2015-11-13T15:30:57-06:00 2014-12-31 946214841 ARMANINO LLP 12657 ALCOSTA BOULEVARD SUITE 500 SAN RAMON CA 945834600 990 2014-01-01 460841392 CALIFORNIA HEALTHCARE PERFORMANCE INFORMATION SYSTEM CALI 4152818660 575 MARKET STREET NO 600 SAN FRANCISCO CA 94105 JOHN STENERSON TREASURER 4152818660 2015-11-12 1 JOHN PANETTA P00365375 9257902600 2014 2016-03-07 17:11:31Z JOHN STENERSON 575 MARKET STREET NO 600 SAN FRANCISCO CA 94105 3393754 0 X WWW.CHPIS.ORG X 2012 CA TO SERVE AS A TRUSTED SOURCE OF HEALTHCARE INFORMATION BY ACCURATELY MEASURING THE QUALITY AND COST OF CARE, REPORTING PERFORMANCE RATINGS, EDUCATING THE PUBLIC ABOUT HEALTHCARE VALUE, AND HELPING DRIVE IMPROVEMENTS IN HEALTHCARE IN CALIFORNIA. 9 8 0 9 0 0 431195 139805 1500000 3253949 0 0 0 0 1931195 3393754 0 0 0 0 3312 2313 0 0 0 1602297 2764266 1605609 2766579 325586 627175 3266619 2884681 2941033 1931920 325586 952761 X CHPI'S MISSION IS TO SERVE AS A TRUSTED SOURCE OF HEALTHCARE INFORMATION BY ACCURATELY MEASURING THE QUALITY AND COST OF CARE, REPORTING PERFORMANCE RATINGS, EDUCATING THE PUBLIC ABOUT HEALTHCARE VALUE, AND HELPING DRIVE IMPROVEMENTS IN HEALTHCARE IN CALIFORNIA. CHPI'S VISION IS FOR CONSUMERS, PURCHASERS, AND PROVIDERS OF HEALTHCARE TO HAVE INFORMATION NECESSARY TO DRIVE A HIGH VALUE HEALTHCARE SYSTEM IN CA.THE FOLLOWING REPRESENT THE KEY OBJECTIVES OF CHPI:- PRODUCE PERFORMANCE RATINGS OF PHYSICIANS, MEDICAL GROUPS, HOSPITALS AND OTHER PROVIDERS.- SUPPORT THE EDUCATION OF THE PUBLIC ABOUT PERFORMANCE INFORMATION AND SUPPORT POLICIES THAT ENHANCE THE PUBLIC'S ABILITY TO ACCESS INFORMATION ON COST AND QUALITY.- CONTINUE TO MEASURE PATIENT EXPERIENCE WITH MEDICAL GROUPS IN COLLABORATION WITH HEALTH PLANS AND THE CALIFORNIA PAY FOR PERFORMANCE PROGRAM- ACHIEVE MEASUREMENT SYSTEM EFFICIENCIES BY SERVING AS A CENTRAL CLAIMS DATA RESOURCE IN CALIFORNIA. 0 0 966104 1500000 CHPI IS ASSEMBLING A MASSIVE DATABASE. ONCE THE RIGOROUS STATISTICAL ANALYSES AND AUDITS ARE COMPLETE, CHPI WILL RELEASE PERFORMANCE INFORMATION TO AN ON-LINE PUBLISHER. AS A DIRECT RESULT OF CHPI'S PIONEERING WORK, CA WILL BE THE FIRST STATE TO BENEFIT FROM PUBLISHED RATINGS AT THE INDIVIDUAL DOCTOR LEVEL. THIS INFORMATION MAY BE USED BY HEALTH PLANS TO DEVELOP HIGH-PERFORMING NETWORKS AND TO REPORT IN MEMBER DOCTOR DIRECTORIES. FURTHERMORE, IT WILL ENABLE CA CONSUMERS TO MAKE MORE INFORMED HEALTH CARE CHOICES, FOSTERING ACCOUNTABILITY AMONG CA DOCTORS AND INCENTIVIZING THEM TO IMPROVE THE QUALITY OF CARE. 1702621 1753949 THE PATIENT ASSESSMENT SURVEY (PAS), WHICH HAS BEEN ADMINISTERED FOR OVER A DECADE, IS AN ANNUAL SURVEY TO ASSESS PATIENT EXPERIENCE WITH MEDICAL GROUPS' CARE AND SERVICES AMONG ADULT HMO AND POS ENROLLEES IN CALIFORNIA. PAS IS THE NATION'S LARGEST SYSTEM FOR EVALUATING AND PUBLISHING PHYSICIAN GROUP RATINGS BASED ON THE PATIENT'S EXPERIENCE AND PARTICIPATING MEDICAL GROUPS PROVIDE CARE TO MORE THAN 90% OF COMMERCIALLY INSURED HMO AND POS PATIENTS IN CALIFORNIA. THE PAS SURVEY CONTAINS A SET OF PATIENT EXPERIENCE MEASURES ON ACCESS, PATIENT-DOCTOR INTERACTIONS, OFFICE STAFF INTERACTIONS, COORDINATION OF CARE, HEALTH PROMOTION, AND OVERALL RATINGS OF CARE. THE SURVEY IS BASED ON THE INDUSTRY-STANDARD CG-CAHPS INSTRUMENT WITH SOME CUSTOMIZATION FOR TOPICS OF INTEREST LOCALLY. 2668725 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 9 0 0 0 0 0 0 0 0 X 9 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X ISRAEL GHEBRETINSAE 4152818660 575 MARKET STREET SUITE 600 SAN FRANCISCO CA 94105 TOM MCCAFFERY PRESIDENT 1.00 X X 0 0 0 DAVID LANSKY ASST SECRETARY 1.00 X X 2103 0 210 JEFFREY MASON MD SECRETARY 1.00 X X 0 0 0 JOHN STENERSON TREASURER 1.00 X X 0 0 0 STEVE BARRON BOARD DIRECTOR 1.00 X 0 0 0 ANN BOYNTON BOARD DIRECTOR 1.00 X 0 0 0 ELIZABETH HELMS BOARD DIRECTOR 1.00 X 0 0 0 STEVEN SCOTT BOARD DIRECTOR 1.00 X 0 0 0 BARTON WALD MD BOARD DIRECTOR 1.00 X 0 0 0 2103 0 210 0 0 0 0 CENTER FOR THE STUDY OF SERVICES 1625 K ST NW 8TH FL WASHINGTON DC 20006 PAS DATA SUBMISSION TO CAHPS 1132019 MILLIMAN INC 1301 FIFTH AVENUE STE 3800 SEATTLE WA 98101 DATA COLLECTION 144000 2 139805 139805 HEALTH PLAN CONTRIBUTIONS 900099 3253949 3253949 3253949 3393754 0 0 3253949 X 2313 2313 44643 36673 7970 18656 18656 1241767 1241767 717 255 462 7735 4682 3053 13311 6771 6540 1213608 1213608 79829 79829 DATA AGGREGATOR SERVICE 144000 144000 2766579 2668725 97854 0 769712 2742662 1496907 1000000 104136 37883 3266619 2884681 494692 2941033 1437228 2941033 1931920 X 325586 952761 325586 952761 3266619 2884681 627175 0 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 3393754 0 3393754 0 3393754 2766579 0 2766579 0 2766579 PART X, LINE 2: CALIFORNIA HEALTHCARE PERFORMANCE INFORMATION SYSTEMS HAS BEEN GRANTED TAX EXEMPT STATUS UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE AND UNDER SECTION 2370L(D) OF THE CALIFORNIA FRANCHISE TAX BOARD. CHPI HAS EVALUATED ITS CURRENT TAX POSITIONS AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2014, CHPI DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY. CHPI FILES U.S. FEDERAL, AND CALIFORNIA STATE TAX RETURNS AS APPLICABLE. PACIFIC BUSINESS GROUP ON HEALTH AN ENTITY OF WHICH A CURRENT DIRECTOR IS AN OFFICER. 2313 CHPI ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT WITH PACIFIC BUSINESS GROUP ON HEALTH ("PBGH") TO PROVIDE PROGRAM STAFF, CONTRACT MANAGEMENT, OPERATIONS AND GOVERNANCE SERVICES. THE AGREEMENT IS EFFECTIVE FROM JANUARY 1, 2013 THROUGH DECEMBER 31, 2015. THE AGREEMENT REQUIRES CHPI TO PAY PBGH A FIXED MONTHLY FEE OF $99,087 PLUS REIMBURSEMENT FOR ANY INCURRED MISCELLANEOUS EXPENSES AND TAXES. TOTAL PROFESSIONAL SERVICE FEES INCURRED DURING 2014 WERE $1,213,608. PBGH'S PRESIDENT & CEO, DAVID LANSKY, IS ALSO A BOARD MEMBER OF CHPI AND RECEIVED COMPENSATION OF $2,313 FROM PBGH FOR SERVICES PROVIDED TO CHPI. 0 FORM 990, PART VI, SECTION A, LINE 3 CHPI ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT WITH PACIFIC BUSINESS GROUP ON HEALTH ("PBGH") TO PROVIDE PROGRAM STAFF, CONTRACT MANAGEMENT, OPERATIONS AND GOVERNANCE SERVICES. THE AGREEMENT IS EFFECTIVE FROM JANUARY 1, 2013 THROUGH DECEMBER 31, 2015. THE AGREEMENT REQUIRES CHPI TO PAY PBGH A FIXED MONTHLY FEE OF $99,087 PLUS REIMBURSEMENT FOR ANY INCURRED MISCELLANEOUS EXPENSES AND TAXES. TOTAL PROFESSIONAL SERVICE FEES INCURRED DURING 2014 WERE $1,213,608. PBGH'S PRESIDENT & CEO, DAVID LANSKY, IS ALSO A BOARD MEMBER OF CHPI AND RECEIVED COMPENSATION OF $2,313 FROM PBGH FOR SERVICES PROVIDED TO CHPI. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY A PUBLIC ACCOUNTING FIRM. A DRAFT OF THE FORM 990 IS FORWARDED TO THE FINANCE DEPARTMENT OF PBGH FOR REVIEW. FOLLOWING THAT REVIEW, THE FORM 990 IS FORWARDED TO CHPI'S PRESIDENT AND TREASURER AND THEN TO ALL MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 COPIES ARE AVAILABLE BY INQUIRY TO ISRAEL GHEBRETINSAE, CHPI, 575 MARKET STREET, SUITE 600, SAN FRANCISCO, CA 94105 FORM 990, PART IX, LINE 11G DATA SCORING/METHODS SERVICES CONSULTANT: PROGRAM SERVICE EXPENSES 16,825. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,825. CONSULTING: PROGRAM SERVICE EXPENSES 1,224,942. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,224,942.