2011-11-14T10:58:52-06:00 2010-12-31 ERNST & YOUNG US LLP 390 N ORANGE AVE SUITE 1700 ORLANDO FL 32713 990 2010-01-01 911729710 COMMUNITY HEALTH PLAN OF WASHINGTON COMM 2066138997 720 OLIVE WAY SEATTLE WA 98101 LANCE HUNSINGER 2011-11-09 4078726600 2010 2016-03-07 17:11:31Z ALAN LEDERMAN 720 OLIVE WAY SEATTLE WA 98101 653071400 false X WWW.CHPW.ORG X 1996 WA DELIVER MANAGED CARE SERVICES 11 11 295 1 0 0 0 0 558581353 610158112 -14489 5358555 879742 15720 559446606 615532387 0 0 0 0 30704652 30966434 0 0 0 524592724 563180484 555297376 594146918 4149230 21385469 150862399 183279638 81411386 90690621 69451013 92589017 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 529001639 0 610173833 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. 529001639 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 false false false true 2021 0 true 295 true false false false false false false X 11 11 false false false false true true false true true false false true true true true true true true false false WA X LANCE HUNSINGER 2065218833 720 OLIVE WAY SUITE 300 SEATTLE WA 98101 X LINDA MCVEIGH 1.0 X X 45500 0 0 DIANA BADER 1.0 X X 12000 0 0 THOMAS TROMPETER 1.0 X X 35200 0 0 PEGGY HOPKINS 1.0 X X 15600 0 0 GREGORY BRANDENBURG 1.0 X 9600 0 0 MARK SECORD 1.0 X 12000 0 0 JUAN OLIVARES 1.0 X 20400 0 0 DIAN COOPER 1.0 X 16800 0 0 MALCOLM BUTLER 1.0 X 14100 0 0 CARLA DEWBERY 1.0 X 0 0 0 CRISTOBAL GUILLEN 1.0 X 14400 0 0 LANCE HUNSINGER 32.0 X 482609 0 31121 ALAN LEDERMAN 32.0 X 242720 0 15950 CHRISTOPHER MATHEWS 32.0 X 288835 0 14581 MARILEE MCGUIRE 32.0 X 232657 0 16189 WADE HARMAN 32.0 X 196640 0 15225 HOWARD SPRINGER 32.0 X 214443 0 19425 STACY KESSEL 32.0 X 186834 0 19390 LAURA BOYD 32.0 X 175944 0 16486 JOGARATNAM VERNIDHARAN 32.0 X 225206 0 15172 MICHAEL EVANS 32.0 X 175710 0 10526 LUCY SUTPHEN 32.0 X 172314 0 9808 ABIE CASTILLO 32.0 X 167443 0 14057 RACHEL TONG-SIEW KOH 32.0 X 146990 0 10663 3103945 0 208593 33 false true false ZEOMEGA LLC 3010 GAYLORD PARKWAY SUITE 210 FRISCO TX 75034 SOFTWARE CONSULTING 1387549 BRIGHTLIGHT CONSULTING INC 168TH NE SUITE 103 REDMOND WA 98052 IT CONSULTING 769211 MOLLY BROWN TEMP INC 114TH AVE SE STE 251 BELLEVUE WA 98004 CS TEMPORARY 726323 OLEEN HEALTHCARE INFORMATION GEORGIA AVENUE SUITE 600 SILVER SPRING MD 20910 HEALTHCARE CONSULT. 605261 AEROTEK INC 7301 PARKWAY DR HANOVER MD 21076 CS TEMPORARY 406891 29 0 PREMIUMS EARNED 900099 610158112 610158112 610158112 2850749 2850749 0 0 40046819 37539013 2507806 2507806 2507806 0 0 0 MISC REVENUE 900099 15720 15720 15720 615532387 610173832 5358555 0 0 0 0 0 0 0 0 2765475 0 2765475 0 0 0 0 0 26132028 2486772 23645256 0 586950 24035 562915 0 0 0 0 0 1481981 177359 1304622 0 0 0 0 0 164490 0 164490 0 3462642 143253 3319389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1659058 0 1659058 0 3913131 50716 3862415 0 397903 0 397903 0 0 0 0 0 2748214 0 2748214 0 276255 9227 267028 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4791329 310558 4480771 0 256923 9612 247311 0 OUTSOURCED SERVICES 2477022 754337 1722685 0 BOARDS, BUREAUS AND ASSOC. 309117 3073 306044 0 TAXES, LICENSES AND FEES 29252626 11560923 17691703 0 MEDICAL AND HOSPITAL EXPENSES 513455973 513455973 0 0 OTHER EXPENSE - P2P 15801 15801 0 0 594146918 529001639 65145279 0 64503056 69290877 6729425 9887241 3252367 2979784 530606 272583 76338438 101152499 2760874 2676438 150862399 183279638 81411386 90690621 81411386 90690621 X 33559486 33559486 35891527 59029531 69451013 92589017 150862399 183279638 X 21385469 1752535 X false true true X false 3252367 2979784 272583 272583 0 0 615532387 594146918 21385469 2058633 -306098 1752535 23138004 615516586 615516586 15801 15801 615532387 594131117 594131117 15801 15801 594146918 OTHER CHANGE IN RECONCILIATION OF CHANGE IN NET ASSETS SCHEDULE D, PART XI, LINE 8 CHANGE IN NONADMITTED ASSETS $ (306,098) OTHER CHANGE IN RECONCILIATION OF REVENUE PER AFS SCHEDULE D, PART XII, LINE 4B RECLASS OF EXPENSES FROM OTHER INCOME $15,801 OTHER CHANGE IN RECONCILIATION OF EXPENSES PER AFS SCHEDULE D, PART XIII, LINE 4B RECLASS OF EXPENSES FROM OTHER INCOME $15,801 X X X false false false false false false false false false LANCE HUNSINGER 394442 0 88167 0 0 0 25564 0 5557 0 513730 0 0 0 ALAN LEDERMAN 242720 0 0 0 0 0 14870 0 1080 0 258670 0 0 0 CHRISTOPHER MATHEWS 283170 0 0 0 5665 0 14341 0 240 0 303416 0 0 0 MARILEE MCGUIRE 232657 0 0 0 0 0 14395 0 1794 0 248846 0 0 0 WADE HARMAN 196640 0 0 0 0 0 11865 0 3360 0 211865 0 0 0 HOWARD SPRINGER 214443 0 0 0 0 0 13868 0 5557 0 233868 0 0 0 STACY KESSEL 186834 0 0 0 0 0 14508 0 4882 0 206224 0 0 0 LAURA BOYD 175944 0 0 0 0 0 13562 0 2924 0 192430 0 0 0 JOGARATNAM VERNIDHARAN 225206 0 0 0 0 0 14812 0 360 0 240378 0 0 0 MICHAEL EVANS 175710 0 0 0 0 0 10286 0 240 0 186236 0 0 0 LUCY SUTPHEN 172314 0 0 0 0 0 1666 0 8142 0 182122 0 0 0 ABIE CASTILLO 167443 0 0 0 0 0 9900 0 4157 0 181500 0 0 0 RACHEL TONG-SIEW KOH 146990 0 0 0 0 0 8923 0 1740 0 157653 0 0 0 Supplemental Compensation Information FOR 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. 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 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 2010, CHNW AND THE ORGANIZATION HAD IDENTICAL BOARDS OF DIRECTORS. Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Line 11 THE 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 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 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 Begun Form 990, Part VI, Line 15A 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 2010. 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 EMPLOYEES 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 Assets Form 990, Part XI, Line 5 Unrealized gains on investments = 1,752,534 COMMUNITY HEALTH NETWORK OF WASHINGTON 720 OLIVE WAY SUITE 300 SEATTLE WA 98101 911577184 HEALTHCARE WA 501(c)(4) false false false false false false false false false false false false true true true true true true true