Civic Intelligence

Inland Northwest Health Services

990 • Fiscal year 2015 • EIN 91-1307555

Jan 01, 2015 to Dec 31, 2015 • Filed on Jan 24, 2017

PO Box 469Spokane, WA 99210-0469

(509) 232-8100

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

39th percentile

0.23x

Higher debt load relative to assets than 39% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Liabilities / Revenue

22nd percentile

0.19x

Higher debt load relative to revenue than 22% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Net Margin

69th percentile

11%

Higher net margin than 69% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Top Officer Pay

85th percentile

$1,265,805

Higher top officer pay than 85% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Asset Growth

62nd percentile

3.9%

Faster asset growth than 62% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2014 to 2015

Revenue Growth

61st percentile

7.1%

Faster revenue growth than 61% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2014 to 2015

Assets

Up

$124,665,190

Up $4,655,285 (+3.9%) from 2014

Net Assets

Up

$96,100,605

Up $17,703,074 (+23%) from 2014

Liabilities

Down

$28,564,585

Down $13,047,789 (-31%) from 2014

Revenue

Up

$149,291,590

Up $9,833,828 (+7.1%) from 2014

Expenses

Up

$133,117,672

Up $30,750 (+0.0%) from 2014

Net Income

Up

$16,173,918

Up $9,803,078 (+154%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0Assets 2010: $69,372,747Liabilities 2010: $33,998,142Net Assets 2010: $35,374,6052010Assets 2011: $79,177,123Liabilities 2011: $39,323,808Net Assets 2011: $39,853,3152011Assets 2012: $93,953,303Liabilities 2012: $42,646,235Net Assets 2012: $51,307,0682012Assets 2013: $101,085,837Liabilities 2013: $43,292,197Net Assets 2013: $57,793,6402013Assets 2014: $120,009,905Liabilities 2014: $41,612,374Net Assets 2014: $78,397,5312014Assets 2015: $124,665,190Liabilities 2015: $28,564,585Net Assets 2015: $96,100,6052015Assets 2016: $130,796,093Liabilities 2016: $24,239,025Net Assets 2016: $106,557,0682016Assets 2017: $131,682,755Liabilities 2017: $19,408,472Net Assets 2017: $112,274,2832017Assets 2018: $135,178,235Liabilities 2018: $17,166,467Net Assets 2018: $118,011,7682018Assets 2019: $132,955,986Liabilities 2019: $12,109,841Net Assets 2019: $120,846,1452019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2015

Assets$124,665,190
Liabilities$28,564,585
Net Assets$96,100,605

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $117,844,6272010Expenses 2011: $126,344,4622011Expenses 2012: $119,152,7772012Revenue 2013: $133,783,511Expenses 2013: $127,327,119Net Income 2013: $6,456,3922013Revenue 2014: $139,457,762Expenses 2014: $133,086,922Net Income 2014: $6,370,8402014Revenue 2015: $149,291,590Expenses 2015: $133,117,672Net Income 2015: $16,173,9182015Revenue 2016: $117,022,650Expenses 2016: $105,927,297Net Income 2016: $11,095,3532016Revenue 2017: $103,158,849Expenses 2017: $97,524,046Net Income 2017: $5,634,8032017Revenue 2018: $106,561,040Expenses 2018: $114,000,957Net Income 2018: -$7,439,9172018Revenue 2019: $104,465,146Expenses 2019: $100,086,890Net Income 2019: $4,378,2562019Revenue 2020: $80,565,854Expenses 2020: $70,187,761Net Income 2020: $10,378,0932020

Highlighted filing

2015

Revenue$149,291,590
Expenses$133,117,672
Net Income$16,173,918
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Jan 24, 2017
Return Version
2015v3.0
Gross Receipts
$150,484,323
Mission and Program Overview

Mission

As expressions of god's healing love, witnessed through the ministry of jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

To provide unique, effective, affordable services using collaborative and innovative approaches for the benefits of the entire health care continuum.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$95,154,423$96,970,130▲ $1,815,707
Accounts Receivable$6,948,885$9,535,932▲ $2,587,047
Savings and Temporary Cash Investments-$5,196,076-
Cash and Non-Interest-Bearing Accounts$3,294,073$3,108,827▼ $185,246
Investments Program Related$307,334$578,304▲ $270,970
Prepaid Expenses and Deferred Charges$394,640$497,494▲ $102,854
Inventories for Sale or Use$163,654$175,379▲ $11,725
Intangible Assets$59,866--
Pledges and Grants Receivable-$31,744-
Total Assets$120,009,905$124,665,190▲ $4,655,285
Other Assets Total$13,687,030$8,571,304▼ $5,115,726
Liabilities
Accounts Payable and Accrued Expenses$20,078,728$10,584,422▼ $9,494,306
Other Liabilities$12,504,315$8,586,534▼ $3,917,781
Tax Exempt Bond Liabilities$5,951,284$5,633,405▼ $317,879
Deferred Revenue$3,078,047$3,743,742▲ $665,695
Grants Payable-$16,482-
Total Liabilities$41,612,374$28,564,585▼ $13,047,789
Net Assets / Fund Balance
Unrestricted Net Assets$77,763,173$95,507,924▲ $17,744,751
Temporarily Rstr Net Assets$612,788$571,111▼ $41,677
Permanently Rstr Net Assets$21,570$21,570→ $0
Total Net Assets Fund Balance$78,397,531$96,100,605▲ $17,703,074
Total Liabilities and Net Assets / Fund Balance$120,009,905$124,665,190▲ $4,655,285

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$37,809,946$39,498,280$77,283,557
Buildings$49,849,351$20,096,594$54,072,169
Other Land Buildings$7,886,657-$7,886,657
Land$1,372,797-$1,372,797
Leasehold Improvements$51,379$12,021$63,400
Other Assets Org$2,999,700--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$21,570---$21,570
2014$21,570---$21,570
2013$21,570---$21,570
2012$21,570---$21,570
2011$21,570---$21,570
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tom FritzFormer CEO-$100,820$585,051$685,871
Frederick Lee GalushaEngage Chief ExecutiveFT$340,430$86,101$426,531
Gregory CarterCMOFT$319,830$36,948$356,778
John Craig JrFormer CFO-$62,718$263,807$326,525
Mark S GordonPhysiatristFT$262,097$40,994$303,091
Vivian M MoisePhysiatristFT$248,544$41,223$289,767
Patrice StevensonPhysiatristFT$240,692$43,181$283,873
Michael SmylyChief Bus. Dev. OfficerFT$179,609$74,375$253,984
Nancy VorheesChief Administrative OfficerFT$204,389$44,802$249,191
Roger StevensChief Hospital ApplicationsFT$213,484$15,215$228,699
Phyllis Anita GabelChief Human Resource OfficerFT$42,570$181,927$224,497
Daniel EngleSenior DirectorFT$192,933$20,187$213,120
Nancy WebsterHospital AdministratorFT$174,354$33,946$208,300
Marcia CheadleSenior DirectorFT$176,833$23,884$200,717
Steven GoodmanPhysiatristFT$174,975$22,990$197,965
Ulrike BerzauAdministratorFT$30,120$162,663$192,783

Board Members and Trustees

NameTitle
R Ronald WellsChair and Treasurer
Gary A Livingston PhDVice Chair & Secretary
Aaron MartinDirector
Jeff Collins MDDirector
Mike ReillyDirector
Todd HofheinsDirector
Elaine CoutureCEO
Helen AndrusCFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Metro Aviation IncAviation Services1214 Hawn Avenue, Shreveport, LA 71107$12,239,050
GE Healthcare IITS USA CorpHealthcare IT Services40 IDX Drive, South Burlington, VT 05403$521,825
Mediware Information Systems IncHealthcare IT Services11711 W 79th Street, Lenexa, KS 66214$437,798
Cerium Networks IncHealthcare IT Services1636 W 1st Avenue, Spokane, WA 99201$412,329
Health Care Systems IncHealthcare IT Services5755 Carmichael Parkway, Montgomery, AL 36117$388,097
Revenue and Support

Revenue Composition

Contributions and Grants
$105,432
Program Service Revenue
$117,868,859
Investment Income
$38,052
Other Revenue
$31,279,247
All Other Contributions
$12,500
Change in Net Assets
$16,173,918
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$82,548,168
Other Expenses$49,307,404
Grants and Similar Amounts Paid$1,262,100
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$56,692,900$7,544,263-$64,237,163
Fees for Services Other$19,307,997$1,448,219-$20,756,216
Other Employee Benefits$5,527,943$976,900-$6,504,843
Office Expenses$4,657,640$1,480,087-$6,137,727
Payroll Taxes$4,139,049$728,284-$4,867,333
Depreciation Depletion$2,867,452$1,754,364-$4,621,816
Pension Plan Contributions$3,114,463$507,147-$3,621,610
Payments to Affiliates$1,974,530$602,412-$2,576,942
Current Officers, Directors, Trustees, and Key Employees$558,902$1,746,076-$2,304,978
Information Technology$965,596$375,509-$1,341,105
Travel$1,045,838$281,959-$1,327,797
Grants to Domestic Orgs$1,262,100--$1,262,100
Occupancy$885,060$202,733-$1,087,793
Comp Disqual Persons-$1,012,241-$1,012,241
All Other Expenses$662,309$54,997-$717,306
Insurance$339,294$52,845-$392,139
Advertising$261,988$43,007-$304,995
Interest$231,302--$231,302
Other Expenses$174,571$27,892-$202,463
Fees for Services Legal-$154,549-$154,549
Fees for Services Accounting-$5,254-$5,254
Total Functional Expenses$113,806,601$19,311,071$0$133,117,672
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Providence Health Care Foundation Eastern WashingtonSpokane, WA501 (c)(3)Transfer of IHNS Foundation$1,217,195
American Heart Association IncDes Moines, IA501 (c)(3)Support for heart disease and stroke$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Third Party Settlements$1,073,667
Due to Affiliates$407,144

Bond Issues

BondIssuerIssuedIssue PricePurpose
AWashington Health Care Facilities Authority2009-06-18$7,462,500Condominiumized Portion of Building

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$7,462,500-$1,500,000-

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

The sole Corporate Member is Providence Health & Services-Washington, a Washington nonprofit corporation.

Form 990, Part VI, Section A, line 7A

The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time.

Form 990, Part VI, Section A, line 7B

Powers reserved to the Corporate Member: 1) To move the corporation's health care facility. 2) To add one or more Members. 3) To amend or revoke the Articles of Incorporation or to repeal, alter or substitute Bylaws. 4) To sell, lease, transfer, or otherwise dispose of all or substantially all of the assets. 5) To merge or consolidate the Corporation. 6) To dissolve the Corporation. 7) To change the Mission of the Corporation. 8) To approve the acquisition of assets, the incurrence of indebtedness, or the lease, sale, transfer, assignment or encumbering of assets for any transaction in excess of an amount specified by the Member. 9) To undertake any activity or to perform or permit any medical procedure which the Member believes offends the moral or ethical values or directives of the Member.

Form 990, Part VI, Section B, line 11

The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the internal Director of Taxes of Providence Health & Services and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS.

Form 990, Part VI, Section B, line 12C

Conflict of Interest policies are updated annually at the board level and updated annually for all employees during their evaluation.

Form 990, Part VI, Section B, line 15

For officers and key employees paid by INHS, compensation packages are calculated by an outside third party and then reviewed and approved by the Board of Directors. For officers and key employees paid through Providence Health & Services, the following discusses the process utilized. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are reviewed by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated patient satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector.

Form 990, Part VI, Section C, line 19

Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site.

Form 990, Part VII

Todd Hofheins - 1801 Lind Avenue SW, Renton, WA 98057. Aaron Martin - 1801 Lind Avenue SW, Renton, WA 98057.

Filing and Contact Details

Filer

Filer Name
Inland Northwest Health Services
EIN
91-1307555
Phone
5092328100
Address
PO BOX 469, SPOKANE, WA 99210-0469

Signing Officer

Name
Helen Andrus
Title
CFO
Phone
5092328100
Signed
2017-01-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Elaine Couture
Formed
1994
Legal Domicile
Wa
Voting Board Members
6
Independent Board Members
3
Employees
1,281
Volunteers
156

Preparer

Firm
Clark Nuber PS
Address
10900 NE 4th Suite 1700, Bellevue, WA 98004
Preparer
Sara Elizabeth J Hyre CPA
Phone
4254544919
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Aircraft Services: Program service expenses 13,558,739. Management and general expenses 0. Fundraising expenses 0. Total expenses 13,558,739. Repairs & Maintenance: Program service expenses 2,719,039. Management and general expenses 895,248. Fundraising expenses 0. Total expenses 3,614,287. Other Patient Services: Program service expenses 1,338,332. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,338,332. Consulting Fees: Program service expenses 397,981. Management and general expenses 120,040. Fundraising expenses 0. Total expenses 518,021. Agency/Contract Labor: Program service expenses 596,957. Management and general expenses 68,434. Fundraising expenses 0. Total expenses 665,391. Transportation Services: Program service expenses 696,949. Management and general expenses 0. Fundraising expenses 0. Total expenses 696,949. Billing & Collections: Program service expenses 0. Management and general expenses 122,530. Fundraising expenses 0. Total expenses 122,530. Other Admin Services: Program service expenses 0. Management and general expenses 241,967. Fundraising expenses 0. Total expenses 241,967.

Form 990, Part XI, line 9:

Income from Recipient Organization 578,061. IAF Transfers 914,210. Assets Released from Restriction 32,278. Net Assets/Liabilities Assumed 72,087. Contributions & Grants Adjustment -67,478. Rounding -2.

Form 990, Part XII, Line 2C - Audit & Compliance

As part of the Consolidated Providence Health & Services Audited Financial Statements, the following applies: The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the System's consolidated financial statements and reporting, the audit process and the System's internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the System's internal and external auditors; the System's investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation.

Form 990, Part I, Line 6 - Volunteers

1. St. Luke's Volunteers: Mail Delivery, Administrative Support, PBX Reception, 1st Floor Reception, Patient Dining & Care, Warehouse Services, Housekeeping, Food Service, Patient Activity, Patient Companion, Magazine Cart, Skilled Clerical/Data Entry. 2. Patient Escort Volunteers: Prospective therapy school students that volunteered with inpatient therapy. 3. SLRI Community Board: Provided operational and financial oversight. 4. MedStar Volunteers: Serving at Felts Field office as Skilled Clerical/Data Entry or Community Outreach Volunteers representing MedStar at community fairs and functions throughout the service area. 5. TSL: Volunteers for Team St. Luke's. 6. WFB: Volunteers at Wells Fargo Building. Typically, college interns placed in an Administrative Support capacity.

Financial Statement Notes

Part V, Line 4:

Earnings from the Endowment are to be used for Team St. Luke's (Wheelchair Sports) activities.

Part X, Line 2:

Providence Health & Services, the Health System, recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Inland Northwest Health Services, a not for profit corporation, provides collaborative, community-benefitting health care. With the guidance of its sole Member, Providence Health & Services-Washington, INHS provides unique, affordable services using collaborative and innovative approaches for the benefit of the entire health care continuum. These local, regional and national solutions improve efficiencies and health outcomes in rehabilitation and clinical services, critical care, transportation, information technology, health care education and other health care services, and incorporate the highest ideals from its Member's Christian heritage in the provision of medical care.St. Luke's Rehabilitation Institute specializes in comprehensive inpatient and outpatient therapy sessions for children and adults and provides rehabilitation treatment for stroke, spinal cord injuries, orthopedic issues and brain injuries. Conveniently located in Spokane, Washington, St. Luke's Rehabilitation Institute serves patients throughout the Inland Northwest including patients in central and eastern Washington, northern Idaho and western Montana. Committed to providing hope, quality of care and recovery, St. Luke's is the state's largest provider of rehabilitation services for stroke, spinal cord injury, head injury and injury or diseases to bones, joints or muscles. After illness or injury, there is a need to gain strength, skills and function to allow people to return to the highest quality of life possible. St. Luke's works as a team with patients and their families to achieve this goal. With a main campus located in downtown Spokane, St. Luke's combines compassionate care with expertise to provide inpatient physical rehabilitation services to patients of all ages. In addition to inpatient services at the main campus, St. Luke's also offers high quality outpatient rehabilitation services at several convenient locations.During 2015, St. Luke's Rehabilitation Institute served 30,000 people in acute care, inpatient, outpatient and in-home rehabilitation care settings. St. Luke's is Washington State's #1 rehabilitation provider based on 17,982 inpatient days. Also in 2015, in collaboration with Providence Occupational Medicine, St. Luke's Rehabilitation Institute expanded occupational rehabilitation services with a north Spokane clinic and established an occupational rehabilitation and outpatient therapy location in Spokane Valley.Northwest MedStar is the region's premier critical care transport service dedicated to the safe, compassionate care and transport of critically ill or injured patients to health care facilities throughout the Pacific Northwest. From its bases in Spokane, Tri-Cities, Moses Lake, the Palouse area, Brewster and Missoula, Northwest MedStar provides thousands of helicopter, fixed wing and ground-based transports each year with the highest level of advanced care.With a fleet of helicopters and fixed wing planes, Northwest MedStar is accredited by the Commission on Accreditation of Medical Transport Systems (CAMTS), the "seal of approval" for the air medical industry.During 2015, MedStar provided critical care transports to more than 5,800 adult and pediatric patients from six bases throughout the Northwest. Over 50,000 households are covered with the NW MedStar membership program, bringing financial peace of mind to families should they need to be transported. In addition, through the MedStar Alert mobile and desktop app, Northwest MedStar collaborated with 45 hospitals and 911 centers, and over 1,600 first responders in the field for streamlined access to critical care transports.With the goal of reducing disability and helping injured workers return to work safely while providing occupational health best practices, COHE Community of Eastern Washington is a collaboration between Washington State Department of Labor & Industries and St. Luke's Rehabilitation Institute. In 2015, COHE Community of Eastern Washington served in 19
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