COMMUNITY HEALTH ASSOCIATION OF SPOKANE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH ASSOCIATION OF SPOKANE (EIN 91-1641797)
- Tax period
- 2012-11-01 to 2013-10-31
- Filed
- 2014-09-15
- IRS object ID
- 201422589349300647
- Schema version
- 2012v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-09-15T13:08:53-05:00 | Timestamp |
| Tax Period End Date | 2013-10-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-11-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911641797 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH ASSOCIATION OF SPOKANE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % AARON WILSON | InCareOfName |
| Name Control | COMM | NameControl |
| Phone | 5094448888 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 203 WASHINGTON STREET | AddressLine1 |
| Address Line2 | Suite 300 | AddressLine2 |
| City | SPOKANE | City |
| State | WA | State |
| ZIP Code | 99201 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PEG HOPKINS | Name |
| Title | CEO | Title |
| Phone | 5094448888 | Phone |
| Date Signed | 2014-09-11 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Brian D Todd | Name |
| Phone | 4178658701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PEG HOPKINS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 203 N WASHINGTON ST SUITE 300 | AddressLine1 |
| City | SPOKANE | City |
| State | WA | State |
| ZIP Code | 99201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 40226810 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CHAS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | NON-PROFIT SYSTEM OF FEDERALLY QUALIFIED COMMUNITY CLINICS PROVIDING QUALITY MEDICAL, DENTAL, AND PHARMACY SERVICES TO FAMILIES AND INDIVIDUALS OF ALL AGES, REGARDLESS OF INSURANCE STATUS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 495 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4137151 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4436300 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 36167454 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 35790510 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -24611 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 40279994 | TotalRevenuePriorYear |
| Total Revenue Current Year | 40226810 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 24496732 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 26524325 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 13056274 | OtherExpensePriorYear |
| Other Expenses Current Year | 13952050 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 37553006 | TotalExpensesPriorYear |
| Total Expenses Current Year | 40476375 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2726988 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -249565 | RevenuesLessExpensesCY |
| Total Assets BOY | 22413057 | TotalAssetsBOY |
| Total Assets EOY | 22370359 | TotalAssetsEOY |
| Total Liabilities BOY | 9039983 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9246850 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 13373074 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 13123509 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE BY EXPANDING ACCESS TO QUALITY HEALTH AND WELLNESS SERVICES. SEE SCHEDULE O FOR MORE INFORMATION. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 16417325 | Expense |
| Revenue | 19380561 | Revenue |
| Description | 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 135,000 MEDICAL AND WELLNESS VISITS AND CARE WERE PROVIDED TO OVER 51,000 INDIVIDUALS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6233019 | Expense |
| Revenue | 11574651 | Revenue |
| Description | 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 FIVE IN-HOUSE PHARMACIES (MAPLE, NORTH COUNTY, VALLEY, DENNY MURPHY, AND MARKET ST. CLINICS), PATIENTS ARE ABLE TO RECEIVE THEIR MEDICINE DIRECTLY AT THE CLINIC. IT'S FAST, AFFORDABLE, AND CONVENIENT. PATIENT ASSISTANCE PROGRAMS ARE AVAILABLE. PRESCRIPTIONS ARE OFFERED ON A SLIDING FEE SCALE BASED ON YOUR HOUSEHOLD INCOME AND FAMILY SIZE. DURING THE FISCAL YEAR, OVER 265,000 PRESCRIPTIONS, COUNSELING SESSIONS, AND REFILLS WERE PROVIDED TO CHAS PATIENTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5175631 | Expense |
| Revenue | 4835298 | Revenue |
| Description | DENTAL SERVICES ARE AVAILABLE AT FOUR CLINICS (DENNY MURPHY, MAPLE, NORTH COUNTY, AND CLARKSTON) WHICH 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 32,000 DENTAL VISITS AND CARE WERE PROVIDED TO OVER 13,749 INDIVIDUALS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 27825975 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 56 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 495 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | AARON WILSON | NamePerson |
| Telephone Number | 5094448888 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 203 N WASHINGTON STREET SUITE 300 | AddressLine1 |
| City | SPOKANE | City |
| State | WA | State |
| ZIP Code | 99201 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | OfficerOfficer | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| VICTOR BRAY | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||
| JOE GELLATLY | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||
| PAUL BARBER | |||||||
| TREASURER/SECRETARY | 1.0 | X | 0 | 0 | X | ||
| RYAN BEAUDOIN | |||||||
| CHAIR | 1.0 | X | 0 | 0 | X | ||
| CHAD DASHIELL | |||||||
| VICE CHAIR | 1.0 | X | 0 | 0 | X | ||
| ANGIE TITUS | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||
| AMBER PEDERSEN | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||
| SHARON STADELMAN | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||
| MARIA ECKERT | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||
| RAY MCRAE | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||
| PEG HOPKINS | |||||||
| CEO | 40.0 | 207007 | 0 | X | 24816 | ||
| AARON WILSON | |||||||
| COO | 40.0 | 149878 | 0 | X | 25433 | ||
| GEOFF NORWOOD | |||||||
| CFO ENDING 4/2013 | 40.0 | 114173 | 0 | X | 4582 | ||
| JOHN BROWNE | |||||||
| CFO STARTING 4/2013 | 40.0 | 88971 | 0 | X | 10888 | ||
| KINGSLEY UGORJI | |||||||
| PHYSICIAN | 40.0 | 229082 | 0 | 14843 | X | ||
| DAVID BARE | |||||||
| PHYSICIAN | 40.0 | 195045 | 0 | 22148 | X | ||
| WILLIAM LOCKWOOD | |||||||
| PHYSICIAN | 40.0 | 208027 | 0 | 29574 | X | ||
| ETHAN ANGELL | |||||||
| PHYSICIAN | 40.0 | 192248 | 0 | 22041 | X | ||
| DANIEL MOORMAN | |||||||
| PHYSICIAN | 40.0 | 195004 | 0 | 18122 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1579435 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 172447 | TotalOtherCompensation |
| Number Individuals GT100 K | 42 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| NUVODIA LLC | |
| IT MANAGEMENT | 965730 |
| PTSO OF WASHINGTON | |
| APPLICATION SUPPORT | 107752 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Government Grants | 4245780 | GovernmentGrants |
| All Other Contributions | 190520 | AllOtherContributions |
| Total Contributions | 4436300 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | 35091559 | 35091559 |
| EHR INCENTIVE REVENUE | 624100 | 454750 | 454750 |
| MEDICAL RECORDS REVENUE | 900099 | 149950 | 149950 |
| OTHER REVENUE | 900099 | 94251 | 94251 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 35790510 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40226810 | TotalRevenueColumn |
| Related Or Exempt Function Income | 35790510 | RelatedOrExemptFunctionIncome |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 625748 | Total |
| Management And General | 625748 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21356601 | Total |
| Program Services | 15701955 | ProgramServices |
| Management And General | 5654646 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 451710 | Total |
| Program Services | 339035 | ProgramServices |
| Management And General | 112675 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2459496 | Total |
| Program Services | 1787314 | ProgramServices |
| Management And General | 672182 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1630770 | Total |
| Program Services | 1164821 | ProgramServices |
| Management And General | 465949 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73746 | Total |
| Management And General | 73746 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98163 | Total |
| Management And General | 98163 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1235000 | Total |
| Program Services | 303100 | ProgramServices |
| Management And General | 931900 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158282 | Total |
| Management And General | 158282 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3401064 | Total |
| Program Services | 1917890 | ProgramServices |
| Management And General | 1483174 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 607174 | Total |
| Program Services | 29251 | ProgramServices |
| Management And General | 577923 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1136822 | Total |
| Program Services | 754448 | ProgramServices |
| Management And General | 382374 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 219275 | Total |
| Program Services | 12189 | ProgramServices |
| Management And General | 207086 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 160390 | Total |
| Management And General | 160390 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130000 | Total |
| Program Services | 87980 | ProgramServices |
| Management And General | 42020 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1398741 | Total |
| Program Services | 946622 | ProgramServices |
| Management And General | 452119 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 282473 | Total |
| Management And General | 282473 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | 3517092 | 3517092 | |
| BAD DEBT | 1176779 | 1176779 | |
| RECRUITING & RETENTION | 232835 | 232835 | |
| TAXES-OTHER | 107625 | 87499 | 20126 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16589 | Total |
| Management And General | 16589 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40476375 | Total |
| Program Services | 27825975 | ProgramServices |
| Management And General | 12650400 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5858758 | BOY |
| EOY | 3127576 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107453 | BOY |
| EOY | 39699 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1812084 | BOY |
| EOY | 2329870 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 614219 | BOY |
| EOY | 747359 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 239715 | BOY |
| EOY | 200625 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 23045169 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7726068 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12801359 | BOY |
| EOY | 15319101 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 979469 | BOY |
| EOY | 606129 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22413057 | BOY |
| EOY | 22370359 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2694387 | BOY |
| EOY | 2845535 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4482337 | BOY |
| EOY | 4226630 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 405512 | BOY |
| EOY | 250264 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1457747 | BOY |
| EOY | 1924421 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9039983 | BOY |
| EOY | 9246850 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13373074 | BOY |
| EOY | 13123509 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13373074 | BOY |
| EOY | 13123509 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22413057 | BOY |
| EOY | 22370359 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -249565 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5169684 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5396192 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4607981 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4137151 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4436300 | CurrentTaxYear |
| Total | 23747308 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5169684 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5396192 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4607981 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4137151 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4436300 | CurrentTaxYear |
| Total | 23747308 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 0 | AmountsSubstContributorsTotal |
| Public Support Total170 | 23747308 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10647 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1156 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus1 Year | 30 | CurrentTaxYearMinus1Year |
| Total | 11833 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 23759141 | TotalSupport |
| Gross Receipts From Admissions Etc | 151751286 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99950 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99355 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DIRECT CONTACT WITH LEGISLATORS | SCHEDULE C, PART II-B, LINE 1(G) | WHILE ATTENDING THE NACHC CONVENTION 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 (WACMHC) AND THE IDAHO PRIMARY CARE ASSOCIATION (IPCA), DURING WHICH THE ORGANIZATION CAMPAIGNED FOR HEALTH CENTERS DIRECTLY WITH STATE LEGISLATORS. |
| OTHER LOBBYING ACTIVITIES | SCHEDULE C, PART II-B, LINE 1(I) | THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), THE WASHINGTON ASSOCIATION OF COMMUNITY AND MIGRANT HEALTH CENTERS (WACMHC), AND THE IDAHO PRIMARY CARE ASSOCIATION (IPCA). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 2008910 | OtherCostOrOtherBasis |
| Book Value | 2008910 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 13009922 | OtherCostOrOtherBasis |
| Depreciation | 3247816 | Depreciation |
| Book Value | 9762106 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 2655457 | OtherCostOrOtherBasis |
| Depreciation | 962637 | Depreciation |
| Book Value | 1692820 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 5206580 | OtherCostOrOtherBasis |
| Depreciation | 3515615 | Depreciation |
| Book Value | 1690965 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 164300 | OtherCostOrOtherBasis |
| Book Value | 164300 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 15319101 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| EST AMT DUE TO 3RD PARTY PAYER | $1,729,421 |
| EST SELF-INSURANCE COSTS | $195,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1924421 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 39127634 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 77603 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | -1176779 | OtherRevenues |
| Revenue Not Rptd F990 | -1099176 | RevenueNotRptdF990 |
| Revenue Subtotal | 40226810 | RevenueSubtotal |
| Total Revenue Per Form990 | 40226810 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 39377199 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 77603 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 77603 | ExpensesNotRptdF990 |
| Expenses Subtotal | 39299596 | ExpensesSubtotal |
| Other Expenses Not Included | 1176779 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1176779 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 40476375 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| UNCERTAIN TAX POSITIONS | SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 | SCHEDULE D, PART XI, LINE 2D | $(1,176,779) BAD DEBT EXPENSE |
| AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 | SCHEDULE D, PART XII, LINE 4B | $ 1,176,779 BAD DEBT EXPENSE |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEG HOPKINS | ||||||||||||||
| CEO | 198508 | 0 | 250 | 0 | 8249 | 0 | 8496 | 0 | 16320 | 0 | 231823 | 0 | 0 | 0 |
| AARON WILSON | ||||||||||||||
| COO | 149107 | 0 | 250 | 0 | 521 | 0 | 6209 | 0 | 19224 | 0 | 175311 | 0 | 0 | 0 |
| KINGSLEY UGORJI | ||||||||||||||
| PHYSICIAN | 224376 | 0 | 250 | 0 | 4456 | 0 | 9172 | 0 | 5671 | 0 | 243925 | 0 | 0 | 0 |
| DAVID BARE | ||||||||||||||
| PHYSICIAN | 192100 | 0 | 250 | 0 | 2695 | 0 | 7707 | 0 | 14441 | 0 | 217193 | 0 | 0 | 0 |
| WILLIAM LOCKWOOD | ||||||||||||||
| PHYSICIAN | 180176 | 0 | 20250 | 0 | 7601 | 0 | 8650 | 0 | 20924 | 0 | 237601 | 0 | 0 | 0 |
| ETHAN ANGELL | ||||||||||||||
| PHYSICIAN | 176220 | 0 | 250 | 0 | 15778 | 0 | 5187 | 0 | 16854 | 0 | 214289 | 0 | 0 | 0 |
| DANIEL MOORMAN | ||||||||||||||
| PHYSICIAN | 191004 | 0 | 250 | 0 | 3750 | 0 | 7561 | 0 | 10561 | 0 | 213126 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | NON-FIXED PAYMENTS | Identifier |
| Return Reference | SCHEDULE J, PART I, LINE 7 | ReturnReference |
| Explanation | THE ORGANIZATION PAID DISCRETIONARY BONUS PAYMENTS IN THE AMOUNT OF $250 PER ELIGIBLE EMPLOYEE. PAMELA PARKER RECEIVED A SIGN-ON BONUS OF $7,500. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| WASHINGTON HEALTHCARE FACILITIES AUTHORITY | |||||||
| A | 911108929 | 2010-12-16 | 1100503 | SEE PART V | false | false | false |
| WASHINGTON HEALTHCARE FACILITIES AUTHORITY | |||||||
| B | 911108929 | 2010-12-16 | 3821497 | SEE PART V | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1100503 | 0 | 0 | 1078493 | 22010 | 0 | 0 | 0 | 0 | 0 | 2010 | true | false | true | true |
| B | 0 | 0 | 3821497 | 0 | 0 | 495278 | 76430 | 0 | 186711 | 3063078 | 0 | 0 | 2013 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | false | true |
| B | false | false | false | false | 0 | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | true | false | false | false | false | false | 0 | false | false |
| 0 | ||||||||||
| B | false | true | false | false | false | false | false | 0 | false | false |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | false |
| B | false |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF PURPOSE | Identifier |
| Return Reference | SCHEDULE K, PART I, LINES A & B | ReturnReference |
| Explanation | PROCEEDS OF THE 2010(A) & 2010(B) TAX EXEMPT BONDS WERE USED TO FINANCE THE PURCHASE, RENOVATION, AND EQUIPPING OF A HEALTH CARE FACILITY TO BE OWNED AND OPERATED IN SPOKANE, WASHINGTON, AND TO RETIRE SERIES 2003 AND 2005 BONDS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART I, LINE 1 | 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. "WE AT CHAS BELIEVE THAT EVERYONE HAS A RIGHT TO HIGH-QUALITY HEALTH CARE 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." CURRENTLY, THE VAST MAJORITY OF THE MORE THAN 46 MILLION PEOPLE IN THE U.S. WHO LACK HEALTH INSURANCE COME FROM WORKING FAMILIES. HEALTH CARE PREMIUMS HAVE GONE UP MORE THAN THREE TIMES FASTER THAN AVERAGE WAGES. AN EVER GROWING GAP EXISTS BETWEEN THOSE WHO HAVE HEALTH INSURANCE AND THOSE WHO DON'T, AND BETWEEN THOSE WHO FEAR LOSING COVERAGE AND THOSE WHO HAVE TOO LITTLE. THE GAP IS A NATIONAL PROBLEM THAT NEEDS A NATIONAL SOLUTION. IN THE MEANTIME, CHAS IS THINKING NATIONALLY AND ACTING LOCALLY BY WORKING EVERYDAY TO FILL THE HEALTHCARE GAP FOR THE PEOPLE OF THE COMMUNITIES WE SERVE. IT IS THE MISSION OF CHAS TO FILL THIS GAP FOR AS MANY PEOPLE AS POSSIBLE. "NEVER DOUBT THAT A SMALL GROUP OF THOUGHTFUL, COMMITTED CITIZENS CAN CHANGE THE WORLD; INDEED IT'S THE ONLY THING THAT EVER HAS." - MARGARET MEAD WHO WE ARE: CHAS IS A NON-PROFIT SYSTEM OF FEDERALLY QUALIFIED COMMUNITY CLINICS PROVIDING QUALITY MEDICAL AND DENTAL HEALTHCARE TO FAMILIES AND INDIVIDUALS OF ALL AGES, REGARDLESS OF INSURANCE STATUS. CHAS ENROLLS PATIENTS IN HEALTHY OPTIONS, WASHINGTON BASIC HEALTH PLAN, MEDICARE, OR MEDICAID. WE ALSO BILL PRIVATE INSURANCE. FOR THOSE WHO ARE UNINSURED, WE OFFER A SELF-PAY SLIDING FEE SCALE BASED ON HOUSEHOLD INCOME AND FAMILY SIZE. |
| PROGRAM SERVICES | FORM 990, PART III, LINES 4A-4C | 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 NEWBORNS AND OLDER CHILDREN. IN ADDITION, THE FIRST STEPS PROGRAM OFFERS MATERNITY SUPPORT SERVICES (MSS) WHICH INCLUDE: -COUNSELING AND PARENTING SKILLS CLASSES -NUTRITION GUIDANCE -CHILDBIRTH EDUCATION -TRANSPORTATION -FAMILY PLANNING AFTER YOUR PREGNANCY -REFERRALS TO OTHER DESIRED COMMUNITY RESOURCES -BEHAVIORAL HEALTH SERVICES CHAS CLIENTS HAVE ACCESS TO HEALTH CARE CASE MANAGEMENT, PSYCHOLOGICAL TESTING, SHORT-TERM THERAPY AND COUNSELING, AND CHEMICAL DEPENDENCY REFERRALS PROVIDED BY LICENSED PSYCHOLOGISTS, PSYCHIATRIC NURSE PRACTITIONERS, MASTERS LEVEL SOCIAL WORKERS, AND CASE MANAGERS. PERSONAL HEALTH RECORDS: ELECTRONIC RECORDS ALLOW CHAS TO MANAGE CRITICAL DATA RELATED TO PATIENT CARE, INCLUDING THE CREATION OF DOCUMENTS & LETTERS, MANAGEMENT OF PRESCRIPTIONS & 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 HEALTH CARE 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: PATIENT SERVICE COORDINATORS (PSC) ARE PRESENT AT EACH OF OUR CLINICS TO HELP DETERMINE WHICH PROGRAMS PATIENTS MAY BE ELIGIBLE FOR AT CHAS. WE ENROLL PATIENTS IN HEALTHY OPTIONS, WASHINGTON BASIC HEALTH PLAN, MEDICARE, AND MEDICAID. ACCEPTED INSURANCE PLANS ALSO INCLUDE COMMUNITY HEALTH PLAN, MOLINA AND VARIOUS PRIVATE INSURANCES. OUR PATIENT SERVICE COORDINATORS 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. PATIENT SERVICE COORDINATORS SERVE AS PATIENT ADVOCATES TO ACCESSING ASSISTANCE PROGRAMS. SPECIALTY SUPPORT OVERVIEW: CHAS HIV PROGRAM (CHIV) - PROVIDING EARLY INTERVENTION AND HEALTH SERVICES FOR LOW-INCOME, UNDERINSURED AND UNINSURED PEOPLE LIVING WITH HIV/AIDS. HEP C PROGRAM PROVIDES COMPLETE COURSE TREATMENT FOR ALL ELIGIBLE AND QUALIFIED PATIENTS. PRIMARY CARE SERVICES INCLUDE: -MEDICAL EVALUATIONS & 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 |
| REVIEW OF THE FORM 990 | FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ORGANIZATION. ONCE A TENTATIVE DRAFT IS PREPARED, THE CFO, COO, AND CEO MAKE ANY RECOMMENDATIONS FOR CHANGES OR UPDATES TO THE 990 PREPARERS. SHORTLY AFTER FILING, THE 990 IS PRESENTED FOR REVIEW AT A BOARD OF DIRECTORS MEETING. A COPY OF THE DRAFT 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING. |
| CONFLICT OF INTEREST POLICY | 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 POLICY GOVERNING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST OF DIRECTORS, AND 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. |
| CEO COMPENSATION REVIEW | 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 WERE USED FOR COMPARISON PURPOSES, PARTICULARLY PEER HEALTH CENTER DATA. |
| OTHER OFFICERS AND KEY EMPLOYEES COMPENSATION REVIEW | FORM 990, PART VI, SECTION B, LINE 15B | 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 CONSULTING FROM AN OUTSIDE HUMAN RESOURCE CONSULTING PROFESSIONAL USING SALARY SURVEYS RELATED TO HEALTHCARE INDUSTRY, INCLUDING DATA SPECIFIC TO THE LOCAL REGION. THESE REVIEWS ARE DOCUMENTED ANNUALLY. |
| GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC | 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. |
Comments