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YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION (EIN 91-0567263)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202203199349320970
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T15:14:01-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12707 COLBY AVENUE SUITE 801AddressLine1Txt
CityEVERETTCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910567263EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1YAKIMA VALLEY MEMORIAL HOSPITALBusinessNameLine1Txt
Business Name Line2ASSOCIATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlYAKIBusinessNameControlTxt
Phone5095758000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 TIETON DRIVEAddressLine1Txt
CityYAKIMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP989023799ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSAN SAUDERPersonNm
Person TitleVP/CFOPersonTitleTxt
Phone5095758000PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSUSANPersonFirstNm
Person LastSAUDERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCOLLEEN RAMIRESPreparerPersonNm
PTINP01251320PTIN
Phone4252597227PhoneNum
Preparation2022-11-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCAROLE E PEETPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 TIETON DRIVEAddressLine1Txt
CityYAKIMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP989023799ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$578,496,004GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.YAKIMAMEMORIAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1950FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionYAKIMA VALLEY MEMORIAL HOSPITAL IS A 226-BED-ACUTE-CARE, NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT HAS SERVED CENTRAL WASHINGTON'S YAKIMA VALLEY FOR NEARLY 70 YEARS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee3600TotalEmployeeCnt
Total Volunteers141TotalVolunteersCnt
Total Gross UBI$31,115TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$53,793,088PYContributionsGrantsAmt
CY Contributions Grants$21,432,448CYContributionsGrantsAmt
PY Program Service Revenue$466,397,010PYProgramServiceRevenueAmt
CY Program Service Revenue$530,124,263CYProgramServiceRevenueAmt
PY Investment Income$3,667,359PYInvestmentIncomeAmt
CY Investment Income$2,845,724CYInvestmentIncomeAmt
PY Other Revenue$3,997,024PYOtherRevenueAmt
CY Other Revenue$4,306,424CYOtherRevenueAmt
PY Total Revenue$527,854,481PYTotalRevenueAmt
CY Total Revenue$558,708,859CYTotalRevenueAmt
PY Grants And Similar Paid$1,172,361PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$911,324CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$252,041,978PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$277,499,767CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$257,589,323PYOtherExpensesAmt
CY Other Expenses$270,016,439CYOtherExpensesAmt
PY Total Expenses$510,803,662PYTotalExpensesAmt
CY Total Expenses$548,427,530CYTotalExpensesAmt
PY Revenues Less Expenses$17,050,819PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,281,329CYRevenuesLessExpensesAmt
Total Assets BOY$446,456,465TotalAssetsBOYAmt
Total Assets EOY$428,213,458TotalAssetsEOYAmt
Total Liabilities BOY$219,303,933TotalLiabilitiesBOYAmt
Total Liabilities EOY$175,000,124TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$227,152,532NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$253,213,334NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionYAKIMA VALLEY MEMORIAL HOSPITAL (YVMH) IS A 226-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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$301,374,421ExpenseAmt
Revenue$433,457,367RevenueAmt
DescOUTPATIENT SERVICES. DURING 2021, YAKIMA VALLEY MEMORIAL HOSPITAL (YVMH) PERFORMED 339,845 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 2021, YVMH PROVIDED CHARITY CARE FOR 33,237 OUTPATIENT VISITS, TOTALING $26,344,071. (CONTINUED ON SCHEDULE O.)YVMH'S ONCOLOGY PROGRAMS DELIVERED CHARITY CARE SERVICES 2,222 TIMES IN 2021. 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 836 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 792 ENCOUNTERS WITH 'OHANA PROVIDERS IN 2021. YVMH PROVIDED 1,528 PATIENT ENCOUNTERS WITH CHARITY CARE IN OUTPATIENT SURGERY IN 2021. 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 2021, 178 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 83,559 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 FORPATIENTS' EMERGENT NEEDS; AND, ALL PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT ARE EXAMINED BY A TRAINED PROVIDER. YVMH'S EMERGENCY DEPARTMENT EXPERIENCED 7,365 PATIENT ENCOUNTERS WITH CHARITY CARE RECIPIENTS IN 2021, FOR A TOTAL OF $11,865,731. YAKIMA VALLEY MEMORIAL SERVED 20,316 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

FieldValueIRS element (for citing)
Expense$114,210,477ExpenseAmt
Revenue$96,517,924RevenueAmt
DescINPATIENT SERVICES. YAKIMA VALLEY MEMORIAL HOSPITAL (YVMH) HOSPITAL ADMITTED 803 PATIENTS THAT QUALIFIED FOR CHARITY CARE, FOR A TOTAL OF 3,642 PATIENT DAYS. THESE INPATIENT CHARITY CARE ENCOUNTERS AMOUNTED TO $2,961,880. 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 2021, 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

FieldValueIRS element (for citing)
Expense$14,532,905ExpenseAmt
Grant$911,324GrantAmt
Revenue$117,207RevenueAmt
DescSUPPORTING 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 (25 RESIDENTS), A PRE-SURGERY CLINIC, NURSING FLOAT POOL, BUSINESS DEVELOPMENT, AND INFORMATION TECHNOLOGY AND SYSTEMS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$6,039,958ExpenseAmt
Revenue$650RevenueAmt
DescYAKIMA VALLEY MEMORIAL PROVIDES COMMUNITY HEALTH EDUCATION, SUPPORT, AND SERVICES TO RESIDENTS OF YAKIMA COUNTY. THESE PROGRAMS ALIGN WITH INITIATIVES AND DISPARITIES OUTLINED WITHIN OUR PUBLISHED COMMUNITY HEALTH NEEDS ASSESSMENT. COMMUNITY HEALTH PROGRAMS SERVED 7,391 RESIDENTS IN 2021 AND EQUATED TO $528,760 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 81 FAMILIES. DIABETES PREVENTION AND DIABETES WELLNESS PROGRAMS WERE ALSO OFFERED TO 96 COMMUNITY MEMBERS DURING THE YEAR. IN ADDITION TO CAMPAIGNS TARGETING OBESITY AND DIABETES, YVMH CREATED ACCESS TO FREE ZUMBA AND YOGA CLASSES FOR 6,084 ADULTS AND CHILDREN AS PART OF AN ANNUAL "HEALTHY FOR LIFE" CAMPAIGN. IN ADDITION TO SUPPORTING COMMUNITY HEALTH INITIATIVES, YVMH ALSO SUPPORTS COMMUNITY INVESTMENT/BUILDING ACTIVITIES BY MAKING SEVERAL CONTRIBUTIONS TO NOT-FOR-PROFIT CAUSES THROUGHOUT YAKIMA COUNTY THAT ALIGN WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENT EQUALING TO $843,075 IN DONATIONS. YAKIMA UNION GOSPEL MISSION MEDICAL CLINIC WAS THE RECIPIENT OF $100,000 FOR CLINIC SUPPORT. THE MISSION SERVES OVER 12,000 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 COUNTY DEVELOPMENT ASSOCIATION/NEW VISION RECEIVED $30,000 FOR COMMUNITY DEVELOPMENT INITIATIVES. THE YAKIMA FAMILY YMCA WAS IN THE PROCESS OF CONSTRUCTING A NEW AQUATIC FACILITY THAT WILL HELP AT-RISK KIDS AND YAKIMA VALLEY MEMORIAL WAS ABLE TO CONTRIBUTE $125,000 TOWARD CONSTRUCTION AND THE DEVELOPMENT OF REHABILITATION SERVICES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$6,039,958TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$650TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$436,157,761TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document238IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3600EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUSAN SAUDER VPCFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5095758000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 TIETON DRIVEAddressLine1Txt
CityYAKIMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP989023799ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID HARGREAVES
DIRECTOR/CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
BUFFY ALEGRIA
DIRECTOR/VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
RICH MARTINEZ
DIRECTOR/TREASURER2.00Yes (X)Yes (X)$0$0$0
SONIA RODRIGUEZ TRUE
DIRECTOR/SECRETARY2.00Yes (X)Yes (X)$0$0$0
BRUCE HEISER
DIRECTOR2.00Yes (X)$0$0$0
MARIBEL JIMENEZ
DIRECTOR2.00Yes (X)$0$0$0
STEVE RUPP MD
DIRECTOR2.00Yes (X)$0$0$0
GAIL WEAVER
DIRECTOR2.00Yes (X)$0$0$0
JIM YOUNG
DIRECTOR2.00Yes (X)$0$0$0
KERRY HARTHCOCK MD
DIRECTOR2.00Yes (X)$0$0$0
CYNTHIA JUAREZ
DIRECTOR2.00Yes (X)$0$0$0
CAROLE PEET
PRESIDENT/CEO40.00Yes (X)$653,525$0$26,598
TIMOTHY REED
VICE PRESIDENT/CFO (THRU 7/21)40.00Yes (X)$628,651$0$35,814
THOMAS MCDONAGH
VICE PRESIDENT/CFO40.00Yes (X)$243,979$0$14,313
SUSAN SAUDER
VICE PRESIDENT/CCO40.00$245,267$0$24,722Yes (X)
WILLIAM M BRUEGGERMAN
VICE PRESIDENT/CMO40.00$577,519$0$46,097Yes (X)
SHAWNIE HAAS
VICE PRESIDENT/SPECIALTY SERVICES40.00$311,174$0$42,903Yes (X)
LORI GREEN
VICE PRESIDENT/CNO/COO40.00$345,383$0$19,193Yes (X)
MOHAN ASHOK KUMAR MD
PHYSICIAN40.00$929,937$0$13,246Yes (X)
SIVA MANNEM MD
PHYSICIAN40.00$653,247$0$45,348Yes (X)
CHATT JOHNSON MD
PHYSICIAN40.00$617,361$0$11,635Yes (X)
ADARSH BHARDWAJ MD
PHYSICIAN40.00$604,324$0$10,771Yes (X)
MATT G SILVA MD
PHYSICIAN40.00$578,197$0$46,101Yes (X)
SCOTT LANCASTER
FORMER KEY EMPLOYEE40.00$398,615$0$45,213Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,787,179TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$381,954TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K570IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EMERGENCY ASSOCIATES OF YAKIMA
2811 TIETON DRIVEYAKIMAWA98902MEDICAL AND HEALTHCARE$19,021,287
VK POWELL
PO BOX 10295YAKIMAWA98909CONSTRUCTION$7,831,861
COMMUNITY HEALTH OF CENTRAL WASHINGTON
501 S 5TH AVENUEYAKIMAWA98902MEDICAL AND HEALTHCARE$7,102,833
FOCUSONE SOLUTIONS LLC
PO BOX 850861MINNEAPOLISMN554850861AGENCY STAFFING$5,992,206
COMPHEALTH ASSOCIATES INC
PO BOX 97265DALLASTX753972625LOCUMS$3,740,224
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K112CntrctRcvdGreaterThan100KCnt
Government Grants$18,859,933GovernmentGrantsAmt
All Other Contributions$2,572,515AllOtherContributionsAmt
Noncash Contributions$230,415NoncashContributionsAmt
Total Contributions$21,432,448TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE621400$526,412,260$526,412,260
MEMORIAL PHYSICIANS/SIGNAL HEALTH621110$2,501,329$2,501,329
EXPENSE REIMBURSEMENT900099$1,179,559$1,179,559
LAB SERVICE621500$31,115$31,115
FieldValueIRS element (for citing)
Total Program Service Revenue$530,124,263TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,275,737TotalRevenueColumnAmt
Exclusion$1,275,737ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$736,599RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$831,137RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$94,538RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$94,538TotalRevenueColumnAmt
Exclusion-$94,538ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$20,509,395SecuritiesAmt
Other$16,600OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$18,953,993SecuritiesAmt
Other$2,015OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,555,402SecuritiesAmt
Other$14,585OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,569,987TotalRevenueColumnAmt
Exclusion$1,569,987ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA900099$1,565,351$1,565,351
CHILD CARE624410$1,018,409$1,018,409
GIFT SHOP453220$12,721$12,721

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,804,481TotalRevenueColumnAmt
Exclusion$1,804,481ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,400,962OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$558,708,859TotalRevenueColumnAmt
Related Or Exempt Func Income$530,093,148RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$31,115UnrelatedBusinessRevenueAmt
Exclusion$7,152,148ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$911,324TotalAmt
Program Services$911,324ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,215,140TotalAmt
Program Services$2,411,355ProgramServicesAmt
Management And General$803,785ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$443,828TotalAmt
Program Services$332,871ProgramServicesAmt
Management And General$110,957ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$229,398,478TotalAmt
Program Services$194,285,045ProgramServicesAmt
Management And General$35,113,433ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,017,780TotalAmt
Program Services$10,167,423ProgramServicesAmt
Management And General$1,850,357ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,950,640TotalAmt
Program Services$13,520,256ProgramServicesAmt
Management And General$2,430,384ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,473,901TotalAmt
Program Services$13,937,442ProgramServicesAmt
Management And General$2,536,459ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,951,530TotalAmt
Program Services$18,500ProgramServicesAmt
Management And General$2,933,030ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$300,100TotalAmt
Management And General$300,100ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$106,716TotalAmt
Management And General$106,716ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$308,308TotalAmt
Management And General$308,308ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$81,362,238TotalAmt
Program Services$68,359,272ProgramServicesAmt
Management And General$13,002,966ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$53,791TotalAmt
Program Services$20,837ProgramServicesAmt
Management And General$32,954ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,078,706TotalAmt
Program Services$10,891,928ProgramServicesAmt
Management And General$4,186,778ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$22,198,072TotalAmt
Program Services$13,777,943ProgramServicesAmt
Management And General$8,420,129ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,180,091TotalAmt
Program Services$7,833,253ProgramServicesAmt
Management And General$4,346,838ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$99,902TotalAmt
Program Services$53,884ProgramServicesAmt
Management And General$46,018ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,552,995TotalAmt
Management And General$1,552,995ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,996,488TotalAmt
Program Services$1,785,297ProgramServicesAmt
Management And General$18,211,191ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,912,189TotalAmt
Program Services$1,812,729ProgramServicesAmt
Management And General$2,099,460ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS$45,385,210$45,349,922$35,288
MEDICAL SUPPLIES$44,223,489$43,788,733$434,756
BAD DEBT EXPENSE$5,773,184$5,773,184
DIETARY SUPPLIES$1,995,115$540,553$1,454,562

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,538,315TotalAmt
Program Services$586,010ProgramServicesAmt
Management And General$11,952,305ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$548,427,530TotalAmt
Program Services$436,157,761ProgramServicesAmt
Management And General$112,269,769ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$63,565,867BOYAmt
EOY$70,872,775EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$40,208,709BOYAmt
EOY$37,994,060EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$56,248,610BOYAmt
EOY$71,095,472EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,747,830BOYAmt
EOY$3,020,595EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,848,980BOYAmt
EOY$9,760,381EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,601,016BOYAmt
EOY$5,292,451EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$316,086,455LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$119,591,920LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$194,756,310BOYAmt
EOY$196,494,535EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$43,521,064BOYAmt
EOY$4,018,630EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,123,684BOYAmt
EOY$4,252,439EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,009,266BOYAmt
EOY$603,091EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$27,825,129BOYAmt
EOY$24,809,029EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$446,456,465BOYAmt
EOY$428,213,458EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$99,018,698BOYAmt
EOY$78,158,853EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$55,900,387BOYAmt
EOY$41,935,650EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,898,292BOYAmt
EOY$33,813,084EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$168,028EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$6,000,000BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,486,556BOYAmt
EOY$20,924,509EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$219,303,933BOYAmt
EOY$175,000,124EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$223,756,780BOYAmt
EOY$249,693,038EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,395,752BOYAmt
EOY$3,520,296EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$227,152,532BOYAmt
EOY$253,213,334EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$446,456,465BOYAmt
EOY$428,213,458EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,281,329ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,151,826NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$13,627,647OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$106,716OtherActivitiesAmt
Total Lobbying Expenditures$106,716TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationYAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION PAYS MEMBERSHIP DUES TO WASHINGTON STATE HOSPITAL ASSOCIATION AND AMERICAN HEALTHCARE ASSOCIATION, PORTIONS OF WHICH WERE USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES. YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION ALSO PAYS MEMBERSHIP DUES TO OTHER PROFESSIONAL HEALTH CARE ORGANIZATIONS, A PORTION OF WHICH MAY BE USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,785,769OtherCostOrOtherBasisAmt
Book Value$14,785,769BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,622,579OtherCostOrOtherBasisAmt
Depreciation$23,554,635DepreciationAmt
Book Value$76,067,944BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,785,018OtherCostOrOtherBasisAmt
Depreciation$3,193,197DepreciationAmt
Book Value$3,591,821BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$174,495,183OtherCostOrOtherBasisAmt
Depreciation$91,088,582DepreciationAmt
Book Value$83,406,601BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,397,906OtherCostOrOtherBasisAmt
Depreciation$1,755,506DepreciationAmt
Book Value$18,642,400BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$196,494,535TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
RIGHT OF USE ASSET$20,265,595
OTHER INVESTMENTS - 457B PLAN$3,834,614
DUE FROM AFFILIATES$708,820
FieldValueIRS element (for citing)
Total Book Value Other Assets$24,809,029TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLEASE LIABILITIESDesc
Amt$20,924,509Amt
FieldValueIRS element (for citing)
Total Liability$20,924,509TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE MEDICAL STAFF FUND IS MAINTAINED ON BEHALF YVMH BUT IS NOT OWNED BY YVMH.
PART X, LINE 2:U.S. GAAP REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THE DEPARTMENT OF REVENUE IS CURRENTLY AUDITING SALES AND USE TAX FOR YEARS 2016 THRU 2018. THE ORGANIZATION'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2015.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,064,261TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,064,261NetCommunityBenefitExpnsAmt
Total Expense0.01490TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$133,265,167TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$93,006,731DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,258,436NetCommunityBenefitExpnsAmt
Total Expense0.07420TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$141,329,428TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$93,006,731DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,322,697NetCommunityBenefitExpnsAmt
Total Expense0.08910TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served7904PersonsServedCnt
Total Community Benefit Expns$2,226,015TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$821,065DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,404,950NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served308PersonsServedCnt
Total Community Benefit Expns$7,158,292TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$633,888DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,524,404NetCommunityBenefitExpnsAmt
Total Expense0.01200TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served9443PersonsServedCnt
Total Community Benefit Expns$12,590,730TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,849,169DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,741,561NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1525PersonsServedCnt
Total Community Benefit Expns$403,754TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$403,754NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$138,300TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$138,300NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served19180PersonsServedCnt
Total Community Benefit Expns$22,517,091TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,304,122DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,212,969NetCommunityBenefitExpnsAmt
Total Expense0.01880TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served19180PersonsServedCnt
Total Community Benefit Expns$163,846,519TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$105,310,853DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,535,666NetCommunityBenefitExpnsAmt
Total Expense0.10790TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$172,875TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$172,875NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$110,504TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$110,504NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served4PersonsServedCnt
Total Community Benefit Expns$37,004TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$37,004NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served4PersonsServedCnt
Total Community Benefit Expns$320,383TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$320,383NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$9,409,587BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$134,736,450ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$136,791,905CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,055,455MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility58FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 TIETON DRIVEAddressLine1Txt
CityYAKIMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP98902ZIPCd
FieldValueIRS element (for citing)
Website AddressYAKIMAMEMORIAL.ORGWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART VOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART VStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 3J: MEMORIAL'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS ADOPTED BY THE BOARD OF DIRECTORS ON OCTOBER 15, 2019. THE REPORT WAS MADE PUBLIC ON THE WEBSITE AND PRINTED COPIES MADE AVAILABLE AT THE HOSPITAL UPON REQUEST. THE AREAS OF ASSESSMENT IN THE 2019 REPORT ARE: DEMOGRAPHICS; SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH (INCLUDING - EDUCATION, HEALTH LITERACY, UNEMPLOYMENT, INCOME POVERTY, CHILDREN ELIGIBLE FOR FREE SCHOOL LUNCH, FOOD INSECURITY, HOUSING AFFORDABILITY, HOUSEHOLDS WITHOUT A CAR, DISABILITY STATUS, HOMELESSNESS, SAFETY, CRIME AND VIOLENCE); CLINICAL CARE (INCLUDING - ACCESS TO HEALTH SERVICES, UNINSURED POPULATION, COST BARRIERS TO CARE, CLINICAL PREVENTIVE SERVICES); HEALTH OUTCOMES (INCLUDING - CHRONIC DISEASE PROFILE, MORTALITY, QUALITY OF LIFE); LEADING HEALTH INDICATORS (INCLUDING - HEALTH BEHAVIORS, MATERNAL, INFANT AND CHILD HEALTH, REPRODUCTIVE SEXUAL HEALTH, MENTAL HEALTH, INJURY AND HOSPITALIZATION); PHYSICAL ENVIRONMENT (INCLUDING - AIR POLLUTION, ACCESS TO LOCATIONS FOR PHYSICAL ACTIVITY, TRANSPORTATION, SEVERE HOUSING PROBLEMS). ADDITIONAL ASSESSMENTS ARE CONDUCTED ON AN ONGOING BASIS TO TRACK NEEDS SUCH AS CDC COVID DATA TRACKER. DATA SOURCES USED ARE: INTERNAL, US CENSUS, BRFSS, HEALTH YOUTH SURVEY, DEPARTMENT OF HEALTH, CANCER REGISTRY AND MANY OTHER PUBLIC DATA SOURCES. DISPARITY GAPS WERE IDENTIFIED WHEN COMPARING THE STATE OF WASHINGTON TO YAKIMA COUNTY. FURTHERMORE, WHEN DATA WAS AVAILABLE, INDICATORS WERE STRATIFIED BY AGE, SEX AND RACE ETHNICITY IN ORDER TO IDENTIFY DISPARITIES IN HEALTH OUTCOMES. MEMORIAL'S ACTIONS AND PROGRESS IN ADDRESSING THE PRIORITY AREAS IDENTIFIED IN THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT (2016) ARE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IN THE 2017-2019 PRIORITY AREA UPDATE SECTION ON PAGE 87.
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 5: INPUT FOR DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS SOLICITED THROUGH AN ONLINE TOOL. THE INTERNAL ADVISORY COMMITTEE SELECTED THE TOP TEN AREAS OF GREATEST NEED AND THROUGH THE SURVEY COMMUNITY ORGANIZATIONS COULD PROVIDE INPUT ON THE CHNA. THE TEN AREAS OF GREATEST NEED WERE: ACCESS TO HEALTH CARE; HEALTH EQUITY; CHRONIC DISEASE PREVENTION & MANAGEMENT; MENTAL HEALTH; HEALTH BEHAVIORS-PHYSICAL INACTIVITY & NUTRITION; ADVERSE CHILDHOOD EXPERIENCE (ACES); SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH; SAFETY AND CRIME; HOMELESSNESS; AND SUBSTANCE ABUSE. THE SURVEY ASKED RESPONDENTS TO RANK EACH OF THE TEN PRIORITY AREAS IN ORDER OF IMPORTANCE TO BOTH THEM AS A COMMUNITY MEMBER, AS WELL AS TO THE ORGANIZATION THEY REPRESENT. WE DID NOT LIMIT RESPONSES BUT SENT OUT THE REQUEST TO TAKE THE SURVEY TO AS MANY PARTNERS IN THE COMMUNITY AS POSSIBLE AND ALSO ASKED THAT THEY FORWARD ON TO ANY OTHER PARTNERS THEY FELT SHOULD BE INVOLVED. WE ALLOWED THREE WEEKS FOR RESPONSES. FEEDBACK WAS RECEIVED FROM OVER 60 ORGANIZATIONS SPANNING DIFFERENT SECTORS INCLUDING: STATE, LOCAL AND TRIBAL HEALTH DEPARTMENTS; HEALTH CARE PROVIDERS, INCLUDING SPECIALTY SERVICES SUCH AS MENTAL HEALTH; COMMUNITY-BASED ORGANIZATIONS, COALITIONS, AND GROUPS REPRESENTING MEMBERS OF THE UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE COMMUNITY; CHURCHES AND FAITH-BASED ORGANIZATIONS; BUSINESSES; THE SCHOOL DISTRICT; COMMUNITY COLLEGES AND UNIVERSITIES; LOCAL GOVERNMENT; AND INDIVIDUAL HEALTH EXPERTS WITHIN THE COMMUNITY. A FULL LIST OF PARTNERS IS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND CAN BE FOUND ON MEMORIAL'S WEBSITE: WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP/. THE TOP THREE PRIORITY AREAS CHOSEN BY THE COMMUNITY WERE: ACCESS TO HEALTH CARE; HEALTH EQUITY; AND MENTAL HEALTH. MEMORIAL'S SENIOR LEADERSHIP REVIEWED THE FINAL FIVE PRIORITY AREAS RANKED BY THE COMMUNITY AND NARROWED DOWN THE FOCUS TO THE FINAL THREE: ACCESS TO HEALTH CARE; HEALTH EQUITY; AND MENTAL HEALTH, BASED ON ORGANIZATIONAL RESOURCES AND ABILITY TO ADDRESS THE AREA OF NEED.
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 7D: IN ADDITION TO BEING MADE PUBLICLY AVAILABLE ON THE WEBSITE, THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS SHARED WIDELY BY EMAIL AND MADE PUBLIC THROUGH COMMUNITY-BASED ORGANIZATIONS, COALITIONS AND GROUPS.
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 11: MEMORIAL HAS OUTLINED IN THE VIRGINIA MASON MEMORIAL IMPLEMENTATION PLAN 2020-2022 HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2019 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. THROUGH THE FOLLOWING FOUR-STAGE APPROACH WE WILL MAKE PROGRESS TOWARD IMPROVED HEALTH AND TRANSFORMING YAKIMA: PLAN - IDENTIFY PRIORITIES FOR SERVICES AND COMMUNITY HEALTH IMPROVEMENT PROCESSES; PARTNER - IDENTIFY THOSE WHO CAN WORK TOGETHER TO BEST MEET COMMUNITY NEEDS; DO - DESIGN PROGRAMS AND APPROACHES TO IMPROVE ACCESS TO HIGH QUALITY HEALTH CARE SERVICES; AND IMPROVE - IMPROVE THE HEALTH OUTCOMES OF YAKIMA COUNTY. AS A RESULT OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, HEALTH PRIORITIES WERE SELECTED AND USING OUR FOUR-STAGE APPROACH WE HAVE 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. THE VIRGINIA MASON MEMORIAL 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 VIRGINIA MASON MEMORIAL IMPLEMENTATION PLAN 2020-2022 WAS ADOPTED BY THE MEMORIAL BOARD OF DIRECTORS ON MAY 13, 2020. ALL THREE PRIORITIES IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ARE BEING ADDRESSED.MEMORIAL IDENTIFIED THREE PRIORITY AREAS IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THESE PRIORITY AREAS INCLUDE: ACCESS TO CARE; HEALTH EQUITY; AND MENTAL HEALTH. "ACCESS TO CARE": MEMORIAL FACILITATES THE EDUCATION OF PATIENTS, EMPLOYEES, AND COMMUNITY MEMBERS ON ACCESSING WASHINGTON STATE HEALTH BENEFITS EXCHANGE. WE ARE WORKING WITH PARTNERS AS PART OF THE GREATER COLUMBIA ACCOUNTABLE COMMUNITY OF HEALTH TO EXPLORE DEVELOPMENT OF A REGIONAL HEALTH IMPROVEMENT COLLABORATIVE AND STRATEGY. WE HAVE INSTITUTED A NUMBER OF INTERNAL INITIATIVES TO IMPROVE ACCESS FOR MEDICAID PATIENTS TO PRIMARY CARE AND SPECIALTY CLINICS, AS WELL AS REDUCE WAIT TIME. IN ADDITION, WE PROVIDE FINANCIAL SUPPORT AND PARTNER WITH UNION GOSPEL MISSION MEDICAL CARE CENTER FREE CLINIC, WHICH IS FOCUSED ON PROVIDING ACCESS TO PRIMARY CARE, LAB, IMAGING, AND SPECIALTY SERVICES FOR UNINSURED/UNDERINSURED POPULATION. WE PARTNER WITH, AND FINANCIALLY SUPPORT LOCAL COMMUNITY COLLEGES AND HEALTH PROFESSION EDUCATION PROGRAMS. MEMORIAL MENTORS AND TRAINS 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 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 HAS ESTABLISHED COMMUNITY EDUCATION AND PREVENTION PROGRAMS FOR THE TOP FOUR DISEASE STATES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THEY ARE: CARDIOVASCULAR DISEASE, CANCER, DIABETES AND OBESITY. THESE COMMUNITY EDUCATION AND PREVENTION CLASSES ARE ALL OFFERED IN BOTH SPANISH AND ENGLISH AND INCLUDE: DIABETES PREVENTION EDUCATION, ACT! GET UP, GET MOVING! CHILDHOOD OBESITY PROGRAM, COOKING, AND EXERCISE CLASSES. IN ADDITION, WE REALIZE THAT MANY UNINSURED AND UNDERINSURED POPULATIONS EXPERIENCE GREATER ACCESS ISSUES, AND WE HAVE DEVELOPED A STRATEGY FOCUSED ON CARE COORDINATION POST EMERGENCY DEPARTMENT VISITS. LASTLY, IN 2020 DUE TO COVID19, MEMORIAL PROVIDED ACCESS TO COVID TESTING AND VACCINES BY SETTING UP COMMUNITY CLINICS ACROSS THE COUNTY. "HEALTH EQUITY": MEMORIAL IS WORKING ON STRATEGIES TO IMPROVE THE COLLECTION OF DEMOGRAPHIC DATA (E.G. RACE, ETHNICITY AND PREFERRED LANGUAGE). WE DEVELOPED AN EQUITY TRAINING PATHWAY PLAN, WHICH INCLUDES CULTURAL HUMILITY TRAINING AND WORKING WITH SPECIAL POPULATION, IN ADDITION TO BOARD OF DIRECTOR AND EXECUTIVE LEADERSHIP RACIAL EQUITY TRAINING. WE HAVE TAKEN THE AMERICAN HOSPITAL ASSOCIATION'S HEALTH EQUITY PLEDGE WITH THE GOAL OF DISCOVERING AND PRIORITIZING MEANINGFUL DIFFERENCES IN CARE, OUTCOMES, AND EXPERIENCE ACROSS PATIENT GROUPS, AND DEVELOP STRATEGIES TO ELIMINATE HEALTH DISPARITIES. SYSTEMS LEVEL WORK INCLUDE: HAVING VIDEO REMOTE INTERPRETATION UNITS IN EVERY CLINIC AND FLOOR IN THE HOSPITAL, AND IN EVERY PATIENT ROOM IN THE EMERGENCY ROOM, TO ASSURE ACCESS TO QUALIFIED INTERPRETERS; ALL STAFF THAT PROVIDE INTERPRETATION OR COMMUNICATE WITH A PATIENT IN ANOTHER LANGUAGE ARE ASSESSED FOR THEIR LANGUAGE PROFICIENCY; INTENTIONAL WORK AROUND BUILDING GOVERNANCE, LEADERSHIP AND WORKFORCE THAT REFLECTS THE COMMUNITY WE SERVE IS BEING EVALUATED BY WAY OF A WORKFORCE DATA ANALYTICS; AND WE ARE LEVERAGING COMMUNITY PARTNERS FOR GREATER COLLECTIVE IMPACT. DURING COVID19 WE ASSURED THAT EDUCATION, PRESS CONFERENCES, AND TESTING AND VACCINE INFORMATION WAS ALL AVAILABLE IN SPANISH. WE ALSO USED DATA TO ANALYZE EQUAL ACCESS TO PRIMARY AND SPECIALTY CARE TELEHEALTH VISITS BY LANGUAGE PREFERENCE, AND ASSURED PROVIDERS HAD INTERPRETERS AVAILABLE DURING VIRTUAL VISITS. "MENTAL HEALTH": MEMORIAL HAS ESTABLISHED INTERVENTION STRATEGIES TO PROMOTE MENTAL WELL-BEING AND PREVENT MENTAL HEALTH DISORDERS. "NURSE FAMILY PARTNERSHIPS (NFP)" IS AN EVIDENCE-BASED NURSE HOME VISITATION PROGRAM THAT ENROLLS FIRST-TIME LOW-INCOME MOTHERS EARLY IN THEIR PREGNANCY AND FOLLOWS THEM THROUGHOUT THEIR CHILD'S SECOND BIRTHDAY. NFP HAS BEEN EXPANDED TO THE YAKAMA NATION IN COLLABORATION WITH TTAWAXT, A MULTI-AGENCY COLLABORATIVE EFFORT LED BY INDIAN HEALTH SERVICES ON THE YAKAMA RESERVATION, OF WHICH MEMORIAL IS A PARTNER IN, TO INVESTIGATE AND REDUCE INFANT MORTALITY AND PROMOTE HEALTHY FAMILIES WITHIN TRIBAL COMMUNITIES. THE GOAL OF NFP IS TO IMPROVE CHILD HEALTH AND DEVELOPMENT BY HELPING PARENTS PROVIDE RESPONSIBLE AND COMPETENT CARE FOR THEIR CHILDREN. NFP BUILDS ON PARENTS' SELF-EFFICACY AND STRONG EMOTIONAL AND PHYSICAL ATTACHMENT TO THEIR BABIES. FURTHERMORE, FAMILIES' ECONOMIC SELF-SUFFICIENCY IS IMPROVED BY HELPING PARENTS DEVELOP A VISION FOR THEIR OWN FUTURE, PLAN FUTURE PREGNANCIES, CONTINUE THEIR EDUCATION AND FIND WORK. "MATERNAL CHILD HEALTH" IS A PERINATAL MENTAL HEALTH SUPPORT FOR WOMEN EXPERIENCING POSTPARTUM ANXIETY AND DEPRESSION, THAT TEACHES PROTECTIVE FACTORS TO PREVENT ADVERSE CHILDHOOD EXPERIENCES (ACE'S) AND BUILDS AWARENESS OF COMMUNITY RESOURCES. "HOLISTIC MENTAL HEALTH COUNSELING" SUPPORT AND THERAPEUTIC INTERVENTIONS TO PATIENTS, FAMILIES AND CAREGIVERS IS A PROGRAM PROVIDED DURING CRISIS, TRAUMA, AND END-OF-LIFE. "ACUTE CARE PSYCHIATRIC SERVICES" PROVIDE COMPLEX MEDICAL CARE FOR PSYCHIATRIC DISORDERS, AND IMPROVED COMMUNITY ACCESS, INCORPORATING EVIDENCE BASED PHYSICAL FITNESS TREATMENT IN AN ACUTE CARE SETTING. THE REMAINING TOP AREAS OF GREATEST NEED WHERE NOT SELECTED BECAUSE OTHERS IN THE COMMUNITY ARE ADDRESSING THESE, AND DUE TO FINANCIAL CONSTRAINTS. THE VIRGINIA MASON MEMORIAL IMPLEMENTATION PLAN 2020-2022 CAN BE FOUND ON OUR WEBSITE: WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP/.
PART V, SECTION B, LINE 7A:HOSPITAL FACILITY'S WEBISTE: WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP/
PART V, LINE 16A-16C:THE FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY CAN BE FOUND ONLINE AT: WWW.YAKIMAMEMORIAL.ORG/PATIENTS-AND-VISITORS-FINANCIAL-ASSISTANCE-GUIDELINES.ASP/
FieldValueIRS element (for citing)
Facility32FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (32 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - NORTH STAR LODGE
808 N 39TH AVENUEYAKIMAWA98902CANCER TREATMENT FACILITY
2 - VALLEY IMAGING
314 S 11TH AVENUEYAKIMAWA98902RADIOLOGY
3 - YAKIMA VALLEY HOME HEALTH
302 S 10TH AVENUEYAKIMAWA98902HOME HEALTH AND HOSPICE
4 - PHYSICIANS ANESTHESIA
406 S 30TH AVE STE 202YAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
5 - YMH HEART AND VASCULAR
406 S 30TH AVENUE SUITE 101YAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
6 - OHANA
1515 W YAKIMA AVENUEYAKIMAWA98902MAMMOGRAPHY
7 - RIDGEVIEW SURGERY
2500 RACQUET LANE STE 150YAKIMAWA98902OUTPATIENT SURGERY CENTER
8 - ORTHOPEDICS NORTHWEST
1211 N 16TH AVEYAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
9 - MEMORIAL PHYSICIANS LAB
4003 CREEKSIDE LOOPYAKIMAWA98908MEDICAL LABORATORY
10 - GENERATIONS OBGYN
3003 TIETON DRIVE STE 230YAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
11 - PAIN CENTER - WATER'S EDGE
1460 N 16TH AVENUE SUITE DYAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
12 - YAKIMA UROLOGY ASSOC AT MEMORIAL TRUST
2500 RACQUT LANEYAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
13 - LAKEVIEW SPINE
1470 N 16TH AVENUEYAKIMAWA98902THERAPY
14 - YAKIMA GASTROENTEROLOGY ASSOCIATES
3909 CREEKSIDE LOOP SUITE 120YAKIMAWA98908OUTPATIENT PHYSICIAN CLINIC
15 - FAMILY MEDICINE OF YAKIMA
504 N 40TH AVENUEYAKIMAWA98908OUTPATIENT PHYSICIAN CLINIC
16 - YAKIMA EAR NOSE AND THROAT
1601 CREEKSIDE LOOPYAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
17 - CASCADE SURGICAL PARTNERS
3003 TIETON DRIVE STE 300YAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
18 - MEMORIAL SLEEP SPECIALISTS
406 S 30TH AVE SUITE 206YAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
19 - YGA AMBULATORY SURGERY
3909 CREEKSIDE LOOP SUITE 120YAKIMAWA98908OUTPATIENT PHYSICIAN CLINIC
20 - MEMORIAL CORNERSTONE MEDICINE
4003 CREEKSIDE LOOPYAKIMAWA98908OUTPATIENT PHYSICIAN CLINIC
21 - PULMONOLOGY
406 S 30TH AVEYAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
22 - PACIFIC CREST FAMILY MEDICINE
311 S 72ND AVENUEYAKIMAWA98908OUTPATIENT PHYSICIAN CLINIC
23 - APPLE VALLEY FAMILY MEDICINE
1008 S 38TH AVENUEYAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
24 - SELAH FAMILY MEDICINE
620 N PARK DRIVESELAHWA98942OUTPATIENT PHYSICIAN CLINIC
25 - YAKIMA VASCULAR ASSOCIATES
406 S 30TH AVEYAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
26 - ZILLAH FAMILY MEDICINE
616 RAILROAD AVENUE SUITE 12ZILLAHWA98953OUTPATIENT PHYSICIAN CLINIC
27 - HEALTHY NOW WEST VALLEY
120 S 72ND AVE SUITE 102YAKIMAWA98908URGENT CARE
28 - HEALTHY NOW - 40TH
3909 CREEKSIDE LOOP SUITE 130YAKIMAWA98902URGENT CARE
29 - MEMORIAL OUTPATIENT PSYCH
3909 CREEKSIDE LOOP STE 115YAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
30 - YAKIMA ENDOCRINOLOGY ASSOCIATES
3909 CREEKSIDE LOOP STE 115YAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
31 - YAKIMA PODIATRY ASSOCIATES
1607 CREEKSIDE LOOP SUITE 140YAKIMAWA98902OUTPATIENT PHYSICIAN CLINIC
32 - YGA HISTOLOGY
3909 CREEKSIDE LOOP SUITE 120YAKIMAWA98908OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.
PART I, LN 7 COL(F):BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 IS BASED ON TRUING UP THE BAD DEBT RESERVES ON THE BALANCE SHEET.
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. MEMORIAL HAS NOT PREPARED AND PUBLISHED A 2021 COMMUNITY BENEFIT REPORT.
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 13-14) AND INCLUDES DETAILS ON CONTRACTUAL ALLOWANCES. 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.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP/. 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 OCTOBER 15, 2019, 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 4,311 SQUARE MILES. TOTAL CURRENT POPULATION FOR YAKIMA COUNTY AS OF 2022 IS 259,950. 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. YAKIMA COUNTY CONSISTS OF 50% MALE AND 50% FEMALE POPULATION. NEARLY HALF (47%) OF THE POPULATION IS MARRIED, WHILE 33.3% REPORT NEVER BEING MARRIED, AND THE REMAINING 19.7% CONSISTS OF RESIDENTS WHO ARE MARRIED BUT SEPARATED (3%), DIVORCED (11%) OR WIDOWED (5.7%). YAKIMA COUNTY IS HOME TO APPROXIMATELY 10,000 MIGRANT AND SEASONAL FARMWORKERS AND THEIR DEPENDENTS. THE PERCENTAGE OF THE POPULATION LIVING IN URBAN AREAS IS 76.5% COMPARED WITH 24% LIVING IN RURAL AREAS, WHICH IS A HIGHER PROPORTION OF RURAL POPULATION THAN BOTH NATIONAL AND WASHINGTON STATE AVERAGES 81% VS. 19% AND 84% VS. 16%, RESPECTIVELY. YAKIMA COUNTY CONSISTS OF A 66.6% MEDICARE/MEDICAID PAYER MIX (16.7% MEDICARE AND 49.9% MEDICAID). ACCORDING TO THE WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES 42.4% OF THE POPULATION IS RECEIVING ECONOMICAL SERVICES ASSISTANCE, PRIMARILY FOR: CHILD SUPPORT SERVICES, CHILDCARE, AND BASIC FOOD PROGRAMS. OUR COMMUNITY IS COMPRISED OF 50.2% 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. 16.7% OF PERSONS LIVING AT POVERTY LEVEL, 7.2% ARE UNEMPLOYED, 16.3% UNINSURED PRE-COVID19 (17.6% UNINSURED WEEK ENDING 8/8/20).
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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
YAKIMA FAMILY YMCA
5 NORTH NACHES AVEYAKIMAWA98901910568717501(C)(3)$125,000$0TO HELP BUILD A NEW BRANCH BUILDING
YAKIMA UNION GOSPEL MISSION
1300 N FIRST STREETYAKIMAWA98901237050061501(C)(3)$100,000$0MEDICAL CARE CENTER OPERATIONS
YAKIMA COUNTY DEVELOPMENT ASSOCIATION
PO BOX 1387YAKIMAWA98907911284283501(C)(6)$30,000$0TO HELP IN THE DEVELOPMENT OF THE YAKIMA AREA
THE MEMORIAL FOUNDATION
3111 TIETON DRIVEYAKIMAWA98902911022358501(C)(3)$656,324$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationMEMORIAL 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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MOHAN ASHOK KUMAR MD
PHYSICIAN$614,426$0$313,070$0$2,441$0$0$0$13,246$0$943,183$0$0$0
SIVA MANNEM MD
PHYSICIAN$431,441$0$218,144$0$3,662$0$17,049$0$28,299$0$698,595$0$0$0
CAROLE PEET
PRESIDENT/CEO$511,776$0$138,112$0$3,637$0$15,238$0$11,360$0$680,123$0$0$0
TIMOTHY REED
VICE PRESIDENT/CFO (THRU 7/21)$176,246$0$74,333$0$378,072$0$17,951$0$17,863$0$664,465$0$0$0
CHATT JOHNSON MD
PHYSICIAN$616,461$0$0$0$900$0$11,635$0$0$0$628,996$0$0$0
MATT G SILVA MD
PHYSICIAN$528,897$0$45,634$0$3,666$0$18,852$0$27,249$0$624,298$0$0$0
WILLIAM M BRUEGGERMAN
VICE PRESIDENT/CMO$511,715$0$62,602$0$3,202$0$18,481$0$27,616$0$623,616$0$0$0
ADARSH BHARDWAJ MD
PHYSICIAN$537,394$0$64,913$0$2,017$0$0$0$10,771$0$615,095$0$0$0
SCOTT LANCASTER
FORMER KEY EMPLOYEE$366,579$0$29,400$0$2,636$0$17,164$0$28,049$0$443,828$0$0$0
LORI GREEN
VICE PRESIDENT/CNO/COO$330,127$0$13,866$0$1,390$0$1,301$0$17,892$0$364,576$0$0$0
SHAWNIE HAAS
VICE PRESIDENT/SPECIALTY SERVICES$264,112$0$44,108$0$2,954$0$21,813$0$21,090$0$354,077$0$0$0
SUSAN SAUDER
VICE PRESIDENT/CCO$221,474$0$22,075$0$1,718$0$10,552$0$14,170$0$269,989$0$0$0
THOMAS MCDONAGH
VICE PRESIDENT/CFO$206,149$0$35,000$0$2,830$0$0$0$14,313$0$258,292$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4ATIMOTHY REED RECEIVED A SEVERANCE PAYMENT OF $375,889 IN 2021.
PART I, LINE 7VARIABLE 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON HEALTH CARE FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN911108929BondIssuerEIN
CUSIP93978HRJ6CUSIPNum
Bond Issued2016-11-10BondIssuedDt
Issue Price$34,208,306IssuePriceAmt
PurposeBUILDING AND EQUIPMENTPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$34,766,320TotalProceedsAmt
In Reserve Fund$2,519,359InReserveFundAmt
Issuance Costs From Proceeds$678,328IssuanceCostsFromProceedsAmt
Capital Expenditures$31,216,887CapitalExpendituresAmt
Substantial Completion2019SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE K, PART II, LINE 3:THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATIONS.
FORM 990, SCHEDULE K, PART IV, LINE 2C:(A) ISSUER NAME: WASHINGTON HEALTH CARE FACILITIES AUTH DATE THE REBATE COMPUTATION WAS PERFORMED: 10/31/2021

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JUAN JIMENEZ
FAMILY MEMBER OF MARIBEL JIMENEZ, DIRECTOR$100,821EMPLOYMENT0
JORGE GARCIA
FAMILY MEMBER OF CYNTHIA JUAREZ, DIRECTOR$92,279EMPLOYMENT0
BREAN MILLS GARCIA
FAMILY MEMBER OF CYNTHIA JUAREZ, DIRECTOR$76,196EMPLOYMENT0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescVENTILATORSDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$230,415NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationNUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1YVMH'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 1ATHE 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 A, LINE 4MEMORIAL'S ARTICLES OF INCORPORATION AND BYLAWS HAVE BEEN AMENDED AND RESTATED TO REMOVE VIRGINIA MASON HEALTH SYSTEM AS MEMORIAL'S SOLE CORPORATE MEMBER EFFECTIVE JANUARY 1, 2021.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CTHE 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 15THE 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 2021 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 19THE ORGANIZATION'S ARTICLES, BYLAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GLABORATORY: PROGRAM SERVICE EXPENSES 6,201,456. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,201,456. CLINIC SERVICES: PROGRAM SERVICE EXPENSES 5,558,992. MANAGEMENT AND GENERAL EXPENSES 13,588. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,572,580. EMERGENCY DEPARTMENT SERVICES: PROGRAM SERVICE EXPENSES 13,438,367. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,438,367. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,149,288. MANAGEMENT AND GENERAL EXPENSES 2,449,456. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,598,744. ORTHOPEDIC SERVICES: PROGRAM SERVICE EXPENSES 11,613,619. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,613,619. AGENCY: PROGRAM SERVICE EXPENSES 8,228,879. MANAGEMENT AND GENERAL EXPENSES 190,815. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,419,694. OUTSIDE PURCHASED SERVICE: PROGRAM SERVICE EXPENSES 9,009,634. MANAGEMENT AND GENERAL EXPENSES 8,931,064. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,940,698. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 10,159,037. MANAGEMENT AND GENERAL EXPENSES 1,418,043. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,577,080.
FORM 990, PART XI, LINE 9:CHANGE IN PENSION OBLIGATION 13,627,647.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MEMORIAL PHYSICIANS
3800 SUMMITVIEWYAKIMAWA98902264379419MEDICAL SERVICESWA-$6,445$949YVMHA
CENTRAL WASHINGTON HEALTHCARE PARTNERS
3800 SUMMITVIEWYAKIMAWA98902453483343ACCOUNTABLE CARE ORGANIZATIONWA$2,507,774$159,823YVMHA
YAKIMA UROLOGY AT MEMORIAL TRUST
2811 TIETON DRIVEYAKIMAWA98902476620487MEDICAL SERVICESWA$5,145,052$690,621YVMHA
ORTHOPEDICS NORTHWEST AT MEMORIAL TRUST
1211 N 16TH AVENUEYAKIMAWA98902826150143MEDICAL SERVICESWA$10,071,313$479,569YVMHA
YAKIMA HEART CENTER AT MEMORIAL TRUST
406 S 30TH AVENUE SUITE 101YAKIMAWA98902457017902MEDICAL SERVICESWA$244,839$11,925YVMHA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
GARDEN VILLAGE
206 S 10TH AVENUEYAKIMAWA98902912090034SKILLED NURSINGWA501(C)(3)LINE 10N/A0
CHILDREN'S VILLAGE
3801 KERN ROADYAKIMAWA98902352654720SUPPORTING ORGANIZATIONWA501(C)(3)LINE 12A, IN/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd