YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION (EIN 91-0567263)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201823179349301902
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-13T07:18:28-00:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11918 8th Avenue Suite 2900AddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910567263EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Yakima Valley Memorial Hospital AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlYAKIBusinessNameControlTxt
Phone5095758000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 Tieton DriveAddressLine1Txt
CityYakimaCityNm
State AbbreviationWAStateAbbreviationCd
ZIP989023799ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRussell MyersPersonNm
Person TitlePresident and CEOPersonTitleTxt
Signature2018-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSue RobisonPreparerPersonNm
Phone2069134000PhoneNum
Preparation2018-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address204.147.223.1IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-13IPDt
IP Tm15:09:32IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3BF9F3C1D5421FE41D537B7E0F61F32192DE8497AtSubmissionCreationDeviceId
At Submission Filing Device Id3BF9F3C1D5421FE41D537B7E0F61F32192DE8497AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Virginia Mason MemorialBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRussell MyersPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 Tieton DriveAddressLine1Txt
CityYakimaCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98902ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$465,148,799GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.yakimamemorial.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1950FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionMemorial provides integrated health services through a hospital licensed for 226 beds and multi-specialty group practice, offering both primary and specialized care.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee3312TotalEmployeeCnt
Total Volunteers347TotalVolunteersCnt
Total Gross UBI$39,246,836TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$18,888,276NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,784,536PYContributionsGrantsAmt
CY Contributions Grants$4,115,360CYContributionsGrantsAmt
PY Program Service Revenue$419,041,021PYProgramServiceRevenueAmt
CY Program Service Revenue$451,760,130CYProgramServiceRevenueAmt
PY Investment Income$267,422PYInvestmentIncomeAmt
CY Investment Income$6,918,238CYInvestmentIncomeAmt
PY Other Revenue$947,625PYOtherRevenueAmt
CY Other Revenue$948,914CYOtherRevenueAmt
PY Total Revenue$424,040,604PYTotalRevenueAmt
CY Total Revenue$463,742,642CYTotalRevenueAmt
PY Grants And Similar Paid$384,205PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$185,500CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$216,746,630PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$248,445,191CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$199,086,038PYOtherExpensesAmt
CY Other Expenses$217,594,991CYOtherExpensesAmt
PY Total Expenses$416,216,873PYTotalExpensesAmt
CY Total Expenses$466,225,682CYTotalExpensesAmt
PY Revenues Less Expenses$7,823,731PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,483,040CYRevenuesLessExpensesAmt
Total Assets BOY$370,537,619TotalAssetsBOYAmt
Total Assets EOY$371,888,685TotalAssetsEOYAmt
Total Liabilities BOY$147,486,312TotalLiabilitiesBOYAmt
Total Liabilities EOY$149,217,738TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$223,051,307NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$222,670,947NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMemorial provides integrated health services through a hospital licensed for 226 beds and multi-specialty group practice, offering both primary and specialized care, through a regional network of neighborhood clinics. Memorial also sponsors health related educational opportunities.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$197,101,309ExpenseAmt
Revenue$269,368,485RevenueAmt
DescYakima Valley Memorial Hospital Association dba Virginia Mason Memorial Memorial served 343,860 outpatient visits for various services including surgery, cancer care, diagnostic testing and therapeutic services. Those outpatient services were offered in a manner consistent with the hospitals 501c3 status. The intent of the services is to serve the health care needs of the community. Charity care is provided per the terms of the hospitals charity care policy. The Hospital also provides numerous educational services for student physicians, nurses, and allied health professionals.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$91,174,363ExpenseAmt
Revenue$136,677,172RevenueAmt
DescMemorial admitted 13,347 patients for a total of 44,266 patient days. Those inpatient services were offered in a manner consistent with the hospitals 501c3 status. The intent of the services is to serve the health care needs of the community. Charity care is provided per the terms of the hospitals charity care policy. The Hospital also provides numerous educational services for student physicians, nurses, and allied health professionals.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$27,270,144ExpenseAmt
Revenue$1,222,691RevenueAmt
DescMemorial provides direct supporting services to better assist in providing both inpatient and outpatient services, but not directly identifiable with either inpatient or outpatient services provided. Those inpatient services were offered in a manner consistent with the hospitals 501c3 status. The intent of the services is to serve the health care needs of the community. Charity care is provided per the terms of the hospitals charity care policy. The Hospital also provides numerous educational services for student physicians, nurses, and allied health professionals.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$8,132,610TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$185,500TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$2,493,398TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$323,678,426TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document283IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3312EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTimothy Reed VPCFOPersonNm
Phone5095758000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 Tieton DrAddressLine1Txt
CityYakimaCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98902ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
James Berg
Director000.80Yes (X)$0$0$0
Scott Wagner
Director, Chairman002.80Yes (X)$0$0$0Yes (X)
Bill Feldmann MD
Director, Treasurer002.60Yes (X)$0$0$0Yes (X)
Buffy Alegria
Director001.00Yes (X)$0$0$0
Dave Hargreaves
Director, Vice-Chairman002.80Yes (X)$0$0$0Yes (X)
Craig Mendenhall
Director000.80Yes (X)$0$0$0
Sonia Rodriguez-True
Director000.60Yes (X)$0$0$0
Gail Weaver
Director000.30Yes (X)$0$0$0
Bruce Heiser
Director001.00Yes (X)$0$0$0
James Young
Director001.00Yes (X)$0$0$0002.00
Rich Martinez
Director001.00Yes (X)$0$0$0
Russell Myers
President/CEO040.00$606,112$0$6,536Yes (X)
Tim Reed
Vice President/CFO040.00$332,032$0$34,957Yes (X)
Scott Lancaster DO
MP/CEO040.00$332,074$0$16,039Yes (X)
Diane Patterson
Vice President, CCO040.00$268,537$0$68,799Yes (X)
James Aberle
Vice President, Operations040.00$307,792$0$67,906Yes (X)
Jeff Yamada
Vice President, CIO040.00$221,894$0$41,873Yes (X)
Matthew Kollman
MP/COO040.00$197,247$0$35,591Yes (X)
Vu Le
Physician - MP040.00$709,209$0$38,430Yes (X)
Lorena DeMarco Garcia
Physician - MP040.00$498,911$0$52,798Yes (X)
Christopher Tan
Physician - MP040.00$507,019$0$56,763Yes (X)
Tekchand Tanwani
Physician - MP040.00$517,409$0$63,744Yes (X)
Kevin Harrington
Physician - MP040.00$495,541$0$13,048Yes (X)
Edward Miles
Vice President, Integration and Development, Former Key Employee040.00$240,686$0$63,458Yes (X)
Jolene Seda
Vice President, People Culture, Former Key Employee040.00$217,994$0$60,240Yes (X)
Shawnie Haas
ACO/CEO, Former Key Employee040.00$208,096$0$57,358Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,660,553TotalReportableCompFromOrgAmt
Total Other Compensation$677,540TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K416IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Yakima Heart Center
406 S 30th Ave Ste 201YakimaWA98902Medical and Health Care$11,145,218
Emergency Associates of Yakima
2811 Tieton DriveYakimaWA98902Medical and Health Care$9,752,135
Yakima Urology Associates
2500 Racquet LaneYakimaWA98902Medical and Health Care$5,282,979
Orthopedics Northwest
1211 N 16th AveYakimaWA98902Medical and Health Care$10,650,406
V K Powell Construction
1521 Voelker AvenueYakimaWA98902Construction Services$12,141,563
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K113CntrctRcvdGreaterThan100KCnt
Government Grants$2,296,800GovernmentGrantsAmt
All Other Contributions$1,818,560AllOtherContributionsAmt
Total Contributions$4,115,360TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Net patient revenue900099$409,049,418$409,049,418
Memorial Physicians621110$39,169,778$24,886$39,144,892
Cafe722210$1,992,096$1,992,096
Child Care624410$861,396$861,396
Expense Reimbursement900099$674,906$674,906

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,536TotalRevenueColumnAmt
Related Or Exempt Func Income$12,536RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$451,760,130TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,787,136TotalRevenueColumnAmt
Exclusion$6,787,136ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,599,388RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,406,157RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$193,231RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$193,231TotalRevenueColumnAmt
Unrelated Business Revenue-$41,483UnrelatedBusinessRevenueAmt
Exclusion$234,714ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$131,102OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$131,102OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$131,102TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CPS Rebate900099$143,427$143,427
Gift Shop900099$349,016$349,016
Lab Services900099$216,673$216,673

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,567TotalRevenueColumnAmt
Exclusion$46,567ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$755,683OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$463,742,642TotalRevenueColumnAmt
Related Or Exempt Func Income$409,761,746RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$39,246,836UnrelatedBusinessRevenueAmt
Exclusion$10,487,598ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$185,500TotalAmt
Program Services$185,500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,385,221TotalAmt
Program Services$1,985,853ProgramServicesAmt
Management And General$1,399,368ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$204,595,295TotalAmt
Program Services$137,670,255ProgramServicesAmt
Management And General$66,925,040ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,771,963TotalAmt
Program Services$7,318,864ProgramServicesAmt
Management And General$2,453,099ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,894,432TotalAmt
Program Services$12,448,579ProgramServicesAmt
Management And General$4,445,853ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,798,280TotalAmt
Program Services$10,436,429ProgramServicesAmt
Management And General$3,361,851ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$839,663TotalAmt
Program Services$84,076ProgramServicesAmt
Management And General$755,587ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$158,000TotalAmt
Management And General$158,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$102,094TotalAmt
Management And General$102,094ManagementAndGeneralAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$62,877,081TotalAmt
Program Services$48,670,531ProgramServicesAmt
Management And General$14,206,550ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$312,958TotalAmt
Program Services$11,917ProgramServicesAmt
Management And General$301,041ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,165,802TotalAmt
Program Services$8,861,379ProgramServicesAmt
Management And General$9,304,423ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,191,819TotalAmt
Program Services$2,994,592ProgramServicesAmt
Management And General$8,197,227ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,315,903TotalAmt
Program Services$2,581,646ProgramServicesAmt
Management And General$6,734,257ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,014,831TotalAmt
Program Services$417,746ProgramServicesAmt
Management And General$597,085ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,763,904TotalAmt
Program Services$124ProgramServicesAmt
Management And General$1,763,780ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$1,900,006TotalAmt
Management And General$1,900,006ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,831,183TotalAmt
Program Services$20,251,523ProgramServicesAmt
Management And General$579,660ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,027,672TotalAmt
Program Services$1,796,236ProgramServicesAmt
Management And General$2,231,436ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$34,613,148$34,612,908$240
Drugs$33,115,761$32,357,493$758,268
Dietary Supplies$2,391,298$382,513$2,008,785

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$14,973,868TotalAmt
Program Services$610,262ProgramServicesAmt
Management And General$14,363,606ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$466,225,682TotalAmt
Program Services$323,678,426ProgramServicesAmt
Management And General$142,547,256ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$63,333,038BOYAmt
EOY$67,838,496EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$518,727BOYAmt
EOY$524,890EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$47,982,971BOYAmt
EOY$56,666,426EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$422,327BOYAmt
EOY$738,689EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,869,699BOYAmt
EOY$8,260,156EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,667,375BOYAmt
EOY$6,586,079EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$251,779,631LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$39,311,341LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$198,722,868BOYAmt
EOY$212,468,290EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$36,664,697BOYAmt
EOY$10,905,360EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,614,382BOYAmt
EOY$3,626,724EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,533,950BOYAmt
EOY$2,152,779EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,207,585BOYAmt
EOY$2,120,796EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$370,537,619BOYAmt
EOY$371,888,685EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$66,018,812BOYAmt
EOY$77,794,348EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$172,907BOYAmt
EOY$117,049EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$76,290,767BOYAmt
EOY$68,646,745EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,003,826BOYAmt
EOY$2,659,596EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$147,486,312BOYAmt
EOY$149,217,738EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$221,854,680BOYAmt
EOY$221,371,349EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,196,627BOYAmt
EOY$1,299,598EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$223,051,307BOYAmt
EOY$222,670,947EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$370,537,619BOYAmt
EOY$371,888,685EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,483,040ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$2,102,680OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd
Public Support CY1700.00000PublicSupportCY170Pct
Public Support CY5090.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$42,094FilingOrganizationsTotalAmt
Affiliated Group Total$175,480AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$60,000FilingOrganizationsTotalAmt
Affiliated Group Total$108,767AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$102,094FilingOrganizationsTotalAmt
Affiliated Group Total$284,247AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$466,123,588FilingOrganizationsTotalAmt
Affiliated Group Total$1,586,599,944AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$466,225,682FilingOrganizationsTotalAmt
Affiliated Group Total$1,586,884,191AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$138,835CurrentYearMinus3Amt
Current Year Minus2$154,766CurrentYearMinus2Amt
Current Year Minus1$275,782CurrentYearMinus1Amt
Current Year$284,247CurrentYearAmt
Total$853,630TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$119,335CurrentYearMinus3Amt
Current Year Minus2$108,173CurrentYearMinus2Amt
Current Year Minus1$163,134CurrentYearMinus1Amt
Current Year$175,480CurrentYearAmt
Total$566,122TotalAmt
FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$60,000DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$42,094OtherActivitiesAmt
Total Lobbying Expenditures$102,094TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
II-A AYakima Valley Memorial Hospital Association, EIN 91-0567263, 2811 Tieton Drive, Yakima, WA 98902. Non-electing member. 42,094 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, a portion of which was used for legislative and lobbying activities. Yakima Valley Memorial Hospital Association also pays membership dues to other professional health care organization, a portion of which may be used for legislative and lobbying activities.
II-A A continuedVirginia Mason Medical Center, EIN 91-0565539, 1100 Ninth Avenue, Seattle, WA 98101. Electing member. Grassroots Lobbying Expenditures 133,386 Direct Lobbying Expenditures 48,767. 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 501h. The election was not revoked before the start of the tax year ending December 31, 2017.
II-A A continuedVirginia Mason Institute, EIN 26-3763656, 1100 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures, 0 Excess Lobbying Expenditures.
II-A A continuedVirginia Mason Health System, EIN 91-1351110, 1100 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures. Excess Lobbying Expenditures 0
II-A A continuedBenaroya Research Institute at Virginia Mason, EIN 91-0653422, 1201 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures. Excess Lobbying Expenditures 0.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,107,422OtherCostOrOtherBasisAmt
Book Value$11,107,422BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,898,327OtherCostOrOtherBasisAmt
Depreciation$7,071,412DepreciationAmt
Book Value$66,826,915BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,438,267OtherCostOrOtherBasisAmt
Depreciation$1,173,447DepreciationAmt
Book Value$5,264,820BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$128,533,138OtherCostOrOtherBasisAmt
Depreciation$30,328,706DepreciationAmt
Book Value$98,204,432BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,802,477OtherCostOrOtherBasisAmt
Depreciation$737,776DepreciationAmt
Book Value$31,064,701BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$212,468,290TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescFederal income taxesDesc
FieldValueIRS element (for citing)
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceX 2FormAndLineReferenceDesc
ExplanationU.S. GAAP require management to evaluate tax positions taken by Memorial and recognize a tax liability or asset if Memorial has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed tax positions taken by Memorial and has concluded that as of December 31, 2017 and 2016, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or asset or disclosure in the consolidated financial statements. Memorial is subject to routine audits by taxing jurisdictions however, there are currently no audits for any tax periods in progress. Memorials management believes it is no longer subject to income tax examinations for years prior to 2014.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,310,308TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,310,308NetCommunityBenefitExpnsAmt
Total Expense0.01350TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$109,326,864TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,369,745DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,957,119NetCommunityBenefitExpnsAmt
Total Expense0.07070TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$115,637,172TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,369,745DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,267,427NetCommunityBenefitExpnsAmt
Total Expense0.08420TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs19ActivitiesOrProgramsCnt
Persons Served19057PersonsServedCnt
Total Community Benefit Expns$3,192,551TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$294,469DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,898,082NetCommunityBenefitExpnsAmt
Total Expense0.00620TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served3113PersonsServedCnt
Total Community Benefit Expns$7,585,238TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,840DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,572,398NetCommunityBenefitExpnsAmt
Total Expense0.01620TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served5245PersonsServedCnt
Total Community Benefit Expns$11,025,451TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,392,945DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,632,506NetCommunityBenefitExpnsAmt
Total Expense0.00990TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served133PersonsServedCnt
Total Community Benefit Expns$420,985TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$420,985NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Total Community Benefit Expns$441,770TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$441,770NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs51ActivitiesOrProgramsCnt
Persons Served27548PersonsServedCnt
Total Community Benefit Expns$22,665,995TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,700,254DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,965,741NetCommunityBenefitExpnsAmt
Total Expense0.03410TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs51ActivitiesOrProgramsCnt
Persons Served27548PersonsServedCnt
Total Community Benefit Expns$138,303,167TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$83,069,999DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,233,168NetCommunityBenefitExpnsAmt
Total Expense0.11830TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$134,900TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$500DirectOffsettingRevenueAmt
Net Community Benefit Expns$134,400NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served62PersonsServedCnt
Total Community Benefit Expns$30,776TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$30,776NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served62PersonsServedCnt
Total Community Benefit Expns$165,676TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$500DirectOffsettingRevenueAmt
Net Community Benefit Expns$165,176NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,905,202BadDebtExpenseAmt
Reimbursed By Medicare$93,913,506ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$160,617,164CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$66,703,658MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Yakima Valley Memorial Hospital AssociationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 Tieton DriveAddressLine1Txt
CityYakimaCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98902ZIPCd
FieldValueIRS element (for citing)
Website Addressyakimamemorial.orgWebsiteAddressTxt
State License58StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting GroupAFacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLyakimamemorial.org/about-us-community-benefits.aspOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLyakimamemorial.org/about-us-community-benefits.aspStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care0000000300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0000000300.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLyakimamemorial.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLyakimamemorial.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLyakimamemorial.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Group Yakima Valley Memorial Hospital Association Line Part V, Section B, Line 3jMemorials 2016 Community Health Needs Assessment was adopted by the Board of Directors on November 29, 2016. The report was made public on the website and printed copies are available at the hospital upon request. The areas of assessment in the 2016 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 and transportation 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, food environment index, access to locations for physical activity, transportation, drinking water, severe housing problems, toxic chemicals. Additional assessments are conducted on an ongoing basis to track needs. 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. Memorials actions and progress in addressing the priority areas identified in the previous Community Health Needs Assessment 2013 are identified throughout the 2016 Community Health Needs Assessment in the associated topic sections and identified by the priority area number.
Group Yakima Valley Memorial Hospital Association Line Part V, Section B, Line 5Input for development of the Community Health Needs Assessment was solicited through an online tool. The internal advisory committee selected the top nine areas of greatest need and through the survey community organizations could provide input on the CHNA. The nine areas of greatest need were access to care health equity - disparities in health care, prevention and outcomes chronic disease prevention and screenings mental health health behaviors - physical inactivity and nutrition adverse childhood experiences homelessness infant mortality and sexually transmitted infections. The survey asked respondents to compare each of the nine priority areas to each other by placing them in order of importance to both them as a community member, as well as to the organization they represent the average ranking was calculated for each answer choice to select the top three priority areas that were of greatest importance to the community we serve. The top three areas were 1 Access to care, final ranked score of 7.46 2 Health Equity, final ranked score of 6.03 and 3 chronic disease prevention and screenings, final ranked score of 5.96. 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 under-served, 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 with the community. A full list of partners is included in the Community Health Needs Assessment which can be found on Memorials website www.yakimamemorial.org/about-us-community-benefits.asp. The top three priority areas chosen by the community were assigned as primary and secondary priority areas based on hospital resources and ability to address the area of need. Some additional areas of need out of the top nine that did not make the top three were also selected as tertiary priority areas, Memorial committing to focus on these areas by partnering with others in the community working on those issues where possible and providing funding to support those needs when available.
Group Yakima Valley Memorial Hospital Association Line Part V, Section B, Line 7dIn addition to being made publicly available on the website, the 2016 Community Health Needs Assessment was shared widely by email and made public through a number of presentations to community-based organizations, coalitions and groups.
Group Yakima Valley Memorial Hospital Association Line Part V, Section B, Line 11Memorial has outlined how the hospital is addressing the significant needs identified in the most recently conducted Community Health Needs Assessment in the Virginia Mason Memorial Implementation Plan 2017-2019. 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 Improve - Improve the health outcomes of Yakima County. As a result of the 2016 Community Health Needs Assessment, five health priorities were selected and using our four-stage approach we have developed a step-by-step action plan outlined in the implementation plan to address the five 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 and targets that will be used to evaluate our progress. The Virginia Mason Memorial Implementation Plan 2017-2019 was adopted by the Memorial Board of Directors on January 31, 2017. One additional area outlined in the implementation plan, which does not fall under a priority area, is the Enviromason Memorial sustainability program. All five priorities identified in the 2016 Community Health Needs Assessment are being addressed, Memorial did not identify any priority areas which we do not intend to address. Memorial identified 5 priority areas in the 2016 Community Health Needs Assessment. These priority areas are Access to Care Health Equity-Disparities in Health Care, Prevention and Outcomes Chronic Disease Prevention and Screenins Adverse Childhood Experiences and Infant Mortality. 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 strategies. We have instituted a number of internal initiatives to improve access to primary care and specialty clinics, as well as reduce wait time. Memorials CEO has spearheaded a medical leadership work-group with other hospital and federal qualified health center leaders. The objectives of this work-group are to explore area capacity challenges and common areas of interest and concern, and identify possible coordination-collaboration efforts to create positive Yakima Health outcomes. We partner with and financially support local community colleges and health profession education programs at Pacific Northwest University, Heritage University, Yakima Valley College, Washington State University and Central Washington Family Medicine. Memorial mentors and trains local health professionals from college programs across the country on site. 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 continuing medical education programming each year to serve the medical professionals across the community allowing them to renew licensing and continue to practice in Yakima County. Health Equity - Disparities in Health Care, Prevention and Outcomes Memorial is working on initiatives to improve the collection of demographic data e.g. race, ethnicity and preferred language. By 2019 we plan to develop a report stratifying access to care and chronic disease risk prevention and screening measures by race, ethnicity and preferred language this report will be used to develop an action plan for addressing health disparities at Memorial. We developed a cultural competency action plan to better serve our diverse community and have taken the American Hospital Associations Health Equity Pledge with the goal of investigating and developing strategies to improve health disparities for 30-day hospital readmission. We have set interpretation targets to ensure that by the end of 2019 all of our interpreter staff will be Alta-State Certified furthermore, we have begun piloting on-demand video remote interpretation to determine feasibility of providing that service across all Memorial Physicians Clinics. Chronic Disease Prevention and Screenings 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, chronic disease management classes, Act Get Up, Get Moving Childhood Obesity Program, Healthy for Life exercise and cooking classes. Memorials Community Health Department puts on a number of community outreach screening and education events yearly in 2017, nearly 10,000 community members participated in these events. Memorials second objective for this priority area is focused on chronic disease screenings and a number of strategies are being deployed to ensure that we meet or exceed the 75th percentile targets of the National Committee for Quality Assurances Healthcare effectiveness data and information set for cancer, diabetes, cardiovascular disease and sexually transmitted infections specifically, chlamydia. Adverse Childhood Experiences We have worked to mitigate adverse childhood experiences ACES by implementing evidence-based practices proven to decrease long-term poor health outcomes. 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 childs second birthday. The goal of NFP is to improve child health and development by helping parents provide responsible and competent care for their children. 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. Healthy Pregnancy is an enhanced preventive health and education service intervention for eligible pregnant clients. Services are provided any time in pregnancy based on the mothers individual risks and needs. Infant case care management provides services to improve the welfare of infants by providing their parents with information and assistance for necessary medical, social, educational and other services throughout the infants first year. Infant Mortality The Community Health Needs Assessment showed high and increasing rates of infant mortality in the Native American population in Yakima County. Memorial is a partner in TTAWAXT, a multi-agency collaborative effort led by Indian Health Services on the Yakima Reservation, to investigate and reduce infant mortality and promote healthy families within tribal communities. Memorial participates in the Obstetrics Clinical Outcomes Assessment Program OB COAP, a Foundation for Health Care Quality FHCQ Program which focuses on health professionals decisions made during labor and delivery. As an OB COAP participant we provide specific chart-abstracted data about the care given to women during labor, delivery and postpartum periods which FHCQ then utilizes for analysis and discussion to evaluate labor management practices and interventions commonly used in labor and delivery and compare implications of care decisions. This allows for opportunities to explore methods for actionable and sustainable improvements in hospitals across the state. Data has shown this program has the potential to reduce up to 3,000 neonatal intensive care cases per year. The Virginia Mason Memorial Implementation Plan 2017-2019 can be found on our website www.YakimaMemorial.org/about-us-community-benefits.asp.
FieldValueIRS element (for citing)
Facility36FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (36 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
North Star Lodge
808 N 39th AvenueYakimaWA98902Cancer Treatment Facility
Valley Imaging
314 S 11th AvenueYakimaWA98902Radiology
Yakima Heart Center Trust at Memorial
406 S 30th Avenue Suite 101YakimaWA98902Outpatient Physician Clinic
Orthopedics Northwest
1211 N 26th AveYakimaWA98902Outpatient Physician Clinic
Yakima Valley Home Health
302 S 10th AvenueYakimaWA98902Home Health and Hospice
Physicians Anesthesia
406 S 30th Ave Ste 202YakimaWA98902Outpatient Physician Clinic
Yakima Gastroenterology Associates
3909 Creekside LoopYakimaWA98902Outpatient Physician Clinic
Pain Center - Water's Edge
1460 N 16th Avenue Suite DYakimaWA98902Outpatient Physician Clinic
Yakima Urology Associates Trust at Memorial
2500 Racquet LaneYakimaWA98902Outpatient Physician Clinic
Memorial Sleep Specialists
406 S 30th Avenue Suite 206YakimaWA98902Outpatient Physician Clinic
Memorial Cornerstone Medicine
4003 Creekside LoopYakimaWA98908Outpatient Physician Clinic
Ridgeview Surgery
2500 Racquet Lane Suite 150YakimaWA98902Outpatient Surgery Center
Cornerstone Lab
4003 Creekside LoopYakimaWA98902Medical Laboratory
Ohana
1515 W Yakima AvenueYakimaWA98902Mammography
Yakima Gastroenterology Associates Ambulatory Surgery
3909 Creekside Loop Suite 120YakimaWA98908Outpatient Physician Clinic
Generations OB GYN
3003 Tieton Drive Ste 230YakimaWA98902Outpatient Physician Clinic
Yakima Vascular Associates
1607 Creekside Loop Suite 100YakimaWA98902Outpatient Physician Clinic
Yakima Ear Nose and Throat
1601 Creekside LoopYakimaWA98902Outpatient Physician Clinic
Cascade Surgical Partners
3003 Tieton Drive Suite 300YakimaWA98902Outpatient Physician Clinic
Lakeview Spine
1470 N 16th AvenueYakimaWA98902Therapy
Pulmonology
303 Holton Ave Suite 1YakimaWA98902Outpatient Physician Clinic
Pacific Crest Family Medicine
311 S 72nd AvenueYakimaWA98908Outpatient Physician Clinic
Family Medicine of Yakima
504 N 40th AvenueYakimaWA98908Outpatient Physician Clinic
Apple Valley Family Medicine
1008 S 38th AvenueYakimaWA98902Outpatient Physician Clinic
Selah Family Medicine
620 N Park DriveSelahWA98942Outpatient Physician Clinic
Healthy Now West Valley
120 S 72nd Ave Suite 102YakimaWA98908Urgent Care Clinic
Yakima Gastroenterology Associates Histology
3909 Creekside Loop Suite 120YakimaWA98902Outpatient Physician Clinic
Healthy Now
3909 Creekside Loop Suite 130YakimaWA98902Urgent Care Clinic
Healthy Now East Valley
3904 Terrace Heights DriveYakimaWA98901Urgent Care Clinic
Memorial Outpatient Psych
1460 N 16th Avenue Suite CYakimaWA98902Outptient Physician Clinic
Yakima Endocrinology Associates
1470 N 16th AvenueYakimaWA98902Outpatient Physician Clinic
Zillah Family Medicine
616 Railroad Avenue Suite 12ZillahWA98953Outpatient Physician Clinic
Yakima Podiatry Associates
1607 Creekside Loop Suite 140YakimaWA98902Outpatient Physician Clinic
Healthy Now Zillah
616 Railroad Avenue Suite 12ZillahWA98953Urgent Care Clinic
Garden Village
206 S 10th AvenueYakimaWA98902Skilled Nursing Facility
Children's Village
3801 Kern RoadYakimaWA98902Child Therapy

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 7The 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 IIThere is one program which provides Community Health Improvement Advocacy Youthworks is a youth empowerment and community service initiative engaging youth directly through mentoring, volunteering and philanthropy. There are two programs which provide Workforce Development Non-Health Profession Education provides 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. Health Profession Presentations assists students at local colleges with work applications and interview readiness to help those individuals secure jobs and brings economic benefit to the community.
Part III Line 2Memorial used ratio of patient care cost to charges methodology to calculate the amount on line 2. Our financial statements include a footnote regarding uncollectible accounts which are reported as an offset to patient revenue.
Part III Line 4Memorial used ratio of patient care cost to charges methodology to calculate the amount on line 2. Our financial statements on page 13 include a footnote regarding uncollectible accounts which are reported as an offset to patient revenue.
Part III Line 8To 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 9bDuring the admittance process at Memorial, all patients are provided with the hospitals 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 2Memorial 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 November 29, 2016 and is publicly available.
Part VI Line 3Memorial 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 Memorials 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 care or have questions regarding Memorials 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 4Yakima County is composed of primarily rural communities 14 cities and towns in Central Washington, spanning 4.296 square miles, with a 65 Medicare/Medicaid Payer Mix. Total current population for Yakima County is 248,830. The population density for this area, estimated at 57.36 persons per square mile, is less than the national average population density of 88.93 persons per square mile. The primary service area PSA of Memorial is comprised of Yakima County. Secondary service areas SSA for highly specialized programs and services stretch into neighboring counties including Kittitas and Klickitat, this comprises less than 15 of patient volume. Yakima County is home to nearly 10,000 migrant and seasonal farm workers and their dependents. The percentage of the population living in urban areas is 76.5 compared with 24 living in rural areas, which is higher than both the national and Washington State averages 81 vs 19 and 84 vs 16, respectively. Located in Yakima County is the Yakima Nation Reservation with just over 1.3 million acres and reaches across the Cascade Mountains. Our community is comprised of 46.5 persons of Hispanic or Latino Origin and 46.2 of persons of White Non-Hispanic or Latino Origin, and 3.6 American Indian and Alaska Native. 20.5 of persons living below poverty level, 8.4 is unemployed and 16 have no health insurance.
Part VI Line 5Memorial 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 gaps and 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 Childrens 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 a dedicated staff, contractors and FTE positions to accomplish the development, planning and interventions to address community needs. Memorial budgets surplus funds toward continued support of education through our partnerships with Pacific Northwest University, Central Washington Family Practice Residency, obstetrical education and ensuring we have 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.
Part VI Line 5continued 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 Staffs Bylaws, Rules and Regulations, policies and specific departmental privileging documents. For the most critical shortages, particularly within speciality areas, Memorial extends the privileges to physicians outside of the community to meet the need.
Part VI Line 5continued The majority of Memorials 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, nor do they have family members thereof.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Prime Time Inc
6 South 2nd Street Ste 815YakimaWA98901911348128501c3$10,000General Support
Sunrise Outreach Center of Yakima
221 E Martin Luther King Jr BlvdYakimaWA98901271028426501c3$20,000General Support
Yakima County Development New Vision
PO Box 1387YakimaWA98907911284283501c6$10,000General Support
Greater Yakima Chamber
10 North 9th StreetYakimaWA98907910480620501c6$15,000General Support
Memorial foundation Passion for the Village
2701 Tieton DrYakimaWA98902911022358501c3$5,000General Support
City of Union Gap Sun Camp UG Youth Foundation
PO Box 3245Union GapWA98903911727983501c3$11,000General Support
Wellness House
210 South 11th Ave Ste 40YakimaWA98902911418100501c3$10,000General Support
Union Gospel Mission
1300 N First StreetYakimaWA98901237050061501c3$90,000General Support
FieldValueIRS element (for citing)
Total501c3 Org8Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I Line 2FormAndLineReferenceDesc
ExplanationMemorial supports programs or activities that demonstrate a community benefit, are consistent with the objectives of the hospitals Community Health Needs Assessment, support the values of the hospital and improve health in and around Yakima County. Donation requests will be compiled on a regular basis and those that meet the general criteria will be forwarded to a determination panel every month for further evaluation and recommendation. If necessary, requesters may be asked to participate in further dialogue, including meeting with members of Memorials leadership team. A determination panel will meet monthly to review, evaluate and make sponsorship recommendations.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Russell Myers
President/CEO$495,891$104,247$5,974$1,569$4,967$612,648
Tim Reed
Vice President/CFO$280,468$48,923$2,641$16,937$18,020$366,989
Scott Lancaster DO
MP/CEO$313,107$16,321$2,646$1,524$14,515$348,113
Diane Patterson
Vice President, CCO$228,133$37,547$2,857$40,867$27,932$337,336
James Aberle
Vice President, Operations$258,989$45,845$2,958$43,661$24,245$375,698
Jeff Yamada
Vice President, CIO$195,343$24,527$2,024$30,151$11,722$263,767
Matthew Kollman
MP/COO$173,525$21,864$1,858$9,040$26,551$232,838
Vu Le
Physician - MP$406,901$301,409$899$13,500$24,930$747,639
Lorena DeMarco Garcia
Physician - MP$477,478$21,433$36,846$15,952$551,709
Christopher Tan
Physician - MP$406,044$98,551$2,424$31,745$25,018$563,782
Tekchand Tanwani
Physician - MP$372,527$76,061$68,821$38,814$24,930$581,153
Kevin Harrington
Physician - MP$478,610$15,267$1,664$12,228$820$508,589
Edward Miles
Vice President, Integration and Development, Former Key Employee$211,203$26,825$2,658$35,617$27,841$304,144
Jolene Seda
Vice President, People Culture, Former Key Employee$182,363$33,103$2,528$32,180$28,060$278,234
Shawnie Haas
ACO/CEO, Former Key Employee$182,239$23,409$2,448$31,649$25,709$265,454

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 4bIn July 2002, Memorials 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 Memorials employee pension plan, tax-deferred annuity retirement plan, 401k 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. Memorials liability accrual is based on the assumption that all nine executives will be working until age 65.
Part I Line 4bRussell Myers accrued benefits of 78,785 in the Plan. Diane Patterson accrued benefits of 24,005 in the Plan. James Aberle accrued benefits of 21,049 in the Plan. Jeff Yamada accrued benefits of 33,035 in the Plan.
Part I Line 7Variable compensation amounts are calculated based off of the results of the strategic scorecard as well as the employees 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Washington Health Care Facilities Authority
A9111089290000000002012-02-16$24,845,525See Part VIfalsefalsefalse
Washington Health Care Facilities Authority
B91110892993870HGN02012-08-17$38,005,000See Part VIfalsefalsefalse
Washington Health Care Facilities Authority
C9111089290000000002014-02-21$7,050,000Equipmentfalsefalsefalse
Washington Health Care Facilities Authority
D9111089290000000002008-11-18$2,100,000Retire Taxable Debtfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIn Reserve FundInReserveFundAmt
A$15,258,177$24,847,230$119,976$22,008,715$2,718,5392013Yes (true)falseYes (true)Yes (true)
B$17,845,000$38,011,438$687,697$37,323,7412005Yes (true)Yes (true)Yes (true)Yes (true)$2,239,343
C$3,717,522$7,050,183$50,000$7,000,1832015falsefalseYes (true)Yes (true)
D$642,201$2,100,000$2,100,0002008Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)falsefalsefalseYes (true)
BfalsefalseYes (true)Yes (true)falsefalsefalseYes (true)
CfalsefalseYes (true)Yes (true)falsefalsefalseYes (true)
DfalsefalseYes (true)Yes (true)falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalseYes (true)Yes (true)Yes (true)falsefalsefalseYes (true)
BfalsefalseYes (true)Yes (true)falsefalsefalsefalseYes (true)
CfalsefalseYes (true)Yes (true)falsefalsefalsefalseYes (true)
DfalsefalseYes (true)Yes (true)falsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line A, Column FRefund prior bonds 08/20/2009 and construct, remodel, renovate, equip health care facilities owned by the hospital.
Part I Line B, Column FRefund prior bonds 03/14/1996 and 11/13/2002
Part II Line 3The total proceeds do not agree to the issue price in Part I, Column E due to investment earnings. The total proceeds do not equal the summation of lines 4-12 due to transferred or replacement proceeds in line 4.
Part IV Line 2C, Column AIssuer Name Washington Health Care Facilities Authority. Date the Rebate Computation was performed 09/30/2014. Since the bond proceeds have been spent, and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary.
Part IV Line 2C, Column BIssuer Name Washington Health Care Facilities Authority. Date the Rebate Computation was performed 07/31/2017
Part IV Line 2C, Column CIssuer Name Washington HealthCare Facilities Authority. Date the Rebate Computation was performed 04/01/2015. Since the bond proceeds have been spent, and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary.
Part IV Line 2C, Column DIssuer Name Washington HealthCare Facilities Authority. Date the Rebate Computation was performed 05/18/2009. Since the bond proceeds have been spent, and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Washington Health Care Facilities AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN911108929BondIssuerEIN
CUSIP93978HRJ6CUSIPNum
Bond Issued2016-11-10BondIssuedDt
Issue Price$34,208,306IssuePriceAmt
PurposeBuilding and EquipmentPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$34,338,729TotalProceedsAmt
In Reserve Fund$2,540,006InReserveFundAmt
Issuance Costs From Proceeds$678,328IssuanceCostsFromProceedsAmt
Capital Expenditures$25,002,246CapitalExpendituresAmt
Unspent$6,118,148UnspentAmt
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II Line 3FormAndLineReferenceDesc
ExplanationThe total proceeds do not agree to the issue price in Part I, Column E due to investment earnings/market value fluctuations.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BBM Financial Services
Entity more than 35 owned by Craig Mendenhall, Director$10,575Insurance productsfalse
Miranda Yamada
Family member of Jeff Yamada$27,972Employmentfalse
M G Wagner Co Inc
Entity more than 35 owned by Scott Wagner, Director$233,724Provision of roofing services to Memorialfalse

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV Line 1aName of Organization BBM Financial Services
Part IV Line 1bRelationship between interested person and organization Entity more than 35 owned by Craig Mendenhall, Director
Part IV Line 1cAmount of Transaction 10,575
Part IV Line 1dDescription of Transaction Provision of insurance products to the Hospital
Part IV Line 1eSharing of Organization Revenues No
Part IV Line 2aName of Person Miranda Yamada
Part IV Line 2bRelationship between interested person and organization Family member of Jeff Yamada, Key Employee
Part IV Line 2cAmount of Transaction 27,972
Part IV Line 2dDescription of Transaction Employment with Hospital
Part IV Line 2eSharing of Organization Revenues No
Part IV Line 3aName of Organization M.G. Wagner Co, Inc
Part IV Line 3bRelationship Entity more than 35 owned by Scott Wagner, Director
Part IV Line 3cAmount of Transaction 233,724
Part IV Line 3dDescription of Transaction Provision of roofing services to the Hospital
Part IV Line 3eSharing of Organization Revenues No

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 1aThe 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, after 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 Memorials 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, 7Virginia Mason Health System VMHS is the sole corporate member of Memorial. VMHS as the sole member has the following approval 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 4 approval of all long-range plans proposed by the Board of Directors 5 Approval of the annual capital and operating budgets proposed by the Board of Directors 6 Approval of the borrowing of funds where the amount is in excess of Ten Million Dollars 7 Approval of the sale, lease, exchange, mortgage, pledge or disposal of all or substantially all of the property and assets 8 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 11bThe 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 and approved by the ACC in November 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 12cThe Governance Committee of the Board 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 Memorials 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 15The 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 Masons 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 Masons compensation philosophy and principles. Consistent with Virginia Masons 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 Committees 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 Boards minutes. The Executives that were reviewed in 2017 were Chief Executive Officer, Vice Presidents, Chief Clinical Officer, Chief Financial Officer, and Chief Medical Officer.
Form 990, Part VI, Section C, Line 19The organizations Articles, Bylaws, Conflict of Interest Policy, and Financial Statements are made available upon request.
Form 990, Part IX, Line 11GLaboratory Program Services Expense 1,854,743 Management and General Expenses 0 Fundraising Expenses 0 Total Expenses 1,854,743. Physician Services Program Services Expense 37,812,226 Management and General Expenses 612,164 Fundraising Expenses 0 Total Expenses 38,424,390. Contractual Expenses Program Services Expense 1,636,899 Management and General Expenses 276,504 Fundraising Expenses 0 Total Expenses 1,913,403. Other Purchased Services Program Services Expenses 7,366,663 Management and General Expenses 13,317,882 Fundraising Expenses 0 Total Expenses 20,684,545 Total Other Fees 62,877,081.
Form 990, Part XI, Line 9Capital transfers from restricted funds 2,102,680

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Memorial Physicians
3800 SummitviewYakimaWA98902264379419Medical ServicesWA$38,426,640$4,659,818Yakima Valley Memorial Hospital Association
Central Washington Healthcare Partners LLC
3800 SummitviewYakimaWA98902453483343Accountable Care OrganizationWA$730,695$683,554Yakima Valley Memorial Hospital Association
Yakima Heart Center at Memorial Trust
2811 Tieton DriveYakimaWA98902457017902Medical ServicesWA$35,904,648Yakima Valley Memorial Hospital Association
Yakima Urology at Memorial Trust
2811 Tieton DriveYakimaWA98902476620487Medical ServicesWA$14,248,072Yakima Valley Memorial Hospital Association

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Garden Village
206 S 10th AvenueYakimaWA98902912090034Skilled NursingWA501c310NAfalse
Virginia Mason Health System (VMHS)
1100 Ninth AvenueSeattleWA98101911351110FundraisingWA501c37NAYes (true)
Virginia Mason Medical Center
1100 Ninth AvenueSeattleWA98101910565539Health CareWA501c33VMHSfalse
Virginia Mason Institute
1100 Ninth AvenueSeattleWA98101263763656Education/ResearchWA501c39VMMCfalse
Benaroya Research Institute at Virginia Mason
1201 Ninth AvenueSeattleWA98101910653422ResearchWA501c34VMHSfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINTotal Grassroots LobbyTotalGrassrootsLobbyAmtTotal Direct LobbyTotalDirectLobbyAmtTotal Lobby ExpenditureTotalLobbyExpenditureAmtOther Exempt Purpose ExpendOtherExemptPurposeExpendAmtTotal Exempt Purpose ExpendTotalExemptPurposeExpendAmtLobby NontxLobbyNontxAmtGrassroots NontxGrassrootsNontxAmtTotal Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmtTot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmtShare Excess Lobby ExpendShareExcessLobbyExpendAmtElecting OrganizationElectingOrganizationInd
Yakima Valley Memorial Hospital Association
2811 Tieton DriveYakimaWA98902910567263$42,094$60,000$102,094$466,123,588$466,225,682$293,799$73,450$0$0$0
Virginia Mason Health System
1100 Ninth AvenueSeattleWA98101911351110$0$0$0$12,576,341$12,576,341$7,925$1,981$0$0$0
Virginia Mason Medical Center
1100 Ninth AvenueSeattleWA98101910565539$133,386$48,767$182,153$1,029,259,580$1,029,441,733$648,719$162,180$0$0$0Yes (X)
Virginia Mason Institute
1100 Ninth AvenueSeattleWA98101263763856$0$0$0$7,028,082$7,028,082$4,429$1,107$0$0$0
Benaroya Research Institute at Virginia Mason
1201 Ninth AvenueSeattleWA98101910653422$0$0$0$71,612,353$71,612,353$45,128$11,282$0$0$0

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