YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION (EIN 91-0567263)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-11
IRS object ID: 202123169349300702
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-11T22:50:15-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	910567263	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS MCDONAGH	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5095758000	PhoneNum
Signature	2021-11-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	THOMAS	PersonFirstNm
Person Last	MCDONAGH	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	COLLEEN RAMIRES	PreparerPersonNm
PTIN	P01251320	PTIN
Phone	4252597227	PhoneNum
Preparation	2021-11-11	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	0	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	VIRGINIA MASON MEMORIAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	CAROLE E PEET	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$529,432,248	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.YAKIMAMEMORIAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	VIRGINIA MASON MEMORIAL (VMM), PART OF THE VIRGINIA MASON HEALTH SYSTEM, 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 Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	3464	TotalEmployeeCnt
Total Volunteers	249	TotalVolunteersCnt
Total Gross UBI	$18,885	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,966,943	PYContributionsGrantsAmt
CY Contributions Grants	$53,793,088	CYContributionsGrantsAmt
PY Program Service Revenue	$491,209,069	PYProgramServiceRevenueAmt
CY Program Service Revenue	$466,397,010	CYProgramServiceRevenueAmt
PY Investment Income	$8,129,417	PYInvestmentIncomeAmt
CY Investment Income	$3,667,359	CYInvestmentIncomeAmt
PY Other Revenue	$4,295,483	PYOtherRevenueAmt
CY Other Revenue	$3,997,024	CYOtherRevenueAmt
PY Total Revenue	$508,600,912	PYTotalRevenueAmt
CY Total Revenue	$527,854,481	CYTotalRevenueAmt
PY Grants And Similar Paid	$364,250	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,172,361	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$247,823,520	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$252,041,978	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$251,603,166	PYOtherExpensesAmt
CY Other Expenses	$257,589,323	CYOtherExpensesAmt
PY Total Expenses	$499,790,936	PYTotalExpensesAmt
CY Total Expenses	$510,803,662	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,809,976	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$17,050,819	CYRevenuesLessExpensesAmt
Total Assets BOY	$394,294,655	TotalAssetsBOYAmt
Total Assets EOY	$446,456,465	TotalAssetsEOYAmt
Total Liabilities BOY	$176,671,369	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$219,303,933	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$217,623,286	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$227,152,532	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	VIRGINIA MASON MEMORIAL (VMM), PART OF THE VIRGINIA MASON HEALTH SYSTEM, IS A 226-BED ACUTE-CARE, NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT HAS SERVE CENTRAL WASHINGTON'S YAKIMA VALLEY FOR NEARLY 70 YEARS. (CONTINUED ON SCHEDULE O)	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$291,838,321	ExpenseAmt
Revenue	$332,865,969	RevenueAmt
Desc	OUTPATIENT SERVICES. DURING 2020, VIRGINIA MASON MEMORIAL (VMM) PERFORMED 738,764 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 2020, VMM PROVIDED CHARITY CARE FOR 18,392 OUTPATIENT VISITS, TOTALING $19,895,037. (CONTINUED ON SCHEDULE O.)VMM'S ONCOLOGY PROGRAMS DELIVERED CHARITY CARE SERVICES 1,640 TIMES IN 2020. 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. VMM'S PAIN MANAGEMENT CLINIC SAW 617 PATIENT ENCOUNTERS WHICH FELL UNDER VMM'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 584 ENCOUNTERS WITH 'OHANA PROVIDERS IN 2020. VMM PROVIDED 906 PATIENT ENCOUNTERS WITH CHARITY CARE IN OUTPATIENT SURGERY IN 2020. VIRGINIA MASON 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 2020, 10 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 75,518 PATIENTS A YEAR REGARDLESS OF AGE, CULTURE, EMPLOYMENT, ETHNICITY, EXPRESSION, GENDER IDENTITY, LANGUAGE, NATIONAL ORIGIN, PARTICIPATION IN PROGRAMS, PHYSICAL OR MENTAL DISABILITY, RACE, COLOR, RELIGION, SERVICES AND ACTIVITIES, SEX, SEXUAL ORIENTATION, SOCIOECONOMIC STATUS, OR FINANCIAL STATUS. THE EMERGENCY DEPARTMENT PROVIDES FOR PATIENTS' EMERGENT NEEDS; AND, ALL PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT ARE EXAMINED BY A TRAINED PROVIDER. VMM'S EMERGENCY DEPARTMENT EXPERIENCED 6,838 PATIENT ENCOUNTERS WITH CHARITY CARE RECIPIENTS IN 2020, FOR A TOTAL OF $10,992.520. VIRGINIA MASON MEMORIAL SERVED 7,797 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 PROVIDED BY THE YAKIMA HEART CENTER.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$104,223,074	ExpenseAmt
Revenue	$128,752,274	RevenueAmt
Desc	INPATIENT SERVICES. VIRGINIA MASON MEMORIAL (VMM) HOSPITAL ADMITTED 391 PATIENTS THAT QUALIFIED FOR CHARITY CARE, FOR A TOTAL OF 1,544 PATIENT DAYS. THESE INPATIENT CHARITY CARE ENCOUNTERS AMOUNTED TO $3,664,911. 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 2020, VMM'S OB/GYN DEPARTMENT PROVIDED CHARITY CARE TO PATIENTS FOR PRE-DELIVERY TESTING AND OBSTETRIC EMERGENCY CARE. VMM'S INPATIENT PSYCHIATRIC SERVICES TREATS ADULT PATIENTS FOR A BROAD SPECTRUM OF MENTAL HEALTH CONCERNS INCLUDING DEPRESSION, ANXIETY, ADJUSTMENT DISORDERS, ADD/ADHD, AND MAJOR PSYCHIATRIC ILLNESS. INPATIENT PSYCHIATRIC SERVICES ALSO OFFERS PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT, IN ADDITION TO TREATMENT OF UNDERLYING MEDICAL CONDITIONS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$13,526,115	ExpenseAmt
Grant	$1,172,361	GrantAmt
Revenue	$605,214	RevenueAmt
Desc	SUPPORTING SERVICE. VIRGINIA MASON 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 (30 RESIDENTS), A PRE-SURGERY CLINIC, NURSING FLOAT POOL, BUSINESS DEVELOPMENT, AND INFORMATION TECHNOLOGY AND SYSTEMS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$8,467,085	ExpenseAmt
Revenue	$4,154,668	RevenueAmt
Desc	VIRGINIA MASON 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 14,764 RESIDENTS IN 2020 AND EQUATED TO $2,715,230 IN COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS EXPENDITURES. VIRGINIA MASON MEMORIAL PARTNERED WITH THE LOCAL YMCA TO DELIVER "ACTIVELY CHANGING TOGETHER", A CHILDHOOD OBESITY PROGRAM THAT ASSISTED 264 FAMILIES. DIABETES PREVENTION AND DIABETES WELLNESS PROGRAMS WERE ALSO OFFERED TO 2,421 COMMUNITY MEMBERS DURING THE YEAR. IN ADDITION TO CAMPAIGNS TARGETING OBESITY AND DIABETES, VMM 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, VMM 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 $150,385 IN DONATIONS.YAKIMA UNION GOSPEL MISSION MEDICAL CLINIC WAS THE RECIPIENT OF $121,250 FOR CLINIC SUPPORT. THE MISSION SERVES OVER 14,000 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 SOZO SPORTS COMPLEX RECEIVED A $7,500 DONATION FROM VMM IN SUPPORT OF ATHLETIC PROGRAMS FOR CHILDREN WHO LACK SUFFICIENT FUNDS TO PARTICIPATE. THE YAKIMA COUNTY DEVELOPMENT ASSOCIATION/NEW VISION RECEIVED $31,150 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 VIRGINIA MASON MEMORIAL WAS ABLE TO CONTRIBUTE $125,000 TOWARD CONSTRUCTION AND THE DEVELOPMENT OF REHABILITATION SERVICES. VMM WAS ABLE TO SUPPORT OPERATION FOOD HARVEST AND NEIGHBORHOOD CLEANUP WITH $5,000 CONTRIBUTED TO YAKIMA SOUTHWEST ROTARY CLUB CHARITIES. AND FINALLY, VMM CONTRIBUTED $5,000 TO THE DOWNTOWN YAKIMA MILE THAT IS A 1 MILE RACE THAT BRINGS OUR COMMUNITY TOGETHER IN FUN, FITNESS AND SUPPORT OF IMPORTANT CAUSES THAT SERVE OUR FRIENDS AND NEIGHBORS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$8,467,085	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$4,154,668	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$418,054,595	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	237	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3464	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THOMAS MCDONAGH VPCFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5095758000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID HARGREAVES
DIRECTOR/CHAIRMAN	2.00	Yes (X)	Yes (X)	$0	$0	$0
BUFFY ALEGRIA
DIRECTOR/VICE CHAIRMAN	2.00	Yes (X)	Yes (X)	$0	$0	$0
RICH MARTINEZ
DIRECTOR/TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
SONIA RODRIGUEZ TRUE
DIRECTOR/SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
BRUCE HEISER
DIRECTOR	2.00	Yes (X)		$0	$0	$0
MARIBEL JIMENEZ
DIRECTOR	2.00	Yes (X)		$0	$0	$0
STEVE RUPP MD
DIRECTOR	2.00	Yes (X)		$0	$0	$0
GAIL WEAVER
DIRECTOR	2.00	Yes (X)		$0	$0	$0
JIM YOUNG
DIRECTOR	2.00	Yes (X)		$0	$0	$0
KERRY HARTHCOCK MD
DIRECTOR	2.00	Yes (X)		$0	$0	$0
CYNTHIA JUAREZ
DIRECTOR	2.00	Yes (X)		$0	$0	$0
CAROLE PEET
PRESIDENT/CEO	40.00		Yes (X)	$502,033	$0	$8,706
TIMOTHY REED
VICE PRESIDENT/CFO	40.00		Yes (X)	$367,277	$0	$42,776
RUSSELL MYERS
PRESIDENT/CEO (THRU 3/20)	40.00		Yes (X)	$239,077	$0	$12,853
DIANE PATTERSON
VICE PRESIDENT/COO (THRU 5/20)	40.00			$720,483	$0	$19,495	Yes (X)
WILLIAM M BRUEGGMAN
VICE PRESIDENT/CMO	40.00			$595,854	$0	$39,617	Yes (X)
SHAWNIE HAAS
VICE PRESIDENT/SPECIALTY SERVICES	40.00			$297,611	$0	$43,014	Yes (X)
SUSAN SAUDER
VICE PRESIDENT/CCO	40.00			$169,406	$0	$6,272	Yes (X)
VU LE
PHYSICIAN	40.00			$970,624	$0	$31,429		Yes (X)
CHRISTOPHER TAN
PHYSICIAN	40.00			$660,023	$0	$32,818		Yes (X)
TEKCHAND TANWANI
PHYSICIAN	40.00			$494,563	$0	$40,651		Yes (X)
JEFFERY BUSHMAN
PHYSICIAN	40.00			$489,338	$0	$39,418		Yes (X)
PORNCHAI LEELASINJAROEN
PHYSICIAN	40.00			$489,230	$0	$38,341		Yes (X)
SCOTT LANCASTER
FORMER KEY EMPLOYEE	40.00			$420,283	$0	$46,276			Yes (X)
JOLENE SEDA
FORMER KEY EMPLOYEE	40.00			$335,310	$0	$44,076			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,751,112	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$445,742	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	382	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
VIRGINIA MASON MEDICAL CENTER
1100 NINTH AVENUE	SEATTLE	WA	98101	MEDICAL AND HEALTHCARE	$5,933,983
PREFERRED SOLUTIONS
PO BOX 61451	HOUSTON	TX	77208	STAFFING	$2,104,992
COMPHEALTH ASSOCIATES INC
PO BOX 972625	DALLAS	TX	75397	STAFFING	$2,058,716
FOCUSONE SOLUTIONS LLC
PO BOX 310861	DES MOINES	IA	50331	STAFFING	$2,035,744
KDA ARCHITECTURE INC
1310 NORTH 16TH AVE	YAKIMA	WA	98902	ARCHITECTURE	$1,617,144

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	42	CntrctRcvdGreaterThan100KCnt
Government Grants	$51,512,283	GovernmentGrantsAmt
All Other Contributions	$2,280,805	AllOtherContributionsAmt
Total Contributions	$53,793,088	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621400	$441,307,420	$441,307,420
MEMORIAL PHYSICIANS/SIGNAL HEALTH	621110	$24,470,219	$24,470,219
EXPENSE REIMBURSEMENT	900099	$600,486	$600,486
LAB SERVICE	621500	$18,885		$18,885

Field	Value	IRS element (for citing)
Total Program Service Revenue	$466,397,010	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,690,398	TotalRevenueColumnAmt
Exclusion	$3,690,398	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$715,132	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,483,778	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$768,646	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$768,646	TotalRevenueColumnAmt
Exclusion	-$768,646	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$70,950	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$93,989	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$70,950	SecuritiesAmt
Other	-$93,989	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$23,039	TotalRevenueColumnAmt
Exclusion	-$23,039	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	900099	$1,488,859	$1,488,859
CHILD CARE	624410	$812,235	$812,235
GIFT SHOP	453220	$64,976	$64,976

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,399,600	TotalRevenueColumnAmt
Exclusion	$2,399,600	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,765,670	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$527,854,481	TotalRevenueColumnAmt
Related Or Exempt Func Income	$466,378,125	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$18,885	UnrelatedBusinessRevenueAmt
Exclusion	$7,664,383	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,172,361	TotalAmt
Program Services	$1,172,361	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,064,476	TotalAmt
Program Services	$2,025,393	ProgramServicesAmt
Management And General	$1,039,083	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$201,921,798	TotalAmt
Program Services	$167,677,025	ProgramServicesAmt
Management And General	$34,244,773	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,519,128	TotalAmt
Program Services	$8,211,643	ProgramServicesAmt
Management And General	$2,307,485	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,685,954	TotalAmt
Program Services	$12,225,557	ProgramServicesAmt
Management And General	$3,460,397	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,850,622	TotalAmt
Program Services	$16,276,812	ProgramServicesAmt
Management And General	$4,573,810	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,637,403	TotalAmt
Program Services	$19,831	ProgramServicesAmt
Management And General	$1,617,572	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$278,100	TotalAmt
Management And General	$278,100	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$113,681	TotalAmt
Management And General	$113,681	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$280,681	TotalAmt
Management And General	$280,681	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$78,592,342	TotalAmt
Program Services	$69,627,507	ProgramServicesAmt
Management And General	$8,964,835	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$232,189	TotalAmt
Program Services	$40,585	ProgramServicesAmt
Management And General	$191,604	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,097,752	TotalAmt
Program Services	$10,655,375	ProgramServicesAmt
Management And General	$8,442,377	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$13,448,345	TotalAmt
Program Services	$5,455,818	ProgramServicesAmt
Management And General	$7,992,527	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,340,591	TotalAmt
Program Services	$6,327,301	ProgramServicesAmt
Management And General	$4,013,290	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$180,855	TotalAmt
Program Services	$109,467	ProgramServicesAmt
Management And General	$71,388	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,100,040	TotalAmt
Management And General	$2,100,040	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$5,215,992	TotalAmt
Management And General	$5,215,992	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$21,230,251	TotalAmt
Program Services	$20,250,651	ProgramServicesAmt
Management And General	$979,600	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,642,218	TotalAmt
Program Services	$1,958,306	ProgramServicesAmt
Management And General	$1,683,912	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS	$40,650,405	$40,573,819	$76,586
MEDICAL SUPPLIES	$39,422,191	$39,378,550	$43,641
BAD DEBT EXPENSE	$6,765,383	$6,765,383
DIETARY SUPPLIES	$1,719,042	$263,888	$1,455,154

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,641,862	TotalAmt
Program Services	$9,039,323	ProgramServicesAmt
Management And General	$3,602,539	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$510,803,662	TotalAmt
Program Services	$418,054,595	ProgramServicesAmt
Management And General	$92,749,067	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$67,648,727	BOYAmt
EOY	$63,565,867	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$523,327	BOYAmt
EOY	$40,208,709	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$68,364,222	BOYAmt
EOY	$56,248,610	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$484,337	BOYAmt
EOY	$1,747,830	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,150,193	BOYAmt
EOY	$9,848,980	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,132,244	BOYAmt
EOY	$4,601,016	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$294,534,945	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$99,778,635	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$200,136,846	BOYAmt
EOY	$194,756,310	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$5,029,440	BOYAmt
EOY	$43,521,064	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,793,167	BOYAmt
EOY	$3,123,684	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,390,437	BOYAmt
EOY	$1,009,266	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$34,641,715	BOYAmt
EOY	$27,825,129	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$394,294,655	BOYAmt
EOY	$446,456,465	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$114,281,428	BOYAmt
EOY	$99,018,698	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	-$1,668	BOYAmt
EOY	$55,900,387	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,830,169	BOYAmt
EOY	$33,898,292	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$17,561,440	BOYAmt
EOY	$30,486,556	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$176,671,369	BOYAmt
EOY	$219,303,933	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$214,637,680	BOYAmt
EOY	$223,756,780	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,985,606	BOYAmt
EOY	$3,395,752	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$217,623,286	BOYAmt
EOY	$227,152,532	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$394,294,655	BOYAmt
EOY	$446,456,465	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$17,050,819	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$914,251	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,435,824	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$53,681	FilingOrganizationsTotalAmt
Affiliated Group Total	$182,704	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$60,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$140,424	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$113,681	FilingOrganizationsTotalAmt
Affiliated Group Total	$323,128	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$510,226,186	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,742,768,256	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$510,339,867	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,743,091,384	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$284,247	CurrentYearMinus3Amt
Current Year Minus2	$294,038	CurrentYearMinus2Amt
Current Year Minus1	$307,100	CurrentYearMinus1Amt
Current Year	$323,128	CurrentYearAmt
Total	$1,208,513	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$175,480	CurrentYearMinus3Amt
Current Year Minus2	$180,464	CurrentYearMinus2Amt
Current Year Minus1	$183,519	CurrentYearMinus1Amt
Current Year	$182,704	CurrentYearAmt
Total	$722,167	TotalAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-A, LINE A:	FormAndLineReferenceDesc
Explanation	YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION, EIN #91-0567263, 2811 TIETON DRIVE, YAKIMA, WA 98902. NON-ELECTING MEMBER. $53,681 GRASSROOTS LOBBYING EXPENDITURES. $60,000 DIRECT LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0. YAKIMA 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. VIRGINIA MASON MEDICAL CENTER, EIN #91-0565539, 1100 NINTH AVENUE, SEATTLE, WA 98101. ELECTING MEMBER. GRASSROOTS LOBBYING EXPENDITURES $129,023. DIRECT LOBBYING EXPENDITURES $80,424. EXCESS LOBBYING EXPENDITURES $0. TAX YEAR ENDING DECEMBER 31, 1998 WAS THE FIRST YEAR IN WHICH VIRGINIA MASON MEDICAL CENTER MADE THE ELECTION UNDER SECTION 501(H). THE ELECTION WAS NOT REVOKED BEFORE THE START OF THE TAX YEAR ENDING DECEMBER 31, 2020. VIRGINIA MASON INSTITUTE, EIN #26-3763656, 1100 NINTH AVENUE, SEATTLE, WA 98101. NON-ELECTING MEMBER. $0 LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0. VIRGINIA MASON HEALTH SYSTEM, EIN #91-1351110, 1100 NINTH AVENUE, SEATTLE, WA 98101. NON-ELECTING MEMBER. $0 LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0. BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON, EIN #91-0653422, 1201 NINTH AVENUE, SEATTLE, WA 98101. NON-ELECTING MEMBER. $0 LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$99,416,182	OtherCostOrOtherBasisAmt
Depreciation	$19,396,058	DepreciationAmt
Book Value	$80,020,124	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,785,018	OtherCostOrOtherBasisAmt
Depreciation	$2,735,274	DepreciationAmt
Book Value	$4,049,744	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$166,083,216	OtherCostOrOtherBasisAmt
Depreciation	$76,006,203	DepreciationAmt
Book Value	$90,077,013	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,464,760	OtherCostOrOtherBasisAmt
Depreciation	$1,641,100	DepreciationAmt
Book Value	$5,823,660	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$194,756,310	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
RIGHT OF USE ASSET	$23,897,079
OTHER INVESTMENTS - 457B PLAN	$3,538,272
DUE FROM AFFILIATES	$389,778

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$27,825,129	TotalBookValueOtherAssetsAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	U.S. GAAP REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY MEMORIAL AND RECOGNIZE A TAX LIABILITY (OR AN ASSET) IF MEMORIAL HAS TAKEN AN UNCERTAIN POSITION THAT IS MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (RS). MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY MEMORIAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR AN ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. MEMORIAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THE DEPARTMENT OF REVENUE IS CURRENTLY AUDITING SALES AND USE TAX FOR YEARS 2016 THROUGH 2018. MEMORIAL'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2014.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,427,730	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,427,730	NetCommunityBenefitExpnsAmt
Total Expense	0.01480	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	352344	PersonsServedCnt
Total Community Benefit Expns	$122,071,368	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,140,831	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,930,537	NetCommunityBenefitExpnsAmt
Total Expense	0.07140	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	352344	PersonsServedCnt
Total Community Benefit Expns	$129,499,098	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,140,831	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,358,267	NetCommunityBenefitExpnsAmt
Total Expense	0.08620	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	14764	PersonsServedCnt
Total Community Benefit Expns	$3,165,175	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$449,945	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,715,230	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	823	PersonsServedCnt
Total Community Benefit Expns	$7,339,351	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,264,191	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,075,160	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	8527	PersonsServedCnt
Total Community Benefit Expns	$12,071,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,074,483	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,997,314	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	912	PersonsServedCnt
Total Community Benefit Expns	$417,695	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$417,695	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$157,813	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$157,813	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	25026	PersonsServedCnt
Total Community Benefit Expns	$23,151,831	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,788,619	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,363,212	NetCommunityBenefitExpnsAmt
Total Expense	0.02260	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	377370	PersonsServedCnt
Total Community Benefit Expns	$152,650,929	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$97,929,450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,721,479	NetCommunityBenefitExpnsAmt
Total Expense	0.10880	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$193,750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$193,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$150,385	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$150,385	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$30,117	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,117	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$374,252	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$374,252	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,159,953	BadDebtExpenseAmt
Reimbursed By Medicare	$95,147,415	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$106,959,953	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,812,538	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	58	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	YAKIMAMEMORIAL.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	20	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART 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 ASSOCIATION	PART 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. VIRGINIA MASON MEMORIAL HOSPITAL 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 ASSOCIATION	PART 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 ASSOCIATION	PART 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 ARE: 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 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

Field	Value	IRS element (for citing)
Facility	33	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (33 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - NORTH STAR LODGE
808 N 39TH AVENUE	YAKIMA	WA	98902	CANCER TREATMENT FACILITY
2 - VALLEY IMAGING
314 S 11TH AVENUE	YAKIMA	WA	98902	RADIOLOGY
3 - ORTHOPEDICS NORTHWEST
1211 N 16TH AVE	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
4 - YAKIMA HEART CENTER AT MEMORIAL TRUST
406 S 30TH AVENUE SUITE 101	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
5 - MEMORIAL PHYSICIANS LAB
4003 CREEKSIDE LOOP	YAKIMA	WA	98908	MEDICAL LABORATORY
6 - YAKIMA VALLEY HOME HEALTH
302 S 10TH AVENUE	YAKIMA	WA	98902	HOME HEALTH AND HOSPICE
7 - PHYSICIANS ANESTHESIA
406 S 30TH AVE STE 202	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
8 - OHANA
1515 W YAKIMA AVENUE	YAKIMA	WA	98902	MAMMOGRAPHY
9 - GENERATIONS OBGYN
3003 TIETON DRIVE STE 230	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
10 - MEMORIAL CORNERSTONE MEDICINE
4003 CREEKSIDE LOOP	YAKIMA	WA	98908	OUTPATIENT PHYSICIAN CLINIC
11 - YAKIMA UROLOGY ASSOC AT MEMORIAL TRUST
2500 RACQUT LANE	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
12 - PAIN CENTER - WATER'S EDGE
1460 N 16TH AVENUE SUITE D	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
13 - RIDGEVIEW SURGERY
2500 RACQUET LANE STE 150	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
14 - YAKIMA EAR NOSE AND THROAT
1601 CREEKSIDE LOOP	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
15 - FAMILY MEDICINE OF YAKIMA
504 N 40TH AVENUE	YAKIMA	WA	98908	OUTPATIENT PHYSICIAN CLINIC
16 - YAKIMA GASTROENTEROLOGY ASSOCIATES
3909 CREEKSIDE LOOP SUITE 120	YAKIMA	WA	98908	OUTPATIENT PHYSICIAN CLINIC
17 - MEMORIAL SLEEP SPECIALISTS
406 S 30TH AVE SUITE 206	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
18 - LAKEVIEW SPINE
1470 N 16TH AVENUE	YAKIMA	WA	98902	THERAPY
19 - CASCADE SURGICAL PARTNERS
3003 TIETON DRIVE STE 300	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
20 - PULMONOLOGY
303 HOLTON AVE STE 1	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
21 - PACIFIC CREST FAMILY MEDICINE
311 S 72ND AVENUE	YAKIMA	WA	98908	OUTPATIENT PHYSICIAN CLINIC
22 - YGA AMBULATORY SURGERY
3909 CREEKSIDE LOOP SUITE 120	YAKIMA	WA	98908	OUTPATIENT PHYSICIAN CLINIC
23 - APPLE VALLEY FAMILY MEDICINE
1008 S 38TH AVENUE	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
24 - SELAH FAMILY MEDICINE
620 N PARK DRIVE	SELAH	WA	98942	OUTPATIENT PHYSICIAN CLINIC
25 - YAKIMA VASCULAR ASSOCIATES
1607 CREEKSIDE LOOP SUITE 100	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
26 - HEALTHY NOW - 40TH
3909 CREEKSIDE LOOP SUITE 130	YAKIMA	WA	98902	URGENT CARE
27 - HEALTHY NOW WEST VALLEY
120 S 72ND AVE SUITE 102	YAKIMA	WA	98908	URGENT CARE
28 - ZILLAH FAMILY MEDICINE
616 RAILROAD AVENUE SUITE 12	ZILLAH	WA	98953	OUTPATIENT PHYSICIAN CLINIC
29 - YAKIMA PODIATRY ASSOCIATES
1607 CREEKSIDE LOOP SUITE 140	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
30 - YAKIMA ENDOCRINOLOGY ASSOCIATES
1470 N 16TH AVENUE	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
31 - MEMORIAL OUTPATIENT PSYCH
1460 N 16TH AVENUE SUITE C	YAKIMA	WA	98902	OUTPATIENT PHYSICIAN CLINIC
32 - YGA HISTOLOGY
3909 CREEKSIDE LOOP SUITE 120	YAKIMA	WA	98908	OUTPATIENT PHYSICIAN CLINIC
33 - HEALTHY NOW TERRACE HEIGHTS
3904 TERRACE HEIGHTS DRIVE	YAKIMA	WA	98901	URGENT CARE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	FAP INDICATES MAY WRITE OFF AS CHARITY CARE, AMOUNTS FOR PATIENTS WITH FAMILY INCOME IN EXCESS OF 300% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP OR PERSONAL LOSS.
PART I, LINE 7:	THE HOSPITAL USED RATIO OF PATIENT CARE COST TO CHARGES METHODOLOGY TO CALCULATE THE AMOUNT REPORTED IN THE TABLE DERIVED FROM WORKSHEETS 1 AND 2.
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 PUBLISH ITS 2020 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 12) 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 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 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 APRIL, 2020 IS 256,728. 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.
PART VI, LINE 6:	MEMORIAL IS PART OF THE VIRGINIA MASON HEALTH SYSTEM AS OF DECEMBER 31, 2018.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
YAKIMA FAMILY YMCA
5 NORTH NACHES AVE	YAKIMA	WA	98901	910568717	501(C)(3)	$125,000	GENERAL SUPPORT
YAKIMA UNION GOSPEL MISSION
1300 N FIRST STREET	YAKIMA	WA	98901	237050061	501(C)(3)	$121,250	GENERAL SUPPORT
YAKIMA COUNTY DEVELOPMENT ASSOCIATION
PO BOX 1387	YAKIMA	WA	98907	911284283	501(C)(6)	$31,150	GENERAL SUPPORT
SOZO SPORTS OF CENTRAL WASHINGTON
PO BOX 10786	YAKIMA	WA	98909	464970770	501(C)(3)	$7,500	GENERAL SUPPORT
YAKIMA VALLEY PIPPINS (PACIFIC BASEBALL VENTURES - YAKIMA LLC)
1301 SOUTH FAIR AVE	YAKIMA	WA	98901	364775463		$5,350	GENERAL SUPPORT
THE MEMORIAL FOUNDATION
3111 TIETON DRIVE	YAKIMA	WA	98902	911022358	501(C)(3)	$867,111	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CAROLE PEET
PRESIDENT/CEO	$426,260	$0	$50,000	$0	$25,773	$0	$0	$0	$8,706	$0	$510,739	$0	$0	$0
TIMOTHY REED
VICE PRESIDENT/CFO	$292,545	$0	$57,945	$0	$16,787	$0	$19,354	$0	$23,422	$0	$410,053	$0	$0	$0
RUSSELL MYERS
PRESIDENT/CEO (THRU 3/20)	$118,524	$0	$118,131	$0	$2,422	$0	$8,891	$0	$3,962	$0	$251,930	$0	$0	$0
DIANE PATTERSON
VICE PRESIDENT/COO (THRU 5/20)	$104,113	$0	$52,624	$0	$563,746	$0	$9,028	$0	$10,467	$0	$739,978	$0	$0	$0
WILLIAM M BRUEGGMAN
VICE PRESIDENT/CMO	$506,968	$0	$73,160	$0	$15,726	$0	$16,141	$0	$23,476	$0	$635,471	$0	$0	$0
SHAWNIE HAAS
VICE PRESIDENT/SPECIALTY SERVICES	$245,711	$0	$29,269	$0	$22,631	$0	$20,195	$0	$22,819	$0	$340,625	$0	$0	$0
SUSAN SAUDER
VICE PRESIDENT/CCO	$133,061	$0	$0	$0	$36,345	$0	$0	$0	$6,272	$0	$175,678	$0	$0	$0
VU LE
PHYSICIAN	$409,928	$0	$559,359	$0	$1,337	$0	$14,250	$0	$17,179	$0	$1,002,053	$0	$0	$0
CHRISTOPHER TAN
PHYSICIAN	$409,358	$0	$246,978	$0	$3,687	$0	$16,558	$0	$16,260	$0	$692,841	$0	$0	$0
TEKCHAND TANWANI
PHYSICIAN	$453,253	$0	$36,326	$0	$4,984	$0	$17,175	$0	$23,476	$0	$535,214	$0	$0	$0
JEFFERY BUSHMAN
PHYSICIAN	$457,279	$0	$30,000	$0	$2,059	$0	$16,592	$0	$22,826	$0	$528,756	$0	$0	$0
PORNCHAI LEELASINJAROEN
PHYSICIAN	$372,161	$0	$113,426	$0	$3,643	$0	$16,097	$0	$22,244	$0	$527,571	$0	$0	$0
SCOTT LANCASTER
FORMER KEY EMPLOYEE	$387,038	$0	$30,611	$0	$2,634	$0	$22,800	$0	$23,476	$0	$466,559	$0	$0	$0
JOLENE SEDA
FORMER KEY EMPLOYEE	$241,645	$0	$79,279	$0	$14,386	$0	$20,600	$0	$23,476	$0	$379,386	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4A-B

DIANE PATTERSON RECEIVED A SALARY CONTIUATION PLAN PAYMENT OF $551,604. IN JULY 2002, MEMORIAL'S BOARD OF DIRECTORS ADOPTED A SALARY CONTINUATION PLAN (THE "PLAN"), IN THE FORM OF A NON-QUALIFIED RETIREMENT BENEFIT FOR SENIOR EXECUTIVES. THE RETIREMENT BENEFIT PROVIDED BY THE PLAN IS SUPPLEMENTARY TO MEMORIAL'S EMPLOYEE PENSION PLAN, TAX-DEFERRED ANNUITY RETIREMENT PLAN, 401(K) PLAN AND SOCIAL SECURITY RETIREMENT EARNINGS. BENEFITS ARE CALCULATED AS THE DIFFERENCE BETWEEN THE PROJECTED AGE 65 VALUE OF THE AFOREMENTIONED BENEFITS AND 75% OF THE LUMP SUM AT AGE 65. NO BENEFITS UNDER THE PLAN ARE GENERALLY AVAILABLE FOR A SENIOR EXECUTIVE WHO RETIRES PRIOR TO HIS/HER 65TH BIRTHDAY. FUNDING FOR THE PLAN BEGAN IN 2002, AND MEMORIAL FIRST BEGAN ACCRUING A LIABILITY FOR THE PLAN DURING THE FISCAL YEAR ENDING OCTOBER 31, 2005. MEMORIAL'S LIABILITY ACCRUAL IS BASED ON THE ASSUMPTION THAT ONE EXECUTIVE WILL BE WORKING UNTIL AGE 65. DIANE PATTERSON ACCRUED BENEFITS OF $0 IN THE PLAN FOR THE YEAR.

PART I, LINE 7

VARIABLE COMPENSATION AMOUNTS ARE CALCULATED BASED OFF OF THE RESULTS OF THE STRATEGIC SCORECARD AS WELL AS THE EMPLOYEE'S INDIVIDUAL EVALUATION. THIS IS THEN MULTIPLIED BY THE EMPLOYEES' GROSS EARNINGS FOR THE PREVIOUS YEAR. THIS IS APPROVED BY THE VIRGINIA MASON HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE, AND DOCUMENTED IN ITS MINUTES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	911108929	BondIssuerEIN
CUSIP	93978HRJ6	CUSIPNum
Bond Issued	2016-11-10	BondIssuedDt
Issue Price	$34,208,306	IssuePriceAmt
Purpose	BUILDING AND EQUIPMENT	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$34,512,701	TotalProceedsAmt
In Reserve Fund	$2,617,486	InReserveFundAmt
Issuance Costs From Proceeds	$678,328	IssuanceCostsFromProceedsAmt
Capital Expenditures	$31,216,887	CapitalExpendituresAmt
Substantial Completion	2019	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE K, PART II, LINE 3	FormAndLineReferenceDesc
Explanation	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATIONS.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JUAN JIMENEZ
FAMILY MEMBER OF MARIBEL JIMENEZ, DIRECTOR	$104,194	EMPLOYMENT	0
JORGE GARCIA
FAMILY MEMBER OF CYNTHIA JUAREZ, DIRECTOR	$96,086	EMPLOYMENT	0
BREAN GARCIA
FAMILY MEMBER OF CYNTHIA JUAREZ, DIRECTOR	$75,990	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1	VMM'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. VMM 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. VIRGINIA MASON MEMORIAL 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. VIRGINIA MASON MEMORIAL 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 1	THE GOVERNING BODY DELEGATES TO AN EXECUTIVE COMMITTEE COMPRISED OF THE CHAIRMAN, VICE CHAIRMAN, SECRETARY AND TREASURER THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION TO ACT ONLY IN TIME SENSITIVE OR EMERGENCY SITUATIONS AS DETERMINED BY THE EXECUTIVE COMMITTEE, SUCH AUTHORITY TO BE EXERCISED IN TIME PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE GOVERNING BODY OF THE CORPORATION. THE EXECUTIVE COMMITTEE DOES NOT HAVE THE AUTHORITY TO AMEND, ALTER OR REPEAL THE BYLAWS, ELECT, APPOINT OR REMOVE ANY MEMBER OF THE EXECUTIVE COMMITTEE OR ANY DIRECTOR OR OFFICER OF THE CORPORATION; AMEND THE ARTICLES OF INCORPORATION; ADOPT A PLAN OF MERGER OR ADOPT A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION; AUTHORIZE THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION NOT IN THE ORDINARY COURSE OF BUSINESS; AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKE PROCEEDINGS THEREFORE; ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION; AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTER OR REPEALED BY THE EXECUTIVE COMMITTEE; OR TERMINATE THE CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMMITTEE ALSO PERIODICALLY EVALUATES THE EFFECTIVENESS OF MEMORIAL'S SYSTEMS FOR RESOLVING INTERNAL CONFLICTS. THE BOARD ALSO DELEGATES TO THE EXECUTIVE COMMITTEE THE AUTHORITY OF THE BOARD TO MAKE ALL APPOINTMENTS AND REAPPOINTMENTS TO THE MEDICAL STAFF OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 6	VIRGINIA MASON HEALTH SYSTEM ("VMHS") IS THE SOLE CORPORATE MEMBER OF MEMORIAL.
FORM 990, PART VI, SECTION A, LINE 7A	VMHS AS THE SOLE MEMBER HAS THE FOLLOWING ELECTION AND APPOINTMENT RIGHTS: 1) ELECTION AND APPROVAL OF DIRECTORS AND OFFICERS OF THE BOARD OF DIRECTORS; 2) APPROVAL OF THE APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER; 3) REMOVAL OF DIRECTORS AND OFFICERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	VMHS AS THE SOLE MEMBER HAS THE FOLLOWING APPROVAL RIGHTS: 1) APPROVAL OF ALL LONG-RANGE PLANS PROPOSED BY THE BOARD OF DIRECTORS; 2) APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS PROPOSED BY THE BOARD OF DIRECTORS; 3) APPROVAL OF THE BORROWING OF FUNDS WHERE THE AMOUNT IS IN EXCESS OF TEN MILLION DOLLARS; 4) APPROVAL OF THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR DISPOSAL OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS; 5) APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS AND ALL OTHER RIGHTS AND POWERS AS SPECIFIED IN THE WASHINGTON NONPROFIT CORPORATION ACT.
FORM 990, PART VI, SECTION B, LINE 11B	THE VMHS 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 SEPTEMBER MEETING, MANAGEMENT AND THE TAX PREPARER PROVIDES THE ACC WITH AN INITIAL DRAFT OF THE FORM 990 AND PRESENT AN OVERVIEW OF THE FORM 990 PREPARATION PROCESS. THE FINAL DRAFT FORM 990 IS REVIEWED BY THE ACC FOLLOWED BY A BOARD REVIEW OF THE FINAL FORM 990 PRIOR TO FILING. THE FINAL FORM 990 AND 990-T TAX RETURNS ARE PROVIDED TO EACH MEMBER OF THE MEMORIAL BOARD OF DIRECTORS VIA ELECTRONIC DELIVERY.
FORM 990, PART VI, SECTION B, LINE 12C	THE VMHS GOVERNANCE COMMITTEE HAS ACCOUNTABILITY FOR OVERSIGHT OF THE PROCESS FOR DISCLOSURE, EVALUATION AND MANAGEMENT OF CONFLICTS OF INTEREST INVOLVING ANY MEMBER OF THE BOARD, EXECUTIVE LEADERSHIP OR KEY EMPLOYEES ("COVERED PERSON"). PURSUANT TO THE CONFLICTS OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO ALL COVERED PERSONS. IN ADDITION, A COVERED PERSON HAS AN ON-GOING DUTY TO DISCLOSE THE EXISTENCE OF A CONFLICT OF INTEREST AT ANY TIME AN ACTUAL OR POTENTIAL CONFLICT ARISES. EACH COVERED PERSON IS REQUIRED UPON APPOINTMENT AND ANNUALLY THEREAFTER TO ATTEST TO A STATEMENT THAT AFFIRMS THAT SUCH PERSON HAS 1) RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) HAS AGREED TO COMPLY WITH THE POLICY; AND 4) UNDERSTANDS THAT MEMORIAL IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ITS TAX-EXEMPT PURPOSES. WRITTEN DISCLOSURES ARE REVIEWED BY THE GOVERNANCE COMMITTEE TO DETERMINE IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS AND IF SO, HOW IT SHOULD BE MANAGED. THE COVERED PERSON IS INFORMED IN WRITING REGARDING THE DETERMINATION (THE "CONFLICT OF INTEREST MANAGEMENT PLAN"). NO COVERED PERSON WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL ENGAGE IN AN ACTIVITY ON MEMORIAL'S BEHALF RELATED TO THE DISCLOSED ACTUAL OR POTENTIAL CONFLICT OF INTEREST UNLESS SUCH ACTIVITY IS PERMITTED BY THE CONFLICT OF INTEREST MANAGEMENT PLAN OR UNTIL THE COVERED PERSON HAS UNDERTAKEN ALL STEPS SET FORTH IN THE MANAGEMENT PLAN TO MANAGE, REDUCE OR ELIMINATE THE CONFLICT. ALL COVERED PERSONS HAVE A DUTY TO DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO MEETING AGENDA ITEMS. THE CONFLICTS OF INTEREST POLICY REQUIRES THAT COPIES OF THE CONFLICT OF INTEREST QUESTIONNAIRE BE COMPLETED ANNUALLY BY EACH COVERED PERSON AND ANY CONFLICT OF INTEREST MANAGEMENT PLAN BE MAINTAINED. IN ADDITION, THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL DOCUMENT THE DISCLOSURE AND RESOLUTION OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST DISCLOSED AT SUCH MEETING.
FORM 990, PART VI, SECTION B, LINE 15	THE VMHS COMPENSATION AND BENEFITS BOARD 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 VIRGINIA MASON'S PHILOSOPHY AND PRINCIPLES. THE BOARD 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 FOR-PROFIT AND NON-PROFIT HEALTH CARE ORGANIZATIONS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE TO EACH OF THE EXECUTIVES. WITH RESPECT TO THOSE EXECUTIVES BELOW THE LEVEL OF CHAIR/CHIEF EXECUTIVE OFFICER, THE COMMITTEE REQUESTS THAT THE CHAIR/CHIEF EXECUTIVE OFFICER WORK WITH THE COMPENSATION CONSULTANT TO FORMULATE A COMPENSATION RECOMMENDATION FOR EACH SUCH EXECUTIVE, CONSISTENT WITH VIRGINIA MASON'S COMPENSATION PHILOSOPHY AND PRINCIPLES. CONSISTENT WITH VIRGINIA MASON'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 EXECUTIVES THAT WERE REVIEWED IN 2020 WERE: CHIEF EXECUTIVE OFFICER, VICE PRESIDENTS, CHIEF CLINICAL OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF MEDICAL OFFICER.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S ARTICLES, BYLAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	LABORATORY: PROGRAM SERVICE EXPENSES 5,867,278. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,867,278. CLINIC SERVICES: PROGRAM SERVICE EXPENSES 15,937,187. MANAGEMENT AND GENERAL EXPENSES 90,558. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,027,745. EMERGENCY DEPARTMENT SERVICES: PROGRAM SERVICE EXPENSES 11,798,217. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,798,217. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 21,142,918. MANAGEMENT AND GENERAL EXPENSES 8,874,277. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,017,195. ORTHOPEDIC SERVICES: PROGRAM SERVICE EXPENSES 14,866,632. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,866,632. PLAN ADMINISTRATION: PROGRAM SERVICE EXPENSES 15,275. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,275.
FORM 990, PART XI, LINE 9:	DONATED CAPITAL TRANSFERS FROM RESTRICTED FUNDS 410,147. CHANGE IN PENSION OBLIGATION -8,965,755. MEDICAL STAFF FUND 119,784.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MEMORIAL PHYSICIANS
3800 SUMMITVIEW	YAKIMA	WA	98902	264379419	MEDICAL SERVICES	WA	$66,871,273	$662,153	YVMHA
CENTRAL WASHINGTON HEALTHCARE PARTNERS
3800 SUMMITVIEW	YAKIMA	WA	98902	453483343	ACCOUNTABLE CARE ORGANIZATION	WA	$2,383,787	$208,070	YVMHA
YAKIMA HEART CENTER AT MEMORIAL TRUST
2811 TIETON DRIVE	YAKIMA	WA	98902	457017902	MEDICAL SERVICES	WA	$42,774,602	$23,755	YVMHA
YAKIMA UROLOGY AT MEMORIAL TRUST
2811 TIETON DRIVE	YAKIMA	WA	98902	476620487	MEDICAL SERVICES	WA	$10,090,163	$86,948	YVMHA
ORTHOPEDICS NORTHWEST AT MEMORIAL TRUST
1211 N 16TH AVENUE	YAKIMA	WA	98902	826150143	MEDICAL SERVICES	WA	$45,084,622	$121,076	YVMHA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GARDEN VILLAGE
206 S 10TH AVENUE	YAKIMA	WA	98902	912090034	SKILLED NURSING	WA	501(C)(3)	LINE 10	N/A	0
VIRGINIA MASON HEALTH SYSTEM
1100 NINTH AVENUE	SEATTLE	WA	98101	911351110	FUNDRAISING	WA	501(C)(3)	LINE 7	N/A	0
VIRGINIA MASON MEDICAL CENTER
1100 NINTH AVENUE	SEATTLE	WA	98101	910565539	HEALTH CARE	WA	501(C)(3)	LINE 3		0	VMHS
VIRGINIA MASON INSTITUTE
1100 NINTH AVENUE	SEATTLE	WA	98101	263763656	EDUCATION	WA	501(C)(3)	LINE 9		0	VMMC
BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON
1201 NINTH AVENUE	SEATTLE	WA	98101	910653422	RESEARCH	WA	501(C)(3)	LINE 4		0	VMHS
CHILDREN'S VILLAGE
3801 KERN ROAD	YAKIMA	WA	98902	352654720	SUPPORTING ORGANIZATION	WA	501(C)(3)	LINE 12A, I	N/A	0

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

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
VIRGINIA MASON MEDICAL CENTER
1100 NINTH AVE	SEATTLE	WA	98101	910565539	Yes (X)	$129,023	$80,424	$209,447	$1,140,696,406	$1,140,905,853	$1,000,000	$250,000	$0	$0	$0
VIRGINIA MASON HEALTH SYSTEM
1100 NINTH AVE	SEATTLE	WA	98101	911351110		$0	$0	$0	$16,626,427	$16,626,427	$981,321	$245,330	$0	$0	$0
VIRGINIA MASON INSTITUTE
1100 NINTH AVE	SEATTLE	WA	98101	263763656		$0	$0	$0	$3,869,715	$3,869,715	$343,486	$85,872	$0	$0	$0
BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON
1100 NINTH AVE	SEATTLE	WA	98101	910653422		$0	$0	$0	$71,349,522	$71,349,522	$1,000,000	$250,000	$0	$0	$0