ONE COMMUNITY HEALTH: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ONE COMMUNITY HEALTH (EIN 93-0910794)
- Tax period
- 2017-02-01 to 2018-01-31
- Filed
- 2018-11-09
- IRS object ID
- 201803139349301480
- Schema version
- 2017v2.3
- 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 | 2018-11-09T10:15:18-06:00 | ReturnTs |
| Tax Period End | 2018-01-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NORTH 39TH AVENUE | AddressLine1Txt |
| City | YAKIMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930910794 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONE COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ONEC | BusinessNameControlTxt |
| Phone | 5413866380 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 849 PACIFIC AVENUE | AddressLine1Txt |
| City | HOOD RIVER | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97031 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID EDWARDS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5413866380 | PhoneNum |
| Signature | 2018-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STACY A SHORT CPA CGMA | PreparerPersonNm |
| PTIN | P00837115 | PTIN |
| Phone | 5098232910 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-08 | IPDt |
| IP Tm | 09:47:37 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F0F62AA6298128500262D125680EAF6D2D38659B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D9296ABB841A0B8370F91367E66032AC87F74933 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LA CLINICA DEL CARINO FAMILY HEALTH CARE CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID EDWARDS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 849 PACIFIC AVENUE | AddressLine1Txt |
| City | HOOD RIVER | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97031 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,396,936 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | ONECOMMUNITYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | ADVANCE HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 195 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,798,123 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,466,563 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,027,071 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,010,201 | CYProgramServiceRevenueAmt |
| PY Investment Income | $51,797 | PYInvestmentIncomeAmt |
| CY Investment Income | $182,259 | CYInvestmentIncomeAmt |
| PY Other Revenue | $17,099 | PYOtherRevenueAmt |
| CY Other Revenue | $15,685 | CYOtherRevenueAmt |
| PY Total Revenue | $12,894,090 | PYTotalRevenueAmt |
| CY Total Revenue | $16,674,708 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,125 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,998,006 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,889,412 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,518,273 | PYOtherExpensesAmt |
| CY Other Expenses | $3,595,951 | CYOtherExpensesAmt |
| PY Total Expenses | $12,516,279 | PYTotalExpensesAmt |
| CY Total Expenses | $14,487,488 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $377,811 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,187,220 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,315,191 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,105,001 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,238,371 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,708,726 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,076,820 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,396,275 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ADVANCE HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,589,270 | ExpenseAmt |
| Grant | $2,125 | GrantAmt |
| Revenue | $11,010,201 | RevenueAmt |
| Desc | REFER TO SCHEDULE O FOR PROGRAM DESCRIPTIONONE COMMUNITY HEALTH SERVES OVER 12,000 INDIVIDUALS THROUGH 43,000+ HUMAN CONTACTS. OUR INTEGRATED PRIMARY MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES RESULT IN CONSISTENTLY OUTSTANDING PATIENT EXPERIENCES AND CLINICAL RESULTS. OUR CLINICAL CARE TEAM OF 65 FTE (FULL TIME EQUIVALENTS), INCLUDING 21 FTE LICENSED INDEPENDENT PROVIDERS, DELIVER SERVICES THAT INCLUDE: - MATERNITY AND NEWBORN CARE (PRENATAL, DELIVERIES INCLUDING CAESAREAN SECTIONS, POSTPARTUM AND NEONATAL CARE, AND PREVENTIVE DIAGNOSTICS).- EVIDENCE BASED MEDICAL, DENTAL, AND BEHAVIORAL TREATMENT FOR ALL AGES. - LABORATORY, MEDICATION ASSISTANCE, IMMUNIZATIONS, AND WELL-CHILD EXAMS, PATIENT CASE MANAGEMENT, CANCER AND OTHER DISEASE SCREENING, WELL-CHILD SERVICES, EYE & EAR SCREENING FOR CHILDREN, ADULT IMMUNIZATIONS, AND FAMILY PLANNING SERVICES.- OUTREACH AND EDUCATION (PROMOTORAS DE SALUD), ELIGIBILITY/ENROLLMENT SERVICES, INTERPRETATION, OPIOID ADDICTIONS MEDICATION ASSISTED THERAPY (MAT), CASE MANAGEMENT AND PEER SUPPORT SERVICES, DIABETES AND MATERNITY CARE COORDINATION. OUR VARIOUS HEALTH PROMOTER PROGRAMS HAVE RECEIVED NATIONAL AWARDS. SPECIAL PROGRAMS IN AREAS SUCH AS DIABETES EDUCATION AND CASE MANAGEMENT, WEIGHT MANAGEMENT, PERINATAL, AND OTHERS HAVE BECOME PART OF THE FABRIC OF ONE COMMUNITY HEALTH. TWO OF OUR PHYSICIANS ARE DESIGNATED CIVIL SURGEONS AND PROVIDE MEDICAL EXAMINATIONS FOR IMMIGRATION APPLICANTS. - WE PARTNER WITH PROVIDENCE HEALTH AND SERVICES IN PROVIDING AN INTEGRATED, RURAL, PRIMARY CARE RESIDENCY PROGRAM. - WE PARTNER AND COORDINATE WITH OUTSTANDING LOCAL PROVIDERS FOR; BEHAVIORAL HEALTH CARE, PHYSICAL THERAPY, HOSPITAL CARE, MASSAGE THERAPY, ACUPUNCTURE, AND MANY OTHER SPECIALTY AND SUB-SPECIALTY SERVICES ACCORDING TO PATIENT NEEDS. WE INCREASINGLY COORDINATE WITH COMMUNITY BASED SOCIAL SERVICE ORGANIZATIONS FOR NEEDS SUCH AS HOUSING, EMPLOYMENT, FOOD INSECURITY, ETC. WE ARE PROUD TO CONTINUE OUR MISSION OF ADVANCING HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY.SELECTED CHARACTERISTICS OF SERVICES PROVIDED IN CALENDAR YEAR 2017:TOTAL NUMBER OF PATIENTS: 11,881GENDER CHARACTERISTICS FEMALE: 6,569 PATIENTS (55.3%) MALE: 5,312 PATIENTS (44.7%)ETHNICITY WHITE - NON HISPANIC/LATINO: 6,199 PATIENTS (52.2%) WHITE - HISPANIC/LATINO: 5,302 PATIENTS (44.6%) ASIAN/PACIFIC ISLANDER: 102 PATIENTS (0.9%) BLACK/AFRICAN AMERICAN 47 PATIENTS (0.4%) AMERICAN INDIAN/ALASKA NATIVE 71 PATIENTS (0.6%) MORE THAN ONE RACE 23 PATIENTS (0.2%) UNREPORTED: 137 PATIENTS (1.1%) THIRD PARTY COVERAGE UNINSURED: 2,314 PATIENTS (19.5%) MEDICAID: 6,690 PATIENTS (56.3%) PRIVATE INSURANCE: 2,113 PATIENTS (17.8%) MEDICARE: 764 PATIENTS (6.4%)SELECTED CHARACTERISTICS: MIGRANT/SEASONAL WORKERS: 4,166 (35.1%) HOMELESS: 36 (0.3%) | Desc |
| Total Program Service Expenses | $10,589,270 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 66 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 195 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| 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 | 0 | 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 | BELINDA BATCHA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5413866380 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 849 PACIFIC AVENUE | AddressLine1Txt |
| City | HOOD RIVER | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97031 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| KRISTEN DILLON | |||||||
| BOARD CHAIR (THROUGH OCT 2017) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHANON SALDIVAR | |||||||
| VICE CHAIR & CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHAWN WHALEN | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| AMY KLEE | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ELI BELLO | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROSA CASTRO | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| IAN CHANDLER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN GABAY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BILL NOONAN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MELISSA REYES | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIC SHRUM | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK THOMAS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HEATHER DEAL-WELLENSTEIN | |||||||
| HR DIRECTOR | 40.00 | Yes (X) | $90,537 | $0 | $5,470 | ||
| PAUL GERRING | |||||||
| INFORMATION SYSTEM DIRECTOR | 40.00 | Yes (X) | $97,241 | $0 | $24,000 | ||
| DAVID EDWARDS | |||||||
| CEO | 40.00 | Yes (X) | $167,561 | $0 | $23,465 | ||
| BELINDA BATCHA | |||||||
| CFO | 40.00 | Yes (X) | $84,540 | $0 | $18,133 | ||
| CONSTANCE SERRA | |||||||
| DOCTOR | 40.00 | $203,453 | $0 | $22,841 | Yes (X) | ||
| ELIZABETH AUGHNEY | |||||||
| CLINICAL INTEGRATION DIRECTOR | 40.00 | $155,728 | $0 | $35,374 | Yes (X) | ||
| GREGORY PARKER | |||||||
| DOCTOR | 40.00 | $159,854 | $0 | $24,623 | Yes (X) | ||
| MIRIAM FAUTH | |||||||
| DOCTOR | 36.00 | $170,093 | $0 | $19,920 | Yes (X) | ||
| ORLANDO ACOSTA | |||||||
| DOCTOR | 34.00 | $181,067 | $0 | $25,280 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,310,074 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $199,106 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OCHIN INC | |||||
| 1881 SW NAITO PARKWAY | PORTLAND | OR | 97201 | MEDICAL BILLING AND COLLECTION SERVICES | $513,361 |
| MILLENIUM BUILDING SERVICES INC | |||||
| 5905 N CUTTER CIRCLE | PORTLAND | OR | 97224 | JANITORIAL SERVICES AND SUPPLIES | $102,003 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,866,326 | GovernmentGrantsAmt |
| All Other Contributions | $600,237 | AllOtherContributionsAmt |
| Total Contributions | $5,466,563 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $8,736,301 | $8,736,301 |
| PHARMACY | 621110 | $1,291,409 | $1,291,409 |
| CCO RISK POOL | 621110 | $982,491 | $982,491 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,010,201 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $83,245 | TotalRevenueColumnAmt |
| Exclusion | $83,245 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,821,242 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,721,479 | SecuritiesAmt |
| Other | $749 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $99,763 | SecuritiesAmt |
| Other | -$749 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $99,014 | TotalRevenueColumnAmt |
| Exclusion | $99,014 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $15,685 | TotalRevenueColumnAmt |
| Exclusion | $15,685 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $15,685 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,674,708 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,010,201 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $197,944 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,125 | TotalAmt |
| Program Services | $2,125 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $439,879 | TotalAmt |
| Program Services | $187,778 | ProgramServicesAmt |
| Management And General | $252,101 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,446,837 | TotalAmt |
| Program Services | $7,131,266 | ProgramServicesAmt |
| Management And General | $1,315,571 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,273,175 | TotalAmt |
| Program Services | $1,185,528 | ProgramServicesAmt |
| Management And General | $87,647 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $729,521 | TotalAmt |
| Program Services | $591,745 | ProgramServicesAmt |
| Management And General | $137,776 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,816 | TotalAmt |
| Management And General | $21,816 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,513 | TotalAmt |
| Management And General | $26,513 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $618,822 | TotalAmt |
| Program Services | $156,776 | ProgramServicesAmt |
| Management And General | $462,046 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,041 | TotalAmt |
| Program Services | $53,286 | ProgramServicesAmt |
| Management And General | $34,755 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $861,649 | TotalAmt |
| Program Services | $791,045 | ProgramServicesAmt |
| Management And General | $70,604 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $494,107 | TotalAmt |
| Program Services | $4,500 | ProgramServicesAmt |
| Management And General | $489,607 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,154 | TotalAmt |
| Program Services | $11,544 | ProgramServicesAmt |
| Management And General | $367,610 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,885 | TotalAmt |
| Program Services | $23,957 | ProgramServicesAmt |
| Management And General | $12,928 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,541 | TotalAmt |
| Program Services | $8,977 | ProgramServicesAmt |
| Management And General | $19,564 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,267 | TotalAmt |
| Management And General | $44,267 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $524,589 | TotalAmt |
| Program Services | $138,770 | ProgramServicesAmt |
| Management And General | $385,819 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,897 | TotalAmt |
| Management And General | $63,897 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER | $173,183 | $111,053 | $62,130 |
| ANCILLARY SERVICES | $86,640 | $86,640 | $0 |
| TRAINING | $76,850 | $65,659 | $11,191 |
| EQUIPMENT | $68,634 | $36,258 | $32,376 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,363 | TotalAmt |
| Program Services | $2,363 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,487,488 | TotalAmt |
| Program Services | $10,589,270 | ProgramServicesAmt |
| Management And General | $3,898,218 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,482,316 | BOYAmt |
| EOY | $3,710,012 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $603,015 | BOYAmt |
| EOY | $1,046,814 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $508,386 | BOYAmt |
| EOY | $1,124,576 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,567,161 | BOYAmt |
| EOY | $1,382,901 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,480 | BOYAmt |
| EOY | $281,808 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,464,934 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,504,562 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,247,437 | BOYAmt |
| EOY | $5,960,372 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,589,143 | BOYAmt |
| EOY | $4,574,265 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,253 | BOYAmt |
| EOY | $24,253 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,315,191 | BOYAmt |
| EOY | $18,105,001 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,054,081 | BOYAmt |
| EOY | $1,312,735 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,290 | BOYAmt |
| EOY | $373,314 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $22,677 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,238,371 | BOYAmt |
| EOY | $1,708,726 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,076,820 | BOYAmt |
| EOY | $16,396,275 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,076,820 | BOYAmt |
| EOY | $16,396,275 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,315,191 | BOYAmt |
| EOY | $18,105,001 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,187,220 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $132,235 | NetUnrlzdGainsLossesInvstAmt |
| 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 | $4,815,621 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,492,053 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,553,337 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,798,123 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,466,563 | CurrentTaxYearAmt |
| Total | $23,125,697 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,815,621 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,492,053 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,553,337 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,798,123 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,466,563 | CurrentTaxYearAmt |
| Total | $23,125,697 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $23,125,697 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $585 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $433 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,944 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,497 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $83,245 | CurrentTaxYearAmt |
| Total | $137,704 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $17,099 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,685 | CurrentTaxYearAmt |
| Total | $32,784 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $23,296,185 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $40,615,543 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99270 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99710 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME - 2016 AMOUNT: $ 17,099. 2017 AMOUNT: $ 15,685. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $916,370 | OtherCostOrOtherBasisAmt |
| Book Value | $916,370 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,811,533 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,287,451 | DepreciationAmt |
| Book Value | $4,524,082 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $192,166 | OtherCostOrOtherBasisAmt |
| Depreciation | $141,719 | DepreciationAmt |
| Book Value | $50,447 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,449,010 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,075,392 | DepreciationAmt |
| Book Value | $373,618 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $95,855 | OtherCostOrOtherBasisAmt |
| Book Value | $95,855 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,960,372 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER LIABILITIES | Desc |
| Amt | $22,677 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $22,677 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $17,092,148 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $132,235 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $329,472 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $461,707 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,630,441 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $44,267 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $44,267 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,674,708 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,772,693 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $329,472 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $329,472 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,443,221 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $44,267 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $44,267 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,487,488 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT EVALUATED OCH'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID EDWARDS | ||||||||||||||
| CEO | $167,561 | $0 | $0 | $0 | $0 | $0 | $12,091 | $0 | $11,374 | $0 | $191,026 | $0 | $0 | $0 |
| CONSTANCE SERRA | ||||||||||||||
| DOCTOR | $203,453 | $0 | $0 | $0 | $0 | $0 | $12,296 | $0 | $10,545 | $0 | $226,294 | $0 | $0 | $0 |
| ELIZABETH AUGHNEY | ||||||||||||||
| CLINICAL INTEGRATION DIRECTOR | $155,728 | $0 | $0 | $0 | $0 | $0 | $24,000 | $0 | $11,374 | $0 | $191,102 | $0 | $0 | $0 |
| GREGORY PARKER | ||||||||||||||
| DOCTOR | $159,854 | $0 | $0 | $0 | $0 | $0 | $9,795 | $0 | $14,828 | $0 | $184,477 | $0 | $0 | $0 |
| MIRIAM FAUTH | ||||||||||||||
| DOCTOR | $170,093 | $0 | $0 | $0 | $0 | $0 | $10,294 | $0 | $9,626 | $0 | $190,013 | $0 | $0 | $0 |
| ORLANDO ACOSTA | ||||||||||||||
| DOCTOR | $181,067 | $0 | $0 | $0 | $0 | $0 | $9,600 | $0 | $15,680 | $0 | $206,347 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE BOARD OF DIRECTORS AND THE PAST CHAIRPERSON, IF THEY ARE STILL A MEMBER OF THE BOARD OF DIRECTORS, AND WILL BE CHAIRED BY THE CHAIRPERSON. THE EXECUTIVE COMMITTEE REPRESENTS THE BOARD OF DIRECTORS BETWEEN REGULAR BOARD MEETINGS WHENEVER NECESSARY. THE EXECUTIVE COMMITTEE IS EMPOWERED TO ACT ON BEHALF OF THE BOARD OF DIRECTORS EXCEPT REGARDING DECISIONS THAT REQUIRE A MAJORITY VOTE OF THE BOARD OF DIRECTORS, OR AS OTHERWISE SPECIFICALLY PROHIBITED BY THE BOARD OF DIRECTORS. ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ON BEHALF OF THE BOARD WILL BE FULLY REPORTED TO THE FULL BOARD AT THE NEXT REGULARLY SCHEDULED MEETING. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION FILED ARTICLES OF AMENDMENT IN OCTOBER 2017 TO CLARIFY THE PROCEDURES TO BE FOLLOWED FOR DISTRIBUTION OF ASSETS UPON DISSOLUTION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS PROVIDED TO THE FINANCE COMMITTE AND THE BOARD OF DIRECTORS FOR ANNUAL REVIEW PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | FULL DISCLOSURE, BY NOTICE IN WRITING, SHALL BE MADE BY THE INTERESTED PARTIES TO THE FULL BOARD OF DIRECTORS IN ALL CONFLICTS OF INTEREST AND PERCEIVED CONFLICTS OF INTEREST. FOLLOWING FULL DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST THE BOARD OF DIRECTORS SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND, IF SO THE BOARD SHALL VOTE TO AUTHORIZE OR REJECT THE TRANSACTION OR TAKE ANY OTHER ACTION DEEMED NECESSARY TO ADDRESS THE CONFLICT AND PROTECT ONE COMMUNITY HEALTH'S BEST INTEREST. BOTH VOTES SHALL BE BY A MAJORITY VOTE WITHOUT COUNTING THE VOTE OF ANY INTERESTED DIRECTOR, EVEN IF THE DISINTERESTED DIRECTORS ARE LESS THAN A QUORUM PROVIDED THAT AT LEAST ONE CONSENTING DIRECTOR IS DISINTERESTED. AN INTERESTED BOARD MEMBER OR OFFICER SHALL NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE OF THE BOARD OF DIRECTORS, OR OF ANY COMMITTEE OR SUBCOMMITTEE THEREOF IN WHICH THE SUBJECT OF DISCUSSION IS A CONTRACT, TRANSACTION, OR SITUATION IN WHICH THERE MAY BE A PERCEIVED OR ACTUAL CONFLICT OF INTEREST. THEY MAY BE PRESENT TO PROVIDE CLARIFYING INFORMATION; HOWEVER, THEY MUST LEAVE THE MEETING DURING THE DISCUSSION AND VOTE BY THE BOARD AND/OR OFFICERS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CHIEF EXECUTIVE OFFICER'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS, UTILIZING MARKET STUDIES OF COMPARABLE ORGANIZATIONS' WAGE SCALES. THE BOARD ALSO REVIEWS THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE ANNUALLY AND ADJUSTS COMPENSATION BASED ON PERFORMANCE. ONE COMMUNITY HEALTH'S COMPENSATION PHILOSOPHY ALIGNS COMPENSATION IN SUPPORT OF OUR MISSION, VISION, VALUES, AND OPERATIONAL STRATEGIES. PAY IS ESTABLISHED BY QUALIFICATIONS SET FORTH IN JOB DESCRIPTIONS, THE RANGE OF PAY FOR ALL JOB CATEGORIES USING MARKET SURVEY SOURCES, AND A PROCESS FOR PAY INCREASES. THE CHIEF EXECUTIVE OFFICER IN COOPERATION WITH KEY EMPLOYEES IS RESPONSIBLE FOR OVERSIGHT OF THE DEVELOPMENT, REVIEW, AND REVISION OF THE PAY STRUCTURE. THE BOARD OF DIRECTORS REVIEWS, APPROVES OR RECOMMENDS MODIFICATIONS TO THE PAY STRUCTURE PRESENTED. A COMPREHENSIVE SALARY SURVEY IS COMPLETED EVERY THREE YEARS TO ASSESS UPDATING BASE RATES FOR POSITIONS. OTHER FORMS OF COMPENSATION SUCH AS BONUSES, INCREASES, AND HEALTH INSURANCE ARE REVIEWED ANNUALLY WITH RECOMMENDATIONS MADE TO THE BOARD OF DIRECTORS DURING THE BUDGET PROCESS FOR APPROVAL. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2018. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS OPEN TO THE PUBLIC. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS DID NOT CHANGE DURING THE FISCAL YEAR. |