2022-11-08T11:59:04-06:00 2021-12-31 911194016 CLARK NUBERPS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2021-01-01 910584257 WASHINGTON STATE HOSPITAL ASSOCIATION WASH 2062817211 999 THIRD AVENUE 1400 SEATTLE WA 98104 ERIC LEWIS CFO 2062817211 2022-10-31 1 ERIC LEWIS XXX-XX-XXXX MEGAN R RYAN P00737884 4254544919 2022-10-31 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z ERIC LEWIS 999 THIRD AVENUE 1400 SEATTLE WA 98104 34790397 0 X WWW.WSHA.ORG X 1961 WA 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. 23 22 90 100 0 0 4731496 1123344 9466418 10680358 1188265 1693195 1638440 1669270 17024619 15166167 2996338 2500 0 0 10597795 10214762 0 0 0 5941439 6256466 19535572 16473728 -2510953 -1307561 49320736 45948333 10184533 7550902 39136203 38397431 X THE WASHINGTON STATE HOSPITAL ASSOCIATION ADVOCATES ON BEHALF OF AND SUPPORTS ITS MEMBERS IN ACHIEVING THEIR MISSIONS AND IMPROVING THE HEALTH OF THEIR COMMUNITIES. 0 0 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. 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. 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. THE ASSOCIATION RECEIVED A FEDERAL GRANT AND MEMBER HOSPITALS WERE SUBRECIPIENTS TO BUY PPE. 0 1 0 1 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 34 0 90 1 0 0 0 0 1 1 0 0 0 X 23 22 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ERIC LEWIS 2062162502 999 THIRD AVENUE 1400 SEATTLE WA 98104 CASSIE SAUER PRESIDENT & CEO 40.00 0.00 X X 785336 0 37212 DIANE BLAKE CHAIR 4.00 0.10 X X 0 0 0 GUY HUDSON CHAIR ELECT 3.00 0.10 X X 0 0 0 MIKE GLENN SECRETARY-TREASURER/AHA RBP DEL #2 3.00 0.00 X X 0 0 0 BILL ROBERTSON PAST CHAIR 3.00 0.00 X X 0 0 0 JEFF SPERRING DIRECTOR-AT-LARGE 2.00 0.00 X 0 0 0 JOHN SOLHEIM DIRECTOR-AT-LARGE 2.00 0.00 X 0 0 0 LISA BRANDENBURG DIRECTOR-AT-LARGE 2.00 0.00 X 0 0 0 THERESA SULLIVAN DIRECTOR-AT-LARGE 2.00 0.00 X 0 0 0 SEAN GREGORY DIRECTOR-AT-LARGE 2.00 0.00 X 0 0 0 KETUL PATEL DIRECTOR-AT-LARGE 2.00 0.00 X 0 0 0 BRUCE WILLIAMS DIRECTOR-AT-LARGE 2.00 0.00 X 0 0 0 RON REHN DIRECTOR-AT-LARGE 2.00 0.00 X 0 0 0 ELIZABETH WAKO DIRECTOR-AT-LARGE 2.00 0.00 X 0 0 0 JOEL GILBERSTON DIRECTOR-AT-LARGE 2.00 0.00 X 0 0 0 KATERIE CHAPMAN DIRECTOR-AT-LARGE 2.00 0.00 X 0 0 0 LESLIE HIEBERT DIRECTOR-AT-LARGE 2.00 0.10 X 0 0 0 BRIAN GIBBONS DIRECTOR-AT-LARGE 2.00 0.00 X 0 0 0 RAMONA HICKS DIRECTOR-AT-LARGE 2.00 0.00 X 0 0 0 JOSH MARTIN AHA RPB DELEGATE #1 2.00 0.00 X 0 0 0 FLORENCE CHANG PATIENT SAFETY COMM. CHAIR 2.00 0.00 X 0 0 0 BUFFY ALEGRIA HOSP. GOV. BOARD COMM. CHAIR 2.00 0.00 X 0 0 0 SCOTT GRAHAM RURAL HOSP. COMM. CHAIR 2.00 0.00 X 0 0 0 ERIC LEWIS CHIEF FINANCIAL OFFICER 40.00 2.00 X 236756 0 25589 TAYA BRILEY FOX EVP/GENERAL COUNSEL 40.00 0.00 X 339337 0 91870 CHELENE WHITEAKER SVP, GOVERNMENT AFFAIRS 40.00 0.10 X 233407 0 37958 DARCY JAFFE SVP, SAFETY AND QUALITY 40.00 0.00 X 306836 0 33133 JONATHAN BENNETT VP, DATA ANALYTICS AND IT SERVICES 40.00 0.00 X 199439 0 38636 ELIZABETH ZBOROWSKI SVP, MEMBERSHIP & COMMUNICATIONS 40.00 0.00 X 222120 0 31299 JACQUELINE BARTON-TRUE VP, RURAL HEALTH PROGRAMS 40.00 0.00 X 181621 0 25426 CATHERINE MAZZAWY SENIOR DIRECTOR, SAFETY AND QUALITY 40.00 0.00 X 177102 0 28128 TINA SEERY SENIOR DIRECTOR, SAFETY AND QUALITY 40.00 0.00 X 162270 0 37809 BLAIR COSSEY SENIOR DIRECTOR, FINANCE 40.00 0.00 X 160338 0 37727 JESSICA SYMANK SENIOR DIRECTOR, SAFETY AND QUALITY 40.00 0.00 X 184942 0 25556 3189504 0 450343 31 0 1 0 ANALYSIS GROUP 111 HUNTINGTON AVE 14TH FLOOR BOSTON MA 02199 HOSPITAL PAYMENTS CONSULTANT 183331 RK2 ADVISORY LLC 600 STEWART STREET STE 400 SEATTLE WA 98101 DATA ANALYTICS CONSULTANT 140168 LISA THATCHER 200 NAT WASHINGTON WAY EPHRATA WA 98823 LOBBYIST 127860 TWO MEDICINE COMMUNICATIONS 2255 WILDWOODS RD CURTIS WA 98538 LOBBYIST 126000 FOX ROTHSCHILD LLP 1001 FOURTH AVENUE STE 4400 SEATTLE WA 98154 LAW FIRM 114085 5 1033099 90245 1123344 DUES & ASSESSMENTS 900099 9829201 9829201 HEALTHCARE DATA COLL. 900099 456750 456750 PATIENT SAFETY NETWORK 900099 229350 229350 WORKSHOPS & MEETINGS 900099 165057 165057 10680358 1152166 1152166 2000 0 2000 2000 2000 20165259 19624230 541029 541029 541029 EXPENSE REIMB 900099 746019 746019 ASSESSMENT REIMB 900099 586250 586250 CMQCC PATIENT SAFETY 900099 331727 331727 3274 3274 1667270 15166167 10680358 0 3362465 2500 2618928 5665720 495978 772559 661577 209210 40065 379963 53190 1150741 110403 1518081 756284 45417 168516 483643 108755 HPP PROGRAM 849519 DUES & SUBSCRIPTIONS 173135 EQUIPMENT 59552 PPE SUPPLIES 34950 115042 16473728 4612105 1173009 1479721 1206864 1506024 577086 0 1681807 515676 363552 4898216 2514500 2867359 2383716 34633721 34186308 2624928 2889762 1081202 1486229 49320736 45948333 3139897 2727082 5056976 2831301 1987660 1992519 10184533 7550902 X 38915261 38176489 220942 220942 39136203 38397431 49320736 45948333 X -1307561 303955 264834 X 0 1 X 1 1 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 2163709 1606290 557419 2734507 908210 1826297 2383716 INVESTMENT IN SUBSIDIARY 2889762 F 2889762 DEFERRED COMPENSATION 1002427 DEFERRED RENT 441051 UNAMORTIZED LEASE INCENTIVE 549041 1992519 1 X X X X 0 1 0 CASSIE SAUER PRESIDENT & CEO 610483 0 159006 0 15847 0 19575 0 17637 0 822548 0 0 0 TAYA BRILEY FOX EVP/GENERAL COUNSEL 293099 0 46238 0 0 0 65004 0 26866 0 431207 0 0 0 DARCY JAFFE SVP, SAFETY AND QUALITY 265561 0 41275 0 0 0 19575 0 13558 0 339969 0 0 0 CHELENE WHITEAKER SVP, GOVERNMENT AFFAIRS 211393 0 22014 0 0 0 15955 0 22003 0 271365 0 0 0 ERIC LEWIS CHIEF FINANCIAL OFFICER 200537 0 36219 0 0 0 8407 0 17182 0 262345 0 0 0 ELIZABETH ZBOROWSKI SVP, MEMBERSHIP & COMMUNICATIONS 201308 0 20812 0 0 0 15052 0 16247 0 253419 0 0 0 JONATHAN BENNETT VP, DATA ANALYTICS AND IT SERVICES 180380 0 19059 0 0 0 13785 0 24851 0 238075 0 0 0 JESSICA SYMANK SENIOR DIRECTOR, SAFETY AND QUALITY 171750 0 13192 0 0 0 12706 0 12850 0 210498 0 0 0 JACQUELINE BARTON-TRUE VP, RURAL HEALTH PROGRAMS 168461 0 13160 0 0 0 12349 0 13077 0 207047 0 0 0 CATHERINE MAZZAWY SENIOR DIRECTOR, SAFETY AND QUALITY 164533 0 12569 0 0 0 12002 0 16126 0 205230 0 0 0 TINA SEERY SENIOR DIRECTOR, SAFETY AND QUALITY 150588 0 11682 0 0 0 11268 0 26541 0 200079 0 0 0 BLAIR COSSEY SENIOR DIRECTOR, FINANCE 148605 0 11733 0 0 0 11185 0 26542 0 198065 0 0 0 PART I, LINE 4B TAYA BRILEY FOX HAD A 457 RETENTION PLAN FUNDED IN 2021. CASSIE SAUER PRESIDENT & CEO SPLIT DOLLAR LIFE INSURANCE ARRANGEMENT LOAN UNDER REG. 1.7872-15 X 1681807 1681807 0 1 1 1681807 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. WASHINGTON HOSPITAL POLITICAL ACTION COMMITTEE 999 THIRD AVENUE SUITE 1400 SEATTLE WA 98104 911883766 POLITICAL EDUCATION & AWARENESS WA 527 N/A WASHINGTON HOSPITAL SERVICES INC 0 WASHINGTON HOSPITAL SERVICES INC 999 THIRD AVENUE SUITE 1400 SEATTLE WA 98104 911389170 ADMINISTRATIVE SERVICES TO HOSPITALS WA WASHINGTON STATE HOSPITAL ASSOCIATION C 264834 3572003 1.00000 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 WASHINGTON HOSPITAL SERVICES INC A 120127 COST WASHINGTON HOSPITAL SERVICES INC Q 500906 COST SCHEDULE R, PART V, LINE 1A 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.