2014-09-15T13:08:53-05:00 2013-10-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2012-11-01 911641797 COMMUNITY HEALTH ASSOCIATION OF SPOKANE % AARON WILSON COMM 5094448888 203 WASHINGTON STREET Suite 300 SPOKANE WA 99201 PEG HOPKINS 5094448888 2014-09-11 true Brian D Todd 4178658701 2012 2015-11-30 17:44:51Z PEG HOPKINS 203 N WASHINGTON ST SUITE 300 SPOKANE WA 99201 40226810 false X WWW.CHAS.ORG X 1994 WA 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. 10 10 495 15 0 0 4137151 4436300 36167454 35790510 -24611 0 0 0 40279994 40226810 0 0 0 0 24496732 26524325 0 0 0 13056274 13952050 37553006 40476375 2726988 -249565 22413057 22370359 9039983 9246850 13373074 13123509 X 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. false false 16417325 19380561 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. 6233019 11574651 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. 5175631 4835298 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. 27825975 true true false true false false false false false false true false false false true false true false false false false false false false false false false false false true true false false false false false false false false false false false false false false false false false false false true 56 0 true 495 true false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true false false X AARON WILSON 5094448888 203 N WASHINGTON STREET SUITE 300 SPOKANE WA 99201 VICTOR BRAY 1.0 X 0 0 JOE GELLATLY 1.0 X 0 0 PAUL BARBER 1.0 X X 0 0 RYAN BEAUDOIN 1.0 X X 0 0 CHAD DASHIELL 1.0 X X 0 0 ANGIE TITUS 1.0 X 0 0 AMBER PEDERSEN 1.0 X 0 0 SHARON STADELMAN 1.0 X 0 0 MARIA ECKERT 1.0 X 0 0 RAY MCRAE 1.0 X 0 0 PEG HOPKINS 40.0 X 207007 0 24816 AARON WILSON 40.0 X 149878 0 25433 GEOFF NORWOOD 40.0 X 114173 0 4582 JOHN BROWNE 40.0 X 88971 0 10888 KINGSLEY UGORJI 40.0 X 229082 0 14843 DAVID BARE 40.0 X 195045 0 22148 WILLIAM LOCKWOOD 40.0 X 208027 0 29574 ETHAN ANGELL 40.0 X 192248 0 22041 DANIEL MOORMAN 40.0 X 195004 0 18122 1579435 0 172447 42 false true false NUVODIA LLC IT MANAGEMENT 965730 PTSO OF WASHINGTON APPLICATION SUPPORT 107752 2 4245780 190520 4436300 NET PATIENT SERVICE REVENUE 624100 35091559 35091559 EHR INCENTIVE REVENUE 624100 454750 454750 MEDICAL RECORDS REVENUE 900099 149950 149950 OTHER REVENUE 900099 94251 94251 35790510 0 0 0 0 0 0 0 0 0 0 0 40226810 35790510 0 0 0 0 625748 625748 0 21356601 15701955 5654646 451710 339035 112675 2459496 1787314 672182 1630770 1164821 465949 0 73746 73746 98163 98163 0 0 0 1235000 303100 931900 158282 158282 3401064 1917890 1483174 607174 29251 577923 0 1136822 754448 382374 219275 12189 207086 0 160390 160390 130000 87980 42020 0 1398741 946622 452119 282473 282473 MEDICAL SUPPLIES & DRUGS 3517092 3517092 BAD DEBT 1176779 1176779 RECRUITING & RETENTION 232835 232835 TAXES-OTHER 107625 87499 20126 16589 16589 40476375 27825975 12650400 0 5858758 3127576 0 0 107453 39699 1812084 2329870 0 0 0 0 0 0 614219 747359 239715 200625 23045169 7726068 12801359 15319101 0 0 0 0 0 0 0 0 979469 606129 22413057 22370359 2694387 2845535 0 0 0 0 4482337 4226630 0 0 0 0 405512 250264 0 0 1457747 1924421 9039983 9246850 X 13373074 13123509 0 0 0 0 13373074 13123509 22413057 22370359 -249565 X false true X true true true X 5169684 5396192 4607981 4137151 4436300 23747308 0 0 5169684 5396192 4607981 4137151 4436300 23747308 0 23747308 10647 1156 30 11833 0 0 23759141 151751286 0.99950 0.99355 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true false 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. 0 2008910 2008910 0 13009922 3247816 9762106 0 2655457 962637 1692820 0 5206580 3515615 1690965 0 164300 164300 15319101 0 EST AMT DUE TO 3RD PARTY PAYER 1729421 EST SELF-INSURANCE COSTS 195000 1924421 39127634 77603 -1176779 -1099176 40226810 40226810 39377199 77603 77603 39299596 1176779 1176779 40476375 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 X X X X false false false false false false false true false PEG HOPKINS 198508 0 250 0 8249 0 8496 0 16320 0 231823 0 0 0 AARON WILSON 149107 0 250 0 521 0 6209 0 19224 0 175311 0 0 0 KINGSLEY UGORJI 224376 0 250 0 4456 0 9172 0 5671 0 243925 0 0 0 DAVID BARE 192100 0 250 0 2695 0 7707 0 14441 0 217193 0 0 0 WILLIAM LOCKWOOD 180176 0 20250 0 7601 0 8650 0 20924 0 237601 0 0 0 ETHAN ANGELL 176220 0 250 0 15778 0 5187 0 16854 0 214289 0 0 0 DANIEL MOORMAN 191004 0 250 0 3750 0 7561 0 10561 0 213126 0 0 0 NON-FIXED PAYMENTS SCHEDULE J, PART I, LINE 7 THE ORGANIZATION PAID DISCRETIONARY BONUS PAYMENTS IN THE AMOUNT OF $250 PER ELIGIBLE EMPLOYEE. PAMELA PARKER RECEIVED A SIGN-ON BONUS OF $7,500. A WASHINGTON HEALTHCARE FACILITIES AUTHORITY 911108929 2010-12-16 1100503 SEE PART V false false false B WASHINGTON HEALTHCARE FACILITIES AUTHORITY 911108929 2010-12-16 3821497 SEE PART V false false false 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 A false false false false 0 false false false true B false false false false 0 false false false true A false true false false false false 0 false 0 false false B false true false false false false 0 false 0 false false A false B false DESCRIPTION OF PURPOSE SCHEDULE K, PART I, LINES A & B 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. 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.