2012-11-13T22:22:30-06:00 2011-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2011-01-01 562290878 PACMED CLINICS PACM 2066214203 1200 12TH AVENUE S SEATTLE WA 98144 SCOTT COMBS 2066217203 2012-11-13 1 JANE M SEARING P00000565 4254544919 2012-11-13 2011 2016-02-24 21:20:13Z PACIFIC MEDICAL CENTERS HARVEY SMITH 1200 12TH AVENUE S SEATTLE WA 98144 256607454 0 X WWW.PACIFICMEDICALCENTERS.ORG X 2003 WA 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. 8 8 920 13 0 0 1817594 1156093 183911528 190637742 3460114 2000844 509207 249498 189698443 194044177 86135 69600 0 0 71455352 75002699 0 0 0 111832507 110693005 183373994 185765304 6324449 8278873 108816833 121913241 33070643 38010310 75746190 83902931 X 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. 0 0 154208623 69600 190439372 PACIFIC 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. 1125059 198370 OUR 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. 296146 OUR 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. 155629828 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 641 0 1 920 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X PAUL L SHILLAM 2066214203 1200 12TH AVENUE S SEATTLE WA 98144 MARK GARY 1.00 X X 0 0 0 GENE COLIN 1.00 X X 0 0 0 STAN ROBERTS 1.00 X 0 0 0 MICHAL ANDERSON 1.00 X X 0 0 0 CHARLES LARKIN 1.00 X X 0 0 0 DOROTHY GRAHAM 1.00 X 0 0 0 DAN GUY 1.00 X 0 0 0 KATHY GERSCH 1.00 X 0 0 0 WILLIAM DOWLING PHD 1.00 X 0 0 0 ANNE REDMAN 1.00 X 0 0 0 CATHERINE GLEASON 1.00 X 0 0 0 KAREN GLOVER 1.00 X 0 0 0 DAVID A ROSS 40.00 X 88818 0 12254 HARVEY W SMITH 48.00 X 538435 0 341822 SCOTT L COMBS 48.00 X 295400 0 42734 GINA L MARBLE 48.00 X 194089 0 31963 KARYN R BECKLEY 48.00 X 264915 0 37246 LINDA A MARZANO 48.00 X 405611 0 46590 ALLEN J SALMIERI 48.00 X 237393 0 31106 THOMAS J YETMAN 48.00 X 402248 0 39804 CHRISTOPHER A KUNTZ 40.00 X 598238 0 79412 NIRAJ PATEL 48.00 X 1062716 0 129691 DIANE Y BAI 44.00 X 621610 0 90101 TONY H HUYNH 48.00 X 629843 0 85700 CHAD J MARION 48.00 X 871146 0 110581 6210462 0 1079004 137 0 1 0 INLAND IMAGING BUSINESS ASSOCIATES 801 SOUTH STEVENS STREET SPOKANE WA 99204 DIGITAL IMAGE READING / MGMT SVCS 5338270 CMC MEDICAL TRANSCRIPTION 1814 EAST CHERRY STREET SEATTLE WA 98122 MEDICAL TRANSCRIPTION 1774537 K&L GATES 925 FOURTH AVENUE SUITE 2900 SEATTLE WA 981041158 LEGAL SERVICES 693302 GLY CONSTRUCTION 200 112TH AVE NE SUITE 300 BELLEVUE WA 98004 GENERAL CONTRACTOR 611907 WEST COURIER EXPRESS 314 BOREN AVENUE SOUTH SEATTLE WA 98144 COURIER 472370 13 680319 475774 1156093 MEDICAL GROUP PRACTICE 621110 190439372 190439372 INTERPRETER SERVICES 621110 198370 198370 190637742 1831239 1831239 351090 101592 249498 249498 249498 61741681 889609 61577444 884241 164237 5368 169605 169605 194044177 190637742 0 2250342 69600 69600 3010425 3010425 58439337 47840763 10598574 2055662 1831426 224236 8210432 6150170 2060262 3286843 2445045 841798 528000 528000 1091188 629569 461619 216028 498 215530 3515008 2270568 1244440 680298 346720 333578 776483 587323 189160 6562751 4819458 1743293 217474 88039 129435 80689 80689 5700873 3898355 1802518 2882647 1696868 1185779 PURCHASED MEDICAL SVCS 47599005 47599005 SUPPLIES - DRUGS 21358129 21357861 268 PURCHASE NON-MED SVCS 4011280 2451362 1559918 CONTRACT EMPLOYEES 2889830 2718820 171010 12583322 8300378 4282944 185765304 155629828 30135476 0 19557894 30804342 3498037 5435300 4829891 4924631 115485 138582 1624685 2026643 57589599 29445838 26603096 28143761 50056557 48037663 58426 60169 2472762 2342150 108816833 121913241 25909486 32473296 515582 635929 6645575 4901085 33070643 38010310 X 75586190 83802931 160000 100000 75746190 83902931 108816833 121913241 X 8278873 -122132 X 0 1 1 X 0 X 1555542 1565259 1438769 1817594 1156093 7533257 153775172 163971975 174950956 183911527 190637742 867247372 155330714 165537234 176389725 185729121 191793835 874780629 0 0 0 874780629 2518961 1631898 1271258 1809632 2182329 9414078 2518961 1631898 1271258 1809632 2182329 9414078 215663 341226 1750 5563 564202 1693899 250000 1943899 158065338 167510358 179356632 187794316 193976164 886702808 0.98660 0.98530 0.01060 0.01050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 8049 0 0 1 553114 0 0 561163 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: PACIFIC 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. 2262098 2262098 21387189 10849872 10537317 33334444 18595966 14738478 605868 605868 28143761 PROFESSIONAL LIABILITY RESERVE 1752392 CAPITAL LEASE OBLIGATIONS 1382658 OTHER LONG TERM LIABILITIES 1766035 4901085 194044177 185765304 8278873 -122132 -122132 8156741 192411129 -122132 -1612508 -1734640 194145769 -101592 -101592 194044177 184254388 101592 101592 184152796 1612508 1612508 185765304 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. 1 PACIFIC SCIENCE CENTER 200 2ND AVENUE N SEATTLE WA 98109 910750867 501(C)(3) 50500 CONTINUING SUPPORT 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. X X 1 0 X X X X X X 0 1 0 0 0 0 0 0 0 HARVEY W SMITH 472157 0 65598 0 680 0 319694 0 22128 0 880257 0 0 0 SCOTT L COMBS 265972 0 28785 0 643 0 40277 0 2457 0 338134 0 0 0 GINA L MARBLE 173980 0 19671 0 438 0 29172 0 2791 0 226052 0 0 0 KARYN R BECKLEY 240709 0 23637 0 569 0 37246 0 0 0 302161 0 0 0 LINDA A MARZANO 367676 0 34280 0 3655 0 46590 0 0 0 452201 0 0 0 ALLEN J SALMIERI 218497 0 18327 0 569 0 29009 0 2097 0 268499 0 0 0 THOMAS J YETMAN 359099 0 39494 0 3655 0 19694 0 20110 0 442052 0 0 0 CHRISTOPHER A KUNTZ 590008 0 7550 0 680 0 61956 0 17456 0 677650 0 0 0 NIRAJ PATEL 1060596 0 1440 0 680 0 95016 0 34675 0 1192407 0 0 0 DIANE Y BAI 616320 0 4610 0 680 0 61822 0 28279 0 711711 0 0 0 TONY H HUYNH 628038 0 1125 0 680 0 61775 0 23925 0 715543 0 0 0 CHAD J MARION 869341 0 1125 0 680 0 78684 0 31897 0 981727 0 0 0 PART I, LINE 1A PACMED'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 4B HARVEY 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) HARVEY SMITH SPLIT DOLLAR LIFE INSURANCE X 0 138582 0 1 1 138582 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 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 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 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 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -122,132. PACIFIC HOSPITAL PRESERVATION & DEVELOPMENT AUTHORITY 1200 12TH AVE S Q2 SEATTLE WA 98144 911153993 PRESERVATION WA 501(C)(3) LINE 6 N/A 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0