2025-05-15T07:32:24-04:00 2024-06-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2023-07-01 930628804 SISKIYOU COMMUNITY HEALTH CENTER INC SISK 5414724777 1701 NW HAWTHORNE AVE GRANTS PASS OR 97526 RICHARD BOOTH CEO 5414724777 2025-05-12 true true RIKKI PATCH P01472231 5092420874 2025-05-15 2023 2025-03-06 01:10:19Z DAWN WEBER 1701 NW HAWTHORNE AVE GRANTS PASS OR 97526 37025688 false X WWW.SISKIYOUHEALTHCENTER.COM X 1975 OR TO IDENTIFY AND PROVIDE CARE FOR PRIMARY HEALTH NEEDS OF OUR COMMUNITY IN A PROFESSIONAL AND COMPASSIONATE MANNER. 12 12 293 12 0 7945241 6167812 17702748 22290373 8447 151702 4902598 5772538 30559034 34382425 83460 69975 0 20030823 23645718 0 41685 7573046 8530829 27687329 32246522 2871705 2135903 35105296 36682150 13911647 13352598 21193649 23329552 TO IDENTIFY AND PROVIDE CARE FOR PRIMARY HEALTH NEEDS OF OUR COMMUNITY IN A PROFESSIONAL AND COMPASSIONATE MANNER. false false 21681251 69975 28056635 HEALTHCARE: SISKIYOU COMMUNITY HEALTH CENTER (THE CENTER)IS DESIGNATED AS A FEDERAL QUALIFIED HEALTH CENTER THAT PROVIDES COMPREHENSIVE HEALTHCARE SERVICES FOR THE UNDERSERVED POPULATION OF SOUTHERN OREGON. THE CENTER PROVIDES OUTPATIENT MEDICAL, DENTAL, MENTAL HEALTH, 340B PHARMACY, AND CASE MANAGEMENT SERVICES TO ITS PATIENTS. THE CENTER PROVIDED 50,463 MEDICAL VISITS, 1,684 MENTAL HEALTH VISITS, AND 26,430 DENTAL VISITS DURING THE YEAR. 948624 OUTREACH: THE CENTER ALSO PROVIDES OUTREACH, EDUCATION, AND HOME VISITS TO AT-RISK CHILDREN AND THEIR FAMILIES. THIS INCLUDES PARENTING EDUCATION AND HEALTHY START SERVICES FOR THESE FAMILIES. OUTPATIENT MEDICAL CARE, HEALTH EDUCATION, AND PROMOTION ARE ALSO PROVIDED TO STUDENTS AT FIVE SCHOOL-BASED CARE CENTERS LOCATED IN THE SCHOOLS WITHIN THE COMMUNITY IT SERVES. 22629875 true true false false false false false false false false true false false false true true true false false false false false false false true false false true false true false false false false false false false false false false false false false false false false false true 55 0 false 293 true false false false false false false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true true false OR X X DAWN WEBER 5414724777 1701 NW HAWTHORNE AVE GRANTS PASS OR 97526 KRISTIN MILLER CMO 40.00 X 421825 0 67758 JOE DUNN CDO 40.00 X 374715 0 73834 RICHARD BOOTH CEO 40.00 X 337960 0 47357 CHRISTIAN HOLLAND PHYSICIAN 40.00 X 310136 0 42183 DUSTIN DURHAM PHYSICIAN 40.00 X 279202 0 54901 BEN ALLISON PRACTITIONER 40.00 X 281511 0 36987 LINFORD BEACHY PHYSICIAN 40.00 X 256197 0 48184 SNEHA INNES DENTIST 40.00 X 270202 0 18394 GREGORY BALL CFO 40.00 X 206721 0 66575 BRAD LAMONT BOARD CHAIR 2.00 X X 0 0 0 WARREN KENDALL PAST CHAIR 2.00 X X 0 0 0 DENISE TERRELL VICE CHAIR 2.00 X X 0 0 0 GARY DUNHAM TREASURER 2.00 X X 0 0 0 RICHARD COHEN DIRECTOR 2.00 X 0 0 0 ROBIN HAUSEN DIRECTOR 2.00 X 0 0 0 LYLE JACKSON DIRECTOR 2.00 X 0 0 0 JENNIFER ROBERTS DIRECTOR 2.00 X 0 0 0 MONICA MCFADDEN DIRECTOR 2.00 X 0 0 0 WILLIAM WARD DIRECTOR 2.00 X 0 0 0 YOLANDA VALENCIA DIRECTOR 2.00 X 0 0 0 KRIS SHERMAN DIRECTOR 2.00 X 0 0 0 BRUCE MCKEE DIRECTOR 2.00 X 0 0 0 JANET CAPETTY DIRECTOR 2.00 X 0 0 0 2738469 456173 48 false true false OUTLIER CONSTRUCTION LLC 2870 NANSEN DRIVE MEDFORD OR 97504 CONSTRUCTION 695003 SCRIBE-X LLE PO BOX 6590 PORTLAND OR 97228 TRANSCRIPTION 337509 DIAMOND MEDICAL MAINTENANCE INC PO BOX 3071 CENTRAL POINT OR 97502 CLEANING SERV. 328014 BARTON & ASSOCIATES INC PO BOX 417844 BOSTON MA 02241 LOCUMS MEDICAL 225205 HY-TECH ELECTRIC INC PO BOX 615 ROGUE RIVER OR 97527 CONSTRUCTION 107535 5 41942 5737781 388089 6167812 NET PATIENT SERVICE REVENUE 621300 20649002 20649002 MEDICAL INCENTIVE REVENUE 621300 1641371 1641371 22290373 145674 145674 6028 6028 6028 6028 14600 41942 41497 -26897 -26897 8368028 2601766 5766262 5766262 REBATES & OTHER 900099 33173 33173 33173 34382425 28056635 157978 69975 69975 1617625 948624 669001 17315805 13185315 4090167 40323 479559 373730 105829 2812180 1978091 834089 1420549 1052261 368288 259396 259396 140696 140696 1593062 1128418 464644 177417 63993 113424 694360 264413 429705 242 886851 486452 400399 118983 89063 29920 308838 103781 205057 364014 82252 281762 1307999 1195560 112439 129587 64350 65237 REPAIRS & MAINTENANCE 1012153 288590 723563 MEDICAL SUPPLIES 908041 905371 2670 RECRUITMENT & PROVIDER 377772 288185 89587 251660 61451 189089 1120 32246522 22629875 9574962 41685 5535188 5280860 1095399 1100568 161233 287487 5333269 6701138 329380 386790 415935 452159 32095528 10513317 21410467 21582211 824425 890937 35105296 36682150 2353970 2393068 49960 49960 10609354 10015771 898363 893799 13911647 13352598 X 21193649 23329552 21193649 23329552 35105296 36682150 X 2135903 X false true X true true true X 5909482 9747760 6887662 7945241 6167812 36657957 5909482 9747760 6887662 7945241 6167812 36657957 36657957 86396 57289 62696 40347 145674 392402 41705 49469 34606 24961 33173 183914 37234273 111109530 0.98450 0.98570 X PART II, LINE 10 FUNDRAISING EVENT & OTHER INCOME 150,741 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1246527 1246527 23754153 4888539 18865614 498092 308320 189772 6596756 5316458 1280298 21582211 DEFERRED COMPENSATION 540823 OPERATING LEASE LIABILITIES 352976 893799 X 37025688 2643263 2643263 34382425 34382425 34889785 2643263 2643263 32246522 32246522 SCHEDULE D, PAGE 3, PART X THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE CENTER EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF JUNE 30, 2024 AND 2023, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D FUNDRAISING EVENT EXPENSES 41,497 COST OF GOODS SOLD 2,601,766 SCHEDULE D, PAGE 4, PART XII, LINE 2D FUNDRAISING EVENT EXPENSES 41,497 COST OF GOODS SOLD 2,601,766 TEE OFF FOR KID 56542 41942 14600 1764 39733 56542 41942 14600 1764 39733 41497 -26897 true ACTIVE CLUB 1259 FRUITDALE DR GRANTS PASS OR 97528 930883280 501C3 19475 4 THE KIDS GRANTS PASS SCHOOL DISTRICT 725 NE DEAN DRIVE GRANTS PASS OR 97526 936000542 GOV 10000 EARLY LEARNING PRO. GRANTS PASS SCHOOL DISTRICT 725 NE DEAN DRIVE GRANTS PASS OR 97526 936000542 GOV 9700 HIGH SCHOOL PRO. ROGUE COMMUNITY COLLEGE 3345 REDWOOD HWY GRANTS PASS OR 97527 930591783 501C3 8000 NURSING PROGRAM BOYS & GIRLS CLUB OF ROGUE VALLEY 203 SE 9TH STREET GRANTS PASS OR 97526 930588108 501C3 6200 EVENT SPONSORSHIP 4 SCHEDULE I, PAGE 1, PART I, LINE 2 ALL DONATIONS ARE GIVEN TO CHARITABLE ORGANIZATIONS FOR WHOLESOME EVENTS FOR KIDS, FAMILIES AND THOSE IN NEED. AS DONATIONS ARE MADE TO CHARITABLE ORGANIZATIONS FOR GENERAL OPERATING SUPPORT, NO SPECIFIC FOLLOW-UP IS CONDUCTED REGARDING THE USE OF THE FUNDS. X X X X false false false true false false false true false KRISTIN MILLER CMO 341364 10772 69689 13448 54310 489583 JOE DUNN CDO 363204 8750 2761 13448 60386 448549 RICHARD BOOTH CEO 269013 10750 58197 248 47109 385317 CHRISTIAN HOLLAND PHYSICIAN 270897 900 38339 12786 29397 352319 DUSTIN DURHAM PHYSICIAN 207684 500 71018 11695 43206 334103 BEN ALLISON PRACTITIONER 241538 900 39073 10248 26739 318498 LINFORD BEACHY PHYSICIAN 259035 900 -3738 10699 37485 304381 SNEHA INNES DENTIST 263264 900 6038 248 18146 288596 GREGORY BALL CFO 194250 10720 1751 8784 57791 273296 SCHEDULE J, PAGE 1, PART I, LINE 5A THE CENTER'S MEDICAL PROVIDERS MAY RECEIVE INCENTIVE COMPENSATION BASED ON THE NUMBER OF PATIENTS SEEN IN A DAY, WHICH IS CLOSELY CONNECTED TO THE ORGANIZATION'S REVENUES. SCHEDULE J, PAGE 1, PART I, LINE 7 ALL EMPLOYEES RECEIVED BONUSES DURING THE YEAR. THE AMOUNTS WERE DETERMINED BY THE BOARD OF DIRECTORS AND CEO, BASED ON TYPE OF POSITION AND TENURE. FORM 990, PAGE 6, PART VI, LINE 1A THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE COMPRISED OF THE OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS IN EMERGENCY SITUATIONS WHEN AN IMMEDIATE DECISION MUST BE MADE TO AVOID A DELETERIOUS OUTCOME. ANY EMERGENCY ACTION TAKEN BY THE EXECUTIVE COMMITTEE MUST BE RATIFIED BY A MAJORITY VOTE OF THE BOARD AT ITS NEXT REGULAR MEETING. THE EXECUTIVE COMMITTEE'S RESPONSIBILITIES ALSO INCLUDE (A) COORDINATING ACTIVITIES OF THE BOARD (B) CONDUCTING ANNUAL PERFORMANCE EVALUATION OF THE CEO AND RECOMMENDING ADJUSTMENTS TO THE CEO'S COMPENSATION PACKAGE CONSISTENT WITH THE RESULTS OF THE EVALUATION (C) OVERSEEING THE RESEARCH, DEVELOPMENT AND RECOMMENDATION OF A LONG-RANGE PLAN (D) MAKING SPECIFIC FISCAL GOALS AND OBJECTIVE RECOMMENDATIONS FOR ADOPTION BY THE BOARD BASED ON THE STRATEGIC PLAN (E) REVIEWING AND RECOMMENDING CONTRACTUAL RELATIONSHIPS FOR OUTSIDE SERVICES WITH CONSULTANTS AND SPECIALISTS (F) REVIEWING, DEVELOPING AND RECOMMENDING THE ORGANIZATION'S HUMAN RESOURCES POLICIES AND (G) ANNUALLY REVIEWING EMPLOYMENT CLASSIFICATIONS, SALARIES AND BENEFITS. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE EXECUTIVE STAFF WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PROVIDED TO THE BOARD FOR REVIEW. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARE TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C EMPLOYEES, DIRECTORS, CONSULTANTS, AND THOSE WHO PROVIDE SERVICES OR FURNISH GOODS TO THE CENTER SHALL AVOID ANY CONFLICT OF INTEREST OR THE APPEARANCE OF CONFLICT OF INTEREST BY EXEMPTING THEMSELVES FROM CONSIDERING ANY INDIVIDUAL ISSUES ON WHICH THEY HAVE AN ACTUAL OR APPARENT CONFLICT OF INTEREST. THE BOARD REQUIRES THAT EACH MEMBER FILL OUT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE DOCUMENTING ALL COMPANIES OWNED BY THE BOARD MEMBERS OR OTHER BOARDS THAT THE MEMBER MAY BELONG TO. FORM 990, PAGE 6, PART VI, LINE 15A THE EXECUTIVE COMMITTEE CONDUCTS AN ANNUAL PERFORMANCE EVALUATION OF THE CEO AND RECOMMENDS ADJUSTMENTS TO THE CEO'S COMPENSATION PACKAGE CONSISTENT WITH THE RESULTS OF THE ANNUAL EVALUATION AND THE MOST RECENT MGMA SALARY SURVEY STANDARDS. EACH YEAR A MARKET REVIEW OF KEY EMPLOYEES' COMPENSATION IS PREPARED USING THE NORTHWEST REGIONAL PRIMARY CARE ASSOCIATIONS EVALUATIONS FOR REGION X, SPECIFIC TO FQHC'S. COMPENSATION COMPARISONS ARE ALSO EVALUATED USING THE NATIONAL MGMA AND THE OREGON CHAPTER OF THE MGMA. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED BY THE CEO AND THEN THE BOARD OF DIRECTORS FOR APPROVAL IN THE BUDGET. FORM 990, PAGE 6, PART VI, LINE 19 THE CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 FUNDRAISING EVENT EXPENSES 41,497 COST OF GOODS SOLD 2,601,766 FUNDRAISING EVENT EXPENSES -41,497 COST OF GOODS SOLD -2,601,766