2012-11-15T10:22:29-06:00 2012-06-30 410746749 CLIFTONLARSONALLEN LLP 610 NORTH 39TH AVENUE YAKIMA WA 98902 990 2011-07-01 571140982 COMMUNITY HEALTH OF CENTRAL WASHINGTON COMM 5094524520 1806 W LINCOLN AVENUE YAKIMA WA 98902 MIKE MAPLES 5094524520 2012-11-14 1 RALPH A CONNER CPA P00185729 5098232910 2012-10-25 2011 2016-02-24 21:20:13Z MIKE MAPLES 1806 W LINCOLN AVENUE YAKIMA WA 98902 22064746 0 1 X WWW.COMMHEALTHCW.ORG X 1993 WA TO ESTABLISH AND OPERATE AN INSTITUTION FOR THE PROVISION OF HEALTH CARE AND TREATMENT FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE IN THE COMMUNITIES SERVED AND TO ESTABLISH AND OPERATE A PROGRAM TO TRAIN FAMILY PHYSICIANS TO CARE FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE. 13 13 246 0 0 0 4058514 5923865 15114910 16121100 1419 377 1245 793 19176088 22046135 0 0 0 0 13401076 15138001 0 0 33437 5186943 5410116 18588019 20548117 588069 1498018 14141558 15160914 6598699 6120037 7542859 9040877 X TO ESTABLISH AND OPERATE AN INSTITUTION FOR THE PROVISION OF HEALTH CARE AND TREATMENT FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE IN THE COMMUNITIES SERVED AND TO ESTABLISH AND OPERATE A PROGRAM TO TRAIN FAMILY PHYSICIANS TO CARE FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE. 0 0 14644005 16148706 PATIENT CARE: COMMUNITY HEALTH OF CENTRAL WASHINGTON PROVIDES COMPREHENSIVE PRIMARY CARE MEDICAL AND DENTAL SERVICES TO UNDERSERVED PEOPLE IN YAKIMA AND KITTITAS COUNTIES. SERVICE IS PROVIDED REGARDLESS OF THE ABILITY TO PAY. LOW INCOME INDIVIDUALS AND FAMILIES MAY APPLY TO RECEIVE SERVICES ON A DISCOUNTED FEE BASIS.PATIENT CARE ACTIVITIES: THIS YEAR CHCW SERVED 38,048 PATIENTS, RESULTING IN 98,623 VISITS AT OUR 4 MEDICAL CLINICS, 1 DENTAL CLINIC AND ON OUR PEDIATRIC HOSPITALIST SERVICES.DIRECT PATIENT CARE: MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY IN GENERAL BY BOARD CERTIFIED PHYSICIANS, FAMILY PRACTICE RESIDENTS, EMPLOYED MID-LEVEL PROVIDERS (PHYSICIANS ASSISTANTS AND NURSE PRACTITIONERS), AND CERTIFIED NURSING STAFF. PROVISION OF CARE IS RENDERED UNDER THE DIRECTION OF THE MEDICAL DIRECTOR. MEDICAL SERVICES INCLUDE ACUTE PRIMARY CARE (FAMILY PRACTICE, INTERNAL MEDICINE, AND PEDIATRICS), PREVENTIVE CARE, OBSTETRICS, GYNECOLOGY, PRIMARY CARE PROCEDURES, MINOR SURGERIES, BEHAVIORAL HEALTH, VACCINATIONS AND HEALTH CONSULTATIONS. SERVICES ARE PROVIDED IN THE CLINIC, HOSPITAL, NURSING HOMES, AND HOME SETTINGS. ORAL HEALTH ARE PROVIDED TO THE COMMUNITY IN GENERAL BY BOARD CERTIFIED DENTISTS AND AN EMPLOYED HYGIENIST.ANCILLARY SERVICES: ANCILLARY SERVICES INCLUDE DIAGNOSTIC LABORATORY, RADIOLOGY AND PHARMACY. ANCILLARY SERVICES ARE PROVIDED ON-SITE FOR A MORE COMPREHENSIVE, EFFICIENT PROVISION OF CARE. LABORATORY SERVICES ARE SUB-CONTRACTED TO PAML, A CERTIFIED LABORATORY COMPANY. CHCW EMPLOYS A LICENSED RADIOLOGY TECHNICIAN WHO PROVIDES RADIOLOGY SERVICES AND EMPLOYS LICENSED PHARMACISTS AND TECHNICIANS WHO PROVIDE PHARMACY SERVICES. CHCW IS THE SOLE PROVIDER OF WIC AND MATERNITY SUPPORT SERVICES IN KITTITAS COUNTY. SUPPORT SERVICES: SUPPORT SERVICES INCLUDE BILLING, ADMINISTRATION, REFERRAL COORDINATION, PATIENT EDUCATION AND MEDICAL RECORDS. THESE SERVICES ARE NOT REIMBURSABLE BUT PROVIDED FOR THE BENEFIT OF PATIENTS IN THE COURSE OF PROVIDING PATIENT SERVICES. EMPLOYED STAFF PROVIDE ALL SUPPORT SERVICES. 2010445 3086943 RESIDENCY PROGRAM: THIS YEAR CHCW HAD 20 RESIDENTS AND GRADUATED 5 FAMILY PHYSICIANS. SUPERVISORY TEACHING OF RESIDENTS: RESIDENTS PROVIDE MEDICAL SERVICES TO PATIENTS UNDER THE DIRECT SUPERVISION OF FACULTY. FACULTY REVIEW RESIDENTS ASSESSMENT OF COMPLIANT AND TREATMENT PLANS AND PROVIDE FEEDBACK TO RESIDENTS. THE PURPOSE IS TO FURTHER RESIDENTS MEDICAL SKILLS AND TO ENSURE QUALITY OF CARE. SUPERVISION OCCURS IN THE CLINIC, HOSPITAL AND OTHER SETTINGS.DIRECT RESIDENT TEACHING: DIRECT TEACHING INCLUDES PRESENTATIONS, DIDACTICS, SPEAKERS, SMALL GROUP DISCUSSIONS, LECTURES, AND HANDS-ON WORKSHOPS. DIRECT TEACHING IS DESIGNED TO FURTHER BIOMEDICAL, PSYCHOSOCIAL, AND PRACTICAL KNOWLEDGE IN A CLASSROOM AND/OR INTERACTIVE SETTING. DIRECT RESIDENT TEACHING MEETS THE ACCREDITATION REQUIREMENTS OUTLINED BY THE AMERICAN COLLEGE OF GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION. MOST DIRECT EDUCATIONAL ACTIVITIES OCCUR IN THE CLINIC AND HOSPITAL SETTING BY FACULTY AND ARE PROVIDED BY INVITED GUESTS. RESIDENT ADVISING: EACH RESIDENT IS ASSIGNED A FACULTY ADVISOR. ADVISORS PROVIDE FEEDBACK ON RESIDENT KNOWLEDGE AND PERFORMANCE, INFORMATION RESOURCES, CAREER COUNSELING, AND OTHER AREAS OF ADVICE AS IT AFFECTS RESIDENTS SUCCESS WITHIN THE PROGRAM. RESIDENTS AND ADVISORS MEET ON AN INTERIM BASIS THROUGHOUT THEIR ACADEMIC PROGRAM. RESIDENT SUPERVISION AND OBSERVATION AT NON-CLINIC SITES: RESIDENTS ROTATE TO NON-CHCW SITES TO OBSERVE AND LEARN FROM PROVIDERS IN MEDICAL AND SURGICAL SPECIALTIES. RESIDENTS INTERACT UNDER THE DIRECT SUPERVISION OF THE ATTENDING SPECIALIST FOR PURPOSES OF FURTHERING RESIDENTS MEDICAL KNOWLEDGE AND EXPERIENCE. COMMUNITY HEALTH OF CENTRAL WASHINGTON PROVIDES COMPREHENSIVE PRIMARY CARE MEDICAL AND DENTAL SERVICES TO UNDERSERVED PEOPLE IN YAKIMA AND KITTITAS COUNTIES. SERVICE IS PROVIDED REGARDLESS OF THE ABILITY TO PAY. LOW INCOME INDIVIDUALS AND FAMILIES MAY APPLY TO RECEIVE SERVICES ON A DISCOUNTED FEE BASIS.PATIENT CARE ACTIVITIES - THIS YEAR CHCW SERVED 38,048 PATIENTS AND 98,623 VISITS BY OUR 4 MEDICAL CLINICS, 1 DENTAL CLINC AND BY OUR PEDIATRIC HOSPITALIST SERVICES.DIRECT PATIENT CARE - MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY IN GENERAL BY BOARD CERTIFIED PHYSICIANS, FAMILY PRACTICE RESIDENTS, EMPLOYED MID-LEVEL PROVIDERS (PHYSICIANS ASSISTANTS AND NURSE PRACTITIONERS), AND CERTIFIED NURSING STAFF. PROVISION OF CARE IS RENDERED UNDER THE DIRECTION OF THE MEDICAL DIRECTOR. MEDICAL SERVICES INCLUDE ACUTE ACUTE PRIMARY CARE (FAMILY PRACTICE, INTERNAL MEDICINE, AND PEDIATRICS), PREVENTIVE CARE, OBSTETRICS, GYNECOLOGY, PRIMARY CARE PROCEDURES, MINOR SURGERIES, BEHAVIORAL HEALTH, VACCINATIONS AND HEALTH CONSULTATIONS. SERVICES ARE PROVIDED IN THE CLINIC, HOSPITAL, NURSING HOMES, AND HOME SETTINGS. ORAL HEALTH ARE PROVIDED TO THE COMMUNITY IN GENERAL BY BOARD CERTIFIED DENTISTS AND AN EMPLOYED HYGIENIST.ANCILLARY SERVICES - ANCILLARY SERVICES INCLUDE DIAGNOSTIC LABORATORY, RADIOLOGY, AND PHARMACY. ANCILLARY SERVICES ARE PROVIDED ON-SITE FOR A MORE COMPREHENSIVE, EFFICIENT PROVISION OR CARE. LABORATORY SERVICES ARE SUB-CONTRACTED TO PAML, A CERTIFIED LABORATORY COMPANY. CHCW EMPLOYS A LICENSED RADIOLOGY TECHNICIAN WHO PROVIDES RADIOLOGY SERVICES AND EMPLOYS LICENSED PHARMACISTS AND TECHNICIANS WHO PROVIDE PHARMACY SERVICES. CHCW IS THE SOLE PROVIDER OF WIC AND MATERNITY SUPPORT SERVICES IN KITTITAS COUNTY. SUPPORT SERVICES - SUPPORT SERVICES INCLUDE BILLING, ADMINISTRATION, REFERRAL COORDINATION, PATIENT EDUCATION, AND MEDICAL RECORDS. THESE SERVICES ARE NOT REIMBURSABLE BUT PROVIDED FOR THE BENEFIT OF PATIENTS IN THE COURSE OF PROVIDING PATIENT SERVICES. EMPLOYED STAFF PROVIDE ALL SUPPORT SERVICES EDUCATIONAL ACTIVITIES - THIS YEAR CHCW HAD 20 RESIDENTS AND GRADUATED 5 FAMILY PHYSICIANS.SUPERVISORY TEACHING OF RESIDENTS - RESIDENTS PROVIDE MEDICAL SERVICES TO PATIENTS UNDER THE SUPERVISION OF FACULTY. FACULTY REVIEW RESIDENTS' ASSESSMENT OF COMPLAINT AND TREATMENT PLANS AND PROVIDE FEEDBACK TO RESIDENTS. THE PURPOSE IS TO FURTHER RESIDENTS' MEDICAL SKILLS AND TO ENSURE QUALITY OF CARE. SUPERVISION OCCURS IN THE CLINIC AND HOSPITAL SETTINGS. DIRECT RESIDENT TEACHING - DIRECT TEACHING INCLUDES PRESENTATIONS, DIDACTICS, SPEAKERS, SMALL GROUP DISCUSSIONS, LECTURES, AND HANDS-ON WORKSHOPS. DIRECT TEACHING IS DESIGNED TO FURTHER BIOMEDICAL, PSYCHOSOCIAL, AND PRACTICAL KNOWLEDGE IN A CLASSROOM AND/OR INTERACTIVE SETTING. DIRECT RESIDENT TEACHING MEETS THE ACCREDITATION REQUIREMENTS OUTLINED BY THE AMERICAN COLLEGE OF GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION. MOST DIRECT EDUCATIONAL ACTIVITIES OCCUR IN THE CLINIC AND HOSPITAL SETTING BY FACULTY AND ARE PROVIDED BY INVITED GUESTS.RESIDENT ADVISEMENT - EACH RESIDENT IS ASSIGNED A FACULTY ADVISOR. ADVISORS PROVIDE FEEDBACK ON RESIDENT KNOWLEDGE AND PERFORMANCE, INFORMATION RESOURCES, CAREER COUNSELING, AND OTHER AREAS OF ADVICE AS IT AFFECTS RESIDENTS' SUCCESS WITHIN THE PROGRAM. RESIDENTS AND ADVISORS MEET ON AN INTERIM BASIS THROUGHOUT THE ACADEMIC YEAR. RESIDENT SUPERVISION AND OBSERVATION AT NON-CLINIC SITES - RESIDENTS ROTATE TO NON-CHCW SITES TO OBSERVE AND LEARN FROM PROVIDERS IN MEDICAL AND SURGICAL SPECIALTIES. RESIDENTS' INTERACT UNDER THE DIRECT SUPERVISION OF THE ATTENDING SPECIALIST FOR PURPOSES OF FURTHERING RESIDENTS' MEDICAL KNOWLEDGE AND EXPERIENCE. 16654450 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 42 0 1 246 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X X PAUL KASCHMITTER CFO 5095746110 1806 W LINCOLN AVENUE YAKIMA WA 98902 ELIZABETH HERRES MILLER 1.00 X 0 0 0 EARL WEATHERMAN 1.00 X 0 0 0 JIM BOUTILLIER 1.00 X 0 0 0 DOUG BAULT 1.00 X 0 0 0 TIM BROWN 1.00 X 0 0 0 MAYRA CHACON 1.00 X 0 0 0 DOUG CORPRON 1.00 X 0 0 0 MARY HOLMGREN 1.00 X 0 0 0 JAKE JUNDT 1.00 X 0 0 0 ROSEMARY LEIVA 1.00 X 0 0 0 DARCI SWANSON 1.00 X 0 0 0 JOE VICKERS 1.00 X 0 0 0 CHRIS WAARVICK 1.00 X 0 0 0 MIKE MAPLES 40.00 X 233983 0 21224 JUDY O'NEAL 40.00 X 88942 0 12450 PAUL KASCHMITTER 40.00 X 139431 0 15743 VICKI BLACK 40.00 X 193695 0 18899 RUSSELL MAIER 40.00 X 197915 0 19155 JEFFREY BARTLETT 40.00 X 193429 0 18976 KERRY HARTHCOCK 40.00 X 181702 0 18198 MARK BAUER 40.00 X 170395 0 17559 PAUL EMMANS 40.00 X 160924 0 12181 JOHN ASRIEL 40.00 X 196288 0 26696 ROGER BRACCHI 40.00 X 176624 0 17937 PORTIA JONES 40.00 X 175526 0 17871 DEBRA GOULD 40.00 X 169889 0 17443 BENJAMIN BARSOTTI 40.00 X 164345 0 17203 ROY SIMMS 40.00 X 157212 0 16811 NATHANIEL DAVENPORT 40.00 X 211643 0 18636 2811943 0 286982 34 1 1 0 YAKIMA VALLEY MEMORIAL HOSPITAL 2811 TIETON DRIVE YAKIMA WA 98902 RENT 106258 1 5796956 126909 5923865 PATIENT SERVICES 624100 16121100 16121100 16121100 377 377 19404 18611 793 793 793 22046135 16121100 0 1170 941437 344627 578816 17994 11212994 10425706 784487 2801 545430 473752 71510 168 1441889 1286735 153866 1288 996251 890888 103599 1764 2440 250 2190 24001 24001 453153 199635 244140 9378 54045 12426 41619 159049 25557 133492 416607 35605 381002 119145 62357 56788 138963 123255 15708 229562 229562 531397 116748 414649 203287 169088 34199 SUPPLIES 1648235 1585004 63187 44 EQUPMENT RENTAL & MAINT 595853 510251 85602 MISCELLANEOUS 370147 252750 117397 BAD DEBT EXPENSE 324416 324416 139816 139816 20548117 16654450 3860230 33437 3077 3177 3809984 3848209 1491202 1672768 116256 138542 90908 39293 11652731 3472357 8570201 8180374 59930 49505 0 1229046 14141558 15160914 2487983 2670443 29365 4110716 3420229 6598699 6120037 X 7542859 9040877 7542859 9040877 14141558 15160914 1498018 0 X 0 1 1 X 1 1 X 3082806 3405715 4140272 4058514 5923865 20611172 3082806 3405715 4140272 4058514 5923865 20611172 5109099 15502073 93185 41419 5606 1419 377 142006 -8791 -8772 -1947 1245 793 -17472 20735706 70858135 0.74760 0.70700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 850000 850000 6964563 1343418 5621145 1486476 685455 801021 2351692 1443484 908208 8180374 CONSTRUCTION IN PROGRESS 1229046 1229046 22046135 20548117 1498018 1498018 22064746 18611 18611 22046135 0 22046135 20566728 18611 18611 20548117 0 20548117 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: UNDER PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. AS OF JUNE 30, 2012 AND 2011, THE ORGANIZATION HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAXES. MANAGEMENT EVALUATED THE ORGANIZATIONS TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008. PART XII LINE 2D: SUBLET EXPENSES PART XIII LIND 2D: SUBLET EXPENSES X X X X X X 0 0 0 0 0 0 0 0 0 MIKE MAPLES 233983 0 0 0 0 0 0 0 21224 0 255207 0 0 0 PAUL KASCHMITTER 139431 0 0 0 0 0 0 0 15743 0 155174 0 0 0 VICKI BLACK 193695 0 0 0 0 0 0 0 18899 0 212594 0 0 0 RUSSELL MAIER 197915 0 0 0 0 0 0 0 19155 0 217070 0 0 0 JEFFREY BARTLETT 193429 0 0 0 0 0 0 0 18976 0 212405 0 0 0 KERRY HARTHCOCK 181702 0 0 0 0 0 0 0 18198 0 199900 0 0 0 MARK BAUER 170395 0 0 0 0 0 0 0 17559 0 187954 0 0 0 PAUL EMMANS 160924 0 0 0 0 0 0 0 12181 0 173105 0 0 0 JOHN ASRIEL 196288 0 0 0 0 0 0 0 26696 0 222984 0 0 0 ROGER BRACCHI 176624 0 0 0 0 0 0 0 17937 0 194561 0 0 0 PORTIA JONES 175526 0 0 0 0 0 0 0 17871 0 193397 0 0 0 DEBRA GOULD 169889 0 0 0 0 0 0 0 17443 0 187332 0 0 0 BENJAMIN BARSOTTI 164345 0 0 0 0 0 0 0 17203 0 181548 0 0 0 ROY SIMMS 157212 0 0 0 0 0 0 0 16811 0 174023 0 0 0 NATHANIEL DAVENPORT 211643 0 0 0 0 0 0 0 18636 0 230279 0 0 0 KEY GOVERNMENT FINANCE 200259892 2008-07-16 3600000 BUILDING REMODEL 0 0 0 3600000 68647 3531353 2008 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 LINE 11A EXPLANATION - THE 990 TAX RETURN WAS PRESENTED TO THE BOARD OF DIRECTORS AND UNANIMOUSLY APPROVED PRIOR TO THE ELECTRONIC SUBMISSION OF THE TAX RETURN. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 12C DISSEMINATION OF POLICY AT STAFF MEETINGS AND DISCUSSION AT LEADERSHIP MEETINGS AND A CONTINUED HEIGHTENED AWARENESS OF CONFLICT AND WHAT IT LOOKS LIKE FOR STAFF. SIGNATURE OF CONFLICT OF INTEREST POLICY AND ASSURING STAFF ARE AWARE OF NOT ONLY WHO THE COMPLIANCE OFFICER IS BUT THEIR ROLE AS WELL. FORM 990, PART VI, SECTION B, LINE 15 RESEARCH AND/OR SURVEY STUDIES AND CONSULTING IS DONE IF NECESSARY. COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS.OTHER TYPES OF CONSULTING AND RESEARCH IS DONE IF NECESSARY. FORM 990, PART VI, SECTION C, LINE 19 THE 990 IS AVAILABLE BY A THIRD PARTY WEBSITE, OTHERWISE AVAILABLE BY REQUEST.