2022-11-15T20:01:28-06:00 2021-12-31 208149084 ANASTASI MOORE & MARTIN PLLC 9 S WASHINGTON ST STE 600 SPOKANE WA 99201 990 2021-01-01 464139065 SPOKANE TEACHING HEALTH CENTER SPOK 5096269900 624 E FRONT STREET SPOKANE WA 99202 ALVIN BARTHOLOMEW FINANCE DIRECTOR 5096269900 2022-11-15 1 ALVIN BARTHOLOMEW 999009999 PAUL ANASTASI CPA P00395796 5093230272 2022-11-15 0 AAL1 IAL1 2021 2022-09-23 18:48:47Z ALVIN BARTHOLOMEW 624 E FRONT STREET SPOKANE WA 99202 4142319 0 X SPOKANETEACHINGHEALTH.ORG X 2013 WA PROVIDE EDUCATION TO HEALTH CARE PROFESSIONALS THROUGH SPONSORSHIP OR GRADUATE MEDICAL EDUCATION. 9 9 4 9 0 0 3445879 4142319 0 0 0 0 0 0 3445879 4142319 10960 10000 0 0 372640 344064 0 0 0 3214777 3229871 3598377 3583935 -152498 558384 2396912 4446772 755371 2246847 1641541 2199925 THE ENTITY IS ORGANIZED AND OPERATED SPECIFICALLY TO PROMOTE, CONDUCT, AND SPONSOR EDUCATIONAL ACTIVITIES RELATED TO GRADUATE MEDICAL EDUCATION, INCLUDING PHYSICIAN RESIDENCY PROGRAMS. 0 0 2856665 10000 0 GRADUATE 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 2021 THE ORGANIZATION MAINTAINED ITS FINANCIAL OBLIGATIONS FOR THE FUNDING OF 18 TOTAL HRSA-FUND RESIDENTS, OF WHICH 6 COMPLETED THEIR TRAINING AND GRADUATED. 46049 0 MEDICAID 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. 120000 0 GRADUATE MEDICAL EDUCATION -- DEVELOPMENT OF A PEDIATRICS RESIDENCY: THE ORGANIZATION IS DEVELOPING A NEW PEDIATRICS RESIDENCY PROGRAM IN SPOKANE, WA. 3022714 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 4 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 0 0 0 0 X ALVIN BARTHOLOMEW 3105087417 624 E FRONT STREET SPOKANE WA 99202 ZEKE SMITH DIRECTOR (CLASS A) 1.00 X 0 0 0 RICH HADLEY PRESIDENT (CLASS B) 1.00 X X 0 0 0 JEFFREY COLLINS MD VICE PRESIDENT (CLASS B) 1.00 X X 0 0 0 JEFFREY BELL SECRETARY (CLASS A ) 1.00 X X 0 0 0 MICHAEL NOWLING TREASURER (CLASS A) 1.00 X X 0 0 0 DARYLL DEWALD PHD DIRECTOR (CLASS C) 1.00 X 0 0 0 LINDA GARRELTS MACLEAN DIRECTOR (CLASS C) 1.00 X 0 0 0 DEB HARPER MD DIRECTOR (CLASS A) 1.00 X 0 0 0 DEAN MARTZ MD DIRECTOR (CLASS B) 1.00 X 0 0 0 TRACI RICHMOND COUTURE EXECUTIVE DIRECTOR 1.00 40.00 X 141075 0 3923 141075 0 3923 1 0 0 0 CHRISTIAN ROCHOLL MD 4821 W HAYDEN LANE SPOKANE WA 99208 PEDIATRIC CONSULTING 120000 1 1014589 3127230 500 4142319 4142319 0 0 0 10000 10000 141075 141075 111545 111545 6534 6534 61352 61352 23558 23558 14595 14595 186274 162886 23388 54533 15291 39242 96166 78664 17502 7380 7380 268074 259191 8883 48639 10500 38139 9008 9008 20413 19853 560 8974 8974 RESIDENCY PROGRAM 2021038 2021038 EQUIPMENT LEASE & MAINT 370314 370314 TAXES 47246 47246 DUES, LICENSES, & MEMBE 41555 3000 38555 35662 24731 10931 3583935 3022714 561221 0 1619300 1604131 765133 2828603 4397 8199 12119 6280 8082 5839 2396912 4446772 755371 2246847 755371 2246847 X 1585938 2184322 55603 15603 1641541 2199925 2396912 4446772 558384 0 X 0 1 X 1 0 X 3208457 3731857 3837985 3445879 4142319 18366497 3208457 3731857 3837985 3445879 4142319 18366497 18366497 18366497 245000 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12119 6280 5839 5839 X 4142319 0 4142319 0 4142319 3583935 0 3583935 0 3583935 PART X, LINE 2: THE 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. 1 PROVIDENCE HEALTH & SERVICES WASHINGTON (DBA PROVIDENCE MEDICAL GROUP) 101 W 8TH AVENUE SPOKANE WA 99204 911303277 501(C)(3) 10000 0 SUPPORT TO RECRUIT AND RETAIN GME FACULTY 1 0 FORM 990, PART VI, SECTION A, LINE 6 TWO MEMBER CLASSES: CLASS A (EMPIRE HEALTH FOUNDATION); CLASS B (PROVIDENCE HEALTH AND SERVICES). FORM 990, PART VI, SECTION A, LINE 7A CLASS 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 11B PRIOR TO FILING, CORPORATE COUNSEL AND THE EXECUTIVE DIRECTOR WERE PROVIDED WITH A COPY FOR REVIEW AND COMMENT. FORM 990, PART VI, SECTION B, LINE 12C WRITTEN POLICY REQUIRES AFFIRMATIVE DISCLOSURE OF ACTUAL OR POTENTIAL CONFLICTS ANNUALLY--REVIEWED BY BOARD AND LEGAL COUNSEL. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST EMPIRE HEALTH FOUNDATION 422 W RIVERSIDE AVE STE 1100 SPOKANE WA 99201 263375286 PRIVATE FOUNDATION WA 501(C)(3) PF 0 PROVIDENCE HEALTH & SERVICES 101 E 8TH AVE SPOKANE WA 99204 911303277 HOSPITAL WA 501(C)(3) LINE 3 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0