Virginia Mason Medical Center

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.

HEALTH CARE SERVICES. THE MEDICAL CENTER IS A TERTIARY REGIONAL REFERRAL CENTER WHICH SERVES A PATIENT COMMUNITY THAT INCLUDES SEATTLE AND ITS SURROUNDING SUBURBS, WESTERN WASHINGTON AND ALASKA. THE MAIN CAMPUS LOCATED IN SEATTLE INCLUDES A HOSPITAL, AN OUTPATIENT CLINIC, CENTERS OF EXCELLENCE INCLUDING THE CENTER FOR HYPERBARIC MEDICINE, DIGESTIVE DISEASE INSTITUTE, FLOYD DELORES JONES CANCER INSTITUTE, HEART INSTITUTE, NEUROSCIENCE INSTITUTE AND UROLOGY. THE MEDICAL CENTER ALSO OPERATES NINE REGIONAL CLINICS, AND BAILEY-BOUSHAY HOUSE, A 35-BED SKILLED NURSING FACILITY. DURING 2020, THE MEDICAL CENTER RECORDED 11,245 HOSPITAL INPATIENT ADMISSIONS, 19,330 EMERGENCY ROOM VISITS AND 863,274 CLINIC VISITS. THE MEDICAL CENTER PROVIDED CHARITY CARE AND UNREIMBURSED MEDICAID SERVICES TO A TOTAL OF 6,108 PATIENTS. CONTINUED ON SCHEDULE O.

EDUCATION AND RESEARCH. THE 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 501C3 OF THE INTERNAL REVENUE CODE. CONTINUED ON SCHEDULE O.

COMMUNITY HEALTH AND EDUCATION AND SERVICES. THE MEDICAL CENTER CONTRIBUTES TO IMPROVING THE HEALTH OF THE COMMUNITY THROUGH SPONSORSHIP OF COMMUNITY HEALTH EDUCATION AND SERVICES. COMMUNITY HEALTH EDUCATION INCLUDES CLASSES, FORUMS, PRESENTATIONS AND OTHER PROGRAMS HELD DURING THE DAY AND EVENING IN THE MEDICAL CENTER NEIGHBORHOOD CLINIC COMMUNITIES AND THE SEATTLE MAIN CAMPUS. THE MEDICAL CENTER PROVIDED SUPPORT OF 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 2020, THE MEDICAL CENTER PROVIDED 160,000 TOWARD SUPPORT OF GRIEF SERVICES.

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.

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.

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.

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.