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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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-09T11:09:28-07:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Clark Nuber PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4th St Ste 1700AddressLine1Txt
CityBellevueCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910652651EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGary McLaughlinPersonNm
Person TitleCFOPersonTitleTxt
Signature2017-05-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSara Elizabeth J HyrePreparerPersonNm
PTINP00235495PTIN
Phone4257096200PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJ Michael MarshPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11035 116th Ave NEAddressLine1Txt
CityBellevueCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$521,887,740GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.overlakehospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionThe purpose is to operate a hospital for the care of persons,to participate in education,research and other activities designed to promote general health of the community. The Hospital's mission is to provide medical excellence every day.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee3190TotalEmployeeCnt
Total Volunteers493TotalVolunteersCnt
Total Gross UBI$1,405,310TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$103,900NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,616,399PYContributionsGrantsAmt
CY Contributions Grants$3,528,820CYContributionsGrantsAmt
PY Program Service Revenue$477,119,563PYProgramServiceRevenueAmt
CY Program Service Revenue$499,721,165CYProgramServiceRevenueAmt
PY Investment Income$1,544,935PYInvestmentIncomeAmt
CY Investment Income$9,884,081CYInvestmentIncomeAmt
PY Other Revenue$5,799,609PYOtherRevenueAmt
CY Other Revenue$6,428,019CYOtherRevenueAmt
PY Total Revenue$489,080,506PYTotalRevenueAmt
CY Total Revenue$519,562,085CYTotalRevenueAmt
PY Grants And Similar Paid$1,850,389PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,073,761CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$236,554,603PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$258,151,469CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$228,843,525PYOtherExpensesAmt
CY Other Expenses$235,951,538CYOtherExpensesAmt
PY Total Expenses$467,248,517PYTotalExpensesAmt
CY Total Expenses$496,176,768CYTotalExpensesAmt
PY Revenues Less Expenses$21,831,989PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,385,317CYRevenuesLessExpensesAmt
Total Assets BOY$667,465,225TotalAssetsBOYAmt
Total Assets EOY$677,003,032TotalAssetsEOYAmt
Total Liabilities BOY$240,216,612TotalLiabilitiesBOYAmt
Total Liabilities EOY$245,396,431TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$427,248,613NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$431,606,601NetAssetsOrFundBalancesEOYAmt
MissionThe purpose is to operate a hospital for the care of persons,to participate in education,research and other activities designed to promote general health of the community. The Hospital's mission is to provide medical excellence every day.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$398,499,050ExpenseAmt
Revenue$499,555,329RevenueAmt
DescHospital Services - Overlake Hospital Medical Center is a nonprofit, independently operated regional center serving the eastern Puget Sound region with medical facilities in Bellevue, Issaquah, Kirkland, 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

FieldValueIRS element (for citing)
Expense$2,073,761ExpenseAmt
Grant$2,073,761GrantAmt
DescOther 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

FieldValueIRS element (for citing)
Expense$1,842,643ExpenseAmt
Revenue$165,836RevenueAmt
DescEducation 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
FieldValueIRS element (for citing)
Total Program Service Expenses$402,415,454TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document254IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3190EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonEric TeshimaPersonNm
Phone4256885149PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Greg Collins
Chairman6.001.00Yes (X)Yes (X)$0$0$0
Jim Doud
Secretary3.003.00Yes (X)Yes (X)$0$0$0
Patricia Bedient
Treasurer4.001.00Yes (X)Yes (X)$0$0$0
Robert Campbell
Trustee5.000.50Yes (X)$0$0$0
Jorge Cerda
Trustee2.002.00Yes (X)$0$0$0
Janine Florence
Trustee1.001.00Yes (X)$0$0$0
Kemper Freeman Jr
Trustee1.001.00Yes (X)$0$0$0
Ted Herb
Trustee1.001.00Yes (X)$0$0$0
David Hovind
Trustee3.002.00Yes (X)$0$0$0
Linda Mahaffey
Trustee2.003.00Yes (X)$0$0$0
N Elizabeth McCaw
Trustee1.000.25Yes (X)$0$0$0
Nolan Newman
Trustee1.501.50Yes (X)$0$0$0
Phyllis Stark
Trustee3.007.00Yes (X)$0$0$0
Russell Stockdale
Trustee1.002.00Yes (X)$0$0$0
Thomas Stoll MD
Trustee3.001.00Yes (X)$42,000$0$0
J Michael Marsh
President & CEO45.0015.00Yes (X)$926,483$0$163,870
Thomas Debord
COO55.000.00Yes (X)$304,612$0$65,270
Gary McLaughlin
CFO40.0010.00Yes (X)$670,601$0$153,179
T D Sam Baxter
Vice President55.000.00$286,494$0$102,709Yes (X)
Richard Bryan
Vice President60.000.00$356,701$0$91,432Yes (X)
Valerie Chrusciel
Vice President60.000.00$218,157$0$32,259Yes (X)
Julie Clayton
Vice President55.000.00$331,377$0$64,044Yes (X)
David Knoepfler
Vice President55.000.00$510,387$0$108,660Yes (X)
Abhineet Chowdhary MD
Neurosurgeon40.000.00$1,077,082$0$23,439Yes (X)
Derek Rodrigues MD
Cardiologist40.000.00$888,814$0$33,769Yes (X)
Frank Bishop MD
Neurosurgeon40.000.00$770,155$0$30,323Yes (X)
Thien Nguyen MD
Bariatric Surgeon40.000.00$736,600$0$38,532Yes (X)
John Heywood MD
Cardiologist40.000.00$722,946$0$33,987Yes (X)
Caitlin H Moulding
Former Key Employee55.000.00$386,260$0$83,009Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,228,669TotalReportableCompFromOrgAmt
Total Other Compensation$1,024,482TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K490IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Gall Landau Young Const Co
P O Box 6728BellevueWA980080728Construction$5,582,749
Epic Systems Corporation
P O Box 88314MilwaukeeWI532880314Software Developer$3,404,552
Bloodworks Northwest
921 Terry AvenueSeattleWA981041256Blood Services$2,426,495
OBHG Washington PC
10 Centimeters DrMauldinSC29662Hospitalist Services$1,571,232
Puget Sound PhysPLLC
c/o ER 1035 116th Av NEBellevueWA98004ER Physician$1,264,005
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K93CntrctRcvdGreaterThan100KCnt
Related Organizations$3,528,820RelatedOrganizationsAmt
Total Contributions$3,528,820TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Education Services611710$165,836$165,836
Medicare/Medicaid Payment900004$183,926,078$183,926,078
Non Government Payments900004$311,035,109$311,035,109
Other Program Services900004$3,275,850$3,275,850
Program Related Invstmnts900004$1,318,292$1,318,292
FieldValueIRS element (for citing)
Total Program Service Revenue$499,721,165TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,039,362TotalRevenueColumnAmt
Exclusion$8,039,362ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$305,509RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$305,509RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$305,509TotalRevenueColumnAmt
Exclusion$305,509ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,828,247SecuritiesAmt
Other$2,152,022OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,135,550OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,828,247SecuritiesAmt
Other$16,472OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,844,719TotalRevenueColumnAmt
Exclusion$1,844,719ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$259,090GrossSalesOfInventoryAmt
Cost Of Goods Sold$190,105CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$68,985TotalRevenueColumnAmt
Exclusion$68,985ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria/Catering722210$2,822,124$2,822,124
Laboratory621500$2,579,381$1,174,071$1,405,310
Parking Revenue812930$402,120$402,120

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$249,900TotalRevenueColumnAmt
Exclusion$249,900ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,053,525OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$519,562,085TotalRevenueColumnAmt
Related Or Exempt Func Income$499,721,165RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,405,310UnrelatedBusinessRevenueAmt
Exclusion$14,906,790ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,073,761TotalAmt
Program Services$2,073,761ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,323,437TotalAmt
Program Services$958,071ProgramServicesAmt
Management And General$3,365,366ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$203,279,156TotalAmt
Program Services$170,256,795ProgramServicesAmt
Management And General$33,022,361ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,018,484TotalAmt
Program Services$10,221,191ProgramServicesAmt
Management And General$1,797,293ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$24,799,292TotalAmt
Program Services$20,080,182ProgramServicesAmt
Management And General$4,719,110ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,731,100TotalAmt
Program Services$11,441,550ProgramServicesAmt
Management And General$2,289,550ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,899,313TotalAmt
Program Services$85,202ProgramServicesAmt
Management And General$1,814,111ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$247,775TotalAmt
Management And General$247,775ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$97,049TotalAmt
Management And General$97,049ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$151,671TotalAmt
Management And General$151,671ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$45,000,797TotalAmt
Program Services$32,543,492ProgramServicesAmt
Management And General$12,457,305ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,899,338TotalAmt
Program Services$273ProgramServicesAmt
Management And General$1,899,065ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,474,146TotalAmt
Program Services$5,810,788ProgramServicesAmt
Management And General$3,663,358ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,742,322TotalAmt
Management And General$10,742,322ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,668,516TotalAmt
Program Services$11,754,337ProgramServicesAmt
Management And General$3,914,179ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$610,514TotalAmt
Program Services$333,309ProgramServicesAmt
Management And General$277,205ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$732,783TotalAmt
Program Services$411,879ProgramServicesAmt
Management And General$320,904ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,479,704TotalAmt
Program Services$8,479,704ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,462,109TotalAmt
Program Services$21,899,362ProgramServicesAmt
Management And General$9,562,747ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,932,632TotalAmt
Program Services$4,740,101ProgramServicesAmt
Management And General$1,192,531ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement 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

FieldValueIRS element (for citing)
Total$3,608,795TotalAmt
Program Services$1,523,869ProgramServicesAmt
Management And General$2,084,926ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$496,176,768TotalAmt
Program Services$402,415,454ProgramServicesAmt
Management And General$93,761,314ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,015,143BOYAmt
EOY$21,708,448EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,698,700BOYAmt
EOY$8,856,801EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$48,852,192BOYAmt
EOY$54,136,176EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$40,124BOYAmt
EOY$328,168EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,039,143BOYAmt
EOY$8,562,598EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,151,710BOYAmt
EOY$11,064,615EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$471,149,052LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$267,917,680LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$203,665,309BOYAmt
EOY$203,231,372EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$333,900,670BOYAmt
EOY$349,825,106EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,752,407BOYAmt
EOY$2,713,621EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,647,606BOYAmt
EOY$2,750,984EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,702,221BOYAmt
EOY$13,825,143EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$667,465,225BOYAmt
EOY$677,003,032EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$68,708,340BOYAmt
EOY$82,447,361EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$154,482,308BOYAmt
EOY$149,804,180EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,025,964BOYAmt
EOY$13,144,890EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$240,216,612BOYAmt
EOY$245,396,431EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$424,286,579BOYAmt
EOY$431,574,176EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,962,034BOYAmt
EOY$32,425EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$427,248,613BOYAmt
EOY$431,606,601EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$667,465,225BOYAmt
EOY$677,003,032EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$23,385,317ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$12,444,170NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$6,583,159OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

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

Section527 Political Org Section527PoliticalOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPaid Internal FundsPaidInternalFundsAmtEINEIN
Washington State Hospital Assoc
Dept5028 P O Box 34936SeattleWA98124$48,584
Millennia Public Affairs Inc
21127 47th Dr SEBothellWA98021$34,000911809445
American Hospital Association
P O Box 34936SeattleWA98124$10,465
FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$59,049DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$38,000OtherActivitiesAmt
Total Lobbying Expenditures$97,049TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$213,852,901OtherCostOrOtherBasisAmt
Depreciation$97,188,232DepreciationAmt
Book Value$116,664,669BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,841,115OtherCostOrOtherBasisAmt
Depreciation$3,958,798DepreciationAmt
Book Value$882,317BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$244,088,117OtherCostOrOtherBasisAmt
Depreciation$166,770,650DepreciationAmt
Book Value$77,317,467BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,215,778OtherCostOrOtherBasisAmt
Book Value$6,215,778BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$203,231,372TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Other Long Term Liabilities$85,615
Pension Liability$2,434,590
Prof Liability Insurance Reserve$8,971,500
Workers' Comp Reserve$1,653,185
FieldValueIRS element (for citing)
Total Liability$13,144,890TotalLiabilityAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,808,606TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,808,606NetCommunityBenefitExpnsAmt
Total Expense0.00770TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,964,391TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,342,661DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,621,730NetCommunityBenefitExpnsAmt
Total Expense0.02950TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,772,997TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,342,661DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,430,336NetCommunityBenefitExpnsAmt
Total Expense0.03720TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,510,038TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$180,116DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,329,922NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,061,686TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,040,186NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,647,091TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,166,590DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,480,501NetCommunityBenefitExpnsAmt
Total Expense0.00500TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$441,401TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$362,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$79,078NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$283,741TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$283,741NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,943,957TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,730,529DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,213,428NetCommunityBenefitExpnsAmt
Total Expense0.01260TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,716,954TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,073,190DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,643,764NetCommunityBenefitExpnsAmt
Total Expense0.04980TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$2,507,395BadDebtExpenseAmt
Bad Debt Expense Attributable$2,287,319BadDebtExpenseAttributableAmt
Reimbursed By Medicare$63,599,793ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$78,424,158CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,824,365MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1Overlake Surgery Center LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesAmbulatory Surgical SvcsPrimaryActivitiesTxt
Org Profit Or Ownership0.30160OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.69840PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Overlake Hospital Medical CtrBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLoverlakehospital.org/about-overlakeOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLoverlakehospital.org/about-overlakeStrategyWebsiteURLTxt
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Line 16iFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Line 16iFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Line 16iFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the CommunityThe 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 AssessmentEvergreen 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 WhyThe 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 PolicyPart V, Line 16a, 16b, 16c Website:http://www.overlakehospital.org/financial-arrangements.
Part V, Line 22d - Other Billing Determination of Individuals Without InsuranceThe hospital facility used the average of Medicare and negotiated commercial insurance rates when calculating the maximum amounts that can be charged.
FieldValueIRS element (for citing)
Facility18FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
OMC-Issaquah Urgent & Primary Care
5708 E Lk Sammamish Pkwy SE Ste 100IssaquahWA98029Urgent Care/Primary Care/Specialty Clinic
OMC-Cardiology
1135 116th Ave NE Ste 600BellevueWA98004Cardiology
OMC-Primary Care Hosp Campus PulmonologyEndocrinology
1231 116th Ave NE Ste 400BellevueWA98004Primary Care/Pulmonology/Endocrinology
OMC-Downtown Bellevue Urgent & Primary Care
400 108th Ave NE Ste 100BellevueWA98004Urgent Care/Primary Care
OMC-Urgent Care Redmond
17209 Redmond WayRedmondWA98052Urgent Care
OMC-Neurosciences
1135 116th Ave NE Ste 500BellevueWA98004Neurosurgery/Neurology
OMC-Medical Oncology
1135 116th Ave NE Ste 230BellevueWA98004Oncology
OMC-Kirkland Primary CareCardiology
290 Central WayKirklandWA98033Primary Care/Cardiology
OMC-Outpatient PTOccupational Therapy & Speech
1417 116th Ave NE Ste 110BellevueWA98004Physical Therapy/Occupational Therapy/Speech
OMC-Specialty Clinic Bellevue
1231 116th Ave NE Ste 515BellevueWA98004Bariatric & Nutrition Services
OMC-Redmond Primary CareCardiologyPulmonologyPsych
7345 164th Ave NE Ste I-105RedmondWA98052Primary Care/Cardiology/Pulmonology/Psych
OMC-Radiation Oncology
1135 116th Ave NE Ste 160BellevueWA98004Oncology
OMC-Cardiac Surgery
1135 116th Ave NE Ste 605BellevueWA98004Cardiac Surgery
OMC-Colorectal Surgery
1135 116th Ave NE Ste 550BellevueWA98004Colorectal Surgery
OMC-Breast Surgery
1135 116th Ave NE Ste 510BellevueWA98004Breast Surgery
OMC-Senior Health Center
1750 112th Ave NE Ste A101BellevueWA98004Geriatric
OMC-Cardiology IssaquahPulmonology
1740 NW Maple St Ste 207IssaquahWA98027Cardiology/Pulmonology
OMC-Concierge Services
1231 116th Ave E Ste 525BellevueWA98004Primary Care

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpensePatient bills are reduced by payments, contractual adjustments, charity adjustments, and other adjustments as applicable. Patients are then responsible for any remaining balance. If a patient does not pay the balance or make payment arrangements according to the collection policy, the balance is written off to bad debt. The bad debt expense on Schedule H, Part III, lines 2 and 3 are estimated based on the cost to charge ratio.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitThe Hospital believes that approximately 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 ExpenseProvision for Bad Debt footnote on attached Audited Financial Statement page 15, section 6.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitThe costing methodology for Medicare allowable cost is derived from FY 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 PatientsThe Hospital will place a patient's account on hold when a patient's account is being considered for charity. Once a determination has been made that a patient qualifies for charity care, the patient's account is reduced by the charity amount granted and a letter is sent to the patient noting the charity adjustment. The patient may appeal the decision if he/she believes there is additional information that should have been considered or the financial situation has changed. The patient is responsible for any balance remaining after the charity adjustment, if any, and the collection process will continue in the normal process.
Part VI - Needs AssessmentIn 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 AssistanceInformation about assistance programs starts at the point of registration. Placards describing the financial assistance programs are at all admitting registration desks. Financial assistance can take the form of assistance in qualifying for Medicaid, charity, or prompt pay discounts. Financial counselors are available to discuss the financial arrangements for all patients and they discuss the financial assistance program. The Financial counselors will also assist patients in completing the Hospital's charity care application if the patient brings in information and needs help completing the application. The Hospital engages an outside company to assist patients with applying for Medicaid. General information about the assistance programs is then included as part of each patient statement that is sent to a patient and includes the phone number of the Patient Financial Services department to call for assistance. In addition, as part of the account follow up, Patient Financial Service Representatives will call patients after their second statement and will discuss patient financial assistance as part of the call. Overlake's charity care policy is posted on the Washington State Department of Health's website and on the Hospital's website.
Part VI - Community InformationThe 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 PurposeThe Hospital staff participates in the county wide disaster preparedness group and is the back up to Harborview Medical Center. The Hospital has an open medical staff model. The Hospital operates an active screening program in which we offer free health screenings at least four times annually at community events. The largest one is the annual Overlake Eastside Vitality Community Health Fair in which we provide over 2,000 free screenings including cholesterol, stroke risk, diabetes, and skin cancer. Screening results and free counseling are provided at the events. Those who need to see a physician are given a list of providers, including community medical clinics.
Part VI - Additional InformationPart I, Line 3cIn addition to the FPL criteria, there is a residency requirement to either be a resident of the state of Washington or meet an exception for non residents. Non residents may be eligible for financial assistance while receiving services within the Emergency department or as a result of a direct admission from the Emergency Department. Exceptions to the Washington State residency requirement also include refugees, asylees, and those seeking asylum that possess and can present INS documentation.Part I, Line 7The costing methodology for charity care and unreimbursed Medicaid was the cost to charge method using the cost to charge ratio derived from worksheet 2. The community health improvement cost, health professional education, research and cash and in-kind contributions are direct cost and do not include any indirect cost. The cost for subsidized health services is derived from a cost accounting system that addresses all patient segments.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
American Cancer Society
2120 1st Ave NSeattleWA98109131788491501(c)3$10,500$0Sponsor
American Heart Association
P O Box 50085PrescottAZ86304135613797501(c)3$20,000$0Sponsor
Bellevue Arts Museum
510 Bellevue WayBellevueWA98004916028261501(c)3$20,000$0Sponsor
Bellevue LifeSpring
P O Box 53203BellevueWA98015910658331501(c)3$7,500$0Sponsor
Boys & Girls Club of Bellevue
209 100th Ave NEBellevueWA98004910776451501(c)3$10,000$0Sponsor
Group Health Foundation
320 Westlake Ave N Ste 100SeattleWA98109910511770501(c)3$24,000$0Sponsor
Issaquah Schools Foundation
P O Box 835IssaquahWA98027943050254501(c)3$10,000$0Sponsor
Lifewire
P O Box 6398BellevueWA98008911190193501(c)3$10,000$0Sponsor
March of Dimes
1904 3rd Ave Ste 230SeattleWA98101131846366501(c)3$10,000$0Sponsor
Medical Teams International
14150 SW Milton CtTigardOR97224930878944501(c)3$15,000$0Sponsor
Northwest Healthcare Response
7100 Fort Dent Way Ste 210TukwilaWA98188463002271501(c)3$25,000$0Sponsor
Overlake Hospital Auxiliaries
1035 116th Ave NEBellevueWA98004237297831501(c)3$44,233$0Support Operations
Overlake Hospital Foundation
1035 116th Ave NeBellevueWA98004911050325501(c)3$1,831,116$0Support Operations
FieldValueIRS element (for citing)
Total501c3 Org13Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Abhineet Chowdhary MD
Neurosurgeon$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

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 7: Non-Fixed payments not listed aboveFormAndLineReferenceDesc
ExplanationManagement 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WA Health Care Facilities Authority
A91110892993978E7P12010-04-14$99,229,484See Part VIfalsefalsefalse
WA Health Care Facilities Authority
B91110892993978HKJ32014-08-06$58,116,440Refund prior issue-6/8/05falsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$3,915,000$99,230,949$1,660,010$210,770$20,000,000$77,360,1742010Yes (true)falseYes (true)Yes (true)
B$3,060,000$58,151,860$825,678$60,425$57,265,7572008falseYes (true)Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
ExplanationSchedule K, Part IV, Arbitrage, Line 2c:(a) Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderOverlake Hospital Association is the sole member of Overlake Hospital Medical Center.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyOverlake Hospital Association has the right to appoint and remove Overlake Hospital Medical Center's Trustees.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersOverlake Hospital Association, 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 ProcessThe 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 ConflictsBoard members and management annually sign a statement which affirms that such person: 1) has received a copy of the Conflict of Interest Policy2) has read and understands the policy3) has agreed to comply with the policy, and4) understands that the corporation is a charitable 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 ManagementOverlake'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 AvailableOverlake Hospital makes its disclosure of governing documents, conflict of interest policy, and audited financial statements available through the Hospital's administration office. The Overlake Hospital Association consolidated financial statements are also available on the Overlake Medical Center's website.
Other Changes In Net Assets Or Fund Balances - Other DecreasesAdjustment in Pension Liability = -$6583159
Form 990, Part I Line 6 - VolunteersVolunteers 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. StmtsThe 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 & 7hOverlake Hospital Medical Center did not receive any contributions of intellectual property, cars, boats, airplanes, or other vehicles.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Overlake Medical Clinics LLC
1035 116th Ave NEBellevueWA98004911932954Medical ClinicsWA$42,513,039$21,960,867Overlake Hospital Medical Center
Overlake Provider Network LLC
1035 116th Ave NEBellevueWA98004474545130Clinically Integrated NetworkWAOverlake Hospital Medical Center

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Overlake Hospital Foundation
1035 116th Ave NEBellevueWA98004911050325Fund RaisingWA501(c)(3)7Overlake Hospital Medical CenterYes (true)
Overlake Hospital Auxiliaries
1035 116th Ave NEBellevueWA98004237297831Fund RaisingWA501(c)(3)7Overlake Hospital Medical CenterYes (true)
Overlake Hospital Association
1035 116th Ave NEBellevueWA98004911274134Provide SupportWA501(c)(3)11-Type IIYes (true)N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Overlake Hospital Foundation
b$1,831,116Cash
Overlake Hospital Foundation
c$3,388,820Cash
Overlake Hospital Foundation
n$85,662Cash
Overlake Hospital Foundation
o$198,201Cash
Overlake Hospital Auxiliaries
b$44,233Cash
Overlake Hospital Auxiliaries
c$140,000Cash
Overlake Hospital Auxiliaries
n$28,465Cash
Overlake Hospital Auxiliaries
o$34,648Cash
Overlake Hospital Auxiliaries
q$18,553Cash
Overlake Hospital Association
k$6,531,730FMV
Overlake Hospital Association
o$204,495Cash
Overlake Hospital Association
q$355,142Cash