STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

WASHINGTON HEALTH ALLIANCE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WASHINGTON HEALTH ALLIANCE (EIN 47-0948895)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-09-15
IRS object ID
201302619349300135
Schema version
2012v2.1
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)
Timestamp2013-09-15T16:48:13-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN912011386EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JACOBSON JARVIS & CO PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1600 STEWART STREET SUITE 1900AddressLine1
CitySEATTLECity
StateWAState
ZIP Code981011219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470948895EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PUGET SOUND HEALTH ALLIANCEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPUGENameControl
Phone2064482570Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 STEWART STREET NO 824AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98101ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARY MCWILLIAMSName
TitleEXECUTIVE DIRECTORTitle
Phone2064482570Phone
Date Signed2013-09-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameHOWARD DONKINCPAName
PTINP00147726PTIN
Phone2066288990Phone
Date Prepared2013-09-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARY MCWILLIAMSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1600 STEWART STREET NO 824AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98101ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2883595GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PUGETSOUNDHEALTHALLIANCE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE HEALTH & IMPROVE THE QUALITY & AFFORDABILITY OF THE HEALTH CARE SYSTEM.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees16TotalNbrEmployees
Total Nbr Volunteers23TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2638900ContributionsGrantsPriorYear
Contributions Grants Current Year2817187ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY27500ProgramServiceRevenueCY
Investment Income Prior Year4011InvestmentIncomePriorYear
Investment Income Current Year1700InvestmentIncomeCurrentYear
Other Revenue Prior Year16635OtherRevenuePriorYear
Other Revenue Current Year37208OtherRevenueCurrentYear
Total Revenue Prior Year2659546TotalRevenuePriorYear
Total Revenue Current Year2883595TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1274184SalariesEtcPriorYear
Salaries Etc Current Year1260715SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year143053TotalFundrsngExpCurrentYear
Other Expense Prior Year1158307OtherExpensePriorYear
Other Expenses Current Year1212326OtherExpensesCurrentYear
Total Expenses Prior Year2432491TotalExpensesPriorYear
Total Expenses Current Year2473041TotalExpensesCurrentYear
Revenues Less Expenses Prior Year227055RevenuesLessExpensesPriorYear
Revenues Less Expenses CY410554RevenuesLessExpensesCY
Total Assets BOY2938386TotalAssetsBOY
Total Assets EOY3354785TotalAssetsEOY
Total Liabilities BOY346133TotalLiabilitiesBOY
Total Liabilities EOY351978TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2592253NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3002807NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO BUILD AND MAINTAIN A STRONG ALLIANCE AMONG PURCHASERS, PROVIDERS, HEALTH PLANS, CONSUMERS AND OTHERS TO PROMOTE HEALTH AND IMPROVE THE QUALITY AND AFFORDABILITY OF THE HEALTH CARE SYSTEM BY REDUCING OVERUSE, UNDERUSE AND MISUSE OF HEALTHCARE SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1157034Expense
DescriptionTHE ALLIANCE USES CLAIMS DATA FROM HEALTH PLANS AND SELF-INSURED EMPLOYERS AND LABOR TRUSTS TO MEASURE AND REPORT ON THE VARIATION AND THE PREVALENCE OF EFFECTIVE, EVIDENCE-BASED CARE AMONG 2 MILLION PUGET SOUND RESIDENTS IN ORDER TO PROMOTE HIGHER QUALITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense321768Expense
DescriptionTHE ALLIANCE EDUCATES CONSUMERS ABOUT VARIATION IN CARE AND THE IMPORTANCE OF HAVING A PRIMARY CARE PHYSICIAN. WE MAINTAIN A FREE PUBLIC WEBSITE TO POST RESULTS OF THE COMMUNITY CHECK-UP, AS WELL AS RESEARCH FOR CONSUMERS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense188177Expense
DescriptionTHE ALLIANCE REPORTED A SURVEY OF 32K PATIENTS' EXPERIENCE WITH THEIR PRIMARY CARE CLINICS WHICH WAS SENT TO 90K RESIDENTS IN ORDER TO REPORT TO CONSUMERS, PURCHASERS AND PROVIDERS ON PATIENTS' PERCEPTION OF THE QUALITY OF THEIR EXPERIENCE IN 150 CLINIC LOCATIONS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense327035Expense
Revenue27500Revenue
DescriptionTHE ALLIANCE CO-SPONSORS WITH THE STATE A MULTI-PAYER MEDICAL HOME PILOT TO TEST WHETHER PAYING A CARE MANAGEMENT FEE TO 8 MEDICAL GROUPS CAN REDUCE AVOIDABLE USE OF THE ER OR HOSPITAL. THE ALLIANCE COLLABORATES WITH OTHER ORGANIZATIONS TO IMPROVE THE PERFORMANCE OF THE HEALTH CARE SYSTEM, EG, TO REDUCE READMISSIONS, STRENGTHEN PRIMARY CARE, USE IMAGING SERVICES APPROPRIATELY. THE ALLIANCE PROVIDES EDUCATIONAL PROGRAMS AND OPPORTUNITIES FOR MEMBERS TO CONTRIBUTE TO TRANSFORMING HEALTH CARE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp327035TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev27500TotalOfOtherProgramServiceRev
Total Program Service Expense1994014TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees16NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJENNIFER LOYDNamePerson
Telephone Number2064542959TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 STEWART STREET SUITE 824AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98101ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
STEVE HILL
CHAIR (NON-VOTING)3.00XX000
PETER MCGOUGH MD
VICE CHAIR2.00XX000
LINDSAY GEYER
SECRETARY2.00XX000
DAVID GROSSMAN MD
TREASURER2.00XX000
DAVID FLEMING MD
PAST CHAIR2.00X000
CAROLINE WHALEN
BOARD CHAIR ELECT2.00XX000
MARK ADAMS MD
BOARD MEMBER1.00X000
CATHIE FURMAN
BOARD MEMBER1.00X000
ROD HOCHMAN MD
BOARD MEMBER1.00X000
MARILYN GUTHRIE
BOARD MEMBER1.00X000
DAVID HANSEN
BOARD MEMBER1.00X000
TOM HUNT
BOARD MEMBER1.00X000
BETH JOHNSON
BOARD MEMBER1.00X000
FLORENCE KATZ
BOARD MEMBER1.00X000
MARYANNE LINDEBLAD
BOARD MEMBER1.00X000
GREG MARCHAND
BOARD MEMBER1.00X000
JIM MESSINA
BOARD MEMBER1.00X000
ROGER NEUMAIER
BOARD MEMBER1.00X000
YVONNE PETERS
BOARD MEMBER1.00X000
CHARISSA RAYNOR
BOARD MEMBER1.00X000
TOM RICHARDS
BOARD MEMBER1.00X000
RON SIMS
BOARD MEMBER1.00X000
DIANE ZAHN
BOARD MEMBER1.00X000
MARY MCWILLIAMS
EXECUTIVE DIRECTOR40.00X231600012420
SUSANNE DADE
DEPUTY DIRECTOR34.00152045010033X
JOHN GALLAGHER
COMMUNICATION DIRECTOR40.0011748509107X
MARK PREGLER
PERFORMANCE MEASUREMENT DI40.0013839205472X
FieldValueIRS element (for citing)
Total Reportable Comp From Org639522TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation37032TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MILLIMAN INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11301 FIFTH AVENUE SUITE 3800AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98101ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesDATA VENDORDescriptionOfServices
Compensation368200Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants498502GovernmentGrants
All Other Contributions2318685AllOtherContributions
Total Contributions2817187TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionEVALUE8 PROGRAMDescription
Business Code900099BusinessCode
Total Revenue Column27500TotalRevenueColumn
Related Or Exempt Function Income27500RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue27500TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1700TotalRevenueColumn
Exclusion$1,700ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
REIMBURSED EXPENSES90009950388$50,388
LOSS OF F/A DISPOSAL900099-13180-$13,180
FieldValueIRS element (for citing)
Total Other Revenue37208TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2883595TotalRevenueColumn
Related Or Exempt Function Income27500RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$38,908ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total244020Total
Program Services146412ProgramServices
Management And General36603ManagementAndGeneral
Fundraising61005Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total826508Total
Program Services641078ProgramServices
Management And General142810ManagementAndGeneral
Fundraising42620Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total17199Total
Program Services13632ProgramServices
Management And General3010ManagementAndGeneral
Fundraising557Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total94671Total
Program Services70542ProgramServices
Management And General15983ManagementAndGeneral
Fundraising8146Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total78317Total
Program Services57735ProgramServices
Management And General13142ManagementAndGeneral
Fundraising7440Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total53119Total
Program Services36122ProgramServices
Management And General16997ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30968Total
Management And General30968ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total819Total
Program Services508ProgramServices
Management And General311ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total55728Total
Program Services42062ProgramServices
Management And General9765ManagementAndGeneral
Fundraising3901Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total15825Total
Program Services5015ProgramServices
Management And General10810ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total114722Total
Program Services84573ProgramServices
Management And General19250ManagementAndGeneral
Fundraising10899Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total19263Total
Program Services17824ProgramServices
Management And General606ManagementAndGeneral
Fundraising833Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total24957Total
Program Services17291ProgramServices
Management And General6357ManagementAndGeneral
Fundraising1309Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total41365Total
Program Services30494ProgramServices
Management And General6941ManagementAndGeneral
Fundraising3930Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total21259Total
Program Services15672ProgramServices
Management And General3567ManagementAndGeneral
Fundraising2020Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MILLIMAN CONTRACT460250460250
HEALTH INFORMATION & TE113800113800
PATIENT EXPERIENCE INIT105169105169
COMMUNICATION6923969239

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total85843Total
Program Services66596ProgramServices
Management And General18854ManagementAndGeneral
Fundraising393Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2473041Total
Program Services1994014ProgramServices
Management And General335974ManagementAndGeneral
Fundraising143053Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY551857BOY
EOY268524EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2031315BOY
EOY2532087EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY116424EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11115BOY
EOY45193EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY259344BOY
EOY272395EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis203296LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec91470LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY84755BOY
EOY111826EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY8336EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2938386BOY
EOY3354785EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY190911BOY
EOY351978EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY155222BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY346133BOY
EOY351978EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2592253BOY
EOY3002807EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2592253BOY
EOY3002807EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2938386BOY
EOY3354785EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses410554ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS Audited0FSAudited
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3343415CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2764381CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1108703CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2157827CurrentTaxYearMinus1Year
Current Tax Year2817187CurrentTaxYear
Total12191513Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3343415CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2764381CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1108703CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2157827CurrentTaxYearMinus1Year
Current Tax Year2817187CurrentTaxYear
Total12191513Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total3147821AmountsSubstContributorsTotal
Public Support Total1709043692PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years61152CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26251CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6631CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4217CurrentTaxYearMinus1Year
Current Tax Year1700CurrentTaxYear
Total99951Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1086CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1025CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1300CurrentTaxYearMinus2Years
Total3411Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6137CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3795CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9337CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16622CurrentTaxYearMinus1Year
Current Tax Year50388CurrentTaxYear
Total86279Total
FieldValueIRS element (for citing)
Total Support12381154TotalSupport
Gross Receipts From Admissions Etc116700GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.73040PublicSupportPertcentage170
Public Support Pertcent Prior Year0.70340PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis203296OtherCostOrOtherBasis
Depreciation91470Depreciation
Book Value111826BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings111826TotalOfBookValueLandBuildings

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARY MCWILLIAMS
EXECUTIVE DIRECTOR231600000006948054720244020000
SUSANNE DADE
DEPUTY DIRECTOR152045000004561054720162078000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2MARY MCWILLIAMS AND TOM HUNT HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4UPDATED OUR BYLAWS TO OMIT REFERENCES TO GEOGRAPHIC LIMITATION OF ACTIVITY SO THAT WE COULD EXPAND TO STATEWIDE DATA COLLECTION.
FORM 990, PART VI, SECTION B, LINE 11THE 990 WAS REVIEWED BY THE EXECUTIVE COMMITTEE IN A MEETING FACILIATATED BY THE ACCOUNTING FIRM WHO PRODUCED IT. THEN, THE FINAL COPY WAS DISTRIBUTED TO THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CA COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE IS COLLECTED FROM EACH BOARD MEMBER AND STAFF ANNUALLY. THE BOARD CHAIR REVIEWS ALL RESPONSES. BOARD MEMBERS DISCLOSE THEIR POTENTIAL CONFLICTS VERBALLY IN AN EXECUTIVE SESSION PART OF A BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 15AEXECUTIVE DIRECTOR - THE EXECUTIVE COMMITTEE REVIEWED A COMPENSATION SURVEY OF CEO SALARIES PREPARED BY THE NETWORK FOR REGIONAL HEALTH IMPROVEMENT (NRHI). THE MEETING MINUTES NOTE THE EXECUTIVE COMMITTEE'S APPROVAL OF COMPENSATION TERMS.
FORM 990, PART VI, SECTION C, LINE 19MOST OF OUR KEY DOCUMENTS, INCLUDING POLICY STATEMENTS AND MINUTES FROM KEY MEETINGS, ARE AVAILABLE ON THE PUGET SOUND HEALTH ALLIANCE WEBSITE. ADDITIONALLY, THE WEBSITE DIRECTS PEOPLE WITH QUESTIONS TO CONTACT MANAGEMENT STAFF AND STAFF SUPPORT FOR THE BOARD OF DIRECTORS. ONE OF THE GUIDING PRINCIPLES OF THE PUGET SOUND HEALTH ALLIANCE IS TRANSPARENCY TO IMPROVE THE DELIVERY OF HEALTHCARE, AND WE STRIVE TO TRANSLATE THIS SAME TRANSPARENCY INTO OUR BUSINESS OPERATIONS.
FORM 990, PART XII, LINE 2C:THE REVIEW COMMITTEE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.