2017-11-01T12:30:33-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 601 WEST RIVERSIDE SUITE 700 SPOKANE WA 992010622 990 2016-01-01 464139065 SPOKANE TEACHING HEALTH CENTER SPOK 5093151260 PO BOX 244 SPOKANE WA 99210 DAVID E LUHN CFO 5093151260 2017-10-31 1 BARBARA L EARNHEART P00240388 5093636300 2017-10-23 67.137.57.251 2017-10-31 10:02:50 PD P 3A69748B60C5562FF1572AE4C29EA0C331661B82 757A344A9F492B99F4DBC36D20E5EEF65915C547 2016 2021-01-29 14:40:06Z NANCY VORHEES PO BOX 244 SPOKANE WA 99210 2173506 0 X SPOKANETEACHINGHEALTH.ORG X 2013 WA SPOKANE TEACHING HEALTH CENTER IS ORGANIZED AND OPERATED SPECIFICALLY TO PROMOTE, CONDUCT AND SPONSOR EDUCATIONAL ACTIVITIES RELATED TO GRADUATE MEDICAL EDUCATION, INCLUDING RESIDENCY PROGRAMS. 9 9 1 9 0 0 1566725 2173506 0 0 0 0 23663 0 1590388 2173506 0 0 0 0 123999 55738 0 0 0 1101749 1700748 1225748 1756486 364640 417020 1125374 1791105 369056 617767 756318 1173338 POKANE TEACHING HEALTH CENTER IS ORGANIZED AND OPERATED SPECIFICALLY TO PROMOTE, CONDUCT AND SPONSOR EDUCATIONAL ACTIVITIES RELATED TO GRADUATE SMEDICAL EDUCATION, INCLUDING RESIDENCY PROGRAMS. 0 0 1549036 GRADUATE MEDICAL EDUCATION (GME)--INTERNAL MEDICINE AND FAMILY MEDICINE RESIDENCY PROGRAMSACGME--ACCREDITED SPONSORSHIP AND OPERATIONS OF EXPANDED FAMILY AND INTERNAL MEDICINE RESIDENCY PROGRAMS, HRSA-FUNDED, IN A TEACHING HEALTH CENTER SETTING IN SPOKANE, WA. IN 2016, STHC EXPANDED THESE RESIDENCY PROGRAMS IN SPOKANE BY SPONSORING AN ADDITIONAL 6 NEW RESIDENTS (A TOTAL EXPANSION OF 18, OR 40%, SINCE 2014). 29550 GRADUATE MEDICAL EDUCATION (GME)--DEVELOPMENT OF NEW RESIDENCY PROGRAMS AT AREA HOSPITALSIN 2016, THE ORGANIZATION RECEIVED $490,000 OF GRANTS MADE AVAILABLE BY THE STATE OF WASHINGTON LEGISLATURE (HB 2151) AND ADMINISTERED BY THE UNIVERSITY OF WASHINGTON TO DEVELOP NEW GME RESIDENCY PROGRAMS AT HOLY FAMILY HOSPITAL (SPOKANE, WA) AND PULLMAN REGIONAL HOSPITAL (PULLMAN, WA). THESE HOSPITALS HAVE NO SUCH CURRENT RESIDENCY PROGRAMS. THE FUNDS WILL BE USED TO DEVELOP PROGRAMS AT THOSE FACILITIES OVER A 2 TO 3 YEAR PERIOD. THIS EFFORT IS IN ACCORDANCE WITH THE ORGANIZATION'S MISSION ELEMENT TO EVALUATE AND PROVIDE FOR GROWTH IN ACADEMIC MEDICINE TRAINING IN THE GREATER SPOKANE COMMUNITY. 1578586 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 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 4 0 1 1 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 1 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 WA X EMPIRE HEALTH FOUNDATION CO DAVE LUHN 5093151260 1020 W RIVERSIDE AVE SPOKANE WA 99201 ANTONY CHIANG CHAIR (CLASS A APPOINTEE) 0.50 40.00 X X 0 248800 35189 FREDERICK CHEN MD MPH DIRECTOR (CLASS A APPOINTEE) 0.50 X 0 0 0 MICHAEL NOWLING DIRECTOR (CLASS A APPOINTEE) 0.50 X 0 0 0 JEFFREY BELL DIRECTOR (CLASS A APPOINTEE) 0.50 X 0 0 0 DEB HARPER MD DIRECTOR (CLASS A APPOINTEE) 0.50 X 0 0 0 JEFF COLLINS MD DIRECTOR (CLASS B APPOINTEE) 0.50 X 0 0 0 RICH HADLEY DIRECTOR (CLASS B APPOINTEE) 0.50 X 0 0 0 LISA BROWN PHD SECRETARY (CLASS C APPOINTEE) 0.50 X X 0 0 0 KENNETH ROBERTS PHD DIRECTOR (CLASS C APPOINTEE) 0.50 X 0 0 0 GARMAN LUTZ DIRECTOR (CLASS A APPOINTEE) 0.50 X 0 0 0 JOHN ROLL PHD DIRECTOR (CLASS C APPOINTEE) 0.50 X 0 0 0 MICHAEL WILSON CONSULTING EXECUTIVE DIRECTOR 2.00 X 11875 0 0 DAVID E LUHN CHIEF FINANCIAL OFFICER (ACTING) 0.50 40.00 X 0 124824 22880 11875 373624 58069 0 0 1 0 0 657506 1516000 2173506 2173506 0 0 0 11875 11875 34000 34000 5835 5835 4028 4028 58389 58389 15250 15250 240 240 7760 7760 439 439 159 159 12212 12212 2413 2413 195 195 17714 17714 RESIDENCY PROGRAM INCRE 3169165 3169165 NEW RESIDENCY PROGRAM D 29550 29550 WASHINGTON STATE EXCISE 7391 7391 CONTRACTUAL OFFSETS AND -1620129 -1620129 1756486 1578586 177900 0 789262 790202 325813 990943 9338 9194 977 211 961 766 1125374 1791105 369056 617767 369056 617767 X 756318 645238 528100 756318 1173338 1125374 1791105 417020 0 X X 0 1 X 1 0 X 1013000 1566725 2173506 4753231 1013000 1566725 2173506 4753231 92316 4660915 7319 23663 30982 4784213 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 977 211 766 766 X 2173506 0 2173506 0 2173506 1756486 0 1756486 0 1756486 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 CHAIR (CLASS A APPOINTEE) 0 222092 0 11600 0 15108 0 0 0 35189 0 283989 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. ELAINE COUTURE A FORMER DIRECTOR OF THE ORGANIZATION 34000 GROSS WAGE COMPENSATION PAID BY THE ORGANIZATION TO TRACI COUTURE (RESIGNED EFFECTIVE 6/30/2016), THE DAUGHTER OF THE INTERESTED PERSON. 0 FORM 990, PART VI, SECTION A, LINE 3 MR. MICHAEL WILSON, OF WILSON CONSULTING LLC, WAS ENGAGED AS A CONSULTING EXECUTIVE DIRECTOR THROUGH JUNE 30, 2016 AND GRANTED DAY-TO-DAY DECISION-MAKING RESPONSIBILITY FOR THE ORGANIZATION. MR. WILSON WAS PAID CASH COMPENSATION OF $11,875 IN PERFORMANCE OF THESE DUTIES. FORM 990, PART VI, SECTION A, LINE 6 TWO MEMBERS: EMPIRE HEALTH FOUNDATION (CLASS A) AND PROVIDENCE HEALTH AND SERVICES (CLASS B) FORM 990, PART VI, SECTION A, LINE 7A EMPIRE HEALTH FOUNDATION APPOINTS 5 CLASS "A" BOARD MEMBERS. PROVIDENCE HEALTH & SERVICES APPOINTS 2 CLASS "B" BOARD MEMBERS. A NON-MEMBER ORGANIZATION, WASHINGTON STATE UNIVERSITY, APPOINTS 2 CLASS "C" BOARD MEMBERS. ALL CLASSES OF BOARD MEMBERS 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 MEMBERS CONTROLS 50% OR MORE 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 12 THE BOARD IN 2017 HAS DEFINED THE PROCESS FOR ANNUALLY DISCLOSING ACTUAL OR POTENTIAL CONFLICTS OF INTERESTS AND WILL BE CONSISTENTLY MONITORING AND ENFORCING COMPLIANCE WITH THE ALREADY EXISTING CONFLICT OF INTEREST POLICY MOVING FORWARD. HOWEVER, THE ORGANIZATION IS NOT AWARE OF ANY VIOLATIONS OF THE EXISTING POLICY THROUGH DECEMBER 31, 2016. FORM 990, PART VI, SECTION B, LINE 15 ANNUAL REVIEW BY THE BOARD, INCLUDING COMPARISONS FOR SIMILAR POSITIONS IN OTHER NON-PROFITS. 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 RIVERPOINT CLINIC PC PO BOX 422 SPOKANE WA 99210 464190402 PUBLIC CHARITY WA 501(C)(3) 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 0 0 1 1 0 0 0 PROVIDENCE HEALTH & SERVICES C 582506 CASH VALUE EMPIRE HEALTH FOUNDATION C 75000 CASH VALUE PROVIDENCE HEALTH & SERVICES P 1549036 FAIR MARKET VALUE