2026-08-26T16:14:59-05:00 2025-10-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY STE 200 BELLEVUE WA 98004 990 2024-11-01 263084386 LA PINE COMMUNITY HEALTH CENTER LAPI 5415363435 51600 HUNTINGTON ROAD 101 LA PINE OR 97739 ERIN TRAPP CEO 5415363435 2026-08-26 1 0 KURT BENNION P01469618 4252506100 2026-08-25 2024 2025-03-06 01:10:19Z MARIE MANES 51600 HUNTINGTON ROAD 101 LA PINE OR 97739 12156790 0 X WWW.LAPINEHEALTH.ORG X 2008 OR LA PINE COMMUNITY HEALTH CENTER IMPROVES LIVES IN OUR COMMUNITY THROUGH ACCESSIBLE AND AFFORDABLE HEALTHCARE PROVIDED WITH KINDNESS, INTEGRITY, AND RESPECT. 11 11 110 15 0 0 5199780 4286471 6971075 6680854 12490 3541 480836 570777 12664181 11541643 24404 16999 0 0 9644069 7549226 38711 0 226587 2892074 2383028 12599258 9949253 64923 1592390 19053259 26031964 6105452 11491767 12947807 14540197 LA PINE COMMUNITY HEALTH CENTER IMPROVES LIVES IN OUR COMMUNITY THROUGH ACCESSIBLE AND AFFORDABLE HEALTHCARE PROVIDED WITH KINDNESS, INTEGRITY, AND RESPECT. 0 0 6631641 16999 6680854 LA PINE COMMUNITY HEALTH CENTER (LCHC), A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) FORMED IN 2009, SERVES THE GENERAL POPULATION WITH AN EMPHASIS ON DISADVANTAGED AND MEDICALLY UNDER-SERVED RESIDENTS. LCHC PROVIDES PATIENT-CENTERED, COMPREHENSIVE, AFFORDABLE PRIMARY MEDICAL, BEHAVIORAL/MENTAL HEALTH AND ANCILLARY (OUTREACH) CARE TO PATIENTS LIVING IN THE SERVICE AREA WHICH INCLUDES SOUTH DESCHUTES COUNTY, NORTHERN KLAMATH, AND NORTHWESTERN LAKE COUNTIES. OUR SERVICES INCLUDE PREVENTION, DIAGNOSIS AND TREATMENT OF ACUTE AND CHRONIC ILLNESS, CHRONIC DISEASE MANAGEMENT, REFERRALS, AND FOLLOW-UP FOR SPECIALTY DIAGNOSTIC TREATMENT. 6631641 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 16 0 1 110 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 OR X X MARIE MANES 5415363435 51600 HUNTINGTON ROAD SUITE 101 LA PINE OR 97739 RIO LION CHIEF MEDICAL OFFICER 40.00 X 332957 0 12489 MARVIN STROHSCHEIN JR DDS DENTIST 40.00 X 278088 0 25569 JOE MCCOOK MD PHYSICIAN 40.00 X 261513 0 37288 ERIN TRAPP CHIEF EXECUTIVE OFFICER 50.00 X 217064 0 14017 AMANDA FIELDS MD PHYSICIAN 40.00 X 213562 0 9517 ADAOBI OKONKWO MD PHYSICIAN 32.00 X 184614 0 12611 KAREN FORMAN CFO 50.00 X 146416 0 21358 DAVID GOSSER CHAIR 1.00 X X 0 0 0 LINDA BAUMAN VICE CHAIR 1.00 X X 0 0 0 MARY DOUGLAS TREASURER (THROUGH OCTOBER 2025) 1.00 X X 0 0 0 ETHEL DUMON BOARD MEMBER & TREASURER 1.00 X X 0 0 0 RYAN MACIEJ SECRETARY 1.00 X X 0 0 0 KIRK CUSHING BOARD MEMBER 1.00 X 0 0 0 RICK DAVIS BOARD MEMBER 1.00 X 0 0 0 TAMMY LESUEUR BOARD MEMBER 1.00 X 0 0 0 BRIAN LUSBY BOARD MEMBER (AUG 2025 TO SEP 2025) 1.00 X 0 0 0 SHEILA LUSBY BOARD MEMBER (AS OF SEP 2025) 1.00 X 0 0 0 SUZANNE MARQUEZ BOARD MEMBER 1.00 X 0 0 0 PAMELA PERRINE BOARD MEMBER 1.00 X 0 0 0 MARY PETERSON BOARD MEMBER (THROUGH AUGUST 2025) 1.00 X 0 0 0 RELINDA REYNOLDS BOARD MEMBER (THROUGH FEBRUARY 2025) 1.00 X 0 0 0 CHRISTIE RUDDER BOARD MEMBER 1.00 X 0 0 0 1634214 0 132849 18 0 1 0 SKANSKA USA BUILDING INC 1010 NW FLANDERS STREET SUITE 500 PORTLAND OR 97209 CONSTRUCTION 8116339 OCHIN PO BOX 5426 PORTLAND OR 972285426 EMR SERVICES 328919 STEMACH DESIGN AND ARCHITECTURE 550 SW INDUSTRIAL WAY 135 BEND OR 97702 ARCHITECTURAL SERVICES 321163 WESTON TECHNOLOGY SOLUTIONS 2214 NE DIVISION STREET SUITE 201 BEND OR 97703 IT SUPPORT SERVICES 214847 CUMMING MANAGEMENT GROUP INC 25240 HANCOCK AVE STE 200 MURRIETA CA 92562 CONSTRUCTION MANAGEMENT 114203 5 4041255 245216 4286471 PATIENT SERVICE REVENUE 621300 5688562 5688562 PAYOR INCENTIVE REVENUE 621300 992292 992292 6680854 3541 3541 142298 0 142298 142298 142298 117 0 117 117 1041395 615147 426248 426248 MISCELLANEOUS INCOME 900099 2114 2114 2114 11541643 7107102 0 148070 173 173 16826 16826 398855 398855 5645427 4627014 878002 140411 178944 142781 30181 5982 745519 623084 96331 26104 580481 418321 148197 13963 312753 312753 126020 126020 51474 51474 364809 136401 223673 4735 7442 7442 258460 129118 125142 4200 45687 6786 38637 264 233227 151352 77038 4837 52112 31049 20321 742 1666 1666 249940 249940 90272 90272 MEDICAL SUPPLIES 189064 189064 REPAIRS & MAINTENANCE 160735 51050 109662 23 DUES & SUBSCRIPTIONS 87107 20053 60491 6563 BAD DEBT EXPENSE 50505 50505 101755 38064 52370 11321 9949253 6631641 3091025 226587 282810 5076 129583 179746 1187189 257333 1205404 1085077 50486 38174 65195 139852 26304985 2095278 15967828 24209707 164764 116999 19053259 26031964 699732 1051502 220117 125000 5016202 10032426 159540 169401 123299 6105452 11491767 X 12947807 14540197 12947807 14540197 19053259 26031964 1592390 0 X X 0 1 X 1 1 1 X 2909918 3164094 5540748 5199780 4286471 21101011 7676779 7659148 7367475 8288311 7722249 38713962 10586697 10823242 12908223 13488091 12008720 59814973 0 0 0 59814973 131476 135837 136546 152609 145839 702307 131476 135837 136546 152609 145839 702307 14480 18780 86590 4762 2331 126943 10732653 10977859 13131359 13645462 12156890 60644223 0.98630 0.98790 0.01160 0.00990 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME GAMING REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 403375 403375 6452097 875498 5576599 776296 756616 19680 18673217 463164 18210053 24209707 RIGHT-OF-USE LEASE LIABILITIES 123299 123299 X 9694160 24000 259646 283646 9410514 2131129 2131129 11541643 10182394 24000 259646 283646 9898748 50505 50505 9949253 PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT ORGANIZATION AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)(III) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). PART XI, LINE 2D - OTHER ADJUSTMENTS: PHARMACY 340B SUPPLIES 259,646. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 50,505. CAPITAL GRANTS AND CONTRIBUTIONS 2,080,624. PART XII, LINE 2D - OTHER ADJUSTMENTS: PHARMACY 340B SUPPLIES 259,646. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 50,505. 1 RX/DME ASSISTANCE 139 3487 FOOD ASSISTANCE 45 1053 OTHER ASSISTANCE (DIAPERS, CLOTHING, SHOES, HOUSEWARES, ETC.) 19 981 TRANSPORTATION ASSISTANCE 128 11305 PART I, LINE 2: TO ENSURE PROPER USE, INDIVIDUALS ARE GIVEN VOUCHERS FOR ASSISTANCE WITH TRANSPORTATION, FOOD, ETC., OR ARE GIVEN THE ITEMS THEY NEED. X X 0 0 0 0 0 0 0 0 0 RIO LION CHIEF MEDICAL OFFICER 321957 0 11000 0 0 0 0 0 12489 0 345446 0 0 0 MARVIN STROHSCHEIN JR DDS DENTIST 271088 0 7000 0 0 0 0 0 25569 0 303657 0 0 0 JOE MCCOOK MD PHYSICIAN 250513 0 11000 0 0 0 0 0 37288 0 298801 0 0 0 ERIN TRAPP CHIEF EXECUTIVE OFFICER 216064 0 1000 0 0 0 0 0 14017 0 231081 0 0 0 AMANDA FIELDS MD PHYSICIAN 203562 0 10000 0 0 0 0 0 9517 0 223079 0 0 0 ADAOBI OKONKWO MD PHYSICIAN 183614 0 1000 0 0 0 0 0 12611 0 197225 0 0 0 KAREN FORMAN CFO 145416 0 1000 0 0 0 0 0 21358 0 167774 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 BRIAN LUSBY AND SHEILA LUSBY, BOARD MEMBERS, HAVE A FAMILY RELATIONSHIP. THEY DID NOT SERVE ON THE BOARD OF DIRECTORS AT THE SAME TIME. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CEO AND BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY IS REVIEWED ANNUALLY WITH THE BOARD MEMBERS, DIRECTORS, MANAGERS AND KEY EMPLOYEES. THE DISCLOSURE STATEMENT AND CONFLICT OF INTEREST ARE SIGNED BY EACH PERSON. A TRANSACTION IN WHICH A BOARD MEMBER HAS A CONFLICT OF INTEREST MAY BE APPROVED BY MAJORITY VOTE OF A QUORUM OF THE BOARD OF DIRECTORS IF THE MATERIAL FACTS OR THE TRANSACTION AND THE DIRECTOR'S INTEREST ARE DISCLOSED OR KNOWN TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S SALARY IS ASSESSED BY THE BOARD BASED ON A SURVEY OF COMMUNITY HEALTH CENTERS IN OUR REGION FROM NORTHWEST REGIONAL PRIMARY CARE. THE LAST COMPENSATION REVIEW OCCURRED IN DECEMBER 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE AUTHORITY AND PROCESS FOR SELECTING THE FINANCIAL STATEMENT AUDITOR AND FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE FISCAL YEAR.