2013-11-14T14:50:51-06:00 2012-12-31 910189318 MOSS ADAMS LLP 805 SW BROADWAY 1200 PORTLAND OR 97205 990 2012-01-01 273524752 NEIGHBORHOOD HEALTH CENTER NEIG 5039413033 3720 SW 141ST AVENUE SUITE 100 BEAVERTON OR 97005 BLAIN WEST 5039413033 2013-11-11 1 WENDY CAMPOS P00448102 5032421447 2012 2016-02-25 16:41:14Z BLAIN WEST 3720 SW 141ST AVENUE SUITE 100 BEAVERTON OR 97005 7643408 0 X HTTP://WWW.HEALTHCENTEROR.ORG X 2010 OR NEIGHBORHOOD HEALTH CENTER WAS CREATED TO MEET THE HEALTH CARE NEEDS OF UNDERSERVED, AT RISK MEMBERS OF OUR COMMUNITIES, INCLUDING MEDICAID AND MEDICARE PATIENTS AS WELL AS THE UNINSURED. NEIGHBORHOOD HEALTH CENTER STRIVES TO COLLABORATE WITH COMMUNITY PARTNERS, COUNTY, LOCAL AND STATE OFFICIALS, AS WELL AS OTHER HEALTH CARE PROFESSIONALS AND WILL CONTINUE TO DEVELOP PARTNERSHIPS TO OFFER HIGH QUALITY HEALTH CARE TO THE COMMUNITIES IN WHICH WE SERVE. NEIGHBORHOOD HEALTH CENTER OFFERS HEALTH CARE SERVICES USING A TEAM BASED CARE MODEL, WITH CREATING A "HEALTH HOME" FOR ITS PATIENTS AT THE CORE OF ITS VALUES. CURRENT LOCATIONS ARE BEAVERTON, CANBY, MILWAUKIE, GLADSTONE AND OREGON CITY. 8 8 62 8 0 0 4918720 3627931 541556 3931824 85 4642 11564 79011 5471925 7643408 0 0 0 0 1273027 5269488 0 0 0 322795 2690293 1595822 7959781 3876103 -316373 4339423 4301880 386492 665322 3952931 3636558 X THE MISSION OF NEIGHBORHOOD HEALTH CENTER IS TO INCREASE ACCESS TO HEALTH CARE SERVICES IN THE COMMUNITIES IN WHICH WE SERVE, BY PROVIDERS WHO ARE PASSIONATE ABOUT QUALITY HEALTH CARE FOR EACH INDIVIDUAL AND FAMILY MEMBER. 1 0 5683405 2869570 PATIENT SERVICES - MEDICAL: TO OPERATE COMMUNITY MEDICAL HEALTH CENTERS TO INCREASE ACCESS TO COMPREHENSIVE AND PREVENTIVE MEDICAL SERVICES AND TO IMPROVE HEALTH CARE STATUS OF THE VULNERABLE AND UNDERSERVED POPULATIONS OF THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. 701455 360298 PATIENT SERVICES - DENTAL: TO OPERATE COMMUNITY DENTAL CENTERS TO INCREASE ACCESS TO COMPREHENSIVE AND PREVENTIVE DENTAL SERVICES AND TO IMPROVE HEALTH CARE STATUS OF THE VULNERABLE AND UNDERSERVED POPULATIONS OF THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. 71284 780967 GRANT DENTAL SERVICES: THIS PROGRAM PROVIDES DENTAL SERVICES ACCORDING TO THE GUIDELINES OF THE GRANT AGREEMENTS. ONE GRANT PROGRAM IS KAISER PERMANENTE ORAL HEALTH SPECIAL INITIATIVE GRANT AND THE OTHER IS EMERGENCY DENTAL CARE COORDINATION PILOT OF CLACKAMAS COUNTY. THE PURPOSE OF THIS GRANT IS TO OFFER SUPPORT FOR THE ORAL HEALTH INITIATIVE OF CLACKAMAS COUNTY. 910 HOME VISIT - CARE WORKERS VISIT THE PATIENTS ON SITES OR BY PHONE. 910 6457054 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 31 0 1 62 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X BLAIN WEST 5039413028 3720 SW 141ST AVENUE SUITE 100 BEAVERTON OR 97005 ROBIN MACK 1.00 X X 0 0 0 DONALDA DODSON 1.00 X 0 0 0 TERESA LEARN 1.00 X X 0 0 0 ANITA SMITH 1.00 X 0 0 0 NICKIE CARTER 1.00 X X 0 0 0 FABIOLA CRETAROLO 1.00 X 0 0 0 RACHEL VELLONE 1.00 X 0 0 0 JOHN RIHERD 1.00 X X 0 0 0 JAMES SCHROEDER 32.00 X 64504 0 11702 BLAIN WEST 40.00 X 74900 0 6883 JERI WEEKS 40.00 X 37948 0 5620 JILL ARENA 40.00 X 0 0 0 MICHAEL PLUNKETT 40.00 X 183944 0 38247 MARY MILLER 40.00 X 181747 0 26038 JOHN NAJERA 40.00 X 176951 0 24863 ANGELA UBA 40.00 X 172640 0 46050 SAFINA KOREISHI 40.00 X 153039 0 16745 1045673 0 176148 11 0 1 0 CAREOREGON INC 315 SW 5TH AVE STE 900 PORTLAND OR 97204 MANAGEMENT SERVICES 213434 OREGON COMMUNITY HEALTH INFO NET 1881 SW NAITO PARKWAY PORTLAND OR 97201 PROFESSIONAL SERVICES 131005 THERAPEUTIC ASSOCIATES 7100 FORT DENT WAY STE 220 SEATTLE WA 98188 PROFESSIONAL SERVICES 112061 3 3627931 3627931 PATIENT SERVICES 621110 3931824 3931824 3931824 4642 4642 SUPPORT SERVICES 561000 79011 79011 79011 7643408 4010835 0 4642 201557 60467 141090 3937735 3285828 651907 293068 274003 19065 506792 494328 12464 330336 276341 53995 4991 4991 44373 6879 37494 1007841 777248 230593 2942 1696 1246 351969 264072 87897 141365 33653 107712 324832 292447 32385 33317 16321 16996 46033 17833 28200 2205 2205 211131 139325 71806 42923 42923 BAD DEBT 238661 238661 MEDICAL SUPPLIES 218064 218064 DUES & SUBSCRIPTIONS 18611 13725 4886 INTERPRETATION 1035 1035 7959781 6457054 1502727 0 3162029 1421720 423440 2069098 18000 18000 118573 144244 903094 254276 617381 648818 4339423 4301880 325352 590709 39925 47719 21215 26894 386492 665322 X 3942931 3626558 10000 10000 3952931 3636558 4339423 4301880 -316373 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 67372 13926 53446 835722 240350 595372 648818 CAPITAL LEASES 26894 26894 7404747 0 7404747 238661 238661 7643408 7721120 0 7721120 238661 238661 7959781 PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 238,661. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 238,661. PART X, LINE 2: THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A QUALIFIED TAX-EXEMPT ENTITY UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). NO PROVISION FOR INCOME TAXES IS MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS, AS THE ORGANIZATION HAS NO ACTIVITIES SUBJECT TO UNRELATED BUSINESS INCOME TAX. THE ORGANIZATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN ADMINISTRATIVE EXPENSE. THE ORGANIZATION HAD NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2012 AND 2011. NO INTEREST AND PENALTIES WERE ACCRUED FOR THE YEAR. THE ORGANIZATION FILES AN EXEMPT ORGANIZATION RETURN IN THE U.S. FEDERAL JURISDICTION AND WITH THE OREGON CHARITIES DIVISION AND IS SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR ITS 2012 AND 2011 YEARS. X 1 1 X X 0 0 0 0 0 0 0 0 0 MICHAEL PLUNKETT 144944 0 35000 0 4000 0 14457 0 23790 0 222191 0 0 0 MARY MILLER 164747 0 0 0 17000 0 16426 0 9612 0 207785 0 0 0 JOHN NAJERA 173398 0 0 0 3553 0 15988 0 8875 0 201814 0 0 0 ANGELA UBA 153409 0 0 0 19231 0 16555 0 29495 0 218690 0 0 0 SAFINA KOREISHI 136039 0 0 0 17000 0 13602 0 3143 0 169784 0 0 0 PART I, LINE 1A ALL EMPLOYEES INCLUDING THOSE LISTED ON FORM 990 PART VII RECEIVE FITNESS CLUB MEMBERSHIP REIMBURSEMENT. JILL ARENA JILL ARENA IS AN OFFICER OF THE ORGANIZATION. 106813 JILL ARENA PROVIDED INTERIM CEO SERVICES TO THE ORGANIZATION DURING THE YEAR THROUGH A THIRD PARTY MANAGEMENT CONSULTING FIRM IN WHICH JILL IS A PARTNER. 0 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 THE ORGANIZATION RECEIVED A DENTAL GRANT TO FUND CARE FOR THE UNINSURED PATIENTS AND ALSO PARTICIPATED IN A KAISER PERMANENTE ORAL HEALTH SPECIAL INITIATIVE PROGRAM TO FURTHER SERVICE THE COMMUNITY. FORM 990, PART VI, SECTION B, LINE 11 MEMBERS OF STAFF GATHER THE INFORMATION FOR THE FORM 990, REVIEW THIS INFORMATION WITH THE CFO, AND THEN FORWARD TO MOSS ADAMS, AN INDEPENDENT CPA FIRM, WHO PREPARES THE FORM 990. ONCE THE RETURN IS COMPLETED IT IS REVIEWED BY MEMBERS OF STAFF, THE CFO AND ALL MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST AFFIDAVIT. FORM 990, PART VI, SECTION B, LINE 15 HUMAN RESOURCES CONTRACTED MANAGEMENT SERVICES CONDUCTS MARKET SALARY SURVEYS AND MEMBERS OF THE BOARD APPROVE THE CEO, CFO AND CMO COMPENSATION RANGE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED DURING THE TAX YEAR.