CHP OF WASHINGTON: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CHP OF WASHINGTON (EIN 91-1729710)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-10-26
IRS object ID
201542999349301374
Schema version
2014v5.0
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

FieldValueIRS element (for citing)
Return2015-10-26T19:55:39-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1178 S RIO GRANDE STREET SUITE 400AddressLine1Txt
CitySALT LAKE CITYCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911729710EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH PLAN OF WASHINGTONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% STACY KESSELInCareOfNm
Business Name ControlCOMMBusinessNameControlTxt
Phone2066527174PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 OLIVE WAYAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTACY KESSELPersonNm
Person TitleCFOPersonTitleTxt
Signature2015-10-23SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHANNON DEFORESTPreparerPersonNm
PTINP00712229PTIN
Phone8013503300PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLANCE HUNSINGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 OLIVE WAYAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,075,740,413GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.CHPW.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionDeliver managed care services.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent22VotingMembersIndependentCnt
Total Employee478TotalEmployeeCnt
Total Volunteers1TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$872,740,820PYProgramServiceRevenueAmt
CY Program Service Revenue$999,075,704CYProgramServiceRevenueAmt
PY Investment Income$6,067,058PYInvestmentIncomeAmt
CY Investment Income$8,935,734CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$878,807,878PYTotalRevenueAmt
CY Total Revenue$1,008,011,438CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$859,947CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$42,180,973PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$35,025,977CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$818,183,427PYOtherExpensesAmt
CY Other Expenses$1,012,263,876CYOtherExpensesAmt
PY Total Expenses$860,364,400PYTotalExpensesAmt
CY Total Expenses$1,048,149,800CYTotalExpensesAmt
PY Revenues Less Expenses$18,443,478PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$40,138,362CYRevenuesLessExpensesAmt
Total Assets BOY$376,921,612TotalAssetsBOYAmt
Total Assets EOY$562,126,499TotalAssetsEOYAmt
Total Liabilities BOY$239,122,874TotalLiabilitiesBOYAmt
Total Liabilities EOY$463,539,710TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$137,798,738NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$98,586,789NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo deliver accessible managed care services which meet the needs and improve the health of our communities, and make managed care participation beneficial for community-responsive providers.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$952,119,182ExpenseAmt
Grant$859,947GrantAmt
Revenue$999,075,704RevenueAmt
DescSEE SCHEDULE O.Desc
Total Program Service Expenses$952,119,182TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4695IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee478EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member22IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTACY KESSELPersonNm
Phone2065218833PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 OLIVE WAY SUITE 300AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Desmond Skubi
Board Member1.01.0Yes (X)$0$0$0
Teresita Batayola
Board Member1.01.0Yes (X)$0$0$0
Mark Secord
Board Member1.01.0Yes (X)$0$0$0
Desiree Sweeney
Board Member1.01.0Yes (X)$0$0$0
Juan Cordova
Board Member1.01.0Yes (X)$0$0$0
Steven Clark
Board Vice Chair1.01.0Yes (X)$0$0$0Yes (X)
Anita Monoian
Board Member1.01.0Yes (X)$0$0$0
Peggy Hopkins
Board Chair (Part Year)1.01.0Yes (X)$0$0$0Yes (X)
Thomas Trompeter
Vice Chair (Part Year)1.01.0Yes (X)$0$0$0Yes (X)
Sheila Chilson
Board Chair1.01.0Yes (X)$0$0$0Yes (X)
Barbara Malich
Board Secretary1.01.0Yes (X)$0$0$0Yes (X)
Linda McVeigh
Board Member1.01.0Yes (X)$0$0$0
Carla DewBerry
Board Member1.01.0Yes (X)$0$0$0
Cristobal Guillen
Board Member1.01.0Yes (X)$13,200$0$0
Diana Bader
Board Member1.01.0Yes (X)$7,200$0$0
David Flentge
Board Member1.01.0Yes (X)$0$0$0
Carlos Olivares
Board Member1.01.0Yes (X)$0$0$0
Michael Maples MD
Board Member1.01.0Yes (X)$0$0$0
Patrick Bucknum
Board Member1.01.0Yes (X)$0$0$0
Bob Farrell
Board Treasurer1.01.0Yes (X)$0$0$0Yes (X)
Dian Cooper
Board Member1.01.0Yes (X)$0$0$0
Michael Hassing
Board Member1.01.0Yes (X)$0$0$0
Lance Hunsinger
Chief Executive Officer28.012.0$731,364$0$28,102Yes (X)
Wade J Harman
Chief Legal Officer28.012.0$332,927$0$20,360Yes (X)
Stacy Kessel
Chief Financial Officer28.012.0$388,496$0$19,214Yes (X)
Marilee K McGuire
Chief Operating Officer28.012.0$429,410$0$26,280Yes (X)
Alan Lederman
Chief Administrative Officer28.012.0$375,183$0$24,200Yes (X)
Victor Collymore
Chief Medical Officer28.012.0$435,094$0$26,942Yes (X)
Pam Sullivan
VP, Human Resources37.03.0$203,487$0$22,614Yes (X)
Stephen Swanson
VP, Information Technology40.00.0$224,982$0$16,460Yes (X)
Mike Evans
VP, Customer Care Ops28.012.0$229,608$0$23,360Yes (X)
Abie Castillo
VP, Provider Services/Network28.012.0$236,119$0$23,203Yes (X)
David DiGiuseppe
Director of Medicare Strategy40.00.0$172,746$0$14,674Yes (X)
Julie Keeffe
Director, Exchange Strategy &28.012.0$180,864$0$24,669Yes (X)
Kathy Brostoff
Senior Medical Director30.010.0$249,013$0$22,804Yes (X)
Robert Bray
VP, Sales & Marketing27.013.0$216,887$0$14,285Yes (X)
Marie Faulring
Director of Financial Operatio29.011.0$179,932$0$18,608Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,606,512TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$325,775TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K54IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ARCADIA SOLUTIONS LLC
20 BLANCHARD RD STE 10BURLINGTONMA01803SOFTWARE CONSULTING$1,748,756
TEK SYSTEMS INC
7437 RACE ROADHANOVERMD21076IT CONTRACTING$1,355,035
KFORCE PROFESSIONAL STAFFING
PO BOX 277997ATLANTAGA30384IT CONSULTING$1,297,368
CENSEO HEALTH LLC
4055 VALLEY VIEW LANE SUITE 400DALLASTX75244HEALTHCARE CONSULT$728,625
MOLLY BROWN TEMPS INC
1300 114TH AVE SE STE 251BELLEVUEWA98004OFFICE CONTRACTING$619,913
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K22CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPremium EarnedDesc
Business900099BusinessCd
Total Revenue Column$999,075,704TotalRevenueColumnAmt
Related Or Exempt Func Income$999,075,704RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$999,075,704TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,193,806TotalRevenueColumnAmt
Exclusion$4,193,806ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$72,470,903SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$67,728,975SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,741,928SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,741,928TotalRevenueColumnAmt
Exclusion$4,741,928ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,008,011,438TotalRevenueColumnAmt
Related Or Exempt Func Income$999,075,704RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,935,734ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$859,947TotalAmt
Program Services$859,947ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,907,443TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,907,443ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$28,330,991TotalAmt
Program Services$2,785,777ProgramServicesAmt
Management And General$25,545,214ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$858,631TotalAmt
Program Services$107,588ProgramServicesAmt
Management And General$751,043ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,928,912TotalAmt
Program Services$187,077ProgramServicesAmt
Management And General$1,741,835ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$784,899TotalAmt
Program Services$0ProgramServicesAmt
Management And General$784,899ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,495,799TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,495,799ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$43,219,997TotalAmt
Program Services$17,144,262ProgramServicesAmt
Management And General$26,075,735ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$827,357TotalAmt
Program Services$2,120ProgramServicesAmt
Management And General$825,237ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,515,092TotalAmt
Program Services$133,266ProgramServicesAmt
Management And General$2,381,826ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$286,671TotalAmt
Program Services$0ProgramServicesAmt
Management And General$286,671ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,428,514TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,428,514ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$433,837TotalAmt
Program Services$13,856ProgramServicesAmt
Management And General$419,981ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,533,085TotalAmt
Program Services$575,926ProgramServicesAmt
Management And General$6,957,159ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$327,137TotalAmt
Program Services$8,166ProgramServicesAmt
Management And General$318,971ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL AND HOSPITAL EXPENSE$927,044,191$927,044,191$0$0
TAXES, LICENSES AND FEES$19,721,296$0$19,721,296$0
COLLECTION AND BANK SERVICES$201,174$0$201,174$0
BOARDS, BUREAUS AND ASSOC.$188,551$730$187,821$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,256,276TotalAmt
Program Services$3,256,276ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,048,149,800TotalAmt
Program Services$952,119,182ProgramServicesAmt
Management And General$96,030,618ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$162,072,127BOYAmt
EOY$251,734,813EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$21,677,629BOYAmt
EOY$59,165,179EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,375,793LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,691,524LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,152,409BOYAmt
EOY$684,269EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$185,025,348BOYAmt
EOY$239,955,777EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,994,099BOYAmt
EOY$10,586,461EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$376,921,612BOYAmt
EOY$562,126,499EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$239,122,874BOYAmt
EOY$463,539,710EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$239,122,874BOYAmt
EOY$463,539,710EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$14,738,448BOYAmt
EOY$14,738,449EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$123,060,290BOYAmt
EOY$83,848,340EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$137,798,738BOYAmt
EOY$98,586,789EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$376,921,612BOYAmt
EOY$562,126,499EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$40,138,362ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,033,162NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,959,575OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,375,793OtherCostOrOtherBasisAmt
Depreciation$1,691,524DepreciationAmt
Book Value$684,269BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$684,269TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,008,011,438TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,008,011,438RevenueSubtotalAmt
Total Revenue Per Form990$1,008,011,438TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,048,149,800TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,048,149,800ExpensesSubtotalAmt
Total Expenses Per Form990$1,048,149,800TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationFIN 48 (ASC 740) FOOTNOTE AS OF DECEMBER 31, 2014 AND 2013, THE COMPANY HAS NO UNCERTAIN TAX POSITIONS, AND IN ACCORDANCE WITH ACCOUNTING GUIDANCE, HAS NOT RECORDED A CONTINGENT LIABILITY. THERE ARE NO TAX POSITIONS FOR WHICH MANAGEMENT BELIEVES IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNT OF TAX CONTINGENCIES WILL SIGNIFICANTLY INCREASE OR DECREASE WITHIN 12 MONTHS OF THE REPORTING DATE.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH NETWORK OF WASHINGTONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 OLIVE WAYAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
Recipient EIN911577184RecipientEIN
IRC Section501(C)(4)IRCSectionDesc
Cash Grant$859,947CashGrantAmt
Purpose Of GrantMEMBER CENTERS QUALITY AND IMPROVEMENTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org0Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationDESCR OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE ONLY GRANT PROVIDED WAS TO A RELATED ORGANIZATION. DUE TO THIS FACT, NO MONITORING OF GRANTS WAS NECESSARY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Lance Hunsinger
Chief Executive Officer$713,763$0$101$0$17,500$0$23,000$0$5,102$0$759,466$0$0$0
Wade J Harman
Chief Legal Officer$259,160$0$73,767$0$0$0$17,500$0$2,860$0$353,287$0$0$0
Stacy Kessel
Chief Financial Officer$297,566$0$90,930$0$0$0$17,500$0$1,714$0$407,710$0$0$0
Marilee K McGuire
Chief Operating Officer$332,105$0$97,305$0$0$0$23,000$0$3,280$0$455,690$0$0$0
Victor Collymore
Chief Medical Officer$324,424$0$93,170$0$17,500$0$23,000$0$3,942$0$462,036$0$0$0
Alan Lederman
Chief Administrative Officer$287,021$0$88,162$0$0$0$23,000$0$1,200$0$399,383$0$0$0
Pam Sullivan
VP, Human Resources$170,997$0$32,490$0$0$0$17,500$0$5,114$0$226,101$0$0$0
Stephen Swanson
VP, Information Technology$187,206$0$37,776$0$0$0$13,666$0$2,794$0$241,442$0$0$0
Mike Evans
VP, Customer Care Ops$191,242$0$38,366$0$0$0$23,000$0$360$0$252,968$0$0$0
Abie Castillo
VP, Provider Services/Network$197,368$0$38,751$0$0$0$19,209$0$3,994$0$259,322$0$0$0
David DiGiuseppe
Director of Medicare Strategy$147,106$0$25,640$0$0$0$10,593$0$4,081$0$187,420$0$0$0
Julie Keeffe
Director, Exchange Strategy &$151,331$0$29,533$0$0$0$23,000$0$1,669$0$205,533$0$0$0
Kathy Brostoff
Senior Medical Director$217,247$0$14,310$0$17,456$0$22,444$0$360$0$271,817$0$0$0
Robert Bray
VP, Sales & Marketing$188,800$0$28,087$0$0$0$13,085$0$1,200$0$231,172$0$0$0
Marie Faulring
Director of Financial Operatio$150,769$0$29,163$0$0$0$17,399$0$1,209$0$198,540$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2ON JANUARY 1, 2014, THE AFFORDABLE CARE ACT INCREASED MEDICAID ELIGIBILITY LIMITS, BRINGING HEALTH CARE COVERAGE FOR APPLE HEALTH EXPANSION (AHE) PROGRAM. IN ADDITION, THE PLAN BEGAN PROVIDING HEALTH INSURANCE FOR INDIVIDUALS COVERED THROUGH THE STATE-BASED HEALTH INSURANCE MARKETPLACE (THE EXCHANGE) CALLED COMMUNITY HEALTHESSENTIALS. COMMUNITY HEALTHESSENTIALS IS OFFERED BY THE PLAN AND ADMINISTERED BY FIRST CHOICE HEALTH. THERE ARE THREE DIFFERENT COVERAGE LEVELS AVAILABLE IN 26 COUNTIES: GOLD, SILVER, AND BRONZE.
FORM 990, PART III, LINE 4ATHE COMMUNITY HEALTH PLAN OF WASHINGTON (CHPW) PROVIDES HEALTH INSURANCE COVERAGE TO ENROLLEES OF THE WASHINGTON STATE HEALTH CARE AUTHORITYS (HCA) MANAGED MEDICAID AND MANAGED CARE SERVICES: APPLE HEALTH FAMILY (AHF), THE STATE CHILDRENS HEALTH INSURANCE PROGRAM (SCHIP), AND APPLE HEALTH BLIND AND DISABLED (AHBD). ON JANUARY 1, 2014, THE AFFORDABLE CARE ACT INCREASED MEDICAID ELIGIBILITY LIMITS, BRINGING HEALTH CARE COVERAGE FOR APPLE HEALTH EXPANSION (AHE) PROGRAM. IN ADDITION, THE PLAN BEGAN PROVIDING HEALTH INSURANCE FOR INDIVIDUALS COVERED THROUGH THE STATE-BASED HEALTH INSURANCE MARKETPLACE (THE EXCHANGE) CALLED COMMUNITY HEALTHESSENTIALS. COMMUNITY HEALTHESSENTIALS IS OFFERED BY THE PLAN AND ADMINISTERED BY FIRST CHOICE HEALTH. THERE ARE THREE DIFFERENT COVERAGE LEVELS AVAILABLE IN 26 COUNTIES: GOLD, SILVER, AND BRONZE. THE PLAN ALSO PROVIDES HEALTH INSURANCE COVERAGE TO ENROLLEES OF THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) MEDICARE ADVANTAGE (MA) PROGRAM. COVERAGE IS PROVIDED THROUGH A NETWORK OF CONTRACTED PROVIDERS.
FORM 990, PART VI, LINE 6DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE ORGANIZATION HAS 1 CORPORATE MEMBER, COMMUNITY HEALTH NETWORK OF WASHINGTON (CHNW), A RELATED 501(C)(4) TAX EXEMPT ENTITY.
FORM 990, PART VI, LINE 7ADESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE BOARD OF DIRECTORS OF THE SOLE CORPORATE MEMBER, COMMUNITY HEALTH NETWORK OF WASHINGTON (CHNW), ELECTS THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD OF DIRECTORS MUST MEET THE QUALIFICATIONS TO BE A CHNW BOARD MEMBER. DURING 2014, ALL CHPW BOARD MEMBERS SERVED ON THE CHNW BOARD.
FORM 990, PART VI, LINE 7BDESCRIPTION OF CLASSES OF PERSON AND DECISIONS REQUIRING APPROVAL THE FOLLOWING POWERS RELATED TO CHPW ARE RESERVED TO CHNW BY ITS BYLAWS: A) AMENDMENT TO THE ARTICLES OF INCORPORATION, B) AMENDMENT TO THE BYLAWS, C) REMOVAL OF ONE OR MORE DIRECTORS FROM THE BOARD, D) APPROVAL OF ARTICLES OF MERGER, E) APPROVAL OF THE SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CHPW OTHER THAN IN THE ORDINARY COURSE OF BUSINESS,AND F) APPROVAL OF THE VOLUNTARY DISSOLUTION OF CHPW.
FORM 990, PART VI, LINE 11BDESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE 990 AND ALL REQUIRED SCHEDULES ARE REVIEWED BY THE DIRECTOR OF FINANCIAL REPORTING, CHIEF FINANCIAL OFFICER, CHIEF LEGAL OFFICER, AND CHIEF EXECUTIVE OFFICER. THE CHIEF FNANCIAL OFFICER THEN PRESENTS IT TO THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, LINE 12CDESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST ALL DIRECTORS, OFFICERS, AND SENIOR EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE POTENTIAL CONFLICTS OF INTEREST WITH RESPECT TO BOARD MEMBERS. POTENTIAL CONFLICTS ARE DISCLOSED PRIOR TO DELIBERATIONS; IF AN ACTUAL CONFLICT EXISTS, THE INDIVIDUAL WITH THE CONFLICT WILL NOT PARTICIPATE AND IS ASKED TO LEAVE THE MEETING DURING FINAL DELIBERATIONS AND VOTE. EMPLOYEES ARE GOVERNED BY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY; ACTUAL OR POTENTIAL CONFLICTS MUST BE DISCLOSED TO HUMAN RESOURCES DEPARTMENT OR CORPORATE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER, IN COOPERATION WITH HUMAN RESOURCES, WILL REVIEW THE CONFLICT AND ADVISE THE EMPLOYEE WITH POTENTIAL CONFLICT CONCERNING ANY LIMITATIONS THEY MUST OBSERVE IN REGARDS TO THE CONFLICT OF INTEREST.
FORM 990, PART VI, LINE 15A AND 15BOFFICERS & POSITIONS FOR WHICH PROCESS USED & YEAR PROCESS BEGAN AT LEAST ANNUALLY, THE CHPW HUMAN RESOURCES DEPARTMENT REVIEWS COMPENSATION OF ALL EMPLOYEES (INCLUDING EMPLOYED OFFICERS AND KEY EMPLOYEES). THE CHPW HUMAN RESOURCES DEPARTMENT UTILIZES SEVERAL INDEPENDENT THIRD PARTY COMPENSATION SURVEYS TO MAKE RECOMMENDATIONS ABOUT EMPLOYED OFFICER AND KEY EMPLOYEE COMPENSATION. UTILIZING THAT INFORMATION, THE CHPW CEO SETS THE COMPENSATION FOR EMPLOYED OFFICERS AND KEY EMPLOYEES. THE CHPW CEO COMPENSATION IS SET BY THE EXECUTIVE COMMITTEE OF THE CHPW BOARD OF DIRECTORS BASED UPON INDEPENDENT THIRD PARTY COMPENSATION INFORMATION AND PROFESSIONAL OPINION. THE DELIBERATIONS AND APPROVAL OF CEO COMPENSATION ARE RECORDED IN THE BOARD MINUTES. THIS PROCESS WAS LASTED COMPLETED IN DECEMBER 2014.
FORM 990, PART VI, LINE 19AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC COPIES OF GOVERNANCE DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE BY REQUEST MADE TO THE CORPORATE OFFICES AT 720 OLIVE WAY, SUITE 300 SEATTLE, WA 98101 OR BY FAXING A REQUEST TO (206)521-8834. ALSO, THE STATUTORY AUDITED FINANCIAL STATEMENTS ARE POSTED ON THE OFFICE OF INSURANCE COMMISSIONER WEBSITE.
FORM 990, PART VIIBOARD COMPENSATION THE FOLLOWING INDIVIDUALS SERVE ON THE BOARD OF COMMUNITY HEALTH PLAN OF WASHINGTON (CHPW) IN CONNECTION WITH THEIR ROLES AS THE CEO OR EXECUTIVE DIRECTOR OF THE TAX-EXEMPT COMMUNITY HEALTH CENTER OR CLINIC (CHC) MEMBERS OF COMMUNITY HEALTH NETWORK OF WASHINGTON. THESE INDIVIDUALS DO NOT RECEIVE COMPENSATION FOR THE BOARD SERVICE; HOWEVER, CHPW PAYS THEIR RESPECTIVE CHC A STIPEND FOR SUCH SERVICE. - ANITA MONOIAN - BARBARA MALICH - BOB FARRELL - CARLOS OLIVARES - DAVID FLENTGE - DESIREE SWEENEY - DESMOND SKUBI - DIAN COOPER - JUAN CORDOVA - LINDA MCVEIGH - MARK SECORD - MICHAEL HASSING - MICHAEL MAPLES - PATRICK BUCKNUM - PEGGY HOPKINS - SHEILA CHILSON - STEVEN CLARK - TERESITA BATAYOLA - THOMAS TROMPETER
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS CHANGE IN NONADMITTED ASSETS 1,959,575

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH NETWORK OF WASHINGTONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 OLIVE WAY SUITE 300AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
EIN911577184EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Exempt Code Section501(c)(4)ExemptCodeSectionTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH NETWORK OF WASHINGTONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$859,947InvolvedAmt
Method Of Amount DeterminationACCRUALMethodOfAmountDeterminationTxt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.