2012-09-05T10:14:47-05:00 2011-12-31 390758449 WIPFLI LLP 12 E ROWAN STE 2 SPOKANE WA 99207 990 2011-01-01 201056268 COLUMBIA RIVER COMMUNITY HEALTH SERVICES COLU 5414817212 PO BOX 397 BOARDMAN OR 97818 MINDY BINDER 5414817212 2012-09-05 1 MICHAEL R BELL P00290700 5094894524 2012-09-05 2011 2016-02-24 21:20:13Z MINDY BINDER PO BOX 397 BOARDMAN OR 97818 3505698 0 X N/A X 2005 OR COLUMBIA RIVER COMMUNITY HEALTH SERVICES CLINIC'S VISION IS TO CONTINUE TO BE THE RECOGNIZED RESOURCE AND REFERRAL FOR HIGH-QUALITY HEALTH CARE AND OCCUPATIONAL SERVICES FOR OUR GROWING COMMUNITY. COLUMBIA RIVER COMMUNITY HEALTH SERVICES IS HERE TO HELP MEET THE HEALTH CARE NEEDS OF THE PEOPLE IN OUR COMMUNITY REGARDLESS OF RACE, CREED, OR SOCIAL STATUS. WE WILL DO ALL WE CAN TO PROVIDE YOU WITH THE VERY BEST CARE POSSIBLE. 10 10 28 10 0 0 625470 2388015 1041885 1113024 6640 4659 0 0 1673995 3505698 0 0 0 0 1175516 1063663 0 0 0 603300 739825 1778816 1803488 -104821 1702210 2137915 5106760 225808 638378 1912107 4468382 X TO IMPROVE THE QUALITY OF LIFE FOR ALL PEOPLE IN THE COMMUNITY, PARTICULARLY THE MEDICALLY UNDERSERVED AND VULNERABLE, BY PROVIDING ACCESS TO HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE. 0 0 887223 1113024 THE PURPOSE OF COLUMBIA RIVER COMMUNITY HEALTH SERVICES (CRCHS) IS TO PROTECT AND IMPROVE THE QUALITY OF LIFE FOR ALL PEOPLE, PARTICULARLY THE MEDICALLY UNDERSERVED AND VULNERABLE PEOPLE, BY PROVIDING ACCESS TO HIGH QULAITY PRIMARY AND PREVENTATIVE HEALTHCARE. CRCHS PROVIDED 7,544 MEDICAL VISITS TO THE CITIZENS OF MORROW COUNTY REGARDLESS OF A PERSON'S ABILITY TO PAY. CRCHS PROVIDED $280,179 IN CHARITY CARE IN 2011. IN ADDITION, CRCHS UTILIZES A SLIDING FESS SCHEDULE UP TO 200% OF THE FEDERAL POVERTY GUIDELINES. FOR APPLICANTS THAT QUALIFY BASED ON INCOME AND FAMILY SIZE, A PORTION OF THEIR CHARGES MAY BE FOREGONE FOR A NOMINAL FEE OR A PERCENTAGE OF CHARGES. THE SLIDING FEE CHARGES FORGONE WERE $234,281 IN 2011.WE HAVE COMBINED THE VFC PROGRAM WITH OUR SPORTS PHYSICAL PROGRAM. WHEN ADOLESCENTS COME IN FOR THEIR SPORTS PHYSICALS, THEIR IMMUNIZATIONS ARE REVIEWED AND UPDATED AT THAT TIME. THIS HAS BROUGHT A LOT OF THE ADOLESCENTS UP-TO-DATE ON THEIR VACCINES. THIS IS ALSO TRUE FOR CHILDREN WHO COME IN FOR WELL CHILD EXAMS. OUR VACCINATION RECORD HAS GOTTEN ATTENTION FROM THE VFC PROGRAM FOR HAVING SUCH A HIGH VOLUME OF VACCINES, FOR OUR AREA. WE JUST COMPLETED AN AUDIT FROM THE STATE VFC AND PASSED WITH FLYING COLORS! OUR DENTAL PROGRAM IS IN PLACE FOR THOSE WHO ARE QUALIFIED AS LOW INCOME AND HAVE NO DENTAL INSURANCE. IN 2011 WE HAD 257 ENCOUNTERS, MOST FOR EMERGENCY EXTRACTIONS AND RESTORATIVE WORK. WE WORK WITH ADVANTAGE DENTAL CLINICS FOR EMERGENCY TREATMENTS, MEDICAL TEAMS INTERNATIONAL FOR RESTORATIVE TREATMENT, AND COLUMBIA BASIN COLLEGE SCHOOL OF DENTISTRY IN PASCO, WA AND OREGON DENTAL SCHOOL IN LA GRANDE, OR FOR PREVENTATIVE DENTAL SERVICES. WE HAVE A .75 FTE X-RAY TECH WITH DIGITAL X-RAY TECHNOLOGY AVAILABLE. IN 2011 WE WERE ABLE TO PERFORM 240 X-RAYS. A LANGUAGE LINE IS AVAILABLE FOR ANY NON-ENGLISH SPEAKING PATIENT, EXCLUDING SPANISH; WE USE ONSITE SPANISH TRANSLATORS. THE LANGUAGE LINE SERVICE IS USED ANYWHERE FROM 15 TO 180 MINUTES PER MONTH. IT VARIES FROM MONTH TO MONTH, BUT ARE GLAD IT IS AVAILABLE FOR THE PATIENT, WHEN IT IS NEEDED. WE CONTRACT WITH GOOD SHEPHERD MEDICAL GROUP FOR OUR PRENATAL PROGRAM. THERE WAS A COST INCREASE FOR US, BUT IS STILL IN PLACE FOR OUR UNINSURED, LOW INCOME, PREGNANT PATIENTS. WE PAY FOR THE PRENATAL CARE, AND THE PATIENT IS RESPONSIBLE FOR ANY AUXILIARY SERVICES. THIS PROGRAM HAS TEMPORARILY COME TO A HALT IN EARLY 2012. MORROW COUNTY AND UMATILLA COUNTY HAVE SIGNED UP FOR A PILOT PROGRAM WITH THE STATE MEDICAID, WHICH NOW COVERS PREGNANCYS FOR THE POPULATION OF WHICH WE HAD THE PRENATAL CONTRACT FOR. OUR MENTAL HEALTH/BEHAVIORAL HEALTH PROGRAM IS CONTRACTED THROUGH ELWOOD KOENIG, LCSW. IN 2011, WE HAD 10 VISITS TO THIS PROGRAM. AGAIN, IT IS FOR THE UNINSURED, LOW INCOME PATIENTS. OUR PHARMACY PROGRAM IS THROUGH A 340B FORMULARY. IT IS RUN BY THE LOCAL PHARMACIST. HE DOES THE ORDERING AND DISPENSING OF THE PRESCRIPTION MEDICATIONS FOR OUR UNINSURED, LOW INCOME PATIENTS. THIS PROGRAM ENDED IN APRIL, 2012. WE ARE WORKING WITH CAPTURE RX TO BE ABLE TO OFFER THE 340B PROGRAM, AGAIN. OUR LOCAL PHARMACIST CLOSED HIS PHARMACY AND SO OUR PROGRAM WAS NO MORE. WE ARE STILL AN OUT STATIONED OUTREACH WORKER STATION WITH THE STATE OF OREGON IN PROVIDING ASSISTANCE WITH THE OREGON HEALTH PLAN APPLICATION PROCESS (MEDICAID). FREE TRANSPORTATION IS STILL PROVIDED FOR OUR SERVICE AREA PATIENTS. SPANISH-ENGLISH BILINGUAL STAFFS ARE THROUGHOUT THE VARIOUS DEPARTMENTS, TO ASSIST WITH OUR HIGH NUMBER OF SPANISH SPEAKING PATIENTS.IN JANUARY, 2011 WE CREATED A NEW DEPARTMENT: REFERRAL COORDINATOR. SHE IS IN CHARGE OF HANDLING ALL REFERRALS TO SPECIALISTS AND ANY TO OUTBOUND PROVIDERS. THIS HAS INCREASED THE EFFICIENCY OF SENDING PATIENTS TO PROVIDERS FOR ALL PARTIES INVOLVED. PATIENTS RECEIVE A CUSTOMIZED PACKET OF INFORMATION FOR THEIR SPECIALIST VISIT, THE SPECIALIST RECEIVES ALL PERTINENT DOCUMENTATION AND PAPERWORK, AND OUR PROVIDERS RECEIVE CONFIRMATIONS OF THESE VISITS AND THE FOLLOW-UP REPORTS. AS A WHOLE, WE HAD A TOTAL OF 16.8% OF OUR PATIENTS BEING UNINSURED. MEDICAID AND MEDICARE MADE UP 31.9% OF OUR PATIENT POPULATION. 887223 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 28 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 0 1 1 0 1 1 1 1 0 OR X MARTA BARAJAS 5414817212 450 TATONE ST BOARDMAN OR 97818 ABEL LOPEZ 1.00 X 0 0 0 TED LIEURANCE 1.00 X 0 0 0 LA VERN GERTLAR 1.00 X 0 0 0 GORDON LIENAU 1.00 X 0 0 0 DIANE WOLFE 1.00 X 0 0 0 JESSE PENA 1.00 X 0 0 0 KAREN PETTIGREW 1.00 X 0 0 0 LYNN PRAG 1.00 X X 0 0 0 KATHY SIMONIS 1.00 X X 0 0 0 DAGOBERTO HERNANDEZ 1.00 X 0 0 0 MARTA BARAJAS 40.00 X 52582 0 1728 MINDY BINDER 40.00 X 99241 0 8253 151823 0 9981 0 0 0 0 MCCORMACK CONSTRUCTIONS 422 SOUTHWEST 6TH STREET PENDLETON OR 97801 BUILDING SERVICES 1554832 PINNACLE ARCHITECTURE INC 960 SW DISK DR BEND OR 97702 ARCHITECTURE AND DESIGN SERVICES 162928 2 2388015 2388015 PATIENT REVENUE, NET 621400 1096352 1096352 OTHER REVENUE 621400 16672 16672 1113024 4659 4659 3505698 1113024 0 4659 151823 151823 744508 463679 280829 18101 9364 8737 61131 31624 29507 88100 45575 42525 14946 14946 60687 60687 106172 100848 5324 5677 5677 197109 135953 61156 6684 6684 83636 7962 75674 22166 6951 15215 1957 1957 62838 62838 14894 11773 3121 REPAIRS & MAINTENANCE 72748 5820 66928 RECRUITING 37583 37583 BAD DEBT EXPENSE 30091 30091 DUES & SUBSCRIPTIONS 16859 16859 5778 5778 1803488 887223 916265 0 1245942 2091286 307081 197413 114218 70882 5367 1381 4514 7613 2961292 223107 460793 2738185 0 0 2137915 5106760 225808 638378 225808 638378 X 1405096 3558280 507011 910102 1912107 4468382 2137915 5106760 X 1702210 854065 X X 0 1 1 X 1 1 X 583636 497851 760728 625470 2388015 4855700 583636 497851 760728 625470 2388015 4855700 4855700 12511 9131 7033 6640 4659 39974 4895674 5473720 0.99180 0.98630 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 165757 165757 39786 21854 17932 373177 201253 171924 2382572 2382572 2738185 3505698 1803488 1702210 854065 854065 2556275 3505698 0 3505698 0 3505698 1803488 0 1803488 0 1803488 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OR THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THE CENTER HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE CENTER'S FEDERAL RETURNS FOR TAX YEARS 2008 AND BEYOND REMAIN SUBJECT TO EXAMINIATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 8 - OTHER ADJUSTMENTS: PLEDGES RECEIVABLE-NET 854,065. FORM 990, PART VI, SECTION B, LINE 11 THE CEO REVIEWS THE 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12 CURRENTLY, COLUMBIA RIVER COMMUNITY HEALTH SERVICES DOES NOT MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 ALL PROVIDER CONTRACTS ARE APPROVED BY THE BOARD (INCLUDING SALARIES). IF A PROVIDER WANTS TO RENEGOTIATE THEIR SALARY, IT IS BROUGHT BEFORE THE BOARD FOR RECOMMENDATIONS AND FINAL APPROVAL. THE CEO'S SALARY IS SET BY THE BOARD. THE BOARD CREATES A CEO REVIEW COMMITTEE TO PERFORM ANNUAL REVIEW AND MAKE SALARY ADJUSTMENTS AS THEY SEE FIT. CFO SALARY IS SET BY THE CEO. SALARY DECISIONS ARE MADE BY THOSE WITHOUT CONFLICT AND THE DECISIONS ARE DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 ALL ORGANIZATION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: PLEDGES RECEIVABLE-NET 854,065. TOTAL TO FORM 990, PART XI, LINE 5: 854,065. FORM 990, PART XII, LINE 2C: THE ENTITY HAS NOT CHANGED IT'S PROCESS OF OVERSIGHT OF THE AUDIT OF IT'S FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.