VIRGINIA MASON MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: VIRGINIA MASON MEDICAL CENTER (EIN 91-0565539)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-15
IRS object ID: 201113199349303681
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-15T08:19:38-00:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	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	2011-11-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2069134000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	941203590	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 Center's 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. 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	12	NbrIndependentVotingMembers
Total Nbr Employees	5803	TotalNbrEmployees
Total Nbr Volunteers	2172	TotalNbrVolunteers
Total Gross UBI	12532106	TotalGrossUBI
Net Unrelated Business Txbl Income	5217822	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	7802755	ContributionsGrantsPriorYear
Contributions Grants Current Year	9336367	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	789943130	ProgramServiceRevenuePriorYear
Program Service Revenue CY	819224526	ProgramServiceRevenueCY
Investment Income Prior Year	9920676	InvestmentIncomePriorYear
Investment Income Current Year	12563826	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7098864	OtherRevenuePriorYear
Other Revenue Current Year	7427010	OtherRevenueCurrentYear
Total Revenue Prior Year	814765425	TotalRevenuePriorYear
Total Revenue Current Year	848551729	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5364987	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	8085581	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	457117541	SalariesEtcPriorYear
Salaries Etc Current Year	478076595	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	303605772	OtherExpensePriorYear
Other Expenses Current Year	330371114	OtherExpensesCurrentYear
Total Expenses Prior Year	766088300	TotalExpensesPriorYear
Total Expenses Current Year	816533290	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	48677125	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	32018439	RevenuesLessExpensesCY
Total Assets BOY	846953582	TotalAssetsBOY
Total Assets EOY	882192273	TotalAssetsEOY
Total Liabilities BOY	589236659	TotalLiabilitiesBOY
Total Liabilities EOY	574734401	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	257716923	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	307457872	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 375 physicians, offering both primary and specialized care, through a regional network of neighborhood clinics and ambulatory surgery centers.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	684136357	Expense
Revenue	825918705	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 2010, the Medical Center recorded 15,343 hospital inpatient admissions, 22,722 emergency room visits and 834,406 clinic visits. The Medical Center provided charity care and unreimbursed medicaid services to a total of 5,217 patients. Continued on Schedule O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	22362371	Expense
Grants	4118624	Grants
Revenue	183020	Revenue
Description	Education and Research The Medical Center is an independent academic medical center with a graduate medical education program that trains over 110 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 supports 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	805556	Expense
Revenue	549811	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 2010, the Medical Center provided 84,000 of support for the Teaching Center. Continued on Schedule O	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	4370609	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	3966957	TotalOfOtherProgramServiceGrnt
Total Program Service Expense	711674893	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	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	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	1925	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	5803	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	12	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	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 (37 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	1342302	0	886936
Suzanne Anderson
Senior Vice President, CIO/CFO	050.00		X	581265	0	69910
Katerie Chapman
Vice President	050.00			251530	0	34694	X
Lucy Glenn MD
Chief of Radiology	050.00			697401	0	70451	X
Michael Glenn MD
Physician in Chief, Medical Director, Clinic	050.00			749663	0	95284	X
Fred Govier MD
Chief of Surgery	050.00			710564	0	47933	X
Kate Reed
Senior Vice President, Clinic Administrator	050.00			419648	0	53812	X
Andrew Jacobs MD
Chief Medical Officer	050.00			581130	0	107291	X
Joyce Lammert MD
Chief of Medicine	050.00			519384	0	43250	X
Brian McDonald MD
Physician, Former key employee	050.00			393530	0	44270		X
Julie Morath RN
Director	002.00	X		0	0	0
Sarah Patterson
Executive Vice President, COO	050.00			590158	0	109661	X
William Poppy
Senior Vice President, CTO	050.00			505102	0	58075	X
Steve Rupp MD
Chief of Perioperative Services and Anesthesiology	050.00			618418	0	80032	X
Donna Smith MD
Medical Director, Hospital	050.00			503669	0	86973	X
Charleen Tachibana RN
Senior Vice President, Hospital Administrator	050.00			442482	0	63938	X
Christopher L Fellows MD
Physician	050.00			1080213	0	125374			X
Ulrike I Ochs MD
Physician	050.00			875250	0	45362			X
Richard A Kozarek MD
Physician	050.00			883224	0	136443			X
Paul B Griggs MD
Physician	050.00			735151	0	42928			X
Edwin Rhim M D
Physician	050.00			730590	0	35380			X
James P Cote
Vice President	050.00			230678	0	13578	X
Robert Mecklenburg MD
Physician, Former Board Director	050.00			420544	0	32601		X
Michael P Ondracek
Vice President	050.00			238736	0	19637	X
Craig Goodrich
Senior Vice President, Former Key Employee	050.00			390495	0	39529		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	14491127	TotalReportableCompFromOrg
Total Other Compensation	2343342	TotalOtherCompensation
Number Individuals GT100 K	937	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	1567821
Skanska USA Building Inc
221 Yale Ave N Suite 400	Seattle	WA	98109	Construction Services	61283156
Crothall Services Group Inc
955 Chesterbrook Bld Ste 300	Wayne	PA	19087	Staffing Services	12225513
AMN Healthcare Inc
12400 High Bluff Drive	San Diego	CA	92130	Staffing Services	2060205
NBBJ Group
223 Yale Ave N	Seattle	WA	98109	Construction Services	1552353

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	46	NumberOfContractorsGT100K
Related Organizations	9336367	RelatedOrganizations
Total Contributions	9336367	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Operating Revenues	561499	1012988780	1006213534	6775246
Medicare/Medicaid payments	621300	118717296	118717296

Field	Value	IRS element (for citing)
Total Program Service Revenue	819224526	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	9010322	TotalRevenueColumn
Related Or Exempt Function Income	19083	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	5522026	UnrelatedBusinessRevenue
Exclusion	$3,469,213	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	48706	TotalRevenueColumn
Exclusion	$48,706	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1256130	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	838880	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	417250	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	417250	TotalRevenueColumn
Unrelated Business Revenue	178127	UnrelatedBusinessRevenue
Exclusion	$239,123	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	95182098	Securities
Other	122649	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	91666332	Securities
Other	133617	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3515766	Securities
Other	-10968	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3504798	TotalRevenueColumn
Unrelated Business Revenue	-3054	UnrelatedBusinessRevenue
Exclusion	$3,507,852	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	12638	GrossSalesOfInventory
Cost Of Goods Sold	13032	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-394	TotalRevenueColumn
Unrelated Business Revenue	-394	UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria	722100	3131366	$3,131,366
Parking	721110	3629706	$3,569,551	60155
Medical Records	561499	195804	$195,804

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	53278	TotalRevenueColumn
Exclusion	$53,278	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	7010154	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	848551729	TotalRevenueColumn
Related Or Exempt Function Income	812468363	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	12532106	UnrelatedBusinessRevenue
Exclusion	$14,214,893	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	8085581	Total
Program Services	8085581	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	10584477	Total
Program Services	6556585	ProgramServices
Management And General	4027892	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	395666585	Total
Program Services	345011682	ProgramServices
Management And General	50654903	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	23621795	Total
Program Services	20597633	ProgramServices
Management And General	3024162	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	23864602	Total
Program Services	20809356	ProgramServices
Management And General	3055246	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	24339136	Total
Program Services	21223137	ProgramServices
Management And General	3115999	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	913078	Total
Program Services	796182	ProgramServices
Management And General	116896	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1584348	Total
Management And General	1584348	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	385060	Total
Management And General	385060	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	211772	Total
Management And General	211772	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	44689375	Total
Program Services	38968053	ProgramServices
Management And General	5721322	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	5972191	Total
Program Services	5207606	ProgramServices
Management And General	764585	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	147075457	Total
Program Services	128246238	ProgramServices
Management And General	18829219	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	24072618	Total
Program Services	20990740	ProgramServices
Management And General	3081878	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	18544209	Total
Program Services	16170101	ProgramServices
Management And General	2374108	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2815127	Total
Program Services	2454723	ProgramServices
Management And General	360404	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	498448	Total
Program Services	434635	ProgramServices
Management And General	63813	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5284027	Total
Program Services	4607544	ProgramServices
Management And General	676483	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	28930448	Total
Program Services	25212559	ProgramServices
Management And General	3717889	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5722212	Total
Program Services	4989631	ProgramServices
Management And General	732581	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Taxes	16863576	16863576
Medical Purchase Services	547098	477056	70042
Dues and Subscriptions	2022250	1763353	258897
Bad Debt Expense	9465185	9465185
Disposal of Equipment	159852		159852

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	14614783	Total
Program Services	12743737	ProgramServices
Management And General	1871046	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	816533290	Total
Program Services	711674893	ProgramServices
Management And General	104858397	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	19422509	BOY
EOY	19383788	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	106402722	BOY
EOY	90964109	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	71221903	BOY
EOY	77954742	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	12821963	BOY
EOY	12923192	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3495923	BOY
EOY	3600429	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	785576517	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	314512424	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	394600909	BOY
EOY	471064093	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	119738846	BOY
EOY	147737870	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	300651	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	119248807	BOY
EOY	58263399	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	846953582	BOY
EOY	882192273	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	107353555	BOY
EOY	108617613	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	92515	BOY
EOY	43753	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	334025218	BOY
EOY	331425934	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	32025044	BOY
EOY	31906116	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	115740327	BOY
EOY	102740985	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	589236659	BOY
EOY	574734401	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	237225094	BOY
EOY	289366423	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16558901	BOY
EOY	14155766	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3932928	BOY
EOY	3935683	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	257716923	BOY
EOY	307457872	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	846953582	BOY
EOY	882192273	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	32018439	ReconcilationRevenueExpenses
Reconcilation Other Changes	17722510	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	151772	FilingOrganizationsTotals
Affiliated Group Totals	151772	AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	60000	FilingOrganizationsTotals
Affiliated Group Totals	118289	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	211772	FilingOrganizationsTotals
Affiliated Group Totals	270061	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	816321518	FilingOrganizationsTotals
Affiliated Group Totals	864254612	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	816533290	FilingOrganizationsTotals
Affiliated Group Totals	864524673	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	199415	CurrentYearMinus3
Current Year Minus2	129287	CurrentYearMinus2
Current Year Minus1	269422	CurrentYearMinus1
Current Year	270061	CurrentYear
Total	868185	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250001	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	199415	CurrentYearMinus3
Current Year Minus2	129287	CurrentYearMinus2
Current Year Minus1	152146	CurrentYearMinus1
Current Year	151772	CurrentYear
Total	632620	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 151,772, Direct Lobbying Expenditures 60,000, 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, 2010.
II-A	A continued	Virginia Mason Medical Center pays membership dues to Washington State Hospital Association, a portion of which are 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, 4,674 Direct 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, 53,615 Direct Lobbying Expenditures, Excess Lobbying Expenditure 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	11663690	BeginningOfYearBalance
Contributions	20	Contributions
Investment Earnings Or Losses	1423022	InvestmentEarningsOrLosses
Grants Or Scholarships	414659	GrantsOrScholarships
End Of Year Balance	12672073	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	0.60510	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.28380	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.11100	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	203848638	OtherCostOrOtherBasis
Depreciation	106170095	Depreciation
Book Value	97678543	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20180316	OtherCostOrOtherBasis
Depreciation	7982171	Depreciation
Book Value	12198145	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	277408898	OtherCostOrOtherBasis
Depreciation	199879288	Depreciation
Book Value	77529610	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	247768063	OtherCostOrOtherBasis
Depreciation	480870	Depreciation
Book Value	247287193	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	471064093	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	ARI Investment	Description
Book Value	300651	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	300651	TotalOfBookValueSecurities

Other Assets OtherAssets (11 entries)

DescriptionDescription	Book ValueBookValue
Funds Held By Trustee	36960982
Interest Receivable Swap	200000
Long Term Receivable	253500
BB Cemetry Plots/Niches Donated Assets	17976
Parking Rights	346926
Winthrop Apartment	227800
Equity Investment-HSCA	347519
Deferred Financing Costs	9383641
Partnership Interest in National Purchasing Partners	4191677
Beneficial Interest	6317901
Start Up Costs-Madison	15477

Field	Value	IRS element (for citing)
Total Book Value Other Assets	58263399	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
Due to affiliates	$3,468,955
Estimated Third Party Payor Settlement	$7,692,477
Reserve for Professional Liability Claims	$20,500,000
Accrued Retirement Expenses	$66,841,259
Asbestos Abatement	$1,146,219
Deferred Rent Credits	$3,092,075

Field	Value	IRS element (for citing)
Total Of Amounts	102740985	TotalOfAmounts
Total Revenue	848551729	TotalRevenue
Total Expenses	816533290	TotalExpenses
Excess Or Deficit For Year	32018439	ExcessOrDeficitForYear
Net Unrealized GL On Investments	5907218	NetUnrealizedGLOnInvestments
Other	$12,462,720	OtherAmount
Total Adjustments	18369938	TotalAdjustments
Excess Or Deficit Per FS	50388377	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	866146442	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	5907218	NetUnrealizedGainsInvestments
Other Revenues	16570321	OtherRevenues
Revenue Not Rptd F990	22477539	RevenueNotRptdF990
Revenue Subtotal	843668903	RevenueSubtotal
Other Revenues Not Included	4882826	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	4882826	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	848551729	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	815758066	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	4107602	OtherExpensesIncluded
Expenses Not Rptd F990	4107602	ExpensesNotRptdF990
Expenses Subtotal	811650464	ExpensesSubtotal
Other Expenses Not Included	4882826	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	4882826	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	816533290	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 at 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, classification, interest and penalties, accounting in interim periods, disclosure and transition. This guidance did not have a significant impact to the consolidated financial statements in 2010 or 2009.
XI	8	Reconciliation of Change in Net Assets from Form 990 to Audited Financial Statements-Other Adjustments - Additional Pension Adjustment 4,088,345, Restricted Capital Transfers 7,727,203, Virginia Mason Institute Revenues 2,609,257, Virginia Mason Institute Expenses 1,961,829 Donated Capital Adjustment 256
XII	2d	Reconciliation of Revenue per Audited Financial Statements with Revenue per Return-Amounts included in Audited Financial Statements not on Form 990, Part VIII, Line 12, Other - Donation Transfers 2,145,772 Virginia Mason Institute Revenues 2,609,257 Donated Capital Adjustment 256 Additional Pension Adjustment 4,088,345 Restricted Capital Transfers 7,727,203
XII	4b	Reconciliation of Revenue per Audited Financial Statements with Revenue per Return-Amounts included on Form 990, Part VIII, Line 12 not in Audited Financial Statements line 1, Other - Non-operating expenses 4,954,215 Financial Reclasses 620,671 Rental Expenses 838,880 Loss on Disposal of Equipment 159,852 Inventory Cost of Goods Sold 13,032
XIII	2d	Reconciliatioin of Expenses per Audited Financial Statements with Expenses per Return-Amounts included in Audited Financial Statements not on Form 990, Part IX, Line 25, Other - Donation Transfers 2,145,773 Virginia Mason Institute Expenses 1,961,829
XIII	4b	Reconciliation of Expenses-Amounts included on Form 990, Part IX, Line 25 not in Audited Financial Statements Line 1, Other - Non-operating expenses 4,954,215 Financial Reclasses 620,671 Rental expenses 838,880 Loss on Disposal of Equipment 159,852 Inventory Cost of Goods Sold 13,032

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (6 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
East Asia and the Pacific	Program Services	Education	37687
Europe	Program Services	Education	18232
North America	Program Services	Education	26687
Central America and the Caribbean	Program Services	Education	1325
South America	Program Services	Education	3575
Sub-Saharan Africa	Program Services	Education	3150

Field	Value	IRS element (for citing)
Subtotal Amount Spent	90656	SubtotalAmountSpent
Total Amount Spent	90656	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	5217	PersonsServed
Total Community Benefit Expense	8437175	TotalCommunityBenefitExpense
Net Community Benefit Expense	8437175	NetCommunityBenefitExpense
Percent Of Total Expense	0.01030	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	5127	PersonsServed
Total Community Benefit Expense	25981268	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18777069	DirectOffsettingRevenue
Net Community Benefit Expense	7204199	NetCommunityBenefitExpense
Percent Of Total Expense	0.00880	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	10344	PersonsServed
Total Community Benefit Expense	34418443	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18777069	DirectOffsettingRevenue
Net Community Benefit Expense	15641374	NetCommunityBenefitExpense
Percent Of Total Expense	0.01910	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	790	PersonsServed
Total Community Benefit Expense	1408189	TotalCommunityBenefitExpense
Direct Offsetting Revenue	123250	DirectOffsettingRevenue
Net Community Benefit Expense	1284939	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	246	PersonsServed
Total Community Benefit Expense	9734683	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5851233	DirectOffsettingRevenue
Net Community Benefit Expense	3883450	NetCommunityBenefitExpense
Percent Of Total Expense	0.00480	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	2334	PersonsServed
Total Community Benefit Expense	1125223	TotalCommunityBenefitExpense
Direct Offsetting Revenue	841558	DirectOffsettingRevenue
Net Community Benefit Expense	283665	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4768799	TotalCommunityBenefitExpense
Net Community Benefit Expense	4768799	NetCommunityBenefitExpense
Percent Of Total Expense	0.00580	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	3370	PersonsServed
Total Community Benefit Expense	17036894	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6816041	DirectOffsettingRevenue
Net Community Benefit Expense	10220853	NetCommunityBenefitExpense
Percent Of Total Expense	0.01250	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	13714	PersonsServed
Total Community Benefit Expense	51455337	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25593110	DirectOffsettingRevenue
Net Community Benefit Expense	25862227	NetCommunityBenefitExpense
Percent Of Total Expense	0.03160	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	200	PersonsServed
Total Community Building Expense	374205	TotalCommunityBuildingExpense
Net Community Building Expense	374205	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	200	PersonsServed
Total Community Building Expense	374205	TotalCommunityBuildingExpense
Net Community Building Expense	374205	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$4,744,897	BadDebtExpenseAmount
Amount Reimbursed By Medicare	131264845	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	143357308	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-12092463	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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	National Purchasing Partners	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Market Group Purchasing Program	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership

Field	Value	IRS element (for citing)
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 (71 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	Additional full or partial discounts may be provided to patients who are not otherwise eligible for Charity Care, i.e., with gross family incomes above three hundred percent 300 of the federal poverty guidelines adjusted for family size. Such discounts may be provided to patients with catastrophic costs or conditions when circumstances as determined by the Medical Center indicate that full payment may cause extraordinary financial hardship to the patient or the patients family.
Part I line 3c	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 column f	Bad Debt expense of 67,850 was included on Form 990, Part IX, line 25 but was subtracted from subsidized health services for purposes of calculating the percentage in Part I, Line 7.
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 I line 7	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	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 not eligible for the uninsured discount.
Part III line 4	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 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	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	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	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	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	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 12,092,463. 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	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	This model shows that 39 million of Medicare revenue is not included in the traditional cost report with related costs of 65 million for a shortfall of 27 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	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	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	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	Patient Financial Services management team has responsibility for determining under what circumstances a balance may be referred for collection agency resolution. The Medical Center recognizes there are occasions when a patient is not financially able to pay their medical bill in full. Those patients who indicate they are experiencing financial hardship will be offered the opportunity to apply for charity care assistance. Collection activity will be suspended pending eligibility determination.
Part III line 9b	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	If charity determination is approved, the charity care discount is applied to the outstanding account balance based on the FPG determination and a confirmatory letter is sent to the patient. If charity is denied, the Medical Center will send a denial letter to the patient. A summary report of collection activities taken will be provided to the Medical Center Board on an annual basis per the Washington State Hospital Association WSHA guidelines.
Part VI Line 2	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 needs assessment.
Part VI Line 2	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	Virginia Masons community is defined as King County, South Snohomish County, Kitsap County and North Pierce County. Within King County, areas are identified as Seattle, north, south and east. In several instances, the geographic areas are futher broken down by city and neighborhood.
Part VI Line 2	Virginia Masons Community Needs Assessment serves as the foundation 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	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	Likewise, we provide access to care for the uninsured through our partnership with Eastgate Community Clinic, while also supporting our graduate medical education program with a superior learning environment for our residents continuity clinic experience.
Part VI Line 2	As the first healthcare 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. In 2009, Virginia Mason expanded on its commitment to reducing influenza in our community by participating in the King County United Way Community Resource Exchange and delivering free flu shots to Seattles homeless population.
Part VI Line 2	Virginia Masons community benefit program is also developing a comprehensive diabetes prevention program in response to the obesity and diabetes data from the needs assessment.
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	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	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	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	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 patient expressed concerns either via phone or letter.
Part VI Line 3	The Medical Centers website also includes information about charity availability and the contact information to initiate an assessment.
Part VI Line 4	Virginia Masons community is defined as King County, South Snohomish County, Kitsap County, and North Pierce County. Within King County, areas are identified as Seattle, north, south, 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	The Medical Centers communities of King County, Snohomish County, Kitsap County, and Pierce County has a combined population of 3,568,314 per the 2000 US Census. The demographics of these counties are 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.
Part VI Line 4	The average income of these four counties is 86,000 with approximately 9 of the population below the federal poverty income guideline.
Part VI Line 4	About 14 percent of the communitys patients are uninsured.
Part VI Line 4	There are 43 hospitals serving these four counties. King County has 26 hospitals and specialty centers, KItsap County has 2 hospitals, Piece County has 9 hospitals, and Snohomish County has 6 hospitals.
Part VI Line 4	Several of these counties have federally-designated medically underserved areas or population present in the community per the Department of Health data. Kitsap County is federally-designated for low income in the Bremerton/Port Orchard communities. Pierce County is federally-designated geographically in the communities of Longbranch, Buckley, and Eatonville/Roy.
Part VI Line 4	Snohomish County is federally-designated geographically in the Skykomish, Sultan, Gold Bar, Index, Darrington and Tulalip communities. Snohomish County is also federally-designated for low income and homeless in the North Everett community.
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	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	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 of the federal poverty level in keeping with the Washington State Hospital Association voluntary guidelines on billing the uninsured. In 2010, Virginia Mason provided charity care to 5,217 patients at a cost of 8,437,175. In addition, Virginia Masons unreimbursed Medicaid was provided at a cost of 3,830,043.
Part VI Line 5	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	3 free flu shots and health screenings for the homeless in conjunction with United Way of King Countys Community Resource Exchange 4 sponsorship of many professionally facilitated support groups, including diabetes prevention and management 5 bereavement support through our Separation and Loss Services and 6 leadership roles in several community organizations, which focus on health care.
Part VI Line 5	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.
Part VI Line 5	Virginia Mason trains more than 100 residents and fellows annually. Virginia Masons 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	Virginia Masons collaboration with the Eastgate Pulic 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 the 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	Approximately 50 percent of patients seen at the clinic do not have insurance or the means to pay, and approximately the same percentage do not speak English and require interpretive services. This resident clinic improves overall health in the community and gives back to our community in a meaningful way.
Part VI Line 5	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	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	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 devasting diseases including diabetes, arthritis, heart disease and cancer. In 2010, the Medical Center provided 4,119,000 to support research activities at BRI.
Part VI Line 5	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, make efficiency improvements, supporting capital planning and infrastructure design, and encouraging employee participation and innovation. The goal of EnviroMason is to reduce waste, recycle and conserve resources of our community.
Part VI Line 5	For example, Virginia Mason diverted 335 tons of MSW from local landfills and 144 tons of food waste from public sewer systems by avoiding use of garbage disposals. Virginia Mason became the first hospital in the Pacific Northwest to eliminate garbage cans and styrofoam use and begin composting food waste. The organization was able to reduce kitchen garbage waste by 75 percent and reduce water usage by 72 percent.
Part VI Line 5	Virginia Mason composts 15 tons of food and material waste per month, saves about 160,000 gallons of water in the hospital kitchen each year, and recycles about 250 pounds of plastic and tin each day. Cardboard recycling has increased by nearly 300 percent. Also, nearly 100 percent of cafeteria product purchases are compostable.
Part VI Line 5	In addition, Virginia Mason has invested more than 3 million in energy conservation endeavors, including efficient lighting, advanced chiller plant installations and upgrades, and extensive water and energy and conservation measures. In 2010, Virginia Mason entered into a long-term contract with one our utility vendors to support its new biofuel boilers, reaping the benefits of a significant carbon footprint reduction.
Part VI Line 5	Virginia Mason has one of the highest medical center surgery volumes in the region and about 30 percent of the organizations waste could once be traced to operating rooms. Even though general perceptions are that operating rooms have unique biohazard and blood contamination challenges, only about 15 percent of surgical waste requires special processing. Virginia Mason was the first hospital in the region to recycle in the operating room.
Part VI Line 5	Team members sort recyclable products from trash before surgeries even begin. About 80 percent of waste, such as clear plastics, blue surgical wrap, aluminum and other materials generated in Virginia Masons operating rooms is recycled. This represents about 800 pounds of recycled material each week.
Part VI Line 5	Medical Staff - Virginia Mason has 755 members on its hospital staff, including Virginia Mason physicians, 223 Group Health physicians, 47 Pacific Medical Centers physicians, and 43 other community providers.
Part VI Line 5	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	In futherance of its commitment to responsible governance practices, the Medical Centers Audit and Compliance Commitee, 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	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	As a futher mechanism for community involvement and leadership, Virginia Mason has established a Board of Governors an advisory body of community representatives. The Board of Governors is involved in forums for in-depth discussion of issues of importance to the Medical Center and the communities it serves.
Part VI Line 5	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	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 surplus as a result of ownership or any other insider relationship.
Part VI Line 5	The Compensation and Benefits Committee of the Medical Center Board, approves the compensation and benefits of the Medical Centers senior leadership, is composed entirely of community members of the Board who have no conflict of interest, including 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 (41 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	3355882	Operating Support
Benaroya Research Institue at Virginia Mason
1201 Ninth Avenue	Seattle	WA	98101	910653422	501c3	4118624	Operating Support
University of Washington Foundation
1325 4th Ave Ste 2000	Seattle	WA	98101	943079432	501c3	133000	General Support
JDRF Seattle Guild
1200 Sixth Avenue Suite 605	Seattle	WA	98101	161645215	501c3	55000	General Support
American Red Cross
1900 25th Ave S	Seattle	WA	98101	231907729	501c3	25000	General Support
Evergreen State Amateur Athletic Council
701 Pike St Ste 800	Seattle	WA	98101	911099134	501c3	25000	General Support
American Cancer Society
1313 Broadway Ste 100	Tacoma	WA	98402	911528577	501c3	18500	General Support
The First Tee of Greater Seattle
2340 Broadmoor Dr E	Seattle	WA	98112	910565555	501c3	18500	General Support
American Heart Association
710 Second Ave Ste 900	Seattle	WA	98104	131788491	501c3	17000	General Support
YWCA of Seattle-KC-Snohomish Cty
1118 Fifth Ave	Seattle	WA	98101	042178864	501c3	16000	General Support
Bellevue Community College
3000 Landerholm Circle SE	Bellevue	WA	98007	911997626	501c3	15000	General Support
Group Health Foundation
PO Box 34936 Dept 4194	Seattle	WA	98124	131623888	501c3	15000	General Support
National Multiple Sclerosis Society
192 Nickerson St Ste 100	Seattle	WA	98109	911935159	501c3	15000	General Support
Northwest Kidney Center
PO Box 3035	Seattle	WA	98114	911267597	501c4	15000	General Support
United Way of King County
720 Second Ave	Seattle	WA	98104	910482890	501c3	11250	General Support
King County Project Access
200 Broadway Ste 100	Seattle	WA	98122	916057438	501c3	10000	General Support
Pancreatic Cancer Action Network
2141 Rosecrans Avenue Suite 7000	El Segundo	CA	90245	546059304	501c4	10000	General Support
American Diabetes Association
1730 Minor Avenue	Seattle	WA	98101	911246278	501c6	15000	General Support
Enterprise Seattle
1301 Fifth Ave Suite 2500	Seattle	WA	98101	135563393	501c6	10000	General Support
Medical Teams International
PO Box 10	Portland	OR	97207	916056410	501c6	10000	General Support
Peacock Family Services
PO Box 11103	Bainbridge Island	WA	98110	135613797	501c3	10000	General Support
Seafair
2200 Sixth Ave Ste 400	Seattle	WA	98121	911419327	501c3	10000	General Support
Susan G Komen for the Cure
112 Fifth Ave N	Seattle	WA	98109	530196605	501c3	10000	General Support
The Foundation of the Rotary Club of Mercer Island
PO Box 1	Mercer Island	WA	98040	911058004	501c3	10000	General Support
The Hope Heart Institute
1380 112th Ave NE Ste 200	Bellevue	WA	98004	237100868	501c3	10000	General Support
Zero
10 G Street NE Ste 601	Washington	DC	20002	911030686	501c3	8000	General Support
Foundation for Health Care Quality
705 Second Ave Suite 703	Seattle	WA	98104	134280980	501c3	7500	General Support
American Liver Foundation
1311 Republican St	Seattle	WA	98109	204377921	501c3	6500	General Support
City Club
1333 Fifth Ave Ste 24	Seattle	WA	98101	910967255	501c3	5800	General Support
Alaska Physicians & Surgeons
4120 Laurel St Ste 206	Anchorage	AK	99508	911275815	501c3	5000	General Support
ALS Association
19115 68th Ave S Suite H-105	Kent	WA	98032	571212537	501c3	5000	General Support
Building Changes
2014 E Madison 200	Seattle	WA	98122	912065051	501c3	5000	General Support
College Success Foundation
1605 NW Sammamish Rd Ste 200	Issaquah	WA	98027	330841281	501c3	5000	General Support
DESC
515 Third Ave	Seattle	WA	98104	911558287	501c3	5000	General Support
Girls on the Run Puget Sound
8757 15th Ave NW	Seattle	WA	98117	450505050	501c3	5000	General Support
Heart of Seattle Schools
PO Box 1724	Seattle	WA	98111	208656415	501c3	5000	General Support
Island Hospital Foundation
1211 24th St	Anacortes	WA	98221	910893287	501c3	5000	General Support
King County Sexual Assault Resource Center
200 Mill Ave S Suite 10	Renton	WA	98057	911143444	501c3	5000	General Support
Neighborcare Health
1537 Western Ave	Seattle	WA	98101	800285920	501c3	5000	General Support
Overlake Hospital Auxiliaries
1035 116th Ave NE	Bellevue	WA	98004	410944493	501c3	5000	General Support
Robert Vasen Foundation
2807 102nd Ave SE	Bellevue	WA	98004	060726487	501c3	5000	General Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	36	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	5	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	I	Identifier
Return Reference	2	ReturnReference
Explanation	The funds provided to the Virginia Mason Health System and Benaroya Research Institute at Virginia Mason are for operational support or specific activities. Assistance provided to other non-profit organizations consisted of donations made to support specific events sponsored by the recipient organizations.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)

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
893606	431422	17274	849924	37012	2229238
Suzanne Anderson
426093	129945	25227	52972	16938	651175
Katerie Chapman
194101	56889	540	15512	19182	286224
Lucy Glenn MD
519474	160653	17274	63443	7008	767852
Michael Glenn MD
559570	172819	17274	87177	8107	844947
Fred Govier MD
527804	165486	17274	22988	24945	758497
Kate Reed
308028	93740	17880	33645	20167	473460
Andrew Jacobs MD
427030	136826	17274	76492	30799	688421
Joyce Lammert MD
375844	126266	17274	32519	10731	562634
Brian McDonald MD
299979	92777	774	27458	16812	437800
Sarah Patterson
453950	132248	3960	88039	21622	699819
William Poppy
353237	111959	39906	29132	28943	563177
Steve Rupp MD
472836	144808	774	62840	17191	698449
Donna Smith MD
366395	121361	15914	86675	297	590642
Charleen Tachibana RN
317512	105926	19044	46891	17047	506420
Christopher L Fellows MD
1079414	25	774	99755	25619	1205587
Ulrike I Ochs MD
874980		270	26843	18519	920612
Richard A Kozarek MD
882036		1188	117268	19175	1019667
Paul B Griggs MD
734696	185	270	25409	17519	778079
Edwin Rhim M D
730387	23	180	15512	19868	765970
James P Cote
178946	34332	17400		13578	244256
Robert Mecklenburg MD
418219	39	2286	15806	16795	453145
Michael P Ondracek
197872	40263	600		19637	258372
Craig Goodrich
280054	91361	19080	22307	17222	430024

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 which 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 nonqualified deferred compensation plan pursuant to which plan benefits are subject to a substantial risk of forfeiture. The plan was approved by the Boards Compensation and Benefits Committee, a committee composed of independent board members to whom the Board delegatess 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
Bond Counsel Routinely Engaged	true	BondCounselRoutinelyEngaged
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	0000000001.400000000000	TermOfGIC
Regulatory Safe Harbor Satisfied	true	RegulatorySafeHarborSatisfied
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	true	ExceptionToRebate

Schedule K IRS990ScheduleK

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Joan Lange	NamePerson

Field	Value	IRS element (for citing)
Relationship	Sister of Bob Lemon	Relationship
Amount Of Transaction	79786	AmountOfTransaction
Description Of Transaction	Employee	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (32 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 110 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, physicial 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 facillity in the nation built specifically for the care of people living with AIDS, Bailey-Boushay now serves other individuals who need intensive nursing care, many of whom are Medicaid recipents. In addition to the care provided to its residential population, Bailey-Boushay provides day health services to 225 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 regardless of a patients ability to pay and without discrimination as to race, color, creed, national origin, religion, sex, sexual orientation, disability, age, source of income, or any other class protected by federal or applicable 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 8,549,940 during the year, along with 19,472,000 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 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 education opportunities of internal medicine residents.
Form 990 Part III	4b continued	The Clinical Nursing Education CNE program offered 25 CNE events in 2010 to 1,152 attendees. Participants include nurses primary audience and advanced practice registered nurses CNS, CNL, ARNP, as well as physical, occupational and respiratory therapists, social workers, pharmacists and pharmacy interns, educators, nursing students, dietitians, specialized technicians, medical assistants and physicians. The Medical Center also serves an internship site for students in a variety of allied health programs such as nursing, pharmacy, respiratory therapy, physical therapy, occupational therapy, social work, sleep disorders, speech and language therapy, radiology and laboratory technology. Sucessful 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 2010, the CME department provided 13 courses either full-, half-, or multi-day which was attended by 570 participants, including 391 physicians. Together, these participants were awarded 2,975 AMA PRA Category 1 CreditsTM. In addition to the courses, the CME Program provides continuing education via regularly scheduled series.
Form 990 Part III	4b continued	During 2010, 37 one-hour Grand Rounds presentations were presented at the Medical Center, with the on-site audience averaging 122 attendees. The Grand Rounds series is also broadcast via videoconference to 32 off-site health care systems througout Alaska and Washington State. In 2010, 3,317 AMA PRA Category 1 CreditsTM were awarded to participants. The CME department also provides seven other Regularly Scheduled Series. In 2010, we also offered a total of 295 Cancer Care conferences, 41 Cardiac Catherization conferences, 47 Neuroscience Imaging conferences, 43 Competencies and Incident conferences, 5 Vascular Surgery conferences, 23 GI Radiology conferences and 15 GI Pathology conferences. In 2010, a total of 295 physicians participated in these series, earning a total of 3,572 AMA PRA Category 1 CreditsTM.
Form 990 Part III	4b continued	Approximately 20 of our staff have faculty appointments at the University of Washington, including 6 at a 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 or 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.
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 mildiy ill children. The Medical Center provided 258,000 toward the operating costs of TLC in 2010.
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 some of the community donations is included on Schedule I. The following is a description of selected recipeints 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 2010. 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 Tiriathon, benefitting autoimmune research. 3 The Medical Center was a sponsor of the JDRF Gala to benefit the Juvenile Diabetes Research Foundation JDRF. The JDRFs mission is to find a cure for diabetes and its complications through the support of research.
Form 990 Part III	4d continued	4 The Medical Center was a sponsor of the Winslow Relay for Life, a two-day event that benefits the American Cancer Society. The American Cancer Society is a nationwide community-based voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives, and diminishing suffering from cancer, through research, education, advocacy, and service,
Form 990 Part III	4d continued	5 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.
Form 990 Part III	4d continued	6 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 with 161,000 in 2010. The Medical Center also provided free flu shots for the King County homeless population at the United Way Community Resource Exchange in October of 2010.
Form 990 Part VI	2	Family relationship between key employees Michael Glenn, MD and Lucy Glenn, MD.
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 Director 3 Removal of Directors and Officers of the Board of Directors 4 Approval of all long-range plans proposed by the Board of Directors 5 Approval of the annual capital and operating budgets proposed by the Board of Directors 6 Approval of the borrowing of funds where the amount is in excess of Ten Million Dollars 7 Approval of the sale, lease, exchange, mortgage, pledge or disposal of all or substantially all of the property and assets 8 Approval of all amendments to the Articles of Incorporation or Bylaws.
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 Committe, 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 990T tax returns, and 3 recommend the final form 990 and 990-T tax returns for approval 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 a 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 sign 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 Management Plan be maintained. In addition, the minutes of the board and all committees with board-delegated powers shall document the disclosure and resolution of any actual or potential conflict of interest disclosed at such meeting.
Form 990 Part VI	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 analysis obtains from the compensation consultant appropriate comparabillity data including total compensation paid by similarly situated for-profit and non-profit health care organizations for positions that are funtionally 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 2010 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, Informatics Medical Director, Quality Medical Director, Perioperative Services Medical Director, and Graduate Medical Education Physician 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, Paul Griggs 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 continued	Ulrike Ochs 0 hours, William Poppy 0 hours.
Form 990 Part XI	5	Donated Capital 256 Additonal Pension Adjustment 4,088,345 Restricted Capital Transfers 7,727,203 Unrealized Gain/Loss on Investments 6,443,915 Other-than-temporary impairment 536,697

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	Direct Controlling Entity NADirectControllingEntityNA
1000 Madison LLC
1100 Ninth Avenue	Seattle	WA	98101	204018216	Real Estate	WA	1111566	24454540	N/A
1005 Spring Street LLC
1100 Ninth Avenue	Seattle	WA	98101	204816736	Real Estate	WA	1239346	5321850	N/A
Health Resource Services LLC
1100 Olive Way	Seattle	WA	98101	262800944	Group Purchasing	WA	7015893	7271013	N/A

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
Virginia Mason Health System
1100 Ninth Avenue	Seattle	WA	98101	911351110	Fundraising	WA	501c3	7	N/A	false
Virginia Mason Institute
1100 Ninth Avenue	Seattle	WA	98101	263763656	Education/Research	WA	501 c 3	9	N/A	false

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	National Purchasing Partners LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1100 Olive Way	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	5522026	ShareOfTotalIncome
Share Of EOY Assets	4899398	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	151772	60000	211772	816321518	816533290	$944,488	$236,122	0	0	0
Virginia Mason Health System
1100 Ninth Avenue	Seattle	WA	98101	911351110		0	4674	4674	15283658	15288332	$17,684	$4,421	0	0	0
Virginia Mason Institute
1100 Ninth Avenue	Seattle	WA	98101	263763656		0	0	0	1961828	1961828	$2,269	$567	0	0	0
Benaroya Research Institute at Virginia Mason
1201 Ninth Avenue	Seattle	WA	98101	910653422		0	53615	53615	30687608	30741223	$35,559	$8,890	0	18056	0