COMMUNITY HEALTH ASSOCIATION OF SPOKANE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY HEALTH ASSOCIATION OF SPOKANE (EIN 91-1641797)
Tax period: 2009-11-01 to 2010-10-31
Filed: 2011-07-11
IRS object ID: 201121929349300907
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule J
Schedule K
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-07-11T11:48:43-04:00	Timestamp
Tax Period End Date	2010-10-31	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	2009-11-01	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)
Name Control	COMM	NameControl
Phone	5094448888	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	203 WASHINGTON STREET	AddressLine1
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
Date Signed	2011-06-20	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	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	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 STE 300	AddressLine1
City	SPOKANE	City
State	WA	State
ZIP Code	99201	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	31047464	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	396	TotalNbrEmployees
Total Nbr Volunteers	11	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5169684	ContributionsGrantsPriorYear
Contributions Grants Current Year	5396192	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	20739853	ProgramServiceRevenuePriorYear
Program Service Revenue CY	25650116	ProgramServiceRevenueCY
Investment Income Prior Year	5796	InvestmentIncomePriorYear
Investment Income Current Year	38	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4477	OtherRevenuePriorYear
Other Revenue Current Year	1118	OtherRevenueCurrentYear
Total Revenue Prior Year	25919810	TotalRevenuePriorYear
Total Revenue Current Year	31047464	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	16504617	SalariesEtcPriorYear
Salaries Etc Current Year	19727853	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	9287489	OtherExpensePriorYear
Other Expenses Current Year	10395124	OtherExpensesCurrentYear
Total Expenses Prior Year	25792106	TotalExpensesPriorYear
Total Expenses Current Year	30122977	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	127704	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	924487	RevenuesLessExpensesCY
Total Assets BOY	11365811	TotalAssetsBOY
Total Assets EOY	13069485	TotalAssetsEOY
Total Liabilities BOY	4514588	TotalLiabilitiesBOY
Total Liabilities EOY	5293775	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	6851223	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	7775710	NetAssetsOrFundBalancesEOY
Mission Description	TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE BY EXPANDING ACCESS TO QUALITY HEALTH AND WELLNESS SERVICES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	11478389	Expense
Revenue	14479008	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 115,000 MEDICAL AND WELLNESS VISITS AND CARE WERE PROVIDED TO OVER 36,000 INDIVIDUALS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	4800053	Expense
Revenue	6367253	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 FOUR IN-HOUSE PHARMACIES (MAPLE, NORTH COUNTY, VALLEY, AND DENNY MURPHY 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 169,000 PRESCRIPTIONS, COUNSELING SESSIONS, AND REFILLS WERE PROVIDED TO CHAS PATIENTS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	4591355	Expense
Revenue	4803855	Revenue
Description	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 29,000 DENTAL VISITS AND CARE WERE PROVIDED TO OVER 11,500 INDIVIDUALS.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	20869797	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
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	44	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	396	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
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	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
States Where Copy Of Return Is Filed	WA	StatesWhereCopyOfReturnIsFiled
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 ST STE 300	AddressLine1
City	SPOKANE	City
State	WA	State
ZIP Code	99201	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
JOE GELLATLY
CHAIR	1.0	X	X	0	0	0
PAUL BARBER
TREASURER/SECRETARY	1.0	X	X	0	0	0
RAY MCRAE
VICE CHAIR	1.0	X	X	0	0	0
RYAN BEAUDOIN
DIRECTOR	1.0	X		0	0	0
CHAD DASHIELL
DIRECTOR	1.0	X		0	0	0
TIMOTHY MAXWELL
DIRECTOR	1.0	X		0	0	0
AMBER PEDERSEN
DIRECTOR	1.0	X		0	0	0
LISA RUSAW
DIRECTOR	1.0	X		0	0	0
SHARON STADELMAN
DIRECTOR	1.0	X		0	0	0
ANGIE TITUS
DIRECTOR	1.0	X		0	0	0
MARGARITA VERA
DIRECTOR	1.0	X		0	0	0
PEG HOPKINS
CEO	40.0		X	153690	0	22437
AARON WILSON
COO	40.0		X	116013	0	25470
GEOFF NORWOOD
CFO BEGINNING 04/2010	40.0		X	0	0	0
CHRIS HEWETT
CFO THROUGH 04/2010	40.0		X	82500	0	15747
DR DAVID H BARE
PROVIDER	40.0			191312	0	22124	X
DR REDDY S CHANDRA
PROVIDER	40.0			183887	0	21906	X
DR GARY P GLEASON
PROVIDER	40.0			183491	0	28415	X
DR ETHAN M ANGEL
PROVIDER	40.0			179264	0	25525	X
DR PAVEL CONOVALCIUC
PROVIDER	40.0			177553	0	24106	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1267710	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	185730	TotalOtherCompensation
Number Individuals GT100 K	23	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Field	Value	IRS element (for citing)
Name Person	NORTH IDAHO FAMILY PHYS	NamePerson

Field	Value	IRS element (for citing)
Address Of Contractor		AddressOfContractor
Description Of Services	BILLING MANAGEMENT	DescriptionOfServices
Compensation	208294	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Government Grants	4894573	GovernmentGrants
All Other Contributions	501619	AllOtherContributions
Total Contributions	5396192	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE	624100	25388451	25388451
OTHER REVENUE	900099	261665	261665

Field	Value	IRS element (for citing)
Total Program Service Revenue	25650116	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	38	TotalRevenueColumn
Exclusion	$38	ExclusionAmount

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1118	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1118	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1118	TotalRevenueColumn
Exclusion	$1,118	ExclusionAmount

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	31047464	TotalRevenueColumn
Related Or Exempt Function Income	25650116	RelatedOrExemptFunctionIncome
Exclusion	$1,156	ExclusionAmount

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	415857	Total
Management And General	415857	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	16101508	Total
Program Services	11406904	ProgramServices
Management And General	4694604	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	325387	Total
Program Services	232698	ProgramServices
Management And General	92689	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1760250	Total
Program Services	1252872	ProgramServices
Management And General	507378	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1124851	Total
Program Services	777486	ProgramServices
Management And General	347365	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	7320	Total
Management And General	7320	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	86277	Total
Management And General	86277	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	497013	Total
Program Services	219061	ProgramServices
Management And General	277952	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	195766	Total
Management And General	195766	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2321976	Total
Program Services	1512741	ProgramServices
Management And General	809235	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	411689	Total
Program Services	52299	ProgramServices
Management And General	359390	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	893644	Total
Program Services	585623	ProgramServices
Management And General	308021	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	277564	Total
Program Services	9214	ProgramServices
Management And General	268350	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	76151	Total
Management And General	76151	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	113154	Total
Program Services	76739	ProgramServices
Management And General	36415	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	742814	Total
Program Services	503762	ProgramServices
Management And General	239052	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3099	Total
Management And General	3099	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	1299005	1299005
LICENSES, DUES & SUBSCRIPTIONS	162064		162064
RECRUITING & RETENTION	306430		306430
MEDICAL SUPPLIES & DRUGS	2895785	2895785
OTHER TAXES	76251	45608	30643

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	29122	Total
Management And General	29122	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	30122977	Total
Program Services	20869797	ProgramServices
Management And General	9253180	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2100	BOY
EOY	1941235	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	924007	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	159419	BOY
EOY	271342	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1882425	BOY
EOY	1692750	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	547389	BOY
EOY	512905	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	362121	BOY
EOY	360022	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	13092642	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4856099	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	7349491	BOY
EOY	8236543	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	138859	BOY
EOY	54688	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	11365811	BOY
EOY	13069485	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1425238	BOY
EOY	2264693	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	2129036	BOY
EOY	1617325	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	302489	BOY
EOY	289342	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	657825	BOY
EOY	1122415	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	4514588	BOY
EOY	5293775	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6841223	BOY
EOY	7775710	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10000	BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6851223	BOY
EOY	7775710	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	11365811	BOY
EOY	13069485	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	3602177	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3685671	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3939434	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5169684	CurrentTaxYearMinus1Year
Current Tax Year	5396192	CurrentTaxYear
Total	21793158	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3602177	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3685671	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3939434	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5169684	CurrentTaxYearMinus1Year
Current Tax Year	5396192	CurrentTaxYear
Total	21793158	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	485416	AmountsSubstContributorsTotal
Public Support Total170	21307742	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	30946	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	39225	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	34123	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10647	CurrentTaxYearMinus1Year
Current Tax Year	1156	CurrentTaxYear
Total	116097	Total

Field	Value	IRS element (for citing)
Total Support	21909255	TotalSupport
Gross Receipts From Admissions Etc	98835563	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.97254	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.93161	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 LEGISLATURES. 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 LEGISLATURES.
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.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1844910	OtherCostOrOtherBasis
Book Value	1844910	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5844179	OtherCostOrOtherBasis
Depreciation	2137648	Depreciation
Book Value	3706531	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	730384	OtherCostOrOtherBasis
Depreciation	295392	Depreciation
Book Value	434992	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3806581	OtherCostOrOtherBasis
Depreciation	2423059	Depreciation
Book Value	1383522	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	866588	OtherCostOrOtherBasis
Book Value	866588	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	8236543	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
EST AMT DUE TO 3RD PARTY PAYER	$825,335
COST POOL LIABILITY	$125,236
EST SELF-INSURANCE COSTS	$131,800
MALPRACTICE LIABILITY	$40,044

Field	Value	IRS element (for citing)
Total Of Amounts	1122415	TotalOfAmounts
Total Revenue	31047464	TotalRevenue
Total Expenses	30122977	TotalExpenses
Excess Or Deficit For Year	924487	ExcessOrDeficitForYear
Excess Or Deficit Per FS	924487	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	31081266	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	33802	DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990	33802	RevenueNotRptdF990
Revenue Subtotal	31047464	RevenueSubtotal
Total Revenue Per Form990	31047464	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	30156779	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	33802	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	33802	ExpensesNotRptdF990
Expenses Subtotal	30122977	ExpensesSubtotal
Total Expenses Per Form990	30122977	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	FIN 48 DISCLOSURE	Identifier
Return Reference	SCHEDULE D, PART X, LINE 2	ReturnReference
Explanation	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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	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 (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs
PEG HOPKINS
144915	0	250	8525	6351	16086	176127	0
DR DAVID H BARE
187024	0	250	4038	7192	14932	213436	0
DR REDDY S CHANDRA
157604	0	0	26283	7658	14248	205793	0
DR GARY P GLEASON
183241	0	250	0	10346	18069	211906	0
DR ETHAN M ANGEL
178534	0	250	480	6000	19525	204789	0
DR PAVEL CONOVALCIUC
173900	0	250	3403	597	23509	201659	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SEVERANCE PAYMENTS	SCHEDULE J, PART I, LINE 4A	THE ORGANIZATION PAID DR REDDY S CHANDRA $ 13,667 SEVERANCE PAY.
NON-FIXED PAYMENTS	SCHEDULE J, PART I, LINE 7	THE ORGANIZATION PAID DISCRETIONARY HOLIDAY BONUS PAYMENTS IN THE AMOUNT OF $250 PER ELIGIBLE EMPLOYEE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
WASHINGTON HEALTHCARE FACILITIES AUTHORITY
911108929	2003-04-11	3800000	SEE ATTACHED-2003 REV BOND	false	false
WASHINGTON HEALTHCARE FACILITIES AUTHORITY
911108929	2005-05-19	1000000	SEE ATTACHED-2005 REV BOND	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Amount DefeasedAmountDefeased	Amount UnspentAmountUnspent	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
3800000	0	1640527	0	54859	2104614	2104614	2003	true	false	true	true
1000000	0	0	0	20000	980000	980000	2005	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	false	false	false	false	false

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, 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 4(A-D)	THE COMMUNITY HEALTH ASSOCIATION OF SPOKANE (CHAS) PROVIDES PERSONALIZED, PATIENT-CENTERED CARE TO INDIVIDUALS AND FAMILIES STARTING WITH THE CHOICE OF A PRIMARY CARE PROVIDER (PCP) WHO WILL MANAGE YOUR INDIVIDUAL AND FAMILY WELLNESS NEEDS THROUGH ALL STAGES OF LIFE. CHAS PROVIDES A WELL-ROUNDED APPROACH TO OUR PATIENTS' HEALTH. OUR HEALTH CARE MODEL INTEGRATES PRIMARY MEDICAL, DENTAL, NUTRITION, BEHAVIORAL HEALTH, AND PHARMACY SERVICES FOR OUR PATIENTS. PATIENTS ARE ABLE TO CREATE AN INDIVIDUALIZED HEALTH PLAN DIRECTLY WITH THEIR PRIMARY CARE PROVIDER. CHAS IS DEDICATED TO BUILDING THE HEALTHIEST COMMUNITIES IN THE WORLD, ONE NEIGHBOR AT A TIME. INCLUDED WITHIN OUR THREE PRIMARY PROGRAMS (MEDICAL, PHARMACY, AND DENTAL), ARE THE FOLLOWING SERVICES: PRIMARY MEDICAL CARE FOR THE ENTIRE FAMILY PRENATAL AND OBSTETRIC CARE, INCLUDING MIDWIFERY SERVICES FULL DENTAL CARE FOR ADULTS & CHILDREN HEALTHCARE & OUTREACH FOR HIV AND THE HOMELESS AFTER-HOURS PHONE CONSULTATION WITH A PROVIDER CLINIC & AUTOMATED PHARMACY SERVICES BEHAVIORAL HEALTH CARE WOMEN'S HEALTH SERVICES WELLNESS EDUCATION X-RAY & LABORATORY SERVICES CHRONIC DISEASE CARE DRUG USE PREVENTION OUTREACH PERSONAL HEALTH RECORD PATIENT SERVICE COORDINATORS MEDICAL AND WELLNESS SERVICES CONTINUED FORM 990, PART III, LINE 4A 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. OTHER PROGRAM SERVICE ACTIVITIES FORM 990, PART III, LINE 4D 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 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
REVIEW OF THE FORM 990	FORM 990, PART VI, SECTION B, LINE 11A	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING THE AUDITED FINANCIALS AND INFORMATION PROVIDED BY THE ORGANIZATION. ONCE A TENTATIVE DRAFT IS PREPARED, THE CFO, COO, AND CEO MAKE ANY RECOMMENDATIONS FOR UPDATE TO THE 990 PREPARERS. PRIOR TO FILING, THE DRAFT 990 IS PRESENTED FOR REVIEW AT A BOARD OF DIRECTORS 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. 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.
COMPENSATION REVIEW	FORM 990, PART VI, SECTION B, LINE 15A	PRIOR TO MARCH 2008, THE EXECUTIVE COMMITTEE PERFORMED AND COMPLETED A REVIEW OF OFFICER COMPENSATION. INDUSTRY COMPARATIVES WERE USED FOR COMPARISON PURPOSES, PARTICULARLY PEER HEALTH CENTER DATA. THE CEO'S CONTRACT WAS APPROVED BY THE BOARD OF DIRECTORS AND WAS VALID THROUGH 3/31/2011. A NEW CONTRACT IS BEING EVALUATED FOR FISCAL YEAR 2011.
DOCUMENT DISCLOSURE	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. OFFICER COMPENSATION FORM 990, PART VII, SECTION A GEOFF NORWOOD BEGAN SERVICE AS INTERIM CFO IN APRIL, 2010. BECAUSE COMPENSATION IS REPORTED ON A CALENDAR YEAR BASIS, WITH THE CURRENT 990 REPORTING 12/31/09 AMOUNTS, GEOFF IS SHOWN AS HAVING NO COMPENSATION.
TAX EXEMPT BONDS	SCHEDULE K, PART I, LINES A & B	PROCEEDS OF THE 2003 TAX EXEMPT BOND WERE USED TO ACQUIRE A HEALTH CARE FACILITY, TO PURCHASE NEW EQUIPMENT, AND TO RETIRE A SERIES 2001 REVENUE BOND. PROCEEDS OF THE 2005 TAX EXEMPT BOND WERE USED TO FINANCE ACQUISITION, CONSTRUCTION, AND EQUIPPING OF A HEALTH CARE FACILITY TO BE OWNED AND OPERATED IN DEER PARK, WASHINGTON; AND TO PAY ISSUANCE COSTS.