2012-10-30T16:07:24-05:00 2011-12-31 910189318 MOSS ADAMS LLP PO BOX 22650 YAKIMA WA 989072650 990 2011-01-01 910171250 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION CENT 5096621515 PO BOX 1887 WENATCHEE WA 988071887 JOHN B HAMILTON 5096621515 2012-10-17 1 CHRISTOPHER E RIVARD P00022321 5092487750 2011 2016-02-24 21:20:13Z CENTRAL WASHINGTON HOSPITAL JOHN B HAMILTON PO BOX 1887 WENATCHEE WA 988071887 212912210 0 X WWW.CWHS.COM X 1978 WA A PROVIDER OF HEALTH CARE SERVICES. 13 13 1560 175 387623 0 1200474 1902958 181613747 179550355 2993079 2536774 1130419 1427364 186937719 185417451 0 0 0 0 101208154 104255208 1600 106879 126483 80985943 86252044 182195697 190614131 4742022 -5196680 312497943 296249714 147355742 138964940 165142201 157284774 X IN ITS TRADITION OF SERVICE, CENTRAL WASHINGTON HOSPITAL RESPONDS TO COMMUNITY NEEDS BY PROVIDING QUALITY HEALTHCARE THROUGH CARING, COMPETENCE AND ACCOUNTABILITY. 0 0 123256494 178805187 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION (CWHSA) PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF CWHSA, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND, FURTHER, THAT OUR MISSION IS TO SERVICE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVICE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE; CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST; AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR INDIVIDUALS' INABILITY TO PAY CO-EXISTS. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. CWHSA SERVICED 9,160 IN-PATIENTS AND PROVIDED MORE THAN 32,569 DAYS OF CARE DURING 2011.CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED ON ACTIVITIES AND SERVICES WHICH CWHSA BELIEVES WILL SERVICE A BONA FIDE COMMUNITY HEALTH NEED. THESE ACTIVITIES AND SERVICES ARE INCLUDED IN THE FOLLOWING PAGES. 123256494 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 107 0 1 1560 1 1 1 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WA X STEVE JACOBS 5096621515 1201 SOUTH MILLER ST WENATCHEE WA 98801 DAVID W PARKS DMD 2.00 X X 184 0 0 STEPHEN F VOORHIES MD 2.00 X X 764 0 0 MARC C HEMINGER 1.00 X 0 0 0 FRANK J KUNTZ 1.00 X 92 0 0 BEVERLY A JAGLA 1.00 X 672 0 0 SI BAUTISTA 1.00 X 764 0 0 PHILLIP R JOHNSON 1.00 X 92 0 0 JOHN W GILL MD 2.00 X X 92 0 0 LINDA K SCHATZ MD 1.00 X 92 0 0 GARY K LAMMERT MD 1.00 X 0 0 0 KRISTINE LOOMIS 2.00 X X 0 0 0 LAURA MOUNTER 1.00 X 92 0 0 KENNETH J MARTIN 2.00 X X 764 0 0 JOHN T EVANS JR 40.00 X 415291 0 121921 STEVEN R JACOBS 40.00 X 261492 0 78154 JOHN B HAMILTON 40.00 X 277534 0 80660 TRACEY A KASNIC 40.00 X 210870 0 38398 MARK A BROBERG 40.00 X 680780 0 34043 R CRAIG BROWNLEE 40.00 X 417163 0 29167 HANK J VEJVODA 40.00 X 634565 0 36083 LINDA L STRAND 40.00 X 272942 0 35579 SAMUEL M ORTIZ 40.00 X 284260 0 33302 3458505 0 487307 72 0 1 0 WENATCHEE EMERGENCY PHYSICIANS 1201 S MILLER ST WENATCHEE WA 98801 EMERGENCY PHYSICIAN SERVICES 2737337 WENATCHEE VALLEY MEDICAL CT 820 N CHELAN AVE WENATCHEE WA 98801 PHYSICIAN SERVICES 2163988 EBMS 2075 OVERLAND AVE BILLINGS MT 59102 MEDICAL CLAIMS ADMINISTRATION 760509 WENATCHEE ANESTHESIA ASSOC 19 S BUCHANAN AVE WENATCHEE WA 98801 PHYSICIAN SERVICES 687697 HEALTHCARE PERFORMANCE GROUP 23419 WEST 215TH ST SPRING HILL KS 66083 CONSULTING 636907 31 1690459 212499 21405 1902958 OTHER PROFESSIONAL SER 624100 88623156 88623156 OTHER NURSING SERVICES 624100 38553008 38553008 DAILY PATIENT SERVICES 624100 33896185 33896185 PHYSICIAN SERVICES 624100 10348717 10348717 HOME HEALTH, HOSPICE, 624100 6469894 6469894 1659395 774 299499 1359122 179550355 16052 16052 1367953 979485 388468 388468 388468 29035996 26515274 2520722 2520722 2520722 MISCELLANEOUS 900099 871743 871743 INCOME FROM K-1 900099 124567 36443 88124 PURCHASE DISCOUNTS 900099 42586 5267 37319 1038896 185417451 178805187 387623 4321683 1487928 1487928 82002831 60613542 21389289 4329697 3386434 943263 8876872 5840208 3036664 7557880 4502858 3055022 599675 599675 117060 117060 106879 106879 63151 63151 9318111 5259103 4059008 236948 90861 133292 12795 9765357 4584847 5173701 6809 1891749 80926 1810823 610552 271241 339311 5329958 5329958 13171774 3782054 9389720 2070788 299200 1771588 SUPPLIES 34131205 32631042 1500163 LICENSES AND TAXES 4509433 1381 4508052 OTHER PURCHASED SERVICE 3542758 1701707 1841051 DUES AND SUBSCRIPTIONS 453957 157080 296877 439568 54010 385558 190614131 123256494 67231154 126483 2825028 417987 14220890 2827490 6430202 3794812 30996239 31051200 5741113 5871316 3680858 3529988 292765769 116303490 165154110 176462279 77835081 66083630 5614422 6211012 312497943 296249714 30315449 21979163 114825000 113915000 2215293 3070777 147355742 138964940 X 158711999 153489962 6430202 3794812 165142201 157284774 312497943 296249714 X -5196680 -2660747 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 34144 0 0 34144 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: WA STATE HOSPITAL ASSOCIATION DUES - 21.60% OF $122,075 = $26,368 AMERICAN HOSPITAL ASSOCIATION DUES - 24.60% OF $31,609 =$7,776 TOTAL $34,144 8981311 8981311 94618952 17117540 77501412 24934447 14696412 10238035 162189013 84489538 77699475 2042046 2042046 176462279 RESERVE FOR MALPRACTICE INSURANCE CLAIMS 2824000 DOUGLAS COUNTY WATER ASSESSMENT DEBT 246777 3070777 185417451 190614131 -5196680 -2536179 -124568 -2660747 -7857427 182481258 -2536179 -2536179 185017437 63151 336863 400014 185417451 190338686 0 190338686 63151 212294 275445 190614131 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: EFFECTIVE JANUARY 1, 2009, THE ASSOCIATION ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ACCOUNTING STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. AS OF DECEMBER 31, 2011 AND 2010, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. PART XI, LINE 8 - OTHER ADJUSTMENTS: ROUNDING -1. INCOME ON K-1 NOT INCLUDED IN REVENUE ON FINANCIAL STATEMENT -124,567. TOTAL TO SCHEDULE D, PART XI, LINE 8: -124,568. PART XII, LINE 4B - OTHER ADJUSTMENTS: SALARY, BENEFITS AND OTHER OPERATING EXP. INCLUDED IN REVENUE ON FORM 990 -35,871. INCOME ON K-1 NOT INCLUDED IN REVENUE ON FINANCIAL STATEMENT 124,567. SALARY, BENEFITS AND OTHER NON-OPER. EXP. INCLUDED IN REVENUE ON FORM 990 121,682. FUNDRAISING EXPENSE NOT INCLUDED IN REVENUE ON FORM 990 126,483. ROUNDING 2. PART XIII, LINE 4B - OTHER ADJUSTMENTS: SALARY, BENEFITS AND OTHER OPERATING EXP. INCLUDED IN REVENUE ON FORM 990 -35,871. SALARY, BENEFITS AND OTHER NON-OPER. EXP. INCLUDED IN REVENUE ON FORM 990 121,682. FUNDRAISING EXPENSE NOT INCLUDED IN REVENUE ON FORM 990 126,483. X X 0 CAPITAL QUEST 4662 GRAVELLY HILLS ROAD LOUISVILLE TN 37777 CAPITAL CAMPAIGN 0 0 42400 -42400 RUSS REID CO 2000 L STREET NW SUITE 350 WASHINGTON DC DC 20036 CAPITAL CAMPAIGN 0 0 64479 -64479 106879 -106879 1 1 1 X 175.000000000000 1 X 1 1 0 0 6019958 6019958 0.03160 31493228 19472934 12020294 0.06310 37513186 19472934 18040252 0.09470 2 391 16587 16587 0.00010 1 524 1379952 1379952 0.00720 59432 59432 0.00030 3 915 1455971 1455971 0.00760 3 915 38969157 19472934 19496223 0.10230 0 6745902 77919824 80184348 -2264524 X 1 1 1 1 CENTRAL WASHINGTON HOSPITAL

PO BOX 1887 WENATCHEE WA 98807

X X X CENTRAL WASHINGTON HOSPITAL 1 1 1 175.000000000000 1 300.000000000000 1 X X X X X X X 1 1 X X X X 1 0 1 X 0 0 PART I, LINE 7: GROSS CHARGES WRITTEN OFF TO BAD DEBT AFTER PAYMENTS, CONTRACTUAL ADJUSTMENTS, AND CHARITY. PART III, LINE 4: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE ASSOCIATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ASSOCIATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ASSOCIATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE ASSOCIATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS CHANGED FROM 55% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2010, TO 64% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011. IN ADDITION, THE ASSOCIATION'S SELF-PAY WRITE-OFFS CHANGED $254,000, FROM $6,351,000 FOR FISCAL YEAR 2010 TO $6,605,000 FOR FISCAL YEAR 2011. THE ASSOCIATION HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2011 OR 2010. PART III, LINE 8: THE HOSPITAL PROVIDES CARE TO INDIVIDUALS COVERED BY THE MEDICARE AND MEDICAID PROGRAMS IN SPITE OF THE FACT THAT THE COST OF PROVIDING THOSE SERVICES OFTEN EXCEEDS THE REVENUE RECEIVED. THIS IS A CONTINUED COMMITMENT TO PROVIDING QUALITY HEALTHCARE SERVICES AND PROMOTING HEALTH IMPROVEMENT TO ALL PERSONS IN ITS SERVICE AREA WITHOUT REGARD TO ABILITY TO PAY. THE HOSPITAL QUALIFIES FOR THE MEDICARE DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM BASED ON THE HIGH NUMBER OF INDIGENT PATIENTS WHO RECEIVE CARE. PART III, LINE 9B: COLLECTION IS SUSPENDED WHEN THE COMPLETED UNCOMPENSATED CARE APPLICATION AND SUPPORTING FINANCIAL DOCUMENTATION IS RECEIVED. COLLECTION REMAINS SUSPENDED UNTIL FINAL DETERMINATION OF QUALIFICATION FOR ASSISTANCE IS COMPLETED. CENTRAL WASHINGTON HOSPITAL PART V, SECTION B, LINE 19D: SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES. PART VI, LINE 2: CURRENTLY CENTRAL WASHINGTON HOSPITAL DOES NOT HAVE AN ASSESSMENT PROGRAM TO EVALUATE THE HEALTH CARE NEEDS OF THE COMMUNITY. CENTRAL WASHINGTON HOSPITAL'S PROGRAM IS BASED ON HISTORICAL ACTIVITIES AND RESPONDING TO SPECIFIC REQUESTS. PART VI, LINE 3: THE HOSPITAL'S CHARITY CARE POLICY IS MADE PUBLICLY AVAILABLE THROUGH THE FOLLOWING ELEMENTS:A. A NOTICE ADVISING PATIENTS THAT THE HOSPITAL PROVIDES CHARITY CARE WILL BE POSTED IN KEY AREAS OF THE HOSPITAL, INCLUDING ADMISSIONS, THE EMERGENCY DEPARTMENT, AND CASHIER OFFICE.B. THE HOSPITAL WILL INCLUDE A WRITTEN NOTICE EXPLAINING THE POLICY TO PATIENTS AT THE TIME THAT THE HOSPITAL SUBMITS BILLING TO THE PATIENT OR RESPONSIBLE PARTY (HEREAFTER REFERRED TO AS 'GUARANTOR').C. THE WRITTEN INFORMATION WILL BE AVAILABLE IN ANY LANGUAGE SPOKEN BY MORE THAN TEN PERCENT OF THE POPULATION IN THE HOSPITAL'S SERVICE AREA. INTERPRETIVE SERVICES WILL BE PROVIDED FOR OTHER NON-ENGLISH SPEAKING OR LIMITED-ENGLISH SPEAKING PATIENTS. INTERPRETIVE SERVICES WILL ALSO BE PROVIDED FOR PATIENTS WHO CANNOT UNDERSTAND THE WRITING AND/OR EXPLANATION.D. THE HOSPITAL WILL TRAIN ADMITTING AND PATIENT ACCOUNTS STAFF TO ANSWER CHARITY CARE QUESTIONS EFFECTIVELY.E. WRITTEN INFORMATION ABOUT THE HOSPITAL'S CHARITY CARE POLICY WILL BE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION IN PERSON, VIA PHONE, OR BY LETTER. THE HOSPITAL'S CHARITY DISCOUNT TABLE WILL ALSO BE MADE AVAILABLE UPON REQUEST. PART VI, LINE 4: CENTRAL WASHINGTON HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS AND OPERATES A LICENSED 198-BED ACUTE CARE HOSPITAL DELIVERING A FULL RANGE OF HEALTH CARE SERVICES IN WENATCHEE, WASHINGTON AND THE NORTH CENTRAL WASHINGTON AREA. THE MAJORITY OF PATIENTS COME FROM CHELAN, DOUGLAS, GRANT AND OKANOGAN COUNTIES. 71% OF THE HOSPITAL'S PATIENTS ARE MEDICARE/MEDICAID ELIGIBLE. PART VI, LINE 5: CENTRAL WA HOSPITAL'S GOVERNING BOARD IS COMPRISED OF LOCAL AREA RESIDENTS. THE HOSPITAL EXTENDS ITS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. CWH USES ITS INCOME TO UPDATE EQUIPMENT, TECHNOLOGY AND FACILITIES TO IMPROVE PATIENT CARE. THE HOSPITAL OFFERS EDUCATION FOR AREA PHYSICIANS AND COMMUNITY MEMBERS. ALSO AVAILABLE TO PHYSICIANS AND THE COMMUNITY IS THE HEMINGER HEALTH LIBRARY. WE COLLABORATE WITH MANY LOCAL AND STATE COLLEGES, UNIVERSITIES, AND OUR LOCAL HIGH SCHOOL IN SUPPORT OF STUDENT LEARNING OPPORTUNITIES. IN 2010 AN ELECTRONIC MEDICAL RECORD WAS IMPLEMENTED. THE SYSTEM GIVES OUR PROVIDERS ALL THE MEDICAL INFORMATION NEEDED TO MAKE THE BEST DECISIONS IN THE CARE OF OUR PATIENTS. THE HOSPITAL IS A FEDERAL REGIONAL REFERRAL CENTER AND A LEVEL III GENERAL AND PEDIATRIC TRAUMA CENTER. CENTRAL WASHINGTON HOSPITAL HAS BEEN NAMED TO THE COMMUNITY VALUE INDEX TOP 100 HOSPITALS LIST, IDENTIFYING CENTRAL AS A LEADER IN LOW-COST, LOW-CHARGE HOSPITAL CARE. X 1 1 X X X 0 1 0 0 0 0 0 0 0 JOHN T EVANS JR 415291 0 0 0 0 0 103654 0 18267 0 537212 0 0 0 STEVEN R JACOBS 261492 0 0 0 0 0 71026 0 7128 0 339646 0 0 0 JOHN B HAMILTON 277534 0 0 0 0 0 72117 0 8543 0 358194 0 0 0 TRACEY A KASNIC 177040 0 33830 0 0 0 15596 0 22802 0 249268 0 0 0 MARK A BROBERG 680780 0 0 0 0 0 15925 0 18118 0 714823 0 0 0 R CRAIG BROWNLEE 417163 0 0 0 0 0 15925 0 13242 0 446330 0 0 0 HANK J VEJVODA 634565 0 0 0 0 0 15925 0 20158 0 670648 0 0 0 LINDA L STRAND 272942 0 0 0 0 0 15925 0 19654 0 308521 0 0 0 SAMUEL M ORTIZ 284260 0 0 0 0 0 15925 0 17377 0 317562 0 0 0 PART I, LINE 4B PART I, LINE 4B: FORM 990, SCHEDULE J, PART I, LINE 4B: JOHN T. EVANS, JR: $85,279 JOHN B. HAMILTON: $54,967 STEVEN R. JACOBS: $50,201 THE VALUE IS BASED ON A PERCENTAGE OF THEIR INDIVIDUAL ANNUAL SALARY. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978E4M1 2009-08-12 114560771 CONSTRUCTION OF HEALTHCARE FACILITY 0 0 0 WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978EQL9 2001-04-10 19755081 CONSTRUCTION OF HEALTHCARE FACILITY 1 0 0 16535000 116535000 13772133 7667467 2145873 80834547 2011 0 1 1 1 19995000 18157886 2005 0 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 1 0 0 1 1 0 0 1 0 0 1 20.000000000000 1 0 0 FORM 990, SCHEDULE K, PART IV, LINE 4B AND 4C, COLUMN A: NAME OF PROVIDER OF GIC, LINE 4B: 1. TRINITY FUNDING COMPANY 2. RBC CAPITAL MARKETS LINE 4C: 1. 14 MONTHS 2. 3 YEARS AND 5 YEARS FORM 990, SCHEDULE K, PART IV, LINE 4B, COLUMN B: NAME OF PROVIDER OF GIC, LINE 4B: MBIA(SWITCHED TO BANK OF NEW YORK IN 2008) FORM 990, SCHEDULE K, PART III, LINE 7, COLUMN A AND B: THE ORGANIZATION IS IN PROCESS OF ADOPTING POLICY RELATED TO ENSURING POST-ISSUANCE COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. THE 990 IS REVIEWED BY THE DIRECTOR OF ACCOUNTING, AND THE CFO. A SUMMARY OF THE 990 IS PROVIDED TO THE FINANCE COMMITEE. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, EMPLOYED PHYSICIANS, AND MEMBERS OF THE ADMINISTRATIVE TEAM ARE REQUIRED TO REVIEW THE CURRENT CONFLICT OF INTEREST POLICY AND COMPLETE AN ANNUAL QUESTIONNAIRE. THE NOMINATING COMMITTEE OF THE BOARD REVIEWS QUESTIONNAIRES SUBMITTED BY BOARD MEMBERS FOR POTENTIAL CONFLICTS OF INTEREST. POTENTIAL QUESTIONS OF CONFLICT FOR BOARD MEMBERS ARE RESOLVED BY THE NOMINATING COMMITTEE OF THE BOARD. THE HOSPITAL'S EXECUTIVE TEAM REVIEWS QUESTIONNAIRES SUBMITTED BY EMPLOYED PHYSICIANS AND THE ADMINISTRATIVE TEAM FOR POTENTIAL CONFLICTS OF INTEREST. POTENTIAL QUESTIONS OF CONFLICT FOR MEMBERS OF THE ADMINISTRATIVE TEAM ARE RESOLVED BY THE EXECUTIVE TEAM IN COLLABORATION WITH THE CORPORATE COMPLIANCE OFFICER. BOARD MINUTES REFLECT WHEN THE REVIEW IS COMPLETE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS INDEPENDENT SALARY SURVEY INFORMATION AND RECOMMENDS A SALARY INCREASE FOR THE CEO TO THE FULL BOARD. THE OTHER OFFICERS RECEIVE THE ANNUAL PERCENT INCREASE WHICH OTHER NON-CONTRACTUAL EMPLOYEES RECEIVE UNLESS THE CEO AWARDS A DIFFERENT PERCENTAGE. THE AMOUNT IS BASED ON CURRENT CPI, MARKET, AND SALARY SURVEY INFORMATION. FORM 990, PART VI, SECTION C, LINE 19 CENTRAL WASHINGTON HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -2,536,179. ROUNDING -1. INCOME ON K-1 NOT INCLUDED IN REVENUE ON FINANCIAL STATEMENT -124,567. TOTAL TO FORM 990, PART XI, LINE 5: -2,660,747. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR.