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WASHINGTON HEALTH ALLIANCE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WASHINGTON HEALTH ALLIANCE (EIN 47-0948895)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-07
IRS object ID
201203129349301645
Schema version
2011v1.2
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)
Timestamp2012-11-07T15:26:58-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameHoward DonkinCPAName
PTINP00147726PTIN
Phone2066288990Phone
Date Prepared2012-11-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
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 Receipts2659752GrossReceipts
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 Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees13TotalNbrEmployees
Total Nbr Volunteers22TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1108703ContributionsGrantsPriorYear
Contributions Grants Current Year2638900ContributionsGrantsCurrentYear
Program Service Revenue Prior Year54000ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year6631InvestmentIncomePriorYear
Investment Income Current Year4011InvestmentIncomeCurrentYear
Other Revenue Prior Year10637OtherRevenuePriorYear
Other Revenue Current Year16635OtherRevenueCurrentYear
Total Revenue Prior Year1179971TotalRevenuePriorYear
Total Revenue Current Year2659546TotalRevenueCurrentYear
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 Year1102755SalariesEtcPriorYear
Salaries Etc Current Year1274184SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year104153TotalFundrsngExpCurrentYear
Other Expense Prior Year1101317OtherExpensePriorYear
Other Expenses Current Year1158307OtherExpensesCurrentYear
Total Expenses Prior Year2204072TotalExpensesPriorYear
Total Expenses Current Year2432491TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1024101RevenuesLessExpensesPriorYear
Revenues Less Expenses CY227055RevenuesLessExpensesCY
Total Assets BOY2914328TotalAssetsBOY
Total Assets EOY2938386TotalAssetsEOY
Total Liabilities BOY549130TotalLiabilitiesBOY
Total Liabilities EOY346133TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2365198NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2592253NetAssetsOrFundBalancesEOY
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 Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense770817Expense
DescriptionThe Alliance uses claims data from health plans and self-insured employers to measure and report on the variation and the prevalence of effective, evidence-based care among 1.6 million Puget Sound residents in order to promote higher quality.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense297933Expense
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)
Expense157720Expense
DescriptionThe Alliance fielded 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)
Expense727504Expense
DescriptionThe Alliance co-sponsors with the state a multi-payer medical home pilot to test whether paying a care management to 8 medical groups can reduce avoidable use of the ER or hospital. The Alliance collaborates with other organizations to improve the perfomance of the health care system, eg, to reduce readmissions, stregthen primary care, use imaging services appropriately.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp727504TotalOfOtherProgramServiceExp
Total Program Service Expense1953974TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees13NumberOfEmployees
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 Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
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 Number2064482570TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 Stewart Street Suite 824AddressLine1
CitySeattleCity
StateWAState
ZIP Code98101ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 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
Lloyd David
Vice Chair2.00XX000
Lindsay Geyer
Secretary2.00XX000
Joe Gifford
Treasurer2.00XX000
David Fleming
Past Chair2.00X000
Mark Adams
Board Member1.00X000
Cathie Furman
Board Member1.00X000
Kristen West
Board Member1.00X000
Marilyn Guthrie
Board Member1.00X000
David Hansen
Board Member1.00X000
Tom Hunt
Board Member1.00X000
Florence Katz
Board Member1.00X000
Greg Marchand
Board Member1.00X000
Peter McGough
Board Member2.00X000
Jim Messina
Board Member1.00X000
Roger Neumaier
Board Member1.00X000
Yvonne Peters
Board Member1.00X000
Doug Porter
Board Member1.00X000
Charissa Raynor
Board Member1.00X000
Tom Richards
Board Member1.00X000
Diane Zahn
Board Member1.00X000
Brenda Bruns
Board Member1.00X000
Mary McWilliams
Executive Director40.00X208752019501
Susanne Dade
Deputy Director32.0012349704125X
John Gallagher
Communication Director40.00110770016248X
Mark Pregler
Performance Measurement Director40.00135449018325X
FieldValueIRS element (for citing)
Total Reportable Comp From Org578468TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation58199TotalOtherCompensation
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
Compensation460250Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants302731GovernmentGrants
All Other Contributions2336169AllOtherContributions
Total Contributions2638900TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4217TotalRevenueColumn
Exclusion$4,217ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other206Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-206Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-206TotalRevenueColumn
Exclusion-$206ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionReimbursed ExpensesDescription
Business Code900099BusinessCode
Total Revenue Column16635TotalRevenueColumn
Exclusion$16,635ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue16635TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2659546TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$20,646ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total228253Total
Program Services136952ProgramServices
Management And General34238ManagementAndGeneral
Fundraising57063Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total863085Total
Program Services697846ProgramServices
Management And General129462ManagementAndGeneral
Fundraising35777Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total17959Total
Program Services14984ProgramServices
Management And General2694ManagementAndGeneral
Fundraising281Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total87453Total
Program Services69498ProgramServices
Management And General13118ManagementAndGeneral
Fundraising4837Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total77434Total
Program Services59624ProgramServices
Management And General11615ManagementAndGeneral
Fundraising6195Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total90Total
Program Services54ProgramServices
Management And General36ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total28055Total
Program Services16833ProgramServices
Management And General11222ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1096Total
Program Services548ProgramServices
Management And General548ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total39980Total
Program Services27986ProgramServices
Management And General11994ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total47840Total
Program Services44013ProgramServices
Management And General3827ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total102434Total
Program Services87069ProgramServices
Management And General15365ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total11550Total
Program Services10395ProgramServices
Management And General1155ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total12264Total
Program Services10424ProgramServices
Management And General1840ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total31845Total
Program Services27068ProgramServices
Management And General4777ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total20847Total
Program Services17720ProgramServices
Management And General3127ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Milliman Contract46025039121269038
Communication1143049715817146
Patient Experience Init1129089597216936
Health Information & Te913757766913706

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total83469Total
Program Services70949ProgramServices
Management And General12520ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2432491Total
Program Services1953974ProgramServices
Management And General374364ManagementAndGeneral
Fundraising104153Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY345107BOY
EOY551857EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2029619BOY
EOY2031315EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY202991BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY11115EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY279872BOY
EOY259344EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis146224LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec61469LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY56291BOY
EOY84755EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY448BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2914328BOY
EOY2938386EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY99459BOY
EOY190911EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY449671BOY
EOY155222EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY549130BOY
EOY346133EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1325639BOY
EOY2592253EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1039559BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2365198BOY
EOY2592253EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2914328BOY
EOY2938386EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses227055ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
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 Years2207155CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3343415CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2764381CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1108703CurrentTaxYearMinus1Year
Current Tax Year2157827CurrentTaxYear
Total11581481Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2207155CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3343415CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2764381CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1108703CurrentTaxYearMinus1Year
Current Tax Year2157827CurrentTaxYear
Total11581481Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total3290714AmountsSubstContributorsTotal
Public Support Total1708290767PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years66661CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61152CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26251CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6631CurrentTaxYearMinus1Year
Current Tax Year4217CurrentTaxYear
Total164912Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years506CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1086CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1025CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1300CurrentTaxYearMinus1Year
Total3917Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years6137CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3795CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9337CurrentTaxYearMinus1Year
Current Tax Year16622CurrentTaxYear
Total35891Total
FieldValueIRS element (for citing)
Total Support11786201TotalSupport
Gross Receipts From Admissions Etc89200GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.70340PublicSupportPertcentage170
Public Support Pertcent Prior Year0.82510PublicSupportPertcentPriorYear
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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9419OtherCostOrOtherBasis
Depreciation1373Depreciation
Book Value8046BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis136805OtherCostOrOtherBasis
Depreciation60096Depreciation
Book Value76709BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings84755TotalOfBookValueLandBuildings

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
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)

Base 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
2087520000067980127030228253000
Mark Pregler
1354490000000183250153774000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
New Program ServicesForm 990, Part III, line 2The alliance launched a new survey of patient experience with their physicians.
Form 990, Part VI, Section A, line 2Mary McWilliams and Tom Hunt have a business relationship.
Form 990, Part VI, Section B, line 11A copy of the Form 990 will be provided first to the executive committee of the Board of Dirctors for review and approval prior to filing. The CPA who is responsible for the filing will be present during the review which will occur at a regularly scheduled meeting. The executive committee is authorized to review and approve financial and human resources matters on behalf of the board, and the board approves all minutes of the executive committee within 30 days of each meeting. Once the executive committee has reviewed and approved the Form 990, it will then be provided to the full board prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cIn March-April of each calendar year, all board members and key employees are required to complete disclosure statements and to review conflict of interest policy. This information is summarized and reviewed with the chair of the board of directors, who is authorized to act on behalf of the board should a potential conflict be identified. Additionally, should key employees and new board members be hired or seated after this annual exercise, they are requested to complete a disclosure statement and to review the associated policy as part of their orientation. Again, this information is shared with the chair of the board of directors. If a real or perceived conflict of interest occurs, the conflicted person recuses themself from voting on the matter.
Form 990, Part VI, Section B, line 15aThe executive committee of the board of directors annually approves salary increase parameters for all Puget Sound Health Alliance staff, including but not limited to directors, who are the other key management officials. The executive director's salary is determined by the board of directors. The process includes written minutes of the deliberation and decision. The board is fortunate to have several human resource executives with specific knowledge of compensation who work together to compare established salaries within the organizaton to comparable posititions within the marketplace.
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.
Explanation for correction of participant contribution accountingForm 990, Part X, Line 28 - Temporarily restricted net assetsIn 2011, the Alliance corrected its accounting for participant contributions to be more consistent with its revenue recognition policy. As a result, additional contributions were recorded as revenue in 2011 and all temporarily restricted net assets were released.