2013-01-18T12:39:02-06:00 2012-03-31 930743240 HOFFMAN STEWART & SCHMIDT PC 4900 MEADOWS ROAD STE 200 LAKE OSWEGO OR 970353295 990 2011-04-01 930717997 VIRGINIA GARCIA MEMORIAL HEALTH CENTER VIRG 5033598505 PO BOX 568 CORNELIUS OR 971139029 ARACELI GAYTAN 5033598505 2013-01-14 1 TODD D MASSINGER P00075883 5032205900 2011 2016-03-07 17:11:31Z ARACELI GAYTAN PO BOX 568 CORNELIUS OR 971139029 31739367 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 10 423 0 0 0 7395575 12088219 19437228 19609754 0 -193920 10114 41394 26842917 31545447 0 0 0 0 18867418 19857941 0 0 466418 6989115 6927249 25856533 26785190 986384 4760257 11182226 16659357 3015150 3678691 8167076 12980666 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 22825430 19609754 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. 22825430 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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 0 1 51 0 423 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 568 CORNELIUS OR 97113 CHAD CHERIEL 1.00 X X 0 0 0 ERNESTINA ARANDA 1.00 X 0 0 0 SUSANA CARRASCO 1.00 X 0 0 0 WILFREDO FIGUEROA 1.00 X 0 0 0 LAURINDA MACKENZIE 1.00 X X 0 0 0 CHRIS ALKER 1.00 X 0 0 0 ALEJANDRA AGUILAR 1.00 X 0 0 0 KATHLEEN O LEARY 1.00 X X 0 0 0 MARY KANE MARSHALL 1.00 X X 0 0 0 ANN BAR GILLESPIE 1.00 X 0 0 0 GILLES MUNOZ 40.00 X 130030 0 6500 ARACELI GAYTAN 40.00 X 94175 0 4474 MARIA LOREDO 40.00 X 88901 0 4443 LAURA BYERLY 40.00 X 164156 0 8206 ANN TURNER 40.00 X 136753 0 6754 CHRISTINE HICKS 40.00 X 128293 0 6379 LISA BOZZETTI 40.00 X 140223 0 7010 EDRA LEA BOLIBA 40.00 X 76642 0 0 TRAN MIERS 40.00 X 75030 0 3750 SASAN BAHERI 48.00 X 155642 0 1556 CHRISTIAN HILL 32.00 X 130639 0 6530 MARGO PIPHER 40.00 X 131549 0 2630 LYN JACOBS 36.00 X 157804 0 7889 SUNITI KUMAR 32.00 X 143507 0 7174 1753344 0 73295 10 0 1 0 SCOTT EDWARDS ARCHITECTURE 2525 E BURNSIDE STREET PORTLAND OR 97214 ARCHITECTURE SERVICES NEW CLINIC 683343 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 COMPUTER SERVICES-PATIENT ACCOUNTING AND 593014 BREMIK CONSTRUCTION INC 1026 SE STARK STREET PORTLAND OR 97214 CONSTRUCTION NEW CLINIC 542199 LIFE WORKS 14600 NW CORNELL RD PORTLAND OR 97229 MENTAL HEALTH PROFESSIONAL SERVICES 412713 MARTIN FLETCHER & ASSOCIATES 1525 W WALNUT HILL LANE SUITE 100 IRVING TX 75038 EMPLOYMENT AGENCY-LOCUM PHYSICIANS 169339 7 10292984 1795235 12088219 MEDICAL/DENTAL SERVICE 621110 19609754 19609754 19609754 6111 0 6111 6111 6111 193920 -193920 -193920 -193920 MISCELLANEOUS REVENUE 621110 35283 35283 35283 31545447 19609754 0 -152526 1228610 1185330 43280 14668571 13299722 1117111 251738 295847 289365 6482 2370169 2078899 245146 46124 1294744 1092809 177689 24246 68539 50688 17851 66181 48944 17237 970460 717705 252755 2027609 1994002 32430 1177 657184 617036 35389 4759 1588119 1491383 82894 13842 453282 417019 36263 78582 42620 34367 1595 OTHER 393446 270308 66555 56583 TRAINING AND EDUCATION 216047 110666 98642 6739 EQUIPMENT AND VEHICLES 171146 140995 24391 5760 MEMBERSHIP DUES AND FEE 131575 58242 69240 4093 105079 105027 52 26785190 22825430 3493342 466418 4850 5050 1516745 1235702 110501 668287 3414968 3946738 97678 82930 371938 505973 13903739 3689062 5665546 10214677 11182226 16659357 1501660 2141749 115008 216152 1398482 1320790 3015150 3678691 X 8165576 12491461 1500 489205 8167076 12980666 11182226 16659357 X 4760257 53333 X X 0 1 1 X 1 1 X 5728851 6906429 7995834 7395575 12088219 40114908 5728851 6906429 7995834 7395575 12088219 40114908 40114908 45647 14000 3633 6114 6111 75505 68868 86330 246727 4000 35283 441208 40631621 81903710 0.98730 0.98280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 562409 562409 3970808 813850 3156958 1186668 489667 697001 2874702 2385545 489157 5309152 5309152 10214677 31545447 26785190 4760257 53333 53333 4813590 31598780 53333 53333 31545447 0 31545447 26785190 0 26785190 0 26785190 X X 0 0 0 0 0 0 0 0 0 LAURA BYERLY 164156 0 0 0 0 0 8206 0 0 0 172362 0 0 0 SASAN BAHERI 155642 0 0 0 0 0 1556 0 0 0 157198 0 0 0 LYN JACOBS 157804 0 0 0 0 0 7889 0 0 0 165693 0 0 0 SUNITI KUMAR 143507 0 0 0 0 0 7174 0 0 0 150681 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 STATMENTS, GOVERNING DOCUMENTS, AND POLICIES ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: DONATED SERVICES AND USE OF FACILITIES: 53,333. FORM 990, PART XI, 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 1 1 0 0 0 0 VIRGINIA GARCIA MEMORIAL FOUNDATION C 556393 AMOUNT RECEIVED VIRGINIA GARCIA MEMORIAL FOUNDATION N 371870 FAIR MARKET VALUE VIRGINIA GARCIA MEMORIAL FOUNDATION M 94550 FAIR MARKET VALUE