STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

OVERLAKE MEDICAL CENTER & CLINICS: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
OVERLAKE MEDICAL CENTER & CLINICS (EIN 91-0652651)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-10
IRS object ID
201911309349304036
Schema version
2017v2.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-10T11:41:53-07:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911194016PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Clark Nuber PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4th St Ste 1400AddressLine1Txt
CityBellevueCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910652651EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Overlake Hospital Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOVERBusinessNameControlTxt
Phone4256885000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11035 116th Ave NEAddressLine1Txt
CityBellevueCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAndrew TokarPersonNm
Person TitleCFOPersonTitleTxt
Signature2019-05-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Phone4254544919PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJ Michael MarshPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11035 116th Ave NEAddressLine1Txt
CityBellevueCityNm
State AbbreviationWAStateAbbreviationCd
ZIP980044687ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$563,235,191GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.overlakehospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionThe purpose is to operate a hospital for the care of persons, to participate in education, research and other activities designed to promote general health of the community. The Hospital's mission is to provide compassionate care for every life we touch.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee3389TotalEmployeeCnt
Total Volunteers458TotalVolunteersCnt
Total Gross UBI$1,355,051TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$637,846NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$17,703,478PYContributionsGrantsAmt
CY Contributions Grants$7,238,558CYContributionsGrantsAmt
PY Program Service Revenue$500,814,854PYProgramServiceRevenueAmt
CY Program Service Revenue$528,986,469CYProgramServiceRevenueAmt
PY Investment Income$22,986,148PYInvestmentIncomeAmt
CY Investment Income$27,642,046CYInvestmentIncomeAmt
PY Other Revenue$6,352,662PYOtherRevenueAmt
CY Other Revenue-$755,220CYOtherRevenueAmt
PY Total Revenue$547,857,142PYTotalRevenueAmt
CY Total Revenue$563,111,853CYTotalRevenueAmt
PY Grants And Similar Paid$2,352,078PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,035,426CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$272,318,855PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$284,442,183CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$238,578,880PYOtherExpensesAmt
CY Other Expenses$242,222,917CYOtherExpensesAmt
PY Total Expenses$513,249,813PYTotalExpensesAmt
CY Total Expenses$528,700,526CYTotalExpensesAmt
PY Revenues Less Expenses$34,607,329PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$34,411,327CYRevenuesLessExpensesAmt
Total Assets BOY$733,328,963TotalAssetsBOYAmt
Total Assets EOY$929,186,996TotalAssetsEOYAmt
Total Liabilities BOY$243,202,505TotalLiabilitiesBOYAmt
Total Liabilities EOY$402,594,319TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$490,126,458NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$526,592,677NetAssetsOrFundBalancesEOYAmt
MissionThe purpose is to operate a hospital for the care of persons, to participate in education, research and other activities designed to promote general health of the community. The Hospital's mission is to provide compassionate care for every life we touch.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$435,146,154ExpenseAmt
Revenue$528,793,431RevenueAmt
DescHospital Services-Overlake Hospital Medical Center is a nonprofit, independently operated regional center serving the eastern Puget Sound region with medical facilities in Bellevue, Issaquah, Kirkland, Redmond and Sammamish. Founded in 1953, today Overlake Hospital is a regional leader in health care, providing advanced medical services in the areas of cardiac care, general and specialty surgery, women's services, cancer care and emergency services. The Hospital also has a network of neighborhood clinics in its primary service area. There were 18,295 patients admitted for inpatient medical care for a total of 67,641 patient days. There were 235,117 outpatient visits out of which 49,960 were for emergency care visits. The Hospital delivered 3,608 babies. Overlake Medical Clinics provided 299,674 patient visits. Overlake Hospital demonstrated a commitment to improving the health of the community by supporting many health-related events, programs, clinical research and made various contributions throughout the year that had a direct benefit to the community. The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services. Overlake Hospital provided care to 6,685 patients who were uninsured or under insured at an estimated cost of $7,057,000. The Hospital provided care to Medicaid patients at rates below the cost of providing services. The payments were less than cost by $15,971,000. In keeping with the Hospital's spirit of giving back to the community, it provided a total of $5,701,000 of community benefit service activities. As the health care needs of our community increase and grow more complex, Overlake has strengthened its commitment to providing the most advanced treatment and technology alongside compassionate care every day. With health care prominent in the national debate, Overlake Medical Center is giving Eastside residents an opportunity for a wide variety of free health screenings where the barriers of both cost and language are removed. The screenings are free and do not require patients to have health insurance. The free screenings include cholesterol, blood pressure, body mass index, cardiac and diabetes risk assessments. Consultations with a health care provider will allow patients to understand what screening results mean. Furthermore, not wanting lanquage to be a barrier to patients not fluent in English, Overlake offers interpreters in multiple languages including Mandarin, Cantonese, Hindi, Spanish and Russian. It is part of Overlake's mission to bring health care out into the community, to make it accessible to all people and these complimentary screenings help us fulfill our mission in a meaningful way. In September 2017, Overlake Medical Center opened its doors to the new Overlake Cancer Center, a project that transforms the way cancer treatment is delivered to patients. The new Center was designed from the ground up by cancer survivors and their families, doctors and staff, and has resulted in a comprehensive facility that allows patients to remain in one location to receive the best possible treatment with compassionate care and a holistic approach. The goal of the new Cancer Center is to offer a truly patient-centered model of cancer care. Patients receive the most up-to-date medical care, technology and expertise, plus the comfort and personal attention of a community hospital. Overlake Medical Center received the Washington State Hospital Association's 2017 Community Health Leadership Silver Award for its annual Active Senior Fair, a free one-day educational and outreach event that has helped improved the lives of Eastside Seniors. The sixteen types of health screenings included lower-leg vascular screening, stroke-risk assessment, blood pressure, bone density, and diabetes consultation. Workshops offered with physicians and staff focused on other topics important to seniors including fall prevention and colon health. Overlake's Heart & Vascular Center provides electrophysiology, cardiac catherization and interventional radiology services. Since December 2013, the heart valve team at Overlake Hospital Medical Center has been performing the minimally invasive transcatheter aortic valve replacement (TAVR) procedure for patients with severe aortic stenosis. Overlake is the only hospital on the Eastside and one of only four hospitals in the state to provide this procedure. Overlake's Women and Infants' Center provides a full continuum of care designed for women in their childbearing years and beyond. Overlake offers exceptional care for elderly patients by educating our nurses in effective geriatric care. For more than 30 years, Overlake has been the leader in providing quality adult and adolescent psychiatric care to the Puget Sound community. Our Specialty School is recognized by the school districts as a leader in helping students who need specialized behavioral services by providing academic, social, emotional and behavioral support. Overlake is expanding its network of Medical Clinics throughtout the Eastside. Overlake understands how busy people's day to day lives can be, that's why the Hospital provided patients with convenient, accessible medical care located close to where they live and work. Overlake is proud to be recognized as foremost in the region for our focus on our patients and we have been rewarded for it by patients and families who prefer us for their comprehensive healthcare and through many national awards. Overlake Hospital was the first Level III Trauma Center on the Eastside and we are known for providing award-winning, compassionate and patient-centered care. Overlake received many awards and recognitions both regionally and nationally. In August 2017, Overlake Medical Center was named 2017 "Most Wired" by the American Hospital Association. The award spotlights hospitals that are harnessing innovation to better serve patients. The Most Wired award recognizes Overlake's commitment to integrating technology in a meaningful way into patient care. Our methods and leading-edge technology allow our providers to better understand our patients and their needs across the whole care continuum. Overlake Medical Center was recognized as the only Hospital in Washington to be named among the top 5% in the Nation for Joint Replacement and for Treatment of Stroke in 2018 by Healthgrades. Overlake is also the only hospital in Washington to achieve Excellence Awards and recognition among the top 10% in the nation in Neurosciences, Pulmonary Care, Stroke Care, Bariatric and Joint Replacement. Furtheremore, Overlake is Washington's only hospital to achieve the Bariatric Excellence Award from Healthgrades for 2018. Receiving these distinctions in all of these specialties is reflective of our multiple, ongoing strategic initiatives around providing an excellent patient experience while delivering the highest quality and safest care. In March 2018, Overlake Medical Center and Clinics received the Bellevue Chamber of Commerce's inaugural Chairman's Community Pillar Award for 2018. The award recognizes Overlake's long-standing excellence and significant positive impact on the Eastside Community. In April 2018 Overlake Medical Center received an "A" safety rating from the Leapfrog Group, the eighth A rating in the past nine rating cycles. An A rating highlights Overlake's ongoing commitment to maintaining the highest quality and safety standards in its hospital and clinics. The Safety Grade assigns letter grades of A,B,C,D and F to hospitals nationwide based on their performance in preventing medical errors, infections and other harms.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,035,426ExpenseAmt
Grant$2,035,426GrantAmt
DescOther Grants and Allocations - Grants to Overlake Hospital Foundation and Overlake Hospital Auxiliaries to cover expenses and grants to support other community non profit organizations.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,809,590ExpenseAmt
Revenue$193,038RevenueAmt
DescEducation Services- In addition to the excellent care we provide our patients, the Hospital firmly believes education is critical to overall wellness so the Hospital reaches out to the community to engage and empower its patients in becoming educated healthcare consumers by offering free and low-cost classes for all age groups. Health education is an important part of preventive care. The Education Program provided 61,340 family contact hours offering classes of a wide range of health related topics including women's health, prenatal care, coping skills, dealing with cancer, positive parenting, safety, asthma, heart disease, diabetes, living wills, incontinence, weight loss, maintaining balance, babysitting for teens, CPR and healthy lifestyles.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$438,991,170TotalProgramServiceExpensesAmt
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 FootnotefalseIncludeFIN48FootnoteInd
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 MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document245IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3389EmployeeCnt
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
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
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 ChaptersfalseLocalChaptersInd
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 VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonEric TeshimaPersonNm
Phone4256885149PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11231 116th Ave Ste 600AddressLine1Txt
CityBellevueCityNm
State AbbreviationWAStateAbbreviationCd
ZIP980044687ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Patricia Bedient
Chairman6.001.00Yes (X)Yes (X)$0$0$0
Russell Stockdale
Chair Elect3.000.50Yes (X)Yes (X)$0$0$0
Robert Campbell
Secretary8.000.50Yes (X)Yes (X)$0$0$0
Jason Thompson
Treasurer4.001.00Yes (X)Yes (X)$0$0$0
Greg Collins
Imm Past Chair3.001.00Yes (X)Yes (X)$0$0$0
Jorge Cerda
Trustee6.003.00Yes (X)$0$0$0
Janine Florence
Trustee0.250.25Yes (X)$0$0$0
Ted Herb
Trustee1.502.30Yes (X)$0$0$0
Jim Ladd
Trustee2.001.00Yes (X)$0$0$0
Linda Mahaffey
Trustee2.001.00Yes (X)$0$0$0
Nolan Newman
Trustee1.001.00Yes (X)$0$0$0
Phyllis Stark
Trustee5.006.00Yes (X)$0$0$0
Thomas Stoll MD
Trustee8.001.00Yes (X)$76,500$0$0
J Michael Marsh
President & CEO45.0015.00Yes (X)$749,349$0$169,336
Thomas DeBord
COO55.007.00Yes (X)$458,726$0$98,714
Andrew Tokar
CFO52.003.00Yes (X)$333,965$0$31,400
Kelan Koenig
OMC Physician Executive55.000.00$434,643$0$54,042Yes (X)
Valerie Chrusciel
OMC COO70.000.00$222,614$0$47,795Yes (X)
Julie Clayton
Vice President60.000.00$415,970$0$65,149Yes (X)
Dennis Rochier
OMC CEO55.000.00$401,450$0$30,962Yes (X)
Abhineet Chowdhary MD
Neurosurgeon40.000.00$1,067,790$0$24,437Yes (X)
Derek Rodrigues MD
Cardiologist40.000.00$907,582$0$34,409Yes (X)
John Heywood MD
Cardiologist40.000.00$798,716$0$40,469Yes (X)
Frank Bishop MD
Neurosurgeon40.000.00$773,290$0$34,409Yes (X)
Thien Nguyen MD
Bariatric Surgeon40.000.00$753,304$0$39,809Yes (X)
Gary McLaughlin
Former Officer0.000.00$1,957,757$0$88,670Yes (X)
TD Sam Baxter
Former Key Employee0.000.00$780,893$0$74,578Yes (X)
Richard Bryan
Former Key Employee0.000.00$571,080$0$63,357Yes (X)
Caitlin H Moulding
Former Key Employee55.000.00$341,723$0$82,129Yes (X)
David Knoepfler
Former Key Employee55.000.00$439,218$0$110,277Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,484,570TotalReportableCompFromOrgAmt
Total Other Compensation$1,089,942TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K527IndivRcvdGreaterThan100KCnt
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
Gall Landau Young Const Co
P O Box 6728BellevueWA980080728Construction$12,054,279
NBBJ
P O BOX 742088Los AngelesCA900742088Architect Fees$8,291,948
Bloodworks Northwest
921 Terry AvenueSeattleWA981041256Blood Services$2,870,620
Epic Systems Corp
P O Box 88314MilwaukeeWI532880314Software Developer$2,422,553
AYA Healthcare Inc
Dept 3519 P O Box 123519DallasTX753123519Staffing$2,076,982
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K95CntrctRcvdGreaterThan100KCnt
Related Organizations$7,238,558RelatedOrganizationsAmt
Total Contributions$7,238,558TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Education Services611710$193,038$193,038
Medicare/Medicaid Payment900004$195,753,547$195,753,547
Non Government Payments900004$333,342,530$333,342,530
Other Program Services900004$700,546$700,546
Program Related Invstmnts900004-$1,003,192-$1,003,192
FieldValueIRS element (for citing)
Total Program Service Revenue$528,986,469TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,608,867TotalRevenueColumnAmt
Exclusion$9,608,867ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$343,192RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$343,192RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$343,192TotalRevenueColumnAmt
Exclusion$343,192ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,007,068SecuritiesAmt
Other$14,045,007OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$18,896OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,007,068SecuritiesAmt
Other$14,026,111OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,033,179TotalRevenueColumnAmt
Exclusion$18,033,179ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$204,793GrossSalesOfInventoryAmt
Cost Of Goods Sold$104,442CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$100,351TotalRevenueColumnAmt
Exclusion$100,351ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria/Catering722210$2,765,198$2,765,198
Laboratory621500$4,282,860$3,254,974$1,027,886
Parking Revenue812930$380,512$380,512

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,627,333TotalRevenueColumnAmt
Unrelated Business Revenue$327,165UnrelatedBusinessRevenueAmt
Exclusion-$8,954,498ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$1,198,763OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$563,111,853TotalRevenueColumnAmt
Related Or Exempt Func Income$528,986,469RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,355,051UnrelatedBusinessRevenueAmt
Exclusion$25,531,775ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,035,426TotalAmt
Program Services$2,035,426ProgramServicesAmt

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$3,242,844TotalAmt
Program Services$1,837,132ProgramServicesAmt
Management And General$1,405,712ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,893,925TotalAmt
Management And General$1,893,925ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$225,283,588TotalAmt
Program Services$193,267,673ProgramServicesAmt
Management And General$32,015,915ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,189,155TotalAmt
Program Services$11,491,902ProgramServicesAmt
Management And General$1,697,253ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$24,968,571TotalAmt
Program Services$20,310,551ProgramServicesAmt
Management And General$4,658,020ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$15,864,100TotalAmt
Program Services$13,279,260ProgramServicesAmt
Management And General$2,584,840ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,564,331TotalAmt
Program Services$34,099ProgramServicesAmt
Management And General$1,530,232ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$230,749TotalAmt
Management And General$230,749ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$53,175TotalAmt
Management And General$53,175ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$296,639TotalAmt
Management And General$296,639ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$47,365,959TotalAmt
Program Services$37,505,825ProgramServicesAmt
Management And General$9,860,134ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,260,662TotalAmt
Management And General$1,260,662ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,460,648TotalAmt
Program Services$7,089,860ProgramServicesAmt
Management And General$3,370,788ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,223,538TotalAmt
Management And General$10,223,538ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$17,213,585TotalAmt
Program Services$12,475,081ProgramServicesAmt
Management And General$4,738,504ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$641,177TotalAmt
Program Services$385,721ProgramServicesAmt
Management And General$255,456ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$599,231TotalAmt
Program Services$375,451ProgramServicesAmt
Management And General$223,780ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,125,611TotalAmt
Program Services$8,125,611ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,948,756TotalAmt
Program Services$22,899,477ProgramServicesAmt
Management And General$9,049,279ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,224,582TotalAmt
Program Services$4,865,120ProgramServicesAmt
Management And General$1,359,462ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$80,821,112$80,710,469$110,643
Medicaid Prov Assessment$12,977,091$12,977,091
Business & Occupation Tax$5,560,570$4,656,798$903,772
Settlement & Reserve$3,000,000$3,000,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,655,501TotalAmt
Program Services$1,668,623ProgramServicesAmt
Management And General$1,986,878ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$528,700,526TotalAmt
Program Services$438,991,170ProgramServicesAmt
Management And General$89,709,356ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,279,720BOYAmt
EOY$27,402,130EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,056,864BOYAmt
EOY$119,515,655EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$54,982,913BOYAmt
EOY$60,787,493EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$83,790BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,029,188BOYAmt
EOY$9,743,993EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,780,082BOYAmt
EOY$10,436,631EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$539,744,120LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$316,026,110LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$208,963,176BOYAmt
EOY$223,718,010EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$406,465,719BOYAmt
EOY$464,423,889EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,091,331BOYAmt
EOY$2,739,732EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,174,952BOYAmt
EOY$1,916,580EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,421,228BOYAmt
EOY$8,502,883EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$733,328,963BOYAmt
EOY$929,186,996EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$75,046,537BOYAmt
EOY$90,179,741EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$14,029,371BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$143,316,404BOYAmt
EOY$295,555,352EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,810,193BOYAmt
EOY$16,859,226EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$243,202,505BOYAmt
EOY$402,594,319EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$485,041,919BOYAmt
EOY$526,534,825EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,084,539BOYAmt
EOY$57,852EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$490,126,458BOYAmt
EOY$526,592,677EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$733,328,963BOYAmt
EOY$929,186,996EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$34,411,327ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$6,800,988NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$4,746,096OtherChangesInNetAssetsAmt
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 RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd

Section527 Political Org Section527PoliticalOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCd
Milleninia Public Affairs
21127 47th Dr SEBothellWA98021
Washington State Hospital Assoc
999 Third Ave Ste 1400SeattleWA98104
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$53,175DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$53,175TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationPart of the membership dues that are paid to the Washington State Hospital Association and American Hospital Association are used for lobbying purposes.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$229,290,375OtherCostOrOtherBasisAmt
Depreciation$111,859,673DepreciationAmt
Book Value$117,430,702BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,841,115OtherCostOrOtherBasisAmt
Depreciation$4,146,458DepreciationAmt
Book Value$694,657BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$265,980,179OtherCostOrOtherBasisAmt
Depreciation$200,019,979DepreciationAmt
Book Value$65,960,200BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,481,310OtherCostOrOtherBasisAmt
Book Value$37,481,310BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$223,718,010TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Other Long Term Liabilities$93,134
Pension Liability$5,437,840
Prof Liability Insurance Reserve$9,552,486
Worker's Comp Reserve$1,775,766
FieldValueIRS element (for citing)
Total Liability$16,859,226TotalLiabilityAmt

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
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
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$7,056,711TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,056,711NetCommunityBenefitExpnsAmt
Total Expense0.01330TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,420,577TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,449,669DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,970,908NetCommunityBenefitExpnsAmt
Total Expense0.03020TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,477,288TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,449,669DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,027,619NetCommunityBenefitExpnsAmt
Total Expense0.04350TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,126,436TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$171,350DirectOffsettingRevenueAmt
Net Community Benefit Expns$955,086NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,098,720TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,460DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,097,260NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,874,859TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,594,601DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,280,258NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$487,591TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$369,624DirectOffsettingRevenueAmt
Net Community Benefit Expns$117,967NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$250,240TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$250,240NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,837,846TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,137,035DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,700,811NetCommunityBenefitExpnsAmt
Total Expense0.01080TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,315,134TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,586,704DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,728,430NetCommunityBenefitExpnsAmt
Total Expense0.05430TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$3,509,965BadDebtExpenseAmt
Bad Debt Expense Attributable$2,667,573BadDebtExpenseAttributableAmt
Reimbursed By Medicare$71,021,740ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$75,907,504CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,885,764MedicareSurplusOrShortfallAmt

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1Overlake Surgery Center LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesAmbulatory Surgical SvcsPrimaryActivitiesTxt
Org Profit Or Ownership0.30160OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.18830PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Overlake Hospital Medical CtrBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11035 116th Ave NEAddressLine1Txt
CityBellevueCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Website Addressoverlakehospital.org/about-WebsiteAddressTxt
State LicenseHAC.FS.00000131StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Overlake Hospital Medical CtrBusinessNameLine1Txt
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
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLoverlakehospital.org/about-overlakeOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLoverlakehospital.org/about-overlakeStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0000FPGFamilyIncmLmtDscntCarePct
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisfalseExplainedBasisInd
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 URLsee 16JFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLsee 16JFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLsee 16JFAPSummaryOnWebsiteURLTxt
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
Other PublicityYes (X)OtherPublicityInd
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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the CommunityOverlake Medical Center solicited community input through key stakeholder interviews to identify resources potentially available to address the significant health needs. Overlake Medical Center participated in a collaborative process for the Community Health Needs Assessment as part of the King County Hospitals for a Healthier Community (HHC). HHC is a collaborative of all 11 hospitals and/or health systems in King County and Public Health-Seattle & King County. The HHC members joined together to identify important health needs and assets in the communities they serve. HHC recognizes that partnerships between hospitals, public health, community organizations and communities are key to successful strategies to address common health needs. The Community Health Needs Assessment incorporated existing demographic and health data for the communities served by the Hospital. It included collection and analysis of input from persons who represent the broad interest of the community served by the hospital, including those with special knowledge of public health. The health needs were identified from issues supported by primary and secondary data sources gathered for the Community Health Needs Assessment. The needs were indicated by stakeholder interviews, focus groups, and secondary data sources. The needs were confirmed by more than one indicator or data source. Community stakeholders, identified by the hospital, were contacted and asked to participate in the needs assessment. Interview participants included leaders and representatives of medically underserved, low-income, and minority populations, as well as the local health department that has "current data or information relevant to the health needs of the community served by the hospital facility," per IRS requirements. The interviews took into account input from a broad range of persons located in or serving its community including, health care consumers, nonprofit and community-based organizations, academic experts, local government officials, local school districts, health care providers and community health centers.
Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs AssessmentEvergreen HealthCHI Franciscan HealthKaiser PermanenteMulticare Health SystemNavosSeattle Cancer Care AllianceSeattle Children's Swedish Medical CenterUW MedicineVirginia Mason
Part V, Line 16j - Other Means Hospital Facility Publicized the PolicyPart V, Line 16a, 16b, 16c Website:https://www.overlakehospital.org/Financial-Arrangements

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
OMC-Cardiology
1135 116th Ave NE Ste 600BellevueWA98004Cardiology
OMC-Issaquah Urgent & Primary Care
5708 E Lk Sammamish Pkwy SE Ste 100IssaquahWA98029Urgent Care / Primary Care
OMC-Primary Care Hosp Campus Pulmonology Endocrinology
1231 116th Ave NE Ste 400BellevueWA98004Primary Care / Pulmonology / Endocrinology
OMC-Downtown Bellevue Urgent & Primary Care
400 108th Ave NE Ste 100BellevueWA98004Urgent Care & Primary Care
OMC-Urgent Care Redmond
17209 Redmond WayRedmondWA98052Urgent Care
OMC-Neurosciences
1135 116th Ave NE Ste 500BellevueWA98004Neurosurgery / Neurology
OMC-Musculoskeletal Medicine
1740 NW Maple St Ste 111IssaquahWA98027Musculoskeletal Medicine
OMC-Medical Oncology & Breast Surgery
1135 116th Ave NE Ste 200BellevueWA98004Oncology
OMC-Outpatient PT Occupational Therapy & Speech
1417 116th Ave NE Ste 110BellevueWA98004Physical Therapy / Occupational Therapy / Speech
OMC-Cardiac Surgery
1135 116th Ave NE Ste 605BellevueWA98004Cardiac Surgery
OMC-Redmond Primary Care Cardiology
7345 164th Ave NE Ste I-105RedmondWA98052Primary Care / Cardiology
OMC-Lake Hills Primary & Urgent Care
619 156th Ave SEBellevueWA98007Primary & Urgent Care
OMC-Radiation Oncology
1135 116th Ave NE Ste 160BellevueWA98004Oncology
OMC-Kirkland Primary Care Cardiology
290 Central WayKirklandWA98033Primary Care / Cardiology
OMC-Specialty Clinic Bellevue
1231 116th Ave NE Ste 515BellevueWA98004Bariatric / Nutrition Services / Medical Weight Loss
OMC-Concierge Services
1231 116th Ave NE Ste 525BellevueWA98004Primary Care
OMC-Infectious Diseases
1135 116th Ave NE Ste 140BellevueWA98004Infectious Disease
OMC-Senior Health Center
1750 112th Ave NE Ste A101BellevueWA98004Geriatric
OMC-Colorectal Surgery
1135 116th Ave NE Ste 550BellevueWA98004Colorectal Surgery
OMC-Issaquah Cardiology Pulmonology
1740 NW Maple Ste Ste 207IssaquahWA98027Cardiology / Pulmonology
OMC-Pelvic Health
1135 116th Ave NE Ste 420BellevueWA98004Pelvic Health
OMC-Sammamish Primary & Urgent Care
22630 SE 4th St Ste 300SammamishWA98074Primary & Urgent Care
OMC-Expedia Primary Care
333 108th Ave NE Ste M150BellevueWA98004Primary Care

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpensePatient bills are reduced by payments, contractual adjustments, charity adjustments, and other adjustments as applicable. Patients are then responsible for any remaining balance. If a patient does not pay the balance or make payment arrangements according to the collection policy, the balance is written off to bad debt. The bad debt expense on Schedule H, Part III, lines 2 and 3 are estimated based on the cost to charge ratio.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitThe Hospital believes that approximately 76% of the bad debt expense are related to patients that would be eligible under the Hospital's charity care guidelines had the patient provided the financial information necessary to make the determination. This percentage is based on running credit checks on a sample of accounts that were being sent to bad debts.
Part III, Line 4 - Bad Debt ExpenseProvision for Bad Debt footnote on attached Audited Financial Statement page 15, section 6.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitThe costing methodology for Medicare allowable cost is derived from FY 2018 Medicare Cost Report. The Hospital believes that all of the Medicare shortfall should be treated as community benefit. The IRS community benefit standard includes the provision of care to Medicare patients and the Hospital continues providing care to the Medicare beneficiaries reqardless of the shortfall. By absorbing the Medicare shortfall, the Hospital thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsThe Hospital will place a patient's account on hold when a patient's account is being considered for charity. Once a determination has been made that a patient qualifies for charity care, the patient's account is reduced by the charity amount granted and a letter is sent to the patient noting the charity adjustment. The patient may appeal the decision if he/she believes there is additional information that should have been considered or the financial situation has changed. The patient is responsible for any balance remaining after the charity adjustment, if any, and the collection process will continue in the normal process.
Part VI, Line 2 - Needs AssessmentIn 2018, the Hospital participated in a collaborative process for the Community Health Needs Assessment as part of the King County Hospitals for a Healthier Community (HHC). HHC is a collaborative of all 11 hospitals and health systems in King county and Public Health-Seattle & King County. The HHC's vision is to participate in a collaborative approach that identifies community needs, assets, resources, and strategies toward assuring better health and health equity for all King County residents. This shared approach avoids duplication and focuses available resources on a community's most important health needs. HHC recognizes that partnerships between hospitals, public health, community organizations and communities are key to successful strategies to address common health needs.Data analyses were conducted at the most local level possible for the medical center's primary service area, given the availability of the data. In some cases, data were only available at the county level.Significant health needs were identified and analyzed through a review of the secondary health data prior to the interviews. Health needs were identified using the size of the problem (relative portion of population afflicted by the problem) and the seriousness of the problem (impact at individual, family, and community levels). To determine size or seriousness of the problem, the health need indicators were measured against benchmark data (county rates, state rates and/or Healthy People 2020 objectives.) Indicators related to the health needs that performed poorly against one or more of these benchmarks met the criterion to be considered. Secondary data was collected from a variety of local, county and state sources to present a community profile, birth indicators, leading causes of death, access to care, chronic disease, communicable disease, health behaviors, social issues and school and student characteristics. When available, these data sets were presented in the contex of King County and Washington, framing the socpe of an issue as it relates to the broader community.In addition, the Hospital conducted targeted interviews to gather information and opinions from persons who represent the broad interest of the community served by the hospital. The report includes benchmark comparison date, comparing the Hospital community data findings with Health People 2020 objectives.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceInformation about assistance programs starts at the point of registration. Placards describing the financial assistance programs are at all admitting registration desks. Financial assistance can take the form of assistance in qualifying for Medicaid, charity, or prompt pay discounts. Financial counselors are available to discuss the financial arrangements for all patients and they discuss the financial assistance program. The financial counselors will also assist patients in completing the Hospital's charity care application if the patient brings in information and needs help completing the application. The Hospital engages an outside company to assist patients with applying for Medicaid. General information about the assistance programs is then included as part of each patient statement that is sent to a patient and includes the phone number of the Patient Financial Services department to call for assistance. In addition, as part of the account follow up, Patient Financial Service Representatives will call patients after their second statement and will discuss patient financial assistance as part of the call. Overlake's charity care policy is posted on the Washington State Department of Health's website and on the Hospital's website.
Part VI, Line 4 - Community InformationThe service area for Overlake is divided into two markets- local and outlying-with the local market divided into five service areas (Bellevue, East, Issaquah/Sammamish, Redmond/Kirkland and SW) and the outlying market divided into two service areas (North and South). The population of the Overlake service area is 897,978. Children and youth, ages 0-17, make up almost one-fourth (24%) of the population of the service area; 6.6% are 18-24 years of age; 30% are 25-44, 27.8% are 45-64; and 11.7% of the population are seniors, 65 years of age and older. The area has higher rates of children under age 18 and fewer seniors when compared to the county and the state. The majority race/ethnicity in the service area is White/Caucasians (66.1%) while Asians make up 19.3% of the population, and Hispanics or Latinos are 7%. Poverty thresholds are used for calculating all official poverty population statistics and are updated each year by the Census Bureau. In the Overlake service area, 6.5% of the population was living at or below 100% of the Federal Poverty Level (FPL) and 14.7% were considered low-income (living at or below 200% FPL). These rates are better than county and state. The median household income in the service area is $101,457. This is higher median income than in the county ($78,800) or state ($62,848).
Part VI, Line 5 - Promotion of Community HealthThe Hospital staff participates in the county wide disaster preparedness group and is the back up to Harborview Medical Center. The Hospital has an open medical staff model. The Hospital operates an active screening program in which we offer free health screenings at least four times annually at community events. The largest one is the annual Overlake Eastside Vitality Community Health Fair in which we provide over 2,000 free screenings including cholesterol, stroke risk, diabetes and skin cancer. Screening results and free counseling are provided at the events. Those who need to see a physician are given a list of providers, including community medical clinics.
Part VI - Additional InformationPart I, Line 3cIn addition to the FPL criteria, there is a residency requirement to either be a resident of the state of Washington or meet an exception for non residents. Non residents may be eligible for financial assistance while receiving services within the Emergency department or as a result of a direct admission from the Emergency Department. Exceptions to the Washington State residency requirement also include refugees, asylees, and those seeking asylum that possess and can present INS documentation.Part I, Line 7The costing methodology for charity care and unreimbursed Medicaid was the cost to charge method using the cost to charge ratio derived from worksheet 2. The community health improvement cost, health professional education, research and cash and in-kind contributions are direct cost and do not include any indirect cost. The cost for subsidized health services is derived from a cost accounting system that addresses all patient segments.Part V, Section B Line 3eThe identified significant health needs were prioritized with input from the community.The following criteria were used to prioritized the health needs: Severity - the perceived impact of the health need on the community. Change over time - determination if the health need has improved, stayed the same or worsened. Resources - availability of resources in the community to address the health need.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
American Cancer Society
2120 1st Ave NSeattleWA98109131788491501(c)3$27,354$0Sponsor
American Heart Association
P O Box 50085PrescottAZ86304135613797501(c)3$20,000$0Sponsor
Bellevue Chamber of Commerce
330 112th Ave NE Ste 100BellevueWA98004910533602501(c)6$23,500$0Sponsor
Bloodworks Northwest
921 Terry AveSeattleWA98104911019655501(c)3$10,000$0Sponsor
Issaquah Schools Foundation
P O Box 835IssaquahWA98027943050254501(c)3$10,000$0Sponsor
March of Dimes Foundation
P O Box 673667MariettaGA30006131846366501(c)3$10,000$0Sponsor
Northwest Healthcare Response
7100 Fort Dent Way Ste 210TukwilaWA98188463002271501(c)3$30,000$0Sponsor
Overlake Hospital Auxiliaries
1035 116th Ave NEBellevueWA98004237297831501(c)3$74,982$0Support Operations
Overlake Hospital Foundation
1035 116th Ave NEBellevueWA98004911050325501(c)3$1,779,590$0Support Operations
FieldValueIRS element (for citing)
Total501c3 Org8Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationOverlake Hospital Medical Center performs the record keeping for Overlake Hospital Foundation and Overlake Hospital Auxiliaries and monitors its operating expenses as part of the monthly financial review process. The grants are reimbursement for expenses already incurred.Grants to sponsor events of non profit organizations are not monitored beyond verifying that the event occurred.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (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 PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Abhineet Chowdhary MD
Neurosurgeon$905,263$139,755$22,772$16,200$8,237$1,092,227
Andrew Tokar
CFO$315,625$18,340$24,001$7,399$365,365
Caitlin H Moulding
Former Key Employee$282,557$59,166$74,670$7,459$423,852$34,858
David Knoepfler
Former Key Employee$413,174$26,044$97,984$12,293$549,495
Dennis Rochier
OMC CEO$219,853$181,597$24,519$6,443$432,412
Derek Rodrigues MD
Cardiologist$787,798$101,009$18,775$16,200$18,209$941,991
Frank Bishop MD
Neurosurgeon$677,733$88,977$6,580$16,200$18,209$807,699
Gary McLaughlin
Former Officer$240,593$1,717,164$80,129$8,541$2,046,427$845,694
J Michael Marsh
President & CEO$728,096$21,253$151,955$17,381$918,685
John Heywood MD
Cardiologist$654,892$137,465$6,359$21,600$18,869$839,185
Julie Clayton
Vice President$280,862$135,108$53,288$11,861$481,119$119,332
Kelan Koenig
OMC Physician Executive$317,437$117,206$36,163$17,879$488,685
Richard Bryan
Former Key Employee$141,993$429,087$57,217$6,140$634,437$95,372
TD Sam Baxter
Former Key Employee$114,976$665,917$68,648$5,930$855,471$398,689
Thien Nguyen MD
Bariatric Surgeon$631,987$115,737$5,580$21,600$18,209$793,113
Thomas DeBord
COO$433,334$25,392$81,333$17,381$557,440
Valerie Chrusciel
OMC COO$221,540$1,074$40,134$7,661$270,409

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 7: Non-Fixed payments not listed aboveFormAndLineReferenceDesc
ExplanationIncentives were paid to Derek Rodrigues, Thien Nguyen and John Heywood based on productivity and meeting certain individual quality goals. Incentives were paid to Abhineet Chowdhary and Frank Bishop based on meeting certain individual quality goals.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WA Health Care Facilities
A91110892993978HKJ32014-08-06$58,116,440Refund prior issue-6/8/05falsefalsefalse
WA Health Care Facilities
B91110892993978HUA12017-12-21$249,215,382See Part VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$7,485,000$58,151,860$825,678$60,425$57,265,7572008falseYes (true)Yes (true)Yes (true)
B$250,685,484$1,653,471$5,890,224falseYes (true)falseYes (true)$92,589,958$38,538,994$112,012,836

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)falsefalse0.001400.00140falseYes (true)0.00550falseYes (true)
BfalseYes (true)falsefalse0.001100.00110falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalsefalseYes (true)falsefalsefalseYes (true)
BfalseYes (true)falsefalsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
ExplanationSchedule K, Part IV, Arbitrage, Line 2c:(a) Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 07/01/2015.Note regarding the rebate computation: Since the bond proceeds havebeen spent, and the debt service fund was operated on a bona fidebasis, no further rebate calculations are necessary.Part I, Line B, Column (f) - Construct, renovate facility, and refundprior issue (4/14/10).Part II, Line 3 - The total proceeds do not agree to the issue price inPart I, Column (e) due to the investment earnings.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyOverlake Hospital Association has the right to appoint and remove Overlake Hospital Medical Center's Trustees.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersOverlake Hospital Association must approve:(a) any sale or lease of all or substantially all of the assets of the corporation;(b) any increased indebtedness exceeding five percent of the gross patient service revenue during a fiscal year of the corporation;(c) the annual budget of the corporation and any material amendments thereto;(d) the auditors of the corporation; and(e) any amendments to the articles of incorporation and bylaws of the corporation.
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe 990 is prepared internally and reviewed by an independent accounting firm. The 990 is then reviewed by the President & CEO, CFO, Chief Human Resources and Compliance Officer, and Overlake Hospital Medical Center Finance Committee. The 990 is sent to the Overlake Hospital Medical Center Board members prior to submission to the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBoard members and management annually sign a statement which affirms that such person:1) has received a copy of the Conflict of Interest Policy2) has read and understands the policy3) has agreed to comply with the policy, and4) understands that the corporation is a charitable organizations and that in order to maintain their federal tax exemption they must avoid conflicts of interest and engage primarily in activities which accomplish one or more of their tax-exempt functions.A list of all financial interest or other relationships with any organizations that has, or can reasonably expected to have, a transaction with the corporation, competes against the corporation, or whose interest materially conflicts with the interest of the corporation is submitted annually to the Overlake Hospital Medical Center Compliance Officer for review. The Compliance Officer summarizes any conflicts of interest and discusses these results with the Chair of the Audit & Compliance Committee, CEO and General Counsel. This information is also shared with the Chair, Committee Chairs, and CFO. At Board Meetings, members are expected to recuse themselves from voting on issues when there is a conflict of interest.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementOverlake's policy and process for Executive Compensation is fully documented in the "Executive Compensation Administration and Compliance Manual" which was last updated in November of 2016. This manual details the charter of the Compensation Committee of the Board, the compensation philosophy and how salary increases, incentives and benefits and perquisites are administered. Compensation Committee members are independent board members as required by the Charter and By-laws. The process includes an independent consultant who works directly for the Compensation Committee and review of comparable data from external sources. All compensation related decisions for the CEO, COO and other executives are discussed, deliberated and voted on by the Compensation Committee and documented in the minutes of the meeting. The compensation and incentive payment of the CEO is reviewed and approved by the full Board.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableOverlake Hospital makes its disclosure of governing documents, conflict of interest policy, and audited financial statements available through the Hospital's administration office. The Overlake Hospital Association consolidated financial statements are also available on the Overlake Medical Center's website.
Other Changes In Net Assets Or Fund Balances - Other DecreasesAdjustment in Pension Liability = -$4746096
Form 990, Part I Line 6 - VolunteersVolunteers provided 33,537 hours of service to Overlake Hospital Medical Center during the year. Volunteers provide assistance for patients and guests at point of entry with information, way-finding, and transportation services. In the nursing units, volunteers help answer call lights and provide comfort to support and facilitate the physical, emotional, mental and spiritual health and self-healing of the patient. Included in the total volunteers are 12 board members that volunteered their time as board members during the year.
Form 990, Part IV Line 12- Fin. StmtsThe financial statements of Overlake Hospital Medical Center are audited on a consolidated basis as part of Overlake Hospital Association. This IRS Form 990 for Overlake Hospital Medical Center only contains the activities of the Hospital and Clinics while the activities of other related organizations are reported on separate IRS Form 990s.
Form 990, Part V line 7g & 7hOverlake Hospital Medical Center did not receive any contributions of intellectual property, cars, boats, airplanes, or other vehicles.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Overlake Medical Clinics LLC
1035 116th Ave NEBellevueWA98004911932954Medical ClinicsWA$55,809,954$23,879,999Overlake Hospital Medical Center
Overlake Provider Network LLC
1035 116th Ave NEBellevueWA98004474545130Clinically Integrated NetworkWAOverlake Hospital Medical Center

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Overlake Hospital Foundation
1035 116th Ave NEBellevueWA98004911050325Fund RaisingWA501(c)(3)7Overlake Hospital Medical CenterYes (true)
Overlake Hospital Auxiliaries
1035 116th Ave NEBellevueWA98004237297831Fund RaisingWA501(c)(3)7Overlake Hospital Medical CenterYes (true)
Overlake Hospital Association
1035 116th Ave NEBellevueWA98004911274134Provide SupportWA501(c)(3)11-Type IINAYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
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 OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Overlake Hospital Foundation
b$1,779,590Cash
Overlake Hospital Foundation
c$4,223,546Cash
Overlake Hospital Foundation
n$104,461Cash
Overlake Hospital Foundation
o$159,757Cash
Overlake Hospital Auxiliaries
b$74,982Cash
Overlake Hospital Auxiliaries
c$15,012Cash
Overlake Hospital Auxiliaries
n$22,949Cash
Overlake Hospital Auxiliaries
o$21,954Cash
Overlake Hospital Auxiliaries
q$22,721Cash
Overlake Hospital Association
c$3,000,000Cash
Overlake Hospital Association
k$7,209,320FMV
Overlake Hospital Association
o$67,889Cash
Overlake Hospital Association
q$611,995Cash