OVERLAKE MEDICAL CENTER & CLINICS: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
OVERLAKE MEDICAL CENTER & CLINICS (EIN 91-0652651)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-05
IRS object ID
201511259349301541
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-05T15:46:09-07:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Clark Nuber PSBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4th St Ste 1700AddressLine1
CityBellevueCity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910652651EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OVERLAKE HOSPITAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlOVERBusinessNameControlTxt
Phone4256885000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11035 116th Ave NEAddressLine1
CityBellevueCity
StateWAState
ZIP Code98004ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGary McLaughlinPersonNm
Person TitleCFOPersonTitleTxt
Signature2015-05-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSara Elizabeth J HyrePreparerPersonNm
PTINP00235495PTIN
Phone4254544919PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJ Michael MarshPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11035 116th Ave NEAddressLine1
CityBellevueCity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$471,798,477GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.overlakehospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionThe 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 Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee2995TotalEmployeeCnt
Total Volunteers545TotalVolunteersCnt
Total Gross UBI$1,322,307TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$114,428NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,427,381PYContributionsGrantsAmt
CY Contributions Grants$3,909,161CYContributionsGrantsAmt
PY Program Service Revenue$416,612,006PYProgramServiceRevenueAmt
CY Program Service Revenue$425,617,699CYProgramServiceRevenueAmt
PY Investment Income$26,564,756PYInvestmentIncomeAmt
CY Investment Income$16,764,851CYInvestmentIncomeAmt
PY Other Revenue$4,152,115PYOtherRevenueAmt
CY Other Revenue$5,192,030CYOtherRevenueAmt
PY Total Revenue$450,756,258PYTotalRevenueAmt
CY Total Revenue$451,483,741CYTotalRevenueAmt
PY Grants And Similar Paid$1,337,853PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,259,976CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$221,074,739PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$223,320,993CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$194,173,446PYOtherExpensesAmt
CY Other Expenses$193,334,099CYOtherExpensesAmt
PY Total Expenses$416,586,038PYTotalExpensesAmt
CY Total Expenses$417,915,068CYTotalExpensesAmt
PY Revenues Less Expenses$34,170,220PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$33,568,673CYRevenuesLessExpensesAmt
Total Assets BOY$610,805,572TotalAssetsBOYAmt
Total Assets EOY$691,544,890TotalAssetsEOYAmt
Total Liabilities BOY$256,501,985TotalLiabilitiesBOYAmt
Total Liabilities EOY$279,296,499TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$354,303,587NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$412,248,391NetAssetsOrFundBalancesEOYAmt
MissionThe 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$332,599,935ExpenseAmt
Revenue$425,433,888RevenueAmt
DescHospital 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 17,207 patients admitted for inpatient medical care for a total of 62,005 patient days. There were 225,242 outpatient visits out of which 43,844 were for emergency care visits. The Hospital delivered 3,551 babies. Overlake Medical Clinics provided 198,288 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 6,683 patients who are uninsured or under insured in the amount of $20,230,000 (estimated cost of $6,741,000). The Hospital provided care to Medicaid patients at rates below the cost of providing services. The payments were less than cost by $9,541,000. In keeping with the Hospital's spirit of giving back to the community, it provided a total of $5,041,000 of community benefit service activities. Overlake Staff spent 3,708 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, 2013 at the Kirkland, Issaquah and Redmond clinics and at the main campus. There were 180 volunters, physicians and staff who helped provide free screenings, tours and overall community goodwill. More than 1,000 participants received 3,662 services and screenings. 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 solidified its place as the leader and provider of the most comprehensive array of cardiac services available to Eastside patients by opening the state-of-the-art David and Shelley Hovind Heart & Vascular Center in August 2013. Overlake Hospital's Cardiac services can be accessed in one convenient location. The new Heart & Vascular Center brings all our people and services in interventional cardiology together, including electrophysiology, cardiac catheterization, interventional radiology and a 15-bed patient care unit. 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. Overlake has been a nationally recognized leader in the cancer center since 1974. 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, families who prefer us for their comprehensive healthcare and through many national awards. Two leading national organizations focused on improving safety and quality in America's hospitals have recognized Overlake Medical Center's efforts to improve care for patients. Overlake was honored with an "A" Hospital Safety Score by The Leapfrog Group, an independent nonprofit organization and advocate for patient safety nationwide. Overlake was the only Eastside hospital to receive Leapfrog's "A" Grade. In addition, Overlake Medical Center earned "Top Performer on Key Quality Measures" recognition from The Joint Commission, the leading accreditor of healthcare organizations in America, for its exemplary performance in using evidence-based clinical processes to improve patient care for heart attack, heart failure, pneumonia and surgical patients.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,660,785ExpenseAmt
Revenue$183,811RevenueAmt
DescEducation 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 38,317 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. The Hospital provided 14,720 nursing education hours on a wide range of topics to internal and external staff and nursing residents.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,259,976ExpenseAmt
Grant$1,259,976GrantAmt
DescOther Grants and Allocations - Grants to Overlake Hospital Foundation and Overlake Hospital Auxiliaries to cover expenses and Grants to others for Community events.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$335,520,696TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountYes (true)EscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document247IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2995EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonEric TeshimaPersonNm
Phone4256885149PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11231 116th Ave Ste 600AddressLine1
CityBellevueCity
StateWAState
ZIP Code980044687ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
John Hayhurst
Chairman10.000.50Yes (X)Yes (X)$0$0$0
Jim Doud
Secretary3.003.00Yes (X)Yes (X)$0$0$0
Patricia Bedient
Treasurer2.001.00Yes (X)Yes (X)$0$0$0
Cecily Hall
Imm Past Chair5.005.00Yes (X)Yes (X)$0$0$0
Bertrand Valdman
Imm Past Chair2.002.00Yes (X)Yes (X)$0$0$0
Robert Campbell
Trustee2.502.50Yes (X)$0$0$0
Jorge Cerda
Trustee2.002.00Yes (X)$0$0$0
Gregory Collins
Trustee1.001.00Yes (X)$0$0$0
Janine Florence
Trustee2.000.50Yes (X)$0$0$0
Kemper Freeman Jr
Trustee1.000.50Yes (X)$0$0$0
David Hovind
Trustee3.003.00Yes (X)$0$0$0
Linda Mahaffey
Trustee2.002.50Yes (X)$0$0$0
Douglas Martin
Trustee1.001.00Yes (X)$0$0$0
Lani Mobius
Trustee2.004.00Yes (X)$0$0$0
Nolan Newman
Trustee1.501.50Yes (X)$0$0$0
Russell Stockdale
Trustee2.000.50Yes (X)$0$0$0
Thomas Stoll MD
Trustee1.501.50Yes (X)$0$0$0
Tim Wan
Trustee2.000.50Yes (X)$0$0$0
J Michael Marsh
President & CEO50.0020.00Yes (X)$0$0$0
Craig Hendrickson
President & CEO50.0020.00Yes (X)$947,014$0$221,693
David Schultz
Vice Pres & COO50.000.00Yes (X)$451,453$0$102,817
Gary McLaughlin
Vice Pres & CFO40.0020.00Yes (X)$559,660$0$145,531
Richard Bryan
Vice President60.000.00$322,363$0$81,599Yes (X)
T D Sam Baxter
Vice President55.000.00$242,913$0$91,918Yes (X)
Caitlin Hillary-Moulding
Vice President55.000.00$341,838$0$78,400Yes (X)
Julie Clayton
Vice President55.000.00$276,116$0$63,448Yes (X)
Kathryn Crossland MD
Medical Oncologist40.000.00$902,257$0$22,109Yes (X)
John Walter Smith MD
Medical Oncologist40.000.00$717,945$0$22,109Yes (X)
Abhineet Chowdhary MD
Neurosurgeon40.000.00$696,344$0$22,205Yes (X)
John Heywood MD
Cardiologist40.000.00$690,743$0$31,775Yes (X)
David Nelson MD
Cardio-Thoracic40.000.00$684,402$0$30,917Yes (X)
Jody Albright
Vice President & CIO48.000.00$487,224$0$49,362Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,320,272TotalReportableCompFromOrgAmt
Total Other Compensation$963,883TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K368IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Gall Landau Young Construction Co
P O Box 6728BellevueWA98008Construction$13,037,689
Epic Systems Corporation
P O Box 88314MilwaukeeWI532880314Software Developer$7,966,754
Denali Advanced Integration
17735 NE 65th StRedmondWA98052IT Support Services$3,100,903
Puget Sound Blood Center
921 Terry AvenueSeattleWA981041256Blood Services$2,901,967
Aldrich & Associates Inc
810 240th St SEBothellWA980219397Construction$2,646,108
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K81CntrctRcvdGreaterThan100KCnt
Related Organizations$3,909,161RelatedOrganizationsAmt
Total Contributions$3,909,161TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Education Services611710$183,811$183,811
Medicare/Medicaid Payment900004$152,300,049$152,300,049
Non Government Payments900004$267,456,969$267,456,969
Other Program Services900004$4,401,594$4,401,594
Program Related Invstmnts900004$1,275,276$1,275,276
FieldValueIRS element (for citing)
Total Program Service Revenue$425,617,699TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,974,947TotalRevenueColumnAmt
Exclusion$5,974,947ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$351,469RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$351,469RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$351,469TotalRevenueColumnAmt
Exclusion$351,469ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$30,874,649SecuritiesAmt
Other$4,866OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$20,008,198SecuritiesAmt
Other$81,413OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,866,451SecuritiesAmt
Other-$76,547OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,789,904TotalRevenueColumnAmt
Exclusion$10,789,904ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$276,739GrossSalesOfInventoryAmt
Cost Of Goods Sold$225,125CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,614TotalRevenueColumnAmt
Exclusion$51,614ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Cafeteria/Catering722210$2,423,598$553,647$1,869,951
Laboratory621500$1,750,223$768,660$981,563
Parking Revenue812930$317,488$317,488

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$297,638TotalRevenueColumnAmt
Exclusion$297,638ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,788,947OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$451,483,741TotalRevenueColumnAmt
Related Or Exempt Func Income$425,617,699RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,322,307UnrelatedBusinessRevenueAmt
Exclusion$20,634,574ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,259,976TotalAmt
Program Services$1,259,976ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,811,610TotalAmt
Program Services$1,008,734ProgramServicesAmt
Management And General$2,802,876ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$176,346,012TotalAmt
Program Services$145,774,448ProgramServicesAmt
Management And General$30,571,564ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,628,326TotalAmt
Program Services$8,874,584ProgramServicesAmt
Management And General$1,753,742ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,778,935TotalAmt
Program Services$15,471,176ProgramServicesAmt
Management And General$4,307,759ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,756,110TotalAmt
Program Services$10,539,665ProgramServicesAmt
Management And General$2,216,445ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$702,029TotalAmt
Program Services$46,770ProgramServicesAmt
Management And General$655,259ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$329,259TotalAmt
Management And General$329,259ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$120,309TotalAmt
Management And General$120,309ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$170,823TotalAmt
Management And General$170,823ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$36,678,155TotalAmt
Program Services$27,547,584ProgramServicesAmt
Management And General$9,130,571ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,521,121TotalAmt
Program Services$26,446ProgramServicesAmt
Management And General$1,494,675ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,188,682TotalAmt
Program Services$4,224,294ProgramServicesAmt
Management And General$2,964,388ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,313,110TotalAmt
Management And General$8,313,110ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,752,375TotalAmt
Program Services$10,673,438ProgramServicesAmt
Management And General$4,078,937ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$490,740TotalAmt
Program Services$230,094ProgramServicesAmt
Management And General$260,646ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$406,973TotalAmt
Program Services$371,027ProgramServicesAmt
Management And General$35,946ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,873,389TotalAmt
Program Services$9,873,389ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33,931,020TotalAmt
Program Services$23,148,300ProgramServicesAmt
Management And General$10,782,720ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,738,109TotalAmt
Program Services$4,635,219ProgramServicesAmt
Management And General$1,102,890ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$64,648,151$64,573,069$75,082
B & O Tax$4,595,569$4,595,569
Licenses & Membership Dues$2,050,009$1,363,826$686,183
Medicaid Prov Assessmnt$1,102,403$1,102,403

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$721,873TotalAmt
Program Services$180,685ProgramServicesAmt
Management And General$541,188ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$417,915,068TotalAmt
Program Services$335,520,696ProgramServicesAmt
Management And General$82,394,372ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,388,882BOYAmt
EOY$24,592,527EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,834,303BOYAmt
EOY$25,942,620EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$52,498,332BOYAmt
EOY$51,076,404EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$285,000BOYAmt
EOY$275,003EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,417,354BOYAmt
EOY$7,284,247EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,054,208BOYAmt
EOY$21,020,773EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$446,203,865LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$225,284,872LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$224,915,153BOYAmt
EOY$220,918,993EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$261,934,346BOYAmt
EOY$295,984,802EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,841,694BOYAmt
EOY$2,905,768EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,366,330BOYAmt
EOY$4,466,666EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,269,970BOYAmt
EOY$37,077,087EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$610,805,572BOYAmt
EOY$691,544,890EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$67,318,096BOYAmt
EOY$79,823,606EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$9,807,498EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$178,539,468BOYAmt
EOY$173,117,249EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$140,650BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,503,771BOYAmt
EOY$16,548,146EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$256,501,985BOYAmt
EOY$279,296,499EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$353,990,502BOYAmt
EOY$410,595,788EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$313,085BOYAmt
EOY$1,652,603EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$354,303,587BOYAmt
EOY$412,248,391EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$610,805,572BOYAmt
EOY$691,544,890EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$33,568,673ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$21,296,887NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,079,244OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd

Section527 Political Org Section527PoliticalOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodePaid Internal FundsPaidInternalFundsAmtEINEIN
Washington State Hospital Assoc
Dept5028 P O Box 34936SeattleWA98124$46,852
Millennia Public Affairs Inc
21127 47th Dr SEBothellWA98021$63,336911809445
American Hospital Association
P O Box 34936SeattleWA98124$10,121
FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$56,973DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$63,336OtherActivitiesAmt
Total Lobbying Expenditures$120,309TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationPart 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

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$211,466,334OtherCostOrOtherBasisAmt
Depreciation$84,668,892DepreciationAmt
Book Value$126,797,442BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,618,177OtherCostOrOtherBasisAmt
Depreciation$3,792,249DepreciationAmt
Book Value$825,928BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$226,277,712OtherCostOrOtherBasisAmt
Depreciation$136,823,731DepreciationAmt
Book Value$89,453,981BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,690,501OtherCostOrOtherBasisAmt
Book Value$1,690,501BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$220,918,993TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Prof Liability Insurance Receivable$34,917,959
Receivable from Affiliates$1,232,097
Remaining Other Assets$927,031
FieldValueIRS element (for citing)
Total Book Value Other Assets$37,077,087TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Other Long Term Liabilities$78,699
Prof Liability Insurance Reserve$14,658,968
Workers' Comp Reserve$1,810,479
FieldValueIRS element (for citing)
Total Liability$16,548,146TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,740,709TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,740,709NetCommunityBenefitExpnsAmt
Total Expense0.01610TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,089,031TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,547,712DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,541,319NetCommunityBenefitExpnsAmt
Total Expense0.02280TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,829,740TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,547,712DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,282,028NetCommunityBenefitExpnsAmt
Total Expense0.03890TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,174,886TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$133,194DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,041,692NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,234,254TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$166,517DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,067,737NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,872,978TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,259,402DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,613,576NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$426,765TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$327,498DirectOffsettingRevenueAmt
Net Community Benefit Expns$99,267NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$283,567TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,245DirectOffsettingRevenueAmt
Net Community Benefit Expns$218,322NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,992,450TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,951,856DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,040,594NetCommunityBenefitExpnsAmt
Total Expense0.01200TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,822,190TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,499,568DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,322,622NetCommunityBenefitExpnsAmt
Total Expense0.05090TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$4,251,405BadDebtExpenseAmt
Bad Debt Expense Attributable$3,231,068BadDebtExpenseAttributableAmt
Reimbursed By Medicare$61,634,328ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$75,686,248CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,051,920MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1Overlake Surgery Center LLCBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivitiesAmbulatory Surgical SvcsPrimaryActivitiesTxt
Org Profit Or Ownership0.33000OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.67000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Overlake Hospital Medical CtrBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11035 116th Ave NEAddressLine1
CityBellevueCity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Website Addressoverlakehospital.orgWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Overlake Hospital Medical CtrBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLoverlakehospital.org/about-us/OwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Form4720 FiledfalseForm4720FiledInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.0000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Other FactorsYes (X)OtherFactorsInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 3 - Account Input from Person Who Represent the CommunityThe 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 7 - Explanation of Needs Not Addressed and Reasons WhyThe 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 12h - Other Factors Used in Determing Amounts Charged PatientsThe percentage discount used to determine the amount patient is responsible for increases based on the amount of the charges before the discount.
Part V, Line 14g - Other Means Hospital Facility Publicized the PolicyA clear, concise summary of the financial assistance application process and the contact information of the office that can assist with the application process is posted at the emergency room, admitting office, and other admitting points of entry. The summary is provided to patients on admission to the hospital. The contact information of the office that can assist with the application process is included on the bill. The website address for the policy will be added to the bill in fiscal 2015.
FieldValueIRS element (for citing)
Facility19FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
OMC-CardiologyPulmonology
1135 116th Ave NE Ste 600BellevueWA98004Cardiology/Pulmonology
OMC-Urgent Care Issaquah
5708 E Lk Sammamish Pkwy Ste 100IssaquahWA98029Urgent Care
OMC-Urgent CarePulmonology Redmond
17209 Redmond WayRedmondWA98052Urgent Care/Pulmonology
OMC-Medical Tower Primary Care
1135 116th Ave NE Ste 110BellevueWA98004Primary Care
OMC-Cardiology Bellevue 1414
1414 116th Ave NE Ste EBellevueWA98004Cardiology
OMC-Downtown Bellevue Primary Care
400 108th Ave NE Ste 100BellevueWA98004Primary Care
OMC-Medical Oncology
1135 116th Ave NE Ste 230BellevueWA98004Oncology
OMC-Primary Care & Specialty Clinic Issaquah
5708 E Lk Sammamish Pkwy Ste 105IssaquahWA98027Primary Care/Bariatric Surgery/Weight Loss
OMC-Radiation Oncology
1135 116th Ave NE Ste 160BellevueWA98004Oncology
OMC-Cardiac Surgery
1135 116th Ave NE Ste 605BellevueWA98004Cardiac Surgery
OMC-Bariatric Surgery
1231 116th Ave Ne Ste 515BellevueWA98004Bariatric Surgery/Weight Loss
OMC-Breast Surgery
1135 116th Ave NE Ste 180BellevueWA98004Breast Surgery
OMC-Primary CareCardiology Redmond
16315 Ne 74th StRedmondWA98052Primary Care/Cardiology
OMC-Gilman Primary Care
450 NW Gilman Blvd Ste 201IssaquahWA98027Primary Care
OMC-PulmonologyCardiology Issaquah
1740 NW Maple Ste 207IssaquahWA98027Pulmonology/Cardiology
OMC-Primary CareCardiology Kirkland
290 Central AveKirklandWA98033Primary Care/Cardiology
OMC-Outpatient PTOccupational Therapy & Speech
1417 116th Ave NE Ste 110BellevueWA98004Physical Therapy/Occupational Therapy/Speech
OMC-Nutrition Services & Senior Health Center
1750 112th Ave NE Ste A101BellevueWA98004Nutrition/Geriatric
OMC-Neurosurgery
1231 116th Ave NE Ste 535BellevueWA98004Neurosurgery

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseThe Hospital and the Clinics provide an allowance for potential uncollectible patient accounts receivable whereby such receivables are reduced to their estimated net realizable value. The Hospital estimates this allowance based on the aging of accounts receivable, historical collection experience by payor, and other relevant factors. The Clinics estimates this allowance based on the historical collection experience by clinic and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured and underinsured patients, the increased burden of co-insurance, and deductibles to be made by patients with insurance and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process. 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 BenefitThe Hospital believes that approximately 76% 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 ExpenseProvision for Bad Debt footnote on attached Audited Financial Statement page 14-15,section 6.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitThe costing methodology for Medicare allowable cost is derived from FY 2014 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 PatientsThe 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 AssessmentThe Hospital conducted a community needs assessment in June 2014 and is using this as the primary basis for assessing the community health needs in the future. In addition, the Hospital distributes feedback forms in all our classes and at our major events, such as our annual community health fair. These forms ask attendees a range of questions, including what other classes or services people would like us to offer. We also include an item in every issue of Healthy Outlook asking people to contact us if they have requests for particular health classes or lectures. Finally, we maintain relationships with other area non-profits and work with them when they identify specific community health needs (e.g. stroke screenings at Hopelink).
Part VI - Patient Education of Eligibility for AssistanceInformation 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 patients 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 InformationThe 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 the City of Renton. It has a population base of approximately 872,339 residents with an ethnic makeup of 67% white, 18% Asian, 8% Hispanic, 7% other. 12% of the residents are 65 or older and another 28% in the 45 to 64 age bracket.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeThe 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 3,662 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 - States Where Community Benefit Report FiledWA
Part VI - Additional InformationPart 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

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

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Amercian Cancer Society
2120 1st Ave NSeattleWA98109131788491501 (c) (3)$10,000$0Sponsor
American Heart Association
P O Box 4002030Des MoinesIA50340135613797501 (c) (3)$10,000$0Sponsor
American Red Cross
P O Box 3097SeattleWA98114530196605501 (c) (3)$10,000$0Sponsor
Bellevue Arts Museum
510 Bellevue Way NEBellevueWA98004916028261501 (c) (3)$15,000$0Sponsor
Bellevue Chamber of Commerce
302 Bellevue SquareBellevueWA98004910533602501 (c) (3)$7,500$0Sponsor
Group Health Foundation
P O Box 34015SeattleWA98124910511770501 (c) (3)$10,000$0Sponsor
Issaquah Schools Foundation
P O Box 835IssaquahWA98027943050254501 (c) (3)$10,000$0Sponsor
Kirkland UncorkedBold Hat Pr
3503 Phinney Ave NSeattleWA98103912152615501 (c) (3)$8,273$0Sponsor
March of Dimes
1904 3rd Ave Ste 230SeattleWA31193131846366501 (c) (3)$10,000$0Sponsor
Overlake Hospital Auxiliaries
1035 116th Ave NEBellevueWA98004237297831501 (c) (3)$95,711$0Support Operations
Overlake Hospital Foundation
1035 116th Ave NeBellevueWA98004911050325501 (c) (3)$1,026,918$0Support Operations
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationOverlake 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Abhineet Chowdhary MD
Neurosurgeon$634,795$40,250$21,299$15,300$6,905$718,549
Caitlin Hillary-Moulding
Vice President$278,656$28,949$34,233$72,004$6,396$420,238$29,205
Craig Hendrickson
President & CEO$656,547$101,990$188,477$208,246$13,447$1,168,707$159,091
David Nelson MD
Cardio-Thoracic$632,032$47,857$4,513$15,300$15,617$715,319
David Schultz
Vice Pres & COO$362,988$47,357$41,108$87,205$15,612$554,270$16,549
Gary McLaughlin
Vice Pres & CFO$427,922$54,277$77,461$129,919$15,612$705,191$52,808
Jody Albright
Vice President & CIO$222,502$28,525$236,197$44,032$5,330$536,586$127,905
John Heywood MD
Cardiologist$661,277$24,000$5,466$15,300$16,475$722,518
John Walter Smith MD
Medical Oncologist$474,869$233,919$9,157$15,300$6,809$740,054
Julie Clayton
Vice President$246,266$19,688$10,162$52,972$10,476$339,564
Kathryn Crossland MD
Medical Oncologist$679,876$198,835$23,546$15,300$6,809$924,366
Richard Bryan
Vice President$261,632$31,500$29,231$71,399$10,200$403,962$22,427
T D Sam Baxter
Vice President$194,506$19,743$28,664$81,445$10,473$334,831$18,085

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.
Part I, Line 7: Non-Fixed payments not listed aboveManagement 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 100% 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 Kathryn Crossland and John Walter Smith, based on productivity and meeting certain individual quality goals. Incentive were paid to Abhineet Chowdhary, John Heywood and David Nelson based on meeting certain individual quality goals.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WA Health Care Facilities Authority
A91110892993978EWQ12003-06-19$22,708,358Refund Prior Issue 12/13/89falsefalsefalse
WA Health Care Facilities Authority
B91110892993978EYZ92005-06-08$162,497,935Construction of FacilityYes (true)falsefalse
WA Health Care Facilities
C91110892993978E7P12010-04-14$99,229,494See Part VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtCapital ExpendituresCapitalExpendituresAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmt
A$17,545,000$22,708,445$371,287$966,000$21,371,1591990Yes (true)falseYes (true)Yes (true)
B$89,465,000$169,310,007$2,136,381$8,175,5682008falsefalseYes (true)Yes (true)$6,516,846$852,750$145,694,524
C$1,305,000$99,229,743$1,660,010$75,000,0002010Yes (true)falseYes (true)Yes (true)$8,292,901$20,000,000$210,770

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
BfalseYes (true)falsefalse0.001100.00110falsefalseYes (true)
CfalsefalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
(no name)
AfalsefalseYes (true)Yes (true)falsefalsefalseYes (true)
IXIS Funding Corp
BfalsefalsefalseYes (true)falseYes (true)falseYes (true)3.1000Yes (true)
(no name)
CfalseYes (true)Yes (true)falsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
ExplanationSchedule K, Part IV, Arbitrage, Line 2c:(a) Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 12/19/2003.(b) Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 05/31/2010.Note regarding the rebate computation on 12/19/2003: Since the bond proceeds have been spent, a spending exception was met, and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary.Part I, Line A, Column (c) - cusip - 93978E WQ1/WR9Part I, Line B, Column (c) - cusip - 93978E YZ9 / YL0 / YF3 / YG1Part I, Line C, Column (f) - Construction of facilities & partially refund prior issue (6/8/05)Part II, Line 3 - The total proceeds do not agree to the issue price in Part I, Column (e) due to investment earnings.Part II, Line 3 - 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 - The date is 7/15/08Part IV, Line 2c, Column B - The date is 7/15/10ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderOverlake Hospital Association is the sole member of Overlake Hospital Medical Center.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyOverlake 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 ShareholdersOverlake Hospital Association, as sole member, 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 ProcessThe 990 is prepared internally and reviewed by an independent accounting firm. The 990 is then reviewed by the President & CEO, CFO, VP System Change Management & CCO, VP Human Resources, 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 ConflictsBoard members and management annually signs 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, Overlake Hospital Medical Center VP Human Resources and General Counsel. This information is also shared with the Chair, Chair-Elect, 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 15b: Compensation Review and Approval Process for Officers and Key EmployeesOverlake's policy and process for Executive Compensation is fully documented in the "Executive Compensation Administration and Compliance Manual". 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 a review of comparable data from external sources. All compensation related decisions for the CEO, COO and Vice Presidents are discussed, deliberated and voted on by the Compensation Committee and documented in the minutes of the meeting. The last compensation review was completed in December, 2013.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableOverlake 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 Medical Center consolidated financial statements are also available on the Overlake Medical Center's website.
Other Changes In Net Assets Or Fund Balances - Other IncreasesAdjustment in Pension Liability = $3079244
Form 990, Part I Line 6 - VolunteersVolunteers provided 43,328 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 18 board members that volunteered their time as board members during the year.
Form 990, Part IV Line 12 - Fin. StmtsThe 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 while the activities of the related organizations are reported on separate IRS Form 990s.
Form 990, Part V Line 7g & 7hOverlake Hospital Medical Center did not receive any contributions of intellectual property, cars, boats, airplanes, or other vehicles.
Form 990, Part VII Line 1a (19) & (20) Compensation of OfficersCraig Hendrickson was President & CEO through April 2014. J. Michael Marsh was President & CEO effective April 2014.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Overlake Medical Clinics LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11035 116th Ave NEAddressLine1
CityBellevueCity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
EIN911932954EIN
Primary ActivitiesMedical ClinicsPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Total Income$31,820,915TotalIncomeAmt
End Of Year Assets$18,079,015EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Overlake Hospital Medical CenterBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Overlake Hospital Foundation
1035 116th Ave NEBellevueWA98004911050325Fund RaisingWA501(c)(3)7Overlake Hospital Medical CenterYes (true)
Overlake Hospital Auxiliaries
1035 116th Ave NEBellevueWA98004237297831Fund RaisingWA501(c)(3)7Overlake Hospital Medical CenterYes (true)
Overlake Hospital Association
1035 116th Ave NEBellevueWA98004911274134Provide SupportWA501(c)(3)11-Type IIYes (true)N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Overlake Hospital Foundation
b$1,026,918Cash
Overlake Hospital Foundation
c$3,165,440Cash
Overlake Hospital Foundation
n$72,451Cash
Overlake Hospital Foundation
o$225,087Cash
Overlake Hospital Auxiliaries
b$95,711Cash
Overlake Hospital Auxiliaries
c$743,721Cash
Overlake Hospital Auxiliaries
n$23,056Cash
Overlake Hospital Auxiliaries
o$139,651Cash
Overlake Hospital Association
k$5,658,073FMV
Overlake Hospital Association
o$193,865Cash
Overlake Hospital Association
q$368,850Cash

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