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UW MEDICINENORTHWEST: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
UW MEDICINENORTHWEST (EIN 91-0637400)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201831359349309518
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-15T14:47:56-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911194016PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1400AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910637400EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UW MEDICINENORTHWESTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUWMEBusinessNameControlTxt
Phone2066683038PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKIMBERLY DANSIEPersonNm
Person TitleSR. DIRECTOR OF FINANCEPersonTitleTxt
Phone2066683038PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSARA ELIZABETH J HYREPreparerPersonNm
PTINP00235495PTIN
Phone4254544919PhoneNum
Preparation2018-05-15PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREET NO D-180AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$395,870,130GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NWHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1949FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionUW MEDICINE/NORTHWEST IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2800TotalEmployeeCnt
Total Volunteers205TotalVolunteersCnt
Total Gross UBI$430,173TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$80,329NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,523,156PYContributionsGrantsAmt
CY Contributions Grants$1,238,720CYContributionsGrantsAmt
PY Program Service Revenue$360,031,221PYProgramServiceRevenueAmt
CY Program Service Revenue$351,230,384CYProgramServiceRevenueAmt
PY Investment Income$2,800,017PYInvestmentIncomeAmt
CY Investment Income$3,030,112CYInvestmentIncomeAmt
PY Other Revenue$15,041,464PYOtherRevenueAmt
CY Other Revenue$11,055,492CYOtherRevenueAmt
PY Total Revenue$380,395,858PYTotalRevenueAmt
CY Total Revenue$366,554,708CYTotalRevenueAmt
PY Grants And Similar Paid$1,589,619PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,553,365CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$186,501,053PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$195,867,061CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$49,848CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$69,739CYTotalFundraisingExpenseAmt
PY Other Expenses$197,193,695PYOtherExpensesAmt
CY Other Expenses$196,744,516CYOtherExpensesAmt
PY Total Expenses$385,284,367PYTotalExpensesAmt
CY Total Expenses$395,214,790CYTotalExpensesAmt
PY Revenues Less Expenses-$4,888,509PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$28,660,082CYRevenuesLessExpensesAmt
Total Assets BOY$245,543,275TotalAssetsBOYAmt
Total Assets EOY$219,441,968TotalAssetsEOYAmt
Total Liabilities BOY$156,046,283TotalLiabilitiesBOYAmt
Total Liabilities EOY$155,861,644TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$89,496,992NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$63,580,324NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO RAISE THE LONG-TERM HEALTH STATUS OF OUR COMMUNITY BY PROVIDING PERSONALIZED, QUALITY CARE WITH COMPASSION, DIGNITY, AND RESPECT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$367,985,032ExpenseAmt
Grant$2,553,365GrantAmt
Revenue$353,172,355RevenueAmt
DescUW MEDICINE/NORTHWEST, DOING BUSINESS AS NORTHWEST HOSPITAL & MEDICAL CENTER (NWHMC), IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL, OFFERING COMPREHENSIVE MEDICAL, SURGICAL, AND THERAPEUTIC SERVICES. WITH 281 BEDS, MORE THAN 2,300 EMPLOYEES AND A WORLD-CLASS MEDICAL STAFF, NWHMC PROVIDES INNOVATIVE, TECHNOLOGICALLY ADVANCED CARE ON A PATIENT-FRIENDLY, EASY-ACCESS CAMPUS JUST NORTH OF SEATTLE. - FROM PRIMARY CARE TO HIGHLY SPECIALIZED CARE, NORTHWEST HOSPITAL OFFERS SERVICES INCLUDING, BUT NOT LIMITED TO:- INPATIENT, OUTPATIENT, AND 24-HOUR EMERGENCY SERVICES. - CANCER CARE.- CARDIAC CARE.- CHILDBIRTH CENTER.- COMMUNITY HEALTH EDUCATION & SIMULATION CENTER.- DIAGNOSTIC IMAGING.- GEROPSYCHIATRIC CENTER.- NEUROSCIENCES.- LABORATORY SERVICES.- PHYSICAL THERAPY.- PREVENTATIVE HEALTH & WELLNESS SERVICES.- SPORTS MEDICINE.- STROKE PROGRAM.- SURGICAL SERVICES.- WOUND CARE.NWHMC IS COMMITTED TO ONGOING PERFORMANCE IMPROVEMENT AND QUALITY PATIENT CARE. THE FOCUS OF THESE EFFORTS HAS BEEN TO PROVIDE AN EFFECTIVE AND CONTINUOUS PROGRAM TO MEASURE, ASSESS, AND IMPROVE PERFORMANCE, PATIENT SAFETY, AND THE SAFETY OF THE WORK ENVIRONMENT. THE HIGHLY SUCCESSFUL QUALITY EFFORT AT NWHMC HAS RESULTED IN A NUMBER OF PRESTIGIOUS LOCAL AND NATIONAL QUALITY AWARDS, AND HAS HELPED THE HOSPITAL EARN A REPUTATION AS ONE OF THE SAFEST, HIGHEST QUALITY PROVIDERS IN THE PACIFIC NORTHWEST. FOR A MORE COMPREHENSIVE LIST OF SERVICES, ACCOMPLISHMENTS, AND ACCOLADES, VISIT WWW.NWHOSPITAL.ORG.Desc
Total Program Service Expenses$367,985,032TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document244IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2800EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIMBERLY DANSIEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2066683038PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREET D-192AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SCOTT L HARDMAN
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
JAMES K ANDERSON
TRUSTEE1.000.00Yes (X)$0$0$0
SHAIZA DAMJI
TRUSTEE1.000.00Yes (X)$0$0$0
PETER R EVANS
TRUSTEE1.001.00Yes (X)$0$0$0
TERRY L LENGFELDER
TRUSTEE1.001.00Yes (X)$0$0$0
WILLIAM J REX
TRUSTEE1.001.00Yes (X)$0$0$0
JIM SNYDER
VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
MARIAN SVINTH
TRUSTEE1.000.00Yes (X)$0$0$0
THOMAS TURNURE
TRUSTEE1.000.00Yes (X)$0$0$0
SUZANNE BURKE
TRUSTEE - EFF. 12/61.000.00Yes (X)$0$0$0
CYNTHIA HECKER
EXECUTIVE DIRECTOR/INTERIM CHSO40.000.00Yes (X)$0$669,477$35,988
GREGORY SCHROEDL
CHIEF MEDICAL OFFICER40.000.00Yes (X)$329,326$0$35,409
PAMELA RENNA
SR. DIRECTOR BUS DVLPMNT/SEC & TREAS40.000.00Yes (X)$202,053$0$23,237
PAUL G RAMSEY
CEO, UW MEDICINE0.0040.00$0$907,968$71,038Yes (X)
BRIAN GOLDSTEIN
CHSO, UW MEDICINE0.0040.00$0$411,023$30,734Yes (X)
JACQUELINE CABE
CFO, UW MEDICINE0.0040.00$0$626,833$30,795Yes (X)
SUE MANFREDI
CHIEF NURSING OFFICER40.000.00$0$304,776$37,876Yes (X)
JEFF RICHEY
SR. DIRECTOR, CLINICAL SERVICES40.000.00$0$191,986$26,986Yes (X)
JOANNE MCDANIELS
SR DIR OF IMAGING & PROCEDURAL AREAS40.000.00$0$174,976$29,091Yes (X)
ADAM PARCHER
CHIEF QUAL. OFFICER/INTERIM EXEC DIR.40.000.00$258,393$0$16,788Yes (X)
MARY HORAN
SR DIR CLINIC INFORMATICS/PHYSICIAN40.000.00$351,351$0$16,788Yes (X)
LINDA OLMSTEAD
SR. DIRECTOR HUMAN RESOURCES40.000.00$183,081$0$29,079Yes (X)
LAUREN GUMS
SR. DIRECTOR AMBULATORY CLINICS40.000.00$189,203$0$19,171Yes (X)
TERENCE QUIGLEY
CHIEF OF SURGERY/PHYSICIAN40.000.00$459,606$0$27,279Yes (X)
JACOB FLEET
CHIEF OF MEDICINE/PHYSICIAN40.000.00$319,153$0$32,752Yes (X)
DANIEL LAZAR MD
PHYSICIAN40.000.00$1,520,795$0$38,138Yes (X)
STEVEN HOUSTON MD
PHYSICIAN40.000.00$775,001$0$26,086Yes (X)
DANIEL SCHWARTZ MD
PHYSICIAN40.000.00$697,666$0$6,074Yes (X)
CHRISTIAN PETERSON DO
PHYSICIAN40.000.00$589,771$0$32,681Yes (X)
KATHRYN MCGONIGLE
PHYSICIAN40.000.00$568,051$0$10,451Yes (X)
KETTY HSIEH
FORMER OFFICER0.000.00$102,742$0$12,447Yes (X)
JOHNESE M SPISSO
FORMER CHSO, UW MEDICINE0.0040.00$0$232,801$26,456Yes (X)
LORI MITCHELL
FORMER KEY EMPLOYEE0.0040.00$0$334,679$26,906Yes (X)
MARKO YAKOVLEVITCH
FORMER KEY EMPLOYEE0.0040.00$0$441,922$15,258Yes (X)
MAUREEN BROOM
FORMER KEY EMPLOYEE0.0040.00$0$405,749$38,540Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,546,192TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,702,190TotReportableCompRltdOrgAmt
Total Other Compensation$696,048TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K197IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNIVERSITY OF WASHINGTON
4333 BROOKLYN AVE NESEATTLEWA98195HEALTHCARE SERVICES$31,048,280
CERNER HEALTH SERVICES INC
PO BOX 959167ST LOUISMO63195INFO TECHNOLOGY SERVICES$8,040,600
EMERGENCY SERVICES NORTHWEST
5203 82ND AVE SEMERCER ISLANDWA98040HEALTHCARE SERVICES$4,670,635
JR ABBOTT CONSTRUCTION
3408 1ST AVE S STE 101SEATTLEWA98134CONSTRUCTION SERVICES$3,253,948
SUMMIT CARDIOLOGY
1536 N 115TH ST STE 200SEATTLEWA98133HEALTHCARE SERVICES$2,742,400
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K68CntrctRcvdGreaterThan100KCnt
Government Grants$320,825GovernmentGrantsAmt
All Other Contributions$917,895AllOtherContributionsAmt
Total Contributions$1,238,720TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT FEES622110$325,768,131$325,337,958$430,173
OTHER HEALTHCARE SRVCS622110$25,462,253$25,462,253
FieldValueIRS element (for citing)
Total Program Service Revenue$351,230,384TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,022,466TotalRevenueColumnAmt
Exclusion$1,022,466ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,814,125RealAmt
Personal$137,592PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,611,527RealAmt
Personal$137,592PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,202,598RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,202,598TotalRevenueColumnAmt
Exclusion$2,202,598ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$28,248,758SecuritiesAmt
Other$29,066OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$26,270,178SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,978,580SecuritiesAmt
Other$29,066OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,007,646TotalRevenueColumnAmt
Exclusion$2,007,646ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$904,956GrossSalesOfInventoryAmt
Cost Of Goods Sold$296,125CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$608,831TotalRevenueColumnAmt
Exclusion$608,831ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PARKING812930$1,941,971$1,941,971
DAY CARE REVENUES624410$1,097,355$1,097,355
ESPRESSO SERVICES722210$879,314$879,314

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,325,423TotalRevenueColumnAmt
Exclusion$4,325,423ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,244,063OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$366,554,708TotalRevenueColumnAmt
Related Or Exempt Func Income$352,742,182RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$430,173UnrelatedBusinessRevenueAmt
Exclusion$12,143,633ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,553,365TotalAmt
Program Services$2,553,365ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,373,842TotalAmt
Program Services$533,499ProgramServicesAmt
Management And General$1,840,343ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$157,928,000TotalAmt
Program Services$153,418,682ProgramServicesAmt
Management And General$4,503,669ManagementAndGeneralAmt
Fundraising$5,649FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,848,747TotalAmt
Program Services$4,768,062ProgramServicesAmt
Management And General$80,509ManagementAndGeneralAmt
Fundraising$176FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,580,809TotalAmt
Program Services$19,098,544ProgramServicesAmt
Management And General$481,561ManagementAndGeneralAmt
Fundraising$704FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,135,663TotalAmt
Program Services$10,701,504ProgramServicesAmt
Management And General$433,766ManagementAndGeneralAmt
Fundraising$393FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$919,833TotalAmt
Management And General$919,833ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$272,342TotalAmt
Management And General$272,342ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$49,848TotalAmt
Fundraising$49,848FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$83,174TotalAmt
Management And General$83,174ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$50,218,425TotalAmt
Program Services$41,324,784ProgramServicesAmt
Management And General$8,880,675ManagementAndGeneralAmt
Fundraising$12,966FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$133,032TotalAmt
Program Services$133,032ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,435,999TotalAmt
Program Services$12,292,432ProgramServicesAmt
Management And General$143,567ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$18,399,300TotalAmt
Program Services$18,001,518ProgramServicesAmt
Management And General$397,782ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$68,731TotalAmt
Management And General$68,731ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,197,326TotalAmt
Program Services$6,568,533ProgramServicesAmt
Management And General$628,793ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$343,977TotalAmt
Program Services$225,910ProgramServicesAmt
Management And General$118,067ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,445,600TotalAmt
Management And General$3,445,600ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,021,383TotalAmt
Program Services$15,741,702ProgramServicesAmt
Management And General$279,681ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,170,022TotalAmt
Program Services$1,368,852ProgramServicesAmt
Management And General$801,170ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$61,371,473$61,368,851$2,622
TAXES AND LICENSES$9,836,651$9,797,533$39,115$3
BAD DEBT$8,287,010$8,287,010
REPAIR PARTS$715,620$715,620

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,824,618TotalAmt
Program Services$1,085,599ProgramServicesAmt
Management And General$3,739,019ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$395,214,790TotalAmt
Program Services$367,985,032ProgramServicesAmt
Management And General$27,160,019ManagementAndGeneralAmt
Fundraising$69,739FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$18,643,794BOYAmt
EOY$1,787,513EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,289,629BOYAmt
EOY$1,482,472EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$40,943,249BOYAmt
EOY$35,353,613EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$91,679BOYAmt
EOY$43,468EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,821,052BOYAmt
EOY$4,676,713EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,492,911BOYAmt
EOY$4,264,497EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$403,858,654LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$295,337,736LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$111,558,525BOYAmt
EOY$108,520,918EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$20,985,932BOYAmt
EOY$42,499,699EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$22,732,886BOYAmt
EOY$4,214,308EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,600,839BOYAmt
EOY$3,725,965EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$54,670BOYAmt
EOY$108,205EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$16,328,109BOYAmt
EOY$12,764,597EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$245,543,275BOYAmt
EOY$219,441,968EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$40,333,210BOYAmt
EOY$34,936,824EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$233,110BOYAmt
EOY$388,080EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$13,033,849BOYAmt
EOY$9,702,501EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$102,446,114BOYAmt
EOY$110,834,239EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$156,046,283BOYAmt
EOY$155,861,644EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$86,816,884BOYAmt
EOY$60,563,903EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$753,603BOYAmt
EOY$930,688EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,926,505BOYAmt
EOY$2,085,733EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,496,992BOYAmt
EOY$63,580,324EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$245,543,275BOYAmt
EOY$219,441,968EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$28,660,082ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,743,414NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,801,251OtherCostOrOtherBasisAmt
Book Value$16,801,251BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$142,191,095OtherCostOrOtherBasisAmt
Depreciation$93,101,667DepreciationAmt
Book Value$49,089,428BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,242,507OtherCostOrOtherBasisAmt
Depreciation$11,444,877DepreciationAmt
Book Value$6,797,630BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$224,151,645OtherCostOrOtherBasisAmt
Depreciation$190,791,192DepreciationAmt
Book Value$33,360,453BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,472,156OtherCostOrOtherBasisAmt
Book Value$2,472,156BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$108,520,918TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$4,308,487
RECEIVABLES FROM AFFILIATES$686,772
DEFERRED LOSS ON BONDS$5,696,245
FUTURE RIGHT TO USE AFFILIATE-OWNED SOFTWARE$1,933,276
OTHER ASSETS$139,817
FieldValueIRS element (for citing)
Total Book Value Other Assets$12,764,597TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PAYABLE TO AFFILIATES$41,081,011
DEFERRED RENT PAYABLE$1,109,780
DEBT PAYABLE TO AFFILIATES$65,718,144
DEFERRED GAIN ON GROUND LEASE REVISION$2,925,304
FieldValueIRS element (for citing)
Total Liability$110,834,239TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE FIVE ENDOWMENTS ARE MAINTAINED TO PRESERVE AND GROW PRINCIPAL AND TO FUND THE ONGOING EXEMPT PURPOSE OF THE HOSPITAL, TO SUPPORT COMMUNITY BENEFITS, AND TO SUPPORT THE LIFELINKS PROGRAM. ONE ENDOWMENT APPROPRIATES ANY RETURN GREATER THAN 3% OF ENDOWMENT DISTRIBUTED INCOME FOR UNRESTRICTED SPENDING, THE OTHER ENDOWMENTS APPROPRIATE ALL EARNINGS TO THE RESTRICTED PURPOSE OF THE ENDOWMENT.
PART X, LINE 2:INCLUDED IN THE FOOTNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, UW MEDICINE/NORTHWEST ALONG WITH ITS AFFILIATES, ARE REPORTED AS "EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) OF THE IRC, EXCEPT FOR UNRELATED BUSINESS INCOME TAX. THERE ARE NO SIGNIFICANT TAX OBLIGATIONS AT JUNE 30, 2017."

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEANINVESTMENT$4,190,000
EUROPE (INCLUDING ICELAND & GREENLAND)INVESTMENT
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$4,190,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$4,190,000TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF WASHINGTON (ADVANCEMENT DIVISION)BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1850 REPUBLICAN STREETAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98109ZIPCd
FieldValueIRS element (for citing)
ActivityGENERAL FUNDRAISINGActivityTxt
Fundraiser Control Of FundsYes (1)FundraiserControlOfFundsInd
Gross Receipts$582,875GrossReceiptsAmt
Retained By Contractor$49,848RetainedByContractorAmt
Net To Organization$533,027NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$582,875TotalGrossReceiptsAmt
Total Retained By Contractors$49,848TotalRetainedByContractorsAmt
Total Net To Organization$533,027TotalNetToOrganizationAmt
Licensed StatesALLicensedStatesCd
Licensed StatesAKLicensedStatesCd
Licensed StatesAZLicensedStatesCd
Licensed StatesARLicensedStatesCd
Licensed StatesCALicensedStatesCd
Licensed StatesCOLicensedStatesCd
Licensed StatesCTLicensedStatesCd
Licensed StatesDELicensedStatesCd
Licensed StatesFLLicensedStatesCd
Licensed StatesGALicensedStatesCd
Licensed StatesHILicensedStatesCd
Licensed StatesIDLicensedStatesCd
Licensed StatesILLicensedStatesCd
Licensed StatesINLicensedStatesCd
Licensed StatesIALicensedStatesCd
Licensed StatesKSLicensedStatesCd
Licensed StatesKYLicensedStatesCd
Licensed StatesLALicensedStatesCd
Licensed StatesMELicensedStatesCd
Licensed StatesMDLicensedStatesCd
Licensed StatesMALicensedStatesCd
Licensed StatesMILicensedStatesCd
Licensed StatesMNLicensedStatesCd
Licensed StatesMSLicensedStatesCd
Licensed StatesMOLicensedStatesCd
Licensed StatesMTLicensedStatesCd
Licensed StatesNELicensedStatesCd
Licensed StatesNVLicensedStatesCd
Licensed StatesNHLicensedStatesCd
Licensed StatesNJLicensedStatesCd
Licensed StatesNMLicensedStatesCd
Licensed StatesNYLicensedStatesCd
Licensed StatesNCLicensedStatesCd
Licensed StatesNDLicensedStatesCd
Licensed StatesOHLicensedStatesCd
Licensed StatesOKLicensedStatesCd
Licensed StatesORLicensedStatesCd
Licensed StatesPALicensedStatesCd
Licensed StatesRILicensedStatesCd
Licensed StatesSCLicensedStatesCd
Licensed StatesSDLicensedStatesCd
Licensed StatesTNLicensedStatesCd
Licensed StatesTXLicensedStatesCd
Licensed StatesUTLicensedStatesCd
Licensed StatesVTLicensedStatesCd
Licensed StatesVALicensedStatesCd
Licensed StatesWALicensedStatesCd
Licensed StatesWVLicensedStatesCd
Licensed StatesWILicensedStatesCd
Licensed StatesWYLicensedStatesCd

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,855,918TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,537DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,848,381NetCommunityBenefitExpnsAmt
Total Expense0.00720TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,262,255TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,158,827DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,103,428NetCommunityBenefitExpnsAmt
Total Expense0.03820TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$49,118,173TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,166,364DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,951,809NetCommunityBenefitExpnsAmt
Total Expense0.04540TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$298,715TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$298,715NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,744,004TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,077,713DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,666,291NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$58,600TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$58,600NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,457TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$63,457NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,164,776TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,077,713DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,087,063NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,282,949TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,244,077DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,038,872NetCommunityBenefitExpnsAmt
Total Expense0.05070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$7,953,092BadDebtExpenseAmt
Bad Debt Expense Attributable$1,418,736BadDebtExpenseAttributableAmt
Reimbursed By Medicare$67,138,099ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$85,790,443CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$18,652,344MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL & MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SECTION C REFERENCE TO 7D FOR FULL WEBSITE ADDRESSOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE SECTION C REFERENCE TO LINE 11 FOR FULL WEBSITE ADDRESSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.UWMEDICINE.ORG/PATIENT-CARE/BILLING/FINANCIAL-ASSISTANCE/POLICYFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.UWMEDICINE.ORG/PATIENT-CARE/BILLING/FINANCIAL-ASSISTANCE/APPLICATIONFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.UWMEDICINE.ORG/PATIENT-CARE/BILLING/FINANCIAL-ASSISTANCE/SUMMARYFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 5: TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. SEVENTEEN INTERVIEWS WERE COMPLETED BETWEEN DECEMBER 2015 AND FEBRUARY 2016. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS. INTERVIEW PARTICIPANTS INCLUDED:- NORTHWEST HOSPITAL AND MEDICAL CENTER EMERGENCY DEPARTMENT - SENIOR LIVING NORTHHAVEN- NORTHWEST HOSPITAL AND MEDICAL CENTER PSYCHIATRIC SERVICES- KING COUNTY PUBLIC HEALTH DEPARTMENT (2)- STENDALL PLACE HOMEOWNERS ASSOCIATION- MEDIC ONE SHORELINE- CANCER LIFELINE- SHORELINE FIRE DEPARTMENT (2)- LEASE CRUTCHER LEWIS- NORTH HELPLINE- NORTHWEST HOSPITAL AND MEDICAL CENTER PATIENT RELATIONS- GREAT STARTS- DYNAMIC LANGUAGE SERVICE- HALLER LAKE COMMUNITY CLUB- SHORELINE HISTORICAL MUSEUM
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 7D: HTTP://NWHOSPITAL.ORG/ABOUT-NORTHWEST-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-CHNA/
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 11: FOR A DESCRIPTION OF HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED, REFER TO THE ORGANIZATION'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AVAILABLE PUBLICLY AT HTTPS://NWHOSPITAL.ORG/WP-CONTENT/UPLOADS/ABOUT-NORTHWEST-HOSPITAL/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-CHNA/NWH-2016-CHNA-IMPLEMENTATION-STRATEGY.PDF
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 13B: AS STATED WITHIN THE POLICY, ELIGIBILITY FOR FINANCIAL ASSISTANCE EXTENDS TO PERSONS WHO HAVE EXHAUSTED ANY THIRD-PARTY SOURCES AND WHOSE INCOME IS EQUAL TO OR BELOW 300% OF THE FEDERAL POVERTY STANDARDS, ADJUSTED FOR FAMILY SIZE OR IS OTHERWISE NOT SUFFICIENT TO ENABLE THEM TO PAY FOR THE CARE OR TO PAY THE DEDUCTIBLES OR COINSURANCE AMOUNTS REQUIRED BY A THIRD PARTY. WHEN DOCUMENTED CIRCUMSTANCES INDICATE FINANCIAL HARDSHIP, THE ORGANIZATION MAY ELECT TO WRITE OFF BILLED CHARGES AS FINANCIAL ASSISTANCE FOR PERSONS WHOSE FAMILY INCOME EXCEEDS 300% OF THE CURRENT FEDERAL POVERTY GUIDELINES.
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 13H: IN GENERAL, THE POLICY REQUIRES THAT A PERSON BE A WASHINGTON STATE RESIDENT, HOWEVER, EXEMPTION IS MADE FOR REFUGEES, ASYLEES, AND THOSE SEEKING ASYLUM. ADDITIONALLY, AN EXEMPTION IS MADE FOR THOSE WITH EMERGENCY MEDICAL CONDITIONS. ASSISTANCE WILL NOT BE DENIED BASED ON IMMIGRATION STATUS.
PART V, SECTION B, LINE 14:FINANCIAL ASSISTANCE IS NOT AWARDED ON A SLIDING SCALE. IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, 100% OF THE PATIENT'S OBLIGATION IS WAIVED.
PART V, SECTION B, LINE 22(C):THE MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS UNDER THE POLICY IS ZERO. IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, 100% OF THE PATIENT'S OBLIGATION IS WAIVED.
FieldValueIRS element (for citing)
Facility31FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (31 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - VIA RADIOLOGY - MERIDIAN PAVILION
10700 MERIDIAN AVE N SUITE 505SEATTLEWA98133OUTPATIENT CLINIC
2 - MERIDIAN WOMEN'S HEALTH
10330 MERIDIAN AVE N SUITE 200SEATTLEWA98133OUTPATIENT CLINIC
3 - NW PRIMARY CARE OUTPATIENT MEDICAL CTR
10330 MERIDIAN AVE N SUITE 230SEATTLEWA98133OUTPATIENT CLINIC
4 - NORTHWEST PRIMARY CARE LAKE FOREST PARK
17191 BOTHELL WY NE SUITE 204SEATTLEWA98155OUTPATIENT CLINIC
5 - NORTH SEATTLE SURGERY CENTER
10330 MERIDIAN AVE NSEATTLEWA98133AMBULATORY SURGERY CENTER
6 - NORTHWEST PRIMARY CARE RICHMOND BEACH
355 NW RICHMOND BEACH RDSHORELINEWA98177OUTPATIENT CLINIC
7 - NORTHWEST ENT ASSOCIATES
1536 N 115TH ST SUITE 340SEATTLEWA98133OUTPATIENT CLINIC
8 - SURGICAL SERVICES & HERNIA CENTER
1560 N 115TH ST SUITE 102SEATTLEWA98133OUTPATIENT CLINIC
9 - NORTHWEST MEDICAL SPECIALTIES
1560 N 115TH ST SUITE 207SEATTLEWA98133OUTPATIENT CLINIC
10 - NORTHWEST RESPIRATORY ASSOCIATES
1560 N 115TH ST SUITE G-10SEATTLEWA98133OUTPATIENT CLINIC
11 - WOMEN'S CANCER CARE OF SEATTLE
1560 N 115TH ST SUITE 101SEATTLEWA98133OUTPATIENT CLINIC
12 - NORTHWEST HOSPITAL MIDWIVES CLINIC
10330 MERIDIAN AVE N SUITE 190SEATTLEWA98133OUTPATIENT CLINIC
13 - NORTHWEST PRIMARY CARE MAIN CAMPUS
1560 N 115TH ST SUITE 110SEATTLEWA98133OUTPATIENT CLINIC
14 - SEATTLE EAR NOSE & THROAT
10330 MERIDIAN AVE N SUITE 230SEATTLEWA98133OUTPATIENT CLINIC
15 - NORTHWEST NEUROLOGY
1536 N 115TH ST SUITE 330SEATTLEWA98133OUTPATIENT CLINIC
16 - NORTHWEST HOSPITAL WOUND CARE CENTER
1560 N 115TH ST SUITE 201SEATTLEWA98133OUTPATIENT CLINIC
17 - INTERNAL MEDICINE CONSULT CLINIC
1550 N 115TH ST SUITE 206SEATTLEWA98133OUTPATIENT CLINIC
18 - NORTHWEST PRIMARY CARE FREMONT
3601 FREMONT AVENUE NORTH SUITE 309SEATTLEWA98103OUTPATIENT CLINIC
19 - ADVANCED MANUAL THERAPY
1455 NW LEARY WAY STE150SEATTLEWA98107OUTPATIENT CLINIC
20 - ADVANCED MANUAL THERAPY
10330 MERIDIAN AVE N SUITE 380SEATTLEWA98133OUTPATIENT CLINIC
21 - NORTHWEST HEARING & BALANCE
9714 3RD AVE NE STE 100SEATTLEWA98115OUTPATIENT CLINIC
22 - MERIDIAN WOMEN'S HEALTH
1560 N 115TH ST SUITE 212SEATTLEWA98133OUTPATIENT CLINIC
23 - MERIDIAN WOMEN'S HEALTH
1455 NW LEARY WAY STE250SEATTLEWA98107OUTPATIENT CLINIC
24 - NORTHWEST INFECTIOUS DISEASE
1550 N 115TH ST MS D-101SEATTLEWA98133OUTPATIENT CLINIC
25 - NORTHWEST NEUROSURGERY
1560 N 115TH ST SUITE 209SEATTLEWA98133OUTPATIENT CLINIC
26 - NORTHWEST NEUROSURGERY
808 N 5TH AVESEQUIMWA98382OUTPATIENT CLINIC
27 - NORTHWEST ENDOCRINOLOGY
2611 NE 125TH STSEATTLEWA98125OUTPATIENT CLINIC
28 - THE SEATTLE ARTHRITIS CLINIC
10330 MERIDIAN AVE N SUITE 250SEATTLEWA98133OUTPATIENT CLINIC
29 - THE SPORTS MEDICINE CLINIC
10330 MERIDIAN AVE N SUITE 300SEATTLEWA98133OUTPATIENT CLINIC
30 - THE SPORTS MEDICINE CLINIC
1455 NW LEARY WAY STE350SEATTLEWA98107OUTPATIENT CLINIC
31 - UW MEDICINE KIDNEY STONE CENTER
1560 N 115TH ST SUITE 209SEATTLEWA98133OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:INCOME STANDARD - THE FULL AMOUNT OF HOSPITAL CHARGES WILL BE DETERMINED TO BE CHARITY CARE FOR ANY PATIENT WHOSE GROSS FAMILY INCOME IS BELOW 300% OF THE CURRENT CSA NON-FARM POVERTY INCOME GUIDELINES AS PUBLISHED IN THE FEDERAL REGISTER AND CONSISTENT WITH WAC 246-53-020.ASSET STANDARD - NET WORTH OF ASSETS OF EXTRAORDINARY VALUE OR MAJOR NONESSENTIAL ASSETS ON WHICH A PATIENT COULD DRAW CASH THROUGH SELLING, MORTGAGING, OR BORROWING WILL BE A CONSIDERATION IN DETERMINING A PATIENT'S ELIGIBILITY. IN ADDITION, CATASTROPHIC MEDICAL EXPENSES CAN BE USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 7:WE USE A COST-TO-CHARGE RATIO FOR THE MEDICARE SHORTFALL. THE COST-TO-CHARGE RATIO WAS DERIVED FROM THE FILED MEDICARE COST REPORT.
PART III, LINE 2:THE HOSPITAL PROVIDES AN ALLOWANCE FOR POTENTIAL UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE, WHEREBY SUCH RECEIVABLES ARE REDUCED TO THEIR ESTIMATED NET REALIZABLE VALUE. THE HOSPITAL ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE, AND THE BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS.
PART III, LINE 3:WE APPLY A COST-TO-CHARGE RATIO, TO PATIENT CHARGES DEEMED UNCOLLECTIBLE, TO ESTIMATE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE COST-TO-CHARGE RATIO WAS DERIVED FROM THE FILED MEDICARE COST REPORT.
PART III, LINE 4:ON THE ATTACHED FINANCIAL STATEMENTS, FOOTNOTE #3 ON PAGE 29 DESCRIBES NET PATIENT SERVICE REVENUE, INCLUDING AMOUNTS ASSOCIATED WITH BAD DEBT EXPENSE (OR "PROVISION FOR UNCOLLECTIBLE ACCOUNTS" AS REFERENCED IN THE FINANCIAL STATEMENTS).THE HOSPITAL PROVIDES AN ALLOWANCE FOR POTENTIAL UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE, WHEREBY SUCH RECEIVABLES ARE REDUCED TO THEIR ESTIMATED NET REALIZABLE VALUE. THE HOSPITAL ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE, AND THE BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS.
PART III, LINE 8:MEDICARE COSTS WERE DETERMINED USING ALLOWABLE COSTS FROM THE AS-FILED MEDICARE COST REPORT FOR FY17. UNCOMPENSATED COSTS OF CARE FOR MEDICARE BENEFICIARIES WERE DETERMINED TO BE COMMUNITY BENEFIT AS THE FINANCIAL LOSS WOULD BE INCURRED BY ANOTHER INSTITUTION IF NOT PROVIDED AT THIS FACILITY.
PART III, LINE 9B:IT IS THE POLICY OF NORTHWEST HOSPITAL TO EXPECT FULL PAYMENT ON SERVICES PROVIDED. FULL PAYMENT IS DUE FROM THE PATIENT UPON RECEIPT OF INITIAL BILLING FOR NON-INSURANCE COVERED BALANCES UNLESS ARRANGEMENTS ARE MADE WITH THE PATIENT FINANCIAL SERVICES DEPARTMENT.OPTIONS TO CLEAR AN ACCOUNTS RECEIVABLE:THERE ARE 8 OPTIONS TO CLEAR THE ACCOUNTS RECEIVABLE:- CHARGE REVERSAL,- CONTRACTUAL ADJUSTMENT,- FINANCIAL ASSISTANCE,- ADMINISTRATIVE/OTHER ADJUSTMENT,- INSURANCE PAYMENT,- PATIENT PAYMENT,- BAD DEBT - NON-AGENCY/OTHER, OR- BAD DEBT - COLLECTION AGENCY.PATIENT FINANCIAL SCREENING: PATIENTS ARE SCREENED TO DETERMINE FINANCIAL RESPONSIBILITY DURING PRE-ADMISSION OR DURING ADMISSION/REGISTRATION. IT IS EXPECTED THAT PATIENTS PROVIDE HONEST AND COMPLETE DATA FROM WHICH STAFF ESTABLISH THE PATIENT PAYMENT PARTICIPATION. ONCE THE PATIENT'S RESPONSIBILITY IS DETERMINED, STAFF IS DIRECTED TO NOTIFY THE PATIENT PROMPTLY.FINANCIAL SCREENING INCLUDES SOME OR ALL OF THE FOLLOWING TASKS: - COLLECTING FINANCIAL DEMOGRAPHIC INFORMATION. - DETERMINING INSURANCE ELIGIBILITY AND BENEFITS. - COMPLETING A CONFIDENTIAL FINANCIAL FORM. - OBTAINING INSURANCE AUTHORIZATION NUMBERS AND REFERRALS. - ESTABLISHING A PLAN WITH THE PATIENT TO CLEAR ACCOUNT BALANCES. - COLLECTING DEPOSITS BASED ON DEDUCTIBLES AND CO-INSURANCE AMOUNTS AS ALLOWED BY THE PATIENT'S INSURANCE PLAN. - REVIEWING A PATIENT'S PAST CREDIT HISTORY OR REQUESTING A CREDIT BUREAU REPORT. COLLECTION OF DEPOSITS: BASED ON FINANCIAL SCREENING AND ESTIMATED SELF-PAY BALANCES, IT IS THE POLICY TO REQUEST DEPOSITS AND ESTIMATED INSURANCE CO-PAY BALANCES AS SOON AS THE AMOUNT CAN BE DETERMINED OR ALLOWED BY THE PATIENT'S INSURANCE PLAN. ACCOUNTS MAY BE SET UP FOR PATIENTS TO PRE-PAY FOR THEIR CARE. PAYMENTS MAY ALSO BE COLLECTED DURING THE PERIOD OF CARE OR AT DISCHARGE. IN THE EMERGENCY ROOM, DEPOSITS ARE TO BE REQUESTED ONLY AFTER MEDICAL SERVICES HAVE BEEN PROVIDED. ALL PAYMENTS ARE TO BE REQUESTED WITH SENSITIVITY, CONSISTENT WITH ALL HOSPITAL POLICIES.NON-EMERGENT SERVICE IS NOT CONTINGENT UPON PAYMENT OF A DEPOSIT EXCEPT IN CASES OF POOR CREDIT HISTORY AND WHEN APPROVED BY A DIRECTOR OR A VICE PRESIDENT. COSMETIC OR NON-MEDICALLY REQUIRED SERVICES ARE TO BE PAID IN FULL IN ADVANCE OF SERVICE. SPECIAL CIRCUMSTANCES MAY WARRANT AN EXCEPTION TO PAYMENT IN FULL BUT MUST BE APPROVED BY THE DIRECTOR OR VICE PRESIDENT. GENERAL COLLECTION FRAMEWORK:ACCOUNT BALANCES ARE DUE UPON RECEIPT OF FIRST BILLING WITH THE FOLLOWING SELF-PAY EXCEPTIONS: - PAYMENT PLAN ARRANGEMENTS CONSISTENT WITH THIS POLICY. - ADDITIONAL FINANCIAL SCREENING IS BEING DEVELOPED. - HOSPITAL BILLING ERRORS, DELAYS, OR UNRESOLVED DISPUTES. - UNPAID INSURANCE CLAIMS WHEN PATIENT BALANCES CANNOT EASILY BE DETERMINED.INSURANCE BILLING POLICY: NORTHWEST PATIENT FINANCIAL SERVICES BILLS STATE, FEDERAL AND CONTRACTED INSURANCE PLANS. OTHER PAYMENT SOURCES ARE BILLED WHENEVER THE PATIENT PROVIDES NECESSARY DATA. THE HOSPITAL TAKES ASSIGNMENT ON ALL MEDICARE CHARGES.PATIENT BALANCES: PATIENT PAY ACCOUNTS ARE PAYABLE UPON RECEIPT OF INITIAL BILLING, UNLESS OTHER ARRANGEMENTS ARE MADE WITH PATIENT FINANCIAL SERVICES (PFS). ACCOUNTS WAITING FOR INSURANCE PAYMENT BECOME THE PATIENT'S RESPONSIBILITY 60 DAYS AFTER INITIAL INSURANCE BILLING, UNLESS DICTATED BY AN INSURANCE CONTRACT, FINANCIAL ARRANGEMENTS ARE MADE, OR THIS PROVISION IS WAIVED BY A PFS MANAGER OR DIRECTOR. NWHMC DOES NOT HOLD THE PATIENT RESPONSIBLE FOR THE BILL UNTIL PFS HAS RESOLVED ALL ISSUES WITH THE INSURANCE COMPANIES, INCLUDING APPEALS OF DENIALS. QUALITY OF CARE AND BILLING ACCURACY ISSUES ARE TO BE RESOLVED AS QUICKLY AS POSSIBLE AND PRIOR TO ENFORCING COLLECTION STANDARDS.EACH BILL PROVIDED TO A PATIENT INCLUDES INFORMATION AS TO HOW TO REQUEST FINANCIAL ASSISTANCE FROM NWHMC. ALL PATIENTS WHO INDICATE FINANCIAL HARDSHIP ARE SCREENED FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE MAY BE GRANTED ANY TIME, EVEN AFTER COLLECTION AGENCY ASSIGNMENT OR FILING OF LEGAL JUDGEMENT.
PART VI, LINE 2:NORTHWEST HOSPITAL IS A COMMUNITY OF CARING HEALTH PROFESSIONALS, VALUED AND RECOGNIZED FOR PROMOTING WELLNESS THROUGH EARLY DETECTION AND PREVENTION, MINIMALLY INVASIVE INTERVENTIONS, AND INNOVATIVE CLINICAL PRACTICES.NORTHWEST HOSPITAL IS ACTIVELY INVOLVED WITH LOCAL, STATE, AND FEDERAL QUALITY INITIATIVES INCLUDING:- THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S 100K LIVES AND 5 MILLION LIVES CAMPAIGN- LEAPFROG HOSPITAL QUALITY & PATIENT SAFETY SURVEY - AS AN EARLY ADVOCATE OF THE LEAPFROG STANDARDS, NORTHWEST HOSPITAL WAS ONE OF THE FIRST HOSPITALS IN THE AREA TO MAKE THE ICU LEAP- QUALIS SURGICAL CARE IMPROVEMENT PROJECT COLLABORATIVE- CMS HCAHPS (PATIENT PERSPECTIVE ON CARE) SURVEY- HQA QUALITY INDICATOR PROGRAM- JOINT COMMISSION CORE MEASURES PROGRAM- JOINT COMMISSION NATIONAL PATIENT SAFETY GOALS- WASHINGTON STATE COAP QUALITY IMPROVEMENT PROGRAM FOR INTERVENTIONAL CARDIOLOGY AND CARDIOTHORACIC SURGERY- WASHINGTON STATE TRAUMA REGISTRY- WASHINGTON STATE BIRTH DEFECTS SURVEILLANCE PROGRAMADDITIONALLY, NORTHWEST HOSPITAL HAS A DEDICATED DECISION SUPPORT DEPARTMENT THAT ANALYZES BOTH INTERNAL AND EXTERNAL DATA TO IDENTIFY THE COMMUNITY HEALTH CARE NEEDS. THIS INCLUDES DATA, SUCH AS THE CANCER REGISTRY, IN ORDER TO IDENTIFY GAPS AND MAKE INFORMED DECISIONS REGARDING ONCOLOGY DISEASED-BASED PROGRAM DEVELOPMENT.NORTHWEST HOSPITAL LEADERSHIP IS ACTIVELY INVOLVED IN LOCAL AND NATIONAL HEALTHCARE AND CIVIC ORGANIZATIONS WHICH PROVIDE SIGNIFICANT INSIGHT INTO COMMUNITY DEVELOPMENT AND EVOLVING HEALTHCARE NEEDS.AS A MAJOR INSTITUTION, NORTHWEST HOSPITAL INTERACTS WITH CITIZEN'S ADVISORY COMMITTEE TO GATHER INFORMATION FROM ITS IMMEDIATE COMMUNITY.NORTHWEST HOSPITAL ALSO HOSTS A VARIETY OF COMMUNITY EVENTS, CLASSES AND OTHER EDUCATIONAL OPPORTUNITIES THAT PROVIDE FEEDBACK REGARDING THE HEALTHCARE NEEDS OF THE COMMUNITY.
PART VI, LINE 3:PREADMISSION FINANCIAL COUNSELING IS DONE IN SOME CASES TO IDENTIFY FINANCIAL ASSISTANCE ELIGIBILITY PRIOR TO TREATMENT. WHEN THIS IS NOT POSSIBLE, IT IS OFFERED DURING OR AFTER SERVICE OR EVEN ONCE THE ACCOUNT HAS BEEN ASSIGNED TO A COLLECTION AGENCY. THE HOSPITAL MAKES A DEDICATED EFFORT TO IDENTIFY FINANCIAL ASSISTANCE ELIGIBILITY. THE HOSPITAL ALSO CONSPICUOUSLY POSTS ITS FINANCIAL ASSISTANCE POLICY IN PUBLIC AREAS OF THE HOSPITAL AS WELL AS ON ITS WEBSITE.
PART VI, LINE 4:NORTHWEST HOSPITAL & MEDICAL CENTER IS LOCATED AT 1550 N. 115TH STREET SEATTLE, WASHINGTON 98133. THE SERVICE AREA CONSISTS OF PORTIONS OF KING COUNTY AND SNOHOMISH COUNTY AND INCLUDES 18 ZIP CODES, REPRESENTING 6 CITIES OR COMMUNITIES. COMMUNITY PROFILE:THE POPULATION OF THE NORTHWEST HOSPITAL SERVICE AREA IS APPROXIMATELY 600,000. CHILDREN AND YOUTH, AGES 0-19, MAKE UP 21.9% OF THE POPULATION; 66.3% ARE ADULTS, AGES 20-64; AND 11.8% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. THE POPULATION IN THE NORTHWEST HOSPITAL SERVICE AREA TENDS TO HAVE A HIGHER PERCENTAGE OF ADULTS AGES 20-24 AND 25-44, AND A LOWER PERCENTAGE OF CHILDREN THAN FOUND IN THE STATE OR COUNTY. 71.4% OF THE RESIDENTS ARE WHITE; 13% ARE ASIAN; 7% ARE HISPANIC/LATINO; 3% ARE AFRICAN AMERICAN; AND 1.1% ARE AMERICAN INDIAN/ALASKAN NATIVE/NATIVE HAWAIIAN OR OTHER RACE/ETHNICITY, WHILE 4.5% IDENTIFY AS MULTIRACIAL. ENGLISH IS SPOKEN IN THE HOME AMONG 78.6% OF THE SERVICE AREA POPULATION. SPANISH IS SPOKEN AT HOME AMONG 4.8% OF THE POPULATION; 9.6% OF THE POPULATION SPEAK AN ASIAN LANGUAGE; AND 5% OF THE POPULATION SPEAKS AN INDO-EUROPEAN LANGUAGE AT HOME. SOCIAL AND ECONOMIC FACTORS:AMONG THE RESIDENTS IN THE NORTHWEST HOSPITAL SERVICE AREA, 10.9% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 22.2% ARE AT 200% OF FPL OR BELOW. THESE RATES OF POVERTY ARE LOWER THAN FOUND IN THE STATE WHERE 13.4% OF RESIDENTS ARE AT POVERTY LEVEL AND 30% ARE AT 200% OF FPL OR BELOW. IN THE SERVICE AREA, 11.4% OF CHILDREN, UNDER AGE 18 YEARS, ARE LIVING IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IN THE AREA IS $71,021. THE FIVE YEAR AVERAGE (2009-2013) UNEMPLOYMENT RATE IN THE SERVICE AREA IS 5.4%, WHICH IS LOWER THAN THE STATE RATE OF 6%. IN THE HOSPITAL SERVICE AREA, ONLY 5.7% OF ADULTS LACK A HIGH SCHOOL DIPLOMA. OVER HALF THE POPULATION (58.7%), AGES 25 AND OLDER, HAVE A COLLEGE DEGREE. THE 2015 POINT-IN-TIME COUNT ESTIMATED 10,122 HOMELESS INDIVIDUALS IN KING COUNTY AND 829 HOMELESS IN SNOHOMISH COUNTY. HEALTH ACCESS:HEALTH INSURANCE COVERAGE IS CONSIDERED A KEY COMPONENT TO ACCESS HEALTH CARE. 89.1% OF THE TOTAL POPULATION IN THE NORTHWEST HOSPITAL SERVICE AREA HAS HEALTH INSURANCE. 95.4% OF CHILDREN UNDER AGE 18 HAVE HEALTH INSURANCE COVERAGE IN THE SERVICE AREA. MOUNTLAKE TERRACE HAS THE HIGHEST HEALTH INSURANCE RATE AMONG CHILDREN (97.4%), AND LYNNWOOD HAS THE LOWEST PERCENTAGE OF CHILDREN WITH HEALTH INSURANCE (94.6%). 14% OF ADULTS IN THE SEATTLE REGION AND 8% OF ADULTS IN NORTH COUNTY HAD AN UNMET MEDICAL NEED BECAUSE THEY WERE NOT ABLE TO AFFORD CARE. THESE RATES ARE COMPARED TO THOSE FOUND IN KING COUNTY (10%). SNOHOMISH COUNTY HAS A RATE OF 13% OF ADULTS NOT ACCESSING MEDICAL CARE DUE TO COST. FOR ADDITIONAL INFORMATION REGARDING THE COMMUNITY SERVED BY THE ORGANIZATION (INCLUDING BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, CHRONIC DISEASE, HEALTH BEHAVIORS, SUBSTANCE ABUSE, MENTAL HEALTH, AND PREVENTIVE PRACTICES), REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT AVAILABLE AT WWW.NWHOSPITAL.ORG.
PART VI, LINE 5:NORTHWEST HOSPITAL PROVIDES A WIDE VARIETY OF FREE OR LOW-COST HEALTH SERVICES AND HEALTH AND WELLNESS EDUCATION TO MEMBERS OF THE COMMUNITY THROUGH MANY CHANNELS. THESE INCLUDE BUT ARE NOT LIMITED TO:- AN OPEN MEDICAL STAFF- NORTHWEST HOSPITAL COMMUNITY HEALTH EDUCATION AND SIMULATION CENTER PROVIDING FREE CLASSROOM SPACE, CLASSES, DEMONSTRATIONS AND OTHER LEARNING OPPORTUNITIES TO COMMUNITY RESIDENTS, SCHOOL GROUPS, BOY SCOUT TROOPS, VISITING HEALTH PROFESSIONALS AND STAFF- "MED INFO" HEALTH AND WELLNESS NEWSLETTER, SENT QUARTERLY TO 100,000 COMMUNITY RESIDENTS- COMMUNITY SPEAKING OPPORTUNITIES AT SENIOR LIVING FACILITIES AND COMMUNITY CENTERS, INCLUDING STROKE EDUCATION, EXERCISE AND OTHER TOPICS- ON-CAMPUS CLASSES, SEMINARS AND OTHER LEARNING OPPORTUNITIES (MANY FREE OF CHARGE OR LOW-COST)- VOLUNTEERISM BY CLINICAL STAFF TO PROVIDE MEDICAL CARE AT LOCAL CLINICS AND COMMUNITY EVENTS- DONATION OF FREE LAB, DIAGNOSTIC IMAGING AND OTHER HEALTH SERVICES TO LOCAL CLINICS- HEALTH AND WELLNESS EVENTS FOR THE COMMUNITY - DISTRIBUTION OF HEALTH AND WELLNESS INFORMATION DAILY VIA THE HOSPITAL'S FACEBOOK AND TWITTER CHANNELS- PARTICIPATION IN UW MEDICINE HEALTH AND UW MEDICINE PULSE, MULTI-MEDIA PROGRAMS DESIGNED TO EDUCATE THE PUBLIC ON A VARIETY OF HEALTH TOPICS- PARTNERSHIP WITH CANCER LIFELINE TO PROVIDE CLASSES AND SUPPORT GROUPS FOR THOSE LIVING WITH CANCER- A DIABETES EDUCATION PROGRAM THAT OFFERS CLASSES, SUPPORT GROUPS AND COMMUNITY EVENTS TO COMMUNITY RESIDENTS-LEADERSHIP IN AND PROMOTION OF LOCAL AND REGIONAL DISASTER PLANNING AND EDUCATION FOR STAFF AND COMMUNITY MEMBERS- EDUCATION AND SUPPORT OPPORTUNITIES FOR FEMALE CANCER SURVIVORS TO PROMOTE LYMPHEDEMA MANAGEMENT AND POST-TREATMENT HEALTH.
PART VI, LINE 6:ON JANUARY 1, 2010, THE HOSPITAL JOINED THE UNIVERSITY OF WASHINGTON MEDICINE HEALTH SYSTEM (UW MEDICINE). UW MEDICINE IS COMPRISED OF NORTHWEST HOSPITAL & MEDICAL CENTER, UW SCHOOL OF MEDICINE, UW MEDICAL CENTER, UW PHYSICIANS NETWORK, THE ASSOCIATION OF UNIVERSITY PHYSICIANS, HARBORVIEW MEDICAL CENTER, VALLEY MEDICAL CENTER, AND AIRLIFT NORTHWEST. THE UW MEDICINE COMPONENT ENTITIES SHARE THE MISSION TO IMPROVE THE HEALTH OF THE PUBLIC.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 5TH AVENUE SUITE 700AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98104ZIPCd
FieldValueIRS element (for citing)
Recipient EIN911220843RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$2,553,365CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantINSTITUTIONAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CYNTHIA HECKER
EXECUTIVE DIRECTOR/INTERIM CHSO$0$646,485$0$0$0$22,992$0$18,439$0$17,549$0$705,465$0$0
GREGORY SCHROEDL
CHIEF MEDICAL OFFICER$322,242$0$0$0$7,084$0$9,000$0$26,409$0$364,735$0$0$0
PAMELA RENNA
SR. DIRECTOR BUS DVLPMNT/SEC & TREAS$201,595$0$0$0$458$0$9,000$0$14,237$0$225,290$0$0$0
PAUL G RAMSEY
CEO, UW MEDICINE$0$892,476$0$0$0$15,492$0$53,000$0$18,038$0$979,006$0$0
BRIAN GOLDSTEIN
CHSO, UW MEDICINE$0$401,023$0$0$0$10,000$0$11,894$0$18,840$0$441,757$0$0
JACQUELINE CABE
CFO, UW MEDICINE$0$626,833$0$0$0$0$0$15,664$0$15,131$0$657,628$0$0
SUE MANFREDI
CHIEF NURSING OFFICER$0$304,776$0$0$0$0$0$26,500$0$11,376$0$342,652$0$0
JEFF RICHEY
SR. DIRECTOR, CLINICAL SERVICES$0$191,986$0$0$0$0$0$14,554$0$12,432$0$218,972$0$0
JOANNE MCDANIELS
SR DIR OF IMAGING & PROCEDURAL AREAS$0$174,976$0$0$0$0$0$17,715$0$11,376$0$204,067$0$0
ADAM PARCHER
CHIEF QUAL. OFFICER/INTERIM EXEC DIR$257,987$0$0$0$406$0$9,000$0$7,788$0$275,181$0$0$0
MARY HORAN
SR DIR CLINIC INFORMATICS/PHYSICIAN$347,143$0$0$0$4,208$0$9,000$0$7,788$0$368,139$0$0$0
LINDA OLMSTEAD
SR. DIRECTOR HUMAN RESOURCES$179,582$0$0$0$3,499$0$9,000$0$20,079$0$212,160$0$0$0
LAUREN GUMS
SR. DIRECTOR AMBULATORY CLINICS$188,781$0$0$0$422$0$9,000$0$10,171$0$208,374$0$0$0
TERENCE QUIGLEY
CHIEF OF SURGERY/PHYSICIAN$264,505$0$190,910$0$4,191$0$9,000$0$18,279$0$486,885$0$0$0
JACOB FLEET
CHIEF OF MEDICINE/PHYSICIAN$275,243$0$43,162$0$748$0$9,000$0$23,752$0$351,905$0$0$0
DANIEL LAZAR MD
PHYSICIAN$810,231$0$709,986$0$578$0$9,000$0$29,138$0$1,558,933$0$0$0
STEVEN HOUSTON MD
PHYSICIAN$415,746$0$357,766$0$1,489$0$0$0$26,086$0$801,087$0$0$0
DANIEL SCHWARTZ MD
PHYSICIAN$368,084$0$328,393$0$1,189$0$5,400$0$674$0$703,740$0$0$0
CHRISTIAN PETERSON DO
PHYSICIAN$362,113$0$225,923$0$1,735$0$9,000$0$23,681$0$622,452$0$0$0
KATHRYN MCGONIGLE
PHYSICIAN$448,162$0$115,000$0$4,889$0$9,000$0$1,451$0$578,502$0$0$0
KETTY HSIEH
FORMER OFFICER$87,524$0$0$0$15,218$0$5,707$0$6,740$0$115,189$0$0$0
JOHNESE M SPISSO
FORMER CHSO, UW MEDICINE$0$232,801$0$0$0$0$0$14,930$0$11,526$0$259,257$0$0
LORI MITCHELL
FORMER KEY EMPLOYEE$0$334,679$0$0$0$0$0$18,833$0$8,073$0$361,585$0$0
MARKO YAKOVLEVITCH
FORMER KEY EMPLOYEE$0$360,310$0$81,612$0$0$0$9,000$0$6,258$0$457,180$0$0
MAUREEN BROOM
FORMER KEY EMPLOYEE$0$405,749$0$0$0$0$0$23,872$0$14,668$0$444,289$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF THE UNIVERSITY OF WASHINGTON, AND AS SUCH, HER COMPENSATION IS ESTABLISHED AND REVIEWED BY THE UNIVERSITY. COMPENSATION IS REVIEWED BY DISINTERESTED INDIVIDUALS WITHIN UW MEDICINE, REFERENCING RELEVANT COMPARATIVE DATA AND ALIGNING COMPENSATION TO PEER EXECUTIVES WITHIN UW MEDICINE.
PART I, LINE 4BALL OFFICERS FORMERLY PAID BY HEALTH RESOURCES NORTHWEST PARTICIPATED IN A 457(F) PLAN THAT IS NOW ADMINISTERED BY THE HOSPITAL. THIS INCLUDED GREGORY SCHROEDL WHO DID NOT RECEIVE A PAY OUT FROM HIS 457(F) PLAN DURING FISCAL YEAR 2017.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMERGENCY SERVICES NORTHWESTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$4,665,382TransactionAmt
TransactionSEE PART VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6, VOLUNTEERS:HOSPITAL VOLUNTEERS PERFORM MANY NON-TECHNICAL SERVICES IN SUPPORT OF PATIENT CARE AND OTHER DEPARTMENTS. THEY ACT AS IN-HOUSE COURIERS, HELP RUN THE GIFT SHOP, WORK THE GREETER DESK AND ASSIST STAFF AS NEEDED. IN ADDITION, THERE ARE 10 VOLUNTEER BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 2PAUL RAMSEY, MD, IS THE CEO OF UW MEDICINE, EXECUTIVE VICE PRESIDENT FOR MEDICAL AFFAIRS AND DEAN OF THE SCHOOL OF MEDICINE, UNIVERSITY OF WASHINGTON. THE FOLLOWING INDIVIDUALS ARE ALSO EMPLOYED BY THE UNIVERSITY OF WASHINGTON AND REPORT DIRECTLY OR INDIRECTLY TO DR. RAMSEY IN THAT CAPACITY: JACQUELINE CABE, BRIAN GOLDSTEIN, CYNTHIA HECKER, SUE MANFREDI, JEFFREY RICHEY, AND JOANNE MCDANIELS.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF UW MEDICINE/NORTHWEST (DBA NORTHWEST HOSPITAL & MEDICAL CENTER) IS THE UNIVERSITY OF WASHINGTON.
FORM 990, PART VI, SECTION A, LINE 7APER THE BYLAWS, THE MEMBER APPOINTS AND REMOVES THE TRUSTEES ON NOMINATION BY THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BPER THE BYLAWS, THE MEMBER HAS MANY RESERVE POWERS INCLUDING, BUT NOT LIMITED TO, APPROVALS OF SALES OR TRANSFERS OF ASSETS; APPOINTMENT OF AUDITORS; ESTABLISHMENT OF SUBSIDIARY, AFFILIATED OR RELATED ENTITIES; APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS; ADOPTION OF MERGER, CONSOLIDATION OR DISSOLUTION PLAN; APPROVAL OF ACQUISITION OR TRANSFER OF REAL PROPERTY.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY UW MEDICINE/NORTHWEST'S LEGAL COUNSEL AND SENIOR DIRECTOR OF FINANCE, AS WELL AS THE ENTERPRISE FINANCE OFFICER AND ASSOCIATE VICE PRESIDENT OF UW MEDICINE FOR ACCURACY AND COMPLETENESS. ONCE COMPLETED, A COPY OF THE FORM 990 IS SUBMITTED TO THE FINANCE COMMITTEE AND UW MEDICINE/NORTHWEST'S BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CNWHMC ADMINISTERS AN ANNUAL CONFLICT OF INTEREST SURVEY TO ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES. COMPLETED SURVEYS ARE THEN REVIEWED BY LEGAL COUNSEL TO DETERMINE WHETHER ANY FACTS EXIST THAT CREATE A POTENTIAL CONFLICT OF INTEREST. ANY IDENTIFIED CONFLICTS OF INTEREST ARE DISCLOSED IN THE BOARD MINUTES AND ALL DISCLOSURES ARE MADE AVAILABLE TO THE ENTIRE BOARD. WHEN A CONFLICT OF INTEREST DOES ARISE, THOSE INDIVIDUALS ARE REQUIRED BY THE CONFLICT OF INTEREST POLICY TO ABSTAIN FROM VOTING ON MATTERS THAT PERTAIN TO THE ISSUE.
FORM 990, PART VI, SECTION B, LINE 15THE NWH COMPENSATION COMMITTEE REVIEWS THE COMPENSATION OF EXECUTIVES AND OTHER INDIVIDUALS EMPLOYED BY NWH, INCLUDING PHYSICIANS AND THOSE EXECUTIVE EMPLOYEES WHO REPORT DIRECTLY TO THE EXECUTIVE DIRECTOR. THE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE COMPENSATION OF EMPLOYED KEY EXECUTIVES PERIODICALLY, MEASURING EXECUTIVE COMPENSATION AGAINST RELEVANT COMPARATIVE DATA. WHEN THIS OCCURS THE COMMITTEE ASSURES THAT THE DELIBERATIONS ARE CONDUCTED BY DISINTERESTED MEMBERS AND THAT THE PROCESS AND DELIBERATIONS ARE DOCUMENTED. CERTAIN OF THOSE EMPLOYEES, AND THE EXECUTIVE DIRECTOR, ARE EMPLOYEES OF THE UNIVERSITY OF WASHINGTON, AND AS SUCH, THEIR COMPENSATION IS REVIEWED AND ESTABLISHED BY THE UNIVERSITY. FOR THE NWH EXECUTIVE DIRECTOR, COMPENSATION IS REVIEWED BY DISINTERESTED INDIVIDUALS WITHIN UW MEDICINE, REFERENCING RELEVANT COMPARATIVE DATA AND ALIGNING COMPENSATION TO PEER EXECUTIVES WITHIN UW MEDICINE.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GTEMPORARY HELP: PROGRAM SERVICE EXPENSES 2,531,431. MANAGEMENT AND GENERAL EXPENSES 70,959. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,602,390. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 8,348,202. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,348,202. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 2,365,611. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,365,611. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 515,717. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 515,717. INTERPRETER SERVICES: PROGRAM SERVICE EXPENSES 419,480. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 419,480. DISPOSAL SERVICES: PROGRAM SERVICE EXPENSES 410,115. MANAGEMENT AND GENERAL EXPENSES 7,716. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 417,831. OTHER SERVICES: PROGRAM SERVICE EXPENSES 26,734,228. MANAGEMENT AND GENERAL EXPENSES 8,802,000. FUNDRAISING EXPENSES 12,966. TOTAL EXPENSES 35,549,194.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NORTHWEST ENT ASSOCIATES TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133456906738GRANTOR TRUSTWA$1,627,205$0UW MEDICINENORTHWEST
NORTHWEST HOSPITAL INPATIENT SERVICES TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133266173905GRANTOR TRUSTWA$3,824,691$0UW MEDICINENORTHWEST
UW-MEDICINE NORTHWEST PHYSICIANS
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133466199109GRANTOR TRUSTWA$57,586,076$0UW MEDICINENORTHWEST
WESTERN WASHINGTON CARDIOLOGY TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133456220351GRANTOR TRUSTWA$135,297$0UW MEDICINENORTHWEST

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndShare Of EOY AssetsShareOfEOYAssetsAmt
NEUROSURGICAL CONSULTANTS OF WA INC
801 BROADWAY SUITE 617SEATTLEWA98122911856460OFFICES OF PHYSICIANSWAUW MEDICINE NORTHWESTC$40,8871.00000Yes (1)
SUMMIT CARDIOLOGY
1550 NORTH 115TH STREET MS PZ-506SEATTLEWA98133273492322OFFICES OF PHYSICIANSWAUW MEDICINE NORTHWESTC$4,877,7071.00000Yes (1)$663,838
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SUMMIT CARDIOLOGY
A$4,578ACTUAL COST
SUMMIT CARDIOLOGY
L$243,348ACTUAL COST
SUMMIT CARDIOLOGY
M$299,971ACTUAL COST
SUMMIT CARDIOLOGY
B$4,260,039ACTUAL COST
SUMMIT CARDIOLOGY
Q$825,580ACTUAL COST

Supplemental Information Detail SupplementalInformationDetail

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