Civic Intelligence

Yakima Valley Memorial Hospital

EIN 91-0567263 • 501(c)3 • Yakima, WA

Profile

Yakima valley memorial hospital (yvmh) is a 238-bed-acute-care, not-for-profit community hospital that has served central washington's yakima valley for nearly 70 years. (continued on schedule o)

2811 Tieton DriveYakima, WA 98902-3799

www.yakimamemorial.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

69th percentile

0.53x

Higher debt load relative to assets than 69% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

49th percentile

0.46x

Higher debt load relative to revenue than 49% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

35th percentile

0.2%

Higher net margin than 35% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

65th percentile

$1,222,165

Higher top officer pay than 65% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

90th percentile

23%

Faster asset growth than 90% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

70th percentile

17%

Faster revenue growth than 70% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Up

$567,678,529

Up $105,603,240 (+23%) from 2023

Liabilities

Up

$299,864,875

Up $107,366,839 (+56%) from 2023

Net Assets

Down

$267,813,654

Down $1,763,599 (-0.7%) from 2023

Revenue

Up

$647,033,017

Up $93,700,261 (+17%) from 2023

Expenses

Up

$645,680,982

Up $73,424,791 (+13%) from 2023

Net Income

Up

$1,352,035

Up $20,275,470 (+107%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$600M$400M$200M$0Assets 2010: $256,448,195Liabilities 2010: $142,164,788Net Assets 2010: $114,283,4072010Assets 2011: $252,633,872Liabilities 2011: $133,348,803Net Assets 2011: $119,285,0692011Assets 2012: $254,524,051Liabilities 2012: $155,696,480Net Assets 2012: $98,827,5712012Assets 2013: $258,259,345Liabilities 2013: $121,130,767Net Assets 2013: $137,128,5782013Assets 2014: $255,236,646Liabilities 2014: $123,365,649Net Assets 2014: $131,870,9972014Assets 2015: $268,457,783Liabilities 2015: $124,936,465Net Assets 2015: $143,521,3182015Assets 2016: $370,537,619Liabilities 2016: $147,486,312Net Assets 2016: $223,051,3072016Assets 2017: $371,888,685Liabilities 2017: $149,217,738Net Assets 2017: $222,670,9472017Assets 2018: $351,870,446Liabilities 2018: $144,480,709Net Assets 2018: $207,389,7372018Assets 2019: $394,294,655Liabilities 2019: $176,671,369Net Assets 2019: $217,623,2862019Assets 2020: $446,456,465Liabilities 2020: $219,303,933Net Assets 2020: $227,152,5322020Assets 2021: $428,213,458Liabilities 2021: $175,000,124Net Assets 2021: $253,213,3342021Assets 2022: $377,446,728Liabilities 2022: $161,461,745Net Assets 2022: $215,984,9832022Assets 2023: $462,075,289Liabilities 2023: $192,498,036Net Assets 2023: $269,577,2532023Assets 2024: $567,678,529Liabilities 2024: $299,864,875Net Assets 2024: $267,813,6542024

Highlighted filing

2024

Assets$567,678,529
Liabilities$299,864,875
Net Assets$267,813,654

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$800M$600M$400M$200M$0-$200MExpenses 2010: $313,825,1962010Expenses 2011: $327,135,6312011Revenue 2012: $357,922,213Expenses 2012: $364,436,551Net Income 2012: -$6,514,3382012Expenses 2013: $332,431,9662013Revenue 2014: $393,556,107Expenses 2014: $401,985,865Net Income 2014: -$8,429,7582014Revenue 2015: $407,528,852Expenses 2015: $395,789,282Net Income 2015: $11,739,5702015Revenue 2016: $424,040,604Expenses 2016: $416,216,873Net Income 2016: $7,823,7312016Revenue 2017: $463,742,642Expenses 2017: $466,225,682Net Income 2017: -$2,483,0402017Revenue 2018: $467,299,724Expenses 2018: $478,653,565Net Income 2018: -$11,353,8412018Revenue 2019: $508,600,912Expenses 2019: $499,790,936Net Income 2019: $8,809,9762019Revenue 2020: $527,854,481Expenses 2020: $510,803,662Net Income 2020: $17,050,8192020Revenue 2021: $558,708,859Expenses 2021: $548,427,530Net Income 2021: $10,281,3292021Revenue 2022: $528,475,422Expenses 2022: $555,805,297Net Income 2022: -$27,329,8752022Revenue 2023: $553,332,756Expenses 2023: $572,256,191Net Income 2023: -$18,923,4352023Revenue 2024: $647,033,017Expenses 2024: $645,680,982Net Income 2024: $1,352,0352024

Highlighted filing

2024

Revenue$647,033,017
Expenses$645,680,982
Net Income$1,352,035

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$568$300$268$647$646$1.35
2023Detailed filing. Detailed filing data is available for this year.$462$192$270$553$572$18.9
2022Detailed filing. Detailed filing data is available for this year.$377$161$216$528$556$27.3
2021Detailed filing. Detailed filing data is available for this year.$428$175$253$559$548$10.3
2020Detailed filing. Detailed filing data is available for this year.$446$219$227$528$511$17.1
2019Detailed filing. Detailed filing data is available for this year.$394$177$218$509$500$8.81
2018Detailed filing. Detailed filing data is available for this year.$352$144$207$467$479$11.4
2017Detailed filing. Detailed filing data is available for this year.$372$149$223$464$466$2.48
2016Summary only. Only limited summary data is available for this year.$371$147$223$424$416$7.82
2015Detailed filing. Detailed filing data is available for this year.$268$125$144$408$396$11.7
2014Detailed filing. Detailed filing data is available for this year.$255$123$132$394$402$8.43
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$258$121$137$332
2012Summary only. Only limited summary data is available for this year.$255$156$98.8$358$364$6.51
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$253$133$119$327
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$256$142$114$314
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 28, 2025
Return Version
2024v5.2
Gross Receipts
$714,830,824
Mission and Program Overview

Mission

Memorial provides integrated health services through a hospital licensed for 226 beds and multi-specialty group practice, offering both primary and specialized care, through a regional network of neighborhood clinics. Memorial also sponsors health related educational opportunities.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$241,446,644$254,684,375▲ $13,237,731
Accounts Receivable$71,075,453$143,623,750▲ $72,548,297
Cash and Non-Interest-Bearing Accounts$79,514,024$142,453,376▲ $62,939,352
Other Notes and Loans Receivable, Net$16,861,866$0▼ $16,861,866
Inventories for Sale or Use$9,412,250$9,103,155▼ $309,095
Intangible Assets$7,439,467$7,182,933▼ $256,534
Prepaid Expenses and Deferred Charges$3,782,600$3,342,420▼ $440,180
Investments Program Related$2,646,898--
Investments in Publicly Traded Securities$922,336--
Total Assets$462,075,289$567,678,529▲ $105,603,240
Other Assets Total$28,973,751$7,288,520▼ $21,685,231
Liabilities
Other Liabilities$73,052,430$177,052,049▲ $103,999,619
Accounts Payable and Accrued Expenses$113,247,649$114,013,226▲ $765,577
Deferred Revenue$6,059,743$8,799,600▲ $2,739,857
Escrow Account Liability$138,214$0▼ $138,214
Total Liabilities$192,498,036$299,864,875▲ $107,366,839
Net Assets / Fund Balance
Net Assets With Donor Restrictions$3,955,486$263,059,963▲ $259,104,477
Net Assets Without Donor Restrictions$265,621,767$4,753,691▼ $260,868,076
Total Net Assets Fund Balance$269,577,253$267,813,654▼ $1,763,599
Total Liabilities and Net Assets / Fund Balance$462,075,289$567,678,529▲ $105,603,240

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$124,268,551$12,883,122$137,151,673
Equipment$87,420,832$8,836,916$96,257,748
Other Land Buildings$28,906,768-$28,906,768
Land$26,841,021-$26,841,021
Leasehold Improvements$-12,752,797$22,028,211$9,275,414
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Lucas Fayez BaziPhysicianFT$1,096,229$125,936$1,222,165
Saurabh RanjanPhysicianFT$1,037,677$108,143$1,145,820
Siva MannemPhysicianFT$923,740$47,867$971,607
Jeffrey BushmanPhysicianFT$863,679$71,339$935,018
Harmanjot GillPhysicianFT$834,475$60,744$895,219
Nathaniel DavenportChief Medical OfficerFT$395,988$105,518$501,506
Kimberly BersingCOO & Chief Nursing ExecutiveFT$253,050$119,281$372,331
Scott JonesChief Operations OfficerFT$292,172$77,957$370,129
Maxwell OwensCFOFT$152,705$17,095$169,800

Board Members and Trustees

NameTitle
David HargreavesChairman
Tammy BuyokPresident & Yakima Market Leader
Gail WeaverVice Chairman
Douglas EllisonDirector
Laura ArmstrongDirector
Lori Arviso AlvordDirector
Maribel JiminezDirector
Mirna Ramos-diazDirector
Patrick OshieDirector
Robert WilliamsDirector
Stephen RuppDirector
Cynthia JuarezSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Emergency Associates Of Yakima PllcMedical And Healthcare2811 TIETON DRIVE, Yakima, WA 98902$14,644,023
Simpli Fi Managed ServicesMedical ServicesPO BOX 631820, Cincinnati, OH 45263$12,440,061
Locumsmart LLCMedical Services315 WEST 36TH STREET, New York, NY 10018$8,998,236
Orthopedics Northwest PllcMedical And HealthcarePO BOX 2309, Yakima, WA 98907$7,633,230
Yakima Urology Associates PllcMedical And Healthcare2500 RACQUET LANE SUITE 100, Yakima, WA 98902$7,337,701
Revenue and Support

Revenue Composition

Contributions and Grants
$10,522,946
Program Service Revenue
$632,981,212
Investment Income
$-5,794,132
Other Revenue
$9,322,991
All Other Contributions
$200,891
Change in Net Assets
$1,352,035
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$337,874,335
Other Expenses$305,699,382
Grants and Similar Amounts Paid$2,107,265
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$260,846,811$27,539,460-$288,386,271
Fees for Services Other$22,828,354$12,751,137-$35,579,491
Other Employee Benefits$26,775,580--$26,775,580
Information Technology$7,986,199$13,186,001-$21,172,200
Payroll Taxes$17,098,343$3,956,725-$21,055,068
Depreciation Depletion$1,768,283$15,596,161-$17,364,444
All Other Expenses$5,551,828$6,387,701-$11,939,529
Occupancy$8,948,331$2,208,479-$11,156,810
Other Expenses$4,835,182$3,590,560-$8,425,742
Office Expenses$1,135,024$6,816,103-$7,951,127
Interest$4,351$3,332,023-$3,336,374
Insurance$28,570$2,351,437-$2,380,007
Grants to Domestic Orgs$2,107,265--$2,107,265
Current Officers, Directors, Trustees, and Key Employees-$1,413,767-$1,413,767
Fees for Services Legal$984,721$349,205-$1,333,926
Fees for Services Management-$898,571-$898,571
Travel$525,721$329,262-$854,983
Fees for Services Accounting-$400,795-$400,795
Advertising$25,441$264,924-$290,365
Comp Disqual Persons-$243,649-$243,649
Total Functional Expenses$539,963,126$105,717,856$0$645,680,982
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
The Memorial FoundationYakima, WA501(c)(3)General Assistance$951,983
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Jorge GarciaFamily Member of Cynthia JuarezEmploymentNo$127,368
Brean GarciaFamily Member of Cynthia JuarezEmploymentNo$116,281
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$156,927,049
Lt Debt$20,125,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
Yes
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
Yakima Valley Memorial Hospital
EIN
91-0567263
Phone
5095758000
Address
2811 TIETON DRIVE, YAKIMA, WA 98902-3799
Doing Business As
Multicare Yakima Memorial Hospital

Signing Officer

Name
Max Owens
Title
CFO Yakima Memorial Hospital
Phone
5095758000
Signed
2025-10-28
Discuss with paid preparer
No

Organization Details

Principal Officer
Tammy Buyok
Formed
1950
Legal Domicile
Wa
Voting Board Members
11
Independent Board Members
10
Employees
2,730
Volunteers
90

Preparer

Firm
Ernst & Young US Llp
Address
221 EAST 4TH STREET STE 2900, CINCINNATI, OH 45202
Preparer
Abbey E Leibel
Phone
5136121400
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Changes in pension asset -4,753,691. Transfer of assets yvmh & signal health -4,519,533. Rounding 92.

Financial Statement Notes

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."

Raw XML AppendixShowing 400 of 1,465 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0PARTNERING 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.
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IRS990/Desc0OUTPATIENT/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.
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