2015-09-15T11:25:03-05:00 2014-10-31 410746749 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2013-11-01 911641797 COMMUNITY HEALTH ASSOCIATION OF SPOKANE COMM 5094448888 203 NORTH WASHINGTON STREET NO 300 SPOKANE WA 99201 AARON WILSON CEO 5094448888 2015-09-15 1 DANIEL M FREIN CPA P00856532 4252506100 2013 2016-04-25 22:37:26Z AARON WILSON 203 NORTH WASHINGTON STREET NO 300 SPOKANE WA 99201 54181236 0 X WWW.CHAS.ORG X 1995 WA TO PROVIDE QUALITY MEDICAL, DENTAL AND PHARMACY SERVICES REGARDLESS OF INSURANCE STATUS. 10 10 495 10 0 0 4436300 5283032 35790510 48856640 0 0 0 41564 40226810 54181236 0 14734 0 0 26524325 31106564 0 0 0 13952050 17561627 40476375 48682925 -249565 5498311 22370359 31345021 9246850 12723201 13123509 18621820 X THE 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 PRI 0 0 23312884 0 24550527 MEDICAL AND WELLNESS SERVICES ENABLE PATIENTS TO PARTNER WITH THEIR PRIMARY CARE PROVIDER (PCP) TO MEET ALL OF THEIR MEDICAL NEEDS, FROM PEDIATRICS TO GERIATRICS. WE OFFER PRIMARY CARE ACCESSIBILITY IN ASSOCIATION WITH OBSTETRICAL CARE AND PREVENTATIVE MEDICINE SPECIALISTS. DURING THE 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. 10723675 0 17568238 PHARMACY SERVICES ARE AN IMPORTANT TOOL IN MANAGING CHRONIC AND ACUTE ILLNESSES AND MAINTAINING OVERALL GOOD HEALTH FOR PATIENTS AND THEIR FAMILIES. THROUGH ADVANCED TECHNOLOGY AND 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. 7066425 0 6737875 DENTAL 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. 14734 14734 0 CHAS PROVIDES EMPLOYEE TUITION ASSISTANCE AND OTHER COMMUNITY SUPPORT. 14734 14734 0 41117718 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 69 0 495 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 1 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 X AARON WILSON 5094448888 203 NORTH WASHINGTON STREET SUITE SPOKANE WA 99201 CHAD DASHIELL CHAIR 1.00 X X 0 0 0 AMBER PEDERSON VICE CHAIR 1.00 X X 0 0 0 SHARON STADELMAN SECRETARY/TREASURER 1.00 X X 0 0 0 PAUL BARBER DIRECTOR 1.00 X 0 0 0 RYAN BEAUDOIN PAST CHAIR 1.00 X 0 0 0 VICTOR BRAY DIRECTOR 1.00 X 0 0 0 MARIA EKKERT DIRECTOR 1.00 X 0 0 0 JOE GELLATLY DIRECTOR 1.00 X 0 0 0 RAY MCRAE DIRECTOR 1.00 X 0 0 0 FRANK WILSON DIRECTOR 1.00 X 0 0 0 PEG HOPKINS CEO 40.00 X 218057 0 31914 AARON WILSON COO 40.00 X 153945 0 30600 JOHN BROWNE CFO 40.00 X 107250 0 23778 PAMELA PARKER PHYSICIAN 40.00 X 233550 0 5139 WILLIAM LOCKWOOD PHYSICIAN 40.00 X 230226 0 35712 KINGSLEY UGORJI PHYSICIAN 40.00 X 211468 0 5907 DAVID BARE PHYSICIAN 40.00 X 205533 0 24877 DANIEL MOORMAN PHYSICIAN 40.00 X 193632 0 19011 1553661 0 176938 48 0 1 0 NUVODIA 801 SOUTH STEVENS STREET SPOKANE WA 99204 IT MANAGEMENT 830448 PTSO 2101 FOURTH AVENUE SUITE 850 SEATTLE WA 98121 APPLICATION SUPPORT 287590 0 5083544 199488 5283032 PATIENT SERVICE REVENUE 624100 48357167 48357167 EHR INCENTIVE REVENUE 624100 340000 340000 MEDICAL RECORDS REVENUE 900099 159473 159473 48856640 12500 0 12500 12500 12500 OTHER REVENUE 900099 29064 29064 29064 54181236 48856640 0 41564 500 500 14234 14234 529147 529147 25026313 21735206 3291107 900805 757190 143615 2867201 2391695 475506 1783098 1514948 268150 106761 106761 69837 69837 1695931 1692023 3908 150981 44256 106725 1901071 886867 1014204 734020 466073 267947 1168395 826662 341733 222112 78950 143162 155613 68542 87071 93909 92782 1127 1524777 1202936 321841 366692 291266 75426 MEDICAL SUPPLIES 7949558 7873192 76366 BAD DEBT EXPENSE 1001429 1001429 DUES & SUBSCRIPTIONS 156563 108157 48406 OTHER EXPENSES 151528 53751 97777 112450 17059 95391 48682925 41117718 7565207 0 3127576 9633585 39699 481379 2329870 2726607 747359 796096 200625 171205 26742518 9250845 15319101 17491673 17855 44476 588274 22370359 31345021 2845535 3683577 4226630 250264 5926887 1924421 3112737 9246850 12723201 X 13123509 18621820 13123509 18621820 22370359 31345021 5498311 0 X 0 1 X 1 1 1 X 5396192 4607981 4137151 4436300 5283032 23860656 5396192 4607981 4137151 4436300 5283032 23860656 23860656 1156 30 12500 13686 261665 196072 146459 94251 29064 727511 24601853 179169626 0.96990 0.99950 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 1 0 0 PART II-B, LINE 1: WHILE 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. 2008910 2008910 13047025 3807354 9239671 2762552 1332231 1430321 6265057 4111260 2153797 2658974 2658974 17491673 ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYERS 2668570 ESTIMATED SELF-INSURANCE COSTS 312921 ESTIMATED COST POOL LIABILITY 131246 3112737 53250852 71045 71045 53179807 1001429 1001429 54181236 47752541 71045 71045 47681496 1001429 1001429 48682925 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. 1 TUITION ASSISTANCE 8 14234 PART I, LINE 2: INDIVIDUALS ARE REQUIRED TO APPLY FOR TUITION ASSISTANCE, PAY FOR THEIR TUITION, AND ACHIEVE AT LEAST A 3.0 GPA IN A COURSE BEFORE THEY CAN BE REIMBURSED FOR THE TUITION EXPENSE. X X X X X 0 0 0 0 0 0 0 0 0 PEG HOPKINS CEO 205596 0 250 0 12211 0 13350 0 18564 0 249971 0 0 0 AARON WILSON COO 153174 0 250 0 521 0 6395 0 24205 0 184545 0 0 0 PAMELA PARKER PHYSICIAN 221251 0 7750 0 4549 0 0 0 5139 0 238689 0 0 0 WILLIAM LOCKWOOD PHYSICIAN 204108 0 20250 0 5868 0 9378 0 26334 0 265938 0 0 0 KINGSLEY UGORJI PHYSICIAN 205407 0 250 0 5811 0 0 0 5907 0 217375 0 0 0 DAVID BARE PHYSICIAN 197091 0 250 0 8192 0 8065 0 16812 0 230410 0 0 0 DANIEL MOORMAN PHYSICIAN 183382 0 10250 0 0 0 7700 0 11311 0 212643 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS AND THE IMMEDIATE PAST PRESIDENT. THE EXECUTIVE COMMITTEE MAY ACT, SUBJECT TO RATIFICATION BY THE BOARD OF DIRECTORS AT THE NEXT REGULARLY SCHEDULED MEETING, ON ALL MATTERS AFFECTING THE ORGANIZATION. 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 4 THE 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 11 THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ORGANIZATION. ONCE A TENTATIVE DRAFT WAS PREPARED, THE CFO AND CEO MADE RECOMMENDATIONS FOR CHANGES OR UPDATES. THE FORM 990 WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTEREST CAN BE CONSIDERED TO EXIST IN ANY INSTANCE WHERE THE ACTIONS OR ACTIVITIES OF AN INDIVIDUAL ON BEHALF OF THE ORGANIZATION ALSO INVOLVE THE OBTAINING OF AN IMPROPER ADVANTAGE OR INVOLVE AN ADVERSE EFFECT ON THE ORGANIZATION'S INTERESTS. THE BOARD OF DIRECTORS ESTABLISHES THE POLICY GOVERNING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST OF DIRECTORS. AT LEAST ANNUALLY EACH DIRECTOR IDENTIFIES IN WRITING TO THE BOARD OF DIRECTORS ANY CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST HE OR SHE HAS OR MAY HAVE. THE EMPLOYEES, BOARD MEMBERS, EXECUTIVE MANAGEMENT TEAM MEMBERS, VOLUNTEER LEADERS, OR MEDICAL/DENTAL STAFF LEADERS ARE PROVIDED A CONFLICT OF INTEREST POLICY QUESTIONNAIRE TO DETERMINE IF ANY CONFLICTS EXIST. A DIRECTOR WHO HAS A POTENTIAL CONFLICT OF INTEREST MAY PARTICIPATE IN THE EARLY STAGES OF DISCUSSION OF THE PARTICULAR ISSUE, SO THAT HE/SHE MIGHT CONTRIBUTE THE BENEFIT OF HIS/HER SPECIFIC KNOWLEDGE AND INSIGHTS. HOWEVER, ONCE VIABLE ALTERNATIVES BEGIN TO BE ASSESSED ON THEIR OWN MERITS, THIS DIRECTOR SHOULD REFRAIN FROM ALL FURTHER DISCUSSION, NONVERBAL COMMUNICATION AND VOTING ON THE ISSUE. THE BOARD RETAINS THE RIGHT TO RESOLVE THE ISSUE WITH THIS DIRECTOR TEMPORARILY ABSENT FROM THE MEETING. AN EMPLOYEE WHO HAS A POTENTIAL CONFLICT OF INTEREST MAY PARTICIPATE IN THE EARLY STAGES OF DISCUSSION OF THE PARTICULAR ISSUE, SO THAT HE/SHE MIGHT CONTRIBUTE THE BENEFIT OF HIS/HER SPECIFIC KNOWLEDGE AND INSIGHTS. HOWEVER, ONCE VIABLE ALTERNATIVES BEGIN TO BE ASSESSED ON THEIR OWN MERITS, THIS EMPLOYEE SHOULD REFRAIN FROM ALL FURTHER DISCUSSION, NONVERBAL COMMUNICATION AND VOTING ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15A THE 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO VIEW ON-SITE UPON REQUEST.