TY 2020 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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) DAVID HARGREAVES...................................................................... DIRECTOR/CHAIRMAN	2.00 .................	X	X		0	0
(2) BUFFY ALEGRIA...................................................................... DIRECTOR/VICE CHAIRMAN	2.00 .................	X	X		0	0
(3) RICH MARTINEZ...................................................................... DIRECTOR/TREASURER	2.00 .................	X	X		0	0
(4) SONIA RODRIGUEZ TRUE...................................................................... DIRECTOR/SECRETARY	2.00 .................	X	X		0	0
(5) BRUCE HEISER...................................................................... DIRECTOR	2.00 .................	X			0	0
(6) MARIBEL JIMENEZ...................................................................... DIRECTOR	2.00 .................	X			0	0
(7) STEVE RUPP MD...................................................................... DIRECTOR	2.00 .................	X			0	0
(8) GAIL WEAVER...................................................................... DIRECTOR	2.00 .................	X			0	0
(9) JIM YOUNG...................................................................... DIRECTOR	2.00 .................	X			0	0
(10) KERRY HARTHCOCK MD...................................................................... DIRECTOR	2.00 .................	X			0	0
(11) CYNTHIA JUAREZ...................................................................... DIRECTOR	2.00 .................	X			0	0
(12) CAROLE PEET...................................................................... PRESIDENT/CEO	40.00 .................		X		502,033	8,706
(13) TIMOTHY REED...................................................................... VICE PRESIDENT/CFO	40.00 .................		X		367,277	42,776
(14) RUSSELL MYERS...................................................................... PRESIDENT/CEO (THRU 3/20)	40.00 .................		X		239,077	12,853
(15) DIANE PATTERSON...................................................................... VICE PRESIDENT/COO (THRU 5/20)	40.00 .................			X	720,483	19,495
(16) WILLIAM M BRUEGGMAN...................................................................... VICE PRESIDENT/CMO	40.00 .................			X	595,854	39,617
(17) SHAWNIE HAAS...................................................................... VICE PRESIDENT/SPECIALTY SERVICES	40.00 .................			X	297,611	43,014

(A) Name and business address	(B) Description of services	(C) Compensation
VIRGINIA MASON MEDICAL CENTER 1100 NINTH AVENUE SEATTLE,WA98101	MEDICAL AND HEALTHCARE	5,933,983
PREFERRED SOLUTIONS PO BOX 61451 HOUSTON,TX77208	STAFFING	2,104,992
COMPHEALTH ASSOCIATES INC PO BOX 972625 DALLAS,TX75397	STAFFING	2,058,716
FOCUSONE SOLUTIONS LLC PO BOX 310861 DES MOINES,IA50331	STAFFING	2,035,744
KDA ARCHITECTURE INC 1310 NORTH 16TH AVE YAKIMA,WA98902	ARCHITECTURE	1,617,144
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 42

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL
ASSOCIATION

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2020

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. 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—2019. 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—2020. 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—2019. 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) 2020

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. 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—2019. 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) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2020

Page 5

Part IV

Supporting Organizations (continued)

Yes

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 lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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 line 2 above, 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 lines 2a and 2b 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 line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2020

Page 6

Part V

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

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). 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 0.015 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 0.035	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

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) 2020

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

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) 2020

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL
ASSOCIATION

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 other 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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION

Part I Contributors	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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION		Employer identification number 91-0567263

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION			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.) $ 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) (2020)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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
ASSOCIATION

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2020

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). Click to see attachment

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.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................	53,681	182,704
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................	60,000	140,424
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	113,681	323,128
d	Other exempt purpose expenditures ...............................................................................	510,226,186	1,742,768,256
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	510,339,867	1,743,091,384
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	1,000,000
	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) .................................................	250,000	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................	0	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................	0	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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	284,247	294,038	307,100	323,128	1,208,513

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures	175,480	180,464	183,519	182,704	722,167

Schedule C (Form 990 or 990-EZ) 2020

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(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? ...................................................................................................................

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

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-A, LINE A:	YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION, EIN #91-0567263, 2811 TIETON DRIVE, YAKIMA, WA 98902. NON-ELECTING MEMBER. $53,681 GRASSROOTS LOBBYING EXPENDITURES. $60,000 DIRECT LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0. YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION PAYS MEMBERSHIP DUES TO WASHINGTON STATE HOSPITAL ASSOCIATION AND AMERICAN HEALTHCARE ASSOCIATION, PORTIONS OF WHICH WERE USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES. YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION ALSO PAYS MEMBERSHIP DUES TO OTHER PROFESSIONAL HEALTH CARE ORGANIZATIONS, A PORTION OF WHICH MAY BE USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES. VIRGINIA MASON MEDICAL CENTER, EIN #91-0565539, 1100 NINTH AVENUE, SEATTLE, WA 98101. ELECTING MEMBER. GRASSROOTS LOBBYING EXPENDITURES $129,023. DIRECT LOBBYING EXPENDITURES $80,424. EXCESS LOBBYING EXPENDITURES $0. TAX YEAR ENDING DECEMBER 31, 1998 WAS THE FIRST YEAR IN WHICH VIRGINIA MASON MEDICAL CENTER MADE THE ELECTION UNDER SECTION 501(H). THE ELECTION WAS NOT REVOKED BEFORE THE START OF THE TAX YEAR ENDING DECEMBER 31, 2020. VIRGINIA MASON INSTITUTE, EIN #26-3763656, 1100 NINTH AVENUE, SEATTLE, WA 98101. NON-ELECTING MEMBER. $0 LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0. VIRGINIA MASON HEALTH SYSTEM, EIN #91-1351110, 1100 NINTH AVENUE, SEATTLE, WA 98101. NON-ELECTING MEMBER. $0 LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0. BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON, EIN #91-0653422, 1201 NINTH AVENUE, SEATTLE, WA 98101. NON-ELECTING MEMBER. $0 LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0.

Return Reference

Explanation

PART II-A, LINE A:

YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION, EIN #91-0567263, 2811 TIETON DRIVE, YAKIMA, WA 98902. NON-ELECTING MEMBER. $53,681 GRASSROOTS LOBBYING EXPENDITURES. $60,000 DIRECT LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0. YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION PAYS MEMBERSHIP DUES TO WASHINGTON STATE HOSPITAL ASSOCIATION AND AMERICAN HEALTHCARE ASSOCIATION, PORTIONS OF WHICH WERE USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES. YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION ALSO PAYS MEMBERSHIP DUES TO OTHER PROFESSIONAL HEALTH CARE ORGANIZATIONS, A PORTION OF WHICH MAY BE USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES. VIRGINIA MASON MEDICAL CENTER, EIN #91-0565539, 1100 NINTH AVENUE, SEATTLE, WA 98101. ELECTING MEMBER. GRASSROOTS LOBBYING EXPENDITURES $129,023. DIRECT LOBBYING EXPENDITURES $80,424. EXCESS LOBBYING EXPENDITURES $0. TAX YEAR ENDING DECEMBER 31, 1998 WAS THE FIRST YEAR IN WHICH VIRGINIA MASON MEDICAL CENTER MADE THE ELECTION UNDER SECTION 501(H). THE ELECTION WAS NOT REVOKED BEFORE THE START OF THE TAX YEAR ENDING DECEMBER 31, 2020. VIRGINIA MASON INSTITUTE, EIN #26-3763656, 1100 NINTH AVENUE, SEATTLE, WA 98101. NON-ELECTING MEMBER. $0 LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0. VIRGINIA MASON HEALTH SYSTEM, EIN #91-1351110, 1100 NINTH AVENUE, SEATTLE, WA 98101. NON-ELECTING MEMBER. $0 LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0. BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON, EIN #91-0653422, 1201 NINTH AVENUE, SEATTLE, WA 98101. NON-ELECTING MEMBER. $0 LOBBYING EXPENDITURES. EXCESS LOBBYING EXPENDITURES $0.

Schedule C (Form 990 or 990EZ) 2020

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," on 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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL
ASSOCIATION

Employer identification number

91-0567263

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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 FASB 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 on 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 FASB ASC 958 relating to these items:

Revenue included on 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) 2020

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(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

Term endowment SchDMd Bullet

The percentages on 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" on 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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	14,785,769		14,785,769
b	Buildings ....	99,416,182	19,396,058	80,020,124
c	Leasehold improvements	6,785,018	2,735,274	4,049,744
d	Equipment ....	166,083,216	76,006,203	90,077,013
e	Other .....	7,464,760	1,641,100	5,823,660
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				194,756,310

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on 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........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1)RIGHT OF USE ASSET				23,897,079
(2)OTHER INVESTMENTS - 457B PLAN				3,538,272
(3)DUE FROM AFFILIATES				389,778
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				27,825,129

Part X

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

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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) 2020

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on 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' on 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:

U.S. GAAP REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY MEMORIAL AND RECOGNIZE A TAX LIABILITY (OR AN ASSET) IF MEMORIAL HAS TAKEN AN UNCERTAIN POSITION THAT IS MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (RS). MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY MEMORIAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR AN ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. MEMORIAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THE DEPARTMENT OF REVENUE IS CURRENTLY AUDITING SALES AND USE TAX FOR YEARS 2016 THROUGH 2018. MEMORIAL'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2014.

Schedule D (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL
ASSOCIATION

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? . . . . . . . . .

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

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		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(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) . . .			7,427,730	0	7,427,730	1.480 %
b	Medicaid (from Worksheet 3, column a) . . . . .		352,344	122,071,368	86,140,831	35,930,537	7.140 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			0	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		352,344	129,499,098	86,140,831	43,358,267	8.620 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	8	14,764	3,165,175	449,945	2,715,230	0.540 %
f	Health professions education (from Worksheet 5) . . .	5	823	7,339,351	1,264,191	6,075,160	1.210 %
g	Subsidized health services (from Worksheet 6) . . . .	3	8,527	12,071,797	10,074,483	1,997,314	0.400 %
h	Research (from Worksheet 7) .	1	912	417,695	0	417,695	0.080 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1	0	157,813	0	157,813	0.030 %
j	Total. Other Benefits . .	18	25,026	23,151,831	11,788,619	11,363,212	2.260 %
k	Total. Add lines 7d and 7j .	18	377,370	152,650,929	97,929,450	54,721,479	10.880 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

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	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	1	193,750	193,750	0.040 %
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	1	150,385	150,385	0.030 %
8	Workforce development	1	30,117	30,117	0.010 %
9	Other
10	Total	3	374,252	374,252	0.080 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

10,159,953

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).....

95,147,415

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

106,959,953

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

-11,812,538

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) 2020

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?1Name, 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)
58	YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION 2811 TIETON DRIVE YAKIMA,WA98902 YAKIMAMEMORIAL.ORG	X	X	X	X

Schedule H (Form 990) 2020

Page 4

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 ASSOCIAT
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

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

6 a

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): SEE PART V

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 20

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

Yes

If "Yes" (list url): WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP

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

12b

If "Yes" on 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) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 100.000000000000%
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)

Was widely publicized 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):

SEE SECTION C

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

SEE SECTION C

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

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

Did the hospital facility or other authorized 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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2020

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 ASSOCIATION	PART V, SECTION B, LINE 3J: MEMORIAL'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS ADOPTED BY THE BOARD OF DIRECTORS ON OCTOBER 15, 2019. THE REPORT WAS MADE PUBLIC ON THE WEBSITE AND PRINTED COPIES MADE AVAILABLE AT THE HOSPITAL UPON REQUEST. THE AREAS OF ASSESSMENT IN THE 2019 REPORT ARE: DEMOGRAPHICS; SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH (INCLUDING - EDUCATION, HEALTH LITERACY, UNEMPLOYMENT, INCOME POVERTY, CHILDREN ELIGIBLE FOR FREE SCHOOL LUNCH, FOOD INSECURITY, HOUSING AFFORDABILITY, HOUSEHOLDS WITHOUT A CAR, DISABILITY STATUS, HOMELESSNESS, SAFETY, CRIME AND VIOLENCE); CLINICAL CARE (INCLUDING - ACCESS TO HEALTH SERVICES, UNINSURED POPULATION, COST BARRIERS TO CARE, CLINICAL PREVENTIVE SERVICES); HEALTH OUTCOMES (INCLUDING - CHRONIC DISEASE PROFILE, MORTALITY, QUALITY OF LIFE); LEADING HEALTH INDICATORS (INCLUDING - HEALTH BEHAVIORS, MATERNAL, INFANT AND CHILD HEALTH, REPRODUCTIVE SEXUAL HEALTH, MENTAL HEALTH, INJURY AND HOSPITALIZATION); PHYSICAL ENVIRONMENT (INCLUDING - AIR POLLUTION, ACCESS TO LOCATIONS FOR PHYSICAL ACTIVITY, TRANSPORTATION, SEVERE HOUSING PROBLEMS). ADDITIONAL ASSESSMENTS ARE CONDUCTED ON AN ONGOING BASIS TO TRACK NEEDS SUCH AS CDC COVID DATA TRACKER. 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. MEMORIAL'S ACTIONS AND PROGRESS IN ADDRESSING THE PRIORITY AREAS IDENTIFIED IN THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT (2016) ARE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IN THE 2017-2019 PRIORITY AREA UPDATE SECTION ON PAGE 87.
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 5: INPUT FOR DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS SOLICITED THROUGH AN ONLINE TOOL. THE INTERNAL ADVISORY COMMITTEE SELECTED THE TOP TEN AREAS OF GREATEST NEED AND THROUGH THE SURVEY COMMUNITY ORGANIZATIONS COULD PROVIDE INPUT ON THE CHNA. THE TEN AREAS OF GREATEST NEED WERE: ACCESS TO HEALTH CARE; HEALTH EQUITY; CHRONIC DISEASE PREVENTION & MANAGEMENT; MENTAL HEALTH; HEALTH BEHAVIORS-PHYSICAL INACTIVITY & NUTRITION; ADVERSE CHILDHOOD EXPERIENCE (ACES); SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH; SAFETY AND CRIME; HOMELESSNESS; AND SUBSTANCE ABUSE. THE SURVEY ASKED RESPONDENTS TO RANK EACH OF THE TEN PRIORITY AREAS IN ORDER OF IMPORTANCE TO BOTH THEM AS A COMMUNITY MEMBER, AS WELL AS TO THE ORGANIZATION THEY REPRESENT. WE DID NOT LIMIT RESPONSES BUT SENT OUT THE REQUEST TO TAKE THE SURVEY TO AS MANY PARTNERS IN THE COMMUNITY AS POSSIBLE AND ALSO ASKED THAT THEY FORWARD ON TO ANY OTHER PARTNERS THEY FELT SHOULD BE INVOLVED. WE ALLOWED THREE WEEKS FOR RESPONSES. FEEDBACK WAS RECEIVED FROM OVER 60 ORGANIZATIONS SPANNING DIFFERENT SECTORS INCLUDING: STATE, LOCAL AND TRIBAL HEALTH DEPARTMENTS; HEALTH CARE PROVIDERS, INCLUDING SPECIALTY SERVICES SUCH AS MENTAL HEALTH; COMMUNITY-BASED ORGANIZATIONS, COALITIONS, AND GROUPS REPRESENTING MEMBERS OF THE UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE COMMUNITY; CHURCHES AND FAITH-BASED ORGANIZATIONS; BUSINESSES; THE SCHOOL DISTRICT; COMMUNITY COLLEGES AND UNIVERSITIES; LOCAL GOVERNMENT; AND INDIVIDUAL HEALTH EXPERTS WITHIN THE COMMUNITY. A FULL LIST OF PARTNERS IS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND CAN BE FOUND ON MEMORIAL'S WEBSITE: WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP. THE TOP THREE PRIORITY AREAS CHOSEN BY THE COMMUNITY WERE: ACCESS TO HEALTH CARE; HEALTH EQUITY; AND MENTAL HEALTH. VIRGINIA MASON MEMORIAL HOSPITAL SENIOR LEADERSHIP REVIEWED THE FINAL FIVE PRIORITY AREAS RANKED BY THE COMMUNITY AND NARROWED DOWN THE FOCUS TO THE FINAL THREE: ACCESS TO HEALTH CARE; HEALTH EQUITY; AND MENTAL HEALTH, BASED ON ORGANIZATIONAL RESOURCES AND ABILITY TO ADDRESS THE AREA OF NEED.
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 7D: IN ADDITION TO BEING MADE PUBLICLY AVAILABLE ON THE WEBSITE, THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS SHARED WIDELY BY EMAIL AND MADE PUBLIC THROUGH COMMUNITY-BASED ORGANIZATIONS, COALITIONS AND GROUPS.
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 11: MEMORIAL HAS OUTLINED IN THE VIRGINIA MASON MEMORIAL IMPLEMENTATION PLAN 2020-2022 HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THE IMPLEMENTATION PLAN IS A MULTI-YEAR GUIDE TO IMPROVING THE HEALTH STATUS OF OUR COMMUNITY AND TARGETS THE PRIORITIZED AREAS AND GAPS IN HEALTH NEEDS THAT HAVE BEEN IDENTIFIED. THROUGH THE FOLLOWING FOUR-STAGE APPROACH WE WILL MAKE PROGRESS TOWARD IMPROVED HEALTH AND TRANSFORMING YAKIMA: PLAN - IDENTIFY PRIORITIES FOR SERVICES AND COMMUNITY HEALTH IMPROVEMENT PROCESSES; PARTNER - IDENTIFY THOSE WHO CAN WORK TOGETHER TO BEST MEET COMMUNITY NEEDS; DO - DESIGN PROGRAMS AND APPROACHES TO IMPROVE ACCESS TO HIGH QUALITY HEALTH CARE SERVICES; AND IMPROVE - IMPROVE THE HEALTH OUTCOMES OF YAKIMA COUNTY. AS A RESULT OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, HEALTH PRIORITIES WERE SELECTED AND USING OUR FOUR-STAGE APPROACH WE HAVE DEVELOPED AN ACTION PLAN OUTLINED IN THE IMPLEMENTATION PLAN TO ADDRESS THE THREE PRIORITIES AND POSITIVELY INFLUENCE THE HEALTH AND WELL-BEING OF THE COMMUNITY. THE VIRGINIA MASON MEMORIAL IMPLEMENTATION PLAN OUTLINES BOTH INTERNAL AND COMMUNITY-WIDE OBJECTIVES AND STRATEGIES UNDER EACH OF THE PRIORITY AREAS AS WELL AS SPECIFIC MEASUREMENTS THAT WILL BE USED TO EVALUATE OUR PROGRESS. THE VIRGINIA MASON MEMORIAL IMPLEMENTATION PLAN 2020-2022 WAS ADOPTED BY THE MEMORIAL BOARD OF DIRECTORS ON MAY 13, 2020. ALL THREE PRIORITIES IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ARE BEING ADDRESSED.MEMORIAL IDENTIFIED THREE PRIORITY AREAS IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THESE PRIORITY AREAS ARE: ACCESS TO CARE; HEALTH EQUITY; AND MENTAL HEALTH. "ACCESS TO CARE": MEMORIAL 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 GREATER COLUMBIA ACCOUNTABLE COMMUNITY OF HEALTH TO EXPLORE DEVELOPMENT OF A REGIONAL HEALTH IMPROVEMENT COLLABORATIVE AND STRATEGY. WE HAVE INSTITUTED A NUMBER OF INTERNAL INITIATIVES TO IMPROVE ACCESS FOR MEDICAID PATIENTS TO PRIMARY CARE AND SPECIALTY CLINICS, AS WELL AS REDUCE WAIT TIME. IN ADDITION, WE PROVIDE FINANCIAL SUPPORT AND PARTNER WITH UNION GOSPEL MISSION MEDICAL CARE CENTER FREE CLINIC, WHICH IS FOCUSED ON PROVIDING ACCESS TO PRIMARY CARE, LAB, IMAGING AND SPECIALTY SERVICES FOR UNINSURED/UNDERINSURED POPULATION. WE PARTNER WITH, AND FINANCIALLY SUPPORT LOCAL COMMUNITY COLLEGES AND HEALTH PROFESSION EDUCATION PROGRAMS. MEMORIAL MENTORS AND TRAINS ON SITE LOCAL HEALTH PROFESSIONALS FROM COLLEGE PROGRAMS ACROSS THE COUNTY AND STATE. 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 TO FILL MUCH NEEDED VACANCIES WITHIN THE COMMUNITY. MEMORIAL ALSO PROVIDES A NUMBER OF OPPORTUNITIES FOR CONTINUING MEDICAL EDUCATION PROGRAMMING EACH YEAR TO SERVE MEDICAL PROFESSIONALS ACROSS THE COMMUNITY, ALLOWING THEM TO RENEW LICENSES AND CONTINUE TO PRACTICE IN YAKIMA COUNTY. MEMORIAL HAS ESTABLISHED COMMUNITY EDUCATION AND PREVENTION PROGRAMS FOR THE TOP FOUR DISEASE STATES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THEY ARE: CARDIOVASCULAR DISEASE, CANCER, DIABETES AND OBESITY. THESE COMMUNITY EDUCATION AND PREVENTION CLASSES ARE ALL OFFERED IN BOTH SPANISH AND ENGLISH AND INCLUDE: DIABETES PREVENTION EDUCATION, ACT! GET UP, GET MOVING! CHILDHOOD OBESITY PROGRAM, COOKING AND EXERCISE CLASSES. IN ADDITION, WE REALIZE THAT MANY UNINSURED AND UNDERINSURED POPULATIONS EXPERIENCE GREATER ACCESS ISSUES, AND HAVE DEVELOPED A STRATEGY FOCUSED ON CARE COORDINATION POST EMERGENCY DEPARTMENT VISITS. LASTLY, IN 2020 DUE TO COVID19, MEMORIAL PROVIDED ACCESS TO COVID TESTING AND VACCINES BY SETTING UP COMMUNITY CLINICS ACROSS THE COUNTY. "HEALTH EQUITY": MEMORIAL IS WORKING ON STRATEGIES TO IMPROVE THE COLLECTION OF DEMOGRAPHIC DATA (E.G. RACE, ETHNICITY AND PREFERRED LANGUAGE). WE DEVELOPED AN EQUITY TRAINING PATHWAY PLAN, WHICH INCLUDES CULTURAL HUMILITY TRAINING AND WORKING WITH SPECIAL POPULATION, IN ADDITION TO BOARD OF DIRECTOR AND EXECUTIVE LEADERSHIP RACIAL EQUITY TRAINING. WE HAVE TAKEN THE AMERICAN HOSPITAL ASSOCIATION'S HEALTH EQUITY PLEDGE WITH THE GOAL OF DISCOVERING AND PRIORITIZING MEANINGFUL DIFFERENCES IN CARE, OUTCOMES, AND EXPERIENCE ACROSS PATIENT GROUPS, AND DEVELOP STRATEGIES TO ELIMINATE HEALTH DISPARITIES. SYSTEMS LEVEL WORK INCLUDE: HAVING VIDEO REMOTE INTERPRETATION UNITS IN EVERY CLINIC AND FLOOR IN THE HOSPITAL, AND IN EVERY PATIENT ROOM IN THE EMERGENCY ROOM, TO ASSURE ACCESS TO QUALIFIED INTERPRETERS; ALL STAFF THAT PROVIDE INTERPRETATION OR COMMUNICATE WITH A PATIENT IN ANOTHER LANGUAGE ARE ASSESSED FOR THEIR LANGUAGE PROFICIENCY; INTENTIONAL WORK AROUND BUILDING GOVERNANCE, LEADERSHIP AND WORKFORCE THAT REFLECTS THE COMMUNITY WE SERVE IS BEING EVALUATED BY WAY OF A WORKFORCE DATA ANALYTICS; AND WE ARE LEVERAGING COMMUNITY PARTNERS FOR GREATER COLLECTIVE IMPACT. DURING COVID19 WE ASSURED THAT EDUCATION, PRESS CONFERENCES, AND TESTING AND VACCINE INFORMATION WAS ALL AVAILABLE IN SPANISH. WE ALSO USED DATA TO ANALYZE EQUAL ACCESS TO PRIMARY AND SPECIALTY CARE TELEHEALTH VISITS BY LANGUAGE PREFERENCE, AND ASSURED PROVIDERS HAD INTERPRETERS AVAILABLE DURING VIRTUAL VISITS. "MENTAL HEALTH": MEMORIAL HAS ESTABLISHED INTERVENTION STRATEGIES TO PROMOTE MENTAL WELL-BEING AND PREVENT MENTAL HEALTH DISORDERS. "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. NFP HAS BEEN EXPANDED TO THE YAKAMA NATION IN COLLABORATION WITH TTAWAXT, A MULTI-AGENCY COLLABORATIVE EFFORT LED BY INDIAN HEALTH SERVICES ON THE YAKAMA RESERVATION, OF WHICH MEMORIAL IS A PARTNER IN, TO INVESTIGATE AND REDUCE INFANT MORTALITY AND PROMOTE HEALTHY FAMILIES WITHIN TRIBAL COMMUNITIES. THE GOAL OF NFP IS TO IMPROVE CHILD HEALTH AND DEVELOPMENT BY HELPING PARENTS PROVIDE RESPONSIBLE AND COMPETENT CARE FOR THEIR CHILDREN. NFP BUILDS ON PARENTS' SELF-EFFICACY AND STRONG EMOTIONAL AND PHYSICAL ATTACHMENT TO THEIR BABIES. FURTHERMORE, FAMILIES' ECONOMIC SELF-SUFFICIENCY IS IMPROVED BY HELPING PARENTS DEVELOP A VISION FOR THEIR OWN FUTURE, PLAN FUTURE PREGNANCIES, CONTINUE THEIR EDUCATION AND FIND WORK. "MATERNAL CHILD HEALTH" IS A PERINATAL MENTAL HEALTH SUPPORT FOR WOMEN EXPERIENCING POSTPARTUM ANXIETY AND DEPRESSION, THAT TEACHES PROTECTIVE FACTORS TO PREVENT ADVERSE CHILDHOOD EXPERIENCES (ACE'S), AND BUILDS AWARENESS OF COMMUNITY RESOURCES. "HOLISTIC MENTAL HEALTH COUNSELING" SUPPORT AND THERAPEUTIC INTERVENTIONS TO PATIENTS, FAMILIES AND CAREGIVERS IS A PROGRAM PROVIDED DURING CRISIS, TRAUMA, AND END-OF-LIFE. "ACUTE CARE PSYCHIATRIC SERVICES" PROVIDE COMPLEX MEDICAL CARE FOR PSYCHIATRIC DISORDERS, AND IMPROVED COMMUNITY ACCESS, INCORPORATING EVIDENCE BASED PHYSICAL FITNESS TREATMENT IN AN ACUTE CARE SETTING. THE REMAINING TOP AREAS OF GREATEST NEED WHERE NOT SELECTED BECAUSE OTHERS IN THE COMMUNITY ARE ADDRESSING THESE, AND DUE TO FINANCIAL CONSTRAINTS. THE VIRGINIA MASON MEMORIAL IMPLEMENTATION PLAN 2020-2022 CAN BE FOUND ON OUR WEBSITE: WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP.
PART V, SECTION B, LINE 7A:	HOSPITAL FACILITY'S WEBISTE: WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP
PART V, LINE 16A-16C	THE FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY CAN BE FOUND ONLINE AT: WWW.YAKIMAMEMORIAL.ORG/PATIENTS-AND-VISITORS-FINANCIAL-ASSISTANCE-GUIDELINES.ASP

Schedule H (Form 990) 2020

Page 9

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?33
Name and address		Type of Facility (describe)
1	1 - NORTH STAR LODGE 808 N 39TH AVENUE YAKIMA,WA98902	CANCER TREATMENT FACILITY
2	2 - VALLEY IMAGING 314 S 11TH AVENUE YAKIMA,WA98902	RADIOLOGY
3	3 - ORTHOPEDICS NORTHWEST 1211 N 16TH AVE YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
4	4 - YAKIMA HEART CENTER AT MEMORIAL TRUST 406 S 30TH AVENUE SUITE 101 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
5	5 - MEMORIAL PHYSICIANS LAB 4003 CREEKSIDE LOOP YAKIMA,WA98908	MEDICAL LABORATORY
6	6 - YAKIMA VALLEY HOME HEALTH 302 S 10TH AVENUE YAKIMA,WA98902	HOME HEALTH AND HOSPICE
7	7 - PHYSICIANS ANESTHESIA 406 S 30TH AVE STE 202 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
8	8 - OHANA 1515 W YAKIMA AVENUE YAKIMA,WA98902	MAMMOGRAPHY
9	9 - GENERATIONS OBGYN 3003 TIETON DRIVE STE 230 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
10	10 - MEMORIAL CORNERSTONE MEDICINE 4003 CREEKSIDE LOOP YAKIMA,WA98908	OUTPATIENT PHYSICIAN CLINIC
11	11 - YAKIMA UROLOGY ASSOC AT MEMORIAL TRUST 2500 RACQUT LANE YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
12	12 - PAIN CENTER - WATER'S EDGE 1460 N 16TH AVENUE SUITE D YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
13	13 - RIDGEVIEW SURGERY 2500 RACQUET LANE STE 150 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
14	14 - YAKIMA EAR NOSE AND THROAT 1601 CREEKSIDE LOOP YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
15	15 - FAMILY MEDICINE OF YAKIMA 504 N 40TH AVENUE YAKIMA,WA98908	OUTPATIENT PHYSICIAN CLINIC
16	16 - YAKIMA GASTROENTEROLOGY ASSOCIATES 3909 CREEKSIDE LOOP SUITE 120 YAKIMA,WA98908	OUTPATIENT PHYSICIAN CLINIC
17	17 - MEMORIAL SLEEP SPECIALISTS 406 S 30TH AVE SUITE 206 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
18	18 - LAKEVIEW SPINE 1470 N 16TH AVENUE YAKIMA,WA98902	THERAPY
19	19 - CASCADE SURGICAL PARTNERS 3003 TIETON DRIVE STE 300 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
20	20 - PULMONOLOGY 303 HOLTON AVE STE 1 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
21	21 - PACIFIC CREST FAMILY MEDICINE 311 S 72ND AVENUE YAKIMA,WA98908	OUTPATIENT PHYSICIAN CLINIC
22	22 - YGA AMBULATORY SURGERY 3909 CREEKSIDE LOOP SUITE 120 YAKIMA,WA98908	OUTPATIENT PHYSICIAN CLINIC
23	23 - APPLE VALLEY FAMILY MEDICINE 1008 S 38TH AVENUE YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
24	24 - SELAH FAMILY MEDICINE 620 N PARK DRIVE SELAH,WA98942	OUTPATIENT PHYSICIAN CLINIC
25	25 - YAKIMA VASCULAR ASSOCIATES 1607 CREEKSIDE LOOP SUITE 100 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
26	26 - HEALTHY NOW - 40TH 3909 CREEKSIDE LOOP SUITE 130 YAKIMA,WA98902	URGENT CARE
27	27 - HEALTHY NOW WEST VALLEY 120 S 72ND AVE SUITE 102 YAKIMA,WA98908	URGENT CARE
28	28 - ZILLAH FAMILY MEDICINE 616 RAILROAD AVENUE SUITE 12 ZILLAH,WA98953	OUTPATIENT PHYSICIAN CLINIC
29	29 - YAKIMA PODIATRY ASSOCIATES 1607 CREEKSIDE LOOP SUITE 140 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
30	30 - YAKIMA ENDOCRINOLOGY ASSOCIATES 1470 N 16TH AVENUE YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
31	31 - MEMORIAL OUTPATIENT PSYCH 1460 N 16TH AVENUE SUITE C YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
32	32 - YGA HISTOLOGY 3909 CREEKSIDE LOOP SUITE 120 YAKIMA,WA98908	OUTPATIENT PHYSICIAN CLINIC
33	33 - HEALTHY NOW TERRACE HEIGHTS 3904 TERRACE HEIGHTS DRIVE YAKIMA,WA98901	URGENT CARE

Schedule H (Form 990) 2020

Page 10

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 3C:	FAP INDICATES MAY WRITE OFF AS CHARITY CARE, AMOUNTS FOR PATIENTS WITH FAMILY INCOME IN EXCESS OF 300% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP OR PERSONAL LOSS.
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 I, LN 7 COL(F):	BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 IS BASED ON TRUING UP THE BAD DEBT RESERVES ON THE BALANCE SHEET.
PART I, LINE 6A:	WASHINGTON STATE DOES NOT REQUIRE THAT NON-PROFIT HOSPITALS PREPARE A COMMUNITY BENEFIT REPORT OR MAKE IT AVAILABLE TO THE PUBLIC. MEMORIAL HAS NOT PREPARED AND PUBLISH ITS 2020 COMMUNITY BENEFIT REPORT.
PART II, COMMUNITY BUILDING ACTIVITIES:	ECONOMIC DEVELOPMENT OPPORTUNITIES ARE PROVIDED THROUGH "COMMUNITY BUILDING DONATIONS" WHICH CONSIST OF DONATIONS MADE TO COMMUNITY ORGANIZATIONS TO PROMOTE ECONOMIC DEVELOPMENT IN THE YAKIMA VALLEY; INCLUDING DONATIONS MADE TO YAKIMA COUNTY DEVELOPMENT ASSOCIATION TO SUPPORT NEW SMALL BUSINESS VENTURES IN THE YAKIMA VALLEY AND SUPPORT OF THE NEW YMCA FACILITY IN YAKIMA. "YOUTHWORKS" IS A YOUTH EMPOWERMENT AND COMMUNITY SERVICE INITIATIVE ENGAGING YOUTH DIRECTLY THROUGH MENTORING, VOLUNTEERING AND PHILANTHROPY, WHILE PROMOTING COMMUNITY HEALTH IMPROVEMENT ADVOCACY. "NON-HEALTH PROFESSION EDUCATION" FACILITATES WORKFORCE DEVELOPMENT BY PROVIDING ON THE JOB TRAINING FOR STUDENTS IN NON-CLINICAL FIELDS AT VARIOUS DEPARTMENTS ACROSS THE HOSPITAL. THESE INCLUDE: BUSINESS SERVICES (BILLING AND CODING), HUMAN RESOURCES, AND INFORMATION TECHNOLOGY.
PART III, LINE 2:	MEMORIAL USED ACTUAL BAD DEBT WRITES OFFS PER THE PATIENT BILLING SYSTEM TO CALCULATE THE AMOUNT ON LINE 2.
PART III, LINE 4:	OUR FINANCIAL STATEMENTS INCLUDE A FOOTNOTE REGARDING NET PATIENT REVENUE (PAGES 12) AND INCLUDES DETAILS ON CONTRACTUAL ALLOWANCES. AS BAD DEBT IS NOT MATERIAL TO THE FINANCIAL STATEMENTS, THERE IS NOT VERBIAGE SPECIFIC TO BAD DEBT, ACCOUNTS RECEIVABLE OR ALLOWANCES FOR DOUBTFUL ACCOUNTS. THE ORGANIZATION DOES RECORD AN ALLOWANCE FOR DOUBTFUL ACCOUNTS WHICH ARE NETTED WITH ACCOUNTS RECEIVABLES ON THE FINANCIAL STATEMENTS. BAD DEBT IS NETTED WITH PATIENT SERVICE REVENUE IN A SIMILAR FASHION AS CONTRACTUAL ALLOWANCES ARE.
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. MEMORIAL 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 REVENUE.
PART III, LINE 9B:	DURING THE ADMITTANCE PROCESS AT MEMORIAL, 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:	MEMORIAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, THE TWO MOST RECENT REPORTS CAN BE FOUND AT WWW.YAKIMAMEMORIAL.ORG/ABOUT-US-COMMUNITY-BENEFITS.ASP. 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 ADOPTED BY THE MEMORIAL BOARD OF DIRECTORS ON OCTOBER 15, 2019 AND IS PUBLICLY AVAILABLE.
PART VI, LINE 3:	MEMORIAL 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 MEMORIAL'S CHARITY CARE POLICY AT VARIOUS POINTS BEGINNING WITH SCHEDULING AND CONTINUING THROUGH THE PATIENT BILLING PROCESS. 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 DEPARTMENT 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 PREREQUISITE 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 PREREQUISITE 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 4,311 SQUARE MILES. TOTAL CURRENT POPULATION FOR YAKIMA COUNTY AS OF APRIL, 2020 IS 256,728. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 56.6 PERSONS PER SQUARE MILE, IS LESS THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 93.8 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 (E.G. CHILDREN'S VILLAGE) STRETCHES INTO NEIGHBORING COUNTIES INCLUDING KITTITAS AND KLICKITAT. LOCATED WITHIN YAKIMA COUNTY IS THE YAKAMA NATION RESERVATION WHICH IS OVER 1.3 MILLION ACRES AND REACHES ACROSS THE CASCADES. YAKIMA COUNTY CONSISTS OF 50% MALE AND 50% FEMALE POPULATION. NEARLY HALF (47%) OF THE POPULATION IS MARRIED, WHILE 33.3% REPORT NEVER BEING MARRIED, AND THE REMAINING 19.7% CONSISTS OF RESIDENTS WHO ARE MARRIED BUT SEPARATED (3%), DIVORCED (11%) OR WIDOWED (5.7%). YAKIMA COUNTY IS HOME TO APPROXIMATELY 10,000 MIGRANT AND SEASONAL FARMWORKERS AND THEIR DEPENDENTS. THE PERCENTAGE OF THE POPULATION LIVING IN URBAN AREAS IS 76.5% COMPARED WITH 24% LIVING IN RURAL AREAS, WHICH IS A HIGHER PROPORTION OF RURAL POPULATION THAN BOTH NATIONAL AND WASHINGTON STATE AVERAGES 81% VS. 19% AND 84% VS. 16%, RESPECTIVELY. YAKIMA COUNTY CONSISTS OF A 66.6% MEDICARE/MEDICAID PAYER MIX (16.7% MEDICARE AND 49.9% MEDICAID). ACCORDING TO THE WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES 42.4% OF THE POPULATION IS RECEIVING ECONOMICAL SERVICES ASSISTANCE, PRIMARILY FOR: CHILD SUPPORT SERVICES, CHILDCARE, AND BASIC FOOD PROGRAMS. OUR COMMUNITY IS COMPRISED OF 50.2% PERSONS OF HISPANIC OR LATINO ORIGIN AND 42.3% OF PERSONS OF WHITE NON-HISPANIC OR LATINO ORIGIN, AND 6.7% AMERICAN INDIAN AND ALASKA NATIVE. 16.7% OF PERSONS LIVING AT POVERTY LEVEL, 7.2% ARE UNEMPLOYED, 16.3% UNINSURED PRE-COVID19 (17.6% UNINSURED WEEK ENDING 8/8/20).
PART VI, LINE 5:	MEMORIAL IS COMMITTED TO LEADING, FACILITATING, PARTNERING AND PROMOTING THE HEALTH OF CENTRAL WASHINGTON. THE PROMOTION OF COMMUNITY HEALTH IS ACCOMPLISHED THROUGH COLLABORATIONS, RESEARCH-BASED EDUCATION AND INTERVENTIONS FOCUSED ON DISPARITY ELIMINATION AND ADDRESSING 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. MEMORIAL HAS DEDICATED STAFF, CONTRACTORS AND FTE POSITIONS TO ACCOMPLISH THE DEVELOPMENT, PLANNING AND INTERVENTIONS TO ADDRESS COMMUNITY NEEDS. MEMORIAL BUDGETS SURPLUS FUNDS TO ALLOW CONTINUING SUPPORT OF EDUCATION THROUGH PARTNERSHIPS WITH PACIFIC NORTHWEST UNIVERSITY, CENTRAL WASHINGTON FAMILY PRACTICE RESIDENCY, OBSTETRICAL EDUCATION AND ENSURING MEMORIAL HAS THE STAFF TO SUPPORT OUR COMMUNITIES' EDUCATION NEEDS. 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 MEMORIAL 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. FOR THE MOST CRITICAL SHORTAGES, PARTICULARLY WITHIN SPECIALTY AREAS MEMORIAL EXTENDS THE PRIVILEGES TO PHYSICIANS OUTSIDE OF THE COMMUNITY TO MEET THE NEED.THE MAJORITY OF MEMORIAL'S GOVERNING BODY CONSISTS OF PERSONS WHO RESIDE WITHIN THE PRIMARY SERVICE AREA OF THE HOSPITAL: YAKIMA COUNTY; NO MEMBERS OF THE GOVERNING BODY ARE CONSIDERED EMPLOYEES OR INDEPENDENT CONTRACTORS.
PART VI, LINE 6:	MEMORIAL IS PART OF THE VIRGINIA MASON HEALTH SYSTEM AS OF DECEMBER 31, 2018.

Schedule H (Form 990) 2020

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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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
YAKIMA VALLEY MEMORIAL HOSPITAL
ASSOCIATION

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" on 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 FAMILY YMCA 5 NORTH NACHES AVE YAKIMA,WA98901	91-0568717	501(C)(3)	125,000	GENERAL SUPPORT
(2) YAKIMA UNION GOSPEL MISSION 1300 N FIRST STREET YAKIMA,WA98901	23-7050061	501(C)(3)	121,250	GENERAL SUPPORT
(3) YAKIMA COUNTY DEVELOPMENT ASSOCIATION PO BOX 1387 YAKIMA,WA98907	91-1284283	501(C)(6)	31,150	GENERAL SUPPORT
(4) SOZO SPORTS OF CENTRAL WASHINGTON PO BOX 10786 YAKIMA,WA98909	46-4970770	501(C)(3)	7,500	GENERAL SUPPORT
(5) YAKIMA VALLEY PIPPINS (PACIFIC BASEBALL VENTURES - YAKIMA LLC) 1301 SOUTH FAIR AVE YAKIMA,WA98901	36-4775463		5,350	GENERAL SUPPORT
(6) THE MEMORIAL FOUNDATION 3111 TIETON DRIVE YAKIMA,WA98902	91-1022358	501(C)(3)	867,111	GENERAL SUPPORT

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) 2020

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)

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:

MEMORIAL 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. MEMORIAL TRACKS ALL COMMUNITY BENEFIT/COMMUNITY INVESTMENT ACTIVITIES. MEMORIAL REQUIRES ALL RECIPIENTS OF COMMUNITY INVESTMENT DOLLARS TO REPORT THE IMPACT MADE BY THE FUNDING. THIS IS SPECIFICALLY STIPULATED IN A LETTER THAT ACCOMPANIES ANY MEMORIAL MONIES WHICH REQUESTS THAT RECIPIENTS PROVIDE INFORMATION ON HOW THE AWARD WAS USED AND THE SPECIFIC OUTCOMES THEY WERE ABLE TO ADDRESS OR IMPACT AS A RESULT OF THE FUNDING. RECIPIENTS ARE ASKED TO SUPPLY THAT INFORMATION TO MEMORIAL'S COMMUNITY HEALTH DIVISION. THE COMMUNITY HEALTH TEAM FOLLOWS UP REGULARLY ON THOSE REQUESTS AND KEEPS DOCUMENTED RECORDS OF RECEIPT.

Schedule I (Form 990) 2020

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL
ASSOCIATION

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 on 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 on 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 on 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 on 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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Yes

Were any amounts reported on 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" on 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) 2020

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 on 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 on 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)
1CAROLE PEET PRESIDENT/CEO	(i) (ii)	426,260 ------------- 0	50,000 ------------- 0	25,773 ------------- 0	0 ------------- 0	8,706 ------------- 0	510,739 ------------- 0	0 ------------- 0
2TIMOTHY REED VICE PRESIDENT/CFO	(i) (ii)	292,545 ------------- 0	57,945 ------------- 0	16,787 ------------- 0	19,354 ------------- 0	23,422 ------------- 0	410,053 ------------- 0	0 ------------- 0
3RUSSELL MYERS PRESIDENT/CEO (THRU 3/20)	(i) (ii)	118,524 ------------- 0	118,131 ------------- 0	2,422 ------------- 0	8,891 ------------- 0	3,962 ------------- 0	251,930 ------------- 0	0 ------------- 0
4DIANE PATTERSON VICE PRESIDENT/COO (THRU 5/20)	(i) (ii)	104,113 ------------- 0	52,624 ------------- 0	563,746 ------------- 0	9,028 ------------- 0	10,467 ------------- 0	739,978 ------------- 0	0 ------------- 0
5WILLIAM M BRUEGGMAN VICE PRESIDENT/CMO	(i) (ii)	506,968 ------------- 0	73,160 ------------- 0	15,726 ------------- 0	16,141 ------------- 0	23,476 ------------- 0	635,471 ------------- 0	0 ------------- 0
6SHAWNIE HAAS VICE PRESIDENT/SPECIALTY SERVICES	(i) (ii)	245,711 ------------- 0	29,269 ------------- 0	22,631 ------------- 0	20,195 ------------- 0	22,819 ------------- 0	340,625 ------------- 0	0 ------------- 0
7SUSAN SAUDER VICE PRESIDENT/CCO	(i) (ii)	133,061 ------------- 0	0 ------------- 0	36,345 ------------- 0	0 ------------- 0	6,272 ------------- 0	175,678 ------------- 0	0 ------------- 0
8VU LE PHYSICIAN	(i) (ii)	409,928 ------------- 0	559,359 ------------- 0	1,337 ------------- 0	14,250 ------------- 0	17,179 ------------- 0	1,002,053 ------------- 0	0 ------------- 0
9CHRISTOPHER TAN PHYSICIAN	(i) (ii)	409,358 ------------- 0	246,978 ------------- 0	3,687 ------------- 0	16,558 ------------- 0	16,260 ------------- 0	692,841 ------------- 0	0 ------------- 0
10TEKCHAND TANWANI PHYSICIAN	(i) (ii)	453,253 ------------- 0	36,326 ------------- 0	4,984 ------------- 0	17,175 ------------- 0	23,476 ------------- 0	535,214 ------------- 0	0 ------------- 0
11JEFFERY BUSHMAN PHYSICIAN	(i) (ii)	457,279 ------------- 0	30,000 ------------- 0	2,059 ------------- 0	16,592 ------------- 0	22,826 ------------- 0	528,756 ------------- 0	0 ------------- 0
12PORNCHAI LEELASINJAROEN PHYSICIAN	(i) (ii)	372,161 ------------- 0	113,426 ------------- 0	3,643 ------------- 0	16,097 ------------- 0	22,244 ------------- 0	527,571 ------------- 0	0 ------------- 0
13SCOTT LANCASTER FORMER KEY EMPLOYEE	(i) (ii)	387,038 ------------- 0	30,611 ------------- 0	2,634 ------------- 0	22,800 ------------- 0	23,476 ------------- 0	466,559 ------------- 0	0 ------------- 0
14JOLENE SEDA FORMER KEY EMPLOYEE	(i) (ii)	241,645 ------------- 0	79,279 ------------- 0	14,386 ------------- 0	20,600 ------------- 0	23,476 ------------- 0	379,386 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2020

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

DIANE PATTERSON RECEIVED A SALARY CONTIUATION PLAN PAYMENT OF $551,604. IN JULY 2002, MEMORIAL'S BOARD OF DIRECTORS 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 MEMORIAL'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 MEMORIAL FIRST BEGAN ACCRUING A LIABILITY FOR THE PLAN DURING THE FISCAL YEAR ENDING OCTOBER 31, 2005. MEMORIAL'S LIABILITY ACCRUAL IS BASED ON THE ASSUMPTION THAT ONE EXECUTIVE WILL BE WORKING UNTIL AGE 65. DIANE PATTERSON ACCRUED BENEFITS OF $0 IN THE PLAN FOR THE YEAR.

PART I, LINE 7

VARIABLE COMPENSATION AMOUNTS ARE CALCULATED BASED OFF OF THE RESULTS OF THE STRATEGIC SCORECARD AS WELL AS THE EMPLOYEE'S INDIVIDUAL EVALUATION. THIS IS THEN MULTIPLIED BY THE EMPLOYEES' GROSS EARNINGS FOR THE PREVIOUS YEAR. THIS IS APPROVED BY THE VIRGINIA MASON HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE, AND DOCUMENTED IN ITS MINUTES.

Schedule J (Form 990) 2020

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
YAKIMA VALLEY MEMORIAL HOSPITAL
ASSOCIATION

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	93978HRJ6	11-10-2016	34,208,306	BUILDING AND EQUIPMENT		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	34,512,701
4 Gross proceeds in reserve funds .............	2,617,486
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	678,328
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	31,216,887
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

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

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		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?
c Are there any research agreements that may result in private business use of bond-financed property? .............		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 ....
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 .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		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
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

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
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X
b Exception to rebate? ........		X
c No rebate due? .........		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

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		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
7 Has the organization established written procedures to monitor the requirements of section 148? ...	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

Part Ⅵ

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

Return Reference	Explanation
FORM 990, SCHEDULE K, PART II, LINE 3	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATIONS.

Schedule K (Form 990) 2020

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL
ASSOCIATION

Employer identification number

91-0567263

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 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 the 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) 2020

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) JUAN JIMENEZ	FAMILY MEMBER OF MARIBEL JIMENEZ, DIRECTOR	104,194	EMPLOYMENT		No
(2) JORGE GARCIA	FAMILY MEMBER OF CYNTHIA JUAREZ, DIRECTOR	96,086	EMPLOYMENT		No
(3) BREAN GARCIA	FAMILY MEMBER OF CYNTHIA JUAREZ, DIRECTOR	75,990	EMPLOYMENT		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) 2020

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL
ASSOCIATION

Employer identification number

91-0567263

Return Reference	Explanation
FORM 990, PART III, LINE 1	VMM'S PURPOSE IS TO INSPIRE PEOPLE TO THRIVE. THE HOSPITAL DOES THIS BY UPHOLDING THE VALUES OF RESPECT, ACCOUNTABILITY, TEAMWORK, STEWARDSHIP AND INNOVATION. BY HELPING PATIENTS ACHIEVE HEALTH, WE ALSO CREATE HEALTHY COMMUNITIES. VMM HAS A MULTISPECIALTY TEAM OF MORE THAN 300 PHYSICIANS, OFFERING PRIMARY AND SPECIALTY CARE, CONVENIENCE CARE CLINICS, AS WELL AS OPERATING ONE OF THE REGION'S BUSIEST EMERGENCY DEPARTMENTS. OUR NETWORK OF CLINICS SURROUNDS THE YAKIMA VALLEY, AND EXTENDS NORTHWEST INTO ELLENSBURG AND SOUTHEAST TO SUNNYSIDE. VIRGINIA MASON MEMORIAL ALSO OPERATES COTTAGE IN THE MEADOW, A 24-HOUR, 20-BED INPATIENT HOSPICE FACILITY WHICH SERVES THE ENTIRE YAKIMA VALLEY. WE ALSO COLLABORATE TO OPERATE CHILDREN'S VILLAGE, A CLINIC THAT SERVES CHILDREN WITH SPECIAL AND DEVELOPMENTAL HEALTHCARE NEEDS AND THEIR FAMILIES, AND GARDEN VILLAGE, A SKILLED NURSING FACILITY, PROVIDING THE HIGHEST LEVEL OF COMFORT-DRIVEN, QUALITY CARE TO THOSE WITH COMPLEX AND LONG-TERM MEDICAL AND PSYCHIATRIC NEEDS. VIRGINIA MASON MEMORIAL FUNDS THE CENTRAL WASHINGTON FAMILY MEDICINE RESIDENCY PROGRAM (CWFMR), A 30 RESIDENT FAMILY MEDICINE RESIDENCY PROGRAM, IN ADDITION TO OFFERING TRAINING PROGRAMS FOR NURSING, PHARMACY, RESPIRATORY THERAPY, PHYSICAL THERAPY, AND LABORATORY TECHNOLOGY.
FORM 990, PART VI, SECTION A, LINE 1	THE GOVERNING BODY DELEGATES TO AN EXECUTIVE COMMITTEE COMPRISED OF THE CHAIRMAN, VICE CHAIRMAN, SECRETARY AND TREASURER THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION TO ACT ONLY IN TIME SENSITIVE OR EMERGENCY SITUATIONS AS DETERMINED BY THE EXECUTIVE COMMITTEE, SUCH AUTHORITY TO BE EXERCISED IN TIME PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE GOVERNING BODY OF THE CORPORATION. THE EXECUTIVE COMMITTEE DOES NOT HAVE THE AUTHORITY TO AMEND, ALTER OR REPEAL THE BYLAWS, ELECT, APPOINT OR REMOVE ANY MEMBER OF THE EXECUTIVE COMMITTEE OR ANY DIRECTOR OR OFFICER OF THE CORPORATION; AMEND THE ARTICLES OF INCORPORATION; ADOPT A PLAN OF MERGER OR ADOPT A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION; AUTHORIZE THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION NOT IN THE ORDINARY COURSE OF BUSINESS; AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKE PROCEEDINGS THEREFORE; ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION; AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTER OR REPEALED BY THE EXECUTIVE COMMITTEE; OR TERMINATE THE CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMMITTEE ALSO PERIODICALLY EVALUATES THE EFFECTIVENESS OF MEMORIAL'S SYSTEMS FOR RESOLVING INTERNAL CONFLICTS. THE BOARD ALSO DELEGATES TO THE EXECUTIVE COMMITTEE THE AUTHORITY OF THE BOARD TO MAKE ALL APPOINTMENTS AND REAPPOINTMENTS TO THE MEDICAL STAFF OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 6	VIRGINIA MASON HEALTH SYSTEM ("VMHS") IS THE SOLE CORPORATE MEMBER OF MEMORIAL.
FORM 990, PART VI, SECTION A, LINE 7A	VMHS AS THE SOLE MEMBER HAS THE FOLLOWING ELECTION AND APPOINTMENT RIGHTS: 1) ELECTION AND APPROVAL OF DIRECTORS AND OFFICERS OF THE BOARD OF DIRECTORS; 2) APPROVAL OF THE APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER; 3) REMOVAL OF DIRECTORS AND OFFICERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	VMHS AS THE SOLE MEMBER HAS THE FOLLOWING APPROVAL RIGHTS: 1) APPROVAL OF ALL LONG-RANGE PLANS PROPOSED BY THE BOARD OF DIRECTORS; 2) APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS PROPOSED BY THE BOARD OF DIRECTORS; 3) APPROVAL OF THE BORROWING OF FUNDS WHERE THE AMOUNT IS IN EXCESS OF TEN MILLION DOLLARS; 4) APPROVAL OF THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR DISPOSAL OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS; 5) APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS AND ALL OTHER RIGHTS AND POWERS AS SPECIFIED IN THE WASHINGTON NONPROFIT CORPORATION ACT.
FORM 990, PART VI, SECTION B, LINE 11B	THE VMHS AUDIT AND COMPLIANCE COMMITTEE ("ACC"), A COMMITTEE COMPOSED OF INDEPENDENT COMMUNITY MEMBERS HAS BEEN DELEGATED RESPONSIBILITY FOR OVERSIGHT OF THE ANNUAL FORM 990 PREPARATION PROCESS INCLUDING 1) SELECTION, ENGAGEMENT, AND PERFORMANCE OF AN INDEPENDENT TAX PREPARER; 2) REVIEW OF THE ANNUAL DRAFT FORM 990 AND 990-T TAX RETURNS, AND 3) RECOMMENDING THE FINAL FORM 990 AND 990-T TAX RETURNS FOR REVIEW TO THE MEMORIAL BOARD OF DIRECTORS. ANNUALLY, AT THE SEPTEMBER MEETING, MANAGEMENT AND THE TAX PREPARER PROVIDES THE ACC WITH AN INITIAL DRAFT OF THE FORM 990 AND PRESENT AN OVERVIEW OF THE FORM 990 PREPARATION PROCESS. THE FINAL DRAFT FORM 990 IS REVIEWED BY THE ACC FOLLOWED BY A BOARD REVIEW OF THE FINAL FORM 990 PRIOR TO FILING. THE FINAL FORM 990 AND 990-T TAX RETURNS ARE PROVIDED TO EACH MEMBER OF THE MEMORIAL BOARD OF DIRECTORS VIA ELECTRONIC DELIVERY.
FORM 990, PART VI, SECTION B, LINE 12C	THE VMHS GOVERNANCE COMMITTEE HAS ACCOUNTABILITY FOR OVERSIGHT OF THE PROCESS FOR DISCLOSURE, EVALUATION AND MANAGEMENT OF CONFLICTS OF INTEREST INVOLVING ANY MEMBER OF THE BOARD, EXECUTIVE LEADERSHIP OR KEY EMPLOYEES ("COVERED PERSON"). PURSUANT TO THE CONFLICTS OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO ALL COVERED PERSONS. IN ADDITION, A COVERED PERSON HAS AN ON-GOING DUTY TO DISCLOSE THE EXISTENCE OF A CONFLICT OF INTEREST AT ANY TIME AN ACTUAL OR POTENTIAL CONFLICT ARISES. EACH COVERED PERSON IS REQUIRED UPON APPOINTMENT AND ANNUALLY THEREAFTER TO ATTEST TO A STATEMENT THAT AFFIRMS THAT SUCH PERSON HAS 1) RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) HAS AGREED TO COMPLY WITH THE POLICY; AND 4) UNDERSTANDS THAT MEMORIAL IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ITS TAX-EXEMPT PURPOSES. WRITTEN DISCLOSURES ARE REVIEWED BY THE GOVERNANCE COMMITTEE TO DETERMINE IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS AND IF SO, HOW IT SHOULD BE MANAGED. THE COVERED PERSON IS INFORMED IN WRITING REGARDING THE DETERMINATION (THE "CONFLICT OF INTEREST MANAGEMENT PLAN"). NO COVERED PERSON WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL ENGAGE IN AN ACTIVITY ON MEMORIAL'S BEHALF RELATED TO THE DISCLOSED ACTUAL OR POTENTIAL CONFLICT OF INTEREST UNLESS SUCH ACTIVITY IS PERMITTED BY THE CONFLICT OF INTEREST MANAGEMENT PLAN OR UNTIL THE COVERED PERSON HAS UNDERTAKEN ALL STEPS SET FORTH IN THE MANAGEMENT PLAN TO MANAGE, REDUCE OR ELIMINATE THE CONFLICT. ALL COVERED PERSONS HAVE A DUTY TO DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO MEETING AGENDA ITEMS. THE CONFLICTS OF INTEREST POLICY REQUIRES THAT COPIES OF THE CONFLICT OF INTEREST QUESTIONNAIRE BE COMPLETED ANNUALLY BY EACH COVERED PERSON AND ANY CONFLICT OF INTEREST MANAGEMENT PLAN BE MAINTAINED. IN ADDITION, THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL DOCUMENT THE DISCLOSURE AND RESOLUTION OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST DISCLOSED AT SUCH MEETING.
FORM 990, PART VI, SECTION B, LINE 15	THE VMHS COMPENSATION AND BENEFITS BOARD COMMITTEE, A COMMITTEE COMPOSED SOLELY OF INDEPENDENT DIRECTORS NONE OF WHOM HAVE A CONFLICT OF INTEREST, IS ACCOUNTABLE FOR SETTING REASONABLE TOTAL COMPENSATION PACKAGES FOR EACH MEMORIAL EXECUTIVE, INCLUDING THE CEO, OFFICERS AND KEY EMPLOYEES ("EXECUTIVES") CONSISTENT WITH VIRGINIA MASON'S PHILOSOPHY AND PRINCIPLES. THE BOARD DEVELOPS AND APPROVES ANNUAL GOALS AND PERFORMANCE CRITERIA WHICH ARE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION OPPORTUNITIES FOR THE MEMORIAL EXECUTIVES. THE COMMITTEE ASSESSES PERFORMANCE AGAINST THESE GOALS. THE COMMITTEE SELECTS AND ENGAGES A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO REVIEW AND ANALYZE THE TOTAL COMPENSATION AND BENEFITS PACKAGES TO THE EXECUTIVES. THE COMMITTEE AS PART OF ITS ANALYSIS OBTAINS FROM THE COMPENSATION CONSULTANT APPROPRIATE COMPARABILITY DATA INCLUDING TOTAL COMPENSATION PAID BY SIMILARLY SITUATED FOR-PROFIT AND NON-PROFIT HEALTH CARE ORGANIZATIONS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE TO EACH OF THE EXECUTIVES. WITH RESPECT TO THOSE EXECUTIVES BELOW THE LEVEL OF CHAIR/CHIEF EXECUTIVE OFFICER, THE COMMITTEE REQUESTS THAT THE CHAIR/CHIEF EXECUTIVE OFFICER WORK WITH THE COMPENSATION CONSULTANT TO FORMULATE A COMPENSATION RECOMMENDATION FOR EACH SUCH EXECUTIVE, CONSISTENT WITH VIRGINIA MASON'S COMPENSATION PHILOSOPHY AND PRINCIPLES. CONSISTENT WITH VIRGINIA MASON'S COMPENSATION PHILOSOPHY AND PRINCIPLES, THE COMMITTEE APPROVES TOTAL COMPENSATION PACKAGES FOR EACH OF THE EXECUTIVES BASED ON INFORMATION PRESENTED TO THE COMMITTEE, REASONABLENESS AND THE BEST INTERESTS OF MEMORIAL. THE COMMITTEE'S DECISIONS REGARDING COMPENSATION FOR EACH EXECUTIVE ARE DOCUMENTED IN WRITTEN RESOLUTIONS AND MINUTES OF THE COMMITTEE. THE COMMITTEE PROMPTLY REPORTS ITS ACTION TO THE BOARD WHOSE REPORTS ARE REFLECTED IN THE BOARD'S MINUTES. THE EXECUTIVES THAT WERE REVIEWED IN 2020 WERE: CHIEF EXECUTIVE OFFICER, VICE PRESIDENTS, CHIEF CLINICAL OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF MEDICAL OFFICER.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S ARTICLES, BYLAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	LABORATORY: PROGRAM SERVICE EXPENSES 5,867,278. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,867,278. CLINIC SERVICES: PROGRAM SERVICE EXPENSES 15,937,187. MANAGEMENT AND GENERAL EXPENSES 90,558. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,027,745. EMERGENCY DEPARTMENT SERVICES: PROGRAM SERVICE EXPENSES 11,798,217. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,798,217. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 21,142,918. MANAGEMENT AND GENERAL EXPENSES 8,874,277. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,017,195. ORTHOPEDIC SERVICES: PROGRAM SERVICE EXPENSES 14,866,632. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,866,632. PLAN ADMINISTRATION: PROGRAM SERVICE EXPENSES 15,275. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,275.
FORM 990, PART XI, LINE 9:	DONATED CAPITAL TRANSFERS FROM RESTRICTED FUNDS 410,147. CHANGE IN PENSION OBLIGATION -8,965,755. MEDICAL STAFF FUND 119,784.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL
ASSOCIATION

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	66,871,273	662,153	YVMHA
(2) CENTRAL WASHINGTON HEALTHCARE PARTNERS 3800 SUMMITVIEW YAKIMA,WA98902 45-3483343	ACCOUNTABLE CARE ORGANIZATION	WA	2,383,787	208,070	YVMHA
(3) YAKIMA HEART CENTER AT MEMORIAL TRUST 2811 TIETON DRIVE YAKIMA,WA98902 45-7017902	MEDICAL SERVICES	WA	42,774,602	23,755	YVMHA
(4) YAKIMA UROLOGY AT MEMORIAL TRUST 2811 TIETON DRIVE YAKIMA,WA98902 47-6620487	MEDICAL SERVICES	WA	10,090,163	86,948	YVMHA
(5) ORTHOPEDICS NORTHWEST AT MEMORIAL TRUST 1211 N 16TH AVENUE YAKIMA,WA98902 82-6150143	MEDICAL SERVICES	WA	45,084,622	121,076	YVMHA

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 AVENUE YAKIMA,WA98902 91-2090034	SKILLED NURSING	WA	501(C)(3)	LINE 10	N/A		No
(2)VIRGINIA MASON HEALTH SYSTEM 1100 NINTH AVENUE SEATTLE,WA98101 91-1351110	FUNDRAISING	WA	501(C)(3)	LINE 7	N/A		No
(3)VIRGINIA MASON MEDICAL CENTER 1100 NINTH AVENUE SEATTLE,WA98101 91-0565539	HEALTH CARE	WA	501(C)(3)	LINE 3	VMHS		No
(4)VIRGINIA MASON INSTITUTE 1100 NINTH AVENUE SEATTLE,WA98101 26-3763656	EDUCATION	WA	501(C)(3)	LINE 9	VMMC		No
(5)BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 NINTH AVENUE SEATTLE,WA98101 91-0653422	RESEARCH	WA	501(C)(3)	LINE 4	VMHS		No
(6)CHILDREN'S VILLAGE 3801 KERN ROAD YAKIMA,WA98902 35-2654720	SUPPORTING ORGANIZATION	WA	501(C)(3)	LINE 12A, I	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2020

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?		(k) Percentage ownership
(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	(k) Percentage ownership

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	(h) Percentage ownership	(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	(h) Percentage ownership	Yes	No

Schedule R (Form 990) 2020

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) ............................

Yes

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) 2020

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2020

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) 2020

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: VIRGINIA MASON MEMORIAL (VMM), PART OF THE VIRGINIA MASON HEALTH SYSTEM, IS A 226-BED-ACUTE-CARE, NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT HAS SERVED CENTRAL WASHINGTON'S YAKIMA VALLEY FOR NEARLY 70 YEARS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	3,464
6	Total number of volunteers (estimate if necessary) .............	6	249
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	18,885
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,966,943	53,793,088
9	Program service revenue (Part VIII, line 2g) .........	491,209,069	466,397,010
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	8,129,417	3,667,359
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,295,483	3,997,024
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	508,600,912	527,854,481
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	364,250	1,172,361
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)	247,823,520	252,041,978
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)....	251,603,166	257,589,323
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	499,790,936	510,803,662
19	Revenue less expenses. Subtract line 18 from line 12.......	8,809,976	17,050,819
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	394,294,655	446,456,465
21	Total liabilities (Part X, line 26).............	176,671,369	219,303,933
22	Net assets or fund balances. Subtract line 21 from line 20.....	217,623,286	227,152,532

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 291,838,321 including grants of $ ) (Revenue $ 332,865,969 )
	OUTPATIENT SERVICES. DURING 2020, VIRGINIA MASON MEMORIAL (VMM) PERFORMED 738,764 OUTPATIENT VISITS FOR SURGERY, CANCER CARE, DIAGNOSTIC TESTING AND VARIOUS OTHER THERAPEUTIC SERVICES. THOSE OUTPATIENT SERVICES WERE OFFERED IN A MANNER CONSISTENT WITH THE HOSPITAL'S 501(C)(3) STATUS, INCLUDING CHARITY CARE TO QUALIFYING PATIENTS PER THE HOSPITAL'S CHARITY CARE POLICY. IN 2020, VMM PROVIDED CHARITY CARE FOR 18,392 OUTPATIENT VISITS, TOTALING $19,895,037. (CONTINUED ON SCHEDULE O.)VMM'S ONCOLOGY PROGRAMS DELIVERED CHARITY CARE SERVICES 1,640 TIMES IN 2020. CHILDREN'S VILLAGE, BASED IN YAKIMA, IS A CLINIC THAT PROVIDES HEALTHCARE SERVICES FOR CHILDREN WITH SPECIAL NEEDS. THE FACILITY ALSO HOUSES THE NURSE FAMILY PARTNERSHIP, A PROGRAM THAT PROVIDES SPECIALLY TRAINED NURSES TO HELP FIRST-TIME MOTHERS DURING PREGNANCY AND UNTIL THE CHILD'S SECOND BIRTHDAY. THESE PROGRAMS PROVIDED THE CHARITY CARE AND UNREIMBURSED MEDICAL SERVICES. MATERNAL HEALTH SERVICES PROVIDES COMMUNITY-BASED PROGRAMS AND SERVICES FOCUSED ON PROVIDING PREVENTATIVE HEALTH AND EDUCATION FOR FAMILIES THROUGHOUT CENTRAL WASHINGTON. VMM'S PAIN MANAGEMENT CLINIC SAW 617 PATIENT ENCOUNTERS WHICH FELL UNDER VMM'S CHARITY CARE CRITERIA. MEMORIAL'S 'OHANA CLINIC PROVIDES BREAST HEALTH EDUCATION, SCREENING AND DIAGNOSTIC MAMMOGRAPHY, AND BREAST CARE COORDINATION FOR WOMEN IN THE YAKIMA VALLEY. CHARITY CARE FUNDED 584 ENCOUNTERS WITH 'OHANA PROVIDERS IN 2020. VMM PROVIDED 906 PATIENT ENCOUNTERS WITH CHARITY CARE IN OUTPATIENT SURGERY IN 2020. VIRGINIA MASON MEMORIAL'S WOUND MANAGEMENT SERVICES COMBINES TRADITIONAL PRACTICES AND MEDICINES FOR WOUND HEALING WITH TECHNOLOGY, SUCH AS HYPERBARIC OXYGEN THERAPY. THESE SERVICES ARE OFFERED TO PATIENTS WHO HAVE UNDERGONE 30 DAYS OF CONVENTIONAL WOUND TREATMENT WITHOUT SIGNIFICANT IMPROVEMENT. IN 2020, 10 OF THOSE ENCOUNTERS WERE PERFORMED UNDER CHARITY CARE ASSISTANCE. WITH ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN THE STATE OF WASHINGTON, OUR PROVIDERS ARE TRAINED IN EMERGENCY MEDICINE AND TREATED 75,518 PATIENTS A YEAR REGARDLESS OF AGE, CULTURE, EMPLOYMENT, ETHNICITY, EXPRESSION, GENDER IDENTITY, LANGUAGE, NATIONAL ORIGIN, PARTICIPATION IN PROGRAMS, PHYSICAL OR MENTAL DISABILITY, RACE, COLOR, RELIGION, SERVICES AND ACTIVITIES, SEX, SEXUAL ORIENTATION, SOCIOECONOMIC STATUS, OR FINANCIAL STATUS. THE EMERGENCY DEPARTMENT PROVIDES FOR PATIENTS' EMERGENT NEEDS; AND, ALL PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT ARE EXAMINED BY A TRAINED PROVIDER. VMM'S EMERGENCY DEPARTMENT EXPERIENCED 6,838 PATIENT ENCOUNTERS WITH CHARITY CARE RECIPIENTS IN 2020, FOR A TOTAL OF $10,992.520. VIRGINIA MASON MEMORIAL SERVED 7,797 CHARITY CARE PATIENTS WITH ADDITIONAL OUTPATIENT SERVICES. THESE SERVICES INCLUDE: CARDIAC REHAB, EDUCATION, INFUSION CARE, LABORATORY, PHYSICIAN'S OFFICES, OUTPATIENT PROCEDURES, PRE-PROCEDURE TESTING, SLEEP STUDIES, THERAPY, X-RAY AND IMAGING, AND CARDIOVASCULAR CARE PROVIDED BY THE YAKIMA HEART CENTER.

4b	(Code: ) (Expenses $ 104,223,074 including grants of $ ) (Revenue $ 128,752,274 )
	INPATIENT SERVICES. VIRGINIA MASON MEMORIAL (VMM) HOSPITAL ADMITTED 391 PATIENTS THAT QUALIFIED FOR CHARITY CARE, FOR A TOTAL OF 1,544 PATIENT DAYS. THESE INPATIENT CHARITY CARE ENCOUNTERS AMOUNTED TO $3,664,911. CHARITY CARE WAS PROVIDED PER THE TERMS OF THE HOSPITAL'S CHARITY CARE POLICY. INPATIENT SERVICES INCLUDES OBSTETRICS & GYNECOLOGY (OBGYN), PEDIATRICS, PSYCHIATRIC SERVICES, EMERGENCY DEPARTMENT (ED), HOSPITAL IMAGING, HOSPITAL-BASED PHYSICIAN SERVICES, CRITICAL CARE, ORTHOPEDICS, CARDIOVASCULAR CARE, CANCER CARE, ANESTHESIOLOGY, RESPIRATORY THERAPY, AND PHARMACY. (CONTINUED ON SCHEDULE O.)IN 2020, VMM'S OB/GYN DEPARTMENT PROVIDED CHARITY CARE TO PATIENTS FOR PRE-DELIVERY TESTING AND OBSTETRIC EMERGENCY CARE. VMM'S INPATIENT PSYCHIATRIC SERVICES TREATS ADULT PATIENTS FOR A BROAD SPECTRUM OF MENTAL HEALTH CONCERNS INCLUDING DEPRESSION, ANXIETY, ADJUSTMENT DISORDERS, ADD/ADHD, AND MAJOR PSYCHIATRIC ILLNESS. INPATIENT PSYCHIATRIC SERVICES ALSO OFFERS PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT, IN ADDITION TO TREATMENT OF UNDERLYING MEDICAL CONDITIONS.

4c	(Code: ) (Expenses $ 13,526,115 including grants of $ 1,172,361 ) (Revenue $ 605,214 )
	SUPPORTING SERVICE. VIRGINIA MASON MEMORIAL PROVIDES ADDITIONAL SUPPORTIVE SERVICES TO SERVE THE HEALTH CARE NEEDS OF THE COMMUNITY THAT DO NOT DIRECTLY ALIGN AS EITHER INPATIENT OR OUTPATIENT SERVICES. THESE SUPPORTIVE SERVICES WERE OFFERED IN A MANNER CONSISTENT WITH THE HOSPITAL'S 501(C)(3) STATUS. THESE SUPPORTIVE SERVICES INCLUDE EDUCATIONAL SERVICES FOR STUDENT PHYSICIANS, NURSES, AND ALLIED HEALTH PROFESSIONALS, SUPPORT OF THE COMMUNITY HEALTH OF CENTRAL WASHINGTON (CHCW) MEDICAL RESIDENCY PROGRAM (30 RESIDENTS), A PRE-SURGERY CLINIC, NURSING FLOAT POOL, BUSINESS DEVELOPMENT, AND INFORMATION TECHNOLOGY AND SYSTEMS.

	(Code: ) (Expenses $ 8,467,085 including grants of $ ) (Revenue $ 4,154,668 )
	VIRGINIA MASON MEMORIAL PROVIDES COMMUNITY HEALTH EDUCATION, SUPPORT, AND SERVICES TO RESIDENTS OF YAKIMA COUNTY. THESE PROGRAMS ALIGN WITH INITIATIVES AND DISPARITIES OUTLINED WITHIN OUR PUBLISHED COMMUNITY HEALTH NEEDS ASSESSMENT. COMMUNITY HEALTH PROGRAMS SERVED 14,764 RESIDENTS IN 2020 AND EQUATED TO $2,715,230 IN COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS EXPENDITURES. VIRGINIA MASON MEMORIAL PARTNERED WITH THE LOCAL YMCA TO DELIVER "ACTIVELY CHANGING TOGETHER", A CHILDHOOD OBESITY PROGRAM THAT ASSISTED 264 FAMILIES. DIABETES PREVENTION AND DIABETES WELLNESS PROGRAMS WERE ALSO OFFERED TO 2,421 COMMUNITY MEMBERS DURING THE YEAR. IN ADDITION TO CAMPAIGNS TARGETING OBESITY AND DIABETES, VMM CREATED ACCESS TO FREE ZUMBA AND YOGA CLASSES FOR 6,084 ADULTS AND CHILDREN AS PART OF AN ANNUAL "HEALTHY FOR LIFE" CAMPAIGN. IN ADDITION TO SUPPORTING COMMUNITY HEALTH INITIATIVES, VMM ALSO SUPPORTS COMMUNITY INVESTMENT/BUILDING ACTIVITIES BY MAKING SEVERAL CONTRIBUTIONS TO NOT-FOR-PROFIT CAUSES THROUGHOUT YAKIMA COUNTY THAT ALIGN WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENT EQUALING TO $150,385 IN DONATIONS.YAKIMA UNION GOSPEL MISSION MEDICAL CLINIC WAS THE RECIPIENT OF $121,250 FOR CLINIC SUPPORT. THE MISSION SERVES OVER 14,000 PATIENTS FREE OF CHARGE EVERY YEAR, HELPING TO STEM OVERUTILIZATION OF EMERGENCY DEPARTMENT RESOURCES AND HELPING TO PROVIDE ADDITIONAL PRIMARY CARE ACCESS TO THE UNDERSERVED. THE SOZO SPORTS COMPLEX RECEIVED A $7,500 DONATION FROM VMM IN SUPPORT OF ATHLETIC PROGRAMS FOR CHILDREN WHO LACK SUFFICIENT FUNDS TO PARTICIPATE. THE YAKIMA COUNTY DEVELOPMENT ASSOCIATION/NEW VISION RECEIVED $31,150 FOR COMMUNITY DEVELOPMENT INITIATIVES. THE YAKIMA FAMILY YMCA WAS IN THE PROCESS OF CONSTRUCTING A NEW AQUATIC FACILITY THAT WILL HELP AT-RISK KIDS AND VIRGINIA MASON MEMORIAL WAS ABLE TO CONTRIBUTE $125,000 TOWARD CONSTRUCTION AND THE DEVELOPMENT OF REHABILITATION SERVICES. VMM WAS ABLE TO SUPPORT OPERATION FOOD HARVEST AND NEIGHBORHOOD CLEANUP WITH $5,000 CONTRIBUTED TO YAKIMA SOUTHWEST ROTARY CLUB CHARITIES. AND FINALLY, VMM CONTRIBUTED $5,000 TO THE DOWNTOWN YAKIMA MILE THAT IS A 1 MILE RACE THAT BRINGS OUR COMMUNITY TOGETHER IN FUN, FITNESS AND SUPPORT OF IMPORTANT CAUSES THAT SERVE OUR FRIENDS AND NEIGHBORS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 8,467,085 including grants of $ ) (Revenue $ 4,154,668 )
4e	Total program service expenses418,054,595

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) SUSAN SAUDER........................................................................ VICE PRESIDENT/CCO	40.00 .......................	X			169,406	0	6,272
(19) VU LE........................................................................ PHYSICIAN	40.00 .......................		X		970,624	0	31,429
(20) CHRISTOPHER TAN........................................................................ PHYSICIAN	40.00 .......................		X		660,023	0	32,818
(21) TEKCHAND TANWANI........................................................................ PHYSICIAN	40.00 .......................		X		494,563	0	40,651
(22) JEFFERY BUSHMAN........................................................................ PHYSICIAN	40.00 .......................		X		489,338	0	39,418
(23) PORNCHAI LEELASINJAROEN........................................................................ PHYSICIAN	40.00 .......................		X		489,230	0	38,341
(24) SCOTT LANCASTER........................................................................ FORMER KEY EMPLOYEE	40.00 .......................			X	420,283	0	46,276
(25) JOLENE SEDA........................................................................ FORMER KEY EMPLOYEE	40.00 .......................			X	335,310	0	44,076

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	6,751,112	0	445,742

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	51,512,283

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,280,805

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		53,793,088

		Business Code
2a	NET PATIENT REVENUE	621400	441,307,420	441,307,420
b	MEMORIAL PHYSICIANS/SIGNAL HEALTH	621110	24,470,219	24,470,219
c	EXPENSE REIMBURSEMENT	900099	600,486	600,486
d	LAB SERVICE	621500	18,885		18,885
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		466,397,010

3 Investment income (including dividends, interest, and othersimilar amounts) ......			3,690,398			3,690,398
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		715,132	6a
b	Less: rental expenses		1,483,778	6b
c	Rental income or (loss)		-768,646	6c
d	Net rental income or (loss).......			-768,646			-768,646
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		70,950	7a
b	Less: cost or other basis and sales expenses	93,989	0	7b
c	Gain or (loss)	-93,989	70,950	7c
d	Net gain or (loss).........			-23,039			-23,039
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	CAFETERIA		900099	1,488,859			1,488,859
b	CHILD CARE		624410	812,235			812,235
c	GIFT SHOP		453220	64,976			64,976
d	All other revenue ....			2,399,600			2,399,600
e	Total. Add lines 11a–11d ......			4,765,670
12	Total revenue. See instructions.....			527,854,481	466,378,125	18,885	7,664,383

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,172,361	1,172,361
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 ...........	3,064,476	2,025,393	1,039,083
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	201,921,798	167,677,025	34,244,773
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	10,519,128	8,211,643	2,307,485
9	Other employee benefits .......	15,685,954	12,225,557	3,460,397
10	Payroll taxes ...........	20,850,622	16,276,812	4,573,810
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,637,403	19,831	1,617,572
c	Accounting ...........	278,100		278,100
d	Lobbying ...........	113,681		113,681
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	280,681		280,681
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	78,592,342	69,627,507	8,964,835
12	Advertising and promotion ....	232,189	40,585	191,604
13	Office expenses .......	19,097,752	10,655,375	8,442,377
14	Information technology ......	13,448,345	5,455,818	7,992,527
15	Royalties ..
16	Occupancy ...........	10,340,591	6,327,301	4,013,290
17	Travel ............	180,855	109,467	71,388
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	2,100,040		2,100,040
21	Payments to affiliates .......	5,215,992		5,215,992
22	Depreciation, depletion, and amortization ..	21,230,251	20,250,651	979,600
23	Insurance ...	3,642,218	1,958,306	1,683,912
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	DRUGS	40,650,405	40,573,819	76,586
b	MEDICAL SUPPLIES	39,422,191	39,378,550	43,641
c	BAD DEBT EXPENSE	6,765,383	6,765,383
d	DIETARY SUPPLIES	1,719,042	263,888	1,455,154
e	All other expenses	12,641,862	9,039,323	3,602,539
25	Total functional expenses. Add lines 1 through 24e	510,803,662	418,054,595	92,749,067	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).

1	Cash–non-interest-bearing ........			67,648,727	1	63,565,867
2	Savings and temporary cash investments .........			523,327	2	40,208,709
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			68,364,222	4	56,248,610
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			484,337	7	1,747,830
8	Inventories for sale or use ............			8,150,193	8	9,848,980
9	Prepaid expenses and deferred charges ......			4,132,244	9	4,601,016
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	294,534,945
b	Less: accumulated depreciation	10b	99,778,635	200,136,846	10c	194,756,310
11	Investments—publicly traded securities .			5,029,440	11	43,521,064
12	Investments—other securities. See Part IV, line 11 .....			3,793,167	12	3,123,684
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			1,390,437	14	1,009,266
15	Other assets. See Part IV, line 11 ...........			34,641,715	15	27,825,129
16	Total assets. Add lines 1 through 15 (must equal line 33)...			394,294,655	16	446,456,465

17	Accounts payable and accrued expenses .....	114,281,428	17	99,018,698
18	Grants payable ...		18
19	Deferred revenue .........	-1,668	19	55,900,387
20	Tax-exempt bond liabilities .........	44,830,169	20	33,898,292
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	17,561,440	23	30,486,556
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		25
26	Total liabilities. Add lines 17 through 25..	176,671,369	26	219,303,933

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	214,637,680	27	223,756,780
28	Net assets with donor restrictions ...........	2,985,606	28	3,395,752
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	217,623,286	32	227,152,532
33	Total liabilities and net assets/fund balances ........	394,294,655	33	446,456,465