2017-10-17T13:03:17-05:00 2016-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2016-01-01 910584257 WASHINGTON STATE HOSPITAL ASSOCIATION WASH 2062817211 999 THIRD AVENUE NO 1400 SEATTLE WA 98104 TOM EVERT CHIEF FINANCIAL OFFICER 2062817211 2017-09-27 1 SARA ELIZABETH J HYRE P00235495 4254544919 2017-09-27 65.158.230.202 2017-09-27 13:29:52 PD P D3602557FBBC398886185FEEA8787C976E007265 C070BA3AF7F6D7D87E83B9D9DF9412DF7C2C6F3F 2016 2021-01-29 14:40:06Z TOM EVERT 999 THIRD AVENUE NO 1400 SEATTLE WA 98104 30419382 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. 22 21 88 23 0 0 1189552 6839265 8543588 8475786 293395 430657 1173125 1867814 11199660 17613522 46610 39615 0 0 7540020 7738639 0 0 0 4298786 5917796 11885416 13696050 -685756 3917472 28425603 31102280 8295962 5783722 20129641 25318558 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 THE CENTERS FOR MEDICAID & MEDICARE SERVICES (CMS) IDENTIFIED THE WASHINGTON STATE HOSPITAL ASSOCIATION HOSPITAL ENGAGEMENT NETWORK (WSHA) AS A PARTICIPANT IN THE LEADING EDGE ADVANCED PRACTICE TOPICS, OR LEAPT PROGRAM. THE PARTNERSHIP FOR PATIENTS INITIATIVE IS FOCUSED ON THE ACHIEVEMENT OF TWO GOALS: (1) MAKING CARE SAFER BY DECREASING PREVENTABLE HOSPITAL-ACQUIRED CONDITIONS AND (2) IMPROVING CARE TRANSITIONS BY DECREASING PREVENTABLE COMPLICATIONS DURING TRANSITIONS FROM ONE CARE SETTING TO ANOTHER SO THAT HOSPITAL READMISSIONS CAN BE REDUCED. WSHA HAS BEEN AWARDED ONE OF SIXTEEN PRIME CONTRACTS WITH CMS TO SERVE AS A HOSPITAL IMPROVEMENT INNOVATION NETWORK, OR HIIN. HIINS WORK WITH HOSPITALS, QUALITY IMPROVEMENT ORGANIZATIONS (QIOS), AND EACH OTHER TO ASSURE NATIONAL PROGRESS TOWARDS THE TWO HARM REDUCTION GOALS MENTIONED ABOVE AND THEY DO SO IN A NUMBER OF DIFFERENT WAYS INCLUDING TRAININGS, TECHNICAL ASSISTANCE, AND TRACKING AND MONITORING HOSPITALS' QUALITY IMPROVEMENT. THE HOSPITAL ENGAGEMENT NETWORK EXPANDS RESOURCES TO HELP HEALTH PROVIDERS IDENTIFY AND SPREAD LOCAL IDEAS, IMPROVE CARE, AND REDUCE PREVENTABLE HEALTH CARE ACQUIRED CONDITIONS. THIS PROGRAM ENDED SEPTEMBER 2016; SUBSEQUENTLY, CMS AWARDED WSHA A HIIN CONTRACT TO CONTINUE THIS WORK. 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. 0 1 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 67 0 1 88 1 0 0 0 0 1 1 0 X 22 21 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X TOM EVERT 2062817211 999 THIRD AVENUE NO 1400 SEATTLE WA 98104 SCOTT BOND PRESIDENT AND CEO 40.00 0.00 X X 1055725 0 137975 ELAINE COUTURE CHAIR 2.00 0.10 X X 0 0 0 BOB MALTE CHAIR ELECT 2.00 0.00 X X 0 0 0 ERIC LEWIS SECRETARY/TREASURER 2.00 0.10 X X 0 0 0 GREG DAVIDSON IMMEDIATE PAST CHAIR 2.00 0.00 X X 0 0 0 SARAH PATTERSON PAST CHAIR 2.00 0.00 X X 0 0 0 DIANE BLAKE TRUSTEE 2.00 0.00 X 0 0 0 ERIC MOLL TRUSTEE 2.00 0.00 X 0 0 0 ERIN LEFF TRUSTEE 2.00 0.00 X 0 0 0 LANE SAVITCH TRUSTEE 2.00 0.00 X 0 0 0 KETUL PATEL TRUSTEE 2.00 0.00 X 0 0 0 MIKE MARSH TRUSTEE 2.00 0.00 X 0 0 0 PETER RUTHERFORD TRUSTEE 2.00 0.00 X 0 0 0 PRESTON SIMMONS TRUSTEE 2.00 0.00 X 0 0 0 RENEE JENSEN TRUSTEE 2.00 0.00 X 0 0 0 RON REHN TRUSTEE 2.00 0.00 X 0 0 0 RUSS MYERS TRUSTEE 2.00 0.10 X 0 0 0 BILL ROBERTSON TRUSTEE 2.00 0.00 X 0 0 0 BRYCE HELGERSON TRUSTEE 2.00 0.00 X 0 0 0 DALE ZENDER TRUSTEE 2.00 0.00 X 0 0 0 ANTHONY ARMADA TRUSTEE 2.00 0.00 X 0 0 0 DUANE ROSSMAN TRUSTEE 2.00 0.00 X 0 0 0 JOHNESE SPISSO TRUSTEE THRU 01/16 2.00 0.00 X 0 0 0 NANCY STEIGER TRUSTEE THRU 08/16 2.00 0.00 X 0 0 0 THOMAS W EVERT CHIEF FINANCIAL OFFICER 40.00 8.00 X 211351 0 10489 ELIZABETH CASSIE SAUER EXECUTIVE VP 40.00 0.00 X 271808 0 15605 CLAUDIA SANDERS SVP POLICY DEVELOPMENT 40.00 0.10 X 217739 0 10056 CAROL WAGNER SVP PATIENT SAFETY 40.00 0.00 X 210879 0 12480 TAYA BRILEY FOX GENERAL LEGAL COUNSEL 40.00 0.00 X 206790 0 12793 MARY KAY CLUNIES-ROSS VP DIRECTOR, COMM./MEMBERSHIP 40.00 0.00 X 187462 0 10920 BEN LINDEKUGEL EXECUTIVE DIRECTOR AWPHD 40.00 0.00 X 153168 0 10151 JONATHAN BENNETT SR DIR., IT & DECISION SUPPORT 40.00 0.00 X 136448 0 7098 MEGAN KILCUP DIR., QUALITY & PERFORMANCE IMPRVMNT 40.00 0.00 X 134829 0 0 LUCIA AUSTIN-GIL SR DIR., PATIENT SAFETY 40.00 0.00 X 130390 0 5913 RYAN HOSKEN DIR., QUALITY & PERFORMANCE IMPRVMNT 40.00 0.00 X 129830 0 0 CATHERINE HOLMES FORMER SVP, OPERATIONS 40.00 0.00 X 181789 0 14087 3228208 0 247567 20 1 1 0 KORN FERRY PO BOX 1450 MINNEAPOLIS MN 55485 EXECUTIVE SEARCH 243823 CONSCIOUS HEALTHCARE DESIGNS PO BOX 33937 SEATTLE WA 98133 PATIENT SAFETY 132390 TWO MEDICINE COMMUNICATIONS 2255 WILDWOOD ROAD CURTIS WA 98538 LOBBYIST 126000 LISA THATCHER 522 NORTH E STREET TACOMA WA 95403 LOBBYIST 126000 LAWRENCE M SCHECTER MD INC 6614 258TH AVE NE REDMOND WA 98053 CONSULTING 113100 6 6586634 252631 6839265 MEMBERSHIP DUES 900099 8292040 8292040 WORKSHOPS & MEETINGS 900099 183746 183746 8475786 557189 557189 12679328 12805860 -126532 -126532 -126532 ASSESSMENT REIMB 900099 1179623 1179623 DATA SRVCS REIMB 900099 476082 476082 HONORING CHOICES REIMB 900099 200906 200906 11203 11203 1867814 17613522 8475786 0 2298471 X 39615 2572073 3877782 134709 716286 437789 295962 22659 341047 47426 1930133 231069 618576 373502 106471 909415 301472 25572 OPERATIONS 634006 SPECIAL PROJECTS 608946 EQUIPMENT 168377 BAD DEBT 157916 -854753 13696050 4148777 2650966 446933 2215082 7029 0 294142 782666 201271 246477 2709513 466821 2564548 2242692 18649593 20698539 1362979 1444392 750331 821466 28425603 31102280 1954471 1863355 4410332 1806823 1931159 2113544 8295962 5783722 X 19768543 25058685 361098 259873 20129641 25318558 28425603 31102280 X 3917472 1210034 61411 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 1900744 267663 1633081 808769 199158 609611 2242692 DEFERRED COMPENSATION 456174 DEFERRED RENT 462399 UNAMORTIZED LEASE INCENTIVE 1194971 2113544 X X X 1 1 X X X X X 1 1 0 SCOTT BOND PRESIDENT AND CEO 582548 0 99111 0 374066 0 128849 0 9126 0 1193700 0 0 0 THOMAS W EVERT CHIEF FINANCIAL OFFICER 197627 0 13724 0 0 0 6325 0 4164 0 221840 0 0 0 ELIZABETH CASSIE SAUER EXECUTIVE VP 251201 0 20607 0 0 0 7950 0 7655 0 287413 0 0 0 CLAUDIA SANDERS SVP POLICY DEVELOPMENT 201537 0 16202 0 0 0 6547 0 3509 0 227795 0 0 0 CAROL WAGNER SVP PATIENT SAFETY 196560 0 14319 0 0 0 6357 0 6123 0 223359 0 0 0 TAYA BRILEY FOX GENERAL LEGAL COUNSEL 190747 0 16043 0 0 0 6467 0 6326 0 219583 0 0 0 MARY KAY CLUNIES-ROSS VP DIRECTOR, COMM./MEMBERSHIP 174632 0 12830 0 0 0 5702 0 5218 0 198382 0 0 0 BEN LINDEKUGEL EXECUTIVE DIRECTOR AWPHD 139653 0 13515 0 0 0 4625 0 5526 0 163319 0 0 0 CATHERINE HOLMES FORMER SVP, OPERATIONS 0 0 0 0 181789 0 0 0 14087 0 195876 0 0 0 PART I, LINE 1A BENEFITS PAID FOR CEO SCOTT BOND INCLUDE ATHLETIC CLUB DUES ($1,041) AND TRAVEL COMPANION TICKETS ($966) REPORTED IN HIS TAXABLE BENEFITS, AS WELL AS AN EXPENSE SPENDING ACCOUNT ($12,000). PART I, LINES 4A-B CATHERINE HOLMES RECEIVED SEVERANCE PAYMENTS OF $181,789 DURING CALENDAR YEAR 2016. SCOTT BOND PARTICIPATED IN A SERP DURING 2016. $120,899 WAS CONTRIBUTED TO THE PLAN IN 2016. AT THE END OF HIS EMPLOYMENT TERM, PER HIS CONTRACT, SCOTT BOND RECEIVED A PAYOUT FROM HIS SERP. IN 2016 THE AMOUNT RECEIVED WAS $374,066. FORM 990, PART I, LINE 6: 23 VOLUNTEERS SERVED ON THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THERE ARE 2 CLASSES OF MEMBERSHIP, INSTITUTIONAL AND PERSONAL, AVAILABLE TO ORGANIZATIONS AND INDIVIDUALS INTERESTED IN THE OBJECTIVES OF THE ASSOCIATION. INSTITUTIONAL MEMBERSHIP IS AVAILABLE TO HOSPITALS (TYPE I), ORGANIZATIONS OPERATING NON-PROFIT HOSPITAL SERVICE PLANS (TYPE II) AND OTHER COMMERCIAL ORGANIZATIONS INTERESTED IN THE ACTIVITIES OF THE ASSOCIATION. PERSONAL MEMBERSHIP IS AVAILABLE TO INDIVIDUALS INTERESTED IN THE CAUSES OF THE ASSOCIATION, EXCEPT THOSE CONNECTED WITH ELIGIBLE NON-MEMBER INSTITUTIONS OR THOSE CONNECTED WITH HOSPITALS WHICH FAIL TO MEET MEMBERSHIP REQUIREMENTS. ONLY TYPE I AND TYPE II INSTITUTIONAL ORGANIZATIONS ARE GIVEN A VOTE IN THE ASSEMBLY. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE ORGANIZATION MAY APPOINT A REPRESENTATIVE, WHO IN TURN BECOMES A MEMBER OF THE ASSEMBLY. THE ASSEMBLY MAY CONSIST OF VOTING REPRESENTATIVES FROM BOTH TYPE I (HOSPITALS) AND TYPE II (ORGANIZATIONS OPERATING NON-PROFIT HOSPITAL SERVICE PLANS) INSTITUTIONAL MEMBERS. THE ASSEMBLY SHALL ELECT THE TRUSTEES AND OFFICERS OF THE ASSOCIATION AS PROVIDED IN THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B THE ASSEMBLY SHALL ELECT THE TRUSTEES AND OFFICERS OF THE ASSOCIATION AS PROVIDED IN THESE BYLAWS. THE ASSEMBLY SHALL HAVE THE AUTHORITY TO APPROVE OR DISAPPROVE SUCH RECOMMENDATIONS, REPORTS, ACTIONS OR RESOLUTIONS AS MAY BE PLACED BEFORE IT BY THE BOARD OF TRUSTEES. FURTHER, THE ASSEMBLY SHALL HAVE AUTHORITY TO MAKE PROPOSALS AND RECOMMENDATIONS TO THE BOARD OF TRUSTEES. BY A TWO-THIRDS VOTE OF THOSE PRESENT AND ELIGIBLE TO VOTE, A QUORUM BEING PRESENT, THE ASSEMBLY SHALL HAVE THE AUTHORITY TO REMAND TO THE BOARD OF TRUSTEES FOR RECONSIDERATION ANY ACTION TAKEN PREVIOUSLY BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE, THE CFO AND THE FINANCE, AUDIT AND COMPLIANCE COMMITTEE. THE RETURN IS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS FOR ADDITIONAL REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. 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. 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 SENIOR 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. THE LAST COMPENSATION REVIEW WAS COMPLETED IN 2015. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF ORGANIZATIONAL DOCUMENTS ARE AVAILABLE BY WRITTEN REQUEST. FORM 990, PART IX, LINE 11G CONSULTANTS 1,624,639. CONTRACTS 238,749. SPEICAL EVENTS 29,742. OTHER PROFESSIONAL FEES 37,003. FORM 990, PART XI, LINE 9: INVESTMENT IN SUBSIDIARY 61,411. 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 91615 1671676 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 WASHINGTON HOSPITAL SERVICES INC Q 316285 COST