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COLUMBIA RIVER HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
COLUMBIA RIVER HEALTH (EIN 20-1056268)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-22
IRS object ID
202133269349300923
Schema version
2020v4.1
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)
Return2021-11-22T11:50:17-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12237AddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP543072237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201056268EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COLUMBIA RIVER COMMUNITY HEALTH SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOLUBusinessNameControlTxt
Phone5414817212PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 397AddressLine1Txt
CityBOARDMANCityNm
State AbbreviationORStateAbbreviationCd
ZIP97818ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID AYALAPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone5414817212PhoneNum
Signature2021-11-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVIDPersonFirstNm
Person LastAYALAPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRI REXRODE CPA MSTPreparerPersonNm
PTINP00096513PTIN
Phone9206620016PhoneNum
Preparation2021-11-08PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID AYALAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 397AddressLine1Txt
CityBOARDMANCityNm
State AbbreviationORStateAbbreviationCd
ZIP97818ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,897,689GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CRHCLINIC.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionEMPOWERING MEMBERS OF OUR COMMUNITY TO IMPROVE THEIR QUALITY OF LIFE, ONE PATIENT AT A TIME.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee85TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,679,912PYContributionsGrantsAmt
CY Contributions Grants$2,301,210CYContributionsGrantsAmt
PY Program Service Revenue$2,768,669PYProgramServiceRevenueAmt
CY Program Service Revenue$2,305,395CYProgramServiceRevenueAmt
PY Investment Income$1,739PYInvestmentIncomeAmt
CY Investment Income$1,953CYInvestmentIncomeAmt
PY Other Revenue$1,014,042PYOtherRevenueAmt
CY Other Revenue$1,273,500CYOtherRevenueAmt
PY Total Revenue$5,464,362PYTotalRevenueAmt
CY Total Revenue$5,882,058CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,832,908PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,044,352CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,332,020PYOtherExpensesAmt
CY Other Expenses$1,479,586CYOtherExpensesAmt
PY Total Expenses$5,164,928PYTotalExpensesAmt
CY Total Expenses$5,523,938CYTotalExpensesAmt
PY Revenues Less Expenses$299,434PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$358,120CYRevenuesLessExpensesAmt
Total Assets BOY$6,067,617TotalAssetsBOYAmt
Total Assets EOY$7,435,785TotalAssetsEOYAmt
Total Liabilities BOY$473,004TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,483,052TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,594,613NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,952,733NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOLUMBIA RIVER HEALTH EXISTS TO PROVIDE EXCEPTIONAL HEALTHCARE FOR EVERYONE IN OUR COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,605,062ExpenseAmt
Revenue$2,305,395RevenueAmt
DescTHE 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.Desc
Total Program Service Expenses$4,605,062TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee85EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID AYALABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5414817212PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1450 TATONE STAddressLine1Txt
CityBOARDMANCityNm
State AbbreviationORStateAbbreviationCd
ZIP97818ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
GEOFFREY THOMAS
CHIEF MEDICAL OFFICER40.00Yes (X)$299,650$0$35,862
ANDREW CREMORE
PHARMACIST40.00$153,866$0$27,456Yes (X)
DAVID AYALA
EXECUTIVE DIRECTOR40.00Yes (X)$138,198$0$30,556Yes (X)
CHAOFEN TAN
PHARMACIST40.00$119,559$0$10,666Yes (X)
KATHERINE DUNLEVY
PHYSICIAN ASSISTANT40.00$114,372$0$10,259Yes (X)
TERESA LANDRETH
DIRECTOR OF BEHAVIORAL HEALTH40.00$101,403$0$13,841Yes (X)
PAMELA DOCKEN
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
JAMES SETZER THRU NOVEMBER
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
ROSIE DELGADO
SECRETARY1.00Yes (X)$0$0$0Yes (X)
TED LIEURANCE
TREASURER1.00Yes (X)$0$0$0Yes (X)
DEANNA CAMP
MEMBER1.00$0$0$0Yes (X)
STAN CHAFFIN
MEMBER1.00$0$0$0Yes (X)
SHEILA CORPUS
MEMBER1.00$0$0$0Yes (X)
SAUL LLAMAS
MEMBER1.00$0$0$0Yes (X)
CYNTHIA NAVARRO
MEMBER1.00$0$0$0Yes (X)
JUAN REYNA
MEMBER1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$927,048TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$128,640TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CARDINAL HEALTH 112 LLC
C/O BANK OF AMERICA LOCKBOX 3712 CCHICAGOIL60693PHARMACY MEDS$994,699
DYNAMIC COMPUTER CONSULTING INC
PO BOX 1133PENDLETONOR97801IT CONSULTANT$134,458
OCHIN
1881 SW NAITO PARKWAYPORTLANDOR97201EHR SOFTWARE$104,375
COMMUNITY LINK CONSULTING
PO BOX 276NEWMAN LAKEWA99025ACCOUNTING CONSULTANT$104,017
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$2,282,710GovernmentGrantsAmt
All Other Contributions$18,500AllOtherContributionsAmt
Total Contributions$2,301,210TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE, NET621400$2,105,975$2,105,975
OTHER REVENUE621400$199,420$199,420
FieldValueIRS element (for citing)
Total Program Service Revenue$2,305,395TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,953TotalRevenueColumnAmt
Exclusion$1,953ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$2,289,131GrossSalesOfInventoryAmt
Cost Of Goods Sold$1,015,631CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,273,500TotalRevenueColumnAmt
Exclusion$1,273,500ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,882,058TotalRevenueColumnAmt
Related Or Exempt Func Income$2,305,395RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,275,453ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$504,266TotalAmt
Program Services$475,217ProgramServicesAmt
Management And General$29,049ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,912,945TotalAmt
Program Services$2,745,143ProgramServicesAmt
Management And General$167,802ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$61,042TotalAmt
Program Services$57,526ProgramServicesAmt
Management And General$3,516ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$262,651TotalAmt
Program Services$247,521ProgramServicesAmt
Management And General$15,130ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$303,448TotalAmt
Program Services$285,968ProgramServicesAmt
Management And General$17,480ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$53,970TotalAmt
Program Services$53,970ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$38,187TotalAmt
Program Services$38,187ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,388TotalAmt
Management And General$4,388ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$206,483TotalAmt
Program Services$159,255ProgramServicesAmt
Management And General$47,228ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$89,018TotalAmt
Program Services$52,973ProgramServicesAmt
Management And General$36,045ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$47,383TotalAmt
Program Services$28,703ProgramServicesAmt
Management And General$18,680ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$253,996TotalAmt
Management And General$253,996ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$34,912TotalAmt
Program Services$34,912ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS & MAINTENANCE$131,129$129,421$1,708
DUES & SUBSCRIPTIONS$81,755$81,755
BAD DEBT EXPENSE$65,009$65,009
RECRUITING$3,083$3,083

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$470,273TotalAmt
Program Services$146,419ProgramServicesAmt
Management And General$323,854ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,523,938TotalAmt
Program Services$4,605,062ProgramServicesAmt
Management And General$918,876ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,084,539BOYAmt
EOY$277EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$81BOYAmt
EOY$3,473,019EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$218,670EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$163,518BOYAmt
EOY$163,681EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$160,000BOYAmt
EOY$162,526EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,325,876LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,908,264LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,656,424BOYAmt
EOY$3,417,612EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,055BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,067,617BOYAmt
EOY$7,435,785EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$473,004BOYAmt
EOY$527,886EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$263,606EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$691,560EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$473,004BOYAmt
EOY$1,483,052EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,259,998BOYAmt
EOY$5,614,368EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$334,615BOYAmt
EOY$338,365EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,594,613BOYAmt
EOY$5,952,733EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,067,617BOYAmt
EOY$7,435,785EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$358,120ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,431,194CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,288,628CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,675,098CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,679,912CurrentTaxYearMinus1YearAmt
Current Tax Year$2,301,210CurrentTaxYearAmt
Total$8,376,042TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,431,194CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,288,628CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,675,098CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,679,912CurrentTaxYearMinus1YearAmt
Current Tax Year$2,301,210CurrentTaxYearAmt
Total$8,376,042TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$8,376,042PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,974CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,974CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,531CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,739CurrentTaxYearMinus1YearAmt
Current Tax Year$1,953CurrentTaxYearAmt
Total$22,171TotalAmt
FieldValueIRS element (for citing)
Total Support$8,398,213TotalSupportAmt
Gross Receipts Rltd Activities$18,849,838GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99740PublicSupportCY170Pct
Public Support PY1700.99670PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$741,075OtherCostOrOtherBasisAmt
Book Value$741,075BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,802,663OtherCostOrOtherBasisAmt
Depreciation$1,225,095DepreciationAmt
Book Value$2,577,568BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,219OtherCostOrOtherBasisAmt
Depreciation$4,045DepreciationAmt
Book Value$10,174BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$767,919OtherCostOrOtherBasisAmt
Depreciation$679,124DepreciationAmt
Book Value$88,795BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,417,612TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPPP LOANDesc
Amt$691,560Amt
FieldValueIRS element (for citing)
Total Liability$691,560TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$5,878,975TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$3,083OtherRevenueAmt
Revenue Not Reported-$3,083RevenueNotReportedAmt
Revenue Subtotal$5,882,058RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,882,058TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,520,855TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,520,855ExpensesSubtotalAmt
Other Expenses Not Included$3,083OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$3,083ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,523,938TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE -3,083.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 3,083.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GEOFFREY THOMAS
CHIEF MEDICAL OFFICER$299,240$0$410$0$0$0$8,550$0$27,312$0$335,512$0$0$0
ANDREW CREMORE
PHARMACIST$148,459$0$5,407$0$0$0$4,442$0$23,014$0$181,322$0$0$0
DAVID AYALA
EXECUTIVE DIRECTOR$126,724$0$11,474$0$0$0$4,050$0$26,506$0$168,754$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE CEO 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 12CCOLUMBIA 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 15SALARIES 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 19ALL 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 2CFINANCIAL 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.