2019-12-16T12:35:30-06:00 2019-01-31 410746749 CLIFTONLARSONALLEN LLP 610 NORTH 39TH AVENUE YAKIMA WA 98902 990 2018-02-01 930910794 ONE COMMUNITY HEALTH ONEC 5413866380 849 PACIFIC AVENUE HOOD RIVER OR 97031 MAX JANASIK CEO 5413866380 2019-12-13 1 STACY SHORT P00837115 5098232910 67.137.57.251 2019-12-13 16:56:25 PS P 967C7C4C3343B33DAA0A4B8B4ED8D287A98B8455 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2018 2020-04-17 16:48:07Z LA CLINICA DEL CARINO FAMILY HEALTH CARE CENTER INC MAX JANASIK 849 PACIFIC AVENUE HOOD RIVER OR 97031 20517781 0 X ONECOMMUNITYHEALTH.ORG X 1986 OR ADVANCE HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. 10 10 210 11 0 0 5466563 5388548 11010201 11642109 182259 195595 15685 26733 16674708 17252985 2125 4500 0 0 10889412 11853168 0 0 0 3595951 4509718 14487488 16367386 2187220 885599 18105001 18610763 1708726 1447602 16396275 17163161 X ADVANCE HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. 0 0 11679737 4500 11642109 REFER TO SCHEDULE O FOR PROGRAM DESCRIPTIONONE COMMUNITY HEALTH SERVES OVER 12,000 INDIVIDUALS THROUGH 44,000+ HUMAN CONTACTS. OUR INTEGRATED PRIMARY MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES RESULT IN CONSISTENTLY OUTSTANDING PATIENT EXPERIENCES AND CLINICAL RESULTS. OUR CLINICAL CARE TEAM OF 68 FTE (FULL TIME EQUIVALENTS), INCLUDING 22 FTE LICENSED INDEPENDENT PROVIDERS, DELIVER SERVICES THAT INCLUDE: - MATERNITY AND NEWBORN CARE (PRENATAL, DELIVERIES INCLUDING CAESAREAN SECTIONS, POSTPARTUM AND NEONATAL CARE, AND PREVENTIVE DIAGNOSTICS).- EVIDENCE BASED MEDICAL, DENTAL, AND BEHAVIORAL TREATMENT FOR ALL AGES. - LABORATORY, MEDICATION ASSISTANCE, IMMUNIZATIONS, AND WELL-CHILD EXAMS, PATIENT CASE MANAGEMENT, CANCER AND OTHER DISEASE SCREENING, WELL-CHILD SERVICES, EYE & EAR SCREENING FOR CHILDREN, ADULT IMMUNIZATIONS, AND FAMILY PLANNING SERVICES.- OUTREACH AND EDUCATION (PROMOTORAS DE SALUD), ELIGIBILITY/ENROLLMENT SERVICES, INTERPRETATION, OPIOID ADDICTIONS MEDICATION ASSISTED THERAPY (MAT), CASE MANAGEMENT AND PEER SUPPORT SERVICES, DIABETES AND MATERNITY CARE COORDINATION. OUR VARIOUS HEALTH PROMOTER PROGRAMS HAVE RECEIVED NATIONAL AWARDS. SPECIAL PROGRAMS IN AREAS SUCH AS DIABETES EDUCATION AND CASE MANAGEMENT, WEIGHT MANAGEMENT, PERINATAL, AND OTHERS HAVE BECOME PART OF THE FABRIC OF ONE COMMUNITY HEALTH. TWO OF OUR PHYSICIANS ARE DESIGNATED CIVIL SURGEONS AND PROVIDE MEDICAL EXAMINATIONS FOR IMMIGRATION APPLICANTS. - WE PARTNER WITH PROVIDENCE HEALTH AND SERVICES IN PROVIDING AN INTEGRATED, RURAL, PRIMARY CARE RESIDENCY PROGRAM. - WE PARTNER AND COORDINATE WITH OUTSTANDING LOCAL PROVIDERS FOR; BEHAVIORAL HEALTH CARE, PHYSICAL THERAPY, HOSPITAL CARE, MASSAGE THERAPY, ACUPUNCTURE, AND MANY OTHER SPECIALTY AND SUB-SPECIALTY SERVICES ACCORDING TO PATIENT NEEDS. WE INCREASINGLY COORDINATE WITH COMMUNITY BASED SOCIAL SERVICE ORGANIZATIONS FOR NEEDS SUCH AS HOUSING, EMPLOYMENT, FOOD INSECURITY, ETC. WE ARE PROUD TO CONTINUE OUR MISSION OF ADVANCING HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY.SELECTED CHARACTERISTICS OF SERVICES PROVIDED IN CALENDAR YEAR 2018:TOTAL NUMBER OF PATIENTS: 12,064GENDER CHARACTERISTICS FEMALE: 6,756 PATIENTS (56.0%) MALE: 5,308 PATIENTS (44.0%)ETHNICITY WHITE - NON HISPANIC/LATINO: 6,248 PATIENTS (51.8%) WHITE - HISPANIC/LATINO: 5,255 PATIENTS (43.6%) ASIAN/PACIFIC ISLANDER: 89 PATIENTS (0.7%) BLACK/AFRICAN AMERICAN 47 PATIENTS (0.4%) AMERICAN INDIAN/ALASKA NATIVE 70 PATIENTS (0.6%) MORE THAN ONE RACE 30 PATIENTS (0.2%) UNREPORTED: 325 PATIENTS (2.7%) THIRD PARTY COVERAGE UNINSURED: 2,233 PATIENTS (18.5%) MEDICAID: 6,704 PATIENTS (55.6%) PRIVATE INSURANCE: 2,262 PATIENTS (18.7%) MEDICARE: 865 PATIENTS (7.2%)SELECTED CHARACTERISTICS: MIGRANT/SEASONAL WORKERS: 4,096 (33.9%) HOMELESS: 18 (0.1%) 11679737 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 85 0 210 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 OR X BELINDA BATCHA 5413866380 849 PACIFIC AVENUE HOOD RIVER OR 97031 SHANNON SALDIVAR CHAIR 1.00 X X 0 0 0 IAN CHANDLER VICE CHAIR 1.00 X X 0 0 0 AMY KLEE SECRETARY 1.00 X X 0 0 0 SHAWN WHALEN TREASURER 1.00 X X 0 0 0 ELI BELLO BOARD MEMBER 1.00 X 0 0 0 ROSA CASTRO BOARD MEMBER 1.00 X 0 0 0 SUSAN GABAY BOARD MEMBER 1.00 X 0 0 0 BILL NOONAN BOARD MEMBER 1.00 X 0 0 0 MELISSA REYES BOARD MEMBER 1.00 X 0 0 0 ERIC SHRUM BOARD MEMBER (THROUGH 2018) 1.00 X 0 0 0 MARK THOMAS BOARD MEMBER 1.00 X 0 0 0 HEATHER DEAL-WELLENSTEIN HR DIRECTOR (THROUGH DEC 2018) 40.00 X 95778 0 4800 PAUL GERING INFORMATION SYSTEM DIRECTOR 30.00 X 96649 0 4139 DAVID EDWARDS CEO (THROUGH DEC 2018) 40.00 X 177717 0 18444 BELINDA BATCHA CFO & INTERIM CEO 40.00 X 87985 0 13218 ELIZABETH AUGHNEY CLINICAL INTEGRATION DIRECTOR 40.00 X 161243 0 17267 LYNNE FROST CLINICAL OPERATIONS DIRECTOR 40.00 X 116705 0 11100 CONSTANCE SERRA DOCTOR 40.00 X 207590 0 18805 MICHAEL PENDLETON DOCTOR 40.00 X 180356 0 14359 MIRIAM FAUTH DOCTOR 40.00 X 170588 0 17996 ORLANDO ACOSTA DOCTOR 40.00 X 178728 0 22185 ANA MORENO DOCTOR 40.00 X 166406 0 11367 1639745 0 153680 16 0 1 0 OCHIN INC 1881 SW NAITO PARKWAY PORTLAND OR 97201 MEDICAL BILLING AND COLLECTION SERVICES 527427 SCOTT EDWARDS ARCHITECTURE LLP 2525 E BURNSIDE ST PORTLAND OR 97214 BUILDING PLANNING AND ARCHITECTURE 298379 MILLENIUM BUILDING SERVICES INC 5905 N CUTTER CIRCLE PORTLAND OR 97224 JANITORIAL SERVICES AND SUPPLIES 163828 ACCOUNTEMPS PO BOX 743295 LOS ANGELES CA 90074 ACCOUNTING SERVICES 110128 4 4596391 792157 272647 5388548 PATIENT SERVICE REVENUE 621110 9274368 9274368 PHARMACY 621110 1504852 1504852 CCO RISK POOL 621110 862889 862889 11642109 146942 146942 3313449 3231128 33668 82321 -33668 48653 48653 MISCELLANEOUS REVENUE 900099 26733 26733 26733 17252985 11642109 0 222328 4500 4500 259395 259395 93288 93288 9262987 7821391 1441596 1491634 1225913 265721 745864 606165 139699 8868 8868 27038 27038 27458 27458 1011619 279750 731869 71292 32155 39137 1047804 898719 149085 431784 400 431384 479473 983 478490 47383 27165 20218 23735 10271 13464 50 50 428728 67954 360774 60215 18798 41417 IN-KIND VACCINES 272647 272647 TRAINING 146354 108723 37631 ANCILLARY SERVICES 82826 82826 BAD DEBT 71749 71749 270695 149628 121067 16367386 11679737 4687649 0 3710012 4517705 1046814 2649725 1124576 1057601 1382901 905513 281808 361208 11127436 4846051 5960372 6281385 4574265 2831043 24253 6583 18105001 18610763 1312735 993545 373314 447834 22677 6223 1708726 1447602 X 16396275 17163161 16396275 17163161 18105001 18610763 885599 -118713 0 X X 0 1 X 1 1 1 X 3492053 4553337 4798123 5466563 5388548 23698624 3492053 4553337 4798123 5466563 5388548 23698624 23698624 433 2944 50497 83245 146942 284061 17099 15685 26733 59517 24042202 46261150 0.98570 0.99270 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2016 AMOUNT: $ 17,099. 2017 AMOUNT: $ 15,685. 2018 AMOUNT: $ 26,733. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 916370 916370 6687992 2462912 4225080 192166 166943 25223 2581759 2216196 365563 749149 749149 6281385 OTHER LIABILITIES 6223 6223 X 17361943 -118713 326878 208165 17153778 27458 71749 99207 17252985 16595057 326878 326878 16268179 27458 71749 99207 16367386 PART X, LINE 2: MANAGEMENT EVALUATED OCH'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. X X X X 0 0 0 0 0 0 0 0 0 DAVID EDWARDS CEO (THROUGH DEC 2018) 177717 0 0 0 0 0 7776 0 10668 0 196161 0 0 0 ELIZABETH AUGHNEY CLINICAL INTEGRATION DIRECTOR 159743 0 1500 0 0 0 7313 0 9954 0 178510 0 0 0 CONSTANCE SERRA DOCTOR 206090 0 1500 0 0 0 8299 0 10506 0 226395 0 0 0 MICHAEL PENDLETON DOCTOR 179606 0 750 0 0 0 4331 0 10028 0 194715 0 0 0 MIRIAM FAUTH DOCTOR 169088 0 1500 0 0 0 7676 0 10320 0 188584 0 0 0 ORLANDO ACOSTA DOCTOR 177228 0 1500 0 0 0 7630 0 14555 0 200913 0 0 0 ANA MORENO DOCTOR 155656 0 10750 0 0 0 5335 0 6032 0 177773 0 0 0 X 48 272647 CASH VALUE OF VACCINES 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS ON LINE 20, COLUMN (B). FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE BOARD OF DIRECTORS AND THE PAST CHAIRPERSON, IF THEY ARE STILL A MEMBER OF THE BOARD OF DIRECTORS, AND WILL BE CHAIRED BY THE CHAIRPERSON. THE EXECUTIVE COMMITTEE REPRESENTS THE BOARD OF DIRECTORS BETWEEN REGULAR BOARD MEETINGS WHENEVER NECESSARY. THE EXECUTIVE COMMITTEE IS EMPOWERED TO ACT ON BEHALF OF THE BOARD OF DIRECTORS EXCEPT REGARDING DECISIONS THAT REQUIRE A MAJORITY VOTE OF THE BOARD OF DIRECTORS, OR AS OTHERWISE SPECIFICALLY PROHIBITED BY THE BOARD OF DIRECTORS. ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ON BEHALF OF THE BOARD WILL BE FULLY REPORTED TO THE FULL BOARD AT THE NEXT REGULARLY SCHEDULED MEETING. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PROVIDED TO THE FINANCE COMMITTE AND THE BOARD OF DIRECTORS FOR ANNUAL REVIEW SUBSEQUENT TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C FULL DISCLOSURE, BY NOTICE IN WRITING, SHALL BE MADE BY THE INTERESTED PARTIES TO THE FULL BOARD OF DIRECTORS IN ALL CONFLICTS OF INTEREST AND PERCEIVED CONFLICTS OF INTEREST. FOLLOWING FULL DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST THE BOARD OF DIRECTORS SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND, IF SO THE BOARD SHALL VOTE TO AUTHORIZE OR REJECT THE TRANSACTION OR TAKE ANY OTHER ACTION DEEMED NECESSARY TO ADDRESS THE CONFLICT AND PROTECT ONE COMMUNITY HEALTH'S BEST INTEREST. BOTH VOTES SHALL BE BY A MAJORITY VOTE WITHOUT COUNTING THE VOTE OF ANY INTERESTED DIRECTOR, EVEN IF THE DISINTERESTED DIRECTORS ARE LESS THAN A QUORUM PROVIDED THAT AT LEAST ONE CONSENTING DIRECTOR IS DISINTERESTED. AN INTERESTED BOARD MEMBER OR OFFICER SHALL NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE OF THE BOARD OF DIRECTORS, OR OF ANY COMMITTEE OR SUBCOMMITTEE THEREOF IN WHICH THE SUBJECT OF DISCUSSION IS A CONTRACT, TRANSACTION, OR SITUATION IN WHICH THERE MAY BE A PERCEIVED OR ACTUAL CONFLICT OF INTEREST. THEY MAY BE PRESENT TO PROVIDE CLARIFYING INFORMATION; HOWEVER, THEY MUST LEAVE THE MEETING DURING THE DISCUSSION AND VOTE BY THE BOARD AND/OR OFFICERS. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS, UTILIZING MARKET STUDIES OF COMPARABLE ORGANIZATIONS' WAGE SCALES. THE COMPENSATION OF OTHER OFFICERS IS INITIALLY SET BY THE CHIEF EXECUTIVE OFFICER, BUT THEY ARE ALSO REVIEWED BY THE BOARD OF DIRECTORS AS PART OF THE ANNUAL BUDGETING PROCESS. ONE COMMUNITY HEALTH'S COMPENSATION PHILOSOPHY ALIGNS COMPENSATION IN SUPPORT OF OUR MISSION, VISION, VALUES, AND OPERATIONAL STRATEGIES. PAY IS ESTABLISHED BY QUALIFICATIONS SET FORTH IN JOB DESCRIPTIONS, THE RANGE OF PAY FOR ALL JOB CATEGORIES USING MARKET SURVEY SOURCES, AND A PROCESS FOR PAY INCREASES. THE CHIEF EXECUTIVE OFFICER IN COOPERATION WITH KEY EMPLOYEES IS RESPONSIBLE FOR OVERSIGHT OF THE DEVELOPMENT, REVIEW, AND REVISION OF THE PAY STRUCTURE. THE BOARD OF DIRECTORS REVIEWS, APPROVES OR RECOMMENDS MODIFICATIONS TO THE PAY STRUCTURE PRESENTED. A COMPREHENSIVE SALARY SURVEY IS COMPLETED EVERY THREE YEARS TO ASSESS UPDATING BASE RATES FOR POSITIONS. OTHER FORMS OF COMPENSATION SUCH AS BONUSES, INCREASES, AND HEALTH INSURANCE ARE REVIEWED ANNUALLY WITH RECOMMENDATIONS MADE TO THE BOARD OF DIRECTORS DURING THE BUDGET PROCESS FOR APPROVAL. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2018. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS OPEN TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS DID NOT CHANGE DURING THE FISCAL YEAR.