2011-07-11T11:48:43-04:00 2010-10-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2009-11-01 911641797 COMMUNITY HEALTH ASSOCIATION OF SPOKANE COMM 5094448888 203 WASHINGTON STREET SPOKANE WA 99201 PEG HOPKINS 2011-06-20 true Brian D Todd 4178658701 2009 2016-02-24 21:20:13Z PEG HOPKINS 203 N WASHINGTON ST STE 300 SPOKANE WA 99201 31047464 false X WWW.CHAS.ORG X 1994 WA 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. 11 11 396 11 0 0 5169684 5396192 20739853 25650116 5796 38 4477 1118 25919810 31047464 0 0 0 0 16504617 19727853 0 0 0 9287489 10395124 25792106 30122977 127704 924487 11365811 13069485 4514588 5293775 6851223 7775710 TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE BY EXPANDING ACCESS TO QUALITY HEALTH AND WELLNESS SERVICES. false false 11478389 14479008 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. 4800053 6367253 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. 4591355 4803855 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. 20869797 true true false true false false false false false true true false false false false false false false false false false false false true true false false false false false false false false false false false false false false false false false false false true 44 0 true 396 true false false false false false false false false false 11 11 false false false 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 ST STE 300 SPOKANE WA 99201 JOE GELLATLY 1.0 X X 0 0 0 PAUL BARBER 1.0 X X 0 0 0 RAY MCRAE 1.0 X X 0 0 0 RYAN BEAUDOIN 1.0 X 0 0 0 CHAD DASHIELL 1.0 X 0 0 0 TIMOTHY MAXWELL 1.0 X 0 0 0 AMBER PEDERSEN 1.0 X 0 0 0 LISA RUSAW 1.0 X 0 0 0 SHARON STADELMAN 1.0 X 0 0 0 ANGIE TITUS 1.0 X 0 0 0 MARGARITA VERA 1.0 X 0 0 0 PEG HOPKINS 40.0 X 153690 0 22437 AARON WILSON 40.0 X 116013 0 25470 GEOFF NORWOOD 40.0 X 0 0 0 CHRIS HEWETT 40.0 X 82500 0 15747 DR DAVID H BARE 40.0 X 191312 0 22124 DR REDDY S CHANDRA 40.0 X 183887 0 21906 DR GARY P GLEASON 40.0 X 183491 0 28415 DR ETHAN M ANGEL 40.0 X 179264 0 25525 DR PAVEL CONOVALCIUC 40.0 X 177553 0 24106 1267710 0 185730 23 false true false NORTH IDAHO FAMILY PHYS BILLING MANAGEMENT 208294 1 4894573 501619 5396192 PATIENT REVENUE 624100 25388451 25388451 OTHER REVENUE 900099 261665 261665 25650116 38 38 0 0 1118 1118 1118 1118 0 0 0 0 0 31047464 25650116 1156 0 0 0 0 415857 415857 0 16101508 11406904 4694604 325387 232698 92689 1760250 1252872 507378 1124851 777486 347365 0 7320 7320 86277 86277 0 0 0 497013 219061 277952 195766 195766 2321976 1512741 809235 411689 52299 359390 0 893644 585623 308021 277564 9214 268350 0 76151 76151 113154 76739 36415 0 742814 503762 239052 3099 3099 BAD DEBT 1299005 1299005 LICENSES, DUES & SUBSCRIPTIONS 162064 162064 RECRUITING & RETENTION 306430 306430 MEDICAL SUPPLIES & DRUGS 2895785 2895785 OTHER TAXES 76251 45608 30643 29122 29122 30122977 20869797 9253180 0 2100 1941235 924007 0 159419 271342 1882425 1692750 547389 512905 362121 360022 13092642 4856099 7349491 8236543 138859 54688 11365811 13069485 1425238 2264693 2129036 1617325 302489 289342 657825 1122415 4514588 5293775 X 6841223 7775710 10000 6851223 7775710 11365811 13069485 X false true true X true true X 3602177 3685671 3939434 5169684 5396192 21793158 3602177 3685671 3939434 5169684 5396192 21793158 485416 21307742 30946 39225 34123 10647 1156 116097 21909255 98835563 0.97254 0.93161 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 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. 1844910 1844910 5844179 2137648 3706531 730384 295392 434992 3806581 2423059 1383522 866588 866588 8236543 0 EST AMT DUE TO 3RD PARTY PAYER 825335 COST POOL LIABILITY 125236 EST SELF-INSURANCE COSTS 131800 MALPRACTICE LIABILITY 40044 1122415 31047464 30122977 924487 924487 31081266 33802 33802 31047464 31047464 30156779 33802 33802 30122977 30122977 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 true false false false false false false true false 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 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. 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 3800000 0 1640527 0 54859 2104614 2104614 2003 true false true true 1000000 0 0 0 20000 980000 980000 2005 false false true true false false false false 0.00000 0.00000 0.00000 true false false false false false false false false false false false false 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.