2017-09-14T21:44:58-05:00 2016-10-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2015-11-01 911641797 COMMUNITY HEALTH ASSOCIATION OF SPOKANE COMM 5094448888 203 NORTH WASHINGTON STREET NO 300 SPOKANE WA 99201 AARON WILSON CEO 5094448888 2017-06-15 1 KURT BENNION CPA P01469618 4252506100 2015 2021-01-29 14:40:06Z CHAS HEALTH AARON WILSON 203 NORTH WASHINGTON STREET NO 300 SPOKANE WA 99201 73827851 0 X WWW.CHAS.ORG X 1995 WA TO PROVIDE QUALITY MEDICAL, DENTAL AND PHARMACY SERVICES REGARDLESS OF INSURANCE STATUS. 9 9 614 12 0 0 5939198 7834759 52386959 65547492 -123932 -50817 581817 443347 58784042 73774781 43741 45747 0 0 36760508 42240545 0 0 0 20388852 23414601 57193101 65700893 1590941 8073888 37415802 43137250 17203041 14850601 20212761 28286649 X 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.SEE SCHEDULE O FOR ADDITIONAL INFORMATION.THE MISSION OF CHAS HEALTH IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE BY EXPANDING ACCESS TO QUALITY HEALTH AND WELLNESS SERVICES. AT CHAS HEALTH, WE BELIEVE THAT EVERYONE HAS A RIGHT TO HIGH-QUALITY HEALTHCARE REGARDLESS OF ABILITY TO PAY. WE BELIEVE IT IS A BASIC HUMAN RIGHT, NOT A PRIVILEGE, THAT ALL PEOPLE HAVE ACCESS TO QUALITY HEALTH CARE. CHAS HEALTH WAS FOUNDED IN 1994 IN RESPONSE TO UNMET NEED FOR PRIMARY CARE SERVICES FOR LOW-INCOME AND UNINSURED SPOKANE RESIDENTS. CHAS HEALTH HAS CONTINUED TO EXPAND ACCESS TO CARE THROUGH STRATEGIC GROWTH WHILE MAINTAINING EXCELLENCE IN CLINICAL QUALITY MEASURES AND PATIENT SATISFACTION. ALL CHAS HEALTH PRIMARY CARE CLINICS MEET THE NCQA STANDARDS FOR PATIENT CENTERED MEDICAL HOME. 0 0 30761096 0 36050931 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 2016 CALENDAR YEAR, 176,613 MEDICAL AND WELLNESS VISITS WERE PROVIDED TO 54,962 INDIVIDUALS. CHAS HEALTH OFFERS OBSTETRIC (OB) 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. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.IN ADDITION, THE FIRST STEPS PROGRAM OFFERS MATERNITY SUPPORT SERVICES (MSS) THAT INCLUDE:- COUNSELING AND PARENTING SKILLS CLASSES- NUTRITION GUIDANCE- CHILDBIRTH EDUCATION- TRANSPORTATION- FAMILY PLANNING AFTER YOUR PREGNANCY- REFERRALS TO OTHER DESIRED COMMUNITY RESOURCES- BEHAVIORAL HEALTH SERVICESCHAS HEALTH CLIENTS HAVE ACCESS TO HEALTH CARE CASE MANAGEMENT, PSYCHOLOGICAL TESTING, SHORT-TERM THERAPY AND COUNSELING. CLIENTS ALSO HAVE ACCESS TO CHEMICAL DEPENDENCY REFERRALS PROVIDED BY LICENSED PSYCHIATRISTS, PSYCHIATRIC NURSE PRACTITIONERS, LICENSED MENTAL HEALTH COUNSELORS, MASTERS-LEVEL SOCIAL WORKERS, AND CASE MANAGERS. ELECTRONIC RECORDS ALLOW CHAS HEALTH TO MANAGE CRITICAL DATA RELATED TO PATIENT CARE, INCLUDING THE CREATION OF DOCUMENTS AND LETTERS, MANAGEMENT OF PRESCRIPTIONS AND CLINICAL IMAGES, PATIENT EDUCATION, AND THE EXCHANGE OF DATA WITH OTHER INTERNAL AND EXTERNAL SYSTEMS. THROUGH A COMBINATION OF ADVANCED SOFTWARE, STATE-OF-THE-ART HARDWARE, AND RECENTLY DEVELOPED COMMUNICATIONS TECHNOLOGY, THE ELECTRONIC HEALTH RECORD ENABLES HEALTHCARE PROVIDERS TO CREATE AND MAINTAIN A CUTTING-EDGE COMPUTERIZED PATIENT RECORD SYSTEM DESIGNED TO COLLECT, STORE, AND MANAGE PATIENT MEDICAL, BEHAVIORAL HEALTH, PHARMACY, AND DENTAL INFORMATION.PATIENT SERVICE COORDINATORS (PSC) ARE PRESENT AT EACH OF OUR CLINICS TO HELP DETERMINE WHICH PROGRAMS PATIENTS MAY BE ELIGIBLE FOR AT CHAS HEALTH. WE ASSIST PATIENTS APPLYING FOR INSURANCE PROGRAMS AVAILABLE TO THEM, INCLUDING MEDICARE AND MEDICAID EXCHANGE PRODUCTS. OUR PSC'S WILL ASSIST IN MAKING APPLICATIONS TO ANY OR ALL OF THESE PROGRAMS AND TRACK THE PROGRESS OF APPLICATIONS. THOSE CURRENTLY NOT COVERED BY HEALTH INSURANCE PAY ON A SLIDING FEE SCALE BASED ON HOUSEHOLD INCOME AND FAMILY SIZE. PSC'S SERVE AS PATIENT ADVOCATES TO ACCESSING ASSISTANCE PROGRAMS.THE CHAS HEALTH HIV PROGRAM (CHIV) PROVIDES EARLY INTERVENTION AND HEALTH SERVICES FOR LOW-INCOME, UNDERINSURED AND UNINSURED PEOPLE LIVING WITH HIV/AIDS. THE HEP C PROGRAM PROVIDES COMPLETE COURSE TREATMENT FOR ALL ELIGIBLE AND QUALIFIED PATIENTS. PRIMARY CARE SERVICES INCLUDE:- MEDICAL EVALUATIONS AND TESTING- ORAL HEALTH CARE- NUTRITIONAL COUNSELING- OUTPATIENT BEHAVIORAL HEALTH COUNSELING- REFERRALS TO SPECIALTY CARE AND OTHER COMMUNITY RESOURCES AS NEEDED- CHRONIC DISEASE MANAGEMENT- COLLABORATIVE CASE MANAGEMENT FOR PATIENTS LIVING WITH DEPRESSION, ASTHMA, AND DIABETES. 14824198 0 22324268 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 ELEVEN IN-HOUSE PHARMACIES (TWO IN MAPLE, NORTH COUNTY, VALLEY, DENNY MURPHY, MOSCOW, LEWISTON, URGENT CARE, MARKET STREET, PERRY STREET, AND CHENEY CLINICS), 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 2016 CALENDAR YEAR, 397,769 PRESCRIPTIONS, COUNSELING SESSIONS, AND REFILLS WERE PROVIDED TO PATIENTS. 8436764 0 7172293 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 2016 CALENDAR YEAR, 45,084 DENTAL VISITS WERE PROVIDED TO 16,511 INDIVIDUALS. 45747 45747 0 CHAS HEALTH PROVIDES EMPLOYEE TUITION ASSISTANCE AND OTHER COMMUNITY SUPPORT. 45747 45747 0 54067805 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 60 0 614 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 X AARON WILSON 5094448888 203 NORTH WASHINGTON STREET SUITE SPOKANE WA 99201 CHAD DASHIELL CHAIR (THROUGH MAY 2016) 1.00 X X 0 0 0 JOE GELLATLY CHAIR 1.00 X X 0 0 0 PAUL BARBER VICE CHAIR (THROUGH DEC 2015) 1.00 X X 0 0 0 RACHEL OBENCHAIN VICE CHAIR 1.00 X X 0 0 0 SHARON STADELMAN SECRETARY/TREASURER (THRU DEC 2015) 1.00 X X 0 0 0 MARIA EKKERT SECRETARY/TREASURER 1.00 X X 0 0 0 VICTOR BRAY DIRECTOR 1.00 X 0 0 0 CHRIS CWIK DIRECTOR 1.00 X 0 0 0 RAY MCRAE DIRECTOR 1.00 X 0 0 0 JENENE NEWBRE DIRECTOR 1.00 X 0 0 0 HOLLIE WESTLY DIRECTOR 1.00 X 0 0 0 FRANK WILSON DIRECTOR 1.00 X 0 0 0 AARON WILSON CEO 40.00 X 204835 0 35141 JOHN BROWNE CFO 40.00 X 139090 0 28500 BETH RING COO 40.00 X 106402 0 19794 ETHAN ANGELL PHYSICIAN 40.00 X 246104 0 31871 KINGSLEY UGORJI PHYSICIAN 40.00 X 244759 0 13192 WILLIAM LOCKWOOD PHYSICIAN 40.00 X 242974 0 37414 DAVID BARE PHYSICIAN 40.00 X 213554 0 26225 JONATHAN JUDD DENTIST 40.00 X 202550 0 22846 PEG HOPKINS FORMER CEO 40.00 X 114807 0 8662 1715075 0 223645 79 1 1 0 BOUTEN CONSTRUCTION COMPANY 627 N NAPA ST SPOKANE WA 99202 CONSTRUCTION 2538935 NUVODIA 850 E SPOKANE FALLS BLVD 124 SPOKANE WA 99202 IT MANAGEMENT 1220166 QUALITY SYSTEMS INC 18111 VON KARMAN AVE STE 600 IRVINE CA 92612 SOFTWARE SUPPORT 404772 BERNARDO WILLS ARCHITECTS 153 S JEFFERSON ST SPOKANE WA 99201 ARCHITECTURE 219438 Q S-1 DATA SYSTEMS 671 STRANDER BLVD TUKWILA WA 98188 SOFTWARE SUPPORT 175968 9 7623273 211486 7834759 PATIENT SERVICE REVENUE 624100 65119163 65119163 EHR INCENTIVE REVENUE 624100 310250 310250 MEDICAL RECORDS REVENUE 900099 118079 118079 65547492 2253 2253 100368 0 100368 100368 100368 53070 -53070 -53070 -53070 OTHER REVENUE 900099 342979 342979 342979 73774781 65547492 0 392530 21440 21440 24307 24307 533923 533923 33603220 28693532 4909688 833069 707713 125356 4873032 4039443 833589 2397301 2010021 387280 43391 14402 28989 90035 90035 3981239 2058467 1922772 657541 127919 529622 986361 664193 322168 1450969 1092941 358028 307616 133282 174334 489551 344475 145076 110775 107201 3574 2056814 1771716 285098 521783 446078 75705 MEDICAL SUPPLIES 9672333 9571371 100962 MINOR EQUIPMENT 1299248 640964 658284 BAD DEBT EXPENSE 1258756 1258756 DUES & SUBSCRIPTIONS 223804 147557 76247 264385 192027 72358 65700893 54067805 11633088 0 7982407 8621916 12500 4050 4666312 6582941 817174 1088890 212743 229973 38008531 11399051 23724666 26609480 37415802 43137250 5194222 4961224 8196874 7664271 3811945 2225106 17203041 14850601 X 20212761 28286649 20212761 28286649 37415802 43137250 8073888 0 X 0 1 X 1 1 1 X 4137151 4436300 5283032 5939198 7834759 27630440 4137151 4436300 5283032 5939198 7834759 27630440 27630440 30 12500 258516 102621 373667 146459 94251 29064 323301 342979 936054 28940161 238508345 0.95470 0.95840 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 4343 0 0 4343 0 PART II-B, LINE 1: WHILE ATTENDING THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS CONFERENCE IN WASHINGTON, DC, THE ORGANIZATION PARTICIPATED IN ADVOCACY AND EDUCATIONAL ACTIVITIES AND DISCUSSIONS FOR HEALTH CENTERS DIRECTLY WITH LEGISLATORS. IN ADDITION, THE ORGANIZATION PARTICIPATES IN "LEGISLATIVE DAYS ORGANIZED BY THE WASHINGTON ASSOCIATION OF COMMUNITY AND MIGRANT HEALTH CENTERS AND THE IDAHO PRIMARY CARE ASSOCIATION, DURING WHICH THE ORGANIZATION CAMPAIGNED FOR HEALTH CENTERS DIRECTLY WITH STATE LEGISLATORS. 3022365 3022365 22630843 5335116 17295727 5624590 2002109 3622481 6234807 4061826 2172981 495926 495926 26609480 ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYERS 1875106 ESTIMATED SELF-INSURANCE COSTS 350000 2225106 72636698 67603 53070 120673 72516025 1258756 1258756 73774781 64562810 67603 53070 120673 64442137 1258756 1258756 65700893 PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 53,070. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 1,258,756. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 53,070. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 1,258,756. 1 LILAC BLOOMSDAY ASSOCIATION 1414 NORTH BELT SPOKANE WA 99201 911054846 501(C)(3) 8000 BLOOMSDAY SPONSORSHIP 1 0 TUITION ASSISTANCE 13 24307 PART I, LINE 2: THE ORGANIZATION DOESN'T MONITOR THE USE OF FUNDS GIVEN TO OTHER ORGANIZATIONS. INDIVIDUALS ARE REQUIRED TO APPLY FOR TUITION ASSISTANCE, PAY FOR THEIR TUITION, AND ACHIEVE AT LEAST A 3.0 GPA IN A COURSE BEFORE THEY CAN BE REIMBURSED FOR THE TUITION EXPENSE. X X X X X 0 0 0 0 0 0 0 0 0 AARON WILSON CEO 195663 0 500 0 8672 0 8489 0 26652 0 239976 0 0 0 JOHN BROWNE CFO 136585 0 500 0 2005 0 5705 0 22795 0 167590 0 0 0 ETHAN ANGELL PHYSICIAN 243219 0 500 0 2385 0 6000 0 25871 0 277975 0 0 0 KINGSLEY UGORJI PHYSICIAN 240165 0 500 0 4094 0 7277 0 5915 0 257951 0 0 0 WILLIAM LOCKWOOD PHYSICIAN 242474 0 500 0 0 0 10043 0 27371 0 280388 0 0 0 DAVID BARE PHYSICIAN 213054 0 500 0 0 0 8735 0 17490 0 239779 0 0 0 JONATHAN JUDD DENTIST 202050 0 500 0 0 0 8192 0 14654 0 225396 0 0 0 PEG HOPKINS FORMER CEO 80963 0 0 0 33844 0 4627 0 4035 0 123469 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS AND THE IMMEDIATE PAST PRESIDENT. THE EXECUTIVE COMMITTEE MAY ACT, SUBJECT TO RATIFICATION BY THE BOARD OF DIRECTORS AT THE NEXT REGULARLY SCHEDULED MEETING, ON ALL MATTERS AFFECTING THE ORGANIZATION. THE EXECUTIVE COMMITTEE SUPERVISES THE CEO. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ORGANIZATION. ONCE A TENTATIVE DRAFT WAS PREPARED, THE CFO AND CEO MADE RECOMMENDATIONS FOR CHANGES OR UPDATES. THE FORM 990 WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C 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 ORGANIZATION'S 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 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. DURING THE CURRENT FISCAL YEAR, PERFORMANCE EVALUATIONS OF ALL EMPLOYEE POSITIONS, INCLUDING OTHER OFFICERS AND KEY EMPLOYEES, WERE PERFORMED AND COMPILED BY INTERNAL PERSONNEL. SALARY AND COMPENSATION REVIEWS WERE PERFORMED. THE PROCESS INCLUDED USE OF SALARY SURVEYS RELATED TO THE HEALTHCARE INDUSTRY, INCLUDING DATA SPECIFIC TO THE LOCAL REGION. THE PROCESS WAS DOCUMENTED IN A TIMELY MANNER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO VIEW ON-SITE UPON REQUEST.