2019-09-27T17:08:47-05:00 2018-10-31 930819646 JONES & ROTH PC 300 SW COLUMBIA SUITE 201 BEND OR 97702 990 2017-11-01 263084386 LA PINE COMMUNITY HEALTH CENTER LAPI 5415363435 PO BOX 3300 LA PINE OR 97739 CHARLA DEHATE CEO 5415363435 2019-05-15 true BRIAN G NEWTON P01330154 5413823590 2019-09-10 65.154.164.90 2019-09-27 17:08:47 CD P C9E21E635FBF3B49EFFC6769C6377F6DC1330F24 C9E21E635FBF3B49EFFC6769C6377F6DC1330F24 2017 2020-01-14 16:20:31Z CHARLA DEHATE PO BOX 3300 LA PINE OR 97739 7512157 false X WWW.LAPINECC.COM X 2008 OR TO PROVIDE PRIMARY CARE, MENTAL HEALTH AND DENTAL SERVICES REGARDLESS OF THE ABILITY TO PAY TO INDIVIDUALS AND FAMILIES IN CENTRAL OREGON. 10 10 78 10 0 1648357 1564536 4851877 4838062 688 5206 529877 514566 7030799 6922370 0 0 4482505 4797729 0 0 1999634 2187657 6482139 6985386 548660 -63016 4724070 4635776 435904 410626 4288166 4225150 TO PROVIDE PRIMARY CARE, MENTAL HEALTH AND DENTAL SERVICES REGARDLESS OF THE ABILITY TO PAY TO INDIVIDUALS AND FAMILIES IN CENTRAL OREGON. false false 5471875 4838062 PROVIDING HEALTHCARE TO THE UNDERSERVED POPULATION (I.E. UNINSURED, UNDERINSURED, MEDICAID AND MEDICARE). 5471875 true true false false false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 21 0 true 78 true false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false OR X X CHARLA DEHATE 5415363435 PO BOX 3300 LA PINE OR 97739 MARILYN WAGGONER BOARD MEMBER 1.00 X 0 0 0 LINDA VASSALLI SECRETARY 1.00 X X 0 0 0 DAVID GOSSER CHAIR 1.00 X X 0 0 0 JOAN WALTER BOARD MEMBER 1.00 X 0 0 0 TAMMY LESUEUR BOARD MEMBER 1.00 X 0 0 0 MARIAN MENGEL VICE CHAIR 1.00 X X 0 0 0 SHELLEY MIESEN BOARD MEMBER 1.00 X 0 0 0 LYMAN FLENNER III BOARD MEMBER 1.00 X 0 0 0 ELIZABETH TAUSCH TREASURER 1.00 X X 0 0 0 DONNY BURKLOW BOARD MEMBER 1.00 X 0 0 0 MICHAEL ALLEN MEDICAL DIRE 40.00 X 233791 0 7557 CHARLA DEHATE CEO 40.00 X 154346 0 1684 CHRISTINA FARLEIGH NP 40.00 X 110703 0 7942 KRISTINA TIMMONS FNP 40.00 X 107868 0 948 SCOTT BLACK MD 40.00 X 214131 0 7557 JULIE RADLOFF MD 40.00 X 157368 0 6864 978207 32552 6 true true false SUN INVESTORS BUILDING LEASE 3749 NORWICH AVENUE EUGENE OR 97408 RENT 303373 WESTON TECHNOLOGIES 19795 VILLAGE OFFICE CT BEND OR 97702 IT 174755 COMMUNITY LINK CONSULTING PO BOX 276 NEWMAN LAKE WA 99025 CONSULTING 152223 OCHIN 1881 SW NATIO PARKWAY PORLTAND OR 97201 BILLINGS 150790 4 1509262 55274 1564536 PATIENT SERVICE REVENUES 3819437 3819437 PAYOR INCENTIVE REVENUES 997375 997375 MEANINGFUL USE INCENTIVE REV. 21250 21250 4838062 5206 5206 20583 20583 20583 20583 1083770 589787 493983 493983 6922370 5332045 25789 419839 200054 219785 185096 185096 3364106 2817787 546319 493949 396611 97338 334739 270032 64707 20046 8205 11841 28074 11491 16583 633420 418760 214660 43891 35552 8339 120167 86374 33793 669561 530144 139417 4244 4244 84958 37437 47521 7153 5794 1359 157641 127689 29952 23506 19040 4466 MEDICAL SUPPLIES 212993 212993 RECRUITMENT 104519 74616 29903 DUES AND SUBSCRIPTIONS 51810 16544 35266 TAXES AND LICENSES 20550 17656 2894 5124 5124 6985386 5471875 1513511 0 1161137 559621 1948039 2295404 842128 626382 7725 6927 86407 126442 2064583 1064916 653046 999667 25588 21333 4724070 4635776 276416 288819 129873 29615 121807 435904 410626 X 4288166 4225150 4288166 4225150 4724070 4635776 -63016 X false true X true true true X 911923 1269117 1597891 1648357 1564536 6991824 911923 1269117 1597891 1648357 1564536 6991824 6991824 25314 27551 24498 24235 25789 127387 7119211 26147257 0.98210 0.98380 X 911923 1269117 1597891 1648357 1564536 6991824 3610140 4941797 5719858 5953630 5921832 26147257 4522063 6210914 7317749 7601987 7486368 33139081 33139081 25314 27551 24498 24235 25789 127387 25314 27551 24498 24235 25789 127387 4547377 6238465 7342247 7626222 7512157 33266468 0.99620 0.99650 0.00000 0.00000 X 767988 92020 675968 1264881 954925 309956 31714 17971 13743 999667 6951400 29030 29030 6922370 6922370 7014416 29030 29030 6985386 6985386 X X X false false false false false false false false false MICHAEL ALLEN MEDICAL DIRECTOR 233791 7557 241348 CHARLA DEHATE CEO 154346 1684 156030 SCOTT BLACK MD 214131 7557 221688 JULIE RADLOFF MD 157368 6864 164232 FORM 990, PAGE 1, PART I, LINE 6 SERVES ON THE BOARD. FORM 990, PAGE 6, PART VI, LINE 11B THE BOARD RECEIVES IT ELECTRONICALLY PRIOR TO THE BOARD MEETING FOR THEM TO REVIEW. ANY QUESTIONS ARE ANSWERED AT THE BOARD MEETING AND IF NECESSARY THE APPROPRIATE CHANGES ARE MADE. THE BOARD VOTES ON THE APPROVAL OF THE FROM 990 AT THE MEETING. FORM 990, PAGE 6, PART VI, LINE 12C THE POLICY IS REVIEWED ANNUALLY WITH THE BOARD MEMBERS, DIRECTORS, MANAGERS AND KEY EMPLOYEES. THE DISCLOSURE STATEMENT AND CONFLICT OF INTEREST ARE SIGNED BY EACH PERSON. FORM 990, PAGE 6, PART VI, LINE 15A INFORMATION FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS IS ASSESSED AND THE SALARIES ARE BASED ON SURVEYS OF COMMUNITY HEALTH CENTERS IN REGION. FORM 990, PAGE 6, PART VI, LINE 15B INFORMATION FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS IS ASSESSED AND THE SALARIES ARE BASED ON SURVEYS OF COMMUNITY HEALTH CENTERS IN REGION. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS ARE AVALIABLE UPON REQUEST.