2014-05-12T14:53:20-07:00 2013-06-30 Clark Nuber PS 10900 NE 4th St Ste 1700 Bellevue WA 98004 990 2012-07-01 910652651 OVERLAKE HOSPITAL MEDICAL CENTER OVER 4256885000 1035 116th Ave NE Bellevue WA 98004 Gary McLaughlin 2014-05-12 true Sara Elizabeth J Hyre P00235495 4257096200 2012 2015-11-30 17:44:51Z Craig Hendrickson 1035 116th Ave NE Bellevue WA 98004 498432711 false false X www.overlakehospital.org X 1953 WA 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. 17 16 3049 563 1243974 30232 5068085 3427381 420550975 416612006 11280104 26564756 4333025 4152115 441232189 450756258 1552361 1337853 0 209581189 221074739 0 0 197410439 194173446 408543989 416586038 32688200 34170220 576465313 610805572 261358736 256501985 315106577 354303587 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. false false 336405218 416431393 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. 1909957 180613 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. 1337853 1337853 Other Grants and Allocations - Grants to Overlake Hospital Foundation and Overlake Hospital Auxiliaries to cover expenses. 339653028 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true true false true false false false false false false false true false false false false true true true true false false true 282 0 true 3049 true true false false false false false false 0 false false false false false false false false false false X 17 16 false false false false true true true true true false false true true true true true true true true true true WA X Eric Teshima 4256885149 1231 116th Ave Ste 600 Bellevue WA 980044687 Thomas Stoll 2.00 1.00 X 0 0 0 Russell Stockdale 1.00 0.50 X 0 0 0 Nolan Newman 1.50 1.50 X 0 0 0 Lani Mobius 1.00 2.00 X 0 0 0 Tom Miller MD 1.00 0.50 X 40000 0 0 Douglas Martin 1.00 1.00 X 0 0 0 Linda Mahaffey 0.50 2.50 X 0 0 0 Ken Johnsen 1.00 1.00 X 0 0 0 David Hovind 1.00 0.50 X 0 0 0 John Hayhurst 2.00 0.50 X 0 0 0 Kathleen Gibson MD 1.00 1.00 X 10000 0 0 Kemper Freeman Jr 1.00 1.00 X 0 0 0 Janine Florence 1.00 1.00 X 0 0 0 Patty Edwards 0.50 1.00 X 0 0 0 Gregory Collins 1.50 1.50 X 0 0 0 Tom Cleveland 2.00 2.00 X 0 0 0 Robert Campbell 5.00 1.00 X 0 0 0 Bertrand Valdman 1.00 1.00 X X 0 0 0 Patricia Bedient 2.00 1.00 X X 0 0 0 Jim Doud 3.00 3.00 X X 0 0 0 Cecily Hall 3.00 3.00 X X 0 0 0 Gary McLaughlin 40.00 20.00 X 577280 0 134666 David Schultz 50.00 0.00 X 535714 0 91721 Craig Hendrickson 50.00 20.00 X 945820 0 219065 Caitlin Hillary-Moulding 50.00 0.00 X 337931 0 63640 Alan Ertle 55.00 0.00 X 401506 0 63362 Catherine Whitaker-Klick 0.00 0.00 X 365892 0 14912 T D Sam Baxter 55.00 0.00 X 238351 0 66408 Richard Bryan 55.00 0.00 X 356062 0 65526 William Reece MD 40.00 0.00 X 761273 0 26537 John Hynes MD 40.00 0.00 X 721789 0 31236 John Heywood MD 40.00 0.00 X 718113 0 31682 John Holder MD 40.00 0.00 X 669144 0 27132 Joseph Doucette MD 40.00 0.00 X 647103 0 31405 Jody Albright 48.00 0.00 X 311793 0 54878 7637771 922170 330 true true false 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 84 3427381 3427381 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 416612006 6877478 6877478 0 0 417407 417407 417407 417407 67059871 76069 47250648 198014 19809223 -121945 19687278 19687278 0 0 242899 227791 15108 15108 Women's Clinic 446199 348502 348502 Laboratory 621500 754437 665274 89163 Catering/Cafeteria 722210 2270489 578700 1691789 346172 346172 3719600 450756258 416612006 1243974 29472897 1337853 1337853 0 0 0 3651494 1087104 2564390 0 171773616 145914598 25859018 11528719 10046295 1482424 21704682 17718615 3986067 12416228 10501105 1915123 0 523446 48674 474772 183205 183205 152878 152878 0 184042 184042 37998213 27307640 10690573 1047521 173 1047348 7552402 4395383 3157019 8509011 8509011 0 13966759 9099624 4867135 640314 489238 151076 0 394341 306637 87704 9953092 9953092 0 29389690 20976318 8413372 4100886 3103951 996935 Other Expenses 3029525 903540 2125985 B & O Tax 4249967 4249967 Medicaid Prov Assessmnt 9123169 9123169 Medical Supplies 63156030 63071097 84933 18955 18955 416586038 339653028 76933010 0 20314439 14388882 23941319 24834303 0 53490543 52498332 0 0 56645 285000 5968141 6417354 9884735 11054208 434053179 209138026 193609442 224915153 249587217 261934346 0 2910532 2841694 6265994 5366330 10436306 6269970 576465313 610805572 59224594 67318096 182618048 178539468 761679 140650 18754415 10503771 261358736 256501985 X 313510498 353990502 1596079 313085 315106577 354303587 576465313 610805572 X 34170220 -2515959 7542749 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false American Hospital Association P O Box 34936 Seattle WA 98124 9964 Millennia Public Affairs Inc 21127 47th Dr SE Bothell WA 98021 911809445 95721 Washington State Hospital Assoc Dept5028 P O Box 34936 Seattle WA 98124 47193 false false false false false false true 57157 false true 95721 152878 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Part of the membership dues that are paid to the Washington State Hospital Association and American Hospital Association are used for lobbying purposes. 2151141 2151141 196379307 78980148 117399159 4930800 4055533 875267 219978311 126102345 93875966 10613620 10613620 224915153 Workers' Comp Reserve 2097731 Prof Liability Insurance Reserve 5197157 Pension Liability 3133428 Other Long Term Liabilities 75455 10503771 true true X true X true X true true false false true true 7608759 7608759 0.01830 25282643 15617873 9664770 0.02320 32891402 15617873 17273529 0.04150 1171843 160683 1011160 0.00240 2024580 2024580 0.00490 3154760 1480312 1674448 0.00400 333916 257152 76764 0.00020 295779 55162 240617 0.00060 6980878 1953309 5027569 0.01210 39872280 17571182 22301098 0.05360 false 5117682 3876595 59185347 73152666 -13967319 X true true Overlake Surgery Center LLC Ambulatory Surgical Svcs 0.43000 0.57000 1 1 Overlake Hospital Medical Ctr

1035 116th Ave NE Bellevue WA 98004

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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

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Primary Care Clinic OMC-Downtown Bellevue Primary Care

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Primary Care Clinic OMC-Radiation Oncology Physicians

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Radiation Oncology OMC-Medical Tower Primary Care

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Oncology OMC-Cardiology & Pulmonology

1135 116th Ave NE Ste 600 Bellevue WA 98004

Cardiology/Pulmonology 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). Number of Hospital Faciltiy - 1 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. 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. true 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 2 0 Grantmaker's Description of How Grants are Used 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. X true true X X X X X true true false false false false false true false false William Reece MD 315838 404614 40821 15000 11537 787810 T D Sam Baxter 189031 22043 27277 56055 10353 304759 18085 Richard Bryan 245538 37500 73024 58562 6964 421588 40117 Joseph Doucette MD 567160 28000 51943 15000 16405 678508 John Hynes MD 687777 28000 6012 15000 16236 753025 John Holder MD 628343 28000 12801 15000 12132 696276 John Heywood MD 646138 45697 26278 15000 16682 749795 Jody Albright 261113 34288 16392 48554 6324 366671 Gary McLaughlin 415898 65445 95937 119282 15384 711946 52808 David Schultz 344270 56013 135431 76337 15384 627435 111736 Craig Hendrickson 639090 123774 182956 205811 13254 1164885 154070 Catherine Whitaker-Klick 77721 288171 9784 5128 380804 91163 Caitlin Hillary-Moulding 239514 34612 63805 57316 6324 401571 Alan Ertle 325350 43234 32922 58022 5340 464868 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. C WA Health Care Facilities 911108929 93978E7P1 2010-04-14 99229494 See Part VI false false false B WA Health Care Facilities Authority 911108929 93978EYZ9 2005-06-08 162497935 Construction of Facility true false false A WA Health Care Facilities Authority 911108929 93978EWQ1 2003-06-19 22708358 Refund Prior Issue 12/13/89 false false false C 99229494 8292652 1660010 210770 20000000 75000000 2010 true false true true B 86285000 169309811 6516651 852750 2136381 8175568 145694524 2008 false false true true A 16975000 22708445 371287 966000 21371159 1990 true false true true C false false false false false false false B false true false false 0.00110 0.00920 0.01030 false false false C false true true false false false false false B false false false true false true IXIS Funding Corp 3.1000 true false false A false false false true false false false false C false B false A false Supplemental Information Part VI 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. Puget Sound Physicians PLLC See Part V 1238960 UC Phys/M.Director Fees false Part IV Line 2 Column (c)Entity in which Tom Miller, MD, Trustee has a more than 5% ownership interest. 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. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Adjustment in Pension Liability = $7542749 Form 990, Part VI, Line 19 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 15b 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 12c 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 11b 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 7b 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 7a 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 6 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. Overlake Medical Clinics LLC 1035 116th Ave NE Bellevue WA 98004 911932954 Medical Clinics WA 28764085 13524114 Overlake Hospital Medical Center 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 Overlake Hospital Medical Center true Overlake Hospital Foundation 1035 116th Ave NE Bellevue WA 98004 911050325 Fund Raising WA 501(c)(3) 7 Overlake Hospital Medical Center true false true true true false false false false false false true false false true true false true false false 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