KLAMATH HEALTH PARTNERS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: KLAMATH HEALTH PARTNERS INC (EIN 93-1230223)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-10-07
IRS object ID: 201112809349300216
Schema version: 2010v3.4
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-10-07T12:05:15-05:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JONES & ROTH PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 10086	AddressLine1
City	EUGENE	City
State	OR	State
ZIP Code	97440	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	931230223	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	KLAMATH HEALTH PARTNERSHIP INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	KLAM	NameControl
Phone	5418802022	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2074 S 6TH ST	AddressLine1
City	KLAMATH FALLS	City
State	OR	State
ZIP Code	97601	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SIGNE PORTER	Name
Title	CFO	Title
Phone	5418802022	Phone
Date Signed	2011-09-06	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JEREMY PRICKEL	Name
Phone	5416872320	Phone
Date Prepared	2011-10-03	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	SIGNE PORTER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2074 S 6TH ST	AddressLine1
City	KLAMATH FALLS	City
State	OR	State
ZIP Code	97601	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	6790430	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.KLAMATHOPENDOOR.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1997	YearFormation
State Legal Domicile	OR	StateLegalDomicile
Activity Or Mission Description	THE FAMILY PRACTICE PROVIDES SUPERIOR HEALTH CARE TO SOUTHERN OREGON AND NORTHERN CALIFORNIA RESIDENTS IN A CULTURALLY SENSITIVE MANNER WITH SPECIAL EMPHASIS ON REACHING THOSE WHO ARE UNDER SERVED. OUR MISSION IS TO SERVE OUR COMMUNITY BY OFFERING EXCELLENT CARE AND ELIMINATING BARRIERS TO HEALTH.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	107	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	2055393	ContributionsGrantsPriorYear
Contributions Grants Current Year	2123854	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4341961	ProgramServiceRevenuePriorYear
Program Service Revenue CY	4630398	ProgramServiceRevenueCY
Investment Income Prior Year	15342	InvestmentIncomePriorYear
Investment Income Current Year	6345	InvestmentIncomeCurrentYear
Other Revenue Prior Year	34179	OtherRevenuePriorYear
Other Revenue Current Year	29833	OtherRevenueCurrentYear
Total Revenue Prior Year	6446875	TotalRevenuePriorYear
Total Revenue Current Year	6790430	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4402380	SalariesEtcPriorYear
Salaries Etc Current Year	4691767	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	29919	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1748576	OtherExpensePriorYear
Other Expenses Current Year	1828044	OtherExpensesCurrentYear
Total Expenses Prior Year	6150956	TotalExpensesPriorYear
Total Expenses Current Year	6519811	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	295919	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	270619	RevenuesLessExpensesCY
Total Assets BOY	5811713	TotalAssetsBOY
Total Assets EOY	5935529	TotalAssetsEOY
Total Liabilities BOY	1050726	TotalLiabilitiesBOY
Total Liabilities EOY	903923	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	4760987	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	5031606	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE FAMILY PRACTICE PROVIDES SUPERIOR HEALTH CARE TO SOUTHERN OREGON AND NORTHERN CALIFORNIA RESIDENTS IN A CULTURALLY SENSITIVE MANNER WITH SPECIAL EMPHASIS ON REACHING THOSE WHO ARE UNDER SERVED. OUR MISSION IS TO SERVE OUR COMMUNITY BY OFFERING EXCELLENT CARE AND ELIMINATING BARRIERS TO HEALTH.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	5931672	Expense
Description	THE FAMILY PRACTICE PROVIDES OUTPATIENT, DENTAL AND EMERGENCY CARE SERVICES FOR ITS COMMUNITY. WE DELIVER ESSENTIAL AND PREVENTIVE PRIMARY CARE, DENTAL AND MENTAL HEALTH SERVICES TO UNDERSERVED, UNINSURED, AND UNDER- INSURED INDIVIDUALS AND FAMILIES IN KLAMATH COUNTY, OREGON.	Description
Total Program Service Expense	5931672	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	17	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	107	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SIGNE PORTER CFO	NamePerson
Telephone Number	5418802022	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2074 6TH SIXTH STREET	AddressLine1
City	KLAMATH FALLS	City
State	OR	State
ZIP Code	97601	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
MICHELLE PHILLIPS
SECRETARY	1.00	X	X	0	0	0
DR ROB ROSS
DIRECTOR	1.00	X		0	0	0
ROBERT HARDY
TREASURER	1.00	X	X	0	0	0
MARILYN SPRAGUE
DIRECTOR	1.00	X		0	0	0
THERESA RUSSELL
DIRECTOR	1.00	X		0	0	0
MARTHA DECKER HALL
PRESIDENT	1.00	X	X	0	0	0
RICH ROSE
VICE PRESIDE	1.00	X	X	0	0	0
DAVID HEDELMAN
DIRECTOR	1.00	X		0	0	0
DR ESTEBAN MILLER
MEDICAL DIR.	27.00		X	177056	0	9719
DR KATHERINE J LANE
DENTAL DIR.	36.00		X	131786	0	5103
ROBERT MARSALLI
CEO	26.00		X	94217	0	6383
SIGNE PORTER
CFO	39.00		X	58624	0	8175
DR ALEJANDRO REY
PHYSICIAN	27.00			209106	0	7735	X
DR GABRIEL MAYLAND
PHYSICIAN	30.00			182631	0	5282	X
DR SARAH LAMANUZZI
PHYSICIAN	31.00			181640	0	5282	X
DR VICTORIA CORDY
PHYSICIAN	33.00			144275	0	6420	X
JEFFREY SEWING
PHYSICIAN AS	41.00			136848	0	8421	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1316183	TotalReportableCompFromOrg
Total Other Compensation	62520	TotalOtherCompensation
Number Individuals GT100 K	10	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	OCHIN	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	707 SW WASHINGTON ST SUITE 1200	AddressLine1
City	PORTLAND	City
State	OR	State
ZIP Code	97205	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	MEDICAL RECORDS	DescriptionOfServices
Compensation	159406	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Government Grants	2075737	GovernmentGrants
All Other Contributions	48117	AllOtherContributions
Total Contributions	2123854	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE	4498113	4498113
PHARMACY 340B PROGRAM	132285	132285

Field	Value	IRS element (for citing)
Total Program Service Revenue	4630398	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6345	TotalRevenueColumn
Exclusion	$6,345	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS	Description
Total Revenue Column	29833	TotalRevenueColumn
Exclusion	$29,833	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	29833	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6790430	TotalRevenueColumn
Related Or Exempt Function Income	4630398	RelatedOrExemptFunctionIncome
Exclusion	$36,178	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	491064	Total
Program Services	244412	ProgramServices
Management And General	221502	ManagementAndGeneral
Fundraising	25150	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3360262	Total
Program Services	3281507	ProgramServices
Management And General	78755	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1644	Total
Program Services	1644	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	583003	Total
Program Services	552801	ProgramServices
Management And General	28964	ManagementAndGeneral
Fundraising	1238	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	255794	Total
Program Services	235288	ProgramServices
Management And General	18984	ManagementAndGeneral
Fundraising	1522	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	14025	Total
Program Services	11811	ProgramServices
Management And General	2214	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	27225	Total
Program Services	22926	ProgramServices
Management And General	4299	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	451536	Total
Program Services	392758	ProgramServices
Management And General	58778	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	26837	Total
Program Services	15039	ProgramServices
Management And General	11798	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	529372	Total
Program Services	487821	ProgramServices
Management And General	41203	ManagementAndGeneral
Fundraising	348	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	194221	Total
Program Services	194221	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	75481	Total
Program Services	59190	ProgramServices
Management And General	14630	ManagementAndGeneral
Fundraising	1661	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	164415	Total
Program Services	134245	ProgramServices
Management And General	30170	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	20437	Total
Program Services	2091	ProgramServices
Management And General	18346	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	216880	216880
DUES, LICENSES, & PUBLICA	34054	22742	11312
EQUIPMENT, REPAIRS, MAINT	30785	23257	7528
MISCELLANEOUS EXPENSE	21274	17371	3903
EQUIPMENT	17921	12087	5834

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3581	Total
Program Services	3581	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6519811	Total
Program Services	5931672	ProgramServices
Management And General	558220	ManagementAndGeneral
Fundraising	29919	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	707493	BOY
EOY	623616	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	149117	BOY
EOY	541360	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	298058	BOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1629883	BOY
EOY	1649599	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5656	BOY
EOY	55557	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4464683	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1399286	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2544933	BOY
EOY	3065397	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	476573	BOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	5811713	BOY
EOY	5935529	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	278413	BOY
EOY	193204	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	772313	BOY
EOY	710719	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1050726	BOY
EOY	903923	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4760987	BOY
EOY	5031606	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4760987	BOY
EOY	5031606	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5811713	BOY
EOY	5935529	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	270619	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1573316	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1564870	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1646120	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2055193	CurrentTaxYearMinus1Year
Current Tax Year	2123854	CurrentTaxYear
Total	8963353	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3844746	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4662308	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4437727	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4341961	CurrentTaxYearMinus1Year
Current Tax Year	4630398	CurrentTaxYear
Total	21917140	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	5651	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	34179	CurrentTaxYearMinus1Year
Current Tax Year	29833	CurrentTaxYear
Total	69663	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5418062	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6227178	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6089498	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6431333	CurrentTaxYearMinus1Year
Current Tax Year	6784085	CurrentTaxYear
Total	30950156	Total

Field	Value	IRS element (for citing)
Public Support Total509	30950156	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	33242	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	30631	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7089	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	15342	CurrentTaxYearMinus1Year
Current Tax Year	6345	CurrentTaxYear
Total	92649	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	33242	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	30631	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7089	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	15342	CurrentTaxYearMinus1Year
Current Tax Year	6345	CurrentTaxYear
Total	92649	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5451304	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6257809	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6096587	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6446675	CurrentTaxYearMinus1Year
Current Tax Year	6790430	CurrentTaxYear
Total	31042805	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99700	PublicSupportPercentage509
Prior Year Support Percentage	0.99710	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	248433	OtherCostOrOtherBasis
Book Value	248433	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3206784	OtherCostOrOtherBasis
Depreciation	547964	Depreciation
Book Value	2658820	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	993301	OtherCostOrOtherBasis
Depreciation	835157	Depreciation
Book Value	158144	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16165	OtherCostOrOtherBasis
Depreciation	16165	Depreciation

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3065397	TotalOfBookValueLandBuildings
Total Revenue	6790430	TotalRevenue
Total Expenses	6519811	TotalExpenses
Excess Or Deficit For Year	270619	ExcessOrDeficitForYear
Excess Or Deficit Per FS	270619	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	6790430	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	6790430	RevenueSubtotal
Total Revenue Per Form990	6790430	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6519811	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	6519811	ExpensesSubtotal
Total Expenses Per Form990	6519811	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg
DR ESTEBAN MILLER
177056	9719	186775
DR ALEJANDRO REY
196906	7320	216841	12200	415
DR GABRIEL MAYLAND
171781	5103	187913	10850	179
DR SARAH LAMANUZZI
170790	5103	186922	10850	179
DR VICTORIA CORDY
141575	6420	150695	2700

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	THE FAMILY PRACTICE PROVIDES SUPERIOR HEALTH CARE TO SOUTHERN OREGON AND NORTHERN CALIFORNIA RESIDENTS IN A CULTURALLY SENSITIVE MANNER WITH SPECIAL EMPHASIS ON REACHING THOSE WHO ARE UNDER SERVED. OUR MISSION IS TO SERVE OUR COMMUNITY BY OFFERING EXCELLENT CARE AND ELIMINATING BARRIERS TO HEALTH.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE RETURN WILL BE PRESENTED AT THE BOARD MEETING AND APPROVED BEFORE FILING.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	ALL BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE EACH YEAR. THE BOARD HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT IS REVIEWED ANNUALLY BY THE BOARD AND CEO. THE QUESTION OF CONFLICT OF INTEREST IS ASKED BEFORE ANY VOTE. IF A CONFLICT IS PRESENT THE INDIVIDUAL DECLINES VOTING AND IT IS RECORDED IN MEETING MINUTES.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	BI-ANNUAL SURVEYS ARE DONE TO COLLECT INFORMATION FROM SIMILAR ORGANIZATIONS THROUGH THE OREGON PRIMARY CARE ASSOCIATION, NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION, AND OTHER RELEVANT WAGE AND SALARY RESOURCES. THE BOARD OF DIRECTORS REVIEWS WAGES AND SALARIES EACH YEAR AS A FUNCTION OF ITS FIDUCIARY RESPONSIBILITY TO APPROVE AN ANNUAL OPERATIONS BUDGET.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	BI-ANNUAL SURVEYS ARE DONE TO COLLECT INFORMATION FROM SIMILAR ORGANIZATIONS THROUGH THE OREGON PRIMARY CARE ASSOCIATION, NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION, AND OTHER RELEVNANT WAGE AND SALARY RESOURCES. THE EXECUTIVE TEAM AND DEPARTMENT MANAGERS REVIEW SALARY INFORMATION AND APPROVE A BUDGET WITH THE BOARD.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.