2024-11-14T16:26:36-06:00 2023-12-31 910189318 MOSS ADAMS LLP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2023-01-01 910567263 YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION YAKI 5095758000 2811 TIETON DRIVE YAKIMA WA 989023799 MAX OWENS CFO 5095758000 2024-11-14 1 1 WENDY CAMPOS P00448102 4252597227 2024-11-14 2023 2024-10-15 13:58:12Z MULTICARE YAKIMA MEMORIAL HOSPITAL TAMMY BUYOK 2811 TIETON DRIVE YAKIMA WA 989023799 554272497 0 X WWW.YAKIMAMEMORIAL.ORG X 1950 WA 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. 9 9 3267 105 29768 0 17346123 11665703 503961964 537154263 4083232 1403213 3084103 3109577 528475422 553332756 1274734 1761404 0 0 290729460 289802819 0 0 0 263801103 280691968 555805297 572256191 -27329875 -18923435 377446728 462075289 161461745 192498036 215984983 269577253 X 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) 0 0 298322551 371590420 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. 121868260 162956217 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. 6296483 1761404 2300833 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. 9336849 277025 9336849 277025 435824143 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 1 1 0 0 0 0 1 1 0 0 0 1 188 0 1 3267 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MAX OWENS 5092485000 2811 TIETON DRIVE YAKIMA WA 989023799 DAVID HARGREAVES CHAIRMAN 2.00 X X 0 0 0 GAIL WEAVER VICE CHAIRMAN 2.00 X X 0 0 0 CYNTHIA JUAREZ SECRETARY/TREASURER 2.00 X X 0 0 0 DUANE ROSSMAN TREASURER (THRU 07/23) 2.00 X X 0 0 0 KERRY HARTHCOCK MD DIRECTOR (THRU 02/23) 2.00 X 0 0 0 DOUG ELLISON DIRECTOR 2.00 X 0 0 0 MARIBEL JIMENEZ DIRECTOR 2.00 X 0 0 0 STEPHEN RUPP MD DIRECTOR 2.00 X 0 0 0 PAT OSHIE DIRECTOR 2.00 X 0 0 0 MIRNA RAMOS-DIAZ MD DIRECTOR 2.00 X 0 0 0 ROBERT WILLIAMS MD DIRECTOR 2.00 X 0 0 0 CAROLE PEET PRESIDENT/CEO (THRU 01/23) 40.00 X 758542 0 2431 TAMMY BUYOK MCHS PRESIDENT/CEO 40.00 X 0 512528 42206 SUSAN SAUDER VP/CFO/CIO (THRU 01/23) 40.00 X 342586 0 632 SCOTT JONES MCHS COO 40.00 X 0 105360 7178 WILLIAM BRUEGGEMANN VP/CMO (THRU 04/23) 40.00 X 715308 0 17934 SHAWNETTE HAAS VP/SPECIALTY SERVICES (THRU 08/23) 40.00 X 514444 0 21047 LORI GREEN VP/CNO (THRU 01/23) 40.00 X 468079 0 1289 MOHAN ASHOK KUMAR PHYSICIAN 40.00 X 1240102 0 26275 MARK RICHARDS PHYSICIAN 40.00 X 884332 0 30347 LUCAS FAYEZ BAZI PHYSICIAN 40.00 X 819691 0 40043 SAURABH RANJAN PHYSICIAN 40.00 X 828959 0 28266 KIMBERLY BERSING VP/CNO 40.00 X 328242 0 35533 THOMAS MCDONAGH FORMER OFFICER 0.00 X 149827 0 0 7050112 617888 253181 639 1 1 0 EMERGENCY ASSOCIATES OF YAKIMA 2811 TIETON DRIVE YAKIMA WA 98902 MEDICAL AND HEALTHCARE 13370026 YAKIMA UROLOGY ASSOCIATES PLLC 2500 RACQUET LANE YAKIMA WA 98902 MEDICAL AND HEALTHCARE 7347379 ORTHOPEDICS NORTHWEST 111 S 11TH AVENUE YAKIMA WA 98902 MEDICAL AND HEALTHCARE 4985778 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA STREET OMAHA NE 68154 AGENCY STAFFING 4670495 ALLIED UNIVERSAL SECURITY SERVICES PO BOX 31001-2374 PASADENA CA 911102374 SECURITY STAFFING 2596862 91 9379809 2285894 11665703 NET PATIENT REVENUE 621400 535370736 535370736 MEMORIAL PHYSICIANS/SIGNAL HEALTH 621110 1153139 1153139 EXPENSE REIMBURSEMENT 900099 600620 600620 LAB SERVICE 621500 29768 29768 537154263 662460 662460 376847 939741 -562894 -562894 -562894 737074 3679 0 0 737074 3679 740753 740753 CAFETERIA 900099 2269848 2269848 CHILD CARE 624410 1162576 1162576 OTHER INCOME 900099 240047 240047 3672471 553332756 537124495 29768 4512790 X 1761404 1761404 3509564 2632173 877391 457497 343123 114374 232305151 195551968 36753183 12451957 10481923 1970034 23982024 20187809 3794215 17096626 14391755 2704871 9145654 7128 9138526 338399 338399 70211 70211 179701 179701 72011300 59468297 12543003 57320 97 57223 12457389 7904454 4552935 22462707 4589525 17873182 13568393 8094562 5473831 408891 312358 96533 3049003 6558 3042445 21867712 1703387 20164325 3056259 1776984 1279275 DRUGS 50881364 50779112 102252 MEDICAL SUPPLIES 45454913 45454913 BAD DEBT EXPENSE 9299679 9299679 DIETARY SUPPLIES 2425481 513635 1911846 13957592 563299 13394293 572256191 435824143 136432048 0 73916552 79514024 528166 0 69895325 71075453 1769451 16861866 9089298 9412250 6200259 3782600 268207071 26760427 185669372 241446644 3778705 922336 3526775 2646898 196916 7439467 22875909 28973751 377446728 462075289 69112167 113247649 7037789 6059743 33624162 0 149218 138214 20000000 0 12000000 0 19538409 73052430 161461745 192498036 X 212278812 265621767 3706171 3955486 215984983 269577253 377446728 462075289 X -18923435 4237413 979456 67298836 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 70211 70211 0 PART II-B, LINE 1: 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. 0 1 X 17504411 17504411 139007105 7948221 131058884 7378092 4298206 3079886 81976433 13326035 68650398 22341030 1187965 21153065 241446644 RIGHT OF USE ASSET 24463143 OTHER INVESTMENTS - 457B PLAN 4510608 28973751 LEASE LIABILITIES 7118787 DUE TO AFFILIATES 65933643 73052430 X 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. 1 1 X 1 X 300.000000000000 1 X 500.000000000000 1 1 1 0 0 21093114 21093114 0.03750 144855542 84395442 60460100 0.10740 165948656 84395442 81553214 0.14490 6 16777 2161778 514066 1647712 0.00290 5 562 5022805 1348479 3674326 0.00650 2 15284 14259232 10970931 3288301 0.00580 2 347116 347116 0.00060 15 32623 21790931 12833476 8957455 0.01580 15 32623 187739587 97228918 90510669 0.16070 1 112579 112579 0.00020 1 112579 112579 0.00020 1 9299679 0 107924237 180211807 -72287570 X 1 1 1 1 YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION 2811 TIETON DRIVE YAKIMA WA 98902 WWW.MULTICARE.ORG/LOCATION/YAKIMA-MEMO HAC.FS.00000058 X X X X YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIAT 1 0 1 1 X X X X X X X X X X 22 1 0 0 1 X SEE PART V X X 1 22 1 SEE PART V 0 1 X 300.000000000000 500.000000000000 X X X X 1 1 X X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 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/ 22 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 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 1 THE MEMORIAL FOUNDATION 3111 TIETON DRIVE YAKIMA WA 989023628 911022358 501(C)(3) 1611404 0 GENERAL SUPPORT YAKIMA UNION GOSPEL MISSION 1300 N FIRST STREET YAKIMA WA 98901 237050061 501(C)(3) 125000 0 MEDICAL CLINIC SUPPORT ROTARY OF YAKIMA CHARITIES 1704 W NOB HILL BOULEVARD YAKIMA WA 98902 911149272 501(C)(3) 25000 0 GENERAL SUPPORT 3 0 PART I, LINE 2: 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. X X X X X 1 1 0 0 0 0 0 1 0 MOHAN ASHOK KUMAR PHYSICIAN 402555 0 766785 0 70762 0 18144 0 8131 0 1266377 0 0 0 MARK RICHARDS PHYSICIAN 727706 0 155876 0 750 0 16500 0 13847 0 914679 0 0 0 LUCAS FAYEZ BAZI PHYSICIAN 663879 0 155062 0 750 0 19668 0 20375 0 859734 0 0 0 SAURABH RANJAN PHYSICIAN 664202 0 164007 0 750 0 18662 0 9604 0 857225 0 0 0 CAROLE PEET PRESIDENT/CEO (THRU 01/23) 34686 0 0 0 723856 0 1956 0 475 0 760973 0 218705 0 WILLIAM BRUEGGEMANN VP/CMO (THRU 04/23) 155308 0 0 0 560000 0 10840 0 7094 0 733242 0 0 0 TAMMY BUYOK MCHS PRESIDENT/CEO 0 429706 0 30000 0 52822 0 19800 0 22406 0 554734 0 0 SHAWNETTE HAAS VP/SPECIALTY SERVICES (THRU 08/23) 190343 0 0 0 324101 0 13086 0 7961 0 535491 0 0 0 LORI GREEN VP/CNO (THRU 01/23) 22113 0 0 0 445966 0 1289 0 0 0 469368 0 84871 0 KIMBERLY BERSING VP/CNO 247625 0 15000 0 65617 0 21101 0 14432 0 363775 0 0 0 SUSAN SAUDER VP/CFO/CIO (THRU 01/23) 12300 0 0 0 330286 0 615 0 17 0 343218 0 0 0 THOMAS MCDONAGH FORMER OFFICER 0 0 0 0 149827 0 0 0 0 0 149827 0 0 0 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. JUAN JIMENEZ FAMILY MEMBER OF MARIBEL JIMENEZ, DIRECTOR 104310 EMPLOYMENT 0 JORGE GARCIA FAMILY MEMBER OF CYNTHIA JUAREZ, DIRECTOR 106209 EMPLOYMENT 0 BREAN MILLS GARCIA FAMILY MEMBER OF CYNTHIA JUAREZ, DIRECTOR 97151 EMPLOYMENT 0 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. 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 1153139 94530 YVMHA YAKIMA UROLOGY AT MEMORIAL TRUST 2811 TIETON DRIVE YAKIMA WA 98902 476620487 MEDICAL SERVICES WA 14528687 117250 YVMHA 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 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0