VIRGINIA GARCIA MEMORIAL HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
VIRGINIA GARCIA MEMORIAL HEALTH CENTER (EIN 93-0717997)
Tax period
2011-04-01 to 2012-03-31
Filed
2013-01-18
IRS object ID
201310189349300216
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-01-18T12:39:02-06:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN930743240EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOFFMAN STEWART & SCHMIDT PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14900 MEADOWS ROAD STE 200AddressLine1
CityLAKE OSWEGOCity
StateORState
ZIP Code970353295ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930717997EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VIRGINIA GARCIA MEMORIAL HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVIRGNameControl
Phone5033598505Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 568AddressLine1
CityCORNELIUSCity
StateORState
ZIP Code971139029ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameARACELI GAYTANName
TitleCFOTitle
Phone5033598505Phone
Date Signed2013-01-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTODD D MASSINGERName
PTINP00075883PTIN
Phone5032205900Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonARACELI GAYTANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 568AddressLine1
CityCORNELIUSCity
StateORState
ZIP Code971139029ZIPCode
FieldValueIRS element (for citing)
Gross Receipts31739367GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.VIRGINIAGARCIA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionVIRGINIA 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees423TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7395575ContributionsGrantsPriorYear
Contributions Grants Current Year12088219ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19437228ProgramServiceRevenuePriorYear
Program Service Revenue CY19609754ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year-193920InvestmentIncomeCurrentYear
Other Revenue Prior Year10114OtherRevenuePriorYear
Other Revenue Current Year41394OtherRevenueCurrentYear
Total Revenue Prior Year26842917TotalRevenuePriorYear
Total Revenue Current Year31545447TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18867418SalariesEtcPriorYear
Salaries Etc Current Year19857941SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year466418TotalFundrsngExpCurrentYear
Other Expense Prior Year6989115OtherExpensePriorYear
Other Expenses Current Year6927249OtherExpensesCurrentYear
Total Expenses Prior Year25856533TotalExpensesPriorYear
Total Expenses Current Year26785190TotalExpensesCurrentYear
Revenues Less Expenses Prior Year986384RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4760257RevenuesLessExpensesCY
Total Assets BOY11182226TotalAssetsBOY
Total Assets EOY16659357TotalAssetsEOY
Total Liabilities BOY3015150TotalLiabilitiesBOY
Total Liabilities EOY3678691TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8167076NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12980666NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionVIRGINIA 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense22825430Expense
Revenue19609754Revenue
DescriptionVIRGINIA 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.Description
Total Program Service Expense22825430TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109651NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees423NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ARACELI GAYTANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5033598508TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 568AddressLine1
CityCORNELIUSCity
StateORState
ZIP Code97113ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CHAD CHERIEL
CHAIR1.00XX000
ERNESTINA ARANDA
BOARD MEMBER1.00X000
SUSANA CARRASCO
BOARD MEMBER1.00X000
WILFREDO FIGUEROA
BOARD MEMBER1.00X000
LAURINDA MACKENZIE
TREASURER1.00XX000
CHRIS ALKER
BOARD MEMBER1.00X000
ALEJANDRA AGUILAR
BOARD MEMBER1.00X000
KATHLEEN O LEARY
SECRETARY1.00XX000
MARY KANE MARSHALL
VICE CHAIRMAN1.00XX000
ANN BAR GILLESPIE
BOARD MEMBER1.00X000
GILLES MUNOZ
CEO40.00X13003006500
ARACELI GAYTAN
CFO40.00X9417504474
MARIA LOREDO
COO40.00X8890104443
LAURA BYERLY
CO-MED DIRECTOR40.00X16415608206
ANN TURNER
CO-MED DIRECTOR40.00X13675306754
CHRISTINE HICKS
PHARMACY DIRECTOR40.00X12829306379
LISA BOZZETTI
DENTAL DIRECTOR40.00X14022307010
EDRA LEA BOLIBA
HR DIRECTOR40.00X7664200
TRAN MIERS
CLINICAL PROGRAM DIRECTOR40.00X7503003750
SASAN BAHERI
DENTIST48.0015564201556X
CHRISTIAN HILL
PHYSICAN32.0013063906530X
MARGO PIPHER
PHYSICAN40.0013154902630X
LYN JACOBS
PHYSICAN36.0015780407889X
SUNITI KUMAR
PHYSICAN32.0014350707174X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1753344TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation73295TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SCOTT EDWARDS ARCHITECTURE
2525 E BURNSIDE STREETPORTLANDOR97214ARCHITECTURE SERVICES NEW CLINIC683343
OCHIN
1881 SW NAITO PARKWAYPORTLANDOR97201COMPUTER SERVICES-PATIENT ACCOUNTING AND593014
BREMIK CONSTRUCTION INC
1026 SE STARK STREETPORTLANDOR97214CONSTRUCTION NEW CLINIC542199
LIFE WORKS
14600 NW CORNELL RDPORTLANDOR97229MENTAL HEALTH PROFESSIONAL SERVICES412713
MARTIN FLETCHER & ASSOCIATES
1525 W WALNUT HILL LANE SUITE 100IRVINGTX75038EMPLOYMENT AGENCY-LOCUM PHYSICIANS169339
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Government Grants10292984GovernmentGrants
All Other Contributions1795235AllOtherContributions
Total Contributions12088219TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEDICAL/DENTAL SERVICEDescription
Business Code621110BusinessCode
Total Revenue Column19609754TotalRevenueColumn
Related Or Exempt Function Income19609754RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue19609754TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real6111Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real6111Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column6111TotalRevenueColumn
Exclusion$6,111ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities193920Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-193920Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-193920TotalRevenueColumn
Exclusion-$193,920ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column35283TotalRevenueColumn
Exclusion$35,283ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue35283TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column31545447TotalRevenueColumn
Related Or Exempt Function Income19609754RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$152,526ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1228610Total
Management And General1185330ManagementAndGeneral
Fundraising43280Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14668571Total
Program Services13299722ProgramServices
Management And General1117111ManagementAndGeneral
Fundraising251738Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total295847Total
Program Services289365ProgramServices
Fundraising6482Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2370169Total
Program Services2078899ProgramServices
Management And General245146ManagementAndGeneral
Fundraising46124Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1294744Total
Program Services1092809ProgramServices
Management And General177689ManagementAndGeneral
Fundraising24246Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total68539Total
Program Services50688ProgramServices
Management And General17851ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total66181Total
Program Services48944ProgramServices
Management And General17237ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total970460Total
Program Services717705ProgramServices
Management And General252755ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2027609Total
Program Services1994002ProgramServices
Management And General32430ManagementAndGeneral
Fundraising1177Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total657184Total
Program Services617036ProgramServices
Management And General35389ManagementAndGeneral
Fundraising4759Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1588119Total
Program Services1491383ProgramServices
Management And General82894ManagementAndGeneral
Fundraising13842Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total453282Total
Program Services417019ProgramServices
Management And General36263ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total78582Total
Program Services42620ProgramServices
Management And General34367ManagementAndGeneral
Fundraising1595Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
OTHER3934462703086655556583
TRAINING AND EDUCATION216047110666986426739
EQUIPMENT AND VEHICLES171146140995243915760
MEMBERSHIP DUES AND FEE13157558242692404093

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total105079Total
Program Services105027ProgramServices
Management And General52ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26785190Total
Program Services22825430ProgramServices
Management And General3493342ManagementAndGeneral
Fundraising466418Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4850BOY
EOY5050EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1516745BOY
EOY1235702EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY110501BOY
EOY668287EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3414968BOY
EOY3946738EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY97678BOY
EOY82930EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY371938BOY
EOY505973EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13903739LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3689062LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5665546BOY
EOY10214677EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11182226BOY
EOY16659357EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1501660BOY
EOY2141749EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY115008BOY
EOY216152EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1398482BOY
EOY1320790EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3015150BOY
EOY3678691EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8165576BOY
EOY12491461EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1500BOY
EOY489205EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8167076BOY
EOY12980666EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11182226BOY
EOY16659357EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4760257ReconcilationRevenueExpenses
Reconcilation Other Changes53333ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5728851CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6906429CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7995834CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7395575CurrentTaxYearMinus1Year
Current Tax Year12088219CurrentTaxYear
Total40114908Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5728851CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6906429CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7995834CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7395575CurrentTaxYearMinus1Year
Current Tax Year12088219CurrentTaxYear
Total40114908Total
FieldValueIRS element (for citing)
Public Support Total17040114908PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45647CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3633CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6114CurrentTaxYearMinus1Year
Current Tax Year6111CurrentTaxYear
Total75505Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years68868CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86330CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years246727CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4000CurrentTaxYearMinus1Year
Current Tax Year35283CurrentTaxYear
Total441208Total
FieldValueIRS element (for citing)
Total Support40631621TotalSupport
Gross Receipts From Admissions Etc81903710GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98730PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98280PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis562409OtherCostOrOtherBasis
Book Value562409BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3970808OtherCostOrOtherBasis
Depreciation813850Depreciation
Book Value3156958BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1186668OtherCostOrOtherBasis
Depreciation489667Depreciation
Book Value697001BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2874702OtherCostOrOtherBasis
Depreciation2385545Depreciation
Book Value489157BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5309152OtherCostOrOtherBasis
Book Value5309152BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10214677TotalOfBookValueLandBuildings
Total Revenue31545447TotalRevenue
Total Expenses26785190TotalExpenses
Excess Or Deficit For Year4760257ExcessOrDeficitForYear
Donated Services And Facilities53333DonatedServicesAndFacilities
Total Adjustments53333TotalAdjustments
Excess Or Deficit Per FS4813590ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt31598780TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities53333DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99053333RevenueNotRptdF990
Revenue Subtotal31545447RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99031545447TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt26785190TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal26785190ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99026785190TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LAURA BYERLY
164156000008206000172362000
SASAN BAHERI
155642000001556000157198000
LYN JACOBS
157804000007889000165693000
SUNITI KUMAR
143507000007174000150681000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CPERIODIC 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 15THE 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 19FINANCIAL STATMENTS, GOVERNING DOCUMENTS, AND POLICIES ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:DONATED SERVICES AND USE OF FACILITIES: 53,333.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2C:THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1VIRGINIA GARCIA MEMORIAL FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 568AddressLine1
CityCORNELIUSCity
StateORState
ZIP Code97113ZIPCode
FieldValueIRS element (for citing)
EIN912077840EIN
Primary ActivitiesSUPPORTING ORGANIZATIONPrimaryActivities
Legal Domicile StateORLegalDomicileState
Exempt Code Section501(C)3ExemptCodeSection
Public Charity Status509(A)(3)PublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
VIRGINIA GARCIA MEMORIAL FOUNDATION
C556393AMOUNT RECEIVED
VIRGINIA GARCIA MEMORIAL FOUNDATION
N371870FAIR MARKET VALUE
VIRGINIA GARCIA MEMORIAL FOUNDATION
M94550FAIR MARKET VALUE

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