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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
Virginia Mason Medical Center
 
Employer identification number
91-0565539
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) VIRGINIA MASON HEALTH SYSTEM
1100 NINTH AVENUE
SEATTLE,WA98101
91-1351110 501c3 6,799,410       Operating Support
(2) BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON
1201 NINTH AVENUE
SEATTLE,WA98101
91-0653422 501c3 500,000       Operating Support
(3) AMERICAN HEART ASSOCIATION
710 SECOND AVE STE 900
SEATTLE,WA98104
13-5613797 501c3 145,500       General Support
(4) PUBLIC HEALTH - SEATTLE & KING COUNTY
401 5TH AVE STE 1200
SEATTLE,WA98104
91-6001327 501c3 93,768       General Support
(5) PROJECT ACCESS NORTHWEST
1111 HARVARD AVE
SEATTLE,WA98122
20-4377921 501c3 75,000       General Support
(6) SEATTLE CENTER FOUNDATION
305 HARRISON ST 302 ATTN CATHY SAND
SEATTLE,WA98109
91-6074463 501c3 75,000       General Support
(7) WSMA FOUNDATION FOR HEALTHCARE IMPROVEMENT
DEVELOPMENT DEPT 1118 FIFTH AVE
SEATTLE,WA98101
91-1003385 501c3 25,000       General Support
(8) NATIONAL MULTIPLE SCLEROSIS SOCIETY
192 NICKERSON ST STE 100
SEATTLE,WA98109
13-5661935 501c3 18,500       General Support
(9) PLYMOUTH HOUSING GROUP
2113 THIRD AVE
SEATTLE,WA98121
91-1122621 501c3 12,000       General Support
(10) AMERICAN LUNG ASSOCIATION
THE MOUNTAIN PACIFIC 822 JOHN STREE
SEATTLE,WA98109
13-1632524 501c3 10,000       General Support
(11) FRIENDS OF LAKE SAMMAMISH STATE PARK
PO BOX 605
ISSAQUAH,WA98027
13-5644916 501c3 10,000       General Support
(12) JEWISH FAMILY SERVICE
1601 16TH AVE
SEATTLE,WA98122
46-2633224 501c3 10,000       General Support
(13) Leuk &Lymphoma Society
530 DEXTER AVE N STE 300
SEATTLE,WA98109
91-0565537 501c3 10,000       General Support
(14) MEDIC ONE FOUNDATION
325 9TH AVE MS 359747
SEATTLE,WA981042420
91-6183158 501c3 10,000       General Support
(15) SOLID GROUND
PO BOX 31066
SEATTLE,WA98103
23-7421892 501c3 5,000       General Support
(16) DALY HOSPITAL FOUNDATION INC
1200 WESTWOOD DR
HAMILTON,MT598402345
36-3766000 501c3 5,000       General Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
16
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020
Page 2

Schedule I (Form 990) 2020
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Part I Line 2 The funds provided to Virginia Mason Health System and Benaroya Research Institute at Virginia Mason are for operational support or specific activities. Assistance provided to other non-profit organizations consisted of donations made to support specific events sponsored by the recipient organizations.
Schedule I (Form 990) 2020



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