OVERLAKE MEDICAL CENTER & CLINICS: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- OVERLAKE MEDICAL CENTER & CLINICS (EIN 91-0652651)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-09
- IRS object ID
- 201741299349301684
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-09T11:09:28-07:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clark Nuber PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4th St Ste 1700 | AddressLine1Txt |
| City | Bellevue | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910652651 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OVERLAKE HOSPITAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OVER | BusinessNameControlTxt |
| Phone | 4256885000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 116th Ave NE | AddressLine1Txt |
| City | Bellevue | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Gary McLaughlin | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2017-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Sara Elizabeth J Hyre | PreparerPersonNm |
| PTIN | P00235495 | PTIN |
| Phone | 4257096200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | J Michael Marsh | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 116th Ave NE | AddressLine1Txt |
| City | Bellevue | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $521,887,740 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.overlakehospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | The 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 medical excellence every day. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 3190 | TotalEmployeeCnt |
| Total Volunteers | 493 | TotalVolunteersCnt |
| Total Gross UBI | $1,405,310 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $103,900 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,616,399 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,528,820 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $477,119,563 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $499,721,165 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,544,935 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,884,081 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,799,609 | PYOtherRevenueAmt |
| CY Other Revenue | $6,428,019 | CYOtherRevenueAmt |
| PY Total Revenue | $489,080,506 | PYTotalRevenueAmt |
| CY Total Revenue | $519,562,085 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,850,389 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,073,761 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $236,554,603 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $258,151,469 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $228,843,525 | PYOtherExpensesAmt |
| CY Other Expenses | $235,951,538 | CYOtherExpensesAmt |
| PY Total Expenses | $467,248,517 | PYTotalExpensesAmt |
| CY Total Expenses | $496,176,768 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $21,831,989 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $23,385,317 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $667,465,225 | TotalAssetsBOYAmt |
| Total Assets EOY | $677,003,032 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $240,216,612 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $245,396,431 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $427,248,613 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $431,606,601 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The 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 medical excellence every day. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $398,499,050 | ExpenseAmt |
| Revenue | $499,555,329 | RevenueAmt |
| Desc | Hospital Services - Overlake Hospital Medical Center is a nonprofit, independently operated regional center serving the eastern Puget Sound region with medical facilities in Bellevue, Issaquah, Kirkland, and Redmond. 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 18,115 patients admitted for inpatient medical care for a total of 65,092 patient days. There were 231,463 outpatient visits out of which 48,615 were for emergency care visits. The Hospital delivered 3,944 babies. Overlake Medical Clinics provided 293,904 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 5,167 patients who were uninsured or under insured at an estimated cost of $3,809,000. The Hospital provided care to Medicaid patients at rates below the cost of providing services. The payments were less than cost by $14,622,000. In keeping with the Hospital's spirit of giving back to the community, it provided a total of $6,213,000 of community benefit service activities. Overlake Staff spent 1,456 hours in the community by participating in, organizing and managing health programs and activities. Overlake sponsors community health events and screenings for the general public. Overlake held four successful Eastside Vitality Health Fair events in September 2016 at the Kirkland, Issaquah and Redmond clinics and at the main campus in October 2016. There were 221 volunteers, physicians and staff who helped provide more than 2,000 free screenings, tours and overall community goodwill. 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. Overlake's Heart & Vascular Center provides electrophysiology, cardiac catheterization 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. The Cancer Center at Overlake is noted for its newest cancer treatments and most advanced technologies available, as well as for its exceptional patient experience. Overlake's Cancer Center holds three national accreditations: The American College of Surgeons Commission of Cancer, the National Accreditation Program for Breast Cancer (NAPBC), and Overlake is also the only site fully accredited by the American College of Radiation Oncology in Washington State. 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 throughout the Eastside. Overlake understands how busy people's day to day lives can be, that's why the Hospital provides 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. The Bob and Patty Edwards Arrhythmia Center at Overlake Medical Center is the first on the West Coast and only the 9th in the nation to receive national recognition of atrial fibrillation "AFib" accreditation by the Society of Cardiovascular Patient Care (SCPC), an Institute of the American College of Cardiology that accredits hospitals that have achieved best-in-class standards of care related to the treatment of cardiovascular disease. Overlake Hospital's Bariatric Surgical Center has been accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MSAQIP), a joint program of the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery. Overlake received a Hospital Safety Score "A" letter grade from The Leapfrog Group. Overlake was one of only eight hospitals in the state, and the only one on the Eastside, to received an A. The Medical Center also received Blue Cross-Blue Shield Blue Distinction + for maternity and cardiac care, along with several honors from Healthgrades, a leading online resource for comprehensive information about physicians and hospitals. Overlake has been recognized by Healthgrades a Five-Star Recipient in Cardiac, Orthopedics, Neuroscience, Pulmonary, Gastrointestinal, Appendectomy, Labor and Delivery, Gynecology Surgery and Bariatric. Healthgrades also recognized Overlake Medical Center with awards of excellence. These recognize the top 10% of hospitals in the nation. Healthgrades Joint Replacement Excellence Award, Healthgrades Stroke Care Excellence Award and Healthgrades Gynecologic Surgery Excellence Award. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,073,761 | ExpenseAmt |
| Grant | $2,073,761 | GrantAmt |
| Desc | Other Grants and Allocations - Grants to Overlake Hospital Foundation and Overlake Hospital Auxiliaries to cover expenses and grants to others for community events. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,842,643 | ExpenseAmt |
| Revenue | $165,836 | RevenueAmt |
| Desc | Education Services - In addition to the excellent care we provide our patients, the Hospital firmly believes education is critical to overall wellness so the organization 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 52,341 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $402,415,454 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 254 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3190 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Eric Teshima | PersonNm |
| Phone | 4256885149 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1231 116th Ave Ste 600 | AddressLine1Txt |
| City | Bellevue | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980044687 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Greg Collins | ||||||||||
| Chairman | 6.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Jim Doud | ||||||||||
| Secretary | 3.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Patricia Bedient | ||||||||||
| Treasurer | 4.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Robert Campbell | ||||||||||
| Trustee | 5.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| Jorge Cerda | ||||||||||
| Trustee | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Janine Florence | ||||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Kemper Freeman Jr | ||||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ted Herb | ||||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| David Hovind | ||||||||||
| Trustee | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Linda Mahaffey | ||||||||||
| Trustee | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| N Elizabeth McCaw | ||||||||||
| Trustee | 1.00 | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| Nolan Newman | ||||||||||
| Trustee | 1.50 | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| Phyllis Stark | ||||||||||
| Trustee | 3.00 | 7.00 | Yes (X) | $0 | $0 | $0 | ||||
| Russell Stockdale | ||||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Thomas Stoll MD | ||||||||||
| Trustee | 3.00 | 1.00 | Yes (X) | $42,000 | $0 | $0 | ||||
| J Michael Marsh | ||||||||||
| President & CEO | 45.00 | 15.00 | Yes (X) | $926,483 | $0 | $163,870 | ||||
| Thomas Debord | ||||||||||
| COO | 55.00 | 0.00 | Yes (X) | $304,612 | $0 | $65,270 | ||||
| Gary McLaughlin | ||||||||||
| CFO | 40.00 | 10.00 | Yes (X) | $670,601 | $0 | $153,179 | ||||
| T D Sam Baxter | ||||||||||
| Vice President | 55.00 | 0.00 | $286,494 | $0 | $102,709 | Yes (X) | ||||
| Richard Bryan | ||||||||||
| Vice President | 60.00 | 0.00 | $356,701 | $0 | $91,432 | Yes (X) | ||||
| Valerie Chrusciel | ||||||||||
| Vice President | 60.00 | 0.00 | $218,157 | $0 | $32,259 | Yes (X) | ||||
| Julie Clayton | ||||||||||
| Vice President | 55.00 | 0.00 | $331,377 | $0 | $64,044 | Yes (X) | ||||
| David Knoepfler | ||||||||||
| Vice President | 55.00 | 0.00 | $510,387 | $0 | $108,660 | Yes (X) | ||||
| Abhineet Chowdhary MD | ||||||||||
| Neurosurgeon | 40.00 | 0.00 | $1,077,082 | $0 | $23,439 | Yes (X) | ||||
| Derek Rodrigues MD | ||||||||||
| Cardiologist | 40.00 | 0.00 | $888,814 | $0 | $33,769 | Yes (X) | ||||
| Frank Bishop MD | ||||||||||
| Neurosurgeon | 40.00 | 0.00 | $770,155 | $0 | $30,323 | Yes (X) | ||||
| Thien Nguyen MD | ||||||||||
| Bariatric Surgeon | 40.00 | 0.00 | $736,600 | $0 | $38,532 | Yes (X) | ||||
| John Heywood MD | ||||||||||
| Cardiologist | 40.00 | 0.00 | $722,946 | $0 | $33,987 | Yes (X) | ||||
| Caitlin H Moulding | ||||||||||
| Former Key Employee | 55.00 | 0.00 | $386,260 | $0 | $83,009 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,228,669 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $1,024,482 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 490 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Gall Landau Young Const Co | |||||
| P O Box 6728 | Bellevue | WA | 980080728 | Construction | $5,582,749 |
| Epic Systems Corporation | |||||
| P O Box 88314 | Milwaukee | WI | 532880314 | Software Developer | $3,404,552 |
| Bloodworks Northwest | |||||
| 921 Terry Avenue | Seattle | WA | 981041256 | Blood Services | $2,426,495 |
| OBHG Washington PC | |||||
| 10 Centimeters Dr | Mauldin | SC | 29662 | Hospitalist Services | $1,571,232 |
| Puget Sound PhysPLLC | |||||
| c/o ER 1035 116th Av NE | Bellevue | WA | 98004 | ER Physician | $1,264,005 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 93 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,528,820 | RelatedOrganizationsAmt |
| Total Contributions | $3,528,820 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Education Services | 611710 | $165,836 | $165,836 |
| Medicare/Medicaid Payment | 900004 | $183,926,078 | $183,926,078 |
| Non Government Payments | 900004 | $311,035,109 | $311,035,109 |
| Other Program Services | 900004 | $3,275,850 | $3,275,850 |
| Program Related Invstmnts | 900004 | $1,318,292 | $1,318,292 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $499,721,165 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,039,362 | TotalRevenueColumnAmt |
| Exclusion | $8,039,362 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $305,509 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $305,509 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $305,509 | TotalRevenueColumnAmt |
| Exclusion | $305,509 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,828,247 | SecuritiesAmt |
| Other | $2,152,022 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,135,550 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,828,247 | SecuritiesAmt |
| Other | $16,472 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,844,719 | TotalRevenueColumnAmt |
| Exclusion | $1,844,719 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $259,090 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $190,105 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,985 | TotalRevenueColumnAmt |
| Exclusion | $68,985 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Cafeteria/Catering | 722210 | $2,822,124 | $2,822,124 | |
| Laboratory | 621500 | $2,579,381 | $1,174,071 | $1,405,310 |
| Parking Revenue | 812930 | $402,120 | $402,120 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $249,900 | TotalRevenueColumnAmt |
| Exclusion | $249,900 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,053,525 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $519,562,085 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $499,721,165 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,405,310 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,906,790 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,073,761 | TotalAmt |
| Program Services | $2,073,761 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,323,437 | TotalAmt |
| Program Services | $958,071 | ProgramServicesAmt |
| Management And General | $3,365,366 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,279,156 | TotalAmt |
| Program Services | $170,256,795 | ProgramServicesAmt |
| Management And General | $33,022,361 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,018,484 | TotalAmt |
| Program Services | $10,221,191 | ProgramServicesAmt |
| Management And General | $1,797,293 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,799,292 | TotalAmt |
| Program Services | $20,080,182 | ProgramServicesAmt |
| Management And General | $4,719,110 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,731,100 | TotalAmt |
| Program Services | $11,441,550 | ProgramServicesAmt |
| Management And General | $2,289,550 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,899,313 | TotalAmt |
| Program Services | $85,202 | ProgramServicesAmt |
| Management And General | $1,814,111 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,775 | TotalAmt |
| Management And General | $247,775 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,049 | TotalAmt |
| Management And General | $97,049 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,671 | TotalAmt |
| Management And General | $151,671 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,000,797 | TotalAmt |
| Program Services | $32,543,492 | ProgramServicesAmt |
| Management And General | $12,457,305 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,899,338 | TotalAmt |
| Program Services | $273 | ProgramServicesAmt |
| Management And General | $1,899,065 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,474,146 | TotalAmt |
| Program Services | $5,810,788 | ProgramServicesAmt |
| Management And General | $3,663,358 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,742,322 | TotalAmt |
| Management And General | $10,742,322 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,668,516 | TotalAmt |
| Program Services | $11,754,337 | ProgramServicesAmt |
| Management And General | $3,914,179 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $610,514 | TotalAmt |
| Program Services | $333,309 | ProgramServicesAmt |
| Management And General | $277,205 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $732,783 | TotalAmt |
| Program Services | $411,879 | ProgramServicesAmt |
| Management And General | $320,904 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,479,704 | TotalAmt |
| Program Services | $8,479,704 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,462,109 | TotalAmt |
| Program Services | $21,899,362 | ProgramServicesAmt |
| Management And General | $9,562,747 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,932,632 | TotalAmt |
| Program Services | $4,740,101 | ProgramServicesAmt |
| Management And General | $1,192,531 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $76,445,919 | $76,303,433 | $142,486 |
| Medicaid Prov Assessmnt | $15,880,004 | $15,880,004 | |
| Business & Occupation Tax | $5,618,151 | $5,618,151 | |
| Settlement Reserves | $2,000,000 | $2,000,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,608,795 | TotalAmt |
| Program Services | $1,523,869 | ProgramServicesAmt |
| Management And General | $2,084,926 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $496,176,768 | TotalAmt |
| Program Services | $402,415,454 | ProgramServicesAmt |
| Management And General | $93,761,314 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,015,143 | BOYAmt |
| EOY | $21,708,448 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,698,700 | BOYAmt |
| EOY | $8,856,801 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,852,192 | BOYAmt |
| EOY | $54,136,176 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,124 | BOYAmt |
| EOY | $328,168 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,039,143 | BOYAmt |
| EOY | $8,562,598 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,151,710 | BOYAmt |
| EOY | $11,064,615 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $471,149,052 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $267,917,680 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,665,309 | BOYAmt |
| EOY | $203,231,372 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,900,670 | BOYAmt |
| EOY | $349,825,106 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,752,407 | BOYAmt |
| EOY | $2,713,621 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,647,606 | BOYAmt |
| EOY | $2,750,984 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,702,221 | BOYAmt |
| EOY | $13,825,143 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $667,465,225 | BOYAmt |
| EOY | $677,003,032 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,708,340 | BOYAmt |
| EOY | $82,447,361 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,482,308 | BOYAmt |
| EOY | $149,804,180 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,025,964 | BOYAmt |
| EOY | $13,144,890 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,216,612 | BOYAmt |
| EOY | $245,396,431 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $424,286,579 | BOYAmt |
| EOY | $431,574,176 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,962,034 | BOYAmt |
| EOY | $32,425 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $427,248,613 | BOYAmt |
| EOY | $431,606,601 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $667,465,225 | BOYAmt |
| EOY | $677,003,032 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $23,385,317 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$12,444,170 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$6,583,159 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
Section527 Political Org Section527PoliticalOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Paid Internal FundsPaidInternalFundsAmt | EINEIN |
|---|---|---|---|---|---|
| Washington State Hospital Assoc | |||||
| Dept5028 P O Box 34936 | Seattle | WA | 98124 | $48,584 | |
| Millennia Public Affairs Inc | |||||
| 21127 47th Dr SE | Bothell | WA | 98021 | $34,000 | 911809445 |
| American Hospital Association | |||||
| P O Box 34936 | Seattle | WA | 98124 | $10,465 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $59,049 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $38,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $97,049 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | Part 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,151,141 | OtherCostOrOtherBasisAmt |
| Book Value | $2,151,141 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $213,852,901 | OtherCostOrOtherBasisAmt |
| Depreciation | $97,188,232 | DepreciationAmt |
| Book Value | $116,664,669 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,841,115 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,958,798 | DepreciationAmt |
| Book Value | $882,317 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $244,088,117 | OtherCostOrOtherBasisAmt |
| Depreciation | $166,770,650 | DepreciationAmt |
| Book Value | $77,317,467 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,215,778 | OtherCostOrOtherBasisAmt |
| Book Value | $6,215,778 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $203,231,372 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Long Term Liabilities | $85,615 |
| Pension Liability | $2,434,590 |
| Prof Liability Insurance Reserve | $8,971,500 |
| Workers' Comp Reserve | $1,653,185 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,144,890 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,808,606 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,808,606 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00770 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,964,391 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,342,661 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,621,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02950 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,772,997 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,342,661 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,430,336 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03720 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,510,038 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $180,116 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,329,922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,061,686 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,040,186 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,647,091 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,166,590 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,480,501 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $441,401 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $362,323 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $79,078 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $283,741 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $283,741 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,943,957 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,730,529 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,213,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,716,954 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,073,190 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,643,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04980 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,507,395 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,287,319 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $63,599,793 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $78,424,158 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,824,365 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Overlake Surgery Center LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Ambulatory Surgical Svcs | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.30160 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.69840 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Overlake Hospital Medical Ctr | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 116th Ave NE | AddressLine1Txt |
| City | Bellevue | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | overlakehospital.org/about- | WebsiteAddressTxt |
| State License | HAC.FS.00000131 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Overlake Hospital Medical Ctr | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | overlakehospital.org/about-overlake | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | overlakehospital.org/about-overlake | StrategyWebsiteURLTxt |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Line 16i | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Line 16i | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Line 16i | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 5 - Account Input from Persons Who Represent the Community | 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 interests 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 Assessment | Evergreen HealthCHI Franciscan HealthGroup Health CooperativeMultiCare Health SystemNavosSeattle Cancer Care AllianceSeattle Children's HospitalSnoqualmie Valley Hospital DistrictSwedish Medical CenterUW MedicineVirginia Mason |
| Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why | The Hospital has chosen not to actively address the remaining health need of dental care as identified in the Community Health Needs Assessment. Taking existing hospital and community resources into consideration, Overlake will concentrate on those health needs that we can most effectively address given our areas of focus and expertise. |
| Part V, Line 16i - Other Means Hospital Facility Publicized the Policy | Part V, Line 16a, 16b, 16c Website:http://www.overlakehospital.org/financial-arrangements. |
| Part V, Line 22d - Other Billing Determination of Individuals Without Insurance | The hospital facility used the average of Medicare and negotiated commercial insurance rates when calculating the maximum amounts that can be charged. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 18 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| OMC-Issaquah Urgent & Primary Care | ||||
| 5708 E Lk Sammamish Pkwy SE Ste 100 | Issaquah | WA | 98029 | Urgent Care/Primary Care/Specialty Clinic |
| OMC-Cardiology | ||||
| 1135 116th Ave NE Ste 600 | Bellevue | WA | 98004 | Cardiology |
| OMC-Primary Care Hosp Campus PulmonologyEndocrinology | ||||
| 1231 116th Ave NE Ste 400 | Bellevue | WA | 98004 | Primary Care/Pulmonology/Endocrinology |
| OMC-Downtown Bellevue Urgent & Primary Care | ||||
| 400 108th Ave NE Ste 100 | Bellevue | WA | 98004 | Urgent Care/Primary Care |
| OMC-Urgent Care Redmond | ||||
| 17209 Redmond Way | Redmond | WA | 98052 | Urgent Care |
| OMC-Neurosciences | ||||
| 1135 116th Ave NE Ste 500 | Bellevue | WA | 98004 | Neurosurgery/Neurology |
| OMC-Medical Oncology | ||||
| 1135 116th Ave NE Ste 230 | Bellevue | WA | 98004 | Oncology |
| OMC-Kirkland Primary CareCardiology | ||||
| 290 Central Way | Kirkland | WA | 98033 | Primary Care/Cardiology |
| OMC-Outpatient PTOccupational Therapy & Speech | ||||
| 1417 116th Ave NE Ste 110 | Bellevue | WA | 98004 | Physical Therapy/Occupational Therapy/Speech |
| OMC-Specialty Clinic Bellevue | ||||
| 1231 116th Ave NE Ste 515 | Bellevue | WA | 98004 | Bariatric & Nutrition Services |
| OMC-Redmond Primary CareCardiologyPulmonologyPsych | ||||
| 7345 164th Ave NE Ste I-105 | Redmond | WA | 98052 | Primary Care/Cardiology/Pulmonology/Psych |
| OMC-Radiation Oncology | ||||
| 1135 116th Ave NE Ste 160 | Bellevue | WA | 98004 | Oncology |
| OMC-Cardiac Surgery | ||||
| 1135 116th Ave NE Ste 605 | Bellevue | WA | 98004 | Cardiac Surgery |
| OMC-Colorectal Surgery | ||||
| 1135 116th Ave NE Ste 550 | Bellevue | WA | 98004 | Colorectal Surgery |
| OMC-Breast Surgery | ||||
| 1135 116th Ave NE Ste 510 | Bellevue | WA | 98004 | Breast Surgery |
| OMC-Senior Health Center | ||||
| 1750 112th Ave NE Ste A101 | Bellevue | WA | 98004 | Geriatric |
| OMC-Cardiology IssaquahPulmonology | ||||
| 1740 NW Maple St Ste 207 | Issaquah | WA | 98027 | Cardiology/Pulmonology |
| OMC-Concierge Services | ||||
| 1231 116th Ave E Ste 525 | Bellevue | WA | 98004 | Primary Care |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | Patient bills are reduced by payments, contractual adjustments, charity adjustments, and other adjustments as applicable. Patients are then responsible for any remaining balance. If a patient does not pay the balance or make payment arrangements according to the collection policy, the balance is written off to bad debt. The bad debt expense on Schedule H, Part III, lines 2 and 3 are estimated based on the cost to charge ratio. |
| Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit | The Hospital believes that approximately 91% 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 Expense | Provision for Bad Debt footnote on attached Audited Financial Statement page 15, section 6. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | The costing methodology for Medicare allowable cost is derived from FY 2016 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 regardless of the shortfall. By absorbing the Medicare shortfall, the Hospital thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | The Hospital will place a patient's account on hold when a patient's account is being considered for charity. Once a determination has been made that a patient qualifies for charity care, the patient's account is reduced by the charity amount granted and a letter is sent to the patient noting the charity adjustment. The patient may appeal the decision if he/she believes there is additional information that should have been considered or the financial situation has changed. The patient is responsible for any balance remaining after the charity adjustment, if any, and the collection process will continue in the normal process. |
| Part VI - Needs Assessment | In 2015, 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 12 hospitals and 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. This shared approach avoids duplication and focuses available resources on a community's most important health needs. Primary data sources took into account input from people who represent the broad interest of the communities served by HHC hospitals and health systems. Stakeholders included representatives of medically underserved, low-income and minority populations, populations with chronic disease needs, local health departments, human service providers, government staff, fire departments, law enforcement, advocacy organizations, hospital staff, groups focused on health disparities, faith communities, labor, and managed care organizations. A total of 11 coalitions and 99 individual organizations or key informants provided information.Secondary data was collected from a variety of local, county and state sources to present a community profile, birth indicators, leading causes of death, access to care, chronic disease, communicable disease, health behaviors, social issues and school and student characteristics. When available, these data sets were presented in the context of King County and Washington, framing the scope of an issue as it relates to the broader community.In addition, the Hospital conducted targeted interviews to gather information and opinions from persons who represent the broad interest of the community served by the hospital. The report includes benchmark comparison data, comparing the Hospital community data findings with Health People 2020 objectives. |
| Part VI - Patient Education of Eligibility for Assistance | Information about assistance programs starts at the point of registration. Placards describing the financial assistance programs are at all admitting registration desks. Financial assistance can take the form of assistance in qualifying for Medicaid, charity, or prompt pay discounts. Financial counselors are available to discuss the financial arrangements for all patients and they discuss the financial assistance program. The Financial counselors will also assist patients in completing the Hospital's charity care application if the patient brings in information and needs help completing the application. The Hospital engages an outside company to assist patients with applying for Medicaid. General information about the assistance programs is then included as part of each patient statement that is sent to a patient and includes the phone number of the Patient Financial Services department to call for assistance. In addition, as part of the account follow up, Patient Financial Service Representatives will call patients after their second statement and will discuss patient financial assistance as part of the call. Overlake's charity care policy is posted on the Washington State Department of Health's website and on the Hospital's website. |
| Part VI - Community Information | The Hospital's primary service area is East King County which is bounded by Lake Washington to the west and the Cascade Mountains to the east and extends north to the King County line, near the City of Bothell, and south to Black Diamond. It has a population base of approximately 901,064 residents with an ethnic makeup of 70% white, 19% Asian, 3% African American, 8% other. 12% of the residents are 65 or older and another 28% in the 45 to 64 age bracket.The median household income was $94,002. However, 6.4% of the population was living at or below 100% of the federal poverty level during the 5 year average period from 2008-2012. 15.1% were living at or below 200% of the federal poverty level. 8.6% of adults and 2.2% of children in the community are uninsured. |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | The Hospital staff participates in the county wide disaster preparedness group and is the back up to Harborview Medical Center. The Hospital has an open medical staff model. The Hospital operates an active screening program in which we offer free health screenings at least four times annually at community events. The largest one is the annual Overlake Eastside Vitality Community Health Fair in which we provide over 2,000 free screenings including cholesterol, stroke risk, diabetes, and skin cancer. Screening results and free counseling are provided at the events. Those who need to see a physician are given a list of providers, including community medical clinics. |
| Part VI - Additional Information | Part 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| American Cancer Society | ||||||||
| 2120 1st Ave N | Seattle | WA | 98109 | 131788491 | 501(c)3 | $10,500 | $0 | Sponsor |
| American Heart Association | ||||||||
| P O Box 50085 | Prescott | AZ | 86304 | 135613797 | 501(c)3 | $20,000 | $0 | Sponsor |
| Bellevue Arts Museum | ||||||||
| 510 Bellevue Way | Bellevue | WA | 98004 | 916028261 | 501(c)3 | $20,000 | $0 | Sponsor |
| Bellevue LifeSpring | ||||||||
| P O Box 53203 | Bellevue | WA | 98015 | 910658331 | 501(c)3 | $7,500 | $0 | Sponsor |
| Boys & Girls Club of Bellevue | ||||||||
| 209 100th Ave NE | Bellevue | WA | 98004 | 910776451 | 501(c)3 | $10,000 | $0 | Sponsor |
| Group Health Foundation | ||||||||
| 320 Westlake Ave N Ste 100 | Seattle | WA | 98109 | 910511770 | 501(c)3 | $24,000 | $0 | Sponsor |
| Issaquah Schools Foundation | ||||||||
| P O Box 835 | Issaquah | WA | 98027 | 943050254 | 501(c)3 | $10,000 | $0 | Sponsor |
| Lifewire | ||||||||
| P O Box 6398 | Bellevue | WA | 98008 | 911190193 | 501(c)3 | $10,000 | $0 | Sponsor |
| March of Dimes | ||||||||
| 1904 3rd Ave Ste 230 | Seattle | WA | 98101 | 131846366 | 501(c)3 | $10,000 | $0 | Sponsor |
| Medical Teams International | ||||||||
| 14150 SW Milton Ct | Tigard | OR | 97224 | 930878944 | 501(c)3 | $15,000 | $0 | Sponsor |
| Northwest Healthcare Response | ||||||||
| 7100 Fort Dent Way Ste 210 | Tukwila | WA | 98188 | 463002271 | 501(c)3 | $25,000 | $0 | Sponsor |
| Overlake Hospital Auxiliaries | ||||||||
| 1035 116th Ave NE | Bellevue | WA | 98004 | 237297831 | 501(c)3 | $44,233 | $0 | Support Operations |
| Overlake Hospital Foundation | ||||||||
| 1035 116th Ave Ne | Bellevue | WA | 98004 | 911050325 | 501(c)3 | $1,831,116 | $0 | Support Operations |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 13 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | Overlake 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|
| Abhineet Chowdhary MD | |||||||
| Neurosurgeon | $992,090 | $61,453 | $23,539 | $15,900 | $7,539 | $1,100,521 | |
| Caitlin H Moulding | |||||||
| Former Key Employee | $290,579 | $54,838 | $40,843 | $75,967 | $7,042 | $469,269 | $32,832 |
| David Knoepfler | |||||||
| Vice President | $402,079 | $84,700 | $23,608 | $99,599 | $9,061 | $619,047 | |
| Derek Rodrigues MD | |||||||
| Cardiologist | $687,803 | $178,747 | $22,264 | $15,900 | $17,869 | $922,583 | |
| Frank Bishop MD | |||||||
| Neurosurgeon | $688,270 | $78,622 | $3,263 | $15,900 | $14,423 | $800,478 | |
| Gary McLaughlin | |||||||
| CFO | $469,394 | $114,726 | $86,481 | $135,955 | $17,224 | $823,780 | $58,110 |
| J Michael Marsh | |||||||
| President & CEO | $702,302 | $203,288 | $20,893 | $147,126 | $16,744 | $1,090,353 | |
| John Heywood MD | |||||||
| Cardiologist | $685,230 | $32,000 | $5,716 | $15,900 | $18,087 | $756,933 | |
| Julie Clayton | |||||||
| Vice President | $274,251 | $42,848 | $14,278 | $52,566 | $11,478 | $395,421 | |
| Richard Bryan | |||||||
| Vice President | $266,817 | $51,188 | $38,696 | $79,760 | $11,672 | $448,133 | $30,452 |
| T D Sam Baxter | |||||||
| Vice President | $216,930 | $37,003 | $32,561 | $91,231 | $11,478 | $389,203 | $19,937 |
| Thien Nguyen MD | |||||||
| Bariatric Surgeon | $616,014 | $116,596 | $3,990 | $21,200 | $17,332 | $775,132 | |
| Thomas Debord | |||||||
| COO | $269,967 | $34,645 | $56,869 | $8,401 | $369,882 | ||
| Valerie Chrusciel | |||||||
| Vice President | $155,098 | $35,453 | $27,606 | $23,850 | $8,409 | $250,416 | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7: Non-Fixed payments not listed above | FormAndLineReferenceDesc |
| Explanation | Management incentive for the CEO, COO and Vice Presidents are contingent on Overlake Hospital Association's consolidated net operating income for the fiscal year being at least 80% of the net operating income budget. The incentive payment is then based on a combination of meeting organizational and individual goals. The incentive payments are approved by the Governance Committee of the Board.Incentives were paid to Derek Rodrigues and Thien Nguyen based on productivity and meeting certain individual quality goals. Incentives were paid to Abhineet Chowdhary, Frank Bishop and to John Heywood based on meeting certain individual quality goals. Frank Bishop also received a sign-on bonus. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| WA Health Care Facilities Authority | ||||||||
| A | 911108929 | 93978E7P1 | 2010-04-14 | $99,229,484 | See Part VI | false | false | false |
| WA Health Care Facilities Authority | ||||||||
| B | 911108929 | 93978HKJ3 | 2014-08-06 | $58,116,440 | Refund prior issue-6/8/05 | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $3,915,000 | $99,230,949 | $1,660,010 | $210,770 | $20,000,000 | $77,360,174 | 2010 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $3,060,000 | $58,151,860 | $825,678 | $60,425 | $57,265,757 | 2008 | false | Yes (true) | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | false | false | 0.00110 | 0.00110 | false | false | Yes (true) |
| B | false | Yes (true) | false | false | 0.00140 | 0.00140 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) |
| B | false | false | false | Yes (true) | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI | FormAndLineReferenceDesc |
| Explanation | Schedule K, Part IV, Arbitrage, Line 2c:(a) Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 08/06/2014.(a) Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was performed: 07/01/2015.Note regarding the rebate computations: Since the bond proceeds have been spent, and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary.Part I, Line A, Column (f) - Construction of facilities & partially refund prior issue (06/08/05)Part II, Line 3, - The total proceeds do not agree to the issue price in Part I, Column (e) due to investment earnings. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Overlake Hospital Association is the sole member of Overlake Hospital Medical Center. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | Overlake 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 Shareholders | Overlake Hospital Association, as sole member, 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 Process | The 990 is prepared internally and reviewed by an independent accounting firm. The 990 is then reviewed by the President & CEO, CFO, VP Clinical Integration & CCO, Chief Human Resources 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 Conflicts | Board 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 organization 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 interests or other relationships with any organization 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, Chief Human Resources Officer and General Counsel. This information is also shared with the Chair, Committee Chairs, and the 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 Management | Overlake's policy and process for Executive Compensation is fully documented in the "Executive Compensation Administration and Compliance Manual". 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 a review of comparable data from external sources. All compensation related decisions for the CEO, COO and Vice Presidents are discussed, deliberated and voted on by the Compensation Committee and documented in the minutes of the meeting. The most recent compensation review was at the 9/25/15 Compensation Committee meeting. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Overlake 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 Decreases | Adjustment in Pension Liability = -$6583159 |
| Form 990, Part I Line 6 - Volunteers | Volunteers provided 35,900 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 14 board members that volunteered their time as board members during the year. |
| Form 990, Part IV Line 12 - Fin. Stmts | The financial statements of Overlake Hospital Medical Center are audited on a consolidated basis. 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 & 7h | Overlake 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Overlake Medical Clinics LLC | |||||||||
| 1035 116th Ave NE | Bellevue | WA | 98004 | 911932954 | Medical Clinics | WA | $42,513,039 | $21,960,867 | Overlake Hospital Medical Center |
| Overlake Provider Network LLC | |||||||||
| 1035 116th Ave NE | Bellevue | WA | 98004 | 474545130 | Clinically Integrated Network | WA | Overlake Hospital Medical Center | ||
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Overlake Hospital Foundation | |||||||||||
| 1035 116th Ave NE | Bellevue | WA | 98004 | 911050325 | Fund Raising | WA | 501(c)(3) | 7 | Overlake Hospital Medical Center | Yes (true) | |
| Overlake Hospital Auxiliaries | |||||||||||
| 1035 116th Ave NE | Bellevue | WA | 98004 | 237297831 | Fund Raising | WA | 501(c)(3) | 7 | Overlake Hospital Medical Center | Yes (true) | |
| Overlake Hospital Association | |||||||||||
| 1035 116th Ave NE | Bellevue | WA | 98004 | 911274134 | Provide Support | WA | 501(c)(3) | 11-Type II | Yes (true) | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Overlake Hospital Foundation | ||
| b | $1,831,116 | Cash |
| Overlake Hospital Foundation | ||
| c | $3,388,820 | Cash |
| Overlake Hospital Foundation | ||
| n | $85,662 | Cash |
| Overlake Hospital Foundation | ||
| o | $198,201 | Cash |
| Overlake Hospital Auxiliaries | ||
| b | $44,233 | Cash |
| Overlake Hospital Auxiliaries | ||
| c | $140,000 | Cash |
| Overlake Hospital Auxiliaries | ||
| n | $28,465 | Cash |
| Overlake Hospital Auxiliaries | ||
| o | $34,648 | Cash |
| Overlake Hospital Auxiliaries | ||
| q | $18,553 | Cash |
| Overlake Hospital Association | ||
| k | $6,531,730 | FMV |
| Overlake Hospital Association | ||
| o | $204,495 | Cash |
| Overlake Hospital Association | ||
| q | $355,142 | Cash |