2018-01-26T09:54:55-06:00 2017-03-31 930743240 HOFFMAN STEWART & SCHMIDT PC 4900 MEADOWS ROAD STE 200 LAKE OSWEGO OR 970353295 990 2016-04-01 930717997 VIRGINIA GARCIA MEMORIAL HEALTH CENTER VIRG 5033598505 PO BOX 6149 ALOHA OR 970070149 ARACELI GAYTAN CFO 5033598505 2018-01-19 1 TODD D MASSINGER P00075883 5032205900 74.95.39.225 2018-01-19 08:33:15 PS P E8366C7B981A1DBFA7C5A45E00A0F4204ED75683 152771DFACD1F00D834901529B1F8488AF9B8A65 2016 2021-01-29 14:40:06Z X ARACELI GAYTAN PO BOX 6149 ALOHA OR 970070149 56496938 0 X WWW.VIRGINIAGARCIA.ORG X 1978 OR VIRGINIA GARCIA MEMORIAL HEALTH CENTER IS A FULL SERVICE OUTPATIENT MEDICAL CLINIC. (SEE SCHEDULE O)IT PROVIDES MEDICAL SERVICES TO MIGRANT WORKERS AND OTHER DISADVANTAGED GROUPS IN THE WASHINGTON COUNTY AND YAMHILL COUNTY AREAS IN OREGON. THESE SERVICES ARE TARGETED TO THOSE WHO MAY NOT HAVE ACCESS TO COMPETENT MEDICAL AND SOCIAL-MEDICAL ASSISTANCE. THE CENTER ATTEMPTS TO ASSESS THE NATURE AND EXTENT OF SOCIAL-MEDICAL PROBLEMS, THE DEGREE AND DIRECTION OF COMMON NEEDS, AND THE BEST METHODS OF MEETING THESE NEEDS. 10 10 631 59 0 0 11534074 11106098 42981516 45095863 449 -14950 158900 294570 54674939 56481581 0 0 0 0 34851160 37667822 0 0 962041 11392821 12801619 46243981 50469441 8430958 6012140 39377179 48088547 3164238 5863466 36212941 42225081 X VIRGINIA GARCIA MEMORIAL HEALTH CENTER IS A FULL SERVICE OUTPATIENT MEDICAL CLINIC. IT PROVIDES MEDICAL SERVICES TO MIGRANT WORKERS AND OTHER DISADVANTAGED GROUPS IN THE WASHINGTON COUNTY AND YAMHILL COUNTY AREAS IN OREGON. (SEE SCHEDULE O FOR CONTINUATION)THESE SERVICES ARE TARGETED TO THOSE WHO MAY NOT HAVE ACCESS TO COMPETENT MEDICAL AND SOCIAL-MEDICAL ASSISTANCE. THE CENTER ATTEMPTS TO ASSESS THE NATURE AND EXTENT OF SOCIAL-MEDICAL PROBLEMS, THE DEGREE AND DIRECTION OF COMMON NEEDS, AND THE BEST METHODS OF MEETING THESE NEEDS. 0 0 39753959 45095863 VIRGINIA GARCIA CENTER IS A PRIMARY CARE OUTPATIENT MEDICAL CENTER LOCATED IN CORNELIUS, WITH SATELLITE OFFICES IN NEWBERG, MCMINNVILLE, BEAVERTON, AND HILLSBORO. A UNIQUE FEATURE OF THESE CENTERS IS THAT PATIENTS ARE BILLED ACCORDING TO AN "ABILITY TO PAY" BASIS. FEES ARE COMPUTED USING A SLIDING SCALE BASED ON EACH PATIENT'S INCOME. IN THE COURSE OF BUSINESS, THE CENTER OFTEN EXTENDS CREDIT TO ITS PATIENTS ON AN UNSECURED BASIS. 39753959 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 113 0 1 631 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X ARACELI GAYTAN 5033598508 PO BOX 6149 CORNELIUS OR 970070149 ALEJANDRA AGUILAR SECRETARY 1.00 X X 0 0 0 ANN BARR GILLESPIE MEMBER 1.00 X 0 0 0 ERNESTINA ARANDA MEMBER 1.00 X 0 0 0 LAURINDA MACKENZIE CHAIRMAN 1.00 X X 0 0 0 MARY KANE MARSHALL VICE CHAIRMAN 1.00 X X 0 0 0 MIGUEL CALDERON MEMBER 1.00 X 0 0 0 RAFAL ADNAN MEMBER 1.00 X 0 0 0 RICARDO PALAZUELOS VICE CHAIRMAN 1.00 X X 0 0 0 SHERRILL KENNEDY MEMBER 1.00 X 0 0 0 SUSAN T FELSTINER TREASURER 1.00 X X 0 0 0 WILFREDO FIGUEROA MEMBER 1.00 X 0 0 0 ANN TURNER CO-MED DIRECTOR 40.00 X 109744 0 4926 ARACELI GAYTAN CFO 40.00 X 110717 0 5800 CHRISTIAN HILL ASSOC MED DIR 40.00 X 193650 0 9692 CHRISTINE HICKS PHARMACY DIRECTOR 40.00 X 164065 0 8016 GABRIELA DOWNEY HR DIRECTOR 40.00 X 89998 0 4825 GILLES MUNOZ CEO 40.00 X 149963 0 7725 JUAN GARFIAS IT DIRECTOR 40.00 X 89201 0 4660 LAURA BYERLY CO-MED DIRECTOR 40.00 X 225691 0 11396 LISA BOZZETTI DENTAL DIRECTOR 40.00 X 182608 0 7952 LYNN BAKER PROCESS & SYSTEMS IMPROVEM 40.00 X 46529 0 2407 MARIA LOREDO COO 40.00 X 107864 0 5631 TRAN MIERS CLINICAL PROGRAM DIRECTOR 40.00 X 103004 0 5195 FREDERICK DOLGIN DCOO 40.00 X 76750 0 603 JAMES AGIN PROCESS & SYSTEMS IMPROVEM 32.00 X 66272 0 2562 RACHEL LI DIRECTOR OF ORGANIZATIONAL DEVELOPMENT 40.00 X 0 0 0 GEOFFREY CARDEN TEACHING HEALTH CTR PROG D 40.00 X 222556 0 11425 KELLY CRAWFORD PHYSICIAN 40.00 X 182623 0 6798 MARGO PIPHER PHYSICIAN 40.00 X 186095 0 9442 KATHRYN MENNINGER PHYSICIAN 40.00 X 189190 0 437 JOHN GUERREIRO PHYSICIAN 40.00 X 168637 0 8763 2665157 0 118255 14 0 1 0 LIFEWORKS NORTHWEST 14600 NW CORNELL RD PORTLAND OR 97229 MENTAL HEALTH PROFESSIONAL SERVICES 1112947 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 BILLING SERVICE PROVIDER 877529 FIVE STAR BUILDERS PO BOX 555 BANKS OR 97106 CONTRACTOR-CONSTRUCTION 693838 SCOTT EDWARD ARCHITECTURE 2525 E BURNSIDE ST PORTLAND OR 97214 CONTRACTOR-CONSTRUCTION 239626 PASSPORT TO LANGUAGES 3912 SW 43RD AVENUE PORTLAND OR 97221 TRANSLATION SERVICES 215424 5 2671817 8298981 135300 11106098 MEDICAL/DENTAL SERVICES 621110 45095863 45095863 45095863 347 347 53895 0 53895 53895 53895 60 15357 -15297 -15297 -15297 MISCELLANEOUS REVENUE 621110 240675 240675 240675 56481581 45095863 0 279620 2015593 1563128 412649 39816 28120869 21808224 5757142 555503 672208 521309 137620 13279 4549396 3528136 931391 89869 2309756 1791256 472873 45627 13987 10923 3040 24 84707 66150 18410 147 2216763 1710111 502624 4028 3187246 3110329 69776 7141 1228187 1074318 145088 8781 2476950 2094030 354441 28479 1179594 920633 248004 10957 219099 155435 60448 3216 EQUIPMENT AND VEHICLES 807940 606712 190191 11037 OTHER 467332 186155 155016 126161 TRAINING AND EDUCATION 462430 210203 240099 12128 MEDICAL CONTRACTS AND S 321840 320634 1206 0 135544 76273 53423 5848 50469441 39753959 9753441 962041 13512120 17495902 1962892 1963156 463511 342721 4402509 4882676 57845 65805 676597 853534 29452955 7601005 18301705 21851950 0 632803 39377179 48088547 2842055 3924180 81800 1508883 240383 430403 3164238 5863466 X 36212941 41519999 0 705082 36212941 42225081 39377179 48088547 6012140 0 X X 0 1 X 1 1 1 X 15495783 8107085 10182811 11534074 11106098 56425851 15495783 8107085 10182811 11534074 11106098 56425851 56425851 29984 50093 57264 47261 54242 238844 69902 64515 214601 112088 225378 686484 57351179 171920926 0.98390 0.98820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 637449 637449 16764629 2541691 14222938 5124786 937316 4187470 6589119 4121998 2467121 336972 336972 21851950 X 56577450 95869 95869 56481581 0 56481581 50565310 95869 95869 50469441 0 50469441 PART X, LINE 2: VIRGINIA GARCIA MEMORIAL HEALTH CENTER DOES NOT HAVE ANY TAX POSITION THAT DOES NOT MEET THE MORE LIKELY THAN NOT CRITERIA. ACCORDINGLY, MANAGEMENT HAS NOT RECORDED ANY LIABILITY FOR UNCERTAIN TAX POSITIONS TO THEIR MAJOR TAX JURISDICTIONS. X X 0 0 0 0 0 0 0 0 0 CHRISTIAN HILL ASSOC MED DIR 193650 0 0 0 0 0 9692 0 0 0 203342 0 0 0 CHRISTINE HICKS PHARMACY DIRECTOR 164065 0 0 0 0 0 8016 0 0 0 172081 0 0 0 GILLES MUNOZ CEO 149963 0 0 0 0 0 7725 0 0 0 157688 0 0 0 LAURA BYERLY CO-MED DIRECTOR 225691 0 0 0 0 0 11396 0 0 0 237087 0 0 0 LISA BOZZETTI DENTAL DIRECTOR 182608 0 0 0 0 0 7952 0 0 0 190560 0 0 0 GEOFFREY CARDEN TEACHING HEALTH CTR PROG D 222556 0 0 0 0 0 11425 0 0 0 233981 0 0 0 KELLY CRAWFORD PHYSICIAN 182623 0 0 0 0 0 6798 0 0 0 189421 0 0 0 MARGO PIPHER PHYSICIAN 186095 0 0 0 0 0 9442 0 0 0 195537 0 0 0 KATHRYN MENNINGER PHYSICIAN 189190 0 0 0 0 0 437 0 0 0 189627 0 0 0 JOHN GUERREIRO PHYSICIAN 168637 0 0 0 0 0 8763 0 0 0 177400 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS AND APPROVES THE FORM 990. A COPY OF THE APPROVED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AT THE FOLLOWING BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING: (1) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S LENGTH BARGAINING.(2) WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT.(3) WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. (4) WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. FORM 990, PART VI, SECTION B, LINE 15 THE CHAIRMAN OF THE BOARD OF DIRECTORS PERFORMS A MARKET ANALYSIS OF COMPARABLE POSITIONS IN THE MARKET AND AT OTHER FQHCS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND POLICIES ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. VIRGINIA GARCIA MEMORIAL FOUNDATION PO BOX 568 CORNELIUS OR 97113 912077840 SUPPORTING ORGANIZATION OR 501(C)3 509(A)(3) 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 VIRGINIA GARCIA MEMORIAL FOUNDATION C 2671817 AMOUNT RECEIVED