2015-11-11T11:04:56-06:00 2014-12-31 KPMG LLP 1918 Eighth Avenue Suite 2900 Seattle WA 98101 990 2014-01-01 910511770 GROUP HEALTH COOPERATIVE % MARTIN R DOPPS GROU 2064484683 320 WESTLAKE AVE N Suite 100 SEATTLE WA 981095233 Barbara Belt-Lloyd VP, Chief Accounting Officer 2064484683 2015-11-09 true Sue Robison P00560072 2069134000 2014 2016-02-25 16:41:14Z SCOTT ARMSTRONG 320 WESTLAKE AVE N STE 100 SEATTLE WA 981095233 3525390435 false X WWW.GHC.ORG X 1945 WA TO PROVIDE COMPREHENSIVE, PREVENTION- ORIENTED HEALTH CARE SERVICES TO ITS ENROLLEES AND OTHER PATIENTS IN A MANNER THAT REDUCES COST AS A BARRIER TO CARE. 11 11 8057 486 1424354 46303086 43361597 2810399564 2867051673 34635703 53307207 94937486 71521250 2986275839 3035241727 0 0 0 0 661764835 603375487 0 0 0 2206320139 2316546268 2868084974 2919921755 118190865 115319972 1720534659 1855357995 750153219 896265502 970381440 959092493 X GROUP HEALTH COOPERATIVE ("GROUP HEALTH") IS ONE OF THE NATION'S LARGEST CONSUMER GOVERNED HEALH CARE ORGANIZATIONS. GROUP HEALTH IS GOVERNED BY AN INDEPENDENT BOARD OF TRUSTEES COMPRISED OF 11 CONSUMERS ELECTED BY GROUP HEALTH'S VOTING MEMBERSHIP. ANY PERSON 18 YEARS AND OLDER WHO IS ENROLLED IN A PREPAID HEALTH PLAN OFFERED BY GROUP HEALTH OR A DESIGNATED AFFILIATE OR A SUBSIDIARY ("ENROLLEE") IS ELIGIBLE TO BE A VOTING MEMBER. GROUP HEALTH'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE COMPREHENSIVE, PREVENTION-ORIENTED HEALTH CARE SERVICES TO ITS ENROLLEES AND OTHER PATIENTS IN A MANNER THAT REDUCES COST AS A BARRIER TO CARE AND TO PROVIDE HEALTH-RELATED EDUCATION AND RESEARCH ACTIVITIES THAT BENEFIT THE BROADER COMMUNITY. TO FULFILL THIS PURPOSE, GROUP HEALTH PROVIDES OUTPATIENT PRIMARY AND SPECIALTY CARE AS WELL AS INPATIENT ACUTE AND SUB-ACUTE CARE, THROUGH THE SERVICES OF SALARIED PHSYICIANS, NURSES, AND OTHER HEALTH CARE PRACTITIONERS. THE SALARIED PHSYICIANS ARE EMPLOYED BY GROUP HEA false false 2241008445 0 2872409519 GROUP HEALTH COOPERATIVE ("GROUP HEALTH") PROVIDED HEALTH CARE COVERAGE AND/OR SERVICES TO APPROXIMATELY 354,000 COMMERCIAL GROUP, MEDICARE, MEDICAID, BASIC HEALTH PLAN, AND INDIVIDUAL ENROLLEES IN WASHINGTON AND NORTH IDAHO. MANY MEDICARE AND MEDICAID PATIENTS RECEIVE SUCH SERVICES UNDER CAPITATION CONTRACTS BETWEEN GROUP HEALTH AND GOVERNMENT AGENCIES. PLEASE REFER TO A DESCRIPTION OF THE PROGRAM'S OBJECTIVES IN SCHEDULE H, PART VI.2 AND PART VI.5. 55257535 0 21224339 CARE AND COVERAGE TO 33,070 PEOPLE IN NEED: HEALTH CARE COVERAGE AND SERVICES TO PATIENTS ENROLLED IN GOVERNMENT PROGRAMS. UNREIMBURSED CARE FOR INDIVIDUAL PATIENTS IN NEED. URGENT AND EMERGENCY CARE. PARTNERING WITH SAFETY-NET ORGANIZATIONS. PLEASE REFER TO A DESCRIPTION OF THE PROGRAM'S OBJECTIVES IN SCHEDULE H, PART VI.2 AND PART VI.5. 58671592 0 43497640 HEALTH RESEARCH AND EDUCATION FOR 311 PEOPLE INCLUDING: RESEARCH AND EVIDENCE-BASED CARE. PROFESSIONAL EDUCATION ACTIVITIES. CONSUMER HEALTH EDUCATION. PLEASE REFER TO A DESCRIPTION OF THE PROGRAM'S OBJECTIVES IN SCHEDULE H, PART VI.2 AND PART VI.5. 1260176 0 17071 Healthy Communities 1260176 0 17071 2356197748 true true false true false false false false false false true true false false true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true 7037 0 true 8057 true true true false false false 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 true true true X X MARTIN R DOPPS 2064485146 320 WESTLAKE AVE N SUITE 100 SEATTLE WA 981095233 Porsche Everson Chair, Trustee 7.5 0.3 X X 39855 750 0 Robert Alexander Watt Trustee 6.5 0.2 X 27605 500 0 Susan Joy Byington Vice Chair, Trustee 7.5 0.2 X X 33730 750 0 Jennifer Ann Joly Trustee 6.5 0.2 X 21125 750 0 Harry Harrison Jr Trustee 6.5 0.2 X 27605 250 0 Robert Joel Margulis Trustee 6.5 0.2 X 27605 500 0 Dorothy Anne Ruzicki Trustee 6.5 0.2 X 27605 750 0 Leo Francis Greenawalt Jr Trustee 6.5 0.2 X 21125 750 0 Ruta Elma Fanning Trustee 6.5 0.2 X 21125 750 0 Katherine Bell Trustee 6.5 0.2 X 21125 750 0 Phillip Jeffrey Haas Trustee 6.5 0.2 X 27605 750 0 Scott Elliot Armstrong President & CEO 39.0 1.0 X 2060930 0 194000 Rick Dale Woods EVP; Corp Svcs & Chf Leg Ofcr 40.0 0.0 X 1030743 0 179783 Sarah Barian Yates VP & General Counsel 40.0 0.0 X 566650 0 26872 Breton Clark Myers VP; Treasury 40.0 0.0 X 378050 0 11639 Robert O'Brien EVP; Health Plan Division 40.0 0.0 X 1204795 0 15972 Mark Szalwinski EVP; Group Practice Division 40.0 0.0 X 923331 0 24071 Cynthia Johnson EVP; HR 40.0 0.0 X 995323 0 13435 Ellen Suzanne Daly VP; Network Svcs & Care Mgmt 40.0 0.0 X 463837 0 29100 Christopher Knackstedt EVP; Chief Financial Officer 40.0 0.0 X 618671 0 13933 Dawn Loeliger EVP; Strat Planning & Deploy 40.0 0.0 X 358174 0 27340 Diana Rakow Birkett EVP; Marketing & Pub. Affairs 32.0 8.0 X 353108 0 27340 Eric Larson VP; Group Health Research Inst 39.0 1.0 X 580090 0 23650 Erin Leff VP; clin ops & mkt integration 40.0 0.0 X 481318 0 13327 Barbara Trehearne VP; Clin Excl &Int Chief Nurse 39.0 1.0 X 499758 0 171263 Donald Lewis VP; Chief Technology Officer 40.0 0.0 X 470177 0 8150 Robert Wise VP; Marketing 40.0 0.0 X 483736 0 0 Scott Boyd EVP; Chief Financial Officer 40.0 0.0 X 262346 0 5408 Barbara Ann Belt-Lloyd VP; Chief Accounting Officer 40.0 0.0 X 316065 0 159738 12343212 7250 945021 1193 true true false GROUP HEALTH PERMANENTE 320 WESTLAKE AVE N SUITE 100 SEATTLE WA 981095233 Medical Professional 360314150 VIRGINIA MASON MEDICAL CENTER PO BOX 91046 SEATTLE WA 981119146 Hospital Services 115321273 OVERLAKE HOSPITAL MED CTR PO BOX 34224 SEATTLE WA 98124 Hospital Services 78658923 ST JOSEPH MEDICAL CENTER 1717 S J ST TACOMA WA 98405 Hospital Services 64060910 PEACEHEALTH MEDICAL GROUP WR PO BOX 5096 BELLINGHAM WA 982275096 Hospital Services 61309140 640 2030676 33355904 7975017 13300 43361597 MEDICARE/MEDICAID PAYMENTS 900099 963629111 963629111 FEES AND CONTRACTS FROM GOV'T AGENCIES 900099 697671213 697671213 MEMBER DUES 900099 729011335 729011335 CAPITATION REVENUE 900099 96666255 96666255 NON-COVERED ENROLLEE SVC 900099 124956327 124956327 255117432 255117432 2867051673 36483322 36483322 0 0 0 0 0 491349120 15456967 489981951 251 1367169 15456716 16823885 16823885 0 0 166506 -166506 -166506 ADMIN CONTRACT 561000 65598270 65598270 SALES TO MEMBERS 446199 4382139 4382139 GROUP HEALTH RESEARCH INSTITUTE 541700 1236937 1236937 470410 116487 353923 71687756 3035241727 2937148569 1424354 53307207 0 0 0 0 13524137 13524137 0 493443180 290156453 203286727 41339448 24308589 17030859 11378387 6690765 4687622 43690335 25822157 17868178 0 1779243 1779243 129336 129336 735808 735808 0 1876308 1876308 1722781251 1634113586 88667665 4180184 135085 4045099 335638538 312708956 22929582 32716532 44772 32671760 0 48469654 17539006 30930648 1987262 1365212 622050 0 5394474 1096926 4297548 1087928 34 1087894 0 55294996 30922870 24372126 8308631 7460429 848202 Administrative/Access Fees 8721603 1929537 6792066 Bad Debt Expense 13372305 -12725 13385030 Dues/Licenses/Permits 4121671 372519 3749152 Premium and Business Tax 67817818 1222908 66594910 2132726 320669 1812057 2919921755 2356197748 563724007 0 189536704 105037075 22343469 30129073 8413001 9683476 88172374 100493819 0 0 0 0 823474 0 12822894 16764175 19381216 39991159 1049857328 634991578 422985543 414865750 679518111 815709588 199063900 247131334 23065182 23219041 0 0 54408791 52333505 1720534659 1855357995 356057653 403055830 150000 0 44015890 34381851 129805552 128904435 0 0 0 0 0 0 0 0 220124124 329923386 750153219 896265502 X 953734158 942405809 7349921 7209171 9297361 9477513 970381440 959092493 1720534659 1855357995 X 115319972 15224253 -141833172 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 804876 804876 2919116879 2919921755 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 811312 935937 840359 804876 3392484 250000 250000 250000 250000 1000000 1500000 28297754 28297754 590759337 320878481 269880856 397661636 314113097 83548539 33138601 33138601 414865750 36049243 C 210444691 C ONE HEALTH PORT 637400 C 247131334 0 SELF INSURANCE 66979383 RETIREE MEDICAL 51875000 PENSION LIABILITY 188673707 DEFERRED COMPENSATION 7491633 LEASES 7841089 RENT DIFFERNTIAL 4861392 SECURITY CARE CLAIMS 1891000 OTHER LIABILITIES 310182 329923386 3039327038 6755283 -793664 5961619 3033365419 1876308 1876308 3035241727 2918446877 401430 401430 2918045447 1876308 1876308 2919921755 PART XI LINE 2D OTHER THAN TEMP. IMPAIRED ($540,067) BOOK PARTNERSHIP EARNINGS ($420,103) COGS RECLASS $166,506 ---------- TOTAL ($793,664) PART XII LINE 2D LOSS ON SALE OF ASSETS $241,006 TAX PARTNERSHIP EARNINGS ($6,082) COGS RECLASS $166,506 ---------- TOTAL $401,430 true true true X true X true false true true 703 699560 699560 0.00020 29225 46387699 18941028 27446671 0.00940 1468 1100232 1100232 0.00040 31396 48187491 18941028 29246463 0.01000 5 3361 794192 17071 777121 0.00030 8 311 8977200 8977200 0.00310 6 1674 7070043 2283311 4786732 0.00160 1 49694392 43497640 6196752 0.00210 1 54 187745 187745 0.00010 21 5400 66723572 45798022 20925550 0.00720 21 36796 114911063 64739050 50172013 0.01720 1 16250 16250 1 188566 188566 0.00010 1 16819 16819 3 43604 43604 1 13000 13000 7 278239 278239 0.00010 false 10383047 655324 569570 85754 X true true 1 1 CAPITOL HILL MAIN BUILDING 201 16TH AVE E SEATTLE WA 981125260 www.ghc.org/locations X X CAPITOL HILL MAIN BUILDING 1 false false true X X X X X X X X X 13 true false false true X www1.ghc.org/html/public/about/community true 13 true www1.ghc.org/html/public/about/community false false true X 200. 250. X X true true X X true X X X X true X false X X true X false false Part V, Line 5 The Center For Community Health And Evaluation (CCHE) conducted key informant interviews with 23 individuals representing public health, city government, the healthcare safety net, cultural communities, schools and health advocacy in King County. The findings were also informed by 8 key informant interviews conducted earlier as part of the needs assessment for Virginia Mason Medical Center, one of Group Health's health care partners and 4 public health data experts. The list of 35 key informants/data experts is as follows: -Marguerite Ro, Drph; Chief, Assesment, Policy Development & Evaluation Unit - Public Health-Seattle & King County -Joe Campo, Mph; Senior Forecast Analyst - Washington State Office Of Financial Management -Eva Wong, Phd; Epidemiologist - Public Health-Seattle & King County -Chris Halsell; Assessment Coordinator - Washington State Dept Of Health -Antoinette Angulo, Mph; Director, Preventive Health Services - Sea Mar Community Health Centers -Peter Retztagg; Executive Director - Community For Youth -Richard Brooks; Executive Director - Renton Area Youth And Family Services -Ralph Forquera; Executive Director - Seattle Indian Health Board -Lisa Yohalem; Director, Planning & Development - Healthpoint -Dave Leibman; Commander - Renton Police Department -Ken Weinberg; Ceo - Jewish Family Services Refugee & Immigrant Service Centers -Christopher Williams; Acting Superintendent - Seattle Parks & Recreation -Adam Taylor; Project Manager, Global To Local Initiative - Public Health-Seattle & King County -Colleen Brandt-Schluter; Human Resources Manager - City Of Seatac -Mandi George; Chronic Disease Prevention Director - Ymca Of Greater Seattle -Mark Smith; Chief Operating Officer - Boys & Girls Clubs Of King County -Pramila Jayapal; Executive Director - One America -Abbie Zahler; Community Advocacy Supervisor - International Community Health Services -Jason Berry; Executive Director - Ymca-Auburn Valley -Janet St. Clair; Deputy Director - Asian Counseling & Referral Services -Alice Park; Program Manager - King County Food & Fitness Initiative -Jennifer Ramirez-Robinson; Interim Director - New Futures -Blishda Lacet; Reach Program Coordinator - Public Health-Seattle & King County -Matias Valenzuela; King County Equity & Social Justice Initiative - Public Health-Seattle & King County -Estela Ortega Miguel Maestas; Executive Director Associate Administrator - El Centro De La Raza -Terry Higashiyama; Community Services Administrator - City Of Renton -Greg Dootson; North Puget Sound Director - Lutheran Community Services International -Susan Milleder; Programs Director - American Diabetes Association -Eudora Carter; Chronic Disease Self Management - Center For Multicultural Health -Mark Secord; Executive Director - Neighborcare Health -Sonja Reid; Lead Nurse - Bellevue School District -Trise Moore; Family & Community Partnership Advocate - Federal Way School District -Emily Leslie; Human Services Manager - City Of Bellevue -Jay Bennett; Community Services Manager - City Of Federal Way -Patty Hayes, Rn, Mn; Director, Community Health Services - Public Health-Seattle & King County Part V, Line 11 A list of potential significant health needs was compiled and sent to a broad group of stakeholders who were asked to select priorities according to the following criteria: 1) the severity and urgency of the health needs of the communities served by Group Health Hospital; 2) areas where Group Health has the most leverage to make the biggest impact; 3) stakeholders' perception of the importance the community places on addressing the need; and 4) connection to Group Health's mission, core values, and strategies. The following Implementation Strategies were selected as having the highest priority: Improvements in access to care for underserved populations Important community support was provided to WithinReach, YouthCare, Country Doctor, the Auburn Public Health Center, Project Access NW, Senior Services, HealthPoint and Neighborcare Health to partner with their work to improve access to care for the underserved Promotion of physical activity, improved fitness, and healthy eating a variety of events and programs were sponsored with large crowds participating in bike rides such as the Tour de Whidbey, the Northwest Tulip Pedal and the Cascade Bicycle Club Seattle-to-Portland ride, sports camps held by Seattle Storm Women's Basketball, the Seattle Sounders, and marathons including the Poulsbo Marathon, Bloomsday and the American Cancer Society's Relay for Life. Bike helmets were provided to kids participating in the YMCA Health Kids Day and a program to provide water-filling stations at 9 Seattle-area elementary schools was funded. Cardiovascular diabetes disease prevention Partnerships with the American Heart Association and the Juvenile Diabetes Research Foundation helps to keep this important disease research moving forward. As a result of the feedback received, the following health needs will not be addressed: 1) injury prevention (not the most effective or efficient area of focus for Group Health); 2) tobacco cessation (other organizations are in a better position and are better focused in this area); 3) mental health and substance abuse (although Group Health has a behavioral health unit, this was not considered expertise that it could leverage effectively); and 4) oral health (Group Health does not provide oral health care). Part V, Line 16 Group Health Cooperative's FAP is widely available at www1.ghc.org/html/public/customer-service/financial-assistance. Part V, Line 22d Group Health billing is based on usual, customary and reasonable (UCR) charges for the geographic area, with consideration of actual average costs of care provided by group health to all patients. Maximum charges for FAP-eligible individuals are no more than the amounts generally billed to insured patients for emergency or medically necessary care. Further, charges to eligible individuals for any other care are less than the gross charges for that care. 37 CAPITOL HILL EAST BUILDING 1600 E JOHN ST SEATTLE WA 981125260 MEDICAL CLINIC CAPITOL HILL NORTH BUILDING 310 15TH AVE E SEATTLE WA 981125260 MEDICAL CLINIC CAPITOL HILL SOUTH BUILDING 125 16TH AVE E SEATTLE WA 981125260 MEDICAL CLINIC CAPITOL HILL WEST BUILDING 201 16TH AVE E SEATTLE WA 981125260 MEDICAL CLINIC CAPITOL HILL ANNEX BUILDING 122 16TH AVE E SEATTLE WA 981125260 MEDICAL CLINIC BELLEVUE MEDICAL CENTER 11511 NE 10TH STREET BELLEVUE WA 98004 MEDICAL CENTER BREMERTON BEHAVIORAL HEALTH SERVICES 555 PACIFIC AVE STE 202 BREMERTON WA 98337 BEHAVIORAL HEALTH CLINIC BREMERTON MEDICAL CENTER 2741 WHEATON WAY SUITE A BREMERTON WA 98310 MEDICAL CENTER EVERETT MEDICAL CENTER 2930 MAPLE STREET EVERETT WA 982014261 MEDICAL CENTER DOWNTOWN SEATTLE MEDICAL CENTER 1420 5TH AVE STE 375 SEATTLE WA 98101 MEDICAL CENTER FACTORIA MEDICAL CENTER 13451 SE 36TH STREET BELLEVUE WA 980061454 MEDICAL CENTER KENT MEDICAL CENTER 26004 104TH AVE SE KENT WA 98031 MEDICAL CENTER LIDGERWOOD MEDICAL CENTER 6002 N LIDGERWOOD SPOKANE WA 99208 MEDICAL CENTER LYNNWOOD MEDICAL CENTER 20200 54TH AVENUE W LYNNWOOD WA 980366389 MEDICAL CENTER NORTHGATE MEDICAL CENTER 9800 4TH AVENUE NE SEATTLE WA 981152158 MEDICAL CENTER NORTHGATE SOUTH BUILDING 9720 4TH AVENUE NE SEATTLE WA 98115 MEDICAL CLINIC NORTHSHORE MEDICAL CENTER 11913 NE 195TH STREET BOTHELL WA 980113147 MEDICAL CENTER OLYMPIA MEDICAL CENTER 700 LILLY ROAD NE OLYMPIA WA 985065196 MEDICAL CENTER PORT ORCHARD MEDICAL CENTER 1400 POTTERY AVENUE PORT ORCHARD WA 983663768 MEDICAL CENTER POULSBO MEDICAL CENTER 19379 7TH AVENUE NE POULSBO WA 98370 MEDICAL CENTER PUYALLUP MEDICAL CENTER 611 31ST AVE SW PUYALLUP WA 98374 MEDICAL CENTER RAINIER MEDICAL CENTER 5316 RAINIER AVE S SEATTLE WA 981182398 MEDICAL CENTER REDMOND MEDICAL CENTER 15809 BEAR CREEK PARKWAY SUITE 10 REDMOND WA 980524370 MEDICAL CENTER RENTON MEDICAL CENTER 275 BRONSON WAY NE RENTON WA 980564099 MEDICAL CENTER BURIEN MEDICAL CENTER 140 SW 146TH STREET BURIEN WA 981661997 MEDICAL CENTER RIVERFRONT MEDICAL CENTER 322 W NORTH RIVER DRIVE SPOKANE WA 99201 MEDICAL CENTER SILVERDALE MEDICAL CENTER 10452 SILVERDALE WAY NW SILVERDALE WA 98383 MEDICAL CENTER SOUTH HILL MEDICAL CENTER 4102 S REGAL STREET SUITE 101 SPOKANE WA 992234733 MEDICAL CENTER SILVERDALE EYE CARE SERVICES 10516 SILVERDALE WAY NW SUITE 104 SILVERDALE WA 983838745 MEDICAL CLINIC TACOMA HEAR CENTERAUDIOLOGY & EYE CARE 5821 S SPRAGUE COURT TACOMA WA 98409 MEDICAL CLINIC ST JOSEPH 1708 S YAKIMA AVENUE TACOMA WA 98405 MEDICAL CLINIC TACOMA MEDICAL CENTER 209 MARTIN LUTHER KING JR WAY TACOMA WA 984054267 MEDICAL CENTER TACOMA SOUTH MEDICAL CENTER 9505 S STEELE ST TACOMA WA 984446858 MEDICAL CENTER VERADALE MEDICAL CENTER 14402 E SPRAGUE AVENUE SPOKANE VALLEY WA 992162167 MEDICAL CENTER METROPOLITAN PARK EAST RESEARCH FACILITY 1730 MINOR AVENUE SEATTLE WA 98101 RESEARCH FACILITY TACOMA BEHAVIORAL HEALTH SERVICES 4301 S PINE STREET TACOMA WA 984097206 MEDICAL CLINIC FEDERAL WAY MEDICAL CENTER 301 SOUTH 320TH STREET FEDERAL WAY WA 980035296 MEDICAL CENTER PART I, LINE 3(C) CHARITY CARE ELIGIBILITY CRITERIA GROUP HEALTH PROVIDES FREE CARE TO LOW INCOME INDIVIDUALS AT 200% OF FEDERAL POVERTY GUIDELINES BUT DOES NOT OFFER DISCOUNTED CARE. PART I, LINE 7(F) PERCENT OF TOTAL EXPENSE BAD DEBT EXPENSE IS INCLUDED ON FORM 990, PART IX LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE FOR PART I, LINE 7, COLUMN (F). PART I, LINE 7 PERCENT OF TOTAL EXPENSE COST-TO CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES, WAS USED TO REPORT THE FOLLOWING COMMUNITY BENEFIT EXPENSES: CHARITY CARE AT COST UNREIMBURSED COSTS-OTHER-MEANS TESTED GOVERNMENT PROGRAMS (HEALTHCARE ASSISTANCE) GROUP HEALTH UTILIZED THE STATUTORY LINE OF BUSINESS REPORT AND OTHER INTERNAL REPORTS, THAT PROVIDE DETAILED REVENUE AND EXPENSE BY LINE OF BUSINESS USING THE INCOME STATEMENT AND COST MANAGEMENT DATA (CMD) EXPENSE AND UTILIZATION INFORMATION. ON A MONTHLY BASIS, ALL GAAP GENERAL LEDGER EXPENSES ARE LOADED INTO THE CMD COSTING SYSTEM AT THE ACCOUNTING UNIT (AU) AND ACCOUNT LEVEL ALONG WITH PATIENT UTILIZATION INFORMATION FROM VARIOUS UTILIZATION SYSTEMS. EACH AU IS CATEGORIZED WITHIN CMD AS ONE OF THREE TYPES OF EXPENSES: 1) DELIVERY SYSTEM REPRESENTING MEDICAL SERVICES PROVIDED TO CONSUMERS; 2) HEALTH PLAN REPRESENTING INSURANCE SERVICES; OR 3) OVERHEAD REPRESENTING ADMINISTRATIVE SUPPORT SERVICES TO BOTH DELIVERY SYSTEM AND HEALTH PLAN. OVERHEAD IS ALLOCATED TO EITHER DELIVERY SYSTEM OR HEALTH PLAN USING A STEP DOWN PROCESS BASED ON RELEVANT STATISTICS SUCH AS NUMBER OF FTES, LABOR COST, SQUARE FEET, ETC. THE OVERHEAD ALLOCATION PERCENTAGE BETWEEN DELIVERY SYSTEM AND HEALTH PLAN ARE DETERMINED AND MAINTAINED BY THE CMD COSTING AND COSTING METHODOLOGY REVIEW TEAM. PART II, COMMUNITY BUILDING In 2014, Group Health made significant contributions to the community, both financial and through staff volunteer efforts. Group Health played a key role in the Seattle/King County Clinic which provided free dental, vision, and medical services to more than 3,400 patients. In addition to the 70 staff volunteers, Group Health provided over $75,000 in lab services value for the 4-day clinic, along with 1,500 flu shots and medical supplies. With the support of the Center for Community Health and Evaluation (CCHE), an anonymous survey was provided to collect feedback on and fully understand the patient experience. Data from the survey and subsequent evaluation will be provided to organizers to help plan for future clinics. Throughout the year, Group Health provides free lab services to the Olympia Free Clinic. Care providers from the Clinic are able to refer patients to the nearby Group Health Medical Center in Olympia for lab draws and the results are returned to the clinic. Group Health continues to provide financial support to further the important work of public organizations in our service area including the Puget Sound Blood Center, King County Public Health, Country Doctor, the Northwest Center, Healthpoint, YouthCare, Project Access NW, Neighborcare Health, and food cooperatives and distribution centers. Group Health supported economic and workforce development efforts throughout our area by providing sponsorships to the Yes to Seattle Transit campaign, as well as conferences hosted by the Economic Development Board for Tacoma-Pierce County, the Economic Opportunity Institute and the Urban League of Metropolitan Seattle. Support for the Alliance for Education, the Greater Seattle Business Association, the Bellevue College Foundation and the College Success Foundation help foster opportunities for education. In the area of community health improvement advocacy, Group Health supported the Human Rights Campaign which helps pass legislation that promotes equality in the workplace. Group Health provides community support through our sponsorships of many organizations which host activities and events that support healthy living, specifically physical activity, healthy eating, and chronic disease management. Group Health supports a wide range of community members such as Cascade Bicycle Clubs Seattle-to-Portland bicycle classic, the Major Taylor youth development cycling program, the American Heart Association diabetic cooking classes, the Seattle Storms summer basketball camps, Bloomsday run training clinics, the King County Parks Division Big Backyard and YMCAs healthy kids day. Group Health, in partnership with several state and federal agencies, continues to promote environmental improvements through an innovative patient medication disposal program which allows patients with discontinued or expired medications to dispose of them in a safe and environmentally sound manner. This system involves secure, convenient drop boxes located in 25 Group Health pharmacies across the state to allow members and patients to recycle in a way that keeps them out of landfills and water systems. In addition to environmental benefits, this program also helps prevent risks to the safety of participants such as abuse and accidental poisoning. In 2014, Group Health disposed of over 12,000 pounds of unused medications. PART III, LINE 2, BAD DEBT EXPENSE METHODOLOGY BAD DEBT IS RECORDED WHEN A PATIENT DOES NOT SETTLE THE BILL FOR SERVICES AND THE ACCOUNT IS ASSIGNED TO THE EXTERNAL COLLECTION AGENCY. BAD DEBT ASSIGNMENTS INCLUDE STANDARD: PATIENTS/GUARANTORS WHO DO NOT PAY FOR LEGITIMATE SERVICES AFTER 3 STATEMENTS AND A DELINQUENCY LETTER EXCEPTIONS TO STANDARD: PATIENTS/GUARANTORS WHOSE MAIL IS RETURNED TO GROUP HEALTH AND WHO CANNOT BE CONTACTED PATIENTS/GUARANTORS WHO DECLARE BANKRUPTCY DECEASED PATIENTS/GUARANTORS PATIENTS/GUARANTORS WHO FAIL TO MEET THE REQUIREMENTS OF A NEGOTIATED PAYMENT ARRANGEMENTS THE FOLLOWING IS THE BAD DEBT POLICY: IF NO PAYMENT IS RECEIVED AFTER THE THIRD STATEMENT, AND THE BALANCE IS AT LEAST 15 DAYS AFTER THE 3RD CYCLE BILL DATE AND NOT MORE THAN 90 DAYS FROM THE FIRST STATEMENT DATE, STANDARD BALANCES ARE SYSTEMATICALLY REFERRED TO THE EXTERNAL COLLECTION AGENCY AND WRITTEN OFF TO BAD DEBT EXPENSE. EXCEPTIONS TO STANDARD BAD DEBT ACCOUNTS, INCLUDING RETURNED MAIL. LAPSED PAYMENT ARRANGEMENTS, DECEASED PATIENTS AND BANKRUPTCIES ARE MANUALLY ASSIGNED TO BAD DEBT EXPENSE AND FORWARDED TO THE COLLECTION AGENCY. COLLECTION AGENCY IS INSTRUCTED TO NOT REPORT ACCOUNTS TO THE CREDIT BUREAUS UNTIL AFTER THE FIRST 3 MONTHS OF COLLECTION ACTIVITY JUSTIFICATION FOR MANUALLY ASSIGNED (NON STANDARD) BAD DEBT WRITE-OFFS IS RECORDED IN THE PATIENT'S ELECTRONIC BILLING RECORD STAFF MEMBERS ARE AUTHORIZED TO REVERSE THE DECISION TO REFER AN ACCOUNT TO A COLLECTION AGENCY WHEN A MISTAKE IS DISCOVERED THAT CAUSED THE ASSIGNMENT TO BE MADE IN ERROR OR WHEN NEW INFORMATION ABOUT INSURANCE COVERAGE IS RECEIVED. AT ANY TIME DURING THE BILLING CYCLES, SPONSORED CARE MAY BE OFFERED BY GROUP HEALTH TO ANY PATIENT WHO INDICATES A CONCERN ABOUT SETTLING THE BALANCE. AFTER BAD DEBT ASSIGNMENT, SPONSORED CARE IS OFFERED BY AGENCY IF PATIENT CONTACTS THEM AND STATES THEY CANNOT PAY. PATIENTS MUST SUBMIT REQUIRED DOCUMENTATION OF NEED WHICH WILL BE REVIEWED TO DETERMINE IF THE ELIGIBILITY REQUIREMENTS ARE MET. IF APPROVED, THE APPROPRIATE BALANCES WILL BE TRANSFERRED TO THE GENERAL LEDGER ACCOUNT FOR SPONSORED CARE. PART III, LINE 4, BAD DEBT EXPENSE BAD DEBT EXPENSE IS DESCRIBED IN THE AUDITED FINANCIAL STATEMENT FOOTNOTES ON PAGE 9 UNDER SECTION (G) ACCOUNTS RECEIVABLE AND (H) PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND RETROACTIVITY. PART III, LINE 8, MEDICARE SHORTFALL GROUP HEALTH FILES A LOW VOLUME MEDICARE COST REPORT WHICH INCLUDES ONLY STATISTICAL USAGE INFORMATION. THE LOW VOLUME REPORT DOES NOT INCLUDE THE PAYMENT FROM CMS OR COST INFORMATION FOUND IN FULL COST REPORTS. GROUP HEALTH USES INTERNAL MEDICARE CHARGE AND REVENUE INFORMATION TO COMPUTE A COST TO CHARGE RATIO FOR ITS CENTRAL HOSPITAL MEDICARE COSTS. GROUP HEALTH DOES NOT INCLUDE ANY MEDICARE SHORTFALL AS COMMUNITY BENEFIT. PART III, LINE 9, COLLECTION POLICY BAD DEBT EXPENSE IS RECOGNIZED WHEN A PATIENT WHO IS DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR SERVICES IS UNWILLING TO SETTLE THE BILL. STANDARD PRACTICE IS TO REFER ACCOUNTS FOR COLLECTION AFTER THREE 30 DAY BILLING CYCLES HAVE PASSED WITHOUT PAYMENT. EACH BILLING STATEMENT INCLUDES INFORMATION ON HOW PATIENTS CAN CONTACT GROUP HEALTH'S SPONSORED CARE DEPARTMENT TO INQUIRE ABOUT PAYMENT ASSISTANCE. AT ANY POINT IN THE BILLING PROCESS WHEN THE PATIENT INFORMS GROUP HEALTH THEY ARE UNABLE TO PAY, THEY ARE SCREENED FOR LIKELY ELIGIBILITY FOR FINANCIAL ASSISTANCE AND SENT A FINANCIAL ASSISTANCE APPLICATION, WHICH COLLECTS INCOME AND OTHER FINANCIAL INFORMATION. IF A PATIENT IS ELIGIBLE FOR FREE OR DISCOUNTED CARE, THE CHARGES ARE WRITTEN OFF AS ADJUSTMENTS TO REVENUE AND NOT RECOGNIZED AS BAD DEBT. THE COLLECTIONS PROCESS IS TERMINATED. PART VI, LINE 6, AFFILIATED HEALTH CARE SYSTEM GROUP HEALTH COOPERATIVE IS ONE OF THE NATION'S LARGEST CONSUMER GOVERNED HEALTH CARE ORGANIZATIONS. GROUP HEALTH IS GOVERNED BY AN INDEPENDENT BOARD OF TRUSTEES COMPRISED OF 11 ENROLLED MEMBERS ALL OF WHOM RESIDE IN THE GROUP HEALTH SERVICE AREA AND ARE ELECTED BY GROUP HEALTH'S VOTING MEMBERSHIP. VOTING MEMBERSHIP IS OPEN TO ALL GROUP HEALTH ENROLLEES OVER THE AGE OF 18. GROUP HEALTH COOPERATIVE HAS A WHOLLY-OWNED SUBSIDIARY, THE GROUP HEALTH FOUNDATION, WHICH IS ALSO A 501(C)(3) ORGANIZATION. THE PURPOSE OF THE GROUP HEALTH FOUNDATION IS TO IMPROVE THE HEALTH OF COMMUNITIES IN PARTNERSHIP WITH GROUP HEALTH COOPERATIVE AND GROUP HEALTH RESEARCH INSTITUTE. GROUP HEALTH FOUNDATION INVESTS IN RESEARCH RELATED TO HEALTH CARE INNOVATION, QUALITY OUTCOMES AND COMMUNITY PARTNERSHIPS AND PROVIDES TECHNICAL ASSISTANCE AND GRANTS, AS WELL AS SPONSORING SPECIFIC PROGRAMS, TO PROMOTE CHILDREN'S HEALTH AND FITNESS, PREVENTIVE CARE AND HEALTH EDUCATION AND DIVERSITY. THE GROUP HEALTH FOUNDATION IS CURRENTLY ENGAGED IN A MULTI-YEAR PROGRAM WITH ORGANIZATION AND SCHOOL-BASED PARTNERS IN COMMUNITIES ACROSS THE STATE TO ADDRESS THE EFFECTS OF PARENTAL HESITANCY ON LOW VACCINATION RATES OF WASHINGTON'S CHILDREN. THIS INCLUDES PROCURING AND PROVIDING VACCINES TO CHILDREN, AS WELL AS SPONSORING SOCIAL MARKETING AND OTHER ACTIVITIES TO REDUCE PARENTAL HESITANCY RELATED TO CHILDHOOD VACCINATION. GROUP HEALTH COOPERATIVE HAS AN EXCLUSIVE CONTRACT WITH GROUP HEALTH PERMANENTE, P.C., A GROUP PRACTICE WITH OVER 900 SALARIED CLINICIANS. GROUP HEALTH PERMANENTE IS NOT UNDER COMMON GOVERNANCE OR CONTROL WITH GROUP HEALTH COOPERATIVE, BUT THE TWO ORGANIZATIONS COLLABORATE TO SERVE THE COMMUNITY. BOTH GROUP HEALTH COOPERATIVE AND GROUP HEALTH PERMANENTE PARTICIPATE AS FACULTY AND PRECEPTORS FOR RESIDENCY AND HEALTH PROFESSIONALS TRAINING PROGRAMS. IN ADDITION TO THE OPERATION OF A FAMILY PRACTICE RESIDENCY PROGRAM (FOR WHICH GROUP HEALTH PERMANENTE PHYSICIANS SERVE AS FACULTY) AND AN OPTOMETRY RESIDENCY IN 2 MEDICAL CENTER LOCATIONS, GROUP HEALTH COOPERATIVE AND GROUP HEALTH PERMANENTE PARTICIPATE IN THE TRAINING OF OVER A DOZEN MEDICAL SPECIALTIES AND AN ADDITIONAL 20+ MID-LEVEL AND NON-PHYSICIAN TRAINING PROGRAMS, INCLUDING THOSE FOR CRITICAL SHORTAGE PROFESSIONS SUCH AS NURSING, PHYSICAL THERAPY AND PHARMACY. IN ADDITION TO THE ABOVE-MENTIONED PROGRAMS IN WASHINGTON STATE, IN 2013, GROUP HEALTH PHYSICIANS AND STAFF VOLUNTEERED MEDICAL SERVICES TO HOMELESS SHELTERS, COMMUNITY CLINICS AND OTHER RELIEF EFFORTS IN THE U.S. AND AROUND THE WORLD. AS AN INTEGRATED CARE ORGANIZATION AND ONE OF THE LARGEST PROVIDERS IN WASHINGTON STATE, GROUP HEALTH COOPERATIVE HAS INNOVATIVE NEW APPROACHES TO CARE AND ITS CLEAR CARE HMO MEDICARE ADVANTAGE PLANS HAVE CONTINUED TO RECEIVE THE HIGHEST RATING FROM CMS (5-STAR RATING) SINCE 2012. THIS HAS INCLUDED BEING A NATIONAL LEADER IN THE WIDESPREAD ADOPTION OF ELECTRONIC MEDICAL RECORDS, FOCUS ON PREVENTION AND A PATIENT-CENTERED MEDICAL HOME MODEL OF CARE. GROUP HEALTH IS A FOUNDING MEMBER OF THE WASHINGTON HEALTH ALLIANCE WHOSE MISSION IS TO PROMOTE HEALTH AND IMPROVE THE QUALITY AND AFFORDABILITY OF THE HEALTH CARE SYSTEM BY REDUCING OVERUSE, UNDERUSE AND MISUSE OF HEALTH CARE SERVICES. PHYSICIAN AND NON-PHYSICIAN LEADERS AT GROUP HEALTH ALSO CONTRIBUTE TO THE DISSEMINATION AND COMMUNITY-WIDE PRACTICE OF EVIDENCE-BASED MEDICINE AND OUTCOMES IMPROVEMENT BY SHARING CLINICAL GUIDELINES, QUALITY IMPROVEMENT EFFORTS AND PROTOCOLS RELATED TO SHARED DECISION-MAKING AND OTHER PATIENT ENGAGEMENT TOOLS, LEAN PROCESS IMPROVEMENTS IN CLINICAL CARE, THE MEDICAL HOME TEAM-BASED CARE MODEL, THE CHRONIC CARE MODEL, AND OTHER CARE INNOVATIONS. GROUP HEALTH IS A LEADER IN THE WASHINGTON STATE HEALTH ALLIANCE, WHICH PUBLICLY AND TRANSPARENTLY REPORTS PROVIDER QUALITY MEASURES THROUGH ITS COMMUNITY CHECKUP. PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT THIS QUESTION IS NOT APPLICABLE. PART VI, LINE 2, NEEDS ASSESSMENT Group Health leaders with the support of the organization continue to serve on a number of coalitions, collaboratives and boards to assess and improve the health of the communities we serve. These include the Washington Vaccine Association, the Washington State Leadership Transformation Committee, the Puget Sound Health Alliance, King County Hospitals for Healthier Communities, the BREE collaborative, the Community Transformation Grants Steering Committees and their teams, YouthCare, Boys and Girls Clubs, YMCA, Alliance for Education, Washington Accountable Communities of Health (ACH's) and the Washington Children's Alliance to name a few. Group Health participates in these policy, advocacy and transformation efforts to ensure greater access to address the needs of the community and state populations and to ensure equity and access for our low income populations. Some of these groups bring together delivery systems, state and city government and hospitals and insurers to address entrenched issues that cannot be tackled by any one entity alone. PART VI, LINE 3, PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Group Health has two financial assistance programs which are administered as the sponsored care program. The charity care program is for members or non-members of Group Health. Patients seeking hospital services at Group Health Central Hospital or another state-licensed hospital when services are delivered by a Group Health provider, who have incomes at or below 200% of the federal poverty level (FPL) are eligible for charity care assistance. The health care assistance program is for enrollees seeking any medical care or service at a Group Health facility and who are at or below 250% FPL. Health care assistance is a short-term program providing assistance with inpatient and outpatient fees, copays, prescription costs, glasses and hearing aids. Group Health informs patients about sponsored care as follows: 1. Group Health displays posters at the main entrances of Group Health hospital, at the hospital's urgent care center and at its labor/delivery unit. Each poster informs patients that they may be eligible for free care in seven different languages. Desk cards at the reception and registration areas in the hospital repeat the message and include the financial guidelines. 2. Group Health hospital urgent care staff provide financial information and attestation forms to patients seeking charity care at the time of registration for services. 3. As part of their standard operating procedures, clinical, customer service and patient billing staff throughout Group Health are able to provide information about and assistance with patient qualification for sponsored care programs at the time of service or via telephone. 4. Administrative and billing office staff at all 25 Group Health medical centers provide patients with sponsored care applications upon request at the time of service. 5. There is a standard notice on all Group Health bills for patient care which states that the patient may be eligible for financial assistance and provides contact information for assistance. 6. Information regarding Group Health financial assistance is available on the public website at https://www1.ghc.org/html/public/customer-service/financial-assistance. PART VI, LINE 4, COMMUNITY INFORMATION Group Health's service areas include all, or parts of, 20 counties in Washington and 2 counties in Idaho. In the last decade, the minority population in Washington as a whole grew from 20.6% of the state population to 25.2%. Eleven counties have minority populations above the state average. For the counties in Group Health's service area, Franklin (51.2%), Yakima (45.0%), King (8.9%), Pierce (9.2%) and Walla Walla (19.7%) counties consistently have the highest percent of Hispanic populations. Franklin County and Yakima County have the largest shares of non-white populations. Current data indicates 49.5% of Washington's African American population resides in King County and 22.5% in Pierce County. With respect to the Asian and Pacific Islander population, 58.6% reside in King County, with 9.8% in Pierce County, and 13.1% in Snohomish County. Yakima County's ranking as home to the second largest concentration of the American Indian and Alaska Native population in 2000 was overtaken by Pierce County in 2008. Group Health serves all of these communities. Based on the 2010 United States Census, the ethnic and racial makeup of our members is as follows: Caucasian (80%), African American/Black (3%), Asian/Pacific Islander (8%), Hispanic (5%) Alaska Native/American Indian (1%) and other (3%). In 2014, Group Health Cooperative and its wholly-owned subsidiaries, Group Health Options, Inc. and KPS Health Plans, provided health care coverage and services to approximately 597,000 individuals. Group Health was able to reach these individuals via individual and family, commercial group, Federal Employee Health Benefit Plan, Public Employee Benefit Board Plan (for Washington state employees), and Medicare Advantage plan enrollees in Washington and North Idaho. Group Health extends its health care services to the community, providing care to people in need regardless of their enrollment status or ability to pay. Special attention is devoted to underserved, at-risk populations. In 2014, specifically related to low-income individuals, Group Health provided care to approximately 24,000 Apple Health Plus (Washington state-managed Medicaid) patients in 6 counties around the state. This was accomplished through Group Health contracting to deliver health care services to patients enrolled in Molina Healthcare of Washington's plan. Group Health, in addition, provided care to Medicaid fee-for-service patients who were unable to access Group Health through the managed Medicaid program. Group Health served approximately 300 of these individuals. In addition, Group Health's Family Beginnings Unit (FBU) in Seattle provided labor and delivery and neonatal intensive care unit services to Medicaid patients, with Group Health physicians and nurse midwives delivering newborns. Contracts with several community health clinics and federally qualified health centers allowed community providers to deliver the patients of these community clinics at the FBU, with back-up and support provided by Group Health ob-gyn physicians. In 2014, over 1,100 patients were treated in our birthing facility, one of the few in Seattle that allowed certified nurse midwife birthing for all patients. Finally, the Group Health teen pregnancy and parenting clinic provides comprehensive services to women, infants and children and other health care services to both enrolled Group Health members and non-enrolled low-income teenagers and young adults. In 2014, the total number of patient visits was 529. PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH Group Health's primary exempt purpose is to provide comprehensive, prevention-oriented health care services. Beneficiaries of this purpose are Group Health enrollees and non-enrolled patients. Group Health also provides health improvement-related education and information, financial and other support to community-based organizations, with a focus on prevention and wellness, and conducts research activities that benefit the broader community. To fulfill its purpose, Group Health provides outpatient primary and specialty care as well as some inpatient acute and sub-acute care through the services of salaried physicians, nurses, and other health care providers. The salaried physicians are employed by Group Health Permanente, P.C., an organization with whom Group Health has an exclusive contract. As of year-end 2014, Group Health operated one hospital, 25 primary care medical centers, six specialty care units and seven behavioral health clinics. Group Health also contracts with community health care providers for services where Group Health does not operate its own facilities and for medical services not provided at Group Health facilities. Group Health conducts practical, public domain research to improve health and health care throughout the community and nation through the Group Health Research Institute (GHRI) investing more than $45M in 2014. Since GHRI's inception in 1983, GHRI investigators have published more than 4,400 scientific papers and have made major contributions to effective care of chronic conditions such as diabetes, back pain, cardiovascular disease, and depression. GHRI researchers develop and study ways to help the population make informed medical decisions, quit smoking, and fight obesity. GHRI also supports research that improves the safety and efficacy of medications, immunizations, medical imaging, and cancer screening. While research generally takes a long time to reach and influence health care systems (i.e. clinical practice), GHRI places a high priority on quickly disseminating and translating its findings within Group Health and across our communities locally and nationally. GHRI is a globally recognized leader in preventive medicine, healthy aging, women's health, and cancer control, all using cutting-edge data analysis and health information technology. GHRI investigators are helping develop, evaluate and disseminate effective models of care. In addition, GHRI's Center for Community Health and Evaluation leads evaluations of health-related programs and initiatives nationally, contributing to improvements in health outcomes for the myriad of communities it serves. Through a partnership with King County, Group Health also supports 6 school-based health centers at middle and high schools in the Seattle Public School District. This includes hiring nurses and nurse practitioners and supporting their clinic and administrative needs. Through grants, we have also provided wrap around mental health care in 3 school-based health centers. The school-based centers served nearly 2,000 students during over 10,000 visits in 2014 and are a huge boost to the health and wellness of the student community. Group Health partners with Project Access, an organization which works with medical providers in health care communities across the country to provide medical care to individuals that meet county-specific medical and financial eligibility criteria. Group Health coordinates with Project Access to provide care to these patients at designated medical centers and specialty departments. Group Health shared expertise in the community by participating in or hosting several conferences including a presentation at Seattle's King Street Center Lunch & Learn to describe the benefit of outdoor exercise, "Disaster Aftermath in the Workplace: the Medical & Psychological Impact" held at Group Health Everett Medical Center and directed toward first responders, labor representatives, administrators, risk managers, and healthcare and safety professionals and educators, a colloquium on Occupational Health Best Practices hosted by Group Health in partnership with the Washington state Department of Labor and Industries, and "Creating Healthier Communities Together (Blue Zones)" a free community health program in Spokane. X X true true X X X X true true false false false false false false true true Scott Elliot Armstrong President & CEO 1005294 0 876022 0 179614 0 170100 0 24684 0 2255714 0 0 0 Rick Dale Woods EVP; Corp Svcs & Chf Leg Ofcr 635812 0 342257 0 52674 0 165200 0 15442 0 1211385 0 0 0 Scott Boyd EVP; Chief Financial Officer 262346 0 0 0 0 0 0 0 5408 0 267754 0 0 0 Sarah Barian Yates VP & General Counsel 366925 0 161701 0 38024 0 5200 0 22673 0 594523 0 0 0 Breton Clark Myers VP; Treasury 251797 0 119874 0 6379 0 27451 0 7869 0 413370 0 0 0 Robert O'Brien EVP; Health Plan Division 686516 0 445407 0 72872 0 0 0 17095 0 1221890 0 0 0 Mark Szalwinski EVP; Group Practice Division 569257 0 342992 0 11082 0 56943 0 19959 0 1000233 0 0 0 Cynthia Johnson EVP; HR 482793 0 278139 0 234391 0 5200 0 8846 0 1009369 0 0 0 Ellen Suzanne Daly VP; Network Svcs & Care Mgmt 321337 0 137772 0 4728 0 34836 0 24836 0 523509 0 0 0 Eric Larson VP; Group Health Research Inst 305496 0 172176 0 102418 0 5200 0 20130 0 605420 0 0 0 Erin Leff VP; clin ops & mkt integration 313904 0 137344 0 30070 0 5200 0 8826 0 495344 0 0 0 Barbara Ann Belt-Lloyd VP; Chief Accounting Officer 239711 0 66479 0 9875 0 143766 0 17463 0 477294 0 0 0 Christopher Knackstedt EVP; Chief Financial Officer 613157 0 0 0 5514 0 44135 0 12380 0 675186 0 0 0 Barbara Trehearne VP; Clin Excl &Int Chief Nurse 316257 0 146996 0 36505 0 156530 0 16224 0 672512 0 0 0 Dawn Loeliger EVP; Strat Planning & Deploy 267239 0 81990 0 8945 0 29735 0 23193 0 411102 0 0 0 Diana Rakow Birkett EVP; Marketing & Pub. Affairs 251547 0 98624 0 2937 0 28773 0 22770 0 404651 0 0 0 Donald Lewis VP; Chief Technology Officer 283972 0 182977 0 3228 0 25892 0 8961 0 505030 0 0 0 Robert Wise VP; Marketing 301713 0 127785 0 54238 0 0 0 0 0 483736 0 0 0 FIRST CLASS TRAVEL SCHEDULE J, PART I, LINE 1A PER THE GROUP HEALTH EXPENSE REIMBURSEMENT POLICY, AIR TRAVEL IS TO BE BOOKED AT COACH CLASS UNLESS PRE-AUTHORIZED BY THE APPROVING MANAGER. THE COMPENSATION COMMITTEE OF THE BOARD OF GROUP HEALTH AUTHORIZED FIRST-CLASS TRAVEL FOR THE PRESIDENT/CEO DUE TO EXTENSIVE AMOUNT OF REQUIRED BUSINESS TRAVEL DURING 2014. FIRST CLASS TRAVEL EXPENSE IS NOT REPORTED AS TAXABLE COMPENSATION AS IT IS ONLY REIMBURSED WHEN INCURRED FOR BUSINESS PURPOSES. SOCIAL CLUB DUES SCHEDULE J, PART 1, LINE 1A ALL EMPLOYEES ARE RESPONSIBLE FOR FOLLOWING ALL OF GROUP HEALTH'S EXPENSE REIMBURSEMENT GUIDELINES AND BEING GOOD STEWARDS OF THE COMPANY'S RESOURCES. THE COMPANY WILL PAY FOR CERTAIN EXECUTIVES' SOCIAL CLUB DUES IF THE EXPENSE COMPLIES WITH THE EXPENSE REIMBURSEMENT POLICY AND THE BUSINESS EXPENSES ARE RELATED TO A LEGITIMATE BUSINESS PURPOSE AND ARE REASONABLE FOR THE SITUATION IN WHICH THEY WERE INCURRED. SOCIAL CLUB DUES ARE NOT TREATED AS TAXABLE COMPENSATION WHEN STRICTLY INCURRED FOR BUSINESS PURPOSE. SEVERANCE PAYMENT SCHEDULE J, PART 1, LINE 4A THE GROUP HEALTH PRESIDENT AND CEO, THE EXECUTIVE VICE PRESIDENTS, AND THE VICE PRESIDENTS ARE EACH PARTIES TO WRITTEN EMPLOYMENT AGREEMENTS WITH GROUP HEALTH COOPERATIVE THAT PROVIDE FOR SEVERANCE BENEFITS UNDER CERTAIN CONDITIONS. THE PRESIDENT AND CEO'S EMPLOYMENT AGREEMENT IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. EXECUTIVES WHO ARE TERMINATED FOR CAUSE, OR WHO ELECT TO TERMINATE THEIR EMPLOYMENT RELATIONSHIP WITHOUT CAUSE (MEANING THEY VOLUNTARILY QUIT), ARE NOT ENTITLED TO SEVERANCE BENEFITS. IN THE EVENT THE EXECUTIVE IS ELIGIBLE FOR SEVERANCE BENEFITS, THE SEVERANCE BENEFITS ARE AS FOLLOWS: SEVERANCE PAYMENTS IN THE MAXIMUM, TOTAL AMOUNT OF TWELVE (12) MONTHS OF BASE SALARY, (EIGHTEEN (18) MONTHS FOR THE PRESIDENT AND CEO), PLUS MEDICAL AND DENTAL COVERAGE (AT THE SAME LEVEL PROVIDED TO THE EXECUTIVE AS OF THE DATE OF SEPARATION) FOR A MAXIMUM OF TWELVE (12) MONTHS (EIGHTEEN (18) MONTHS FOR THE PRESIDENT AND CEO). THESE BENEFITS ARE FORFEITED IF THE EXECUTIVE VIOLATES THE TERMS OF THE NON-COMPETITION, NON-SOLICITATION, AND CONFIDENTIALITY COMMITMENTS IN THE EMPLOYMENT AGREEMENT. FURTHER, WITH RESPECT TO THE EXECUTIVE VICE PRESIDENTS AND VICE PRESIDENTS, THE SEVERANCE PAYMENTS (AND MEDICAL AND DENTAL COVERAGE) WILL CEASE AFTER SIX MONTHS OF THE EXECUTIVE'S SEPARATION DATE IN THE EVENT AND AS OF THE DATE THAT THE EXECUTIVE PROVIDES SERVICES, OR ENTERS INTO AN AGREEMENT TO PROVIDE SERVICES, AS AN EMPLOYEE OR INDEPENDENT CONTRACTOR TO GROUP HEALTH, ANY OF ITS SUBSIDIARIES, GROUP HEALTH PERMANENTE, OR ANY OTHER ORGANIZATION IN A COMPARABLE POSITION (MEANING AN EXECUTIVE LEVEL POSITION WITH COMPENSATION THAT IS AT LEAST 80% OF THE EXECUTIVE'S COMPENSATION AS OF THE SEPARATION DATE). LAST, THE PRESIDENT AND CEO'S EMPLOYMENT AGREEMENT ALSO PROVIDES FOR SEVERANCE PAYMENTS IN THE EVENT OF A CHANGE IN CONTROL, WHICH THE EMPLOYMENT AGREEMENT DEFINES AS (1) THE ACQUISITION BY ANOTHER ORGANIZATION OF OWNERSHIP OR CONTROL OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OR OPERATIONS OF GROUP HEALTH, BY MERGER, CONSOLIDATION, DISSOLUTION, LIQUIDATION, JOINT VENTURE, PARTNERSHIP, AFFILIATION, MANAGEMENT AGREEMENT, SALE OR TRANSFER OF ASSETS, OR OTHERWISE; (2) A CONVERSION OF GROUP HEALTH TO A STOCK-BASED CORPORATION; (3) A FIFTY PERCENT (50%) OR GREATER CHANGE IN THE COMPOSITION OF THE BOARD OF TRUSTEES THAT OCCURS WITHIN ANY SINGLE CALENDAR YEAR; OR (4) ANY OTHER CHANGE IN THE MANAGEMENT OR OPERATIONAL CONTROL OF GROUP HEALTH THAT IS DETERMINED BY THE GROUP HEALTH BOARD OF TRUSTEES BY MAJORITY VOTE TO BE A CHANGE IN CONTROL FOR PURPOSES OF THE CEO'S EMPLOYMENT AGREEMENT. EXECUTIVE RECEIVING SEVERANCE PAYMENTS IN 2014: SCOTT BOYD, VP, FINANCE 262,346 CYNTHIA JOHNSON, EVP, HR 160,385 ROBERT WISE, VP, MARKETING 154,538 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B THE GROUP HEALTH PRESIDENT AND CEO, THE EXECUTIVE VICE PRESIDENTS, AND THE VICE PRESIDENTS ARE ELIGIBLE TO PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE PLAN) APPROVED BY THE GROUP HEALTH COOPERATIVE BOARD OF TRUSTEES COMPENSATION COMMITTEE AND ADMINISTERED BY THE COMPENSATION COMMITTEE. GROUP HEALTH CREDITS TO THE ACCOUNT OF EACH ACTIVE PARTICIPANT AN ANNUAL CONTRIBUTION AMOUNT OF NINE PERCENT OF THE PARTICIPANT'S BASE SALARY (15.3% FOR THE PRESIDENT AND CEO). THE FORMULA FOR THE ANNUAL CONTRIBUTION IS BASED ON THE PARTICIPANT'S BASE SALARY AND EXCLUDES ANY INCENTIVE PLAN OR BONUS PAYMENT AMOUNTS. THE PLAN BALANCES ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE UNTIL THE PARTICIPANT HAS VESTED AND MET OTHER PLAN REQUIREMENTS. VESTING OCCURS EITHER FIVE YEARS AFTER THE DATE ON WHICH A PARTICIPANT ENTERS THE PLAN, OR ON THE DATE ON WHICH A PARTICIPANT COMPLETES TEN CONSECUTIVE YEARS OF EMPLOYMENT WITH GROUP HEALTH COOPERATIVE, WHICHEVER OCCURS FIRST, PROVIDED THAT THE PARTICIPANT DOES NOT EXPERIENCE A SEPARATION FROM SERVICE BEFORE THE VESTING DATE. A PARTICIPANT REMAINS ELIGIBLE TO PARTICIPATE UNTIL HIS OR HER ACCOUNT BALANCE IS EITHER FULLY DISTRIBUTED OR FORFEITED. GROUP HEALTH MADE SERP PLAN CONTRIBUTIONS AND DISTRIBUTIONS IN 2014 AS FOLLOWS: SERP DISTRIBUTIONS CYNTHIA JOHNSON, EVP, HR 55,887 SERP CONTRIBUTIONS - VESTED SCOTT ELLIOT ARMSTRONG, PRESIDENT & CEO 149,175 RICK DALE WOODS, EVP, SR ADVSR TO THE PRES/CEO 44,325 SARAH BARIAN YATES, EVP & GENERAL COUNSEL 30,565 ROBERT O'BRIEN, EVP, HEALTH PLAN DIVISION 60,840 CYNTHIA JOHNSON, EVP, HR 35,730 ERIC LARSON, VP, GROUP HEALTH RESEARCH INSTITUTE 31,275 ERIN LEFF, EVP, GROUP PRACTICE DIVISION 24,460 BARBARA ANN BELT-LLOYD, VP, CHIEF ACCOUNTING OFFICER 766 BARBARA TREHEARNE, VP CLIN EXCEL & INT CHIEF NURSE 26,162 SERP CONTRIBUTIONS - NONVESTED BRETON CLARK MYERS, VP, TREASURY 22,745 MARK SZALWINSKI, EVP, GROUP PRACTICE DIVISION 51,743 ELLEN SUZANNE DALY, VP, NETWORK SVCS & CARE MGMT 29,636 CHRISTOPHER KNACKSTEDT, EVP, CHIEF FINANCIAL OFFICER 42,058 DAWN LOELIGER, EVP, STRATEGIC PLANNING & DEPLOYMENT 24,535 DIANA RAKOW BIRKETT, EVP, MARKETING & PUBLIC AFFAIRS 23,573 DONALD LEWIS, VP, CHIEF TECHNOLOGY OFFICER 25,892 PAYMENTS SUBJECT TO THE INITIAL CONTRACT EXCEPTION SCHEDULE J, PART I, LINE 8 A PORTION OF THE COMPENSATION REPORTED IN PART VII WAS PAID PURSUANT TO WRITTEN CONTRACTS THAT WERE THE INITIAL CONTRACT (WITHIN THE MEANING OF REGULATIONS SECTION 53.4958.4(A)(3)) BETWEEN GROUP HEALTH COOPERATIVE AND THE FOLLOWING INDIVIDUALS, WHO WERE NOT DISQUALIFIED PERSONS (WITHIN THE MEANING OF REGULATIONS SECTION 53.4958.3) IMMEDIATELY BEFORE ENTERING INTO THE CONTRACT: BRETON MYERS, CHRISTOPHER KNACKSTEDT, DAWN LOELIGER AND DIANA RAKOW. THE ORGANIZATION FOLLOWED THE REBUTTABLE PRESUMPTION PROCEDURE IN ESTABLISHING THAT COMPENSATION. A Washington Health Care Facilities Authority 911108929 97978ee24 2006-11-08 99995662 FUND MEDICAL CENTER BUILDING COSTS false false false A 0 0 99995662 8848163 0 0 1999913 0 0 89147586 0 0 2008 false false true true A false false true true false 0 false false false true A true false true CITIBANK NA 30. false false true TRINITY PLUS 10. true false false A true ORGANIZATION'S MEMBERSHIP FORM 990, PART VI, SECTION A, LINE 6 GROUP HEALTH COOPERATIVE (GHC) HAS VOTING MEMBERS. THE GHC BYLAWS OUTLINE A NUMBER OF PURPOSES, INCLUDING TO SERVE THE GREATEST POSSIBLE NUMBER OF PEOPLE UNDER CONSUMER COOPERATIVE PRINCIPLES WITHOUT DISCRIMINATION. ELIGIBLE CONSUMERS WHO BELIEVE IN THIS PURPOSE ARE ENCOURAGED TO BECOME VOTING MEMBERS AND PARTICIPATE IN GOVERNING GHC. TO BE ELIGIBLE FOR MEMBERSHIP, A CONSUMER MUST BE EIGHTEEN YEARS OF AGE OR OLDER AND CURRENT IN MONTHLY PREMIUMS. ORGANIZATION'S VOTING MEMBERSHIP FORM 990, PART VI, SECTION A, LINE 7A GHC HAS VOTING MEMBERS. THE RIGHTS OF MEMBERS ARE DELINEATED IN GHC'S BYLAWS AND INCLUDE THE DETERMINATION OF QUALIFICATIONS FOR MEMBERSHIP; THE ELECTION OF MEMBERS OF THE BOARD OF TRUSTEES (GHC'S GOVERNING BODY); THE ELECTION OF THE CHAIR OF THE STANDING NOMINATING COMMITTEE OF THE MEMBERSHIP (WHICH EVALUATES AND NOMINATES CANDIDATES FOR ELECTION TO THE BOARD); ADOPTION OF RESOLUTIONS THAT ARE ADVISORY TO THE BOARD; APPROVAL OF EXTRAORDINARY ACTIONS; AND AMENDMENT OF THE PREAMBLE, MEMBERSHIP, AND MEMBERSHIP RIGHTS SECTIONS OF THE BYLAWS. APPROVAL BY VOTE OF MEMBERS FORM 990, PART VI, SECTION A, LINE 7B GHC BYLAWS PROVIDE THAT THE MERGER OR CONSOLIDATION OF GHC WITH ANOTHER ENTITY, THE VOLUNTARY DISSOLUTION OF GHC, OR THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF GHC MUST BE APPROVED BY VOTE OF THE MEMBERS. THE BOARD OF TRUSTEES PRESENTS A PROPOSED PLAN OF MERGER, CONSOLIDATION, DISSOLUTION, OR SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF GHC TO THE MEMBERS FOR APPROVAL. SUCH RESOLUTION IS FIRST CONSIDERED AT AN ANNUAL OR SPECIAL MEETING. ALSO, AMENDMENTS TO ARTICLE 2 OF THE GHC BYLAWS (ADDRESSING MEMBERSHIP AND MEMBERSHIP RIGHTS) MAY ONLY BE APPROVED BY VOTE OF THE MEMBERS. THE BOARD OF TRUSTEES MAY PROPOSE AMENDMENTS TO ARTICLE 2 BY RESOLUTION. ORGANIZATION'S FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION A, LINE 11A THE FORM 990 UNDERGOES A ROBUST PREPARATION AND REVIEW PROCESS BEFORE IT IS SIGNED. THE ORGANIZATION'S FINANCE TEAM WORKS CLOSELY WITH THE OUTSIDE ACCOUNTING FIRM IT ENGAGES TO PREPARE THE RETURN AND INVOLVES MANY MEMBERS OF MANAGEMENT IN REVIEW OF THE RETURN. THE FORM 990 IS THEN REVIEWED BY GHC MANAGEMENT FOR ACCURACY AND COMPLETENESS PRIOR TO BEING PRESENTED TO GHC'S AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES (A DULY CONSTITUTED COMMITTEE OF THE BOARD). THE FINAL DRAFT FORM 990 IS PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND DISCUSSION. THE FINAL DRAFT FORM 990 IS ALSO PROVIDED TO THE FULL BOARD OF TRUSTEES FOR REVIEW AND INFORMATION BEFORE THE RETURN IS FILED. ORGANIZATION'S MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C Group Health has a conflict of interest policy (Board policy 100-202, Conflict of Interest - Board of Trustees, Cooperative Officers, and Employees) that applies to trustees, officers, employees and Group Health Permanente (GHP) medical and administrative staff when they are performing work on behalf of Group Health or are representing Group Health in any transaction that involves Group Health. Under this policy: -Trustees and Cooperative officers provide a written declaration of any actual or potential areas of conflict of interest on an annual basis using forms and procedures developed by the Office of Compliance and Ethics. These declarations are submitted by trustees and officers to the Office of Compliance and Ethics for review. The Office of Compliance and Ethics evaluates the declarations and provides a summary of disclosures that is forwarded to the Audit and Compliance Committee for its consideration. Any apparent conflicts of interest and/or other instances of noncompliance with this policy are referred by the Audit and Compliance Committee to the chair of the Cooperative for resolution -During the year, trustees and Cooperative officers report material additions or changes to the information provided on annual conflict of interest declarations. These additions or changes to the declarations are submitted to the Office of Compliance and Ethics for review. If the review indicates that there is a conflict of interest or the appearance of one, a summary of the additions or changes will be forwarded to the Audit and Compliance Committee, following the process used for annual declarations. -The chair of the Cooperative counsels any trustee or officer about prohibited conflicts of interest and other instances of noncompliance with the policy, including apparent undisclosed conflicts of interest and, if not resolved to his/her satisfaction, places the matter on the agenda of an executive session. The chief compliance and ethics officer supports the chair of the Cooperative in fulfilling this responsibility. -Trustees disclose an actual conflict of interest, or the appearance of such a conflict, when such an interest becomes a matter for Board action. Any trustee having an actual conflict of interest, or the appearance of a conflict of interest, related to a matter at issue does not vote, take other action, or use his/her personal influence on the matter beyond that described below. The minutes of the meeting reflect that a disclosure was made and that the trustee abstained from participation in the discussion except as described below. If any trustee has reason to believe s/he or another trustee may have an actual conflict of interest, or the appearance of such a conflict, the trustee shall raise the question for consideration. If there is any disagreement regarding the existence of an actual conflict of interest, or the appearance of such a conflict, the chair of the Cooperative polls other trustees to determine if the Board concludes that an actual conflict or the appearance of a conflict of interest exists. If the Board concludes there is a conflict or the appearance of a conflict, then the trustee abstains from voting or discussions on the matter. The requirements of this paragraph should not be construed as preventing the trustee with an actual conflict of interest, or the appearance of such a conflict, from briefly stating his/her position in the matter, nor from answering pertinent questions of other trustees or officers since his/her knowledge may be of assistance. -Group Health officers, other employees, and GHP employees acting on behalf of Group Health disclose an actual conflict of interest, or the appearance of such a conflict, when such an interest is relevant to a matter in which they have a role, either directly or through subordinates acting at their direction. Group Health officers, other employees, or GHP employees acting on behalf of Group Health having an actual conflict of interest, or the appearance of a conflict of interest, related to a matter at issue do not participate in the matter or use his/her personal or professional influence on the matter. Any Group Health officer, other employee, or GHP employee acting on behalf of Group Health who believes he/she may have an actual conflict of interest, or the appearance of such a conflict, is expected to abstain from participation or stating his/her position in the matter, or may ask his/her direct supervisor to determine if the supervisor believes that an actual conflict or the appearance of a conflict of interest exists. If the supervisor determines that a conflict of interest or the appearance of a conflict exists, the individual abstains from participation in the matter. Consultation with the Office of Compliance and Ethics is recommended when it is difficult to determine whether the circumstances constitute a conflict of interest. -The Group Health Office of Compliance and Ethics is responsible for developing compliance procedures for administering this policy, developing procedures for the disclosure statements to be completed by key persons (defined in the policy as individuals holding certain high-level positions and other positions involving transactions with outside parties that may give rise to potential conflicts of interest or the appearance of conflicts), and for providing general guidance to Group Health management and employees regarding compliance with this policy. The Office of Compliance and Ethics consults with Group Health executive management to ensure support for the implementation and administration of this policy. The chief compliance and ethics officer provides periodic reports to the Audit and Compliance Committee on the implementation and administration of this policy. -All key persons complete an annual disclosure statement to identify actual conflicts of interest, or circumstances that might give the appearance of a conflict of interest, or to attest that no such conflict exists. During the year, key persons report material additions or changes to the information provided on annual conflict of interest declarations. These additions or changes to the declarations are submitted to the Office of Compliance and Ethics, following the process used for annual declarations. -All disclosure statements of key persons who have a Group Health manager are reviewed by the key person's direct manager and by the Office of Compliance and Ethics to determine whether or to what extent any disclosed activity may be undertaken. The disclosure statements of key persons who do not have a Group Health manager (trustees, the president and CEO) are reviewed by the Office of Compliance and Ethics. Not every potential conflict of interest situation will warrant action. -Covered persons not considered key persons may also be asked to complete annual disclosure statements. ORGANIZATION'S COMPENSATION SETTING PROCESS FORM 990, PART VI, SECTION B, LINE 15 Group Health Cooperative (GHC) is governed by an independent Board of Trustees ("the Board"), comprised of 11 consumers elected by GHC's voting members. The Board has delegated to the compensation committee of the Board (the "committee") the responsibility for negotiating and approving the employment agreement and compensation package for the GHC President and Chief Executive Officer ("CEO"); approving the executive total compensation philosophy that drives all executive compensation decisions; and approving compensation for the Executive Vice Presidents and Vice Presidents of GHC (except for compensation established in the initial written contracts offered to candidates for Vice President positions who are not then employed by GHC and who have not been determined to be a "disqualified person" under applicable IRS regulations, as to whom the Board has delegated such authority to the CEO). The five members of the committee are the Chair of the Board of Trustees, the Vice Chair, and three additional trustees selected by the Chair. As adopted by the committee, the executive total compensation philosophy provides that GHC will maintain an executive total compensation program designed to facilitate the achievement of its charitable mission, values and organizational goals. Executive compensation is set at a level that enables the organization to attract, retain, motivate and reward the highest caliber executives at a cost that is consistent with our performance and charitable mission. Based upon those principles, the philosophy confirms that compensation will be compared to comparable organizations (HMOs and managed care, health care, and health insurance organizations), and that base salary ranges will be built around 50th percentile market base pay levels (with flexibility to recognize individual skills, experience and contributions) , annual and long-term incentives will be targeted at the 50th percentile (with an opportunity to earn above that level based on performance), and benefits and perquisites will be established consistent with market practices. A significant portion of executives' total compensation is contingent on organizational and individual performance. Consistent with GHC's philosophy, the committee reviews and approves the annual performance goals and criteria to be used in determining salary increases and incentive compensation criteria for the GHC CEO, Executive Vice Presidents and Vice Presidents (which group includes all GHC key employees and GHC officers, excluding the Chair of the Board and the Vice Chair, who are not employed by GHC). The committee also hires a qualified independent compensation consultant (an independent expert) to review, analyze and provide benchmarking data for the total compensation and benefits packages of the CEO, Executive Vice Presidents and Vice Presidents. Appropriate comparability data is obtained from the independent expert, i.e., compensation paid by similarly situated organizations (both taxable and tax- exempt, of similar size and in the same industry) for similar job responsibilities. The committee's written records and minutes include the (1) terms of the arrangement with the disqualified person (including the date the arrangement was approved); (2) a list of members present during the debate on the transaction (and how the members voted when it was approved); and (3) a description of the comparable data relied on by the committee. Key deliberations of the committee are also documented in minutes which are approved at the next committee meeting. The committee's compensation decisions are shared with the Board. The following are the 2014 offices and positions for which the above-described process was used to establish compensation for the persons who held these positions: President & CEO; Vice President (VP), Administrative Services Division; Executive Vice President (EVP), Group Practice Division; VP, Network Services & Provider Relations; VP, Provider Relations & Care Management; VP, Sales; EVP, Human Resources; VP, Group Health Research Institute; VP, Consultative Specialty Services & Market Development; VP, Chief Technology Officer; EVP & Chief Information Officer; VP, Public Affairs; VP, Marketing; VP, Public Affairs & Marketing; EVP, Marketing & Public Affairs; EVP & Chief Financial Officer; VP, Strategic Planning, Deployment & Business Development; EVP, Health Plan Division; VP, Health Plan Administration; VP, Community Responsibility; VP, Primary Care, Clinical Excellence & Nursing; VP, Clinical Excellence & Integration, Chief Nurse; VP, Employee & Labor Relations; EVP, Chief Legal Officer & Corporate Services; VP & General Counsel; VP, Analytics & Chief Medical Information Officer; VP, Market Development; VP, Chief Actuary; VP, Financial Planning & Analysis; VP, Treasury; VP & Chief Accounting Officer; VP, Innovation, Development & Business Services; VP, Clinical Ancillary Services; VP, Lines of Business & Product Management; VP Human Resources Operations; VP, Human Resources Business Solutions; and VP, Clinical Operations & Market Integration. This process was also used in 2013. ORGANIZATION'S DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, SECTION C, LINE 19 BYLAWS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND THE FORM 990 AND 990-T ARE MADE AVAILABLE TO THE GENERAL PUBLIC THROUGH GHC'S WEBSITE AND BY PROVIDING PAPER COPIES UPON REQUEST. COPIES OF THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. RECONCILIATION OF NET ASSETS PART XI, LINE 9 MEMBERSHIP $(55,350) CAPITAL DUES $(84,821) TEMP RESTRICTED $(140,750) PERM RESTRICTED $180,152 OTHER COMPREHENSIVE INCOME $(147,253,190) RETAINED EARNINGS $5,520,787 --------------- TOTAL OTHER CHANGES IN NET ASSETS $(141,833,172) FORM 990 PART IX LINE 11G DESCRIPTION:Other Fees TOTAL FEES:-1914923 FORM 990 PART IX LINE 11G DESCRIPTION:O/S LABOR TOTAL FEES:6206085 FORM 990 PART IX LINE 11G DESCRIPTION:INPATIENT SERVICES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:HOSPICE SERVICES TOTAL FEES:4529444 FORM 990 PART IX LINE 11G DESCRIPTION:OUTPATIENT SERVICES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:HOME CARE SERVICES TOTAL FEES:9090762 FORM 990 PART IX LINE 11G DESCRIPTION:GH PERM MED SERVICES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:FACILITY SUPPORT SERVICES TOTAL FEES:97436434 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY TOTAL FEES:70979357 COLUMBIA MEDICAL ASSOCIATES LLC 1003 EAST TRENT SUITE 150 SPOKANE WA 99202 200986848 COMP MED CARE WA 20549927 6760729 GHC COLUMBIA CLINIC LLC 1003 EAST TRENT SUITE 150 SPOKANE WA 99202 INACTIVE WA 0 0 CMA LLC GROUP HEALTH FOUNDATION 320 WESTLAKE AVE N STE 100 SEATTLE WA 981095233 911246278 FOUNDATION WA 501(c)(3) 7 GHC true GROUP HEALTH NORTHWEST 320 WESTLAKE AVE N STE 100 SEATTLE WA 981095233 911216856 INACTIVE WA 501(c)(3) 11,TYPE I GHC true GROUP HEALTH OPTIONS INC 320 WESTLAKE AVE N STE 100 SEATTLE WA 981095233 911467158 INSURANCE WA GHC C Corp 746322587 248651766 1.00000 KPS HEALTH PLANS 400 WARRAN AVE BREMERTON WA 98337 910540525 INSURANCE WA GHC C Corp 118089697 50343339 1.00000 GROUP HEALTH SERVICES INC 320 WESTLAKE AVE N STE 100 SEATTLE WA 981095233 911392222 INACTIVE WA GHC C Corp 0 0 1.00000 GROUP HEALTH OF WASHINGTON 320 WESTLAKE AVE N STE 100 SEATTLE WA 981095233 911314907 INACTIVE WA GHC C Corp 0 0 1.00000 true true true false false false false false false false false true true true false false false false false GROUP HEALTH OPTIONS INC l 185608178 FMV GROUP HEALTH OPTIONS INC m -220387 FMV GROUP HEALTH OPTIONS INC a(iv) 21541 FMV KPS HEALTH PLANS l 2498089 FMV KPS HEALTH PLANS m -57759 FMV KPS HEALTH PLANS a(iv) 35130 FMV GROUP HEALTH FOUNDATION c 2030676 CASH COLUMBIA MEDICAL ASSOCIATES LLC b -6650000 CASH COLUMBIA MEDICAL ASSOCIATES LLC l 2500159 FMV COLUMBIA MEDICAL ASSOCIATES LLC m -3318857 FMV