OVERLAKE MEDICAL CENTER & CLINICS: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: OVERLAKE MEDICAL CENTER & CLINICS (EIN 91-0652651)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-09
IRS object ID: 201841299349302554
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-09T11:37:02-07:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Clark Nuber PS	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10900 NE 4th Ste Ste 1400	AddressLine1Txt
City	Bellevue	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	910652651	EIN

Business Name BusinessName

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1035 116th Ave NE	AddressLine1Txt
City	Bellevue	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Andrew Tokar	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2018-05-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Sara Elizabeth J Hyre	PreparerPersonNm
PTIN	P00235495	PTIN
Phone	4254544919	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	J Michael Marsh	PrincipalOfficerNm
Gross Receipts	$593,329,233	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.overlakehospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	The purpose is to operate a hospital for the care of persons,to participate in education,research and other activities designed to promote general health of the community. The Hospital's mission is to provide medical excellence every day.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	3281	TotalEmployeeCnt
Total Volunteers	441	TotalVolunteersCnt
Total Gross UBI	$1,311,884	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$133,412	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,528,820	PYContributionsGrantsAmt
CY Contributions Grants	$17,703,478	CYContributionsGrantsAmt
PY Program Service Revenue	$499,721,165	PYProgramServiceRevenueAmt
CY Program Service Revenue	$500,814,854	CYProgramServiceRevenueAmt
PY Investment Income	$9,884,081	PYInvestmentIncomeAmt
CY Investment Income	$22,986,148	CYInvestmentIncomeAmt
PY Other Revenue	$6,428,019	PYOtherRevenueAmt
CY Other Revenue	$6,352,662	CYOtherRevenueAmt
PY Total Revenue	$519,562,085	PYTotalRevenueAmt
CY Total Revenue	$547,857,142	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,073,761	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,352,078	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$258,151,469	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$272,318,855	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$235,951,538	PYOtherExpensesAmt
CY Other Expenses	$238,578,880	CYOtherExpensesAmt
PY Total Expenses	$496,176,768	PYTotalExpensesAmt
CY Total Expenses	$513,249,813	CYTotalExpensesAmt
PY Revenues Less Expenses	$23,385,317	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$34,607,329	CYRevenuesLessExpensesAmt
Total Assets BOY	$677,003,032	TotalAssetsBOYAmt
Total Assets EOY	$733,328,963	TotalAssetsEOYAmt
Total Liabilities BOY	$245,396,431	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$243,202,505	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$431,606,601	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$490,126,458	NetAssetsOrFundBalancesEOYAmt
Mission	The purpose is to operate a hospital for the care of persons,to participate in education,research and other activities designed to promote general health of the community. The Hospital's mission is to provide medical excellence every day.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$412,728,807	ExpenseAmt
Revenue	$500,658,327	RevenueAmt
Desc	Hospital Services - Overlake Hospital Medical Center is a nonprofit, independently operated regional center serving the eastern Puget Sound region with medical facilities in Bellevue, Issaquah, Kirkland, and Redmond. Founded in 1953, today Overlake Hospital is a regional leader in health care, providing advanced medical services in the areas of cardiac care, general and specialty surgery, women's services, cancer care and emergency services. The Hospital also has a network of neighborhood clinics in its primary service area. There were 18,232 patients admitted for inpatient medical care for a total of 67,333 patient days. There were 232,427 outpatient visits out of which 48,576 were for emergency care visits. The Hospital delivered 3,805 babies. Overlake Medical Clinics provided 277,772 patient visits. Overlake Hospital demonstrated a commitment to improving the health of the community by supporting many health-related events, programs, clinical research and made various contributions throughout the year that had a direct benefit to the community. The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services. Overlake Hospital provided care to 5,447 patients who were uninsured or under insured at an estimated cost of $5,202,000. The Hospital provided care to Medicaid patients at rates below the cost of providing services. The payments were less than cost by $13,685,000. In keeping with the Hospital's spirit of giving back to the community, it provided a total of $6,136,000 of community benefit service activities. Overlake Staff spent 2,223 hours in the community by participating in, organizing and managing health programs and activities. Overlake sponsors community health events and screenings for the general public. Overlake held four successful Eastside Vitality Health Fair events in September 2017 at the Kirkland, Issaquah and Redmond clinics and at the main campus in October 2017. There were 233 volunteers, physicians and staff who helped provide more than 2,235 free screenings, tours and overall community goodwill. As the health care needs of our community increase and grow more complex, Overlake has strengthened its commitment to providing the most advanced treatment and technology alongside compassionate care every day. Overlake's Heart & Vascular Center provides electrophysiology, cardiac catheterization and interventional radiology services. Since December 2013, the heart valve team at Overlake Hospital Medical Center has been performing the minimally invasive transcatheter aortic valve replacement (TAVR) procedure for patients with severe aortic stenosis. Overlake is the only hospital on the Eastside and one of only four hospitals in the state to provide this procedure. The Cancer Center at Overlake is noted for its newest cancer treatments and most advanced technologies available, as well as for its exceptional patient experience. Overlake's Cancer Center holds three national accreditations: The American College of Surgeons Commission of Cancer, the National Accreditation Program for Breast Cancer (NAPBC), and Overlake is also the only site fully accredited by the American College of Radiation Oncology in Washington State. Overlake's Women and Infants' Center provides a full continuum of care designed for women in their childbearing years and beyond. Overlake offers exceptional care for elderly patients by educating our nurses in effective geriatric care. For more than 30 years, Overlake has been the leader in providing quality adult and adolescent psychiatric care to the Puget Sound community. Our Specialty School is recognized by the school districts as a leader in helping students who need specialized behavioral services by providing academic, social, emotional and behavioral support. Overlake is expanding its network of Medical Clinics throughout the Eastside. Overlake understands how busy people's day to day lives can be, that's why the Hospital provides patients with convenient, accessible medical care located close to where they live and work. Overlake is proud to be recognized as foremost in the region for our focus on our patients and we have been rewarded for it by patients and families who prefer us for their comprehensive healthcare and through many national awards. Overlake Hospital was the first Level III Trauma Center on the Eastside and we are known for providing award-winning, compassionate and patient-centered care. Overlake received many awards and recognitions both regionally and nationally. The Bob and Patty Edwards Arrhythmia Center at Overlake Medical Center is the first on the West Coast and only the 9th in the nation to receive national recognition of atrial fibrillation "AFib" accreditation by the Society of Cardiovascular Patient Care (SCPC), an Institute of the American College of Cardiology that accredits hospitals that have achieved best-in-class standards of care related to the treatment of cardiovascular disease. Overlake Hospital's Bariatric Surgical Center has been accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MSAQIP), a joint program of the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery. Overlake received a Hospital Safety Score "A" letter grade from The Leapfrog Group. Overlake was one of only eight hospitals in the state, and the only one on the Eastside, to received an A. The Medical Center also received Blue Cross-Blue Shield Blue Distinction + for maternity and cardiac care, along with several honors from Healthgrades, a leading online resource for comprehensive information about physicians and hospitals. Overlake has been recognized by Healthgrades a Five-Star Recipient in Cardiac, Orthopedics, Neuroscience, Pulmonary, Gastrointestinal, Appendectomy, Labor and Delivery, Gynecology Surgery and Bariatric. Healthgrades also recognized Overlake Medical Center with awards of excellence. These recognize the top 10% of hospitals in the nation. Healthgrades Joint Replacement Excellence Award, Healthgrades Stroke Care Excellence Award and Healthgrades Gynecologic Surgery Excellence Award.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,373,685	ExpenseAmt
Revenue	$156,527	RevenueAmt
Desc	Education Services - In addition to the excellent care we provide our patients, the Hospital firmly believes education is critical to overall wellness so the organization reaches out to the community to engage and empower its patients in becoming educated healthcare consumers by offering free and low-cost classes for all age groups. Health education is an important part of preventive care. The Education Program provided 51,798 family contact hours offering classes of a wide range of health related topics including women's health, prenatal care, coping skills, dealing with cancer, positive parenting, safety, asthma, heart disease, diabetes, living wills, incontinence, weight loss, maintaining balance, babysitting for teens, CPR and healthy lifestyles.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,352,078	ExpenseAmt
Grant	$2,352,078	GrantAmt
Desc	Other Grants and Allocations - Grants to Overlake Hospital Foundation and Overlake Hospital Auxiliaries to cover expenses and grants to support other community non profit organizations.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$417,454,570	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	267	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3281	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Eric Teshima	PersonNm
Phone	4256885149	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1231 116th Ave Ste 600	AddressLine1Txt
City	Bellevue	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	980044687	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Patricia Bedient
Chairman	5.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
Robert Campbell
Secretary	7.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
Jason Thompson
Treasurer	3.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
Greg Collins
Past Chair	2.00	0.50	Yes (X)	Yes (X)	$0	$0	$0
Jim Doud
Secretary	3.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
Jorge Cerda
Trustee	4.00	4.00	Yes (X)		$0	$0	$0
Janine Florence
Trustee	0.25	0.25	Yes (X)		$0	$0	$0
Kemper Freeman Jr
Trustee	1.00	1.00	Yes (X)		$0	$0	$0
Ted Herb
Trustee	1.50	1.50	Yes (X)		$0	$0	$0
David Hovind
Trustee	3.00	2.00	Yes (X)		$0	$0	$0
Linda Mahaffey
Trustee	2.00	1.00	Yes (X)		$0	$0	$0
N Elizabeth McCaw
Trustee	1.00	0.25	Yes (X)		$0	$0	$0
Nolan Newman
Trustee	2.00	2.00	Yes (X)		$0	$0	$0
Phyllis Stark
Trustee	5.00	7.00	Yes (X)		$0	$0	$0
Russell Stockdale
Trustee	1.50	0.50	Yes (X)		$0	$0	$0
Thomas Stoll MD
Trustee	8.00	1.00	Yes (X)		$42,000	$0	$0
J Michael Marsh
President & CEO	45.00	15.00		Yes (X)	$917,855	$0	$164,927
Thomas Debord
COO	55.00	10.00		Yes (X)	$529,042	$0	$96,000
Gary McLaughlin
CFO thru6/23/17	40.00	10.00		Yes (X)	$667,713	$0	$140,347
Andrew Tokar
Interim CFO	52.00	3.00		Yes (X)	$185,253	$0	$14,031
T D Sam Baxter
Vice President	55.00	0.00			$287,175	$0	$89,610	Yes (X)
Richard Bryan
Vice President	70.00	0.00			$373,264	$0	$78,989	Yes (X)
Valerie Chrusciel
OMC COO	60.00	0.00			$255,379	$0	$48,493	Yes (X)
Julie Clayton
Vice President	55.00	0.00			$344,888	$0	$64,211	Yes (X)
David Knoepfler
Vice President	55.00	0.00			$504,634	$0	$96,866	Yes (X)
Dennis Rochier
OMC CEO	55.00	0.00			$246,547	$0	$42,117	Yes (X)
Abhineet Chowdhary MD
Neurosurgeon	40.00	0.00			$1,107,954	$0	$24,173		Yes (X)
Derek Rodrigues MD
Cardiologist	40.00	0.00			$1,005,795	$0	$34,529		Yes (X)
Frank Bishop MD
Neurosurgeon	40.00	0.00			$771,203	$0	$34,529		Yes (X)
Thien Nguyen MD
Bariatric Surgeon	40.00	0.00			$754,242	$0	$39,829		Yes (X)
William Reece MD
Rad. Oncologist	40.00	0.00			$736,885	$0	$34,453		Yes (X)
Caitlin H Moulding
Former Key Employee	55.00	0.00			$380,371	$0	$75,093			Yes (X)
David Schultz
Former Officer	0.00	0.00			$203,588	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,313,788	TotalReportableCompFromOrgAmt
Total Other Compensation	$1,078,197	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	497	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Gall Landau Young Const Co
P O Box 6728	Bellevue	WA	980080728	Construction	$11,073,559
Bloodworks Northwest
921 Terry Avenue	Seattle	WA	981041256	Blood Services	$3,358,364
Epic Systems Corp
P O Box 88314	Milwaukee	WI	532880314	Software Developer	$3,340,393
Quest Media & Supplies Inc
P O Box 910	Roseville	CA	95678	IT Management & Svcs	$3,002,530
Perkins Coie LLP
1201 3rd Ave Ste 4900	Seattle	WA	981013099	Legal Services	$1,667,182

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	98	CntrctRcvdGreaterThan100KCnt
Related Organizations	$17,703,478	RelatedOrganizationsAmt
Total Contributions	$17,703,478	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Education Services	611710	$156,527	$156,527
Medicare/Medicaid Payment	900004	$185,045,049	$185,045,049
Non Government Payments	900004	$311,158,848	$311,158,848
Other Program Services	900004	$3,029,324	$3,029,324
Program Related Invstmnts	900004	$1,425,106	$1,425,106

Field	Value	IRS element (for citing)
Total Program Service Revenue	$500,814,854	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,868,583	TotalRevenueColumnAmt
Exclusion	$7,868,583	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$346,698	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$346,698	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$346,698	TotalRevenueColumnAmt
Exclusion	$346,698	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$59,973,048	SecuritiesAmt
Other	$388,891	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$44,861,033	SecuritiesAmt
Other	$383,341	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$15,112,015	SecuritiesAmt
Other	$5,550	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,117,565	TotalRevenueColumnAmt
Exclusion	$15,117,565	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$433,134	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$227,717	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$205,417	TotalRevenueColumnAmt
Exclusion	$205,417	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria/Catering	722210	$2,826,584	$2,826,584
Laboratory	621500	$2,583,070	$1,271,186	$1,311,884
Parking Revenue	812930	$390,893	$390,893

Field	Value	IRS element (for citing)
Other Revenue Total	$5,800,547	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$547,857,142	TotalRevenueColumnAmt
Related Or Exempt Func Income	$500,814,854	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,311,884	UnrelatedBusinessRevenueAmt
Exclusion	$28,026,926	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,352,078	TotalAmt
Program Services	$2,352,078	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,755,378	TotalAmt
Program Services	$1,207,149	ProgramServicesAmt
Management And General	$2,548,229	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$214,524,698	TotalAmt
Program Services	$179,686,451	ProgramServicesAmt
Management And General	$34,838,247	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,489,882	TotalAmt
Program Services	$11,487,353	ProgramServicesAmt
Management And General	$2,002,529	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$25,709,027	TotalAmt
Program Services	$20,526,535	ProgramServicesAmt
Management And General	$5,182,492	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,839,870	TotalAmt
Program Services	$12,302,801	ProgramServicesAmt
Management And General	$2,537,069	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,155,979	TotalAmt
Program Services	$47,166	ProgramServicesAmt
Management And General	$2,108,813	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$289,892	TotalAmt
Management And General	$289,892	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$105,986	TotalAmt
Management And General	$105,986	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$187,953	TotalAmt
Management And General	$187,953	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$47,795,870	TotalAmt
Program Services	$35,558,483	ProgramServicesAmt
Management And General	$12,237,387	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,211,702	TotalAmt
Management And General	$1,211,702	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,125,880	TotalAmt
Program Services	$6,537,069	ProgramServicesAmt
Management And General	$3,588,811	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,487,553	TotalAmt
Management And General	$10,487,553	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,344,611	TotalAmt
Program Services	$11,587,509	ProgramServicesAmt
Management And General	$4,757,102	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$532,780	TotalAmt
Program Services	$331,959	ProgramServicesAmt
Management And General	$200,821	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$585,196	TotalAmt
Program Services	$324,656	ProgramServicesAmt
Management And General	$260,540	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,189,724	TotalAmt
Program Services	$7,189,724	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$31,459,057	TotalAmt
Program Services	$22,389,727	ProgramServicesAmt
Management And General	$9,069,330	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,563,232	TotalAmt
Program Services	$5,278,878	ProgramServicesAmt
Management And General	$1,284,354	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$78,211,881	$78,105,663	$106,218
Medicaid Prov Assessmnt	$15,184,906	$15,184,906
Business & Occupation Tax	$5,239,632	$4,448,316	$791,316
Licenses & Membership Dues	$1,826,352	$1,122,524	$703,828

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,080,694	TotalAmt
Program Services	$1,785,623	ProgramServicesAmt
Management And General	$1,295,071	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$513,249,813	TotalAmt
Program Services	$417,454,570	ProgramServicesAmt
Management And General	$95,795,243	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,708,448	BOYAmt
EOY	$20,279,720	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,856,801	BOYAmt
EOY	$9,056,864	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$54,136,176	BOYAmt
EOY	$54,982,913	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$328,168	BOYAmt
EOY	$83,790	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,562,598	BOYAmt
EOY	$9,029,188	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,064,615	BOYAmt
EOY	$9,780,082	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$497,601,312	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$288,638,136	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$203,231,372	BOYAmt
EOY	$208,963,176	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$349,825,106	BOYAmt
EOY	$406,465,719	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,713,621	BOYAmt
EOY	$3,091,331	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,750,984	BOYAmt
EOY	$2,174,952	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,825,143	BOYAmt
EOY	$9,421,228	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$677,003,032	BOYAmt
EOY	$733,328,963	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$82,447,361	BOYAmt
EOY	$75,046,537	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$14,029,371	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$149,804,180	BOYAmt
EOY	$143,316,404	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$13,144,890	BOYAmt
EOY	$10,810,193	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$245,396,431	BOYAmt
EOY	$243,202,505	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$431,574,176	BOYAmt
EOY	$485,041,919	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$32,425	BOYAmt
EOY	$5,084,539	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$431,606,601	BOYAmt
EOY	$490,126,458	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$677,003,032	BOYAmt
EOY	$733,328,963	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$34,607,329	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$19,774,458	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$4,138,070	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd

Section527 Political Org Section527PoliticalOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN
Washington State Hospital Assoc
Dept5028 P O Box 34936	Seattle	WA	98124
Millennia Public Affairs Inc
21127 47th Dr SE	Bothell	WA	98021	911809445
American Hospital Association
P O Box 34936	Seattle	WA	98124

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$57,986	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$48,000	OtherActivitiesAmt
Total Lobbying Expenditures	$105,986	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	Part of the membership dues that are paid to the Washington State Hospital Association and American Hospital Association are used for lobbying purposes.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,151,141	OtherCostOrOtherBasisAmt
Book Value	$2,151,141	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$217,598,967	OtherCostOrOtherBasisAmt
Depreciation	$104,254,184	DepreciationAmt
Book Value	$113,344,783	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,841,115	OtherCostOrOtherBasisAmt
Depreciation	$4,053,733	DepreciationAmt
Book Value	$787,382	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$254,585,271	OtherCostOrOtherBasisAmt
Depreciation	$180,330,219	DepreciationAmt
Book Value	$74,255,052	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,424,818	OtherCostOrOtherBasisAmt
Book Value	$18,424,818	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$208,963,176	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Other Long Term Liabilities	$89,294
Prof Liability Insurance Reserve	$9,072,599
Workers' Comp Reserve	$1,648,300

Field	Value	IRS element (for citing)
Total Liability	$10,810,193	TotalLiabilityAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,202,140	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,202,140	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,818,197	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,132,872	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,685,325	NetCommunityBenefitExpnsAmt
Total Expense	0.02670	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,020,337	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,132,872	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,887,465	NetCommunityBenefitExpnsAmt
Total Expense	0.03680	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,330,308	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$127,525	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,202,783	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,455,263	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,967	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,449,296	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,679,647	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,630,668	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,048,979	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$535,598	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$423,733	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$111,865	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$322,696	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$322,696	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,323,512	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,187,893	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,135,619	NetCommunityBenefitExpnsAmt
Total Expense	0.01190	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,343,849	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,320,765	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,023,084	NetCommunityBenefitExpnsAmt
Total Expense	0.04870	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$2,891,504	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,737,216	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$67,128,193	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$80,847,798	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,719,605	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	Overlake Surgery Center LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Ambulatory Surgical Svcs	PrimaryActivitiesTxt
Org Profit Or Ownership	0.30160	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.69840	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Overlake Hospital Medical Ctr	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1035 116th Ave NE	AddressLine1Txt
City	Bellevue	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Overlake Hospital Medical Ctr	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	overlakehospital.org/about-overlake	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	overlakehospital.org/about-overlake	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	false	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	see 16 J	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	see 16J	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	see 16 J	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the Community	The Community Health Needs Assessment incorporated existing demographic and health data for the communities served by the Hospital. It included collection and analysis of input from persons who represent the broad interests of the community served by the hospital, including those with special knowledge of public health. The health needs were identified from issues supported by primary and secondary data sources gathered for the Community Health Needs Assessment. The needs were indicated by stakeholder interviews, focus groups, and secondary data sources. The needs were confirmed by more than one indicator or data source. Community stakeholders, identified by the hospital, were contacted and asked to participate in the needs assessment. Interview participants included leaders and representatives of medically underserved, low-income, and minority populations, as well as the local health department that has "current data or information relevant to the health needs of the community served by the hospital facility," per IRS requirements. The interviews took into account input from a broad range of persons located in or serving its community including, health care consumers, nonprofit and community-based organizations, academic experts, local government officials, local school districts, health care providers and community health centers.
Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment	Evergreen HealthCHI Franciscan HealthGroup Health CooperativeMultiCare Health SystemNavosSeattle Cancer Care AllianceSeattle Children's HospitalSnoqualmie Valley Hospital DistrictSwedish Medical CenterUW MedicineVirginia Mason
Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why	The Hospital has chosen not to actively address the remaining health need of dental care as identified in the Community Health Needs Assessment. Taking existing hospital and community resources into consideration, Overlake will concentrate on those health needs that we can most effectively address given our areas of focus and expertise.
Part V, Line 16i - Other Means Hospital Facility Publicized the Policy	Part V, Line 16a, 16b, 16c Website:http://www.overlakehospital.org/Financial-Arrangements

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
OMC-Cardiology
1135 116th Ave NE Ste 600	Bellevue	WA	98004	Cardiology
OMC-Issaquah Urgent & Primary Care
5708 E Lk Sammamish Pkwy SE Ste 100	Issaquah	WA	98029	Urgent Care / Primary Care / Specialty Clinic
OMC-Primary Care Hosp Campus Pulmonology Endocrinology
1231 116th Ave NE Ste 400	Bellevue	WA	98004	Primary Care / Pulmonology / Endocrinology
OMC-Urgent Care Redmond
17209 Redmond Way	Redmond	WA	98052	Urgent Care
OMC-Downtown Bellevue Urgent & Primary Care
400 108th Ave NE Ste 100	Bellevue	WA	98004	Urgent Care / Primary Care
OMC-Neurosciences
1135 116th Ave NE Ste 500	Bellevue	WA	98004	Neurosurgery / Neurology
OMC-Medical Oncology & Breast Surgery
1135 116th Ave NE Ste 200	Bellevue	WA	98004	Oncology
OMC-Redmond Primary Care Cardiology Pulmonology Psych
7345 164th Ave NE Ste I-105	Redmond	WA	98052	Primary Care / Cardiology / Pulmonology / Psych
OMC-Outpatient PT Occupational Therapy & Speech
1417 116th Ave NE Ste 110	Bellevue	WA	98004	Physical Therapy / Occupational Therapy / Speech
OMC-Cardiac Surgery
1135 116th Ave Ne Ste 605	Bellevue	WA	98004	Cardiac Surgery
OMC-Kirkland Primary Care Cardiology
290 Central Way	Kirkland	WA	98033	Primary Care / Cardiology
OMC-Colorectal Surgery
1135 116th Ave NE Ste 550	Bellevue	WA	98004	Colorectal Surgery
OMC-Radiation Oncology
1135 116th Ave NE Ste 160	Bellevue	WA	98004	Oncology
OMC-Specialty Clinic Bellevue
1231 116th Ave NE Ste 515	Bellevue	WA	98004	Bariatric & Nutrition Services
OMC-Lake Hills Primary & Urgent Care
619 156th Ave SE	Bellevue	WA	98007	Primary & Urgent Care
OMC-Infectious Diseases
1200 116th Ave NE Ste D	Bellevue	WA	98004	Infectious Disease
OMC-Concierge Services
1231 116th Ave Ne Ste 525	Bellevue	WA	98004	Primary Care
OMC-Senior Health Center
1750 112th Ave NE Ste A101	Bellevue	WA	98004	Geriatric
OMC-Musculoskeletal Medicine
1740 NW Maple St Ste 111	Issaquah	WA	98027	Musculoskeletal Medicine
OMC-Cardiology Issaquah Pulmonology
1740 NW Maple Ste Ste 207	Issaquah	WA	98027	Cardiology / Pulmonology
OMC-Pelvic Health
1135 116th Ave NE Ste 420	Bellevue	WA	98004	Pelvic Health
OMC-Expedia Primary Care
333 108th Ave NE Ste M150	Bellevue	WA	98004	Primary Care

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	Patient bills are reduced by payments, contractual adjustments, charity adjustments, and other adjustments as applicable. Patients are then responsible for any remaining balance. If a patient does not pay the balance or make payment arrangements according to the collection policy, the balance is written off to bad debt. The bad debt expense on Schedule H, Part III, lines 2 and 3 are estimated based on the cost to charge ratio.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	The Hospital believes that approximately 60% of the bad debt expense are related to patients that would be eligible under the Hospital's charity care guidelines had the patient provided the financial information necessary to make the determination. This percentage is based on running credit checks on a sample of accounts that were being sent to bad debts.
Part III, Line 4 - Bad Debt Expense	Provision for Bad Debt footnote on attached Audited Financial Statement page 16, section 6.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	The costing methodology for Medicare allowable cost is derived from FY 2017 Medicare Cost Report. The Hospital believes that all of the Medicare shortfall should be treated as community benefit. The IRS community benefit standard includes the provision of care to Medicare patients and the Hospital continues providing care to the Medicare beneficiaries regardless of the shortfall. By absorbing the Medicare shortfall, the Hospital thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	The Hospital will place a patient's account on hold when a patient's account is being considered for charity. Once a determination has been made that a patient qualifies for charity care, the patient's account is reduced by the charity amount granted and a letter is sent to the patient noting the charity adjustment. The patient may appeal the decision if he/she believes there is additional information that should have been considered or the financial situation has changed. The patient is responsible for any balance remaining after the charity adjustment, if any, and the collection process will continue in the normal process.
Part VI - Needs Assessment	In 2015, the Hospital participated in a collaborative process for the Community Health Needs Assessment as part of the King County Hospitals for a Healthier Community (HHC). HHC is a collaborative of all 12 hospitals and health systems in King County and Public Health-Seattle & King County. The HHC members joined together to identify important health needs and assets in the communities they serve. This shared approach avoids duplication and focuses available resources on a community's most important health needs. Primary data sources took into account input from people who represent the broad interest of the communities served by HHC hospitals and health systems. Stakeholders included representatives of medically underserved, low-income and minority populations, populations with chronic disease needs, local health departments, human service providers, government staff, fire departments, law enforcement, advocacy organizations, hospital staff, groups focused on health disparities, faith communities, labor, and managed care organizations. A total of 11 coalitions and 99 individual organizations or key informants provided information.Secondary data was collected from a variety of local, county and state sources to present a community profile, birth indicators, leading causes of death, access to care, chronic disease, communicable disease, health behaviors, social issues and school and student characteristics. When available, these data sets were presented in the context of King County and Washington, framing the scope of an issue as it relates to the broader community.In addition, the Hospital conducted targeted interviews to gather information and opinions from persons who represent the broad interest of the community served by the hospital. The report includes benchmark comparison data, comparing the Hospital community data findings with Health People 2020 objectives.
Part VI - Patient Education of Eligibility for Assistance	Information about assistance programs starts at the point of registration. Placards describing the financial assistance programs are at all admitting registration desks. Financial assistance can take the form of assistance in qualifying for Medicaid, charity, or prompt pay discounts. Financial counselors are available to discuss the financial arrangements for all patients and they discuss the financial assistance program. The Financial counselors will also assist patients in completing the Hospital's charity care application if the patient brings in information and needs help completing the application. The Hospital engages an outside company to assist patients with applying for Medicaid. General information about the assistance programs is then included as part of each patient statement that is sent to a patient and includes the phone number of the Patient Financial Services department to call for assistance. In addition, as part of the account follow up, Patient Financial Service Representatives will call patients after their second statement and will discuss patient financial assistance as part of the call. Overlake's charity care policy is posted on the Washington State Department of Health's website and on the Hospital's website.
Part VI - Community Information	The Hospital's primary service area is East King County which is bounded by Lake Washington to the west and the Cascade Mountains to the east and extends north to the King County line, near the City of Bothell, and south to Black Diamond. It has a population base of approximately 901,064 residents with an ethnic makeup of 70% white, 19% Asian, 3% African American, 8% other. 12% of the residents are 65 or older and another 28% in the 45 to 64 age bracket.The median household income was $94,002. However, 6.4% of the population was living at or below 100% of the federal poverty level during the 5 year average period from 2008-2012. 15.1% were living at or below 200% of the federal poverty level. 8.6% of adults and 2.2% of children in the community are uninsured.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	The Hospital staff participates in the county wide disaster preparedness group and is the back up to Harborview Medical Center. The Hospital has an open medical staff model. The Hospital operates an active screening program in which we offer free health screenings at least four times annually at community events. The largest one is the annual Overlake Eastside Vitality Community Health Fair in which we provide over 2,000 free screenings including cholesterol, stroke risk, diabetes, and skin cancer. Screening results and free counseling are provided at the events. Those who need to see a physician are given a list of providers, including community medical clinics.
Part VI - Additional Information	Part I, Line 3cIn addition to the FPL criteria, there is a residency requirement to either be a resident of the state of Washington or meet an exception for non residents. Non residents may be eligible for financial assistance while receiving services within the Emergency department or as a result of a direct admission from the Emergency Department. Exceptions to the Washington State residency requirement also include refugees, asylees, and those seeking asylum that possess and can present INS documentation.Part I, Line 7The costing methodology for charity care and unreimbursed Medicaid was the cost to charge method using the cost to charge ratio derived from worksheet 2. The community health improvement cost, health professional education, research and cash and in-kind contributions are direct cost and do not include any indirect cost. The cost for subsidized health services is derived from a cost accounting system that addresses all patient segments.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
American Cancer Society
2120 1st Ave N	Seattle	WA	98109	131788491	501(c)3	$13,110	$0	Sponsor
American Heart Association
P O Box 50085	Prescott	AZ	86304	135613797	501(c)3	$20,000	$0	Sponsor
Bellevue Arts Museum
510 Bellevue Way	Bellevue	WA	98004	916028261	501(c)3	$40,000	$0	Sponsor
Bellevue Chamber of Commerce
330 112th Ave NE Ste 100	Bellevue	WA	98004	910533602	501(c)6	$23,000	$0	Sponsor
Bellevue Schools Foundation
P O Box 40644	Belleve	WA	98015	911080997	501(c)3	$10,000	$0	Sponsor
Issaquah Schools Foundation
P O Box 835	Issaquah	WA	98027	943050254	501(c)3	$10,000	$0	Sponsor
Kirkland Downtown Association
440 Central Way	Kirkland	WA	98033	911943529	501(c)3	$10,000	$0	Sponsor
March of Dimes Foundation
1904 3rd Ave Ste 230	Seattle	WA	98101	131846366	501(c)3	$23,000	$0	Sponsor
Northwest Healthcare Response
7100 Fort Dent Way Ste 210	Tukwila	WA	98188	463002271	501(c)3	$30,000	$0	Sponsor
Overlake Hospital Auxiliaries
1035 116th Ave NE	Bellevue	WA	98004	237297831	501(c)3	$74,565	$0	Support Operations
Overlake Hospital Foundation
1035 116th Ave Ne	Bellevue	WA	98004	911050325	501(c)3	$2,063,203	$0	Support Operations

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	Overlake Hospital Medical Center performs the record keeping for Overlake Hospital Foundation and Overlake Hospital Auxiliaries and monitors its operating expenses as part of the monthly financial review process. The grants are reimbursement for expenses already incurred.Grants to sponsor events of non profit organizations are not monitored beyond verifying that the event occurred.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Abhineet Chowdhary MD
Neurosurgeon	$932,013	$150,000	$25,941	$15,900	$8,273	$1,132,127
Andrew Tokar
Interim CFO	$171,442	$12,932	$879	$6,586	$7,445	$199,284
Caitlin H Moulding
Former Key Employee	$271,908	$50,645	$57,818	$65,296	$9,797	$455,464	$33,614
David Knoepfler
Vice President	$406,535	$90,415	$7,684	$84,429	$12,437	$601,500
David Schultz
Former Officer			$203,588			$203,588	$201,508
Dennis Rochier
OMC CEO	$241,228		$5,319	$38,047	$4,070	$288,664
Derek Rodrigues MD
Cardiologist	$761,877	$225,977	$17,941	$15,900	$18,629	$1,040,324
Frank Bishop MD
Neurosurgeon	$704,764	$61,074	$5,365	$15,900	$18,629	$805,732
Gary McLaughlin
CFO thru6/23/17	$467,970	$108,430	$91,313	$126,455	$13,892	$808,060	$61,411
J Michael Marsh
President & CEO	$703,664	$193,068	$21,123	$147,126	$17,801	$1,082,782
Julie Clayton
Vice President	$272,717	$56,959	$15,212	$52,062	$12,149	$409,099
Richard Bryan
Vice President	$268,992	$51,322	$52,950	$66,684	$12,305	$452,253	$30,093
T D Sam Baxter
Vice President	$215,671	$36,656	$34,848	$77,461	$12,149	$376,785	$20,440
Thien Nguyen MD
Bariatric Surgeon	$598,992	$150,760	$4,490	$21,200	$18,629	$794,071
Thomas Debord
COO	$410,836	$92,310	$25,896	$78,199	$17,801	$625,042
Valerie Chrusciel
OMC COO	$203,481	$40,832	$11,066	$39,517	$8,976	$303,872
William Reece MD
Rad. Oncologist	$586,572	$143,216	$7,097	$21,200	$13,253	$771,338

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 7: Non-Fixed payments not listed above	FormAndLineReferenceDesc
Explanation	Management incentive for the CEO, COO and Vice Presidents are contingent on Overlake Hospital Association's consolidated net operating income for the fiscal year being at least 80% of the net operating income budget. The incentive payment is then based on a combination of meeting organizational and individual goals. The incentive payments are approved by the Governance Committee of the Board.Incentives were paid to Derek Rodrigues, Thien Nguyen and William Reece based on productivity and meeting certain individual quality goals. Incentives were paid to Abhineet Chowdhary and Frank Bishop based on meeting certain individual quality goals.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WA Health Care Facilities Authority
A	911108929	93978E7P1	2010-04-14	$99,229,484	See Part VI	false	false	false
WA Health Care Facilities Authority
B	911108929	93978HKJ3	2014-08-06	$58,116,440	Refund prior issue-6/8/05	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$5,220,000	$99,230,954	$1,660,010	$210,770	$20,000,000	$77,360,174	2010	Yes (true)	false	Yes (true)	Yes (true)
B	$6,260,000	$58,151,860	$825,678	$60,425		$57,265,757	2008	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	0.00110	0.00110	false	Yes (true)	0.01210	false	Yes (true)
B	false	Yes (true)	false	false	0.00140	0.00140	false	Yes (true)	0.00550	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part VI	FormAndLineReferenceDesc
Explanation	Schedule K, Part IV, Arbitrage, Line 2c:(a) Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 08/06/2014.(a) Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was performed: 07/01/2015.Note regarding the rebate computations: 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 I, Line A, Column (f) - Construction of facilities & partially refund prior issue (06/08/05)Part II, Line 3, - The total proceeds do not agree to the issue price in Part I, Column (e) due to investment earnings.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	Overlake Hospital Association has the right to appoint and remove Overlake Hospital Medical Center's Trustees.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Overlake Hospital Association, must approve: (a) any sale or lease of all or substantially all of the assets of the corporation;(b) any increased indebtedness exceeding five percent of the gross patient service revenue during a fiscal year of the corporation;(c) the annual budget of the corporation and any material amendments thereto;(d) the auditors of the corporation; and(e) any amendments to the articles of incorporation and bylaws of the corporation.
Form 990, Part VI, Line 11b: Form 990 Review Process	The 990 is prepared internally and reviewed by an independent accounting firm. The 990 is then reviewed by the President & CEO, CFO, Chief Human Resources and Compliance Officer, and Overlake Hospital Medical Center Finance Committee. The 990 is sent to the Overlake Hospital Medical Center Board members prior to submission to the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Board members and management annually sign a statement which affirms that such person: 1) has received a copy of the Conflict of Interest Policy2) has read and understands the policy3) has agreed to comply with the policy, and4) understands that the corporation is a charitable organization and that in order to maintain their federal tax exemption they must avoid conflicts of interest and engage primarily in activities which accomplish one or more of their tax-exempt functions.A list of all financial interests or other relationships with any organization that has, or can reasonably expected to have, a transaction with the corporation, competes against the corporation, or whose interest materially conflicts with the interest of the corporation is submitted annually to the Overlake Hospital Medical Center Compliance Officer for review. The Compliance Officer summarizes any conflicts of interest and discusses these results with the Chair of the Audit & Compliance Committee, CEO and General Counsel. This information is also shared with the Chair, Committee Chairs, and the CFO. At Board Meetings, members are expected to recuse themselves from voting on issues when there is a conflict of interest.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	Overlake's policy and process for Executive Compensation is fully documented in the "Executive Compensation Administration and Compliance Manual" which was last updated in November of 2016. This manual details the charter of the Compensation Committee of the Board, the compensation philosophy and how salary increases, incentives and benefits and perquisites are administered. Compensation Committee members are independent board members as required by the Charter and By-laws. The process includes an independent consultant who works directly for the Compensation Committee and review of comparable data from external sources. All compensation related decisions for the CEO, COO and other executives are discussed, deliberated and voted on by the Compensation Committee and documented in the minutes of the meeting. The compensation and incentive payment of the CEO is reviewed and approved by the full Board.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Overlake Hospital makes its disclosure of governing documents, conflict of interest policy, and audited financial statements available through the Hospital's administration office. The Overlake Hospital Association consolidated financial statements are also available on the Overlake Medical Center's website.
Other Changes In Net Assets Or Fund Balances - Other Increases	Adjustment in Pension Liability = $4138070
Form 990, Part I Line 6 - Volunteers	Volunteers provided 37,221 hours of service to Overlake Hospital Medical Center during the year. Volunteers provide assistance for patients and guests at point of entry with information, way-finding, and transportation services. In the nursing units, volunteers help answer call lights and provide comfort to support and facilitate the physical, emotional, mental and spiritual health and self-healing of the patient. Included in the total volunteers are 15 board members that volunteered their time as board members during the year.
Form 990, Part IV Line 12 - Fin. Stmts	The financial statements of Overlake Hospital Medical Center are audited on a consolidated basis. This IRS Form 990 for Overlake Hospital Medical Center only contains the activities of the Hospital and Clinics while the activities of other related organizations are reported on separate IRS Form 990s.
Form 990, Part V Line 7g & 7h	Overlake Hospital Medical Center did not receive any contributions of intellectual property, cars, boats, airplanes, or other vehicles.
Form 990, Part VII Section A, Line 1a	Jim Doud was Secretary from July 2016 to December 2016 and Robert Campbell was Secretary from January 2017 to June 2017.Gary McLaughlin was Chief Financial Officer from July 01, 2016 to June 23, 2017. Andrew Tokar was Interim Chief Financial Officer from June 26, 2017 to June 30, 2017.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Overlake Medical Clinics LLC
1035 116th Ave NE	Bellevue	WA	98004	911932954	Medical Clinics	WA	$48,945,929	$24,372,650	Overlake Hospital Medical Center
Overlake Provider Network LLC
1035 116th Ave NE	Bellevue	WA	98004	474545130	Clinically Integrated Network	WA			Overlake Hospital Medical Center

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Overlake Hospital Foundation
1035 116th Ave NE	Bellevue	WA	98004	911050325	Fund Raising	WA	501(c)(3)	7	Overlake Hospital Medical Center	Yes (true)
Overlake Hospital Auxiliaries
1035 116th Ave NE	Bellevue	WA	98004	237297831	Fund Raising	WA	501(c)(3)	7	Overlake Hospital Medical Center	Yes (true)
Overlake Hospital Association
1035 116th Ave NE	Bellevue	WA	98004	911274134	Provide Support	WA	501(c)(3)	11-Type II		Yes (true)	N/A

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

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Overlake Hospital Foundation
b	$2,063,203	Cash
Overlake Hospital Foundation
c	$9,535,710	Cash
Overlake Hospital Foundation
n	$100,240	Cash
Overlake Hospital Foundation
o	$196,625	Cash
Overlake Hospital Auxiliaries
b	$74,565	Cash
Overlake Hospital Auxiliaries
c	$67,768	Cash
Overlake Hospital Auxiliaries
n	$25,881	Cash
Overlake Hospital Auxiliaries
o	$34,208	Cash
Overlake Hospital Auxiliaries
q	$18,347	Cash
Overlake Hospital Association
c	$8,100,000	Cash
Overlake Hospital Association
k	$6,887,933	FMV
Overlake Hospital Association
o	$201,475	Cash
Overlake Hospital Association
q	$486,607	Cash