2013-02-19T14:20:42-08:00 2011-03-31 CliftonLarsonAllen LLP 610 N 39th Avenue Yakima WA 98902 990 2010-04-01 911019392 YAKIMA VALLEY FARM WORKERS CLINIC YAKI 5098655898 PO Box 190 Toppenish WA 98948 K Peter Toop 2013-02-19 Keven L Naylor CPA 5094530123 2010 2016-03-07 17:11:31Z X JUAN CARLOS OLIVARES PO BOX 190 TOPPENISH WA 98948 207639967 false false X www.yvfwc.org X 1978 WA THE MISSION OF YAKIMA VALLEY FARM WORKERS CLINIC, ITS BOARD OF DIRECTORS AND ITS EMPLOYEES IS TO IMPROVE THE QUALITY OF LIFE FOR FARM WORKERS, THE UNDERSERVED AND OTHERS AS WE WORK TO STRENGTHEN THE HEALTH OF OUR COMMUNITIES. WE BELIEVE IN THE RIGHT TO WELLNESS FOR ALL IN A COMPREHENSIVE, PREVENTIVE APPROACH TO HEALTH. WE VALUE CULTURAL DIVERSITY AND TEAMWORK. 12 12 2235 342 0 30503829 34634947 95241244 103908074 2953383 1566986 0 128698456 140110007 6879416 5960315 0 83722378 85086456 0 558201 39439673 44241127 130041467 135287898 -1343011 4822109 150785066 151001790 47068500 42475191 103716566 108526599 THE MISSION OF YAKIMA VALLEY FARM WORKERS CLINIC, ITS BOARD OF DIRECTORS AND ITS EMPLOYEES IS TO IMPROVE THE QUALITY OF LIFE FOR FARM WORKERS, THE UNDERSERVED AND OTHERS AS WE WORK TO STRENGTHEN THE HEALTH OF OUR COMMUNITIES. WE BELIEVE IN THE RIGHT TO WELLNESS FOR ALL IN A COMPREHENSIVE, PREVENTIVE APPROACH TO HEALTH. WE VALUE CULTURAL DIVERSITY AND TEAMWORK. false false 97038853 4243080 101754615 MEDICAL AND DENTAL PRIMARY CARE SERVICES, CASE MANAGEMENT WIC AND OTHER SUCH PROGRAMS PROVIDED ON A SLIDING FEE BASIS, DURING THE YEAR THERE WERE 412,900 MEDICAL, 88,400 DENTAL AND 16,300 CASE MANAGEMENT ENCOUNTERS. 7677511 1717235 998 LOW INCOME ENGERGY ASSISTANCE, HOME WEATHERIZATION, AND EDUCATION AND COUNSELING SERVICES. DURING THE YEAR THERE WERE 26,357 INDIVIDUALS SERVED. 4535946 3719447 MENTAL HEALTH COUNSELING AND CHEMICAL DEPENDENCY COUNSELING. MENTAL HEALTH AND CHEMICAL DEPENDENCY ENCOUNTERS DURING THE YEAR WERE 33,800. 109252310 true true false false false false false false false false true false false false true true false true false false false false false false false false false true true true true false false false false false false false false false false false false false false false true true true false false true 774 0 true 2235 true false false false false false false false false false false false 0 false false false false false false false false false false false X 12 12 false false false false false false false true true false false false true true true true true true true true false false OR X X K Peter Toop 5098655898 518 W 1st Ave Toppenish WA 989480190 VIRGINIA SANTILLANES 1.00 X X 0 0 0 TOM SAK 1.00 X X 0 0 0 STEVEN E GOTTLIEB 40.00 X 549246 0 13534 SANDRA APRIL 1.00 X 0 0 0 PATRICIA MYERS 1.00 X X 0 0 0 PATRICIA HERNANDEZ 40.00 X 456386 0 15676 NORMAN J NAIDEN 40.00 X 666283 0 13881 MIGUEL ESQUIVEL 1.00 X 0 0 0 MARTIN TORRES 1.00 X 0 0 0 MARIA GUADALUPE PEREZ 1.00 X 0 0 0 LORENZO CUEVAS 1.00 X 0 0 0 KYLE L HEISEY 40.00 X 430565 0 16252 KEVEN WALSH 40.00 X 437067 0 11280 K PETER TOOP 40.00 X 501898 0 8974 JUAN CARLOS OLIVARES 40.00 X 843813 0 134257 JOSE ALBERTO NUNEZ 1.00 X 0 0 0 GLEN W DAVIS 40.00 X 152062 0 37015 ELIZA CERNA 1.00 X X 0 0 0 EDUARDO ESQUEDA 1.00 X 0 0 0 ALFREDO ACEVES 1.00 X 0 0 0 4037320 250869 119 false true false TRI PLY CONSTRUCTION PO BOX 2872 YAKIMA WA 98907 CONSTRUCTION 557463 PATHOLOGY ASSOCIATES PO BOX 2687 SPOKANE WA 99220 LAB SERVICE 1736346 MCKESSON INFORMATION PO BOX 98347 CHICAGO IL 60693 COMPUTER SERVICES 796987 DSG INC 990 HAMMOND DRIVE NE STE 120 ATLANTA GA 30328 TRANSCRIPTION SERVIC 1077391 ABM JANITORIAL SERVICES PO BOX 60000 SAN FRANCISCO CA 94107 CLEANING SERVICES 566258 22 34202574 432373 34634947 MENTAL HEALTH & SUBSTANCE 621400 3710740 3710740 MEDICAL, DENTAL, PHARMACY 621400 100196349 100196349 COMMUNITY ACTION CENTER 621400 985 985 103908074 1650137 1650137 0 0 0 67371809 75000 67414082 115878 -42273 -40878 -83151 -83151 0 0 0 0 140110007 103908074 1566986 4243080 4243080 1717235 1717235 0 0 1542394 1542394 0 66684447 55555287 10769518 359642 1629937 1325691 296253 7993 9359025 7639212 1679395 40418 5870653 4769206 1067416 34031 0 93457 93457 111360 111360 0 0 140431 140431 10611287 7559968 3004830 46489 632773 157980 474595 198 11090401 10205871 876602 7928 2196675 374486 1818592 3597 0 2297554 1576457 702139 18958 1398710 920863 465265 12582 0 0 348507 348507 0 5039521 3722859 1316662 3053897 3046313 7584 SMALL EQUIPMENT 1227563 778892 448671 REPAIRS & MAINTENANCE 780068 659157 119823 1088 RECRUITMENT 689055 321147 344463 23445 OTHER EXPENSES 754967 555198 197937 1832 BAD DEBTS 3534591 3534591 240310 240310 135287898 109252310 25477387 558201 1455562 1760820 11818728 16844391 2711973 2968239 5248710 5577195 0 0 0 611997 644404 607085 758786 89086179 41457706 51233837 47628473 70866098 69124293 0 0 0 6231076 5695189 150785066 151001790 19593021 18082619 34230 15626747 14291251 11848732 10067091 47068500 42475191 X 103716566 108526599 103716566 108526599 150785066 151001790 X 4822109 -12076 X false true true X true true X 23916993 24849192 28900817 30503829 34634947 142805778 0 0 23916993 24849192 28900817 30503829 34634947 142805778 0 142805778 4709263 4199552 3606618 2029619 1650137 16195189 0 0 159000967 481699097 0.89810 0.88450 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5886902 5886902 60603037 25666213 34936824 5737214 2543316 3193898 16859026 13248177 3610849 47628473 PLEDGE PAYABLE TO NP SUB AGENA 4000000 PHYSICIAN'S INSURANCE RESERVE 3900000 BASIS HEALTH RESERVE 2167091 10067091 140110007 135287898 4822109 -12076 -12076 4810033 140097931 -12076 -12076 140110007 140110007 135287898 135287898 135287898 Part X Part X : FIN48 Footnote UNDER PROVISIONS OF SECTON 501(C)(3) OF THE INTERNAL REVENUE CODE, THE CLINIC AND AGENA ARE EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. AS OF MARCH 31, 2011, THE ORGANIZATION HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAXES. IN ADDITION, THE CLINIC IS EXEMPT FROM THE PRIVATE FOUNDATION RULES AS A MIGRANT HEALTH CLINIC UNDER INTERNAL REVENUE CODE SECTON 501(C)(3).THE CLINIC'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2008 THROUGH 2011 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. true AGENA PO BOX 190 TOPPENISH WA 98948 203316363 501(C)(3) 4000000 0 GENERAL SUPPORT 1 0 DIRECT PMTS FOR HOUSING AND ENERGY SERVICES 26357 1717235 Additional Supplemental Information PART III, COLUMN (A) AND OTHER LIVING COSTS FOR PROGRAM PAYMENTS WHO ARE MANDATED BY THE STATE TO BE IN THIS ASSISTANCE PROGRAM AND DIRECT PAYMENTS FOR HOUSEHOLD ENERGY SERVICES(HEATING FUEL, GAS, OIL, ELECTRICITY, ETC.) FOR INDIVIDUALS AND FAMILIES. RECIPIENTS QUALIFY FOR ASSISTANCE BASED ON INCOME AND ALL PROGRAMS ARE NONDISCRIMINATORY. X true true X X X X X false false false false false false false false false false STEVEN E GOTTLIEB 236558 312688 13534 562780 301630 PATRICIA HERNANDEZ 171363 285023 15676 472062 NORMAN J NAIDEN 416944 249339 13881 680164 244336 KYLE L HEISEY 152747 277818 16252 446817 271092 KEVEN WALSH 179841 257226 11280 448347 248095 K PETER TOOP 207030 7246 287622 8974 510872 263406 JUAN CARLOS OLIVARES 338377 125598 379838 120883 13374 978070 302614 GLEN W DAVIS 141885 10177 20329 16686 189077 Sch J, Part III, Additional Information Part III, Additional Information Form 990, Part VII, Section A. For several key employees and physicians, Column D includes a one-time payment from a defined contribution retirement savings plan. These employees, having reached a minimum 15 years tenure with the corporation, vested in the plan during the period covered by this filing.Schedule J: Supplemental InformationPart II, B, (i) Base compensation: YVFWC uses market survey data produced by an independent compensation consulting firm to assist in determining salaries for physicians and management staff. The Board of Directors, using these data, set the compensation for the Executive Director; the Executive Director determines the salaries for management staff. Increases are both performance and market based and accompanied by a written evaluation. Physician compensation is linked to their productivity as measured by work based relative value units.Part II, B, (ii) Bonus and incentive compensation: As with Base compensation, these components are also based upon market data provided by an independent firm.Part II, B, (iii) Other reportable compensation: It is YVFWC policy to, at the end of each calendar year, to remove all unused vacation hours in excess of 480 hours through a payout. In addition, upon hire, physicians and dentists are enrolled into a defined contribution retirement savings program. During a provider's tenure with the corporation, contributions are made into this savings program; upon the providers' 15th anniversary of continuous employment with the corporation, they fully vest in the program at which time the fund value becomes taxable and is reported here.Part II B (C) Retirement and Other Deferred Compensation: After consulting with an independent firm to determine appropriate market compensation and benefit package for the Executive Director of a corporation the size and complexity of YVFWC, the Board of Directors implemented an executive retention program. As part of that package the Board included a requirement the Executive Director sign a five year employment contract; in exchange for signing the contract, remaining in the position for five years, and completing certain goals the Executive Director will receive a stipulated bonus at the end of the period. Should the Executive Director leave prior to the end of the five years, no payment is made. The value shown in Column C is 25% of the bonus for which the Executive Director may be eligible. Part II, B, (D) Nontaxable benefits: This column displays the value of the health plan provided for all employees by the corporation. In addition, some management employees participate in a SERP plan funded by the corporation. Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 NONE00000 2003-06-10 3000000 REMODEL YAKIMA MEDICAL BUILDING false false false WASHINGTON HEALTH CARE FACILITIES 911108929 NONE00000 2004-03-17 4368000 CONSTRUCT LINCOLN MEDICAL BUILDING false false false WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 NONE00000 2007-03-22 6100000 CONSTRUCT PROSSER MEDICAL BUILDING false false false THE HOSPITAL FACILITY AUTHORITY OF UMATILLA COUNTY 931239006 NONE00000 2008-11-13 4189500 CONSTRUCT HERMISTON MEDICAL BUILDING false false false 3000000 50000 2950000 2005 false false true true 4368000 46082 4321918 2005 false false true true 6100000 6100000 2007 false false true true 4189500 5500 4184000 2008 false false true true false false false false true false false false false true false true false false 0.06800 0.06800 true false false false false true false true false false false false false true false false false false false true false false false false false false false false false false Amended Explanation Purpose of Amended Return is to correct compensation on Schedule J. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS DOCUMENT REQUESTS ARE REVIEWED BY A RESPONSIBLE BUSINESS OFFICIAL TO DETERMINE A BUSINESS NEED OF THE REQUESTING PARTY. EACH REQUEST IS ANALYZED ON AN INDIVIDUAL BASIS. A REPORT INCLUDING SERVICES PROVIDED, NUMBER OF PATIENTS AND ENCOUNTERS, REVENUE SOURCES AND REVENUE BY TYPE OF SERVICE IS PROVIDED TO THE PUBLIC, THROUGH THE MEDIA AND OUR WEBSITE, ON AN ANNUAL BASIS. OUR FORM 990 IS POSTED ON GUIDESTAR. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees COMPENSATION OF THE EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER AND CORPORATE DIRECTOR OF OPERATIONS ARE REVIEWED ANNUALLY BY AN INDEPENDENT CONSULTANT USING COMPENSATION SURVEYS AND REVIEW OF OTHER ORGANIZATIONS FORM 990. THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE COMPENSATION OF THE CHIEF FINANCIAL OFFICER AND CORPORATE DIRECTOR OF OPERATIONS IS REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR AND THE HR DIRECTOR. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts THE CONFLICT OF INTEREST POLICY COVERS DIRECTORS, OFFICERS, AND EMPLOYESS. IF A RESPONSIBLE PERSON (ANY PERSON SERVING AS AN OFFICER, EMPLOYEE, COMMITTEE MEMBER OF THE BOARD OF DIRECTORS) HAS A POTENTIAL CONFLICT OF INTEREST, HE/SHE SHALL DISCLOSE THE CIRCUMSTANCES TO THE CO-CHAIRS WHO SHALL DETERMINE WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THE POLICY. IF THE PERSON WITH THE POTENTIAL CONFLICT IS A CO-CHAIR, THEN THE DETERMINATION SHALL BE MADE BY THE DISINTERESTED DIRECTORS. A PERSON WHO KNOWS HE/SHE HAS A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN THE BOARD'S DISCUSSIONS OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND RESPOND TO QUESTIONS. A PERSON WHO IS KNOWN TO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT WILL BE VOTED ON AT A MEETING SHALL NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM FOR PURPOSES OF THE VOTE. THE PERSON MAY NOT VOTE OR PARTICIPATE IN THE DISCUSSION CONCERNING THE CONTRACT OR TRANSACTION. SUCH PERSON'S INELIGIBILITY TO VOTE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process THE TAX RETURN IS GIVEN, IN PAPER FORM, TO THE FINANCE COMMITTEE, A SUBCOMITTEE OF THE BOARD OF DIRECTORS, TO REVIEW PRIOR TO FILING WITH THE IRS. THE REVIEW IS HEADED BY THE CFO, K. PETER TOOP, WHO GOES OVER THE RETURN IN DETAIL AND ANSWERS THE COMMITTEE MEMBERS QUESTIONS. Client Note 1 - Reasonable Cause Statement Pursuant to Notice 2012-4 The taxpayer requests that all late filing penalties be abated under Notice 2012-4. The Taxpayer is reqired to efile its Form 990 and since the IRS could not accept efiled return due to progarm maintenance the taxpayer is requried to file its 3/31/2011 Form 990 late. As instructed in Notice 2912-4 this attachment to the taxpayers Form 990 is requesting abatement of late filing penalties as it had reasonable cause for not filing by the extended due date of 2/15/2012.The organization lost its controller in November of 2011 and it took several months to replace the former controller. As a result the organization was unable to file its Form 990 before the IRS began its program maintenance. AGENA PO BOX 190 TOPPENISH WA 98948 203316363 SUPPORT ORGANIZATION WA 501 (c)(3) 11a, TYPE1 YAKIMA VALLEY FARM WORKERS CLINIC true false true false false false false false false false false false false false false false false false false AGENA b 4000000 CASH