STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION (EIN 91-0567263)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-12
IRS object ID
201903169349306685
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)
Return2019-11-12T05:54:27-00:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11918 8th Avenue Suite 2900AddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910567263EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Yakima Valley Memorial Hospital AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlYAKIBusinessNameControlTxt
Phone5095758000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 Tieton DriveAddressLine1Txt
CityYakimaCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98902ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRussell MyersPersonNm
Person TitlePresident and CEOPersonTitleTxt
Signature2019-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSue RobisonPreparerPersonNm
Phone2069134000PhoneNum
Preparation2019-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address204.147.223.1IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-12IPDt
IP Tm23:37:17IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3A8BCFA172999187EBBEF58FE652F98775CE2010AtSubmissionCreationDeviceId
At Submission Filing Device Id3A8BCFA172999187EBBEF58FE652F98775CE2010AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Virginia Mason MemorialBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRussell MyersPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 Tieton DriveAddressLine1Txt
CityYakimaCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98902ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$468,107,344GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.yakimamemorial.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1950FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionVirginia 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 Washingtons Yakima Valley for nearly 70 years.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee3284TotalEmployeeCnt
Total Volunteers398TotalVolunteersCnt
Total Gross UBI$41,112,793TotalGrossUBIAmt
PY Contributions Grants$4,115,360PYContributionsGrantsAmt
CY Contributions Grants$4,201,219CYContributionsGrantsAmt
PY Program Service Revenue$451,760,130PYProgramServiceRevenueAmt
CY Program Service Revenue$461,698,745CYProgramServiceRevenueAmt
PY Investment Income$6,918,238PYInvestmentIncomeAmt
CY Investment Income-$2,544,936CYInvestmentIncomeAmt
PY Other Revenue$948,914PYOtherRevenueAmt
CY Other Revenue$3,944,696CYOtherRevenueAmt
PY Total Revenue$463,742,642PYTotalRevenueAmt
CY Total Revenue$467,299,724CYTotalRevenueAmt
PY Grants And Similar Paid$185,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$378,584CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$248,445,191PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$245,952,191CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$217,594,991PYOtherExpensesAmt
CY Other Expenses$232,322,790CYOtherExpensesAmt
PY Total Expenses$466,225,682PYTotalExpensesAmt
CY Total Expenses$478,653,565CYTotalExpensesAmt
PY Revenues Less Expenses-$2,483,040PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$11,353,841CYRevenuesLessExpensesAmt
Total Assets BOY$371,888,685TotalAssetsBOYAmt
Total Assets EOY$351,870,446TotalAssetsEOYAmt
Total Liabilities BOY$149,217,738TotalLiabilitiesBOYAmt
Total Liabilities EOY$144,480,709TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$222,670,947NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$207,389,737NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionVirginia Mason Memorial VMM, part of the Virginia Mason Health System, is a 226-bed-acute-care, not-for-profit community hosital that has served Central Washingtons Yakima Valley for nearly 70 years. VMMs purpose is to inspire people to thrive. Continued on Schedule O.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$204,289,731ExpenseAmt
Grant$34,315GrantAmt
Revenue$280,853,843RevenueAmt
DescOutpatient Services. During 2018, Virginia Mason Memorial VMM performed 366,588 outpatient visits for surgery, cancer care, diagnostic testing and various other therapeutic services. Those outpatient services were offered in a manner consistent with the hospitals 501c3 status, including charity care to qualifying patients per the hospitals charity care policy. In 2018, VMM provided charity care and unreimbursed Medicaid services during 6,487 outpatient visits, totaling 2,750,371.76. Continued on Schedule O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$90,827,551ExpenseAmt
Grant$293,311GrantAmt
Revenue$135,294,212RevenueAmt
DescInpatient Services. Virginia Mason Memorial VMM hospital admitted 7,245 patients that qualified for charity care, for a total of 46,942 patient days. These inpatient charity care encounters amounted to 6,312,136.69. Charity care was provided per the terms of the hospitals 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$29,506,191ExpenseAmt
Grant$50,958GrantAmt
Revenue$972,347RevenueAmt
DescSupporting 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 hospitals 501c3 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. Continued on Schedule O.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$17,410,961TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$3,465,931TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$342,034,434TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document275IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3284EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTimothy Reed VPCFOPersonNm
Phone5095758000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 Tieton DrAddressLine1Txt
CityYakimaCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98902ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Scott Wagner
Director, Chairman002.00Yes (X)Yes (X)$0$0$0
Dave Hargreaves
Director, Vice-Chairman002.00Yes (X)Yes (X)$0$0$0
Bill Feldmann MD
Director, Treasurer002.00Yes (X)Yes (X)$0$0$0
Buffy Alegria
Director, Secretary002.00Yes (X)Yes (X)$0$0$0
Bruce Heiser
Director002.00Yes (X)$0$0$0
Maribel Jimenez
Director002.00Yes (X)$0$0$0
Rich Martinez
Director002.00Yes (X)$0$0$0
Sonia Rodriguez True
Director002.00Yes (X)$0$0$0
Steve Rupp MD
Director002.00Yes (X)$0$0$0
Gail Weaver
Director002.00Yes (X)$0$0$0
Jim Young
Director002.00Yes (X)$0$0$0
Russell Myers
President/CEO040.00Yes (X)$512,197$0$71,160
Tim Reed
Vice President/CFO040.00Yes (X)$292,818$0$65,584
Diane Patterson
Vice President, CCO040.00$264,011$0$61,171Yes (X)
Matthew Kollman
MP/COO040.00$190,025$0$53,521Yes (X)
Vu Le
Physician - MP040.00$1,018,234$0$38,757Yes (X)
Rick Gross
Physician - MP040.00$529,634$0$61,212Yes (X)
Christopher Tan
Physician - MP040.00$754,569$0$34,237Yes (X)
Tekchand Tanwani
Physician - MP040.00$551,283$0$67,889Yes (X)
Kevin Harrington
Physician - MP040.00$611,101$0$46,568Yes (X)
Scott Lancaster DO
MP/CEO, Former key employee040.00$324,418$0$65,745Yes (X)
James Aberle
Vice President, Operations, Former Key Employee040.00$649,115$0$39,785Yes (X)
Jeff Yamada
Vice President, CIO, Former Key Employee040.00$577,283$0$16,300Yes (X)
Edward Miles
Vice President, Integration and Development, Former Key Employee040.00$315,460$0$35,986Yes (X)
Jolene Seda
Vice President, People Culture, Former Key Employee040.00$200,733$0$62,774Yes (X)
Shawnie Haas
ACO/CEO, Former Key Employee040.00$190,302$0$62,808Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,981,183TotalReportableCompFromOrgAmt
Total Other Compensation$783,497TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K403IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Orthopedics Northwest
1211 N 16th AveYakimaWA98902Medical and Health Care$16,546,205
Yakima Heart Center Inc PS
406 S 30th Ave Suite 201YakimaWA98902Medical and Health Care$11,101,164
Emergency Associates of Yakima
2811 Tieton DriveYakimaWA98902Medical and Health Care$10,566,015
Yakima Urology Associates PPLC
2500 Racquet LaneYakimaWA98902Medical and Health Care$5,223,657
Cerner Corporation
PO Box 959167St LouisMO63195Contractor$4,722,611
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K117CntrctRcvdGreaterThan100KCnt
Government Grants$2,460,502GovernmentGrantsAmt
All Other Contributions$1,740,717AllOtherContributionsAmt
Total Contributions$4,201,219TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net patient revenue621400$419,911,658$419,911,658
Memorial Physicians/Signal Health621110$40,900,078$40,900,078
Lab Service621500$212,334$212,334
Expense Reimbursement900099$632,561$632,561

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,114TotalRevenueColumnAmt
Related Or Exempt Func Income$42,114RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$461,698,745TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,544,936TotalRevenueColumnAmt
Exclusion-$2,544,936ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$755,213RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$807,620RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$52,407RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$52,407TotalRevenueColumnAmt
Unrelated Business Revenue$381UnrelatedBusinessRevenueAmt
Exclusion-$52,788ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Gift Shop453220$337,270$337,270
Cafeteria900099$1,992,319$1,992,319
Child Care624410$821,573$821,573

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$845,941TotalRevenueColumnAmt
Exclusion$845,941ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,997,103OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$467,299,724TotalRevenueColumnAmt
Related Or Exempt Func Income$420,586,333RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$41,112,793UnrelatedBusinessRevenueAmt
Exclusion$1,399,379ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$378,584TotalAmt
Program Services$378,584ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,666,212TotalAmt
Program Services$2,606,933ProgramServicesAmt
Management And General$1,059,279ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$201,388,461TotalAmt
Program Services$132,693,524ProgramServicesAmt
Management And General$68,694,937ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,693,511TotalAmt
Program Services$6,963,659ProgramServicesAmt
Management And General$2,729,852ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,127,157TotalAmt
Program Services$11,287,022ProgramServicesAmt
Management And General$4,840,135ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$15,076,850TotalAmt
Program Services$11,275,503ProgramServicesAmt
Management And General$3,801,347ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$632,507TotalAmt
Program Services$24,135ProgramServicesAmt
Management And General$608,372ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$264,524TotalAmt
Management And General$264,524ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$106,629TotalAmt
Management And General$106,629ManagementAndGeneralAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$73,181,933TotalAmt
Program Services$59,552,727ProgramServicesAmt
Management And General$13,629,206ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$730,463TotalAmt
Program Services$4,641ProgramServicesAmt
Management And General$725,822ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,021,951TotalAmt
Program Services$7,775,364ProgramServicesAmt
Management And General$10,246,587ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,569,984TotalAmt
Program Services$4,493,335ProgramServicesAmt
Management And General$9,076,649ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,071,080TotalAmt
Program Services$2,758,251ProgramServicesAmt
Management And General$6,312,829ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$906,970TotalAmt
Program Services$438,109ProgramServicesAmt
Management And General$468,861ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,861,362TotalAmt
Management And General$1,861,362ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$1,857,714TotalAmt
Management And General$1,857,714ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,335,680TotalAmt
Program Services$19,341,051ProgramServicesAmt
Management And General$994,629ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,966,323TotalAmt
Program Services$1,065,363ProgramServicesAmt
Management And General$1,900,960ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical supplies$39,006,828$37,093,701$1,913,127
Drugs$34,026,507$34,004,981$21,526
Dietary Supplies$2,084,153$346,035$1,738,118
Sale of assets$18,394$18,394

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,679,788TotalAmt
Program Services$9,931,516ProgramServicesAmt
Management And General$3,748,272ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$478,653,565TotalAmt
Program Services$342,034,434ProgramServicesAmt
Management And General$136,619,131ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$67,838,496BOYAmt
EOY$65,087,245EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$524,890BOYAmt
EOY$2,788,399EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$56,666,426BOYAmt
EOY$51,227,983EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$738,689BOYAmt
EOY$841,711EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,260,156BOYAmt
EOY$7,739,577EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,586,079BOYAmt
EOY$4,217,321EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$265,572,399LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$59,011,065LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$212,468,290BOYAmt
EOY$206,561,334EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,905,360BOYAmt
EOY$6,199,952EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,626,724BOYAmt
EOY$3,416,385EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,152,779BOYAmt
EOY$1,771,608EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,120,796BOYAmt
EOY$2,018,931EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$371,888,685BOYAmt
EOY$351,870,446EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$77,794,348BOYAmt
EOY$82,913,418EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$117,049BOYAmt
EOY$16,591EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,646,745BOYAmt
EOY$49,556,350EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,659,596BOYAmt
EOY$11,994,350EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$149,217,738BOYAmt
EOY$144,480,709EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$221,371,349BOYAmt
EOY$204,856,814EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,299,598BOYAmt
EOY$2,532,923EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$222,670,947BOYAmt
EOY$207,389,737EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$371,888,685BOYAmt
EOY$351,870,446EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$11,353,841ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$3,927,369OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd
Public Support CY1700.00000PublicSupportCY170Pct
Public Support CY5090.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct

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)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$46,629FilingOrganizationsTotalAmt
Affiliated Group Total$180,464AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$60,000FilingOrganizationsTotalAmt
Affiliated Group Total$113,574AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$106,629FilingOrganizationsTotalAmt
Affiliated Group Total$294,038AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$478,546,936FilingOrganizationsTotalAmt
Affiliated Group Total$1,685,581,835AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$478,653,565FilingOrganizationsTotalAmt
Affiliated Group Total$1,685,875,873AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$154,766CurrentYearMinus3Amt
Current Year Minus2$275,782CurrentYearMinus2Amt
Current Year Minus1$28,247CurrentYearMinus1Amt
Current Year$294,038CurrentYearAmt
Total$752,833TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$108,173CurrentYearMinus3Amt
Current Year Minus2$163,134CurrentYearMinus2Amt
Current Year Minus1$175,480CurrentYearMinus1Amt
Current Year$180,464CurrentYearAmt
Total$627,251TotalAmt
FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$60,000DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$46,629OtherActivitiesAmt
Total Lobbying Expenditures$106,629TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
II-A AYakima Valley Memorial Hospital Association, EIN 91-0567263, 2811 Tieton Drive, Yakima, WA 98902. Non-electing member. 46,629 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, a portion of which was 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.
II-A A continuedVirginia Mason Medical Center, EIN 91-0565539, 1100 Ninth Avenue, Seattle, WA 98101. Electing member. Grassroots Lobbying Expenditures 133,835 Direct Lobbying Expenditures 53,574. 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 501h. The election was not revoked before the start of the tax year ending December 31, 2018.
II-A A continuedVirginia Mason Institute, EIN 26-3763656, 1100 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures, 0 Excess Lobbying Expenditures.
II-A A continuedVirginia Mason Health System, EIN 91-1351110, 1100 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures. Excess Lobbying Expenditures 0
II-A A continuedBenaroya Research Institute at Virginia Mason, EIN 91-0653422, 1201 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures. Excess Lobbying Expenditures 0.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,761,892OtherCostOrOtherBasisAmt
Book Value$13,761,892BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$93,365,510OtherCostOrOtherBasisAmt
Depreciation$10,871,660DepreciationAmt
Book Value$82,493,850BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,471,462OtherCostOrOtherBasisAmt
Depreciation$1,708,564DepreciationAmt
Book Value$4,762,898BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$137,456,781OtherCostOrOtherBasisAmt
Depreciation$45,376,003DepreciationAmt
Book Value$92,080,778BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,516,754OtherCostOrOtherBasisAmt
Depreciation$1,054,838DepreciationAmt
Book Value$13,461,916BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$206,561,334TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc
Federal income taxes
other liabilities
FieldValueIRS element (for citing)
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceX 2FormAndLineReferenceDesc
ExplanationU.S. GAAP require management to evaluate tax positions taken by Memorial and recognize a tax liability or asset if Memorial has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed tax positions taken by Memorial and concluded that as of December 31, 2018 and 2017, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or asset or disclosure in the consolidated financial statements. Memorial is subject to routine audits by taxing jurisdictions however, there are currently no audits for any tax periods in progress. Memorials management believes it is no longer subject to income tax examinations for years prior to 2015.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,117,503TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,117,503NetCommunityBenefitExpnsAmt
Total Expense0.01900TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$113,100,356TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$84,453,573DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,646,783NetCommunityBenefitExpnsAmt
Total Expense0.05980TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$122,217,859TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$84,453,573DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,764,286NetCommunityBenefitExpnsAmt
Total Expense0.07880TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served15709PersonsServedCnt
Total Community Benefit Expns$2,708,268TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$350,969DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,357,299NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served776PersonsServedCnt
Total Community Benefit Expns$7,690,885TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,690,885NetCommunityBenefitExpnsAmt
Total Expense0.01610TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served6151PersonsServedCnt
Total Community Benefit Expns$11,042,278TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,716,907DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,325,371NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served125PersonsServedCnt
Total Community Benefit Expns$501,808TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$501,808NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$402,014TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$402,014NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served22761PersonsServedCnt
Total Community Benefit Expns$22,345,253TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,067,876DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,277,377NetCommunityBenefitExpnsAmt
Total Expense0.02970TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served22761PersonsServedCnt
Total Community Benefit Expns$144,563,112TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$92,521,449DirectOffsettingRevenueAmt
Net Community Benefit Expns$52,041,663NetCommunityBenefitExpnsAmt
Total Expense0.10850TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$152,940TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$152,940NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$124,351TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$500DirectOffsettingRevenueAmt
Net Community Benefit Expns$123,851NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served15PersonsServedCnt
Total Community Benefit Expns$68,723TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$68,723NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served15PersonsServedCnt
Total Community Benefit Expns$346,014TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$500DirectOffsettingRevenueAmt
Net Community Benefit Expns$345,514NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$8,346,443BadDebtExpenseAmt
Reimbursed By Medicare$113,575,820ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$116,543,514CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,967,694MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Yakima Valley Memorial Hospital AssociationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12811 Tieton DriveAddressLine1Txt
CityYakimaCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98902ZIPCd
FieldValueIRS element (for citing)
Website Addressyakimamemorial.orgWebsiteAddressTxt
State License58StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting GroupAFacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLyakimamemorial.org/about-us-community-benefits.aspOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLyakimamemorial.org/about-us-community-benefits.aspStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care0000000300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0000000300.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLyakimamemorial.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLyakimamemorial.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLyakimamemorial.orgFAPSummaryOnWebsiteURLTxt
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 (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
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 (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Group Yakima Valley Memorial Hospital Association Line Part V, Section B, Line 3jMemorials 2016 Community Health Needs Assessment was adopted by the Board of Directors on November 29, 2016. The report was made public on the website and printed copies are available at the hospital upon request. The areas of assessment in the 2016 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 and transportation 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, food environment index, access to locations for physical activity, transportation, drinking water, severe housing problems, toxic chemicals. Additional assessments are conducted on an ongoing basis to track needs. 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. Memorials actions and progress in addressing the priority areas identified in the previous Community Health Needs Assessment 2013 are identified throughout the 2016 Community Health Needs Assessment in the associated topic sections and identified by the priority area number.
Group Yakima Valley Memorial Hospital Association Line Part V, Section B, Line 5Input for development of the Community Health Needs Assessment was solicited through an online tool. The internal advisory committee selected the top nine areas of greatest need and through the survey community organizations could provide input on the CHNA. The nine areas of greatest need were access to care health equity - disparities in health care, prevention and outcomes chronic disease prevention and screenings mental health health behaviors - physical inactivity and nutrition adverse childhood experiences homelessness infant mortality and sexually transmitted infections. The survey asked respondents to compare each of the nine priority areas to each other by placing them in order of importance to both them as a community member, as well as to the organization they represent the average ranking was calculated for each answer choice to select the top three priority areas that were of greatest importance to the community we serve. The top three areas were 1 Access to care, final ranked score of 7.46 2 Health Equity, final ranked score of 6.03 and 3 chronic disease prevention and screenings, final ranked score of 5.96. 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 under-served, 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 which can be found on Memorials website www.yakimamemorial.org/about-us-community-benefits.asp. The top three priority areas chosen by the community were assigned as primary and secondary priority areas based on hospital resources and ability to address the area of need. Some additional areas of need out of the top nine that did not make the top three were also selected as tertiary priority areas, Memorial committing to focus on these areas by partnering with others in the community working on those issues where possible and providing funding to support those needs when available.
Group Valley Imaging Line Part V, Section B, Line 7dIn addition to being made publicly available on the website, the 2016 Community Health Needs Assessment was shared widely by email and made public through a number of presentations to community-based organizations, coalitions and groups.
Group Yakima Valley Memorial Hospital Association Line Part V, Section B, Line 11Memorial has outlined how the hospital is addressing the significant needs identified in the most recently conducted Community Health Needs Assessment in the Virginia Mason Memorial Implementation Plan 2017-2019. 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 Improve - Improve the health outcomes of Yakima County. As a result of the 2016 Community Health Needs Assessment, health priorities were selected and using our four-stage approach we have developed a step-by-step action plan outlined in the implementation plan to address the five 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 and targets that will be used to evaluate our progress. The Virginia Mason Memorial Implementation Plan 2017-2019 was adopted by the Memorial Board of Directors on January 31, 2017. One additional area outlined in the implementation plan, which does not fall under a priority area, is the Enviromason Memorial sustainability program. Memorial identified 5 priority areas in the 2016 Community Health Needs Assessment. All five priorities identified in the 2016 Community Health Needs Assessment are being addressed. These priority areas are Access to Care Health Equity-Disparities in Health Care, Prevention and Outcomes Chronic Disease Prevention and Screenings Adverse Childhood Experiences and Infant Mortality. 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 to primary care and specialty clinics, as well as reduce wait time. Memorials CEO has spearheaded a medical leadership work-group with other hospital and federal qualified health center leaders. The objectives of this work-group are to explore area capacity challenges and common areas of interest and concern, and identify possible coordination-collaboration efforts to create positive Yakima Health outcomes. We partner with, and financially support local community colleges and health profession education programs. Memorial mentors and trains local health professionals from college programs across the county and state on site. This allows students to practice in their respective field of study as required to complete their degree and sit for associated exams. After completion of training and 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. Health Equity - Disparities in Health Care, Prevention and Outcomes Memorial is working on initiatives to improve the collection of demographic data e.g. race, ethnicity and preferred language. We developed a cultural competency action plan to better serve our diverse community and have taken the American Hospital Associations Health Equity Pledge with the goal of investigating and developing strategies to improve health disparities for 30-day hospital readmission. We have set interpretation targets to ensure that by the end of 2019 all of our interpreter staff will be Alta-State Certified furthermore, we utilize on-demand video remote interpretation to determine feasibility of providing that service across the family of services. Chronic Disease Prevention and Screenings 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, chronic disease management classes, Act Get Up, Get Moving Childhood Obesity Program, Healthy for Life exercise and cooking classes. Memorials Community Health Department puts on a number of community outreach screening and education events yearly in 2018, 10,207 community members participated in these events and programs. Memorials second objective for this priority area is focused on chronic disease screenings and a number of strategies are being deployed to ensure that we meet or exceed the 75th percentile targets of the National Committee for Quality Assurances Healthcare effectiveness data and information set for cancer, diabetes, cardiovascular disease and sexually transmitted infections specifically, chlamydia. Adverse Childhood Experiences We have worked to mitigate adverse childhood experiences ACES by implementing evidence-based practices proven to decrease long-term poor health outcomes. 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 childs second birthday. The goal of NFP is to improve child health and development by helping parents provide responsible and competent care for their children. 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. Healthy Pregnancy is an enhanced preventive health and education service intervention for eligible pregnant clients. Services are provided any time in pregnancy based on the mothers individual risks and needs. Infant case care management provides services to improve the welfare of infants by providing their parents with information and assistance for necessary medical, social, educational and other services throughout the infants first year. Infant Mortality The Community Health Needs Assessment showed high and increasing rates of infant mortality in the Native American population in Yakima County. Memorial is a partner in TTAWAXT, a multi-agency collaborative effort led by Indian Health Services on the Yakama Reservation, to investigate and reduce infant mortality and promote healthy families within tribal communities. Memorial participates in the Obstetrics Clinical Outcomes Assessment Program OB COAP, a Foundation for Health Care Quality FHCQ Program which focuses on health professionals decisions made during labor and delivery. As an OB COAP participant we provide specific chart-abstracted data about the care given to women during labor, delivery and postpartum periods which FHCQ then utilizes for analysis and discussion to evaluate labor management practices and interventions commonly used in labor and delivery and compare implications of care decisions. This allows for opportunities to explore methods for actionable and sustainable improvements in hospitals across the state. Data has shown this program has the potential to reduce up to 3,000 neonatal intensive care cases per year. The Virginia Mason Memorial Implementation Plan 2017-2019 can be found on our website www.yakimamemorial.org/about-us-community-benefits.asp.
FieldValueIRS element (for citing)
Facility35FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (35 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
North Star Lodge
808 N 39th AvenueYakimaWA98902Cancer Treatment Facility
Valley Imaging
314 S 11th AvenueYakimaWA98902Radiology
Orthopedics Northwest
1211 N 16th AvenueYakimaWA98902Outpatient Physician Clinic
Yakima Heart Center at Memorial Trust
406 S 30th Avenue Suite 101YakimaWA98902Outpatient Physician Clinic
Yakima Valley Home Health
302 S 10th AvenueYakimaWA98902Home Health and Hospice
Yakima Gastroenterology Associates
3909 Creekside Loop Suite 120YakimaWA98908Outpatient Physician Clinic
Physicians Anesthesia
406 S 30th Avenue Suite 202YakimaWA98902Outpatient Physician Clinic
Pain Center - Water's Edge
1460 N 16th Avenue Suite DYakimaWA98902Outpatient Physician Clinic
Yakima Urology Associates at Memorial Trust
2500 Racquet LaneYakimaWA98902Outpatient Physician Clinic
Ridgeview Surgery
2500 Racquet Lane Suite 150YakimaWA98902Outpatient Surgery Center
Memorial Sleep Specialists
406 S 30th Avenue Suite 206YakimaWA98902Outpatient Physician Clinic
Memorial Cornerstone Medicine
4003 Creekside LoopYakimaWA98908Outpatient Physician Clinic
Memorial Physicians Lab
4003 Creekside LoopYakimaWA98908Medical Laboratory
Ohana
1515 W Yakima AvenueYakimaWA98902Mammography
Generations OBGYN
3003 Tieton Drive Suite 230YakimaWA98902Outpatient Physician Clinic
YGA Ambulatory Surgery
3909 Creekside Loop Suite 120YakimaWA98908Outpatient Physician Clinic
Yakima Ear Nose and Throat
1601 Creekside LoopYakimaWA98902Outpatient Physician Clinic
Yakima Vascular Associates
1607 Creekside Loop Suite 100YakimaWA98902Outpatient Physician Clinic
Lakeview Spine
1470 N 16th AvenueYakimaWA98902Therapy
Cascade Surgical Partners
3003 Tieton Drive Suite 300YakimaWA98902Outpatient Physician Clinic
Pulmonology
303 Holton Avenue Suite 1YakimaWA98902Outpatient Physician Clinic
Family Medicine of Yakima
504 N 40th AvenueYakimaWA98908Outpatient Physician Clinic
Pacific Crest Family Medicine
311 S 72nd AvenueYakimaWA98908Outpatient Physician Clinic
Apple Valley Family Medicine
1008 S 38th AvenueYakimaWA98902Outpatient Physician Clinic
Selah Family Medicine
620 N Park DriveSelahWA98942Outpatient Physician Clinic
YGA Histology
3909 Creekside Loop Suite 120YakimaWA98908Outpatient Physician Clinic
Healthy Now West Valley
120 S 72nd Avenue Suite 102YakimaWA98908Urgent Care
Healthy Now - 40th
3909 Creekside Loop Suite 130YakimaWA98908Urgent Care
Yakima Podiatry Associates
1607 Creekside Loop Suite 140YakimaWA98902Outpatient Physician Clinic
Healthy Now Terrace Heights
3904 Terrrace Heights DriveYakimaWA98901Urgent Care
Zillah Family Medicine
616 Railroad Avenue Suite 12ZillahWA98953Outpatient Physician Clinic
Memorial Outpatient Psych
1460 N 16th Avenue Suite CYakimaWA98902Outpatient Physician Clinic
Yakima Endocrinology Associates
1470 N 16th AvenueYakimaWA98902Outpatient Physician Clinic
Garden Village
206 S 10th AvenueYakimaWA98902Nursing Home
Children's Village
3801 Kern RoadYakimaWA98902Child Therapy

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 6aWashington State does not require that non-profit hospitals prepare a community benefit report or make it available to the public. Memorial does prepare and publish a report yearly. The 2017 Community Benefit Report was completed in December of 2018 and made available on the website www.yakimamemorial.org/about-us-community-benefits.asp.
Part I Line 7The 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 IIEconomic 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 2Memorial used ratio of patient care cost to charges methodology to calculate the amount on line 2. Our financial statements include a footnote regarding uncollectible accounts which are reported as an offset to patient revenue.
Part III Line 4Memorial used ratio of patient care cost to charges methodology to calculate the amount on line 2. Our financial statements include a footnote regarding uncollectible accounts which are reported as an offset to patient revenue. See pages 13 and 14 of the financial statements.
Part III Line 8To 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 9bDuring the admittance process at Memorial, all patients are provided with the hospitals 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 2Memorial 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 November 29, 2016 and is publicly available.
Part VI Line 3Memorial 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 Memorials 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 Memorials 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 4Yakima County is composed of primarily rural communities 14 cities and towns in Central Washington, spanning 4,296 square miles. Total current population for Yakima County as of July 1, 2017 is 251,193. The population density for this area, estimated at 58.2 persons per square mile, is less than the national average population density of 92 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. Childrens Village stretches into neighboring counties including Kittitas and Klickitat. Located within Yakima County is the Yakama Nation Reservation which is over 1 million acres and reaches across the Cascades. Yakima County consists of 50.1 male and 49.9 female population. Nearly half 48.6 of the population is married, while 32.6 report never being married, and the remaining 18.8 consists of residents who are married but separated 23.6, divorced 10.7 or widowed 5.4. 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 v. 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 composed of 48.4 of Hispanic or Latino Origin and 44.3 of persons of White Non-Hispanic or Latino Origin, and 3.6 American Indian and Alaska Native. 19 of persons living below poverty level, 7.5 are unemployed and 15.9 have no health insurance.
Part VI Line 5Memorial 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 gaps and 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 Childrens 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 a 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 Staffs 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.
Part VI Line 5continued The majority of Memorials 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, nor do they have family members thereof.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Prime Time Inc
6 South 2nd Street Ste 815YakimaWA98901911348128501 C 3$5,000General Support
Kiwanis Club of Yakima
PO Box 611YakimaWA98907521068009501 C 3$12,000General Support
Yakima County Development New Vision
PO Box 1387YakimaWA98907911284283501 C 6$10,000General Support
Greater Yakima Chamber
10 North 9th StreetYakimaWA98901910480620501 C 6$15,000General Support
Yakima Family YMCA
5 North Naches AveYakimaWA98901910568717501 C 3$114,584General Support
City of Union Gap Sun Camp UG Youth Foundation
PO Box 3245Union GapWA98903911727983501 C 3$5,000General Support
Wellness House
210 South 11th Ave Ste 40YakimaWA98902911418100501 C 3$10,000General Support
Union Gospel Mission
1300 N First StreetYakimaWA98901237050061501 C 3$90,000General Support
Junior League of Yakima
32 N 3rd Street Suite 430YakimaWA98901237175185501 C 3$12,000General Support
Yakima Greenway Foundation
111 S 18th StYakimaWA98901911110737501 C 3$15,000General Support
Yakima Chamber Foundation
PO Box 1490YakimaWA98907911692873501 C 3$5,000General Support
Safe Yakima Valley
10 North 9th StreetYakimaWA98901263266828501 C 3$5,000General Support
Capitol Theatre
PO Box 102 19 S 3rd StYakimaWA98907910939384501 C 3$5,000Scholarship
Yakima Town Hall
5808A Summitview PMB259YakimaWA98908237209728501 C 3$5,000General Support
Washington Poison Center
155 NE 100th St Suite 100SeattleWA98125943214597501 C 3$20,000General Support
Yakima Valley Information Center
101 N Fair AvenueYakimaWA98901910788723501 C 6$50,000General Support
FieldValueIRS element (for citing)
Total501c3 Org13Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I Line 2FormAndLineReferenceDesc
ExplanationMemorial supports programs or activities that demonstrate a community benefit, are consistent with the objectives of the hospitals 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 Memorials Community Health division. The Community Health team follows up regularly on those requests and keeps documented records of receipt.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmount
Russell Myers
President/CEO$506,147$6,050$47,324$23,836$583,357
Tim Reed
Vice President/CFO$290,166$2,652$37,587$27,997$358,402
Scott Lancaster DO
MP/CEO, Former key employee$321,762$2,656$37,695$28,050$390,163
Diane Patterson
Vice President, CCO$260,517$3,494$33,248$27,923$325,182
James Aberle
Vice President, Operations, Former Key Employee$146,671$502,444$26,394$13,391$688,900
Jeff Yamada
Vice President, CIO, Former Key Employee$14,509$562,774$15,487$813$593,583
Matthew Kollman
MP/COO$188,153$1,872$26,897$26,624$243,546
Vu Le
Physician - MP$406,901$900$13,750$25,007$1,056,991$610,433
Rick Gross
Physician - MP$392,966$35,142$43,192$18,020$590,846$101,526
Christopher Tan
Physician - MP$410,039$965$34,134$103$788,806$343,565
Tekchand Tanwani
Physician - MP$375,876$1,248$39,620$28,269$619,172$174,159
Kevin Harrington
Physician - MP$509,010$1,625$36,638$9,930$657,669$100,466
Edward Miles
Vice President, Integration and Development, Former Key Employee$121,105$194,355$20,504$15,482$351,446
Jolene Seda
Vice President, People Culture, Former Key Employee$198,193$2,540$34,723$28,051$263,507
Shawnie Haas
ACO/CEO, Former Key Employee$187,952$2,350$34,811$27,997$253,110

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 4aJames Aberle received a severance payment of 500,252. Edward Miles received a severance payment of 192,325. Jeff Yamada received a severance payment of 562,067.
Part I Line 4bIn July 2002, Memorials 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 Memorials employee pension plan, tax-deferred annuity retirement plan, 401k 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. Memorials liability accrual is based on the assumption that both executives will be working until age 65.
Part I Line 4bRussell Myers accrued benefits of 3,856 in the Plan. Diane Patterson accrued benefits of 0 in the Plan.
Part I Line 7Variable compensation amounts are calculated based off of the results of the strategic scorecard as well as the employees 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 (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Washington Health Care Facilities Authority
A91110892993870HGN02012-08-17$38,005,000See Part VIfalsefalsefalse
Washington Health Care Facilities Authority
B91110892993978HRJ62016-11-10$34,208,306Building and Equipmentfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$22,485,000$38,011,438$2,269,004$687,697$37,323,7412005Yes (true)Yes (true)Yes (true)Yes (true)
B$34,418,528$2,554,530$678,328falsefalsefalseYes (true)$29,852,413$1,333,257

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)falsefalsefalseYes (true)
BfalsefalsefalsefalsefalsefalseYes (true)

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
AfalsefalseYes (true)Yes (true)falsefalsefalsefalseYes (true)
BfalseYes (true)falsefalsefalsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line A , Column FRefund prior bonds 03/14/1996 and 11/13/2002
Part II Line 3The total proceeds do not agree to the issue price in Part I, Column E due to investment earnings. The total proceeds do not equal the summation of lines 4 - 12 due to transferred or replacement proceeds in Line 4.
Part IV Line 2c, column AIssuer Name Washington Health Care Facilities Authority. Date the Rebate Computation was performed 07/31/2017.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Juan Jimenez
Family member of Maribel Jimenez, Director$82,556Employmentfalse
Miranda Yamada
Family member of Jeff Yamada, former key employee$39,360Employmentfalse
Leslie Yamada
Family member of Jeff Yamada, former key employee$60,606Employmentfalse
M G Wagner Co Inc
Entity more than 35 owned by Scott Wagner, Director$846,404Provison of roofing services to the Hospitalfalse

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV Line 1aName of Person Juan Jimenez
Part IV Line 1bRelationship between interested person and organization Family member of Maribel Jimenez, Director
Part IV Line 1cAmount of Transaction 82,556
Part IV Line 1cDescription of Transaction Employment
Part IV Line 1eSharing of Organization Revenues No
Part IV Line 2aName of Person Miranda Yamada
Part IV Line 2bRelationship between person and organization Family member of Jeff Yamada, former key employee
Part IV Line 2cAmount of Transaction 39,360
Part IV Line 2dDescription of Transaction Employment
Part IV Line 2eSharing of Organization Revenues No
Part IV Line 3aName of Person Leslie Yamada
Part IV Line 3bRelationship between person and organization Family member of Jeff Yamada, former key employee
Part IV Line 3cAmount of Transaction 60,606
Part IV Line 3dDescription of Transaction Employment
Part IV Line 3eSharing of Organization Revenues No
Part IV Line 4aName of Organization M. G. Wagner Co Inc
Part IV Line 4bRelationship Entity more than 35 owned by Scott Wagner, Director, Chairman
Part IV Line 4cAmount of Transaction 846,404
Part IV Line 4dDescription of Transaction Provision of roofing services to the Hospital
Part IV Line 4eSharing of Organization Revenues No

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 1The 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 regions 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 Childrens 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 additon to offering training programs for nursing, pharmacy, respiratory therapy, physical therapy and laboratory technology.
Form 990, Part III, Line 2Virginia Mason Memorial VMM, along with Yakima Valley Farm Workers Clinic Farm Workers an IRC Section 501c3 public charity, and the Memorial Foundation the Foundation also an IRC Section 501c3 public charity, have for several years collaborated to operate Childrens Village, a clinic that serves chidren with special and developmental healthcare needs in Yakima, Washington. On November 7, 2018, VMM, Farm Workers, and the Foundation caused to be filed Articles of Incorporation for a new Washington nonprofit corporation called Childrens Village the CV corporation. VMM, Farm Workers, and the Foundation are the sole voting members of the CV Corporation with equal voting rights and the right collectively to appoint all of the directors of the Corporation. The CV Corporation is organized and will be operated exclusively for charitable purposes within the meaning of IRC Section 501c3, and is intended to qualify as a Type I supporting organization within the meaning of IRC Section 509a3 by conducting activities to carry out the purposes of its three members, and specifically to provide health resource coordination among the members and other entities for the delivery of early intervention health care services to children with special health care needs.
Form 990, Part III, Line 4aVMMs Oncology programs delivered charity care services 2,085 times in 2018. Childrens 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 childs second birthday. These programs provided the charity care and unreimbursed Medical services on eight separate occasions. Maternal Health Services provides community-based programs and services focused on providing preventative health and education for families throughout Central Washington. 12 patient encounters with maternal health services were funded through charity care. VMMs pain management clinic saw 819 patient encounters which fell under VMMs charity care criteria. Memorials Ohana clinic provides breast health education, screening and diagnostic mammography, and breast care coordination for women in the Yakima Valley. Charity care funded 150 encounters with Ohana providers in 2018. There were 644 Medicare/Medicaid patient encounters in outpatient surgery in 2018. Virginia Mason Memorials 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 2018, 206 of those encounters were performed under charity care assistance. In total, Virginia Mason Memorial served 6,942 charity care patients in an outpatient setting in 2018. VMM received 716,386 in Medicaid funding for the outpatient services provided in 2018. Additional outpatient services for Medicare/Medicaid patients include cardiac rehab 22 encounters, education 17 encounters, infusion care 627 encounters, laboratory 100 encounters, physicians offices 254 encounters, outpatient procedures 644 encounters, pre-procedure testing 264 encounters, sleep studies 48 encounters, therapy 84 encounters, x-ray and imaging 569 encounters, and cardiovascular care provided by the Yakima Heart Center 578 encounters.
Form 990, Part III, Line 4bIn 2018, VMMs OB/GYN department provided charity care to patients for pre-delivery testing 32 encounters and obstetric emergency care 58 encounters. The total amount of charity care funds disbursed in 2018 for these encounters was 17,253, a 17 increase from the previous year. VMMs 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. Charity care was provided psychiatric services in 9 instances during 2018. With one of the busiest emergency departments in the State of Washington, our providers are trained in emergency medicine and treat over 87,000 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. VMMs emergency department experienced 5,229 patient encounters with charity care recipients in 2018, for a total of 3,851,325 in Medicaid/Medicare funds, a 57 increase over the previous year. VMMs inpatient pharmacy services had 275 patient encounters in 2018. These services accounted for 14,753 in charity care funds, a 31 increase in Medicaid/Medicare encounters from 2017 to 2018. Virginia Mason Memorials respiratory therapy department provides specialized care to patients being treated in our critical care/intensive care unit, pediatric, neonatal intensive care units, operating room, post-anesthesia area, diagnostic imaging, emergency department, ambulatory care and medical surgical services unit. Respiratory care had 15 encounters with charity care patients in 2018.
Form 990, Part III, Line 4dVirginia 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 10,207 residents in 2018 and equated to 322,155 in community investment donations. Virginia Mason Memorial partnered with the local YMCA to deliver Actively Changing Together, a childhood obesity program that assisted 126 families. VMMs chronic disease self-management program served 82 chronically ill members of the Yakima community. Diabetes prevention and diabetes wellness programs were also offered to 857 community members during the year. In addition to campaigns targeting obesity and diabetes, VMM saw 2,300 attendees at their Fiesta de Salud health fair, and in partnership with Kohls department store, VMM created access to free Zumba and yoga classes for 6,842 adults and children as part of an annual Healthy for Life campaign. In additon to supporting community health initiatives, VMM also supports community investment by making several contributions to not-for-profit causes throughout Yakima County. The Yakima Greenway is a community green space comprised of 20 miles of paved pathway, parks, ponds, picnic areas, playgrounds, and river access. Memorial donated 10,000 to program development and trail support at the Greenway. Kiwanis Club of Yakima received a 12,000 donation to initiate a Free Bikes 4 Kidz program, where volunteers collect and restore used bicycles and donate them to children in need. This program also supports bicycle riding, a healthy activity. The Hispanic Chamber of Commerce received 1,000 for Cinco de Mayo scholarships for Latino students. Yakima Union Gospel Mission medical clinic was the recipient of 120,000 for clinic support. The mission serves nearly 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. Childrens Wishes Dreams is a non-profit providing wishes dreams to terminally ill children in the Yakima area. In 2018, VMM donated 5,000 to the organization for a wish requiring medical supplies. Another beneficiary of our commitment to the community is Camp Prime Time. This organization received 5,000 for support of their outdoor camps for kids with disabilities. The Greater Yakima chamber of Commerce received 15,000 for support of Leadership Yakima, a program meant to strengthen and educate community leaders by providing participants with in-dept insights into a variety of issues impacting residents of the Yakima Valley. The Second Harvest Food Bank backpack program at Harrah Elementary received 4,500 for their program supporting kids who receive free or reduced lunches, by providing them with a backpack full of food on Friday to support them through the weekend. 5,000 was donated to Safe Yakima Valley in support of the Strengthening Families program, which focuses on building resiliency skills throughout the community. The Union Gap Youth Foundations Sun Camp benefitted from a 5,000 donation. The camp aims to prevent substance use and violence. Wellness House, an organization supporting the families of those with cancer or other life-altering illnesses in the Yakima area, received 10,000 for program support. 3,572 was given to Washington State University in the form of a nursing scholarship. The Sozo Sports complex received a 1,500 donation from VMM in support of athletic programs for children who lack sufficient funds to participate. The Yakima County Development Association/New Vision received 10,000 for community development initiatives. Lastly, the Yakima Family YMCA is in the process of constructing a new aquatic facility that will help at-risk kids and Virginia Mason Memorial was able to contribute 114,584 toward construction and the development of rehabilitation services.
Form 990, Part VI, Section A, Line 1aThe governing body delegates to an Executive Committee comprised of the Chairman, Vice Chairman, Secretary and Treasurer the authority of the Board of Directors in the management of the corporation to act only in time sensitive or emergency situations as determined by the Executive Committee, such authority to be exercised in time periods between regularly scheduled meetings of the Board of Directors. All members of the Executive Committee are members of the governing body of the corporation. The Executive Committee does not have the authority to amend, alter or repeal the Bylaws, elect, appoint or remove any member of the Executive Committee or any director or officer of the corporation amend the articles of incorporation adopt a plan of merger or adopt a plan of consolidation with another corporation authorize the sale, lease or exchange of all or substantially all of the property and assets of the corporation not in the ordinary course of business authorize the voluntary dissolution of the corporation or revoke proceedings therefore adopt a plan for the distribution of the assets of the corporation amend, alter or repeal any resolution of the Board which by its terms provides that it shall not be amended, altered or repealed by the Executive Committee or terminate the Chief Executive Officer. The Executive Committee also periodically evaluates the effectiveness of Memorials 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, 7Virginia Mason Health System VMHS is the sole corporate member of Memorial. VMHS as the sole member has the following approval 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 4 approval of all long-range plans proposed by the Board of Directors 5 Approval of the annual capital and operating budgets proposed by the Board of Directors 6 Approval of the borrowing of funds where the amount is in excess of Ten Million Dollars 7 Approval of the sale, lease, exchange, mortgage, pledge or disposal of all or substantially all of the property and assets 8 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 11bThe 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 provide 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 and approved by the ACC in November 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 VII, Section B, Line 12cThe 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 Memorials behalf related to the disclosed actual or potential Conflict of Interest unless such activity is permitted by the Conflict of Interest Management Plan or until the Covered Person has undertaken all steps set forth in the Management Plan to manage, reduce or eliminate the conflict. All Covered Persons have a duty to disclose the existence of any actual or potential conflict of interest with respect to meeting agenda items. The Conflicts of Interest Policy requires that copies of the Conflict of Interest Questionnaire be completed annually by each Covered Person and any Conflict of Interest Management Plan be maintained. In addition, the minutes of the board and all committees with board-delegated powers shall document the disclosure and resolution of any actual or potential conflict of interest disclosed at such meeting.
Form 990, Part VI, Section B, Line 15The 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 Masons 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 Masons compensation philosophy and principles. Consistent with Virginia Masons 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 Committees 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 Boards minutes. The Executives that were reviewed in 2018 were Chief Executive Officer, Vice Presidents, Chief Clinical Officer, Chief Financial Officer, and Chief Medical Officer.
Form 990, Part VI, Section C, Line 19The organizations Articles, Bylaws, Conflict of Interest Policy, and Financial Statements are made available upon request.
Form 990, Part IX, Line 11GLaboratory Program Services Expense 1,584,265 Management and General Expenses 0 Fundraising Expenses 0 Total Expenses 1,584,265. Physician Services Program Services Expense 0 Management and General Expenses 3,265,728 Fundraising Expenses 0 Total Expenses 3,265,728. Contractual Expenses Program Services Expense 43,420,663 Management and General Expenses 521,456 Fundraising Expenses 0 Total Expenses 43,942,119. Other Purchased Services Program Services Expenses 14,547,799 Management and General Expenses 9,842,022 Fundraising Expenses 0 Total Expenses 24,389,821 Total Other Fees 73,181,933.
Form 990, Part XI, Line 9Additional Pension Adjustment 4,376,512, Donated capital transfers from restricted funds 449,143

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Memorial Physicians
3800 SummitviewYakimaWA98902264379419Medical ServicesWA$39,902,233$3,040,435YVMHA
Central Washington Healthcare Partners LLC
3800 SummitviewYakimaWA98902453483343Accountable Care OrganizationWA$997,846$331,049YVMHA
Yakima Heart Center at Memorial Trust
2811 tieton DriveYakimaWA98902457017902Medical ServicesWA$34,734,663$49,250YVMHA
Yakima Urology at Memorial Trust
2811 Tieton DriveYakimaWA98902476620487Medical ServicesWA$15,508,782$10,094YVMHA
Orthopedics Northwest
1211 N 16th AvenueYakimaWA98902826150143Medical ServicesWA$42,791,082$124,036YVMHA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Garden Village
206 S 10th AvenueYakimaWA98902912090034Skilled NursingWA501c310N/Afalse
Virginia Mason Health System
1100 Ninth AvenueSeattleWA98101911351110FundraisingWA501c37N/AYes (true)
Virginia Mason Medical Center
1100 Ninth AvenueSeattleWA98101910565539Health CareWA501c33falseVMHS
Virginia Mason Institute
1100 Ninth AvenueSeattleWA98101263763656EducationWA501c39falseVMMC
Benaroya Research Institute at Virginia Mason
1201 Ninth AvenueSeattleWA98101910653422ResearchWA501c34falseVMHS
Children's Village
3801 Kern RoadYakimaWA98902352654720Supporting OrganizationWA501c312N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINTotal Grassroots LobbyTotalGrassrootsLobbyAmtTotal Direct LobbyTotalDirectLobbyAmtTotal Lobby ExpenditureTotalLobbyExpenditureAmtOther Exempt Purpose ExpendOtherExemptPurposeExpendAmtTotal Exempt Purpose ExpendTotalExemptPurposeExpendAmtLobby NontxLobbyNontxAmtGrassroots NontxGrassrootsNontxAmtTotal Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmtTot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmtShare Excess Lobby ExpendShareExcessLobbyExpendAmt
Yakima Valley Memorial Hospital Association
2811 Tieton DriveYakimaWA98902910567263$46,629$60,000$106,629$478,546,936$478,653,565$283,920$70,980$0$0$0
Virginia Mason Health System
1100 Ninth AvenueSeattleWA98101911351110$0$0$0$24,630,107$24,630,107$14,610$3,653$0$0$0
Virginia Mason Medical Center
1100 Ninth AvenueSeattleWA98101910565539$133,835$53,574$187,409$1,108,735,210$1,108,922,619$657,772$164,443$0$0$0
Virginia Mason Institute
1100 Ninth AvenueSeattleWA98101263763656$0$0$0$6,889,011$6,889,011$4,086$1,022$0$0$0
Benaroya Research Institute at Virginia Mason
1100 Ninth AvenueSeattleWA98101910653422$0$0$0$66,780,571$66,780,571$39,612$9,903$0$0$0