YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION (EIN 91-0567263)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-14
IRS object ID: 202433199349314648
Schema version: 2023v5.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-14T16:26:36-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	910189318	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MOSS ADAMS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2707 COLBY AVENUE SUITE 801	AddressLine1Txt
City	EVERETT	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98201	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	910567263	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	YAKIMA VALLEY MEMORIAL HOSPITAL	BusinessNameLine1Txt
Business Name Line2	ASSOCIATION	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	YAKI	BusinessNameControlTxt
Phone	5095758000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2811 TIETON DRIVE	AddressLine1Txt
City	YAKIMA	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	989023799	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MAX OWENS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5095758000	PhoneNum
Signature	2024-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WENDY CAMPOS	PreparerPersonNm
PTIN	P00448102	PTIN
Phone	4252597227	PhoneNum
Preparation	2024-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MULTICARE YAKIMA MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	TAMMY BUYOK	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2811 TIETON DRIVE	AddressLine1Txt
City	YAKIMA	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	989023799	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$554,272,497	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.YAKIMAMEMORIAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	YAKIMA VALLEY MEMORIAL HOSPITAL IS A 238-BED-ACUTE-CARE, NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT HAS SERVED CENTRAL WASHINGTON'S YAKIMA VALLEY FOR NEARLY 70 YEARS.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	3267	TotalEmployeeCnt
Total Volunteers	105	TotalVolunteersCnt
Total Gross UBI	$29,768	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$17,346,123	PYContributionsGrantsAmt
CY Contributions Grants	$11,665,703	CYContributionsGrantsAmt
PY Program Service Revenue	$503,961,964	PYProgramServiceRevenueAmt
CY Program Service Revenue	$537,154,263	CYProgramServiceRevenueAmt
PY Investment Income	$4,083,232	PYInvestmentIncomeAmt
CY Investment Income	$1,403,213	CYInvestmentIncomeAmt
PY Other Revenue	$3,084,103	PYOtherRevenueAmt
CY Other Revenue	$3,109,577	CYOtherRevenueAmt
PY Total Revenue	$528,475,422	PYTotalRevenueAmt
CY Total Revenue	$553,332,756	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,274,734	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,761,404	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$290,729,460	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$289,802,819	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$263,801,103	PYOtherExpensesAmt
CY Other Expenses	$280,691,968	CYOtherExpensesAmt
PY Total Expenses	$555,805,297	PYTotalExpensesAmt
CY Total Expenses	$572,256,191	CYTotalExpensesAmt
PY Revenues Less Expenses	-$27,329,875	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$18,923,435	CYRevenuesLessExpensesAmt
Total Assets BOY	$377,446,728	TotalAssetsBOYAmt
Total Assets EOY	$462,075,289	TotalAssetsEOYAmt
Total Liabilities BOY	$161,461,745	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$192,498,036	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$215,984,983	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$269,577,253	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	YAKIMA VALLEY MEMORIAL HOSPITAL (YVMH) IS A 238-BED-ACUTE-CARE, NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT HAS SERVED CENTRAL WASHINGTON'S YAKIMA VALLEY FOR NEARLY 70 YEARS. (CONTINUED ON SCHEDULE O)	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$298,322,551	ExpenseAmt
Revenue	$371,590,420	RevenueAmt
Desc	OUTPATIENT SERVICES. DURING 2023, YAKIMA VALLEY MEMORIAL HOSPITAL (YVMH) PERFORMED 170,210 OUTPATIENT VISITS FOR SURGERY, CANCER CARE, DIAGNOSTIC TESTING AND VARIOUS OTHER THERAPEUTIC SERVICES. THOSE OUTPATIENT SERVICES WERE OFFERED IN A MANNER CONSISTENT WITH THE HOSPITAL'S 501(C)(3) STATUS, INCLUDING CHARITY CARE TO QUALIFYING PATIENTS PER THE HOSPITAL'S CHARITY CARE POLICY. IN 2023, YVMH PROVIDED CHARITY CARE FOR 35,364 OUTPATIENT VISITS, TOTALING $35,674,635. (CONTINUED ON SCHEDULE O.)YVMH'S ONCOLOGY PROGRAMS DELIVERED CHARITY CARE SERVICES 2,852 TIMES IN 2023. CHILDREN'S VILLAGE, BASED IN YAKIMA, IS A CLINIC THAT PROVIDES HEALTHCARE SERVICES FOR CHILDREN WITH SPECIAL NEEDS. THE FACILITY ALSO HOUSES THE NURSE FAMILY PARTNERSHIP, A PROGRAM THAT PROVIDES SPECIALLY TRAINED NURSES TO HELP FIRST-TIME MOTHERS DURING PREGNANCY AND UNTIL THE CHILD'S SECOND BIRTHDAY. THESE PROGRAMS PROVIDED THE CHARITY CARE AND UNREIMBURSED MEDICAL SERVICES. MATERNAL HEALTH SERVICES PROVIDES COMMUNITY-BASED PROGRAMS AND SERVICES FOCUSED ON PROVIDING PREVENTATIVE HEALTH AND EDUCATION FOR FAMILIES THROUGHOUT CENTRAL WASHINGTON. YVMH'S PAIN MANAGEMENT CLINIC SAW 1,152 PATIENT ENCOUNTERS WHICH FELL UNDER YVMH'S CHARITY CARE CRITERIA. MEMORIAL'S 'OHANA CLINIC PROVIDES BREAST HEALTH EDUCATION, SCREENING AND DIAGNOSTIC MAMMOGRAPHY, AND BREAST CARE COORDINATION FOR WOMEN IN THE YAKIMA VALLEY. CHARITY CARE FUNDED 1,075 ENCOUNTERS WITH 'OHANA PROVIDERS IN 2023. YVMH PROVIDED 1,388 PATIENT ENCOUNTERS WITH CHARITY CARE IN OUTPATIENT SURGERY IN 2023. YAKIMA VALLEY MEMORIAL'S WOUND MANAGEMENT SERVICES COMBINES TRADITIONAL PRACTICES AND MEDICINES FOR WOUND HEALING WITH TECHNOLOGY, SUCH AS HYPERBARIC OXYGEN THERAPY. THESE SERVICES ARE OFFERED TO PATIENTS WHO HAVE UNDERGONE 30 DAYS OF CONVENTIONAL WOUND TREATMENT WITHOUT SIGNIFICANT IMPROVEMENT. IN 2023, 556 OF THOSE ENCOUNTERS WERE PERFORMED UNDER CHARITY CARE ASSISTANCE. WITH ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN THE STATE OF WASHINGTON, OUR PROVIDERS ARE TRAINED IN EMERGENCY MEDICINE AND TREATED 86,731 PATIENTS A YEAR REGARDLESS OF AGE, CULTURE, EMPLOYMENT, ETHNICITY, EXPRESSION, GENDER IDENTITY, LANGUAGE, NATIONAL ORIGIN, PARTICIPATION IN PROGRAMS, PHYSICAL OR MENTAL DISABILITY, RACE, COLOR, RELIGION, SERVICES AND ACTIVITIES, SEX, SEXUAL ORIENTATION, SOCIOECONOMIC STATUS, OR FINANCIAL STATUS. THE EMERGENCY DEPARTMENT PROVIDES FOR PATIENTS' EMERGENT NEEDS; AND, ALL PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT ARE EXAMINED BY A TRAINED PROVIDER. YVMH'S EMERGENCY DEPARTMENT EXPERIENCED 10,237 PATIENT ENCOUNTERS WITH CHARITY CARE RECIPIENTS IN 2023, FOR A TOTAL OF $17,910,193. YAKIMA VALLEY MEMORIAL SERVED 18,104 CHARITY CARE PATIENTS WITH ADDITIONAL OUTPATIENT SERVICES. THESE SERVICES INCLUDE: CARDIAC REHAB, EDUCATION, INFUSION CARE, LABORATORY, PHYSICIAN'S OFFICES, OUTPATIENT PROCEDURES, PRE-PROCEDURE TESTING, SLEEP STUDIES, THERAPY, X-RAY AND IMAGING, AND CARDIOVASCULAR CARE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$121,868,260	ExpenseAmt
Revenue	$162,956,217	RevenueAmt
Desc	INPATIENT SERVICES. YAKIMA VALLEY MEMORIAL HOSPITAL (YVMH) HOSPITAL ADMITTED 986 PATIENTS THAT QUALIFIED FOR CHARITY CARE, FOR A TOTAL OF 5,169 PATIENT DAYS. THESE INPATIENT CHARITY CARE ENCOUNTERS AMOUNTED TO $4,388,966. CHARITY CARE WAS PROVIDED PER THE TERMS OF THE HOSPITAL'S CHARITY CARE POLICY. INPATIENT SERVICES INCLUDES OBSTETRICS & GYNECOLOGY (OBGYN), PEDIATRICS, PSYCHIATRIC SERVICES, EMERGENCY DEPARTMENT (ED), HOSPITAL IMAGING, HOSPITAL-BASED PHYSICIAN SERVICES, CRITICAL CARE, ORTHOPEDICS, CARDIOVASCULAR CARE, CANCER CARE, ANESTHESIOLOGY, RESPIRATORY THERAPY, AND PHARMACY. (CONTINUED ON SCHEDULE O.)IN 2023, YVMH'S OB/GYN DEPARTMENT PROVIDED CHARITY CARE TO PATIENTS FOR PRE-DELIVERY TESTING AND OBSTETRIC EMERGENCY CARE. YVMH'S INPATIENT PSYCHIATRIC SERVICES TREATS ADULT PATIENTS FOR A BROAD SPECTRUM OF MENTAL HEALTH CONCERNS INCLUDING DEPRESSION, ANXIETY, ADJUSTMENT DISORDERS, ADD/ADHD, AND MAJOR PSYCHIATRIC ILLNESS. INPATIENT PSYCHIATRIC SERVICES ALSO OFFERS PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT, IN ADDITION TO TREATMENT OF UNDERLYING MEDICAL CONDITIONS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$6,296,483	ExpenseAmt
Grant	$1,761,404	GrantAmt
Revenue	$2,300,833	RevenueAmt
Desc	SUPPORTING SERVICE. YAKIMA VALLEY MEMORIAL PROVIDES ADDITIONAL SUPPORTIVE SERVICES TO SERVE THE HEALTH CARE NEEDS OF THE COMMUNITY THAT DO NOT DIRECTLY ALIGN AS EITHER INPATIENT OR OUTPATIENT SERVICES. THESE SUPPORTIVE SERVICES WERE OFFERED IN A MANNER CONSISTENT WITH THE HOSPITAL'S 501(C)(3) STATUS. THESE SUPPORTIVE SERVICES INCLUDE EDUCATIONAL SERVICES FOR STUDENT PHYSICIANS, NURSES, AND ALLIED HEALTH PROFESSIONALS, SUPPORT OF THE COMMUNITY HEALTH OF CENTRAL WASHINGTON (CHCW) MEDICAL RESIDENCY PROGRAM 33 RESIDENTS, A PRE-SURGERY CLINIC, NURSING FLOAT POOL, BUSINESS DEVELOPMENT, AND INFORMATION TECHNOLOGY AND SYSTEMS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$9,336,849	ExpenseAmt
Revenue	$277,025	RevenueAmt

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$9,336,849	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$277,025	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$435,824,143	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	188	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3267	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MAX OWENS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5092485000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2811 TIETON DRIVE	AddressLine1Txt
City	YAKIMA	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	989023799	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID HARGREAVES
CHAIRMAN	2.00	Yes (X)	Yes (X)	$0	$0	$0
GAIL WEAVER
VICE CHAIRMAN	2.00	Yes (X)	Yes (X)	$0	$0	$0
CYNTHIA JUAREZ
SECRETARY/TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
DUANE ROSSMAN
TREASURER (THRU 07/23)	2.00	Yes (X)	Yes (X)	$0	$0	$0
KERRY HARTHCOCK MD
DIRECTOR (THRU 02/23)	2.00	Yes (X)		$0	$0	$0
DOUG ELLISON
DIRECTOR	2.00	Yes (X)		$0	$0	$0
MARIBEL JIMENEZ
DIRECTOR	2.00	Yes (X)		$0	$0	$0
STEPHEN RUPP MD
DIRECTOR	2.00	Yes (X)		$0	$0	$0
PAT OSHIE
DIRECTOR	2.00	Yes (X)		$0	$0	$0
MIRNA RAMOS-DIAZ MD
DIRECTOR	2.00	Yes (X)		$0	$0	$0
ROBERT WILLIAMS MD
DIRECTOR	2.00	Yes (X)		$0	$0	$0
CAROLE PEET
PRESIDENT/CEO (THRU 01/23)	40.00		Yes (X)	$758,542	$0	$2,431
TAMMY BUYOK
MCHS PRESIDENT/CEO	40.00		Yes (X)	$0	$512,528	$42,206
SUSAN SAUDER
VP/CFO/CIO (THRU 01/23)	40.00		Yes (X)	$342,586	$0	$632
SCOTT JONES
MCHS COO	40.00		Yes (X)	$0	$105,360	$7,178
WILLIAM BRUEGGEMANN
VP/CMO (THRU 04/23)	40.00			$715,308	$0	$17,934	Yes (X)
SHAWNETTE HAAS
VP/SPECIALTY SERVICES (THRU 08/23)	40.00			$514,444	$0	$21,047	Yes (X)
LORI GREEN
VP/CNO (THRU 01/23)	40.00			$468,079	$0	$1,289	Yes (X)
MOHAN ASHOK KUMAR
PHYSICIAN	40.00			$1,240,102	$0	$26,275		Yes (X)
MARK RICHARDS
PHYSICIAN	40.00			$884,332	$0	$30,347		Yes (X)
LUCAS FAYEZ BAZI
PHYSICIAN	40.00			$819,691	$0	$40,043		Yes (X)
SAURABH RANJAN
PHYSICIAN	40.00			$828,959	$0	$28,266		Yes (X)
KIMBERLY BERSING
VP/CNO	40.00			$328,242	$0	$35,533		Yes (X)
THOMAS MCDONAGH
FORMER OFFICER	0.00			$149,827	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,050,112	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$617,888	TotReportableCompRltdOrgAmt
Total Other Compensation	$253,181	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	639	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
EMERGENCY ASSOCIATES OF YAKIMA
2811 TIETON DRIVE	YAKIMA	WA	98902	MEDICAL AND HEALTHCARE	$13,370,026
YAKIMA UROLOGY ASSOCIATES PLLC
2500 RACQUET LANE	YAKIMA	WA	98902	MEDICAL AND HEALTHCARE	$7,347,379
ORTHOPEDICS NORTHWEST
111 S 11TH AVENUE	YAKIMA	WA	98902	MEDICAL AND HEALTHCARE	$4,985,778
FOCUSONE SOLUTIONS LLC
13609 CALIFORNIA STREET	OMAHA	NE	68154	AGENCY STAFFING	$4,670,495
ALLIED UNIVERSAL SECURITY SERVICES
PO BOX 31001-2374	PASADENA	CA	911102374	SECURITY STAFFING	$2,596,862

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	91	CntrctRcvdGreaterThan100KCnt
Government Grants	$9,379,809	GovernmentGrantsAmt
All Other Contributions	$2,285,894	AllOtherContributionsAmt
Total Contributions	$11,665,703	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621400	$535,370,736	$535,370,736
MEMORIAL PHYSICIANS/SIGNAL HEALTH	621110	$1,153,139	$1,153,139
EXPENSE REIMBURSEMENT	900099	$600,620	$600,620
LAB SERVICE	621500	$29,768		$29,768

Field	Value	IRS element (for citing)
Total Program Service Revenue	$537,154,263	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$662,460	TotalRevenueColumnAmt
Exclusion	$662,460	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$376,847	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$939,741	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$562,894	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$562,894	TotalRevenueColumnAmt
Exclusion	-$562,894	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$737,074	SecuritiesAmt
Other	$3,679	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$737,074	SecuritiesAmt
Other	$3,679	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$740,753	TotalRevenueColumnAmt
Exclusion	$740,753	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	900099	$2,269,848	$2,269,848
CHILD CARE	624410	$1,162,576	$1,162,576
OTHER INCOME	900099	$240,047	$240,047

Field	Value	IRS element (for citing)
Other Revenue Total	$3,672,471	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$553,332,756	TotalRevenueColumnAmt
Related Or Exempt Func Income	$537,124,495	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$29,768	UnrelatedBusinessRevenueAmt
Exclusion	$4,512,790	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,761,404	TotalAmt
Program Services	$1,761,404	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,509,564	TotalAmt
Program Services	$2,632,173	ProgramServicesAmt
Management And General	$877,391	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$457,497	TotalAmt
Program Services	$343,123	ProgramServicesAmt
Management And General	$114,374	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$232,305,151	TotalAmt
Program Services	$195,551,968	ProgramServicesAmt
Management And General	$36,753,183	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,451,957	TotalAmt
Program Services	$10,481,923	ProgramServicesAmt
Management And General	$1,970,034	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,982,024	TotalAmt
Program Services	$20,187,809	ProgramServicesAmt
Management And General	$3,794,215	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,096,626	TotalAmt
Program Services	$14,391,755	ProgramServicesAmt
Management And General	$2,704,871	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$9,145,654	TotalAmt
Program Services	$7,128	ProgramServicesAmt
Management And General	$9,138,526	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$338,399	TotalAmt
Management And General	$338,399	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$70,211	TotalAmt
Management And General	$70,211	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$179,701	TotalAmt
Management And General	$179,701	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$72,011,300	TotalAmt
Program Services	$59,468,297	ProgramServicesAmt
Management And General	$12,543,003	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$57,320	TotalAmt
Program Services	$97	ProgramServicesAmt
Management And General	$57,223	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,457,389	TotalAmt
Program Services	$7,904,454	ProgramServicesAmt
Management And General	$4,552,935	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$22,462,707	TotalAmt
Program Services	$4,589,525	ProgramServicesAmt
Management And General	$17,873,182	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,568,393	TotalAmt
Program Services	$8,094,562	ProgramServicesAmt
Management And General	$5,473,831	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$408,891	TotalAmt
Program Services	$312,358	ProgramServicesAmt
Management And General	$96,533	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,049,003	TotalAmt
Program Services	$6,558	ProgramServicesAmt
Management And General	$3,042,445	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$21,867,712	TotalAmt
Program Services	$1,703,387	ProgramServicesAmt
Management And General	$20,164,325	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,056,259	TotalAmt
Program Services	$1,776,984	ProgramServicesAmt
Management And General	$1,279,275	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS	$50,881,364	$50,779,112	$102,252
MEDICAL SUPPLIES	$45,454,913	$45,454,913
BAD DEBT EXPENSE	$9,299,679	$9,299,679
DIETARY SUPPLIES	$2,425,481	$513,635	$1,911,846

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,957,592	TotalAmt
Program Services	$563,299	ProgramServicesAmt
Management And General	$13,394,293	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$572,256,191	TotalAmt
Program Services	$435,824,143	ProgramServicesAmt
Management And General	$136,432,048	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$73,916,552	BOYAmt
EOY	$79,514,024	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$528,166	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$69,895,325	BOYAmt
EOY	$71,075,453	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,769,451	BOYAmt
EOY	$16,861,866	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,089,298	BOYAmt
EOY	$9,412,250	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,200,259	BOYAmt
EOY	$3,782,600	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$268,207,071	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$26,760,427	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$185,669,372	BOYAmt
EOY	$241,446,644	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,778,705	BOYAmt
EOY	$922,336	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,526,775	BOYAmt
EOY	$2,646,898	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$196,916	BOYAmt
EOY	$7,439,467	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$22,875,909	BOYAmt
EOY	$28,973,751	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$377,446,728	BOYAmt
EOY	$462,075,289	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$69,112,167	BOYAmt
EOY	$113,247,649	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$7,037,789	BOYAmt
EOY	$6,059,743	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,624,162	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$149,218	BOYAmt
EOY	$138,214	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$20,000,000	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$12,000,000	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,538,409	BOYAmt
EOY	$73,052,430	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$161,461,745	BOYAmt
EOY	$192,498,036	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$212,278,812	BOYAmt
EOY	$265,621,767	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,706,171	BOYAmt
EOY	$3,955,486	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$215,984,983	BOYAmt
EOY	$269,577,253	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$377,446,728	BOYAmt
EOY	$462,075,289	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$18,923,435	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,237,413	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$979,456	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$67,298,836	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$70,211	OtherActivitiesAmt
Total Lobbying Expenditures	$70,211	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION PAYS MEMBERSHIP DUES TO WASHINGTON STATE HOSPITAL ASSOCIATION, A PORTION OF WHICH WAS USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES. YVMHA ALSO PAYS MEMBERSHIP DUES TO OTHER PROFESSIONAL HEALTH CARE ORGANIZATIONS, A PORTION OF WHICH MAY BE USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES. YVMHA ALSO PAYS SEVERAL LOBBYISTS TO ADVOCATE ON A VARIETY OF LEGISLATION. SOME EXAMPLES INCLUDE MEDICAID REIMBURSEMENT, ACCESS TO CARE, EMPLOYMENT LEGISLATION, CERTIFICATION OF NEED LEGISLATION, AND HOME HEALTH AND HOSPICE LEGISLATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,504,411	OtherCostOrOtherBasisAmt
Book Value	$17,504,411	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$139,007,105	OtherCostOrOtherBasisAmt
Depreciation	$7,948,221	DepreciationAmt
Book Value	$131,058,884	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,378,092	OtherCostOrOtherBasisAmt
Depreciation	$4,298,206	DepreciationAmt
Book Value	$3,079,886	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$81,976,433	OtherCostOrOtherBasisAmt
Depreciation	$13,326,035	DepreciationAmt
Book Value	$68,650,398	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,341,030	OtherCostOrOtherBasisAmt
Depreciation	$1,187,965	DepreciationAmt
Book Value	$21,153,065	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$241,446,644	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
RIGHT OF USE ASSET	$24,463,143
OTHER INVESTMENTS - 457B PLAN	$4,510,608

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$28,973,751	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
LEASE LIABILITIES	$7,118,787
DUE TO AFFILIATES	$65,933,643

Field	Value	IRS element (for citing)
Total Liability	$73,052,430	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART IV, LINE 2B:

THE MEDICAL STAFF FUND IS MAINTAINED ON BEHALF YVMH BUT IS NOT OWNED BY YVMH.

PART X, LINE 2:

ASC SUBTOPIC 740-10, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN MHS' CONSOLIDATED FINANCIAL STATEMENTS. THIS TOPIC ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ONLY TAX POSITIONS THAT MEET THE "MORE-LIKELY THAN-NOT" RECOGNITION THRESHOLD AT THE EFFECTIVE DATE MAY BE RECOGNIZED OR CONTINUE TO BE RECOGNIZED UPON ADOPTION. IN ADDITION, THIS TOPIC PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. OTHER THAN MEDIS, INC., PHYSICIANS OF SOUTHWEST WASHINGTON, LLC AND OLYMPIC SPORTS & SPINE, PLLC, WHICH ARE ALL TAXABLE ENTITIES, ALL OF THE OTHER ENTITIES HAVE OBTAINED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE THAT THEY ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,093,114	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,093,114	NetCommunityBenefitExpnsAmt
Total Expense	0.03750	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$144,855,542	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,395,442	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,460,100	NetCommunityBenefitExpnsAmt
Total Expense	0.10740	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$165,948,656	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,395,442	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$81,553,214	NetCommunityBenefitExpnsAmt
Total Expense	0.14490	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	16777	PersonsServedCnt
Total Community Benefit Expns	$2,161,778	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$514,066	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,647,712	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	562	PersonsServedCnt
Total Community Benefit Expns	$5,022,805	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,348,479	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,674,326	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	15284	PersonsServedCnt
Total Community Benefit Expns	$14,259,232	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,970,931	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,288,301	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$347,116	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$347,116	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	32623	PersonsServedCnt
Total Community Benefit Expns	$21,790,931	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,833,476	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,957,455	NetCommunityBenefitExpnsAmt
Total Expense	0.01580	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	32623	PersonsServedCnt
Total Community Benefit Expns	$187,739,587	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$97,228,918	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$90,510,669	NetCommunityBenefitExpnsAmt
Total Expense	0.16070	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$112,579	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$112,579	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$112,579	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$112,579	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,299,679	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$107,924,237	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$180,211,807	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$72,287,570	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2811 TIETON DRIVE	AddressLine1Txt
City	YAKIMA	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98902	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MULTICARE.ORG/LOCATION/YAKIMA-MEMO	WebsiteAddressTxt
State License	HAC.FS.00000058	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIAT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	Yes (1)	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 2: EFFECTIVE JANUARY 17, 2023, YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION ("MEMORIAL") AND MULTICARE HEALTH SYSTEM ("MULTICARE") COMPLETED THE AFFILIATION TRANSACTION (THE "AFFILIATION") CONTEMPLATED BY THE AFFILIATION AGREEMENT, DATED OCTOBER 21, 2022, PURSUANT TO WHICH, AMONG OTHER THINGS, MEMORIAL AMENDED ITS ARTICLES OF INCORPORATION AND BYLAWS TO MAKE MULTICARE THE PARENT ENTITY AND SOLE CORPORATE MEMBER OF MEMORIAL.
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 3J: MEMORIAL'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WAS ADOPTED BY THE BOARD OF DIRECTORS IN NOVEMBER 2022. THE REPORT WAS MADE PUBLIC ON THE WEBSITE AND PRINTED COPIES MADE AVAILABLE AT THE HOSPITAL UPON REQUEST. THE AREAS OF ASSESSMENT IN THE 2022 REPORT ARE: HEALTH OUTCOMES (INCLUDING LENGTH OF LIFE, QUALITY OF LIFE, AND MENTAL HEALTH); SOCIAL AND ECONOMIC FACTORS (INCLUDING INCOME AND POVERTY, EDUCATION, UNEMPLOYMENT, HOUSING AND HOMELESSNESS, CHILDCARE, SAFETY, CRIME, VIOLENCE, TRANSPORTATION, DIET AND EXERCISE, AND SEXUALLY TRANSMITTED INFECTIONS); ACCESS AND QUALITY OF CLINICAL CARE (INCLUDING THE UNINSURED, THE HEALTH WORKFORCE, AND ACCESS TO CARE MEASURES). MEMORIAL'S ACTIONS AND PROGRESS IN ADDRESSING THE PRIORITY AREAS IDENTIFIED IN THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT (2019) ARE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT IN THE 2019 - 2021 PRIORITY AREA UPDATE SECTION ON PAGE 9.
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 5: MEMORIAL'S 2022 CHNA INCLUDED A ROBUST, COLLABORATIVE COMMUNITY CONVENING PROCESS TO REVIEW COMMUNITY NEEDS AND DISCUSS PRIORITIES. THE PROCESS INCLUDED A COMMUNITY ENGAGEMENT SURVEY AND LISTENING SESSIONS IN WHICH NEARLY 800 COMMUNITY MEMBERS, COMMUNITY ORGANIZATIONS, AND MEMORIAL STAFF PARTICIPATED IN TO PRIORITIZE SERVICE GAPS AND UNMET NEEDS. MEMORIAL DISTRIBUTED AN ONLINE SURVEY THROUGH COMMUNITY PARTNERS (INCLUDING THE YAKIMA HEALTH DISTRICT), SOCIAL MEDIA, STAFF, AND PROVIDERS, RECEIVING NEARLY 700 COMPLETED SURVEYS. MEMORIAL'S COMMUNITY ENGAGEMENT PROCESS ALSO INCLUDED TEN LISTENING SESSIONS, WITH NINE DIFFERENT ORGANIZATIONS AND PARTNERS, INVOLVING ABOUT 90 PARTICIPANTS. NINE SESSIONS WERE HELD IN-PERSON AND ONE WAS VIRTUAL. EACH SESSION LASTED, ON AVERAGE, 60-90 MINUTES AND FOCUSED ON IDENTIFYING THE GREATEST GAPS, DISPARITIES, AND UNMET HEALTH CARE NEEDS IN YAKIMA COUNTY. A FULL LIST OF PARTNERS IS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND CAN BE FOUND ON MEMORIAL'S WEBSITE: WWW.MULTICARE.ORG/ABOUT/COMMUNITY/NEEDS-ASSESSMENT/
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 7D: IN ADDITION TO BEING MADE PUBLICLY AVAILABLE ON THE WEBSITE, THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WAS SHARED WIDELY BY EMAIL AND MADE PUBLIC THROUGH COMMUNITY-BASED ORGANIZATIONS, COALITIONS AND GROUPS.
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 11: MEMORIAL HAS OUTLINED IN THE IMPLEMENTATION PLAN 2023-2025 HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE IMPLEMENTATION PLAN IS A MULTI-YEAR GUIDE TO IMPROVING THE HEALTH STATUS OF OUR COMMUNITY AND TARGETS THE PRIORITIZED AREAS AND GAPS IN HEALTH NEEDS THAT HAVE BEEN IDENTIFIED. AS A RESULT OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, HEALTH PRIORITIES WERE SELECTED, AND MEMORIAL HAS DEVELOPED AN ACTION PLAN OUTLINED IN THE IMPLEMENTATION PLAN TO ADDRESS THE THREE PRIORITIES AND POSITIVELY INFLUENCE THE HEALTH AND WELL-BEING OF THE COMMUNITY. MEMORIAL WILL ADDRESS THE THREE SIGNIFICANT NEEDS IDENTIFIED IN THE 2022 CHNA BY: CONTINUING AND STRENGTHENING EXISTING PROGRAMS AND SERVICES; EXPLORING THE IMPLEMENTATION OF NEW STRATEGIES, PROGRAMS, OR SERVICES; PROVIDING LEADERSHIP IN COLLABORATION WITH COMMUNITY ORGANIZATIONS TO IMPLEMENT EVIDENCE-BASED STRATEGIES ACROSS THE SERVICE AREA. THE IMPLEMENTATION PLAN OUTLINES BOTH INTERNAL AND COMMUNITY-WIDE OBJECTIVES AND STRATEGIES UNDER EACH OF THE PRIORITY AREAS AS WELL AS SPECIFIC MEASUREMENTS THAT WILL BE USED TO EVALUATE OUR PROGRESS. THE IMPLEMENTATION PLAN 2023-2025 WAS ADOPTED BY THE MEMORIAL BOARD OF DIRECTORS IN NOVEMBER 2022. ALL THREE PRIORITIES IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ARE BEING ADDRESSED. MEMORIAL IDENTIFIED THREE PRIORITY AREAS IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THESE PRIORITY AREAS INCLUDE: ACCESS TO HEALTH CARE; HEALTH EQUITY; AND BEHAVIORAL HEALTH. "ACCESS TO HEALTH CARE": MEMORIAL PRIORITIZES STABILIZING ITS WORKFORCE AND INCREASING ACCESS TO PREVENTATIVE, DIAGNOSTIC, AND TREATMENT SERVICES. MEMORIAL PARTNERS WITH LOCAL COMMUNITY COLLEGES AND HEALTH PROFESSION EDUCATION PROGRAMS TO MENTOR AND TRAIN ON SITE LOCAL HEALTH PROFESSIONALS FROM COLLEGE PROGRAMS ACROSS THE COUNTY AND STATE. THIS ALLOWS STUDENTS TO PRACTICE IN THEIR RESPECTIVE FIELD OF STUDY AS REQUIRED TO COMPLETE THEIR DEGREE AND SIT FOR ASSOCIATED EXAMS. AFTER TRAINING AND COMPLETION OF COURSE WORK EACH HEALTH PROFESSIONAL IS READY FOR THE WORKFORCE AND TO FILL MUCH NEEDED VACANCIES WITHIN THE COMMUNITY. MEMORIAL PRIORITIZES GROWING A LOCAL WORKFORCE AND IMPROVING PHYSICIAN/STAFF ENGAGEMENT BY BUILDING ON SYSTEM LEVEL MULTICARE RECRUITMENT STRUCTURES AND STRATEGIES. MEMORIAL CONTINUES TO EXPAND TALENT PIPELINES THROUGH RESIDENCY PROGRAMS, INCREASED AVAILABILITY OF CLINICAL ROTATIONS, AND OUTREACH TO COMMUNITY GROUPS. MEMORIAL ALSO PROVIDES A NUMBER OF OPPORTUNITIES FOR CONTINUING MEDICAL EDUCATION PROGRAMMING EACH YEAR TO SERVE MEDICAL PROFESSIONALS ACROSS THE COMMUNITY, ALLOWING THEM TO RENEW LICENSES AND CONTINUE TO PRACTICE IN YAKIMA COUNTY. MEMORIAL IS SEEKING OUT PARTNERSHIP TO BRING NEW PROGRAMS TO PNWU FOR ALLIED HEALTH PROGRAMS. MEMORIAL IS FOCUSED ON INCREASING PREVENTATIVE CARE AND REDUCING AVOIDABLE EMERGENCY DEPARTMENT VISITS. THIS INCLUDES PARTNERING WITH COMMUNITY PROVIDERS TO INCREASE EVIDENCE-BASED SCREENINGS, INCREASING PREVENTATIVE SCREENING OFFERINGS, STRENGTHENING TRANSITIONS OF CARE, AND PARTNERING WITH COMMUNITY CLINICS TO ENSURE PATIENTS HAVE A PRIMARY CARE HOME. AN IMPORTANT PIECE OF INCREASING ACCESS TO CARE IS MAINTAINING COMMON ELECTRONIC RECORDS AND IMPROVING EFFICIENCIES FOR PATIENT SCHEDULING AND REFERRALS. MEMORIAL HAS IMPLEMENTED EPIC TO IMPROVE ACCESS TO PATIENT INFORMATION. THIS INCLUDES IMPLEMENTING MYCHART ACCESS FOR PATIENTS THAT ENABLES MORE ENGAGEMENT WITH THEIR CARE TEAM, SCHEDULING, AND RESULTS. MEMORIAL IS WORKING TO IMPLEMENT INTERNAL REVIEWS OF OUTMIGRATION OPPORTUNITIES AND EDUCATING LOCAL HEALTHCARE PROVIDERS ABOUT YAKIMA SERVICE OFFERINGS FOR SPECIALTY SERVICES, CARE, AND TREATMENT. MEMORIAL ALSO PROVIDES FINANCIAL SUPPORT AND PARTNER WITH UNION GOSPEL MISSION (UGM) MEDICAL CARE CENTER FREE CLINIC, WHICH IS FOCUSED ON PROVIDING ACCESS TO PRIMARY CARE, LAB, IMAGING, AND SPECIALTY SERVICES FOR UNINSURED/UNDERINSURED POPULATION. "HEALTH EQUITY": MEMORIAL IS WORKING TO EXPAND DIVERSITY, EQUITY, AND INCLUSION (DEI) BY INCREASING INTERCULTURAL COMPETENCY AND HEALTH EQUITY TRAINING OFFERINGS AND PARTICIPATION. THIS INCLUDES IDENTIFYING AND DEVELOPING LEADERS WITH DIVERSITY AND INCREASING WORKFORCE DIVERSITY. MEMORIAL IS INCORPORATING DEI INTO PEOPLE OPERATIONS PROCESSES AND TOOLS AND EXPANDING ITS NETWORK FOR RECRUITING BLACK, INDIGENOUS, AND STUDENTS OF COLOR. MEMORIAL IS IN THE PROCESS OF EMBEDDING AND REPORTING METRICS BY RACE, ETHNICITY, AND LANGUAGE TO IDENTIFY HEALTH DISPARITIES AND COLLABORATING WITH PARTNERS TO IMPLEMENT ACTION PLANS. "BEHAVIORAL HEALTH": MEMORIAL HAS ESTABLISHED INTERVENTION STRATEGIES TO PROMOTE MENTAL WELL-BEING AND PREVENT MENTAL HEALTH DISORDERS. THIS INCLUDES STANDARDIZING THE USE OF EVIDENCE-BASED SCREENINGS: IMPLEMENTING THE COLUMBIA SUICIDE SCREENING IN THE EMERGENCY DEPARTMENT, STANDARDIZING THE USE OF PHQ-9 IN PRIMARY CARE SETTINGS, AND IMPLEMENTING SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) IN ED AND HOSPITAL UNITS ON PATIENTS THAT MEET CRITERIA. MEMORIAL IS INTEGRATING BEHAVIOR HEALTH IN PRIMARY CARE BY INCREASING ACCESS TO PROVIDERS WITH PRESCRIBING ABILITY FOR OUTPATIENT NEEDS AND WORKING TO PROVIDE WARM AND EFFECTIVE HAND-OFF PROCESSES FOR PATIENTS WITH NEEDS. ACCESS TO BEHAVIOR HEALTH INPATIENT CARE IS AN IMPORTANT COMPONENT OF IMPROVING THE OUTCOME FOR PATIENTS AND MEMORIAL IS PARTNERING WITH MULTICARE SYSTEM RESOURCES TO EVALUATE OPPORTUNITIES TO EXPAND CAPACITY AND EVALUATE POTENTIAL FOR SINGLE BED CERTIFICATION. MEMORIAL IS ALSO PARTNERING WITH COMPREHENSIVE HEALTHCARE TO PLACE DESIGNATED CRISIS RESPONDERS IN THE EMERGENCY DEPARTMENT. MEMORIAL WILL CONTINUE TO EVALUATE ADDITIONAL OPPORTUNITIES FOR MODELS OF CARE AND OPPORTUNITIES TO PARTNER FOR PATIENTS WITH BEHAVIORAL HEALTH NEEDS. THE REMAINING TOP AREAS OF GREATEST NEED WHERE NOT SELECTED BECAUSE OTHERS IN THE COMMUNITY ARE ADDRESSING THESE, AND DUE TO FINANCIAL CONSTRAINTS. THE IMPLEMENTATION PLAN 2023-2025 CAN BE FOUND ON OUR WEBSITE: WWW.MULTICARE.ORG/ABOUT/COMMUNITY/NEEDS-ASSESSMENT/
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 13H: FULL OR PARTIAL DISCOUNTS MAY BE PROVIDED TO PATIENTS WHO ARE NOT OTHERWISE ELIGIBLE FOR FINANCIAL ASSISTANCE. SUCH DISCOUNTS MAY BE PROVIDED TO PATIENTS WITH CATASTROPHIC COSTS OR CONDITIONS WHEN CIRCUMSTANCES AS DETERMINED BY YVMH INDICATE THAT FULL PAYMENT MAY CAUSE EXTRAORDINARY FINANCIAL HARDSHIP TO THE PATIENT OR THE PATIENT'S FAMILY.
PART V, SECTION B, LINE 7A:	HOSPITAL FACILITY'S WEBSITE: WWW.MULTICARE.ORG/ABOUT/COMMUNITY/NEEDS-ASSESSMENT/
PART V, LINE 16A-16C:	THE FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY CAN BE FOUND ONLINE AT: WWW.MULTICARE.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE/

Field	Value	IRS element (for citing)
Facility	22	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - NORTH STAR LODGE
808 N 39TH AVENUE	YAKIMA	WA	98902	CANCER TREATMENT FACILITY
2 - VALLEY IMAGING
314 S 11TH AVENUE	YAKIMA	WA	98902	RADIOLOGY
3 - YAKIMA VALLEY HOME HEALTH
302 S 10TH AVENUE	YAKIMA	WA	98902	HOME HEALTH AND HOSPICE
4 - PHYSICIANS ANESTHESIA
406 S 30TH AVE STE 202	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
5 - YAKIMA MEMORIAL HEART LUNG & VASCULAR
406 S 30TH AVENUE SUITE 101	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
6 - OHANA
1515 W YAKIMA AVENUE	YAKIMA	WA	98902	MAMMOGRAPHY
7 - RIDGEVIEW SURGERY
2500 RACQUET LANE STE 150	YAKIMA	WA	98902	OUTPATIENT SURGERY CENTER
8 - MEMORIAL PHYSICIANS LAB
4003 CREEKSIDE LOOP	YAKIMA	WA	98908	MEDICAL LABORATORY
9 - GENERATIONS OBGYN
3003 TIETON DRIVE STE 230	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
10 - PAIN CENTER - WATER'S EDGE
1460 N 16TH AVENUE SUITE D	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
11 - YAKIMA UROLOGY ASSOC AT MEMORIAL TRUST
2500 RACQUT LANE	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
12 - LAKEVIEW SPINE
1470 N 16TH AVENUE	YAKIMA	WA	98902	THERAPY
13 - YAKIMA GASTROENTEROLOGY ASSOCIATES
3909 CREEKSIDE LOOP SUITE 120	YAKIMA	WA	98908	OUTPATIENT PHYSICIAN CLINIC
14 - FAMILY MEDICINE OF YAKIMA
504 N 40TH AVENUE	YAKIMA	WA	98908	OUTPATIENT PHYSICIAN CLINIC
15 - YAKIMA EAR NOSE AND THROAT
1601 CREEKSIDE LOOP	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
16 - CASCADE SURGICAL PARTNERS
3003 TIETON DRIVE STE 300	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
17 - MEMORIAL SLEEP SPECIALISTS
406 S 30TH AVE SUITE 206	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
18 - MEMORIAL CORNERSTONE MEDICINE
4003 CREEKSIDE LOOP	YAKIMA	WA	98908	OUTPATIENT PHYSICIAN CLINIC
19 - PACIFIC CREST FAMILY MEDICINE
311 S 72ND AVENUE	YAKIMA	WA	98908	OUTPATIENT PHYSICIAN CLINIC
20 - APPLE VALLEY FAMILY MEDICINE
1008 S 38TH AVENUE	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
21 - SELAH FAMILY MEDICINE
620 N PARK DRIVE	SELAH	WA	98942	OUTPATIENT PHYSICIAN CLINIC
22 - YAKIMA ENDOCRINOLOGY ASSOCIATES
3909 CREEKSIDE LOOP STE 115	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	FAP INDICATES MAY WRITE OFF AS CHARITY CARE, AMOUNTS FOR PATIENTS WITH FAMILY INCOME IN EXCESS OF 300% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP OR PERSONAL LOSS.
PART I, LINE 7:	THE HOSPITAL USED RATIO OF PATIENT CARE COST TO CHARGES METHODOLOGY TO CALCULATE THE AMOUNT REPORTED IN THE TABLE DERIVED FROM WORKSHEETS 1 AND 2 FROM THE IRS INSTRUCTIONS FOR SCHEDULE H.BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN: $9,299,679.LINE 7E: COMMUNITY HEALTH PROGRAMS SERVED 16,777 RESIDENTS IN 2023 AND EQUATED TO $1,233,505 IN COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS EXPENDITURES. YAKIMA VALLEY MEMORIAL PARTNERED WITH THE LOCAL YMCA TO DELIVER "ACTIVELY CHANGING TOGETHER", A CHILDHOOD OBESITY PROGRAM THAT ASSISTED 82 FAMILIES. DIABETES PREVENTION AND DIABETES WELLNESS PROGRAMS WERE ALSO OFFERED TO 149 COMMUNITY MEMBERS DURING THE YEAR. IN ADDITION TO CAMPAIGNS TARGETING OBESITY AND DIABETES, YVMH CREATED ACCESS TO FREE OVER 360 ZUMBA AND YOGA CLASSES FOR 4,170 ADULTS AND CHILDREN AS PART OF AN ANNUAL "HEALTHY FOR LIFE" CAMPAIGN. LINE 7I: YAKIMA UNION GOSPEL MISSION MEDICAL CLINIC WAS THE RECIPIENT OF $125,000 FOR CLINIC SUPPORT. THE MISSION SERVES OVER 8,642 PATIENTS FREE OF CHARGE EVERY YEAR, HELPING TO STEM OVERUTILIZATION OF EMERGENCY DEPARTMENT RESOURCES AND HELPING TO PROVIDE ADDITIONAL PRIMARY CARE ACCESS TO THE UNDERSERVED. THE YAKIMA ROTARY RECEIVED $25,000 FOR COMMUNITY DEVELOPMENT INITIATIVES LOCATED AT THE ROTARY MARKETPLACE. THE ROTARY MARKET PLACE SERVES AS THE SITE FOR THE ANNUAL FIESTA DE SALUD HEALTH FAIR THAT SERVED OVER 4,000 PARTICIPANTS AND CONDUCTED 1,348 HEALTH SCREENINGS.
PART I, LINE 6A:	WASHINGTON STATE DOES NOT REQUIRE THAT NON-PROFIT HOSPITALS PREPARE A COMMUNITY BENEFIT REPORT OR MAKE IT AVAILABLE TO THE PUBLIC.
PART II, COMMUNITY BUILDING ACTIVITIES:	ECONOMIC DEVELOPMENT OPPORTUNITIES ARE PROVIDED THROUGH "COMMUNITY BUILDING DONATIONS" WHICH CONSIST OF DONATIONS MADE TO COMMUNITY ORGANIZATIONS TO PROMOTE ECONOMIC DEVELOPMENT IN THE YAKIMA VALLEY; INCLUDING DONATIONS MADE TO YAKIMA COUNTY DEVELOPMENT ASSOCIATION TO SUPPORT NEW SMALL BUSINESS VENTURES IN THE YAKIMA VALLEY AND SUPPORT OF THE NEW YMCA FACILITY IN YAKIMA. "YOUTHWORKS" IS A YOUTH EMPOWERMENT AND COMMUNITY SERVICE INITIATIVE ENGAGING YOUTH DIRECTLY THROUGH MENTORING, VOLUNTEERING, AND PHILANTHROPY, WHILE PROMOTING COMMUNITY HEALTH IMPROVEMENT ADVOCACY. "NON-HEALTH PROFESSION EDUCATION" FACILITATES WORKFORCE DEVELOPMENT BY PROVIDING ON THE JOB TRAINING FOR STUDENTS IN NON-CLINICAL FIELDS AT VARIOUS DEPARTMENTS ACROSS THE HOSPITAL. THESE INCLUDE: BUSINESS SERVICES (BILLING AND CODING), HUMAN RESOURCES, AND INFORMATION TECHNOLOGY.
PART III, LINE 2:	MEMORIAL USED ACTUAL BAD DEBT WRITES OFFS PER THE PATIENT BILLING SYSTEM TO CALCULATE THE AMOUNT ON LINE 2.
PART III, LINE 4:	OUR FINANCIAL STATEMENTS INCLUDE A FOOTNOTE REGARDING NET PATIENT REVENUE (PAGES 16-17). AS BAD DEBT IS NOT MATERIAL TO THE FINANCIAL STATEMENTS, THERE IS NOT VERBIAGE SPECIFIC TO BAD DEBT, ACCOUNTS RECEIVABLE OR ALLOWANCES FOR DOUBTFUL ACCOUNTS. THE ORGANIZATION DOES RECORD AN ALLOWANCE FOR DOUBTFUL ACCOUNTS WHICH ARE NETTED WITH ACCOUNTS RECEIVABLES ON THE FINANCIAL STATEMENTS. BAD DEBT IS NETTED WITH PATIENT SERVICE REVENUE ON THE FINANCIAL STATEMENTS IN A SIMILAR FASHION AS CONTRACTUAL ALLOWANCES ARE.
PART III, LINE 8:	TO THE EXTENT THAT COSTS (USING THE MEDICARE COST REPORT) EXCEED CHARGES, THIS SHORTFALL SHOULD BE REGARDED AS COMMUNITY BENEFIT BECAUSE WE TREAT AND MAINTAIN THE HEALTH OF OUR LARGE LOCAL MEDICARE POPULATION DESPITE THE NECESSARY SUBSIDIZATION OF THESE HEALTH BENEFITS. MEMORIAL USED RATIO OF PATIENT CARE COST TO CHARGES METHODOLOGY TO CALCULATE THE AMOUNT ON LINE 6. OUR FINANCIAL STATEMENTS INCLUDE A FOOTNOTE REGARDING UNCOLLECTIBLE ACCOUNTS WHICH ARE REPORTED AS AN OFFSET TO PATIENT REVENUE.
PART III, LINE 9B:	DURING THE ADMITTANCE PROCESS AT MEMORIAL, ALL PATIENTS ARE PROVIDED WITH THE HOSPITAL'S FINANCIAL ASSISTANCE AND CHARITY CARE INFORMATION. ELIGIBILITY FOR ASSISTANCE IS DETERMINED UPON ADMISSION TO THE HOSPITAL, AND ELIGIBLE PATIENTS ARE NOT BILLED FOR SERVICES.
PART VI, LINE 2:	MEMORIAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, THE TWO MOST RECENT REPORTS CAN BE FOUND AT WWW.MULTICARE.ORG/ABOUT/COMMUNITY/NEEDS-ASSESSMENT/. IN ADDITION, THE HOSPITAL ROUTINELY LOOKS AT HEALTH CARE INDICATORS FROM COUNTY HEALTH RANKINGS, US CENSUS, HEALTHY YOUTH SURVEY, WASHINGTON STATE DEPARTMENT OF HEALTH, AND OTHER SOURCES TO ASSIST WITH PROGRAM PLANNING AND DEVELOPMENT OF COMMUNITY BENEFIT PROGRAMS. INTERNAL DATA IS ALSO ANALYZED FOR DEVELOPMENT AND QUALITY IMPROVEMENT OF COMMUNITY BENEFIT HEALTH PROGRAMS. THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS ADOPTED BY THE MEMORIAL BOARD OF DIRECTORS ON NOVEMBER 29, 2022, AND IT IS PUBLICLY AVAILABLE.
PART VI, LINE 3:	MEMORIAL INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE MEMORIAL'S CHARITY CARE POLICY AT VARIOUS POINTS BEGINNING WITH SCHEDULING AND CONTINUING THROUGH THE PATIENT BILLING PROCESS. THE FOLLOWING LANGUAGE, OR A CLOSE VARIATION, IS INCLUDED IN OUR GUIDE TO PATIENT SERVICES, "UNDERSTANDING YOUR HOSPITAL BILL" BROCHURE, PUBLIC SIGNAGE AT THE MAIN AND EMERGENCY DEPARTMENT ENTRANCES, AS WELL AS ON OUR PATIENT STATEMENTS: "YAKIMA VALLEY MEMORIAL HOSPITAL PROVIDES CHARITY CARE IN ACCORDANCE WITH RCW 70.170.060. APPLYING FOR MEDICAL ASSISTANCE WITH DSHS IS A PREREQUISITE TO A CHARITY CARE DETERMINATION OF ELIGIBILITY. PLEASE CONTACT PATIENT ACCOUNTS IF YOU WOULD LIKE TO APPLY FOR CHARITY OR HAVE QUESTIONS REGARDING MEMORIAL'S CHARITY CARE PROGRAM. AND/OR "THE HOSPITAL IS ABLE TO PROVIDE FREE OR DISCOUNTED CARE FOR ALL OR PART OF YOUR HOSPITAL BILLS IF YOU QUALIFY, BASED ON YOUR INCOME. PLEASE REQUEST A CHARITY CARE APPLICATION, FILL IT OUT COMPLETELY, AND PROMPTLY RETURN IT TO BUSINESS SERVICES." WE ALSO CONTRACT WITH CARDON OUTREACH TO SCREEN ALL SELF-PAY AND CONTRACT CARE PATIENTS FOR MEDICAID ELIGIBILITY AND ASSIST THEM WITH COMPLETING ALL OF THE PREREQUISITE PAPERWORK, ETC. IF A PATIENT IS NOT ELIGIBLE FOR ASSISTANCE AND CANNOT PAY, CARDON PROVIDES THE PATIENT WITH A CHARITY CARE APPLICATION.
PART VI, LINE 4:	YAKIMA COUNTY IS COMPOSED OF PRIMARILY RURAL COMMUNITIES (14 CITIES AND TOWNS) IN CENTRAL WASHINGTON, SPANNING 4,300 SQUARE MILES. TOTAL CURRENT POPULATION FOR YAKIMA COUNTY AS OF 2022 IS 257,805. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 56.6 PERSONS PER SQUARE MILE, IS LESS THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 93.8 PERSONS PER SQUARE MILE. THE PRIMARY SERVICE AREA (PSA) OF YAKIMA VALLEY MEMORIAL HOSPITAL IS COMPRISED OF YAKIMA COUNTY. SECONDARY SERVICE AREAS (SSA) FOR HIGHLY SPECIALIZED PROGRAMS AND SERVICES (E.G. CHILDREN'S VILLAGE) STRETCHES INTO NEIGHBORING COUNTIES INCLUDING KITTITAS AND KLICKITAT. LOCATED WITHIN YAKIMA COUNTY IS THE YAKAMA NATION RESERVATION WHICH IS OVER 1.3 MILLION ACRES AND REACHES ACROSS THE CASCADES. THE PERCENTAGE OF THE POPULATION IN YAKIMA COUNTY THAT IS FOREIGN BORN (18.4%) EXCEEDS BOTH THE WASHINGTON STATE (14.5%) AND THE U.S. PERCENTAGES (13.5%). ACUTE CARE HOSPITALS IN WASHINGTON CONSIST OF A 58.5% MEDICARE/MEDICAID PATIENT PAYOR MIX (38.2% MEDICARE AND 20.3% MEDICAID). ACCORDING TO THE WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES APPROXIMATELY 43% OF THE POPULATION IS RECEIVING ECONOMICAL SERVICES ASSISTANCE, PRIMARILY FOR: CHILD SUPPORT SERVICES, CHILDCARE, AND BASIC FOOD PROGRAMS. OUR COMMUNITY IS COMPRISED OF 52.3% PERSONS OF HISPANIC OR LATINO ORIGIN AND 42.3% OF PERSONS OF WHITE NON-HISPANIC OR LATINO ORIGIN, AND 6.7% AMERICAN INDIAN AND ALASKA NATIVE. 16.5% OF PERSONS LIVING AT POVERTY LEVEL, 5.9% ARE UNEMPLOYED, AND 12.2% UNINSURED.
PART VI, LINE 5:	MEMORIAL IS COMMITTED TO LEADING, FACILITATING, PARTNERING, AND PROMOTING THE HEALTH OF CENTRAL WASHINGTON. THE PROMOTION OF COMMUNITY HEALTH IS ACCOMPLISHED THROUGH COLLABORATIONS, RESEARCH-BASED EDUCATION AND INTERVENTIONS FOCUSED ON DISPARITY ELIMINATION AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH. SURPLUS FUNDING IS USED TO PROVIDE OVERSIGHT, PROGRAM PLANNING AND EVALUATION; AS WELL AS DIRECT CARE TO CHILDREN WITH SPECIAL HEALTH CARE NEEDS THROUGH CHILDREN'S VILLAGE, AND PROMOTION OF WELL-BEING THROUGH EVIDENCE-BASED COMMUNITY HEALTH PROGRAMMING. THIS INCLUDES CHRONIC HEALTH ISSUES AND OTHER RISK FACTORS THAT CONTRIBUTE TO POOR HEALTH OUTCOMES. MEMORIAL HAS DEDICATED STAFF, CONTRACTORS, AND FTE POSITIONS TO ACCOMPLISH THE DEVELOPMENT, PLANNING AND INTERVENTIONS TO ADDRESS COMMUNITY NEEDS. MEMORIAL BUDGETS SURPLUS FUNDS TO ALLOW CONTINUING SUPPORT OF EDUCATION THROUGH PARTNERSHIPS WITH PACIFIC NORTHWEST UNIVERSITY, CENTRAL WASHINGTON FAMILY PRACTICE RESIDENCY, OBSTETRICAL EDUCATION AND ENSURING MEMORIAL HAS THE STAFF TO SUPPORT OUR COMMUNITIES' EDUCATION NEEDS. FUNDS ARE ALSO USED TO ENSURE THAT WE HAVE THE FACILITIES AND EQUIPMENT TO MEET THE GREATEST NEEDS OF THE COMMUNITY; EXAMPLES INCLUDE: HEALTHY NOW CLINICS, EXPANDING THE INPATIENT PSYCHIATRIC DEPARTMENT AND COTTAGE IN THE MEADOW FOR END OF LIFE CARE. TO MEET THE ACCESS NEEDS OF THE COMMUNITY MEMORIAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS WITHIN THE COMMUNITY WHO APPLY TO ITS MEDICAL STAFF, AND ALLIED HEALTH STAFF AND WHO MEET QUALIFICATIONS SET FORTH IN THE MEDICAL STAFF'S BYLAWS, RULES AND REGULATIONS, POLICIES AND SPECIFIC DEPARTMENTAL PRIVILEGING DOCUMENTS. FOR THE MOST CRITICAL SHORTAGES, PARTICULARLY WITHIN SPECIALTY AREAS MEMORIAL EXTENDS THE PRIVILEGES TO PHYSICIANS OUTSIDE OF THE COMMUNITY TO MEET THE NEED.THE MAJORITY OF MEMORIAL'S GOVERNING BODY CONSISTS OF PERSONS WHO RESIDE WITHIN THE PRIMARY SERVICE AREA OF THE HOSPITAL: YAKIMA COUNTY; NO MEMBERS OF THE GOVERNING BODY ARE CONSIDERED EMPLOYEES OR INDEPENDENT CONTRACTORS.
PART VI, LINE 6:	MULTICARE HEALTH SYSTEM ("MULTICARE") IS A WASHINGTON NOT-FOR-PROFIT CORPORATION AND ORGANIZED AS A TAX-EXEMPT ENTITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. MULTICARE HAS TWO AFFILIATED FOUNDATIONS AS FOLLOWS: MULTICARE FOUNDATIONS AND MARY BRIDGE CHILDREN'S FOUNDATION, ALL WASHINGTON NOT-FOR-PROFIT CORPORATIONS. MULTICARE HEALTH SYSTEMS HAS 20,000 TEAM MEMBERS, INCLUDING EMPLOYEES, PROVIDERS, AND VOLUNTEERS. MULTICARE HEALTH SYSTEM IS CARING FOR THE COMMUNITY FOR WELL OVER A CENTURY, SINCE THE FOUNDING OF TACOMA'S FIRST HOSPITAL ON APRIL 29, 1882, THE TACOMA GENERAL HOSPITAL, AND TODAY, MULTICARE IS THE LARGEST COMMUNITY-BASED, LOCALLY GOVERNED HEALTH SYSTEM IN THE STATE OF WASHINGTON. MULTICARE'S COMPREHENSIVE SYSTEM OF HEALTH INCLUDES HOSPITALS, URGENT CARE, PRIMARY CARE, SPECIALTY SERVICES CLINICS, AND VIRTUAL CARE. MULTICARE'S AFFILIATION WITH THESE ORGANIZATIONS ALLOWS TO BETTER PROVIDE ESSENTIAL BEHAVIORAL HEALTH SERVICES AND CONNECT OUR PATIENTS TO ESSENTIAL COMMUNITY RESOURCES.
PART VI, LINE 7:	N/A

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
THE MEMORIAL FOUNDATION
3111 TIETON DRIVE	YAKIMA	WA	989023628	911022358	501(C)(3)	$1,611,404	$0	GENERAL SUPPORT
YAKIMA UNION GOSPEL MISSION
1300 N FIRST STREET	YAKIMA	WA	98901	237050061	501(C)(3)	$125,000	$0	MEDICAL CLINIC SUPPORT
ROTARY OF YAKIMA CHARITIES
1704 W NOB HILL BOULEVARD	YAKIMA	WA	98902	911149272	501(C)(3)	$25,000	$0	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	MEMORIAL SUPPORTS PROGRAMS OR ACTIVITIES THAT DEMONSTRATE A COMMUNITY BENEFIT, ARE CONSISTENT WITH THE OBJECTIVES OF THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT, SUPPORT THE VALUES OF THE HOSPITAL AND IMPROVE HEALTH IN AND AROUND YAKIMA COUNTY. MEMORIAL TRACKS ALL COMMUNITY BENEFIT/COMMUNITY INVESTMENT ACTIVITIES. MEMORIAL REQUIRES ALL RECIPIENTS OF COMMUNITY INVESTMENT DOLLARS TO REPORT THE IMPACT MADE BY THE FUNDING. THIS IS SPECIFICALLY STIPULATED IN A LETTER THAT ACCOMPANIES ANY MEMORIAL MONIES WHICH REQUESTS THAT RECIPIENTS PROVIDE INFORMATION ON HOW THE AWARD WAS USED AND THE SPECIFIC OUTCOMES THEY WERE ABLE TO ADDRESS OR IMPACT AS A RESULT OF THE FUNDING. RECIPIENTS ARE ASKED TO SUPPLY THAT INFORMATION TO MEMORIAL'S COMMUNITY HEALTH DIVISION. THE COMMUNITY HEALTH TEAM FOLLOWS UP REGULARLY ON THOSE REQUESTS AND KEEPS DOCUMENTED RECORDS OF RECEIPT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MOHAN ASHOK KUMAR
PHYSICIAN	$402,555	$0	$766,785	$0	$70,762	$0	$18,144	$0	$8,131	$0	$1,266,377	$0	$0	$0
MARK RICHARDS
PHYSICIAN	$727,706	$0	$155,876	$0	$750	$0	$16,500	$0	$13,847	$0	$914,679	$0	$0	$0
LUCAS FAYEZ BAZI
PHYSICIAN	$663,879	$0	$155,062	$0	$750	$0	$19,668	$0	$20,375	$0	$859,734	$0	$0	$0
SAURABH RANJAN
PHYSICIAN	$664,202	$0	$164,007	$0	$750	$0	$18,662	$0	$9,604	$0	$857,225	$0	$0	$0
CAROLE PEET
PRESIDENT/CEO (THRU 01/23)	$34,686	$0	$0	$0	$723,856	$0	$1,956	$0	$475	$0	$760,973	$0	$218,705	$0
WILLIAM BRUEGGEMANN
VP/CMO (THRU 04/23)	$155,308	$0	$0	$0	$560,000	$0	$10,840	$0	$7,094	$0	$733,242	$0	$0	$0
TAMMY BUYOK
MCHS PRESIDENT/CEO	$0	$429,706	$0	$30,000	$0	$52,822	$0	$19,800	$0	$22,406	$0	$554,734	$0	$0
SHAWNETTE HAAS
VP/SPECIALTY SERVICES (THRU 08/23)	$190,343	$0	$0	$0	$324,101	$0	$13,086	$0	$7,961	$0	$535,491	$0	$0	$0
LORI GREEN
VP/CNO (THRU 01/23)	$22,113	$0	$0	$0	$445,966	$0	$1,289	$0	$0	$0	$469,368	$0	$84,871	$0
KIMBERLY BERSING
VP/CNO	$247,625	$0	$15,000	$0	$65,617	$0	$21,101	$0	$14,432	$0	$363,775	$0	$0	$0
SUSAN SAUDER
VP/CFO/CIO (THRU 01/23)	$12,300	$0	$0	$0	$330,286	$0	$615	$0	$17	$0	$343,218	$0	$0	$0
THOMAS MCDONAGH
FORMER OFFICER	$0	$0	$0	$0	$149,827	$0	$0	$0	$0	$0	$149,827	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4A-B

CAROLE PEET AND LORI GREEN PARTICIPATED IN 457(F) PLANS. PAYOUT AMOUNTS FOR 2023 WERE $218,705 AND $84,871 RESPECTIVELY. WILLIAM BRUEGGEMANN RECEIVED A SEVERANCE PAYMENT IN 2023 OF $560,000. CAROLE PEET RECEIVED A SEVERANCE PAYMENT IN 2023 OF $505,150. LORI GREEN RECEIVED A SEVERANCE PAYMENT IN 2023 OF $361,096. SUSAN SAUDER RECEIVED A SEVERANCE PAYMENT IN 2023 OF $330,286. SHAWNETTE HAAS RECEIVED A SEVERANCE PAYMENT IN 2023 OF $324,101. THOMAS MCDONAUGH RECEIVED A SEVERANCE PAYMENT IN 2023 OF $149,827.

PART I, LINE 7

VARIABLE COMPENSATION AMOUNTS ARE CALCULATED BASED OFF OF THE RESULTS OF THE STRATEGIC SCORECARD AS WELL AS THE EMPLOYEE'S INDIVIDUAL EVALUATION. THIS IS THEN MULTIPLIED BY THE EMPLOYEES' GROSS EARNINGS FOR THE PREVIOUS YEAR. THIS IS APPROVED BY THE YAKIMA VALLEY MEMORIAL HOSPTIAL (MEMORIAL) EXECUTIVE COMMITTEE, AND DOCUMENTED IN ITS MINUTES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JUAN JIMENEZ
FAMILY MEMBER OF MARIBEL JIMENEZ, DIRECTOR	$104,310	EMPLOYMENT	0
JORGE GARCIA
FAMILY MEMBER OF CYNTHIA JUAREZ, DIRECTOR	$106,209	EMPLOYMENT	0
BREAN MILLS GARCIA
FAMILY MEMBER OF CYNTHIA JUAREZ, DIRECTOR	$97,151	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1	YVMH'S PURPOSE IS TO INSPIRE PEOPLE TO THRIVE. THE HOSPITAL DOES THIS BY UPHOLDING THE VALUES OF RESPECT, ACCOUNTABILITY, TEAMWORK, STEWARDSHIP AND INNOVATION. BY HELPING PATIENTS ACHIEVE HEALTH, WE ALSO CREATE HEALTHY COMMUNITIES. YVMH HAS A MULTISPECIALTY TEAM OF MORE THAN 300 PHYSICIANS, OFFERING PRIMARY AND SPECIALTY CARE, CONVENIENCE CARE CLINICS, AS WELL AS OPERATING ONE OF THE REGION'S BUSIEST EMERGENCY DEPARTMENTS. OUR NETWORK OF CLINICS SURROUNDS THE YAKIMA VALLEY, AND EXTENDS NORTHWEST INTO ELLENSBURG AND SOUTHEAST TO SUNNYSIDE. YAKIMA VALLEY MEMORIAL HOSPITAL ALSO OPERATES COTTAGE IN THE MEADOW, A 24-HOUR, 20-BED INPATIENT HOSPICE FACILITY WHICH SERVES THE ENTIRE YAKIMA VALLEY. WE ALSO COLLABORATE TO OPERATE CHILDREN'S VILLAGE, A CLINIC THAT SERVES CHILDREN WITH SPECIAL AND DEVELOPMENTAL HEALTHCARE NEEDS AND THEIR FAMILIES, AND GARDEN VILLAGE, A SKILLED NURSING FACILITY, PROVIDING THE HIGHEST LEVEL OF COMFORT-DRIVEN, QUALITY CARE TO THOSE WITH COMPLEX AND LONG-TERM MEDICAL AND PSYCHIATRIC NEEDS. YAKIMA VALLEY MEMORIAL HOSPITAL FUNDS THE CENTRAL WASHINGTON FAMILY MEDICINE RESIDENCY PROGRAM (CWFMR), A 30 RESIDENT FAMILY MEDICINE RESIDENCY PROGRAM, IN ADDITION TO OFFERING TRAINING PROGRAMS FOR NURSING, PHARMACY, RESPIRATORY THERAPY, PHYSICAL THERAPY, AND LABORATORY TECHNOLOGY.
FORM 990, PART VI, SECTION A, LINE 1A	THE GOVERNING BODY DELEGATES TO AN EXECUTIVE COMMITTEE COMPRISED OF THE CHAIRMAN, VICE CHAIRMAN, SECRETARY AND TREASURER THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION TO ACT ONLY IN TIME SENSITIVE OR EMERGENCY SITUATIONS AS DETERMINED BY THE EXECUTIVE COMMITTEE, SUCH AUTHORITY TO BE EXERCISED IN TIME PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE GOVERNING BODY OF THE CORPORATION. THE EXECUTIVE COMMITTEE DOES NOT HAVE THE AUTHORITY TO AMEND, ALTER OR REPEAL THE BYLAWS, ELECT, APPOINT OR REMOVE ANY MEMBER OF THE EXECUTIVE COMMITTEE OR ANY DIRECTOR OR OFFICER OF THE CORPORATION; AMEND THE ARTICLES OF INCORPORATION; ADOPT A PLAN OF MERGER OR ADOPT A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION; AUTHORIZE THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION NOT IN THE ORDINARY COURSE OF BUSINESS; AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKE PROCEEDINGS THEREFORE; ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION; AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTER OR REPEALED BY THE EXECUTIVE COMMITTEE; OR TERMINATE THE CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMMITTEE ALSO PERIODICALLY EVALUATES THE EFFECTIVENESS OF MEMORIAL'S SYSTEMS FOR RESOLVING INTERNAL CONFLICTS. THE BOARD ALSO DELEGATES TO THE EXECUTIVE COMMITTEE THE AUTHORITY OF THE BOARD TO MAKE ALL APPOINTMENTS AND REAPPOINTMENTS TO THE MEDICAL STAFF OF THE HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11B	THE YVMH AUDIT AND COMPLIANCE COMMITTEE ("ACC"), A COMMITTEE COMPOSED OF INDEPENDENT COMMUNITY MEMBERS HAS BEEN DELEGATED RESPONSIBILITY FOR OVERSIGHT OF THE ANNUAL FORM 990 PREPARATION PROCESS INCLUDING 1) SELECTION, ENGAGEMENT, AND PERFORMANCE OF AN INDEPENDENT TAX PREPARER; 2) REVIEW OF THE ANNUAL DRAFT FORM 990 AND 990-T TAX RETURNS, AND 3) RECOMMENDING THE FINAL FORM 990 AND 990-T TAX RETURNS FOR REVIEW TO THE MEMORIAL BOARD OF DIRECTORS. ANNUALLY, AT THE NOVEMBER MEETING, MANAGEMENT AND THE TAX PREPARER PROVIDES THE ACC WITH AN INITIAL DRAFT OF THE FORM 990 AND PRESENT AN OVERVIEW OF THE FORM 990 PREPARATION PROCESS. THE FINAL DRAFT FORM 990 IS REVIEWED BY THE ACC FOLLOWED BY A BOARD REVIEW OF THE FINAL FORM 990 PRIOR TO FILING. THE FINAL FORM 990 AND 990-T TAX RETURNS ARE PROVIDED TO EACH MEMBER OF THE MEMORIAL BOARD OF DIRECTORS VIA ELECTRONIC DELIVERY.
FORM 990, PART VI, SECTION B, LINE 12C	THE YVMH GOVERNANCE COMMITTEE HAS ACCOUNTABILITY FOR OVERSIGHT OF THE PROCESS FOR DISCLOSURE, EVALUATION AND MANAGEMENT OF CONFLICTS OF INTEREST INVOLVING ANY MEMBER OF THE BOARD, EXECUTIVE LEADERSHIP OR KEY EMPLOYEES ("COVERED PERSON"). PURSUANT TO THE CONFLICTS OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO ALL COVERED PERSONS. IN ADDITION, A COVERED PERSON HAS AN ON-GOING DUTY TO DISCLOSE THE EXISTENCE OF A CONFLICT OF INTEREST AT ANY TIME AN ACTUAL OR POTENTIAL CONFLICT ARISES. EACH COVERED PERSON IS REQUIRED UPON APPOINTMENT AND ANNUALLY THEREAFTER TO ATTEST TO A STATEMENT THAT AFFIRMS THAT SUCH PERSON HAS 1) RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) HAS AGREED TO COMPLY WITH THE POLICY; AND 4) UNDERSTANDS THAT MEMORIAL IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ITS TAX-EXEMPT PURPOSES. WRITTEN DISCLOSURES ARE REVIEWED BY THE GOVERNANCE COMMITTEE TO DETERMINE IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS AND IF SO, HOW IT SHOULD BE MANAGED. THE COVERED PERSON IS INFORMED IN WRITING REGARDING THE DETERMINATION (THE "CONFLICT OF INTEREST MANAGEMENT PLAN"). NO COVERED PERSON WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL ENGAGE IN AN ACTIVITY ON MEMORIAL'S BEHALF RELATED TO THE DISCLOSED ACTUAL OR POTENTIAL CONFLICT OF INTEREST UNLESS SUCH ACTIVITY IS PERMITTED BY THE CONFLICT OF INTEREST MANAGEMENT PLAN OR UNTIL THE COVERED PERSON HAS UNDERTAKEN ALL STEPS SET FORTH IN THE MANAGEMENT PLAN TO MANAGE, REDUCE OR ELIMINATE THE CONFLICT. ALL COVERED PERSONS HAVE A DUTY TO DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO MEETING AGENDA ITEMS. THE CONFLICTS OF INTEREST POLICY REQUIRES THAT COPIES OF THE CONFLICT OF INTEREST QUESTIONNAIRE BE COMPLETED ANNUALLY BY EACH COVERED PERSON AND ANY CONFLICT OF INTEREST MANAGEMENT PLAN BE MAINTAINED. IN ADDITION, THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL DOCUMENT THE DISCLOSURE AND RESOLUTION OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST DISCLOSED AT SUCH MEETING.
FORM 990, PART VI, SECTION B, LINE 15	THE YAKIMA VALLEY MEMORIAL HOSPITAL (MEMORIAL) EXECUTIVE COMMITTEE, A COMMITTEE COMPOSED SOLELY OF INDEPENDENT DIRECTORS NONE OF WHOM HAVE A CONFLICT OF INTEREST, IS ACCOUNTABLE FOR SETTING REASONABLE TOTAL COMPENSATION PACKAGES FOR EACH MEMORIAL EXECUTIVE, INCLUDING THE CEO, OFFICERS AND KEY EMPLOYEES ("EXECUTIVES") CONSISTENT WITH MEMORIAL'S PHILOSOPHY AND PRINCIPLES. THE COMMITTEE DEVELOPS AND APPROVES ANNUAL GOALS AND PERFORMANCE CRITERIA WHICH ARE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION OPPORTUNITIES FOR THE MEMORIAL EXECUTIVES. THE COMMITTEE ASSESSES PERFORMANCE AGAINST THESE GOALS. THE COMMITTEE SELECTS AND ENGAGES A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO REVIEW AND ANALYZE THE TOTAL COMPENSATION AND BENEFITS PACKAGES TO THE EXECUTIVES. THE COMMITTEE AS PART OF ITS ANALYSIS OBTAINS FROM THE COMPENSATION CONSULTANT APPROPRIATE COMPARABILITY DATA INCLUDING TOTAL COMPENSATION PAID BY SIMILARLY SITUATED NON-PROFIT HEALTH CARE ORGANIZATIONS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE TO EACH OF THE EXECUTIVE POSITIONS. WITH RESPECT TO THOSE EXECUTIVES BELOW THE LEVEL OF CHIEF EXECUTIVE OFFICER, THE COMMITTEE REQUESTS THAT THE CHIEF EXECUTIVE OFFICER WORK WITH THE COMPENSATION CONSULTANT TO FORMULATE A COMPENSATION RECOMMENDATION FOR EACH SUCH EXECUTIVE, CONSISTENT WITH MEMORIAL'S COMPENSATION PHILOSOPHY AND PRINCIPLES. CONSISTENT WITH MEMORIAL'S COMPENSATION PHILOSOPHY AND PRINCIPLES, THE COMMITTEE APPROVES TOTAL COMPENSATION PACKAGES FOR EACH OF THE EXECUTIVES BASED ON INFORMATION PRESENTED TO THE COMMITTEE, REASONABLENESS AND THE BEST INTERESTS OF MEMORIAL. THE COMMITTEE'S DECISIONS REGARDING COMPENSATION FOR EACH EXECUTIVE ARE DOCUMENTED IN WRITTEN RESOLUTIONS AND MINUTES OF THE COMMITTEE. THE COMMITTEE PROMPTLY REPORTS ITS ACTION TO THE BOARD WHOSE REPORTS ARE REFLECTED IN THE BOARD'S MINUTES. THE COMMITTEE SHARES AND THE BOARD REVIEWS AND APPROVES COMPENSATION FOR MEMORIAL'S CEO. THE EXECUTIVES THAT WERE REVIEWED IN 2023 WERE: CHIEF EXECUTIVE OFFICER AND VICE PRESIDENTS, CHIEF INFORMATION OFFICER, CHIEF NURSING/OPERATIONS OFFICER, CHIEF MEDICAL OFFICER, PHYSICIAN EXECUTIVE MEDICAL GROUP, SPECIALTY SERVICES, COMPLIANCE OFFICER, FOUNDATION, AND MEDICAL GROUP OPERATIONS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S ARTICLES, BYLAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 43,605,505. MANAGEMENT AND GENERAL EXPENSES 6,973,907. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,579,412. AGENCY: PROGRAM SERVICE EXPENSES 6,789,053. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,789,053. OUTSIDE PURCHASED SERVICE: PROGRAM SERVICE EXPENSES 9,073,739. MANAGEMENT AND GENERAL EXPENSES 5,569,096. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,642,835.
FORM 990, PART XI, LINE 9:	RELATED PARTY TRANSACTIONS 67,298,836.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MEMORIAL PHYSICIANS
3800 SUMMITVIEW	YAKIMA	WA	98902	264379419	MEDICAL SERVICES	WA	$0	$0	YVMHA
CENTRAL WASHINGTON HEALTHCARE PARTNERS
3800 SUMMITVIEW	YAKIMA	WA	98902	453483343	ACCOUNTABLE CARE ORGANIZATION	WA	$1,153,139	$94,530	YVMHA
YAKIMA UROLOGY AT MEMORIAL TRUST
2811 TIETON DRIVE	YAKIMA	WA	98902	476620487	MEDICAL SERVICES	WA	$14,528,687	$117,250	YVMHA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
GARDEN VILLAGE
206 S 10TH AVENUE	YAKIMA	WA	98902	912090034	SKILLED NURSING	WA	501(C)(3)	LINE 10	N/A	0
CHILDREN'S VILLAGE
3801 KERN ROAD	YAKIMA	WA	98902	352654720	SUPPORTING ORGANIZATION	WA	501(C)(3)	LINE 12A, I	N/A	0
MULTICARE HEALTH SYSTEM
315 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	911352172	HOSPITAL	WA	501(C)(3)	LINE 3	N/A	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd