TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JAMES BERG........................................................................ CHAIRMAN	3.60 .......................	X	X	0	0
(2) SCOTT WAGNER........................................................................ VICE-CHAIRMAN	3.60 .......................	X	X	0	0
(3) WILLIAM FELDMANN........................................................................ SECRETARY-TREASURER	3.30 .......................	X	X	0	0
(4) BUFFY ALEGRIA........................................................................ TRUSTEE	2.10 .......................	X		0	0
(5) SONIA RODRIGUEZ-TRUE........................................................................ TRUSTEE	1.60 .......................	X		0	0
(6) ROSS KATZ........................................................................ TRUSTEE	1.90 .......................	X		0	0
(7) LISA SHIELDS........................................................................ TRUSTEE	1.90 .......................	X		0	0
(8) CRAIG MENDENHALL........................................................................ TRUSTEE	1.90 .......................	X		0	0
(9) BRIAN PADILLA........................................................................ TRUSTEE	1.90 .......................	X		0	0
(10) KEITH RIFFE........................................................................ TRUSTEE	2.60 .......................	X		0	0
(11) DUANE ROSSMAN........................................................................ TRUSTEE	2.50 .......................	X		0	0
(12) DAVID HARGREAVES........................................................................ TRUSTEE	2.30 .......................	X		0	0
(13) ROGER VIELBIG........................................................................ TRUSTEE	1.40 .......................	X		0	0
(14) GAIL WEAVER........................................................................ TRUSTEE	1.80 .......................	X		0	0
(15) RUSSELL M MYERS........................................................................ PRESIDENT/CEO	40.00 .......................		X	458,732	56,603
(16) TIM REED........................................................................ VP/CFO	40.00 .......................		X	194,723	23,202
(17) DALE S OLANDER........................................................................ VP/CFO UNTIL 11/14	40.00 .......................		X	524,785	31,477

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) ANNE CAFFERY........................................................................ PRESIDENT/CEO - FOUNDATION	40.00 .......................	X			217,971	53,020
(19) DIANE PATTERSON........................................................................ VICE PRESIDENT/CCO	40.00 .......................	X			189,263	37,358
(20) JAMES ABERLE........................................................................ VICE PRESIDENT/COO	40.00 .......................	X			231,311	39,894
(21) JEFF YAMADA........................................................................ VICE PRESIDENT/CIO	40.00 .......................	X			202,045	39,359
(22) RICHARD SPIEGIL........................................................................ PRESIDENT/CEO - SIGNAL HEALTH	40.00 .......................	X			302,812	29,515
(23) GREG SAWYER........................................................................ VP/ PRES. - MP UNTIL 11/14	40.00 .......................	X			1,506,064	20,383
(24) ROBERT J CONROY........................................................................ PHYSICIAN - MP	40.00 .......................		X		461,694	29,631
(25) VU LE........................................................................ PHYSICIAN - MP	40.00 .......................		X		624,122	30,849
(26) PRAVEEN GUTURU........................................................................ PHYSICIAN - MP	40.00 .......................		X		514,550	33,103
(27) TEKCHAND TANWANI........................................................................ PHYSICIAN - MP	40.00 .......................		X		497,920	32,294
(28) CHESTER S CHAU........................................................................ PHYSICIAN	40.00 .......................		X		460,935	25,220
(29) RICHARD W LINNEWEH JR........................................................................ FORMER PRESIDENT/CEO	6.00 .......................			X	174,478	10,452
(30) SANDRA DAHL........................................................................ FORMER VICE PRESIDENT/CCO	40.00 .......................			X	526,819	26,220
(31) TERESA PRITCHARD........................................................................ FORMER VICE PRESIDENT/PEOPLE & CULTURE	40.00 .......................			X	280,438	5,510

(A) Name and business address	(B) Description of services	(C) Compensation
EMERGENCY ASSOCIATES OF YAKIMA 2811 TIETON DR YAKIMA,WA98902	MEDICAL AND HEALTH CARE	7,553,287
PHYSICIAN ANESTHESIA ASSOCIATION 406 S 30TH AVE SUITE 202 YAKIMA,WA98902	MEDICAL AND HEALTH CARE	2,370,742
COMMUNITY HEALTH OF CENTRAL WASHINGTON 1806 W LINCOLN AVE YAKIMA,WA98902	MEDICAL AND HEALTH CARE	1,842,028
OBHG WASHINGTON PC 10 CENTIMETER DRIVE MAULDIN,SC29662	MEDICAL AND HEALTH CARE	1,683,000
YAKIMA CHEST CLINIC 303 HOLTON SUITE 1 YAKIMA,WA98902	MEDICAL AND HEALTH CARE	1,151,284
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 49

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	144,722	144,722
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	5,141,563	3,856,172	1,285,391
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	127,684	85,483	42,201
7	Other salaries and wages ....	149,229,778	96,116,352	53,113,426
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	10,491,781	6,887,240	3,604,541
9	Other employee benefits .......	24,957,408	16,194,839	8,762,569
10	Payroll taxes ...........	11,968,289	7,708,831	4,259,458
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,100,118	1,487	1,098,631
c	Accounting ...........	169,832		169,832
d	Lobbying ...........	129,978		129,978
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	67,146,024	54,424,287	12,721,737
12	Advertising and promotion ....	1,008,740		1,008,740
13	Office expenses .......	77,601,549	65,833,192	11,768,357
14	Information technology ......	3,839,747	2,879,810	959,937
15	Royalties ..
16	Occupancy ...........	7,903,765	6,620,870	1,282,895
17	Travel ............	1,041,096	575,677	465,419
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........	2,153,424	1,615,068	538,356
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	17,005,346	15,727,423	1,277,923
23	Insurance ..............	2,607,066	1,338,422	1,268,644
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	LICENSES AND TAXES	11,809,751	8,857,313	2,952,438
b	MALPRACTICE OUT OF POCK	211,621	211,621
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	395,789,282	289,078,809	106,710,473	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	13,857,008	1	53,680,158
2	Savings and temporary cash investments .........	963,585	2	517,419
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	52,739,187	4	49,958,739
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	1,746,338	7	1,656,500
8	Inventories for sale or use ..............	6,502,476	8	7,973,338
9	Prepaid expenses and deferred charges ..........	6,311,975	9	6,831,296
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	339,464,862
b	Less: accumulated depreciation .....	10b	221,158,032	121,339,270	10c	118,306,830
11	Investments—publicly traded securities ..........	46,701,266	11	22,940,086
12	Investments—other securities. See Part IV, line 11 .....	2,416,750	12	2,323,714
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............	1,375,779	14	2,979,351
15	Other assets. See Part IV, line 11 ...........	1,283,012	15	1,290,352
16	Total assets. Add lines 1 through 15 (must equal line 34)......	255,236,646	16	268,457,783
	17	Accounts payable and accrued expenses .........	55,925,761	17	62,857,274
18	Grants payable .................		18
19	Deferred revenue ................	86,299	19	41,927
20	Tax-exempt bond liabilities .............	59,573,816	20	53,069,465
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	3,710,485	23	8,967,799
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	4,069,288	25	0
26	Total liabilities. Add lines 17 through 25.........	123,365,649	26	124,936,465
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	130,566,101	27	142,306,351
28	Temporarily restricted net assets ...........	1,304,896	28	1,214,967
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	131,870,997	33	143,521,318
34	Total liabilities and net assets/fund balances ........	255,236,646	34	268,457,783

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL

Employer identification number

91-0567263

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL

Employer identification number

91-0567263

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization YAKIMA VALLEY MEMORIAL HOSPITAL

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization YAKIMA VALLEY MEMORIAL HOSPITAL

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
YAKIMA VALLEY MEMORIAL HOSPITAL

Employer identification number

91-0567263

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL

Employer identification number

91-0567263

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

129,978

Total. Add lines 1c through 1i ...............................

129,978

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	THE HOSPITAL PAID THREE COMPANIES FOR LEGISLATIVE CONSULTING AND LOBBYING FOR A TOTAL OF $79,014. PART OF THE DUES PAID TO THE FOLLOWING ORGANIZATIONS, WAS USED FOR LOBBYING: AMERICAN HOSPITAL ASSOCIATION: $7,707; WASHINGTON STATE HOSPITAL ASSOCIATION: $38,031; HEALTH FACILITIES PLANNING & DEVELOPMENT: $5,226.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL

Employer identification number

91-0567263

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	13,766,391		13,766,391
b	Buildings ................	99,637,543	58,356,815	41,280,728
c	Leasehold improvements ............	9,805,746	5,817,234	3,988,512
d	Equipment ................	205,777,138	152,676,495	53,100,643
e	Other .................	10,478,044	4,307,488	6,170,556
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				118,306,830

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes









Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE HOSPITAL HAS WHOLLY-OWNED SUBSIDIARIES AND A GRANTOR TRUST INTEREST THAT ARE TREATED AS DISREGARDED ENTITIES FOR TAX PURPOSES. THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. THE HOSPITAL HAS ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ACCOUNTING STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX REQUIRING ACCRUAL. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AS OF OCTOBER 31, 2015 AND 2014 REQUIRING ACCRUAL.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL

Employer identification number

91-0567263

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	6,852,258	889,923	5,962,335	1.510 %
b	Medicaid (from Worksheet 3, column a) ....	93,076,619	68,069,081	25,007,538	6.320 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	0	0
d	Total Financial Assistance and Means-Tested Government Programs .	99,928,877	68,959,004	30,969,873	7.830 %
Other Benefits		2,988,405	664,674	2,323,731	0.590 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	2,988,405	664,674	2,323,731	0.590 %
f	Health professions education (from Worksheet 5) ..	3,669,891	0	3,669,891	0.930 %
g	Subsidized health services (from Worksheet 6) ..	663,702	195,684	468,018	0.120 %
h	Research (from Worksheet 7)	324,701	975	323,726	0.080 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	315,685	0	315,685	0.080 %
j	Total. Other Benefits ..	7,962,384	861,333	7,101,051	1.800 %
k	Total. Add lines 7d and 7j .	107,891,261	69,820,337	38,070,924	9.630 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	1	12,849	7,837	5,012	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	1	51,890	10,000	41,890	0.010 %
8	Workforce development	2	1,181	0	1,181	0 %
9	Other
10	Total	4	65,920	17,837	48,083	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,445,833

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

96,177,067

Enter Medicare allowable costs of care relating to payments on line 5.....

97,760,274

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-1,583,207

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	YAKIMA VALLEY MEMORIAL HOSPITAL 2811 TIETON DRIVE YAKIMA,WA98902 HTTPS://WWW.YAKIMAMEMORIAL.ORG 58	X	X	X	X

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	YAKIMA VALLEY MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): HTTPS://WWW.YAKIMAMEMORIAL.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	YAKIMA VALLEY MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): WWW.YAKIMAMEMORIAL.ORG

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	YAKIMA VALLEY MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
YAKIMA VALLEY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 3J: A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY FOLLOWING THE HEALTH PEOPLE 2020 FRAMEWORK. THE AREAS OF ASSESSMENT ARE: DEMOGRAPHICS, ACCESS TO HEALTH SERVICES, CHRONIC DISEASE PROFILE, CLINICAL PREVENTIVE SERVICES, MORTALITY, ENVIRONMENTAL QUALITY, INJURY AND VIOLENCE, MCH, MENTAL HEALTH, NUTRITION, PHYSICAL ACTIVITY, OBESITY, REPRODUCTIVE SEXUAL HEALTH, SOCIAL DETERMINANTS AND SUBSTANCE ABUSE. ADDITIONAL ONGOING ASSESSMENTS ARE CONDUCTED ON AN ONGOING BASIS TO TRACK NEEDS. DATA SOURCES USED ARE INTERNAL, US CENSUS, BRFSS, HEALTH YOUTH SURVEY, DEPARTMENT OF HEALTH, CANCER REGISTRY AND MANY OTHER PUBLIC DATA SOURCES. DISPARITY GAPS WERE IDENTIFIED WHEN COMPARING THE STATE OF WASHINGTON TO YAKIMA COUNTY. FURTHERMORE, WHEN DATA WAS AVAILABLE, INDICATORS WERE STRATIFIED BY AGE, SEX AND RACE/ETHNICITY IN ORDER TO IDENTIFY DISPARITIES IN HEALTH OUTCOMES.
YAKIMA VALLEY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: INPUT FOR DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS THROUGH A WORK GROUP COMPOSED OF REPRESENTATIVES FROM OTHER AGENCIES IN YAKIMA COUNTY AND THE WORK GROUP WAS DIVERSE AND REPRESENTED THE POPULATION SERVED. WE HAD REPRESENTATION FROM THE LATINO/HISPANIC AND NATIVE AMERICAN COMMUNITIES. A FULL LIST OF PARTNERS IS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH CAN BE FOUND ON YAKIMA VALLEY MEMORIAL HOSPITAL'S WEBSITE: WWW.YAKIMAMEMORIAL.ORG.
YAKIMA VALLEY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: THE CHNA WAS MADE PUBLIC THROUGH PRESENTATIONS TO COMMUNITY COALITIONS AND GROUPS.
YAKIMA VALLEY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: YAKIMA VALLEY MEMORIAL HOSPITAL IDENTIFIED 7 PRIORITY AREAS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THESE PRIORITY AREAS ARE: ACCESS TO CARE, DISPARITIES IN HEALTH OUTCOMES, ADVERSE CHILDHOOD EXPERIENCES (ACES), MENTAL HEALTH, UNINTENTIONAL NON-FATAL HOSPITALIZATIONS (SPECIFICALLY FALLS), FOOD INSECURITY, AND MATERNAL CHILD HEALTH GAP ANALYSIS PRIORITIES. YAKIMA VALLEY MEMORIAL HOSPITAL IDENTIFIED FOUR OF THOSE PRIORITIES BASED ON NEED AND OUR ABILITY TO ADDRESS THE NEED: ACCESS TO CARE, DISPARITIES IN HEALTH OUTCOMES, ADVERSE CHILDHOOD EXPERIENCES, AND UNINTENTIONAL NON-FATAL HOSPITALIZATIONS."ACCESS TO CARE": YAKIMA VALLEY MEMORIAL HOSPITAL FACILITATES THE EDUCATION OF PATIENTS, EMPLOYEES AND COMMUNITY MEMBERS ON ACCESSING WASHINGTON STATE HEALTH BENEFITS EXCHANGE. WE ARE WORKING WITH PARTNERS AS PART OF THE ACCOUNTABLE CARE COMMUNITY TO EXPLORE DEVELOPMENT OF A REGIONAL HEALTH IMPROVEMENT COLLABORATIVE. WE HAVE INSTITUTED A NUMBER OF INTERNAL INITIATIVES TO IMPROVE ACCESS TO PRIMARY CARE AND SPECIALITY CLINICS, AS WELL AS REDUCE WAIT TIME. WE PARTNER WITH AND FINANCIALLY SUPPORT LOCAL COMMUNITY COLLEGES AND HEALTH PROFESSION EDUCATION PROGRAMS AT: PACIFIC NORTHWEST UNIVERSITY, HERITAGE UNIVERSITY, YAKIMA VALLEY COMMUNITY COLLEGE, WASHINGTON STATE UNIVERSITY AND CENTRAL WASHINGTON FAMILY MEDICINE. ON SITE, YAKIMA VALLEY MEMORIAL HOSPITAL MENTORS AND TRAINS LOCAL HEALTH PROFESSIONALS FROM COLLEGE PROGRAMS ACROSS THE COUNTY. THIS ALLOWS STUDENTS TO PRACTICE IN THEIR RESPECTIVE FIELD OF STUDY AS REQUIRED TO COMPLETE THEIR DEGREE AND SIT FOR ASSOCIATED EXAMS. AFTER TRAINING AND COMPLETION OF COURSE WORK EACH HEALTH PROFESSIONAL IS READY FOR THE WORKFORCE AND FILL MUCH NEEDED VACANCIES WITHIN THE COMMUNITY. YAKIMA VALLEY MEMORIAL HOSPITAL ALSO PROVIDES A NUMBER OF CONTINUING MEDICAL EDUCATION PROGRAMMING EACH YEAR TO SERVE THE MEDICAL PROFESSIONALS ACROSS THE COMMUNITY ALLOWING THEM TO RENEW LICENSING AND CONTINUE TO PRACTICE IN YAKIMA COUNTY."DISPARITIES IN HEALTH OUTCOMES": YAKIMA VALLEY MEMORIAL HOSPITAL IS WORKING ON INITIATIVES TO IMPROVE THE COLLECTION OF DEMOGRAPHIC DATA (E.G. RACE, ETHNICITY AND PREFERRED LANGUAGE). WE DEVELOPED A CULTURAL COMPETENCY ACTION PLAN TO BETTER SERVE OUR DIVERSE COMMUNITY. WE HAVE ESTABLISHED COMMUNITY EDUCATION AND PREVENTION PROGRAMS FOR THE TOP FOUR DISEASE STATES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH ARE: CARDIOVASCULAR DISEASE, CANCER, DIABETES AND OBESITY. THESE COMMUNITY EDUCATION AND PREVENTION CLASSES ARE ALL OFFERED IN BOTH SPANISH AND ENGLISH AND INCLUDE: DIABETES EDUCATION PREVENTION, CHRONIC DISEASE MANAGEMENT CLASSES, ACT! GET UP, GET MOVING! CHILDHOOD OBESITY PROGRAM, HEALTHY FOR LIFE EXERCISE AND COOKING CLASSES, AND CARDIAC REHABILITATION EDUCATION. YAKIMA VALLEY MEMORIAL HOSPITAL'S PHARMACY PROVIDES ACCESS TO MEDICATIONS TO THOSE IN THE COMMUNITY WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD IT. "ADVERSE CHILDHOOD EXPERIENCES": WE HAVE WORKED TO MITIGATE ADVERSE CHILDHOOD EXPERIENCES (ACES) BY IMPLEMENTING EVIDENCE BASED PRACTICES PROVEN TO DECREASE LONG-TERM POOR HEALTH OUTCOMES. 'NURSE FAMILY PARTNERSHIPS (NFP)' IS AN EVIDENCE-BASED NURSE HOME VISITATION PROGRAM THAT ENROLLS FIRST-TIME LOW-INCOME MOTHERS EARLY IN THEIR PREGNANCY AND FOLLOWS THEM THROUGHOUT THEIR CHILD'S SECOND BIRTHDAY. THE GOAL OF NFP IS TO IMPROVE CHILD HEALTH AND DEVELOPMENT BY HELPING PARENTS PROVIDE RESPONSIBLE AND COMPETENT CARE FOR THEIR CHILDREN. FURTHERMORE, FAMILIES' ECONOMIC SELF-SUFFICIENCY IS IMPROVED BY HELPING PARENTS DEVELOP A VISION FOR THEIR OWN FUTURE, PLAN FUTURE PREGNANCIES, AND CONTINUE THEIR EDUCATION AND FIND WORK. 'HEALTHY PREGNANCY' IS AN ENHANCED PREVENTIVE HEALTH AND EDUCATION SERVICE INTERVENTION FOR ELIGIBLE PREGNANT CLIENTS. SERVICES ARE PROVIDED ANYTIME IN PREGNANCY BASED ON THE MOTHER'S INDIVIDUAL RISKS AND NEEDS. INFANT CASE CARE MANAGEMENT PROVIDES SERVICES TO IMPROVE THE WELFARE OF INFANTS BY PROVIDING THEIR PARENTS WITH INFORMATION AND ASSISTANCE FOR NECESSARY MEDICAL, SOCIAL, EDUCATIONAL AND OTHER SERVICES THROUGHOUT THE INFANT'S FIRST YEAR. "UNINTENTIONAL NON-FATAL HOSPITALIZATIONS": COMMUNITY HEALTH NEEDS ASSESSMENT SHOWED THAT UNINTENTIONAL FALLS INCREASED IN YAKIMA COUNTY WITH 968 FALLS REPORTED IN 2010; RATES INCLUDE HOSPITALIZATIONS. WE NOTICED RATES OF FALLS WERE INCREASING IN THE HOSPITAL AND RESPONDED BY IMPLEMENTING AN ORGANIZATION WIDE INPATIENT AND OUTPATIENT FALLS POLICY. WE BEGAN DOCUMENTING AND DISCUSSING EVERY FALL THAT OCCURRED BOTH IN FACILITY OR WAS WITNESSED IN THE HOME BY A HOME HEALTH WORKER, WITH THE GOAL OF PUTTING PROCEDURES IN PLACE AND MITIGATING EVERY FACTOR TO REDUCE FALL RISK THAT WAS WITHIN OUR CONTROL. EVERY EMPLOYEE AT MEMORIAL IS GIVEN FALL PREVENTION TRAINING. FALL RISK ASSESSMENTS ARE COMPLETED DURING EVERY NURSE SHIFT IN THE HOSPITAL AND FALL DATA IS DISCUSSED DURING A MONTHLY FALL COMMITTEE MEETING. IMMEDIATELY FOLLOWING ANY NEW FALL EMPLOYEES AND SUPERVISORS MEET TO LOOK AT REASONS FOR FALL AND MAKE IMMEDIATE CHANGES TO PREVENT FUTURE FALLS.DUE TO RESOURCES AND PARTNER AGENCIES BEING BETTER SUITED TO ADDRESS CERTAIN NEEDS, YAKIMA VALLEY MEMORIAL HOSPITAL DID NOT ADDRESS FOOD INSECURITY, MENTAL HEALTH OR MATERNAL CHILD HEALTH GAP ANALYSIS PRIORITIES. "FOOD INSECURITY": WE ARE WORKING WITH OUR REGIONAL ACCOUNTABLE COMMUNITIY OF HEALTH AND PARTNERING WITH OTHERS IN YAKIMA COUNTY TO ADDRESS FOOD INSECURITY AT A SYSTEMS-LEVEL."MENTAL HEALTH": YAKIMA VALLEY MEMORIAL HOSPITAL ONLY HAS AN INPATIENT PSYCHIATRIC DEPARTMENT WHICH IS LICENSED TO SPECIFICALLY TREAT PATIENTS WHO ALSO REQUIRE MEDICAL ATTENTION IN ADDITION TO PSYCHIATRIC SERVICES; WE ARE CURRENTLY THE ONLY FACILITY IN THE COUNTY LICENSED TO DO THIS. WE REFER ANY OUTPATIENT BEHAVIORAL HEALTH SERVICES TO OUR COMMUNITY PARTNER COMPREHENSIVE. COMPREHENSIVE IS A FULL SERVICE INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICE WHICH WORKS IN 9 COUNTIES IN THE STATE OF WASHINGTON. COMPREHENSIVE WORKS WITH ALL AGE GROUPS, OFFERS A DROP IN CENTER FOR AT RISK YOUTH, OPERATES A CRISIS LINE AND DOES A WIDE RANGE OF COMMUNITY EDUCATION ACTIVITIES THROUGHOUT YAKIMA COUNTY. "MATERNAL CHILD HEALTH GAP ANALYSIS PRIORITIES": THE COMMUNITY HEALTH NEEDS ASSESSMENT SHOWED HIGH AND INCREASING RATES OF INFANT MORTALITY RATE IN THE NATIVE AMERICAN POPULATION IN YAKIMA COUNTY. YAKIMA VALLEY MEMORIAL HOSPITAL IS A PARTNER IN 'TTAWAXT' A MULTI-AGENCY COLLABORATIVE EFFORT LED BY INDIAN HEALTH SERVICES ON THE YAKIMA RESERVATION TO INVESTIGATE AND REDUCE INFANT MORTALITY AND PROMOTE HEALTHY FAMILIES WITHIN TRIBAL COMMUNITIES. YAKIMA VALLEY MEMORIAL HOSPITAL PARTICIPATES IN THE 'OBSTETRICS CLINICAL OUTCOMES ASSESSMENT PROGRAM (OB COAP)', A FOUNDATION FOR HEALTH CARE QUALITY (FHCQ) PROGRAM WHICH FOCUSES ON HEALTH PROFESSIONAL'S DECISIONS MADE DURING LABOR AND DELIVERY. AS AN OB COAP PARTICIPANT WE PROVIDE SPECIFIC CHART-ABSTRACTED DATA ABOUT THE CARE GIVEN TO WOMEN DURING LABOR, DELIVERY AND POSTPARTUM PERIODS WHICH FHCQ THEN UTILIZES FOR ANALYSIS AND DISCUSSION TO EVALUATE LABOR MANAGEMENT PRACTICES AND INTERVENTIONS COMMONLY USED IN LABOR AND DELIVERY AND COMPARE IMPLICATIONS OF CARE DECISIONS. THIS ALLOWS FOR OPPORTUNITIES TO EXPLORE METHODS FOR ACTIONABLE AND SUSTAINABLE IMPROVEMENTS IN HOSPITALS ACROSS THE STATE. DATA HAS SHOWN THIS PROGRAM HAS THE POTENTIAL TO REDUCE UP TO 3,000 NEONATAL INTENSIVE CARE CASES PER YEAR.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
YAKIMA VALLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 16A WEBSITE:	WWW.YAKIMAMEMORIAL.ORG

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?21
Name and address		Type of Facility (describe)
1	YAKIMA GASTROENTEROLOGY ASSOCIATES 3909 CREEKSIDE LOOP YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
2	YAKIMA EAR NOSE AND THROAT 1601 CREEKSIDE LOOP YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
3	CORNERSTONE LAB 4003 CREEKSIDE LOOP YAKIMA,WA98908	MEDICAL LABRATORY
4	YAKIMA HEART CENTER TRUST AT MEMORIAL 2811 TIETON DRIVE YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
5	GARDEN VILLAGE 206 S 10TH AVE YAKIMA,WA98902	SKILLED NURSING FACILITY
6	FAMILY MEDICINE OF YAKIMA 504 S 40TH AVE YAKIMA,WA98908	OUTPATIENT PHYSICIAN CLINIC
7	YAKIMA VASCULAR ASSOCIATES 3999 ENGLEWOOD SUITE 202 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
8	CASCADE SURGICAL PARTNERS 3003 TIETON DRIVE SUITE 300 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
9	MEMORIAL CORNERSTONE MEDICINE 4003 CREEKSIDE LOOP YAKIMA,WA98908	OUTPATIENT PHYSICIAN CLINIC
10	SELAH FAMILY MEDICINE 620 N PARK DRIVE SELAH,WA98942	OUTPATIENT PHYSICIAN CLINIC
11	PACIFIC CREST FAMILY MEDICINE 311 S 72ND AVE YAKIMA,WA98908	OUTPATIENT PHYSICIAN CLINIC
12	APPLE VALLEY FAMILY MEDICINE 1008 S 38TH AVE YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
13	MEMORIAL SLEEP SPECIALISTS 406 S 30TH AVE SUITE 206 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
14	LAKEVIEW SPINE 1470 N 16TH AVE YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
15	HEALTHY NOW 3909 CREEKSIDE LOOP SUITE 130 YAKIMA,WA98908	URGENT CARE CLINIC
16	MEMORIAL OUTPATIENT PSYCH 1460 N 16TH AVE SUITE C YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
17	YAKIMA ENDOCRINOLOGY ASSOCIATES 1470 S 40TH AVE YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
18	HEALTHY NOW EAST VALLEY 3904 TERRACE HEIGHTS DRIVE SUITE D YAKIMA,WA98901	URGENT CARE CLINIC
19	HEALTHY NOW WEST VALLEY 120 S 72ND AVE SUITE 102 YAKIMA,WA98908	URGENT CARE CLINIC
20	HEALTHY NOW ZILLAH 616 RAILROAD AVENUE SUITE 1 2 ZILLAH,WA98953	URGENT CARE CLINIC
21	YAKIMA UROLOGY ASSOCIATES TRUST AT MEMOR 2811 TIETON DRIVE YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 7:	THE HOSPITAL USED RATIO OF PATIENT CARE COST TO CHARGES METHODOLOGY TO CALCULATE THE AMOUNT REPORTED IN THE TABLE DERIVED FROM WORKSHEETS 1 AND 2.
PART II, COMMUNITY BUILDING ACTIVITIES:	THERE IS ONE PROGRAM WHICH PROVIDES COMMUNITY SUPPORT: "RESOLUTION THROUGH SHARING" PROVIDES SUPPORT TO FAMILIES WITH A PREGNANCY OR CHILDBIRTH LOSS. SUPPORT INCLUDES BURIAL AND COORDINATION EXPENSES. THERE IS ONE PROGRAM WHICH PROVIDES COMMUNITY HEALTH IMPROVEMENT ADVOCACY: "YOUTHWORKS" IS A YOUTH EMPOWERMENT AND COMMUNITY SERVICE INITIATIVE ENGAGING YOUTH DIRECTLY THROUGH MENTORING, VOLUNTEERING & PHILANTHROPY.THERE ARE TWO PROGRAMS WHICH PROVIDE WORKFORCE DEVELOPMENT: "ADVISORY BOARD PARTICIPATION" ALLOWS EMPLOYEE PARTICIPATION IN BOARDS TO PROMOTE STUDENT ENROLLMENT IN HEALTH CARE PROFESSIONS. "HEALTH PROFESSION PRESENTATIONS" ASSISTS STUDENTS AT LOCAL COLLEGES WITH WORK APPLICATIONS AND INTERVIEW READINESS TO HELP THEM SECURE JOBS AND BRINGS ECONOMIC BENEFIT TO THE COMMUNITY.
PART III, LINE 2:	THE HOSPITAL USED RATIO OF PATIENT CARE COST TO CHARGES METHODOLOGY TO CALCULATE THE AMOUNT ON LINE 2. OUR FINANCIAL STATEMENTS INCLUDE A FOOTNOTE REGARDING UNCOLLECTIBLE ACCOUNTS WHICH ARE REPORTED AS AN OFFSET TO PATIENT REVENUES.
PART III, LINE 4:	THE HOSPITAL USED RATIO OF PATIENT CARE COST TO CHARGES METHODOLOGY TO CALCULATE THE AMOUNT ON LINE 2. OUR FINANCIAL STATEMENTS INCLUDE A FOOTNOTE REGARDING UNCOLLECTIBLE ACCOUNTS ON PAGE 16 AND 17 WHICH ARE REPORTED AS AN OFFSET TO PATIENT REVENUES.
PART III, LINE 8:	TO THE EXTENT THAT COSTS (USING THE MEDICARE COST REPORT) EXCEED CHARGES, THIS SHORTFALL SHOULD BE REGARDED AS COMMUNITY BENEFIT BECAUSE WE TREAT AND MAINTAIN THE HEALTH OF OUR LARGE LOCAL MEDICARE POPULATION DESPITE THE NECESSARY SUBSIDIZATION OF THESE HEALTH BENEFITS.THE HOSPITAL USED RATIO OF PATIENT CARE COST TO CHARGES METHODOLOGY TO CALCULATE THE AMOUNT ON LINE 6. OUR FINANCIAL STATEMENTS INCLUDE A FOOTNOTE REGARDING UNCOLLECTIBLE ACCOUNTS WHICH ARE REPORTED AS AN OFFSET TO PATIENT REVENUES.
PART III, LINE 9B:	DURING THE ADMITTANCE PROCESS AT YAKIMA VALLEY MEMORIAL HOSPITAL, ALL PATIENTS ARE PROVIDED WITH THE HOSPITAL'S FINANCIAL ASSISTANCE AND CHARITY CARE INFORMATION. ELIGIBILITY FOR ASSISTANCE IS DETERMINED UPON ADMISSION TO THE HOSPITAL, AND ELIGIBLE PATIENTS ARE NOT BILLED FOR SERVICES.
PART VI, LINE 2:	YVMH CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, THIS CAN BE FOUND AT WWW.YAKIMAMEMORIAL.ORG. IN ADDITION, THE HOSPITAL ROUTINELY LOOKS AT HEALTH CARE INDICATORS FROM: COUNTY HEALTH RANKINGS, US CENSUS, HEALTHY YOUTH SURVEY, WASHINGTON STATE DEPARTMENT OF HEALTH AND OTHER SOURCES TO ASSIST WITH PROGRAM PLANNING AND DEVELOPMENT OF COMMUNITY BENEFIT PROGRAMS. INTERNAL DATA IS ALSO ANALYZED FOR DEVELOPMENT AND QUALITY IMPROVEMENT OF COMMUNITY BENEFIT HEALTH PROGRAMS. THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AT THE END OF FISCAL YEAR 2012/2013 AND IS PUBLICLY AVAILABLE. THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT IS CURRENTLY IN PROGRESS AND WILL BE AVAILABLE BY END OF FISCAL YEAR 2015/2016.
PART VI, LINE 3:	THE FOLLOWING LANGUAGE, OR A CLOSE VARIATION, IS INCLUDED IN OUR GUIDE TO PATIENT SERVICES, UNDERSTANDING YOUR HOSPITAL BILL BROCHURE, PUBLIC SIGNAGE AT THE MAIN AND EMERGENCY ENTRANCES, AS WELL AS ON OUR PATIENT STATEMENTS:"YAKIMA VALLEY MEMORIAL HOSPITAL PROVIDES CHARITY CARE IN ACCORDANCE WITH RCW 70.170.060. APPLYING FOR MEDICAL ASSISTANCE WITH DSHS IS A PRE-REQUISITE TO A CHARITY CARE DETERMINATION OF ELIGIBILITY. PLEASE CONTACT PATIENT ACCOUNTS IF YOU WOULD LIKE TO APPLY FOR CHARITY OR HAVE QUESTIONS REGARDING MEMORIAL'S CHARITY CARE PROGRAM. AND/OR "THE HOSPITAL IS ABLE TO PROVIDE FREE OR DISCOUNTED CARE FOR ALL OR PART OF YOUR HOSPITAL BILLS IF YOU QUALIFY, BASED ON YOUR INCOME. PLEASE REQUEST A CHARITY CARE APPLICATION, FILL IT OUT COMPLETELY, AND PROMPTLY RETURN IT TO BUSINESS SERVICES." WE ALSO CONTRACT WITH CARDON OUTREACH TO SCREEN ALL SELF-PAY AND CONTRACT CARE PATIENTS FOR MEDICAID ELIGIBILITY AND ASSIST THEM WITH COMPLETING ALL OF THE REQUISITE PAPERWORK, ETC. IF A PATIENT IS NOT ELIGIBLE FOR ASSISTANCE AND CANNOT PAY, CARDON PROVIDES THE PATIENT WITH A CHARITY CARE APPLICATION.
PART VI, LINE 4:	YAKIMA COUNTY IS COMPOSED OF PRIMARILY RURAL COMMUNITIES (14 CITIES AND TOWNS) IN CENTRAL WASHINGTON, SPANNING 4,296 SQUARE MILES, WITH A 65% MEDICARE/MEDICAID PAYER MIX. TOTAL CURRENT POPULATION FOR YAKIMA COUNTY AS OF JULY 1, 2015 IS 248,830, A 2.3% INCREASE FROM 2010. SINCE 2000 THE POPULATION OF YAKIMA COUNTY HAS INCREASED BY 11.6%. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 57.36 PERSONS PER SQUARE MILE, IS LESS THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 88.93 PERSONS PER SQUARE MILE. THE PRIMARY SERVICE AREA (PSA) OF YAKIMA VALLEY MEMORIAL HOSPITAL IS COMPRISED OF YAKIMA COUNTY. SECONDARY SERVICE AREAS (SSA) FOR HIGHLY SPECIALIZED PROGRAMS AND SERVICES STRETCHES INTO NEIGHBORING COUNTIES INCLUDING KITTITAS AND KLICHITAT, THIS COMPRISES LESS THAN 15% OF PATIENT VOLUME. YAKIMA COUNTY IS HOME TO OVER 75,000 MIGRANT AND SEASONAL FARM WORKERS AND THEIR DEPENDENTS. THE PERCENTAGE OF THE POPULATION LIVING IN URBAN AREAS IS 76.5% COMPARED WITH 24% LIVING IN RURAL AREAS, WHICH IS HIGHER THAN BOTH THE NATIONAL AND WASHINGTON STATE AVERAGES 81% VS. 19% AND 84% VS. 16%, RESPECTIVELY. LOCATED IN YAKIMA COUNTY IS THE YAKAMA NATION RESERVATION WITH IS OVER 1.3 MILLION ACRES AND REACHES ACROSS THE CASCADES. OUR COMMUNITY IS COMPRISED OF MAJORITY 46.5% PERSONS OF HISPANIC OR LATINO ORIGIN AND 46.2% OF PERSONS OF WHITE NON-HISPANIC OR LATINO ORIGIN, AND 3.6% AMERICAN INDIAN AND ALASKA NATIVE. 20.5% OF PERSONS LIVING BELOW POVERTY LEVEL, 8.4% IS UNEMPLOYED AND 16% HAVE NO HEALTH INSURANCE. .
PART VI, LINE 5:	YAKIMA VALLEY MEMORIAL HOSPITAL IS COMMITTED TO LEADING, FACILITATING, PARTNERING AND PROMOTING THE HEALTH OF THE CENTRAL WASHINGTON COMMUNITY. THE PROMOTION OF COMMUNITY HEALTH IS ACCOMPLISHED THROUGH COLLABORATIONS, RESEARCH BASED EDUCATION AND INTERVENTIONS FOCUSED ON DISPARITY GAPS AND SOCIAL DETERMINANTS OF HEALTH. SURPLUS FUNDING IS USED TO PROVIDE OVERSIGHT, PROGRAM PLANNING AND EVALUATION; AS WELL AS DIRECT CARE TO CHILDREN WITH SPECIAL HEALTH CARE NEEDS THROUGH CHILDREN'S VILLAGE AND PROMOTION OF WELL-BEING THROUGH EVIDENCE BASED COMMUNITY HEALTH PROGRAMMING. THIS INCLUDES CHRONIC HEALTH ISSUES AND OTHER RISK FACTORS THAT CONTRIBUTE TO POOR HEALTH OUTCOMES. THE HOSPITAL HAS A DEDICATED STAFF, CONTRACTORS AND FTE POSITIONS TO ACCOMPLISH THE DEVELOPMENT, PLANNING AND INTERVENTIONS TO ADDRESS COMMUNITY NEEDS. FURTHERMORE, MEMORIAL BUDGETS SURPLUS FUNDS TOWARDS CONTINUED SUPPORT OF EDUCATION THROUGH OUR PARTNERSHIP WITH PACIFIC NORTHWEST UNIVERSITY, CENTRAL WASHINGTON FAMILY PRACTICE RESIDENCY, OBSTETRICAL EDUCATION AND ENSURING WE HAVE THE STAFF TO SUPPORT OUR COMMUNITIES EDUCATION NEEDS. FINALLY, SURPLUS FUNDS ARE ALSO USED TO ENSURE THAT WE HAVE THE FACILITIES AND EQUIPMENT TO MEET THE GREATEST NEEDS OF THE COMMUNITY; EXAMPLES INCLUDE: HEALTHY NOW CLINICS, EXPANDING THE INPATIENT PSYCHIATRIC DEPARTMENT AND COTTAGE IN THE MEADOW FOR END OF LIFE CARE. TO MEET THE ACCESS NEEDS OF THE COMMUNITY, YAKIMA VALLEY MEMORIAL HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS WITHIN THE COMMUNITY WHO APPLY TO ITS MEDICAL STAFF AND ALLIED HEALTH STAFF AND WHO MEET QUALIFICATIONS SET FORTH IN THE MEDICAL STAFF'S BYLAWS, RULES AND REGULATIONS, POLICIES AND SPECIFIC DEPARTMENTAL PRIVILEGING DOCUMENTS. IN ADDITION, FOR THE MOST CRITICAL SHORTAGES, PARTICULARLY WITHIN SPECIALITY AREAS, MEMORIAL PRIVILEGES PHYSICIANS OUTSIDE OF THE COMMUNITY TO MEET THE NEED.THE MAJORITY OF YAKIMA VALLEY MEMORIAL HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSON WHO RESIDE WITHIN THE PRIMARY SERVICE AREA OF THE HOSPITAL: YAKIMA COUNTY; AND THE MAJORITY ARE NOT CONSIDERED EMPLOYEES OR INDEPENDENT CONTRACTORS, NOR DO THEY HAVE FAMILY MEMBERS THEREOF.
PART VI, LINE 6:	YAKIMA VALLEY MEMORIAL HOSPITAL IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM AS OF END OF FISCAL YEAR 2015.
PART IV, LINE 7:	NO COMMUNITY BENEFIT REPORT IS REQUIRED TO BE FILED WITH THE STATE OF WASHINGTON. OUR COMMUNITY BENEFIT REPORT IS MADE PUBLICLY AVAILABLE ON THE HOSPITAL WEBSITE: WWW.YAKIMAMEMORIAL.ORG.

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
YAKIMA VALLEY MEMORIAL HOSPITAL

Employer identification number
91-0567263

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) YAKIMA SYMPHONY 32 N 3RD STREET 333 YAKIMA,WA98901	23-7346119	501 (C)(3)	32,000	$7,000 - SINFONIETTA SERIES, $5,000 - TEACHING ARTIST, $20,000 - POPS SERIES
(2) MARCH OF DIMES 1904 THIRD AVENUE SUITE 230 SEATTLE,WA98101	13-1846366	501 (C)(3)	20,000	SPONSORSHIP
(3) YAKIMA TOWN HALL 5000 W LINCOLN AVENUE YAKIMA,WA98908	23-7209728	501 (C)(3)	5,000	SPEAKER SERIES
(4) YAKIMA VALLEY MUSEUM 2105 TIETON DRIVE YAKIMA,WA98902	91-0828572	501 (C)(3)	10,000	NATIONAL ENDOWMENT HUMANITIES CHALLENGE
(5) MEMORIAL FOUNDATION 2701 TIETON DR YAKIMA,WA98902	91-1022358	501 (C)(3)	5,000	PARTNERSHIP PACKAGE SUPPORT FOR PASSION FOR THE VILLAGE
(6) YAKIMA COUNTY DEVELOPMENT PO BOX 1387 YAKIMA,WA98907	91-1284283	501 (C)(6)	12,500	PLEDGE TO NEW VISION 7/SPONSORSHIP FOR RELOCATION
(7) TOM STOKES SCHOOL CO WASHINGTON APPLE EDUCATION FOUNDATION 2900 EUCLID AVENUE WENATCHEE,WA98801	91-1638890	501 (C)(3)	5,000	PLEDGE FOR SCHOLARSHIP
(8) GREATER YAKIMA CHAMBER OF COMMERCE 10 NORTH 9TH STREET PO BOX 1490 YAKIMA,WA98907	91-0480620	501 (C)(6)	10,000	SPONSOR LEADERSHIP YAKIMA PROGRAM
(9) ROTARY OF YAKIMA PO BOX 464 6 SOUTH 2ND STREET SUITE 1104 YAKIMA,WA98907	91-6075401	501 (C)(4)	8,750	$750 - RAFFLE SPONSORSHIP, $3,000 - CONFERENCE SUPPORT, $5,000 - SPONSOR CHARITIES AUCTION SOIREE.
(10) THE CAPITAL THEATER PO BOX 102 19 SOUTH 3RD STREET YAKIMA,WA98907	91-0939384	501 (C)(3)	10,000	COMMUNITY SUPPORT
(11) CW FAIR ASSOCIATION 1301 S FAIR AVENUE YAKIMA,WA98901	91-0171268	501 (C)(3)	9,472	HAND-SANITIZER STATION SPONSOR
(12) SEASONS PERFORMANCE HALL 101 N NACHES AVENUE YAKIMA,WA98901	20-3242324	501 (C)(3)	5,000	SPONSORSHIP
(13) ALZHEIMER'S ASSOCIATION WESTERN & CENTRAL WA STATE CHAPTER NORTH TOWER 100 W HARRISON STREET SUITE N200 SEATTLE,WA98119	13-3039601	501 (C)(3)	12,000	SUPPORT PHYSICIAN EDUCATION PORTION (CME) OF CONFERENCE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

YAKIMA VALLEY MEMORIAL HOSPITAL SUPPORTS PROGRAMS OR ACTIVITIES THAT DEMONSTRATE A COMMUNITY BENEFIT, ARE CONSISTENT WITH THE OBJECTIVES OF THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT, SUPPORT THE VALUES OF THE HOSPITAL AND IMPROVE HEALTH IN AND AROUND YAKIMA COUNTY. DONATION REQUESTS WILL BE COMPILED ON A REGULAR BASIS AND THOSE THAT MEET THE GENERAL CRITERIA WILL BE FORWARDED TO A DETERMINATION PANEL EVERY MONTH FOR FURTHER EVALUATION AND RECOMMENDATION. IF NECESSARY, REQUESTERS MAY BE ASKED TO PARTICIPATE IN FURTHER DIALOGUE, INCLUDING MEETING WITH MEMBERS OF MEMORIAL'S LEADERSHIP TEAM. A DETERMINATION PANEL WILL MEET MONTHLY TO REVIEW, EVALUATE AND MAKE SPONSORSHIP RECOMMENDATIONS.

Schedule I (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL

Employer identification number

91-0567263

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1RUSSELL M MYERSPRESIDENT/CEO	(i) (ii)	411,494 ............................... 0	42,086 ............................... 0	5,152 ............................... 0	36,682 ............................... 0	19,921 ............................... 0	515,335 ............................... 0	0 ............................... 0
2TIM REEDVP/CFO	(i) (ii)	166,731 ............................... 0	22,221 ............................... 0	5,771 ............................... 0	11,556 ............................... 0	11,646 ............................... 0	217,925 ............................... 0	0 ............................... 0
3DALE S OLANDERVP/CFO UNTIL 11/14	(i) (ii)	252,008 ............................... 0	0 ............................... 0	272,777 ............................... 0	17,838 ............................... 0	13,639 ............................... 0	556,262 ............................... 0	0 ............................... 0
4ANNE CAFFERYPRESIDENT/CEO - FOUNDATION	(i) (ii)	190,811 ............................... 0	23,765 ............................... 0	3,395 ............................... 0	34,900 ............................... 0	18,120 ............................... 0	270,991 ............................... 0	0 ............................... 0
5DIANE PATTERSONVICE PRESIDENT/CCO	(i) (ii)	165,427 ............................... 0	20,540 ............................... 0	3,296 ............................... 0	15,407 ............................... 0	21,951 ............................... 0	226,621 ............................... 0	0 ............................... 0
6JAMES ABERLEVICE PRESIDENT/COO	(i) (ii)	202,974 ............................... 0	24,081 ............................... 0	4,256 ............................... 0	17,758 ............................... 0	22,136 ............................... 0	271,205 ............................... 0	0 ............................... 0
7JEFF YAMADAVICE PRESIDENT/CIO	(i) (ii)	181,011 ............................... 0	17,731 ............................... 0	3,303 ............................... 0	17,541 ............................... 0	21,818 ............................... 0	241,404 ............................... 0	0 ............................... 0
8RICHARD SPIEGILPRESIDENT/CEO - SIGNAL HEALTH	(i) (ii)	296,960 ............................... 0	0 ............................... 0	5,852 ............................... 0	15,293 ............................... 0	14,222 ............................... 0	332,327 ............................... 0	0 ............................... 0
9GREG SAWYERVP/ PRES. - MP UNTIL 11/14	(i) (ii)	189,206 ............................... 0	0 ............................... 0	1,316,858 ............................... 0	13,075 ............................... 0	7,308 ............................... 0	1,526,447 ............................... 0	0 ............................... 0
10ROBERT J CONROYPHYSICIAN - MP	(i) (ii)	460,794 ............................... 0	0 ............................... 0	900 ............................... 0	21,200 ............................... 0	8,431 ............................... 0	491,325 ............................... 0	0 ............................... 0
11VU LEPHYSICIAN - MP	(i) (ii)	431,042 ............................... 0	192,180 ............................... 0	900 ............................... 0	13,550 ............................... 0	17,299 ............................... 0	654,971 ............................... 0	0 ............................... 0
12PRAVEEN GUTURUPHYSICIAN - MP	(i) (ii)	418,056 ............................... 0	95,594 ............................... 0	900 ............................... 0	15,804 ............................... 0	17,299 ............................... 0	547,653 ............................... 0	0 ............................... 0
13TEKCHAND TANWANIPHYSICIAN - MP	(i) (ii)	413,333 ............................... 0	83,687 ............................... 0	900 ............................... 0	14,995 ............................... 0	17,299 ............................... 0	530,214 ............................... 0	0 ............................... 0
14CHESTER S CHAUPHYSICIAN	(i) (ii)	208,500 ............................... 0	39,986 ............................... 0	212,449 ............................... 0	15,385 ............................... 0	9,835 ............................... 0	486,155 ............................... 0	0 ............................... 0
15RICHARD W LINNEWEH JRFORMER PRESIDENT/CEO	(i) (ii)	173,925 ............................... 0	0 ............................... 0	553 ............................... 0	9,586 ............................... 0	866 ............................... 0	184,930 ............................... 0	0 ............................... 0
16SANDRA DAHLFORMER VICE PRESIDENT/CCO	(i) (ii)	243,010 ............................... 0	0 ............................... 0	283,809 ............................... 0	15,890 ............................... 0	10,330 ............................... 0	553,039 ............................... 0	0 ............................... 0
17TERESA PRITCHARDFORMER VICE PRESIDENT/PEOPLE & CULTU	(i) (ii)	58,990 ............................... 0	0 ............................... 0	221,448 ............................... 0	4,154 ............................... 0	1,356 ............................... 0	285,948 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINES 4A-B

YAKIMA VALLEY MEMORIAL HOSPITAL DOES NOT HAVE A SEVERANCE POLICY. THE TERMS AND CONDITIONS ARE DETERMINED ON A CASE BY CASE SITUATION. GREG SAWYER RECEIVED A PAYMENT OF: $273,489 IN SEVERANCE. TERESA PRITCHARD RECEIVED A PAYMENT OF: $120,983 IN SEVERANCE. D. SCOTT OLANDER RECEIVED A PAYMENT OF: $273,390 IN SEVERANCE. IN JULY 2002, THE HOSPITAL'S BOARD OF TRUSTEES ADOPTED A SALARY CONTINUATION PLAN (THE "PLAN"), IN THE FORM OF A NON-QUALIFIED RETIREMENT BENEFIT FOR SENIOR EXECUTIVES. THE RETIREMENT BENEFIT PROVIDED BY THE PLAN IS SUPPLEMENTARY TO THE HOSPITAL'S EMPLOYEE PENSION PLAN, TAX-DEFERRED ANNUITY RETIREMENT PLAN, 401(K) PLAN AND SOCIAL SECURITY RETIREMENT EARNINGS. BENEFITS ARE CALCULATED AS THE DIFFERENCE BETWEEN THE PROJECTED AGE-65 VALUE OF THE AFOREMENTIONED BENEFITS AND 75% OF THE LUMP SUM AT AGE 65. NO BENEFITS UNDER THE PLAN ARE GENERALLY AVAILABLE FOR A SENIOR EXECUTIVE WHO RETIRES PRIOR TO HIS/HER 65TH BIRTHDAY. FUNDING FOR THE PLAN BEGAN IN 2002, AND THE HOSPITAL FIRST BEGAN ACCRUING A LIABILITY FOR THE PLAN DURING THE FISCAL YEAR ENDING OCTOBER 31, 2005. THE HOSPITAL'S LIABILITY ACCRUAL IS BASED ON THE ASSUMPTION THAT ALL EIGHT EXECUTIVES WILL BE WORKING UNTIL AGE 65. RUSSELL MYERS'S ACCRUED BENEFITS PAYABLE UNDER THE PLAN INCREASED BY: $17,302. JAMES ABERLE'S ACCRUED BENEFITS PAYABLE UNDER THE PLAN DECREASED BY: $749. SANDRA DAHL RECEIVED A PAYMENT OF: 281,202 FROM THE NON-QUALIFIED RETIREMENT PLAN. ANNE CAFFERY'S ACCRUED BENEFITS UNDER THE PLAN INCREASED BY: $18,902. GREG SAWYER RECEIVED A PAYMENT OF: $1,040,978 FROM THE NON-QUALIFIED RETIREMENT PLAN. TERESA PRITCHARD RECEIVED A PAYMENT OF: $100,000 FROM THE NON-QUALIFIED RETIREMENT PLAN. DIANE PATTERSON'S ACCRUED BENEFITS UNDER THE PLAN INCREASED BY: $266. JEFF YAMADA'S ACCRUED BENEFITS UNDER THE PLAN INCREASED BY: $1,380.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
YAKIMA VALLEY MEMORIAL HOSPITAL

Employer identification number
91-0567263

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	NONEAVAIL	02-16-2012	24,845,525	SEE PART VI		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93870HGN0	08-17-2012	38,005,000	SEE PART VI		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	NONEAVAIL	02-21-2014	7,050,000	EQUIPMENT		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	NONEAVAIL	11-18-2008	2,100,000	RETIRE TAXABLE DEBT		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	9,161,659		7,740,000		1,575,467		455,029
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	24,847,230		38,011,438		7,050,158		2,100,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	2,292,484		2,292,484
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	119,976		687,697		50,000
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	22,008,715				5,899,470		2,100,000
11 Other spent proceeds . . . . . . . . . . . . . .	2,718,539		37,323,741
12 Other unspent proceeds . . . . . . . . . . . . . .	1,100,688				1,100,688
13 Year of substantial completion . . . . . . . . . . . .	2013		2005				2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X	X			X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X		X		X	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X						X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %		0.480 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0 %		0 %		0.230 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %		0 %		0.710 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .		X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X	X			X		X
b Exception to rebate? . . . . . . . .	X		X		X		X
c No rebate due? . . . . . . . .	X			X	X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .	X			X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X			X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:

(A) ISSUER NAME: WASHINGTON HEALTH CARE FACILITIES AUTH DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2014 (A) ISSUER NAME: WASHINGTON HEALTH CARE FACILITIES AUTH DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2015 (A) ISSUER NAME: WASHINGTON HEALTH CARE FACILITIES AUTH DATE THE REBATE COMPUTATION WAS PERFORMED: 05/18/2009 NOTE REGARDING THE REBATE COMPUTATIONS (09/30/2014) & (04/01/2015): SINCE THE BOND PROCEEDS HAVE BEEN SPENT, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. NOTE REGARDING THE REBATE COMPUTATION (05/18/2009): 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 (F) - REFUND PRIOR BONDS (08/20/09) AND CONSTRUCT, REMODEL, RENOVATE, EQUIP HEALTH CARE FACILITIES OWNED BY THE HOSPITAL PART I, LINE B, COLUMN (F) - REFUND PRIOR BONDS (03/14/96 & 11/13/02) 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.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL

Employer identification number

91-0567263

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) KATE ROSSMAN	FAMILY MEMBER OF DUANE ROSSMAN, TRUSTEE	83,920	EMPLOYMENT WITH HOSPITAL		No
(2) MICHAEL LINNEWEH	FAMILY MEMBER OF RICHARD LINNEWEH, FORMER PRESIDENT/CEO	53,889	EMPLOYMENT WITH HOSPITAL		No
(3) MIRANDA YAMADA	FAMILY MEMBER OF JEFF YAMADA, VICE PRESIDENT/CIO	14,628	EMPLOYMENT WITH HOSPITAL		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL

Employer identification number

91-0567263

Return Reference	Explanation
FORM 990, PART III, LINE 1	YAKIMA VALLEY MEMORIAL HOSPITAL'S CORE PURPOSE IS TO INSPIRE PEOPLE TO THRIVE BY CREATING A HEALTHY COMMUNITY. WE HAVE 226 ACUTE INPATIENT BEDS AND ALSO PROVIDE NUMEROUS DIAGNOSTIC AND THERAPEUTIC SERVICES ON AN OUTPATIENT BASIS. WE ALSO SPONSOR HEALTH RELATED EDUCATIONAL OPPORTUNITIES.
FORM 990, PART VI, SECTION B, LINE 11	UPON COMPLETION A COMPLETE COPY OF THE 990 AND 990T ARE REVIEWED BY THE CHIEF ACCOUNTANT, DIRECTOR OF FINANCE, CFO, AND CEO. ONCE THIS REVIEW IS DONE IT IS REVIEWED BY THE HOSPITAL'S COMPLIANCE AND AUDIT COMMITTEE BEFORE IT GOES TO THE BOARD FINANCE COMMITTEE THEN GOVERNING BOARD. A COMPLETE COPY OF THE 990 AND 990T ARE SENT AHEAD OF THE FINANCE COMMITTEE AND BOARD MEETING SO THAT THE BOARD OF TRUSTEES HAVE TIME TO UNDERSTAND THE REPORT BEFORE IT IS PRESENTED TO THEM. PRIOR TO SUBMITTING THE 990 AND 990T KPMG WILL REVIEW THE ENTIRE 990 AND 990T IN DETAIL.
FORM 990, PART VI, SECTION B, LINE 12C	THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE INTEREST OF YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION, A WASHINGTON NON-PROFIT CORPORATION UNDER RCW 24.03 OF THE WASHINGTON NONPROFIT CORPORATION ACT (HEREINAFTER "HOSPITAL"), WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR TRUSTEE OF THE HOSPITAL OR MIGHT RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE STATE AND FEDERAL LAWS GOVERNING CONFLICT OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE ORGANIZATIONS. THIS POLICY COVERS ANY TRUSTEE, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. QUESTIONNAIRES ARE SENT OUT ANNUALLY BY THE BOARD OR BOARD COMMITTEE. THE HOSPITAL MAY, BUT NEED NOT, USE OUTSIDE ADVISORS. THEIR USE WILL NOT RELIEVE THE GOVERNING BOARD OF ITS RESPONSIBILITY FOR TO CONDUCT ANNUAL REVIEWS. IF A CONFLICT OF INTEREST IS PRESENT, THE INTERESTED PERSON WILL ABSTAIN FROM VOTING ON THE RELATED MATTER. THE GOVERNING BOARD OR COMMITTEE WILL INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT AND MAKE REASONABLE EFFORTS TO SEE IF THERE IS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR THE PRESIDENT/CEO, CFO, AND ALL VICE PRESIDENTS IS SET AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES FOLLOWING REVIEW OF COMPARABILITY AND PERFORMANCE DATA. THE PROCESS AND APPROVAL ARE DOCUMENTED IN THE BOARD OF COMPENSATION COMMITTEE MINUTES AND THEN PAYROLL ADJUSTMENT FORMS ARE SUBMITTED FOR THE SALARY CHANGE. IT WAS APPROVED IN JULY 2015 BY THE COMMITTEE AND THE INCREASE WAS BACK DATED TO JANUARY 1. A THIRD PARTY, MILLIMAN WAS USED TO VERIFY RESONABLENESS OF EXECUTIVE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	REFERENCE LABS: PROGRAM SERVICE EXPENSES 573,345. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 573,345. PHYSICIANS SERVICES: PROGRAM SERVICE EXPENSES 36,757,273. MANAGEMENT AND GENERAL EXPENSES 386,459. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,143,732. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 666,451. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 666,451. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 7,473,640. MANAGEMENT AND GENERAL EXPENSES 1,150,163. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,623,803. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,682,162. MANAGEMENT AND GENERAL EXPENSES 5,323,331. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,005,493. LAB PROCESSING SERVICES: PROGRAM SERVICE EXPENSES 1,201,699. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,201,699. RESIDENCY SUPPORT SERVICES: PROGRAM SERVICE EXPENSES 1,350,824. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,350,824. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 610,136. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 610,136. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,608,948. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,608,948. TRANSCRIPTION AND CODING SERVICES: PROGRAM SERVICE EXPENSES 718,893. MANAGEMENT AND GENERAL EXPENSES 642,700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,361,593.
FORM 990, PART XI, LINE 9:	ACOI PENSION BOOK/TAX DIFFERENCE -795,265. PRIOR PERIOD NET ASSETS ADJUSTMENT 128,300.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL

Employer identification number

91-0567263

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) MEMORIAL PHYSICIANS 3800 SUMMITVIEW YAKIMA,WA98902 26-4379419	MEDICAL SERVICES	WA	36,774,586	8,885,949	YAKIMA VALLEY MEMORIAL HOSPITAL
(2) CENTRAL WASHINGTON HEALTHCARE PARTNERS LLC 3800 SUMMITVIEW YAKIMA,WA98902 45-3483343	ACCOUNTABLE CARE ORG	WA		2,270,012	YAKIMA VALLEY MEMORIAL HOSPITAL
(3) YAKIMA VALLEY MEMORIAL PHYSICIANS PO BOX 9787 YAKIMA,WA98909 75-3186720	MEDICAL SERVICES	WA	18,077,256		YAKIMA VALLEY MEMORIAL HOSPITAL
(4) YAKIMA HEART CENTER AT MEMORIAL TRUST 2811 TIETON DR YAKIMA,WA98902 45-7017902	MEDICAL SERVICES	WA	8,031,930		YAKIMA VALLEY MEMORIAL HOSPITAL
(5) YAKIMA UROLOGY AT MEMORIAL TRUST 2811 TIETON DR YAKIMA,WA98902 47-6620487	MEDICAL SERVICES	WA	3,189,106		YAKIMA VALLEY MEMORIAL HOSPITAL

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) GARDEN VILLAGE 206 S 10TH AVE YAKIMA,WA98902 91-2090034	SKILLED NURSING	WA	501(C)(3)	9	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE ACUTE INPATIENT AND OUTPATIENT SERVICES TO OUR COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	2,748
6	Total number of volunteers (estimate if necessary) .............	6	368
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	37,099,531
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-10,575,607

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,102,133	4,118,760
9	Program service revenue (Part VIII, line 2g) .........	351,898,680	402,945,026
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-90,151	244,293
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	37,645,445	220,773
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	393,556,107	407,528,852
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	144,722
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	191,145,667	201,916,503
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	210,840,198	193,728,057
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	401,985,865	395,789,282
19	Revenue less expenses. Subtract line 18 from line 12.......	-8,429,758	11,739,570
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	255,236,646	268,457,783
21	Total liabilities (Part X, line 26).............	123,365,649	124,936,465
22	Net assets or fund balances. Subtract line 21 from line 20.....	131,870,997	143,521,318

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 170,153,158 including grants of $ 0 ) (Revenue $ 228,497,708 )
	YAKIMA VALLEY MEMORIAL HOSPITAL SERVED 427,339 OUTPATIENT VISITS FOR VARIOUS SERVICES INCLUDING SURGERY, CANCER CARE, DIAGNOSTIC TESTING, AND THERAPEUTIC SERVICES. THOSE OUTPATIENT SERVICES WERE OFFERED IN A MANNER CONSISTENT WITH THE HOSPITAL'S 501(C)(3) STATUS. THE INTENT OF THE SERVICES IS TO SERVE THE HEALTH CARE NEEDS OF THE COMMUNITY. CHARITY CARE IS PROVIDED PER THE TERMS OF THE HOSPITAL'S CHARITY CARE POLICY. THE HOSPITAL ALSO PROVIDES NUMEROUS EDUCATIONAL SERVICES FOR STUDENT PHYSICIANS, NURSES, AND ALLIED HEALTH CARE PROFESSIONALS.

4b	(Code: ) (Expenses $ 93,373,595 including grants of $ 0 ) (Revenue $ 131,331,343 )
	YAKIMA VALLEY MEMORIAL HOSPITAL ADMITTED 11,662 PATIENTS FOR A TOTAL OF 45,941 PATIENT DAYS. THOSE INPATIENT SERVICES WERE OFFERED IN A MANNER CONSISTENT WITH THE HOSPITAL'S 501(C)(3) STATUS. THE INTENT OF THE SERVICES IS TO SERVE THE HEALTH CARE NEEDS OF THE COMMUNITY. CHARITY CARE IS PROVIDED PER THE TERMS OF THE HOSPITAL'S CHARITY CARE POLICY. THE HOSPITAL ALSO PROVIDES NUMEROUS EDUCATIONAL SERVICES FOR STUDENT PHYSICIANS, NURSES, AND ALLIED HEALTH CARE PROFESSIONALS.

4c	(Code: ) (Expenses $ 19,276,832 including grants of $ 0 ) (Revenue $ 2,038,812 )
	YAKIMA VALLEY MEMORIAL HOSPITAL PROVIDES DIRECT SUPPORTING SERVICES TO BETTER ASSIST IN PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES, BUT NOT DIRECTLY IDENTIFIABLE WITH EITHER INPATIENT OR OUTPATIENT SERVICES PROVIDED. THESE SERVICES WERE OFFERED IN A MANNER CONSISTENT WITH THE HOSPITAL'S 501(C)(3) STATUS. THE INTENT OF THE SERVICES IS TO SERVE THE HEALTH CARE NEEDS OF THE COMMUNITY. CHARITY CARE IS PROVIDED PER THE TERMS OF THE HOSPITAL'S CHARITY CARE POLICY. THE HOSPITAL ALSO PROVIDES NUMEROUS EDUCATIONAL SERVICES FOR STUDENT PHYSICIANS, NURSES, AND ALLIED HEALTH CARE PROFESSIONALS.

	(Code: ) (Expenses $ 6,275,224 including grants of $ 144,722 ) (Revenue $ 1,652,329 )
	COORDINATION OF CHILDRENS SERVICES, RESIDENCY PROGRAMS, AND COMMUNITY EDUCATION REGARDING HEALTH ISSUES.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 6,275,224 including grants of $ 144,722 ) (Revenue $ 1,652,329 )
4e	Total program service expenses289,078,809

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	7,368,662	0	524,090

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		1,837,807

f	All other contributions, gifts, grants, and similar amounts not included above1f		2,280,953

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			4,118,760
			Business Code
2a	NET PATIENT REVENUES		900099	362,715,393	362,715,393
b	MEMORIAL PHYSICIANS		621110	36,774,586		36,774,586
c	CAFE		722210	1,908,555			1,908,555
d	CHILD CARE		624410	741,693			741,693
e	EXPENSE REIMBURSEMENTS		900009	697,222	697,222
f	All other program service revenue .			107,577	107,577
g	Total. Add lines 2a–2f........			402,945,026
3	Investment income (including dividends, interest, and other similar amounts).......			165,042			165,042
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	1,474,811
b	Less: rental expenses	1,492,074
c	Rental income or (loss)	-17,263
d	Net rental income or (loss).......			-17,263		30,127	-47,390
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		1,473,790
b	Less: cost or other basis and sales expenses		1,394,539
c	Gain or (loss)		79,251
d	Net gain or (loss)..........			79,251			79,251
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	LAB SERVICES		900009	184,162		184,162
b	YAKIMA UROLOGY BILLING FEE		900009	79,378		79,378
c	HOUSEKEEPING SERVICES		900009	31,278		31,278
d	All other revenue ....			-56,782			-56,782
e	Total. Add lines 11a–11d ......			238,036
12	Total revenue. See Instructions......			407,528,852	363,520,192	37,099,531	2,790,369


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			13,857,008	1	53,680,158
2	Savings and temporary cash investments .........			963,585	2	517,419
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			52,739,187	4	49,958,739
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			1,746,338	7	1,656,500
8	Inventories for sale or use ..............			6,502,476	8	7,973,338
9	Prepaid expenses and deferred charges ..........			6,311,975	9	6,831,296
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	339,464,862
b	Less: accumulated depreciation .....	10b	221,158,032	121,339,270	10c	118,306,830
11	Investments—publicly traded securities ..........			46,701,266	11	22,940,086
12	Investments—other securities. See Part IV, line 11 .....			2,416,750	12	2,323,714
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............			1,375,779	14	2,979,351
15	Other assets. See Part IV, line 11 ...........			1,283,012	15	1,290,352
16	Total assets. Add lines 1 through 15 (must equal line 34)......			255,236,646	16	268,457,783
17	Accounts payable and accrued expenses .........			55,925,761	17	62,857,274
18	Grants payable .................				18
19	Deferred revenue ................			86,299	19	41,927
20	Tax-exempt bond liabilities .............			59,573,816	20	53,069,465
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			3,710,485	23	8,967,799
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			4,069,288	25	0
26	Total liabilities. Add lines 17 through 25.........			123,365,649	26	124,936,465
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			130,566,101	27	142,306,351
28	Temporarily restricted net assets ...........			1,304,896	28	1,214,967
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			131,870,997	33	143,521,318
34	Total liabilities and net assets/fund balances ........			255,236,646	34	268,457,783