2019-07-24T10:29:13-05:00 2018-10-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-11-01 911641797 COMMUNITY HEALTH ASSOCIATION OF SPOKANE % JOHN BROWNE COMM 5094448888 203 NORTH WASHINGTON STREET Suite S SPOKANE WA 99201 AARON WILSON CEO 5094448888 2019-06-13 true Krystal K Creach P01618844 4178658701 167.68.126.162 43032920192055000000 2019-07-24 P 53056B394AD20B3E44043C09DB34A60C153D8917 39CBA67CBDC84C24964593991C1F330368A3BFFE 2017 2019-02-21 02:37:17Z CHAS HEALTH AARON WILSON 203 N WASHINGTON STREET 300 SPOKANE WA 99201 104230749 false X WWW.CHAS.ORG X 1995 WA PROVIDE QUALITY MEDICAL, DENTAL, AND PHARMACY SERVICES REGARDLESS OF INSURANCE STATUS. 9 9 936 12 0 67365 7606094 9414918 83054868 94628855 -2888 47585 1181 37022 90659255 104128380 15000 0 0 0 48017380 59408806 0 0 0 30199818 33303804 78232198 92712610 12427057 11415770 57012272 71151631 16298566 19022155 40713706 52129476 THE MISSION OF THE COMMUNITY HEALTH ASSOCIATION OF SPOKANE (CHAS HEALTH) IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE BY EXPANDING ACCESS TO QUALITY HEALTH AND WELLNESS SERVICES. false false 39147004 47633812 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 2018 FISCAL YEAR, MEDICAL AND WELLNESS VISITS WERE PROVIDED TO INDIVIDUALS. CHAS HEALTH OFFERS OBSTETRICS 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 CHILDREN OF ALL AGES. A SLIDING FEE SCALE IS AVAILABLE FOR QUALIFYING INDIVIDUALS. 25330415 31557028 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 TWELVE IN-HOUSE PHARMACIES (TWO IN MAPLE, NORTH COUNTY, VALLEY, DENNY MURPHY, MOSCOW, LEWISTON, NORTH URGENT CARE, MARKET STREET, PERRY STREET, CHENEY, AND VALLEY URGENT CARE), PATIENTS ARE ABLE TO RECEIVE THEIR MEDICINE DIRECTLY AT THE CLINIC. IT'S FAST, AFFORDABLE, AND CONVENIENT. PATIENT ASSISTANCE PROGRAMS ARE AVAILABLE. SELF-PAY PATIENTS PAY COST PLUS A NOMINAL DISPENSING FEE. PRESCRIPTIONS ARE PROVIDED TO PATIENTS, AS WELL AS COUNSELING SESSIONS AND REFILLS. 12281413 15438015 DENTAL SERVICES ARE AVAILABLE AT SEVEN CLINICS (DENNY MURPHY, MAPLE, NORTH COUNTY, CLARKSTON, CHENEY, EAST MISSION DENTAL AND LATAH) THAT ARE 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. 76758832 true true false false false 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 false false false false false false false false false false false false false false false false false true 54 0 true 936 true true true false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false X JOHN BROWNE 5094448888 203 NORTH WASHINGTON STREET SUITE 3 SPOKANE WA 99201 CHAD DASHIELL SECRETARY/TREASURER BEG 06/18 1.0 0.0 X X 0 0 0 DEAHNA OLSON DIRECTOR 1.0 0.0 X 0 0 0 FRANK WILSON DIRECTOR 1.0 0.0 X 0 0 0 HOLLIE WESTLY VICE PRESIDENT 1.0 0.0 X X 0 0 0 JANICE MEDLOCK DIRECTOR BEG 12/17 1.0 0.0 X 0 0 0 JENENNE NEWBRE DIRECTOR 1.0 0.0 X 0 0 0 JOE GELLATLY DIRECTOR 1.0 0.0 X 0 0 0 RAY MCRAE DIRECTOR 1.0 0.0 X 0 0 0 SHARON STADELMAN PRESIDENT 1.0 0.0 X X 0 0 0 MARIA EKKERT SECRETARY/TREASURER END 06/18 1.0 0.0 X X 0 0 0 PAUL BARBER DIRECTOR END 09/18 1.0 0.0 X 0 0 0 VICTOR BRAY DIRECTOR END 12/17 1.0 0.0 X 0 0 0 AARON WILSON CEO 40.0 0.0 X 218773 0 37410 JOHN BROWNE CFO 40.0 0.0 X 165269 0 29299 BETH RING COO 40.0 0.0 X 146012 0 13792 KINGSLEY UGORJI PHYSICIAN 40.0 0.0 X 259724 0 36475 WILLIAM LOCKWOOD PHYSICIAN 40.0 0.0 X 257309 0 39295 ETHAN ANGELL PHYSICIAN 40.0 0.0 X 257113 0 32008 DAVID BARE PHYSICIAN 40.0 0.0 X 242663 0 26938 JANET DEEGAN PHYSICIAN 40.0 0.0 X 238121 0 22115 1784984 0 237332 106 false true false BOUTEN CONSTRUCTION 627 N NAPA ST SPOKANE WA 99202 CONSTRUCTION 3097429 BERNARDO WILLS ARCHITECTS PC 153 S JEFFERSON ST SPOKANE WA 99201 ARCHITECTURE 295180 CONSISTENT CARE PO BOX 1080 SPOKANE WA 99210 PATIENT COORDINATION 170000 SPOKANE INTL TRANSLATION 104 S FREYA ST STE 116 SPOKANE WA 99202 TRANSLATION 164824 EXPENSE REDUCTION ANALYSTS PO BOX 956251 ST LOUIS MO 63195 EXP ANALYSIS 104781 6 9359818 55100 9414918 NET PATIENT SERVICE REVENUE 624100 93961073 93961073 EHR INCENTIVE REVENUE 624100 306000 306000 MEDICAL RECORDS REVENUE 900099 77528 77528 OTHER REVENUE 900099 284254 284254 94628855 96269 96269 0 0 90707 53685 37022 0 37022 37022 48684 -48684 -48684 -48684 0 0 0 0 0 0 0 0 0 0 104128380 94628855 84607 0 0 0 0 610555 610555 0 47435930 39364815 8071115 1482961 1212054 270907 6092563 4951938 1140625 3786797 3048812 737985 0 39234 27299 11935 76333 53113 23220 0 0 0 4134045 3266181 867864 639307 102801 536506 3374567 2310499 1064068 2077345 1423732 653613 0 1530864 1007302 523562 550974 290117 260857 0 755069 397583 357486 36468 36468 0 2671208 2354161 317047 356971 260743 96228 BAD DEBT 2101558 2101558 MEDICAL SUPPLIES & DRUGS 14142811 14142811 LICENSES, DUES & SUBSCRIPTIONS 357267 244619 112648 RECRUITING & RETENTION 459783 162226 297557 92712610 76758832 15953778 0 22912773 27506376 0 0 16329 29305 4001903 4741605 0 0 0 0 0 0 989239 1046226 453343 806109 48525113 14514064 27182025 34011049 0 0 0 83976 0 0 0 0 1456660 2926985 57012272 71151631 5744266 6547837 0 0 0 0 0 0 0 0 0 0 9365424 11286581 0 0 1188876 1187737 16298566 19022155 X 40713706 52129476 0 0 0 0 40713706 52129476 57012272 71151631 11415770 X false true X true true true X 5283032 5939198 7834759 7606094 9414918 36078001 0 0 5283032 5939198 7834759 7606094 9414918 36078001 0 36078001 12500 258516 102621 98780 186976 659393 0 29064 323301 342979 695344 37432738 344474814 0.96381 0.96100 X 3843663 3843663 29729639 7269461 22460178 6137560 3101110 3036450 7974981 4143493 3831488 839270 839270 34011049 0 EST AMT DUE TO 3RD PARTY PAYER 812737 EST SELF-INSURANCE COSTS 375000 1187737 102196794 67603 -2101558 -2033955 104230749 -102369 -102369 104128380 90781024 67603 102369 169972 90611052 2101558 2101558 92712610 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: 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. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $(2,101,558) BAD DEBT EXPENSE SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 48,684) LOSS ON DISPOSAL OF FIXED ASSETS ( 53,685) RENTAL EXPENSES ------------ $( 102,369) SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 48,684 LOSS ON DISPOSAL OF FIXED ASSETS 53,685 RENTAL EXPENSES ------------ $ 102,369 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 2,101,558 BAD DEBT EXPENSE X X X X X false false false false false false false false false AARON WILSON CEO 217428 0 750 0 595 0 9221 0 28189 0 256183 0 0 0 JOHN BROWNE CFO 161176 0 750 0 3343 0 7117 0 22182 0 194568 0 0 0 BETH RING COO 142283 0 750 0 2979 0 6140 0 7652 0 159804 0 0 0 KINGSLEY UGORJI PHYSICIAN 258693 0 750 0 281 0 10782 0 25693 0 296199 0 0 0 WILLIAM LOCKWOOD PHYSICIAN 253199 0 750 0 3360 0 10776 0 28519 0 296604 0 0 0 ETHAN ANGELL PHYSICIAN 243409 0 10750 0 2954 0 6000 0 26008 0 289121 0 0 0 DAVID BARE PHYSICIAN 231913 0 10750 0 0 0 9913 0 17025 0 269601 0 0 0 JANET DEEGAN PHYSICIAN 227371 0 10750 0 0 0 9601 0 12514 0 260236 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING MANAGER. PRIOR TO FILING, A REVIEW OF THE FINAL 990 DRAFT IS PRESENTED BY KEY ACCOUNTING STAFF TO THE BOARD OF DIRECTORS AND FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: 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 ORGANIZATION'S INTERESTS. THE BOARD OF DIRECTORS ESTABLISHES THE POLICY GOVERNING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST OF DIRECTORS. AT LEAST ANNUALLY EACH DIRECTOR IDENTIFIES IN WRITING TO THE BOARD OF DIRECTORS ANY CONFLICTS OR POTENTIAL CONFLICTS 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. A DIRECTOR WHO HAS A POTENTIAL CONFLICT OF INTEREST MAY PARTICIPATE IN THE EARLY STAGES OF DISCUSSION OF THE PARTICULAR ISSUE, SO THAT HE/SHE MIGHT CONTRIBUTE THE BENEFIT OF HIS/HER SPECIFIC KNOWLEDGE AND INSIGHTS. HOWEVER, ONCE VIABLE ALTERNATIVES BEGIN TO BE ASSESSED ON THEIR OWN MERITS, THIS DIRECTOR SHOULD REFRAIN FROM ALL FURTHER DISCUSSION, NONVERBAL COMMUNICATION, AND VOTING ON THE ISSUE. THE BOARD RETAINS THE RIGHT TO RESOLVE THE ISSUE WITH THIS DIRECTOR TEMPORARILY ABSENT FROM THE MEETING. AN EMPLOYEE WHO HAS A POTENTIAL CONFLICT OF INTEREST MAY PARTICIPATE IN THE EARLY STAGES OF DISCUSSION OF THE PARTICULAR ISSUE, SO THAT HE/SHE MIGHT CONTRIBUTE THE BENEFIT OF HIS/HER SPECIFIC KNOWLEDGE AND INSIGHTS. HOWEVER, ONCE VIABLE ALTERNATIVES BEGIN TO BE ASSESSED ON THEIR OWN MERITS, THE EMPLOYEE SHOULD REFRAIN FROM ALL FURTHER COMMUNICATION AND DISCUSSIONS ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15A CEO COMPENSATION REVIEW: THE EMPLOYMENT CONTRACT BETWEEN THE CEO AND THE ORGANIZATION WAS SIGNED ON 12/7/2017. 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 AGREEMENT. INDUSTRY COMPARATIVES, PARTICULARLY PEER HEALTH CENTER DATA, WERE USED FOR COMPARISON PURPOSES. FORM 990, PART VI, SECTION B, LINE 15B OTHER OFFICER COMPENSATION REVIEW: THE WORKFORCE DEVELOPMENT DEPARTMENT DOES AN ANNUAL SALARY SURVEY. SALARIES ARE COMPARED TO PEER FQHC SALARY DATA, HEALTHCARE SALARY DATA AND REGIONAL SALARY SURVEY DATA. THE MOST RECENT COMPREHENSIVE SALARY SURVEY WAS PERFORMED IN 2018. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO VIEW ON-SITE UPON REQUEST.