Washington Health Alliance

Nonprofit profile at a glance

EIN
470948895
IRS 990 coverage
2010–2025
Forms available
Form 990 2025
Location
Seattle, WA, USA
Phone
2064542959
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Management & Technical Assistance

Official website

Reported finances

Revenue
$2,974,206
Expenses
$3,071,784
Assets
$3,596,321
Liabilities
$1,542,622

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

40 people listed

Executive titles in this filing

  • DENISE GIAMBALVO (EXECUTIVE DIRECTOR)

Highest reported compensation

  • MARK S PREGLER (DIRECTOR, DATA MGMT AND ANALYTICS): $220,890 total reported compensation
  • DENISE GIAMBALVO (EXECUTIVE DIRECTOR): $199,429 total reported compensation
  • ANDREW B OLIVEIRA MD MHA (ED (THRU 6/25), MEDICAL DIRECTOR): $195,545 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To build a strong, collaborative alliance among doctors, hospitals, purchasers, health plans, consumers, and other healthcare affiliates to promote health and improve the quality and affordability by reducing overuse, underuse, and misuse of health care centers.

What it reported doing in 2025

The alliance collaborates with health-related organizations and public agencies to advance health care transformation in the state of Washington, e.g., (1) planning and implementing health care improvement through peer-to-peer collaboration and education, (2) leveraging the alliance all payers' claims database to expand reporting on health care quality and cost, and (3) working with members to drive healthcare market change through aligned actions. The alliance educates stakeholders about variation in care and opportunities for improvement in population health focusing on advancing primary care, reducing the cost of pharmaceuticals, fair hospital pricing, care navigation to the highest value care, and measuring behavioral health outcomes.

Operating model

Revenue model
Earned-program. 95% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 75
  • Transparency & Controls: 74
  • Accountability: 95
  • Sustainability: 23
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 85.4%; rating input score 85
  • Program expense ratio: 83.3%; rating input score 83
  • Fundraising efficiency: $0.97 raised per $1 spent on fundraising; rating input score 2; 2nd percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -3.3%; rating input score 18; 18th percentile among comparable filings
  • Total-asset coverage ratio: 1.17; rating input score 39; 39th percentile among comparable filings
  • Liabilities to assets ratio: 0.43; rating input score 19; 19th percentile among comparable filings
  • Officer compensation ratio: 33.9%; rating input score 5; 5th percentile among comparable filings

Growth

  • Program expense growth: 0.3% per year; rating input score 100; 13th percentile among comparable filings
  • Revenue growth: 1.6% per year; rating input score 100; 14th percentile among comparable filings
  • Asset growth: 1.8% per year; rating input score 100; 16th percentile among comparable filings

Details

  • Where the money goes: 85.4% of revenue deployed · 83.3% of spending went to programs
  • Governance: 30 of 30 board members independent · 8 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $2.6M in reported program spending
  • Leadership: top reported pay $221K · 40 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 2 contractors listed · $499K reported
  • Consistency: 31 of 31 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 15 filing years from 2010 to 2025
  • Contacts: How to reach this organization
  • Money network: 6 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Financial Efficiency: Fundraising efficiency scored 2/100.
  • High — Sustainability: Operating margin scored 18/100.
  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 39/100.
  • High — Sustainability: Officer compensation ratio scored 5/100.
  • High — Sustainability: Liabilities to assets ratio scored 19/100.