2025-10-15T16:13:41-05:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2024-01-01 911729710 COMMUNITY HEALTH PLAN OF WASHINGTON COMM 2065218833 1111 3RD AVENUE 400 SEATTLE WA 98101 STUART BATTERSBY CHIEF FINANCIAL OFFICER 2065218833 2025-10-14 1 1 EMINA O CRESSWELL P01217304 4252597227 2025-10-14 2024 2025-03-06 01:10:19Z STUART BATTERSBY 1111 3RD AVENUE 400 SEATTLE WA 98101 1689503781 0 X WWW.CHPW.ORG X 1996 WA DELIVER MANAGED CARE SERVICES. 24 24 823 1 108586765 0 0 0 1439685900 1615803007 18319291 20717795 0 66961 1458005191 1636587763 0 0 1285792634 1537915569 65912184 72771262 0 0 0 89990561 92948726 1441695379 1703635557 16309812 -67047794 603010010 498648821 339948176 296200046 263061834 202448775 TO DELIVER ACCESSIBLE MANAGED CARE SERVICES WHICH MEET THE NEEDS AND IMPROVE THE HEALTH OF OUR COMMUNITIES, AND MAKE MANAGED CARE PARTICIPATION BENEFICIAL FOR COMMUNITY-RESPONSIVE PROVIDERS. 0 0 1554687759 1507216242 THE PLAN PROVIDES HEALTH INSURANCE COVERAGE TO ENROLLEES OF THE WASHINGTON STATE HEALTH CARE AUTHORITY'S (HCA) MEDICAID INTEGRATED MANAGED CARE (IMC) SERVICE PROGRAMS: APPLE HEALTH FAMILY (AHF), CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP), APPLE HEALTH BLIND AND DISABLED (AHBD), APPLE HEALTH EXPANSION (AHE), AND BEHAVIORAL HEALTH SERVICES ONLY (BHSO). THE PLAN ALSO PROVIDES HEALTH INSURANCE COVERAGE TO ENROLLEES THROUGH THE MEDICARE ADVANTAGE (MA) PROGRAM: MEDICARE ADVANTAGE INDIVIDUAL PLANS AND A SPECIAL NEEDS PLAN FOR DUALLY-ELIGIBLE (MEDICARE AND MEDICAID) PARTICIPANTS (D-SNP) AND PROVIDES A HEALTH INSURANCE COVERAGE TO ENROLLEES OF THE HCA MANAGED CARE "PUBLIC OPTION" PROGRAM KNOWN AS CASCADE SELECT. 1554687759 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 4545 0 1 823 1 1 1 0 0 0 0 0 0 0 X 24 24 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X STUART BATTERSBY 2065218833 1111 3RD AVENUE 400 SEATTLE WA 98101 X LEANNE BERGE CHIEF EXECUTIVE OFFICER 28.00 12.00 X 1021846 0 41729 ALAN REED LEDERMAN CHIEF OPERATING OFFICER 28.00 12.00 X 669554 0 31204 DEMETRIA CEVONNE MALLOY CHIEF MEDICAL OFFICER 28.00 12.00 X 629093 0 29498 STACY ANN KESSEL CHIEF FINANCE & STRATEGY OFFICER 28.00 12.00 X 605495 0 42363 TERRY GIT LEE SENIOR BEHAVIORAL HEALTH MEDICAL DIRECTOR 32.40 7.60 X 451724 0 48708 LUANN LAWTON CHEN SR MEDICAL DIRECTOR 32.40 7.60 X 387261 0 40907 MA'ATA JOY HARDMAN SR VP, HEALTH SERVICES 32.40 7.60 X 379831 0 46756 KELLI MICHELE HOUSTON CHIEF EQUITY OFFICER 28.00 12.00 X 398631 0 22488 KYUNG MIN LEE MEDICAL DIRECTOR 32.40 7.60 X 372311 0 39568 MELISSA STEVENS VP, COMMUNITY ENGAGEMENT & GROWTH 38.00 2.00 X 363090 0 39085 DAVID DIGIUSEPPE SR VP, HEALTHCARE ECONOMICS 27.60 12.40 X 354959 0 42441 FAIZA NILOFAR ZAFAR MEDICAL DIRECTOR 32.40 7.60 X 376764 0 19454 COLLIN FOULDS SR VP, GENERAL COUNSEL 25.60 14.40 X 350993 0 41729 ALEXANDER GARRARD SR VP, PEOPLE AND CULTURE 38.40 1.60 X 339287 0 39321 DEBORAH GLEESON VP, INFORMATION TECHNOLOGY 39.00 1.00 X 321497 0 26814 STUART R BATTERSBY CHIEF FINANCIAL OFFICER 28.00 12.00 X 322060 0 16723 ERIN BROOKE HAFER SR VP, DELIV HEALTH SYSTEMS INNOVATION 39.00 1.00 X 281284 0 46757 CHARYL LYNN NORWOOD VP, CUSTOMER EXPERIENCE 27.60 12.40 X 264565 0 25772 BETSY ANN E JONES CHIEF STRATEGY & INNOVATION OFFICER 28.00 12.00 X 78422 0 4145 STEPHEN LESLIE TARNOFF BOARD MEMBER 1.00 1.00 X 0 9000 0 WILLIAM LAINE DOWLING BOARD MEMBER 1.00 1.00 X 0 7200 0 JOSEPH EUGENE VESSEY CHAIR OF THE BOARD 1.00 1.00 X X 0 0 0 RHONDA DIANE HAUFF VICE CHAIR OF THE BOARD 1.00 1.00 X X 0 0 0 AARON GABRIEL WILSON BOARD TREASURER 1.00 1.00 X X 0 0 0 ANGELA MARIA GONZALEZ BOARD SECRETARY 1.00 1.00 X X 0 0 0 REGINA BONNEVIE ROGERS BOARD MEMBER 1.00 1.00 X 0 0 0 JENNIFER LYNN KREIDLER-MOSS BOARD MEMBER 1.00 1.00 X 0 0 0 BRANDY DIANE TAYLOR BOARD MEMBER 1.00 1.00 X 0 0 0 DAVID ELDOR FLENTGE BOARD MEMBER 1.00 1.00 X 0 0 0 DESIREE LYN SWEENEY BOARD MEMBER 1.00 1.00 X 0 0 0 GAELON BROOK SPRADLEY BOARD MEMBER 1.00 1.00 X 0 0 0 JESUS HERNANDEZ BOARD MEMBER 1.00 1.00 X 0 0 0 KELLI ANN NOMURA BOARD MEMBER 1.00 1.00 X 0 0 0 LISA CORINNE YOHALEM BOARD MEMBER 1.00 1.00 X 0 0 0 RASHAD ALI COLLINS BOARD MEMBER 1.00 1.00 X 0 0 0 SHEILA ANN BERSCHAUER BOARD MEMBER 1.00 1.00 X 0 0 0 CHRISTINE SUE TROTTER BOARD MEMBER 1.00 1.00 X 0 0 0 JAMES KENNETH COFFEE BOARD MEMBER 1.00 1.00 X 0 0 0 JEFFREY SPENCER GIBBS BOARD MEMBER (THRU 12/24) 1.00 1.00 X 0 0 0 JODI SUE JOYCE BOARD MEMBER 1.00 1.00 X 0 0 0 KRISTY NEEDHAM BOARD MEMBER 1.00 1.00 X 0 0 0 MANUEL IGNACIO NAVARRO BOARD MEMBER 1.00 1.00 X 0 0 0 MICHAEL SCOTT MAXWELL BOARD MEMBER 1.00 1.00 X 0 0 0 CARLA MARIE DEWBERRY BOARD MEMBER 1.00 1.00 X 0 0 0 7968667 16200 645462 280 0 1 0 DATEC INCORPORATED 364 UPLAND DR TUKWILA WA 98188 SOFTWARE SERVICES 2276678 KFORCE PROFESSIONAL STAFFING 1001 E PALM AVE TAMPA FL 33605 CONTRACTING SERVICES 1950821 ARCADIA SOLUTIONS LLC 20 BLANCHARD RD SUITE 10 BURLINGTON MA 018035155 IT CONTRACTING 1134862 MILLIMAN INC SEATTLE ATTN STEVE TURNER 1301 5TH AVE SUI SEATTLE WA 981012605 ACTUARIAL/HEALTHCARE CONSULTING 967362 CAREERSTAFF UNLIMITED LLC PO BOX 301076 DALLAS TX 753031076 PHARMACEUTICAL CONSULTANT STAFFING 912102 19 PREMIUM EARNED 524114 1615803007 1507216242 108586765 1615803007 19344801 19344801 54288512 500 52916018 0 1372494 500 1372994 1372994 OTHER INCOME 900099 66961 66961 66961 1636587763 1507216242 108586765 20784756 1537915569 1537915569 6485834 6485834 50328824 5770361 44558463 2527701 256725 2270976 9158262 930156 8228106 4270641 433746 3836895 487325 49495 437830 1256927 127659 1129268 581928 581928 38935167 3954437 34980730 2490762 252973 2237789 2283479 231921 2051558 295108 29973 265135 4688825 476219 4212606 530752 53906 476846 144761 14703 130058 9785797 993891 8791906 1025341 104138 921203 TAXES, LICENSES, & FEES 29694091 3015870 26678221 BOARDS, BUREAUS & ASSOC 488635 49628 439007 COLLECTION AND BANK SER 153144 15554 137590 UNCOLLECTIBLE PREFERRED 106684 10835 95849 1703635557 1554687759 148947798 0 204016104 65712289 73044313 83943319 3442760 1763730 812065 1679030 323352960 345512775 1784568 1801408 603010010 498648821 24558792 32468639 98793655 1637129 216595729 262094278 339948176 296200046 X 0 0 14738448 14738448 248323386 187710327 263061834 202448775 603010010 498648821 X -67047794 8140753 -1706018 X X 0 1 X 1 0 3092288 1763730 1328558 350472 350472 1679030 CLAIMS UNPAID 172899945 ACCRUED MEDICAL INCENTIVE POOL 2457241 UNPAID CLAIMS ADJUSTMENT EXPENSES 4267451 AGGREGATE HEALTH POLICY RESERVES 62687864 LIABILITIES UNDER UNINSURED PLANS 6054237 DUE TO AFFILIATES 13727540 262094278 X 1636005835 0 1636005835 581928 581928 1636587763 1703053629 0 1703053629 581928 581928 1703635557 PART X, LINE 2: AS OF DECEMBER 31, 2024 AND 2023, THE COMPANY HAS NO UNCERTAIN TAX POSITIONS, AND IN ACCORDANCE WITH ACCOUNTING GUIDANCE, HAS NOT RECORDED A CONTINGENT LIABILITY. THERE ARE NO TAX POSITIONS FOR WHICH MANAGEMENT BELIEVES IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNT OF TAX CONTINGENCIES WILL SIGNIFICANTLY INCREASE OR DECREASE WITHIN 12 MONTHS OF THE REPORTING DATE. THE COMPANY FILES AN EXEMPT ORGANIZATION RETURN WITH THE U.S. FEDERAL JURISDICTION ANNUALLY. X 1 1 X X X 0 0 0 0 0 0 0 1 0 LEANNE BERGE CHIEF EXECUTIVE OFFICER 729114 0 283103 0 9629 0 20700 0 21029 0 1063575 0 0 0 ALAN REED LEDERMAN CHIEF OPERATING OFFICER 523034 0 143615 0 2905 0 20700 0 10504 0 700758 0 0 0 DEMETRIA CEVONNE MALLOY CHIEF MEDICAL OFFICER 468489 0 154498 0 6106 0 19044 0 10454 0 658591 0 0 0 STACY ANN KESSEL CHIEF FINANCE & STRATEGY OFFICER 421795 0 169199 0 14501 0 20700 0 21663 0 647858 0 0 0 TERRY GIT LEE SENIOR BEHAVIORAL HEALTH MEDICAL DIR 354480 0 79803 0 17441 0 18473 0 30235 0 500432 0 0 0 LUANN LAWTON CHEN SR MEDICAL DIRECTOR 298780 0 68265 0 20216 0 19244 0 21663 0 428168 0 0 0 MA'ATA JOY HARDMAN SR VP, HEALTH SERVICES 307058 0 64217 0 8556 0 11120 0 35636 0 426587 0 0 0 KELLI MICHELE HOUSTON CHIEF EQUITY OFFICER 307528 0 88197 0 2906 0 12034 0 10454 0 421119 0 0 0 KYUNG MIN LEE MEDICAL DIRECTOR 287054 0 64365 0 20892 0 20700 0 18868 0 411879 0 0 0 MELISSA STEVENS VP, COMMUNITY ENGAGEMENT & GROWTH 290042 0 62564 0 10484 0 18526 0 20559 0 402175 0 0 0 DAVID DIGIUSEPPE SR VP, HEALTHCARE ECONOMICS 274054 0 61779 0 19126 0 12206 0 30235 0 397400 0 0 0 FAIZA NILOFAR ZAFAR MEDICAL DIRECTOR 304585 0 65328 0 6851 0 8985 0 10469 0 396218 0 0 0 COLLIN FOULDS SR VP, GENERAL COUNSEL 266960 0 62098 0 21935 0 20066 0 21663 0 392722 0 0 0 ALEXANDER GARRARD SR VP, PEOPLE AND CULTURE 259117 0 60652 0 19518 0 17658 0 21663 0 378608 0 0 0 DEBORAH GLEESON VP, INFORMATION TECHNOLOGY 261289 0 48784 0 11424 0 16345 0 10469 0 348311 0 0 0 STUART R BATTERSBY CHIEF FINANCIAL OFFICER 321854 0 0 0 206 0 16709 0 14 0 338783 0 0 0 ERIN BROOKE HAFER SR VP, DELIV HEALTH SYSTEMS INNOVATI 212180 0 51753 0 17351 0 17889 0 28868 0 328041 0 0 0 CHARYL LYNN NORWOOD VP, CUSTOMER EXPERIENCE 219889 0 40904 0 3772 0 15303 0 10469 0 290337 0 0 0 PART I, LINE 3 THE CHPW CEO COMPENSATION IS SET BY THE EXECUTIVE COMMITTEE OF THE CHPW BOARD OF DIRECTORS BASED UPON INDEPENDENT THIRD PARTY COMPENSATION INFORMATION AND PROFESSIONAL OPINION. PART I, LINE 7 CERTAIN INDIVIDUALS RECEIVE NON-FIXED PAYMENTS DETERMINED, IN PART, BY MEETING OR EXCEEDING BUDGETED OPERATING INCOME FOR THE YEAR. OUR INCENTIVE PLAN IS NOT A FIXED DOLLAR AMOUNT BUT RATHER BASED ON COMPANY PERFORMANCE AND THE ACCELERATOR IS BASED ON FINANCIAL PERFORMANCE. FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS: THE ORGANIZATION HAS ONE CORPORATE MEMBER, COMMUNITY HEALTH NETWORK OF WASHINGTION (CHNW), A RELATED 501(C)(4) TAX EXEMPT ENTITY. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF THE SOLE CORPORATE MEMBER, COMMUNITY HEALTH NETWORK OF WASHINGTON (CHNW), ELECTS THE CHPW BOARD OF DIRECTORS. EACH MEMBER OF THE CHPW BOARD OF DIRECTORS MUST MEET THE QUALIFICATIONS TO BE A CHNW BOARD MEMBER. DURING 2024, ALL CHPW BOARD MEMBERS SERVED ON THE CHNW BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING POWERS RELATED TO CHPW ARE RESERVED TO CHNW BY ITS BYLAWS: A) AMENDMENT OF THE ARTICLES OF INCORPORATION, B) AMENDMENT TO THE BYLAWS, C) REMOVAL OF ONE OR MORE DIRECTORS FROM THE BOARD, D) APPROVAL OF ARTICLES OF MERGER, E) APPROVAL OF THE SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CHPW OTHER THAN IN THE ORDINARY COURSE OF BUSINESS, AND F) APPROVAL OF THE VOLUNTARY DISSOLUTION OF CHPW. FORM 990, PART VI, SECTION B, LINE 11B THE 990 AND ALL REQUIRED SCHEDULES ARE REVIEWED BY THE VP OF FINANCE, CHIEF FINANCIAL OFFICER, AND CHIEF EXECUTIVE OFFICER. THE CHIEF FINANCIAL OFFICER THEN PROVIDES THE 990 TO THE CHPW FINANCE COMMITTEE AND THE CHPW BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, CORPORATE OFFICERS, AND EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE REQUIRED TO ANNUALLY DISCLOSE POTENTIAL CONFLICTS OF INTEREST. WITH RESPECT TO BOARD MEMBERS, POTENTIAL CONFLICTS ARE DISCLOSED PRIOR TO DELIBERATION; IF AN ACTUAL CONFLICT EXISTS, THE INDIVIDUAL WITH THE CONFLICT WILL NOT PARTICIPATE AND IS ASKED TO LEAVE THE MEETING DURING FINAL DELIBERATION AND VOTE. WITH RESPECT TO EMPLOYEES, INCLUDING CORPORATE OFFICERS AND EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE, POTENTIAL CONFLICTS ARE GOVERNED BY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY; ACTUAL OR POTENTIAL CONFLICTS MUST BE DISCLOSED TO THE HUMAN RESOURCES DEPARTMENT OR A CORPORATE OFFICER. THE COMPLIANCE OFFICER, IN COOPERATION WITH HUMAN RESOURCES, WILL REVIEW THE CONFLICT AND ADVISE THE EMPLOYEE WITH A POTENTIAL CONFLICT CONCERNING ANY LIMITATIONS THEY MUST OBSERVE IN REGARDS TO THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE CHPW CEO COMPENSATION IS SET BY THE EXECUTIVE COMMITTEE OF THE CHPW BOARD OF DIRECTORS BASED UPON INDEPENDENT THIRD PARTY COMPENSATION INFORMATION AND PROFESSIONAL OPINION. AT LEAST ANNUALLY, THE CHPW HUMAN RESOURCES DEPARTMENT REVIEWS COMPENSATION OF ALL EMPLOYEES (INCLUDING EMPLOYED OFFICERS AND KEY EMPLOYEES). THE CHPW HUMAN RESOURCES DEPARTMENT UTILIZES SEVERAL INDEPENDENT THIRD PARTY COMPENSATION SURVEYS TO MAKE RECOMMENDATIONS ABOUT EMPLOYED OFFICER AND KEY EMPLOYEE COMPENSATION. UTILIZING THAT INFORMATION, THE CHPW CEO SETS THE COMPENSATION FOR EMPLOYED OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF GOVERNANCE DOCUMENTS, THE CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE BY REQUEST MADE TO THE CORPORATE OFFICES AT 1111 3RD AVENUE, SUITE 400 SEATTLE, WA 98101 OR BY FAXING A REQUEST TO (206) 521-8834. ALSO, THE STATUTORY AUDITED FINANCIAL STATEMENTS ARE POSTED ON THE OFFICE OF INSURANCE COMMISSIONER WEBSITE. FORM 990, PART VII: ALL EMPLOYEES ARE PAID THROUGH COMMUNITY HEALTH PLAN OF WASHINGTON (CHPW). SALARIES REPORTED AS EXPENSES ON THE NETWORK'S STATEMENT OF FUNCTIONAL EXPENSES ARE REPORTED THROUGH CHPW AS A COMMON PAYMASTER. THE FOLLOWING INDIVIDUALS SERVE ON THE BOARD OF COMMUNITY HEALTH PLAN OF WASHINGTON (CHPW) IN CONNECTION WITH THEIR ROLES AS THE CEO, EXECUTIVE DIRECTOR, OR OTHER SENIOR EXECUTIVE OF THE TAX-EXEMPT COMMUNITY HEALTH CENTER OR CLINIC (CHC) MEMBERS OF COMMUNITY HEALTH NETWORK OF WASHINGTON. THESE INDIVIDUALS DO NOT RECEIVE COMPENSATION FOR THEIR BOARD SERVICE; HOWEVER, CHNW PAYS THEIR RESPECTIVE CHC A STIPEND FOR SERVICES ON BOARD COMMITTEES AND REIMBURSEMENT FOR TRAVEL EXPENSES. - JOSEPH EUGENE VESSEY - REGINA BONNEVIE ROGERS (MEDICAL DIRECTOR) - ANGELA MARIA GONZALEZ - AARON GABRIEL WILSON - RHONDA DIANE HAUFF - JENNIFER LYNN KREIDLER-MOSS - BRANDY DIANE TAYLOR - DAVID ELDOR FLENTGE - DESIREE LYN SWEENEY - GAELON BROOK SPRADLEY - JESUS HERNANDEZ - KELLI ANN NOMURA - LISA CORINNE YOHALEM - JEFFREY SPENCER GIBBS (JAN 2024-DEC 2024) - RASHAD ALI COLLINS - SHEILA ANN BERSCHAUER - CHRISTINE SUE TROTTER - JAMES KENNETH COFFEE - JODI SUE JOYCE - KRISTY NEEDHAM - MANUEL IGNACIO NAVARRO - MICHAEL SCOTT MAXWELL FORM 990, PART XI, LINE 9: CHANGE IN NONADMITTED ASSETS -1,706,018. FORM 990, PART XII, LINE 1: STATUTORY BASIS COMMUNITY HEALTH NETWORK OF WASHINGTON 1111 3RD AVENUE SUITE 400 SEATTLE WA 98101 911577184 MANAGED HEALTHCARE DELIVERY NETWORK WA 501(C)(4) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1