2026-03-27T12:53:33-05:00 2025-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-07-01 931250581 WATERFALL CLINIC INC WATE 5417566232 1890 WAITE STREET 1 NORTH BEND OR 97459 MARCELENE KNIGHT BOARD PRESIDENT 5417566232 2026-03-17 1 0 KURT BENNION CPA P01469618 4252506100 2026-03-17 2024 2025-03-06 01:10:19Z WATERFALL COMMUNITY HEALTH CENTER MIKE DURBIN 1890 WAITE STREET 1 NORTH BEND OR 97459 16653731 0 X WWW.WFALL.ORG X 1998 OR TO PROMOTE ACCESS TO QUALITY INTEGRATED HEALTH SERVICES THAT MEET THE NEEDS OF INDIVIDUALS WITH BARRIERS TO CARE ON THE SOUTHERN OREGON COAST. 8 7 159 22 -20624 0 3654745 2869900 13448932 13526288 18705 70590 -10871 -6388 17111511 16460390 18490 47175 0 0 10414844 11821735 0 0 0 3263597 3451900 13696931 15320810 3414580 1139580 17059547 18107636 7634088 7542597 9425459 10565039 TO PROMOTE ACCESS TO QUALITY INTEGRATED HEALTH SERVICES THAT MEET THE NEEDS OF INDIVIDUALS WITH BARRIERS TO CARE ON THE SOUTHERN OREGON COAST. 0 0 11455405 47175 13526288 THE ORGANIZATION PROVIDED INTEGRATED HEALTH CARE SERVICES TO INDIVIDUALS WITH BARRIERS TO CARE ON THE SOUTHERN OREGON COAST. SERVICES INCLUDE MEDICAL, DENTAL, WOMENS' HEALTH CARE, MENTAL HEALTH CARE, INTEGRATED BEHAVIORAL HEALTH, PSYCHIATRY AND AUTISM SERVICES, SOCIAL HEALTH, AND SCHOOL-BASED HEALTH SERVICES. 11455405 1 1 0 0 0 0 0 0 1 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 1 0 0 0 0 0 0 0 0 0 0 0 1 17 0 159 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 OR X JAMIE BURROWS 5417566232 1890 WAITE STREET 1 NORTH BEND OR 97459 LORRAINE DAVIES MD PSYCHIATRIST 40.00 X 391399 0 54862 ROBERT GERBER MD PHYSICIAN 40.00 X 235117 0 18886 PATRICK DWYER MD PHYSICIAN 40.00 X 223212 0 25207 LANCE NELSON MS LPC CEO (THROUGH MARCH 2025) 40.00 X 226289 0 21806 ANDREA PALACIOS CPA CHIEF FINANCIAL OFFICER 40.00 X 195116 0 28699 TYLER COOPER DNP PMHNP PSYCHIATRY PROGRAM MANAGER 40.00 X 176845 0 34396 DR PRIYA AGRAWAL DENTAL PROGRAM MANAGER (THROUGH SEP 2024) 40.00 X 183894 0 19895 GINA MASTROIANNI MED BCBA LBA, AUTISM PROGRAM MANAGER 40.00 X 176085 0 19220 ANTONIA PEREZ FNP PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER 40.00 X 159854 0 27996 KAREN SHEELAR MS LPC NCC CHIEF BEHAVIORAL HEALTH OFFICER 40.00 X 138814 0 18196 NICOLE NORRIS MA THW CHIEF QUALITY OFFICER 40.00 X 129931 0 19807 JUSTIN CASEY CHIEF OPERATING OFFICER 40.00 X 128316 0 14872 BHARBAVGHAI PATEL MD CMO (THROUGH DEC 2024) 40.00 X 75620 0 4537 MICHAEL TORRES MD MBA CPE FAAPL, FAAFP, CMO (AS OF DEC 2024) 40.00 X 32231 0 1934 SANDRA QUALMAN PRESIDENT, THEN INTERIM CEO 9.00 X X 0 0 0 MARCELENE KNIGHT VICE PRESIDENT, THEN PRESIDENT 1.00 X X 0 0 0 TONY CRANE TREASURER (THROUGH MAY 2025) 1.00 X X 0 0 0 ANNA HUIT SECRETARY 1.00 X X 0 0 0 MCCLAIN ALTMAN DIRECTOR 1.00 X 0 0 0 RUTH BELL DIRECTOR 1.00 X 0 0 0 ELIZABETH BRIGHAM DIRECTOR 1.00 X 0 0 0 ARNOLD ROBLAN DIRECTOR 1.00 X 0 0 0 LESLIE RYAN DIRECTOR 1.00 X 0 0 0 STEVE SANDEN DIRECTOR 1.00 X 0 0 0 2472723 0 310313 17 0 1 0 OCHIN PO BOX 5426 PORTLAND OR 97728 EMR SERVICES 479945 CENTERLOGIC 7414 NE HAZEL DELL AVENUE SUITE B VANCOUVER WA 98665 IT CONTRACT SERVICES 148884 2 5198 2457113 407589 2869900 PATIENT SERVICES 624100 7640908 7640908 CAPITATION 624100 5210774 5210774 OTHER PROGRAM REVENUES 624100 373015 373015 PHARMACY 456110 301591 301591 13526288 70590 70590 182703 193341 -10638 -10638 -20624 9986 MISCELLANEOUS INCOME 900099 4250 4250 4250 16460390 13526288 -20624 84826 5000 5000 42175 42175 1478781 1478781 7856324 6796148 1060176 338897 291299 47598 917657 774623 143034 1230076 922557 307519 19298 19298 102530 102530 893821 670658 223163 16021 16021 67429 50572 16857 196157 158402 37755 43323 32492 10831 333757 333757 462346 353961 108385 112216 84162 28054 SUPPLIES 587080 454475 132605 OTHER EMPLOYEE EXPENSES 204783 139133 65650 EQUIPMENT 130073 97555 32518 DUES & SUBSCRIPTIONS 121509 87865 33644 161557 144550 17007 15320810 11455405 3865405 0 2356935 3110158 303028 1488485 1052993 2454582 2543240 98669 106831 12050597 2172430 9606118 9878167 259226 1054758 853993 17059547 18107636 718916 675283 59771 16111 13654 14654 5761344 5968562 1080403 867987 7634088 7542597 X 9392959 10396169 32500 168870 9425459 10565039 17059547 18107636 1139580 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 622538 622538 10154382 1511161 8643221 538652 67020 471632 735025 594249 140776 9878167 RIGHT-OF-USE LEASE LIABILITIES 867987 867987 X 16401851 193341 193341 16208510 251880 251880 16460390 15514151 193341 193341 15320810 0 15320810 PART IV, LINE 2B: THE ORGANIZATION HOLDS SECURITY DEPOSITS FOR RENTAL TENANTS. THE FUNDS ARE RETURNED TO THE TENANT WHEN THE RENTAL RELATIONSHIP ENDS, LESS THE COST OF ANY REPAIRS. PART X, LINE 2: THE CENTER IS INCORPORATED AS A NONPROFIT ENTITY AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAX UNDER THE PROVISIONS OF THE INTERNAL REVENUE CODE SECTION 501(C)(3). MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT, AS OF JUNE 30, 2025 AND 2024, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2022 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW, AND NEW AUTHORITATIVE RULINGS. THE CENTER WILL RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF THE INCOME TAX PROVISION AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE STATEMENT OF FINANCIAL POSITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 193,341. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS WITH DONOR RESTRICTIONS 243,130. CAPITAL CONTRIBUTIONS 8,750. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 193,341. 1 TRANSPORTATION ASSISTANCE 533 1265 CLOTHING ASSISTANCE 85 15159 HOUSING ASSISTANCE 31 1075 VEGGIE RX 5623 24676 FAIR MARKET VALUE PRODUCE PART I, LINE 2: PRIOR TO GIVING TO ANOTHER ORGANIZATION, WATERFALL CLINIC CONFIRMS THEIR CHARITABLE OR GOVERNMENTAL STATUS. GRANTS ARE INTENDED AS GENERAL OPERATING SUPPORT, SO NO FURTHER FOLLOW-UP IS CONDUCTED. CASH IS NOT GIVEN DIRECTLY TO INDIVIDUALS. ANY PAYMENTS ARE MADE DIRECTLY TO THIRD PARTIES ON THE INDIVIDUAL'S BEHALF. INDIVIDUALS ARE GIVEN GAS CARDS THAT HAVE TO BE USED AT THE GASH STATION. X 0 0 0 0 0 0 0 0 0 LORRAINE DAVIES MD PSYCHIATRIST 369317 0 0 0 22082 0 19375 0 35487 0 446261 0 0 0 ROBERT GERBER MD PHYSICIAN 235117 0 0 0 0 0 0 0 18886 0 254003 0 0 0 PATRICK DWYER MD PHYSICIAN 223212 0 0 0 0 0 13393 0 11814 0 248419 0 0 0 LANCE NELSON MS LPC CEO (THROUGH MARCH 2025) 221289 0 5000 0 0 0 0 0 21806 0 248095 0 0 0 ANDREA PALACIOS CPA CHIEF FINANCIAL OFFICER 195116 0 0 0 0 0 7385 0 21314 0 223815 0 0 0 TYLER COOPER DNP PMHNP PSYCHIATRY PROGRAM MANAGER 176845 0 0 0 0 0 11244 0 23152 0 211241 0 0 0 DR PRIYA AGRAWAL DENTAL PROGRAM MANAGER (THROUGH SEP 2024) 183894 0 0 0 0 0 11034 0 8861 0 203789 0 0 0 GINA MASTROIANNI MED BCBA LBA, AUTISM PROGRAM MANAGER 109760 0 0 0 66325 0 6637 0 12583 0 195305 0 0 0 ANTONIA PEREZ FNP PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER 159854 0 0 0 0 0 9816 0 18180 0 187850 0 0 0 KAREN SHEELAR MS LPC NCC CHIEF BEHAVIORAL HEALTH OFFICER 138814 0 0 0 0 0 6438 0 11758 0 157010 0 0 0 STEVE SANDEN BOARD MEMBER 265000 REAL ESTATE PURCHASE 0 FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD. TO THE EXTENT PERMITTED BY LAW AND BY THE RESOLUTION OF THE BOARD, THE EXECUTIVE COMMITTEE MAY EXERCISE ALL OF THE AUTHORITY OF THE BOARD EXCEPT (A) THE AMENDMENT OR REPEAL OF ANY BOARD RESOLUTION, (B) ENCUMBERING FINANCIAL OBLIGATIONS ON BEHALF OF THE BOARD OR THE ORGANIZATOIN, (C) THE APPOINTMENT OF ANY COMMITTEES OR MEMBERS OF ANY COMMITTEES, AND (D) APPROVAL OR REMOVAL OF BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CONTROLLER AND THE INTERIM CEO, THEN IT WAS PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW, AFTER WHICH IT RECOMMENDED THAT THE BOARD APPROVE TO FILE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO THE BOARD MEMBERS, OFFICERS AND EXECUTIVE MANAGEMENT EMPLOYEES. EACH COVERED INDIVIDUAL IS REQUIRED TO COMPLETE A DISCLOSURE STATEMENT ON AN ANNUAL BASIS. EMPLOYEES DISCLOSE CONFLICTS OF INTEREST TO THE CEO. BOARD MEMBERS DISCLOSE CONFLICTS OF INTEREST TO THE BOARD PRESIDENT. IF IT IS UNCLEAR WHETHER A CONFLICT EXISTS, THE BOARD OF DIRECTORS MAKES THE DETERMINATION. THE BOARD OF DIRECTORS DETERMINES WHETHER THE TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR AND REASONABLE TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15A A BOARD SUB-COMMITTEE PERFORMS A REVIEW OF THE CEO AND MAKES A RECOMMENDATION TO THE BOARD REGARDING COMPENSATION UTILIZING SALARY SURVEY DATA PROVIDED BY NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION AND THE OREGON PRIMARY CARE ASSOCIATION. THE CEO PERFORMS REVIEWS OF OTHER OFFICERS AND KEY EMPLOYEES AND UTILIZES THE SALARY SURVEY DATA PROVIDED BY NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION AND THE OREGON PRIMARY CARE ASSOCIATION TO DETERMINE COMPENSATION. THIS PROCESS IS COMPLETED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 ANY MEMBER OF THE PUBLIC MAY REVIEW THE GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS IN THE BUSINESS OFFICE DURING NORMAL BUSINESS HOURS. FORM 990, PART XII, LINE 2C: THE RESPONSIBILITY FOR SELECTING THE FINANCIAL STATEMENT AUDITOR AND FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE FISCAL YEAR.