2012-10-09T17:41:13-05:00 2011-12-31 ERNST & YOUNG US LLP 178 S RIO GRANDE STREET SUITE 400 SALT LAKE CITY UT 84101 990 2011-01-01 911729710 COMMUNITY HEALTH PLAN OF WASHINGTON % LANCE HUNSINGER COMM 2066138997 720 OLIVE WAY SEATTLE WA 98101 STACY A KESSEEL 2012-10-05 8013503300 2011 2016-02-24 21:20:13Z STACY KESSEL 720 OLIVE WAY SEATTLE WA 98101 732085923 false X WWW.CHPW.ORG X 1996 WA DELIVER MANAGED CARE SERVICES 11 11 361 1 0 0 0 610158112 706397907 5358555 3853398 15720 1572688 615532387 711823993 0 0 0 0 30966434 36736155 0 0 0 563180484 663671910 594146918 700408065 21385469 11415928 183279638 210711434 90690621 105662170 92589017 105049264 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. false false 630102496 0 707970595 THE COMMUNITY HEALTH PLAN OF WASHINGTON (THE PLAN) PROVIDES HEALTHCARE SERVICES COVERAGE TO THE ENROLLEES OF THE STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES MEDICAL ASSISTANCE ADMINISTRATION'S (MAA), HEALTHY OPTIONS (HO), CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP), MANAGED MEDICAID PROGRAMS AND THE DISABILITY LIFELINE PROGRAM (DL). THE PLAN ALSO PROVIDES HEALTH COVERAGE TO ENROLLEES OF THE STATE OF WASHINGTON HEALTHCARE AUTHORITY (HCA) BASIC HEALTH PLAN (BHP) AND MEDICARE ADVANTAGE. COVERAGE IS PROVIDED THROUGH A NETWORK OF CONTRACTED PROVIDERS. 630102496 false false false false false false false false false true false false false false true true true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false true 2934 0 true 361 true false false false false false false X 11 11 false false false false true true true true true false false true true true true true true true false false X LANCE HUNSINGER 2065218833 720 OLIVE WAY SUITE 300 SEATTLE WA 98101 X Linda McVeigh 1.0 X X 0 0 0 Diana Bader 1.0 X X 15600 0 0 Thomas Trompeter 1.0 X X 0 0 0 Peggy Hopkins 1.0 X X 0 0 0 Sheila Chilson 1.0 X 0 0 0 Mark Secord 1.0 X 0 0 0 Juan Olivares 1.0 X 0 0 0 Dian Cooper 1.0 X 0 0 0 Malcom Butler 1.0 X 0 0 0 Carla DewBerry 1.0 X 0 0 0 Cristobal Guillen 1.0 X 26400 0 0 Lance Hunsinger 32.0 X 527326 0 63280 Stacy Kessel 32.0 X 278848 0 36914 Wade Harman 32.0 X 275268 0 42346 Marilee Mcguire 32.0 X 347208 0 47274 Christopher Mathews 32.0 X 240679 0 23300 Alan Lederman 32.0 X 338609 0 48361 Howard Springer 32.0 X 305512 0 52121 Laura Boyd 32.0 X 193239 0 15258 Jogaratnam Vernidharan MD 32.0 X 261619 0 40600 Abie Castillo 32.0 X 227563 0 45299 Michael Evans 32.0 X 219478 0 32712 Lucy Sutphen 32.0 X 218626 0 24948 Rachel Tong-Siew Koh 32.0 X 184560 0 27882 3660535 0 500295 59 false true false Zeomega Inc 3010 Gaylord Parkway Suite 210 FRISCO TX 75034 SOFTWARE CONSULTING 865899 Oleen HealthCare Information 8484 Georgia Avenue Suite 600 SILVER SPRING MD 20910 HEALTHCARE CONSULT. 785550 Aerotek Inc 7301 Parkway Dr HANOVER MD 21076 CS TEMPORARY 764346 CensoHealth LLC 4055 Valley View Lane Suite 400 DALLAS TX 75244 HEALTHCARE CONSULT. 665625 IRP Global LLC 10408 Marchant Ln IRVING TX 75063 IT CONSULTING 638534 28 0 PREMIUM EARNED 900099 706397907 706397907 706397907 2906649 2906649 0 0 21208679 20261930 946749 946749 946749 0 0 0 MCS HOSPITAL SAVING REVENUE 900099 1572688 1572688 1572688 711823993 707970595 3853398 0 0 0 0 2953317 2953317 0 31602285 3471125 28131160 586950 24035 562915 0 1593603 218980 1374623 0 469564 469564 4531048 472969 4058079 0 0 0 0 1184253 1184253 3252340 161135 3091205 311095 311095 0 2871775 2871775 411273 14714 396559 0 0 0 0 5038238 192945 4845293 283193 4300 278893 MEDICAL AND HOSPITAL EXPENSES 613366536 613366536 TAXES, LICENSES, AND FEES 16159274 16159274 OUTSOURCED SERVICES 15471764 12037799 3433965 BOARDS, BUREAUS, AND ASSOC. 190413 6814 183599 131144 131144 700408065 630102496 70305569 0 69290877 65203058 0 0 0 0 9887241 7982496 0 0 0 0 0 0 0 0 0 0 3857455 3215797 272583 641658 101152499 134076388 0 0 0 0 0 0 2676438 2807834 183279638 210711434 90690621 105662170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90690621 105662170 X 0 0 33559486 33559486 59029531 71489778 92589017 105049264 183279638 210711434 X 11415928 1044319 X false true true X false 3857455 3215797 641658 641658 0 0 711823993 700408065 11415928 -260055 1304374 1044319 12460247 711692849 -131144 -131144 711823993 711823993 700276921 700276921 131144 131144 700408065 FIN 48 (ASC 740) FOOTNOTE SCHEDULE D, PART X, LINE 2 AS OF DECEMBER 31, 2011 AND 2010, THE NETWORK 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. OTHER CHANGE IN RECONCILIATION OF CHANGE IN NET ASSETS SCHEDULE D, PART XI, LINE 8 CHANGE IN NONADMITTED ASSETS $1,304,374 OTHER CHANGE IN RECONCILIATION OF REVENUE PER AFS SCHEDULE D, PART XII, LINE 2D RECLASS P2P EXPENSES ($131,144) OTHER CHANGE IN RECONCILIATION OF EXPENSE PER AFS SCHEDULE D, PART XIII, LINE 4B RECLASS OF P2P EXPENSES $131,144 X X X true false false false false false false false false Lance Hunsinger 378826 0 132000 0 16500 0 41231 0 22049 0 590606 0 0 0 Wade Harman 200268 0 75000 0 0 0 33000 0 9346 0 317614 0 0 0 Stacy Kessel 206955 0 71893 0 0 0 22787 0 14127 0 315762 0 0 0 Marilee Mcguire 259289 0 87919 0 0 0 31698 0 15576 0 394482 0 0 0 Christopher Mathews 136528 0 104151 0 0 0 18088 0 5212 0 263979 0 0 0 Alan Lederman 247184 0 91425 0 0 0 29906 0 18455 0 386970 0 0 0 Howard Springer 218667 0 82500 0 4345 0 29072 0 23049 0 357633 0 0 0 Laura Boyd 38707 0 63722 0 90810 0 12500 0 2758 0 208497 0 0 0 Jogaratnam Vernidharan MD 210869 0 50750 0 0 0 25374 0 15226 0 302219 0 0 0 Abie Castillo 172453 0 38610 0 16500 0 23666 0 21633 0 272862 0 0 0 Michael Evans 179889 0 39589 0 0 0 26366 0 6346 0 252190 0 0 0 Lucy Sutphen 161526 0 40600 0 16500 0 7370 0 17578 0 243574 0 0 0 Rachel Tong-Siew Koh 151098 0 33462 0 0 0 19460 0 8422 0 212442 0 0 0 SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIUDAL RECEIVED A SEVERANCE PAYMENT IN 2011: LAURA BOYD - $90,810 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 THE ORGANIZATION HAS 1 CORPORATE MEMBER, COMMUNITY HEALTH NETWORK OF WASHINGTON ("CHNW"), A RELATED 501(C)(4) TAX EXEMPT ENTITY. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A THE BOARD OF DIRECTORS OF THE SOLE CORPORATE MEMBER, CHNW, ELECTS THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD OF DIRECTORS MUST MEET THE QUALIFICATIONS TO BE A CHNW BOARD MEMBER. DURING 2011, CHNW AND THE ORGANIZATION HAD IDENTICAL BOARDS OF DIRECTORS. DESCRIPTION OF CLASSES OF PERSON AND DECISIONS REQUIRING APPROVAL FORM 990, PART VI, LINE 7B 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. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B THE 990 IS REVIEWED BY THE ASSISTANT CONTROLLER, CONTROLLER, CHIEF FINANCIAL OFFICER, CHIEF LEGAL OFFICER, AND CHIEF EXECUTIVE OFFICER. THE CHIEF FINANCIAL OFFICER THEN PRESENTS IT TO THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C 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 CONFLICTS 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, LINE 15A AND 15B 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 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 LAST COMPLETED IN 2011. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 COPIES OF GOVERNANCE DOCUMENTS, CONFLICT 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 PLAN FINANCIAL STATEMENTS ARE POSTED ON THE OIC WEBSITE. HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII THE OFFICERS, KEY EMPLOYEES, AND FIVE HIGHEST PAID EMPLOYEES REPORTED IN PART VII DEVOTE 8 HOURS PER WEEK TO CHNW. BOARD COMPENSATION FORM 990, PART VII 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. - LINDA MCVEIGH - THOMAS TROMPETER - PEGGY HOPKINS - SHEILA CHILSON - MARK SECORD - JUAN OLIVARES - DIAN COOPER - MALCOM BUTLER OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 CHANGE IN NONADMITTED ASSETS $1,304,374 UNREALIZED LOSS ON INVESTMENTS ($ 260,055) ------------ TOTAL $1,044,319 Community Health Network of Washington 720 Olive Way Suite 300 Seattle WA 98101 911577184 HealthCare WA 501(C)(4) NA false NW-A HOLDINGS INC DBA ADAPTIS 720 OLIVE WAY SUITE 300 SEATTLE WA 98101 911739404 ADMIN. 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