YAKIMA VALLEY FARM WORKERS CLINIC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
YAKIMA VALLEY FARM WORKERS CLINIC (EIN 91-1019392)
Tax period
2011-04-01 to 2012-03-31
Filed
2013-02-15
IRS object ID
201330469349302088
Schema version
2011v1.5
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)
Timestamp2013-02-15T14:44:17-06:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1610 NORTH 39TH AVENUEAddressLine1
CityYAKIMACity
StateWAState
ZIP Code98902ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911019392EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1YAKIMA VALLEY FARM WORKERS CLINICBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlYAKINameControl
Phone5098655898Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 190AddressLine1
CityTOPPENISHCity
StateWAState
ZIP Code98948ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameK PETER TOOPName
TitleCFOTitle
Phone5098655898Phone
Date Signed2013-02-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRALPH A CONNER CPAName
PTINP00185729PTIN
Phone5098232910Phone
Date Prepared2013-02-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJUAN CARLOS OLIVARESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 190AddressLine1
CityTOPPENISHCity
StateWAState
ZIP Code98948ZIPCode
FieldValueIRS element (for citing)
Gross Receipts168268035GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.YVFWC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionYVFWC PROVIDES COMPREHENSIVE HEALTH SERVICES AS WELL AS EDUCATIONAL AND SOCIAL PROGRAMS IN UNDERSERVED AND RURAL REGIONS THROUGHOUT WASHINGTON AND OREGON STATES. ALTHOUGH OUR SERVICES ARE AVALIABLE TO ALL PEOPLE, THE MAJORITY OF OUR PATIENTS QUALIFY AS LOW INCOME UNDER STATE AND FEDERAL GUIDELINES. YVFWC'S SIGNIFICANT FUNCTIONS CONSIST OF OPERATING MEDICAL AND DENTAL CLINICS.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees2166TotalNbrEmployees
Total Nbr Volunteers320TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year34634947ContributionsGrantsPriorYear
Contributions Grants Current Year35349358ContributionsGrantsCurrentYear
Program Service Revenue Prior Year103908074ProgramServiceRevenuePriorYear
Program Service Revenue CY88971234ProgramServiceRevenueCY
Investment Income Prior Year1566986InvestmentIncomePriorYear
Investment Income Current Year1444878InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year140110007TotalRevenuePriorYear
Total Revenue Current Year125765470TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5960315GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4308251GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year85086456SalariesEtcPriorYear
Salaries Etc Current Year81201549SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year719296TotalFundrsngExpCurrentYear
Other Expense Prior Year44241127OtherExpensePriorYear
Other Expenses Current Year38928779OtherExpensesCurrentYear
Total Expenses Prior Year135287898TotalExpensesPriorYear
Total Expenses Current Year124438579TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4822109RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1326891RevenuesLessExpensesCY
Total Assets BOY151001790TotalAssetsBOY
Total Assets EOY173007141TotalAssetsEOY
Total Liabilities BOY42475191TotalLiabilitiesBOY
Total Liabilities EOY63536785TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY108526599NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY109470356NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF YVFWC IS TO IMPROVE LIVES AND STRENGTHEN THE HEALTH OF HTE COMMUNITIES THAT WE SERVE BY PROVIDING QUALITY, AFFORDABLE, AND ACCESSIBLE HEALTH CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense88622908Expense
Grants1958487Grants
Revenue85034450Revenue
DescriptionMEDICAL AND DENTAL PRIMARY CARE SERVICES, CASE MANAGEMENT, WIC AND OTHER SUCH PROGRAMS PROVIDED ON A SLIDING FEE BASIS. DURING THE YEAR THERE WERE 418,400 MEDICAL, 85,600 DENTAL AND 13,200 CASE MANAGEMENT ENCOUNTERS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7451979Expense
Grants2349764Grants
Revenue-2082Revenue
DescriptionLOW INCOME ENERGY ASSISTANCE, HOME WEATHERIZATION, AND EDUCATION AND COUNSELING SERVICES. DURING THE YEAR THERE WERE 23,858 INDIVIDUALS SERVED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4614932Expense
Revenue5383744Revenue
DescriptionMENTAL HEALTH COUNSELING AND CHEMICAL DEPENDENCY COUNSELING. MENTAL HEALTH AND CHEMICAL DEPENDENCY ENCOUNTERS DURNING THE YEAR WERE 30,500.Description
FieldValueIRS element (for citing)
Total Program Service Expense100689819TotalProgramServiceExpense
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 Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
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 Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
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 Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096363NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2166NumberOfEmployees
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
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1K PETER TOOPBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5098655898TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1518 W 1ST AVEAddressLine1
CityTOPPENISHCity
StateWAState
ZIP Code989480190ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
TOM SAK
PRESIDENT1.00XX000
VIRGINIA SANTILLANES
VICE PRESIDENT1.00XX000
MIGUEL ESQUIVEL
DIRECTOR1.00X000
ALFREDO ACEVES
DIRECTOR1.00X000
MARTIN TORRES
DIRECTOR1.00X000
MARIA GUADALUPE PEREZ
DIRECTOR1.00X000
LORENZO CUEVAS
DIRECTOR1.00X000
ELIZA CERNA
SECRETARY1.00XX000
JOSE ALBERTO NUNEZ
DIRECTOR1.00X000
SANDRA APRIL
DIRECTOR1.00X000
PATRICIA MYERS
TREASURER1.00XX000
JUAN CARLOS OLIVARES
EXECUTIVE DIREC40.00X5444530132492
K PETER TOOP
CFO40.00X23969907142
GLEN W DAVIS
DIRECTOR OF OPERATIONS40.00163584029293X
ROSS RONISH
CHIEF MEDICAL OFFICER40.00290584052998X
NORMAN J NAIDEN
PHYSICIAN40.00548730011904X
MICHAEL JACH
PHYSICIAN40.00453684030540X
JAMES U OPARA
PHYSICIAN40.00423103044812X
CHRISTOPHER GOODWIN
PHYSICIAN40.00333451033786X
ANITA SHOWALTER
PHYSICIAN40.0034039307228X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3337681TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation350195TotalOtherCompensation
Number Individuals GT100 K122NumberIndividualsGT100K
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
PATHOLOGY ASSOCIATES
PO BOX 2687SPOKANEWA99220LAB SERVICE1655383
MCKESSON INFORMATION
PO BOX 98347CHICAGOIL60693COMPUTER SERVICES683510
ABM JANITORIAL SERVICES
PO BOX 60000SAN FRANCISCOCA94107CLEANING SERVICES683366
CHERVENELL CONSTRUCTION
PO BOX 6935KENNEWICKWA99336CONSTRUCTION634157
TRI PLY CONSTRUCTION
PO BOX 2872YAKIMAWA98907CONSTRUCTION614439
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Government Grants35064508GovernmentGrants
All Other Contributions284850AllOtherContributions
Total Contributions35349358TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL, DENTAL, PHARM6214008359799983597999
MENTAL HEALTH & SUBSTA62140053753175375317
COMMUNITY ACTION CENTE621400-2082-2082
FieldValueIRS element (for citing)
Total Program Service Revenue88971234TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1547746TotalRevenueColumn
Exclusion$1,547,746ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities42373697Securities
Other26000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities42481351Securities
Other21214Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-107654Securities
Other4786Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-102868TotalRevenueColumn
Exclusion-$102,868ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column125765470TotalRevenueColumn
Related Or Exempt Function Income88971234RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,444,878ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1958487Total
Program Services1958487ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total2349764Total
Program Services2349764ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1304719Total
Management And General1304719ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total64758430Total
Program Services53915678ProgramServices
Management And General10516008ManagementAndGeneral
Fundraising326744Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1456103Total
Program Services1159961ProgramServices
Management And General289523ManagementAndGeneral
Fundraising6619Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7983133Total
Program Services6667125ProgramServices
Management And General1282818ManagementAndGeneral
Fundraising33190Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5699164Total
Program Services4750350ProgramServices
Management And General917939ManagementAndGeneral
Fundraising30875Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total176581Total
Program Services5750ProgramServices
Management And General170831ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total70925Total
Management And General70925ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total140633Total
Management And General140633ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9294929Total
Program Services7435262ProgramServices
Management And General1615433ManagementAndGeneral
Fundraising244234Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total771014Total
Program Services298051ProgramServices
Management And General472963ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4162665Total
Program Services3254212ProgramServices
Management And General899526ManagementAndGeneral
Fundraising8927Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2526458Total
Program Services641967ProgramServices
Management And General1880313ManagementAndGeneral
Fundraising4178Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2610311Total
Program Services1968014ProgramServices
Management And General621113ManagementAndGeneral
Fundraising21184Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1278514Total
Program Services843042ProgramServices
Management And General426313ManagementAndGeneral
Fundraising9159Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total328666Total
Program Services328666ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5272421Total
Program Services3708183ProgramServices
Management And General1564238ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1251353Total
Program Services1250263ProgramServices
Management And General1090ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES68838116883811
BAD DEBTS12415511241551
OTHER EXPENSES11160387707523414783808
RECRUITMENT95427749734042713129806

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total848632Total
Program Services761590ProgramServices
Management And General86470ManagementAndGeneral
Fundraising572Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total124438579Total
Program Services100689819ProgramServices
Management And General23029464ManagementAndGeneral
Fundraising719296Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1760820BOY
EOY4260377EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16844391BOY
EOY12167273EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2968239BOY
EOY2699376EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5577195BOY
EOY6992440EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY5040EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY644404BOY
EOY717049EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY758786BOY
EOY827914EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis96648138LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec46671143LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY47628473BOY
EOY49976995EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY69124293BOY
EOY68707497EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5695189BOY
EOY26653180EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY151001790BOY
EOY173007141EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18082619BOY
EOY41947349EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY34230BOY
EOY2000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY14291251BOY
EOY12845719EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10067091BOY
EOY8741717EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY42475191BOY
EOY63536785EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY108526599BOY
EOY109470356EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY108526599BOY
EOY109470356EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY151001790BOY
EOY173007141EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1326891ReconcilationRevenueExpenses
Reconcilation Other Changes-383134ReconcilationOtherChanges
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 Years24849192CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28900817CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30503829CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34634947CurrentTaxYearMinus1Year
Current Tax Year35349358CurrentTaxYear
Total154238143Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24849192CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28900817CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30503829CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34634947CurrentTaxYearMinus1Year
Current Tax Year35349358CurrentTaxYear
Total154238143Total
FieldValueIRS element (for citing)
Public Support Total170154238143PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4199552CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3606618CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2029619CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1650137CurrentTaxYearMinus1Year
Current Tax Year1547746CurrentTaxYear
Total13033672Total
FieldValueIRS element (for citing)
Total Support167271815TotalSupport
Gross Receipts From Admissions Etc481487822GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.92210PublicSupportPertcentage170
Public Support Pertcent Prior Year0.89800PublicSupportPertcentPriorYear
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 Basis5999212OtherCostOrOtherBasis
Book Value5999212BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis60697639OtherCostOrOtherBasis
Depreciation28741214Depreciation
Book Value31956425BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis12148631OtherCostOrOtherBasis
Depreciation3082224Depreciation
Book Value9066407BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17802656OtherCostOrOtherBasis
Depreciation14847705Depreciation
Book Value2954951BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings49976995TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
PLEDGE RECEIVABLE150
OTHER RECEIVABLES1314031
FQHC RECEIVABLE5277090
HRSA RECEIVABLE20061909
FieldValueIRS element (for citing)
Total Book Value Other Assets26653180TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PHYSICIAN'S INSURANCE RESERVE$2,378,630
PLEDGE PAYABLE TO NP SUB AGENA$5,900,000
BASIS HEALTH RESERVE$463,087
FieldValueIRS element (for citing)
Total Of Amounts8741717TotalOfAmounts
Total Revenue125765470TotalRevenue
Total Expenses124438579TotalExpenses
Excess Or Deficit For Year1326891ExcessOrDeficitForYear
Net Unrealized GL On Investments-383134NetUnrealizedGLOnInvestments
Total Adjustments-383134TotalAdjustments
Excess Or Deficit Per FS943757ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt125382336TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-383134NetUnrealizedGainsInvestments
Revenue Not Rptd F990-383134RevenueNotRptdF990
Revenue Subtotal125765470RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990125765470TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt124438579TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal124438579ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990124438579TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationPART X FIN 48 FOOTNOTE UNDER PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. AS OF MARCH 31, 2012, THE ORGANIZATION HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAXES MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE OKRGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1AGENABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 190AddressLine1
CityTOPPENISHCity
StateWAState
ZIP Code98948ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient203316363EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant1900000AmountOfCashGrant
Purpose Of GrantGENERAL SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantDIRECT PAYMENTS FOR HOUSING AND ENERGY SERVICESTypeOfGrant
Number Of Recipients23858NumberOfRecipients
Amount Of Cash Grant2349764AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationPART 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
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 (9 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
JUAN CARLOS OLIVARES
338377013900606707001208830116090676945000
K PETER TOOP
21222801637301109800071420246841000
GLEN W DAVIS
15338201500100520116550176380192877000
ROSS RONISH
27951401500109200213790316190343582000
NORMAN J NAIDEN
546096025002384000119040560634000
MICHAEL JACH
219867050023376700030540048422402083180
JAMES U OPARA
1624590150026049400044812046791502559130
CHRISTOPHER GOODWIN
164384017426015164100033786036723701752650
ANITA SHOWALTER
3376000002793000722803476210346330

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationPART 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 PROVIDERS 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.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
THE HOSPITAL FACILITY AUTHORITY OF UMATILLA COUNTY
9312390062008-11-134189500CONSTRUCT HERMISTON MEDICAL BUILDING000
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
9111089292007-03-226100000CONSTRUCT PROSSER MEDICAL BUILDING000
WASHINGTON HEALTH CARE FACILITIES
9111089292004-03-174368000CONSTRUCT LINCOLN MEDICAL BUILDING000
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
9111089292003-06-103000000REMODEL YAKIMA MEDICAL BUILDING000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
41895005500418400020080011
6100000610000020070011
436800046082432191820050011
300000050000295000020050011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUse
00001
010010.068000.06800
00001
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
010000
010000
010000

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Loan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
TOM SAK
X$4,2183079001
CARLOS OLIVARES
X$1,9611961010
FieldValueIRS element (for citing)
Total Balance Due5040TotalBalanceDue

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPART IIIdentifier
Return ReferencePURPOSE OF LOANSReturnReference
ExplanationTOM SAK, AS A MEMBER OF THE YVFWC BOARD, WAS ASKED TO PARTICIPATE ON THE ETHICS COMMITTEE OF THE COMMUNITY HEALTH PLAN OF WASHINGTON (CHPW), A MAJOR INSURER OF YVFWC PATIENTS. AS MR. SAK IS A USER OF CHPW AND YVFWC SERVICES AND QUALIFIES AS LOW INCOME UNDER THE FEDERAL GUIDELINES GOVERNING YVFWC, MANAGEMENT CONSIDERED IT IMPORTANT TO HAVE MR. SAK REPRESENT THE PERSPECTIVE OF LOW INCOME USERS AT THE CHPW LEVEL. COMMITTEE MEETINGS REQUIRE TRAVEL AND LODGING, SO TO FACILITATE MR. SAKS PARTICIPATION THE ORGANIZATION PROVIDED UP FRONT MONEY IN THE FORM OF A LOAN. THE LOAN INCURS MARKET INTEREST (APPLICABLE FEDERAL RATE) AND REPAYMENT IS SECURED BY THE STIPEND MR. SAK RECEIVES FOR SERVING ON THE COMMITTEE.AS CEO JUAN CARLOS OLIVARES IS REQUIRED TO DO EXTENSIVE TRAVEL FOR WHICH THE CORPORATION PROVIDES A CREDIT CARD FOR BUSINESS EXPENSES. IN THE COURSE OF TRAVEL THERE ARE TIMES WHEN MR. OLIVARES INCURS EXPENSES NOT RELATED TO YVFWC BUSINESS WHICH HE THEN SUBSEQUENTLY REIMBURSES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11LINE 11A EXPLANATION - A PAPER COPY OF THE FORM 990 IS MADE AVALIABLE TO ALL BOARD MEMBERS. IN ADDITION, THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS MEETS TO REIVEW THE FORM 990 IN DETAIL WITH THE CHIEF FINANCIAL OFFICER AND CONTROLLER.
FORM 990, PART VI, SECTION B, LINE 12CPERIODIC REMINDERS ARE MADE TO BOARD MEMBERS CONCERNING THE CONFLICT OF INTEREST POLICY. QUESTIONS CONCERNING CONFLICTS OF INTEREST AND DECLARATIONS OF CONFLICTS OF INTEREST ARE DULY RECORDED IN BOARD MEETING MINUTES. IN ADDITION, THE CHIEF COMPLIANCE OFFICER IS TASKED WITH INVESTIGATING ANY POTENTIAL VIOLATIONS OF THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15FOR PURPOSES OF ESTABLISHING COMPENSATION THE BOARD ENGAGES THE SERVICES OF AN INDEPENDENT FIRM THAT UTILIZES MARKET SURVEYS AND REVIEWS OF COMPARABLE ORGANIZATIONS 990 FILINGS. THE BOARD THEN MEETS WITH THE OUTSIDE CONSULTANTS TO ANALYZE THE DATE. UTILIZING THIS DATA AND AN ANNUAL PERFORMANCE APPRAISAL THE BOARD THEN DETERMINES THE APPROPRIATE COMPENSATION PACKAGE FOR THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR UTILIZES MARKET DATA COMPILED BY THE INDEPENDENT FIRM AND PERFORMANCE APPRAISALS TO SET SALARIES FOR THE CORPORATE MANAGEMENT TEAM.
FORM 990, PART VI, SECTION C, LINE 19CORPORATE BYLAWS, CONFIICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AS RECORDED IN FORM 990 ARE AVALIAVLE UPON REQUEST MADE TO THE EXECUTIVE DIRECOR AT YVFWC ADMINISTRATIVE HEADQUARTERS AT P.O. BOX 190, TOPPENISH, WA 98948
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS OR LOSSES ON INVESTMENTS -383,134. TOTAL TO FORM 990, PART XI, LINE 5: -383,134.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1AGENABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 190AddressLine1
CityTOPPENISHCity
StateWAState
ZIP Code98948ZIPCode
FieldValueIRS element (for citing)
EIN203316363EIN
Primary ActivitiesSUPPORT ORGANIZATIONPrimaryActivities
Legal Domicile StateWALegalDomicileState
Exempt Code Section501 (C)(3)ExemptCodeSection
Public Charity Status11A TYPE 1PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1YAKIMA VALLEY FARM WORKERS CLINICBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
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 Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1AGENABusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved1900000AmountInvolved
Method Of Amt DeterminationCASHMethodOfAmtDetermination

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