2024-03-18T15:12:36-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-07-01 911381840 WASHINGTON PHYSICIANS HEALTH PROGRAM WASH 2065830127 1200 6TH AVENUE 850 SEATTLE WA 98101 SHELDON COOPER EXECUTIVE DIRECTOR 2065830127 2024-03-18 1 SHELDON COOPER 999009999 0 KURT BENNION CPA P01469618 4252506100 2024-03-18 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SHELDON COOPER 1200 6TH AVENUE 850 SEATTLE WA 98101 4297408 0 X WWW.WPHP.ORG X 1987 WA TO FACILITATE THE REHABILITATION OF HEALTHCARE PROFESSIONALS WHO HAVE PHYSICAL OR MENTAL CONDITIONS THAT COULD COMPROMISE PATIENT SAFETY AND TO MONITOR THEIR RECOVERY. 13 13 30 15 0 0 2635165 2910654 396272 401814 198781 152318 3557 5073 3233775 3469859 31478 61263 0 0 1989417 2241819 0 0 0 673806 755322 2694701 3058404 539074 411455 7489357 9267385 1018917 2263585 6470440 7003800 TO FACILITATE THE REHABILITATION OF HEALTHCARE PROFESSIONALS WHO HAVE PHYSICAL OR MENTAL CONDITIONS THAT COULD COMPROMISE PATIENT SAFETY AND TO MONITOR THEIR RECOVERY. 0 0 2510977 61263 401814 WPHP FACILITATED REHABILITATION AND PROVIDED MONITORING SERVICES FOR 222 PHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS WHO HAVE PHYSICAL OR MENTAL CONDITIONS THAT COULD COMPROMISE PATIENT SAFETY. WPHP RECEIVED AND EVALUATED 146 REFERRALS, ADMITTED 63 PARTICIPANTS INTO THE PROGRAM, AND DISCHARGED 80 PARTICIPANTS DURING 2022. WPHP PROVIDED 43 EDUCATIONAL PRESENTATIONS TO APPROXIMATELY 4,012 HEALTH CARE PRACTITIONERS ON THE TOPIC OF PHYSICIAN HEALTH DURING 2022. 2510977 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 18 0 30 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WA CA X X SHELDON COOPER 2065830127 1200 6TH AVENUE 850 SEATTLE WA 98101 CHRIS BUNDY MD MPH EXECUTIVE MEDICAL DIRECTOR 40.00 X 368389 0 43168 LAURA MOSS MD ASSOCIATE MEDICAL DIRECTOR 40.00 X 243981 0 28552 SHELDON COOPER EXECUTIVE DIRECTOR 24.00 X 128613 0 17687 ELIZABETH LOCOCO SENIOR CLINICAL AND INFORMATICS COORDINATOR 40.00 X 106115 0 21163 COURTNEY STRONG CLINICAL DIRECTOR 36.00 X 100180 0 17134 TOM MILLER MD BOARD CHAIR 2.00 X X 0 0 0 MATTHEW LAYTON MD PHD FACP DFAPA, VICE-CHAIR & MEMBER 1.00 X X 0 0 0 BARBARA SCHNEIDMAN MD MPH MEMBER & VICE-CHAIR 1.00 X X 0 0 0 KRISTIN KENNY TREASURER 1.00 X X 0 0 0 PARIS KALLAS JD SECRETARY (THROUGH JULY 2022) 1.00 X X 0 0 0 CARLA AINSWORTH MD MEMBER & SECRETARY 1.00 X X 0 0 0 ROB BENEDETTI MD MEMBER 1.00 X 0 0 0 TAYA BRILEY RN MN JD MEMBER 1.00 X 0 0 0 JAMES BROWN MD MEMBER 1.00 X 0 0 0 LUANN CHEN MD MHA MS FAAFP MEMBER 1.00 X 0 0 0 MARY COLLINS MURPHY MEMBER 1.00 X 0 0 0 LON HATFIELD MD PHD MEMBER 1.00 X 0 0 0 BRAD MCPHEE DDS MEMBER 1.00 X 0 0 0 BRENDA SUITER MHA MEMBER (THROUGH JANUARY 2023) 1.00 X 0 0 0 JEFFREY SUNG MD MEMBER 1.00 X 0 0 0 947278 0 127704 5 0 1 0 0 2852389 58265 2910654 PARTICIPANT SERVICE FE 624310 391194 391194 THERAPEUTIC CONFERENCE 624310 10620 10620 401814 148569 148569 831298 827549 3749 3749 3749 MISCELLANEOUS 812900 5073 5073 5073 3469859 401814 0 157391 61263 61263 592206 408909 183297 1303060 1159535 143525 70265 62232 8033 138347 118673 19674 137941 115185 22756 29389 29081 308 21381 21381 21654 21654 128010 86262 41748 115330 97225 18105 221776 184105 37671 102016 91606 10410 79193 65741 13452 TRAINING AND RESEARCH 30692 28474 2218 MISCELLANEOUS 5881 2686 3195 3058404 2510977 547427 0 676834 680005 211243 211327 260121 549235 71403 98493 70141 59722 725173 308367 469746 416806 5704000 5995650 25869 1256147 7489357 9267385 282339 296313 736578 1967272 1018917 2263585 X 6468496 6988800 1944 15000 6470440 7003800 7489357 9267385 411455 121905 0 X X 0 1 X 1 0 X 2468926 2320645 2694473 2635165 2910654 13029863 411971 403390 411742 396272 401814 2025189 2880897 2724035 3106215 3031437 3312468 15055052 0 0 0 15055052 111284 118433 116759 132622 148569 627667 111284 118433 116759 132622 148569 627667 3195 3631 3555 3557 5073 19011 2995376 2846099 3226529 3167616 3466110 15701730 0.95880 0.96140 0.04000 0.03770 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3521960 167021 3688981 3275914 500000 -253954 3521960 2513907 500000 262007 3275914 1905031 500000 108876 2513907 1734756 170275 1905031 1.00000 0.00000 0.00000 0 0 544250 188449 355801 180923 119918 61005 416806 SECURITY DEPOSITS 24869 RIGHT-OF-USE LEASE ASSETS 1231278 1256147 DEFERRED COMPENSATION 292522 RIGHT-OF-USE LEASE LIABILITIES 1674750 1967272 X 3570110 121905 121905 3448205 21654 21654 3469859 3036750 0 3036750 21654 21654 3058404 PART V, LINE 4: THE BOARD OF DIRECTORS DESIGNATED FUNDS TO FUNCTION AS ENDOWMENTS (QUASI-ENDOWMENT) TO SUPPORT ITS PARTICIPANTS AS ENVISIONED IN ITS MISSION STATEMENT IN THE EVENT OF SHORTFALLS IN FUNDING OR UNANTICIPATED NEED. PART X, LINE 2: THE INTERNAL REVENUE SERVICE (IRS) HAS DETERMINED THAT WPHP IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) AND IS CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(1); ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL INCOME TAX IN THE FINANCIAL STATEMENTS. WPHP FILES TAX FILINGS WITH THE U.S., STATE, AND VARIOUS LOCAL GOVERNMENTS. WPHP'S INCOME TAX FILINGS ARE SUBJECT TO EXAMINATION BY VARIOUS TAXING AUTHORITIES. WPHP FOLLOWS THE PROVISIONS OF UNCERTAIN TAX POSITIONS AS ADDRESSED IN FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) CODIFICATION SUBTOPIC 740-10, INCOME TAXES. WPHP BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. 1 FINANCIAL AID FOR EVALUATION AND TREATMENT 15 41114 FINANCIAL AID FOR PROGRAM FEE RELIEF 4 7002 FINANCIAL AID FOR CONFERENCE ATTENDANCE 21 13147 PART I, LINE 2: RECIPIENTS MUST SUBMIT A FINANCIAL APPLICATION PROVIDING DOCUMENTATION OF ASSETS, LIABILITIES, INCOME AND EXPENSES. THE APPLICATION IS REVIEWED TO DETERMINE IF ELIGIBLE FOR FINANCIAL ASSISTANCE, AND IF ELIGIBLE, THE AMOUNT OF ASSISTANCE TO BE MADE AVAILABLE. X X X X 0 0 0 0 0 0 0 0 0 CHRIS BUNDY MD MPH EXECUTIVE MEDICAL DIRECTOR 368389 0 0 0 0 0 18300 0 24868 0 411557 0 0 0 LAURA MOSS MD ASSOCIATE MEDICAL DIRECTOR 238590 0 5391 0 0 0 14828 0 13724 0 272533 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE APPROVAL OF A NEW BOARD MEMBER IS CONTROLLED BY THE WASHINGTON STATE MEDICAL ASSOCIATION. THE BOARD NOMINATES A PERSON FOR THE BOARD, AND THE WASHINGTON STATE MEDICAL ASSOCIATION'S EXECUTIVE COMMITTEE CONFIRMS THE DECISION. THE WASHINGTON STATE MEDICAL ASSOCIATION'S EXECUTIVE COMMITTEE MAY ALSO REMOVE BOARD MEMBER'S AT ANY TIME. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS TO THE BYLAWS REQUIRE APPROVAL FROM THE EXECUTIVE COMMITTEE OF THE WASHINGTON STATE MEDICAL ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE COMPLETED FORM 990 WAS DISTRIBUTED TO EACH BOARD MEMBER FOR REVIEW, COMMENTS, OR QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY INCLUDING EXAMPLES OF CONFLICTS OF INTEREST. BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY DIRECT OR INDIRECT FINANCIAL OR PERSONAL INTERESTS THAT POSE POTENTIAL CONFLICTS OF INTEREST AND SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. THE SIGNED CONFLICT OF INTEREST FORMS ARE SCANNED, FILED AND STORED IN ACCORDANCE WITH WPHP'S RECORD RETENTION POLICY. COMPLETED AND SIGNED CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND/OR THE EXECUTIVE MEDICAL DIRECTOR FOR DISCLOSED ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. NEW ACTUAL OR POTENTIAL CONFLICTS ARE NOT DEFERRED TO ANNUAL DISCLOSURE PROCESS BUT RATHER REPORTED TO THE EXECUTIVE DIRECTOR AND/OR THE EXECUTIVE MEDICAL DIRECTOR AS SOON AS THEY ARE IDENTIFIED. THE EXECUTIVE DIRECTOR AND/OR EXECUTIVE MEDICAL DIRECTOR DISCLOSE ALL IDENTIFIED ACTUAL OR POTENTIAL CONFLICT OF INTERESTS TO THE WPHP BOARD CHAIR. THE EXECUTIVE MEDICAL DIRECTOR AND EXECUTIVE DIRECTOR EVALUATE CHARITABLE GIVING AND OTHER TYPES OF FINANCIAL ASSISTANCE OFFERED BY COMMERCIAL INTERESTS ON A CASE BY CASE BASIS FOR POTENTIAL CONFLICT OF INTEREST ISSUES. TYPICALLY, SUCH GIVING WILL BE DIRECTED TO THE NAMED SCHOLARSHIP FUNDS AT WPHP CREATED TO ASSIST PARTICIPANTS AND THEIR FAMILIES. ANY QUESTIONS ABOUT THE APPLICATION OF THIS POLICY ARE BROUGHT TO THE ATTENTION OF THE EXECUTIVE DIRECTOR OR THE EXECUTIVE MEDICAL DIRECTOR. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND EXECUTIVE MEDICAL DIRECTOR IS DETERMINED FROM INFORMATION COMPLIED BY AN INDEPENDENT COMPENSATION CONSULTANT. THIS INFORMATION IS UPDATED ANNUALLY. FROM THESE UPDATES, THE BOARD SETS AND APPROVES EXECUTIVE COMPENSATION FOR THE FOLLOWING YEAR. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS FOR THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE EVALUATED ON A CASE BY CASE BASIS. FORM 990 PART XII, LINE 2C: THE ORGANIZATION'S PROCESS FOR SELECTING AN INDEPENDENT AUDITOR AND FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE YEAR.