OVERLAKE MEDICAL CENTER & CLINICS: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: OVERLAKE MEDICAL CENTER & CLINICS (EIN 91-0652651)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-12
IRS object ID: 202341329349307629
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-12T14:53:49-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	911194016	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLARK NUBER PS	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10900 NE 4TH STREET SUITE 1400	AddressLine1Txt
City	BELLEVUE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	910652651	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OVERLAKE HOSPITAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	OVER	BusinessNameControlTxt
Phone	4256885000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1035 116TH AVENUE NE	AddressLine1Txt
City	BELLEVUE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ANDREW TOKAR	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4256885000	PhoneNum
Signature	2023-05-05	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ANDREW	PersonFirstNm
Person Last	TOKAR	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SARA ELIZABETH H JONES	PreparerPersonNm
PTIN	P00235495	PTIN
Phone	4254544919	PhoneNum
Preparation	2023-05-05	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	J MICHAEL MARSH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1035 116TH AVENUE NE	AddressLine1Txt
City	BELLEVUE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,372,832,344	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.OVERLAKEHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	THE PURPOSE IS TO OPERATE A HOSPITAL FOR THE CARE OF PERSONS, TO PARTICIPATE IN EDUCATION, RESEARCH AND OTHER ACTIVITIES DESIGNED TO PROMOTE GENERAL HEALTH OF THE COMMUNITY. THE HOSPITAL'S MISSION IS TO PROVIDE COMPASSIONATE CARE FOR EVERY LIFE WE TOUCH.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	3367	TotalEmployeeCnt
Total Volunteers	136	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$928	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$22,279,637	PYContributionsGrantsAmt
CY Contributions Grants	$18,628,819	CYContributionsGrantsAmt
PY Program Service Revenue	$590,464,551	PYProgramServiceRevenueAmt
CY Program Service Revenue	$626,810,817	CYProgramServiceRevenueAmt
PY Investment Income	$31,935,333	PYInvestmentIncomeAmt
CY Investment Income	$52,665,991	CYInvestmentIncomeAmt
PY Other Revenue	$3,826,174	PYOtherRevenueAmt
CY Other Revenue	$4,685,455	CYOtherRevenueAmt
PY Total Revenue	$648,505,695	PYTotalRevenueAmt
CY Total Revenue	$702,791,082	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,432,603	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,803,542	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$346,379,941	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$385,579,117	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$274,532,327	PYOtherExpensesAmt
CY Other Expenses	$325,648,939	CYOtherExpensesAmt
PY Total Expenses	$623,344,871	PYTotalExpensesAmt
CY Total Expenses	$714,031,598	CYTotalExpensesAmt
PY Revenues Less Expenses	$25,160,824	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$11,240,516	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,137,955,919	TotalAssetsBOYAmt
Total Assets EOY	$1,021,060,160	TotalAssetsEOYAmt
Total Liabilities BOY	$486,725,975	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$503,607,176	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$651,229,944	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$517,452,984	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE PURPOSE IS TO OPERATE A HOSPITAL FOR THE CARE OF PERSONS, TO PARTICIPATE IN EDUCATION, RESEARCH AND OTHER ACTIVITIES DESIGNED TO PROMOTE GENERAL HEALTH OF THE COMMUNITY. THE HOSPITAL'S MISSION IS TO PROVIDE COMPASSIONATE CARE FOR EVERY LIFE WE TOUCH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$561,345,646	ExpenseAmt
Revenue	$626,715,064	RevenueAmt
Desc	SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,803,542	ExpenseAmt
Grant	$2,803,542	GrantAmt
Desc	OTHER GRANTS AND ALLOCATIONS: GRANTS TO OVERLAKE HOSPITAL FOUNDATION TO COVER EXPENSES AND GRANTS TO SUPPORT OTHER COMMUNITY NONPROFIT ORGANIZATIONS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$3,421,785	ExpenseAmt
Revenue	$95,753	RevenueAmt
Desc	EDUCATION SERVICES:IN ADDITION TO THE EXCELLENT CARE WE PROVIDE OUR PATIENTS, THE HOSPITAL FIRMLY BELIEVES EDUCATION IS CRITICAL TO OVERALL WELLNESS. THE HOSPITAL REACHES OUT TO THE COMMUNITY TO ENGAGE AND EMPOWER ITS PATIENTS IN BECOMING EDUCATED HEALTHCARE CONSUMERS BY OFFERING FREE AND LOW-COST CLASSES FOR ALL AGE GROUPS. HEALTH EDUCATION IS AN IMPORTANT PART OF PREVENTATIVE CARE. THE EDUCATION PROGRAM PROVIDED 17,522 FAMILY CONTACT HOURS OFFERING CLASSES OF A WIDE RANGE OF HEALTH RELATED TOPICS INCLUDING WOMEN'S HEALTH, PRENATAL CARE, COPING SKILLS, DEALING WITH CANCER, POSITIVE PARENTING, SAFETY, ASTHMA, HEART DISEASE, DIABETES, LIVING WILLS, INCONTINENCE, WEIGHT LOSS, MAINTAINING BALANCE, BABYSITTING FOR TEENS, CPR AND HEALTHY LIFESTYLES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$567,570,973	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	166	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3367	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	20	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LINDSEY SOBOLOSKI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4256885552	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1231 116TH AVE SUITE 600	AddressLine1Txt
City	BELLEVUE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
J MICHAEL MARSH
PRESIDENT & CEO	45.00	15.00	Yes (X)	$1,314,369	$0	$140,806
ASIF ALI KHAN MD
NEUROSURGEON	40.00	0.00		$1,059,401	$0	$34,475	Yes (X)
DEREK M RODRIGUES MD
CARDIOLOGIST	40.00	0.00		$1,013,842	$0	$39,373	Yes (X)
AMITOZ SINGH MANHAS MD
NEUROSURGEON	40.00	0.00		$915,950	$0	$34,475	Yes (X)
DAVID W NELSON MD
CARDIOLOGIST	40.00	0.00		$891,483	$0	$39,373	Yes (X)
ROBERT S BINFORD MD
CARDIOLOGIST	40.00	0.00		$805,105	$0	$40,275	Yes (X)
THOMAS A DEBORD
COO	55.00	0.00	Yes (X)	$738,528	$0	$92,930
DAVID A KNOEPFLER
FORMER KEY EMPLOYEE	55.00	0.00		$736,623	$0	$90,164		Yes (X)
KELAN R KOENIG MD
OMC PHYSICIAN EXECUTIVE	55.00	0.00		$618,794	$0	$101,899			Yes (X)
ANDREW J TOKAR
CFO	50.00	7.00	Yes (X)	$592,130	$0	$85,014
MICHELLE CURRY
VP/CHIEF NURSING OFFICER	55.00	0.00		$374,430	$0	$63,208			Yes (X)
VALERIE CHRUSCIEL
OMC COO	60.00	0.00		$360,709	$0	$67,328			Yes (X)
ROBERT CAMPBELL
CHAIR	5.00	5.00	Yes (X)	$0	$0	$0				Yes (X)
JASON THOMPSON
SECRETARY & TREASURER	3.00	0.50	Yes (X)	$0	$0	$0				Yes (X)
RUSSELL STOCKDALE
IMMEDIATE PAST CHAIR	3.00	1.00	Yes (X)	$0	$0	$0				Yes (X)
RONNIER AVILES
TRUSTEE THRU 12/21	2.00	2.00		$0	$0	$0				Yes (X)
PAULINE BACH
TRUSTEE	2.00	1.00		$0	$0	$0				Yes (X)
PATRICIA BEDIENT
TRUSTEE	1.00	1.00		$0	$0	$0				Yes (X)
KRISTINA BELFIORE
TRUSTEE	1.50	0.50		$0	$0	$0				Yes (X)
JAMES BOSWELL
TRUSTEE	2.00	2.00		$0	$0	$0				Yes (X)
RAJ BUTANI MD
TRUSTEE	3.00	0.50		$0	$0	$0				Yes (X)
JORGE CERDA
TRUSTEE	8.00	8.00		$0	$0	$0				Yes (X)
ANNETTE CLARK
TRUSTEE	2.00	2.00		$0	$0	$0				Yes (X)
TOM EVERT
TRUSTEE	3.00	0.50		$0	$0	$0				Yes (X)
VINCE FARINAS
TRUSTEE THRU 12/21	2.00	0.50		$0	$0	$0				Yes (X)
TED HERB
TRUSTEE	2.00	2.00		$0	$0	$0				Yes (X)
RAJESH JHA
TRUSTEE	2.00	1.00		$0	$0	$0				Yes (X)
TIFFANY KOENIG
TRUSTEE	1.50	0.50		$0	$0	$0				Yes (X)
JIM LADD
TRUSTEE	2.00	2.00		$0	$0	$0				Yes (X)
MARTHA LEE
TRUSTEE	3.00	3.00		$0	$0	$0				Yes (X)
LINDA MAHAFFEY
TRUSTEE	1.50	1.00		$0	$0	$0				Yes (X)
UMA RAGHAVAN
TRUSTEE	4.00	0.50		$0	$0	$0				Yes (X)
ERIC SHIPLEY
TRUSTEE	3.00	0.50		$0	$0	$0				Yes (X)
LISA WISSNER-SLIVKA
TRUSTEE	3.00	0.50		$0	$0	$0				Yes (X)
DILIP WAGLE
TRUSTEE	2.00	1.00		$0	$0	$0				Yes (X)
JESSIE WOOLLEY-WILSON
TRUSTEE	2.00	2.00		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,421,364	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$829,320	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	690	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BONEWITZ LLC
PO BOX 1620	MERCER ISLAND	WA	98040	CONSTRUCTION	$2,090,607
NBBJ
PO BOX 742088	LOS ANGELES	CA	90074	CONSTRUCTION	$1,834,823
FLEXCARE MEDICAL STAFFING
PO BOX 203684	DALLAS	TX	75320	MEDICAL STAFFING	$1,716,193
IVOXY CONSULTING LLC
PO BOX 101264	PASADENA	CA	91189	INFORMATION SYSTEMS	$1,247,040
TRIAGE
12020 PACIFIC STREET	OMAHA	NE	68154	MEDICAL STAFFING	$1,121,114

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	186	CntrctRcvdGreaterThan100KCnt
Related Organizations	$13,641,355	RelatedOrganizationsAmt
Government Grants	$4,882,240	GovernmentGrantsAmt
All Other Contributions	$105,224	AllOtherContributionsAmt
Total Contributions	$18,628,819	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NON GOVERNMENT PAYMENT	622110	$393,366,632	$393,366,632
MEDICARE/MEDICAID	622110	$228,838,292	$228,838,292
OTHER PROGRAM SERVICES	900099	$5,620,446	$5,620,446
EDUCATION SERVICES	611710	$95,753	$95,753
PROGRAM RELATED INV.	900099	-$1,110,306	-$1,110,306

Field	Value	IRS element (for citing)
Total Program Service Revenue	$626,810,817	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,942,391	TotalRevenueColumnAmt
Exclusion	$6,942,391	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$504,128	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$504,128	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$504,128	TotalRevenueColumnAmt
Exclusion	$504,128	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$715,729,981	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$669,992,102	SecuritiesAmt
Other	$14,279	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$45,737,879	SecuritiesAmt
Other	-$14,279	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,723,600	TotalRevenueColumnAmt
Exclusion	$45,723,600	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$147,862	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$34,881	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$112,981	TotalRevenueColumnAmt
Exclusion	$112,981	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA/CATERING	722514	$1,920,589	$1,920,589
QUALITY INCENTIVES	900099	$1,233,200	$1,233,200
PURCHASE DISCOUNTS	900099	$390,332	$390,332

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$524,225	TotalRevenueColumnAmt
Exclusion	$524,225	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,068,346	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$702,791,082	TotalRevenueColumnAmt
Related Or Exempt Func Income	$626,810,817	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$57,351,446	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,803,542	TotalAmt
Program Services	$2,803,542	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,444,155	TotalAmt
Program Services	$1,891,443	ProgramServicesAmt
Management And General	$1,552,712	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$134,700	TotalAmt
Program Services	$134,700	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$309,161,477	TotalAmt
Program Services	$264,429,912	ProgramServicesAmt
Management And General	$44,731,565	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,204,129	TotalAmt
Program Services	$12,846,468	ProgramServicesAmt
Management And General	$2,357,661	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$37,110,490	TotalAmt
Program Services	$30,400,440	ProgramServicesAmt
Management And General	$6,710,050	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,524,166	TotalAmt
Program Services	$17,404,468	ProgramServicesAmt
Management And General	$3,119,698	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,139,610	TotalAmt
Program Services	$94,949	ProgramServicesAmt
Management And General	$1,044,661	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$221,875	TotalAmt
Management And General	$221,875	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$26,508	TotalAmt
Management And General	$26,508	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$606,256	TotalAmt
Management And General	$606,256	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$99,423,890	TotalAmt
Program Services	$82,063,670	ProgramServicesAmt
Management And General	$17,360,220	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,837,024	TotalAmt
Program Services	$225	ProgramServicesAmt
Management And General	$1,836,799	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,360,915	TotalAmt
Program Services	$7,198,889	ProgramServicesAmt
Management And General	$4,162,026	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,667,503	TotalAmt
Program Services	$1,166,706	ProgramServicesAmt
Management And General	$13,500,797	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$23,925,188	TotalAmt
Program Services	$14,126,948	ProgramServicesAmt
Management And General	$9,798,240	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$194,559	TotalAmt
Program Services	$155,011	ProgramServicesAmt
Management And General	$39,548	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$820,109	TotalAmt
Program Services	$532,250	ProgramServicesAmt
Management And General	$287,859	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,777,057	TotalAmt
Program Services	$9,777,057	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$32,259,179	TotalAmt
Program Services	$23,276,881	ProgramServicesAmt
Management And General	$8,982,298	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,126,362	TotalAmt
Program Services	$2,556,752	ProgramServicesAmt
Management And General	$8,569,610	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$94,495,792	$95,475,992	-$980,200
MEDICAID ASSESSMENT	$13,572,848		$13,572,848
B&O TAX	$7,322,110	$34	$7,322,076
LICENSE & MEMBERSHIP	$1,514,507	$916,463	$598,044

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,357,647	TotalAmt
Program Services	$318,173	ProgramServicesAmt
Management And General	$1,039,474	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$714,031,598	TotalAmt
Program Services	$567,570,973	ProgramServicesAmt
Management And General	$146,460,625	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,957,149	BOYAmt
EOY	$14,680,556	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,801,901	BOYAmt
EOY	$13,173,629	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$86,626,837	BOYAmt
EOY	$109,313,618	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,513,805	BOYAmt
EOY	$14,294,365	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,059,309	BOYAmt
EOY	$12,783,700	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$820,680,509	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$395,023,716	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$404,335,288	BOYAmt
EOY	$425,656,793	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$536,357,557	BOYAmt
EOY	$378,789,916	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,621,130	BOYAmt
EOY	$1,714,899	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,389,871	BOYAmt
EOY	$2,118,405	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$51,293,072	BOYAmt
EOY	$48,534,279	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,137,955,919	BOYAmt
EOY	$1,021,060,160	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$109,067,457	BOYAmt
EOY	$118,172,721	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$33,397,993	BOYAmt
EOY	$13,165,149	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$286,218,589	BOYAmt
EOY	$282,985,533	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$35,000,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$58,041,936	BOYAmt
EOY	$54,283,773	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$486,725,975	BOYAmt
EOY	$503,607,176	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$651,229,944	BOYAmt
EOY	$517,452,984	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$651,229,944	BOYAmt
EOY	$517,452,984	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,137,955,919	BOYAmt
EOY	$1,021,060,160	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$11,240,516	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$118,915,562	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,620,882	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$26,508	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$26,508	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PART OF MEMBERSHIP DUES THAT ARE PAID TO WASHINGTON STATE HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,056,141	OtherCostOrOtherBasisAmt
Book Value	$3,056,141	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$490,352,305	OtherCostOrOtherBasisAmt
Depreciation	$151,738,680	DepreciationAmt
Book Value	$338,613,625	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,554,645	OtherCostOrOtherBasisAmt
Depreciation	$4,192,236	DepreciationAmt
Book Value	$362,409	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$312,203,699	OtherCostOrOtherBasisAmt
Depreciation	$239,092,800	DepreciationAmt
Book Value	$73,110,899	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,513,719	OtherCostOrOtherBasisAmt
Book Value	$10,513,719	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$425,656,793	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
LIABILITY INSURANCE RESERVE	$14,678,359
WORKERS COMPENSATION RESERVE	$2,235,181
CAPITAL LEASE OBLIGATION	$37,370,233

Field	Value	IRS element (for citing)
Total Liability	$54,283,773	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,544,762	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,544,762	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,103,918	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,611,086	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,492,832	NetCommunityBenefitExpnsAmt
Total Expense	0.04690	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,648,680	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,611,086	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,037,594	NetCommunityBenefitExpnsAmt
Total Expense	0.05470	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,030,431	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,223	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$915,208	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,366,030	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,366,030	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,981,034	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,200,732	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$780,302	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,226	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$120,627	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$621,375	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$621,375	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,055,096	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,436,582	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,682,915	NetCommunityBenefitExpnsAmt
Total Expense	0.00660	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,703,776	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,047,668	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,720,509	NetCommunityBenefitExpnsAmt
Total Expense	0.06130	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$4,770,411	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,488,602	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$71,139,708	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$78,091,633	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,951,925	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OVERLAKE HOSPITAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1035 116TH AVE NE	AddressLine1Txt
City	BELLEVUE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
Website Address	OVERLAKE HOSPITAL.ORG/ABOUT-OVERLAKE	WebsiteAddressTxt
State License	HAC.FS.00000131	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	OVERLAKE HOSPITAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	OVERLAKEHOSPITAL.ORG/ABOUT/COMMUNITY-BENEFIT	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	OVERLAKEHOSPITAL.ORG/ABOUT/COMMUNITY-BENEFIT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	0	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	OVERLAKEHOSPITAL.ORG/VISIT/BILLING-INSURANCE/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	OVERLAKEHOSPITAL.ORG/VISIT/BILLING-INSURANCE/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	OVERLAKEHOSPITAL.ORG/VISIT/BILLING-INSURANCE/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
OVERLAKE HOSPITAL MEDICAL CENTER	PART V, SECTION B, LINE 5: OVERLAKE MEDICAL CENTER SOLICITED COMMUNITY INPUT THROUGH KEY STAKEHOLDER INTERVIEWS TO IDENTIFY RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THE SIGNIFICANT HEALTH NEEDS. OVERLAKE MEDICAL CENTER PARTICIPATED IN A COLLABORATIVE PROCESS FOR COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (HHC). HHC IS A COLLABORATIVE OF ALL 10 HOSPITALS AND/OR HEALTH SYSTEM IN KING COUNTY AND PUBLIC HEALTH-SEATTLE & KING COUNTY. THE HHC MEMBERS JOINED TOGETHER TO IDENTIFY IMPORTANT HEALTH NEEDS AND ASSETS IN THE COMMUNITIES THEY SERVE. HHC RECOGNIZES THAT PARTNERSHIPS BETWEEN HOSPITALS, PUBLIC HEALTH, COMMUNITY ORGANIZATIONS AND COMMUNITIES AND COMMUNITIES ARE KEY TO SUCCESSFUL STRATEGIES TO ADDRESS COMMON HEALTH NEEDS. THE COMMUNITY HEALTH NEEDS ASSESSMENT INCORPORATED EXISTING DEMOGRAPHIC AND HEALTH DATA FOR THE COMMUNITIES SERVED BY THE HOSPITAL. IT INCLUDED COLLECTION AND ANALYSIS OF INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH. THE HEALTH NEEDS WERE IDENTIFIED FROM ISSUES SUPPORTED BY PRIMARY AND SECONDARY DATA SOURCES GATHERED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS WERE INDICATED BY STAKEHOLDER INTERVIEWS, FOCUS GROUPS, AND SECONDARY DATA SOURCES. THE NEEDS WERE CONFIRMED BY MORE THAN ONE INDICATOR OR DATA SOURCE. COMMUNITY STAKEHOLDER, IDENTIFIED BY THE HOSPITAL, WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEW PARTICIPANTS INCLUDED LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AS WELL AS THE LOCAL HEALTH DEPARTMENT THAT HAS "CURRENT DATA OR INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY," PER IRS REQUIREMENTS. THE INTERVIEWS TOOK INTO ACCOUNT INPUT FROM A BROAD RANGE OF PERSONS LOCATED IN OR SERVING ITS COMMUNITY INCLUDING, HEALTH CARE CONSUMERS, NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, ACADEMIC EXPERTS, LOCAL GOVERNMENT OFFICIALS, LOCAL SCHOOL DISTRICTS, HEALTH CARE PROVIDERS AND COMMUNITY HEALTH CENTERS.
OVERLAKE HOSPITAL MEDICAL CENTER	PART V, SECTION B, LINE 6A: EVERGREEN HEALTH, CHI FRANCISCAN HEALTH, KAISER PERMANENTE, MULTICARE HEALTH SYSTEMS, NAVOS, FRED HUTCHINSON CANCER CENTER (FKA: SEATTLE CANCER CARE ALLIANCE), SEATTLE CHILDREN'S, SWEDISH MEDICAL CENTER, UW MEDICINE, VIRGINIA MASON
OVERLAKE HOSPITAL MEDICAL CENTER	PART V, SECTION B, LINE 6B: PUBLIC HEALTH-SEATTLE & KING COUNTY, WASHINGTON STATE HOSPITAL ASSOCIATION
OVERLAKE HOSPITAL MEDICAL CENTER	PART V, SECTION B, LINE 11: COMMUNITY DEFINITION:THE SERVICE AREA FOR OVERLAKE MEDICAL CENTER IS DIVIDED INTO TWO MARKETS LOCAL AND OUTLYING WITH THE LOCAL MARKET DIVIDED INTO FIVE SERVICE AREAS (BELLEVUE, EAT, ISSAQUAH/SAMMAMISH, REDMOND/KIRKLAND, AND SW) AND THE OUTLYING MARKET DIVIDED INTO TWO SERVICE AREAS (NORTH AND SOUTH). THE SEVEN SERVICE AREAS INCLUDE 26 CITIES/COMMUNITIES AND AN ASSOCIATED 44 ZIP CODES. THE SERVICE AREA WAS DETERMINED FROM ZIP CODES THAT REFLECT A MAJORITY OF PATIENT ADMISSIONS.ASSESSMENT PROCESS AND METHODS:SECOND AND PRIMARY DATA WERE COLLECTED TO COMPLETE THE CHNA. SECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE AND PREVENTIVE PRACTICES. THE ANALYSIS OF SECONDARY DATA YIELDED A PRELIMINARY LIST OF SIGNIFICANT HEALTH NEEDS, WHICH THEN INFORMED PRIMARY DATA COLLECTION.PRIMARY DATA WERE OBTAINED THROUGH INTERVIEWS WITH COMMUNITY STAKEHOLDERS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. THIRTEEN (13) INTERVIEWS WERE COMPLETED IN NOVEMBER AND DECEMBER 2020. THE PRIMARY DATA COLLECTION PROCESS WAS DESIGNED TO VALIDATE SECONDARY DATA FINDINGS, IDENTIFY ADDITIONAL COMMUNITY ISSUES, SOLICIT INFORMATION ON DISPARITIES AMONG SUBPOPULATIONS, ASCERTAIN COMMUNITY ASSETS POTENTIALLY AVAILABLE NEEDS AND DISCOVER GAPS IN RESOURCES.PRIORITY HEALTH NEEDS: THE COMMUNITY STAKEHOLDERS PRIORITIZED THE HEALTH NEEDS ACCORDING TO HIGHEST LEVEL OF IMPORTANCE IN THE COMMUNITY. COVID-19, ACCESS TO HEALTH CARE, MENTAL HEALTH, PREVENTIVE PRACTICES, AND SUBSTANCE USE WERE RANKED AS THE TOP FIVE PRIORITY NEEDS IN THE SERVICE AREA.MENTAL HEALTH - INCREASE ACCESS TO MENTAL HEALTHCARE RESOURCES AND SERVICES. OVERLAKE WILL IMPLEMENT A MENTAL HEALTH COMMUNITY PROGRAM TO DELIVER A SUICIDE PREVENTION CURRICULUM IN CONJUNCTION WITH LOCAL SCHOOLS AND COMMUNITY MENTAL HEALTH SERVICES. EXPAND ACCESS TO EARLY INTERVENTION AND SCREENING AND OTHER MENTAL HEALTH SERVICES- ESPECIALLY TO YOUTH THROUGH OUR PARTNERSHIP WITH YOUTH EASTSIDE SERVICES. DEVELOP A PROGRAM TO OFFER DEMENTIA AND ALZHEIMER'S DISEASE PREVENTION EDUCATION. CONTINUE AND EXPAND CAREGIVER SUPPORT PROGRAMS THROUGH COLLABORATION WITH AEGIS, SEAMAR AND YMCA. PROVIDE SUPPORTIVE SERVICES FOR CAREGIVERS OF PERSONS WITH DEMENTIA. SUPPORT COMMUNITY ORGANIZATIONS THAT PROVIDE MENTAL HEALTH SERVICES.ACCESS TO CARE - INCREASE ACCESS TO HEALTHCARE FOR THE MEDICALLY UNDERSERVED WITH A FOCUS ON THE CULTURALLY DIVERSE POPULATIONS OF THE EASTSIDE. OVERLAKE WILL EXPAND OUTREACH ACTIVITIES WITH SOUTH ASIAN AND SOUTHEAST ASIAN POPULATIONS IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS. OVERLAKE WILL PROVIDE FINANCIAL ASSISTANCE BY OFFERING FREE AND DISCOUNTED CARE FOR HEALTHCARE SERVICES, CONSISTENT WITH OVERLAKE'S FINANCIAL ASSISTANCE POLICY.CARDIOVASCULAR DISEASE - DECREASE HEART DISEASE AMONG VULNERABLE EASTSIDE POPULATIONS. OVERLAKE WILL: IMPLEMENT EDUCATION AND OUTREACH PROGRAMS TARGETED TO THE SOUTH ASIAN POPULATION (IDENTIFIED WITH A HIGHER RELATIVE RISK), CONTINUE TO OFFER OVERLAKE'S WOMEN AND HEART SYMPOSIUM, AND PARTICIPATED IN AND SPONSOR EDUCATION PROGRAMS WITH THE AMERICAN HEART ASSOCIATION.PREVENTIVE HEALTHCARE - INCREASE ACCESS TO CLINICAL PREVENTIVE SERVICES TO REDUCE DEATH, DISABILITY, AND DISEASE. OVERLAKE WILL COMMIT THE FOLLOWING RESOURCES TO ADDRESS THIS HEALTH NEED BY PROVIDING FREE FLU AND PNEUMOCOCCAL VACCINES TO THE MEDICALLY UNDERSERVED, OFFER SENIOR WELLNESS PROGRAMS, OFFER COLORECTAL CANCER SCREENINGS TARGETED TO THE HIGH RISK MEMBERS OF THE SOUTHEAST ASIAN COMMUNITY, PROVIDE FREE DISEASE PREVENTION AND AWARENESS PROGRAMS THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY AND THE AMERICAN HEART ASSOCIATION, AND CONDUCT EDUCATION FOCUSED ON SMOKING AND VAPING PREVENTION AMONG YOUTH.OTHER HEALTH NEEDS - OVERLAKE HOSPITAL MEDICAL CENTER HAS CHOSEN NOT TO ACTIVELY ADDRESS THE REMAINING HEALTH NEEDS OF OVERWEIGHT AND OBESITY AND SEXUALLY TRANSMITTED INFECTIONS AS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, OVERLAKE WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. THEREFORE, THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE SELECTED PRIORITY HEALTH NEEDS.
OVERLAKE HOSPITAL MEDICAL CENTER	PART V, SECTION B, LINE 13H: EXCEPTIONS TO THE WASHINGTON STATE RESIDENCY REQUIREMENT ALSO INCLUDE REFUGEES, ASYLEES, AND THOSE SEEKING ASYLUM THAT POSSESS AND CAN PRESENT INS DOCUMENTATION.
PART V, SECTION B, LINE 3E:	CALCULATIONS FROM COMMUNITY STAKEHOLDERS RESULTED IN THE FOLLOWING PRIORITIZATION OF THE SIGNIFICANT HEALTH NEEDS:COVID-19, ACCESS TO HEALTH CARE, MENTAL HEALTH, PREVENTIVE PRACTICES, SUBSTANCE USE, HOUSING AND HOMELESSNESS, CANCER, SEXUALLY TRANSMITTED INFECTIONS, OVERWEIGHT AND OBESITY.

Field	Value	IRS element (for citing)
Facility	36	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - OMC-URGENT & PRIMARY CARE ISSAQUAH
5708 E LK SAMMAMISH PKWY SE STE 100	ISSAQUAH	WA	98029	URGENT/PRIMARY CARE
2 - OMC-CARDIOLOGY BELLEVUE
1135 116TH AVE NE STE 600	BELLEVUE	WA	98004	CARDIOLOGY
3 - OMC-PULMENDOCRINOLOGYPRIMARY CARE
1231 116TH AVE NE STE 400	BELLEVUE	WA	98004	PULMONOLOGY/ENDOCRINOLOGY/ PRIMARY CARE
4 - HOSPITALISTS
1231 116TH AVE NE STE 400	BELLEVUE	WA	98005	HOSPITALIST
5 - OMC-NEUROLOGY
1135 116TH AVE NE STE 500	BELLEVUE	WA	98004	NEUROLOGY/NEUROSURGERY/NEUROHOSPITAL
6 - OMC-DT BELLEVUE PRIMARYURGENT CARE
400 108TH AVE NE STE 100	BELLEVUE	WA	98004	PRIMARY/URGENT CARE
7 - OMC-URGENT CARE REDMOND
17209 REDMOND WAY	REDMOND	WA	98052	URGENT CARE
8 - OMC PRIMARY CARE
1035 116TH AVE NE	BELLEVUE	WA	98004	PRIMARY CARE
9 - OMC-UROLOGY BELLEVUE
1135 116TH AVE NE STE 620	BELLEVUE	WA	98004	UROLOGY
10 - OB-GYN BELLEGROVE
1200 112H AVE NE BLDG C	BELLEVUE	WA	98004	OBSTETRICS/GYNECOLOGY
11 - OMC-INTERNAL MEDICINE ASSOCIATES
WASHINGTON PARK 1407 116TH AVENUE	BELLEVUE	WA	98004	INTERNAL MEDICINE	NE E-
12 - OMC-NEWCASTLE URGENT & PRIMARY CARE
13167 NEWCASTLE COMMONS DR	NEWCASTLE	WA	98059	URGENT CARE/PRIMARY CARE
13 - OMC-RAD ONCOLOGY PHYSGYNMEDICALBREAST
1135 116TH AVE NE STE 200	BELLEVUE	WA	98004	ONCOLOGY/BREAST SURGERY/GYNECOLOGY
14 - OMC-SPECIALTY CLINIC BELLEVUE
1231 116TH AVE NE SUITE 515	BELLEVUE	WA	98004	BARIATRIC/METABOLIC SURGERY/MEDICAL WEIGHT LOSS
15 - OMC-REDMOND PRIMARY & CARDIOLOGY
7345 164TH AVE NE STE 1-105	REDMOND	WA	98052	PRIMARY CARE/CARDIOLOGY
16 - OMC-MUSCULOSKELETAL MED ISSAQUAH
1740 NW MAPLE ST STE 111	ISSAQUAH	WA	98027	MUSCULOSKELETAL MEDICINE
17 - OMC-OP PSYCH
1750 112TH AVE NE STE B-102	BELLEVUE	WA	98004	PSYCH SERVICES
18 - OMC-OP PHYSSPEECHOCCUP THERAPY
1417 116TH AVE NE STE 110	BELLEVUE	WA	98004	PHYSICAL/SPEECH/OCCUPATIONAL
19 - OMC-URGENT & PRIMARY CARE LAKE HILL
619 156TH AVE SE	BELLEVUE	WA	98007	URGENT CARE/PRIMARY CARE
20 - OMC-SLEEP MEDICINE
1100 112TH AVE NE STE 320	BELLEVUE	WA	98004	SLEEP MEDICINE
21 - OMC-KIRKLAND PRIMARY CARECARDIOLOGY
290 CENTRAL WAY	KIRKLAND	WA	98033	PRIMARY CARE/CARDIOLOGY
22 - OMC-CARDIACTHORACIC SURGERY
1135 116TH AVE NE STE 605	BELLEVUE	WA	98004	CARDIACTHORACIC SURGERY
23 - OMC-SAMMAMISH PRIMARY & URGENT CARE
22630 SE 4TH ST STE 300	SAMMAMISH	WA	98074	PRIMARY CARE/URGENT CARE
24 - OMC-CONCIERGE SERVICES
1231 116TH AVE NE STE 525	BELLEVUE	WA	98004	CONCIERGE SERVICES
25 - OMC-SENIOR HEALTH CLINIC BELLEVUE
1750 112TH AVE NE STE A101	BELLEVUE	WA	98004	SENIOR HEALTH SERVICES
26 - OMC-CARDIOLOGYPULMSPECIALTY SERVICES
1740 NW MAPLE STE 207	ISSAQUAH	WA	98027	CARDIOLOGY/PULM/SPECIALTY/NUTRITION/ENDO/UROLOGY
27 - OMC-UROLOGY KIRKLAND
13126 120TH AVE NE	KIRKLAND	WA	98034	UROLOGY
28 - OMC-COLORECTAL SURGERY
1135 116TH AVE NE STE 550	BELLEVUE	WA	98004	COLORECTAL
29 - OMC-PELVIC HEALTH
1135 116TH AVE NE STE 510	BELLEVUE	WA	98004	PELVIC HEALTH
30 - OMC-INFECTIOUS DISEASE
1135 116TH AVE NE STE 140	BELLEVUE	WA	98004	INFECTIOUS DISEASE
31 - OMC-ACC PROVIDERS & HIGHMARK
1035 116TH AVE NE	BELLEVUE	WA	98004	ANTICOAGULATION CLINIC
33 - NEUROLOGY HIGHMARK
1740 NW MAPLE ST 2ND FL	ISSAQUAH	WA	98027	NEUROLOGY
34 - OMC-PALLIATIVE CARE
1035 116TH AVE NE BLDG 3	BELLEVUE	WA	98004	PALLIATIVE CARE
35 - OMC-DERMATOLOGY
1035 116TH AVE NE BLDG 5 5TH FL	BELLEVUE	WA	98004	DERMATOLOGY
36 - OMC-EXPEDIA PRIMARY CARE
333 108TH AVE NE	BELLEVUE	WA	98004	PRIMARY CARE
37 - OMC-MUSCULOSKELETAL BELLEVUE
1035 116TH AVE NE	BELLEVUE	WA	98004	MUSCULOSKELETAL

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO THE FPL CRITERIA, THERE IS A RESIDENCY REQUIREMENT TO EITHER BE A RESIDENT OF THE STATE OF WASHINGTON OR MEET AN EXCEPTION FOR NON-RESIDENTS. NON-RESIDENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE WHILE RECEIVING SERVICES WITHIN THE EMERGENCY DEPARTMENT OR AS A RESULT OF A DIRECT ADMISSION FROM THE EMERGENCY DEPARTMENT. EXCEPTIONS TO THE WASHINGTON STATE RESIDENCY REQUIREMENT ALSO INCLUDE REFUGEES, ASYLEES, AND THOSE SEEKING ASYLUM THAT POSSESS AND CAN PRESENT INS DOCUMENTATION.
PART I, LINE 7:	THE COSTING METHODOLOGY FOR CHARITY CARE AND UNREIMBURSED MEDICAID WAS THE COST TO CHARGE METHOD USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2. THE COMMUNITY HEALTH IMPROVEMENT COST, HEALTH PROFESSIONAL EDUCATION, RESEARCH AND CASH AND IN-KIND CONTRIBUTIONS ARE DIRECT COST AND DO NOT INCLUDE ANY INDIRECT COST. THE COST FOR SUBSIDIZED HEALTH SERVICES IS DERIVED FROM A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS.
PART III, LINE 2:	PATIENT BILLS ARE REDUCED BY PAYMENTS, CONTRACTUAL ADJUSTMENTS, CHARITY ADJUSTMENTS, AND OTHER ADJUSTMENTS AS APPLICABLE. PATIENTS ARE THEN RESPONSIBLE FOR ANY REMAINING BALANCE. IF A PATIENT DOES NOT PAY THE BALANCE OR MAKE PAYMENT ARRANGEMENTS ACCORDING TO THE COLLECTION POLICY, THE BALANCE IS WRITTEN OFF TO BAD DEBT. THE BAD DEBT EXPENSE ON SCHEDULE H, PART III, LINES 2 AND 3 ARE ESTIMATED BASED ON THE COST TO CHARGE RATIO.
PART III, LINE 3:	THE HOSPITAL BELIEVES THAT APPROXIMATELY 73.13% OF THE BAD DEBT EXPENSE ARE RELATED TO PATIENTS THAT WOULD BE ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE GUIDELINES HAD THE PATIENT PROVIDED THE FINANCIAL INFORMATION NECESSARY TO MAKE THE DETERMINATION. THIS PERCENTAGE IS BASED ON RUNNING CREDIT CHECKS ON A SAMPLE OF ACCOUNTS THAT WERE BEING SENT TO BAD DEBTS.
PART III, LINE 4:	THE ORGANIZATIONS AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE. THE ORGANIZATION RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. AS A RESULT OF ADOPTING ASU 2014 09, THE HOSPITAL AND THE CLINICS CONTINUE TO MAINTAIN AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JULY 1, 2019. ANY PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN 2022 AND 2021 WERE CONSIDERED TO BE IMPLICIT PRICE CONCESSIONS AND ARE RECORDED DIRECTLY TO NET PATIENT SERVICE REVENUE.
PART III, LINE 8:	THE COSTING METHODOLOGY FOR MEDICARE ALLOWABLE COST IS DERIVED FROM FY 2022 MEDICARE COST REPORT. THE HOSPITAL BELIEVES THAT ALL THE MEDICARE SHORTFALLS SHOULD BE TREATED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO MEDICARE PATIENTS AND THE HOSPITAL CONTINUES PROVIDING CARE TO THE MEDICARE BENEFICIARIES REGARDLESS OF THE SHORTFALL. BY ABSORBING THE MEDICARE SHORTFALL, THE HOSPITAL THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES.
PART III, LINE 9B:	THE HOSPITAL WILL PLACE A PATIENT'S ACCOUNT ON HOLD WHEN A PATIENT'S ACCOUNT IS BEING CONSIDERED FOR CHARITY. ONCE A DETERMINATION HAS BEEN MADE THAT A PATIENT QUALIFIES FOR CHARITY CARE, THE PATIENT'S ACCOUNT IS REDUCED BY THE CHARITY AMOUNT GRANTED AND A LETTER IS SENT TO THE PATIENT NOTING THE CHARITY ADJUSTMENT. THE PATIENT MAY APPEAL THE DECISION IF HE/SHE BELIEVES THERE IS ADDITIONAL INFORMATION THAT SHOULD HAVE BEEN CONSIDERED OR THE FINANCIAL SITUATION HAS CHANGED. THE PATIENT IS RESPONSIBLE FOR ANY BALANCE REMAINING AFTER THE CHARITY ADJUSTMENT, IF ANY, AND THE COLLECTION PROCESS WILL CONTINUE IN THE NORMAL PROCESS.
PART VI, LINE 2:	IN 2020, THE HOSPITAL PARTICIPATED IN A COLLABORATIVE PROCESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (HHC). HHC IS A COLLABORATIVE OF ALL 11 HOSPITALS AND HEALTH SYSTEMS IN KING COUNTY AND PUBLIC HEALTH-SEATTLE & KING COUNTY. THE HHC'S VISION IS TO PARTICIPATE IN A COLLABORATIVE APPROACH THAT IDENTIFIES COMMUNITY NEEDS, ASSETS, RESOURCES, AND STRATEGIES TOWARD ASSURING BETTER HEALTH AND HEALTH EQUITY FOR ALL KING COUNTY RESIDENTS. THIS SHARED APPROACH AVOIDS DUPLICATION AND FOCUSES AVAILABLE RESOURCES ON A COMMUNITY'S MOST IMPORTANT HEALTH NEEDS. HHC RECOGNIZES THAT PARTNERSHIPS BETWEEN HOSPITALS, PUBLIC HEALTH, COMMUNITY ORGANIZATIONS AND COMMUNITIES ARE KEY TO SUCCESSFUL STRATEGIES TO ADDRESS COMMON HEALTH NEEDS.DATA ANALYSES WERE CONDUCTED AT THE MOST LOCAL LEVEL POSSIBLE FOR THE MEDICAL CENTER'S PRIMARY SERVICE AREA, GIVEN THE AVAILABILITY OF THE DATA. IN SOME CASES, DATA WERE ONLY AVAILABLE AT THE COUNTY LEVEL.SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED AND ANALYZED THROUGH A REVIEW OF THE SECONDARY HEALTH DATA PRIOR TO THE INTERVIEWS. HEALTH NEEDS WERE IDENTIFIED USING THE SIZE OF THE PROBLEM (RELATIVE PORTION OF POPULATION AFFLICTED BY THE PROBLEM) AND THE SERIOUSNESS OF THE PROBLEM (IMPACT AT INDIVIDUAL, FAMILY, AND COMMUNITY LEVELS). TO DETERMINE SIZE OR SERIOUSNESS OF THE PROBLEM, THE HEALTH NEED INDICATORS WERE MEASURED AGAINST BENCHMARK DATA (COUNTY RATES, STATE RATES AND/OR HEALTHY PEOPLE 2021 OBJECTIVES). INDICATORS RELATED TO THE HEALTH NEEDS THAT PERFORMED POORLY AGAINST ONE OR MORE OF THESE BENCHMARKS MET THE CRITERION TO BE CONSIDERED. SECONDARY DATA WAS COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT A COMMUNITY PROFILE, BIRTH INDICATORS, LEADING CAUSES OF DEATH, ACCESS TO CARE, CHRONIC DISEASE, COMMUNICABLE DISEASE, HEALTH BEHAVIORS, SOCIAL ISSUES AND SCHOOL AND STUDENT CHARACTERISTICS. WHEN AVAILABLE, THESE DATA SETS WERE PRESENTED IN THE CONTEXT OF KING COUNTY AND WASHINGTON, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY.IN ADDITION, THE HOSPITAL CONDUCTED TARGETED INTERVIEWS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. THE REPORT INCLUDES BENCHMARK COMPARISON DATA, COMPARING THE HOSPITAL COMMUNITY DATA FINDINGS WITH HEALTH PEOPLE 2021 OBJECTIVES.
PART VI, LINE 3:	INFORMATION ABOUT ASSISTANCE PROGRAMS STARTS AT THE POINT OF REGISTRATION. PLACARDS DESCRIBING THE FINANCIAL ASSISTANCE PROGRAMS ARE AT ALL ADMITTING REGISTRATION DESKS. FINANCIAL ASSISTANCE CAN TAKE THE FORM OF ASSISTANCE IN QUALIFYING FOR MEDICAID, CHARITY, OR PROMPT PAY DISCOUNTS. FINANCIAL COUNSELORS ARE AVAILABLE TO DISCUSS THE FINANCIAL ARRANGEMENTS FOR ALL PATIENTS AND THEY DISCUSS THE FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL COUNSELORS WILL ALSO ASSIST PATIENTS IN COMPLETING THE HOSPITAL'S CHARITY CARE APPLICATION IF THE PATIENT BRINGS IN INFORMATION AND NEEDS HELP COMPLETING THE APPLICATION. THE HOSPITAL ENGAGES AN OUTSIDE COMPANY TO ASSIST PATIENTS WITH APPLYING FOR MEDICAID. GENERAL INFORMATION ABOUT THE ASSISTANCE PROGRAMS IS THEN INCLUDED AS PART OF EACH PATIENT STATEMENT THAT IS SENT TO A PATIENT AND INCLUDES THE PHONE NUMBER OF THE PATIENT FINANCIAL SERVICES DEPARTMENT TO CALL FOR ASSISTANCE. IN ADDITION, AS PART OF THE ACCOUNT FOLLOW UP, PATIENT FINANCIAL SERVICE REPRESENTATIVES WILL CALL PATIENTS AFTER THEIR SECOND STATEMENT AND WILL DISCUSS PATIENT FINANCIAL ASSISTANCE AS PART OF THE CALL. OVERLAKE'S CHARITY CARE POLICY IS POSTED ON THE WASHINGTON STATE DEPARTMENT OF HEALTH'S WEBSITE AND ON THE HOSPITAL'S WEBSITE.
PART VI, LINE 4:	THE SERVICE AREA FOR OVERLAKE IS DIVIDED INTO TWO MARKETS - LOCAL AND OUTLYING - WITH THE LOCAL MARKET DIVIDED INTO FIVE SERVICE AREAS (BELLEVUE, EAST, ISSAQUAH/SAMMAMISH, REDMOND/KIRKLAND, AND SW) AND THE OUTLYING MARKET DIVIDED INTO TWO SERVICE AREAS (NORTH AND SOUTH). THE POPULATION OF THE OVERLAKE SERVICE AREA IS 934,576. CHILDREN AND YOUTH, AGES 0-19, MAKE UP ALMOST ONE-FOURTH 25% OF THE POPULATION OF THE SERVICE AREA; 4.5% ARE 20-24 YEARS OF AGE, 30.5% ARE 25-44, 27.3% ARE 45-64, AND 12.3% OF THE POPULATION ARE SENIORS, 65 YEARS OF AGE AND OLDER. THE AREA HAS HIGHER RATES OF CHILDREN UNDER AGE 18 AND FEWER SENIORS WHEN COMPARED TO THE COUNTY AND THE STATE. THE MAJORITY RACE/ETHNICITY IN THE SERVICE AREA IS WHITE/CAUCASIANS 63.9% WHILE ASIANS MAKE UP 20.9% OF THE POPULATION, AND HISPANICS OR LATINOS ARE 7.2%.POVERTY THRESHOLDS ARE USED FOR CALCULATING ALL OFFICIAL POVERTY POPULATION STATISTICS AND ARE UPDATED EVERY THREE YEARS BY THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THE NEXT UPDATE WILL BE IN 2024. IN THE OVERLAKE SERVICE AREA, 5.8% OF THE POPULATION WAS LIVING AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 13.0% WERE CONSIDERED LOW-INCOME (LIVING AT OR BELOW 200% FPL). THESE RATES ARE BETTER THAN COUNTY AND STATE. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $113,691. THIS IS HIGHER MEDIAN INCOME THAN IN THE COUNTY ($89,418) OR STATE ($70,116).
PART VI, LINE 5:	THE HOSPITAL STAFF PARTICIPATES IN THE COUNTY WIDE DISASTER PREPAREDNESS GROUP AND IS THE BACK UP TO HARBORVIEW MEDICAL CENTER. THE HOSPITAL HAS AN OPEN MEDICAL STAFF MODEL. THE HOSPITAL OPERATES AN ACTIVE SCREENING PROGRAM IN WHICH WE OFFER FREE HEALTH SCREENINGS AT LEAST FOUR TIMES ANNUALLY AT COMMUNITY EVENTS. THE LARGEST ONE IS THE ANNUAL OVERLAKE EASTSIDE VITALITY COMMUNITY HEALTH FAIR IN WHICH WE PROVIDE OVER 2,000 FREE SCREENINGS INCLUDING CHOLESTEROL, STROKE RISK, DIABETES, AND SKIN CANCER. SCREENING RESULTS AND FREE COUNSELING ARE PROVIDED AT THE EVENTS. THOSE WHO NEED TO SEE A PHYSICIAN ARE GIVEN A LIST OF PROVIDERS, INCLUDING COMMUNITY MEDICAL CLINICS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
OVERLAKE HOSPITAL FOUNDATION
1035 116TH AVE NE	BELLEVUE	WA	98004	911050325	501(C)(3)	$2,438,892	$0	SUPPORT OPERATION
AMERICAN HEART ASSOCIATION
PO BOX 4002030	DES MOINES	IA	503402030	135613797	501(C)(3)	$25,000	$0	SPONSOR
ATTAIN HOUSING
125 STATE ST S	KIRKLAND	WA	98033	911481848	501(C)(3)	$15,000	$0	SPONSOR
BELLEVUE CHAMBER
330 112TH AVENUE NE	BELLEVUE	WA	98004	910533602	501(C)(6)	$23,000	$0	SPONSOR
BELLEVUE COLLEGE FOUNDATION
3000 LANDERHOLM CIRCLE SE A101	BELLEVUE	WA	980076484	911051671	501(C)(3)	$10,000	$0	SPONSOR
BELLEVUE SCHOOL FOUNDATION
PO BOX 40644	BELLEVUE	WA	98005	911080997	501(C)(3)	$25,000	$0	SPONSOR
BELLEVUE LIFESPRING
302 BELLEVUE SQUARE	BELLEVUE	WA	98004	910658331	501(C)(3)	$10,000	$0	SPONSOR
BLOODWORKS NORTHWEST
921 TERRY AVENUE	SEATTLE	WA	98104	911019655	501(C)(3)	$20,000	$0	SPONSOR
CANCER LIFELINE
6522 FREMONT AVENUE N	SEATTLE	WA	98103	916182951	501(C)(3)	$12,500	$0	SPONSOR
CONGREGATION FOR THE HOMELESS
515 116TH AVENUE NE SUITE 150	BELLEVUE	WA	98004	453932748	501(C)(3)	$15,000	$0	SPONSOR
CHINESE INFORMATION & SERVICE CENTER
611 S LANE ST	SEATTLE	WA	98104	237438529	501(C)(3)	$7,500	$0	SPONSOR
ESSEX COMMUNITY OUTREACH CORP
7683 SE 27TH ST SUITE 411	MERCER ISLAND	WA	98040	223628802	501(C)(3)	$8,000	$0	SPONSOR
HOPELINK
8990 154TH AVENUE NE	REDMOND	WA	98052	910982116	501(C)(3)	$30,000	$0	SPONSOR
LAKE WASHINGTON SCHOOLS FOUNDATION
PO BOX 83	REDMOND	WA	98073	550891792	501(C)(3)	$15,000	$0	SPONSOR
MARY'S PLACE
PO BOX 1711	SEATTLE	WA	98111	272087950	501(C)(3)	$10,000	$0	SPONSOR
MERCER ISLAND SCHOOLS FOUNDATION
4160 86TH AVENUE SE	MERCER ISLAND	WA	98040	911143444	501(C)(3)	$12,900	$0	SPONSOR
NAMI EASTSIDE
16307 NE 83RD ST SUITE 203	REDMOND	WA	98052	912106510	501(C)(3)	$25,000	$0	SPONSOR
NAMI WASHINGTON
1107 NE 45TH SUITE 340	SEATTLE	WA	98105	911689067	501(C)(3)	$7,500	$0	SPONSOR
ONE REDMOND
8383 158TH AVENUE NE SUITE 225	REDMOND	WA	98052	460535220	501(C)(3)	$15,000	$0	SPONSOR
THE SOPHIA WAY
1100 BELLEVUE WAY NE 8A-110	BELLEVUE	WA	98004	454084539	501(C)(3)	$10,000	$0	SPONSOR
TOGETHER CENTER
16307 NE 83RD ST SUITE 104	REDMOND	WA	98052	911508791	501(C)(3)	$10,000	$0	SPONSOR
WASHINGTON POISON CENTER
155 NE 100TH ST SUITE 100	SEATTLE	WA	98125	943214597	501(C)(3)	$10,000	$0	SPONSOR
SEATTLE CHILDREN'S FOUNDATION
PO BOX 5371 818-F	SEATTLE	WA	98145	911156519	501(C)(3)	$10,000	$0	SPONSOR
YOUTH EASTSIDE SERVICES
999 164TH AVE NE	BELLEVUE	WA	98008	910849093	501(C)(3)	$10,000	$0	SPONSOR
ZERO PROSTATE CANCER
PO BOX 320812	ALEXANDRIA	VA	22320	593400922	501(C)(3)	$7,500	$0	SPONSOR

Field	Value	IRS element (for citing)
Total501c3 Org	24	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	OVERLAKE HOSPITAL MEDICAL CENTER PERFORMS THE RECORD KEEPING FOR OVERLAKE HOSPITAL FOUNDATION AND MONITORS ITS OPERATING EXPENSES AS PART OF THE MONTHLY FINANCIAL REVIEW PROCESS. THE GRANTS ARE REIMBURSEMENT FOR EXPENSES ALREADY INCURRED. GRANTS TO SPONSOR EVENTS OF NON PROFIT ORGANIZATIONS ARE NOT MONITORED BEYOND VERIFYING THAT THE EVENT OCCURRED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
J MICHAEL MARSH
PRESIDENT & CEO	$856,487	$0	$340,548	$0	$117,334	$0	$122,561	$0	$18,245	$0	$1,455,175	$0	$97,060	$0
ASIF ALI KHAN MD
NEUROSURGEON	$995,814	$0	$25,743	$0	$37,844	$0	$14,500	$0	$19,975	$0	$1,093,876	$0	$0	$0
DEREK M RODRIGUES MD
CARDIOLOGIST	$885,351	$0	$54,836	$0	$73,655	$0	$20,300	$0	$19,073	$0	$1,053,215	$0	$0	$0
AMITOZ SINGH MANHAS MD
NEUROSURGEON	$830,862	$0	$58,345	$0	$26,743	$0	$14,500	$0	$19,975	$0	$950,425	$0	$0	$0
DAVID W NELSON MD
CARDIOLOGIST	$796,464	$0	$59,693	$0	$35,326	$0	$20,300	$0	$19,073	$0	$930,856	$0	$0	$0
ROBERT S BINFORD MD
CARDIOLOGIST	$731,461	$0	$59,693	$0	$13,951	$0	$20,300	$0	$19,975	$0	$845,380	$0	$0	$0
THOMAS A DEBORD
COO	$507,230	$0	$173,951	$0	$57,347	$0	$80,582	$0	$12,348	$0	$831,458	$0	$23,344	$0
DAVID A KNOEPFLER
FORMER KEY EMPLOYEE	$498,546	$0	$174,271	$0	$63,806	$0	$77,816	$0	$12,348	$0	$826,787	$0	$31,744	$0
KELAN R KOENIG MD
OMC PHYSICIAN EXECUTIVE	$442,680	$0	$155,180	$0	$20,934	$0	$82,753	$0	$19,146	$0	$720,693	$0	$0	$0
ANDREW J TOKAR
CFO	$428,308	$0	$143,248	$0	$20,574	$0	$77,376	$0	$7,638	$0	$677,144	$0	$0	$0
MICHELLE CURRY
VP/CHIEF NURSING OFFICER	$292,518	$0	$80,478	$0	$1,434	$0	$55,570	$0	$7,638	$0	$437,638	$0	$0	$0
VALERIE CHRUSCIEL
OMC COO	$282,517	$0	$76,758	$0	$1,434	$0	$54,980	$0	$12,348	$0	$428,037	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 7

INCENTIVES IN 2021 WERE PAID TO J. MICHAEL MARSH, THOMAS A. DEBORD, ANDREW J. TOKAR, KELAN R. KOENIG, VALERIE CHRUSCIEL, MICHELLE CURRY, AND DAVID A. KNOEPFLER. THE INCENTIVES ARE AWARDED BASED ON PRODUCTIVITY AND MEETING CERTAIN INDIVIDUAL QUALITY GOALS.

PART I, LINE 4B:

THOMAS A. DEBORD, J. MICHAEL MARSH AND ANDREW J. TOKAR PARTICIPATED IN A BENEFIT WITHIN THE EXECUTIVE BENEFIT PLAN CALLED THE CAPITAL ACCUMULATION ACCOUNT. THE CAPITAL ACCUMULATION ACCOUNT IS CLASSIFIED AS A 457(F) PLAN BY THE IRS. THE FOLLOWING AMOUNTS REFLECT 2021 DEFERRALS: THOMAS A. DEBORD ($13,172), DAVID A. KNOEPFLER ($19,500), J. MICHAEL MARSH ($19,500) AND ANDREW J. TOKAR ($19,500). THE FOLLOWING AMOUNTS FROM THE CAPITAL ACCUMULATION ACCOUNT WERE PAID IN 2021: THOMAS A. DEBORD ($23,344), DAVID A. KNOEPFLER ($31,744) AND J. MICHAEL MARSH ($97,060). THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR FORMS 990. J. MICHAEL MARSH, THOMAS A. DEBORD AND DAVID A. KNOEPFLER RECEIVED REDEMPTION OF CREDITS IN THE CAPITAL ACCUMULATION ACCOUNT THAT HAD BECOME VESTED.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WA HEALTH CARE FACILITIES
A	911108929	93978HKJ3	2014-08-06	$58,116,440	REFUND PRIOR ISSUE-6/8/05	0	0	0
WA HEALTH CARE FACILITIES
B	911108929	93978HUA1	2017-12-21	$249,215,382	CONSTRUCT, RENOVATE FACILITY, AND REFUND PRIOR ISSUE (4/14/10)	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt
A	$13,055,000	$58,151,860	$825,678	$60,425	$57,265,757	2008	0	Yes (1)	Yes (1)	Yes (1)
B		$256,198,001	$1,653,471		$101,826,728	2021	0	Yes (1)	Yes (1)	Yes (1)	$19,810	$152,697,992

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	0	0	0.00140	0.00000	0.00140	0	Yes (1)	0.02530	0	Yes (1)
B	0	Yes (1)	0	0	0.00070	0.00000	0.00070	0	Yes (1)	0.03190	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	0	0	0	0	Yes (1)
B	0	Yes (1)	0	0	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: WA HEALTH CARE FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2015
SCHEDULE K, PART II, LINE 3:	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO THE INVESTMENT EARNINGS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DARSHANA SHANBHAG	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF TRUSTEE DILIP WAGLE	RelationshipDescriptionTxt
Transaction	$134,700	TransactionAmt
Transaction	DARSHANA SHANBHAG IS EMPLOYED BY OVERLAKE HOSPITAL MEDICAL CENTER.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6:	VOLUNTEERS PROVIDED 14,223 HOURS OF SERVICE TO OVERLAKE HOSPITAL MEDICAL CENTER DURING THE YEAR. VOLUNTEERS PROVIDE ASSISTANCE FOR PATIENTS AND GUESTS AT POINT OF ENTRY WITH INFORMATION, WAY-FINDING, AND TRANSPORTATION SERVICES. IN THE NURSING UNITS, VOLUNTEERS HELP ANSWER CALL LIGHTS AND PROVIDE COMFORT TO SUPPORT AND FACILITATE THE PHYSICAL, EMOTIONAL, MENTAL AND SPIRITUAL HEALTH AND SELF-HEALING OF THE PATIENT. INCLUDED IN THE TOTAL VOLUNTEERS ARE 23 BOARD MEMBERS THAT VOLUNTEERED THEIR TIME AS BOARD MEMBERS DURING THE YEAR.
FORM 990, PART III, LINE 4A:	HOSPITAL SERVICES: OVERLAKE HOSPITAL MEDICAL CENTER IS A NONPROFIT, INDEPENDENTLY OPERATED REGIONAL CENTER SERVING THE EASTERN PUGET SOUND REGION WITH MEDICAL FACILITIES IN BELLEVUE, ISSAQUAH, KIRKLAND, REDMOND, SAMMAMISH, AND NEWCASTLE. FOUNDED IN 1953, TODAY OVERLAKE HOSPITAL IS A REGIONAL LEADER IN HEALTH CARE, PROVIDING ADVANCED MEDICAL SERVICES IN THE AREAS OF CARDIAC CARE, GENERAL AND SPECIALTY SURGERY, WOMEN'S SERVICES, CANCER CARE AND EMERGENCY SERVICES. THE HOSPITAL ALSO HAS A NETWORK OF NEIGHBORHOOD CLINICS IN ITS PRIMARY SERVICE AREA. THERE WERE 14,468 PATIENTS ADMITTED FOR INPATIENT MEDICAL CARE FOR A TOTAL OF 70,050 PATIENT DAYS. THERE WERE 255,795 OUTPATIENT VISITS OF WHICH 55,239 WERE FOR EMERGENCY CARE VISITS. THE HOSPITAL DELIVERED 3,640 BABIES. OVERLAKE MEDICAL CLINICS PROVIDED 412,124 PATIENT VISITS. OVERLAKE HOSPITAL DEMONSTRATED A COMMITMENT TO IMPROVING THE HEALTH OF THE COMMUNITY BY SUPPORTING MANY HEALTH-RELATED EVENTS, PROGRAMS, CLINICAL RESEARCH AND VARIOUS CONTRIBUTIONS THROUGHOUT THE YEAR THAT HAD A DIRECT BENEFIT TO THE COMMUNITY. THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES. OVERLAKE HOSPITAL PROVIDED CARE TO 6,695 PATIENTS WHO WERE UNINSURED OR UNDER INSURED AT AN ESTIMATED COST OF $5,545,000. THE HOSPITAL PROVIDED CARE TO MEDICAID PATIENTS AT RATES BELOW THE COST OF PROVIDING SERVICES. THE PAYMENTS WERE LESS THAN COST BY $33,493,000. IN KEEPING WITH THE HOSPITAL'S SPIRIT OF GIVING BACK TO THE COMMUNITY, IT PROVIDED A TOTAL OF $8,637,000 OF COMMUNITY BENEFIT SERVICE ACTIVITIES. AS THE HEALTH CARE NEEDS OF OUR COMMUNITY INCREASE AND GROW MORE COMPLEX, OVERLAKE HAS STRENGTHENED ITS COMMITMENT TO PROVIDING THE MOST ADVANCED TREATMENT AND TECHNOLOGY ALONGSIDE COMPASSIONATE CARE EVERY DAY. WITH HEALTH CARE PROMINENT IN THE NATIONAL DEBATE, OVERLAKE MEDICAL CENTER IS GIVING EASTSIDE RESIDENTS AN OPPORTUNITY FOR A WIDE VARIETY OF FREE HEALTH SCREENINGS WHERE THE BARRIERS OF BOTH COST AND LANGUAGE ARE REMOVED. THE SCREENINGS ARE FREE AND DO NOT REQUIRE PATIENTS TO HAVE HEALTH INSURANCE. THE FREE SCREENINGS INCLUDE CHOLESTEROL, BLOOD PRESSURE, BODY MASS INDEX, CARDIAC AND DIABETES RISK ASSESSMENTS. CONSULTATIONS WITH A HEALTH CARE PROVIDER WILL ALLOW PATIENTS TO UNDERSTAND WHAT SCREENING RESULTS MEAN. FURTHERMORE, NOT WANTING LANGUAGE TO BE A BARRIER TO PATIENTS NOT FLUENT IN ENGLISH, OVERLAKE OFFERS INTERPRETERS IN MULTIPLE LANGUAGES INCLUDING MANDARIN, CANTONESE, HINDI, SPANISH, AND RUSSIAN. IT IS PART OF OVERLAKE'S MISSION TO BRING HEALTH CARE OUT INTO THE COMMUNITY, TO MAKE IT ACCESSIBLE TO ALL PEOPLE AND THESE COMPLIMENTARY SCREENINGS HELP US FULFILL OUR MISSION IN A MEANINGFUL WAY. THE FUTURE IS NOW: PROJECT FUTURECARE, OUR $250 MILLION CAMPUS RENEWAL, SUPPORTED BY A $50 MILLION FUNDRAISING CAMPAIGN, IS WELL ON ITS WAY TO TRANSFORMING OVERLAKE. THE PROJECT REPLACED AN AGING BUILDING WITH A STATE-OF-THE-ART FACILITY THAT EXTENDS AND SUPPORT OUR WORLD-CLASS CARE. NEW OPERATING ROOMS INCREASE THE NUMBER OF HEART PATIENTS WE CAN CARE FOR. THE CHILDBIRTH CENTER IN THE NEW BUILDING WILL INCLUDE BEAUTIFUL ROOMS WITH SPACE TO WELCOME FAMILY MEMBERS AND A HOST OF UPGRADED FEATURES. AN EXPANDED MENTAL HEALTH UNIT MAKES CARE MORE ACCESSIBLE FOR PATIENTS WHO COME TO US WITH MENTAL HEALTH AS WELL AS MEDICAL CHALLENGES. IN 2018, SUPPORT FROM THE COMMUNITY HELPED THE OVERLAKE NEUROSCIENCE INSTITUTE OPEN THE FIRST AND ONLY EPILEPSY CLINIC ON THE EASTSIDE. PATIENTS WITH SEIZURE DISORDERS CAN NOW RECEIVE DIAGNOSTIC AND TREATMENT SERVICES CLOSE TO HOME. ACHIEVEMENT AWARDS RECEIVED IN 2021: 1. OVERLAKE HOSPITAL RANKED AS BEST HOSPITAL TO HAVE A BABY BY U.S. NEWS & WORLD REPORT. U.S. NEWS & WORLD REPORT IN DECEMBER 2021 RELEASED ITS INAUGURAL LIST OF THE BEST U.S. HOSPITALS FOR MATERNITY. OVERLAKE HOSPITAL IS THE ONLY HOSPITAL IN WASHINGTON STATE LISTED AMONG THE "BEST" FOR MATERNITY CARE FOR UNCOMPLICATED PREGNANCIES. 2. OVERLAKE MEDICAL CENTER & CLINICS HAS ONCE AGAIN RECEIVED AN "A" LEAPFROG HOSPITAL SAFETY GRAND FOR FALL 2021. THIS NATIONAL DISTINCTION RECOGNIZES OVERLAKE'S ACHIEVEMENT IN PROTECTING PATIENTS FROM HARM AND ERROR IN THE HOSPITAL. THIS IS THE THIRD "A" GRADE IN A ROW FOR OVERLAKE HOSPITAL. 3. OVERLAKE MEDICAL CENTER & CLINICS IS A RECIPIENT OF THE HEALTHGRADES 2021 GYNECOLOGIC SURGERY EXCELLENCE AWARD. THIS AWARD PLACES OVERLAKE MEDICAL CENTER AMONG THE TOP 5% OF ALL HOSPITALS EVALUATED FOR PROVIDING OUTSTANDING QUALITY OUTCOMES IN GYNECOLOGIC SURGERY. OVERLAKE IS THE ONLY HOSPITAL IN THE STATE OF WASHINGTON TO ACHIEVE THIS HONOR IN 2021. 4. OVERLAKE MEDICAL CENTER RECEIVED THREE AWARDS FROM THE GET WITH THE GUIDELINES PROGRAM FROM THE AMERICAN HEART ASSOCIATION: 2021 GET WITH THE GUIDELINES HEART FAILURE: SILVER PLUS QUALITY ACHIEVEMENT AWARD BRONZE QUALITY ACHIEVEMENT AWARD WITH HONOR ROLL 2021 GET WITH THE GUIDELINES STROKE: GOLD PLUS QUALITY ACHIEVEMENT AWARD THE MISSION: LIFELINE AND GET WITH THE GUIDELINES PROGRAMS HELP PUT PROVEN KNOWLEDGE AND GUIDELINES TO WORK ON A DAILY BASIS TO IMPROVE OUTCOMES FOR CARDIOVASCULAR PATIENTS.
FORM 990, PART VI, SECTION A, LINE 7A	OVERLAKE HOSPITAL ASSOCIATION HAS THE RIGHT TO APPOINT AND REMOVE OVERLAKE HOSPITAL MEDICAL CENTER'S TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	OVERLAKE HOSPITAL ASSOCIATION MUST APPROVE: (A) ANY SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (B) ANY INCREASED INDEBTEDNESS EXCEEDING FIVE PERCENT OF THE GROSS PATIENT SERVICE REVENUE DURING A FISCAL YEAR OF THE CORPORATION; (C) THE ANNUAL BUDGET OF THE CORPORATION AND ANY MATERIAL AMENDMENTS THERETO; (D) THE AUDITORS OF THE CORPORATION; AND (E) ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN REVIEWED BY THE PRESIDENT & CEO, CFO, CHIEF HUMAN RESOURCES AND COMPLIANCE OFFICER, AND THE OVERLAKE HOSPITAL MEDICAL CENTER AUDIT AND COMPLIANCE COMMITTEE. THE 990 IS SENT TO THE OVERLAKE HOSPITAL MEDICAL CENTER BOARD MEMBERS PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS AND MANAGEMENT ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY 2) HAS READ AND UNDERSTANDS THE POLICY 3) HAS AGREED TO COMPLY WITH THE POLICY, AND 4) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATIONS AND THAT IN ORDER TO MAINTAIN THEIR FEDERAL TAX EXEMPTION THEY MUST AVOID CONFLICTS OF INTEREST AND ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF THEIR TAX-EXEMPT FUNCTIONS. A LIST OF ALL FINANCIAL INTEREST OR OTHER RELATIONSHIPS WITH ANY ORGANIZATIONS THAT HAS, OR CAN REASONABLY EXPECTED TO HAVE, A TRANSACTION WITH THE CORPORATION, COMPETES AGAINST THE CORPORATION, OR WHOSE INTEREST MATERIALLY CONFLICTS WITH THE INTEREST OF THE CORPORATION IS SUBMITTED ANNUALLY TO THE OVERLAKE HOSPITAL MEDICAL CENTER COMPLIANCE OFFICER FOR REVIEW. THE COMPLIANCE OFFICER SUMMARIZES ANY CONFLICTS OF INTEREST AND DISCUSSES THESE RESULTS WITH THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE, CEO AND GENERAL COUNSEL. THIS INFORMATION IS ALSO SHARED WITH THE CHAIR, COMMITTEE CHAIRS, AND CFO. AT BOARD MEETINGS, MEMBERS ARE EXPECTED TO RECUSE THEMSELVES FROM VOTING ON ISSUES WHEN THERE IS A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	OVERLAKE'S POLICY AND PROCESS FOR EXECUTIVE COMPENSATION IS FULLY DOCUMENTED IN THE "EXECUTIVE COMPENSATION ADMINISTRATION AND COMPLIANCE MANUAL" WHICH WAS LAST UPDATED IN 2017. THIS MANUAL DETAILS THE CHARTER OF THE COMPENSATION COMMITTEE OF THE BOARD, THE COMPENSATION PHILOSOPHY AND HOW SALARY INCREASES, INCENTIVES AND BENEFITS AND PERQUISITES ARE ADMINISTERED. COMPENSATION COMMITTEE MEMBERS ARE INDEPENDENT BOARD MEMBERS AS REQUIRED BY THE CHARTER AND BY-LAWS. THE PROCESS INCLUDES AN INDEPENDENT CONSULTANT WHO WORKS DIRECTLY FOR THE COMPENSATION COMMITTEE AND REVIEW OF COMPARABLE DATA FROM EXTERNAL SOURCES. ALL COMPENSATION RELATED DECISIONS FOR THE CEO, COO AND OTHER EXECUTIVES ARE DISCUSSED, DELIBERATED AND VOTED ON BY THE COMPENSATION COMMITTEE AND DOCUMENTED IN THE MINUTES OF THE MEETING. THE COMPENSATION AND INCENTIVE PAYMENT OF THE CEO IS REVIEWED AND APPROVED BY THE FULL BOARD.
FORM 990, PART VI, SECTION C, LINE 19	OVERLAKE HOSPITAL MAKES ITS DISCLOSURE OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE THROUGH THE HOSPITAL'S ADMINISTRATION OFFICE. THE OVERLAKE HOSPITAL ASSOCIATION CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE ON THE OVERLAKE MEDICAL CENTER'S WEBSITE.
FORM 990, PART IX, LINE 11G	OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 82,063,670. MANAGEMENT AND GENERAL EXPENSES 17,360,220. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,423,890.
FORM 990, PART XI, LINE 9:	EQUITY CONTRIBUTION TO RELATED ORGANIZATION -889,800. INVESTMENT IN RELATED ORGANIZATION -2,731,082.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
OVERLAKE MEDICAL CLINICS LLC
1035 116TH AVENUE NE	BELLEVUE	WA	98004	911932954	MEDICAL CLINICS	WA	$93,543,388	$48,771,266	OVERLAKE HOSPITAL MEDICAL CENTER
OVERLAKE PROVIDER NETWORK LLC
1035 116TH AVENUE NE	BELLEVUE	WA	98004	474545130	CLINICALLY INTEGRATED NETWORK	WA	$0	$0	OVERLAKE HOSPITAL MEDICAL CENTER

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
OVERLAKE HOSPITAL FOUNDATION
1035 116TH AVE NE	BELLEVUE	WA	98004	911050325	FUNDRAISING	WA	501(C)(3)	7 - 509(A)(1)	OVERLAKE HOSPITAL MEDICAL CENTER	Yes (1)
OVERLAKE HOSPITAL AUXILIARIES
1035 116TH AVE NE	BELLEVUE	WA	98004	237297831	FUNDRAISING	WA	501(C)(3)	7 - 509(A)(1)	OVERLAKE HOSPITAL MEDICAL CENTER	Yes (1)
OVERLAKE HOSPITAL ASSOCIATION
1035 116TH AVE NE	BELLEVUE	WA	98004	911274134	PROVIDE SUPPORT	WA	501(C)(3)	12B - TYPE II SUPPOR		Yes (1)	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	OVERLAKE SURGERY CENTER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1135 116TH AVENUE NE 300	AddressLine1Txt
City	BELLEVUE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
EIN	911925618	EIN
Primary Activities	SURGERY CENTER	PrimaryActivitiesTxt
Legal Domicile State	WA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OVERLAKE HOSPITAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	-$546,570	ShareOfTotalIncomeAmt
Share Of EOY Assets	$975,554	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.81160	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
OVERLAKE HOSPITAL FOUNDATION
B	$2,438,892	CASH
OVERLAKE HOSPITAL FOUNDATION
C	$9,141,355	CASH
OVERLAKE HOSPITAL FOUNDATION
N	$139,596	CASH
OVERLAKE HOSPITAL FOUNDATION
O	$239,838	CASH
OVERLAKE HOSPITAL ASSOCIATION
B	$4,500,000	CASH
OVERLAKE HOSPITAL ASSOCIATION
O	$161,472	CASH
OVERLAKE HOSPITAL ASSOCIATION
P	$644,612	CASH
OVERLAKE HOSPITAL ASSOCIATION
A	$8,282,429	FMV
OVERLAKE SURGERY CENTER LLC
D	$950,000	CASH
OVERLAKE SURGERY CENTER LLC
B	$889,800	CASH