YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION (EIN 91-0567263)
- Tax period
- 2011-11-01 to 2012-10-31
- Filed
- 2013-09-13
- IRS object ID
- 201312569349300641
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-09-13T15:03:49-05:00 | Timestamp |
| Tax Period End Date | 2012-10-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-11-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910567263 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YAKIMA VALLEY MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | YAKI | NameControl |
| Phone | 5095758000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2811 TIETON DRIVE | AddressLine1 |
| City | YAKIMA | City |
| State | WA | State |
| ZIP Code | 989023799 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD W LINNEWEH JR | Name |
| Title | PRESIDENT | Title |
| Phone | 5095758000 | Phone |
| Date Signed | 2013-09-13 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICHARD W LINNEWEH JR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2811 TIETON DRIVE | AddressLine1 |
| City | YAKIMA | City |
| State | WA | State |
| ZIP Code | 989023799 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 359951681 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.YAKIMAMEMORIAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1950 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | YAKIMA VALLEY MEMORIAL HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THOSE WE SERVE. WE HAVE 226 INPATIENT BEDS AND ALSO PROVIDE NUMEROUS DIAGNOSTIC AND THERAPEUTIC SERVICES ON AN OUTPATIENT BASIS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2819 | TotalNbrEmployees |
| Total Nbr Volunteers | 578 | TotalNbrVolunteers |
| Total Gross UBI | 35839477 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -16774324 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5169909 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7867263 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 284491296 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 311839705 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 928394 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3237582 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 33739753 | OtherRevenuePriorYear |
| Other Revenue Current Year | 34977663 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 324329352 | TotalRevenuePriorYear |
| Total Revenue Current Year | 357922213 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 178123228 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 200316254 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 149012403 | OtherExpensePriorYear |
| Other Expenses Current Year | 164120297 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 327135631 | TotalExpensesPriorYear |
| Total Expenses Current Year | 364436551 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2806279 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -6514338 | RevenuesLessExpensesCY |
| Total Assets BOY | 252633872 | TotalAssetsBOY |
| Total Assets EOY | 254524051 | TotalAssetsEOY |
| Total Liabilities BOY | 133348803 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 155696480 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 119285069 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 98827571 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | YAKIMA VALLEY MEMORIAL HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THOSE WE SERVE. WE HAVE 226 INPATIENT BEDS AND ALSO PROVIDE NUMEROUS DIAGNOSTIC AND THERAPEUTIC SERVICES ON AN OUTPATIENT BASIS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 127203086 | Expense |
| Revenue | 182397314 | Revenue |
| Description | YAKIMA VALLEY MEMORIAL HOSPITAL SERVED 444,405 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 90893679 | Expense |
| Revenue | 128993886 | Revenue |
| Description | YAKIMA VALLEY MEMORIAL HOSPITAL ADMITTED 14,272 PATIENTS FOR A TOTAL OF 52,799 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 16543844 | Expense |
| Revenue | 401974 | Revenue |
| Description | 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. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7132551 | Expense |
| Grants | 0 | Grants |
| Revenue | 46531 | Revenue |
| Description | COORDINATION OF CHILDREN'S SERVICES, RESIDENCY PROGRAMS, COMMUNITY EDUCATION REGARDING HEALTH ISSUES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 7132551 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 46531 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 241773160 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 261 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2819 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | WA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACCOUNTING DEPARTMENT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5095758070 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3800 SUMMITVIEW | AddressLine1 |
| City | YAKIMA | City |
| State | WA | State |
| ZIP Code | 98902 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| BILL DOLSEN | |||||||||
| CHAIRMAN | 6.00 | X | X | 0 | 0 | 0 | |||
| JIM BERG | |||||||||
| VICE-CHAIRMAN | 6.00 | X | X | 0 | 0 | 0 | |||
| THOMAS STOKES | |||||||||
| SECRETARY-TREASURER | 6.00 | X | X | 0 | 0 | 0 | |||
| SCOTT WAGNER | |||||||||
| SECRETARY-TREASURER | 6.00 | X | X | 0 | 0 | 0 | |||
| BUFFY ALEGRIA | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| CONNIE FARINA | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| BILL FELDMANN | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| ROSS KATZ | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| LISA SHIELDS LONG | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| CRAIG MENDENHALL | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| BRIAN PADILLA | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| KEITH RIFFE | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| DUANE ROSSMAN | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| BENJAMIN SORIA | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| DARCI SWANSON | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| ROGER VIELBIG | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| RICHARD W LINNEWEH JR | |||||||||
| PRESIDENT/CEO | 40.00 | 523731 | 0 | 38634 | X | ||||
| RUSSELL M MYERS | |||||||||
| VICE PRESIDENT/COO | 40.00 | 294205 | 0 | -90692 | X | ||||
| DALE S OLANDER | |||||||||
| VICE PRESIDENT/CFO | 40.00 | 161637 | 0 | 66274 | X | ||||
| BRETT QUAVE | |||||||||
| PHYSICIAN | 40.00 | 787189 | 0 | 36677 | X | ||||
| GEORGE GADE | |||||||||
| PHYSICIAN | 40.00 | 0 | 720715 | 32326 | X | ||||
| AMARNATH RAMAKRISHNAN | |||||||||
| PHYSICIAN | 40.00 | 0 | 530268 | 32326 | X | ||||
| GILBERT K ONG | |||||||||
| PHYSICIAN | 40.00 | 0 | 493566 | 32326 | X | ||||
| JUSTIN A ROBINSON | |||||||||
| PHYSICIAN | 40.00 | 0 | 478068 | 32326 | X | ||||
| JOHN G VORNBROCK | |||||||||
| FORMER CFO | 40.00 | 1522000 | 0 | 23854 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3288762 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2222617 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 204051 | TotalOtherCompensation |
| Number Individuals GT100 K | 280 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EMERGENCY ASSOCIATES OF YAKIMA | |||||
| 2811 TIETON DR | YAKIMA | WA | 98902 | MEDICAL SERVICES | 6790665 |
| PHYSICIAN ANESTHESIA ASSOCIATION | |||||
| 406 S 30TH AVE | YAKIMA | WA | 98902 | MEDICAL SERVICES | 2090000 |
| COMMUNITY HEALTH OF CENTRAL WASHINGTON | |||||
| 1806 W LINCOLN AVE | YAKIMA | WA | 98902 | SUPPORT OF RESIDENCY PROGRAM | 1493330 |
| YAKIMA HEART CENTER | |||||
| 406 S 30TH AVE | YAKIMA | WA | 98902 | MEDICAL SERVICES | 1448029 |
| MEDICAL CENTER LABORATORY | |||||
| 1120 W SPRUCE | YAKIMA | WA | 98902 | MEDICAL SERVICES | 1174158 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 41 | NumberOfContractorsGT100K |
| Government Grants | 1570640 | GovernmentGrants |
| All Other Contributions | 6296623 | AllOtherContributions |
| Total Contributions | 7867263 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUES | 900099 | 311214444 | 311214444 |
| EDUC CLASSES AND CONV | 900099 | 625261 | 625261 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 311839705 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3213163 | TotalRevenueColumn |
| Exclusion | $3,213,163 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50983 | TotalRevenueColumn |
| Exclusion | $50,983 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1857366 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1920659 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -63293 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -63293 | TotalRevenueColumn |
| Unrelated Business Revenue | -25209 | UnrelatedBusinessRevenue |
| Exclusion | -$38,084 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 82245 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 108809 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -26564 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -26564 | TotalRevenueColumn |
| Exclusion | -$26,564 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| MEMORIAL PHYSICIANS | 621110 | 34633146 | 34633146 | |
| CAFE | 722210 | 1675376 | $1,675,376 | |
| LABORATORY SERVICES | 621500 | 1155647 | 1155647 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2423213 | TotalRevenueColumn |
| Unrelated Business Revenue | 75893 | UnrelatedBusinessRevenue |
| Exclusion | -$2,499,106 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 35040956 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 357922213 | TotalRevenueColumn |
| Related Or Exempt Function Income | 311839705 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 35839477 | UnrelatedBusinessRevenue |
| Exclusion | $2,375,768 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1425886 | Total |
| Management And General | 1425886 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143133169 | Total |
| Program Services | 89379104 | ProgramServices |
| Management And General | 53754065 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21849707 | Total |
| Program Services | 13643988 | ProgramServices |
| Management And General | 8205719 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23000123 | Total |
| Program Services | 14362362 | ProgramServices |
| Management And General | 8637761 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10907369 | Total |
| Program Services | 6811076 | ProgramServices |
| Management And General | 4096293 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1906741 | Total |
| Program Services | 265 | ProgramServices |
| Management And General | 1906476 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123888 | Total |
| Management And General | 123888 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105354 | Total |
| Management And General | 105354 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52156879 | Total |
| Program Services | 39322236 | ProgramServices |
| Management And General | 12834643 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68479888 | Total |
| Program Services | 59667492 | ProgramServices |
| Management And General | 8812396 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3102963 | Total |
| Management And General | 3102963 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6445251 | Total |
| Program Services | 1878539 | ProgramServices |
| Management And General | 4566712 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 858246 | Total |
| Program Services | 405463 | ProgramServices |
| Management And General | 452783 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2728177 | Total |
| Management And General | 2728177 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16109083 | Total |
| Program Services | 14800393 | ProgramServices |
| Management And General | 1308690 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2822278 | Total |
| Program Services | 1406312 | ProgramServices |
| Management And General | 1415966 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| LICENSES AND TAXES | 9119619 | 9119619 | |
| MALPRACTICE OUT OF POCK | 95930 | 95930 | |
| ANNUITY | 66000 | 66000 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 364436551 | Total |
| Program Services | 241773160 | ProgramServices |
| Management And General | 122663391 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 566669 | BOY |
| EOY | 1792596 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2113773 | BOY |
| EOY | 3156782 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47315522 | BOY |
| EOY | 52693345 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1823559 | BOY |
| EOY | 1424165 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5800802 | BOY |
| EOY | 6102598 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6759682 | BOY |
| EOY | 6165488 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 298080290 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 173831942 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109695633 | BOY |
| EOY | 124248348 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45367827 | BOY |
| EOY | 51967624 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 3012154 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40412 | BOY |
| EOY | 1770629 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33149993 | BOY |
| EOY | 2190322 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 252633872 | BOY |
| EOY | 254524051 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78421771 | BOY |
| EOY | 75916254 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 320033 | BOY |
| EOY | 208559 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49278712 | BOY |
| EOY | 64017781 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4964632 | BOY |
| EOY | 5665617 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 363655 | BOY |
| EOY | 9888269 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133348803 | BOY |
| EOY | 155696480 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111965070 | BOY |
| EOY | 97680771 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7007314 | BOY |
| EOY | 1146800 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 312685 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119285069 | BOY |
| EOY | 98827571 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 252633872 | BOY |
| EOY | 254524051 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -6514338 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -13943160 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $105,354 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 105354 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | PART II-B LINE 1I: THE HOSPITAL PAID LOBBYING EXPENSES AS A PORTION OF VARIOUS ORGANIZATION MEMBERSHIPS A TOTAL OF $45,354. WE ALSO PAID TWO COMPANIES FOR LEGISLATIVE CONSULTING AND LOBBYING A TOTAL AMOUNT OF $60,000. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13221237 | OtherCostOrOtherBasis |
| Book Value | 13221237 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 6624411 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 89116019 | OtherCostOrOtherBasis |
| Depreciation | 47687379 | Depreciation |
| Book Value | 48053051 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8974882 | OtherCostOrOtherBasis |
| Depreciation | 3640835 | Depreciation |
| Book Value | 5334047 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 171476044 | OtherCostOrOtherBasis |
| Depreciation | 118751189 | Depreciation |
| Book Value | 52724855 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8667697 | OtherCostOrOtherBasis |
| Depreciation | 3752539 | Depreciation |
| Book Value | 4915158 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 124248348 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ANNUITY LIABILITY | $187,994 |
| LEASE PAYABLE | $258,337 |
| NOTE PAYABLE | $19,044 |
| LINE OF CREDIT | $9,262,538 |
| REIMBURSEMENTS | $160,356 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9888269 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | 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 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. EFFECTIVE NOVEMBER 1, 2009, 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, 2012 AND 2011 REQUIRING ACCRUAL. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8577982 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8577982 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02350 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 70322830 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 50597836 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19724994 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05410 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 78900812 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 50597836 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 28302976 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07760 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3766862 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 376046 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3390816 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00930 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1439822 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1439822 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4169439 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4169439 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01140 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 487661 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 74526 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 413135 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 396841 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 396841 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10260625 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 450572 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9810053 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02690 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 89161437 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 51048408 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 38113029 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10450 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3073 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3073 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1349993 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1349993 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1353066 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1353066 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,714,842 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 100536578 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 133964081 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -33427503 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YAKIMA VALLEY MEMORIAL HOSPITAL ASSOC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2811 TIETON DRIVE | AddressLine1 |
| City | YAKIMA | City |
| State | WA | State |
| ZIP Code | 98902 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YAKIMA VALLEY MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 300.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 19 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (19 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| YAKIMA GASTROENTEROLOGY ASSOCIATES | ||||
| 3909 CREEKSIDE LOOP | YAKIMA | WA | 98902 | OUTPATIENT PHYSICIAN CLINIC |
| GARDEN VILLAGE | ||||
| 206 S 10TH AVE | YAKIMA | WA | 98902 | SKILLED NURSING FACILITY |
| MEMORIAL CORNERSTONE MEDICINE | ||||
| 402 S 12TH AVE | YAKIMA | WA | 98902 | OUTPATIENT PHYSICIAN CLINIC |
| YAKIMA EAR NOSE AND THROAT | ||||
| 1601 CREEKSIDE LOOP | YAKIMA | WA | 98902 | OUTPATIENT PHYSICIAN CLINIC |
| FAMILY MEDICINE OF YAKIMA | ||||
| 504 S 40TH AVE | YAKIMA | WA | 98908 | OUTPATIENT PHYSICIAN CLINIC |
| MEMORIAL HOSPITAL PHYSICIANS | ||||
| 2811 TIETON DRIVE | YAKIMA | WA | 98902 | 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 |
| CASCADE SURGICAL PARTNERS | ||||
| 3003 TIETON DRIVE SUITE 300 | YAKIMA | WA | 98902 | OUTPATIENT PHYSICIAN CLINIC |
| YAKIMA VASCULAR ASSOCIATES | ||||
| 3999 ENGLEWOOD SUITE 202 | YAKIMA | WA | 98902 | OUTPATIENT PHYSICIAN CLINIC |
| MEMORIAL SLEEP SPECIALISTS | ||||
| 406 S 30TH AVE SUITE 206 | YAKIMA | WA | 98902 | OUTPATIENT PHYSICIAN CLINIC |
| VALLEY ORTHOPEDIC SURGEONS | ||||
| 3003 TIETON DRIVE SUITE 350 | YAKIMA | WA | 98902 | OUTPATIENT PHYSICIAN CLINIC |
| YAKIMA INTERNAL MEDICINE | ||||
| 3003 TIETON DRIVE SUITE 320 | YAKIMA | WA | 98902 | OUTPATIENT PHYSICIAN CLINIC |
| MEMORIAL OUTPATIENT PSYCH | ||||
| 2811 TIETON DRIVE | YAKIMA | WA | 98902 | OUTPATIENT PHYSICIAN CLINIC |
| YAKIMA ENDOCRINOLOGY ASSOCIATES | ||||
| 1020 S 40TH AVE SUITE B | YAKIMA | WA | 98908 | OUTPATIENT PHYSICIAN CLINIC |
| YAKIMA NEUROSURGERY ASSOCIATES | ||||
| 1470 N 16TH AVE | YAKIMA | WA | 98902 | OUTPATIENT PHYSICIAN CLINIC |
| YAKIMA PLASTIC SURGERY ASSOCIATES | ||||
| 3003 TIETON DRIVE SUITE 330 | YAKIMA | WA | 98902 | OUTPATIENT PHYSICIAN CLINIC |
| YAKIMA HEART CENTER | ||||
| 406 S 30TH AVE | YAKIMA | WA | 98902 | OUTPATIENT PHYSICIAN CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation | Return ReferenceReturnReference |
|---|---|
| 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. | |
| THE AMOUNTS LISTED ON THIS LINE ARE FOR OPERATING LOSSES OF VARIOUS PHYSICIAN CLINICS THAT OPERATE AT A LOSS. | LINE 1: PART I, LINE 7G: |
| PART II: #3 COMMUNITY SUPPORT - STAFF MEMBERS ATTEND MEETINGS AND PARTICIPATE ON THE COMMITTEE FOR THE COMMUNITY/REGION/COUNTY TO PLAN AND PRACTICE REGIONAL EMERGENCY RESPONSE FOR DISASTERS.#9 OTHER COMMUNITY BUILDING ACTIVITIES - FINANCIAL SUPPORT OF ONCOLOGY CANCER CARE, CHILDRENS SERVICES, AND OTHER UNMET COMMUNITY HEALTH NEEDS. | |
| 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 DO NOT INCLUDE A FOOTNOTE REGARDING BAD DEBT AND REPORT BAD DEBT 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: UTILIZED DATA FROM COUNTY PUBLIC HEALTH ASSESSMENT. | |
| 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 (POPULATION 243,231), WITH A SMALL PERCENTAGE (LESS THAN 15%) FROM OUTLYING AREAS. OUR COMMUNITY IS COMPRISED OF 21.8% OF PERSONS BELOW POVERTY LEVEL, 45% OF PERSONS OF HISPANIC OR LATINO ORIGIN AND 47.7% OF PERSONS OF WHITE NON-HISPANIC OR LATINO ORIGIN. | |
| 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 AREAS OF GREATEST NEED; CHILDREN (INCLUDING CHILDREN WITH SPECIAL HEALTH CARE NEEDS), ADULTS WITH CHRONIC HEALTH ISSUES, AND THOSE LIVING IN POVERTY. | |
| PART VI, LINE 6: YAKIMA MEMORIAL HOSPITAL IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD W LINNEWEH JR | |||||||||||||
| 523731 | 0 | 0 | 0 | 0 | 0 | 19600 | 0 | 19034 | 0 | 562365 | 0 | 0 | 0 |
| RUSSELL M MYERS | |||||||||||||
| 294205 | 0 | 0 | 0 | 0 | 0 | -108823 | 0 | 18131 | 0 | 203513 | 0 | 0 | 0 |
| DALE S OLANDER | |||||||||||||
| 161637 | 0 | 0 | 0 | 0 | 0 | 44589 | 0 | 21685 | 0 | 227911 | 0 | 0 | 0 |
| BRETT QUAVE | |||||||||||||
| 459851 | 0 | 327338 | 0 | 0 | 0 | 13900 | 0 | 22777 | 0 | 823866 | 0 | 0 | 0 |
| GEORGE GADE | |||||||||||||
| 0 | 720000 | 0 | 0 | 0 | 715 | 0 | 32326 | 0 | 0 | 0 | 753041 | 0 | 0 |
| AMARNATH RAMAKRISHNAN | |||||||||||||
| 0 | 413215 | 0 | 49498 | 0 | 67555 | 0 | 32326 | 0 | 0 | 0 | 562594 | 0 | 0 |
| GILBERT K ONG | |||||||||||||
| 0 | 413215 | 0 | 42170 | 0 | 38181 | 0 | 32326 | 0 | 0 | 0 | 525892 | 0 | 0 |
| JUSTIN A ROBINSON | |||||||||||||
| 0 | 367832 | 0 | 106523 | 0 | 3713 | 0 | 32326 | 0 | 0 | 0 | 510394 | 0 | 0 |
| JOHN G VORNBROCK | |||||||||||||
| 253877 | 0 | 0 | 0 | 1268123 | 0 | 19600 | 0 | 4254 | 0 | 1545854 | 0 | 1268123 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | 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 (CURRENTLY SEVEN PERSONS). 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 SEVEN EXECUTIVES WILL BE WORKING UNTIL AGE 65. MR. JOHN G. VORNBROCK IS THE RETIRED SENIOR VICE PRESIDENT/CFO OF YAKIMA VALLEY MEMORIAL HOSPITAL. AS OF 10/31/12, MR. VORNBROCK IS 65 YEARS OLD AND WAS IN THAT CAPACITY AND OTHER ADMINISTRATIVE CAPACITIES AT THE HOSPITAL SINCE 1978. MR VORNBROCK WAS PAID HIS ONE-TIME PAYMENT FROM THE PLAN OF $1,268,123 DURING THE 2011 CALENDAR YEAR. THE ACCRUED BENEFITS FOR RUSSELL M. MYERS, COO, DECREASED IN THE 2011 CALENDAR YEAR IN THE AMOUNT OF $128,423. THE ACCRUED BENEFITS FOR DALE S. OLANDER, CFO, INCREASED IN THE 2011 CALENDAR YEAR IN THE AMOUNT OF $31,717. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| WASHINGTON HEALTH CARE FACILITIES AUTHORITY | |||||||
| 911108929 | NONEAVAIL | 2012-02-16 | 24845525 | SEE PART VI | 0 | 0 | 0 |
| WASHINGTON HEALTH CARE FACILITIES AUTHORITY | |||||||
| 911108929 | 93870HGN0 | 2012-08-17 | 38005000 | REFUND PRIOR BONDS (3/14/96 & 11/13/02) | 0 | 0 | 0 |
| WASHINGTON HEALTH CARE FACILITIES AUTHORITY | |||||||
| 911108929 | NONEAVAIL | 2008-11-18 | 2100000 | BUILDING MORTGAGE | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Year Of Subst CompletionYearOfSubstCompletion |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 702696 | 24846545 | 119976 | 11378521 | 2718539 | 10629510 | 1 | 0 | 0 | 1 | |||
| 38010065 | 667087 | 20628507 | 20603 | 1 | 1 | 0 | 1 | 1301461 | 16693868 | 2005 | ||
| 2100000 | 2100000 | 0 | 0 | 1 | 0 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 1 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART I, LINE A, COLUMN F: | REFUND PRIOR BONDS (8/20/09) AND CONSTRUCT, REMODEL, RENOVATE, EQUIP HEALTH CARE FACILITIES OWNED BY THE HOSPITAL. |
| PART II, LINE 3, COLUMN A: | THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO THE INVESTMENT EARNINGS. |
| PART II, LINE 3, COLUMN B: | THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| EMERGENCY ASSOCIATES OF YAKIMA PLLC | |||
| BRIAN PADILLA, TRUSTEE, IS A PHYSICIAN SHAREHOLDER OF THE INTERESTED PERSON | 6615641 | EMERGENCY ROOM PHYSICIAN COMPENSATION | 0 |
| KATE ROSSMAN | |||
| FAMILY MEMBER OF DUANE ROSSMAN, TRUSTEE | 67346 | EMPLOYEE OF HOSPITAL | 0 |
| YAKIMA HEART CENTER INC PS | |||
| ROGER VIELBIG, TRUSTEE IS A PHYSICIAN SHAREHOLDER IN THE INTERESTED PERSON | 2177356 | SERVICE CONTRACTS RELATED TO CARDIOLOGY. | 0 |
| MICHAEL LINNEWEH | |||
| FAMILY MEMBER OF RICHARD LINNEWEH, KEY EMPLOYEE | 30256 | EMPLOYEE OF HOSPITAL. | 0 |
| PHYSICIAN ANESTHESIA ASSOCIATION | |||
| ROSS KATZ, SHAREHOLDER OF PHYSICIAN ANESTHESIA ASSOC., TRUSTEE OF YVMH | 2316458 | PHYSICIAN ANESTHESIA ASSOCIATION PROVIDES ANESTHESIA SERVICES FOR THE HOSPITAL. | 0 |
| MARK MYERS | |||
| FAMILY MEMBER OF RUSS MYERS, KEY EMPLOYEE | 17824 | EMPLOYEE OF HOSPITAL | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | REVIEW IS CONDUCTED BY THE CHIEF ACCOUNTANT, CFO, CEO AND BOARD OF TRUSTEES. | |
| 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 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 XI, LINE 5: | INCOME FROM A JOINT VENTURE IN WHICH THE HOSPITAL HAS A 10% INTEREST WAS INADVERTENTLY NOT BOOK ON OUR FINANCIAL STATEMENT. THE INCOME IS REPORTED ON THE 990 AS A TOTAL OF $66,026 WITH A PORTION OF THAT AMOUNT BEING UNRELATED BUSINESS INCOME REPORTED AS $47,415. -66,026. NET CHANGE IN BOOKED VALUE OF SUBSIDIARIES -13,877,134. TOTAL TO FORM 990, PART XI, LINE 5: -13,943,160. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | NO CHANGE FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL PHYSICIANS | |||||||||
| PO BOX 2947 | YAKIMA | WA | 98907 | 911615998 | MEDICAL SERVICES | WA | 34633146 | 11860382 | YAKIMA VALLEY MEMORIAL HOSPITAL |
| CENTRAL WASHINGTON HEALTHCARE PARTNERS LLC | |||||||||
| PO BOX 2947 | YAKIMA | WA | 98907 | 453483343 | ACCOUNTABLE CARE ORG | WA | 9000 | 1509186 | YAKIMA VALLEY MEMORIAL HOSPITAL |
| YAKIMA VALLEY MEMORIAL PHYSICIANS | |||||||||
| PO BOX 9787 | YAKIMA | WA | 98909 | 753186720 | MEDICAL SERVICES | WA | 27078158 | 0 | YAKIMA VALLEY MEMORIAL HOSPITAL |
| YAKIMA HEART CENTER AT MEMORIAL TRUST | |||||||||
| 2811 TIETON DR | YAKIMA | WA | 98902 | 457017902 | MEDICAL SERVICES | WA | 302201 | 299243 | YAKIMA VALLEY MEMORIAL HOSPITAL |
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARDEN VILLAGE | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 206 S 10TH AVE | AddressLine1 |
| City | YAKIMA | City |
| State | WA | State |
| ZIP Code | 98902 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912090034 | EIN |
| Primary Activities | SKILLED NURSING | PrimaryActivities |
| Legal Domicile State | WA | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 9 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 1 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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