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OVERLAKE MEDICAL CENTER & CLINICS: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
OVERLAKE MEDICAL CENTER & CLINICS (EIN 91-0652651)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-02
IRS object ID
202031849349301733
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-02T16:36:19-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911194016PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1400AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910652651EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OVERLAKE HOSPITAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOVERBusinessNameControlTxt
Phone4256885000PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW TOKARPersonNm
Person TitleCFOPersonTitleTxt
Phone4256885000PhoneNum
Signature2020-06-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSARA ELIZABETH J HYREPreparerPersonNm
PTINP00235495PTIN
Phone4254544919PhoneNum
Preparation2020-06-22PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.158.230.202IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-06-22IPDt
IP Tm11:22:24IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9CA007D6FA4ECCBF5600246BD0FD47D8656BF948AtSubmissionCreationDeviceId
At Submission Filing Device IdC070BA3AF7F6D7D87E83B9D9DF9412DF7C2C6F3FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJ MICHAEL MARSHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11035 116TH AVENUE NEAddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$610,151,807GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.OVERLAKEHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTHE PURPOSE IS TO OPERATE A HOSPITAL FOR THE CARE OF PERSONS, TO PARTICIPATE IN EDUCATION, RESEARCH AND OTHER ACTIVITIES DESIGNED TO PROMOTE GENERAL HEALTH OF THE COMMUNITY. THE HOSPITAL'S MISSION IS TO PROVIDE COMPASSIONATE CARE FOR EVERY LIFE WE TOUCH.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee3591TotalEmployeeCnt
Total Volunteers437TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$50,241NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,238,558PYContributionsGrantsAmt
CY Contributions Grants$10,968,633CYContributionsGrantsAmt
PY Program Service Revenue$528,986,469PYProgramServiceRevenueAmt
CY Program Service Revenue$562,043,343CYProgramServiceRevenueAmt
PY Investment Income$27,642,046PYInvestmentIncomeAmt
CY Investment Income$32,387,340CYInvestmentIncomeAmt
PY Other Revenue-$755,220PYOtherRevenueAmt
CY Other Revenue$4,676,272CYOtherRevenueAmt
PY Total Revenue$563,111,853PYTotalRevenueAmt
CY Total Revenue$610,075,588CYTotalRevenueAmt
PY Grants And Similar Paid$2,035,426PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,277,968CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$284,442,183PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$304,352,109CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$242,222,917PYOtherExpensesAmt
CY Other Expenses$265,233,789CYOtherExpensesAmt
PY Total Expenses$528,700,526PYTotalExpensesAmt
CY Total Expenses$571,863,866CYTotalExpensesAmt
PY Revenues Less Expenses$34,411,327PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$38,211,722CYRevenuesLessExpensesAmt
Total Assets BOY$929,186,996TotalAssetsBOYAmt
Total Assets EOY$959,048,510TotalAssetsEOYAmt
Total Liabilities BOY$402,594,319TotalLiabilitiesBOYAmt
Total Liabilities EOY$390,370,885TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$526,592,677NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$568,677,625NetAssetsOrFundBalancesEOYAmt
MissionTHE PURPOSE IS TO OPERATE A HOSPITAL FOR THE CARE OF PERSONS, TO PARTICIPATE IN EDUCATION, RESEARCH AND OTHER ACTIVITIES DESIGNED TO PROMOTE GENERAL HEALTH OF THE COMMUNITY. THE HOSPITAL'S MISSION IS TO PROVIDE COMPASSIONATE CARE FOR EVERY LIFE WE TOUCH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$468,926,890ExpenseAmt
Revenue$561,849,803RevenueAmt
DescSEE SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,277,968ExpenseAmt
Grant$2,277,968GrantAmt
DescOTHER GRANTS AND ALLOCATIONS:GRANTS TO OVERLAKE HOSPITAL FOUNDATION AND OVERLAKE HOSPITAL AUXILIARIES TO COVER EXPENSES AND GRANTS TO SUPPORT OTHER COMMUNITY NONPROFIT ORGANIZATIONS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,885,036ExpenseAmt
Revenue$193,540RevenueAmt
DescEDUCATION SERVICES:IN ADDITION TO THE EXCELLENT CARE WE PROVIDE OUR PATIENTS, THE HOSPITAL FIRMLY BELIEVES EDUCATION IS CRITICAL TO OVERALL WELLNESS. THE HOSPITAL REACHES OUT TO THE COMMUNITY TO ENGAGE AND EMPOWER ITS PATIENTS IN BECOMING EDUCATED HEALTHCARE CONSUMERS BY OFFERING FREE AND LOW-COST CLASSES FOR ALL AGE GROUPS. HEALTH EDUCATION IS AN IMPORTANT PART OF PREVENTATIVE CARE. THE EDUCATION PROGRAM PROVIDED 18,391 FAMILY CONTACT HOURS OFFERING CLASSES OF A WIDE RANGE OF HEALTH RELATED TOPICS INCLUDING WOMEN'S HEALTH, PRENATAL CARE, COPING SKILLS, DEALING WITH CANCER, POSITIVE PARENTING, SAFETY, ASTHMA, HEART DISEASE, DIABETES, LIVING WILLS, INCONTINENCE, WEIGHT LOSS, MAINTAINING BALANCE, BABYSITTING FOR TEENS, CPR AND HEALTHY LIFESTYLES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$473,089,894TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document232IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3591EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LINDSEY SOBOLOSKIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4256885552PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RUSSELL STOCKDALE
CHAIR6.000.30Yes (X)Yes (X)$0$0$0
ROBERT CAMPBELL
SECRETARY/CHAIR ELECT8.000.50Yes (X)Yes (X)$0$0$0
JASON THOMPSON
TREASURER3.500.50Yes (X)Yes (X)$0$0$0
PATRICIA BEDIENT
IMMEDIATE PAST CHAIR4.001.00Yes (X)Yes (X)$0$0$0
JORGE CERDA
TRUSTEE3.003.00Yes (X)$0$0$0
GREG COLLINS
TRUSTEE2.000.30Yes (X)$0$0$0
JANINE FLORENCE
TRUSTEE0.500.50Yes (X)$0$0$0
TED HERB
TRUSTEE1.000.50Yes (X)$0$0$0
TIFFANY KOENIG
TRUSTEE2.002.00Yes (X)$0$0$0
JIM LADD
TRUSTEE3.001.00Yes (X)$0$0$0
MARTHA LEE
TRUSTEE1.000.50Yes (X)$0$0$0
LINDA MAHAFFEY
TRUSTEE2.501.00Yes (X)$0$0$0
UMA RAGHAVAN
TRUSTEE2.000.50Yes (X)$0$0$0
LISA WISSNER-SLIVKA
TRUSTEE1.000.50Yes (X)$0$0$0
DILIP WAGLE
TRUSTEE2.000.50Yes (X)$0$0$0
PHYLLIS STARK
TRUSTEE THRU NOV 20185.006.00Yes (X)$0$0$0
THOMAS STOLL
TRUSTEE2.000.30Yes (X)$77,000$0$0
J MICHAEL MARSH
PRESIDENT & CEO45.0015.00Yes (X)$1,069,195$0$180,478
THOMAS A DEBORD
COO55.007.00Yes (X)$587,656$0$105,558
ANDREW J TOKAR
CFO50.007.00Yes (X)$427,061$0$67,850
DAVID A KNOEPFLER
VP, CHIEF MEDICAL OFFICER55.000.00$607,026$0$114,395Yes (X)
KELAN R KOENIG MD
OMC PHYSICIAN EXECUTIVE55.000.00$599,759$0$86,063Yes (X)
VALERIE CHRUSCIEL
OMC COO60.000.00$302,911$0$49,688Yes (X)
MICHELLE CURRY
VP, CHIEF NURSING OFFICER55.000.00$239,911$0$44,307Yes (X)
ABHINEET CHOWDHARY MD
NEUROSURGEON40.000.00$964,718$0$30,417Yes (X)
DEREK M RODRIGUES MD
CARDIOLOGIST40.000.00$1,001,209$0$35,297Yes (X)
DAVID W NELSON MD
CARDIOLOGIST40.000.00$946,326$0$40,797Yes (X)
ROBERT S BINFORD MD
CARDIOLOGIST40.000.00$849,199$0$35,457Yes (X)
ROBERT WOOCHUL RHO MD
CARDIOLOGIST40.000.00$811,221$0$29,669Yes (X)
GARY L MCLAUGHLIN
FORMER CFO0.000.00$260,528$0$890Yes (X)
CAITLIN HILLARY-MOULDING
FORMER KEY EMPLOYEE0.000.00$412,215$0$85,447Yes (X)
DENNIS ROCHIER
FORMER KEY EMPLOYEE0.000.00$217,689$0$0Yes (X)
RICHARD BRYAN
FORMER KEY EMPLOYEE0.000.00$143,186$0-$4,608Yes (X)
TD SAM BAXTER
FORMER KEY EMPLOYEE0.000.00$117,040$0$11,264Yes (X)
JULIE BEE CLAYTON
FORMER KEY EMPLOYEE0.000.00$201,327$0$17,994Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,835,177TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$930,963TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K589IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GALL LANDAU YOUNG CONST CO
PO BOX 6728BELLEVUEWA98008CONSTRUCTION$27,395,530
NBBJ
PO BOX 742088LOS ANGELESCA90074ARCHITECT FEES$3,472,711
BLOODWORKS
921 TERRY AVENUESEATTLEWA98104LABORATORY SERVICES$3,078,393
EPIC SYSTEMS CORPORATION
PO BOX 88314MILWAUKEEWI53288SOFTWARE DEVELOPMENT$2,332,098
AYA HEATHCARE INC
POBOX 123519 DEPT 3519DALLASTX75312STAFFING$1,983,418
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K105CntrctRcvdGreaterThan100KCnt
Related Organizations$10,940,090RelatedOrganizationsAmt
Government Grants$28,543GovernmentGrantsAmt
Total Contributions$10,968,633TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NON GOVERNMENT PAYMENT622110$361,472,578$361,472,578
MEDICARE/MEDICAID622110$199,520,956$199,520,956
OTHER PROGRAM SERVICES900099$893,721$893,721
EDUCATION SERVICES611710$193,540$193,540
PROGRAM RELATED INV.900099-$37,452-$37,452
FieldValueIRS element (for citing)
Total Program Service Revenue$562,043,343TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,078,816TotalRevenueColumnAmt
Exclusion$13,078,816ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$470,302RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$470,302RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$470,302TotalRevenueColumnAmt
Exclusion$470,302ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$19,274,237SecuritiesAmt
Other$34,287OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$19,274,237SecuritiesAmt
Other$34,287OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,308,524TotalRevenueColumnAmt
Exclusion$19,308,524ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$156,810GrossSalesOfInventoryAmt
Cost Of Goods Sold$76,219CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$80,591TotalRevenueColumnAmt
Exclusion$80,591ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA/CATERING722514$2,793,044$2,793,044
PARKING REVENUE812930$389,331$389,331
SETTLEMENT REVENUE900099$352,967$352,967

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$590,037TotalRevenueColumnAmt
Exclusion$590,037ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,125,379OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$610,075,588TotalRevenueColumnAmt
Related Or Exempt Func Income$562,043,343RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$37,063,612ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,277,968TotalAmt
Program Services$2,277,968ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,730,091TotalAmt
Program Services$2,862,590ProgramServicesAmt
Management And General$1,867,501ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$9,649TotalAmt
Management And General$9,649ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$241,192,832TotalAmt
Program Services$205,599,415ProgramServicesAmt
Management And General$35,593,417ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,888,611TotalAmt
Program Services$13,791,447ProgramServicesAmt
Management And General$2,097,164ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$25,952,510TotalAmt
Program Services$21,125,739ProgramServicesAmt
Management And General$4,826,771ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,578,416TotalAmt
Program Services$13,918,403ProgramServicesAmt
Management And General$2,660,013ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,243,538TotalAmt
Program Services$56,765ProgramServicesAmt
Management And General$1,186,773ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$328,609TotalAmt
Management And General$328,609ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$57,875TotalAmt
Management And General$57,875ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$270,089TotalAmt
Management And General$270,089ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$49,537,249TotalAmt
Program Services$37,944,247ProgramServicesAmt
Management And General$11,593,002ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,326,126TotalAmt
Management And General$1,326,126ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,733,685TotalAmt
Program Services$7,007,137ProgramServicesAmt
Management And General$3,726,548ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,779,974TotalAmt
Management And General$11,779,974ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$17,855,089TotalAmt
Program Services$12,377,265ProgramServicesAmt
Management And General$5,477,824ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$889,063TotalAmt
Program Services$408,899ProgramServicesAmt
Management And General$480,164ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$713,362TotalAmt
Program Services$426,614ProgramServicesAmt
Management And General$286,748ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,257,569TotalAmt
Program Services$8,257,569ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,771,249TotalAmt
Program Services$22,861,985ProgramServicesAmt
Management And General$8,909,264ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,624,444TotalAmt
Program Services$5,116,074ProgramServicesAmt
Management And General$1,508,370ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$88,557,736$88,407,384$150,352
PENSION SETTLEMENT EXP.$13,090,034$11,362,259$1,727,775
MEDICAID ASSESSMENT$12,380,841$12,380,841
UBI TAX$220,056$220,056

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,597,201TotalAmt
Program Services$6,687,237ProgramServicesAmt
Management And General$2,909,964ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$571,863,866TotalAmt
Program Services$473,089,894ProgramServicesAmt
Management And General$98,773,972ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$27,402,130BOYAmt
EOY$18,088,963EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$119,515,655BOYAmt
EOY$81,468,599EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$60,787,493BOYAmt
EOY$68,667,364EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,743,993BOYAmt
EOY$9,968,063EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,436,631BOYAmt
EOY$10,944,443EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$600,802,294LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$338,092,323LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$223,718,010BOYAmt
EOY$262,709,971EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$464,423,889BOYAmt
EOY$496,081,426EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,739,732BOYAmt
EOY$2,900,667EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,916,580BOYAmt
EOY$1,786,161EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,502,883BOYAmt
EOY$6,432,853EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$929,186,996BOYAmt
EOY$959,048,510EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$90,179,741BOYAmt
EOY$87,010,992EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$295,555,352BOYAmt
EOY$292,503,810EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,859,226BOYAmt
EOY$10,856,083EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$402,594,319BOYAmt
EOY$390,370,885EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$526,534,825BOYAmt
EOY$567,702,607EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$57,852BOYAmt
EOY$975,018EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$526,592,677BOYAmt
EOY$568,677,625EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$929,186,996BOYAmt
EOY$959,048,510EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$38,211,722ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,360,151NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$6,486,925OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$57,875DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$57,875TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPART OF MEMBERSHIP DUES THAT ARE PAID TO WASHINGTON STATE HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,151,141OtherCostOrOtherBasisAmt
Book Value$2,151,141BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$231,241,542OtherCostOrOtherBasisAmt
Depreciation$121,045,450DepreciationAmt
Book Value$110,196,092BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,895,314OtherCostOrOtherBasisAmt
Depreciation$4,246,005DepreciationAmt
Book Value$649,309BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$277,869,850OtherCostOrOtherBasisAmt
Depreciation$212,800,868DepreciationAmt
Book Value$65,068,982BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$84,644,447OtherCostOrOtherBasisAmt
Book Value$84,644,447BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$262,709,971TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
LIABILITY INSURANCE RESERVE$8,371,960
WORKERS COMPENSATION RESERVE$2,386,984
OTHER LONG TERM LIABILITY$97,139
FieldValueIRS element (for citing)
Total Liability$10,856,083TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,686,920TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,686,920NetCommunityBenefitExpnsAmt
Total Expense0.00990TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,577,149TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,761,199DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,815,950NetCommunityBenefitExpnsAmt
Total Expense0.05030TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,264,069TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,761,199DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,502,870NetCommunityBenefitExpnsAmt
Total Expense0.06020TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$902,549TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$161,163DirectOffsettingRevenueAmt
Net Community Benefit Expns$741,386NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,737,341TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,125DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,735,216NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,261,926TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,686,487DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,575,439NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$378,702TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$188,342DirectOffsettingRevenueAmt
Net Community Benefit Expns$190,360NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$377,608TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$377,608NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,658,126TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,038,117DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,620,009NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,922,195TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,799,316DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,122,879NetCommunityBenefitExpnsAmt
Total Expense0.06690TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$3,555,287BadDebtExpenseAmt
Bad Debt Expense Attributable$2,791,967BadDebtExpenseAttributableAmt
Reimbursed By Medicare$73,146,397ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$76,098,727CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,952,330MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 OVERLAKE SURGERY CENTER LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesAMBULATORY SURGICAL SVCSPrimaryActivitiesTxt
Org Profit Or Ownership0.30160OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.18830PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OVERLAKE HOSPITAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1OVERLAKE HOSPITAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLOVERLAKEHOSPITAL.ORG/ABOUT-OVERLAKEOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLOVERLAKEHOSPITAL.ORG/ABOUT-OVERLAKEStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained Basis0ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.OVERLAKEHOSPITAL.ORG/FINANCIAL-ARRANGEMENTSFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.OVERLAKEHOSPITAL.ORG/FINANCIAL-ARRANGEMENTSFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.OVERLAKEHOSPITAL.ORG/FINANCIAL-ARRANGEMENTSFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
OVERLAKE HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 5: OVERLAKE MEDICAL CENTER SOLICITED COMMUNITY INPUT THROUGH KEY STAKEHOLDER INTERVIEWS TO IDENTIFY RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THE SIGNIFICANT HEALTH NEEDS. OVERLAKE MEDICAL CENTER PARTICIPATED IN A COLLABORATIVE PROCESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (HHC). HHC IS A COLLABORATIVE OF ALL 11 HOSPITALS AND/OR HEALTH SYSTEMS IN KING COUNTY AND PUBLIC HEALTH-SEATTLE & KING COUNTY. THE HHC MEMBERS JOINED TOGETHER TO IDENTIFY IMPORTANT HEALTH NEEDS AND ASSETS IN THE COMMUNITIES THEY SERVE. HHC RECOGNIZES THAT PARTNERSHIPS BETWEEN HOSPITALS, PUBLIC HEALTH, COMMUNITY ORGANIZATIONS AND COMMUNITIES ARE KEY TO SUCCESSFUL STRATEGIES TO ADDRESS COMMON HEALTH NEEDS. THE COMMUNITY HEALTH NEEDS ASSESSMENT INCORPORATED EXISTING DEMOGRAPHIC AND HEALTH DATA FOR THE COMMUNITIES SERVED BY THE HOSPITAL. IT INCLUDED COLLECTION AND ANALYSIS OF INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH. THE HEALTH NEEDS WERE IDENTIFIED FROM ISSUES SUPPORTED BY PRIMARY AND SECONDARY DATA SOURCES GATHERED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS WERE INDICATED BY STAKEHOLDER INTERVIEWS, FOCUS GROUPS, AND SECONDARY DATA SOURCES. THE NEEDS WERE CONFIRMED BY MORE THAN ONE INDICATOR OR DATA SOURCE. COMMUNITY STAKEHOLDERS, IDENTIFIED BY THE HOSPITAL, WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEW PARTICIPANTS INCLUDED LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AS WELL AS THE LOCAL HEALTH DEPARTMENT THAT HAS "CURRENT DATA OR INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY," PER IRS REQUIREMENTS. THE INTERVIEWS TOOK INTO ACCOUNT INPUT FROM A BROAD RANGE OF PERSONS LOCATED IN OR SERVING ITS COMMUNITY INCLUDING, HEALTH CARE CONSUMERS, NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, ACADEMIC EXPERTS, LOCAL GOVERNMENT OFFICIALS, LOCAL SCHOOL DISTRICTS, HEALTH CARE PROVIDERS AND COMMUNITY HEALTH CENTERS.
OVERLAKE HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 6A: EVERGREEN HEALTHCHI FRANCISCAN HEALTHKAISER PERMANENTEMULTICARE HEALTH SYSTEMNAVOSSEATTLE CANCER CARE ALLIANCESEATTLE CHILDREN'SSWEDISH MEDICAL CENTERUW MEDICINEVIRGINIA MASON
OVERLAKE HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 6B: PUBLIC HEALTH-SEATTLE & KING COUNTYWASHINGTON STATE HOSPITAL ASSOCIATION
OVERLAKE HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 11: OVERLAKE HOSPITAL MEDICAL CENTER WILL ADDRESS THE FOLLOWING HEALTH NEEDS THROUGH COMMITMENT OF COMMUNITY BENEFIT PROGRAMS AND CHARITABLE RESOURCES. GOALS HAVE BEEN ESTABLISHED THAT INDICATE THE ANTICIPATED IMPACT ON THESE HEALTH NEEDS AS A RESULT OF THE RESOURCES THE HOSPITAL WILL COMMIT TO MEETING THE HEALTH NEEDS. STRATEGIES TO ADDRESS THE PRIORITY HEALTH NEEDS ARE IDENTIFIED AND IMPACT MEASURES WILL BE TRACKED. THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE DETERMINED AND PRIORITIZED WITH INPUT FROM THE COMMUNITY:MENTAL HEALTH- INCREASE ACCESS TO MENTAL HEALTHCARE RESOURCES AND SERVICES. OVERLAKE WILL IMPLEMENT A MENTAL HEALTH COMMUNITY PROGRAM TO DELIVER A SUICIDE PREVENTION CURRICULUM IN CONJUNCTION WITH LOCAL SCHOOLS AND COMMUNITY MENTAL HEALTH SERVICES. EXPAND ACCESS TO EARLY INTERVENTION AND SCREENING AND OTHER MENTAL HEALTH SERVICES- ESPECIALLY TO YOUTH THROUGH OUR PARTNERSHIP WITH YOUTH EASTSIDE SERVICES. DEVELOP A PROGRAM TO OFFER DEMENTIA AND ALZHEIMER'S DISEASE PREVENTION EDUCATION. CONTINUE AND EXPAND CAREGIVER SUPPORT PROGRAMS THROUGH COLLABORATION WITH AEGIS, SEAMAR AND YMCA. PROVIDE SUPPORTIVE SERVICES FOR CAREGIVERS OF PERSONS WITH DEMENTIA. SUPPORT COMMUNITY ORGANIZATIONS THAT PROVIDE MENTAL HEALTH SERVICES.ACCESS TO CARE- INCREASE ACCESS TO HEALTHCARE FOR THE MEDICALLY UNDERSERVED WITH A FOCUS ON THE CULTURALLY DIVERSE POPULATIONS OF THE EASTSIDE. OVERLAKE WILL EXPAND OUTREACH ACTIVITIES WITH SOUTH ASIAN AND SOUTHEAST ASIAN POPULATIONS IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS. OVERLAKE WILL PROVIDE FINANCIAL ASSISTANCE BY OFFERING FREE AND DISCOUNTED CARE FOR HEALTHCARE SERVICES, CONSISTENT WITH OVERLAKE'S FINANCIAL ASSISTANCE POLICY.CARDIOVASCULAR DISEASE- DECREASE HEART DISEASE AMONG VULNERABLE EASTSIDE POPULATIONS. OVERLAKE WILL: IMPLEMENT EDUCATION AND OUTREACH PROGRAMS TARGETED TO THE SOUTH ASIAN POPULATION (IDENTIFIED WITH A HIGHER RELATIVE RISK), CONTINUE TO OFFER OVERLAKE'S WOMEN AND HEART SYMPOSIUM, AND PARTICIPATED IN AND SPONSOR EDUCATION PROGRAMS WITH THE AMERICAN HEART ASSOCIATION.PREVENTIVE HEALTHCARE- INCREASE ACCESS TO CLINICAL PREVENTIVE SERVICES TO REDUCE DEATH, DISABILITY AND DISEASE. OVERLAKE WILL COMMIT THE FOLLOWING RESOURCES TO ADDRESS THIS HEALTH NEED BY PROVIDING FREE FLU AND PNEUMOCOCCAL VACCINES TO THE MEDICALLY UNDERSERVED, OFFER SENIOR WELLNESS PROGRAMS, OFFER COLORECTAL CANCER SCREENINGS TARGETED TO THE HIGH RISK MEMBERS OF THE SOUTHEAST ASIAN COMMUNITY, PROVIDE FREE DISEASE PREVENTION AND AWARENESS PROGRAMS THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY AND THE AMERICAN HEART ASSOCIATION, AND CONDUCT EDUCATION FOCUSED ON SMOKING AND VAPING PREVENTION AMONG YOUTH.OTHER HEALTH NEEDS- OVERLAKE HOSPITAL MEDICAL CENTER HAS CHOSEN NOT TO ACTIVELY ADDRESS THE REMAINING HEALTH NEEDS OF OVERWEIGHT AND OBESITY AND SEXUALLY TRANSMITTED INFECTIONS AS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, OVERLAKE WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. THEREFORE, THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE SELECTED PRIORITY HEALTH NEEDS.
PART V, SECTION B, LINE 3E:THE IDENTIFIED SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED WITH INPUT FROM THE COMMUNITY.THE FOLLOWING CRITERIA WERE USED TO PRIORITIZED THE HEALTH NEEDS: CHANGE OVER TIME - DETERMINATION IF THE HEALTH NEED HAS IMPROVED, STAYED THE SAME OR WORSENED.RESOURCES - AVAILABILITY OF RESOURCES IN THE COMMUNITY TO ADDRESS THE HEALTH NEED.
FieldValueIRS element (for citing)
Facility24FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - OMC-CARDIOLOGY BELLEVUE
1135 116TH AVE NE STE 600BELLEVUEWA98004CARDIOLOGY
2 - OMC-URGENT & PRIMARY CARE ISSAQUAH
5708 E LK SAMMAMISH PKWY SE STE 100ISSAQUAHWA98029URGENT/PRIMARY CARE
3 - OMC-PULMENDOCRINOLOGYPRIMARY CARE
1231 116TH AVE NE STE 400BELLEVUEWA98004PULMONOLOGY/ENDOCRINOLOGY/ PRIMARY CARE
4 - OMC-NEUROLOGY
1135 116TH AVE NE STE 500BELLEVUEWA98004NEUROLOGY/NEUROSURGERY/NEUROHOSPITAL
5 - OMC-DT BELLEVUE PRIMARYURGENT CARE
400 108TH AVE NE STE 100BELLEVUEWA98004PRIMARY/URGENT CARE
6 - OMC-RAD ONCOLOGY PHYSGYNMEDICALBREAST
1135 116TH AVE NE STE 200BELLEVUEWA98004ONCOLOGY/BREAST SURGERY/GYNECOLOGY
7 - OMC-URGENT CARE REDMOND
17209 REDMOND WAYREDMONDWA98052URGENT CARE
8 - OMC-MUSCULOSKELETAL MED ISSAQUAH
1740 NW MAPLE ST STE 111ISSAQUAHWA98027MUSCULOSKELETAL MEDICINE
9 - OMC-OP PHYSSPEECHOCCUP THERAPY
1417 116TH AVE NE STE 110BELLEVUEWA98004PHYSICAL/SPEECH/OCCUPATIONAL
10 - OMC-REDMOND PRIMARY & CARDIOLOGY
7345 164TH AVE NE STE 1-105REDMONDWA98052PRIMARY CARE/CARDIOLOGY
11 - OMC-CARDIACTHORACIC SURGERY
1135 116TH AVE NE STE 605BELLEVUEWA98004CARDIACTHORACIC SURGERY
12 - OMC-OP PSYCH
1750 112TH AVE NE STE B-102BELLEVUEWA98004PSYCH SERVICES
13 - OMC-URGENT & PRIMARY CARE LAKE HILL
619 156TH AVE SEBELLEVUEWA98007URGENT CARE/PRIMARY CARE
14 - OMC-KIRKLAND PRIMARY CARECARDIOLOGY
290 CENTRAL WAYKIRKLANDWA98033PRIMARY CARE/CARDIOLOGY
15 - OMC-SAMMAMISH PRIMARY & URGENT CARE
22630 SE 4TH ST STE 300SAMMAMISHWA98074PRIMARY CARE/URGENT CARE
16 - OMC-CONCIERGE SERVICES
1231 116TH AVE NE STE 525BELLEVUEWA98004CONCIERGE SERVICES
17 - OMC-SPECIALTY CLINIC BELLEVUE
1231 116TH AVE NE SUITE 515BELLEVUEWA98004BARIATRIC/METABOLIC SURGERY/MEDICAL WEIGHT LOSS
18 - OMC-SENIOR HEALTH CLINIC BELLEVUE
1750 112TH AVE NE STE A101BELLEVUEWA98004SENIOR HEALTH SERVICES
19 - OMC-CARDIOLOGYPULMSPECIALTY SERVICESN
1740 NW MAPLE STE 207ISSAQUAHWA98027CARDIOLOGY/PULM/SPECIALTY/ NUTRITION/ENDOCRINOLOGY
20 - OMC-COLORECTAL SURGERY
1135 116TH AVE NE STE 550BELLEVUEWA98004COLORECTAL
21 - OMC-PELVIC HEALTH
1135 116TH AVE NE STE 510BELLEVUEWA98004PELVIC HEALTH
22 - OMC-INFECTIOUS DISEASE
1135 116TH AVE NE STE 140BELLEVUEWA98004INFECTIOUS DISEASE
23 - OMC-URGENT & PRIMARY CARE NEWCASTLE
13167 NEWCASTLE COMMONS DRNEWCASTLEWA98059URGENT CARE/PRIMARY CARE
24 - OMC-EXPEDIA PRIMARY CARE
333 108TH AVE NEBELLEVUEWA98004PRIMARY CARE

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO THE FPL CRITERIA, THERE IS A RESIDENCY REQUIREMENT TO EITHER BE A RESIDENT OF THE STATE OF WASHINGTON OR MEET AN EXCEPTION FOR NON-RESIDENTS. NON-RESIDENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE WHILE RECEIVING SERVICES WITHIN THE EMERGENCY DEPARTMENT OR AS A RESULT OF A DIRECT ADMISSION FROM THE EMERGENCY DEPARTMENT. EXCEPTIONS TO THE WASHINGTON STATE RESIDENCY REQUIREMENT ALSO INCLUDE REFUGEES, ASYLEES, AND THOSE SEEKING ASYLUM THAT POSSESS AND CAN PRESENT INS DOCUMENTATION.
PART I, LINE 7:THE COSTING METHODOLOGY FOR CHARITY CARE AND UNREIMBURSED MEDICAID WAS THE COST TO CHARGE METHOD USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2. THE COMMUNITY HEALTH IMPROVEMENT COST, HEALTH PROFESSIONAL EDUCATION, RESEARCH AND CASH AND IN-KIND CONTRIBUTIONS ARE DIRECT COST AND DO NOT INCLUDE ANY INDIRECT COST. THE COST FOR SUBSIDIZED HEALTH SERVICES IS DERIVED FROM A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS.
PART III, LINE 2:PATIENT BILLS ARE REDUCED BY PAYMENTS, CONTRACTUAL ADJUSTMENTS, CHARITY ADJUSTMENTS, AND OTHER ADJUSTMENTS AS APPLICABLE. PATIENTS ARE THEN RESPONSIBLE FOR ANY REMAINING BALANCE. IF A PATIENT DOES NOT PAY THE BALANCE OR MAKE PAYMENT ARRANGEMENTS ACCORDING TO THE COLLECTION POLICY, THE BALANCE IS WRITTEN OFF TO BAD DEBT. THE BAD DEBT EXPENSE ON SCHEDULE H, PART III, LINES 2 AND 3 ARE ESTIMATED BASED ON THE COST TO CHARGE RATIO.
PART III, LINE 3:THE HOSPITAL BELIEVES THAT APPROXIMATELY 79% OF THE BAD DEBT EXPENSE ARE RELATED TO PATIENTS THAT WOULD BE ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE GUIDELINES HAD THE PATIENT PROVIDED THE FINANCIAL INFORMATION NECESSARY TO MAKE THE DETERMINATION. THIS PERCENTAGE IS BASED ON RUNNING CREDIT CHECKS ON A SAMPLE OF ACCOUNTS THAT WERE BEING SENT TO BAD DEBTS.
PART III, LINE 4:PROVISION FOR BAD DEBT FOOTNOTE ON ATTACHED AUDITED FINANCIAL STATEMENT PAGE 15, SECTION E.
PART III, LINE 8:THE COSTING METHODOLOGY FOR MEDICARE ALLOWABLE COST IS DERIVED FROM FY 2019 MEDICARE COST REPORT. THE HOSPITAL BELIEVES THAT ALL THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO MEDICARE PATIENTS AND THE HOSPITAL CONTINUES PROVIDING CARE TO THE MEDICARE BENEFICIARIES REGARDLESS OF THE SHORTFALL. BY ABSORBING THE MEDICARE SHORTFALL, THE HOSPITAL THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES.
PART III, LINE 9B:THE HOSPITAL WILL PLACE A PATIENT'S ACCOUNT ON HOLD WHEN A PATIENT'S ACCOUNT IS BEING CONSIDERED FOR CHARITY. ONCE A DETERMINATION HAS BEEN MADE THAT A PATIENT QUALIFIES FOR CHARITY CARE, THE PATIENT'S ACCOUNT IS REDUCED BY THE CHARITY AMOUNT GRANTED AND A LETTER IS SENT TO THE PATIENT NOTING THE CHARITY ADJUSTMENT. THE PATIENT MAY APPEAL THE DECISION IF HE/SHE BELIEVES THERE IS ADDITIONAL INFORMATION THAT SHOULD HAVE BEEN CONSIDERED OR THE FINANCIAL SITUATION HAS CHANGED. THE PATIENT IS RESPONSIBLE FOR ANY BALANCE REMAINING AFTER THE CHARITY ADJUSTMENT, IF ANY, AND THE COLLECTION PROCESS WILL CONTINUE IN THE NORMAL PROCESS.
PART VI, LINE 2:IN 2018, THE HOSPITAL PARTICIPATED IN A COLLABORATIVE PROCESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (HHC). HHC IS A COLLABORATIVE OF ALL 11 HOSPITALS AND HEALTH SYSTEMS IN KING COUNTY AND PUBLIC HEALTH-SEATTLE & KING COUNTY. THE HHC'S VISION IS TO PARTICIPATE IN A COLLABORATIVE APPROACH THAT IDENTIFIES COMMUNITY NEEDS, ASSETS, RESOURCES, AND STRATEGIES TOWARD ASSURING BETTER HEALTH AND HEALTH EQUITY FOR ALL KING COUNTY RESIDENTS. THIS SHARED APPROACH AVOIDS DUPLICATION AND FOCUSES AVAILABLE RESOURCES ON A COMMUNITY'S MOST IMPORTANT HEALTH NEEDS. HHC RECOGNIZES THAT PARTNERSHIPS BETWEEN HOSPITALS, PUBLIC HEALTH, COMMUNITY ORGANIZATIONS AND COMMUNITIES ARE KEY TO SUCCESSFUL STRATEGIES TO ADDRESS COMMON HEALTH NEEDS.DATA ANALYSES WERE CONDUCTED AT THE MOST LOCAL LEVEL POSSIBLE FOR THE MEDICAL CENTER'S PRIMARY SERVICE AREA, GIVEN THE AVAILABILITY OF THE DATA. IN SOME CASES, DATA WERE ONLY AVAILABLE AT THE COUNTY LEVEL.SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED AND ANALYZED THROUGH A REVIEW OF THE SECONDARY HEALTH DATA PRIOR TO THE INTERVIEWS. HEALTH NEEDS WERE IDENTIFIED USING THE SIZE OF THE PROBLEM (RELATIVE PORTION OF POPULATION AFFLICTED BY THE PROBLEM) AND THE SERIOUSNESS OF THE PROBLEM (IMPACT AT INDIVIDUAL, FAMILY, AND COMMUNITY LEVELS). TO DETERMINE SIZE OR SERIOUSNESS OF THE PROBLEM, THE HEALTH NEED INDICATORS WERE MEASURED AGAINST BENCHMARK DATA (COUNTY RATES, STATE RATES AND/OR HEALTHY PEOPLE 2020 OBJECTIVES). INDICATORS RELATED TO THE HEALTH NEEDS THAT PERFORMED POORLY AGAINST ONE OR MORE OF THESE BENCHMARKS MET THE CRITERION TO BE CONSIDERED. SECONDARY DATA WAS COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT A COMMUNITY PROFILE, BIRTH INDICATORS, LEADING CAUSES OF DEATH, ACCESS TO CARE, CHRONIC DISEASE, COMMUNICABLE DISEASE, HEALTH BEHAVIORS, SOCIAL ISSUES AND SCHOOL AND STUDENT CHARACTERISTICS. WHEN AVAILABLE, THESE DATA SETS WERE PRESENTED IN THE CONTEXT OF KING COUNTY AND WASHINGTON, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY.IN ADDITION, THE HOSPITAL CONDUCTED TARGETED INTERVIEWS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. THE REPORT INCLUDES BENCHMARK COMPARISON DATA, COMPARING THE HOSPITAL COMMUNITY DATA FINDINGS WITH HEALTH PEOPLE 2020 OBJECTIVES.
PART VI, LINE 3:INFORMATION ABOUT ASSISTANCE PROGRAMS STARTS AT THE POINT OF REGISTRATION. PLACARDS DESCRIBING THE FINANCIAL ASSISTANCE PROGRAMS ARE AT ALL ADMITTING REGISTRATION DESKS. FINANCIAL ASSISTANCE CAN TAKE THE FORM OF ASSISTANCE IN QUALIFYING FOR MEDICAID, CHARITY, OR PROMPT PAY DISCOUNTS. FINANCIAL COUNSELORS ARE AVAILABLE TO DISCUSS THE FINANCIAL ARRANGEMENTS FOR ALL PATIENTS AND THEY DISCUSS THE FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL COUNSELORS WILL ALSO ASSIST PATIENTS IN COMPLETING THE HOSPITAL'S CHARITY CARE APPLICATION IF THE PATIENT BRINGS IN INFORMATION AND NEEDS HELP COMPLETING THE APPLICATION. THE HOSPITAL ENGAGES AN OUTSIDE COMPANY TO ASSIST PATIENTS WITH APPLYING FOR MEDICAID. GENERAL INFORMATION ABOUT THE ASSISTANCE PROGRAMS IS THEN INCLUDED AS PART OF EACH PATIENT STATEMENT THAT IS SENT TO A PATIENT AND INCLUDES THE PHONE NUMBER OF THE PATIENT FINANCIAL SERVICES DEPARTMENT TO CALL FOR ASSISTANCE. IN ADDITION, AS PART OF THE ACCOUNT FOLLOW UP, PATIENT FINANCIAL SERVICE REPRESENTATIVES WILL CALL PATIENTS AFTER THEIR SECOND STATEMENT AND WILL DISCUSS PATIENT FINANCIAL ASSISTANCE AS PART OF THE CALL. OVERLAKE'S CHARITY CARE POLICY IS POSTED ON THE WASHINGTON STATE DEPARTMENT OF HEALTH'S WEBSITE AND ON THE HOSPITAL'S WEBSITE.
PART VI, LINE 4:THE SERVICE AREA FOR OVERLAKE IS DIVIDED INTO TWO MARKETS - LOCAL AND OUTLYING - WITH THE LOCAL MARKET DIVIDED INTO FIVE SERVICE AREAS (BELLEVUE, EAST, ISSAQUAH/SAMMAMISH, REDMOND/KIRKLAND AND SW) AND THE OUTLYING MARKET DIVIDED INTO TWO SERVICE AREAS (NORTH AND SOUTH). THE POPULATION OF THE OVERLAKE SERVICE AREA IS 897,978. CHILDREN AND YOUTH, AGES 0-17, MAKE UP ALMOST ONE-FOURTH (24%) OF THE POPULATION OF THE SERVICE AREA; 6.6% ARE 18-24 YEARS OF AGE, 30% ARE 25-44, 27.8% ARE 45-64, AND 11.7% OF THE POPULATION ARE SENIORS, 65 YEARS OF AGE AND OLDER. THE AREA HAS HIGHER RATES OF CHILDREN UNDER AGE 18 AND FEWER SENIORS WHEN COMPARED TO THE COUNTY AND THE STATE. THE MAJORITY RACE/ETHNICITY IN THE SERVICE AREA IS WHITE/CAUCASIANS (66.1%) WHILE ASIANS MAKE UP 19.3% OF THE POPULATION, AND HISPANICS OR LATINOS ARE 7%.POVERTY THRESHOLDS ARE USED FOR CALCULATING ALL OFFICIAL POVERTY POPULATION STATISTICS AND ARE UPDATED EVERY THREE YEARS BY THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THE NEXT UPDATE WILL BE IN 2021. IN THE OVERLAKE SERVICE AREA, 6.5% OF THE POPULATION WAS LIVING AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 14.7% WERE CONSIDERED LOW-INCOME (LIVING AT OR BELOW 200% FPL). THESE RATES ARE BETTER THAN COUNTY AND STATE. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $101,457. THIS IS HIGHER MEDIAN INCOME THAN IN THE COUNTY ($78,800) OR STATE ($62,848).
PART VI, LINE 5:THE HOSPITAL STAFF PARTICIPATES IN THE COUNTY WIDE DISASTER PREPAREDNESS GROUP AND IS THE BACK UP TO HARBORVIEW MEDICAL CENTER. THE HOSPITAL HAS AN OPEN MEDICAL STAFF MODEL. THE HOSPITAL OPERATES AN ACTIVE SCREENING PROGRAM IN WHICH WE OFFER FREE HEALTH SCREENINGS AT LEAST FOUR TIMES ANNUALLY AT COMMUNITY EVENTS. THE LARGEST ONE IS THE ANNUAL OVERLAKE EASTSIDE VITALITY COMMUNITY HEALTH FAIR IN WHICH WE PROVIDE OVER 2,000 FREE SCREENINGS INCLUDING CHOLESTEROL, STROKE RISK, DIABETES AND SKIN CANCER. SCREENING RESULTS AND FREE COUNSELING ARE PROVIDED AT THE EVENTS. THOSE WHO NEED TO SEE A PHYSICIAN ARE GIVEN A LIST OF PROVIDERS, INCLUDING COMMUNITY MEDICAL CLINICS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
OVERLAKE HOSPITAL FOUNDATION
1035 116TH AVE NEBELLEVUEWA98004911050325501(C)(3)$2,004,390SUPPORT OPERATIONS
OVERLAKE HOSPITAL AUXILIARIES
1035 116TH AVE NEBELLEVUEWA98004237297831501(C)(3)$63,078SUPPORT OPERATIONS
AMERICAN CANCER SOCIETY
2120 1ST AVE NSEATTLEWA98109131788491501(C)(3)$12,000SPONSOR
AMERICAN HEART ASSOCIATION
PO BOX 50085PRESCOTTAZ86304135613797501(C)(3)$30,000SPONSOR
BELLEVUE ARTS MUSEUM
510 BELLEVUE WAY NEBELLEVUEWA98004916028261501(C)(3)$45,000SPONSOR
BELLEVUE CHAMBER OF COMMERCE
330 112TH AVE NE STE 100BELLEVUEWA98004910533602501(C)(6)$23,000SPONSOR
ISSAQUAH SCHOOLS FOUNDATION
PO BOX 835ISSAQUAHWA98027943050254501(C)(3)$15,000SPONSOR
MARCH OF DIMES FOUNDATION
PO BOX 673667MARIETTAGA30006131846366501(C)(3)$15,000SPONSOR
BELLEVUE COLLEGE FOUNDATION
300 LANDERHOLM CIRCLE A101BELLEVUEWA98007463002271501(C)(3)$10,000SPONSOR
NAMI WALK WASHINGTON
1107 NE 45TH ST STE 340SEATTLEWA98105911689067501(C)(3)$10,000SPONSOR
ASIAN COUNSELING & REFERRAL SERVICES
3639 MARTIN LUTHER KING JR STSEATTLEWA98144911916176501(C)(3)$8,000SPONSOR
YOUTH EASTSIDE SERVICES
999 164TH AVE NEBELLEVUEWA98008910849093501(C)(3)$10,000SPONSOR
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
J MICHAEL MARSH
PRESIDENT & CEO$751,961$0$295,481$0$21,753$0$162,509$0$17,969$0$1,249,673$0$0$0
THOMAS A DEBORD
COO$452,681$0$106,036$0$28,939$0$87,589$0$17,969$0$693,214$0$0$0
ANDREW J TOKAR
CFO$292,880$0$105,488$0$28,693$0$60,261$0$7,589$0$494,911$0$0$0
DAVID A KNOEPFLER
VP, CHIEF MEDICAL OFFICER$439,574$0$139,789$0$27,663$0$101,742$0$12,653$0$721,421$0$0$0
KELAN R KOENIG MD
OMC PHYSICIAN EXECUTIVE$406,584$0$120,101$0$73,074$0$68,094$0$17,969$0$685,822$0$0$0
VALERIE CHRUSCIEL
OMC COO$241,913$0$58,000$0$2,998$0$40,419$0$9,269$0$352,599$0$0$0
MICHELLE CURRY
VP, CHIEF NURSING OFFICER$220,221$0$18,141$0$1,549$0$36,792$0$7,515$0$284,218$0$0$0
ABHINEET CHOWDHARY MD
NEUROSURGEON$829,138$0$112,500$0$23,080$0$22,000$0$8,417$0$995,135$0$0$0
DEREK M RODRIGUES MD
CARDIOLOGIST$726,085$0$192,349$0$82,775$0$16,500$0$18,797$0$1,036,506$0$0$0
DAVID W NELSON MD
CARDIOLOGIST$589,408$0$323,197$0$33,721$0$22,000$0$18,797$0$987,123$0$0$0
ROBERT S BINFORD MD
CARDIOLOGIST$614,536$0$220,941$0$13,722$0$22,000$0$13,457$0$884,656$0$0$0
ROBERT WOOCHUL RHO MD
CARDIOLOGIST$797,256$0$8,641$0$5,324$0$16,500$0$13,169$0$840,890$0$0$0
GARY L MCLAUGHLIN
FORMER CFO$0$0$0$0$260,528$0$0$0$890$0$261,418$0$0$0
CAITLIN HILLARY-MOULDING
FORMER KEY EMPLOYEE$289,314$0$61,757$0$61,144$0$72,818$0$12,629$0$497,662$0$36,615$0
DENNIS ROCHIER
FORMER KEY EMPLOYEE$0$0$0$0$217,689$0$0$0$0$0$217,689$0$24,036$0
RICHARD BRYAN
FORMER KEY EMPLOYEE$0$0$0$0$143,186$0-$4,608$0$0$0$138,578$0$0$0
TD SAM BAXTER
FORMER KEY EMPLOYEE$0$0$0$0$117,040$0$0$0$11,264$0$128,304$0$0$0
JULIE BEE CLAYTON
FORMER KEY EMPLOYEE$110,759$0$0$0$90,568$0$12,900$0$5,094$0$219,321$0$27,991$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7INCENTIVES WERE PAID TO DEREK RODRIGUES, DAVID NELSON AND ROBERT BINFORD BASED ON PRODUCTIVITY AND MEETING CERTAIN INDIVIDUAL QUALITY GOALS. INCENTIVES WERE PAID TO ABHINEET CHOWDHARY ON MEETING CERTAIN INDIVIDUAL QUALITY GOALS.
PART I, LINE 4ATHE FOLLOWING RECEIVED SEVERANCE PAYMENTS IN 2018: GARY MCLAUGHLIN $260,528 T.D. SAM BAXTER $117,040 RICHARD BRYAN $143,186 DENNIS ROCHIER $193,653
PART III, LINE 4BJ. MICHAEL MARSH, THOMAS DEBORD, GARY MCLAUGHLIN, JULIE CLAYTON, DAVID KNOEPFLER AND CAITLIN H. MOULDING PARTICIPATED IN A BENEFIT WITHIN THE EXECUTIVE BENEFIT PLAN CALLED THE CAPITAL ACCUMULATION ACCOUNT. THE CAPITAL ACCUMULATION ACCOUNT IS CLASSIFIED AS A 457(F) PLAN BY THE IRS. THE FOLLOWING AMOUNTS FROM THE CAPITAL ACCUMULATION ACCOUNT WERE PAID IN 2018. CAITLIN H. MOULDING $35,955 JULIE B. CLAYTON $27,991 DENNIS ROCHIER $24,036 THESE AMOUNTS HAD BEEN REPORTED AS DEFERRED COMPENSATION ON PRIOR FORMS 990. CAITLIN H. MOULDING, JULIE B. CLAYTON, AND DENNIS ROCHIER RECEIVED REDEMPTION OF CREDITS IN THE CAPITAL ACCUMULATION ACCOUNT THAT HAD BECOME VESTED.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$8,775,000$58,151,860$825,678$60,425$57,265,75720080Yes (1)Yes (1)Yes (1)
B$253,988,007$1,653,471$14,596,4790Yes (1)0Yes (1)$19,810$85,622,786$77,881,390$74,214,070

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)000.001400.000000.001400Yes (1)0.005600Yes (1)
B0Yes (1)000.001100.000000.0011000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: WA HEALTH CARE FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2015
SCHEDULE K, PART II, LINE 3:THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO THE INVESTMENT EARNINGS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6:VOLUNTEERS PROVIDED 32,126 HOURS OF SERVICE TO OVERLAKE HOSPITAL MEDICAL CENTER DURING THE YEAR. VOLUNTEERS PROVIDE ASSISTANCE FOR PATIENTS AND GUESTS AT POINT OF ENTRY WITH INFORMATION, WAY-FINDING, AND TRANSPORTATION SERVICES. IN THE NURSING UNITS, VOLUNTEERS HELP ANSWER CALL LIGHTS AND PROVIDE COMFORT TO SUPPORT AND FACILITATE THE PHYSICAL, EMOTIONAL, MENTAL AND SPIRITUAL HEALTH AND SELF-HEALING OF THE PATIENT. INCLUDED IN THE TOTAL VOLUNTEERS ARE 15 BOARD MEMBERS THAT VOLUNTEERED THEIR TIME AS BOARD MEMBERS DURING THE YEAR.
FORM 990, PART III, LINE 4A:HOSPITAL SERVICES: OVERLAKE HOSPITAL MEDICAL CENTER IS A NONPROFIT, INDEPENDENTLY OPERATED REGIONAL CENTER SERVING THE EASTERN PUGET SOUND REGION WITH MEDICAL FACILITIES IN BELLEVUE, ISSAQUAH, KIRKLAND, REDMOND AND SAMMAMISH. FOUNDED IN 1953, TODAY OVERLAKE HOSPITAL IS A REGIONAL LEADER IN HEALTH CARE, PROVIDING ADVANCED MEDICAL SERVICES IN THE AREAS OF CARDIAC CARE, GENERAL AND SPECIALTY SURGERY, WOMEN'S SERVICES, CANCER CARE AND EMERGENCY SERVICES. THE HOSPITAL ALSO HAS A NETWORK OF NEIGHBORHOOD CLINICS IN ITS PRIMARY SERVICE AREA. THERE WERE 17,165 PATIENTS ADMITTED FOR INPATIENT MEDICAL CARE FOR A TOTAL OF 66,397 PATIENT DAYS. THERE WERE 236,547 OUTPATIENT VISITS, OUT OF WHICH 51,464 WERE FOR EMERGENCY CARE VISITS. THE HOSPITAL DELIVERED 3,651 BABIES. OVERLAKE MEDICAL CLINICS PROVIDED 318,981 PATIENT VISITS. OVERLAKE HOSPITAL DEMONSTRATED A COMMITMENT TO IMPROVING THE HEALTH OF THE COMMUNITY BY SUPPORTING MANY HEALTH-RELATED EVENTS, PROGRAMS, CLINICAL RESEARCH AND MADE VARIOUS CONTRIBUTIONS THROUGHOUT THE YEAR THAT HAD A DIRECT BENEFIT TO THE COMMUNITY. THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES. OVERLAKE HOSPITAL PROVIDED CARE TO 7,286 PATIENTS WHO WERE UNINSURED OR UNDER INSURED AT AN ESTIMATED COST OF $5,686,920. THE HOSPITAL PROVIDED CARE TO MEDICAID PATIENTS AT RATES BELOW THE COST OF PROVIDING SERVICES. THE PAYMENTS WERE LESS THAN COST BY $17,815,950. IN KEEPING WITH THE HOSPITAL'S SPIRIT OF GIVING BACK TO THE COMMUNITY, IT PROVIDED A TOTAL OF $5,620,009 OF COMMUNITY BENEFIT SERVICE ACTIVITIES. AS THE HEALTH CARE NEEDS OF OUR COMMUNITY INCREASE AND GROW MORE COMPLEX, OVERLAKE HAS STRENGTHENED ITS COMMITMENT TO PROVIDING THE MOST ADVANCED TREATMENT AND TECHNOLOGY ALONGSIDE COMPASSIONATE CARE EVERY DAY. WITH HEALTH CARE PROMINENT IN THE NATIONAL DEBATE, OVERLAKE MEDICAL CENTER IS GIVING EASTSIDE RESIDENTS AN OPPORTUNITY FOR A WIDE VARIETY OF FREE HEALTH SCREENINGS WHERE THE BARRIERS OF BOTH COST AND LANGUAGE ARE REMOVED. THE SCREENINGS ARE FREE AND DO NOT REQUIRE PATIENTS TO HAVE HEALTH INSURANCE. THE FREE SCREENINGS INCLUDE CHOLESTEROL, BLOOD PRESSURE, BODY MASS INDEX, CARDIAC AND DIABETES RISK ASSESSMENTS. CONSULTATIONS WITH A HEALTH CARE PROVIDER WILL ALLOW PATIENTS TO UNDERSTAND WHAT SCREENING RESULTS MEAN. FURTHERMORE, NOT WANTING LANGUAGE TO BE A BARRIER TO PATIENTS NOT FLUENT IN ENGLISH, OVERLAKE OFFERS INTERPRETERS IN MULTIPLE LANGUAGES INCLUDING MANDARIN, CANTONESE, HINDI, SPANISH AND RUSSIAN. IT IS PART OF OVERLAKE'S MISSION TO BRING HEALTH CARE OUT INTO THE COMMUNITY, TO MAKE IT ACCESSIBLE TO ALL PEOPLE AND THESE COMPLIMENTARY SCREENINGS HELP US FULFILL OUR MISSION IN A MEANINGFUL WAY. THE FUTURE IS NOW: PROJECT FUTURECARE, OUR $250 MILLION CAMPUS RENEWAL, SUPPORTED BY A 50 MILLION FUNDRAISING CAMPAIGN, IS WELL ON ITS WAY TO TRANSFORMING OVERLAKE. THE PROJECT REPLACES AN AGING BUILDING WITH A STATE-OF-THE-ART FACILITY THAT WILL EXTEND AND SUPPORT OUR WORLD-CLASS CARE. NEW OPERATING ROOMS WILL INCREASE THE NUMBER OF HEART PATIENTS WE CAN CARE FOR. THE CHILDBIRTH CENTER IN THE NEW BUILDING WILL INCLUDE BEAUTIFUL ROOMS WITH SPACE TO WELCOME FAMILY MEMBERS AND A HOST OF UPGRADED FEATURES. AN EXPANDED MENTAL HEALTH UNIT WILL MAKE CARE MORE ACCESSIBLE FOR PATIENTS WHO COME TO US WITH MENTAL HEALTH AS WELL AS MEDICAL CHALLENGES. IN 2018, SUPPORT FROM THE COMMUNITY HELPED THE OVERLAKE NEUROSCIENCE INSTITUTE OPEN THE FIRST AND ONLY EPILEPSY CLINIC ON THE EASTSIDE. PATIENTS WITH SEIZURE DISORDERS CAN NOW RECEIVE DIAGNOSTIC AND TREATMENT SERVICES CLOSE TO HOME. ACHIEVEMENT AWARDS RECEIVED IN 2019: 1. OVERLAKE MEDICAL CENTER & CLINICS HAS BEEN NAMED ONE OF AMERICA'S 100 BEST HOSPITALS FOR TOTAL JOINT REPLACEMENT, FOR TWO YEARS IN A ROW, WHICH INCLUDES HIP AND KNEE REPLACEMENTS, VALIDATES ITS HIGHLY CHOREOGRAPHED, TEAM-BASED EFFORTS IN THE HIGHLY COMPLEX JOINT REPLACEMENT PROCESS. 2. OVERLAKE MEDICAL CENTER & CLINICS HAS RECEIVED THE HEALTHGRADES 2019 PATIENT SAFETY EXCELLENCE AWARD, DEFINED AS THE TOP 10% OF HOSPITALS NATIONWIDE. THIS AWARD RECOGNIZED SUPERIOR PERFORMANCE OF HOSPITALS THAT HAVE PREVENTED THE OCCURRENCE OF SERIOUS, POTENTIALLY AVOIDABLE COMPLICATIONS FOR PATIENTS DURING HOSPITAL STAYS. ACCORDING TO HEALTHGRADES, OVERLAKE IS THE ONLY HOSPITAL IN THE SEATTLE-BELLEVUE-EVERETT AREA TO RECEIVE THIS AWARD IN 2019. 3. OVERLAKE STROKE PROGRAM RECEIVED THE AMERICAN HEART AND AMERICAN STROKE ASSOCIATIONS' GET WITH THE GUIDELINES - STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARDS AND IS ALSO LISTED ON THE TARGET: STROKE HONOR ROLL. THIS MARKS THE 10TH YEAR IN A ROW OVERLAKE HAS RECEIVED THE STROKE GOLD PLUS AWARDS, WHICH RECOGNIZED THE ORGANIZATION'S COMMITMENT TO QUALITY GUIDELINES THAT HAVE BEEN SHOWN TO IMPROVE PATIENT OUTCOMES. OVERLAKE WAS THE FIRST HOSPITAL ON THE EASTSIDE TO PERFORM MECHANICAL THROMBECTOMY WITH A STENT RETRIEVER - AN ADVANCED PROCEDURE FOR TREATING ISCHEMIC STROKE, WHICH INVOLVES PHYSICALLY REMOVING A BLOOD CLOT IN THE BRAIN, LEADING TO SIGNIFICANTLY IMPROVED OUTCOMES. 4. OVERLAKE MEDICAL CENTER & CLINICS IS A 2019 GYNECOLOGIC SURGERY EXCELLENCE AWARD RECIPIENT AS RECOGNIZED BY HEALTHGRADES, THE LEADING ONLINE RESOURCE FOR INFORMATION ABOUT PHYSICIAN AND HOSPITALS. THIS AWARD PLACES OVERLAKE IN THE TOP 5% OF ALL HOSPITALS QUALITY OUTCOMES IN GYNECOLOGIC SURGERY. OVERLAKE IS ALSO A FIVE-STAR RECIPIENT FOR HYSTERECTOMY FOR THE FOURTH YEAR IN A ROW. OVERLAKE'S INNOVATION INCLUDES INVESTING IN THE LATEST TECHNOLOGY AND EQUIPMENT, INCLUDING ROBOTIC TECHNOLOGY, WHICH RESULTS IN SHORTER HOSPITAL STAYS AND SHORTER RECOVERY TIMES. 5. OVERLAKE MEDICAL CENTER & CLINICS HAS EARNED THE JOINT COMMISSION'S THROMBECTOMY-CAPABLE STROKE CENTER CERTIFICATION. THIS CERTIFICATION MEANS THAT EASTSIDE RESIDENTS CAN FEEL CONFIDENT THEY HAVE THE HIGHEST LEVEL OF STROKE CARE NEARBY, WHICH IS CRITICAL DURING A STROKE. OVERLAKE IS PROUD TO HAVE BUILT A STROKE PROGRAM THAT SAVES LIVES AND PRESERVES QUALITY OF LIFE FOR PATIENTS WHO SUFFER STROKES BECAUSE THEY HAVE RECEIVED THIS TRANSFORMATIVE INTERVENTION CLOSE TO HOME. 6. OVERLAKE MEDICAL CENTER & CLINICS HAS BEEN AWARDED AN "A" SAFETY RATING FROM THE NATIONAL NONPROFIT ORGANIZATION THE LEAPFROG GROUP. THIS MARKS THE 14TH "A" RATING IN THE PAST 15 RATING CYCLES. THIS NATIONAL DISTINCTION RECOGNIZES OVERLAKE'S ACHIEVEMENTS IN PROTECTING PATIENTS FROM HARM AND PROVIDING SAFER HEALTHCARE. OVERLAKE IS ONE OF ONLY TWO HOSPITALS IN PUGET SOUND, AND THE ONLY ON THE EASTSIDE, TO HAVE RECEIVED SO MANY "A" GRADES FROM LEAPFROG SINCE THE GRADING BEGAN IN 2012.
FORM 990, PART VI, SECTION A, LINE 7AOVERLAKE HOSPITAL ASSOCIATION HAS THE RIGHT TO APPOINT AND REMOVE OVERLAKE HOSPITAL MEDICAL CENTER'S TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BOVERLAKE HOSPITAL ASSOCIATION MUST APPROVE: (A) ANY SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (B) ANY INCREASED INDEBTEDNESS EXCEEDING FIVE PERCENT OF THE GROSS PATIENT SERVICE REVENUE DURING A FISCAL YEAR OF THE CORPORATION; (C) THE ANNUAL BUDGET OF THE CORPORATION AND ANY MATERIAL AMENDMENTS THERETO; (D) THE AUDITORS OF THE CORPORATION; AND (E) ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN REVIEWED BY THE PRESIDENT & CEO, CFO, CHIEF HUMAN RESOURCES AND COMPLIANCE OFFICER, AND OVERLAKE HOSPITAL MEDICAL CENTER FINANCE COMMITTEE. THE 990 IS SENT TO THE OVERLAKE HOSPITAL MEDICAL CENTER BOARD MEMBERS PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS AND MANAGEMENT ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY 2) HAS READ AND UNDERSTANDS THE POLICY 3) HAS AGREED TO COMPLY WITH THE POLICY, AND 4) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATIONS AND THAT IN ORDER TO MAINTAIN THEIR FEDERAL TAX EXEMPTION THEY MUST AVOID CONFLICTS OF INTEREST AND ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF THEIR TAX-EXEMPT FUNCTIONS. A LIST OF ALL FINANCIAL INTEREST OR OTHER RELATIONSHIPS WITH ANY ORGANIZATIONS THAT HAS, OR CAN REASONABLY EXPECTED TO HAVE, A TRANSACTION WITH THE CORPORATION, COMPETES AGAINST THE CORPORATION, OR WHOSE INTEREST MATERIALLY CONFLICTS WITH THE INTEREST OF THE CORPORATION IS SUBMITTED ANNUALLY TO THE OVERLAKE HOSPITAL MEDICAL CENTER COMPLIANCE OFFICER FOR REVIEW. THE COMPLIANCE OFFICER SUMMARIZES ANY CONFLICTS OF INTEREST AND DISCUSSES THESE RESULTS WITH THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE, CEO AND GENERAL COUNSEL. THIS INFORMATION IS ALSO SHARED WITH THE CHAIR, COMMITTEE CHAIRS, AND CFO. AT BOARD MEETINGS, MEMBERS ARE EXPECTED TO RECUSE THEMSELVES FROM VOTING ON ISSUES WHEN THERE IS A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15OVERLAKE'S POLICY AND PROCESS FOR EXECUTIVE COMPENSATION IS FULLY DOCUMENTED IN THE "EXECUTIVE COMPENSATION ADMINISTRATION AND COMPLIANCE MANUAL" WHICH WAS LAST UPDATED IN NOVEMBER OF 2016. THIS MANUAL DETAILS THE CHARTER OF THE COMPENSATION COMMITTEE OF THE BOARD, THE COMPENSATION PHILOSOPHY AND HOW SALARY INCREASES, INCENTIVES AND BENEFITS AND PERQUISITES ARE ADMINISTERED. COMPENSATION COMMITTEE MEMBERS ARE INDEPENDENT BOARD MEMBERS AS REQUIRED BY THE CHARTER AND BY-LAWS. THE PROCESS INCLUDES AN INDEPENDENT CONSULTANT WHO WORKS DIRECTLY FOR THE COMPENSATION COMMITTEE AND REVIEW OF COMPARABLE DATA FROM EXTERNAL SOURCES. ALL COMPENSATION RELATED DECISIONS FOR THE CEO, COO AND OTHER EXECUTIVES ARE DISCUSSED, DELIBERATED AND VOTED ON BY THE COMPENSATION COMMITTEE AND DOCUMENTED IN THE MINUTES OF THE MEETING. THE COMPENSATION AND INCENTIVE PAYMENT OF THE CEO IS REVIEWED AND APPROVED BY THE FULL BOARD.
FORM 990, PART VI, SECTION C, LINE 19OVERLAKE HOSPITAL MAKES ITS DISCLOSURE OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE THROUGH THE HOSPITAL'S ADMINISTRATION OFFICE. THE OVERLAKE HOSPITAL ASSOCIATION CONSOLIDATED FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE OVERLAKE MEDICAL CENTER'S WEBSITE.
FORM 990, PART XI, LINE 9:CHANGE IN PENSION LIABILITY 14,901,754. INVESTMENT IMPAIRMENT -21,388,679.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
OVERLAKE MEDICAL CLINICS LLC
1035 116TH AVENUE NEBELLEVUEWA98004911932954MEDICAL CLINICSWA$61,650,918$24,701,155OVERLAKE HOSPITAL MEDICAL CENTER
OVERLAKE PROVIDER NETWORK LLC
1035 116TH AVENUE NEBELLEVUEWA98004474545130CLINICALLY INTEGRATED NETWORKWA$0$0OVERLAKE HOSPITAL MEDICAL CENTER

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
OVERLAKE HOSPITAL FOUNDATION
1035 116TH AVE NEBELLEVUEWA98004911050325FUNDRAISINGWA501(C)(3)7 - 509(A)(1)OVERLAKE HOSPITAL MEDICAL CENTERYes (1)
OVERLAKE HOSPITAL AUXILIARIES
1035 116TH AVE NEBELLEVUEWA98004237297831FUNDRAISINGWA501(C)(3)7 - 509(A)(1)OVERLAKE HOSPITAL MEDICAL CENTERYes (1)
OVERLAKE HOSPITAL ASSOCIATION
1035 116TH AVE NEBELLEVUEWA98004911274134PROVIDE SUPPORTWA501(C)(3)12B - TYPE II SUPPORYes (1)N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
OVERLAKE HOSPITAL FOUNDATION
B$2,004,390CASH
OVERLAKE HOSPITAL FOUNDATION
C$7,740,090CASH
OVERLAKE HOSPITAL FOUNDATION
N$111,700CASH
OVERLAKE HOSPITAL FOUNDATION
O$216,963CASH
OVERLAKE HOSPITAL AUXILIARIES
B$63,078CASH
OVERLAKE HOSPITAL AUXILIARIES
N$24,126CASH
OVERLAKE HOSPITAL AUXILIARIES
O$29,511CASH
OVERLAKE HOSPITAL AUXILIARIES
Q$15,625CASH
OVERLAKE HOSPITAL ASSOCIATION
A$7,320,707FMV
OVERLAKE HOSPITAL ASSOCIATION
C$3,200,000CASH
OVERLAKE HOSPITAL ASSOCIATION
O$126,725CASH
OVERLAKE HOSPITAL ASSOCIATION
P$587,589CASH