Totals
- Total revenue
- -$854,638
- Total expenses
- $265,557
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $6,226
- Other revenue
- -$860,864
- Total assets, end of year
- $21,240,671
- Total liabilities, end of year
- $15,920,975
- Net assets or fund balances, end of year
- $5,319,696
- Program services expenses (Part IX)
- $190,563
- Management and general expenses
- $74,994
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $190,563
Program services were 71.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
3 · Investment income
total $6,226 · excluded $6,226
-
6a · Gross rents
real property $800,000
-
6b · Less rental expenses
real property $1,660,864
-
6c · Rental income or loss
real property -$860,864
-
6d · Net rental income or loss
total -$860,864 · related or exempt -$860,864
Functional expenses
Part IX, the statement of functional expenses.
-
11c · Fees: accounting
total $47,818 · management and general $47,818
-
11g · Fees: other
total $27,188 · program services $12 · management and general $27,176
-
13 · Office expenses
total $162,616 · program services $162,616
-
14 · Information technology
total $8,910 · program services $8,910
-
24a · Other expenses: MEDICAL SUPPLIES
total $19,025 · program services $19,025
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $248,850 · end of year $647,632
-
2 · Savings and temporary cash investments
beginning of year $1,199,442 · end of year $476,424
-
10a · Land, buildings and equipment: cost or other basis
$21,858,953
-
10b · Land, buildings and equipment: accumulated depreciation
$1,742,338
-
10c · Land, buildings and equipment, net
beginning of year $20,945,865 · end of year $20,116,615
-
19 · Deferred revenue
beginning of year $100,000 · end of year $100,000
-
23 · Secured mortgages and notes payable
beginning of year $16,490,000 · end of year $15,820,975
-
27 · Net assets without donor restrictions
beginning of year $5,804,157 · end of year $5,319,696
Mission and programs · 2023
Mission
AVIVA QALICB IS ORGANIZED AND OPERATES EXCLUSIVELY FOR THE BENEFITS AND TO CARRY OUT THE PURPOSES FOR UMPQUA COMMUNITY HEALTH CENTER (DBA: AVIVA HEALTH).
Activities or mission (Part I)
TO BENEFIT AND CARRY OUT THE PURPOSES FOR AVIVA HEALTH (UMPQUA COMMUNITY HEALTH CENTER, INC.).
-
AVIVA QALICB WAS FORMED IN DECEMBER 2020, IN CONJUNCTION WITH THE NEW MARKETS TAX CREDIT FINANCING TRANSACTION THAT CLOSED ON DECEMBER 2020. AVIVA QALICB HOLDS THE AVIVA HEALTH ROSEBURG CLINIC BUILDING AND UNDERLYING LAND AS ASSETS AND LEASES THE BUILDING TO COMMUNITY ORGANIZATIONS AND OTHER ENTITIES FOR PERFORMANCE, GATHERING, REHEARSAL, MEETING AND OFFICE SPACE.
Expenses $190,563 · Revenue $800,000
As filed on the 2023 return.
Listed in Part VII
-
LEAH WOODS
PRESIDENT
- Total calculated
- $174,544
- From this org
- $0
- From related orgs
- $146,393
- Other
- $28,151
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $146,345 related
- Bonus
- $0
- Other
- $0 + $48 related
- Deferred
- $0 + $4,380 related
- Nontaxable benefits
- $0 + $23,771 related
- Filer's total
- $0 + $174,544 related
-
BETTY KAY TAMM
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
MICAH WATTERS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE PRESIDENT'S COMPENSATION IS SET BY UMPQUA COMMUNITY HEALTH CENTER (DBA: AVIVA HEALTH), THE SUPPORTED ORGANIZATION. A COMPENSATION SURVEY OR STUDY WAS USED BY AVIVA HEALTH TO SET THE PRESIDENT'S COMPENSATION.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
UMPQUA COMMUNITY HEALTH CENTER
501(C)(3) · HEALTH CARE · OR
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 5 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202413119349301886
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