2015-10-26T19:55:39-05:00 2014-12-31 ERNST & YOUNG US LLP 178 S RIO GRANDE STREET SUITE 400 SALT LAKE CITY UT 84101 990 2014-01-01 911729710 COMMUNITY HEALTH PLAN OF WASHINGTON % STACY KESSEL COMM 2066527174 720 OLIVE WAY SEATTLE WA 98101 STACY KESSEL CFO 2015-10-23 SHANNON DEFOREST P00712229 8013503300 2014 2016-02-25 16:41:14Z LANCE HUNSINGER 720 OLIVE WAY SEATTLE WA 98101 1075740413 false X WWW.CHPW.ORG X 1996 WA Deliver managed care services. 22 22 478 1 0 0 0 872740820 999075704 6067058 8935734 0 0 878807878 1008011438 0 859947 0 0 42180973 35025977 0 0 0 818183427 1012263876 860364400 1048149800 18443478 -40138362 376921612 562126499 239122874 463539710 137798738 98586789 X To 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. true false 952119182 859947 999075704 SEE SCHEDULE O. 952119182 false false false false false false false false false 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Mike Evans VP, Customer Care Ops 28.0 12.0 X 229608 0 23360 Abie Castillo VP, Provider Services/Network 28.0 12.0 X 236119 0 23203 David DiGiuseppe Director of Medicare Strategy 40.0 0.0 X 172746 0 14674 Julie Keeffe Director, Exchange Strategy & 28.0 12.0 X 180864 0 24669 Kathy Brostoff Senior Medical Director 30.0 10.0 X 249013 0 22804 Robert Bray VP, Sales & Marketing 27.0 13.0 X 216887 0 14285 Marie Faulring Director of Financial Operatio 29.0 11.0 X 179932 0 18608 4606512 0 325775 54 false true false ARCADIA SOLUTIONS LLC 20 BLANCHARD RD STE 10 BURLINGTON MA 01803 SOFTWARE CONSULTING 1748756 TEK SYSTEMS INC 7437 RACE ROAD HANOVER MD 21076 IT CONTRACTING 1355035 KFORCE PROFESSIONAL STAFFING PO BOX 277997 ATLANTA GA 30384 IT CONSULTING 1297368 CENSEO HEALTH LLC 4055 VALLEY VIEW LANE SUITE 400 DALLAS TX 75244 HEALTHCARE CONSULT 728625 MOLLY BROWN TEMPS INC 1300 114TH AVE SE STE 251 BELLEVUE WA 98004 OFFICE CONTRACTING 619913 22 0 0 0 Premium Earned 900099 999075704 999075704 0 0 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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. true COMMUNITY HEALTH NETWORK OF WASHINGTON 720 OLIVE WAY SEATTLE WA 98101 911577184 501(C)(4) 859947 MEMBER CENTERS QUALITY AND IMPROVEMENT 0 1 SCHEDULE I, PART I, LINE 2 DESCR 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. X X X false false false false false false false false false Lance Hunsinger Chief Executive Officer 713763 0 101 0 17500 0 23000 0 5102 0 759466 0 0 0 Wade J Harman Chief Legal Officer 259160 0 73767 0 0 0 17500 0 2860 0 353287 0 0 0 Stacy Kessel Chief Financial Officer 297566 0 90930 0 0 0 17500 0 1714 0 407710 0 0 0 Marilee K McGuire Chief Operating Officer 332105 0 97305 0 0 0 23000 0 3280 0 455690 0 0 0 Victor Collymore Chief Medical Officer 324424 0 93170 0 17500 0 23000 0 3942 0 462036 0 0 0 Alan Lederman Chief Administrative Officer 287021 0 88162 0 0 0 23000 0 1200 0 399383 0 0 0 Pam Sullivan VP, Human Resources 170997 0 32490 0 0 0 17500 0 5114 0 226101 0 0 0 Stephen Swanson VP, Information Technology 187206 0 37776 0 0 0 13666 0 2794 0 241442 0 0 0 Mike Evans VP, Customer Care Ops 191242 0 38366 0 0 0 23000 0 360 0 252968 0 0 0 Abie Castillo VP, Provider Services/Network 197368 0 38751 0 0 0 19209 0 3994 0 259322 0 0 0 David DiGiuseppe Director of Medicare Strategy 147106 0 25640 0 0 0 10593 0 4081 0 187420 0 0 0 Julie Keeffe Director, Exchange Strategy & 151331 0 29533 0 0 0 23000 0 1669 0 205533 0 0 0 Kathy Brostoff Senior Medical Director 217247 0 14310 0 17456 0 22444 0 360 0 271817 0 0 0 Robert Bray VP, Sales & Marketing 188800 0 28087 0 0 0 13085 0 1200 0 231172 0 0 0 Marie Faulring Director of Financial Operatio 150769 0 29163 0 0 0 17399 0 1209 0 198540 0 0 0 FORM 990, PART III, LINE 2 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. FORM 990, PART III, LINE 4A THE 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 6 DESCRIPTION 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 7A DESCRIPTION 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 7B DESCRIPTION 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 11B DESCRIBE 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 12C DESCRIPTION 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 15B OFFICERS & 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 19 AVAIL 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 VII BOARD 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 9 OTHER CHANGES IN NET ASSETS CHANGE IN NONADMITTED ASSETS 1,959,575 COMMUNITY HEALTH NETWORK OF WASHINGTON 720 OLIVE WAY SUITE 300 SEATTLE WA 98101 911577184 HEALTHCARE WA 501(c)(4) NA false false true false false false false false false false false false true true true true true true true true COMMUNITY HEALTH NETWORK OF WASHINGTON B 859947 ACCRUAL