2014-02-15T13:19:50-06:00 2013-03-31 410746749 CLIFTONLARSONALLEN LLP 610 NORTH 39TH AVENUE YAKIMA WA 98902 990 2012-04-01 911019392 YAKIMA VALLEY FARM WORKERS CLINIC YAKI 5098655898 PO BOX 190 TOPPENISH WA 98948 K PETER TOOP 5098655898 2014-02-14 1 RALPH A CONNER CPA P00185729 5098232910 2014-02-14 2012 2015-11-30 17:44:51Z JUAN CARLOS OLIVARES PO BOX 190 TOPPENISH WA 98948 172357894 0 X WWW.YVFWC.ORG X 1978 WA YVFWC PROVIDES COMPREHENSIVE HEALTH SERVICES AS WELL AS EDUCATIONAL AND SOCIAL PROGRAMS IN UNDERSERVED AND RURAL REGIONS THROUGHOUT WASHINGTON AND OREGON STATES. ALTHOUGH OUR SERVICES ARE AVALIABLE TO ALL PEOPLE, THE MAJORITY OF OUR PATIENTS QUALIFY AS LOW INCOME UNDER STATE AND FEDERAL GUIDELINES. YVFWC'S SIGNIFICANT FUNCTIONS CONSIST OF OPERATING MEDICAL AND DENTAL CLINICS. 11 11 2116 399 0 0 35349358 36070486 88971234 98950924 1444878 2275282 0 0 125765470 137296692 4308251 3291037 0 0 81201549 84892175 0 0 706002 38928779 47959817 124438579 136143029 1326891 1153663 173007141 156546401 63536785 46876349 109470356 109670052 X THE MISSION OF YVFWC IS TO IMPROVE LIVES AND STRENGTHEN THE HEALTH OF THE COMMUNITIES THAT WE SERVE BY PROVIDING QUALITY, AFFORDABLE, AND ACCESSIBLE HEALTH CARE. 0 0 92884960 1646819 95499044 MEDICAL AND DENTAL PRIMARY CARE SERVICES, CASE MANAGEMENT, WIC AND OTHER SUCH PROGRAMS PROVIDED ON A SLIDING FEE BASIS. DURING THE YEAR THERE WERE 412,000 MEDICAL, 85,400 DENTAL AND 17,900 CASE MANAGEMENT ENCOUNTERS. 7146504 1644218 158526 LOW INCOME ENERGY ASSISTANCE, HOME WEATHERIZATION, AND EDUCATION AND COUNSELING SERVICES. DURING THE YEAR THERE WERE 21,472 INDIVIDUALS SERVED. 4999046 5560354 MENTAL HEALTH COUNSELING AND CHEMICAL DEPENDENCY COUNSELING. MENTAL HEALTH AND CHEMICAL DEPENDENCY ENCOUNTERS DURNING THE YEAR WERE 29,300. MEDICAL AND DENTAL PRIMARY CARE SERVICES, CASE MANAGEMENT WIC AND OTHER SUCH PROGRAMS PROVIDED ON A SLIDING FEE BASIS, DURING THE YEAR THERE WERE 412,000 MEDICAL, 85,400 DENTAL AND 17,900 CASE MANAGEMENT ENCOUNTERS. LOW INCOME ENGERGY ASSISTANCE, HOME WEATHERIZATION, AND EDUCATION AND COUNSELING SERVICES. DURING THE YEAR THERE WERE 26,357 INDIVIDUALS SERVED. MENTAL HEALTH COUNSELING AND CHEMICAL DEPENDENCY COUNSELING. MENTAL HEALTH AND CHEMICAL DEPENDENCY ENCOUNTERS DURING THE YEAR WERE 33,800. 105030510 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 60 0 1 2116 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X K PETER TOOP 5098655898 518 W 1ST AVE TOPPENISH WA 989480190 TOM SAK 1.00 X 0 0 0 VIRGINIA SANTILLANES 1.00 X X 0 0 0 MIGUEL ESQUIVEL 1.00 X X 0 0 0 ALFREDO ACEVES 1.00 X 0 0 0 MARTIN TORRES 1.00 X 0 0 0 MARIA GUADALUPE PEREZ 1.00 X 0 0 0 LORENZO CUEVAS 1.00 X 0 0 0 ELIZA CERNA 1.00 X X 0 0 0 JOSE ALBERTO NUNEZ 1.00 X 0 0 0 SANDRA APRIL 1.00 X 0 0 0 PATRICIA MYERS 1.00 X X 0 0 0 JUAN CARLOS OLIVARES 40.00 X 539335 0 168179 K PETER TOOP 40.00 X 252984 0 7488 GLEN W DAVIS 40.00 X 175515 0 18743 ROSS RONISH 40.00 X 296054 0 42661 NORMAN J NAIDEN 40.00 X 651766 0 22594 SEAN T DUFFY 40.00 X 402822 0 34885 ROYDEN E CHRISTENSEN 40.00 X 301736 0 34885 JOSEPH R WILSON 40.00 X 269625 0 12488 MARK KODAY 40.00 X 241233 0 34885 3131070 0 376808 118 0 1 0 CHERVENELL CONSTRUCTION PO BOX 6935 KENNEWICK WA 99336 CONSTRUCTION 5609998 SYNERGY CONSTRUCTION INC 14040 NE 181ST STREET WOODINVILLE WA 98072 CONSTRUCTION 1681971 PATHOLOGY ASSOCIATES PO BOX 2687 SPOKANE WA 99220 LAB SERVICE 1532567 ABM JANITORIAL SERVICES PO BOX 60000 SAN FRANCISCO CA 94107 CLEANING SERVICES 934960 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 EMPLOYMENT SERVICES 915639 28 35778506 291980 36070486 MEDICAL, DENTAL, PHARMACY 621400 93232044 93232044 MENTAL HEALTH & SUBSTANCE 621400 5560354 5560354 COMMUNITY ACTION CENTER 621400 158526 158526 98950924 2440072 2440072 34468483 427929 34717944 343258 -249461 84671 -164790 -164790 137296692 98950924 0 2275282 1646819 1646819 1644218 1644218 1378765 1378765 68347104 55471598 12489254 386252 1493363 1186462 298401 8500 8080086 6870001 1167533 42552 5592857 4582392 974522 35943 350532 215 350317 78628 78628 143118 143118 13359616 7811375 5384924 163317 790277 658732 131545 4030394 2923931 1095246 11217 3141210 869073 2266110 6027 2535258 1845057 664686 25515 1572861 923460 638903 10498 286306 286306 5602917 3628720 1974197 198156 197519 637 MEDICAL SUPPLIES 7112036 7112036 BAD DEBTS 4304798 4304798 RECRUITMENT 986515 697370 277496 11649 REPAIRS & MAINTENANCE 979937 835205 143723 1009 2487258 1535223 948512 3523 136143029 105030510 30406517 706002 4260377 4484747 12167273 11657165 2699376 2216097 6992440 7451951 5040 4397 717049 607647 827914 824811 104203953 52065665 49976995 52138288 68707497 71461581 272728 26653180 5426989 173007141 156546401 41947349 27741864 2000 42446 12845719 11287306 8741717 7804733 63536785 46876349 X 109470356 109670052 109470356 109670052 173007141 156546401 1153663 -831485 -122482 X 0 1 X 1 1 1 X 28900817 30503829 34634947 35349358 36070486 165459437 28900817 30503829 34634947 35349358 36070486 165459437 165459437 3606618 2029619 1650137 1547746 2439987 11274107 176733544 488045353 0.93620 0.92210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6582528 6582528 68211076 31810262 36400814 9518639 3660907 5857732 19891710 16594496 3297214 52138288 PLEDGE PAYABLE TO NP SUB AGENA 7482005 BASIS HEALTH RESERVE 50000 DUE TO SUB AGENA 272728 7804733 X 136167241 -831485 -831485 136998726 297966 297966 137296692 135967545 0 135967545 175484 175484 136143029 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: PART X FIN 48 FOOTNOTE UNDER PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. AS OF MARCH 31, 2013, THE ORGANIZATION HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAXES. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010. PART XI, LINE 4B - OTHER ADJUSTMENTS: LLC NET INCOME NOT ON BOOKS PART XII, LINE 4B - OTHER ADJUSTMENTS: CLAIMS AND INSURANCE EXPENSE FROM BUSINESS MANAGEMENT 1 AGENA PO BOX 190 TOPPENISH WA 98948 203316363 501(C)(3) 1582005 GENERAL SUPPORT DIRECT PAYMENTS FOR HOUSING AND ENERGY SERVICES 21472 1644218 PART III, COLUMN (A) AND OTHER LIVING COSTS FOR PROGRAM PAYMENTS WHO ARE MANDATED BY THE STATE TO BE IN THIS ASSISTANCE PROGRAM AND DIRECT PAYMENTS FOR HOUSEHOLD ENERGY SERVICES(HEATING FUEL, GAS, OIL, ELECTRICITY, ETC.) FOR INDIVIDUALS AND FAMILIES. RECIPIENTS QUALIFY FOR ASSISTANCE BASED ON INCOME AND ALL PROGRAMS ARE NONDISCRIMINATORY. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 JUAN CARLOS OLIVARES 340553 0 141111 0 57671 0 145585 0 22594 0 707514 0 0 0 K PETER TOOP 214297 0 16051 0 22636 0 0 0 7488 0 260472 0 0 0 GLEN W DAVIS 165065 0 300 0 10150 0 11555 0 7188 0 194258 0 0 0 ROSS RONISH 286413 0 300 0 9341 0 20367 0 22294 0 338715 0 0 0 NORMAN J NAIDEN 331572 0 315471 0 4723 0 0 0 22594 0 674360 0 0 0 SEAN T DUFFY 112641 0 6629 0 283552 0 0 0 34885 0 437707 0 0 0 ROYDEN E CHRISTENSEN 122252 0 8065 0 171419 0 0 0 34885 0 336621 0 0 0 JOSEPH R WILSON 265000 0 325 0 4300 0 5000 0 7488 0 282113 0 0 0 MARK KODAY 214874 0 15961 0 10398 0 0 0 34885 0 276118 0 0 0 A THE HOSPITAL FACILITY AUTHORITY OF UMATILLA COUNTY 931239006 2008-11-13 4189500 CONSTRUCT HERMISTON MEDICAL BUILDING 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2007-03-22 6100000 CONSTRUCT PROSSER MEDICAL BUILDING 0 0 0 C WASHINGTON HEALTH CARE FACILITIES 911108929 2004-03-17 4368000 CONSTRUCT LINCOLN MEDICAL BUILDING 0 0 0 D WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2003-06-10 3000000 REMODEL YAKIMA MEDICAL BUILDING 0 0 0 A 4189500 5500 4184000 2008 0 0 1 1 B 6100000 6100000 2007 0 0 1 1 C 4368000 46082 4321918 2005 0 0 1 1 D 3000000 50000 2950000 2005 0 0 1 1 A 0 0 0 0 0 0 0 B 0 1 0 0 0.06800 0.06800 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 1 0 0 0 0 C 0 0 0 0 1 0 0 0 0 D 0 0 0 0 1 0 0 0 0 TOM SAK CHPW MTGS X 4218 528 0 0 1 CARLOS OLIVARES TRAVEL-PERS X 4617 3869 0 1 0 4397 FORM 990, PART VI, SECTION B, LINE 11 LINE 11A EXPLANATION - A PAPER COPY OF THE FORM 990 IS MADE AVALIABLE TO ALL BOARD MEMBERS. IN ADDITION, THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS MEETS TO REIVEW THE FORM 990 IN DETAIL WITH THE CHIEF FINANCIAL OFFICER AND CONTROLLER. FORM 990, PART VI, SECTION B, LINE 12C PERIODIC REMINDERS ARE MADE TO BOARD MEMBERS CONCERNING THE CONFLICT OF INTEREST POLICY. QUESTIONS CONCERNING CONFLICTS OF INTEREST AND DECLARATIONS OF CONFLICTS OF INTEREST ARE DULY RECORDED IN BOARD MEETING MINUTES. IN ADDITION, THE CHIEF COMPLIANCE OFFICER IS TASKED WITH INVESTIGATING ANY POTENTIAL VIOLATIONS OF THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER AND CORPORATE DIRECTOR OF OPERATIONS ARE REVIEWED ANNUALLY BY AN INDEPENDENT CONSULTANT USING COMPENSATION SURVEYS AND REVIEW OF OTHER ORGANIZATIONS FORM 990. THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE COMPENSATION OF THE CHIEF FINANCIAL OFFICER AND CORPORATE DIRECTOR OF OPERATIONS IS REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR AND THE HR DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 CORPORATE BYLAWS, CONFIICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AS RECORDED IN FORM 990 ARE AVALIAVLE UPON REQUEST MADE TO THE EXECUTIVE DIRECOR AT YVFWC ADMINISTRATIVE HEADQUARTERS AT P.O. BOX 190, TOPPENISH, WA 98948 AGENA PO BOX 190 TOPPENISH WA 98948 203316363 SUPPORT ORGANIZATION WA 501 (C)(3) 11A TYPE 1 YAKIMA VALLEY FARM WORKERS CLINIC 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 AGENA B 1582005 CASH