2011-09-22T09:57:05-07:00 2011-03-31 LarsonAllen LLP 610 N 39th Avenue PO Box 2710 Yakima WA 98902 990 2010-04-01 237297657 COLUMBIA VALLEY COMMUNITY HEALTH COLU 5096644575 600 ORONDO AVENUE SUITE 1 WENATCHEE WA 98801 Patrick Bucknum 2011-09-22 Ralph Conner CPA 5094530123 2010 2016-03-07 17:11:31Z 21695432 false false X www.cvch.org X 1972 WA THE MISSION OF COLUMBIA VALLEY COMMUNITY HEALTH IS TO PROVIDE ACCESS TO IMPROVED HEALTH AND WELLNESS WITH COMPASSION AND RESPECT FOR ALL. 13 13 305 13 0 4840012 4414911 17976726 17212541 25106 -17666 0 22841844 21609786 29182 32602 0 16540335 13727397 0 12611 5586316 5300311 22155833 19060310 686011 2549476 15744961 19408553 5959084 7171986 9785877 12236567 THE MISSION OF COLUMBIA VALLEY COMMUNITY HEALTH IS TO PROVIDE ACCESS TO IMPROVED HEALTH AND WELLNESS WITH COMPASSION AND RESPECT FOR ALL. false false 14385688 17212541 PROVIDE COMPREHENSIVE MEDICAL, MENTAL HEALTH AND DENTAL CARE TO SEASONAL AND MIGRANT FARM WORKERS AND THE MEDICALLY UNDERSERVED POPULATION OF THE AREA. THIS INCLUDES GENERAL MEDICINE, DENTAL, PRENATAL, AND OBSTRETIC CARE ON AN OUTPATIENT BASIS. AN ON-SITE PHARMACY PROVIDES PATIENT PRESCRIPTION SERVICES TO ENSURE PATIENTS OBTAIN NEEDED MEDICATIONS. 671625 INTERMEDIARY FOR PROVIDING SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN. INCLUDES NUTRITION EDUCATION, REFERRAL FOR HEALTH CARE FOR LOW-INCOME WOMEN AS WELL AS INFANTS AND CHILDREN UNDER AGE FIVE. PROGRAM FOCUS IS FOR BOTH INFANTS AND CHILDREN IN THE CRITICAL PERIODS OF GROWTH AND DEVELOPMENT UNDER AGE FIVE. 15057313 true true false false false false false false false false true false false true true true true false false false false false false false false false false false true true true false false false false false false false false false true false false false false false false false false false false true 51 0 true 305 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 13 13 false false false false false false false true true false false false true true true true true true true true false false WA X X KRISTAL ALBRECHT CFO CVCH 5096626000 600 ORONDO AVENUE SUITE 1 WENATCHEE WA 988012800 Scott Bibbins 40.00 X 212805 0 25289 Robert H Scott Jr 2.00 X 0 0 0 Richard Bliggenstorfer 2.00 X X 0 0 0 Rich Watson 2.00 X X 0 0 0 R Joe Palmer ended 311 2.00 X 0 0 0 Patrick Bucknum 40.00 X 158977 0 23715 Nick Covey 2.00 X X 0 0 0 MARIE DESIRE 40.00 X 155526 0 11931 Margarito Rodriguez 2.00 X X 0 0 0 Malcolm Butler 40.00 X 241120 0 26095 LORINDA PARKS 40.00 X 193009 0 26052 Loly Larson 2.00 X 0 0 0 Kristal Albrecht 40.00 X 93798 0 8977 KENNETH SHERMER 40.00 X 185443 0 25586 JOHN DAME 40.00 X 185097 0 26209 Joanne Hill 2.00 X 0 0 0 JAMES LARSEN 0.00 X 161812 0 22406 Irene Bazan 2.00 X X 0 0 0 Guadalupe Vill ended 1010 2.00 X 0 0 0 Douglas Head 2.00 X 0 0 0 Carol Diede 40.00 X 121289 0 23866 C Eric Hughes 2.00 X 0 0 0 Bertha Sanchez Began 211 2.00 X 0 0 0 Art Rodriguez 410-211 2.00 X 0 0 0 1708876 220126 19 false true false KDF ARCHITECTURE 1310 N 16TH AVE YAKIMA WA 98902 ARCHITECT SERVICES 414316 JA JANSSEN MD PO BOX 1871 WENATCHEE WA 98807 PSYCH CONSULT 105900 ALLEGIANCE BENEFIT PLAN MANAGEMENT INC PO BOX 4346 MISSOULA MT 598064346 Cafeteria Plan Admin 121366 ALDRICH & ASSOCIATES 810 240TH ST SE BOTHELL WA 98021 CONSTRUCTION 2432405 4 4388379 26532 4414911 PATIENT SERVICES 17212541 17212541 17212541 60945 60945 0 0 0 7035 85646 -78611 -78611 -78611 0 0 0 0 21609786 17212541 -17666 0 32602 32602 0 0 935931 283607 652324 0 10334550 8695770 1638780 194668 146828 47840 1465612 1465612 796636 713597 83039 0 47931 26362 21569 42515 23383 19132 0 0 0 384780 212207 159962 12611 0 1188423 1028438 159985 0 0 586175 432073 154102 13226 6983 6243 0 0 0 0 935169 671823 263346 74612 19655 54957 STORAGE & EQUIPMENT LEASE 308539 64153 244386 REPAIRS, MAINTENANCE AND EQUIP 203931 102673 101258 OTHER EXPENSES 423786 193845 229941 CONTINUING EDUCATION 180530 109696 70834 BAD DEBT 701924 701924 208770 126082 82688 19060310 15057313 3990386 12611 1144058 2623455 5561481 5458381 182230 214759 1381782 1017064 0 0 0 131208 84496 118513 72741 11803750 5909451 6403703 5894299 86569 0 0 0 821986 3956789 15744961 19408553 2476420 3636210 272958 125382 2968298 3209706 84542 357554 5959084 7171986 X 9743070 12199830 42807 36737 9785877 12236567 15744961 19408553 X 2549476 -98786 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 460000 460000 6840776 5909451 931325 1024881 1024881 64710 64710 3413383 3413383 5894299 CONSTRUCTION IN PROGRESS 3123227 3956789 Rounding 1 OTHER LONG TERM LIABILITIES 357553 357554 21609786 19060310 2549476 -98786 -98786 2450690 21531940 -98786 20940 -77846 21609786 21609786 19081250 20940 20940 19060310 19060310 Part X Part X : FIN48 Footnote Uncertainty in income tax - No provision for income taxes is shown in the financial statements because the Organization is a nonprofit organization. As such, the Organization is exempt from federal income tax.The Organization has not identified any uncertainty in income tax positions that would jeopardize the entity's status as a nonprofit entity. The Organization's income tax returns are subject to review and examination by federal authorities for the years 2008 and later. true X 0 0 Payment of medical bills for individuals who need assistance 152 32602 Grantmaker's Description of How Grants are Used Per the clients funding policy: To be considered for the Helping Hands Fund, the patient's household income should not exceed two hundred percent (200%) of the poverty guidelines. As the Helping Hands Fund is the payer of last resort, all outside funding sources (including, but not limited to, grants, government assistance, private foundations, and patient assistance programs) will be reviewed and utilized before determining Helping Hands Fund eligibility. The Committee will review and vote on eligible applications on a case by case basis. For applicants referred by providers, an Urgent Need Request form will be completed by the provider and signed by a Committee member. If the estimated cost is between $200 and $299, a Management Team Member's signature is also required.Urgent Need Requests equal to or greater than $300 must be approved by the Committee via email vote before funding can occur. Non Urgent Need Applications will be reviewed at monthly Committee meetings. In addition to the application, further information may be obtained by the Committee to aid with eligibility determination.If the need dictates, the Committee may consider an application prior to the monthly meeting. Applicants requesting relief on CVCH accounts will generally receive a decision and notification by a Committee representative within 60 days of Committee review. In making a determination of eligibility, the Committee may consider whether the patient has negotiated in good faith with the CVCH Billing Department, kept Patient Service appointments, made payments, and/or demonstrated interest in clearing his/her account. X true true X X X X X false false false false false false false false false false Scott Bibbins 141714 51571 19520 25289 238094 Patrick Bucknum 153860 5117 23715 182692 MARIE DESIRE 155526 11931 167457 Malcolm Butler 186573 41697 12850 26095 267215 LORINDA PARKS 132640 49066 11303 26052 219061 KENNETH SHERMER 110001 77040 -1598 25586 211029 JOHN DAME 140005 31764 13328 26209 211306 JAMES LARSEN 109009 47688 5115 22406 184218 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. WA HEALTHCARE FACILITIES 911108929 2010-12-16 7200000 REMODELING AND RENOVATION false false false 2910096 7200000 58202 2968298 4231702 true false false true false false false false false false false false false MALCOLM BUTLER BOARD MEMBER CHPW SEE SCHEDULE O. false INTERESTED PERSON PER SCHEDULE L CVCH IS A MEMBER OF COMMUNITY HEALTH PLAN OF WASHINGTON (THE PLAN), A MANAGED CARE PLAN FORMED BY COMMUNITY AND MIGRANT HEALTH CLINICS THROUGHOUT THE STATE OF WASHINGTON TO PARTICIPATE IN THE MANAGED CARE MARKETPLACE. THE PLAN IS A NONPROFIT CORPORATION. EACH CLINIC IS REPRESENTED BY A MEMBER ON THE BOARD OF DIRECTORS OF THE PLAN. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Conflict of interest policy is available upon request but not published externally. Governing documents are not shared. Financial statements can be viewed on site. The organizations's Form 990 is avaliable on Guide Star. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Data pulled from 1) NACHC Health Center Compensation & Benefits Report, 2) Milliman Northwest Health Care Industry Salary Survey, and 3) Independent Salary Surveys Conducted through HR. Information is then reviewed by the CEO who makes recommendation to Board for final approval. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Compliance is updated annually for Board Members. For staff members:The process for evaluating conflict of interest issues is outlined in Policy ADM-CC-02, Employee Conflict of Interest. Employees submit their request for review of outside employment to the Human Resources (HR) Director; generally via email. The HR Director reviews the request with the employee's immediate supervisor and appropriate manager and/or director up to the Management Team Member. If approved via this chain of command, the request is submitted to the CEO for final approval. A written response is provided the employee outlining any guidelines. In the case of highly sensitive conflict of interest issues, employees may consult with the CEO directly. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process Form 990 is reviewed by either the Board or finance committee prior to filing.