2018-09-11T14:08:51-07:00 2017-10-31 930819646 JONES & ROTH PC 300 SW COLUMBIA SUITE 201 BEND OR 97702 990 2016-11-01 263084386 LA PINE COMMUNITY HEALTH CENTER LAPI 5415363435 PO BOX 3300 LA PINE OR 97739 CHARLA DEHATE CEO 5415363435 2018-09-05 true BRIAN G NEWTON P01330154 5413823590 2018-09-10 C9E21E635FBF3B49EFFC6769C6377F6DC1330F24 C9E21E635FBF3B49EFFC6769C6377F6DC1330F24 2016 2018-06-14 16:35:46Z CHARLA DEHATE PO BOX 3300 LA PINE OR 97739 7626222 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. 11 11 68 11 0 1597891 1648357 4661256 4851877 688 478657 529877 6737804 7030799 0 0 4088332 4482505 0 0 1836501 1999634 5924833 6482139 812971 548660 4172527 4724070 433021 435904 3739506 4288166 TO PROVIDE PRIMARY CARE, MENTAL HEALTH AND DENTAL SERVICES REGARDLESS OF THE ABILITY TO PAY TO INDIVIDUALS AND FAMILIES IN CENTRAL OREGON. false false 5354205 4851877 PROVIDING HEALTHCARE TO THE UNDERSERVED POPULATION (I.E. UNINSURED, UNDERINSURED, MEDICAID AND MEDICARE). 5354205 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 20 0 true 68 true false false false false false false false false false false false false X 11 11 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 VICTOR RUSSELL EX-CHAIR 1.00 X X 0 0 0 MARILYN WAGGONER VICE CHAIR 1.00 X X 0 0 0 LINDA VASSALLI SECRETARY 1.00 X X 0 0 0 DAVE SCHNEIDER TREASURER 1.00 X X 0 0 0 DAVID GOSSER CHAIR ELECT 1.00 X 0 0 0 JOAN WALTER BOARD MEMBER 1.00 X 0 0 0 MICHAEL KING BOARD MEMBER 1.00 X 0 0 0 TAMMY LESUEUR BOARD MEMBER 1.00 X 0 0 0 MARIAN MENGEL BOARD MEMBER 1.00 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 LAURA PENNAVARIA EX-MEDICAL D 40.00 X 241293 0 7395 MICHAEL ALLEN MEDICAL DIRE 40.00 X 185649 0 6526 CHARLA DEHATE CEO 40.00 X 132276 0 6912 SCOTT BLACK MD 40.00 X 202061 0 6526 JENNIFER CURTIS EX-FNP 40.00 X 111865 0 7395 KRISTINA TIMMONS FNP 40.00 X 103936 0 0 977080 34754 6 false true false WESTON TECHNOLOGIES 19795 VILLAGE OFFICE CT BEND OR 97702 IT 275549 SUN INVESTORS BUILDING LEASE 3749 NORWICH AVENUE EUGENE OR 97408 LEASING 245764 OCHIN 1881 SW NATIO PARKWAY PORLTAND OR 97201 CONSULTING 155457 3 1570983 77374 1648357 PATIENT SERVICE REVENUES 4172624 4172624 PAYOR INCENTIVE REVENUES 645253 645253 MEANINGFUL USE INCENTIVE REV. 34000 34000 4851877 688 688 23547 23547 23547 23547 1084121 595423 488698 488698 MISCELLANEOUS INCOME 17632 17632 17632 7030799 5358207 24235 549324 333488 215836 3262254 2932541 329713 320484 281916 38568 350443 300904 49539 6279 4070 2209 24636 15968 8668 508851 351264 157587 48050 38921 9129 141263 109074 32189 507568 375107 132461 2309 2309 124609 62158 62451 1199 971 228 150904 122232 28672 29286 24015 5271 MEDICAL SUPPLIES 243229 243229 RECRUITMENT 131738 101139 30599 TAXES AND LICENSES 45699 45603 96 DUES AND SUBSCRIPTIONS 30362 11605 18757 3652 3652 6482139 5354205 1127934 0 1241667 1161137 1297405 1948039 1039642 842128 8831 7725 74576 86407 1623691 970645 480553 653046 29853 25588 4172527 4724070 247455 276416 132107 129873 53459 29615 433021 435904 X 3683485 4288166 56021 3739506 4288166 4172527 4724070 548660 X false true X true true true X 769117 911923 1269117 1597891 1648357 6196405 769117 911923 1269117 1597891 1648357 6196405 6196405 180 25314 27551 24498 24235 101778 6298183 22813876 0.98380 X 769117 911923 1269117 1597891 1648357 6196405 2588451 3610140 4941797 5719858 5953630 22813876 3357568 4522063 6210914 7317749 7601987 29010281 29010281 180 25314 27551 24498 24235 101778 180 25314 27551 24498 24235 101778 3357748 4547377 6238465 7342247 7626222 29112059 0.99650 0.99690 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 407061 60872 346189 1184916 898145 286771 31714 11628 20086 653046 7059829 29030 29030 7030799 7030799 6511169 29030 29030 6482139 6482139 X X X false false false false false false false false false LAURA PENNAVARIA EX-MEDICAL DIRECTOR 241293 7395 248688 MICHAEL ALLEN MEDICAL DIRECTOR 185649 6526 192175 SCOTT BLACK MD 202061 6526 208587 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.