SEATTLE CHILDRENS HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SEATTLE CHILDRENS HOSPITAL (EIN 91-0564748)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-12
IRS object ID: 201922249349301132
Schema version: 2017v2.3
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 C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-12T10:42:52-05:00	ReturnTs
Tax Period End	2018-09-30	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	2017-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	910564748	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SEAT	BusinessNameControlTxt
Phone	2069874846	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981455005	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SUZANNE BEITEL	PersonNm
Person Title	SENIOR VP & CFO	PersonTitleTxt
Phone	2069874846	PhoneNum
Signature	2019-08-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JANE M SEARING	PreparerPersonNm
PTIN	P00000565	PTIN
Phone	4254544919	PhoneNum
Preparation	2019-08-07	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	65.158.230.194	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-08-09	IPDt
IP Tm	14:29:25	IPTm
IP Timezone	PD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	A8F8671919AEAF184819608176B45343F82BD7C9	AtSubmissionCreationDeviceId
At Submission Filing Device Id	A8F8671919AEAF184819608176B45343F82BD7C9	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JEFF SPERRING MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981455005	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,918,554,466	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	8041	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SEATTLECHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1907	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	WE PROVIDE HOPE, CARE & CURES TO HELP EVERY CHILD LIVE THE HEALTHIEST & MOST FULFULLING LIFE POSSIBLE	ActivityOrMissionDesc
Voting Members Governing Body	22	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	8253	TotalEmployeeCnt
Total Volunteers	833	TotalVolunteersCnt
Total Gross UBI	$968,816	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,828,973	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$166,489,706	PYContributionsGrantsAmt
CY Contributions Grants	$246,106,645	CYContributionsGrantsAmt
PY Program Service Revenue	$1,218,349,780	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,420,371,215	CYProgramServiceRevenueAmt
PY Investment Income	$63,333,183	PYInvestmentIncomeAmt
CY Investment Income	$80,657,746	CYInvestmentIncomeAmt
PY Other Revenue	$12,799,943	PYOtherRevenueAmt
CY Other Revenue	$12,431,557	CYOtherRevenueAmt
PY Total Revenue	$1,460,972,612	PYTotalRevenueAmt
CY Total Revenue	$1,759,567,163	CYTotalRevenueAmt
PY Grants And Similar Paid	$23,637,303	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$21,963,717	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$651,862,879	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$733,807,731	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$620,789,690	PYOtherExpensesAmt
CY Other Expenses	$699,992,603	CYOtherExpensesAmt
PY Total Expenses	$1,296,289,872	PYTotalExpensesAmt
CY Total Expenses	$1,455,764,051	CYTotalExpensesAmt
PY Revenues Less Expenses	$164,682,740	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$303,803,112	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,259,202,142	TotalAssetsBOYAmt
Total Assets EOY	$3,605,274,314	TotalAssetsEOYAmt
Total Liabilities BOY	$999,839,495	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,035,707,026	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,259,362,647	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,569,567,288	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEATTLE CHILDREN'S HOSPITAL (SEATTLE CHILDREN'S) WILL BE AN INNOVATIVE LEADER IN PEDIATRIC HEALTH AND WELLNESS THROUGH OUR UNSURPASSED QUALITY, CLINICAL CARE, RELENTLESS SPIRIT OF INQUIRY, AND COMPASSION FOR CHILDREN AND THEIR FAMILIES. (CONTINUED ON SCHEDULE O.)OUR FOUNDING PROMISE TO THE COMMUNITY IS AS VALID TODAY AS IT WAS OVER A CENTURY AGO. WE WILL CARE FOR ALL CHILDREN IN OUR REGION, REGARDLESS OF THEIR FAMILY'S ABILITY TO PAY. WE WILL:- PRACTICE THE SAFEST, MOST ETHICAL AND EFFECTIVE MEDICAL CARE POSSIBLE.- DISCOVER NEW TREATMENTS AND CURES THROUGH BREAKTHROUGH RESEARCH.- PROMOTE HEALTHY COMMUNITIES WHILE REDUCING HEALTH DISPARITIES. (SEE THE COMMUNITY BENEFIT REPORT IN SCHEDULE O.)- EMPOWER OUR TEAM MEMBERS TO REACH THEIR HIGHEST POTENTIAL IN A RESPECTFUL WORK ENVIRONMENT.- EDUCATE AND INSPIRE THE NEXT GENERATION OF FACULTY, STAFF AND LEADERS.- BUILD ON A CULTURE OF PHILANTHROPY FOR PATIENT CARE AND RESEARCH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,126,232,679	ExpenseAmt
Grant	$2,630,595	GrantAmt
Revenue	$1,398,353,179	RevenueAmt
Desc	PATIENT CARE: SEATTLE CHILDREN'S PROVIDES SUPERIOR MEDICAL CARE TO CHILDREN FROM WASHINGTON, ALASKA, MONTANA AND IDAHO, SERVING THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. IN ADDITION, FAMILIES LIVING BEYOND OUR PRIMARY SERVICE REGION INCREASINGLY SEEK CARE FROM OUR WORLD-RENOWNED SPECIALISTS IN PROGRAMS SUCH AS CANCER, ORGAN TRANSPLANTS AND CRANIOFACIAL SPECIALTIES. IN FISCAL YEAR 2018, SEATTLE CHILDREN'S MEDICAL TEAM TREATED KIDS OF ALL AGES DURING 446,016 PATIENT VISITS, INCLUDING 16,951 ADMISSIONS TO THE HOSPITAL AND 50,644 VISITS TO OUR EMERGENCY DEPARTMENT. WE PERFORMED 16,667 DAY SURGERIES AND CARED FOR CHILDREN DURING 361,754 APPOINTMENTS IN OUTPATIENT CLINICS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$183,774,781	ExpenseAmt
Grant	$19,333,122	GrantAmt
Revenue	$20,883,770	RevenueAmt
Desc	RESEARCH: BECAUSE RESEARCH IS THE FOUNDATION OF SEATTLE CHILDREN'S MISSION TO DISCOVER NEW TREATMENT AND CURES, SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF SEATTLE CHILDRENS, INVESTED $43 MILLION IN RESEARCH DURING FISCAL YEAR 2018. SEATTLE CHILDREN'S RESEARCH INSTITUTE INVESTIGATORS ARE ADVANCING SCIENTIFIC UNDERSTANDING OF IMPORTANT BIOLOGICAL PROCESSES AND INFLUENCING THE PRACTICE OF PEDIATRICS AROUND THE WORLD.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$40,617,241	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$7,215,546	RevenueAmt
Desc	EDUCATION: SEATTLE CHILDREN'S IS THE MAJOR RESOURCE FOR PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAMS IN OUR REGION. RESIDENTS AND FELLOWS FROM 76 PROGRAMS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), 3 PROGRAMS ACCREDITED BY THE AMERICAN DENTAL ASSOCIATION (ADA), AND 9 NON-ACGME ACCREDITED SUBSPECIALTY PROGRAMS ROTATED AT SEATTLE CHILDREN'S IN ACADEMIC YEAR 2017-2018. SEATTLE CHILDREN'S HAS DEVELOPED CURRICULUM AND EVALUATION METHODS THAT ASSESS AND ASSURE RESIDENT COMPETENCY IN SIX MAIN AREAS: PATIENT CARE, MEDICAL KNOWLEDGE, PRACTICE-BASED LEARNING, INTERPERSONAL AND COMMUNICATIONS SKILLS, PROFESSIONALISM, AND SYSTEM-BASED PRACTICE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$3,289,609	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$169,825	RevenueAmt
Desc	CHILDREN'S CLINICALLY INTEGRATED NETWORK, DOING BUSINESS AS SEATTLE CHILDREN'S CARE NETWORK (SCCN), IS A LIMITED LIABILITY COMPANY ESTABLISHED BY SEATTLE CHILDREN'S TO DEVELOP, COORDINATE AND IMPLEMENT A CLINICALLY INTEGRATED PEDIATRIC PROVIDER NETWORK TO PROMOTE COLLABORATION AND MODIFY PRACTICE PATTERNS TO ENHANCE THE QUALITY AND COST EFFECTIVENESS OF PEDIATRIC CARE. SCCN CONTRIBUTES TO THE MISSION OF SEATTLE CHILDREN'S BY PROMOTING HEALTH THROUGH ITS PEDIATRIC ORGANIZED SYSTEM OF CARE THAT IMPROVES INTEGRATION, COORDINATION, QUALITY, SAFETY AND EFFICIENCY FOR BETTER OUTCOMES FOR PEDIATRIC PATIENTS WITHIN THE COMMUNITY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$3,289,609	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$169,825	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,353,914,310	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	Yes (1)	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	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	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	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	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	643	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	8253	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	22	GoverningBodyVotingMembersCnt
Independent Voting Member	20	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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	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	WARREN E HEWITT VP FINANCE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2069874846	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 ROOSEVELT WAY NE 5TH FLOOR	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981054718	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (54 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DEAN ALLEN
TRUSTEE	4.00	0.00	Yes (X)	$0	$0	$0
JOEL BENOLIEL
TREASURER	3.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
SUSAN BETCHER
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
JILL BRUBAKER MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
PAT CHAR
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MICHAEL DELMAN
TRUSTEE	4.00	0.00	Yes (X)	$0	$0	$0
ROY DIAZ PHD
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
COLIN FOX PHD
TRUSTEE	5.00	0.00	Yes (X)	$0	$0	$0
DEBORAH HAUG
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
JUDY HOLDER
TRUSTEE	4.00	0.00	Yes (X)	$0	$0	$0
CYNTHIA HUFFMAN
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
MONA LEE LOCKE
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
PATRICIA LOERA
SECRETARY	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
SUSAN MASK
CHAIR-ELECT	5.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
JEFF NITTA
TRUSTEE	4.00	0.00	Yes (X)	$0	$0	$0
JUDITH PIERCE
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
MICHAEL REEVES
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
NANCY SENSENEY
CHAIR	10.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
MICHELE SMITH
TRUSTEE	2.00	3.00	Yes (X)	$0	$0	$0
CHARLES STEVENS
TRUSTEE	4.00	0.00	Yes (X)	$0	$0	$0
MOYA VASQUEZ
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
ALVIN WINTERROTH
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
JEFF SPERRING MD
CEO/NON-VOTING EX OFFICIO TRUSTEE	42.00	13.00		$870,720	$288,680	$255,556	Yes (X)
KELLY WALLACE
SENIOR VP & CFO THRU DEC 2017	41.00	14.00		$504,249	$163,546	$120,155	Yes (X)
SUZANNE BEITEL
SENIOR VP & CHIEF FINANCIAL OFFICER	41.00	14.00		$96,739	$30,286	$8	Yes (X)
SANFORD MELZER MD
EXEC VP-NETWORKS & POPULATION HEALTH	55.00	0.00		$679,923	$119,556	$142,440		Yes (X)
MARK DEL BECCARO MD
SR VP-CHIEF MED OFF/NON-VOTING TRUST	55.00	0.00		$622,316	$0	$99,172		Yes (X)
JAMES HENDRICKS PHD
PRESIDENT - RESEARCH INSTITUTE	55.00	0.00		$513,553	$0	$105,446		Yes (X)
MICHAEL MURPHY
VP - ACC CARE & EXEC DIRECTOR SCCN	55.00	0.00		$467,948	$0	$36,547		Yes (X)
STEPHANIE AXELROD
VP - COMM & STRATEGIC INITIATIVES	55.00	0.00		$510,595	$0	$15,166		Yes (X)
CINDY GAZECKI
SENIOR VP - HOSPITAL OPERATIONS	55.00	0.00		$461,193	$0	$100,600		Yes (X)
RUSSELL WILLIAMS
SR VP & CHIEF ADMINISTRATIVE OFFICER	55.00	0.00		$455,050	$0	$80,584		Yes (X)
MADLYN MURREY
SR VP - CHIEF NURSING OFFICER	55.00	0.00		$450,068	$0	$86,318		Yes (X)
SUZANNE PETERSEN
VP - EXTERNAL AFFAIRS	55.00	0.00		$431,194	$0	$43,308		Yes (X)
CARA BAILEY
SR VP-CONTINUOUS PERFORMANCE IMPROVE.	55.00	0.00		$421,131	$0	$70,757		Yes (X)
TODD JOHNSON
VP - FACILITIES	55.00	0.00		$416,069	$0	$46,656		Yes (X)
ERIC THAM MD
VP & ASSOC CHIEF INFORMATION OFFICER	55.00	0.00		$389,018	$0	$43,937		Yes (X)
RUTH MCDONALD MD
VP, ASSOC CHIEF MEDICAL OFFICER	55.00	0.00		$373,852	$0	$22,328		Yes (X)
ERIK LAUSUND
VP - RESEARCH OPERATIONS & LOGISTICS	55.00	0.00		$353,193	$0	$41,110		Yes (X)
SCOTT BINGHAM
INTERIM CIO / SR DIR-INFO & APPS	55.00	0.00		$328,874	$0	$35,193		Yes (X)
WARREN HEWITT
VP - FINANCE	41.00	14.00		$236,290	$77,407	$40,124		Yes (X)
GREGORY BLACKBURN
VP - CLINICAL SUPPORT SERVICES	55.00	0.00		$295,007	$0	$41,010		Yes (X)
PETRA SMITH
VP - HUMAN RESOURCES	55.00	0.00		$292,424	$0	$48,313		Yes (X)
JENNIFER BECKER
VP - AMBULATORY SERVICES	55.00	0.00		$264,617	$0	$32,470		Yes (X)
PAMELA ROCK
VP-MED SERV LINE & SPECIAL PROGRAMS	55.00	0.00		$251,189	$0	$30,275		Yes (X)
DOUGLAS PICHA
PRESIDENT - FOUNDATION	5.50	49.50		$75,268	$921,466	$119,571			Yes (X)
MARK EGBERT DDS
CHIEF - ORAL & MAXILLOFACIAL SURGERY	55.00	0.00		$590,866	$0	$49,720			Yes (X)
MICHAEL ASTION MD PHD
MEDICAL DIRECTOR - LABORATORIES	55.00	0.00		$560,779	$0	$50,349			Yes (X)
CRAIG RUBENS MD PHD
EXECUTIVE DIRECTOR - GAPPS	55.00	0.00		$523,355	$0	$29,732			Yes (X)
JAMES CHRISTIANSEN MD
CARDIOLOGIST	55.00	0.00		$439,179	$0	$48,886			Yes (X)
THOMAS HANSEN MD
PRINCIPAL INVESTIGATOR / FORMER CEO	3.50	0.00		$107,944	$0	$14,591				Yes (X)
LISA BRANDENBURG
FORMER PRESIDENT - HOSPITAL	0.00	0.00		$167,155	$80,032	$0				Yes (X)
KATHY JO FREEMAN
FORMER VP-SERVICE LINE SURGICAL SPEC	0.00	0.00		$152,154	$0	$24,118				Yes (X)
JEFFREY BROWN
FORMER SR VP - CHIEF INFO. OFFICER	0.00	0.00		$111,328	$0	$6,771				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,413,240	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,680,973	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,881,211	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1320	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
CHILDREN'S UNIVERSITY MEDICAL GROUP
PO BOX 50010	SEATTLE	WA	98105	PHYSICIAN SERVICES	$112,426,239
UNIVERSITY OF WASHINGTON
PO BOX 358220	SEATTLE	WA	98195	RESIDENTS & INTERNS	$32,130,416
LEASE CRUTCHER LEWIS
107 SPRING STREET	SEATTLE	WA	981041052	CONSTRUCTION	$30,379,899
ALDRICH AND ASSOCIATES INC
810 240TH ST SE	BOTHELL	WA	98021	CONSTRUCTION	$12,150,371
SELLEN CONSTRUCTION
227 WESTLAKE AVENUE NORTH	SEATTLE	WA	98109	CONSTRUCTION	$11,402,741

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	348	CntrctRcvdGreaterThan100KCnt
Related Organizations	$136,786,978	RelatedOrganizationsAmt
Government Grants	$73,833,126	GovernmentGrantsAmt
All Other Contributions	$35,486,541	AllOtherContributionsAmt
Noncash Contributions	$3,192,549	NoncashContributionsAmt
Total Contributions	$246,106,645	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SVC REVENUES	621500	$1,377,876,352	$1,377,876,352
OTHER HEALTHCARE SVCS	621500	$41,305,250	$40,336,434	$968,816
INVESTMENT PROV CHILD	621500	$600,000	$600,000
WHALE GIFT SHOP	453220	$589,613			$589,613

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,420,371,215	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,734,275	TotalRevenueColumnAmt
Exclusion	$43,734,275	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,232,685	TotalRevenueColumnAmt
Exclusion	$1,232,685	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$10,722,422	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,774,655	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,947,767	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,947,767	TotalRevenueColumnAmt
Exclusion	$4,947,767	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$190,059,375	SecuritiesAmt
Other	$76,744	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$152,931,546	SecuritiesAmt
Other	$281,102	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$37,127,829	SecuritiesAmt
Other	-$204,358	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,923,471	TotalRevenueColumnAmt
Exclusion	$36,923,471	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PARKING	812930	$3,788,187	$3,788,187
CAFETERIA	722212	$2,462,918	$2,462,918

Field	Value	IRS element (for citing)
Other Revenue Total	$6,251,105	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,759,567,163	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,418,812,786	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$968,816	UnrelatedBusinessRevenueAmt
Exclusion	$93,678,916	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	$20,872,100	TotalAmt
Program Services	$20,872,100	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$448,157	TotalAmt
Program Services	$448,157	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$643,460	TotalAmt
Program Services	$643,460	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,640,942	TotalAmt
Management And General	$11,640,942	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$470,357	TotalAmt
Program Services	$436,912	ProgramServicesAmt
Management And General	$33,445	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$571,375,597	TotalAmt
Program Services	$530,747,013	ProgramServicesAmt
Management And General	$40,628,584	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$31,167,024	TotalAmt
Program Services	$28,950,842	ProgramServicesAmt
Management And General	$2,216,182	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$76,201,254	TotalAmt
Program Services	$70,782,841	ProgramServicesAmt
Management And General	$5,418,413	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$42,952,557	TotalAmt
Program Services	$39,898,346	ProgramServicesAmt
Management And General	$3,054,211	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,137,480	TotalAmt
Program Services	$1,985,491	ProgramServicesAmt
Management And General	$151,989	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$420,313	TotalAmt
Program Services	$390,426	ProgramServicesAmt
Management And General	$29,887	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$481,522	TotalAmt
Program Services	$481,522	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,897,526	TotalAmt
Program Services	$2,691,493	ProgramServicesAmt
Management And General	$206,033	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$115,927,441	TotalAmt
Program Services	$107,684,233	ProgramServicesAmt
Management And General	$8,243,208	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,536,303	TotalAmt
Program Services	$4,213,742	ProgramServicesAmt
Management And General	$322,561	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$194,072,142	TotalAmt
Program Services	$180,272,329	ProgramServicesAmt
Management And General	$13,799,813	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$21,895,634	TotalAmt
Program Services	$20,338,710	ProgramServicesAmt
Management And General	$1,556,924	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$28,239,462	TotalAmt
Program Services	$26,231,449	ProgramServicesAmt
Management And General	$2,008,013	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,442,844	TotalAmt
Program Services	$5,055,822	ProgramServicesAmt
Management And General	$387,022	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,341,214	TotalAmt
Program Services	$1,245,845	ProgramServicesAmt
Management And General	$95,369	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$21,621,053	TotalAmt
Program Services	$20,083,653	ProgramServicesAmt
Management And General	$1,537,400	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$88,083,076	TotalAmt
Program Services	$81,819,787	ProgramServicesAmt
Management And General	$6,263,289	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,178,268	TotalAmt
Program Services	$4,810,059	ProgramServicesAmt
Management And General	$368,209	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHYSICIANS SERVICES	$151,013,923	$151,013,923
LICENSES & TAXES	$38,926,780	$36,158,828	$2,767,952
BAD DEBT EXPENSE	$1,865,780	$1,865,780
UBI TAXES	$156,693	$156,693

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,755,149	TotalAmt
Program Services	$14,634,854	ProgramServicesAmt
Management And General	$1,120,295	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,455,764,051	TotalAmt
Program Services	$1,353,914,310	ProgramServicesAmt
Management And General	$101,849,741	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$35,155,004	BOYAmt
EOY	$37,010,075	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$112,076,010	BOYAmt
EOY	$37,157,976	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$18,821,632	BOYAmt
EOY	$68,575,952	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$226,610,912	BOYAmt
EOY	$251,969,932	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,217,919	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,843,098	BOYAmt
EOY	$15,806,274	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$18,333,417	BOYAmt
EOY	$23,010,161	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,043,209,422	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$762,836,112	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,103,367,020	BOYAmt
EOY	$1,280,373,310	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,086,427,379	BOYAmt
EOY	$1,230,348,030	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$411,086,545	BOYAmt
EOY	$436,999,762	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$156,684,622	BOYAmt
EOY	$163,955,138	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,000,000	BOYAmt
EOY	$2,000,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$69,578,584	BOYAmt
EOY	$58,067,704	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,259,202,142	BOYAmt
EOY	$3,605,274,314	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$181,672,827	BOYAmt
EOY	$216,994,599	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$31,154	BOYAmt
EOY	$833,084	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$725,134,198	BOYAmt
EOY	$713,217,472	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$93,001,316	BOYAmt
EOY	$104,661,871	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$999,839,495	BOYAmt
EOY	$1,035,707,026	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,803,307,904	BOYAmt
EOY	$2,055,396,407	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$182,176,545	BOYAmt
EOY	$225,923,967	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$273,878,198	BOYAmt
EOY	$288,246,914	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,259,362,647	BOYAmt
EOY	$2,569,567,288	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,259,202,142	BOYAmt
EOY	$3,605,274,314	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$303,803,112	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,558,503	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$13,960,032	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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$116,550,644	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$130,967,380	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$141,913,396	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$166,489,706	CurrentTaxYearMinus1YearAmt
Current Tax Year	$246,106,645	CurrentTaxYearAmt
Total	$802,027,771	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$116,550,644	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$130,967,380	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$141,913,396	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$166,489,706	CurrentTaxYearMinus1YearAmt
Current Tax Year	$246,106,645	CurrentTaxYearAmt
Total	$802,027,771	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$46,256,355	SubstantialContributorsTotAmt
Public Support Total170	$755,771,416	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$17,945,000	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$27,132,475	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$39,030,564	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$48,960,832	CurrentTaxYearMinus1YearAmt
Current Tax Year	$55,689,382	CurrentTaxYearAmt
Total	$188,758,253	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$440,244	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$284,687	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$479,145	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$216,488	CurrentTaxYearMinus1YearAmt
Current Tax Year	$64,447	CurrentTaxYearAmt
Total	$1,485,011	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$9,790,406	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$20,490,033	CurrentTaxYearMinus2YearsAmt
Total	$30,280,439	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$1,022,551,474	TotalSupportAmt
Gross Receipts Rltd Activities	$5,966,088,455	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.73910	PublicSupportCY170Pct
Public Support PY170	0.74460	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:

GAIN ON TERMINATION OF NEW MARKETS TAX CREDIT FINANCING OF RESEARCH FACILITY 2014 AMOUNT: $ 9,790,406. 2015 AMOUNT: $ 19,740,033. LITIGATION SETTLEMENT - 2015 AMOUNT: $ 750,000.

SCHEDULE A, PARTS I AND II:

AS INDICATED ON PART I, SEATTLE CHILDREN'S IS A HOSPITAL DESCRIBED IN SECTION 170(B)(1)(A)(III). HOWEVER, THE SUPPORT SCHEDULE ON PART II HAS BEEN PREPARED IN ORDER TO DEMONSTRATE THAT IT ALSO QUALIFIES AS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI) AND THEREFORE QUALIFIES FOR THE SPECIAL RULE ON SCHEDULE B, SCHEDULE OF CONTRIBUTORS.

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$481,522	FilingOrganizationsTotalAmt
Affiliated Group Total	$481,522	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$481,522	FilingOrganizationsTotalAmt
Affiliated Group Total	$481,522	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,460,075,780	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,637,794,850	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,460,557,302	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,638,276,372	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$341,775	CurrentYearMinus3Amt
Current Year Minus2	$379,062	CurrentYearMinus2Amt
Current Year Minus1	$485,089	CurrentYearMinus1Amt
Current Year	$481,522	CurrentYearAmt
Total	$1,687,448	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-A, AFFILIATED GROUP STATEMENT:	FormAndLineReferenceDesc
Explanation	SEATTLE CHILDREN'S HOSPITAL, EIN: 91-0564748 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 481,522 OTHER EXEMPT PURPOSE EXPENDITURES: 1,459,788,977 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,460,270,499 SEATTLE CHILDREN'S HOSPITAL HAS A 501(H) ELECTION SEATTLE CHILDREN'S HEALTHCARE SYSTEM, EIN: 91-1250116 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 7,842,241 TOTAL EXEMPT PURPOSE EXPENDITURES: 7,842,241 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL FOUNDATION, EIN: 91-1156519 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 145,702,248 TOTAL EXEMPT PURPOSE EXPENDITURES: 145,702,248 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION, EIN: 91-1394056 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 18,677,470 TOTAL EXEMPT PURPOSE EXPENDITURES: 18,677,470 NO 501(H) ELECTION WAS MADE CHILDREN'S RETAIL, EIN: 91-1998909 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 5,512,617 TOTAL EXEMPT PURPOSE EXPENDITURES: 5,512,617 NO 501(H) ELECTION WAS MADE	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Funds And Other Accounts Held	3	FundsAndOtherAccountsHeldCnt
Funds And Other Accounts Contri	$2,225	FundsAndOtherAccountsContriAmt
Funds And Other Accounts Grants	$5,000	FundsAndOtherAccountsGrantsAmt
Funds And Other Accounts Vl EOY	$1,084,425	FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg Ctrl	Yes (1)	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	Yes (1)	DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$409,859,000	BeginningYearBalanceAmt
Contributions	$12,310,000	ContributionsAmt
Investment Earnings Or Losses	$31,902,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$9,446,000	OtherExpendituresAmt
End Year Balance	$444,625,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$368,141,000	BeginningYearBalanceAmt
Contributions	$1,524,000	ContributionsAmt
Investment Earnings Or Losses	$49,357,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$9,163,000	OtherExpendituresAmt
End Year Balance	$409,859,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$342,807,000	BeginningYearBalanceAmt
Contributions	$4,574,000	ContributionsAmt
Investment Earnings Or Losses	$29,475,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,715,000	OtherExpendituresAmt
End Year Balance	$368,141,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$343,981,000	BeginningYearBalanceAmt
Contributions	$10,256,000	ContributionsAmt
Investment Earnings Or Losses	-$3,157,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,273,000	OtherExpendituresAmt
End Year Balance	$342,807,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$318,219,000	BeginningYearBalanceAmt
Contributions	$3,339,000	ContributionsAmt
Investment Earnings Or Losses	$29,991,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,568,000	OtherExpendituresAmt
End Year Balance	$343,981,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.54890	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.33140	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.11970	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$219,455,313	OtherCostOrOtherBasisAmt
Book Value	$219,455,313	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$961,783,605	OtherCostOrOtherBasisAmt
Depreciation	$373,579,472	DepreciationAmt
Book Value	$588,204,133	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,651,290	OtherCostOrOtherBasisAmt
Depreciation	$16,786,697	DepreciationAmt
Book Value	$41,864,593	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$543,129,638	OtherCostOrOtherBasisAmt
Depreciation	$365,038,059	DepreciationAmt
Book Value	$178,091,579	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$260,189,576	OtherCostOrOtherBasisAmt
Depreciation	$7,431,884	DepreciationAmt
Book Value	$252,757,692	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,280,373,310	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (7 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
POOLED INVESTMENTS	$420,090,456	F
JP MORGAN CD	$12,738,199	C
DEFERRED COMPENSATION PLANS	$2,359,924	F
OIL LEASES	$18,500	C
LIFE INSURANCE	$48,642	F
INVESTMENT IN HCSA PROPERTIES, LLC	$1,744,012	C
PRONIRAS	$29	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$436,999,762	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
SWAP MTM VALUE - BONDS	$11,098,959
DEFERRED COMPENSATION PLAN PAYABLE	$2,359,924
DEFERRED AND OTHER LIABILITIES	$12,275,679
PAYABLE TO AFFILIATE	$19,766,206
DUE TO BROKERS FOR SECURITIES PURCHASED	$59,161,103

Field	Value	IRS element (for citing)
Total Liability	$104,661,871	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,760,020,602	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$7,558,503	NetUnrealizedGainsInvstAmt
Other Revenue	$5,305,043	OtherRevenueAmt
Revenue Not Reported	-$2,253,460	RevenueNotReportedAmt
Revenue Subtotal	$1,762,274,062	RevenueSubtotalAmt
Investment Expenses Not Incld	$2,897,526	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$5,604,425	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$2,706,899	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,759,567,163	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,449,815,961	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$1,081,971	OtherExpensesIncludedAmt
Expenses Not Reported	-$1,081,971	ExpensesNotReportedAmt
Expenses Subtotal	$1,450,897,932	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$2,897,526	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$1,968,593	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$4,866,119	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,455,764,051	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	SEATTLE CHILDREN'S HOSPITAL AND SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) SHARE IN A UNIFIED ENDOWMENT FUND (UEF) THAT IS MANAGED BY SCHS. SEATTLE CHILDREN'S HOSPITAL'S TEMPORARILY AND PERMANENTLY RESTRICTED ASSETS REFLECT ENDOWMENTS WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL.
PART X, LINE 2:	THE INTERNAL REVENUE SERVICE HAS GRANTED THE HOSPITAL, AND EACH OF THE CONTROLLED CORPORATIONS LISTED ABOVE, EXEMPTION FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (IRC) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE IRC FORMED TO OPERATE FOR CHARITABLE, EDUCATIONAL, SCIENTIFIC, AND MEDICAL PURPOSES. DURING 2018 AND 2017, THE HOSPITAL DID NOT RECORD ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN BENEFICIAL INTEREST IN SCHS 7,270,516. BAD DEBT EXPENSE -1,865,780. UBI TAX EXPENSE -99,693.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -5,774,655. PROCEEDS INCLUDED WITH NONOPERATING EXPENSES ON AUDITED FINANCIAL STATEMENTS 167,110. NON-CASH DONATIONS NOT INCLUDED ON AUDITED FINANCIAL STATEMENTS 3,120.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 5,774,655. CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS -6,689,516. PROCEEDS INCLUDED WITH NONOPERATING EXPENSES ON AUDITED FINANCIAL STATEMENTS -167,110.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 1,865,780. UBI TAX EXPENSE 99,693. NON-CASH DONATIONS NOT INCLUDED ON AUDITED FINANCIAL STATEMENTS 3,120.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (28 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	$157,635,692
NORTH AMERICA	PROGRAM SERVICES	$1,214,000	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	$191,000	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	$10,000	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
SOUTH AMERICA	PROGRAM SERVICES	$10,000	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	$3,000	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$1,000	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
NORTH AMERICA	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$454,331
SUB-SAHARAN AFRICA	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$185,956
SOUTH AMERICA	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$3,173
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	$250,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
NORTH AMERICA	PROGRAM SERVICES	$161,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	$78,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
SOUTH ASIA	PROGRAM SERVICES	$27,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
SOUTH AMERICA	PROGRAM SERVICES	$18,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$17,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND AID SITES
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	$3,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	$2,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	$291,000	PATIENT ACCOUNT REFUNDS
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	$94,000	PATIENT ACCOUNT REFUNDS
NORTH AMERICA	PROGRAM SERVICES	$2,000	PATIENT ACCOUNT REFUNDS
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$81,994	PEDIATRIC HEALTHCARE - GLOBAL HEALTH PATHWAY RESIDENCY PROGRAM
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$12,571	PARTNERS IN AFRICA CLEFT TRAINING
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
SUB-SAHARAN AFRICA	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
NORTH AMERICA	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
EAST ASIA AND THE PACIFIC	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
MIDDLE EAST AND NORTH AFRICA	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$159,519,023	SubtotalSpentAmt
Continuation Spent	$1,226,694	ContinuationSpentAmt
Total Spent	$160,745,717	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (6 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$406,042	CASH PAYMENT
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$25,291	CASH PAYMENT
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$13,478	CASH PAYMENT
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$85,768	CASH PAYMENT
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$50,496	CASH PAYMENT
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$49,692	CASH PAYMENT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	Yes (1)	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 2:

THE OFFICE OF SPONSORED RESEARCH DEPARTMENT AT SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF THE HOSPITAL, PERFORMS QUARTERLY REVIEWS OF EACH SUBAWARD TO ENSURE THAT RECIPIENTS ARE MANAGING FUNDING IN ACCORDANCE WITH THE TERMS OF THE CONTRACT. A-133 AUDITS, RATE AGREEMENTS, AND DISCLOSURE REQUIREMENTS ARE ALL REVIEWED TO ENSURE THEY ARE CURRENT OR EXEMPT. THIS REVIEW IS TO ENSURE THAT THE SUBRECIPIENT HAS THE NECESSARY INFRASTRUCTURE IN PLACE TO MANAGE FUNDS. TERMS OF THE SUBCONTRACTS ARE MODIFIED AS NEEDED TO ADDRESS ANY ISSUES. THE PRIVATE INVESTIGATOR IS RESPONSIBLE TO ENSURE THE WORK IS PERFORMED TO SATISFACTION AND CONSISTENT WITH THE AIMS OF THE PROJECT. THE CENTER BUSINESS OFFICE ENSURES THAT THE INVOICED AMOUNTS ARE ALLOWABLE UNDER THE PROVISIONS OF THE AWARD AND SUBCONTRACT. A FINAL CHECK FOR COMPLIANCE TAKES PLACE AT THE EXPIRATION OF THE SUBAWARD WHEN THE OFFICE OF SPONSORED RESEARCH PERFORMS ITS FINAL CLOSEOUT. ANY PROBLEMS WITH PERFORMANCE OR EXPENDITURES ARE IDENTIFIED AT THAT TIME AND RESOLVED AS APPROPRIATE BEFORE FINAL DISTRIBUTIONS ARE MADE AND THE SUBAWARD IS COMPLETE.

PART I, LINE 3:

THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR EXPENDITURES.

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	400.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	599.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	21690	PersonsServedCnt
Total Community Benefit Expns	$13,792,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,765,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,027,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	212322	PersonsServedCnt
Total Community Benefit Expns	$587,546,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$450,906,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$136,640,000	NetCommunityBenefitExpnsAmt
Total Expense	0.09400	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	234012	PersonsServedCnt
Total Community Benefit Expns	$601,338,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$454,671,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$146,667,000	NetCommunityBenefitExpnsAmt
Total Expense	0.10090	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	140	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$13,857,654	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,519,010	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,338,644	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	88	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$40,617,241	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,289,387	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,327,854	NetCommunityBenefitExpnsAmt
Total Expense	0.02090	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$156,906,233	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,077,881	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,828,352	NetCommunityBenefitExpnsAmt
Total Expense	0.02880	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,312,134	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$503,208	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,808,926	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	251	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$213,693,262	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$130,389,486	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,303,776	NetCommunityBenefitExpnsAmt
Total Expense	0.05730	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	271	ActivitiesOrProgramsCnt
Persons Served	234012	PersonsServedCnt
Total Community Benefit Expns	$815,031,262	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$585,060,486	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$229,970,776	NetCommunityBenefitExpnsAmt
Total Expense	0.15820	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$50,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$834,722	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$101,549	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$733,173	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$73,399	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$73,399	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$12,708	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,708	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$60,646	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,646	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,602	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,602	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$819,447	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,410	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$753,037	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$11,952	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,952	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	38	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,865,476	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$167,959	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,697,517	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$768,868	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$5,288,089	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$7,162,802	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,874,713	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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	SEATTLE CHILDREN'S HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4800 SAND POINT WAY NE	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98105	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SEATTLECHILDRENS.ORG	WebsiteAddressTxt
State License	178019356	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HOSPITAL	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
Other	Yes (X)	OtherInd
CHNA Conducted	16	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	WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT	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	400.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	599.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
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	SEATTLECHILDRENS.ORG/CLINICS-PROGRAMS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	FINASST.SEATTLECHILDRENS.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEATTLECHILDRENS.ORG/CLINICS-PROGRAMS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE	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
None Made	Yes (X)	NoneMadeInd
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 3J: SEATTLE CHILDREN'S CONDUCTED ITS SECOND COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016 TO COVER THE PERIOD 2016-2019 (TAX YEARS 2015-2018) IN ORDER TO:- INVOLVE THE COMMUNITY TO IDENTIFY AND ANALYZE COMMUNITY HEALTH NEEDS AND ASSETS IN ORDER TO PRIORITIZE THESE NEEDS AND TO PLAN AND ACT UPON SIGNIFICANT UNMET COMMUNITY HEALTH NEEDS.- MORE DEEPLY UNDERSTAND HEALTH AND SAFETY ISSUES FACING UNDERSERVED POPULATIONS WHO EXPERIENCE HEALTH DISPARITIES, USING EXISTING DATA AND THE PERSPECTIVES OF COMMUNITY STAKEHOLDERS AND FAMILIES.- IDENTIFY STRENGTHS, EXISTING PROGRAMS AND ACTIVITIES THAT ARE HELPING THE COMMUNITY THRIVE.- INFORM OUR COMMUNITY BENEFIT EFFORTS BY DETERMINING WHERE THE COMMUNITY NEEDS ALIGN WITH SEATTLE CHILDREN'S STRATEGIC PLAN OR AREAS IN WHICH WE HAVE SIGNIFICANT EXPERTISE.THROUGH THIS CHNA, WE HAVE GAINED A BETTER UNDERSTANDING OF THE NEEDS AND RESOURCES OF THE COMMUNITIES WE SERVE. THE NEEDS ASSESSMENT LAYS THE FOUNDATION FOR OUR COMMUNITY BENEFIT PLAN, WHICH GUIDES HOW WE WILL CONTINUE TO FULFILL OUR COMMITMENT TO CHILDREN, TEENS AND FAMILIES, IN PARTNERSHIP WITH HEALTH ORGANIZATIONS, GOVERNMENT, BUSINESSES AND COMMUNITIES.SEATTLE CHILDREN'S CHNA HIGHLIGHTS JUST A FEW OF THE MANY DEDICATED GOVERNMENT, NONPROFIT AND PRIVATE ORGANIZATIONS SERVING OUR COMMUNITY'S MOST VULNERABLE POPULATIONS. COALITIONS SUCH AS THE HEALTHY KING COUNTY COALITION, THE CHILDHOOD OBESITY PREVENTION COALITION AND THE HEALTH COALITION FOR CHILDREN AND YOUTH ARE POWERFUL ADVOCATES FOR CHILDREN AND FAMILIES. ORGANIZATIONS AND PROVIDERS LIKE COMMUNITY HEALTH CLINICS, UNIVERSITY OF WASHINGTON, HARBORVIEW MEDICAL CENTER, YAKIMA CHILDREN'S VILLAGE, YOUTHCARE, THE CHILDREN'S ALLIANCE AND WITHINREACH OFFER EDUCATION, ADVOCACY, CLINICAL CARE, RESEARCH AND DIRECT SERVICES TO HELP CHILDREN, YOUTH AND FAMILIES GET THE HEALTHCARE AND PREVENTIVE SERVICES THEY NEED. STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS ARE KEY TO GETTING ESSENTIAL DATA AND TO HELPING FOSTER PROGRAM, POLICY AND SYSTEM CHANGE.IN THE CHNA, THE FOLLOWING THEMES EMERGED FROM OUR QUALITATIVE RESEARCH:- MORE THAN JUST HEALTH INSURANCE COVERAGE, POVERTY PLAYS A LARGE ROLE IN FAMILIES' ABILITY TO ACCESS HEALTHCARE SERVICES. LACK OF TRANSPORTATION AND DIFFICULTY NAVIGATING THE HEALTHCARE SYSTEM CONTINUE TO BE BARRIERS TO ACCESSING CARE.- SUICIDE RATES ARE ON THE RISE AND SUICIDE BY FIREARM WAS THE LEADING CAUSE OF VIOLENCE RELATED INJURY AMONG YOUTH AGES 13-19 IN WASHINGTON STATE.- ACCESSIBLE MENTAL AND BEHAVIORAL HEALTH SERVICES IS AN UNMET NEED IN MANY COMMUNITIES.- DISPARITIES EXIST BETWEEN THE HEALTHY EATING AND ACTIVITY RATES OF YOUTH, PARTICULARLY WHEN COMPARING WHITE STUDENTS TO STUDENTS OF COLOR.- ACCESS TO GOOD EDUCATION AND CARE COORDINATION AT SCHOOL IS A TOP-RANKED ISSUE OF CONCERN.- COORDINATED CARE AND COMMUNICATION BETWEEN HEALTHCARE PROVIDERS, SCHOOLS AND FAMILIES IS CRITICAL TO GOOD HEALTH.- TO MEET THE DIVERSE NEEDS IN OUR COMMUNITY, CULTURALLY RELEVANT SERVICES ARE NEEDED.ASSESSMENT RESULTS HAVE VALIDATED OUR EXISTING WORK AND HAVE HELPED US PRIORITIZE WHERE AND HOW TO FOCUS OUR NEW WORK. GIVEN THE COMPLEXITY OF COMMUNITY NEEDS AND THE FINITE RESOURCES AVAILABLE TO MEET THEM, WE HAVE DIFFICULT CHOICES. WE BELIEVE THAT BY WORKING IN PARTNERSHIP WITH OTHERS, OUR EFFORTS WILL BE AMPLIFIED THROUGHOUT THE COMMUNITY.FOR SEATTLE CHILDREN'S COMMUNITY BENEFIT PLAN, AND AS A DIRECT RESULT OF THE CHNA, WE HAVE IDENTIFIED FOUR PRIORITY AREAS:- HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY- COORDINATED CARE FOR CHILDREN AND TEENS WITH CHRONIC CONDITIONS- SUICIDE AND VIOLENCE PREVENTION- MENTAL AND BEHAVIORAL HEALTH.WE HAVE SUSTAINED FIVE OTHER COMMUNITY BENEFIT PROGRAMS:- ACCESS TO HIGH QUALITY HEALTHCARE- ADOLESCENT HEALTH- UNINTENTIONAL INJURY PREVENTION - PROGRAMS AND SERVICES FOR CHILDREN WITH SPECIAL NEEDS- PARENT AND FAMILY EDUCATION AND RESOURCESOUR PRIORITIES HAVE BEEN APPROVED BY THE SEATTLE CHILDREN'S HOSPITAL GOVERNING BOARD OF TRUSTEES AND INCORPORATED INTO THE HOSPITAL'S OPERATING, COMMUNITY OUTREACH AND STRATEGIC INITIATIVES. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON OUR WEBSITE:WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT.THE COMMUNITY BENEFIT IMPLEMENTATION PLAN IS AVAILABLE ON OUR WEBSITE:WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: IN THE 2016-2019 COMMUNITY HEALTH NEEDS ASSESSMENT (TAX YEARS 2015-2018), SEATTLE CHILDREN'S COMPILED EXISTING CHILD AND ADOLESCENT HEALTH DATA TO DESCRIBE SOCIAL DETERMINANTS OF HEALTH AND SOLICITED DIRECT FEEDBACK FROM COMMUNITY STAKEHOLDERS AND FAMILIES. TO GATHER INFORMATION AND ASSESS COMMUNITY NEEDS AND STRENGTHS, WE CONDUCTED:- A REVIEW OF PUBLIC HEALTH INDICATORS AND AREA DEMOGRAPHICS FROM EXISTING SOURCES- AN ONGOING DATA ANALYSIS WITH OUR LOCAL PUBLIC HEALTH DEPARTMENT- COMMUNITY INPUT WAS CONDUCTED OVER AN 18 MONTH PERIOD AND INCLUDED MEETINGS WITH 10 COALITIONS; LISTENING GROUPS WITH 51 CHILDREN AND YOUTH, 84 PARENTS AND CAREGIVERS, AND 17 PROVIDERS AND CAREGIVERS; FEEDBACK FROM 59 COMMUNITY ORGANIZATIONS; TWO STATEWIDE SURVEYS WITH PARENTS AND CAREGIVERS. LISTENING GROUPS WITH PARENTS WERE CONDUCTED IN ENGLISH AND SPANISH AND ALSO INCLUDED INPUT FROM SEATTLE CHILDREN'S FAMILY ADVISORY COUNCIL AND SEATTLE CHILDREN'S PSYCHIATRIC FAMILY ADVISORY BOARD - INTERVIEWS WITH CHILDREN'S PHYSICIANS AND STAFF LEADERS, 10 PUBLIC HEALTH EXPERTS AND COMMUNITY REPRESENTATIVES- APPROXIMATELY 50% OF THE PARTICIPANTS TAKING PART IN THESE MEETINGS, LISTENING GROUPS, AND SURVEYS SELF IDENTIFIED AS EITHER LOW-INCOME, PEOPLE OF COLOR, OR FROM MEDICALLY UNDERSERVED COMMUNITIES OR IDENTIFIED AS REPRESENTING THESE POPULATIONS. IN ORDER TO SOLICIT INPUT FROM ORGANIZATIONS OR INDIVIDUALS WHO DID NOT DIRECTLY PROVIDE INPUT AT THE AFOREMENTIONED MEETINGS, SEATTLE CHILDREN'S SENT UPWARDS OF 60 REPRESENTATIVES OVER A THREE YEAR PERIOD TO COMMUNITY HEALTH EVENTS TO ELICIT FEEDBACK ON COMMUNITY HEALTH NEEDS AND ASSETS.WE USED TWO FRAMEWORKS, THE SOCIAL-ECOLOGICAL AND THE SPECTRUM OF PREVENTION MODELS TO GATHER BACKGROUND ON 24 AREAS OF NEED, INCLUDING ASTHMA, INJURIES, MENTAL HEALTH, OBESITY, ORAL HEALTH, ACCESS TO CARE, AND CHILDREN WITH CHRONIC CONDITIONS. WE ALSO REVIEWED EXISTING STRENGTHS, PROGRAMS AND SERVICES THAT FOCUS ON CHILD AND TEEN HEALTH AND SAFETY ISSUES.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 7D: SEATTLE CHILDREN'S EMAILED AN ELECTRONIC COPY OF THE CHNA TO ANYONE UPON REQUEST, INCLUDING THOSE WHO OPTED IN TO RECEIVE ONE AT OUR COMMUNITY BENEFIT FORUMS.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: OUR 2016-2019 CHNA (APPLICABLE TO TAX YEARS 2015-2018) CENTERS ON THE NEEDS OF FAMILIES, CHILDREN AND YOUTH OF WASHINGTON STATE AND, SPECIFICALLY, KING COUNTY. OUR CHNA IDENTIFIED FOUR SIGNIFICANT NEEDS STATEWIDE, ALL OF WHICH ARE BEING ADDRESSED BY PROGRAMMING THAT SEATTLE CHILDREN'S OFFERS. BELOW IS AN ACCOUNTING OF THE NEEDS IDENTIFIED AND OUR RESPONSE TO EACH.THE CHNA RESEARCH YIELDED THE FOLLOWING ABOUT THE HEALTH NEEDS OF THE COMMUNITY WE SERVE:- CHILD AND TEEN HEALTH ARE INFLUENCED BY A VARIETY OF ENVIRONMENTAL AND SOCIAL FACTORS. SOCIAL RISK FACTORS, SUCH AS POVERTY, A LACK OF HEALTH INSURANCE COVERAGE AND RACIAL/ETHNIC MINORITY STATUS, ARE ASSOCIATED WITH POORER HEALTH OUTCOMES FOR CHILDREN.- ALL COUNTIES IN WASHINGTON STATE, EXCLUDING KING COUNTY, HAVE A SHORTAGE OF PRIMARY MENTAL OR DENTAL CARE PROVIDERS. THROUGH OUR COMMUNITY BENEFIT PROGRAM, WE INVEST IN AND DEVELOP NEW HEALTH CARE PROVIDERS VIA OUR HEALTH PROFESSIONS EDUCATION. - THE LEADING CAUSES OF DEATH AMONG WASHINGTON CHILDREN ARE UNINTENTIONAL INJURIES, CANCER AND SUICIDE. SINCE THE LEADING CAUSE OF DEATH IS UNINTENTIONAL INJURY, WE HAVE PROGRAMS THAT FOCUS ON THE LEADING CAUSES OF INJURY DEATHS. IN ORDER, THEY ARE: FOR THE BIRTH - 1 POPULATION: SUFFOCATION, HOMICIDE AND MOTOR VEHICLE CRASHES. FOR AGES 1-4: HOMICIDE, DROWNING, AND MOTOR VEHICLE CRASHES. FOR AGES 5-9: MOTOR VEHICLE CRASHES, HOMICIDE, DROWNINGS AND FIRE. FOR AGES 10-14: SUICIDE, DROWNING AND MOTOR VEHICLE CRASHES. FOR AGES 15-19: SUICIDE, HOMICIDE AND MOTOR VEHICLE CRASHES. AS SUCH, WE HAVE HELPED TO DEVELOP SUICIDE AND VIOLENCE PREVENTION TACTICS WHERE WE AIM TO TAILOR OUR MESSAGE ACCORDING TO THE DEVELOPMENTAL LEVEL AS WELL AS THE KNOWLEDGE, BELIEFS AND BEHAVIORS OF EACH GROUP WE SERVE. IN ADDITION, WE HAVE FOUNDED THE FIREARM TRAGEDY PREVENTION NETWORK IN WASHINGTON STATE SINCE A MAJORITY OF THE YOUTH SUICIDES IN WASHINGTON STATE ARE WITH FIREARMS. WE HOST MULTIPLE EVIDENCE BASED FREE SAFE FIREARM STORAGE GIVEAWAY EVENTS WHERE WE DISTRIBUTE LOCK BOXES AND TRIGGER LOCKS IN ORDER TO SAFELY STORE FIREARMS AS A WAY TO PREVENT SUICIDE AND PROVIDE ONE MECHANISM FOR LETHAL MEANS RESTRICTION. IN ADDITION, OUR SECURITY TEAM OFFERS DE-ESCALATION TRAININGS ACROSS THE STATE AND OUR RESEARCH INSTITUTE PURSUES RESEARCH PROJECTS ALIGNED WITH YOUTH SUICIDE, VIOLENCE AND FIREARM TRAGEDY PREVENTION, INCLUDING COLLABORATING WITH STATEWIDE PARTNERS TO CRAFT A PROGRAM DESIGNED TO STUDY THE COURSE AND MANAGEMENT OF DEPRESSION IN YOUNG PEOPLE, INCLUDING AN ONGOING STUDY OF SUICIDAL/SELF-HARMING ADOLESCENTS.SINCE MANY CHILDREN IN OUR STATE CONTINUE TO DIE IN MOTOR VEHICLE CRASHES, WE OFFER MULTIPLE CAR SEAT CHECKS EACH YEAR, WITH TECHNICIANS WORKING ALONGSIDE PARENTS AND CAREGIVERS TO CHECK THE WAY CAR SEATS ARE INSTALLED. OUR TECHNICIANS ALSO SHARE THE CORRECT WAY TO MOST SAFELY SECURE A CHILD IN A MOTOR VEHICLE. WE ALSO HOST LOW COST CAR SEAT AND BOOSTER SEAT SALES TOGETHER WITH EDUCATION PRESENTATIONS AT HEAD STARTS EACH YEAR IN THE PUGET SOUND REGION. ADDITIONALLY, WE HAVE CONTINUED TO USE OUR EXPERTISE AROUND DROWNING TO DEVELOP AND IMPLEMENT OPEN-WATER DROWNING PREVENTION STRATEGIES IN PARTNERSHIP WITH MEMBERS OF THE STATEWIDE DROWNING PREVENTION NETWORK AND THROUGH HEAD START.- YOUTH WITH DISABILITIES ARE MORE LIKELY TO BE AT RISK FOR UNINTENTIONAL INJURY, DEPRESSION, SUICIDE, ABUSE, AND USE TOBACCO, ALCOHOL OR MARIJUANA. ADDITIONALLY, OUR CENTER FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS (CSHCN) PROVIDES INFORMATION AND RESOURCES FOR PROVIDERS, FAMILIES, AND YOUTH TO MANAGE THEIR HEALTH AND CHRONIC CONDITIONS.- MANY OF OUR PATIENTS HAVE COMPLEX HEALTHCARE NEEDS, AND THROUGH COORDINATED CARE, WE ARE IMPROVING THE WAYS WE WORK WITH OUR PATIENTS WHEN THEY ARE NOT IN THE HOSPITAL AND ARE IMPROVING WAYS WE CONSISTENTLY COORDINATE CARE WITH THEIR OTHER PROVIDERS. THROUGH COORDINATED CARE, WE AIM TO NOT ONLY IMPROVE HOW WE COMMUNICATE WITH OUR PATIENTS AND THEIR FAMILIES, BUT ALSO WITH OTHER PROVIDERS, SPECIALISTS AND HOSPITALS INVOLVED IN CARING FOR THESE HIGH-NEED PATIENTS. WE OFFER NUMEROUS SUPPORT GROUPS AND PARENT RESOURCES AND ARE ALWAYS DEVELOPING OUR COMMUNITY PARTNERSHIPS AROUND CARE COORDINATION.- OF WASHINGTON HIGH SCHOOL STUDENTS, 11% ARE OBESE AND 14% ARE OVERWEIGHT. FOR THESE REASONS, WE HAVE HELPED TO TAILOR A HEALTH EDUCATION AND NUTRITION COURSE THAT WE ENROLL FAMILIES IN AT OUR CLINICS. WE HAVE ALSO MADE STRIDES IN MAKING OUR OWN "ON CAMPUS" MEAL OPTIONS FOR STAFF AND FAMILIES MORE HEALTHY. ADDITIONALLY, WE HAVE IMPROVED OUR ON SITE FOOD OPTIONS, ELIMINATED SUGAR SWEETENED BEVERAGES FROM OUR CAFES, DEVELOPED A TEACHING GARDEN SITE WHERE OUR FORMER HELIPAD USED TO BE, AND INSTALLED SEVERAL NEW WATER BOTTLE FILLING SITES ON CAMPUS. WE ARE ALSO EXPANDING THE NUMBER OF CLINICS WHERE WE SCREEN FOR FOOD INSECURITY AND WE ARE CONTINUALLY INVESTING IN CULTURALLY AND COMMUNITY TAILORED PROGRAMS TO PROMOTE FOOD AFFORDABILITY AS WELL AS COOKING AND EATING AT HOME. ADDITIONALLY WE HAVE PARTNERED WITH THE LOCAL PUBLIC HEALTH DEPARTMENT AND THE HEALTHY KING COUNTY COALITION TO ADDRESS HEALTHY EATING AND ACTIVE LIVING INITIATIVES IN THE COMMUNITIES WE SERVE. WE HAVE ALSO LAUNCHED A 7-5-2-1-0 HEALTHY EATING CURRICULUM THAT WE OFTEN PRESENT AT LOCAL HEALTH FAIRS AND EVENTS IN THE REGION.- IN WASHINGTON, 25% OF STUDENTS IN 8TH GRADE, 30% OF STUDENTS IN 10TH GRADE AND 28% OF STUDENTS IN 12TH GRADE REPORTED EXPERIENCING DEPRESSIVE FEELINGS. ALSO, OF CHILDREN AGES 2 TO 17, 12% HAVE ONE OR MORE EMOTIONAL, BEHAVIORAL OR DEVELOPMENTAL CONDITION. IN ADDITION TO OUR BED EXPANSION IN OUR PSYCHIATRY AND BEHAVIORAL MEDICINE UNIT (PBMU), WE HAVE FURTHER EXPANDED THE PARTNERSHIP ACCESS LINE (PAL), A TELEPHONE-BASED CHILD MENTAL HEALTH CONSULTATION SYSTEM FOR PRIMARY CARE PROVIDERS THAT ALLOWS KIDS TO BE TREATED AND KEEPS THEM CLOSER TO HOME. STAFFED BY CHILD PSYCHIATRISTS AFFILIATED WITH THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE AND SEATTLE CHILDREN'S HOSPITAL, PAL HAS EXPANDED ITS CONSULTATION SERVICES RECENTLY. PAL IS AVAILABLE TO PRIMARY CARE DOCTORS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS AND PROVIDES RAPID CONSULTATION RESPONSES DURING BUSINESS HOURS FOR ANY TYPE OF MENTAL HEALTH ISSUE THAT ARISES WITH ANY CHILD. FURTHER, WE HAVE EXPANDED OUR TELEMENTAL HEALTH THROUGH SEATTLE CHILDREN'S THAT ALLOWS CHILDREN WITH MENTAL HEALTHCARE NEEDS IN CERTAIN UNDERSERVED COMMUNITIES IN THE REGION TO SPEAK WITH A PSYCHIATRIST IN A DISTANT CENTER THROUGH VIDEOCONFERENCING.ASSESSMENT RESULTS HAVE VALIDATED OUR EXISTING WORK AND HAVE HELPED US PRIORITIZE WHERE AND HOW TO FOCUS OUR 2016-2019 CHNA (APPLICABLE TO TAX YEARS 2015-2018). HOWEVER, GIVEN THE COMPLEXITY OF COMMUNITY NEEDS AND THE FINITE RESOURCES AVAILABLE TO MEET THEM, WE HAVE DIFFICULT CHOICES. WE BELIEVE THAT BY WORKING IN PARTNERSHIP WITH OTHERS, OUR EFFORTS WILL HAVE RIPPLE EFFECTS THROUGHOUT THE COMMUNITY.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 13H: DUE TO SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, THE STANDARD APPLICATION PROCESS FOR FINANCIAL ASSISTANCE IN RARE CASES MAY NOT BE COMPLETED. IN CASES WHERE A PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR FINANCIAL ASSISTANCE IN THE ABSENCE OF RECEIVING ALL REQUIRED INFORMATION, THE VICE PRESIDENT OF REVENUE CYCLE OR THE CHIEF FINANCIAL OFFICER, OR THEIR DELEGATE, MAY ALSO APPROVE PATIENT ACCOUNT BALANCE WRITE-OFFS TO FINANCIAL ASSISTANCE.
PART V, SECTION B, LINE 3E:	AS STATED, SEATTLE CHILDREN'S CONDUCTED ITS SECOND COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016 TO COVER THE PERIOD 2016-2019 (TAX YEARS 2015-2018). IN THIS CHNA, WE LOOKED AT AND ANALYZED OVER 150 INDICIES OF PEDIATRIC HEALTH STATUS AND OUTCOMES. AS IDENTIFIED THROUGH THE CHNA, THE PRIORITIZED AND SIGNIFICANT HEALTH NEEDS FOR THE PEDIATRIC POPULATION WE SERVE OVER THIS TIME PERIOD ARE: MENTAL AND BEHAVIORAL HEALTH, CARE COORDINATION, SUICIDE AND VIOLENCE PREVENTION AND HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY.

Field	Value	IRS element (for citing)
Facility	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - RESEARCH INSTITUTE OLIVE LAB
1100 OLIVE WAY SUITE 100	SEATTLE	WA	98101	PEDIATRIC RESEARCH
2 - RESEARCH INST JACK R MACDONALD BLDG
1900 NINTH AVE	SEATTLE	WA	98101	PEDIATRIC RESEARCH
3 - RESEARCH INSTITUTE WEST 8TH
2001 EIGHTH AVE SUITE 400	SEATTLE	WA	98121	PEDIATRIC RESEARCH
4 - BELLEVUE CLINIC & SURGERY CENTER
1500 116TH AVE NE	BELLEVUE	WA	98004	CLINIC, SUB SPECIALTY SERVICES, URGENT CARE AND SURGERY CENTER
5 - SEATTLE CHILDREN'S HOME CARE SERVICES
2525 220TH STREET SE SUITE 101	BOTHELL	WA	98201	PEDIATRIC HOME CARE SERVICES THAT SUPPORT HOSPITAL
6 - SEATTLE CHILDREN'S SOUTH CLINIC
34920 ENCHANTED PARKWAY S	FEDERAL WAY	WA	98003	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE
7 - SEATTLE CHILDREN'S AT OVERLAKE
1135 116TH AVE NE SUITE 400	BELLEVUE	WA	98004	SUB SPECIALTY CARE
8 - ODESSA BROWN CHILDREN'S CLINIC
2101 E YESLER WAY	SEATTLE	WA	98122	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE
9 - SEATTLE CHILDREN'S AUTISM CENTER
4909 25TH AVE NE	SEATTLE	WA	98105	AUTISM CLINIC
10 - SEATTLE CHILDREN'S EVERETT CLINIC
900 PACIFIC AVE SUITE 100	EVERETT	WA	98201	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE
11 - SEATTLE CHILDREN'S MILL CREEK CLINIC
12800 BOTHELL EVERETT HWY SUITE 150	EVERETT	WA	98208	CLINIC, SUB SPECIALTY SERVICES, AND URGENT CARE
12 - SOUTH SOUND CARDIOLOGY CEDAR MED CTR
1901 S CEDAR ST SUITE 103	TACOMA	WA	98405	CARDIOLOGY CLINIC
13 - SOUTH SOUND CARDIOLOGY CLEAR CREEK
9800 LEVIN RD NW SUITE 204	SILVERDALE	WA	98383	CARDIOLOGY CLINIC
14 - SEATTLE CHILDREN'S OLYMPIA CLINIC
615 LILLY ROAD MEDICAL BLDG SUITE	OLYMPIA	WA	98506	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE	140
15 - SEATTLE CHILDREN'S NORTH CLINIC
1815 13TH ST	EVERETT	WA	98201	CLINIC, SUB SPECIALTY SERVICES, AND URGENT CARE
16 - SEATTLE CHILDREN'S WENATCHEE CLINIC
526 N CHELAN AVE SUITE B	WENATCHEE	WA	98801	PEDIATRIC MEDICAL CLINIC
17 - SEATTLE CHILDREN'S TRI-CITIES CLINIC
900 STEVENS DR SUITE 204	RICHLAND	WA	99352	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE
18 - PEDIATRIC CARDIOLOGY OF ALASKA
3841 PIPER ST SUITE T345	ANCHORAGE	AK	99508	CARDIOLOGY CLINIC
19 - PEDIATRIC CARDIOLOGY OF MONTANA
2510 BOBCAT WAY	GREAT FALLS	MT	59405	CARDIOLOGY CLINIC
20 - ADOLESCENT MEDICINE AT SPRINGBROOK
4540 SAND POINT WAY NE BLDG 1 STE	SEATTLE	WA	98105	ADOLESCENT MEDICAL CLINIC	200
21 - CHILDREN'S ORTHOTICS & PROSTHETICS
4575 SAND POINT WAY NE SUITE 106	SEATTLE	WA	98105	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	SEATTLE CHILDREN'S HOSPITAL (SEATTLE CHILDREN'S) USES THE FEDERAL POVERTY GUIDELINES (FPG) AS ITS PRIMARY CRITERIA FOR QUALIFYING PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE. FAMILIES WHO RESIDE IN OUR REGION WITH INCOME BELOW OR EQUAL TO 400% FPG BASED ON THEIR FAMILY SIZE QUALIFY FOR FINANCIAL ASSISTANCE. FURTHERMORE, SEATTLE CHILDREN'S RECOGNIZES THAT FAMILIES WHO HAVE HIGH BALANCES, EVEN WITH HIGHER INCOMES, CAN EXPERIENCE FINANCIAL HARDSHIP. RESPONSIBLE PARTIES WHOSE INCOME IS BETWEEN 400% AND 599% FPG, WHO HAVE INCURRED SIGNIFICANT ACCOUNT BALANCES, AND WHO ARE NOT ELIGIBLE FOR FUNDING FROM OTHER SOURCES ARE ALSO ELIGIBLE FOR SLIDING SCALE FINANCIAL ASSISTANCE WHEREBY THEY ARE RESPONSIBLE FOR PAYING A PERCENTAGE OF THEIR BILL WHICH IS PROPORTIONATELY DISCOUNTED BASED ON THEIR INCOME AND SEATTLE CHIDREN'S FINANCIAL ASSISTANCE FUNDS THE REMAINING BALANCES. FAMILIES WHO RECEIVE A DENIAL OF FINANCIAL ASSISTANCE BASED ON THE FPG AND FAMILY SIZE INFORMATION ARE ALLOWED TO APPEAL THE DENIAL BY PROVIDING INFORMATION ABOUT ADDITIONAL CIRCUMSTANCES IMPACTING THEIR FINANCIAL SITUATION SUCH AS EXCESSIVE MEDICAL DEBT. THE VICE PRESIDENT OF REVENUE CYCLE OR CHIEF FINANCIAL OFFICER, OR THEIR DELEGATE, MAY ADMINISTRATIVELY APPROVE FINANCIAL ASSISTANCE BASED ON THIS ADDITIONAL INFORMATION. THESE SAME INDIVIDUALS CAN ALSO GRANT FINANCIAL ASSISTANCE IN SPECIAL CASES BASED ON SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, OR DUE TO OTHER REASONS WHEN THE STANDARD APPLICATION PROCESS FOR FINANCIAL ASSISTANCE IS NOT LIKELY TO BE SUCCESSFULLY COMPLETED EVEN THOUGH THE PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR FINANCIAL ASSISTANCE.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,865,780.
PART I, LINE 6:	SEATTLE CHILDREN'S PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE TO THE GENERAL PUBLIC. SEATTLE CHILDREN'S APPLIES THE CATHOLIC HEALTH ASSOCIATION PRINCIPLES AND USES THE "CBISA LYONS" SOFTWARE TO ACCUMULATE THE INFORMATION INCLUDED IN ITS ANNUAL COMMUNITY BENEFIT REPORT. SEE SCHEDULE O FOR THE FULL 2018 COMMUNITY BENEFIT REPORT OR VISIT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT.
PART I, LINE 7:	THE MISSION OF SEATTLE CHILDREN'S HOSPITAL IS TO PROVIDE EXCELLENT PATIENT CARE FOR CHILDREN, TO ENGAGE IN INNOVATIVE RESEARCH THAT WILL IMPROVE THE HEALTH OF CHILDREN, TO TRAIN THE NEXT GENERATION OF PHYSICIANS, OTHER HEALTHCARE WORKERS AND SCIENTISTS WHO WILL ADVANCE THE HEALTH OF CHILDREN, AND TO ADVOCATE FOR THE HEALTHCARE NEEDS OF CHILDREN. AS PART OF ITS MISSION, SEATTLE CHILDREN'S IS COMMITTED TO CARING FOR CHILDREN IN ITS SERVICE AREA IRRESPECTIVE OF ABILITY TO PAY AND TO OTHERWISE IDENTIFY AND HELP TO MEET THE HEALTHCARE NEEDS OF CHILDREN IN THE COMMUNITY.FINANCIAL ASSISTANCE REPRESENTS THE ESTIMATED COST OF CARE PROVIDED TO CHILDREN WHO ARE UNINSURED OR UNDERINSURED AND WHOSE FAMILIES CANNOT AFFORD TO PAY FOR THEIR MEDICAL CARE. SEATTLE CHILDREN'S PROVIDES FINANCIAL ASSISTANCE IN ACCORDANCE WITH ITS FINANCIAL ASSISTANCE POLICY BASED ON FAMILY NEED AND MAINTAINS RECORDS TO IDENTIFY THE LEVEL OF ASSISTANCE IT PROVIDES. THE DETERMINATION OF FAMILY NEED IS EVALUATED DURING A PATIENT'S COURSE OF CARE AND CAN BE UPDATED AFTER CARE IS COMPLETE. BECAUSE SEATTLE CHILDREN'S DOES NOT PURSUE COLLECTION OF THESE AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, THEY ARE NOT REPORTED AS REVENUE. THE ESTIMATED COST OF FINANCIAL ASSISTANCE PROVIDED IS BASED ON A RATIO OF HOSPITAL TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF HOSPITAL TOTAL GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE SERVICES, RESULTING IN THE ESTIMATED COST OF PROVIDING FINANCIAL ASSISTANCE.MEDICAID PAYMENT SHORTFALL REPRESENTS THE ESTIMATED COST OF PROVIDING SERVICES TO PATIENTS COVERED UNDER MEDICAID IN EXCESS OF PAYMENTS RECEIVED. THE ESTIMATED COST OF SERVICES PROVIDED TO MEDICAID PATIENTS IS BASED ON A RATIO OF HOSPITAL TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF HOSPITAL TOTAL GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS CHARGES RELATED TO SERVICES PROVIDED TO MEDICAID PATIENTS, RESULTING IN THE ESTIMATED COST OF PROVIDING CARE TO THESE PATIENTS.OTHER BENEFITS REPRESENT THE COSTS OF PROVIDING PROGRAMS, NET OF DIRECT OFFSETTING REVENUES, FOR THE BENEFIT OF THE ENTIRE COMMUNITY. THESE BENEFITS INCLUDE RESEARCH, HEALTH PROFESSIONS EDUCATION AND VARIOUS OTHER COMMUNITY-BASED HEALTHCARE PROGRAMS.
PART I, LINE 7, COLUMN (D):	IN 2018, SEATTLE CHILDREN'S RECEIVED A ONE-TIME DONATION OF $40 MILLION IN SUPPORT OF THE UNCOMPENSATED CARE PROVIDED BY THE HOSPITAL. THIS GIFT HAS BEEN REPORTED AS DIRECT OFFSETTING REVENUE ON LINES 7A AND 7B.
PART II, COMMUNITY BUILDING ACTIVITIES:	AS PART OF OUR MISSION TO PROVIDE HOPE, CARE AND CURES TO HELP EVERY CHILD LEAD THEIR HEALTHIEST AND MOST FULLFILLING LIFE POSSIBLE, SEATTLE CHILDREN'S MAKES PROACTIVE AND STRATEGIC INVESTMENTS TO HELP CHILDREN AND FAMILIES BE AND STAY HEALTHY IN THE PLACES WHERE THEY LIVE, PLAY AND LEARN. WE WORK WITH OUR COMMUNITIES TO ADDRESS SOME OF THE DETERMINANTS OF HEALTH SUCH AS EDUCATION, HOUSING, ACCESS TO HEALTHY AFFORDABLE FOOD, SOCIAL SUPPORTS AND THE BUILT ENVIRONMENT. SOME EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES INCLUDE:- ODESSA BROWN CHILDREN'S CLINIC (OBCC) IS A COMMUNITY CLINIC OF SEATTLE CHILDREN'S. CHILDREN FROM BIRTH THROUGH AGE 21 RECEIVE CARE FROM A TEAM OF SPECIALLY TRAINED PEDIATRIC CARE PROVIDERS. LOCATED IN SEATTLE'S CENTRAL DISTRICT, OBCC PROVIDES MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO OVER 40,000 PATIENTS A YEAR ESPECIALLY FAMILIES IN LOW-INCOME COMMUNITIES. OBCC'S MODEL FOR CARE IS UNIQUE AND ADDRESSES THE SOCIAL, ECONOMIC AND ENVIRONMENTAL ROOTS OF ILLNESS. AS A SITE FOR REACH OUT AND READ, OBCC PROMOTES EARLY LITERACY BY PROVIDING BOOKS AT WELL-CHILD VISITS FOR CHILDREN AGES 6 MONTHS TO 5 YEARS OLD. OBCC PROVIDES BOOKS TO ALL CHILDREN AT ALL VISITS AND EXTENDS THE OFFERING TO SIBLINGS THAT COME TO THE APPOINTMENTS. OBCC ALSO DISTRIBUTES BOOKS AT NO COST TO LOCAL SCHOOLS WHERE THEY PROVIDE HEALTH AND MENTAL HEALTH SERVICES. LAST YEAR OBCC DISSEMINATED 5,400 BOOKS.- OUR CLINICAL AND NON CLINICAL STAFF PROVIDE LECTURES, TOURS, MENTORING AND SHADOWING OPPORTUNITIES THAT DISCUSS EMPLOYMENT OPPORTUNITIES IN HEALTHCARE TO UNDER RESOURCED STUDENTS AND PEOPLE FROM DIVERSE BACKGROUNDS. ONE OF THE PROGRAMS REACHES OUT TO PEOPLE WHO ARE PLANNING TO ATTEND MEDICAL SCHOOL TO INCREASE THEIR SKILL SET WHEN APPLYING. ALSO, WE PROVIDE NEONATAL AND PEDIATRIC CLINICAL TRAINING TO RESPIRATORY THERAPISTS AT LOCAL COLLEGES. OUR GOAL IS TO TRAIN RESPIRATORY THERAPISTS TO PROPERLY ASSESS PATIENTS FOR RESPIRATORY INTERVENTIONS. ONCE THESE THERAPISTS ARE CREDENTIALED AND LICENSED, THEY WILL JOIN EMERGENCY RESPONSE TEAMS AND THEIR SKILLS TO ASSESS PEDIATRIC PATIENTS WILL HAVE A VALUABLE IMPACT IN CASE OF EMERGENCY RESPONSE DEPLOYMENT. WITH CERTAIN TYPES OF DISASTERS, WE ANTICIPATE THE NEED FOR PROFESSIONALS WHO CAN ASSESS THE NEED FOR AND ADMINISTER COMPLEX RESPIRATORY THERAPY TREATMENTS TO PEDIATRIC PATIENTS, SO THE TYPE OF TRAINING WE OFFER IS CRUCIAL. - ADDITIONALLY, SEATTLE CHILDREN'S OFFERS MEDICAL OBSERVERSHIPS AND SHADOWING OPPORTUNITIES WHEREBY INDIVIDUALS WITH OR WITHOUT PRIOR MEDICAL EDUCATION CAN OBSERVE MEDICAL PROFESSIONALS AS THEY CARE FOR PATIENTS AND FAMILIES FOR A SPECIFIC PERIOD OF TIME. WHILE OBSERVERS ARE VISITORS AND NOT INVOLVED IN PATIENT CARE, PARTICIPANTS ARE EXPOSED TO DIFFERENT MEDICAL PROFESSIONS AND ARE OFTEN INSPIRED TO PURSUE A CAREER IN HEALTH CARE DELIVERY. - SEATTLE CHILDREN'S HOSTS THE SCIENCE ADVENTURE LAB. THE SCIENCE ADVENTURE LAB IS A CUSTOM-BUILT, MOBILE SCIENCE LAB OUTFITTED WITH RESEARCH GRADE EQUIPMENT AND SPACE FOR UP TO 30 STUDENTS AT A TIME. THE MOBILE LAB TRAVELS TO SCHOOLS ACROSS WASHINGTON TO PROVIDE INNOVATIVE, HANDS-ON SCIENCE CURRICULUM TO STUDENTS IN GRADES FOUR THROUGH TWELVE REACHING 905 CHILDREN IN 2018. INSIDE, STUDENTS PERFORM SCIENCE EXPERIMENTS AND LEARN ABOUT CAREERS IN SCIENCE AND HEALTH CARE. MANY OF THE SCHOOLS ARE IN RURAL AREAS AND/OR HAVE HIGH NUMBERS OF LOW INCOME CHILDREN. THE SCIENCE ADVENTURE LAB PROGRAM OFFERS A VARIETY OF DIFFERENT CURRICULUM MODULES FROM WHICH TEACHERS CAN SELECT. EACH MODULE USES HANDS-ON ACTIVITIES TO TEACH SCIENCE CONTENT WHILE ADDRESSING KEY ISSUES IN PEDIATRIC HEALTH SUCH AS ASTHMA, CONCUSSIONS, NUTRITION AND THE CONNECTION BETWEEN GENES AND HEALTH.- ADDITIONALLY, SEATTLE CHILDREN'S IS COMMITTED TO CONTRIBUTING TO TRANSPORTATION IMPROVEMENTS IN NORTHEAST SEATTLE AND BEYOND. THROUGH OUR LIVABLE STREETS INITIATIVE, WE WORK WITH OUR COMMUNITY ON PROJECTS SUCH AS UPGRADES TO LOCAL STREETS SO THAT THEY ARE SAFE FOR PEDESTRIANS AND BIKERS OF ALL AGES AND ABILITIES; INTELLIGENT TRANSPORTATION SYSTEMS THAT USE TECHNOLOGY TO GIVE DRIVERS MORE INFORMATION; AND INTERSECTION IMPROVEMENTS THAT INCREASE SAFETY FOR ALL USERS. IN 2018, OUR COMMUNITY BUILDING WORK INCLUDED COLLABORATION WITH OTHER COMMUNITY PARTNERS SUCH AS FORTERRA AND PLANTED 250 TREES TO SEQUESTER 1,249 TONS OF CARBON. ADDITIONALLY, SEATTLE CHILDREN'S PARTNERED WITH U-DISTRICT RESIDENTS, BUSINESSES, THE UNIVERSITY OF WASHINGTON, U-DISTRICT PARTNERSHIP, GOVERNMENT AGENCIES AND COMMUNITY GROUPS TO SPONSOR AND HELP CRAFT AN ACCESS PLAN FOR THE FUTURE U-DISTRICT LIGHT RAIL STATION AT 43RD AND BROOKLYN. THE PLAN IS BOTH A VISION AND A LIST OF ACTIONABLE RECOMMENDATIONS THAT ADDRESS ACCESS, SAFETY AND LIVABILITY AROUND THE FUTURE LIGHT RAIL STATION. SEATTLE CHILDREN'S STAFF HELPED SECURE FUNDING, CREATE AN RFP FOR A CONSULTANT TEAM, CRAFT SURVEYS, LEAD COMMUNITY WORKSHOPS, TRANSLATE MATERIALS, ATTEND OUTREACH EVENTS AND COORDINATE WITH GOVERNMENTAL AGENCIES TO DEVELOP THE PLAN.- WE HAVE ALSO INCREASED OUR COMMUNITY BUILDING EFFORTS AMOUNGST OUR WORKFORCE, DIVERSITY AND INCLUSION DIVISION AND OTHER COMMUNITY GROUPS IN THE REGION. EXAMPLES OF OUR INCLUSION NETWORKS ARE: Q POD (LGBTQ) NETWORK, THE GREEN TEAM (SUSTAINABILITY) NETWORK, HOLA (HISPANIC/LATINO) NETWORK, THE INDIGENOUS PEOPLES NETWORK, THE PARENTING NETWORK AND THE BLACK AND AFRICAN HERITAGE NETWORK. THESE GROUPS HAVE PARTNERED WITH COMMUNITY BASED ORGANIZATIONS TO DEVELOP AND SUPPORT PROGRAMMING AS LED BY LOCAL LEADERS AND INVEST IN COMMUNITY BUILDING EFFORTS ON BEHALF OF SEATTLE CHILDREN'S.- WE ALSO PROVIDE SPONSORSHIPS TO COMMUNITY ORGANIZATIONS THAT SUPPORT FAMILIES BY PROVIDING QUALITY CHILD CARE, LANGUAGE AND CULTURAL TRAINING, HOUSING, WORKFORCE DEVELOPMENT AND PARENTING SKILLS. WE ALSO PARTNER WITH COMMUNITY BASED ORGANIZATIONS AND COALITIONS THAT ADVOCATE FOR COMMUNITY HEALTH IMPROVEMENT, PROVIDE ECONOMIC DEVELOPMENT AND REVITALIZATION, AND HELP MAKE COMMUNITIES SAFER AND HEALTHIER.
PART III, LINE 2:	THE TOTAL AMOUNT OF BAD DEBT EXPENSE PROVIDED IS BASED ON THE RATIO OF TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS BAD DEBT EXPENSE, RESULTING IN BAD DEBT EXPENSE AT COST. SEATTLE CHILDREN'S CHARACTERIZES SELF PAY AS BAD DEBT WHEN A FAMILY IS EITHER NOT ELIGIBLE OR HAS NOT APPLIED FOR FINANCIAL ASSISTANCE AND IS UNWILLING OR UNABLE TO PAY AN OUTSTANDING ACCOUNT BALANCE. THE MOST COMMON PATIENT BAD DEBT SCENARIOS INCLUDE UNPAID SELF PAY PORTIONS OF ACCOUNT BALANCES AFTER INSURANCE OR THIRD PARTY ASSISTANCE PAYMENTS OR UNPAID ACCOUNT BALANCES AFTER A BANKRUPTCY FILING. SEATTLE CHILDREN'S IS SENSITIVE TO THE FINANCIAL HEALTH OF FAMILIES AND RECOGNIZES THAT FAMILY FINANCIAL CONCERNS MAY NOT ALWAYS BE EFFECTIVELY COMMUNICATED. SEATTLE CHILDREN'S IS COMMITTED TO MANAGING COLLECTION EFFORTS INTERNALLY, IN A RESPECTFUL MANNER AND WITHOUT USING EXTERNAL COLLECTION OR CREDIT AGENCIES, EXCEPT IN LIMITED CIRCUMSTANCES SUCH AS INTERNATIONAL PATIENTS. SINCE ALL COLLECTION EFFORTS ARE MANAGED INTERNALLY, IN A RESPECTFUL MANNER, SEATTLE CHILDREN'S DOES NOT DISCLOSE ITS COLLECTION PRACTICE IN THE FOOTNOTES OF THE FINANCIAL STATEMENTS.
PART III, LINE 4:	THE METHOD FOR DETERMINING UNCOLLECTIBLE ACCOUNTS IS DISCUSSED IN FOOTNOTE (1)(M), WHICH IS FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS ARE OBTAINED DIRECTLY FROM THE MEDICARE COST REPORT AND ARE DETERMINED IN ACCORDANCE WITH THE MEDICARE PRINCIPLES OF REIMBURSEMENT. THE MAJORITY OF SEATTLE CHILDREN'S MEDICARE PATIENTS ARE CHILDREN WITH END STAGE RENAL DISEASE (ESRD) THAT INCLUDES DIALYSIS CARE AND OFTEN A KIDNEY TRANSPLANT ALONG WITH OTHER RELATED SERVICES. THE ESRD CARE OFTEN RESULTS IN A LONGER LENGTH OF STAY AND HIGHER ACUITY. MEDICARE REIMBURSEMENT FOR THESE SERVICES IS SUBJECT TO THE LIMITS OF THE TAX EQUITY AND FISCAL RESPONSIBILITY ACT, WHICH ARE OFTEN BELOW SEATTLE CHILDREN'S COST. THE ACTUAL SHORTFALL IN COST REIMBURSEMENT SHOULD AT LEAST BE TREATED AS COMMUNITY BENEFIT.
PART III, LINE 9B:	SEATTLE CHILDREN'S REVENUE CYCLE DEPARTMENT USES A STANDARD, RESPECTFUL PROCEDURE FOR RESOLVING UNPAID PATIENT BALANCES. A. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES.B. SEATTLE CHILDREN'S PROVIDES A STANDARD 25% DISCOUNT ON HEALTH CARE SERVICES TO PATIENTS WHO ARE UNINSURED IN ACCORDANCE WITH ORGANIZATIONAL POLICIES AND PROCEDURES. THIS DISCOUNT ALIGNS WITH OR IS LOWER THAN DISCOUNTS PROVIDED TO COMMERCIAL INSURERS.C. ADDITIONALLY, SEATTLE CHILDREN'S ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE INTEREST-FREE PAYMENT PLANS.D. IF A PATIENT ACCOUNT BALANCE REMAINS UNPAID AFTER STANDARD INTERNAL COLLECTION PROCEDURES HAVE BEEN FOLLOWED, AND IF THE FAMILY HAS NOT APPLIED FOR OR DOES NOT QUALIFY FOR SEATTLE CHILDREN'S FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE WILL BE WRITTEN OFF AS BAD DEBT IN ACCORDANCE WITH STANDARD PROCEDURAL TIMELINES. - UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, SEATTLE CHILDREN'S IDENTIFIES ANY OUTSTANDING ACCOUNT BALANCES FOR THE ASSOCIATED PATIENT AND WRITES OFF THESE BALANCES AS BAD DEBT. - SEATTLE CHILDREN'S FINANCE DEPARTMENT MONITORS THE PORTION OF OUTSTANDING ACCOUNTS RECEIVABLE THAT IS CLASSIFIED AS BAD DEBT FOR SIGNIFICANT VARIANCES. - SEATTLE CHILDREN'S STANDARD PRACTICE IS TO COLLECT ON OUTSTANDING PATIENT ACCOUNTS USING INTERNAL RESOURCES. 1. REPORTS ARE NOT SENT TO CREDIT AGENCIES. 2. COLLECTION AGENCIES WILL NOT BE USED TO COLLECT ANY OUTSTANDING PATIENT ACCOUNT EXCEPT AS SPECIFICALLY AUTHORIZED BY THE SENIOR DIRECTOR OF REVENUE CYCLE. 3. THE USE OF COLLECTION AGENCIES WILL ONLY BE PERMITTED IN VERY RARE SCENARIOS WHERE THE FAMILY RESIDES OUTSIDE OF SEATTLE CHILDREN'S SERVICE AREA (E.G., INTERNATIONAL PATIENTS). 4. SEATTLE CHILDREN'S WILL NOT FILE A LIEN AGAINST A PATIENT'S OR FAMILY'S PRIMARY RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES.
PART VI, LINE 2:	AS PART OF SEATTLE CHILDREN'S STRATEGIC PLAN DEVELOPMENT, WE HAVE DONE RESEARCH TO IDENTIFY SPECIALTY CARE, MENTAL HEALTH AND EMERGENCY CARE ACCESS AND SHORTAGE ISSUES; ASSESS THE ONGOING NEED FOR UNCOMPENSATED CARE SUPPORT; AND DETERMINE POTENTIAL PARTNERSHIPS TO BETTER ADDRESS THE HEALTH CARE NEEDS OF ALL CHILDREN IN OUR REGION. ADDITIONALLY, NUMEROUS PROGRAMS AND DEPARTMENTS IN THE HOSPITAL CONDUCT NEEDS ASSESSMENTS TO IDENTIFY HEALTH PROMOTION, HEALTH CARE AND HEALTH DISPARITIES THAT IMPACT THE HEALTH OF CHILDREN AND FAMILIES.
PART VI, LINE 3:	INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO EVERY FAMILY THAT COMES TO SEATTLE CHILDREN'S, WHETHER FOR AN INPATIENT STAY, CLINIC VISIT, SURGERY OR THROUGH THE EMERGENCY DEPARTMENT. BOTH APPLICATION FORMS AND SIGNAGE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH, SPANISH, VIETNAMESE, RUSSIAN, AND SOMALI. IN PERSON INTERPRETERS AND THE HOSPITAL'S SPEAK LINE, WHICH ACCESSES TELEPHONE INTERPRETATION, HELP PROVIDE INFORMATION TO FAMILIES WITH LIMITED ENGLISH PROFICIENCY INFORMATION ABOUT FINANCIAL ASSISTANCE. AN APPLICATION FORM IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE. ALL REGISTRATION DESKS HAVE FINANCIAL ASSISTANCE INFORMATION VISIBLE AND AVAILABLE. EVERY INPATIENT AND EMERGENCY DEPARTMENT FAMILY IS OFFERED FINANCIAL ASSISTANCE INFORMATION, WHETHER OR NOT THEY HAVE INSURANCE. ALL HOSPITAL BILLS INCLUDE A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IF HELP IS NEEDED IN PAYING A BILL, REGARDLESS OF INSURANCE STATUS.FINANCIAL COUNSELORS ARE AVAILABLE TO MEET INDIVIDUALLY WITH FAMILIES TO HELP DETERMINE WHAT ASSISTANCE THEY MAY QUALIFY FOR AND TO HELP THEM COMPLETE AND SUBMIT FORMS. THE FINANCIAL COUNSELORS RECEIVE INFORMATION THROUGH THE SCHEDULING SYSTEM THAT IDENTIFIES UNINSURED OR UNDERINSURED FAMILIES. FINANCIAL COUNSELORS CONTACT FAMILIES TO CLARIFY ASSISTANCE AVAILABLE AND TO OFFER THEIR HELP WITH APPLYING FOR ASSISTANCE. THEY HELP FAMILIES DETERMINE IF THEY QUALIFY FOR OTHER SOURCES OF FUNDING, INCLUDING MEDICAID AND QUALIFIED HEALTH PLANS SOLD ON THE STATE INSURANCE EXCHANGE. SOCIAL WORKERS ALSO HELP SCREEN FAMILIES FOR FINANCIAL NEEDS AND REFER PATIENTS TO FINANCIAL COUNSELORS.
PART VI, LINE 4:	SEATTLE CHILDREN'S SERVES AS THE PEDIATRIC AND ADOLESCENT MEDICAL CENTER FOR WASHINGTON, ALASKA, IDAHO, AND MONTANA, THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. WE PRIMARILY SERVE CHILDREN FROM BIRTH TO 21 YEARS OLD, MOST OF WHOM ARE FROM WASHINGTON STATE. OVER 51% OF OUR PATIENTS ARE UNINSURED OR INSURED BY MEDICAID OR THE CHILDRENS HEALTH INSURANCE PROGRAM (KNOWN AS CHIP OR APPLE HEALTH FOR KIDS IN WASHINGTON STATE). IN 2018, 19% OF OUR PATIENTS CAME FROM SEATTLE, 34% FROM KING COUNTY, 44% FROM LOCATIONS IN WASHINGTON STATE OUTSIDE KING COUNTY, 2% FROM ALASKA, MONTANA AND IDAHO AND 1% FROM AREAS OUTSIDE THE REGION. THESE AREAS ARE URBAN, SUBURBAN AND RURAL. - OF THE MORE THAN 7.5 MILLION RESIDENTS OF WASHINGTON STATE, NEARLY 25% ARE UNDER 20 YEARS OLD. WASHINGTON STATE DATA ALSO SHOWS THAT 13.5% OF THE POPULATION ARE FOREIGN-BORN WITH 19% SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME. OF THE 1.6 MILLION CHILDREN UNDER THE AGE OF 18 IN WASHINGTON STATE, 21% OF THEM ARE OF HISPANIC OR LATINO ORIGIN. ALSO, 18% OF CHILDREN IN WASHINGTON STATE AND 15% OF CHILDREN IN KING COUNTY LIVE IN POVERTY AND 7% OF WASHINGTONIANS (5% KING COUNTY) LIVE IN EXTREME POVERTY. ALMOST HALF OF ALL WASHINGTON RESIDENTS ON MEDICAID ARE CHILDREN OR TEENS. WHILE MEDICAID EXPANSION HAS PLAYED A ROLE IN REDUCING THE UNINSURED RATE IN WASHINGTON STATE, DATA TELLS US THAT 5.5% OF THE WASHINGTON STATE POPULATION IS UNINSURED (400,000 INDIVIDUALS) EVEN AFTER THE AFFORDABLE CARE AND PATIENT PROTECTION ACT AND MEDICAID EXPANSION. FOR CHILDREN WHO REMAIN UNINSURED IN WASHINGTON STATE, WE BELIEVE THAT MOST ARE LIKELY ELIGIBLE FOR APPLE HEALTH FOR KIDS, ALTHOUGH THEIR PARENTS MAY NOT BE AWARE OF THEIR ELIGIBILITY. AS THE PEDIATRIC AND ADOLESCENT MEDICAL CENTER FOR WASHINGTON, ALASKA, IDAHO, AND MONTANA, SEATTLE CHILDREN'S HOSPITAL HAS SPECIALIZED IN MEETING THE UNIQUE PHYSICAL, EMOTIONAL AND DEVELOPMENTAL NEEDS OF CHILDREN FROM INFANCY THROUGH YOUNG ADULTHOOD. THROUGH THE COLLABORATION OF PHYSICIANS IN NEARLY 60 PEDIATRIC SUBSPECIALTIES, WE PROVIDE INPATIENT, OUTPATIENT, DIAGNOSTIC, SURGICAL, REHABILITATIVE, BEHAVIORAL, EMERGENCY AND OUTREACH SERVICES - REGARDLESS OF A FAMILY'S ABILITY TO PAY. WHILE 97% OF OUR PATIENTS HAIL FROM WASHINGTON STATE, THE STATE ITSELF HAS 47 MEDICALLY UNDERSERVED AREAS AND POPULATIONS THROUGHOUT ITS 39 COUNTIES.
PART VI, LINE 5:	SEATTLE CHILDREN'S IS GOVERNED BY A BOARD OF TRUSTEES, CONSISTING OF BETWEEN 20-30 VOTING TRUSTEES WHO ARE MEMBERS OF THE LOCAL COMMUNITY. SEATTLE CHILDREN'S FUNCTIONS THROUGH COMMITTEES THAT ARE STAFFED WITH TRUSTEES OF RESPECTIVE BOARDS WHO HAVE SIGNIFICANT EXPERIENCE AND SKILLS REQUIRED BY THAT COMMITTEE, AND IN SOME CASES INCLUDE OUTSIDE MEMBERS WHO ARE NOT TRUSTEES WHEN THEIR KNOWLEDGE OR EXPERIENCE WOULD CONTRIBUTE TO THE WORK OF THE COMMITTEE. SEATTLE CHILDREN'S ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO CERTAIN QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OF ITS DEPARTMENTS. SEATTLE CHILDREN'S ALSO HAS REGIONAL STRATEGIC AFFILIATIONS WITH THE FOLLOWING ENTITIES:- UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (UWSOM)SEATTLE CHILDREN'S HAS HAD A FORMAL AFFILIATION WITH THE UWSOM SINCE 1974. SEATTLE CHILDREN'S HOSPITAL PROVIDES THE PEDIATRIC COMPONENT OF THE UWSOM UNDERGRADUATE MEDICAL EDUCATION PROGRAM AS WELL AS THE HOSPITAL-BASED PEDIATRIC TRAINING EXPERIENCE FOR ALL POST-GRADUATE PROGRAMS.THE UWSOM, A REGIONAL RESOURCE FOR WASHINGTON, WYOMING, ALASKA, MONTANA, AND IDAHO, IS A NATIONALLY AND INTERNATIONALLY RECOGNIZED LEADER IN MEDICAL EDUCATION, PATIENT CARE, SCIENTIFIC RESEARCH AND COMMUNITY SERVICE. THE UWSOM HAS 30 DEPARTMENTS, MANY CENTERS AND NUMEROUS AFFILIATIONS THROUGHOUT THE FIVE-STATE REGION. THE UWSOM OFFERS EXTENSIVE TRAINING PROGRAMS IN THE BASIC MEDICAL SCIENCES, PRIMARY CARE AND THE SPECIALTIES OF CLINICAL MEDICINE. IT HAS A FULL-TIME REGULAR AND RESEARCH FACULTY OF APPROXIMATELY 2,400. IN ADDITION TO TRAINING FUTURE PHYSICIANS, THE FACULTY ALSO TEACHES GRADUATE AND UNDERGRADUATE STUDENTS IN MANY DISCIPLINES, AND 4,600 VOLUNTEER AND PART-TIME CLINICAL FACULTY MEMBERS TEACH STUDENTS IN TOWNS AND CITIES ACROSS THE REGION. THE UWSOM IS AFFILIATED WITH THE 450-BED UNIVERSITY OF WASHINGTON MEDICAL CENTER AND THE 413-BED HARBORVIEW MEDICAL CENTER, WITH WHICH SEATTLE CHILDREN'S HOSPITAL SHARES A DESIGNATION AS A PEDIATRIC LEVEL I TRAUMA CENTER.- CHILDREN'S UNIVERSITY MEDICAL GROUP (CUMG)SEATTLE CHILDREN'S HEALTHCARE SYSTEM AND THE UNIVERSITY OF WASHINGTON (THE "UW") JOINTLY CONTROL CUMG, A WASHINGTON NONPROFIT CORPORATION AND A 501(C)(3) ORGANIZATION. CUMG IS A PEDIATRIC PRACTICE PLAN THAT EMPLOYS AND MANAGES THE CLINICAL PRACTICES OF APPROXIMATELY 500 PROFESSIONAL MEMBERS WHO ARE BOTH MEMBERS OF SEATTLE CHILDREN'S HOSPITAL MEDICAL STAFF AND PEDIATRIC FACULTY MEMBERS OF THE UWSOM.- PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC (PCNS)SEATTLE CHILDREN'S PARTICIPATES IN A JOINT VENTURE WITH PROVIDENCE EVERETT MEDICAL CENTER (PEMC), AN UNRELATED COMMUNITY-BASED HOSPITAL LOCATED IN EVERETT, WASHINGTON. CHILDREN'S AND PEMC EACH OWN A 50% INTEREST IN PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC. PCNS MANAGES THE OPERATIONS OF THE NEONATAL INTENSIVE CARE UNIT AT PEMC AND PROVIDES NEONATAL NURSE PRACTITIONER SERVICES TO PEMC.- SEATTLE CANCER CARE ALLIANCE (SCCA)THE SEATTLE CANCER CARE ALLIANCE, A WASHINGTON NONPROFIT CORPORATION AND 501(C)(3) ORGANIZATION, OFFERS A COMPREHENSIVE PROGRAM OF INTEGRATED CANCER CARE SERVICES. ITS MEMBERS ARE SEATTLE CHILDREN'S HEALTHCARE SYSTEM, UW, AND FRED HUTCHINSON CANCER RESEARCH CENTER. SCCA OPERATES AN AMBULATORY CANCER CARE SERVICES FACILITY AND A 20-BED LICENSED HOSPITAL INSIDE UWMC.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (161 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
AHS HOSPITAL CORPORATION
PO BOX 48328	NEWARK	NJ	071014828	521958352	501(C)(3)	$11,091	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
AKRON CHILDREN'S HOSPITAL
ONE PERKINS SQUARE	AKRON	OH	44308	340714357	501(C)(3)	$61,094	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
ALASKA ARTS SOUTHEAST INC
PO BOX 3086	SITKA	AK	99835	237240278	501(C)(3)	$20,000	GRANT FOR PURCHASE OF 20 IMAC COMPUTERS FOR SITKA FINE ARTS CAMP
ALL CHILDREN'S RESEARCH INSTITUTE INC
501 6TH AVE S DEPT 9581	ST PETERSBURG	FL	33701	592481742	501(C)(3)	$19,539	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
AMERICAN ACADEMY OF PEDIATRICS
141 NORTHWEST POINT BLVD	ELK GROVE	IL	60007	362275597	501(C)(3)	$125,848	FOR OUR FUTURE CAMPAIGN AND FORUM SPONSORSHIP AND PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
AMERICAN HEART ASSOCIATION
710 SECOND AVE STE 900	SEATTLE	WA	98104	135613797	501(C)(3)	$41,378	GRANT FOR CPR IN SCHOOLS PROGRAM IN SOUTHEAST ALASKA AND SPONSORSHIPS OF ALASKA HEART RUN AND TACOMA HEART BALL
ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO
225 E CHICAGO AVE BOX 205	CHICAGO	IL	60611	362170833	501(C)(3)	$31,506	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE INC
1 CHILDRENS WAY MAIL SLOT 663	LITTLE ROCK	AR	722023591	710694931	501(C)(3)	$8,687	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
ASHLEY HOUSE
33811 9TH AVE S	FEDERAL WAY	WA	98003	943080307	501(C)(3)	$600,000	SUPPORT FOR DEVELOPMENT OF PEDIATRIC TRANSITIONAL CARE FACILITY
BARTLETT REGIONAL HOSPITAL
3260 HOSPITAL DRIVE	JUNEAU	AK	99801	920118538	GOVERNMENT	$11,033	GRANT FOR CAR SEAT SAFETY PROGRAM
BATTELLE MEMORIAL INSTITUTE
505 KING AVE	COLUMBUS	OH	432012693	314379427	501(C)(3)	$115,201	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
BAYLOR COLLEGE OF MEDICINE
TEXAS CHILDRENS 6701 FANNIN ST STE	HOUSTON	TX	77030	741613878	501(C)(3)	$213,050	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	1040
BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON
1201 NINTH AVE	SEATTLE	WA	981012795	910653422	501(C)(3)	$1,003,065	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
BILLINGS CLINIC
2800 TENTH AVE S	BILLINGS	MT	59101	810231784	501(C)(3)	$8,858	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CAMP KOREY
28901 NE CARNATION FARM RD	CARNATION	WA	98014	203829742	501(C)(3)	$10,000	SPONSORSHIPS OF GROW EVENTS
CASCADE BICYCLE CLUB EDUCATION FOUNDATION
7787 62ND AVE NE	SEATTLE	WA	98115	912165219	501(C)(3)	$9,600	SPONSORSHIPS OF BIKE TO SCHOOL MONTH, BIKE EVERYWHERE BREAKFAST, AND LET'S GO BIKE AND PEDESTRIAN SAFETY PROGRAM
CASE WESTERN RESERVE UNIVERSITY
10900 EUCLID AVE	CLEVELAND	OH	44106	341018992	501(C)(3)	$223,404	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CENTER FOR CHILDREN AND YOUTH JUSTICE
615 2ND AVE STE 275	SEATTLE	WA	98104	204457248	501(C)(3)	$10,000	BREAKFAST SPONSORSHIP
CENTER FOR INFECTIOUS DISEASE RESEARCH
307 WESTLAKE AVE N STE 500	SEATTLE	WA	98109	910961784	501(C)(3)	$31,339	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CENTER FOR MULTICULTURAL HEALTH
1120 EAST TERRACE STREET STE 200	SEATTLE	WA	98122	910983698	501(C)(3)	$14,170	HEALTHY KING COUNTY COALITION PROGRAM SPONSORSHIP
CHILDREN'S ALLIANCE
718 6TH AVE S	SEATTLE	WA	98104	910982879	501(C)(3)	$6,110	SPONSORSHIP OF VOICES FOR CHILDREN LUNCHEON AND MEMBERSHIP CONTRIBUTION
CHILDREN'S HEALTHCARE OF ATLANTA
1687 TULLIE CIRCLE	ATLANTA	GA	30329	582367819	501(C)(3)	$6,936	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL AND CLINICS OF MINNESOTA
2525 CHICAGO AVE S	MINNEAPOLIS	MN	55404	411754276	501(C)(3)	$94,930	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL BOSTON
PO BOX 414413	BOSTON	MA	022414413	042774441	501(C)(3)	$170,404	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL COLORADO
13123 E 16TH AVE B148	AURORA	CO	80045	840166760	501(C)(3)	$19,409	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS97	LOS ANGELES	CA	90027	951690977	501(C)(3)	$113,114	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL MEDICAL CENTER
3333 BURNET AVE MLC4900	CINCINNATI	OH	452293039	310833936	501(C)(3)	$171,143	SPONSORSHIP OF IMPACT PEDIATRIC HEALTH CONSORTIUM AND PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL OF PHILADELPHIA
3401 CIVIC CENTER BLVD	PHILADELPHIA	PA	191044318	231352166	501(C)(3)	$425,549	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CITY OF HOPE NATIONAL MEDICAL CENTER
1500 E DUARTE RD	DUARTE	CA	91010	951683875	501(C)(3)	$17,503	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CITY OF SEATTLE
100 DEXTER AVE N	SEATTLE	WA	981095199	916001275	GOVERNMENT	$17,000	DONATION TO SEATTLE PARKS AND RECREATION'S SWIM SCHOLARSHIP FUND AND FRESH BUCKS PROGRAM
COLUMBIA UNIVERSITY
PO BOX 26453	NEW YORK	NY	10032	135598093	501(C)(3)	$167,120	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CONNECTICUT CHILDREN'S MEDICAL CENTER
282 WASHINGTON ST	HARTFORD	CT	06106	060646755	501(C)(3)	$35,644	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVE	FORT WORTH	TX	76104	752051646	501(C)(3)	$8,992	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CRAIG WAVERUNNERS SWIM CLUB
PO BOX 877	CRAIG	AK	99921	471501279	501(C)(3)	$13,000	GRANT FOR YOUTH TO ATTEND SWIM CAMP
CROHN'S AND COLITIS FOUNDATION OF AMERICA NORTHWEST CHAPTER
9 LAKE BELLEVUE DR STE 203	BELLEVUE	WA	98005	136193105	501(C)(3)	$9,000	SPONSORSHIPS OF BENEFIT LUNCHEON, TAKE STEPS WALK AND FALL EVENT, & PEDIATRIC IBD FAMILY CONFERENCE
DAYTON CHILDREN'S HOSPITAL
ONE CHILDRENS PLAZA	DAYTON	OH	45404	310672132	501(C)(3)	$7,424	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
DREXEL UNIVERSITY COLLEGE OF MEDICINE
PO BOX 95000-1010	PHILADELPHIA	PA	191951010	232979433	501(C)(3)	$5,802	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
EMORY UNIVERSITY
PO BOX 935084	ATLANTA	GA	311935084	580566256	501(C)(3)	$344,178	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
FLORIDA HEALTH SCIENCES CENTER INC
PO BOX 1289	TAMPA	FL	33601	593458145	501(C)(3)	$5,660	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
FOUNDATION FOR HEALTHY GENERATIONS
419 THIRD AVE W	SEATTLE	WA	98119	916186093	501(C)(3)	$10,000	SUPPORT FOR CHILDHOOD OBESITY PREVENTION COALITION
FRED HUTCHINSON CANCER RESEARCH CENTER
1100 FAIRVIEW AVE N	SEATTLE	WA	98109	237156071	501(C)(3)	$2,484,064	SUPPORT OF NEURO-ONCOLOGY RESEARCH IN PEDIATRIC BRAIN TUMORS AND PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
GAPPS
19009 33RD AVE W STE 200	LYNNWOOD	WA	98036	814625437	501(C)(3)	$846,880	CASH AND IN-KIND SUPPORT TO THE GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH AND GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD
GEORGIA REGENTS UNIVERSITY
PO BOX 945552	ATLANTA	GA	303945552	581418202	501(C)(3)	$15,792	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
GEORGIA SOUTHERN UNIVERSITY RESEARCH AND SERVICE FOUNDATION INC
PO BOX 8005	STATEBORO	GA	30460	582354256	501(C)(3)	$14,738	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
GIRLS ON THE RUN OF PUGET SOUND
1404 E YESLER WAY STE 201	SEATTLE	WA	98122	841618574	501(C)(3)	$6,665	SPONSORSHIP OF 5K RUN EVENT AND BUILDING HEALTHY HABITS IN PUGET SOUND
GREATER KETCHIKAN CHAMBER OF COMMERCE
PO BOX 5957	KETCHIKAN	AK	99901	920028415	501(C)(6)	$10,000	GRANT FOR ENDOWED EDUCATION SCHOLARSHIP FUND TO BENEFIT STUDENTS IN KETCHIKAN
HAINES DOLPHIN SWIM TEAM
PO BOX 1367	HAINES	AK	99827	300159206	501(C)(3)	$7,810	GRANT FOR SWIM TEAM SCHOLARSHIP PROGRAM
HEALTHPOINT
955 POWELL AVE SW	RENTON	WA	98057	910884412	501(C)(3)	$6,150	ANNUAL DINNER SPONSORSHIPS
HOPELINK
10675 WILLOWS RD NE STE 275	REDMOND	WA	98052	910982116	501(C)(3)	$7,000	LUNCHEON SPONSORSHIP
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PL BOX 3500	NEW YORK	NY	10029	136171197	501(C)(3)	$83,561	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
INDIANA UNIVERSITY
DEPT 78867 PO BOX 78000	DETROIT	MI	482780867	356001673	GOVERNMENT	$215,832	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
INFECTIOUS DISEASE RESEARCH INSTITUTE
1616 EASTLAKE AVE E STE 400	SEATTLE	WA	98102	911608978	501(C)(3)	$35,491	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
JDRF INTERNATIONAL DBA JDRF SEATTLE GUILD
1215 4TH AVE STE 1100	SEATTLE	WA	98161	231907729	501(C)(3)	$10,250	SPONSORSHIPS OF TYPE ONE NATION SUMMIT AND ANNUAL GALA
JOHNS HOPKINS UNIVERSITY
12529 COLLECTIONS CENTER DR	CHICAGO	IL	60693	520595110	GOVERNMENT	$88,797	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
KAISER FOUNDATION HEALTH PLAN
PO BOX 34587	SEATTLE	WA	981249990	910511770	501(C)(3)	$69,879	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
KAISER FOUNDATION HOSPITALS
1800 HARRISON ST 16TH FLOOR	OAKLAND	CA	94612	941105628	501(C)(3)	$9,604	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
KLAWOCK PARENT TEACHER STUDENT ASSOCIATION
7054 KLAWOCK HOLLIS HWY	KLAWOCK	AK	99925	920151710	501(C)(3)	$7,119	GRANT FOR TRAVEL OF HIGH SCHOOL BASKETBALL TEAM TO MINNESOTA TOURNAMENT
LAWRENCE BERKELEY NATIONAL LABORATORY
1 CYCLOTRON ROAD	BERKELEY	CA	94720	942951741	GOVERNMENT	$36,114	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
LE BONHEUR CHILDREN'S HOSPITAL FOUNDATION
850 POPLAR AVE BLDG 2	MEMPHIS	TN	38105	621872938	501(C)(3)	$10,972	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
LONG BEACH MEMORIAL MEDICAL CENTER
2801 ATLANTIC AVE	LONG BEACH	CA	90806	953527031	501(C)(3)	$4,249	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MAINE MEDICAL CENTER
22 BRAMHALL ST	PORTLAND	ME	041023175	010238552	501(C)(3)	$31,279	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MARCH OF DIMES
1904 THIRD AVE STE 230	SEATTLE	WA	98101	131846366	501(C)(3)	$14,500	SPONSORSHIPS OF NURSE OF THE YEAR EVENT AND MARCH FOR BABIES
MARY HITCHCOCK MEMORIAL HOSPITAL
1 MEDICAL CTR DR	LEBANON	NH	03756	020222140	501(C)(3)	$89,597	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MASSACHUSETTS GENERAL HOSPITAL THE GENERAL HOSPITAL CORPORATION
PO BOX 414876	BOSTON	MA	022414876	042697983	501(C)(3)	$21,865	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MASSACHUSETTS INSTITUTE OF TECHNOLOGY
77 MASSACHUSETTS AVE NE	CAMBRIDGE	MA	021394307	042103594	501(C)(3)	$46,501	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MEDICAL UNIVERSITY OF SOUTH CAROLINA
19 HAGOOD AVE RM 303	CHARLESTON	SC	294258040	576000722	GOVERNMENT	$206,221	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MEMORIAL HEALTHCARE SYSTEM
PO BOX 538514	ATLANTA	GA	30353	596014973	GOVERNMENT	$14,175	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MONMOUTH MEDICAL CENTER INC
300 SECOND AVE STE SH 013	LONG BRANCH	NJ	07740	223452412	501(C)(3)	$18,905	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MULTICARE HEALTH SYSTEM
315 M3-CRD 315 MARTIN LUTHER KING	TACOMA	WA	98405	911352172	501(C)(3)	$155,403	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	JR WAY S
NACHRI
PO BOX 79311	BALTIMORE	MD	212790311	510120256	501(C)(3)	$143,284	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
NATIONAL JEWISH HEALTH
1400 JACKSON ST M216	DENVER	CO	80206	742044647	501(C)(3)	$125,986	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
NEW YORK MEDICAL COLLEGE
40 SUNSHINE COTTAGE RD	VALHALLA	NY	10595	131099420	501(C)(3)	$36,257	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
NORTHSHORE UNIVERSITY HEALTH SYSTEM
1001 UNIVERSITY PL	EVANSTON	IL	60201	362167060	501(C)(3)	$51,113	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
NORTHWESTERN UNIVERSITY
633 CLARK G-547	EVANSTON	IL	60208	362167817	501(C)(3)	$16,959	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
OREGON HEALTH AND SCIENCE UNIVERSITY
0690 SW BANCROFT ST MAIL CODE	PORTLAND	OR	97239	931176109	GOVERNMENT	$118,815	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	L106SPA
PACIFIC SCIENCE CENTER FOUNDATION
200 SECOND AVE N	SEATTLE	WA	981094895	910750867	501(C)(3)	$14,282	FIELD TRIP SCHOLARSHIP AND SPONSORSHIPS OF BREAKFAST, LECTURE SERIES, AND SCIENCE COMMUNICATION FELLOWSHIP
PENNSYLVANIA STATE UNIVERSITY
CONTROLLERS OFFICE G230 PO BOX 850	HERSHEY	PA	17033	246000376	GOVERNMENT	$31,556	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
PHOENIX CHILDREN'S HOSPITAL
1919 E THOMAS RD	PHOENIX	AZ	85016	860422559	501(C)(3)	$5,075	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
PORTLAND STATE UNIVERSITY
PO BOX 751	PORTLAND	OR	972070751	364776757	GOVERNMENT	$34,436	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
PROVIDENCE HEALTH & SERVICES WASHINGTON
PO BOX 190005	ANCHORAGE	AK	995190005	920016429	501(C)(3)	$10,307	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
RAND CORPORATION
PO BOX 2138	SANTA MONICA	CA	904072138	951958142	501(C)(3)	$86,596	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
REGENTS OF THE UNIVERSITY OF CALIFORNIA AT SAN DIEGO
ECOB 1-026 9444 MEDICAL CENTER DR	LA JOLLA	CA	920370706	956006144	501(C)(3)	$32,947	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO
BOX 0897	SAN FRANCISCO	CA	94143	946036493	501(C)(3)	$24,437	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
REGENTS OF THE UNIVERSITY OF MINNESOTA
PO BOX 1450 NW 5957	MINNEAPOLIS	MN	554855957	416007513	GOVERNMENT	$173,338	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
REGENTS UNIVERSITY OF CALIFORNIA
1850 RESEARCH PARK DR STE 300	DAVIS	CA	95618	946036494	501(C)(3)	$5,825	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES
PO BOX 951432	LOS ANGELES	CA	900959000	956006143	501(C)(3)	$433,497	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL
700 CHILDRENS DR	COLUMBUS	OH	43205	316056230	501(C)(3)	$328,642	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
RONALD MCDONALD HOUSE CHARITIES OF WESTERN WASHINGTON & ALASKA
5130 40TH AVE NE	SEATTLE	WA	98105	911061043	501(C)(3)	$482,193	SUPPORT FOR HOUSING PROGRAMS AND GALA SPONSORSHIP
RUTGERS THE STATE UNIVERSITY OF NEW JERSEY
65 DAVIDSON RD ROOM 306	PISCATAWAY	NJ	088545602	462354111	GOVERNMENT	$20,035	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
SAGE BIONETWORKS
1100 FAIRVIEW AVE N M1-C110	SEATTLE	WA	98121	264489946	501(C)(3)	$78,514	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
SAN DIEGO STATE UNIVERSITY FOUNDATION
5250 CAMPANILE DR	SAN DIEGO	CA	921821948	956042721	501(C)(3)	$42,121	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
SANFORD RESEARCH USD
2301 E 60TH ST N	SIOUX FALLS	SD	571040589	460450378	501(C)(3)	$10,669	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
SETON HEALTHCARE NETWORK
PO BOX 204242	DALLAS	TX	753204242	741109643	501(C)(3)	$6,463	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
SITKA SCHOOL DISTRICT
601 HALIBUT POINT RD	SITKA	AK	98835	926000113	GOVERNMENT	$5,835	GRANT FOR PURCHASE OF PLUS-OPTIX S12R VISION SCANNER
SOLID GROUND WASHINGTON
1501 N 45TH ST	SEATTLE	WA	98103	237421892	501(C)(3)	$10,000	LUNCHEON SPONSORSHIP
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
3100 CHANNEL DR STE 300	JUNEAU	AK	99801	920056274	501(C)(3)	$10,000	GRANT FOR PRINCE OF WALES HEALTH NETWORK YOUTH LEADERSHIP DEVELOPMENT PROJECT
SOUTHEAST ISLAND SCHOOL DISTRICT
PO BOX 19569	THORNE BAY	AK	99919	920057120	GOVERNMENT	$20,000	GRANT FOR PURCHASE OF INSTRUMENTS FOR MUSIC PROGRAM
SPECIAL OLYMPICS WASHINGTON
1809 7TH AVE STE 1509	SEATTLE	WA	98101	910962383	501(C)(3)	$13,000	SILVER MEDAL TEAM WASHINGTON AND TASTING ROOM SPONSORSHIPS
SPECTRUM HEALTH HOSPITALS
100 MICHIGAN ST NE MC 038	GRAND RAPIDS	MI	49503	381360529	501(C)(3)	$72,029	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
ST FRANCIS MEDICAL CENTER
530 NE GLEN AVE	PEORIA	IL	61637	370662569	501(C)(3)	$12,623	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
ST LOUIS UNIVERSITY
FUSZ HALL ROOM 368 3700 W PINE MALL	ST LOUIS	MO	631083306	430654872	501(C)(3)	$58,927	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	MALL
ST LUKE'S REGIONAL MEDICAL CENTER
190 E BANNOCK ST	BOISE	ID	83712	820161600	501(C)(3)	$51,226	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
STANFORD UNIVERSITY
PO BOX 44253	SAN FRANCISCO	CA	94144	941156365	501(C)(3)	$104,920	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
TEXAS A AND M UNIVERSITY
400 HARVEY MITCHELL PKWY S 300	COLLEGE STATION	TX	77845	746000531	GOVERNMENT	$9,210	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE ASSOCIATION OF ALASKA SCHOOL BOARDS
1111 W 9TH ST	JUNEAU	AK	99801	920098760	501(C)(3)	$20,000	GRANT FOR SECOND PHASE OF CULTURALLY CONGRUENT SOCIAL EMOTIONAL LEARNING PROJECT
THE CHILDREN'S MERCY HOSPITAL
PO BOX 803852	KANSAS CITY	MO	64180	440605373	501(C)(3)	$60,087	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RD 5TH FLOOR	WESTBURY	NY	11590	112673595	501(C)(3)	$5,741	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE GEORGE WASHINGTON UNIVERSITY
45155 RESEARCH PL	ASHBURN	VA	20147	530196584	501(C)(3)	$7,450	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE MEDICAL COLLEGE OF WISCONSIN INC
8701 WATERTOWN AND PLANK RD PO BOX	MILWAUKEE	WI	532260509	390806261	501(C)(3)	$104,776	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	26509
THE NEMOURS FOUNDATION
10140 CENTURION PKWY N	JACKSONVILLE	FL	32256	590634433	501(C)(3)	$145,676	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK
PO BOX 9	ALBANY	NY	122010009	141368361	501(C)(3)	$87,870	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER
5323 HARRY HINES BLVD	DALLAS	TX	752842265	756001354	GOVERNMENT	$56,772	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE UNIVERSITY OF TEXAS SOUTHWEST MEDICAL CENTER
PO BOX 842265	DALLAS	TX	752842265	756002868	GOVERNMENT	$133,739	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
TOLEDO HOSPITAL
2142 N COVE BLVD	TOLEDO	OH	43606	344428256	501(C)(3)	$53,581	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
TRUSTEES OF DARTMOUTH COLLEGE
7 LEBANON ST STE 302 NO 6015	HANOVER	NH	03755	020222111	501(C)(3)	$11,097	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
TVW
1058 CAPITOL WAY S	OLYMPIA	WA	985011289	911597601	501(C)(3)	$25,000	SPONSORSHIP OF THE IMPACT PROGRAM
UNITED WAY OF KING COUNTY
720 SECOND AVE	SEATTLE	WA	98104	910565555	501(C)(3)	$20,000	SPONSORSHIPS OF FUEL YOUR FUTURE PROGRAM, BREAKFAST, AND MLK JR DAY OF SERVICE
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
11100 EUCLID AVE	CLEVELAND	OH	482781686	341567805	501(C)(3)	$84,535	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ALABAMA AT BIRMINGHAM
1600 7TH AVE S ACC 620	BIRMINGHAM	AL	352940109	636005396	GOVERNMENT	$571,593	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ARIZONA
1303 E UNIVERSITY BLVD BOX 3	TUCSON	AZ	857190521	742652689	GOVERNMENT	$54,693	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
4301 W MARKHAM ST	LITTLE ROCK	AR	72205	716046242	GOVERNMENT	$18,444	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF COLORADO
PO BOX 910238	DENVER	CO	802910238	846000555	GOVERNMENT	$240,257	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF FLORIDA
PO BOX 113001	GAINESVILLE	FL	32611	596002052	GOVERNMENT	$159,328	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ILLINOIS AT CHICAGO
28395 NETWORK PL	CHICAGO	IL	606731283	376000511	GOVERNMENT	$94,202	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF IOWA
118 S CLINTON ST	IOWA CITY	IA	52242	426004813	GOVERNMENT	$63,376	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE
3901 RAINBOW BLVD MS 1039	KANSAS CITY	KS	66160	481108830	501(C)(3)	$48,185	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION
138 LEADER AVE STE 249	LEXINGTON	KY	40508	616033693	501(C)(3)	$43,363	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF MARYLAND
RM 4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	207423141	526002033	GOVERNMENT	$32,098	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF MASSACHUSETTS
55 LAKE AVE N	WORCESTER	MA	01655	043167352	GOVERNMENT	$20,740	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF MIAMI
PO BOX 405803	ATLANTA	GA	303845803	590624458	GOVERNMENT	$21,756	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF MICHIGAN
BOX 223131	PITTSBURGH	PA	152512131	386006309	GOVERNMENT	$55,141	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE ST	JACKSON	MS	39216	646008520	GOVERNMENT	$5,444	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF NEBRASKA BOARD OF REGENTS
985100 NEBRASKA MEDICAL CENTER	OMAHA	NE	681985100	470049123	501(C)(3)	$59,430	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF NORTH CAROLINA
PO BOX 402420	ATLANTA	GA	303842420	566001393	GOVERNMENT	$250,069	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF OKLAHOMA HEALTH SCIENCES
PO BOX 26901 SCB 228	OKLAHOMA CITY	OK	731260901	736017987	GOVERNMENT	$44,769	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF OREGON
PO BOX 3237	EUGENE	OR	874030237	936001786	GOVERNMENT	$99,373	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF PENNSYLVANIA
PO BOX 785541	PHILADELPHIA	PA	191785541	231352685	501(C)(3)	$254,705	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF PITTSBURGH
PO BOX 371220	PITTSBURGH	PA	152517220	250965591	501(C)(3)	$137,036	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ROCHESTER
601 ELMWOOD AVE BOX 777	ROCHESTER	NY	14642	160743209	501(C)(3)	$82,423	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF SOUTHERN CALIFORNIA
2001 N SOTO ST	LOS ANGELES	CA	900899235	951642394	501(C)(3)	$5,789	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF TENNESSEE
62 S DUNLAP ST STE 300	MEMPHIS	TN	38163	626001636	GOVERNMENT	$11,143	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF UTAH
201 S PRESIDENTS CIRCLE ROOM 406	SALT LAKE CITY	UT	84112	876000525	GOVERNMENT	$346,322	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE
85 S PROSPECT ST	BURLINGTON	VT	05405	030179440	501(C)(3)	$22,888	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF VIRGINIA
PO BOX 400201	CHARLOTTESVILLE	VA	229041034	546001796	501(C)(3)	$45,753	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF WASHINGTON
12455 COLLECTIONS DR	CHICAGO	IL	60693	916001537	GOVERNMENT	$4,729,781	SUPPORT FOR IMMUNOLOGY AND PATHOBIOLOGY GRADUATE EDUCATION PROGRAMS, NEUROLOGICAL DEVELOPMENT RESEARCH, PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD, GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD, AND SPONSORSHIPS OF INTERNSHIP PROGRAM, MENTAL HEALTH SUMMIT AND VARIOUS EVENTS.
UNIVERSITY OF WISCONSIN
600 HIGHLAND AVE MC 9988	MADISON	WI	537920001	396006492	GOVERNMENT	$36,062	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY PEDIATRIC HOSPITAL
C/O UNIV PUERTO RICOPO BOX 365067	SAN JUAN	PR	009265067		GOVERNMENT		DONATION OF MEDICAL SUPPLIES FOR DISASTER RELIEF		$14,950	ACTUAL COST	MEDICAL SUPPLIES
VANDERBILT UNIVERSITY MEDICAL CENTER
PO BOX 121236	DALLAS	TX	753121236	620476822	501(C)(3)	$238,451	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
VIRGINIA COMMONWEALTH UNIVERSITY
PO BOX 843039	RICHMOND	VA	232842506	546001758	GOVERNMENT	$25,631	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	223849199	501(C)(3)	$5,284	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WASHINGTON POISON CENTER
155 NE 100TH ST STE 100	SEATTLE	WA	98125	943214597	501(C)(3)	$20,000	COMMUNITY BENEFIT INVESTMENT
WASHINGTON STATE UNIVERSITY
PO BOX 645220	PULLMAN	WA	991645220	911075542	GOVERNMENT	$178,249	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WASHINGTON UNIVERSITY
660 S EUCLID BOX 8009	ST LOUIS	MO	63110	430653611	501(C)(3)	$110,200	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WAYNE STATE UNIVERSITY
PO BOX 02788	DETROIT	MI	48202	386028429	GOVERNMENT	$41,796	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WEST VIRGINIA UNIVERSITY RESEARCH
886 CHESTNUT RIDGE RD PO BOX 6845	MORGANTOWN	WV	265066845	550665758	501(C)(3)	$31,835	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WITHINREACH
155 NE 100TH STREET STE 500	SEATTLE	WA	98125	911443685	501(C)(3)	$15,000	CONTRIBUTION TOWARD FOOD INSECURITY AND IMMUNIZATION PROGRAMS
WRIGHT STATE UNIVERSITY
3640 COLONEL GLENN HWY	DAYTON	OH	45435	310732831	GOVERNMENT	$34,082	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
2811 TIETON DR	YAKIMA	WA	98902	910567263	501(C)(3)	$7,343	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
YALE UNIVERSITY
333 CEDAR ST I-100 SHM	NEW HAVEN	CT	065208087	060646973	501(C)(3)	$29,513	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY
1118 FIFTH AVENUE	SEATTLE	WA	98101	910482890	501(C)(3)	$20,000	CAREER WORKS MEDICAL GRANT FOR LOW INCOME WOMEN
YOUTH ADVOCATES OF SITKA
805 LINCOLN ST	SITKA	AK	99835	920064393	501(C)(3)	$14,764	GRANT FOR PURCHASE OF EQUIPMENT: MAIN OFFICE, DROP-IN CENTER, AND RESIDENTIAL PROGRAM

Field	Value	IRS element (for citing)
Total501c3 Org	160	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (15 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
COLLEGE SCHOLARSHIPS FOR MINORITY NURSING STUDENTS	11	$55,000
COLLEGE SCHOLARSHIPS FOR HOSPITAL VOLUNTEERS	2	$10,000
SUPPORT TO PATIENT FAMILIES WITH EMERGENT NEEDS	135		$3,120	MARKET VALUE	GIFT CARDS
SUPPORT TO PATIENT FAMILIES TO MEET VARIOUS NEEDS	2	$1,027
SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	1530		$79,282	MARKET VALUE	MEAL VOUCHERS TO CAFETERIA AND STARBUCKS GIFT CARDS
SUPPORT TO PATIENT FAMILIES TO PURCHASE GAS FOR TRANSPORTATION TO APPOINTMENTS	681		$31,385	MARKET VALUE	GAS CARDS
SUPPORT TO PATIENT FAMILIES TO PURCHASE GROCERIES	453		$23,329	MARKET VALUE	GROCERY GIFT CARDS
SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	53		$1,926	MARKET VALUE	FOOD BAGS
SUPPORT TO PATIENTS AND FAMILIES WHO ARE ADMITTED ON AN EMERGENT / URGENT BASIS	121		$1,847	MARKET VALUE	CLOTHING
SUPPORT TO PATIENT FAMILIES TO MEET VARIOUS OTHER NEEDS	4		$325	MARKET VALUE	GIFTS CARDS, FURNITURE, AND OTHER ITEMS
SUPPORT TO PATIENT FAMILIES FOR TEMPORARY HOUSING AND RENTAL ASSISTANCE	158		$205,942	ACTUAL COST	PAYMENTS TO HOUSING AND RENTAL COMPANIES AND FOR PROPERTY TAXES
SUPPORT TO PATIENT FAMILIES FOR UTILITY EXPENSES, STORAGE, AND HOME MAINTENANCE	25		$16,359	ACTUAL COST	PAYMENTS TO UTILITY COMPANIES, STORAGE COMPANIES, HOUSECLEANERS, AND FOR HOME REPAIR COSTS
SUPPORT TO PATIENT FAMILIES FOR TRANSPORTATION AND TRAVEL	167		$9,651	ACTUAL COST	PAYMENTS TO TRANSPORTATION COMPANIES, FOR CAR LOANS, AND FOR AUTO INSURANCE
SUPPORT TO PATIENT FAMILIES FOR FUNERAL EXPENSES	50		$7,523	ACTUAL COST	PAYMENTS TO FUNERAL HOMES
SUPPORT TO PATIENT FAMILIES FOR MEDICAL EQUIPMENT	6		$1,441	ACTUAL COST	PAYMENTS TO MEDICAL EQUIPMENT PROVIDERS

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	A SPONSORSHIP COMMITTEE WAS ESTABLISHED BY SEATTLE CHILDREN'S HOSPITAL TO MEET REGULARLY FOR THE PURPOSE OF EVALUATING DIFFERENT OPPORTUNITIES TO SUPPORT OTHER NONPROFIT ORGANIZATIONS THROUGH PROVIDING VOLUNTEERS, GRANTS, AND SPONSORSHIPS FOR FUNDRAISING AND EDUCATIONAL EVENTS. CRITERIA USED IN THE DETERMINATION OF ASSISTANCE INCLUDE: THE ORGANIZATION'S ALIGNMENT WITH THE HOSPITAL'S CORE MISSION AND VALUES, THE DIVERSITY AND LOCATION OF THE POPULATION SERVED, AS WELL AS DOCUMENTED COMMUNITY NEED ADDRESSED BY THE ORGANIZATION. THE PURPOSE OF GRANTS DISTRIBUTED FROM THE REUBEN CROSSETT ENDOWMENT FUND IS TO IMPROVE THE HEALTH OF CHILDREN LIVING IN SOUTHEAST ALASKA. AN ADVISORY COMMITTEE OF SEATTLE CHILDREN'S REPRESENTATIVES REVIEWS APPLICATIONS AND VISITS THE CITIES OF KETCHIKAN, SITKA, AND JUNEAU ANNUALLY TO GAIN FEEDBACK ON THE NEEDS OF THE COMMUNITIES AND VISIT ORGANIZATIONS THAT HAVE APPLIED FOR FUNDING. GRANT RECIPIENTS ARE ASKED TO PROVIDE A REPORT ON HOW THEY WILL EVALUATE THE SUCCESS OF THEIR PROJECT AND RETURN ANY UNSPENT GRANT FUNDS TO THE ENDOWMENT. SEATTLE CHILDREN'S HOSPITAL HOLDS SEVERAL ENDOWMENTS THAT WERE ESTABLISHED TO SUPPORT PEDIATRIC BRAIN TUMOR RESEARCH ACTIVITIES. FUNDS ARE GRANTED FROM THESE ENDOWMENTS TO THE FRED HUTCHINSON CANCER RESEARCH CENTER. THE PRIMARY RESEARCHER IS INTERVIEWED ANNUALLY TO REPORT ON THE ACTIVITIES SUPPORTED BY THESE ENDOWMENTS. ORGANIZATIONS SELECTED AS SUBGRANTEES UNDER THE GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH (GAPPS) PROGRAM ARE REQUIRED TO PROVIDE WRITTEN AND FINANCIAL REPORTS. THESE REPORTS ARE PREPARED ON AN INTERIM BASIS AS WELL AS AT THE END OF THE FISCAL YEAR. ADDITIONALLY, PRINCIPAL INVESTIGATORS HAVE QUARTERLY CHECK-IN PHONE CALLS AND ATTEND AN ANNUAL INVESTIGATORS MEETING IN SEATTLE TO REPORT ON THEIR PROGRESS. THE OFFICE OF SPONSORED RESEARCH DEPARTMENT AT SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF THE HOSPITAL, PERFORMS QUARTERLY REVIEWS OF EACH SUBAWARD TO ENSURE THAT RECIPIENTS ARE MANAGING FUNDING IN ACCORDANCE WITH THE TERMS OF THE CONTRACT. A-133 AUDITS, RATE AGREEMENTS, AND DISCLOSURE REQUIREMENTS ARE ALL REVIEWED TO ENSURE THEY ARE CURRENT OR EXEMPT. THIS REVIEW IS TO ENSURE THAT THE SUBRECIPIENT HAS THE NECESSARY INFRASTRUCTURE IN PLACE TO MANAGE FUNDS. TERMS OF THE SUBCONTRACTS ARE MODIFIED AS NEEDED TO ADDRESS ANY ISSUES. THE PRIVATE INVESTIGATOR IS RESPONSIBLE TO ENSURE THE WORK IS PERFORMED TO SATISFACTION AND CONSISTENT WITH THE AIMS OF THE PROJECT. THE CENTER BUSINESS OFFICE ENSURES THAT THE INVOICED AMOUNTS ARE ALLOWABLE UNDER THE PROVISIONS OF THE AWARD AND SUBCONTRACT. A FINAL CHECK FOR COMPLIANCE TAKES PLACE AT THE EXPIRATION OF THE SUBAWARD WHEN THE OFFICE OF SPONSORED RESEARCH PERFORMS ITS FINAL CLOSEOUT. ANY PROBLEMS WITH PERFORMANCE OR EXPENDITURES ARE IDENTIFIED AT THAT TIME AND RESOLVED AS APPROPRIATE BEFORE FINAL DISTRIBUTIONS ARE MADE AND THE SUBAWARD IS COMPLETE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	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
JEFF SPERRING MD
CEO/NON-VOTING EX OFFICIO TRUSTEE	$642,632	$214,211	$216,000	$72,000	$12,088	$2,469	$10,125	$221,967	$17,598	$5,866	$898,443	$516,513	$0	$0
KELLY WALLACE
SENIOR VP & CFO THRU DEC 2017	$396,858	$132,286	$93,780	$31,260	$13,611	$0	$14,175	$84,415	$16,174	$5,391	$534,598	$253,352	$0	$0
SANFORD MELZER MD
EXEC VP-NETWORKS & POPULATION HEALTH	$447,319	$119,556	$219,651	$0	$12,953	$0	$18,900	$89,941	$28,829	$4,770	$727,652	$214,267	$0	$0
MARK DEL BECCARO MD
SR VP-CHIEF MED OFF/NON-VOTING TRUST	$501,535	$0	$112,453	$0	$8,328	$0	$18,900	$67,074	$13,198	$0	$654,414	$67,074	$0	$0
JAMES HENDRICKS PHD
PRESIDENT - RESEARCH INSTITUTE	$403,238	$0	$102,434	$0	$7,881	$0	$18,900	$58,007	$28,539	$0	$560,992	$58,007	$0	$0
MICHAEL MURPHY
VP - ACC CARE & EXEC DIRECTOR SCCN	$343,009	$0	$120,524	$0	$4,415	$0	$13,500	$0	$23,047	$0	$504,495	$0	$0	$0
STEPHANIE AXELROD
VP - COMM & STRATEGIC INITIATIVES	$118,727	$0	$66,320	$0	$325,548	$0	$9,243	$0	$5,923	$0	$525,761	$0	$0	$0
CINDY GAZECKI
SENIOR VP - HOSPITAL OPERATIONS	$368,332	$0	$85,108	$0	$7,753	$0	$18,900	$50,774	$30,926	$0	$511,019	$50,774	$0	$0
RUSSELL WILLIAMS
SR VP & CHIEF ADMINISTRATIVE OFFICER	$374,784	$0	$74,096	$0	$6,170	$0	$1,896	$54,931	$23,757	$0	$480,703	$54,931	$0	$0
MADLYN MURREY
SR VP - CHIEF NURSING OFFICER	$362,225	$0	$80,406	$0	$7,437	$0	$18,900	$48,300	$19,118	$0	$488,086	$48,300	$0	$0
SUZANNE PETERSEN
VP - EXTERNAL AFFAIRS	$357,490	$0	$66,531	$0	$7,173	$0	$18,900	$0	$24,408	$0	$474,502	$0	$0	$0
CARA BAILEY
SR VP-CONTINUOUS PERFORMANCE IMPROVE	$275,833	$0	$138,308	$0	$6,990	$0	$18,900	$33,611	$18,246	$0	$458,277	$33,611	$0	$0
TODD JOHNSON
VP - FACILITIES	$284,441	$0	$125,790	$0	$5,838	$0	$18,900	$0	$27,756	$0	$462,725	$0	$0	$0
ERIC THAM MD
VP & ASSOC CHIEF INFORMATION OFFICER	$310,577	$0	$47,115	$0	$31,326	$0	$13,500	$0	$30,437	$0	$432,955	$0	$0	$0
RUTH MCDONALD MD
VP, ASSOC CHIEF MEDICAL OFFICER	$332,673	$0	$34,922	$0	$6,257	$0	$9,025	$0	$13,303	$0	$396,180	$0	$0	$0
ERIK LAUSUND
VP - RESEARCH OPERATIONS & LOGISTICS	$301,501	$0	$47,766	$0	$3,926	$0	$18,900	$0	$22,210	$0	$394,303	$0	$0	$0
SCOTT BINGHAM
INTERIM CIO / SR DIR-INFO & APPS	$220,333	$0	$107,798	$0	$743	$0	$18,900	$0	$16,293	$0	$364,067	$0	$0	$0
WARREN HEWITT
VP - FINANCE	$191,640	$63,880	$39,902	$13,300	$4,748	$227	$14,175	$4,725	$15,918	$5,306	$266,383	$87,438	$0	$0
GREGORY BLACKBURN
VP - CLINICAL SUPPORT SERVICES	$247,203	$0	$45,543	$0	$2,261	$0	$13,500	$0	$27,510	$0	$336,017	$0	$0	$0
PETRA SMITH
VP - HUMAN RESOURCES	$229,132	$0	$39,103	$0	$24,189	$0	$18,900	$0	$29,413	$0	$340,737	$0	$0	$0
JENNIFER BECKER
VP - AMBULATORY SERVICES	$224,181	$0	$38,064	$0	$2,372	$0	$18,450	$0	$14,020	$0	$297,087	$0	$0	$0
PAMELA ROCK
VP-MED SERV LINE & SPECIAL PROGRAMS	$215,548	$0	$32,601	$0	$3,040	$0	$17,743	$0	$12,532	$0	$281,464	$0	$0	$0
DOUGLAS PICHA
PRESIDENT - FOUNDATION	$39,997	$359,976	$23,360	$210,204	$11,911	$351,286	$1,890	$94,705	$2,298	$20,678	$79,456	$1,036,849	$0	$349,176
MARK EGBERT DDS
CHIEF - ORAL & MAXILLOFACIAL SURGERY	$456,567	$0	$118,626	$0	$15,673	$0	$18,900	$0	$30,820	$0	$640,586	$0	$0	$0
MICHAEL ASTION MD PHD
MEDICAL DIRECTOR - LABORATORIES	$502,782	$0	$49,823	$0	$8,174	$0	$18,596	$0	$31,753	$0	$611,128	$0	$0	$0
CRAIG RUBENS MD PHD
EXECUTIVE DIRECTOR - GAPPS	$214,986	$0	$106	$0	$308,263	$0	$16,200	$0	$13,532	$0	$553,087	$0	$0	$0
JAMES CHRISTIANSEN MD
CARDIOLOGIST	$400,586	$0	$35,750	$0	$2,843	$0	$18,632	$0	$30,254	$0	$488,065	$0	$0	$0
THOMAS HANSEN MD
PRINCIPAL INVESTIGATOR / FORMER CEO	$104,762	$0	$0	$0	$3,182	$0	$7,677	$0	$6,914	$0	$122,535	$0	$0	$0
LISA BRANDENBURG
FORMER PRESIDENT - HOSPITAL	$0	$0	$167,155	$0	$0	$80,032	$0	$0	$0	$0	$167,155	$80,032	$0	$80,032
KATHY JO FREEMAN
FORMER VP-SERVICE LINE SURGICAL SPEC	$102,669	$0	$49,243	$0	$242	$0	$10,380	$0	$13,738	$0	$176,272	$0	$0	$0
JEFFREY BROWN
FORMER SR VP - CHIEF INFO. OFFICER	$27,253	$0	$84,004	$0	$71	$0	$4,469	$0	$2,302	$0	$118,099	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	BUSINESS OR FIRST CLASS TRAVEL IS PROVIDED TO EMPLOYEES IN THE EVENT OF MEDICAL NECESSITY OR ON CERTAIN INTERNATIONAL FLIGHTS OF LONG DURATION. THIS IS NOT TREATED AS COMPENSATION. THE CHIEF EXECUTIVE OFFICER IS PROVIDED MEMBERSHIP TO THE RAINIER CLUB. ANNUAL DUES ARE REPORTED AS TAXABLE COMPENSATION.
PART I, LINES 4A-B	THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: JEFF SPERRING MD - $218,592 DEFERRED COMPENSATION KELLY WALLACE - $79,690 DEFERRED COMPENSATION SANFORD MELZER MD - $77,745 DEFERRED COMPENSATION MARK DEL BECCARO MD - $67,074 DEFERRED COMPENSATION JAMES HENDRICKS MD - $58,007 DEFERRED COMPENSATION CINDY GAZECKI - $50,774 DEFERRED COMPENSATION RUSSELL WILLIAMS - $54,931 DEFERRED COMPENSATION MADLYN MURREY - $49,300 DEFERRED COMPENSATION CARA BAILEY - $33,611 DEFERRED COMPENSATION DOUGLAS PICHA - $77,695 DEFERRED COMPENSATION, $349,176 REPORTABLE PAYMENT LISA BRANDENBURG - $80,032 REPORTABLE PAYMENT THE FOLLOWING RECEIVED A SEVERANCE PAYMENT: STEPHANIE AXELROD - $324,206 CRAIG RUBENS - $235,044
PART II, COLUMN (F):	THE FOLLOWING RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, WHICH IS BEING REPORTED IN COLUMN (B)(III). THIS COMPENSATION WAS REPORTED IN COLUMN (C) IN PRIOR FORMS 990: DOUGLAS PICHA - $349,176 LISA BRANDENBURG - $80,032

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2017A
A	911108929	93978HSC0	2017-04-06	$126,646,117	SEE PART VI	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2015A AND 2015B
B	911108929	93978HLL7	2015-02-03	$303,924,156	SEE PART VI	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2012A AND 2012B
C	911108929	93978HDX0	2012-06-20	$80,423,004	SEE PART VI	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2012C AND 2012D
D	911108929	93978HEZ4	2012-06-20	$142,165,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt
A	$127,524,491	$1,545,641	$125,973,864	$4,986	2018	0	0	0	Yes (1)
B	$303,944,485	$2,600,625	$103,865,301		2015	0	Yes (1)	Yes (1)	Yes (1)	$75,000	$62,441	$197,416,118
C	$80,423,004		$50,003,342		2013	0	Yes (1)	Yes (1)	Yes (1)	$205,000	$285	$30,419,377
D	$142,165,000				2012	Yes (1)	0	Yes (1)	Yes (1)	$24,755,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	0	0	Yes (1)
B	Yes (1)	0	0	0	Yes (1)
C	0	0	Yes (1)	0	Yes (1)
D	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

ENTITY 1 - FIRST SCHEDULE:

PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017A (SEATTLE CHILDREN'S HOSPITAL), ("THE 2017A BONDS"), WERE ISSUED TO (I) PAY AND/OR REIMBURSE SEATTLE CHILDREN'S HOSPITAL ("CHILDREN'S") FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING, EQUIPPING AND IMPROVING CERTAIN HEALTH CARE FACILITIES THAT ARE OR WILL BE OWNED AND OPERATED BY CHILDREN'S, INCLUDING HEALTH CARE FACILITIES LOCATED AT ITS SEATTLE CAMPUS IN SEATTLE, WASHINGTON AND THE CONSTRUCTION AND EQUIPPING OF A NEW CLINIC IN EVERETT, WASHINGTON, AND (II) PAY THE COSTS OF ISSUING THE SERIES 2017A BONDS. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2015A AND REFUNDING REVENUE BONDS, SERIES 2015B (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2015A/B BONDS"), WERE ISSUED TO (I) PROVIDE PART OF THE FUNDS NECESSARY TO PAY AND/OR REIMBURSE SEATTLE CHILDREN'S HOSPITAL FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING, EQUIPPING AND IMPROVING CERTAIN HEALTH CARE FACILITIES OWNED AND OPERATED BY CHILDREN'S; (II) ADVANCE REFUND AND DEFEASE ALL OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED MAY 29, 2008 (THE "SERIES 2008C BONDS"), THE PROCEEDS OF WHICH WERE ISSUED TO (I) REPAY AND RETIRE CHILDREN'S TAXABLE LINE OF CREDIT INDEBTEDNESS OWED TO WELLS FARGO BANK, N.A., WHICH INDEBTEDNESS WAS INCURRED TO REDEEM AND RETIRE THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED FEBRUARY 16, 2006 (THE "SERIES 2006C BONDS"), THE PROCEEDS OF WHICH WERE USED TO (I) PROVIDE A PORTION OF THE FUNDS NECESSARY TO CONSTRUCT, REMODEL AND/OR ACQUIRE ADDITIONAL HEALTH CARE FACILITIES FOR CHILDREN'S AND (II) TO PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2008C BONDS; AND (III) ADVANCE REFUND AND DEFEASE $79 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2009 (SEATTLE CHILDREN'S HOSPITAL), DATED AUGUST 19, 2009, (THE "SERIES 2009 BONDS"), THE PROCEEDS OF WHICH WERE ISSUED USED TO PROVIDE ALL OR A PORTION OF THE FUNDS NECESSARY TO (I) PAY THE COSTS (INCLUDING NEW CAPITAL COSTS, REIMBURSEMENT COSTS, AND REFINANCING COSTS) OF ACQUIRING THE LAND FOR CONSTRUCTING AND EQUIPPING A NEW OUTPATIENT CLINIC AND AMBULATORY SURGERY FACILITY IN BELLEVUE, WASHINGTON, RENOVATING AND REMODELING VARIOUS PORTIONS OF CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS; AND (III) PAY COSTS OF ISSUING THE SERIES 2015A/B BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2015A BONDS, WHICH HAVE THE LATER OF THE MATURITIES OF THE TWO SERIES. LINE C, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2012A AND REFUNDING REVENUE BONDS, SERIES 2012B (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2012A/B BONDS"), WERE ISSUED TO (I) REIMBURSE CHILDREN'S FOR A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPMENT CERTAIN HEALTH CARE FACILITIES OF CHILDREN'S, AND (II) TO ADVANCE REFUND AND DEFEASE $27 MILLION OF THE SERIES 2009 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2012A BONDS, WHICH HAVE THE LATER OF THE MATURITIES OF THE TWO SERIES. LINE D, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REFUNDING REVENUE BONDS, SERIES 2012C AND REFUNDING REVENUE BONDS, SERIES 2012D (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2012C/D BONDS"), WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008A AND SERIES 2008B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED APRIL 16, 2008 (THE "SERIES 2008A/B BONDS"), THE PROCEEDS OF WHICH WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006A AND SERIES 2006B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), EACH DATED FEBRUARY 16, 2006 (THE "SERIES 2006A/B BONDS") THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING TO ADVANCE REFUND AND DEFEASE $67 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 1998 BONDS (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED NOVEMBER 17, 1998 (THE "SERIES 1998 BONDS"), THE PROCEEDS OF WHICH WERE USED TO PROVIDE A PORTION OF THE FUNDING FOR A COMPREHENSIVE FACILITY RENOVATION PROGRAM THAT INCLUDED EXTENSIVE CAPITAL IMPROVEMENTS TO THE HOSPITAL'S MAIN FACILITY; AND (II) ADVANCE REFUND AND DEFEASE $66 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2001 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED NOVEMBER 15, 2001 (THE "SERIES 2001 BONDS"), THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING FOR A $120 MILLION CAPITAL PROGRAM, (II) PAY FOR THE PREMIUM RELATING TO THE BOND INSURANCE POLICY AND (III) PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2001 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2012D BONDS AND THERE IS NO CUSIP NUMBER FOR THE SERIES 2012C BONDS. PART II, PROCEEDS: COLUMN A, LINE 3 INCLUDES INVESTMENT EARNINGS OF $878,314.00. COLUMN B, LINES 3, 5 AND 6: LINE 3 INCLUDES INVESTMENT EARNINGS OF $20,329.00. LINE 5: $40,033.00 AND $21,371.00 OF PROCEEDS WERE TRANSFERRED TO THE PRINCIPAL AND INTEREST ACCOUNTS OF THE SERIES 2015A AND 2015B SERIES BONDS, RESPECTIVELY, AND WAS USED TO PAY INTEREST ON THE NEW MONEY PORTION OF THE SERIES 2015A AND 2015B BONDS. LINE 6: $197,416,118.00 OF TOTAL PROCEEDS FROM THE SERIES 2015B BONDS WAS DEPOSITED IN A REFUNDING ESCROW ACCOUNT. COLUMN C, LINES 5 AND 6: $30,419,377.00 OF TOTAL PROCEEDS FROM THE SERIES 2012B BONDS WAS DEPOSITED IN A REFUNDING ESCROW ACCOUNT AND $285.00 OF TOTAL PROCEEDS WAS DEPOSITED IN THE SERIES 2012B PRINCIPAL AND INTEREST ACCOUNT AND USED TO PAY INTEREST DUE ON THE SERIES 2012B BONDS. COLUMN D: $142,165,000.00 WAS USED TO REFUND, ON A CURRENT BASIS AND REDEEM ALL OF THE OUTSTANDING SERIES 2008A AND SERIES 2008B BONDS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2012C/D BONDS. PART III, PRIVATE BUSINESS USE: COLUMNS A, B AND C, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%. COLUMN D IS NOT REPORTED BECAUSE IT MEETS THE SPECIAL RULES FOR REFUNDING OF PRE-2003 BOND ISSUANCES. PART IV, ARBITRAGE: COLUMN A, LINE 2B: NO REBATE CALCULATION IS REQUIRED AS OF THE PERIOD COVERED BY THIS SCHEDULE. IT IS EXPECTED THE SERIES 2017A BONDS WILL MEET AN EXCEPTION TO REBATE. COLUMN B, LINE 2B: NO REBATE CALCULATION IS REQUIRED AS OF THE PERIOD COVERED BY THIS SCHEDULE. COLUMN C, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON JULY 18, 2017. COLUMN D, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON JUNE 22, 2017. COLUMN D, LINE 4A: CHILDREN'S DID NOT ENTER, NOR EXPECTS TO ENTER INTO, ANY INTEREST RATE HEDGE ARRANGEMENTS IN CONNECTION WITH THE SERIES 2012C/D BONDS. CHILDREN'S DID ENTER INTO QUALIFIED HEDGES WITH RESPECT TO THE SERIES 2008A/B BONDS, WHICH WERE REFUNDED BY THE SERIES 2012C/D BONDS. THE TERMINATION OR DEEMED TERMINATION PAYMENT, AS APPLICABLE, WITH RESPECT TO THE HEDGES HAS BEEN TAKEN INTO ACCOUNT IN THE CALCULATION OF THE YIELD ON THE SERIES 2012C/D BONDS.

ENTITY 2 - SECOND SCHEDULE:

PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010A (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010A BONDS"), WERE ISSUED TO REIMBURSE CHILDREN'S FOR THE COSTS OF ACQUIRING CERTAIN REAL PROPERTY (INCLUDING LAND) TO BE DEVELOPED AND USED AS HEALTH CARE FACILITIES OF CHILDREN'S. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010B (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010B BONDS"), WERE ISSUED TO (I) REFUND, ON A CURRENT BASIS, AND DEFEASE ALL OF THE OUTSTANDING SERIES 1998 BONDS AND (II) PAY COST OF ISSUANCE FOR THE SERIES 2010B BONDS. LINE C, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2009 (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2009 BONDS") WERE ISSUED TO PROVIDE ALL OR A PORTION OF THE FUNDS NECESSARY TO (I) PAY THE COSTS (INCLUDING NEW CAPITAL COSTS, REIMBURSEMENT COSTS, AND REFINANCING COSTS) OF ACQUIRING THE LAND FOR CONSTRUCTING AND EQUIPPING A NEW OUTPATIENT CLINIC AND AMBULATORY SURGERY FACILITY IN BELLEVUE, WASHINGTON, RENOVATING AND REMODELING VARIOUS PORTIONS OF CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS. PART II, PROCEEDS: COLUMN B: $46,080,000.00 WAS USED TO REFUND, ON A CURRENT BASIS, AND DEFEASE THE OUTSTANDING SERIES 1998 BONDS, WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2010B BONDS. $20,887.00 OF PROCEEDS WAS TRANSFERRED TO THE PRINCIPAL AND INTEREST ACCOUNT OF THE SERIES 2010B BONDS, AND USED TO PAY INTEREST DUE ON THE SERIES 2010B BONDS. COLUMN C: LINE 3 INCLUDES INVESTMENT EARNINGS OF $100,396.00 PART III, PRIVATE BUSINESS USE: COLUMN A AND COLUMN C, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%. COLUMN B IS NOT REPORTED BECAUSE IT MEETS THE SPECIAL RULES FOR REFUNDING OF PRE-2003 BOND ISSUANCES. PART IV, ARBITRAGE: COLUMN C, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON OCTOBER 11, 2012.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2010A
A	911108929	93978HAA3	2010-09-02	$77,394,750	SEE PART VI	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2010B
B	911108929	93978HAB1	2010-09-02	$46,669,601	SEE PART VI	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2009
C	911108929	93978E584	2009-08-19	$113,722,874	SEE PART VI	Yes (1)	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Bond DefeasedBondDefeasedAmt
A	$77,394,750	$77,394,750	2010	0	Yes (1)	Yes (1)
B	$46,669,601		2010	Yes (1)	Yes (1)	Yes (1)	$21,895,000	$20,887	$568,714
C	$113,824,086	$111,848,620	2012	0	Yes (1)	Yes (1)	$7,170,000		$1,975,466	$105,895,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	Yes (1)	0	0	0	Yes (1)
C	0	0	0		0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	Yes (1)
B	Yes (1)	0	Yes (1)
C	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MCKINSTRY COMPANY
DEAN ALLEN, TRUSTEE, IS CEO AND PART OWNER OF MCKINSTRY COMPANY.	$115,209	SERVICES	0
JULIE MARTINA
FAMILY MEMBER OF ALVIN WINTERROTH, TRUSTEE	$71,183	EMPLOYMENT	0
DAWN COTTER
FAMILY MEMBER OF DR. MARK DEL BECCARO, KEY EMPLOYEE	$270,888	EMPLOYMENT	0
SARAH BOWDEN
FAMILY MEMBER OF WARREN HEWITT, KEY EMPLOYEE	$71,469	EMPLOYMENT	0
JESSICA BLUE
FAMILY MEMBER OF SCOTT BINGHAM, KEY EMPLOYEE	$27,913	EMPLOYMENT	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	46	ContributionCnt
Noncash Contributions Rpt F990	$1,812,327	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Real Estate Residential RealEstateResidentialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$457,598	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (5 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	TOYS	1	$821,542	MARKET VALUE
Yes (X)	CLOUD SERVICES	1	$50,750	MARKET VALUE
Yes (X)	AIRLINE MILES	2	$26,815	MARKET VALUE
Yes (X)	AMAZON TABLETS	200	$20,397	MARKET VALUE
Yes (X)	GIFT CARDS	135	$3,120	MARKET VALUE

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, COLUMN (B):	LINE 9 - 46 DONATIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 15 - ONE CONTRIBUTION OF A RESIDENTIAL PROPERTY; LINE 25 - ONE DONATION OF 87,210 PACKS OF CRAYOLA DOUGH; LINE 26 - ONE DONATION OF CLOUD SERVICES; LINE 27 - DONATIONS OF AIRLINE MILES FROM TWO DONORS; LINE 28 - ONE DONATION OF 200 AMAZON FIRE TABLETS; ADDITIONAL OTHER TYPES OF PROPERTY - DONATIONS OF 135 GIFT CARDS.
PART I, LINE 32B:	SEATTLE CHILDREN'S HOSPITAL FOUNDATION AND SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION (RELATED ORGANIZATIONS) SOLICIT BOTH CASH AND NON-CASH GIFTS ON BEHALF OF SEATTLE CHILDREN'S HOSPITAL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (23 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6:	SEATTLE CHILDREN'S HOSPITAL HAS A DEDICATED GROUP OF VOLUNTEERS WHO GENEROUSLY GIVE THEIR TIME AND ENERGY TO SUPPORTING THE MISSION OF THE HOSPITAL. IN FISCAL YEAR 2018, 811 VOLUNTEERS, AFTER COMPLETING A THOROUGH INTERVIEW AND TRAINING PROCESS, LOGGED 88,814 HOURS OF SERVICE IN ONE OF THE 80 DIFFERENT DEPARTMENTS, WITH DUTIES RANGING FROM WORKING IN THE HOSPITAL GIFT SHOP, TO ENTERTAINING PATIENTS IN THE PLAYROOM, TO HELPING WITH ADMINISTRATIVE TASKS AT A RECEPTION AREA. IN ADDITION, 22 UNCOMPENSATED TRUSTEES SERVED ON THE SEATTLE CHILDREN'S HOSPITAL BOARD DURING FISCAL YEAR 2018. IN ALL THAT THEY DO, OUR VOLUNTEERS ARE HIGHLY VALUED MEMBERS OF OUR HOSPITAL COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 2	WARREN HEWITT HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, SUZANNE BEITEL, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, JUDITH PIERCE, MICHAEL REEVES, NANCY SENSENEY, MICHELE SMITH, JEFF SPERRING, CHARLES STEVENS, MOYA VASQUEZ, KELLY WALLACE, AND ALVIN WINTERROTH. JEFF SPERRING HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, SUZANNE BEITEL, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, JUDITH PIERCE, MICHAEL REEVES, NANCY SENSENEY, MICHELE SMITH, CHARLES STEVENS, MOYA VASQUEZ, KELLY WALLACE, AND ALVIN WINTERROTH. KELLY WALLACE HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, SUZANNE BEITEL, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, JUDITH PIERCE, MICHAEL REEVES, NANCY SENSENEY, MICHELE SMITH, CHARLES STEVENS, MOYA VASQUEZ, AND ALVIN WINTERROTH. SUZANNE BEITEL HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, JUDITH PIERCE, MICHAEL REEVES, NANCY SENSENEY, MICHELE SMITH, CHARLES STEVENS, MOYA VASQUEZ, AND ALVIN WINTERROTH.
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS WERE REVISED DURING THE YEAR. SIX BOARD COMMITTEES WERE REMOVED AND THEIR RESPONSIBILITIES WERE TRANSFERRED TO BOARD COMMITTEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, WHICH IS THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL. THE REVISED BYLAWS ADDITIONALLY STATE THAT SEATTLE CHILDREN'S HEALTHCARE SYSTEM SHALL HAVE EXCLUSIVE AUTHORITY WITH RESPECT TO THE FOLLOWING: STRATEGIC AND FINANCIAL PLANS, CAPITAL AND OPERATING BUDGETS, CONTROL OF INVESTMENTS, UNBUDGETED CAPITAL EXPENDITURES, AND THE APPOINTMENT AND COMPENSATION OF AN INDEPENDENT AUDITOR.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7A	SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES (WHICH IS THE GOVERNING BODY) OF SEATTLE CHILDREN'S HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, HAS THE AUTHORITY TO MAKE, ALTER, AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF SEATTLE CHILDREN'S HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11B	MANAGEMENT AND INDEPENDENT TAX PROFESSIONALS PRESENT AND REVIEW THE FORM 990 WITH THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF TRUSTEES. AFTER REVIEW BY THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE AND PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE, THE ENTIRE BOARD OF TRUSTEES RECEIVES A COPY OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY OF SEATTLE CHILDREN'S HOSPITAL REQUIRES AN ANNUAL SURVEY OF ALL BOARD MEMBERS OF SEATTLE CHILDREN'S HOSPITAL, MEMBERS OF THE MEDICAL LEADERSHIP, STAFF MEMBERS OCCUPYING ROLES WITH A DEGREE OF AUTHORITY AND MEMBERS OF THE HOSPITAL'S PHARMACY AND THERAPEUTICS COMMITTEE. THE SENIOR VICE PRESIDENT/GENERAL COUNSEL OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, ACTING UNDER THE OVERSIGHT OF THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF TRUSTEES, OVERSEES THE REVIEW OF ALL DISCLOSURES AND ESTABLISHES AND OVERSEES ANY NECESSARY MANAGEMENT PLANS RELATED TO THEM. IN GENERAL, WHEN A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE CONFLICT MUST RECUSE THEMSELVES FROM PARTICIPATION IN ANY BOARD DISCUSSION OR OTHER DECISION MAKING REGARDING THE TRANSACTION AND REFRAIN FROM VOTING ON OR DECIDING ANY ISSUES RELATING TO THE CONFLICTING INTEREST. ANY PERSON COVERED BY THE POLICY WHO ENGAGES IN CONDUCT THAT VIOLATES THE POLICY OR PURSUES A TRANSACTION OR EVENT FOLLOWING DISAPPROVAL BY THE BOARD OR THE CHIEF EXECUTIVE OFFICER MAY, IN THE DISCRETION OF THE BOARD OR THE CHIEF EXECUTIVE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM HIS OR HER DUTIES WITH SEATTLE CHILDREN'S HOSPITAL AND/OR TERMINATED IN HIS OR HER EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE (MDCC) OF THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS), A RELATED ORGANIZATION THAT IS THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL. PURSUANT TO THE BOARD-APPROVED MDCC CHARTER, THE MDCC ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT EXPERT IN THE COMPENSATION OF EXECUTIVES AND OTHER TOP MANAGERS OF NONPROFIT HOSPITALS AND HEALTH CARE SYSTEMS. WITH APPROPRIATE COMPARABILITY DATA PROVIDED BY ITS CONSULTANT (COMPRISING MARKET DATA REGARDING COMPENSATION PAID FOR COMPARABLE SERVICES IN COMPARABLE ORGANIZATIONS), THE MDCC ENGAGES IN AN ANNUAL REVIEW AND ASSESSMENT OF THE SEATTLE CHILDREN'S HOSPITAL EXECUTIVE COMPENSATION PROGRAM (BASE, INCENTIVE COMPENSATION, AND EMPLOYER-PAID BENEFITS) TO DETERMINE COMPETITIVENESS. BASED ON THIS EXPERT ANALYSIS AND ON RELEVANT PERFORMANCE INFORMATION FOR THE EXECUTIVES IN QUESTION AND THE ORGANIZATION AS A WHOLE, THE MDCC PRESENTS A RECOMMENDATION TO THE SCHS BOARD REGARDING THE TOTAL COMPENSATION PACKAGE FOR EACH OF THE AFFECTED EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND KEY EMPLOYEES. THE FULL BOARD REVIEWS THE RECOMMENDATIONS AS WELL AS ALL RELEVANT COMPARABILITY DATA AND THE GOALS OF THE ORGANIZATION IN MAKING ITS FINAL DECISION. IN DOING SO IT RELIES ON THE EXPERT ANALYSIS TO DETERMINE THAT COMPENSATION IS REASONABLE AND WITHIN THE "BOUNDS OF COMPETITIVE PRACTICE". ALL DELIBERATIONS AND DECISIONS OF THE MDCC AND FULL BOARD ARE DOCUMENTED IN THE BOOKS AND RECORDS IN ACCORDANCE WITH GENERAL ADMINISTRATIVE PROVISIONS AND PROCEDURES WITHIN THE BYLAWS. THE PROCESS FOLLOWED BY THE MDCC AND THE FULL BOARD SATISFIES BEST GOVERNANCE PRACTICES AND ALSO MEETS THE REGULATORY REQUIREMENTS NECESSARY TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO THE BOARD'S DECISION.
FORM 990, PART VI, SECTION C, LINE 19	SEATTLE CHILDREN'S HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, COLUMN (D):	ALTHOUGH SEATTLE CHILDREN'S HOSPITAL HAS SUBSTANTIAL CONTRIBUTION REVENUE, IT DOES NOT INCUR FUNDRAISING EXPENSES. ALL FUNDRAISING ACTIVITIES AND CONTRIBUTIONS TO SEATTLE CHILDREN'S HOSPITAL ARE CONDUCTED BY RELATED ORGANIZATIONS. SEE ADDITIONAL DESCRIPTION FOR SCHEDULE M, LINE 32.
FORM 990, PART XI, LINE 9:	CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS 6,689,516. CHANGE IN BENEFICIAL INTEREST IN SCHS 7,270,516.
SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT 2018-2019	LETTER FROM OUR CEO OUR FUTURE DEPENDS ON THE POTENTIAL OF TODAY'S CHILDREN. YET MANY OBSTACLES STAND IN THEIR WAY TO A HEALTHY, FULFILLING LIFE. INADEQUATE ACCESS TO MENTAL HEALTH CARE, TOO FEW SAFE PLACES TO PLAY, AND POOR NUTRITION AND OBESITY ARE JUST SOME OF THE CHALLENGES THAT CAN DETERMINE A CHILD'S LIFELONG PHYSICAL AND EMOTIONAL HEALTH. AT SEATTLE CHILDREN'S, WE SEEK TO BUILD ON COMMUNITY AND FAMILY STRENGTHS IN ORDER TO OVERCOME THE MYRIAD CHALLENGES KIDS FACE - IMMEDIATELY AND OVER THE LONG HAUL. OUR TOP PRIORITY IS TO PROVIDE THE BEST AND SAFEST CARE WE CAN FOR THE CHILDREN AND FAMILIES WE SERVE. THROUGHOUT OUR REGION AND BEYOND, WE REPRESENT THE PROMISE OF HOPE, CARE AND CURES. THAT PROMISE DRIVES EVERYTHING WE DO. NOT JUST AT THE HOSPITAL BEDSIDE, BUT WHEREVER THERE ARE OPPORTUNITIES TO KEEP FAMILIES SAFE AND HEALTHY. WE ADVOCATE FOR ESSENTIAL RESOURCES, GET PEDIATRIC SPECIALISTS CLOSER TO WHERE CHILDREN LIVE, TRAIN THE NEXT GENERATION OF CHILD AND ADOLESCENT HEALTH EXPERTS, PROMOTE EQUITY AND COMMUNITY HEALTH, AND RESEARCH NEW WAYS TO TREAT AND CURE CHILDHOOD DISEASES. WE'VE ACHIEVED MANY SUCCESSES BY WORKING WITH FAMILIES, COMMUNITY PARTNERS, PUBLIC HEALTH OFFICIALS AND MANY OTHERS. THIS REPORT HIGHLIGHTS SOME OF OUR MOST RECENT EFFORTS TO KEEP OUR PROMISE TO CHILDREN AND FAMILIES. THANK YOU FOR BEING PART OF OUR JOURNEY. SINCERELY, JEFF SPERRING, MD CEO, SEATTLE CHILDREN'S
WHAT IS COMMUNITY BENEFIT?	A COMMUNITY BENEFIT IS A PROGRAM OR SERVICE THAT MEETS AT LEAST ONE OF THESE OBJECTIVES: - IMPROVES ACCESS TO HEALTHCARE. - ENHANCES THE HEALTH OF THE COMMUNITY. - ADVANCES MEDICAL OR HEALTH KNOWLEDGE. - RELIEVES OR REDUCES THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. COMMUNITY BENEFITS ARE CLASSIFIED AS UNCOMPENSATED CARE, RESEARCH, HEALTH PROFESSIONS EDUCATION AND COMMUNITY HEALTH IMPROVEMENT. COMMUNITY BENEFIT IS ALSO THE BASIS OF THE TAX-EXEMPTION OF NONPROFIT HOSPITALS. LEARN MORE ABOUT HOW WE CONTRIBUTE TO THE COMMUNITY AT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT TOTAL 2018 INVESTMENT IN THE COMMUNITY: $231,668,000* UNCOMPENSATED CARE & MEDICAID SHORTFALL** - $146,667,000 HEALTH PROFESSIONS EDUCATION - $30,328,000 RESEARCH - $41,828,000 COMMUNITY PROGRAMS AND SERVICES - $12,845,000 * DOES NOT INCLUDE GRANTS AND CONTRIBUTIONS SEATTLE CHILDREN'S RECEIVED THAT SUPPORT COMMUNITY BENEFIT PROGRAMS. ** REFLECTS COSTS AFTER SUBTRACTING PAYMENTS FROM MEDICAID, DONATIONS, AND GRANTS SEATTLE CHILDREN'S RECEIVED THAT SUPPORT THESE PROGRAMS, INCLUDING A $40 MILLION ONE-TIME DONATION SUPPORTING UNCOMPENSATED CARE.
COMMUNITY PROGRAMS AND SERVICES	OUR MISSION ISN'T LIMITED TO HELPING CHILDREN AND FAMILIES WHO COME TO US. WE GO TO THEM WITH SERVICES AND PROGRAMS THAT MEET THEIR NEEDS WHERE THEY LIVE. WORKING WITH OTHERS IN THE COMMUNITY, WE TACKLE THE ROOT CAUSES OF ILLNESS AND INJURY, ADVOCATE FOR FAMILY VOICES AND PROMOTE CHANGES THAT BUILD ON STRENGTHS AND MAKE COMMUNITIES SAFER AND HEALTHIER. FOSTERING WELLNESS AND COMMUNITY THROUGH SOCCER WHEN IS SOCCER PRACTICE MORE THAN SOCCER PRACTICE? WHEN THE PLAYERS ARE LEARNING SOCIAL-EMOTIONAL SKILLS THEY CAN USE BOTH ON AND OFF THE FIELD. THAT'S THE GOAL OF A SOCCER WELLNESS PROGRAM FOR 7-13 YEAR-OLD KIDS STARTED BY MARK FADOOL, DIRECTOR OF MENTAL HEALTH SERVICES AT THE ODESSA BROWN CHILDREN'S CLINIC. DEVELOPED IN PARTNERSHIP WITH THE RAINIER VISTA BOYS AND GIRLS CLUB AND LED BY COACHES FROM THE NOWLAND PREMIER SOCCER ACADEMY, THE PROGRAM OFFERS SIX WEEKLY SESSIONS FOR KIDS HELD FOUR TIMES A YEAR. THE PROGRAM PROVIDES ACCESS TO PREMIER-LEVEL COACHING THAT WOULD BE UNAFFORDABLE TO MANY CHILDREN, BUT THE DRIVING FORCE WAS A REQUEST FROM THE RAINIER VISTA BOYS AND GIRLS CLUB FOR HELP PROVIDING MENTAL HEALTH SUPPORT TO YOUTH DEALING WITH A HOST OF STRESSORS. FADOOL SEES THE SOCCER WELLNESS PROGRAM AS A WAY TO DELIVER A FUN AND INNOVATIVE SOCIAL-EMOTIONAL PROGRAM TO KIDS LIVING IN SOUTHEAST SEATTLE. THE PROGRAM HAS BEEN ABLE TO PROVIDE ADDITIONAL SUPPORT TO THE UNDERSERVED EAST AFRICAN COMMUNITY BY THE USE OF SOCCER'S WORLDWIDE POPULARITY. ALL COACHES RECEIVE TRAINING IN SUPPORTING SOCIAL-EMOTIONAL HEALTH AND PROVIDE TIME BEFORE AND AFTER PRACTICE FOR PLAYERS TO REFLECT ON BEHAVIORAL GOALS LIKE BEING A GOOD TEAMMATE. NOT ALL KIDS NEED THE EXTRA SUPPORT, BUT ALL KIDS CAN BENEFIT FROM IMPROVED SOCIAL AND EMOTIONAL SKILLS WHILE HAVING FUN," FADOOL SAID. THE STRENGTH TO COPE PARENTS NEED PATIENCE AND COMPASSION - NOT JUST TOWARD THEIR CHILDREN BUT TOWARD THEMSELVES. THAT'S ESPECIALLY TRUE FOR PARENTS OF CHILDREN WITH CHRONIC CONDITIONS OR SPECIAL NEEDS. THEY MUST JUGGLE FREQUENT MEDICAL APPOINTMENTS, MAKE SURE THEIR CHILD'S NEEDS ARE BEING MET AND COPE WITH ANY MENTAL OR BEHAVIORAL HEALTH CHALLENGES THAT MAY ARISE. SHAYLA COLLINS IS ONE OF DOZENS OF SUCH PARENTS WHO HAVE LEARNED HOW TO MANAGE THE ADDED STRESS, ANXIETY AND FRUSTRATION THROUGH THE FINDING STRENGTH FOR THE LONG HAUL CLASS OFFERED BY ODESSA BROWN CHILDREN'S CLINIC. "THE CLASS TAUGHT ME IT'S OK TO FEEL SOMETHING, BUT RATHER THAN IMMEDIATELY REACT, I NEED TO GIVE MYSELF TIME TO PAUSE AND FIGURE OUT HOW - OR IF - I WANT TO RESPOND," SAYS SHAYLA, WHO BECAME A CLASS FACILITATOR HERSELF AFTER TAKING PART IN THE FIRST CLASS IN 2017. THE FIVE-WEEK CLASS, WHICH IS OFFERED IN ENGLISH AND SPANISH, EMPHASIZES MINDFULNESS AND SELF-COMPASSION - CONCEPTS THAT HELP PARENTS MAINTAIN A HEALTHY EMOTIONAL BALANCE AS THEY CARE FOR THEIR KIDS WHILE ALSO FACING OTHER ISSUES. "MANY OF THE FAMILIES WHO PARTICIPATE ARE IMMIGRANTS, REFUGEES AND PEOPLE WHO ARE FACING POVERTY OR OTHER ADVERSITY," SAYS KIM ARTHUR, WHO COORDINATES THE CLASSES. "THERE ARE A LOT OF PROGRAMS TO HELP CHILDREN WITH CHRONIC CONDITIONS, BUT WE FIND THAT PARENTS ARE EAGER TO CONNECT AND GET SUPPORT TOO."
RESEARCH	OUR RESEARCH BRINGS HOPE TO CHILDREN AND FAMILIES BATTLING DISEASES THAT CAN'T BE CURED WITH CURRENT THERAPIES. WE WORK IN THE LABORATORY AND AT THE BEDSIDE TO TRANSLATE OUR DISCOVERIES INTO BETTER WAYS TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE FOR OUR PATIENTS AND FOR CHILDREN AROUND THE WORLD. OVERCOMING VACCINE HESITANCY DR. DOUG OPEL DEVELOPED A SURVEY SEVERAL YEARS AGO TO IDENTIFY FAMILIES AT RISK OF FALLING BEHIND ON THEIR CHILDHOOD VACCINATION SCHEDULE. THE PARENT ATTITUDES ABOUT CHILDHOOD VACCINES (PACV) WAS A TOOL TO HELP HIM STUDY WHY THAT HAPPENS AND HOW TO INTERVENE. OPEL IS NOW LOOKING AT WHETHER THE SURVEY CAN PLAY A DIRECT ROLE IN IMPROVING VACCINATION RATES. BY MAKING IT PART OF WELL-CHILD VISITS DOCTORS CAN ADDRESS THE SPECIFIC CONCERNS OF FAMILIES WHO THE SURVEY IDENTIFIES AS VACCINE-HESITANT. MORE THAN 150 FAMILIES IN 24 CLINICS AROUND WESTERN WASHINGTON TOOK PART IN A RANDOMIZED PILOT STUDY LED BY OPEL WITH FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH. FAMILIES RECEIVED EITHER THE PACV SURVEY OR A GENERAL SURVEY WITH NO MENTION OF VACCINES AT THEIR TWO-MONTH AND SIX-MONTH CHECKUPS. THE PACV SURVEY PROVIDED DOCTORS - WHO HAVE A LOT OF GROUND TO COVER DURING AN APPOINTMENT - WITH A HEADS UP ABOUT WHICH FAMILIES MIGHT BE VACCINE-HESITANT AND WHAT ISSUES TO DISCUSS. THE RESULTS OF THE STUDY ARE BEING ANALYZED TO SEE IF TAKING THE PACV SURVEY ULTIMATELY RESULTED IN HIGHER RATES OF VACCINE COMPLIANCE BY THE TIME A CHILD WAS EIGHT MONTHS OLD. EVEN IF IT DOESN'T, THIS STUDY IS AN IMPORTANT FIRST STEP TO IDENTIFYING INNOVATIVE WAYS TO HELP PROMOTE VACCINE ACCEPTANCE. "THE CURRENT MEASLES OUTBREAK IS JUST ONE EXAMPLE OF WHY IT'S CRITICAL TO HELP VACCINE-HESITANT FAMILIES UNDERSTAND THE BENEFITS OF VACCINATING THEIR CHILD," OPEL SAYS. ARMING T CELLS TO FIGHT HIV MODERN DRUGS SUPPRESS THE POTENTIALLY DEADLY HIV VIRUS, BUT COME WITH NEGATIVE SIDE EFFECTS RANGING FROM NAUSEA TO MORE SERIOUS CONDITIONS LIKE LIVER COMPLICATIONS - AN INCREASED CONCERN FOR YOUNG PATIENTS BECAUSE THEY HAVE TO BEAR THE BURDEN OF TREATMENT LONGER THAN PEOPLE WHO ARE INFECTED AS ADULTS. T CELLS ARE A CRUCIAL PART OF THE BODY'S IMMUNE SYSTEM, BUT HIV DESTROYS THEIR ABILITY TO FIGHT INFECTIONS. DRS. THOR WAGNER AND DAVID RAWLINGS USED GENE EDITING TO SHOW THAT T CELLS CAN BE PROGRAMMED TO BOTH KILL AND RESIST HIV IN HUMAN BLOOD SAMPLES. THEY USED A SPECIFIC ENZYME TO DAMAGE THE GENE THAT CONTROLS A RECEPTOR ON THE T CELL SURFACE TARGETED BY HIV, ELIMINATING THE RECEPTOR AND PREVENTING THE VIRUS FROM INVADING THE CELL. AT THE SAME TIME, THEY INTRODUCED A NEW GENE THAT GIVES THE T CELL VIRUS-KILLING CAPABILITIES. IF FUTURE RESEARCH PROVES THE TREATMENT SAFE, DOCTORS COULD TAKE T CELLS FROM AN HIV POSITIVE PATIENT, MODIFY THEM TO KILL AND RESIST HIV, AND THEN RETURN THEM TO THE PATIENT. "WE HOPE THIS TREATMENT CAN PREVENT THE NEED FOR HIV DRUGS THAT HAVE NEGATIVE SIDE EFFECTS FOR PEOPLE WHO NEED THEM TO STAY ALIVE," RAWLINGS SAYS.
HEALTH PROFESSIONS EDUCATION	PROVIDING CHILDREN AND FAMILIES WITH THE BEST CARE POSSIBLE DEPENDS ON SURROUNDING THEM WITH HIGHLY TRAINED DOCTORS, NURSES AND OTHER HEALTH CARE PROVIDERS. AS HOME TO THE UNIVERSITY OF WASHINGTON'S PEDIATRIC RESIDENCY AND FELLOWSHIP PROGRAMS AND A TRAINING GROUND FOR NURSES AND OTHER PROVIDERS, SEATTLE CHILDREN'S HELPS THE NEXT GENERATION OF HEALTH PROFESSIONALS GAIN INVALUABLE EXPERIENCE WORKING BESIDE WORLD-CLASS SPECIALISTS. WE ALSO OFFER CONTINUING EDUCATION AND OUTREACH TO HEALTHCARE PROVIDERS ALREADY CARING FOR KIDS IN OUR COMMUNITY. FELLOWSHIPS DRIVE CHANGE A SIMPLE QUESTION ASKED BY TWO YOUNG NURSES MAY LEAD TO CHANGES ACROSS SEATTLE CHILDREN'S THANKS TO THE HOSPITAL'S NURSING EVIDENCE BASED PRACTICE (EBP) FELLOWSHIP. SOON AFTER BEING HIRED IN 2016, OLIVIA KERWIN AND SAMANTHA KUNZE GARCIA BECAME CONCERNED THAT IMPLICIT - OR UNCONSCIOUS - BIAS BY NURSES MIGHT BE AFFECTING PATIENTS AND FAMILIES OF LOW-INCOME AND/OR MINORITY STATUS. THEY APPLIED FOR THE NURSING EBP FELLOWSHIP TO TAKE A CLOSER LOOK AT THE ISSUE. THE FELLOWSHIP PROVIDES COACHING TO NURSES AS THEY WORK ON A PROJECT RELEVANT TO THEIR UNIT. FELLOWS MEET WITH A MENTOR FOR TWO HOURS A MONTH AND ARE PAID TO WORK ON THEIR PROJECT FOR AN ADDITIONAL SIX HOURS A MONTH. ABOUT 45 NURSES HAVE TAKEN PART IN THE EIGHT-MONTH PROGRAM SO FAR. AFTER REVIEWING MORE THAN 160 ARTICLES ABOUT IMPLICIT BIAS IN HEALTHCARE SETTINGS, KERWIN AND KUNZE GARCIA APPROACHED SENIOR NURSING LEADERS WHO APPROVED THEIR IDEA TO DEVELOP AN EQUITY, DIVERSITY AND INCLUSION (EDI) TRAINING FOR ALL SEATTLE CHILDREN'S NURSES. "IN THE BEGINNING WE WERE REALLY JUST HOPING TO BEGIN A CONVERSATION," KERWIN SAYS. "IT WAS INCREDIBLE THAT SEATTLE CHILDREN'S NURSING LEADERS WERE WILLING TO LISTEN TO AND WORK WITH US." PATHWAY TO ADVOCACY DOCTORS IN TRAINING AT SEATTLE CHILDREN'S AND THE UNIVERSITY OF WASHINGTON WHO WANT TO DEVELOP SKILLS IN SPECIFIC AREAS CAN PURSUE THEIR PASSIONS THROUGH SEVERAL TRAINING PATHWAYS. THE RESIDENT EDUCATION AND ADVOCACY FOR CHILD HEALTH (REACH) PATHWAY TEACHES RESIDENTS HOW TO PROTECT AND IMPROVE THE HEALTH OF COMMUNITIES BY UNDERSTANDING AND RESPONDING TO A COMMUNITY'S PARTICULAR NEEDS. RESIDENTS BEGIN BY LEARNING TO ASSESS COMMUNITY HEALTH NEEDS, PLAN PROGRAMS AND EVALUATE RESULTS. THEY GAIN SKILLS AND UNDERSTANDING RELATED TO HEALTH POLICY, THE SOCIAL DETERMINANTS OF HEALTH AND DATA COLLECTION/ANALYSIS/REPORTING. THEY COMPLETE THEIR TRAINING BY APPLYING THEIR NEW SKILLS DURING A ROTATION IN ONE OF TWO LOCATIONS - THE YAKIMA VALLEY FARM WORKERS CLINIC IN THE SMALL EASTERN WASHINGTON TOWN OF TOPPENISH OR IN KISII, KENYA, WHERE THEY WORK ALONGSIDE RESIDENTS FROM THE UNIVERSITY OF NAIROBI. THE REACH PATHWAY IS A WIN-WIN. RESIDENTS GAIN DESIRED SKILLS WHILE THEIR TRAINING LOCATIONS BENEFIT FROM THEIR TIME AND TALENTS AS THEY ADVOCATE FOR UNDERSERVED POPULATIONS.
UNCOMPENSATED CARE	FAMILIES WITH A SERIOUSLY ILL OR INJURED CHILD ALREADY HAVE ENOUGH ON THEIR MINDS. THEY SHOULD NOT HAVE TO WORRY ABOUT HOW TO PAY THE MOUNTAIN OF MEDICAL BILLS THAT CAN PILE UP EVEN IF THEY HAVE INSURANCE. OUR FINANCIAL ASSISTANCE FUND FILLS THE GAP BETWEEN WHAT FAMILIES CAN AFFORD TO PAY AND THE COST OF HELPING THEIR CHILD LIVE THE FULLEST LIFE POSSIBLE. IN 2018 WE PROVIDED OVER $146 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO. FUND LIFTS FINANCIAL BURDEN DANI COLE WILL NEVER FORGET GETTING INTO AN ELEVATOR AT SEATTLE CHILDREN'S WITH HER HUSBAND JAMES AND THEIR DAUGHTER. JAMES WAS HOLDING [HIS DAUGHTER'S] HAND AS SHE LAY IN A HOSPITAL BED BEING PUSHED BY A NURSE. THEY WERE ON THEIR WAY TO THE EIGHTH FLOOR - THE CANCER UNIT. "ALL I COULD THINK ABOUT WAS HOW CAN THIS BE POSSIBLE?" DANI RECALLS. "HOW CAN OUR BRIGHT ANGEL HAVE A TUMOR WRAPPED AROUND HER SPINE?" AT 2 YEARS OLD, THE CHILD HAD BEEN DIAGNOSED WITH NEUROBLASTOMA, A FORM OF CANCER FOUND MOSTLY IN CHILDREN THAT OCCURS WHEN SPECIAL NERVE CELLS CALLED NEUROBLASTS MATURE INTO TUMOR CELLS INSTEAD OF NORMALLY FUNCTIONING NERVE CELLS. THE NEWS CAUSED THE BOTTOM TO FALL OUT OF THEIR WORLD. ON TOP OF THE SHEER TERROR THEY FELT HEARING WORDS LIKE "MASS AND "TUMOR," THEY WERE DEVASTATED TO LEARN THAT THE MEDICAL CARE REQUIRED TO SAVE HER WOULD QUICKLY EAT UP THE LIFETIME MAXIMUM OF THEIR INSURANCE COVERAGE. "WHILE I WAS STILL TRYING TO PROCESS THE FACT THAT OUR LITTLE GIRL HAD CANCER, I HAD NO IDEA HOW WE WERE GOING TO AFFORD HER TREATMENT, LET ALONE PAY OUR MORTGAGE, OUR CAR PAYMENT AND ALL OF OUR DAY-TO-DAY BILLS," DANI SAYS. THEN THEY FOUND OUT THEY QUALIFIED FOR FINANCIAL ASSISTANCE FROM THE UNCOMPENSATED CARE FUND AT SEATTLE CHILDREN'S. AT FIRST, THEY DIDN'T APPEAR TO QUALIFY, BUT WHEN DANI TOLD A TEAM MEMBER FROM THE FINANCIAL ASSISTANCE PROGRAM SHE WAS TAKING THE YEAR OFF TO CARE FOR [HER LITTLE GIRL], THE DROP IN INCOME MADE THEM ELIGIBLE. "YOU CAN'T IMAGINE THE WEIGHT OFF OUR SHOULDERS WHEN WE REALIZED THE FUND WOULD PICK UP ANYTHING OUR INSURANCE WOULDN'T - AND THAT WE COULD FOCUS ENTIRELY ON GETTING [OUR DAUGHTER] WELL," SAYS HER MOM. OVER THE NEXT 18 MONTHS, SHE SPENT MORE THAN 200 NIGHTS AT SEATTLE CHILDREN'S FOR TREATMENT THAT INCLUDED THREE SURGERIES, FIVE ROUNDS OF CHEMOTHERAPY, 20 ROUNDS OF RADIATION, A STEM CELL TRANSPLANT AND A TYPE OF IMMUNOTHERAPY. IT WAS A LONG AND GRUELING JOURNEY, BUT IT SAVED HER LIFE. "THROUGH IT ALL, WE NEVER HAD TO ASK ABOUT COST WHEN OUR CARE TEAM RECOMMENDED TESTS AND TREATMENTS," DANI SAYS. "WITHOUT SEATTLE CHILDREN'S FINANCIAL ASSISTANCE WE WOULD HAVE GONE INTO DEBT AND LOST OUR HOME. TO THIS DAY, I HAVE ZERO IDEA HOW MUCH THE TREATMENT COST, BUT WE ARE FOREVER GRATEFUL."
OUR COMMUNITY BENEFIT PRIORITIES	WE WORK WITH PARTNERS IN THE COMMUNITY TO ADDRESS FOUR URGENT HEALTH NEEDS IDENTIFIED BY OUR 2016-2019 COMMUNITY HEALTH ASSESSMENT. HERE ARE SOME OF OUR RECENT ACCOMPLISHMENTS IN EACH OF THE FOUR PRIORITY AREAS.
MENTAL AND BEHAVIORAL HEALTH	WE ARE COMMITTED TO HELPING ALL CHILDREN GET THE MENTAL HEALTH CARE THEY NEED. OUR MENTAL AND BEHAVIORAL HEALTH EXPERTS NOT ONLY DIAGNOSE AND TREAT PROBLEMS LIKE ANXIETY AND DEPRESSION, THEY STRIVE TO UNDERSTAND THEM AND FIND BETTER WAYS TO HELP CHILDREN AND FAMILIES PREVENT AND OVERCOME THEM. WORKING WITH PARTNERS, WE EXPAND THE CAPACITY OF THE COMMUNITY TO PROVIDE SERVICES THAT ARE ESSENTIAL TO A CHILD'S WELL-BEING. FIRST AID FOR KIDS IN CRISIS MANY PEOPLE KNOW HOW TO SAVE A LIFE BY PERFORMING CPR, BUT FEW KNOW HOW TO HAVE A CONVERSATION WITH AN ADOLESCENT STRUGGLING WITH DEPRESSION OR ADDICTION - A SKILL THAT CAN ALSO SAVE A LIFE. A NEW CLASS OFFERED AT SEATTLE CHILDREN'S GIVES PARENTS AND OTHER ADULTS WHO INTERACT WITH YOUNG PEOPLE SKILLS TO HELP AN ADOLESCENT WHO IS EXPERIENCING A MENTAL HEALTH CHALLENGE. YOUTH MENTAL HEALTH FIRST AID IS AN EVIDENCE BASED PROGRAM THAT PROVIDES PRACTICAL INFORMATION ABOUT COMMON YOUTH MENTAL HEALTH ISSUES, ADOLESCENT DEVELOPMENT AND HOW TO SUPPORT YOUNG PEOPLE IN CRISIS AND NON-CRISIS SITUATIONS. PARTICIPANTS PRACTICE ASKING DIFFICULT QUESTIONS SUCH AS, "ARE YOU THINKING ABOUT KILLING YOURSELF? AND LEARN THAT ASKING SOMEONE IF THEY ARE AT RISK OF SUICIDE DOES NOT PUT THE IDEA IN THEIR HEAD. LAURA CROOKS, SEATTLE CHILDREN'S FORMER SENIOR DIRECTOR OF PATIENT AND FAMILY EXPERIENCE AND NOW CEO AT CHILDREN'S VILLAGE IN YAKIMA, WA WAS INSTRUMENTAL IN BRINGING THE CLASS TO SEATTLE CHILDREN'S AFTER LOSING HER OWN SON TO SUICIDE. "THE YOUTH MENTAL HEALTH FIRST AID CLASS HELPS YOU UNDERSTAND WHEN THERE'S REALLY A PROBLEM," SHE SAYS. "WE'D LIKE TO SEE THIS CLASS BECOME AS PREVALENT AS CPR. EVERYONE SHOULD TAKE IT." YOUTH MENTAL HEALTH FIRST AID CLASS AT SEATTLE CHILDREN'S IS TAUGHT IN PARTNERSHIP WITH USA YOUTH MENTAL HEALTH FIRST AID, CHAD'S LEGACY PROJECT, AND KING COUNTY. VIDEO CHAT REFERRALS BOOST ACCESS WHEN CHILDREN NEED MENTAL HEALTH CARE, PRIMARY CARE PROVIDERS REFER THEM TO MENTAL HEALTH PROVIDERS. AS SIMPLE AS THAT SOUNDS, MANY PARENTS STRUGGLE TO COMPLETE THE FIRST STEP OF THE MENTAL HEALTH INTAKE PROCEDURE. RECENT RESEARCH LED BY DR. TUMAINI COKER FOUND THAT A VIDEO CHAT REFERRAL PROCESS DEVELOPED BY AN ACADEMIC-COMMUNITY PARTNERED RESEARCH TEAM INCREASED THE ODDS THREEFOLD THAT PARENTS WOULD FINISH THE SCREENING NECESSARY TO GET MENTAL HEALTH CARE FOR THEIR CHILD. FUNDED BY THE PATIENT-CENTERED OUTCOMES RESEARCH INSTITUTE, THE STUDY AIMED TO IMPROVE ACCESS TO MENTAL HEALTH CARE FOR FAMILIES IN UNDERSERVED AREAS. NEARLY 350 PARENTS OF CHILDREN AGES 5-12 PARTICIPATED IN THE RANDOMIZED TRIAL. NEARLY 90% OF THE CHILDREN WERE LATINX AND ALL WERE COVERED BY MEDICAID. THE VIDEO CHAT REFERRAL PROCESS PROVIDES PARENTS WITH MORE PERSONAL SUPPORT THAN THE USUAL TELEPHONE REFERRALS. AT THE PRIMARY CARE CLINIC, PARENT ARE SHOWN A FIVE-MINUTE VIDEO ABOUT WHAT TO EXPECT, MEET WITH A CARE COORDINATOR, AND THEN SCHEDULE A VIDEO CHAT WITH A SCREENER FROM THE MENTAL HEALTH CENTER. DURING THE CHAT, PARENTS CAN SEE THE SCREENER ASKING THE QUESTIONS, WHICH CAN MAKE THEM FEEL MORE COMFORTABLE ABOUT SHARING PERSONAL INFORMATION.
SUICIDE AND VIOLENCE PREVENTION	SEATTLE CHILDREN'S WORKS TO PROMOTE FIREARM SAFETY AND ADDRESS THE UNDERLYING CAUSES OF YOUTH VIOLENCE AND SUICIDE. WE GIVE AWAY FREE FIREARM SAFE STORAGE DEVICES AT COMMUNITY EVENTS AS WELL AS AT THE HOSPITAL, AND WE ACT PROACTIVELY TO PREVENT SUICIDE WITHIN THE POPULATION WE SERVE. ASKING LIFESAVING QUESTIONS BETWEEN 2007 AND 2016, THE SUICIDE RATE FOR BOYS AGE 10-14 HAD DOUBLED; FOR GIRLS AGE 10-14 OVER THE SAME TIME PERIOD, THE SUICIDE RATE HAS TRIPLED. SEATTLE CHILDREN'S CREATED A NEW CLINICAL SERVICES PATHWAY TO GUIDE PROVIDERS IN SCREENING, ASSESSING AND REFERRING YOUTH FOR SUICIDE RISK. ALL CHILDREN 10 AND OLDER ADMITTED TO THE HOSPITAL OR EMERGENCY ROOM ARE NOW ASKED FOUR QUESTIONS ABOUT SELF-HARM, DEATH AND DYING. "MANY KIDS WHO ARE EXPERIENCING SUICIDAL IDEATION OR THOUGHTS ABOUT HARMING THEMSELVES DON'T DISCLOSE THIS UNTIL THEY ENGAGE IN THE BEHAVIOR," SAID CLINICAL PSYCHOLOGIST MOLLY ADRIAN. "WE BELIEVE THAT ASKING ALL CHILDREN THESE QUESTIONS WILL HELP US CATCH THE THREAT EARLY AND BETTER RESPOND TO AND TREAT THE DISTRESS THAT IS CREATING THE URGE TO DIE." IF A CHILD IS FOUND TO BE AT RISK, THEIR HEALTH PROVIDER DISCUSSES THE FINDINGS WITH THE FAMILY, HELPS THEM CREATE A CRISIS PREVENTION PLAN AND TRANSFERS CARE TO A MENTAL HEALTH PROVIDER THROUGH A WARM HANDOFF IN WHICH THE PROVIDERS AND THE FAMILY ARE ALL PRESENT. SUICIDE SCREENING WILL EXPAND BEYOND THE HOSPITAL TO INCLUDE ALL SEATTLE CHILDREN'S PATIENT CARE SITES. IN ADDITION, THE MAJORITY OF SEATTLE CHILDREN'S CARE PROVIDERS WILL RECEIVE SIX HOURS OF SUICIDE PREVENTION TRAINING. ALL OF THESE STEPS ALIGN WITH THE GOALS OF THE NATIONAL ZERO SUICIDE INITIATIVE, WHICH CHALLENGES HEALTH SYSTEMS TO MAKE IMPROVEMENTS THAT CAN PREVENT DEATH BY SUICIDE OF INDIVIDUALS UNDER THEIR CARE. SAFER FIREARM STORAGE MENTAL HEALTH ISSUES SUCH AS DEPRESSION ARE A MAJOR RISK FACTOR FOR SUICIDE - MORE SO IF THERE IS A FIREARM IN THE HOUSE AND IF IT IS NOT SAFELY STORED. A STUDY LED BY DR. NEIL USPAL GATHERED INFORMATION ABOUT FIREARM OWNERSHIP AND SAFE STORAGE PRACTICES FROM FAMILIES WHOSE CHILD SOUGHT MENTAL HEALTH CARE IN OUR EMERGENCY DEPARTMENT OR INPATIENT PSYCHIATRY AND BEHAVIORAL MEDICINE UNIT. WHEN DATA ANALYSIS IS COMPLETE, USPAL'S STUDY WILL SHOW WHETHER GIVING FAMILIES A FREE FIREARM STORAGE DEVICE - EITHER A LOCK BOX OR A TRIGGER LOCK - AFFECTS WHETHER THE DEVICE IS BEING USED. "WE WERE WORRIED THAT NOBODY WOULD WANT TO BE IN THE STUDY BECAUSE WE ASKED PRETTY SPECIFIC QUESTIONS ABOUT PEOPLE'S FIREARMS SUCH AS HOW MANY THEY OWN, WHERE THEY STORE THEM, AND WHERE THEY STORE AMMUNITION," USPAL SAYS. "BUT ONCE WE EXPLAINED THE STUDY AND WHY IT WAS IMPORTANT, PEOPLE WERE VERY INTERESTED IN PARTICIPATING." SEPARATE FROM THE STUDY, THE INPATIENT PSYCHIATRY AND BEHAVIORAL MEDICINE UNIT NOW OFFERS A FREE FIREARM STORAGE DEVICE TO FIREARM OWNING FAMILIES OF ALL CHILDREN. THE ODESSA BROWN CHILDREN'S CLINIC AND THE AMBULATORY PSYCHIATRIC CLINICS ALSO OFFER FREE FIREARM STORAGE DEVICES TO THE FAMILIES THEY SERVE.
HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY	NUTRITIOUS FOOD AND PHYSICAL ACTIVITY ARE ESSENTIAL FOR CHILDREN TO GROW UP STRONG AND HEALTHY. WE WORK ALONG-SIDE THE COMMUNITY TO FIGHT HUNGER, IMPROVE ACCESS TO NUTRITIOUS FOOD AND INCREASE OPPORTUNITIES FOR CHILDREN AND FAMILIES TO BE PHYSICALLY ACTIVE. FIGHTING FOOD INSECURITY DURING FINANCIAL HARDSHIPS, FAMILIES MAKE DIFFICULT TRADE-OFFS. FAMILIES REDUCE THEIR FOOD QUALITY AND VARIETY, EVEN SKIPPING MEALS, IN ORDER TO MAKE ENDS MEET. THE LACK OF STEADY NUTRITION CAUSED BY FOOD INSECURITY (HUNGER) HAMPERS A SICK CHILD'S HEALING AND ABILITY TO STAY WELL. CHILDREN WITH CHRONIC ILLNESSES ALSO HAVE SPECIAL DIETARY NEEDS, WHICH CAN BE COSTLY, AND MIGHT NOT BE COVERED AT COMMUNITY FOOD BANKS. PARENTS AND CAREGIVERS OF CHILDREN WITH CHRONIC ILLNESS MAY FACE LOSS OF INCOME IF THEY REDUCE THEIR WORK HOURS TO CARE FOR KIDS. A GROWING NUMBER OF SPECIALTY CLINICS WITHIN SEATTLE CHILDREN'S NOW ASK FAMILIES ABOUT FOOD INSECURITY. FAMILIES WHO WANT HELP ARE GIVEN A TWO-DAY SUPPLY OF NUTRITIOUS FOOD FROM OUR FOOD PANTRY, WHICH IS SUPPORTED BY DONORS, GRANTS, THE HOSPITAL, AND A PARTNERSHIP WITH NORTHWEST HARVEST. TO HELP FAMILIES WITH ONGOING FOOD RESOURCES, WE LINK THEM TO WITHINREACH, A LOCAL NONPROFIT THAT CONNECTS PEOPLE WITH THE SOCIAL SERVICES THEY NEED TO STAY SAFE AND HEALTHY. A SURVEY OF FAMILIES FROM TWO CLINICS SERVING CHILDREN WITH END-STAGE KIDNEY DISEASE SHOWED A CORRELATION BETWEEN IMPROVED FOOD SECURITY AND FEWER HOSPITALIZATIONS AND INFECTIONS. OBESITY TIED TO NEIGHBORHOOD TRAITS CHILDHOOD OBESITY CONTINUES TO BE A SERIOUS HEALTH CONCERN IN THE UNITED STATES, PUTTING CHILDREN AT GREATER RISK FOR DEVELOPING CONDITIONS LIKE HEART DISEASE AND TYPE 2 DIABETES. RESEARCH LED BY DR. BRIAN SAELENS FOUND THAT A CHILD'S WEIGHT STATUS CHANGES OVER TIME BASED ON THE AVAILABILITY OF NUTRITIOUS FOOD AND THE OPPORTUNITY FOR PHYSICAL ACTIVITY IN THE NEIGHBORHOOD WHERE THEY LIVE. THE STUDY INVOLVED MORE THAN 600 CHILDREN AGES 8-13 IN SEATTLE/KING COUNTY AND SAN DIEGO COUNTY. WHEN HE BEGAN HIS RESEARCH SAELENS FOUND THAT CHILDREN WERE MORE LIKELY TO BE OVERWEIGHT OR OBESE IN NEIGHBORHOODS WITH NO PARKS OR LOW QUALITY PARKS AND NO SUPERMARKETS OR A HIGH CONCENTRATION OF FAST FOOD RESTAURANTS. THEY ALSO WERE MORE SEDENTARY AND CONSUMED MORE CALORIES. THE OPPOSITE WAS TRUE FOR CHILDREN LIVING IN NEIGHBORHOODS WITH AT LEAST ONE HIGH-QUALITY PARK, AT LEAST ONE SUPERMARKET, A SMALLER CONCENTRATION OF FAST FOOD RESTAURANTS AND MORE OPPORTUNITIES TO WALK. AFTER FOLLOWING UP TWO YEARS LATER, SAELENS FOUND THAT CHILDREN IN THE LESS FAVORABLE NEIGHBORHOODS - I.E. LACKING ACCESS TO NUTRITIOUS FOOD AND OPPORTUNITIES FOR PHYSICAL ACTIVITY - HAD BECOME EVEN MORE LIKELY TO HAVE WEIGHT ISSUES. MEANWHILE, THE OPPOSITE WAS TRUE FOR THOSE IN THE MORE FAVORABLE NEIGHBORHOODS SAELENS HOPES HIS RESEARCH WILL HELP CHANGE THE WAY NEIGHBORHOODS GROW AND DEVELOP. "ACTIVITY AND HEALTHY EATING AREN'T ALWAYS AT THE FOREFRONT OF OUR MINDS WHEN WE THINK ABOUT HOW THINGS ARE BUILT," HE SAYS.
COORDINATED CARE FOR CHILDREN AND TEENS WITH CHRONIC CONDITIONS	CARING FOR CHILDREN WITH COMPLEX CHRONIC CONDITIONS REQUIRES PROVIDERS IN THE HOSPITAL AND IN THE COMMUNITY TO WORK AS A TEAM TO ADDRESS THEIR MANY MEDICAL ISSUES. WE STRIVE TO COORDINATE A CHILD'S CARE ACROSS ALL SERVICES, SUPPORT FAMILIES AS THEY CARE FOR THEIR CHILD OUTSIDE THE HOSPITAL AND HELP CHILDREN MAKE A SUCCESSFUL TRANSITION TO ADULT CARE. TLC FOR KIDS WITH MEDICAL COMPLEXITY RAISING A CHILD WITH MEDICAL COMPLEXITY IS AN ENORMOUS CHALLENGE. THEY NEED ONGOING CARE FOR MULTIPLE CHRONIC CONDITIONS AND FACE MANY MEDICAL AND PSYCHO-SOCIAL ISSUES OVER TIME. WE LIFT SOME OF THE WEIGHT FROM A FAMILY'S SHOULDERS THROUGH TLC - SHORT FOR TRANSITIONAL LONGITUDINAL CARE. THIS PROGRAM PREPARES FAMILIES TO GO HOME AFTER HOSPITAL STAYS AND COORDINATES CARE FOR THEIR CHILD GOING FORWARD. WE ASSIGN EACH FAMILY A REGISTERED NURSE CARE MANAGER TO SERVE AS A SINGLE POINT OF CONTACT FOR ALL THEIR NEEDS AND QUESTIONS. "IT COULD BE A MEDICATION ISSUE, AN EQUIPMENT ISSUE, A FINANCIAL ISSUE OR A SCHOOL ISSUE," SAYS KATHY MULLIN, DIRECTOR OF CARE COORDINATION AT SEATTLE CHILDREN'S. "THE REGISTERED NURSE CASE MANAGER CAN ASSIST FAMILIES NAVIGATE THE SYSTEM TO ANSWER THEIR QUESTIONS AND OBTAIN THE HELP THEY NEED FROM SEATTLE CHILDREN'S AND IN THE COMMUNITY." THE PROGRAM IS ESPECIALLY HELPFUL TO FAMILIES WHO ARE JUST STARTING THEIR JOURNEY WITH A CHILD WITH MEDICAL COMPLEXITY. "EVERY STEP IS NEW TO THEM AND IT GIVES THEM PEACE OF MIND TO KNOW THERE IS SOMEBODY THEY CAN CALL," SAYS ERIN MARTIN, ONE OF THE PROGRAM'S REGISTERED NURSE CARE MANAGERS. PREPARING FAMILY CAREGIVERS THE HEALING PROCESS DOESN'T END AT THE HOSPITAL. MUCH OF A CHILD'S RECOVERY TAKES PLACE AT HOME UNDER THE CARE OF THEIR FAMILY. THAT'S WHY WE CONTINUALLY WORK TO IMPROVE THE HOSPITAL-TO-HOME TRANSITION. DR. ARTI DESAI RECENTLY CREATED AN OUTCOME MEASURE TO ASSESS HOW WELL THE HOSPITAL PREPARES FAMILIES TO CARE FOR THEIR CHILD AT HOME AND SUPPORTS THEM AFTER DISCHARGE. DR. DESAI INTERVIEWED PATIENT FAMILIES TO UNCOVER EIGHT CONCEPTS THAT WERE MOST IMPORTANT TO THEM DURING THE HOSPITAL-TO-HOME TRANSITION. "THE MEASURE ASKS ABOUT THINGS LIKE DID THEY GET ENOUGH DISCHARGE EDUCATION, DID THEY FEEL CONFIDENT WHEN THEY GOT HOME, WERE THEIR FOLLOW-UP PROVIDERS INFORMED ABOUT THE CARE THEY RECEIVED IN THE HOSPITAL," DR. DESAI SAYS. THE HOSPITAL COLLECTS FEEDBACK ON THESE OUTCOMES THROUGH A SHORT SURVEY GIVEN TO FAMILIES. "OUR MAIN GOAL IS TO GIVE FAMILIES A VOICE IN TELLING US HOW WELL WE'RE PREPARING THEM TO DEAL WITH A CHALLENGING TIME IN THEIR LIFE," DR. DESAI SAYS. THIS SURVEY, AND OTHER MEASURES SHE HAS DEVELOPED WITH COLLEAGUES, HAVE GUIDED EFFORTS TO IMPROVE THE DISCHARGE INSTRUCTIONS FAMILIES RECEIVE FROM THE HOSPITAL SO THEY CAN BETTER MANAGE THEIR CHILD'S CARE AT HOME. IN ADDITION, DR. DESAI IS WORKING TO ENSURE THAT UP-TO-DATE CARE PLANS FOR CHILDREN WITH MEDICAL COMPLEXITY - WHO HAVE CHRONIC CONDITIONS THAT REQUIRE CLOSELY COORDINATED CARE FROM MULTIPLE SPECIALISTS - ARE READILY AVAILABLE TO OTHER PROVIDERS ONCE A CHILD LEAVES THE HOSPITAL.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S CLINICALLY INTEGRATED NETWORK LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981455005	ZIPCd

Field	Value	IRS element (for citing)
EIN	910564748	EIN
Primary Activities	ADMINISTRATION OF PEDIATRIC PHYSICIANS NETWORK	PrimaryActivitiesTxt
Legal Domicile State	WA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SEATTLE CHILDREN'S HEALTHCARE SYSTEM
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911250116	HEALTHCARE	WA	501(C)(3)	LINE 7	N/A	0
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911156519	FUNDRAISING	WA	501(C)(3)	LINE 7		Yes (1)	SEATTLE CHILDREN'S HEALTHCARE SYSTEM
SEATTLE CHILDREN'S HOSPITAL GUILD ASSN
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911394056	FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESS	WA	501(C)(3)	LINE 7		Yes (1)	SEATTLE CHILDREN'S HEALTHCARE SYSTEM
CHILDREN'S RETAIL
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911998909	THRIFT STORES	WA	501(C)(3)	LINE 12A, I		Yes (1)	SEATTLE CHILDREN'S HEALTHCARE SYSTEM
CHILDREN'S UNIVERSITY MEDICAL GROUP
PO BOX 50010	SEATTLE	WA	98105	911336707	MEDICAL PRACTICE	WA	501(C)(3)	LINE 12A, I	N/A	0
CHILDREN'S HEALTH NETWORK
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911226716	PEDIATRIC HEALTHCARE SERVICES	WA	501(C)(3)	LINE 12A, I		Yes (1)	SEATTLE CHILDREN'S HEALTHCARE SYSTEM

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CHARITABLE REMAINDER UNITRUSTS (2)
INVESTMENTS	WA	SEATTLE CHILDREN'S HOSPITAL	Yes (1)
CHARITABLE REMAINDER UNITRUSTS (9)
INVESTMENTS	WA		0	N/A
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTS	AK	SEATTLE CHILDREN'S HOSPITAL	Yes (1)
CHARITABLE REMAINDER UNITRUSTS (3)
INVESTMENTS	CA	SEATTLE CHILDREN'S HOSPITAL	Yes (1)
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTS	FL		0	N/A
CHARITABLE REMAINDER ANNUITY TRUST (1)
INVESTMENTS	WA		0	N/A
PERPETUAL TRUSTS (6)
INVESTMENTS	WA	SEATTLE CHILDREN'S HOSPITAL	Yes (1)
PERPETUAL TRUSTS (2)
INVESTMENTS	WA		0	N/A
POOLED INCOME FUND (1)
INVESTMENTS	WA		0	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	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	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd