2012-07-09T13:11:21-05:00 2011-10-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2010-11-01 911641797 COMMUNITY HEALTH ASSOCIATION OF SPOKANE COMM 5094448888 203 WASHINGTON STREET SPOKANE WA 99201 PEG HOPKINS 2012-05-07 true Brian D Todd 4178658701 2010 2016-02-24 21:20:13Z PEG HOPKINS 203 N WASHINGTON ST SUITE 300 SPOKANE WA 99201 38011334 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 10 396 15 0 0 5396192 4607981 25650116 33403353 38 0 1118 0 31047464 38011334 0 0 0 0 19727853 22329327 0 0 0 10395124 12811631 30122977 35140958 924487 2870376 13069485 20581927 5293775 9935841 7775710 10646086 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 13678682 19039911 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 120,000 MEDICAL AND WELLNESS VISITS AND CARE WERE PROVIDED TO OVER 40,000 INDIVIDUALS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 5937780 9018905 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 225,000 PRESCRIPTIONS, COUNSELING SESSIONS, AND REFILLS WERE PROVIDED TO CHAS PATIENTS. 5426896 5344536 DENTAL 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. 25043358 true true false true 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 true false false false false false false false false false false false false false false true 44 0 true 396 true false false false false false false false false false false X 10 10 false false true false false false false true true false false true true true true true true true false false WA X AARON WILSON 5094448888 203 N WASHINGTON STREET SUITE 300 SPOKANE WA 99201 VICTOR BRAY 1.0 X 0 0 0 MICHAEL MUGLIA 1.0 X 0 0 0 MARGARITA VERA 1.0 X 0 0 0 JOE GELLATLY 1.0 X X 0 0 0 PAUL BARBER 1.0 X X 0 0 0 RYAN BEAUDOIN 1.0 X X 0 0 0 CHAD DASHIELL 1.0 X 0 0 0 ANGIE TITUS 1.0 X 0 0 0 AMBER PEDERSEN 1.0 X 0 0 0 SHARON STADELMAN 1.0 X 0 0 0 TIMOTHY MAXWELL 1.0 X 0 0 0 LISA RUSAW 1.0 X 0 0 0 PEG HOPKINS 40.0 X 155196 0 23190 AARON WILSON 40.0 X 126322 0 24633 GEOFF NORWOOD 40.0 X 67750 202 DR DAVID H BARE 40.0 X 183845 0 22556 DR MULLOY HANSEN 40.0 X 172080 0 17384 DR GARY GLEASON 40.0 X 188933 0 22662 DR ETHAN ANGEL 40.0 X 186077 0 26057 DR PAVEL CONOVALCIUC 40.0 X 171157 0 22135 1251360 0 158819 29 false true false NORTH IDAHO FAMILY PHYS BILLING MANAGEMENT 147654 DESAUTEL HEGE PUBLIC RELATIONS 225964 2 4566255 41726 4607981 PATIENT REVENUE 624100 32166031 32166031 ELECTRONIC HEALTH RECORD REVENUE 624100 1041250 1041250 OTHER REVENUE 624100 196072 196072 33403353 0 0 0 0 0 0 0 0 38011334 33403353 0 0 0 0 397293 397293 0 18154598 13922197 4232401 372361 288306 84055 2147453 1639178 508275 1257622 944002 313620 0 85585 85585 85589 85589 0 0 0 1319449 277286 1042163 184745 184745 2875012 1775188 1099824 549280 56454 492826 0 1003759 681469 322290 163159 11043 152116 0 100528 100528 267199 187070 80129 0 972453 680830 291623 245667 245667 BAD DEBT 1390314 1390314 LICENSES, DUES & SUBSCRIPTIONS 149021 149021 RECRUITING 200889 200889 MEDICAL SUPPLIES & DRUGS 3094668 3094668 OTHER TAXES 109840 95353 14487 14474 14474 35140958 25043358 10097600 0 1941235 7641500 271342 2917 1692750 1862418 6738 512905 613230 360022 219647 15452625 5827992 8236543 9624633 54688 610844 13069485 20581927 2264693 2425567 1617325 4726298 289342 230785 1122415 2553191 5293775 9935841 X 7775710 10646086 7775710 10646086 13069485 20581927 2870376 X false true true X true true X 3685671 3939434 5169684 5396192 4607981 22798962 3685671 3939434 5169684 5396192 4607981 22798962 205421 22593541 39225 34123 10647 1156 85151 22884113 116241323 0.98730 0.97250 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), 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) AND THE WASHINGTON ASSOCIATION OF COMMUNITY AND MIGRANT HEALTH CENTERS (WACMHC). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. 2008910 2008910 6485179 2461908 4023271 2388668 544994 1843674 4163020 2821090 1341930 406848 406848 9624633 0 EST AMT DUE TO 3RD PARTY PAYER 2363191 EST SELF-INSURANCE COSTS 190000 2553191 38011334 35140958 2870376 2870376 38045136 33802 33802 38011334 38011334 35174760 33802 33802 35140958 35140958 FIN 48 DISCLOSURE 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. X X X X false false false false false false false true false PEG HOPKINS 146364 0 250 8582 6440 16750 178386 0 AARON WILSON 123053 0 250 3019 5287 19346 150955 0 DR DAVID H BARE 183115 0 250 480 7293 15263 206401 0 DR MULLOY HANSEN 168617 0 250 3213 2688 14696 189464 0 DR GARY GLEASON 188683 0 250 7708 14954 211595 0 DR ETHAN ANGEL 185347 0 250 480 6000 20057 212134 0 DR PAVEL CONOVALCIUC 170427 0 250 480 22135 193292 0 NON-FIXED PAYMENTS SCHEDULE J, PART I, LINE 7 THE ORGANIZATION PAID DISCRETIONARY BONUS PAYMENTS IN THE AMOUNT OF $250 PER ELIGIBLE EMPLOYEE. WASHINGTON HEALTHCARE FACILITIES AUTHORITY 911108929 2010-12-16 1100503 SEE PART V false false false WASHINGTON HEALTHCARE FACILITIES AUTHORITY 911108929 2010-12-16 3821497 SEE PART V false false false 0 0 1100503 0 0 1078493 22010 0 0 0 0 0 2010 true false true true 0 0 3821497 0 0 495278 76430 0 186711 1477565 0 1585513 true false false true false false false false false 0.00000 0.00000 0.00000 true false false false false false false false false false false false false TAX EXEMPT BONDS 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. PEG HOPKINS X 6738 6738 false false false 6738 LOANS TO AND FROM INTERESTED PERSONS SCHEDULE L, PART II THE 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. ORGANIZATION'S MISSION FORM 990, PART 1, 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, 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 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. 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 990 FORM 990, PART VI, SECTION A, LINE 4 THE 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 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. 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 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 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 COMPENSATION 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. REVIEW OF KEY EMPLOYEES COMPENSATION FORM 990, PART VI, SECTION B, LINE 15B DURING 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 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.