OVERLAKE MEDICAL CENTER & CLINICS: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- OVERLAKE MEDICAL CENTER & CLINICS (EIN 91-0652651)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-12
- IRS object ID
- 201411329349303826
- Schema version
- 2012v2.0
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-12T14:53:20-07:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clark Nuber PS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4th St Ste 1700 | AddressLine1 |
| City | Bellevue | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910652651 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OVERLAKE HOSPITAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OVER | NameControl |
| Phone | 4256885000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 116th Ave NE | AddressLine1 |
| City | Bellevue | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Gary McLaughlin | Name |
| Title | CFO | Title |
| Date Signed | 2014-05-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Sara Elizabeth J Hyre | Name |
| PTIN | P00235495 | PTIN |
| Phone | 4257096200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Craig Hendrickson | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 116th Ave NE | AddressLine1 |
| City | Bellevue | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 498432711 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.overlakehospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1953 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3049 | TotalNbrEmployees |
| Total Nbr Volunteers | 563 | TotalNbrVolunteers |
| Total Gross UBI | 1243974 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 30232 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5068085 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3427381 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 420550975 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 416612006 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 11280104 | InvestmentIncomePriorYear |
| Investment Income Current Year | 26564756 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4333025 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4152115 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 441232189 | TotalRevenuePriorYear |
| Total Revenue Current Year | 450756258 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1552361 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1337853 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 209581189 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 221074739 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 197410439 | OtherExpensePriorYear |
| Other Expenses Current Year | 194173446 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 408543989 | TotalExpensesPriorYear |
| Total Expenses Current Year | 416586038 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 32688200 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 34170220 | RevenuesLessExpensesCY |
| Total Assets BOY | 576465313 | TotalAssetsBOY |
| Total Assets EOY | 610805572 | TotalAssetsEOY |
| Total Liabilities BOY | 261358736 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 256501985 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 315106577 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 354303587 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 336405218 | Expense |
| Revenue | 416431393 | Revenue |
| Description | 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 18,093 patients admitted for inpatient medical care for a total of 62,615 patient days. There were 250,222 outpatient visits out of which 44,098 were for emergency care visits. The Hospital delivered 3,656 babies. Overlake Medical Clinics provided 190,475 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 8,724 patients who are uninsured or under insured in the amount of $21,733,000 (estimated cost of $7,609,000). The Hospital provided care to Medicaid patients at rates below the cost of providing services. The payments were less than cost by $9,665,000. In keeping with the Hospital's spirit of giving back to the community it served, a total of $5,027,000 of community benefit service activities were also provided. Overlake Staff spent 1,816 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. In March 2013, Overlake held its Active Senior Fair performing free cardiac and cholesterol screenings. 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 solidified its place as the leader and provider of the most comprehensive array of cardiac services available to Eastside patients. Today, the Hospital's heart care team includes a network of specialists whose collective expertise and training has helped Overlake earn its reputation as an award winning cardiac center. Overlake is the first hospital on the Eastside to perform minimally invasive cardiac surgery. It is the site of two national cutting-edge cardiac clinical trials. Overlake has been a nationally recognized leader in the cancer center since 1974. 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. The Breast Center at Overlake was the first in the Seattle Metropolitan area to receive a three year full accreditation by the National Accreditation Program for Breast Center. 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. The Palliative Care Program completed its first full year helping patients and families face serious illness and navigate their care with kindness and respect. 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, families who prefer us for their comprehensive healthcare and through many national awards. We were recognized by Healthgrades as one of the top 5% of hospitals in the nation for patient safety for the fifth year in a row. We are the only hospital in Greater Seattle named a Top Performer on Key Quality Measures by the Joint Commission and noted as having the Most Advanced Neurointerventional care on the Eastside. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1909957 | Expense |
| Revenue | 180613 | Revenue |
| Description | 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 40,401 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. The Hospital provided 17,160 nursing education hours on a wide range of topics to internal and external staff and nursing residents. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1337853 | Expense |
| Grants | 1337853 | Grants |
| Description | Other Grants and Allocations - Grants to Overlake Hospital Foundation and Overlake Hospital Auxiliaries to cover expenses. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 339653028 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | true | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 282 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3049 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | WA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Eric Teshima | NamePerson |
| Telephone Number | 4256885149 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1231 116th Ave Ste 600 | AddressLine1 |
| City | Bellevue | City |
| State | WA | State |
| ZIP Code | 980044687 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (35 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| Thomas Stoll | ||||||||||
| Trustee | 2.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Russell Stockdale | ||||||||||
| Trustee | 1.00 | 0.50 | X | 0 | 0 | 0 | ||||
| Nolan Newman | ||||||||||
| Trustee | 1.50 | 1.50 | X | 0 | 0 | 0 | ||||
| Lani Mobius | ||||||||||
| Trustee | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| Tom Miller MD | ||||||||||
| Trustee | 1.00 | 0.50 | X | 40000 | 0 | 0 | ||||
| Douglas Martin | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Linda Mahaffey | ||||||||||
| Trustee | 0.50 | 2.50 | X | 0 | 0 | 0 | ||||
| Ken Johnsen | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| David Hovind | ||||||||||
| Trustee | 1.00 | 0.50 | X | 0 | 0 | 0 | ||||
| John Hayhurst | ||||||||||
| Trustee | 2.00 | 0.50 | X | 0 | 0 | 0 | ||||
| Kathleen Gibson MD | ||||||||||
| Trustee | 1.00 | 1.00 | X | 10000 | 0 | 0 | ||||
| Kemper Freeman Jr | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Janine Florence | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Patty Edwards | ||||||||||
| Trustee | 0.50 | 1.00 | X | 0 | 0 | 0 | ||||
| Gregory Collins | ||||||||||
| Trustee | 1.50 | 1.50 | X | 0 | 0 | 0 | ||||
| Tom Cleveland | ||||||||||
| Trustee | 2.00 | 2.00 | X | 0 | 0 | 0 | ||||
| Robert Campbell | ||||||||||
| Trustee | 5.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Bertrand Valdman | ||||||||||
| Imm Past Chair | 1.00 | 1.00 | X | 0 | 0 | 0 | X | |||
| Patricia Bedient | ||||||||||
| Treasurer | 2.00 | 1.00 | X | 0 | 0 | 0 | X | |||
| Jim Doud | ||||||||||
| Secretary | 3.00 | 3.00 | X | 0 | 0 | 0 | X | |||
| Cecily Hall | ||||||||||
| Chairman | 3.00 | 3.00 | X | 0 | 0 | 0 | X | |||
| Gary McLaughlin | ||||||||||
| Vice Pres & CFO | 40.00 | 20.00 | 577280 | 0 | 134666 | X | ||||
| David Schultz | ||||||||||
| Vice Pres & COO | 50.00 | 0.00 | 535714 | 0 | 91721 | X | ||||
| Craig Hendrickson | ||||||||||
| President & CEO | 50.00 | 20.00 | 945820 | 0 | 219065 | X | ||||
| Caitlin Hillary-Moulding | ||||||||||
| Vice President | 50.00 | 0.00 | 337931 | 0 | 63640 | X | ||||
| Alan Ertle | ||||||||||
| Vice President | 55.00 | 0.00 | 401506 | 0 | 63362 | X | ||||
| Catherine Whitaker-Klick | ||||||||||
| Vice President | 0.00 | 0.00 | 365892 | 0 | 14912 | X | ||||
| T D Sam Baxter | ||||||||||
| Vice President | 55.00 | 0.00 | 238351 | 0 | 66408 | X | ||||
| Richard Bryan | ||||||||||
| Vice President | 55.00 | 0.00 | 356062 | 0 | 65526 | X | ||||
| William Reece MD | ||||||||||
| Rad. Oncologist | 40.00 | 0.00 | 761273 | 0 | 26537 | X | ||||
| John Hynes MD | ||||||||||
| Cardiologist | 40.00 | 0.00 | 721789 | 0 | 31236 | X | ||||
| John Heywood MD | ||||||||||
| Cardiologist | 40.00 | 0.00 | 718113 | 0 | 31682 | X | ||||
| John Holder MD | ||||||||||
| Cardiologist | 40.00 | 0.00 | 669144 | 0 | 27132 | X | ||||
| Joseph Doucette MD | ||||||||||
| Cardiologist | 40.00 | 0.00 | 647103 | 0 | 31405 | X | ||||
| Jody Albright | ||||||||||
| Vice President & CIO | 48.00 | 0.00 | 311793 | 0 | 54878 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7637771 | TotalReportableCompFromOrg |
| Total Other Compensation | 922170 | TotalOtherCompensation |
| Number Individuals GT100 K | 330 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Puget Sound Blood Center | |||||
| 921 Terry Ave | Seattle | WA | 981041256 | Blood Services | 3065433 |
| Ivoxy Consulting LLC | |||||
| PO Box 101264 | Pasadena | CA | 911890005 | Software Consulting | 2554718 |
| Gall Landau Young Construction Co | |||||
| POBox 6728 | Bellevue | WA | 980080728 | Construction | 4688334 |
| Epic Systems Corporation | |||||
| PO Box 88314 | Milwaukee | WI | 532880314 | Software Developer | 6446360 |
| Aldrich & Associates Inc | |||||
| 810 240th St SE | Bothell | WA | 980219397 | Construction | 2831367 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 84 | NumberOfContractorsGT100K |
| Related Organizations | 3427381 | RelatedOrganizations |
| Total Contributions | 3427381 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Program Related Invstmnts | 900004 | 1618770 | 1618770 |
| Other Program Services | 900004 | 2058398 | 2058398 |
| Non Government Payments | 900004 | 261317332 | 261317332 |
| Medicare/Medicaid Payment | 900004 | 151436893 | 151436893 |
| Education Services | 611710 | 180613 | 180613 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 416612006 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6877478 | TotalRevenueColumn |
| Exclusion | $6,877,478 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 417407 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 417407 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 417407 | TotalRevenueColumn |
| Exclusion | $417,407 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 67059871 | Securities |
| Other | 76069 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 47250648 | Securities |
| Other | 198014 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 19809223 | Securities |
| Other | -121945 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19687278 | TotalRevenueColumn |
| Exclusion | $19,687,278 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 242899 | GrossSalesOfInventory |
| Cost Of Goods Sold | 227791 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15108 | TotalRevenueColumn |
| Exclusion | $15,108 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Women's Clinic | 446199 | 348502 | $348,502 | |
| Laboratory | 621500 | 754437 | $89,163 | 665274 |
| Catering/Cafeteria | 722210 | 2270489 | $1,691,789 | 578700 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 346172 | TotalRevenueColumn |
| Exclusion | $346,172 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3719600 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 450756258 | TotalRevenueColumn |
| Related Or Exempt Function Income | 416612006 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1243974 | UnrelatedBusinessRevenue |
| Exclusion | $29,472,897 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1337853 | Total |
| Program Services | 1337853 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3651494 | Total |
| Program Services | 1087104 | ProgramServices |
| Management And General | 2564390 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171773616 | Total |
| Program Services | 145914598 | ProgramServices |
| Management And General | 25859018 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11528719 | Total |
| Program Services | 10046295 | ProgramServices |
| Management And General | 1482424 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21704682 | Total |
| Program Services | 17718615 | ProgramServices |
| Management And General | 3986067 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12416228 | Total |
| Program Services | 10501105 | ProgramServices |
| Management And General | 1915123 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 523446 | Total |
| Program Services | 48674 | ProgramServices |
| Management And General | 474772 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183205 | Total |
| Management And General | 183205 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 152878 | Total |
| Management And General | 152878 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184042 | Total |
| Management And General | 184042 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37998213 | Total |
| Program Services | 27307640 | ProgramServices |
| Management And General | 10690573 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1047521 | Total |
| Program Services | 173 | ProgramServices |
| Management And General | 1047348 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7552402 | Total |
| Program Services | 4395383 | ProgramServices |
| Management And General | 3157019 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8509011 | Total |
| Management And General | 8509011 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13966759 | Total |
| Program Services | 9099624 | ProgramServices |
| Management And General | 4867135 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 640314 | Total |
| Program Services | 489238 | ProgramServices |
| Management And General | 151076 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 394341 | Total |
| Program Services | 306637 | ProgramServices |
| Management And General | 87704 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9953092 | Total |
| Program Services | 9953092 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29389690 | Total |
| Program Services | 20976318 | ProgramServices |
| Management And General | 8413372 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4100886 | Total |
| Program Services | 3103951 | ProgramServices |
| Management And General | 996935 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Other Expenses | 3029525 | 903540 | 2125985 |
| B & O Tax | 4249967 | 4249967 | |
| Medicaid Prov Assessmnt | 9123169 | 9123169 | |
| Medical Supplies | 63156030 | 63071097 | 84933 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18955 | Total |
| Program Services | 18955 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 416586038 | Total |
| Program Services | 339653028 | ProgramServices |
| Management And General | 76933010 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20314439 | BOY |
| EOY | 14388882 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23941319 | BOY |
| EOY | 24834303 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53490543 | BOY |
| EOY | 52498332 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56645 | BOY |
| EOY | 285000 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5968141 | BOY |
| EOY | 6417354 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9884735 | BOY |
| EOY | 11054208 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 434053179 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 209138026 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 193609442 | BOY |
| EOY | 224915153 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 249587217 | BOY |
| EOY | 261934346 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2910532 | BOY |
| EOY | 2841694 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6265994 | BOY |
| EOY | 5366330 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10436306 | BOY |
| EOY | 6269970 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 576465313 | BOY |
| EOY | 610805572 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59224594 | BOY |
| EOY | 67318096 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 182618048 | BOY |
| EOY | 178539468 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 761679 | BOY |
| EOY | 140650 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18754415 | BOY |
| EOY | 10503771 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 261358736 | BOY |
| EOY | 256501985 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 313510498 | BOY |
| EOY | 353990502 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1596079 | BOY |
| EOY | 313085 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 315106577 | BOY |
| EOY | 354303587 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 576465313 | BOY |
| EOY | 610805572 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 34170220 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -2515959 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 7542749 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
Sec527 Pol Orgs Sec527PolOrgs (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Amt Pd From Internal FundsAmtPdFromInternalFunds | EINEIN |
|---|---|---|---|---|---|
| American Hospital Association | |||||
| P O Box 34936 | Seattle | WA | 98124 | 9964 | |
| Millennia Public Affairs Inc | |||||
| 21127 47th Dr SE | Bothell | WA | 98021 | 95721 | 911809445 |
| Washington State Hospital Assoc | |||||
| Dept5028 P O Box 34936 | Seattle | WA | 98124 | 47193 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $57,157 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $95,721 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 152878 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i | Identifier |
| Return Reference | Part II-B, Line 1i - Other Activities Description | ReturnReference |
| Explanation | Part of the membership dues that are paid to the Washington State Hospital Association and American Hospital Association are used for lobbying purposes. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2151141 | OtherCostOrOtherBasis |
| Book Value | 2151141 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 196379307 | OtherCostOrOtherBasis |
| Depreciation | 78980148 | Depreciation |
| Book Value | 117399159 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4930800 | OtherCostOrOtherBasis |
| Depreciation | 4055533 | Depreciation |
| Book Value | 875267 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 219978311 | OtherCostOrOtherBasis |
| Depreciation | 126102345 | Depreciation |
| Book Value | 93875966 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10613620 | OtherCostOrOtherBasis |
| Book Value | 10613620 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 224915153 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Workers' Comp Reserve | $2,097,731 |
| Prof Liability Insurance Reserve | $5,197,157 |
| Pension Liability | $3,133,428 |
| Other Long Term Liabilities | $75,455 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10503771 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7608759 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7608759 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01830 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25282643 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15617873 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9664770 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02320 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32891402 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15617873 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17273529 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04150 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1171843 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 160683 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1011160 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2024580 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2024580 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00490 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3154760 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1480312 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1674448 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 333916 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 257152 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 76764 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 295779 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55162 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 240617 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6980878 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1953309 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5027569 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01210 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 39872280 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17571182 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22301098 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05360 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $5,117,682 | BadDebtExpenseAmount |
| Amount Attributable To | 3876595 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 59185347 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 73152666 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -13967319 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Overlake Surgery Center LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Ambulatory Surgical Svcs | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.43000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.57000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Overlake Hospital Medical Ctr | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 116th Ave NE | AddressLine1 |
| City | Bellevue | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | overlakehospital.org | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Overlake Hospital Medical Ctr | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| File Form4720 Report Excise Tax | false | FileForm4720ReportExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200.0000 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400.0000 | FPGDiscountPercent |
| Explains Basis | false | ExplainsBasis |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 17 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (17 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| OMC-Cardiology Bellevue 1414 | ||||
| 1414 116th Ave NE Ste E | Bellevue | WA | 98004 | Cardiology |
| OMC-Issaquah Pulmonology & Cardiology | ||||
| 1740 NW Maple Ste 207 | Issaquah | WA | 98027 | Pulmonology/Cardiology |
| OMC-Redmond Primary Care & Cardiology | ||||
| 16315 NE 74th St | Redmond | WA | 98052 | Primary Care Clinic/Cardiology |
| OMC-Breast Surgery | ||||
| 1135 116th Ave NE Ste 180 | Bellevue | WA | 98004 | Breast Surgery |
| OMC-SHC Bellevue | ||||
| 1750 112th Ave NE Ste A101 | Bellevue | WA | 98004 | Geriartric Care |
| OMC-Kirkland Primary Care & Cardiology | ||||
| 290 Central Way | Kirkland | WA | 98033 | Primary Care Clinic/Cardiology |
| OMC-Specialty Clinic Bariatric SurgeryWLS | ||||
| 1231 116th Ave NE Ste 515 | Bellevue | WA | 98004 | Bariatric Surgery/Weight Loss |
| OMC-Cardio Thoracic Surgery & Neurosurgery | ||||
| 1135 116th Ave NE Ste 605 | Bellevue | WA | 98004 | Cardiac Surgery & Neurosurgery |
| OMC-Issaquah Primary Care | ||||
| 5708 E Lk Sammamish Pkwy SE Ste 102 | Issaquah | WA | 98025 | Primary Care Clinic |
| OMC-Gilman Primary Care | ||||
| 450 NW Gilman Blvd Ste 201 | Issaquah | WA | 98027 | Primary Care Clinic |
| OMC-Downtown Bellevue Primary Care | ||||
| 400 108th Ave NE Ste 100 | Bellevue | WA | 98004 | Primary Care Clinic |
| OMC-Radiation Oncology Physicians | ||||
| 1135 116th Ave Ne Ste 160 | Bellevue | WA | 98004 | Radiation Oncology |
| OMC-Medical Tower Primary Care | ||||
| 1135 116th Ave NE Ste 110 | Bellevue | WA | 98004 | Primary Care Clinic |
| OMC-Urgent Care & Pulmonology Redmond | ||||
| 17209 Redmond Way | Redmond | WA | 98052 | Urgent Care/Pulmonology |
| OMC-Urgent Care Issaquah | ||||
| 5708 E Lk Sammamish Pkwy SE Ste 101 | Issaquah | WA | 98029 | Urgent Care |
| OMC-Medical Oncology | ||||
| 1135 116th Ave NE Ste 230 | Bellevue | WA | 98004 | Oncology |
| OMC-Cardiology & Pulmonology | ||||
| 1135 116th Ave NE Ste 600 | Bellevue | WA | 98004 | Cardiology/Pulmonology |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part VI - Additional Information | Part I, Line 7The costing methodology for charity care and unreimbursed Medicaid was the cost to charge method using the cost to charge ratio derived from worksheet 2. The community health improvement cost, health professional education, research and cash and in-kind contributions are direct cost and do not include any indirect cost. The cost for subsidized health services is derived from a cost accounting system that addresses all patient segments.Part V, Line 22FAP-eligible individuals are charged gross charges for non-medically necessary services. Medically necessary services are discounted according to the financial assistance policy. | |
| Part VI - States Where Community Benefit Report Filed | WA | |
| 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 3,943 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.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. | |
| 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 the City of Renton. It has a population base of approximately 706,584 residents with an ethnic makeup of 69% white, 17% Asian, 8% Hispanic, 6% other. 12% of the residents are 65 or older and another 28% in the 45 to 64 age bracket. | |
| 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 patients 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 - Needs Assessment | The Hospital conducted a community needs assessment in April 2011 and is using this as the primary basis for assessing the community health needs in the future. In addition, the Hospital distributes feedback forms in all our classes and at our major events, such as our annual community health fair. These forms ask attendees a range of questions, including what other classes or services people would like us to offer. We also include an item in every issue of Healthy Outlook asking people to contact us if they have requests for particular health classes or lectures. Finally, we maintain relationships with other area non-profits and work with them when they identify specific community health needs (e.g. stroke screenings at Hopelink). | |
| Part V, Line 14g - Other Means Hospital Facility Publicized the Policy | While the written policy does not specifically mention the website and the patient statements, the hospital does do them in practice. | Number of Hospital Faciltiy - 1 |
| Part V, Line 7 - 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. | Number of Hospital Faciltiy - 1 |
| Part V, Line 3 - Account Input from Person 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. | Number of Hospital Faciltiy - 1 |
| 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 III, Line 8 - Explanation Of Shortfall As Community Benefit | The costing methodology for Medicare allowable cost is derived from FY 2013 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 4 - Bad Debt Expense | Attached Audited Financial Statements page 16 | |
| Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit | The Hospital believes that approximately 75% 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 2 - Methodology Used To Estimate Bad Debt Expense | The Hospital and the Clinics provide an allowance for potential uncollectible patient accounts receivable whereby such receivables are reduced to their estimated net realizable value. The Hospital estimates this allowance based on the aging of accounts receivable, historical collection experience by payor, and other relevant factors. The Clinics estimates this allowance based on the historical collection experience by clinic and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured and underinsured patients, the increased burden of co-insurance, and deductibles to be made by patients with insurance and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process. The bad debt expense on Schedule H, Part III, lines 2 and 3 are estimated based on the cost to charge ratio. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| Overlake Hospital Foundation | ||||||||
| 1035 116th Ave Ne | Bellevue | WA | 98004 | 911050325 | 501 (c) (3) | 1245278 | 0 | Support Operations |
| Overlake Hospital Auxiliaries | ||||||||
| 1035 116th Ave NE | Bellevue | WA | 98004 | 237297831 | 501 (c) (3) | 92575 | 0 | Support Operations |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Grantmaker's Description of How Grants are Used | Identifier |
| 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|---|
| William Reece MD | |||||||
| Rad. Oncologist | 315838 | 404614 | 40821 | 15000 | 11537 | 787810 | |
| T D Sam Baxter | |||||||
| Vice President | 189031 | 22043 | 27277 | 56055 | 10353 | 304759 | 18085 |
| Richard Bryan | |||||||
| Vice President | 245538 | 37500 | 73024 | 58562 | 6964 | 421588 | 40117 |
| Joseph Doucette MD | |||||||
| Cardiologist | 567160 | 28000 | 51943 | 15000 | 16405 | 678508 | |
| John Hynes MD | |||||||
| Cardiologist | 687777 | 28000 | 6012 | 15000 | 16236 | 753025 | |
| John Holder MD | |||||||
| Cardiologist | 628343 | 28000 | 12801 | 15000 | 12132 | 696276 | |
| John Heywood MD | |||||||
| Cardiologist | 646138 | 45697 | 26278 | 15000 | 16682 | 749795 | |
| Jody Albright | |||||||
| Vice President & CIO | 261113 | 34288 | 16392 | 48554 | 6324 | 366671 | |
| Gary McLaughlin | |||||||
| Vice Pres & CFO | 415898 | 65445 | 95937 | 119282 | 15384 | 711946 | 52808 |
| David Schultz | |||||||
| Vice Pres & COO | 344270 | 56013 | 135431 | 76337 | 15384 | 627435 | 111736 |
| Craig Hendrickson | |||||||
| President & CEO | 639090 | 123774 | 182956 | 205811 | 13254 | 1164885 | 154070 |
| Catherine Whitaker-Klick | |||||||
| Vice President | 77721 | 288171 | 9784 | 5128 | 380804 | 91163 | |
| Caitlin Hillary-Moulding | |||||||
| Vice President | 239514 | 34612 | 63805 | 57316 | 6324 | 401571 | |
| Alan Ertle | |||||||
| Vice President | 325350 | 43234 | 32922 | 58022 | 5340 | 464868 | |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Sch J, Part I, Line 7 | Part I, Line 7: Non-Fixed payments not listed above | 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 organization and individual goals. The incentive payments are approved by the Governance Committee of the Board.Incentives were paid to William Reece and John Heywood based on productivity and meeting certain individual quality goals. Incentives were paid to John Hynes, John Holder and Joseph Doucette based on meeting certain individual quality goals. |
| Sch J, Part I, Line 1a | Part I, Line 1a: Relevant information in regards to selections on 1a. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| WA Health Care Facilities | ||||||||
| C | 911108929 | 93978E7P1 | 2010-04-14 | 99229494 | See Part VI | false | false | false |
| WA Health Care Facilities Authority | ||||||||
| B | 911108929 | 93978EYZ9 | 2005-06-08 | 162497935 | Construction of Facility | true | false | false |
| WA Health Care Facilities Authority | ||||||||
| A | 911108929 | 93978EWQ1 | 2003-06-19 | 22708358 | Refund Prior Issue 12/13/89 | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired | Capitalized InterestCapitalizedInterest | Credit EnhancementCreditEnhancement |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C | 99229494 | 8292652 | 1660010 | 210770 | 20000000 | 75000000 | 2010 | true | false | true | true | |||
| B | 169309811 | 6516651 | 2136381 | 145694524 | 2008 | false | false | true | true | 86285000 | 852750 | 8175568 | ||
| A | 22708445 | 371287 | 21371159 | 1990 | true | false | true | true | 16975000 | 966000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse |
|---|---|---|---|---|---|---|---|---|---|---|
| C | false | false | false | false | false | false | false | |||
| B | false | true | false | false | false | false | false | 0.00110 | 0.00920 | 0.01030 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied |
|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||
| C | false | true | true | false | false | false | false | false | ||
| IXIS Funding Corp | ||||||||||
| B | false | false | false | true | false | true | false | false | 3.1000 | true |
| (no name) | ||||||||||
| A | false | false | false | true | false | false | false | false | ||
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| C | false |
| B | false |
| A | false |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part VI | ReturnReference |
| Explanation | Schedule K, Part IV, Arbitrage, Line 2c:(a) Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 12/19/2003.(b) Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 05/31/2010.Note regarding the rebate computation on 12/19/2003: Since the bond proceeds have been spent, a spending exception was met, and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary.Part I, Line A, Column (c) - cusip - 93978E WQ1/WR9Part I, Line B, Column (c) - cusip - 93978E YZ9 / YL0 / YF3 / YG1Part I, Line C, Column (f) - Construction of facilities & partially refund prior issue (6/8/05)Part II, Line 3 - The total proceeds do not agree to the issue price in Part I, Column (e) due to investment earnings.Part II, Line 3 - The total proceeds do not equal the summation of Lines 4-12 due to transferred or replacement proceeds in line 4. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Puget Sound Physicians PLLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | See Part V | Relationship |
| Amount Of Transaction | 1238960 | AmountOfTransaction |
| Description Of Transaction | UC Phys/M.Director Fees | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Part IV Line 2 Column (c)Entity in which Tom Miller, MD, Trustee has a more than 5% ownership interest. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. | |
| Form 990, Part IX Line 24e | This is UBI Taxes. The software list items on line 24a to 24e from highest to lowest resulting in it listed on line 24e. | |
| 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 while the activities of the related organizations are reported on separate IRS Form 990s. | |
| Form 990, Part I Line 6 - Volunteers | Volunteers provided 146,788 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 21 board members that volunteered their time as board members during the year. | |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Adjustment in Pension Liability = $7542749 | Form 990, Part XI, Line 9 |
| 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 Medical Center consolidated financial statements are also available on the Overlake Medical Center's website. | Form 990, Part VI, Line 19 |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | Overlake's policy and process for Executive Compensation is fully documented in the "Executive Compensation Administration and Compliance Manual" which was last updated on April 1, 2012. 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. | Form 990, Part VI, Line 15b |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Board members and management annually signs 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 lists 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, Overlake Hospital Medical Center VP Human Resources and General Counsel. This information is also shared with the Chair, Chair-Elect, 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 12c |
| 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 System Change Management & CCO, VP Human Resources, 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 11b |
| 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 7b |
| 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 7a |
| 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 6 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Overlake Medical Clinics LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1035 116th Ave NE | AddressLine1 |
| City | Bellevue | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911932954 | EIN |
| Primary Activities | Medical Clinics | PrimaryActivities |
| Legal Domicile State | WA | LegalDomicileState |
| Total Income | 28764085 | TotalIncome |
| EOY Assets | 13524114 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Overlake Hospital Medical Center | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Overlake Hospital Association | |||||||||||
| 1035 116th Ave NE | Bellevue | WA | 98004 | 911274134 | Provide Support | WA | 501(c)(3) | 11-Type II | N/A | true | |
| Overlake Hospital Auxiliaries | |||||||||||
| 1035 116th Ave NE | Bellevue | WA | 98004 | 237297831 | Fund Raising | WA | 501(c)(3) | 9 | true | Overlake Hospital Medical Center | |
| Overlake Hospital Foundation | |||||||||||
| 1035 116th Ave NE | Bellevue | WA | 98004 | 911050325 | Fund Raising | WA | 501(c)(3) | 7 | true | Overlake Hospital Medical Center | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Overlake Hospital Association | ||
| o | 201864 | Cash |
| Overlake Hospital Association | ||
| k | 5293688 | FMV |
| Overlake Hospital Association | ||
| d | 8375214 | Other |
| Overlake Hospital Auxiliaries | ||
| o | 142535 | Cash |
| Overlake Hospital Auxiliaries | ||
| n | 30893 | Cash |
| Overlake Hospital Auxiliaries | ||
| c | 682886 | Cash |
| Overlake Hospital Auxiliaries | ||
| b | 92575 | Cash |
| Overlake Hospital Foundation | ||
| o | 225741 | Cash |
| Overlake Hospital Foundation | ||
| n | 102530 | Cash |
| Overlake Hospital Foundation | ||
| c | 2744495 | Cash |
| Overlake Hospital Foundation | ||
| b | 1245278 | Cash |