VIRGINIA MASON MEDICAL CENTER: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- VIRGINIA MASON MEDICAL CENTER (EIN 91-0565539)
- Tax period
- 2021-01-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202201369349318260
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
- Affiliated Group Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T22:26:44-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 470617373 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMONSPIRIT HEALTH | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 INVERNESS DRIVE WEST | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910565539 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIRGINIA MASON MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VIRG | BusinessNameControlTxt |
| Phone | 2062236600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 NINTH AVENUE | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98101 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID NOSACKA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2062236600 | PhoneNum |
| Signature | 2022-05-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | NOSACKA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAMELA KROHN | PreparerPersonNm |
| PTIN | P01210500 | PTIN |
| Phone | 3032989100 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KATERIE CHAPMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 NINTH AVENUE | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $604,685,936 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VMFH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1934 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | VIRGINIA MASON MEDICAL CENTER'S (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 AND MULTI-SPECIALITY GROUP PRACTICE, OFFERING BOTH PRIMARY AND SPECIALIZED CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 486 | TotalVolunteersCnt |
| Total Gross UBI | $2,283,809 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $60,533,449 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,407,888 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,029,684,469 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $560,661,744 | CYProgramServiceRevenueAmt |
| PY Investment Income | $40,881,723 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,114,450 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,443,105 | PYOtherRevenueAmt |
| CY Other Revenue | $2,694,086 | CYOtherRevenueAmt |
| PY Total Revenue | $1,137,542,746 | PYTotalRevenueAmt |
| CY Total Revenue | $589,878,168 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $8,190,853 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,000,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $610,472,170 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $319,918,677 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,750,885 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $522,213,913 | PYOtherExpensesAmt |
| CY Other Expenses | $259,932,306 | CYOtherExpensesAmt |
| PY Total Expenses | $1,140,876,936 | PYTotalExpensesAmt |
| CY Total Expenses | $580,850,983 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,334,190 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,027,185 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,429,584,444 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,475,989,315 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $874,015,959 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $890,283,362 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $555,568,485 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $585,705,953 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | VIRGINIA MASON MEDICAL CENTER'S (THE MEDICAL CENTER) MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PATIENTS IT SERVICES THROUGH THE DELIVERY OF HIGH QUALITY, COST-EFFECTIVE CARE. THE MEDICAL CENTER PROVIDES INTEGRATED HEALTH SERVICES THROUGH A TEACHING HOSPITAL LICENSES FOR 336 BEDS AND MULTI-SPECIALITY GROUP PRACTICE OF APPROXIMATELY 565 EMPLOYED PHYSICIANS, OFFERING BOTH PRIMARY AND SPECIALIZED CARE, THROUGH A REGIONAL NETWORK OF NEIGHBORHOOD CLINICS AND AMBULATORY SURGERY CENTERS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $530,039,396 | ExpenseAmt |
| Revenue | $558,196,863 | RevenueAmt |
| Desc | HEALTH CARE SERVICESTHE MEDICAL CENTER IS A TERTIARY REGIONAL REFERRAL CENTER WHICH SERVES A PATIENT COMMUNITY THAT INCLUDES SEATTLE AND ITS SURROUNDING SUBURBS, WESTERN WASHINGTON AND ALASKA. THE MAIN CAMPUS LOCATED IN SEATTLE INCLUDES A HOSPITAL, AN OUTPATIENT CLINIC, CENTERS OF EXCELLENCE INCLUDING THE CENTER FOR HYPERBARIC MEDICINE, DIGESTIVE DISEASE INSTITUTE, FLOYD & DELORES JONES CANCER INSTITUTE, HEART INSTITUTE, NEUROSCIENCE INSTITUTE AND UROLOGY. THE MEDICAL CENTER ALSO OPERATES NINE REGIONAL CLINICS, AND BAILEY-BOUSHAY HOUSE, A 35-BED SKILLED NURSING FACILITY. DURING 2021, THE MEDICAL CENTER RECORDED 5,648 HOSPITAL INPATIENT ADMISSIONS, 9,844 EMERGENCY ROOM VISITS AND 470,112 CLINIC VISITS. THE MEDICAL CENTER PROVIDED CHARITY CARE AND UNREIMBURSED MEDICAID SERVICES TO A TOTAL OF 3,596 PATIENTS.A. SUBSIDIZED HEALTH SERVICESTHE MEDICAL CENTER IS COMMITTED TO SUBSIDIZING CERTAIN HEALTH SERVICES DUE TO THE DEMONSTRATED NEED FOR THESE SERVICES IN THE COMMUNITY. SINCE 1992, THE MEDICAL CENTER HAS ADDRESSED THE TREATMENT OF HIV/AIDS BY OPERATING BAILEY-BOUSHAY HOUSE ("BAILEY-BOUSHAY"), A 35-BED SKILLED NURSING FACILITY. THE FIRST FACILITY IN THE NATION BUILT SPECIFICALLY FOR THE CARE OF PEOPLE LIVING WITH AIDS, BAILEY-BOUSHAY NOW ALSO SERVES OTHER INDIVIDUALS WHO NEED INTENSIVE NURSING CARE, MANY OF WHOM ARE MEDICAID RECIPIENTS. IN ADDITION TO THE CARE PROVIDED TO ITS RESIDENTIAL POPULATION, BAILEY-BOUSHAY PROVIDES DAY HEALTH SERVICES TO 302 CLIENTS ANNUALLY, ALLOWING THEM TO LIVE INDEPENDENTLY WITH HIV/AIDS. IN NOVEMBER 2018, BAILEY-BOUSHAY OPENED THE FIRST HIV HOMELESS SHELTER WHICH SERVICES 50 CLIENTS. IN 2020, BAILEY-BOUSHAY BEGAN THE RENTAL ASSISTANCE PROGRAM, WHICH HELPS TO PROVIDE HOUSING TO INDIVIDUALS WHO ARE LOW-INCOME, DIAGNOSED WITH HIV/AIDS, AND REQUIRE ASSISTANCE IN MAINTAINING OR ACQUIRING APPROPRIATE AFFORDABLE PERMANENT HOUSING, WITH CURRENTLY 49 UNITS OCCUPIED. 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. B. UNCOMPENSATED CARETHE MEDICAL CENTER IS COMMITTED TO PROVIDING NECESSARY MEDICAL SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY AND WITHOUT DISCRIMINATION AS TO RACE, COLOR, CREED, NATIONAL ORIGIN, RELIGION, SEX, SEXUAL ORIENTATION, DISABILITY, AGE, SOURCE OF INCOME, OR ANY OTHER CLASS PROTECTED BY FEDERAL OR WASHINGTON STATE LAW, OR WHO HAVE AN EMERGENCY MEDICAL CONDITION. THE MEDICAL CENTER IS A PARTICIPATING HOSPITAL IN THE WASHINGTON STATE MEDICAID CONTRACTING PROGRAM. 1. CHARITY CARECHARITY CARE IS PROVIDED ACCORDING TO A PATIENT'S GROSS FAMILY INCOMES AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINES ADJUSTED FOR FAMILY SIZE. FULL OR PARTIAL CHARITY CARE MAY BE PROVIDED TO PATIENTS WITH GROSS FAMILY INCOMES EXCEEDING 300% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE THAT FULL PAYMENT MAY CAUSE FINANCIAL HARDSHIP SO AS TO SIGNIFICANTLY HARM THE PATIENT OR PATIENT'S FAMILY. PATIENTS WITHOUT HEALTH INSURANCE ARE ELIGIBLE FOR A DISCOUNT ON MEDICALLY NECESSARY SERVICES UNDER THE MEDICAL CENTER'S DISCOUNTS FOR UNINSURED PATIENTS POLICY. CHARITY CARE WAS PROVIDED AT A COST OF $4,189,023 DURING THE YEAR, ALONG WITH $17,117,608 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,224,571 | ExpenseAmt |
| Grant | $1,000,000 | GrantAmt |
| Revenue | $14,550 | RevenueAmt |
| Desc | EDUCATION AND RESEARCHTHE MEDICAL CENTER' IS AN INDEPENDENT ACADEMIC MEDICAL CENTER WITH A GRADUATE MEDICAL EDUCATION PROGRAM THAT TRAINS OVER 130 RESIDENTS IN NINE ACCREDITED PROGRAMS IN ANESTHESIOLOGY, INTERNAL MEDICINE, GENERAL SURGERY, DIAGNOSTIC RADIOLOGY, TRANSITIONAL YEAR, AND UROLOGY. IN ADDITION, THE MEDICAL CENTER TRAINS A NUMBER OF FELLOWS IN AREAS SUCH AS PAIN MANAGEMENT, REGIONAL ANESTHESIOLOGY, AND FEMALE PELVIC MEDICINE/RECONSTRUCTIVE SURGERY. THE MEDICAL CENTER IS ALSO AFFILIATED WITH THE UNIVERSITY OF WASHINGTON FOR THE TRAINING OF SUBSPECIALTIES IN THE AREAS OF ANESTHESIOLOGY, ORTHOPEDICS, OBSTETRICS, GYNECOLOGY AND UROLOGY. THE MEDICAL CENTER ALSO PROVIDES TRAINING IN CLINICAL NURSING EDUCATION, ALLIED HEALTH FIELDS, CONTINUING MEDICAL EDUCATION AND GRAND ROUNDS. IN ADDITION, THE MEDICAL CENTER CONDUCTS MEDICAL RESEARCH THROUGH ITS AFFILIATE BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON, A SCIENTIFIC RESEARCH INSTITUTE QUALIFIED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.A. GRADUATE MEDICAL EDUCATIONTHE MEDICAL CENTER'S GRADUATE MEDICAL EDUCATION PROGRAM MAINTAINS EDUCATION AFFILIATION AGREEMENTS WITH COMMUNITY CLINICS UNDER WHICH THE MEDICAL CENTER'S RESIDENTS PROVIDE CARE TO PATIENTS AT CLINICS SERVING LOW-INCOME AND UNINSURED PATIENTS. THE MEDICAL CENTER HAS AN AFFILIATION WITH EASTGATE PUBLIC HEALTH CLINIC (OPERATED BY SEATTLE & KING COUNTY PUBLIC HEALTH) TO PROVIDE A RESIDENT CLINIC 4-DAYS A WEEK UNDER THE SUPERVISION OF MEDICAL CENTER PHYSICIANS. THIS AFFILIATION HAS EXPANDED ACCESS TO HEALTH CARE FOR KING COUNTY RESIDENTS AND ENHANCED THE EDUCATIONAL OPPORTUNITIES OF INTERNAL MEDICINE RESIDENTS.B. CONTINUING NURSING EDUCATIONTHE CLINICAL NURSING EDUCATION ("CNE") PROGRAM OFFERED 11 CNE EVENTS IN 2020 TO 163 ATTENDEES. PARTICIPANTS INCLUDE NURSES (THE PRIMARY AUDIENCE RNS AND LPNS), AS WELL AS PATIENT CARE TECHNICIANS, NURSE TECHNICIANS, AND MEDICAL ASSISTANTS. C. ALLIED HEALTH EDUCATION PROGRAMS THE MEDICAL CENTER ALSO SERVES AS AN INTERNSHIP SITE FOR STUDENTS IN A VARIETY OF ALLIED HEALTH PROGRAMS SUCH AS NURSING, PHARMACY, RESPIRATORY THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SOCIAL WORK, SLEEP DISORDERS, MEDICAL INSURANCE, SPEECH AND LANGUAGE THERAPY, RADIOLOGY AND LABORATORY TECHNOLOGY. SUCCESSFUL RELATIONSHIPS HAVE BEEN BUILT WITH VOCATIONAL TRAINING PROGRAMS FOR MEDICAL ASSISTANTS AS WELL. D. CONTINUING MEDICAL EDUCATIONTHE MEDICAL CENTER PROVIDES STRONG SUPPORT FOR CONTINUING MEDICAL EDUCATION ("CME"). THE MEDICAL CENTER'S CME PROGRAM IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) AND WAS LAST REACCREDITED IN 2016, RECEIVING "ACCREDITATION WITH COMMENDATION". DURING THE PERIOD BETWEEN JANUARY 1ST AND JUNE 30, 2021, THE CME DEPARTMENT SPONSORED 6 COURSES (EITHER FULL-, HALF-, OR MULTI-DAY) INCLUDING 5 THAT WERE INTERNET LIVE COURSES, TOTALING 139.75 HOURS OF INSTRUCTION. THESE ACTIVITIES WERE ATTENDED BY 161 PARTICIPANTS, INCLUDING 90 PHYSICIANS. E. REGULARLY SCHEDULED SERIESDURING THE PERIOD BETWEEN JANUARY 1ST AND JUNE 30TH, 2021, 24 ONE-HOUR GRAND ROUNDS PRESENTATIONS WERE PRESENTED AT THE MEDICAL CENTER, WITH THE LIVE AUDIENCE AVERAGING 45 ATTENDEES WEEKLY. THE GRAND ROUNDS SERIES IS PRESENTED FROM THE AUDITORIUM AND IS SIMULTANEOUSLY BROADCAST VIA LIVESTREAM TO SERVE THE ORGANIZATION'S SATELLITE LOCATIONS AND TO 8 COMMUNITY HEALTH CARE SYSTEMS AND MEDICAL EDUCATION SITES IN WASHINGTON, ALASKA, CALIFORNIA AND WISCONSIN. THE CME DEPARTMENT SUPPORTS ANOTHER 22 REGULARLY SCHEDULED SERIES IN INCLUDING 14 SPECIFIC CANCER CARE TUMOR BOARDS, CLINICAL CARDIOVASCULAR, IMAGING, COMPETENCIES AND INCIDENTS, VASCULAR SURGERY, GI RADIOLOGY, GI PATHOLOGY AND THERAPEUTICS. BETWEEN JANUARY 1ST AND JUNE 30TH, 2021, 343.5 HOURS OF INSTRUCTION WERE OFFERED THROUGH THESE 22 SERIES. CUMULATIVE PARTICIPATION HOURS TRACKED FOR ALL SERIES TOTALED 4,568.25, OF WHICH 3,585.25 WERE AWARDED TO PHYSICIAN PARTICIPANTS. F. RESEARCHAPPROXIMATELY 12 OF OUR INVESTIGATORS HAVE FACULTY APPOINTMENTS AT THE UNIVERSITY OF WASHINGTON. THE MEDICAL CENTER ALSO MAINTAINS A MEDICAL LIBRARY TO SUPPORT ITS EDUCATION AND RESEARCH ACTIVITIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $113,931 | ExpenseAmt |
| Revenue | $25,083 | RevenueAmt |
| Desc | COMMUNITY HEALTH EDUCATION AND SERVICESTHE MEDICAL CENTER CONTRIBUTES TO IMPROVING THE HEALTH OF THE COMMUNITY THROUGH SPONSORSHIP OF COMMUNITY HEALTH EDUCATION AND SERVICES. A. COMMUNITY HEALTH EDUCATIONCOMMUNITY 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. B. COMMUNITY HEALTH SERVICESTHE MEDICAL CENTER PROVIDED SUPPORT OF "VIRGINIA MASON GRIEF SERVICES" WHICH PROVIDES SERVICES FOR ADULTS AND CHILDREN (AGES 7-18) WHOSE LOVED ONE HAS DIED AS THE RESULT OF A SUDDEN, VIOLENT DEATH BY CRIMINAL ACT (HOMICIDE), INCLUDING TERRORISM, SUICIDE OR OTHER TYPES OF VIOLENT DEATH. SERVICES AVAILABLE INCLUDE: THERAPY GROUPS, SHORT-TERM THERAPY, PSYCHIATRIC CONSULTATION AND MEDICATION MANAGEMENT, COMMUNITY, WORKPLACE, FAMILY AND SCHOOL CRISIS RESPONSE AND PROFESSIONAL TRAINING. IN 2021, THE MEDICAL CENTER PROVIDED $89,000 TOWARD SUPPORT OF VIRGINIA MASON GRIEF SERVICES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $204,014 | ExpenseAmt |
| Desc | FINANCIAL AND IN-KIND CONTRIBUTIONSTHE MEDICAL CENTER PROVIDES FUNDS AND IN-KIND SERVICES TO COMMUNITY ORGANIZATIONS WHICH ARE CONSISTENT WITH THE MEDICAL CENTER'S CHARITABLE PURPOSE. A LIST OF COMMUNITY DONATIONS IS INCLUDED ON SCHEDULE I. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $204,014 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $542,581,912 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYANNE OLMSTEAD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2066257371 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 OLIVE WAY SUITE 605 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| BOB CARLIE | |||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ULI CHI | |||||||
| DIRECTOR/CHAIR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JUDE CONNELLY | |||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CAROLYN CORVI | |||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| RUTH GOODWIN | |||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| TOD HAMACHEK | |||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL HOFFMAN | |||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DENNIS HUNTHAUSEN | |||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KAREN LEE | |||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT LEMON | |||||||
| DIRECTOR/VICE CHAIR | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| GREGG MEYER | |||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN OPPENHEIMER | |||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MARVIN O'QUINN | |||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DIANN PULS | |||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CRAIG GOODRICH | |||||||
| CFO | 50.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| GARY KAPLAN | |||||||
| CEO | 50.00 | 5.00 | $0 | $0 | $0 | Yes (X) | |
| KATERIE CHAPMAN | |||||||
| PRESIDENT | 50.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| SUZANNE ANDERSON | |||||||
| PRESIDENT THRU JAN 2021 | 50.00 | 6.00 | $0 | $0 | $0 | Yes (X) | |
| DAVID BUTCHERITE | |||||||
| TREASURER | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| ROBERT VALENCIA | |||||||
| CORPORATE SECRETARY | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $8,659 | FederatedCampaignsAmt |
| Fundraising | $425,356 | FundraisingAmt |
| Related Organizations | $124,250 | RelatedOrganizationsAmt |
| Government Grants | $40,661 | GovernmentGrantsAmt |
| All Other Contributions | $4,808,962 | AllOtherContributionsAmt |
| Noncash Contributions | $126,929 | NoncashContributionsAmt |
| Total Contributions | $5,407,888 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MEDICARE/MEDICAID PAYM | 621300 | $383,549,797 | $383,549,797 | |
| NET PATIENT REVENUES | 561499 | $150,641,961 | $150,641,961 | |
| PHARMACY | 561499 | $23,860,485 | $23,860,485 | |
| RETAIL SERVICES | 561499 | $2,609,501 | $184,253 | $2,425,248 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $560,661,744 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,509,009 | TotalRevenueColumnAmt |
| Exclusion | $9,509,009 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $196 | TotalRevenueColumnAmt |
| Exclusion | $196 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $880,434 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,236,953 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$356,519 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$356,519 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$294,223 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$62,296 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $24,714,928 | SecuritiesAmt |
| Other | $2,640 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,112,323 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,602,605 | SecuritiesAmt |
| Other | $2,640 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,605,245 | TotalRevenueColumnAmt |
| Exclusion | $11,605,245 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $225,000 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $425,356 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $316,707 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$91,707 | TotalRevenueColumnAmt |
| Exclusion | -$91,707 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $167,709 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $141,785 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,924 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $25,924 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PARKING | 812930 | $1,787,813 | $126,860 | $1,660,953 |
| CAFETERIA | 721110 | $1,213,026 | $1,213,026 | |
| MEDICAL RECORDS | 561499 | $110,409 | $110,409 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,140 | TotalRevenueColumnAmt |
| Exclusion | $5,140 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,116,388 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $589,878,168 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $558,236,496 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,283,809 | UnrelatedBusinessRevenueAmt |
| Exclusion | $23,949,975 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000,000 | TotalAmt |
| Program Services | $1,000,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,889,300 | TotalAmt |
| Program Services | $3,141,187 | ProgramServicesAmt |
| Management And General | $2,748,113 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274,954,140 | TotalAmt |
| Program Services | $262,059,273 | ProgramServicesAmt |
| Management And General | $11,803,445 | ManagementAndGeneralAmt |
| Fundraising | $1,091,422 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,824,485 | TotalAmt |
| Program Services | $10,221,561 | ProgramServicesAmt |
| Management And General | $602,924 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,019,719 | TotalAmt |
| Program Services | $7,573,021 | ProgramServicesAmt |
| Management And General | $228,593 | ManagementAndGeneralAmt |
| Fundraising | $218,105 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,231,033 | TotalAmt |
| Program Services | $19,104,164 | ProgramServicesAmt |
| Management And General | $1,126,869 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,540 | TotalAmt |
| Program Services | $225,253 | ProgramServicesAmt |
| Management And General | $13,287 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,414,379 | TotalAmt |
| Management And General | $2,414,379 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,390 | TotalAmt |
| Management And General | $344,390 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,420 | TotalAmt |
| Management And General | $205,420 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,047,594 | TotalAmt |
| Program Services | $25,541,043 | ProgramServicesAmt |
| Management And General | $1,182,154 | ManagementAndGeneralAmt |
| Fundraising | $324,397 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $627,993 | TotalAmt |
| Program Services | $593,014 | ProgramServicesAmt |
| Management And General | $34,979 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,736,001 | TotalAmt |
| Program Services | $130,064,105 | ProgramServicesAmt |
| Management And General | $7,663,888 | ManagementAndGeneralAmt |
| Fundraising | $8,008 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,034,196 | TotalAmt |
| Program Services | $9,475,291 | ProgramServicesAmt |
| Management And General | $558,905 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,856,474 | TotalAmt |
| Program Services | $18,750,468 | ProgramServicesAmt |
| Management And General | $1,105,703 | ManagementAndGeneralAmt |
| Fundraising | $303 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,533 | TotalAmt |
| Program Services | $400,887 | ProgramServicesAmt |
| Management And General | $20,883 | ManagementAndGeneralAmt |
| Fundraising | $2,763 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,034 | TotalAmt |
| Program Services | $49,136 | ProgramServicesAmt |
| Management And General | $2,173 | ManagementAndGeneralAmt |
| Fundraising | $725 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,850,656 | TotalAmt |
| Program Services | $6,469,074 | ProgramServicesAmt |
| Management And General | $381,582 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,439,529 | TotalAmt |
| Program Services | $14,456,266 | ProgramServicesAmt |
| Management And General | $4,982,496 | ManagementAndGeneralAmt |
| Fundraising | $767 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,691,998 | TotalAmt |
| Program Services | $4,430,654 | ProgramServicesAmt |
| Management And General | $261,344 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TAXES | $13,073,513 | $13,073,513 | |
| MEDICAL PURCHASED SVCS | $2,900,938 | $2,739,356 | $161,582 |
| DUES AND SUBSCRIPTIONS | $1,485,929 | $1,403,163 | $82,766 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,508,189 | TotalAmt |
| Program Services | $11,811,483 | ProgramServicesAmt |
| Management And General | $592,311 | ManagementAndGeneralAmt |
| Fundraising | $104,395 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,850,983 | TotalAmt |
| Program Services | $542,581,912 | ProgramServicesAmt |
| Management And General | $36,518,186 | ManagementAndGeneralAmt |
| Fundraising | $1,750,885 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,192,918 | BOYAmt |
| EOY | $41,347,223 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,976,670 | BOYAmt |
| EOY | $101,966,013 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,336,538 | BOYAmt |
| EOY | $136,192,962 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,339,150 | BOYAmt |
| EOY | $35,017,684 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,275,803 | BOYAmt |
| EOY | $6,465,938 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $582,575,917 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,325,792 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $567,802,809 | BOYAmt |
| EOY | $563,250,125 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $396,093,877 | BOYAmt |
| EOY | $419,333,407 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,919,896 | BOYAmt |
| EOY | $27,383,063 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,180,233 | BOYAmt |
| EOY | $33,180,233 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,466,550 | BOYAmt |
| EOY | $111,852,667 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,429,584,444 | BOYAmt |
| EOY | $1,475,989,315 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,137,795 | BOYAmt |
| EOY | $152,355,887 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,060 | BOYAmt |
| EOY | $284,220 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $279,833,462 | BOYAmt |
| EOY | $291,655,614 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,642,141 | BOYAmt |
| EOY | $150,981,799 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,326,501 | BOYAmt |
| EOY | $295,005,842 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,015,959 | BOYAmt |
| EOY | $890,283,362 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $488,625,886 | BOYAmt |
| EOY | $516,580,468 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,942,599 | BOYAmt |
| EOY | $69,125,485 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $555,568,485 | BOYAmt |
| EOY | $585,705,953 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,429,584,444 | BOYAmt |
| EOY | $1,475,989,315 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $9,027,185 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $9,624,799 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $11,485,484 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
Total Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $126,542 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $126,542 | AffiliatedGroupTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $78,878 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $78,878 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $205,420 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $205,420 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $580,645,563 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $619,522,802 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $580,850,983 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $619,728,222 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $294,038 | CurrentYearMinus3Amt |
| Current Year Minus2 | $307,100 | CurrentYearMinus2Amt |
| Current Year Minus1 | $209,447 | CurrentYearMinus1Amt |
| Current Year | $205,420 | CurrentYearAmt |
| Total | $1,016,005 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $180,464 | CurrentYearMinus3Amt |
| Current Year Minus2 | $183,519 | CurrentYearMinus2Amt |
| Current Year Minus1 | $129,023 | CurrentYearMinus1Amt |
| Current Year | $205,420 | CurrentYearAmt |
| Total | $698,426 | TotalAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,824,476 | BeginningYearBalanceAmt |
| Contributions | $82,633 | ContributionsAmt |
| Investment Earnings Or Losses | $5,751,452 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,193,438 | GrantsOrScholarshipsAmt |
| End Year Balance | $65,465,123 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,598,779 | BeginningYearBalanceAmt |
| Contributions | $38,591,356 | ContributionsAmt |
| Investment Earnings Or Losses | $8,224,212 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,589,871 | GrantsOrScholarshipsAmt |
| End Year Balance | $60,824,476 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,347,139 | BeginningYearBalanceAmt |
| Contributions | $82,755 | ContributionsAmt |
| Investment Earnings Or Losses | $2,289,886 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,121,001 | GrantsOrScholarshipsAmt |
| End Year Balance | $16,598,779 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,620,892 | BeginningYearBalanceAmt |
| Contributions | $91,648 | ContributionsAmt |
| Investment Earnings Or Losses | -$756,306 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $609,095 | GrantsOrScholarshipsAmt |
| End Year Balance | $15,347,139 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,623,410 | BeginningYearBalanceAmt |
| Contributions | $480,797 | ContributionsAmt |
| Investment Earnings Or Losses | $2,089,543 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $572,858 | GrantsOrScholarshipsAmt |
| End Year Balance | $16,620,892 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.44240 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.27360 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.28400 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $138,522,760 | OtherCostOrOtherBasisAmt |
| Book Value | $138,522,760 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $313,385,223 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,062,887 | DepreciationAmt |
| Book Value | $306,322,336 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,100,749 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,265,462 | DepreciationAmt |
| Book Value | $26,835,287 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $88,511,412 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,981,356 | DepreciationAmt |
| Book Value | $77,530,056 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,055,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,087 | DepreciationAmt |
| Book Value | $14,039,686 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $563,250,125 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (11 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| PARKING RIGHTS | $346,926 |
| CURRENT PORTION OF ASSETS WHOSE USE IS LIMITED | $196 |
| LONG-TERM RECEIVABLE | $303,750 |
| CEMETERY PLOTS/NICHES - BBH | $15,200 |
| BENEFICIAL INTEREST | $2,078,670 |
| RIGHT OF USE ASSET | $103,546,061 |
| SPS REGION | $399,069 |
| CONTRIBUTION RECEIVABLE | $1,661,174 |
| PLEDGES ALLOWANCE | -$432,499 |
| DISCOUNT ON PLEDGES | -$9,031 |
| EQUITY INVESTMENT - HCSA | $3,943,151 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $111,852,667 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $2,974,095 |
| PAYABLE TO THIRD PARTY PAYOR | $48,283,271 |
| RESERVE FOR PROFESSIONAL LIABILITY CLAIMS | $13,864,394 |
| CURRENT PORTION OF PROFESSIONAL LIABILITY | $4,000,000 |
| ACCRUED RETIREMENT EXPENSES | $55,642,541 |
| CURRENT PORTION OF RETIREMENT EXPENSE | $5,402,351 |
| CURRENT PORTION OF ESTIMATED THIRD PARTY PAYOR | $62,552,619 |
| CURRENT PORTION OF LEASE LIABILITY | $13,517,818 |
| ASBESTOS ABATEMENT | $188,445 |
| FICA PAYABLE DEFERRED | $7,857,524 |
| LONG-TERM LEASE LIABILITY | $80,522,784 |
| OTHER THIRD PARTY INSURANCE | $200,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $295,005,842 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENT FUNDS ARE INTENDED TO SUPPPORT THE HEALTH CARE MISSION OF VIRGINIA MASON MEDICAL CENTER AND THE RESEARCH MISSION OF BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON. |
| PART X, LINE 2: | VIRGINIA MASON MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | 2021 DREAMBUILDERS BALL | Event1Nm |
| Gross Receipts Event1 | $102,700 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $102,700 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $5,060 | OtherDirectExpensesEvent1Amt |
| Event2 | 2021 BOEING CLASSIC | Event2Nm |
| Gross Receipts Event2 | $341,700 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $116,700 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $225,000 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $242,088 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 7 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $205,956 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $205,956 | CharitableContriOtherEventsAmt |
| Oth Direct Expnss Other Events | $69,559 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $650,356 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $425,356 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $225,000 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $316,707 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $316,707 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$91,707 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,124,035 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,124,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00710 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,521,929 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,426,047 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,095,882 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01910 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,645,964 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,426,047 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,219,917 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02620 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $277,375 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,083 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $252,292 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,346,046 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,493,247 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,852,799 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $81,348 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $81,348 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,194 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $42,194 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,746,963 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,518,330 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,228,633 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,392,927 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,944,377 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,448,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03340 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $111,054 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $100,315,466 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $122,488,841 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$22,173,375 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIRGINIA MASON MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 NINTH AVENUE | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | VIRGINIAMASON.ORG | WebsiteAddressTxt |
| State License | HAC.FS.00000010 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIRGINIA MASON MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H SUPPLEMENTAL INFO | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCHEDULE H SUPPLEMENTAL INFO | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| VIRGINIA MASON MEDICAL CENTER | PART V, SECTION B, LINE 5: THROUGH THE PUBLIC HEALTH-SEATTLE & KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY COLLABORATIVE, VIRGINIA MASON MEDICAL CENTER CONDUCTED KEY INFORMANT INTERVIEWS WITH COMMUNITY COALITIONS AND ORGANIZATIONS, EDUCATION AND GOVERNMENT AGENCIES ABOUT ASSETS AND RESOURCES THAT HELP THEIR COMMUNITIES THRIVE, AS WELL AS CONCERNS AND HEALTH NEEDS WITHIN THEIR COMMNITIES (FULL LIST OF ORGANIZATIONS IN CHNA SUMMARY). |
| VIRGINIA MASON MEDICAL CENTER | PART V, SECTION B, LINE 6A: VIRGINIA MASON MEDICAL CENTER WORKED WITH THE FOLLOWING OTHER PUGET SOUND-AREA HOSPITALS ON THE CURRENT CHNA: 1) EVERGREEN HEALTH 2) CHI FRANCISCAN HEALTH 3) KAISER PERMAENTE WASHINGTON 4) MULTICARE HEALTH SYSTEM 5) OVERLAKE MEDICAL CENTER 6) SEATTLE CANCER CARE ALLIANCE 7) SEATTLE CHILDREN'S 8) SWEDISH AND 9) UNIVERSITY OF WASHINGTON MEDICINE. |
| VIRGINIA MASON MEDICAL CENTER | PART V, SECTION B, LINE 11: ACCESS TO DENTAL CARE WAS IDENTIFIED AS A HEALTH NEED, BUT VIRGINIA MASON LACKS THE PERSONNEL TO ADDRESS THIS ISSUE AND IT IS BEING ADDRESSED BY OTHER ORGANIZATIONS, SUCH AS PROJECT ACCESS NORTHWEST AND THE SEATTLE KING COUNTY CLINIC. |
| VIRGINIA MASON MEDICAL CENTER | PART V, SECTION B, LINE 13H: FULL OR PARTIAL DISCOUNTS MAY BE PROVIDED TO PATIENTS WHO ARE NOT OTHERWISE ELIGIBLE FOR FINANCIAL ASSISTACE, 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 PATIENT'S FAMILY. THE MEDICAL CENTER SHALL DETERMINE, ON A CASE BY CASE BASIS, WHETHER A PATIENT QUALIFIES AS "MEDICALLY INDIGENT" PURSUANT TO ITS POLICY AND SHALL, THROUGH PATIENT FINANCIAL SERVICES, DETERMINE THE AMOUNT OF THE DISCOUNT, IF ANY. DETERMINATIONS SHALL BE MADE EXPEDITIOUSLY AFTER SUBMISSION OF FINANCIAL INFORMATION BY THE PATIENT BUT SHALL NOT BE SUBJECT TO ANY APPEAL RIGHTS. |
| PART V, SECTION B, LINE 7A: | HTTPS://VMFH.ORG/ABOUT-VMFH/WHY-CHOOSE-VMFH/REPORTS-TO-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| PART V, SECTION B, LINE 10A: | HTTPS://VMFH.ORG/ABOUT-VMFH/WHY-CHOOSE-VMFH/REPORTS-TO-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| PART V, SECTION B, LINE 16A: | HTTPS://WWW.VMFH.ORG/BILLING-INSURANCE/VM-BILLING-INSURANCE/FINANCIAL-ASSISTANCE.HTML |
| PART V, SECTION B, LINE 16B: | HTTPS://WWW.VMFH.ORG/BILLING-INSURANCE/VM-BILLING-INSURANCE/FINANCIAL-ASSISTANCE.HTML |
| PART V, SECTION B, LINE 16C: | HTTPS://WWW.VMFH.ORG/BILLING-INSURANCE/VM-BILLING-INSURANCE/FINANCIAL-ASSISTANCE.HTML |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - VIRGINIA MASON FEDERAL WAY MEDICAL CTR | ||||
| 33501 FIRST WAY S | FEDERAL WAY | WA | 98003 | OUTPATIENT MEDICAL CENTER |
| 2 - VIRGINIA MASON EDMONDS MEDICAL CENTER | ||||
| 7315 212TH ST SE SUITE 101/207 | EDMONDS | WA | 98026 | OUTPATIENT MEDICAL CENTER |
| 3 - VIRGINIA MASON BELLEVUE MEDICAL CENTER | ||||
| 11695 NE 4TH ST | BELLEVUE | WA | 98004 | OUTPATIENT MEDICAL CENTER |
| 4 - VIRGINIA MASON LYNNWOOD MEDICAL CENTER | ||||
| 19116 33RD AVE W | LYNNWOOD | WA | 98036 | OUTPATIENT MEDICAL CENTER |
| 5 - VIRGINIA MASON ISSAQUAH MEDICAL CENTER | ||||
| 100 NE GILMAN ROAD | ISSAQUAH | WA | 98027 | OUTPATIENT MEDICAL CENTER |
| 6 - VIRGINIA MASON BAINBRIDGE ISLAND MED CTR | ||||
| 1344 WINTERGREEN LANE NE | BAINBRIDGE ISLAND | WA | 98110 | OUTPATIENT MEDICAL CENTER |
| 7 - VIRGINIA MASON KIRKLAND MEDICAL CENTER | ||||
| 11800 NE 128TH ST SUITE 300 | KIRKLAND | WA | 98034 | OUTPATIENT MEDICAL CENTER |
| 8 - VIRGINIA MASON UNIV VILLAGE MEDICAL CTR | ||||
| 2671 NE 46TH ST | SEATTLE | WA | 98105 | OUTPATIENT MEDICAL CENTER |
| 9 - BAILEY-BOUSHAY HOUSE | ||||
| 2720 EAST MADISON | SEATTLE | WA | 98112 | SKILLED NURSING FACILITY |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | FULL OR PARTIAL DISCOUNTS MAY BE PROVIDED TO PATIENTS WHO ARE NOT OTHERWISE ELIGIBLE FOR FINANCIAL ASSISTACE, 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 PATIENT'S FAMILY. THE MEDICAL CENTER SHALL DETERMINE, ON A CASE BY CASE BASIS, WHETHER A PATIENT QUALIFIES AS "MEDICALLY INDIGENT" PURSUANT TO ITS POLICY AND SHALL, THROUGH PATIENT FINANCIAL SERVICES, DETERMINE THE AMOUNT OF THE DISCOUNT, IF ANY. DETERMINATIONS SHALL BE MADE EXPEDITIOUSLY AFTER SUBMISSION OF FINANCIAL INFORMATION BY THE PATIENT BUT SHALL NOT BE SUBJECT TO ANY APPEAL RIGHTS. |
| PART I, LINE 7: | THE MEDICAL CENTER USED THE DIRECT EXPENSES AND REVENUES OF THE HOSPITAL TO CALCULATE THE COST-TO-CHARGES RATIO FOR THE AMOUNTS INCLUDED IN THE TABLE REFLECTED IN PART I. THE COST-TO-CHARGE RATIO USED WAS DERIVED USING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE RATIO PER THE INSTRUCTIONS. |
| PART III, LINE 2: | THE MEDICAL CENTER CALCULATES THE BAD DEBT EXPENSE BASED ON THE ACTUAL WRITE-OFFS FOR BAD DEBT EXPENSE INCURRED DURING THE YEAR. |
| PART III, LINE 4: | AS THE RESULT OF ADOPTING ASU NO. 2014-09, DESCRIBED IN NOTE 2(K), THE MEDICAL CENTER NO LONGER MAINTAINS AN ALLOWANCE FOR PERFORMANCE OBLIGATIONS SATISFIED AFTER JANUARY 1, 2018. ADDITIONALLY, THE MEDICAL CENTER NO LONGER PRESENTS A PROVISION FOR UNCOLLECTIBLE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND BALANCE SHEETS. THE REMAINING PROVISION FOR UNCOLLECTBLE ACCOUNTS IS CONSIDERED IMMATERIAL AS IT IS MAINTAINED ONLY DUE TO UNFORESEEABLE CIRCUMSTANCES, SUCH AS BANKRUPTCY. |
| PART III, LINE 8: | THE MEDICAL CENTER'S CALCULATION OF THE MEDICARE SHORTFALL RELATED TO HOSPITAL-BASED INPATIENT AND OUTPATIENT SHORTFALL IS $22,173,375. THE MEDICAL CENTER EMPLOYS OVER 437 PHYSICIANS WHO PROVIDE PROFESSIONAL SERVICES TO PATIENTS WHICH ARE NOT COVERED IN THIS NUMBER. IN ADDITION, THE MEDICAL CENTER OPERATES SATELLITE CLINICS AND AMBULATORY SURGERY CENTERS WHICH ARE NOT REPORTED IN THE MEDICARE COST REPORT. FOR ALL OF ITS PATIENT SERVICES, THE MEDICAL CENTER UTILIZES A COMPREHENSIVE ELECTRONIC COST REPORTING PACKAGE WHICH USES THE DIRECTLY ASSIGNED GENERAL LEDGER COSTS AND ALLOCATES ALL OVERHEAD COSTS TO OPERATING COSTS USING A MODEL INSPIRED BY THE MEDICARE COST REPORT. THIS MODEL WITH THE MEDICAL CENTER'S CALCULATION SHOWS A MEDICARE SHORTFALL OF $35.0 MILLION WHICH IS NOT INCLUDED IN THE TRADITIONAL COST REPORT PRIMARILY DUE TO SHORTFALL OF MEDICARE PROFESSIONAL FEES VERSUS COSTS. |
| PART III, LINE 9B: | VIRGINIA MASON'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PATIENTS WE SERVE. TO ENSURE THE MEDICAL CENTER CONTINUES TO HAVE THE RESOURCES TO FULFILL OUR MISSION, WE MUST BALANCE THE FINANCIAL NEEDS OF OUR PATIENTS WITH THOSE OF THE MEDICAL CENTER. IN ALL INSTANCES, WE WILL TREAT OUR PATIENTS WITH DIGNITY, COMPASSION AND RESPECT. THE MEDICAL CENTER EXPECTS PAYMENT IN FULL UPON RECEIPT OF THE PATIENT'S FIRST BILLING. PATIENTS WILL RECEIVE MONTHLY MEDICAL CENTER STATEMENTS UPON DETERMINATION OF THE PATIENT'S PRIVATE RESPONSIBILITY. A VIRGINIA MASON CLINIC STATEMENT WILL BE SENT REPRESENTING THE PROFESSIONAL COMPONENT OF SERVICES PROVIDED. IF SERVICES WERE PROVIDED OR PROCESSED AT THE DOWNTOWN CAMPUS (EXCEPT THE HEALTH RESOURCES BUILDING, WHICH IS NOT LICENSED AS PART OF THE HOSPTIAL), A HOSPITAL STATEMENT WILL ALSO BE SENT REPRESENTING THE FACILITY/TECHNICAL COMPONENT OF SERVICES. AS OUTSTANDING BALANCES AGE, STATEMENT MESSAGES (DUNNING), COLLECTION LETTERS AND/OR TELEPHONE CALLS MAY BE USED AT APPROPRIATE INTERVALS AS DETERMINED BY THE MEDICAL CENTER. DELINQUENT ACCOUNTS MAY BE FORWARDED TO A THIRD PARTY WHERE A SERIES OF COLLECTION CONTRACTS (LETTERS AND PHONE CALLES) WILL BE INITIATED. DELINQUENT SELF PAY ACCOUNTS THAT HAVE NOT BEEN PAID IN FULL OR ESTABLISHED AN APPROVED INSTALLMENT PAYMENT PLAN MAY BE REFERRED TO A COLLECTION AGENCY. THIS OCCURS APPROXIMATELY 130 DAYS FROM DETERMINATION OF PATIENT RESPONSIBILITY. PATIENT FINANCIAL SERVICES MANAGEMENT TEAM HAS RESPONSIBILITY FOR DETERMINING UNDER WHAT CIRCUMSTANCES A BALANCE MAY BE REFERRED FOR COLLECTION AGENCY RESOLUTION. THE MEDICAL CENTER RECOGNIZES THERE ARE OCCASIONS WHEN A PATIENT IS NOT FINANCIALLY ABLE TO PAY THEIR MEDICAL BILL IN FULL. THOSE PATIENTS WHO INDICATE THEY ARE EXPERIENCING FINANCIAL HARDSHIP WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. COLLECTION ACTIVITY WILL BE SUSPENDED PENDING ELIGIBILITY DETERMINATION. IF THE PATIENT'S INCOME IS GREATER THAN 300% OF THE CURRENT YEAR'S FEDERAL POVERTY GUIDELINE (FPG), FINANCIAL ASSISTANCE IS DENIED AND ALTERNATIVE PAYMENT ARRANGEMENTS ARE DISCUSSED. IF THE PATIENT'S INCOME IS LESS THAN 300% OF THE CURRENT YEEAR'S FPG, THE PATIENT WILL COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND SEND SUPPORTING DOCUMENTATION. IF FINANCIAL ASSISTANCE DETERMINATION IS APPROVED, THE FINANCIAL ASSISTANCE DISCOUNT IS APPLIED TO THE OUTSTANDING ACCOUNT BALANCE BASED ON THE FPG DETERMINATION AND A CONFIRMATORY LETTER IS SENT TO THE PATIENT. IF FINANCIAL ASSISTANCE IS DENIED, THE MEDICAL CENTER WILL SEND A DENIAL LETTER TO THE PATIENT. A SUMMARY REPORT OF COLLECTION ACTIVITIES TAKEN WILL BE PROVIDED TO THE MEDICAL CENTER BOARD ON AN ANNUAL BASIS PER THE WASHINGTON STATE HOSPITAL ASSOCIATION (WSHA) GUIDELINES. |
| PART VI, LINE 2: | VIRGINIA MASON CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE CHNA CAN BE FOUND AT VIRGINIAMASON.ORG/CONNECTING-WITH-OUR-COMMUNITIES. OUR CHA DRIVES OUR COMMUNITY WORK AND SERVES AS A GUIDELINE TO HELP US ACHIEVE THREE BASIC GOALS: 1) IMPROVE THE COMMUNITY'S HEALTH STATUS AND OVERALL QUALITY OF LIFE; 2) REDUCE HEALTH DISPARITIES WITHIN THE COMMUNITY; AND 3) INCREASE ACCESS TO PREVENTIVE SERVICES. THE LATEST CHNA AS PUBLISHED IN 2018. IT WAS DEVELOPED IN PARTNERSHIP WITH PUBLIC HEALTH - SEATTLE & KING COUNTY. VIRGINIA MASON'S 2018-2021 CHNA IS AN UPDATED AND EXPANDED VERSION OF THE COLLABORATIVE CHNA. IT INCLUDES SECONDARY DATA FROM A VARIETY OF LOCAL, STATE AND FEDERAL AGENCIES, INCLUDING PUBLIC HEALTH - SEATTLE & KING COUNTY. IT ALSO INCLUDES KEY INFORMANT INTERVIEWS WITH INDIVIDUALS REPRESENTING PUBLIC HEALTH, CITY GOVERNMENT, THE HEALTH CARE SAFETY NET, CULTURAL COMMUNITIES, SCHOOLS AND HEALTH ADVOCACY. A 2018-2021 CHNA IMPLEMENTATION STRATEGY WAS ALSO DEVELOPED AND SERVES AS A LIVING DOCUMENT TO GUIDE OUR COMMUNITY BENEFIT PROGRAMS. VIRGINIA MASON'S COMMUNITY BENEFIT PROGRAM FOCUSES OUR RESOURCES ON COMMUNITY NEEDS AND STRENGTHS OF THE MEDICAL CENTER. EXAMPLES INCLUDE: A) SUBSIDIZED HEALTH SERVICES - EVERY COMMUNITY NEEDS CERTAIN HEALTH CARE SERVICES THAT TYPICALLY COST MORE TO DELIVER THAN THE PROVIDER OF THE SERVICES RECEIVES. THESE "SUBSIDIZED HEALTH SERVICES" ARE PART OF THE MEDICAL CENTER'S MISSION BECAUSE THEY ARE NEEDED IN THE COMMUITY AND OTHERWISE WOULD NOT BE AVAILABLE T MEET PATIENT NEEDS. THEY INCLUDE: 1) EMERGENCY DEPARTMENT OPEN TO ALL; 2) BAILEY-BOUSHAY HOUSE (BBH), AN INPATIENT AND OUTPATIENT CENTER FOR PEOPLE LIVING WITH HIV/AIDS AND OTHER COMPLEX DISEASES; 3) PARTNERSHIP WITH PUBLIC HEALTH - SEATTLE & KING COUNTY TO HELP SUPPORT THE EDWARD THOMAS HOUSE MEDICAL RESPITE PROGRAM FOR HOMELESS ADULTS IN KING COUNTY; 4) PARTNERSHIP WITH PROJECT ACCESS NORTHWEST (PANW) TO PROVIDE SPECIALITY CARE SERVICES TO COMMUNITY CLINIC PATIENTS AND PREMIUM ASSISTANCE TO LOW-INCOME PATIENTS; 5) UNCOMPENSATED CARE - AS A NONPROFIT ORGANIZATION, VIRGINIA MASON IS COMMITTED TO SERVING PATIENTS WHO ARE UNINSURED, UNDERINSURED OR OTHERWISE UNABLE TO PAY FOR THEIR MEDICAL ARE; 6) RESEARCH - THE MEDICAL CENTER CONDUCTS MEDICAL RESEARCH THROUGH ITS AFFILIATED BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASO (BRI); 7) EDUCATION - A) VIRGINIA MASON IS A PREMIER TEACHING HOSPITAL THAT OFFERS POSTGRADUATE EDUCATIO PROGRAMS THROUGH ITS GRADUATE MEDICAL EDUCATION (GME) DEPARTMENT. ALL GME POSTGRADUATE TRAINING PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL ON GRADUATE MEDICAL EDUCATION (ADGME); B) THE MEDICAL CENTER'S GME PROGRAM PARTNERS WITH PUBLIC HEALTH - SEATTLE & KING COUNTY HEALTH SERVICES DIVISION TO PROVIDE 12 RESIDENTS FOR THE EASTGATE PUBLIC HEALTH CENTER IN BELLEVUE, WASHINGTON; 8) COMMUNITY PARTNERSHIP - THE MEDICAL CENTER IS AN ACTIVE MEMBER OF THE KING COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COLLABORATIVE, A PARTNERSHIP THAT INCLUDES ALL KING COUNTY HOSPITALS, PUBLIC HEALTH - SEATTLE & KING COUNTY AND THE WASHINGTON STATE HOSPITAL ASSOCIATION. IN ADDITION TO COLLABORATING ON FUTURE CHNAS, THIS PARTNERSHIP HAS FORMED HOSPITALS FOR A HEALTHIER COMMUNITY (HHC) AND IS RESEARCHING AND PLANNING COLLABORATIVE COMMUNITY BENEFIT ACTIVITIES THAT COMPREHENSIVELY ADDRESS COMMUNITY HEALTH ISSUES THROUGHOUT KING COUNTY. 9) COMMJUNITY HEALTH IMPROVEMENT SERVICES, INCLUDING A) COMMUNITY HEALTH IMPROVEMENT SERVICES; B) COMMUNITY HEALTH EDUCATION, SUCH AS NUTRITION AND FITNESS FOR LIFE PEDIATRIC PROGRAM AND CLASSES; C) NUTRITION AND FITNESS EDUCATION AT MARY'S PLACE NORTHSHORE IN KENMORE, WASHINGTON, A DAY SHELTER FOR HOMELESS WOMEN AND CHILDREN; D) PROVIDING EDUCATIONAL INFORMATION THROUGH OUR PEDIATRIC DEPARTMENTS AND COMMUNITY EVENTS TO PARENTS REGARDING FIREARM SAFETY IN HOMES WHERE THEIR CHILDRE VISIT AND PLAY; E) SUPPORT OF THE ALLIANCE FOR GUN RESPONSIBILITY; F) SUPPORT OF PLYMOUTH HOUSING'S AND SOLID GROUNDS' EFFORTS TO PROVIDE SAFE HOUSING TO INDIVIDUALS AND FAMILIES WHO ARE HOMELESS; G) HEALTH FAIR SPONSORSHIPS IN THE COMMUNITY; H) FREE FLU SHOTS AND HEALTH SCREENINGS FOR UNINSURED/UNDERINSURED AND THE HOMELESS; I) PARTNERSHIP WITH WITHINREACH TO PROVIDE HEALTH CARE RESOURCES TO FAMILIES AND SOCIAL SERVICE EDUCATION TO COMMUNITY PARTNERS; J) PROVIDING RESOURCES TO REFUGEES NORTHWEST TO ASSIST REFUGEES AND IMMIGRANTS WITH ACCESS TO HEALTH CARE; K) PARTNERSHIP WITH SEATTLE/KING COUNTY CLINIC TO PROVIDE FLU SHOTS DURING THEIR FOUR-DAY FREE HEALTH CLINIC; AND L) BEREAVEMENT SUPPORT THROUGH VIRGINIA MASON'S GRIEF SERVICES DEPARTMENT. |
| 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 CENTER'S CHARITY CARE POLICY AT VARIOUS POINTS BEGINNING AND SCHEDULING AND CONTINUING THROUGH THE PATIENT BILLING PROCESS. AT SCHEDULING, IF A PATIENT INDICATES THEY ARE WITHOUT INSURANCE AND UNABLE TO PAY FOR THE SERVICES, THEIR ACCOUNT IS FLAGGED FOR A FINANCIAL NAVIGATOR TO CONTACT THEM TO DISCUSS ASSISTANCE. AT ARRIVAL FOR AN APPOINTMENT, THE MEDICAL CENTER'S 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 CENTER'S ADMISSIONS PERSONNEL WILL CONFIRM ABILITY TO PAY. IF FINANCIAL NEED OR FINANCIAL HARDSHIP IS INDICATED, THE MEDICAL CENTER FINANCIAL NAVIGATORS WILL WORK WITH THE PATIENT TO DETERMINE WHETHER MEDICAID, STATE PROGRAM OPTIONS, OR CHARITY CARE WOULD BE APPROPRIATE. THE MEDICAL CENTER'S CHARITY POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS ALSO INCLUDED ON PATIENT BILLS. THE MEDICAL CENTER'S PATIENT GUIDE TO FEES AND BILLING INCLUDES INFORMATION ON CHARITY CAE AVAILABILITY AND CONTACT INFORMATION TO INITIATE AN ASSESSMENT. THE BROCHURE IS AVAILABLE IN ALL LOBBIES FOR PATIENTS TO PICK UP. THE BROCHURE IS ALSO SENT OUT BY PATIENT ACCOUNT SERVICES STAFF BASED ON A PATIENT'S EXPRESSED CONCERNS (EITHER VIA PHONE OR LETTER). THE MEDICAL CENTER'S WEBSITE ALSO INCLUDES INFORMATION ABOUT CHARITY CARE AVAILABILITY AND THE CONTACT NUMBER TO INITIATE AN ASSESSMENT. |
| PART VI, LINE 4: | VIRGINIA MASON MEDICAL CENTER PROVIDED CARE FOR 60,320 INPATIENT DAYS; 862,486 OUTPATIENT VISITS; AND 19,366 EMERGENCY DEPARTMENT VISITS. THE MEDICAL CENTER'S SERVICE AREA ENCOMPASSES THE COMMUNITIES WHERE ITS FACILITES ARE LOCATED AND WHERE 75 PERCENT OF ITS PATIENTS RESIDE; KING COUNTY, THE SOUTHWEST REGION OF SNOHOMISH COUNTY, AN BAINBRIDGE ISLAND IN KITSAP COUNTY. RESIDENCES OF MEDICAL CENTER PATIENTS INCLUDE: 1) SEATTLE: 68,340; 2) SEATTLE SUBURBS (KING COUNTY OUTSIDE OF SEATTLE): 91,736; 3) SNOHOMISH COUNTY: 7,215; 4) BAINBRIDGE ISLAND: 9,370; 5) SERVICE AREA TOTAL: 176,661; 6) OTHER WASHINGSTON STATE: 45,742; 7) REST OF THE NORTHWEST: 4,367; 8) REST OF UNITED STATES: 2,740; 8) OTHER: 233 FOR A TOTAL OF 229,743. THE SERVICE AREA (KING COUNTY) POPULATION WAS 2,195,502 (2019 U.S. CENSUS BUREA DATA). THE AGE AND RACIAL/ETHNIC PROFILE OF THE TOTAL POPULATION WAS AS FOLLOWS: 1) TOTAL POPULATIO: 2,195,502; 2) UNDER 5 YEARS OLD: 5.8 PERCENT; 3) 18 AND OLDER: 79.6 PERCENT; 4) 65 YEARS OR OLDER: 13 PERCET; 5) WHITE: 64 PERCENT; 6) HISPANIC OR LATINO: 9.7 PERCENT; 7) BLACK OR AFRICAN AMERICAN ALONE: 6.5 PERCENT; 8) ASIAN ALONE: 17.6 PERCENT; 9) AMERICAN INDIAN OR ALASKA NATIVE ALONE: 0.6 PERCENT; 10) NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER ALONE: 0.8 PERCENT; 11) TWO OR MORE RACES: 6.4 PERCENT; 12) SOME OTHER RACE ALONE: 4.2 PERCENT. ACCORDING TO THE UNITED STATES CENSUS BUREAU, THE MEDIAN HOUSEHOLD INCOME FO KING COUNTY AS $94,974 WITH 10.4 PERCENT OF CHILDREN UNDER 18 LIVING IN POVERTY. WITHIN KING COUNTY, MEDIAN INCOME WAS LOWEST FOR BLACKS AND AMERICAN INDIANS/ALASKA NATIVES AND IN URBAN SOUTH KING COUNTY. IN KING COUNTY, POVERTY RATES ARE HIGHEST IN WHITE CENTER/BOULEVARD PARK, SEVERAL CENTRAL AND SOUTHEAST SEATTLE NEIGHBORHODS AND AUBURN. MEDIAN EARNINGS FOR FULL-TIME, YEAR-ROUND WORKERS BY SEX WERE $60,979 FOR FEMALES AND $81,217 OR MALES. KING COUNTY'S EMPLOYMENT RATE AS 67.2 PERCENT, COMPARED TO A NATIONAL AVERAGE OF 59.6 PERCENT. |
| PART VI, LINE 5: | VIRGINIA MASON'S COMMUNITY BENEFIT PROGRAM IS DESIGNED TO IMPROVE OUR COMMUNITY'S 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 PROFESSIONAL'S EDUCATION AND RESEARCH. UNCOMPENSATED CARE. AS A NON-PROFIT ORGANIZATION, VIRGINIA MASON IS COMMITTED TO SERVING PATIENTS WHO ARE UNINSURED, UNDERINSURED OR OTHERWISE UNABLE TO PAY FOR THEIR MEDICAL CARE. UNDER VIRGINIA MASON'S CHARITY CARE POLICY, FREE OR REDUCED-COST MEDICALLY NECESSARY CARE (AFTER ALL HEALTH INSURANCE HAS BEEN EXHAUSTED) IS PROVIDED TO INDIVIDUALS MAKING UP TO 300 PERCENT OF THE FEDERAL POVERTY LEVEL IN KEEPING WITH THE WASHINGTON STATE HOSPITAL ASSOCIATION VOLUNTARY GUIDELINES ON BILLING THE UNINSURED. IN 2021, VIRGINIA MASON PROVIDED CHARITY CARE TO 3,596 PATIENTS AT A COST OF $4,189,033. IN ADDITION, VIRGINIA MASON'S UNREIMBURSED MEDICAID WAS PROVIDED AT A COST OF $17,117,608.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 DIABETES TEACHING CENTER; (2) FREE HEALTH SCREENINGS AT COMMUNITY HEALTH FAIRS; (3) FREE FLU SHOTS AND HEALTH SCREENINGS FOR THE HOMELESS IN CONJUNCTION WITH UNITED WAY OF KING COUNTY'S 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.HEALTH PROFESSIONS EDUCATION. VIRGINIA MASON STRONGLY SUPPORTS MEDICAL EDUCATION TO ENSURE OUR PATIENTS AND THE COMMUNITY BENEFIT FROM ADVANCES IN MEDICAL CARE. VIRGINIA MASON IS A PREMIER TEACHING HOSPITAL THAT OFFERS POSTGRADUATE EDUCATION PROGRAMS THROUGH ITS GRADUATE MEDICAL EDUCATION DEPARTMENT (GME). ALL GME POSTGRADUATE TRAINING PROGRAMS ARE FULLY APPROVED BY THE ACCREDITATION COUNCIL ON GRADUATE MEDICAL EDUCATION (ACGME). VIRGINIA MASON TRAINS MORE THAN 130 RESIDENTS AND FELLOWS ANNUALLY. VM'S GME PROGRAM IS PARTNERED WITH PUBLIC HEALTH SEATTLE & KING COUNTY HEALTH SERVICES DIVISION, PROVIDING RESIDENTS FOR THE EASTGATE PUBLIC HEALTH CENTER, AS WELL AS PROVIDING RESIDENTS AT THE CAROLYN DOWNS FAMILY MEDICAL CENTER, PIKE MARKET MEDICAL CLINIC AND NORTH PUBLIC HEALTH CENTER.VIRGINIA MASON'S COLLABORATION WITH THE EASTGATE PUBLIC HEALTH CENTER COMBINES THE MEDICAL CENTER'S COMMITMENT TO TEACHING AND COMMUNITY BENEFIT THROUGH AN INNOVATIVE PUBLIC-PRIVATE PROGRAM WHICH ALLOWS RESIDENTS TO BE MORE INVOLVED IN THE CARE OF THE UNDERSERVED AND UNINSURED. THE EASTGATE CLINIC IS THE LARGEST OF THREE COUNTY PUBLIC HEALTH CLINICS IN EAST KING COUNTY AND OFFERS A VARIETY OF PRIMARY CARE SERVICES TO ADULTS AND CHILDREN. APPROXIMATELY 50 PERCENT OF PATIENTS SEEN AT THE CLINIC DO NOT HAVE INSURANCE OR THE MEANS TO PAY, AND APPROXIMATELY THE SAME PERCENTAGE DO NOT SPEAK ENGLISH AND REQUIRE INTERPRETIVE SERVICES. THIS RESIDENT CLINIC IMPROVES OVERALL HEALTH IN THE COMMUNITY AND GIVES BACK TO OUR COMMUNITY IN A MEANINGFUL WAY.VIRGINIA MASON SERVES AS AN INTERNSHIP SITE FOR STUDENTS IN A VARIETY OF OTHER HEALTH PROGRAMS, SUCH AS NURSING, PHARMACY, RESPIRATORY THERAPY AND LABORATORY TECHNOLOGY. SUBSIDIZED HEALTH SERVICES. EVERY COMMUNITY NEEDS CERTAIN HEALTH CARE SERVICES THAT TYPICALLY COST MORE TO DELIVER THAN THE PROVIDER OF THESE SERVICES RECEIVES. THESE SUBSIDIZED HEALTH SERVICES INCLUDE BAILEY-BOUSHAY HOUSE (BBH), A NURSING RESIDENCE AND ADULT DAY HEALTH CENTER FOR PEOPLE LIVING WITH HIV/AIDS AS WELL AS END-OF-LIFE CARE FOR PEOPLE WITH ALS AND OTHER COMPLEX CONDITIONS. SAFETY AND SECURITY WERE KEY DRIVERS FOR OPENING BAILEY-BOUSHAY'S EMERGENCY NIGHT SHELTER IN NOVEMBER 2018, PROVIDING 50 BEDS TO ADDRESS RISING HOMELESSNESS IN THEIR OUTPATIENT POPULATION. IT IS THE FIRST HOMELESS SHELTER IN THE WORLD SPECIFICALLY DESIGNED FOR PEOPLE WITH HIV.RESEARCH. VIRGINIA MASON CONDUCTS MEDICAL RESEARCH THROUGH ITS AFFILIATE, BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON (BRI). BRI IS A NON-PROFIT BIOMEDICAL RESEARCH INSTITUTE THAT WORKS TO UNLOCK THE MYSTERIES OF THE IMMUNE SYSTEM. ITS TEAM OF WORLD-RENOWNED SCIENTISTS IS FOCUSED ON IDENTIFYING CAUSES AND CURES FOR DEVASTATING DISEASES INCLUDING DIABETES, ARTHRITIS, HEART DISEASE AND CANCER. IN 2021, THE MEDICAL CENTER PROVIDED $1,000,000 TO SUPPORT RESEARCH ACTIVITIES AT BRI. ENVIRONMENTAL IMPROVEMENTS. VIRGINIA MASON'S ENVIRONMENTAL STEWARDSHIP PROGRAM, ENVIROMASON, PROVIDES THE FRAMEWORK FOR VARIOUS FOOTPRINT REDUCTION INITIATIVES, SUCH AS CONSERVING ENERGY AND WATER, DESIGNING GREENER BUILDINGS, GENERATING LESS WASTE, AND BUYING ENVIRONMENTALLY PREFERABLE PRODUCTS. VIRGINIA MASON HAS EMPLOYED A FULL TIME SUSTAINABILITY DIRECTOR SINCE 2011. THE PURPOSE OF THIS POSITION AND THE ENVIROMASON PROGRAM IS TO PRESERVE LONG-TERM ENVIRONMENTAL QUALITY THAT WE ALL RELY UPON FOR GOOD HEALTH.IN 2007, VIRGINIA MASON BECAME THE FIRST HOSPITAL IN THE PACIFIC NORTHWEST TO ELIMINATE STYROFOAM USE AND BEGIN COMPOSTING FOOD WASTE. SINCE 2011, OUR ENERGY CONSERVATION PROJECTS HAVE SAVED OVER 4.5 MILLION KILOWATT HOURS PER YEAR. OUR WATER CONSERVATION PROJECTS IN THE SAME PERIOD HAVE SAVED MORE THAN 7 MILLION GALLONS OF WATER PER YEAR.BETWEEN 2011 AND 2021, VIRGINIA MASON DIVERTED MORE THAN 8,900 TONS OF WASTE FROM THE LANDFILL. WE ACCOMPLISHED THIS BY EXPANDING RECYCLING ACROSS OUR FACILITIES; IMPROVING OUR ELECTRONICS RECYCLING; PROVIDING COMPOSTING TO ALL LUNCH AND BREAK ROOMS; IMPLEMENTING A CONSTRUCTION DEBRIS RECYCLING PROGRAM; RECYCLING THE FIBER FROM OUR SHREDDED OFFICE PAPER; AND REPROCESSING MEDICAL SUPPLIES THAT CAN BE REUSED. ADDITIONALLY, VIRGINIA MASON WAS THE FIRST HOSPITAL IN THE REGION TO IMPLEMENT AN OPERATING ROOM (OR) RECYCLING PROGRAM.ENVIROMASON'S TEAM APPROACH EXTENDS FROM STRONG SENIOR LEADERSHIP SUPPORT TO ACTIVE ENGAGEMENT OF OUR TEAM MEMBERS. OUR GOAL IS TO REDUCE THE ENVIRONMENTAL IMPACT OF VIRGINIA MASON'S OPERATIONS BY EDUCATING AND EMPOWERING TEAM MEMBERS TO MAKE MORE SUSTAINABLE CHOICES. IN 2019, THIS APPROACH LED TO THE ANESTHESIOLOGY DEPARTMENT AT THE MAIN CAMPUS SUCCESSFULLY ELIMINATING THE USE OF DESFLURANE, AN ANESTHETIC GAS WITH 20 TIMES THE GLOBAL WARMING POTENTIAL AS ITS PRIMARY ALTERNATIVE GAS.ENVIROMASON SPECIAL EVENTS ALSO HELP US ENGAGE OUR TEAM MEMBERS WITH SUSTAINABILITY EFFORTS. WE SPONSOR EVENTS SUCH AS OUR FARMERS MARKET, COMMUNITY SUPPORTED AGRICULTURE (CSA) PROGRAM, AND ECOCHALLENGE CARBON REDUCTION PROGRAM. VIRGINIA MASON RECENTLY SIGNED ONTO THE NATIONAL COOL FOOD PLEDGE, WHOSE AIM IS TO REDUCE THE GREENHOUSE GAS EMISSIONS ASSOCIATED WITH THE FOOD WE SERVE BY 25% BY 2030. AS AN ORGANIZATION DEDICATED TO PRESERVING HEALTH, VIRGINIA MASON IS REDUCING OUR GREENHOUSE GAS EMISSIONS THROUGH ENERGY EFFICIENCY; COMMUTE TRIP REDUCTION; LANDFILL DIVERSION ACTIVITIES, LIKE RECYCLING, COMPOSTING, AND FOOD DONATION; AND BUYING LOCAL GOODS AND SERVICES.MEDICAL STAFF. VIRGINIA MASON HAS 565 MEMBERS ON ITS ACTIVE HOSPITAL STAFF, INCLUDING VIRGINIA MASON PHYSICIANS, AND OTHER COMMUNITY PROVIDERS.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. 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.USE OF FINANCIAL SURPLUSES. ALL FINANCIAL SURPLUSES FROM THE OPERATION OF THE MEDICAL CENTER ARE USED EXCLUSIVELY TO FURTHER ITS CHARITABLE PURPOSES. NO INDIVIDUAL RECEIVES ANY PORTION OF THE ORGANIZATIONS' RESPECTIVE SURPLUS AS A RESULT OF OWNERSHIP OR ANY OTHER "INSIDER" RELATIONSHIP. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | WA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 NINTH AVENUE | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 910653422 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $1,000,000 | CashGrantAmt |
| Purpose Of Grant | OPERATING SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE FUNDS PROVIDED TO VIRGINIA MASON HEALTH SYSTEM ARE FOR OPERATIONAL SUPPORT OR SPECIFIC ACTIVITIES. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON HEALTH CARE FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 911108929 | BondIssuerEIN |
| CUSIP | 93978HSS5 | CUSIPNum |
| Bond Issued | 2017-08-31 | BondIssuedDt |
| Issue Price | $287,837,574 | IssuePriceAmt |
| Purpose | REFINANCE OUTSTANDING DEBT | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $287,843,556 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $2,428,792 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $285,412,975 | OtherSpentProceedsAmt |
| Unspent | $1,789 | UnspentAmt |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE A, COLUMN C | 93978HSD8, 93978HSE6, 93978HSF3, 93978HG1, 93978HSH9, 93978HSJ5, 93978HSK2, 93978HSL0, 93978HSM8, 93978HSN6, 93978HSP1, 93978HSQ9, AND 93978HSR7 |
| PART I, LINE A, COLUMN F | THE PROCEEDS OF THE SERIES 2017 BONDS WILL BE USED FOR THE PURPOSE OF PROVIDING PART OF THE FUNDS NECESSARY TO 1) REFUND, ON AN CURRENT BASIS THE AUTHORITY'S REVENUE BONDS, SERIES 1997B, THE SERIES 2007A, THE SERIES 2007B BONDS, AND THE SERIES 2007C BONDS; AND 2) PAY COSTS OF ISSUANCE OF THE BONDS. THE 1997B BONDS WERE REISSUED DECEMBER 1, 2007. THE ORIGINAL BOND PROCEEDS WERE USED TO 1) FINANCE OR REIMBURSE THE MEDICAL CENTER FOR THE COSTS OF CONSTRUCTING, REMODELING AND/OR ACQUIRING HEALTH CARE FACILITIES; 2) FUND THE INITIAL DEPOSIT TO THE RESERVE ACCOUNTS FOR THE BONDS; 3) PAY THE PREMIUM FOR THE INSURANCE POLICY; AND 4) PAY CERTAIN OF THE OTHER COSTS OF ISSUING THE BONDS. THE SERIES 2007A BONDS, THE SERIES 2007B BONDS AND THE SERIES 2007C BONDS WERE ORIGINALLY ISSUED DECEMBER 1, 2007. THE ORIGINAL BONDS PROCEEDS OF THE REOFFERED 1997B BONDS TOGETHER WITH THE PROCEEDS OF THE SERIES 2007 BONDS WERE TO BE USED FOR THE PURPOSE OF PROVIDING PART OF THE FUNDS NECESSARY TO 1) REFUND, ON AN ADVANCED AND CURRENT BASIS, AND TO REDEEM THE AUTHORITY'S REVENUE BONDS, SERIES 1997A; 2) REISSUE, REFUND, ON A CURRENT BASIS AND REPLACE THE SERIES 1997B BONDS AS A VARIABLE RATE OBLIGATION; 3) REIMBURSE THE MEDICAL CENTER FOR, OR PAY, THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING AND EQUIPPING CERTAIN HEALTH CARE FACILITIES; 4) PAY INTEREST ON THE SERIES 2007 BONDS DURING CONSTRUCTION; 5) FUND THE INITIAL DEPOSITS INTO RESPECTIVE DEBT SERIVCE RESERVES FOR THE SERIES 2007 BONDS; 6) PAY THE COST OF CREDIT ENHANCEMENT, IF ANY, AND 7) PAY ISSUANCE COSTS. |
| PART II, LINE 3 DIFFERENCE | THE DIFFERENCE BETWEEN THE ISSUE PRICE AND THE PROCEEDS OF THE BOND ISSUE IS DUE TO INVESTMENT EARNINGS. |
| PART II, LINE 7 DIFFERENCE | THE DIFFERENCE BETWEEN PART II LINE 7 AND FORM 8038 LINE 24 IS DUE TO LOWER ISSUANCE COSTS THAN THE ESTIMATED COSTS INCLUDED IN THE PROCEEDS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBIA HOSPITALITY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | COMPANY FOUNDED BY JOHN OPPENHEIMER, DIRECTOR | RelationshipDescriptionTxt |
| Transaction | $780,919 | TransactionAmt |
| Transaction | PROVISION OF MANAGEMENT SERVICES TO THE MEDICAL CENTER | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 6 | ContributionCnt |
| Noncash Contributions Rpt F990 | $46,470 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 18 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,748 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | REPLACEMENT COST | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | LODGING/ENTERTINAMENT/EXPERIENCES | 22 | $51,965 | REPLACEMENT COST |
| Yes (X) | MEDICAL SUPPLIES | 5 | $18,920 | REPLACEMENT COST |
| Yes (X) | ITEMS USED AT AUCTION/EVENT | 18 | $7,826 | REPLACEMENT COST |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 32B: | FormAndLineReferenceDesc |
| Explanation | VIRGINIA MASON USES A BROKERAGE FIRM TO SELL DONATED PUBLICLY TRADED SECURITIES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1 (CONTINUED): | THE MEDICAL CENTER ALSO OPERATES BAILEY-BOUSHAY HOUSE, A SKILLED NURSING FACILITY AND DAY HEALTH CENTER SERVING THE HIV/AIDS COMMUNITY. THE MEDICAL CENTER PATIENT CARE SERVICES ARE INTEGRATED WITH AND ENHANCED BY EDUCATION AND RESEARCH ACTIVITIES WHICH INCLUDE A GRADUATE MEDICAL EDUCATION PROGRAM PROVIDING TRAINING TO OVER 130 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, SPEECH AND LANGUAGE THERAPY AND LABORATORY TECHNOLOGY. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE GOVERNING BODY DELEGATES TO AN EXECUTIVE COMMITTEE COMPRISED OF THE CHAIRMAN, VICE CHAIRMAN, SECRETARY AND TREASUER THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION TO ACT ONLY IN TIME SENSITIVE OR EMERGENCY SITUATIONS AS DETERMINED BY THE EXECUTIVE COMMITTEE, SUCH AUTHORITY TO BE EXERCISED IN TIME PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE GOVERNING BODY OF THE CORPORATION. THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE GOVERNING BODY OF THE CORPORATION. THE EXECUTIVE COMMITTEE DOES NOT HAVE THE AUTHORITY TO AMEND, ALTER OR REPEAL THE BYLAWS, ELECT, APPOINT OR REMOVE ANY MEMBER OF THE EXECUTIVE COMMITTEE OR ANY DIRECTOR OR OFFICER OF THE CORPORATION; AMEND THE ARTICLES OF INCORPORATION; ADOPT A PLAN OF MERGER OR ADOPT A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION; AUTHORIZE THE SALE, LEASE O EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION NOT IN THE ORDINARY COURSE OF BUSINESS; AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKE PROCEEDINGS THEREFORE; ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION; AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY THE EXECUTIVE COMMITTEE; OR TERMINATE THE CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMMITTEE ALSO PERIODICALLY EVALUATES THE EFFECTIVEESS OF VIRGINIA MASON MEDICAL CENTER'S ("VMMC") SYSTEMS FOR RESOLVING INTERNAL CONFLICTS. THE BOARD ALSO DELEGATES TO THE EXECUTIVE COMMITTEE THE AUTHORITY OF THE BOARD TO MAKE ALL APPOINTMENTS AND REAPPOINTMENTS TO THE MEDICAL STAFF OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 4 | EFFECTIVE JANUARY 1, 2021 FRANCISCAN HEALTH SYSTEM (FHS), VIRGINIA MASON HEALTH SYSTEM (VMHS), AND COMMONSPIRIT HEALTH (COMMONSPIRIT), A MEMBER OF FHS, COMPLETED THE AFFILIATION TRANSACTION (THE AFFILIATION) CONTEMPLATED BY THE AFFILIATION AGREEMENT, DATED AS OF DECEMBER 31, 2020, PURSUANT TO WHICH, AMONG OTHER THINGS, COMMONSPIRIT FORMED VIRGINIA MASON FRANCISCAN HEALTH, A WASHINGTON NONPROFIT CORPORATION (VMFH). AFTER THE EFFECTIVE DATE, COMMONSPIRIT AND VMHS ARE THE SOLE CORPORATE MEMBERS OF VMFH, WHICH IS A CONTROLLED SUBSINDARY OF COMMONSPIRIT AND WILL BE CONSOLIDATED WITH COMMONSPIRIT FOR ACCOUNTING PURPOSES. AS A RESULT OF THE AFFILIATION, VMFH NOW GOVERNS AND MANAGES THE COMBINED OPERATIONS OF FHS, VIRGINIA MASON MEDICAL CENTER (VMMC) BENAROYA RESEARCH INSTITUE (BRI), AND CERTAIN OTHER AFFILIATES OF FHS AND VMMC (THE COMBINED SYSTEM), SUBJECT TO CERTAIN VMHS PROTECTIVE RESERVED POWERS AND OTHER RESERVED POWERS HELD BY COMMONSPIRIT AND VMFH IS NOW THE SOLE CORPORATE MEMBER OF BOTH VMMC AND BRI. |
| FORM 990, PART VI, SECTION A, LINE 6 | ACCORDING TO THE BYLAWS OF VIRGINIA MASON MEDICAL CENTER THE ENTITY'S SOLE MEMBER IS VIRGINIA MASON FRANCISCAN HEALTH, A WASHINGTON NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | VIRGINIA MASON FRANCISCAN HEALTH IS THE SOLE CORPORATE MEMBER OF VIRGINIA MASON MEDICAL CENTER. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | VIRGINIA MASON FRANCISCAN HEALTH ("VMFH") IS THE SOLE CORPORATE MEMBER OF VIRGINIA MASON MEDICAL CENTER ("VMMC"). EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION, ELSEWHERE IN THESE BYLAWS, OR IN THE LAWS OF THE STATE OF WASHINGTON, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. THE RIGHTS OF THE CORPORATE MEMBER SHALL BE FURTHER SUBJECT TO THE POWERS RESERVED TO CSH UNDER THE GOVERNANCE MATRIX (SUBJECT TO THE BYLAWS OF THE CORPORATE MEMBER) AND AS OTHERWISE SET FORTH IN THE BYLAWS OF THE CORPORATE MEMBER. IN ADDITION, SUBJECT TO THE BYLAWS OF THE CORPORATE MEMBER, THE RESERVED POWERS OF CSH SET FORTH IN THE GOVERNANCE MATRIX MAY BE UNILATERALLY EXERCISED BY CSH ON BEHALF OF THE CORPORATION, AT CSH'S SOLE DISCRETION, IF THE CORPORATION'S BOARD OF DIRECTORS FAILS TO ACT UPON SUCH MATTERS DESCRIBED IN THESE BYLAWS, OR IF THE CORPORATION'S BOARD OF DIRECTORS ATTEMPTS TO ACT IN A MANNER THAT CONFLICTS WITH OR OVERRIDES THE ACTIONS OR DESIRES OF CSH WITH RESPECT TO SUCH MATTERS. THE GOVERNANCE MATRIX MAY BE AMENDED FROM TIME TO TIME BY CSH, AND SUCH AMENDMENTS SHALL BE DEEMED TO BE A PART OF THESE BYLAWS WITHOUT FURTHER ACTION. THE CORPORATION SHALL BE DEEMED A "SUBSIDIARY" OF CSH FOR PURPOSES OF THE GOVERNANCE MATRIX. IN ADDITION TO THE RIGHTS RESERVED TO CSH UNDER THE GOVERNANCE MATRIX, CSH SHALL HAVE THE POWER TO TRANSFER ASSETS OF THE CORPORATION OR TO REQUIRE THE CORPORATION TO TRANSFER ASSETS TO CSH, TO THE EXTENT NECESSARY TO ACCOMPLISH CSH'S GOALS AND OBJECTIVES, AND TO PROVIDE FOR THE PAYMENT OF ALL INDEBTEDNESS OF CSH OR AN ENTITY CONTROLLED BY, CONTROLLING, OR UNDER COMMON CONTROL WITH CSH (FOR PURPOSES OF THIS SECTION, A "CSH AFFILIATE"), ISSUED OR INCURRED BY OR ON BEHALF OF CSH OR A CSH AFFILIATE IN FURTHERANCE OF CSH'S GOALS AND OBJECTIVES. THE CORPORATION SHALL NOT BE REQUIRED TO VIOLATE ITS CHARITABLE PURPOSES, THESE BYLAWS OR ITS ARTICLES OF INCORPORATION, THE TERMS OF ANY RESTRICTED GIFTS, OR THE COVENANTS OF ITS DEBT INSTRUMENTS OR OTHER CONTRACTS AS A RESULT OF ANY ASSET TRANSFERS MADE OR DIRECTED BY CSH. EXCEPT FOR TRANSFERS PREVIOUSLY APPROVED BY CSH, EITHER INDIVIDUALLY OR AS PART OF THE CSH HEALTHCARE SYSTEM BUDGET PROCESS, AND EXCEPT FOR TRANSFERS TO AN AFFILIATE OR SUBSIDIARY OF THE CORPORATION, THE CORPORATION SHALL NOT TRANSFER ASSETS TO ENTITIES OTHER THAN CSH OR CSH AFFILIATES WITHOUT THE APPROVAL OF CSH. |
| FORM 990, PART VI, SECTION B, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE GOVERNANCE COMMITTEE OF THE BOARD HAS ACCOUNTABILITY FOR OVERSIGHT OF THE PROCESS FOR DISCLOSURE, EVALUATION AND MANAGEMENT OF CONFLICTS OF INTEREST INVOLVING ANY MEMBER OF THE BOARD, EXECUTIVE LEADERSHIP OR KEY EMPLOYEES ("COVERED PERSON"). PURSUANT TO THE CONFLICTS OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE IS DISTIBUTED TO ALL COVERED PERSONS. IN ADDITION, A COVERED PERSON HAS AN ON-GOING DUTY TO DISCLOSE THE EXISTENCE O A CONFLICT OF INTEREST AT ANY TIME AN ACTUAL OR POTENTIAL CONFLICT ARISES. EACH COVERED PERSON IS REQUIRED UPON APPOINTMENT AND ANNUALLY THEREAFTER TO ATTEST TO A STATEMENT THAT AFFIRMS THAT SUCH PERSN HAS 1) RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) HAS AGREED TO COMPLY WITH THE POLICY; AND 4) UNDERSTANDS THAT THE MEDICAL CENTER IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ITS TAX-EXEMPT PURPOSES. WRITTEN DISCLOSURES ARE REVIEWED BY THE GOVERNANCE COMMITTEE TO DETERMINE IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS AND IF SO, HOW SHOULD IT BE MANAGED. THE COVERED PERSO IS INFORMED IN WRITING REGARDING THE DETERMINATION (THE "CONFLICT OF INTEREST MANAGEMENT PLAN"). NO COVERED PERSON WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL ENGAGE IN AN ACTIVITY ON THE MEDICAL CENTER'S 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 AS UNDERTAKEN ALL STEPS SET FORTH IN THE MANAGEMENT PLAN TO MANAGE, REDUCE OR ELIMINATE THE CONFLICT. ALL COVERED PERSONS HAVE A DUTY TO DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO MEETING AGENDA ITEMS. THE CONFLICTS OF INTEREST POLICY REQUIRES THAT COPIES OF THE CONFLICT OF INTEREST QUESTIONNAIRE COMPLETED ANNUALLY BY EACH COVERED PERSON AND ANY CONFLICT OF INTEREST MANAGEMENT PLAN BE MAINTAINED. IN ADDITION, THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL DOCUMENT THE DISCLOSURE AND RESOLUTION OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST DISCLOSED AT SUCH MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE VMHS COMPENSATION AND BENEFITS BOARD COMMITTEE, A COMMITTEE COMPOSED SOLELY OF INDEPENDENT DIRECTORS OF VMHS NONE OF WHOM HAVE A CONFLICT OF INTEREST, IS ACCOUNTABLE FOR SETTING REASONABLE TOTAL COMPENSATION PACKAGES FOR EACH MEDICAL CENTER EXECUTIVE, INCLUDING THE CEO, OFFICERS AND KEY EMPLOYEES("EXECUTIVES") CONSISTENT ITH THE MEDICAL CENTER'S PHILOSOPHY AND PRINCIPLES. THE BOARD DEVELOPS AND APPROVES ANNUAL GOALS AND PERFORMANCE CRITERIA WHICH ARE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION OPPORTUNITIES FOR THE MEDICAL CENTER EXECUTIVES. THE COMMITTEE ASSESSES PERFORMANCE AGAINST THESE GOALS. THE COMMITTEE SELECTS AND ENGAGES A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO REVIEW AND ANALYZE THE TOTAL COMPENSATION AND BENEFITS PACKAGES TO THE EXECUTIVES. THE COMMITTEE AS PART OF ITS ANALYSIS OBTAINS FROM THE COMPENSATIO CONSULTANT APPROPRIATE COMPARABILITY DATA INCLUDING TOTAL COMPENSATION PAID BY SIMILARLY SITUATED FOR-PROFIT AND NON-PROFIT HEALTH CARE ORGANIZATIONS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE TO EACH OF THE EXECUTIVES. WITH RESPECT TO THOSE EXECUTIVES BELOW THE LEVEL OF CHAIR/CHIEF EXECUTIVE OFFICER, THE COMMITTEE REQUESTS THAT THE CHAIR/CHIEF EXECUTIVE OFFICER WORK WITH THE COMPENSATION CONSULTANT TO FORMULATE A COMPENSATION RECOMMENDATION FOR EACH SUCH EXECUTIVE, CONSISTENT WITH VMHS'S COMPENSATION PHIOSOPHY AND PRINCIPLES. CONSISTENT WITH VMHS'S COMPENSATION PHILOSOPHY AND PRINCIPLES, THE COMMITTEE APPROVES TOTAL COMPENSATION PACKAGES FOR EACH OF THE EXECUTIVES BASED ON INFORMATION PRESENTED TO THE COMMITTEE, REASONABLENESS AND THE BEST INTERESTS OF THE MEDICAL CENTER. THE COMMITTEE'S DECISIONS REGARDING COMPENSATION FOR EACH EXECUTIVE ARE DOCUMENTED IN WRITTEN RESOLUTIONS AND MINUTES OF THE COMMITTEE. THE COMMITTEE PROMPTLY REPORTS ITS ACTION TO THE BOARD WHOSE REPORTS ARE REFLECTED IN THE BOARD'S MINUTES. THE EXECUTIVES THAT WERE REVIEWED IN 2020 WERE: CHIEF EXECUTIVE OFFICER, PRESIDENT, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENTS, VICE PRESIDENTS, PHYSICIAN CHIEFS, CLINIC MEDICAL DIRECTOR, HOSPITAL MEDICAL DIRECTOR, AND CHIEF MEDICAL OFFICER. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES, BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | PENSION ADJUSTMENT 8,098,495. ADDITIONAL RETIREMENT LIABILITY 218,000. INTER-DEPARTMENT CONTRIBUTIONS 2,719,351. CONTRIBUTION OF SERVICES 449,638. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| 1000 MADISON LLC | |||||||||
| 1100 NINTH AVENUE | SEATTLE | WA | 98101 | 204018216 | REAL ESTATE | WA | $1,886,884 | $17,290,579 | VMMC |
| 1005 SPRING STREET LLC | |||||||||
| 1100 NINTH AVENUE | SEATTLE | WA | 98101 | 204816736 | REAL ESTATE | WA | $428,230 | $3,775,075 | VMMC |
| HEALTH RESOURCE SERVICES LLC | |||||||||
| 1100 OLIVE WAY | SEATTLE | WA | 98101 | 262800994 | GROUP PURCHASING | WA | $10,273,903 | $41,956,198 | VMMC |
| PUGET SOUND HIGH VALUE NETWORK LLC | |||||||||
| 1100 NINTH AVENUE | SEATTLE | WA | 98101 | 472840780 | MEDICAL NETWORK | WA | $0 | -$4,168 | VMMC |
| NETWORXHEALTH LLC | |||||||||
| 1100 OLIVE WAY | SEATTLE | WA | 98101 | 825288717 | HEALTHCARE STAFFING | WA | $340,312 | -$39,109 | VMMC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| VIRGINIA MASON FRANCISCAN HEALTH | |||||||||||
| 1149 MARKET STREET | TACOMA | WA | 98402 | 861332353 | HEALTH CARE | WA | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| VIRGINIA MASON INSTITUTE | |||||||||||
| 1100 NINTH AVENUE | SEATTLE | WA | 98101 | 263763656 | EDUCATION | WA | 501(C)(3) | LINE 10 | Yes (1) | VMMC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NATIONAL PURCHASING PARTNERS LLC | ||||||||||||||
| 1100 OLIVE WAY | SEATTLE | WA | 98101 | 203470995 | GROUP PURCHASING | WA | N/A | UNRELATED | $17,857,602 | $7,354,821 | 0 | $18,081,790 | Yes (1) | 0.50000 |
| EMERALD CITY OBSTETRICS ALLIANCE LLC | ||||||||||||||
| 1100 NINTH AVENUE | SEATTLE | WA | 98101 | 320594147 | GOVERNANCE OVERSIGHT | WA | N/A | RELATED | -$11,301,121 | $1,053,051 | 0 | 0 | 0.50000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTER FOR INTEGRATIVE MEDICINE AT VIRGINIA MASON | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 NINTH AVENUE | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 831583223 | EIN |
| Primary Activities | INTEGRATIVE MEDICINE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VMMC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of EOY Assets | $176,564 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedScheduleGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Total Grassroots LobbyTotalGrassrootsLobbyAmt | Total Direct LobbyTotalDirectLobbyAmt | Total Lobby ExpenditureTotalLobbyExpenditureAmt | Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt | Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt | Lobby NontxLobbyNontxAmt | Grassroots NontxGrassrootsNontxAmt | Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt | Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt | Share Excess Lobby ExpendShareExcessLobbyExpendAmt | Electing OrganizationElectingOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON | |||||||||||||||
| 1201 NINTH AVENUE | SEATTLE | WA | 98101 | 910653422 | $0 | $0 | $0 | $37,139,481 | $37,139,481 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| VIRGINIA MASON MEDICAL CENTER | |||||||||||||||
| 1100 NINTH AVENUE | SEATTLE | WA | 98101 | 910565539 | $126,542 | $78,878 | $205,420 | $580,645,563 | $580,850,983 | $1,000,000 | $250,000 | $0 | $0 | $0 | Yes (X) |
| VIRGINIA MASON INSTITUTE | |||||||||||||||
| 1100 NINTH AVENUE | SEATTLE | WA | 98101 | 263763656 | $0 | $0 | $0 | $1,737,758 | $1,737,758 | $236,888 | $59,222 | $0 | $0 | $0 | |
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