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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-12T10:59:38-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1400 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910637400 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UW MEDICINENORTHWEST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UWME | BusinessNameControlTxt |
| Phone | 2065986300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET NO D-180 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98133 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CYNTHIA HECKER | PersonNm |
| Person Title | CEO, UW MEDICAL CENTER | PersonTitleTxt |
| Phone | 2065986300 | PhoneNum |
| Signature | 2021-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SARA ELIZABETH J HYRE | PreparerPersonNm |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Preparation | 2021-05-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL & MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CYNTHIA HECKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET NO D-180 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98133 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $233,175,994 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UWMEDICINE.ORG/LOCATIONS/NORTHWEST-HOSPITAL | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1949 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | UW MEDICINE/NORTHWEST IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 2774 | TotalEmployeeCnt |
| Total Volunteers | 156 | TotalVolunteersCnt |
| Total Gross UBI | $75,387 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$3,115 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $563,529 | PYContributionsGrantsAmt |
| CY Contributions Grants | $935,418 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $368,905,006 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $177,012,267 | CYProgramServiceRevenueAmt |
| PY Investment Income | $517,764 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,593,070 | CYInvestmentIncomeAmt |
| PY Other Revenue | $14,911,682 | PYOtherRevenueAmt |
| CY Other Revenue | $9,143,548 | CYOtherRevenueAmt |
| PY Total Revenue | $384,897,981 | PYTotalRevenueAmt |
| CY Total Revenue | $190,684,303 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,465,282 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,235,283 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $205,759,577 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $106,116,615 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $17,199 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $10,474 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $212,840,271 | PYOtherExpensesAmt |
| CY Other Expenses | $111,393,704 | CYOtherExpensesAmt |
| PY Total Expenses | $424,082,329 | PYTotalExpensesAmt |
| CY Total Expenses | $220,745,602 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$39,184,348 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$30,061,299 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $221,962,112 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $218,967,051 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,995,061 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $200,838,546 | ExpenseAmt |
| Grant | $3,235,283 | GrantAmt |
| Revenue | $178,245,945 | RevenueAmt |
| Desc | EFFECTIVE 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 | $200,838,546 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | Yes (1) | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 174 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2774 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAUREEN BROOM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2065985362 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4333 BROOKLYN AVENUE | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98195 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL LAZAR MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $1,742,264 | $0 | $38,423 | ||||
| LISA BRANDENBURG | ||||||||||
| PRES. OF HOSP & CLINICS, UW MEDICINE | 0.00 | 40.00 | $0 | $955,018 | $137,441 | Yes (X) | ||||
| PAUL RAMSEY | ||||||||||
| CEO, UW MEDICINE | 0.00 | 40.00 | $0 | $951,299 | $75,490 | Yes (X) | ||||
| JACQUELINE CABE | ||||||||||
| CFO, UW MEDICINE | 0.00 | 40.00 | $0 | $821,563 | $68,403 | Yes (X) | ||||
| CYNTHIA HECKER | ||||||||||
| EXECUTIVE DIRECTOR | 0.00 | 40.00 | $0 | $721,732 | $107,201 | Yes (X) | ||||
| PAUL HAYES RN | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | $0 | $669,263 | $65,977 | Yes (X) | ||||
| STEVEN HOUSTON MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $692,675 | $0 | $26,027 | ||||
| CHRISTIAN PETERSON DO | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $544,417 | $0 | $38,356 | ||||
| GEOFF AUSTIN | ||||||||||
| CHIEF OPERATING OFFICER | 0.00 | 40.00 | $0 | $508,931 | $56,269 | Yes (X) | ||||
| JOHN LANG MD | ||||||||||
| CLIN ADMIN, PERIOP SERV, UW CAMPUS | 0.00 | 40.00 | $0 | $467,896 | $91,436 | Yes (X) | ||||
| MAUREEN BROOM | ||||||||||
| SECRETARY/TREASURER | 0.00 | 40.00 | $0 | $452,500 | $47,077 | Yes (X) | ||||
| WILLIAM EHNI MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $396,567 | $0 | $39,116 | ||||
| CAROL SALERNO MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $422,143 | $0 | $10,147 | ||||
| SANTIAGO NEME MD | ||||||||||
| MEDICAL DIR., NORTHWEST CAMPUS | 40.00 | 0.00 | $406,345 | $0 | $19,691 | Yes (X) | ||||
| MARY HORAN MD | ||||||||||
| FORMER KEY EMPLOYEE | 40.00 | 0.00 | $364,403 | $0 | $20,791 | Yes (X) | ||||
| TOM STAIGER MD | ||||||||||
| MEDICAL DIRECTOR, UW CAMPUS | 0.00 | 40.00 | $0 | $324,974 | $44,215 | Yes (X) | ||||
| CYNTHIA SAYRE | ||||||||||
| CHIEF NURSING OFFICER | 0.00 | 40.00 | $0 | $318,901 | $43,405 | Yes (X) | ||||
| JACOB FLEET | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | $284,787 | $0 | $38,523 | Yes (X) | ||||
| EDUARDO MARGO MD | ||||||||||
| FORMER KEY EMPLOYEE | 40.00 | 0.00 | $304,603 | $0 | $17,892 | Yes (X) | ||||
| JUSTIN ROTHMIER MD | ||||||||||
| FORMER KEY EMPLOYEE | 40.00 | 0.00 | $296,715 | $0 | $18,781 | Yes (X) | ||||
| PAMELA RENNA | ||||||||||
| ASSOC. ADMIN, STRAT. PLAN. & FACIL | 40.00 | 0.00 | $280,043 | $0 | $21,353 | Yes (X) | ||||
| ADAM PARCHER | ||||||||||
| ASSOC ADMIN, QUALITY, SAFETY, VALUE BASED CARE | 0.00 | 40.00 | $16,164 | $238,124 | $43,561 | Yes (X) | ||||
| JENNIFER HERRMAN | ||||||||||
| ASSOC ADMIN, AMBULATORY CARE | 0.00 | 40.00 | $0 | $261,483 | $32,783 | Yes (X) | ||||
| TERENCE QUIGLEY | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | $270,872 | $0 | $19,373 | Yes (X) | ||||
| SUSAN MANFREDI | ||||||||||
| CHIEF NURSING OFFICER | 40.00 | 0.00 | $0 | $257,803 | $30,058 | Yes (X) | ||||
| JEFF RICHEY | ||||||||||
| ASSOC ADMIN, ESSENTIAL SERVICES | 0.00 | 40.00 | $0 | $250,677 | $33,665 | Yes (X) | ||||
| KERI NASENBERRY | ||||||||||
| ASSOCIATE CHIEF NURSING OFFICER | 0.00 | 40.00 | $0 | $205,239 | $33,826 | Yes (X) | ||||
| TERI OSBORNE | ||||||||||
| FINANCE SITE LEAD | 0.00 | 40.00 | $0 | $193,711 | $40,149 | Yes (X) | ||||
| JOANNE MCDANIELS | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | $0 | $189,734 | $33,602 | Yes (X) | ||||
| SETH HENNESSEY | ||||||||||
| ASSIST. ADMIN, BUSINESS DEVELOPMENT | 40.00 | 0.00 | $0 | $180,451 | $29,422 | Yes (X) | ||||
| GREGORY SCHROEDL MD | ||||||||||
| FORMER OFFICER | 0.00 | 40.00 | $65,282 | $121,730 | $22,545 | Yes (X) | ||||
| SCOTT HARDMAN | ||||||||||
| TRUSTEE | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| JIM C SNYDER | ||||||||||
| CHAIR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| PETER EVANS | ||||||||||
| TRUSTEE (THRU 12/31/19) | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| WILLIAM J REX | ||||||||||
| TRUSTEE (THRU 12/31/19) | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| SHAIZA DAMJI | ||||||||||
| TRUSTEE (THRU 12/31/19) | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| TERRY LENGFELDER | ||||||||||
| TRUSTEE (THRU 12/31/19) | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| TOM TURNURE | ||||||||||
| TRUSTEE | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| JIM ANDERSON | ||||||||||
| TRUSTEE (THRU 12/31/19) | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| MARIAN SVINTH | ||||||||||
| TRUSTEE (THRU 12/31/19) | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,087,280 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,091,029 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,344,998 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 101 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UNIVERSITY OF WASHINGTON | |||||
| 4333 BROOKLYN AVE NE | SEATTLE | WA | 98195 | HEALTHCARE SERVICES | $28,813,907 |
| EMERGENCY SERVICES NW | |||||
| 933 N NORTHLAKE WAY SLIP 12 | SEATTLE | WA | 98103 | HEALTHCARE SERVICES | $3,444,910 |
| WOUND CARE CENTERS INC | |||||
| 28525 NETWORK PL | CHICAGO | IL | 60673 | HEALTHCARE SERVICES | $1,427,306 |
| TYCO HEALTHCARE GROUP LP | |||||
| PO BOX 120823 | DALLAS | TX | 75312 | HEALTHCARE SERVICES | $1,096,345 |
| NORTHWEST NASAL SINUS CENTER | |||||
| 3100 CARILLON POINT | KIRKLAND | WA | 98033 | HEALTHCARE SERVICES | $912,010 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,500 | GovernmentGrantsAmt |
| All Other Contributions | $926,918 | AllOtherContributionsAmt |
| Total Contributions | $935,418 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT FEES | 622110 | $160,362,077 | $160,286,690 | $75,387 |
| OTHER HEALTHCARE SRVCS | 622110 | $16,650,190 | $16,650,190 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $177,012,267 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $386,705 | TotalRevenueColumnAmt |
| Exclusion | $386,705 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,900,410 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,425,450 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,474,960 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,474,960 | TotalRevenueColumnAmt |
| Exclusion | $1,474,960 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $44,230,572 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $40,027,874 | SecuritiesAmt |
| Other | $996,333 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,202,698 | SecuritiesAmt |
| Other | -$996,333 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,206,365 | TotalRevenueColumnAmt |
| Exclusion | $3,206,365 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $64,068 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $42,034 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,034 | TotalRevenueColumnAmt |
| Exclusion | $22,034 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PARKING | 812930 | $1,309,065 | $1,309,065 | |
| DAY CARE REVENUES | 624410 | $597,296 | $597,296 | |
| ESPRESSO SERVICES | 722210 | $503,561 | $503,561 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,236,632 | TotalRevenueColumnAmt |
| Exclusion | $5,236,632 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,646,554 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $190,684,303 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $178,245,945 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $75,387 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,427,553 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,235,283 | TotalAmt |
| Program Services | $3,235,283 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,469 | TotalAmt |
| Program Services | $223,652 | ProgramServicesAmt |
| Management And General | $171,817 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $755,901 | TotalAmt |
| Program Services | $755,901 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,140,240 | TotalAmt |
| Program Services | $83,041,212 | ProgramServicesAmt |
| Management And General | $3,099,028 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,853,011 | TotalAmt |
| Program Services | $2,750,370 | ProgramServicesAmt |
| Management And General | $102,641 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,972,604 | TotalAmt |
| Program Services | $9,651,838 | ProgramServicesAmt |
| Management And General | $320,766 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,999,390 | TotalAmt |
| Program Services | $5,783,553 | ProgramServicesAmt |
| Management And General | $215,837 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $390,473 | TotalAmt |
| Management And General | $390,473 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,382 | TotalAmt |
| Management And General | $178,382 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,807 | TotalAmt |
| Management And General | $41,807 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,122,209 | TotalAmt |
| Program Services | $18,133,844 | ProgramServicesAmt |
| Management And General | $10,978,116 | ManagementAndGeneralAmt |
| Fundraising | $10,249 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,773 | TotalAmt |
| Program Services | $27,761 | ProgramServicesAmt |
| Management And General | $5,012 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,862,759 | TotalAmt |
| Program Services | $4,257,630 | ProgramServicesAmt |
| Management And General | $1,605,129 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,524,172 | TotalAmt |
| Program Services | $9,192,197 | ProgramServicesAmt |
| Management And General | $331,975 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,862 | TotalAmt |
| Management And General | $29,862 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,110,251 | TotalAmt |
| Program Services | $4,911,004 | ProgramServicesAmt |
| Management And General | $199,247 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,799 | TotalAmt |
| Program Services | $159,488 | ProgramServicesAmt |
| Management And General | $6,311 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,587,390 | TotalAmt |
| Management And General | $1,587,390 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,387,156 | TotalAmt |
| Program Services | $6,137,994 | ProgramServicesAmt |
| Management And General | $249,162 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $974,599 | TotalAmt |
| Program Services | $951,554 | ProgramServicesAmt |
| Management And General | $23,045 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,075 | TotalAmt |
| Program Services | $96,314 | ProgramServicesAmt |
| Management And General | $61,536 | ManagementAndGeneralAmt |
| Fundraising | $225 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,745,602 | TotalAmt |
| Program Services | $200,838,546 | ProgramServicesAmt |
| Management And General | $19,896,582 | ManagementAndGeneralAmt |
| Fundraising | $10,474 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,605,348 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,057,307 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,917,224 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,021,034 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,418,658 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,272,294 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,875,313 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,765,283 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,208,428 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,345 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,756,878 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,962,112 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,815,280 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,498 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,364,640 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,632,633 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,967,051 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$27,800 | BOYAmt |
| EOY | $0 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,022,861 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,995,061 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,962,112 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$30,061,299 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,539,311 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $30,605,549 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,349,312 | BeginningYearBalanceAmt |
| Contributions | $150,000 | ContributionsAmt |
| Investment Earnings Or Losses | $12,629 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,511,941 | OtherExpendituresAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,379,971 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $57,606 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $21,351 | GrantsOrScholarshipsAmt |
| Other Expenditures | $66,914 | OtherExpendituresAmt |
| End Year Balance | $2,349,312 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,085,733 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $379,666 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $20,665 | GrantsOrScholarshipsAmt |
| Other Expenditures | $64,763 | OtherExpendituresAmt |
| End Year Balance | $2,379,971 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,926,505 | BeginningYearBalanceAmt |
| Contributions | $159,228 | ContributionsAmt |
| End Year Balance | $2,085,733 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $1,943,293 | ContributionsAmt |
| Investment Earnings Or Losses | -$16,788 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,926,505 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,169,059 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,566 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,114,493 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01460 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,080,969 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,983,668 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,097,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06590 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,250,028 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,038,234 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,211,794 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08050 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $235,863 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $235,863 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,449,408 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $449,642 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $999,766 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,143,947 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,739,758 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,404,189 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07670 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,750 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,803 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,803 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,852,771 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,189,400 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,663,371 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08260 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,102,799 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $47,227,634 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,875,165 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16310 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,443,405 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $46,373,953 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $67,862,677 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$21,488,724 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL & MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98133 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.UWMEDICINE.ORG/LOCATIONS/ | WebsiteAddressTxt |
| State License | H-130 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL & MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SECTION C REFERENCE TO 7D FOR FULL WEBSITE ADDRESS | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SECTION C REFERENCE TO LINE 11 FOR FULL WEBSITE ADDRESS | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.UWMEDICINE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.UWMEDICINE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.UWMEDICINE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NORTHWEST HOSPITAL & MEDICAL CENTER | PART 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 CENTER | PART V, SECTION B, LINE 7D: WWW.UWMEDICINE.ORG/PATIENT-RESOURCES/PATIENT-RIGHTS-AND-RESPONSIBILITIES/2019-CHNA |
| NORTHWEST HOSPITAL & MEDICAL CENTER | PART 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 CENTER | PART 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 CENTER | PART 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 36 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (36 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - VIA RADIOLOGY - MERIDIAN PAVILION | ||||
| 10700 MERIDIAN AVE N SUITE 505 | SEATTLE | WA | 98133 | OUTPATIENT IMAGING CENTER |
| 2 - MERIDIAN WOMEN'S HEALTH | ||||
| 10330 MERIDIAN AVE N SUITE 200 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 3 - NW PRIMARY CARE OUTPATIENT MED CTR | ||||
| 10330 MERIDIAN AVE N SUITE 230 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 4 - NW PRIMARY CARE LAKE FOREST PARK | ||||
| 17191 BOTHELL WY NE SUITE 204 | SEATTLE | WA | 98155 | OUTPATIENT CLINIC |
| 5 - NORTH SEATTLE SURGERY CENTER | ||||
| 10330 MERIDIAN AVE N | SEATTLE | WA | 98133 | AMBULATORY SURGERY CENTER |
| 6 - NORTHWEST ENT ASSOCIATES | ||||
| 1536 N 115TH ST SUITE 340 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 7 - SURGICAL SERVICES & HERNIA CENTER | ||||
| 1560 N 115TH ST SUITE 102 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 8 - NORTHWEST MEDICAL SPECIALTIES | ||||
| 1560 N 115TH ST SUITE 206 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 9 - NORTHWEST RESPIRATORY ASSOCIATES | ||||
| 1560 N 115TH ST SUITE 207 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 10 - WOMEN'S CANCER CARE OF SEATTLE | ||||
| 1560 N 115TH ST SUITE 101 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 11 - NORTHWEST HOSPITAL MIDWIVES CLINIC | ||||
| 10330 MERIDIAN AVE N SUITE 190 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 12 - NORTHWEST PRIMARY CARE MAIN CAMPUS | ||||
| 1560 N 115TH ST SUITE 110 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 13 - NW OTOLARYNGOLOGY | ||||
| 10330 MERIDIAN AVE N SUITE 270 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 14 - NORTHWEST NEUROLOGY | ||||
| 1536 N 115TH ST SUITE 330 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 15 - NORTHWEST HOSPITAL WOUND CARE CENTER | ||||
| 1560 N 115TH ST SUITE 201 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 16 - INTERNAL MEDICINE CONSULT CLINIC | ||||
| 1536 N 115TH ST SUITE 300 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 17 - NORTHWEST PRIMARY CARE FREMONT | ||||
| 400 N 34TH STREET SUITE 203 | SEATTLE | WA | 98103 | OUTPATIENT CLINIC |
| 18 - ADVANCED MANUAL THERAPY | ||||
| 1455 NW LEARY WAY SUITE 150 | SEATTLE | WA | 98107 | OUTPATIENT CLINIC |
| 19 - ADVANCED MANUAL THERAPY | ||||
| 10330 MERIDIAN AVE N SUITE 380 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 20 - MERIDIAN WOMEN'S HEALTH | ||||
| 1560 N 115TH ST SUITE 212 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 21 - MERIDIAN WOMEN'S HEALTH | ||||
| 1455 NW LEARY WAY SUITE 250 | SEATTLE | WA | 98107 | OUTPATIENT CLINIC |
| 22 - NW INFECTIOUS DISEASE & TRAVEL CLINIC | ||||
| 1550 N 115TH ST MS D-101 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 23 - NORTHWEST NEUROSURGERY | ||||
| 1560 N 115TH ST SUITE 209 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 24 - NORTHWEST NEUROSURGERY | ||||
| 808 N 5TH AVE | SEQUIM | WA | 98382 | OUTPATIENT CLINIC |
| 25 - NORTHWEST ENDOCRINOLOGY | ||||
| 11011 MERIDIAN AVE NORTH SUITE 201 | SEATTLE | WA | 98125 | OUTPATIENT CLINIC |
| 26 - THE SEATTLE ARTHRITIS CLINIC | ||||
| 10330 MERIDIAN AVE N SUITE 250 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 27 - THE SPORTS MEDICINE CLINIC | ||||
| 10330 MERIDIAN AVE N SUITE 300 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 28 - THE SPORTS MEDICINE CLINIC | ||||
| 1455 NW LEARY WAY STE350 | SEATTLE | WA | 98107 | OUTPATIENT CLINIC |
| 29 - UW MEDICINE KIDNEY STONE CENTER | ||||
| 1536 N 115TH ST SUITE 300 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 30 - NORTHWEST PRIMARY CARE NORTH SEATTLE | ||||
| 11011 MERIDIAN AVE N STE 201 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 31 - UROLOGY NORTHWEST | ||||
| 6005 244TH ST SW STE 111 | MONTLAKE TERRACE | WA | 98043 | OUTPATIENT CLINIC |
| 32 - UW MEDICINE NW JOINT & HAND CLINIC | ||||
| 11011 MERIDIAN AVE N STE 201 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 33 - MERIDIAN WOMEN'S HEALTH | ||||
| 15808 MILL CREEK BLVD 200 | MILL CREEK | WA | 98012 | OUTPATIENT CLINIC |
| 34 - UW BREAST PLASTIC & AESTHETICS CLINIC | ||||
| 1560 N 115TH ST SUITE G-10 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| 35 - NORTHWEST HEART INSTITUTE-MILL CREEK | ||||
| 1025 153RD ST SE STE 200 | MILL CREEK | WA | 98012 | OUTPATIENT CLINIC |
| 36 - NW VASCULAR & ENDOVASCULAR CLINIC | ||||
| 1560 N 115TH ST SUITE 102 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ASSOCIATION OF UNIVERSITY PHYSICIANS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 5TH AVENUE SUITE 700 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 911220843 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $3,235,283 | CashGrantAmt |
| Valuation Method Used | N/A | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
| Purpose Of Grant | INSTITUTIONAL SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMERGENCY SERVICES NORTHWEST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $1,116,993 | TransactionAmt |
| Transaction | SEE PART V | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE 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 PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY OF WASHINGTON | |||||||||
| INVESTMENTS | 2020-01-01 | $51,610,576 | BOOK VALUE OF ASSETS | 916001537 | 1959 NE PACIFIC STREET | SEATTLE | WA | 98195 | GOVERNMENT |
| UNIVERSITY OF WASHINGTON | |||||||||
| ACCOUNTS RECEIVABLE | 2020-01-01 | $43,661,291 | BOOK VALUE OF ASSETS | 916001537 | 1959 NE PACIFIC STREET | SEATTLE | WA | 98195 | GOVERNMENT |
| UNIVERSITY OF WASHINGTON | |||||||||
| SUPPLIES, OTHER ASSETS | 2020-01-01 | $12,718,717 | BOOK VALUE OF ASSETS | 916001537 | 1959 NE PACIFIC STREET | SEATTLE | WA | 98195 | GOVERNMENT |
| UNIVERSITY OF WASHINGTON | |||||||||
| PROPERTY, PLANT AND EQUIPMENT | 2020-01-01 | $97,424,566 | BOOK VALUE OF ASSETS | 916001537 | 1959 NE PACIFIC STREET | SEATTLE | WA | 98195 | GOVERNMENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | Yes (1) | DirectorOfSuccessorInd |
| Employee Of Successor | Yes (1) | EmployeeOfSuccessorInd |
| Owner Of Successor | 0 | OwnerOfSuccessorInd |
| Receive Compensation | 0 | ReceiveCompensationInd |
| Assets Distributed | Yes (1) | AssetsDistributedInd |
| Required To Notify AG | Yes (1) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (1) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (1) | LiabilitiesPaidInd |
| Bonds Outstanding | 0 | BondsOutstandingInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 3 | EFFECTIVE 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 2 | PAUL 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 4 | AS 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 6 | THE SOLE MEMBER OF UW MEDICINE/NORTHWEST (DBA NORTHWEST HOSPITAL & MEDICAL CENTER) IS THE UNIVERSITY OF WASHINGTON. |
| FORM 990, PART VI, SECTION A, LINE 7A | PER THE BYLAWS, THE MEMBER APPOINTS AND REMOVES THE TRUSTEES ON NOMINATION BY THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | PER 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 11B | THE 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 12C | NWHMC 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 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST ENT ASSOCIATES TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456906738 | GRANTOR TRUST | WA | $9,735 | $0 | UW MEDICINENORTHWEST |
| NORTHWEST HOSPITAL INPATIENT SERVICES TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266173905 | GRANTOR TRUST | WA | $1,989,541 | $0 | UW MEDICINENORTHWEST |
| UW-MEDICINE NORTHWEST PHYSICIANS | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 466199109 | GRANTOR TRUST | WA | $27,146,946 | $0 | UW MEDICINENORTHWEST |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE ASSOCIATION OF UNIVERSITY PHYSICIANS | |||||||||||
| 701 5TH AVENUE SUITE 700 | SEATTLE | WA | 98104 | 911220843 | MEDICAL PRACTICE | WA | 501(C)(3) | LINE 12A, I | UNIVERSITY OF WASHINGTON | 0 | |
| UW PHYSICIANS NETWORK | |||||||||||
| MS 354943 | SEATTLE | WA | 98195 | 911715882 | MEDICAL PRACTICE | WA | 501(C)(3) | LINE 12A, I | UNIVERSITY OF WASHINGTON | 0 | |
| UNIVERSITY OF WASHINGTON | |||||||||||
| 1959 NE PACIFIC STREET | SEATTLE | WA | 98195 | 916001537 | EDUCATION AND MEDICAL CARE | WA | GOVERNMENT | N/A | 0 | N/A | |
| PUBLIC HOSPITAL DISTRICT NO 1 OF KING CO WA (DBA VALLEY MEDICAL CENTER) | |||||||||||
| 400 SOUTH 43RD STREET | RENTON | WA | 980555010 | 916000986 | HOSPITAL | WA | GOVERNMENT | N/A | UNIVERSITY OF WASHINGTON | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUMMIT CARDIOLOGY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET MS PZ-506 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98133 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273492322 | EIN |
| Primary Activities | OFFICES OF PHYSICIANS | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UW MEDICINE NORTHWEST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $2,250,924 | ShareOfTotalIncomeAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SUMMIT CARDIOLOGY | ||
| A | $4,188 | ACTUAL COST |
| SUMMIT CARDIOLOGY | ||
| B | $2,047,557 | ACTUAL COST |
| SUMMIT CARDIOLOGY | ||
| K | $267,198 | ACTUAL COST |
| SUMMIT CARDIOLOGY | ||
| L | $626,410 | ACTUAL COST |
| SUMMIT CARDIOLOGY | ||
| M | $138,635 | ACTUAL COST |
| SUMMIT CARDIOLOGY | ||
| Q | $399,041 | ACTUAL COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE R, PART V: | FormAndLineReferenceDesc |
| Explanation | UW 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 |