FURP.ORG / PUBLIC DATA EXPLORER

COMMUNITY HEALTH ASSOCIATION OF SPOKANE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH ASSOCIATION OF SPOKANE (EIN 91-1641797)
Tax period
2014-11-01 to 2015-10-31
Filed
2016-08-15
IRS object ID
201642289349305379
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-15T19:28:41-05:00ReturnTs
Tax Period End2015-10-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13000 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-11-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911641797EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH ASSOCIATION OF SPOKANEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone5094448888PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1203 NORTH WASHINGTON STREET NO 300AddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAARON WILSONPersonNm
Person TitleCEOPersonTitleTxt
Phone5094448888PhoneNum
Signature2016-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNIONPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAARON WILSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1203 NORTH WASHINGTON STREET NO 300AddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$58,907,974GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHAS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO PROVIDE QUALITY MEDICAL, DENTAL AND PHARMACY SERVICES REGARDLESS OF INSURANCE STATUS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee557TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,283,032PYContributionsGrantsAmt
CY Contributions Grants$5,939,198CYContributionsGrantsAmt
PY Program Service Revenue$48,856,640PYProgramServiceRevenueAmt
CY Program Service Revenue$52,386,959CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income-$123,932CYInvestmentIncomeAmt
PY Other Revenue$41,564PYOtherRevenueAmt
CY Other Revenue$581,817CYOtherRevenueAmt
PY Total Revenue$54,181,236PYTotalRevenueAmt
CY Total Revenue$58,784,042CYTotalRevenueAmt
PY Grants And Similar Paid$14,734PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$43,741CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$31,106,564PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$36,760,508CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$17,561,627PYOtherExpensesAmt
CY Other Expenses$20,388,852CYOtherExpensesAmt
PY Total Expenses$48,682,925PYTotalExpensesAmt
CY Total Expenses$57,193,101CYTotalExpensesAmt
PY Revenues Less Expenses$5,498,311PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,590,941CYRevenuesLessExpensesAmt
Total Assets BOY$31,345,021TotalAssetsBOYAmt
Total Assets EOY$37,484,568TotalAssetsEOYAmt
Total Liabilities BOY$12,723,201TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,271,807TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,621,820NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,212,761NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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."WE AT CHAS HEALTH 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. 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. 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$27,255,111ExpenseAmt
Grant$0GrantAmt
Revenue$26,800,759RevenueAmt
DescMEDICAL 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 FISCAL YEAR, 155,522 MEDICAL AND WELLNESS VISITS AND CARE WERE PROVIDED TO 55,969 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, 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. 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$13,212,663ExpenseAmt
Grant$0GrantAmt
Revenue$18,951,214RevenueAmt
DescPHARMACY 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 TEN IN-HOUSE PHARMACIES (TWO IN MAPLE, NORTH COUNTY, VALLEY, DENNY MURPHY, MOSCOW, LEWISTON, URGENT CARE, MARKET STREET, AND PERRY STREET 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 FISCAL YEAR, 365,720 PRESCRIPTIONS, COUNSELING SESSIONS, AND REFILLS WERE PROVIDED TO PATIENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$8,223,141ExpenseAmt
Grant$0GrantAmt
Revenue$6,634,986RevenueAmt
DescDENTAL SERVICES ARE AVAILABLE AT FOUR CLINICS (DENNY MURPHY, MAPLE, NORTH COUNTY, AND CLARKSTON) 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 FISCAL YEAR, OVER 40,300 DENTAL VISITS AND CARE WERE PROVIDED TO 16,652 INDIVIDUALS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$43,741ExpenseAmt
Grant$43,741GrantAmt
Revenue$0RevenueAmt
DescCHAS HEALTH PROVIDES EMPLOYEE TUITION ASSISTANCE AND OTHER COMMUNITY SUPPORT.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$43,741TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$43,741TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$48,734,656TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document69IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee557EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AARON WILSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5094448888PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1203 NORTH WASHINGTON STREET SUITEAddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHAD DASHIELL
CHAIR1.00Yes (X)Yes (X)$0$0$0
PAUL BARBER
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
SHARON STADELMAN
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
RYAN BEAUDOIN
DIRECTOR1.00Yes (X)$0$0$0
VICTOR BRAY
DIRECTOR1.00Yes (X)$0$0$0
MARIA EKKERT
DIRECTOR1.00Yes (X)$0$0$0
JOE GELLATLY
DIRECTOR1.00Yes (X)$0$0$0
RAY MCRAE
DIRECTOR1.00Yes (X)$0$0$0
JENENNE NEWBRE
DIRECTOR1.00Yes (X)$0$0$0
RACHEL OBENCHAIN
DIRECTOR1.00Yes (X)$0$0$0
AMBER PEDERSEN
DIRECTOR1.00Yes (X)$0$0$0
HOLLIE WESTLY
DIRECTOR1.00Yes (X)$0$0$0
FRANK WILSON
DIRECTOR1.00Yes (X)$0$0$0
PEG HOPKINS
CEO40.00Yes (X)$229,919$0$25,502
AARON WILSON
COO & CEO40.00Yes (X)$165,580$0$33,087
JOHN BROWNE
CFO40.00Yes (X)$130,280$0$25,431
ETHAN ANGELL
PHYSICIAN40.00$220,401$0$31,906Yes (X)
KINGSLEY UGORJI
PHYSICIAN40.00$215,187$0$14,562Yes (X)
WILLIAM LOCKWOOD
PHYSICIAN40.00$208,909$0$34,250Yes (X)
DAVID BARE
PHYSICIAN40.00$211,106$0$29,816Yes (X)
JONATHAN JUDD
PHYSICIAN40.00$183,568$0$29,243Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,564,950TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$223,797TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K69IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BOUTEN CONSTRUCTION COMPANY
627 N NAPA STSPOKANEWA99202CONSTRUCTION$2,467,207
NUVODIA
850 E SPOKANE FALLS BLVD 124SPOKANEWA99202IT MANAGEMENT$1,201,812
QUALITY SYSTEMS INC
18111 VON KARMAN AVE STE 600IRVINECA92612SOFTWARE SUPPORT$448,437
PTSO OF WASHINGTON
2102 FOURTH AVE STE 850SEATTLEWA98121APPLICATION SUPPORT$270,701
BERNARDO WILLS ARCHITECTS
153 S JEFFERSON STSPOKANEWA99201ARCHITECTURE$265,622
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Government Grants$5,818,630GovernmentGrantsAmt
All Other Contributions$120,568AllOtherContributionsAmt
Total Contributions$5,939,198TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE624100$51,581,786$51,581,786
EHR INCENTIVE REVENUE624100$667,250$667,250
MEDICAL RECORDS REVENUE900099$137,923$137,923
FieldValueIRS element (for citing)
Total Program Service Revenue$52,386,959TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$258,516RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$258,516RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$258,516TotalRevenueColumnAmt
Exclusion$258,516ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$123,932OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$123,932OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$123,932TotalRevenueColumnAmt
Exclusion-$123,932ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$323,301TotalRevenueColumnAmt
Exclusion$323,301ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$323,301OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,784,042TotalRevenueColumnAmt
Related Or Exempt Func Income$52,386,959RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$457,885ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$27,347TotalAmt
Program Services$27,347ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$16,394TotalAmt
Program Services$16,394ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$564,976TotalAmt
Management And General$564,976ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$29,356,757TotalAmt
Program Services$25,359,808ProgramServicesAmt
Management And General$3,996,949ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$701,796TotalAmt
Program Services$600,577ProgramServicesAmt
Management And General$101,219ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,027,366TotalAmt
Program Services$3,404,410ProgramServicesAmt
Management And General$622,956ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,109,613TotalAmt
Program Services$1,789,005ProgramServicesAmt
Management And General$320,608ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$92,954TotalAmt
Management And General$92,954ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$48,675TotalAmt
Management And General$48,675ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,981,471TotalAmt
Program Services$2,681,550ProgramServicesAmt
Management And General$299,921ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$558,569TotalAmt
Program Services$93,897ProgramServicesAmt
Management And General$464,672ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$914,561TotalAmt
Program Services$540,981ProgramServicesAmt
Management And General$373,580ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,355,496TotalAmt
Program Services$1,039,418ProgramServicesAmt
Management And General$316,078ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$261,890TotalAmt
Program Services$233,037ProgramServicesAmt
Management And General$28,853ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$393,025TotalAmt
Program Services$306,519ProgramServicesAmt
Management And General$86,506ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$61,673TotalAmt
Program Services$61,325ProgramServicesAmt
Management And General$348ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,575,713TotalAmt
Program Services$1,271,538ProgramServicesAmt
Management And General$304,175ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$369,496TotalAmt
Program Services$270,986ProgramServicesAmt
Management And General$98,510ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$9,230,541$9,230,541
MINOR EQUIPMENT$1,097,769$479,878$617,891
BAD DEBT EXPENSE$840,707$840,707
DUES & SUBSCRIPTIONS$215,655$132,941$82,714

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$390,657TotalAmt
Program Services$353,797ProgramServicesAmt
Management And General$36,860ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$57,193,101TotalAmt
Program Services$48,734,656ProgramServicesAmt
Management And General$8,458,445ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,633,585BOYAmt
EOY$7,982,407EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$481,379BOYAmt
EOY$242,635EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,726,607BOYAmt
EOY$4,436,177EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$796,096BOYAmt
EOY$817,174EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$171,205BOYAmt
EOY$212,743EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$33,458,702LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,734,036LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,491,673BOYAmt
EOY$23,724,666EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$44,476BOYAmt
EOY$68,766EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,345,021BOYAmt
EOY$37,484,568EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,683,577BOYAmt
EOY$5,194,222EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,926,887BOYAmt
EOY$8,265,640EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,112,737BOYAmt
EOY$3,811,945EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,723,201BOYAmt
EOY$17,271,807EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,621,820BOYAmt
EOY$20,212,761EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,621,820BOYAmt
EOY$20,212,761EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,345,021BOYAmt
EOY$37,484,568EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,590,941ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,607,981CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,137,151CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,436,300CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,283,032CurrentTaxYearMinus1YearAmt
Current Tax Year$5,939,198CurrentTaxYearAmt
Total$24,403,662TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,607,981CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,137,151CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,436,300CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,283,032CurrentTaxYearMinus1YearAmt
Current Tax Year$5,939,198CurrentTaxYearAmt
Total$24,403,662TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$24,403,662PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$30CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$12,500CurrentTaxYearMinus1YearAmt
Current Tax Year$258,516CurrentTaxYearAmt
Total$271,046TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$196,072CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$146,459CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$94,251CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,064CurrentTaxYearMinus1YearAmt
Current Tax Year$323,301CurrentTaxYearAmt
Total$789,147TotalAmt
FieldValueIRS element (for citing)
Total Support$25,463,855TotalSupportAmt
Gross Receipts Rltd Activities$206,168,134GrossReceiptsRltdActivitiesAmt
Public Support CY1700.95840PublicSupportCY170Pct
Public Support PY1700.96990PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOMEExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Total Lobbying Expenditures$0TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationWHILE ATTENDING THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS CONFERENCE IN WASHINGTON, DC, THE ORGANIZATION CAMPAIGNED 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. LOBBYING ACTIVITIES WERE CONDUCTED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE WASHINGTON ASSOCIATION OF COMMUNITY AND MIGRANT HEALTH CENTERS ON BEHALF OF CHAS HEALTH AND OTHER MEMBERS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,683,200OtherCostOrOtherBasisAmt
Book Value$2,683,200BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,402,078OtherCostOrOtherBasisAmt
Depreciation$4,381,424DepreciationAmt
Book Value$14,020,654BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,448,560OtherCostOrOtherBasisAmt
Depreciation$1,470,081DepreciationAmt
Book Value$1,978,479BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,806,230OtherCostOrOtherBasisAmt
Depreciation$3,882,531DepreciationAmt
Book Value$1,923,699BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,118,634OtherCostOrOtherBasisAmt
Book Value$3,118,634BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,724,666TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYERS$3,079,242
ESTIMATED SELF-INSURANCE COSTS$380,000
ESTIMATED COST POOL LIABILITY$352,703
FieldValueIRS element (for citing)
Total Liability$3,811,945TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$58,134,870TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$67,603DonatedServicesAndUseFcltsAmt
Other Revenue$123,932OtherRevenueAmt
Revenue Not Reported$191,535RevenueNotReportedAmt
Revenue Subtotal$57,943,335RevenueSubtotalAmt
Other Revenues Not Included$840,707OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$840,707RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$58,784,042TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$56,543,929TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$67,603DonatedServicesUseFcltsAmt
Other Expenses Included$123,932OtherExpensesIncludedAmt
Expenses Not Reported$191,535ExpensesNotReportedAmt
Expenses Subtotal$56,352,394ExpensesSubtotalAmt
Other Expenses Not Included$840,707OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$840,707ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$57,193,101TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF FIXED ASSETS 123,932.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS 840,707.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF FIXED ASSETS 123,932.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS 840,707.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1LILAC BLOOMSDAY ASSOCIATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11414 NORTH BELTAddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99201ZIPCd
FieldValueIRS element (for citing)
Recipient EIN911054846RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$8,000CashGrantAmt
Purpose Of GrantBLOOMSDAY SPONSORSHIPPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeTUITION ASSISTANCEGrantTypeTxt
Recipient6RecipientCnt
Cash Grant$16,394CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PEG HOPKINS
CEO$220,537$0$500$0$8,882$0$9,335$0$16,167$0$255,421$0$0$0
AARON WILSON
COO & CEO$164,559$0$500$0$521$0$6,899$0$26,188$0$198,667$0$0$0
JOHN BROWNE
CFO$127,333$0$500$0$2,447$0$5,247$0$20,184$0$155,711$0$0$0
ETHAN ANGELL
PHYSICIAN$217,767$0$500$0$2,134$0$6,000$0$25,906$0$252,307$0$0$0
KINGSLEY UGORJI
PHYSICIAN$214,406$0$500$0$281$0$8,611$0$5,951$0$229,749$0$0$0
WILLIAM LOCKWOOD
PHYSICIAN$208,409$0$500$0$0$0$6,844$0$27,406$0$243,159$0$0$0
DAVID BARE
PHYSICIAN$206,602$0$500$0$4,004$0$8,290$0$21,526$0$240,922$0$0$0
JONATHAN JUDD
PHYSICIAN$181,218$0$2,350$0$0$0$6,891$0$22,352$0$212,811$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE 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 11THE 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 12CCONFLICTS 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 15ATHE 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO VIEW ON-SITE UPON REQUEST.