COMMUNITY HEALTH ASSOCIATION OF SPOKANE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH ASSOCIATION OF SPOKANE (EIN 91-1641797)
Tax period
2013-11-01 to 2014-10-31
Filed
2015-09-15
IRS object ID
201542589349300139
Schema version
2013v4.0
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)
Return2015-09-15T11:25:03-05:00ReturnTs
Tax Period End2014-10-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13000 NORTHUP WAY SUITE 200AddressLine1
CityBELLEVUECity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-11-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911641797EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH ASSOCIATION OF SPOKANEBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone5094448888PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1203 NORTH WASHINGTON STREET NO 300AddressLine1
CitySPOKANECity
StateWAState
ZIP Code99201ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAARON WILSONPersonNm
Person TitleCEOPersonTitleTxt
Phone5094448888PhoneNum
Signature2015-09-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDANIEL M FREIN CPAPreparerPersonNm
PTINP00856532PTIN
Phone4252506100PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAARON WILSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1203 NORTH WASHINGTON STREET NO 300AddressLine1
CitySPOKANECity
StateWAState
ZIP Code99201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$54,181,236GrossReceiptsAmt
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 Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee495TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,436,300PYContributionsGrantsAmt
CY Contributions Grants$5,283,032CYContributionsGrantsAmt
PY Program Service Revenue$35,790,510PYProgramServiceRevenueAmt
CY Program Service Revenue$48,856,640CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$41,564CYOtherRevenueAmt
PY Total Revenue$40,226,810PYTotalRevenueAmt
CY Total Revenue$54,181,236CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$14,734CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$26,524,325PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$31,106,564CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,952,050PYOtherExpensesAmt
CY Other Expenses$17,561,627CYOtherExpensesAmt
PY Total Expenses$40,476,375PYTotalExpensesAmt
CY Total Expenses$48,682,925CYTotalExpensesAmt
PY Revenues Less Expenses-$249,565PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,498,311CYRevenuesLessExpensesAmt
Total Assets BOY$22,370,359TotalAssetsBOYAmt
Total Assets EOY$31,345,021TotalAssetsEOYAmt
Total Liabilities BOY$9,246,850TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,723,201TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,123,509NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,621,820NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE COMMUNITY HEALTH ASSOCIATION OF SPOKANE (CHAS) 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 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 WAS FOUNDED IN 1994 IN RESPONSE TO UNMET NEED FOR PRIMARY CARE SERVICES FOR LOW-INCOME AND UNINSURED SPOKANE RESIDENTS. THE MISSION OF CHAS IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE BY EXPANDING ACCESS TO QUALITY HEALTH AND WELLNESS SERVICES. CHAS HAS CONTINUED TO EXPAND ACCESS TO CARE THROUGH STRATEGIC GROWTH WHILE MAINTAINING EXCELLENCE IN CLINICAL QUALITY MEASURES AND PATIENT SATISFACTION. ALL CHAS PRIMARY CARE CLINICS MEET THE NCQA STANDARDS FOR PATIENT CENTERED MEDICAL HOME. CHAS'S MISSION IN ACTION IS BASED UPON SIX CORE PRIMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$23,312,884ExpenseAmt
Grant$0GrantAmt
Revenue$24,550,527RevenueAmt
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, OVER 143,000 MEDICAL AND WELLNESS VISITS AND CARE WERE PROVIDED TO 44,306 INDIVIDUALS. CHAS 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 CLIENTS HAVE ACCESS TO HEALTH CARE CASE MANAGEMENT, PSYCHOLOGICAL TESTING, SHORT-TERM THERAPY AND COUNSELING, AND CHEMICAL DEPENDENCY REFERRALS PROVIDED BY LICENSED PSYCHIATRISTS, PSYCHIATRIC NURSE PRACTITIONERS, MASTERS-LEVEL SOCIAL WORKERS, AND CASE MANAGERS. ELECTRONIC RECORDS ALLOW CHAS 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 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. 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 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$10,723,675ExpenseAmt
Grant$0GrantAmt
Revenue$17,568,238RevenueAmt
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 NINE IN-HOUSE PHARMACIES (TWO IN MAPLE, NORTH COUNTY, VALLEY, DENNY MURPHY, MOSCOW, LEWISTON, URGENT CARE, AND MARKET 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, OVER 265,000 PRESCRIPTIONS, COUNSELING SESSIONS, AND REFILLS WERE PROVIDED TO PATIENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$7,066,425ExpenseAmt
Grant$0GrantAmt
Revenue$6,737,875RevenueAmt
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 38,000 DENTAL VISITS AND CARE WERE PROVIDED TO 15,481 INDIVIDUALS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$14,734ExpenseAmt
Grant$14,734GrantAmt
Revenue$0RevenueAmt
DescCHAS PROVIDES EMPLOYEE TUITION ASSISTANCE AND OTHER COMMUNITY SUPPORT.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$14,734TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$14,734TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$41,117,718TotalProgramServiceExpensesAmt
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 Organizations0GrantsToOrganizationsInd
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
Employee495EmployeeCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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 WILSONBusinessNameLine1
FieldValueIRS element (for citing)
Phone5094448888PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1203 NORTH WASHINGTON STREET SUITEAddressLine1
CitySPOKANECity
StateWAState
ZIP Code99201ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (18 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
AMBER PEDERSON
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
SHARON STADELMAN
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
PAUL BARBER
DIRECTOR1.00Yes (X)$0$0$0
RYAN BEAUDOIN
PAST CHAIR1.00Yes (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
FRANK WILSON
DIRECTOR1.00Yes (X)$0$0$0
PEG HOPKINS
CEO40.00Yes (X)$218,057$0$31,914
AARON WILSON
COO40.00Yes (X)$153,945$0$30,600
JOHN BROWNE
CFO40.00Yes (X)$107,250$0$23,778
PAMELA PARKER
PHYSICIAN40.00$233,550$0$5,139Yes (X)
WILLIAM LOCKWOOD
PHYSICIAN40.00$230,226$0$35,712Yes (X)
KINGSLEY UGORJI
PHYSICIAN40.00$211,468$0$5,907Yes (X)
DAVID BARE
PHYSICIAN40.00$205,533$0$24,877Yes (X)
DANIEL MOORMAN
PHYSICIAN40.00$193,632$0$19,011Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,553,661TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$176,938TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K48IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
NUVODIA
801 SOUTH STEVENS STREETSPOKANEWA99204IT MANAGEMENT$830,448
PTSO
2101 FOURTH AVENUE SUITE 850SEATTLEWA98121APPLICATION SUPPORT$287,590
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$5,083,544GovernmentGrantsAmt
All Other Contributions$199,488AllOtherContributionsAmt
Total Contributions$5,283,032TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE624100$48,357,167$48,357,167
EHR INCENTIVE REVENUE624100$340,000$340,000
MEDICAL RECORDS REVENUE900099$159,473$159,473
FieldValueIRS element (for citing)
Total Program Service Revenue$48,856,640TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$12,500RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$12,500RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,500TotalRevenueColumnAmt
Exclusion$12,500ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$29,064TotalRevenueColumnAmt
Exclusion$29,064ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$29,064OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,181,236TotalRevenueColumnAmt
Related Or Exempt Func Income$48,856,640RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$41,564ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Program Services$500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$14,234TotalAmt
Program Services$14,234ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$529,147TotalAmt
Management And General$529,147ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$25,026,313TotalAmt
Program Services$21,735,206ProgramServicesAmt
Management And General$3,291,107ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$900,805TotalAmt
Program Services$757,190ProgramServicesAmt
Management And General$143,615ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,867,201TotalAmt
Program Services$2,391,695ProgramServicesAmt
Management And General$475,506ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,783,098TotalAmt
Program Services$1,514,948ProgramServicesAmt
Management And General$268,150ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$106,761TotalAmt
Management And General$106,761ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$69,837TotalAmt
Management And General$69,837ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,695,931TotalAmt
Program Services$1,692,023ProgramServicesAmt
Management And General$3,908ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$150,981TotalAmt
Program Services$44,256ProgramServicesAmt
Management And General$106,725ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,901,071TotalAmt
Program Services$886,867ProgramServicesAmt
Management And General$1,014,204ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$734,020TotalAmt
Program Services$466,073ProgramServicesAmt
Management And General$267,947ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,168,395TotalAmt
Program Services$826,662ProgramServicesAmt
Management And General$341,733ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$222,112TotalAmt
Program Services$78,950ProgramServicesAmt
Management And General$143,162ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$155,613TotalAmt
Program Services$68,542ProgramServicesAmt
Management And General$87,071ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$93,909TotalAmt
Program Services$92,782ProgramServicesAmt
Management And General$1,127ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,524,777TotalAmt
Program Services$1,202,936ProgramServicesAmt
Management And General$321,841ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$366,692TotalAmt
Program Services$291,266ProgramServicesAmt
Management And General$75,426ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$7,949,558$7,873,192$76,366
BAD DEBT EXPENSE$1,001,429$1,001,429
DUES & SUBSCRIPTIONS$156,563$108,157$48,406
OTHER EXPENSES$151,528$53,751$97,777

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$112,450TotalAmt
Program Services$17,059ProgramServicesAmt
Management And General$95,391ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$48,682,925TotalAmt
Program Services$41,117,718ProgramServicesAmt
Management And General$7,565,207ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,127,576BOYAmt
EOY$9,633,585EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,699BOYAmt
EOY$481,379EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,329,870BOYAmt
EOY$2,726,607EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$747,359BOYAmt
EOY$796,096EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$200,625BOYAmt
EOY$171,205EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$26,742,518LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,250,845LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,319,101BOYAmt
EOY$17,491,673EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$17,855BOYAmt
EOY$44,476EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$588,274BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,370,359BOYAmt
EOY$31,345,021EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,845,535BOYAmt
EOY$3,683,577EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,226,630BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$250,264BOYAmt
EOY$5,926,887EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,924,421BOYAmt
EOY$3,112,737EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,246,850BOYAmt
EOY$12,723,201EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,123,509BOYAmt
EOY$18,621,820EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,123,509BOYAmt
EOY$18,621,820EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,370,359BOYAmt
EOY$31,345,021EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$5,498,311ReconcilationRevenueExpnssAmt
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$5,396,192CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,607,981CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,137,151CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,436,300CurrentTaxYearMinus1YearAmt
Current Tax Year$5,283,032CurrentTaxYearAmt
Total$23,860,656TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,396,192CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,607,981CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,137,151CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,436,300CurrentTaxYearMinus1YearAmt
Current Tax Year$5,283,032CurrentTaxYearAmt
Total$23,860,656TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$23,860,656PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,156CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$30CurrentTaxYearMinus2YearsAmt
Current Tax Year$12,500CurrentTaxYearAmt
Total$13,686TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$261,665CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$196,072CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$146,459CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$94,251CurrentTaxYearMinus1YearAmt
Current Tax Year$29,064CurrentTaxYearAmt
Total$727,511TotalAmt
FieldValueIRS element (for citing)
Total Support$24,601,853TotalSupportAmt
Gross Receipts Rltd Activities$179,169,626GrossReceiptsRltdActivitiesAmt
Public Support CY1700.96990PublicSupportCY170Pct
Public Support PY1700.99950PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

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 COMMUNITY HEALTH ASSOCIATION OF SPOKANE AND OTHER MEMBERS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,008,910OtherCostOrOtherBasisAmt
Book Value$2,008,910BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,047,025OtherCostOrOtherBasisAmt
Depreciation$3,807,354DepreciationAmt
Book Value$9,239,671BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,762,552OtherCostOrOtherBasisAmt
Depreciation$1,332,231DepreciationAmt
Book Value$1,430,321BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,265,057OtherCostOrOtherBasisAmt
Depreciation$4,111,260DepreciationAmt
Book Value$2,153,797BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,658,974OtherCostOrOtherBasisAmt
Book Value$2,658,974BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,491,673TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYERS$2,668,570
ESTIMATED SELF-INSURANCE COSTS$312,921
ESTIMATED COST POOL LIABILITY$131,246
FieldValueIRS element (for citing)
Total Liability$3,112,737TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$53,250,852TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$71,045DonatedServicesAndUseFcltsAmt
Revenue Not Reported$71,045RevenueNotReportedAmt
Revenue Subtotal$53,179,807RevenueSubtotalAmt
Other Revenues Not Included$1,001,429OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,001,429RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$54,181,236TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$47,752,541TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$71,045DonatedServicesUseFcltsAmt
Expenses Not Reported$71,045ExpensesNotReportedAmt
Expenses Subtotal$47,681,496ExpensesSubtotalAmt
Other Expenses Not Included$1,001,429OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,001,429ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$48,682,925TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS 1,001,429.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS 1,001,429.

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeTUITION ASSISTANCEGrantTypeTxt
Recipient8RecipientCnt
Cash Grant$14,234CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationINDIVIDUALS 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 (7 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$205,596$0$250$0$12,211$0$13,350$0$18,564$0$249,971$0$0$0
AARON WILSON
COO$153,174$0$250$0$521$0$6,395$0$24,205$0$184,545$0$0$0
PAMELA PARKER
PHYSICIAN$221,251$0$7,750$0$4,549$0$0$0$5,139$0$238,689$0$0$0
WILLIAM LOCKWOOD
PHYSICIAN$204,108$0$20,250$0$5,868$0$9,378$0$26,334$0$265,938$0$0$0
KINGSLEY UGORJI
PHYSICIAN$205,407$0$250$0$5,811$0$0$0$5,907$0$217,375$0$0$0
DAVID BARE
PHYSICIAN$197,091$0$250$0$8,192$0$8,065$0$16,812$0$230,410$0$0$0
DANIEL MOORMAN
PHYSICIAN$183,382$0$10,250$0$0$0$7,700$0$11,311$0$212,643$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 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. SUBJECT TO RATIFICATION BY THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE SUPERVISES THE EXECUTIVE DIRECTOR, RECEIVES REPORTS FROM THE EXECUTIVE DIRECTOR, ANY COMMITTEE OR A DIRECTOR, AND ACTS AS IT DEEMS APPROPRIATE.
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION'S BYLAWS WERE AMENDED IN 2014. THE AMENDMENTS INCLUDED ADDING A DISSOLUTION REQUIREMENT TO THE BYLAWS, REQUIRING THAT ANY ASSETS BE DISTRIBUTED TO TAX-EXEMPT ORGANIZATIONS WITH PURPOSES SIMILAR TO THOSE OF CHAS AS CHOSEN BY THE BOARD OF DIRECTORS OF CHAS AT THAT TIME.
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 DISCUSSION, NONVERBAL COMMUNICATION AND VOTING ON THE ISSUE.
FORM 990, PART VI, SECTION B, LINE 15ATHE EMPLOYMENT CONTRACT BETWEEN THE CEO AND THE ORGANIZATION WAS RENEWED EFFECTIVE APRIL 1, 2011. THE CURRENT EMPLOYMENT AGREEMENT, APPROVED BY THE BOARD OF DIRECTORS, IS FOR A FOUR-YEAR TERM. THE EXECUTIVE COMMITTEE PERFORMED AND COMPLETED A REVIEW OF COMPENSATION IN CONJUNCTION WITH THIS RENEWAL. 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. THE REVIEWS WERE PERFORMED AND COMPILED BY INTERNAL PERSONNEL IN CONJUNCTION WITH AN OUTSIDE HUMAN RESOURCES CONSULTING PROFESSIONAL. 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.

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