SEATTLE CHILDRENS HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SEATTLE CHILDRENS HOSPITAL (EIN 91-0564748)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-07
IRS object ID: 201842199349301119
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-07T15:08:04-05:00	ReturnTs
Tax Period End	2017-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	911194016	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLARK NUBER PS	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10900 NE 4TH STREET SUITE 1400	AddressLine1Txt
City	BELLEVUE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	910564748	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SUZANNE BEITEL	PersonNm
Person Title	SENIOR VP & CFO	PersonTitleTxt
Phone	2069874846	PhoneNum
Signature	2018-08-07	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JANE M SEARING	PreparerPersonNm
PTIN	P00000565	PTIN
Phone	4254544919	PhoneNum
Preparation	2018-07-16	PreparationDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$3,003,110,828	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	8041	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SEATTLECHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1907	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	WE PROVIDE HOPE, CARE & CURES TO HELP EVERY CHILD LIVE THE HEALTHIEST & MOST FULFULLING LIFE POSSIBLE	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	7624	TotalEmployeeCnt
Total Volunteers	792	TotalVolunteersCnt
Total Gross UBI	$784,839	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$216,488	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$141,913,396	PYContributionsGrantsAmt
CY Contributions Grants	$166,489,706	CYContributionsGrantsAmt
PY Program Service Revenue	$1,172,052,713	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,218,349,780	CYProgramServiceRevenueAmt
PY Investment Income	$41,567,611	PYInvestmentIncomeAmt
CY Investment Income	$63,333,183	CYInvestmentIncomeAmt
PY Other Revenue	$34,126,888	PYOtherRevenueAmt
CY Other Revenue	$12,799,943	CYOtherRevenueAmt
PY Total Revenue	$1,389,660,608	PYTotalRevenueAmt
CY Total Revenue	$1,460,972,612	CYTotalRevenueAmt
PY Grants And Similar Paid	$20,347,095	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$23,637,303	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$586,788,469	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$651,862,879	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$558,327,110	PYOtherExpensesAmt
CY Other Expenses	$620,789,690	CYOtherExpensesAmt
PY Total Expenses	$1,165,462,674	PYTotalExpensesAmt
CY Total Expenses	$1,296,289,872	CYTotalExpensesAmt
PY Revenues Less Expenses	$224,197,934	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$164,682,740	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,896,162,830	TotalAssetsBOYAmt
Total Assets EOY	$3,259,202,142	TotalAssetsEOYAmt
Total Liabilities BOY	$873,842,899	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$999,839,495	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,022,319,931	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,259,362,647	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEATTLE CHILDREN'S HOSPITAL (SEATTLE CHILDREN'S) WILL BE AN INNOVATIVE LEADER IN PEDIATRIC HEALTH AND WELLNESS THROUGH OUR UNSURPASSED QUALITY, CLINICAL CARE, RELENTLESS SPIRIT OF INQUIRY, AND COMPASSION FOR CHILDREN AND THEIR FAMILIES. (CONTINUED ON SCHEDULE O.)OUR FOUNDING PROMISE TO THE COMMUNITY IS AS VALID TODAY AS IT WAS OVER A CENTURY AGO. WE WILL CARE FOR ALL CHILDREN IN OUR REGION, REGARDLESS OF THEIR FAMILY'S ABILITY TO PAY. WE WILL:- PRACTICE THE SAFEST, MOST ETHICAL AND EFFECTIVE MEDICAL CARE POSSIBLE.- DISCOVER NEW TREATMENTS AND CURES THROUGH BREAKTHROUGH RESEARCH.- PROMOTE HEALTHY COMMUNITIES WHILE REDUCING HEALTH DISPARITIES. (SEE THE COMMUNITY BENEFIT REPORT IN SCHEDULE O.)- EMPOWER OUR TEAM MEMBERS TO REACH THEIR HIGHEST POTENTIAL IN A RESPECTFUL WORK ENVIRONMENT.- EDUCATE AND INSPIRE THE NEXT GENERATION OF FACULTY, STAFF AND LEADERS.- BUILD ON A CULTURE OF PHILANTHROPY FOR PATIENT CARE AND RESEARCH.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$997,792,684	ExpenseAmt
Grant	$4,465,244	GrantAmt
Revenue	$1,193,712,205	RevenueAmt
Desc	PATIENT CARE: SEATTLE CHILDREN'S PROVIDES SUPERIOR MEDICAL CARE TO CHILDREN FROM WASHINGTON, ALASKA, MONTANA AND IDAHO, SERVING THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. IN ADDITION, FAMILIES LIVING BEYOND OUR PRIMARY SERVICE REGION INCREASINGLY SEEK CARE FROM OUR WORLD-RENOWNED SPECIALISTS IN PROGRAMS SUCH AS CANCER, ORGAN TRANSPLANTS AND CRANIOFACIAL SPECIALTIES. IN FISCAL YEAR 2017, SEATTLE CHILDREN'S MEDICAL TEAM TREATED KIDS OF ALL AGES DURING 429,255 PATIENT VISITS, INCLUDING 16,501 ADMISSIONS TO THE HOSPITAL AND 45,462 VISITS TO OUR EMERGENCY DEPARTMENT. WE PERFORMED 15,178 DAY SURGERIES AND CARED FOR CHILDREN DURING 352,114 APPOINTMENTS IN OUTPATIENT CLINICS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$172,523,221	ExpenseAmt
Grant	$19,172,059	GrantAmt
Revenue	$25,491,406	RevenueAmt
Desc	RESEARCH: BECAUSE RESEARCH IS THE FOUNDATION OF SEATTLE CHILDREN'S MISSION TO DISCOVER NEW TREATMENT AND CURES, SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF SEATTLE CHILDRENS, INVESTED $44 MILLION IN RESEARCH DURING FISCAL YEAR 2017. SEATTLE CHILDREN'S RESEARCH INSTITUTE INVESTIGATORS ARE ADVANCING SCIENTIFIC UNDERSTANDING OF IMPORTANT BIOLOGICAL PROCESSES AND INFLUENCING THE PRACTICE OF PEDIATRICS AROUND THE WORLD.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$33,879,987	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$6,328,488	RevenueAmt
Desc	EDUCATION: SEATTLE CHILDREN'S IS THE MAJOR RESOURCE FOR PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAMS IN OUR REGION. RESIDENTS AND FELLOWS FROM 75 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. SEATTLE CHILDREN'S HAS DEVELOPED CURRICULUM AND EVALUATION METHODS THAT ASSESS AND ASSURE RESIDENT COMPETENCY IN SIX MAIN AREAS: PATIENT CARE, MEDICAL KNOWLEDGE, PRACTICE-BASED LEARNING, INTERPERSONAL AND COMMUNICATIONS SKILLS, PROFESSIONALISM, AND SYSTEM-BASED PRACTICE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$2,707,286	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	CHILDREN'S CLINICALLY INTEGRATED NETWORK, DOING BUSINESS AS SEATTLE CHILDREN'S CARE NETWORK (SCCN), IS A LIMITED LIABILITY COMPANY ESTABLISHED BY SEATTLE CHILDREN'S TO DEVELOP, COORDINATE AND IMPLEMENT A CLINICALLY INTEGRATED PEDIATRIC PROVIDER NETWORK TO PROMOTE COLLABORATION AND MODIFY PRACTICE PATTERNS TO ENHANCE THE QUALITY AND COST EFFECTIVENESS OF PEDIATRIC CARE. SCCN CONTRIBUTES TO THE MISSION OF SEATTLE CHILDREN'S BY PROMOTING HEALTH THROUGH ITS PEDIATRIC ORGANIZED SYSTEM OF CARE THAT IMPROVES INTEGRATION, COORDINATION, QUALITY, SAFETY AND EFFICIENCY FOR BETTER OUTCOMES FOR PEDIATRIC PATIENTS WITHIN THE COMMUNITY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$2,707,286	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,206,903,178	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	Yes (1)	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	595	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	7624	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	20	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WARREN E HEWITT VP FINANCE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2069874846	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (52 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DEAN ALLEN
TRUSTEE	4.00	0.00	Yes (X)	$0	$0	$0
JOEL BENOLIEL
TREASURER	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
SUSAN BETCHER
TRUSTEE	5.00	0.00	Yes (X)	$0	$0	$0
PAT CHAR
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
MICHAEL DELMAN
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
ROY DIAZ PHD
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
ROBERT FLOWERS
TRUSTEE	1.00	1.00	Yes (X)	$0	$0	$0
COLIN FOX PHD
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
DEBORAH HAUG
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
JUDY HOLDER
TRUSTEE	5.00	0.00	Yes (X)	$0	$0	$0
CYNTHIA HUFFMAN
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
JIM LADD
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
MONA LEE LOCKE
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
PATRICIA LOERA
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
SUSAN MASK
SECRETARY	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
JEFF NITTA
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
JUDITH PIERCE
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
MICHAEL REEVES
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
ROB ROSKIN MD
TRUSTEE	2.00	1.00	Yes (X)	$0	$0	$0
NANCY SENSENEY
CHAIR	8.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
MICHELE SMITH
TRUSTEE	2.00	3.00	Yes (X)	$0	$0	$0
CHARLES STEVENS
VICE CHAIR	3.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
ALVIN WINTERROTH
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
KELLY WALLACE
SENIOR VP & CHIEF FINANCIAL OFFICER	41.00	14.00		$630,379	$450,521	$112,969	Yes (X)
JEFF SPERRING MD
CEO/NON-VOTING EX-OFFICIO TRUSTEE	42.00	13.00		$619,864	$201,359	$164,018	Yes (X)
LISA BRANDENBURG
PRESIDENT - HOSPITAL THRU SEPT 2016	55.00	0.00		$801,205	$805,385	$110,745		Yes (X)
MARK DEL BECCARO MD
SR VP-CHIEF MED OFF/NON-VOTING TRUST	55.00	0.00		$750,126	$0	$94,957		Yes (X)
SANFORD MELZER MD
EXEC VP-NETWORKS & POPULATION HEALTH	55.00	0.00		$712,897	$120,156	$131,011		Yes (X)
JAMES HENDRICKS PHD
PRESIDENT - RESEARCH INSTITUTE	55.00	0.00		$637,497	$0	$106,776		Yes (X)
CINDY GAZECKI
SENIOR VP - HOSPITAL OPERATIONS	55.00	0.00		$513,293	$0	$91,072		Yes (X)
ERIK LAUSUND
VP - RESEARCH OPERATIONS & LOGISTICS	55.00	0.00		$447,999	$0	$40,489		Yes (X)
CARA BAILEY
SR VP-CONTINUOUS PERFORMANCE IMPROVE.	55.00	0.00		$435,150	$0	$64,092		Yes (X)
SUZANNE PETERSEN
VP - EXTERNAL AFFAIRS	55.00	0.00		$421,271	$0	$43,185		Yes (X)
JEFFREY BROWN
SR VP - CHIEF INFORMATION OFFICER	55.00	0.00		$400,857	$0	$66,307		Yes (X)
TODD JOHNSON
VP - FACILITIES	55.00	0.00		$379,376	$0	$46,022		Yes (X)
MICHAEL MURPHY
VP - ACN & EXEC DIR INTEGRATED CARE	55.00	0.00		$358,250	$0	$25,664		Yes (X)
WARREN HEWITT
VP - FINANCE	41.00	14.00		$335,837	$14,640	$39,101		Yes (X)
MADLYN MURREY
SR VP - CHIEF NURSING OFFICER	55.00	0.00		$342,639	$0	$62,364		Yes (X)
STEPHANIE AXELROD
VP - COMMUNITY RELATIONS	55.00	0.00		$327,834	$0	$41,750		Yes (X)
KATHY JO FREEMAN
VP - SERVICE LINE SURGICAL SPEC.	55.00	0.00		$319,595	$0	$46,768		Yes (X)
ERIC THAM MD
INTERIM CHIEF INFORMATION OFFICER	55.00	0.00		$313,579	$0	$45,218		Yes (X)
GREGORY BLACKBURN
VP - CLINICAL SUPPORT SERVICES	55.00	0.00		$266,138	$0	$40,612		Yes (X)
PAMELA ROCK
VP-MED SERV LINE & SPECIAL PROGRAMS	55.00	0.00		$257,467	$0	$30,179		Yes (X)
JENNIFER BECKER
VP - AMBULATORY SERVICES	55.00	0.00		$257,134	$0	$31,462		Yes (X)
SCOTT BINGHAM
INTERIM CHIEF INFORMATION OFFICER	55.00	0.00		$250,881	$0	$31,241		Yes (X)
THOMAS HANSEN MD
PAST CEO/PRINCIPAL INVESTIGATOR	45.00	0.00		$434,658	$727,972	$27,888			Yes (X)
DOUGLAS PICHA
PRESIDENT - FOUNDATION	5.50	50.50		$141,416	$563,878	$103,697			Yes (X)
MARK EGBERT DDS
CHIEF - ORAL & MAXILLOFACIAL SURGERY	55.00	0.00		$578,262	$0	$49,128			Yes (X)
MICHAEL ASTION MD PHD
MEDICAL DIRECTOR - LABORATORIES	55.00	0.00		$520,500	$0	$49,375			Yes (X)
CRAIG RUBENS MD PHD
EXECUTIVE DIRECTOR - GAPPS	55.00	0.00		$447,405	$0	$37,533			Yes (X)
SUSAN HEATH
FORMER SR VP & CHIEF NURSING OFFICER	55.00	0.00		$237,499	$0	$21,234				Yes (X)
ALEXANDER GARRARD
FORMER VP - HUMAN RESOURCES	55.00	0.00		$223,981	$0	$33,301				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,362,989	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,883,911	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,788,158	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1110	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CHILDREN'S UNIVERSITY MEDICAL GROUP
PO BOX 50010	SEATTLE	WA	98105	PHYSICIAN SERVICES	$94,741,980
UNIVERSITY OF WASHINGTON
PO BOX 358220	SEATTLE	WA	98195	RESIDENTS & INTERNS	$30,927,661
SELLEN CONSTRUCTION
227 WESTLAKE AVENUE NORTH	SEATTLE	WA	98109	CONSTRUCTION	$24,547,246
FLAD ARCHITECTS
PO BOX 5620	MADISON	WI	53705	ARCHITECT SERVICES	$6,410,330
WORLD WIDE TECHNOLOGY INC
60 WELDON PARKWAY	ST LOUIS	MO	63043	IT SERVICES	$4,878,921

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	309	CntrctRcvdGreaterThan100KCnt
Related Organizations	$80,280,180	RelatedOrganizationsAmt
Government Grants	$72,850,175	GovernmentGrantsAmt
All Other Contributions	$13,359,351	AllOtherContributionsAmt
Noncash Contributions	$2,956,097	NoncashContributionsAmt
Total Contributions	$166,489,706	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SVC REVENUES	621500	$1,184,425,982	$1,184,425,982
OTHER HEALTHCARE SVCS	621500	$32,759,011	$31,974,172	$784,839
INVESTMENT PROV CHILD	621500	$600,000	$600,000
WHALE GIFT SHOP	453220	$564,787			$564,787

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,218,349,780	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,637,862	TotalRevenueColumnAmt
Exclusion	$37,637,862	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$802,530	TotalRevenueColumnAmt
Exclusion	$802,530	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$10,520,440	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,705,346	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,815,094	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,815,094	TotalRevenueColumnAmt
Exclusion	$4,815,094	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,562,110,619	SecuritiesAmt
Other	$17,572	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,535,874,996	SecuritiesAmt
Other	$557,874	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$26,235,623	SecuritiesAmt
Other	-$540,302	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,695,321	TotalRevenueColumnAmt
Exclusion	$25,695,321	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PARKING	812930	$3,661,080	$3,661,080
CAFETERIA	722212	$3,521,239	$3,521,239

Field	Value	IRS element (for citing)
Other Revenue Total	$7,182,319	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,460,972,612	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,217,000,154	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$784,839	UnrelatedBusinessRevenueAmt
Exclusion	$76,697,913	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$21,327,327	TotalAmt
Program Services	$21,327,327	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$205,654	TotalAmt
Program Services	$205,654	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$2,104,322	TotalAmt
Program Services	$2,104,322	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,015,739	TotalAmt
Management And General	$10,015,739	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$389,327	TotalAmt
Program Services	$361,643	ProgramServicesAmt
Management And General	$27,684	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$501,685,317	TotalAmt
Program Services	$466,012,173	ProgramServicesAmt
Management And General	$35,673,144	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$28,221,289	TotalAmt
Program Services	$26,214,569	ProgramServicesAmt
Management And General	$2,006,720	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$72,685,884	TotalAmt
Program Services	$67,517,437	ProgramServicesAmt
Management And General	$5,168,447	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$38,865,323	TotalAmt
Program Services	$36,101,741	ProgramServicesAmt
Management And General	$2,763,582	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$937,461	TotalAmt
Program Services	$870,801	ProgramServicesAmt
Management And General	$66,660	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$395,860	TotalAmt
Program Services	$367,712	ProgramServicesAmt
Management And General	$28,148	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$485,089	TotalAmt
Program Services	$485,089	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,079,534	TotalAmt
Program Services	$1,931,665	ProgramServicesAmt
Management And General	$147,869	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$93,795,903	TotalAmt
Program Services	$87,126,394	ProgramServicesAmt
Management And General	$6,669,509	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,902,884	TotalAmt
Program Services	$2,696,470	ProgramServicesAmt
Management And General	$206,414	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$167,552,566	TotalAmt
Program Services	$155,638,470	ProgramServicesAmt
Management And General	$11,914,096	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$19,955,574	TotalAmt
Program Services	$18,536,601	ProgramServicesAmt
Management And General	$1,418,973	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$23,171,402	TotalAmt
Program Services	$21,523,762	ProgramServicesAmt
Management And General	$1,647,640	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,307,330	TotalAmt
Program Services	$4,929,944	ProgramServicesAmt
Management And General	$377,386	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,416,793	TotalAmt
Program Services	$1,316,050	ProgramServicesAmt
Management And General	$100,743	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$22,340,898	TotalAmt
Program Services	$20,752,312	ProgramServicesAmt
Management And General	$1,588,586	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$80,692,634	TotalAmt
Program Services	$74,954,854	ProgramServicesAmt
Management And General	$5,737,780	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,305,024	TotalAmt
Program Services	$5,856,695	ProgramServicesAmt
Management And General	$448,329	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHYSICIANS SERVICES	$144,454,448	$144,454,448	$0
LICENSES & TAXES	$35,333,126	$32,820,707	$2,512,419
BAD DEBT EXPENSE	$1,168,341	$1,168,341	$0
UBI TAXES	$304,311	$304,311	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,190,512	TotalAmt
Program Services	$11,323,686	ProgramServicesAmt
Management And General	$866,826	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,296,289,872	TotalAmt
Program Services	$1,206,903,178	ProgramServicesAmt
Management And General	$89,386,694	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$43,519,690	BOYAmt
EOY	$35,155,004	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$49,859,528	BOYAmt
EOY	$112,076,010	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,935,613	BOYAmt
EOY	$18,821,632	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$185,581,046	BOYAmt
EOY	$226,610,912	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,409,337	BOYAmt
EOY	$6,217,919	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,550,926	BOYAmt
EOY	$12,843,098	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$16,333,043	BOYAmt
EOY	$18,333,417	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,800,145,355	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$696,778,335	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,021,051,015	BOYAmt
EOY	$1,103,367,020	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,006,401,534	BOYAmt
EOY	$1,086,427,379	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$352,458,157	BOYAmt
EOY	$411,086,545	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$154,541,809	BOYAmt
EOY	$156,684,622	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,350,560	BOYAmt
EOY	$2,000,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$35,170,572	BOYAmt
EOY	$69,578,584	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,896,162,830	BOYAmt
EOY	$3,259,202,142	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$162,273,686	BOYAmt
EOY	$181,672,827	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$31,154	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$615,872,065	BOYAmt
EOY	$725,134,198	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$95,697,148	BOYAmt
EOY	$93,001,316	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$873,842,899	BOYAmt
EOY	$999,839,495	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,618,581,137	BOYAmt
EOY	$1,803,307,904	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$139,915,331	BOYAmt
EOY	$182,176,545	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$263,823,463	BOYAmt
EOY	$273,878,198	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,022,319,931	BOYAmt
EOY	$2,259,362,647	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,896,162,830	BOYAmt
EOY	$3,259,202,142	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$164,682,740	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$51,436,218	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$20,923,758	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$128,241,214	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$116,550,644	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$130,967,380	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$141,913,396	CurrentTaxYearMinus1YearAmt
Current Tax Year	$166,489,706	CurrentTaxYearAmt
Total	$684,162,340	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$128,241,214	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$116,550,644	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$130,967,380	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$141,913,396	CurrentTaxYearMinus1YearAmt
Current Tax Year	$166,489,706	CurrentTaxYearAmt
Total	$684,162,340	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$41,803,203	SubstantialContributorsTotAmt
Public Support Total170	$642,359,137	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$13,392,514	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,945,000	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$27,132,475	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$39,030,564	CurrentTaxYearMinus1YearAmt
Current Tax Year	$48,960,832	CurrentTaxYearAmt
Total	$146,461,385	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$145,624	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$441,244	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$452,668	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$480,145	CurrentTaxYearMinus1YearAmt
Current Tax Year	$217,488	CurrentTaxYearAmt
Total	$1,737,169	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$9,790,406	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$20,490,033	CurrentTaxYearMinus1YearAmt
Total	$30,280,439	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$862,641,333	TotalSupportAmt
Gross Receipts Rltd Activities	$5,439,566,733	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.74460	PublicSupportCY170Pct
Public Support PY170	0.76290	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

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

SCHEDULE A, PARTS I AND II:

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

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

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$485,089	FilingOrganizationsTotalAmt
Affiliated Group Total	$485,089	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$485,089	FilingOrganizationsTotalAmt
Affiliated Group Total	$485,089	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,300,713,092	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,406,504,103	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,301,198,181	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,406,989,192	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

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

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

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

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

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

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$588,370	CurrentYearMinus3Amt
Current Year Minus2	$341,775	CurrentYearMinus2Amt
Current Year Minus1	$379,062	CurrentYearMinus1Amt
Current Year	$485,089	CurrentYearAmt
Total	$1,794,296	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-A, AFFILIATED GROUP STATEMENT:	FormAndLineReferenceDesc
Explanation	SEATTLE CHILDREN'S HOSPITAL, EIN: 91-0564748 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 485,089 OTHER EXEMPT PURPOSE EXPENDITURES: 1,300,713,092 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,301,198,181 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: 4,694,024 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,694,024 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: 79,988,601 TOTAL EXEMPT PURPOSE EXPENDITURES: 79,988,601 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: 16,109,649 TOTAL EXEMPT PURPOSE EXPENDITURES: 16,109,649 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: 4,998,737 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,998,737 NO 501(H) ELECTION WAS MADE	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Funds And Other Accounts Held	3	FundsAndOtherAccountsHeldCnt
Funds And Other Accounts Contri	$10,000	FundsAndOtherAccountsContriAmt
Funds And Other Accounts Grants	$9,386	FundsAndOtherAccountsGrantsAmt
Funds And Other Accounts Vl EOY	$1,018,154	FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg Ctrl	Yes (1)	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	Yes (1)	DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$285,708,000	BeginningYearBalanceAmt
Contributions	$4,773,000	ContributionsAmt
Investment Earnings Or Losses	$34,516,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,778,000	OtherExpendituresAmt
End Year Balance	$318,219,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.53920	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.34420	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.11660	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$218,300,013	OtherCostOrOtherBasisAmt
Book Value	$218,300,013	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$942,272,237	OtherCostOrOtherBasisAmt
Depreciation	$341,791,709	DepreciationAmt
Book Value	$600,480,528	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,855,350	OtherCostOrOtherBasisAmt
Depreciation	$14,923,104	DepreciationAmt
Book Value	$15,932,246	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$492,775,461	OtherCostOrOtherBasisAmt
Depreciation	$333,299,610	DepreciationAmt
Book Value	$159,475,851	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$115,942,294	OtherCostOrOtherBasisAmt
Depreciation	$6,763,912	DepreciationAmt
Book Value	$109,178,382	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,103,367,020	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
POOLED INVESTMENTS	$394,840,127	F
JP MORGAN CD	$12,500,000	C
DEFERRED COMPENSATION PLANS	$2,390,914	F
OIL LEASES	$18,500	C
LIFE INSURANCE	$39,550	F
INVESTMENT IN HCSA PROPERTIES, LLC	$1,297,454	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$411,086,545	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
SWAP MTM VALUE - BONDS	$17,788,475
DEFERRED COMPENSATION PLAN PAYABLE	$2,390,914
DEFERRED AND OTHER LIABILITIES	$12,266,187
PAYABLE TO AFFILIATE	$12,472,201
DUE TO BROKERS FOR SECURITIES PURCHASED	$48,083,539

Field	Value	IRS element (for citing)
Total Liability	$93,001,316	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$1,527,320,014	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$51,436,218	NetUnrealizedGainsInvstAmt
Other Revenue	$11,324,902	OtherRevenueAmt
Revenue Not Reported	$62,761,120	RevenueNotReportedAmt
Revenue Subtotal	$1,464,558,894	RevenueSubtotalAmt
Investment Expenses Not Incld	$2,079,534	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$5,665,816	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$3,586,282	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,460,972,612	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,290,277,298	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$2,574,261	OtherExpensesIncludedAmt
Expenses Not Reported	-$2,574,261	ExpensesNotReportedAmt
Expenses Subtotal	$1,292,851,559	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$2,079,534	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$1,358,779	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,438,313	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,296,289,872	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	SEATTLE CHILDREN'S HOSPITAL AND SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) SHARE IN A UNIFIED ENDOWMENT FUND (UEF) THAT IS MANAGED BY SCHS. SEATTLE CHILDREN'S HOSPITAL'S TEMPORARILY AND PERMANENTLY RESTRICTED ASSETS REFLECT ENDOWMENTS WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN BENEFICIAL INTEREST IN SCHS 12,671,554. BAD DEBT EXPENSE -1,168,341. UBI TAX EXPENSE -178,311.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -5,705,346. PROCEEDS INCLUDED WITH NONOPERATING EXPENSES ON AUDITED FINANCIAL STATEMENTS 27,403. NON-CASH DONATIONS NOT INCLUDED ON AUDITED FINANCIAL STATEMENTS 12,127.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 5,705,346. CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS -8,252,204. PROCEEDS INCLUDED WITH NONOPERATING EXPENSES ON AUDITED FINANCIAL STATEMENTS -27,403.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 1,168,341. UBI TAX EXPENSE 178,311. NON-CASH DONATIONS NOT INCLUDED ON AUDITED FINANCIAL STATEMENTS 12,127.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (37 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	$156,631,958
SOUTH ASIA	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$1,041,328
SUB-SAHARAN AFRICA	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$577,742
NORTH AMERICA	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$287,601
EUROPE (INCLUDING ICELAND & GREENLAND)	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$191,664
SOUTH AMERICA	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$5,987
NORTH AMERICA	PROGRAM SERVICES	$808,000	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	$513,000	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$19,000	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	$8,000	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
SOUTH AMERICA	PROGRAM SERVICES	$8,000	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	$3,000	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	$422,000	PATIENT ACCOUNT REFUNDS
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	$340,000	PATIENT ACCOUNT REFUNDS
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	$1,000	PATIENT ACCOUNT REFUNDS
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	$211,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
NORTH AMERICA	PROGRAM SERVICES	$113,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	$47,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$28,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND AID SITES
SOUTH ASIA	PROGRAM SERVICES	$21,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
SOUTH AMERICA	PROGRAM SERVICES	$17,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	$5,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	$1,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
RUSSIA AND NEIGHBORING STATES	PROGRAM SERVICES	$1,000	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	$42,998	TRAVEL & EVENTS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$32,462	TRAVEL & EVENTS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM
SOUTH ASIA	PROGRAM SERVICES	$11,864	TRAVEL & EVENTS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM
SOUTH AMERICA	PROGRAM SERVICES	$2,835	TRAVEL & EVENTS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM
NORTH AMERICA	PROGRAM SERVICES	$1,421	TRAVEL & EVENTS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$57,861	PARTNERS IN AFRICA CLEFT TRAINING
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$36,727	PEDIATRIC HEALTHCARE - GLOBAL HEALTH PATHWAY RESIDENCY PROGRAM
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	$7,277	TRAVEL TO INTERNATIONAL HOSPITALS TO MAINTAIN GLOBAL RELATIONSHIPS AND PEDIATRIC REFERRALS
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
SUB-SAHARAN AFRICA	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
NORTH AMERICA	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
EAST ASIA AND THE PACIFIC	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
MIDDLE EAST AND NORTH AFRICA	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$160,057,280	SubtotalSpentAmt
Continuation Spent	$1,438,445	ContinuationSpentAmt
Total Spent	$161,495,725	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (12 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
SOUTH ASIA	PREVENTING PRETERM BIRTH INITIATIVE	$1,041,328	WIRE TRANSFER
SUB-SAHARAN AFRICA	PREVENTING PRETERM BIRTH INITIATIVE	$500,000	WIRE TRANSFER
EUROPE (INCLUDING ICELAND & GREENLAND)	PREVENTING PRETERM BIRTH INITIATIVE	$171,664	WIRE TRANSFER
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$170,393	CASH PAYMENT
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$59,227	CASH PAYMENT
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$13,598	CASH PAYMENT
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$5,088	CASH PAYMENT
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$37,795	CASH PAYMENT
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$23,252	CASH PAYMENT
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$54,490	CASH PAYMENT
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$20,000	CASH PAYMENT
SOUTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$5,987	CASH PAYMENT

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	6	TotalOtherOrgCnt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 2:

ORGANIZATIONS SELECTED AS GRANTEES 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.

PART I, LINE 3:

THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR EXPENDITURES.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.000000000000	FreeCareOtherPct

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	19709	PersonsServedCnt
Total Community Benefit Expns	$9,954,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$786,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,168,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	200972	PersonsServedCnt
Total Community Benefit Expns	$496,615,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$341,178,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$155,437,000	NetCommunityBenefitExpnsAmt
Total Expense	0.12000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	220681	PersonsServedCnt
Total Community Benefit Expns	$506,569,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$341,964,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$164,605,000	NetCommunityBenefitExpnsAmt
Total Expense	0.12710	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	140	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$19,021,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,856,460	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,164,878	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	87	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$33,879,987	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,078,232	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,801,755	NetCommunityBenefitExpnsAmt
Total Expense	0.01920	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$155,444,405	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$111,354,644	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,089,761	NetCommunityBenefitExpnsAmt
Total Expense	0.03400	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,807,498	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$159,889	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,647,609	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	256	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$210,153,228	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$130,449,225	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$79,704,003	NetCommunityBenefitExpnsAmt
Total Expense	0.06160	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	272	ActivitiesOrProgramsCnt
Persons Served	220681	PersonsServedCnt
Total Community Benefit Expns	$716,722,228	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$472,413,225	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$244,309,003	NetCommunityBenefitExpnsAmt
Total Expense	0.18870	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,250	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$977,539	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$159,189	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$818,350	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$9,089	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,089	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,440	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,440	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,452	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,452	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$391,406	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$391,406	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$332,175	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$332,175	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	33	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,743,351	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$159,189	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,584,162	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$500,247	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$4,016,449	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$5,468,856	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,452,407	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	599.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEATTLECHILDRENS.ORG/CLINICS-PROGRAMS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	FINASST.SEATTLECHILDRENS.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEATTLECHILDRENS.ORG/CLINICS-PROGRAMS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 3J: SEATTLE CHILDREN'S CONDUCTED ITS SECOND COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016 TO COVER THE PERIOD 2017-2020 (TAX YEARS 2016-2019) 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, 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 2017-2020 COMMUNITY HEALTH NEEDS ASSESSMENT (TAX YEARS 2016-2019), 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 2017-2020 CHNA (APPLICABLE TO TAX YEARS 2016-2019) 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 2017-2020 CHNA (APPLICABLE TO TAX YEARS 2016-2019). 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 SENIOR DIRECTOR OF REVENUE CYCLE OR THE CHIEF FINANCIAL OFFICER MAY ALSO APPROVE PATIENT ACCOUNT BALANCE WRITE-OFFS TO FINANCIAL ASSISTANCE.

Field	Value	IRS element (for citing)
Facility	19	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

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

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	SEATTLE CHILDREN'S HOSPITAL (SEATTLE CHILDREN'S) USES THE FEDERAL POVERTY GUIDELINES (FPG) AS ITS PRIMARY CRITERIA FOR QUALIFYING PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE. FAMILIES WHO RESIDE IN OUR REGION WITH INCOME BELOW OR EQUAL TO 400% FPG BASED ON THEIR FAMILY SIZE QUALIFY FOR FINANCIAL ASSISTANCE. FURTHERMORE, SEATTLE CHILDREN'S RECOGNIZES THAT FAMILIES WHO HAVE HIGH BALANCES, EVEN WITH HIGHER INCOMES, CAN EXPERIENCE FINANCIAL HARDSHIP. RESPONSIBLE PARTIES WHOSE INCOME IS BETWEEN 400% AND 599% FPG, WHO HAVE INCURRED SIGNIFICANT ACCOUNT BALANCES, AND WHO ARE NOT ELIGIBLE FOR FUNDING FROM OTHER SOURCES ARE ALSO ELIGIBLE FOR SLIDING SCALE FINANCIAL ASSISTANCE WHEREBY THEY ARE RESPONSIBLE FOR PAYING A PERCENTAGE OF THEIR BILL WHICH IS PROPORTIONATELY DISCOUNTED BASED ON THEIR INCOME AND SEATTLE CHIDREN'S FINANCIAL ASSISTANCE FUNDS THE REMAINING BALANCES. FAMILIES WHO RECEIVE A DENIAL OF FINANCIAL ASSISTANCE BASED ON THE FPG AND FAMILY SIZE INFORMATION ARE ALLOWED TO APPEAL THE DENIAL BY PROVIDING INFORMATION ABOUT ADDITIONAL CIRCUMSTANCES IMPACTING THEIR FINANCIAL SITUATION SUCH AS EXCESSIVE MEDICAL DEBT. THE SENIOR DIRECTOR OF REVENUE CYCLE OR CHIEF FINANCIAL OFFICER 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 $ 1,168,341.
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 2017 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 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 SOCIAL AND ECONOMIC 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:- 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 6,763 CHILDREN IN 2017. 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.- 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 NEARLY 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 5,830 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 ANNUAL INVESTMENT IN KING COUNTY METRO'S TRANSIT NOW PARTNERSHIP MAKES MORE TRANSIT SERVICES AVAILABLE TO COMMUNITIES IN THE NORTHEAST SEATTLE AREA. ADDITIONALLY, SEATTLE CHILDREN'S IS COMMITTED TO CONTRIBUTING TO TRANSPORTATION IMPROVEMENTS IN NORTHEAST SEATTLE. 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.- 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)(L), 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 ON MEDICAID OR THE CHILDRENS HEALTH INSURANCE PROGRAM (KNOWN AS CHIP OR APPLE HEALTH FOR KIDS IN WASHINGTON STATE). IN 2017, 17.5% OF OUR PATIENTS CAME FROM SEATTLE, 34% FROM KING COUNTY, 44.5% FROM LOCATIONS IN WASHINGTON STATE OUTSIDE KING COUNTY, 3% FROM ALASKA, MONTANA AND IDAHO AND 1% FROM AREAS OUTSIDE THE REGION. THESE AREAS ARE URBAN, SUBURBAN AND RURAL. - OF THE MORE THAN 7.4 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 THERE ARE APPROXIMATELY 75,000 UNINSURED CHILDREN, MOST OF WHOM 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 96% OF OUR PATIENTS HAIL FROM WASHINGTON STATE, THE STATE ITSELF HAS 47 MEDICALLY UNDERSERVED AREAS AND POPULATIONS THROUGHOUT ITS 39 COUNTIES.
PART VI, LINE 5:	SEATTLE CHILDREN'S IS GOVERNED BY A BOARD OF TRUSTEES, CONSISTING OF BETWEEN 20-30 VOTING TRUSTEES WHO ARE MEMBERS OF THE LOCAL COMMUNITY. SEATTLE CHILDREN'S FUNCTIONS THROUGH COMMITTEES THAT ARE STAFFED WITH TRUSTEES OF RESPECTIVE BOARDS WHO HAVE SIGNIFICANT EXPERIENCE AND SKILLS REQUIRED BY THAT COMMITTEE, AND IN SOME CASES INCLUDE OUTSIDE MEMBERS WHO ARE NOT TRUSTEES WHEN THEIR KNOWLEDGE OR EXPERIENCE WOULD CONTRIBUTE TO THE WORK OF THE COMMITTEE. SEATTLE CHILDREN'S ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO CERTAIN QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OF ITS DEPARTMENTS. SEATTLE CHILDREN'S ALSO HAS REGIONAL STRATEGIC AFFILIATIONS WITH THE FOLLOWING ENTITIES:- UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (UWSOM)SEATTLE CHILDREN'S HAS HAD A FORMAL AFFILIATION WITH THE UWSOM SINCE 1974. SEATTLE CHILDREN'S HOSPITAL PROVIDES THE PEDIATRIC COMPONENT OF THE UWSOM UNDERGRADUATE MEDICAL EDUCATION PROGRAM AS WELL AS THE HOSPITAL-BASED PEDIATRIC TRAINING EXPERIENCE FOR ALL POST-GRADUATE PROGRAMS.THE UWSOM, A REGIONAL RESOURCE FOR WASHINGTON, WYOMING, ALASKA, MONTANA, AND IDAHO, IS A NATIONALLY AND INTERNATIONALLY RECOGNIZED LEADER IN MEDICAL EDUCATION, PATIENT CARE, SCIENTIFIC RESEARCH AND COMMUNITY SERVICE. THE UWSOM HAS 30 DEPARTMENTS, MANY CENTERS AND NUMEROUS AFFILIATIONS THROUGHOUT THE FIVE-STATE REGION. THE UWSOM OFFERS EXTENSIVE TRAINING PROGRAMS IN THE BASIC MEDICAL SCIENCES, PRIMARY CARE AND THE SPECIALTIES OF CLINICAL MEDICINE. IT HAS A FULL-TIME REGULAR AND RESEARCH FACULTY OF APPROXIMATELY 2,400. IN ADDITION TO TRAINING FUTURE PHYSICIANS, THE FACULTY ALSO TEACHES GRADUATE AND UNDERGRADUATE STUDENTS IN MANY DISCIPLINES, AND 4,600 VOLUNTEER AND PART-TIME CLINICAL FACULTY MEMBERS TEACH STUDENTS IN TOWNS AND CITIES ACROSS THE REGION. THE UWSOM IS AFFILIATED WITH THE 450-BED UNIVERSITY OF WASHINGTON MEDICAL CENTER AND THE 413-BED HARBORVIEW MEDICAL CENTER, WITH WHICH SEATTLE CHILDREN'S HOSPITAL SHARES A DESIGNATION AS A PEDIATRIC LEVEL I TRAUMA CENTER.- CHILDREN'S UNIVERSITY MEDICAL GROUP (CUMG)SEATTLE CHILDREN'S HEALTHCARE SYSTEM AND THE UNIVERSITY OF WASHINGTON (THE "UW") JOINTLY CONTROL CUMG, A WASHINGTON NONPROFIT CORPORATION AND A 501(C)(3) ORGANIZATION. CUMG IS A PEDIATRIC PRACTICE PLAN THAT EMPLOYS AND MANAGES THE CLINICAL PRACTICES OF APPROXIMATELY 500 PROFESSIONAL MEMBERS WHO ARE BOTH MEMBERS OF SEATTLE CHILDREN'S HOSPITAL MEDICAL STAFF AND PEDIATRIC FACULTY MEMBERS OF THE UWSOM.- PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC (PCNS)SEATTLE CHILDREN'S PARTICIPATES IN A JOINT VENTURE WITH PROVIDENCE EVERETT MEDICAL CENTER (PEMC), AN UNRELATED COMMUNITY-BASED HOSPITAL LOCATED IN EVERETT, WASHINGTON. CHILDREN'S AND PEMC EACH OWN A 50% INTEREST IN PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC. PCNS MANAGES THE OPERATIONS OF THE NEONATAL INTENSIVE CARE UNIT AT PEMC AND PROVIDES NEONATAL NURSE PRACTITIONER SERVICES TO PEMC.- SEATTLE CANCER CARE ALLIANCE (SCCA)THE SEATTLE CANCER CARE ALLIANCE, A WASHINGTON NONPROFIT CORPORATION AND 501(C)(3) ORGANIZATION, OFFERS A COMPREHENSIVE PROGRAM OF INTEGRATED CANCER CARE SERVICES. ITS MEMBERS ARE SEATTLE CHILDREN'S HEALTHCARE SYSTEM, UW, AND FRED HUTCHINSON CANCER RESEARCH CENTER. SCCA OPERATES AN AMBULATORY CANCER CARE SERVICES FACILITY AND A 20-BED LICENSED HOSPITAL INSIDE UWMC.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (142 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
AHS HOSPITAL CORPORATION
PO BOX 48328	NEWARK	NJ	071014828	521958352	501(C)(3)	$41,367	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
AKRON CHILDREN'S HOSPITAL
ONE PERKINS SQUARE	AKRON	OH	44308	340714357	501(C)(3)	$59,881	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
BELFER 706 1300 MORRIS PARK AVE	BRONX	NY	10461	131624225	501(C)(3)	$7,400	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
ALL CHILDREN'S RESEARCH INSTITUTE INC
501 6TH AVE S DEPT 9581	ST PETERSBURG	FL	33701	592481742	501(C)(3)	$43,191	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
AMERICAN ACADEMY OF PEDIATRICS
141 NW POINT BLVD	ELK GROVE	IL	60007	362275597	501(C)(3)	$122,966	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	$28,250	GRANT FOR ANYTIME INFANT CPR AND CHOKING RELIEF KITS AND SPONSORSHIPS OF ALASKA HEART RUN AND DINNER WITH HEART GALA
AMERICAN RED CROSS
PO BOX 3097	SEATTLE	WA	98114	530196605	501(C)(3)	$6,250	HEROES BREAKFASTS SPONSORSHIPS
ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO
225 E CHICAGO AVE BOX 205	CHICAGO	IL	60611	362170833	501(C)(3)	$100,611	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)	$17,063	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
BATTELLE MEMORIAL INSTITUTE
505 KING AVE	COLUMBUS	OH	432012693	314379427	501(C)(3)	$50,000	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
BAYLOR COLLEGE OF MEDICINE
TEXAS CHILDRENS 6701 FANNIN ST	HOUSTON	TX	77030	741613878	501(C)(3)	$212,170	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	SUITE 1040
BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON
1201 NINTH AVE	SEATTLE	WA	981012795	910653422	501(C)(3)	$497,934	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
BRIGHAM AND WOMEN'S HOSPITAL INC
75 FRANCIS ST	BOSTON	MA	02115	042312909	501(C)(3)	$25,000	GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD
CASCADE BICYCLE CLUB EDUCATION FOUNDATION
7787 62ND AVE NE	SEATTLE	WA	98115	912165219	501(C)(3)	$12,200	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)	$54,979	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CEDARS-SINAI MEDICAL CENTER
8700 BEVERLY BLVD	LOS ANGELES	CA	90048	951644600	501(C)(3)	$21,975	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CENTER FOR CHILDREN AND YOUTH JUSTICE
615 2ND AVE SUITE 275	SEATTLE	WA	98104	204457248	501(C)(3)	$10,000	SPONSORSHIP OF NORM MALENG ADVOCATE FOR YOUTH AWARD BREAKFAST
CENTER FOR MULTICULTURAL HEALTH
1120 EAST TERRACE STREET SUITE 200	SEATTLE	WA	98122	910983698	501(C)(3)	$10,000	HEALTHY KING COUNTY COALITION PROGRAM SPONSORSHIP
CHILDREN'S ALLIANCE
718 6TH AVE S	SEATTLE	WA	98104	910982879	501(C)(3)	$15,610	SPONSORSHIP OF VOICES FOR CHILDREN LUNCHEON AND MEMBERSHIP CONTRIBUTION
CHILDREN'S HEALTHCARE OF ATLANTA
1687 TULLIE CIRCLE	ATLANTA	GA	30329	582367819	501(C)(3)	$8,903	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL AND CLINICS OF MINNESOTA
32-2210 2525 CHICAGO AVE S	MINNEAPOLIS	MN	55404	411754276	501(C)(3)	$126,917	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL BOSTON
PO BOX 414413	BOSTON	MA	022414413	042774441	501(C)(3)	$142,478	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL COLORADO
13123 E 16TH AVE B148	AURORA	CO	80045	840166760	501(C)(3)	$35,995	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS97	LOS ANGELES	CA	90027	951690977	501(C)(3)	$182,085	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL MEDICAL CENTER
3333 BURNET AVE MLC4900	CINCINNATI	OH	452293039	310833936	501(C)(3)	$153,353	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL OF PHILADELPHIA
3401 CIVIC CENTER BLVD	PHILADELPHIA	PA	191044318	231352166	501(C)(3)	$306,566	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S NATIONAL MEDICAL CENTER
111 MICHIGAN AVE NW	WASHINGTON	DC	20010	521640403	501(C)(3)	$24,965	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILKAT VALLEY PRESCHOOL
BOX 1165	HAINES	AK	99827	920043505	501(C)(3)	$20,000	GRANT FOR NEW CHILKAT VALLEY PRESCHOOL FACILITY
CITY OF HOPE NATIONAL MEDICAL CENTER
1500 E DUARTE RD	DUARTE	CA	91010	951683875	501(C)(3)	$14,290	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CITY OF SAXMAN
ROUTE 2 BOX 1	KETCHIKAN	AK	99901	920041226	GOVERNMENT	$20,000	GRANT FOR START-UP FUNDING OF BOYS AND GIRLS CLUB AT SAXMAN COMMUNITY CENTER
CITY OF SEATTLE
100 DEXTER AVE N	SEATTLE	WA	981095199	916001275	GOVERNMENT	$17,000	DONATION TO SEATTLE PARKS AND RECREATION'S SWIM SCHOLARSHIP FUND AND SPONSORSHIPS OF BIG DAY OF PLAY AND FRESH BUCKS PROGRAM
COLUMBIA UNIVERSITY
PO BOX 26453	NEW YORK	NY	10032	135598093	501(C)(3)	$86,819	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CONNECTICUT CHILDREN'S MEDICAL CENTER
282 WASHINGTON ST	HARTFORD	CT	06106	060646755	501(C)(3)	$39,577	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVE	FORT WORTH	TX	76104	752051646	501(C)(3)	$10,363	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CROHN'S AND COLITIS FOUNDATION OF AMERICA NORTHWEST CHAPTER
9 LAKE BELLEVUE DR SUITE 203	BELLEVUE	WA	98005	136193105	501(C)(3)	$8,000	SPONSORSHIPS OF BENEFIT LUNCHEON, TAKE STEPS WALK AND FALL EVENT, & PEDIATRIC EDUCATION SYMPOSIUM
CYSTIC FIBROSIS FOUNDATION
6931 ARLINGTON RD	BETHESDA	MD	20814	131930701	501(C)(3)	$9,000	SPONSORSHIP OF 65 ROSES EVENT
DANA-FARBER CANCER INSTITUTE
450 BROOKLINE AVE BP451	BOSTON	MA	02215	042263040	501(C)(3)	$12,953	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
DOWNTOWN SEATTLE ASSOCIATION
600 STEWART ST SUITE 200	SEATTLE	WA	98101	910681761	501(C)(4)	$7,400	ANNUAL MEETING SPONSORSHIP AND STATE OF DOWNTOWN SPONSORSHIP
EASTERN VIRGINIA MEDICAL SCHOOL
855 W BRAMBLETON AVE	NORFOLK	VA	23510	546055378	GOVERNMENT	$10,952	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
EMORY UNIVERSITY
PO BOX 935084	ATLANTA	GA	311935084	580566256	501(C)(3)	$223,579	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
FLORIDA HEALTH SCIENCES CENTER INC
PO BOX 1289	TAMPA	FL	33601	593458145	501(C)(3)	$5,015	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
FOUNDATION FOR HEALTHY GENERATIONS
419 THIRD AVE W	SEATTLE	WA	98119	916186093	501(C)(3)	$10,300	SUPPORT FOR CHILDHOOD OBESITY PREVENTION COALITION AND CONFERENCE SPONSORSHIP
FRED HUTCHINSON CANCER RESEARCH CENTER
1100 FAIRVIEW AVE N	SEATTLE	WA	98109	237156071	501(C)(3)	$2,965,113	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD AND SUPPORT OF NEURO-ONCOLOGY RESEARCH IN PEDIATRIC BRAIN TUMORS
GAPPS
19009 33RD AVE W SUITE 200	LYNNWOOD	WA	98036	814625437	501(C)(3)	$915,000	FINANCIAL SUPPORT TO THE GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH
GEORGIA REGENTS UNIVERSITY
PO BOX 945552	ATLANTA	GA	303945552	581418202	501(C)(3)	$8,483	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
GIRLS ON THE RUN OF PUGET SOUND
1404 E YESLER WAY SUITE 201	SEATTLE	WA	98122	841618574	501(C)(3)	$6,500	SPONSORSHIP OF 5K RUN EVENT AND BUILDING HEALTHY HABITS IN PUGET SOUND
GLACIER SWIM CLUB
PO BOX 35382	JUNEAU	AK	99803	920076485	501(C)(3)	$10,000	GRANT TO SUPPORT THE PURCHASE AND INSTALLATION OF DRY LAND GYM EQUIPMENT
GROUP HEALTH FOUNDATION
320 WESTLAKE AVE N SUITE 100	SEATTLE	WA	98109	911246278	501(C)(3)	$7,000	GIFT OF HEALTH GALA SPONSORSHIP
HARTFORD HOSPITAL
80 SEYMOUR ST	HARTFORD	CT	06102	060646668	501(C)(3)	$8,775	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
HEALTHY ALASKA NATIVES FOUNDATION
4000 AMBASSADOR DRIVE	ANCHORAGE	AK	99508	920162721	501(C)(3)	$8,750	SPONSORSHIP OF RAVEN'S BALL EVENT
HYDABURG COOPERATIVE ASSOCIATION
PO BOX 349	HYDABURG	AK	99922	910485847		$19,000	GRANT FOR YOUTH AND ADULT CARVING PARTNERSHIP PROJECT "LEARNING FROM THE MASTERS"
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PL BOX 3500	NEW YORK	NY	10029	136171197	501(C)(3)	$69,734	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
INDIANA UNIVERSITY
DEPT 78867 PO BOX 78000	DETROIT	MI	482780867	356001673	GOVERNMENT	$253,577	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
JDRF INTERNATIONAL DBA JDRF SEATTLE GUILD
1215 4TH AVE SUITE 1100	SEATTLE	WA	98161	231907729	501(C)(3)	$9,500	SPONSORSHIP OF ANNUAL DREAM GALA
JOHNS HOPKINS UNIVERSITY
12529 COLLECTIONS CENTER DR	CHICAGO	IL	60693	520595110	GOVERNMENT	$230,191	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
KAISER FOUNDATION HEALTH PLAN
PO BOX 34587	SEATTLE	WA	981249990	910511770	501(C)(3)	$212,376	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
KAISER FOUNDATION HOSPITALS
1800 HARRISON ST 16TH FLOOR	OAKLAND	CA	94612	941105628	501(C)(3)	$7,951	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
KLAWOCK CITY SCHOOL DISTRICT
PO BOX 9	KLAWOCK	AK	99925	926000105	GOVERNMENT	$11,000	GRANT FOR INSTRUMENTS FOR INSPIRATION PROGRAM AT KLAWOCK SCHOOL
LAWRENCE BERKELEY NATIONAL LABORATORY
1 CYCLOTRON ROAD	BERKELEY	CA	94720	942951741	GOVERNMENT	$107,655	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MAINE MEDICAL CENTER
22 BRAMHALL ST	PORTLAND	ME	041023175	010238552	501(C)(3)	$47,353	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MARCH OF DIMES
1904 THIRD AVE SUITE 230	SEATTLE	WA	98101	131846366	501(C)(3)	$25,500	SPONSORSHIPS OF NURSE OF THE YEAR EVENT AND MARCH FOR BABIES
MARY HITCHCOCK MEMORIAL HOSPITAL
1 MEDICAL CTR DR	LEBANON	NH	03756	020222140	501(C)(3)	$88,775	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MASSACHUSETTS GENERAL HOSPITAL THE GENERAL HOSPITAL CORPORATION
PO BOX 414876	BOSTON	MA	022414876	042697983	501(C)(3)	$9,498	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MASSACHUSETTS INSTITUTE OF TECHNOLOGY
77 MASSACHUSETTS AVE NE	CAMBRIDGE	MA	021394307	042103594	501(C)(3)	$43,643	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MEDICAL UNIVERSITY OF SOUTH CAROLINA
19 HAGOOD AVE RM 303	CHARLESTON	SC	294258040	576000722	GOVERNMENT	$287,380	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MONMOUTH MEDICAL CENTER INC
300 SECOND AVE STE SH 013	LONG BRANCH	NJ	07740	223452412	501(C)(3)	$22,028	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MULTICARE HEALTH SYSTEM
315 M3-CRD 315 MARTIN LUTHER KING	TACOMA	WA	98405	911352172	501(C)(3)	$131,928	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	JR WAY S
NACHRI
PO BOX 79311	BALTIMORE	MD	212790311	510120256	501(C)(3)	$7,038	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
NATIONAL JEWISH HEALTH
1400 JACKSON ST M216	DENVER	CO	80206	742044647	501(C)(3)	$144,476	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
NEW YORK MEDICAL COLLEGE
40 SUNSHINE COTTAGE RD	VALHALLA	NY	10595	131099420	501(C)(3)	$59,049	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
NORTHSHORE UNIVERSITY HEALTH SYSTEM
1001 UNIVERSITY PL	EVANSTON	IL	60201	362167060	501(C)(3)	$85,509	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
NORTHWESTERN UNIVERSITY
633 CLARK G-547	EVANSTON	IL	60208	362167817	501(C)(3)	$6,266	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
OREGON HEALTH AND SCIENCE UNIVERSITY
0690 SW BANCROFT ST MAIL CODE	PORTLAND	OR	97239	931176109	GOVERNMENT	$114,293	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	L106SPA
PACIFIC SCIENCE CENTER FOUNDATION
200 SECOND AVE N	SEATTLE	WA	981094895	910750867	501(C)(3)	$25,000	SPONSORSHIP OF FOUNDATIONS OF SCIENCE BREAKFAST AND SCIENCE IN THE CITY LECTURE SERIES
PENNSYLVANIA STATE UNIVERSITY
CONTROLLERS OFFICE G230 PO BOX 850	HERSHEY	PA	17033	246000376	GOVERNMENT	$45,748	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
PORTLAND STATE UNIVERSITY
PO BOX 751	PORTLAND	OR	972070751	364776757	GOVERNMENT	$38,531	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
PROGRAM FOR EARLY PARENT SUPPORT
4649 SUNNYSIDE AVE N SUITE 324	SEATTLE	WA	98103	911212698	501(C)(3)	$6,000	ANNUAL SPONSORSHIP
PROVIDENCE HEALTH & SERVICES WASHINGTON
PO BOX 190005	ANCHORAGE	AK	995190005	920016429	501(C)(3)	$29,261	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
RAND CORPORATION
PO BOX 2138	SANTA MONICA	CA	904072138	951958142	501(C)(3)	$156,171	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)	$17,202	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO
BOX 0897	SAN FRANCISCO	CA	94143	946036493	501(C)(3)	$39,431	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
REGENTS OF THE UNIVERSITY OF MINNESOTA
PO BOX 1450 NW 5957	MINNEAPOLIS	MN	554855957	416007513	GOVERNMENT	$130,542	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES
PO BOX 951432	LOS ANGELES	CA	900959000	956006143	501(C)(3)	$197,790	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL
700 CHILDRENS DR	COLUMBUS	OH	43205	316056230	501(C)(3)	$575,224	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
RONALD MCDONALD HOUSE CHARITIES OF WESTERN WASHINGTON & ALASKA
5130 40TH AVENUE NE	SEATTLE	WA	98105	911061043	501(C)(3)	$472,895	SUPPORT FOR HOUSING PROGRAMS AND GALA SPONSORSHIP - SPONSOR A FAMILY
RUTGERS THE STATE UNIVERSITY OF NEW JERSEY
65 DAVIDSON RD ROOM 306	PISCATAWAY	NJ	088545602	462354111	GOVERNMENT	$32,497	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
SAGE BIONETWORKS
1100 FAIRVIEW AVE N M1-C110	SEATTLE	WA	98121	264489946	501(C)(3)	$85,401	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
SAN DIEGO STATE UNIVERSITY FOUNDATION
5250 CAMPANILE DR	SAN DIEGO	CA	921821948	956042721	501(C)(3)	$32,078	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
SANFORD RESEARCH USD
2301 E 60TH ST N	SIOUX FALLS	SD	571040589	460450378	501(C)(3)	$6,483	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
SETON HEALTHCARE NETWORK
PO BOX 204242	DALLAS	TX	753204242	741109643	501(C)(3)	$9,923	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
SOLID GROUND WASHINGTON
1501 N 45TH ST	SEATTLE	WA	98103	237421892	501(C)(3)	$10,000	SPONSORSHIP OF FOOD TRUCK TASTE OFF EVENT
SOUTHEAST ALASKA INDEPENDENT LIVING
3225 HOSPITAL DR SUITE 300	JUNEAU	AK	99801	920144370	501(C)(3)	$20,000	GRANT FOR PHASE THREE OF COMMUNITY PLAYGROUND PROJECT
SPECTRUM HEALTH HOSPITALS
100 MICHIGAN ST NE MC 038	GRAND RAPIDS	MI	49503	381360529	501(C)(3)	$41,051	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
ST FRANCIS MEDICAL CENTER
530 NE GLEN AVE	PEORIA	IL	61637	370662569	501(C)(3)	$12,382	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
ST LOUIS UNIVERSITY
FUSZ HALL ROOM 368 3700 W PINE MALL	ST LOUIS	MO	631083306	430654872	501(C)(3)	$69,613	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	MALL
ST LUKE'S REGIONAL MEDICAL CENTER
190 E BANNOCK ST	BOISE	ID	83712	820161600	501(C)(3)	$51,700	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
STANFORD UNIVERSITY
PO BOX 44253	SAN FRANCISCO	CA	94144	941156365	501(C)(3)	$73,872	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
SWEDISH HEALTH SERVICES
1730 MINOR AVE MET PARK EAST BOX 75	SEATTLE	WA	981011498	910433740	501(C)(3)	$87,269	GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD	75
TEXAS A AND M UNIVERSITY
400 HARVEY MITCHELL PKWY S 300	COLLEGE STATION	TX	77845	746000531	GOVERNMENT	$57,281	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE CHILDREN'S MERCY HOSPITAL
PO BOX 803852	KANSAS CITY	MO	64180	440605373	501(C)(3)	$49,981	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RD 5TH FLOOR	WESTBURY	NY	11590	112673595	501(C)(3)	$38,661	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE MEDICAL COLLEGE OF WISCONSIN INC
8701 WATERTOWN AND PLANK RD PO BOX	MILWAUKEE	WI	532260509	390806261	501(C)(3)	$142,280	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	26509
THE NEMOURS FOUNDATION
10140 CENTURION PKWY N	JACKSONVILLE	FL	32256	590634433	501(C)(3)	$96,423	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)	$114,705	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE UNIVERSITY OF TEXAS SOUTHWEST MEDICAL CENTER
PO BOX 842265	DALLAS	TX	752842265	756002868	GOVERNMENT	$74,639	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE UNIVERSITY OF VERMONT MEDICAL CENTER INC
111 COLCHESTER AVE	BURLINGTON	VT	05401	030219309	501(C)(3)	$5,243	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
TOLEDO HOSPITAL
2142 N COVE BLVD	TOLEDO	OH	43606	344428256	501(C)(3)	$9,181	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNITED WAY OF KING COUNTY
720 SECOND AVE	SEATTLE	WA	98104	910565555	501(C)(3)	$20,000	SUPPORT FOR FUEL YOUR FUTURE PROGRAM
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
11100 EUCLID AVE	CLEVELAND	OH	482781686	341567805	501(C)(3)	$92,918	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ALABAMA AT BIRMINGHAM
1600 7TH AVE S ACC 620	BIRMINGHAM	AL	352940109	636005396	GOVERNMENT	$501,931	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ARIZONA
1303 E UNIVERSITY BLVD BOX 3	TUCSON	AZ	857190521	742652689	GOVERNMENT	$41,374	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
4301 W MARKHAM ST	LITTLE ROCK	AR	72205	716046242	GOVERNMENT	$5,945	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF COLORADO
PO BOX 910238	DENVER	CO	802910238	846000555	GOVERNMENT	$457,545	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD AND GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD
UNIVERSITY OF FLORIDA
PO BOX 113001	GAINESVILLE	FL	32611	596002052	GOVERNMENT	$84,152	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ILLINOIS AT CHICAGO
28395 NETWORK PL	CHICAGO	IL	606731283	376000511	GOVERNMENT	$37,940	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF IOWA
118 S CLINTON ST	IOWA CITY	IA	52242	426004813	GOVERNMENT	$82,102	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)	$53,111	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION
138 LEADER AVE SUITE 249	LEXINGTON	KY	40508	616033693	501(C)(3)	$128,066	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF MASSACHUSETTS
55 LAKE AVE N	WORCESTER	MA	01655	043167352	GOVERNMENT	$26,063	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF MIAMI
PO BOX 405803	ATLANTA	GA	303845803	590624458	GOVERNMENT	$24,821	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF MICHIGAN
BOX 223131	PITTSBURGH	PA	152512131	386006309	GOVERNMENT	$44,419	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF NEBRASKA BOARD OF REGENTS
985100 NEBRASKA MEDICAL CENTER	OMAHA	NE	681985100	470049123	501(C)(3)	$89,994	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF NORTH CAROLINA
PO BOX 402420	ATLANTA	GA	303842420	566001393	GOVERNMENT	$324,062	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF OREGON
PO BOX 3237	EUGENE	OR	874030237	936001786	GOVERNMENT	$52,525	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF PENNSYLVANIA
PO BOX 785541	PHILADELPHIA	PA	191785541	231352685	501(C)(3)	$134,056	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF PITTSBURGH
PO BOX 371220	PITTSBURGH	PA	152517220	250965591	501(C)(3)	$353,778	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ROCHESTER
601 ELMWOOD AVE BOX 777	ROCHESTER	NY	14642	160743209	501(C)(3)	$67,437	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF TENNESSEE
62 S DUNLAP ST SUITE 300	MEMPHIS	TN	38163	626001636	GOVERNMENT	$14,735	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF UTAH
201 S PRESIDENTS CIRCLE ROOM 406	SALT LAKE CITY	UT	84112	876000525	GOVERNMENT	$235,279	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE
85 S PROSPECT ST	BURLINGTON	VT	05405	030179440	501(C)(3)	$24,322	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF VIRGINIA
PO BOX 400201	CHARLOTTESVILLE	VA	229041034	546001796	501(C)(3)	$11,469	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF WASHINGTON
12455 COLLECTIONS DR	CHICAGO	IL	60693	916001537	GOVERNMENT	$5,128,875	SUPPORT FOR DEPARTMENT OF IMMUNOLOGY AND PATHOBIOLOGY GRADUATE EDUCATION PROGRAMS, NEUROLOGICAL DEVELOPMENT RESEARCH, PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD, GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD, AND SPONSORSHIPS OF SCHOOL OF SOCIAL WORK, FOREFRONT INNOVATIONS IN SUICIDE PREVENTION EVENT, AND SCHOOL OF NURSING.
UNIVERSITY OF WISCONSIN
600 HIGHLAND AVE MC 9988	MADISON	WI	537920001	396006492	GOVERNMENT	$57,652	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
VANDERBILT UNIVERSITY MEDICAL CENTER
PO BOX 121236	DALLAS	TX	753121236	620476822	501(C)(3)	$349,259	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
VIRGINIA COMMONWEALTH UNIVERSITY
PO BOX 843039	RICHMOND	VA	232842506	546001758	GOVERNMENT	$215,889	GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD AND PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WASHINGTON STATE UNIVERSITY
PO BOX 645220	PULLMAN	WA	991645220	911075542	GOVERNMENT	$402,416	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WASHINGTON UNIVERSITY
660 S EUCLID BOX 8009	ST LOUIS	MO	63110	430653611	501(C)(3)	$151,251	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WAYNE STATE UNIVERSITY
PO BOX 02788	DETROIT	MI	48202	386028429	GOVERNMENT	$59,519	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WEST VIRGINIA UNIVERSITY RESEARCH
886 CHESTNUT RIDGE RD PO BOX 6845	MORGANTOWN	WV	265066845	550665758	501(C)(3)	$14,821	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
2811 TIETON DR	YAKIMA	WA	98902	910567263	501(C)(3)	$104,534	GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD AND PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
YALE UNIVERSITY
333 CEDAR ST I-100 SHM	NEW HAVEN	CT	065208087	060646973	501(C)(3)	$28,522	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)	$9,268	SPONSORSHIP OF INSPIRE LUNCHEON AND SHADES OF LEADERSHIP EVENT

Field	Value	IRS element (for citing)
Total501c3 Org	140	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (13 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
COLLEGE SCHOLARSHIPS FOR HOSPITAL VOLUNTEERS	2	$5,333
SUPPORT TO PATIENT FAMILIES WITH EMERGENT NEEDS	485		$12,127	MARKET VALUE	GIFT CARDS
SUPPORT TO PATIENT FAMILIES TO MEET VARIOUS NEEDS	1	$20
SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	1166		$40,736	MARKET VALUE	MEAL VOUCHERS TO CAFETERIA AND STARBUCKS GIFT CARDS
SUPPORT TO PATIENT FAMILIES TO PURCHASE GAS FOR TRANSPORTATION TO APPOINTMENTS	453		$21,420	MARKET VALUE	GAS CARDS
SUPPORT TO PATIENT FAMILIES TO PURCHASE GROCERIES	369		$20,645	MARKET VALUE	GROCERY GIFT CARDS
SUPPORT TO PATIENTS AND FAMILIES WHO ARE ADMITTED ON AN EMERGENT / URGENT BASIS	124		$1,828	MARKET VALUE	CLOTHING
SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	91		$1,598	MARKET VALUE	FOOD BAGS
SUPPORT TO PATIENT FAMILIES FOR TEMPORARY HOUSING AND RENTAL ASSISTANCE	100		$71,245	ACTUAL COST	PAYMENTS TO HOUSING AND RENTAL COMPANIES AND FOR PROPERTY TAXES
SUPPORT TO PATIENT FAMILIES FOR TRANSPORTATION AND TRAVEL	174		$16,807	ACTUAL COST	PAYMENTS TO TRANSPORTATION COMPANIES, FOR CAR LOANS, AND FOR AUTO INSURANCE
SUPPORT TO PATIENT FAMILIES FOR FUNERAL EXPENSES	39		$7,785	ACTUAL COST	PAYMENTS TO FUNERAL HOMES
SUPPORT TO PATIENT FAMILIES FOR UTILITY EXPENSES, STORAGE, AND HOME MAINTENANCE	9		$4,704	ACTUAL COST	PAYMENTS TO UTILITY COMPANIES, STORAGE COMPANIES, HOUSECLEANERS, AND FOR HOME REPAIR COSTS
SUPPORT TO PATIENT FAMILIES FOR MEDICAL EQUIPMENT	8		$1,406	ACTUAL COST	PAYMENTS TO MEDICAL EQUIPMENT PROVIDERS

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KELLY WALLACE
SENIOR VP & CHIEF FINANCIAL OFFICER	$378,731	$126,244	$190,068	$63,356	$61,580	$260,921	$13,220	$78,513	$15,927	$5,309	$659,526	$534,343	$0	$259,938
JEFF SPERRING MD
CEO/NON-VOTING EX-OFFICIO TRUSTEE	$597,615	$199,205	$24	$0	$22,225	$2,154	$9,938	$128,808	$18,954	$6,318	$648,756	$336,485	$0	$0
LISA BRANDENBURG
PRESIDENT - HOSPITAL THRU SEPT 2016	$479,383	$0	$315,771	$0	$6,051	$805,385	$17,577	$68,087	$25,081	$0	$843,863	$873,472	$0	$805,385
MARK DEL BECCARO MD
SR VP-CHIEF MED OFF/NON-VOTING TRUST	$464,362	$0	$230,056	$0	$55,708	$0	$18,550	$66,057	$10,350	$0	$779,026	$66,057	$0	$0
SANFORD MELZER MD
EXEC VP-NETWORKS & POPULATION HEALTH	$408,997	$120,156	$238,348	$0	$65,552	$0	$18,550	$80,713	$28,358	$3,390	$759,805	$204,259	$0	$0
JAMES HENDRICKS PHD
PRESIDENT - RESEARCH INSTITUTE	$372,291	$0	$252,907	$0	$12,299	$0	$18,550	$60,110	$28,116	$0	$684,163	$60,110	$0	$0
CINDY GAZECKI
SENIOR VP - HOSPITAL OPERATIONS	$347,287	$0	$155,970	$0	$10,036	$0	$18,550	$43,081	$29,441	$0	$561,284	$43,081	$0	$0
ERIK LAUSUND
VP - RESEARCH OPERATIONS & LOGISTICS	$286,954	$0	$92,301	$0	$68,744	$0	$18,550	$0	$21,939	$0	$488,488	$0	$0	$0
CARA BAILEY
SR VP-CONTINUOUS PERFORMANCE IMPROVE	$266,858	$0	$148,558	$0	$19,734	$0	$18,550	$32,461	$13,081	$0	$466,781	$32,461	$0	$0
SUZANNE PETERSEN
VP - EXTERNAL AFFAIRS	$339,562	$0	$57,687	$0	$24,022	$0	$18,550	$0	$24,635	$0	$464,456	$0	$0	$0
JEFFREY BROWN
SR VP - CHIEF INFORMATION OFFICER	$344,771	$0	$40,380	$0	$15,706	$0	$9,101	$38,232	$18,974	$0	$428,932	$38,232	$0	$0
TODD JOHNSON
VP - FACILITIES	$274,661	$0	$92,155	$0	$12,560	$0	$18,550	$0	$27,472	$0	$425,398	$0	$0	$0
MICHAEL MURPHY
VP - ACN & EXEC DIR INTEGRATED CARE	$333,678	$0	$20,700	$0	$3,872	$0	$4,263	$0	$21,401	$0	$383,914	$0	$0	$0
WARREN HEWITT
VP - FINANCE	$232,948	$14,299	$62,417	$0	$40,472	$341	$18,550	$0	$19,266	$1,285	$373,653	$15,925	$0	$0
MADLYN MURREY
SR VP - CHIEF NURSING OFFICER	$334,396	$0	$68	$0	$8,175	$0	$18,550	$25,006	$18,808	$0	$379,997	$25,006	$0	$0
STEPHANIE AXELROD
VP - COMMUNITY RELATIONS	$242,529	$0	$78,641	$0	$6,664	$0	$18,550	$0	$23,200	$0	$369,584	$0	$0	$0
KATHY JO FREEMAN
VP - SERVICE LINE SURGICAL SPEC.	$206,240	$0	$69,498	$0	$43,857	$0	$17,244	$0	$29,524	$0	$366,363	$0	$0	$0
ERIC THAM MD
INTERIM CHIEF INFORMATION OFFICER	$281,114	$0	$32,175	$0	$290	$0	$13,250	$0	$31,968	$0	$358,797	$0	$0	$0
GREGORY BLACKBURN
VP - CLINICAL SUPPORT SERVICES	$224,355	$0	$37,146	$0	$4,637	$0	$13,475	$0	$27,137	$0	$306,750	$0	$0	$0
PAMELA ROCK
VP-MED SERV LINE & SPECIAL PROGRAMS	$205,686	$0	$19,226	$0	$32,555	$0	$17,285	$0	$12,894	$0	$287,646	$0	$0	$0
JENNIFER BECKER
VP - AMBULATORY SERVICES	$217,534	$0	$22,170	$0	$17,430	$0	$17,919	$0	$13,543	$0	$288,596	$0	$0	$0
SCOTT BINGHAM
INTERIM CHIEF INFORMATION OFFICER	$211,219	$0	$39,217	$0	$445	$0	$15,179	$0	$16,062	$0	$282,122	$0	$0	$0
THOMAS HANSEN MD
PAST CEO/PRINCIPAL INVESTIGATOR	$186,733	$0	$245,686	$0	$2,239	$727,972	$18,457	$0	$9,431	$0	$462,546	$727,972	$0	$727,972
DOUGLAS PICHA
PRESIDENT - FOUNDATION	$38,021	$342,189	$24,374	$219,007	$79,021	$2,682	$1,855	$79,172	$2,267	$20,403	$145,538	$663,453	$0	$0
MARK EGBERT DDS
CHIEF - ORAL & MAXILLOFACIAL SURGERY	$452,564	$0	$111,833	$0	$13,865	$0	$18,550	$0	$30,578	$0	$627,390	$0	$0	$0
MICHAEL ASTION MD PHD
MEDICAL DIRECTOR - LABORATORIES	$477,934	$0	$33,828	$0	$8,738	$0	$17,996	$0	$31,379	$0	$569,875	$0	$0	$0
CRAIG RUBENS MD PHD
EXECUTIVE DIRECTOR - GAPPS	$355,521	$0	$88,861	$0	$3,023	$0	$16,591	$0	$20,942	$0	$484,938	$0	$0	$0
SUSAN HEATH
FORMER SR VP & CHIEF NURSING OFFICER	$141,060	$0	$52,309	$0	$44,130	$0	$16,446	$0	$4,788	$0	$258,733	$0	$0	$0
ALEXANDER GARRARD
FORMER VP - HUMAN RESOURCES	$137,912	$0	$42,908	$0	$43,161	$0	$15,915	$0	$17,386	$0	$257,282	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	BUSINESS OR FIRST CLASS TRAVEL IS PROVIDED TO EMPLOYEES IN THE EVENT OF MEDICAL NECESSITY OR ON CERTAIN INTERNATIONAL FLIGHTS OF LONG DURATION. THIS IS NOT TREATED AS COMPENSATION. THE CHIEF EXECUTIVE OFFICER IS PROVIDED MEMBERSHIP TO THE RAINIER CLUB. ANNUAL DUES ARE REPORTED AS TAXABLE COMPENSATION. STEPHANIE AXELROD IS PROVIDED ROTARY CLUB MEMBERSHIP, WHICH IS NOT TREATED AS COMPENSATION.
PART I, LINE 4B	THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: KELLY WALLACE - $74,106 DEFERRED COMPENSATION, $259,938 REPORTABLE PAYMENT. JEFF SPERRING MD - $125,496 DEFERRED COMPENSATION. LISA BRANDENBURG - $68,087 DEFERRED COMPENSATION, $805,385 REPORTABLE PAYMENT. MARK DEL BECCARO MD - $66,057 DEFERRED COMPENSATION. SANFORD MELZER MD - $68,517 DEFERRED COMPENSATION. JAMES HENDRICKS MD - $60,110 DEFERRED COMPENSATION. CINDY GAZECKI - $43,081 DEFERRED COMPENSATION. CARA BAILEY - $32,461 DEFERRED COMPENSATION. JEFFREY BROWN - $38,232 DEFERRED COMPENSATION. MADLYN MURREY - $25,006 DEFERRED COMPENSATION. THOMAS HANSEN MD - $727,972 REPORTABLE PAYMENT. DOUGLAS PICHA - $62,477 DEFERRED COMPENSATION.
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: KELLY WALLACE - $259,938 LISA BRANDENBURG - $805,385 THOMAS HANSEN MD - $727,972

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt
A	$127,016,720	$1,312,336	$45,097,099	$80,607,285	2018	0	0	0	Yes (1)
B	$303,944,485	$2,600,625	$103,865,301		2015	0	Yes (1)	Yes (1)	Yes (1)	$62,441	$197,416,118
C	$80,423,004		$50,003,342		2013	0	Yes (1)	Yes (1)	Yes (1)	$285	$30,419,377
D	$142,165,000				2012	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	0	Yes (1)
B	Yes (1)	0	0	Yes (1)
C	Yes (1)	Yes (1)	0	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

ENTITY 1 - FIRST SCHEDULE:

PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017A (SEATTLE CHILDREN'S HOSPITAL), ("THE 2017A BONDS"), WERE ISSUED TO (I) PAY AND/OR REIMBURSE SEATTLE CHILDREN'S HOSPITAL ("CHILDREN'S") FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING, EQUIPPING AND IMPROVING CERTAIN HEALTH CARE FACILITIES THAT ARE OR WILL BE OWNED AND OPERATED BY CHILDREN'S, INCLUDING HEALTH CARE FACILITIES LOCATED AT ITS SEATTLE CAMPUS IN SEATTLE, WASHINGTON AND THE CONSTRUCTION AND EQUIPPING OF A NEW CLINIC IN EVERETT, WASHINGTON, AND (II) PAY THE COSTS OF ISSUING THE SERIES 2017A BONDS. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2015A AND REFUNDING REVENUE BONDS, SERIES 2015B (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2015A/B BONDS"), WERE ISSUED TO (I) TO PROVIDE PART OF THE FUNDS NECESSARY TO 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 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 $370,573.00. 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 FILING DATE. 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 FILING DATE. IT IS EXPECTED THE SERIES 2015A/B BONDS WILL MEET AN EXCEPTION TO REBATE. 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%. PART IV, ARBITRAGE: COLUMN C, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON OCTOBER 11, 2012.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

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

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MCKINSTRY COMPANY
DEAN ALLEN, TRUSTEE, IS CEO AND PART OWNER OF MCKINSTRY COMPANY.	$191,507	SERVICES	0
ELLEN FISCHER
FAMILY MEMBER OF DR. ROB ROSKIN, TRUSTEE	$46,099	EMPLOYMENT	0
JULIE MARTINA
FAMILY MEMBER OF ALVIN WINTERROTH, TRUSTEE	$55,581	EMPLOYMENT	0
DAWN COTTER
FAMILY MEMBER OF DR. MARK DEL BECCARO, KEY EMPLOYEE	$234,866	EMPLOYMENT	0
SARAH BOWDEN
FAMILY MEMBER OF WARREN HEWITT, KEY EMPLOYEE	$52,781	EMPLOYMENT	0

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$15,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$29,233	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	35	ContributionCnt
Noncash Contributions Rpt F990	$2,699,030	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	CLOUD SERVICES	1	$129,249	MARKET VALUE
Yes (X)	GAMES AND TOYS	11	$41,461	MARKET VALUE
Yes (X)	AMAZON KINDLES	300	$29,997	MARKET VALUE
Yes (X)	GIFT CARDS	34	$12,127	MARKET VALUE

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, COLUMN (B):	LINE 9 - 35 DONATIONS OF VARIOUS AMOUNTS OF SECURITIES, LINE 25 - ONE DONATION OF CLOUD SERVICES, LINE 26 - ONE DONATION OF 10 MOBILE GAMING GO KARTS AND ONE DONATION OF LEGOS, LINE 27 - ONE DONATION OF 300 AMAZON KINDLE DEVICES, LINE 28 - 34 DONATIONS OF VARIOUS AMOUNTS OF GIFT CARDS.
PART I, LINE 32B:	SEATTLE CHILDREN'S HOSPITAL FOUNDATION AND SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION (RELATED ORGANIZATIONS) SOLICIT BOTH CASH AND NON-CASH GIFTS ON BEHALF OF SEATTLE CHILDREN'S HOSPITAL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (24 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6:	SEATTLE CHILDREN'S HOSPITAL HAS A DEDICATED GROUP OF VOLUNTEERS WHO GENEROUSLY GIVE THEIR TIME AND ENERGY TO SUPPORTING THE MISSION OF THE HOSPITAL. IN FISCAL YEAR 2017, 769 VOLUNTEERS, AFTER COMPLETING A THOROUGH INTERVIEW AND TRAINING PROCESS, LOGGED 81,732 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, 23 UNCOMPENSATED TRUSTEES SERVED ON THE SEATTLE CHILDREN'S HOSPITAL BOARD DURING FISCAL YEAR 2017. IN ALL THAT THEY DO, OUR VOLUNTEERS ARE HIGHLY VALUED MEMBERS OF OUR HOSPITAL COMMUNITY.
FORM 990, PART III, LINE 2	SEATTLE CHILDREN'S CARE NETWORK IS A NEW PROGRAM SERVICE ACTIVITY. SEE SCHEDULE O DESCRIPTION FOR FORM 990, PART III, LINE 4D.
FORM 990, PART VI, SECTION A, LINE 2	LISA BRANDENBURG HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN. WARREN HEWITT HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, JOEL BENOLIEL, SUSAN BETCHER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, COLIN FOX, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, MICHELE SMITH, JEFF SPERRING, CHARLES STEVENS, KELLY WALLACE, AND ALVIN WINTERROTH. JEFF SPERRING HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, JOEL BENOLIEL, SUSAN BETCHER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, COLIN FOX, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, MICHELE SMITH, CHARLES STEVENS, KELLY WALLACE, AND ALVIN WINTERROTH. KELLY WALLACE HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, JOEL BENOLIEL, SUSAN BETCHER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, COLIN FOX, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, MICHELE SMITH, CHARLES STEVENS, AND ALVIN WINTERROTH.
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 EFFECTED 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 XI, LINE 9:	CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS 8,252,204. CHANGE IN BENEFICIAL INTEREST IN SCHS 12,671,554.
2017/2018 COMMUNITY BENEFIT REPORT	LETTER FROM OUR CHIEF EXECUTIVE OFFICER FOR THE FIRST 46 YEARS OF OUR HISTORY, SEATTLE CHILDREN'S WAS LOCATED ATOP QUEEN ANNE HILL, ABOVE THE COMMUNITY WE SERVE. BUT ABOVE HAS NEVER MEANT APART. CARING FOR THE CHILDREN AND FAMILIES IN OUR REGION MEANS WORKING WITH AND WITHIN COMMUNITIES TO CREATE SAFER AND HEALTHIER PLACES TO LIVE. THIS SPIRIT OF OUTREACH LIVES IN OUR MANY PARTNERSHIPS WITH PEOPLE AND ORGANIZATIONS WHO WORK WITH US TO MEET SOME OF THE MOST URGENT HEALTH NEEDS IN OUR REGION. TOGETHER WITH FAMILIES, COMMUNITY-BASED ORGANIZATIONS, DONORS, PUBLIC HEALTH DEPARTMENTS AND OTHERS, SEATTLE CHILDREN'S SEEKS TO: - ENHANCE ACCESS TO MENTAL AND BEHAVIORAL HEALTH. - IMPROVE COORDINATION OF CARE FOR CHILDREN WITH CHRONIC CONDITIONS. - EXPAND ACCESS TO HEALTHY EATING AND ACTIVE LIVING, INCLUDING FIGHTING FOOD INSECURITY. - DECREASE INCIDENTS OF SUICIDE AND INCREASE VIOLENCE PREVENTION ACTIVITIES. I'M PLEASED TO SHARE THE HIGHLIGHTS OF SEATTLE CHILDREN'S COMMUNITY BENEFIT ACTIVITIES OVER THE PAST YEAR. AS YOU TURN THE PAGES OF THIS REPORT, YOU WILL READ ABOUT OUR PARTNERSHIP WITH HIGHLINE PUBLIC SCHOOLS TO INSPIRE CAREERS IN BIOMEDICAL RESEARCH AND HEALTHCARE; A NETWORK THAT UNITES PEOPLE FROM ALL PERSPECTIVES TO ADDRESS FIREARM SAFETY; A MOM'S ENDURING GRATITUDE FOR OUR UNCOMPENSATED CARE PROGRAM; AND MUCH MORE. ALTHOUGH OUR WORK IS FAR FROM DONE, WITH THE SUPPORT OF OUR MANY PARTNERS WE WILL CONTINUE OUR RELENTLESS WORK TO CREATE A HEALTHIER COMMUNITY. SINCERELY, JEFF SPERRING, MD CHIEF EXECUTIVE OFFICER
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. TOTAL 2017 INVESTMENT IN THE COMMUNITY: $245,893,000* UNCOMPENSATED CARE & MEDICAID SHORTFALL: $164,605,000 HEALTH PROFESSIONS EDUCATION: $24,802,000 RESEARCH: $44,090,000 COMMUNITY PROGRAMS AND SERVICES: $12,396,000 *DOES NOT INCLUDE GRANTS AND CONTRIBUTIONS SEATTLE CHILDREN'S RECEIVED THAT SUPPORT COMMUNITY BENEFIT PROGRAMS
COMMUNITY PROGRAMS AND SERVICES	A HOSPITAL CANNOT FULFILL ITS MISSION WORKING ENTIRELY WITHIN ITS WALLS. SEATTLE CHILDREN'S STAFF AND PROVIDERS REACH BEYOND OUR CAMPUS EVERY DAY TO CREATE SAFER AND HEALTHIER COMMUNITIES. IN COLLABORATION WITH OTHERS, WE STRIVE TO PREVENT UNDERLYING CAUSES OF ILLNESS AND INJURY, PROVIDE A VOICE FOR FAMILIES WHO AREN'T ALWAYS HEARD, AND PROMOTE PUBLIC POLICIES THAT IMPROVE CHILD HEALTH. GENDER CLINIC MEETS GROWING NEED A RECENT STUDY SHOWS THE NUMBER OF PEOPLE WHO IDENTIFY AS TRANSGENDER IS GROWING - NOW ABOUT ONE IN EVERY 200 PEOPLE IN THE U.S. THE NEW GENDER CLINIC AT SEATTLE CHILDREN'S IS ONE OF A GROWING NUMBER OF PEDIATRIC CLINICS AROUND THE COUNTRY THAT PROVIDE GENDER-AFFIRMING TREATMENT FOR YOUNG PEOPLE WHOSE GENDER IDENTITY IS DIFFERENT FROM THEIR SEX ASSIGNED AT BIRTH. THE CLINIC RECEIVED 550 REFERRALS IN ITS FIRST YEAR OF OPENING. FEW PEDIATRIC PROVIDERS ARE PREPARED TO MEET ALL OF THE COMPLEX NEEDS OF TRANSGENDER YOUTH. LED BY DR. DAVID INWARDS-BRELAND, THE GENDER CLINIC BRINGS TOGETHER PROVIDERS WITH EXPERTISE IN ADOLESCENT MEDICINE, ENDOCRINOLOGY AND BEHAVIORAL MEDICINE WHO WORK CLOSELY TO COORDINATE CARE AND FOLLOW CONSISTENT GUIDELINES. SERVICES INCLUDE READINESS DISCUSSION, PUBERTAL BLOCKERS AND CROSS-SEX HORMONES. REQUESTS FOR SURGERY ARE REFERRED TO EXTERNAL PROVIDERS. TRANSGENDER YOUTH EXPERIENCE HIGHER RATES OF ANXIETY, DEPRESSION, SUBSTANCE ABUSE AND SUICIDE THAN THEIR PEERS. RESEARCH SHOWS THAT DELAYS IN OBTAINING GENDER-AFFIRMING TREATMENT ARE LINKED TO FURTHER PSYCHIATRIC PROBLEMS DOWN THE ROAD. THAT'S WHY THE GENDER CLINIC IS SUCH AN IMPORTANT STEP FORWARD, SAYS INWARDS-BRELAND. "BY MEDICALLY AFFIRMING THEIR GENDER IDENTITY, WE CAN MAKE A DIFFERENCE FOR THESE KIDS," HE SAYS. PUTTING RESEARCH INTO SCHOOLS HIGH SCHOOL STUDENTS AT THE PUGET SOUND SKILLS CENTER (PSSC) IN THE HIGHLINE SCHOOL DISTRICT ARE EXPERIENCING FIRST-HAND THE RESEARCH DONE AT SEATTLE CHILDREN'S RESEARCH INSTITUTE. DR. AMANDA JONES, DIRECTOR OF OUR SCIENCE EDUCATION DEPARTMENT, COLLABORATED WITH A SCIENCE, TECHNOLOGY, ENGINEERING AND MATH (STEM) SPECIALIST AT THE SCHOOL DISTRICT TO CREATE THE BIOMEDICAL RESEARCH AND GLOBAL HEALTH PROGRAM - PART OF A PLAN TO BUILD A PIPELINE OF SCIENCE EDUCATION PROGRAMS THAT SPANS ELEMENTARY SCHOOL THROUGH COLLEGE. DR. NOELLE MACHNIKI, A MEMBER OF THE INSTITUTE'S SCIENCE EDUCATION DEPARTMENT, TEACHES THE YEAR-LONG PROGRAM, HELD IN THE PSSC'S NEW HEALTH SCIENCES BUILDING. THE PSSC DRAWS STUDENTS FROM 22 HIGH SCHOOLS IN THE HIGHLINE, FEDERAL WAY, TUKWILA AND TAHOMA SCHOOL DISTRICTS. THE 19 STUDENTS ENROLLED IN THE PROGRAM MEET IN A LAB WITH STATE-OF-THE-ART EQUIPMENT RARELY SEEN OUTSIDE A PROFESSIONAL FACILITY. THE CURRICULUM IS BASED ON THE CUTTING-EDGE RESEARCH DONE AT THE INSTITUTE. BY BUILDING A STRONG FOUNDATION IN BIOLOGICAL AND LABORATORY SCIENCES AND ADDRESSING EMERGING TECHNOLOGIES, THE PROGRAM PREPARES STUDENTS FOR MANY CAREER OPPORTUNITIES IN BIOMEDICAL RESEARCH AND HEALTHCARE. "A CAREER IN RESEARCH OR HEALTH SCIENCES CAN SEEM INTIMIDATING BECAUSE THE PATHWAY ISN'T ALWAYS CLEAR," MACHNICKI SAYS. "MY HOPE IS THAT STUDENTS SEE SCIENCE AS A VIABLE CAREER OPTION AND HAVE THE CONFIDENCE TO PURSUE A HIGHER DEGREE IN STEM OR APPLY FOR AN ENTRY LEVEL LAB POSITION."
RESEARCH	RESEARCH IS AN ESSENTIAL PART OF OUR MISSION TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. WE'RE COMMITTED TO TRANSLATING OUR DISCOVERIES INTO NEW AND BETTER THERAPIES SO THAT ALL OF OUR PATIENTS - AND CHILDREN AROUND THE WORLD - BENEFIT FROM OUR WORK. DIET QUELLS CROHN'S WITHOUT MEDS INFLAMMATORY BOWEL DISEASE (IBD), BOTH CROHN'S AND ULCERATIVE COLITIS, STRIKES WHEN THE IMMUNE SYSTEM ATTACKS THE DIGESTIVE TRACT. THIS CAN SAP A CHILD'S ENERGY, HALT GROWTH AND SPARK INCESSANT DIARRHEA. STANDARD TREATMENT FOR INFLAMMATORY BOWEL DISEASE INCLUDES MEDICATIONS THAT SUPPRESS THE IMMUNE SYSTEM. BUT THOSE MEDICATIONS DON'T ALWAYS WORK AND CAN LEAVE PATIENTS VULNERABLE TO INFECTIONS AND OTHER SERIOUS CONDITIONS. DR. DAVID SUSKIND IS LEADING RESEARCH ON THE SPECIFIC CARBOHYDRATE DIET (SCD), WHICH HAS HELPED SOME PATIENTS ACHIEVE REMISSION WITHOUT MEDICATION. "THE SCD IS A WHOLE FOODS DIET WHICH ELIMINATES GRAINS, MOST MILK PRODUCTS AND SWEETENERS OUTSIDE OF HONEY. MANY OF OUR PATIENTS HAVE HAD SUCCESS WITH IT, HOWEVER WE ARE STILL RESEARCHING DIFFERENT COMBINATIONS OF FOODS TO IMPROVE PATIENTS' OUTCOMES," SUSKIND SAYS. "WE WANT TO HELP MORE CHILDREN WHO SUFFER FROM IBD LEAD HEALTHY ACTIVE LIVES AND POTENTIALLY FIND ANSWERS WHICH WILL LEAD TO A CURE." SUSKIND IS CONDUCTING A STUDY WHICH EXAMINES THE EFFECT OF DIFFERENT VERSIONS OF THE SCD IN PATIENTS WITH IBD. IN ADDITION, PATIENTS' GUT BACTERIA ARE BEING EXAMINED BEFORE AND AFTER THE DIET. THIS COULD HELP HIS TEAM PINPOINT WHICH SPECIFIC BACTERIA CONTRIBUTE TO IBD. "WE'RE HOPING TO SHOW EXACTLY HOW THE DIET CHANGES THE MICROBIOME AND QUIETS DOWN THE IMMUNE SYSTEM," SUSKIND SAYS. "THIS RESEARCH HAS IMPLICATIONS NOT ONLY FOR IBD BUT ALSO MANY OTHER DISEASES WHICH ARE TRIGGERED BY THE FECAL MICROBIOME." BETTER DIETS THROUGH DATA FOR REFUGEES BETWEEN 2,000 AND 3,000 REFUGEES SETTLE IN WASHINGTON EVERY YEAR - NEARLY HALF UNDER THE AGE OF 20. MANY ARRIVE WITH AT LEAST ONE FORM OF MALNUTRITION. DR. BETH DAWSON-HAHN IS WORKING TO BETTER UNDERSTAND THE NUTRITIONAL RISKS OF CHILD REFUGEES WHEN THEY ARRIVE, HOW THEY CHANGE AS THEY GET USED TO THEIR NEW ENVIRONMENT, AND HOW TO TEACH REFUGEE FAMILIES ABOUT BUYING AND PREPARING HEALTHY FOOD THEY MAY NEVER HAVE TRIED BEFORE. DAWSON-HAHN CO-LED A STUDY THAT ANALYZED GOVERNMENT HEIGHT AND WEIGHT DATA COLLECTED FROM REFUGEES BEFORE THEY LEAVE THEIR HOME COUNTRY. "WE FOUND THAT NEARLY ONE-HALF OF ALL REFUGEE CHILDREN HAD AT LEAST ONE FORM OF MALNUTRITION, AND THERE WAS, AS WE SUSPECTED, A DOUBLE BURDEN OF SOME CHILDREN BEING UNDERWEIGHT AND OTHERS BEING OVERWEIGHT," SHE SAYS. DATA FROM THE STUDY WILL HELP HEALTHCARE PROVIDERS AND NUTRITION PROGRAMS LIKE WOMEN, INFANT AND CHILDREN (WIC) UNDERSTAND THE DIFFERENCES AND SIMILARITIES BETWEEN REFUGEES FROM DIFFERENT COUNTRIES - AND BETWEEN CHILDREN WHO ALREADY LIVE HERE. "IN A BUSY CLINIC, IT'S EASY FOR PROVIDERS TO LUMP ALL REFUGEES TOGETHER, NOT NECESSARILY KNOWING THAT IRAQI CHILDREN MIGHT BE MORE LIKELY TO BE OVERWEIGHT THAN CHILDREN FROM BURMA, FOR EXAMPLE," DAWSON-HAHN SAYS.
HEALTH PROFESSIONS EDUCATION	TRAINING DOCTORS AND NURSES IS AN INVESTMENT IN THE HEALTH OF FUTURE GENERATIONS. BY HOSTING THE UNIVERSITY OF WASHINGTON'S PEDIATRIC RESIDENCY AND FELLOWSHIP PROGRAMS AS WELL AS TRAINING PROVIDERS FROM OTHER SCHOOLS, SEATTLE CHILDREN'S ENSURES CONTINUED ACCESS TO SPECIALIZED PEDIATRIC CARE. WE ALSO PROVIDE CONTINUING MEDICAL EDUCATION TO HUNDREDS OF HEALTHCARE PROFESSIONALS ALREADY CARING FOR KIDS IN THE COMMUNITY. PROVIDING SPECIALIZED EXPERIENCE THE ADVANCED PRACTICE PROVIDER (APP) FELLOWSHIP PROGRAM AT SEATTLE CHILDREN'S PROVIDES SPECIALIZED TRAINING TO NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS WHO ARE NEW TO WORKING WITH PEDIATRIC PATIENTS IN THE APP ROLE. "NURSE PRACTITIONERS COME OUT OF SCHOOL WITH A LOT OF KNOWLEDGE, BUT THE MAJORITY OF NEW HIRES ARE NEW GRADUATES OR HAVE NO EXPERIENCE IN THE SPECIALTY IN WHICH WE HIRED THEM," SAYS RONNA SMITH, DIRECTOR OF THE APP FELLOWSHIP PROGRAM. DURING THE ONE-YEAR PROGRAM, FELLOWS SPEND 70% OF THEIR TIME PROVIDING CLINICAL CARE ALONGSIDE AN EXPERIENCED NURSE PRACTITIONER, 20% OF THEIR TIME OBSERVING IN A CLINICAL AREA AND 10% OF THEIR TIME ATTENDING A WEEKLY LECTURE SERIES. THE GOAL IS TO HIRE THE FELLOWS BY THE END OF THE PROGRAM. KAITLIN HOBAN SPENT SIX YEARS AS A REGISTERED NURSE AT CHILDREN'S BEFORE BECOMING A NURSE PRACTITIONER AND JOINING THE FIRST COHORT OF FOUR AAP FELLOWS. "THE GREATEST PART OF THE PROGRAM IS THAT I AM EXPECTED TO BE A LEARNER AND TO ASK QUESTIONS," HOBAN SAYS. "THE FELLOWSHIP IS PUSHING US TO BE INDEPENDENT WHILE LEARNING AS MUCH AS WE CAN FROM AS MANY DIFFERENT SERVICES TO MAKE US MORE WELL-ROUNDED." ELISE COLE, A CERTIFIED NURSING ASSISTANT ON THE MEDICAL UNIT TALKS WITH CHRISTINA FINCH, A NURSING PROFESSIONAL DEVELOPMENT SPECIALIST WITH THE NURSE RESIDENCY PROGRAM. SUPPORTING FIRST-YEAR NURSES STARTING A NEW CAREER IS NEVER EASY, BUT WHEN THE JOB INVOLVES CARING FOR SERIOUSLY ILL CHILDREN, IT CAN BE ESPECIALLY CHALLENGING. THAT'S WHY SEATTLE CHILDREN'S LAUNCHED A NEW NURSE RESIDENCY PROGRAM FOR REGISTERED NURSES HIRED WITH LESS THAN ONE YEAR OF EXPERIENCE. "WHEN YOU'RE STARTING OFF AS A NURSE, YOU NEED TO BE IN A PLACE WHERE YOU CAN SAY THAT YOU DON'T KNOW SOMETHING, ADMIT ERRORS AND PULL IN OTHERS FOR SUPPORT," SAYS TAMARA LEWIS, WHO WAS PART OF THE PROGRAM'S FIRST CLASS OF 42 NURSES. HAVING PEERS GOING THROUGH THE EXPERIENCE WITH YOU IS ALSO VITALLY IMPORTANT." NURSES ATTEND 21 FOUR-HOUR CLASSES WHERE THEY WORK ON DIFFERENT SKILLS, RUN THROUGH CASE SCENARIOS, LEARN ABOUT POLICIES AND PROCEDURES, LISTEN TO SPEAKERS, AND PARTICIPATE IN SIMULATION TRAINING. NURSES ALSO DISCUSS COPING SKILLS FOR DEALING WITH THE EMOTIONS THAT CAN ARISE FROM CARING FOR KIDS WITH LIFE-THREATENING CONDITIONS. "MANY NURSES COME IN AND THEY'RE SUPER EXCITED AND TERRIFIED AT THE SAME TIME," SAYS STEPHANIE POMMER, MANAGER OF THE PROGRAM. "IT IS THE RIGHT THING TO DO TO HELP NEW GRADS DEVELOP THEIR KNOWLEDGE, BUILD THEIR SKILLS AND WALK BESIDE THEM IN WHAT CAN BE A REALLY CHALLENGING FIRST YEAR ON THE JOB."
UNCOMPENSATED CARE	THE COST OF MEDICAL CARE SHOULD NEVER STAND BETWEEN A CHILD AND THEIR ABILITY TO LIVE THE HEALTHIEST AND MOST FULFILLING LIFE POSSIBLE. OUR FINANCIAL ASSISTANCE PROGRAM HONORS OUR FOUNDING PROMISE TO CARE FOR EVERY CHILD WHO NEEDS US REGARDLESS OF A FAMILY'S ABILITY TO PAY. IN 2017 WE PROVIDED OVER $164 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO. REPAYING A DEBT OF GRATITUDE WITHIN THE NEATLY WRITTEN LEDGER DETAILING THE COST TO SAVE A LIFE, ONE NUMBER STANDS OUT TO DARCY SIEPAK - $2,096.34. THAT WAS THE AMOUNT OF THE BILL FROM SEATTLE CHILDREN'S THAT INSURANCE DID NOT COVER 42 YEARS AGO WHEN DARCY'S DAUGHTER WAS BORN THREE MONTHS PREMATURE AND THEN 10 WEEKS LATER - ONLY DAYS AFTER GOING HOME - NEEDED EMERGENCY HEART SURGERY. ONCE THE CHILD RECOVERED SHE WAS FREE TO GO HOME FOR GOOD. BUT AFTER MONTHS IN THE HOSPITAL AND A MAJOR SURGERY, DARCY, WHO ALSO HAD A TODDLER, WAS WORRIED THE FAMILY WOULD HAVE TO SELL THEIR HOUSE TO PAY THE MEDICAL BILLS. THE STRESS DISAPPEARED WHEN CHILDREN'S SAID THEY WOULD COVER WHAT SHE OWED. "THE ENTIRE TIME WE WERE IN THE HOSPITAL, EVERYONE MADE US FEEL LIKE ALL WE NEEDED TO CONCENTRATE ON WAS OUR DAUGHTER," DARCY RECALLS. AND AFTER ALL WE'D BEEN THROUGH, IT WAS SUCH A RELIEF TO KNOW WE COULD STAY IN OUR HOME. NOT LONG AGO DARCY CAME ACROSS THE LEDGER WITH HER DAUGHTER'S DOCTOR BILLS AND PAYMENTS - INCLUDING THE AMOUNT CHILDREN'S COVERED. "I ALWAYS FELT THAT IF SOMEONE WAS GOOD ENOUGH TO GIVE ME A GIFT, I SHOULD GIVE IT BACK IF I CAN." SHE SAYS. "WHEN I SAW THE LEDGER, I THOUGHT NOW'S THE TIME. I'M GOING TO PAY IT BACK." CLINIC'S ONE-STOP CARE IS A 'LIFESAVER' MARVA HARRIS IS THE GRANDMOTHER OF TWO GROWING BOYS, BUT SHE'S ALSO THEIR GUARDIAN AND SOLE PROVIDER AND WORKS AS A MIDDLE SCHOOL SECURITY OFFICER. THAT'S A LOT FOR ONE PERSON TO HAVE ON THEIR PLATE, BUT MARVA ISN'T ALONE IN HELPING HER GRANDSONS GROW UP STRONG AND HEALTHY. THE ODESSA BROWN CHILDREN'S CLINIC (OBCC) PROVIDES A WIDE RANGE OF MEDICAL, DENTAL AND MENTAL HEALTH CARE THAT HELPS HARRIS'S ELDEST GRANDSON, 14, AND HER YOUNGER GRANDSON, 4, THRIVE. "I CALL IT ONE-STOP SHOPPING AND THAT'S BEEN A LIFESAVER FOR ME," SAID MARVA, WHO IS 62. "WITH MY JOB, IT'S ALMOST IMPOSSIBLE TO GET AWAY FROM WORK. I DON'T KNOW WHAT I'D DO IF I HAD TO RUN ALL OVER THE CITY TO TAKE THE BOYS TO DIFFERENT DOCTORS' OFFICES." THE OBCC IS A COMMUNITY CLINIC OPERATED BY SEATTLE CHILDREN'S THAT SERVES FAMILIES REGARDLESS OF THEIR ABILITY TO PAY. BESIDES OFFERING NUMEROUS SERVICES UNDER ONE ROOF, IT BUILDS A BRIDGE OF PERSONAL COMPASSION BETWEEN FAMILIES AND CLINIC PROVIDERS. "WHEN WE COME FOR CHECKUPS, DR. SHAQUITA BELL ALWAYS ASKS ME, 'MARVA, HOW ARE YOU DOING? WHAT DO YOU NEED?' THE FIRST TIME SHE SAID THAT, I FELL IN LOVE WITH HER," MARVA RECALLED. "SHE'S NOT ONLY CONCERNED ABOUT THE BOYS, SHE'S CONCERNED ABOUT ME. THE RAPPORT I HAVE WITH DR. BELL AND THE SUPPORT SHE OFFERS MEAN THE WORLD TO ME."
OUR COMMUNITY BENEFIT PRIORITIES	OUR 2016-2019 COMMUNITY HEALTH ASSESSMENT IDENTIFIES FOUR URGENT HEALTH NEEDS FOR THE CHILDREN, TEENS AND FAMILIES WE SERVE. WORKING WITH OUR PARTNERS IN THE COMMUNITY, WE MADE SIGNIFICANT PROGRESS IN EACH OF THE FOUR PRIORITY AREAS. HERE ARE SOME OF OUR ACCOMPLISHMENTS.
HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY	GROWING BODIES NEED NUTRITION AND EXERCISE TO THRIVE AND DEVELOP. WE WORK WITH FAMILIES AND PARTNERS IN THE COMMUNITY TO FIGHT HUNGER, IMPROVE ACCESS TO NUTRITIOUS FOOD AND INCREASE OPPORTUNITIES FOR CHILDREN AND FAMILIES TO BE PHYSICALLY ACTIVE. HELPING FAMILIES ACT! HEALTHY CHILDREN ARE BORN IMITATORS. IF THE REST OF THE FAMILY EATS WELL, THEY ARE MORE LIKELY TO EAT WELL. IF THE REST OF THE FAMILY PLAYS MORE, THEY ARE MORE LIKELY TO DO THE SAME. THAT'S THE PREMISE BEHIND ACTIVELY CHANGING TOGETHER (ACT!), A NUTRITION AND EXERCISE PROGRAM FOR OBESE AND OVERWEIGHT CHILDREN THAT ENGAGES THE ENTIRE FAMILY IN ACTIVITIES THAT FIGHT OBESITY BY HELPING FAMILIES SHARE A HEALTHIER LIFESTYLE. SPONSORED BY SEATTLE CHILDREN'S AND THE YMCA, THE PROGRAM IS OFFERED IN 20 LOCATIONS RANGING FROM OLYMPIA TO MARYSVILLE TO YAKIMA AND HAS HELPED HUNDREDS OF CHILDREN AND THEIR FAMILIES SINCE IT STARTED IN 2004. CHILDREN WHOSE BODY MASS INDEX EXCEEDS THE 85TH PERCENTILE ARE REFERRED TO ACT! BY THEIR HEALTHCARE PROVIDERS. THEY AND THEIR FAMILIES ATTEND 12-WEEKLY SESSIONS AND GET FREE YMCA MEMBERSHIPS TO USE BETWEEN SESSIONS DURING THAT TIME. LED BY A NUTRITIONIST AND A PHYSICAL ACTIVITY COACH, THE 90-MINUTE SESSIONS - OFFERED IN THE FALL AND WINTER - TEACH CHILDREN AND FAMILIES HOW TO READ FOOD LABELS AND PREPARE HEALTHY/LOW-COST SNACKS WHILE INTRODUCING THEM TO A WIDE RANGE OF ACTIVITIES FROM SWIMMING TO WEIGHTLIFTING TO KARATE. ATHLETIC TRAINERS KEEP KIDS SAFELY IN THE GAME SPORTS ARE A FUN AND HEALTHY WAY FOR CHILDREN TO STAY ACTIVE, BUT THERE IS ALWAYS THE RISK OF INJURY. YOUNG ATHLETES FROM 39 LOCAL SCHOOLS COUNT ON A TEAM OF 48 LICENSED ATHLETIC TRAINERS FROM SEATTLE CHILDREN'S TO PREVENT, TREAT AND RECOVER FROM SPORTS INJURIES. THE ATHLETIC TRAINERS WORK ON CAMPUS. IN ADDITION TO DEALING WITH INJURIES, THEY ADVISE ATHLETES, COACHES AND PARENTS ABOUT NUTRITION, CONDITIONING, AND OTHER STRATEGIES TO IMPROVE BOTH PERFORMANCE AND SAFETY. "PEOPLE SEE US ON THE SIDELINES AND THINK OF US AS THE INDIVIDUALS WHO GIVE WATER TO ATHLETES," SAYS TARA PEERENBOOM, WHO IS THE ATHLETIC TRAINER AT HAZEN HIGH SCHOOL IN RENTON. "THEY DON'T SEE THE TIME WE SPEND IN THE ATHLETIC TRAINING ROOM BEFORE, AFTER, AND DURING A GAME OR PRACTICE. WE'RE NOT JUST MEDICAL PROVIDERS. OUR ATHLETES TRUST US, AND WE'RE THERE FOR THEM DURING DIFFICULT TIMES." THE ATHLETIC TRAINERS PUT THE HEALTH OF CHILDREN FIRST, BUT STRIVE TO MINIMIZE TIME LOST TO INJURY. "IF A LOT OF MY ATHLETES ARE NOT ABLE TO PARTICIPATE IN THEIR SPORT, THEN I'M NOT DOING A VERY GOOD JOB," PEERENBOOM SAYS. "OUR GOAL IS TO KEEP KIDS HEALTHY AND ON THE FIELD."
COORDINATED CARE FOR CHILDREN AND TEENS WITH CHRONIC CONDITIONS	CONNECTING CHILDREN WITH THE CARE THEY NEED REQUIRES COORDINATION AMONG PROVIDERS INSIDE THE HOSPITAL AND BETWEEN THE HOSPITAL AND THE COMMUNITY - ESPECIALLY IF A CHILD HAS A COMPLEX CHRONIC CONDITION. SEATTLE CHILDREN'S STRIVES TO IDENTIFY CHILDREN WITH MEDICAL COMPLEXITY, COORDINATE THEIR CARE ACROSS ALL SERVICES AND SUPPORT THEIR TRANSITION TO ADULT CARE TO HELP THEM REACH THEIR FULL POTENTIAL. CENTER CONNECTS TEENS TO CARE OUR ODESSA BROWN CHILDREN'S CLINIC (OBCC) OPERATES A FREE TEEN HEALTH CENTER AT GARFIELD HIGH SCHOOL. OPEN DURING SCHOOL HOURS, THE CENTER PROVIDES STUDENTS FROM GARFIELD AND NOVA HIGH SCHOOL WITH COORDINATED MEDICAL, NUTRITIONAL, AND MENTAL HEALTH SERVICES WHILE PROMOTING HOW TO LIVE HEALTHIER LIFESTYLES THROUGH EDUCATION AND COUNSELING. A TEAM OF SEATTLE CHILDREN'S PROVIDERS WORKS AT THE CENTER. A NURSE PRACTITIONER PROVIDES CARE FIVE DAYS A WEEK WHILE A MENTAL HEALTH SPECIALIST, A NUTRITIONIST, AND A PSYCHIATRIST SEE STUDENTS ON VARIOUS OTHER DAYS. IN CONSULTATION WITH THE SCHOOL NURSE, THE TEEN HEALTH CENTER OFFERS BASIC CARE TO STUDENTS BASED ON PARENTAL CONSENT - EVERYTHING FROM VACCINES TO SPORTS PHYSICALS TO TREATING SPRAINED ANKLES. THE CENTER ALSO PROVIDES CONFIDENTIAL MENTAL HEALTH AND REPRODUCTIVE SERVICES. IF A STUDENT'S NEEDS CANNOT BE MET ON SITE, THE CENTER CONNECTS THEM WITH THE OBCC OR PUBLIC HEALTH - SEATTLE & KING COUNTY. "WITHOUT US, STUDENTS MIGHT NOT KNOW WHAT TO DO OR WHERE TO GO FOR THE HELP THEY NEED," SAYS JAHTIA BENTON, CENTER COORDINATOR. HIGH SCHOOL CAN BE FULL OF UPS AND DOWNS. SOMETIMES THE ONLY THING STUDENTS WANT IS A FEW MINUTES TO CHILL IN THE TEEN HEALTH CENTER'S WELCOMING ENVIRONMENT. "THEY APPRECIATE THE CENTER A LOT," BENTON SAYS. "THEY ALWAYS SAY HOW GRATEFUL THEY ARE FOR HAVING A SAFE SPACE. THEY CAN COME HERE WITHOUT BEING JUDGED." TRANSITIONING TO ADULT CARE WHEN AN ADOLESCENT WITH A CHRONIC ILLNESS OUTGROWS PEDIATRIC CARE, THE NEXT STEP - THE TRANSITION TO ADULT CARE - CAN FEEL LIKE A GIANT LEAP. "ADULT CARE IS A TOTALLY DIFFERENT WORLD," SAYS PARENT LISA PETKE. PETKE WAS ONE OF EIGHT FAMILY MEMBERS OF SEATTLE CHILDREN'S PATIENTS WHO HELPED MAKE THE LEAP LESS DAUNTING THROUGH THEIR WORK ON THE ADOLESCENT TRANSITION TASK FORCE. PETKE HAS BEEN A FOSTER PARENT TO A CHILD WHO HAS MULTIPLE DISABILITIES, SINCE THE CHILD WAS 8. THIS CHILD'S TRANSITION TO ADULT CARE WAS FILLED WITH UNKNOWNS, PETKE RECALLS. "WE WERE GIVEN THE NAMES OF SOME ADULT DOCTORS AND THAT WAS THE WHOLE PROCESS," SHE RECALLS. "I DON'T EVEN KNOW WHAT QUESTIONS TO ASK." FAMILIES TODAY HAVE ACCESS TO MUCH MORE INFORMATION THANKS TO A CHECKLIST OF QUESTIONS AND A GUIDE TO HELPFUL RESOURCES DEVELOPED BY THE TASK FORCE AND POSTED ON THE CHILDREN'S WEBSITE. "IT PUTS KEY CONCERNS ON THEIR RADAR LIKE HOW DO I TEACH MY TEEN TO MANAGE THEIR OWN CARE AND WHAT ELEMENTS OF THEIR MEDICAL RECORD ARE CRITICAL FOR NEW PROVIDERS TO KNOW," SAID JOY GEHNER, A SENIOR FAMILY ADVISOR AT CHILDREN'S. IT WON'T BE TOO LONG BEFORE PETKE EXPERIENCES THE TRANSITION TO ADULT CARE ONCE AGAIN, THIS TIME WITH HER SON, CURRENTLY 15, WHO IS LIVING WITH THE CHRONIC SIDE EFFECTS OF CHEMOTHERAPY AND RADIATION TO TREAT BRAIN AND SPINAL TUMORS. "WITH MY FIRST CHILD, I DIDN'T KNOW HOW TO PREPARE. NOW, I'M VERY AWARE OF WHAT TO EXPECT WITH MY SON AND NOT SO ANXIOUS," PETKE SAYS.
SUICIDE AND VIOLENCE PREVENTION	A CHILD OR TEEN IS KILLED BY GUNFIRE EVERY NINE DAYS IN WASHINGTON. AN AVERAGE OF TWO YOUTH DIE BY SUICIDE EACH WEEK - ONE THIRD THROUGH THE USE OF A FIREARM. SEATTLE CHILDREN'S WORKS TO PROMOTE FIREARM SAFETY AND ADDRESS THE UNDERLYING CAUSES OF YOUTH VIOLENCE AND SUICIDE. UNITING AROUND FIREARM SAFETY FOUNDED IN PART BY SEATTLE CHILDREN'S, THE WASHINGTON STATE FIREARM TRAGEDY PREVENTION NETWORK HAS MET FOUR TIMES SINCE IT WAS FORMED IN 2016 TO PROVIDE A FORUM FOR INDIVIDUALS AND ORGANIZATIONS FROM EVERY PERSPECTIVE TO DISCUSS AND SHARE SOLUTIONS TO FIREARM TRAGEDY. "THE BIG WIN IS BRINGING EVERYONE TOGETHER TO TALK ABOUT OUR SHARED GOALS AROUND KEEPING CHILDREN AND FAMILIES SAFE," SAYS NETWORK COORDINATOR CHELSIE GALLAGHER OF SEATTLE CHILDREN'S. "WE APPROACH FIREARM TRAGEDY PREVENTION FROM A SAFETY, LEARNING, SHARING AND COLLABORATING PERSPECTIVE. THE RESPONSE HAS BEEN INCREDIBLE." CHILDREN'S CO-LEADS THE NETWORK ALONG WITH PUBLIC HEALTH - SEATTLE & KING COUNTY, THE HARBORVIEW INJURY PREVENTION AND RESEARCH CENTER AND THE WASHINGTON CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS. LEARNING TO COMMUNICATE FIREARM SAFETY MESSAGES EFFECTIVELY IS AN IMPORTANT FOCUS. "IF YOU ARE GOING TO MESSAGE TO PEOPLE WHO OWN FIREARMS, YOU HAVE TO APPROACH IT FROM A LENS OF UNDERSTANDING AND CULTURAL ACCEPTANCE," GALLAGHER SAYS. IDENTIFYING EVIDENCE-BASED PROGRAMS THAT PROMOTE FIREARM SAFETY IS ANOTHER PRIORITY. "ONE EXAMPLE IS THE SEATTLE CHILDREN'S COMMUNITY SAFE FIREARM STORAGE GIVEAWAY WHERE WE TRAVEL AROUND THE STATE GIVING OUT FREE LOCK BOXES AND TRIGGER LOCKS AND EDUCATING PEOPLE ON HOW TO USE THEM," GALLAGHER SAYS. "WE'VE EVALUATED THAT PROGRAM AND THE EVIDENCE SHOWS THAT PEOPLE ARE USING THE DEVICES AFTER ATTENDING AN EVENT." WORKING TO REDUCE SUICIDE RISK A 2013 SURVEY BY THE CENTERS FOR DISEASE CONTROL FOUND THAT MORE THAN 13% OF TEENS NATIONWIDE SERIOUSLY CONSIDERED SUICIDE IN THE PREVIOUS 12 MONTHS. MORE THAN 10% MADE A PLAN, 8% ATTEMPTED SUICIDE, NEARLY 4% NEEDED MEDICAL ATTENTION AND ONE IN 1,000 DIED. THE SURVEY ALSO SHOWED THAT 15% OF TEENS HAD AT LEAST ONE EPISODE OF NON-SUICIDAL SELF INJURY. IN WASHINGTON STATE, SUICIDE IS THE SECOND LEADING CAUSE OF INJURY DEATH TO YOUTH AGES 10 TO 24. BETWEEN 2009 AND 2013, AN AVERAGE OF TWO YOUTH DIED BY SUICIDE EACH WEEK ACROSS THE STATE. DR. ELIZABETH MCCAULEY IS EXAMINING THE EFFECTIVENESS OF TWO APPROACHES TO REDUCING THE RISK OF SELF-HARM OR SUICIDE AMONG YOUTH. ONE APPROACH FOCUSES ON ENHANCING SUPPORT AND THE OTHER ON DEVELOPING COPING SKILLS TO REDUCE DISTRESS AND SOLVE PROBLEMS. RESEARCH HAS SHOWN THAT ONE IN FIVE TEENS WILL GO THROUGH A PERIOD OF MAJOR DEPRESSION - A LEADING RISK FACTOR FOR SELF-HARM AND SUICIDE - BY THE AGE OF 18. OTHER RISK FACTORS RANGE FROM ANXIETY TO FAMILY STRIFE TO SUBSTANCE ABUSE. TO DATE, THERE ARE NO PROVEN INTERVENTIONS TO REDUCE SUICIDE RISK, SO STUDY FINDINGS HOLD GREAT PROMISE FOR INCREASING USEFUL STRATEGIES FOR WORKING WITH THESE HIGH-RISK YOUTH.
MENTAL AND BEHAVIORAL HEALTH	PHYSICAL AND MENTAL HEALTH GO HAND IN HAND IN HELPING CHILDREN GROW AND DEVELOP TO THEIR FULL POTENTIAL. OUR MENTAL AND BEHAVIORAL HEALTH EXPERTS WORK TO UNDERSTAND AND TREAT THE CAUSES OF CONDITIONS LIKE DEPRESSION AND ADDICTION WHILE EXPANDING THE COMMUNITY'S CAPACITY TO SERVE MORE FAMILIES THROUGH EDUCATION, RESEARCH AND CARE COORDINATION. PEARL GUIDES ADHD TREATMENT MANY CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) OR RELATED BEHAVIOR CHALLENGES GET DIAGNOSIS AND MEDICINE FROM THEIR PRIMARY CARE PROVIDER. BUT SOME HAVE SUBTLE ADHD THAT IS HARD TO DIAGNOSE OR THAT IS COMPLICATED BY OTHER ISSUES. THE PROGRAM TO ENHANCE ATTENTION, REGULATION AND LEARNING (PEARL) AT SEATTLE CHILDREN'S HELPS THOSE CHILDREN AND THEIR FAMILIES BY PROVIDING THOROUGH EVALUATIONS THAT CAN GUIDE THE TREATMENT OF LEARNING, ATTENTION AND BEHAVIOR PROBLEMS. THE CLINIC SERVED MORE THAN 700 CHILDREN AGES 5 AND OLDER IN 2017. BESIDES EXPERT DIAGNOSIS, PEARL OFFERS GROUP TREATMENT PROGRAMS THAT TEACH FAMILIES SKILLS TO MANAGE THE MANY ISSUES THAT STEM FROM DISRUPTIVE BEHAVIOR DISORDERS AT HOME, SCHOOL AND ELSEWHERE. ONE PROGRAM SERVES PARENTS OF YOUNG CHILDREN, ONE SERVES ADOLESCENTS AND ONE - NEW LAST YEAR - SERVES PARENTS OF ADOLESCENTS. "PARENTS OF TEENS TOLD US THEY COULDN'T FIND HELP IN THE COMMUNITY FOR ADDRESSING THE DAILY STRESS THEY AND THEIR CHILDREN FACE," SAID ERIN SCHOENFELDER GONZALEZ, DIRECTOR OF BEHAVIORAL TREATMENTS FOR THE CLINIC. "WHEN PARENTS GET FRUSTRATED, KIDS FEEL LIKE EVERYONE IS ANGRY WITH THEM AND IT BECOMES A NEGATIVE CYCLE THAT CAN GET FAMILIES IN A VERY STUCK PLACE." PEARL ALSO GIVES FAMILIES ACCESS TO THE LATEST TREATMENT THOUGH RESEARCH STUDIES. THE CLINIC IS CURRENTLY ENROLLING PATIENTS IN A STUDY ASSESSING MEDICATIONS FOR CHILDREN WITH ADHD AND IMPULSIVE AGGRESSION, AND WILL SOON ENROLL FOR A PROGRAM THAT HELPS FAMILIES MANAGE ADHD SYMPTOMS THROUGH EXERCISE. PAL SHRINKS ANTI-PSYCHOTIC USE A TELEPHONE CONSULTATION SYSTEM LAUNCHED BY SEATTLE CHILDREN'S HAS DECREASED THE PRESCRIPTION OF ANTIPSYCHOTICS BY NEARLY HALF FOR CHILDREN ENROLLED IN WASHINGTON STATE'S MEDICAID PROGRAM, ACCORDING TO STUDY LED BY DR. REBECCA BARCLAY. THE 49% REDUCTION IN PRESCRIPTIONS BETWEEN 2006 AND 2013 CAME AFTER THE INTRODUCTION OF THE PARTNERSHIP ACCESS LINE (PAL). THE SYSTEM, THE SECOND OF ITS KIND IN THE COUNTRY, ALLOWS PRIMARY CARE PROVIDERS TO CONSULT ON-DEMAND DIRECTLY WITH CHILD PSYCHIATRISTS AFFILIATED WITH CHILDREN'S AND THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, AND FACILITATES SECOND OPINION CONSULTATIONS FOR YOUTH WITH ATYPICAL PSYCHIATRIC MEDICATION REGIMENS. THE USE OF ANTIPSYCHOTICS TO TREAT CHILDREN HAD BEEN STEADILY INCREASING, WHICH IS A CONCERN BECAUSE SIDE EFFECTS LIKE HIGH CHOLESTEROL AND WEIGHT GAIN CAN CONTRIBUTE TO FUTURE HEALTH COMPLICATIONS. "ANTIPSYCHOTICS ARE HELPFUL AND NECESSARY IN MANY SITUATIONS, BUT WE WANT TO MAKE SURE WE'RE RESERVING THEIR USE FOR WHEN ABSOLUTELY APPROPRIATE," BARCLAY SAID. PAL ADDRESSES A STATEWIDE SHORTAGE OF CHILD PSYCHIATRISTS BY GIVING PRIMARY CARE PROVIDERS A RESOURCE FOR BETTER MEETING MENTAL AND BEHAVIORAL HEALTH NEEDS IN THEIR COMMUNITIES - INCLUDING MAKING DECISIONS ABOUT WHEN TO USE MEDICATIONS LIKE ANTIPSYCHOTICS. "WE HAVE RECEIVED THOUSANDS OF CALLS FROM PROVIDERS SINCE PAL WAS IMPLEMENTED," SAID DR. ROBERT HILT, WHO LEADS THE PROGRAM. A PAL PLUS PILOT PROGRAM WAS ALSO INTRODUCED IN 2017 TO PROVIDE IN-PERSON COUNSELING SESSIONS WITH LOCAL BEHAVIORAL HEALTH PROVIDERS FOR CHILDREN FROM UNDER-RESOURCED FAMILIES IN BENTON AND FRANKLIN COUNTIES.
SHARING A COMBINATION FOR BETTER HEALTH	BY FOLLOWING FIVE TIPS REPRESENTED BY THE NUMBERS 7-5-2-1-0, ALL CHILDREN AND THEIR FAMILIES CAN TAKE SMALL BUT POWERFUL STEPS TOWARD A HEALTHIER LIFESTYLE. SEATTLE CHILDREN'S WORKS IN THE COMMUNITY TO ENCOURAGE ALL CHILDREN AND THEIR FAMILIES TO FOLLOW 7-5-2-1-0. START THE DAY WITH BREAKFAST 7 DAYS A WEEK. EAT 5 SERVINGS OF FRUITS AND VEGETABLES A DAY. KEEP SCREEN TIME UNDER 2 HOURS A DAY. BE ACTIVE FOR AT LEAST 1 HOUR A DAY. AIM FOR 0 SUGAR-SWEETENED DRINKS.
YOUR MENTAL HEALTH FIRST AID CLASS OFFERED	SEATTLE CHILDREN'S IS EXCITED TO PARTNER WITH KING COUNTY AND CHAD'S LEGACY TO OFFER YOUTH MENTAL HEALTH FIRST AID. THIS 8-HOUR CLASS IS FOR ADULTS WHO REGULARLY INTERACT WITH ADOLESCENTS AGES 12 TO 18. YOUTH MENTAL HEALTH FIRST AID WILL IMPROVE YOUR KNOWLEDGE OF MENTAL HEALTH AND SUBSTANCE USE PROBLEMS, AND WILL TEACH YOU HOW TO CONNECT YOUTH WITH CARE WHEN NEEDED. FOR MORE INFORMATION AND TO REGISTER, VISIT: HTTP://WWW.SEATTLECHILDRENS.ORG/CLASSES-COMMUNITY/ CURRENT-CLASS-OFFERINGS/YOUTH-MENTAL-HEALTH-FIRST-AID/.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	910564748	EIN
Primary Activities	ADMINISTRATION OF PEDIATRIC PHYSICIANS NETWORK	PrimaryActivitiesTxt
Legal Domicile State	WA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SEATTLE CHILDREN'S HEALTHCARE SYSTEM
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911250116	HEALTH CARE	WA	501(C)(3)	LINE 7	N/A	0
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911156519	FUNDRAISING	WA	501(C)(3)	LINE 7		0	SEATTLE CHILDREN'S HEALTHCARE SYSTEM
SEATTLE CHILDREN'S HOSPITAL GUILD ASSN
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911394056	FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESS	WA	501(C)(3)	LINE 7		0	SEATTLE CHILDREN'S HEALTHCARE SYSTEM
CHILDREN'S RETAIL
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911998909	THRIFT STORES	WA	501(C)(3)	LINE 11A, I		0	SEATTLE CHILDREN'S HEALTHCARE SYSTEM
CHILDREN'S UNIVERSITY MEDICAL GROUP
PO BOX 50010	SEATTLE	WA	98105	911336707	MEDICAL PRACTICE	WA	501(C)(3)	LINE 11A, I	N/A	0
CHILDREN'S HEALTH NETWORK
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911226716	PEDIATRIC HEALTHCARE SERVICES	WA	501(C)(3)	LINE 11A, I		0	SEATTLE CHILDREN'S HEALTHCARE SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	263852796	EIN
Primary Activities	RESEARCH FACILITY DEVELOPMENT	PrimaryActivitiesTxt
Legal Domicile State	WA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	-$160,384	ShareOfTotalIncomeAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CHARITABLE REMAINDER UNITRUSTS (2)
INVESTMENTS	WA	SEATTLE CHILDREN'S HOSPITAL	Yes (1)
CHARITABLE REMAINDER UNITRUSTS (8)
INVESTMENTS	WA		0	N/A
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTS	AK	SEATTLE CHILDREN'S HOSPITAL	Yes (1)
CHARITABLE REMAINDER UNITRUSTS (3)
INVESTMENTS	CA	SEATTLE CHILDREN'S HOSPITAL	Yes (1)
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTS	FL		0	N/A
CHARITABLE REMAINDER ANNUITY TRUST (1)
INVESTMENTS	WA		0	N/A
PERPETUAL TRUSTS (5)
INVESTMENTS	WA	SEATTLE CHILDREN'S HOSPITAL	Yes (1)
PERPETUAL TRUSTS (2)
INVESTMENTS	WA		0	N/A
POOLED INCOME FUND (1)
INVESTMENTS	WA		0	N/A

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