Willamette Family Medical Center in Salem, Oregon (OR)

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Willamette Family Medical Center
Employer Identification Number (EIN)931180397
Name of OrganizationWillamette Family Medical Center
Address755 Medical Center Dr Ne, Salem, OR 97301-2762
ActivitiesHealth clinic
SubsectionCharitable Organization
Ruling Date08/1996
DeductibilityContributions are deductible
FoundationOrganization that normally receives no more than one third of its support from gross investment income and unrelated business income and at the same time more than one third of its support from contributions, fees, and gross receipts related to exempt purposes
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period06/2012
Assets$5,000,000 to $9,999,999
Income$1,000,000 to $4,999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$5,437,341
Amount of Income$3,703,510
Form 990 Revenue Amount$3,703,510
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative:


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Amount of income in 2012: $3,703,510
Willamette Family Medical Center: 

 $3,703,510
Other organizations performing similar types of work: 

 $2,649,810

Assets in 2012: $5,437,341
Willamette Family Medical Center: 

 $5,437,341
Other organizations performing similar types of work: 

 $2,086,617

Expenses in 2007: $2,794,639
Willamette Family Medical Center: 

 $2,794,639
Other organizations performing similar types of work: 

 $6,902,698

Income to expenses ratio in 2007: 1.1
This organization: 

 1.1
Other organizations performing similar types of work: 

 1.1

Expenses allocated to program services in 2007: 95.2%
This organization: 

 95.2%
Other organizations performing similar types of work: 

 81.3%

Number of employees in 2007: 45
This organization: 

 45
Other organizations performing similar types of work: 

 75

Employees paid over $50,000 in 2007: 13.3%
This organization: 

 13.3%
Other organizations performing similar types of work: 

 12.5%

Grants share in income in 2007: 0.3%
This organization: 

 0.3%
Other organizations performing similar types of work: 

 26.5%

Financial snapshot ($)

Revenue for 2007

Assets at end of 2007

Expenses for 2007

Functional Expenses for 2007 ($)

Income-Producing Activities for 2007

Revenue, Expenses, and Changes in Net Assets or Fund Balances
2007
Total revenue$3,091,797
Contributions, gifts, grants, and similar amounts received$8,302
Contributions to donor advised funds$0
Direct public support$8,302
Indirect public support$0
Government contributions (grants)$0
Program service revenue including government fees and contracts$3,075,323
Membership dues and assessments$0
Interest on savings and temporary cash investments$8,357
Dividends and interest from securities$0
Net rental income or (loss)$0
Gross rents$0
Less: rental expenses$0
Other investment income$0
Gain or (loss) from sales of assets other than inventory$-185
Gross amount from sales of assets other than inventory$250
Less: cost or other basis and sales expenses$435
Net income or (loss) from special events and activities$0
Gross revenue$0
Less: direct expenses other than fundraising expenses$0
Gross profit or (loss) from sales of inventory$0
Gross sales of inventory, less returns and allowances$0
Less: cost of goods sold$0
Other revenue$0
Total expenses$2,794,639
Program services$2,660,072
Management and general$134,567
Fundraising$0
Payments to affiliates$0
Net assets or fund balances at end of year$1,245,497
Excess or (deficit) for the year$297,158
Net assets or fund balances at beginning of year$948,339
Other changes in net assets or fund balances$0
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$2,794,639$2,660,072$134,567$0
Grants paid from donor advised funds$0
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$123,600$61,800$61,800$0
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$1,818,146$1,769,075$49,071$0
Pension plan contributions not included above$42,427$40,955$1,472$0
Employee benefits not included above$145,781$145,781$0$0
Payroll taxes$153,750$146,062$7,688$0
Professional fundraising fees$0$0$0$0
Accounting fees$1,770$0$1,770$0
Legal fees$0$0$0$0
Supplies$229,182$222,926$6,256$0
Telephone$19,981$17,983$1,998$0
Postage and shipping$15,113$13,602$1,511$0
Occupancy$43,253$40,837$2,416$0
Equipment rental and maintenance$1,518$1,518$0$0
Printing and publications$13,067$12,614$453$0
Travel$890$890$0$0
Conferences, conventions, and meetings$0$0$0$0
Interest$0$0$0$0
Depreciation, depletion, etc.$36,064$36,064$0$0
Other expenses not covered above$150,097$149,965$132$0
Balance Sheets
2007
Total assets$1,250,626
Cash - non-interest-bearing$350,336
Savings and temporary cash investments$806,486
Accounts receivable less allowance for doubtful accounts$0
Pledges receivable less allowance for doubtful accounts$0
Grants receivable$0
Receivables from current and former officers, directors, trustees, and key employees$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0
Other notes and loans receivable less allowance for doubtful accounts$0
Inventories for sale or use$0
Prepaid expenses and deferred charges$0
Investments - publicly-traded securities$0
Investments - other securities$0
Investments - land, buildings, and equipment less accumulated depreciation$83,935
Investments - other$0
Land, buildings, and equipment less accumulated depreciation$0
Other assets, including program-related investments$9,869
Total liabilities$5,129
Accounts payable and accrued expenses$5,129
Grants payable$0
Deferred revenue$0
Loans from officers, directors, trustees, and key employees$0
Tax-exempt bond liabilities$0
Mortgages and other notes payable$0
Other liabilities$0
Total liabilities and net assets/fund balances$1,250,626
Total net assets or fund balances$1,245,497
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
2007
Total revenue$0
Total revenue, gains, and other support per audited financial statements$0
Other expenses$0
Net unrealized gains on investments$0
Donated services and use of facilities$0
Recoveries of prior year grants$0
Other$0
Other revenue$0
Investment expenses$0
Other$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
2007
Total expenses$0
Total expenses and losses per audited financial statements$0
Other revenue$0
Donated services and use of facilities$0
Prior year adjustments$0
Losses$0
Other$0
Other expenses$0
Investment expenses$0
Other$0
Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to positionCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
40$120,000$3,600$0
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings7
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?No
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?No
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?No
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 200645
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$8,357$3,075,138
Program service revenue
Program service revenue 1000000$000$0$3,075,323
Program service revenue 2000000$000$0$0
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$8,357$0
Dividends and interest from securities000000$000$0$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$000$0$-185
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$000$0$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0%$0$0
0%$0$0
0%$0$0
0%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$73,883$4,188$0
$136,617$4,099$0
$135,385$14,358$0
$126,833$11,184$0
$69,600$2,088$0
Total number of other employees paid over $50,0000
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
Enter the total number of donor advised funds owned at the end of the tax year$0
Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
Enter the aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isOrganization that normally receives: less than 1/3 of its support from gross investment income and unrelated taxable business income and more than 1/3 of its support from contribution, membership fees
Support Schedule
2006
Total$2,711,938
Gifts, grants, and contributions received$0
Membership fees received$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$2,697,030
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$14,908
Net income from unrelated business activities not included above$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0
Other income$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
Statements Regarding Other IRS Filings and Tax Compliance (for 2012)
Did the organization have unrelated business gross income of $1,000 or more during the year?No
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities $0
Gross income from members or shareholders$0
Gross income from other sources$0
Statement of Revenue (for 2012)
Total revenue$3,703,510
Contributions, Gifts, Grants and Other Similar Amounts$125,130
Program Service Revenue$3,578,336
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$44
Income from investment of tax-exempt bond proceeds$0
Royalties$0
Net rental income$0
Net gain from sales of assets other than inventory$0
Net income from fundraising events$0
Net income from gaming activities$0
Net income from sales of inventory$0
Miscellaneous Revenue$0
Statement of Functional Expenses (for 2012)
Total functional expenses$3,645,165
Compensation of current officers, directors, trustees, and key employees$0
Other salaries and wages$2,211,188
Payroll taxes$254,333
Professional fundraising services$0
Other$1,179,644
Balance Sheet (for 2012)
Total assets$5,437,341
Total liabilities$2,687,708
Tax-exempt bond liabilities$0
Secured mortgages and notes payable to unrelated third parties$2,599,580
Unsecured notes and loans payable to unrelated third parties$0
Other$88,128
Total net assets or fund balances$2,749,633
Retained earnings, endowment, accumulated income, or other funds$2,749,633
Reason for Public Charity Status (for 2012)
The organization is not a private foundation because it is:An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Support Schedule for Organizations Described in Section 509(a)(2) (for 2012)
2008 - 2012 Total
Total support$17,720,368
Gifts, grants, contributions, and membership fees received$274,553
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose$17,416,657
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf$0
The value of services or facilities furnished by a governmental unit to the organization without charge$0
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources and Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975$29,158
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Willamette Family Medical Center755 Medical Center Dr Ne, Salem, OR 97301-2762OR1996-08$3,703,510
2Valley Health Systems Inc3377 Us Route 60, Huntington, WV 25705-2837WV1975-12$27,124,773
3ArcarePO BOX 497, Augusta, AR 72006-0497AR1986-07$26,275,646
4Sonoma County Indian Health Project Inc144 Stony Point Rd, Santa Rosa, CA 95401-4122CA1974-01$18,530,490
5Regence Health Network Inc2801 W 8th St, Plainview, TX 79072-6737TX1973-12$18,186,079
6Southeast Mississippi Rural Health Initiative IncPO BOX 1729, Hattiesburg, MS 39403-1729MS1980-01$17,258,849
7Rural Health Care Incorporated, Family Medical And Dental CentersPO BOX 817, Palatka, FL 32178-0817FL1978-06$15,411,561
8Tulare Community Health Clinic1201 N Cherry St, Tulare, CA 93274-2233CA1997-10$14,532,137
9Thunder Bay Community Health Service IncPO BOX 427, Hillman, MI 49746-0427MI1981-09$13,297,972
10Rincon Health Center Inc28 Calle Munoz Rivera W, Rinconinternational1993-07$11,133,251
11Treasure Coast Community Health Inc2182 Ponce De Leon Circle, Vero Beach, FL 32960-5338FL1995-01$10,217,596
12Rural Educational Association Of Kentucky, Friendship Manor Nursing Home7400 Friendship Dr, Pewee Valley, KY 40056-9190KY1938-05$8,955,972
13Valley Family Health Care Inc1441 Ne 10th Ave, Payette, ID 83661-5420ID1982-12$8,452,002
14Sandhills Medical Foundation Inc409 E Church St, Jefferson, SC 29718-8701SC1980-12$8,035,617
15Rural Health Corporation Of Northeastern Pennsylvania1084 Route 315, Wilkes Barre, PA 18702PA1971-12$7,402,184
16Sacred Heart Rural Health Clinics Inc501 Summit St, Yankton, SD 57078-3855SD1994-06$6,653,090
17Rural Health Inc513 N Main St, Anna, IL 62906-1668IL1979-04$6,643,384
18South Texas Rural Health ServicesPO BOX 599, Cotulla, TX 78014-0599TX1977-03$5,519,381
19Western Sierra Medical Clinic IncPO BOX 286, Downieville, CA 95936-0286CA1976-08$5,492,438
20Alsea Rural Health Care IncPO BOX 229, Alsea, OR 97324-0229OR1981-04$181,548
Number of organizations performing similar types of work
Alaska1
Alabama7
Arkansas3
Arizona3
California20
Colorado4
Florida9
Georgia7
Iowa3
Idaho1
Illinois5
Indiana2
Kansas3
Kentucky2
Louisiana2
Massachusetts2
Maryland1
Maine11
Michigan10
Minnesota1
Mississippi6
Montana2
North Carolina13
North Dakota2
Nebraska3
New Hampshire1
New Mexico2
New York5
Ohio3
Oklahoma1
Oregon2
Pennsylvania11
South Carolina3
South Dakota4
Tennessee3
Texas7
Utah3
Virginia5
Vermont3
Washington4
Wisconsin4
West Virginia21
Wyoming1
International1
Total207

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