SPOKANE TEACHING HEALTH CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SPOKANE TEACHING HEALTH CENTER (EIN 46-4139065)
Tax period
2022-01-01 to 2022-12-31
Filed
2024-06-20
IRS object ID
202431729349300728
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-06-20T17:14:08-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN208149084PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANASTASI MOORE & MARTIN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19 S WASHINGTON ST STE 600AddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN464139065EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPOKANE TEACHING HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSPOKBusinessNameControlTxt
Phone3105087417PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 E FRONT STREETAddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTRACI COUTUREPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3105087417PhoneNum
Signature2024-05-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTRACIPersonFirstNm
Person LastCOUTUREPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAUL ANASTASI CPAPreparerPersonNm
PTINP00395796PTIN
Phone5093230272PhoneNum
Preparation2024-05-30PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerTRACI COUTUREPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 E FRONT STREETAddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,327,225GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSPOKANETEACHINGHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionPROVIDE EDUCATION TO HEALTH CARE PROFESSIONALS THROUGH SPONSORSHIP OR GRADUATE MEDICAL EDUCATION.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,142,319PYContributionsGrantsAmt
CY Contributions Grants$5,327,225CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,142,319PYTotalRevenueAmt
CY Total Revenue$5,327,225CYTotalRevenueAmt
PY Grants And Similar Paid$10,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$344,064PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$292,732CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,229,871PYOtherExpensesAmt
CY Other Expenses$3,458,498CYOtherExpensesAmt
PY Total Expenses$3,583,935PYTotalExpensesAmt
CY Total Expenses$3,761,230CYTotalExpensesAmt
PY Revenues Less Expenses$558,384PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,565,995CYRevenuesLessExpensesAmt
Total Assets BOY$4,446,772TotalAssetsBOYAmt
Total Assets EOY$3,772,800TotalAssetsEOYAmt
Total Liabilities BOY$2,246,847TotalLiabilitiesBOYAmt
Total Liabilities EOY$106,141TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,199,925NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,666,659NetAssetsOrFundBalancesEOYAmt
MissionTHE ENTITY IS ORGANIZED AND OPERATED SPECIFICALLY TO PROMOTE, CONDUCT, AND SPONSOR EDUCATIONAL ACTIVITIES RELATED TO GRADUATE MEDICAL EDUCATION, INCLUDING PHYSICIAN RESIDENCY PROGRAMS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,799,753ExpenseAmt
Grant$10,000GrantAmt
DescGRADUATE MEDICAL EDUCATION (GME) -- INTERNAL AND FAMILY MEDICINE RESIDENCY PROGRAMS:ACCREDITED SPONSORSHIP OF EXPANDED FAMILY AND INTERNAL MEDICINE RESIDENCY PROGRAMS, INCLUDING HRSA-FUNDED, IN A TEACHING HEALTH CENTER SETTING IN SPOKANE, WA. IN 2022 THE ORGANIZATION MAINTAINED ITS FINANCIAL OBLIGATIONS FOR THE FUNDING OF 18 TOTAL HRSA-FUND RESIDENTS, OF WHICH 6 COMPLETED THEIR TRAINING AND GRADUATED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$208,706ExpenseAmt
DescMEDICAID WAIVER TRANSFORMATION EFFORT:THE ORGANIZATION WILL PARTNER WITH ITS REGIONAL ACCCOUNTABLE COMMUNITY OF HEALTH BY ENGAGING IN SPECIFIC PROJECTS AIMED AT ACHIEVING IMPROVED OUTCOMES AND COST SAVINGS IN THE DELIVERY OF MEDICAID-FUNDED SERVICES, SUCH AS THOSE RENDERED TO PATIENTS AT THE ORGANIZATION'S TEACHING SITES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$150,280ExpenseAmt
DescGRADUATE MEDICAL EDUCATION -- DEVELOPMENT OF A PEDIATRICS RESIDENCY: THE ORGANIZATION IS DEVELOPING A NEW PEDIATRICS RESIDENCY PROGRAM IN SPOKANE, WA.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$3,158,739TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALVIN BARTHOLOMEWBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3105087417PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 E FRONT STREETAddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99202ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
MICHAEL NOWLING
PRESIDENT (CLASS A)1.00Yes (X)Yes (X)$0$0$0
RICH HADLEY
PRESIDENT (CLASS B) (OUTGOING)1.00Yes (X)Yes (X)$0$0$0
JEFFREY BELL
SECRETARY (CLASS A ) (OUTGOING)1.00Yes (X)Yes (X)$0$0$0
JEFFREY COLLINS MD
DIRECTOR (CLASS A)1.00Yes (X)$0$0$0
ZEKE SMITH
DIRECTOR (CLASS A)1.00Yes (X)$0$0$0
DEB HARPER MD
DIRECTOR (CLASS A)1.00Yes (X)$0$0$0
LINDA GARRELTS MACLEAN
DIRECTOR (CLASS C)1.00Yes (X)$0$0$0
DARYLL DEWALD PHD
DIRECTOR (CLASS C)1.00Yes (X)$0$0$0
CARA BEATTY
DIRECTOR (CLASS B)1.00Yes (X)$0$0$0
LARRY SOEHREN
DIRECTOR (CLASS B)1.00Yes (X)$0$0$0
DEAN MARTZ MD
DIRECTOR (CLASS B) (OUTGOING)1.00Yes (X)$0$0$0
TRACI RICHMOND COUTURE
EXECUTIVE DIRECTOR1.00Yes (X)$148,586$0$4,16340.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$148,586TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$4,163TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$1,160,857RelatedOrganizationsAmt
Government Grants$4,166,368GovernmentGrantsAmt
Total Contributions$5,327,225TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,327,225TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Program Services$10,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$152,749TotalAmt
Management And General$152,749ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$61,140TotalAmt
Management And General$61,140ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,122TotalAmt
Management And General$3,122ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$43,471TotalAmt
Management And General$43,471ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$32,250TotalAmt
Management And General$32,250ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,000TotalAmt
Management And General$19,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$153,620TotalAmt
Program Services$126,232ProgramServicesAmt
Management And General$27,388ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$67,857TotalAmt
Program Services$33,188ProgramServicesAmt
Management And General$34,669ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$150,954TotalAmt
Program Services$132,802ProgramServicesAmt
Management And General$18,152ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,475TotalAmt
Program Services$287ProgramServicesAmt
Management And General$9,188ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$306,642TotalAmt
Program Services$263,289ProgramServicesAmt
Management And General$43,353ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$93,700TotalAmt
Program Services$10,500ProgramServicesAmt
Management And General$83,200ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$43,549TotalAmt
Program Services$26,377ProgramServicesAmt
Management And General$17,172ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,189TotalAmt
Program Services$19,133ProgramServicesAmt
Management And General$1,056ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,846TotalAmt
Management And General$6,846ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RESIDENCY PROGRAM$2,090,207$2,090,207
EQUIPMENT LEASE & MAINT$343,140$343,140
DUES, LICENSES, & MEMBE$43,330$12,296$31,034
TAXES$38,816$38,816

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$71,173TotalAmt
Program Services$52,472ProgramServicesAmt
Management And General$18,701ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,761,230TotalAmt
Program Services$3,158,739ProgramServicesAmt
Management And General$602,491ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,604,131BOYAmt
EOY$2,612,614EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,828,603BOYAmt
EOY$1,046,141EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,199BOYAmt
EOY$32,841EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$93,373LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,169LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,839BOYAmt
EOY$81,204EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,446,772BOYAmt
EOY$3,772,800EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,246,847BOYAmt
EOY$106,141EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,246,847BOYAmt
EOY$106,141EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,184,322BOYAmt
EOY$2,803,881EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,603BOYAmt
EOY$862,778EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,199,925BOYAmt
EOY$3,666,659EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,446,772BOYAmt
EOY$3,772,800EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,565,995ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$99,261PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,731,857CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,837,985CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,445,879CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,142,319CurrentTaxYearMinus1YearAmt
Current Tax Year$5,327,225CurrentTaxYearAmt
Total$20,485,265TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,731,857CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,837,985CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,445,879CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,142,319CurrentTaxYearMinus1YearAmt
Current Tax Year$5,327,225CurrentTaxYearAmt
Total$20,485,265TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$20,485,265PublicSupportTotal170Amt
Total Support$20,485,265TotalSupportAmt
Gross Receipts Rltd Activities$245,000GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$93,373OtherCostOrOtherBasisAmt
Depreciation$12,169DepreciationAmt
Book Value$81,204BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$81,204TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRC. ACCORDINGLY, NO PROVISIONS FOR INCOME TAXES HAVE BEEN MADE IN THESE FINANCIAL STATEMENTS. THE ORGANIZATION HAS ADOPTED ASC 740-10, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS. ASC 740-10 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS SUCH AS DERECOGNITION, INTEREST, PENALTIES, AND DISCLOSURES REQUIRED. THE ORGANIZATION HAS NOT IDENTIFIED ANY UNCERTAINTY IN TAX POSITIONS THAT WOULD REQUIRE POSSIBLE RECOGNITION OR DISCLOSURE IN THE FINANCIAL RECORDS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE HEALTH & SERVICES WASHINGTON (DBA PROVIDENCE MEDICAL GROUP)BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 W 8TH AVENUEAddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99204ZIPCd
FieldValueIRS element (for citing)
Recipient EIN911303277RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$10,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantSUPPORT TO RECRUIT AND RETAIN GME FACULTYPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonTRACI RICHMOND COUTUREPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$141,510BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$7,076BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$4,163DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$152,749TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6TWO MEMBER CLASSES: CLASS A (EMPIRE HEALTH FOUNDATION); CLASS B (PROVIDENCE HEALTH AND SERVICES).
FORM 990, PART VI, SECTION A, LINE 7ACLASS A MEMBER, EMPIRE HEALTH FOUNDATION, APPOINTS 5 OF 9 DIRECTORS. CLASS B MEMBER, PROVIDENCE HEALTH AND SERVICES, APPOINTS 2 OF 9 DIRECTORS; WASHINGTON STATE UNIVERSITY, A NON-MEMBER, APPOINTS 2 OF 9 DIRECTORS. ALL CLASSES OF BOARD APPOINTEES HAVE THE SAME VOTING RIGHTS. HOWEVER, VOTING ACTIONS OF THE BOARD REQUIRE THE AFFIRMATIVE VOTE OF AT LEAST ONE DIRECTOR FROM EACH CLASS--CONSEQUENTLY, NO CLASS OF BOARD APPOINTEES CONTROLS MORE THAN 50% OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO FILING, CORPORATE COUNSEL AND THE EXECUTIVE DIRECTOR WERE PROVIDED WITH A COPY FOR REVIEW AND COMMENT.
FORM 990, PART VI, SECTION B, LINE 12CWRITTEN POLICY REQUIRES AFFIRMATIVE DISCLOSURE OF ACTUAL OR POTENTIAL CONFLICTS ANNUALLY--REVIEWED BY BOARD AND LEGAL COUNSEL.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST
FORM 990 - AMENDED: EXPLANATION OF CHANGES- FORM 990, PAGE 1, SIGNING OFFICER: THE SIGNING OFFICER WAS UPDATED FROM ALVIN BARTHOLOMEW, FINANCE DIRECTOR TO TRACI COUTURE, EXECUTIVE DIRECTOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
EMPIRE HEALTH FOUNDATION
422 W RIVERSIDE AVE STE 1100SPOKANEWA99201263375286PRIVATE FOUNDATIONWA501(C)(3)PF0
PROVIDENCE HEALTH & SERVICES
101 E 8TH AVESPOKANEWA99204911303277HOSPITALWA501(C)(3)LINE 30
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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