2024-09-16T14:34:39-05:00 2023-10-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-11-01 911641797 Community Health Association of Spokane COMM 5094448888 611 N Iron Bridge Way Spokane WA 99202 John Browne CFO & CSO 5094448888 2024-09-13 1 1 Kim Hunwardsen CPA P00484560 6122536500 2024-09-09 2022 2024-08-08 14:25:15Z CHAS Health Aaron Wilson 611 N Iron Bridge Way Spokane WA 99202 267753694 0 X www.chas.org X 1994 WA Community-based FQHC providing comprehensive health care services to underserved populations. 11 11 1768 11 0 0 21960472 23070732 222819344 242539650 -114765 1133982 139255 308564 244804306 267052928 2000000 2000000 0 0 136755001 165640232 0 0 0 65099847 77469928 203854848 245110160 40949458 21942768 181495191 214508456 21736998 32817028 159758193 181691428 X 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. 0 0 87686837 2000000 97224095 Medical and wellness services include primary care, urgent care and integrated behavioral health services to meet the needs of its patients from pediatrics to geriatrics. Services include the diagnosis and treatment of illness and injury, chronic disease management, substance use disorder treatment, health education, and preventive care. Services also include maternity support, obstetrics, and preventative medicine specialists. Enabling and homeless outreach services also are offered. CHAS provides care through eleven primary care sites, two urgent care centers, and two school-based locations. CHAS also provides these services via telehealth technology as well as throughout the community using mobile medicine teams. 70086258 108698814 Pharmacy services complement other services in managing chronic and acute illnesses and maintaining the overall health of our patients. CHAS has a pharmacy located in each of its medical service sites as well as a central, mail-out pharmacy, and specialty pharmacy. 32114660 26398471 General dentistry services include oral health exams, hygiene, and diagnostic and restorative services to prevent and contain the oral health disease process. Dental services are offered at six co-located medical service sites and at five stand-alone dental sites. 13303680 10218270 Provides specialized care for behavioral health conditions and coordinated care, peer support services, targeted case management, and other collaborative care. 13303680 10218270 203191435 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 77 0 1 1768 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 1 1 X John Browne 5094448888 611 N Iron Bridge Way Spokane WA 99202 Chad Dashiell President 1.00 1.00 X X 0 0 0 Maria Ekkert Vice President 1.00 0.00 X X 0 0 0 Rachel Moe Secretary/Treasurer 1.00 1.00 X X 0 0 0 Deahna Olson Director 1.00 0.00 X 0 0 0 Janice Medlock Director 1.00 1.00 X 0 0 0 Sharon Stadelman Director (Until 12/22) 1.00 1.00 X 0 0 0 Frank Wilson Director 1.00 0.00 X 0 0 0 Hollie Westly Director 1.00 1.00 X 0 0 0 Michelle King Director 1.00 0.00 X 0 0 0 Joe Gellatly Director 1.00 0.00 X 0 0 0 Jenenne Newbre Director 1.00 1.00 X 0 0 0 Jennifer Morris Director (From 6/23) 1.00 0.00 X 0 0 0 Aaron Wilson CEO 35.00 5.00 X 445707 0 46325 Wilfred Madarang Chief Clinical Officer 40.00 0.00 X 311279 0 43833 Deborah Wiser Chief Clinical Officer (Until 4/23), Physician 40.00 0.00 X 343222 0 34659 John Browne Chief Finance & Strategy Officer 35.00 5.00 X 310148 0 39109 Beth Ring COO 40.00 0.00 X 256832 0 33161 Kristal Albrecht Chief Business Dev Officer 39.00 1.00 X 223661 0 35633 Ethan Angell Physician 40.00 0.00 X 314216 0 47834 Samir Keblawi Physician 40.00 0.00 X 301354 0 24433 Camtu Thai Physician 40.00 0.00 X 313857 0 6270 Barbara Brandon Physician 40.00 0.00 X 297502 0 28435 Kingsley Ugorji Physician 40.00 0.00 X 297433 0 46713 3415211 0 386405 271 0 1 0 DIVCON Inc 12609 E Pinecroft Way Spokane WA 99216 Construction 6254295 Baker Construction and Development 2711 E Sprague Spokane WA 99202 Construction 4402392 Workday Inc PO Box 886106 Los Angeles CA 900886106 Software Implementation 1301160 CompuNet Inc PO Box 35143 Seattle WA 981245143 Software License/Support 1272348 ALSC Architects PS 203 N Washington St Suite 400 Spokane WA 99201 Architectural Services 924831 37 22474536 596196 30791 23070732 Patient Service Revenue 624100 161499502 161499502 Premium Revenue 624100 80370070 80370070 Service Contract Revenue 624100 188502 188502 Medical Records Revenue 624100 92330 92330 389246 389246 242539650 1610884 1610884 802370 214554 587816 587816 587816 9310 486212 -476902 -476902 -476902 Loss on Equity Investment 900099 -279252 -279252 -279252 267052928 242539650 0 1442546 2000000 2000000 2199494 1759595 439899 127144376 105296382 21847994 4896881 3961970 934911 20407284 16508338 3898946 10992197 8891494 2100703 15780 15780 17979915 12485772 5494143 814486 739638 74848 5296504 4809777 486727 4566975 3623211 943764 706222 641323 64899 31684 31684 4879600 3630865 1248735 974274 884742 89532 Supplies & Other 41317131 37120832 4196299 Taxes & Licenses 887357 805812 81545 245110160 203191435 41918725 0 290605 -2380289 55362911 70752072 1374073 1744177 34241450 20218228 2675102 3334090 3538767 5035627 117736336 28194655 66603996 89541681 9654985 11921499 7682098 8739980 71204 5601391 181495191 214508456 13943580 20233428 6417219 1546119 1376199 11037481 21736998 32817028 X 159748813 180040708 9380 1650720 159758193 181691428 181495191 214508456 21942768 -9533 0 X 0 1 X 1 1 1 X 9134937 16371631 15459898 21960472 23070732 85997670 9134937 16371631 15459898 21960472 23070732 85997670 85997670 357863 580695 649795 726255 2556955 4871563 -26431 -153396 -113881 -300328 -279252 -873288 89995945 895736328 0.95560 0.97430 X Schedule A, Part II, Line 10, Explanation of Other Income: Gain/Loss on Equity Investment - 2018 Amount: $ -26,431. 2019 Amount: $ -153,396. 2020 Amount: $ -113,881. 2021 Amount: $ -300,328. 2022 Amount: $ -279,252. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10470704 10470704 67029732 17478997 49550735 6777294 3485954 3291340 12506818 5610394 6896424 20951788 1619310 19332478 89541681 Est amts due to 3rd-party payors 3912621 Estimated self-insurance costs 1544735 Operating Lease Liabilities 4555555 Finance Lease Liabilities 1024570 11037481 268213466 -9533 494396 484863 267728603 15780 -691455 -675675 267052928 246280231 494396 691455 1185851 245094380 15780 15780 245110160 Part XI, Line 4b - Other Adjustments: Loss on Disposal of Assets -476,902. Rent Expenses Included in income -214,553. Part XII, Line 2d - Other Adjustments: Rent Expenses included in income 214,553. Loss on Disposal of Assets 476,902. 1 CHAS Health Foundation 611 N Iron Bridge Way Spokane WA 99202 842173788 501(c)(3) 2000000 0 General Operations 1 0 Part I, Line 2: The CHAS Health Foundation was established as an IRS Section 509(a)(3) Type 1 Supporting Organization. As such, the Foundation is operated, supervised, or controlled by its supported organization, CHAS Health, which includes the power to regularly appoint the members of the CHAS Health Foundation Board of Directors. X X X X 0 0 0 0 0 0 0 0 0 Aaron Wilson CEO 425425 0 20282 0 0 0 16592 0 31244 0 493543 0 0 0 Deborah Wiser Chief Clinical Officer (Until 4/23), Physician 313007 0 26750 0 3465 0 14613 0 21556 0 379391 0 0 0 Ethan Angell Physician 291216 0 23000 0 0 0 18300 0 31101 0 363617 0 0 0 Wilfred Madarang Chief Clinical Officer 285029 0 22750 0 3500 0 18300 0 26811 0 356390 0 0 0 John Browne Chief Finance & Strategy Officer 302148 0 8000 0 0 0 18300 0 21904 0 350352 0 0 0 Kingsley Ugorji Physician 271183 0 22750 0 3500 0 17079 0 31043 0 345555 0 0 0 Samir Keblawi Physician 270604 0 27250 0 3500 0 0 0 26300 0 327654 0 0 0 Barbara Brandon Physician 274252 0 19750 0 3500 0 18015 0 11879 0 327396 0 0 0 Camtu Thai Physician 290607 0 19750 0 3500 0 4254 0 3464 0 321575 0 0 0 Beth Ring COO 248582 0 8250 0 0 0 15685 0 18721 0 291238 0 0 0 Kristal Albrecht Chief Business Dev Officer 216161 0 7500 0 0 0 12404 0 24595 0 260660 0 0 0 X Medical and Pharmacy Supplies 7 30791 FMV 0 0 0 0 Part I, Column (b): Column (b) reflects the number of contributions during the year. Form 990, Part VI, Section A, line 1a The Executive Committee includes the Immediate Past President, the President, the Vice President, and the Secretary/Treasurer, all of whom are directors of the Board of Directors. The Executive Committee may act, subject to ratification by the Board of Directors at the next regularly scheduled meeting, on all matters affecting the Corporation. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent accounting firm based on organization provided financial statements. Prior to filing, a review of the final Form 990 draft is presented by key accounting staff to the Board of Directors and Finance Committee. 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 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 of interest he or she has or may have. The employees, board members, executive management team members, volunteer leaders, and 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 2/24/2022. 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. Third-party survey data and industry comparatives, including peer health center data, were used for comparison purposes. Other Officer/Key Employee 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 June 2023. A third-party consultant provides salary survey data annually. 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. CHAS Health Foundation 611 N Iron Bridge Way Spokane WA 99202 842173788 To Support CHAS Health WA 501(c)(3) Line 12a, I CHAS Health 1 IB Parking LLC 611 N Iron Bridge Way Spokane WA 99202 834095214 Real Estate WA CHAS Health Excluded 9047991 0 1 1.00000 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 CHAS Health Foundation Q 153969 FMV CHAS Health Foundation B 2000000 FMV IB Parking LLC P 50539 actual expenses IB Parking LLC R 2054089 Capital Contribution Schedule R, Part III, Column (k) IB Parking LLC was a controlled organization taxable as a partnership during the tax year. CHAS ownership of IB Parking LLC increased from 80% to 100% by the end of the 2022 tax year.