2014-01-08T16:41:58-06:00 2013-03-31 930743240 HOFFMAN STEWART & SCHMIDT PC 4900 MEADOWS ROAD STE 200 LAKE OSWEGO OR 970353295 990 2012-04-01 930717997 VIRGINIA GARCIA MEMORIAL HEALTH CENTER VIRG 5033598505 PO BOX 568 CORNELIUS OR 971139029 ARACELI GAYTAN 5033598505 2013-12-19 1 TODD D MASSINGER P00075883 5032205900 2012 2015-11-30 17:44:51Z ARACELI GAYTAN PO BOX 568 CORNELIUS OR 971139029 37873679 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. 11 11 427 12 0 0 12088219 15495783 19609754 22278010 -193920 0 41394 99886 31545447 37873679 0 0 0 0 19857941 22231639 0 0 589742 6927249 7314717 26785190 29546356 4760257 8327323 16659357 24437953 3678691 3129964 12980666 21307989 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 25030373 22278010 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. 25030373 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 69 0 1 427 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 1 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 1.00 X X 0 0 0 MARY KANE MARSHALL 1.00 X X 0 0 0 KATHLEEN O'LEARY 1.00 X X 0 0 0 LAURINDA MACKENZIE 1.00 X X 0 0 0 ALEJANDRA AGUILAR 1.00 X 0 0 0 ERNESTINA ARANDA 1.00 X 0 0 0 WILFREDO FIGUEROA 1.00 X 0 0 0 ANN BARR GILLESPIE 1.00 X 0 0 0 SUSANA CARRASCO 1.00 X 0 0 0 HANS CHRIS ALKER 1.00 X 0 0 0 DONNA LOZON 1.00 X 0 0 0 DOROTHY MIELKE 1.00 X 0 0 0 ANN TURNER 40.00 X 120243 0 6259 ARACELI GAYTAN 40.00 X 91226 0 4697 GILLES MUNOZ 40.00 X 126874 0 6500 EDRA LEA BOLIBA 40.00 X 75260 0 741 LAURA BYERLY 40.00 X 169753 0 8644 LISA BOZZETTI 40.00 X 143748 0 7368 CHRISTINE HICKS 40.00 X 133701 0 6668 MARIA LOREDO 40.00 X 93633 0 4838 CHRISTIAN HILL 40.00 X 135708 0 6719 TRAN MIERS 40.00 X 86124 0 4349 JUAN GARFIAS 40.00 X 77293 0 4021 LYNN BAKER 40.00 X 76597 0 2397 SASAN BAHERI 48.00 X 153559 0 1535 MARGO PIPHER 40.00 X 137376 0 2690 SUNITI KUMAR 40.00 X 147551 0 7422 TIMOTHY VAN ERT 40.00 X 166238 0 1707 MICHAEL SCHIFERL 40.00 X 148722 0 7378 2083606 0 83933 11 0 1 0 BREMIK CONSTRUCTION INC 1026 SE STARK STREET PORTLAND OR 97214 CONSTRUCTION NEW CLINIC 9625522 LIFE WORKS 14600 NW CORNELL RD PORTLAND OR 97229 MENTAL HEALTH PROFESSIONAL SERVICES 515337 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 COMPUTER SERVICES-PATIENT ACCOUNTING AND 513467 SCOTT EDWARDS ARCHITECTURE 2525 E BURNSIDE STREET PORTLAND OR 97214 ARCHITECTURE SERVICES NEW CLINIC 371784 HARRIS WORK SYSTEMS 12150 SW GARDEN PL TIGARD OR 97223 WORK-SITE MODIFICATIONS 256762 5 2883790 8989733 3622260 15495783 MEDICAL/DENTAL SERVICES 621110 22278010 22278010 22278010 29984 0 29984 29984 29984 MISCELLANEOUS REVENUE 621110 69902 69902 69902 37873679 22278010 0 99886 1574205 1521834 52371 16322896 14925680 1064788 332428 307743 297788 4289 5666 2605538 2309435 242725 53378 1421257 1197419 193525 30313 117030 74010 43020 65088 41162 23926 875391 540759 334632 2099342 2066702 31445 1195 688040 633551 49622 4867 1575202 1451571 110038 13593 636574 585648 50926 96019 55754 38579 1686 EQUIPMENT AND VEHICLES 445144 363778 72070 9296 OTHER 269980 160131 37491 72358 TRAINING AND EDUCATION 204377 136623 59528 8226 MEDICAL CONTRACTS AND S 138079 136834 1245 104451 53528 46558 4365 29546356 25030373 3926241 589742 5050 5300 1235702 2575522 668287 37040 3946738 3329159 82930 55638 505973 386428 22374502 4325636 10214677 18048866 16659357 24437953 2141749 1862615 216152 206405 1320790 1060944 3678691 3129964 X 12491461 21225078 489205 82911 12980666 21307989 16659357 24437953 8327323 0 X X 0 1 X 1 1 1 X 6906429 7995834 7395575 12088219 15495783 49881840 6906429 7995834 7395575 12088219 15495783 49881840 49881840 14000 3633 6114 6111 29984 59842 86330 246727 4000 35283 69902 442242 50383924 90615655 0.99000 0.98730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 637449 637449 16577894 1044116 15533778 1239411 531985 707426 3909160 2749535 1159625 10588 10588 18048866 X 37908608 34929 34929 37873679 0 37873679 29581284 34929 34929 29546355 0 29546355 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 LAURA BYERLY 169753 0 0 0 0 0 8644 0 0 0 178397 0 0 0 LISA BOZZETTI 143748 0 0 0 0 0 7368 0 0 0 151116 0 0 0 SASAN BAHERI 153559 0 0 0 0 0 1535 0 0 0 155094 0 0 0 SUNITI KUMAR 147551 0 0 0 0 0 7422 0 0 0 154973 0 0 0 TIMOTHY VAN ERT 166238 0 0 0 0 0 1707 0 0 0 167945 0 0 0 MICHAEL SCHIFERL 148722 0 0 0 0 0 7378 0 0 0 156100 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 VIRGINIA GARCIA HEALTH CENTER REVISED THEIR ARTICLES OF INCORPORATION IN THE CURRENT FISCAL YEAR. 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 2883790 AMOUNT RECEIVED