2023-10-03T15:17:16-05:00 2023-03-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-04-01 237297657 COLUMBIA VALLEY COMMUNITY HEALTH COLU 5096626000 600 ORONDO AVENUE 1 WENATCHEE WA 98801 MANUEL NAVARRO CEO 5096626000 2023-09-27 1 MANUEL NAVARRO 999009999 0 KURT BENNION CPA P01469618 4252506100 2023-09-26 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MANUEL NAVARRO 600 ORONDO AVENUE 1 WENATCHEE WA 98801 64066387 0 X WWW.CVCH.ORG X 1972 WA PARTNERING TO ACHIEVE OPTIMAL HEALTH AND WELLNESS WITH COMPASSION AND RESPECT FOR ALL. 9 9 490 13 0 0 13941117 15088437 42074109 42625474 202860 -125273 223285 80533 56441371 57669171 18647 30815 0 0 32606396 36591015 0 0 0 14709836 16617158 47334879 53238988 9106492 4430183 78404723 96756213 14001425 28105574 64403298 68650639 THE MISSION OF COLUMBIA VALLEY COMMUNITY HEALTH IS PARTNERING TO ACHIEVE OPTIMAL HEALTH AND WELLNESS WITH COMPASSION AND RESPECT FOR ALL. 0 0 39374488 30815 42625474 PROVIDE COMPREHENSIVE MEDICAL, MENTAL HEALTH AND DENTAL CARE 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. 477979 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. 39852467 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 52 0 490 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 1 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 X MIKE ROMINE 5096626000 600 ORONDO AVENUE 1 WENATCHEE WA 98801 DR FELIPE GUTIERREZ CMO 40.00 X 351266 0 39430 DR JEFFERY HINCKLEY DENTIST & DENTAL DIRECTOR 40.00 X 297240 0 39430 DAVID OLSON FORMER CEO 0.00 X 319980 0 5306 MANUEL NAVARRO INTERIM CEO & CEO 40.00 X 283455 0 38902 KENNETH SHERMER PHYSICIAN 40.00 X 282553 0 36757 NATHAN SCHREIBER ASSOCIATE MEDICAL DIRECTOR 40.00 X 279859 0 38616 SCOTT HIPPE PHYSICIAN 40.00 X 264743 0 38289 TOBE HARBERD PHYSICIAN 40.00 X 259926 0 37719 JOSHUA BURNELL PHYSICIAN 40.00 X 260454 0 24517 MICHAEL ROMINE CFO 40.00 X 241115 0 30106 MALCOLM BUTLER FORMER CMO 0.00 X 232834 0 36677 DANIELLE NOELL COO 40.00 X 207156 0 32733 BLAKE EDWARDS CHIEF QUALITY & COMPLIANCE OFFICER 40.00 X 164686 0 33266 LAURA LEON PRESIDENT (THROUGH MARCH 2023) 2.00 X X 0 0 0 SASHA SLEIMAN VICE PRESIDENT 2.00 X X 0 0 0 ROBERT SCOTT JR TREASURER 2.00 X X 0 0 0 EVELYN MEJIA SECRETARY 2.00 X X 0 0 0 KEVIN BROWN BOARD MEMBER 2.00 X 0 0 0 CLARK HANSON 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 KRISTINA STEPPER BOARD MEMBER 2.00 X 0 0 0 JOHN SWENSON BOARD MEMBER (THROUGH MARCH 2023) 2.00 X 0 0 0 3445267 0 431748 58 1 1 0 CHERVENELL CONSTRUCTION COMPANY 107422 E DETRICK PR SE KENNEWICK WA 99338 CONSTRUCTION SERVICES 6592942 KDA ARCHITECTURE 1310 NORTH 16TH AVE YAKIMA WA 98902 ARCHITECURAL SERVICES 1051837 ATHENAHEALTH PO BOX 415615 BOSTON MA 022415615 EHR, PRACTICE MGMT & PATIENT BILLING 959047 ABM JANITORIAL SERVICES PO BOX 419860 BOSTON MA 022419860 JANITORIAL SERVICES 419353 COMMUNITY CLINIC CONTRACTING NETWORK IN 18 S MISSION ST 300 WENATCHEE WA 98801 VARIOUS CONSULTING SERVICES 232602 9 14879682 208755 1226842 15088437 PATIENT SERVICE REVENUE 621400 26533999 26533999 ENHANCEMENTS REVENUE 621400 13067918 13067918 CAPITATION REVENUE 621400 2992371 2992371 MEDICAL RECORD REVENUE 621400 31186 31186 42625474 180800 180800 6091143 6397216 -306073 -306073 -306073 MISCELLANEOUS INCOME 900099 80533 80533 80533 57669171 42625474 0 -44740 19526 19526 11289 11289 1869488 260379 1609109 544478 316974 227504 26880508 23239639 3640869 961030 1025859 -64829 4507042 2955692 1551350 1828469 1178399 650070 39146 39146 45955 45955 49209 49209 1595015 904424 690591 372887 317148 55739 782047 420877 361170 2978498 1518167 1460331 1415644 1059209 356435 24095 15666 8429 199406 148050 51356 2153674 1596484 557190 96330 96330 MEDICAL SUPPLIES 5218661 3973921 1244740 MISCELLANEOUS EXPENSES 523054 172326 350728 CONTINUING EDUCATION 499444 256803 242641 BAD DEBT EXPENSE 368832 368832 255261 92803 162458 53238988 39852467 13386521 0 28439415 25741699 5233958 1614173 121126 80397 4973060 3661916 286580 275228 824552 979937 71240437 23612223 31794698 47628214 5482262 14805692 1200000 1200000 49072 0 0 768957 78404723 96756213 5569933 7485543 21221 7619353 19851075 768956 790918 0 14001425 28105574 X 64105614 68410106 297684 240533 64403298 68650639 78404723 96756213 4430183 -182842 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3013200 3013200 40408127 16253244 24154883 659115 527705 131410 8762327 6831274 1931053 18397668 18397668 47628214 X 57032755 -182842 15663 -167179 57199934 49209 420028 469237 57669171 52820947 0 52820947 49209 368832 418041 53238988 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, 2023 AND 2022, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS 15,663. PART XI, LINE 4B - OTHER ADJUSTMENTS: RESTRICTED CONTRIBUTIONS 51,196. BAD DEBT EXPENSE 368,832. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 368,832. 1 HELPING HANDS FUND 43 11289 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 1 0 0 0 0 1 0 0 0 DR FELIPE GUTIERREZ CMO 327385 0 22807 0 1074 0 13725 0 25705 0 390696 0 0 0 DR JEFFERY HINCKLEY DENTIST & DENTAL DIRECTOR 230395 0 58814 0 8031 0 13725 0 25705 0 336670 0 0 0 DAVID OLSON FORMER CEO 69593 0 0 0 250387 0 3164 0 2142 0 325286 0 0 0 MANUEL NAVARRO INTERIM CEO & CEO 232033 0 53900 0 -2478 0 13201 0 25701 0 322357 0 0 0 KENNETH SHERMER PHYSICIAN 272406 0 8862 0 1285 0 12123 0 24634 0 319310 0 0 0 NATHAN SCHREIBER ASSOCIATE MEDICAL DIRECTOR 270167 0 8942 0 750 0 12911 0 25705 0 318475 0 0 0 SCOTT HIPPE PHYSICIAN 250780 0 2200 0 11763 0 12584 0 25705 0 303032 0 0 0 TOBE HARBERD PHYSICIAN 237780 0 5100 0 17046 0 12014 0 25705 0 297645 0 0 0 JOSHUA BURNELL PHYSICIAN 223762 0 4700 0 31992 0 9379 0 15138 0 284971 0 0 0 MICHAEL ROMINE CFO 199467 0 40583 0 1065 0 11033 0 19073 0 271221 0 0 0 MALCOLM BUTLER FORMER CMO 196236 0 37969 0 -1371 0 10978 0 25699 0 269511 0 0 0 DANIELLE NOELL COO 171346 0 37500 0 -1690 0 8723 0 24010 0 239889 0 0 0 BLAKE EDWARDS CHIEF QUALITY & COMPLIANCE OFFICER 132938 0 31917 0 -169 0 7750 0 25516 0 197952 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 4A IN 2022, DAVID OLSON RECEIVED SEVERANCE PAYMENTS THAT TOTALLED $250,204 PART I, LINE 6 THE ORGANIZATION'S LEADERSHIP TEAM PARTICIPATES IN AN INCENTIVE-BASED PROGRAM WITH SIX PILLARS, INCLUDING FINANCIAL SUSTAINABILITY (I.E. OPERATING MARGIN), COMMUNITY, GROWTH, PATIENT EXPERIENCE, QUALITY, AND WORKFORCE. EACH PILLAR IS EQUALLY WEIGHTED. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2022-02-17 24600000 BUILDING EXPANSION AND REFINANCE SERIES 2017 BONDS 0 0 0 A 289002 24600000 220013 12584653 7556744 4238590 1 0 0 0 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 X 23417 1226842 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. THE EXECUTIVE COMMITTEE ALSO ACTS AS THE COMPENSATION COMMITTEE FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S BYLAWS WERE AMENDED IN OCTOBER 2022 TO HAVE THE BOARD'S EXECUTIVE COMMITTEE ACT AS THE ORGANIZATION'S COMPENSATION 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 REVIEWS AND APPROVES THE CEO'S COMPENSATION. THE CEO REVIEWS AND APPROVES ALL OTHER EMPLOYEES' COMPENSATION. THE PROCESS WAS LAST COMPLETED IN 2023. 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.