WILLAMETTE HEALTH COUNCIL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- WILLAMETTE HEALTH COUNCIL (EIN 84-2658002)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-09
- IRS object ID
- 202143139349305709
- Schema version
- 2020v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-09T15:27:40-08:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 931122378 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RANDY MITCHELL CPA PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 309 N First St | AddressLine1Txt |
| City | Silverton | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97381 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 842658002 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLAMETTE HEALTH COUNCIL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WILL | BusinessNameControlTxt |
| Phone | 5037402952 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3759 | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97302 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Justin Hopkins | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Signature | 2021-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Justin | PersonFirstNm |
| Person Last | Hopkins | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RANDALL E MITCHELL CPA | PreparerPersonNm |
| PTIN | P00182074 | PTIN |
| Phone | 5038732310 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3759 | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97302 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,280,679 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | willamettehealthcouncil.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2020 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | The 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 Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $8,280,679 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| CY Total Revenue | $8,280,679 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $7,018,292 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| CY Other Expenses | $165,155 | CYOtherExpensesAmt |
| CY Total Expenses | $7,183,447 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | $1,097,232 | CYRevenuesLessExpensesAmt |
| Total Assets EOY | $1,130,999 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances EOY | $1,130,999 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,183,447 | ExpenseAmt |
| Desc | To 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 | $7,183,447 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Randy Mitchell CPA | PersonNm |
| Phone | 5038732310 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 309 N First Street | AddressLine1Txt |
| City | Silverton | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97381 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| MARK HELM | |||||||
| Chairman | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ELIZABETH SPINNING | |||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SARAH BREWER | |||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MATT BOLES | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| CLAY PETERSON | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LISA LILLICO | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOSH GRAVES | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID FENDER | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LESLIE HUGGINS | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| PETER DAVIDSON | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| PAUL LOGAN | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JACKIE HADDON | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TINA FOSS | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT STEELE | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| NOELLE CARROLL | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| COLM WILLIS | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JUSTIN HOPKINS | |||||||
| Executive Dir. | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $8,280,679 | AllOtherContributionsAmt |
| Total Contributions | $8,280,679 | TotalContributionsAmt |
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,280,679 | TotalRevenueColumnAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,018,292 | TotalAmt |
| Program Services | $7,018,292 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $722 | TotalAmt |
| Program Services | $722 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,320 | TotalAmt |
| Program Services | $1,320 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,457 | TotalAmt |
| Program Services | $154,457 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75 | TotalAmt |
| Program Services | $75 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,072 | TotalAmt |
| Program Services | $4,072 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335 | TotalAmt |
| Program Services | $335 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497 | TotalAmt |
| Program Services | $497 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| CAC STIPENDS | $1,175 | $1,175 |
| TRAINING | $738 | $738 |
| DUES & SUBSCRIPTIONS | $600 | $600 |
| MATERIALS & SERVICES | $476 | $476 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $688 | TotalAmt |
| Program Services | $688 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,183,447 | TotalAmt |
| Program Services | $7,183,447 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,127,605 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,891 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $497 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,394 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,130,999 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,130,999 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,130,999 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,130,999 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,097,232 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $33,767 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,891 | OtherCostOrOtherBasisAmt |
| Depreciation | $497 | DepreciationAmt |
| Book Value | $3,394 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,394 | TotalBookValueLandBuildingsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (99 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|
| ADVANTAGE DENTAL SERVICES | ||||||
| PO BOX 11470 | EUGENE | OR | 97440 | $158,383 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| ADVENTURES WITH AUTISM | ||||||
| 4300 CHERRY AVE NE | KEIZER | OR | 97303 | $34,081 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| AMAZING TREATMENT - SUD | ||||||
| 525 FERRY ST SE STE 203 | SALEM | OR | 97302 | $14,980 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| ARMSTRONG WELLNESS | ||||||
| 1655 STATE ST | SALEM | OR | 97302 | $48,433 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| ASSISTANCE LEAGUE OF SALEM-KE | ||||||
| 1095 SAGINAW STREET SE | SALEM | OR | 97302 | $15,000 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| BRAD DEHLER BS | ||||||
| 185 13TH ST NE | SALEM | OR | 97301 | $10,775 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| BRIDGEWAY RECOVERY SERVICES | ||||||
| PO BOX 17818 | SALEM | OR | 97305 | $162,758 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CANYON FAMILY HEALTH INC | ||||||
| 1095 N 1ST ST | STAYTON | OR | 97383 | $15,004 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CAPITOL DENTAL CARE | ||||||
| 3000 MARKET ST NE 228 | SALEM | OR | 97301 | $261,243 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CASA OF MARION COUNTY | ||||||
| 3530 RIVER RD N | KEIZER | OR | 97303 | $15,000 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CASCADE ID AND INFUSION LLC | ||||||
| 2720 COMMERCIAL ST SE STE 201 | SALEM | OR | 97301 | $18,358 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CASTILLO JUAN L | ||||||
| PO BOX 23249 | BELFAST | ME | 04915 | $13,269 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CATHOLIC COMMUNITY SERVICES | ||||||
| 3737 PORTLAND RD | SALEM | OR | 97301 | $29,053 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CENTER FOR ADDICTION AND COUN | ||||||
| 460 LANCASTER DR NE | SALEM | OR | 97301 | $12,548 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CENTER FOR AUTISM AND RELATED | ||||||
| 21600 OXNARD ST STE 1800 | WOODLAND HILLS | CA | 91367 | $31,099 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CENTER FOR HOPE AND SAFETY | ||||||
| 605 CENTER ST SE | SALEM | OR | 97301 | $10,000 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CHILDHOOD HEALTH ASSOCIATES | ||||||
| 891 23RD ST NE | SALEM | OR | 97301 | $278,702 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CLEAR PATHS | ||||||
| 3793 RIVER ROAD N | SALEM | OR | 97303 | $31,442 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CONNECTIONS 365 | ||||||
| 4890 32ND AVE SE | SALEM | OR | 97317 | $18,680 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| COORDINATED COUNSELING FOR CH | ||||||
| 295 CHURCH ST SE 305 | SALEM | OR | 97301 | $11,774 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CREATING PATHWAYS PEDIATRIC T | ||||||
| 3871 FAIRVIEW INDUSTRIAL DR S | SALEM | OR | 97302 | $19,376 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CREEKSIDE COUNSELING INC | ||||||
| PO BOX 4169 | SALEM | OR | 97302 | $14,676 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| CROSSING BRIDGES COUNSELING C | ||||||
| PO BOX 873 | TUALATIN | OR | 97062 | $22,994 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| DERMATOLOGY CLINIC PC | ||||||
| 2441 GREAR ST NE | SALEM | OR | 97301 | $6,044 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| DR TIMOTHY PETERS | ||||||
| 605 WELCH ST | SILVERTON | OR | 97381 | $8,189 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| EYE CARE PHYSICIANS & SURGEON | ||||||
| 1309 LIBERTY ST SE | SALEM | OR | 97302 | $9,260 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| HELPING HANDS RESOURCES | ||||||
| PO BOX 3363 | SALEM | OR | 97302 | $15,000 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| HIV ALLIANCE | ||||||
| 1195A CITY VIEW ST | EUGENE | OR | 97401 | $40,000 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| HOPE FAMILY MEDICINE | ||||||
| 530 WELCH ST | SILVERTON | OR | 97381 | $5,578 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| HOPE ORTHOPEDICS OF OREGON | ||||||
| 1600 STATE ST | SALEM | OR | 97301 | $20,502 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| INTERCULTURAL CENTER FOR PSYC | ||||||
| PO BOX 256 | NEWBERG | OR | 97132 | $18,924 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| IRON TRIBE | ||||||
| 17763 SE 82ND DR A | GLADSTONE | OR | 97027 | $68,000 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| JD HEALTH AND WELLNESS CENTER | ||||||
| PO BOX 2178 | WILSONVILLE | OR | 97070 | $8,236 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| JOHN H WELLER | ||||||
| 1095 LIBERTY ST | SALEM | OR | 97301 | $6,639 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| KAISER PERMANENTE - N LANCAST | ||||||
| 2400 NE LANCASTER DR | SALEM | OR | 97305 | $6,212 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| KAISER PERMANENTE - SKYLINE | ||||||
| 5125 S SKYLINE RD | SALEM | OR | 97306 | $5,085 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| KIDNEY CARE PHYSICIANS LLC | ||||||
| 875 OAK ST SE STE 5070 | SALEM | OR | 97301 | $6,349 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| LEGACY LAB SERVICES | ||||||
| PO BOX 5337 | PORTLAND | OR | 97228 | $7,824 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| LEGACY MEDICAL GROUP | ||||||
| PO BOX 3417 | PORTLAND | OR | 97208 | $190,853 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| LEGACY MERIDIAN PARK HOSPITAL | ||||||
| PO BOX 4037 | PORTLAND | OR | 97208 | $6,805 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| LIBERTY HOUSE | ||||||
| 2685 4TH ST NE | SALEM | OR | 97301 | $18,351 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| MANO A MANO | ||||||
| 2921 SADDLE CLUB ST SE 1009 | SALEM | OR | 97317 | $100,000 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| MARION COUNTY PUBLIC HEALTH | ||||||
| 3180 CENTER ST NE | SALEM | OR | 97301 | $633,002 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| MID VALLEY PAIN CLINIC | ||||||
| 3723 FAIRVIEW DR STE 170 | SALEM | OR | 97302 | $8,364 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| MILL CREEK FAMILY CLINIC | ||||||
| 4285 COMMERCIAL ST SE 120 | SALEM | OR | 97302 | $18,101 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| NEW PERSPECTIVES CENTER FOR C | ||||||
| PO BOX 7497 | SALEM | OR | 97303 | $124,953 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| NORTHWEST PERMANENTE | ||||||
| 7201 NORTH INTERSTATE AVE | PORTLAND | OR | 97217 | $29,933 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| NWHS-TOTAL HEALTH | ||||||
| 681 CENTER ST NE | SALEM | OR | 97301 | $17,393 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| NWHS-WEST SALEM CLINIC | ||||||
| 1233 EDGEWATER ST NW | SALEM | OR | 97304 | $278,107 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| OPTIONS COUNSELING SVCS OF OR | ||||||
| 3500 CHAD DR | EUGENE | OR | 97408 | $98,918 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| OREGON ANESTHESIOLOGY GROUP P | ||||||
| PO BOX 35147 1801 | SEATTLE | WA | 98124 | $5,520 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| OREGON DENTAL SERVICE | ||||||
| 601 SW SECOND AVE | PORTLAND | OR | 97204 | $101,906 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| OREGON FAMILY HEALTH | ||||||
| 607 SE JEFFERSON ST | DALLAS | OR | 97338 | $41,471 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| OREGON HEART CENTER PC | ||||||
| PO BOX 886 | SALEM | OR | 97301 | $8,321 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| OREGON ONCOLOGY SPECIALISTS | ||||||
| 875 OAK ST SE STE 4030 | SALEM | OR | 97301 | $15,803 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| OREGON RECOVERY BEHAVIORAL HE | ||||||
| PO BOX 20674 | KEIZER | OR | 97307 | $9,407 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| PACIFIC PATHOLOGY ASSOCIATES | ||||||
| PO BOX 206889 | DALLAS | TX | 75320 | $8,175 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| PHYSICAL THERAPY NORTHWEST LI | ||||||
| 685 36TH AVE NE | SALEM | OR | 97301 | $7,068 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| PHYSICIANS BUILDING GROUP | ||||||
| 1234 COMMERCIAL ST SE | SALEM | OR | 97302 | $23,577 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| POLK COUNTY HEALTH DEPARTMENT | ||||||
| 182 ACADEMY SW | DALLAS | OR | 97338 | $274,966 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| RECOVERY OUTREACH COMMUNITY C | ||||||
| 1115 MADISON ST NE 222 | SALEM | OR | 97301 | $168,892 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| RODNEY E ORR MD PC | ||||||
| 335 FAIRVIEW ST | SILVERTON | OR | 97381 | $15,221 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SALEM CLINIC PC | ||||||
| PO BOX 8100 | SALEM | OR | 97303 | $555,250 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SALEM EMERGENCY PHYSICIANS SE | ||||||
| PO BOX 742547 | LOS ANGELES | CA | 90074 | $29,620 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SALEM FAMILY MEDICINE | ||||||
| 432 LANCASTER DR NE | SALEM | OR | 97301 | $9,608 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SALEM GASTROENTEROLOGY | ||||||
| 875 OAK ST SE STE 3010 | SALEM | OR | 97301 | $8,817 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SALEM HEALTH | ||||||
| PO BOX 5969 | PORTLAND | OR | 97228 | $458,972 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SALEM HEALTH - EDGEWATER | ||||||
| PO BOX 13129 | SALEM | OR | 97309 | $10,088 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SALEM HEALTH - INDEPENDENCE M | ||||||
| PO BOX 5969 | PORTLAND | OR | 97228 | $10,006 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SALEM HEALTH - MISSION ST CLI | ||||||
| PO BOX 5969 | PORTLAND | OR | 97228 | $9,830 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SALEM HEALTH SALEM HOSPITAL | ||||||
| PO BOX 2747 | PORTLAND | OR | 97208 | $249,283 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SALEM HOSPITAL | ||||||
| PO BOX 742547 | LOS ANGELES | CA | 90074 | $6,902 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SALEM PEDIATRIC CLINIC | ||||||
| 2478 13TH ST SE | SALEM | OR | 97302 | $259,087 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SALEM PULMONARY ASSOC PC | ||||||
| 801 MISSION ST SE | SALEM | OR | 97302 | $7,013 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SALEM RADIOLOGY CONSULTANTS | ||||||
| PO BOX 12989 | SALEM | OR | 97309 | $71,012 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SANTIAM CANYON WILDFIRE RELIE | ||||||
| 1401 NORTH 10TH AVE | STAYTON | OR | 97383 | $40,000 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SANTIAM HOSPITAL | ||||||
| PO BOX 577 | STAYTON | OR | 97383 | $12,738 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SANTIAM MEMORIAL HOSPITAL | ||||||
| PO BOX 19212 | BELFAST | ME | 04915 | $107,961 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SAPPHIRE BLUE BEHAVIORAL HEAL | ||||||
| 5200 SW MEADOWS RD STE 150 | LAKE OSWEGO | OR | 97035 | $9,291 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SENSIBLE SPEECH LANGUAGE PATH | ||||||
| PO BOX 12381 | SALEM | OR | 97309 | $13,913 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SHANGRI LA | ||||||
| 4080 REED RD SE STE 150 | SALEM | OR | 97302 | $33,635 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SILVER CREEK FAMILY MEDICINE | ||||||
| 111 W C ST | SILVERTON | OR | 97381 | $12,596 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SILVER FALLS DERMATOLOGY LLC | ||||||
| 1793 13TH ST SE | SALEM | OR | 97302 | $5,723 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SILVER FALLS SCHOOL DISTRICT | ||||||
| 612 SCHLADOR ST | SILVERTON | OR | 97381 | $11,700 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| SILVERTON HEALTH | ||||||
| PO BOX 3417 | PORTLAND | OR | 97208 | $117,287 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| ST FRANCIS SHELTER | ||||||
| 1820 BERRY ST SE | SALEM | OR | 97302 | $15,000 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| STAYTON FAMILY PRACTICE | ||||||
| PO BOX 19517 | BELFAST | ME | 04915 | $24,463 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| UNITED WAY OF THE MID-WILLAME | ||||||
| 455 BLILER AVE NE | SALEM | OR | 97301 | $15,000 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| VALLEY MENTAL HEALTH | ||||||
| 821 SAGINAW ST STE S | SALEM | OR | 97302 | $179,727 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| VIDA FAMILY MEDICINE | ||||||
| PO BOX 883 | SALEM | OR | 97308 | $21,401 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| WEST SALEM CLINIC | ||||||
| 1233 EDGEWATER ST NW | SALEM | OR | 97304 | $38,532 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| WEST SALEM FAMILY PRACTICE | ||||||
| 1275 WALLACE RD NW | SALEM | OR | 97304 | $10,940 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| WEST VALLEY HOSPITAL | ||||||
| PO BOX 94269 | SEATTLE | WA | 98124 | $16,151 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| WFMC HEALTH | ||||||
| 435 LANCASTER DR NE | SALEM | OR | 97301 | $185,527 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| WILLAMETTE ENT LLP | ||||||
| 3099 RIVER RD S STE 150 | SALEM | OR | 97302 | $12,414 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| WILLAMETTE FAMILY MEDICAL CEN | ||||||
| 435 LANCASTER DR NE | SALEM | OR | 97301 | $90,054 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| WILLAMETTE UROLOGY PC | ||||||
| 2973 12TH ST SE | SALEM | OR | 97302 | $5,283 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| WOODBURN PEDIATRIC CLINIC | ||||||
| 2050 PROGRESS WAY | WOODBURN | OR | 97071 | $128,886 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| YVFW | ||||||
| PO BOX 190 | TOPPENISH | WA | 98948 | $486,231 | $0 | COMMUNITY IMPACT-VARIOUS HEALTH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 99 | TotalOtherOrgCnt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | No review was or will be conducted. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | REVIEWED AND APPROVED BY BOARD MEMBERS. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | No documents available to the public. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | CONTRIBUTED CAPITAL = $33767 |