2021-01-22T14:08:04-08:00 2020-05-31 930745639 KDP CERTIFIED PUBLIC ACCOUNTANTS LLP 841 OHARE PKWY STE 200 MEDFORD OR 97504 990 2019-06-01 943096772 LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC LACL 5415356239 931 CHEVY WAY MEDFORD OR 97504 JILL BOROVANSKY CFO 2021-01-22 true SUSAN E STRANGE CPA P00541289 5417736633 2019 2022-09-23 18:48:47Z JILL BOROVANSKY 931 CHEVY WAY MEDFORD OR 97504 41037708 false X WWW.LACLINICAHEALTH.ORG X 1988 OR La Clinica provides primary and preventive medical, dental, behavioral health, and other health promotion services to underserved and low-income patients. 14 13 485 20 0 9687448 10651483 22951581 30058126 57628 84933 576212 243166 33272869 41037708 0 0 25420605 28869831 0 184066 7782204 9619129 33202809 38488960 70060 2548748 32417777 39966031 7726908 12786106 24690869 27179925 La Clinica provides primary and preventive medical, dental, behavioral health, and other health promotion services to underserved and low-income patients. false false 29565532 30301292 La Clinica provides comprehensive primary and preventive medical and dental care, as well as integrated behavioral health, prenatal care and gynecology, physical therapy, acupuncture, and advanced care in rheumatology and gastroenterology. We engage over 400 employees who provide high quality services at twenty service sites, including two sites that house a Community Pharmacy. The Community Pharmacies provide direct patient benefit by offering lower prescription costs and retail pharmacy access to those we serve and their families. To help our community access care, we accept all insurance types and offer a generous sliding scale for low-income uninsured and underinsured patients. We also utilize the federal 340B Drug Pricing Program to offer deeply discounted medications to our patients. 29565532 true false false false false false false false false true true false false false true 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 63 0 true 485 true false false false false false false false 0 false false false false false false false X 14 13 false false false false false true false true true false false true true true true true true true true false OR X X FAITH HARRIS 5415123167 931 CHEVY WAY MEDFORD OR 97504 JUSTIN R ADAMSMD CHIEF MED OFFICER 40.00 0.00 251246 0 12357 DANIEL J SENGENBERGER MD CHIEF MED OFF OPS 40.00 0.00 250208 0 12305 BRENDA JOHNSON RN MBA CEO 40.00 0.00 X 231398 0 16102 AMY B FINE CHIEF DENT OFFICER 40.00 0.00 221404 0 13284 TYLER SCOTT DENTIST 40.00 0.00 204552 0 10228 ELIZABTH BANOWETZ MD 40.00 0.00 202128 0 7996 JILL BOROVANSKY CFO 40.00 0.00 X 142787 0 3837 TARA JEANNOT COO 40.00 0.00 X 105627 0 2112 DANNI SWAFFORD BOARD MEMBER 2.00 0.00 X 0 0 0 SARA COLLINS Secretary 2.00 0.00 X 0 0 0 JON IVY BOARD MEMBER 2.00 0.00 X 0 0 0 MINOR MATTHEWS BOARD MEMBER 2.00 0.00 X 0 0 0 BRAD RUSSELL Vice President 2.00 0.00 X 0 0 0 PAUL NICHOLSON President 2.00 0.00 X 0 0 0 MONICA MORALES BOARD MEMBER 2.00 0.00 X 0 0 0 KEITH CASEBOLT Treasurer 2.00 0.00 X 0 0 0 TIGHE O'MEARA Vice President 2.00 0.00 X 0 0 0 VANESSA HOUK BOARD MEMBER 2.00 0.00 X 0 0 0 LINDA REID BOARD MEMBER 2.00 0.00 X 0 0 0 DANIELLE MANCUSO BOARD MEMBER 2.00 0.00 X 0 0 0 CHRIS ALFTINE BOARD MEMBER 2.00 0.00 X 0 0 0 1609350 78221 8 false true false OCHIN-OR COMMUNITY HEALTH INFO NETWORK 1881 SW NAITO PKWY PORTLAND OR 97501 MEDICAL BILLING 1109797 HIGH COUNTRY RX RELIEF LLC 2299 BUTTE FALLS HWY EAGLE POINT OR 97524 PHARMACY SERVICES 460640 PARDENT LABORATORY 1726 E MCANDREWS MEDFORD OR 97504 DENTAL LABS 140714 SANITECH BUILDING MAINTENANCE 1960 TABLE ROCK ROAD MEDFORD OR 97501 JANITORIAL SERVICES 198209 COREKELLY BUSINESS SERVICES 2040 MILIGAN WAY CENTRAL POINT OR 97502 COMPUTER SERVICES 176015 5 9690657 960826 10651483 NET PATIENT FEES 621110 30058126 30058126 30058126 80120 80120 0 0 0 4813 4813 4813 4813 0 0 0 MISC. INCOME 621110 243166 243166 243166 41037708 30301292 84933 0 0 0 0 499751 499751 0 22751271 18635505 3982845 132921 0 3814105 3161860 636843 15402 1804704 1499118 294538 11048 0 0 0 0 0 8548 8548 0 0 0 0 0 883519 109825 773082 612 288561 179703 102128 6730 0 0 169845 169845 0 901649 176597 725052 132702 36345 96357 SUPPLIES 2592999 2477701 113952 1346 CONTRACTUAL 2375303 1318091 1052261 4951 DUES, PUBLICATIONS & POSTAGE 1059374 936974 118171 4229 PROFESSIONAL FEES 471609 204539 267070 735020 329523 398670 6827 38488960 29565532 8739362 184066 6204373 10921988 0 0 3437055 6816901 0 0 0 76575 118215 220133 152892 28582892 8121486 20874545 20461406 0 956842 900334 0 109375 96871 538879 497424 32417777 39966031 2196064 3006019 281018 12277 4710947 9270386 538879 497424 7726908 12786106 X 23734027 26044591 956842 1135334 24690869 27179925 32417777 39966031 2548748 -59692 X false true X true true true X 9713470 9318199 9277208 9687448 10655075 48651400 0 0 9713470 9318199 9277208 9687448 10655075 48651400 0 48651400 11025 8138 8358 84933 112454 15870 17854 13756 9591 57071 0 48820925 0.99650 0.99760 X 956842 -47960 8548 900334 916268 48373 7798 956843 831816 93014 7932 916898 747301 90375 6490 831186 777977 -24398 6278 747301 true false false 4122779 4122779 20307601 4891006 15416595 4152512 3230480 922032 20461406 DEFERRED COMP 497424 497424 41037708 41037708 41037708 38488960 38488960 38488960 X X X X X false false false false false false false false false AMY B FINE CHIEF DENT OFFICER 221404 13284 234688 BRENDA JOHNSON RN MBA CEO 231398 16102 247500 DANIEL J SENGENBERGER MD CHIEF MED OFF OPS 245208 5000 12305 262513 ELIZABTH BANOWETZ MD 199909 2219 7996 210124 JUSTIN R ADAMSMD CHIEF MED OFFICER 246246 5000 12357 263603 TYLER SCOTT DENTIST 204552 10228 214780 Form 990, Part VI, Line 11b: Form 990 Review Process THE FORM 990 PREPARER PROVIDES A DRAFT COPY OF THE FORM 990 TO THE CFO AND THE ACCOUNTING MANAGER. A COPY OF THE FORM 990 IS ALSO PROVIDED TO THE FINANCE/AUDIT COMMITTEE FOR REVIEW. FINALLY, THE BOARD IS NOTIFIED OF ANY FINDINGS AND PROVIDED A FINAL DRAFT TO REVIEW PRIOR TO FILING. AFTER FINAL REVIEW, THE FORM 990 PREPARER IS NOTIFIED TO FILE THE FORM 990. A REPORT IS THEN PROVIDED TO THE FULL BOARD OF DIRECTORS ON THE RESULTS OF THE FORM 990. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY IN PLACE THAT IS DISTRIBUTED TO ALL NEW HIRES AND INCOMING BOARD MEMBERS AND REVIEWED ANNUALLY FOR UPDATES. THE POLICY STATES THAT ANY CONFLICTS OF INTEREST BE DISCLOSED AS SOON AS THE WORKFORCE OR BOARD MEMBER BECOMES AWARE OF THE CONFLICT. CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED BY ALL BOARD MEMBERS EACH YEAR. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management THE BOARD OF DIRECTORS IS RESPONSIBLE TO HIRE AND REMOVE THE CHIEF EXECUTIVE OFFICER, SUPPORT AND ASSESS HIS OR HER PERFORMANCE, AND ENSURE THAT THE CHIEF EXECUTIVE HAS THE MORAL AND PROFESSIONAL SUPPORT NEEDED TO FURTHER THE GOALS OF THE ORGANIZATION.EACH YEAR A MARKET REVIEW IS PERFORMED FOR A COMPETITIVE ANALYSIS OF SALARIES IN THE LOCAL AND REGIONAL AREAS FOR THE CEO. THE AUTHOR OF THE MARKET REVIEW INDICATES A RANGE IN WHICH THE CEO'S SALARY SHOULD SIT AND REPORTS THIS TO THE PRESIDENT. THE EXECUTIVE COMMITTEE MEETS TO DISCUSS A PAY CHANGE AND MAKES A RECOMMENDATION TO THE BOARD, WHICH VOTE IN JUNE TO ADOPT THE PAY CHANGE OR NOT DEPENDING UPON THE BUDGETED FINANCIAL FORECAST OF THE ORGANIZATION. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees EACH YEAR A MARKET REVIEW IS PERFORMED FOR A COMPETITIVE ANALYSIS OF SALARIES IN THE LOCAL AND REGIONAL AREAS FOR ALL POSITIONS IN THE ORGANIZATION. THE HUMAN RESOURCE DIRECTOR COMPILES THE INFORMATION, AND AFTER APPROVAL FROM THE CEO, IT IS GIVEN TO THE ACCOUNTING MANAGER, WHO INPUTS THE DATA INTO THE FORECASTED BUDGET FOR THE NEXT FISCAL YEAR. INCREASES IN BASE PAY MAY BE INCLUDED FOR NEW BUDGET PERIODS (BEGINNING IN JUNE) IF THE FOLLOWING IS TRUE:1. FINANCIAL FORECAST FOR THE ORGANIZATION IS HEALTHY;2. THE SALARY FOR THE JOB POSITION HAS FALLEN BELOW THE AVERAGE MARKET RANGE AND PAY THRESHOLD FOR THE ORGANIZATION;3. THE BOARD OF DIRECTORS HAS REVIEWED AND APPROVED THE NEW BUDGET INCLUDING THE CHANGES TO SALARIES AND WAGES. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available LA CLINICA DEL VALLE MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AS PER THE FOLLOWING POLICY GUIDELINES:THE AUDITED FINANCIAL STATEMENTS WILL BE DISTRIBUTED TO THE BOARD OF DIRECTORS, TO REGULATORY AGENCIES AND TO ORGANIZATIONS ENTITLED TO RECEIVE A COPY DUE TO CONTRACTUAL AGREEMENT. THE AUTHORITY TO DISTRIBUTE THE STATEMENTS TO OTHER INDIVIDUALS OR FIRMS REQUESTING THEM WILL BE LEFT TO THE DISCRETION OF THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. FORM 990, PART I, LINE 1 - ORG. MISSION La Clinica serves the people who need us the most through exceptional, affordable, and compassionate care, inspiring all those we touch to lead full and healthy lives.