VIRGINIA MASON MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: VIRGINIA MASON MEDICAL CENTER (EIN 91-0565539)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201313199349309356
Schema version: 2012v2.2
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)
Timestamp	2013-11-15T01:39:48-00:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1918 8th Avenue Suite 2900	AddressLine1
City	Seattle	City
State	WA	State
ZIP Code	98101	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	910565539	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Virginia Mason Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	VIRG	NameControl
Phone	2062236600	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 Ninth Avenue	AddressLine1
City	Seattle	City
State	WA	State
ZIP Code	98101	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Gary Kaplan	Name
Title	Chairman and CEO	Title
Date Signed	2013-10-21	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Sue Robison	Name
Phone	2069134000	Phone
Date Prepared	2013-10-21	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Gary Kaplan	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1100 Ninth Avenue	AddressLine1
City	Seattle	City
State	WA	State
ZIP Code	98101	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1024797520	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.virginiamason.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1934	YearFormation
State Legal Domicile	WA	StateLegalDomicile
Activity Or Mission Description	Medical Centers mission is to improve the health and well-being of the patients it serves through the delivery of high quality, cost-effective care to its patients. The Medical Center provides integrated health services through a teaching hospital and multi-specialty group practice, offering both primary and specialized care.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	6229	TotalNbrEmployees
Total Nbr Volunteers	1458	TotalNbrVolunteers
Total Gross UBI	22420674	TotalGrossUBI
Net Unrelated Business Txbl Income	12150645	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6179104	ContributionsGrantsPriorYear
Contributions Grants Current Year	6373444	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	863679342	ProgramServiceRevenuePriorYear
Program Service Revenue CY	907479662	ProgramServiceRevenueCY
Investment Income Prior Year	14803799	InvestmentIncomePriorYear
Investment Income Current Year	21457664	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7676040	OtherRevenuePriorYear
Other Revenue Current Year	8250585	OtherRevenueCurrentYear
Total Revenue Prior Year	892338285	TotalRevenuePriorYear
Total Revenue Current Year	943561355	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	7846671	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	9188382	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	506728697	SalariesEtcPriorYear
Salaries Etc Current Year	543601628	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	348470951	OtherExpensePriorYear
Other Expenses Current Year	371421754	OtherExpensesCurrentYear
Total Expenses Prior Year	863046319	TotalExpensesPriorYear
Total Expenses Current Year	924211764	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	29291966	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	19349591	RevenuesLessExpensesCY
Total Assets BOY	917015772	TotalAssetsBOY
Total Assets EOY	950291534	TotalAssetsEOY
Total Liabilities BOY	598645723	TotalLiabilitiesBOY
Total Liabilities EOY	599296962	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	318370049	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	350994572	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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. The Medical Center provides integrated health services through a teaching hospital licensed for 336 beds and multi-specialty group practice of more than full-time 465 physicians.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	769553152	Expense
Revenue	915016940	Revenue
Description	Health Care Services The Medical Center is a tertiary regional referral center which serves a patient community that includes Seattle and its surrounding suburbs, Western Washington and Alaska. The main campus located in Seattle includes a hospital, an outpatient clinic, centers of excellence including the Center for Hyperbaric Medicine, Digestive Disease Institute, Floyd Delores Jones Cancer Institute, Heart Institute, Neuroscience Institute and Urology. The Medical Center also operates seven regional clinics, and Bailey-Boushay House, a 35-bed skilled nursing facility. During 2012, the Medical Center recorded 16,402 hospital inpatient admissions, 23,095 emergency room visits and 828,823 clinic visits. The Medical Center provided charity care and unreimbursed Medicaid services to a total of 5,979 patients. Continued on Schedule O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	25373509	Expense
Grants	4975449	Grants
Revenue	346781	Revenue
Description	Education and Research The Medical Center is an independent academic medical center with a graduate medical education program that trains over 120 residents in five accredited programs in internal medicine, surgery, transitional year, radiology, and anesthesiology. 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 the training of subspecialities in the areas of anesthesiology, orthopedics, obstetrics, gynecology and urology. The Medical Center also provides training in clinical nursing education, allied health fields, continuing medical education and grand rounds. In addition, the Medical Center conducts medical research through its affiliate Benaroya Research Institute at Virginia Mason, a scientific research institute qualified under Section 501c3 of the Internal Revenue Code. Continued on Schedule O	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	599394	Expense
Revenue	366526	Revenue
Description	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 2012, the Medical Center provided 151,000 of support for the Teaching Center. Continued on Schedule O	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	4446541	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	4212933	TotalOfOtherProgramServiceGrnt
Total Program Service Expense	799972596	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	647	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	6229	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MaryAnne Olmstead	NamePerson
Telephone Number	2066257371	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1100 Olive Way Suite 605	AddressLine1
City	Seattle	City
State	WA	State
ZIP Code	98101	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Carolyn Corvi
Chairman	002.00	004.00	X	X	0	0	0
Joshua Jay Green III
Director	002.00	002.00	X		0	0	0
Tod Hamachek
Director	002.00	002.00	X		0	0	0
Robert Bob Lemon
Director	002.00	004.00	X		0	0	0
Alfred Al E Lopus
Director	002.00	002.00	X		0	0	0
Dorothy H Mann PhD
Director	002.00	002.00	X		0	0	0
David Moffett
Treasurer	002.00	002.00	X	X	0	0	0
James Jamie Orlikoff
Director	002.00	004.00	X		0	0	0
Jane Blodgett
Director	002.00	002.00	X		0	0	0
Evelyn Cruz Sroufe
Vice Chairman	002.00	002.00	X	X	0	0	0
Lonnie Edelheit PhD
Director	002.00	002.00	X		0	0	0
James Jim Young
Secretary	002.00	004.00	X	X	0	0	0
Julie Morath RN
Director	002.00	002.00	X		0	0	0
Richard Rich Martinez
Director	002.00	002.00	X		0	0	0
Kristi Pangrazio
Director	002.00	003.00	X		0	0	0
Gary Kaplan MD
Chairman, CEO	050.00	005.00		X	1507637	0	2230266
Suzanne Anderson
Executive Vice President, CIO/CFO	050.00	004.00		X	669322	0	74812
Katerie Chapman
Vice President	050.00				313402	0	35662	X
Lucy Glenn MD
Chief of Radiology	050.00				696867	0	81990	X
Michael Glenn MD
Physician in Chief, Medical Director, Clinic	050.00				795984	0	101409	X
Fred Govier MD
Chief of Surgery	050.00				777150	0	63230	X
Andrew Jacobs MD
Chief Medical Officer	050.00	001.00			612928	0	149065	X
Joyce Lammert MD
Chief of Medicine	050.00	001.00			564202	0	48492	X
Sarah Patterson
Executive Vice President, COO	050.00	004.00			912497	0	157715	X
William Poppy
Senior Vice President, CTO	050.00				504788	0	58642	X
Steve Rupp MD
Chief of Perioperative Services and Anesthesiology	050.00				614933	0	56147	X
Donna Smith MD
Medical Director, Hospital	050.00				518011	0	89942	X
Charleen Tachibana RN
Senior Vice President, Hospital Administrator	050.00				493978	0	72823	X
James P Cote
Senior Vice President, Clinic Administrator	050.00				419751	0	25962	X
Michael P Ondracek
Vice President	050.00				279682	0	39447	X
Catherine Potts
Chief, Primary Care	050.00				388923	0	63617	X
Christopher L Fellows MD
Physician	050.00				1152957	0	63438		X
Ulrike I Ochs MD
Physician	050.00				988217	0	103070		X
Richard A Kozarek MD
Physician	050.00				950916	0	137458		X
Keith Paige MD
Physician	050.00				898360	0	61908		X
Shayan Irani M D
Physician	050.00				815870	0	32467		X
Brian McDonald MD
Physician, Former Key Employee	050.00				269478	0	36409			X
Robert Mecklenburg MD
Physician, Former Board Director	025.00	025.00			422861	0	46624			X
Craig Goodrich
Senior Vice President, Former Key Employee	050.00	001.00			402867	0	41318			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	15971581	TotalReportableCompFromOrg
Total Other Compensation	3871913	TotalOtherCompensation
Number Individuals GT100 K	1135	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Pitney Bowes Management Svc
P O Box 840851	Dallas	TX	75284	Mail Management Services	1686344
Skanska USA Building Inc
221 Yale Ave N Suite 400	Seattle	WA	98109	Construction Services	7998361
Crothall Healthcare Inc
955 Chesterbrook Bld Ste 300	Wayne	PA	19087	Staffing Services	12203580
AMN Healthcare Inc
12400 High Bluff Drive	San Diego	CA	92130	Staffing Services	2273785
Turner Constuction Company
830 4th Ave S	Seattle	WA	98134	Construction Services	8074297

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	42	NumberOfContractorsGT100K
Related Organizations	6373444	RelatedOrganizations
Total Contributions	6373444	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Operating Revenues	561499	975339903	966217499	9122404
Medicare/Medicaid payments	621300	295677435	295677435

Field	Value	IRS element (for citing)
Total Program Service Revenue	907479662	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	17847831	TotalRevenueColumn
Unrelated Business Revenue	12916978	UnrelatedBusinessRevenue
Exclusion	$4,930,853	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	-2727	TotalRevenueColumn
Exclusion	-$2,727	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1312857	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	961686	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	351171	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	351171	TotalRevenueColumn
Unrelated Business Revenue	123279	UnrelatedBusinessRevenue
Exclusion	$227,892	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	83813885	Securities
Other	73154	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	80247692	Securities
Other	26787	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3566193	Securities
Other	46367	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3612560	TotalRevenueColumn
Exclusion	$3,612,560	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria	722100	3598601	$3,598,601
Parking	721110	4030825	$3,772,812	258013
Medical Records	561499	257470	$257,470

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12518	TotalRevenueColumn
Exclusion	$12,518	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	7899414	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	943561355	TotalRevenueColumn
Related Or Exempt Function Income	898357258	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	22420674	UnrelatedBusinessRevenue
Exclusion	$16,409,979	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	9188382	Total
Program Services	9188382	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	13133240	Total
Program Services	7085181	ProgramServices
Management And General	6048059	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	449280478	Total
Program Services	389910343	ProgramServices
Management And General	59370135	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	26117131	Total
Program Services	22665885	ProgramServices
Management And General	3451246	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	26630316	Total
Program Services	23111255	ProgramServices
Management And General	3519061	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	28440463	Total
Program Services	24682200	ProgramServices
Management And General	3758263	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1686451	Total
Program Services	1463595	ProgramServices
Management And General	222856	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1635347	Total
Management And General	1635347	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	487874	Total
Management And General	487874	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	133874	Total
Management And General	133874	ManagementAndGeneral

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

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	48740631	Total
Program Services	42299804	ProgramServices
Management And General	6440827	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4303702	Total
Program Services	3734990	ProgramServices
Management And General	568712	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	175988389	Total
Program Services	152732417	ProgramServices
Management And General	23255972	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	25579837	Total
Program Services	22199591	ProgramServices
Management And General	3380246	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	20820779	Total
Program Services	18069419	ProgramServices
Management And General	2751360	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	3361281	Total
Program Services	2917105	ProgramServices
Management And General	444176	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	523285	Total
Program Services	454136	ProgramServices
Management And General	69149	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	12475665	Total
Program Services	10827069	ProgramServices
Management And General	1648596	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	39760808	Total
Program Services	34468693	ProgramServices
Management And General	5292115	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1560727	Total
Program Services	1354485	ProgramServices
Management And General	206242	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Taxes	22491794	22491794
Medical Purchase Services	560930	486806	74124
Dues and Subscriptions	2167051	1880686	286365
Bad Debt Expense	103500	103500

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	9039829	Total
Program Services	7845260	ProgramServices
Management And General	1194569	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	924211764	Total
Program Services	799972596	ProgramServices
Management And General	124239168	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	46140605	BOY
EOY	36980257	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	46018726	BOY
EOY	39350733	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	95948616	BOY
EOY	103217332	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	13052072	BOY
EOY	13639506	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3940998	BOY
EOY	4014345	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	899991516	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	380047341	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	505919340	BOY
EOY	519944175	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	152031866	BOY
EOY	179166776	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	722801	BOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	53240748	BOY
EOY	53978410	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	917015772	BOY
EOY	950291534	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	122772702	BOY
EOY	127449847	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	43867	BOY
EOY	52522	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	328704983	BOY
EOY	325757212	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	30737154	BOY
EOY	29351564	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	116387017	BOY
EOY	116685817	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	598645723	BOY
EOY	599296962	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	300177790	BOY
EOY	333336273	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14117580	BOY
EOY	13451315	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4074679	BOY
EOY	4206984	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	318370049	BOY
EOY	350994572	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	917015772	BOY
EOY	950291534	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	19349591	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	11488701	ReconciliationUnrealizedInvest
Reconcilation Other Changes	1786231	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
Public Support Pertcentage170	0.00000	PublicSupportPertcentage170
Public Support Percentage509	0.00000	PublicSupportPercentage509
Investment Income Percentage	0.00000	InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Org Belongs To Affiliated Group	X	OrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	127874	FilingOrganizationsTotals
Affiliated Group Totals	127874	AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	6000	FilingOrganizationsTotals
Affiliated Group Totals	6000	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	133874	FilingOrganizationsTotals
Affiliated Group Totals	133874	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	924077890	FilingOrganizationsTotals
Affiliated Group Totals	984166099	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	924211764	FilingOrganizationsTotals
Affiliated Group Totals	984299973	AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals
Affiliated Group Totals	1000000	AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals
Affiliated Group Totals	250000	AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

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

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	269422	CurrentYearMinus3
Current Year Minus2	270061	CurrentYearMinus2
Current Year Minus1	222311	CurrentYearMinus1
Current Year	133874	CurrentYear
Total	895668	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250001	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000001	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,002	GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

Field	Value	IRS element (for citing)
Current Year Minus3	152146	CurrentYearMinus3
Current Year Minus2	151772	CurrentYearMinus2
Current Year Minus1	122311	CurrentYearMinus1
Current Year	127874	CurrentYear
Total	554103	Total

Form990 Schedule C Part IV Form990ScheduleCPartIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
II-A	A	Virginia Mason Medical Center, EIN 91-0565539, 1100 Ninth Avenue, Seattle, WA 98101. Election Member. Grassroots Lobbying Expenditures 127,874 Direct Lobbying Expenditures 6,000. 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, 2012. Virginia Mason Medical Center pays membership dues to Washington State Hospital Association, a portion of which was used for legislative and lobbying activities. Virginia Mason Medical Center also pays membership dues to other professional health care organizations, a portion of which may be used for legislative and lobbying activities.
II-A	A continued	Virginia Mason Institute, EIN 26-3763656, 1100 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures. Excess Lobbying Expenditures 0.
II-A	A continued	Virginia Mason Health System, EIN 91-1351110, 1100 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures. Excess Lobbying Expenditures 0.
II-A	A continued	Benaroya Research Institute at Virginia Mason, EIN 91-0653422, 1201 Ninth Avenue, Seattle, WA 98101. Non-electing member. 0 Lobbying Expenditures. Excess lobbying expenditures 0.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12043176	BeginningOfYearBalance
Contributions	100706	Contributions
Investment Earnings Or Losses	1800839	InvestmentEarningsOrLosses
Grants Or Scholarships	491586	GrantsOrScholarships
End Of Year Balance	13453135	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12672073	BeginningOfYearBalance
Investment Earnings Or Losses	-146637	InvestmentEarningsOrLosses
Grants Or Scholarships	482260	GrantsOrScholarships
End Of Year Balance	12043176	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11663690	BeginningOfYearBalance
Contributions	20	Contributions
Investment Earnings Or Losses	1423022	InvestmentEarningsOrLosses
Grants Or Scholarships	414659	GrantsOrScholarships
End Of Year Balance	12672073	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9444928	BeginningOfYearBalance
Contributions	230704	Contributions
Investment Earnings Or Losses	2265200	InvestmentEarningsOrLosses
Grants Or Scholarships	277142	GrantsOrScholarships
End Of Year Balance	11663690	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13624798	BeginningOfYearBalance
Contributions	500931	Contributions
Investment Earnings Or Losses	-4680801	InvestmentEarningsOrLosses
End Of Year Balance	9444928	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.59850	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.27480	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.12660	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	true	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	36370602	OtherCostOrOtherBasis
Book Value	36370602	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	472643791	OtherCostOrOtherBasis
Depreciation	130192177	Depreciation
Book Value	342451614	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20887902	OtherCostOrOtherBasis
Depreciation	10120836	Depreciation
Book Value	10767066	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	339996885	OtherCostOrOtherBasis
Depreciation	239112790	Depreciation
Book Value	100884095	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	30092336	OtherCostOrOtherBasis
Depreciation	621538	Depreciation
Book Value	29470798	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	519944175	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

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

Other Assets OtherAssets (13 entries)

DescriptionDescription	Book ValueBookValue
Funds Held By Trustee	37167102
Interest Receivable Swap	200000
Long Term Receivable	384800
BB Cemetry Plots/Niches Donated Assets	19000
Parking Rights	346926
Winthrop Apartment	227800
Equity Investment-HSCA	213734
Deferred Financing Costs	8402680
Partnership Interest in National Purchasing Partners	235256
Beneficial Interest	2612267
Start Up Costs-Madison	9285
Equity Investment in Administrative Resources	3909560
Network Group Purchasing	250000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	53978410	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
Federal income taxes
Due to affiliates	$2,458,333
Estimated Third Party Payor Settlement	$8,568,880
Reserve for Professional Liability Claims	$14,700,507
Accrued Retirement Expenses	$86,295,352
Asbestos Abatement	$964,540
Deferred Rent Credits	$3,698,205

Field	Value	IRS element (for citing)
Total Of Amounts	116685817	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	957291265	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	11488701	NetUnrealizedGainsInvestments
Other Revenues	7259330	OtherRevenues
Revenue Not Rptd F990	18748031	RevenueNotRptdF990
Revenue Subtotal	938543234	RevenueSubtotal
Other Revenues Not Included	5018121	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	5018121	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	943561355	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	923568931	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	4375288	OtherExpensesIncluded
Expenses Not Rptd F990	4375288	ExpensesNotRptdF990
Expenses Subtotal	919193643	ExpensesSubtotal
Other Expenses Not Included	5018121	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	5018121	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	924211764	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
V	4	Support health care mission of Virginia Mason Medical Center and research mission of Benaroya Research Institute at Virginia Mason.
X	2	Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Medical Center and recognize a tax liability or asset if the Corporation has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS. Management has analyzed tax positions taken by the Corporation and has concluded that as of December 31, 2012, 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 2009.
VIII	2d	Donated Capital 1,075 Restricted Capital Transfers 3,313,902 Additional Pension Adjustment 1,526,596 Virginia Mason Institute Revenues 3,679,331 Donation Transfers 1,793,768
XI	4b	Non-operating expenses 5,419,197 Financial Reclasses 559,403 Rental expenses 961,686 Loss on disposal of equipment 1,207
XII	2d	Donation Transfers 1,793,768 Virginia Mason Instutite Expenses 2,581,520
XII	4b	Non-operating expenses 5,419,197 Financial Reclasses 559,403 Rental expenses 961,686 Loss on disposal of equipment 1,207

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
East Asia and the Pacific	Program Services	Education	24300
Europe	Program Services	Education	19280
North America	Program Services	Education	1428

Field	Value	IRS element (for citing)
Subtotal Amount Spent	45008	SubtotalAmountSpent
Total Amount Spent	45008	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	I	Identifier
Return Reference	3	ReturnReference
Explanation	Expenditures are actual expenses incurred in the region based on individual expense reports and tracking of expenditures by the department.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	5979	PersonsServed
Total Community Benefit Expense	11042665	TotalCommunityBenefitExpense
Net Community Benefit Expense	11042665	NetCommunityBenefitExpense
Percent Of Total Expense	0.01190	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	4470	PersonsServed
Total Community Benefit Expense	30673487	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25398725	DirectOffsettingRevenue
Net Community Benefit Expense	5274762	NetCommunityBenefitExpense
Percent Of Total Expense	0.00570	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	10449	PersonsServed
Total Community Benefit Expense	41716152	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25398725	DirectOffsettingRevenue
Net Community Benefit Expense	16317427	NetCommunityBenefitExpense
Percent Of Total Expense	0.01760	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	1863	PersonsServed
Total Community Benefit Expense	906152	TotalCommunityBenefitExpense
Direct Offsetting Revenue	58007	DirectOffsettingRevenue
Net Community Benefit Expense	848145	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	27	NumberOfActivitiesOrPrograms
Persons Served	804	PersonsServed
Total Community Benefit Expense	10724870	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6701964	DirectOffsettingRevenue
Net Community Benefit Expense	4022906	NetCommunityBenefitExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	395	PersonsServed
Total Community Benefit Expense	429197	TotalCommunityBenefitExpense
Direct Offsetting Revenue	125873	DirectOffsettingRevenue
Net Community Benefit Expense	303324	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5681783	TotalCommunityBenefitExpense
Net Community Benefit Expense	5681783	NetCommunityBenefitExpense
Percent Of Total Expense	0.00610	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	37	NumberOfActivitiesOrPrograms
Persons Served	3062	PersonsServed
Total Community Benefit Expense	17742002	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6885844	DirectOffsettingRevenue
Net Community Benefit Expense	10856158	NetCommunityBenefitExpense
Percent Of Total Expense	0.01170	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	37	NumberOfActivitiesOrPrograms
Persons Served	13511	PersonsServed
Total Community Benefit Expense	59458154	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32284569	DirectOffsettingRevenue
Net Community Benefit Expense	27173585	NetCommunityBenefitExpense
Percent Of Total Expense	0.02930	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Building Expense	527007	TotalCommunityBuildingExpense
Net Community Building Expense	527007	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Building Expense	527007	TotalCommunityBuildingExpense
Net Community Building Expense	527007	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$5,237,346	BadDebtExpenseAmount
Amount Reimbursed By Medicare	156946640	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	176526686	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-19580046	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Virginia Mason Medical Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1100 Ninth Avenue	AddressLine1
City	Seattle	City
State	WA	State
ZIP Code	98101	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours
Facility Reporting Group	A	FacilityReportingGroup

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	0000000002.000000000000	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	0000000003.000000000000	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	true	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	true	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	8	NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Virginia Mason Federal Way
33501 First Way S	Federal Way	WA	98003	Outpatient Clinic
Virginia Mason Lynnwood
19116 33rd Ave W	Lynnwood	WA	98036	Outpatient Clinic
Virginia Mason Kirkland
11800 NE 128th St Suite 300	Kirkland	WA	98034	Outpatient Clinic
Virginia Mason Issaquah
100 NE Gilman Blvd	Issaquah	WA	98027	Outpatient Clinic
Virginia Mason Bellevue
222 112th Ave NE	Bellevue	WA	98004	Outpatient Clinic
Virginia Mason Bainbridge Island
380 Winslow Way E	Bainbridge Island	WA	98110	Outpatient Clinic
Virginia Mason Sand Point Pediatrics
4575 Sand Point Way NE Suite 108	Seattle	WA	98105	Outpatient Clinic
Bailey Boushay House
2720 East Madison	Seattle	WA	98112	Skilled Nursing Facility

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

IdentifierIdentifier	ExplanationExplanation
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 ratios 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. The Medical Center supported a Day of Caring at non-profit organizations through United Way. The Medical Center supported a medical recuperation program for homeless people who need health services but no longer need hospital-level care for King County.
Part III Line 4	The Medical Centers financial statement includes the following statement on estimated uncollectibles 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 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 change in allowance for uncollectible accounts during the year ended December 31, 2011 Allowance for uncollectible accounts at beginning of the year 4,456,000 Write-offs of accounts deemed uncollectible 9,098,000 Provision for bad debt 9,214,000 Allowance for uncollectible accounts at the end of the year 4,572,000. For the year ended December 31, 2012 Allowance for uncollectible accounts at beginning of the year 4,572,000 Write-offs of accounts deemed uncollectible 10,757,000 Provision for bad debt 10,801,000 Allowance for uncollectible accounts at end of year 4,616,000.
Part III Line 8	The Medical Centers calcuation of the Medicare shortfall related to Hospital based inpatient and outpatient services is 19,580,046. The Medical Center employs over 400 physicians who provide professional services to patients which is 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 shows that 42 million of Medicare revenue is not included in the traditional cost report with related costs of 80 million for a shortfall of 38 million 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 arrangement 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 V	Line 20 - 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 receive an additional 30 discount for a total reduction in charges of 52.5.
Part VI Line 2	Virginia Mason believes in contributing to the communities where patients and staff work and live. We act on this belief by contributing time, energy and money to efforts that benefit the community in the areas of improving health, providing free and subsidized care, and supporting health professionals education and research. Virginia Mason conducts a Community Health Needs Assessment CHNA every three years. In 2009, the Medical Center enhanced its community needs assessment by utilizing data from Public Health - Seattle and King County, United Way of King County, Snohomish County Health District, Kitsap County Health District, Northwest Area Foundation and Washington State Department of Health Local Public Health Indicators, and the United States Department of Health and Human Services Healthy People 2010 leading health indicators. We partnered with The Center for Community Health and Evaluation CCHE in 2012 to begin building our next CHNA, which included gathering secondary data from a variety of local, state, and federal agencies, including Public Health-Seattle and King County, and conducting key informant interviews with individuals representing public health, city government, the healthcare safety net, cultural communities, schools, and health adovacy. 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. Our community benefit program focuses our resources on the needs of the community and the strengths of Virginia. Some examples A Subsidized Health Services 1 Bailey-Boushay House BBH is Americas first skilled nursing facility that has planned, funded, built and staffed to meet the needs of people living with AIDS. In 2012, Virginia Mason provided more than 950,000 in community benefit funding to support BBH. 2 Partnership with Public Health - Seattle and King County Health Care for the Homeless Network and other area hospitals to provide The Edward Thomas Respite Care program for homeless adults in King County. 3 Virginia Mason partners with Project Access Northwest PANW to provide specialty medical care for individuals with limited access to health care services. 4 Emergency Department open to all. 5 Tender Loving Care, a subsidized daycare program for mildly ill children. 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. 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 fully approved by the Accreditation Council on Graduate Medical Education ACGME. 2 Virginia Masons GME program partners with Public Health - Seattle and King County Health Services Division, providing 12 residents for the Eastgate Public Health Center. 3 Virginia Mason provides a 0.5 FTE faculty member every fall, winter and spring quarter for undergraduate clinical nursing instruction for the University of Washington School of Nursing. 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 and King County, and the Washington State Hospital Association. In addition to collaborating on future CHNAs, this partnership is researching and planning collaborative community benefit activities that will have a greater impact on the health of our community.
Part VI Line 2	continued F. Community Health Improvement Services 1 Community health education, such as our bilingual community diabetes prevention program, Nutrition and Fitness for Life program and classes in the Buse Diabetes Teaching Center. 2 Free health screenings and health fair sponsorships in the community. 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 brain tumor, Parkinsons disease, breast cancer, gastric bypass surgery and prostate cancer groups. 5 Bereavement support through our Separation and Loss Services. Because our current and future CHNAs indicate diabetes and obesity to be significant health risks, especially with our most vulnerable populations, Virginia Mason has also developed a comprehensive bilingual diabetes prevention program for the Latino community. This program includes education and outreach at the two largest Latino health fairs each year, interactive presentations six times a month at the Mexican Consulate in Seattle and a one-hour Spanish language radio program on El Ray 1360, with outreach to the entire state.
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 in 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 2011, Virginia Mason served over 230,000 individuals in its hospital and outpatient clinics. Virginia Masons service area encompasses the communities where it 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. Residents of Virginia Mason patients 2011 data are 1 Seattle 51,282 2 East King County 48,577 3 South King County 38,902 4 Northshore 23,962 5 Bainbridge Island 9,074 6 Service area total 171,797 7 Other Western Washington 39,192 8 Eastern Washington 6,932 9 Other Pacific Northwest 4,719 10 Other 7,668 for a total of 230,308.
Part VI Line 4	continued The service area population in 2010 was 2,188,175. the age and racial/ethnic profile of the total population of the three counties are as follows King County 1 Total population 1,942,600 2 Under 18 years 21 3 Age 18-64 68 4 65 years or older 11 5 White 65 6 Hispanic 9 7 Black 6 8 Asian 14 9 American Indian/Alaska Native 1 10 Native Hawaiian/Pacific Islander 1 11 Two or more races 4. Kitsap County 1 Total population 253,900 2 Under 18 years 23 3 Age 18-64 64 4 65 years or older 13 5 White 79 6 Hispanic 6 7 Black 3 8 Asian 5 9 American Indian/Alaska Native 1 10 Native Hawaiian/Pacific Islander 1 11 Two or more races 5. Snohomish County 1 Total population 717,000 2 Under 18 years 24 3 Age 18-64 65 4 65 years or older 10 5 White 74 6 Hispanic 9 7 Black 2 8 Asian 9 9 American Indian/Alaska Native 1 10 Native Hawaiian/Pacific Islander 0 11 Two or more races 4. 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 Federal Financial Institutions Examination Council, estimated median family income in 2012 in the Seattle-Bellevue-Everett metropolitan area was 88,000. 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. Enrollment in the free and reduced price meals programs has increased over the past decade and is highest in the Highline, Tukwila and Skykomish school districts. While unemployment has declined from nearly 10 percent in fall 2010 in the Seattle metropolitan area which includes parts of Snohomish County, it is still higher than before the economic downturn - 7.1 percent in May 2012.
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 commounity and increase access to preventive services. To accomplish this, our organization contributes time, energy and money in the areas of improving health, providing free and subsidized care, health professional 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 2012, Virginia Mason provided charity care to 5,979 patients at a cost of 11,042,665. In addition, Virginia Masons unreimbursed Medicaid was provided at a cost of 20,432,319.
Part VI Line 5	continued Community Health Improvement Services. Improving health and quality of life extends beyond diagnoisis 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 serveral 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 hospital that offers postgraduate education programs through its Graduate Medical Education Department GME. All GME postgraduate training programs are fully approved by the Accreditation Council on Graduate Medical Education ACGME. Virginia Mason trains more than 120 residents and fellows annually. Virginia Masons GME program is partnered with Public Health - Seattle and 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. Also, Virginia Mason provides a 0.5 FTE faculty member every fall, winter and spring quarter for undergraduate clinical nursing instruction for the University of Washington School of Nursing.
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	continued Research. Virginia Mason conducts medical research through its affiliate, Benaroya Reserach Institute at Virginia Mason BRI. BRI is a non-profit biomedical research institute that works to unlock the mysteries of the immune sysstem. Its team of world-renowned scientists is focused on identifying causes and cures for devastating diseases including diabetes, arthritis, heart disease and cancer. In 2012, the Medical Center provided 4,976,000 to support research activities at BRI.
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. The goal of EnviroMason is to reduce waste, recycle and conserve resources of our community. Virginia Mason became the first hospital in the Pacific Northwest to eliminate garbage cans and Styrofoam use and begin composting food waste. The organization was able to reduce kitchen garbage waste by 75 percent and reduce water use by 72 percent. Virginia Mason composts 15 tons of food and material waste per month, saves about 160,000 gallons of water in the hospitals kichen each year, and recycles about 250 pounds of plastic and tin each day. Cardboard recycling has increased by nearly 300 percent. Also, nearly 100 percent of cafeteria product purchases today are compostable. Our recycling results showed 34 percent of all waste generated at Virginia Mason is recycled, saving nearly 680 tons of waste from the environment. In addition, Virginia Mason has invested more than 3 million in energy conservation endeavors, including efficient lighting, advanced chiller plan installation and upgrades, and extensive water and energy and conservation measures. In 2011, Virginia Mason collaborated with a vendor to install three electric vehicle charging stations in one of our parking lots which helps promote this new technology and gives employees, patients and the general public a location to park and charge vehicles. Virginia Mason has one of the highest medical center surgery volumes in the region and about 30 percent of the organizations waste could be traced to the operating rooms. Even though general perceptions are that operating rooms have unique biohazard and blood contamination challenges, only about 15 percent of surgical waste requires special processing. Virginia Mason was the first hospital in the region to recycle in the Operating Room. Team members sort recyclable products from trash before surgeries even begin. About 80 percent of waste, such as clear plastics, blue surgical wrap, aluminum and other materials generated in Virginia Masons operating room is recycled. This represents about 800 pounds of recycled material each week.
Part VI Line 5	continued Medical Staff. Virginia Mason has 779 members on its active hospital staff, including Virginia Mason physicians, 227 Group Health physicians, 45 Pacific Medical Center physicians, and 42 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 futherance 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 the overseeing the selection and discharge of the Medical Centers independent financial auditors and oversight of the Medical Centers compliance programs. In addition, the Medical Center has chartered a Governance Committee, responsible for reviewing and evaluating the organizations corporate governance policies and guidelines, and providing oversight of procedures for disclosure and management of conflict of interest. The voting members of the Governance Committee are independent community members of the Medical Centers board. As a further mechanism for community involvement and leadership, 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 portion of the organizations respective surplus as a result of ownership or any other insider relationship. The Compensation and Benefits Committee of the Medical Center Board, which directes the performance review and approves the compensation and benefits of the Medical Center s 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (35 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Benaroya Research Institute at Virginia Mason
1201 Ninth Avenue	Seattle	WA	98101	910653422	501c3	4975449	Operating Support
Virginia Mason Health System
1100 Ninth Avenue	Seattle	WA	98101	911351110	501c3	3545633	Operating Support
Pacific Science Center
200 2nd Ave N	Seattle	WA	98109	917540867	501c3	75000	General Support
Seafair
2200 Sixth Ave Ste 400	Seattle	WA	98121	910557448	501c4	75000	General Support
JDRF Seattle Guild
1200 Sixth Avenue Suite 605	Seattle	WA	98101	231907729	501c3	61000	General Support
Project Access Northwest
1111 Harvard Ave	Seattle	WA	98122	204377921	501c3	50000	General Support
United Way of King County
720 Second Ave	Seattle	WA	98104	910565555	501c3	42750	General Support
Evergreen State Amateur Athletic Council
701 Pike St Ste 800	Seattle	WA	98101	870715737	501c3	35000	General Support
Group Health Foundation
PO Box 34015	Seattle	WA	98124	911246278	501c3	30000	General Support
American Cancer Society
1313 Broadway Ste 100	Tacoma	WA	98402	841316555	501c3	25000	General Support
Country Doctor Community Health Centers
2101 E Yesler Way Ste 210	Seattle	WA	98122	237100868	501c3	20000	General Support
Harrison Foundation
2520 Cherry Ave	Bremerton	WA	98310	911197626	501c3	20000	General Support
American Heart Association
710 Second Ave Ste 900	Seattle	WA	98104	135613797	501c3	18500	General Support
City Club
1333 Fifth Ave Ste 24	Seattle	WA	98101	911148262	501c3	15000	General Support
Northwest Kidney Center
PO Box 3035	Seattle	WA	98114	916057438	501c3	15000	General Support
YWCA of Seattle-King County-Snohomish County
1118 Fifth Ave	Seattle	WA	98101	910482890	501c3	15000	General Support
American Red Cross
1900 25th Ave S	Seattle	WA	98144	530196605	501c3	12500	General Support
Hearing Speech & Deafness Center
3130 E Madison Ste 205	Seattle	WA	98122	910681207	501c3	6250	General Support
Bellevue College
3000 Landerholm Circle SE	Bellevue	WA	98007	911051671	501c3	10000	General Support
Enterprise Seattle
1301 Fifth Ave Suite 2500	Seattle	WA	98101	911267597	501c4	10000	General Support
Foundation for Health Care Quality
705 Second Ave Suite 703	Seattle	WA	98104	911419327	501c3	10000	General Support
Zero
515 King St Ste 420	Alexandria	VA	22314	593400922	501c3	9000	General Support
American Diabetes Association
1730 Minor Ave	Seattle	WA	98101	131623888	501c3	8000	General Support
Neighborcare Health
1537 Western Ave	Seattle	WA	98101	910893287	501c3	8000	General Support
The First Tee of Greater Seattle
2340 Broadmoor Dr E	Seattle	WA	98112	912116912	501c3	7950	General Support
College Success Foundation
1605 NW Sammamish Rd Ste 200	Issaquah	WA	98027	912036088	501c3	7500	General Support
Robert Vasen Foundation
2807 102nd Ave SE	Bellevue	WA	98004	208656415	501c3	7500	General Support
National Multiple Sclerosis Society
192 Nickerson St Ste 100	Seattle	WA	98109	910742424	501c3	6750	General Support
Crohn's & Colitis
9 Lake Bellevue Dr Ste 203	Seattle	WA	98005	136193105	501c3	5500	General Support
Bellevue Community College
3000 Landerholm Circle SE	Bellevue	WA	98007	911051671	501c3	5000	General Support
Chamber Community Foundation
13015 5th Ave Suite 2500	Seattle	WA	98101	911648680	501c3	5000	General Support
Encompass
1407 Boalch Ave NW	North Bend	WA	98045	910825232	501c3	5000	General Support
Girls on the Run Puget Sound
8757 15th Ave NW	Seattle	WA	98117	841618574	501c3	5000	General Support
King County Sexual Assault Resource Center
200 Mill Ave S Suite 10	Renton	WA	98057	910967255	501c3	5000	General Support
Special Olympics Washington
1809 7th Ave Ste 1509	Seattle	WA	98101	910962383	501c3	5000	General Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	33	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	I	Identifier
Return Reference	2	ReturnReference
Explanation	The funds provided to the 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Gary Kaplan MD
Chairman, CEO	1039978	449871	17788	2199932	30334	3737903
Suzanne Anderson
Executive Vice President, CIO/CFO	469126	174912	25284	57410	17402	744134
Katerie Chapman
Vice President	240806	68356	4240	15324	20338	349064
Lucy Glenn MD
Chief of Radiology	519988	159005	17874	65910	16080	778857
Michael Glenn MD
Physician in Chief, Medical Director, Clinic	601250	177360	17374	88411	12998	897393
Fred Govier MD
Chief of Surgery	585322	173954	17874	37506	25724	840380
Andrew Jacobs MD
Chief Medical Officer	454874	140180	17874	112827	36238	761993
Joyce Lammert MD
Chief of Medicine	422478	123436	18288	34638	13854	612694
Brian McDonald MD
Physician, Former Key Employee	268273	17	1188	15324	21085	305887
Sarah Patterson
Executive Vice President, COO	481104	178543	252850	131458	26257	1070212	120249
William Poppy
Senior Vice President, CTO	357020	107762	40006	25887	32755	563430
Steve Rupp MD
Chief of Perioperative Services and Anesthesiology	471900	142259	774	34729	21418	671080
Donna Smith MD
Medical Director, Hospital	385266	116731	16014	64847	25095	607953
Charleen Tachibana RN
Senior Vice President, Hospital Administrator	365491	108608	19879	52082	20741	566801
Christopher L Fellows MD
Physician	1152166	17	774	40035	23403	1216395
Ulrike I Ochs MD
Physician	987809	138	270	79410	23660	1091287
Richard A Kozarek MD
Physician	949728		1188	114527	22931	1088374
Keith Paige MD
Physician	898090		270	30850	31058	960268
Shayan Irani M D
Physician	815666	42	162	10284	22183	848337
James P Cote
Senior Vice President, Clinic Administrator	293556	108200	17995	10284	15678	445713
Robert Mecklenburg MD
Physician, Former Board Director	387575		35286	29536	17088	469485
Michael P Ondracek
Vice President	215129	63853	700	10284	29163	319129
Craig Goodrich
Senior Vice President, Former Key Employee	291840	91347	19680	20343	20975	444185
Catherine Potts
Chief, Primary Care	285204	85431	18288	48843	14774	452540

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
I	1a	In recognition of her qualifications and prior experience with Virginia Mason Medical Center, the Medical Center entered into an employment agreement with its CIO/CFO. Pursuant to the terms of the agreement she received a cash payment designed to equal the retirement contributions made to employees with similiar experience. To render it tax neutral to the employee, the payment was increased for the anticipated federal income tax liability. The payment will end April 2013.
I	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.
I	1b	The payment to the CIO/CFO referred to above was negotiated as part of an employment agreement which was reviewed and approved by the Medical Centers Board of Directors Compensation and Benefits Committee, a committee composed of independent board members to whom the Board has delegated authority to approve compensation and benefits for executive leaders of the Medical Center.
I	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.
I	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

Form990 Schedule K Part I Form990ScheduleKPartI

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	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	911108929	IssuerEIN
CUSIP Number	93978EH54	CUSIPNumber
Date Issued	2007-12-03	DateIssued
Issue Price	316302277	IssuePrice
Description Of Purpose	Refund/Redeem, acquire, construct, remodel facility purchase equipment	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	316302277	TotalProceeds
Amount In Reserve Fund	25471181	AmountInReserveFund
Capitalized Interest	22315769	CapitalizedInterest
Refunding Escrow	86774645	RefundingEscrow
Issuance Costs From Proceeds	6230082	IssuanceCostsFromProceeds
Capital Expenditures	175510600	CapitalExpenditures
Year Of Subst Completion	2011	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	true	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Non Qualified Bond Remed Procdrs	true	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
Rebate Not Due Yet	false	RebateNotDueYet
Exception To Rebate	false	ExceptionToRebate
No Rebate Due	true	NoRebateDue
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	true	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	Trinity Plus Funding Company LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of GIC	0000000017.000000000000	TermOfGIC
Regulatory Safe Harbor Satisfied	true	RegulatorySafeHarborSatisfied
Gross Proceeds Invested	false	GrossProceedsInvested
Written Proc To Monitor Reqs	true	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	true	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
I	A, Column C	93978EG30, 93978EH39, 93978EH47, 93978EH70, 93978EH62, 93978EG48, 93978EG55, 993978EG63
I	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.
I	A, Column F	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 of 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 inital 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.
IV	2	The rebate computation was dated December 21, 2012.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Joan Lange
Sister of Robert Lemon	81296	Employee	false
The Seattle Times
Tod Hamachek	102846	Goods and Services purchased	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	IV	Identifier
Return Reference	2	ReturnReference
Explanation	Tod Hamachek, a director of the Medical Center, is also a compensated director of The Seattle Times. The Medical Center purchased advertising and subscriptions from The Seattle Times.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (21 entries)

ExplanationExplanation
Form 990 Part III Line 1 The Medical Center also operates Bailey-Boushay House, a skilled nursing facility and day health center serving the HIV/AIDS community. The Medical Center patient care services are integrated with and enhanced by education and research activities which include a graduate medical education program providing training to over 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 258 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.
Form 990 Part III Line 4a continued 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 orientatioin, 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 11,042,665 during the year, along with 20,432,319 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 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.
Form 990 Part III Line 4b continued The Clinical Nursing Education CNE program offered 32 CNE events in 2012 to 1,398 attendees. Particpants 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 terapists, social workers, educators, dietitians, specialized technicians e.g. GI Techs, Donation Techns, Radiaton-Oncology Techs, medical assistants, medical technologists, administrative assistants, chaplains, bereavement coordinators and physicians.
Form 990 Part III Line 4b continued 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.
Form 990 Part III Line 4b continued 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 Accrediation with Commendation a designation achieved by the top 25 percent of CME programs in the country. In 2012, the CME department sponsored 37 courses either full-, half-, or multi-day totalling 220.25 hours of instruction. These activities were attended by 1,206 participants, including 700 physicians.
Form 990 Part III Line 4b continued During 2012, 41 one-hour Grand Rounds presentations were presented at the Medical Center, with the on-site audience averaging 145 attendees. The Grand Rounds series is also broadcast via videoconference to the organizations satellite locations and to 12 off-site health care systems throughout Alaska and Washington State. In 2012, 3,680 AMA PRA Category 1 Credits TM were awarded to participants of this series. The CME department supports 9 additional Regularly Scheduled Series in Cancer Care, Cardiac Catherization, Neuroscience Imaging, Competencies and Incidents, Vascular Surgery, GI Radiology, GI Pathology, Nephrology, and Pharmacy and Therapeutics.
Form 990 Part III Line 4b continued Approximately 13 of our investigators have faculty appointments at the University of Washington, including 5 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 2012, the Medical Center provided 59,000 toward support of Separation and Loss.
Form 990 Part III Line 4c continued 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 a full-time registered nurse 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 77,000 toward the operating costs of TLC in 2012.
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 HeartWalk which benefited the American Heart Association AHA in 2012. AHAs mission is to reduce coronary heart disease, stroke and risk by 25. 2 SEAFAIR and the Medical Center partnered to sponsor the BRI Triathon, benefitting Autoimmune Research. 3 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. 4 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. 5 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 of 191,000 in 2012.
Form 990 Part IV 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 as may be deemed by such Officers Committee to be appropriate, 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 of all or substantially all 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 or amend, alter or repeal any resolution of the Board which by its terms provides that it shall not be amended, altered or repealed by the Officers Committee. The Officers Committee also periodically evaluates the effectiveness of VMMCs 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 4 The organization amended its Bylaws to delete a requirement that the Finance Committee Chair serve as an ex officio member of the Audit and Compliance Committee. No change was made to the requirement that all Audit and Compliance Committee member be independent nor to the minimium number of members three.
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 voting 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. 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 Questionnaires 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 which reports are reflected in the Boards minutes. The Executives that were reviewed in 2012 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, and Hospital Medical Director.
Form 990 Part VI Section C Line 19 The organizations Articles, Bylaws and Conflicts of Interest Policy are made available on its public web site. Financial statements are made available upon request.
Form 990 Part XI Line 9 Donated Capital 1,075, Additional Pension Adjustment 1,526,596, Capital Transfers - Restricted 3,313,902

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
1000 Madison LLC
1100 Ninth Avenue	Seattle	WA	98101	204018216	Real Estate	WA	1331415	23900604	VMMC
1005 Spring Street LLC
1100 Ninth Avenue	Seattle	WA	98101	204816736	Real Estate	WA	1423103	4580784	VMMC
Health Resource Services LLC
1100 Olive Way	Seattle	WA	98101	262800944	Group Purchasing	WA	9246250	14384882	VMMC

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Virginia Mason Health System
1100 Ninth Avenue	Seattle	WA	98101	911351110	Fundraising	WA	501c3	7	N/A	true
Virginia Mason Institute
1100 Ninth Avenue	Seattle	WA	98101	263763656	Education/Research	WA	501 c 3	9		false	VMMC

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Natl Purchasing Ptns LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1100 Olive Wy	AddressLine1
City	Seattle	City
State	WA	State
ZIP Code	98101	ZIPCode

Field	Value	IRS element (for citing)
EIN	203470995	EIN
Primary Activity	Group Purchasing	PrimaryActivity
Legal Domicile State	WA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Predominant Income Type	Unrelated	PredominantIncomeType
Share Of Total Income	12893106	ShareOfTotalIncome
Share Of EOY Assets	1600205	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$12,919,572	CodeVAmount
General Or Managing Partner	true	GeneralOrManagingPartner
Percentage Ownership	0.50000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Electing OrgElectingOrg	Total Grassroots LobbyingTotalGrassrootsLobbying	Total Direct LobbyingTotalDirectLobbying	Total Lobbying ExpendituresTotalLobbyingExpenditures	Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures	Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures	Lobbying NontaxableLobbyingNontaxableAmount	Grassroots NontaxableGrassrootsNontaxableAmount	Tot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontx	Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx	Share Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs
Virginia Mason Medical Center
1100 Ninth Avenue	Seattle	WA	98101	910565539	X	127874	6000	133874	924077890	924211764	$938,953	$234,738	0	0	0
Virginia Mason Institute
1100 Ninth Avenue	Seattle	WA	98101	263763656		0	0	0	2575820	2575820	$2,617	$654	0	0	0
Virginia Mason Health System
1100 Ninth Avenue	Seattle	WA	98101	911351110		0	0	0	13866754	13866754	$14,088	$3,522	0	0	0
Benaroya Research Institute at Virginia Mason
1201 Ninth Avenue	Seattle	WA	98101	910653422		0	0	0	43645635	43645635	$44,342	$11,086	0	0	0