2018-11-13T07:18:28-00:00 2017-12-31 KPMG LLP 1918 8th Avenue Suite 2900 Seattle WA 98101 990 2017-01-01 910567263 Yakima Valley Memorial Hospital Association YAKI 5095758000 2811 Tieton Drive Yakima WA 989023799 Russell Myers President and CEO 2018-11-12 true Sue Robison 2069134000 2018-11-12 204.147.223.1 2018-11-13 15:09:32 PS P 3BF9F3C1D5421FE41D537B7E0F61F32192DE8497 3BF9F3C1D5421FE41D537B7E0F61F32192DE8497 2017 2019-02-21 02:37:17Z Virginia Mason Memorial Russell Myers 2811 Tieton Drive Yakima WA 98902 465148799 false X www.yakimamemorial.org X 1950 WA Memorial provides integrated health services through a hospital licensed for 226 beds and multi-specialty group practice, offering both primary and specialized care. 11 10 3312 347 39246836 -18888276 3784536 4115360 419041021 451760130 267422 6918238 947625 948914 424040604 463742642 384205 185500 0 216746630 248445191 0 0 199086038 217594991 416216873 466225682 7823731 -2483040 370537619 371888685 147486312 149217738 223051307 222670947 X Memorial 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. false false 197101309 269368485 Yakima 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. 91174363 136677172 Memorial 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. 27270144 1222691 Memorial 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. 8132610 185500 2493398 323678426 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false true true true false false false false true true false false false true 283 0 true 3312 true true true false false false false false false false false false X 11 10 false false false false true true true true true false true true true true true true true true true true false WA X Timothy Reed VPCFO 5095758000 2811 Tieton Dr Yakima WA 98902 James Berg Director 000.80 X 0 0 0 Scott Wagner Director, Chairman 002.80 X X 0 0 0 Bill Feldmann MD Director, Treasurer 002.60 X X 0 0 0 Buffy Alegria Director 001.00 X 0 0 0 Dave Hargreaves Director, Vice-Chairman 002.80 X X 0 0 0 Craig Mendenhall Director 000.80 X 0 0 0 Sonia Rodriguez-True Director 000.60 X 0 0 0 Gail Weaver Director 000.30 X 0 0 0 Bruce Heiser Director 001.00 X 0 0 0 James Young Director 001.00 002.00 X 0 0 0 Rich Martinez Director 001.00 X 0 0 0 Russell Myers President/CEO 040.00 X 606112 0 6536 Tim Reed Vice President/CFO 040.00 X 332032 0 34957 Scott Lancaster DO MP/CEO 040.00 X 332074 0 16039 Diane Patterson Vice President, CCO 040.00 X 268537 0 68799 James Aberle Vice President, Operations 040.00 X 307792 0 67906 Jeff Yamada Vice President, CIO 040.00 X 221894 0 41873 Matthew Kollman MP/COO 040.00 X 197247 0 35591 Vu Le Physician - MP 040.00 X 709209 0 38430 Lorena DeMarco Garcia Physician - MP 040.00 X 498911 0 52798 Christopher Tan Physician - MP 040.00 X 507019 0 56763 Tekchand Tanwani Physician - MP 040.00 X 517409 0 63744 Kevin Harrington Physician - MP 040.00 X 495541 0 13048 Edward Miles Vice President, Integration and Development, Former Key Employee 040.00 X 240686 0 63458 Jolene Seda Vice President, People Culture, Former Key Employee 040.00 X 217994 0 60240 Shawnie Haas ACO/CEO, Former Key Employee 040.00 X 208096 0 57358 5660553 677540 416 true true false Yakima Heart Center 406 S 30th Ave Ste 201 Yakima WA 98902 Medical and Health Care 11145218 Emergency Associates of Yakima 2811 Tieton Drive Yakima WA 98902 Medical and Health Care 9752135 Yakima Urology Associates 2500 Racquet Lane Yakima WA 98902 Medical and Health Care 5282979 Orthopedics Northwest 1211 N 16th Ave Yakima WA 98902 Medical and Health Care 10650406 V K Powell Construction 1521 Voelker Avenue Yakima WA 98902 Construction Services 12141563 113 2296800 1818560 4115360 Net patient revenue 900099 409049418 409049418 Memorial Physicians 621110 39169778 24886 39144892 Cafe 722210 1992096 1992096 Child Care 624410 861396 861396 Expense Reimbursement 900099 674906 674906 12536 12536 451760130 6787136 6787136 1599388 1406157 193231 193231 -41483 234714 131102 131102 131102 CPS Rebate 900099 143427 143427 Gift Shop 900099 349016 349016 Lab Services 900099 216673 216673 46567 46567 755683 463742642 409761746 39246836 10487598 X 185500 185500 0 0 0 3385221 1985853 1399368 0 204595295 137670255 66925040 9771963 7318864 2453099 16894432 12448579 4445853 13798280 10436429 3361851 0 839663 84076 755587 158000 158000 102094 102094 0 62877081 48670531 14206550 312958 11917 301041 18165802 8861379 9304423 11191819 2994592 8197227 0 9315903 2581646 6734257 1014831 417746 597085 0 0 1763904 124 1763780 1900006 1900006 20831183 20251523 579660 4027672 1796236 2231436 Medical Supplies 34613148 34612908 240 Drugs 33115761 32357493 758268 Dietary Supplies 2391298 382513 2008785 14973868 610262 14363606 466225682 323678426 142547256 0 63333038 67838496 518727 524890 47982971 56666426 422327 738689 7869699 8260156 6667375 6586079 251779631 39311341 198722868 212468290 36664697 10905360 3614382 3626724 2533950 2152779 2207585 2120796 370537619 371888685 66018812 77794348 172907 117049 76290767 68646745 5003826 2659596 147486312 149217738 X 221854680 221371349 1196627 1299598 223051307 222670947 370537619 371888685 X -2483040 2102680 X false true X true true true X 0.00000 0.00000 0.00000 X 42094 175480 60000 108767 102094 284247 466123588 1586599944 466225682 1586884191 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 138835 154766 275782 284247 853630 250000 250000 250000 250000 1000000 1500000 119335 108173 163134 175480 566122 false false false false false false true 60000 false true 42094 102094 false II-A A Yakima 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 continued Virginia 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 continued Virginia Mason Institute, EIN 26-3763656, 1100 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures, 0 Excess Lobbying Expenditures. II-A A continued Virginia 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 continued Benaroya Research Institute at Virginia Mason, EIN 91-0653422, 1201 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures. Excess Lobbying Expenditures 0. false 11107422 11107422 73898327 7071412 66826915 6438267 1173447 5264820 128533138 30328706 98204432 31802477 737776 31064701 212468290 Financial derivatives and other financial products Closely-held equity interests Federal income taxes X X 2 U.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. true true X true X true X true true false true true 6310308 6310308 0.01350 109326864 76369745 32957119 0.07070 115637172 76369745 39267427 0.08420 19 19057 3192551 294469 2898082 0.00620 11 3113 7585238 12840 7572398 0.01620 3 5245 11025451 6392945 4632506 0.00990 1 133 420985 420985 0.00090 17 441770 441770 0.00090 51 27548 22665995 6700254 15965741 0.03410 51 27548 138303167 83069999 55233168 0.11830 1 134900 500 134400 0.00030 2 62 30776 30776 0.00010 3 62 165676 500 165176 0.00040 true 6905202 93913506 160617164 -66703658 X true true 1 1 Yakima Valley Memorial Hospital Association 2811 Tieton Drive Yakima WA 98902 yakimamemorial.org 58 X X X X A A 1 false false true X X X X X X X X X X 16 true false false true X yakimamemorial.org/about-us-community-benefits.asp X X true 17 true yakimamemorial.org/about-us-community-benefits.asp false true X 0000000300.000000000000 0000000300.000000000000 X X true true X X X true X yakimamemorial.org X yakimamemorial.org X yakimamemorial.org X X X X X X true X false X X X X true X false false Group Yakima Valley Memorial Hospital Association Line Part V, Section B, Line 3j Memorials 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 5 Input 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 7d In 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 11 Memorial 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. 36 North Star Lodge 808 N 39th Avenue Yakima WA 98902 Cancer Treatment Facility Valley Imaging 314 S 11th Avenue Yakima WA 98902 Radiology Yakima Heart Center Trust at Memorial 406 S 30th Avenue Suite 101 Yakima WA 98902 Outpatient Physician Clinic Orthopedics Northwest 1211 N 26th Ave Yakima WA 98902 Outpatient Physician Clinic Yakima Valley Home Health 302 S 10th Avenue Yakima WA 98902 Home Health and Hospice Physicians Anesthesia 406 S 30th Ave Ste 202 Yakima WA 98902 Outpatient Physician Clinic Yakima Gastroenterology Associates 3909 Creekside Loop Yakima WA 98902 Outpatient Physician Clinic Pain Center - Water's Edge 1460 N 16th Avenue Suite D Yakima WA 98902 Outpatient Physician Clinic Yakima Urology Associates Trust at Memorial 2500 Racquet Lane Yakima WA 98902 Outpatient Physician Clinic Memorial Sleep Specialists 406 S 30th Avenue Suite 206 Yakima WA 98902 Outpatient Physician Clinic Memorial Cornerstone Medicine 4003 Creekside Loop Yakima WA 98908 Outpatient Physician Clinic Ridgeview Surgery 2500 Racquet Lane Suite 150 Yakima WA 98902 Outpatient Surgery Center Cornerstone Lab 4003 Creekside Loop Yakima WA 98902 Medical Laboratory Ohana 1515 W Yakima Avenue Yakima WA 98902 Mammography Yakima Gastroenterology Associates Ambulatory Surgery 3909 Creekside Loop Suite 120 Yakima WA 98908 Outpatient Physician Clinic Generations OB GYN 3003 Tieton Drive Ste 230 Yakima WA 98902 Outpatient Physician Clinic Yakima Vascular Associates 1607 Creekside Loop Suite 100 Yakima WA 98902 Outpatient Physician Clinic Yakima Ear Nose and Throat 1601 Creekside Loop Yakima WA 98902 Outpatient Physician Clinic Cascade Surgical Partners 3003 Tieton Drive Suite 300 Yakima WA 98902 Outpatient Physician Clinic Lakeview Spine 1470 N 16th Avenue Yakima WA 98902 Therapy Pulmonology 303 Holton Ave Suite 1 Yakima WA 98902 Outpatient Physician Clinic Pacific Crest Family Medicine 311 S 72nd Avenue Yakima WA 98908 Outpatient Physician Clinic Family Medicine of Yakima 504 N 40th Avenue Yakima WA 98908 Outpatient Physician Clinic Apple Valley Family Medicine 1008 S 38th Avenue Yakima WA 98902 Outpatient Physician Clinic Selah Family Medicine 620 N Park Drive Selah WA 98942 Outpatient Physician Clinic Healthy Now West Valley 120 S 72nd Ave Suite 102 Yakima WA 98908 Urgent Care Clinic Yakima Gastroenterology Associates Histology 3909 Creekside Loop Suite 120 Yakima WA 98902 Outpatient Physician Clinic Healthy Now 3909 Creekside Loop Suite 130 Yakima WA 98902 Urgent Care Clinic Healthy Now East Valley 3904 Terrace Heights Drive Yakima WA 98901 Urgent Care Clinic Memorial Outpatient Psych 1460 N 16th Avenue Suite C Yakima WA 98902 Outptient Physician Clinic Yakima Endocrinology Associates 1470 N 16th Avenue Yakima WA 98902 Outpatient Physician Clinic Zillah Family Medicine 616 Railroad Avenue Suite 12 Zillah WA 98953 Outpatient Physician Clinic Yakima Podiatry Associates 1607 Creekside Loop Suite 140 Yakima WA 98902 Outpatient Physician Clinic Healthy Now Zillah 616 Railroad Avenue Suite 12 Zillah WA 98953 Urgent Care Clinic Garden Village 206 S 10th Avenue Yakima WA 98902 Skilled Nursing Facility Children's Village 3801 Kern Road Yakima WA 98902 Child Therapy Part I Line 7 The hospital used ratio of patient care cost to charges methodology to calculate the amount reported in the table derived from worksheets 1 and 2. Part II There 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 2 Memorial 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 4 Memorial 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 8 To the extent that costs using the Medicare cost report exceed charges, this shortfall should be regarded as community benefit because we treat and maintain the health of our large local Medicare population despite the necessary subsidization of these health benefits. Memorial used ratio of patient care cost to charges methodology to calculate the amount on line 6. Our financial statements include a footnote regarding uncollectible accounts which are reported as an offset to patient revenue. Part III Line 9b During the admittance process at Memorial, all patients are provided with the 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 2 Memorial conducts a Community Health Needs Assessment every three years, the two most recent reports can be found at www.yakimamemorial.org/about-us-community-benefits.asp. In addition, the hospital routinely looks at health care indicators from county health rankings, US Census, healthy youth survey, Washington State Department of Health and other sources to assist with program planning and development of community benefit programs. Internal data is also analyzed for development and quality improvement of Community Benefit Health Programs. The current Community Health Needs Assessment was adopted by the Memorial Board of Directors on November 29, 2016 and is publicly available. Part VI Line 3 Memorial informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under 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 4 Yakima 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 5 Memorial is committed to leading, facilitating, partnering and promoting the health of Central Washington. The promotion of community health is accomplished through collaborations, research based education and interventions focused on disparity 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 5 continued 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 5 continued 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. true Prime Time Inc 6 South 2nd Street Ste 815 Yakima WA 98901 911348128 501c3 10000 General Support Sunrise Outreach Center of Yakima 221 E Martin Luther King Jr Blvd Yakima WA 98901 271028426 501c3 20000 General Support Yakima County Development New Vision PO Box 1387 Yakima WA 98907 911284283 501c6 10000 General Support Greater Yakima Chamber 10 North 9th Street Yakima WA 98907 910480620 501c6 15000 General Support Memorial foundation Passion for the Village 2701 Tieton Dr Yakima WA 98902 911022358 501c3 5000 General Support City of Union Gap Sun Camp UG Youth Foundation PO Box 3245 Union Gap WA 98903 911727983 501c3 11000 General Support Wellness House 210 South 11th Ave Ste 40 Yakima WA 98902 911418100 501c3 10000 General Support Union Gospel Mission 1300 N First Street Yakima WA 98901 237050061 501c3 90000 General Support 8 Part I Line 2 Memorial 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. X X X X X false true false false false false false false false Russell Myers President/CEO 495891 104247 5974 1569 4967 612648 Tim Reed Vice President/CFO 280468 48923 2641 16937 18020 366989 Scott Lancaster DO MP/CEO 313107 16321 2646 1524 14515 348113 Diane Patterson Vice President, CCO 228133 37547 2857 40867 27932 337336 James Aberle Vice President, Operations 258989 45845 2958 43661 24245 375698 Jeff Yamada Vice President, CIO 195343 24527 2024 30151 11722 263767 Matthew Kollman MP/COO 173525 21864 1858 9040 26551 232838 Vu Le Physician - MP 406901 301409 899 13500 24930 747639 Lorena DeMarco Garcia Physician - MP 477478 21433 36846 15952 551709 Christopher Tan Physician - MP 406044 98551 2424 31745 25018 563782 Tekchand Tanwani Physician - MP 372527 76061 68821 38814 24930 581153 Kevin Harrington Physician - MP 478610 15267 1664 12228 820 508589 Edward Miles Vice President, Integration and Development, Former Key Employee 211203 26825 2658 35617 27841 304144 Jolene Seda Vice President, People Culture, Former Key Employee 182363 33103 2528 32180 28060 278234 Shawnie Haas ACO/CEO, Former Key Employee 182239 23409 2448 31649 25709 265454 Part I Line 4b In 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 4b Russell 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 7 Variable 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. A Washington Health Care Facilities Authority 911108929 000000000 2012-02-16 24845525 See Part VI false false false B Washington Health Care Facilities Authority 911108929 93870HGN0 2012-08-17 38005000 See Part VI false false false C Washington Health Care Facilities Authority 911108929 000000000 2014-02-21 7050000 Equipment false false false D Washington Health Care Facilities Authority 911108929 000000000 2008-11-18 2100000 Retire Taxable Debt false false false A 15258177 24847230 119976 22008715 2718539 2013 true false true true B 17845000 38011438 2239343 687697 37323741 2005 true true true true C 3717522 7050183 50000 7000183 2015 false false true true D 642201 2100000 2100000 2008 true true A false false true true false false false true B false false true true false false false true C false false true true false false false true D false false true true false false false true A false false true true true false false false true B false false true true false false false false true C false false true true false false false false true D false false true true false false false false true A true B true C true D true Part I Line A, Column F Refund prior bonds 08/20/2009 and construct, remodel, renovate, equip health care facilities owned by the hospital. Part I Line B, Column F Refund prior bonds 03/14/1996 and 11/13/2002 Part II Line 3 The 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 A Issuer 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 B Issuer Name Washington Health Care Facilities Authority. Date the Rebate Computation was performed 07/31/2017 Part IV Line 2C, Column C Issuer 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 D Issuer 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. A Washington Health Care Facilities Authority 911108929 93978HRJ6 2016-11-10 34208306 Building and Equipment false false false A 34338729 2540006 678328 25002246 6118148 false false false true A false false true true false false false true A false true false false false false false false true A true Part II Line 3 The total proceeds do not agree to the issue price in Part I, Column E due to investment earnings/market value fluctuations. BBM Financial Services Entity more than 35 owned by Craig Mendenhall, Director 10575 Insurance products false Miranda Yamada Family member of Jeff Yamada 27972 Employment false M G Wagner Co Inc Entity more than 35 owned by Scott Wagner, Director 233724 Provision of roofing services to Memorial false Part IV Line 1a Name of Organization BBM Financial Services Part IV Line 1b Relationship between interested person and organization Entity more than 35 owned by Craig Mendenhall, Director Part IV Line 1c Amount of Transaction 10,575 Part IV Line 1d Description of Transaction Provision of insurance products to the Hospital Part IV Line 1e Sharing of Organization Revenues No Part IV Line 2a Name of Person Miranda Yamada Part IV Line 2b Relationship between interested person and organization Family member of Jeff Yamada, Key Employee Part IV Line 2c Amount of Transaction 27,972 Part IV Line 2d Description of Transaction Employment with Hospital Part IV Line 2e Sharing of Organization Revenues No Part IV Line 3a Name of Organization M.G. Wagner Co, Inc Part IV Line 3b Relationship Entity more than 35 owned by Scott Wagner, Director Part IV Line 3c Amount of Transaction 233,724 Part IV Line 3d Description of Transaction Provision of roofing services to the Hospital Part IV Line 3e Sharing of Organization Revenues No Form 990, Part VI, Section A, Line 1a The governing body delegates to an Executive Committee comprised of the Chairman, Vice Chairman, Secretary and Treasurer the authority of the Board of Directors in the management of the corporation to act only in time sensitive or emergency situations as determined by the Executive Committee, such authority to be exercised in time periods between regularly scheduled meetings of the Board of Directors. All members of the Executive Committee are members of the governing body of the corporation. The Executive Committee does not have the authority to amend, alter or repeal the Bylaws, elect, appoint or remove any member of the Executive Committee or any director or officer of the corporation amend the articles of incorporation adopt a plan of merger or adopt a plan of consolidation with another corporation authorize the sale, lease or exchange of all or substantially all of the property and assets of the corporation not in the ordinary course of business authorize the voluntary dissolution of the corporation or revoke proceedings therefore adopt a plan for the distribution of the assets of the corporation amend, 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, 7 Virginia 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 11b The VMHS Audit and Compliance Committee ACC, a committee composed of independent community members has been delegated responsibility for oversight of the annual Form 990 preparation process including 1 selection, engagement, and performance of an independent tax preparer 2 review of the annual draft Form 990 and 990-T tax returns, and 3 recommending the final Form 990 and 990-T tax returns for review to the Memorial Board of Directors. Annually, at the September meeting, management and the tax preparer provides the ACC with an initial draft of the Form 990 and present an overview of the Form 990 preparation process. The final draft Form 990 is reviewed 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 12c The 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 15 The VMHS Compensation and Benefits Board Committee, a committee composed solely of independent directors none of whom have a conflict of interest, is accountable for setting reasonable total compensation packages for each Memorial executive, including the CEO, officers and key employees Executives consistent with Virginia 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 19 The organizations Articles, Bylaws, Conflict of Interest Policy, and Financial Statements are made available upon request. Form 990, Part IX, Line 11G Laboratory 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 9 Capital transfers from restricted funds 2,102,680 Memorial Physicians 3800 Summitview Yakima WA 98902 264379419 Medical Services WA 38426640 4659818 Yakima Valley Memorial Hospital Association Central Washington Healthcare Partners LLC 3800 Summitview Yakima WA 98902 453483343 Accountable Care Organization WA 730695 683554 Yakima Valley Memorial Hospital Association Yakima Heart Center at Memorial Trust 2811 Tieton Drive Yakima WA 98902 457017902 Medical Services WA 35904648 Yakima Valley Memorial Hospital Association Yakima Urology at Memorial Trust 2811 Tieton Drive Yakima WA 98902 476620487 Medical Services WA 14248072 Yakima Valley Memorial Hospital Association Garden Village 206 S 10th Avenue Yakima WA 98902 912090034 Skilled Nursing WA 501c3 10 NA false Virginia Mason Health System (VMHS) 1100 Ninth Avenue Seattle WA 98101 911351110 Fundraising WA 501c3 7 NA true Virginia Mason Medical Center 1100 Ninth Avenue Seattle WA 98101 910565539 Health Care WA 501c3 3 VMHS false Virginia Mason Institute 1100 Ninth Avenue Seattle WA 98101 263763656 Education/Research WA 501c3 9 VMMC false Benaroya Research Institute at Virginia Mason 1201 Ninth Avenue Seattle WA 98101 910653422 Research WA 501c3 4 VMHS false false false true false false false false false false true false false false false true true false false false Yakima Valley Memorial Hospital Association 2811 Tieton Drive Yakima WA 98902 910567263 42094 60000 102094 466123588 466225682 293799 73450 0 0 0 Virginia Mason Health System 1100 Ninth Avenue Seattle WA 98101 911351110 0 0 0 12576341 12576341 7925 1981 0 0 0 Virginia Mason Medical Center 1100 Ninth Avenue Seattle WA 98101 910565539 X 133386 48767 182153 1029259580 1029441733 648719 162180 0 0 0 Virginia Mason Institute 1100 Ninth Avenue Seattle WA 98101 263763856 0 0 0 7028082 7028082 4429 1107 0 0 0 Benaroya Research Institute at Virginia Mason 1201 Ninth Avenue Seattle WA 98101 910653422 0 0 0 71612353 71612353 45128 11282 0 0 0