PACMED CLINICS: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PACMED CLINICS (EIN 56-2290878)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-05
- IRS object ID
- 201323099349300037
- 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 C
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-05T11:04:51-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911194016 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1700 | AddressLine1 |
| City | BELLEVUE | City |
| State | WA | State |
| ZIP Code | 98004 | 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 | 562290878 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PACMED CLINICS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PACM | NameControl |
| Phone | 2066214203 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 12TH AVENUE S | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98144 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SCOTT COMBS | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 2066217203 | Phone |
| Date Signed | 2013-11-04 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JANE M SEARING | Name |
| PTIN | P00000565 | PTIN |
| Phone | 4254544919 | Phone |
| Date Prepared | 2013-10-16 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PACIFIC MEDICAL CENTERS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | HARVEY SMITH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 12TH AVENUE S | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98144 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 261991446 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PACIFICMEDICALCENTERS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2003 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE RESPECTFUL, HIGH-QUALITY, PATIENT-FOCUSED HEALTHCARE TO EACH PERSON AND TO THE COMMUNITIES WE SERVE, FROM THE WELL INSURED TO THOSE WHO CANNOT AFFORD HEALTHCARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 916 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1156093 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 15152 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 190637742 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 190365075 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2000844 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1712372 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 249498 | OtherRevenuePriorYear |
| Other Revenue Current Year | 275891 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 194044177 | TotalRevenuePriorYear |
| Total Revenue Current Year | 192368490 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 69600 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 57000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 75002699 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 77353993 | 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 | 110693005 | OtherExpensePriorYear |
| Other Expenses Current Year | 109848429 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 185765304 | TotalExpensesPriorYear |
| Total Expenses Current Year | 187259422 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8278873 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5109068 | RevenuesLessExpensesCY |
| Total Assets BOY | 121913241 | TotalAssetsBOY |
| Total Assets EOY | 130255410 | TotalAssetsEOY |
| Total Liabilities BOY | 38010310 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 42277221 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 83902931 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 87978189 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | OUR MISSION IS TO PROVIDE RESPECTFUL, HIGH-QUALITY, PATIENT-FOCUSED HEALTHCARE TO EACH PERSON AND TO THE COMMUNITIES WE SERVE. WE ARE AN ORGANIZATION THAT WELCOMES PATIENTS FROM THE WELL INSURED TO THOSE WHO CANNOT AFFORD HEALTHCARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 154175982 | Expense |
| Grants | 57000 | Grants |
| Revenue | 190274771 | Revenue |
| Description | PACIFIC MEDICAL CENTERS HAS A MISSION TO PROVIDE CARE FOR THOSE WHO ARE MEDICALLY UNDERSERVED OR UNABLE TO PAY FOR HEALTHCARE SERVICES. IN 2012, THESE INDIVIDUALS ACCOUNTED FOR 9% OF OUR TOTAL PATIENT VISITS.WE SERVE THIS POPULATION IN MANY WAYS:- WE HAVE A LONG-TERM PARTNERSHIP TO PROVIDE SPECIALTY CARE FOR PATIENTS OF KING COUNTY COMMUNITY-BASED CLINICS. IN 2012, GREATER THAN 10% OF OUR OTOLARYNGOLOGY, RHEUMATOLOGY, NEUROLOGY, NEPHROLOGY, ONCOLOGY AND ENDOCRINOLOGY SERVICES WENT TO UNDERINSURED INDIVIDUALS.- AS A FOUNDING MEMBER OF PROJECT ACCESS NORTHWEST, WE HAVE HELPED TO DEVELOP ADDITIONAL NETWORKS IN THE COMMUNITY IN ORDER TO EXPAND ACCESS FOR SPECIALTY CARE FOR THE UNINSURED AND UNDERINSURED POPULATIONS OF KING AND SNOHOMISH COUNTIES. WE CONTINUE TO WORK CLOSELY WITH PROJECT ACCESS NORTHWEST AS THEY NOW SUPPORT OUR MISSION BY PROVIDING SCREENING AND REFERRAL MANAGEMENT TO ALL UNINSURED PATIENTS WE SEE AT PACIFIC MEDICAL CENTERS.- WITH MANY AREA PHYSICIANS CLOSING THEIR DOORS TO NEW MEDICARE, MEDICAID AND BASIC HEALTH PATIENTS, THE NEED FOR CARE IS GREAT - AND PACIFIC MEDICAL CENTERS IS PROUD OF ITS TRACK RECORD IN PROVIDING FOR THOSE IN NEED AND SUPPORTING COMMUNITY EFFORTS TO EXPAND ACCESS.- AT PACIFIC MEDICAL CENTERS WE ARE COMMITTED TO MEDICAL EDUCATIONINCLUDING THE TRAINING OF THE NEXT GENERATION OF PHYSICIANS AND ALLIED HEALTH PROFESSIONALS SUCH AS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. WE ALSO PARTICIPATE IN EXTERN PROGRAMS FOR MEDICAL ASSISTANT AND MEDICAL TECHNICIAN PROGRAMS. THE MEDICAL TEACHING PROGRAM AT PACMED IS A TEAM EFFORT AND DEMONSTRATES OUR BELIEF IN SERVICE TO OUR COMMUNITY, EXCELLENCE AND CONTINUOUS LEARNING, AND STEWARDSHIP OF OUR RESOURCES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 924483 | Expense |
| Revenue | 90304 | Revenue |
| Description | OUR INTERPRETER SERVICES DEPARTMENT FACILITATES COMMUNICATION BETWEEN OUR PROVIDERS AND NON-ENGLISH AND LIMITED ENGLISH PATIENTS. AT PACIFIC MEDICAL CENTERS, WE HAVE USED TECHNOLOGY IN INNOVATIVE WAYS TO CONTINUE TO PROVIDE THIS VALUABLE SERVICE TO PATIENTS. BY THE USE OF TECHNOLOGY, WE HAVE BEEN ABLE TO CONNECT CERTIFIED MEDICAL INTERPRETERS WITH OUR PROVIDERS AND PATIENTS IN THE EXAM ROOM THROUGH VIDEO CONFERENCING. IN DOING SO, WE HAVE BECOME MORE EFFICIENT IN THE USE OF OUR RESOURCES SO WE CAN CONTINUE TO PROVIDE THIS VALUABLE SERVICE TO OUR PATIENTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 204079 | Expense |
| Description | OUR PHYSICIANS AND STAFF PROVIDE HEALTH SCREENING EVENTS WITH YOUTH WHO ARE HOMELESS OR IN TRANSITIONAL HOUSING COMMUNITIES. THROUGH THESE PROGRAMS, WE HAVE REACHED OUT TO HUNDREDS OF PEOPLE UNDERSERVED IN OUR REGION AND PROVIDED BASIC MEDICAL CARE AND FLU VACCINATIONS.PACIFIC MEDICAL CENTERS, THE AMERICAN DIABETES ASSOCIATION AND PREMERA BLUE CROSS PARTNERED TO FORM THE LIVING WELL ALLIANCE (LWA), A PARTNERSHIP PROVIDING FREE WORKPLACE DIABETES SCREENING AND EDUCATION PROGRAMS TO CHANGE THE HEALTH OF THE OVERALL COMMUNITY IN THE PUGET SOUND REGION. IN ADDITION TO EDUCATING AND EQUIPPING PARTICIPANTS WITH TOOLS TO IMPROVE THEIR OVERALL HEALTH, THE PROGRAM HAS ALSO SERVED AS A VEHICLE TO EDUCATE EMPLOYERS ON HEALTH ISSUES THAT IMPACT THEIR EMPLOYEE POPULATIONS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 155304544 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | 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 | 0 | 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 | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | 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 | 420 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 916 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | 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 | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | 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 | 0 | InvestmentInJointVenture |
| 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 | PAUL L SHILLAM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2066214203 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 12TH AVENUE S | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98144 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| WILLIAM DOWLING PHD | ||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| DOROTHY GRAHAM | ||||||||
| CHAIR | 1.00 | 0.00 | X | 0 | 0 | 0 | X | |
| MICHAL ANDERSON | ||||||||
| TREASURER | 1.00 | 0.00 | X | 0 | 0 | 0 | X | |
| GENE COLIN | ||||||||
| VICE CHAIR | 1.00 | 0.00 | X | 0 | 0 | 0 | X | |
| CHARLES LARKIN | ||||||||
| SECRETARY | 1.00 | 0.00 | X | 0 | 0 | 0 | X | |
| DAN GUY III | ||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| KATHY GERSCH | ||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| STAN ROBERTS | ||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| ANNE REDMAN | ||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| KAREN GLOVER | ||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| CATHERINE GLEASON | ||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| MICHAEL MCSHERRY | ||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| HARVEY W SMITH | ||||||||
| PRESIDENT/CEO | 48.00 | 0.00 | 2782916 | 0 | 79166 | X | ||
| LINDA A MARZANO | ||||||||
| CHIEF OPERATING OFFICER | 48.00 | 0.00 | 416368 | 0 | 80806 | X | ||
| SCOTT L COMBS | ||||||||
| CFO | 48.00 | 0.00 | 320875 | 0 | 83214 | X | ||
| PAUL GOEBEL | ||||||||
| VP STRATEGIC DEVELOPMENT | 48.00 | 0.00 | 321384 | 0 | 98921 | X | ||
| VIKRAM DABHI | ||||||||
| CMO | 48.00 | 0.00 | 597174 | 0 | 89910 | X | ||
| GINA L MARBLE | ||||||||
| VP PRACTICE DEVELOPMENT | 48.00 | 0.00 | 239637 | 0 | 94726 | X | ||
| ALLEN J SALMIERI | ||||||||
| VICE PRESIDENT & CIO | 48.00 | 0.00 | 264862 | 0 | 78075 | X | ||
| DAVID ROSS | ||||||||
| ASSIST SECRETARY | 48.00 | 0.00 | 93306 | 0 | 10463 | X | ||
| KARYN R BECKLEY | ||||||||
| VP MARKETING & ADMIN SVC | 48.00 | 0.00 | 361947 | 0 | 49955 | X | ||
| MARSHALL D BEDDER | ||||||||
| ANESTHESIOLGST-INTV PAIN | 48.00 | 0.00 | 696686 | 0 | 93069 | X | ||
| CHRISTOPHER A KUNTZ | ||||||||
| MED DIR/OPHTHALMOLOGIST | 40.00 | 0.00 | 646161 | 0 | 96234 | X | ||
| NIRAJ PATEL | ||||||||
| OPHTHALMOLOGIST | 48.00 | 0.00 | 989673 | 0 | 35152 | X | ||
| CHAD J MARION | ||||||||
| ORTHOPEDIC SURGEON | 48.00 | 0.00 | 1068516 | 0 | 128567 | X | ||
| TONY H HUYNH | ||||||||
| OPHTHALMOLOGIST | 48.00 | 0.00 | 703597 | 0 | 97644 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 9503102 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1115902 | TotalOtherCompensation |
| Number Individuals GT100 K | 146 | 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 |
|---|---|---|---|---|---|
| INLAND IMAGING BUSINESS ASSOCIATES | |||||
| 801 SOUTH STEVENS STREET | SPOKANE | WA | 99204 | DIGITAL IMAGE READING | 4099376 |
| K&L GATES | |||||
| 925 FOURTH AVENUE SUITE 2900 | SEATTLE | WA | 981041158 | LEGAL SERVICES | 409569 |
| RANCE HUTCHINGS | |||||
| 1945 SOUTH 800 W | MAPLETON | UT | 84664 | CONSULTING | 338391 |
| STOEL RIVES LLP | |||||
| 600 UNIVERSITY STREET SUITE 3600 | SEATTLE | WA | 98101 | LEGAL SERVICES | 312334 |
| MONARCH-KNEIS INSURANCE SERVICES LLC | |||||
| 655 MONTGOMERY STREET | SAN FRANCISCO | CA | 94111 | INSURANCE BROKER | 267435 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| All Other Contributions | 15152 | AllOtherContributions |
| Total Contributions | 15152 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAL GROUP PRACTICE | 621110 | 190274771 | 190274771 |
| INTERPRETER SERVICES | 621110 | 90304 | 90304 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 190365075 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1582192 | TotalRevenueColumn |
| Exclusion | $1,582,192 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 367327 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 101592 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 265735 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 265735 | TotalRevenueColumn |
| Exclusion | $265,735 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 69643154 | Securities |
| Other | 8390 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 69521364 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 121790 | Securities |
| Other | 8390 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 130180 | TotalRevenueColumn |
| Exclusion | $130,180 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SETTLEMENT INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 10156 | TotalRevenueColumn |
| Exclusion | $10,156 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 10156 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 192368490 | TotalRevenueColumn |
| Related Or Exempt Function Income | 190365075 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,988,263 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57000 | Total |
| Program Services | 57000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6063702 | Total |
| Program Services | 687084 | ProgramServices |
| Management And General | 5376618 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57714789 | Total |
| Program Services | 46692901 | ProgramServices |
| Management And General | 11021888 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2472319 | Total |
| Program Services | 1892688 | ProgramServices |
| Management And General | 579631 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7317687 | Total |
| Program Services | 5417949 | ProgramServices |
| Management And General | 1899738 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3785496 | Total |
| Program Services | 2679493 | ProgramServices |
| Management And General | 1106003 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 528000 | Total |
| Program Services | 528000 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 817461 | Total |
| Program Services | 293951 | ProgramServices |
| Management And General | 523510 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134991 | Total |
| Management And General | 134991 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61706 | Total |
| Management And General | 61706 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3282853 | Total |
| Program Services | 2178444 | ProgramServices |
| Management And General | 1104409 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 653640 | Total |
| Program Services | 541386 | ProgramServices |
| Management And General | 112254 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 573465 | Total |
| Program Services | 368506 | ProgramServices |
| Management And General | 204959 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6871423 | Total |
| Program Services | 5266677 | ProgramServices |
| Management And General | 1604746 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 224623 | Total |
| Program Services | 83740 | ProgramServices |
| Management And General | 140883 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52848 | Total |
| Management And General | 52848 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5820787 | Total |
| Program Services | 3307695 | ProgramServices |
| Management And General | 2513092 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3000799 | Total |
| Program Services | 2037934 | ProgramServices |
| Management And General | 962865 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCHASED MEDICAL SVCS | 50552782 | 50552782 | |
| SUPPLIES - DRUGS | 21171235 | 21171235 | |
| PURCHASE NON-MED SVCS | 4358042 | 2633073 | 1724969 |
| CONTRACT EMPLOYEES | 2840762 | 2457865 | 382897 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8903012 | Total |
| Program Services | 6456141 | ProgramServices |
| Management And General | 2446871 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187259422 | Total |
| Program Services | 155304544 | ProgramServices |
| Management And General | 31954878 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30804342 | BOY |
| EOY | 28376217 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5435300 | BOY |
| EOY | 12608824 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4924631 | BOY |
| EOY | 5228242 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138582 | BOY |
| EOY | 161679 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2026643 | BOY |
| EOY | 2098518 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 62932246 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 35368217 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28143761 | BOY |
| EOY | 27564029 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48037663 | BOY |
| EOY | 49675785 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60169 | BOY |
| EOY | 94955 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2342150 | BOY |
| EOY | 4447161 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 121913241 | BOY |
| EOY | 130255410 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32473296 | BOY |
| EOY | 36546108 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 635929 | BOY |
| EOY | 211848 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4901085 | BOY |
| EOY | 5519265 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38010310 | BOY |
| EOY | 42277221 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83802931 | BOY |
| EOY | 87978189 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100000 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83902931 | BOY |
| EOY | 87978189 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 121913241 | BOY |
| EOY | 130255410 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 5109068 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -1033810 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1565259 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1438769 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1817594 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1156093 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15152 | CurrentTaxYear |
| Total | 5992867 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 163971975 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 174950956 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 183911527 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 190637742 | CurrentTaxYearMinus1Year |
| Current Tax Year | 190465075 | CurrentTaxYear |
| Total | 903937275 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 165537234 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 176389725 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 185729121 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 191793835 | CurrentTaxYearMinus1Year |
| Current Tax Year | 190480227 | CurrentTaxYear |
| Total | 909930142 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 909930142 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1631898 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1271258 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1809632 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2182329 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1949519 | CurrentTaxYear |
| Total | 8844636 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1631898 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1271258 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1809632 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2182329 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1949519 | CurrentTaxYear |
| Total | 8844636 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 341226 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1750 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5563 | CurrentTaxYearMinus2Years |
| Total | 348539 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1693899 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 250000 | CurrentTaxYearMinus2Years |
| Current Tax Year | 10156 | CurrentTaxYear |
| Total | 1954055 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 167510358 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 179356632 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 187794316 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 193976164 | CurrentTaxYearMinus1Year |
| Current Tax Year | 192439902 | CurrentTaxYear |
| Total | 921077372 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98790 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98660 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00960 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01060 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | 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 | $254,062 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 254062 | 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 | PACIFIC MEDICAL CENTERS' USFHP IS A TRICARE PRIME PROVIDER, AND IS IN FACT, THE HIGHEST RATED PLAN IN THE MILITARY HEALTH SYSTEM. WE FREQUENTLY MEET WITH OUR WASHINGTON STATE DELEGATES TO UPDATE THEM ON IMPORTANT ISSUES REGARDING PACIFIC MEDICAL CENTERS AND THE USFHP CONTRACT. WE ALSO UPDATE THEM REGARDING STRATEGIES WE ARE TAKING TO CONTINUE OUR PARTNERSHIP WITH THE DEPARTMENT OF DEFENSE TO IMPROVE HEALTHCARE IN THE MILITARY HEALTH SYSTEMS. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2262098 | OtherCostOrOtherBasis |
| Book Value | 2262098 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23562855 | OtherCostOrOtherBasis |
| Depreciation | 12509139 | Depreciation |
| Book Value | 11053716 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 36483763 | OtherCostOrOtherBasis |
| Depreciation | 22859078 | Depreciation |
| Book Value | 13624685 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 623530 | OtherCostOrOtherBasis |
| Book Value | 623530 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 27564029 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PROFESSIONAL LIABILITY RESERVE | $2,201,452 |
| CAPITAL LEASE OBLIGATIONS | $964,568 |
| OTHER LONG TERM LIABILITIES | $2,353,245 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5519265 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 191383360 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 370077 | NetUnrealizedGainsInvestments |
| Other Revenues | -1456799 | OtherRevenues |
| Revenue Not Rptd F990 | -1086722 | RevenueNotRptdF990 |
| Revenue Subtotal | 192470082 | RevenueSubtotal |
| Other Revenues Not Included | -101592 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -101592 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 192368490 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 187308102 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1505479 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1505479 | ExpensesNotRptdF990 |
| Expenses Subtotal | 185802623 | ExpensesSubtotal |
| Other Expenses Not Included | 1456799 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1456799 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 187259422 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT EXPENSES -1,456,799. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -101,592. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 101,592. NET UNREALIZED LOSS ON SECURITIES 1,403,887. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 1,456,799. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PACFIC SCIENCE CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 2ND AVENUE N | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98109 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 910750867 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 50000 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
| Purpose Of Grant | CONTINUING SUPPORT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: PACIFIC MEDICAL CENTERS PROVIDES GRANTS AND SUPPORT TO ORGANIZATIONS THAT HAVE A CURRENT 501(C)(3) EXEMPT STATUS AND WHOSE MISSION IS CONSISTENT WITH THE EXEMPT PURPOSE OF PACIFIC MEDICAL CENTERS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HARVEY W SMITH | ||||||||||||||
| PRESIDENT/CEO | 484462 | 0 | 114693 | 0 | 2183761 | 0 | 22546 | 0 | 56620 | 0 | 2862082 | 0 | 2183081 | 0 |
| LINDA A MARZANO | ||||||||||||||
| CHIEF OPERATING OFFICER | 344209 | 0 | 51176 | 0 | 20983 | 0 | 47095 | 0 | 33711 | 0 | 497174 | 0 | 17179 | 0 |
| SCOTT L COMBS | ||||||||||||||
| CFO | 271014 | 0 | 38789 | 0 | 11072 | 0 | 41805 | 0 | 41409 | 0 | 404089 | 0 | 10417 | 0 |
| PAUL GOEBEL | ||||||||||||||
| VP STRATEGIC DEVELOPMENT | 280604 | 0 | 40100 | 0 | 680 | 0 | 0 | 0 | 98921 | 0 | 420305 | 0 | 0 | 0 |
| VIKRAM DABHI | ||||||||||||||
| CMO | 554502 | 0 | 21476 | 0 | 21196 | 0 | 60406 | 0 | 29504 | 0 | 687084 | 0 | 20516 | 0 |
| GINA L MARBLE | ||||||||||||||
| VP PRACTICE DEVELOPMENT | 212716 | 0 | 26352 | 0 | 569 | 0 | 35394 | 0 | 59332 | 0 | 334363 | 0 | 0 | 0 |
| ALLEN J SALMIERI | ||||||||||||||
| VICE PRESIDENT & CIO | 231071 | 0 | 33210 | 0 | 581 | 0 | 34727 | 0 | 43348 | 0 | 342937 | 0 | 0 | 0 |
| KARYN R BECKLEY | ||||||||||||||
| VP MARKETING & ADMIN SVC | 231653 | 0 | 33210 | 0 | 97084 | 0 | 40098 | 0 | 9857 | 0 | 411902 | 0 | 97084 | 0 |
| MARSHALL D BEDDER | ||||||||||||||
| ANESTHESIOLGST-INTV PAIN | 678721 | 0 | 15823 | 0 | 2142 | 0 | 66211 | 0 | 26858 | 0 | 789755 | 0 | 0 | 0 |
| CHRISTOPHER A KUNTZ | ||||||||||||||
| MED DIR/OPHTHALMOLOGIST | 598719 | 0 | 20204 | 0 | 27238 | 0 | 65912 | 0 | 30322 | 0 | 742395 | 0 | 26558 | 0 |
| NIRAJ PATEL | ||||||||||||||
| OPHTHALMOLOGIST | 929870 | 0 | 29926 | 0 | 29877 | 0 | 0 | 0 | 35152 | 0 | 1024825 | 0 | 29877 | 0 |
| CHAD J MARION | ||||||||||||||
| ORTHOPEDIC SURGEON | 1039738 | 0 | 27320 | 0 | 1458 | 0 | 92287 | 0 | 36280 | 0 | 1197083 | 0 | 0 | 0 |
| TONY H HUYNH | ||||||||||||||
| OPHTHALMOLOGIST | 682850 | 0 | 20067 | 0 | 680 | 0 | 66797 | 0 | 30847 | 0 | 801241 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | THE ORGANIZATION PROVIDED FIRST CLASS TRAVEL FOR THE PRESIDENT/CEO ONLY WHEN IT IS THE ONLY AVAILABLE TICKET OR IT WAS THE BEST, APPROPRIATE MEANS DUE TO THE NEED TO MAKE AN EXTENDED FLIGHT. THE ORGANIZATION ALSO PROVIDED COMPANION TRAVEL FOR THE CHAIR AND THE ASSISTANT SECRETARY. THIS TRAVEL WAS CONSIDERED BUSINESS RELATED UNDER THE BOARD TRAVEL POLICY AS IT SERVED THE BUSINESS PURPOSE OF THE ORGANIZATION. | |
| PART III | PART I, LINE 4B: HARVEY SMITH RECEIVED LIQUIDATION PAYMENT FROM HIS SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IN THE AMOUNT OF $2,183,081 IN DECEMBER 2012. ADDITIONALLY, THE FOLLOWING OFFICERS AND PROVIDERS (MDS) PARTICIPATED IN THE EXECUTIVE AND PROVIDER SUPPLEMENTAL COMPENSATION PLANS (457(F)): CHAD J. MARION ($74,742) TONY H. HUYNH ($49,252) MARSHALL D. BEDDER ($48,666) CHRISTOPHER A. KUNTZ ($43,366) VIK DABHI ($40,360) LINDA A. MARZANO ($24,549) KARYN R. BECKLEY ($17,552) SCOTT L. COMBS ($19,259) ALLEN J. SALMIERI ($17,181) GINA L. MARBLE ($13,992) | SUPPLEMENTAL INFORMATION |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | HARVEY SMITH | NamePerson |
| Relationship With Organization | PRESIDENT/CEO OF ORGANIZATION | RelationshipWithOrganization |
| Purpose Of Loan | NON-RECOURSE SPLIT DOLLAR LOAN | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $0 | OriginalPrincipalAmount |
| Balance Due | 161679 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 161679 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART I, LINE 6, VOLUNTEERS: | VOLUNTEERS PROVIDE ADMINISTRATIVE SERVICES TO CLINICS AND PURCHASING AS WELL AS SERVE TIME PARTICIPATING AS BOARD MEMBERS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | PER SECTION 2.1 OF THE ORGANIZATION'S BYLAWS, THE ORGANIZATION'S SOLE CORPORATE MEMBER IS PACIFIC HOSPITAL AND PRESERVATION DEVELOPMENT AUTHORITY (PHPDA), A PUBLIC AUTHORITY ORGANIZED PURSUANT TO THE REVISED CODE OF WASHINGTON (THE "RCW") 35.21.660, 35.21.670, AND 35.21.730-.755 AND SEATTLE MUNICIPAL CODE CH. 3.110. PRIOR TO THE ORGANIZATION'S INCEPTION, THE HEALTH CARE ACTIVITIES IT CURRENTLY CARRIES ON WERE UNDERTAKEN BY THE PHPDA. THE PHPDA'S HISTORY DATES BACK TO 1933, WHEN ITS BEACON HILL CAMPUS WAS CONSTRUCTED AS THE FIRST UNITED STATES PUBLIC HEALTH SERVICE HOSPITAL IN THE SEATTLE AREA. OVER THE YEARS, THE REGION'S HEALTH CARE DEMANDS CHANGED AND IN 1981, THE U.S. PUBLIC HEALTH SERVICE HOSPITAL METAMORPHOSED INTO A PUBLIC DEVELOPMENT AUTHORITY. THE PHPDA WAS RECOGNIZED AS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE CODE IN 1982. (THE PHPDA'S EIN IS 91-1153993). |
| FORM 990, PART VI, SECTION A, LINE 7B | SECTION 2.2 OF THE BYLAWS SETS FORTH THE VOTING RIGHTS OF THE SOLE MEMBER (PHPDA), WHICH FUNCTION AS APPROVAL RIGHTS WITH RESPECT TO THE TRANSACTIONS DESCRIBED IN SECTION 2.2: "(A) AMENDMENT OF ARTICLES OF INCORPORATION AND AMENDMENT OF THIS ARTICLE II AND SECTION 10.6 OF THE BYLAWS; (B) ADOPTION OF A PLAN OF MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION; (C) AUTHORIZATION OF THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF THE CORPORATION; (D) AUTHORIZATION OF THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOCATION OF PROCEEDINGS THERFOR; OR (E) ADOPTION OF A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION." |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF DIRECTORS DELEGATES THE REVIEW OF THE FORM 990 TO THE BOARD'S COMPLIANCE AND AUDIT COMMITTEE (C&AC). THE ORGANIZATION'S CHIEF FINANCIAL OFFICER WORKS CLOSELY WITH AN OUTSIDE ACCOUNTING FIRM IN PREPARING THE RETURN AND THE FINAL DRAFT OF FORM 990 ALSO IS REVIEWED BY THE CONTROLLER PRIOR TO PROVIDING THIS DRAFT TO THE C&AC. THE C&AC THEN MEETS WITH THE ACCOUNTING FIRM TO DISCUSS THE FORM 990. SUBSEQUENT TO THE C&AC'S REVIEW, THE COMMITTEE DISTRIBUTES COPIES OF THE RETURN TO THE ENTIRE VOTING BOARD BEFORE THE RETURN IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE COMPLIANCE COMMITTEE OF THE BOARD IS CHARGED WITH MONITORING PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRESSING ANY POTENTIAL OR ACTUAL CONFLICTS. PURSUANT TO THE CONFLICTS OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, AIMED AT DETERMINING ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT, IS DISTRIBUTED TO ALL COVERED PERSONS (I.E., BOARD MEMBERS, OFFICERS AND EXECUTIVE LEADERSHIP OR KEY EMPLOYEES). COVERED PERSONS ARE REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME WHEN SUCH CONFLICTS ARISE. WHEN SOMEONE BECOMES A COVERED PERSON AND ANNUALLY THEREAFTER, EACH COVERED PERSON IS REQUIRED TO SIGN A STATEMENT AFFIRMING THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE CONFLICTS OR INTEREST POLICY; (2) HAS READ THE POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY, INCLUDING COMPLETING THE CONFLICTS OF INTEREST QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE COMPLIANCE COMMITTEE AND ANY PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS ARE INFORMED VIA WRITTEN COMMUNICATION. THE PROCEDURES FOR ADDRESSING ANY CONFLICT OF INTEREST INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: (1) THE CONFLICTING INTEREST IS FULLY DISCLOSED TO THE BOARD; (2) THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED, AFTER WHICH HE/SHE SHALL LEAVE THE MEETING; (3) THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; (4) ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) ANY CONFLICTING ISSUES DURING THE COURSE OF A BOARD MEETING WHICH CANNOT BE RESOLVED IS REFERRED TO THE GOVERNANCE COMMITTEE; AND (6) THE TRANSACTION OR ACTION MUST BE APPROVED BY A MAJORITY OF DISINTERESTED PERSONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD, THROUGH ITS COMPENSATION COMMITTEE CHARTER ADOPTED APRIL 27, 2006, ESTABLISHES A REQUIREMENT THAT ANY COMPENSATION ARRANGEMENT FOR THE CEO OR ANY OTHER "DISQUALIFIED PERSONS" (AS DEFINED IN SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE "IRC")) BE ESTABLISHED PURSUANT TO A PROCESS THAT IS CONSISTENT WITH THE ORGANIZATION'S STATUS AS AN ENTITY DESCRIBED IN SECTION 501(C)(3) OF THE IRC. THE PROCESS ESTABLISHED BY THE COMMITTEE REQUIRES THAT COMPENSATION PAID TO SUCH INDIVIDUALS BE REASONABLE, THAT DECISIONS WITH RESPECT TO SUCH INDIVIDUALS' COMPENSATION BE DETERMINED BY DISINTERESTED PERSONS BASED ON APPROPRIATE COMPARABILITY DATA, AND THAT THE ORGANIZATION CONTEMPORANEOUSLY DOCUMENT THE BASIS FOR SUCH DECISIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE SUMMARIZED IN THE COMPANY'S COMMUNITY SERVICE REPORT WHICH IS ALSO AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PACIFIC HOSPITAL PRESERVATION & DEVELOPMENT AUTHORITY | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 12TH AVE S Q2 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98144 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911153993 | EIN |
| Primary Activities | PRESERVATION | PrimaryActivities |
| Legal Domicile State | WA | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 6 | 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 | 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 | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | 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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