YOUR GUIDE TO GETTING STARTED - Fidelity Investments

Virginia Mason Medical Center 401(a) Retirement Plan and VMMC 403(b) Retirement Savings Plan

Pursue your retirement goals today, with help from the Virginia Mason Medical Center 401(a) Retirement Plan and VMMC 403(b) Retirement Savings Plan.

Your Guide to Getting Started

Invest some of what you earn today for what you plan to accomplish tomorrow.

Dear Employee:

You are receiving this Guide either because you are a new team member and are eligible to participate in the 403(b) Plan or because you have met the eligibility requirements for the VMMC 401(a) Retirement Plan.

Virginia Mason retirement benefits come from two sources; funds contributed by Virginia Mason and funds contributed by you. Together, these two sources help you plan for a potentially financially secure retirement. Contributions to both plans are invested in mutual funds, and the amount you receive when you retire is the value of those funds at the time they are withdrawn. Contributions and earnings are not taxed until withdrawn from either plan.

The 403(b) Retirement Savings Plan is funded by contributions you make through pre-tax payroll deductions. You tell Fidelity what percentage of your paycheck you would like to contribute, how these contributions will be invested, and who your beneficiary will be. You can also roll over eligible savings from a previous employer's retirement plan into this plan.

The Virginia Mason Medical Center 401(a) Retirement Plan is funded by annual contributions Virginia Mason makes to eligible participant accounts. You will be automatically enrolled in this plan after you meet the eligibility requirements. You determine how these contributions are invested and who your beneficiary will be.

These plans are similar in several ways:

Tax-deferred savings opportunities. You pay no taxes on investment earnings until you withdraw them from your accounts, enabling you to keep more of your money working for you now.

Plan administrative services. You contact Fidelity to select and change your investment options for both plans, and to name a beneficiary. You also contact Fidelity to start, stop or change your 403(b) payroll deduction percentage.

Investment options. You have the flexibility to select from investment options that range from more conservative to more aggressive, making it easy for you to develop a well-diversified investment portfolio. Your plan offers you the option of having experienced professionals manage your account for you.

Support from Fidelity. Whether you are just getting started or getting ready to retire, Fidelity offers the support you need to plan for a potentially financially sound retirement. For the latest information and planning resources, visit Fidelity NetBenefits? or call a Fidelity Retirement Services Representative.

Online beneficiary. With Fidelity's Online Beneficiaries Service, you can designate your beneficiaries, receive instant online confirmation, and check your beneficiary information virtually any time.

Catch-up contributions. If you make the maximum contribution to your plan account, and you are 50 years of age or older during the calendar year, you can make an additional "catch-up" contribution of $6,500 in 2021.

To learn more about what your plan offers, see "Frequently asked questions about your plan" later

in this guide.

Sincerely,

Enroll in your plan and invest in yourself today.

Virginia Mason Human Resources

Frequently asked questions about your 403(b) Plan.

Here are answers to questions you may have about the key features, benefits, and rules of your Plan.

403(b) FAQ

For more information, visit vm or call 1-800-343-0860

When can I enroll in the Plan?

There is no waiting period. You can enroll in the Plan at any time.

How do I enroll in the Plan? Log on to Fidelity NetBenefits? at vm or call the Fidelity Retirement Benefits Line at 1-800-343-0860 to enroll in the Plan.

When is my enrollment effective?

Your enrollment becomes effective once you elect a deferral percentage, which initiates deduction of your contributions from your pay. These salary deductions will generally begin with your next pay period after we receive your enrollment information, or as soon as administratively possible.

We encourage you to take an active role in the Plan and choose investment options that best suit your goals, time horizon, and risk tolerance. If you do not select specific investment options in the Plan, your contributions will be invested in the Fidelity Freedom? Fund ? Class K6 with a target retirement date closest to the year you might retire, based on your target retirement date and assuming a retirement age of 65, at the direction of Virginia Mason. Please refer to the chart in the "Investment Options" section for more details. If no date of birth or an invalid date of birth is on file at Fidelity, your contributions may be invested in the Fidelity Freedom? Income Fund ? Class K6. For more information about the Fidelity Freedom? Fund ? Class K6 options, as well as other investment options available in the Plan, please go to the "Investment Options" section of this guide.

How do I designate my beneficiary?

If you have not already selected your benefici aries, or if you have experienced a life-changing event such as a marriage, divorce, birth of a child, or a death in the family, it's time to consider your beneficiary designations. Fidelity's Online Beneficiaries Service, available through Fidelity NetBenefits,? offers a

straightforward, convenient process that takes just minutes. Simply log in to NetBenefits? at vm and click on "Beneficiaries" in the About You section of Your Profile. If you do not have access to the Internet or you prefer to complete your beneficiary information by paper form, please call 1-800-343-0860.

How much can I contribute? Through automatic payroll deduction, you can contribute from 1% to 80% of your eligible pay on a pretax basis, up to the annual IRS dollar limits. If you are under age 50, the IRS contribution limit is $19,500 for 2021. If you will be at least age 50 during the year, you may defer an additional $6,500 as catch-up contributions.

How do I enroll and set up payroll deductions? To begin enrollment, log on to vm. On the home page, click on "Enroll." Set your personal NetBenefits username and password. Access your account by logging on. Under Contributions, set up your chosen deferral percentage. If you need further assistance, call a Fidelity representative at 18003430860 between the hours of 5:00 a.m. and 9:00 p.m. Pacific time.

What are the IRS contribution limits? The Internal Revenue Code provides that the combined annual limit for total contributions to your 401(a) and 403(b) plans is 100% of your W-2 compensation or $58,000, whichever is less.

What are my investment options? To help you meet your investment goals, the Plan offers you a range of options. You can select a mix of investment options that best suits your goals, time horizon, and risk tolerance.

The many investment options available through the Plan include conservative, moderately conservative, and aggressive funds. A complete description of the Plan's investment options and their performance, as well as planning tools to help you choose an appropriate mix, are available online at Fidelity NetBenefits.?

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403(b) FAQ

What are the single fund solution options in my plan?

If the idea of getting professional help to manage your investments appeals to you, your plan offers Target Date Funds. With Target Date Funds, the investment mix of stocks and bonds automatically becomes more conservative as the target retirement date approaches. Principal invested is not guaranteed at any time, including at or after the fund's target date. Choose the fund that represents your anticipated year of retirement.

? Your investments are managed through the ups and downs of the market.

? You're keeping your accounts aligned with your goals through annual reviews and check-ins.

? Your account is actively managed to create an opportunity for long-term gains while managing the risk associated with investing.

To see if Personalized Planning & Advice is right for you, go online where you can easily enroll in The Service and learn more.

For more information, visit vm or call 1-800-343-0860

What are the annuity options in my plan?

An annuity is issued by an insurance company and purchased by a consumer for longterm investing. There are various fees and expenses associated with annuities, and in certain situations withdrawal penalties may be applicable. An annuity is not a mutual fund. There are two types of annuities, variable and fixed.

Your Plan offers a fixed annuity. A fixed annuity lets you lock in a guaranteed rate of interest for a specific period -- normally between three months and one year. As each "guarantee rate period" comes to a close, the insurance company sets a new interest rate for the upcoming period. Interest rates and time periods vary depending on the annuity contract. Guarantees are subject to the claims-paying ability of the insurance company.

What are the managed account options in my plan?

Fidelity? Personalized Planning & Advice ("The Service")

Virginia Mason Medical Center has teamed up with Fidelity to offer a valuable managed account service that lets you delegate the day-to-day management of your workplace savings plan account to professional investment managers. Fidelity's experienced professionals evaluate the investment options available in your plan and identify a model portfolio of investments appropriate for an investor like you. The service then invests your account to align with this model portfolio and provides ongoing management of your account to address changes in the markets, your plan's investment lineup, and changes in your personal or financial situation. With a managed account, you can take advantage of Fidelity's resources and experience to help ensure that:

Fidelity Representatives are available to answer any questions you may have about this managed account service. Call 1-866-811-6041 for more information.

Is there a self-directed brokerage option in my plan? For those desiring the most investment flexibility and choice, the Plan offers Fidelity BrokerageLink?, a self-directed brokerage option, which provides you with the opportunity to select from thousands of mutual funds beyond those offered in the standard plan line up. A complete description of the Plan's standard investment options and their performance, as well as planning tools to help you choose an appropriate mix, are available online at NetBenefits. Click on "Quick Links," then select "Investment Performance and Research" and follow the online instructions.

What "catch-up" contribution can I make? If you have reached age 50 or will reach 50 during the calendar year (January 1?December 31) and are making the maximum Plan or IRS pretax contribution, you may make an additional "catch- up" contribution each pay period. The maximum annual catch-up contribution is $6,500. You make catch-up contributions through payroll deduction, the same way you make regular contributions.

When am I vested? You are always 100% vested in your own contributions to the VMMC 403(b) Plan.

Can I take a loan from my account? Although your Plan account is intended for the future, you may borrow from your account for any reason. Generally, the VMMC 403(b) Retirement Savings Plan allows you to borrow up to 50% of your vested account balance.

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403(b) FAQ

For more information, visit vm or call 1-800-343-0860

The minimum loan amount is $1,000, and a loan must not exceed $50,000. The cost to initiate a loan is $50. There is no quarterly or annual maintenance fee. The initiation and maintenance fees will be deducted directly from your individual Plan account. You then pay the money back into your account, plus interest, through ACH payments. Any outstanding loan balances over the previous 12 months may reduce the amount you have available to borrow. You may have one loan outstanding at a time. If you fail to repay your loan (based on the original terms of the loan), it will be considered in "default" and treated as a distribution, making it subject to income tax and possibly to a 10% early withdrawal penalty. Defaulted loans may also impact your eligibility to request additional loans. Be sure you understand the Plan guidelines and impact of taking a loan before you initiate a loan from your Plan account. To learn more about and/or to request a loan, log on to vm or call the Fidelity Retirement Benefits Line at 1-800-343-0860.

Can I make withdrawals from my account?

Withdrawals from the Plan are generally permitted when you terminate your employment, reach age 59?, or if you become permanently disabled or have severe financial hardship as defined by your Plan.

A financial hardship distribution may not exceed the amount of your immediate and heavy financial need; you must obtain all other available distributions and nontaxable loans from this plan and all plans maintained by your employer. You may not be able to make any elective contributions (pretax or catch-up) to this plan and all other qualified plans, including any elective contributions (pretax) to nonqualified plans maintained by your employer for at least six months after receipt of any hardship distribution. The types of expenses that may be eligible for a hardship withdrawal are as follows:

? Medical expense

? Purchase of primary residence

? Post-secondary education expense

? Prevent eviction or foreclosure

? Burial/funeral expenses

? Casualty loss

The taxable portion of your withdrawal that is eligible for rollover into an individual retirement account (IRA) or another employer's retirement plan is subject to 20% mandatory federal income tax withholding, unless it is rolled directly over to an IRA or another employer plan. (You may owe more or less when you file your income taxes.) If you are under age 59?, the taxable portion of your withdrawal is also subject to a 10% early withdrawal penalty, unless you qualify for an exception to this rule. To learn more about or to request a withdrawal, log on to Fidelity NetBenefits? at vm or call the Fidelity Retirement Benefits Line at 1-800-343-0860. The Plan document and current tax laws and regulations will govern in case of a discrepancy. Be sure you understand the tax consequences and your Plan's rules for distributions before you initiate a distribution. You may want to consult your tax advisor about your situation.

When you leave Virginia Mason, you can withdraw contributions and any associated earnings or, if your vested account balance is greater than $1,000, you can leave contributions and any associated earnings in the Plan. After you leave Virginia Mason, if your vested account balance is equal to or less than $1,000, it will automatically be distributed to you.

What are Required Minimum Distributions?

Generally, when you reach age 72**, you're required to take money out of your 403(b) retirement savings plan. It's important to know what these withdrawals, or Required Minimum Distributions (RMDs), are and how they work. It's even more important to save on taxes and avoid penalties. Here are some key facts you should know.

What is an RMD?

An RMD is the minimum amount of money the Internal Revenue Service requires you to withdraw from a tax-deferred retirement account each year. You must begin withdrawals no later than the April 1 following the calendar year you reach age 72** -- or, if you're still working, the April 1 following the calendar year you retire, if your plan allows.

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403(b) FAQ

For more information, visit vm or call 1-800-343-0860

You're generally required to take RMDs from almost every retirement account in which you've accumulated tax-deferred earnings. These accounts include your retirement savings plan and other 401(k) or 403(b) plans, as well as traditional IRAs.

This flyer describes RMDs only from your employer-sponsored plans.

When do I have to take RMDs? You must begin taking RMDs from your employer-sponsored plans:

? By April 1 of the year following the calendar year in which you turn age 72**.

? Or, if you continue to work for the plan sponsor after age 72**, by April 1 of the year following the calendar year in which you retire, if your plan allows.

? For example, if you turned 72** in 2020 and retired in 2021, you are required to begin taking RMDs by April 1, 2022.

In subsequent years, the deadline for taking RMDs is December 31. Please note that if you take your first RMD between January 1 and April 1 of the year after you turn age 72** or retire, you're still required to take your second RMD by December 31 of the same year.

How much do I have to withdraw? The amount is determined by IRS regulations. Generally, your RMD is calculated by dividing your account balance by a life expectancy factor that appears on a uniform table provided by the IRS. This table gives the joint life expectancy for you and another individual who is 10 years younger -- regardless of how old your beneficiary actually is.

There's an exception, however: If your sole primary beneficiary for the entire calendar year is your spouse, and he or she is more than 10 years younger than you, then you can base your RMD on a second IRS table, known as the Joint Life Expectancy Table.* Applying the factors in this table will result in a smaller RMD than using the uniform table.

Can you give me an example? Sure. Say you turned age 72** in 2020, had a retirement savings plan balance of $200,000 as of December 31, 2020, and came up with a uniform life expectancy factor of 27.4 years. Your RMD for 2021 would be $7,299 ($200,000 / 27.4).

HERE'S HELP To find out more about RMDs, for example, how much you are required to withdraw and if these withdrawals can be combined with withdrawals from other accounts, and for help with your next steps:

? Visit vm and click on the homepage title, What is a Required Minimum Distribution (RMD)?

? Call 1-800-343-0860 to speak directly to a Fidelity representative

Can I move money from another retirement plan into my account in the VMMC 403(b) Plan? You are permitted to roll over eligible pretax contributions from another workplace savings Plan account and individual retirement accounts (IRAs). Call the Fidelity Retirement Benefits Line at 1-800-343-0860 for details. You should consult your tax advisor and carefully consider the impact of making a rollover contribution to your employer's Plan because it could affect your eligibility for future special tax treatments.

Be sure to consider all your available options and the applicable fees and features of each before moving your retirement assets.

How do I access my account? You can access your account online through Fidelity NetBenefits? at vm or call the Fidelity Retirement Benefits Line at 1-800-343-0860 to speak with a representative or to use the automated voice response system, virtually 24 hours a day, 7 days a week.

Where can I find information about exchanges and other Plan features? You can find information about managing your account and learn about loans, exchanges, and more online through Fidelity NetBenefits? at vm. In particular, you can access loan modeling tools that illustrate the potential impact of a loan on the long-term growth of your account. You will also find a withdrawal modeling tool, which shows the amount of federal income taxes and early withdrawal penalties you might pay, along with the amount of earnings you could potentially lose by taking a withdrawal. You can also obtain more information about loans, withdrawals, and other

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403(b) FAQ

For more information, visit vm or call 1-800-343-0860

Plan features by calling the Fidelity Retirement Benefits Line at 1-800-343-0860 to speak with a representative or use the automated voice response system, virtually 24 hours a day, 7 days a week.

How do I obtain additional investment option and account information? Virginia Mason has appointed Fidelity to provide additional information about the investment options available through the Plan. Also, a statement of your account may be requested by calling 1-800-343-0860 or reviewed online at Fidelity NetBenefits.?

Fees and Expenses If you have an account in the Plan, it may be subject to the following types of fees and expenses:

? Asset-based fees

? Plan administrative fees and expenses

? Individual fees and expenses

Asset-Based Fees Asset-based fees reflect an investment option's total annual operating expenses and include management and other fees. They are often the largest component of retirement plan costs and are paid by all shareholders of the investment option. Typically, asset-based fees are reflected as a percentage of assets invested in the option and often are referred to as an "expense ratio." You may multiply the expense ratio by your balance in the investment option to estimate the annual expenses associated with your holdings. Refer to Section 3 of the Participant Disclosure Notice for information about the Plan's investment options, including their expense ratios (where applicable).

Asset-based fees are deducted from an investment option's assets, thereby reducing its investment return. Fee levels can vary widely among investment options, depending in part on the type of investment option, its management (including whether it is active or passive), and the risks and complexities of the option's strategy. There is not necessarily a correlation between fees and investment performance, and fees are just one component to consider when determining which investment options are right for you.

Plan Administrative Fees and Expenses

Plan administrative fees may include legal, accounting, trustee, recordkeeping, and other administrative fees and expenses associated with maintaining the Plan. In some instances, they may be deducted from individual accounts in the Plan, either equally from all accounts or proportionally based on account balance.

Based on the information and direction Fidelity had on file at the time this brochure was prepared, no plan administrative fees were to be deducted from accounts in the Plan. Please keep in mind that fees are subject to change.

If any plan administrative fees are actually deducted from your account, they will be reflected on your Plan account statement.

Individual Fees and Expenses

Individual fees and expenses include those associated with a service or transaction that an individual may select. In some instances, they may be deducted from the accounts of those individuals who utilize the service or engage in the transaction.

If you have an account in the Plan and you select or execute the following service(s) or transaction(s), the fee(s) outlined below may be deducted from your account based on the information and direction Fidelity had on file at the time this brochure was prepared. As you review this information, please keep in mind that fees are subject to change and that certain individual fees may not be deducted in some circumstances.

Type of Individual Fee Amount

Participant Hired Advisory Varies based on advisor (Adv) Fee

Loan Setup Fee

$50.00 per loan

Loan Maintenance Fee No loan maintenance fee

Overnight Mailing Fee

$25.00 per transaction

Also, please note that you may incur short-term redemption fees, commissions, and similar expenses in connection with transactions associated with your Plan's investment options. Please see Section 3 of the Participant Disclosure Notice for details regarding the specific fees that may apply to the investment options available under the Plan.

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403(b) FAQ

How do I obtain additional information about the Plan fees? A Participant Disclosure Notice will be provided to participants in the Plan. The Notice is a requirement by the Department of Labor (DOL) to help ensure that participants receive sufficient information regarding their Plan and the investment options available to them. For most participants, this Notice will be provided on an annual basis.

Virginia Mason has directed Fidelity Investments, a Plan service provider, to collect and present this information to you. The Notice contains information that can help you make informed decisions about any account you may have in the Plan, and includes:

? Fees and expenses related to a Plan account

? Participant rights under the Plan

? Rules related to providing investment direction

? Details about the Plan's investment options, including investment-related fees and restrictions

You can access the Participant Disclosure Notice by logging on to your NetBenefits account at vm. Click on "403b Plan," then click the "Plan Information and Documents" link under the View section. You can also view an informational video about the notice by visiting participantfeedisclosure.

If you would like to receive the Participant Disclosure Notice and other notices electronically, log on to NetBenefits and make your updates under the Mail Preferences section under the Your Profile tab.

Additional information about a mutual fund's performance and expense information can be found by logging in to vm and clicking on Tools & Resources. Under Tools & Resources, select Education and open the brochure entitled Fees and Expenses.

For more information, visit vm or call 1-800-343-0860

*Your sole primary beneficiary is the one person entitled to receive what's left of your account balance upon your death. You can name more than one primary beneficiary. However, if you do, your RMD will be based on the uniform life expectancy table, rather than on actual joint life expectancy.

**The change in the RMD age requirement from 70? to 72 only applies to individuals who turn 70? on or after January 1, 2020. Please speak with your tax advisor regarding the impact of this change on future RMDs.

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