2016-10-26T09:36:17-05:00 2016-06-30 410746749 CLIFTONLARSONALLEN LLP 610 NORTH 39TH AVENUE YAKIMA WA 98902 990 2015-07-01 571140982 COMMUNITY HEALTH OF CENTRAL WASHINGTON COMM 5094524520 501 S 5TH AVENUE YAKIMA WA 98902 PAUL KASCHMITTER CFO CFO 5094524520 2016-10-25 1 RALPH A CONNER CPA P00185729 5098232910 2016-10-25 2015 2017-02-10 21:41:12Z PAUL KASCHMITTER 501 S 5TH AVENUE YAKIMA WA 98902 30468491 0 X WWW.CHCW.ORG X 1993 WA TO ESTABLISH AND OPERATE AN INSTITUTION FOR THE PROVISION OF HEALTH CARE AND TREAMENT FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE IN THE COMMUNITIES SERVED AND TO ESTABLISH AND OPERATE A PROGRAM TO TRAIN FAMILY PHYSICIANS TO CARE FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE. 13 13 348 13 -1848 -1847 8395522 9764293 21892407 20600373 506 41942 -2501 -3029 30285934 30403579 0 0 0 0 20313978 22277943 0 0 87361 6219802 7350245 26533780 29628188 3752154 775391 21951269 26119579 6654219 10047138 15297050 16072441 X TO ESTABLISH AND OPERATE AN INSTITUTION FOR THE PROVISION OF HEALTH CARE AND TREAMENT FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE IN THE COMMUNITIES SERVED AND TO ESTABLISH AND OPERATE A PROGRAM TO TRAIN FAMILY PHYSICIANS TO CARE FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE. 1 1 22040820 20600373 COMMUNITY HEALTH OF CENTRAL WASHINGTON PROVIDES COMPREHENSIVE PRIMARY CARE MEDICAL AND DENTAL SERVICES TO UNDERSERVED PEOPLE IN YAKIMA AND KITTITAS COUNTIES. SERVICE IS PROVIDED REGARDLESS OF THE ABILITY TO PAY. LOW INCOME INDIVIDUALS AND FAMILIES MAY APPLY TO RECEIVE SERVICES ON A DISCOUNTED FEE BASIS.PATIENT CARE ACTIVITIES: THIS YEAR CHCW SERVED 34,112 PATIENTS, RESULTING IN 113,446 VISITS AT OUR 5 MEDICAL CLINICS, 1 DENTAL CLINIC, SENIOR RESIDENTIAL CARE SERVICES AND OUR SENIOR SMILES PROGRAM.DIRECT PATIENT CARE MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY IN GENERAL BY BOARD CERTIFIED PHYSICIANS, FAMILY PRACTICE RESIDENTS, ADVANCE PRACTICE CLINICIANS (PHYSICIANS ASSISTANTS AND NURSE PRACTITIONERS), AND CERTIFIED NURSING STAFF. PROVISION OF CARE IS RENDERED UNDER THE DIRECTION OF THE MEDICAL DIRECTOR. MEDICAL SERVICES INCLUDE ACUTE PRIMARY CARE (FAMILY PRACTICE, INTERNAL MEDICINE, AND PEDIATRICS), PREVENTIVE CARE, OBSTETRICS, GYNECOLOGY, PRIMARY CARE PROCEDURES, MINOR SURGERIES, BEHAVIORAL HEALTH, VACCINATIONS AND HEALTH CONSULTATIONS. SERVICES ARE PROVIDED IN THE CLINIC, HOSPITAL, NURSING HOMES, AND HOME SETTINGS. ORAL HEALTH IS PROVIDED TO THE COMMUNITY IN GENERAL BY BOARD CERTIFIED DENTISTS AND AN EMPLOYED HYGIENIST.ANCILLARY SERVICES: ANCILLARY SERVICES INCLUDE DIAGNOSTIC LABORATORY, RADIOLOGY AND PHARMACY. ANCILLARY SERVICES ARE PROVIDED ON-SITE FOR A MORE COMPREHENSIVE, EFFICIENT PROVISION OF CARE. LABORATORY SERVICES ARE SUB-CONTRACTED TO PAML, A CERTIFIED LABORATORY COMPANY. CHCW EMPLOYS A LICENSED RADIOLOGY TECHNICIAN WHO PROVIDES RADIOLOGY SERVICES AND EMPLOYS LICENSED PHARMACISTS AND TECHNICIANS WHO PROVIDE PHARMACY SERVICES. CHCW IS THE SOLE PROVIDER OF WIC AND MATERNITY SUPPORT SERVICES IN KITTITAS COUNTY. SUPPORT SERVICES: SUPPORT SERVICES INCLUDE BILLING, ADMINISTRATION, REFERRAL COORDINATION, PATIENT EDUCATION AND MEDICAL RECORDS. THESE SERVICES ARE NOT REIMBURSABLE BUT PROVIDED FOR THE BENEFIT OF PATIENTS IN THE COURSE OF PROVIDING PATIENT SERVICES. EMPLOYED STAFF PROVIDE ALL SUPPORT SERVICES. 4131963 THIS YEAR CHCW HAD 30 RESIDENTS AND GRADUATED 10 FAMILY PHYSICIANS. SUPERVISORY TEACHING OF RESIDENTS PROVIDE MEDICAL SERVICES TO PATIENTS UNDER THE DIRECT SUPERVISION OF FACULTY. FACULTY REVIEW RESIDENTS' ASSESSMENT OF COMPLIANT AND TREATMENT PLANS AND PROVIDE FEEDBACK TO RESIDENTS. THE PURPOSE IS TO FURTHER RESIDENTS' MEDICAL SKILLS AND TO ENSURE QUALITY OF CARE. SUPERVISION OCCURS IN THE CLINIC, HOSPITAL AND OTHER SETTINGS.DIRECT RESIDENT TEACHING DIRECT TEACHING INCLUDES PRESENTATIONS, DIDACTICS, SPEAKERS, SMALL GROUP DISCUSSIONS, LECTURES, AND HANDS-ON WORKSHOPS. DIRECT TEACHING IS DESIGNED TO FURTHER BIOMEDICAL, PSYCHOSOCIAL, AND PRACTICAL KNOWLEDGE IN A CLASSROOM AND/OR INTERACTIVE SETTING. DIRECT RESIDENT TEACHING MEETS THE ACCREDITATION REQUIREMENTS OUTLINED BY THE AMERICAN COLLEGE OF GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION. MOST DIRECT EDUCATIONAL ACTIVITIES OCCUR IN THE CLINIC AND HOSPITAL SETTING BY FACULTY AND ARE PROVIDED BY INVITED GUESTS. RESIDENT ADVISING EACH RESIDENT IS ASSIGNED A FACULTY ADVISOR. ADVISORS PROVIDE FEEDBACK ON RESIDENT KNOWLEDGE AND PERFORMANCE, INFORMATION RESOURCES, CAREER COUNSELING, AND OTHER AREAS OF ADVICE AS IT AFFECTS RESIDENTS' SUCCESS WITHIN THE PROGRAM. RESIDENTS AND ADVISORS MEET ON AN INTERIM BASIS THROUGHOUT THEIR ACADEMIC PROGRAM. RESIDENT SUPERVISION AND OBSERVATION AT NON-CLINIC SITES RESIDENTS ROTATE TO NON-CHCW SITES TO OBSERVE AND LEARN FROM PROVIDERS IN MEDICAL AND SURGICAL SPECIALTIES. RESIDENTS' INTERACT UNDER THE DIRECT SUPERVISION OF THE ATTENDING SPECIALIST FOR PURPOSES OF FURTHERING RESIDENTS' MEDICAL KNOWLEDGE AND EXPERIENCE. 26172783 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 34 0 348 1 1 1 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X X PAUL KASCHMITTER CFO 5095746110 501 S 5TH AVENUE YAKIMA WA 98902 ELIZABETH HERRES MILLER CHAIR 1.00 X X 0 0 0 EARL WEATHERMAN VICE CHAIR 1.00 X X 0 0 0 JIM BOUTILLIER VICE CHAIR 1.00 X X 0 0 0 DOUG BAULT BOARD MEMBER 1.00 X 0 0 0 NORMAN SHIVELY BOARD MEMBER 1.00 X 0 0 0 MAYRA CHACON BOARD MEMBER 1.00 X 0 0 0 MARY HOLMGREN BOARD MEMBER 1.00 X 0 0 0 JAKE JUNDT BOARD MEMBER 1.00 X 0 0 0 ROSEMARY LEIVA MURPHY BOARD MEMBER 1.00 X 0 0 0 SONIA RODRIGUEZ BOARD MEMBER 1.00 X 0 0 0 CHRIS WAARVICK BOARD MEMBER 1.00 X 0 0 0 KRISTIN LARSON BOARD MEMBER 1.00 X 0 0 0 DOUGLAS CORPRON BOARD MEMBER 1.00 X 0 0 0 MIKE MAPLES CEO 40.00 X 265829 0 25319 JUDY O'NEAL COO 40.00 X 108549 0 15623 PAUL KASCHMITTER CFO 40.00 X 166136 0 19502 MICHAEL SCHAFFRINNA CMO 40.00 X 211813 0 22496 RUSSEL MAIER PROGRAM DIRECTOR 40.00 X 211273 0 22243 JEFFREY BARTLETT YP PHYSICIAN DIRECTOR 40.00 X 213256 0 22224 MARK BAUER NM PHYSICIAN DIRECTOR 40.00 X 163999 0 19058 JOHN ASRIEL EC PHYSICIAN DIRECTOR 40.00 X 200672 0 32114 MARIA VERDUZCO CW PHYSICIAN 40.00 X 179038 0 20387 BENJAMIN BARSOTTI PEDIATRIC HOSPITALIST 40.00 X 204565 0 22014 PATRICK MORAN CW FACULTY PHYSICIAN 40.00 X 198961 0 21374 ERIKA MENDOZA PEDIATRIC HOSPITALIST 40.00 X 230149 0 21707 PAUL EMMANS II SR PHYSICIAN 40.00 X 257052 0 25038 MAUREEN WATSON SENIOR CARE PHYSICIAN 40.00 X 201758 0 14203 2813050 0 303302 41 0 1 0 CONCORD CONSTRUCTION 8557 LATERAL B RD WAPATO WA 98951 BUILDING REMODEL 1890438 LOOFBURROW WETCH ARCHITECTS 201 WEST YAKIMA AVENUE YAKIMA WA 98902 BUILDING REMODEL 220283 KITT CONSTRUCTION & DEVELOPMENT LLC 5010 W CHESTNUT AVE 49 YAKIMA WA 98902 BUILDING REMODEL 198671 YAKIMA VALLEY MEMORIAL HOSPITAL 2811 TIETON DRIVE YAKIMA WA 98902 RENT 161960 4 9522389 241904 9764293 PATIENT SERVICES 624100 20600373 20600373 20600373 41942 41942 61883 64912 -3029 -3029 -1848 -1181 30403579 20600373 -1848 40761 1068785 280378 752944 35463 16494634 15570141 919154 5339 771700 686161 85219 320 2505775 2279258 223733 2784 1437049 1298863 134804 3382 21403 3428 17975 34500 34500 880636 651750 189305 39581 52332 43060 9272 249150 196977 52173 587980 520327 67653 207712 163346 44366 220563 190339 30224 207235 145013 62222 869087 644422 224665 73764 66273 7491 SUPPLIES 2613238 2526064 86682 492 EQUPMENT RENTAL & MAINT 534742 413154 121588 EXCISE TAXES 230562 230562 BAD DEBT EXPENSE 174410 174410 392931 263267 129664 29628188 26172783 3368044 87361 4375 4850 7250176 8746796 2895984 2842726 148640 194246 8378 23160 18128114 6432763 11152400 11695351 38708 20935 452608 2591515 21951269 26119579 2884223 3866403 400517 147586 3369479 6033149 6654219 10047138 X 15297050 16072441 15297050 16072441 21951269 26119579 775391 0 X X 0 1 X 1 1 1 X 5923865 5287805 7455103 8395522 9764293 36826588 5923865 5287805 7455103 8395522 9764293 36826588 6400079 30426509 19781 19780 19838 19910 61346 140655 -10188 -3897 -1848 -15933 36951310 96746894 0.82340 0.79670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1382693 1382693 11595505 3582814 8012691 5149916 2849949 2299967 11695351 CONSTRUCTION IN PROGRESS 2591515 2591515 X 30468491 64912 64912 30403579 0 30403579 29693100 64912 64912 29628188 0 29628188 PART X, LINE 2: UNDER PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. AS OF JUNE 30, 2016 AND 2015, THE ORGANIZATION HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAXES. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE SCHEDULE D, PART XI, LINE 2D SUBLET RENTAL EXPENSES SCHEDULE D, PART XII, LINE 2D SUBLET RENTAL EXPENSES. X X X 0 0 0 1 0 0 0 0 0 MIKE MAPLES CEO 265829 0 0 0 0 0 15843 0 9476 0 291148 0 0 0 PAUL KASCHMITTER CFO 166136 0 0 0 0 0 9861 0 9641 0 185638 0 0 0 MICHAEL SCHAFFRINNA CMO 211813 0 0 0 0 0 12639 0 9857 0 234309 0 0 0 RUSSEL MAIER PROGRAM DIRECTOR 211273 0 0 0 0 0 12639 0 9604 0 233516 0 0 0 JEFFREY BARTLETT YP PHYSICIAN DIRECTOR 213256 0 0 0 0 0 12726 0 9498 0 235480 0 0 0 MARK BAUER NM PHYSICIAN DIRECTOR 163999 0 0 0 0 0 9748 0 9310 0 183057 0 0 0 JOHN ASRIEL EC PHYSICIAN DIRECTOR 200672 0 0 0 0 0 11933 0 20181 0 232786 0 0 0 MARIA VERDUZCO CW PHYSICIAN 179038 0 0 0 0 0 10728 0 9659 0 199425 0 0 0 BENJAMIN BARSOTTI PEDIATRIC HOSPITALIST 204565 0 0 0 0 0 12259 0 9755 0 226579 0 0 0 PATRICK MORAN CW FACULTY PHYSICIAN 198961 0 0 0 0 0 11921 0 9453 0 220335 0 0 0 ERIKA MENDOZA PEDIATRIC HOSPITALIST 230149 0 0 0 0 0 12204 0 9503 0 251856 0 0 0 PAUL EMMANS II SR PHYSICIAN 257052 0 0 0 0 0 15189 0 9849 0 282090 0 0 0 MAUREEN WATSON SENIOR CARE PHYSICIAN 201758 0 0 0 0 0 6767 0 7436 0 215961 0 0 0 PART I, LINE 5 THE ORGANIZATION COMPENSATES SOME OF THE PHYSICIANS INCLUDING SOME OF THE SITE DIRECTORS, BASED ON THEIR INDIVIDUAL PRODUCTION. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2015-01-20 4230000 BUILDING REMODEL 0 0 0 A 4230000 1187452 84600 2957948 2016 0 0 0 0 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART III, LINE 2 THE ORGANIZATION BEGAN OPERATION OF THE HIGHLAND CLINIC. FORM 990, PART III, LINE 3 THE ORGANIZATION DISCONTINUED OPERATION OF THE PEDIATRIC HOSPITALIST SERVICE. FORM 990, PART VI, SECTION B, LINE 11 LINE 11A EXPLANATION - THE 990 TAX RETURN WAS PRESENTED TO THE BOARD OF DIRECTORS AND UNANIMOUSLY APPROVED PRIOR TO THE ELECTRONIC SUBMISSION OF THE TAX RETURN. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 12C DISSEMINATION OF POLICY AT STAFF MEETINGS AND DISCUSSION AT LEADERSHIP MEETINGS AND A CONTINUED HEIGHTENED AWARENESS OF CONFLICT AND WHAT IT LOOKS LIKE FOR STAFF. SIGNATURE OF CONFLICT OF INTEREST POLICY AND ASSURING STAFF ARE AWARE OF NOT ONLY WHO THE COMPLIANCE OFFICER IS BUT THEIR ROLE AS WELL. FORM 990, PART VI, SECTION B, LINE 15 RESEARCH AND/OR SURVEY STUDIES AND CONSULTING IS DONE IF NECESSARY. COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS.OTHER TYPES OF CONSULTING AND RESEARCH IS DONE IF NECESSARY. FORM 990, PART VI, SECTION C, LINE 19 THE 990 IS AVAILABLE BY A THIRD PARTY WEBSITE, OTHERWISE AVAILABLE BY REQUEST. FORM 990. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR