2015-02-16T18:38:47-06:00 2014-03-31 930743240 HOFFMAN STEWART & SCHMIDT PC 4900 MEADOWS ROAD STE 200 LAKE OSWEGO OR 970353295 990 2013-04-01 930717997 VIRGINIA GARCIA MEMORIAL HEALTH CENTER VIRG 5033598505 PO BOX 568 CORNELIUS OR 971139029 ARACELI GAYTAN CFO 5033598505 2015-02-05 1 TODD D MASSINGER P00075883 5032205900 2013 2016-02-25 16:41:14Z ARACELI GAYTAN PO BOX 568 CORNELIUS OR 971139029 35385550 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. 15 14 460 0 0 0 15495783 8107085 22278010 27163857 0 -265312 99886 112373 37873679 35118003 0 0 0 0 22231639 24815344 0 0 631725 7314717 8866814 29546356 33682158 8327323 1435845 24437953 26318773 3129964 3574939 21307989 22743834 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 28062784 27163857 VIRGINIA GARCIA CENTER IS A PRIMARY CARE OUTPATIENT MEDICAL CENTER LOCATED IN CORNELIUS, WITH SATELLITE OFFICES IN 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. 28062784 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 71 0 1 460 1 0 0 0 0 0 0 0 0 0 0 X 15 14 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 568 CORNELIUS OR 97113 CHAD CHERIEL CHAIRMAN 1.00 X X 0 0 0 MARY KANE MARSHALL VICE CHAIRMAN 1.00 X X 0 0 0 KATHLEEN O'LEARY SECRETARY 1.00 X X 0 0 0 LAURINDA MACKENZIE TREASURER 1.00 X X 0 0 0 ALEJANDRA AGUILAR MEMBER 1.00 X 0 0 0 ERNESTINA ARANDA MEMBER 1.00 X 0 0 0 WILFREDO FIGUEROA MEMBER 1.00 X 0 0 0 ANN BARR GILLESPIE CHAIRMAN 1.00 X X 0 0 0 SUSANA CARRASCO SECRETARY 1.00 X X 0 0 0 DONNA LOZON MEMBER 1.00 X 0 0 0 DOROTHY MIELKE MEMBER 1.00 X 0 0 0 MARGARET GARZA MEMBER 1.00 X 0 0 0 GILLES MUNOZ CEO 40.00 X X 163945 0 7077 SUSAN T FELSTINER MEMBER 1.00 X 0 0 0 RICHARDO PALAZUELOS MEMBER 1.00 X 0 0 0 ANN TURNER CO-MED DIRECTOR 40.00 X 112288 0 6259 ARACELI GAYTAN CFO 40.00 X 95776 0 4697 EDRA LEA BOLIBA HR DIRECTOR 40.00 X 79077 0 741 LAURA BYERLY CO-MED DIRECTOR 40.00 X 182582 0 8644 LISA BOZZETTI DENTAL DIRECTOR 40.00 X 150401 0 7368 CHRISTINE HICKS PHARMACY DIRECTOR 40.00 X 140334 0 6668 MARIA LOREDO COO 40.00 X 94661 0 4838 CHRISTIAN HILL ASSOC MED DIR 40.00 X 142935 0 6719 TRAN MIERS CLINICAL PROGRAM DIRECTOR 40.00 X 90310 0 4349 JUAN GARFIAS IT DIRECTOR 40.00 X 82005 0 4021 LYNN BAKER PROCESS & SYSTEMS IMPROVEM 40.00 X 82059 0 2397 MARGO PIPHER PHYSICIAN 40.00 X 165875 0 2690 TIMOTHY VAN ERT PHYSICIAN 40.00 X 177679 0 1707 MICHAEL SCHIFERL PHYSICIAN 40.00 X 172136 0 7378 GEOFFREY CARDEN TEACHING HEALTH CTR PROG DEV 40.00 X 194959 0 1535 LYN JACOBS PHYSICIAN 40.00 X 157381 0 7422 2284403 0 84510 11 0 1 0 LIFE WORKS 14600 NW CORNELL RD PORTLAND OR 97229 MENTAL HEALTH PROFESSIONAL SERVICES 678617 ANDERSON CONSTRUCTION INC 6712 N CUTTER CIRCLE PORTLAND OR 97217 CONTRACTOR-CONSTRUCTION 382718 INNOVATIVE EMPLOYEE SOLUTIONS INC 9665 GRANITE RIDGE DRIVE 420 PORTLAND OR 92123 LOCUM PROVIDER AGENCY 230717 INTERIM PHYSICIANS LLC 7340 SW HUNZIKER RD102 PORTLAND OR 97223 LOCUM PROVIDER AGENCY 209620 EMMETT PHAIR CONTRUCTION 6305 SW ROSEWOOD ST SUITE E LAKE OSWEGO OR 97035 CONTRACTOR-CONSTRUCTION 194040 10 6326117 1780968 8107085 MEDICAL/DENTAL SERVICES 621110 27163857 27163857 27163857 2235 2235 47858 0 47858 47858 47858 267547 -267547 -267547 -267547 MISCELLANEOUS REVENUE 621110 64515 64515 64515 35118003 27163857 0 -152939 1705630 1643267 62363 18489832 16426474 1703695 359663 368365 342772 19032 6561 2713420 2343053 316626 53741 1538097 1262889 243337 31871 38084 29345 8739 73165 56375 16790 1690738 1302295 388443 2118336 2058255 50056 10025 822382 737359 78955 6068 1684200 1515674 151194 17332 882638 850688 28435 3515 134434 83656 48798 1980 EQUIPMENT AND VEHICLES 459442 367501 87656 4285 OTHER 362408 233568 69787 59053 TRAINING AND EDUCATION 237653 139127 88372 10154 MEDICAL CONTRACTS AND S 234710 233997 713 0 128624 79756 43754 5114 33682158 28062784 4987649 631725 5300 5950 2575522 2953172 37040 350418 3329159 3794616 55638 46781 386428 576569 23247884 4656617 18048866 18591267 24437953 26318773 1862615 2575418 206405 205139 1060944 794382 3129964 3574939 X 21225078 22743834 82911 0 21307989 22743834 24437953 26318773 1435845 0 X X 0 1 X 1 1 1 X 7995834 7395575 12088219 15495783 8107085 51082496 7995834 7395575 12088219 15495783 8107085 51082496 51082496 3633 6114 6111 29984 50093 95935 246727 4000 35283 69902 64515 420427 51598858 103990545 0.99000 0.99000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 637449 637449 16611517 1344769 15266748 1252241 600563 651678 4243135 2711285 1531850 503542 503542 18591267 X 35120004 2001 2001 35118003 0 35118003 33684159 2001 2001 33682158 0 33682158 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 GILLES MUNOZ CEO 138238 0 25707 0 0 0 7077 0 0 0 171022 0 0 0 LAURA BYERLY CO-MED DIRECTOR 182582 0 0 0 0 0 8644 0 0 0 191226 0 0 0 LISA BOZZETTI DENTAL DIRECTOR 150401 0 0 0 0 0 7368 0 0 0 157769 0 0 0 MARGO PIPHER PHYSICIAN 165875 0 0 0 0 0 2690 0 0 0 168565 0 0 0 TIMOTHY VAN ERT PHYSICIAN 177679 0 0 0 0 0 1707 0 0 0 179386 0 0 0 MICHAEL SCHIFERL PHYSICIAN 172136 0 0 0 0 0 7378 0 0 0 179514 0 0 0 GEOFFREY CARDEN TEACHING HEALTH CTR PROG DEV 194959 0 0 0 0 0 1535 0 0 0 196494 0 0 0 LYN JACOBS PHYSICIAN 157381 0 0 0 0 0 7422 0 0 0 164803 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 1432998 AMOUNT RECEIVED