2018-08-28T11:00:21-05:00 2017-10-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2016-11-01 911641797 COMMUNITY HEALTH ASSOCIATION OF SPOKANE % JOHN BROWNE COMM 5094448888 203 NORTH WASHINGTON STREET Suite 3 SPOKANE WA 99201 AARON WILSON CEO 5094448888 2018-06-29 true Gail M Rogers P01618844 4178658701 2016 2022-09-23 18:48:47Z CHAS HEALTH AARON WILSON 203 N WASHINGTON ST STE 300 SPOKANE WA 99201 90759742 false X WWW.CHAS.ORG X 1995 WA PROVIDE QUALITY MEDICAL, DENTAL AND PHARMACY SERVICES REGARDLESS OF INSURANCE STATUS. 10 10 709 10 0 0 7834759 7606094 65547492 83054868 -50817 -2888 443347 1181 73774781 90659255 45747 15000 0 0 42240545 48017380 0 0 0 23414601 30199818 65700893 78232198 8073888 12427057 43137250 57012272 14850601 16298566 28286649 40713706 THE MISSION OF THE COMMUNITY HEALTH ASSOCIATION OF SPOKANE (CHAS HEALTH) IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE BY EXPANDING ACCESS TO QUALITY HEALTH AND WELLNESS SERVICES. false false 31904560 15000 42939993 MEDICAL AND WELLNESS SERVICES ENABLE PATIENTS TO PARTNER WITH THEIR PRIMARY CARE PROVIDER (PCP) TO MEET ALL OF THEIR MEDICAL NEEDS, FROM PEDIATRICS TO GERIATRICS. WE OFFER PRIMARY CARE ACCESSIBILITY IN ASSOCIATION WITH OBSTETRICAL CARE AND PREVENTATIVE MEDICINE SPECIALISTS. DURING THE 2017 CALENDAR YEAR, 195,861 MEDICAL AND WELLNESS VISITS WERE PROVIDED TO 61,265 INDIVIDUALS. CHAS HEALTH OFFERS OBSTETRICS SERVICES PROVIDED BY AN EXPERIENCED TEAM OF FAMILY PRACTICE PHYSICIANS, NURSE MIDWIVES AND NURSES. WE PROVIDE PERSONALIZED COMPREHENSIVE CARE FOR WOMEN THROUGH EVERY PHASE OF THEIR PREGNANCY AND PEDIATRIC CARE FOR CHILDREN OF ALL AGES. 20216603 30322377 PHARMACY SERVICES ARE AN IMPORTANT TOOL IN MANAGING CHRONIC AND ACUTE ILLNESSES AND MAINTAINING OVERALL GOOD HEALTH FOR PATIENTS AND THEIR FAMILIES. THROUGH ADVANCED TECHNOLOGY AND TWELVE IN-HOUSE PHARMACIES (TWO IN MAPLE, NORTH COUNTY, VALLEY, DENNY MURPHY, MOSCOW, LEWISTON, URGENT CARE, MARKET STREET, PERRY STREET, CHENEY AND VERCLER), PATIENTS ARE ABLE TO RECEIVE THEIR MEDICINE DIRECTLY AT THE CLINIC. IT'S FAST, AFFORDABLE AND CONVENIENT. PATIENT ASSISTANCE PROGRAMS ARE AVAILABLE. SELF-PAY PATIENTS PAY COST PLUS A NOMINAL DISPENSING FEE. DURING THE 2017 CALENDAR YEAR, 442,391 PRESCRIPTIONS WERE PROVIDED TO PATIENTS, AS WELL AS COUNSELING SESSIONS AND REFILLS. 10815746 9792498 DENTAL SERVICES ARE AVAILABLE AT SIX CLINICS (DENNY MURPHY, MAPLE, NORTH COUNTY, CLARKSTON, CHENEY AND LATAH) THAT ARE FULLY STAFFED WITH EXPERIENCED DENTISTS, HYGIENISTS AND DENTAL ASSISTANTS. A PRIMARY GOAL OF THE CLINICS IS TO PROVIDE COMPREHENSIVE DENTAL CARE FOR ESTABLISHED ADULT PATIENTS AND CHILDREN, INCLUDING EXAMS, CLEANINGS, X-RAYS, ROOT CANALS, CROWNS AND FILLINGS. A SLIDING FEE SCALE IS ALSO AVAILABLE. DURING THE 2017 CALENDAR YEAR, 58,735 DENTAL VISITS WERE PROVIDED TO 20,233 INDIVIDUALS. 62936909 true true false true false false false false false false true false false false true false true false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false true 50 0 true 709 true false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true false false X JOHN BROWNE 5094448888 203 NORTH WASHINGTON STREET SUITE 3 SPOKANE WA 99201 FRANK WILSON DIRECTOR 1.0 0.0 X 0 0 0 HOLLIE WESTLY DIRECTOR 1.0 0.0 X 0 0 0 JEANENNE NEWBRE DIRECTOR 1.0 0.0 X 0 0 0 JOE GELLATLY PRESIDENT 1.0 0.0 X X 0 0 0 MARIA EKKERT SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 PAUL BARBER DIRECTOR 1.0 0.0 X 0 0 0 RACHEL OBENCHAIN VICE PRESIDENT 1.0 0.0 X X 0 0 0 RAY MCRAE DIRECTOR 1.0 0.0 X 0 0 0 SHARON STADELMAN DIRECTOR 1.0 0.0 X 0 0 0 VICTOR BRAY DIRECTOR 1.0 0.0 X 0 0 0 CHRIS CWIK DIRECTOR ENDING 9/2017 1.0 0.0 X 0 0 0 AARON WILSON CEO 40.0 0.0 X 209674 0 33612 JOHN BROWNE CFO 40.0 0.0 X 158290 0 30486 BETH RING COO 40.0 0.0 X 130597 0 19434 KINGSLEY UGORJI PHYSICIAN 40.0 0.0 X 271745 0 17030 WILLIAM LOCKWOOD PHYSICIAN 40.0 0.0 X 241757 0 34148 ETHAN ANGELL PHYSICIAN 40.0 0.0 X 238910 0 29908 DAVID BARE PHYSICIAN 40.0 0.0 X 224329 0 25561 BELINDA ESCANIO PHYSICIAN 40.0 0.0 X 217409 0 21168 1692711 0 211347 92 false true false BOUTEN CONSTRUCTION 627 N NAPA ST SPOKANE WA 99202 CONSTRUCTION 976663 NUVODIA 850 E SPOKANE BLVD 124 SPOKANE WA 99202 IT MANAGEMENT 474485 MERIDIAN CONSTRUCTION INC 12730 E MIRABEAU PARKWAY SUITE 700 SPOKANE WA 99216 CONSTRUCTION 110371 QUALITY SYSTEMS INC 18111 VON KARMAN AVE STE 600 IRVINE CA 92612 SOFTWARE SUPPORT 138494 NORTH IDAHO FAMILY PHYSICIANS 700 IRONWOOD DR STE 200E COEUR D ALENE ID 83814 BILLING CONSULTING 108793 5 7460574 145520 7606094 NET PATIENT SERVICE REVENUE 624100 82027604 82027604 EHR INCENTIVE REVENUE 624100 650250 650250 MEDICAL RECORDS REVENUE 900099 80629 80629 OTHER REVENUE 900099 296385 296385 83054868 0 0 0 98780 97599 1181 0 1181 1181 2888 -2888 -2888 -2888 0 0 0 0 0 0 0 0 0 0 90659255 83054868 -1707 15000 15000 0 0 0 582093 582093 0 38026031 29453038 8572993 1437838 1099428 338410 5247719 4002857 1244862 2723699 2053023 670676 0 56540 37287 19253 69935 46120 23815 0 0 0 3503258 2790974 712284 532608 86977 445631 2787375 2045899 741476 1510585 1149399 361186 0 1281466 829920 451546 396468 229650 166818 0 646618 374548 272070 19122 19122 0 2367376 2059694 307682 293904 210789 83115 BAD DEBT 1453653 1453653 MEDICAL SUPPLIES & DRUGS 14599891 14599891 LICENSES,DUES,SUBSCRIPTIONS 300840 205186 95654 RECRUITING & RETENTION 380179 174454 205725 78232198 62936909 15295289 0 8621916 22912773 0 0 4050 16329 6582941 4001903 0 0 0 0 0 0 1088890 989239 229973 453343 40528184 13346159 26609480 27182025 0 0 0 0 0 0 0 0 0 1456660 43137250 57012272 4961224 5744266 0 0 0 0 0 0 0 0 0 0 7664271 9365424 0 0 2225106 1188876 14850601 16298566 X 28286649 40713706 0 0 0 0 28286649 40713706 43137250 57012272 12427057 X false true X true true true X 4436300 5283032 5939198 7834759 7606094 31099383 0 0 4436300 5283032 5939198 7834759 7606094 31099383 0 31099383 12500 258516 102621 98780 472417 0 94251 29064 323301 342979 789595 32361395 285636469 0.96100 0.95470 X 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 15000 false false true 15000 false SCHEDULE C, PART II-B, LINE 1(F) GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES: CHAS IS A MEMBER OF THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND PAYS ANNUAL DUES. DUE TO CURRENT POLITICAL ENVIRONMENT AND THE PRESSURE ON FEDERAL HEALTHCARE FUNDING, NACHC REQUESTED ADDITIONAL ONE-TIME FUNDS TO HELP WITH LOBBYING EFFORTS. THE BOARD OF DIRECTORS APPROVED THIS ONE-TIME CONTRIBUTION OF $15,000 TO SUPPORT THEIR EFFORTS. SEE SCHEDULE I. SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. 3022365 3022365 23583698 6366092 17217606 6035522 2522401 3513121 7541960 4457666 3084294 344639 344639 27182025 0 EST AMT DUE TO 3RD PARTY PAYER 848876 EST SELF-INSURANCE COSTS 340000 1188876 89373692 67603 -1453653 -1386050 90759742 -100487 -100487 90659255 76946635 67603 100487 168090 76778545 1453653 1453653 78232198 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $(1,453,653) BAD DEBT EXPENSE SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 2,888) LOSS ON DISPOSAL OF FIXED ASSETS ( 97,599) RENTAL EXPENSES ------------ $( 100,487) SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 2,888 LOSS ON DISPOSAL OF FIXED ASSETS 97,599 RENTAL EXPENSES ------------ $ 100,487 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 1,453,653 BAD DEBT EXPENSE true NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS 7501 WISCONSIN AVENUE NO 1100W BETHESDA MD 20814 520939952 501(C)(3) 15000 LOBBYING 1 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: CHAS IS A MEMBER OF NACHC AND PAYS ANNUAL DUES. DUE TO CURRENT POLITICAL ENVIRONMENT AND THE PRESSURE ON FEDERAL HEALTHCARE FUNDING, NACHC REQUESTED ADDITIONAL ONE-TIME FUNDS TO HELP WITH LOBBYING EFFORTS. THE BOARD OF DIRECTORS APPROVED THIS ONE-TIME CONTRIBUTION TO SUPPORT THEIR EFFORTS. X X X X X false false false false false false false false false AARON WILSON CEO 176852 0 500 0 32322 0 8724 0 24888 0 243286 0 0 0 JOHN BROWNE CFO 140385 0 500 0 17405 0 6543 0 23943 0 188776 0 0 0 KINGSLEY UGORJI PHYSICIAN 241306 0 500 0 29939 0 7210 0 9820 0 288775 0 0 0 WILLIAM LOCKWOOD PHYSICIAN 207182 0 500 0 34075 0 9984 0 24164 0 275905 0 0 0 ETHAN ANGELL PHYSICIAN 198454 0 500 0 39956 0 6000 0 23908 0 268818 0 0 0 DAVID BARE PHYSICIAN 211516 0 500 0 12313 0 9092 0 16469 0 249890 0 0 0 BELINDA ESCANIO PHYSICIAN 174841 0 10500 0 32068 0 0 0 21168 0 238577 0 0 0 BETH RING COO 114620 500 15477 5482 13952 150031 0 0 FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE CONTROLLER. PRIOR TO FILING, A REVIEW OF THE FINAL 990 DRAFT IS PRESENTED BY KEY ACCOUNTING STAFF TO THE BOARD OF DIRECTORS AND FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: CONFLICTS OF INTEREST CAN BE CONSIDERED TO EXIST IN ANY INSTANCE WHERE THE ACTIONS OR ACTIVITIES OF AN INDIVIDUAL ON BEHALF OF THE ORGANIZATION ALSO INVOLVE THE OBTAINING OF AN IMPROPER ADVANTAGE OR INVOLVE AN ADVERSE EFFECT ON THE ORGANIZATIONS INTERESTS. THE BOARD OF DIRECTORS ESTABLISHES THE POLICY GOVERNING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST OF DIRECTORS. AT LEAST ANNUALLY EACH DIRECTOR IDENTIFIES IN WRITING TO THE BOARD OF DIRECTORS ANY CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST HE OR SHE HAS OR MAY HAVE. THE EMPLOYEES, BOARD MEMBERS, EXECUTIVE MANAGEMENT TEAM MEMBERS, VOLUNTEER LEADERS, OR MEDICAL/DENTAL STAFF LEADERS ARE PROVIDED A CONFLICT OF INTEREST POLICY QUESTIONNAIRE TO DETERMINE IF ANY CONFLICTS EXIST. A DIRECTOR WHO HAS A POTENTIAL CONFLICT OF INTEREST MAY PARTICIPATE IN THE EARLY STAGES OF DISCUSSION OF THE PARTICULAR ISSUE, SO THAT HE/SHE MIGHT CONTRIBUTE THE BENEFIT OF HIS/HER SPECIFIC KNOWLEDGE AND INSIGHTS. HOWEVER, ONCE VIABLE ALTERNATIVES BEGIN TO BE ASSESSED ON THEIR OWN MERITS, THIS DIRECTOR SHOULD REFRAIN FROM ALL FURTHER DISCUSSION, NONVERBAL COMMUNICATION AND VOTING ON THE ISSUE. THE BOARD RETAINS THE RIGHT TO RESOLVE THE ISSUE WITH THIS DIRECTOR TEMPORARILY ABSENT FROM THE MEETING. AN EMPLOYEE WHO HAS A POTENTIAL CONFLICT OF INTEREST MAY PARTICIPATE IN THE EARLY STAGES OF DISCUSSION OF THE PARTICULAR ISSUE, SO THAT HE/SHE MIGHT CONTRIBUTE THE BENEFIT OF HIS/HER SPECIFIC KNOWLEDGE AND INSIGHTS. HOWEVER, ONCE VIABLE ALTERNATIVES BEGIN TO BE ASSESSED ON THEIR OWN MERITS, THIS EMPLOYEE SHOULD REFRAIN FROM ALL FURTHER COMMUNICATION AND DISCUSSIONS ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15A CEO COMPENSATION REVIEW: THE EMPLOYMENT CONTRACT BETWEEN THE CEO AND THE ORGANIZATION WAS SIGNED ON 4/5/2015. THE CURRENT EMPLOYMENT AGREEMENT, APPROVED BY THE BOARD OF DIRECTORS, IS FOR A THREE-YEAR TERM. THE EXECUTIVE COMMITTEE PERFORMED AND COMPLETED A REVIEW OF COMPENSATION IN CONJUNCTION WITH THIS AGREEMENT. INDUSTRY COMPARATIVES, PARTICULARLY PEER HEALTH CENTER DATA, WERE USED FOR COMPARISON PURPOSES. FORM 990, PART VI, SECTION B, LINE 15B OTHER OFFICER COMPENSATION REVIEW: THE WORKFORCE DEVELOPMENT DEPARTMENT DOES AN ANNUAL SALARY SURVEY. SALARIES ARE COMPARED TO PEER FQHC SALARY DATA, HEALTHCARE SALARY DATA AND REGIONAL SALARY SURVEY DATA. THE MOST RECENT COMPREHENSIVE SALARY SURVEY WAS PERFORMED IN 2017. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO VIEW ON-SITE UPON REQUEST.