2023-11-14T14:10:05-06:00 2022-12-31 930743240 HOFFMAN STEWART & SCHMIDT PC 3 CENTERPOINTE DRIVE SUITE 300 LAKE OSWEGO OR 970358663 990 2022-01-01 931230223 KLAMATH HEALTH PARTNERSHIP INC KLAM 5418518110 2074 S 6TH STREET KLAMATH FALLS OR 97601 SIGNE PORTER CEO/CFO 5418518110 2023-11-09 1 SIGNE PORTER 999009999 0 TODD D MASSINGER P00075883 5032205900 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z KLAMATH OPEN DOOR FAMILY PRACTICE SIGNE PORTER 2074 S 6TH STREET KLAMATH FALLS OR 97601 16726361 0 X WWW.KLAMATHOPENDOOR.ORG X 1997 OR TO PROVIDE ACCESSIBLE, CULTURALLY SENSITIVE, AFFORDABLE, QUALITY DRIVEN PATIENT CENTERED HEALTH SERVICE, WITH AN EMPHASIS ON THE UNDERSERVED. 11 11 183 11 0 0 4322632 4218195 6464687 6191515 30199 2239 2708514 4898069 13526032 15310018 65692 25778 0 0 10433464 11630610 0 0 0 2760379 4632678 13259535 16289066 266497 -979048 15658615 14913005 639968 873406 15018647 14039599 PROVIDE ACCESSIBLE, CULTURALLY SENSITIVE, AFFORDABLE, QUALITY DRIVEN PATIENT CENTERED HEALTH SERVICES, WITH AN EMPHASIS ON THE UNDERSERVED. 0 0 14255177 25778 11089584 KLAMATH HEALTH PARTNERSHIP DELIVERS ESSENTIAL AND PREVENTATIVE PRIMARY CARE, PHARMACY, DENTAL, AND MENTAL HEALTH SERVICES TO THE UNDERSERVED, UNISURED, AND UNDERINSURED INDIVIDUALS AND FAMILIES IN KLAMATH COUNTY, OREGON. DURING 2022, THE ORGANIZATION SERVED APPROXIMATELY 9,600 INDIVIDUALS THROUGH 44,000 VISITS. 14255177 1 1 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 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 36 0 1 183 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X SIGNE PORTER 5418518110 2074 S 6TH STREET KLAMATH FALLS OR 97601 EDWARD HORVATH PRESIDENT 1.00 X X 0 0 0 JAN BOS VICE PRESIDENT 1.00 X X 0 0 0 MICHAEL RIVERA TREASURER 1.00 X X 0 0 0 LIZ MADDALENA SECRETARY 1.00 X X 0 0 0 EDITH BROWN-VIEYRA DIRECTOR 1.00 X 0 0 0 CONNIE CATTERALL DIRECTOR 1.00 X 0 0 0 DAVID HEDELMAN DIRECTOR 1.00 X 0 0 0 RICHARD LONG DIRECTOR 1.00 X 0 0 0 LAURA PULLEY CPA DIRECTOR 1.00 X 0 0 0 BETTY PURCELL DIRECTOR 1.00 X 0 0 0 TAMARA ROSE PHD DIRECTOR 1.00 X 0 0 0 SIGNE PORTER CEO/CFO 40.00 X 131730 0 20870 FLOR MOUNTS MEDICAL DIRECTOR 40.00 X 274628 0 27606 MARCUS COX CHIEF PHARMACY OFFICER 40.00 X 259089 0 23296 AARON DAVIS DENTAL DIRECTOR 40.00 X 168392 0 31109 ASHLEY BRYSON MD 40.00 X 242902 0 22847 JAN HALLOCK DO 40.00 X 225436 0 22847 JONATHAN NEAL PA 40.00 X 169074 0 31197 EDWARD TROBAUGH MD 30.00 X 208419 0 29903 SARAH WILLIAMS MD 34.00 X 226461 0 17609 1906131 0 227284 21 0 1 0 MODOC CONTRACTING 4027 OR-39 KLAMATH FALLS OR 97603 REMODELING 1334019 STACY & DENNIS 3815 S 6TH STREET KLAMATH FALLS OR 97603 IT SUPPORT 572631 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 LOCUM TENENS RECRUITING 273513 ALLCARE EHEALTH SERVICE 1701 NE 7TH STREET GRANTS PASS OR 97526 EMR SUPPORT 129926 ERIN WELCH 1808 HARMONY LANE KLAMATH FALLS OR 97601 PHARMACIST 100388 5 3759826 458369 138000 4218195 CAPITATION REVENUE 621110 2714244 2714244 PATIENT SERVICE REVENUE 621110 1919752 1919752 PREMIUM AND INCENTIVES REVENUE 621110 1557519 1557519 6191515 2239 2239 6289792 1416343 4873449 4873449 MISCELLANEOUS INCOME 621110 24620 24620 24620 15310018 11089584 0 2239 25778 25778 936720 542457 394263 8282726 7711354 571372 125033 123841 1192 1575636 1438028 137608 710495 638637 71858 1547231 956394 590837 8402 7552 850 1269143 1195812 73331 251304 225888 25416 110057 94249 15808 481733 433012 48721 83957 75466 8491 CONTRACTUAL SERVICES 333852 288454 45398 EQUIPMENT, REPAIRS, AND 290757 261351 29406 RECRUITMENT 104765 100747 4018 DUES, LICENSES, AND PUB 86533 77781 8752 64944 58376 6568 16289066 14255177 2033889 0 3490967 3854712 1954370 185727 545191 582785 3018117 2215516 79283 141487 267433 323528 12120011 4510761 6303254 7609250 15658615 14913005 639968 873406 639968 873406 X 15018647 14039599 15018647 14039599 15658615 14913005 -979048 0 X 0 0 0 X 2808157 3288091 4634466 4322632 4218195 19271541 9146443 10056708 12665397 9743498 12481307 54093353 11954600 13344799 17299863 14066130 16699502 73364894 0 0 0 73364894 47255 68967 49738 30199 2239 198398 47255 68967 49738 30199 2239 198398 10979 32907 15136 32576 24620 116218 12012834 13446673 17364737 14128905 16726361 73679510 0.99570 0.99650 0.00270 0.00340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 377489 377489 8769788 2426642 6343146 2972734 2084119 888615 7609250 1 PATIENT ASSISTANCE 565 25778 PART I, LINE 2 ALL INDIVIDUAL ASSISTANCE WAS GIVEN DIRECTLY TO THE THIRD-PARTY PROVIDER (LANDLORD, HOTEL, CREDITOR, ETC.). INDIVIDUALS WERE NEVER GIVEN CASH AND LEFT TO THEIR OWN DISCRETION ABOUT SPENDING IT. X X X 0 0 0 0 0 0 0 0 0 FLOR MOUNTS MEDICAL DIRECTOR 274628 0 0 0 0 0 7433 0 20173 0 302234 0 0 0 MARCUS COX CHIEF PHARMACY OFFICER 259089 0 0 0 0 0 476 0 22820 0 282385 0 0 0 ASHLEY BRYSON MD 242902 0 0 0 0 0 0 0 22847 0 265749 0 0 0 JAN HALLOCK DO 225436 0 0 0 0 0 0 0 22847 0 248283 0 0 0 SARAH WILLIAMS MD 226461 0 0 0 0 0 5222 0 12387 0 244070 0 0 0 EDWARD TROBAUGH MD 208419 0 0 0 0 0 13344 0 16559 0 238322 0 0 0 JONATHAN NEAL PA 169074 0 0 0 0 0 8832 0 22365 0 200271 0 0 0 AARON DAVIS DENTAL DIRECTOR 168392 0 0 0 0 0 11610 0 19499 0 199501 0 0 0 SIGNE PORTER CEO/CFO 131730 0 0 0 0 0 9380 0 11490 0 152600 0 0 0 X 1171 138000 FAIR MARKET VALUE 0 0 0 PART I, COLUMN (B): GLOVES, MASKS, AND VACCCINES FOR KIDS FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CEO/CFO, THEN PRESENTED AT A BOARD MEETING OR SENT TO BOARD MEMBERS VIA EMAIL AND APPROVED BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE EACH YEAR. THE BOARD HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT IS REVIEWED ANNUALLY BY THE BOARD AND CEO. THE QUESTION OF CONFLICT OF INTEREST IS ASKED BEFORE ANY VOTE. IF A CONFLICT IS PRESENT, THE INDIVIDUAL DECLINES VOTING AND IT IS RECORDED IN MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 BIANNUAL SURVEYS ARE DONE TO COLLECT INFORMATION FROM SIMILAR ORGANIZATIONS THROUGH THE OREGON PRIMARY CARE ASSOCIATION, NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION, AND OTHER RELEVANT WAGE AND SALARY RESOURCES. THE BOARD OF DIRECTORS REVIEWS WAGES AND SALARIES EACH YEAR AS A FUNCTION OF ITS FIDUCIARY RESPONSIBILITY TO APPROVE AN ANNUAL OPERATIONS BUDGET. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.