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CHP OF WASHINGTON: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CHP OF WASHINGTON (EIN 91-1729710)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-09-30
IRS object ID
201632749349301033
Schema version
2015v2.1
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)
Return2016-09-30T16:14:45-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Moss Adams LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12707 Colby Avenue Suite 801AddressLine1Txt
CityEverettCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

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)
Business Name ControlCOMMBusinessNameControlTxt
Phone2066527174PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 Olive Way No 300AddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMarilee K McGuirePersonNm
Person TitleCOOPersonTitleTxt
Phone2066527174PhoneNum
Signature2016-09-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAngela M FidlerPreparerPersonNm
PTINP01254538PTIN
Phone4252597227PhoneNum
Preparation2016-09-27PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMarilee K McGuirePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 Olive Way No 300AddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,205,319,572GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
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 Body21VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee410TotalEmployeeCnt
Total Volunteers1TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$999,075,704PYProgramServiceRevenueAmt
CY Program Service Revenue$1,070,237,192CYProgramServiceRevenueAmt
PY Investment Income$8,935,734PYInvestmentIncomeAmt
CY Investment Income$4,172,616CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$10,353,891CYOtherRevenueAmt
PY Total Revenue$1,008,011,438PYTotalRevenueAmt
CY Total Revenue$1,084,763,699CYTotalRevenueAmt
PY Grants And Similar Paid$859,947PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$35,025,977PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$36,506,208CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,012,263,876PYOtherExpensesAmt
CY Other Expenses$1,008,619,818CYOtherExpensesAmt
PY Total Expenses$1,048,149,800PYTotalExpensesAmt
CY Total Expenses$1,045,126,026CYTotalExpensesAmt
PY Revenues Less Expenses-$40,138,362PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$39,637,673CYRevenuesLessExpensesAmt
Total Assets BOY$562,126,499TotalAssetsBOYAmt
Total Assets EOY$502,034,871TotalAssetsEOYAmt
Total Liabilities BOY$463,539,710TotalLiabilitiesBOYAmt
Total Liabilities EOY$362,999,897TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$98,586,789NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$139,034,974NetAssetsOrFundBalancesEOYAmt
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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$952,277,409ExpenseAmt
Revenue$1,070,237,192RevenueAmt
DescTHE COMMUNITY HEALTH PLAN OF WASHINGTON (CHPW) PROVIDES HEALTH AUTHORITY'S (HCA) MANAGED MEDICAID AND MANAGED CARE SERVICES: APPLE HEALTH FAMILY (AHF), THE STATE CHILDREN'S 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, CHPW BEGAN PROVIDING HEALTH INSURANCE FOR INDIVIDUALS COVERED THROUGH THE STATE - BASED HEALTH INSURANCE MARKETPLACE (THE EXCHANGE) CALLED COMMUNITY HEALTHESSENTIALS. CHPW 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.Desc
Total Program Service Expenses$952,277,409TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4804IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee410EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Stacey KesselBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2065218833PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 Olive Way No 300AddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Sheila Chilson
Board Chair1.001.00Yes (X)Yes (X)$0$0$0
Steve Clark
Board Vice Chair1.001.00Yes (X)Yes (X)$0$0$0
Carla M DewBerry
Secretary1.001.00Yes (X)Yes (X)$0$0$0
David Flentge
Treasurer1.001.00Yes (X)Yes (X)$0$0$0
Aaron Wilson
Board Member1.001.00Yes (X)$0$0$0
Anita Monoian
Board Member1.001.00Yes (X)$0$0$0
Juan A Al Cordova
Board Member1.001.00Yes (X)$0$0$0
Carlos Olivares
Board Member1.001.00Yes (X)$0$0$0
Cristobal Guillen
Board Member1.001.00Yes (X)$22,800$0$0
Desmond Skubi
Board Member1.001.00Yes (X)$0$0$0
Desiree Sweeney
Board Member1.001.00Yes (X)$0$0$0
Dian Cooper
Board Member1.001.00Yes (X)$0$0$0
Diana G Bader
Board Member1.001.00Yes (X)$14,400$0$0
Heather Findlay
Board Member1.001.00Yes (X)$0$0$0
Jennifer Kreidler-Moss
Board Member1.001.00Yes (X)$0$0$0
Linda mcVeigh
Board Member1.001.00Yes (X)$0$0$0
Mark Secord
Board Member1.001.00Yes (X)$0$0$0
Michael Leong
Board Member1.001.00Yes (X)$0$0$0
Michael Maples MD
Board Member1.001.00Yes (X)$0$0$0
Teresita Batayola
Board Member1.001.00Yes (X)$0$0$0
Thomas Trompeter
Board Member1.001.00Yes (X)$0$0$0
Bob Farrell
Board Member THROUGH 1/13/151.001.00Yes (X)$0$0$0
Peg Hopkins
Board Member THROUGH 4/1/151.001.00Yes (X)$0$0$0
Mike Hassing
Board Member THROUGH 7/3/151.001.00Yes (X)$0$0$0
Barbara Malich
Board Member THROUGH 7/31/151.001.00Yes (X)$0$0$0
Patrick Bucknum
Board Member THROUGH 11/27/151.001.00Yes (X)$0$0$0
Lance Hunsinger
Chief Executive Officer27.0013.00Yes (X)$738,433$0$47,704
Wade J Harman
Chief Legal Officer THROUGH 8/7/1527.0013.00Yes (X)$519,719$0$25,874
Stacy Kessel
Chief Financial Officer27.0013.00Yes (X)$318,989$0$25,894
Marilee K McGuire
Chief Operating Officer27.0013.00Yes (X)$345,165$0$28,110
Alan Lederman
Chief Administrative Officer27.0013.00Yes (X)$298,915$0$24,900
Victor Collymore
Chief Medical Officer27.0013.00Yes (X)$336,722$0$46,232
Pam Sullivan
VP, Talent & Business Process Management36.004.00$183,028$0$23,044Yes (X)
Stephen Swanson
VP, Information Technology40.000.00$194,127$0$14,991Yes (X)
Mike Evans
VP, Customer Experience27.0013.00$198,661$0$24,420Yes (X)
Abie Castillo
SVP, Provider Services/Network Development27.0013.00$209,381$0$21,237Yes (X)
Kathy Brostoff
Senior Medical Director29.0011.00$239,695$0$42,306Yes (X)
Robert Bray
VP, Sales & Marketing26.0014.00$196,245$0$12,729Yes (X)
Yusuf Rashid
Director, Pharmacy34.006.00$159,088$0$11,708Yes (X)
Julie Keefe
Director, Marketplace Strategy27.0013.00$157,450$0$25,376Yes (X)
David DiGiuseppe
VP, Population Health Management40.00$151,988$0$16,198Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,284,806TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$390,723TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

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$1,750,125
KForce Professional Staffing
PO Box 277997AtlantaGA30384IT Consulting$1,404,884
TEK Systems INC
7437 Race RoadHanoverMD21076IT Consulting$939,429
Datec Inc
364 upland driveseattleWA98188It Consulting$593,795
Ernst & Young LLP
3712 Solutions CenterChicagoIL60677Audit Consulting$386,701
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPremium EarnedDesc
Business524114BusinessCd
Total Revenue Column$1,070,237,192TotalRevenueColumnAmt
Related Or Exempt Func Income$1,070,237,192RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,070,237,192TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,653,891TotalRevenueColumnAmt
Exclusion$4,653,891ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$119,130,660SecuritiesAmt
Other$943,938OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$119,236,435SecuritiesAmt
Other$1,319,438OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$105,775SecuritiesAmt
Other-$375,500OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$481,275TotalRevenueColumnAmt
Exclusion-$481,275ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Legal Contingencies541100$10,350,000$10,350,000
Other Income900099$3,891$3,891
FieldValueIRS element (for citing)
Other Revenue Total$10,353,891OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,084,763,699TotalRevenueColumnAmt
Related Or Exempt Func Income$1,080,591,083RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,172,616ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,662,746TotalAmt
Program Services$309,064ProgramServicesAmt
Management And General$3,353,682ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$29,669,586TotalAmt
Program Services$2,503,531ProgramServicesAmt
Management And General$27,166,055ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,055,944TotalAmt
Program Services$106,399ProgramServicesAmt
Management And General$949,545ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,117,932TotalAmt
Program Services$188,480ProgramServicesAmt
Management And General$1,929,452ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$799,659TotalAmt
Management And General$799,659ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,631,187TotalAmt
Management And General$3,631,187ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,908,056TotalAmt
Program Services$14,961,828ProgramServicesAmt
Management And General$18,946,228ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,035,927TotalAmt
Management And General$1,035,927ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,501,349TotalAmt
Program Services$93,682ProgramServicesAmt
Management And General$1,407,667ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$229,729TotalAmt
Management And General$229,729ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,279,594TotalAmt
Management And General$3,279,594ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$488,151TotalAmt
Program Services$13,026ProgramServicesAmt
Management And General$475,125ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$3,309,097TotalAmt
Program Services$3,309,097ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,212,219TotalAmt
Program Services$207,359ProgramServicesAmt
Management And General$6,004,860ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$327,184TotalAmt
Program Services$7,974ProgramServicesAmt
Management And General$319,210ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical and hospital ex$930,573,484$930,573,484
Taxes, Licenses, and fe$18,710,444$18,710,444
Collection and Bank ser$240,852$240,852
Boards, Bureaus and Ass$198,169$3,485$194,684

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,174,717TotalAmt
Management And General$4,174,717ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,045,126,026TotalAmt
Program Services$952,277,409ProgramServicesAmt
Management And General$92,848,617ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$251,734,813BOYAmt
EOY$185,259,381EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$68,156,325BOYAmt
EOY$71,125,728EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,859,995LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,232,076LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$684,269BOYAmt
EOY$627,919EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$239,955,777BOYAmt
EOY$243,664,011EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,595,315BOYAmt
EOY$1,357,832EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$562,126,499BOYAmt
EOY$502,034,871EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$463,539,710BOYAmt
EOY$362,999,897EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$463,539,710BOYAmt
EOY$362,999,897EOYAmt
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$14,738,449BOYAmt
EOY$14,738,448EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$83,848,340BOYAmt
EOY$124,296,526EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$98,586,789BOYAmt
EOY$139,034,974EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$562,126,499BOYAmt
EOY$502,034,871EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$39,637,673ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$999,660NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,810,172OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,859,995OtherCostOrOtherBasisAmt
Depreciation$2,232,076DepreciationAmt
Book Value$627,919BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$627,919TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,084,763,699TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,084,763,699RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,084,763,699TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,045,126,026TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,045,126,026ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,045,126,026TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationAs of December 31, 2015 and 2014, 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

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$738,433$0$0$0$0$0$42,000$0$5,704$0$786,137$0$0$0
Wade J Harman
Chief Legal Officer THROUGH 8/7/15$349,322$0$0$0$170,397$0$24,000$0$1,874$0$545,593$0$0$0
Stacy Kessel
Chief Financial Officer$318,989$0$0$0$0$0$24,000$0$1,894$0$344,883$0$0$0
Marilee K McGuire
Chief Operating Officer$345,165$0$0$0$0$0$24,000$0$4,110$0$373,275$0$0$0
Alan Lederman
Chief Administrative Officer$298,915$0$0$0$0$0$24,000$0$900$0$323,815$0$0$0
Victor Collymore
Chief Medical Officer$336,722$0$0$0$0$0$42,000$0$4,232$0$382,954$0$0$0
Pam Sullivan
VP, Talent & Business Process Manage$183,028$0$0$0$0$0$18,000$0$5,044$0$206,072$0$0$0
Stephen Swanson
VP, Information Technology$194,127$0$0$0$0$0$11,837$0$3,154$0$209,118$0$0$0
Mike Evans
VP, Customer Experience$198,661$0$0$0$0$0$24,000$0$420$0$223,081$0$0$0
Abie Castillo
SVP, Provider Services/Network Devel$209,381$0$0$0$0$0$17,083$0$4,154$0$230,618$0$0$0
Kathy Brostoff
Senior Medical Director$239,695$0$0$0$0$0$41,284$0$1,022$0$282,001$0$0$0
Robert Bray
VP, Sales & Marketing$196,245$0$0$0$0$0$11,829$0$900$0$208,974$0$0$0
Yusuf Rashid
Director, Pharmacy$159,088$0$0$0$0$0$9,668$0$2,040$0$170,796$0$0$0
Julie Keefe
Director, Marketplace Strategy$157,450$0$0$0$0$0$24,000$0$1,376$0$182,826$0$0$0
David DiGiuseppe
VP, Population Health Management$151,988$0$0$0$0$0$9,520$0$6,678$0$168,186$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The 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 last completed in December 2015.
Part I, Line 4aWade Harman, Chief Legal Officer, received a severance payment of $170,397 in 2015.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Description of classes of members or stockholders The organization has one corporate member, community health network of Washingtion (CHNW), a related 501 (c) (4) Tax exempt entity.
Form 990, Part VI, Section A, line 7aThe board of directors of the sole corporate member, Community Health Network of Washington (CHNW), elects the board of directors. Each member of teh board of directors must meet the qualifications to be a CHNW Board Member. During 2015, All CHPW Board members served on the CHNW Board.
Form 990, Part VI, Section A, line 7bThe following powers related to CHPW are reserved to CHNW by its bylaws: A) Amendment of 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, Section B, line 11THE 990 AND ALL REQUIRED SCHEDULES ARE REVIEWED BY THE DIRECTOR OF FINANCIAL REPORTING, CHIEF FINANCIAL 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.
Form 990, Part VI, Section B, line 12cDescription of the 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 convening any limitations they must observe in regards to the conflict of interest.
Form 990, Part VI, Section B, line 15aThe 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 last completed in December 2015.
Form 990, Part VI, Section C, line 19Copies 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 XI, line 9:Change in nonadmitted assets 1,810,172.
Form 990, Part XIICommunity Health Plan of Washington uses the Statutory Basis of accounting.
Form 990, Part VI, Line 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 deparment 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.
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. - Shela Chilson - Thomas Trompeter - Michael Leong - Jennifer Kreidler-Moss - Anita Monoian - Carlos Olivares - David Flentge - Desiree Sweeney - Desmond Skubi - Dian Cooper - Linda McVeigh - Michael Erikson - Juan Cordova - Jesus Hernandez - Michael Maples - Aaron Wilson - Steve Clark - Teresita Batayola - Heather Finlay

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
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd