2012-05-08T09:15:12-07:00 2011-06-30 Clark Nuber PS 10900 NE 4th Street Ste 1700 Bellevue WA 98004 990 2010-07-01 910652651 OVERLAKE HOSPITAL MEDICAL CENTER OVER 4256885000 1035 116th Ave NE Bellevue WA 98004 Gary McLaughlin 2012-05-03 Sara Elizabeth J Hyre 2010 2016-02-24 21:20:13Z Craig Hendrickson 1035 116th Ave NE Bellevue WA 98004 426164107 false false X www.overlakehospital.org X 1953 WA The purpose is to operate a hospital for the care of persons,to participate in education,research and other activities designed to promote general health of the community. The Hospital's mission is to provide medical excellence every day. 18 15 2923 955 1482610 237354 3215887 2201257 386054483 409517574 1204095 9626153 6863787 4678150 397338252 426023134 5216036 1390016 0 184566220 196249568 0 0 174243756 192929432 364026012 390569016 33312240 35454118 480719847 544703202 251374516 248435151 229345331 296268051 The purpose is to operate a hospital for the care of persons,to participate in education,research and other activities designed to promote general health of the community. The Hospital's mission is to provide medical excellence every day. false false 323044268 409303247 Hospital Services - Overlake Hospital Medical Center is a nonprofit, independently operated regional center serving the eastern Puget Sound region with medical centers in Bellevue, Issaquah and Mercer Island. Founded in 1953, today Overlake Hospital is a regional leader in health care, providing advance medical services and excelling in the areas of cardiac care, general and specialty surgery, women's services, cancer treatment and services for the seniors. There were 21,235 patients admitted for inpatient medical care for a total of 71,683 patient days. There were 235,098 outpatient visits including 50,409 for emergency care visits and 112,205 physician visits. The Hospital delivered 4,029 babies. Overlake Hospital demonstrated a commitment to improving the health of the community by supporting many health-related events, programs, clinical research and made various contributions throughout the year that had a direct benefit to the community. The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services. Overlake Hospital provided care to 6,316 patients who are uninsured or under insured in the amount of $15,450,000 (estimated cost of $5,561,000). The Hospital provided care to Medicaid patients at rates below the cost of providing services. The payments were less than cost by $6,427,000. In keeping with the Hospital's spirit of giving back to the community it served, a total of $5,012,000 of community benefit service activities were also provided. Overlake Staff spent 2,518 hours in the community by participating in, organizing and managing health programs and activities. Overlake Hospital offers the most comprehensive services to the Eastside community. Overlake sponsors community health events and screenings for the general public. In October 2010, Overlake held its third annual Eastside Vitality Health Fair, performing free health screenings for more than 1,000 people. Screenings included blood pressure checks, blood glucose testing, cholesterol tests, stroke assessments, peripheral artery disease screenings, bone density screenings and skin cancer checks. Overlake has been home to the most comprehensive program for cardiovascular and peripheral vascular care on the Eastside for more than 20 years. Today, the hospital's heart care team includes a network of specialists whose collective expertise and training has helped Overlake earn its reputation as an award winning cardiac center. The Cancer Center at Overlake is noted for its enhanced services and technology, as well as for its exceptional patient experience. In 2011, the Cancer Center at Overlake received a prestigious commendation from the American College of Surgeons Commission on Cancer. Overlake's Women and Infants' Center provides a full continuum of care designed for women in their childbearing years and beyond. Overlake offers exceptional care for Elderly Patients by educating our nurses in effective geriatric care. For more than 30 years, Overlake has been the leader in providing quality adult and adolescent psychiatric care to the Puget Sound community. Our Specialty School is recognized by the school districts as a leader in helping students who need specialized behavioral services by providing academic, social, emotional and behavioral support. Overlake is expanding its network of medical clinics throughout the Eastside. Overlake understands how busy people's day to day lives can be, that's why the hospital provides patients with convenient, accessible medical care located close to where they live and work. 2193421 214327 Education Services - In addition to the excellent care we provide our patients, the Hospital firmly believes education is critical to overall wellness so the organization reaches out to the community to engage and empower its patients in becoming educated healthcare consumers by offering free and low-cost classes for all age groups. Overlake sponsors health and safety classes, with topics ranging from childbirth preparation and parenting to senior care. Health education is an important part of preventive care. The Education Program provided 45,818 contact hours offering classes in a wide range of health related topics including women's health, prenatal care, coping skills, dealing with cancer, positive parenting, safety, asthma, heart disease, diabetes, living wills, incontinence, weight loss, maintaining balance, babysitting for teens, CPR and health lifestyles. The Hospital also provided 22,875 contact hours of internal and external nursing education. 1390016 1390016 Other Grants and Allocations - Grants to Overlake Hospital Foundation and Overlake Hospital Auxiliaries to cover their expenses. 326627705 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true true false true false false false false false true false true false false false false true true true true false false true 276 0 true 2923 true true true false false false false false false false false false 0 false false false false false false false false false false false X 18 15 false false false false true true true true true false false false true true true true true true true true true true X Eric Teshima 4256885149 1120 112th Ave Ste 202 Bellevue WA 980044687 Vu Hoang MD 45.00 X 1009475 0 25039 Tom Miller MD 1.00 X 15000 0 0 Tom Cleveland 4.00 X 0 0 0 Thien Nguyen MD 45.00 X 298146 0 21139 TD Sam Baxter 55.00 X 227983 0 68081 Skip Rowley 1.00 X 0 0 0 Russell Stockdale 1.00 X 0 0 0 Robert Campbell 3.00 X 0 0 0 Rick Clarfeld MD 45.00 X 368991 0 45239 Patty Edwards 0.25 X 0 0 0 Patricia Wangsness 0.50 X 0 0 0 Patricia Bedient 3.00 X X 0 0 0 Lawrence Madewell MD 45.00 X 289175 0 29169 Larry Hebner 3.00 X X 0 0 0 Ken Johnsen 2.00 X 0 0 0 Kemper Freeman Jr 1.00 X 0 0 0 Kelan Koenig MD 45.00 X 318353 0 31265 Kathleen Gibson MD 1.00 X 88000 0 0 John Walter Smith MD 2.00 X 20000 0 0 John K Murphy 2.00 X X 0 0 0 Jody Albright 55.00 X 313922 0 24909 Jim Doud 2.00 X 0 0 0 Jerome Mathews 1.00 X 0 0 0 Janine Florence 1.00 X 0 0 0 Gregory Engel MD 1.00 X 50500 0 0 Gregory Collins 1.00 X 0 0 0 Gary McLaughlin 35.00 X 549554 0 131259 Douglas Martin 2.00 X 0 0 0 David Schultz 55.00 X 429451 0 79398 Craig Hendrickson 40.00 X 838508 0 164919 Cecily Hall 1.00 X X 0 0 0 Catherine Whitaker-Klick 55.00 X 320718 0 27358 Bertrand Valdman 8.00 X X 0 0 0 Alan Ertle 55.00 X 176663 0 28063 5314439 675838 255 false true false Puget Sound Blood Center 921 Terry Avenue Seattle WA 981041256 Blood Services 1680450 Medical Information Technology Inc P O Box 74569 Chicago IL 60696 Software Dev & Maint 1671559 INX Inc P O Box 4346 Dept 523 Houston TX 772104346 Computer Services 2668379 Hospital Central Services Assoc 1300 E Columbia St Seattle WA 98122 Linen Services 1425208 Gall Landau Young Construction Co P O Box 6728 Bellevue WA 980080728 Construction 1969365 80 2201257 1886 2201257 Program Related Invstmnts 900004 2218763 2218763 Other Program Services 900004 1997150 1997150 Non Government Payments 900004 261356710 261356710 Medicare/Medicaid Payment 900004 143730624 143730624 Education Services 611710 214327 214327 409517574 5542928 5542928 0 0 303831 303831 303831 303831 2400973 1823225 140973 2400973 1682252 4083225 4083225 0 0 0 Parking Revenue 812930 445814 445814 Laboratory 621500 877625 803047 74578 Catering/Cafeteria 722210 2661996 675027 1986969 388884 4536 384348 4374319 426023134 409517574 1482610 12821693 1390016 1390016 0 0 0 3353059 821140 2531919 0 153865739 130689535 23176204 10293971 8774866 1519105 17091958 13735362 3356596 11644841 9842558 1802283 0 1003343 113397 889946 221668 221668 100936 100936 0 31190 31190 35427624 25998492 9429132 1306341 1529 1304812 67820435 64066546 3753889 5452598 5452598 0 9126130 6691443 2434687 662603 291040 371563 0 364631 311700 52931 10165831 10165831 0 22440809 17749056 4691753 2938309 2188400 749909 UBI Taxes 10533 10533 Other Expenses 3247498 1177308 2070190 Medicaid Prov Assessment 10224358 10224358 Bad Debt 18638901 18638901 B & O Tax 3745694 3745694 0 390569016 326627705 63941311 0 12047336 14259230 31359813 25402285 0 49250772 51117294 0 0 587241 277253 4789159 5583830 9825971 9416155 351686906 163610140 184360207 188076766 179376288 236235728 4098591 4045441 0 817567 269640 4206902 10019580 480719847 544703202 45052701 53377078 193074775 187627242 13247040 7430831 251374516 248435151 X 229345331 296268051 229345331 296268051 480719847 544703202 X 35454118 31468602 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false American Hospital Association P O Box 34936 Seattle WA 98124 9896 Millennia Public Affairs Inc 21127 47th Dr SE Bothell WA 98021 911809445 46488 Washington State Hospital Assoc Dept5028 P O Box 34936 Seattle WA 98124 44552 false false false false false false true 56384 false true 44552 100936 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Part of the membership dues that are paid to the Washington State Hospital Association and American Hospital Association are used by them for lobbying purposes. 2151142 2151142 184782332 66824362 117957970 5459982 4459419 1000563 157703868 92326359 65377509 1589582 1589582 188076766 Prof Liability Insurance Reserve 2834823 Pension Liability 4516750 Other Long Term Liabilities 79258 7430831 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Adjustment in Pension Liability $4692068 true true true X true X true true true false false false 5561490 5561490 0.01420 24487916 18061371 6426545 0.01650 30049406 18061371 11988035 0.03070 1618951 205808 1413143 0.00360 1850179 1850179 0.00470 5082202 3549688 1532514 0.00390 316745 85144 231601 0.00060 279563 63453 216110 0.00060 9147640 3904093 5243547 0.01340 39197046 21965464 17231582 0.04410 false 6710578 64162923 84844076 -20681153 X true true Washington Imaging Svcs LLC Diagnostic Imaging Services 0.27000 0.72000 Overlake Surgery Center LLC Ambulatory Surgical Svcs 0.43000 0.03000 0.54000 1 0 Overlake Hospital Medical Ctr

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400 108th Ave NE Ste 605 Bellevue WA 98004

Primary Care Clinic OMCSpecialty Clinic

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Specialty Clinic OMC-Issaquah

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Breast Surgery OMC-Cardiothoracic Surgery

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Cardiothoracic Surgery OMC-Radiation Oncology

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Radiation Oncology Physicians OMC-Medical Tower

1135 116th Ave NE Ste 110 Bellevue WA 98004

Internal Medicine OMC-Issaquah Urgent Care

5708 E Lk Sammamish Pkwy Ste 101 Issaquah WA 98029

Urgent Care Part VI - Additional Information Part I, Line 7The costing methodology for charity care and un reimbursed Medicaid was the cost to charge method using the cost to charge ratio. The community health improvement cost, health professional education, and cash and in-kind contributions are direct costs and do not include any indirect costs. The cost for subsidized health services is derived from a cost accounting system that addresses all patient segments.Part III, Line 4The audited financial statements do not include a footnote discussing bad debt or the allowance for doubtful accounts. Bad debts are recorded on the Statement of Operations and Changes in Net Assets based on the patient charges written off to bad debt plus/minus changes to the allowance for uncollectable accounts. Any patient discount or payments reduce the amount of charges written off to bad debt. This is applied consistently to all patient balances. The bad debt expense on Schedule H, Part III, line 2 is estimated based on the cost to charge ratio. The Hospital believes that a portion of the bad debt expense is related to patients that would be eligible under the Hospital's charity care guidelines had the patient provided the financial information necessary to make the determination. The Hospital does not have a reasonable method to estimate this amount and is therefore not reporting an amount on Part III, Line 3.Part III, Line 8The costing methodology for Medicare allowable cost is derived from the 2010 Medicare Cost Report. The Hospital believes that all of the Medicare shortfall should be treated as community benefit. The IRS community benefit standard includes the provision of care to Medicare patients and the Hospital continues providing care to the Medicare beneficiaries regardless of the shortfall. By absorbing the Medicare shortfall, the Hospital thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries.Part III, Line 9bThe Hospital will place a patient's account on hold when a patient's account is being considered for charity. Once a determination has been made that a patient qualifies for charity care, the patient's account is reduced by the charity amount granted and a letter is sent to the patient noting the charity adjustment. The patient may appeal the decision if he/she believes there is additional information that should have been considered or the financial situation has changed. The patient is responsible for any balance remaining after the charity adjustment, if any, and the collection process will continue in the normal process.Part VI, Line 2The Hospital completed a community needs assessment in April 2011 and will use this as the primary basis for assessing the community health needs. In addition, the Hospital distributes feedback forms in all our classes and at our major events, such as our annual community health fair. These forms ask attendees a range of questions, including what other classes or services people would like us to offer. We also include an item in every issue of Healthy Outlook asking people to contact us if they have requests for particular health classes or lectures. Finally, we maintain relationships with other area non-profits and work with them when they identify specific community health needs (e.g. stroke screenings at Hopelink). Part VI, Line 3Information about assistance programs starts at the point of registration. Placards describing the financial assistance programs are at all admitting registration desks. Financial assistance can take the form of assistance in qualifying for Medicaid, charity, or prompt pay discounts. Financial Counselors are available to discuss the financial arrangements for all patients and will discuss the financial assistance. The Financial Counselors will also assist patients in completing the Hospital's charity care application if the patients brings in information and needs help completing the application. See Schedule O for continuation of Schedule H Part VI Line 3, and Part VI Line 4, 5,and 6. true Overlake Hospital Foundation 1035 116th Ave Ne Bellevue WA 98004 911050325 501(c)(3) 1356037 0 Support Operations Overlake Hospital Auxiliaries 1035 116th Ave NE Bellevue WA 98004 237297831 501(c)(3) 33979 0 Support Operations 2 0 Grantmaker's Description of How Grants are Used Overlake Hospital Medical Center performs the record keeping for Overlake Hospital Foundation and Overlake Hospital Auxiliaries and monitors its operating expenses as part of the monthly financial review process. X true true X X X X X false true false false false false false true false false Vu Hoang MD 477566 296651 235258 10750 14289 1034514 Thien Nguyen MD 294888 3258 14700 6439 319285 TD Sam Baxter 184409 35250 8324 28542 39539 296064 Rick Clarfeld MD 340465 25000 3526 31148 14091 414230 Lawrence Madewell MD 288211 964 14880 14289 318344 Kelan Koenig MD 227611 90742 17379 13886 349618 Jody Albright 244903 46125 22894 14700 10209 338831 Gary McLaughlin 420344 104604 24606 22232 109027 680813 David Schultz 343529 79510 6412 14984 64414 508849 Craig Hendrickson 626754 181422 30332 36199 128720 1003427 Catherine Whitaker-Klick 247772 48068 24878 14700 12658 348076 Alan Ertle 172541 4122 28063 204726 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above Management incentive for the CEO, COO and Vice Presidents are contingent on Overlake Hospital Association's consolidated net operating income for the fiscal year being at least 80% of the net operating income budget. The incentive payment is then based on a combination of meeting organization and individual goals.Incentives were paid to Vu Hoang on productivity and meeting certain individual quality goals. Incentives were paid to Richard Clarfeld based on meeting certain cost controls. Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. WA Health Care Facilities 911108929 93978E7P1 2010-04-14 99229494 See Part V false false false WA Health Care Facilities Authority 911108929 93978EYZ9 2005-06-08 162497935 Construction of Facility true false false WA Health Care Facilities Authority 911108929 93978EWQ1 2003-06-19 22708358 Refund Prior Issue 12/13/89 false false false 99229494 8292652 1660010 210770 20000000 75000000 2010 true false true true 80380000 169309811 6516651 852750 2136381 8175568 145694524 2008 false false true true 13890000 22708445 371287 966000 21371159 1990 true false true true false false false false false 0.00092 0.00092 true false true false false false 0.00011 0.00011 true false false false false false true false true false true IXIS Funding Corp 3.1000 true false false false false false false false true Part I, Column c, Line A-cusip- 93978E WQ1/WR9Part I, Column c, Line B-cusip-93978E YZ9/YL0/YF3/YG1Part I, Line C, Column f - Construction of facilities & partially refund prior issue (6/8/2005)Part II,Line 3-The total proceeds do not agree to the issue price in Part I,Column (e) due to investment earnings. Part II, Line 3-The total proceeds do not equal the summation of lines 4-12 due to transferred or replacement proceeds in line 4. Puget Sound Physicians See Part V 793720 See Part V false Washington Federal Savings See Part V 180280 Leasing Clinical Space false Part IV Line 1 Column (b)Entity in which Jim Doud, Trustee, is a Director.Part IV Line 2 Column (b)Entity in which Tom Miller, MD, Trustee is a Partner.Part IV Line 2 Column (d)Urgent Care physician services and emergency room medical director services. Schedule H, Part VI, Line 6 The Hospital operates an active screening program in which we offer free health screenings at least four times annually at community events. The largest one is the annual Overlake Eastside Vitality Community Health Fair, in which we provide over 700 free screenings, including cholesterol, stroke risk, diabetes, and skin cancer. Screening results and free counseling are provided at the events. Those who need to see a physician are given a list of providers, including community medical clinics. Schedule H, Part VI, Line 5 The Hospital staff participate in the county wide disaster preparedness group and is the back up to Harborview. Schedule H, Part VI, Line 4 The Hospital's primary service area is East King County which is bounded by Lake Washington to the west and by the Cascade Mountains to the east and extends north to the King County line, near the City of Bothell, and south to the City of Renton. It has a population base of approximately 653,000 residents with an ethnic makeup of 74% white, 15% asian, 6% hispanic, and 5% other. 10% of the residents are 65 or older and another 27% in the 45 to 64 age bracket. Schedule H Part VI, Line 3 The Hospital engages an outside company to assist patients with applying for Medicaid. General information about the assistance programs are then included as part of each patient statement that is sent to a patient and includes the phone number of the Patient Financial Services department to call for assistance. In addition, as part of the account follow up, Patient Financial Service Representatives will call patients after their second statement and will discuss patient financial assistance as part of the call.Overlake's charity care policy is posted on the Washington State Department of Health website and on the Hospital's website. Form 990, Part V Line 7g & 7h Overlake Hospital Medical Center did not receive any contributions of intellectual property, cars, boats, airplanes, or other vehicles. Form 990, Part IV Line 12 - Fin. Stmts The financial statements of Overlake Hospital Medical Center are audited on a consolidated basis. This IRS Form 990 for Overlake Hospital Medical Center only contains the activities of the Hospital while the activities of the related organizations are reported on separate IRS Form 990s. Form 990, Part I Line 6 - Volunteers Volunteers provided 281,129 hours of service to Overlake Hospital Medical Center during the year. Volunteers provide assistance for patients and guests at point of entry with information, way-finding, and transportation services. In the nursing units, volunteers help answer call lights and provide comfort to support and facilitate the physical, emotional, mental and spiritual health and self-healing of the patient. Included in the total volunteers are 22 board members that volunteered their time as board members during the year. Form 990 Part VII Section A, Line 23 & 25 Column B Craig Hendrickson devoted 30 hours to related organizations.Gary McLaughlin devoted 20 hours to related organizations. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Overlake Hospital makes its disclosure of governing documents, conflict of interest policy, and audited financial statements available through the Hospital's administration office. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Overlake's policy and process for Executive Compensation is fully documented in the "Executive Compensation Administration and Compliance Manual." This manual details the charter of the Compensation Committee of the Board, the compensation philosophy and how salary increases, incentives and benefits and prerequisites are administered. Compensation Committee members are independent board members as required by the Charter and By-laws. The process includes an independent consultant who works directly for the Compensation Committee and a review of comparable data from external sources. All compensation related decisions for the CEO, COO and Vice Presidents are discussed, deliberated and voted on by the Compensation Committee and documented in the minutes of the meeting. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Education regarding conflicts of interest is provided at the annual meeting in January of each year to the full board. Conflict of interest statements are signed annually by Board members at the beginning of the calendar year and submitted to Overlake Hospital Medical Center's Chief Compliance Officer for review. The Chief Compliance Officer summarizes any conflicts of interest and discusses these results with the Chair of the Audit & Compliance Committee, CEO, and Legal Counsel. At Board meetings, members are reminded that they should recuse themselves from voting on issues when there is a conflict of interest. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process The 990 is prepared internally and reviewed by an independent accounting firm. The 990 is then reviewed by the President & CEO, CFO, VP Human Resources, VP of Risk Management/Safety, and Overlake Hospital Medical Center Finance Committee. The 990 is sent to the Hospital Board members prior to submission to the IRS. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Overlake Hospital Association has the right to appoint and remove Overlake Hospital Medical Center's Trustees. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Overlake Hospital Association is the sole member of Overlake Hospital Medical Center. Overlake Medical Clinics LLC 1035 116th Ave NE Bellevue WA 98004 911932954 Medical Clinics WA 14668130 6142930 N/A Overlake Hospital Association 1035 116th Ave NE Bellevue WA 98004 911274134 Provide Support WA 501(c)(3) 11-Type II N/A true Overlake Hospital Auxiliaries 1035 116th Ave NE Bellevue WA 98004 237297831 Fund Raising WA 501(c)(3) 9 Overlake Hospital Medical Center true Overlake Hospital Foundation 1035 116th Ave NE Bellevue WA 98004 911050325 Fund Raising WA 501(c)(3) 7 Overlake Hospital Medical Center true false true true true false false false false false true false false true true false true false false Overlake Hospital Association p 1553883 Cash Overlake Hospital Association n 195457 Other Overlake Hospital Association j 3557096 Cash Overlake Hospital Association d 9058565 Other Overlake Hospital Auxiliaries n 133565 Other Overlake Hospital Auxiliaries c 747757 Cash Overlake Hospital Foundation n 205239 Other Overlake Hospital Foundation m 96547 Cash Overlake Hospital Foundation c 1407161 Cash Overlake Hospital Foundation b 1356037 Cash