2020-02-06T16:57:00-08:00 2019-05-31 930745639 KDP CERTIFIED PUBLIC ACCOUNTANTS LLP 841 OHARE PKWY STE 200 MEDFORD OR 975044005 990 2018-06-01 943096772 LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC LACL 5415356239 931 CHEVY WAY MEDFORD OR 97504 JILL BOROVANSKY CFO 2020-02-06 true Susan E St Range CPA P00541289 5417736633 2018 2020-11-06 18:47:13Z X JILL BOROVANSKY 931 CHEVY WAY MEDFORD OR 97504 33272869 false 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 13 462 45 0 9277208 9687448 21726141 22951581 43296 57628 948581 576212 31995226 33272869 0 0 24783299 25420605 0 326463 6391164 7782204 31174463 33202809 820763 70060 29114623 32417777 4528342 7726908 24586281 24690869 La Clinica provides primary and preventive medical, dental, behavioral health, and other health promotion services to underserved and low-income patients. false false 26375587 23306757 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 400 employees who provide high quality services at nineteen service sites. To help our community access care, we accept all insurance types and offer a generous sliding scale for low-income uninsured and underinsured patients. 26375587 true false false false false false false false false true true false false false true false true false false false false false false false true false false false false true false false false false false false false false false false false true false false false false false false false false true 49 0 true 462 true false false false false false false false false 0 false false false false false 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 SARA COLLINS BOARD MEMBER 2.00 0.00 X 0 0 0 CHARLIE BAUER Secretary 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 BOARD MEMBER 2.00 0.00 X 0 0 0 VANESSA HOUK BOARD MEMBER 2.00 0.00 X 0 0 0 MARY SINCLAIR 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 BRENDA JOHNSON RN MBA CEO 40.00 0.00 X X 221144 0 15392 CHRIS ALFTINE BOARD MEMBER 2.00 0.00 X 0 0 0 IDA SAITO COO 40.00 0.00 X 120802 0 7248 JILL BOROVANSKY CFO 40.00 0.00 X 140158 0 2056 DANIEL J SENGENBERGER MD CHIEF MED OFF OPS 40.00 0.00 X 226886 0 11141 JUSTIN R ADAMSMD CHIEF MED OFFICER 40.00 0.00 X 224949 0 11042 PHILIP GETSINGER DENTIST 40.00 0.00 X 202865 0 9743 AMY B FINE CHIEF DENT OFFICER 40.00 0.00 X 208413 0 10741 TYLER SCOTT DENTIST 40.00 0.00 X 199744 0 9603 1544961 76966 8 false true false OCHIN-OR COMMUNITY HEALTH INFO NETWORK 1881 SW NAITO PKWY PORTLAND OR 97501 MEDICAL BILLING 1054056 VITUS CONSTRUCTION INC 1912 SECOND AVE GOLD HILL OR 97525 CONSTRUCTION 249584 OBRIEN DENTAL LAB INC 4311 SW RESEARCH WAY CORVALLIS OR 97333 DENTAL LABS 117321 SANITECH BUILDING MAINTENANCE 1960 TABLE ROCK ROAD MEDFORD OR 97501 JANITORIAL SERVICES 167972 ALLIED COMFORT PRO 4980 INDUSTRY DRIVE CENTRAL POINT OR 97502 HVAC REPAIR 284190 6 8334744 1352704 49102 9687448 NET PATIENT FEES 621110 22951581 22951581 22951581 48037 48037 0 0 0 9591 9591 9591 9591 221036 221036 221036 0 0 MISC. INCOME 621110 355176 355176 355176 33272869 23306757 278664 0 0 0 0 506800 506800 0 20349095 17265079 2943921 140095 0 2885850 2483623 384394 17833 1678860 1443206 224229 11425 0 0 0 0 0 0 0 0 0 0 0 800544 198645 600675 1224 443646 269899 161552 12195 0 0 198923 198923 0 837792 202338 635454 129911 46551 83360 CONTRACTUAL 1844232 1465012 359329 19891 SUPPLIES 1645461 1492201 146168 7092 DUES, PUBLICATIONS & POSTAGE 697409 471824 210975 14610 PROFESSIONAL FEES 454017 227464 225788 765 730269 302945 325991 101333 33202809 26375587 6500759 326463 9042398 6204373 0 0 2677950 3437055 0 0 0 61904 76575 202288 220133 28276204 7401659 15543741 20874545 0 916268 956842 0 121875 109375 548199 538879 29114623 32417777 1949406 2196064 389140 281018 1641597 4710947 548199 538879 4528342 7726908 X 23673558 23734027 912723 956842 24586281 24690869 29114623 32417777 70060 34528 X false true X true true true X 6375860 9713470 9318199 9277208 9687448 44372185 0 0 6375860 9713470 9318199 9277208 9687448 44372185 0 44372185 8083 11025 8138 8358 35604 15870 15870 17854 13756 9591 72941 0 44480730 0.99760 0.99690 X 916268 48373 7798 956843 831816 93014 7932 916268 747301 90375 6490 831186 777977 -24398 6278 747301 753479 24498 777977 1.00000 true false false 4122779 4122779 19907712 4342703 15565009 3929297 3058956 870341 316416 316416 20874545 DEFERRED COMPENSATION 538879 538879 33307397 34528 34528 33272869 33272869 33202809 33202809 33202809 X X X X X X false RAISE YOUR HEART FOR HEALTH 221036 221036 221036 221036 221036 X X X X X false false false false false false false false false false AMY B FINE CHIEF DENT OFFICER 208413 10741 219154 BRENDA JOHNSON RN MBA CEO 221144 15392 236536 DANIEL J SENGENBERGER MD CHIEF MED OFF OPS 226886 11141 238027 JUSTIN R ADAMSMD CHIEF MED OFFICER 224949 11042 235991 PHILIP GETSINGER DENTIST 202865 9743 212608 TYLER SCOTT DENTIST 199744 9603 209347 GOODS 47827 FMV WINGS 1275 FMV false false false 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 COORDINATOR 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. IF 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.