2012-11-08T11:36:34-06:00 2011-12-31 990EZ 2011-01-01 930900124 FIRSTCARE HEALTH FOUNDATION FIRS 5417684773 C/O SHS ACCOUNTING PO BOX 3000 CORVALLIS OR 973393000 DANIEL B SMITH 5417684773 2012-11-05 2011 2016-02-24 21:20:13Z X N/A X 117840 X 117840 117840 88596 407899 496495 -378655 3336907 -3336907 -378655 X 3322921 0 14099 0 3337020 0 113 378655 3336907 -378655 X TO IMPROVE ACCESS TO HEALTHCARE FOR UNINSURED AND UNDERINSURED LOW-INCOME COMMUNITY MEMBERS THROUGH FIRSTCARE'S MEDICAL AND DENTAL CLINIC. FIRSTCARE PARTNERS WITH LOCAL AGENCIES & COMMUNITY ORGANIZATIONS TO PROVIDE A WEEKLY MEDICAL CLINIC CALLED THE INREACH CLINIC. THE INREACH CLINIC'S OBJECTIVE IS TO PROVIDE BASIC MEDICAL CARE AND REFERRALS FOR LOW INCOME UNINSURED AND UNDERINSURED COMMUNITY MEMBERS AT LITTLE OR NO COST. THE INREACH CLINIC ALSO PROVIDES ACCESS TO FREE MEDICATIONS & FREE DIAGNOSTIC SERVICES AT LOCAL HEALTH CARE FACILITIES. 0 496495 496495 DAVID TRIEBES 1046 SIXTH AVE SW ALBANY OR 97321 1.00 0 0 0 MARIA DELAPOER 1046 SIXTH AVE SW ALBANY OR 97321 1.00 0 0 0 BRUCE MADSEN MD 1046 SIXTH AVE SW ALBANY OR 97321 1.00 0 0 0 PAUL DASKALOS DO 1046 SIXTH AVE SW ALBANY OR 97321 1.00 0 0 0 JIM DENHAM 1046 SIXTH AVE SW ALBANY OR 97321 1.00 0 0 0 PATRICK HAGERTY DMD 1046 SIXTH AVE SW ALBANY OR 97321 1.00 0 0 0 GREGG MILLER MD 1046 SIXTH AVE SW ALBANY OR 97321 1.00 0 0 0 SENATOR FRANK MORSE 1046 SIXTH AVE SW ALBANY OR 97321 1.00 0 0 0 GEORGENE MCALHANY 1046 SIXTH AVE SW ALBANY OR 97321 1.00 0 0 0 PAUL GREAVES MD 1046 SIXTH AVE SW ALBANY OR 97321 1.00 0 0 0 STEPHEN NEWMAN MD 1046 SIXTH AVE SW ALBANY OR 97321 1.00 0 0 0 DANIEL B SMITH 1046 SIXTH AVE SW ALBANY OR 97321 1.00 0 0 0 X 1 0 0 0 1 0 0 0 0 0 0 0 0 0 OR SAMARITAN HEALTH SERVICES PO BOX 3000 CORVALLIS OR 973393000 5417684773 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X X 0 0 0 ALBANY GEN HOSP 930110095 3 1 1 1 236864 FIRSTCARE MED FND 930932697 9 1 1 1 172369 MID-VALLEY HC 930396847 3 0 1 1 5217 GOOD SAM HOSP 930391573 3 0 1 1 13843 4 428293 THE EXEMPT ACTIVITIES OF FIRSTCARE HEALTH FOUNDATION CHANGED AS OF 1/1/2011. PREVIOUSLY FIRSTCARE HEALTH FOUNDATION SERVED TO SUPPORT ALBANY GENERAL HOSPITAL, A RELATED 501(C)(3) ORGANIZATION, AND OTHER RELATED 501(C)(3) ORGANIZATIONS. THESE ACTIVITIES AND THE ASSOCIATED ASSETS AND LIABILITIES WERE TRANSFERRED TO ALBANY GENERAL HOSPITAL AS OF 1/1/2011.AS OF 1/1/2011, FIRSTCARE HEALTH FOUNDATION IS THE EXEMPT ORGANIZATION WITHIN THE CONTROLLED GROUP, SAMARITAN HEALTH SERVICES, THAT REPORTS THE ACTIVITIES OF THE INREACH CLINIC. THE INREACH CLINIC PROVIDES MEDICAL AND DENTAL SERVICES TO UNINSURED COMMUNITY MEMBERS AT LITTLE OR NO COST.FOR 2011, THE CHARITABLE ACTIVITIES OF INREACH CLINIC COMPRISE ALL OF THE ACTIVITIES REPORTED ON FIRSTCARE HEALTH FOUNDATION'S 990. THE INREACH CLINIC IS FUNDED EXCLUSIVELY THROUGH GOVERNMENTAL AND PUBLIC SUPPORT. FOR 2011, THERE ARE NO REVENUES GENERATED FROM FIRSTCARE HEALTH FOUNDATION CARRYING OUT ITS EXEMPT FUNCTIONS.THE RENTAL REVENUES THAT ARE REPORTED ON THE PUBLIC SUPPORT SCHEDULE FROM 2007 TO 2010 ARE FROM WHEN FIRSTCARE HEALTH FOUNDATION WAS A SUPPORTING ORGANIZATION FOR ALBANY GENERAL HOSPITAL AND OTHER RELATED 501(C)(3) ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED BUILDINGS 2011-01-01 2257272 BOOK VALUE 930110095 ALBANY GENERAL HOSPITAL 1046 SIXTH AVE SW ALBANY OR 97321 501(C)(3) LAND 2011-01-01 1065649 BOOK VALUE 930110095 ALBANY GENERAL HOSPITAL 1046 SIXTH AVE SW ALBANY OR 97321 501(C)(3) LAND IMPROVEMENTS 2011-01-01 7485 BOOK VALUE 930110095 ALBANY GENERAL HOSPITAL 1046 SIXTH AVE SW ALBANY OR 97321 501(C)(3) EQUIPMENT 2011-01-01 0 BOOK VALUE 930110095 ALBANY GENERAL HOSPITAL 1046 SIXTH AVE SW ALBANY OR 97321 501(C)(3) 0 0 0 0 OTHER EXPENSES FORM 990-EZ, PART I, LINE 16 DESCRIPTION: OFFICE EXPENSES. AMOUNT: 949. DESCRIPTION: CONFERENCES, CONVENTIONS, AND MEETINGS. AMOUNT: 265. DESCRIPTION: INSURANCE. AMOUNT: 3,036. DESCRIPTION: PURCHASED SERVICES. AMOUNT: 403,574. DESCRIPTION: LICENSES & TAXES. AMOUNT: 75. TOTAL TO FORM 990-EZ, LINE 16: 407,899. OTHER CHANGES IN NET ASSETS FORM 990-EZ, PART I, LINE 20 DESCRIPTION: INTERCOMPANY TRANSFERS. AMOUNT: -3,336,907. OTHER ASSETS FORM 990-EZ, PART II, LINE 24 DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 6,614. END OF YEAR AMOUNT: 0. DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 7,485. END OF YEAR AMOUNT: 0. OTHER LIABILITIES FORM 990-EZ, PART II, LINE 26 DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 113. END OF YEAR AMOUNT: 4,437. DESCRIPTION: ACCOUNTS PAYABLE - AFFILIATES. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 374,218. FORM 990-EZ, PART V, LINE 33, ACTIVITIES NOT PREVIOUSLY REPORTED: FIRSTCARE HEALTH FOUNDATION ("FIRSTCARE") WAS ORIGINALLY FORMED TO PROVIDE SUPPORT TO, AND FUNCTION FOR THE BENEFIT OF, ALBANY GENERAL HOSPITAL AND ALBANY GENERAL HOSPITAL FOUNDATION, AND SUBSEQUENTLY OTHER ENTITIES NOW AFFILIATED WITH SAMARITAN HEALTH SERVICES, ALL OF WHICH ARE TAX-EXEMPT CHARITABLE ORGANIZATIONS PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3). FOR MANY YEARS PRIOR TO 2011, FIRSTCARE'S PRIMARY ACTIVITY WAS CENTERED AROUND THE OWNERSHIP OF REAL ESTATE AND THE LEASING OF SUCH REAL ESTATE TO ITS SUPPORTED ORGANIZATIONS IN FURTHERANCE OF THE OPERATIONS OF THOSE CHARITABLE ORGANIZATIONS AND THE PROVISION OF THEIR RESPECTIVE HEALTHCARE ACTIVITIES. IN 2011, FIRSTCARE TRANSFERRED OWNERSHIP OF THESE PROPERTIES TO ITS TAX-EXEMPT AFFILIATE, ALBANY GENERAL HOSPITAL (SEE SCHEDULE N). ALSO DURING THE 2011 TAX REPORTING YEAR, FIRSTCARE SIGNIFICANTLY EXPANDED ITS CHARITABLE SERVICES AND TAX-EXEMPT ACTIVITIES. IN 2011, FIRSTCARE BEGAN MANAGING THE OPERATIONS OF A MEDICAL CLINIC WHICH PROVIDES LIMITED HEALTH CARE SERVICES TO ADULTS AND CHILDREN WHO ARE UNINSURED OR UNDER-INSURED AND ARE EXPERIENCING FINANCIAL, SOCIAL OR CULTURAL OBSTACLES TO OBTAINING HEALTH CARE SERVICES. FIRSTCARE OPERATES THIS MEDICAL CLINIC UNDER THE ASSUMED NAME OF "ALBANY INREACH CLINIC." FIRSTCARE CURRENTLY PROVIDES MEDICAL CARE TO SUCH INDIVIDUALS ON A LIMITED NUMBER OF DAYS EACH WEEK, THOUGH FIRSTCARE ANTICIPATES INCREASING THE NUMBER OF DAYS IN THE FUTURE. INDIVIDUALS ARE SEEN AND TREATED AT ALBANY INREACH CLINIC FOR A LIMITED NUMBER OF HEALTH CARE ISSUES INCLUDING COUGHS, SINUS INFECTIONS, ASTHMA, BRONCHITIS, COPD, HIGH BLOOD PRESSURE, DIABETES, STRAINS AND SPRAINS, NON-URGENT INJURIES, NON-URGENT BLEEDING AND DENTAL CONDITIONS. PATIENTS WITH HEALTH CARE ISSUES BEYOND WHAT ALBANY INREACH CLINIC IS CAPABLE OF DEALING WITH ARE REFERRED TO OTHER HEALTH CARE PROVIDERS IN THE COMMUNITY, INCLUDING AFFILIATED HOSPITALS AND CLINICS. FIRSTCARE, THROUGH ITS ALBANY INREACH CLINIC, PROVIDES EDUCATION TO INDIVIDUALS REGARDING HOW TO USE PRESCRIPTION MEDICATIONS, IMPORTANT ILLNESS PREVENTATIVE MEASURES AS WELL AS OTHER BASIC HEALTH CARE MATTERS. FIRSTCARE OPERATES A DENTAL PROGRAM THROUGH WHICH CHILDREN AND ADULTS WITHOUT EITHER DENTAL INSURANCE OR ADEQUATE FINANCIAL MEANS CAN OBTAIN NECESSARY DENTAL CARE. FIRSTCARE WORKS IN COOPERATION WITH COMMUNITY SCHOOLS, ORGANIZATIONS AND BUSINESSES TO IDENTIFY CHILDREN AND ADULTS IN NEED OF DENTAL CARE. THESE INDIVIDUALS ARE REFERRED TO FIRSTCARE'S SERVICES AND CAN OBTAIN DENTAL CARE AT SPECIAL CLINICS, OFFICE LOCATIONS, OR AT A MOBILE DENTAL OFFICE WHICH COOPERATES WITH FIRSTCARE IN CONDUCTING ITS DENTAL SERVICES PROGRAM. FIRSTCARE STAFFS THE ALBANY INREACH CLINIC AND ITS HEALTH CARE OPERATIONS WITH QUALIFIED VOLUNTEER MEDICAL PROFESSIONALS, STUDENTS AND INDIVIDUALS ALL OF WHOM ARE DEDICATED TO FIRSTCARE'S MISSION OF PROVIDING COORDINATED AND PROACTIVE HEALTH CARE FOR THE MEDICALLY UNDERSERVED RESIDENTS OF ALBANY, MILLERSBURG, AND TANGENT, OREGON AND THE SURROUNDING COMMUNITIES. FIRSTCARE GENERATES A PORTION OF ITS FINANCIAL SUPPORT FOR ITS HEALTH CARE OPERATIONS FROM CONTRIBUTIONS DONATED BY INDIVIDUALS, COMMUNITY BUSINESSES AND LOCAL ORGANIZATIONS. MONETARY OR OTHER FORMS OF SUPPORT ARE ALSO PROVIDED TO FIRSTCARE BY SAMARITAN HEALTH SERVICES OR ITS AFFILIATED ENTITIES. FIRSTCARE, IN TURN, SUPPORTS THE MEDICAL COMMUNITY, INCLUDING AFFILIATED HEALTHCARE ENTITIES, BY TREATING THE INDIGENT POPULATION THAT MAY OTHERWISE NEED EMERGENT OR URGENT CARE IN A MORE EXPENSIVE SETTING, SUCH AS THE HOSPITAL EMERGENCY ROOM. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.