STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

VIRGINIA MASON MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
VIRGINIA MASON MEDICAL CENTER (EIN 91-0565539)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-12
IRS object ID
201923169349306957
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-12T06:24:41-00:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11918 8th Avenue Suite 2900AddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910565539EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Virginia Mason Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVIRGBusinessNameControlTxt
Phone2062236600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 Ninth AvenueAddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGary Kaplan MDPersonNm
Person TitleChairman and CEOPersonTitleTxt
Signature2019-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSue RobisonPreparerPersonNm
Phone2069134000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address204.147.223.1IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-12IPDt
IP Tm23:37:17IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3A8BCFA172999187EBBEF58FE652F98775CE2010AtSubmissionCreationDeviceId
At Submission Filing Device Id3A8BCFA172999187EBBEF58FE652F98775CE2010AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGary Kaplan MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 Ninth AvenueAddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,210,261,031GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.virginiamason.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1934FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionVirginia Mason Medical Centers mission is to improve the health and well-being of the patients it serves through the delivery of high quality, cost-effective care.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee6596TotalEmployeeCnt
Total Volunteers613TotalVolunteersCnt
Total Gross UBI$31,713,086TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$19,350,835NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,669,637PYContributionsGrantsAmt
CY Contributions Grants$13,674,223CYContributionsGrantsAmt
PY Program Service Revenue$984,977,092PYProgramServiceRevenueAmt
CY Program Service Revenue$1,066,571,833CYProgramServiceRevenueAmt
PY Investment Income$43,691,212PYInvestmentIncomeAmt
CY Investment Income$24,249,196CYInvestmentIncomeAmt
PY Other Revenue$8,675,137PYOtherRevenueAmt
CY Other Revenue$8,976,134CYOtherRevenueAmt
PY Total Revenue$1,048,013,078PYTotalRevenueAmt
CY Total Revenue$1,113,471,386CYTotalRevenueAmt
PY Grants And Similar Paid$5,673,919PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,554,477CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$559,316,610PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$607,836,057CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$464,451,204PYOtherExpensesAmt
CY Other Expenses$494,532,085CYOtherExpensesAmt
PY Total Expenses$1,029,441,733PYTotalExpensesAmt
CY Total Expenses$1,108,922,619CYTotalExpensesAmt
PY Revenues Less Expenses$18,571,345PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,548,767CYRevenuesLessExpensesAmt
Total Assets BOY$1,144,991,066TotalAssetsBOYAmt
Total Assets EOY$1,125,431,618TotalAssetsEOYAmt
Total Liabilities BOY$655,117,011TotalLiabilitiesBOYAmt
Total Liabilities EOY$652,018,791TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$489,874,055NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$473,412,827NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionVirginia Mason Medical Centers the Medical Center mission is to improve the health and well-being of the patients it serves thrugh the delivery of high quality, cost-effective care. Continued on Schedule O.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$946,106,786ExpenseAmt
Revenue$1,051,189,950RevenueAmt
DescHealth Care Services. The Medical Center is a tertiary regional referral center which serves a patient community that includes Seattle and its surrounding suburbs, Western Washington and Alaska. The main campus located in Seattle includes a hospital, an outpatient clinic, centers of excellence including the Center for Hyperbaric Medicine, Digestive Disease Institute, Floyd Delores Jones Cancer Institute, Heart Institute, Neuroscience Institute and Urology. The Medical Center also operates nine regional clinics, and Bailey-Boushay House, a 35-bed skilled nursing facility. During 2018, the Medical Center recorded 12,460 hospital inpatient admissions, 24,935 emergency room visits and 899,325 clinic visits. The Medical Center provided charity care and unreimbursed Medicaid services to a total of 6,201 patients. Continued on Schedule O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$25,133,296ExpenseAmt
Grant$3,000,000GrantAmt
Revenue$355,975RevenueAmt
DescEducation and Research. The Medical Center is an independent academic medical center with a graduate medical education program that trains over 128 residents in nine accredited programs in anesthesiology, internal medicine, general surgery, diagnostic radiology, transitional year, and urology. In addition, the Medical Center trains a number of fellows in areas such as Pain Management, Regional Anesthesiology, and Female Pelvic Medicine/Reconstructive Surgery. The Medical Center is also affiliated with the University of Washington for the training of subspecialties in the areas of anesthesiology, orthopedics, obstetrics, gynecology and urology. The Medical Center also provides training in clinical nursing education, allied health fields, continuing medical education and grand rounds. In addition, the Medical Center conducts medical research through its affiliate Benaroya Research Institute at Virginia Mason, a scientific research institute quallified under Section 501c3 of the Internal Revenue Code. Continued on Schedule O.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$210,406ExpenseAmt
Revenue$76,522RevenueAmt
DescCommunity Health and Educatiion and Services. The Medical Center contributes to improving the health of the community through sponsorship of community health education and services. Community health education includes classes, forums, presentations and other programs held during the day and evening in the Medical Center neighborhood clinic communities and the Seattle main campus. The Medical Center provided support of Separation and Loss which provides services for adults and children ages 7-18 whose loved one has died as the result of a sudden, violent death by criminal act homicide, including terrorism, suicide or other types of violent death. Services available include therapy groups, short-term therapy, psychiatric consultation and medication management, community, workplace, family and school crisis response and professional training. In 2018, the Medical Center provided 135,000 toward support of Separation and Loss.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$3,554,477TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$3,554,477TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$975,004,965TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1351IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee6596EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMaryAnne OlmsteadPersonNm
Phone2066257371PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 Olive Way Suite 605AddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Tod Hamachek
Director, Chair002.00002.00Yes (X)Yes (X)$0$0$0
Robert Bob Lemon
Director, Treasurer002.00004.00Yes (X)Yes (X)$0$0$0
Dorothy H Mann PhD
Director, Secretary002.00002.00Yes (X)Yes (X)$0$0$0
James Jamie Orlikoff
Director002.00004.00Yes (X)$0$0$0
Jane Blogett
Director002.00002.00Yes (X)$0$0$0
Lewis Lonnie Edelheit PhD
Director002.00002.00Yes (X)$0$0$0
Julie Morath RN
Director002.00002.00Yes (X)$0$0$0
Carolyn Corvi
Director, Vice Chair002.00004.00Yes (X)Yes (X)$0$0$0
Mary McWilliams
Director002.00002.00Yes (X)$0$0$0
Michelle Griffin
Director002.00002.00Yes (X)$0$0$0
Gregg Meyer MD
Director002.00002.00Yes (X)$0$0$0
John Oppenheimer
Director002.00002.00Yes (X)$0$0$0
Kevin Schemm
Director002.00002.00Yes (X)$0$0$0
Asha Sharma
Director002.00002.00Yes (X)$0$0$0
David Williams
Director002.00002.00Yes (X)$0$0$0
Gary Kaplan MD
Chairman, CEO050.00005.00Yes (X)$1,455,166$0$56,110
Suzanne Anderson
President050.00006.00Yes (X)$822,538$0$143,620
Craig Goodrich
Senior Vice President, CFO050.00002.00Yes (X)$390,132$0$52,985
Katerie Chapman
Senior Vice President, Patient Care Services050.00$742,051$0$103,669Yes (X)
Lucy Glenn M D
Chief of Radiology050.00$525,576$0$24,419Yes (X)
Michael Glenn M D
Chief Medical Officer050.00$945,925$0$66,953Yes (X)
Fred Govier M D
Chief of Surgery050.00$826,542$0$35,076Yes (X)
Joyce Lammert M D
Medical Director, Hospital050.00001.00$648,231$0$26,064Yes (X)
William Poppy
Senior Vice President, CTO050.00$481,449$0$47,296Yes (X)
Donna Smith M D
Medical Director, Clinic050.00$573,266$0$141,103Yes (X)
Shelly Powell
Vice President, Patient Care Services050.00$303,699$0$37,036Yes (X)
Denise Dubuque
Vice President, Patient Care Services050.00$297,050$0$35,096Yes (X)
Cindy Rockfield
Vice President, Patient Care Services050.00$181,509$0$27,505Yes (X)
Santokh Gill
Vice President, Patient Care Services050.00$253,370$0$46,038Yes (X)
Ingrid Gerbino M D
Chief, Primary Care050.00$409,358$0$58,657Yes (X)
Steve Schaefer
Senior Vice President, Support Services050.00$352,968$0$46,134Yes (X)
John Corman
Medical Director, Perioperative and Procedural Services050.00001.00$710,194$0$48,482Yes (X)
Mariko Kita
Chief of Medicine050.00$482,631$0$58,825Yes (X)
Christopher L Fellows MD
Physician050.00$1,516,863$0$69,690Yes (X)
Ravi Shankar Krishnan MD
Physician050.00$1,093,353$0$43,965Yes (X)
Rajiv Sethi MD
Physician050.00$1,341,708$0$35,288Yes (X)
Steven Bayles
Physician050.00$1,027,096$0$35,962Yes (X)
Jean-Christophe Leveque
Physician050.00$1,033,458$0$27,480Yes (X)
Sarah Patterson
Executive Sensei, Former Key Employee005.00045.00$416,460$0$35,465Yes (X)
Steve Rupp MD
Physician, Former Key Employee050.00$214,520$0$30,927Yes (X)
Charleen Tachibana RN
Sr VP, Quality and Safety, Former Key Employee050.00$606,599$0$40,896Yes (X)
Catherine Potts MD
Physician, Former Key Employee050.00$229,826$0$26,349Yes (X)
Michael Gluck MD
Physician, Former Key Employee050.00$612,422$0$48,635Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$18,493,960TotalReportableCompFromOrgAmt
Total Other Compensation$1,449,725TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1420IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Crothall Healthcare Inc
955 Chesterbrook Blvd Ste 300WaynePA19087Staffing Services$15,072,197
MacDonald-Miller Fac Solutions
PO Box 47983SeattleWA98146Maintenance Services$4,405,504
First Choice Health
PO box 94041SeattleWA98124Third Party Administrator Servcies$2,928,799
Veca Electric & Technologies
PO Box 80467SeattleWA98108Construction Services$2,910,272
CHI-VM LLC
2223 Alaskan WaySeattleWA98121Staffing Services$2,705,166
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K84CntrctRcvdGreaterThan100KCnt
Related Organizations$13,674,223RelatedOrganizationsAmt
Total Contributions$13,674,223TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Revenues561499$619,210,774$619,210,774
Retail Services561499$15,704,153$754,767$14,949,386
Pharmacy561499$34,775,513$34,775,513
Medicare/Medicaid Payments621300$396,881,393$396,881,393
FieldValueIRS element (for citing)
Total Program Service Revenue$1,066,571,833TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,973,372TotalRevenueColumnAmt
Unrelated Business Revenue$15,855,535UnrelatedBusinessRevenueAmt
Exclusion$7,117,837ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,650TotalRevenueColumnAmt
Exclusion$1,650ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$419TotalRevenueColumnAmt
Exclusion$419ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,862,133RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,033,270RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$171,137RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$171,137TotalRevenueColumnAmt
Unrelated Business Revenue-$308,783UnrelatedBusinessRevenueAmt
Exclusion$137,646ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$94,611,783SecuritiesAmt
Other$808OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$93,338,417SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,273,366SecuritiesAmt
Other$808OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,274,174TotalRevenueColumnAmt
Exclusion$1,274,174ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$2,330,060GrossSalesOfInventoryAmt
Cost Of Goods Sold$1,417,958CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$912,102TotalRevenueColumnAmt
Unrelated Business Revenue$912,102UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria721110$3,594,946$3,594,946
Parking812930$4,415,889$4,111,043$304,846
Medical records561499$219,879$219,879

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,036TotalRevenueColumnAmt
Exclusion$4,036ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,234,750OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,113,471,386TotalRevenueColumnAmt
Related Or Exempt Func Income$1,051,622,447RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$31,713,086UnrelatedBusinessRevenueAmt
Exclusion$16,461,630ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,554,477TotalAmt
Program Services$6,554,477ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$11,029,093TotalAmt
Program Services$7,340,743ProgramServicesAmt
Management And General$3,688,350ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$519,821,485TotalAmt
Program Services$457,442,907ProgramServicesAmt
Management And General$62,378,578ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,913,231TotalAmt
Program Services$20,163,643ProgramServicesAmt
Management And General$2,749,588ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$21,295,953TotalAmt
Program Services$18,740,439ProgramServicesAmt
Management And General$2,555,514ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$32,776,295TotalAmt
Program Services$28,843,140ProgramServicesAmt
Management And General$3,933,155ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,805,620TotalAmt
Program Services$1,588,946ProgramServicesAmt
Management And General$216,674ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,475,959TotalAmt
Management And General$2,475,959ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$479,807TotalAmt
Management And General$479,807ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$187,409TotalAmt
Management And General$187,409ManagementAndGeneralAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$56,484,947TotalAmt
Program Services$49,706,753ProgramServicesAmt
Management And General$6,778,194ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,823,855TotalAmt
Program Services$5,124,992ProgramServicesAmt
Management And General$698,863ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$262,882,472TotalAmt
Program Services$231,336,575ProgramServicesAmt
Management And General$31,545,897ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,506,065TotalAmt
Program Services$14,525,337ProgramServicesAmt
Management And General$1,980,728ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$31,138,852TotalAmt
Program Services$27,402,190ProgramServicesAmt
Management And General$3,736,662ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,420,623TotalAmt
Program Services$3,010,148ProgramServicesAmt
Management And General$410,475ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$641,112TotalAmt
Program Services$564,179ProgramServicesAmt
Management And General$76,933ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,387,144TotalAmt
Program Services$13,540,687ProgramServicesAmt
Management And General$1,846,457ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$40,952,690TotalAmt
Program Services$36,038,368ProgramServicesAmt
Management And General$4,914,322ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,538,709TotalAmt
Program Services$5,754,064ProgramServicesAmt
Management And General$784,645ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Taxes$28,781,797$28,781,797
Medical Purchased Services$686,328$603,969$82,359
Dues and subscriptions$2,779,303$2,445,787$333,516
Bad Debt Expense$363,000$363,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,196,393TotalAmt
Program Services$15,132,824ProgramServicesAmt
Management And General$2,063,569ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,108,922,619TotalAmt
Program Services$975,004,965ProgramServicesAmt
Management And General$133,917,654ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$35,668,436BOYAmt
EOY$26,657,933EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$36,856,285BOYAmt
EOY$34,466,086EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$121,882,978BOYAmt
EOY$124,800,051EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$18,036,101BOYAmt
EOY$20,232,774EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,027,552BOYAmt
EOY$7,610,745EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,142,842,485LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$594,872,026LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$550,042,086BOYAmt
EOY$547,970,459EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$351,371,087BOYAmt
EOY$341,558,972EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$24,106,541BOYAmt
EOY$22,134,598EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,144,991,066BOYAmt
EOY$1,125,431,618EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$116,024,091BOYAmt
EOY$122,040,345EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$99,542BOYAmt
EOY$140,735EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$287,037,163BOYAmt
EOY$284,635,930EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$136,559,090BOYAmt
EOY$136,585,135EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$115,397,125BOYAmt
EOY$108,616,646EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$655,117,011BOYAmt
EOY$652,018,791EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$462,910,636BOYAmt
EOY$439,908,088EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,653,289BOYAmt
EOY$28,135,923EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,310,130BOYAmt
EOY$5,368,816EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$489,874,055BOYAmt
EOY$473,412,827EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,144,991,066BOYAmt
EOY$1,125,431,618EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,548,767ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$23,118,181NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,108,186OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd
Public Support CY1700.00000PublicSupportCY170Pct
Public Support CY5090.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$133,835FilingOrganizationsTotalAmt
Affiliated Group Total$180,464AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$53,574FilingOrganizationsTotalAmt
Affiliated Group Total$113,574AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$187,409FilingOrganizationsTotalAmt
Affiliated Group Total$294,038AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,108,735,210FilingOrganizationsTotalAmt
Affiliated Group Total$1,685,581,835AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,108,922,619FilingOrganizationsTotalAmt
Affiliated Group Total$1,685,875,873AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$154,766CurrentYearMinus3Amt
Current Year Minus2$275,782CurrentYearMinus2Amt
Current Year Minus1$284,247CurrentYearMinus1Amt
Current Year$294,038CurrentYearAmt
Total$1,008,833TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$108,173CurrentYearMinus3Amt
Current Year Minus2$163,134CurrentYearMinus2Amt
Current Year Minus1$175,480CurrentYearMinus1Amt
Current Year$180,464CurrentYearAmt
Total$627,251TotalAmt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
II-A AVirginia Mason Medical Center, EIN 91-0565539, 1100 Ninth Avenue, Seattle, WA 98101. Electing member. Grassroots Lobbying Expenditures 133, 835 Direct Lobbying Expenditures 53,574. Excess Lobbying Expenditures 0. Tax year ending December 31, 1998 was the first year in which Virginia Mason Medical Center made the election under Section 501h. The election was not revoked before the start of the tax year ending December 31, 2018. Virginia Mason Medical Center pays membership dues to Washington State Hospital Association, a portion of which was used for legislative and lobbying activities. Virginia Mason Medical Center also pays membership dues to other professional health care organizations, a portion of which may be used for legislative and lobbying activities.
II-A A continuedVirginia Mason Institute, EIN 26-3763656, 1100 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures, 0 Excess Lobbying Expenditures.
II-A A continuedVirginia Mason Health System, EIN 91-1351110, 1100 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures. Excess Lobbying Expenditures 0
II-A A continuedBenaroya Research Institute at Virginia Mason, EIN 91-0653422, 1201 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures. Excess Lobbying Expenditures 0.
II-A A continuedYakima Valley Memorial Hospital Association, EIN 91-0567263, 2811 Tieton Drive, Yakima, WA 98902. Non-electing member. 46,629 Grassroots Lobbying Expenditures 60,000 Direct Lobbying Expenditures. Excess Lobbying Expenditures 0.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,620,892BeginningYearBalanceAmt
Contributions$91,648ContributionsAmt
Investment Earnings Or Losses-$756,306InvestmentEarningsOrLossesAmt
Grants Or Scholarships$609,095GrantsOrScholarshipsAmt
End Year Balance$15,347,139EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,623,410BeginningYearBalanceAmt
Contributions$480,797ContributionsAmt
Investment Earnings Or Losses$2,089,543InvestmentEarningsOrLossesAmt
Grants Or Scholarships$572,858GrantsOrScholarshipsAmt
End Year Balance$16,620,892EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,913,976BeginningYearBalanceAmt
Contributions$230,872ContributionsAmt
Investment Earnings Or Losses$1,031,493InvestmentEarningsOrLossesAmt
Grants Or Scholarships$552,931GrantsOrScholarshipsAmt
End Year Balance$14,623,410EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,366,911BeginningYearBalanceAmt
Contributions$541,000ContributionsAmt
Investment Earnings Or Losses-$427,461InvestmentEarningsOrLossesAmt
Grants Or Scholarships$566,474GrantsOrScholarshipsAmt
End Year Balance$13,913,976EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,515,607BeginningYearBalanceAmt
Contributions$61,150ContributionsAmt
Investment Earnings Or Losses$350,255InvestmentEarningsOrLossesAmt
Grants Or Scholarships$560,101GrantsOrScholarshipsAmt
End Year Balance$14,366,911EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.57000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.31000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.12000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,851,058OtherCostOrOtherBasisAmt
Book Value$40,851,058BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$621,684,639OtherCostOrOtherBasisAmt
Depreciation$231,083,408DepreciationAmt
Book Value$390,601,231BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,127,890OtherCostOrOtherBasisAmt
Depreciation$15,805,300DepreciationAmt
Book Value$40,322,590BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$421,094,356OtherCostOrOtherBasisAmt
Depreciation$346,833,055DepreciationAmt
Book Value$74,261,301BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,084,542OtherCostOrOtherBasisAmt
Depreciation$1,150,263DepreciationAmt
Book Value$1,934,279BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$547,970,459TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
Federal income taxes
Due to affiliates$10,848,011
Payable to Third Party Payor$6,709,249
Reserve for Professional Liability Claims$9,000,000
Current Portion of Professioinal Liability$7,000,000
Accrued Retirement Expense$64,284,545
Current Portion of Retirement Expense$4,807,550
Current Portion of Estimated Third Party Payor$1,000,000
Asbestos Abatement$384,608
Deferred Rent Credits$4,582,683
FieldValueIRS element (for citing)
Total Liability$108,616,646TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,094,572,612TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$23,539,367NetUnrealizedGainsInvstAmt
Other Revenue$8,630,512OtherRevenueAmt
Revenue Not Reported-$14,908,855RevenueNotReportedAmt
Revenue Subtotal$1,109,481,467RevenueSubtotalAmt
Other Revenues Not Included$3,989,919OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$3,989,919RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,113,471,386TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,111,929,584TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$6,996,884OtherExpensesIncludedAmt
Expenses Not Reported$6,996,884ExpensesNotReportedAmt
Expenses Subtotal$1,104,932,700ExpensesSubtotalAmt
Other Expenses Not Included$3,989,919OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$3,989,919ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,108,922,619TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
V 4Support health care mission of Virginia Mason Medical Center and research mission of Benaroya Research Institute at Virginia Mason.
X 2U.S. GAAP require management to evaluate tax positions taken by the Medical Center and recognize a tax liability or asset if the Medical Center has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed tax positions taken by the Medical Center and has concluded that as of December 31, 2018 and 2017, there are no uncertain positions taken or expected to be taken that would require recognitioin of a liability or asset or disclosure in the consolidated financial statements. The Medical Center is subject to routine audits by taxing jurisdictions however, there are currently no audits for any tax periods in progress. The Medical Centers management believes it is no longer subject to income tax examinations for years prior to 2015.
XI 2dAdditional Pension Adjustment 2,175,694 Revenue Recognition cumulative effect adjustment of 3,831,000, Capital Transfers of 452,880, Virginia Mason Institute Revenues 6,509,858, and Center for Integrative Medicine at Virginia Mason PC 12,468.
XI 4bRental expenses 2,033,270 Financial reclasses 17,105 Cost of Goods Sold 1,417,958 Non-operating expenses 6,507,638 Rebate transfers 456,745 Revenue Transfers 459,659
XII 2dVirginia Mason Institute Expenses 6,889,010 and Center for Integrative Medicine at Virginia Mason PC 107,874
XII 4bRental expenses 2,033,270 Financial reclasses 17,105 Cost of Goods Sold 1,417,958 Non-operating expenses 6,507,638 Rebate transfers 456,745 Revenue Transfers 459,659

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (7 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the CaribbeanProgram ServicesEducation$1,680
East Asia and the PacificProgram ServicesEducation$4,537
Europe Including Iceland and GreenlandProgram ServicesEducation$26,214
North AmericaProgram ServicesEducation$18,424
South AmericaProgram ServicesEducation$2,423
South AsiaProgram ServicesEducation$1,492
Middle East and North AfricaProgram ServicesEducation$4,017
FieldValueIRS element (for citing)
Subtotal Spent$58,787SubtotalSpentAmt
Total Spent$58,787TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I Line 3FormAndLineReferenceDesc
ExplanationExpenditures are actual expenses incurred in the region based on individual expense reports and tracking of expenditures by the department.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other0000000300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served6201PersonsServedCnt
Total Community Benefit Expns$9,194,667TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,194,667NetCommunityBenefitExpnsAmt
Total Expense0.00830TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$77,677,886TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,305,482DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,372,404NetCommunityBenefitExpnsAmt
Total Expense0.02290TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served6201PersonsServedCnt
Total Community Benefit Expns$86,872,553TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,305,482DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,567,071NetCommunityBenefitExpnsAmt
Total Expense0.03120TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served283PersonsServedCnt
Total Community Benefit Expns$665,070TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,632DirectOffsettingRevenueAmt
Net Community Benefit Expns$600,438NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served687PersonsServedCnt
Total Community Benefit Expns$12,556,456TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,654,048DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,902,408NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served6733PersonsServedCnt
Total Community Benefit Expns$1,161,909TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,065,017DirectOffsettingRevenueAmt
Net Community Benefit Expns$96,892NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,652,003TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,652,003NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs20ActivitiesOrProgramsCnt
Persons Served7703PersonsServedCnt
Total Community Benefit Expns$18,035,438TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,783,697DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,251,741NetCommunityBenefitExpnsAmt
Total Expense0.00920TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs20ActivitiesOrProgramsCnt
Persons Served13904PersonsServedCnt
Total Community Benefit Expns$104,907,991TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,089,179DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,818,812NetCommunityBenefitExpnsAmt
Total Expense0.04040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$103,032BadDebtExpenseAmt
Reimbursed By Medicare$217,538,576ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$244,972,445CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$27,433,869MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

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Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
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Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
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Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
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Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
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Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
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Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Group Virginia Mason Medical Center Line Part V, Section B, Line 5Through Public Health - Seattle King County, the Medical Center conducted keky informant interviews with community coalitions and organizations, education and government agencies about assets and resources that help their communities thrive, as well as concerns and health needs within their communities full list of organizations in CHNA summary.
Group Virginia Mason Medical Center Line Part V, Section B, Line 6aThe Mediccal Center worked with the following other Puget Sound area hospitals on the current CHNA 1 Evergreen Health 2 CHI Franciscan Health 3 Kaiser Permanente Washington 4 MultiCare Health System 5 Overlake Medical Center 6 Seattle Cancer Care Alliance 7 Seattle Childrens 8 Swedish and 9 University of Washington Medicine.
Group Virginia Mason Federal Way Medical Center Line Part V, Section B, Line 11Access to dental care was identified as a health need, but Virginia Mason lacks the personnel to address this issue and it is being addressed by other organizations, such as NeighborCare.
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Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Virginia Mason Federal Way Medical Center
33501 First Way SFederal WayWA98003Outpatient Medical Center
Virginia Mason Lynnwood Medical Center
19116 33rd Ave WLynnwoodWA98036Outpatient Medical Center
Virginia Mason Issaquah Medical Center
100 NE Gilman BlvdIssaquahWA98027Outpatient Medical Center
Virginia Mason Kirkland Medical Center
11800 NE 128th St Suite 300KirklandWA98034Outpatient Medical Center
Virginia Mason Bellevue Medical Center
222 112th Ave NEBellevueWA98004Outpatient Medical Center
Virginia Mason Bainbridge Island Medical Center
1344 Wintergreen Lane NEBainbridge IslandWA98110Outpatient Medical Center
Virginia Mason University Village Medical Center
2671 NE 46th StSeattleWA98105Outpatient Medical Center
Virginia Mason Edmonds Medical Center
7315 212th St SW Suite 101/207EdmondsWA98026Outpatient Medical Center
Bailey-Boushay House
2720 East MadisonSeattleWA98112Skilled Nursing Facility

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 3cFull or partial discounts may be provided to patients who are not otherwise eligible for Charity Care, i.e., with gross family incomes above three hundred percent 300 of the federal poverty guidelines adjusted for family size. Such discounts may be provided to patients with catastrophic costs or conditions when circumstances as determined by the Medical Center indicate that full payment may cause extraordinary financial hardship to the patient or the patients family. The Medical Center shall determine, on a case by case basis, whether a patient qualifies as Medically Indigent pursuant to its policy and shall, through Patient Financial Services, determine the amount of the discount, if any. Determinations shall be made expeditiously after submission of financial information by the patient, but shall not be subject to any appeal rights.
Part I Line 7The Medical Center used the direct expenses and revenues of the hospital to calculate the cost-to-charges ratio for the amounts included in the table reflected in Part I. The cost-to-charge ratio used was derived using Worksheet 2, Ratio of Patient Care Cost-to-Charge ratio per the instructions.
Part III Line 2The Medical Center calculates the bad debt expense based on the actual write-offs for bad debt expense incurred during the year.
Part III Line 4As a result of adopting ASU No. 2014-09, described in note 2k, the Medical Center no longer maintains an allowance for performance obligations satisfied after January 1, 2018. Additionally, the Medical Center no longer separately presents a provision for uncollectibles on the consolidated statements of operations and balance sheets. The remaining provision for uncollectible accounts is considered immaterial as it is maintained only due to unforeseeable circumstances, such as bankruptcy.
Part III Line 8The Medical Centers calculation of the Medicare shortfall related to Hospital-based inpatient and outpatient shortfall is 27,433,869. The Medical Center employs over 431 physicians who provide professional services to patients which are not covered in this number. In addition, the Medical Center operates satellite clinics and ambulatory surgery centers which are not reported in the Medicare cost report. For all of its patient services, the Medical Center utilizes a comprehensive electronic cost reporting package which uses the directly assigned general ledger costs and allocates all overhead costs to operating costs using a model inspired by the Medicare cost report. This model with the Medical Centers calculation shows a Medicare shortfall of 26.0 million which is not included in the traditional cost report primarily due to shortfall of Medicare professional fees versus costs.
Part III Line 9bVirginia Masons mission is to improve the health and well-being of the patients we serve. To ensure the Medical Center continues to have the resources to fulfill our mission, we must balance the financial needs of our patients with those of the Medical Center. In all instances, we will treat our patients with dignity, compassion and respect. The Medical Center expects payment in full upon receipt of the patients first billing. Patients will receive monthly Medical Center statements upon determination of the patients private responsibility. A Virginia Mason Clinic statement will be sent representing the professional component of services provided. If services were provided or processed at the downtown campus except the Health Resources Building, which is not licensed as part of the hospital, a Hospital statement will also be sent representing the facility/technical component of services. As outstanding balances age, statement messages dunning, collection letters and/or telephone calls may be used at appropriate intervals as determined by the Medical Center. Delinquent accounts may be forwarded to a third party where a series of collection contacts letters and phone calls will be initiated. Delinquent self pay accounts that have not been paid in full or established an approved installment payment plan may be referred to a collection agency. This occurs approximately 130 days from determination of patient responsibility. Patient Financial Services management team has responsibility for determining under what circumstances a balance may be referred for collection agency resolution. The Medical Center recognizes there are occasions when a patient is not financially able to pay their medical bill in full. Those patients who indicate they are experiencing financial hardship will be offered the opportunity to apply for charity care assistance. Collection activity will be suspended pending eligibility determination. If the patients income is greater than 300 of the current years federal poverty guideline FPG, charity is denied and alternative payment arrangements are discussed. If the patients income is less than 300 of the current years FPG, the patient will complete the charity application and send supporting documentation. If charity determination is approved, the charity care discount is applied to the outstanding account balance based on the FPG determination and a confirmatory letter is sent to the patient. If charity is denied, the Medical Center will send a denial letter to the patient. A summary report of collection activities taken will be provided to the Medical Center Board on an annual basis per the Washington State Hospital Association WSHA guidelines.
Part VI Line 2Virginia Mason conducts a Community Health Needs Assessment CHNA every three years. The CHNA can be found at VirginiaMason.org/connecting-with-our-communities. Our CHNA drives our community work and serves as a guideline to help us achieve three basic goals 1 Improve the communitys health status and overall quality of life 2 Reduce health disparities within the community and 3 Increase access to preventative services. The latest CHNA was published in 2018. It was developed in partnership with Publlic Health - Seattle King County. Virginia Masons 2018-2019 CHNA is an updated and expanded version of the collaborative CHNA. It includes secondary data from a variety of local, state and federal agencies, including Public Health - Seattle King County. It also includes key informant interviews with individuals representing public health, city government, the health care safety net, cultural communities, schools and health advocacy. A 2018-2019 CHNA Implementation Strategy was also developed and serves as a living document to guide our community benefit programs. Virginia Masons community benefit program focuses our resources on community needs and strengths of the Medical Center. Examples include A Subsidized health services - Every community needs certain health care services that typically cost more to deliver than the provider of the services receives. These subsidized health services are part of the Medical Centers mission because they are needed in the community and otherwise would not be available to meet patient needs. They include 1 Emergency department open to all 2 Bailey-Boushay House BBH, an inpatient and outpatient center for people living with HIV/AIDS and other complex diseases 3 Partnership with Public Health - Seattle King County to help support the Edward Thomas House medical respite program for homeless adults in King County 4 Partnership with Project Access Northwest PANW to provide specialty care services to community clinic patients and premium assistance to low-income patients 5 Uncompensated care - As a nonprofit organization, Virginia Mason is committed to serving patients who are uninsured, underinsured or otherwise unable to pay for their medical care 6 Researach - The Medical Center conducts medical research through its affiliate, Benaroya Research Institute at Virginia Mason BRI.
Part VI Line 2continuted 7 Education - A Virginia Mason is a premier teaching hospital that offers postgraduate education programs through its Graduate Medical Education GME Department. All GME postgraduate training programs are accredited by the Accreditation Council on Graduate Medical Education ADGLME B The Medical Centers GME program partners with Public Health - Seattle King County Health Services Division to provide 12 residents for the Eastgate Public Health Center 8 Community partnerships The Medical Center is a member of the King County Community Health Needs Assessment collaborative, a partnership that includes all King County hospitals, Public Health - Seattle King County, and the Washington State Hospital Associatioin. In addition to collaborating on future CHNAs, this partnership has formed Hospitals for a Healthier Community HHC and is research and planning collaborative community benefit activities that comprehensively address community health issues. 9 Community health improvement services A Community health education, such as Nutrition and Fitness for Life pediatric program and classes B Nutrition and fitness education at Marys Place, a day shelter for homeless women and chilldren C Providing educational information through our pediatric departments and community events to parents regarding firearm safety in homes where their children visit and play D Membership and partnership in the Washington State Firearm Tragedy Prevention Network E Healthy cooking demonstrations at Plymouth Housing F Health fair sponsorships in the community G Free flu shots and health screenings for uninsured/underinsured and the homeless H Partnership with WithinReach to provide health care resources to families I Partnership with Washington Green schools to provide green/sustainable curriculums and training in public schools J Partnership with NeighborCare Health to provide funding for expanded housing and mental health care K Providing resources to Refugees Northwest and International Rescue Committee to assist refugees and immigrants with access to health care L Partnership with the Seattle/King County clinic to provide flu shots during their four-day free health clinic and M Bereavement support through Virginia Masons Separation and Loss Services department.
Part VI Line 3The Medical Center 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 Medical Centers charity care policy at various points beginning with scheduling and continuing through the patient billing process. At scheduling, if a patient indicates they are without insurance and unable to pay for the services, their account is flagged for a financial navigator to contact them to discuss assistance. At arrival for an appointment, the Medical Centers admissions lobby areas have signage regarding availability of charity care, a copy of the charity care policy and information regarding who to contact for assistance. During the arrival process, the Medical Centers admissions personnel will confirm ability to pay. If financial need or financial hardship is indicated, the Medical Center financial navigators will work with the patient to determine whether Medicaid, state program options, or charity care would be appropriate. The Medical Centers charity policy and financial assistance contact information is also included on patient bills. The Medical Centers Patient Guide to Fees and Billing includes information on charity care availability and contact information to initiate an assessment. The brochure is avaiable in all lobbies for patients to pick up. The brochure is also sent out by Patient Account Services staff based on a patients expressed concerns either via phone or letter. The Medical Centers website also includes information about charity care availability and the contact number to initiate an assessment.
Part VI Line 4In 2018, Virginia Mason Medical Center had 1,198,000 physician visits 14,700 inpatient admissions and 16,000 surgical procedures. The Medical Centers service area encompasses the communities where its facilities are located and where 75 percent of its patients reside King County, the southwest region of Snohomish County, and Bainbridge Island in Kitsap County. Residences of Medical Center patients 2018 data include 1 Seattle 68,340 2 Seattle suburbs King County outside of Seattle 91,736 3 Snohomish County 7,215 4 Bainbridge Island 9,370 5 Service area total 176,661 6 Other Washington state 45,742 7 Rest of the Northwest 4,367 8 Rest of United States 2,740 8 Other 233 for a total of 229,743. The service area King County population was nearly 2.2 million in 2018. The age and racial/ethnic profile of the total population was as follows 1 Total population 2,188,649 2 Under 18 years 446,484 3 Age 18-64 1,457,641 4 65 years or older 284,524 5 White 68 percent 6 Hispanic 9.7 percent 7 Black 6.8 percent 8 Asian 18.2 percent 9 American Indian/Alaska Native 1 percent 10 Native Hawaiian/Pacific Island .9 percent 11 Two or more races 5.1 percent. According to the United States Census Bureau, the median household income for King County 2012-2016 was 78,800 with 9.3 percent living below the poverty level. Within King County, median income was lowest for blacks and American Indians/Alaska natives and in urban south King County. In King County, poverty rates are highest in White Center/Boulevard Park, several Central and Southeast Seattle neighborhoods and Auburn. King Countys 2018 labor force was about 1.29 million, with an average annual unemployment rate of 3.4 percent. Within this estimate, about 1.22 million county residents were counted among the employed and slightly more than 43,000 were counted among the unemployed. The unemployment rate in King County had been steadily declining since reaching a peak level of 9.5 percent in early 2010, and has been in the 3 to low 4 percent range since 2015.
Part VI Line 5The Medical Centers Community Benefit program is designed to improve our communitys health status and overall quality of life, reduce health disparities within the community and increase access to preventive services. To accomplish this, our organization contributes time, energy and money in the areas of improving health, providing fee and subsidized care, health professionals education and research.
Part VI Line 5continued Uncompensated care - As a non-profit organization, Virginia Mason is committed to serving patients who are uninsured, underinsured or otherwise unable to pay for their medical care. Under the Medical Centers charity care policy, free or reduced-cost medically necessary care after all health insurance has been exhausted is provided to individuals making up to 300 percent of the federal poverty level in keeping with the Washington State Hospital Association voluntary guidelines on billing the uninsured. In 2018, the Medical Center provided charity care to 6,201 patients at a cost of 9,194,667. In addition, the Medical Centers unreimbursed Medicaid was provided at a cost of 30,326,927.
Part VI Line 5continued Community health improvement services - Improving health and quality of life extends beyond diagnosis and treatment. It also requires community health education and outreach services. Health improvement and outreach services provided by the Medical Center include the following 1 Free health screenings at community health fairs 2 Free flu shots and health screenings for the homeless in conjunction with United Way of King Countys Community Resource Exchange 3 Sponsorship of many professionally facilitate support groups, including diabetes prevention and management 4 Bereavement support through our Separation and Loss Services and 6 Leadership roles in several community organizations, which focus on health and wellness.
Part VI Line 5continued Health professions education - Virginia Mason strongly supports medical education to ensure our patients and the community benefit from advances in medical care. The Medical Center is a premier teaching hospital that offers postgraduate education programs through its Graduate Medical Education Department GME. All GME postgraduate training programs are fully approved by the Accreditation Council on Graduate Medical Education ACGME. The Medical Center trains more than 128 residents and fellows annually. The Medical Centers GME program is partnered with Public Health - Seattle King County Health Services Division, providing 12 residents for the Eastgate Public Health Center, as well as providing residents at the Carolyn Downs Family Medical Center, Pike Market Medical Clinic and Meridian Center for Health. The Medical Centers collaboration with the Eastgate Public Health Center combines the Medical Centers commitment to teaching and community benefit through an innovative public-private program, which allows residents to be more involved in the care of the underserved and uninsured. Eastgate Public Health Center is the largest of three county public health clinics in east King County and offers a variety of primary care services to adults and children. About 50 percent of patients seen at the clinic do not have insurance or the means to pay, and roughly the same percentage do not speak English and require interpretive services. This resident clinic improves overall health in the community and gives back to our community in a meaningful way. The Medical Center serves as an internship site for students in a variety of other health programs, such as nursing, pharmacy, respiratory therapy and laboratory technology.
Part VI Line 5continued subsidized health services - Every community needs certain health care services that typically cost more to deliver than the provider of these services receives. These subsidized health services include Bailey-Boushay House BBH, a nursing residence and adult day health center for people living with HIV/AIDS as well as end-of-life care for people with ALS and other complex conditions. Safety and security were key drivers for opening Bailey-Boushays emergency night shelter in November 2018, providing 50 beds to address rising homelessness in their outpatient population. It is the first homeless shelter in the world specifically designed for people with HIV.
Part VI Line 5continued Research - The Medical Center conducts medical research through its affiliate, Benaroya Research Institute at Virginia Mason BRI. BRI is a non-profit biomedical research institute that works to unlock mysteries of the immune system. Its team of world-renowned scientists is focused on identifying causes and cures for devastating diseases including diabetes, arthritis, heart disease and cancer. In 2018, the Medical Center provided 3,000,000 to support research activities at BRI.
Part VI Line 5continued Environmental improvements - The Medical Centers environmental stewardship initiative, EnviroMason, provides the framework for making unique energy and waste management decisions, such as setting policies on reliability and use, making efficiency improvements, supporting capital planning and infrastructure design, and encourgaging employee particpation and invovation. In 2013, the Medical Center hired a full-time sustainability director. In 2007, the Medical Center became the first hospital in the Pacific Northwest to eliminate garbage cans and styrofoam use and began composting food waste. Since 2011, our energy conservation projects have saved more than 4.5 million kilowatt hours per year. Our water conservation projects in the same period have saved more than 7 million gallons of water per year. Between 2011 and 2018, the Medical Center diverted more than 7,300 tons of waste from the landfill. We accomplished this by expanding recycling across our facilities, improving our electronics recycling providing composting to all lunch and break rooms implementing a construction debris recycling program recycling the fiber from our shredded office paper, and reporcessing medical supplies that can be reused. Additionally, the Medical Center was the first hospital in the region to implement an operating room OR recycling program. EnviroMasons team approach extends from strong support from senior leadership to active engagement of our team members. Team engagement is facilitated by the Virginia Mason Production System VMPS, our Green Team and special sustainability events. One of the VMPS elements is our Everyday Lean Idea ELI system, which is a tool for every team member to test, implement and share process improvement ideas. The Green Ideas category of the system enables team members to test sustainability ideas in their department, and to share them across the organization. Our Green Team is a cross-disciplinary group of more than 50 volunteers from across our organization. They meet monthly to share and work on environmental sustainability initiatives and issues. Their goal is to reduce the environmental impact of Virginia Masons operations by educating and empowering team members to make more sustainable choices. EnviroMason special events also help us engage our team members and Green Team with sustainability efforts. We sponsor events such as our farmers market, community-supported agriculture CSA program, commuter information days, a Drawdown EcoChallenge and Earth Day events. The Medical Center signed on to the national Healthy Food in Health Care Pledge. As an organization dedicated to preserving health, the Medical Center is reducing our carbon footprint in operations through energy efficiency commute trip reduction landfill diversion activities, like recycling, composting and food donation and buying local goods and services. In 2018, Virginia Mason was awarded a GreenHealth Emerald Award from Practice GreenHealth.
Part VI Line 5continued Medical Staff - The Medical Center has 602 members on its active hospital staff, including Medical Center physicians, and other community providers.
Part VI Line 5continued Accountability to the community - Virginia Mason is accountable to the public through its Board, the voting members of which are community members who represent the diverse populations and needs of communities served by the Medical Center. The Medical Center is also accountable to the community through its sole voting member, the Health System whose Board is composed primarily of community members. In furtherance of its commitment to responsible governance practices, the Medical Centers Audit and Compliance Committee - composed entirely of community members of the organizations Board - is charged with overseeing the selection and discharge of the Medical Centers independent financial auditors and oversight of the Medical Centers compliance programs. In addition, the Medical Center has chartered a Governance Committee, responsible for reviewing and evaluating the organizations corporate governance policies and guidelines, and providing oversight of procedures for disclosure and management of conflict of interest. The voting members of the Governance Committee are independent community members of the Medical Centers Board. As a further mechanism for community involvement and leadership, the Medical Center has established a Board of Governors, which is an advisory body of community representatives. The Board of Governors regularly participates in extensive tours of various areas of the Medical Center facilities and becomes involved in forums for in-depth discussion on issues of importance to these organizations and the communites they serve. Bailey-Boushay House, which is a division of the Medical Center that provides day health and skilled nursing facility services to individuals living with HIV/AIDS as well as en-of-life care for people with ALS and other complex conditions, also has an advisory board that provides input and guidance on serving the commuity.
Part VI Line 5continued Use of financial surpluses - All financial surpluses from the operation of the Medical Center are used exclusively to further its charitable purposes. No individual receives any portion of the organizations respective surplus as a result of ownership or any other insider relationship. The Compensation and Benefits Committee of the Medical Center Board, which directs the performance review and approves the compensation and benefits of the Medical Centers senior leadership, is composed entirely of community members of the Board who have no financial ties to the Medical Center, either directly or through family or business relationships.
Part VI, Line 7WA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (22 entries)

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VIRGINIA MASON HEALTH SYSTEM
1100 NINTH AVENUESEATTLEWA98101911351110501c3$3,037,175OPERATING SUPPORT
BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON
1201 NINTH AVENUESEATTLEWA98101910653422501c3$3,000,000OPERATING SUPPORT
PUBLIC HEALTH
401 FIFTH AVE SSEATTLEWA98104916001327KING COUNTY$85,050GENERAL SUPPORT
PROJECT ACCESS NORTHWEST
1111 HARVARD AVESEATTLEWA98122204377921501c3$75,000GENERAL SUPPORT
WSMA FOUNDATION FOR HEALTHCARE IMPROVEMENT
DEVELOPMENT DEPT 1118 FIFTH AVESEATTLEWA98101916074463501c3$75,000GENERAL SUPPORT
JDRF
NORTHWEST CHAPTER 1215 FOURTH AVE SSEATTLEWA98161231907729501c3$50,000GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
710 SECOND AVE STE 900SEATTLEWA98104135613797501c3$37,500GENERAL SUPPORT
SEATTLE CENTER FOUNDATION
05 HARRISON ST Suite 302SEATTLEWA98109911003385501c3$25,000GENERAL SUPPORT
NATIONAL MULTIPLE SCLEROSIS SOCIETY
192 NICKERSON ST STE 100SEATTLEWA98109910742424501c3$17,500GENERAL SUPPORT
CCFA NORTHWEST
9 LAKE BELLEVUE DRBELLEVUEWA98005136193105501c3$10,000GENERAL SUPPORT
NORTHWEST KIDNEY CENTERS
PO BOX 3035SEATTLEWA98114916057438501c3$10,000GENERAL SUPPORT
PANCREATIC CANCER ACTION NETWORK
1500 ROSECRANS AVE STE 200MANHATTAN BEACHCA90266330841281501c3$10,000GENERAL SUPPORT
PRIDEFEST
2623 E PIKE STSEATTLEWA98122471817063501c3$10,000GENERAL SUPPORT
WASHINGTON POISON CENTER
155 NE 100TH ST STE 100SEATTLEWA98125943214597501c3$10,000GENERAL SUPPORT
PRACTICE GREENHEALTH
12355 SUNRISE VALLEY DR STE 680RESTONVA20191760815736501c3$7,800GENERAL SUPPORT
AMERICAN CANCER SOCIETY CANCER ACTION NETWORK
2120 FIRST AVE NSEATTLEWA98109522340031501c3$5,000GENERAL SUPPORT
AMERICAN RED CROSS
1900 25TH AVE SSEATTLEWA98144530196605501c3$5,000GENERAL SUPPORT
BLOODWORKS NORTHWEST
921 TERRY AVESEATTLEWA98104911019655501c3$5,000GENERAL SUPPORT
LUTHERAN COMMUNITY SERVICES NORTHWEST
115 NE 100TH ST STE 200SEATTLEWA98125930386860501c3$5,000GENERAL SUPPORT
NORTHWEST IMMIGRANT RIGHTS PROJECT
615 2ND AVE STE 400SEATTLEWA98104911393082501c3$5,000GENERAL SUPPORT
SEATTLE CITYCLUB
240 SECOND AVE S STE 208SEATTLEWA98104911148262501c3$5,000GENERAL SUPPORT
SOLID GROUND
PO BOX 31066SEATTLEWA98103237421892501c3$5,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org22Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I Line 2FormAndLineReferenceDesc
ExplanationThe funds provided to Virginia Mason Health System and Benaroya Research Institute at Virginia Mason are for operational support or specific activities. Assistance provided to other non-profit organizations consisted of donations made to support specific events sponsored by the recipient organizations.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Gary Kaplan MD
Chairman, CEO$1,150,153$283,313$21,700$14,350$41,760$1,511,276
Suzanne Anderson
President$669,674$131,784$21,080$112,412$31,208$966,158
Craig Goodrich
Senior Vice President, CFO$334,708$50,738$4,686$30,637$22,348$443,117
Katerie Chapman
Senior Vice President, Patient Care Services$426,530$308,284$7,237$75,475$28,194$845,720
Lucy Glenn M D
Chief of Radiology$301,150$89,325$135,101$14,350$10,069$549,995$224,595
Michael Glenn M D
Chief Medical Officer$721,896$145,966$78,063$47,823$19,130$1,012,878
Fred Govier M D
Chief of Surgery$701,050$105,804$19,688$14,350$20,726$861,618
Joyce Lammert M D
Medical Director, Hospital$481,542$73,657$93,032$14,350$11,714$674,295
William Poppy
Senior Vice President, CTO$371,298$59,333$50,818$14,350$32,946$528,745
Donna Smith M D
Medical Director, Clinic$480,153$73,425$19,688$121,214$19,889$714,369
Shelly Powell
Vice President, Patient Care Services$262,960$39,359$1,380$14,350$22,686$340,735
Denise Dubuque
Vice President, Patient Care Services$257,854$36,616$2,580$14,350$20,746$332,146
Cindy Rockfield
Vice President, Patient Care Services$147,500$33,409$600$14,349$13,156$209,014
Santokh Gill
Vice President, Patient Care Services$218,944$33,526$900$14,350$31,688$299,408
Ingrid Gerbino M D
Chief, Primary Care$338,260$52,184$18,914$42,189$16,468$468,015
Steve Schaefer
Senior Vice President, Support Services$304,098$46,290$2,580$14,350$31,784$399,102
John Corman
Medical Director, Perioperative and Procedural Services$600,505$90,775$18,914$26,467$22,015$758,676
Mariko Kita
Chief of Medicine$416,008$60,809$5,814$27,727$31,098$541,456
Christopher L Fellows MD
Physician$1,497,144$19,719$48,694$20,996$1,586,553
Ravi Shankar Krishnan MD
Physician$1,074,656$17$18,680$14,350$29,615$1,137,318
Rajiv Sethi MD
Physician$1,341,528$180$9,310$25,978$1,376,996
Steven Bayles
Physician$1,008,048$134$18,914$14,350$21,612$1,063,058
Jean-Christophe Leveque
Physician$1,008,188$25,000$270$9,310$18,170$1,060,938
Sarah Patterson
Executive Sensei, Former Key Employee$396,738$336$19,386$14,350$21,115$451,925
Steve Rupp MD
Physician, Former Key Employee$109,743$104,777$14,350$16,577$245,447$125,292
Charleen Tachibana RN
Sr VP, Quality and Safety, Former Key Employee$450,348$91,517$64,734$14,349$26,547$647,495
Catherine Potts MD
Physician, Former Key Employee$222,267$277$7,282$14,350$11,999$256,175
Michael Gluck MD
Physician, Former Key Employee$591,944$20,478$17,715$30,920$661,057

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 1aSocial club dues are provided to two members of the senior leadership team who use the club memberships for business purposes. These payments are treated as non-taxable.
Part I Line 1bAll invoices for payment of social club dues and associated monthly expenses are paid pursuant to the Medical Center Business Expense Policy and Social Club Dues Policy.
Part I Line 4bThe Medical Center has a Supplemental Executive Retirement Plan SERP. The SERP is a 457f nonqualified deferred compensation plan pursuant to which plan benefits are subject to a substantial risk of forfeiture. The plan was approved by the Boards Compensation and Benefits Committee, a committee composed of independent board members to whom the Board delegates the authority to approve compensation and benefits for the Medical Centers most senior executives. The Committee receives advice from an independent compensation consultant to ensure that compensation and benefits, including the SERP, are market competitive and reasonable. Supplemental Executive Retirement Plans such as this are customary for senior executives in the health care industry.
Part I Line 4bLucy Glenn, M.D. received a payout of 123,465 from a Supplemental Executive Retirement Plan. Michael Glenn, M.D. received a payout of 58,375 from a Supplemental Executive Retirement Plan. Joyce Lammert, M.D. received a payout of 73,313 from a Supplemental Executive Retirement Plan. Steve Rupp, M.D. received a payout of 104,269 from a Supplemental Executive Retirement Plan. Charleen Tachibana received a payout of 42,274 from a Supplemental Executive Retirement Plan. Suzanne Anderson accrued benefits of 98,063 in a Supplemental Executive Retirement Plan. Katerie Chapman accrued benefits of 61,125 in a Supplemental Executive Retirement Plan. Donna Smith, M.D. accrued benefits of 73,313 in a Supplemental Executive Retirement Plan.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Washington Health Care Facilities AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN911108929BondIssuerEIN
CUSIP93978HSS5CUSIPNum
Bond Issued2017-08-31BondIssuedDt
Issue Price$287,837,574IssuePriceAmt
PurposeRefund/Redeem bondsPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$287,838,537TotalProceedsAmt
Issuance Costs From Proceeds$2,428,792IssuanceCostsFromProceedsAmt
Other Spent Proceeds$285,409,437OtherSpentProceedsAmt
Unspent$308UnspentAmt
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line AColumn C 93978HSD8, 93978HSE6, 93978HSF3, 93978HSG1, 93978HSH9, 93978HSJ5, 93978HSK2, 93978HSL0, 93978HSM8, 93978HSN6, 93978HSP1
Part I Line AColumn C continued 93978HSQ9, and 93978HSR7
Part I Line AColumn F The proceeds of the Series 2017 bonds will be used for the purpose of providing part of the funds necessary to 1 refund, on an current basis the Authoritys revenue bonds, Series 1997B Bonds, the Series 2007A Bonds, the Series 2007B Bonds, and the Series 2007C Bonds and 2 pay costs of issuance of the bonds. The 1997B bonds were reissued December 1, 2007. The original bond proceeds were used to 1 finance or reimburse the Medical Center for the costs of constructing, remodeling and/or acquiring Health Care Facilities 2 fund the initial deposit to the Reserve Accounts for the Bonds 3 pay the premium for the Insurance Policy and 4 pay certain of the other costs of issuing the Bonds. The Series 2007A Bonds, the Series 2007B Bonds and the Series 2007C Bonds were originally issued December 1, 2007. The original bond proceeds of the reoffered 1997B Bonds together with the proceeds of the Series 2007 bonds were to be used for the purpose of providing part of the funds necessary to 1 refund, on an advanced and current basis, and to redeem the Authoritys revenue bonds, Series 1997A 2 reissue, refund, on a current basis and replace the Series 1997B Bonds as a variable rate obligation 3 reimburse the Medical Center for, or pay, the costs of acquiring, constructing, remodeling, renovating and equipping certain health care facilities 4 pay interest on the Series 2007 Bonds during construction 5 fund the initial deposits into respective debt service reserves for the Series 2007 bonds 6 pay the cost of credit enhancement, if any, and 7 pay issuance costs.
Part II Line 3Difference between Part I, column e and Part II, line 3 is investment earnings.
Part II Line 7Difference between Part II, Line 7 and Form 8038, line 24, is due to lower issuance costs than the estimated cost included in the proceeds.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Joan Lange
Sister of Robert Lemon, Director$25,595Employeefalse
Columbia Hospitality Inc
Entity more than 35 owned by John Oppenheimer, DirectorProvision of Servicesfalse
CHI-VM LLC
Entity more than 35 owned by John Oppenheimer, Director$2,705,166Provision of Servicesfalse

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV Line 1aname of Interested Person Joan Lange
Part IV Line 1bRelationship Sister of Robert Lemon, Director
Part IV Line 1cAmount of Transaction 25,595
Part IV Line 1dDescription of Transaction Employee of the Medical Center
Part IV Line 1eSharing of Revenues No
Part IV Line 2aName of Interested Person Columbia Hospitality, Inc
Part IV Line 2bRelationship Entity more than 35 owned by John Oppenheimer, Director
Part IV Line 2cAmount of Transaction 0
Part IV Line 2dDescription of Transaction Provison of management and hospitalty services to the Medical Center
Part IV Line 2eSharing of Revenues No
Part IV Line 3aName of Interested Person CHI-VM LLC
Part IV Line 3bRelationship Entity more than 35 owened by John Oppenheimer, Director
Part IV Line 3cAmount of Transaction 2,705,166
Part IV Line 3dDescription of Transaction Provision of management services to the Medical Center
Part IV Line 3eSharing of Revenues No

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 1The Medical Center provides integrated health services through a teaching hospital licensed for 336 beds and multi-speciality group practice of approximately 529 employed physicians, offering both primary and specialized care, through a regional network of neighborhood clinics and ambulatory surgery centers. The Medical Center also operates Bailey-Boushay House, a skilled nursing facility and day health center serving the HIV/AIDS community. The Medical Center patient care services are integrated with and enhanced by education and research activities which include a graduate medical education program providing training to over 128 residents, fellows and medical students each year. In addition, the Medical Center sponsors training programs for pharmacy and a variety of other health services such as nursing, respiratory therapy, physical therapy, speech and language therapy and laboratory technology.
Form 990, Part III, Line 2On September 14, 2018, Virginia Mason Medical Center VMMC and Franciscan Health System FHS a Section 501c3 health system formed a Washington limited liabillity company called Emerald City Obstetrics Alliance, LLC the LLC. VMMC and FHS are the sole members of the LLC each of the members owns 50 of the profits interests in the LLC. The primary purpose of the LLC is to support the efforts of VMMC and FHS to pursue the development and support of a new obstetrics and neonatal service line the Department that will be located on VMMCs main hospital compus in Seattle, Washington. The LLC will exercise governance oversight for the members operation of the Department and shall also serve as the vehicle through which the members will acquire furniture, fixtures and equipment and make tenant improvements for the inpatient obstetric and neonatal care unit at VMMC that will be used in operation of the Department. The Department will be operated in a manner to ensure that it meets hospital licensure and accreditation standards applicable to VMMC. The LLC will operate and conduct its activities, and the Department shall be operated, in furtherance of the charitable and tax-exempt purposes of VMMC and FHS and in accordance with the community benefit standard and other standards that apply to Section 501c3 tax-exempt hospitals.
Form 990, Part III, Line 4aThe Medical Center is committed to subsidizing certain health services dues to the demonstrated need for these services in the community. Since 1992, the Medical Center has addressed the treatment of HIV/AIDS by operating Bailey-Boushay House Bailey-Boushay, a 35-bed skilled nursing facility. The first facility in the nation built specifically for the care of people living with AIDS, Bailey-Boushay now also serves other individuals who need intensive nursing care, many of whom are Medicaid recipents. In addition to the care provided to its residential population, Bailey-Boushay provides day health services to 374 clients annually, allowing them to live independently with HIV/AIDS. In November 2018, Bailey-Boushay open the first HIV Homeless Shelter which services 50 clients. The Medical Center also offers emergency services 24 hours a day, 7 days a week. The department is staffed by board-certified emergency physicians, physician assistants and certified emergency nurses. The Medical Center is committed to providing necessary medical services regardless of a patients ability to pay and without discrimination as to race, color, creed, national origin, religion, sex, sexual orientation, disability, age, source of income, or any other class protected by federal or Washington state law, or who have an emergency medical condition. The Medical Center is a participating hospital in the Washington State Medicaid Contracting Program. Charity care is provided according to a patients gross family incomes at or below 300 of the Federal poverty guidelines adjusted for family size. Full or partial charity care may be provided to patients with gross family incomes exceeding 300 of the federal poverty level when circumstances indicate that full payment may causse financial hardship so as to significantly harm the patient or patients family. Patients without health insurance are eligible for a twenty-five percent 25 discount on medically necessary services under the Medical Centers Discounts for Uninsured Patients Policy. Charity care was provided at a cost of 9,196,806 during the year, along with 30,333,981 of Medicaid contractual allowances. Charity care does not include bad debts which is the amount the Medical Center is not paid by patients deemed able to pay their bills.
Form 990, Part III, Line 4bThe Medical Centers graduate medical education program maintains education affiliation agreements with community clinics under which the Medical Centers residents provide care to patients at clinics serving low-income and uninsured patients. The Medical Center has an affiliation with Eastgate Public Health Clinic operated by Seattle King County Public Health to provide a resident clinic 4-days a week under the supervision of Medical Center physicians. This affiliation has expanded access to health care for King County residents and enhanced the educational opportunities of internal medicine residents. The Clinical Nursing Education CNE program offered 35 CNE events in 2018 to 612 attendees. Participants include nurses the primary audience - RNs and LPNs and advanced practice registered nurses CNS, CNL, ARNP, as well as patient care technicians, nursing students, nurse technicians, respiratory terapists, social workers, educators, dietitians, specialized techncians e.g. GI Techs, Donation Techs, Radiation-Oncology Techs, medical assistants, medical technologists, administrative assistants, chaplains, bereavement coordinators and physicians. The Medical Center also serves as an internship site for students in a variety of allied health programs such as nursing, pharmacy, respiratory therapy, physical therapy, occupational therapy, social work, sleep disorders, medical insurance, speech and language therapy, radiology and laboratory technology. Successful relationships have been built with vocational training programs for medical assistants as well. The Medical Center provides strong support for continuing medical education CME. The Medical Centers CME program is accredited by the Accreditation Council for Continuing Medical Education ACCME and was last reaccrediated in 2016, receiving Accreditation with Commendation. In 2018, the CME department sponsored 34 courses either full-, half-, or multi-day totaling 388.50 hours of instruction. These activities were attended by 1,351 participants, including 550 physicians. In 2013, our program had been approved by the American Board of Medical Specialties Portfolio Program, permitting Virginia Mason to endorse and award AMA PRA Category 1 Credit for quality improvement projects for physician Maintenance of Certification MOC Part IV credit. In 2018, 9 physicians participated in performance improvement CME projects. During 2018, 45 one-hour Grand Rounds presentations were presented at the Medical Center, with the live audience averaging 103 attendees weekly. The Grand Rounds series is also broadcast via videoconference to the organizations 11 satellite locations and to 6 off-site health care systems in Washington, Alaska, and California. The CME department supports 24 additional Regularly Scheduled Series in including 13 different Cancer Care tumor boards, Clinical Cardiovascular, Imaging, Competencies and Incidents, Vascular Surgery, GI Radiolgoy, GI Pathology and Therapeutics, and Schwartz rounds. During the year, 700.50 hours of instruction were offered through these 24 series. Cumulative participation hours tracked for all series totaled 9,518, of which 6,845 were physician attendance hours. Approximately 9 of our investigators have faculty appointments with the University of Washington, including 5 at the professorship level. The Medical Center also maintains a medical library to support its education and research.
Form 990, Part III, Line 4dThe Medical Center provides funds and in-kind services to community organizations which are consistent with the Medical Centers charitable purpose. A list of community donations is included on Schedule I. The following is a description of selected recipients and is not all inclusive 1 The Medical Center supported Go Red for Women Heart Awareness and the Annual HeartWalk which benefited the American Heart Association AHA in 2018. AHAs mission is building healthier lives, free of cardiovascular diseases and stroke, with the goal to imporve the cardiovascular health of all Americans by 20 percent, and reduce deaths from csardiovascular diseases and stroke by 20 percent, by the year 2020. 2 The Medical Center was a sponsor of the JDRF Gala to benefit the Juvenile Diabetes Research Foundation JDRF in 2018. The JDRFs mission is to find a cure for diabetes and its complications through the support of research. 3 The Medical Center was a sponsor of National Multiple Sclerosis Society Dinner of Champions, Annual Luncheon and Annual Walk in 2018. The vision of National Multiple Sclerosis Society is a world free of MS 4 the mission of Northwest Kidney Centers is to promote optimal health, quality of life and independence of peoople with kidney disease through patient care, education and research. The Medical Center provided support to Northwest Kidney Centers in 2018 through sponsorship of the Breakfast of Hope and the Discovery Gala, which raised funds for charity care, diabetes support services, and kidney disease research.
Form 990, Part VI, Section A, Line 1aThe governing body delegates to an Executive Committee comprised of the Chairman, Vice Chairman, Secretary and Treasurer the authority of the Board of Directors in the management of the corporation to act only in time sensitive or emergency situations as determined by the Executive Committee, such authority to be exercised in time periods between regularly scheduled meetings of the Board of Directors. All members of the Executive Committee are members of the governing body of the corporation. The Executive Committee does not have the authority to amend, alter or repeal the Bylaws, elect, appoint or remove any member of the Executive Committee or any director or officer of the corporation amend the articles of incorporation adopt a plan of merger or adopt a plan of consolidation with another corporation authorize the sale, lease or exchange all or substantially all of the property and assets of the corporation not in the ordinary course of business authorize the voluntary dissolution of the corporation or revoke proceedings therefore adopt a plan for the distribution of the assets of the corporation amend, alter or repeal any resolution of the Board which by its terms provides that it shall not be amended, altered or repealed by the Executive Committee or terminate the Chief Executive Officer. The Executive Committee also periodically evaluates the effectiveness of Virginia Mason Medical Centers VMMC systems for resolving internal conflicts. The Board also delegates to the Executive Committee the authority of the Board to make all appointments and reappointments to the Medical Staff of the hospital.
Form 990, Part VI, Section A, Line 2Family relationship between key employees Michael Glenn, MD and Lucy Glenn, MD.
Form 990, Part VI, Section A, Line 6, 7Virginia Mason Health System VMHS is the sole corporate member of the Medical Center. VMHS as the sole member has the following approval rights 1 election and approval of Directors and Officers of the Board of Directors 2 approval of the appointment of the Chief Executive Officer 3 removal of Directors and Officers of the Board of Directors 4 approval of all long-range plans proposed by the Board of Directors 5 approval of the annual capital and operating budgets proposed by the Board of Directors 6 approval of the borrowing of funds where the amount is in excess of Ten Million dollars 7 approval of the sale, lease, exchange, mortgage, pledge or disposal of all or substantially all of the property and assets 8 approval of all amendments to the Articles of Incorporation or Bylaws and all other rights and powers as specified in the Washington Nonprofit Corporation Act.
Form 990, Part VI, Section B, Line 11bThe Audit and Compliance Committee ACC, a committee composed of independent community members of the Medical Center Board of Directors is responsible for oversight of the annual VMMC Form 990 and 990-T preparation process including 1 selection, engagement, and performance of an independent tax preparer 2 review of the annual draft Form 990 and 990-T tax returns, and 3 recommending the final Form 990 and 990-T tax returns for review to the VMMC Board of Directors. At the ACC October meeting, management provided the ACC with an initial draft of the Form 990 and the tax return reviewer presented an overview of the Form 990 preparation process. Following the October meeting, the ACC Chair updates the Medical Center Board on the Form 990 preparation. In October, a revised draft of the Form 990 is provided to the ACC Chair for further review and comment. The final draft Form 990 is reviewed and approved by the ACC in November, and provided to the Board for review of the final Form 990 prior to filing. The final Form 990 and 990-T tax returns are provided to each member of the Board of Directors via electronic delivery by posting on a secure website which allows online viewing of Board documents.
Form 990, Part VI, Section B, Line 12cThe Governance Committee of the Board has accountability for oversight of the process for disclosure, evaluation and management of conflicts of interest involving any member of the Board, executive leadership or key employees Covered Person. Pursuant to the Conflicts of Interest Policy, an annual conflict of interest questionnaire is distributed to all Covered Persons. In addition, a Covered Person has an on-going duty to disclose the existence of a conflict of interest at any time an actual or potential conflict arises. Each Covered Person is required upon appointment and annually thereafter to attest to a statement that affirms that such person has 1 received a copy of the Conflicts of Interest Policy 2 has read and understands the Policy 3 has agreed to comply with the Policy and 4 understands that the Medical Center is a charitable organization and that in order to maintain its federal tax exemption must engage primarily in activities that accomplish its tax-exempt purposes. Written disclosures are reviewed by the Governance Committee to determine if an actual or potential conflict of interest exists and if so, how it should be managed. The Covered Person is informed in writing regarding the determination the Conflict of Interest Management Plan. No Covered Person with an actual or potential conflict of interest shall engage in an activity on the Medical Centers behalf related to the disclosed actual or potential Conflict of Interest unless such activity is permitted by the Conflict of Interest Management Plan or until the Covered Person has undertaken all steps set forth in the Management Plan to manage, reduce or eliminate the conflict. All Covered Persons have a duty to disclose the existence of any actual or potential conflict of interest with respect to meeting agenda items. The Conflicts of Interest Policy requires that copies of the Conflict of Interest Questionnaire completed annually by each Covered Person and any Conflict of Interest Management Plan be maintained. In addition, the minutes of the Board and all committees with board-delegated powers shall document the disclosure and resolution of any actual or potential conflict of interest disclosed at such meeting.
Form 990, Part VI, Section B, Line 15The VMHS Compensation and Benefits Board Committee, a committee composed solely of independent directors of VMHS none of whom have a conflict of interest, is accountable for setting reasonable total compensation packages for each Medical Center executive, including the CEO, officers and key employees Executives consistent with the Medical Centers philosophy and principles. The Board develops and approves annual goals and performance criteria which are used in determining merit increases and variable compensation opportunities for the Medical Center Executives. The Committee assesses performance against these goals. The Committee selects and engages a qualified independent compensation consultant to review and analyze the total compensation and benefits packages to the Executives. The Committee as part of its analysis obtains from the compensation consultant appropriate comparability data including total compensation paid by similarly situated for-profit and non-profit health care organizations for positions that are functionally comparable to each of the Executives. With respect to those Executives below the level of Chair/Chief Executive Officer, the Committee requests that the Chair/Chief Executive Officer work with the compensation consultant to formulate a compensation recommendation for each such Executive, consistent with VMHSs compensation philosophy and principles. Consistent with VMHSs compensation philosophy and principles, the Committee approves total compensation packages for each of the Executives based on information presented to the Committee, reasonableness and the best interests of the Medical Center. The Committees decisions regarding compensation for each Executive are documented in written resolutions and minutes of the Committee. The Committee promptly reports its action to the Board whose reports are reflected in the Boards minutes. The Executives that were reviewed in 2018 were Chief Executive Officer, President, Chief Financial Officer, Senior Vice Presidents, Vice Presidents, Physician Chiefs, Clinic Medical Director, Hospital Medical Director, and Chief Medical Officer.
Form 990, Part VI, Section C, Line 19The organizations Articles, Bylaws, Conflict of Interest Policy, and Financial Statements are made available upon request.
Form 990, Part XI, Line 9Additional Pension Adjustment 2,175,694 Capital Transfers 452,880 Revenue Recognition cumulative effect adjustment of 3,831,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
1000 Madison LLC
1100 Ninth AvenueSeattleWA98101204018216Real EstateWA$1,879,429$27,449,351VMMC
1005 Spring Street LLC
1100 Ninth AvenueSeattleWA98101204816736Real EstateWA$2,165,363$4,284,944VMMC
Health Resource Services LLC
1100 Olive WaySeattleWA98101262800994Group PurchasingWA$12,237,833$7,479,667VMMC
Puget Sound High Value Network LLC
1100 Ninth AvenueSeattleWA98101472840780Medical NetworkWA-$4,168VMMC
NetworxHealth LLC
1100 Olive WaySeattleWA98101825288717Healthcare StaffingWA$1,053,946$383,624VMMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Virginia Mason Health System
1100 Ninth AvenueSeattleWA98101911351110FundraisingWA501c37N/AYes (true)
Virginia Mason Institute
1100 Ninth AvenueSeattleWA98101263763656EducationWA501c310Yes (true)VMMC
Benaroya Reserach Institute at Virginia Mason
1201 Ninth AvenueSeattleWA98101910653422ResearchWA501c34falseVMHS
Yakima Valley Memorial Hospital Association
2811 Tieton DriveYakimaWA98902910567263Health CareWA501c33falseVMHS
Children's Village
3801 Kern RdYakimaWA98902352654720Supporting OrganizationWA501c312N/Afalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
National Purchasing Partners LLC
1100 Olive WaySeattleWA98101203470995Group PurchasingWAN/AUnrelated$15,855,535$11,414,026false$15,855,535Yes (true)0.50000
Emerald City Obstetrics Alliance LLC
1100 Ninth AvenueSeattleWA98101320594147Governance OversightWAN/ARelatedfalsefalse0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Center for Integrative Medicine at Virginia Mason PCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 Ninth AvenueAddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
EIN831583223EIN
Primary ActivitiesIntegrative Medicine ServicesPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1VMMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorpEntityTypeTxt
Share Of Total Income-$151,890ShareOfTotalIncomeAmt
Share Of EOY Assets$1,256ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINTotal Grassroots LobbyTotalGrassrootsLobbyAmtTotal Direct LobbyTotalDirectLobbyAmtTotal Lobby ExpenditureTotalLobbyExpenditureAmtOther Exempt Purpose ExpendOtherExemptPurposeExpendAmtTotal Exempt Purpose ExpendTotalExemptPurposeExpendAmtLobby NontxLobbyNontxAmtGrassroots NontxGrassrootsNontxAmtTotal Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmtTot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmtShare Excess Lobby ExpendShareExcessLobbyExpendAmt
Virginia Mason Medical Center
1100 Ninth AvenueSeattleWA98101910565539$133,835$53,574$187,409$1,108,735,210$1,108,922,619$657,772$164,443$0$0$0
Virginia Mason Institute
1100 Ninth AvenueSeattleWA98101263763656$0$0$0$6,889,011$6,889,011$4,086$1,022$0$0$0
Virginia Mason Health System
1100 Ninth AvenueSeattleWA98101911351110$0$0$0$24,630,107$24,630,107$14,610$3,653$0$0$0
Benaroya Research Institute at Virginia Mason
1200 Ninth AvenueSeattleWA98101910653422$0$0$0$66,780,571$66,780,571$39,612$9,903$0$0$0
Yakima Valley Memorial Hospital Association
2811 Tieton DriveYakimaWA98902910567263$46,629$60,000$106,629$478,546,936$478,653,565$283,920$70,980$0$0$0