TY 2024 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) DAVID HARGREAVES...................................................................... CHAIRMAN	2.00 ................. 0.00	X	X			0	0	0
(2) GAIL WEAVER...................................................................... VICE CHAIRMAN	2.00 ................. 0.00	X	X			0	0	0
(3) MARIBEL JIMINEZ...................................................................... DIRECTOR	2.00 ................. 0.00	X				0	0	0
(4) STEPHEN RUPP...................................................................... DIRECTOR	2.00 ................. 0.00	X				0	0	0
(5) CYNTHIA JUAREZ...................................................................... SECRETARY/TREASURER	2.00 ................. 0.00	X	X			0	0	0
(6) PATRICK OSHIE...................................................................... DIRECTOR	2.00 ................. 0.00	X				0	0	0
(7) MIRNA RAMOS-DIAZ...................................................................... DIRECTOR	2.00 ................. 0.00	X				0	0	0
(8) ROBERT WILLIAMS...................................................................... DIRECTOR	2.00 ................. 0.00	X				0	0	0
(9) DOUGLAS ELLISON...................................................................... DIRECTOR	2.00 ................. 0.00	X				0	0	0
(10) LAURA ARMSTRONG...................................................................... DIRECTOR	2.00 ................. 0.00	X				0	0	0
(11) LORI ARVISO ALVORD...................................................................... DIRECTOR	2.00 ................. 0.00	X				0	0	0
(12) TAMMY BUYOK...................................................................... PRESIDENT & YAKIMA MARKET LEADER	30.00 ................. 10.00		X			0	626,888	38,599
(13) MAXWELL OWENS...................................................................... CFO	40.00 ................. 0.00		X			165,654	0	4,146
(14) NATHANIEL DAVENPORT...................................................................... CHIEF MEDICAL OFFICER	40.00 ................. 0.00			X		432,208	0	69,298
(15) SCOTT JONES...................................................................... CHIEF OPERATIONS OFFICER	40.00 ................. 0.00			X		349,450	0	20,679
(16) KIMBERLY BERSING...................................................................... COO & CHIEF NURSING EXECUTIVE	40.00 ................. 0.00			X		330,188	0	42,143
(17) LUCAS FAYEZ BAZI...................................................................... PHYSICIAN	40.00 ................. 0.00				X	1,177,010	0	45,155

(A) Name and business address	(B) Description of services	(C) Compensation
EMERGENCY ASSOCIATES OF YAKIMA PLLC 2811 TIETON DRIVE YAKIMA,WA98902	MEDICAL AND HEALTHCARE	14,644,023
SIMPLI FI MANAGED SERVICES PO BOX 631820 CINCINNATI,OH45263	MEDICAL SERVICES	12,440,061
LOCUMSMART LLC 315 WEST 36TH STREET NEW YORK,NY10018	MEDICAL SERVICES	8,998,236
ORTHOPEDICS NORTHWEST PLLC PO BOX 2309 YAKIMA,WA98907	MEDICAL AND HEALTHCARE	7,633,230
YAKIMA UROLOGY ASSOCIATES PLLC 2500 RACQUET LANE SUITE 100 YAKIMA,WA98902	MEDICAL AND HEALTHCARE	7,337,701
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 66

- TIN:

SCHEDULE A
(Form 990)

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

2024

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 on 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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

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) .

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

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

Did one or more disqualified persons (as defined on 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 on 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) 2024

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

11a

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

11b

A 35% controlled entity of a person described on 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 on 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) 2024

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) 2024

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 2024 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-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

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

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 ......... Right Arrow

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

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 right arrow

Permanent endowment right arrow

Term endowment right arrow

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 .....	26,841,021		26,841,021
b	Buildings ....	137,151,673	12,883,122	124,268,551
c	Leasehold improvements	9,275,414	22,028,211	-12,752,797
d	Equipment ....	96,257,748	8,836,916	87,420,832
e	Other .....	28,906,768		28,906,768
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				254,684,375

Schedule D (Form 990) (Rev. 1-2025)

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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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
DUE TO AFFILIATES	156,927,049
LT DEBT	20,125,000







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	177,052,049
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) (Rev. 1-2025)

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:

YAKIMA VALLEY MEMORIAL HOSPITAL IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM (MHS). THE FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS READS: "ASC SUBTOPIC 740-10, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN MHS' CONSOLIDATED FINANCIAL STATEMENTS. THIS TOPIC ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ONLY TAX POSITIONS THAT MEET THE "MORE-LIKELY THAN-NOT" RECOGNITION THRESHOLD AT THE EFFECTIVE DATE MAY BE RECOGNIZED OR CONTINUE TO BE RECOGNIZED UPON ADOPTION. IN ADDITION, THIS TOPIC PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. OTHER THAN MEDIS, INC., PHYSICIANS OF SOUTHWEST WASHINGTON, LLC AND OLYMPIC SPORTS & SPINE, PLLC, WHICH ARE ALL TAXABLE ENTITIES, ALL OF THE OTHER ENTITIES HAVE OBTAINED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE THAT THEY ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME."

Schedule D (Form 990) (Rev. 1-2025)

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2024

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 30000.0000000000 %

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 50000.0000000000 %

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

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	15,039,659		15,039,659	2.340 %
b	Medicaid (from Worksheet 3, column a) . . . . .	168,766,000	133,888,000	34,878,000	5.430 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	183,805,659	133,888,000	49,917,659	7.770 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,489,455	357,448	1,132,007	0.180 %
f	Health professions education (from Worksheet 5) . . .	3,952,537	1,644,532	2,308,005	0.360 %
g	Subsidized health services (from Worksheet 6) . . . .	15,855,992	9,796,983	6,059,009	0.940 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	193,478		193,478	0.030 %
j	Total. Other Benefits . .	21,491,462	11,798,963	9,692,499	1.510 %
k	Total. Add lines 7d and 7j .	205,297,121	145,686,963	59,610,158	9.280 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy			178,433	0	178,433	0.030 %
8	Workforce development
9	Other
10	Total			178,433		178,433	0.030 %

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. ......

2,807,790

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).....

32,258,726

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

39,929,183

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

-7,670,457

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) 2024

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)
1	YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION 2811 TIETON DRIVE YAKIMA,WA98902 WWW.MULTICARE.ORG/LOCATION/YAKIMA-MEMO HAC.FS.00000058	X	X	X	X

Schedule H (Form 990) 2024

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 22

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. ............................

Yes

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): HTTPS://WWW.MULTICARE.ORG/ABOUT/COMMUNITY/NEEDS-ASSESSMENT/

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 22

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

Yes

If "Yes" (list url): HTTPS://WWW.MULTICARE.ORG/ABOUT/COMMUNITY/NEEDS-ASSESSMENT/

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) 2024

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 300.000000000000%
and FPG family income limit for eligibility for discounted care of 500.000000000000%

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):

HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE/

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

HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE/FO

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSISTANCE/

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) 2024

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) 2024

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) 2024

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: BASED ON THE FINDINGS FROM THE 2022 CHNA, THE FOLLOWING THREE AREAS WERE IDENTIFIED AS SIGNIFICANT COMMUNITY HEALTH NEEDS WITHOUT PRIORITIZATION: 1. ACCESS TO CARE 2. HEALTH EQUITY3. BEHAVIORAL HEALTH
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 5: YAKIMA VALLEY MEMORIAL HOSPITAL'S (MEMORIAL) 2022 CHNA INCLUDED A ROBUST, COLLABORATIVE COMMUNITY CONVENING PROCESS TO REVIEW COMMUNITY NEEDS AND DISCUSS PRIORITIES. THE PROCESS INCLUDED A COMMUNITY ENGAGEMENT SURVEY AND LISTENING SESSIONS IN WHICH NEARLY 800 COMMUNITY MEMBERS, COMMUNITY ORGANIZATIONS, AND MEMORIAL STAFF PARTICIPATED IN TO PRIORITIZE SERVICE GAPS AND UNMET NEEDS. MEMORIAL DISTRIBUTED AN ONLINE SURVEY THROUGH COMMUNITY PARTNERS (INCLUDING THE YAKIMA HEALTH DISTRICT), SOCIAL MEDIA,STAFF, AND PROVIDERS, RECEIVING NEARLY 700 COMPLETED SURVEYS. MEMORIAL'S COMMUNITY ENGAGEMENT PROCESS ALSO INCLUDED TEN LISTENING SESSIONS, WITH NINE DIFFERENT ORGANIZATIONS AND PARTNERS, INVOLVING ABOUT 90 PARTICIPANTS. NINE SESSIONS WERE HELD IN-PERSON AND ONE WAS VIRTUAL. EACH SESSION LASTED, ON AVERAGE, 60-90 MINUTES AND FOCUSED ON IDENTIFYING THE GREATEST GAPS, DISPARITIES, AND UNMET HEALTH CARE NEEDS IN YAKIMA COUNTY.A FULL LIST OF PARTNERS IS INCLUDED IN THE COMMUNITY HEALTH NEEDSASSESSMENT AND CAN BE FOUND ON MEMORIAL'S WEBSITE:WWW.MULTICARE.ORG/ABOUT/COMMUNITY/NEEDS-ASSESSMENT/
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 6B: YAKIMA COUNTY HEALTH DEPARTMENT
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 11: YAKIMA VALLEY MEMORIAL HOSPITAL (MEMORIAL) HAS OUTLINED IN THE IMPLEMENTATION PLAN 2023-2025 HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2022 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. AS A RESULT OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, HEALTH PRIORITIES WERE SELECTED, AND MEMORIAL HAS 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. MEMORIAL WILL ADDRESS THE THREE SIGNIFICANT NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT BY CONTINUING AND STRENGTHENING EXISTING PROGRAMS AND SERVICES; EXPLORING THE IMPLEMENTATION OF NEW STRATEGIES, PROGRAMS, OR SERVICES; PROVIDING LEADERSHIP IN COLLABORATION WITH COMMUNITY ORGANIZATIONS TO IMPLEMENT EVIDENCE-BASED STRATEGIES ACROSS THE SERVICE AREA. THE 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 IMPLEMENTATION PLAN 2023-2025 WAS ADOPTED BY THE MEMORIAL BOARD OF DIRECTORS IN NOVEMBER 2022. ALL THREE PRIORITIES CALLED OUT AND LISTED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ARE BEING ADDRESSED.ACCESS TO HEALTH CAREMEMORIAL PRIORITIZES STABILIZING ITS WORKFORCE AND INCREASING ACCESS TO PREVENTATIVE, DIAGNOSTIC, AND TREATMENT SERVICES. MEMORIAL PARTNERS WITH LOCAL COMMUNITY COLLEGES AND HEALTH PROFESSION EDUCATION PROGRAMS TO MENTOR AND TRAIN 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 COURSEWORK, EACH HEALTH PROFESSIONAL IS READY FOR THE WORKFORCE AND TO FILL MUCH-NEEDED VACANCIES WITHIN THE COMMUNITY. MEMORIAL PRIORITIZES GROWING A LOCAL WORKFORCE AND IMPROVING PHYSICIAN/STAFF ENGAGEMENT BY BUILDING ON SYSTEM-LEVEL MULTICARE RECRUITMENT STRUCTURES AND STRATEGIES. MEMORIAL CONTINUES TO EXPAND TALENT PIPELINES THROUGH RESIDENCY PROGRAMS, INCREASED AVAILABILITY OF CLINICAL ROTATIONS, AND OUTREACH TO COMMUNITY GROUPS. 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 IS SEEKING OUT PARTNERSHIPS TO BRING NEW PROGRAMS TO PNWU FOR ALLIED HEALTH PROGRAMS. MEMORIAL IS FOCUSED ON INCREASING PREVENTATIVE CARE AND REDUCING AVOIDABLE EMERGENCY DEPARTMENT VISITS. THIS INCLUDES PARTNERING WITH COMMUNITY PROVIDERS TO INCREASE EVIDENCE-BASED SCREENINGS, INCREASING PREVENTATIVE SCREENING OFFERINGS, STRENGTHENING TRANSITIONS OF CARE, AND PARTNERING WITH COMMUNITY CLINICS TO ENSURE PATIENTS HAVE A PRIMARY CARE HOME. AN IMPORTANT PIECE OF INCREASING ACCESS TO CARE IS MAINTAINING COMMON ELECTRONIC RECORDS AND IMPROVING EFFICIENCIES FOR PATIENT SCHEDULING AND REFERRALS. MEMORIAL HAS IMPLEMENTED EPIC TO IMPROVE ACCESS TO PATIENT INFORMATION. THIS INCLUDES IMPLEMENTING MYCHART ACCESS FOR PATIENTS THAT ENABLES MORE ENGAGEMENT WITH THEIR CARE TEAM, SCHEDULING, AND RESULTS. MEMORIAL IS WORKING TO IMPLEMENT INTERNAL REVIEWS OF OUTMIGRATION OPPORTUNITIES AND EDUCATING LOCAL HEALTHCARE PROVIDERS ABOUT YAKIMA SERVICE OFFERINGS FOR SPECIALTY SERVICES, CARE, AND TREATMENT. MEMORIAL ALSO PROVIDES SUPPORT AND PARTNERS WITH UNION GOSPEL MISSION (UGM) MEDICAL CARE CENTER FREE CLINIC, WHICH IS FOCUSED ON PROVIDING ACCESS TO PRIMARY CARE, LAB, IMAGING, AND SPECIALTY SERVICES FOR UNINSURED/UNDERINSURED POPULATIONS.OUR REGION'S FIRST INDIGO URGENT CARE AND MULTICARE OCCUPATIONAL MEDICINE CLINIC OPENED, SERVING OVER 7,500 PATIENTS, AND A NEW NEIGHBORHOOD EMERGENCY DEPARTMENT IN UNION GAP BROKE GROUND. TO MEET RISING DEMAND, WE GREW INPATIENT CAPACITY FROM 100 TO 168 BEDS, INCREASED HOME HEALTH & HOSPICE ACCESS BY 15%, AND IMPROVED IMAGING AVAILABILITY. THESE IMPROVEMENTS WERE MADE POSSIBLE BY A GROWING TEAM-INCLUDING 20 NEW PHYSICIANS, 10 PHYSICIAN ASSISTANTS, AND 108 REGISTERED NURSES.HEALTH EQUITYMEMORIAL IS WORKING TO EXPAND OPPORTUNITIES FOR ALL COMMUNITY MEMBERS BY INCREASING TRAINING OFFERINGS AND PARTICIPATION IN CULTURAL COMPETENCY AND HEALTH EQUITY. THIS INCLUDES IDENTIFYING AND DEVELOPING LEADERS FROM VARIOUS BACKGROUNDS AND ENHANCING WORKFORCE REPRESENTATION. MEMORIAL IS INCORPORATING THESE PRINCIPLES INTO OPERATIONAL PROCESSES AND TOOLS AND EXPANDING ITS NETWORK FOR RECRUITING STUDENTS FROM UNDERREPRESENTED COMMUNITIES. MEMORIAL IS IN THE PROCESS OF EMBEDDING AND REPORTING METRICS BY RACE, ETHNICITY, AND LANGUAGE TO IDENTIFY HEALTH DISPARITIES AND COLLABORATING WITH PARTNERS TO IMPLEMENT ACTION PLANS.BEHAVIORAL HEALTHMEMORIAL HAS ESTABLISHED INTERVENTION STRATEGIES TO PROMOTE MENTAL WELL-BEING AND PREVENT MENTAL HEALTH DISORDERS. THIS INCLUDES STANDARDIZING THE USE OF PHQ-9 IN PRIMARY CARE SETTINGS. MEMORIAL INTEGRATING BEHAVIORAL HEALTH IN PRIMARY CARE BY INCREASING ACCESS TO PROVIDERS WITH PRESCRIBING ABILITY FOR OUTPATIENT NEEDS AND WORKING TO PROVIDE WARM AND EFFECTIVE HAND-OFF PROCESSES FOR PATIENTS WITH NEEDS. ACCESS TO BEHAVIORAL HEALTH INPATIENT CARE IS AN IMPORTANT COMPONENT OF IMPROVING THE OUTCOME FOR PATIENTS AND MEMORIAL IS PARTNERING WITH MULTICARE SYSTEM RESOURCES TO EVALUATE OPPORTUNITIES TO EXPAND CAPACITY AND EVALUATE POTENTIAL FOR SINGLE BED CERTIFICATION. MEMORIAL WILL CONTINUE TO EVALUATE ADDITIONAL OPPORTUNITIES FOR MODELS OF CARE AND OPPORTUNITIES TO PARTNER FOR PATIENTS WITH BEHAVIORAL HEALTH NEEDS.SUMMARYIN 2024, MEMORIAL MADE SIGNIFICANT STRIDES IN ADDRESSING THE TOP THREE PRIORITIES CALLED OUT AND LISTED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: ACCESS TO HEALTH CARE, HEALTH EQUITY, AND BEHAVIORAL HEALTH. IN 2024 MEMORIAL FOCUSED ON STABILIZING ITS WORKFORCE AND IMPROVING ACCESS TO VARIOUS HEALTH SERVICES, INCLUDING PREVENTATIVE CARE, DIAGNOSTICS, AND TREATMENT, THROUGH PARTNERSHIPS WITH LOCAL EDUCATIONAL INSTITUTIONS AND THE IMPLEMENTATION OF ELECTRONIC HEALTH RECORDS. THE OPENING OF INDIGO URGENT CARE AND MULTICARE OCCUPATIONAL MEDICINE CLINIC, ALONG WITH THE EXPANSION OF INPATIENT CAPACITY, SIGNIFIED THE COMMITMENT TO MEET THE RISING DEMAND. EFFORTS TO INCREASE HEALTH EQUITY INVOLVED EXPANDING TRAINING IN CULTURAL COMPETENCY AND HEALTH EQUITY, ALONGSIDE ENHANCING WORKFORCE REPRESENTATION FROM DIVERSE BACKGROUNDS. BEHAVIORAL HEALTH INITIATIVES INCLUDED INTEGRATING BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE, INCREASING ACCESS TO OUTPATIENT PROVIDERS, AND EVALUATING OPPORTUNITIES TO EXPAND INPATIENT BEHAVIORAL HEALTH CARE. THESE COMPREHENSIVE EFFORTS DEMONSTRATED MEMORIAL'S DEDICATION TO IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY.
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 13H: FULL OR PARTIAL DISCOUNTS MAY BE PROVIDED TOPATIENTS WHO ARE NOT OTHERWISE ELIGIBLE FOR FINANCIAL ASSISTANCE. SUCHDISCOUNTS MAY BE PROVIDED TO PATIENTS WITH CATASTROPHIC COSTS ORCONDITIONS WHEN CIRCUMSTANCES AS DETERMINED BY YVMH INDICATE THAT FULLPAYMENT MAY CAUSE EXTRAORDINARY FINANCIAL HARDSHIP TO THE PATIENT OR THEPATIENT'S FAMILY.
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 16J: THE POLICY IS POSTED ON THE WA STATE - DEPARTMENT OF HEALTH WEBSITE. THE HOSPITAL'S BILLING INVOICES INCLUDE REFERENCES TO WHERE AND HOW TO CONTACT SOMEONE TO OBTAIN A COPY OF THE FINANCIAL ASSISTANCE POLICY.LINE 16 - SUPPLEMENTAL INFORMATION:YAKIMA VALLEY MEMORIAL HOSPITAL THROUGH MULTICARE HEALTH SYSTEM (ITS' PARENT CORPORATION) HAS TRANSLATED ITS FA POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY INTO THE PRIMARY LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY POPULATIONS.
PART V, SECTION B, LINE 3E	THE SIGNIFICANT NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

Schedule H (Form 990) 2024

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?24
Name and address		Type of Facility (describe)
1	1 - NORTH STAR LODGE 808 N 39TH AVENUE YAKIMA,WA98902	CANCER TREATMENT CENTER
2	2 - VALLEY IMAGING 314 S 11TH AVENUE YAKIMA,WA98902	RADIOLOGY
3	3 - YAKIMA VALLEY HOME HEALTH 302 S 10TH AVENUE YAKIMA,WA98902	HOME HEALTH AND HOSPICE
4	4 - PHYSICIANS ANESTHESIA 406 S 30TH AVE STE 202 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
5	5 - YAKIMA MEMORIAL HEARTLUNG &VASCULAR CTR 406 S 30TH AVENUE SUITE 101 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
6	6 - OHANA 1515 W YAKIMA AVENUE YAKIMA,WA98902	MAMMOGRAPHY
7	7 - RIDGEVIEW SURGERY 2500 RACQUET LANE STE 150 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
8	8 - MEMORIAL PHYSICIANS LAB 4003 CREEKSIDE LOOP YAKIMA,WA98902	MEDICAL LABORATORY
9	9 - GENERATIONS OBGYN 3003 TIETON DRIVE STE 230 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
10	10 - PAIN CENTER - WATER'S EDGE 1460 N 16TH AVENUE SUITE D YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
11	11 - YAKIMA UROLOGY ASSOC AT MEMORIAL TRU 2500 RACQUT LANE YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
12	12 - LAKEVIEW SPINE 1470 N 16TH AVENUE YAKIMA,WA98902	THERAPY
13	13 - YAKIMA GASTROENTEROLOGY ASSOCIATES 3909 CREEKSIDE LOOP SUITE 120 YAKIMA,WA98908	OUTPATIENT PHYSICIAN CLINIC
14	14 - FAMILY MEDICINE OF YAKIMA 504 N 40TH AVENUE YAKIMA,WA98908	OUTPATIENT PHYSICIAN CLINIC
15	15 - YAKIMA EAR NOSE AND THROAT 1601 CREEKSIDE LOOP YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
16	16 - CASCADE SURGICAL PARTNERS 3003 TIETON DRIVE STE 300 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
17	17 - MEMORIAL SLEEP SPECIALISTS 406 S 30TH AVE SUITE 206 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
18	18 - MEMORIAL CORNERSTONE MEDICINE 4003 CREEKSIDE LOOP YAKIMA,WA98908	OUTPATIENT PHYSICIAN CLINIC
19	19 - PACIFIC CREST FAMILY MEDICINE 311 S 72ND AVENUE YAKIMA,WA98908	OUTPATIENT PHYSICIAN CLINIC
20	20 - APPLE VALLEY FAMILY MEDICINE 1008 S 38TH AVENUE YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
21	21 - SELAH FAMILY MEDICINE 620 N PARK DRIVE SELAH,WA98942	OUTPATIENT PHYSICIAN CLINIC
22	22 - YAKIMA GASTROENTEROLOGY ASSOCIATES 3909 CREEKSIDE LOOP STE 115 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
23	23 - CARDIAC REHAB AND WELLNESS CENTER 406 S 30TH AVE STE 208 YAKIMA WA 98902 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC
24	24 - HEART LUNG AND VASCULAR 406 S 30TH AVE STE 101 YAKIMA WA 98902 YAKIMA,WA98902	OUTPATIENT PHYSICIAN CLINIC

Schedule H (Form 990) 2024

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:	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATIONALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'SSPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY,INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
PART I, LINE 7:	THE AMOUNTS ARE CALCULATED BASED ON A COST-TO-CHARGE RATIO WHICH WAS CALCULATED BASED ON WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS.
PART I, LINE 7G:	NONE OF THE SUBSIDIZED HEALTH SERVICES INCLUDE COSTS ASSOCIATED WITH PHYSICIAN CLINICS.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBTS THAT WERE EXCLUDED FROM THE TOTAL EXPENSES WHEN CALCULATING THE PERCENTAGE IN COLUMN (F) WAS $2,807,790.PART III, SECTION A, LINE 2, COSTING METHODOLOGY:THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.3-4. PART III, SECTION A, LINE 3, RATIONALE FOR BAD DEBT AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT: THE METHODOLOGY USED BY THE ORGANIZATION TO ESTIMATE THIS AMOUNT SINCE THIS IS ZERO, THE ORGANIZATION BELIEVES THE FAP PROCEDURES AND PRESUMPTIVE ELIGIBILITY TO BE SUFFICIENT AND NO INDIVIDUALS ELIGIBLE UNDER THE FAP ARE INCLUDED IN BAD DEBT.
PART II, COMMUNITY BUILDING ACTIVITIES:	YAKIMA VALLEY MEMORIAL ACTIVELY PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES. THEIR EMPLOYEES VOLUNTEER IN VARIOUS PROGRAMS SUCH AS THE AMERICAN RED CROSS, UNITED WAY, AMERICAN HEART ASSOCIATION, COMMUNITIES IN SCHOOLS, HABITAT FOR HUMANITY, SAFE STREETS COALITION, YWCA (PROVIDING A DOMESTIC VIOLENCE SHELTER FOR WOMEN AND CHILDREN), AMERICAN CANCER SOCIETY, AND OTHER ORGANIZATIONS.THE FOLLOWING ACTIVITIES AVAILABLE TO ALL COMMUNITY MEMBERS PROVIDE OPPORTUNITIES FOR IMPROVED PHYSICAL, MENTAL, AND EMOTIONAL HEALTH:YOUTHWORKS INITIATIVE;ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS.
PART III, LINE 8:	COSTING METHODOLOGY:THE SOURCE USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS FOR YAKIMA VALLEY MEMORIAL HOSPITAL WAS THE 2024 MEDICARE COST REPORT.THE COST TO CHARGE RATIO, AS CALCULATED FROM THE INCOME STATEMENT, WAS APPLIED TO THE PS&R GROSS MEDICARE CHARGES TO CALCULATE THE MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6. MEDICARE SHORTFALL TREATED AS COMMUNITY BENEFIT:THE HOSPITAL BELIEVES THAT ALL OF THE $7.7 MILLION SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES.
PART III, LINE 9B:	YAKIMA VALLEY MEMORIAL HOSPITAL IS SUBJECT TO THE MHS POLICY.MULTICARE'S DEBT COLLECTION POLICY STATES THAT "MHS WILL ALSO CLEARLY COMMUNICATE TO PATIENTS AND APPLICABLE PARTIES THE VARIOUS ASSISTANCE PROGRAMS MHS OFFERS BASED ON THE SITE OF SERVICE." IF THE PATIENT FOLLOWS THROUGH WITH THE APPLICABLE ASSISTANCE APPOINTMENTS, I.E., MEETING WITH MEDICAID OR COUNTY AGENCIES TO COMPLETE THE NECESSARY APPLICATION PROCESS, MULTICARE WILL NOT SEND THE ACCOUNT TO A BAD DEBT COLLECTION AGENCY.THERE ARE CIRCUMSTANCES WHERE A PATIENT DOES NOT RESPOND TO MULTICARE'S BILLING STATEMENTS AND IS SENT TO COLLECTIONS. AT THIS POINT, WHEN THEY ARE IN COLLECTIONS, IF THEY REQUEST FINANCIAL ASSISTANCE AND MEET CRITERIA UNDER THE FINANCIAL ASSISTANCE POLICY'S FEDERAL POVERTY GUIDELINES (FPG), THE COLLECTIONS WILL NOT BE PURSUED.
PART VI, LINE 2:	YAKIMA VALLEY MEMORIAL HOSPITAL COLLABORATES WITH REGIONAL AGENCIES AND ORGANIZATIONS TO IDENTIFY THE HEALTHCARE REQUIREMENTS OF THE COMMUNITY IT SERVES AND TO ESTABLISH PROGRAMS AND SERVICES THAT ADDRESS THOSE NEEDS.YAKIMA VALLEY MEMORIAL PARTNERS WITH VARIOUS COMMUNITY ENTITIES, SUCH AS PUBLIC HEALTH AGENCIES, UNITED WAY AGENCIES, CITY MUNICIPALS, PUBLIC SCHOOLS, COMMUNITY COALITIONS, FEDERALLY QUALIFIED HEALTH CENTERS, YMCA'S, AND OTHERS.TO DETERMINE THE MOST CRITICAL HEALTHCARE NEEDS IN ITS SERVICE AREAS, YAKIMA MEMORIAL HOSPITAL UTILIZES DATA FROM ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA), AND FEDERAL AND STATE-LEVEL DATA.GIVEN THE COMPREHENSIVENESS OF THE CHNA PROCESS, THE ORGANIZATION DOES NOT CONDUCT ADDITIONAL ASSESSMENTS.FOR MORE DETAILED INFORMATION, SEE PART V, SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B.
PART VI, LINE 3:	FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN A VARIETY OF WAYS. FINANCIAL AID INFORMATION IS POSTED ON THE MULTICARE.ORG EXTERNAL WEBSITE.PRE-SERVICE CENTER STAFF STARTS CONVERSATIONS WITH PATIENTS ABOUT THEIR POTENTIAL FINANCIAL RESPONSIBILITY AND SHARE PAYMENT OPTIONS INCLUDING FINANCIAL ASSISTANCE INFORMATION WITH THE PATIENT DURING THIS INITIAL PHONE CALL. AT THE TIME OF REGISTRATION (WHETHER PRE-REGISTERED OR NOT), PATIENTS ARE NOTIFIED ABOUT THEIR INSURANCE COVERAGE AND FINANCIAL LIABILITIES. FINANCIAL COUNSELORS ARE AVAILABLE IF A NEED IS IDENTIFIED.
PART VI, LINE 4:	YAKIMA COUNTY IS COMPOSED OF PRIMARILY RURAL COMMUNITIES (14 CITIES ANDTOWNS) IN CENTRAL WASHINGTON, SPANNING 4,300 SQUARE MILES. TOTAL CURRENTPOPULATION FOR YAKIMA COUNTY AS OF 2022 IS 257,805. THE POPULATION DENSITYFOR THIS AREA, ESTIMATED AT 56.6 PERSONS PER SQUARE MILE, IS LESS THAN THENATIONAL AVERAGE POPULATION DENSITY OF 93.8 PERSONS PER SQUARE MILE. THEPRIMARY SERVICE AREA (PSA) OF YAKIMA VALLEY MEMORIAL HOSPITAL IS COMPRISEDOF 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 REACHESACROSS THE CASCADES. THE PERCENTAGE OF THE POPULATION IN YAKIMA COUNTYTHAT IS FOREIGN BORN (18.4%) EXCEEDS BOTH THE WASHINGTON STATE (14.5%) ANDTHE U.S. PERCENTAGES (13.5%). ACUTE CARE HOSPITALS IN WASHINGTON CONSISTOF A 58.5% MEDICARE/MEDICAID PATIENT PAYOR MIX (38.2% MEDICARE AND 20.3% MEDICAID). ACCORDING TO THE WASHINGTON STATE DEPARTMENT OF SOCIAL ANDHEALTH SERVICES APPROXIMATELY 43% OF THE POPULATION IS RECEIVINGECONOMICAL SERVICES ASSISTANCE, PRIMARILY FOR: CHILD SUPPORT SERVICES,CHILDCARE, AND BASIC FOOD PROGRAMS. OUR COMMUNITY IS COMPRISED OF 52.3%PERSONS OF HISPANIC OR LATINO ORIGIN AND 42.3% OF PERSONS OF WHITENON-HISPANIC OR LATINO ORIGIN, AND 6.7% AMERICAN INDIAN AND ALASKA NATIVE.16.5% OF PERSONS LIVING AT POVERTY LEVEL, 5.9% ARE UNEMPLOYED, AND 12.2%UNINSURED.
PART VI, LINE 5:	MEMORIAL IS COMMITTED TO LEADING, FACILITATING, PARTNERING, AND PROMOTINGTHE HEALTH OF CENTRAL WASHINGTON. THE PROMOTION OF COMMUNITY HEALTH ISACCOMPLISHED THROUGH COLLABORATIONS, RESEARCH-BASED EDUCATION ANDINTERVENTIONS FOCUSED ON DISPARITY ELIMINATION AND ADDRESSING SOCIALDETERMINANTS OF HEALTH. SURPLUS FUNDING IS USED TO PROVIDE OVERSIGHT,PROGRAM PLANNING AND EVALUATION; AS WELL AS DIRECT CARE TO CHILDREN WITHSPECIAL HEALTH CARE NEEDS THROUGH CHILDREN'S VILLAGE, AND PROMOTION OFWELL-BEING THROUGH EVIDENCE-BASED COMMUNITY HEALTH PROGRAMMING. THISINCLUDES CHRONIC HEALTH ISSUES AND OTHER RISK FACTORS THAT CONTRIBUTE TOPOOR HEALTH OUTCOMES. MEMORIAL HAS DEDICATED STAFF, CONTRACTORS, AND FTEPOSITIONS TO ACCOMPLISH THE DEVELOPMENT, PLANNING AND INTERVENTIONS TOADDRESS COMMUNITY NEEDS. MEMORIAL BUDGETS SURPLUS FUNDS TO ALLOWCONTINUING SUPPORT OF EDUCATION THROUGH PARTNERSHIPS WITH PACIFICNORTHWEST UNIVERSITY, CENTRAL WASHINGTON FAMILY PRACTICE RESIDENCY,OBSTETRICAL EDUCATION AND ENSURING MEMORIAL HAS THE STAFF TO SUPPORT OURCOMMUNITIES' EDUCATION NEEDS. FUNDS ARE ALSO USED TO ENSURE THAT WE HAVETHE 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 STAFFPRIVILEGES TO ALL QUALIFIED PHYSICIANS WITHIN THE COMMUNITY WHO APPLY TOITS MEDICAL STAFF, AND ALLIED HEALTH STAFF AND WHO MEET QUALIFICATIONS SETFORTH IN THE MEDICAL STAFF'S BYLAWS, RULES AND REGULATIONS, POLICIES ANDSPECIFIC DEPARTMENTAL PRIVILEGING DOCUMENTS. FOR THE MOST CRITICALSHORTAGES, PARTICULARLY WITHIN SPECIALTY AREAS MEMORIAL EXTENDS THEPRIVILEGES TO PHYSICIANS OUTSIDE OF THE COMMUNITY TO MEET THE NEED.THE MAJORITY OF MEMORIAL'S GOVERNING BODY CONSISTS OF PERSONS WHO RESIDEWITHIN THE PRIMARY SERVICE AREA OF THE HOSPITAL: YAKIMA COUNTY; NO MEMBERSOF THE GOVERNING BODY ARE CONSIDERED EMPLOYEES OR INDEPENDENT CONTRACTORS.
PART VI, LINE 6:	YAKIMA VALLEY MEMORIAL HOSPITAL IS A PIVOTAL HOSPITAL SERVING CENTRAL WASHINGTON AND IS PART OF THE MULTICARE HEALTH SYSTEM ("MULTICARE") SINCE 2023. MULTICARE IS A WASHINGTON NOT-FOR-PROFIT CORPORATION, ORGANIZED AS A TAX-EXEMPT ENTITY UNDER IRC SECTION 501 (C)(3). MULTICARE HAS APPROXIMATELY 25,000 TEAM MEMBERS, INCLUDING EMPLOYEES, PROVIDERS AND VOLUNTEERS. MULTICARE'S ROOTS IN THE PACIFIC NORTHWEST GO BACK TO 1882, WITH THE FOUNDING OF TACOMA'S FIRST HOSPITAL. OVER THE YEARS, MULTICARE HAS GROWN FROM A TACOMA-CENTRIC, HOSPITAL-BASED ORGANIZATION INTO THE LARGEST, COMMUNITY-BASED, LOCALLY GOVERNED HEALTH SYSTEM IN THE STATE OF WASHINGTON.TODAY, ITS' COMPREHENSIVE SYSTEM OF HEALTH INCLUDES MORE THAN 700 PRIMARY, URGENT, PEDIATRIC AND SPECIALTY CARE LOCATIONS ACROSS WASHINGTON, IDAHO AND OREGON, AS WELL AS 13 HOSPITALS, THREE FOUNDATIONS AND SEVERAL AFFILIATES. MULTICARE'S COMPREHENSIVE SYSTEM OF HEALTH INCLUDES PRIMARY CARE, URGENT CARE AND SPECIALTY SERVICES - INCLUDING MULTICARE INDIGO URGENT CARE, MULTICARE ROCKWOOD CLINIC, AND YAKIMA VALLEY MEMORIAL'S MULTIPLE CLINICS LOCATIONS, MAKING MULTICARE THE LARGEST MULTISPECIALTY CLINIC SYSTEM IN THE INLAND AND CENTRAL NORTHWEST REGION. SPECIALTY SERVICES INCLUDE LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER, LEVEL IV NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY LEVEL I TRAUMA REHABILITATION CENTER AND AN INTERNATIONALLY RENOWNED THERAPY UNIT FOR CHILDREN WITH SPECIAL NEEDS. MULTICARE ALSO INCLUDES HIGHLY SPECIALIZED AFFILIATED ENTITIES, SUCH AS CHVI PULSE HEART INSTITUTE, SPECIALIZED IN THE TREATMENT AND RESEARCH OF THE HEART, AND MULTICARE REHABILITATION SPECIALISTS P.C. AND OLYMPIC SPORTS AND SPINE, LLC, ENTITIES FOCUSED FOR DELIVERING ACCESSIBLE AND AFFORDABLE PHYSICAL AND REHABILITATION THERAPY SERVICES, INDIGO IDAHO LLC, TO SERVE NORTHEN IDAHO'S GWROWING POPULATION. IN 2022 MULTICARE EXPANDED IN IDAHO AND OREGON WITH THE CREATION OF INDIGO IDAHO, LLC A PARTNERSHIP WITH KOOTENAI HEALTHCARE SYSTEM AND TWO CHVI-PULSE CLINICS IN OREGON. THROUGH ITS AFFILIATIONS WITH NAVOS (2017) AND GREATER LAKES MENTAL HEALTHCARE (2018) MULTICARE IS THE LARGEST BEHAVIORAL HEALTH PROVIDER IN WASHINGTON STATE. IN 2019 MULTICARE HEALTH SYSTEM IN PARTNERSHIP WITH CHI FRANCISCAN HEALTH OPENED WELLFOUND BEHAVIORAL HEALTH HOSPITAL, A NOT-FOR-PROFIT MENTAL HEALTH HOSPITAL IN TACOMA, WASHINGTON, FURTHER ADDRESSING THE NEED FOR MENTAL HEALTH AND WELLBEING IN THE COMMUNITY. SINCE THEN, WELLFOUND HAS CREATED AN IMPLEMENTATION STRATEGY TO ADDRESS ITS COMMUNITY IN THE AREAS OF ACCESS TO CARE, SUICIDE, DRUG AND ALCOHOL USE, AND DEPRESSION. MULTICARE'S AFFILIATION WITH THESE ORGANIZATIONS ALLOWS TO BETTER PROVIDE ESSENTIAL BEHAVIORAL HEALTH SERVICES AND CONNECT OUR PATIENTS TO ESSENTIAL COMMUNITY RESOURCES. MULTICARE HEALTH SYSTEM'S NETWORK OF CARE INCLUDES 13 HOSPITALS SUCH AS: MULTICARE TACOMA GENERAL AND ALLENMORE HOSPITAL IN TACOMA, MULTICARE AUBURN AND COVINGTON MEDICAL CENTERS IN SOUTH KING COUNTY, MULTICARE GOOD SAMARITAN HOSPITAL IN PUYALLUP, MULTICARE CAPITAL MEDICAL CENTER IN OLYMPIA, MULTICARE DEACONESS AND VALLEY HOSPITALS IN SPOKANE AND SPOKANE VALLEY, MARY BRIDGE CHILDREN'S HOSPITAL SPECIALIZED IN CHILDREN'S CARE, NAVOS IN SEATTLE AND WELLFOUND IN TACOMA ARE HOSPITALS SPECIALIZED IN BEHAVIORAL HEALTH AND NOT THE LAST BUT THE LATEST AFFILIATIONS, MULTICARE YAKIMA VALLEY MEMORIAL HOSPITAL,OVERLAKE HOSPITAL MEDICAL CENTER. IN 2023 MULTICARE AFFILIATED WITH YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION SERVING THIS WAY CENTRAL WASHINGTON'S YAKIMA VALLEY. MULTICARE YAKIMA MEMORIAL IS A 238-BED ACUTE-CARE, NOT-FOR-PROFIT HOSPITAL THAT HAS SERVED CENTRAL WASHINGTON'S YAKIMA VALLEY SINCE 1950. THE MEMORIAL FOUNDATION IS THE FUNDRAISING DIVISION OF THE YAKIMA VALLEY HEALTH SYSTEM AND NOW ALSO AFFILIATED WITH THE MULTICARE HEALTH SYSTEM.IN 2024 MULTICARE WELCOMED OVERLAKE MEDICAL CENTER & CLINICS TO THE MULTICARE FAMILY. OVERLAKE MEDICAL CENTER & CLINICS IS A NONPROFIT HEALTHCARE SYSTEM BASED IN BELLEVUE, WASHINGTON, SERVING THE COMMUNITY SINCE 1960.THE 2023 AND 2024 AFFILIATIONS ARE AN EXCEPTIONAL MILESTONE FOR THE MULTICARE ORGANIZATION WHO IS LOOKING TO BECOME THE PACIFIC NORTHWEST'S HIGHEST VALUE SYSTEM OF HEALTH.WITHOUT A DOUBT, MULTICARE AS AN ORGANIZATION HAS CHANGED OVER THE YEARS BUT WHAT HAS NEVER CHANGED, THROUGHOUT ITS' LONG HISTORY, IT HAS BEEN ITS' DEDICATION TO HEALTH AND WELLNESS OF THE PEOPLE OF THE PACIFIC NORTHWEST. GUIDED BY ITS' MISSION, VISION, AND VALUES, MULTICARE IS ON CONTINUOUS JOURNEY TO DELIVER THE SERVICES THAT ITS' COMMUNITIES NEED, AND TO ENSURE ACCESS TO THOSE SERVICES, NOW AND IN THE FUTURE.MULTICARE'S AFFILIATION WITH THESE ORGANIZATIONS ALLOWS TO BETTER PROVIDE ESSENTIAL COMPREHENSIVE HEALTH SERVICES AND CONNECT WITH ITS' PATIENTS TO ESSENTIAL COMMUNITY RESOURCES.
PART VI, LINE 7, REPORTS FILED WITH STATES	WA

Schedule H (Form 990) 2024

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Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

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	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) THE MEMORIAL FOUNDATION 3111 TIETON DRIVE YAKIMA,WA98902	91-1022358	501(C)(3)	951,983	0			GENERAL ASSISTANCE

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) Rev. 1-2025

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:

YAKIMA VALLEY MEMORIAL HOSPITAL IS SUBJECT TO THE MULTICARE HEALTH SYSTEM POLICY. YAKIMA VALLEY MEMORIAL HOSPITAL PROVIDES FUNDING TO MEMORIAL FOUNDATION. THE MEMORIAL FOUNDATION IS A RELATED 501(C)(3) ORGANIZATION, SUPPORTING THE YAKIMA COUNTY AND SUPPORTING YAKIMA VALLEY MEMORIAL HOSPITAL. THE MONITORING HAPPENS BY SEEING THE BENEFITS OF THE ORGANIZATION IN THE COMMUNITY AND SEEING THE FUNDING COMING BACK THROUGH CONTRIBUTIONS TO PROGRAMS AND SERVICES AT MULTICARE YAKIMA MEMORIAL HOSPITAL.

Schedule I (Form 990) Rev. 1-2025

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

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? .............

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

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 ............

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) (Rev. 1-2025)

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1LUCAS FAYEZ BAZI PHYSICIAN	(i) (ii)	1,096,229 ------------- 0	80,000 ------------- 0	781 ------------- 0	20,626 ------------- 0	24,529 ------------- 0	1,222,165 ------------- 0	0 ------------- 0
2SAURABH RANJAN PHYSICIAN	(i) (ii)	1,037,677 ------------- 0	80,000 ------------- 0	1,091 ------------- 0	19,613 ------------- 0	7,439 ------------- 0	1,145,820 ------------- 0	0 ------------- 0
3SIVA MANNEM PHYSICIAN	(i) (ii)	923,740 ------------- 0	0 ------------- 0	682 ------------- 0	22,553 ------------- 0	24,632 ------------- 0	971,607 ------------- 0	0 ------------- 0
4JEFFREY BUSHMAN PHYSICIAN	(i) (ii)	863,679 ------------- 0	23,333 ------------- 0	647 ------------- 0	22,727 ------------- 0	24,632 ------------- 0	935,018 ------------- 0	0 ------------- 0
5HARMANJOT GILL PHYSICIAN	(i) (ii)	834,475 ------------- 0	20,000 ------------- 0	439 ------------- 0	15,673 ------------- 0	24,632 ------------- 0	895,219 ------------- 0	0 ------------- 0
6TAMMY BUYOK PRESIDENT & YAKIMA MARKET LEADER	(i) (ii)	0 ------------- 458,744	0 ------------- 112,994	0 ------------- 55,150	0 ------------- 20,700	0 ------------- 17,899	0 ------------- 665,487	0 ------------- 0
7NATHANIEL DAVENPORT CHIEF MEDICAL OFFICER	(i) (ii)	395,988 ------------- 0	32,541 ------------- 0	3,679 ------------- 0	42,291 ------------- 0	27,007 ------------- 0	501,506 ------------- 0	0 ------------- 0
8KIMBERLY BERSING COO & CHIEF NURSING EXECUTIVE	(i) (ii)	253,050 ------------- 0	46,347 ------------- 0	30,791 ------------- 0	25,601 ------------- 0	16,542 ------------- 0	372,331 ------------- 0	0 ------------- 0
9SCOTT JONES CHIEF OPERATIONS OFFICER	(i) (ii)	292,172 ------------- 0	32,828 ------------- 0	24,450 ------------- 0	2,796 ------------- 0	17,883 ------------- 0	370,129 ------------- 0	0 ------------- 0
10MAXWELL OWENS CFO	(i) (ii)	152,705 ------------- 0	0 ------------- 0	12,949 ------------- 0	0 ------------- 0	4,146 ------------- 0	169,800 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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
SCHEDULE J, PART I, LINE 3:	YAKIMA VALLEY MEMORIAL HOSPITAL RELIED ON A RELATED ORGANIZATION, MULTICARE HEALTH SYSTEM, TO ESTABLISH THE COMPENSATION FOR THE ORGANIZATION'S PRESIDENT. SEE SCHEDULE O, PART VI, LINE 15 NARRATIVE FOR PROCESS USED BY MULTICARE HEALTH SYSTEM.

Schedule J (Form 990) (Rev. 1-2025)

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Schedule L
(Form 990)
(Rev. January 2025)

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.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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. ........................... $

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

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) (Rev. 1-2025)

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) JORGE GARCIA	FAMILY MEMBER OF CYNTHIA JUAREZ	127,368	EMPLOYMENT		No
(2) BREAN GARCIA	FAMILY MEMBER OF CYNTHIA JUAREZ	116,281	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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

YAKIMA VALLEY MEMORIAL HOSPITAL
ASSOCIATION

Employer identification number

91-0567263

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 4	YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION MADE SIGNIFICANT CHANGES TO ITS GOVERNING DOCUMENTS AS FOLLOWS: THE ORGANIZING DOCUMENTS WERE UPDATED TO LIST MULTICARE HEALTH SYSTEM, (MHS), A 501(C)(3) TAX EXEMPT ORGANIZATION, AS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS THE SOLE CORPORATE MEMBER IS MULTICARE HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. MULTICARE SHALL ACT THROUGH ITS CHIEF EXECUTIVE OFFICER OR DESIGNEE AS YAKIMA VALLEY MEMORIAL HOSPITAL'S SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE CHIEF EXECUTIVE OFFICER OR DESIGNEE OF MULTICARE HEALTH SYSTEM, AS THE SOLE CORPORATE MEMBER, HAS THE POWER TO APPOINT OR REMOVE ANY ELECTED DIRECTOR ON THE BOARD OF DIRECTORS OF YAKIMA VALLEY MEMORIAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS REQUIRING APPROVAL THE DECISIONS THAT REQUIRE THE SOLE CORPORATE MEMBER MULTICARE HEALTH SYSTEM APPROVAL ARE: APPOINTMENT AND REMOVAL OF ELECTED DIRECTORS; ANNUAL CAPITAL AND OPERATING BUDGETS, INCLUDING COMPENSATION PLANS; STRATEGIC PLANS; SELECTION AND APPOINTMENT OF THE PRESIDENT OF YAKIMA VALLEY MEMORIAL HOSPITAL; INCURRENCE OF INDEBTEDNESS; SALE OR DISPOSITION OF REAL PROPERTY; ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS; AND MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS. ALL OTHER DECISIONS ARE MADE BY THE YAKIMA VALLEY MEMORIAL HOSPITAL DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE YAKIMA VALLEY MEMORIAL HOSPITAL TAX FORM 990 IS PREPARED BY INTERNAL STAFF AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. INITIAL REVIEWS ARE PERFORMED BY LEVELS OF MANAGEMENT IN VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION, INCLUDING THE YAKIMA VALLEY MEMORIAL HOSPITAL PRESIDENT. A REVIEW WAS THEN PERFORMED BY THE BOARD OF DIRECTORS. ADDITIONALLY, A REVIEW WAS PERFORMED BY THE AUDIT COMMITTEE OF THE MULTICARE HEALTH SYSTEM BOARD, AND INCLUDED A PRESENTATION BY THE OUTSIDE ACCOUNTING FIRM. LASTLY, A COPY OF THE FINAL FORM 990, INCLUDING ALL REQUIRED SCHEDULES, WAS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO ITS FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B) HAS READ AND UNDERSTANDS THE POLICY, C) HAS AGREED TO COMPLY WITH THE POLICY AND D) UNDERSTANDS THAT THE CORPORATION IS A TAX EXEMPT ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE BOARD IS RESPONSIBLE FOR MAKING SURE PERIODIC REVIEWS OF THE STATEMENTS ARE DONE AND MAY USE OUTSIDE ADVISORS. IF A CONFLICT OF INTEREST ARISES, THE INTERESTED PERSON MAY PRESENT TO THE BOARD, BUT MUST LEAVE DURING THE DISCUSSION OF AND VOTE ON THE CONFLICT OF ISSUE TRANSACTION OR ARRANGEMENT. A DISINTERESTED PERSON OR COMMITTEE IS APPOINTED TO INVESTIGATE ALTERNATIVES AND THE BOARD MUST EXERCISE DUE DILIGENCE TO DETERMINE IF THE ORGANIZATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT. REGARDING COMPENSATION, A VOTING MEMBER OF THE BOARD WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE ORGANIZATION FOR SERVICES IS PRECLUDED FROM VOTING ON COMPENSATION MATTERS. APPROPRIATE DISCIPLINARY AND CORRECTION ACTION MAY BE TAKEN AGAINST INTERESTED PERSONS WHO FAIL TO DISCLOSE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION'S PRESIDENT IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. THE PROCESS USED TO DETERMINE COMPENSATION OF THE PRESIDENT IS PERFORMED BY THE RELATED ORGANIZATION AS FOLLOWS: THE BOARD, THROUGH ITS COMPENSATION COMMITTEE, CONSISTING OF INDEPENDENT,NON-PAID, BOARD MEMBERS OF THE RELATED ORGANIZATION, ARE ACCOUNTABLE FOR ENSURING AND APPROVING A REASONABLE TOTAL COMPENSATION PACKAGE, CONSISTENT WITH ITS COMPENSATION PHILOSOPHY, FOR THE CEO, CFO, TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES FOR THEIR MANAGEMENT AND LEADERSHIP OF RELATED ENTITIES. UPON THE IDENTIFICATION OF THE COMPENSATION FOR THE YEAR, THE INDEPENDENT CONSULTANT SULLIVAN COTTER, REVIEWS THE COMPENSATION AS PROPOSED BY THE BOARD OF DIRECTORS, AND CONDUCTS AN INDEPENDENT REVIEW. AT THE CONCLUSION OF THIS REVIEW, SULLIVAN COTTER ISSUES A REASONABLENESS OPINION TO THE RELATED ORGANIZATION. THIS IS DONE ANNUALLY AND WAS DONE FOR THE CURRENT YEAR. THE INDEPENDENT CONSULTANTS ASSESSED THAT THE COMPENSATION APPROVED BY THE BOARD FOR 2024 WAS OBJECTIVELY REASONABLE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ALSO INCLUDED AS PART OF THE FORM 990.
FORM 990, PART XI, LINE 9:	CHANGES IN PENSION ASSET -4,753,691. TRANSFER OF ASSETS YVMH & SIGNAL HEALTH -4,519,533. ROUNDING 92.

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 PLLC 3800 SUMMITVIEW AVE YAKIMA,WA98902 26-4379419	MEDICAL SERVICES	WA	0	0	YAKIMA VALLEY MEMORIAL HOSPITAL
(2) YAKIMA UROLOGY PLLC 2500 RACQUET LN YAKIMA,WA98902 47-6620487	MEDICAL SERVICES	WA	0	0	YAKIMA VALLEY MEMORIAL HOSPITAL
(3) CENTRAL WASHINGTON HEALTHCARE PARTNERS 3800 SUMMITVIEW AVE YAKIMA,WA98902 45-3483343	HEALTHCARE ACO	WA	567,680	556,128	YAKIMA VALLEY MEMORIAL HOSPITAL

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)MULTICARE HEALTH SYSTEM 315 MARTIN LUTHER KING JR WAY TACOMA,WA98405 91-1352172	HOSPITAL	WA	501(C)(3)	LINE 3	N/A		No
(2)MEMORIAL FOUNDATION 3111 TIETON DRIVE YAKIMA,WA98902 91-1022358	CONTRIBUTIONS	WA	501(C)(3)	LINE 7	YAKIMA VALLEY MEMORIAL HOSPITAL	Yes
(3)GARDEN VILLAGE 206 S 10TH AVENUE YAKIMA,WA98902 91-2090034	SKILLED NURSING	WA	501(C)(3)	LINE 10	YAKIMA VALLEY MEMORIAL HOSPITAL	Yes
(4)CHILDREN'S VILLAGE 3801 KERN ROAD YAKIMA,WA98902 35-2654720	SUPPORTING ORGANIZATION	WA	501(C)(3)	LINE 12A, I	N/A		No
(5)MULTICARE FOUNDATIONS 1313 BROADWAY TACOMA,WA98402 91-1514257	CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MHS	Yes
(6)MARY BRIDGE CHILDREN'S FOUNDATION 1313 BROADWAY TACOMA,WA98402 94-3030039	CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MHS	Yes
(7)NAVOS POBOX 46420 SEATTLE,WA98126 91-0848698	HOSPITAL	WA	501(C)(3)	LINE 3	MHS	Yes
(8)GREATER LAKES 9330 59TH AVE SW SEATTLE,WA98499 91-6064184	HOSPITAL	WA	501(C)(3)	LINE 7	MHS	Yes
(9)CHVI PROFESSIONAL CORPORATION 820 A STREET TACOMA,WA98402 47-5457904	HOSPITAL	WA	501(C)(3)	LINE 3	MHS	Yes
(10)MULTICARE REHABILITATION SPECIALISTS PC 820 A STREET TACOMA,WA98402 82-2949880	HOSPITAL	WA	501(C)(3)	LINE 12A, I	MHS	Yes
(11)OVERLAKE HOSPITAL MEDICAL CENTER 1035 116TH AVENUE NE BELLEVUE,WA98004 91-0652651	HOSPITAL	WA	501(C)(3)	LINE 3	MHS	Yes
(12)OVERLAKE HOSPITAL FOUNDATION 1035 116TH AVENUE NE BELLEVUE,WA98004 91-1050325	CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MHS	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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
(1) OLYMPIC SPORTS & SPINE PLLC 6050 TACOMA MALL BLVD TACOMA,WA98409 82-2950138	HEALTHCARE SERVICES	WA	N/A	N/A				No			No
(2) AUBURN IMAGING PARTNERS 125 3RD STREET NE AUBURN,WA98002 20-2539907	HEALTHCARE SERVICES	WA	N/A	N/A				No			No
(3) VP SURGERY CENTER OF AUBURN 1002 15TH AVE SW STE 215 AUBURN,WA98001 37-1668651	HEALTHCARE SERVICES	WA	N/A	N/A				No			No
(4) REDICLINIC OF WA 9 E GREENWAY PLAZA STE 2950 HOUSTON,TX77046 47-1808980	HEALTHCARE SERVICES	WA	N/A	N/A				No			No
(5) INDIGO IDAHO SERVICES LLC 2836 N RAMSEY ROAD COEUR DALENE,ID83815 88-3796666	HEALTHCARE SERVICES	WA	N/A	N/A				No			No
(6) PHYSICIANS OF SW WA LLC 1300 EVERGREEN PARK DRIVE SW OLYMPIA,WA98502 91-1717066	HEALTHCARE SERVICES	WA	N/A	N/A				No			No
(7) MYRIADD SUPPLY NETWORK 820 A STREET TACOMA,WA98502 87-3856218	HEALTHCARE SERVICES	WA	N/A	N/A				No			No

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(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
(1) MEDIS CORPORATION 315 S K STREET TACOMA,WA98405 91-1111928	BLDG. RENTAL & CONSULTING	WA	N/A	C					No
(2) COMMENCEMENT RE 18 FORUM LANE GRAND CAYMAN,GRAND CAYMANKY11107 CJ	MALPRACTICE INSURANCE	CJ	N/A	C					No
(3) JOURNEY HEALTH INC 1329 N 47TH ST 31112 SEATTLE,WA98103 84-3589488	HEALTHCARE SERVICES	WA	N/A	C					No

Schedule R (Form 990) (Rev. 1-2025)

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

Yes

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

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 ............................

Yes

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

Yes

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
(1) THE MEMORIAL FOUNDATION	B	951,983	ACCRUAL
(2) THE MEMORIAL FOUNDATION	C	2,534,611	ACCRUAL

Schedule R (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PARTNERING LOCALLY TO SUPPORT THE COMMUNITIES WE SERVE IN THE WAYS THEY NEED IT MOST. (SEE SCH O) (CONTINUATION FROM PAGE 1) BECAUSE HEALTHY COMMUNITIES NEED MORE THAN HEALTH CARE.
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	10
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	2,730
6	Total number of volunteers (estimate if necessary) .............	6	90
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	18,231
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	11,665,703	10,522,946
9	Program service revenue (Part VIII, line 2g) .........	537,154,263	632,981,212
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,403,213	-5,794,132
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,109,577	9,322,991
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	553,332,756	647,033,017
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,761,404	2,107,265
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)	289,802,819	337,874,335
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)....	280,691,968	305,699,382
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	572,256,191	645,680,982
19	Revenue less expenses. Subtract line 18 from line 12.......	-18,923,435	1,352,035
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	462,075,289	567,678,529
21	Total liabilities (Part X, line 26).............	192,498,036	299,864,875
22	Net assets or fund balances. Subtract line 21 from line 20.....	269,577,253	267,813,654

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 522,303,968 including grants of $ 2,107,265 ) (Revenue $ 612,298,187 )
	OUTPATIENT/INPATIENT SERVICES- YAKIMA VALLEY MEMORIAL HOSPITAL (YVMH) OPERATES A 238 LICENSED ADULT BEDS SERVING THE COMMUNITIES IN CENTRAL WASHINGTON. DESIGNATED AS THE ONLY LEVEL 3 ADULT AND PEDIATRIC TRAUMA CENTER IN A THREE-COUNTY REGION, YVMH IS HOME TO A WIDE RANGE OF SERVICES TO HELP ADDRESS THE DIVERSE NEEDS OF ITS' COMMUNITY. THROUGH NORTH STAR LODGE THE HOSPITAL OFFERS CANCER CARE AND BREAST HEALTH AT THE 'OHANA MAMMOGRAPHY CENTER, HOSPICE SERVICES IN-HOME, PAIN MANAGEMENT AT WATER'S EDGE, AND COMPREHENSIVE SERVICES FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS AT CHILDREN'S VILLAGE. IN 2024 YVMH ADMITTED 13,577 PATIENTS FOR A TOTAL OF 60,348 PATIENT DAYS, PERFORMED 7,432 SURGERIES AND DELIVERED 2,524 BABIES. THERE WERE 3,574 NEWBORN DAYS. DURING 2024 YVMH PROVIDED 226,756 OUTPATIENT VISITS (SEE SCH O)(CONTINUATION FROM PAGE 2) AND 49,234 EMERGENCY ROOM VISITS. THE HOSPITAL PROCESSED 1,819,844 LABORATORY WORKLOAD UNITS AND 165,456 IMAGING RELATIVE UNITS. DURING 2024 THE HOSPITAL PROCESSED 38,307 ONCOLOGY RELATIVE VALUE UNITS, 44,407 RADIATION ONCOLOGY VALUE UNITS, 11,250 ONCOLOGY PROCEDURES AND 3,994 PHARMACY WORKLOAD UNITS.

4b	(Code: ) (Expenses $ 15,600,948 including grants of $ ) (Revenue $ 18,288,484 )
	PRIMARY CARE, SPECIALIZED CLINICS, FACILITIES FOR DIAGNOSIS AND TREATMENT- CLINICS COVER A LOT OF GROUND IN HEALTHCARE. YAKIMA VALLEY MEMORIAL HOSPITAL (YVMH) OPERATES OVER TWENTY-FOUR CLINICS THAT ARE OFFERING SURGERY, PRIMARY CARE, URGENT CARE, SPECIALTY CARE, CANCER CARE, DIAGNOSTIC TESTING, IMAGING AND OTHER VARIOUS THERAPEUTIC SERVICES. IN 2024, THE PHYSICIAN OFFICES PROVIDED 170,191 PHYSICIAN VISITS, THE SPECIALIZED THERAPHY CLINICS PROVIDED 8,110 THERAPHY-15 MINUTE INCREMENTS AND DELIVERED 273,462 THERAPY PROCEDURES.

4c	(Code: ) (Expenses $ 2,058,210 including grants of $ ) (Revenue $ 2,394,541 )
	POPULATION HEALTH, BEHAVIORAL HEALTH AND OTHERS. YAKIMA VALLEY MEMORIAL HOSPITAL (YVMH) OPERATES OTHER PROGRAMS SUCH AS POPULATION HEALTH, BEHAVIORAL HEALTH, HOME HEALTH AND HOSPICE SERVICES , MEDICAL ACADEMICS AND MEDICAL RESIDENCY. IN 2024 YAKIMA VALLEY MEMORIAL HOSPITAL PERFORMED 9,898 HOME HEALTH VISITS, PROVIDED 919 HOSPICE ADMITS AND PROVIDED 569 PSHYCHOLOGY CTU RVUS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses539,963,126

(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/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) SAURABH RANJAN........................................................................ PHYSICIAN	40.00 .......................0.00	X	1,118,768	0	27,052
(19) SIVA MANNEM........................................................................ PHYSICIAN	40.00 .......................0.00	X	924,422	0	47,185
(20) JEFFREY BUSHMAN........................................................................ PHYSICIAN	40.00 .......................0.00	X	887,659	0	47,359
(21) HARMANJOT GILL........................................................................ PHYSICIAN	40.00 .......................0.00	X	854,914	0	40,305

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	6,240,273	626,888	381,921

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,534,611
e	Government grants (contributions)		1e	7,787,444

f	All other contributions, gifts, grants, and similar amounts not included above		1f	200,891

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

h Total. Add lines 1a-1f.......		10,522,946

		Business Code
2a	NET PATIENT REVENUE	621400	630,568,440	630,568,440
b	POPULATION HEALTH	541611	2,394,541	2,394,541
c	COMMUNITY LAB	621500	18,231		18,231
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		632,981,212

3 Investment income (including dividends, interest, and othersimilar amounts) ......
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	789,509
b	Less: rental expenses	6b	912,678
c	Rental income or (loss)	6c	-123,169
d	Net rental income or (loss).......			-123,169			-123,169
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	9,335	61,081,662
b	Less: cost or other basis and sales expenses	7b	0	66,885,129
c	Gain or (loss)	7c	9,335	-5,803,467
d	Net gain or (loss).........			-5,794,132			-5,794,132
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
11a	CAFETERIA,DAYCARE		923120	9,446,160			9,446,160
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			9,446,160
12	Total revenue. See instructions.....			647,033,017	632,962,981	18,231	3,528,859

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	2,107,265	2,107,265
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 ...........	1,413,767		1,413,767
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	243,649		243,649
7	Other salaries and wages........	288,386,271	260,846,811	27,539,460
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	26,775,580	26,775,580
10	Payroll taxes ...........	21,055,068	17,098,343	3,956,725
11	Fees for services (non-employees):
a	Management ......	898,571		898,571
b	Legal .........	1,333,926	984,721	349,205
c	Accounting ...........	400,795		400,795
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	35,579,491	22,828,354	12,751,137
12	Advertising and promotion ....	290,365	25,441	264,924
13	Office expenses .......	7,951,127	1,135,024	6,816,103
14	Information technology ......	21,172,200	7,986,199	13,186,001
15	Royalties ..
16	Occupancy ...........	11,156,810	8,948,331	2,208,479
17	Travel ............	854,983	525,721	329,262
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	3,336,374	4,351	3,332,023
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	17,364,444	1,768,283	15,596,161
23	Insurance ...	2,380,007	28,570	2,351,437
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	SUPPLIES	127,063,592	124,356,661	2,706,931
b	PROFESSIONAL FEES	35,321,544	33,926,579	1,394,965
c	SAFETY NET	20,229,882	20,229,882
d	UTILITIES, WASTE, HOUSE	8,425,742	4,835,182	3,590,560
e	All other expenses	11,939,529	5,551,828	6,387,701
25	Total functional expenses. Add lines 1 through 24e	645,680,982	539,963,126	105,717,856	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 ........			79,514,024	1	142,453,376
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			71,075,453	4	143,623,750
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 ...........			16,861,866	7	0
8	Inventories for sale or use ............			9,412,250	8	9,103,155
9	Prepaid expenses and deferred charges ......			3,782,600	9	3,342,420
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	298,432,624
b	Less: accumulated depreciation	10b	43,748,249	241,446,644	10c	254,684,375
11	Investments—publicly traded securities .			922,336	11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			2,646,898	13
14	Intangible assets ...............			7,439,467	14	7,182,933
15	Other assets. See Part IV, line 11 ...........			28,973,751	15	7,288,520
16	Total assets. Add lines 1 through 15 (must equal line 33)...			462,075,289	16	567,678,529

17	Accounts payable and accrued expenses .....	113,247,649	17	114,013,226
18	Grants payable ...		18
19	Deferred revenue .........	6,059,743	19	8,799,600
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D	138,214	21	0
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 ..		23
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	73,052,430	25	177,052,049
26	Total liabilities. Add lines 17 through 25..	192,498,036	26	299,864,875

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	265,621,767	27	4,753,691
28	Net assets with donor restrictions ...........	3,955,486	28	263,059,963
	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 ...........	269,577,253	32	267,813,654
33	Total liabilities and net assets/fund balances ........	462,075,289	33	567,678,529