2020-11-15T15:57:13-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2019-01-01 464139065 SPOKANE TEACHING HEALTH CENTER SPOK 5093151260 PO BOX 244 SPOKANE WA 99210 DAVID E LUHN CHIEF FINANCIAL OFFICER 5093151260 2020-11-14 1 KURT BENNION CPA P01469618 4252506100 2020-11-14 67.137.57.251 2020-11-14 16:17:48 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D6404CD6BDC62D55699D8FB81E5F5A720539BEA9 2019 2021-01-29 14:40:06Z TRACI RICHMOND PO BOX 244 SPOKANE WA 99210 4082985 0 X SPOKANETEACHINGHEALTH.ORG X 2013 WA PROVIDE EDUCATION TO HEALTH CARE PROFESSIONALS THROUGH SPONSORSHIP OF GRADUATE MEDICAL EDUCATION. 8 6 1 8 0 0 3731857 3837985 0 245000 0 0 0 0 3731857 4082985 0 10000 0 0 0 16748 0 0 0 3576690 3543601 3576690 3570349 155167 512636 4093561 3330185 2827077 1551065 1266484 1779120 X THE ENTITY IS ORGANIZED AND OPERATED SPECIFICALLY TO PROMOTE, CONDUCT AND SPONSOR EDUCATIONAL ACTIVITIES RELATED TO GRADUATE MEDICAL EDUCATION, INCLUDING PHYSICIAN RESIDENCY PROGRAMS. 1 0 2723543 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 2019 THE ORGANIZATION MAINTAINED ITS FINANCIAL OBLIGATIONS FOR THE FUNDING OF 18 TOTAL HRSA-FUND RESIDENTS, OF WHICH 6 COMPLETED THEIR TRAINING AND GRADUATED. 266826 0 0 GRADUATE MEDICAL EDUCATION (GME)--DEVELOPMENT OF NEW RESIDENCY PROGRAMS AT AREA HOSPITALS:CONTINUING DEVELOPMENT OF NEW FAMILY MEDICINE RESIDENCY PROGRAM AT HOLY FAMILY HOSPITAL (SPOKANE, WA). THIS EFFORT WAS SUSPENDED SUBSEQUENTLY IN 2020. 10713 0 245000 MEDICAID WAIVER TRANSFORMATION EFFORT:THE ORGANIZATION WILL PARTNER WITH ITS REGIONAL ACCOUNTABLE 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. 77058 0 0 GRADUATE MEDICAL EDUCATION--DEVELOPMENT OF A PEDIATRICS RESIDENCY:THE ORGANIZATION IS DEVELOPING A NEW PEDIATRICS RESIDENCY PROGRAM IN SPOKANE, WASHINGTON. 77058 0 0 3078140 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 9 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 1 0 1 1 0 1 1 0 0 0 1 1 1 1 0 0 0 0 X DAVID E LUHN CHIEF FINANCIAL OFFICER 5093151260 1020 W RIVERSIDE AVE SPOKANE WA 99201 ANTONY CHIANG DIRECTOR CLASS A APPOINTEE) (THROUGH SEP 2019) 0.50 40.00 X 0 247940 37227 DAVID E LUHN CHIEF FINANCIAL OFFICER 0.50 40.00 X 0 137336 38136 VALERI STEIGERWALD EXECUTIVE DIR. (THROUGH SEP 2019) 0.50 40.00 X 0 104450 21447 JEFFREY BELL SECRETARY (CLASS A APPOINTEE) 0.50 40.00 X X 0 89717 9792 SARAH LYMAN DIRECTOR CLASS A APPOINTEE) (THROUGH MAY 2019) 0.50 40.00 X 0 75328 21534 TRACI RICHMOND COUTURE EXECUTIVE DIRECTOR 0.50 40.00 X 0 11712 2166 RICH HADLEY PRESIDENT (CLASS B APPOINTEE) 0.50 0.00 X X 0 0 0 JEFFREY COLLINS MD VICE PRESIDENT (CLASS B APPOINTEE) 0.50 0.00 X X 0 0 0 MICHAEL NOWLING TREASURER (CLASS A APPOINTEE) 0.50 0.00 X X 0 0 0 FREDERICK CHEN MD DIRECTOR (CLASS A APPOINTEE) (THRU MAR 2019) 0.50 0.00 X 0 0 0 DARYLL DEWALD PHD DIRECTOR (CLASS C APPOINTEE) 0.50 0.00 X 0 0 0 LINDA GARRELTS MACLEAN DIRECTOR (CLASS C APPOINTEE) 0.50 0.00 X 0 0 0 DEB HARPER MD DIRECTOR (CLASS A APPOINTEE) 0.50 0.00 X 0 0 0 COURTNEY LAW DIRECTOR (CLASS A APPOINTEE) 0.50 0.00 X 0 0 0 0 666483 130302 0 0 1 0 J O'CONNOR MDO'CONNOR FAMILY MEDICINE 309 E FARWELL ROAD 204 SPOKANE WA 99218 PROGRAM DIRECTOR (GRAD. MEDICAL ED.) 121646 1 997037 2840948 3837985 MEDICAID WAIVERS 621110 245000 245000 245000 4082985 245000 0 0 10000 10000 12500 12500 2382 2382 1866 1821 45 85477 85477 13150 13150 324254 290434 33820 25035 10862 14173 10871 31 10840 9315 9315 20658 7349 13309 23100 13695 9405 262033 8333 253700 985 985 18080 18080 RESIDENCY PROGRAM 2713543 2713543 DUES, LICENSES, MEMBERS 21991 7000 14991 BAD DEBT 14919 14919 190 190 3570349 3078140 492209 0 2472749 2279511 1606979 1037782 12071 12115 3693 2916 1762 777 4093561 3330185 2091873 762193 735204 788872 2827077 1551065 X 1260493 1736178 5991 42942 1266484 1779120 4093561 3330185 512636 0 X X 0 1 X 1 0 X 1566725 1717685 3208457 3731857 3837985 14062709 1566725 1717685 3208457 3731857 3837985 14062709 14062709 23663 23663 14086372 245000 0.99830 0.99730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3693 2916 777 777 REFUNDABLE GRANT AND ADVANCES 788872 788872 X 4082985 0 4082985 0 4082985 3570349 0 3570349 0 3570349 PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. 1 PROVIDENCE HEALTH & SERVICES WASHINGTON (DBA PROVIDENCE MEDICAL GROUP) 101 W 8TH AVENUE SPOKANE WA 99204 911216033 501(C)(3) 10000 SUPPORT TO RECRUIT AND RETAIN GME FACULTY 1 0 PART II LINE 1 IN 2019, THE ORGANIZATION GRANTED TO A RELATED ENTITY WITH WHICH IT HAS A WRITTEN CONTRACT FOR PROGRAM OPERATIONS AND SUPPORT. X 0 0 0 0 0 0 0 0 0 ANTONY CHIANG DIRECTOR CLASS A APPOINTEE) (THROUGH SEP 2019) 0 235349 0 12300 0 291 0 14998 0 22229 0 285167 0 0 DAVID E LUHN CHIEF FINANCIAL OFFICER 0 131115 0 5778 0 443 0 8240 0 29896 0 175472 0 0 PART I, LINE 3 WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE IS USED BY A RELATED ORGANIZATION. FORM 990, PART III, LINE 2 IN 2019, THE ORGANIZATION BEGAN PARTNERING WITH ITS REGIONAL ACCOUNTABLE 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. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED IN JANUARY 2019 TO MODIFY THE CRITERIA TO SERVE AS PRESIDENT OF THE BOARD. 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 CORPORATE COUNSEL AND THE EXECUTIVE DIRECTOR WERE PROVIDED WITH A PRE-FILING 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 PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. EMPIRE HEALTH FOUNDATION 422 W RIVERSIDE AVE STE 1100 SPOKANE WA 99201 263375286 PRIVATE FOUNDATION WA 501(C)(3) PF N/A 0 PROVIDENCE HEALTH & SERVICES 101 E 8TH AVE SPOKANE WA 99204 911216033 HOSPITAL WA 501(C)(3) LINE 3 N/A 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0