2025-07-21T09:39:18-05:00 2024-10-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY STE 200 BELLEVUE WA 98004 990 2023-11-01 263084386 LA PINE COMMUNITY HEALTH CENTER LAPI 5415363435 51600 HUNTINGTON ROAD 101 LA PINE OR 97739 ERIN TRAPP CHIEF EXECUTIVE OFFICER 5415363435 2025-07-17 1 1 KURT BENNION P01469618 4252506100 2025-07-17 2023 2025-03-06 01:10:19Z X ERIN TRAPP 51600 HUNTINGTON ROAD 101 LA PINE OR 97739 13645462 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 11 106 10 0 0 5540748 5199780 6006651 6971075 9134 12490 429533 480836 11986066 12664181 28545 24404 0 0 6253869 9644069 97950 38711 103118 2851608 2892074 9231972 12599258 2754094 64923 21876149 19053259 8993265 6105452 12882884 12947807 LA PINE COMMUNITY HEALTH CENTER IMPROVES LIVES IN OUR COMMUNITY THROUGH ACCESSIBLE AND AFFORDABLE HEALTHCARE PROVIDED WITH KINDNESS, INTEGRITY, AND RESPECT. 0 0 8201934 24404 7307030 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. 8201934 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 1 16 0 106 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 OR X X ERIN TRAPP 5418761837 51600 HUNTINGTON ROAD SUITE 101 LA PINE OR 97739 ADAOBI OKONKWO MD PHYSICIAN 32.00 X 181338 0 14186 JOAN FRIDERICI MD PHYSICIAN 40.00 X 172290 0 18991 ERIN TRAPP CHIEF EXECUTIVE OFFICER 50.00 X 176704 0 11671 TYSON LANGLIERS PHSICIAN ASSISTANT 40.00 X 138064 0 17218 SARAH SPERRY PHYSICIAN ASSISTANT 40.00 X 135112 0 16980 DIVYA SHARMA MD FORMER CMO 20.00 X 139915 0 0 KAREN FORMAN CFO 50.00 X 122793 0 16264 DAVID GOSSER CHAIR 1.00 X X 0 0 0 LINDA BAUMAN VICE CHAIR 1.00 X X 0 0 0 RYAN MACIEJ SECRETARY 1.00 X X 0 0 0 MARY DOUGLAS TREASURER 1.00 X X 0 0 0 RICK DAVIS BOARD MEMBER 1.00 X 0 0 0 ETHEL DUMON BOARD MEMBER 1.00 X 0 0 0 ANDREA HINE BOARD MEMBER (THROUGH APRIL 2024) 1.00 X 0 0 0 TAMMY LESUEUR BOARD MEMBER 1.00 X 0 0 0 PAMELA PERRINE BOARD MEMBER 1.00 X 0 0 0 MARY PETERSEN BOARD MEMBER 1.00 X 0 0 0 RELINDA REYNOLDS BOARD MEMBER 1.00 X 0 0 0 CHRISTIE RUDDER BOARD MEMBER 1.00 X 0 0 0 1066216 0 95310 17 0 1 0 STEMACH DESIGN AND ARCHITECTURE 550 SW INDUSTRIAL WAY 135 BEND OR 97702 ARCHITECTURAL SERVICES 359002 WESTON TECHNOLOGY SOLUTIONS 19795 VILLAGE OFFICE COURT BEND OR 97702 IT SUPPORT SERVICES 265428 2 4608676 591104 5199780 PATIENT SERVICE REVENUE 621300 5980995 5980995 PAYOR INCENTIVE REVENUE 621300 990080 990080 6971075 12490 12490 140119 0 140119 140119 140119 2494 0 2494 2494 1317236 981281 335955 335955 MISCELLANEOUS INCOME 900099 2268 2268 2268 12664181 7307030 0 157371 4166 4166 20238 20238 354108 354108 6750326 5256647 1472222 21457 197805 149228 47965 612 1691946 1298387 388236 5323 649884 462562 185160 2162 59696 59696 64470 64470 38711 38711 799118 130257 668861 33763 33763 136620 63990 72383 247 137172 18427 118745 248439 181533 66063 843 188380 85259 103121 120748 120748 228216 228216 50555 50555 MEDICAL SUPPLIES 320560 320560 REPAIRS & MAINTENANCE 141448 37811 103637 DUES & SUBSCRIPTIONS 120636 23709 96927 BAD DEBT EXPENSE 115700 115700 126553 33460 93093 12599258 8201934 4294206 103118 10692091 282810 1856177 129583 82033 1187189 1002983 1205404 7370 50486 95260 65195 17813165 1845337 7917646 15967828 222589 164764 21876149 19053259 1588268 699732 1988519 220117 5193539 5016202 222939 169401 8993265 6105452 X 12882884 12947807 12882884 12947807 21876149 19053259 64923 0 X X 0 1 X 1 1 1 X 3621234 2909918 3164094 5540748 5199780 20435774 6677459 7676779 7659148 7367475 8288311 37669172 10298693 10586697 10823242 12908223 13488091 58104946 0 0 0 58104946 27875 131476 135837 136546 152609 584343 27875 131476 135837 136546 152609 584343 14480 18780 86590 4762 124612 10326568 10732653 10977859 13131359 13645462 58813901 0.98790 0.98910 0.00990 0.00870 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 6399798 652484 5747314 776296 742276 34020 10233696 450577 9783119 15967828 RIGHT-OF-USE LEASE LIABILITIES 169401 169401 X 11877526 24000 312421 336421 11541105 1123076 1123076 12664181 12819979 24000 312421 336421 12483558 115700 115700 12599258 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 312,421. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 115,700. CAPITAL GRANTS AND CONTRIBUTIONS 1,007,376. PART XII, LINE 2D - OTHER ADJUSTMENTS: PHARMACY 340B SUPPLIES 312,421. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 115,700. X X X X X 1 MARLENE CARLSON 4234 SW RHYOLITE PLACE REDMOND OR 97756 FUNDRAISING CONSULTING 0 0 35591 -35591 35591 -35591 OR 1 TRANSPORTATION ASSISTANCE 62 2279 RX/DME ASSISTANCE 92 10123 FOOD ASSISTANCE 111 6120 DIAPER ASSISTANCE 10 200 OTHER-CLOTHING-SHOES/HOUSEWARES 26 1516 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 ADAOBI OKONKWO MD PHYSICIAN 180338 0 1000 0 0 0 0 0 14186 0 195524 0 0 0 JOAN FRIDERICI MD PHYSICIAN 171290 0 1000 0 0 0 0 0 18991 0 191281 0 0 0 ERIN TRAPP CHIEF EXECUTIVE OFFICER 175704 0 1000 0 0 0 0 0 11671 0 188375 0 0 0 TYSON LANGLIERS PHSICIAN ASSISTANT 138064 0 0 0 0 0 0 0 17218 0 155282 0 0 0 SARAH SPERRY PHYSICIAN ASSISTANT 135112 0 0 0 0 0 0 0 16980 0 152092 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS RECEIVED AN ELECTRONIC DRAFT COPY THAT WAS REVIEWED AT A BOARD MEETING WITH THE FULL BOARD, WITH THE CEO, COO AND CFO IN ATTENDANCE. AT THAT BOARD MEETING, THE TAX ACCOUNTANT REVIEWED THE TAX FORM AND ALL BOARD MEMBERS HAD AN OPPORTUNITY TO ASK ANY QUESTIONS PRIOR TO APPROVING THE TAX FILING. 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 OCTOBER 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S 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.