2013-09-13T15:03:49-05:00 2012-10-31 990 2011-11-01 910567263 YAKIMA VALLEY MEMORIAL HOSPITAL YAKI 5095758000 2811 TIETON DRIVE YAKIMA WA 989023799 RICHARD W LINNEWEH JR 5095758000 2013-09-13 2011 2016-02-24 21:20:13Z RICHARD W LINNEWEH JR 2811 TIETON DRIVE YAKIMA WA 989023799 359951681 0 X WWW.YAKIMAMEMORIAL.ORG X 1950 WA 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. 14 14 2819 578 35839477 -16774324 5169909 7867263 284491296 311839705 928394 3237582 33739753 34977663 324329352 357922213 0 0 0 0 178123228 200316254 0 0 0 149012403 164120297 327135631 364436551 -2806279 -6514338 252633872 254524051 133348803 155696480 119285069 98827571 X 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. 0 0 127203086 182397314 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. 90893679 128993886 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. 16543844 401974 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. 7132551 0 46531 COORDINATION OF CHILDREN'S SERVICES, RESIDENCY PROGRAMS, COMMUNITY EDUCATION REGARDING HEALTH ISSUES. 7132551 46531 241773160 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 0 1 261 0 1 2819 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 1 1 1 1 1 1 1 1 1 1 1 1 WA X ACCOUNTING DEPARTMENT 5095758070 3800 SUMMITVIEW YAKIMA WA 98902 BILL DOLSEN 6.00 X X 0 0 0 JIM BERG 6.00 X X 0 0 0 THOMAS STOKES 6.00 X X 0 0 0 SCOTT WAGNER 6.00 X X 0 0 0 BUFFY ALEGRIA 2.00 X 0 0 0 CONNIE FARINA 2.00 X 0 0 0 BILL FELDMANN 2.00 X 0 0 0 ROSS KATZ 2.00 X 0 0 0 LISA SHIELDS LONG 2.00 X 0 0 0 CRAIG MENDENHALL 2.00 X 0 0 0 BRIAN PADILLA 2.00 X 0 0 0 KEITH RIFFE 2.00 X 0 0 0 DUANE ROSSMAN 2.00 X 0 0 0 BENJAMIN SORIA 2.00 X 0 0 0 DARCI SWANSON 2.00 X 0 0 0 ROGER VIELBIG 2.00 X 0 0 0 RICHARD W LINNEWEH JR 40.00 X 523731 0 38634 RUSSELL M MYERS 40.00 X 294205 0 -90692 DALE S OLANDER 40.00 X 161637 0 66274 BRETT QUAVE 40.00 X 787189 0 36677 GEORGE GADE 40.00 X 0 720715 32326 AMARNATH RAMAKRISHNAN 40.00 X 0 530268 32326 GILBERT K ONG 40.00 X 0 493566 32326 JUSTIN A ROBINSON 40.00 X 0 478068 32326 JOHN G VORNBROCK 40.00 X 1522000 0 23854 3288762 2222617 204051 280 1 1 0 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 41 1570640 6296623 7867263 NET PATIENT REVENUES 900099 311214444 311214444 EDUC CLASSES AND CONV 900099 625261 625261 311839705 3213163 3213163 50983 50983 1857366 1920659 -63293 -63293 -25209 -38084 82245 108809 -26564 -26564 -26564 MEMORIAL PHYSICIANS 621110 34633146 34633146 CAFE 722210 1675376 1675376 LABORATORY SERVICES 621500 1155647 1155647 -2423213 75893 -2499106 35040956 357922213 311839705 35839477 2375768 1425886 1425886 143133169 89379104 53754065 21849707 13643988 8205719 23000123 14362362 8637761 10907369 6811076 4096293 1906741 265 1906476 123888 123888 105354 105354 52156879 39322236 12834643 68479888 59667492 8812396 3102963 3102963 6445251 1878539 4566712 858246 405463 452783 2728177 2728177 16109083 14800393 1308690 2822278 1406312 1415966 LICENSES AND TAXES 9119619 9119619 MALPRACTICE OUT OF POCK 95930 95930 ANNUITY 66000 66000 364436551 241773160 122663391 0 566669 1792596 2113773 3156782 47315522 52693345 1823559 1424165 5800802 6102598 6759682 6165488 298080290 173831942 109695633 124248348 45367827 51967624 3012154 40412 1770629 33149993 2190322 252633872 254524051 78421771 75916254 320033 208559 49278712 64017781 4964632 5665617 363655 9888269 133348803 155696480 X 111965070 97680771 7007314 1146800 312685 0 119285069 98827571 252633872 254524051 X -6514338 -13943160 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 1 105354 105354 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: 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. 13221237 13221237 6624411 89116019 47687379 48053051 8974882 3640835 5334047 171476044 118751189 52724855 8667697 3752539 4915158 124248348 ANNUITY LIABILITY 187994 LEASE PAYABLE 258337 NOTE PAYABLE 19044 LINE OF CREDIT 9262538 REIMBURSEMENTS 160356 9888269 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 8577982 8577982 0.02350 70322830 50597836 19724994 0.05410 78900812 50597836 28302976 0.07760 3766862 376046 3390816 0.00930 1439822 1439822 0.00400 4169439 4169439 0.01140 487661 74526 413135 0.00110 396841 396841 0.00110 10260625 450572 9810053 0.02690 89161437 51048408 38113029 0.10450 3073 3073 0.00000 1349993 1349993 0.00370 1353066 1353066 0.00370 1 4714842 0 100536578 133964081 -33427503 X 1 0 1 1 YAKIMA VALLEY MEMORIAL HOSPITAL ASSOC

2811 TIETON DRIVE YAKIMA WA 98902

X X X X YAKIMA VALLEY MEMORIAL HOSPITAL 1 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 19 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 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. LINE 1: PART I, LINE 7G: THE AMOUNTS LISTED ON THIS LINE ARE FOR OPERATING LOSSES OF VARIOUS PHYSICIAN CLINICS THAT OPERATE AT A LOSS. 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. X X X 0 1 0 0 0 0 0 0 0 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 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 (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. 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 702696 24846545 119976 11378521 2718539 10629510 1 0 0 1 38010065 1301461 16693868 667087 20628507 20603 2005 1 1 0 1 2100000 2100000 0 0 1 0 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 0 1 0 0 0 1 0 0 0 0 0 1 X 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. 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: 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. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. 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 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 1 0 1 1 1 1 1 1 1 1 0 0