2021-11-11T22:50:15-06:00 2020-12-31 910189318 MOSS ADAMS LLP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2020-01-01 910567263 YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION YAKI 5095758000 2811 TIETON DRIVE YAKIMA WA 989023799 THOMAS MCDONAGH CFO 5095758000 2021-11-11 1 THOMAS MCDONAGH 999009999 COLLEEN RAMIRES P01251320 4252597227 2021-11-11 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z VIRGINIA MASON MEMORIAL CAROLE E PEET 2811 TIETON DRIVE YAKIMA WA 989023799 529432248 0 X WWW.YAKIMAMEMORIAL.ORG X 1950 WA VIRGINIA MASON MEMORIAL (VMM), PART OF THE VIRGINIA MASON HEALTH SYSTEM, IS A 226-BED-ACUTE-CARE, NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT HAS SERVED CENTRAL WASHINGTON'S YAKIMA VALLEY FOR NEARLY 70 YEARS. 11 9 3464 249 18885 0 4966943 53793088 491209069 466397010 8129417 3667359 4295483 3997024 508600912 527854481 364250 1172361 0 0 247823520 252041978 0 0 0 251603166 257589323 499790936 510803662 8809976 17050819 394294655 446456465 176671369 219303933 217623286 227152532 X VIRGINIA MASON MEMORIAL (VMM), PART OF THE VIRGINIA MASON HEALTH SYSTEM, IS A 226-BED ACUTE-CARE, NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT HAS SERVE CENTRAL WASHINGTON'S YAKIMA VALLEY FOR NEARLY 70 YEARS. (CONTINUED ON SCHEDULE O) 0 0 291838321 332865969 OUTPATIENT SERVICES. DURING 2020, VIRGINIA MASON MEMORIAL (VMM) PERFORMED 738,764 OUTPATIENT VISITS FOR SURGERY, CANCER CARE, DIAGNOSTIC TESTING AND VARIOUS OTHER THERAPEUTIC SERVICES. THOSE OUTPATIENT SERVICES WERE OFFERED IN A MANNER CONSISTENT WITH THE HOSPITAL'S 501(C)(3) STATUS, INCLUDING CHARITY CARE TO QUALIFYING PATIENTS PER THE HOSPITAL'S CHARITY CARE POLICY. IN 2020, VMM PROVIDED CHARITY CARE FOR 18,392 OUTPATIENT VISITS, TOTALING $19,895,037. (CONTINUED ON SCHEDULE O.)VMM'S ONCOLOGY PROGRAMS DELIVERED CHARITY CARE SERVICES 1,640 TIMES IN 2020. CHILDREN'S VILLAGE, BASED IN YAKIMA, IS A CLINIC THAT PROVIDES HEALTHCARE SERVICES FOR CHILDREN WITH SPECIAL NEEDS. THE FACILITY ALSO HOUSES THE NURSE FAMILY PARTNERSHIP, A PROGRAM THAT PROVIDES SPECIALLY TRAINED NURSES TO HELP FIRST-TIME MOTHERS DURING PREGNANCY AND UNTIL THE CHILD'S SECOND BIRTHDAY. THESE PROGRAMS PROVIDED THE CHARITY CARE AND UNREIMBURSED MEDICAL SERVICES. MATERNAL HEALTH SERVICES PROVIDES COMMUNITY-BASED PROGRAMS AND SERVICES FOCUSED ON PROVIDING PREVENTATIVE HEALTH AND EDUCATION FOR FAMILIES THROUGHOUT CENTRAL WASHINGTON. VMM'S PAIN MANAGEMENT CLINIC SAW 617 PATIENT ENCOUNTERS WHICH FELL UNDER VMM'S CHARITY CARE CRITERIA. MEMORIAL'S 'OHANA CLINIC PROVIDES BREAST HEALTH EDUCATION, SCREENING AND DIAGNOSTIC MAMMOGRAPHY, AND BREAST CARE COORDINATION FOR WOMEN IN THE YAKIMA VALLEY. CHARITY CARE FUNDED 584 ENCOUNTERS WITH 'OHANA PROVIDERS IN 2020. VMM PROVIDED 906 PATIENT ENCOUNTERS WITH CHARITY CARE IN OUTPATIENT SURGERY IN 2020. VIRGINIA MASON MEMORIAL'S WOUND MANAGEMENT SERVICES COMBINES TRADITIONAL PRACTICES AND MEDICINES FOR WOUND HEALING WITH TECHNOLOGY, SUCH AS HYPERBARIC OXYGEN THERAPY. THESE SERVICES ARE OFFERED TO PATIENTS WHO HAVE UNDERGONE 30 DAYS OF CONVENTIONAL WOUND TREATMENT WITHOUT SIGNIFICANT IMPROVEMENT. IN 2020, 10 OF THOSE ENCOUNTERS WERE PERFORMED UNDER CHARITY CARE ASSISTANCE. WITH ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN THE STATE OF WASHINGTON, OUR PROVIDERS ARE TRAINED IN EMERGENCY MEDICINE AND TREATED 75,518 PATIENTS A YEAR REGARDLESS OF AGE, CULTURE, EMPLOYMENT, ETHNICITY, EXPRESSION, GENDER IDENTITY, LANGUAGE, NATIONAL ORIGIN, PARTICIPATION IN PROGRAMS, PHYSICAL OR MENTAL DISABILITY, RACE, COLOR, RELIGION, SERVICES AND ACTIVITIES, SEX, SEXUAL ORIENTATION, SOCIOECONOMIC STATUS, OR FINANCIAL STATUS. THE EMERGENCY DEPARTMENT PROVIDES FOR PATIENTS' EMERGENT NEEDS; AND, ALL PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT ARE EXAMINED BY A TRAINED PROVIDER. VMM'S EMERGENCY DEPARTMENT EXPERIENCED 6,838 PATIENT ENCOUNTERS WITH CHARITY CARE RECIPIENTS IN 2020, FOR A TOTAL OF $10,992.520. VIRGINIA MASON MEMORIAL SERVED 7,797 CHARITY CARE PATIENTS WITH ADDITIONAL OUTPATIENT SERVICES. THESE SERVICES INCLUDE: CARDIAC REHAB, EDUCATION, INFUSION CARE, LABORATORY, PHYSICIAN'S OFFICES, OUTPATIENT PROCEDURES, PRE-PROCEDURE TESTING, SLEEP STUDIES, THERAPY, X-RAY AND IMAGING, AND CARDIOVASCULAR CARE PROVIDED BY THE YAKIMA HEART CENTER. 104223074 128752274 INPATIENT SERVICES. VIRGINIA MASON MEMORIAL (VMM) HOSPITAL ADMITTED 391 PATIENTS THAT QUALIFIED FOR CHARITY CARE, FOR A TOTAL OF 1,544 PATIENT DAYS. THESE INPATIENT CHARITY CARE ENCOUNTERS AMOUNTED TO $3,664,911. CHARITY CARE WAS PROVIDED PER THE TERMS OF THE HOSPITAL'S CHARITY CARE POLICY. INPATIENT SERVICES INCLUDES OBSTETRICS & GYNECOLOGY (OBGYN), PEDIATRICS, PSYCHIATRIC SERVICES, EMERGENCY DEPARTMENT (ED), HOSPITAL IMAGING, HOSPITAL-BASED PHYSICIAN SERVICES, CRITICAL CARE, ORTHOPEDICS, CARDIOVASCULAR CARE, CANCER CARE, ANESTHESIOLOGY, RESPIRATORY THERAPY, AND PHARMACY. (CONTINUED ON SCHEDULE O.)IN 2020, VMM'S OB/GYN DEPARTMENT PROVIDED CHARITY CARE TO PATIENTS FOR PRE-DELIVERY TESTING AND OBSTETRIC EMERGENCY CARE. VMM'S INPATIENT PSYCHIATRIC SERVICES TREATS ADULT PATIENTS FOR A BROAD SPECTRUM OF MENTAL HEALTH CONCERNS INCLUDING DEPRESSION, ANXIETY, ADJUSTMENT DISORDERS, ADD/ADHD, AND MAJOR PSYCHIATRIC ILLNESS. INPATIENT PSYCHIATRIC SERVICES ALSO OFFERS PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT, IN ADDITION TO TREATMENT OF UNDERLYING MEDICAL CONDITIONS. 13526115 1172361 605214 SUPPORTING SERVICE. VIRGINIA MASON MEMORIAL PROVIDES ADDITIONAL SUPPORTIVE SERVICES TO SERVE THE HEALTH CARE NEEDS OF THE COMMUNITY THAT DO NOT DIRECTLY ALIGN AS EITHER INPATIENT OR OUTPATIENT SERVICES. THESE SUPPORTIVE SERVICES WERE OFFERED IN A MANNER CONSISTENT WITH THE HOSPITAL'S 501(C)(3) STATUS. THESE SUPPORTIVE SERVICES INCLUDE EDUCATIONAL SERVICES FOR STUDENT PHYSICIANS, NURSES, AND ALLIED HEALTH PROFESSIONALS, SUPPORT OF THE COMMUNITY HEALTH OF CENTRAL WASHINGTON (CHCW) MEDICAL RESIDENCY PROGRAM (30 RESIDENTS), A PRE-SURGERY CLINIC, NURSING FLOAT POOL, BUSINESS DEVELOPMENT, AND INFORMATION TECHNOLOGY AND SYSTEMS. 8467085 4154668 VIRGINIA MASON MEMORIAL PROVIDES COMMUNITY HEALTH EDUCATION, SUPPORT, AND SERVICES TO RESIDENTS OF YAKIMA COUNTY. THESE PROGRAMS ALIGN WITH INITIATIVES AND DISPARITIES OUTLINED WITHIN OUR PUBLISHED COMMUNITY HEALTH NEEDS ASSESSMENT. COMMUNITY HEALTH PROGRAMS SERVED 14,764 RESIDENTS IN 2020 AND EQUATED TO $2,715,230 IN COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS EXPENDITURES. VIRGINIA MASON MEMORIAL PARTNERED WITH THE LOCAL YMCA TO DELIVER "ACTIVELY CHANGING TOGETHER", A CHILDHOOD OBESITY PROGRAM THAT ASSISTED 264 FAMILIES. DIABETES PREVENTION AND DIABETES WELLNESS PROGRAMS WERE ALSO OFFERED TO 2,421 COMMUNITY MEMBERS DURING THE YEAR. IN ADDITION TO CAMPAIGNS TARGETING OBESITY AND DIABETES, VMM CREATED ACCESS TO FREE ZUMBA AND YOGA CLASSES FOR 6,084 ADULTS AND CHILDREN AS PART OF AN ANNUAL "HEALTHY FOR LIFE" CAMPAIGN. IN ADDITION TO SUPPORTING COMMUNITY HEALTH INITIATIVES, VMM ALSO SUPPORTS COMMUNITY INVESTMENT/BUILDING ACTIVITIES BY MAKING SEVERAL CONTRIBUTIONS TO NOT-FOR-PROFIT CAUSES THROUGHOUT YAKIMA COUNTY THAT ALIGN WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENT EQUALING TO $150,385 IN DONATIONS.YAKIMA UNION GOSPEL MISSION MEDICAL CLINIC WAS THE RECIPIENT OF $121,250 FOR CLINIC SUPPORT. THE MISSION SERVES OVER 14,000 PATIENTS FREE OF CHARGE EVERY YEAR, HELPING TO STEM OVERUTILIZATION OF EMERGENCY DEPARTMENT RESOURCES AND HELPING TO PROVIDE ADDITIONAL PRIMARY CARE ACCESS TO THE UNDERSERVED. THE SOZO SPORTS COMPLEX RECEIVED A $7,500 DONATION FROM VMM IN SUPPORT OF ATHLETIC PROGRAMS FOR CHILDREN WHO LACK SUFFICIENT FUNDS TO PARTICIPATE. THE YAKIMA COUNTY DEVELOPMENT ASSOCIATION/NEW VISION RECEIVED $31,150 FOR COMMUNITY DEVELOPMENT INITIATIVES. THE YAKIMA FAMILY YMCA WAS IN THE PROCESS OF CONSTRUCTING A NEW AQUATIC FACILITY THAT WILL HELP AT-RISK KIDS AND VIRGINIA MASON MEMORIAL WAS ABLE TO CONTRIBUTE $125,000 TOWARD CONSTRUCTION AND THE DEVELOPMENT OF REHABILITATION SERVICES. VMM WAS ABLE TO SUPPORT OPERATION FOOD HARVEST AND NEIGHBORHOOD CLEANUP WITH $5,000 CONTRIBUTED TO YAKIMA SOUTHWEST ROTARY CLUB CHARITIES. AND FINALLY, VMM CONTRIBUTED $5,000 TO THE DOWNTOWN YAKIMA MILE THAT IS A 1 MILE RACE THAT BRINGS OUR COMMUNITY TOGETHER IN FUN, FITNESS AND SUPPORT OF IMPORTANT CAUSES THAT SERVE OUR FRIENDS AND NEIGHBORS. 8467085 4154668 418054595 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 0 0 0 1 237 0 1 3464 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X THOMAS MCDONAGH VPCFO 5095758000 2811 TIETON DRIVE YAKIMA WA 989023799 DAVID HARGREAVES DIRECTOR/CHAIRMAN 2.00 X X 0 0 0 BUFFY ALEGRIA DIRECTOR/VICE CHAIRMAN 2.00 X X 0 0 0 RICH MARTINEZ DIRECTOR/TREASURER 2.00 X X 0 0 0 SONIA RODRIGUEZ TRUE DIRECTOR/SECRETARY 2.00 X X 0 0 0 BRUCE HEISER DIRECTOR 2.00 X 0 0 0 MARIBEL JIMENEZ DIRECTOR 2.00 X 0 0 0 STEVE RUPP MD DIRECTOR 2.00 X 0 0 0 GAIL WEAVER DIRECTOR 2.00 X 0 0 0 JIM YOUNG DIRECTOR 2.00 X 0 0 0 KERRY HARTHCOCK MD DIRECTOR 2.00 X 0 0 0 CYNTHIA JUAREZ DIRECTOR 2.00 X 0 0 0 CAROLE PEET PRESIDENT/CEO 40.00 X 502033 0 8706 TIMOTHY REED VICE PRESIDENT/CFO 40.00 X 367277 0 42776 RUSSELL MYERS PRESIDENT/CEO (THRU 3/20) 40.00 X 239077 0 12853 DIANE PATTERSON VICE PRESIDENT/COO (THRU 5/20) 40.00 X 720483 0 19495 WILLIAM M BRUEGGMAN VICE PRESIDENT/CMO 40.00 X 595854 0 39617 SHAWNIE HAAS VICE PRESIDENT/SPECIALTY SERVICES 40.00 X 297611 0 43014 SUSAN SAUDER VICE PRESIDENT/CCO 40.00 X 169406 0 6272 VU LE PHYSICIAN 40.00 X 970624 0 31429 CHRISTOPHER TAN PHYSICIAN 40.00 X 660023 0 32818 TEKCHAND TANWANI PHYSICIAN 40.00 X 494563 0 40651 JEFFERY BUSHMAN PHYSICIAN 40.00 X 489338 0 39418 PORNCHAI LEELASINJAROEN PHYSICIAN 40.00 X 489230 0 38341 SCOTT LANCASTER FORMER KEY EMPLOYEE 40.00 X 420283 0 46276 JOLENE SEDA FORMER KEY EMPLOYEE 40.00 X 335310 0 44076 6751112 0 445742 382 1 1 0 VIRGINIA MASON MEDICAL CENTER 1100 NINTH AVENUE SEATTLE WA 98101 MEDICAL AND HEALTHCARE 5933983 PREFERRED SOLUTIONS PO BOX 61451 HOUSTON TX 77208 STAFFING 2104992 COMPHEALTH ASSOCIATES INC PO BOX 972625 DALLAS TX 75397 STAFFING 2058716 FOCUSONE SOLUTIONS LLC PO BOX 310861 DES MOINES IA 50331 STAFFING 2035744 KDA ARCHITECTURE INC 1310 NORTH 16TH AVE YAKIMA WA 98902 ARCHITECTURE 1617144 42 51512283 2280805 53793088 NET PATIENT REVENUE 621400 441307420 441307420 MEMORIAL PHYSICIANS/SIGNAL HEALTH 621110 24470219 24470219 EXPENSE REIMBURSEMENT 900099 600486 600486 LAB SERVICE 621500 18885 18885 466397010 3690398 3690398 715132 1483778 -768646 -768646 -768646 70950 0 93989 70950 -93989 -23039 -23039 CAFETERIA 900099 1488859 1488859 CHILD CARE 624410 812235 812235 GIFT SHOP 453220 64976 64976 2399600 2399600 4765670 527854481 466378125 18885 7664383 X 1172361 1172361 3064476 2025393 1039083 201921798 167677025 34244773 10519128 8211643 2307485 15685954 12225557 3460397 20850622 16276812 4573810 1637403 19831 1617572 278100 278100 113681 113681 280681 280681 78592342 69627507 8964835 232189 40585 191604 19097752 10655375 8442377 13448345 5455818 7992527 10340591 6327301 4013290 180855 109467 71388 2100040 2100040 5215992 5215992 21230251 20250651 979600 3642218 1958306 1683912 DRUGS 40650405 40573819 76586 MEDICAL SUPPLIES 39422191 39378550 43641 BAD DEBT EXPENSE 6765383 6765383 DIETARY SUPPLIES 1719042 263888 1455154 12641862 9039323 3602539 510803662 418054595 92749067 0 67648727 63565867 523327 40208709 68364222 56248610 484337 1747830 8150193 9848980 4132244 4601016 294534945 99778635 200136846 194756310 5029440 43521064 3793167 3123684 1390437 1009266 34641715 27825129 394294655 446456465 114281428 99018698 -1668 55900387 44830169 33898292 17561440 30486556 176671369 219303933 X 214637680 223756780 2985606 3395752 217623286 227152532 394294655 446456465 X 17050819 914251 -8435824 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 53681 182704 60000 140424 113681 323128 510226186 1742768256 510339867 1743091384 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 284247 294038 307100 323128 1208513 250000 250000 250000 250000 1000000 1500000 175480 180464 183519 182704 722167 PART II-A, LINE A: YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION, EIN #91-0567263, 2811 TIETON DRIVE, YAKIMA, WA 98902. NON-ELECTING MEMBER. $53,681 GRASSROOTS LOBBYING EXPENDITURES. $60,000 DIRECT LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0. YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION PAYS MEMBERSHIP DUES TO WASHINGTON STATE HOSPITAL ASSOCIATION AND AMERICAN HEALTHCARE ASSOCIATION, PORTIONS OF WHICH WERE USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES. YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION ALSO PAYS MEMBERSHIP DUES TO OTHER PROFESSIONAL HEALTH CARE ORGANIZATIONS, A PORTION OF WHICH MAY BE USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES. VIRGINIA MASON MEDICAL CENTER, EIN #91-0565539, 1100 NINTH AVENUE, SEATTLE, WA 98101. ELECTING MEMBER. GRASSROOTS LOBBYING EXPENDITURES $129,023. DIRECT LOBBYING EXPENDITURES $80,424. EXCESS LOBBYING EXPENDITURES $0. TAX YEAR ENDING DECEMBER 31, 1998 WAS THE FIRST YEAR IN WHICH VIRGINIA MASON MEDICAL CENTER MADE THE ELECTION UNDER SECTION 501(H). THE ELECTION WAS NOT REVOKED BEFORE THE START OF THE TAX YEAR ENDING DECEMBER 31, 2020. VIRGINIA MASON INSTITUTE, EIN #26-3763656, 1100 NINTH AVENUE, SEATTLE, WA 98101. NON-ELECTING MEMBER. $0 LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0. VIRGINIA MASON HEALTH SYSTEM, EIN #91-1351110, 1100 NINTH AVENUE, SEATTLE, WA 98101. NON-ELECTING MEMBER. $0 LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0. BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON, EIN #91-0653422, 1201 NINTH AVENUE, SEATTLE, WA 98101. NON-ELECTING MEMBER. $0 LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0. 14785769 14785769 99416182 19396058 80020124 6785018 2735274 4049744 166083216 76006203 90077013 7464760 1641100 5823660 194756310 RIGHT OF USE ASSET 23897079 OTHER INVESTMENTS - 457B PLAN 3538272 DUE FROM AFFILIATES 389778 27825129 X PART X, LINE 2: U.S. GAAP REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY MEMORIAL AND RECOGNIZE A TAX LIABILITY (OR AN ASSET) IF MEMORIAL HAS TAKEN AN UNCERTAIN POSITION THAT IS MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (RS). MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY MEMORIAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR AN ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. MEMORIAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THE DEPARTMENT OF REVENUE IS CURRENTLY AUDITING SALES AND USE TAX FOR YEARS 2016 THROUGH 2018. MEMORIAL'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2014. 1 1 X 1 X 1 X 1 1 0 0 7427730 0 7427730 0.01480 352344 122071368 86140831 35930537 0.07140 0 0 352344 129499098 86140831 43358267 0.08620 8 14764 3165175 449945 2715230 0.00540 5 823 7339351 1264191 6075160 0.01210 3 8527 12071797 10074483 1997314 0.00400 1 912 417695 0 417695 0.00080 1 0 157813 0 157813 0.00030 18 25026 23151831 11788619 11363212 0.02260 18 377370 152650929 97929450 54721479 0.10880 1 193750 193750 0.00040 1 150385 150385 0.00030 1 30117 30117 0.00010 3 374252 374252 0.00080 1 10159953 95147415 106959953 -11812538 X 1 1 1 58 YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION 2811 TIETON DRIVE YAKIMA WA 98902 YAKIMAMEMORIAL.ORG X X X X YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIAT 1 0 0 1 X X X X X X X X X X 19 1 0 0 1 X SEE PART V X X 1 20 1 WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 X X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 3J: MEMORIAL'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS ADOPTED BY THE BOARD OF DIRECTORS ON OCTOBER 15, 2019. THE REPORT WAS MADE PUBLIC ON THE WEBSITE AND PRINTED COPIES MADE AVAILABLE AT THE HOSPITAL UPON REQUEST. THE AREAS OF ASSESSMENT IN THE 2019 REPORT ARE: DEMOGRAPHICS; SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH (INCLUDING - EDUCATION, HEALTH LITERACY, UNEMPLOYMENT, INCOME POVERTY, CHILDREN ELIGIBLE FOR FREE SCHOOL LUNCH, FOOD INSECURITY, HOUSING AFFORDABILITY, HOUSEHOLDS WITHOUT A CAR, DISABILITY STATUS, HOMELESSNESS, SAFETY, CRIME AND VIOLENCE); CLINICAL CARE (INCLUDING - ACCESS TO HEALTH SERVICES, UNINSURED POPULATION, COST BARRIERS TO CARE, CLINICAL PREVENTIVE SERVICES); HEALTH OUTCOMES (INCLUDING - CHRONIC DISEASE PROFILE, MORTALITY, QUALITY OF LIFE); LEADING HEALTH INDICATORS (INCLUDING - HEALTH BEHAVIORS, MATERNAL, INFANT AND CHILD HEALTH, REPRODUCTIVE SEXUAL HEALTH, MENTAL HEALTH, INJURY AND HOSPITALIZATION); PHYSICAL ENVIRONMENT (INCLUDING - AIR POLLUTION, ACCESS TO LOCATIONS FOR PHYSICAL ACTIVITY, TRANSPORTATION, SEVERE HOUSING PROBLEMS). ADDITIONAL ASSESSMENTS ARE CONDUCTED ON AN ONGOING BASIS TO TRACK NEEDS SUCH AS CDC COVID DATA TRACKER. DATA SOURCES USED ARE: INTERNAL, US CENSUS, BRFSS, HEALTH YOUTH SURVEY, DEPARTMENT OF HEALTH, CANCER REGISTRY AND MANY OTHER PUBLIC DATA SOURCES. DISPARITY GAPS WERE IDENTIFIED WHEN COMPARING THE STATE OF WASHINGTON TO YAKIMA COUNTY. FURTHERMORE, WHEN DATA WAS AVAILABLE, INDICATORS WERE STRATIFIED BY AGE, SEX AND RACE ETHNICITY IN ORDER TO IDENTIFY DISPARITIES IN HEALTH OUTCOMES. MEMORIAL'S ACTIONS AND PROGRESS IN ADDRESSING THE PRIORITY AREAS IDENTIFIED IN THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT (2016) ARE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IN THE 2017-2019 PRIORITY AREA UPDATE SECTION ON PAGE 87. YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: INPUT FOR DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS SOLICITED THROUGH AN ONLINE TOOL. THE INTERNAL ADVISORY COMMITTEE SELECTED THE TOP TEN AREAS OF GREATEST NEED AND THROUGH THE SURVEY COMMUNITY ORGANIZATIONS COULD PROVIDE INPUT ON THE CHNA. THE TEN AREAS OF GREATEST NEED WERE: ACCESS TO HEALTH CARE; HEALTH EQUITY; CHRONIC DISEASE PREVENTION & MANAGEMENT; MENTAL HEALTH; HEALTH BEHAVIORS-PHYSICAL INACTIVITY & NUTRITION; ADVERSE CHILDHOOD EXPERIENCE (ACES); SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH; SAFETY AND CRIME; HOMELESSNESS; AND SUBSTANCE ABUSE. THE SURVEY ASKED RESPONDENTS TO RANK EACH OF THE TEN PRIORITY AREAS IN ORDER OF IMPORTANCE TO BOTH THEM AS A COMMUNITY MEMBER, AS WELL AS TO THE ORGANIZATION THEY REPRESENT. WE DID NOT LIMIT RESPONSES BUT SENT OUT THE REQUEST TO TAKE THE SURVEY TO AS MANY PARTNERS IN THE COMMUNITY AS POSSIBLE AND ALSO ASKED THAT THEY FORWARD ON TO ANY OTHER PARTNERS THEY FELT SHOULD BE INVOLVED. WE ALLOWED THREE WEEKS FOR RESPONSES. FEEDBACK WAS RECEIVED FROM OVER 60 ORGANIZATIONS SPANNING DIFFERENT SECTORS INCLUDING: STATE, LOCAL AND TRIBAL HEALTH DEPARTMENTS; HEALTH CARE PROVIDERS, INCLUDING SPECIALTY SERVICES SUCH AS MENTAL HEALTH; COMMUNITY-BASED ORGANIZATIONS, COALITIONS, AND GROUPS REPRESENTING MEMBERS OF THE UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE COMMUNITY; CHURCHES AND FAITH-BASED ORGANIZATIONS; BUSINESSES; THE SCHOOL DISTRICT; COMMUNITY COLLEGES AND UNIVERSITIES; LOCAL GOVERNMENT; AND INDIVIDUAL HEALTH EXPERTS WITHIN THE COMMUNITY. A FULL LIST OF PARTNERS IS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND CAN BE FOUND ON MEMORIAL'S WEBSITE: WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP. THE TOP THREE PRIORITY AREAS CHOSEN BY THE COMMUNITY WERE: ACCESS TO HEALTH CARE; HEALTH EQUITY; AND MENTAL HEALTH. VIRGINIA MASON MEMORIAL HOSPITAL SENIOR LEADERSHIP REVIEWED THE FINAL FIVE PRIORITY AREAS RANKED BY THE COMMUNITY AND NARROWED DOWN THE FOCUS TO THE FINAL THREE: ACCESS TO HEALTH CARE; HEALTH EQUITY; AND MENTAL HEALTH, BASED ON ORGANIZATIONAL RESOURCES AND ABILITY TO ADDRESS THE AREA OF NEED. YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 7D: IN ADDITION TO BEING MADE PUBLICLY AVAILABLE ON THE WEBSITE, THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS SHARED WIDELY BY EMAIL AND MADE PUBLIC THROUGH COMMUNITY-BASED ORGANIZATIONS, COALITIONS AND GROUPS. YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: MEMORIAL HAS OUTLINED IN THE VIRGINIA MASON MEMORIAL IMPLEMENTATION PLAN 2020-2022 HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THE IMPLEMENTATION PLAN IS A MULTI-YEAR GUIDE TO IMPROVING THE HEALTH STATUS OF OUR COMMUNITY AND TARGETS THE PRIORITIZED AREAS AND GAPS IN HEALTH NEEDS THAT HAVE BEEN IDENTIFIED. THROUGH THE FOLLOWING FOUR-STAGE APPROACH WE WILL MAKE PROGRESS TOWARD IMPROVED HEALTH AND TRANSFORMING YAKIMA: PLAN - IDENTIFY PRIORITIES FOR SERVICES AND COMMUNITY HEALTH IMPROVEMENT PROCESSES; PARTNER - IDENTIFY THOSE WHO CAN WORK TOGETHER TO BEST MEET COMMUNITY NEEDS; DO - DESIGN PROGRAMS AND APPROACHES TO IMPROVE ACCESS TO HIGH QUALITY HEALTH CARE SERVICES; AND IMPROVE - IMPROVE THE HEALTH OUTCOMES OF YAKIMA COUNTY. AS A RESULT OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, HEALTH PRIORITIES WERE SELECTED AND USING OUR FOUR-STAGE APPROACH WE HAVE DEVELOPED AN ACTION PLAN OUTLINED IN THE IMPLEMENTATION PLAN TO ADDRESS THE THREE PRIORITIES AND POSITIVELY INFLUENCE THE HEALTH AND WELL-BEING OF THE COMMUNITY. THE VIRGINIA MASON MEMORIAL IMPLEMENTATION PLAN OUTLINES BOTH INTERNAL AND COMMUNITY-WIDE OBJECTIVES AND STRATEGIES UNDER EACH OF THE PRIORITY AREAS AS WELL AS SPECIFIC MEASUREMENTS THAT WILL BE USED TO EVALUATE OUR PROGRESS. THE VIRGINIA MASON MEMORIAL IMPLEMENTATION PLAN 2020-2022 WAS ADOPTED BY THE MEMORIAL BOARD OF DIRECTORS ON MAY 13, 2020. ALL THREE PRIORITIES IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ARE BEING ADDRESSED.MEMORIAL IDENTIFIED THREE PRIORITY AREAS IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THESE PRIORITY AREAS ARE: ACCESS TO CARE; HEALTH EQUITY; AND MENTAL HEALTH. "ACCESS TO CARE": MEMORIAL FACILITATES THE EDUCATION OF PATIENTS, EMPLOYEES AND COMMUNITY MEMBERS ON ACCESSING WASHINGTON STATE HEALTH BENEFITS EXCHANGE. WE ARE WORKING WITH PARTNERS AS PART OF THE GREATER COLUMBIA ACCOUNTABLE COMMUNITY OF HEALTH TO EXPLORE DEVELOPMENT OF A REGIONAL HEALTH IMPROVEMENT COLLABORATIVE AND STRATEGY. WE HAVE INSTITUTED A NUMBER OF INTERNAL INITIATIVES TO IMPROVE ACCESS FOR MEDICAID PATIENTS TO PRIMARY CARE AND SPECIALTY CLINICS, AS WELL AS REDUCE WAIT TIME. IN ADDITION, WE PROVIDE FINANCIAL SUPPORT AND PARTNER WITH UNION GOSPEL MISSION MEDICAL CARE CENTER FREE CLINIC, WHICH IS FOCUSED ON PROVIDING ACCESS TO PRIMARY CARE, LAB, IMAGING AND SPECIALTY SERVICES FOR UNINSURED/UNDERINSURED POPULATION. WE PARTNER WITH, AND FINANCIALLY SUPPORT LOCAL COMMUNITY COLLEGES AND HEALTH PROFESSION EDUCATION PROGRAMS. MEMORIAL MENTORS AND TRAINS ON SITE LOCAL HEALTH PROFESSIONALS FROM COLLEGE PROGRAMS ACROSS THE COUNTY AND STATE. THIS ALLOWS STUDENTS TO PRACTICE IN THEIR RESPECTIVE FIELD OF STUDY AS REQUIRED TO COMPLETE THEIR DEGREE AND SIT FOR ASSOCIATED EXAMS. AFTER TRAINING AND COMPLETION OF COURSE WORK EACH HEALTH PROFESSIONAL IS READY FOR THE WORKFORCE AND TO FILL MUCH NEEDED VACANCIES WITHIN THE COMMUNITY. MEMORIAL ALSO PROVIDES A NUMBER OF OPPORTUNITIES FOR CONTINUING MEDICAL EDUCATION PROGRAMMING EACH YEAR TO SERVE MEDICAL PROFESSIONALS ACROSS THE COMMUNITY, ALLOWING THEM TO RENEW LICENSES AND CONTINUE TO PRACTICE IN YAKIMA COUNTY. MEMORIAL HAS ESTABLISHED COMMUNITY EDUCATION AND PREVENTION PROGRAMS FOR THE TOP FOUR DISEASE STATES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THEY ARE: CARDIOVASCULAR DISEASE, CANCER, DIABETES AND OBESITY. THESE COMMUNITY EDUCATION AND PREVENTION CLASSES ARE ALL OFFERED IN BOTH SPANISH AND ENGLISH AND INCLUDE: DIABETES PREVENTION EDUCATION, ACT! GET UP, GET MOVING! CHILDHOOD OBESITY PROGRAM, COOKING AND EXERCISE CLASSES. IN ADDITION, WE REALIZE THAT MANY UNINSURED AND UNDERINSURED POPULATIONS EXPERIENCE GREATER ACCESS ISSUES, AND HAVE DEVELOPED A STRATEGY FOCUSED ON CARE COORDINATION POST EMERGENCY DEPARTMENT VISITS. LASTLY, IN 2020 DUE TO COVID19, MEMORIAL PROVIDED ACCESS TO COVID TESTING AND VACCINES BY SETTING UP COMMUNITY CLINICS ACROSS THE COUNTY. "HEALTH EQUITY": MEMORIAL IS WORKING ON STRATEGIES TO IMPROVE THE COLLECTION OF DEMOGRAPHIC DATA (E.G. RACE, ETHNICITY AND PREFERRED LANGUAGE). WE DEVELOPED AN EQUITY TRAINING PATHWAY PLAN, WHICH INCLUDES CULTURAL HUMILITY TRAINING AND WORKING WITH SPECIAL POPULATION, IN ADDITION TO BOARD OF DIRECTOR AND EXECUTIVE LEADERSHIP RACIAL EQUITY TRAINING. WE HAVE TAKEN THE AMERICAN HOSPITAL ASSOCIATION'S HEALTH EQUITY PLEDGE WITH THE GOAL OF DISCOVERING AND PRIORITIZING MEANINGFUL DIFFERENCES IN CARE, OUTCOMES, AND EXPERIENCE ACROSS PATIENT GROUPS, AND DEVELOP STRATEGIES TO ELIMINATE HEALTH DISPARITIES. SYSTEMS LEVEL WORK INCLUDE: HAVING VIDEO REMOTE INTERPRETATION UNITS IN EVERY CLINIC AND FLOOR IN THE HOSPITAL, AND IN EVERY PATIENT ROOM IN THE EMERGENCY ROOM, TO ASSURE ACCESS TO QUALIFIED INTERPRETERS; ALL STAFF THAT PROVIDE INTERPRETATION OR COMMUNICATE WITH A PATIENT IN ANOTHER LANGUAGE ARE ASSESSED FOR THEIR LANGUAGE PROFICIENCY; INTENTIONAL WORK AROUND BUILDING GOVERNANCE, LEADERSHIP AND WORKFORCE THAT REFLECTS THE COMMUNITY WE SERVE IS BEING EVALUATED BY WAY OF A WORKFORCE DATA ANALYTICS; AND WE ARE LEVERAGING COMMUNITY PARTNERS FOR GREATER COLLECTIVE IMPACT. DURING COVID19 WE ASSURED THAT EDUCATION, PRESS CONFERENCES, AND TESTING AND VACCINE INFORMATION WAS ALL AVAILABLE IN SPANISH. WE ALSO USED DATA TO ANALYZE EQUAL ACCESS TO PRIMARY AND SPECIALTY CARE TELEHEALTH VISITS BY LANGUAGE PREFERENCE, AND ASSURED PROVIDERS HAD INTERPRETERS AVAILABLE DURING VIRTUAL VISITS. "MENTAL HEALTH": MEMORIAL HAS ESTABLISHED INTERVENTION STRATEGIES TO PROMOTE MENTAL WELL-BEING AND PREVENT MENTAL HEALTH DISORDERS. "NURSE FAMILY PARTNERSHIPS (NFP)" IS AN EVIDENCE-BASED NURSE HOME VISITATION PROGRAM THAT ENROLLS FIRST-TIME LOW-INCOME MOTHERS EARLY IN THEIR PREGNANCY AND FOLLOWS THEM THROUGHOUT THEIR CHILD'S SECOND BIRTHDAY. NFP HAS BEEN EXPANDED TO THE YAKAMA NATION IN COLLABORATION WITH TTAWAXT, A MULTI-AGENCY COLLABORATIVE EFFORT LED BY INDIAN HEALTH SERVICES ON THE YAKAMA RESERVATION, OF WHICH MEMORIAL IS A PARTNER IN, TO INVESTIGATE AND REDUCE INFANT MORTALITY AND PROMOTE HEALTHY FAMILIES WITHIN TRIBAL COMMUNITIES. THE GOAL OF NFP IS TO IMPROVE CHILD HEALTH AND DEVELOPMENT BY HELPING PARENTS PROVIDE RESPONSIBLE AND COMPETENT CARE FOR THEIR CHILDREN. NFP BUILDS ON PARENTS' SELF-EFFICACY AND STRONG EMOTIONAL AND PHYSICAL ATTACHMENT TO THEIR BABIES. FURTHERMORE, FAMILIES' ECONOMIC SELF-SUFFICIENCY IS IMPROVED BY HELPING PARENTS DEVELOP A VISION FOR THEIR OWN FUTURE, PLAN FUTURE PREGNANCIES, CONTINUE THEIR EDUCATION AND FIND WORK. "MATERNAL CHILD HEALTH" IS A PERINATAL MENTAL HEALTH SUPPORT FOR WOMEN EXPERIENCING POSTPARTUM ANXIETY AND DEPRESSION, THAT TEACHES PROTECTIVE FACTORS TO PREVENT ADVERSE CHILDHOOD EXPERIENCES (ACE'S), AND BUILDS AWARENESS OF COMMUNITY RESOURCES. "HOLISTIC MENTAL HEALTH COUNSELING" SUPPORT AND THERAPEUTIC INTERVENTIONS TO PATIENTS, FAMILIES AND CAREGIVERS IS A PROGRAM PROVIDED DURING CRISIS, TRAUMA, AND END-OF-LIFE. "ACUTE CARE PSYCHIATRIC SERVICES" PROVIDE COMPLEX MEDICAL CARE FOR PSYCHIATRIC DISORDERS, AND IMPROVED COMMUNITY ACCESS, INCORPORATING EVIDENCE BASED PHYSICAL FITNESS TREATMENT IN AN ACUTE CARE SETTING. THE REMAINING TOP AREAS OF GREATEST NEED WHERE NOT SELECTED BECAUSE OTHERS IN THE COMMUNITY ARE ADDRESSING THESE, AND DUE TO FINANCIAL CONSTRAINTS. THE VIRGINIA MASON MEMORIAL IMPLEMENTATION PLAN 2020-2022 CAN BE FOUND ON OUR WEBSITE: WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP. PART V, SECTION B, LINE 7A: HOSPITAL FACILITY'S WEBISTE: WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP PART V, LINE 16A-16C THE FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY CAN BE FOUND ONLINE AT: WWW.YAKIMAMEMORIAL.ORG/PATIENTS-AND-VISITORS-FINANCIAL-ASSISTANCE-GUIDELINES.ASP 33 1 - NORTH STAR LODGE 808 N 39TH AVENUE YAKIMA WA 98902 CANCER TREATMENT FACILITY 2 - VALLEY IMAGING 314 S 11TH AVENUE YAKIMA WA 98902 RADIOLOGY 3 - ORTHOPEDICS NORTHWEST 1211 N 16TH AVE YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 4 - YAKIMA HEART CENTER AT MEMORIAL TRUST 406 S 30TH AVENUE SUITE 101 YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 5 - MEMORIAL PHYSICIANS LAB 4003 CREEKSIDE LOOP YAKIMA WA 98908 MEDICAL LABORATORY 6 - YAKIMA VALLEY HOME HEALTH 302 S 10TH AVENUE YAKIMA WA 98902 HOME HEALTH AND HOSPICE 7 - PHYSICIANS ANESTHESIA 406 S 30TH AVE STE 202 YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 8 - OHANA 1515 W YAKIMA AVENUE YAKIMA WA 98902 MAMMOGRAPHY 9 - GENERATIONS OBGYN 3003 TIETON DRIVE STE 230 YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 10 - MEMORIAL CORNERSTONE MEDICINE 4003 CREEKSIDE LOOP YAKIMA WA 98908 OUTPATIENT PHYSICIAN CLINIC 11 - YAKIMA UROLOGY ASSOC AT MEMORIAL TRUST 2500 RACQUT LANE YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 12 - PAIN CENTER - WATER'S EDGE 1460 N 16TH AVENUE SUITE D YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 13 - RIDGEVIEW SURGERY 2500 RACQUET LANE STE 150 YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 14 - YAKIMA EAR NOSE AND THROAT 1601 CREEKSIDE LOOP YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 15 - FAMILY MEDICINE OF YAKIMA 504 N 40TH AVENUE YAKIMA WA 98908 OUTPATIENT PHYSICIAN CLINIC 16 - YAKIMA GASTROENTEROLOGY ASSOCIATES 3909 CREEKSIDE LOOP SUITE 120 YAKIMA WA 98908 OUTPATIENT PHYSICIAN CLINIC 17 - MEMORIAL SLEEP SPECIALISTS 406 S 30TH AVE SUITE 206 YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 18 - LAKEVIEW SPINE 1470 N 16TH AVENUE YAKIMA WA 98902 THERAPY 19 - CASCADE SURGICAL PARTNERS 3003 TIETON DRIVE STE 300 YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 20 - PULMONOLOGY 303 HOLTON AVE STE 1 YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 21 - PACIFIC CREST FAMILY MEDICINE 311 S 72ND AVENUE YAKIMA WA 98908 OUTPATIENT PHYSICIAN CLINIC 22 - YGA AMBULATORY SURGERY 3909 CREEKSIDE LOOP SUITE 120 YAKIMA WA 98908 OUTPATIENT PHYSICIAN CLINIC 23 - APPLE VALLEY FAMILY MEDICINE 1008 S 38TH AVENUE YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 24 - SELAH FAMILY MEDICINE 620 N PARK DRIVE SELAH WA 98942 OUTPATIENT PHYSICIAN CLINIC 25 - YAKIMA VASCULAR ASSOCIATES 1607 CREEKSIDE LOOP SUITE 100 YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 26 - HEALTHY NOW - 40TH 3909 CREEKSIDE LOOP SUITE 130 YAKIMA WA 98902 URGENT CARE 27 - HEALTHY NOW WEST VALLEY 120 S 72ND AVE SUITE 102 YAKIMA WA 98908 URGENT CARE 28 - ZILLAH FAMILY MEDICINE 616 RAILROAD AVENUE SUITE 12 ZILLAH WA 98953 OUTPATIENT PHYSICIAN CLINIC 29 - YAKIMA PODIATRY ASSOCIATES 1607 CREEKSIDE LOOP SUITE 140 YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 30 - YAKIMA ENDOCRINOLOGY ASSOCIATES 1470 N 16TH AVENUE YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 31 - MEMORIAL OUTPATIENT PSYCH 1460 N 16TH AVENUE SUITE C YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC 32 - YGA HISTOLOGY 3909 CREEKSIDE LOOP SUITE 120 YAKIMA WA 98908 OUTPATIENT PHYSICIAN CLINIC 33 - HEALTHY NOW TERRACE HEIGHTS 3904 TERRACE HEIGHTS DRIVE YAKIMA WA 98901 URGENT CARE PART I, LINE 3C: FAP INDICATES MAY WRITE OFF AS CHARITY CARE, AMOUNTS FOR PATIENTS WITH FAMILY INCOME IN EXCESS OF 300% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP OR PERSONAL LOSS. PART I, LINE 7: THE HOSPITAL USED RATIO OF PATIENT CARE COST TO CHARGES METHODOLOGY TO CALCULATE THE AMOUNT REPORTED IN THE TABLE DERIVED FROM WORKSHEETS 1 AND 2. PART I, LN 7 COL(F): BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 IS BASED ON TRUING UP THE BAD DEBT RESERVES ON THE BALANCE SHEET. PART I, LINE 6A: WASHINGTON STATE DOES NOT REQUIRE THAT NON-PROFIT HOSPITALS PREPARE A COMMUNITY BENEFIT REPORT OR MAKE IT AVAILABLE TO THE PUBLIC. MEMORIAL HAS NOT PREPARED AND PUBLISH ITS 2020 COMMUNITY BENEFIT REPORT. PART II, COMMUNITY BUILDING ACTIVITIES: ECONOMIC DEVELOPMENT OPPORTUNITIES ARE PROVIDED THROUGH "COMMUNITY BUILDING DONATIONS" WHICH CONSIST OF DONATIONS MADE TO COMMUNITY ORGANIZATIONS TO PROMOTE ECONOMIC DEVELOPMENT IN THE YAKIMA VALLEY; INCLUDING DONATIONS MADE TO YAKIMA COUNTY DEVELOPMENT ASSOCIATION TO SUPPORT NEW SMALL BUSINESS VENTURES IN THE YAKIMA VALLEY AND SUPPORT OF THE NEW YMCA FACILITY IN YAKIMA. "YOUTHWORKS" IS A YOUTH EMPOWERMENT AND COMMUNITY SERVICE INITIATIVE ENGAGING YOUTH DIRECTLY THROUGH MENTORING, VOLUNTEERING AND PHILANTHROPY, WHILE PROMOTING COMMUNITY HEALTH IMPROVEMENT ADVOCACY. "NON-HEALTH PROFESSION EDUCATION" FACILITATES WORKFORCE DEVELOPMENT BY PROVIDING ON THE JOB TRAINING FOR STUDENTS IN NON-CLINICAL FIELDS AT VARIOUS DEPARTMENTS ACROSS THE HOSPITAL. THESE INCLUDE: BUSINESS SERVICES (BILLING AND CODING), HUMAN RESOURCES, AND INFORMATION TECHNOLOGY. PART III, LINE 2: MEMORIAL USED ACTUAL BAD DEBT WRITES OFFS PER THE PATIENT BILLING SYSTEM TO CALCULATE THE AMOUNT ON LINE 2. PART III, LINE 4: OUR FINANCIAL STATEMENTS INCLUDE A FOOTNOTE REGARDING NET PATIENT REVENUE (PAGES 12) AND INCLUDES DETAILS ON CONTRACTUAL ALLOWANCES. AS BAD DEBT IS NOT MATERIAL TO THE FINANCIAL STATEMENTS, THERE IS NOT VERBIAGE SPECIFIC TO BAD DEBT, ACCOUNTS RECEIVABLE OR ALLOWANCES FOR DOUBTFUL ACCOUNTS. THE ORGANIZATION DOES RECORD AN ALLOWANCE FOR DOUBTFUL ACCOUNTS WHICH ARE NETTED WITH ACCOUNTS RECEIVABLES ON THE FINANCIAL STATEMENTS. BAD DEBT IS NETTED WITH PATIENT SERVICE REVENUE IN A SIMILAR FASHION AS CONTRACTUAL ALLOWANCES ARE. PART III, LINE 8: TO THE EXTENT THAT COSTS (USING THE MEDICARE COST REPORT) EXCEED CHARGES, THIS SHORTFALL SHOULD BE REGARDED AS COMMUNITY BENEFIT BECAUSE WE TREAT AND MAINTAIN THE HEALTH OF OUR LARGE LOCAL MEDICARE POPULATION DESPITE THE NECESSARY SUBSIDIZATION OF THESE HEALTH BENEFITS. MEMORIAL USED RATIO OF PATIENT CARE COST TO CHARGES METHODOLOGY TO CALCULATE THE AMOUNT ON LINE 6. OUR FINANCIAL STATEMENTS INCLUDE A FOOTNOTE REGARDING UNCOLLECTIBLE ACCOUNTS WHICH ARE REPORTED AS AN OFFSET TO PATIENT REVENUE. PART III, LINE 9B: DURING THE ADMITTANCE PROCESS AT MEMORIAL, ALL PATIENTS ARE PROVIDED WITH THE HOSPITAL'S FINANCIAL ASSISTANCE AND CHARITY CARE INFORMATION. ELIGIBILITY FOR ASSISTANCE IS DETERMINED UPON ADMISSION TO THE HOSPITAL, AND ELIGIBLE PATIENTS ARE NOT BILLED FOR SERVICES. PART VI, LINE 2: MEMORIAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, THE TWO MOST RECENT REPORTS CAN BE FOUND AT WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP. IN ADDITION, THE HOSPITAL ROUTINELY LOOKS AT HEALTH CARE INDICATORS FROM COUNTY HEALTH RANKINGS, US CENSUS, HEALTHY YOUTH SURVEY, WASHINGTON STATE DEPARTMENT OF HEALTH AND OTHER SOURCES TO ASSIST WITH PROGRAM PLANNING AND DEVELOPMENT OF COMMUNITY BENEFIT PROGRAMS. INTERNAL DATA IS ALSO ANALYZED FOR DEVELOPMENT AND QUALITY IMPROVEMENT OF COMMUNITY BENEFIT HEALTH PROGRAMS. THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS ADOPTED BY THE MEMORIAL BOARD OF DIRECTORS ON OCTOBER 15, 2019 AND IS PUBLICLY AVAILABLE. PART VI, LINE 3: MEMORIAL INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE MEMORIAL'S CHARITY CARE POLICY AT VARIOUS POINTS BEGINNING WITH SCHEDULING AND CONTINUING THROUGH THE PATIENT BILLING PROCESS. THE FOLLOWING LANGUAGE, OR A CLOSE VARIATION, IS INCLUDED IN OUR GUIDE TO PATIENT SERVICES, "UNDERSTANDING YOUR HOSPITAL BILL" BROCHURE, PUBLIC SIGNAGE AT THE MAIN AND EMERGENCY DEPARTMENT ENTRANCES, AS WELL AS ON OUR PATIENT STATEMENTS: "YAKIMA VALLEY MEMORIAL HOSPITAL PROVIDES CHARITY CARE IN ACCORDANCE WITH RCW 70.170.060. APPLYING FOR MEDICAL ASSISTANCE WITH DSHS IS A PREREQUISITE TO A CHARITY CARE DETERMINATION OF ELIGIBILITY. PLEASE CONTACT PATIENT ACCOUNTS IF YOU WOULD LIKE TO APPLY FOR CHARITY OR HAVE QUESTIONS REGARDING MEMORIAL'S CHARITY CARE PROGRAM. AND/OR "THE HOSPITAL IS ABLE TO PROVIDE FREE OR DISCOUNTED CARE FOR ALL OR PART OF YOUR HOSPITAL BILLS IF YOU QUALIFY, BASED ON YOUR INCOME. PLEASE REQUEST A CHARITY CARE APPLICATION, FILL IT OUT COMPLETELY, AND PROMPTLY RETURN IT TO BUSINESS SERVICES." WE ALSO CONTRACT WITH CARDON OUTREACH TO SCREEN ALL SELF-PAY AND CONTRACT CARE PATIENTS FOR MEDICAID ELIGIBILITY AND ASSIST THEM WITH COMPLETING ALL OF THE PREREQUISITE PAPERWORK, ETC. IF A PATIENT IS NOT ELIGIBLE FOR ASSISTANCE AND CANNOT PAY, CARDON PROVIDES THE PATIENT WITH A CHARITY CARE APPLICATION. PART VI, LINE 4: YAKIMA COUNTY IS COMPOSED OF PRIMARILY RURAL COMMUNITIES (14 CITIES AND TOWNS) IN CENTRAL WASHINGTON, SPANNING 4,311 SQUARE MILES. TOTAL CURRENT POPULATION FOR YAKIMA COUNTY AS OF APRIL, 2020 IS 256,728. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 56.6 PERSONS PER SQUARE MILE, IS LESS THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 93.8 PERSONS PER SQUARE MILE. THE PRIMARY SERVICE AREA (PSA) OF YAKIMA VALLEY MEMORIAL HOSPITAL IS COMPRISED OF YAKIMA COUNTY. SECONDARY SERVICE AREAS (SSA) FOR HIGHLY SPECIALIZED PROGRAMS AND SERVICES (E.G. CHILDREN'S VILLAGE) STRETCHES INTO NEIGHBORING COUNTIES INCLUDING KITTITAS AND KLICKITAT. LOCATED WITHIN YAKIMA COUNTY IS THE YAKAMA NATION RESERVATION WHICH IS OVER 1.3 MILLION ACRES AND REACHES ACROSS THE CASCADES. YAKIMA COUNTY CONSISTS OF 50% MALE AND 50% FEMALE POPULATION. NEARLY HALF (47%) OF THE POPULATION IS MARRIED, WHILE 33.3% REPORT NEVER BEING MARRIED, AND THE REMAINING 19.7% CONSISTS OF RESIDENTS WHO ARE MARRIED BUT SEPARATED (3%), DIVORCED (11%) OR WIDOWED (5.7%). YAKIMA COUNTY IS HOME TO APPROXIMATELY 10,000 MIGRANT AND SEASONAL FARMWORKERS AND THEIR DEPENDENTS. THE PERCENTAGE OF THE POPULATION LIVING IN URBAN AREAS IS 76.5% COMPARED WITH 24% LIVING IN RURAL AREAS, WHICH IS A HIGHER PROPORTION OF RURAL POPULATION THAN BOTH NATIONAL AND WASHINGTON STATE AVERAGES 81% VS. 19% AND 84% VS. 16%, RESPECTIVELY. YAKIMA COUNTY CONSISTS OF A 66.6% MEDICARE/MEDICAID PAYER MIX (16.7% MEDICARE AND 49.9% MEDICAID). ACCORDING TO THE WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES 42.4% OF THE POPULATION IS RECEIVING ECONOMICAL SERVICES ASSISTANCE, PRIMARILY FOR: CHILD SUPPORT SERVICES, CHILDCARE, AND BASIC FOOD PROGRAMS. OUR COMMUNITY IS COMPRISED OF 50.2% PERSONS OF HISPANIC OR LATINO ORIGIN AND 42.3% OF PERSONS OF WHITE NON-HISPANIC OR LATINO ORIGIN, AND 6.7% AMERICAN INDIAN AND ALASKA NATIVE. 16.7% OF PERSONS LIVING AT POVERTY LEVEL, 7.2% ARE UNEMPLOYED, 16.3% UNINSURED PRE-COVID19 (17.6% UNINSURED WEEK ENDING 8/8/20). PART VI, LINE 5: MEMORIAL IS COMMITTED TO LEADING, FACILITATING, PARTNERING AND PROMOTING THE HEALTH OF CENTRAL WASHINGTON. THE PROMOTION OF COMMUNITY HEALTH IS ACCOMPLISHED THROUGH COLLABORATIONS, RESEARCH-BASED EDUCATION AND INTERVENTIONS FOCUSED ON DISPARITY ELIMINATION AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH. SURPLUS FUNDING IS USED TO PROVIDE OVERSIGHT, PROGRAM PLANNING AND EVALUATION; AS WELL AS DIRECT CARE TO CHILDREN WITH SPECIAL HEALTH CARE NEEDS THROUGH CHILDREN'S VILLAGE, AND PROMOTION OF WELL-BEING THROUGH EVIDENCE-BASED COMMUNITY HEALTH PROGRAMMING. THIS INCLUDES CHRONIC HEALTH ISSUES AND OTHER RISK FACTORS THAT CONTRIBUTE TO POOR HEALTH OUTCOMES. MEMORIAL HAS DEDICATED STAFF, CONTRACTORS AND FTE POSITIONS TO ACCOMPLISH THE DEVELOPMENT, PLANNING AND INTERVENTIONS TO ADDRESS COMMUNITY NEEDS. MEMORIAL BUDGETS SURPLUS FUNDS TO ALLOW CONTINUING SUPPORT OF EDUCATION THROUGH PARTNERSHIPS WITH PACIFIC NORTHWEST UNIVERSITY, CENTRAL WASHINGTON FAMILY PRACTICE RESIDENCY, OBSTETRICAL EDUCATION AND ENSURING MEMORIAL HAS THE STAFF TO SUPPORT OUR COMMUNITIES' EDUCATION NEEDS. FUNDS ARE ALSO USED TO ENSURE THAT WE HAVE THE FACILITIES AND EQUIPMENT TO MEET THE GREATEST NEEDS OF THE COMMUNITY; EXAMPLES INCLUDE: HEALTHY NOW CLINICS, EXPANDING THE INPATIENT PSYCHIATRIC DEPARTMENT AND COTTAGE IN THE MEADOW FOR END OF LIFE CARE. TO MEET THE ACCESS NEEDS OF THE COMMUNITY MEMORIAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS WITHIN THE COMMUNITY WHO APPLY TO ITS MEDICAL STAFF, AND ALLIED HEALTH STAFF AND WHO MEET QUALIFICATIONS SET FORTH IN THE MEDICAL STAFF'S BYLAWS, RULES AND REGULATIONS, POLICIES AND SPECIFIC DEPARTMENTAL PRIVILEGING DOCUMENTS. FOR THE MOST CRITICAL SHORTAGES, PARTICULARLY WITHIN SPECIALTY AREAS MEMORIAL EXTENDS THE PRIVILEGES TO PHYSICIANS OUTSIDE OF THE COMMUNITY TO MEET THE NEED.THE MAJORITY OF MEMORIAL'S GOVERNING BODY CONSISTS OF PERSONS WHO RESIDE WITHIN THE PRIMARY SERVICE AREA OF THE HOSPITAL: YAKIMA COUNTY; NO MEMBERS OF THE GOVERNING BODY ARE CONSIDERED EMPLOYEES OR INDEPENDENT CONTRACTORS. PART VI, LINE 6: MEMORIAL IS PART OF THE VIRGINIA MASON HEALTH SYSTEM AS OF DECEMBER 31, 2018. 1 YAKIMA FAMILY YMCA 5 NORTH NACHES AVE YAKIMA WA 98901 910568717 501(C)(3) 125000 GENERAL SUPPORT YAKIMA UNION GOSPEL MISSION 1300 N FIRST STREET YAKIMA WA 98901 237050061 501(C)(3) 121250 GENERAL SUPPORT YAKIMA COUNTY DEVELOPMENT ASSOCIATION PO BOX 1387 YAKIMA WA 98907 911284283 501(C)(6) 31150 GENERAL SUPPORT SOZO SPORTS OF CENTRAL WASHINGTON PO BOX 10786 YAKIMA WA 98909 464970770 501(C)(3) 7500 GENERAL SUPPORT YAKIMA VALLEY PIPPINS (PACIFIC BASEBALL VENTURES - YAKIMA LLC) 1301 SOUTH FAIR AVE YAKIMA WA 98901 364775463 5350 GENERAL SUPPORT THE MEMORIAL FOUNDATION 3111 TIETON DRIVE YAKIMA WA 98902 911022358 501(C)(3) 867111 GENERAL SUPPORT 4 2 PART I, LINE 2: MEMORIAL SUPPORTS PROGRAMS OR ACTIVITIES THAT DEMONSTRATE A COMMUNITY BENEFIT, ARE CONSISTENT WITH THE OBJECTIVES OF THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT, SUPPORT THE VALUES OF THE HOSPITAL AND IMPROVE HEALTH IN AND AROUND YAKIMA COUNTY. MEMORIAL TRACKS ALL COMMUNITY BENEFIT/COMMUNITY INVESTMENT ACTIVITIES. MEMORIAL REQUIRES ALL RECIPIENTS OF COMMUNITY INVESTMENT DOLLARS TO REPORT THE IMPACT MADE BY THE FUNDING. THIS IS SPECIFICALLY STIPULATED IN A LETTER THAT ACCOMPANIES ANY MEMORIAL MONIES WHICH REQUESTS THAT RECIPIENTS PROVIDE INFORMATION ON HOW THE AWARD WAS USED AND THE SPECIFIC OUTCOMES THEY WERE ABLE TO ADDRESS OR IMPACT AS A RESULT OF THE FUNDING. RECIPIENTS ARE ASKED TO SUPPLY THAT INFORMATION TO MEMORIAL'S COMMUNITY HEALTH DIVISION. THE COMMUNITY HEALTH TEAM FOLLOWS UP REGULARLY ON THOSE REQUESTS AND KEEPS DOCUMENTED RECORDS OF RECEIPT. X X X X X 1 1 0 0 0 0 0 1 0 CAROLE PEET PRESIDENT/CEO 426260 0 50000 0 25773 0 0 0 8706 0 510739 0 0 0 TIMOTHY REED VICE PRESIDENT/CFO 292545 0 57945 0 16787 0 19354 0 23422 0 410053 0 0 0 RUSSELL MYERS PRESIDENT/CEO (THRU 3/20) 118524 0 118131 0 2422 0 8891 0 3962 0 251930 0 0 0 DIANE PATTERSON VICE PRESIDENT/COO (THRU 5/20) 104113 0 52624 0 563746 0 9028 0 10467 0 739978 0 0 0 WILLIAM M BRUEGGMAN VICE PRESIDENT/CMO 506968 0 73160 0 15726 0 16141 0 23476 0 635471 0 0 0 SHAWNIE HAAS VICE PRESIDENT/SPECIALTY SERVICES 245711 0 29269 0 22631 0 20195 0 22819 0 340625 0 0 0 SUSAN SAUDER VICE PRESIDENT/CCO 133061 0 0 0 36345 0 0 0 6272 0 175678 0 0 0 VU LE PHYSICIAN 409928 0 559359 0 1337 0 14250 0 17179 0 1002053 0 0 0 CHRISTOPHER TAN PHYSICIAN 409358 0 246978 0 3687 0 16558 0 16260 0 692841 0 0 0 TEKCHAND TANWANI PHYSICIAN 453253 0 36326 0 4984 0 17175 0 23476 0 535214 0 0 0 JEFFERY BUSHMAN PHYSICIAN 457279 0 30000 0 2059 0 16592 0 22826 0 528756 0 0 0 PORNCHAI LEELASINJAROEN PHYSICIAN 372161 0 113426 0 3643 0 16097 0 22244 0 527571 0 0 0 SCOTT LANCASTER FORMER KEY EMPLOYEE 387038 0 30611 0 2634 0 22800 0 23476 0 466559 0 0 0 JOLENE SEDA FORMER KEY EMPLOYEE 241645 0 79279 0 14386 0 20600 0 23476 0 379386 0 0 0 PART I, LINES 4A-B DIANE PATTERSON RECEIVED A SALARY CONTIUATION PLAN PAYMENT OF $551,604. IN JULY 2002, MEMORIAL'S BOARD OF DIRECTORS ADOPTED A SALARY CONTINUATION PLAN (THE "PLAN"), IN THE FORM OF A NON-QUALIFIED RETIREMENT BENEFIT FOR SENIOR EXECUTIVES. THE RETIREMENT BENEFIT PROVIDED BY THE PLAN IS SUPPLEMENTARY TO MEMORIAL'S EMPLOYEE PENSION PLAN, TAX-DEFERRED ANNUITY RETIREMENT PLAN, 401(K) PLAN AND SOCIAL SECURITY RETIREMENT EARNINGS. BENEFITS ARE CALCULATED AS THE DIFFERENCE BETWEEN THE PROJECTED AGE 65 VALUE OF THE AFOREMENTIONED BENEFITS AND 75% OF THE LUMP SUM AT AGE 65. NO BENEFITS UNDER THE PLAN ARE GENERALLY AVAILABLE FOR A SENIOR EXECUTIVE WHO RETIRES PRIOR TO HIS/HER 65TH BIRTHDAY. FUNDING FOR THE PLAN BEGAN IN 2002, AND MEMORIAL FIRST BEGAN ACCRUING A LIABILITY FOR THE PLAN DURING THE FISCAL YEAR ENDING OCTOBER 31, 2005. MEMORIAL'S LIABILITY ACCRUAL IS BASED ON THE ASSUMPTION THAT ONE EXECUTIVE WILL BE WORKING UNTIL AGE 65. DIANE PATTERSON ACCRUED BENEFITS OF $0 IN THE PLAN FOR THE YEAR. PART I, LINE 7 VARIABLE COMPENSATION AMOUNTS ARE CALCULATED BASED OFF OF THE RESULTS OF THE STRATEGIC SCORECARD AS WELL AS THE EMPLOYEE'S INDIVIDUAL EVALUATION. THIS IS THEN MULTIPLIED BY THE EMPLOYEES' GROSS EARNINGS FOR THE PREVIOUS YEAR. THIS IS APPROVED BY THE VIRGINIA MASON HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE, AND DOCUMENTED IN ITS MINUTES. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978HRJ6 2016-11-10 34208306 BUILDING AND EQUIPMENT 0 0 0 A 34512701 2617486 678328 31216887 2019 0 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, SCHEDULE K, PART II, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATIONS. JUAN JIMENEZ FAMILY MEMBER OF MARIBEL JIMENEZ, DIRECTOR 104194 EMPLOYMENT 0 JORGE GARCIA FAMILY MEMBER OF CYNTHIA JUAREZ, DIRECTOR 96086 EMPLOYMENT 0 BREAN GARCIA FAMILY MEMBER OF CYNTHIA JUAREZ, DIRECTOR 75990 EMPLOYMENT 0 FORM 990, PART III, LINE 1 VMM'S PURPOSE IS TO INSPIRE PEOPLE TO THRIVE. THE HOSPITAL DOES THIS BY UPHOLDING THE VALUES OF RESPECT, ACCOUNTABILITY, TEAMWORK, STEWARDSHIP AND INNOVATION. BY HELPING PATIENTS ACHIEVE HEALTH, WE ALSO CREATE HEALTHY COMMUNITIES. VMM HAS A MULTISPECIALTY TEAM OF MORE THAN 300 PHYSICIANS, OFFERING PRIMARY AND SPECIALTY CARE, CONVENIENCE CARE CLINICS, AS WELL AS OPERATING ONE OF THE REGION'S BUSIEST EMERGENCY DEPARTMENTS. OUR NETWORK OF CLINICS SURROUNDS THE YAKIMA VALLEY, AND EXTENDS NORTHWEST INTO ELLENSBURG AND SOUTHEAST TO SUNNYSIDE. VIRGINIA MASON MEMORIAL ALSO OPERATES COTTAGE IN THE MEADOW, A 24-HOUR, 20-BED INPATIENT HOSPICE FACILITY WHICH SERVES THE ENTIRE YAKIMA VALLEY. WE ALSO COLLABORATE TO OPERATE CHILDREN'S VILLAGE, A CLINIC THAT SERVES CHILDREN WITH SPECIAL AND DEVELOPMENTAL HEALTHCARE NEEDS AND THEIR FAMILIES, AND GARDEN VILLAGE, A SKILLED NURSING FACILITY, PROVIDING THE HIGHEST LEVEL OF COMFORT-DRIVEN, QUALITY CARE TO THOSE WITH COMPLEX AND LONG-TERM MEDICAL AND PSYCHIATRIC NEEDS. VIRGINIA MASON MEMORIAL FUNDS THE CENTRAL WASHINGTON FAMILY MEDICINE RESIDENCY PROGRAM (CWFMR), A 30 RESIDENT FAMILY MEDICINE RESIDENCY PROGRAM, IN ADDITION TO OFFERING TRAINING PROGRAMS FOR NURSING, PHARMACY, RESPIRATORY THERAPY, PHYSICAL THERAPY, AND LABORATORY TECHNOLOGY. FORM 990, PART VI, SECTION A, LINE 1 THE GOVERNING BODY DELEGATES TO AN EXECUTIVE COMMITTEE COMPRISED OF THE CHAIRMAN, VICE CHAIRMAN, SECRETARY AND TREASURER THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION TO ACT ONLY IN TIME SENSITIVE OR EMERGENCY SITUATIONS AS DETERMINED BY THE EXECUTIVE COMMITTEE, SUCH AUTHORITY TO BE EXERCISED IN TIME PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE GOVERNING BODY OF THE CORPORATION. THE EXECUTIVE COMMITTEE DOES NOT HAVE THE AUTHORITY TO AMEND, ALTER OR REPEAL THE BYLAWS, ELECT, APPOINT OR REMOVE ANY MEMBER OF THE EXECUTIVE COMMITTEE OR ANY DIRECTOR OR OFFICER OF THE CORPORATION; AMEND THE ARTICLES OF INCORPORATION; ADOPT A PLAN OF MERGER OR ADOPT A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION; AUTHORIZE THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION NOT IN THE ORDINARY COURSE OF BUSINESS; AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKE PROCEEDINGS THEREFORE; ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION; AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTER OR REPEALED BY THE EXECUTIVE COMMITTEE; OR TERMINATE THE CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMMITTEE ALSO PERIODICALLY EVALUATES THE EFFECTIVENESS OF MEMORIAL'S SYSTEMS FOR RESOLVING INTERNAL CONFLICTS. THE BOARD ALSO DELEGATES TO THE EXECUTIVE COMMITTEE THE AUTHORITY OF THE BOARD TO MAKE ALL APPOINTMENTS AND REAPPOINTMENTS TO THE MEDICAL STAFF OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 VIRGINIA MASON HEALTH SYSTEM ("VMHS") IS THE SOLE CORPORATE MEMBER OF MEMORIAL. FORM 990, PART VI, SECTION A, LINE 7A VMHS AS THE SOLE MEMBER HAS THE FOLLOWING ELECTION AND APPOINTMENT RIGHTS: 1) ELECTION AND APPROVAL OF DIRECTORS AND OFFICERS OF THE BOARD OF DIRECTORS; 2) APPROVAL OF THE APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER; 3) REMOVAL OF DIRECTORS AND OFFICERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B VMHS AS THE SOLE MEMBER HAS THE FOLLOWING APPROVAL RIGHTS: 1) APPROVAL OF ALL LONG-RANGE PLANS PROPOSED BY THE BOARD OF DIRECTORS; 2) APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS PROPOSED BY THE BOARD OF DIRECTORS; 3) APPROVAL OF THE BORROWING OF FUNDS WHERE THE AMOUNT IS IN EXCESS OF TEN MILLION DOLLARS; 4) APPROVAL OF THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR DISPOSAL OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS; 5) APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS AND ALL OTHER RIGHTS AND POWERS AS SPECIFIED IN THE WASHINGTON NONPROFIT CORPORATION ACT. FORM 990, PART VI, SECTION B, LINE 11B THE VMHS AUDIT AND COMPLIANCE COMMITTEE ("ACC"), A COMMITTEE COMPOSED OF INDEPENDENT COMMUNITY MEMBERS HAS BEEN DELEGATED RESPONSIBILITY FOR OVERSIGHT OF THE ANNUAL FORM 990 PREPARATION PROCESS INCLUDING 1) SELECTION, ENGAGEMENT, AND PERFORMANCE OF AN INDEPENDENT TAX PREPARER; 2) REVIEW OF THE ANNUAL DRAFT FORM 990 AND 990-T TAX RETURNS, AND 3) RECOMMENDING THE FINAL FORM 990 AND 990-T TAX RETURNS FOR REVIEW TO THE MEMORIAL BOARD OF DIRECTORS. ANNUALLY, AT THE SEPTEMBER MEETING, MANAGEMENT AND THE TAX PREPARER PROVIDES THE ACC WITH AN INITIAL DRAFT OF THE FORM 990 AND PRESENT AN OVERVIEW OF THE FORM 990 PREPARATION PROCESS. THE FINAL DRAFT FORM 990 IS REVIEWED BY THE ACC FOLLOWED BY A BOARD REVIEW OF THE FINAL FORM 990 PRIOR TO FILING. THE FINAL FORM 990 AND 990-T TAX RETURNS ARE PROVIDED TO EACH MEMBER OF THE MEMORIAL BOARD OF DIRECTORS VIA ELECTRONIC DELIVERY. FORM 990, PART VI, SECTION B, LINE 12C THE VMHS GOVERNANCE COMMITTEE HAS ACCOUNTABILITY FOR OVERSIGHT OF THE PROCESS FOR DISCLOSURE, EVALUATION AND MANAGEMENT OF CONFLICTS OF INTEREST INVOLVING ANY MEMBER OF THE BOARD, EXECUTIVE LEADERSHIP OR KEY EMPLOYEES ("COVERED PERSON"). PURSUANT TO THE CONFLICTS OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO ALL COVERED PERSONS. IN ADDITION, A COVERED PERSON HAS AN ON-GOING DUTY TO DISCLOSE THE EXISTENCE OF A CONFLICT OF INTEREST AT ANY TIME AN ACTUAL OR POTENTIAL CONFLICT ARISES. EACH COVERED PERSON IS REQUIRED UPON APPOINTMENT AND ANNUALLY THEREAFTER TO ATTEST TO A STATEMENT THAT AFFIRMS THAT SUCH PERSON HAS 1) RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) HAS AGREED TO COMPLY WITH THE POLICY; AND 4) UNDERSTANDS THAT MEMORIAL IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ITS TAX-EXEMPT PURPOSES. WRITTEN DISCLOSURES ARE REVIEWED BY THE GOVERNANCE COMMITTEE TO DETERMINE IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS AND IF SO, HOW IT SHOULD BE MANAGED. THE COVERED PERSON IS INFORMED IN WRITING REGARDING THE DETERMINATION (THE "CONFLICT OF INTEREST MANAGEMENT PLAN"). NO COVERED PERSON WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL ENGAGE IN AN ACTIVITY ON MEMORIAL'S BEHALF RELATED TO THE DISCLOSED ACTUAL OR POTENTIAL CONFLICT OF INTEREST UNLESS SUCH ACTIVITY IS PERMITTED BY THE CONFLICT OF INTEREST MANAGEMENT PLAN OR UNTIL THE COVERED PERSON HAS UNDERTAKEN ALL STEPS SET FORTH IN THE MANAGEMENT PLAN TO MANAGE, REDUCE OR ELIMINATE THE CONFLICT. ALL COVERED PERSONS HAVE A DUTY TO DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO MEETING AGENDA ITEMS. THE CONFLICTS OF INTEREST POLICY REQUIRES THAT COPIES OF THE CONFLICT OF INTEREST QUESTIONNAIRE BE COMPLETED ANNUALLY BY EACH COVERED PERSON AND ANY CONFLICT OF INTEREST MANAGEMENT PLAN BE MAINTAINED. IN ADDITION, THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL DOCUMENT THE DISCLOSURE AND RESOLUTION OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST DISCLOSED AT SUCH MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE VMHS COMPENSATION AND BENEFITS BOARD COMMITTEE, A COMMITTEE COMPOSED SOLELY OF INDEPENDENT DIRECTORS NONE OF WHOM HAVE A CONFLICT OF INTEREST, IS ACCOUNTABLE FOR SETTING REASONABLE TOTAL COMPENSATION PACKAGES FOR EACH MEMORIAL EXECUTIVE, INCLUDING THE CEO, OFFICERS AND KEY EMPLOYEES ("EXECUTIVES") CONSISTENT WITH VIRGINIA MASON'S PHILOSOPHY AND PRINCIPLES. THE BOARD DEVELOPS AND APPROVES ANNUAL GOALS AND PERFORMANCE CRITERIA WHICH ARE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION OPPORTUNITIES FOR THE MEMORIAL EXECUTIVES. THE COMMITTEE ASSESSES PERFORMANCE AGAINST THESE GOALS. THE COMMITTEE SELECTS AND ENGAGES A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO REVIEW AND ANALYZE THE TOTAL COMPENSATION AND BENEFITS PACKAGES TO THE EXECUTIVES. THE COMMITTEE AS PART OF ITS ANALYSIS OBTAINS FROM THE COMPENSATION CONSULTANT APPROPRIATE COMPARABILITY DATA INCLUDING TOTAL COMPENSATION PAID BY SIMILARLY SITUATED FOR-PROFIT AND NON-PROFIT HEALTH CARE ORGANIZATIONS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE TO EACH OF THE EXECUTIVES. WITH RESPECT TO THOSE EXECUTIVES BELOW THE LEVEL OF CHAIR/CHIEF EXECUTIVE OFFICER, THE COMMITTEE REQUESTS THAT THE CHAIR/CHIEF EXECUTIVE OFFICER WORK WITH THE COMPENSATION CONSULTANT TO FORMULATE A COMPENSATION RECOMMENDATION FOR EACH SUCH EXECUTIVE, CONSISTENT WITH VIRGINIA MASON'S COMPENSATION PHILOSOPHY AND PRINCIPLES. CONSISTENT WITH VIRGINIA MASON'S COMPENSATION PHILOSOPHY AND PRINCIPLES, THE COMMITTEE APPROVES TOTAL COMPENSATION PACKAGES FOR EACH OF THE EXECUTIVES BASED ON INFORMATION PRESENTED TO THE COMMITTEE, REASONABLENESS AND THE BEST INTERESTS OF MEMORIAL. THE COMMITTEE'S DECISIONS REGARDING COMPENSATION FOR EACH EXECUTIVE ARE DOCUMENTED IN WRITTEN RESOLUTIONS AND MINUTES OF THE COMMITTEE. THE COMMITTEE PROMPTLY REPORTS ITS ACTION TO THE BOARD WHOSE REPORTS ARE REFLECTED IN THE BOARD'S MINUTES. THE EXECUTIVES THAT WERE REVIEWED IN 2020 WERE: CHIEF EXECUTIVE OFFICER, VICE PRESIDENTS, CHIEF CLINICAL OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF MEDICAL OFFICER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES, BYLAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G LABORATORY: PROGRAM SERVICE EXPENSES 5,867,278. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,867,278. CLINIC SERVICES: PROGRAM SERVICE EXPENSES 15,937,187. MANAGEMENT AND GENERAL EXPENSES 90,558. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,027,745. EMERGENCY DEPARTMENT SERVICES: PROGRAM SERVICE EXPENSES 11,798,217. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,798,217. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 21,142,918. MANAGEMENT AND GENERAL EXPENSES 8,874,277. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,017,195. ORTHOPEDIC SERVICES: PROGRAM SERVICE EXPENSES 14,866,632. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,866,632. PLAN ADMINISTRATION: PROGRAM SERVICE EXPENSES 15,275. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,275. FORM 990, PART XI, LINE 9: DONATED CAPITAL TRANSFERS FROM RESTRICTED FUNDS 410,147. CHANGE IN PENSION OBLIGATION -8,965,755. MEDICAL STAFF FUND 119,784. MEMORIAL PHYSICIANS 3800 SUMMITVIEW YAKIMA WA 98902 264379419 MEDICAL SERVICES WA 66871273 662153 YVMHA CENTRAL WASHINGTON HEALTHCARE PARTNERS 3800 SUMMITVIEW YAKIMA WA 98902 453483343 ACCOUNTABLE CARE ORGANIZATION WA 2383787 208070 YVMHA YAKIMA HEART CENTER AT MEMORIAL TRUST 2811 TIETON DRIVE YAKIMA WA 98902 457017902 MEDICAL SERVICES WA 42774602 23755 YVMHA YAKIMA UROLOGY AT MEMORIAL TRUST 2811 TIETON DRIVE YAKIMA WA 98902 476620487 MEDICAL SERVICES WA 10090163 86948 YVMHA ORTHOPEDICS NORTHWEST AT MEMORIAL TRUST 1211 N 16TH AVENUE YAKIMA WA 98902 826150143 MEDICAL SERVICES WA 45084622 121076 YVMHA GARDEN VILLAGE 206 S 10TH AVENUE YAKIMA WA 98902 912090034 SKILLED NURSING WA 501(C)(3) LINE 10 N/A 0 VIRGINIA MASON HEALTH SYSTEM 1100 NINTH AVENUE SEATTLE WA 98101 911351110 FUNDRAISING WA 501(C)(3) LINE 7 N/A 0 VIRGINIA MASON MEDICAL CENTER 1100 NINTH AVENUE SEATTLE WA 98101 910565539 HEALTH CARE WA 501(C)(3) LINE 3 VMHS 0 VIRGINIA MASON INSTITUTE 1100 NINTH AVENUE SEATTLE WA 98101 263763656 EDUCATION WA 501(C)(3) LINE 9 VMMC 0 BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 NINTH AVENUE SEATTLE WA 98101 910653422 RESEARCH WA 501(C)(3) LINE 4 VMHS 0 CHILDREN'S VILLAGE 3801 KERN ROAD YAKIMA WA 98902 352654720 SUPPORTING ORGANIZATION WA 501(C)(3) LINE 12A, I N/A 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 VIRGINIA MASON MEDICAL CENTER 1100 NINTH AVE SEATTLE WA 98101 910565539 X 129023 80424 209447 1140696406 1140905853 1000000 250000 0 0 0 VIRGINIA MASON HEALTH SYSTEM 1100 NINTH AVE SEATTLE WA 98101 911351110 0 0 0 16626427 16626427 981321 245330 0 0 0 VIRGINIA MASON INSTITUTE 1100 NINTH AVE SEATTLE WA 98101 263763656 0 0 0 3869715 3869715 343486 85872 0 0 0 BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1100 NINTH AVE SEATTLE WA 98101 910653422 0 0 0 71349522 71349522 1000000 250000 0 0 0