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UW MEDICINENORTHWEST: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
UW MEDICINENORTHWEST (EIN 91-0637400)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-12
IRS object ID
202121329349301832
Schema version
2019v5.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-12T10:59:38-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911194016PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1400AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910637400EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UW MEDICINENORTHWESTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUWMEBusinessNameControlTxt
Phone2065986300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREET NO D-180AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCYNTHIA HECKERPersonNm
Person TitleCEO, UW MEDICAL CENTERPersonTitleTxt
Phone2065986300PhoneNum
Signature2021-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSARA ELIZABETH J HYREPreparerPersonNm
PTINP00235495PTIN
Phone4254544919PhoneNum
Preparation2021-05-10PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL & MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCYNTHIA HECKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREET NO D-180AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$233,175,994GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UWMEDICINE.ORG/LOCATIONS/NORTHWEST-HOSPITALWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1949FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionUW MEDICINE/NORTHWEST IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee2774TotalEmployeeCnt
Total Volunteers156TotalVolunteersCnt
Total Gross UBI$75,387TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$3,115NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$563,529PYContributionsGrantsAmt
CY Contributions Grants$935,418CYContributionsGrantsAmt
PY Program Service Revenue$368,905,006PYProgramServiceRevenueAmt
CY Program Service Revenue$177,012,267CYProgramServiceRevenueAmt
PY Investment Income$517,764PYInvestmentIncomeAmt
CY Investment Income$3,593,070CYInvestmentIncomeAmt
PY Other Revenue$14,911,682PYOtherRevenueAmt
CY Other Revenue$9,143,548CYOtherRevenueAmt
PY Total Revenue$384,897,981PYTotalRevenueAmt
CY Total Revenue$190,684,303CYTotalRevenueAmt
PY Grants And Similar Paid$5,465,282PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,235,283CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$205,759,577PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$106,116,615CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$17,199PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$10,474CYTotalFundraisingExpenseAmt
PY Other Expenses$212,840,271PYOtherExpensesAmt
CY Other Expenses$111,393,704CYOtherExpensesAmt
PY Total Expenses$424,082,329PYTotalExpensesAmt
CY Total Expenses$220,745,602CYTotalExpensesAmt
PY Revenues Less Expenses-$39,184,348PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$30,061,299CYRevenuesLessExpensesAmt
Total Assets BOY$221,962,112TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$218,967,051TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,995,061NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO RAISE THE LONG-TERM HEALTH STATUS OF OUR COMMUNITY BY PROVIDING PERSONALIZED, QUALITY CARE WITH COMPASSION, DIGNITY, AND RESPECT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$200,838,546ExpenseAmt
Grant$3,235,283GrantAmt
Revenue$178,245,945RevenueAmt
DescEFFECTIVE JANUARY 1, 2020, UW MEDICINE/NORTHWEST WAS INTEGRATED INTO UW MEDICAL CENTER (UWMC), A DEPARTMENT OF THE UNIVERSITY OF WASHINGTON, AS ITS SECOND CAMPUS AND ITS ASSETS AND LIABILITIES WERE TRANSFERRED TO UWMC. UW MEDICINE/NORTHWEST CEASED HOSPITAL OPERATIONS AND IS IN THE PROCESS OF WINDING UP FOR DISSOLUTION OF THE CORPORATION. UW MEDICINE/NORTHWEST, DOING BUSINESS AS NORTHWEST HOSPITAL & MEDICAL CENTER (NWHMC), IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL, OFFERING COMPREHENSIVE MEDICAL, SURGICAL, AND THERAPEUTIC SERVICES. WITH 281 BEDS, MORE THAN 2,300 EMPLOYEES AND A WORLD-CLASS MEDICAL STAFF, NWHMC PROVIDES INNOVATIVE, TECHNOLOGICALLY ADVANCED CARE ON A PATIENT-FRIENDLY, EASY-ACCESS CAMPUS JUST NORTH OF SEATTLE. - FROM PRIMARY CARE TO HIGHLY SPECIALIZED CARE, NORTHWEST HOSPITAL OFFERS SERVICES INCLUDING, BUT NOT LIMITED TO:- INPATIENT, OUTPATIENT, AND 24-HOUR EMERGENCY SERVICES. - CANCER CARE.- CARDIAC CARE.- CHILDBIRTH CENTER.- COMMUNITY HEALTH EDUCATION & SIMULATION CENTER.- DIAGNOSTIC IMAGING.- GEROPSYCHIATRIC CENTER.- NEUROSCIENCES.- LABORATORY SERVICES.- PHYSICAL THERAPY.- PREVENTATIVE HEALTH & WELLNESS SERVICES.- SPORTS MEDICINE.- STROKE PROGRAM.- SURGICAL SERVICES.- WOUND CARE.NWHMC IS COMMITTED TO ONGOING PERFORMANCE IMPROVEMENT AND QUALITY PATIENT CARE. THE FOCUS OF THESE EFFORTS HAS BEEN TO PROVIDE AN EFFECTIVE AND CONTINUOUS PROGRAM TO MEASURE, ASSESS, AND IMPROVE PERFORMANCE, PATIENT SAFETY, AND THE SAFETY OF THE WORK ENVIRONMENT. THE HIGHLY SUCCESSFUL QUALITY EFFORT AT NWHMC HAS RESULTED IN A NUMBER OF PRESTIGIOUS LOCAL AND NATIONAL QUALITY AWARDS, AND HAS HELPED THE HOSPITAL EARN A REPUTATION AS ONE OF THE SAFEST, HIGHEST QUALITY PROVIDERS IN THE PACIFIC NORTHWEST. FOR A MORE COMPREHENSIVE LIST OF SERVICES, ACCOMPLISHMENTS, AND ACCOLADES, VISIT WWW.UWMEDICINE.ORG/LOCATIONS/NORTHWEST-HOSPITAL.Desc
Total Program Service Expenses$200,838,546TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate OperationsYes (1)TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document174IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2774EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAUREEN BROOMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2065985362PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14333 BROOKLYN AVENUEAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98195ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DANIEL LAZAR MD
PHYSICIAN40.000.00Yes (X)$1,742,264$0$38,423
LISA BRANDENBURG
PRES. OF HOSP & CLINICS, UW MEDICINE0.0040.00$0$955,018$137,441Yes (X)
PAUL RAMSEY
CEO, UW MEDICINE0.0040.00$0$951,299$75,490Yes (X)
JACQUELINE CABE
CFO, UW MEDICINE0.0040.00$0$821,563$68,403Yes (X)
CYNTHIA HECKER
EXECUTIVE DIRECTOR0.0040.00$0$721,732$107,201Yes (X)
PAUL HAYES RN
FORMER KEY EMPLOYEE0.0040.00$0$669,263$65,977Yes (X)
STEVEN HOUSTON MD
PHYSICIAN40.000.00Yes (X)$692,675$0$26,027
CHRISTIAN PETERSON DO
PHYSICIAN40.000.00Yes (X)$544,417$0$38,356
GEOFF AUSTIN
CHIEF OPERATING OFFICER0.0040.00$0$508,931$56,269Yes (X)
JOHN LANG MD
CLIN ADMIN, PERIOP SERV, UW CAMPUS0.0040.00$0$467,896$91,436Yes (X)
MAUREEN BROOM
SECRETARY/TREASURER0.0040.00$0$452,500$47,077Yes (X)
WILLIAM EHNI MD
PHYSICIAN40.000.00Yes (X)$396,567$0$39,116
CAROL SALERNO MD
PHYSICIAN40.000.00Yes (X)$422,143$0$10,147
SANTIAGO NEME MD
MEDICAL DIR., NORTHWEST CAMPUS40.000.00$406,345$0$19,691Yes (X)
MARY HORAN MD
FORMER KEY EMPLOYEE40.000.00$364,403$0$20,791Yes (X)
TOM STAIGER MD
MEDICAL DIRECTOR, UW CAMPUS0.0040.00$0$324,974$44,215Yes (X)
CYNTHIA SAYRE
CHIEF NURSING OFFICER0.0040.00$0$318,901$43,405Yes (X)
JACOB FLEET
FORMER KEY EMPLOYEE0.0040.00$284,787$0$38,523Yes (X)
EDUARDO MARGO MD
FORMER KEY EMPLOYEE40.000.00$304,603$0$17,892Yes (X)
JUSTIN ROTHMIER MD
FORMER KEY EMPLOYEE40.000.00$296,715$0$18,781Yes (X)
PAMELA RENNA
ASSOC. ADMIN, STRAT. PLAN. & FACIL40.000.00$280,043$0$21,353Yes (X)
ADAM PARCHER
ASSOC ADMIN, QUALITY, SAFETY, VALUE BASED CARE0.0040.00$16,164$238,124$43,561Yes (X)
JENNIFER HERRMAN
ASSOC ADMIN, AMBULATORY CARE0.0040.00$0$261,483$32,783Yes (X)
TERENCE QUIGLEY
FORMER KEY EMPLOYEE0.0040.00$270,872$0$19,373Yes (X)
SUSAN MANFREDI
CHIEF NURSING OFFICER40.000.00$0$257,803$30,058Yes (X)
JEFF RICHEY
ASSOC ADMIN, ESSENTIAL SERVICES0.0040.00$0$250,677$33,665Yes (X)
KERI NASENBERRY
ASSOCIATE CHIEF NURSING OFFICER0.0040.00$0$205,239$33,826Yes (X)
TERI OSBORNE
FINANCE SITE LEAD0.0040.00$0$193,711$40,149Yes (X)
JOANNE MCDANIELS
FORMER KEY EMPLOYEE0.0040.00$0$189,734$33,602Yes (X)
SETH HENNESSEY
ASSIST. ADMIN, BUSINESS DEVELOPMENT40.000.00$0$180,451$29,422Yes (X)
GREGORY SCHROEDL MD
FORMER OFFICER0.0040.00$65,282$121,730$22,545Yes (X)
SCOTT HARDMAN
TRUSTEE1.000.00$0$0$0Yes (X)
JIM C SNYDER
CHAIR1.000.00$0$0$0Yes (X)
PETER EVANS
TRUSTEE (THRU 12/31/19)1.000.00$0$0$0Yes (X)
WILLIAM J REX
TRUSTEE (THRU 12/31/19)1.000.00$0$0$0Yes (X)
SHAIZA DAMJI
TRUSTEE (THRU 12/31/19)1.000.00$0$0$0Yes (X)
TERRY LENGFELDER
TRUSTEE (THRU 12/31/19)1.000.00$0$0$0Yes (X)
TOM TURNURE
TRUSTEE1.000.00$0$0$0Yes (X)
JIM ANDERSON
TRUSTEE (THRU 12/31/19)1.000.00$0$0$0Yes (X)
MARIAN SVINTH
TRUSTEE (THRU 12/31/19)1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,087,280TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,091,029TotReportableCompRltdOrgAmt
Total Other Compensation$1,344,998TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K101IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNIVERSITY OF WASHINGTON
4333 BROOKLYN AVE NESEATTLEWA98195HEALTHCARE SERVICES$28,813,907
EMERGENCY SERVICES NW
933 N NORTHLAKE WAY SLIP 12SEATTLEWA98103HEALTHCARE SERVICES$3,444,910
WOUND CARE CENTERS INC
28525 NETWORK PLCHICAGOIL60673HEALTHCARE SERVICES$1,427,306
TYCO HEALTHCARE GROUP LP
PO BOX 120823DALLASTX75312HEALTHCARE SERVICES$1,096,345
NORTHWEST NASAL SINUS CENTER
3100 CARILLON POINTKIRKLANDWA98033HEALTHCARE SERVICES$912,010
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K19CntrctRcvdGreaterThan100KCnt
Government Grants$8,500GovernmentGrantsAmt
All Other Contributions$926,918AllOtherContributionsAmt
Total Contributions$935,418TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT FEES622110$160,362,077$160,286,690$75,387
OTHER HEALTHCARE SRVCS622110$16,650,190$16,650,190
FieldValueIRS element (for citing)
Total Program Service Revenue$177,012,267TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$386,705TotalRevenueColumnAmt
Exclusion$386,705ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,900,410RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,425,450RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,474,960RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,474,960TotalRevenueColumnAmt
Exclusion$1,474,960ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$44,230,572SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$40,027,874SecuritiesAmt
Other$996,333OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,202,698SecuritiesAmt
Other-$996,333OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,206,365TotalRevenueColumnAmt
Exclusion$3,206,365ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$64,068GrossSalesOfInventoryAmt
Cost Of Goods Sold$42,034CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,034TotalRevenueColumnAmt
Exclusion$22,034ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PARKING812930$1,309,065$1,309,065
DAY CARE REVENUES624410$597,296$597,296
ESPRESSO SERVICES722210$503,561$503,561

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,236,632TotalRevenueColumnAmt
Exclusion$5,236,632ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,646,554OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$190,684,303TotalRevenueColumnAmt
Related Or Exempt Func Income$178,245,945RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$75,387UnrelatedBusinessRevenueAmt
Exclusion$11,427,553ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,235,283TotalAmt
Program Services$3,235,283ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$395,469TotalAmt
Program Services$223,652ProgramServicesAmt
Management And General$171,817ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$755,901TotalAmt
Program Services$755,901ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$86,140,240TotalAmt
Program Services$83,041,212ProgramServicesAmt
Management And General$3,099,028ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,853,011TotalAmt
Program Services$2,750,370ProgramServicesAmt
Management And General$102,641ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,972,604TotalAmt
Program Services$9,651,838ProgramServicesAmt
Management And General$320,766ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,999,390TotalAmt
Program Services$5,783,553ProgramServicesAmt
Management And General$215,837ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$390,473TotalAmt
Management And General$390,473ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$178,382TotalAmt
Management And General$178,382ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$41,807TotalAmt
Management And General$41,807ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,122,209TotalAmt
Program Services$18,133,844ProgramServicesAmt
Management And General$10,978,116ManagementAndGeneralAmt
Fundraising$10,249FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$32,773TotalAmt
Program Services$27,761ProgramServicesAmt
Management And General$5,012ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,862,759TotalAmt
Program Services$4,257,630ProgramServicesAmt
Management And General$1,605,129ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,524,172TotalAmt
Program Services$9,192,197ProgramServicesAmt
Management And General$331,975ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$29,862TotalAmt
Management And General$29,862ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,110,251TotalAmt
Program Services$4,911,004ProgramServicesAmt
Management And General$199,247ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$165,799TotalAmt
Program Services$159,488ProgramServicesAmt
Management And General$6,311ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,587,390TotalAmt
Management And General$1,587,390ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,387,156TotalAmt
Program Services$6,137,994ProgramServicesAmt
Management And General$249,162ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$974,599TotalAmt
Program Services$951,554ProgramServicesAmt
Management And General$23,045ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$32,683,737$32,385,278$298,459
BAD DEBT$6,973,505$6,973,505
CLINICAL DEPT FUNDING$6,805,264$6,805,264
TAXES AND LICENSES$5,365,491$5,364,904$587

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$158,075TotalAmt
Program Services$96,314ProgramServicesAmt
Management And General$61,536ManagementAndGeneralAmt
Fundraising$225FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$220,745,602TotalAmt
Program Services$200,838,546ProgramServicesAmt
Management And General$19,896,582ManagementAndGeneralAmt
Fundraising$10,474FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,605,348BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,057,307BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,917,224BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,021,034BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,418,658BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$100,272,294BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$42,875,313BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,765,283BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,208,428BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$64,345BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,756,878BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$221,962,112BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$43,815,280BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$154,498BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,364,640BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$167,632,633BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$218,967,051BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$27,800BOYAmt
EOY$0EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,022,861BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,995,061BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$221,962,112BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$30,061,299ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,539,311NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$30,605,549OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,349,312BeginningYearBalanceAmt
Contributions$150,000ContributionsAmt
Investment Earnings Or Losses$12,629InvestmentEarningsOrLossesAmt
Other Expenditures$2,511,941OtherExpendituresAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,379,971BeginningYearBalanceAmt
Investment Earnings Or Losses$57,606InvestmentEarningsOrLossesAmt
Grants Or Scholarships$21,351GrantsOrScholarshipsAmt
Other Expenditures$66,914OtherExpendituresAmt
End Year Balance$2,349,312EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,085,733BeginningYearBalanceAmt
Investment Earnings Or Losses$379,666InvestmentEarningsOrLossesAmt
Grants Or Scholarships$20,665GrantsOrScholarshipsAmt
Other Expenditures$64,763OtherExpendituresAmt
End Year Balance$2,379,971EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,926,505BeginningYearBalanceAmt
Contributions$159,228ContributionsAmt
End Year Balance$2,085,733EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$1,943,293ContributionsAmt
Investment Earnings Or Losses-$16,788InvestmentEarningsOrLossesAmt
End Year Balance$1,926,505EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE FIVE ENDOWMENTS ARE MAINTAINED TO PRESERVE AND GROW PRINCIPAL AND TO FUND THE ONGOING EXEMPT PURPOSE OF THE HOSPITAL, TO SUPPORT COMMUNITY BENEFITS, AND TO SUPPORT THE LIFELINKS PROGRAM. ONE ENDOWMENT APPROPRIATES ANY RETURN GREATER THAN 3% OF ENDOWMENT DISTRIBUTED INCOME FOR UNRESTRICTED SPENDING, THE OTHER ENDOWMENTS APPROPRIATE ALL EARNINGS TO THE RESTRICTED PURPOSE OF THE ENDOWMENT. THE ENDOWMENTS SHIFTED TO THE UW MEDICAL CENTER ALONG WITH THE REST OF UW MEDICINE/NORTHWEST'S ASSETS ON JANUARY 1, 2020.
PART X, LINE 2:INCLUDED IN THE FOOTNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, UW MEDICINE/NORTHWEST ALONG WITH ITS AFFILIATES, ARE REPORTED AS "EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) OF THE IRC, EXCEPT FOR UNRELATED BUSINESS INCOME TAX. THERE ARE NO SIGNIFICANT TAX OBLIGATIONS AT JUNE 30, 2020."

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,169,059TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$54,566DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,114,493NetCommunityBenefitExpnsAmt
Total Expense0.01460TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,080,969TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,983,668DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,097,301NetCommunityBenefitExpnsAmt
Total Expense0.06590TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,250,028TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,038,234DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,211,794NetCommunityBenefitExpnsAmt
Total Expense0.08050TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$235,863TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$235,863NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,449,408TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$449,642DirectOffsettingRevenueAmt
Net Community Benefit Expns$999,766NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,143,947TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,739,758DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,404,189NetCommunityBenefitExpnsAmt
Total Expense0.07670TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,750TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,750NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,803TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,803NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,852,771TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34,189,400DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,663,371NetCommunityBenefitExpnsAmt
Total Expense0.08260TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$82,102,799TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,227,634DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,875,165NetCommunityBenefitExpnsAmt
Total Expense0.16310TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,443,405BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$46,373,953ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$67,862,677CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$21,488,724MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL & MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREETAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.UWMEDICINE.ORG/LOCATIONS/WebsiteAddressTxt
State LicenseH-130StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL & MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SECTION C REFERENCE TO 7D FOR FULL WEBSITE ADDRESSOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE SECTION C REFERENCE TO LINE 11 FOR FULL WEBSITE ADDRESSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.UWMEDICINE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.UWMEDICINE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.UWMEDICINE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 5: TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. SEVENTEEN INTERVIEWS WERE COMPLETED IN SEPTEMBER AND OCTOBER, 2018. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, LOCAL HEALTH, OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM PUBLIC HEALTH - SEATTLE & KING COUNTY.INTERVIEW PARTICIPANTS INCLUDED:- UW MEDICINE/NORTHWEST HOSPITAL INFECTIOUS DISEASE SPECIALIST - UW MEDICINE/NORTHWEST HOSPITAL PSYCHIATRIC SERVICES- UW MEDICINE/NORTHWEST HOSPITAL HOSPITALIST AND OPIOID CRISIS COMMITTEE- SENIOR LIVING NORTHHAVEN- KING COUNTY PUBLIC HEALTH DEPARTMENT- KING COUNTY MENTAL HEALTH (2)- CANCER LIFELINE- SHORELINE FIRE DEPARTMENT - NORTH HELPLINE- UW MEDICINE/NORTHWEST HOSPITAL PATIENT RELATIONS- SCCA PROTON THERAPY CENTER- BROWN & COLE STORES- UW MEDICINE REGIONAL HEART CENTER- THERAPEUTIC HEALTH SERVICES- MARY'S PLACE- AMERICAN HEART ASSOCIATION
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 7D: WWW.UWMEDICINE.ORG/PATIENT-RESOURCES/PATIENT-RIGHTS-AND-RESPONSIBILITIES/2019-CHNA
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 11: FOR A DESCRIPTION OF HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED, REFER TO THE ORGANIZATION'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AVAILABLE PUBLICLY AT: WWW.UWMEDICINE.ORG/PATIENT-RESOURCES/PATIENT-RIGHTS-AND-RESPONSIBILITIES/NW-HOSPITAL-2019-IMPLEMENTATION-STRATEGY
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 13B: AS STATED WITHIN THE POLICY, ELIGIBILITY FOR FINANCIAL ASSISTANCE EXTENDS TO PERSONS WHO HAVE EXHAUSTED ANY THIRD-PARTY SOURCES AND WHOSE INCOME IS EQUAL TO OR BELOW 300% OF THE FEDERAL POVERTY STANDARDS, ADJUSTED FOR FAMILY SIZE OR IS OTHERWISE NOT SUFFICIENT TO ENABLE THEM TO PAY FOR THE CARE OR TO PAY THE DEDUCTIBLES OR COINSURANCE AMOUNTS REQUIRED BY A THIRD PARTY. WHEN DOCUMENTED CIRCUMSTANCES INDICATE FINANCIAL HARDSHIP, THE ORGANIZATION MAY ELECT TO WRITE OFF BILLED CHARGES AS FINANCIAL ASSISTANCE FOR PERSONS WHOSE FAMILY INCOME EXCEEDS 300% OF THE CURRENT FEDERAL POVERTY GUIDELINES.
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 13H: IN GENERAL, THE POLICY REQUIRES THAT A PERSON BE A WASHINGTON STATE RESIDENT, HOWEVER, EXEMPTION IS MADE FOR REFUGEES, ASYLEES, AND THOSE SEEKING ASYLUM. ADDITIONALLY, AN EXEMPTION IS MADE FOR THOSE WITH EMERGENCY MEDICAL CONDITIONS. ASSISTANCE WILL NOT BE DENIED BASED ON IMMIGRATION STATUS.
PART V, SECTION B, LINE 14:FINANCIAL ASSISTANCE IS NOT AWARDED ON A SLIDING SCALE. IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, 100% OF THE PATIENT'S OBLIGATION IS WAIVED.
PART V, SECTION B, LINE 22(C):THE MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS UNDER THE POLICY IS ZERO. IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, 100% OF THE PATIENT'S OBLIGATION IS WAIVED.
FieldValueIRS element (for citing)
Facility36FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (36 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - VIA RADIOLOGY - MERIDIAN PAVILION
10700 MERIDIAN AVE N SUITE 505SEATTLEWA98133OUTPATIENT IMAGING CENTER
2 - MERIDIAN WOMEN'S HEALTH
10330 MERIDIAN AVE N SUITE 200SEATTLEWA98133OUTPATIENT CLINIC
3 - NW PRIMARY CARE OUTPATIENT MED CTR
10330 MERIDIAN AVE N SUITE 230SEATTLEWA98133OUTPATIENT CLINIC
4 - NW PRIMARY CARE LAKE FOREST PARK
17191 BOTHELL WY NE SUITE 204SEATTLEWA98155OUTPATIENT CLINIC
5 - NORTH SEATTLE SURGERY CENTER
10330 MERIDIAN AVE NSEATTLEWA98133AMBULATORY SURGERY CENTER
6 - NORTHWEST ENT ASSOCIATES
1536 N 115TH ST SUITE 340SEATTLEWA98133OUTPATIENT CLINIC
7 - SURGICAL SERVICES & HERNIA CENTER
1560 N 115TH ST SUITE 102SEATTLEWA98133OUTPATIENT CLINIC
8 - NORTHWEST MEDICAL SPECIALTIES
1560 N 115TH ST SUITE 206SEATTLEWA98133OUTPATIENT CLINIC
9 - NORTHWEST RESPIRATORY ASSOCIATES
1560 N 115TH ST SUITE 207SEATTLEWA98133OUTPATIENT CLINIC
10 - WOMEN'S CANCER CARE OF SEATTLE
1560 N 115TH ST SUITE 101SEATTLEWA98133OUTPATIENT CLINIC
11 - NORTHWEST HOSPITAL MIDWIVES CLINIC
10330 MERIDIAN AVE N SUITE 190SEATTLEWA98133OUTPATIENT CLINIC
12 - NORTHWEST PRIMARY CARE MAIN CAMPUS
1560 N 115TH ST SUITE 110SEATTLEWA98133OUTPATIENT CLINIC
13 - NW OTOLARYNGOLOGY
10330 MERIDIAN AVE N SUITE 270SEATTLEWA98133OUTPATIENT CLINIC
14 - NORTHWEST NEUROLOGY
1536 N 115TH ST SUITE 330SEATTLEWA98133OUTPATIENT CLINIC
15 - NORTHWEST HOSPITAL WOUND CARE CENTER
1560 N 115TH ST SUITE 201SEATTLEWA98133OUTPATIENT CLINIC
16 - INTERNAL MEDICINE CONSULT CLINIC
1536 N 115TH ST SUITE 300SEATTLEWA98133OUTPATIENT CLINIC
17 - NORTHWEST PRIMARY CARE FREMONT
400 N 34TH STREET SUITE 203SEATTLEWA98103OUTPATIENT CLINIC
18 - ADVANCED MANUAL THERAPY
1455 NW LEARY WAY SUITE 150SEATTLEWA98107OUTPATIENT CLINIC
19 - ADVANCED MANUAL THERAPY
10330 MERIDIAN AVE N SUITE 380SEATTLEWA98133OUTPATIENT CLINIC
20 - MERIDIAN WOMEN'S HEALTH
1560 N 115TH ST SUITE 212SEATTLEWA98133OUTPATIENT CLINIC
21 - MERIDIAN WOMEN'S HEALTH
1455 NW LEARY WAY SUITE 250SEATTLEWA98107OUTPATIENT CLINIC
22 - NW INFECTIOUS DISEASE & TRAVEL CLINIC
1550 N 115TH ST MS D-101SEATTLEWA98133OUTPATIENT CLINIC
23 - NORTHWEST NEUROSURGERY
1560 N 115TH ST SUITE 209SEATTLEWA98133OUTPATIENT CLINIC
24 - NORTHWEST NEUROSURGERY
808 N 5TH AVESEQUIMWA98382OUTPATIENT CLINIC
25 - NORTHWEST ENDOCRINOLOGY
11011 MERIDIAN AVE NORTH SUITE 201SEATTLEWA98125OUTPATIENT CLINIC
26 - THE SEATTLE ARTHRITIS CLINIC
10330 MERIDIAN AVE N SUITE 250SEATTLEWA98133OUTPATIENT CLINIC
27 - THE SPORTS MEDICINE CLINIC
10330 MERIDIAN AVE N SUITE 300SEATTLEWA98133OUTPATIENT CLINIC
28 - THE SPORTS MEDICINE CLINIC
1455 NW LEARY WAY STE350SEATTLEWA98107OUTPATIENT CLINIC
29 - UW MEDICINE KIDNEY STONE CENTER
1536 N 115TH ST SUITE 300SEATTLEWA98133OUTPATIENT CLINIC
30 - NORTHWEST PRIMARY CARE NORTH SEATTLE
11011 MERIDIAN AVE N STE 201SEATTLEWA98133OUTPATIENT CLINIC
31 - UROLOGY NORTHWEST
6005 244TH ST SW STE 111MONTLAKE TERRACEWA98043OUTPATIENT CLINIC
32 - UW MEDICINE NW JOINT & HAND CLINIC
11011 MERIDIAN AVE N STE 201SEATTLEWA98133OUTPATIENT CLINIC
33 - MERIDIAN WOMEN'S HEALTH
15808 MILL CREEK BLVD 200MILL CREEKWA98012OUTPATIENT CLINIC
34 - UW BREAST PLASTIC & AESTHETICS CLINIC
1560 N 115TH ST SUITE G-10SEATTLEWA98133OUTPATIENT CLINIC
35 - NORTHWEST HEART INSTITUTE-MILL CREEK
1025 153RD ST SE STE 200MILL CREEKWA98012OUTPATIENT CLINIC
36 - NW VASCULAR & ENDOVASCULAR CLINIC
1560 N 115TH ST SUITE 102SEATTLEWA98133OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:INCOME STANDARD - THE FULL AMOUNT OF HOSPITAL CHARGES WILL BE DETERMINED TO BE CHARITY CARE FOR ANY PATIENT WHOSE GROSS FAMILY INCOME IS BELOW 300% OF THE CURRENT CSA NON-FARM POVERTY INCOME GUIDELINES AS PUBLISHED IN THE FEDERAL REGISTER AND CONSISTENT WITH WAC 246-53-020. ASSET STANDARD - NET WORTH OF ASSETS OF EXTRAORDINARY VALUE OR MAJOR NONESSENTIAL ASSETS ON WHICH A PATIENT COULD DRAW CASH THROUGH SELLING, MORTGAGING, OR BORROWING WILL BE A CONSIDERATION IN DETERMINING A PATIENT'S ELIGIBILITY. IN ADDITION, CATASTROPHIC MEDICAL EXPENSES CAN BE USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 7:WE USE A COST-TO-CHARGE RATIO FOR THE MEDICARE SHORTFALL. THE COST-TO-CHARGE RATIO WAS DERIVED FROM THE FINANCIAL STATEMENTS.
PART I, LINE 7G:NORTHWEST HOSPITAL PROVIDES SUBSIDIZED HEALTH SERVICES WHICH PERTAINS TO PHYSICIAN CLINICS THAT ARE OPERATED AT LOSS OF $16,404,189 AND WERE DETERMINED TO BE COMMUNITY BENEFIT AS THE FINANCIAL LOSS WOULD BE INCURRED BY ANOTHER INSTITUTION IF NOT PROVIDED AT THIS FACILITY.
PART III, LINE 2:THE HOSPITAL PROVIDES AN ALLOWANCE FOR POTENTIAL UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE, WHEREBY SUCH RECEIVABLES ARE REDUCED TO THEIR ESTIMATED NET REALIZABLE VALUE. THE HOSPITAL ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE, AND THE BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS.
PART III, LINE 4:ON THE ATTACHED FINANCIAL STATEMENTS, FOOTNOTE #3 ON PAGE 10 DESCRIBES NET PATIENT SERVICE REVENUE, INCLUDING AMOUNTS ASSOCIATED WITH BAD DEBT EXPENSE (OR "PROVISION FOR UNCOLLECTIBLE ACCOUNTS" AS REFERENCED IN THE FINANCIAL STATEMENTS).THE HOSPITAL PROVIDES AN ALLOWANCE FOR POTENTIAL UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE, WHEREBY SUCH RECEIVABLES ARE REDUCED TO THEIR ESTIMATED NET REALIZABLE VALUE. THE HOSPITAL ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE, AND THE BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS.
PART III, LINE 8:MEDICARE COSTS REPORTED IN THE AS-FILED MEDICARE COST REPORT DO NOT INCLUDE UNCOMPENSATED COSTS OF CARE FOR MEDICARE PART C BENEFICIARIES. $9,123,524 OF UNCOMPENSATED COSTS WERE DETERMINED TO BE COMMUNITY BENEFIT AS THE FINANCIAL LOSS WOULD BE INCURRED BY ANOTHER INSTITUTION IF NOT PROVIDED AT THIS FACILITY.
PART III, LINE 9B:IT IS THE POLICY OF NORTHWEST HOSPITAL TO EXPECT FULL PAYMENT ON SERVICES PROVIDED. FULL PAYMENT IS DUE FROM THE PATIENT UPON RECEIPT OF INITIAL BILLING FOR NON-INSURANCE COVERED BALANCES UNLESS ARRANGEMENTS ARE MADE WITH THE PATIENT FINANCIAL SERVICES DEPARTMENT.OPTIONS TO CLEAR AN ACCOUNTS RECEIVABLE:THERE ARE 8 OPTIONS TO CLEAR THE ACCOUNTS RECEIVABLE:- CHARGE REVERSAL,- CONTRACTUAL ADJUSTMENT,- FINANCIAL ASSISTANCE,- ADMINISTRATIVE/OTHER ADJUSTMENT,- INSURANCE PAYMENT,- PATIENT PAYMENT,- BAD DEBT - NON-AGENCY/OTHER, OR- BAD DEBT - COLLECTION AGENCY.PATIENT FINANCIAL SCREENING: PATIENTS ARE SCREENED TO DETERMINE FINANCIAL RESPONSIBILITY DURING PRE-ADMISSION OR DURING ADMISSION/REGISTRATION. IT IS EXPECTED THAT PATIENTS PROVIDE HONEST AND COMPLETE DATA FROM WHICH STAFF ESTABLISH THE PATIENT PAYMENT PARTICIPATION. ONCE THE PATIENT'S RESPONSIBILITY IS DETERMINED, STAFF IS DIRECTED TO NOTIFY THE PATIENT PROMPTLY.FINANCIAL SCREENING INCLUDES SOME OR ALL OF THE FOLLOWING TASKS: - COLLECTING FINANCIAL DEMOGRAPHIC INFORMATION. - DETERMINING INSURANCE ELIGIBILITY AND BENEFITS. - COMPLETING A CONFIDENTIAL FINANCIAL FORM. - OBTAINING INSURANCE AUTHORIZATION NUMBERS AND REFERRALS. - ESTABLISHING A PLAN WITH THE PATIENT TO CLEAR ACCOUNT BALANCES. - COLLECTING DEPOSITS BASED ON DEDUCTIBLES AND CO-INSURANCE AMOUNTS AS ALLOWED BY THE PATIENT'S INSURANCE PLAN. - REVIEWING A PATIENT'S PAST CREDIT HISTORY OR REQUESTING A CREDIT BUREAU REPORT. COLLECTION OF DEPOSITS: BASED ON FINANCIAL SCREENING AND ESTIMATED SELF-PAY BALANCES, IT IS THE POLICY TO REQUEST DEPOSITS AND ESTIMATED INSURANCE CO-PAY BALANCES AS SOON AS THE AMOUNT CAN BE DETERMINED OR ALLOWED BY THE PATIENT'S INSURANCE PLAN. ACCOUNTS MAY BE SET UP FOR PATIENTS TO PRE-PAY FOR THEIR CARE. PAYMENTS MAY ALSO BE COLLECTED DURING THE PERIOD OF CARE OR AT DISCHARGE. IN THE EMERGENCY ROOM, DEPOSITS ARE TO BE REQUESTED ONLY AFTER MEDICAL SERVICES HAVE BEEN PROVIDED. ALL PAYMENTS ARE TO BE REQUESTED WITH SENSITIVITY, CONSISTENT WITH ALL HOSPITAL POLICIES.NON-EMERGENT SERVICE IS NOT CONTINGENT UPON PAYMENT OF A DEPOSIT EXCEPT IN CASES OF POOR CREDIT HISTORY AND WHEN APPROVED BY A DIRECTOR OR A VICE PRESIDENT. COSMETIC OR NON-MEDICALLY REQUIRED SERVICES ARE TO BE PAID IN FULL IN ADVANCE OF SERVICE. SPECIAL CIRCUMSTANCES MAY WARRANT AN EXCEPTION TO PAYMENT IN FULL BUT MUST BE APPROVED BY THE DIRECTOR OR VICE PRESIDENT. GENERAL COLLECTION FRAMEWORK:ACCOUNT BALANCES ARE DUE UPON RECEIPT OF FIRST BILLING WITH THE FOLLOWING SELF-PAY EXCEPTIONS: - PAYMENT PLAN ARRANGEMENTS CONSISTENT WITH THIS POLICY. - ADDITIONAL FINANCIAL SCREENING IS BEING DEVELOPED. - HOSPITAL BILLING ERRORS, DELAYS, OR UNRESOLVED DISPUTES. - UNPAID INSURANCE CLAIMS WHEN PATIENT BALANCES CANNOT EASILY BE DETERMINED.INSURANCE BILLING POLICY: NORTHWEST PATIENT FINANCIAL SERVICES BILLS STATE, FEDERAL AND CONTRACTED INSURANCE PLANS. OTHER PAYMENT SOURCES ARE BILLED WHENEVER THE PATIENT PROVIDES NECESSARY DATA. THE HOSPITAL TAKES ASSIGNMENT ON ALL MEDICARE CHARGES.PATIENT BALANCES: PATIENT PAY ACCOUNTS ARE PAYABLE UPON RECEIPT OF INITIAL BILLING, UNLESS OTHER ARRANGEMENTS ARE MADE WITH PATIENT FINANCIAL SERVICES (PFS). ACCOUNTS WAITING FOR INSURANCE PAYMENT BECOME THE PATIENT'S RESPONSIBILITY 60 DAYS AFTER INITIAL INSURANCE BILLING, UNLESS DICTATED BY AN INSURANCE CONTRACT, FINANCIAL ARRANGEMENTS ARE MADE, OR THIS PROVISION IS WAIVED BY A PFS MANAGER OR DIRECTOR. NWHMC DOES NOT HOLD THE PATIENT RESPONSIBLE FOR THE BILL UNTIL PFS HAS RESOLVED ALL ISSUES WITH THE INSURANCE COMPANIES, INCLUDING APPEALS OF DENIALS. QUALITY OF CARE AND BILLING ACCURACY ISSUES ARE TO BE RESOLVED AS QUICKLY AS POSSIBLE AND PRIOR TO ENFORCING COLLECTION STANDARDS.EACH BILL PROVIDED TO A PATIENT INCLUDES INFORMATION AS TO HOW TO REQUEST FINANCIAL ASSISTANCE FROM NWHMC. ALL PATIENTS WHO INDICATE FINANCIAL HARDSHIP ARE SCREENED FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE MAY BE GRANTED ANY TIME, EVEN AFTER COLLECTION AGENCY ASSIGNMENT OR FILING OF LEGAL JUDGEMENT.
PART VI, LINE 2:NORTHWEST HOSPITAL IS A COMMUNITY OF CARING HEALTH PROFESSIONALS, VALUED AND RECOGNIZED FOR PROMOTING WELLNESS THROUGH EARLY DETECTION AND PREVENTION, MINIMALLY INVASIVE INTERVENTIONS, AND INNOVATIVE CLINICAL PRACTICES.NORTHWEST HOSPITAL IS ACTIVELY INVOLVED WITH LOCAL, STATE, AND FEDERAL QUALITY INITIATIVES INCLUDING:- THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S 100K LIVES AND 5 MILLION LIVES CAMPAIGN- LEAPFROG HOSPITAL QUALITY & PATIENT SAFETY SURVEY - AS AN EARLY ADVOCATE OF THE LEAPFROG STANDARDS, NORTHWEST HOSPITAL WAS ONE OF THE FIRST HOSPITALS IN THE AREA TO MAKE THE ICU LEAP- QUALIS SURGICAL CARE IMPROVEMENT PROJECT COLLABORATIVE- CMS HCAHPS (PATIENT PERSPECTIVE ON CARE) SURVEY- HQA QUALITY INDICATOR PROGRAM- JOINT COMMISSION CORE MEASURES PROGRAM- JOINT COMMISSION NATIONAL PATIENT SAFETY GOALS- WASHINGTON STATE COAP QUALITY IMPROVEMENT PROGRAM FOR INTERVENTIONAL CARDIOLOGY AND CARDIOTHORACIC SURGERY- WASHINGTON STATE TRAUMA REGISTRY- WASHINGTON STATE BIRTH DEFECTS SURVEILLANCE PROGRAMADDITIONALLY, NORTHWEST HOSPITAL HAS A DEDICATED DECISION SUPPORT DEPARTMENT THAT ANALYZES BOTH INTERNAL AND EXTERNAL DATA TO IDENTIFY THE COMMUNITY HEALTH CARE NEEDS. THIS INCLUDES DATA, SUCH AS THE CANCER REGISTRY, IN ORDER TO IDENTIFY GAPS AND MAKE INFORMED DECISIONS REGARDING ONCOLOGY DISEASED-BASED PROGRAM DEVELOPMENT.NORTHWEST HOSPITAL LEADERSHIP IS ACTIVELY INVOLVED IN LOCAL AND NATIONAL HEALTHCARE AND CIVIC ORGANIZATIONS WHICH PROVIDE SIGNIFICANT INSIGHT INTO COMMUNITY DEVELOPMENT AND EVOLVING HEALTHCARE NEEDS.AS A MAJOR INSTITUTION, NORTHWEST HOSPITAL INTERACTS WITH CITIZEN'S ADVISORY COMMITTEE TO GATHER INFORMATION FROM ITS IMMEDIATE COMMUNITY.NORTHWEST HOSPITAL ALSO HOSTS A VARIETY OF COMMUNITY EVENTS, CLASSES AND OTHER EDUCATIONAL OPPORTUNITIES THAT PROVIDE FEEDBACK REGARDING THE HEALTHCARE NEEDS OF THE COMMUNITY.
PART VI, LINE 3:PREADMISSION FINANCIAL COUNSELING IS DONE IN SOME CASES TO IDENTIFY FINANCIAL ASSISTANCE ELIGIBILITY PRIOR TO TREATMENT. WHEN THIS IS NOT POSSIBLE, IT IS OFFERED DURING OR AFTER SERVICE OR EVEN ONCE THE ACCOUNT HAS BEEN ASSIGNED TO A COLLECTION AGENCY. THE HOSPITAL MAKES A DEDICATED EFFORT TO IDENTIFY FINANCIAL ASSISTANCE ELIGIBILITY. THE HOSPITAL ALSO CONSPICUOUSLY POSTS ITS FINANCIAL ASSISTANCE POLICY IN PUBLIC AREAS OF THE HOSPITAL AS WELL AS ON ITS WEBSITE.
PART VI, LINE 4:NORTHWEST HOSPITAL & MEDICAL CENTER IS LOCATED AT 1550 N. 115TH STREET SEATTLE, WASHINGTON 98133. THE SERVICE AREA CONSISTS OF PORTIONS OF KING COUNTY AND SNOHOMISH COUNTY AND INCLUDES 18 ZIP CODES, REPRESENTING 6 CITIES OR COMMUNITIES.COMMUNITY PROFILE:THE POPULATION OF THE NORTHWEST HOSPITAL SERVICE AREA IS APPROXIMATELY 635,350. CHILDREN AND YOUTH, AGES 0-19, MAKE UP 21.5% OF THE POPULATION; 65.6% ARE ADULTS, AGES 20-64; AND 12.8% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. THE POPULATION IN THE NORTHWEST HOSPITAL SERVICE AREA TENDS TO HAVE A HIGHER PERCENTAGE OF ADULTS AGES 20-24 AND 25-44, AND A LOWER PERCENTAGE OF CHILDREN THAN FOUND IN THE STATE OR COUNTY. 69.5% OF THE RESIDENTS ARE WHITE; 13.5% ARE ASIAN; 7.4% ARE HISPANIC/LATINO; 3.4% ARE AFRICAN AMERICAN; AND 5.3% IDENTIFY AS MULTIRACIAL. ENGLISH IS SPOKEN IN THE HOME AMONG 77.9% OF THE SERVICE AREA POPULATION. SPANISH IS SPOKEN AT HOME AMONG 5.0% OF THE POPULATION; AND 8.0% OF THE POPULATION SPEAK AN ASIAN LANGUAGE. SOCIAL AND ECONOMIC FACTORS:AMONG THE RESIDENTS IN THE NORTHWEST HOSPITAL SERVICE AREA, 10.1% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 21.0% ARE AT 200% OF FPL OR BELOW. THESE RATES OF POVERTY ARE LOWER THAN FOUND IN THE STATE WHERE 12.7% OF RESIDENTS ARE AT POVERTY LEVEL AND 29.3% ARE AT 200% OF FPL OR BELOW. IN THE SERVICE AREA, 9.4% OF CHILDREN, UNDER AGE 18 YEARS, ARE LIVING IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IN THE AREA IS $77,925. THE FIVE YEAR AVERAGE (2012-2016) UNEMPLOYMENT RATE IN THE SERVICE AREA IS 5.4%, WHICH IS LOWER THAN THE STATE RATE OF 6.8%. IN THE HOSPITAL SERVICE AREA, ONLY 5.4% OF ADULTS LACK A HIGH SCHOOL DIPLOMA. OVER HALF THE POPULATION (61.0%), AGES 25 AND OLDER, HAVE A COLLEGE DEGREE. THE 2017 POINT-IN-TIME COUNT ESTIMATED 11,643 HOMELESS INDIVIDUALS IN KING COUNTY AND 1,066 HOMELESS IN SNOHOMISH COUNTY.HEALTH ACCESS:HEALTH INSURANCE COVERAGE IS CONSIDERED A KEY COMPONENT TO ACCESS HEALTH CARE. 90.2% OF THE TOTAL POPULATION IN THE NORTHWEST HOSPITAL SERVICE AREA HAS HEALTH INSURANCE. 96.9% OF CHILDREN UNDER AGE 18 HAVE HEALTH INSURANCE COVERAGE IN THE SERVICE AREA. MOUNTLAKE TERRACE HAS THE HIGHEST HEALTH INSURANCE RATE AMONG CHILDREN (96.1%), AND LYNNWOOD HAS THE LOWEST PERCENTAGE OF CHILDREN WITH HEALTH INSURANCE (91.0%). 14% OF ADULTS IN THE SEATTLE REGION AND 12% OF ADULTS IN SHORELINE HAD AN UNMET MEDICAL NEED BECAUSE THEY WERE NOT ABLE TO AFFORD CARE. THESE RATES ARE COMPARED TO THOSE FOUND IN KING COUNTY (11.4%). SNOHOMISH COUNTY HAS A RATE OF 14.6% OF ADULTS NOT ACCESSING MEDICAL CARE DUE TO COST.FOR ADDITIONAL INFORMATION REGARDING THE COMMUNITY SERVED BY THE ORGANIZATION (INCLUDING BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, CHRONIC DISEASE, HEALTH BEHAVIORS, SUBSTANCE ABUSE, MENTAL HEALTH, AND PREVENTIVE PRACTICES), REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT AVAILABLE AT WWW.UWMEDICINE.ORG/PATIENT-RESOURCES/PATIENT-RIGHTS-AND-RESPONSIBILITIES/2019-CHNA.
PART VI, LINE 5:NORTHWEST HOSPITAL PROVIDES A WIDE VARIETY OF FREE OR LOW-COST HEALTH SERVICES AND HEALTH AND WELLNESS EDUCATION TO MEMBERS OF THE COMMUNITY THROUGH MANY CHANNELS. THESE INCLUDE BUT ARE NOT LIMITED TO:- AN OPEN MEDICAL STAFF- NORTHWEST HOSPITAL COMMUNITY HEALTH EDUCATION AND SIMULATION CENTER PROVIDING FREE CLASSROOM SPACE, CLASSES, DEMONSTRATIONS AND OTHER LEARNING OPPORTUNITIES TO COMMUNITY RESIDENTS, SCHOOL GROUPS, BOY SCOUT TROOPS, VISITING HEALTH PROFESSIONALS AND STAFF- "MED INFO" HEALTH AND WELLNESS NEWSLETTER, SENT QUARTERLY TO 100,000 COMMUNITY RESIDENTS- COMMUNITY SPEAKING OPPORTUNITIES AT SENIOR LIVING FACILITIES AND COMMUNITY CENTERS, INCLUDING STROKE EDUCATION, EXERCISE AND OTHER TOPICS- ON-CAMPUS CLASSES, SEMINARS AND OTHER LEARNING OPPORTUNITIES (MANY FREE OF CHARGE OR LOW-COST)- VOLUNTEERISM BY CLINICAL STAFF TO PROVIDE MEDICAL CARE AT LOCAL CLINICS AND COMMUNITY EVENTS- DONATION OF FREE LAB, DIAGNOSTIC IMAGING AND OTHER HEALTH SERVICES TO LOCAL CLINICS- HEALTH AND WELLNESS EVENTS FOR THE COMMUNITY - DISTRIBUTION OF HEALTH AND WELLNESS INFORMATION DAILY VIA THE HOSPITAL'S FACEBOOK AND TWITTER CHANNELS- PARTICIPATION IN UW MEDICINE HEALTH AND UW MEDICINE PULSE, MULTI-MEDIA PROGRAMS DESIGNED TO EDUCATE THE PUBLIC ON A VARIETY OF HEALTH TOPICS- PARTNERSHIP WITH CANCER LIFELINE TO PROVIDE CLASSES AND SUPPORT GROUPS FOR THOSE LIVING WITH CANCER- A DIABETES EDUCATION PROGRAM THAT OFFERS CLASSES, SUPPORT GROUPS AND COMMUNITY EVENTS TO COMMUNITY RESIDENTS-LEADERSHIP IN AND PROMOTION OF LOCAL AND REGIONAL DISASTER PLANNING AND EDUCATION FOR STAFF AND COMMUNITY MEMBERS- EDUCATION AND SUPPORT OPPORTUNITIES FOR FEMALE CANCER SURVIVORS TO PROMOTE LYMPHEDEMA MANAGEMENT AND POST-TREATMENT HEALTH.
PART VI, LINE 6:ON JANUARY 1, 2010, THE HOSPITAL JOINED THE UNIVERSITY OF WASHINGTON MEDICINE HEALTH SYSTEM (UW MEDICINE). UW MEDICINE IS COMPRISED OF NORTHWEST HOSPITAL & MEDICAL CENTER, UW SCHOOL OF MEDICINE, UW MEDICAL CENTER, UW PHYSICIANS NETWORK, THE ASSOCIATION OF UNIVERSITY PHYSICIANS, HARBORVIEW MEDICAL CENTER, VALLEY MEDICAL CENTER, UW MEDICINE SHARED SERVICES, AND AIRLIFT NORTHWEST. THE UW MEDICINE COMPONENT ENTITIES SHARE THE MISSION TO IMPROVE THE HEALTH OF THE PUBLIC. EFFECTIVE JANUARY 1, 2020, NORTHWEST HOSPITAL WAS INTEGRATED INTO UW MEDICAL CENTER AS ITS SECOND CAMPUS, AND ITS ASSETS AND LIABILITIES WERE TRANSFERRED INTO UW MEDICAL CENTER. NORTHWEST HOSPITAL EMPLOYEES BECAME UNIVERSITY EMPLOYEES EFFECTIVE JANUARY 1, 2020. THE NORTHWEST HOSPITAL CORPORATION CEASED OPERATIONS AND IS IN THE PROCESS OF WINDING UP FOR DISSOLUTION OF THE CORPORATION.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ASSOCIATION OF UNIVERSITY PHYSICIANSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 5TH AVENUE SUITE 700AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98104ZIPCd
FieldValueIRS element (for citing)
Recipient EIN911220843RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$3,235,283CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantINSTITUTIONAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL MAKES LIMITED GRANTS TO UNRELATED ORGANIZATIONS. RECORDS ARE KEPT FOR THESE TRANSACTIONS. THE HOSPITAL ALSO MAKES GRANTS TO ITS RELATED ORGANIZATIONS THROUGHOUT THE YEAR. THESE GRANTS ARE TO ASSIST WITH OPERATING EXPENDITURES FOR THE RELATED ENTITIES AND HELP FURTHER THE OVERALL MISSION OF NORTHWEST HOSPITAL AND ITS RELATED ORGANIZATIONS. ADEQUATE RECORDS ARE KEPT REGARDING THE TRANSACTIONS TO ENSURE THE FUNDS ARE BEING USED FOR CHARITABLE PURPOSES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL LAZAR MD
PHYSICIAN$1,111,906$0$629,098$0$1,260$0$9,500$0$28,923$0$1,780,687$0$0$0
LISA BRANDENBURG
PRES. OF HOSP & CLINICS, UW MEDICINE$0$930,526$0$0$0$24,492$0$116,795$0$20,646$0$1,092,459$0$0
PAUL RAMSEY
CEO, UW MEDICINE$0$935,807$0$0$0$15,492$0$56,000$0$19,490$0$1,026,789$0$0
JACQUELINE CABE
CFO, UW MEDICINE$0$821,563$0$0$0$0$0$47,757$0$20,646$0$889,966$0$0
CYNTHIA HECKER
EXECUTIVE DIRECTOR$0$698,740$0$0$0$22,992$0$87,549$0$19,652$0$828,933$0$0
PAUL HAYES RN
FORMER KEY EMPLOYEE$0$669,263$0$0$0$0$0$49,558$0$16,419$0$735,240$0$0
STEVEN HOUSTON MD
PHYSICIAN$586,476$0$104,267$0$1,932$0$0$0$26,027$0$718,702$0$0$0
CHRISTIAN PETERSON DO
PHYSICIAN$395,571$0$146,914$0$1,932$0$9,500$0$28,856$0$582,773$0$0$0
GEOFF AUSTIN
CHIEF OPERATING OFFICER$0$508,931$0$0$0$0$0$37,763$0$18,506$0$565,200$0$0
JOHN LANG MD
CLIN ADMIN, PERIOP SERV, UW CAMPUS$0$413,712$0$30,184$0$24,000$0$73,240$0$18,196$0$559,332$0$0
MAUREEN BROOM
SECRETARY/TREASURER$0$452,500$0$0$0$0$0$28,000$0$19,077$0$499,577$0$0
WILLIAM EHNI MD
PHYSICIAN$300,754$0$91,045$0$4,768$0$9,500$0$29,616$0$435,683$0$0$0
CAROL SALERNO MD
PHYSICIAN$145,387$0$275,851$0$905$0$9,500$0$647$0$432,290$0$0$0
SANTIAGO NEME MD
MEDICAL DIR., NORTHWEST CAMPUS$405,915$0$0$0$430$0$9,500$0$10,191$0$426,036$0$0$0
MARY HORAN MD
FORMER KEY EMPLOYEE$360,498$0$0$0$3,905$0$9,500$0$11,291$0$385,194$0$0$0
TOM STAIGER MD
MEDICAL DIRECTOR, UW CAMPUS$0$324,974$0$0$0$0$0$28,000$0$16,215$0$369,189$0$0
CYNTHIA SAYRE
CHIEF NURSING OFFICER$0$318,901$0$0$0$0$0$28,000$0$15,405$0$362,306$0$0
JACOB FLEET
FORMER KEY EMPLOYEE$251,810$0$31,738$0$1,239$0$9,500$0$29,023$0$323,310$0$0$0
EDUARDO MARGO MD
FORMER KEY EMPLOYEE$231,199$0$72,722$0$682$0$9,500$0$8,392$0$322,495$0$0$0
JUSTIN ROTHMIER MD
FORMER KEY EMPLOYEE$138,456$0$157,693$0$566$0$9,500$0$9,281$0$315,496$0$0$0
PAMELA RENNA
ASSOC. ADMIN, STRAT. PLAN. & FACIL$254,123$0$25,000$0$920$0$7,015$0$14,338$0$301,396$0$0$0
ADAM PARCHER
ASSOC ADMIN, QUALITY, SAFETY, VALUE$0$232,910$0$0$16,164$5,214$727$30,927$0$11,907$16,891$280,958$0$0
JENNIFER HERRMAN
ASSOC ADMIN, AMBULATORY CARE$0$261,483$0$0$0$0$0$19,754$0$13,029$0$294,266$0$0
TERENCE QUIGLEY
FORMER KEY EMPLOYEE$49,727$0$217,358$0$3,787$0$9,500$0$9,873$0$290,245$0$0$0
SUSAN MANFREDI
CHIEF NURSING OFFICER$0$257,803$0$0$0$0$0$21,828$0$8,230$0$287,861$0$0
JEFF RICHEY
ASSOC ADMIN, ESSENTIAL SERVICES$0$250,677$0$0$0$0$0$18,860$0$14,805$0$284,342$0$0
KERI NASENBERRY
ASSOCIATE CHIEF NURSING OFFICER$0$205,239$0$0$0$0$0$15,903$0$17,923$0$239,065$0$0
TERI OSBORNE
FINANCE SITE LEAD$0$193,711$0$0$0$0$0$25,192$0$14,957$0$233,860$0$0
JOANNE MCDANIELS
FORMER KEY EMPLOYEE$0$189,734$0$0$0$0$0$19,289$0$14,313$0$223,336$0$0
SETH HENNESSEY
ASSIST. ADMIN, BUSINESS DEVELOPMENT$0$180,451$0$0$0$0$0$13,866$0$15,556$0$209,873$0$0
GREGORY SCHROEDL MD
FORMER OFFICER$5,791$121,730$0$0$59,491$0$2,611$12,340$0$7,594$67,893$141,664$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF THE UNIVERSITY OF WASHINGTON, AND AS SUCH, HER COMPENSATION IS ESTABLISHED AND REVIEWED BY THE UNIVERSITY. COMPENSATION IS REVIEWED BY DISINTERESTED INDIVIDUALS WITHIN UW MEDICINE, REFERENCING RELEVANT COMPARATIVE DATA AND ALIGNING COMPENSATION TO PEER EXECUTIVES WITHIN UW MEDICINE.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMERGENCY SERVICES NORTHWESTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$1,116,993TransactionAmt
TransactionSEE PART VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:FormAndLineReferenceDesc
Explanation(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: GREGORY SCHROEDL, A FORMER OFFICER FOR NORTHWEST HOSPITAL & MEDICAL CENTER, IS A 50% OWNER IN EMERGENCY SERVICES NORTHWEST.(D) DESCRIPTION OF TRANSACTION: BUSINESS TRANSACTION WITH EMERGENCY SERVICES NORTHWEST TO PROVIDE HEALTH CARE SERVICES.ExplanationTxt

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail (4 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtEINEINAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionTxt
UNIVERSITY OF WASHINGTON
INVESTMENTS2020-01-01$51,610,576BOOK VALUE OF ASSETS9160015371959 NE PACIFIC STREETSEATTLEWA98195GOVERNMENT
UNIVERSITY OF WASHINGTON
ACCOUNTS RECEIVABLE2020-01-01$43,661,291BOOK VALUE OF ASSETS9160015371959 NE PACIFIC STREETSEATTLEWA98195GOVERNMENT
UNIVERSITY OF WASHINGTON
SUPPLIES, OTHER ASSETS2020-01-01$12,718,717BOOK VALUE OF ASSETS9160015371959 NE PACIFIC STREETSEATTLEWA98195GOVERNMENT
UNIVERSITY OF WASHINGTON
PROPERTY, PLANT AND EQUIPMENT2020-01-01$97,424,566BOOK VALUE OF ASSETS9160015371959 NE PACIFIC STREETSEATTLEWA98195GOVERNMENT
FieldValueIRS element (for citing)
Director Of SuccessorYes (1)DirectorOfSuccessorInd
Employee Of SuccessorYes (1)EmployeeOfSuccessorInd
Owner Of Successor0OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets DistributedYes (1)AssetsDistributedInd
Required To Notify AGYes (1)RequiredToNotifyAGInd
Attorney General NotifiedYes (1)AttorneyGeneralNotifiedInd
Liabilities PaidYes (1)LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2E:PERSON(S) INVOLVED: TERRY LENGFELDER, WILLIAM REX, JIM SNYDER, AND TOM TURNURE ARE BOARD MEMBERS OF UW MEDICAL CENTER.UNIVERSITY OF WASHINGTON (UW) IS THE SOLE MEMBER OF UW MEDICINE/NORTHWEST. DURING FY20 AND AS PART OF THE TRANSITION OF ITS OPERATIONS TO UW, A SIGNIFICANT NUMBER OF UW MEDICINE/NORTHWEST KEY EMPLOYEES BECAME EMPLOYEES OF UW.
PART I, LINE 2E:EXPLANATION OF INVOLVEMENT: THE FOLLOWING KEY EMPLOYEES BECAME PAID EMPLOYEES OF UW AS OF 1/1/20: PAMELA RENNA AND SANTIAGO NEME.
PART I, LINE 4B:UW MEDICINE/NORTHWEST TERMINATED ITS OPERATIONS AND THE WASHINGTON ATTORNEY GENERAL HAS BEEN NOTIFIED OF THE ORGANIZATIONS INTENT TO DISSOLVE. ARTICLES OF DISSOLUTION HAVE NOT YET BEEN FILED WITH THE WASHINGTON SECRETARY OF STATE AS THE TAX IDENTIFICATION NUMBER IS USED TO COLLECT RECEIVABLES THAT, AS COLLECTED, WILL GO DIRECTLY TO ITS SUCCESSOR ORGANIZATION, UNIVERSITY OF WASHINGTON. AFTER SUBSTANTIAL COLLECTION OF THE RECEIVABLES, UW MEDICINE/NORTHWEST WILL FILE ARTICLES OF DISSOLUTION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6, VOLUNTEERS:HOSPITAL VOLUNTEERS PERFORM MANY NON-TECHNICAL SERVICES IN SUPPORT OF PATIENT CARE AND OTHER DEPARTMENTS. THEY ACT AS IN-HOUSE COURIERS, HELP RUN THE GIFT SHOP, WORK THE GREETER DESK AND ASSIST STAFF AS NEEDED. THE HOSPITAL HAD 147 VOLUNTEERS. IN ADDITION, THERE ARE 9 VOLUNTEER BOARD MEMBERS.
FORM 990, PART III, LINE 3EFFECTIVE JANUARY 1, 2020, UW MEDICINE/NORTHWEST WAS INTEGRATED INTO UW MEDICAL CENTER (UWMC), A DEPARTMENT OF THE UNIVERSITY OF WASHINGTON, AS ITS SECOND CAMPUS AND ITS ASSETS AND LIABILITIES WERE TRANSFERRED TO UWMC. UW MEDICINE/NORTHWEST CEASED HOSPITAL OPERATIONS AND IS IN THE PROCESS OF WINDING UP FOR DISSOLUTION OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 2PAUL RAMSEY, MD, IS THE CEO OF UW MEDICINE, EXECUTIVE VICE PRESIDENT FOR MEDICAL AFFAIRS AND DEAN OF THE SCHOOL OF MEDICINE, UNIVERSITY OF WASHINGTON. THE FOLLOWING INDIVIDUALS ARE ALSO EMPLOYED BY THE UNIVERSITY OF WASHINGTON AND REPORT DIRECTLY OR INDIRECTLY TO DR. RAMSEY IN THAT CAPACITY: LISA BRANDENBURG, JACQUELINE CABE, CYNTHIA HECKER, GEOFF AUSTIN, JOHN LANG, MAUREEN BROOM, TOM STAIGER, CYNTHIA SAYRE, JENNIFER HERRMAN, SUSAN MANFREDI, JEFF RICHEY, KERI NASENBERRY, TERI OSBORNE, SETH HENNESSEY, AND ADAM PARCHER.
FORM 990, PART VI, SECTION A, LINE 4AS A RESULT OF THE INTEGRATION OF UW MEDICINE/NORTHWEST INTO UW MEDICAL CENTER, AT ITS LAST MEETING IN DECEMBER 2019, THE UW MEDICINE/NORTHWEST BOARD OF TRUSTEES REDUCED ITS SIZE TO THREE MEMBERS, EFFECTIVE JANUARY 1, 2020.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF UW MEDICINE/NORTHWEST (DBA NORTHWEST HOSPITAL & MEDICAL CENTER) IS THE UNIVERSITY OF WASHINGTON.
FORM 990, PART VI, SECTION A, LINE 7APER THE BYLAWS, THE MEMBER APPOINTS AND REMOVES THE TRUSTEES ON NOMINATION BY THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BPER THE BYLAWS, THE MEMBER HAS MANY RESERVE POWERS INCLUDING, BUT NOT LIMITED TO, APPROVALS OF SALES OR TRANSFERS OF ASSETS; APPOINTMENT OF AUDITORS; ESTABLISHMENT OF SUBSIDIARY, AFFILIATED OR RELATED ENTITIES; APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS; ADOPTION OF MERGER, CONSOLIDATION OR DISSOLUTION PLAN; APPROVAL OF ACQUISITION OR TRANSFER OF REAL PROPERTY.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY UW MEDICINE/NORTHWEST'S LEGAL COUNSEL AS WELL AS THE ENTERPRISE FINANCE OFFICER AND ASSOCIATE VICE PRESIDENT OF UW MEDICINE FOR ACCURACY AND COMPLETENESS. ONCE COMPLETED, A COPY OF THE FORM 990 IS SUBMITTED TO THE FINANCE COMMITTEE AND UW MEDICINE/NORTHWEST'S BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CNWHMC ADMINISTERS AN ANNUAL CONFLICT OF INTEREST SURVEY TO ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES. COMPLETED SURVEYS ARE THEN REVIEWED BY LEGAL COUNSEL TO DETERMINE WHETHER ANY FACTS EXIST THAT CREATE A POTENTIAL CONFLICT OF INTEREST. ANY IDENTIFIED CONFLICTS OF INTEREST ARE DISCLOSED IN THE BOARD MINUTES AND ALL DISCLOSURES ARE MADE AVAILABLE TO THE ENTIRE BOARD. WHEN A CONFLICT OF INTEREST DOES ARISE, THOSE INDIVIDUALS ARE REQUIRED BY THE CONFLICT OF INTEREST POLICY TO ABSTAIN FROM VOTING ON MATTERS THAT PERTAIN TO THE ISSUE.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GPHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,369,911. MANAGEMENT AND GENERAL EXPENSES 23,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,393,511. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 1,564,976. MANAGEMENT AND GENERAL EXPENSES 16,932. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,581,908. PURCHASED SERVICES WITH RELATED PARTIES: PROGRAM SERVICE EXPENSES 4,192,590. MANAGEMENT AND GENERAL EXPENSES 9,789,300. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,981,890. MEDICAL EQUIPMENT MAINT: PROGRAM SERVICE EXPENSES 1,659,016. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,659,016. OTHER SERVICES: PROGRAM SERVICE EXPENSES 9,347,351. MANAGEMENT AND GENERAL EXPENSES 1,148,284. FUNDRAISING EXPENSES 10,249. TOTAL EXPENSES 10,505,884.
FORM 990, PART XI, LINE 9:TRANSFER OF NET ASSETS TO UW MEDICAL CENTER 30,615,707. SUMMIT EQUITY TRANSFER -10,158.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NORTHWEST ENT ASSOCIATES TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133456906738GRANTOR TRUSTWA$9,735$0UW MEDICINENORTHWEST
NORTHWEST HOSPITAL INPATIENT SERVICES TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133266173905GRANTOR TRUSTWA$1,989,541$0UW MEDICINENORTHWEST
UW-MEDICINE NORTHWEST PHYSICIANS
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133466199109GRANTOR TRUSTWA$27,146,946$0UW MEDICINENORTHWEST

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
THE ASSOCIATION OF UNIVERSITY PHYSICIANS
701 5TH AVENUE SUITE 700SEATTLEWA98104911220843MEDICAL PRACTICEWA501(C)(3)LINE 12A, IUNIVERSITY OF WASHINGTON0
UW PHYSICIANS NETWORK
MS 354943SEATTLEWA98195911715882MEDICAL PRACTICEWA501(C)(3)LINE 12A, IUNIVERSITY OF WASHINGTON0
UNIVERSITY OF WASHINGTON
1959 NE PACIFIC STREETSEATTLEWA98195916001537EDUCATION AND MEDICAL CAREWAGOVERNMENTN/A0N/A
PUBLIC HOSPITAL DISTRICT NO 1 OF KING CO WA (DBA VALLEY MEDICAL CENTER)
400 SOUTH 43RD STREETRENTONWA980555010916000986HOSPITALWAGOVERNMENTN/AUNIVERSITY OF WASHINGTON0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SUMMIT CARDIOLOGYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREET MS PZ-506AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd
FieldValueIRS element (for citing)
EIN273492322EIN
Primary ActivitiesOFFICES OF PHYSICIANSPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UW MEDICINE NORTHWESTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$2,250,924ShareOfTotalIncomeAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SUMMIT CARDIOLOGY
A$4,188ACTUAL COST
SUMMIT CARDIOLOGY
B$2,047,557ACTUAL COST
SUMMIT CARDIOLOGY
K$267,198ACTUAL COST
SUMMIT CARDIOLOGY
L$626,410ACTUAL COST
SUMMIT CARDIOLOGY
M$138,635ACTUAL COST
SUMMIT CARDIOLOGY
Q$399,041ACTUAL COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE R, PART V:FormAndLineReferenceDesc
ExplanationUW MEDICINE/NORTHWEST ENGAGES IN A NUMBER OF TRANSACTIONS WITH RELATED PARTIES. THE UNIVERSITY OF WASHINGTON PROVIDES VARIOUS LEVELS OF SERVICES TO NORTHWEST HOSPITAL INCLUDING BUT NOT LIMITED TO: LABORATORY, PHARMACY, AND CARDIOVASCULAR PROGRAM ADMINISTRATION, RESIDENT, AND FACULTY SUPPORT, INFORMATION TECHNOLOGY, ADVANCEMENT, COMPLIANCE, COMMUNITY RELATIONS STAFFING, MEDICAL STAFF OVERSIGHT, MARKETING, PROFESSIONAL LIABILITY INSURANCE, AND OTHER ADMINISTRATIVE AND OPERATIONAL SERVICES. SIMILARLY, UW MEDICINE/NORTHWEST PROVIDES CERTAIN SERVICES SUCH AS RENTAL OF MEDICAL OFFICE BUILDING SPACE TO THE UNIVERSITY OF WASHINGTON AND ITS AFFILIATES. UW MEDICINE/NORTHWEST ALSO ENGAGES IN A NUMBER OF TRANSACTIONS WITH ITS SUBSIDIARIES. THESE TRANSACTIONS ARE PRIMARILY FOR THE LEASE OF MEDICAL OFFICE SPACE, PURCHASE OF MEDICAL SERVICES, AND OTHER ADMINISTRATIVE AND OPERATIONAL NEEDS.ExplanationTxt