CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION (EIN 91-0171250)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-11
- IRS object ID
- 201313169349301871
- Schema version
- 2012v2.1
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-11T11:46:25-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2707 COLBY AVE SUITE 801 | AddressLine1 |
| City | EVERETT | City |
| State | WA | State |
| ZIP Code | 982013510 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910171250 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CENT | NameControl |
| Phone | 5096621515 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1887 | AddressLine1 |
| City | WENATCHEE | City |
| State | WA | State |
| ZIP Code | 988071887 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN B HAMILTON | Name |
| Title | INTERIM CEO | Title |
| Phone | 5096621515 | Phone |
| Date Signed | 2013-10-31 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT GRANNUM | Name |
| PTIN | P00355876 | PTIN |
| Phone | 4252597227 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL WASHINGTON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN B HAMILTON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1887 | AddressLine1 |
| City | WENATCHEE | City |
| State | WA | State |
| ZIP Code | 988071887 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 258951701 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CWHS.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1978 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | A PROVIDER OF HEALTH CARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1597 | TotalNbrEmployees |
| Total Nbr Volunteers | 172 | TotalNbrVolunteers |
| Total Gross UBI | 322822 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -3265 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1902958 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2823422 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 179550355 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 201318751 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2536774 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6674779 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1427364 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1218992 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 185417451 | TotalRevenuePriorYear |
| Total Revenue Current Year | 212035944 | 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 | 104255208 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 107526429 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 106879 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 86252044 | OtherExpensePriorYear |
| Other Expenses Current Year | 92222368 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 190614131 | TotalExpensesPriorYear |
| Total Expenses Current Year | 199748797 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -5196680 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 12287147 | RevenuesLessExpensesCY |
| Total Assets BOY | 296249714 | TotalAssetsBOY |
| Total Assets EOY | 313772689 | TotalAssetsEOY |
| Total Liabilities BOY | 138964940 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 139220210 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 157284774 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 174552479 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | IN ITS TRADITION OF SERVICE, CENTRAL WASHINGTON HOSPITAL RESPONDS TO COMMUNITY NEEDS BY PROVIDING QUALITY HEALTHCARE THROUGH CARING, COMPETENCE AND ACCOUNTABILITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 126926775 | Expense |
| Revenue | 200350442 | Revenue |
| Description | CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION (CWHSA) PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF CWHSA, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND, FURTHER, THAT OUR MISSION IS TO SERVICE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVICE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE; CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST; AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR INDIVIDUALS' INABILITY TO PAY CO-EXISTS. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. CWHSA SERVICED 10,364 IN-PATIENTS AND PROVIDED MORE THAN 40,711 DAYS OF CARE DURING 2012.CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED ON ACTIVITIES AND SERVICES WHICH CWHSA BELIEVES WILL SERVICE A BONA FIDE COMMUNITY HEALTH NEED. THESE ACTIVITIES AND SERVICES ARE INCLUDED IN THE FOLLOWING PAGES. | Description |
| Total Program Service Expense | 126926775 | 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 | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 118 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1597 | 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 | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | 0 | LocalChapters |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | STEVE JACOBS | NamePerson |
| Telephone Number | 5096621515 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 SOUTH MILLER ST | AddressLine1 |
| City | WENATCHEE | City |
| State | WA | State |
| ZIP Code | 98801 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DAVID W PARKS DMD | |||||||
| CHAIR | 2.00 | X | X | 0 | 0 | 0 | |
| KENNETH J MARTIN | |||||||
| VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | |
| MALCOLM A BUTLER MD | |||||||
| CHIEF OF STAFF | 2.00 | X | X | 442 | 0 | 0 | |
| MARC C HEMINGER | |||||||
| BOARD SECRETARY | 2.00 | X | X | 0 | 0 | 0 | |
| KRISTINE LOOMIS | |||||||
| BOARD TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| FRANK J KUNTZ | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BEVERLY A JAGLA | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| SI BAUTISTA | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PHILLIP R JOHNSON | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LINDA K SCHATZ MD | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| GARY K LAMMERT MD | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LAURA MOUNTER | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JOHN W GILL MD | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JOHN T EVANS JR | |||||||
| CEO | 40.00 | X | 1633376 | 0 | 109238 | ||
| STEVEN R JACOBS | |||||||
| VICE PRESIDENT/CFO | 40.00 | X | 240531 | 0 | 128696 | ||
| JOHN B HAMILTON | |||||||
| VICE PRESIDENT/INTERIM CEO | 40.00 | X | 301317 | 0 | 130916 | ||
| TRACEY A KASNIC | |||||||
| VICE PRESIDENT/PATIENT CAR | 40.00 | X | 248471 | 0 | 40018 | ||
| MARK A BROBERG | |||||||
| PHYSICIAN | 40.00 | 697780 | 0 | 36069 | X | ||
| R CRAIG BROWNLEE | |||||||
| PHYSICIAN | 40.00 | 402303 | 0 | 32900 | X | ||
| HANK J VEJVODA | |||||||
| PHYSICIAN | 40.00 | 585825 | 0 | 35420 | X | ||
| SAMUEL M ORTIZ | |||||||
| PHYSICIAN | 40.00 | 296478 | 0 | 32393 | X | ||
| TOBY W LONG | |||||||
| PHYSICIAN | 40.00 | 289383 | 0 | 35402 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4695906 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 581052 | TotalOtherCompensation |
| Number Individuals GT100 K | 115 | NumberIndividualsGT100K |
| Formers Listed | 0 | 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 |
|---|---|---|---|---|---|
| WENATCHEE EMERGENCY PHYSICIANS | |||||
| EMERGANCY PHYSICIANS | WENATCHEE | WA | 98807 | EMERGENCY PHYSICIAN SERVICES | 2940884 |
| WENATCHEE VALLEY MEDICAL CT | |||||
| PROF SERV MED DIRECTORS/CHIEF OF ST | WENATCHEE | WA | 98807 | PROF SERV MED DIRECTORS/CHIEF OF STAFF | 2329923 |
| NW HEART & LUNG SURGICAL AS | |||||
| PERFUSIONIST | SPOKANE | WA | 99204 | PERFUSIONIST | 669840 |
| EBMS | |||||
| MEDICAL CLAIMS ADMINISTRATION | BILLINGS | MT | 591041367 | MEDICAL CLAIMS ADMINISTRATION | 626001 |
| WENATCHEE ANESTHESIA ASSOC | |||||
| PHYSICIANS | WENATCHEE | WA | 98807 | PHYSICIANS | 550122 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 26 | NumberOfContractorsGT100K |
| Government Grants | 2530987 | GovernmentGrants |
| All Other Contributions | 292435 | AllOtherContributions |
| Total Contributions | 2823422 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| OTHER PROFESSIONAL SERVICES | 624100 | 98449616 | 98449616 |
| OTHER NURSING SERVICES | 624100 | 42035642 | 42035642 |
| DAILY PATIENT SERVICES | 624100 | 41751906 | 41751906 |
| PHYSICIAN SERVICES | 624100 | 10221906 | 10221906 |
| HOME HEALTH, HOSPICE, HOME INFUSI | 624100 | 7030731 | 7030731 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1828950 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17412 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 417684 | UnrelatedBusinessRevenue |
| Exclusion | $1,393,854 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 201318751 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29555 | TotalRevenueColumn |
| Exclusion | $29,555 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1383348 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 941277 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 442071 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 442071 | TotalRevenueColumn |
| Exclusion | $442,071 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 46608735 | Securities |
| Other | 6010969 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 45650527 | Securities |
| Other | 323953 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 958208 | Securities |
| Other | 5687016 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6645224 | TotalRevenueColumn |
| Exclusion | $6,645,224 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| MISCELLANEOUS | 900099 | 865066 | 865066 | |
| PURCHASE DISCOUNTS | 900099 | 28008 | $28,008 | |
| AUTOPSY/MORGUE CHARGES | 900099 | 546 | $546 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -116699 | TotalRevenueColumn |
| Related Or Exempt Function Income | -21837 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -94862 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 776921 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 212035944 | TotalRevenueColumn |
| Related Or Exempt Function Income | 200350442 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 322822 | UnrelatedBusinessRevenue |
| Exclusion | $8,539,258 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2564680 | Total |
| Management And General | 2564680 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84025560 | Total |
| Program Services | 63386219 | ProgramServices |
| Management And General | 20639341 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4128448 | Total |
| Program Services | 3352030 | ProgramServices |
| Management And General | 776418 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9227407 | Total |
| Program Services | 6353569 | ProgramServices |
| Management And General | 2873838 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7580334 | Total |
| Program Services | 4632688 | ProgramServices |
| Management And General | 2947646 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 654048 | Total |
| Management And General | 654048 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 157457 | Total |
| Management And General | 157457 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69572 | Total |
| Management And General | 69572 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9699411 | Total |
| Program Services | 6273127 | ProgramServices |
| Management And General | 3426284 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132304 | Total |
| Program Services | 23671 | ProgramServices |
| Management And General | 108633 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9737244 | Total |
| Program Services | 4365887 | ProgramServices |
| Management And General | 5371357 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1689887 | Total |
| Program Services | 55213 | ProgramServices |
| Management And General | 1634674 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 773229 | Total |
| Program Services | 292853 | ProgramServices |
| Management And General | 480376 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7662255 | Total |
| Management And General | 7662255 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14890249 | Total |
| Program Services | 3610616 | ProgramServices |
| Management And General | 11279633 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2824018 | Total |
| Program Services | 200095 | ProgramServices |
| Management And General | 2623923 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 34206374 | 32435808 | 1770566 |
| LICENSES AND TAXES | 5164623 | 35405 | 5129218 |
| OTHER PURCHASED SERVICE | 3450132 | 1665535 | 1784597 |
| OTHER DIRECT EXPENSES | 719525 | 65448 | 654077 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 392040 | Total |
| Program Services | 178611 | ProgramServices |
| Management And General | 213429 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 199748797 | Total |
| Program Services | 126926775 | ProgramServices |
| Management And General | 72822022 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 417987 | BOY |
| EOY | 1312284 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2827490 | BOY |
| EOY | 23063912 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3794812 | BOY |
| EOY | 3587248 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31051200 | BOY |
| EOY | 31111884 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5871316 | BOY |
| EOY | 5889942 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3529988 | BOY |
| EOY | 3098978 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 294540725 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 129254029 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 176462279 | BOY |
| EOY | 165286696 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66083630 | BOY |
| EOY | 74541507 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6211012 | BOY |
| EOY | 5880238 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 296249714 | BOY |
| EOY | 313772689 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21979163 | BOY |
| EOY | 22495949 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 113915000 | BOY |
| EOY | 112190000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3070777 | BOY |
| EOY | 4534261 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138964940 | BOY |
| EOY | 139220210 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153489962 | BOY |
| EOY | 170965231 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3794812 | BOY |
| EOY | 3587248 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 157284774 | BOY |
| EOY | 174552479 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 296249714 | BOY |
| EOY | 313772689 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 12287147 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 4863859 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 116699 | 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 |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 |
| Direct Contact Legislators | $36,419 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 36419 | 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 | WA STATE HOSPITAL ASSOCIATION DUES - 23.50% OF $122,075 = $28,688 AMERICAN HOSPITAL ASSOCIATION DUES - 23.98% OF $32,241 =$7,731 TOTAL $36,419 | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8981311 | OtherCostOrOtherBasis |
| Book Value | 8981311 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 94422290 | OtherCostOrOtherBasis |
| Depreciation | 19223315 | Depreciation |
| Book Value | 75198975 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24103716 | OtherCostOrOtherBasis |
| Depreciation | 15449582 | Depreciation |
| Book Value | 8654134 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 164929801 | OtherCostOrOtherBasis |
| Depreciation | 94581132 | Depreciation |
| Book Value | 70348669 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2103607 | OtherCostOrOtherBasis |
| Book Value | 2103607 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 165286696 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RESERVE FOR MALPRACTICE INSURANCE CLAIMS | $4,302,000 |
| DOUGLAS COUNTY WATER ASSESSMENT DEBT | $232,261 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4534261 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 216781045 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 4863859 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 4863859 | RevenueNotRptdF990 |
| Revenue Subtotal | 211917186 | RevenueSubtotal |
| Investment Expenses Not Included | 69572 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 49186 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 118758 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 212035944 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 199513340 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 199513340 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 69572 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 165885 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 235457 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 199748797 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE ASSOCIATION IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ASSOCIATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. ANY UNRELATED BUSINESS INCOME GENERATED IS NOT SIGNIFICANT; THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. EFFECTIVE JANUARY 1, 2009, THE ASSOCIATION ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ACCOUNTING STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. AS OF DECEMBER 31, 2012 AND 2011, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | SALARY, BENEFITS AND OTHER OPERATING EXP. INCLUDED IN REVENUE ON FORM 990 2,050. LOSS ON K-1 NOT INCLUDED IN REVENUE ON FINANCIAL STATEMENT -116,699. SALARY, BENEFITS AND OTHER NON-OPER. EXP. INCLUDED IN REVENUE ON FORM 990 163,835. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | SALARY, BENEFITS AND OTHER OPERATING EXP. INCLUDED IN REVENUE ON FORM 990 2,050. SALARY, BENEFITS AND OTHER NON-OPER. EXP. INCLUDED IN REVENUE ON FORM 990 163,835. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| 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 | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 7303066 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7303066 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03660 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 30343187 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19152160 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11191027 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05600 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37646253 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19152160 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18494093 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09260 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 449 | PersonsServed |
| Total Community Benefit Expense | 22896 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 22896 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 524 | PersonsServed |
| Total Community Benefit Expense | 1305397 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1305397 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00650 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 249190 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 249190 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 973 | PersonsServed |
| Total Community Benefit Expense | 1577483 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1577483 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00780 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 973 | PersonsServed |
| Total Community Benefit Expense | 39223736 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19152160 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20071576 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $6,210,372 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 92208000 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 100849472 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -8641472 | 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 | 1 | 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 | CENTRAL WASHINGTON HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1887 | AddressLine1 |
| City | WENATCHEE | City |
| State | WA | State |
| ZIP Code | 98807 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WWW.CWHS.COM | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | SNF | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL WASHINGTON 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 | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| 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 |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, L7 COL(F): THE ASSOCIATION RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE ASSOCIATION RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OFHISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE ASSOCIATION'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE ASSOCIATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. | ||
| PART III, LINE 4: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE ASSOCIATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ASSOCIATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ASSOCIATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE ASSOCIATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS CHANGED FROM 64% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011, TO 56% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. IN ADDITION, THE ASSOCIATION'S SELF-PAY WRITE-OFFS CHANGED $504,000, FROM $6,605,000 FOR FISCAL YEAR 2011 TO $6,101,000 FOR FISCAL YEAR 2012. | ||
| PART III, LINE 8: THE HOSPITAL PROVIDES CARE TO INDIVIDUALS COVERED BY THE MEDICARE AND MEDICAID PROGRAMS IN SPITE OF THE FACT THAT THE COST OF PROVIDING THOSE SERVICES OFTEN EXCEEDS THE REVENUE RECEIVED. THIS IS A CONTINUED COMMITMENT TO PROVIDING QUALITY HEALTHCARE SERVICES AND PROMOTING HEALTH IMPROVEMENT TO ALL PERSONS IN ITS SERVICE AREA WITHOUT REGARD TO ABILITY TO PAY. THE HOSPITAL QUALIFIES FOR THE MEDICARE DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM BASED ON THE HIGH NUMBER OF INDIGENT PATIENTS WHO RECEIVE CARE. | ||
| PART III, LINE 9B: COLLECTION IS SUSPENDED WHEN THE COMPLETED UNCOMPENSATED CARE APPLICATION AND SUPPORTING FINANCIAL DOCUMENTATION IS RECEIVED. COLLECTION REMAINS SUSPENDED UNTIL FINAL DETERMINATION OF QUALIFICATION FOR ASSISTANCE IS COMPLETED. | ||
| PART V, SECTION B, LINE 20D: SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES. | CENTRAL WASHINGTON HOSPITAL | |
| PART VI, LINE 2: CENTRAL WASHINGTON HOSPITAL IS PARTICIPATING IN A COMMUNITY WIDE NEEDS ASSESSMENT IN COOPERATION WITH COMMUNITY CHOICE, COLUMBIA VALLEY COMMUNITY HEALTH, CHELAN-DOUGLAS PUBLIC HEALTH, AND OTHER REGIONAL HOSPITALS. THIS ASSESSMENT WILL BE COMPLETED IN 2013. | ||
| PART VI, LINE 3: THE HOSPITAL'S CHARITY CARE POLICY IS MADE PUBLICLY AVAILABLE THROUGH THE FOLLOWING ELEMENTS:A. A NOTICE ADVISING PATIENTS THAT THE HOSPITAL PROVIDES CHARITY CARE WILL BE POSTED IN KEY AREAS OF THE HOSPITAL, INCLUDING ADMISSIONS, THE EMERGENCY DEPARTMENT, AND CASHIER OFFICE.B. THE HOSPITAL WILL INCLUDE A WRITTEN NOTICE EXPLAINING THE POLICY TO PATIENTS AT THE TIME THAT THE HOSPITAL SUBMITS BILLING TO THE PATIENT OR RESPONSIBLE PARTY (HEREAFTER REFERRED TO AS 'GUARANTOR').C. THE WRITTEN INFORMATION WILL BE AVAILABLE IN ANY LANGUAGE SPOKEN BY MORE THAN TEN PERCENT OF THE POPULATION IN THE HOSPITAL'S SERVICE AREA. INTERPRETIVE SERVICES WILL BE PROVIDED FOR OTHER NON-ENGLISH SPEAKING OR LIMITED-ENGLISH SPEAKING PATIENTS. INTERPRETIVE SERVICES WILL ALSO BE PROVIDED FOR PATIENTS WHO CANNOT UNDERSTAND THE WRITING AND/OR EXPLANATION.D. THE HOSPITAL WILL TRAIN ADMITTING AND PATIENT ACCOUNTS STAFF TO ANSWER CHARITY CARE QUESTIONS EFFECTIVELY.E. WRITTEN INFORMATION ABOUT THE HOSPITAL'S CHARITY CARE POLICY WILL BE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION IN PERSON, VIA PHONE, OR BY LETTER. THE HOSPITAL'S CHARITY DISCOUNT TABLE WILL ALSO BE MADE AVAILABLE UPON REQUEST. | ||
| PART VI, LINE 4: THE HOSPITAL GENERATES APPROXIMATELY 96% OF ITS PATIENT ADMISSIONS FROM THE FOUR WASHINGTON COUNTIES OF CHELAN,DOUGLAS, GRANT, AND OKANOGAN (THE "SERVICE AREA"). THE COUNTIES OF CHELAN AND DOUGLAS COMPRISE THE HOSPITAL'S PRIMARY SERVICE AREA, WHILE GRANT AND OKANOGAN REPRESENT ITS SECONDARY SERVICE AREA. THE CITY OF WENATCHEE IS LOCATED IN CHELAN COUNTY, APPROXIMATELY 150 MILES EAST OF SEATTLE AND 170 MILES WEST OF SPOKANE, WASHINGTON. THE DISTRIBUTION OF THE PATIENT POPULATION IN THE SERVICE AREA IS CURRENTLY HEAVILY WEIGHTED IN THE 65+ AGE COHORT. ALSO, THE SERVICE AREA HAS A HIGH CONCENTRATION OF FARM AND AGRICULTURE RELATED EMPLOYMENT. 69% OF THE HOSPITAL'S PATIENTS ARE MEDICARE/MEDICAID ELIGIBLE PER THE HOSPITAL'S PAYOR MIX REPORTING. | ||
| PART VI, LINE 5: CENTRAL WA HOSPITAL'S GOVERNING BOARD IS COMPRISED OF LOCAL AREA RESIDENTS. THE HOSPITAL EXTENDS ITS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. CWH USES ITS INCOME TO UPDATE EQUIPMENT, TECHNOLOGY AND FACILITIES TO IMPROVE PATIENT CARE. THE HOSPITAL OFFERS EDUCATION FOR AREA PHYSICIANS AND COMMUNITY MEMBERS. ALSO AVAILABLE TO PHYSICIANS AND THE COMMUNITY IS THE HEMINGER HEALTH LIBRARY. WE COLLABORATE WITH MANY LOCAL AND STATE COLLEGES, UNIVERSITIES, AND OUR LOCAL HIGH SCHOOL IN SUPPORT OF STUDENT LEARNING OPPORTUNITIES. IN 2010 AN ELECTRONIC MEDICAL RECORD WAS IMPLEMENTED. THE SYSTEM GIVES OUR PROVIDERS ALL THE MEDICAL INFORMATION NEEDED TO MAKE THE BEST DECISIONS IN THE CARE OF OUR PATIENTS. THE HOSPITAL IS A FEDERAL REGIONAL REFERRAL CENTER AND A LEVEL III GENERAL AND PEDIATRIC TRAUMA CENTER. | ||
| WA | FORM 990, PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | 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)
| TitleTitle | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN T EVANS JR | ||||||||||||||
| CEO | 141598 | 0 | 0 | 0 | 1491778 | 0 | 104610 | 0 | 4628 | 0 | 1742614 | 0 | 268325 | 0 |
| STEVEN R JACOBS | ||||||||||||||
| VICE PRESIDENT/CFO | 240531 | 0 | 0 | 0 | 0 | 0 | 120888 | 0 | 7808 | 0 | 369227 | 0 | 0 | 0 |
| JOHN B HAMILTON | ||||||||||||||
| VICE PRESIDENT/INTERIM CEO | 301317 | 0 | 0 | 0 | 0 | 0 | 122629 | 0 | 8287 | 0 | 432233 | 0 | 0 | 0 |
| TRACEY A KASNIC | ||||||||||||||
| VICE PRESIDENT/PATIENT CAR | 174368 | 0 | 74103 | 0 | 0 | 0 | 17150 | 0 | 22868 | 0 | 288489 | 0 | 0 | 0 |
| MARK A BROBERG | ||||||||||||||
| PHYSICIAN | 697780 | 0 | 0 | 0 | 0 | 0 | 17500 | 0 | 18569 | 0 | 733849 | 0 | 0 | 0 |
| R CRAIG BROWNLEE | ||||||||||||||
| PHYSICIAN | 402303 | 0 | 0 | 0 | 0 | 0 | 17500 | 0 | 15400 | 0 | 435203 | 0 | 0 | 0 |
| HANK J VEJVODA | ||||||||||||||
| PHYSICIAN | 585825 | 0 | 0 | 0 | 0 | 0 | 16250 | 0 | 19170 | 0 | 621245 | 0 | 0 | 0 |
| SAMUEL M ORTIZ | ||||||||||||||
| PHYSICIAN | 296478 | 0 | 0 | 0 | 0 | 0 | 16250 | 0 | 16143 | 0 | 328871 | 0 | 0 | 0 |
| TOBY W LONG | ||||||||||||||
| PHYSICIAN | 289383 | 0 | 0 | 0 | 0 | 0 | 18750 | 0 | 16652 | 0 | 324785 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | GUEST TRAVEL TO BOARD CONFERENCE: $442, CHIEF OF STAFF SPOUSE |
| PART I, LINES 4A-B | FORM 990, SCHEDULE J, PART I, LINE 4A: JOHN T EVANS, JR. $1,223,453 FORM 990, SCHEDULE J, PART I, LINE 4B: JOHN T EVANS, JR. $268,325 PAYMENT RECEIVED JOHN T EVANS, JR. $ 92,192 CONTRIBUTION JOHN B. HAMILTON $ 105,479 CONTRIBUTION STEVEN R. JACOBS $ 99,638 CONTRIBUTION THE VALUE IS BASED ON A PERCENTAGE OF THEIR INDIVIDUAL ANNUAL SALARY. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| WASHINGTON HEALTH CARE FACILITIES AUTHORITY | ||||||||
| A | 911108929 | 93978E4M1 | 2009-08-12 | 114560771 | CONSTRUCTION OF HEALTHCARE FACILITY | 0 | 0 | 0 |
| WASHINGTON HEALTH CARE FACILITIES AUTHORITY | ||||||||
| B | 911108929 | 93978EQL9 | 2001-04-10 | 19755081 | CONSTRUCTION OF HEALTHCARE FACILITY | 1 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 16535000 | 116535000 | 14160599 | 7667467 | 2145873 | 80834547 | 2011 | 0 | 1 | 1 | 1 |
| B | 19995000 | 18157886 | 2005 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | 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 | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | Term Of GICTermOfGIC |
|---|---|---|---|---|---|---|---|---|
| A | 1 | 0 | 0 | 1 | 1 | 0 | 0 | |
| B | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 20.000000000000 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 0 |
| B | 0 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| FORM 990, SCHEDULE K, PART III, LINE 9 | THE ORGANIZATION HAS ESTABLISHED PROCEDURES TO ENSURE THAT ANY NONQUALIFIED BONDS ARE REMEDIATED IN ACCORDANCE WITH REQUIREMENTS. THE ORGANIZATION IS CURRENTLY IN THE PROCESS OF FORMALLY PUTTING THESE PROCEDURES IN WRITING. |
| FORM 990, SCHEDULE K, PART IV, LINE 5B AND 5C, COLUMN A: | NAME OF PROVIDER OF GIC, LINE 5B: 1. TRINITY FUNDING COMPANY 2. RBC CAPITAL MARKETS LINE 5C: 1. 14 MONTHS 2. 3 YEARS AND 5 YEARS |
| FORM 990, SCHEDULE K, PART IV, LINE 5B, COLUMN B: | NAME OF PROVIDER OF GIC, LINE 5B: MBIA(SWITCHED TO BANK OF NEW YORK IN 2008) |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | THE OUTPATIENT DIALYSIS CENTER AND THE WOMEN'S HEALTH CARE SERVICES WERE CLOSED IN 2012. |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. THE 990 IS REVIEWED BY THE DIRECTOR OF ACCOUNTING, AND THE CFO. A SUMMARY OF THE 990 IS PROVIDED TO THE FINANCE COMMITEE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS, EMPLOYED PHYSICIANS, AND MEMBERS OF THE ADMINISTRATIVE TEAM ARE REQUIRED TO REVIEW THE CURRENT CONFLICT OF INTEREST POLICY AND COMPLETE AN ANNUAL QUESTIONNAIRE. THE NOMINATING COMMITTEE OF THE BOARD REVIEWS QUESTIONNAIRES SUBMITTED BY BOARD MEMBERS FOR POTENTIAL CONFLICTS OF INTEREST. POTENTIAL QUESTIONS OF CONFLICT FOR BOARD MEMBERS ARE RESOLVED BY THE NOMINATING COMMITTEE OF THE BOARD. THE HOSPITAL'S EXECUTIVE TEAM REVIEWS QUESTIONNAIRES SUBMITTED BY EMPLOYED PHYSICIANS AND THE ADMINISTRATIVE TEAM FOR POTENTIAL CONFLICTS OF INTEREST. POTENTIAL QUESTIONS OF CONFLICT FOR MEMBERS OF THE ADMINISTRATIVE TEAM ARE RESOLVED BY THE EXECUTIVE TEAM IN COLLABORATION WITH THE CORPORATE COMPLIANCE OFFICER. BOARD MINUTES REFLECT WHEN THE REVIEW IS COMPLETE. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS INDEPENDENT SALARY SURVEY INFORMATION AND RECOMMENDS A SALARY INCREASE FOR THE CEO TO THE FULL BOARD. THE OTHER OFFICERS RECEIVE THE ANNUAL PERCENT INCREASE WHICH OTHER NON-CONTRACTUAL EMPLOYEES RECEIVE UNLESS THE CEO AWARDS A DIFFERENT PERCENTAGE. THE AMOUNT IS BASED ON CURRENT CPI, MARKET, AND SALARY SURVEY INFORMATION. | |
| FORM 990, PART VI, SECTION C, LINE 19 | CENTRAL WASHINGTON HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | LOSS ON K-1 NOT INCLUDED IN REVENUE ON FINANCIAL STATEMENT 116,699. |
| FORM 990, PART XII, LINE 2C: | NO CHANGE FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CONFLUENCE HEALTH | |||||||||||
| 617 WASHINGTON STREET | WENATCHEE | WA | 98801 | 454789950 | HEALTH SYSTEM | WA | 501(C)(3) | LINE 11B, II | N/A | 0 | |
| WENATCHEE VALLEY HOSPITAL | |||||||||||
| 617 WASHINGTON STREET | WENATCHEE | WA | 98801 | 455563741 | HOSPITAL | WA | 501(C)(3) | LINE 3 | 0 | CONFLUENCE HEALTH | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | 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 |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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