CHP OF WASHINGTON: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CHP OF WASHINGTON (EIN 91-1729710)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201103189349303015
Schema version
2010v3.4
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)
Timestamp2011-11-14T10:58:52-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1390 N ORANGE AVE SUITE 1700AddressLine1
CityORLANDOCity
StateFLState
ZIP Code32713ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911729710EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH PLAN OF WASHINGTONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone2066138997Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 OLIVE WAYAddressLine1
CitySEATTLECity
StateWAState
ZIP Code98101ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLANCE HUNSINGERName
TitleCEOTitle
Date Signed2011-11-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4078726600Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALAN LEDERMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1720 OLIVE WAYAddressLine1
CitySEATTLECity
StateWAState
ZIP Code98101ZIPCode
FieldValueIRS element (for citing)
Gross Receipts653071400GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.CHPW.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionDELIVER MANAGED CARE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees295TotalNbrEmployees
Total Nbr Volunteers1TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year558581353ProgramServiceRevenuePriorYear
Program Service Revenue CY610158112ProgramServiceRevenueCY
Investment Income Prior Year-14489InvestmentIncomePriorYear
Investment Income Current Year5358555InvestmentIncomeCurrentYear
Other Revenue Prior Year879742OtherRevenuePriorYear
Other Revenue Current Year15720OtherRevenueCurrentYear
Total Revenue Prior Year559446606TotalRevenuePriorYear
Total Revenue Current Year615532387TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year30704652SalariesEtcPriorYear
Salaries Etc Current Year30966434SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year524592724OtherExpensePriorYear
Other Expenses Current Year563180484OtherExpensesCurrentYear
Total Expenses Prior Year555297376TotalExpensesPriorYear
Total Expenses Current Year594146918TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4149230RevenuesLessExpensesPriorYear
Revenues Less Expenses CY21385469RevenuesLessExpensesCY
Total Assets BOY150862399TotalAssetsBOY
Total Assets EOY183279638TotalAssetsEOY
Total Liabilities BOY81411386TotalLiabilitiesBOY
Total Liabilities EOY90690621TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY69451013NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY92589017NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense529001639Expense
Grants0Grants
Revenue610173833Revenue
DescriptionTHE 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.Description
Total Program Service Expense529001639TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962021NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees295NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLANCE HUNSINGERNamePerson
Telephone Number2065218833TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1720 OLIVE WAY SUITE 300AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98101ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
LINDA MCVEIGH
CHAIR OF THE BOARD1.0XX4550000
DIANA BADER
VICE CHAIR OF THE BOARD1.0XX1200000
THOMAS TROMPETER
DIRECTOR, TREASURER1.0XX3520000
PEGGY HOPKINS
DIRECTOR, SECRETARY1.0XX1560000
GREGORY BRANDENBURG
DIRECTOR1.0X960000
MARK SECORD
DIRECTOR1.0X1200000
JUAN OLIVARES
DIRECTOR1.0X2040000
DIAN COOPER
DIRECTOR1.0X1680000
MALCOLM BUTLER
DIRECTOR1.0X1410000
CARLA DEWBERY
DIRECTOR1.0X000
CRISTOBAL GUILLEN
DIRECTOR1.0X1440000
LANCE HUNSINGER
CHIEF EXECUTIVE OFFICER32.0X482609031121
ALAN LEDERMAN
CHIEF FINANCIAL OFFICER32.0X242720015950
CHRISTOPHER MATHEWS
SVP & CHIEF MEDICAL OFFICER32.0X288835014581
MARILEE MCGUIRE
CHIEF ADMINISTRATIVE OFFICER32.0X232657016189
WADE HARMAN
VP & GENERAL COUNSEL32.0X196640015225
HOWARD SPRINGER
SVP, BUSINESS DEVELOPMENT32.0214443019425X
STACY KESSEL
VP OF STRATEGIC PLANNING32.0186834019390X
LAURA BOYD
VP HR & ORG EFFECTIVENESS32.0175944016486X
JOGARATNAM VERNIDHARAN
MEDICAL DIRECTOR32.0225206015172X
MICHAEL EVANS
VP OF CUSTOMER SERVICE32.0175710010526X
LUCY SUTPHEN
MEDICAL MANAGEMENT32.017231409808X
ABIE CASTILLO
VP OF NETWORK DEVELOPMENT32.0167443014057X
RACHEL TONG-SIEW KOH
AVP, PHARMACY32.0146990010663X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3103945TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation208593TotalOtherCompensation
Number Individuals GT100 K33NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ZEOMEGA LLC
3010 GAYLORD PARKWAY SUITE 210FRISCOTX75034SOFTWARE CONSULTING1387549
BRIGHTLIGHT CONSULTING INC
168TH NE SUITE 103REDMONDWA98052IT CONSULTING769211
MOLLY BROWN TEMP INC
114TH AVE SE STE 251BELLEVUEWA98004CS TEMPORARY726323
OLEEN HEALTHCARE INFORMATION
GEORGIA AVENUE SUITE 600SILVER SPRINGMD20910HEALTHCARE CONSULT.605261
AEROTEK INC
7301 PARKWAY DRHANOVERMD21076CS TEMPORARY406891
FieldValueIRS element (for citing)
Number Of Contractors GT100 K29NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPREMIUMS EARNEDDescription
Business Code900099BusinessCode
Total Revenue Column610158112TotalRevenueColumn
Related Or Exempt Function Income610158112RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue610158112TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2850749TotalRevenueColumn
Exclusion$2,850,749ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities40046819Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities37539013Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2507806Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2507806TotalRevenueColumn
Exclusion$2,507,806ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column15720TotalRevenueColumn
Related Or Exempt Function Income15720RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue15720TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column615532387TotalRevenueColumn
Related Or Exempt Function Income610173832RelatedOrExemptFunctionIncome
Exclusion$5,358,555ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2765475Total
Program Services0ProgramServices
Management And General2765475ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total26132028Total
Program Services2486772ProgramServices
Management And General23645256ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total586950Total
Program Services24035ProgramServices
Management And General562915ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1481981Total
Program Services177359ProgramServices
Management And General1304622ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total164490Total
Program Services0ProgramServices
Management And General164490ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3462642Total
Program Services143253ProgramServices
Management And General3319389ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1659058Total
Program Services0ProgramServices
Management And General1659058ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3913131Total
Program Services50716ProgramServices
Management And General3862415ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total397903Total
Program Services0ProgramServices
Management And General397903ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2748214Total
Program Services0ProgramServices
Management And General2748214ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total276255Total
Program Services9227ProgramServices
Management And General267028ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4791329Total
Program Services310558ProgramServices
Management And General4480771ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total256923Total
Program Services9612ProgramServices
Management And General247311ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
OUTSOURCED SERVICES247702275433717226850
BOARDS, BUREAUS AND ASSOC.30911730733060440
TAXES, LICENSES AND FEES2925262611560923176917030
MEDICAL AND HOSPITAL EXPENSES51345597351345597300
OTHER EXPENSE - P2P158011580100

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total594146918Total
Program Services529001639ProgramServices
Management And General65145279ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY64503056BOY
EOY69290877EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6729425BOY
EOY9887241EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3252367LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2979784LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY530606BOY
EOY272583EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY76338438BOY
EOY101152499EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2760874BOY
EOY2676438EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY150862399BOY
EOY183279638EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY81411386BOY
EOY90690621EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY81411386BOY
EOY90690621EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY33559486BOY
EOY33559486EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY35891527BOY
EOY59029531EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY69451013BOY
EOY92589017EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY150862399BOY
EOY183279638EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses21385469ReconcilationRevenueExpenses
Reconcilation Other Changes1752535ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3252367OtherCostOrOtherBasis
Depreciation2979784Depreciation
Book Value272583BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings272583TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue615532387TotalRevenue
Total Expenses594146918TotalExpenses
Excess Or Deficit For Year21385469ExcessOrDeficitForYear
Net Unrealized GL On Investments2058633NetUnrealizedGLOnInvestments
Other-$306,098OtherAmount
Total Adjustments1752535TotalAdjustments
Excess Or Deficit Per FS23138004ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt615516586TotRevenueEtcAuditedFinclStmt
Revenue Subtotal615516586RevenueSubtotal
Other Revenues Not Included15801OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt15801RevenueNotRptdOnFinStmt
Total Revenue Per Form990615532387TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt594131117TotExpensesEtcAuditedFinclStmt
Expenses Subtotal594131117ExpensesSubtotal
Other Expenses Not Included15801OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt15801ExpensesNotRptdOnFinStmt
Total Expenses Per Form990594146918TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER CHANGE IN RECONCILIATION OF CHANGE IN NET ASSETSSCHEDULE D, PART XI, LINE 8CHANGE IN NONADMITTED ASSETS $ (306,098)
OTHER CHANGE IN RECONCILIATION OF REVENUE PER AFSSCHEDULE D, PART XII, LINE 4BRECLASS OF EXPENSES FROM OTHER INCOME $15,801
OTHER CHANGE IN RECONCILIATION OF EXPENSES PER AFSSCHEDULE D, PART XIII, LINE 4BRECLASS OF EXPENSES FROM OTHER INCOME $15,801

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LANCE HUNSINGER
39444208816700025564055570513730000
ALAN LEDERMAN
2427200000014870010800258670000
CHRISTOPHER MATHEWS
283170000566501434102400303416000
MARILEE MCGUIRE
2326570000014395017940248846000
WADE HARMAN
1966400000011865033600211865000
HOWARD SPRINGER
2144430000013868055570233868000
STACY KESSEL
1868340000014508048820206224000
LAURA BOYD
1759440000013562029240192430000
JOGARATNAM VERNIDHARAN
225206000001481203600240378000
MICHAEL EVANS
175710000001028602400186236000
LUCY SUTPHEN
172314000001666081420182122000
ABIE CASTILLO
167443000009900041570181500000
RACHEL TONG-SIEW KOH
146990000008923017400157653000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
ExplanationFOR THE EXECUTIVE LEADERSHIP TEAM, THE BONUS WAS DETERMINED BASED ON THE plan agreement that was in place for 2010. The structure of the Executive compensation plan was that the bonus was based 75% on organizational goals and 25% on individual goals. The organizational goals were common across all of the Executive team, while the individual goals were based on the individual Executive's area of responsibility, their goals and accountabilities. The structure of the plan was reviewed by the Board of Directors.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Classes of Members or StockholdersForm 990, Part VI, Line 6THE ORGANIZATION HAS 1 CORPORATE MEMBER, COMMUNITY HEALTH NETWORK OF WASHINGTON ("CHNW"), A 501(c)(4) TAX EXEMPT ENTITY.
Description of Classes of Persons and the Nature of Their RightsForm 990, Part VI, Line 7aTHE 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 2010, CHNW AND THE ORGANIZATION HAD IDENTICAL BOARDS OF DIRECTORS.
Describe the Process used by Management &/or Governing Body to Review 990Form 990, Part VI, Line 11THE 990 IS REVIEWED BY THE ASSISTANT CONTROLLER, CONTROLLER, CHIEF FINANCIAL OFFICER, VICE PRESIDENT AND GENERAL COUNSEL, AND CHIEF EXECUTIVE OFFICER. THE CHIEF FINANCIAL OFFICER THEN PRESENTS IT TO THE FINANCIAL COMMITTEE AND THE BOARD OF DIRECTORS FOR REVIEW AND APPROVALS BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. IT IS RECORDED IN THE BOARD MINUTES; RECORDING BOARD ACTION TO APPROVE FORM 990.
Description of Process to Monitor Transactions for Conflicts of InterestForm 990, Part VI, Line 12cALL 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 THE HUMAN RESOURCES DEPARTMENT OR CORPORATE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER, IN COOPERATION WITH HUMAN RESOURCES, WILL REVIEW THE CONFLICT AND ADVISE THE EMPLOYEE WITH A 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 BegunForm 990, Part VI, Line 15AAT 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 2010.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen PublicForm 990, Part VI, Line 19COPIES 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 OrganizationsForm 990, Part VIIEMPLOYEES ARE LEASED FROM COMMUNITY HEALTH PLAN OF WASHINGTON ("CHPW", WHICH IS AN AFFILIATE OF THE ORGANIZATION). THE OFFICERS, KEY EMPLOYEES, AND FIVE HIGHEST PAID EMPLOYEES REPORTED IN PART VII DEVOTE A COMBINED AVERAGE TOTAL OF 40 HOURS PER WEEK TO CHNW AND CHPW.
Other Changes in Net AssetsForm 990, Part XI, Line 5Unrealized gains on investments = 1,752,534

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH NETWORK OF WASHINGTONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1720 OLIVE WAY SUITE 300AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98101ZIPCode
FieldValueIRS element (for citing)
EIN911577184EIN
Primary ActivitiesHEALTHCAREPrimaryActivities
Legal Domicile StateWALegalDomicileState
Exempt Code Section501(c)(4)ExemptCodeSection
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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