VIRGINIA MASON MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: VIRGINIA MASON MEDICAL CENTER (EIN 91-0565539)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-14
IRS object ID: 201233199349307038
Schema version: 2011v1.2
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 ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-14T18:02:43-00:00	Timestamp
Tax Period End Date	2011-12-31	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 Eighth 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	2011-01-01	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	2012-11-12	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Sue W Robison	Name
Phone	2069134000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	961125968	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	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	6147	TotalNbrEmployees
Total Nbr Volunteers	1339	TotalNbrVolunteers
Total Gross UBI	16411188	TotalGrossUBI
Net Unrelated Business Txbl Income	8344337	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	9336367	ContributionsGrantsPriorYear
Contributions Grants Current Year	6179104	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	819224526	ProgramServiceRevenuePriorYear
Program Service Revenue CY	863679342	ProgramServiceRevenueCY
Investment Income Prior Year	12563826	InvestmentIncomePriorYear
Investment Income Current Year	14803799	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7427010	OtherRevenuePriorYear
Other Revenue Current Year	7676040	OtherRevenueCurrentYear
Total Revenue Prior Year	848551729	TotalRevenuePriorYear
Total Revenue Current Year	892338285	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	8085581	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	7846671	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	478076595	SalariesEtcPriorYear
Salaries Etc Current Year	506728697	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	330371114	OtherExpensePriorYear
Other Expenses Current Year	348470951	OtherExpensesCurrentYear
Total Expenses Prior Year	816533290	TotalExpensesPriorYear
Total Expenses Current Year	863046319	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	32018439	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	29291966	RevenuesLessExpensesCY
Total Assets BOY	882192273	TotalAssetsBOY
Total Assets EOY	917015772	TotalAssetsEOY
Total Liabilities BOY	574734401	TotalLiabilitiesBOY
Total Liabilities EOY	598645723	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	307457872	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	318370049	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 386 physicians.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	723676117	Expense
Grants	203524	Grants
Revenue	870789169	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 2011, the Medical Center recorded 16,335 hospital inpatient admissions, 22,126 emergency room visits and 830,027 clinic visits. The Medical Center provided charity care and unreimbursed Medicaid services to a total of 5,724 patients. Continued on Schedule O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	21902664	Expense
Grants	3450000	Grants
Revenue	277689	Revenue
Description	Education and Research The Medical Center is an independent academic medical center with a graduate medical education program that trains over 113 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, Regional Anesthesia, Urology, Sports Medicine, Gynecology and Gastroenterology. 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	676820	Expense
Revenue	288524	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 2011, the Medical Center provided 96,000 of support for the Teaching Center. Continued on Schedule O	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	4550878	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	4193147	TotalOfOtherProgramServiceGrnt
Total Program Service Expense	750806479	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	true	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	true	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	false	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	665	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	6147	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	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	FormerFormer	Highest Compensated EmployeeHighestCompensatedEmployee
Carolyn Corvi
Chairman	002.00	X	X	0	0	0
Joshua Jay Green III
Director	002.00	X		0	0	0
Tod Hamachek
Director	002.00	X		0	0	0
Robert Bob Lemon
Director	002.00	X		0	0	0
Alfred Al E Lopus
Director	002.00	X		0	0	0
Dorothy H Mann PhD
Director	002.00	X		0	0	0
David Moffett
Treasurer	002.00	X	X	0	0	0
James Jamie Orlikoff
Director	002.00	X		0	0	0
Richard Dick J Robbins
Director	002.00	X		0	0	0
Evelyn Cruz Sroufe
Vice Chairman	002.00	X	X	0	0	0
Lonnie Edelheit PhD
Director	002.00	X		0	0	0
James Jim Young
Secretary	002.00	X	X	0	0	0
Gary Kaplan MD
Chairman, CEO	050.00		X	1296011	0	1732788
Suzanne Anderson
Senior Vice President, CIO/CFO	050.00		X	573891	0	71369
Katerie Chapman
Vice President	050.00			269225	0	39239	X
Lucy Glenn MD
Chief of Radiology	050.00			660239	0	43958	X
Michael Glenn MD
Physician in Chief, Medical Director, Clinic	050.00			729759	0	140492	X
Fred Govier MD
Chief of Surgery	050.00			704863	0	96739	X
Kate Reed
Senior Vice President, Clinic Administrator	050.00			322909	0	25396	X
Andrew Jacobs MD
Chief Medical Officer	050.00			563639	0	110540	X
Joyce Lammert MD
Chief of Medicine	050.00			505993	0	70721	X
Brian McDonald MD
Physician, Former Key Employee	050.00			298626	0	52127		X
Julie Morath RN
Director	002.00	X		0	0	0
Sarah Patterson
Executive Vice President, COO	050.00			581750	0	137537	X
William Poppy
Senior Vice President, CTO	050.00			475962	0	75281	X
Steve Rupp MD
Chief of Perioperative Services and Anesthesiology	050.00			584932	0	50699	X
Donna Smith MD
Medical Director, Hospital	050.00			480793	0	75723	X
Charleen Tachibana RN
Senior Vice President, Hospital Administrator	050.00			442496	0	66704	X
Christopher L Fellows MD
Physician	050.00			1174565	0	71339			X
Ulrike I Ochs MD
Physician	050.00			965255	0	47084			X
Richard A Kozarek MD
Physician	050.00			951462	0	178626			X
Keith Paige MD
Physician	050.00			803299	0	91151			X
Edwin Rhim M D
Physician	050.00			785200	0	38156			X
James P Cote
Vice President	050.00			272224	0	19097	X
Robert Mecklenburg MD
Physician, Former Board Director	050.00			420059	0	52631		X
Michael P Ondracek
Vice President	050.00			252790	0	27159	X
Craig Goodrich
Senior Vice President, Former Key Employee	050.00			374763	0	63001		X
Catherine Potts
Chief, Primary Care	050.00			318600	0	40311	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	14809305	TotalReportableCompFromOrg
Total Other Compensation	3417868	TotalOtherCompensation
Number Individuals GT100 K	1028	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	1589822
Skanska USA Building Inc
221 Yale Ave N Suite 400	Seattle	WA	98109	Construction Services	16089885
Crothall Services Group Inc
955 Chesterbrook Bld Ste 300	Wayne	PA	19087	Staffing Services	12358591
AMN Healthcare Inc
12400 High Bluff Drive	San Diego	CA	92130	Staffing Services	3456280
NBBJ Group
223 Yale Ave N	Seattle	WA	98109	Construction Services	623700

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	46	NumberOfContractorsGT100K
Related Organizations	6179104	RelatedOrganizations
Total Contributions	6179104	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Operating Revenues	561499	1070937553	1063237221	7700332
Medicare/Medicaid payments	621300	118232935	118232935

Field	Value	IRS element (for citing)
Total Program Service Revenue	863679342	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	12797597	TotalRevenueColumn
Unrelated Business Revenue	8538962	UnrelatedBusinessRevenue
Exclusion	$4,258,635	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	55817	TotalRevenueColumn
Exclusion	$55,817	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1326271	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1008475	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	317796	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	317796	TotalRevenueColumn
Unrelated Business Revenue	98423	UnrelatedBusinessRevenue
Exclusion	$219,375	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	69334317	Securities
Other	393060	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	67718565	Securities
Other	58427	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1615752	Securities
Other	334633	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1950385	TotalRevenueColumn
Exclusion	$1,950,385	ExclusionAmount

Field	Value	IRS element (for citing)
Cost Of Goods Sold	2216	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-2216	TotalRevenueColumn
Unrelated Business Revenue	-2216	UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria	722100	3266965	$3,266,965
Parking	721110	3830206	$3,754,519	75687
Medical Records	561499	215658	$215,658

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	47631	TotalRevenueColumn
Exclusion	$47,631	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	7360460	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	892338285	TotalRevenueColumn
Related Or Exempt Function Income	855979010	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	16411188	UnrelatedBusinessRevenue
Exclusion	$13,768,985	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	7846671	Total
Program Services	7846671	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	11393876	Total
Program Services	6547647	ProgramServices
Management And General	4846229	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	426074329	Total
Program Services	370965681	ProgramServices
Management And General	55108648	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	22353631	Total
Program Services	19462402	ProgramServices
Management And General	2891229	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	25403266	Total
Program Services	22117596	ProgramServices
Management And General	3285670	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	21503595	Total
Program Services	18722310	ProgramServices
Management And General	2781285	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	741116	Total
Program Services	645260	ProgramServices
Management And General	95856	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1440672	Total
Management And General	1440672	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	413669	Total
Management And General	413669	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	222311	Total
Management And General	222311	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	47161599	Total
Program Services	41061696	ProgramServices
Management And General	6099903	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	6937237	Total
Program Services	6039972	ProgramServices
Management And General	897265	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	161806864	Total
Program Services	140878690	ProgramServices
Management And General	20928174	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	26172709	Total
Program Services	22787519	ProgramServices
Management And General	3385190	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	17913122	Total
Program Services	15596231	ProgramServices
Management And General	2316891	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	3153868	Total
Program Services	2745945	ProgramServices
Management And General	407923	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	636786	Total
Program Services	554424	ProgramServices
Management And General	82362	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7360351	Total
Program Services	6408360	ProgramServices
Management And General	951991	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	32364841	Total
Program Services	28178758	ProgramServices
Management And General	4186083	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2618976	Total
Program Services	2280236	ProgramServices
Management And General	338740	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Taxes	20494578	20494578
Medical Purchase Services	535692	466405	69287
Dues and Subscriptions	2111165	1838106	273059
Bad Debt Expense	9214481	9214481

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	7170914	Total
Program Services	5953511	ProgramServices
Management And General	1217403	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	863046319	Total
Program Services	750806479	ProgramServices
Management And General	112239840	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	19383788	BOY
EOY	46140605	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	90964109	BOY
EOY	46018726	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	77954742	BOY
EOY	95948616	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	12923192	BOY
EOY	13052072	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3600429	BOY
EOY	3940998	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	848072404	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	342153064	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	471064093	BOY
EOY	505919340	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	147737870	BOY
EOY	152031866	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	300651	BOY
EOY	722801	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	58263399	BOY
EOY	53240748	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	882192273	BOY
EOY	917015772	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	108617613	BOY
EOY	122772702	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	43753	BOY
EOY	43867	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	331425934	BOY
EOY	328704983	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	31906116	BOY
EOY	30737154	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	102740985	BOY
EOY	116387017	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	574734401	BOY
EOY	598645723	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	289366423	BOY
EOY	300177790	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14155766	BOY
EOY	14117580	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3935683	BOY
EOY	4074679	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	307457872	BOY
EOY	318370049	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	882192273	BOY
EOY	917015772	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	29291966	ReconcilationRevenueExpenses
Reconcilation Other Changes	-18379789	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
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	122311	FilingOrganizationsTotals
Affiliated Group Totals	122311	AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	100000	FilingOrganizationsTotals
Affiliated Group Totals	100000	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	222311	FilingOrganizationsTotals
Affiliated Group Totals	222311	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	862824008	FilingOrganizationsTotals
Affiliated Group Totals	917357997	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	863046319	FilingOrganizationsTotals
Affiliated Group Totals	917580308	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	129287	CurrentYearMinus3
Current Year Minus2	269422	CurrentYearMinus2
Current Year Minus1	270061	CurrentYearMinus1
Current Year	222311	CurrentYear
Total	891081	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250001	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	129287	CurrentYearMinus3
Current Year Minus2	152146	CurrentYearMinus2
Current Year Minus1	151772	CurrentYearMinus1
Current Year	122311	CurrentYear
Total	555516	Total

Form990 Schedule C Part IV Form990ScheduleCPartIV (5 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 122,311. Direct Lobbying Expenditures 100,000. 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, 2011.
II-A	A continued	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 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	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	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	12672073	BeginningOfYearBalance
Investment Earnings Or Losses	-146637	InvestmentEarningsOrLosses
Grants Or Scholarships	482260	GrantsOrScholarships
End Of Year Balance	12043176	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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	0.60190	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.29870	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.09940	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	454440193	OtherCostOrOtherBasis
Depreciation	115730103	Depreciation
Book Value	338710090	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20507618	OtherCostOrOtherBasis
Depreciation	9063156	Depreciation
Book Value	11444462	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	318698163	OtherCostOrOtherBasis
Depreciation	216806108	Depreciation
Book Value	101892055	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18055828	OtherCostOrOtherBasis
Depreciation	553697	Depreciation
Book Value	17502131	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	505919340	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	ARI Investment	Description
Book Value	722801	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	722801	TotalOfBookValueSecurities

Other Assets OtherAssets (11 entries)

DescriptionDescription	Book ValueBookValue
Funds Held By Trustee	37112287
Interest Receivable Swap	200000
Long Term Receivable	374875
BB Cemetry Plots/Niches Donated Assets	20077
Parking Rights	346926
Winthrop Apartment	227800
Equity Investment-HSCA	254298
Deferred Financing Costs	8887485
Partnership Interest in National Purchasing Partners	1698670
Beneficial Interest	4105949
Start Up Costs-Madison	12381

Field	Value	IRS element (for citing)
Total Book Value Other Assets	53240748	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
Due to affiliates	$2,489,062
Estimated Third Party Payor Settlement	$10,551,078
Reserve for Professional Liability Claims	$17,655,300
Accrued Retirement Expenses	$81,398,733
Asbestos Abatement	$1,050,722
Deferred Rent Credits	$3,242,122

Field	Value	IRS element (for citing)
Total Of Amounts	116387017	TotalOfAmounts
Total Revenue	892338285	TotalRevenue
Total Expenses	863046319	TotalExpenses
Excess Or Deficit For Year	29291966	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-7730329	NetUnrealizedGLOnInvestments
Other	-$10,398,488	OtherAmount
Total Adjustments	-18128817	TotalAdjustments
Excess Or Deficit Per FS	11163149	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	872880530	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-7730329	NetUnrealizedGainsInvestments
Other Revenues	-6683371	OtherRevenues
Revenue Not Rptd F990	-14413700	RevenueNotRptdF990
Revenue Subtotal	887294230	RevenueSubtotal
Other Revenues Not Included	5044055	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	5044055	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	892338285	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	861717381	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	3717333	OtherExpensesIncluded
Expenses Not Rptd F990	3717333	ExpensesNotRptdF990
Expenses Subtotal	858000048	ExpensesSubtotal
Other Expenses Not Included	5046271	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	5046271	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	863046319	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
V	4	Support health care mission of Virginia Mason Medical Center and research mission of Benaroya Research Institute of Virginia Mason
X	2	The Medical Center adopted Financial Accounting Standards Board FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes FIN 48, included in FASB Accounting Standards Codification ASC Subtopic 740-10 - Income Taxes - Overall. FIN 48 clarifies the accounting for uncertainty in income taxes recognized in an enterprises financial statements in accordance with FASB Statement No. 109, Accounting for Income Taxes.
X	2 continued	FIN 48 also prescribes a recognition threshold and measurement standard for the financial statement recognition and measurement of an income tax position taken or expected to be taken in a tax return. Only tax positions that meet the more-likely than-not recognition threshold at the effective date may be recognized or continue to be recognized upon adoption.
X	2 continued	In addition, FIN 48 provides guidance on derecognition, classificatiion, interest and penalties, accounting in interim periods, disclosure and transition. This guidance did not have a significant impact to the consolidated financial statements in 2011 or 2010.
XI	8	Additional Pension Adjustment 12,538,464 Restricted Capital Transfers 1,884,686 Virginia Mason Institute Revenues 2,254,289 Virginia Mason Institute Expenses 2,003,316 Donated capital 2,101 Cost of Goods Sold Adjustment 2,216
XII	2d	Restricted Capital Transfers 1,884,686 Virginia Mason Institute Revenues 2,254,289 Donated capital 2,101 Additional Pension Adjustment 12,538,464 Donation Transfers 1,714,017
XII	4b	Non-operating expenses 5,259,338 Financial reclasses 460,218 Rental Expenses 1,008,475 Loss on Disposal of Equipment 332,974
XIII	2d	Donation Transfers 1,714,017 Virginia Mason Institute Expenses 2,003,316
XIII	4b	Non-operating expenses 5,259,338 Financial reclasses 460,218 Rental expenses 1,008,475 Loss on Disposal of Equipment 332,974 Cost of Goods Sold Adjustment 2,216

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (5 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
East Asia and the Pacific	Program Services	Education	2310
Europe	Program Services	Education	690
North America	Program Services	Education	20568
Central America and the Caribbean	Program Services	Education	4818
South America	Program Services	Education	407

Field	Value	IRS element (for citing)
Subtotal Amount Spent	28793	SubtotalAmountSpent
Total Amount Spent	28793	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	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	5724	PersonsServed
Total Community Benefit Expense	10359491	TotalCommunityBenefitExpense
Net Community Benefit Expense	10359491	NetCommunityBenefitExpense
Percent Of Total Expense	0.01200	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	4888	PersonsServed
Total Community Benefit Expense	29842288	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23942288	DirectOffsettingRevenue
Net Community Benefit Expense	5900000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00680	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	10612	PersonsServed
Total Community Benefit Expense	40201779	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23942288	DirectOffsettingRevenue
Net Community Benefit Expense	16259491	NetCommunityBenefitExpense
Percent Of Total Expense	0.01880	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	465	PersonsServed
Total Community Benefit Expense	1466108	TotalCommunityBenefitExpense
Direct Offsetting Revenue	66281	DirectOffsettingRevenue
Net Community Benefit Expense	1399827	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	639	PersonsServed
Total Community Benefit Expense	10223025	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6198295	DirectOffsettingRevenue
Net Community Benefit Expense	4024730	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	466	PersonsServed
Total Community Benefit Expense	728323	TotalCommunityBenefitExpense
Direct Offsetting Revenue	420889	DirectOffsettingRevenue
Net Community Benefit Expense	307434	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4268660	TotalCommunityBenefitExpense
Net Community Benefit Expense	4268660	NetCommunityBenefitExpense
Percent Of Total Expense	0.00490	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Persons Served	1570	PersonsServed
Total Community Benefit Expense	16686116	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6685465	DirectOffsettingRevenue
Net Community Benefit Expense	10000651	NetCommunityBenefitExpense
Percent Of Total Expense	0.01160	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Persons Served	12182	PersonsServed
Total Community Benefit Expense	56887895	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30627753	DirectOffsettingRevenue
Net Community Benefit Expense	26260142	NetCommunityBenefitExpense
Percent Of Total Expense	0.03040	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	352579	TotalCommunityBuildingExpense
Net Community Building Expense	352579	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	352579	TotalCommunityBuildingExpense
Net Community Building Expense	352579	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$4,561,168	BadDebtExpenseAmount
Amount Reimbursed By Medicare	150130438	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	157940109	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7809671	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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (8 entries)

Hospital Facility NumberHospitalFacilityNumber
Virginia Mason Federal Way
1
Virginia Mason Issaquah
2
Virginia Mason Kirkland
3
Virginia Mason Lynnwood
4
Virginia Mason Bellevue
5
Bailey Boushay House
6
Virginia Mason Winslow
7
Virginia Mason Sand Point Pediatrics
8

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	0
Virginia Mason Issaquah
100 NE Gilman Blvd	Issaquah	WA	98027	Outpatient Clinic
Virginia Mason Kirkland
11800 NE 128th St Suite 300	Kirkland	WA	98034	Outpatient Clinic
Virginia Mason Lynnwood
19116 33rd Ave W	Lynnwood	WA	98036	Outpatient Clinic
Virginia Mason Bellevue
222 112th Ave NE	Bellevue	WA	98004	Outpatient Clinic
Bailey Boushay House
2720 East Madison	Seattle	WA	98112	Outpatient Clinic
Virginia Mason Winslow
380 Winslow Way E	Bainbridge Island	WA	98110	Skilled Nursing Facility
Virginia Mason Sand Point Pediatrics
4575 Sand Point Way NE Suite 108	Seattle	WA	98105	Outpatient Clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (67 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.
Part I line 3c	continuedAdditional 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.
Part I line 3c	continued 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.
Part III line 4	Uninsured patients will receive a 25 discount off billed charges for designated services provided by the Medical Center. Management of Patient Financial Services maintains a list of designated services eligible for the discount. Uninsured Patients will not receive the uninsured discount on non-medically necessary care. In addition to the uninsured discount, uninsured patients may apply for charity care.
Part III line 4	continued Uninsured patients who do not appear to qualify for charity care through an initial determination conducted by the Medical Center will be required to pay a deposit based on deposit guidelines established by the Medical Center. Underinsured patients are eligible for the uninsured discount.
Part III line 4	continued If an account was determined to be eligible for partial charity, it would be reduced at the full service collection agency. If an account was determined to be full charity, the Medical Center would cancel the the account at the full service collection agency and adjust the Medical Centers books to charity.
Part III line 4	continued An account is considered bad debt if 1 the Medical Center has no active address and 2 self pay portion is aged beyond 120 days and the Medical Center approved payment arrangements have not been established.
Part III line 4	continued If the patient indicates to the Medical Center or the agency that there is a financial hardship, the Medical Center would evaluate them for charity at this point in time. Charity would be applied to an assigned balance.
Part III line 4	continued The costing methodology that was used for bad debts was the cost-to-charge ratio of direct expenses and revenue as derived using Worksheet 2, Ratio of Patient Care Cost-to-Charges.
Part III line 4	continued 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. The Medical Center estimates this allowance based on the aging of accounts receivable, historical collection experience by payor, and other relevant factors.
Part III line 4	continued 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.
Part III line 8	The Medical Centers calcuation of the Medicare shortfall related to Hospital based inpatient and outpatient services is 7,809,671. 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.
Part III line 8	continued 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.
Part III line 8	continued This model shows that 28 million of Medicare revenue is not included in the traditional cost report with related costs of 72 million for a shortfall of 44 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.
Part III line 9b	continued 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.
Part III line 9b	continued 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.
Part III line 9b	continued 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.
Part III line 9b	continued 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.
Part III line 9b	continued 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.
Part III line 9b	continued 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 19 - 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.
Part V	Line 19 continued - 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.
Part V	Line 19 continued - 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	At Virginia Mason, we are committed to improving the health and well-being of not only our patients, but also the people who reside in the communities we serve. Virginia Mason is on a three-year cycle for conducting its community health needs assessment. Our next assessment will be completed in 2012.
Part VI Line 2	continued In 2009, the Medical Center enhanced its community needs assessment by utilizing data from Public Health - Seattle 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 U. S. Department of Health and Human Services Healthy People 2010 leading health indicators.
Part VI Line 2	continued Virginia Masons community is defined as King County and north Kitsap County. Within King County, areas are identified as Seattle, north, south and east. In several instances, the geographic areas are further broken down by city and neighborhood.
Part VI Line 2	continued Virginia Masons community health needs assessment serves as the foundatioin for the community benefit program which strives to achieve three basic goals 1 Improve our communitys health status and overall quality of life, 2 Reduce health disparities within the community, and 3 Increase access to preventive services.
Part VI Line 2	continued Our community benefit program focuses our resources on the needs of the community and the strengths of Virginia Mason. For example, our support of Bailey-Boushay House assists community members with HIV/AIDS, the uninsured, homeless, those with drug addiction and mental health distress - all needs identified in our assessment.
Part VI Line 2	continued Likewise, we provide access to care for the uninsured through our partnership with Public Health - Seattle King County Community Health Services Division. This partnership allows our residents to work at the Eastgate Community Clinic and other community clinics, while also supporting our graduate medical education program with a superior learning environment for our residents continuity clinic experience.
Part VI Line 2	continued We have expanded our partnership with Project Access Northwest PANW to help uninsured patients receive much needed specialty care in King and Snohomish counties. Now, patients who receive their primary care in the community clinic system are referred to Virginia Mason for specialty care services.
Part VI Line 2	continued As the first health care facility to implement a mandatory staff influenza vaccine policy, Virginia Mason is viewed as a leader in protecting patients and staff from this potentially deadly virus. For the past three years, Virginia Masons commitment to reducing influenza in our community has included participating in the King County United Way Community Resource Exchange and delivering free flu shots to Seattles homeless population.
Part VI Line 2	continued Virginia Masons community benefit program has also developed a comprehensive bilingual diabetes prevention program in response to the obesity and diabetes data from the needs assessment. Because the Latino population is considered one of the highest risk groups in our community, our program includes education and outreach at the two largest Latino health fairs each year, and interactive presentations six times a month at the Mexican Consulate in Seattle.
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.
Part VI Line 3	continued 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.
Part VI Line 3	continued 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.
Part VI Line 3	continued If financial need or financial hardship is indicated, 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.
Part VI Line 3	continued 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 patients expressed concerns either via phone or letter.
Part VI Line 3	continued the Medical Centers website also includs information about charity availability and the contact information to initiate an assessment.
Part VI Line 4	Virginia Masons community is defined as King County and Kitsap County. Within King County, areas are identified as Seattle, north, south, and east. In several instances, the geographic areas are further broken down by city neighborhood. The Medical Center services a geographic area that is considered both urban and suburban.
Part VI Line 4	continued The Medical Centers communities of King County and Pierce County has demographics of 78 White, 5 African American, 8 Asian, Native Hawaiian and other Pacific Islander, 5 Hispanic or Latino, 1 American Indian and Alaskan native, and 3 other races. The average income of these counties is 86,000 with approximately 9 of the population below the federal poverty income guideline. About 14 of the communitys patients are uninsured.
Part VI Line 4	continued there are 35 hospitals serving these two counties. King County has 26 hospitals and specialty centers, and Pierce County has 9 hospitals.
Part VI Line 4	continued Several of these counties have federally-designated medically underserved areas or population present in the community per the Department of Health data. Pierce County is federally-designated geographically in the communities of Longbranch, Buckley, and Eatonville/Roy.
Part VI Line 5	Virginia Masons community benefit program is designed to improve our communitys health status and overall quality of life, reduce health disparities within the community and increase access to preventive services. To accomplish this, our organization contributes time, energy and money in the areas of improving health, providing free and subsidized care, health professionals education and research.
Part VI Line 5	continued Uncompensated Care-As a non-profit organization, Virginia Mason is committed to serving patients who are uninsured, underinsured or otherwise unable to pay for their medical care.
Part VI Line 5	continued 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.
Part VI Line 5	continued In 2011, Virginia Mason provided charity care to 5,724 patients at a cost of 10,359,491. In addition, Virginia Masons unreimbursed Medicaid was provided at a cost of 21,533,275.
Part VI Line 5	continued Community Health Improvement Services - Improving health and quality of life extends beyond diagnosis and treatment. It also requires community health education and outreach services. Health improvement and outreach services provided by Virginia Mason include the following 1 community health education, such as classes in the Buse Diabetes Teaching Center 2 free health screenings at community health fairs
Part VI Line 5	continued 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 mangement 5 bereavement support through our Separation and Loss Services and 6 leadership roles in several community organizations, which focus on health care.
Part VI Line 5	continued Health Professions Education - Virginia Mason strongly supports medical education to ensure our patients and the community benefit from advances in medical care. Virginia Mason is a premier teaching 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 100 residents and fellows annually. VMs GME program is partnered with Public Health - Seattle King County Health Services Division, providing 12 residents for the Eastgate Public Health Center, as well as providing residents at the Carolyn Downs Family Medical Center, Pike Market Medical Clinic and North Public Health Center.
Part VI Line 5	continued 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.
Part VI Line 5	continued Appoximately 50 percent of patients seen at the clinic do not have insurance or the means to pay, and approximately the same percentage do not speack English and require interpretive services. This resident clinic improves overall health in the community and gives back to our community in a meaningful way.
Part VI Line 5	continued 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 Research Institute at Virginia Mason BRI. BRI is a non-profit biomedical research institute that works to unlock the mysteries of the immune system. Its team of world-renowned scientists is focused on identifying causes and cures for devastating diseases including diabetes, arthritis, heart disease and cancer. In 2011, the Medical Center provided 3,450,000 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 resurces of our community. In 2011, we increased our overall recycling tonnage by 22 percent from 2010.
Part VI Line 5	continued In 2011, Virginia Mason implemented a new campus-wide mixed recycling program throughout all public garages, contributing to our 22 percent increase in recycling for 2011. 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.
Part VI Line 5	continued Medical Staff - Virginia Mason has 810 members on its active hospital staff, including Virginia Mason physicians, 238 Group Health physicians, 47 Pacific Medical Center physicians, and 48 other community physicians.
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.
Part VI Line 5	continued In furtherance of its committment 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.
Part VI Line 5	continued 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.
Part VI Line 5	continued 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.
Part VI Line 5	continued 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.
Part VI Line 5	continued The Compensation and Benefits Committee of the Medical Center Board, which directs the performance review and approves the compensation and benefits of the Medical centers senior leadership, is composed entirely of community members of the Board who have no financial ties to the Medical Center, either directly or through family or business relationships.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (45 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Virginia Mason Health System
1100 Ninth Avenue	Seattle	WA	98101	911351110	501c3	3595171	Operating Support
Benaroya Research Institute at VM
1201 Ninth Avenue	Seattle	WA	98101	910653422	501c3	3450000	Operating Support
University of Washington Foundation
1325 4th Ave Ste 2000	Seattle	WA	98101	943079432	501c3	134000	General Support
JDRF Seattle Guild
1200 Sixth Ave Ste 605	Seattle	WA	98101	231907729	501c3	78500	General Support
Seafair
2200 Sixth Ave Ste 400	Seattle	WA	98121	910557448	501c4	73000	General Support
Project Access Northwest
1111 Harvard Ave	Seattle	WA	98122	204377921	501c3	50000	General Support
Evergreen State Amateur Athletic Council
701 Pike St Ste 800	Seattle	WA	98101	870715737	501c3	35000	General Support
Foundation for Health Care Quality
705 Second Av Ste 703	Seattle	WA	98104	911419327	501c3	25000	General Support
United Way of King County
720 Second Ave	Seattle	WA	98104	910565555	501c3	25000	General Support
University of Washington
1325 4th Ave Ste 2000	Seattle	WA	98101	943079432	501c3	25000	General Support
YWCA of Seattle-KC-Snohomish County
1118 Fifth Ave	Seattle	WA	98101	910482890	501c3	23200	General Support
The First Tee of Greater Seattle
2340 Broadmoor Dr E	Seattle	WA	98112	912116912	501c3	21250	General Support
Country Doctor Community Health Centers
2101 E Yesler Way Ste 210	Seattle	WA	98122	237100868	501c3	20000	General Support
Special Olympics Washington
1809 7th Ave Ste 1509	Seattle	WA	98101	910962383	501c3	17000	General Support
Bellevue Community College
3000 Landerholm Circle SE	Bellevue	WA	98007	911051671	501c3	15000	General Support
Northwest Kidney Center
PO Box 3035	Seattle	WA	98114	916057438	501c3	15000	General Support
American Jewish Committee
1402 Third Ave Ste 405	Seattle	WA	98101	135563393	501c3	12500	General Support
USO Puget Sound Area
17801 International Blvd	Seattle	WA	98159	910573116	501c3	12500	General Support
Medic One Foundation
325 9th Ave MS 359747	Seattle	WA	98104	916183158	501c3	10600	General Support
American Diabetes Association
1730 Minor Ave	Seattle	WA	98101	131623888	501c3	10000	General Support
Enterprise Seattle
1301 Fifth Ave Suite 2500	Seattle	WA	98101	911267597	501c4	10000	General Support
National MS Society
192 Nickerson St Ste 100	Seattle	WA	98109	910742424	501c3	10000	General Support
Pancreatic Cancer Action Network
2141 Rosecrans Av Ste 7000	El Segundo	CA	90245	330841281	501c3	10000	General Support
Susan G Komen for the Cure
112 Fifth Ave N	Seattle	WA	98109	911624040	501c3	10000	General Support
The Hope Heart Institute
1380 112th Ave NE Ste 200	Bellevue	WA	98004	911138000	501c3	10000	General Support
American Heart Association
710 Second Ave Ste 900	Seattle	WA	98104	135613797	501c3	8500	General Support
Neighbor Care Health
1537 Western Ave	Seattle	WA	98101	910893287	501c3	8000	General Support
College Success Foundation
1605 NW Sammamish Ste 200	Issaquah	WA	98027	912036088	501c3	7500	General Support
American Cancer Society
1313 Broadway Ste 100	Tacoma	WA	98402	841316555	501c3	7000	General Support
Museum of Flight
9404 E Marginal Way S	Seattle	WA	98108	910785826	501c3	7000	General Support
Jewish Family Service
1601 16th Ave	Seattle	WA	98122	910565537	501c3	6500	General Support
Greater Trinity Christian Learning Academy
11229 4th Ave W	Everett	WA	98201	911872298	501c3	5500	General Support
ALS Association
19115 68th Ave S suite H-105	Kent	WA	98032	911950869	501c3	5000	General Support
American Lung Association
7420 SW Bridgeport Rd Ste 200	Seattle	WA	98224	930386887	501c3	5000	General Support
American Red Cross
1900 25th Ave S	Seattle	WA	98224	910565554	501c3	5000	General Support
Americans for UNFPA
370 Lexington Ave Suite 720	New York	NY	10017	133996346	501c3	5000	General Support
City Club
1333 Fifth Ave Ste 24	Seattle	WA	98101	911148262	501c3	5000	General Support
Downtown Emergency Service Center
515 Third Ave	Seattle	WA	98104	911275815	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
Hope for Heroism
1201 Third Ave Ste 700	Seattle	WA	98101	912105756	501c3	5000	General Support
King County Sexual Assault Resource Center
200 Mill Ave S Ste 10	Renton	WA	98057	910967255	501c3	5000	General Support
National Multiple Sclerosis Society
192 Nickerson St Ste 100	Seattle	WA	98109	910742424	501c3	5000	General Support
Robert Vasen Foundation
2807 102n Ave SE	Bellevue	WA	98004	208656415	501c3	5000	General Support
Safe Crossings Foundation
6548 51st Ave	Seattle	WA	98115	752992774	501c3	5000	General Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	43	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 Virgina 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)
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 (25 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
Gary Kaplan MD
935516	331324	29171	1703993	28795	3028799
Suzanne Anderson
447131	103259	23501	55723	15646	645260
Katerie Chapman
219260	45825	4140	15513	23726	308464
Lucy Glenn MD
520668	122297	17274	29549	14409	704197
Michael Glenn MD
580740	131745	17274	127422	13070	870251
Fred Govier MD
560728	126861	17274	68021	28718	801602
Kate Reed
64733	75780	182396	10472	14924	348305
Andrew Jacobs MD
441200	105165	17274	75962	34578	674179
Joyce Lammert MD
398020	90505	17468	58571	12150	576714
Brian McDonald MD
297749		877	32702	19425	350753
Sarah Patterson
472296	105494	3960	110998	26539	719287
William Poppy
352583	83473	39906	43430	31851	551243
Steve Rupp MD
474674	109484	774	30968	19731	635631
Donna Smith MD
377906	86973	15914	64522	11201	556516
Charleen Tachibana RN
345630	77822	19044	49637	17067	509200
Christopher L Fellows MD
1173564	227	774	49613	21726	1245904
Ulrike I Ochs MD
964430	12	813	29105	17979	1012339
Richard A Kozarek MD
950266	8	1188	156720	21906	1130088
Keith Paige MD
803029		270	61988	29163	894450
Edwin Rhim M D
785020		180	15512	22644	823356
James P Cote
208467	46357	17400	4915	14182	291321
Robert Mecklenburg MD
384748	25	35286	33224	19407	472690
Michael P Ondracek
205338	46852	600	598	26561	279949
Craig Goodrich
286359	69324	19080	43700	19301	437764
Catherine Potts
267372	33540	17688	26285	14026	358911

Form990 Schedule J Part III Form990ScheduleJPartIII (6 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 similar 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 nonqualifed 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.
I	4b continued	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

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)
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)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00001	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00001	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
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
Exception To Rebate	true	ExceptionToRebate

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule K IRS990ScheduleK

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 Bob Lemon	81150	Employee	false
The Seattle Times
Tod Hamachek	333132	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 Hamacheck is a compensated director of Seattle Times.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (35 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990 Part III	1	The Medical Center also operates Bailey-Boushay House, a skilled nursing facility and day health center serving the HIV/AIDS community. The Medical Centers patient care services are integrated with and enhanced by education and research activities which include a graduate medical education program providing training to over 113 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	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 259 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	4a continued	The Medical Center is committed to providing necessary medical services regardlesss of a patients ability to pay and without discrimination as to race, color, creed, national origin, religion, sex, sexual orientation, disability, age, source of income, or any other class protected by federal or Washington state law, or who have an emergency medical condition. The Medical Center is a participating hospital in the Washington State Medicaid Contracting Program. Charity Care is provided according to a sliding fee scale for patients with gross family incomes at or below 300 of the Federal poverty guidelines adjusted for family size as follows 1 Below the Federal Poverty Level Medicaid and/or 100 Discount 2 100 - 200 of Poverty Level 100 Discount 3 201 - 250 of Poverty Level 50 Discount 4 251 - 300 of Poverty Level 30 Discount.
Form 990 Part III	4a continued	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 10,359,491 during the year, along with 21,533,275 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	4b	The Medical Centers graduate medical education program maintains education affiliation agreements with community clinics under which the Medical Centers residents provide care to patients at clinics serving low-income and uninsured patients. The Medical Center has an affiliation with Eastgate Public Health Clinic operated by Seattle and King County Public Health to provide a resident clinic 4-days a week under the supervision of Medical Center physicians. This affiliation has expanded access to health care for King County residents and enhanced the educational opportunities of internal medicine residents.
Form 990 Part III	4b continued	The Clinical Nursing Education CNE program offered 25 CNE events in 2011 to 1,031 attendees. Participants include nurses primary audience and advanced practice registered nurses CNS, CNL, ARNP, as well as human resources business partners, patient service and relations project managers, customer service representatives, patient flow coordinators, respiratory therapists, social workers, pharmacists and pharmacy interns, educators, nursing students, dietitians, specialized technicians, medical assistants, patient care technicians and physicians.
Form 990 Part III	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, medical insurance, 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	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. In 2010, the program was reaccredited, receiving Accreditation with Commendation a designation achieved by the top 20 percent of CME programs in the country. In 2011, the CME department sponsored 14 courses either full-, half-, or multi-day which were attended by 668 participants, including 388 physicians. Together, participants in these activities completed 3,487 hours of continuing education.
Form 990 Part III	4b continued	During 2011, 37 one-hour Grand Rounds presentations were presented at the Medical Center, with the on-site audience averaging 135 attendees. The Grand Rounds series is also broadcast via videoconference to 15 off-site health care systems throughout Alaska and Washington State. In 2011, 3,484 AMA PRA Category 1 Credits TM were awarded to participants in this series. The CME department also supports Regularly Scheduled Series in Cancer Care, Cardiac Catherization, Neuroscience Imaging, Competencies and Incidents, Vascular Surgery, GI Radiology, GI Pathology, and Pharmacy and Therapeutics.
Form 990 Part III	4b continued	Approximately 15 of our physicians 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	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 2011, the Medical Center provided 83,000 toward support of Separation and Loss.
Form 990 Part III	4c continued	The Medical Center also supports Tender Loving Care TLC 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 261,000 toward the operating costs of TLC in 2011.
Form 990 Part III	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 2011. AHAs mission is to reduce coronary heart disease, stroke and risk by 25 by 2010. 2 SEAFAIR and the Medical Center partnered to sponsor the BRI Triathon, benefitting Autoimmune Research. 3 The Medical Center was a sponosor of the JDRF Gala to benefit the Juvenille Diabetes Research Foundation JDRF. The JDRFs mission is to find a cure for diabetes and its complications through the support of research.
Form 990 Part III	4d continued	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 provided support to the United Ways fundraising effort of 199,000 in 2011.
Form 990 Part III	4d continued	6 The Medical Center health care providers and staff donated free prostate cancer screenings to 350 men in the Puget Sound region, in partnership with zerocancer.org, an organization that ...leads the fight to end prostate cancer, the most commonly diagnosed cancer among men. By promoting greater awareness of the need for early detection and leveraging public resources for life-saving research and new treatments for those with advanced disease...
Form 990 Part VI	2	Family relationship between key employees Michael Glenn, MD and Lucy Glenn, MD.
Form 990 Part VI	4	The organization created a position of Board Chair-Elect. The Chair-Elect is expected after a one 1 year term to assume the position of Chairman of the Board. The purpose of the Chair-Elect position is to provide an opportunity for the Chair-Elect to be appropriately oriented to the role and responsibilities of the Chairman of the Board, ensuring a smooth transition of the Board Chair position. The Chair-Elect shall be an independent director, as determined by the Board of Directors in accordance with the corporations policy regarding director independence. The Chair-Elect shall serve as an ex officio member of the Officers Committee without voting rights. The Chair-Elects responsibilities are in addition to any applicable responsibilities or voting rights of such individual as a board member, Committee Chair or officer.
Form 990 Part VI	4 continued	The Bylaws were also amended to explicitly state that the Chairman shall be an independent director, as determined by the Board of Directors in accordance with the corporations policy regarding director independence.
Form 990 Part VI	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 asssets 8 Aprroval of all amendments to the Articles of Incorporation or Bylaws.
Form 990 Part VI	6,7 continued	All other rights and powers as specified in the Washington Nonprofit Corporation Act.
Form 990 Part VI	11b	The Audit and Compliance Committee, a committee composed of independent community members of the Medical Center Board of Directors ACC 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 preparer 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.
Form 990 Part VI	11b continued	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	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.
Form 990 Part VI	12c continued	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.
Form 990 Part VI	12c continued	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 Governance Committee informs the Covered Person 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.
Form 990 Part VI	12c continued	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 Managaement 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	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.
Form 990 Part VI	15 continued	The Committee as part of its anlaysis 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.
Form 990 Part VI	15 continued	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.
Form 990 Part VI	15 continued	The Executives that were reviewed in 2011 were Chief Executive Officer, Chief Operating Officer and Executive Vice President, Chief Information Officer/Chief Financial Officer and Senior Vice President, Senior Vice Presidents, Vice Presidents, Physician Chiefs, Clinic Medical Director, Hospital Medical Director.
Form 990 Part VI	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 VII	1a Column B	The estimated average hours per week devoted to a related organization are Alfred Lopus 2 hours, Andrew Jacobs 2 hours, Brian McDonald 0 hours, Carolyn Corvi 4 hours, Charleen Tachibana 0 hours, Christopher Fellows 0 hours, Craig Goodrich 1 hour, David Moffett 2 hours, Donna Smith 0 hours, Dorothy Mann 2 hours, Edwin Rhim 0 hours, Evelyn Cruz Sroufe 2 hours, Fred Govier 0 hours, Gary Kaplan 5 hours, James Cote 0 hours, James Orlikoff 4 hours, James Young 4 hours, Joshua Green 2 hours, Joyce Lammert 0 hours, Julie Morath 2 hours, Kate Reed 0 hours, Katerie Chapman 0 hours, Lonnie Edelheit 2 hours, Lucy Glenn 0 hours, Michael Glenn 0 hours, Michael Ondracek 0 hours, Keith Paige 0 hours, Richard Kozarek 0 hours, Richard Robbins 2 hours, Robert Lemon 5 hours, Robert Mecklenburg 25 hours, Sarah Patterson 4 hours, Steve Rupp 0 hours, Suzanne Anderson 4 hours, Tod Hamachek 2 hours
Form 990 Part VII	1a Column B	Ulrike Ochs 0 hours, William Poppy 0 hours
Form 990 Part XI	5	Donated Capital 2,101 Additional Pension Adjustment 12,538,463 Restricted Capital Transfers 1,884,687 Unrealized Gain and Loss on Investment 4,214,039 Other-than-temporary impairment 3,516,288 Cost of Goods Sold Adjustment 2,213
		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 Centers patient care services are integrated with and enhanced by education and research activities which include a graduate medical education program providing training to over 113 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 259 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 regardlesss of a patients ability to pay and without discrimination as to race, color, creed, national origin, religion, sex, sexual orientation, disability, age, source of income, or any other class protected by federal or Washington state law, or who have an emergency medical condition. The Medical Center is a participating hospital in the Washington State Medicaid Contracting Program. Charity Care is provided according to a sliding fee scale for patients with gross family incomes at or below 300 of the Federal poverty guidelines adjusted for family size as follows 1 Below the Federal Poverty Level Medicaid and/or 100 Discount 2 100 - 200 of Poverty Level 100 Discount 3 201 - 250 of Poverty Level 50 Discount 4 251 - 300 of Poverty Level 30 Discount. Form 990 Part III Line 4a continued 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 10,359,491 during the year, along with 21,533,275 of Medicaid contractual allowances. Charity care does not include bad debts which is the amount the Medical Center is not paid by patients deemed able to pay their bills. Form 990 Part III Line 4b The Medical Centers graduate medical education program maintains education affiliation agreements with community clinics under which the Medical Centers residents provide care to patients at clinics serving low-income and uninsured patients. The Medical Center has an affiliation with Eastgate Public Health Clinic operated by Seattle and King County Public Health to provide a resident clinic 4-days a week under the supervision of Medical Center physicians. This affiliation has expanded access to health care for King County residents and enhanced the educational opportunities of internal medicine residents. Form 990 Part III Line 4b continued The Clinical Nursing Education CNE program offered 25 CNE events in 2011 to 1,031 attendees. Participants include nurses primary audience and advanced practice registered nurses CNS, CNL, ARNP, as well as human resources business partners, patient service and relations project managers, customer service representatives, patient flow coordinators, respiratory therapists, social workers, pharmacists and pharmacy interns, educators, nursing students, dietitians, specialized technicians, medical assistants, patient care technicians 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, medical insurance, 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. In 2010, the program was reaccredited, receiving Accreditation with Commendation a designation achieved by the top 20 percent of CME programs in the country. In 2011, the CME department sponsored 14 courses either full-, half-, or multi-day which were attended by 668 participants, including 388 physicians. Together, participants in these activities completed 3,487 hours of continuing education. Form 990 Part III Line 4b continued During 2011, 37 one-hour Grand Rounds presentations were presented at the Medical Center, with the on-site audience averaging 135 attendees. The Grand Rounds series is also broadcast via videoconference to 15 off-site health care systems throughout Alaska and Washington State. In 2011, 3,484 AMA PRA Category 1 Credits TM were awarded to participants in this series. The CME department also supports Regularly Scheduled Series in Cancer Care, Cardiac Catherization, Neuroscience Imaging, Competencies and Incidents, Vascular Surgery, GI Radiology, GI Pathology, and Pharmacy and Therapeutics. Form 990 Part III Line 4b continued Approximately 15 of our physicians 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 2011, the Medical Center provided 83,000 toward support of Separation and Loss. Form 990 Part III Line 4c continued The Medical Center also supports Tender Loving Care TLC 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 261,000 toward the operating costs of TLC in 2011. 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 2011. AHAs mission is to reduce coronary heart disease, stroke and risk by 25 by 2010. 2 SEAFAIR and the Medical Center partnered to sponsor the BRI Triathon, benefitting Autoimmune Research. 3 The Medical Center was a sponosor of the JDRF Gala to benefit the Juvenille Diabetes Research Foundation JDRF. The JDRFs mission is to find a cure for diabetes and its complications through the support of research. Form 990 Part III Line 4d continued 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 provided support to the United Ways fu

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	1180735	24108126	Virginia Mason Medical Center
1005 Spring Street LLC
1100 Ninth Avenue	Seattle	WA	98101	204816736	Real Estate	WA	1374987	4910369	Virginia Mason Medical Center
Health Resource Services LLC
1100 Olive Way	Seattle	WA	98101	262800944	Group Purchasing	WA	7912296	10370156	Virginia Mason Medical Center

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	Virginia Mason Medical Center

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	8538962	ShareOfTotalIncome
Share Of EOY Assets	2581956	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
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
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	122311	100000	222311	862824008	863046319	$940,568	$235,142	0	0	0
Virginia Mason Health System
1100 Ninth Avenue	Seattle	WA	98101	911351110		0	0	0	14369012	14369012	$15,660	$3,915	0	0	0
Virginia Mason Institute
1100 Ninth Avenue	Seattle	WA	98101	263763656		0	0	0	2003316	2003316	$2,183	$546	0	0	0
Benaroya Research Institute at Virginia Mason
1201 Ninth Avenue	Seattle	WA	98101	910653422		0	0	0	38161661	38161661	$41,589	$10,397	0	0	0