PACMED CLINICS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PACMED CLINICS (EIN 56-2290878)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201223189349305162
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-13T22:22:30-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN911194016EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1700AddressLine1
CityBELLEVUECity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562290878EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PACMED CLINICSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPACMNameControl
Phone2066214203Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 12TH AVENUE SAddressLine1
CitySEATTLECity
StateWAState
ZIP Code98144ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSCOTT COMBSName
TitleCHIEF FINANCIAL OFFICERTitle
Phone2066217203Phone
Date Signed2012-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJANE M SEARINGName
PTINP00000565PTIN
Phone4254544919Phone
Date Prepared2012-11-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1PACIFIC MEDICAL CENTERSBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonHARVEY SMITHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11200 12TH AVENUE SAddressLine1
CitySEATTLECity
StateWAState
ZIP Code98144ZIPCode
FieldValueIRS element (for citing)
Gross Receipts256607454GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PACIFICMEDICALCENTERS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTO 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 Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees920TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1817594ContributionsGrantsPriorYear
Contributions Grants Current Year1156093ContributionsGrantsCurrentYear
Program Service Revenue Prior Year183911528ProgramServiceRevenuePriorYear
Program Service Revenue CY190637742ProgramServiceRevenueCY
Investment Income Prior Year3460114InvestmentIncomePriorYear
Investment Income Current Year2000844InvestmentIncomeCurrentYear
Other Revenue Prior Year509207OtherRevenuePriorYear
Other Revenue Current Year249498OtherRevenueCurrentYear
Total Revenue Prior Year189698443TotalRevenuePriorYear
Total Revenue Current Year194044177TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year86135GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY69600GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year71455352SalariesEtcPriorYear
Salaries Etc Current Year75002699SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year111832507OtherExpensePriorYear
Other Expenses Current Year110693005OtherExpensesCurrentYear
Total Expenses Prior Year183373994TotalExpensesPriorYear
Total Expenses Current Year185765304TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6324449RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8278873RevenuesLessExpensesCY
Total Assets BOY108816833TotalAssetsBOY
Total Assets EOY121913241TotalAssetsEOY
Total Liabilities BOY33070643TotalLiabilitiesBOY
Total Liabilities EOY38010310TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY75746190NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY83902931NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOUR 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense154208623Expense
Grants69600Grants
Revenue190439372Revenue
DescriptionPACIFIC MEDICAL CENTERS HAS ALWAYS HELPED OUR COMMUNITY PROVIDE CARE FOR THOSE WHO ARE MEDICALLY UNDERSERVED OR UNABLE TO PAY FOR HEALTHCARE SERVICES. IN 2011, THESE INDIVIDUALS ACCOUNTED FOR 10% OF OUR TOTAL PATIENT VISITS. WE SERVE THIS POPULATION IN MANY WAYS:- WE HAVE LONG-TERM PARTNERSHIPS TO PROVIDE SPECIALTY CARE FOR PATIENTS OF KING COUNTY COMMUNITY-BASED CLINICS. IN 2011, 15% OF OUR GASTROENTEROLOGY, GENERAL SURGERY, GYNECOLOGY, NEPHROLOGY AND OTOLARYNGOLOGY SERVICES WENT TO UNDERINSURED INDIVIDUALS.- WE ARE A FOUNDING MEMBER OF THE KING COUNTY PROJECT ACCESS. THIS INITIATIVE ENCOURAGES LOCAL SPECIALTY PHYSICIANS TO PROVIDE CARE AT NO COST TO LOW-INCOME, UNINSURED INDIVIDUALS.- AT PACIFIC MEDICAL CENTERS WE FINANCIALLY SUPPORT AND COORDINATE CARE FOR LOW-INCOME INDIVIDUALS WITH PROJECT ACCESS NORTHWEST, A REGIONAL ORGANIZATION THAT ASSISTS LOW-INCOME INDIVIDUALS NAVIGATE THE HEALTHCARE SYSTEM. THROUGH THIS COLLABORATIVE EFFORT, WE HAVE SEEN A DRAMATIC IMPROVEMENT IN LOW-INCOME PATIENTS APPOINTMENT ARRIVALS ENSURING THEY GET THE CARE THEY NEED.- AT PACIFIC MEDICAL CENTERS WE ARE COMMITTED TO MEDICAL EDUCATION INCLUDING 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.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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1125059Expense
Revenue198370Revenue
DescriptionOUR INTERPRETER SERVICES DEPARTMENT FACILITATES COMMUNICATION BETWEEN PROVIDERS AND NON-ENGLISH AND LIMITED-ENGLISH SPEAKING PATIENTS BY MEANS OF PROFESSIONAL INTERPRETERS AND TRANSLATORS, WHO HAVE ADEQUATELY FULFILLED THEIR ROLES AS CONDUITS, CLARIFIERS, CULTURAL BROKERS, AND ADVOCATES, AS A WAY TO ENSURE THE PROVISION OF HIGH QUALITY CARE SERVICES TO ALL PATIENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense296146Expense
DescriptionOUR PHYSICIANS AND STAFF PROVIDE HEALTH SCREENING EVENTS IN HOMELESS SHELTERS AND TRANSITIONAL HOUSING COMMUNITIES. THROUGH THESE PROGRAMS, WE HAVE REACHED OUT TO HUNDREDS OF PEOPLE UNDERSERVED IN OUR REGION.Description
FieldValueIRS element (for citing)
Total Program Service Expense155629828TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096641NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees920NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PAUL L SHILLAMBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2066214203TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 12TH AVENUE SAddressLine1
CitySEATTLECity
StateWAState
ZIP Code98144ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MARK GARY
CHAIR1.00XX000
GENE COLIN
VICE CHAIR1.00XX000
STAN ROBERTS
DIRECTOR1.00X000
MICHAL ANDERSON
TREASURER1.00XX000
CHARLES LARKIN
SECRETARY1.00XX000
DOROTHY GRAHAM
DIRECTOR1.00X000
DAN GUY
DIRECTOR1.00X000
KATHY GERSCH
DIRECTOR1.00X000
WILLIAM DOWLING PHD
DIRECTOR1.00X000
ANNE REDMAN
DIRECTOR1.00X000
CATHERINE GLEASON
DIRECTOR1.00X000
KAREN GLOVER
DIRECTOR1.00X000
DAVID A ROSS
EXEC ASSISTANT/SECRETARY40.00X88818012254
HARVEY W SMITH
PRESIDENT/CEO48.00X5384350341822
SCOTT L COMBS
CFO48.00X295400042734
GINA L MARBLE
VP PRACTICE DEVELOPMENT48.00X194089031963
KARYN R BECKLEY
VP MARKETING & ADMIN SVC48.00X264915037246
LINDA A MARZANO
CHIEF OPERATING OFFICER48.00X405611046590
ALLEN J SALMIERI
VICE PRESIDENT & CIO48.00X237393031106
THOMAS J YETMAN
CMO - INTERNIST48.00X402248039804
CHRISTOPHER A KUNTZ
OPHTHALMOLOGIST40.00598238079412X
NIRAJ PATEL
OPHTHALMOLOGIST48.0010627160129691X
DIANE Y BAI
GASTROENTEROLOGIST44.00621610090101X
TONY H HUYNH
OPHTHALMOLOGIST48.00629843085700X
CHAD J MARION
ORTHOPEDIC SURGEON48.008711460110581X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6210462TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1079004TotalOtherCompensation
Number Individuals GT100 K137NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
INLAND IMAGING BUSINESS ASSOCIATES
801 SOUTH STEVENS STREETSPOKANEWA99204DIGITAL IMAGE READING / MGMT SVCS5338270
CMC MEDICAL TRANSCRIPTION
1814 EAST CHERRY STREETSEATTLEWA98122MEDICAL TRANSCRIPTION1774537
K&L GATES
925 FOURTH AVENUE SUITE 2900SEATTLEWA981041158LEGAL SERVICES693302
GLY CONSTRUCTION
200 112TH AVE NE SUITE 300BELLEVUEWA98004GENERAL CONTRACTOR611907
WEST COURIER EXPRESS
314 BOREN AVENUE SOUTHSEATTLEWA98144COURIER472370
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Related Organizations680319RelatedOrganizations
All Other Contributions475774AllOtherContributions
Total Contributions1156093TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL GROUP PRACTICE621110190439372190439372
INTERPRETER SERVICES621110198370198370
FieldValueIRS element (for citing)
Total Program Service Revenue190637742TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1831239TotalRevenueColumn
Exclusion$1,831,239ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real351090Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real101592Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real249498Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column249498TotalRevenueColumn
Exclusion$249,498ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities61741681Securities
Other889609Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities61577444Securities
Other884241Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities164237Securities
Other5368Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column169605TotalRevenueColumn
Exclusion$169,605ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column194044177TotalRevenueColumn
Related Or Exempt Function Income190637742RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,250,342ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total69600Total
Program Services69600ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3010425Total
Management And General3010425ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total58439337Total
Program Services47840763ProgramServices
Management And General10598574ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2055662Total
Program Services1831426ProgramServices
Management And General224236ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8210432Total
Program Services6150170ProgramServices
Management And General2060262ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3286843Total
Program Services2445045ProgramServices
Management And General841798ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total528000Total
Program Services528000ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1091188Total
Program Services629569ProgramServices
Management And General461619ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total216028Total
Program Services498ProgramServices
Management And General215530ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3515008Total
Program Services2270568ProgramServices
Management And General1244440ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total680298Total
Program Services346720ProgramServices
Management And General333578ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total776483Total
Program Services587323ProgramServices
Management And General189160ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6562751Total
Program Services4819458ProgramServices
Management And General1743293ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total217474Total
Program Services88039ProgramServices
Management And General129435ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total80689Total
Management And General80689ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5700873Total
Program Services3898355ProgramServices
Management And General1802518ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2882647Total
Program Services1696868ProgramServices
Management And General1185779ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED MEDICAL SVCS4759900547599005
SUPPLIES - DRUGS2135812921357861268
PURCHASE NON-MED SVCS401128024513621559918
CONTRACT EMPLOYEES28898302718820171010

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12583322Total
Program Services8300378ProgramServices
Management And General4282944ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total185765304Total
Program Services155629828ProgramServices
Management And General30135476ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY19557894BOY
EOY30804342EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3498037BOY
EOY5435300EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4829891BOY
EOY4924631EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY115485BOY
EOY138582EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1624685BOY
EOY2026643EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis57589599LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec29445838LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26603096BOY
EOY28143761EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY50056557BOY
EOY48037663EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY58426BOY
EOY60169EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2472762BOY
EOY2342150EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY108816833BOY
EOY121913241EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY25909486BOY
EOY32473296EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY515582BOY
EOY635929EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6645575BOY
EOY4901085EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY33070643BOY
EOY38010310EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY75586190BOY
EOY83802931EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY160000BOY
EOY100000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75746190BOY
EOY83902931EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY108816833BOY
EOY121913241EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8278873ReconcilationRevenueExpenses
Reconcilation Other Changes-122132ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1555542CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1565259CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1438769CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1817594CurrentTaxYearMinus1Year
Current Tax Year1156093CurrentTaxYear
Total7533257Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years153775172CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years163971975CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174950956CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year183911527CurrentTaxYearMinus1Year
Current Tax Year190637742CurrentTaxYear
Total867247372Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years155330714CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years165537234CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years176389725CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year185729121CurrentTaxYearMinus1Year
Current Tax Year191793835CurrentTaxYear
Total874780629Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509874780629PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2518961CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1631898CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1271258CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1809632CurrentTaxYearMinus1Year
Current Tax Year2182329CurrentTaxYear
Total9414078Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2518961CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1631898CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1271258CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1809632CurrentTaxYearMinus1Year
Current Tax Year2182329CurrentTaxYear
Total9414078Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years215663CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years341226CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1750CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5563CurrentTaxYearMinus1Year
Total564202Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1693899CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year250000CurrentTaxYearMinus1Year
Total1943899Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years158065338CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years167510358CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years179356632CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year187794316CurrentTaxYearMinus1Year
Current Tax Year193976164CurrentTaxYear
Total886702808Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98660PublicSupportPercentage509
Prior Year Support Percentage0.98530PriorYearSupportPercentage
Investment Income Percentage0.01060InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01050PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$8,049MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$553,114DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB561163TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationPACIFIC MEDICAL CENTERS' USFHP IS A TRICARE PRIME PROVIDER, AND IS IN FACT, THE HIGHEST RATED PLAN IN THE MILITARY HEALTH SYSTEM. DURING THE 2011 CONGRESSIONAL SESSION, THE DEPARTMENT OF DEFENSE (DOD) INTRODUCED LEGISLATION THAT WOULD ELIMINATE ACCESS TO USFHP FOR FUTURE BENEFICIARIES WHEN THEY TURN 65 YEARS OLD-REVERSING A COMMITMENT CONGRESS MADE 30 YEARS AGO WHEN DOD ESTABLISHED THE PLAN. PACMED OPPOSED THIS PROPOSAL AS PACMED BELIEVED IT WOULD UNDERMINE THE LIFETIME CONTINUUM OF CARE THAT IS THE KEYSTONE OF THIS HIGH QUALITY TRICARE PLAN. PACMED WORKED WITH CONGRESS TO ELIMINATE THE PROPOSED RESTRICTION IN THE DOD'S BUDGET REQUEST AND ALLOW ALL BENEFICIARIES TO MAINTAIN ACCESS TO USFHP REGARDLESS OF AGE. PMC URGED WASHINGTON STATE SENATORS TO OPPOSE ANY CHANGES THAT WOULD LIMIT ACCESS TO USFHP. REGRETTABLY, THESE EFFORTS WERE NOT SUCCESSFUL IN REMOVING THE PROPOSAL FROM THE FINAL DOD BUDGET REQUEST.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2262098OtherCostOrOtherBasis
Book Value2262098BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21387189OtherCostOrOtherBasis
Depreciation10849872Depreciation
Book Value10537317BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis33334444OtherCostOrOtherBasis
Depreciation18595966Depreciation
Book Value14738478BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis605868OtherCostOrOtherBasis
Book Value605868BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28143761TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PROFESSIONAL LIABILITY RESERVE$1,752,392
CAPITAL LEASE OBLIGATIONS$1,382,658
OTHER LONG TERM LIABILITIES$1,766,035
FieldValueIRS element (for citing)
Total Of Amounts4901085TotalOfAmounts
Total Revenue194044177TotalRevenue
Total Expenses185765304TotalExpenses
Excess Or Deficit For Year8278873ExcessOrDeficitForYear
Net Unrealized GL On Investments-122132NetUnrealizedGLOnInvestments
Total Adjustments-122132TotalAdjustments
Excess Or Deficit Per FS8156741ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt192411129TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-122132NetUnrealizedGainsInvestments
Other Revenues-1612508OtherRevenues
Revenue Not Rptd F990-1734640RevenueNotRptdF990
Revenue Subtotal194145769RevenueSubtotal
Other Revenues Not Included-101592OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-101592RevenueNotRptdOnFinStmt
Total Revenue Per Form990194044177TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt184254388TotExpensesEtcAuditedFinclStmt
Other Expenses Included101592OtherExpensesIncluded
Expenses Not Rptd F990101592ExpensesNotRptdF990
Expenses Subtotal184152796ExpensesSubtotal
Other Expenses Not Included1612508OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1612508ExpensesNotRptdOnFinStmt
Total Expenses Per Form990185765304TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSES -1,612,508.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES -101,592.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 101,592.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 1,612,508.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1PACIFIC SCIENCE CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 2ND AVENUE NAddressLine1
CitySEATTLECity
StateWAState
ZIP Code98109ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient910750867EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant50500AmountOfCashGrant
Purpose Of GrantCONTINUING SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
HARVEY W SMITH
472157065598068003196940221280880257000
SCOTT L COMBS
2659720287850643040277024570338134000
GINA L MARBLE
1739800196710438029172027910226052000
KARYN R BECKLEY
2407090236370569037246000302161000
LINDA A MARZANO
36767603428003655046590000452201000
ALLEN J SALMIERI
2184970183270569029009020970268499000
THOMAS J YETMAN
359099039494036550196940201100442052000
CHRISTOPHER A KUNTZ
5900080755006800619560174560677650000
NIRAJ PATEL
106059601440068009501603467501192407000
DIANE Y BAI
6163200461006800618220282790711711000
TONY H HUYNH
6280380112506800617750239250715543000
CHAD J MARION
8693410112506800786840318970981727000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1APACMED'S TRAVEL POLICY IS FOR COACH AIR TRAVEL, BUT WHEN COACH IS UNAVAILABLE AND FIRST CLASS TRAVEL IS THE ONLY MEANS TO COMPLETE BUSINESS RELATED TRAVEL, THEN FIRST CLASS TRAVEL IS PERMITTED.
PART I, LINE 4BHARVEY W. SMITH, CEO, HAS A NON-QUALIFIED SUPPLEMENT EXECUTIVE RETIREMENT PLAN ($300,000). THE FOLLOWING OFFICERS AND PROVIDERS (MDS) PARTICIPATED IN THE EXECUTIVE SUPPLEMENTAL COMPENSATION PLAN (457(F)): SCOTT L. COMBS ($20,583) LINDA A. MARZANO ($26,896) KARYN R. BECKLEY ($17,552) GINA L. MARBLE ($13,992) ALLEN J. SALMIERI ($17,181) CHRISTOPHER A. KUNTZ ($39,812) NIRAJ PATEL ($72,872) DIANE Y. BAI ($44,578) CHAD J. MARION ($61,440) TONY H. HUYNH ($44,531)

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonHARVEY SMITHNamePerson
Purpose Of LoanSPLIT DOLLAR LIFE INSURANCEPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$0OriginalPrincipalAmount
Balance Due138582BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due138582TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART I, LINE 6: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 6PER 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 7BSECTION 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 11THE BOARD OF DIRECTORS HAS DELEGATED 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 12CTHE 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 OR 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 INCLUDES, BUT IS 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 15THE 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 19WHILE 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.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -122,132.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1PACIFIC HOSPITAL PRESERVATION & DEVELOPMENT AUTHORITYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 12TH AVE S Q2AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98144ZIPCode
FieldValueIRS element (for citing)
EIN911153993EIN
Primary ActivitiesPRESERVATIONPrimaryActivities
Legal Domicile StateWALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 6PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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