2019-08-12T10:42:52-05:00 2018-09-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2017-10-01 910564748 SEATTLE CHILDREN'S HOSPITAL SEAT 2069874846 PO BOX 5371 MS RC-507 SEATTLE WA 981455005 SUZANNE BEITEL SENIOR VP & CFO 2069874846 2019-08-09 1 JANE M SEARING P00000565 4254544919 2019-08-07 65.158.230.194 2019-08-09 14:29:25 PD P A8F8671919AEAF184819608176B45343F82BD7C9 A8F8671919AEAF184819608176B45343F82BD7C9 2017 2019-02-21 02:37:17Z JEFF SPERRING MD PO BOX 5371 MS RC-507 SEATTLE WA 981455005 1918554466 0 8041 X WWW.SEATTLECHILDRENS.ORG X 1907 WA WE PROVIDE HOPE, CARE & CURES TO HELP EVERY CHILD LIVE THE HEALTHIEST & MOST FULFULLING LIFE POSSIBLE 22 20 8253 833 968816 2828973 166489706 246106645 1218349780 1420371215 63333183 80657746 12799943 12431557 1460972612 1759567163 23637303 21963717 0 0 651862879 733807731 0 0 0 620789690 699992603 1296289872 1455764051 164682740 303803112 3259202142 3605274314 999839495 1035707026 2259362647 2569567288 X 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. 0 0 1126232679 2630595 1398353179 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. 183774781 19333122 20883770 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. 40617241 0 7215546 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. 3289609 0 169825 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. 3289609 0 169825 1353914310 1 1 0 1 0 1 0 0 0 1 1 1 0 0 1 1 1 1 0 0 1 1 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 0 1 643 0 1 8253 1 1 1 0 0 0 0 0 0 0 0 0 X 22 20 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X WARREN E HEWITT VP FINANCE 2069874846 4300 ROOSEVELT WAY NE 5TH FLOOR SEATTLE WA 981054718 DEAN ALLEN TRUSTEE 4.00 0.00 X 0 0 0 JOEL BENOLIEL TREASURER 3.00 0.00 X X 0 0 0 SUSAN BETCHER TRUSTEE 2.00 0.00 X 0 0 0 JILL BRUBAKER MD TRUSTEE 1.00 0.00 X 0 0 0 PAT CHAR TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL DELMAN TRUSTEE 4.00 0.00 X 0 0 0 ROY DIAZ PHD TRUSTEE 3.00 0.00 X 0 0 0 COLIN FOX PHD TRUSTEE 5.00 0.00 X 0 0 0 DEBORAH HAUG TRUSTEE 2.00 0.00 X 0 0 0 JUDY HOLDER TRUSTEE 4.00 0.00 X 0 0 0 CYNTHIA HUFFMAN TRUSTEE 2.00 0.00 X 0 0 0 MONA LEE LOCKE TRUSTEE 3.00 0.00 X 0 0 0 PATRICIA LOERA SECRETARY 2.00 0.00 X X 0 0 0 SUSAN MASK CHAIR-ELECT 5.00 0.00 X X 0 0 0 JEFF NITTA TRUSTEE 4.00 0.00 X 0 0 0 JUDITH PIERCE TRUSTEE 3.00 0.00 X 0 0 0 MICHAEL REEVES TRUSTEE 2.00 0.00 X 0 0 0 NANCY SENSENEY CHAIR 10.00 2.00 X X 0 0 0 MICHELE SMITH TRUSTEE 2.00 3.00 X 0 0 0 CHARLES STEVENS TRUSTEE 4.00 0.00 X 0 0 0 MOYA VASQUEZ TRUSTEE 3.00 0.00 X 0 0 0 ALVIN WINTERROTH TRUSTEE 2.00 0.00 X 0 0 0 JEFF SPERRING MD CEO/NON-VOTING EX OFFICIO TRUSTEE 42.00 13.00 X 870720 288680 255556 KELLY WALLACE SENIOR VP & CFO THRU DEC 2017 41.00 14.00 X 504249 163546 120155 SUZANNE BEITEL SENIOR VP & CHIEF FINANCIAL OFFICER 41.00 14.00 X 96739 30286 8 SANFORD MELZER MD EXEC VP-NETWORKS & POPULATION HEALTH 55.00 0.00 X 679923 119556 142440 MARK DEL BECCARO MD SR VP-CHIEF MED OFF/NON-VOTING TRUST 55.00 0.00 X 622316 0 99172 JAMES HENDRICKS PHD PRESIDENT - RESEARCH INSTITUTE 55.00 0.00 X 513553 0 105446 MICHAEL MURPHY VP - ACC CARE & EXEC DIRECTOR SCCN 55.00 0.00 X 467948 0 36547 STEPHANIE AXELROD VP - COMM & STRATEGIC INITIATIVES 55.00 0.00 X 510595 0 15166 CINDY GAZECKI SENIOR VP - HOSPITAL OPERATIONS 55.00 0.00 X 461193 0 100600 RUSSELL WILLIAMS SR VP & CHIEF ADMINISTRATIVE OFFICER 55.00 0.00 X 455050 0 80584 MADLYN MURREY SR VP - CHIEF NURSING OFFICER 55.00 0.00 X 450068 0 86318 SUZANNE PETERSEN VP - EXTERNAL AFFAIRS 55.00 0.00 X 431194 0 43308 CARA BAILEY SR VP-CONTINUOUS PERFORMANCE IMPROVE. 55.00 0.00 X 421131 0 70757 TODD JOHNSON VP - FACILITIES 55.00 0.00 X 416069 0 46656 ERIC THAM MD VP & ASSOC CHIEF INFORMATION OFFICER 55.00 0.00 X 389018 0 43937 RUTH MCDONALD MD VP, ASSOC CHIEF MEDICAL OFFICER 55.00 0.00 X 373852 0 22328 ERIK LAUSUND VP - RESEARCH OPERATIONS & LOGISTICS 55.00 0.00 X 353193 0 41110 SCOTT BINGHAM INTERIM CIO / SR DIR-INFO & APPS 55.00 0.00 X 328874 0 35193 WARREN HEWITT VP - FINANCE 41.00 14.00 X 236290 77407 40124 GREGORY BLACKBURN VP - CLINICAL SUPPORT SERVICES 55.00 0.00 X 295007 0 41010 PETRA SMITH VP - HUMAN RESOURCES 55.00 0.00 X 292424 0 48313 JENNIFER BECKER VP - AMBULATORY SERVICES 55.00 0.00 X 264617 0 32470 PAMELA ROCK VP-MED SERV LINE & SPECIAL PROGRAMS 55.00 0.00 X 251189 0 30275 DOUGLAS PICHA PRESIDENT - FOUNDATION 5.50 49.50 X 75268 921466 119571 MARK EGBERT DDS CHIEF - ORAL & MAXILLOFACIAL SURGERY 55.00 0.00 X 590866 0 49720 MICHAEL ASTION MD PHD MEDICAL DIRECTOR - LABORATORIES 55.00 0.00 X 560779 0 50349 CRAIG RUBENS MD PHD EXECUTIVE DIRECTOR - GAPPS 55.00 0.00 X 523355 0 29732 JAMES CHRISTIANSEN MD CARDIOLOGIST 55.00 0.00 X 439179 0 48886 THOMAS HANSEN MD PRINCIPAL INVESTIGATOR / FORMER CEO 3.50 0.00 X 107944 0 14591 LISA BRANDENBURG FORMER PRESIDENT - HOSPITAL 0.00 0.00 X 167155 80032 0 KATHY JO FREEMAN FORMER VP-SERVICE LINE SURGICAL SPEC 0.00 0.00 X 152154 0 24118 JEFFREY BROWN FORMER SR VP - CHIEF INFO. OFFICER 0.00 0.00 X 111328 0 6771 12413240 1680973 1881211 1320 1 1 0 CHILDREN'S UNIVERSITY MEDICAL GROUP PO BOX 50010 SEATTLE WA 98105 PHYSICIAN SERVICES 112426239 UNIVERSITY OF WASHINGTON PO BOX 358220 SEATTLE WA 98195 RESIDENTS & INTERNS 32130416 LEASE CRUTCHER LEWIS 107 SPRING STREET SEATTLE WA 981041052 CONSTRUCTION 30379899 ALDRICH AND ASSOCIATES INC 810 240TH ST SE BOTHELL WA 98021 CONSTRUCTION 12150371 SELLEN CONSTRUCTION 227 WESTLAKE AVENUE NORTH SEATTLE WA 98109 CONSTRUCTION 11402741 348 136786978 73833126 35486541 3192549 246106645 PATIENT SVC REVENUES 621500 1377876352 1377876352 OTHER HEALTHCARE SVCS 621500 41305250 40336434 968816 INVESTMENT PROV CHILD 621500 600000 600000 WHALE GIFT SHOP 453220 589613 589613 1420371215 43734275 43734275 1232685 1232685 10722422 5774655 4947767 4947767 4947767 190059375 76744 152931546 281102 37127829 -204358 36923471 36923471 PARKING 812930 3788187 3788187 CAFETERIA 722212 2462918 2462918 6251105 1759567163 1418812786 968816 93678916 X 20872100 20872100 448157 448157 643460 643460 11640942 11640942 470357 436912 33445 571375597 530747013 40628584 31167024 28950842 2216182 76201254 70782841 5418413 42952557 39898346 3054211 2137480 1985491 151989 420313 390426 29887 481522 481522 2897526 2691493 206033 115927441 107684233 8243208 4536303 4213742 322561 194072142 180272329 13799813 21895634 20338710 1556924 28239462 26231449 2008013 5442844 5055822 387022 1341214 1245845 95369 21621053 20083653 1537400 88083076 81819787 6263289 5178268 4810059 368209 PHYSICIANS SERVICES 151013923 151013923 LICENSES & TAXES 38926780 36158828 2767952 BAD DEBT EXPENSE 1865780 1865780 UBI TAXES 156693 156693 15755149 14634854 1120295 1455764051 1353914310 101849741 0 35155004 37010075 112076010 37157976 18821632 68575952 226610912 251969932 6217919 0 12843098 15806274 18333417 23010161 2043209422 762836112 1103367020 1280373310 1086427379 1230348030 411086545 436999762 156684622 163955138 2000000 2000000 69578584 58067704 3259202142 3605274314 181672827 216994599 31154 833084 725134198 713217472 93001316 104661871 999839495 1035707026 X 1803307904 2055396407 182176545 225923967 273878198 288246914 2259362647 2569567288 3259202142 3605274314 X 303803112 -7558503 13960032 X 0 1 X 1 1 1 X 116550644 130967380 141913396 166489706 246106645 802027771 116550644 130967380 141913396 166489706 246106645 802027771 46256355 755771416 17945000 27132475 39030564 48960832 55689382 188758253 440244 284687 479145 216488 64447 1485011 9790406 20490033 30280439 1022551474 5966088455 0.73910 0.74460 X 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. X 0 0 481522 481522 481522 481522 1460075780 1637794850 1460557302 1638276372 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 341775 379062 485089 481522 1687448 250000 250000 250000 250000 1000000 1500000 PART II-A, AFFILIATED GROUP STATEMENT: 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 3 2225 5000 1084425 1 1 409859000 12310000 31902000 9446000 444625000 368141000 1524000 49357000 9163000 409859000 342807000 4574000 29475000 8715000 368141000 343981000 10256000 -3157000 8273000 342807000 318219000 3339000 29991000 7568000 343981000 0.54890 0.33140 0.11970 0 1 1 219455313 219455313 961783605 373579472 588204133 58651290 16786697 41864593 543129638 365038059 178091579 260189576 7431884 252757692 1280373310 POOLED INVESTMENTS 420090456 F JP MORGAN CD 12738199 C DEFERRED COMPENSATION PLANS 2359924 F OIL LEASES 18500 C LIFE INSURANCE 48642 F INVESTMENT IN HCSA PROPERTIES, LLC 1744012 C PRONIRAS 29 F 436999762 SWAP MTM VALUE - BONDS 11098959 DEFERRED COMPENSATION PLAN PAYABLE 2359924 DEFERRED AND OTHER LIABILITIES 12275679 PAYABLE TO AFFILIATE 19766206 DUE TO BROKERS FOR SECURITIES PURCHASED 59161103 104661871 X 1760020602 -7558503 5305043 -2253460 1762274062 2897526 -5604425 -2706899 1759567163 1449815961 -1081971 -1081971 1450897932 2897526 1968593 4866119 1455764051 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. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 157635692 NORTH AMERICA 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES 1214000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES 191000 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES 10000 SOUTH AMERICA 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES 10000 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES 3000 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES 1000 NORTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 454331 SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 185956 SOUTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 3173 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 250000 NORTH AMERICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 161000 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 78000 SOUTH ASIA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 27000 SOUTH AMERICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 18000 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND AID SITES 17000 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 3000 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 2000 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES PATIENT ACCOUNT REFUNDS 291000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES PATIENT ACCOUNT REFUNDS 94000 NORTH AMERICA 0 0 PROGRAM SERVICES PATIENT ACCOUNT REFUNDS 2000 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES PEDIATRIC HEALTHCARE - GLOBAL HEALTH PATHWAY RESIDENCY PROGRAM 81994 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES PARTNERS IN AFRICA CLEFT TRAINING 12571 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION SUB-SAHARAN AFRICA 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION NORTH AMERICA 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION EAST ASIA AND THE PACIFIC 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION MIDDLE EAST AND NORTH AFRICA 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION 0 0 0 0 0 0 159519023 1226694 160745717 NORTH AMERICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 406042 CASH PAYMENT NORTH AMERICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 25291 CASH PAYMENT NORTH AMERICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 13478 CASH PAYMENT SUB-SAHARAN AFRICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 85768 CASH PAYMENT SUB-SAHARAN AFRICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 50496 CASH PAYMENT SUB-SAHARAN AFRICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 49692 CASH PAYMENT 4 2 0 0 0 0 0 1 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. 1 1 X 1 X 400.000000000000 1 X 599.000000000000 1 1 0 1 1 1 21690 13792000 3765000 10027000 0.00690 19 212322 587546000 450906000 136640000 0.09400 20 234012 601338000 454671000 146667000 0.10090 140 13857654 4519010 9338644 0.00640 88 40617241 10289387 30327854 0.02090 7 156906233 115077881 41828352 0.02880 16 2312134 503208 1808926 0.00120 251 213693262 130389486 83303776 0.05730 271 234012 815031262 585060486 229970776 0.15820 1 50000 50000 0.00000 12 834722 101549 733173 0.00050 3 73399 73399 0.00010 1 12708 12708 0.00000 7 60646 60646 0.00000 2 2602 2602 0.00000 10 819447 66410 753037 0.00050 2 11952 11952 0.00000 38 1865476 167959 1697517 0.00110 1 768868 0 5288089 7162802 -1874713 X 1 1 1 1 SEATTLE CHILDREN'S HOSPITAL 4800 SAND POINT WAY NE SEATTLE WA 98105 WWW.SEATTLECHILDRENS.ORG 178019356 X X X X X X SEATTLE CHILDREN'S HOSPITAL 1 0 0 1 X X X X X X X X X X 16 1 0 0 1 X WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT X X 1 15 1 WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT 0 1 X 400.000000000000 599.000000000000 X X X 1 1 X X X 1 X SEATTLECHILDRENS.ORG/CLINICS-PROGRAMS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE X FINASST.SEATTLECHILDRENS.ORG X SEATTLECHILDRENS.ORG/CLINICS-PROGRAMS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X 1 X 0 0 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. 21 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 140 OLYMPIA WA 98506 AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE 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 200 SEATTLE WA 98105 ADOLESCENT MEDICAL CLINIC 21 - CHILDREN'S ORTHOTICS & PROSTHETICS 4575 SAND POINT WAY NE SUITE 106 SEATTLE WA 98105 AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE 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. 1 AHS HOSPITAL CORPORATION PO BOX 48328 NEWARK NJ 071014828 521958352 501(C)(3) 11091 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD AKRON CHILDREN'S HOSPITAL ONE PERKINS SQUARE AKRON OH 44308 340714357 501(C)(3) 61094 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ALASKA ARTS SOUTHEAST INC PO BOX 3086 SITKA AK 99835 237240278 501(C)(3) 20000 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) 19539 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD AMERICAN ACADEMY OF PEDIATRICS 141 NORTHWEST POINT BLVD ELK GROVE IL 60007 362275597 501(C)(3) 125848 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) 41378 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) 31506 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) 8687 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ASHLEY HOUSE 33811 9TH AVE S FEDERAL WAY WA 98003 943080307 501(C)(3) 600000 SUPPORT FOR DEVELOPMENT OF PEDIATRIC TRANSITIONAL CARE FACILITY BARTLETT REGIONAL HOSPITAL 3260 HOSPITAL DRIVE JUNEAU AK 99801 920118538 GOVERNMENT 11033 GRANT FOR CAR SEAT SAFETY PROGRAM BATTELLE MEMORIAL INSTITUTE 505 KING AVE COLUMBUS OH 432012693 314379427 501(C)(3) 115201 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD BAYLOR COLLEGE OF MEDICINE TEXAS CHILDRENS 6701 FANNIN ST STE 1040 HOUSTON TX 77030 741613878 501(C)(3) 213050 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 NINTH AVE SEATTLE WA 981012795 910653422 501(C)(3) 1003065 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD BILLINGS CLINIC 2800 TENTH AVE S BILLINGS MT 59101 810231784 501(C)(3) 8858 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CAMP KOREY 28901 NE CARNATION FARM RD CARNATION WA 98014 203829742 501(C)(3) 10000 SPONSORSHIPS OF GROW EVENTS CASCADE BICYCLE CLUB EDUCATION FOUNDATION 7787 62ND AVE NE SEATTLE WA 98115 912165219 501(C)(3) 9600 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) 223404 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CENTER FOR CHILDREN AND YOUTH JUSTICE 615 2ND AVE STE 275 SEATTLE WA 98104 204457248 501(C)(3) 10000 BREAKFAST SPONSORSHIP CENTER FOR INFECTIOUS DISEASE RESEARCH 307 WESTLAKE AVE N STE 500 SEATTLE WA 98109 910961784 501(C)(3) 31339 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CENTER FOR MULTICULTURAL HEALTH 1120 EAST TERRACE STREET STE 200 SEATTLE WA 98122 910983698 501(C)(3) 14170 HEALTHY KING COUNTY COALITION PROGRAM SPONSORSHIP CHILDREN'S ALLIANCE 718 6TH AVE S SEATTLE WA 98104 910982879 501(C)(3) 6110 SPONSORSHIP OF VOICES FOR CHILDREN LUNCHEON AND MEMBERSHIP CONTRIBUTION CHILDREN'S HEALTHCARE OF ATLANTA 1687 TULLIE CIRCLE ATLANTA GA 30329 582367819 501(C)(3) 6936 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL AND CLINICS OF MINNESOTA 2525 CHICAGO AVE S MINNEAPOLIS MN 55404 411754276 501(C)(3) 94930 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL BOSTON PO BOX 414413 BOSTON MA 022414413 042774441 501(C)(3) 170404 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL COLORADO 13123 E 16TH AVE B148 AURORA CO 80045 840166760 501(C)(3) 19409 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD MS97 LOS ANGELES CA 90027 951690977 501(C)(3) 113114 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNET AVE MLC4900 CINCINNATI OH 452293039 310833936 501(C)(3) 171143 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) 425549 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CITY OF HOPE NATIONAL MEDICAL CENTER 1500 E DUARTE RD DUARTE CA 91010 951683875 501(C)(3) 17503 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CITY OF SEATTLE 100 DEXTER AVE N SEATTLE WA 981095199 916001275 GOVERNMENT 17000 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) 167120 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CONNECTICUT CHILDREN'S MEDICAL CENTER 282 WASHINGTON ST HARTFORD CT 06106 060646755 501(C)(3) 35644 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVE FORT WORTH TX 76104 752051646 501(C)(3) 8992 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CRAIG WAVERUNNERS SWIM CLUB PO BOX 877 CRAIG AK 99921 471501279 501(C)(3) 13000 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) 9000 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) 7424 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD DREXEL UNIVERSITY COLLEGE OF MEDICINE PO BOX 95000-1010 PHILADELPHIA PA 191951010 232979433 501(C)(3) 5802 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD EMORY UNIVERSITY PO BOX 935084 ATLANTA GA 311935084 580566256 501(C)(3) 344178 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD FLORIDA HEALTH SCIENCES CENTER INC PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 5660 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD FOUNDATION FOR HEALTHY GENERATIONS 419 THIRD AVE W SEATTLE WA 98119 916186093 501(C)(3) 10000 SUPPORT FOR CHILDHOOD OBESITY PREVENTION COALITION FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE N SEATTLE WA 98109 237156071 501(C)(3) 2484064 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) 846880 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) 15792 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD GEORGIA SOUTHERN UNIVERSITY RESEARCH AND SERVICE FOUNDATION INC PO BOX 8005 STATEBORO GA 30460 582354256 501(C)(3) 14738 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) 6665 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) 10000 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) 7810 GRANT FOR SWIM TEAM SCHOLARSHIP PROGRAM HEALTHPOINT 955 POWELL AVE SW RENTON WA 98057 910884412 501(C)(3) 6150 ANNUAL DINNER SPONSORSHIPS HOPELINK 10675 WILLOWS RD NE STE 275 REDMOND WA 98052 910982116 501(C)(3) 7000 LUNCHEON SPONSORSHIP ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL BOX 3500 NEW YORK NY 10029 136171197 501(C)(3) 83561 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD INDIANA UNIVERSITY DEPT 78867 PO BOX 78000 DETROIT MI 482780867 356001673 GOVERNMENT 215832 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD INFECTIOUS DISEASE RESEARCH INSTITUTE 1616 EASTLAKE AVE E STE 400 SEATTLE WA 98102 911608978 501(C)(3) 35491 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD JDRF INTERNATIONAL DBA JDRF SEATTLE GUILD 1215 4TH AVE STE 1100 SEATTLE WA 98161 231907729 501(C)(3) 10250 SPONSORSHIPS OF TYPE ONE NATION SUMMIT AND ANNUAL GALA JOHNS HOPKINS UNIVERSITY 12529 COLLECTIONS CENTER DR CHICAGO IL 60693 520595110 GOVERNMENT 88797 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD KAISER FOUNDATION HEALTH PLAN PO BOX 34587 SEATTLE WA 981249990 910511770 501(C)(3) 69879 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD KAISER FOUNDATION HOSPITALS 1800 HARRISON ST 16TH FLOOR OAKLAND CA 94612 941105628 501(C)(3) 9604 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD KLAWOCK PARENT TEACHER STUDENT ASSOCIATION 7054 KLAWOCK HOLLIS HWY KLAWOCK AK 99925 920151710 501(C)(3) 7119 GRANT FOR TRAVEL OF HIGH SCHOOL BASKETBALL TEAM TO MINNESOTA TOURNAMENT LAWRENCE BERKELEY NATIONAL LABORATORY 1 CYCLOTRON ROAD BERKELEY CA 94720 942951741 GOVERNMENT 36114 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD LE BONHEUR CHILDREN'S HOSPITAL FOUNDATION 850 POPLAR AVE BLDG 2 MEMPHIS TN 38105 621872938 501(C)(3) 10972 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD LONG BEACH MEMORIAL MEDICAL CENTER 2801 ATLANTIC AVE LONG BEACH CA 90806 953527031 501(C)(3) 4249 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MAINE MEDICAL CENTER 22 BRAMHALL ST PORTLAND ME 041023175 010238552 501(C)(3) 31279 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MARCH OF DIMES 1904 THIRD AVE STE 230 SEATTLE WA 98101 131846366 501(C)(3) 14500 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) 89597 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MASSACHUSETTS GENERAL HOSPITAL THE GENERAL HOSPITAL CORPORATION PO BOX 414876 BOSTON MA 022414876 042697983 501(C)(3) 21865 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MASSACHUSETTS INSTITUTE OF TECHNOLOGY 77 MASSACHUSETTS AVE NE CAMBRIDGE MA 021394307 042103594 501(C)(3) 46501 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MEDICAL UNIVERSITY OF SOUTH CAROLINA 19 HAGOOD AVE RM 303 CHARLESTON SC 294258040 576000722 GOVERNMENT 206221 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MEMORIAL HEALTHCARE SYSTEM PO BOX 538514 ATLANTA GA 30353 596014973 GOVERNMENT 14175 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MONMOUTH MEDICAL CENTER INC 300 SECOND AVE STE SH 013 LONG BRANCH NJ 07740 223452412 501(C)(3) 18905 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MULTICARE HEALTH SYSTEM 315 M3-CRD 315 MARTIN LUTHER KING JR WAY S TACOMA WA 98405 911352172 501(C)(3) 155403 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD NACHRI PO BOX 79311 BALTIMORE MD 212790311 510120256 501(C)(3) 143284 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD NATIONAL JEWISH HEALTH 1400 JACKSON ST M216 DENVER CO 80206 742044647 501(C)(3) 125986 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD NEW YORK MEDICAL COLLEGE 40 SUNSHINE COTTAGE RD VALHALLA NY 10595 131099420 501(C)(3) 36257 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD NORTHSHORE UNIVERSITY HEALTH SYSTEM 1001 UNIVERSITY PL EVANSTON IL 60201 362167060 501(C)(3) 51113 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD NORTHWESTERN UNIVERSITY 633 CLARK G-547 EVANSTON IL 60208 362167817 501(C)(3) 16959 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD OREGON HEALTH AND SCIENCE UNIVERSITY 0690 SW BANCROFT ST MAIL CODE L106SPA PORTLAND OR 97239 931176109 GOVERNMENT 118815 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD PACIFIC SCIENCE CENTER FOUNDATION 200 SECOND AVE N SEATTLE WA 981094895 910750867 501(C)(3) 14282 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 31556 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD PHOENIX CHILDREN'S HOSPITAL 1919 E THOMAS RD PHOENIX AZ 85016 860422559 501(C)(3) 5075 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD PORTLAND STATE UNIVERSITY PO BOX 751 PORTLAND OR 972070751 364776757 GOVERNMENT 34436 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD PROVIDENCE HEALTH & SERVICES WASHINGTON PO BOX 190005 ANCHORAGE AK 995190005 920016429 501(C)(3) 10307 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD RAND CORPORATION PO BOX 2138 SANTA MONICA CA 904072138 951958142 501(C)(3) 86596 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) 32947 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO BOX 0897 SAN FRANCISCO CA 94143 946036493 501(C)(3) 24437 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD REGENTS OF THE UNIVERSITY OF MINNESOTA PO BOX 1450 NW 5957 MINNEAPOLIS MN 554855957 416007513 GOVERNMENT 173338 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD REGENTS UNIVERSITY OF CALIFORNIA 1850 RESEARCH PARK DR STE 300 DAVIS CA 95618 946036494 501(C)(3) 5825 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES PO BOX 951432 LOS ANGELES CA 900959000 956006143 501(C)(3) 433497 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL 700 CHILDRENS DR COLUMBUS OH 43205 316056230 501(C)(3) 328642 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD RONALD MCDONALD HOUSE CHARITIES OF WESTERN WASHINGTON & ALASKA 5130 40TH AVE NE SEATTLE WA 98105 911061043 501(C)(3) 482193 SUPPORT FOR HOUSING PROGRAMS AND GALA SPONSORSHIP RUTGERS THE STATE UNIVERSITY OF NEW JERSEY 65 DAVIDSON RD ROOM 306 PISCATAWAY NJ 088545602 462354111 GOVERNMENT 20035 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SAGE BIONETWORKS 1100 FAIRVIEW AVE N M1-C110 SEATTLE WA 98121 264489946 501(C)(3) 78514 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SAN DIEGO STATE UNIVERSITY FOUNDATION 5250 CAMPANILE DR SAN DIEGO CA 921821948 956042721 501(C)(3) 42121 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SANFORD RESEARCH USD 2301 E 60TH ST N SIOUX FALLS SD 571040589 460450378 501(C)(3) 10669 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SETON HEALTHCARE NETWORK PO BOX 204242 DALLAS TX 753204242 741109643 501(C)(3) 6463 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SITKA SCHOOL DISTRICT 601 HALIBUT POINT RD SITKA AK 98835 926000113 GOVERNMENT 5835 GRANT FOR PURCHASE OF PLUS-OPTIX S12R VISION SCANNER SOLID GROUND WASHINGTON 1501 N 45TH ST SEATTLE WA 98103 237421892 501(C)(3) 10000 LUNCHEON SPONSORSHIP SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM 3100 CHANNEL DR STE 300 JUNEAU AK 99801 920056274 501(C)(3) 10000 GRANT FOR PRINCE OF WALES HEALTH NETWORK YOUTH LEADERSHIP DEVELOPMENT PROJECT SOUTHEAST ISLAND SCHOOL DISTRICT PO BOX 19569 THORNE BAY AK 99919 920057120 GOVERNMENT 20000 GRANT FOR PURCHASE OF INSTRUMENTS FOR MUSIC PROGRAM SPECIAL OLYMPICS WASHINGTON 1809 7TH AVE STE 1509 SEATTLE WA 98101 910962383 501(C)(3) 13000 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) 72029 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ST FRANCIS MEDICAL CENTER 530 NE GLEN AVE PEORIA IL 61637 370662569 501(C)(3) 12623 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ST LOUIS UNIVERSITY FUSZ HALL ROOM 368 3700 W PINE MALL MALL ST LOUIS MO 631083306 430654872 501(C)(3) 58927 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ST LUKE'S REGIONAL MEDICAL CENTER 190 E BANNOCK ST BOISE ID 83712 820161600 501(C)(3) 51226 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD STANFORD UNIVERSITY PO BOX 44253 SAN FRANCISCO CA 94144 941156365 501(C)(3) 104920 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD TEXAS A AND M UNIVERSITY 400 HARVEY MITCHELL PKWY S 300 COLLEGE STATION TX 77845 746000531 GOVERNMENT 9210 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE ASSOCIATION OF ALASKA SCHOOL BOARDS 1111 W 9TH ST JUNEAU AK 99801 920098760 501(C)(3) 20000 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) 60087 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH 972 BRUSH HOLLOW RD 5TH FLOOR WESTBURY NY 11590 112673595 501(C)(3) 5741 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE GEORGE WASHINGTON UNIVERSITY 45155 RESEARCH PL ASHBURN VA 20147 530196584 501(C)(3) 7450 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN AND PLANK RD PO BOX 26509 MILWAUKEE WI 532260509 390806261 501(C)(3) 104776 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE NEMOURS FOUNDATION 10140 CENTURION PKWY N JACKSONVILLE FL 32256 590634433 501(C)(3) 145676 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) 87870 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER 5323 HARRY HINES BLVD DALLAS TX 752842265 756001354 GOVERNMENT 56772 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE UNIVERSITY OF TEXAS SOUTHWEST MEDICAL CENTER PO BOX 842265 DALLAS TX 752842265 756002868 GOVERNMENT 133739 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD TOLEDO HOSPITAL 2142 N COVE BLVD TOLEDO OH 43606 344428256 501(C)(3) 53581 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD TRUSTEES OF DARTMOUTH COLLEGE 7 LEBANON ST STE 302 NO 6015 HANOVER NH 03755 020222111 501(C)(3) 11097 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD TVW 1058 CAPITOL WAY S OLYMPIA WA 985011289 911597601 501(C)(3) 25000 SPONSORSHIP OF THE IMPACT PROGRAM UNITED WAY OF KING COUNTY 720 SECOND AVE SEATTLE WA 98104 910565555 501(C)(3) 20000 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) 84535 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ALABAMA AT BIRMINGHAM 1600 7TH AVE S ACC 620 BIRMINGHAM AL 352940109 636005396 GOVERNMENT 571593 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ARIZONA 1303 E UNIVERSITY BLVD BOX 3 TUCSON AZ 857190521 742652689 GOVERNMENT 54693 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 W MARKHAM ST LITTLE ROCK AR 72205 716046242 GOVERNMENT 18444 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF COLORADO PO BOX 910238 DENVER CO 802910238 846000555 GOVERNMENT 240257 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF FLORIDA PO BOX 113001 GAINESVILLE FL 32611 596002052 GOVERNMENT 159328 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ILLINOIS AT CHICAGO 28395 NETWORK PL CHICAGO IL 606731283 376000511 GOVERNMENT 94202 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF IOWA 118 S CLINTON ST IOWA CITY IA 52242 426004813 GOVERNMENT 63376 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) 48185 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION 138 LEADER AVE STE 249 LEXINGTON KY 40508 616033693 501(C)(3) 43363 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF MARYLAND RM 4101 CHESAPEAKE BLDG COLLEGE PARK MD 207423141 526002033 GOVERNMENT 32098 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF MASSACHUSETTS 55 LAKE AVE N WORCESTER MA 01655 043167352 GOVERNMENT 20740 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF MIAMI PO BOX 405803 ATLANTA GA 303845803 590624458 GOVERNMENT 21756 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF MICHIGAN BOX 223131 PITTSBURGH PA 152512131 386006309 GOVERNMENT 55141 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF MISSISSIPPI MEDICAL CENTER 2500 N STATE ST JACKSON MS 39216 646008520 GOVERNMENT 5444 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF NEBRASKA BOARD OF REGENTS 985100 NEBRASKA MEDICAL CENTER OMAHA NE 681985100 470049123 501(C)(3) 59430 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF NORTH CAROLINA PO BOX 402420 ATLANTA GA 303842420 566001393 GOVERNMENT 250069 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF OKLAHOMA HEALTH SCIENCES PO BOX 26901 SCB 228 OKLAHOMA CITY OK 731260901 736017987 GOVERNMENT 44769 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF OREGON PO BOX 3237 EUGENE OR 874030237 936001786 GOVERNMENT 99373 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF PENNSYLVANIA PO BOX 785541 PHILADELPHIA PA 191785541 231352685 501(C)(3) 254705 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF PITTSBURGH PO BOX 371220 PITTSBURGH PA 152517220 250965591 501(C)(3) 137036 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ROCHESTER 601 ELMWOOD AVE BOX 777 ROCHESTER NY 14642 160743209 501(C)(3) 82423 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF SOUTHERN CALIFORNIA 2001 N SOTO ST LOS ANGELES CA 900899235 951642394 501(C)(3) 5789 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF TENNESSEE 62 S DUNLAP ST STE 300 MEMPHIS TN 38163 626001636 GOVERNMENT 11143 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF UTAH 201 S PRESIDENTS CIRCLE ROOM 406 SALT LAKE CITY UT 84112 876000525 GOVERNMENT 346322 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE 85 S PROSPECT ST BURLINGTON VT 05405 030179440 501(C)(3) 22888 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF VIRGINIA PO BOX 400201 CHARLOTTESVILLE VA 229041034 546001796 501(C)(3) 45753 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DR CHICAGO IL 60693 916001537 GOVERNMENT 4729781 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 36062 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY PEDIATRIC HOSPITAL C/O UNIV PUERTO RICOPO BOX 365067 SAN JUAN PR 009265067 GOVERNMENT 14950 ACTUAL COST MEDICAL SUPPLIES DONATION OF MEDICAL SUPPLIES FOR DISASTER RELIEF VANDERBILT UNIVERSITY MEDICAL CENTER PO BOX 121236 DALLAS TX 753121236 620476822 501(C)(3) 238451 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD VIRGINIA COMMONWEALTH UNIVERSITY PO BOX 843039 RICHMOND VA 232842506 546001758 GOVERNMENT 25631 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WAKE FOREST UNIVERSITY HEALTH SCIENCES MEDICAL CENTER BLVD WINSTON SALEM NC 27157 223849199 501(C)(3) 5284 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WASHINGTON POISON CENTER 155 NE 100TH ST STE 100 SEATTLE WA 98125 943214597 501(C)(3) 20000 COMMUNITY BENEFIT INVESTMENT WASHINGTON STATE UNIVERSITY PO BOX 645220 PULLMAN WA 991645220 911075542 GOVERNMENT 178249 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WASHINGTON UNIVERSITY 660 S EUCLID BOX 8009 ST LOUIS MO 63110 430653611 501(C)(3) 110200 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WAYNE STATE UNIVERSITY PO BOX 02788 DETROIT MI 48202 386028429 GOVERNMENT 41796 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WEST VIRGINIA UNIVERSITY RESEARCH 886 CHESTNUT RIDGE RD PO BOX 6845 MORGANTOWN WV 265066845 550665758 501(C)(3) 31835 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WITHINREACH 155 NE 100TH STREET STE 500 SEATTLE WA 98125 911443685 501(C)(3) 15000 CONTRIBUTION TOWARD FOOD INSECURITY AND IMMUNIZATION PROGRAMS WRIGHT STATE UNIVERSITY 3640 COLONEL GLENN HWY DAYTON OH 45435 310732831 GOVERNMENT 34082 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION 2811 TIETON DR YAKIMA WA 98902 910567263 501(C)(3) 7343 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD YALE UNIVERSITY 333 CEDAR ST I-100 SHM NEW HAVEN CT 065208087 060646973 501(C)(3) 29513 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) 20000 CAREER WORKS MEDICAL GRANT FOR LOW INCOME WOMEN YOUTH ADVOCATES OF SITKA 805 LINCOLN ST SITKA AK 99835 920064393 501(C)(3) 14764 GRANT FOR PURCHASE OF EQUIPMENT: MAIN OFFICE, DROP-IN CENTER, AND RESIDENTIAL PROGRAM 160 1 COLLEGE SCHOLARSHIPS FOR MINORITY NURSING STUDENTS 11 55000 COLLEGE SCHOLARSHIPS FOR HOSPITAL VOLUNTEERS 2 10000 SUPPORT TO PATIENT FAMILIES WITH EMERGENT NEEDS 135 3120 MARKET VALUE GIFT CARDS SUPPORT TO PATIENT FAMILIES TO MEET VARIOUS NEEDS 2 1027 SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD 1530 79282 MARKET VALUE MEAL VOUCHERS TO CAFETERIA AND STARBUCKS GIFT CARDS SUPPORT TO PATIENT FAMILIES TO PURCHASE GAS FOR TRANSPORTATION TO APPOINTMENTS 681 31385 MARKET VALUE GAS CARDS SUPPORT TO PATIENT FAMILIES TO PURCHASE GROCERIES 453 23329 MARKET VALUE GROCERY GIFT CARDS SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD 53 1926 MARKET VALUE FOOD BAGS SUPPORT TO PATIENTS AND FAMILIES WHO ARE ADMITTED ON AN EMERGENT / URGENT BASIS 121 1847 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 205942 ACTUAL COST PAYMENTS TO HOUSING AND RENTAL COMPANIES AND FOR PROPERTY TAXES SUPPORT TO PATIENT FAMILIES FOR UTILITY EXPENSES, STORAGE, AND HOME MAINTENANCE 25 16359 ACTUAL COST PAYMENTS TO UTILITY COMPANIES, STORAGE COMPANIES, HOUSECLEANERS, AND FOR HOME REPAIR COSTS SUPPORT TO PATIENT FAMILIES FOR TRANSPORTATION AND TRAVEL 167 9651 ACTUAL COST PAYMENTS TO TRANSPORTATION COMPANIES, FOR CAR LOANS, AND FOR AUTO INSURANCE SUPPORT TO PATIENT FAMILIES FOR FUNERAL EXPENSES 50 7523 ACTUAL COST PAYMENTS TO FUNERAL HOMES SUPPORT TO PATIENT FAMILIES FOR MEDICAL EQUIPMENT 6 1441 ACTUAL COST PAYMENTS TO MEDICAL EQUIPMENT PROVIDERS PART I, LINE 2: 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. X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 JEFF SPERRING MD CEO/NON-VOTING EX OFFICIO TRUSTEE 642632 214211 216000 72000 12088 2469 10125 221967 17598 5866 898443 516513 0 0 KELLY WALLACE SENIOR VP & CFO THRU DEC 2017 396858 132286 93780 31260 13611 0 14175 84415 16174 5391 534598 253352 0 0 SANFORD MELZER MD EXEC VP-NETWORKS & POPULATION HEALTH 447319 119556 219651 0 12953 0 18900 89941 28829 4770 727652 214267 0 0 MARK DEL BECCARO MD SR VP-CHIEF MED OFF/NON-VOTING TRUST 501535 0 112453 0 8328 0 18900 67074 13198 0 654414 67074 0 0 JAMES HENDRICKS PHD PRESIDENT - RESEARCH INSTITUTE 403238 0 102434 0 7881 0 18900 58007 28539 0 560992 58007 0 0 MICHAEL MURPHY VP - ACC CARE & EXEC DIRECTOR SCCN 343009 0 120524 0 4415 0 13500 0 23047 0 504495 0 0 0 STEPHANIE AXELROD VP - COMM & STRATEGIC INITIATIVES 118727 0 66320 0 325548 0 9243 0 5923 0 525761 0 0 0 CINDY GAZECKI SENIOR VP - HOSPITAL OPERATIONS 368332 0 85108 0 7753 0 18900 50774 30926 0 511019 50774 0 0 RUSSELL WILLIAMS SR VP & CHIEF ADMINISTRATIVE OFFICER 374784 0 74096 0 6170 0 1896 54931 23757 0 480703 54931 0 0 MADLYN MURREY SR VP - CHIEF NURSING OFFICER 362225 0 80406 0 7437 0 18900 48300 19118 0 488086 48300 0 0 SUZANNE PETERSEN VP - EXTERNAL AFFAIRS 357490 0 66531 0 7173 0 18900 0 24408 0 474502 0 0 0 CARA BAILEY SR VP-CONTINUOUS PERFORMANCE IMPROVE 275833 0 138308 0 6990 0 18900 33611 18246 0 458277 33611 0 0 TODD JOHNSON VP - FACILITIES 284441 0 125790 0 5838 0 18900 0 27756 0 462725 0 0 0 ERIC THAM MD VP & ASSOC CHIEF INFORMATION OFFICER 310577 0 47115 0 31326 0 13500 0 30437 0 432955 0 0 0 RUTH MCDONALD MD VP, ASSOC CHIEF MEDICAL OFFICER 332673 0 34922 0 6257 0 9025 0 13303 0 396180 0 0 0 ERIK LAUSUND VP - RESEARCH OPERATIONS & LOGISTICS 301501 0 47766 0 3926 0 18900 0 22210 0 394303 0 0 0 SCOTT BINGHAM INTERIM CIO / SR DIR-INFO & APPS 220333 0 107798 0 743 0 18900 0 16293 0 364067 0 0 0 WARREN HEWITT VP - FINANCE 191640 63880 39902 13300 4748 227 14175 4725 15918 5306 266383 87438 0 0 GREGORY BLACKBURN VP - CLINICAL SUPPORT SERVICES 247203 0 45543 0 2261 0 13500 0 27510 0 336017 0 0 0 PETRA SMITH VP - HUMAN RESOURCES 229132 0 39103 0 24189 0 18900 0 29413 0 340737 0 0 0 JENNIFER BECKER VP - AMBULATORY SERVICES 224181 0 38064 0 2372 0 18450 0 14020 0 297087 0 0 0 PAMELA ROCK VP-MED SERV LINE & SPECIAL PROGRAMS 215548 0 32601 0 3040 0 17743 0 12532 0 281464 0 0 0 DOUGLAS PICHA PRESIDENT - FOUNDATION 39997 359976 23360 210204 11911 351286 1890 94705 2298 20678 79456 1036849 0 349176 MARK EGBERT DDS CHIEF - ORAL & MAXILLOFACIAL SURGERY 456567 0 118626 0 15673 0 18900 0 30820 0 640586 0 0 0 MICHAEL ASTION MD PHD MEDICAL DIRECTOR - LABORATORIES 502782 0 49823 0 8174 0 18596 0 31753 0 611128 0 0 0 CRAIG RUBENS MD PHD EXECUTIVE DIRECTOR - GAPPS 214986 0 106 0 308263 0 16200 0 13532 0 553087 0 0 0 JAMES CHRISTIANSEN MD CARDIOLOGIST 400586 0 35750 0 2843 0 18632 0 30254 0 488065 0 0 0 THOMAS HANSEN MD PRINCIPAL INVESTIGATOR / FORMER CEO 104762 0 0 0 3182 0 7677 0 6914 0 122535 0 0 0 LISA BRANDENBURG FORMER PRESIDENT - HOSPITAL 0 0 167155 0 0 80032 0 0 0 0 167155 80032 0 80032 KATHY JO FREEMAN FORMER VP-SERVICE LINE SURGICAL SPEC 102669 0 49243 0 242 0 10380 0 13738 0 176272 0 0 0 JEFFREY BROWN FORMER SR VP - CHIEF INFO. OFFICER 27253 0 84004 0 71 0 4469 0 2302 0 118099 0 0 0 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 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2017A 911108929 93978HSC0 2017-04-06 126646117 SEE PART VI 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2015A AND 2015B 911108929 93978HLL7 2015-02-03 303924156 SEE PART VI 0 0 0 C WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2012A AND 2012B 911108929 93978HDX0 2012-06-20 80423004 SEE PART VI 0 0 0 D WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2012C AND 2012D 911108929 93978HEZ4 2012-06-20 142165000 SEE PART VI 0 0 0 A 127524491 1545641 125973864 4986 2018 0 0 0 1 B 75000 303944485 62441 197416118 2600625 103865301 2015 0 1 1 1 C 205000 80423004 285 30419377 50003342 2013 0 1 1 1 D 24755000 142165000 2012 1 0 1 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 C 0 0 1 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 1 1 1 0 0 0 1 A 1 B 1 C 1 D 1 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. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2010A 911108929 93978HAA3 2010-09-02 77394750 SEE PART VI 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2010B 911108929 93978HAB1 2010-09-02 46669601 SEE PART VI 0 0 0 C WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2009 911108929 93978E584 2009-08-19 113722874 SEE PART VI 1 0 0 A 77394750 77394750 2010 0 0 1 1 B 21895000 46669601 20887 568714 2010 1 0 1 1 C 7170000 105895000 113824086 1975466 111848620 2012 0 0 1 1 A 0 0 1 1 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 MCKINSTRY COMPANY DEAN ALLEN, TRUSTEE, IS CEO AND PART OWNER OF MCKINSTRY COMPANY. 115209 SERVICES 0 JULIE MARTINA FAMILY MEMBER OF ALVIN WINTERROTH, TRUSTEE 71183 EMPLOYMENT 0 DAWN COTTER FAMILY MEMBER OF DR. MARK DEL BECCARO, KEY EMPLOYEE 270888 EMPLOYMENT 0 SARAH BOWDEN FAMILY MEMBER OF WARREN HEWITT, KEY EMPLOYEE 71469 EMPLOYMENT 0 JESSICA BLUE FAMILY MEMBER OF SCOTT BINGHAM, KEY EMPLOYEE 27913 EMPLOYMENT 0 X 46 1812327 MARKET VALUE X 1 457598 MARKET VALUE X TOYS 1 821542 MARKET VALUE X CLOUD SERVICES 1 50750 MARKET VALUE X AIRLINE MILES 2 26815 MARKET VALUE X AMAZON TABLETS 200 20397 MARKET VALUE X GIFT CARDS 135 3120 MARKET VALUE 0 0 1 1 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. 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. 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