2025-05-12T08:23:02-05:00 2024-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2023-07-01 263763656 VIRGINIA MASON INSTITUTE VIRG 2063411600 1100 NINTH AVENUE SEATTLE WA 98101 DAVID NOSACKA CFO 2063411600 2025-05-12 1 1 HEATHER ADKINS P01725376 3032989100 2023 2025-03-06 01:10:19Z INGRID GERBINO 1100 NINTH AVENUE SEATTLE WA 98101 4291931 0 X HTTP://WWW.VIRGINIAMASONINSTITUTE.ORG X 2008 WA VIRGINIA MASON INSTITUTE HAS CREATED A VISION TO BECOME THE PRIMARY RESOURCE AND INSPIRATION TO TRANSFORM HEALTH CARE AND IMPROVEMENT OF PATIENT SAFETY, PATIENT EXPERIENCE AND THE QUALITY AND VALUE OF HEALTH CARE. 7 6 0 56 0 0 0 0 2769746 4269184 5946 22082 1444 665 2777136 4291931 0 0 0 0 3157226 1948244 0 0 0 1555672 2215610 4712898 4163854 -1935762 128077 14708850 14936093 498058 597224 14210792 14338869 X SEE SCHEDULE O 0 0 2224940 3418028 TRANSFORMATION SERVICES: THROUGH THE PROVISION OF TRANSFORMATION SERVICES, VIRGINIA MASON INSTITUTE (VMI) EDUCATORS WORK VIRTUALLY AND ONSITE WITHIN HEALTHCARE ORGANIZATIONS TO HELP THEM BUILD ORGANIZATIONAL CAPABILITY TO CREATE AND SUSTAIN A CULTURE OF CONTINUOUS IMPROVEMENT THROUGH THE PRACTICAL APPLICATION AND EMBEDMENT OF THE TOOLS AND METHODS OF VIRGINIA MASON FRANCIAN HEALTH'S PROPRIETARY MANAGEMENT METHOD, THE VIRGINIA MASON PRODUCTION SYSTEM (VMPS). FROM JULY 1, 2023 - JUNE 30, 2024, VMI PARTNERED WITH AND PROVIDED TRANSFORMATION SERVICES TO 10 HEALTHCARE ORGANIZATIONS WORLDWIDE, WITH THE SERVICES DIRECTLY IMPACTING AND INFLUENCING EMPLOYEES AND PATIENTS ACROSS ALL AREAS OF THOSE ORGANIZATIONS. 554054 851156 EDUCATION SERVICES: THROUGH THE PROVISION OF EDUCATION SERVICES, VIRGINIA MASON INSTITUTE (VMI) DELIVERS LEARNING ACTIVITIES - IN PERSON IN SEATTLE, WA, AT OTHER HEALTHCARE ORGANIZATION'S CAMPUSES INTERNATIONALLY AND ONLINE THROUGH VIRTUAL TRAINING PROGRAMS - THAT INSPIRE, ENGAGE AND MOTIVATE INDIVIDUALS TO TRANSFORM HEALTHCARE. USING CASE STUDIES, HANDS-ON EXERCISES, PANELS FEATURING VIRGINIA MASON PRODUCTION SYSTEM (VMPS) PRACTITIONERS AND HEALTHCARE PROVIDERS, MEDICAL FACILITY TOURS THAT SHOWCASE VMPS IN ACTION, SIMULATIONS AND COACHING, VMI'S EDUCATION SERVICES EQUIP PARTICIPANTS WITH NEW SKILLS, NEW IDEAS AND CONTINUING MEDICAL EDUCATION CREDITS. MOST SIGNIFICANTLY, PARTICIPANTS LEARN HOW VIRGINIA MASON FRANCIAN HEALTH CONSISTENTLY PUTS THE PATIENT FIRST IN EVERYTHING IT DOES, AND THEY LEAVE INSPIRED TO CREATE THEIR OWN PATIENT-CENTERED PROCESSES IN THEIR DAILY WORK WITH AND FOR PATIENTS. FROM JULY 1, 2023 - JUNE 30, 2024, THROUGH EDUCATION SERVICES, VMI DELIVERED TRAINING TO 27 HEALTHCARE ORGANIZATIONS. 2778994 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X DAVID NOSACKA 2536804000 1145 BROADWAY SUITE 1200 TACOMA WA 98402 KETUL PATEL DIRECTOR\VMFH CEO 4.00 48.00 X X 2613387 0 32903 DAVID NOSACKA CFO VMFH 4.00 48.00 X 645696 0 57994 INGRID GERBINO MD SECRETARY\VP, CHIEF INNOVATION OFFICER 2.00 48.00 X 454629 0 45925 WENDY KORTHUIS-SMITH EXECUTIVE DIRECTOR 50.00 0.00 X 243058 0 45474 GORDON SANSAVER ASSOCIATE EXECUTIVE DIRECTOR 50.00 0.00 X 198630 0 49588 ROBBI BISHOP EXECUTIVE PARTNER 50.00 0.00 X 203065 0 43935 BRENDA MCLEOD EXECUTIVE PARTNER 50.00 0.00 X 207417 0 34490 CHRISTOPHER BACKOUS EXECUTIVE PARTNER 50.00 0.00 X 182227 0 28327 RHONDA STEWART SENIOR PARTNER 50.00 0.00 X 193499 0 13399 ULI CHI DIRECTOR/EX-OFFICIO 2.00 2.00 X 0 0 0 CAROLYN CORVI CHAIR 2.00 2.00 X X 0 0 0 ROBERT LEMON DIRECTOR 2.00 2.00 X 0 0 0 LAURA PETERSON DIRECTOR 2.00 2.00 X 0 0 0 DIANN PULS DIRECTOR 2.00 2.00 X 0 0 0 ROBERT WILIAMS DIRECTOR 2.00 2.00 X 0 0 0 4941608 0 352035 0 0 1 1 0 TRANSFORMATION SERVICE 541610 3418028 3418028 0 0 EDUCATION SERVICES 541610 851156 851156 0 0 4269184 22082 0 22082 22082 22082 MISC REVENUE 900099 665 0 0 665 665 4291931 4269184 0 22747 X 1546622 1221831 324791 401622 317281 84341 23000 9430 13570 1416467 793222 623245 118007 36582 81425 39300 29082 10218 51339 15915 35424 265226 204224 61002 40235 30981 9254 5691 1764 3927 MISCELLANEOUS EXPENSES 141493 52351 89142 0 REPAIRS AND MAINTENANCE 83036 57295 25741 0 EDUCATION 26821 4291 22530 0 OTHER TAXES 4717 4717 0 0 278 28 250 4163854 2778994 1384860 0 1446515 2733337 1823224 0 266014 1163716 0 0 0 0 22713 0 199420 188364 16747 11056 0 0 0 0 12956861 9204760 14708850 14936093 4672 3519 0 493386 557190 0 0 0 0 0 0 36515 498058 597224 X 14210792 14338869 0 14210792 14338869 14708850 14936093 128077 0 X 0 1 X 1 0 X 30 627 0 657 4874567 2750882 2319408 2769746 4269184 16983787 4874597 2750882 2320035 2769746 4269184 16984444 0 0 0 16984444 9929 5210 37 15176 9929 5210 37 15176 1444 665 2109 4884526 2756092 2320072 2771190 4269849 17001729 0.99900 0.99860 0.00090 0.00140 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2022 AMOUNT: $ 1,444. 2023 AMOUNT: $ 665. X 104340 65039 169379 1277668784 1277838163 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 205420 219020 153865 169379 747684 250000 250000 250000 250000 1000000 1500000 126542 134920 94783 104340 460585 144399 144399 0 55021 43965 11056 11056 INTERCOMPANY RECEIVABLE 9204760 9204760 PHYSICIAN RECRUIT AND GUARANTEE PAYABLE 36515 36515 X PART X, LINE 2: VIRGINIA MASON INSTITUTE'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. EUROPE (INCLUDING ICELAND AND GREENLAND) 1 1 SERVICE DELIVERY & BUSINESS DEVELOPMENT EDUCATION & TRANSFORMATION SERVICE DELIVERY 507079 1 1 0 0 1 1 507079 0 507079 0 0 1 0 0 0 PART I, LINE 3 EXPENDITURES ARE ACTUAL EXPENSES INCURRED FOR SERVICES PROVIDED OUTSIDE OF THE UNITED STATES BASED ON INDIVIDUAL EXPENSE REPORTS AND DEPARTMENTAL EXPENSE TRACKING. 0 1 0 0 0 0 0 0 0 KETUL PATEL DIRECTOR\VMFH CEO 1393552 0 959840 0 259995 0 19350 0 13553 0 2646290 0 0 0 DAVID NOSACKA CFO VMFH 568187 0 75800 0 1709 0 19175 0 38819 0 703690 0 0 0 INGRID GERBINO MD SECRETARY\VP, CHIEF INNOVATION OFFIC 450559 0 800 0 3270 0 23394 0 22531 0 500554 0 0 0 WENDY KORTHUIS-SMITH EXECUTIVE DIRECTOR 240678 0 800 0 1580 0 13654 0 31820 0 288532 0 0 0 GORDON SANSAVER ASSOCIATE EXECUTIVE DIRECTOR 197264 0 800 0 566 0 13059 0 36529 0 248218 0 0 0 ROBBI BISHOP EXECUTIVE PARTNER 201976 0 800 0 289 0 13255 0 30680 0 247000 0 0 0 BRENDA MCLEOD EXECUTIVE PARTNER 205698 0 800 0 919 0 11176 0 23314 0 241907 0 0 0 CHRISTOPHER BACKOUS EXECUTIVE PARTNER 180264 0 800 0 1163 0 10823 0 17504 0 210554 0 0 0 RHONDA STEWART SENIOR PARTNER 69742 0 800 0 122957 0 9784 0 3615 0 206898 0 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2023, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY VIRGINIA MASON MEDICAL CENTER, A RELATED ORGANIZATION. VIRGINIA MASON MEDICAL CENTER USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B THE MEDICAL CENTER HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE SERP IS A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN PURSUANT TO WHICH PLAN BENEFITS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THE PLAN WAS APPROVED BY THE BOARD'S COMPENSATION AND BENEFITS COMMITTEE, A COMMITTEE COMPOSED OF INDEPENDENT BOARD MEMBERS TO WHOM THE BOARD DELEGATES THE AUTHORITY TO APPROVE COMPENSATION AND BENEFITS FOR THE MEDICAL CENTER'S MOST SENIOR EXECUTIVES. THE COMMITTEE RECEIVES ADVICE FROM AN INDEPENDENT COMPENSATION CONSULTANT TO ENSURE THAT COMPENSATION AND BENEFITS, INCLUDING THE SERP, ARE MARKET COMPETITIVE AND REASONABLE. SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS SUCH AS THIS ARE CUSTOMARY FOR SENIOR EXECUTIVES IN THE HEALTH CARE INDUSTRY. DURING THE 2023 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT"), AN UNRELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DUE TO THE "SUPER" VESTING RULES UNDER THE DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2023 CONTRIBUTIONS IN CASH. DURING 2023, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: KETUL PATEL, $246,662. PART II: VIRGINIA MASON INSTITUTE FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2023. LIST OF OFFICERS WHO RECEIVED COMPENSATION FROM COMMONSPIRIT HEALTH, AN UNRELATED ORGANIZATION: KETUL PATEL - $2,645,540 LIST OF OFFICERS WHO RECEIVED COMPENSATION FROM FRANCISCAN HEALTH SYSTEM, AN UNRELATED ORGANIZATION: DAVID NOSACKA - $695,640 FORM 990, PART III, LINE 1 VIRGINIA MASON INSTITUTE, A NON-PROFIT EDUCATION AND TRAINING ORGANIZATION, HAS CREATED A VISION TO BECOME THE PRIMARY RESOURCE AND INSPIRATION FOR THOSE WHO SEEK TO TRANSFORM HEALTH CARE AND A MISSION TO RELENTLESSLY PURSUE THE IMPROVEMENT OF PATIENT SAFETY, PATIENT EXPERIENCE AND THE QUALITY AND VALUE OF HEALTH CARE. TO REALIZE ITS GOALS, THE INSTITUTE PREPARES, GUIDES AND INSPIRES HEALTH LEADERS, PROVIDERS AND STAFF TO BELIEVE THAT THE PERFECT PATIENT EXPERIENCE IS POSSIBLE AND EMPOWERS THEM TO DRAMATICALLY IMPROVE THEIR PATIENTS' LIVES. THIS IS ACCOMPLISHED BY EDUCATING OTHER ORGANIZATIONS THROUGH THE SHARING OF KNOWLEDGE AND EXPERIENCE ABOUT THE VIRGINIA MASON PRODUCTION SYSTEM (VMPS), WHICH IS VIRGINIA MASON MEDICAL CENTER'S MANAGEMENT METHODOLOGY THAT FOCUSES ON DELIVERING THE HIGHEST-QUALITY PRODUCTS THROUGH THE ELIMINATION OF WASTE AND DEFECTS. THE INSTITUTE'S EDUCATIONAL ACTIVITIESARE DELIVERED BY A TEAM OF EXPERIENCED PHYSICIANS, NURSES AND OTHER HEALTH CARE LEADERS RIGOROUSLY TRAINED IN THE VIRGINIA MASON PRODUCTION SYSTEM. THESE ACTIVITIES BENEFIT PATIENTS AND THE COMMUNITY WHEN HEALTH CARE PROVIDERS USE THEIR NEW KNOWLEDGE TO ELIMINATE UNNECESSARY WASTE FROM PROCESSES, IMPROVE HEALTH CARE QUALITY AND REDUCE THE COST OF HEALTH CARE DELIVERY TO PATIENTS LOCALLY, NATIONALLY AND INTERNATIONALLY. FORM 990, PART VI, SECTION A, LINE 3 VIRGINIA MASON MEDICAL CENTER ("VMMC"), A WASHINGTON NONPROFIT CORPORATION QUALIFIED AS TAX EXEMPT UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), IS THE SOLE MEMBER OF VIRGINIA MASON INSTITUTE ("VMI"). VMI CONTRACTS WITH VMMC PURSUANT TO THE TERMS OF A MANAGEMENT SERVICES AGREEMENT FOR THE PROVISION OF CERTAIN MANAGEMENT SERVICES INCLUDING LEASED PERSONNEL AND OPERATIONS SUPPORT SERVICES. VMMC IS THE SOLE EMPLOYER OF ALL LEASED PERSONNEL AND RETAINS FULL CONTROL OVER THE TERMS AND CONDITIONS OF EMPLOYMENT. THE VMI EXECUTIVE DIRECTOR IS EMPLOYED BY VMMC AS EXECUTIVE DIRECTOR AND REPORTS TO THE VMMC CHAIRMAN AND CHIEF EXECUTIVE OFFICER. THE VMI EXECUTIVE DIRECTOR IS RESPONSIBLE FOR THE OVERALL OPERATIONS OF VMI. FORM 990, PART VI, SECTION A, LINE 6 VIRGINIA MASON MEDICAL CENTER ("VMMC") IS THE SOLE CORPORATE MEMBER OF THE VIRGINIA MASON INSTITUTE. VMMC AS THE SOLE MEMBER HAS THE FOLLOWING APPROVAL RIGHTS: (A) ELECTION OR APPOINTMENT OF THE DIRECTORS AND OFFICERS OF THE BOARD OF DIRECTORS; (B) REMOVAL OF DIRECTORS AND OFFICERS OF THE BOARD OF DIRECTORS; (C) APPROVAL OF ALL LONG-RANGE PLANS PROPOSED BY THE BOARD OF DIRECTORS; (D) APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS PROPOSED BY THE BOARD OF DIRECTORS; (E) APPROVAL OF THE BORROWING OF FUNDS WHERE THE AMOUNT IS IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000); (F) APPROVAL OF THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR DISPOSAL OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS; (G) APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS AND (H) ALL OTHER RIGHTS AND POWERS AS SPECIFIED IN THE WASHINGTON NONPROFIT CORPORATION ACT. FORM 990, PART VI, SECTION A, LINE 7A VIRGINIA MASON MEDICAL CENTER ("VMMC") IS THE SOLE CORPORATE MEMBER OF THE VIRGINIA MASON INSTITUTE. VMMC AS THE SOLE MEMBER HAS THE FOLLOWING APPROVAL RIGHTS: (A) ELECTION OR APPOINTMENT OF THE DIRECTORS AND OFFICERS OF THE BOARD OF DIRECTORS; (B) REMOVAL OF DIRECTORS AND OFFICERS OF THE BOARD OF DIRECTORS; (C) APPROVAL OF ALL LONG-RANGE PLANS PROPOSED BY THE BOARD OF DIRECTORS; (D) APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS PROPOSED BY THE BOARD OF DIRECTORS; (E) APPROVAL OF THE BORROWING OF FUNDS WHERE THE AMOUNT IS IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000); (F) APPROVAL OF THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR DISPOSAL OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS; (G) APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS AND (H) ALL OTHER RIGHTS AND POWERS AS SPECIFIED IN THE WASHINGTON NONPROFIT CORPORATION ACT. FORM 990, PART VI, SECTION A, LINE 7B VIRGINIA MASON MEDICAL CENTER ("VMMC") IS THE SOLE CORPORATE MEMBER OF THE VIRGINIA MASON INSTITUTE. VMMC AS THE SOLE MEMBER HAS THE FOLLOWING APPROVAL RIGHTS: (A) ELECTION OR APPOINTMENT OF THE DIRECTORS AND OFFICERS OF THE BOARD OF DIRECTORS; (B) REMOVAL OF DIRECTORS AND OFFICERS OF THE BOARD OF DIRECTORS; (C) APPROVAL OF ALL LONG-RANGE PLANS PROPOSED BY THE BOARD OF DIRECTORS; (D) APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS PROPOSED BY THE BOARD OF DIRECTORS; (E) APPROVAL OF THE BORROWING OF FUNDS WHERE THE AMOUNT IS IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000); (F) APPROVAL OF THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR DISPOSAL OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS; (G) APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS AND (H) ALL OTHER RIGHTS AND POWERS AS SPECIFIED IN THE WASHINGTON NONPROFIT CORPORATION ACT. FORM 990, PART VI, SECTION B, LINE 11B NO REVIEW WAS OR WILL BE CONDUCTED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONS' ARTICLES, BYLAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 793,222. MANAGEMENT AND GENERAL EXPENSES 623,245. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,416,467. VIRGINIA MASON MEDICAL CENTER 1100 NINTH AVENUE SEATTLE WA 98101 910565539 HEALTH CARE WA 501(C)(3) LINE 3 VMFH 0 VIRGINIA MASON PERFORMANCE IMPROVEMENT EUROPE LTD 5 NEW STREET SQUARE LONDON EC4A 3TW UK SUPPORT UK VMI C 29825 1508621 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 NINTH AVENUE SEATTLE WA 98101 910653422 0 0 0 73646780 73646780 1000000 250000 0 0 0 VIRGINIA MASON MEDICAL CENTER 1100 NINTH AVENUE SEATTLE WA 98101 910565539 X 104340 65039 169379 1201243010 1201412389 1000000 250000 0 0 0 VIRGINIA MASON INSTITUTE 1100 NINTH AVENUE SEATTLE WA 98101 263763656 0 0 0 2778994 2778994 288950 72238 0 0 0