VIRGINIA MASON MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: VIRGINIA MASON MEDICAL CENTER (EIN 91-0565539)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-15
IRS object ID: 201603209349315340
Schema version: 2015v2.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-15T05:08:15-00:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1918 8th Avenue Suite 2900	AddressLine1Txt
City	Seattle	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98101	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	910565539	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Virginia Mason Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	VIRG	BusinessNameControlTxt
Phone	2062236600	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 Ninth Avenue	AddressLine1Txt
City	Seattle	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98101	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Gary Kaplan MD	PersonNm
Person Title	Chairman and CEO	PersonTitleTxt
Signature	2016-10-24	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jayson Miller	PreparerPersonNm
Phone	2069134000	PhoneNum
Preparation	2016-10-24	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Gary Kaplan MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 Ninth Avenue	AddressLine1Txt
City	Seattle	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98101	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,199,915,519	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.virginiamason.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1934	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	Virginia Mason Medical Centers the Medical Center 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 Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	6200	TotalEmployeeCnt
Total Volunteers	481	TotalVolunteersCnt
Total Gross UBI	$26,491,485	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$13,612,676	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,821,939	PYContributionsGrantsAmt
CY Contributions Grants	$6,915,333	CYContributionsGrantsAmt
PY Program Service Revenue	$972,025,505	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,022,264,133	CYProgramServiceRevenueAmt
PY Investment Income	$21,488,522	PYInvestmentIncomeAmt
CY Investment Income	$32,186,123	CYInvestmentIncomeAmt
PY Other Revenue	$8,317,230	PYOtherRevenueAmt
CY Other Revenue	$8,064,268	CYOtherRevenueAmt
PY Total Revenue	$1,007,653,196	PYTotalRevenueAmt
CY Total Revenue	$1,069,429,857	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,728,556	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,313,046	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$560,157,746	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$560,249,573	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$408,339,882	PYOtherExpensesAmt
CY Other Expenses	$457,549,925	CYOtherExpensesAmt
PY Total Expenses	$977,226,184	PYTotalExpensesAmt
CY Total Expenses	$1,025,112,544	CYTotalExpensesAmt
PY Revenues Less Expenses	$30,427,012	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$44,317,313	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,129,053,390	TotalAssetsBOYAmt
Total Assets EOY	$1,141,667,609	TotalAssetsEOYAmt
Total Liabilities BOY	$716,594,082	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$696,392,315	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$412,459,308	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$445,275,294	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Virginia Mason Medical Centers the Medical Center mission is to improve the health and well-being of the patients it serves through the delivery of high quality, cost-effective care.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$874,357,493	ExpenseAmt
Revenue	$1,021,994,035	RevenueAmt
Desc	Health Care Services. The Medical Center is a tertiary regional referral center which serves a patient community that includes Seattle and its surrounding surburbs, 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 seven regional clinics, and Bailey-Boushay House, a 35-bed skilled nursing facility. During 2015, the Medical Center recorded 15,436 hospital inpatient admissions, 24,976 emergency room visits and 857,926 clinic visits. The Medical Center provided charity care and unreimbursed Medicaid services to a total of 4,530 patients. Continued on Schedule O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$23,954,491	ExpenseAmt
Grant	$3,502,500	GrantAmt
Revenue	$180,730	RevenueAmt
Desc	Education and Research. The Medical Center is an independent academic medical center with a graduate medical education program that trains over 120 residents in nine accredited programs in anesthesiology, internal medicine, general surgery, diagnostic radiology, preliminary surgery, transitional year, and urology. In addition, the Medical Center trains a number of fellows in areas such as Pain Management and Female Pelvic Medicine/Reconstructive Surgery. The Medical Center is also affiliated with the University of Washington for 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 Benaoya Research Institute at Virginia Mason, a scientific research instiute qualified under Section 501c3 of the Internal Revenue code. Continued on Schedule O.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$342,294	ExpenseAmt
Revenue	$89,368	RevenueAmt
Desc	Community Health Education 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 Buse Diabetes Teaching Center provides a nationally recognized education program which includes classes covering every aspect of diabetes care including how to support long term health lifestyle habits and avoid long-term complications. The education programs are open to everyone with diabetes and their family members. Scholarships are available. In 2015, the Medical Center provided 39,000 toward support of the Buse Diabetes Teaching Center. Continued on Schedule O.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$3,810,546	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$3,810,546	TotalOtherProgSrvcGrantAmt
Total Program Service Expenses	$902,464,824	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	669	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6200	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MaryAnne Olmstead	PersonNm
Phone	2066257371	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 Olive Way Suite 605	AddressLine1Txt
City	Seattle	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98101	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Michelle Burris
Director	002.00	002.00	Yes (X)	$0	$0	$0
Joshua Jay Green III
Director	002.00	002.00	Yes (X)	$0	$0	$0
Tod Hamachek
Director	002.00	002.00	Yes (X)	$0	$0	$0
Robert Bob Lemon
Director, Treasurer	002.00	004.00	Yes (X)	$0	$0	$0	Yes (X)
Alfred Al E Lopus
Director	002.00	002.00	Yes (X)	$0	$0	$0
Dorothy H Mann PhD
Director, Secretary	002.00	002.00	Yes (X)	$0	$0	$0	Yes (X)
James Jamie Orlikoff
Director, Vice Chair	002.00	004.00	Yes (X)	$0	$0	$0	Yes (X)
Jane Blodgett
Director	002.00	002.00	Yes (X)	$0	$0	$0
Lewis Lonnie Edelheit PhD
Director	002.00	002.00	Yes (X)	$0	$0	$0
James Jim Young
Director, Chair	002.00	004.00	Yes (X)	$0	$0	$0	Yes (X)
Julie Morath RN
Director	002.00	002.00	Yes (X)	$0	$0	$0
Richard Rich Martinez
Director	002.00	002.00	Yes (X)	$0	$0	$0
Kristi Pangrazio
Director	002.00	003.00	Yes (X)	$0	$0	$0
Carolyn Corvi
Director	002.00	004.00	Yes (X)	$0	$0	$0
Mary McWilliams
Director	002.00	002.00	Yes (X)	$0	$0	$0
Gary Kaplan MD
Chairman, CEO	050.00	005.00		$1,463,343	$0	$1,123,646	Yes (X)
Suzanne Anderson
Executive Vice President, CIO/CFO	050.00	004.00		$793,097	$0	$126,039	Yes (X)
Katerie Chapman
Senior Vice President, Hospital Administrator	050.00			$390,218	$0	$46,177		Yes (X)
Lucy Glenn MD
Chief of Radiology	050.00			$733,384	$0	$68,783		Yes (X)
Michael Glenn MD
Chief Medical Officer	050.00			$848,188	$0	$128,099		Yes (X)
Fred Govier MD
Chief of Surgery	050.00			$793,444	$0	$60,850		Yes (X)
Joyce Lammert MD
Medical Director, Hospital	050.00	001.00		$575,689	$0	$92,758		Yes (X)
Sarah Patterson
Executive Vice President, COO	050.00	004.00		$928,703	$0	$131,286		Yes (X)
William Poppy
Senior Vice President, CTO	050.00			$504,483	$0	$48,898		Yes (X)
Steve Rupp MD
Medical Director, Perioperative Services and Anesthesia	050.00			$545,804	$0	$37,544		Yes (X)
Donna Smith MD
Medical Director, Clinic	050.00			$566,844	$0	$152,556		Yes (X)
Charleen Tachibana RN
Senior Vice President, Quality and Safety	050.00			$516,716	$0	$85,873		Yes (X)
James P Cote
Senior Vice President, Clinic Administrator	050.00			$356,530	$0	$85,034		Yes (X)
Michael P Ondracek
Vice President, Clinic Operations	050.00			$218,776	$0	$19,946		Yes (X)
Caterine Potts MD
Chief, Primary Care	050.00			$417,774	$0	$58,633		Yes (X)
Shelly Fagerlund
Vice President, Clinic Operations	050.00			$270,791	$0	$36,480		Yes (X)
Michael Gluck MD
Chief of Medicine	050.00			$931,706	$0	$75,482		Yes (X)
Denise Dubuque
Vice President, Surgical and Procedural Services	050.00			$227,008	$0	$32,548		Yes (X)
Cindy Rockfield
Vice President, Clinic Operations	050.00			$164,841	$0	$23,893		Yes (X)
Christopher L Fellows MD
Physician	050.00			$1,240,938	$0	$52,765			Yes (X)
Ulrike I Ochs MD
Physician	050.00			$964,985	$0	$49,841			Yes (X)
Richard A Kozarek MD
Physician	050.00			$1,004,654	$0	$91,164			Yes (X)
Mark Hill MD
Physician	050.00			$905,596	$0	$101,884			Yes (X)
Ravi Kirshnan MD
Physician	050.00			$902,160	$0	$47,621			Yes (X)
Andrew Jacobs MD
Physician, Former Key Employee	050.00			$808,318	$0	$50,527				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,073,990	TotalReportableCompFromOrgAmt
Total Other Compensation	$2,828,327	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1242	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Crothall Healthcare Inc
955 Chesterbrook Blvc Suite 300	Wayne	PA	19087	Staffing Services	$14,027,128
Skanska USA Building Inc
221 Yale Ave N Suite 400	Seattle	WA	98109	Construction Services	$6,522,980
Turner Construction Company
8330 4th Ave S	Seattle	WA	98134	Construction Services	$4,205,717
Cerner Corporation
PO Box 9591556	St Louis	MO	63195	Application Services	$4,329,471
LifeCenter Northwest
3650 131st Se SE Ste 200	Bellevue	WA	98006	Professional Services	$2,856,800

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	64	CntrctRcvdGreaterThan100KCnt
Related Organizations	$6,915,333	RelatedOrganizationsAmt
Total Contributions	$6,915,333	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Operating Revenues	561499	$1,051,302,266	$1,038,000,515	$13,301,751
Medicare/Medicaid Payments	621300	$327,798,500	$327,798,500

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,022,264,133	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,672,648	TotalRevenueColumnAmt
Unrelated Business Revenue	$13,184,518	UnrelatedBusinessRevenueAmt
Exclusion	$15,488,130	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$285,696	TotalRevenueColumnAmt
Exclusion	$285,696	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,495,389	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,924,859	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$429,470	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$429,470	TotalRevenueColumnAmt
Unrelated Business Revenue	-$486,004	UnrelatedBusinessRevenueAmt
Exclusion	$56,534	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$131,556,132	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$128,328,353	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,227,779	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,227,779	TotalRevenueColumnAmt
Exclusion	$3,227,779	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$410,853	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$232,450	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$178,403	TotalRevenueColumnAmt
Unrelated Business Revenue	$178,403	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria	722100	$3,694,930	$3,694,930
Parking	721110	$4,392,440	$4,079,623	$312,817
Medical Records	561499	$217,827	$217,827

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,138	TotalRevenueColumnAmt
Exclusion	$10,138	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,315,335	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,069,429,857	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,008,962,382	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$26,491,485	UnrelatedBusinessRevenueAmt
Exclusion	$27,060,657	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$7,313,046	TotalAmt
Program Services	$7,313,046	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,266,995	TotalAmt
Program Services	$11,978,079	ProgramServicesAmt
Management And General	$1,288,916	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$467,492,637	TotalAmt
Program Services	$409,495,554	ProgramServicesAmt
Management And General	$57,997,083	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$26,105,351	TotalAmt
Program Services	$22,866,724	ProgramServicesAmt
Management And General	$3,238,627	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,273,351	TotalAmt
Program Services	$20,386,062	ProgramServicesAmt
Management And General	$2,887,289	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$30,111,239	TotalAmt
Program Services	$26,375,642	ProgramServicesAmt
Management And General	$3,735,597	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,837,815	TotalAmt
Program Services	$1,609,816	ProgramServicesAmt
Management And General	$227,999	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,693,109	TotalAmt
Management And General	$1,693,109	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$569,656	TotalAmt
Management And General	$569,656	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$154,765	TotalAmt
Management And General	$154,765	ManagementAndGeneralAmt

Field	Value	IRS element (for citing)
Fees For Services Prof Fundraising		FeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$53,358,120	TotalAmt
Program Services	$46,738,518	ProgramServicesAmt
Management And General	$6,619,602	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,541,581	TotalAmt
Program Services	$4,854,093	ProgramServicesAmt
Management And General	$687,488	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$208,812,685	TotalAmt
Program Services	$182,907,407	ProgramServicesAmt
Management And General	$25,905,278	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$28,124,711	TotalAmt
Program Services	$24,635,563	ProgramServicesAmt
Management And General	$3,489,148	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,947,833	TotalAmt
Program Services	$19,224,987	ProgramServicesAmt
Management And General	$2,722,846	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,810,020	TotalAmt
Program Services	$2,461,409	ProgramServicesAmt
Management And General	$348,611	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$405,906	TotalAmt
Program Services	$355,549	ProgramServicesAmt
Management And General	$50,357	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$24,145,475	TotalAmt
Program Services	$21,149,990	ProgramServicesAmt
Management And General	$2,995,485	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$45,158,992	TotalAmt
Program Services	$39,556,574	ProgramServicesAmt
Management And General	$5,602,418	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,222,588	TotalAmt
Program Services	$9,830,315	ProgramServicesAmt
Management And General	$1,392,273	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Taxes	$43,104,167	$43,104,167
Medical Purchased Services	$618,838	$542,065	$76,773
Dues and subscriptions	$2,208,726	$1,934,712	$274,014
Bad Debt Expense	$270,004	$270,004

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,564,934	TotalAmt
Program Services	$4,874,548	ProgramServicesAmt
Management And General	$690,386	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,025,112,544	TotalAmt
Program Services	$902,464,824	ProgramServicesAmt
Management And General	$122,647,720	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$45,300,738	BOYAmt
EOY	$36,693,580	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$72,958,680	BOYAmt
EOY	$53,924,422	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$116,762,830	BOYAmt
EOY	$108,761,492	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,839,121	BOYAmt
EOY	$17,286,237	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,299,709	BOYAmt
EOY	$4,565,121	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,054,906,590	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$471,574,265	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$596,390,553	BOYAmt
EOY	$583,332,325	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$223,944,398	BOYAmt
EOY	$286,346,658	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$53,557,361	BOYAmt
EOY	$50,757,774	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,129,053,390	BOYAmt
EOY	$1,141,667,609	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$133,191,273	BOYAmt
EOY	$125,147,574	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$71,245	BOYAmt
EOY	$69,848	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$311,118,911	BOYAmt
EOY	$310,105,008	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$136,489,470	BOYAmt
EOY	$136,511,339	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$135,723,183	BOYAmt
EOY	$124,558,546	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$716,594,082	BOYAmt
EOY	$696,392,315	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$395,194,749	BOYAmt
EOY	$426,428,035	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,933,281	BOYAmt
EOY	$14,000,186	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,331,278	BOYAmt
EOY	$4,847,073	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$412,459,308	BOYAmt
EOY	$445,275,294	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,129,053,390	BOYAmt
EOY	$1,141,667,609	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$44,317,313	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$16,993,028	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$5,491,701	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd
Public Support CY170	0.00000	PublicSupportCY170Pct
Public Support CY509	0.00000	PublicSupportCY509Pct
Investment Income CY	0.00000	InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$108,173	FilingOrganizationsTotalAmt
Affiliated Group Total	$108,173	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$46,593	FilingOrganizationsTotalAmt
Affiliated Group Total	$46,593	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$154,766	FilingOrganizationsTotalAmt
Affiliated Group Total	$154,766	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,024,957,778	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,112,971,638	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,025,112,544	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,113,126,404	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,001	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$133,874	CurrentYearMinus3Amt
Current Year Minus2	$122,035	CurrentYearMinus2Amt
Current Year Minus1	$138,835	CurrentYearMinus1Amt
Current Year	$154,766	CurrentYearAmt
Total	$549,510	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$127,874	CurrentYearMinus3Amt
Current Year Minus2	$114,035	CurrentYearMinus2Amt
Current Year Minus1	$119,335	CurrentYearMinus1Amt
Current Year	$108,173	CurrentYearAmt
Total	$469,417	TotalAmt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
II-A A	Virginia Mason Medical Center, EIN 91-0565539, 1100 Ninth Avenue, Seattle, WA 98101. Electing Member. Grassroots Lobbying Expenditures 46,593 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, 2015. 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 activites.
II-A A continued	Virginia Mason Institute, EIN 26-3763656, 1100 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures, 0 Excess Lobbying Expenditures.
II-A A continued	Virginia Mason Health System, EIN 91-1351110, 1100 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures, 0 Excess Lobbying Expenditures.
II-A A continued	Benaroya Researach Institute at Virginia Mason, EIN 91-0653422, 1201 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures. 0 Excess Lobbying Expendirures.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Incl Escrow Custodial Acct Liab	false	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,515,607	BeginningYearBalanceAmt
Contributions	$61,150	ContributionsAmt
Investment Earnings Or Losses	$350,255	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$560,101	GrantsOrScholarshipsAmt
End Year Balance	$14,366,911	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,453,135	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,797,810	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$735,338	GrantsOrScholarshipsAmt
End Year Balance	$14,515,607	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,043,176	BeginningYearBalanceAmt
Contributions	$100,706	ContributionsAmt
Investment Earnings Or Losses	$1,800,839	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$491,586	GrantsOrScholarshipsAmt
End Year Balance	$13,453,135	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,672,073	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$146,637	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$482,260	GrantsOrScholarshipsAmt
End Year Balance	$12,043,176	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.57000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.31000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.12000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,817,679	OtherCostOrOtherBasisAmt
Book Value	$40,817,679	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$596,714,352	OtherCostOrOtherBasisAmt
Depreciation	$174,785,903	DepreciationAmt
Book Value	$421,928,449	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,430,010	OtherCostOrOtherBasisAmt
Depreciation	$13,355,342	DepreciationAmt
Book Value	$9,074,668	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$379,559,530	OtherCostOrOtherBasisAmt
Depreciation	$282,608,724	DepreciationAmt
Book Value	$96,950,806	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,385,019	OtherCostOrOtherBasisAmt
Depreciation	$824,296	DepreciationAmt
Book Value	$14,560,723	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$583,332,325	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

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

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Federal income taxes
Due to affiliates	$3,793,542
Third Party Payor	$13,922,408
Professional Liability	$13,057,857
Accrued Retirement Expenses	$89,146,036
Asbestos Abatement	$641,451
Deferred Rent Credits	$3,997,252

Field	Value	IRS element (for citing)
Total Liability	$124,558,546	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,063,981,678	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$16,993,028	NetUnrealizedGainsInvstAmt
Other Revenue	$13,976,875	OtherRevenueAmt
Revenue Not Reported	-$3,016,153	RevenueNotReportedAmt
Revenue Subtotal	$1,066,997,831	RevenueSubtotalAmt
Other Revenues Not Included	$2,432,026	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,432,026	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,069,429,857	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,029,206,583	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$6,526,065	OtherExpensesIncludedAmt
Expenses Not Reported	$6,526,065	ExpensesNotReportedAmt
Expenses Subtotal	$1,022,680,518	ExpensesSubtotalAmt
Other Expenses Not Included	$2,432,026	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,432,026	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,025,112,544	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
V 4	Support health care mission of Virginia Mason Medical Center and research mission of Benaroya Research Institute at Virginia Mason.
X 2	U.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, 2015, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or asset or disclosure in the 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 2012.
XI 2d	Restricted Capital Transfers 6,633 Additional Pension Adjustment 5,485,058 Virginia Mason Institute Revenues 8,485,184
XI 4b	Rental expenses 1,926,058 Financial reclasses 49,410 Cost of Goods Sold 232,450 Non-operating expenses 6,406,571 Rebate transfers 772,653 Donation Transfers 2,638,100
XII 2d	Virginia Mason Institute Expenses 6,526,065
XII 4b	Rental expense 1,926,058 Financial reclasses 49,410 Cost of Goods Sold 232,450 Non-operating expenses 6,406,571 Rebate transfers 772,653 Donation Transfers 2,638,100

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
East Asia and the Pacific	Program Services	Education	$16,975
Europe Including Iceland and Greenland	Program Services	Education	$13,372
North America	Program Services	Education	$26,670
Central America and the Caribbean	Program Services	Education	$2,258
Middle East and North Africa	Program Services	Education	$9,749
South America	Program Services	Education	$4,372
South Asia	Program Services	Education	$1,392
Sub-Saharan Africa	Program Services	Education	$4,826

Field	Value	IRS element (for citing)
Subtotal Spent	$79,614	SubtotalSpentAmt
Total Spent	$79,614	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I Line 3	FormAndLineReferenceDesc
Explanation	Expenditures are actual expenses incurred in the region based on individual expense reports and tracking of expeditures by the department.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	4530	PersonsServedCnt
Total Community Benefit Expns	$5,761,942	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,761,942	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	10604	PersonsServedCnt
Total Community Benefit Expns	$59,281,920	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,538,008	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,743,912	NetCommunityBenefitExpnsAmt
Total Expense	0.01830	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	15134	PersonsServedCnt
Total Community Benefit Expns	$65,043,862	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,538,008	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,505,854	NetCommunityBenefitExpnsAmt
Total Expense	0.02390	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	215	PersonsServedCnt
Total Community Benefit Expns	$660,460	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,368	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$571,092	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	34	ActivitiesOrProgramsCnt
Persons Served	1485	PersonsServedCnt
Total Community Benefit Expns	$11,189,664	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,348,601	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,841,063	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	6039	PersonsServedCnt
Total Community Benefit Expns	$1,598,729	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,387,182	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$211,547	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,233,774	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,233,774	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	40	ActivitiesOrProgramsCnt
Persons Served	7739	PersonsServedCnt
Total Community Benefit Expns	$17,682,627	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,825,151	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,857,476	NetCommunityBenefitExpnsAmt
Total Expense	0.00960	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	40	ActivitiesOrProgramsCnt
Persons Served	22873	PersonsServedCnt
Total Community Benefit Expns	$82,726,489	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,363,159	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,363,330	NetCommunityBenefitExpnsAmt
Total Expense	0.03350	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$325,255	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$325,255	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$325,255	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$325,255	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,696,514	BadDebtExpenseAmt
Reimbursed By Medicare	$164,854,553	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$208,962,638	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$44,108,085	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Virginia Mason Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 Ninth Avenue	AddressLine1Txt
City	Seattle	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98101	ZIPCd

Field	Value	IRS element (for citing)
Website Address	virginiamason.org	WebsiteAddressTxt
State License	HAC.FS.00000010	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	virginiamason.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	virginiamason.org	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	0000000200.000000000000	FPGFamilyIncmLmtFreeCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	virginiamason.org/FinancialAssistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	virginiamason.org/FinancialAssistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	virginiamason.org/FinancialAssistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
No Emergency Care	Yes (X)	NoEmergencyCareInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Group Virginia Mason Medical Center Line Part V, Section B, Line 5	Virginia Mason conducted key informant interviews with 10 individuals representing public health, city government, the healthcare safety net, cultural communities, schools, and health advocacy. The findings were also informed by 23 key informal interviews conducted earlier as part of the needs assessment for one of Virginia Masons health care partners. A Public Health and Health care 1 Public Health-Seattle King County 2 Neighborhood Health. B Education 1 Bainbridge Island School District 2 Bellevue School District 3 Edmonds School District 4 Federal Way School District. C Chronic disease prevention. 1 American Diabetes Association. D Government agencies 1 City of Bellevue 2 City of Federal Way. The Virginia Mason CHNA was informed by additional key informant interviews conducted for health care partner Group Health A Public Health and Health Care 1 Public Health-Seattle King County 2 HealthPoint 3 International Community Health Services 4 Sea Mar Community Health Centers 5 Seattle Indian Health Board. B Government agencies 1 City of Renton 2 City of SeaTac. C Cultural communities. 1 Asian Counseling and Referral Services 2 El Centro de la Raza 3 Jewish Family Services Refugee and Immigrant Service Centers 4 Lutheran Community Services International Counseling and Community Services D Organizations supporting healthy lifestyles 1 King County Parks and Recreation 2 Seattle Parks and Recreation 3 YMCA Chronic Disease Prevention 4 YMCA Auburn Valley Y E Youth organizations 1 Boys and Girls Clubs of King County 2 Community for Youth 3 New Futures 4 Renton Area Youth and Family Services.
Group Virginia Mason Medical Center Line Part V, Section B, Line 11	Access 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.
Group Virginia Mason Medical Center Line Part V, Section B, Line 22d	Virginia Mason is a participant in the Washington State Hospital Association Voluntary Effort on billing to the Uninsured. These guidelines developed in 2007 created a statewide standard for financial assistance consistent with Washington state law which provides that patients with gross family incomes at or below three hundred percent 300 of the federal poverty guidelines FPG adjusted for family size are eligible for charity care according to a sliding fee schedule. The maximum amount charged to FAP-eligible individuals for emergency or other medically necessary care is based on a sliding fee scale determined by FPG. Charity Care discounts that are less than 100 will be taken after a 25 uninsured discount is applied to the gross charges. Patients who are between 201 and 250 of FPG receive an additional 50 discount for a total reduction in charges of 67.5. Patients who are between 251 and 300 of FPG receive an additional 30 discount for a total reduction in charges of 52.5.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Virginia Mason Federal Way
33501 First Way S	Federal Way	WA	98003	Outpatient Medical Center
Virginia Mason Lynnwood
19116 33rd Ave W	Lynnwood	WA	98036	Outpatient Medical Center
Virginia Mason Issaquah
100 NE Gilman Blvd	Issaquah	WA	98027	Outpatient Medical Center
Virginia Mason Kirkland
11800 NE 128th St Suite 300	Kirkland	WA	98034	Outpatient Medical Center
Virginia Mason Bellevue
222 112th Ave NE	Bellevue	WA	98004	Outpatient Medical Center
Virginia Mason Bainbridge Island
380 Winslow Way E	Bainbridge Island	WA	98110	Outpatient Medical Center
Virginia Mason University Village
2671 NE 46th St	Seattle	WA	98105	Outpatient Medical Center
Bailey Boushay House
2720 East Madison	Seattle	WA	98112	Skilled Nursing Facility

Supplemental Information Detail SupplementalInformationDetail (24 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I Line 3c	Charity Care discounts that are less than 100 will be taken after any uninsured discounts are applied. Additional full or partial Charity Care may be provided to patients with gross family incomes from 201 to 300 of the federal poverty level when circumstances as determined by the Medical Center indicate that full payment may cause financial hardship so as to significantly harm the patient or patients family. Additional full 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 7	The 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 II	The Medical Center supports community building activities by providing operational support to a daycare program which provides daycare for vulnerable populations.
Part III Line 2	The Medical Center calculate the bad debt expense based on the actual write-offs for bad debt expense incurred during the year. The bad debt write-offs as a percentage of total write-offs is allocated to the total deductions from revenue recorded for the year.
Part III Line 4	The Medical Centers financial statement includes the following statement on estimated uncollectible The Medical Center provides an allowance for potential uncollectible patient accounts receivable whereby such receivables are reduced to their estimated net realizable value. For accounts receivable associated with patients who have insurance coverage, the Medical Center analyzes contractually due amounts based on historical collection experience and provides an allowance for uncollectible accounts based on aging and other relevant factors, if necessary. For accounts receivable associated with self-pay patients, the Medical Center records an allowance for uncollectible accounts in the period of service based on aging, historical collection experience and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured and underinsured patients, the increased burden of co-payments to be made by patients with insurance, and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process. The difference between the standard or contractual rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for uncollectible accounts. The following information summarizes the changes in allowance for uncollectible accounts during the year ended December 31, 2014 Allowance for uncollectible accounts at beginning of the year 4,287,000 Write-offs of accounts deemed uncollectible 9,737,000 Provision for bad debt 12,990,000 Allowance for uncollectible accounts at the end of the year 7,540,000. For the year ended December 31, 2015 Allowance for uncollectible accounts at the beginning of the year 7,540,000 Write-offs of accounts deemed uncollectible 11,650,000 Provision for bad debt 10,185,000 Allowance for uncollectible accounts at end of the year 6,075,000.
Part III Line 8	The Medical Centers calculation of the Medicare shortfall related to Hospital based inpatient and outpatient shortfall is 49,729,204. The Medical Center employs over 400 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 18 million which is not included in the traditional cost report primarily due to shortfall of Medicare professional fees versus costs.
Part III Line 9b	Virginia 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 2	Virginia Mason conducts a Community Health Needs Assessment CHNA every three years. The CHNA can be found at VirginiaMason.org/connectingwithourcommunities. 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 preventive services. The latest CHNA was published in 2013. It was developed in partnership with The Center for Community Health and Evaluation CCHE. The Virginia Mason 2013-2015 CHNA 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 healthcare safety net, cultural communities, schools, and health advocacy. A 2013-2015 CHNA Implementation Strategy was also developed and serves as a living document to guide our community benefit programs. In 2013, Virginia Mason partnered with other King County hospitals and Public Health - Seattle King County to form Hospitals for a Healthier Community. This hospital collaborative developed a 2016 CHNA, and is developing collaborative community programs to comprehensively address community health issues. Our community benefit program focuses our resources on the needs of the community and the strengths of Virginia Mason. Some examples 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 Virginia Masons 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. 3 Partnership with Public Health-Seattle King County to provide the Edward Thomas House 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. B 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. C Research Virginia Mason conducts medical research through its affiliate, Benaroya Research Institute at Virginia Mason BRI.
Part VI Line 2	continued D Education 1 Virginia Mason is a premier teaching hospital that offers postgraduate education programs through its Graduate Medical Education Department GME. All GME postgraduate training programs are accredited by the Accreditation Council on Graduate Medical Education ADGME. 2 Virginia Masons GME program partners with Public Health - Seattle King County Health Services Division, providing 12 residents for the Eastgate Public Health Center. E Community Partnerships Virginia Mason 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 Association. In addition to collaborating on the future CHNAs, this partnership has formed Hospitals for a Healthier Community HHC and is researching and planning collaborative community benefit activities that will comprehensively address community health issues. F. Community Health Improvement Services 1 Community health education, such as our diabetes prevention program at the Mexican Consulate, Nutrition and Fitness for Life pediatric program and classes in the Buse Diabetes Teaching Center. 2 Nutrition and fitness education at Marys Place, a day shelter for homeless women and children 3 Partnership with Washington Ceasefire to provide educational information to parents regarding firearm safety in homes where their children visit and play 4 Healthy cooking demonstrations at Plymouth Housing Group 5 Free health screenings and health fair sponsorships in the community 6 Free flu shots and health screenings for uninsured/underinsured and the homeless 7 United Way - Organizational support and participation in Day of Caring and the Community Resource Exchange 8 Providing supplies to Medical Teams International for local and global programs and 9 Bereavement support through our Separation and Loss Services.
Part VI Line 3	The 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 Patient Account Specialist 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 counselors 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 Billings include information on charity availability and contact information to initiate an assessment. The brochure is available in all patient lobbies for the patient 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 availability and the contact number to initiate an assessment.
Part VI Line 4	In 2015, Virginia Mason served over 221,000 individuals in its hospital and medical centers. Virginia Masons 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 Virginia Mason patients 2015 data are 1 Seattle 66,944 2 Seattle Suburbs King County outside of Seattle 78,963 3 Snohomish County 19,605 4 Bainbridge Island 9,017 5 Service area total 174,529 6 Other Washington State 40,298 7 Rest of the Northwest 4,039 8 Rest of United States 2,548 8 Other 256 for a total of 221,670.
Part VI Line 4	continued The service area King County population in 2012 was 1,957,001. The age and racial/ethnic profile of the total population of the three counties was as follows King County 1 Total population 1,947,001 2 Under 18 years 417,529 3 Age 18-64 1,729,710 4 65 years or older 227,291 5 White 1,404,136 6 Hispanic 181,065 7 Black 127,210 8 Asian 294,336 9 American Indian/Alaska Native 20,379 10 Native Hawaiian/Pacific Island 15,838 11 Two or more races 95,101. Just under a quarter of residents are under age 18, and over 10 percent are 65 or older. The highest proportion of the population that is nonwhite is in King County. According to the United States Census Bureau, the median household income for King County 2009-2013 was 71,811 with 11.5 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. In March 2014, the unemployment rate in King County was 4.9 percent, down from 5.0 percent in March 2013.
Part VI Line 5	Virginia Masons 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 organizatioin contributes time, energy and money in the areas of improving health, providing free and subsidized care, health professionals education and research.
Part VI Line 5	continued 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 Virginia Masons 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 2015, Virginia Mason provided charity care to 4,540 patients at a cost of 5,761,943. In addition, Virginia Masons unreimbursed Mediaid was provided at a cost of 24,340,347.
Part VI Line 5	continued 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 Virginia Mason include the following 1 community health education, such as classes in the Buse Diabetes Teaching Center 2 free health screenings at community health fairs 3 free flu shots and health screenings for the homeless in conjunction with United Way of King Countys Community Resource Exchange 4 sponsorship of many professionally facilitated support groups, including diabetes prevention and management 5 bereavement support through our Separation and Loss Services and 6 leadership roles in several community organizations, which focus on health care.
Part VI Line 5	continued Health Professions Education. Virginia Mason strongly supports medical education to ensure our patients and the community benefit from advances in medical care. Virginia Mason is a premier teaching hospita 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 ADGME. Virginia Mason trains more than 120 residents and fellows annually. VMs 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 North Public Health Center. Virginia Masons 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. The Eastgate clinic 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. Approximately 50 percent of patients seen at the clinic do not have insurance or the means to pay, and approximately 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. Virginia Mason 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 5	continued 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 1 Bailey-Boushay House BBH, a nursing residence and Adult Day Health center for people living with HIV/AIDS and 2 Tender Loving Care, a day-care program for mildly ill children.
Part VI Line 5
Part VI Line 5	continued Environmental Improvements. Virginia Masons 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 encouraging employee participation and innovation. In 2013, Virginia Mason hired a full time sustainability director. The goal of EnviroMason is to reduce waste, recycle and conserve resources of our community. In 2007, Virginia Mason became the first hospital in the Pacific Northwest to eliminate garbage cans and Styrofoam use and begin composting food waste. Since 2011, our energy conservation projects have saved over 4.5 million kilowatt hours per year. Our water conservation projects in the same period have saved more than 6 million gallons of water per year. Between 2011 and 2015, Virginia Mason diverted more than 4,439 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 reprocessing medical supplies that can be reused. Additionally, Virginia Mason was the first hospital in the region to implement an operating room OR recycling program.
Part VI Line 5	continued 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 elements of the VMPS 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, efficient light bulb giveaways, commuter information days, mercury thermometer exchanges, and a variety of Earth Day events. Virginia Mason signed on to EPAs Food Recovery Challenge and donate our excess food to local charities, like the Millionair Club. As an organization dedicated to preserving health, Virginia Mason is reducing our carbon footprint in operations through energy conservation commute trip reduction landfill diversion activities, like recycling, composting, and food donation and buying local goods and services.
Part VI Line 5	continued Medical Staff. Virginia Mason has 739 members on its active hospital staff, including Virginia Mason physicians, 193 Group Health physicians, 23 Pacific Medical Centers physicians, and other community providers.
Part VI Line 5	continued Accountability to the Community. The Medical Center 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 managment 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, Virginia Mason has established a Board of Governors, 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 of issues of importance to these organizations and the communities they serve. Bailey-Boushay House, a division of the Medical Center which provides day health and skilled nursing facility services to individuals living with HIV/AIDS, also has an advisory board comprised primarily of representatives of the community who provide input and guidance on serving the community.
Part VI Line 5	continued 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 portiion 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 7	WA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (34 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Benaroya Research Institute at Virginia Mason
1201 Ninth Avenue	Seattle	WA	98101	910653422	501c3	$3,502,500	Operating Grant
Virginia Mason Health System
1100 Ninth Avenue	Seattle	WA	98101	911351110	501c3	$3,204,166	Operating Grant
Project Access Northwest
1111 Harvard Ave	Seattle	WA	98122	204377921	501c3	$81,500	General Support
Public Health - Seattle & King County
401 5th Ave Ste 1200	Seattle	WA	98104	916001327	Washington	$81,000	General Support
JDRF International
1200 Sixth Ave Suite 605	Seattle	WA	98101	231907729	501c3	$44,000	General Support
Northwest Healthcare Response Network
7100 Fort Dent Way Ste 210	Tukwila	WA	98188	463002271	501c3	$35,000	General Support
American Heart Association
710 Second Ave Ste 900	Seattle	WA	98104	135613797	501c3	$32,107	General Support
Kasey Kahne Foundation
130 Infield Court	Mooresville	NC	28117	251926392	501c3	$30,000	General Support
National Multiple Sclerosis Society
192 Nickerson St Ste 100	Seattle	WA	98109	910742424	501c3	$27,500	General Support
Neighborcare Health
1537 Western Ave	Seattle	WA	98101	910893287	501c3	$25,000	General Support
Washington Youth Soccer
500 S 336th St	Federal Way	WA	98003	237303150	501c3	$25,000	General Support
Group Health Foundation
PO Box 34015	Seattle	WA	98124	911246278	501c3	$15,000	General Support
Northwest Kidney Centers
PO Box 3035	Seattle	WA	98114	916057438	501c3	$15,000	General Support
Pancreatic Cancer Action Network
1500 Rosecrans Ave Ste 200	Manhattan Beach	CA	90266	330841281	501c3	$15,000	General Support
Bainbridge Island Downtown Association
120 Madrone Lane N Ste 203	Bainbridge Island	WA	98110	911390519	501c3	$10,600	General Support
Foundation for Health Care Quality
705 Second Ave Suite 703	Seattle	WA	98104	911419327	501c3	$10,000	General Support
Crohn's & Colitis
9 Lake Bellevue Dr Suite 203	Seattle	WA	98005	136193105	501c3	$9,500	General Support
EvergreenHealth Foundation
12040 NE 128th St	Kirkland	WA	98034	911519430	501c3	$8,000	General Support
Encompass
1407 Boalch Ave NW	North Bend	WA	98045	910825232	501c3	$7,500	General Support
Girls on the Run Puget Sound
8757 15th Ave NW	Seattle	WA	98117	841618574	501c3	$7,500	General Support
Robert Vasen Foundation
2807 102nd Ave SE	Bellevue	WA	98004	208656415	501c3	$7,500	General Support
Seattle Pacific University
3307 Third Ave Ste 106	Seattle	WA	98117	910565553	501c3	$6,000	General Support
American Red Cross
1900 25th Ave S	Seattle	WA	98144	530196605	501c3	$5,000	General Support
ArtsFund
PO Box 19780	Seattle	WA	98109	910839644	501c3	$5,000	General Support
Autoimmune Advocacy Alliance - A3
PO Box 3658	Wenatchee	WA	98807	454710734	501c3	$5,000	General Support
Bellevue Arts Museum
510 Bellevue Way NE	Bellevue	WA	98004	916028261	501c3	$5,000	General Support
Community Foundation of NCW
9 S Wenatchee Ave	Wenatchee	WA	98801	911349486	501c3	$5,000	General Support
Mary's Place
1830 9th Ave	Seattle	WA	98101	272087950	501c3	$5,000	General Support
National Patient Safety Foundation
268 Summer Street 6th Floor	Boston	MA	02210	367166993	501c3	$5,000	General Support
Northwest Parkinson's Foundation
400 Mercer Street Ste 502	Seattle	WA	98109	911923159	501c3	$5,000	General Support
Robert Chinn Foundation
PO Box 14084	Seattle	WA	98121	911364167	501c3	$5,000	General Support
Seattle Center Foundation
05 Harrison St 302	Seattle	WA	98109	911003385	501c3	$5,000	General Support
The Seattle Foundation
1200 5th Ave Ste 1300	Seattle	WA	98101	916013536	501c3	$5,000	General Support
YWCA of Seattle-KC-Snohomish Cty
1118 Fifth Ave	Seattle	WA	98101	910482890	501c3	$5,000	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	34	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I Line 2	FormAndLineReferenceDesc
Explanation	The 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

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Gary Kaplan MD
Chairman, CEO	$1,040,152	$403,531	$19,660	$1,081,178	$42,468	$2,586,989
Suzanne Anderson
Executive Vice President, CIO/CFO	$508,403	$264,934	$19,760	$92,181	$33,858	$919,136
Katerie Chapman
Senior Vice President, Hospital Administrator	$315,217	$69,513	$5,488	$14,931	$31,246	$436,395
Lucy Glenn MD
Chief of Radiology	$572,032	$142,408	$18,944	$59,754	$9,029	$802,167
Michael Glenn MD
Chief Medical Officer	$628,399	$200,674	$19,114	$118,239	$9,861	$976,287
Fred Govier MD
Chief of Surgery	$619,092	$155,238	$19,114	$39,240	$21,610	$854,294
Joyce Lammert MD
Medical Director, Hospital	$443,634	$112,527	$19,528	$83,331	$9,427	$668,447
Sarah Patterson
Executive Vice President, COO	$516,256	$167,328	$245,119	$100,626	$30,660	$1,059,989	$171,331
William Poppy
Senior Vice President, CTO	$353,815	$92,382	$58,286	$14,931	$33,967	$553,381
Steve Rupp MD
Medical Director, Perioperative Services and Anesthesia	$427,591	$117,099	$1,114	$14,931	$22,613	$583,348
Donna Smith MD
Medical Director, Clinic	$436,049	$112,381	$18,414	$119,511	$33,045	$719,400
Charleen Tachibana RN
Senior Vice President, Quality and Safety	$397,168	$98,628	$20,920	$74,781	$11,092	$602,589
James P Cote
Senior Vice President, Clinic Administrator	$256,003	$84,099	$16,428	$64,581	$20,453	$441,564
Michael P Ondracek
Vice President, Clinic Operations	$157,813	$60,333	$630	$9,891	$10,055	$238,722
Caterine Potts MD
Chief, Primary Care	$317,172	$81,411	$19,191	$46,224	$12,409	$476,407
Shelly Fagerlund
Vice President, Clinic Operations	$216,530	$53,361	$900	$14,931	$21,549	$307,271
Michael Gluck MD
Chief of Medicine	$728,556	$183,619	$19,531	$41,664	$33,818	$1,007,188
Denise Dubuque
Vice President, Surgical and Procedural Services	$196,833	$29,835	$340	$14,931	$17,617	$259,556
Cindy Rockfield
Vice President, Clinic Operations	$144,257	$20,315	$270	$13,804	$10,088	$188,734
Christopher L Fellows MD
Physician	$1,221,884		$19,054	$30,465	$22,300	$1,293,703
Ulrike I Ochs MD
Physician	$943,741	$22	$21,222	$19,728	$30,113	$1,014,826
Richard A Kozarek MD
Physician	$933,744		$70,910	$68,824	$22,340	$1,095,818	$50,000
Mark Hill MD
Physician	$887,326		$18,270	$84,021	$17,863	$1,007,480
Ravi Kirshnan MD
Physician	$883,738		$18,422	$14,931	$32,690	$949,781
Andrew Jacobs MD
Physician, Former Key Employee	$264,695	$119,976	$423,648	$21,118	$29,408	$858,845	$392,220

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I Line 1a	Social 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 1b	All 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 4b	The 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Washington Health Care Facilities Authority	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	911108929	BondIssuerEIN
CUSIP	93978EH54	CUSIPNum
Bond Issued	2007-12-03	BondIssuedDt
Issue Price	$316,302,277	IssuePriceAmt
Purpose	Refund/Redeem, acquire, construct, remodel facility purchase equipment	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$7,700,000	RetiredAmt
Total Proceeds	$324,407,027	TotalProceedsAmt
In Reserve Fund	$25,474,387	InReserveFundAmt
Capitalized Interest	$23,686,013	CapitalizedInterestAmt
Refunding Escrow	$86,774,645	RefundingEscrowAmt
Issuance Costs From Proceeds	$6,230,082	IssuanceCostsFromProceedsAmt
Capital Expenditures	$182,241,899	CapitalExpendituresAmt
Substantial Completion	2011	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	Yes (true)	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	Yes (true)	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	Trinity Plus Funding	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of GIC	0000000017.000000000000	TermOfGICPct
Regulatory Safe Harbor Stsfd	Yes (true)	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I Line A Column C	93978EG30, 93978EH39, 93978EH47, 93978EH70, 93978EH62, 93978EG48, 93978EG55, 993978EG63
Part I Line A Column F	The proceeds of the reoffered 1997B Bonds together with the proceeds of the Series 2007 bonds will 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. The 1997A bonds were originally issued August 1, 1997. These bonds were issued to 1 refund on a current basis all of the Authoritys outstanding Revenue Bonds, Series 1987, issued in an original aggregate principle amount of 100,395,000 2 fund the initial deposit to the Reserve account for the Bonds 3 pay the premium for the Insurance Policy and 4 pay certain of other costs os issuing the Bonds. The 1997B bonds were originally issued August 1, 1997. 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.
Part II Line 3	Difference between Part I, column e and Part II, line 3 is investment earnings.
Part II Line 7	Difference between Part II, Line 7 and Form 8038, line 24, is due to lower issuance costs than the estimated cost included in the proceeds.
Part IV Line 2	The rebate computation was dated December 21, 2012.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Joan Lange	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Sister of Robert Lemon	RelationshipDescriptionTxt
Transaction	$30,934	TransactionAmt
Transaction	Employee	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1	The Medical Center provides integrated health services through a teaching hospital licensed for 336 beds and multi-specialty group practice of approximately 482 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 includes a graduate medical education program providing training to over 120 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 4a	The Medical Center is committed to subsidizing certain health services due 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 recipients. In addition to the care provided to its residential population, Bailey-Boushay provides day health services to 327 clients annually, allowing them to live independently with HIV/AIDS. 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 sliding fee scale for patients with gross family incomes at or below 300 of the Federal poverty guidelines adjusted for family size as follows 1 Below the Federal Poverty Level Medicaid and/or 100 discount 2 100 - 200 of Poverty Level 100 Discount 3 201 - 250 of Poverty Level 50 Discount 4 251 - 300 of Poverty Level 30 Discount. Full or partial charity care may be provided to patients with gross family incomes from 201 to 300 of the federal poverty level when circumstances indicate that full payment may cause 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 5,761,943 during the year, along with 24,340,347 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 4b	The 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 and 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 39 CNE events in 2015 to 931 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, customer service representatives, surgery schedulers, patient flow coordinators, respiratory therapists, social workers, educators, dietitians, specialized technicians 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, 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. The program was last reaccredited in 2010, receiving Accreditation with Commendation, a designation achieved by the top 25 percent of CME programs in the country. In 2015, the CME department sponsored 36 courses either full-, half-, or multi-day totaling 459.5 hours of instructions. These activities were attended by 1,215 participants, including 598 physicians. In 2013, CME was approved by the American Board of Medical Specialties Portfolio Program, permitting Virginia Mason to endorse and award AMA PRA Category 1 Credit TM for quality improvement projects for physician Maintenance of Certification MOC Part IV credit. In 2015, 6 physicians completed these projects. During 2015, 43 one-hour Grand round presentations were presented at the Medical Center, with the on-site audience averaging 116 attendees weekly. The Grand Round series is also broadcast via videoconference to the organizations satellites locations and to 13 off-site health care systems throughout Alaska and Washington State. The CME department supports 11 additional Regularly Scheduled Series in including Cancer Care, Clinical Cardiovascular, Neuroscience Imaging, Competencies and Incidents, Vascular Surgery, GI Radiology, GI Pathology, Pharmacy and Therapeutics, and Schwartz Rounds. During the year, 594.0 hours of instruction were offered through these 12 series. Cumulative participation hours tracked for these 12 series totaled 6,576, of which 5,485 were physician attendance hours. Approximately 12 of our investigators have faculty appointments at the University of Washington, including 6 at the professorship level. The Medical Center also maintains a medical library to support its education and research activities.
Form 990, Part III, Line 4c	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 2015, the Medical Center provided 135,000 toward support of Separation and Loss. The Medical Center also supports Tender Loving Care TLC which is a day-care program for mildly ill children in King County. The program offers a cost-effective alternative for working parents with children who are mildly ill. TLC is open to the general public for a set fee and to employees of companies that contract for the service as part of their employee benefit package. The staff at TLC includes full-time registered nurses and a team of teachers experienced in early childhood education and child development, as well as infection control and caring for mildly ill children. The Medical Center provided 78,000 toward the operating costs of TLC in 2015.
Form 990, Part III, Line 4d	The 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 HealthWalk which benefited the American Heart Association AHA in 2015. AHAs mission is to reduce coronary heart disease, stroke and risk by 25. 2 The Medical Center was a sponsor of the JDRF Gala to benefit the Juvenile Diabetes Research Foundation JDRF. 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 Pancreatic Cancer Survivor Gala to benefit Pancreatic Cancer Action Network. Pancreatic Cancer Action Network is a nationwide network of people dedicated to working together to advance research, support patients and create hope for those affected by pancreatic cancer. 4 The mission of United Way is to improve peoples lives by mobilizing the caring power of communities. The Medical Center provides support to the United Ways fundraising effort through staff donations and through a Virginia Mason contribution in 2015.
Form 990, Part VI, Section A, Line 1a	The governing body delegates to an Officers 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 Officers Committee, such authority to be exercised in time periods between regularly scheduled meetings of the Board of Directors. All members of the Officers Committee are members of the governing body of the corporation. The Officers Committee does not have the authority to amend, alter or repeal the Bylaws, elect, appoint or remove any member of the Officers 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, after or repeal any resolution of the Board which by its terms provides that it shall not be amended, altered or repealed by the Officers Committee or terminate the Chief Executive Officer. The Officers Committee also periodically evaluates the effectiveness of Virginia Mason Medical Centers VMMC systems for resolving internal conflicts. The Board also delegates to the Officers 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 2	Family relationship between key employees Michael Glenn, MD and Lucy Glenn, MD.
Form 990, Part VI, Section A, Line 6, 7	Virginia Mason Health System VMHS is the sole corporate member of Virginia Mason 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 11b	The 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 September 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 September meeting, the ACC Chair updates the VMMC 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 VMMC 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 VMMC 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 12c	The 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 Virginia Mason 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 Virginia Masons 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 15	The Compensation and Benefits Board Committee, a committee composed solely of independent directors none of whom have a conflict of interest, is accountable for setting reasonable total compensation packages for each executive, including the CEO, officers and key employees Executives consistent with Virginia Masons 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 Virginia Mason Executives. The Committee assesses performance against these goals. The Committee selects and engages a qualified independent compensation consultant to review and analyze the total compensation and benefits packages to the Executives. The Committee as part of its analysis obtains from the compensation consultant appropriate comparability data including total compensation paid by similarly situated for-profit and non-profit health care organizations for positions that are functionally comparable to each of the Executives. With respect to those Executives below the level of Chair/Chief Executive Officer, the Committee requests that the Chair/Chief Executive Officer work with the compensation consultant to formulate a compensation recommendation for each such Executive, consistent with Virginia Masons compensation philosophy and principles. Consistent with Virginia Masons 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 Virginia Mason. 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 2015 were Chief Executive Officer, Chief Operating Officer and Executive Vice President, Chief Information Officer/Chief Financial Officer and Executive Vice President, Senior Vice Presidents, Vice Presidents, Physician Chiefs, Clinic Medical Director, Hospital Medical Director, and Chief Medical Director.
Form 990, Part VI, Section C, Line 19	Documents are made available upon request.
Form 990, Part XI, Line 9	Additional Pension Adjustment 5,485,058 Capital Transfers - Restricted 6,643.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
1000 Madison LLC
1100 Ninth Avenue	Seattle	WA	98101	204018216	Real Estate	WA	$1,593,508	$28,256,521	VMMC
1005 Spring Street LLC
1100 Ninth Avenue	Seattle	WA	98101	204816736	Real Estate	WA	$1,918,784	$3,971,621	VMMC
Health Resource Services LLC
1100 Olive Way	Seattle	WA	98101	262800994	Group Purchasing	WA	$11,084,431	$25,527,822	VMMC
Puget Sound High Value Network LLC
1100 Ninth Avenue	Seattle	WA	98101	472840780	Medical Network	WA			VMMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Virginia Mason Health System
1100 Ninth Avenue	Seattle	WA	98101	911351110	Fundraising	WA	501c3	7	N/A	Yes (true)
Virginia Mason Institute
1100 Ninth Avenue	Seattle	WA	98101	263763656	Education/Research	WA	501c3	9		Yes (true)	VMMC
Benaroya Researach Institute at Virginia Mason
1201 Ninth Avenue	Seattle	WA	98101	910653422	Research	WA	501c3	4		false	VMHS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	National Purchasing Partners LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 Olive Way	AddressLine1Txt
City	Seattle	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98101	ZIPCd

Field	Value	IRS element (for citing)
EIN	203470995	EIN
Primary Activities	Group Purchasing	PrimaryActivitiesTxt
Legal Domicile State	WA	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Predominant Income Type	Unrelated	PredominantIncomeTypeTxt
Share Of Total Income	$13,327,462	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,096,416	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$13,326,466	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.50000	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
Virginia Mason Medical Center
1100 Ninth Avenue	Seattle	WA	98101	910565539	Yes (X)	$108,173	$46,593	$154,766	$1,024,957,778	$1,025,112,544	$920,931	$230,233	$0	$0	$0
Virginia Mason Institute
1100 Ninth Avenue	Seattle	WA	98101	263763656		$0	$0	$0	$6,526,468	$6,526,468	$5,863	$1,466	$0	$0	$0
Virginia Mason Health System
1100 Ninth Avenue	Seattle	WA	98101	911351110		$0	$0	$0	$14,005,171	$14,005,171	$12,582	$3,146	$0	$0	$0
Benaroya Research Institute at Virginia Mason
1100 Ninth Avenue	Seattle	WA	98101	910653422		$0	$0	$0	$67,482,221	$67,482,221	$60,624	$15,156	$0	$0	$0