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OVERLAKE MEDICAL CENTER & CLINICS: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
OVERLAKE MEDICAL CENTER & CLINICS (EIN 91-0652651)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-06
IRS object ID
202501269349301685
Schema version
2023v6.0
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)
Return2025-05-06T12:06:05-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911194016PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1400AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910652651EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OVERLAKE MEDICAL CENTER & CLINICSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOVERBusinessNameControlTxt
Phone4256885000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11035 116TH AVENUE NEAddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISSY YAMADAPersonNm
Person TitleINTERIM CFOPersonTitleTxt
Phone4256885000PhoneNum
Signature2025-04-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMEGAN R RYANPreparerPersonNm
PTINP00737884PTIN
Phone4254544919PhoneNum
Preparation2025-04-23PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name ChangeYes (X)NameChangeInd
Principal OfficerJON DUARTEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11035 116TH AVENUE NEAddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,331,870,470GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.OVERLAKEHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE RELATED SERVICES WHICH ARE RESPONSIVE TO THE NEEDS AND CONCERNS OF THE COMMUNITY BY PROVIDING COMPREHENSIVE HOSPITAL AND OTHER HEALTHCARE AND WELLNESS RELATED SERVICES, PROVIDING EDUCATIONAL FACILITIES AND ACTIVITIES RELATED TO MEDICAL CARE, WELLNESS OR THE PROMOTION OF HEALTH, PARTICIPATE IN RESEARCH AND OTHER ACTIVITIES DESIGNED TO PROMOTE GENERAL HEALTH OF THE COMMUNITY. THE HOSPITAL'S MISSION IS TO PROVIDE COMPASSIONATE CARE FOR EVERY LIFE WE TOUCH.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee4253TotalEmployeeCnt
Total Volunteers161TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$27,105,587PYContributionsGrantsAmt
CY Contributions Grants$21,054,751CYContributionsGrantsAmt
PY Program Service Revenue$687,379,971PYProgramServiceRevenueAmt
CY Program Service Revenue$765,659,312CYProgramServiceRevenueAmt
PY Investment Income$4,353,257PYInvestmentIncomeAmt
CY Investment Income$13,179,478CYInvestmentIncomeAmt
PY Other Revenue$3,304,787PYOtherRevenueAmt
CY Other Revenue$2,874,692CYOtherRevenueAmt
PY Total Revenue$722,143,602PYTotalRevenueAmt
CY Total Revenue$802,768,233CYTotalRevenueAmt
PY Grants And Similar Paid$2,678,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,604,090CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$427,993,754PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$480,687,386CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$336,648,833PYOtherExpensesAmt
CY Other Expenses$344,693,715CYOtherExpensesAmt
PY Total Expenses$767,321,087PYTotalExpensesAmt
CY Total Expenses$827,985,191CYTotalExpensesAmt
PY Revenues Less Expenses-$45,177,485PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$25,216,958CYRevenuesLessExpensesAmt
Total Assets BOY$933,613,010TotalAssetsBOYAmt
Total Assets EOY$946,217,268TotalAssetsEOYAmt
Total Liabilities BOY$443,686,169TotalLiabilitiesBOYAmt
Total Liabilities EOY$445,064,270TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$489,926,841NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$501,152,998NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE COMPREHENSIVE HOSPITAL AND OTHER HEALTHCARE AND WELLNESS RELATED SERVICES AND PROVIDE EDUCATION, RESEARCH, AND OTHER ACTIVITIES DESIGNED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. THE MISSION IS TO PROVIDE COMPASSIONATE CARE FOR EVERY LIFE WE TOUCH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$679,365,777ExpenseAmt
Revenue$765,532,920RevenueAmt
DescSEE SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,604,090ExpenseAmt
Grant$2,604,090GrantAmt
DescOTHER GRANTS AND ALLOCATIONS: GRANTS TO OVERLAKE HOSPITAL FOUNDATION TO COVER EXPENSES AND GRANTS TO SUPPORT OTHER COMMUNITY NONPROFIT ORGANIZATIONS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,029,971ExpenseAmt
Revenue$126,392RevenueAmt
DescSEE SCHEDULE O.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$685,999,838TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document206IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4253EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHARON PHELPSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4256885471PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11231 116TH AVE SUITE 600AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JASON THOMPSON
CHAIR6.002.00Yes (X)Yes (X)$0$0$0
TOM EVERT
SECRETARY & TREASURER3.000.50Yes (X)Yes (X)$0$0$0
PAULINE BACH
TRUSTEE1.503.50Yes (X)$0$0$0
KRISTINA BELFIORE
TRUSTEE1.500.10Yes (X)$0$0$0
ROBERT CAMPBELL
TRUSTEE THRU 05/243.003.00Yes (X)$0$0$0
JORGE CERDA
TRUSTEE THRU 12/231.501.50Yes (X)$0$0$0
ANNETTE CLARK
TRUSTEE2.002.00Yes (X)$0$0$0
TED HERB
TRUSTEE3.000.10Yes (X)$0$0$0
TIFFANY KOENIG
TRUSTEE2.000.10Yes (X)$0$0$0
JAMES LADD
TRUSTEE3.001.00Yes (X)$0$0$0
MARTHA LEE
TRUSTEE2.000.10Yes (X)$0$0$0
LINDA MAHAFFEY
TRUSTEE2.000.50Yes (X)$0$0$0
UMA RAGHAVAN-THURMAN
TRUSTEE THRU 05/242.001.00Yes (X)$0$0$0
JULIE SUN
TRUSTEE1.004.00Yes (X)$0$0$0
DILIP WAGLE
TRUSTEE3.000.10Yes (X)$0$0$0
LISA WISSNER-SLIVKA
TRUSTEE2.000.10Yes (X)$0$0$0
JESSIE WOOLLEY-WILSON
TRUSTEE2.002.00Yes (X)$0$0$0
J MICHAEL MARSH
PRESIDENT & CEO45.008.00Yes (X)$1,155,990$0$149,859
ANDREW TOKAR
CFO THRU 04/2448.009.00Yes (X)$490,217$0$36,310
PAUL ISHIZUKA
INTERIM CFO FROM 03/2449.001.00Yes (X)$0$0$0
KELAN R KOENIG MD
OMC PHYSICIAN EXECUTIVE60.000.00$758,327$0$82,746Yes (X)
VALERIE CHRUSCIEL
OC CHIEF OPERATING OFFICER60.000.00$439,343$0$52,602Yes (X)
MICHELLE CURRY
CHIEF NURSING OFFICER50.000.00$363,768$0$49,717Yes (X)
SCOTT WATERS
CHIEF INFORMATION OFFICER50.000.00$341,672$0$64,196Yes (X)
DAVID WINOKUR
CHIEF ADMINISTRATIVE OFFICER50.000.00$285,720$0$53,878Yes (X)
DEREK RODRIGUES MD
CARDIOLOGIST40.000.00$1,034,169$0$44,050Yes (X)
DAVID W NELSON MD
CARDIAC SURGEON40.000.00$955,217$0$50,565Yes (X)
ASIF ALI KHAN MD
NEUROSURGEON40.000.00$879,177$0$44,710Yes (X)
ROBERT BINFORD MD
CARDIAC SURGEON40.000.00$868,890$0$50,580Yes (X)
SCOTT LOUIS MD
CARDIAC SURGEON40.000.00$863,047$0$43,685Yes (X)
JON DUARTE
FORMER KEY EMPLOYEE50.000.00$362,836$0$52,491Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,798,373TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$775,389TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1229IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GLY CONSTRUCTION INC
100 116TH AVE SEBELLEVUEWA98004CONSTRUCTION CONTRACTOR$11,671,939
AYA HEALTHCARE INC
59302 CORNERSTONE CT W 300SAN DIEGOCA92121TEMPORARY STAFFING$10,476,997
ABBOTT CONSTRUCTION INC
3408 1ST AVE S 101SEATTLEWA98134CONSTRUCTION CONTRACTOR$6,389,922
MAXIM HEALTHCARE STAFFING SERVICES INC
7227 LEE DEFOREST DRCOLUMBIAMD21046TEMPORARY STAFFING$5,554,928
PUGET SOUND PHYSICIANS PLLC
1035 116TH AVE NEBELLEVUEWA98004EMERGENCY PHYSICIANS$4,135,097
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K157CntrctRcvdGreaterThan100KCnt
Related Organizations$19,083,493RelatedOrganizationsAmt
Government Grants$1,971,258GovernmentGrantsAmt
Noncash Contributions$47,162NoncashContributionsAmt
Total Contributions$21,054,751TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NON GOVERNMENT PAYMENT622110$467,249,174$467,249,174
MEDICARE/MEDICAID622110$284,121,911$284,121,911
OTHER PROGRAM SERVICES900099$12,450,931$12,450,931
PROGRAM RELATED INV.900099$1,605,318$1,605,318
EDUCATION SERVICES611710$126,392$126,392

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$105,586TotalRevenueColumnAmt
Related Or Exempt Func Income$105,586RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$765,659,312TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,574,441TotalRevenueColumnAmt
Exclusion$7,574,441ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$355,127RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$355,127RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$355,127TotalRevenueColumnAmt
Exclusion$355,127ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$534,707,274SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$529,099,590SecuritiesAmt
Other$2,647OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,607,684SecuritiesAmt
Other-$2,647OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,605,037TotalRevenueColumnAmt
Exclusion$5,605,037ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA/CATERING722514$1,694,445$1,694,445
PARKING REVENUE812930$474,686$474,686
PURCHASE CARD REBATES900099$260,238$260,238

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$90,196TotalRevenueColumnAmt
Exclusion$90,196ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,519,565OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$802,768,233TotalRevenueColumnAmt
Related Or Exempt Func Income$765,659,312RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$16,054,170ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,604,090TotalAmt
Program Services$2,604,090ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,321,568TotalAmt
Program Services$1,932,805ProgramServicesAmt
Management And General$2,388,763ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$81,794TotalAmt
Program Services$81,794ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$384,699,931TotalAmt
Program Services$342,173,954ProgramServicesAmt
Management And General$42,525,977ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$18,316,704TotalAmt
Program Services$16,775,553ProgramServicesAmt
Management And General$1,541,151ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$47,422,852TotalAmt
Program Services$40,874,207ProgramServicesAmt
Management And General$6,548,645ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$25,844,537TotalAmt
Program Services$22,789,085ProgramServicesAmt
Management And General$3,055,452ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,128,059TotalAmt
Program Services$454,979ProgramServicesAmt
Management And General$1,673,080ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$266,142TotalAmt
Management And General$266,142ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$450,945TotalAmt
Management And General$450,945ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$87,220,415TotalAmt
Program Services$64,212,431ProgramServicesAmt
Management And General$23,007,984ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,490,685TotalAmt
Program Services$155ProgramServicesAmt
Management And General$1,490,530ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,725,762TotalAmt
Program Services$9,746,599ProgramServicesAmt
Management And General$1,979,163ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,033,612TotalAmt
Program Services$1,404,353ProgramServicesAmt
Management And General$19,629,259ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$28,032,066TotalAmt
Program Services$15,465,639ProgramServicesAmt
Management And General$12,566,427ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$182,781TotalAmt
Program Services$124,803ProgramServicesAmt
Management And General$57,978ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$927,710TotalAmt
Program Services$673,126ProgramServicesAmt
Management And General$254,584ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,177,185TotalAmt
Program Services$11,177,185ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,329,590TotalAmt
Program Services$21,185,523ProgramServicesAmt
Management And General$10,144,067ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,070,552TotalAmt
Program Services$2,791,451ProgramServicesAmt
Management And General$9,279,101ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$111,481,430$111,448,902$32,528
MEDICAID ASSESSMENT$12,705,448$12,705,448
B&O TAX$8,678,049$6,175,756$2,502,293
LICENSE & MEMBERSHIP$1,707,990$914,980$793,010

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,085,294TotalAmt
Program Services$287,020ProgramServicesAmt
Management And General$1,798,274ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$827,985,191TotalAmt
Program Services$685,999,838ProgramServicesAmt
Management And General$141,985,353ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,745,506BOYAmt
EOY$15,128,709EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$20,736,418BOYAmt
EOY$25,312,456EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$108,280,071BOYAmt
EOY$115,684,330EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,575,000BOYAmt
EOY$2,032,598EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,769,866BOYAmt
EOY$21,994,085EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,420,006BOYAmt
EOY$16,656,870EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$927,535,138LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$487,157,111LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$437,695,228BOYAmt
EOY$440,378,027EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$269,363,474BOYAmt
EOY$249,654,967EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,060,036BOYAmt
EOY$802,107EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,767,682BOYAmt
EOY$1,767,682EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$49,199,723BOYAmt
EOY$56,805,437EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$933,613,010BOYAmt
EOY$946,217,268EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$107,093,623BOYAmt
EOY$120,388,138EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,297,388BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$275,689,599BOYAmt
EOY$267,344,047EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$58,605,559BOYAmt
EOY$57,332,085EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$443,686,169BOYAmt
EOY$445,064,270EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$489,926,841BOYAmt
EOY$501,152,998EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$489,926,841BOYAmt
EOY$501,152,998EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$933,613,010BOYAmt
EOY$946,217,268EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$25,216,958ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$11,948,260NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$24,494,855OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,116,213BeginningYearBalanceAmt
Contributions$261,125ContributionsAmt
Investment Earnings Or Losses$1,737,034InvestmentEarningsOrLossesAmt
Other Expenditures$715,103OtherExpendituresAmt
End Year Balance$16,399,269EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,493,472BeginningYearBalanceAmt
Contributions$139,866ContributionsAmt
Investment Earnings Or Losses$1,345,654InvestmentEarningsOrLossesAmt
Other Expenditures$862,779OtherExpendituresAmt
End Year Balance$15,116,213EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,891,583BeginningYearBalanceAmt
Contributions$239,515ContributionsAmt
Investment Earnings Or Losses-$1,957,644InvestmentEarningsOrLossesAmt
Other Expenditures$679,982OtherExpendituresAmt
End Year Balance$14,493,472EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,741,651BeginningYearBalanceAmt
Contributions$160,083ContributionsAmt
Investment Earnings Or Losses$3,492,449InvestmentEarningsOrLossesAmt
Other Expenditures$502,600OtherExpendituresAmt
End Year Balance$16,891,583EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,480,020BeginningYearBalanceAmt
Contributions$270,372ContributionsAmt
Investment Earnings Or Losses$316,445InvestmentEarningsOrLossesAmt
Other Expenditures$325,186OtherExpendituresAmt
End Year Balance$13,741,651EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.30003BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.40916PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.29081TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,601,546OtherCostOrOtherBasisAmt
Book Value$7,601,546BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$569,020,959OtherCostOrOtherBasisAmt
Depreciation$214,348,037DepreciationAmt
Book Value$354,672,922BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,769,334OtherCostOrOtherBasisAmt
Depreciation$4,464,209DepreciationAmt
Book Value$305,125BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$341,233,929OtherCostOrOtherBasisAmt
Depreciation$268,344,865DepreciationAmt
Book Value$72,889,064BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,909,370OtherCostOrOtherBasisAmt
Book Value$4,909,370BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$440,378,027TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
LIABILITY INSURANCE RECEIVABLE$6,710,071
WORKERS COMPENSATION RECEIVABLE$519,919
OTHER RECEIVABLES$6,008,136
OPERATING LEASE RIGHT-OF-USE$33,785,197
SAFETY NET RECEIVABLE$9,782,114
FieldValueIRS element (for citing)
Total Book Value Other Assets$56,805,437TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
LIABILITY INSURANCE RESERVE$17,641,114
WORKERS COMPENSATION RESERVE$2,762,519
CAPITAL LEASE OBLIGATION$36,790,130
TENANT DEPOSITS$138,322
FieldValueIRS element (for citing)
Total Liability$57,332,085TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationENDOWMENT DISTRIBUTIONS ARE USED TO SUPPORT CAPITAL AND OPERATIONAL NEEDS OF OVERLAKE MEDICAL CENTER & CLINICS AS DIRECTED BY THE INDIVIDUAL ENDOWMENT PURPOSE.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,761,428TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,761,428NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$77,938,608TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,658,548DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,280,060NetCommunityBenefitExpnsAmt
Total Expense0.04260TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$83,700,036TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,658,548DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,041,488NetCommunityBenefitExpnsAmt
Total Expense0.04960TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,722,184TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$167,697DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,554,487NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,993,995TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,993,995NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,745,736TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,436,988DirectOffsettingRevenueAmt
Net Community Benefit Expns$308,748NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,559TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,559NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$331,987TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$331,987NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,798,461TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,604,685DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,193,776NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$89,498,497TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,263,233DirectOffsettingRevenueAmt
Net Community Benefit Expns$45,235,264NetCommunityBenefitExpnsAmt
Total Expense0.05470TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$5,136,306BadDebtExpenseAmt
Bad Debt Expense Attributable$3,456,175BadDebtExpenseAttributableAmt
Reimbursed By Medicare$76,606,501ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$81,644,126CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,037,625MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OVERLAKE MEDICAL CENTER & CLINICSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11035 116TH AVE NEAddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Website AddressOVERLAKE HOSPITAL.ORG/ABOUT-OVERLAKEWebsiteAddressTxt
State LicenseHAC.FS.00000131StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1OVERLAKE MEDICAL CENTER & CLINICSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLOVERLAKEHOSPITAL.ORG/ABOUT/COMMUNITY-BENEFITOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLOVERLAKEHOSPITAL.ORG/ABOUT/COMMUNITY-BENEFITStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained Basis0ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLOVERLAKEHOSPITAL.ORG/VISIT/BILLING-INSURANCE/FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLOVERLAKEHOSPITAL.ORG/VISIT/BILLING-INSURANCE/FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLOVERLAKEHOSPITAL.ORG/VISIT/BILLING-INSURANCE/FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
OVERLAKE MEDICAL CENTER & CLINICSPART V, SECTION B, LINE 5: OVERLAKE MEDICAL CENTER SOLICITED COMMUNITY INPUT THROUGH KEY STAKEHOLDER INTERVIEWS TO IDENTIFY RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THE SIGNIFICANT HEALTH NEEDS. OVERLAKE MEDICAL CENTER PARTICIPATED IN A COLLABORATIVE PROCESS FOR COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (HHC). HHC IS A COLLABORATION BETWEEN 10 HOSPITALS AND/OR HEALTH SYSTEMS IN KING COUNTY AND PUBLIC HEALTH-SEATTLE & KING COUNTY. THE HHC MEMBERS WORK TOGETHER TO IDENTIFY IMPORTANT COMMUNITY NEEDS AND DEVELOPS PLANS TO IMPROVE HEALTH AND HEALTH EQUITY. HHC RECOGNIZES THAT PARTNERSHIPS BETWEEN HOSPITALS, PUBLIC HEALTH, COMMUNITY ORGANIZATIONS AND COMMUNITIES ARE KEY TO SUCCESSFUL STRATEGIES TO ADDRESS COMMON HEALTH NEEDS. THE COMMUNITY HEALTH NEEDS ASSESSMENT INCORPORATED EXISTING DEMOGRAPHIC AND HEALTH DATA FOR THE COMMUNITIES SERVED BY THE HOSPITAL. THIS INCLUDED COLLECTION AND ANALYSIS OF INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH. THE HEALTH NEEDS WERE IDENTIFIED FROM ISSUES SUPPORTED BY PRIMARY AND SECONDARY DATA SOURCES GATHERED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS WERE INDICATED BY STAKEHOLDER INTERVIEWS, FOCUS GROUPS, AND SECONDARY DATA SOURCES AND WERE CONFIRMED BY MORE THAN ONE INDICATOR OR DATA SOURCE. COMMUNITY STAKEHOLDER, IDENTIFIED BY THE HOSPITAL, WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEW PARTICIPANTS INCLUDED LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AS WELL AS THE LOCAL HEALTH DEPARTMENT THAT HAS "CURRENT DATA OR INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY," PER IRS REQUIREMENTS. THE INTERVIEWS TOOK INTO ACCOUNT INPUT FROM A BROAD RANGE OF PERSONS LOCATED IN OR SERVING ITS COMMUNITY INCLUDING, HEALTH CARE CONSUMERS, NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, ACADEMIC EXPERTS, LOCAL GOVERNMENT OFFICIALS, LOCAL SCHOOL DISTRICTS, HEALTH CARE PROVIDERS AND COMMUNITY HEALTH CENTERS.
OVERLAKE MEDICAL CENTER & CLINICSPART V, SECTION B, LINE 6A: PROVIDENCE SWEDISH, EVERGREEN, FRED HUTCHINSON CANCER CENTER, KAISER PERMANENTE, MULTICARE HEALTH SYSTEM, NAVOS, SEATTLE CHILDREN'S, UW MEDICINE, VIRGINIA MASON FRANCISCAN HEALTH
OVERLAKE MEDICAL CENTER & CLINICSPART V, SECTION B, LINE 6B: PUBLIC HEALTH-SEATTLE & KING COUNTY, WASHINGTON STATE HOSPITAL ASSOCIATION
OVERLAKE MEDICAL CENTER & CLINICSPART V, SECTION B, LINE 11: PRIORITY HEALTH NEEDS: THE COMMUNITY STAKEHOLDERS PRIORITIZED THE HEALTH NEEDS ACCORDING TO HIGHEST LEVEL OF IMPORTANCE IN THE COMMUNITY AS FOLLOWS: ACCESS TO HEALTH CARE, CHRONIC DISEASES, HEALTHY EATING, HOUSING AND HOMELESSNESS AND MENTAL HEALTH WERE RANKED AS THE TOP FIVE PRIORITY NEEDS IN THE SERVICE AREA.ACCESS TO HEALTH CARE - OVERLAKE WILL COMMITT THE FOLLOWING RESOURCES TO ADDRESS THIS HEALTH NEED: SUPPORT OUTREACH ACTIVITIES WITH SOUTH ASIAN AND SOUTHEAST ASIAN POPULATIONS IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS, PROVIDE FINANCIAL ASSISTANCE BY OFFERING FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH OVERLAKE'S FINANCIAL ASSISTANCE POLICY, OPTIMIZE OUTREACH ACTIVITIES FOR HEALTHY LIVING, COORDINATE VOLUNTEER PROVIDER SERVICES AT FREE HEALTH CLINICS AND PROVIDE FLU SHOT AND/OR BIOMETRIC SCREENING VOUCHERS TO MEDICALLY UNDERSERVED. CHRONIC DISEASES - OVERLAKE WILL COMMIT THE FOLLOWING RESOURCES TO ADDRESS THIS HEALTH NEED: OFFER HEALTH EDUCATION AND OUTREACH PROGRAMS FOCUSED ON PREVENTIVE ACTIONS TO MINIMIZE CHRONIC DISEASE, INCREASE AWARENESS OF CANCER SURVIVORSHIP, INCREASE IDENTIFICATION AND TREATMENT OF CHRONIC DISEASES AND PROVIDE SUPPORT AND RESOURCES FOR PERSONS BATTLING CHRONIC DISEASES, THEIR FAMILIES, AND CAREGIVERS.HOUSING AND HOMELESSNESS - OVERLAKE WILL COMMIT THE FOLLOWING RESOURCES TO ADDRESS THIS HEALTH NEED: CONNECT PEOPLE EXPERIENCING HOMELESSNESS TO COMMUNITY-BASED PROGRAMS AND SERVICES, ENGAGE IN COLLABORATIVE STRATEGIES WITH COMMUNITY PARTNERS TO IMPROVE THE HEALTH OF INDIVIDUALS EXPERIENCING HOMELESSNESS, PROVIDE FINANCIAL SUPPORT TO LOCAL ORGANIZATIONS AND PROVIDE EDUCATION TO THE PUBLIC TO RAISE AWARENESS AND PROMOTE ADVOCACY.MENTAL HEALTH AND SUBSTANCE USE - OVERLAKE WILL COMMIT THE FOLLOWING RESOURCES TO ADDRESS THIS HEALTH NEED: IMPLEMENT A SUICIDE PREVENTION CURRICULUM IN CONJUNCTION WITH LOCAL SCHOOLS AND COMMUNITY MENTAL HEALTH SERVICES, EXPAND ACCESS TO EARLY INTERVENTION AND SCREENING FOR SUBSTANCE USE AND MENTAL HEALTH SERVICES THROUGH COMMUNITY PARTNERSHIPS, OFFER CAREGIVER SUPPORT PROGRAMS THROUGH COLLABORATION WITH COMMUNITY PARTNERS, SUPPORT COMMUNITY ORGANIZATIONS THAT PROVIDE MENTAL HEALTH AND SUBSTANCE USE SERVICES, RAISE AWARENESS AND PROVIDE EDUCATION ABOUT SUBSTANCE USE PREVENTION AND TREATMENT AND INCREASE AWARENESS OF THE OVERLAKE PARTIAL DAY HOSPITALIZATION PROGRAM AND THE BEHAVIORAL HEALTH UNIT AND THEIR AVAILABILITY TO THE PUBLIC.PREVENTIVE HEALTHCARE - OVERLAKE WILL COMMIT THE FOLLOWING RESOURCES TO ADDRESS THIS HEALTH NEED: PROVIDE FREE FLU VACCINES AND BIOMETRIC SCREENINGS TO THE MEDICALLY UNDERSERVED, OFFER SENIOR HEALTH AND WELLNESS EDUCATION AND PROGRAMS, PROVIDE DISEASE PREVENTION AND AWARENESS PROGRAMS THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, OFFER COMMUNITY HEALTH CLASSES AND HEALTH AWARENESS PRESENTATIONS, AND PARTICIPATE IN HEALTH AND WELLNESS EVENTS TO PROMOTE PREVENTATIVE PRACTICES.OTHER HEALTH NEEDS NOT ADDRESSED - TAKING EXISTING ORGANIZATIONAL AND COMMUNITY-BASED RESOURCES INTO CONSIDERATION, OVERLAKE IS CHOOSING TO ADDRESS THE PRIORITY NEEDS IDENTIFIED IN THE CHNA. OVERLAKE CANNOT ADDRESS ALL THE HEALTH NEEDS IN THE COMMUNITY AND MUST FOCUS ON AREAS WHERE WE HAVE THE GREATEST POTENTIAL FOR IMPACT AND THAT ALSO ALIGN WITH OUR MISSION AND PREVENT DUPLICATION OF EFFORT. OUR FOCUS WILL BE ON THE LOCAL COMMUNITY WHERE WE CAN HAVE THE LARGEST IMPACT. ENGAGING IN COMMUNITY PARTNERSHIPS MAY SUPPORT OTHER INITIATIVES THAT THE HOSPITAL CANNOT INDEPENDENTLY ADDRESS.
OVERLAKE MEDICAL CENTER & CLINICSPART V, SECTION B, LINE 13H: EXCEPTIONS TO THE WASHINGTON STATE RESIDENCY REQUIREMENT ALSO INCLUDE REFUGEES, ASYLEES, AND THOSE SEEKING ASYLUM THAT POSSESS AND CAN PRESENT INS DOCUMENTATION.
PART V, SECTION B, LINE 3E:CALCULATIONS FROM COMMUNITY STAKEHOLDERS RESULTED IN THE FOLLOWING PRIORITIZATION OF THE SIGNIFICANT HEALTH NEEDS: ACCESS TO HEALTH CARE AND HEALTH INEQUITIES, CHRONIC DISEASE (INCLUDING CANCER), HOUSING AND HOMELESSNESS, MENTAL HEALTH AND SUBSTANCE USE AND PREVENTIVE PRACTICES.
FieldValueIRS element (for citing)
Facility31FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (31 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - OMC-CARDIOLOGY BELLEVUE
1135 116TH AVE NE STE 600BELLEVUEWA98004CARDIOLOGY
2 - OMC-HOSPITALISTSPALLIATIVE CAREPSYCH
1035 116TH AVE NEBELLEVUEWA98004HOSPITALIST, PALLIATIVE CARE, PSYCHIATRY
3 - OMC-PULMPRIMARY CARE
1231 116TH AVE NE STE 400BELLEVUEWA98004PULM/PRIMARY CARE
4 - OMC-ISSAQUAH PRIMARY & URGENT CARE
5708 E LK SAMMAMISH PKWY SE STE 100ISSAQUAHWA98029PRIMARY/URGENT CARE
5 - OMC-OB-GYN PAVILION
1231 116TH AVE NE STE 950BELLEVUEWA98004OB-GYN
6 - OMC-NEUROLOGYNEUROSURGERY
1135 116TH AVE NE STE 500BELLEVUEWA98004NEUROLOGY/NEUROSURGERY/NEUROHOSPITAL
7 - OMC-OB-GYN BELLEGROVE
1200 112H AVE NEBELLEVUEWA98004OB-GYN BELLEGROVE
8 - OMC-BARIATRIC SURGERYACUTE CAREDERM
1231 116TH AVE NE STE 515BELLEVUEWA98004BARIATRIC/ACUTE CARE/DERMATOLOGY
9 - OMC-DOWNTOWN BELLEVUE PRIMARY URGENT
10223 NE 10TH STBELLEVUEWA98004PRIMARY/URGENT CARE
10 - OMC-NEWCASTLE PRIMARY & URGENT CARE
13167 NEWCASTLE COMMONS DRNEWCASTLEWA98059PRIMARY/URGENT CARE
11 - OMC-CANCER CENTER
1135 116TH AVE NE STE 200BELLEVUEWA98004BREAST SURGERY/GYNECOLOGY/RADIATION ONCOLOGY
12 - OMC-REDMOND URGENT CARE
17209 REDMOND WAYREDMONDWA98052URGENT CARE
13 - OMC-UROLOGY-BELLEVUE
1135 116TH AVE NE STE 620BELLEVUEWA98004UROLOGY
14 - OMC-INTERNAL MEDICINE ASSOCIATES
1407 116TH AVENUE NE STE 200BELLEVUEWA98004INTERNAL MEDICINE
15 - OMC-MUSCULOSKELETAL MED ISSAQUAH
1740 NW MAPLE ST STE 111ISSAQUAHWA98027MUSCULOSKELETAL MEDICINE
16 - OMC-CARDIACTHORACIC SURGERY
1135 116TH AVE NE STE 605BELLEVUEWA98004CARDIACTHORACIC SURGERY
17 - OMC-REDMOND PRIMARY CARE & CARDIOLOGY
17181 REDMOND WAY STE A03REDMONDWA98052PRIMARY CARE/CARDIOLOGY
18 - OMC-SLEEP MEDICINE
1100 112TH AVE NE STE 320BELLEVUEWA98004SLEEP MEDICINE
19 - OMC-LAKE HILLS PRIMARY & URGENT CARE
619 156TH AVE SEBELLEVUEWA98007PRIMARY/URGENT CARE
20 - OMC-OP REHAB SVCS
1417 116TH AVE NE STE 110BELLEVUEWA98004PHYSICAL/OCCUPATIONAL/SPEECH THERAPY
21 - OMC-KIRKLAND PRIMARY CARE
290 CENTRAL WAYKIRKLANDWA98033PRIMARY CARE
22 - OMC-SENIOR HEALTH CLNCACCNUTRITION
1750 112TH AVE NE STE A101-A103BELLEVUEWA98004SENIOR SERVICES/ACC
23 - OMC-SPECIALTY SVCS ISSAQUAH
1740 NW MAPLE STE 207ISSAQUAHWA98027MULTI SPECIALTY SVCS
24 - OMC-MUSCULOSKELETAL BELLEVUE
1035 116TH AVE NE STE 510BELLEVUEWA98004MUSCULOSKELETAL, NEUROPSYCH
25 - OMC-CONCIERGE SERVICES
1135 116TH AVE NE STE 550BELLEVUEWA98004CONCIERGE SERVICES
26 - OMC-COLORECTAL SURGERY
1231 116TH AVE NE STE 555BELLEVUEWA98004COLORECTAL SURGERY
27 - OMC-ENDOCRINOLOGY
1135 116TH AVE NE STE 450BELLEVUEWA98004ENDOCRINOLOGY
28 - OMC-SAMMAMISH PRIMARY
22630 SE 4TH ST STE 300SAMMAMISHWA98074PRIMARY CARE
29 - OMC-UROLOGY KIRKLAND
13126 120TH AVE NEKIRKLANDWA98034UROLOGY
30 - OMC-PELVIC HEALTH
1135 116TH AVE NE STE 420BELLEVUEWA98004PELVIC HEALTH
31 - OMC-INFECTIOUS DISEASE
1135 116TH AVE NE STE 140BELLEVUEWA98004INFECTIOUS DISEASE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO THE FPL CRITERIA, THERE IS A RESIDENCY REQUIREMENT TO EITHER BE A RESIDENT OF THE STATE OF WASHINGTON OR MEET AN EXCEPTION FOR NON-RESIDENTS. NON-RESIDENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE WHILE RECEIVING SERVICES WITHIN THE EMERGENCY DEPARTMENT OR AS A RESULT OF A DIRECT ADMISSION FROM THE EMERGENCY DEPARTMENT. EXCEPTIONS TO THE WASHINGTON STATE RESIDENCY REQUIREMENT ALSO INCLUDE REFUGEES, ASYLEES, AND THOSE SEEKING ASYLUM THAT POSSESS AND CAN PRESENT INS DOCUMENTATION. THE MEDICALLY INDIGENT PATIENT WILL BE GRANTED CHARITY CARE/FINANCIAL ASSISTANCE REGARDLESS OF RACE, NATIONAL ORIGIN, OR IMMIGRATION STATUS. OVERLAKE WILL NOT CONSIDER ASSETS AS PART OF THE INCOME WHEN DETERMINING ELIGIBILITY.
PART I, LINE 7:THE COSTING METHODOLOGY FOR CHARITY CARE AND UNREIMBURSED MEDICAID WAS THE COST TO CHARGE METHOD USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2. THE COMMUNITY HEALTH IMPROVEMENT COST, HEALTH PROFESSIONAL EDUCATION, RESEARCH AND CASH AND IN-KIND CONTRIBUTIONS ARE DIRECT COST AND DO NOT INCLUDE ANY INDIRECT COST. THE COST FOR SUBSIDIZED HEALTH SERVICES IS DERIVED FROM A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS.
PART I, LINE 7:ANY PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN 2024 AND 2023 WERE CONSIDERED TO BE IMPLICIT PRICE CONCESSIONS AND, AS A RESULT, ARE RECORDED DIRECTLY TO NET PATIENT SERVICE REVENUE, (PROGRAM SERVICES REVENUE), ON THE STATEMENT OF REVENUE RATHER THAN REPORTED AS AN EXPENSE ON THE STATEMENT OF FUNCTIONAL EXPENSES.
PART III, LINE 2:PATIENT BILLS ARE REDUCED BY PAYMENTS, CONTRACTUAL ADJUSTMENTS, CHARITY ADJUSTMENTS, AND OTHER ADJUSTMENTS AS APPLICABLE. PATIENTS ARE THEN RESPONSIBLE FOR ANY REMAINING BALANCE. IF A PATIENT DOES NOT PAY THE BALANCE OR MAKE PAYMENT ARRANGEMENTS ACCORDING TO THE COLLECTION POLICY, THE BALANCE IS WRITTEN OFF TO BAD DEBT. THE BAD DEBT EXPENSE ON SCHEDULE H, PART III, LINES 2 AND 3 ARE ESTIMATED BASED ON THE COST TO CHARGE RATIO.
PART III, LINE 3:THE HOSPITAL BELIEVES THAT APPROXIMATELY 67.29% OF THE BAD DEBT EXPENSE ARE 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. THIS PERCENTAGE IS BASED ON RUNNING CREDIT CHECKS ON A SAMPLE OF ACCOUNTS THAT WERE BEING SENT TO BAD DEBTS.
PART III, LINE 4:THE ORGANIZATIONS AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE. THE ORGANIZATION RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. AS A RESULT OF ADOPTING ASU 2014 09, THE HOSPITAL AND THE CLINICS CONTINUE TO MAINTAIN AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JULY 1, 2019. ANY PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN 2024 AND 2023 WERE CONSIDERED TO BE IMPLICIT PRICE CONCESSIONS AND ARE RECORDED DIRECTLY TO NET PATIENT SERVICE REVENUE, (PROGRAM SERVICES REVENUE), ON THE STATEMENT OF REVENUE RATHER THAN REPORTED AS AN EXPENSE ON THE STATEMENT OF FUNCTIONAL EXPENSES.
PART III, LINE 8:THE COSTING METHODOLOGY FOR MEDICARE ALLOWABLE COST IS DERIVED FROM THE FY24 MEDICARE COST REPORT. THE HOSPITAL BELIEVES THAT ALL THE MEDICARE SHORTFALLS 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 9B:THE 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 2:IN 2023-2024, THE HOSPITAL PARTICIPATED IN A COLLABORATIVE PROCESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (HHC). HHC IS A COLLABORATIVE OF ALL 10 HOSPITALS AND HEALTH SYSTEMS IN KING COUNTY AND PUBLIC HEALTH-SEATTLE & KING COUNTY. THE HHC'S VISION IS TO PARTICIPATE IN A COLLABORATIVE APPROACH THAT IDENTIFIES COMMUNITY NEEDS, ASSETS, RESOURCES, AND STRATEGIES TOWARD ASSURING BETTER HEALTH AND HEALTH EQUITY FOR ALL KING COUNTY RESIDENTS. THIS SHARED APPROACH AVOIDS DUPLICATION AND FOCUSES AVAILABLE RESOURCES ON A COMMUNITY'S MOST IMPORTANT HEALTH NEEDS. HHC RECOGNIZES THAT PARTNERSHIPS BETWEEN HOSPITALS, PUBLIC HEALTH, COMMUNITY ORGANIZATIONS AND COMMUNITIES ARE KEY TO SUCCESSFUL STRATEGIES TO ADDRESS COMMON HEALTH NEEDS.DATA ANALYSES WERE CONDUCTED AT THE MOST LOCAL LEVEL POSSIBLE FOR THE MEDICAL CENTER'S PRIMARY SERVICE AREA, GIVEN THE AVAILABILITY OF THE DATA. IN SOME CASES, DATA WERE ONLY AVAILABLE AT THE COUNTY LEVEL.SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED AND ANALYZED THROUGH A REVIEW OF THE SECONDARY HEALTH DATA PRIOR TO THE INTERVIEWS. HEALTH NEEDS WERE IDENTIFIED USING THE SIZE OF THE PROBLEM (RELATIVE PORTION OF POPULATION AFFLICTED BY THE PROBLEM) AND THE SERIOUSNESS OF THE PROBLEM (IMPACT AT INDIVIDUAL, FAMILY, AND COMMUNITY LEVELS). TO DETERMINE SIZE OR SERIOUSNESS OF THE PROBLEM, THE HEALTH NEED INDICATORS WERE MEASURED AGAINST BENCHMARK DATA (COUNTY RATES, STATE RATES AND/OR HEALTHY PEOPLE 2030 OBJECTIVES). INDICATORS RELATED TO THE HEALTH NEEDS THAT PERFORMED POORLY AGAINST ONE OR MORE OF THESE BENCHMARKS MET THE CRITERION TO BE CONSIDERED. SECONDARY DATA WAS COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT A COMMUNITY PROFILE, BIRTH INDICATORS, LEADING CAUSES OF DEATH, ACCESS TO CARE, CHRONIC DISEASE, COMMUNICABLE DISEASE, HEALTH BEHAVIORS, SOCIAL ISSUES AND SCHOOL AND STUDENT CHARACTERISTICS. WHEN AVAILABLE, THESE DATA SETS WERE PRESENTED IN THE CONTEXT OF KING COUNTY AND WASHINGTON, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY.IN ADDITION, THE HOSPITAL CONDUCTED TARGETED INTERVIEWS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. THE REPORT INCLUDES BENCHMARK COMPARISON DATA, COMPARING THE HOSPITAL COMMUNITY DATA FINDINGS WITH HEALTH PEOPLE 2030 OBJECTIVES.
PART VI, LINE 3:INFORMATION 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 THEY DISCUSS THE FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL COUNSELORS WILL ALSO ASSIST PATIENTS IN COMPLETING THE HOSPITAL'S CHARITY CARE APPLICATION IF THE PATIENT BRINGS IN INFORMATION AND NEEDS HELP COMPLETING THE APPLICATION. THE HOSPITAL ENGAGES AN OUTSIDE COMPANY TO ASSIST PATIENTS WITH APPLYING FOR MEDICAID. GENERAL INFORMATION ABOUT THE ASSISTANCE PROGRAMS IS 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'S WEBSITE AND ON THE HOSPITAL'S WEBSITE AND KEY AREAS ADVISING THE PATIENTS.
PART VI, LINE 4:THE SERVICE AREA FOR OVERLAKE IS DIVIDED INTO TWO MARKETS - LOCAL AND OUTLYING - WITH THE LOCAL MARKET DIVIDED INTO FIVE SERVICE AREAS (BELLEVUE, EAST, ISSAQUAH/SAMMAMISH, REDMOND/KIRKLAND, AND SW) AND THE OUTLYING MARKET DIVIDED INTO TWO SERVICE AREAS (NORTH AND SOUTH). AT THE TIME OF THE MEASUREMENT PERIOD, THE POPULATION OF THE OVERLAKE SERVICE AREA WAS 977,461. CHILDREN AND YOUTH, AGES 0-19, MAKE UP 25.2% OF THE POPULATION, 62.0% ARE ADULTS, AGES 20-64, AND 12.8% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. MOST OF THE POPULATION IN THE SERVICE AREA IDENTIFIES AS WHITE OR CAUCASIAN RESIDENTS (59.7%). 23.6% OF THE POPULATION ARE ASIAN RESIDENTS, 7.7% OF THE POPULATION IS HISPANIC OR LATINO RESIDENTS, 5.6% OF INDIVIDUALS IDENTIFY AS MULTIRACIAL (TWO-OR-MORE RACES) AND 2.6% OF THE POPULATION ARE BLACK OR AFRICAN AMERICAN RESIDENTS. NATIVE HAWAIIAN OR PACIFIC ISLANDER RESIDENTS ARE 0.3% OF THE POPULATION, AMERICAN INDIAN OR ALASKAN NATIVE RESIDENTS ARE 0.2% OF THE POPULATION, AND THOSE WHO ARE OF A RACE/ETHNICITY NOT LISTED REPRESENT 0.2% OF THE POPULATION.POVERTY THRESHOLDS ARE USED FOR CALCULATING ALL OFFICIAL POVERTY POPULATION STATISTICS AND ARE UPDATED EVERY THREE YEARS BY THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. AMONG THE RESIDENTS IN THE SERVICE AREA, 5.5% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 11.7% ARE AT 200% OF FPL OR BELOW. 95.9% OF THE POPULATION IN THE OVERLAKE SERVICE AREA HAS HEALTH INSURANCE. 98.1% OF CHILDREN, AGES 18 AND YOUNGER, HAVE HEALTH INSURANCE COVERAGE.
PART VI, LINE 5:THE HOSPITAL STAFF PARTICIPATES IN THE COUNTY WIDE DISASTER PREPAREDNESS GROUP AND IS THE BACK UP TO HARBORVIEW MEDICAL CENTER. THE HOSPITAL HAS AN OPEN MEDICAL STAFF MODEL. THE HOSPITAL OPERATES AN ACTIVE SCREENING PROGRAM IN WHICH WE OFFER FREE HEALTH SCREENINGS AT LEAST FOUR TIMES ANNUALLY AT COMMUNITY EVENTS. 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. THE HOSPITAL PRESENTED HEALTH EDUCATION SESSIONS AVAILABLE TO AREA RESIDENTS FREE OF CHARGE. THE EDUCATIONAL SESSIONS FOCUSED ON TOPICS INCLUDING MEDICARE ENROLLMENT, MENTAL HEALTH, WOMEN'S HEALTH, STROKE CARE, ADVANCE CARE PLANNING, DIABETES, NUTRITION, WEIGHT LOSS, SENIOR YOGA, PREGNANCY AND INFANT CARE, SAFETY TRAINING, AND CPR. SUPPORT GROUPS LIKE STROKE SUPPORT GROUP, GRIEF SUPPORT GROUP, APHASIA SUPPORT GROUP, TEEN RESILIENCE & THRIVING SUPPORT GROUP, BALANCE AFTER BABY SUPPORT GROUP WERE PROVIDED EMOTIONAL SUPPORT AND IMPORTANT EDUCATIONAL INFORMATION FOR INDIVIDUALS, THEIR FAMILIES, AND CAREGIVERS.
PART VI, LINE 6:DURING FY24, OVERLAKE MEDICAL CENTER & CLINICS WAS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATESWA
PART VI, LINE 7:AS MANDATED BY THE WASHINGTON STATE DEPARTMENT OF HEALTH, A 501(C)(3) HOSPITAL IS FEDERALLY REQUIRED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT, ADOPT A COMMUNITY BENEFIT IMPLEMENTATION STRATEGY AND SUBSEQUENTLY MAKE THE REPORTS WIDELY AVAILABLE TO THE PUBLIC. OVERLAKE MEDICAL CENTER & CLINICS COMPLIES WITH THIS REQUIREMENT AND MAKES BOTH ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY AVAILABLE ON ITS WEBSITE. BOTH ARE SUBMITTED TO THE DEPARTMENT OF HEALTH.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
OVERLAKE HOSPITAL FOUNDATION
1035 116TH AVE NEBELLEVUEWA98004911050325501(C)(3)$2,390,208$0SUPPORT OPERATIONS
BELLEVUE LIFESPRING
PO BOX 50172BELLEVUEWA98015910658331501(C)(3)$7,500$0SPONSOR
BELLEVUE SCHOOLS FOUNDATION
PO BOX 40644BELLEVUEWA98015911080997501(C)(3)$15,000$0SPONSOR
CANCER LIFELINE
6522 FREMONT AVE NSEATTLEWA98103916182951501(C)(3)$10,000$0SPONSOR
GREATER ISSAQUAH CHAMBER OF COMMERCE
155 GILMAN BLVISSAQUAHWA98027916056410501(C)(6)$12,000$0SPONSOR
HOPELINK
8990 154TH AVE NEREDMONDWA98052910982116501(C)(3)$15,000$0SPONSOR
LAKE WASHINGTON SCHOOLS FOUNDATION
PO BOX 83REDMONDWA98073550891792501(C)(3)$15,000$0SPONSOR
LIFEWIRE
PO BOX 6398BELLEVUEWA98008911190193501(C)(3)$7,500$0SPONSOR
MEDIC ONE FOUNDATION
11747 NE 1ST STREET STE 310BELLEVUEWA98005916183158501(C)(3)$15,000$0SPONSOR
NAMI EASTSIDE
16307 NE 83RD ST STE 203REDMONDWA98052912106510501(C)(3)$25,000$0SPONSOR
SOPHIA WAY THE
1100 BELLEVUE WAY NE 8A-110BELLEVUEWA98004454084539501(C)(3)$10,000$0SPONSOR
TOGETHER CENTER
16305 NE 87TH ST SUITE 110REDMONDWA98052911508791501(C)(3)$10,000$0SPONSOR
WASHINGTON POISON CENTER
155 NE 100TH STREET SUITE 100SEATTLEWA98125943214597501(C)(3)$11,549$0SPONSOR
YOUTH EASTSIDE SERVICES
999 164TH AVE NEBELLEVUEWA98008910849093501(C)(3)$15,000$0SPONSOR
FieldValueIRS element (for citing)
Total501c3 Org13Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationOVERLAKE MEDICAL CENTER & CLINICS PERFORM THE RECORD KEEPING FOR OVERLAKE HOSPITAL FOUNDATION AND MONITORS ITS OPERATING EXPENSES AS PART OF THE MONTHLY FINANCIAL REVIEW PROCESS. THE GRANTS ARE REIMBURSEMENT FOR EXPENSES ALREADY INCURRED. GRANTS TO SPONSOR EVENTS OF NON PROFIT ORGANIZATIONS ARE NOT MONITORED BEYOND VERIFYING THAT THE EVENT OCCURRED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
J MICHAEL MARSH
PRESIDENT & CEO$979,055$0$65,067$0$111,868$0$130,474$0$19,385$0$1,305,849$0$102,261$0
DEREK RODRIGUES MD
CARDIOLOGIST$813,889$0$200,125$0$20,155$0$23,100$0$20,950$0$1,078,219$0$0$0
DAVID W NELSON MD
CARDIAC SURGEON$886,102$0$53,673$0$15,442$0$23,100$0$27,465$0$1,005,782$0$0$0
ASIF ALI KHAN MD
NEUROSURGEON$579,602$0$292,716$0$6,859$0$16,500$0$28,210$0$923,887$0$0$0
ROBERT BINFORD MD
CARDIAC SURGEON$799,150$0$53,673$0$16,067$0$23,100$0$27,480$0$919,470$0$0$0
SCOTT LOUIS MD
CARDIAC SURGEON$802,961$0$53,673$0$6,413$0$16,500$0$27,185$0$906,732$0$0$0
KELAN R KOENIG MD
OMC PHYSICIAN EXECUTIVE$505,991$0$34,200$0$218,136$0$57,298$0$25,448$0$841,073$0$212,832$0
ANDREW TOKAR
CFO THRU 04/24$456,772$0$30,400$0$3,045$0$23,100$0$13,210$0$526,527$0$0$0
VALERIE CHRUSCIEL
OC CHIEF OPERATING OFFICER$301,559$0$20,467$0$117,317$0$35,041$0$17,561$0$491,945$0$108,727$0
JON DUARTE
FORMER KEY EMPLOYEE$338,677$0$22,733$0$1,426$0$26,915$0$25,576$0$415,327$0$0$0
MICHELLE CURRY
CHIEF NURSING OFFICER$335,925$0$22,267$0$5,576$0$37,297$0$12,420$0$413,485$0$0$0
SCOTT WATERS
CHIEF INFORMATION OFFICER$339,844$0$0$0$1,828$0$39,480$0$24,716$0$405,868$0$0$0
DAVID WINOKUR
CHIEF ADMINISTRATIVE OFFICER$278,953$0$0$0$6,767$0$29,938$0$23,940$0$339,598$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7IN 2023, EXECUTIVE INCENTIVES WERE PAID TO J. MICHAEL MARSH, KELAN KOENIG, ANDREW TOKAR, VALERIE CHRUSCIEL, JON DUARTE, AND MICHELLE CURRY. THE INCENTIVES WERE BASED ON MEETING CERTAIN 3 YEAR ORGANIZATIONAL PATIENT QUALITY AND SAFETY GOALS. IN 2023, DEREK RODRIGUES, DAVID NELSON, ASIF KHAN, ROBERT BINFORD, AND SCOTT LOUIS RECEIVED INCENTIVES BASED ON MEETING CERTAIN INDIVIDUAL QUALITY GOALS AND DEREK RODRIGUES AND ASIF KHAN RECEIVED INCENTIVES BASED ON MEETING PRODUCTIVITY GOALS.
PART I, LINE 4B:J. MICHAEL MARSH PARTICIPATED IN A BENEFIT WITHIN THE EXECUTIVE BENEFIT PLAN CALLED THE CAPITAL ACCUMULATION ACCOUNT. THE CAPITAL ACCUMULATION ACCOUNT IS CLASSIFIED AS A 457(F) PLAN BY THE IRS. THE FOLLOWING AMOUNTS REFLECT 2023 DEFERRALS: J. MICHAEL MARSH ($107,374). THE FOLLOWING AMOUNTS FROM THE CAPITAL ACCUMULATION ACCOUNT WERE PAID IN 2023: J. MICHAEL MARSH ($102,261). THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR FORMS 990. J. MICHAEL MARSH RECEIVED REDEMPTION OF CREDITS IN THE CAPITAL ACCUMULATION ACCOUNT THAT HAD BECOME VESTED. KELAN R. KOENIG, ANDREW J. TOKAR, JON DUARTE, MICHELLE CURRY, VALERIE CHRUSCIEL, SCOTT WATERS, AND DAVID WINOKUR ALL PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN BENEFIT. THIS IS A NONQUALIFIED PLAN SPONSORED BY OVERLAKE MEDICAL CENTER & CLINICS. THE FOLLOWING AMOUNTS REFLECT 2023 DEFERRALS: KELAN R. KOENIG ($34,198), JON DUARTE ($17,242), MICHELLE CURRY ($14,196), VALERIE CHRUSCIEL ($11,940), SCOTT WATERS ($16,380), DAVID WINOKUR ($24,360). THE FOLLOWING AMOUNTS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WERE PAID IN 2023: KELAN R. KOENIG ($212,832), VALERIE CHRUSCIEL ($108,727).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WA HEALTH CARE FACILITIES
A91110892993978HKJ32014-08-06$58,116,440REFUND PRIOR ISSUE-6/8/05000
WA HEALTH CARE FACILITIES
B91110892993978HUA12017-12-21$249,215,382CONSTRUCT, RENOVATE FACILITY, AND REFUND PRIOR ISSUE (4/14/10)000
WA HEALTH CARE FACILITIES
C911108929NONEAVAIL2022-12-14$50,555,000REFUND PRIOR ISSUE 12/21/2017000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmtCapital ExpendituresCapitalExpendituresAmt
A$16,285,000$58,151,860$825,678$60,425$57,265,75720080Yes (1)Yes (1)Yes (1)
B$59,345,000$256,198,001$1,653,471$101,826,72820210Yes (1)Yes (1)Yes (1)$19,810$152,697,992
C$50,555,780$440,146$50,074,9212022Yes (1)0Yes (1)Yes (1)$40,712

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)000.001400.000000.001400Yes (1)0.029800Yes (1)
B0Yes (1)000.004200.000000.004200Yes (1)0.034200Yes (1)
C0Yes (1)000.007600.000000.0076000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)
C00Yes (1)Yes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: WA HEALTH CARE FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2015 ISSUER NAME: WA HEALTH CARE FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2020 ISSUER NAME: WA HEALTH CARE FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 06/14/2023
SCHEDULE K, PART II, LINE 3:THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO THE INVESTMENT EARNINGS.
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:NOTE REGARDING THE REBATE COMPUTATIONS ON 7/01/2015 & 7/01/2020: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. NOTE REGARDING THE REBATE COMPUTATION ON 6/14/2023: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DARSHANA SHANBHAG
FAMILY MEMBER OF TRUSTEE DILIP WAGLE$60,491DARSHANA SHANBHAG IS EMPLOYED BY OVERLAKE MEDICAL CENTER & CLINICS0
ANNIE HOLLENHORST
FAMILY MEMBER OF TRUSTEE ANNETTE CLARK$21,303ANNIE HOLLENHORST IS EMPLOYED BY OVERLAKE MEDICAL CENTER & CLINICS0

Schedule M IRS990ScheduleM

Archaeological Artifacts ArchaeologicalArtifactsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$44,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescSUPPLIESDesc
Contribution2ContributionCnt
Noncash Contributions Rpt F990$3,162NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received1Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE NUMBER IN COLUMN (B) REPRESENTS THE NUMBER OF ITEMS CONTRIBUTEDExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6:THE VOLUNTEER TRAINING SPECIALIST TRACKS THE VOLUNTEERS USED DURING THE YEAR SINCE THEY ARE REQUIRED TO GO THROUGH TRAINING BEFORE STARTING. VOLUNTEERS PROVIDED 18,015 HOURS OF SERVICE TO OVERLAKE MEDICAL CENTER & CLINICS DURING THE YEAR. VOLUNTEERS PROVIDE ASSISTANCE FOR PATIENTS AND GUESTS AT POINTS 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. IN ADDITION TO THE VOLUNTEERS, THERE WERE 17 BOARD MEMBERS THAT VOLUNTEERED THEIR TIME AS BOARD MEMBERS DURING THE YEAR.
FORM 990, PART III, LINE 4A:HOSPITAL SERVICES: OVERLAKE MEDICAL CENTER & CLINICS IS A NONPROFIT REGIONAL CENTER SERVING THE EASTERN PUGET SOUND REGION WITH MEDICAL FACILITIES IN BELLEVUE, ISSAQUAH, KIRKLAND, REDMOND, SAMMAMISH AND NEWCASTLE. FOUNDED IN 1953, TODAY OVERLAKE HOSPITAL IS A REGIONAL LEADER IN HEALTH CARE, PROVIDING ADVANCED MEDICAL SERVICES IN THE AREAS OF CARDIAC CARE, GENERAL AND SPECIALTY SURGERY, WOMEN'S SERVICES, CANCER CARE AND EMERGENCY SERVICES. THE HOSPITAL ALSO HAS A NETWORK OF NEIGHBORHOOD CLINICS IN ITS PRIMARY SERVICE AREA. THERE WERE 15,658 PATIENTS ADMITTED FOR INPATIENT MEDICAL CARE FOR A TOTAL OF 74,091 PATIENT DAYS. THERE WERE 344,425 OUTPATIENT VISITS OF WHICH 60,057 WERE FOR EMERGENCY CARE VISITS. THE HOSPITAL DELIVERED 3,587 BABIES. OVERLAKE MEDICAL CLINICS PROVIDED 487,302 VISITS. OVERLAKE HOSPITAL EMPHASIZES THE PATIENT EXPERIENCE AS IS IN THE TOP 10% FOR LIKELIHOOD TO RECOMMEND" IN THE PRESS GANEY NATIONAL DATABASE. LIKEWISE, OVERLAKE CLINICS ARE IN THE TOP 15% FOR LIKELIHOOD TO RECOMMEND PRACTICE AND TOP 10% IN LIKELIHOOD TO RECOMMEND PROVIDER". OVERLAKE HOSPITAL DEMONSTRATED A COMMITMENT TO IMPROVING THE HEALTH OF THE COMMUNITY BY SUPPORTING MANY HEALTH-RELATED EVENTS, PROGRAMS, CLINICAL RESEARCH AND 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 6,620 PATIENTS WHO WERE UNINSURED OR UNDER INSURED AT AN ESTIMATED COST OF $5,761,000. THE HOSPITAL PROVIDED CARE TO MEDICAID PATIENTS AT RATES BELOW THE COST OF PROVIDING SERVICES. THE PAYMENTS WERE LESS THAN THE COST BY $35,280,000. IN KEEPING WITH THE HOSPITAL'S SPIRIT OF GIVING BACK TO THE COMMUNITY, IT PROVIDED A TOTAL OF $10,001,000 FOR COMMUNITY BENEFIT SERVICE ACTIVITIES. ACHIEVEMENT AWARDS RECEIVED IN 2024: 1. LEAPFROG GROUP AGAIN AWARDED OVERLAKE HOSPITAL AN 'A' GRADE FOR PATIENT SAFETY. OVERLAKE MEDICAL CENTER & CLINICS RECEIVED AN "A" HOSPITAL SAFETY GRADE FROM THE LEAPFROG GROUP FOR FALL 2023. THIS WAS OVERLAKE'S 20TH "A" RATING IN THE LAST 24 RATING CYCLES. THIS NATIONAL DISTINCTION RECOGNIZES OVERLAKE'S DEDICATION TO PROTECTING HOSPITAL PATIENTS FROM PREVENTABLE HARM AND ERRORS. 2. OVERLAKE HOSPITAL AND CLINIC AGAIN EARNED SPECIALTY EXCELLENCE AWARDS FROM HEALTH GRADES FOR SUPERIOR SERVICE TO THE EASTSIDE COMMUNITY EXCELLENCE AWARD IN ORTHOPEDIC SURGERY, 5-STAR RECOGNITIONS BARIATRIC SURGERY (2023-2024), CAROTID PROCEDURES, CRANIAL NEUROSURGERY, HYSTERECTOMY (2023), BACK AND NECK SURGERY, TOTAL HIP REPLACEMENT, UPPER GASTROINTESTINAL SURGERY. 3. U.S. NEWS & WORLD REPORT RECOGNIZED OVERLAKE HOSPITAL AS A HIGH PERFORMING HOSPITAL FOR MATERNITY. AND AS A BEST REGIONAL HOSPITAL IN THE SEATTLE METRO IN 16 TYPES OF CARE. 4. PREMERA BLUE CROSS AND BLUE SHIELD AWARDED OVERLAKE HOSPITAL WITH THE BLUE DISTINCTION CENTER AWARD AND A DESIGNATION FOR CARDIAC CARE (2023). 5. BECKER'S HOSPITAL REVIEW NAMED OVERLAKE AS THE TOP RECOMMENDED HOSPITAL, GREAT COMMUNITY HOSPITAL LEADING IN OUTPATIENT JOINT REPLACEMENT AND 150+ TOP PLACES TO WORK IN HEALTHCARE. 6. OVERLAKE MEDICAL CENTER & CLINICS ACHIEVED THE TOP NATIONAL ORTHOPEDIC STANDARD FOR THE 5TH YEAR IN A ROW AS STAR PERFORMER FROM THE AMERICAN ORTHOPAEDIC ASSOCIATION'S (AOA) OWN THE BONE (2023-2024). 7. OVERLAKE RECEIVED ACCREDITATION FROM METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM. 8. OVERLAKE WAS A 2023 HURON AWARD WINNER-EXCELLENCE IN HEALTHCARE. 9. AMERICAN HEART ASSOCIATION AWARDED OVERLAKE HOSPITAL WITH GOLD PLUS FOR STROKE AND HEART FAILURE INCLUDING HONOR ROLL IN HEART FAILURE AND TYPE 2 DIABITIES (2023). 10. CRIBS FOR KIDS CERTIFIED OVERLAKE HOSPITAL AS A SAFE SLEEP HOSPITAL-HELPING EVERY BABY SLEEP SAFER.
FORM 990, PART III, LINE 4C:EDUCATION SERVICES: IN ADDITION TO THE EXCELLENT CARE WE PROVIDE OUR PATIENTS, THE HOSPITAL FIRMLY BELIEVES EDUCATION IS CRITICAL TO OVERALL WELLNESS. THE HOSPITAL REACHES OUT TO THE COMMUNITY TO ENGAGE AND EMPOWER ITS PATIENTS IN BECOMING EDUCATED HEALTHCARE CONSUMERS BY OFFERING FREE AND LOW-COST CLASSES AND SUPPORT GROUPS FOR ALL AGE GROUPS. HEALTH EDUCATION IS AN IMPORTANT PART OF PREVENTATIVE CARE. THE EDUCATION PROGRAM PROVIDED 26,600 FAMILY CONTACT HOURS OFFERING CLASSES OF A WIDE RANGE OF HEALTH RELATED TOPICS INCLUDING ADVANCED CARE PLANNING, MENTAL HEALTH, COPING SKILLS, SUICIDE PREVENTION TRAINING, WOMEN'S HEALTH, PRENATAL CARE, NEWBORN PARENTING, TEENS & TWEEN CONVERSATIONS ABOUT GROWING UP, BABYSITTING FOR TEENS, INFANT CPR, BASIC STOPPING THE BLEED, SENIOR HEALTH, MEDICARE 101, MAINTAINING BALANCE, AND DEALING WITH CANCER, HEART DISEASE, DIABETES, WEIGHT LOSS, AND LOSS OF A LOVED ONE.
FORM 990, PART VI, SECTION A, LINE 4THE ARTICLES OF INCORPORATION WERE AMENDED TO REFLECT THE MERGER OF OVERLAKE HOSPITAL ASSOCIATION AND OVERLAKE MEDICAL CENTER & CLINICS (FORMERLY OVERLAKE HOSPITAL MEDICAL CENTER) EFFECTIVE JUNE 17, 2024. THE ARTICLES OF INCORPORATION AND BYLAWS WERE AMENDED SUBSEQUENT TO YEAR END FOR THE NAME CHANGE OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6OVERLAKE HOSPITAL ASSOCIATION HAS THE RIGHT TO APPOINT AND REMOVE OVERLAKE MEDICAL CENTER & CLINICS (FORMERLY OVERLAKE HOSPITAL MEDICAL CENTER) TRUSTEES BEFORE THE EFFECTIVE MERGER DATE OF JUNE 17, 2024.
FORM 990, PART VI, SECTION A, LINE 7AOVERLAKE HOSPITAL ASSOCIATION HAS THE RIGHT TO APPOINT AND REMOVE OVERLAKE MEDICAL CENTER & CLINICS (FORMERLY OVERLAKE HOSPITAL MEDICAL CENTER) TRUSTEES THROUGH 6/16/24 WHEN IT MERGED INTO OVERLAKE HOSPITAL MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7BOVERLAKE HOSPITAL ASSOCIATION MUST APPROVE (THROUGH 06/16/24): (A) ANY SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (B) ANY INCREASED INDEBTEDNESS EXCEEDING FIVE PERCENT OF THE GROSS PATIENT SERVICE REVENUE DURING A FISCAL YEAR OF THE CORPORATION; (C) THE ANNUAL BUDGET OF THE CORPORATION AND ANY MATERIAL AMENDMENTS THERETO; (D) THE AUDITORS OF THE CORPORATION; AND (E) ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS REVIEWED BY THE ASSISTANT CONTROLLER AND/OR CONTROLLER, THEN REVIEWED ON A HIGH LEVEL BY THE PRESIDENT & CEO, CFO, AND CHIEF COMPLIANCE & RISK OFFICER. THE OVERLAKE MEDICAL CENTER & CLINICS AUDIT AND COMPLIANCE COMMITTEE RECEIVES A PRESENTATION OF THE 990 AND THE 990 IS SENT TO THE OVERLAKE MEDICAL CENTER & CLINICS BOARD MEMBERS PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS AND MANAGEMENT ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY 2) HAS READ AND UNDERSTANDS THE POLICY 3) HAS AGREED TO COMPLY WITH THE POLICY. BOARD MEMBERS AND MANAGEMENT ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICT OF INTEREST SITUATIONS ON THEIR ANNUAL DISCLOSURE FORM AND ON A SITUATIONAL BASIS FOR ANY SITUATION OCCURING DURING THE YEAR. DISCLOSURES ARE REVIEWED BY THE OFFICE OF COMPLIANCE AND RISK MANAGEMENT (OCRM). DISCLOSURES REQUIRING MITIGATION WILL BE HANDLED BY A MEMBER OF THE OCRM. IF THERE IS A VIOLATION OF THIS POLICY OR THERE IS A PERCEIVED OR ACTUAL CONFLICT THAT NEEDS TO BE MANAGED, THE OCRM WILL TAKE APPRORIATE CORRECTIVE ACTION, WHICH MAY INCLUDE A CONFLICT MANAGEMENT PLAN. AT BOARD MEETINGS, MEMBERS ARE EXPECTED TO RECUSE THEMSELVES FROM VOTING ON ISSUES WHEN THERE IS A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15OVERLAKE'S POLICY AND PROCESS FOR EXECUTIVE COMPENSATION IS FULLY DOCUMENTED IN THE "EXECUTIVE COMPENSATION MANUAL" WHICH WAS LAST UPDATED IN OCTOBER 2023. THIS MANUAL DETAILS THE CHARTER OF THE COMPENSATION COMMITTEE OF THE BOARD, THE COMPENSATION PHILOSOPHY, PROCESS AND GUIDELINES IN GOVERNING EXECUTIVE COMPENSATION. 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 REVIEW OF COMPARABLE DATA FROM EXTERNAL SOURCES. ALL COMPENSATION RELATED DECISIONS FOR THE CEO AND OTHER EXECUTIVES ARE DISCUSSED, DELIBERATED AND VOTED ON BY THE COMPENSATION COMMITTEE AND DOCUMENTED IN THE MINUTES OF THE MEETING. THE COMPENSATION AND INCENTIVE PAYMENT OF THE CEO IS REVIEWED AND APPROVED BY THE FULL BOARD.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS DISCLOSURE OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE THROUGH THE HOSPITAL'S ADMINISTRATION OFFICE. THE OVERLAKE MEDICAL CENTER & CLINICS CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE ON THE ORGANIZATIONS WEBSITE.
FORM 990, PART IX, LINE 11GOTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 64,212,431. MANAGEMENT AND GENERAL EXPENSES 23,007,984. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,220,415.
FORM 990, PART XI, LINE 9:CHANGE IN RELATED ORGANIZATION INVESTMENT -1,826,467. NET ASSET TRANSFER FROM RELATED ORGANIZATION 26,321,322.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
OVERLAKE MEDICAL TOWER LLC
1135 116TH AVENUE NEBELLEVUEWA98004911984117MEDICAL OFFICE SPACE RENTALWA$111,456$22,667,155OVERLAKE MEDICAL CENTER & CLINICS
OVERLAKE MEDICAL CLINICS LLC
1035 116TH AVENUE NEBELLEVUEWA98004911932954MEDICAL CLINICSWA$127,768,383$53,431,067OVERLAKE MEDICAL CENTER & CLINICS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
OVERLAKE HOSPITAL FOUNDATION
1035 116TH AVE NEBELLEVUEWA98004911050325FUNDRAISINGWA501(C)(3)7 - 509(A)(1)OVERLAKE MEDICAL CENTER & CLINICSYes (1)
OVERLAKE HOSPITAL ASSOCIATION
1035 116TH AVE NEBELLEVUEWA98004911274134PROVIDE SUPPORTWA501(C)(3)12B - TYPE II SUPPORYes (1)N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1OVERLAKE SURGERY CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11135 116TH AVENUE NE 300AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
EIN911925618EIN
Primary ActivitiesSURGERY CENTERPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OVERLAKE MEDICAL CENTER & CLINICSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$7,952ShareOfTotalIncomeAmt
Share Of EOY Assets$9,766,491ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.91060OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
OVERLAKE HOSPITAL FOUNDATION
B$2,390,208CASH
OVERLAKE HOSPITAL FOUNDATION
C$11,083,493CASH & FMV
OVERLAKE HOSPITAL FOUNDATION
N$165,158CASH
OVERLAKE HOSPITAL FOUNDATION
O$115,844CASH
OVERLAKE HOSPITAL ASSOCIATION
A$7,240,704CASH
OVERLAKE HOSPITAL ASSOCIATION
C$8,000,000CASH
OVERLAKE HOSPITAL ASSOCIATION
O$158,357CASH
OVERLAKE HOSPITAL ASSOCIATION
Q$379,597CASH
OVERLAKE HOSPITAL ASSOCIATION
S$26,321,322CASH
OVERLAKE SURGERY CENTER LLC
D$2,032,598CASH