WASHINGTON STATE HOSPITAL ASSOCIATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- WASHINGTON STATE HOSPITAL ASSOCIATION (EIN 91-0584257)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-08
- IRS object ID
- 202233129349302358
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-08T11:59:04-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBERPS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1400 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910584257 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON STATE HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WASH | BusinessNameControlTxt |
| Phone | 2062817211 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 THIRD AVENUE 1400 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98104 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC LEWIS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2062817211 | PhoneNum |
| Signature | 2022-10-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ERIC | PersonFirstNm |
| Person Last | LEWIS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MEGAN R RYAN | PreparerPersonNm |
| PTIN | P00737884 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Preparation | 2022-10-31 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ERIC LEWIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 THIRD AVENUE 1400 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,790,397 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.WSHA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | WASHINGTON STATE HOSPITAL ASSOCIATION IS A MEMBER ORGANIZATION REPRESENTING HOSPITALS AND OTHER MEMBER ORGANIZATIONS. THE ASSOCIATION REPRESENTS ITS MEMBERS IN LEGISLATIVE AND REGULATORY ACTIVITIES, PROVIDES LEADERSHIP ON PATIENT SAFETY AND CARE IMPROVEMENTS, AND PROVIDES EDUCATIONAL OPPORTUNITIES, TECHNICAL SERVICES AND INFORMATION RELATED TO HOSPITAL FINANCING AND DELIVERY OF HEALTHCARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 22 | VotingMembersIndependentCnt |
| Total Employee | 90 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,731,496 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,123,344 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,466,418 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,680,358 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,188,265 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,693,195 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,638,440 | PYOtherRevenueAmt |
| CY Other Revenue | $1,669,270 | CYOtherRevenueAmt |
| PY Total Revenue | $17,024,619 | PYTotalRevenueAmt |
| CY Total Revenue | $15,166,167 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,996,338 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,597,795 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,214,762 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,941,439 | PYOtherExpensesAmt |
| CY Other Expenses | $6,256,466 | CYOtherExpensesAmt |
| PY Total Expenses | $19,535,572 | PYTotalExpensesAmt |
| CY Total Expenses | $16,473,728 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,510,953 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,307,561 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $49,320,736 | TotalAssetsBOYAmt |
| Total Assets EOY | $45,948,333 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,184,533 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,550,902 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $39,136,203 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $38,397,431 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE WASHINGTON STATE HOSPITAL ASSOCIATION ADVOCATES ON BEHALF OF AND SUPPORTS ITS MEMBERS IN ACHIEVING THEIR MISSIONS AND IMPROVING THE HEALTH OF THEIR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Desc | PATIENT SAFETY: WASHINGTON HOSPITALS HAVE A COMMITMENT TO PURSUING EXCELLENCE FOR SAFE, HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE FOR THE PEOPLE OF WASHINGTON STATE. THROUGH WSHA'S AWARD-WINNING PATIENT SAFETY PROGRAM, HOSPITALS SET COMPETITION ASIDE AND WORK TOGETHER TO SHARE BEST PRACTICES AND MEASURE IMPROVEMENTS IN AREAS AS DIVERSE AS MATERNAL AND INFANT HEALTH, DIAGNOSTIC EXCELLENCE, OPIOID STEWARDSHIP, AND WORKPLACE VIOLENCE. THIS PROGRAM HELPS TO ENSURE THE RIGHT CARE IS DELIVERED, AT THE RIGHT TIME, TO EVERY PATIENT, EVERY TIME. IN THE LAST SEVERAL YEARS, OUR PATIENT SAFETY WORK RESULTED IN TENS OF THOUSANDS OF PREVENTED PATIENT HARMS AND HUNDREDS OF MILLIONS OF DOLLARS SAVED. THE PROGRAM IS UNIQUELY POSITIONED TO WORK WITH ALL WSHA MEMBERS, FROM MULTI-STATE SYSTEMS TO CRITICAL ACCESS HOSPITALS. EACH HOSPITAL'S CHALLENGES ARE A LITTLE DIFFERENT, SO WE WORK WITH THEM INDIVIDUALLY TO SUPPORT PEER-TO-PEER SHARING, DATA ANALYSIS AND ACCESS TO NATIONAL EXPERTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GOVERNMENT AFFAIRS: THE ASSOCIATION SUPPORTS AND PARTICIPATES IN EFFORTS TO PERSUADE WASHINGTON STATE AND FEDERAL OFFICIALS TO SUPPORT LEGISLATION AND HEALTH POLICY BENEFITING WASHINGTON'S HOSPITALS, THE STATE HEALTH CARE SYSTEM, AND THE COMMUNITY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DATA ANALYTICS: THE ASSOCIATION EMPLOYS A TEAM OF ANALYSTS THAT WORK TO BUILD KNOWLEDGE BASED ON QUALITY, UTILIZATION, AND FINANCIAL INFORMATION. THIS KNOWLEDGE SUPPORTS THE ASSOCIATION'S PATIENT SAFETY AND GOVERNMENT AFFAIRS WORK AND HELPS TACKLE THE CHALLENGES THAT FACE HEALTH CARE PROVIDERS AND SYSTEMS IN WASHINGTON STATE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THE ASSOCIATION RECEIVED A FEDERAL GRANT AND MEMBER HOSPITALS WERE SUBRECIPIENTS TO BUY PPE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | Yes (1) | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 90 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | Yes (1) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (1) | NondeductibleContriDisclInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 22 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERIC LEWIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2062162502 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 THIRD AVENUE 1400 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98104 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| CASSIE SAUER | |||||||||
| PRESIDENT & CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $785,336 | $0 | $37,212 | ||
| DIANE BLAKE | |||||||||
| CHAIR | 4.00 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GUY HUDSON | |||||||||
| CHAIR ELECT | 3.00 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MIKE GLENN | |||||||||
| SECRETARY-TREASURER/AHA RBP DEL #2 | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BILL ROBERTSON | |||||||||
| PAST CHAIR | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFF SPERRING | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN SOLHEIM | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LISA BRANDENBURG | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| THERESA SULLIVAN | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SEAN GREGORY | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KETUL PATEL | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE WILLIAMS | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RON REHN | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ELIZABETH WAKO | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOEL GILBERSTON | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KATERIE CHAPMAN | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LESLIE HIEBERT | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN GIBBONS | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RAMONA HICKS | |||||||||
| DIRECTOR-AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSH MARTIN | |||||||||
| AHA RPB DELEGATE #1 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| FLORENCE CHANG | |||||||||
| PATIENT SAFETY COMM. CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BUFFY ALEGRIA | |||||||||
| HOSP. GOV. BOARD COMM. CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT GRAHAM | |||||||||
| RURAL HOSP. COMM. CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ERIC LEWIS | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 2.00 | Yes (X) | $236,756 | $0 | $25,589 | |||
| TAYA BRILEY FOX | |||||||||
| EVP/GENERAL COUNSEL | 40.00 | 0.00 | Yes (X) | $339,337 | $0 | $91,870 | |||
| CHELENE WHITEAKER | |||||||||
| SVP, GOVERNMENT AFFAIRS | 40.00 | 0.10 | $233,407 | $0 | $37,958 | Yes (X) | |||
| DARCY JAFFE | |||||||||
| SVP, SAFETY AND QUALITY | 40.00 | 0.00 | $306,836 | $0 | $33,133 | Yes (X) | |||
| JONATHAN BENNETT | |||||||||
| VP, DATA ANALYTICS AND IT SERVICES | 40.00 | 0.00 | $199,439 | $0 | $38,636 | Yes (X) | |||
| ELIZABETH ZBOROWSKI | |||||||||
| SVP, MEMBERSHIP & COMMUNICATIONS | 40.00 | 0.00 | $222,120 | $0 | $31,299 | Yes (X) | |||
| JACQUELINE BARTON-TRUE | |||||||||
| VP, RURAL HEALTH PROGRAMS | 40.00 | 0.00 | $181,621 | $0 | $25,426 | Yes (X) | |||
| CATHERINE MAZZAWY | |||||||||
| SENIOR DIRECTOR, SAFETY AND QUALITY | 40.00 | 0.00 | $177,102 | $0 | $28,128 | Yes (X) | |||
| TINA SEERY | |||||||||
| SENIOR DIRECTOR, SAFETY AND QUALITY | 40.00 | 0.00 | $162,270 | $0 | $37,809 | Yes (X) | |||
| BLAIR COSSEY | |||||||||
| SENIOR DIRECTOR, FINANCE | 40.00 | 0.00 | $160,338 | $0 | $37,727 | Yes (X) | |||
| JESSICA SYMANK | |||||||||
| SENIOR DIRECTOR, SAFETY AND QUALITY | 40.00 | 0.00 | $184,942 | $0 | $25,556 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,189,504 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $450,343 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ANALYSIS GROUP | |||||
| 111 HUNTINGTON AVE 14TH FLOOR | BOSTON | MA | 02199 | HOSPITAL PAYMENTS CONSULTANT | $183,331 |
| RK2 ADVISORY LLC | |||||
| 600 STEWART STREET STE 400 | SEATTLE | WA | 98101 | DATA ANALYTICS CONSULTANT | $140,168 |
| LISA THATCHER | |||||
| 200 NAT WASHINGTON WAY | EPHRATA | WA | 98823 | LOBBYIST | $127,860 |
| TWO MEDICINE COMMUNICATIONS | |||||
| 2255 WILDWOODS RD | CURTIS | WA | 98538 | LOBBYIST | $126,000 |
| FOX ROTHSCHILD LLP | |||||
| 1001 FOURTH AVENUE STE 4400 | SEATTLE | WA | 98154 | LAW FIRM | $114,085 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,033,099 | GovernmentGrantsAmt |
| All Other Contributions | $90,245 | AllOtherContributionsAmt |
| Total Contributions | $1,123,344 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| DUES & ASSESSMENTS | 900099 | $9,829,201 | $9,829,201 |
| HEALTHCARE DATA COLL. | 900099 | $456,750 | $456,750 |
| PATIENT SAFETY NETWORK | 900099 | $229,350 | $229,350 |
| WORKSHOPS & MEETINGS | 900099 | $165,057 | $165,057 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,680,358 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,152,166 | TotalRevenueColumnAmt |
| Exclusion | $1,152,166 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,000 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,000 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,000 | TotalRevenueColumnAmt |
| Exclusion | $2,000 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,165,259 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,624,230 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $541,029 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $541,029 | TotalRevenueColumnAmt |
| Exclusion | $541,029 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| EXPENSE REIMB | 900099 | $746,019 | $746,019 |
| ASSESSMENT REIMB | 900099 | $586,250 | $586,250 |
| CMQCC PATIENT SAFETY | 900099 | $331,727 | $331,727 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,274 | TotalRevenueColumnAmt |
| Exclusion | $3,274 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,667,270 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,166,167 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,680,358 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,362,465 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,500 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,618,928 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,665,720 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $495,978 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $772,559 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661,577 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,210 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,065 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,963 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,190 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,150,741 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,403 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,518,081 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $756,284 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,417 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,516 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $483,643 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,755 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt |
|---|---|
| HPP PROGRAM | $849,519 |
| DUES & SUBSCRIPTIONS | $173,135 |
| EQUIPMENT | $59,552 |
| PPE SUPPLIES | $34,950 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,042 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,473,728 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,612,105 | BOYAmt |
| EOY | $1,173,009 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,479,721 | BOYAmt |
| EOY | $1,206,864 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,506,024 | BOYAmt |
| EOY | $577,086 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,681,807 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $515,676 | BOYAmt |
| EOY | $363,552 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,898,216 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,514,500 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,867,359 | BOYAmt |
| EOY | $2,383,716 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,633,721 | BOYAmt |
| EOY | $34,186,308 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,624,928 | BOYAmt |
| EOY | $2,889,762 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,081,202 | BOYAmt |
| EOY | $1,486,229 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,320,736 | BOYAmt |
| EOY | $45,948,333 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,139,897 | BOYAmt |
| EOY | $2,727,082 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,056,976 | BOYAmt |
| EOY | $2,831,301 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,987,660 | BOYAmt |
| EOY | $1,992,519 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,184,533 | BOYAmt |
| EOY | $7,550,902 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,915,261 | BOYAmt |
| EOY | $38,176,489 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,942 | BOYAmt |
| EOY | $220,942 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,136,203 | BOYAmt |
| EOY | $38,397,431 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,320,736 | BOYAmt |
| EOY | $45,948,333 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,307,561 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $303,955 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $264,834 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantially All Dues Nonded | Yes (1) | SubstantiallyAllDuesNondedInd |
| Only In House Lobbying | 0 | OnlyInHouseLobbyingInd |
| Agree Carryover Prior Year | 0 | AgreeCarryoverPriorYearInd |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,163,709 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,606,290 | DepreciationAmt |
| Book Value | $557,419 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,734,507 | OtherCostOrOtherBasisAmt |
| Depreciation | $908,210 | DepreciationAmt |
| Book Value | $1,826,297 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,383,716 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN SUBSIDIARY | Desc |
| Book Value | $2,889,762 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $2,889,762 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $1,002,427 |
| DEFERRED RENT | $441,051 |
| UNAMORTIZED LEASE INCENTIVE | $549,041 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,992,519 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CASSIE SAUER | ||||||||||||||
| PRESIDENT & CEO | $610,483 | $0 | $159,006 | $0 | $15,847 | $0 | $19,575 | $0 | $17,637 | $0 | $822,548 | $0 | $0 | $0 |
| TAYA BRILEY FOX | ||||||||||||||
| EVP/GENERAL COUNSEL | $293,099 | $0 | $46,238 | $0 | $0 | $0 | $65,004 | $0 | $26,866 | $0 | $431,207 | $0 | $0 | $0 |
| DARCY JAFFE | ||||||||||||||
| SVP, SAFETY AND QUALITY | $265,561 | $0 | $41,275 | $0 | $0 | $0 | $19,575 | $0 | $13,558 | $0 | $339,969 | $0 | $0 | $0 |
| CHELENE WHITEAKER | ||||||||||||||
| SVP, GOVERNMENT AFFAIRS | $211,393 | $0 | $22,014 | $0 | $0 | $0 | $15,955 | $0 | $22,003 | $0 | $271,365 | $0 | $0 | $0 |
| ERIC LEWIS | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $200,537 | $0 | $36,219 | $0 | $0 | $0 | $8,407 | $0 | $17,182 | $0 | $262,345 | $0 | $0 | $0 |
| ELIZABETH ZBOROWSKI | ||||||||||||||
| SVP, MEMBERSHIP & COMMUNICATIONS | $201,308 | $0 | $20,812 | $0 | $0 | $0 | $15,052 | $0 | $16,247 | $0 | $253,419 | $0 | $0 | $0 |
| JONATHAN BENNETT | ||||||||||||||
| VP, DATA ANALYTICS AND IT SERVICES | $180,380 | $0 | $19,059 | $0 | $0 | $0 | $13,785 | $0 | $24,851 | $0 | $238,075 | $0 | $0 | $0 |
| JESSICA SYMANK | ||||||||||||||
| SENIOR DIRECTOR, SAFETY AND QUALITY | $171,750 | $0 | $13,192 | $0 | $0 | $0 | $12,706 | $0 | $12,850 | $0 | $210,498 | $0 | $0 | $0 |
| JACQUELINE BARTON-TRUE | ||||||||||||||
| VP, RURAL HEALTH PROGRAMS | $168,461 | $0 | $13,160 | $0 | $0 | $0 | $12,349 | $0 | $13,077 | $0 | $207,047 | $0 | $0 | $0 |
| CATHERINE MAZZAWY | ||||||||||||||
| SENIOR DIRECTOR, SAFETY AND QUALITY | $164,533 | $0 | $12,569 | $0 | $0 | $0 | $12,002 | $0 | $16,126 | $0 | $205,230 | $0 | $0 | $0 |
| TINA SEERY | ||||||||||||||
| SENIOR DIRECTOR, SAFETY AND QUALITY | $150,588 | $0 | $11,682 | $0 | $0 | $0 | $11,268 | $0 | $26,541 | $0 | $200,079 | $0 | $0 | $0 |
| BLAIR COSSEY | ||||||||||||||
| SENIOR DIRECTOR, FINANCE | $148,605 | $0 | $11,733 | $0 | $0 | $0 | $11,185 | $0 | $26,542 | $0 | $198,065 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | TAYA BRILEY FOX HAD A 457 RETENTION PLAN FUNDED IN 2021. | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CASSIE SAUER | PersonNm |
| Relationship With Org | PRESIDENT & CEO | RelationshipWithOrgTxt |
| Loan Purpose | SPLIT DOLLAR LIFE INSURANCE ARRANGEMENT LOAN UNDER REG. 1.7872-15 | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $1,681,807 | OriginalPrincipalAmt |
| Balance Due | $1,681,807 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $1,681,807 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 6: | VOLUNTEERS SERVED ON THE BOARD OF DIRECTORS AS BOTH VOTING AND NONVOTING BOARD MEMBERS. ADDITIONALLY, THE ORGANIZATION HAS MULTIPLE VOLUNTEER COMMITTEES. |
| FORM 990, PART VI, SECTION A, LINE 6 | THERE ARE FOUR CLASSES OF MEMBERSHIP: TYPE I INCLUDES ACUTE CARE AND PSYCHIATRIC HOSPITALS, TYPE II INCLUDES STATE HOSPITALS, TYPE III INCLUDES ORGANIZATIONS INTERESTED IN THE OBJECT OF THE ASSOCIATION AND NOT ELIGIBLE FOR MEMBERSHIP IN OTHER CATEGORIES AND TYPE IV INCLUDES HOSPITALS OPERATED BY THE FEDERAL GOVERNMENT. REPRESENTATIVES OF TYPE I AND TYPE II MEMBERS ARE ELIGIBLE TO VOTE IN THE ASSEMBLY AND SERVE ON THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ORGANIZATION HAS MEMBERS WITH THE POWER TO ELECT MEMBERS OF THE GOVERNING BODY. REPRESENTATIVES OF TYPE I AND TYPE II MEMBERS MEET IN ASSEMBLY, EACH MEMBER WITH ONE VOTE, AND THE ASSEMBLY ELECTS THE DIRECTORS AND OFFICERS OF THE ASSOCIATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THERE ARE SOME GOVERNANCE DECISIONS RESERVED TO REPRESENTATIVES OF THE ORGANIZATION'S TYPE I AND TYPE II MEMBERS WHEN THEY MEET IN ASSEMBLY OR WHEN THEY TAKE VOTES BY E-MAIL. EACH TYPE I AND TYPE II MEMBER IS ENTITLED TO ONE VOTE AT THE ASSEMBLY. THE ASSEMBLY ELECTS THE DIRECTORS AND OFFICERS OF THE ASSOCIATION. THE ASSEMBLY ALSO MAY APPROVE OR DISAPPROVE RECOMMENDATIONS, REPORTS, ACTIONS, OR RESOLUTIONS AS PLACED BEFORE IT BY THE BOARD OF DIRECTORS. THE ASSEMBLY HAS THE AUTHORITY TO MAKE PROPOSALS AND RECOMMENDATIONS TO THE BOARD OF DIRECTORS AND REMAND PROPOSALS AND RECOMMENDATIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE AND THE CFO. THE PRESIDENT AND CEO AND EVP / GENERAL COUNSEL REVIEW AND AN AS FILED COPY IS SENT TO THE GOVERNING BOARD BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE IS COMPLETED ANNUALLY BY OFFICERS, DIRECTORS, AND KEY EMPLOYEES. COMPLETED QUESTIONNAIRES ARE REVIEWED BY LEGAL COUNSEL, AND ACTUAL OR POTENTIAL CONFLICTS ARE DISCLOSED TO THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | PURSUANT TO A CHARTER APPROVED BY THE BOARD, THE WASHINGTON STATE HOSPITAL ASSOCIATION MAINTAINS A COMPENSATION COMMITTEE COMPRISED OF THE CHAIR, PAST CHAIR, CHAIR ELECT AND SECRETARY-TREASURER. USING A BOARD-APPROVED COMPENSATION PHILOSOPHY, THE COMMITTEE OVERSEES THE COMPENSATION SETTING PROCESS FOR THE PRESIDENT & CEO AND IDENTIFIED EXECUTIVES. THE COMMITTEE CONDUCTS ITS WORK WITH THE ASSISTANCE OF A COMPENSATION CONSULTING FIRM WHICH SPECIALIZES IN NON-PROFIT AND HEALTH CARE ORGANIZATIONS. THE PRINCIPAL OBJECTIVE OF THE EXECUTIVE COMPENSATION PROGRAM IS TO FACILITATE THE WASHINGTON STATE HOSPITAL ASSOCIATION TO ATTRACT, MOTIVATE AND RETAIN THE HIGHLY SKILLED EXECUTIVE TALENT NEEDED TO CARRY OUT ITS MISSION AND STRATEGIC OBJECTIVES THROUGH THE ESTABLISHMENT OF SALARIES, BENEFITS, AND VARIABLE PAY OPPORTUNITIES THAT ARE REASONABLE, COMPARE FAVORABLY WITH THOSE FOR SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS, AND REWARD ACHIEVEMENT OF ORGANIZATIONAL AND INDIVIDUAL OBJECTIVES. WASHINGTON STATE HOSPITAL ASSOCIATION USES ESTABLISHED MARKET COMPARATIVE GROUPS TO DETERMINE COMPARABLE LEVELS OF COMPENSATION FOR THE PRESIDENT AND CEO AND, TO THE EXTENT SUCH DATA IS AVAILABLE AND APPROPRIATELY MATCHED, OTHER EXECUTIVES SUBJECT TO THE PURVIEW OF THE COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF ORGANIZATIONAL DOCUMENTS ARE AVAILABLE BY WRITTEN REQUEST. |
| FORM 990, PART XI, LINE 9: | INVESTMENT IN SUBSIDIARY 264,834. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON HOSPITAL POLITICAL ACTION COMMITTEE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 THIRD AVENUE SUITE 1400 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911883766 | EIN |
| Primary Activities | POLITICAL EDUCATION & AWARENESS | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Exempt Code Section | 527 | ExemptCodeSectionTxt |
| Public Charity Status | N/A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON HOSPITAL SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON HOSPITAL SERVICES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 THIRD AVENUE SUITE 1400 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911389170 | EIN |
| Primary Activities | ADMINISTRATIVE SERVICES TO HOSPITALS | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON STATE HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $264,834 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $3,572,003 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WASHINGTON HOSPITAL SERVICES INC | ||
| A | $120,127 | COST |
| WASHINGTON HOSPITAL SERVICES INC | ||
| Q | $500,906 | COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 1A | FormAndLineReferenceDesc |
| Explanation | WASHINGTON STATE HOSPITAL ASSOCIATION RECEIVES RENT FROM A CONTROLLED ENTITY UNDER CODE SEC. 512(B)(13). THE ORGANIZATION CHOOSES NOT TO FILE FORM 990-T TO REPORT THIS INCOME, AS THE OFFSETTING DEDUCTIONS WOULD RESULT IN NO TAX LIABILITY. | ExplanationTxt |
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