COLUMBIA RIVER HEALTH: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBIA RIVER HEALTH (EIN 20-1056268)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-10
- IRS object ID
- 202243149349303464
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-10T11:25:10-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12237 | AddressLine1Txt |
| City | GREEN BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 543072237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201056268 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBIA RIVER COMMUNITY HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COLU | BusinessNameControlTxt |
| Phone | 5414817212 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 397 | AddressLine1Txt |
| City | BOARDMAN | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97818 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID AYALA | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5414817212 | PhoneNum |
| Signature | 2022-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | AYALA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TERRI REXRODE CPA MST | PreparerPersonNm |
| PTIN | P00096513 | PTIN |
| Phone | 9206620016 | PhoneNum |
| Preparation | 2022-11-03 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID AYALA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 397 | AddressLine1Txt |
| City | BOARDMAN | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97818 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,805,534 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CRHCLINIC.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | EMPOWERING MEMBERS OF OUR COMMUNITY TO IMPROVE THEIR QUALITY OF LIFE, ONE PATIENT AT A TIME. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 82 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,301,210 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,547,772 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,305,395 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,784,550 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,953 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,240 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,273,500 | PYOtherRevenueAmt |
| CY Other Revenue | $1,289,936 | CYOtherRevenueAmt |
| PY Total Revenue | $5,882,058 | PYTotalRevenueAmt |
| CY Total Revenue | $7,623,498 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,044,352 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,467,935 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,479,586 | PYOtherExpensesAmt |
| CY Other Expenses | $1,565,885 | CYOtherExpensesAmt |
| PY Total Expenses | $5,523,938 | PYTotalExpensesAmt |
| CY Total Expenses | $6,033,820 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $358,120 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,589,678 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,435,785 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,064,141 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,483,052 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $521,730 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,952,733 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,542,411 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COLUMBIA RIVER HEALTH EXISTS TO PROVIDE EXCEPTIONAL HEALTHCARE FOR EVERYONE IN OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,291,397 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,784,550 | RevenueAmt |
| Desc | 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 PEOPLE, BY PROVIDING ACCESS TO HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTHCARE. IN ADDITION, CRH UTILIZES A SLIDING FEES SCHEDULE UP TO 200% OF THE FEDERAL POVERTY GUIDELINES. FOR APPLICANTS THAT QUALIFY, BASED ON INCOME AND FAMILY SIZE, A PORTION OF THEIR CHARGES WIL BE FOREGONE FOR A NOMINAL OR FLAT FEE. OUR DENTAL PROGRAM IS IN PLACE FOR THOSE WHO ARE QUALIFIED AS LOW INCOME AND HAVE NO DENTAL INSURANCE. MOST FOR EMERGENCY EXTRACTIONS AND RESTORATIVE WORK AS WELL AS PREVENTIVE APPOINTMENTS. WE WORK WITH ADVANTAGE DENTAL CLINICS FOR EMERGENCY AND PREVENTIVE TREATMENTS AND MEDICAL TEAMS INTERNATIONAL FOR RESTORATIVE TREATMENT. WE HAVE A 1.0 FTE X-RAY TECH WITH DIGITAL X-RAY TECHNOLOGY AVAILABLE. A LANGUAGE LINE IS AVAILABLE FOR ANY NON-ENGLISH SPEAKING PATIENT. THE LANGUAGE LINE SERVICE IS USED ANYWHERE FROM 15 TO 180 MINUTES PER MONTH. IT VARIES FROM MONTH TO MONTH, BUT WE ARE GLAD IT IS AVAILABLE FOR THE PATIENT, WHEN IT IS NEEDED. BEHAVIORAL HEALTH IN THE CLINIC INCLUDES SUBSTANCE USE DISORDER TREATMENT. ALL PROVIDERS ARE X- WAIVERED, TO TREAT OPIATED USE DISORDER WITH MEDICATION. THE PHARMACY IS LOCATED IN THE GROCERY STORE IN TOWN, THE MOST CONVIENEINT LOCATION AVAILABLE CURRENTLY. ADDITIONALLY, CRH IS CONTRACTED WITH CAPTURE RX, WHO CONTRACTS WITH PHARMACIES IN THE REGION TO DISPENSE 340B DRUGS. THIS PROGRAM IS CONTROLLED BY CAPTURE RX AND 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 2020 WE ALSO STARTED COVID-19 TESTING AND MADE UPDATES TO OUR TELEHEALTH SERVICES. | Desc |
| Total Program Service Expenses | $3,291,397 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 82 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID AYALA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5414817212 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 TATONE ST | AddressLine1Txt |
| City | BOARDMAN | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97818 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| GEOFFREY THOMAS | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $286,900 | $0 | $37,458 | ||
| ANDREW CREMORE | |||||||
| PHARMACIST | 40.00 | $152,371 | $0 | $30,783 | Yes (X) | ||
| DAVID AYALA | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $137,044 | $0 | $32,126 | ||
| SARAH ULRICH | |||||||
| PHYSICIAN ASSISTANT | 40.00 | $139,901 | $0 | $16,933 | Yes (X) | ||
| NYLE GUNTER | |||||||
| PHYSICIAN ASSISTANT | 40.00 | $119,095 | $0 | $25,645 | Yes (X) | ||
| CHAOFEN TAN | |||||||
| PHARMACIST | 40.00 | $120,997 | $0 | $11,183 | Yes (X) | ||
| KATHERINE DUNLEVY | |||||||
| PHYSICIAN ASSISTANT | 40.00 | $115,725 | $0 | $9,747 | Yes (X) | ||
| SHEILA CORPUS | |||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| PAMELA DOCKEN | |||||||
| CHAIR (TERMED) | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MICHAEL HUGHES | |||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOELL ZITTERKOB | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| STAN CHAFFIN | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ROSIE DELGADO | |||||||
| SECRETARY (TERMED) | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ELVIA AYALA | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DEANNA CAMP | |||||||
| MEMBER (TERMED) | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| TED LIEURANCE | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| SAUL LLAMAS | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| CYNTHIA NAVARRO | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JUAN REYNA | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,072,033 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $163,875 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DYNAMIC COMPUTER CONSULTING INC | |||||
| PO BOX 1133 | PENDLETON | OR | 97801 | IT CONSULTANT | $173,676 |
| OCHIN | |||||
| 1881 SW NAITO PARKWAY | PORTLAND | OR | 97201 | EHR SOFTWARE | $161,735 |
| COMMUNITY LINK CONSULTING | |||||
| PO BOX 276 | NEWMAN LAKE | WA | 99025 | ACCOUNTING CONSULTANT | $131,449 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,412,257 | GovernmentGrantsAmt |
| All Other Contributions | $135,515 | AllOtherContributionsAmt |
| Total Contributions | $3,547,772 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE, NET | 621400 | $2,767,102 | $2,767,102 |
| OTHER REVENUE | 621400 | $17,448 | $17,448 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,784,550 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,240 | TotalRevenueColumnAmt |
| Exclusion | $1,240 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $2,471,972 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,182,036 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,289,936 | TotalRevenueColumnAmt |
| Exclusion | $1,289,936 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,623,498 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,784,550 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,291,176 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,266 | TotalAmt |
| Program Services | $475,217 | ProgramServicesAmt |
| Management And General | $29,049 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,286,371 | TotalAmt |
| Program Services | $2,060,569 | ProgramServicesAmt |
| Management And General | $1,225,802 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,712 | TotalAmt |
| Program Services | $24,194 | ProgramServicesAmt |
| Management And General | $17,518 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,913 | TotalAmt |
| Program Services | $183,525 | ProgramServicesAmt |
| Management And General | $115,388 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,673 | TotalAmt |
| Program Services | $223,579 | ProgramServicesAmt |
| Management And General | $113,094 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,940 | TotalAmt |
| Management And General | $11,940 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,968 | TotalAmt |
| Management And General | $44,968 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,090 | TotalAmt |
| Program Services | $18,578 | ProgramServicesAmt |
| Management And General | $186,512 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $969 | TotalAmt |
| Management And General | $969 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,048 | TotalAmt |
| Program Services | $127,583 | ProgramServicesAmt |
| Management And General | $87,465 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,153 | TotalAmt |
| Management And General | $420,153 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,674 | TotalAmt |
| Program Services | $41,258 | ProgramServicesAmt |
| Management And General | $64,416 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,575 | TotalAmt |
| Management And General | $7,575 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,695 | TotalAmt |
| Program Services | $78,695 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,267 | TotalAmt |
| Management And General | $198,267 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,193 | TotalAmt |
| Program Services | $40,193 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS & MAINTENANCE | $81,167 | $17,906 | $63,261 |
| DUES & SUBSCRIPTIONS | $71,212 | $71,212 | |
| BAD DEBT EXPENSE | $100 | $100 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,834 | TotalAmt |
| Management And General | $84,834 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,033,820 | TotalAmt |
| Program Services | $3,291,397 | ProgramServicesAmt |
| Management And General | $2,742,423 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277 | BOYAmt |
| EOY | $516 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,473,019 | BOYAmt |
| EOY | $4,416,129 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,670 | BOYAmt |
| EOY | $70,353 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,681 | BOYAmt |
| EOY | $127,353 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,526 | BOYAmt |
| EOY | $199,696 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,356,626 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,106,532 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,417,612 | BOYAmt |
| EOY | $3,250,094 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,435,785 | BOYAmt |
| EOY | $8,064,141 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $527,886 | BOYAmt |
| EOY | $478,700 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,606 | BOYAmt |
| EOY | $43,030 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $691,560 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,483,052 | BOYAmt |
| EOY | $521,730 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,614,368 | BOYAmt |
| EOY | $7,204,046 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $338,365 | BOYAmt |
| EOY | $338,365 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,952,733 | BOYAmt |
| EOY | $7,542,411 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,435,785 | BOYAmt |
| EOY | $8,064,141 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,589,678 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,288,628 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,675,098 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,679,912 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,301,210 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,547,772 | CurrentTaxYearAmt |
| Total | $10,492,620 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,288,628 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,675,098 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,679,912 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,301,210 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,547,772 | CurrentTaxYearAmt |
| Total | $10,492,620 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $10,492,620 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,974 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,531 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,739 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,240 | CurrentTaxYearAmt |
| Total | $19,437 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $10,512,057 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $22,077,899 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99820 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99740 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $741,075 | OtherCostOrOtherBasisAmt |
| Book Value | $741,075 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,824,463 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,225,095 | DepreciationAmt |
| Book Value | $2,599,368 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,219 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,045 | DepreciationAmt |
| Book Value | $10,174 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $776,869 | OtherCostOrOtherBasisAmt |
| Depreciation | $679,124 | DepreciationAmt |
| Book Value | $97,745 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Depreciation | $198,268 | DepreciationAmt |
| Book Value | -$198,268 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,250,094 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $7,623,398 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,623,398 | RevenueSubtotalAmt |
| Other Revenues Not Included | $100 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $100 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,623,498 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,033,720 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,033,720 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $100 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $100 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,033,820 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 100. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 100. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GEOFFREY THOMAS | ||||||||||||||
| CHIEF MEDICAL OFFICER | $283,136 | $0 | $3,764 | $0 | $0 | $0 | $8,516 | $0 | $28,942 | $0 | $324,358 | $0 | $0 | $0 |
| ANDREW CREMORE | ||||||||||||||
| PHARMACIST | $151,775 | $0 | $596 | $0 | $0 | $0 | $4,774 | $0 | $26,009 | $0 | $183,154 | $0 | $0 | $0 |
| DAVID AYALA | ||||||||||||||
| EXECUTIVE DIRECTOR | $136,448 | $0 | $596 | $0 | $0 | $0 | $4,367 | $0 | $27,759 | $0 | $169,170 | $0 | $0 | $0 |
| SARAH ULRICH | ||||||||||||||
| PHYSICIAN ASSISTANT | $118,876 | $0 | $21,025 | $0 | $0 | $0 | $3,569 | $0 | $13,364 | $0 | $156,834 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DAVID AYALA AND ELVIA AYALA HAVE A FAMILY RELATIONSHIP |
| FORM 990, PART VI, SECTION A, LINE 4 | THE AMENDED BYLAWS REDUCED THE MAXIMUM SIZE OF THE BOARD FROM 25 TO 15 AND ALSO MADE THE EXECUTIVE DIRECTOR A NON-VOTING, EX-OFFICIO MEMBER OF THE BOARD (ONLY EMPLOYEE THAT IS GIVE A BOARD POSITION). |
| 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 EDUCATON 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 ACCOUNTING TEAM AND REVIEWED BY THE CFO AND CEO. THEY ARE THEN PRESENTED MONTHLY TO THE BOARD OF DIRECTORS BY THE CFO. 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. |