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VIRGINIA GARCIA MEMORIAL HEALTH CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VIRGINIA GARCIA MEMORIAL HEALTH CENTER (EIN 93-0717997)
Tax period
2012-04-01 to 2013-03-31
Filed
2014-01-08
IRS object ID
201440139349300539
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2014-01-08T16:41:58-06:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN930743240EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOFFMAN STEWART & SCHMIDT PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14900 MEADOWS ROAD STE 200AddressLine1
CityLAKE OSWEGOCity
StateORState
ZIP Code970353295ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930717997EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VIRGINIA GARCIA MEMORIAL HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVIRGNameControl
Phone5033598505Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 568AddressLine1
CityCORNELIUSCity
StateORState
ZIP Code971139029ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameARACELI GAYTANName
TitleCFOTitle
Phone5033598505Phone
Date Signed2013-12-19DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTODD D MASSINGERName
PTINP00075883PTIN
Phone5032205900Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonARACELI GAYTANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 568AddressLine1
CityCORNELIUSCity
StateORState
ZIP Code971139029ZIPCode
FieldValueIRS element (for citing)
Gross Receipts37873679GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.VIRGINIAGARCIA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionVIRGINIA GARCIA MEMORIAL HEALTH CENTER IS A FULL SERVICE OUTPATIENT MEDICAL CLINIC. (SEE SCHEDULE O)IT PROVIDES MEDICAL SERVICES TO MIGRANT WORKERS AND OTHER DISADVANTAGED GROUPS IN THE WASHINGTON COUNTY AND YAMHILL COUNTY AREAS IN OREGON. THESE SERVICES ARE TARGETED TO THOSE WHO MAY NOT HAVE ACCESS TO COMPETENT MEDICAL AND SOCIAL-MEDICAL ASSISTANCE. THE CENTER ATTEMPTS TO ASSESS THE NATURE AND EXTENT OF SOCIAL-MEDICAL PROBLEMS, THE DEGREE AND DIRECTION OF COMMON NEEDS, AND THE BEST METHODS OF MEETING THESE NEEDS.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees427TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12088219ContributionsGrantsPriorYear
Contributions Grants Current Year15495783ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19609754ProgramServiceRevenuePriorYear
Program Service Revenue CY22278010ProgramServiceRevenueCY
Investment Income Prior Year-193920InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year41394OtherRevenuePriorYear
Other Revenue Current Year99886OtherRevenueCurrentYear
Total Revenue Prior Year31545447TotalRevenuePriorYear
Total Revenue Current Year37873679TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19857941SalariesEtcPriorYear
Salaries Etc Current Year22231639SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year589742TotalFundrsngExpCurrentYear
Other Expense Prior Year6927249OtherExpensePriorYear
Other Expenses Current Year7314717OtherExpensesCurrentYear
Total Expenses Prior Year26785190TotalExpensesPriorYear
Total Expenses Current Year29546356TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4760257RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8327323RevenuesLessExpensesCY
Total Assets BOY16659357TotalAssetsBOY
Total Assets EOY24437953TotalAssetsEOY
Total Liabilities BOY3678691TotalLiabilitiesBOY
Total Liabilities EOY3129964TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12980666NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21307989NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionVIRGINIA GARCIA MEMORIAL HEALTH CENTER IS A FULL SERVICE OUTPATIENT MEDICAL CLINIC. IT PROVIDES MEDICAL SERVICES TO MIGRANT WORKERS AND OTHER DISADVANTAGED GROUPS IN THE WASHINGTON COUNTY AND YAMHILL COUNTY AREAS IN OREGON. (SEE SCHEDULE O FOR CONTINUATION)THESE SERVICES ARE TARGETED TO THOSE WHO MAY NOT HAVE ACCESS TO COMPETENT MEDICAL AND SOCIAL-MEDICAL ASSISTANCE. THE CENTER ATTEMPTS TO ASSESS THE NATURE AND EXTENT OF SOCIAL-MEDICAL PROBLEMS, THE DEGREE AND DIRECTION OF COMMON NEEDS, AND THE BEST METHODS OF MEETING THESE NEEDS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense25030373Expense
Revenue22278010Revenue
DescriptionVIRGINIA GARCIA CENTER IS A PRIMARY CARE OUTPATIENT MEDICAL CENTER LOCATED IN CORNELIUS, WITH SATELLITE OFFICES IN MCMINNVILLE, BEAVERTON, AND HILLSBORO. A UNIQUE FEATURE OF THESE CENTERS IS THAT PATIENTS ARE BILLED ACCORDING TO AN "ABILITY TO PAY" BASIS. FEES ARE COMPUTED USING A SLIDING SCALE BASED ON EACH PATIENT'S INCOME. IN THE COURSE OF BUSINESS, THE CENTER OFTEN EXTENDS CREDIT TO ITS PATIENTS ON AN UNSECURED BASIS.Description
Total Program Service Expense25030373TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109669NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees427NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ARACELI GAYTANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5033598508TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 568AddressLine1
CityCORNELIUSCity
StateORState
ZIP Code97113ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CHAD CHERIEL
CHAIRMAN1.00XX000
MARY KANE MARSHALL
VICE CHAIRMAN1.00XX000
KATHLEEN O'LEARY
SECRETARY1.00XX000
LAURINDA MACKENZIE
TREASURER1.00XX000
ALEJANDRA AGUILAR
MEMBER1.00X000
ERNESTINA ARANDA
MEMBER1.00X000
WILFREDO FIGUEROA
MEMBER1.00X000
ANN BARR GILLESPIE
MEMBER1.00X000
SUSANA CARRASCO
MEMBER1.00X000
HANS CHRIS ALKER
MEMBER1.00X000
DONNA LOZON
MEMBER1.00X000
DOROTHY MIELKE
MEMBER1.00X000
ANN TURNER
CO-MED DIRECTOR40.00X12024306259
ARACELI GAYTAN
CFO40.00X9122604697
GILLES MUNOZ
CEO40.00X12687406500
EDRA LEA BOLIBA
HR DIRECTOR40.00X752600741
LAURA BYERLY
CO-MED DIRECTOR40.00X16975308644
LISA BOZZETTI
DENTAL DIRECTOR40.00X14374807368
CHRISTINE HICKS
PHARMACY DIRECTOR40.00X13370106668
MARIA LOREDO
COO40.00X9363304838
CHRISTIAN HILL
ASSOC MED DIR40.00X13570806719
TRAN MIERS
CLINICAL PROGRAM DIRECTOR40.00X8612404349
JUAN GARFIAS
IT DIRECTOR40.00X7729304021
LYNN BAKER
PROCESS & SYSTEMS IMPROVEMENT DIRECTOR40.00X7659702397
SASAN BAHERI
DENTIST48.0015355901535X
MARGO PIPHER
PHYSICIAN40.0013737602690X
SUNITI KUMAR
PHYSICIAN40.0014755107422X
TIMOTHY VAN ERT
PHYSICIAN40.0016623801707X
MICHAEL SCHIFERL
PHYSICIAN40.0014872207378X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2083606TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation83933TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BREMIK CONSTRUCTION INC
1026 SE STARK STREETPORTLANDOR97214CONSTRUCTION NEW CLINIC9625522
LIFE WORKS
14600 NW CORNELL RDPORTLANDOR97229MENTAL HEALTH PROFESSIONAL SERVICES515337
OCHIN
1881 SW NAITO PARKWAYPORTLANDOR97201COMPUTER SERVICES-PATIENT ACCOUNTING AND513467
SCOTT EDWARDS ARCHITECTURE
2525 E BURNSIDE STREETPORTLANDOR97214ARCHITECTURE SERVICES NEW CLINIC371784
HARRIS WORK SYSTEMS
12150 SW GARDEN PLTIGARDOR97223WORK-SITE MODIFICATIONS256762
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations2883790RelatedOrganizations
Government Grants8989733GovernmentGrants
All Other Contributions3622260AllOtherContributions
Total Contributions15495783TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEDICAL/DENTAL SERVICESDescription
Business Code621110BusinessCode
Total Revenue Column22278010TotalRevenueColumn
Related Or Exempt Function Income22278010RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue22278010TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real29984Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real29984Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column29984TotalRevenueColumn
Exclusion$29,984ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column69902TotalRevenueColumn
Exclusion$69,902ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue69902TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37873679TotalRevenueColumn
Related Or Exempt Function Income22278010RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$99,886ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1574205Total
Management And General1521834ManagementAndGeneral
Fundraising52371Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16322896Total
Program Services14925680ProgramServices
Management And General1064788ManagementAndGeneral
Fundraising332428Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total307743Total
Program Services297788ProgramServices
Management And General4289ManagementAndGeneral
Fundraising5666Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2605538Total
Program Services2309435ProgramServices
Management And General242725ManagementAndGeneral
Fundraising53378Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1421257Total
Program Services1197419ProgramServices
Management And General193525ManagementAndGeneral
Fundraising30313Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total117030Total
Program Services74010ProgramServices
Management And General43020ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total65088Total
Program Services41162ProgramServices
Management And General23926ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total875391Total
Program Services540759ProgramServices
Management And General334632ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2099342Total
Program Services2066702ProgramServices
Management And General31445ManagementAndGeneral
Fundraising1195Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total688040Total
Program Services633551ProgramServices
Management And General49622ManagementAndGeneral
Fundraising4867Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1575202Total
Program Services1451571ProgramServices
Management And General110038ManagementAndGeneral
Fundraising13593Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total636574Total
Program Services585648ProgramServices
Management And General50926ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total96019Total
Program Services55754ProgramServices
Management And General38579ManagementAndGeneral
Fundraising1686Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
EQUIPMENT AND VEHICLES445144363778720709296
OTHER2699801601313749172358
TRAINING AND EDUCATION204377136623595288226
MEDICAL CONTRACTS AND S1380791368341245

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total104451Total
Program Services53528ProgramServices
Management And General46558ManagementAndGeneral
Fundraising4365Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29546356Total
Program Services25030373ProgramServices
Management And General3926241ManagementAndGeneral
Fundraising589742Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5050BOY
EOY5300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1235702BOY
EOY2575522EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY668287BOY
EOY37040EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3946738BOY
EOY3329159EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY82930BOY
EOY55638EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY505973BOY
EOY386428EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22374502LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4325636LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10214677BOY
EOY18048866EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16659357BOY
EOY24437953EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2141749BOY
EOY1862615EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY216152BOY
EOY206405EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1320790BOY
EOY1060944EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3678691BOY
EOY3129964EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12491461BOY
EOY21225078EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY489205BOY
EOY82911EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12980666BOY
EOY21307989EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16659357BOY
EOY24437953EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses8327323ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6906429CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7995834CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7395575CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12088219CurrentTaxYearMinus1Year
Current Tax Year15495783CurrentTaxYear
Total49881840Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6906429CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7995834CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7395575CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12088219CurrentTaxYearMinus1Year
Current Tax Year15495783CurrentTaxYear
Total49881840Total
FieldValueIRS element (for citing)
Public Support Total17049881840PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3633CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6114CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6111CurrentTaxYearMinus1Year
Current Tax Year29984CurrentTaxYear
Total59842Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years86330CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years246727CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35283CurrentTaxYearMinus1Year
Current Tax Year69902CurrentTaxYear
Total442242Total
FieldValueIRS element (for citing)
Total Support50383924TotalSupport
Gross Receipts From Admissions Etc90615655GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99000PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98730PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis637449OtherCostOrOtherBasis
Book Value637449BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16577894OtherCostOrOtherBasis
Depreciation1044116Depreciation
Book Value15533778BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1239411OtherCostOrOtherBasis
Depreciation531985Depreciation
Book Value707426BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3909160OtherCostOrOtherBasis
Depreciation2749535Depreciation
Book Value1159625BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10588OtherCostOrOtherBasis
Book Value10588BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18048866TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt37908608TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities34929DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99034929RevenueNotRptdF990
Revenue Subtotal37873679RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99037873679TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt29581284TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities34929DonatedServicesUseOfFacilities
Expenses Not Rptd F99034929ExpensesNotRptdF990
Expenses Subtotal29546355ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99029546355TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationVIRGINIA GARCIA MEMORIAL HEALTH CENTER DOES NOT HAVE ANY TAX POSITION THAT DOES NOT MEET THE MORE LIKELY THAN NOT CRITERIA. ACCORDINGLY, MANAGEMENT HAS NOT RECORDED ANY LIABILITY FOR UNCERTAIN TAX POSITIONS TO THEIR MAJOR TAX JURISDICTIONS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LAURA BYERLY
CO-MED DIRECTOR169753000008644000178397000
LISA BOZZETTI
DENTAL DIRECTOR143748000007368000151116000
SASAN BAHERI
DENTIST153559000001535000155094000
SUNITI KUMAR
PHYSICIAN147551000007422000154973000
TIMOTHY VAN ERT
PHYSICIAN166238000001707000167945000
MICHAEL SCHIFERL
PHYSICIAN148722000007378000156100000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 4VIRGINIA GARCIA HEALTH CENTER REVISED THEIR ARTICLES OF INCORPORATION IN THE CURRENT FISCAL YEAR.
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE REVIEWS AND APPROVES THE FORM 990. A COPY OF THE APPROVED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AT THE FOLLOWING BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12CPERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING: (1) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S LENGTH BARGAINING.(2) WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT.(3) WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. (4) WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT.
FORM 990, PART VI, SECTION B, LINE 15THE CHAIRMAN OF THE BOARD OF DIRECTORS PERFORMS A MARKET ANALYSIS OF COMPARABLE POSITIONS IN THE MARKET AND AT OTHER FQHCS.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND POLICIES ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1VIRGINIA GARCIA MEMORIAL FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 568AddressLine1
CityCORNELIUSCity
StateORState
ZIP Code97113ZIPCode
FieldValueIRS element (for citing)
EIN912077840EIN
Primary ActivitiesSUPPORTING ORGANIZATIONPrimaryActivities
Legal Domicile StateORLegalDomicileState
Exempt Code Section501(C)3ExemptCodeSection
Public Charity Status509(A)(3)PublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1VIRGINIA GARCIA MEMORIAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved2883790AmountInvolved
Method Of Amt DeterminationAMOUNT RECEIVEDMethodOfAmtDetermination