2015-09-14T16:26:41-05:00 2014-10-31 990 2013-11-01 910567263 YAKIMA VALLEY MEMORIAL HOSPITAL YAKI 5095758000 2811 TIETON DRIVE YAKIMA WA 989023799 RUSSELL MYERS PRESIDENT/CEO 5095758000 2015-09-11 2013 2016-04-25 22:37:26Z RUSSELL MYERS 2811 TIETON DRIVE YAKIMA WA 989023799 395289003 0 X WWW.YAKIMAMEMORIAL.ORG X 1950 WA YAKIMA VALLEY MEMORIAL HOSPITAL'S CORE PURPOSE IS TO INSPIRE PEOPLE TO THRIVE BY CREATING A HEALTHY COMMUNITY. WE HAVE 226 INPATIENT BEDS AND ALSO PROVIDE NUMEROUS DIAGNOSTIC AND THERAPEUTIC SERVICES ON AN OUTPATIENT BASIS. WE ALSO SPONSOR HEALTH RELATED EDUCATIONAL OPPORTUNITIES. 14 14 2742 42697 35398135 -8451910 5763278 4102133 321949966 351898680 5506013 -90151 37513716 37645445 370732973 393556107 0 0 0 0 162417376 191145667 0 0 0 170014590 210840198 332431966 401985865 38301007 -8429758 258259345 255236646 121130767 123365649 137128578 131870997 X YAKIMA VALLEY MEMORIAL HOSPITAL'S CORE PURPOSE IS TO INSPIRE PEOPLE TO THRIVE BY CREATING A HEALTHY COMMUNITY. WE HAVE 226 INPATIENT BEDS AND ALSO PROVIDE NUMEROUS DIAGNOSTIC AND THERAPEUTIC SERVICES ON AN OUTPATIENT BASIS. WE ALSO SPONSOR HEALTH RELATED EDUCATIONAL OPPORTUNITIES. 0 0 166086417 219968001 YAKIMA VALLEY MEMORIAL HOSPITAL SERVED 460,869 OUTPATIENT VISITS FOR VARIOUS SERVICES INCLUDING SURGERY, CANCER CARE, DIAGNOSTIC TESTING, AND THERAPEUTIC SERVICES. THOSE OUTPATIENT SERVICES WERE OFFERED IN A MANNER CONSISTENT WITH THE HOSPITAL'S 501(C)(3) STATUS. THE INTENT OF THE SERVICES IS TO SERVE THE HEALTH CARE NEEDS OF THE COMMUNITY. CHARITY CARE IS PROVIDED PER THE TERMS OF THE HOSPITAL'S CHARITY CARE POLICY. THE HOSPITAL ALSO PROVIDES NUMEROUS EDUCATIONAL SERVICES FOR STUDENT PHYSICIANS, NURSES, AND ALLIED HEALTH CARE PROFESSIONALS. 95554091 129471034 YAKIMA VALLEY MEMORIAL HOSPITAL ADMITTED 11,839 PATIENTS FOR A TOTAL OF 44,323 PATIENT DAYS. THOSE INPATIENT SERVICES WERE OFFERED IN A MANNER CONSISTENT WITH THE HOSPITAL'S 501(C)(3) STATUS. THE INTENT OF THE SERVICES IS TO SERVE THE HEALTH CARE NEEDS OF THE COMMUNITY. CHARITY CARE IS PROVIDED PER THE TERMS OF THE HOSPITAL'S CHARITY CARE POLICY. THE HOSPITAL ALSO PROVIDES NUMEROUS EDUCATIONAL SERVICES FOR STUDENT PHYSICIANS, NURSES, AND ALLIED HEALTH CARE PROFESSIONALS. 16334246 1369188 YAKIMA VALLEY MEMORIAL HOSPITAL PROVIDES DIRECT SUPPORTING SERVICES TO BETTER ASSIST IN PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES, BUT NOT DIRECTLY IDENTIFIABLE WITH EITHER INPATIENT OR OUTPATIENT SERVICES PROVIDED. THESE SERVICES WERE OFFERED IN A MANNER CONSISTENT WITH THE HOSPITAL'S 501(C)(3) STATUS. THE INTENT OF THE SERVICES IS TO SERVE THE HEALTH CARE NEEDS OF THE COMMUNITY. CHARITY CARE IS PROVIDED PER THE TERMS OF THE HOSPITAL'S CHARITY CARE POLICY. THE HOSPITAL ALSO PROVIDES NUMEROUS EDUCATIONAL SERVICES FOR STUDENT PHYSICIANS, NURSES, AND ALLIED HEALTH CARE PROFESSIONALS. 7324435 1090457 COORDINATION OF CHILDRENS SERVICES, RESIDENCY PROGRAMS, AND COMMUNITY EDUCATION REGARDING HEALTH ISSUES. 7324435 1090457 285299189 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 0 0 0 1 205 0 1 2742 1 1 1 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WA X ACCOUNTING DEPARTMENT 5092495065 3800 SUMMITVIEW YAKIMA WA 98902 X JAMES BERG CHAIRMAN 3.00 X X 0 0 0 SCOTT WAGNER VICE-CHAIRMAN 3.00 X X 0 0 0 WILLIAM FELDMANN SECRETARY-TREASURER 2.75 X X 0 0 0 BUFFY ALEGRIA TRUSTEE 1.50 X 0 0 0 SONIA RODRIGUEZ-TRUE TRUSTEE 1.00 X 0 0 0 ROSS KATZ TRUSTEE 1.25 X 0 0 0 LISA SHIELDS TRUSTEE 1.30 X 0 0 0 CRAIG MENDENHALL TRUSTEE 1.50 X 0 0 0 BRIAN PADILLA TRUSTEE 1.50 X 0 0 0 KEITH RIFFE TRUSTEE 2.50 X 0 0 0 DUANE ROSSMAN TRUSTEE 2.00 X 0 0 0 DAVID HARGREAVES TRUSTEE 1.30 X 0 0 0 DARCI SWANSON TRUSTEE UNTIL 12/31/14 1.00 X 0 0 0 ROGER VIELBIG TRUSTEE 1.00 X 0 0 0 GAIL WEAVER TRUSTEE 1.00 X 0 0 0 RUSSELL M MYERS PRESIDENT/CEO STARTING 1/2014 40.00 X 315077 0 -30761 RICHARD W LINNEWEH JR PRESIDENT/CEO UNTIL 1/2014 10.00 X 543618 0 39891 DALE S OLANDER VICE PRESIDENT/CFO UNTIL 4/2014 40.00 X 230997 0 37170 TIM REED VP/CFO STARTING 4/2014, MP COO UNTIL 4/14 40.00 40.00 X 0 180445 32734 THOMAS I BOYD PHYSICIAN 40.00 X 587214 0 36169 TONY HA PHYSICIAN 40.00 X 546912 0 36178 GILBERT K ONG PHYSICIAN 0.00 40.00 X 0 491660 46295 ROBERT J CONROY PHYSICIAN 0.00 40.00 X 0 493650 37483 PALMER WRIGHT PHYSICIAN 0.00 40.00 X 0 470528 32058 2223818 1636283 267217 206 0 1 0 YAKIMA HEART CENTER PS 406 S 30TH AVE YAKIMA WA 98902 CONTRACT EMPLOYEES 10009140 EMERGENCY ASSOCIATES OF YAKIMA 2811 TIETON DR YAKIMA WA 98902 MEDICAL SERVICES 7231940 PHYSICIAN ANESTHESIA ASSOCIATION 406 S 30TH AVE SUITE 202 YAKIMA WA 98902 MEDICAL SERVICES 2367186 COMMUNITY HEALTH OF CENTRAL WASHINGTON 1806 W LINCOLN AVE YAKIMA WA 98902 SUPPORT OF RESIDENCY PROGRAM 1711400 MEDICAL CENTER LABORATORY 1120 W SPRUCE ST YAKIMA WA 98902 MEDICAL SERVICES 1199097 203 2069314 2032819 4102133 NET PATIENT REVENUES 900099 351322167 351322167 EXPENSE REIMBURSEMENTS 900009 472270 472270 EDUC CLASSES AND CONV SALES 900099 104243 104243 351898680 7233 7233 1343797 1618787 -274990 -274990 8430 -283420 16725 114109 -97384 -97384 -97384 MEMORIAL PHYSICIANS 621110 35200768 35200768 CAFE 722210 1890491 1890491 CHILD CARE 624410 740277 740277 88899 188937 -100038 37920435 393556107 351898680 35398135 2157159 X 1606266 1606266 146619154 94948181 51670973 8962722 5804113 3158609 22781570 14752974 8028596 11175955 7391976 3783979 722947 5520 717427 200985 200985 75874 75874 65312185 53338719 11973466 77848925 67935204 9913721 3230311 3230311 7354724 2337766 5016958 876914 482874 394040 2337338 2337338 18076570 18058768 17802 2483825 1892904 590921 ACOI PENSION 16759366 11084944 5674422 LICENSES AND TAXES 15494988 7200000 8294988 MALPRACTICE OUT OF POCK 65246 65246 401985865 285299189 116686676 0 10593263 13857008 1224439 963585 55769157 52739187 576834 1746338 7257266 6502476 6764875 6311975 326637079 205297809 126816388 121339270 44571101 46701266 2518058 2416750 1572396 1375779 595568 1283012 258259345 255236646 51253407 55925761 84551 86299 56720554 59573816 6987766 3710485 6084489 4069288 121130767 123365649 X 135850401 130566101 1278177 1304896 137128578 131870997 258259345 255236646 -8429758 3172177 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 75874 75874 0 PART II-B, LINE 1: PART II-B, LINE 1I: THE HOSPITAL PAID THREE COMPANIES FOR LEGISLATIVE CONSULTING AND LOBBYING FOR A TOTAL OF $75,874. 13590792 13590792 98224909 55238434 42986475 9469698 5002980 4466718 196961865 140930720 56031145 8389815 4125675 4264140 121339270 LEASE PAYABLE 129846 LINE OF CREDIT 3834769 REIMBURSEMENTS 104673 4069288 X PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE HOSPITAL HAS WHOLLY-OWNED SUBSIDIARIES AND A GRANTOR TRUST INTEREST THAT ARE TREATED AS DISREGARDED ENTITIES FOR TAX PURPOSES. THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. THE HOSPITAL HAS ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ACCOUNTING STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AS OF OCTOBER 31, 2014 AND 2013 REQUIRING ACCRUAL. THE HOSPITAL FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EXAMINATION BY U.S. FEDERAL AUTHORITIES FOR YEARS BEFORE 2011. 1 1 X 1 X 1 X 1 1 0 1 1 12054633 7159123 4895510 0.01220 82344349 54386457 27957892 0.06950 94398982 61545580 32853402 0.08170 1658667 468858 1189809 0.00300 2137742 28571 2109171 0.00520 2366462 231065 2135397 0.00530 332493 2025 330468 0.00080 1674484 0 1674484 0.00420 8169848 730519 7439329 0.01850 102568830 62276099 40292731 0.10020 19007 12000 7007 0.00000 30720 30720 0.00010 61774 78486 -16712 0.00000 1578285 254417 1323868 0.00330 1689786 344903 1344883 0.00340 1 5402936 91206806 100926527 -9719721 X 1 0 1 1 YAKIMA VALLEY MEMORIAL HOSPITAL 2811 TIETON DRIVE YAKIMA WA 98902 X X X X YAKIMA VALLEY MEMORIAL HOSPITAL 1 1 X X X X X X X X 12 1 0 1 X WWW.YAKIMAMEMORIAL.ORG X X X X X X X 0 0 1 1 300.000000000000 1 300.000000000000 1 X X X 1 1 X X X X 1 X X 1 X X X X X X 1 X 0 0 YAKIMA VALLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 1J: A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY COLLECTING DATA FOLLOWING THE HEALTHY PEOPLE 2020 FRAMEWORK. THE AREAS OF ASSESSMENT ARE: DEMOGRAPHICS, ACCESS TO HEALTH SERVICES, CHRONIC DISEASE PROFILE, CLINICAL PREVENTIVE SERVICES, MORTALITY, ENVIRONMENTAL QUALITY, INJURY AND VIOLENCE, MCH, MENTAL HEALTH, NUTRITION, PHYSICAL ACTIVITY, OBESITY, REPRODUCTIVE SEXUAL HEALTH, SOCIAL DETERMINATES AND SUBSTANCE USE. ADDITIONAL ONGOING ASSESSMENTS ARE CONDUCTED ON AN ONGOING BASIS TO TRACK NEEDS. DATA SOURCES USED ARE INTERNAL, US CENSUS, BRFSS, HEALTHY YOUTH SURVEY, DEPARTMENT OF HEALTH, CANCER REGISTRY AND MANY OTHER PUBLIC DATA SOURCES. DISPARITY GAPS WERE IDENTIFIED WHEN COMPARING THE STATE OF WASHINGTON TO YAKIMA COUNTY. YAKIMA VALLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 3: INPUT FOR DEVELOPMENT OF THE CHNA WAS THROUGH A WORKGROUP COMPOSED OF REPRESENTATIVES FROM OTHER AGENCIES IN YAKIMA COUNTY AND THE WORKGROUP WAS DIVERSE AND REPRESENTATIVE OF THE POPULATION SERVED. WE HAD REPRESENTATION FROM THE LATINO/HISPANIC AND NATIVE AMERICAN COMMUNITIES. YAKIMA VALLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 5D: THE CHNA WAS MADE PUBLIC THROUGH PRESENTATIONS TO COMMUNITY COALITIONS AND GROUPS. YAKIMA VALLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 7: FOOD INSECURITY IS NOT BEING ADDRESSED BY YAKIMA VALLEY MEMORIAL HOSPITAL BECAUSE OF RESOURCES; WE IDENTIFIED FOUR DIFFERENT PRIORITY AREAS BASED ON NEED AND OUR ABILITY TO ADDRESS THE NEED. HOWEVER, WE ARE WORKING WITH OUR REGIONAL ACCOUNTABLE COMMUNITY OF HEALTH AND PARTNERING WITH OTHERS IN YAKIMA COUNTY TO ADDRESS FOOD INSECURITY AT THE SYSTEMS-LEVEL.MENTAL HEALTH: SUICIDE RATES AMONG SUB-POPULATION AND DEPRESSION AMONG YOUTH, THIS NEED IS NOT BEING ADDRESSED BY YAKIMA VALLEY MEMORIAL HOSPITAL BECAUSE OF RESOURCES AND PARTNER AGENCIES BEING BETTER SUITED TO ADDRESS THIS NEED. 20 YAKIMA GASTROENTEROLOGY ASSOCIATES 3909 CREEKSIDE LOOP YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC YAKIMA EAR NOSE AND THROAT 1601 CREEKSIDE LOOP YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC CORNERSTONE LAB 4003 CREEKSIDE LOOP YAKIMA WA 98908 MEDICAL LABRATORY YAKIMA HEART CENTER TRUST AT MEMORIAL 2811 TIETON DRIVE YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC GARDEN VILLAGE 206 S 10TH AVE YAKIMA WA 98902 SKILLED NURSING FACILITY FAMILY MEDICINE OF YAKIMA 504 S 40TH AVE YAKIMA WA 98908 OUTPATIENT PHYSICIAN CLINIC YAKIMA VASCULAR ASSOCIATES 3999 ENGLEWOOD SUITE 202 YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC CASCADE SURGICAL PARTNERS 3003 TIETON DRIVE SUITE 300 YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC MEMORIAL CORNERSTONE MEDICINE 4003 CREEKSIDE LOOP YAKIMA WA 98908 OUTPATIENT PHYSICIAN CLINIC SELAH FAMILY MEDICINE 620 N PARK DRIVE SELAH WA 98942 OUTPATIENT PHYSICIAN CLINIC PACIFIC CREST FAMILY MEDICINE 311 S 72ND AVE YAKIMA WA 98908 OUTPATIENT PHYSICIAN CLINIC APPLE VALLEY FAMILY MEDICINE 1008 S 38TH AVE YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC MEMORIAL SLEEP SPECIALISTS 406 S 30TH AVE SUITE 206 YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC LAKEVIEW SPINE 1470 N 16TH AVE YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC HEALTHY NOW 3909 CREEKSIDE LOOP SUITE 130 YAKIMA WA 98908 URGENT CARE CLINIC MEMORIAL OUTPATIENT PSYCH 1460 N 16TH AVE SUITE C YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC YAKIMA ENDOCRINOLOGY ASSOCIATES 1470 S 40TH AVE YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC YAKIMA INTERNAL MEDICINE 3003 TIETON DRIVE SUITE 350 YAKIMA WA 98902 OUTPATIENT PHYSICIAN CLINIC HEALTHY NOW EAST VALLEY 3904 TERRACE HEIGHTS DRIVE SUITE D YAKIMA WA 98901 URGENT CARE CLINIC HEALTHY NOW WEST VALLEY 120 S 72ND AVE SUITE 102 YAKIMA WA 98908 URGENT CARE CLINIC PART I, LINE 7: THE HOSPITAL USED RATIO OF PATIENT CARE COST TO CHARGES METHODOLOGY TO CALCULATE THE AMOUNT REPORTED IN THE TABLE DERIVED FROM WORKSHEETS 1 AND 2. PART II, COMMUNITY BUILDING ACTIVITIES: LINE 3- THERE ARE THREE PROGRAMS WHICH PROVIDE COMMUNITY SUPPORT: "RESOLUTION THROUGH SHARING" PROVIDES SUPPORT TO FAMILIES WITH A PREGNANCY OR CHILDBIRTH LOSS. SUPPORT INCLUDES BURIAL AND COORDINATION EXPENSES. "ADVISORY BOARD PARTICIPATION" ALLOWS EMPLOYEE PARTICIPATION IN BOARDS TO PROMOTE STUDENT ENROLLMENT IN HEALTH CARE PROFESSIONS. "DISASTER/EMERGENCY PREPAREDNESS" PROVIDES DESIGNATED EMPLOYEES TO ATTEND MEETINGS IN COMMUNITY, REGION AND COUNTY TO PLAN AND PRACTICE REGIONAL EMERGENCY RESPONSE TO DISASTERS. LINE 5 - THERE IS ONE PROGRAM WHICH PROVIDES LEADERSHIP/DEVELOPMENT TRAINING FOR COMMUNITY MEMBERS: "ORGANIZATIONAL DEVELOPMENT" SUPPORTS EDUCATION/EXPERIENCE FOR PARAMEDIC STUDENTS PRIOR TO RECEIVING THEIR DEGREE/CERTIFICATION. LINE 8- THERE IS ONE PROGRAM WHICH ASSIST IN WORKFORCE DEVELOPMENT: "YOUTHWORKS" IS A YOUTH EMPOWERMENT AND COMMUNITY SERVICE INITIATIVE ENGAGING YOUTH DIRECTLY THROUGH MENTORING, VOLUNTEERING, & PHILANTHROPY.LINE 9- FINANCIAL SUPPORT OF ONCOLOGY CANCER CARE PATIENTS; CHILDHOOD OBESITY PROGRAMS, EARLY INTERVENTION, AND OTHER CHILDREN'S SERVICES; INFANT MORTALITY PREVENTION IN THE NATIVE AMERICAN POPULATION AND OTHER UNMET HEALTH NEEDS IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT. PART III, LINE 4: THE HOSPITAL USED RATIO OF PATIENT CARE COST TO CHARGES METHODOLOGY TO CALCULATE THE AMOUNT ON LINE 2. OUR FINANCIAL STATEMENTS INCLUDE A FOOTNOTE REGARDING UNCOLLECTIBLE ACCOUNTS ON PAGE 16 AND 17 AND ARE REPORTED AS AN OFFSET TO PATIENT REVENUES. PART III, LINE 8: TO THE EXTENT THAT COSTS (USING THE MEDICARE COST REPORT) EXCEED CHARGES, THIS SHORTFALL SHOULD BE REGARDED AS COMMUNITY BENEFIT BECAUSE WE TREAT AND MAINTAIN THE HEALTH OF OUR LARGE LOCAL MEDICARE POPULATION DESPITE THE NECESSARY SUBSIDIZATION OF THESE HEALTH BENEFITS. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY DOESN'T ADDRESS COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY OR FINANCIAL ASSISTANCE. PART VI, LINE 2: THE HOSPITAL ROUTINELY LOOKS AT HEALTH CARE INDICATORS FROM; COUNTY HEALTH RANKINGS, US CENSUS, HEALTHY YOUTH SURVEY AND OTHER SOURCES TO ASSIST WITH PROGRAM PLANNING AND DEVELOPMENT OF COMMUNITY BENEFIT PROGRAMS. INTERNAL DATA IS ALSO ANALYZED FOR DEVELOPMENT AND QUALITY IMPROVEMENT OF COMMUNITY BENEFIT HEALTH PROGRAMS. A COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN DECEMBER OF 2013 AND IS PUBLICLY AVAILABLE. PART VI, LINE 3: WE HAVE A CHARITY CARE POLICY WHICH HAS RECEIVED STATE APPROVAL. THERE ARE NUMEROUS MECHANISMS DOCUMENTED UNDER THE POLICY FOR INFORMING AND EDUCATING PATIENTS AND GUARANTORS. PART VI, LINE 4: THE COMMUNITY SERVED IS PRIMARILY RESIDENTS OF YAKIMA COUNTY, WASHINGTON WITH A SMALL PERCENTAGE (LESS THAN 15%) FROM OUTLYING AREAS. OUR COMMUNITY IS COMPRISED OF 22.6% OF PERSONS BELOW POVERTY LEVEL, 47% OF PERSONS OF HISPANIC OR LATINO ORIGIN AND 45.7% OF PERSONS OF WHITE NON-HISPANIC OR LATINO ORIGIN, AND 5.9% AMERICAN INDIAN AND ALASKA NATIVE. 9.2% OF THE POPULATION IS UNEMPLOYED AND 25.4% HAVE NO HEALTH INSURANCE. PART VI, LINE 5: YAKIMA VALLEY MEMORIAL HOSPITAL IS COMMITTED TO LEADING, FACILITATING, PARTNERING AND PROMOTING THE HEALTH OF CENTRAL WASHINGTON. THE PROMOTION OF COMMUNITY HEALTH IS ACCOMPLISHED THROUGH COLLABORATIONS, RESEARCH BASED EDUCATION AND INTERVENTIONS FOCUSED ON DISPARITY GAPS AND SOME SOCIAL DETERMINATES OF HEALTH. CHILDREN (INCLUDING CHILDREN WITH SPECIAL HEALTH CARE NEEDS), CHRONIC HEALTH ISSUES, AND OTHER RISK FACTORS WHICH CONTRIBUTE TO POOR HEALTH OUTCOMES ARE ADDRESSED. THE HOSPITAL HAS A DEDICATED STAFF, CONTRACTORS AND FTE POSITIONS TO ACCOMPLISH THE DEVELOPMENT, PLANNING AND INTERVENTIONS TO ADDRESS NEED. PART VI, LINE 6: YAKIMA VALLEY MEMORIAL HOSPITAL IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM. FORM 990, PART VI, LINE7 NO COMMUNITY BENEFIT REPORT IS REQUIRED TO BE FILED WITH THE STATE. OUR COMMUNITY BENEFIT REPORT IS MADE PUBLICALLY AVAILABLE ON THE HOSPITAL WEBSITE. X X X 0 1 0 0 0 0 0 0 0 RUSSELL M MYERS PRESIDENT/CEO STARTING 1/2014 315077 0 0 0 0 0 -49727 0 18966 0 284316 0 0 0 RICHARD W LINNEWEH JR PRESIDENT/CEO UNTIL 1/2014 543618 0 0 0 0 0 20400 0 19491 0 583509 0 0 0 DALE S OLANDER VICE PRESIDENT/CFO UNTIL 4/2014 230997 0 0 0 0 0 14851 0 22319 0 268167 0 139700 0 TIM REED VP/CFO STARTING 4/2014, MP COO UNTIL 0 180445 0 0 0 0 0 8785 0 23949 0 213179 0 0 THOMAS I BOYD PHYSICIAN 280450 0 306764 0 0 0 17799 0 18370 0 623383 0 0 0 TONY HA PHYSICIAN 280465 0 266447 0 0 0 17799 0 18379 0 583090 0 0 0 GILBERT K ONG PHYSICIAN 0 428268 0 63392 0 0 0 17799 0 28496 0 537955 0 0 ROBERT J CONROY PHYSICIAN 0 493650 0 0 0 0 0 20400 0 17083 0 531133 0 0 PALMER WRIGHT PHYSICIAN 0 307379 0 163149 0 0 0 15198 0 16860 0 502586 0 0 PART I, LINE 4B IN JULY 2002, THE HOSPITAL'S BOARD OF TRUSTEES ADOPTED A SALARY CONTINUATION PLAN (THE "PLAN"), IN THE FORM OF A NON-QUALIFIED RETIREMENT BENEFIT FOR SENIOR EXECUTIVES. THE RETIREMENT BENEFIT PROVIDED BY THE PLAN IS SUPPLEMENTARY TO THE HOSPITAL'S EMPLOYEE PENSION PLAN, TAX-DEFERRED ANNUITY RETIREMENT PLAN, 401(K) PLAN AND SOCIAL SECURITY RETIREMENT EARNINGS. BENEFITS ARE CALCULATED AS THE DIFFERENCE BETWEEN THE PROJECTED AGE-65 VALUE OF THE AFOREMENTIONED BENEFITS AND 75% OF THE LUMP SUM AT AGE 65. NO BENEFITS UNDER THE PLAN ARE GENERALLY AVAILABLE FOR A SENIOR EXECUTIVE WHO RETIRES PRIOR TO HIS/HER 65TH BIRTHDAY. FUNDING FOR THE PLAN BEGAN IN 2002, AND THE HOSPITAL FIRST BEGAN ACCRUING A LIABILITY FOR THE PLAN DURING THE FISCAL YEAR ENDING OCTOBER 31, 2005. THE HOSPITAL'S LIABILITY ACCRUAL IS BASED ON THE ASSUMPTION THAT ALL NINE EXECUTIVES WILL BE WORKING UNTIL AGE 65. MR. RUSSELL M MYERS IS THE CEO OF YAKIMA VALLEY MEMORIAL HOSPITAL. AS OF 10/31/2014 MR. MYERS IS 60 YEARS OLD AND HAS BEEN IN HIS CURRENT AND OTHER CAPACITIES AT THE HOSPITAL SINCE 1989. MR. MYERS' ACCRUED BENEFITS UNDER THE PLAN DECREASED IN THE AMOUNT OF $70,127 DURING THE 2014 CALENDAR YEAR. MR. DALE S OLANDER IS THE CFO OF YAKIMA VALLEY MEMORIAL HOSPITAL. AS OF 10/31/14 MR. OLANDER IS 58 YEARS OLD AND HAS BEEN IN CURRENT AND OTHE CAPACITIES AT THE HOSPITAL SINCE 2000. MR. OLANDER ACCRUED BENEFITS UNDER THE PLAN DECREASED IN THE AMOUNT OF $3,552 DURING THE 2014 CALENDAR YEAR. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 NONEAVAIL 2012-02-16 24845525 SEE PART VI 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93870HGN0 2012-08-17 38005000 REFUND PRIOR BONDS (3/14/96 & 11/13/02) 0 0 0 C WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 NONEAVAIL 2014-02-21 7050000 EQUIPMENT 0 0 0 D WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 NONEAVAIL 2008-11-18 2100000 RETIRE TAXABLE DEBT 0 0 0 A 6258815 24847230 119976 22008715 2718539 2013 1 0 1 1 B 5170000 38011438 2287206 687697 37323741 2005 1 1 1 1 C 622830 7050158 50000 5899470 1100688 0 0 0 1 D 376082 2100000 2100000 2008 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 D 0 1 0 0 0.00480 0.00230 0.00710 0 0 0 A 0 1 1 0 1 0 0 0 1 B 0 1 1 0 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 0 1 1 0 0 0 0 0 A 1 B 1 C 1 D 1 SCHEDULE K, PART IV, LINE 2C: (A) ISSUER NAME: WASHINGTON HLEATH CARE FACILITIES AUTH DATE OF THE REBATE COMPUTATION WAS PERFORMED: 5/18/2009 NOTE REGARDING THE REBATE COMPUTATION: 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. FORM 990, SCHEDULE K, PART I, COLUMN (F) REFUND PRIOR BONDS (08/20/09) AND CONSTRUCT, REMODEL, RENOVATE, EQUIP HEALTH CARE FACILITIES OWNED BY THE HOSPITAL. FORM 990, SCHEDULE K, PART I, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. FORM 990, SCHEDULE K, PART II, LINE 3 THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMARTION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. EMERGENCY ASSOCIATES OF YAKIMA PLLC BRIAN PADILLA, TRUSTEE, IS A PHYSICIAN SHAREHOLDER OF THE INTERESTED PERSON 7473965 EMERGENCY ROOM PHYSICIAN COMPENSATION AND MEDICAL STAFF OFFICER COMPENTSATION 0 KATE ROSSMAN FAMILY MEMBER OF DUANE ROSSMAN, TRUSTEE 70986 EMPLOYEE OF HOSPITAL 0 MICHAEL LINNEWEH FAMILY MEMBER OF RICHARD LINNEWEH, KEY EMPLOYEE 32950 EMPLOYEE OF HOSPITAL. 0 PHYSICIAN ANESTHESIA ASSOCIATION ROSS KATZ, SHAREHOLDER OF PHYSICIAN ANESTHESIA ASSOC., TRUSTEE OF YVMH 2368886 PHYSICIAN ANESTHESIA ASSOCIATION PROVIDES ANESTHESIA SERVICES FOR THE HOSPITAL. 0 ARGUS INSURANCE DAVE HARGREAVES, TRUSTEE, IS A PARTNER IN THE INTERESTED PERSON 1657609 INSURANCE SERVICES 0 YAKIMA HEART CENTER PS ROGER VIELBIG, TRUSTEE, IS A PHYSICIAN SHAREHOLDER OF THE INTERESTED PERSON 10009140 CONTRACT EMPLOYEES 0 FORM 990, PART VI, SECTION B, LINE 11 REVIEW IS CONDUCTED BY THE CHIEF ACCOUNTANT, DIRECTOR OF FINANCE, CFO, CEO, BOARD OF TRUSTEES AND FULL GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS ARE DISCLOSED. PERSONS HAVING A CONFLICT MAY NOT BE DECISION-MAKERS IN AREAS WHERE CONFLICTS EXIST. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS SET AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES FOLLOWING REVIEW OF COMPARABILITY AND PERFORMANCE DATA. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE FILED WITH THE WASHINGTON SECRETARY OF STATE. CONFLICT OF INTEREST POLICY IS CONTAINED IN A BUSINESS ETHICS BROCHURE. FINANCIAL STATEMENTS ARE FILED WITH THE WASHINGTON STATE DEPARTMENT OF HEALTH. FORM 990, PART VII, COLUMN (A) COMPENSATION PAID BY A RELATED ORGANIZATION IS PROVIDED FOR THE ENTIRE CALENDAR YEAR ENDING WITHIN THE TAX YEAR. THE RELATED ORGANIZATION WAS RELATED DURING THE ENTIRE TAX AND CALENDAR YEAR. FORM 990, PART IX, LINE 11G REFERENCE LABS: PROGRAM SERVICE EXPENSES 940,275. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 940,275. SUPPORT OF RESIDENCY PROGRAMS: PROGRAM SERVICE EXPENSES 1,299,844. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,299,844. PHYSICIANS SERVICES: PROGRAM SERVICE EXPENSES 34,772,793. MANAGEMENT AND GENERAL EXPENSES 743,917. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,516,710. RED CROSS PROCESSING: PROGRAM SERVICE EXPENSES 2,108,097. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,108,097. PUBLIC RELATION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 927,521. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 927,521. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 697,743. MANAGEMENT AND GENERAL EXPENSES 345,263. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,043,006. INDEPENDENT CONTRACTORS: PROGRAM SERVICE EXPENSES 659,485. MANAGEMENT AND GENERAL EXPENSES 510,327. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,169,812. MEDICAL RECORD CODING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 497,420. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 497,420. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 607,907. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 607,907. DIALYSIS SERVICE: PROGRAM SERVICE EXPENSES 450,252. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 450,252. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 12,410,230. MANAGEMENT AND GENERAL EXPENSES 8,341,111. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,751,341. FORM 990, PART XII, LINE 2C: NO CHANGE FROM LAST YEAR. MEMORIAL PHYSICIANS 3800 SUMMITVIEW YAKIMA WA 98902 911615998 MEDICAL SERVICES WA 35200768 9040979 YAKIMA VALLEY MEMORIAL HOSPITAL CENTRAL WASHINGTON HEALTHCARE PARTNERS LLC 3800 SUMMITVIEW YAKIMA WA 98902 453483343 ACCOUNTABLE CARE ORG WA 0 2403581 YAKIMA VALLEY MEMORIAL HOSPITAL YAKIMA VALLEY MEMORIAL PHYSICIANS PO BOX 9787 YAKIMA WA 98909 753186720 MEDICAL SERVICES WA 37201571 YAKIMA VALLEY MEMORIAL HOSPITAL YAKIMA HEART CENTER AT MEMORIAL TRUST 2811 TIETON DR YAKIMA WA 98902 457017902 MEDICAL SERVICES WA 7357954 YAKIMA VALLEY MEMORIAL HOSPITAL GARDEN VILLAGE 206 S 10TH AVE YAKIMA WA 98902 912090034 SKILLED NURSING WA 501(C)(3) 9 N/A 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0