2019-11-12T18:18:18-06:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 101 S CAPITOL BLVD SUITE 1700 BOISE ID 83702 990 2018-01-01 464139065 SPOKANE TEACHING HEALTH CENTER SPOK 5093151260 PO BOX 244 SPOKANE WA 99210 DAVID E LUHN CFO 5093151260 2019-11-12 1 ANN SWINDELL P01677409 2083876400 2019-11-11 67.137.57.251 2019-11-12 17:14:38 MS P 35750801EA80A67E7A622951605A125DD121B6A7 9165BAFEAA4DC706E337D210BBDD744C4C62E75C 2018 2020-03-31 21:24:44Z RICH HADLEY PO BOX 244 SPOKANE WA 99210 3731857 0 X SPOKANETEACHINGHEALTH.ORG X 2013 WA THE ENTITY IS ORGANIZED AND OPERATED SPECIFICALLY TO PROMOTE, CONDUCT AND SPONSOR EDUCATIONAL ACTIVITIES RELATED TO GRADUATE MEDICAL EDUCATION, INCLUDING PHYSICIAN RESIDENCY PROGRAMS. 9 6 0 9 0 0 3208457 3731857 0 0 0 0 0 0 3208457 3731857 0 0 0 0 3600 0 0 0 0 2811057 3576690 2814657 3576690 393800 155167 2525742 4093561 1414425 2827077 1111317 1266484 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 3102371 GRADUATE MEDICAL EDUCATION (GME)--INTERNAL MEDICINE AND FAMILY MEDICINE RESIDENCY PROGRAMSACGME--ACCREDITED SPONSORSHIP OF EXPANDED FAMILY AND INTERNAL MEDICINE RESIDENCY PROGRAMS, INCLUDING HRSA-FUNDED, IN A TEACHING HEALTH CENTER SETTING IN SPOKANE, WA. IN 2018 THE ORGANIZATION MAINTAINED ITS FINANCIAL OBLIGATIONS FOR THE FUNDING OF 18 TOTAL HRSA-FUND RESIDENTS, OF WHICH 6 COMPLETED THEIR TRAINING AND GRADUATED. 72147 GRADUATE MEDICAL EDUCATION (GME)--DEVELOPMENT OF NEW RESIDENCY PROGRAMS AT AREA HOSPITALS-DEVELOPMENT OF NEW RESIDENCY PROGRAMS AT AREA HOSPITALS-- CONTINUING DEVELOPMENT OF NEW FAMILY MEDICINE RESIDENCY PROGRAMS AT HOLY FAMILY HOSPITAL (SPOKANE, WA) AND PULLMAN REGIONAL HOSPITAL (PULLMAN, WA). PROGRAM HAS GAINED ACCREDITATION STATUS AND IS EXPECTED TO BEGIN TRAINING RESIDENTS EFFECTIVE 7/1/2021. MEDICAID WAIVER TRANSFORMATION EFFORTS--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. 3174518 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 6 0 0 0 0 1 1 0 1 0 0 0 0 1 1 1 1 0 0 0 0 WA X EMPIRE HEALTH FOUNDATION CO DAVE LUHN 5093151260 1020 W RIVERSIDE AVE SPOKANE WA 99201 ANTONY CHIANG BOARD PRESIDENT (CLASS A APPOINTEE) 0.50 40.00 X X 0 253619 46933 DARYLL DEWALD PHD 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 FREDERICK CHEN MD MPH DIRECTOR (CLASS A APPOINTEE) 0.50 0.00 X 0 0 0 JEFFREY BELL BOARD SECRETARY (CLASS A APPOINTEE) 0.50 0.00 X X 0 0 0 JEFFREY COLLINS MD DIRECTOR (CLASS B APPOINTEE) 0.50 0.00 X 0 0 0 KEN ROBERTS 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 MICHAEL NOWLING BOARD TREASURER (CLASS A APPOINTEE) 0.50 0.00 X X 0 0 0 RICH HADLEY BOARD VICE-CHAIR (CLASS B APPOINTEE) 0.50 0.00 X X 0 0 0 SARAH LYMAN BOARD SECRETARY/INTERIM EXECUTIVE DIRECTOR 0.50 40.00 X X 0 157419 41940 DAVID E LUHN CHIEF FINANCIAL OFFICER (ACTING) 0.00 40.00 X 0 135438 30256 NANCY VORHEES INTERIM EXECUTIVE DIRECTOR 0.00 40.00 X 0 58464 17654 VALERI STEIGERWALD EXECUTIVE DIRECTOR 0.00 40.00 X 0 57304 23095 0 662244 159878 0 0 1 0 0 718512 3013345 3731857 3731857 0 0 0 52974 52974 11700 11700 63444 63444 1718 1718 188883 180000 8883 3848 3848 2629 2629 213015 213015 985 985 18442 18442 RESIDENCY PROGRAM INCRE 3995089 3995089 NEW RESIDENCY PROGRAM D 72147 72147 DUES, LICENSES, MEMBERS 24534 24534 CONTRACTUAL OFFSETS AND -1072718 -1072718 3576690 3174518 402172 0 1344280 2472749 1166247 1606979 12468 12071 3693 1931 2747 1762 2525742 4093561 983148 2091873 431277 735204 1414425 2827077 X 1086227 1260493 25090 5991 1111317 1266484 2525742 4093561 155167 0 X X 0 1 X 1 0 X 1013000 1566725 1717685 3208457 3731857 11237724 1013000 1566725 1717685 3208457 3731857 11237724 11237724 7319 23663 30982 11268706 0.99730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3693 1931 1762 1762 REFUNDABLE GRANT 735204 735204 X 3731857 0 3731857 0 3731857 3576690 0 3576690 0 3576690 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. X 0 0 0 0 0 0 0 0 0 ANTONY CHIANG BOARD PRESIDENT (CLASS A APPOINTEE) 0 245917 0 0 0 7702 0 15455 0 31478 0 300552 0 0 SARAH LYMAN BOARD SECRETARY/INTERIM EXECUTIVE DI 0 157419 0 0 0 0 0 9745 0 32195 0 199359 0 0 DAVID E LUHN CHIEF FINANCIAL OFFICER (ACTING) 0 128544 0 6365 0 529 0 8126 0 22130 0 165694 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 SEE MEDICAID WAIVER TRANSFORMATION EFFORTS UNDER THE PROGRAM BREAKOUTS 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 A, LINE 8B THERE WERE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B CORPORATE COUNSEL AND EXECUTIVE MANAGEMENT WILL REVIEW A PRE-FILING DRAFT AND MAY SUBMIT IT TO THE BOARD FOR CONSIDERATION POST-FILING. 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 B, LINE 15 BOARD REVIEW. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FORM 990, 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 0 PROVIDENCE HEALTH & SERVICES 101 E 8TH AVE SPOKANE WA 99204 911216033 HOSPITAL WA 501(C)(3) LINE 3 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 EMPIRE HEALTH FOUNDATION M 213015 CASH VALUE PROVIDENCE HEALTH & SERVICES C 718512 CASH VALUE PROVIDENCE HEALTH & SERVICES P 2922371 CASH VALUE PROVIDENCE HEALTH & SERVICES M 29490 CASH VALUE