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 842173788 CHAS Health Foundation CHAS 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 Aaron Wilson 611 N Iron Bridge Way Spokane WA 99202 2096157 0 X N/A X 2019 WA To support Community Health Association of Spokane, a Washington Community Health Center. 6 6 0 6 0 0 2097557 2096157 0 0 0 0 0 0 2097557 2096157 81032 202284 0 0 164237 192814 0 0 0 28599 37415 273868 432513 1823689 1663644 2850583 4628197 3369 117339 2847214 4510858 X The mission of the CHAS Health Foundation is to create health equity by strategically investing in patients, partners, and communities. By choosing to donate to the CHAS Health Foundation, you are investing in access to quality healthcare for any community member in need, regardless of their situation. A donation to the CHAS Health Foundation is a vote for health equity and a step in the direction of health justice for all. 0 0 202284 202284 To support Community Health Association of Spokane, a Washington non-profit community health center serving over 112,000 patients annually regardless of their insurance status or ability to pay. CHAS Health Foundation creates health equity by strategically investing in patients, partners, and communities. 202284 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 X John Browne 5094448888 611 N Iron Bridge Way Spokane WA 99202 Hollie Westly President 1.00 1.00 X X 0 0 0 Sharon Stadelman Vice President 1.00 1.00 X X 0 0 0 Janice Medlock Secretary/Treasurer 1.00 1.00 X X 0 0 0 Jenenne Newbre Member 1.00 1.00 X 0 0 0 Rachel Moe Member 1.00 1.00 X 0 0 0 Chad Dashiell Member 1.00 1.00 X 0 0 0 Aaron Wilson CEO 5.00 35.00 X 0 445707 46325 John Browne Chief Finance & Strategy Officer 5.00 35.00 X 0 310148 39109 0 755855 85434 0 0 1 0 0 2000000 96157 2096157 2096157 0 0 0 73788 73788 128496 128496 12945 12945 145636 145636 22262 22262 11971 11971 4250 4250 4865 4865 2617 2617 11466 11466 5407 5407 110 110 716 716 7825 7825 Dues & Licenses 100 100 59 59 432513 202284 230229 0 2848000 4606707 0 24 2583 11466 0 10000 2850583 4628197 0 113970 3369 3369 3369 117339 X 2847214 4500858 0 10000 2847214 4510858 2850583 4628197 1663644 0 X 0 1 X 0 0 X X 1 Community Health Association of Spokane 911641797 7 1 19269 183015 1 19269 183015 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 Part I, Line 12g(A), Column (vi): The Foundation provides direct support to Community Health Association of Spokane patients including both cash and non-cash items such as winter clothing purchased in bulk to distribute to unhoused patients, fuel and laundry assistance, transportation for appointments, medication storage assistance and payment of telehealth sliding scale fees. Part IV, Section A, Line 6: CHAS Health Foundation provided cash assistance to organizations other than its supported organization. This assistance was in support of the mission and members of the charitable class benefited by Community Health Association of Spokane totaling approximately $57,014. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 10000 10000 1.00000 1 0 0 Part V, Line 4: The endowment is to support pediatric efforts at CHAS Health, specifically by aiding new moms and babies with items and resources they may need. 1 Community Health Association of Spokane 611 N iron Bridge Way Spokane WA 99202 911641797 501(c)(3) 19269 0 Payment of Telehealth Sliding scale fees for lower income patients of CHAS. Eastern Washington University 319 Showalter Hall Cheney WA 99004 916000624 Government 10000 0 Scholarships for the 2023-2024 academic year MSHH Donor Closet 409 Howell Way Edmonds WA 98020 912006980 501(c)(3) 9750 0 Donation for general operating costs for Spokane location only Second Harvest Food Bank 1234 E Front Suite 300 Spokane WA 99202 237173826 501(c)(3) 15270 0 General operations 4 0 Patient Assistance 164 77775 16860 FMV Non-cash items such as winter clothing, gas, transportation, and laundry assistance, etc. Emergency Fund 22 15230 FMV Health Equity Outreach Supplies 18631 FMV Hygiene items, food, winter clothing, glasses, compression socks Part I, Line 2: The use of the funds is monitored as the Chief Executive Officer and majority of the board members of the Foundation also serve as Chief Executive Officer and board members of the supported organization, Community Health Association of Spokane. Part III, Column (b): Health Equity Outreach Supplies are purchased in bulk and provided on an as needed basis at the clinics and by the outreach team, therefore, the number of recipients cannot be determined. 0 0 0 0 0 0 0 0 0 Aaron Wilson CEO 0 425425 0 20282 0 0 0 16592 0 31244 0 493543 0 0 John Browne Chief Finance & Strategy Officer 0 302148 0 8000 0 0 0 18300 0 21904 0 350352 0 0 Schedule J, Part I, Line 3 The Chief Executive Officer is compensated by a related organziation that uses these procedures in establishing compensation. Form 990, Part V, Line 2: The Foundation does not have employees and therefore, no W-2s are issued by the Foundation. The Foundation reimburses Community Health Association of Spokane a portion of employee wages and benefits provided on its behalf. These amounts are reported on Part IX, Lines 5-10. Form 990, Part VI, Section A, line 2 A Business relationship exists in which board members also serve as board members of a related tax-exempt organization. Form 990, Part VI, Section A, line 6 The sole member of the Corporation is CHAS Health. Form 990, Part VI, Section A, line 7a CHAS Health has the power to appoint or remove any officer or director of the CHAS Health Foundation. Form 990, Part VI, Section A, line 7b The following powers are reserved exclusively to CHAS Health (Corporate Member) in relation to CHAS Health Foundation (the Corporation): (a) To amend, alter, modify, repeal, or restate the Articles of Incorporation or the Bylaws of the Corporation; (b) To appoint or remove any officer or director of the Corporation; (c) To adopt a plan of merger, consolidation, or liquidation; (d) To authorize a sale, lease, or exchange of substantially all the property and assets of the Corporation not in the ordinary course of business; (e) To authorize a voluntary dissolution of the Corporation and direct the transfer of the Corporation's property and assets to CHAS Health or another qualified charity; (f) To approve the acceptance of any gift that carries conditions or limitations or any gift restricted to services, programs, or facilities not currently offered or approved to be offered by the Corporate Member; and (g) To provide approval of any key decisions of the Corporation, including investment policies and or guidelines, changes to the mission and other governance items not related to the day-to-day operations of the Corporation. Form 990, Part VI, Section A, line 8b There are no committees with broad authority to act on behalf of the governing board. 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 A conflict of interest can be considered to exist whenever the Director's access to information and actions on behalf of the Foundation provides opportunity for obtaining an improper financial gain or other advantage. Conversely, it exists whenever a competing involvement might have an adverse effect on the interests of the Foundation. It may be "real," "potential, or "perceived, and the same duty to disclose applies in each case. It is the duty of the Board Chair to review and administer conflict of interest documentation. The Board Chair retains the right to approach any Director when he/she feels that an upcoming Board discussion or action may involve a conflict of interest. It is the responsibility of all Directors who are aware of a fellow Director's conflict of interest to raise this issue. At a minimum, this communication should always include the Board Chair as well as the Director in question. 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, non-verbal communication and voting on the issue. The Board retains the right to resolve the issue with this Director temporarily absent from the meeting. Form 990, Part VI, Section B, line 15 The Foundation does not have any employees. Officer compensation is determined by Community Health Association of Spokane, the supported organization Form 990, Part VI, Section C, line 19 The Foundation's governing documents, conflict of interest policy, and financial statements are made available to view on-site upon request. Community Health Association of Spokane 611 N Iron Bridge Way Spokane WA 99202 911641797 Healthcare WA 501(C)(3) Line 7 N/A 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0