2026-03-18T10:57:12-04:00 2025-06-30 200079326 DZA PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2024-07-01 930628804 SISKIYOU COMMUNITY HEALTH CENTER INC SISK 5414724777 1701 NW HAWTHORNE AVE GRANTS PASS OR 97526 ERIC VAN HOUTEN CEO (BEG. 06/25) 5414724777 2026-02-25 true true RIKKI PATCH P01472231 5092420874 2026-03-18 2024 2025-03-06 01:10:19Z ERIC VAN HOUTEN 1701 NW HAWTHORNE AVE GRANTS PASS OR 97526 40980529 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. 15 15 290 15 0 6167812 5803974 22290373 25151607 151702 171818 5772538 6993626 34382425 38121025 69975 6029 0 23645718 25334183 0 3441 8530829 9603977 32246522 34944189 2135903 3176836 36682150 40151766 13352598 13645378 23329552 26506388 TO IDENTIFY AND PROVIDE CARE FOR PRIMARY HEALTH NEEDS OF OUR COMMUNITY IN A PROFESSIONAL AND COMPASSIONATE MANNER. false false 22466956 6029 32011813 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 85,693 MEDICAL VISITS, 3,111 MENTAL HEALTH VISITS, AND 19,989 DENTAL VISITS DURING THE YEAR. 1306190 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. THE CENTER PROVIDED 2,294 OUTREACH VISITS DURING THE YEAR. 23773146 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 false false true false false false false false false false false false false false false false false false false false true 51 0 true 290 true false false false false false false false false false false false false X 15 15 false true false false false false false true true false false true true true true true true true true false OR X X MONIQUE DUMOND 5414724777 PO BOX 276 NEWMAN LAKE WA 99025 KRISTIN MILLER CMO 40.00 X 436729 0 104603 JOE DUNN CAO 40.00 X 404127 0 89856 CRYSTAL HILL PHYSICIAN 40.00 X 317661 0 94348 CHRISTIAN HOLLAND PHYSICIAN 40.00 X 327877 0 73218 BEN ALLISON PRACTITIONER 40.00 X 307008 0 38554 KEVIN MUDROW PHYSICIAN 40.00 X 288083 0 34443 AMY WILLS PHYSICIAN 40.00 X 241789 0 40138 GREGORY BALL CFO (END 08/ 40.00 X 201616 0 45020 DAWN WEBER INTERIM CEO/ 40.00 X 195600 0 35128 ERIC VAN HOUTEN CEO (BEG. 06 40.00 X 0 0 0 BRAD LAMONT BOARD CHAIR 2.00 X X 0 0 0 WARREN KENDALL PAST CHAIR 2.00 X X 0 0 0 GARY DUNHAM VICE CHAIR 2.00 X X 0 0 0 WILLIAM WARD TREASURER 2.00 X X 0 0 0 MONICA MCFADDEN SECRETARY 2.00 X X 0 0 0 DENISE TERRELL 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 YOLANDA VALENCIA DIRECTOR 2.00 X 0 0 0 KRIS SHERMAN DIRECTOR 2.00 X 0 0 0 JANET CAPETTY DIRECTOR 2.00 X 0 0 0 BRUCE MCKEE DIRECTOR 2.00 X 0 0 0 JAMES VAN HORNE DIRECTOR 2.00 X 0 0 0 JOYA FELTZIN DIRECTOR 2.00 X 0 0 0 MONIQUE DUMOND CFO (BEG. 01 16.00 X 0 0 0 CINDY PRATT CFO (09/24 - 16.00 X 0 0 0 2720490 555308 57 false true false TONKON TORP LLP 888 SW 5TH AVE SUITE 1600 PORTLAND OR 97204 LEGAL SERVICES 776837 SCRIBE-X LLE PO BOX 6590 PORTLAND OR 97228 TRANSCRIPTION 381400 DIAMOND MEDICAL MAINTENANCE INC PO BOX 3071 CENTRAL POINT OR 97502 CLEANING SERV. 357485 COMMUNITY LINK CONSULTING PO BOX 276 NEWMAN LAKE WA 99025 FIN. CONSULTING 264746 OUTLIER CONSTRUCTION LLC 2870 NANSEN DRIVE MEDFORD OR 97504 CONSTRUCTION 257151 5 33342 5116466 654166 5803974 NET PATIENT SERVICE REVENUE 621300 23005906 23005906 MEDICAL INCENTIVE REVENUE 621300 2145701 2145701 25151607 188736 188736 16918 -16918 -16918 -16918 24782 33342 31571 -6789 -6789 9671221 2811015 6860206 6860206 REBATES & OTHER 900099 140209 140209 140209 38121025 32011813 305238 6029 6029 1379119 1049862 329257 18758755 14083759 4674996 439513 330482 109031 3218051 2353225 864826 1538745 1140282 398463 669604 669604 537563 537563 1707390 948741 756745 1904 81989 12872 67689 1428 681809 284195 397614 793845 538987 254858 125595 80331 45264 266297 160194 106103 344940 84348 260592 1318520 1071905 246615 125651 42789 82862 MEDICAL SUPPLIES 1105574 1097336 8238 REPAIRS & MAINTENANCE 1092608 348193 744415 RECRUITMENT & PROVIDER 29591 28845 746 723001 110771 612121 109 34944189 23773146 11167602 3441 5280860 8579797 1100568 958111 287487 636327 6701138 7544531 386790 428076 452159 455259 32301401 11804158 21582211 20497243 890937 1052422 36682150 40151766 2393068 2568293 49960 636041 10015771 9387565 893799 1053479 13352598 13645378 X 23329552 26506388 23329552 26506388 36682150 40151766 X 3176836 X false true X true true true X 9747760 6887662 7945241 6167812 5803974 36552449 9747760 6887662 7945241 6167812 5803974 36552449 36552449 57289 62696 40347 145674 188736 494742 49469 34606 24961 33173 164991 307200 37354391 129327332 0.97850 0.98450 X PART II, LINE 10 FUNDRAISING EVENT & OTHER INCOME 307,200 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1246527 1246527 23794389 5621105 18173284 498092 340084 158008 6762393 5842969 919424 20497243 DEFERRED COMPENSATION 742153 OPERATING LEASE LIABILITIES 311326 1053479 X 40975352 2854327 2854327 38121025 38121025 37798516 2854327 2854327 34944189 34944189 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, 2025 AND 2024, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D FUNDRAISING EVENT EXPENSES 31,571 COST OF GOODS SOLD 2,811,015 LOSS ON DISPOSAL OF PROPERTY 11,741 SCHEDULE D, PAGE 4, PART XII, LINE 2D FUNDRAISING EVENT EXPENSES 31,571 COST OF GOODS SOLD 2,811,015 LOSS ON DISPOSAL OF PROPERTY 11,741 TEE OFF FOR KID 58124 33342 24782 1449 9700 339 20083 58124 33342 24782 1449 9700 339 20083 31571 -6789 X X X X false false false true false false false true false KRISTIN MILLER CMO 362163 45657 28909 64500 40103 541332 JOE DUNN CAO 367003 13138 23986 43700 46156 493983 CRYSTAL HILL PHYSICIAN 275476 40000 2185 57812 36536 412009 CHRISTIAN HOLLAND PHYSICIAN 287657 38211 2009 59110 14108 401095 BEN ALLISON PRACTITIONER 282923 13029 11056 27308 11246 345562 KEVIN MUDROW PHYSICIAN 282585 3344 2154 23047 11396 322526 AMY WILLS PHYSICIAN 192200 31904 17685 23882 16256 281927 GREGORY BALL CFO (END 08/24) 125224 76392 13922 31098 246636 DAWN WEBER INTERIM CEO/COO 160000 35600 20972 14156 230728 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 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 3 BEGINNING IN SEPTEMBER 2024, THE ORGANIZATION CONTRACTED WITH COMMUNITY LINK CONSULTING FOR CFO SERVICES. CINDY PRATT AND MONIQUE DUMOND, LISTED ON FORM 990, PART VII, SECTION A, WERE NOT COMPENSATED BY THE ORGANIZATION DIRECTLY. THEREFORE, THERE IS NO COMPENSATION TO REPORT ON FORM 990, PART VII, SECTION A FOR THESE INDIVIDUALS. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FORM 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 FORM 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 31,571 COST OF GOODS SOLD 2,811,015 LOSS ON DISPOSAL OF PROPERTY 11,741 FUNDRAISING EVENT EXPENSES -31,571 COST OF GOODS SOLD -2,811,015 LOSS ON DISPOSAL OF PROPERTY -11,741