2018-11-09T10:15:18-06:00 2018-01-31 410746749 CLIFTONLARSONALLEN LLP 610 NORTH 39TH AVENUE YAKIMA WA 98902 990 2017-02-01 930910794 ONE COMMUNITY HEALTH ONEC 5413866380 849 PACIFIC AVENUE HOOD RIVER OR 97031 DAVID EDWARDS CEO 5413866380 2018-11-08 1 STACY A SHORT CPA CGMA P00837115 5098232910 67.137.57.251 2018-11-08 09:47:37 PS P F0F62AA6298128500262D125680EAF6D2D38659B D9296ABB841A0B8370F91367E66032AC87F74933 2017 2019-02-21 02:37:17Z LA CLINICA DEL CARINO FAMILY HEALTH CARE CENTER INC DAVID EDWARDS 849 PACIFIC AVENUE HOOD RIVER OR 97031 21396936 0 X ONECOMMUNITYHEALTH.ORG X 1986 OR ADVANCE HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. 11 11 195 12 0 0 4798123 5466563 8027071 11010201 51797 182259 17099 15685 12894090 16674708 0 2125 0 0 8998006 10889412 0 0 0 3518273 3595951 12516279 14487488 377811 2187220 15315191 18105001 1238371 1708726 14076820 16396275 X ADVANCE HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. 0 0 10589270 2125 11010201 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%) 10589270 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 66 0 195 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 1 0 0 0 0 1 1 0 1 1 1 1 1 1 1 0 1 1 0 OR X BELINDA BATCHA 5413866380 849 PACIFIC AVENUE HOOD RIVER OR 97031 KRISTEN DILLON BOARD CHAIR (THROUGH OCT 2017) 1.00 X X 0 0 0 SHANON SALDIVAR VICE CHAIR & CHAIR 1.00 X X 0 0 0 SHAWN WHALEN TREASURER 1.00 X X 0 0 0 AMY KLEE SECRETARY 1.00 X X 0 0 0 ELI BELLO BOARD MEMBER 1.00 X 0 0 0 ROSA CASTRO BOARD MEMBER 1.00 X 0 0 0 IAN CHANDLER BOARD MEMBER 1.00 X 0 0 0 SUSAN GABAY BOARD MEMBER 1.00 X 0 0 0 BILL NOONAN BOARD MEMBER 1.00 X 0 0 0 MELISSA REYES BOARD MEMBER 1.00 X 0 0 0 ERIC SHRUM BOARD MEMBER 1.00 X 0 0 0 MARK THOMAS BOARD MEMBER 1.00 X 0 0 0 HEATHER DEAL-WELLENSTEIN HR DIRECTOR 40.00 X 90537 0 5470 PAUL GERRING INFORMATION SYSTEM DIRECTOR 40.00 X 97241 0 24000 DAVID EDWARDS CEO 40.00 X 167561 0 23465 BELINDA BATCHA CFO 40.00 X 84540 0 18133 CONSTANCE SERRA DOCTOR 40.00 X 203453 0 22841 ELIZABETH AUGHNEY CLINICAL INTEGRATION DIRECTOR 40.00 X 155728 0 35374 GREGORY PARKER DOCTOR 40.00 X 159854 0 24623 MIRIAM FAUTH DOCTOR 36.00 X 170093 0 19920 ORLANDO ACOSTA DOCTOR 34.00 X 181067 0 25280 1310074 0 199106 13 0 1 0 OCHIN INC 1881 SW NAITO PARKWAY PORTLAND OR 97201 MEDICAL BILLING AND COLLECTION SERVICES 513361 MILLENIUM BUILDING SERVICES INC 5905 N CUTTER CIRCLE PORTLAND OR 97224 JANITORIAL SERVICES AND SUPPLIES 102003 2 4866326 600237 5466563 PATIENT SERVICE REVENUE 621110 8736301 8736301 PHARMACY 621110 1291409 1291409 CCO RISK POOL 621110 982491 982491 11010201 83245 83245 4821242 4721479 749 99763 -749 99014 99014 MISCELLANEOUS REVENUE 900099 15685 15685 15685 16674708 11010201 0 197944 2125 2125 439879 187778 252101 8446837 7131266 1315571 1273175 1185528 87647 729521 591745 137776 21816 21816 26513 26513 618822 156776 462046 88041 53286 34755 861649 791045 70604 494107 4500 489607 379154 11544 367610 36885 23957 12928 28541 8977 19564 44267 44267 524589 138770 385819 63897 63897 OTHER 173183 111053 62130 ANCILLARY SERVICES 86640 86640 0 TRAINING 76850 65659 11191 EQUIPMENT 68634 36258 32376 2363 2363 14487488 10589270 3898218 0 1482316 3710012 603015 1046814 508386 1124576 1567161 1382901 293480 281808 10464934 4504562 6247437 5960372 4589143 4574265 24253 24253 15315191 18105001 1054081 1312735 184290 373314 0 22677 1238371 1708726 X 14076820 16396275 14076820 16396275 15315191 18105001 2187220 132235 0 X X 0 1 X 1 1 1 X 4815621 3492053 4553337 4798123 5466563 23125697 4815621 3492053 4553337 4798123 5466563 23125697 23125697 585 433 2944 50497 83245 137704 17099 15685 32784 23296185 40615543 0.99270 0.99710 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2016 AMOUNT: $ 17,099. 2017 AMOUNT: $ 15,685. 916370 916370 6811533 2287451 4524082 192166 141719 50447 2449010 2075392 373618 95855 95855 5960372 OTHER LIABILITIES 22677 22677 X 17092148 132235 329472 461707 16630441 44267 44267 16674708 14772693 329472 329472 14443221 44267 44267 14487488 PART X, LINE 2: MANAGEMENT EVALUATED OCH'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. X X X X 0 0 0 0 0 0 0 0 0 DAVID EDWARDS CEO 167561 0 0 0 0 0 12091 0 11374 0 191026 0 0 0 CONSTANCE SERRA DOCTOR 203453 0 0 0 0 0 12296 0 10545 0 226294 0 0 0 ELIZABETH AUGHNEY CLINICAL INTEGRATION DIRECTOR 155728 0 0 0 0 0 24000 0 11374 0 191102 0 0 0 GREGORY PARKER DOCTOR 159854 0 0 0 0 0 9795 0 14828 0 184477 0 0 0 MIRIAM FAUTH DOCTOR 170093 0 0 0 0 0 10294 0 9626 0 190013 0 0 0 ORLANDO ACOSTA DOCTOR 181067 0 0 0 0 0 9600 0 15680 0 206347 0 0 0 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.