COMMUNITY HEALTH ASSOCIATION OF SPOKANE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH ASSOCIATION OF SPOKANE (EIN 91-1641797)
Tax period
2010-11-01 to 2011-10-31
Filed
2012-07-09
IRS object ID
201241919349300639
Schema version
2010v3.7
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)
Timestamp2012-07-09T13:11:21-05:00Timestamp
Tax Period End Date2011-10-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-11-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911641797EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH ASSOCIATION OF SPOKANEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone5094448888Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1203 WASHINGTON STREETAddressLine1
CitySPOKANECity
StateWAState
ZIP Code99201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePEG HOPKINSName
TitleCEOTitle
Date Signed2012-05-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPEG HOPKINSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1203 N WASHINGTON ST SUITE 300AddressLine1
CitySPOKANECity
StateWAState
ZIP Code99201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts38011334GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHAS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionNON-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 Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees396TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5396192ContributionsGrantsPriorYear
Contributions Grants Current Year4607981ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25650116ProgramServiceRevenuePriorYear
Program Service Revenue CY33403353ProgramServiceRevenueCY
Investment Income Prior Year38InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year1118OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year31047464TotalRevenuePriorYear
Total Revenue Current Year38011334TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19727853SalariesEtcPriorYear
Salaries Etc Current Year22329327SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10395124OtherExpensePriorYear
Other Expenses Current Year12811631OtherExpensesCurrentYear
Total Expenses Prior Year30122977TotalExpensesPriorYear
Total Expenses Current Year35140958TotalExpensesCurrentYear
Revenues Less Expenses Prior Year924487RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2870376RevenuesLessExpensesCY
Total Assets BOY13069485TotalAssetsBOY
Total Assets EOY20581927TotalAssetsEOY
Total Liabilities BOY5293775TotalLiabilitiesBOY
Total Liabilities EOY9935841TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7775710NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10646086NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13678682Expense
Revenue19039911Revenue
DescriptionMEDICAL 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 120,000 MEDICAL AND WELLNESS VISITS AND CARE WERE PROVIDED TO OVER 40,000 INDIVIDUALS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5937780Expense
Revenue9018905Revenue
DescriptionPHARMACY 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 225,000 PRESCRIPTIONS, COUNSELING SESSIONS, AND REFILLS WERE PROVIDED TO CHAS PATIENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense5426896Expense
Revenue5344536Revenue
DescriptionDENTAL SERVICES ARE AVAILABLE AT FOUR CLINICS (DENNY MURPHY, MAPLE, NORTH COUNTY, AND CLARKSTON) 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 33,000 DENTAL VISITS AND CARE WERE PROVIDED TO OVER 15,000 INDIVIDUALS.Description
FieldValueIRS element (for citing)
Total Program Service Expense25043358TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109644NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees396NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonAARON WILSONNamePerson
Telephone Number5094448888TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1203 N WASHINGTON STREET SUITE 300AddressLine1
CitySPOKANECity
StateWAState
ZIP Code99201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
VICTOR BRAY
DIRECTOR SINCE 01/20111.0X000
MICHAEL MUGLIA
DIRECTOR SINCE 11/20101.0X000
MARGARITA VERA
DIRECTOR1.0X000
JOE GELLATLY
CHAIR1.0X000X
PAUL BARBER
TREASURER/SECRETARY1.0X000X
RYAN BEAUDOIN
VICE CHAIR1.0X000X
CHAD DASHIELL
VICE CHAIR1.0X000
ANGIE TITUS
DIRECTOR1.0X000
AMBER PEDERSEN
DIRECTOR1.0X000
SHARON STADELMAN
DIRECTOR1.0X000
TIMOTHY MAXWELL
DIRECTOR THROUGH 02/20111.0X000
LISA RUSAW
DIRECTOR THROUGH 06/20111.0X000
PEG HOPKINS
CEO40.0155196023190X
AARON WILSON
COO40.0126322024633X
GEOFF NORWOOD
CFO40.067750202X
DR DAVID H BARE
PROVIDER40.0183845022556X
DR MULLOY HANSEN
PROVIDER40.0172080017384X
DR GARY GLEASON
PROVIDER40.0188933022662X
DR ETHAN ANGEL
PROVIDER40.0186077026057X
DR PAVEL CONOVALCIUC
PROVIDER40.0171157022135X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1251360TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation158819TotalOtherCompensation
Number Individuals GT100 K29NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
NORTH IDAHO FAMILY PHYS
BILLING MANAGEMENT147654
DESAUTEL HEGE
PUBLIC RELATIONS225964
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants4566255GovernmentGrants
All Other Contributions41726AllOtherContributions
Total Contributions4607981TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE6241003216603132166031
ELECTRONIC HEALTH RECORD REVENUE62410010412501041250
OTHER REVENUE624100196072196072
FieldValueIRS element (for citing)
Total Program Service Revenue33403353TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column38011334TotalRevenueColumn
Related Or Exempt Function Income33403353RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total397293Total
Management And General397293ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18154598Total
Program Services13922197ProgramServices
Management And General4232401ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total372361Total
Program Services288306ProgramServices
Management And General84055ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2147453Total
Program Services1639178ProgramServices
Management And General508275ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1257622Total
Program Services944002ProgramServices
Management And General313620ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total85585Total
Management And General85585ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total85589Total
Management And General85589ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1319449Total
Program Services277286ProgramServices
Management And General1042163ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total184745Total
Management And General184745ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2875012Total
Program Services1775188ProgramServices
Management And General1099824ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total549280Total
Program Services56454ProgramServices
Management And General492826ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1003759Total
Program Services681469ProgramServices
Management And General322290ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total163159Total
Program Services11043ProgramServices
Management And General152116ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total100528Total
Management And General100528ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total267199Total
Program Services187070ProgramServices
Management And General80129ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total972453Total
Program Services680830ProgramServices
Management And General291623ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total245667Total
Management And General245667ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT13903141390314
LICENSES, DUES & SUBSCRIPTIONS149021149021
RECRUITING200889200889
MEDICAL SUPPLIES & DRUGS30946683094668
OTHER TAXES1098409535314487

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14474Total
Management And General14474ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total35140958Total
Program Services25043358ProgramServices
Management And General10097600ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1941235BOY
EOY7641500EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY271342BOY
EOY2917EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1692750BOY
EOY1862418EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY6738EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY512905BOY
EOY613230EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY360022BOY
EOY219647EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15452625LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5827992LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8236543BOY
EOY9624633EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY54688BOY
EOY610844EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13069485BOY
EOY20581927EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2264693BOY
EOY2425567EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1617325BOY
EOY4726298EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY289342BOY
EOY230785EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1122415BOY
EOY2553191EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5293775BOY
EOY9935841EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7775710BOY
EOY10646086EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7775710BOY
EOY10646086EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13069485BOY
EOY20581927EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2870376ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3685671CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3939434CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5169684CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5396192CurrentTaxYearMinus1Year
Current Tax Year4607981CurrentTaxYear
Total22798962Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3685671CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3939434CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5169684CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5396192CurrentTaxYearMinus1Year
Current Tax Year4607981CurrentTaxYear
Total22798962Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total205421AmountsSubstContributorsTotal
Public Support Total17022593541PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39225CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34123CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10647CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1156CurrentTaxYearMinus1Year
Total85151Total
FieldValueIRS element (for citing)
Total Support22884113TotalSupport
Gross Receipts From Admissions Etc116241323GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98730PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97250PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DIRECT CONTACT WITH LEGISLATORSSCHEDULE 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), DURING WHICH THE ORGANIZATION CAMPAIGNED FOR HEALTH CENTERS DIRECTLY WITH STATE LEGISLATORS.
OTHER LOBBYING ACTIVITIESSCHEDULE C, PART II-B, LINE 1(I)THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE WASHINGTON ASSOCIATION OF COMMUNITY AND MIGRANT HEALTH CENTERS (WACMHC). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2008910OtherCostOrOtherBasis
Book Value2008910BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6485179OtherCostOrOtherBasis
Depreciation2461908Depreciation
Book Value4023271BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2388668OtherCostOrOtherBasis
Depreciation544994Depreciation
Book Value1843674BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4163020OtherCostOrOtherBasis
Depreciation2821090Depreciation
Book Value1341930BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis406848OtherCostOrOtherBasis
Book Value406848BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9624633TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
EST AMT DUE TO 3RD PARTY PAYER$2,363,191
EST SELF-INSURANCE COSTS$190,000
FieldValueIRS element (for citing)
Total Of Amounts2553191TotalOfAmounts
Total Revenue38011334TotalRevenue
Total Expenses35140958TotalExpenses
Excess Or Deficit For Year2870376ExcessOrDeficitForYear
Excess Or Deficit Per FS2870376ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt38045136TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities33802DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99033802RevenueNotRptdF990
Revenue Subtotal38011334RevenueSubtotal
Total Revenue Per Form99038011334TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt35174760TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities33802DonatedServicesUseOfFacilities
Expenses Not Rptd F99033802ExpensesNotRptdF990
Expenses Subtotal35140958ExpensesSubtotal
Total Expenses Per Form99035140958TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 DISCLOSUREIdentifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationMANAGEMENT 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
PEG HOPKINS
146364025085826440167501783860
AARON WILSON
123053025030195287193461509550
DR DAVID H BARE
18311502504807293152632064010
DR MULLOY HANSEN
168617025032132688146961894640
DR GARY GLEASON
18868302507708149542115950
DR ETHAN ANGEL
18534702504806000200572121340
DR PAVEL CONOVALCIUC
1704270250480221351932920

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierNON-FIXED PAYMENTSIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 7ReturnReference
ExplanationTHE ORGANIZATION PAID DISCRETIONARY BONUS PAYMENTS IN THE AMOUNT OF $250 PER ELIGIBLE EMPLOYEE.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
WASHINGTON HEALTHCARE FACILITIES AUTHORITY
9111089292010-12-161100503SEE PART Vfalsefalsefalse
WASHINGTON HEALTHCARE FACILITIES AUTHORITY
9111089292010-12-163821497SEE PART Vfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00110050300107849322010000002010truefalsetruetrue
00382149700495278764300186711147756501585513truefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierTAX EXEMPT BONDSIdentifier
Return ReferenceSCHEDULE K, PART I, LINES A & BReturnReference
ExplanationPROCEEDS 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 L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonPEG HOPKINSNamePerson
Loan From OrganizationXLoanFromOrganization
Original Principal$6,738OriginalPrincipalAmount
Balance Due6738BalanceDue
DefaultfalseDefault
Approved By BoardfalseApprovedByBoard
Written AgreementfalseWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due6738TotalBalanceDue

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierLOANS TO AND FROM INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IIReturnReference
ExplanationTHE CEO WAS TRAVELING ON PERSONAL BUSINESS OVERSEAS AND BECAME STRANDED DUE TO A NATURAL DISASTER. IN THE PROCESS OF MAKING ALTERNATE TRAVEL ARRANGEMENTS TO RETURN HOME, THE COMPANY CREDIT CARD WAS INADVERTENTLY USED BY MISTAKE. THIS AMOUNT WAS REPAID IN THE MONTH FOLLOWING THE END OF THE CURRENT FISCAL YEAR.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART 1, LINE 1THE 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, EIGHT OUT OF TEN OF THE 44 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: COMMUNITY HEALTH ASSOCIATION OF SPOKANE (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 SERVICESFORM 990, PART III, LINES 4A-4CCHAS 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. 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 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. PRIMARY CARE SERVICES INCLUDE: MEDICAL EVALUATIONS & TESTING ORAL HEALTH CARE NUTRITIONAL COUNSELING OUTPATIENT BEHAVIORAL HEALTH COUNSELING REFERRALS TO SPECIALTY CARE AND OTHER COMMUNITY RESOURCE AS NEEDED CHRONIC DISEASE MANAGEMENT COLLABORATIVE CASE MANAGEMENT FOR PATIENTS LIVING WITH DEPRESSION, ASTHMA AND DIABETES
CHANGES TO ORGANIZATIONAL DOCUMENTS SINCE PRIOR 990FORM 990, PART VI, SECTION A, LINE 4THE FOLLOWING QUALIFICATION HAS BEEN ADDED IN the BYLAWS REGARDING THE ELECTION OF OFFICERS: TO BE ELIGIBLE FOR OFFICE, A DIRECTOR MUST HAVE MORE THAN ONE (1) YEAR OF SERVICE REMAINING IN HIS OR HER TERM PRECEDING THE REQUIRED SABBATICAL.
REVIEW THE FORM 990FORM 990, PART VI, SECTION B, LINE 11BTHE 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. PRIOR TO FILING, THE DRAFT 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 THE MEETING.
CONFLICT OF INTEREST POLICYFORM 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 ORGANIZATIONS' 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 CONFLICT OR POTENTIAL CONFLICT OF INTEREST HE OR SHE HAS OR MAY HAVE. CONFLICTS OF INTEREST ARE COVERED IN THE EMPLOYEE MANUAL AND A WRITTEN POLICY IS INCLUDED ON THE ORGANIZATIONS INTERNAL WEB SITE. ALL EMPLOYEES, INCLUDING EXECUTIVE MANAGEMENT TEAM MEMBERS, VOLUNTEER LEADERS, OR MEDICAL/DENTAL STAFF LEADERS ARE PROVIDED A CONFLICT OF INTEREST POLICY QUESTIONNAIRE ANNUALLY, WHICH MUST BE COMPLETED AND RETURNED TO HUMAN RESOURCES TO DETERMINE IF ANY CONFLICTS EXIST.
REVIEW OF CEO COMPENSATIONFORM 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 WERE USED FOR COMPARISON PURPOSES, PARTICULARLY PEER HEALTH CENTER DATA.
REVIEW OF KEY EMPLOYEES COMPENSATIONFORM 990, PART VI, SECTION B, LINE 15BDURING THE CURRENT FISCAL YEAR MARKET EVALUATIONS OF ALL EMPLOYEE POSITIONS, INCLUDING OFFICERS AND KEY EMPLOYEES WAS PERFORMED. THE REVIEWS WERE PERFORMED AND COMPILED BY INTERNAL PERSONNEL IN CONJUNCTION WITH CONSULTING FROM AN OUTSIDE HUMAN RESOURCE CONSULTING PROFESSIONAL.
GOVERNING DOCUMENTS AVAILABLE TO THE PUBLICFORM 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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