JUSTIN HOPKINS
Executive Dir.40.000.00Yes (X)$166,800$0$0
MARK HELM
Chairman1.000.00$0$0$0Yes (X)
ELIZABETH SPINNING
VICE CHAIR1.000.00$0$0$0Yes (X)
MAGGIE HUDSON
Treasurer1.000.00Yes (X)$0$0$0Yes (X)
LARA BARNES
Director1.000.00$0$0$0Yes (X)
DANIELLE BETHELL
Director1.000.00$0$0$0Yes (X)
PETER DAVIDSON
Director1.000.00$0$0$0Yes (X)
JOSH GRAVES
Director1.000.00$0$0$0Yes (X)
OLIVIA GALVEZ
Director1.000.00$0$0$0Yes (X)
JUSTIN HUFF
Director1.000.00$0$0$0Yes (X)
MELISSA LINDLEY
Director1.000.00$0$0$0Yes (X)
PAUL LOGAN
Director1.000.00$0$0$0Yes (X)
BREANNA MCLEOD
Director1.000.00$0$0$0Yes (X)
MANNY RIVERA
Director1.000.00$0$0$0Yes (X)
ROBERT STEELE
Director1.000.00$0$0$0Yes (X)
MATT BOLES
Chairman0.000.00$0$0$0Yes (X)
NOELLE CAROLL
VICE-CHAIR0.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$166,800TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$17,754,129AllOtherContributionsAmt
Total Contributions$17,754,129TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,754,129TotalRevenueColumnAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$15,742,991TotalAmt
Program Services$15,742,991ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$166,800TotalAmt
Program Services$166,800ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$324,358TotalAmt
Program Services$324,358ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$47,987TotalAmt
Program Services$47,987ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$44,986TotalAmt
Program Services$44,986ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,300TotalAmt
Program Services$3,300ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,610TotalAmt
Program Services$2,610ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$62,631TotalAmt
Program Services$62,631ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,567TotalAmt
Program Services$1,567ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,102TotalAmt
Program Services$10,102ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$104,329TotalAmt
Program Services$104,329ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$837TotalAmt
Program Services$837ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$34,807TotalAmt
Program Services$34,807ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,177TotalAmt
Program Services$8,177ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
EVENT EXPENSE$63,590$63,590
TRAINING$15,645$15,645
COMMUNITY SPONSORSHIPS$6,254$6,254
TELEPHONE$5,656$5,656

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,484TotalAmt
Program Services$24,484ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,671,111TotalAmt
Program Services$16,671,111ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,256,905BOYAmt
EOY$3,277,958EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$177,702LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$50,200LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$65,537BOYAmt
EOY$127,502EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,600BOYAmt
EOY$3,600EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,326,042BOYAmt
EOY$3,409,060EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$2,326,042BOYAmt
EOY$3,409,060EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,326,042BOYAmt
EOY$3,409,060EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,326,042BOYAmt
EOY$3,409,060EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,083,018ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$67,195OtherCostOrOtherBasisAmt
Depreciation$6,564DepreciationAmt
Book Value$60,631BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,821OtherCostOrOtherBasisAmt
Depreciation$19,702DepreciationAmt
Book Value$30,119BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,686OtherCostOrOtherBasisAmt
Depreciation$23,934DepreciationAmt
Book Value$36,752BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$127,502TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable (76 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
ACRES OF HOPE YOUTH RANCH
6665 RICKREALL RDINDEPENDENCEOR97351$24,999$0COMMUNITY IMPACT-VARIOUS HEALTH
ADVANTAGE DENTAL SERVICES
PO BOX 490REDMONDOR97756$607,773$0COMMUNITY IMPACT-VARIOUS HEALTH
AMAZING TREATMENT - SUD
525 FERRY ST SE STE 203SALEMOR97302$6,948$0COMMUNITY IMPACT-VARIOUS HEALTH
BRIDGEWAY RECOVERY SERVICES
PO BOX 17818SALEMOR97305$59,140$0COMMUNITY IMPACT-VARIOUS HEALTH
C SUITE - OUTSOURCE LOCAL LLC
1697 ONYX ST NWSALEMOR97304$110,490$0COMMUNITY IMPACT-VARIOUS HEALTH
CAPITOL DENTAL CARE
3000 MARKET ST NE 228SALEMOR97301$1,093,518$0COMMUNITY IMPACT-VARIOUS HEALTH
CATHOLIC COMMUNITY SERVICES
3737 PORTLAND RDSALEMOR97301$110,275$0COMMUNITY IMPACT-VARIOUS HEALTH
CENTER FOR AUTISM AND RELATED
129 NW 102ND AVE STE EPORTLANDOR97220$5,885$0COMMUNITY IMPACT-VARIOUS HEALTH
CENTER FOR HOPE & SAFETY
605 CENTER ST NESALEMOR97301$50,000$0COMMUNITY IMPACT-VARIOUS HEALTH
CHILDHOOD HEALTH ASSOCIATES
891 23RD ST NESALEMOR97301$644,655$0COMMUNITY IMPACT-VARIOUS HEALTH
CHURCH AT THE PARK
2111 FRONT ST NE SUITE 1-103SALEMOR97301$194,300$0COMMUNITY IMPACT-VARIOUS HEALTH
CLEAR PATHS
3793 RIVER ROAD NSALEMOR97303$5,463$0COMMUNITY IMPACT-VARIOUS HEALTH
CONFEDERATED TRIBES OF GRAND
PO BOX 338GRAND RONDEOR97347$6,172$0COMMUNITY IMPACT-VARIOUS HEALTH
CONNECTIONS 365
4890 32ND AVE SESALEMOR97317$7,416$0COMMUNITY IMPACT-VARIOUS HEALTH
CORPORATION FOR SUPPORT HOUSE
2441 GREAR ST NESALEMOR97301$24,500$0COMMUNITY IMPACT-VARIOUS HEALTH
CRC HEALTH OREGON LLC
1160 LIERTY ST SESALEMOR97302$123,785$0COMMUNITY IMPACT-VARIOUS HEALTH
CROSSING BRIDGES COUNSELING C
PO BOX 873TUALATINOR97062$9,839$0COMMUNITY IMPACT-VARIOUS HEALTH
FAMILY BUILDING BLOCKS
2425 LANCASTER DR NESALEMOR97305$300,000$0COMMUNITY IMPACT-VARIOUS HEALTH
GERVASIS SCHOOL DISTRICT #1
PO BOX 100GERVAISOR97026$24,999$0COMMUNITY IMPACT-VARIOUS HEALTH
GOBHI CORP
401 E 3RD ST STE 101THE DALLESOR97058$24,000$0COMMUNITY IMPACT-VARIOUS HEALTH
HAPPY DOC FAMILY MEDICINE
4744 LIBERTY RD S 120SALEMOR97302$24,175$0COMMUNITY IMPACT-VARIOUS HEALTH
HIV ALLIANCE
1195A CITY VIEW STEUGENEOR97401$16,031$0COMMUNITY IMPACT-VARIOUS HEALTH
HOLIDAY POOL INC
3868 5TH AVE NKEIZEROR97303$14,567$0COMMUNITY IMPACT-VARIOUS HEALTH
IMMANUEL LUTHERAN CHURCH
510 IDYLWOOD DR SESALEMOR97302$24,999$0COMMUNITY IMPACT-VARIOUS HEALTH
INTERFACE NETWORK INC
161 HIGH ST SE 244SALEMOR97301$222,656$0COMMUNITY IMPACT-VARIOUS HEALTH
JD HEALTH AND WELLNESS CENTER
PO BOX 2178WILSONVILLEOR97070$5,994$0COMMUNITY IMPACT-VARIOUS HEALTH
LEGACY MEDICAL GROUP
1919 NW LOVEJOYPORTLANDOR97209$633,594$0COMMUNITY IMPACT-VARIOUS HEALTH
LIBERTY HOUSE
2685 4TH ST NESALEMOR97301$7,452$0COMMUNITY IMPACT-VARIOUS HEALTH
MANO A MANO
2921 SADDLE CLUB ST SE 1009SALEMOR97317$50,000$0COMMUNITY IMPACT-VARIOUS HEALTH
MARION & POLK EARLY LEARNING
2995 RYAN DR SE 100SALEMOR97301$50,000$0COMMUNITY IMPACT-VARIOUS HEALTH
MARION COUNTY PUBLIC HEALTH
3180 CENTER ST NESALEMOR97301$263,195$0COMMUNITY IMPACT-VARIOUS HEALTH
MICRONESIAN ISLANDER COMMUNIT
2744 12TH ST SESALEMOR97302$124,999$0COMMUNITY IMPACT-VARIOUS HEALTH
MID-WILLAMETTE VALLEY COMMUNI
2475 CENTER ST NESALEMOR97301$100,000$0COMMUNITY IMPACT-VARIOUS HEALTH
NEW PERSPECTIVES CENTER FOR C
PO BOX 7497SALEMOR97303$36,264$0COMMUNITY IMPACT-VARIOUS HEALTH
NORTH WILLAMETTE HABITAT FOR
225 FRANKLIN STMT ANGELOR97362$100,000$0COMMUNITY IMPACT-VARIOUS HEALTH
NORTHWEST HUMAN SERVICES
1233 EDGEWATER STSALEMOR97304$24,999$0COMMUNITY IMPACT-VARIOUS HEALTH
NORTHWEST PERMANENTE
PO OBX 35145 5770SEATTLEWA98124$227,876$0COMMUNITY IMPACT-VARIOUS HEALTH
NWHS-WEST SALEM CLINIC
1233 EDGEWATER ST NWSALEMOR97304$778,866$0COMMUNITY IMPACT-VARIOUS HEALTH
OPTIONS COUNSELING SVCS OF OR
3500 CHAD DREUGENEOR97408$37,325$0COMMUNITY IMPACT-VARIOUS HEALTH
OREGON CHILD & FAMILY SERVICE
10570 SE WASHINGTON STPORTLANDOR97216$24,984$0COMMUNITY IMPACT-VARIOUS HEALTH
OREGON DENTAL SERVICE
601 SW SECOND AVEPORTLANDOR97204$454,525$0COMMUNITY IMPACT-VARIOUS HEALTH
OREGON FAMILY SUPPORT
PO BOX 886SALEMOR97301$25,000$0COMMUNITY IMPACT-VARIOUS HEALTH
OREGON RECOVERY BEHAVIORAL HE
PO BOX 20674KEIZEROR97307$7,316$0COMMUNITY IMPACT-VARIOUS HEALTH
ORS 190 ENTITY MID-WILLAMETT
100 HIGH ST SE ST 200SALEMOR97301$24,886$0COMMUNITY IMPACT-VARIOUS HEALTH
PEDEE WOMENS CLUB
12491 KINGS VALLEY HIGHWAYMONMOUTHOR97361$20,475$0COMMUNITY IMPACT-VARIOUS HEALTH
PNW BIRTH & FAMILY
1510 12TH STSALEMOR97302$24,999$0COMMUNITY IMPACT-VARIOUS HEALTH
POLK COUNTY FAMILY & COMMUNIT
182 SW ACADEMY ST 220DALLASOR97338$24,500$0COMMUNITY IMPACT-VARIOUS HEALTH
POLK COUNTY HEALTH DEPARTMENT
182 ACADEMY SWDALLASOR97338$111,707$0COMMUNITY IMPACT-VARIOUS HEALTH
PROJECT ABLE
1599 STATE STSALEMOR97301$69,500$0COMMUNITY IMPACT-VARIOUS HEALTH
RECOVERY OUTREACH COMMUNITY C
1115 MADISION ST NSALEMOR97301$100,940$0COMMUNITY IMPACT-VARIOUS HEALTH
ROSEBURG THERAPY LLC
272 NW MEDICAL LOOPROSEBURGOR97347$5,136$0COMMUNITY IMPACT-VARIOUS HEALTH
SALEM CAPITAL PRIDE
PO BOX 243SALEMOR97308$9,000$0COMMUNITY IMPACT-VARIOUS HEALTH
SALEM CLINIC PC
PO BOX 8100SALEMOR97303$1,747,672$0COMMUNITY IMPACT-VARIOUS HEALTH
SALEM FREE CLINICS
1300 BROADWAY ST NE SE 104SALEMOR97301$24,750$0COMMUNITY IMPACT-VARIOUS HEALTH
SALEM HEALTH
PO BOX 2747PORTLANDOR97208$315,287$0COMMUNITY IMPACT-VARIOUS HEALTH
SALEM HEALTH FOUNDATION
665 WINTER ST NESALEMOR97301$24,999$0COMMUNITY IMPACT-VARIOUS HEALTH
SALEM KROC CENTER
1865 BILL FREY DRSALEMOR97301$97,141$0COMMUNITY IMPACT-VARIOUS HEALTH
SALEM PEDIATRIC CLINIC
2478 13TH ST SESALEMOR97302$7,390$0COMMUNITY IMPACT-VARIOUS HEALTH
SALEM YMCA VETERANS HOUSING
685 COURT ST NESALEMOR97301$100,000$0COMMUNITY IMPACT-VARIOUS HEALTH
SALEM-KEIZER PUBLICE SCHOOLS
2450 LANCASTER DR NESALEMOR97305$20,000$0COMMUNITY IMPACT-VARIOUS HEALTH
SANTIAM HOSPITAL
PO BOX 577STAYTONOR97383$147,129$0COMMUNITY IMPACT-VARIOUS HEALTH
SANTIAM MEMORIAL HOSPITAL
PO BOX 19212BELFASTME04915$180,436$0COMMUNITY IMPACT-VARIOUS HEALTH
SCIENCE & SENSORY LLC
4300 CHERRY AVE NEKEIZEROR97303$20,977$0COMMUNITY IMPACT-VARIOUS HEALTH
SHANGRI LA
4080 REED RD SE STE 150SALEMOR97302$14,855$0COMMUNITY IMPACT-VARIOUS HEALTH
SILVER CREEK FAMILY MEDICINE
111 W C STSILVERTONOR97381$11,934$0COMMUNITY IMPACT-VARIOUS HEALTH
SILVERTON HEALTH
1919 NW LOVEJOY STPORTLANDOR97209$198,253$0COMMUNITY IMPACT-VARIOUS HEALTH
SILVERTON MEDICAL CENTER
342 FAIRVIEW STSILVERTONOR97381$20,000$0COMMUNITY IMPACT-VARIOUS HEALTH
SOARING HEIGHTS RECOVERY HOME
PO BOX 20614KEIZEROR97307$24,999$0COMMUNITY IMPACT-VARIOUS HEALTH
VALLEY MENTAL HEALTH
821 SAGINAW ST STE SSALEMOR97302$65,435$0COMMUNITY IMPACT-VARIOUS HEALTH
WEST VALLEY HOSPITAL
PO BOX 94269SEATTLEWA98124$24,999$0COMMUNITY IMPACT-VARIOUS HEALTH
WFMC HEALTH
435 LANCASTER DR NESALEMOR97301$785,705$0COMMUNITY IMPACT-VARIOUS HEALTH
WISEMIND EDUCATIONAL SERVICES
780 COMMERCIALS ST SE UNIT 30SALEMOR97302$6,450$0COMMUNITY IMPACT-VARIOUS HEALTH
WOMEN AT THE WELL GRACE HOUSE
1243 PEACE ST SESALEMOR97302$100,000$0COMMUNITY IMPACT-VARIOUS HEALTH
WVP HEALTH AUTHORITY
2995 RYAN DR S E 200SALEMOR97301$16,118$0COMMUNITY IMPACT-VARIOUS HEALTH
WVP MEDICAL GROUP LLC
2995 RYAN DR SE STE 200SALEMOR97301$3,182,323$0COMMUNITY IMPACT-VARIOUS HEALTH
YVFW
PO BOX 190TOPPENISHWA98948$1,458,291$0COMMUNITY IMPACT-VARIOUS HEALTH
FieldValueIRS element (for citing)
Total501c3 Org0Total501c3OrgCnt
Total Other Org76TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJUSTIN HOPKINSPersonNm
TitleExecutive Dir.TitleTxt
Base Compensation Filing Org$166,800BaseCompensationFilingOrgAmt
Total Compensation Filing Org$166,800TotalCompensationFilingOrgAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bNo review was or will be conducted.
Form 990, Part VI, Section B, Line 15bREVIEWED AND APPROVED BY BOARD MEMBERS.
Form 990, Part VI, Section C, Line 19No documents available to the public.