SEATTLE CHILDRENS HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SEATTLE CHILDRENS HOSPITAL (EIN 91-0564748)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-11
IRS object ID: 201402239349301480
Schema version: 2012v2.1
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)
Timestamp	2014-08-11T14:05:20-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	911194016	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLARK NUBER PS	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	10900 NE 4TH STREET SUITE 1700	AddressLine1
City	BELLEVUE	City
State	WA	State
ZIP Code	98004	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	910564748	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SEAT	NameControl
Phone	2069874846	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	981455005	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KELLY A WALLACE	Name
Title	SENIOR VP & CFO	Title
Phone	2069874846	Phone
Date Signed	2014-08-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JANE M SEARING	Name
PTIN	P00000565	PTIN
Phone	4254544919	Phone
Date Prepared	2014-07-28	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	THOMAS HANSEN MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	981455005	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1120942026	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SEATTLECHILDRENS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1907	YearFormation
State Legal Domicile	WA	StateLegalDomicile
Activity Or Mission Description	AT SEATTLE CHILDREN'S HOSPITAL, WE WILL PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	26	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	24	NbrIndependentVotingMembers
Total Nbr Employees	5745	TotalNbrEmployees
Total Nbr Volunteers	747	TotalNbrVolunteers
Total Gross UBI	1356732	TotalGrossUBI
Net Unrelated Business Txbl Income	144624	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	108394674	ContributionsGrantsPriorYear
Contributions Grants Current Year	128241214	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	835717564	ProgramServiceRevenuePriorYear
Program Service Revenue CY	895336596	ProgramServiceRevenueCY
Investment Income Prior Year	22099184	InvestmentIncomePriorYear
Investment Income Current Year	21465736	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6045504	OtherRevenuePriorYear
Other Revenue Current Year	6537152	OtherRevenueCurrentYear
Total Revenue Prior Year	972256926	TotalRevenuePriorYear
Total Revenue Current Year	1051580698	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1292736	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	4170653	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	416297033	SalariesEtcPriorYear
Salaries Etc Current Year	453413364	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	410603909	OtherExpensePriorYear
Other Expenses Current Year	435967693	OtherExpensesCurrentYear
Total Expenses Prior Year	828193678	TotalExpensesPriorYear
Total Expenses Current Year	893551710	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	144063248	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	158028988	RevenuesLessExpensesCY
Total Assets BOY	1854709908	TotalAssetsBOY
Total Assets EOY	2010084492	TotalAssetsEOY
Total Liabilities BOY	769841875	TotalLiabilitiesBOY
Total Liabilities EOY	732894462	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1084868033	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1277190030	NetAssetsOrFundBalancesEOY
Mission Description	WE BELIEVE ALL CHILDREN HAVE UNIQUE NEEDS AND SHOULD GROW UP WITHOUT ILLNESS OR INJURY. WITH THE SUPPORT OF THE COMMUNITY AND THROUGH OUR SPIRIT OF INQUIRY, WE WILL PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. (SEE THE COMMUNITY BENEFIT REPORT IN SCHEDULE O.)	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	708997959	Expense
Grants	4144023	Grants
Revenue	890553014	Revenue
Description	PATIENT CARE: SEATTLE CHILDREN'S HOSPITAL (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 2013, SEATTLE CHILDREN'S MEDICAL TEAM TREATED KIDS OF ALL AGES DURING 357,206 PATIENT VISITS, INCLUDING 14,494 ADMISSIONS TO THE HOSPITAL AND 34,825 VISITS TO OUR EMERGENCY ROOM. WE PERFORMED 14,815 DAY SURGERIES AND CARED FOR CHILDREN DURING 293,072 APPOINTMENTS IN OUTPATIENT CLINICS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	103068607	Expense
Grants	26630	Grants
Revenue	8492312	Revenue
Description	RESEARCH: BECAUSE RESEARCH IS THE FOUNDATION OF SEATTLE CHILDREN'S MISSION TO PREVENT, TREAT, AND ELIMINATE PEDIATRIC DISEASE, SEATTLE CHILDREN'S INVESTED $29 MILLION IN RESEARCH DURING FISCAL YEAR 2013. SEATTLE CHILDREN'S INVESTIGATORS ARE ADVANCING SCIENTIFIC UNDERSTANDING OF IMPORTANT BIOLOGICAL PROCESSES AND INFLUENCING THE PRACTICE OF PEDIATRICS AROUND THE WORLD.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	26510609	Expense
Revenue	1443188	Revenue
Description	EDUCATION: SEATTLE CHILDREN'S IS THE MAJOR RESOURCE FOR PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAMS IN OUR REGION. RESIDENTS AND FELLOWS FROM 89 PROGRAMS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) PLUS 5 PROGRAMS ACCREDITED BY THE AMERICAN DENTAL ASSOCIATION (ADA) HAD RESIDENTS OR FELLOWS AT SEATTLE CHILDREN'S IN ACADEMIC YEAR 2013. 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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	838577175	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	1	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	1	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	465	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	5745	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	26	NbrVotingGoverningBodyMembers
Number Independent Voting Members	24	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	WARREN E HEWITT VP FINANCE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2069874846	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4300 ROOSEVELT WAY NE 5TH FLOOR	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	981054718	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (55 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DEAN ALLEN
TRUSTEE	2.00	0.00	X	0	0	0
LIBBY ARMINTROUT
TRUSTEE (ON LEAVE AS OF JULY 2013)	1.00	0.00	X	0	0	0
ROBB BAKEMEIER
TRUSTEE	9.00	0.00	X	0	0	0
JOEL BENOLIEL
TRUSTEE	3.00	0.00	X	0	0	0
SUSAN BETCHER
TRUSTEE	3.00	0.00	X	0	0	0
ROSS BOGUE
TRUSTEE	1.00	0.00	X	0	0	0
PAT CHAR
TRUSTEE	1.00	0.00	X	0	0	0
MICHAEL DELMAN
TREASURER	3.00	0.00	X	0	0	0	X
ROY DIAZ
TRUSTEE	4.00	0.00	X	0	0	0
ROBERT FLOWERS
CHAIR	5.00	1.00	X	0	0	0	X
MARY ANN FLYNN
TRUSTEE	3.00	0.00	X	0	0	0
DEBORAH HAUG
TRUSTEE	3.00	0.00	X	0	0	0
JUDY HOLDER
TRUSTEE/CHAIR ELECT	7.00	0.00	X	0	0	0	X
CYNTHIA HUFFMAN
SECRETARY	3.00	0.00	X	0	0	0	X
JIM LADD
TRUSTEE	6.00	0.00	X	0	0	0
MONA LEE LOCKE
TRUSTEE	1.00	0.00	X	0	0	0
PATRICIA LOERA
TRUSTEE	3.00	0.00	X	0	0	0
SANDRA MADRID
TRUSTEE	2.00	0.00	X	0	0	0
SUSAN MASK
TRUSTEE	3.00	0.00	X	0	0	0
JEFF NITTA
TRUSTEE	5.00	0.00	X	0	0	0
LAURIE OKI
TRUSTEE	2.00	1.00	X	0	0	0
JUDITH PIERCE
TRUSTEE	5.00	0.00	X	0	0	0
MICHAEL REEVES
TRUSTEE	2.00	0.00	X	0	0	0
ROB ROSKIN MD
TRUSTEE	3.00	0.00	X	0	0	0
NANCY SENSENEY
VICE-CHAIR/TRUSTEE	4.00	0.00	X	0	0	0	X
PETE SHIMER
TRUSTEE	2.00	1.00	X	0	0	0
MICHELE SMITH
TRUSTEE	2.00	1.00	X	0	0	0
CHARLES STEVENS
TRUSTEE	5.00	0.00	X	0	0	0
THOMAS HANSEN MD
CEO/NON-VOTING TRUSTEE	31.00	30.00		548931	2137798	238410	X
KELLY WALLACE
SENIOR VP & CHIEF FINANCIAL OFFICER	41.00	15.00		432031	2372583	152677	X
PATRICK HAGAN
PRESIDENT & CHIEF OPERATING OFFICER	55.00	0.00		764355	3366467	133511		X
DAVID FISHER MD
SR VP-CHIEF MED OFF/NON-VOTING TRUSTEE	55.00	1.00		685381	0	125909		X
LISA BRANDENBURG
PRESIDENT	55.00	2.00		633410	0	118627		X
SANFORD MELZER MD
SENIOR VP & CHIEF STRATEGY OFFICER	41.00	14.00		289702	263846	100892		X
JAMES HENDRICKS MD
PRESIDENT - RESEARCH INSTITUTE	55.00	0.00		442037	0	87976		X
EDWIN WRIGHT
SENIOR VP & CHIEF INFO. OFFICER	55.00	0.00		465535	0	60108		X
JEFFREY SCONYERS
SENIOR VP & GENERAL COUNSEL	27.50	27.50		203960	198825	81484		X
STEVEN HURWITZ
VP - SHARED SERVICES	55.00	0.00		403607	0	34151		X
SUSAN HEATH
SENIOR VP & CHIEF NURSING OFFICER	55.00	0.00		398479	0	24108		X
DREXEL DEFORD
SENIOR VP & CHIEF INFO. OFFICER	55.00	0.00		349756	0	57411		X
CINDY EVANS
SENIOR VP - HOSPITAL OPERATIONS	55.00	0.00		367311	0	34343		X
SUZANNE PETERSEN
COS TO CEO & VP - EXT. AFFAIRS	55.00	0.00		354502	0	38208		X
CARA BAILEY
VP - CONTINUOUS PERFORMANCE IMPROVE.	55.00	0.00		340700	0	25910		X
ERIK LAUSUND
VP - RESEARCH OPERATIONS & LOGISTICS	55.00	0.00		302969	0	28177		X
JENNIFER ABERMANIS
VP-DIAGNOSTIC, THERAPY & SUPP. SVCS	55.00	0.00		283011	0	37629		X
WARREN HEWITT
VP - FINANCE	55.00	0.00		275874	0	29749		X
TODD JOHNSON
VP - FACILITIES	55.00	0.00		265696	0	35188		X
JUDY DOUGHERTY
VP - SURGICAL SERVICES	55.00	0.00		257379	0	29375		X
RUTH BENFIELD
VP - PSYCHO-SOCIAL SERVICES	55.00	0.00		254484	0	29404		X
STEPHANIE AXELROD
VP-COMMUNITY & STRATEGIC INITIATIVES	55.00	0.00		212744	0	35113		X
DOUGLAS PICHA
PRESIDENT - FOUNDATION	5.50	50.50		53323	976575	87590			X
JOE RUTLEDGE
PATHOLOGIST	55.00	0.00		428169	0	30997			X
CRAIG RUBENS
EXECUTIVE DIRECTOR, GAPPS	55.00	0.00		418567	0	25429			X
DAVID BRAUNER
CARDIOLOGIST	55.00	0.00		399384	0	32720			X
ANNE MANKTELOW
PEDIATRIC SURGEON	55.00	0.00		368586	0	19744			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10199883	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	9316094	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1734840	TotalOtherCompensation
Number Individuals GT100 K	686	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SELLEN CONSTRUCTION
227 WESTLAKE AVENUE NORTH	SEATTLE	WA	98109	CONSTRUCTION	82956492
CHILDREN'S UNIVERSITY MEDICAL GROUP
PO BOX 50010	SEATTLE	WA	98105	PHYSICIAN SERVICES	71506306
UNIVERSITY OF WASHINGTON
PO BOX 358220	SEATTLE	WA	98195	RESIDENTS & INTERNS	33484929
DENALI ADVANCED INTEGRATION
17735 NE 65TH STREET SUITE 130	REDMOND	WA	98052	IT SERVICES	5614459
SEATTLE CANCER CARE ALLIANCE
825 EASTLAKE AVENUE EAST	SEATTLE	WA	98109	PATIENT SUPPORT SERVICES	4184040

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	216	NumberOfContractorsGT100K
Related Organizations	52928641	RelatedOrganizations
Government Grants	57353216	GovernmentGrants
All Other Contributions	17959357	AllOtherContributions
Noncash Contributions	10219197	NoncashContributions
Total Contributions	128241214	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
PATIENT SVC REVENUES	621500	883610269	883610269
OTHER HEALTHCARE SVCS	621500	10967053	9610321	1356732
WHALE GIFT SHOP	453220	506474			$506,474
INVESTMENT PROV CHILD	621500	252800	252800

Field	Value	IRS element (for citing)
Total Program Service Revenue	895336596	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	11434768	TotalRevenueColumn
Exclusion	$11,434,768	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1957746	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	572512	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1385234	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1385234	TotalRevenueColumn
Exclusion	$1,385,234	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	78004815	Securities
Other	814969	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	67774448	Securities
Other	1014368	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	10230367	Securities
Other	-199399	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	10030968	TotalRevenueColumn
Exclusion	$10,030,968	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA	722212	2865336	$2,865,336
PARKING	812930	2286582	$2,286,582

Field	Value	IRS element (for citing)
Total Other Revenue	5151918	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1051580698	TotalRevenueColumn
Related Or Exempt Function Income	893473390	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1356732	UnrelatedBusinessRevenue
Exclusion	$28,509,362	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	3001860	Total
Program Services	3001860	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	134085	Total
Program Services	134085	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	1034708	Total
Program Services	1034708	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	8453638	Total
Management And General	8453638	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	178413	Total
Program Services	167830	ProgramServices
Management And General	10583	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	344649923	Total
Program Services	324206148	ProgramServices
Management And General	20443775	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	20276817	Total
Program Services	19074047	ProgramServices
Management And General	1202770	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	52650242	Total
Program Services	49527161	ProgramServices
Management And General	3123081	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	27204331	Total
Program Services	25590638	ProgramServices
Management And General	1613693	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1098963	Total
Program Services	1033775	ProgramServices
Management And General	65188	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	326460	Total
Program Services	307095	ProgramServices
Management And General	19365	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	318904	Total
Program Services	318904	ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	456633	Total
Program Services	429547	ProgramServices
Management And General	27086	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	76280687	Total
Program Services	71755907	ProgramServices
Management And General	4524780	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2100318	Total
Program Services	1975732	ProgramServices
Management And General	124586	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	106908663	Total
Program Services	100567108	ProgramServices
Management And General	6341555	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	10527591	Total
Program Services	9903121	ProgramServices
Management And General	624470	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	17417158	Total
Program Services	16384016	ProgramServices
Management And General	1033142	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	4477164	Total
Program Services	4211590	ProgramServices
Management And General	265574	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	961067	Total
Program Services	904059	ProgramServices
Management And General	57008	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	19190462	Total
Program Services	18052132	ProgramServices
Management And General	1138330	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	60831278	Total
Program Services	57222918	ProgramServices
Management And General	3608360	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4406226	Total
Program Services	4144860	ProgramServices
Management And General	261366	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PHYSICIANS SERVICES	93801972	93801972
LICENSES & TAXES	22960874	21598892	1361982
BAD DEBTS	2464077	2464077
UBI TAXES	73216	73216

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	11365980	Total
Program Services	10691777	ProgramServices
Management And General	674203	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	893551710	Total
Program Services	838577175	ProgramServices
Management And General	54974535	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	21020376	BOY
EOY	29401093	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	18033375	BOY
EOY	21140771	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	6246789	BOY
EOY	4645575	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	141313906	BOY
EOY	137800897	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	62099	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9106326	BOY
EOY	9618249	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8254028	BOY
EOY	9007524	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1363712951	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	499174337	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	825349197	BOY
EOY	864538614	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	544088259	BOY
EOY	607881968	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	180103426	BOY
EOY	222140302	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	69742637	BOY
EOY	74067137	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	7115152	BOY
EOY	6780607	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	24274338	BOY
EOY	23061755	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1854709908	BOY
EOY	2010084492	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	147256105	BOY
EOY	129237978	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	519876419	BOY
EOY	510954637	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	29856758	BOY
EOY	29856758	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	72852593	BOY
EOY	62845089	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	769841875	BOY
EOY	732894462	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	849143191	BOY
EOY	1019483420	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	78379911	BOY
EOY	97054386	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	157344931	BOY
EOY	160652224	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1084868033	BOY
EOY	1277190030	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1854709908	BOY
EOY	2010084492	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	158028988	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	18868542	ReconciliationUnrealizedInvest
Reconcilation Other Changes	15424467	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	318904	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	318904	FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	892574310	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	892893214	FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

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

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	247092	CurrentYearMinus3
Current Year Minus2	267015	CurrentYearMinus2
Current Year Minus1	272966	CurrentYearMinus1
Current Year	318904	CurrentYear
Total	1105977	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Number Funds Held	3	NumberFundsHeld
Contrib To Funds And Other Accounts	11660	ContribToFundsAndOtherAccounts
Grants Funds And Other Accounts	40384	GrantsFundsAndOtherAccounts
Aggregate Fund Value	918950	AggregateFundValue
Disclosed Orgs Legal Control	1	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	1	DisclosedForCharitablePurposes

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	285708000	BeginningOfYearBalance
Contributions	4773000	Contributions
Investment Earnings Or Losses	34516000	InvestmentEarningsOrLosses
Other Expenditures	6778000	OtherExpenditures
End Of Year Balance	318219000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	249976000	BeginningOfYearBalance
Contributions	2947000	Contributions
Investment Earnings Or Losses	38833000	InvestmentEarningsOrLosses
Other Expenditures	6048000	OtherExpenditures
End Of Year Balance	285708000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	250467000	BeginningOfYearBalance
Contributions	2576000	Contributions
Investment Earnings Or Losses	2474000	InvestmentEarningsOrLosses
Other Expenditures	5541000	OtherExpenditures
End Of Year Balance	249976000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	224924000	BeginningOfYearBalance
Contributions	2946000	Contributions
Investment Earnings Or Losses	27782000	InvestmentEarningsOrLosses
Other Expenditures	5185000	OtherExpenditures
End Of Year Balance	250467000	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	221932000	BeginningOfYearBalance
Contributions	8002000	Contributions
Investment Earnings Or Losses	-179000	InvestmentEarningsOrLosses
Other Expenditures	4831000	OtherExpenditures
End Of Year Balance	224924000	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.50620	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.39740	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.09640	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	168020537	OtherCostOrOtherBasis
Book Value	168020537	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	768748205	OtherCostOrOtherBasis
Depreciation	223373560	Depreciation
Book Value	545374645	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15514331	OtherCostOrOtherBasis
Depreciation	7493849	Depreciation
Book Value	8020482	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	384392998	OtherCostOrOtherBasis
Depreciation	264798872	Depreciation
Book Value	119594126	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27036880	OtherCostOrOtherBasis
Depreciation	3508056	Depreciation
Book Value	23528824	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	864538614	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
POOLED INVESTMENTS	216684400	C
DEFERRED COMPENSATION PLANS	5410502	C
OTHER ALTERNATIVE INVESTMENTS	45400	C

Field	Value	IRS element (for citing)
Total Of Book Value Securities	222140302	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
SWAP MTM VALUE - SERIES 2012C & D	$20,400,357
PAYABLE TO SCHS - STEWART PLACE	$21,021,249
DEFERRED COMPENSATION PLAN PAYABLE	$5,410,502
DEFERRED AND OTHER LIABILITIES	$15,050,454
PAYABLE TO AFFILIATE	$962,527

Field	Value	IRS element (for citing)
Total Of Amounts	62845089	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	1072172743	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	18868542	NetUnrealizedGainsInvestments
Other Revenues	1150991	OtherRevenues
Revenue Not Rptd F990	20019533	RevenueNotRptdF990
Revenue Subtotal	1052153210	RevenueSubtotal
Other Revenues Not Included	-572512	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-572512	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1051580698	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	879850746	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-10780254	OtherExpensesIncluded
Expenses Not Rptd F990	-10780254	ExpensesNotRptdF990
Expenses Subtotal	890631000	ExpensesSubtotal
Investment Expenses Not Included2	456633	InvestmentExpensesNotIncluded2
Other Expenses Not Included	2464077	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	2920710	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	893551710	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	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 4,071,701. BAD DEBT EXPENSE -2,464,077. INVESTMENT EXPENSES -456,633.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -572,512.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 572,512. CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS -11,352,766.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		BAD DEBT EXPENSE 2,464,077.

Schedule F IRS990ScheduleF

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

Accts Actvs Out US Table AcctsActvsOutUSTable (24 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	LEADERSHIP TRAINING IN JAPAN ON CONTINUOUS PERFORMANCE IMPROVEMENT FOR 50 PARTICIPANTS	1209665
NORTH AMERICA	GRANTS TO RECIPIENTS LOCATED IN THE REGION		1034708
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	PURCHASE OF MEDICAL SERVICES AND SUPPLIES	898912
NORTH AMERICA	PROGRAM SERVICES	PURCHASE OF MEDICAL SERVICES AND SUPPLIES	859290
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	PURCHASE OF MEDICAL SERVICES AND SUPPLIES	12705
SUB-SAHARAN AFRICA	PROGRAM SERVICES	PURCHASE OF MEDICAL SERVICES AND SUPPLIES	3057
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	PURCHASE OF MEDICAL SERVICES AND SUPPLIES	301
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	176535
NORTH AMERICA	PROGRAM SERVICES	TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	103176
SOUTH ASIA	PROGRAM SERVICES	TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	51489
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	10539
SUB-SAHARAN AFRICA	PROGRAM SERVICES	TRAVEL TO MEDICAL CONFERENCES AND AID SITES	21165
SOUTH AMERICA	PROGRAM SERVICES	TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	12327
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	6080
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	2068
SUB-SAHARAN AFRICA	PROGRAM SERVICES	PARTNERS IN AFRICA CLEFT TRAINING	103151
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	TRAVEL/EVENTS - GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM	26526
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	TRAVEL/EVENTS - GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM	22353
SOUTH ASIA	PROGRAM SERVICES	TRAVEL/EVENTS - GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM	18026
SUB-SAHARAN AFRICA	PROGRAM SERVICES	TRAVEL/EVENTS - GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM	12457
SOUTH AMERICA	PROGRAM SERVICES	TRAVEL/EVENTS - GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM	10896
NORTH AMERICA	PROGRAM SERVICES	TRAVEL/EVENTS - GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM	9437
SUB-SAHARAN AFRICA	PROGRAM SERVICES	EFFORTS FOR THE PREVENTION OF AIDS	82178
SUB-SAHARAN AFRICA	PROGRAM SERVICES	PEDIATRIC HEALTHCARE IN KENYA - GLOBAL HEALTH PATHWAY RESIDENCY PROGRAM	26968

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	4195173	SubtotalAmountSpent
Cont Amount Spent	518836	ContAmountSpent
Total Amount Spent	4714009	TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS (3 entries)

RegionRegion	Purpose Of GrantPurposeOfGrant	Amount Of Cash GrantAmountOfCashGrant	Manner Of Cash DisbursementMannerOfCashDisbursement
NORTH AMERICA	PREVENTING PRETERM BIRTH INITIATIVE	301520	WIRE TRANSFER
NORTH AMERICA	PREVENTING PRETERM BIRTH INITIATIVE	460000	WIRE TRANSFER
NORTH AMERICA	PREVENTING PRETERM BIRTH INITIATIVE	273188	WIRE TRANSFER

Field	Value	IRS element (for citing)
Total Number Of501c3 Orgs	3	TotalNumberOf501c3Orgs
Total Number Of Other Orgs	0	TotalNumberOfOtherOrgs
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifier

ExplanationExplanation

PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.:

SCHEDULE F, 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.

METHOD USED TO ACCCOUNT FOR EXPENDITURES:

SCHEDULE F, PART I, LINE 3: THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR EXPENDITURES.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	400.000000000000	FreeOtherPercentage

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

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	849.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	19851	PersonsServed
Total Community Benefit Expense	14060000	TotalCommunityBenefitExpense
Net Community Benefit Expense	14060000	NetCommunityBenefitExpense
Percent Of Total Expense	0.01580	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	137130	PersonsServed
Total Community Benefit Expense	318070000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	214886000	DirectOffsettingRevenue
Net Community Benefit Expense	103184000	NetCommunityBenefitExpense
Percent Of Total Expense	0.11580	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	18	NumberOfActivitiesOrPrograms
Persons Served	156981	PersonsServed
Total Community Benefit Expense	332130000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	214886000	DirectOffsettingRevenue
Net Community Benefit Expense	117244000	NetCommunityBenefitExpense
Percent Of Total Expense	0.13160	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	120	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	14404906	TotalCommunityBenefitExpense
Direct Offsetting Revenue	689318	DirectOffsettingRevenue
Net Community Benefit Expense	13715588	NetCommunityBenefitExpense
Percent Of Total Expense	0.01540	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	94	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	26510609	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4493648	DirectOffsettingRevenue
Net Community Benefit Expense	22016961	NetCommunityBenefitExpense
Percent Of Total Expense	0.02470	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	96413621	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4671036	DirectOffsettingRevenue
Net Community Benefit Expense	91742585	NetCommunityBenefitExpense
Percent Of Total Expense	0.10300	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	844739	TotalCommunityBenefitExpense
Net Community Benefit Expense	844739	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	234	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	138173875	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9854002	DirectOffsettingRevenue
Net Community Benefit Expense	128319873	NetCommunityBenefitExpense
Percent Of Total Expense	0.14400	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	252	NumberOfActivitiesOrPrograms
Persons Served	156981	PersonsServed
Total Community Benefit Expense	470303875	TotalCommunityBenefitExpense
Direct Offsetting Revenue	224740002	DirectOffsettingRevenue
Net Community Benefit Expense	245563873	NetCommunityBenefitExpense
Percent Of Total Expense	0.27560	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	45516	TotalCommunityBuildingExpense
Net Community Building Expense	45516	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	5350	TotalCommunityBuildingExpense
Net Community Building Expense	5350	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Total Community Building Expense	637207	TotalCommunityBuildingExpense
Net Community Building Expense	637207	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	17109	TotalCommunityBuildingExpense
Net Community Building Expense	17109	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	4217	TotalCommunityBuildingExpense
Net Community Building Expense	4217	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	8947	TotalCommunityBuildingExpense
Net Community Building Expense	8947	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Total Community Building Expense	82927	TotalCommunityBuildingExpense
Net Community Building Expense	82927	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	250975	TotalCommunityBuildingExpense
Net Community Building Expense	250975	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	27	NumberOfActivitiesOrPrograms
Total Community Building Expense	1052248	TotalCommunityBuildingExpense
Net Community Building Expense	1052248	NetCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,055,009	BadDebtExpenseAmount
Amount Reimbursed By Medicare	2605619	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	4086052	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1480433	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	4800 SAND POINT WAY NE	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	98105	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.SEATTLECHILDRENS.ORG	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Other	X	Other
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	1	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	400.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	849.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Lowest Negotiated Rates	X	LowestNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	19	NumberOfOtherFacilities

Other Facilities OtherFacilities (19 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
RESEARCH INSTITUTE OLIVE LAB
1100 OLIVE WAY SUITE 100	SEATTLE	WA	98101	PEDIATRIC RESEARCH
RESEARCH INSTITUTE BUILDING 1
1900 NINTH AVE	SEATTLE	WA	98101	PEDIATRIC RESEARCH
RESEARCH INSTITUTE WEST 8TH
2001 EIGHTH AVE SUITE 400	SEATTLE	WA	98121	PEDIATRIC RESEARCH
BELLEVUE CLINIC & SURGERY CENTER
1500 116TH AVE NE	BELLEVUE	WA	98004	CLINIC, SUB SPECIALITY SERVICES, URGENT CARE AND SURGERY CENTER
HOME CARE SERVICES
2525 220TH STREET SE SUITE 200	BOTHELL	WA	98201	PEDIATRIC HOME CARE SERVICES THAT SUPPORT HOSPITAL
SEATTLE CHILDREN'S AT OVERLAKE
1135 116TH AVE NE SUITE 400	BELLEVUE	WA	98004	SUB SPECIALITY CARE
ODESSA BROWN CHILDREN'S CLINIC
2101 E YESLER WAY	SEATTLE	WA	98122	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
SEATTLE CHILDREN'S AUTISM CENTER
4909 25TH AVE NE	SEATTLE	WA	98105	AUTISM CLINIC
SEATTLE CHILDREN'S FEDERAL WAY CLINIC
34503 9TH AVE S SUITE 300	FEDERAL WAY	WA	98003	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
SEATTLE CHILDREN'S MILL CREEK CLINIC
12800 BOTHELL EVERETT HWY SUITE 150	EVERETT	WA	98208	CLINIC, SUB SPECIALITY SERVICES, AND URGENT CARE
SOUTH SOUND CARDIOLOGY CEDAR MED CTR
1901 S CEDAR ST SUITE 103	TACOMA	WA	98405	CARDIOLOGY CLINIC
ANCHORAGE CLINIC
3260 PROVIDENCE DRIVE	ANCHORAGE	AK	99508	CARDIOLOGY CLINIC
SEATTLE CHILDREN'S EVERETT CLINIC
900 PACIFIC AVE SUITE 100	EVERETT	WA	98201	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
SEATTLE CHILDREN'S OLYMPIA CLINIC
615 LILLY ROAD MEDICAL BLDG SUITE	OLYMPIA	WA	98506	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE	140
SEATTLE CHILDREN'S TRI-CITIES CLINIC
900 STEVENS DR SUITE 204	RICHLAND	WA	99352	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
MONTANA CARDIOLOGY PRACTICE
2835 FORT MISSOULA ROAD	MISSOULA	MT	59804	CARDIOLOGY CLINIC
SEATTLE CHILDREN'S WENATCHEE CLINIC
526 N CHELAN AVE SUITE B	WENATCHEE	WA	98801	PEDIATRIC MEDICAL CLINIC
CHILDREN'S ORTHOTICS & PROSTHETICS
4575 SAND POINT WAY NE SUITE 106	SEATTLE	WA	98105	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
SEATTLE CHILDREN'S DENTAL SURGERY CTR
6222 NE 74TH STREET	SEATTLE	WA	98115	PEDIATRIC DENTAL CARE

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
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 WITH INCOME BELOW OR EQUAL TO 400% FPG 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 849% FPG, AND WHO HAVE INCURRED SIGNIFICANT ACCOUNT BALANCES, AND WHO ARE NOT ELIGIBLE FOR FUNDING FROM OTHER SOURCES ARE ALSO ELIGIBLE FOR DEDUCTIBLE FINANCIAL ASSISTANCE WHEREBY THEY ARE RESPONSIBLE FOR PAYING A DEDUCTIBLE PROPORTIONATE TO 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 RARE 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.
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 2013 COMMUNITY BENEFIT REPORT OR VISIT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT.	PART I, LINE 6:
IN ACCORDANCE WITH ITS MISSION TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE, SEATTLE CHILDREN'S HOSPITAL COMMITS SIGNIFICANT RESOURCES TO PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN. IN SUPPORT OF THIS ENDEAVOR, SEATTLE CHILDREN'S RECOGNIZES THAT SOME OF ITS MOST FRAGILE CONSTITUENTS ARE CHILDREN WHOSE FAMILIES ARE FINANCIALLY OR MEDICALLY INDIGENT. TO THAT END, SEATTLE CHILDREN'S PROVIDES MEDICAL TREATMENT TO CHILDREN WHOSE FAMILIES ARE UNABLE TO PAY FOR SUCH TREATMENT. SEATTLE CHILDREN'S ENSURES THAT FINANCIAL ASSISTANCE, EDUCATION, RESEARCH AND OTHER SPONSORED COMMUNITY PROGRAMS BENEFIT ALL CHILDREN, REGARDLESS OF ECONOMIC STATUS. THEREFORE, SEATTLE CHILDREN'S MAINTAINS CHARITY AND COMMUNITY BENEFIT PROGRAMS, WITHIN LIMITS, THAT ARE AVAILABLE TO THE ENTIRE COMMUNITY, WITH EQUAL CONSIDERATION FOR THOSE THAT ARE POOR AND UNDERSERVED.THE CATEGORIES INCLUDED AS PROGRAMS AND SERVICES FOR THE POOR AND THE UNDERSERVED ARE AS FOLLOWS: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 OWN 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. THE ESTIMATED COST OF FINANCIAL ASSISTANCE REPORTED ON LINE 7A IS BASED ON THE RATIO OF TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF GROSS PATIENT CARE CHARGES. THIS COST-TO-CHARGE RATIO IS DERIVED FROM SCHEDULE H WORKSHEET 2 AND IS APPLIED TO GROSS CHARGES RELATED TO FINANCIAL ASSISTANCE SERVICES, RESULTING IN THE ESTIMATED COST OF PROVIDING FINANCIAL ASSISTANCE.UNREIMBURSED MEDICAID - REPRESENTS THE ESTIMATED COST OF PROVIDING SERVICES TO PATIENTS COVERED UNDER MEDICAID IN EXCESS OF PAYMENTS FROM ALL SOURCES. THE ESTIMATED COST OF SERVICES PROVIDED TO MEDICAID PATIENTS REPORTED ON LINE 7B IS BASED ON A RATIO OF TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF TOTAL GROSS PATIENT CARE CHARGES. THIS COST-TO-CHARGE RATIO IS DERIVED FROM SCHEDULE H WORKSHEET 2 AND 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 - REPRESENTS THE COST OF PROVIDING SERVICES FOR THE BENEFIT OF THE ENTIRE COMMUNITY. THESE BENEFITS INCLUDE RESEARCH, EDUCATION AND VARIOUS OTHER COMMUNITY-BASED HEALTH CARE PROGRAMS. THE MAJORITY OF THESE BENEFITS ARE FOR PEDIATRIC RESEARCH AND GRADUATE MEDICAL EDUCATION. NO COSTING METHODOLGOY IS USED IN REPORTING THE AMOUNTS OF OTHER BENEFITS REPORTED ON LINES 7E THROUGH 7I. THESE AMOUNTS ARE REPORTED AT COST.	PART I, LINE 7:
BAD DEBT EXPENSE OF $2,464,077 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) WAS EXCLUDED FROM THE TOTAL EXPENSE FIGURE WHEN CALCULATING PERCENT OF TOTAL EXPENSE.	PART I, LINE 7, COLUMN (F) AND PART II, COLUMN (F):
PART II: AS PART OF OUR MISSION TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE, 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 CAUSES OF HEALTH PROBLEMS SUCH AS EDUCATION, HOUSING, SOCIAL SUPPORT AND THE BUILT ENVIRONMENT. SOME EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES INCLUDE:- THROUGH A PARTNERSHIP WITH PUGET SOUND BIKE SHARE, WE ARE MAKING BIKE HELMETS AVAILABLE AT A NETWORK OF BIKE-SHARE STATIONS IN THE SEATTLE AREA. PUGET SOUND BIKE SHARE WILL OPEN THE FIRST 50 RENTAL SITES, INCLUDING ONE AT SEATTLE CHILDREN'S, IN 2014. THE STATION WILL OFFER ACCESS TO A BRAND NEW FORM OF TRANSPORTATION. - THE CONTINUOUS PERFORMANCE IMPROVEMENT (CPI) TEAM PROVIDES TOURS AND TRAINING TO LOCAL AND STATE GOVERNMENT EMPLOYEES TO HELP IMPROVE THE GOVERNMENT'S ABILITY TO SUPPORT THE CITIZENS OF THE STATE OF WASHINGTON THROUGH LEAN METHODOLOGY, WHICH AIMS AT REDUCING COSTS. THE PROGRAM PROVIDES OPPORTUNITIES TO SEE THE WORK IN ACTION, VALIDATE THINKING AND INSPIRE IMPROVEMENT ACTIVITIES. - OUR CLINICAL AND NON CLINICAL STAFF PROVIDE LECTURES, TOURS, MENTORING AND SHADOWING OPPORTUNITIES THAT DISCUSS EMPLOYMENT OPPORTUNITIES IN HEALTHCARE TO UNDERSERVED STUDENTS AND PEOPLE FROM DIVERSE BACKGROUNDS. ONE OF THE PROGRAMS REACHES OUT TO PEOPLE WHO ARE PLANNING TO ATTEND MEDICAL SCHOOL TO INCREASE THEIR SKILLSET WHEN APPLYING. - BY POOLING FINANCIAL RESOURCES FROM SEATTLE CHILDREN'S AND METRO, THE TRANSIT NOW PARTNERSHIP MAKES MORE TRANSIT SERVICE AVAILABLE TO COMMUNITIES IN THE NORTHEAST SEATTLE AREA. - IN PARTNERSHIP WITH KING COUNTY METRO TRANSIT, 5,000 HOUSEHOLDS RECEIVED MESSAGES THAT ENCOURAGE RIDING TRANSIT, WALKING, BIKING AND CARPOOLING AS ALTENATIVES TO DRIVING ALONE. SEATTLE CHILDREN'S ALSO SUPPORTED THE PRODUCTION OF A MAP WITH NEIGHBORHOOD WALKING ROUTES, IN PARTNERSHIP WITH FEET FIRST, A LOCAL NON-PROFIT THAT ENCOURAGES PEOPLE TO WALK MORE. - THE PASTORAL CARE DEPARTMENT OFFERS SPIRITUAL AND RELIGIOUS SERVICES, INCLUDING CATHOLIC MASS IN ENGLISH AND SPANISH, HANNUKAH AND OUR LADY OF GUADALUPE CELEBRATION, FOR PATIENTS, FAMILIES, VISITORS AND COMMUNITY MEMBERS. - STAFF FROM THE CENTER FOR DIVERSITY AND HEALTH EQUITY COORDINATE AND SUPPORT SEATTLE CHILDREN'S EMPLOYEES WHO VOLUNTEER AT THE MARTIN LUTHER KING, JR. DAY OF SERVICE HOSTED BY UNITED WAY OF KING COUNTY. VOLUNTEERS PROVIDE NON-PROFIT ORGANIZATIONS WITH MUCH NEEDED SKILLED AND PASSIONATE WORKERS.- SEATTLE CHILDREN'S PROVIDES CASH CONTRIBUTIONS AND SPONSORSHIPS TO COMMUNITY ORGANIZATIONS TO SUPPORT OUR COMMUNITIES' ECONOMIC DEVELOPMENT, EARLY CHILDHOOD DEVELOPMENT, EDUCATION AND SOCIAL SUPPORT SYSTEMS.
PART III, LINE 4: THE FOLLOWING TEXT DESCRIBING BAD DEBTS IS FOUND WITHIN FOOTNOTE (1)(K) TO THE AUDITED FINANCIAL STATEMENTS:"THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS DETERMINED FROM AN EVALUATION OF POTENTIALLY UNCOLLECTIBLE PORTIONS OF ALL PATIENT ACCOUNTS RECEIVABLE AND RECOGNIZED IN THE PERIOD THE SERVICES ARE PROVIDED. THE PROVISION VALUATION IS BASED ON ANALYSIS OF CURRENT AND PAST-DUE ACCOUNTS, COLLECTION EXPERIENCE IN RELATION TO AMOUNTS BILLED AND OTHER RELEVANT INFORMATION. THE PROVISION, LESS ANY WRITE-OFFS IS RECORDED NET WITH ACCOUNTS RECEIVABLE IN THE ACCOMPANYING BALANCE SHEETS. THE HOSPITAL'S PROVISION FOR DOUBTFUL ACCOUNTS WAS 63% AND 64% OF SELF-PAY ACCOUNTS RECEIVABLE AS OF SEPTEMBER 30, 2013 AND 2012."
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 KIDNEY TRANSPLANT ALONG WITH OTHER RELATED SERVICES. THE ESRD CARE OFTEN RESULTS IN 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 BUSINESS SERVICES 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.
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 2:
PART V, SECTION B, LINE 1J: IN 2013, SEATTLE CHILDREN'S CONDUCTED ITS FIRST COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO:- 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 FIRST THOROUGH 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 WILL GUIDE 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 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.AS WITH ANY RESEARCH EFFORT, WE FACED SOME LIMITATIONS. FOR EXAMPLE, WE ENCOUNTERED INCONSISTENT AGE GROUPINGS IN EPIDEMIOLOGICAL AND OUTCOME DATA; INCONSISTENT LIFE-STAGE CATEGORIES, SUCH AS WHEN A CHILD IS CONSIDERED AN ADULT; AND INCONSISTENT DEFINITIONS OF CERTAIN TERMS SUCH AS "HISPANIC" AND "COMMUNITY." THROUGHOUT THIS REPORT, WE HAVE USED THE DESIGNATIONS OF ETHNIC AND NATIONAL GROUPS THAT ARE USED IN THE DATA CITED. WHILE WE GATHERED COMMUNITY INPUT FROM A WIDE RANGE OF STAKEHOLDERS, LIMITED RESOURCES MADE IT IMPOSSIBLE TO REACH ALL OF OUR CONSTITUENTS. WE HAD LESS FEEDBACK FROM COMMUNITY LEADERS OUTSIDE OF KING COUNTY AND HELD JUST THREE FOCUS GROUPS. WE CONSIDER THIS ASSESSMENT TO BE A STARTING POINT AND LOOK FORWARD TO CONTINUING TO BETTER UNDERSTAND THE STRENGTHS AND NEEDS OF THE COMMUNITIES WE SERVE.IN THE CHNA, THE FOLLOWING THEMES EMERGED FROM OUR QUALITATIVE RESEARCH:- POVERTY PLAYS A LARGE ROLE IN FAMILIES' ABILITY TO ACCESS SERVICES.- OBESITY IS A SHARED CONCERN. CONTRIBUTING FACTORS INCLUDE LIMITED SCHOOL-BASED PHYSICAL EDUCATION, NEIGHBORHOODS THAT ARE NOT CONDUCIVE TO PHYSICAL ACTIVITY, A LACK OF HEALTHY FOODS IN SCHOOLS AND LOCAL STORES, AND THE HIGH COST OF SPORTS AND RECREATION OPPORTUNITIES. ACCESS TO MENTAL HEALTH SERVICES IS LACKING. - MENTAL HEALTH SERVICES ARE NOT LOCALLY AVAILABLE AND COST TOO MUCH MONEY. INDIVIDUALS MAY NOT SEEK MENTAL HEALTH SERVICES BECAUSE OF THE STIGMA ASSOCIATED WITH MENTAL ILLNESS. - PARENTS WANT MORE INFORMATION TO BE READILY AVAILABLE TO THEM, GRANDPARENTS AND OTHER CAREGIVERS ABOUT HOW TO KEEP THEIR CHILDREN SAFE AND HEALTHY. THEY FACE CHALLENGES WITH NAVIGATING THE HEALTHCARE SYSTEM. - COMMUNICATION BETWEEN HEALTHCARE PROVIDERS, SCHOOLS AND FAMILIES IS CRITICAL TO GOOD HEALTH.- RURAL WASHINGTON AND SOUTH KING COUNTY ARE GEOGRAPHIC AREAS IN NEED. TEENS, REFUGEES AND IMMIGRANT FAMILIES ARE UNDERSERVED POPULATIONS. - CULTURALLY RELEVANT SERVICES ARE NEEDED. LANGUAGE, IMMIGRATION STATUS, COST, TRANSPORTATION AND LACK OF EDUCATION ABOUT THE HEALTHCARE SYSTEM ARE BARRIERS IN KNOWING ABOUT AND ACCESSING SERVICES AND ACTIVITIES.ASSESSMENT RESULTS HAVE VALIDATED OUR EXISTING WORK AND HAVE HELPED US PRIORITIZE WHERE AND HOW TO FOCUS OUR NEW WORK. 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.FOR SEATTLE CHILDREN'S COMMUNITY BENEFIT PLAN, WE HAVE IDENTIFIED FIVE PRIORITY AREAS: - ACCESS TO HIGH QUALITY HEALTHCARE- COORDINATED CARE FOR CHILDREN AND TEENS WITH CHRONIC CONDITIONS- HEALTH EQUITY AND ACCESS IN SOUTH KING COUNTY- OBESITY - MENTAL AND BEHAVIORAL HEALTHWE WILL ALSO BE SUSTAINING FOUR OTHER COMMUNITY BENEFIT PROGRAMS:- ADOLESCENT HEALTH- INJURY PREVENTION (BOTH INTENTIONAL AND UNINTENTIONAL INJURY)- SERVICES FOR CHILDREN WITH SPECIAL NEEDS- PARENT AND FAMILY EDUCATION AND RESOURCESOUR PRIORITIES HAVE BEEN APPROVED BY THE SEATTLE CHILDREN'S HOSPITAL BOARD OF TRUSTEES (THE ULTIMATE GOVERNING BOARD OF THE ORGANIZATION) AND WILL BE 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 3: IN THE 2013-2016 COMMUNITY HEALTH NEEDS ASSESSMENT, 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- AN ONLINE SURVEY OF 74 COMMUNITY LEADERS REPRESENTING 57 CHILD HEALTHRELATED ORGANIZATIONS ACROSS THE STATE THAT SERVE POPULATIONS THAT ARE HISTORICALLY UNDERSERVED OR ARE EXPERIENCING HEALTH DISPARITIES- INTERVIEWS WITH CHILDREN'S PHYSICIANS AND STAFF LEADERS, 10 PUBLIC HEALTH EXPERTS AND COMMUNITY REPRESENTATIVES- PARENT LISTENING GROUPS (IN ENGLISH, SPANISH AND WITH OUR FAMILY ADVISORY COUNCIL)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 12H: 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.		SEATTLE CHILDREN'S HOSPITAL
PART VI, LINE 2: AS PART OF SEATTLE CHILDREN'S STRATEGIC PLAN DEVELOPMENT, RESEARCH HAS BEEN DONE 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. SIGNAGE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS AVAILABLE IN OUR PRIMARY LANGUAGES: ENGLISH, SPANISH, RUSSIAN AND VIETNAMESE. APPLICATION FORMS ARE AVAILABLE IN ENGLISH AND SPANISH. 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. THEY ARE LOCATED ON THE SEATTLE CHILDREN'S MAIN CAMPUS NEXT TO THE AMBULATORY CHECK IN AREA TO FACILITATE ACCESS. 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. 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 45% OF OUR PATIENTS ARE ON MEDICAID, ON A SIMILAR LOW INCOME INSURANCE PROGRAM, OR ARE UNINSURED. OUR 2013-2016 CHNA CENTERS ON THE NEEDS OF FAMILIES, CHILDREN AND YOUTH OF WASHINGTON STATE AND, SPECIFICALLY, KING COUNTY, WITH A SPECIAL FOCUS ON SOUTH KING COUNTY. SOUTH KING COUNTY IS DEFINED AS THE AREA THAT COVERS THE CITIES OF BURIEN, TUKWILA, RENTON, SEATAC, KENT, DES MOINES, COVINGTON, MAPLE VALLEY, FEDERAL WAY, AUBURN, BLACK DIAMONG, ALGONA, PACIFIC AND ENUMCLAW AND THE UNINCORPORATED COMMUNITY OF WHITE CENTER. THE REPORT ALSO PROVIDES A GENERAL OVERVIEW OF ACCESS TO HEALTHCARE ACROSS THE REGION. CHNA RESEARCH YIELDED THE FOLLOWING STATE AND COUNTY DEMOGRAPHICS:- THERE ARE 1,721,457 CHILDREN IN WASHINGTON STATE, OR 26.7% OF THE TOTAL POPULATION. IN KING COUNTY, 24% OF THE RESIDENTS ARE UNDER 19 YEARS OLD. IN SOUTH KING COUNTY, CHILDREN ACCOUNT FOR 27.5% OF THE POPULATION.- IN WASHINGTON STATE, 18% OF CHILDREN LIVE IN POVERTY AND 7% LIVE IN EXTREME POVERTY (THEIR FAMILIES HAVE INCOMES LESS THAN 50% OF THE FEDERAL POVERTY LEVEL). IN KING COUNTY, 15% OF CHILDREN LIVE IN POVERTY, AND 5% IN EXTREME POVERTY. NEARLY ONE OUT OF FOUR FAMILIES IN TUKWILA IS LIVING BELOW THE POVERTY LEVEL.- UNEMPLOYMENT GREW FROM 4.9% IN 2006 TO 9.2% IN 2011. ABOUT 50,000 CHILDREN IN WASHINGTON STATE LIVE IN HOMES WHERE NO ADULTS WORK.- SINCE 2005, GRADUATION RATES HAVE INCREASED ACROSS ALL ETHNICITIES IN WASHINGTON STATE AND KING COUNTY. HIGH SCHOOL GRADUATION RATES ARE ALMOST 80% FOR ALL STUDENTS IN THE STATE.- FROM 2008 TO 2009, FAMILY HOMELESSNESS IN WASHINGTON STATE ROSE 9.2%, COMPARED TO A NATIONAL INCREASE OF ONLY 2.7%. THE 2010 KING COUNTY ONE NIGHT COUNT IDENTIFIED 8,937 HOMELESS PEOPLE ON ONE JANUARY NIGHT. THIS INCLUDED 6,178 PEOPLE IN EMERGENCY SHELTERS AND TRANSITIONAL HOUSING PROGRAMS. 55% WERE FAMILIES WITH CHILDREN.- THE OVERALL CRIME RATE IN WASHINGTON STATE HAS DROPPED STEADILY FROM A HIGH OF 52.9 OFFENSES (PER 1,000 CITIZENS) IN 2005 TO 38.3 IN 2011.- IN 2008, 10,571 CHILDREN WERE IN FOSTER CARE IN WASHINGTON. CHILDREN IN FOSTER CARE USE MENTAL HEALTH SERVICES 8 TO 11 TIMES MORE THAN OTHER LOW-INCOME AND GENERALLY HIGH-RISK CHILDREN IN THE MEDICAID PROGRAM.HEALTH AND SAFETY STATISTICS REVEAL AREAS OF GREAT NEED:- ALL COUNTIES IN WASHINGTON, EXCLUDING KING COUNTY, HAVE A SHORTAGE OF PRIMARY, MENTAL OR DENTAL CARE PROVIDERS.- THE LEADING CAUSES OF DEATH AMONG WASHINGTON CHILDREN ARE UNINTENTIONAL INJURIES, BIRTH DEFECTS, SUICIDE, MATERNAL COMPLICATIONS, SUDDEN INFANT DEATH SYNDROME (SIDS), CANCER, PREMATURITY AND HOMICIDE. - FROM 2006 TO 2010, THE LEADING CAUSES OF INJURY DEATHS WERE SUFFOCATION, HOMICIDE AND MOTOR VEHICLE CRASHES IN CHILDREN BIRTH TO 1 IN WASHINGTON STATE. IN CHILDREN AGES 1 TO 4, THE LEADING CAUSES OF INJURY DEATHS WERE DROWNING, HOMICIDE AND MOTOR VEHICLE CRASHES. IN CHILDREN 5 TO 14, THEY WERE MOTOR VEHICLE CRASHES AND DROWNING. IN TEENS AGES 15 TO 19, THE LEADING CAUSES OF INJURY DEATHS WERE MOTOR VEHICLE CRASHES, SUICIDE AND POISONING.- IN A SURVEY OF PEDIATRICIANS IN WASHINGTON STATE, 47.9% REPORTED ACCEPTING ALL NEW MEDICAID PATIENTS. LOW PROVIDER PAYMENT WAS THE NUMBER ONE BARRIER TO PARTICIPATION IN MEDICAID.- YOUTH WITH DISABILITIES IN WASHINGTON ARE MORE LIKELY TO BE AT RISK FOR UNINTENTIONAL INJURY, DEPRESSION, SUICIDE, PHYSICAL ABUSE, SEXUAL ABUSE, AND THE USE OF CIGARETTES, ALCOHOL AND MARIJUANA.- CHILDREN WITH CHRONIC CONDITIONS (14.3% IN WASHINGTON; 13.9% IN THE U.S.) ARE LESS LIKELY TO HAVE A MEDICAL HOME, TO HAVE EASY ACCESS TO OBTAINING NEEDED REFERRALS, AND TO HAVE ADEQUATE INSURANCE.- OF WASHINGTON HIGH SCHOOL STUDENTS, 11% ARE OBESE (9% IN KING COUNTY) AND 14% TO 16% ARE OVERWEIGHT (21% IN KING COUNTY).- 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.- OF CHILDREN AGES 2 TO 17, 12% HAVE ONE OR MORE EMOTIONAL, BEHAVIORAL OR DEVELOPMENTAL CONDITION.- WASHINGTON HAS THE HIGHEST NATIONAL RATES OF REQUESTED EXEMPTIONS FROM SCHOOL IMMUNIZATIONS.- COMPARED TO OTHER REGIONS OF KING COUNTY, SOUTH KING HAS THE HIGHEST RATES OF: UNINSURED CHILDREN BIRTH TO 17; POOR MATERNAL AND CHILD HEALTH; HOSPITALIZATION FOR CHILDREN AGES 0 TO 17 INJURED BY MOTOR VEHICLE CRASHES, FIREARMS (UNINTENTIONAL AND ASSAULT), POISONING, FALLS AND SUFFOCATION; AND TEEN OBESITY AND RISK OF OVERWEIGHT.
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. SCH 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 SCH 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 SCH MEDICAL STAFF AND PEDIATRIC FACULTY MEMBERS OF THE UWSOM.- PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLCSEATTLE 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). PCNS MANAGES THE OPERATIONS OF THE NEONATAL INTENSIVE CARE UNIT AT PEMC AND PROVIDES NEONATAL NURSE PRACTITIONER SERVICES TO PEMC.- SEATTLE CANCER CARE ALLIANCETHE SEATTLE CANCER CARE ALLIANCE (SCCA), 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, THE UW, AND THE 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)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (43 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ALASKA MARINE SAFETY EDUCATION ASSOCIATION
2924 HALIBUT POINT RD	SITKA	AK	99835	920129584	501(C)(3)	10000	FUNDING FOR COLD-WATER SAFETY AND SURVIVAL TRAINING FOR TEACHERS AND SCHOOL CHILDREN
ALASKA NETWORK ON DOMESTIC VIOLENCE AND SEXUAL ASSAULT
130 SEWARD ST SUITE 214	JUNEAU	AK	99801	920087216	501(C)(3)	17042	TRAINING FOR MALE MENTORS CONNECTING WITH YOUNG MEN IN SOUTHEAST ALASKA
AMERICAN HEART ASSOCIATION
710 SECOND AVE SUITE 900	SEATTLE	WA	98104	135613797	501(C)(3)	8700	ANCHORAGE HEART WALK, ALASKA HEART RUN, AND HEARTCHASE TRI-CITIES SPONSORSHIPS
ASSOCIATED RECREATION COUNCIL
100 DEXTER AVE N	SEATTLE	WA	98109	510208303	501(C)(3)	11000	SWIMMING SCHOLARSHIPS AND BIG DAY OF PLAY SPONSORSHIP
CASE WESTERN RESERVE UNIVERSITY
10900 EUCLID AVENUE	CLEVELAND	OH	441067006	341018992	501(C)(3)	306515	GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD
CHILDREN'S ALLIANCE
718 6TH AVE S	SEATTLE	WA	98104	910982879	501(C)(3)	7780	ANNUAL VOICES FOR CHILDREN'S LUNCHEON SPONSORSHIP
CINCINNATI CHILDREN'S HOSPITAL
3333 BURNET AVENUE	CINCINNATI	OH	452293039	310537130	501(C)(3)	250000	GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD
CITY OF DES MOINES
21630 11TH AVENUE SOUTH	DES MOINES	WA	98198	916016496	GOVERNMENT	6090	SUBAWARD UNDER CDC COMMUNITY TRANSFORMATION GRANT
COMPREHENSIVE HEALTH EDUCATION FOUNDATION
159 S JACKSON ST SUITE 510	SEATTLE	WA	98104	916186093	501(C)(3)	49495	CHILDHOOD OBESITY PREVENTION EVENT SPONS. & SUBAWARD FROM COMMUNITY TRANSFORMATION GRANT
CROHN'S AND COLITIS FOUNDATION OF AMERICA NORTHWEST CHAPTER
9 LAKE BELLEVUE DRIVE SUITE 203	BELLEVUE	WA	98005	136193105	501(C)(3)	7250	LUNCHEON SPONSORSHIP
GIRLS ON THE RUN OF PUGET SOUND
1404 E YESLER WAY SUITE 201	SEATTLE	WA	98122	841618574	501(C)(3)	5300	BUILDING HEALTHY HABITS IN PUGET SOUND & GIRLS ON THE RUN EVENT SPONSORSHIP
GREATER ISSAQUAH CHAMBER OF COMMERCE
155 NW GILMAN BLVD	ISSAQUAH	WA	98027	916056410	501(C)(6)	6950	SALMON DAYS FESTIVAL SPONSORSHIP
HEALTH CARE WITHOUT HARM
12355 SUNRISE VALLEY DR SUITE 680	RESTON	VA	20191	522358837	501(C)(3)	10183	SUBAWARD UNDER CDC COMMUNITY TRANSFORMATION GRANT
HIGHLINE PUBLIC SCHOOLS
15675 AMBAUM BLVD	BURIEN	WA	98166	916001631	GOVERNMENT	12431	SUBAWARD UNDER CDC COMMUNITY TRANSFORMATION GRANT
HOPELINK
10675 WILLOWS RD NE SUITE 275	REDMOND	WA	98052	910982116	501(C)(3)	6000	REACHING OUT LUNCHEON SPONSORSHIP
JUVENILE DIABETES RESEARCH FOUNDATION SEATTLE GUILD
1215 FOURTH AVE SUITE 1400	SEATTLE	WA	98161	231907729	501(C)(3)	12000	DREAM GALA AND SYMPOSIUM SPONSORSHIPS
KETCHIKAN YOUTH INITIATIVES
724 BAYVIEW ST	KETCHIKAN	AK	99901	202549904	501(C)(3)	20000	CONSTRUCTION OF YOUTH COMMUNITY CENTER
KLAWOCK PARENT TEACHER STUDENT ASSOCIATION
PO BOX 295	KLAWOCK	AK	99925	920151710	501(C)(3)	10000	KLAWOCK PLAYGROUND PROJECT
MARCH OF DIMES
1904 THIRD AVE SUITE 230	SEATTLE	WA	98101	131846366	501(C)(3)	11000	NURSE OF THE YEAR AWARDS AND SIGNATURE CHEFS DINNER AND AUCTION SPONSORSHIPS
MT EDGECUMBE PRESCHOOL
129 SEWARD ST	SITKA	AK	99835	920059190	501(C)(3)	11000	PURCHASE OF PRESCHOOL MULTIFUNCTION ACTIVITY BUS
NAVOS MENTAL HEALTH SOLUTIONS
2600 SW HOLDEN ST	SEATTLE	WA	98126	910848698	501(C)(3)	10000	ANNUAL BREAKFAST AND GALA SPONSORSHIPS
NICK OF TIME FOUNDATION
PO BOX 14178	MILL CREEK	WA	980823178	204200756	501(C)(3)	10000	SPONSORSHIP OF SEATTLE SCHOOLS HEART SCREENINGS
PUGET SOUND BIKE SHARE
PO BOX 4362	SEATTLE	WA	98194	454996411	501(C)(3)	480500	DONATION FOR BIKE HELMETS AT BIKE SHARE STATIONS
PUGET SOUND REGIONAL COUNCIL
1011 WESTERN AVE SUITE 500	SEATTLE	WA	98104	910662794	GOVERNMENT	11157	SUBAWARD UNDER CDC COMMUNITY TRANSFORMATION GRANT
PROGRESS EARLY PARENT SUPPORT
4649 SUNNYSIDE AVE N SUITE 346	SEATTLE	WA	98103	911212698	501(C)(3)	6000	ANNUAL SPONSORSHIP FOR PARENTING SUPPORT IN THE COMMUNITY
REACH INC
213 THIRD ST	JUNEAU	AK	99801	920070127	501(C)(3)	12620	FOR PURCHASE OF HEARING SCREENER AND ACCESSORIES FOR HAINES INFANT LEARNING CENTER
RONALD MCDONALD HOUSE CHARITIES OF WESTERN WASHINGTON & ALASKA
5130 40TH AVE NE	SEATTLE	WA	98105	911061043	501(C)(3)	319237	SUPPORT FOR HOUSING PROGRAMS
SEATTLE KING COUNTY DEPARTMENT OF PUBLIC HEALTH
401 FIFTH AVE SUITE 1300	SEATTLE	WA	98104	916001327	GOVERNMENT	191537	SUBAWARD UNDER CDC COMMUNITY TRANSFORMATION GRANT
SEATTLE MARATHON ASSOCIATION
PO BOX 31849	SEATTLE	WA	98103	911215695	501(C)(3)	30000	SEATTLE KIDS MARATHON SPONSORSHIP
SEATTLE PARKS FOUNDATION
105 SOUTH MAIN ST SUITE 235	SEATTLE	WA	98104	911998597	501(C)(3)	5350	BURKE GILMAN PICNIC TABLE DONATION
SEATTLE POLICE FOUNDATION
PO BOX 456	SEATTLE	WA	98111	912171529	501(C)(3)	8700	ANNUAL POLICE AWARDS BANQUET SPONSORSHIP AND GUN BUYBACK PROGRAM DONATION
SEATTLE PUBLIC SCHOOLS
MS 33-343 PO BOX 34165	SEATTLE	WA	981241165	916001541	GOVERNMENT	7225	SUBAWARD UNDER CDC COMMUNITY TRANSFORMATION GRANT
SITKA SOUND SCIENCE CENTER
834 LINCOLN ST SUITE 200	SITKA	AK	99835	261253086	501(C)(3)	20000	BLACK AND WHITE PROJECT TO CREATE NEWBORN KILLER WHALE REPLICA
SOLID GROUND WASHINGTON
1501 N 45TH ST	SEATTLE	WA	98103	237421892	501(C)(3)	10000	STATEWIDE POVERTY ACTION NETWORK COMMUNITY BENEFIT PROGRAM SUPPORT
SOUTH EAST REGIONAL RESOURCE CENTER
210 FERRY WAY SUITE 200	JUNEAU	AK	99801	920058572	501(C)(3)	15000	STEMS AND ROOTS PROGRAM FOR EDUCATIONAL ACTIVITIES AND NATIVE AMERICAN FOOD PREPARATION
TAYLOR WHITE FOUNDATION
PO BOX 35411	JUNEAU	AK	99803	270324305	501(C)(3)	20000	FREE DEFENSIVE DRIVER'S TRAINING AND SAFETY EDUCATION FOR TEENS AND PARENTS
THE MEMORIAL FOUNDATION
2701 TIETON DR	YAKIMA	WA	98902	911022358	501(C)(3)	100000	CHILDREN'S VILLAGE EXPANSION CAMPAIGN
THE REGENTS OF THE UNIVERSITY OF MICHIGAN
3003 SOUTH STATE STREET	ANN ARBOR	MI	48109	386006309	501(C)(3)	211618	GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD
UNIVERSITY OF WASHINGTON
12455 COLLECTIONS DRIVE	CHICAGO	IL	60693	916001537	GOVERNMENT	396426	GAPPS SUBGRANT & SUBAWARD UNDER CDC COMMUNITY TRANSFORMATION GRANT
UNIVERSITY OF WASHINGTON FOUNDATION
407 GERBERDING HALL	SEATTLE	WA	98195	943079432	501(C)(3)	9250	SPONSORSHIPS FOR EPILEPSY SURGERY SYMPOSIUM, SUICIDE PREVENTION EVENT, AND OTHER EVENTS/FUNDS
WASHINGTON DEPT OF AGRICULTURE
PO BOX 42591	OLYMPIA	WA	98504	916001062	GOVERNMENT	38964	SUBAWARD UNDER CDC COMMUNITY TRANSFORMATION GRANT
WITHIN REACH
11000 LAKE CITY WAY NE SUITE 301	SEATTLE	WA	981256748	911443685	501(C)(3)	14500	VAX NORTHWEST IMMUNIZATION SOCIAL MARKETING CAMPAIGN AND LUNCHEON SPONSORSHIP
YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY
1118 FIFTH AVENUE	SEATTLE	WA	98101	910482890	501(C)(3)	9615	INSPIRE LUNCHEON AND GIRLSFIRST GALA SPONSORSHIPS

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	43	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (14 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
SUPPORT TO PATIENT FAMILIES OF MEDICALLY FRAGILE CHILDREN FOR EMERGENCY GENERATORS	2	2000
COLLEGE SCHOLARSHIPS FOR HOSPITAL VOLUNTEERS	4	6400
SUPPORT TO PATIENT FAMILIES FOR TEMPORARY HOUSING AND RENTAL ASSISTANCE	103		47221	ACTUAL COST	PAYMENTS TO HOUSING AND RENTAL COMPANIES
SUPPORT TO PATIENT FAMILIES FOR UTILITY PAYMENTS	25		14518	ACTUAL COST	PAYMENTS TO UTILITY COMPANIES
SUPPORT TO PATIENT FAMILIES FOR TRANSPORTATION TO APPOINTMENTS	191		9477	ACTUAL COST	PAYMENTS TO TRANSPORTATION COMPANIES
SUPPORT TO PATIENT FAMILIES FOR MEDICAL EQUIPMENT	58		6938	ACTUAL COST	PAYMENTS TO MEDICAL EQUIPMENT PROVIDERS
SUPPORT TO PATIENT FAMILIES FOR FUNERAL EXPENSES	9		1580	ACTUAL COST	PAYMENTS TO FUNERAL HOMES
SUPPORT TO PATIENT FAMILIES FOR VARIOUS NEEDS	10	295
SUPPORT TO PATIENT FAMILIES TO PURCHASE GROCERIES	307		18050	MARKET VALUE	SAFEWAY GIFT CARDS
SUPPORT TO PATIENT FAMILIES TO PURCHASE GAS FOR TRANSPORTATION TO APPOINTMENTS	411		17641	MARKET VALUE	GAS CARDS
SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	943		5060	MARKET VALUE	MEAL VOUCHERS TO CAFETERIA
SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	245		4023	MARKET VALUE	FOOD BAGS
SUPPORT TO PATIENTS AND FAMILIES WHO ARE ADMITTED ON AN EMERGENT / URGENT BASIS	63		870	MARKET VALUE	CLOTHING
SUPPORT TO PATIENT FAMILIES TO CONNECT WITH FAMILY AND FRIENDS DURING CHILD'S HOSPITALIZATION	4		12	MARKET VALUE	PHONE CARDS

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: A SPONSORSHIP COMMITTEE WAS ESTABLISHED BY SEATTLE CHILDREN'S HOSPITAL TO MEET REGULARLY FOR THE PURPOSE OF EVALUATING DIFFERENT OPPORTUNITIES TO SUPPORT OTHER NONPROFIT ORGANIZATIONS THROUGH PROVIDING VOLUNTEERS, GRANTS, AND SPONSORSHIPS FOR FUNDRAISING AND EDUCATIONAL EVENTS. CRITERIA USED IN THE DETERMINATION OF ASSISTANCE INCLUDE: THE ORGANIZATION'S ALIGNMENT WITH THE HOSPITAL'S CORE MISSION AND VALUES, THE DIVERSITY AND LOCATION OF THE POPULATION SERVED, AS WELL AS DOCUMENTED COMMUNITY NEED ADDRESSED BY THE ORGANIZATION. THE PURPOSE OF GRANTS DISTRIBUTED FROM THE REUBEN CROSSET 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. 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. ALL ORGANIZATIONS SELECTED AS SUBGRANTEES ISSUED UNDER THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) GRANT NUMBER H75DP004595 ENTITLED, 'TRANSFORMING THE HEALTH OF SOUTH KING COUNTY TO REDUCE HEALTH INEQUITIES,' ARE REQUIRED TO ADHERE TO ALL TERMS AND CONDITIONS AS STATED IN THE SEATTLE CHILDREN'S NOTICE OF AWARD AS WELL AS ALL FEDERAL GRANT AND CONTRACT POLICIES (AND OMB CIRCULARS). THE FOLLOWING PROGRESS REPORTS ARE REQUIRED PER AWARD GUIDELINES: MONTHLY PROGRESS PHONE CALLS, INTERIM PROGRESS REPORTS, ANNUAL AND FINAL PROGRESS. QUARTERLY PREVENTION AND PUBLIC HEALTH FUND (PPHF) REPORTING IS REQUIRED AS WELL AS A FINAL FINANCIAL REPORT. ADDITIONAL PROGRESS/FINANCIAL REPORTING IS REQUIRED DEPENDING ON EACH ORGANIZATION'S A-133 AUDIT FINDINGS OR AS NEEDED BASED ON THE DELIVERABLES AS SET FORTH IN THE AGREEMENT.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (27 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THOMAS HANSEN MD
CEO/NON-VOTING TRUSTEE	382655	382654	144595	144593	21681	1610551	7500	205005	12953	12952	569384	2355755	0	1609194
KELLY WALLACE
SENIOR VP & CHIEF FINANCIAL OFFICER	322838	107613	99588	33196	9605	2231774	11250	118675	17064	5688	460345	2496946	0	2231394
PATRICK HAGAN
PRESIDENT & CHIEF OPERATING OFFICER	53539	0	154928	0	555888	3366467	15000	114624	3887	0	783242	3481091	0	3366467
DAVID FISHER MD
SR VP-CHIEF MED OFF/NON-VOTING TRUST	501843	0	173406	0	10132	0	15000	87505	23404	0	723785	87505	0	0
LISA BRANDENBURG
PRESIDENT	501797	0	115487	0	16126	0	10000	85205	23422	0	666832	85205	0	0
SANFORD MELZER MD
SENIOR VP & CHIEF STRATEGY OFFICER	200231	186700	81892	27297	7579	49849	11250	64266	15844	9532	316796	337644	0	49849
JAMES HENDRICKS MD
PRESIDENT - RESEARCH INSTITUTE	326893	0	110465	0	4679	0	15000	51279	21697	0	478734	51279	0	0
EDWIN WRIGHT
SENIOR VP & CHIEF INFO. OFFICER	345758	0	116994	0	2783	0	12854	25385	21869	0	500258	25385	0	0
JEFFREY SCONYERS
SENIOR VP & GENERAL COUNSEL	153314	153314	45574	44972	5072	539	7500	52484	10750	10750	222210	262059	0	0
STEVEN HURWITZ
VP - SHARED SERVICES	335768	0	65593	0	2246	0	13131	0	21020	0	437758	0	0	0
SUSAN HEATH
SENIOR VP & CHIEF NURSING OFFICER	262538	0	129567	0	6374	0	15000	0	9108	0	422587	0	0	0
DREXEL DEFORD
SENIOR VP & CHIEF INFO. OFFICER	202050	0	118199	0	29507	0	10000	38141	9270	0	369026	38141	0	0
CINDY EVANS
SENIOR VP - HOSPITAL OPERATIONS	291319	0	72659	0	3333	0	16933	0	17410	0	401654	0	0	0
SUZANNE PETERSEN
COS TO CEO & VP - EXT. AFFAIRS	288291	0	58529	0	7682	0	16892	0	21316	0	392710	0	0	0
CARA BAILEY
VP - CONTINUOUS PERFORMANCE IMPROVE.	243593	0	94112	0	2995	0	16978	0	8932	0	366610	0	0	0
ERIK LAUSUND
VP - RESEARCH OPERATIONS & LOGISTICS	237082	0	62050	0	3837	0	17449	0	10728	0	331146	0	0	0
JENNIFER ABERMANIS
VP-DIAGNOSTIC, THERAPY & SUPP. SVCS	220577	0	59200	0	3234	0	16918	0	20711	0	320640	0	0	0
WARREN HEWITT
VP - FINANCE	213725	0	58032	0	4117	0	17156	0	12593	0	305623	0	0	0
TODD JOHNSON
VP - FACILITIES	215512	0	44729	0	5455	0	14583	0	20605	0	300884	0	0	0
JUDY DOUGHERTY
VP - SURGICAL SERVICES	221354	0	31649	0	4376	0	16711	0	12664	0	286754	0	0	0
RUTH BENFIELD
VP - PSYCHO-SOCIAL SERVICES	201068	0	48621	0	4795	0	16924	0	12480	0	283888	0	0	0
STEPHANIE AXELROD
VP-COMMUNITY & STRATEGIC INITIATIVES	210617	0	26	0	2101	0	14602	0	20511	0	247857	0	0	0
DOUGLAS PICHA
PRESIDENT - FOUNDATION	32281	290531	13574	122170	7468	563874	1500	64411	2168	19511	56991	1060497	0	562848
JOE RUTLEDGE
PATHOLOGIST	374769	0	40622	0	12778	0	16895	0	14102	0	459166	0	0	0
CRAIG RUBENS
EXECUTIVE DIRECTOR, GAPPS	324474	0	91867	0	2226	0	11908	0	13521	0	443996	0	0	0
DAVID BRAUNER
CARDIOLOGIST	287636	0	108059	0	3689	0	12500	0	20220	0	432104	0	0	0
ANNE MANKTELOW
PEDIATRIC SURGEON	366470	0	0	0	2116	0	12500	0	7244	0	388330	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 IMPUTED COMPENSATION. JAMES HENDRICKS AND DOUGLAS PICHA ARE PROVIDED ROTARY CLUB MEMBERSHIPS, WHICH ARE NOT TREATED AS COMPENSATION.
PART I, LINE 4B	THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THOMAS HANSEN MD - $197,505 DEFERRED COMPENSATION, $1,609,194 REPORTABLE PAYMENT. KELLY WALLACE - $114,925 DEFERRED COMPENSATION, $2,231,394 REPORTABLE PAYMENT. PATRICK HAGAN - $114,624 DEFERRED COMPENSATION, $3,366,467 REPORTABLE PAYMENT. DAVID FISHER MD - $87,505 DEFERRED COMPENSATION. LISA BRANDENBURG - $85,205 DEFERRED COMPENSATION. SANFORD MELZER MD - $48,320 DEFERRED COMPENSATION, $49,849 REPORTABLE PAYMENT. JAMES HENDRICKS MD - $51,279 DEFERRED COMPENSATION. EDWIN WRIGHT - $25,385 DEFERRED COMPENSATION. JEFFREY SCONYERS - $44,984 DEFERRED COMPENSATION. DOUGLAS PICHA - $50,911 DEFERRED COMPENSATION, $562,848 REPORTABLE PAYMENT. DREXEL DEFORD - $38,141 DEFERRED COMPENSATION.
PART III	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: THOMAS HANSEN MD - $1,609,194 KELLY WALLACE - $2,231,394 PATRICK HAGAN - $3,366,467 SANFORD MELZER MD - $49,849 DOUGLAS PICHA - $562,848	SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
A	911108929	93987HDX0	2012-06-20	80423004	SEE PART VI	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
B	911108929	93978HEZ4	2012-06-20	142165000	SEE PART VI	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
C	911108929	93978HAA3	2010-09-02	77394750	SEE PART VI	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
D	911108929	93978HAB1	2010-09-02	46669601	SEE PART VI	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Issuance Costs From ProceedsIssuanceCostsFromProceeds
A	80423004	285	30419377	50003342	2013	0	1	0	1
B	142165000				2012	1	0	1	1
C	77394750			77394750	2010	0	0	1	1
D	46669601	20887			2010	1	0	1	1	568714

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	1
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	Variable Rate IssueVariableRateIssue	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	1	1	0	1
B	0	1	1	1
C	0	1	0	1
D	0	1	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1
D	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier

ExplanationExplanation

ENTITY 1 - FIRST SCHEDULE:

PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, 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 SEATTLE CHILDREN'S HOSPITAL ("SEATTLE CHILDREN'S") FOR A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPPING CERTAIN HEALTH CARE FACILITIES OF SEATTLE CHILDREN'S, AND (II) TO ADVANCE REFUND AND DEFEASE $27 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 THE SERIES 2009 BONDS WERE 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 SEATTLE CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN SEATTLE CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS 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 B, 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 THE SERIES 2008A/B BONDS 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 FEBURARY 16, 2006 (THE "SERIES 2006A/B BONDS"). THE PROCEEDS OF THE SERIES 2006A/B BONDS WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING TO ADVANCE REFUND AND DEFEASE $67 MILLION OF THE WASHINGTON HEALTH CARE FACILIITES AUTHORITY REVENUE BONDS, SERIES 1998 BONDS (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED NOVEMBER 17, 1998 (THE "SERIES 1998 BONDS"), 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 THE SERIES 1998 BONDS 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. THE PROCEEDS OF THE SERIES 2001 BONDS 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. LINE C, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010A (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010A BONDS"), WERE ISSUED TO REIMBURSE SEATTLE CHILDREN'S FOR THE COSTS OF ACQUIRING CERTAIN REAL PROPERTY (INCLUDING LAND) TO BE DEVELOPED AND USED AS HEALTH CARE FACILITIES OF SEATTLE CHILDREN'S. LINE D, 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. PART II, PROCEEDS: COLUMN A, LINES 5 AND 6: $30,419,377.00 OF TOTAL PROCEEDS FROM THE SERIES 2012B BONDS WAS DEPOSITED IN A REFUNDING ESCROW ACCOUNTS 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 B: $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. COLUMN D: $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. 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 A, LINE 2B: A PORTION OF THE SERIES 2012A/B BOND ISSUE MET THE 6-MONTH SPENDING EXCEPTION TO REBATE SET FORTH IN REGULATIONS 1.148-9(H) AND 1.148-7. COLUMN B, LINE 4A: SEATTLE CHILDREN'S DID NOT ENTER, NOR EXPECTS TO ENTER INTO, ANY INTEREST RATE HEDGE ARRANGEMENTS IN CONNECTION WITH THE SERIES 2012C/D BONDS. SEATTLE 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 WILL BE 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 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 SEATTLE CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN SEATTLE CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2008C BONDS") WERE ISSUED TO (I) REPAY AND RETIRE SEATTLE 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 THE SERIES 2006C BONDS WERE USED TO PROVIDE A PORTION OF THE FUNDS NECESSARY TO CONSTRUCT, REMODEL AND/OR ACQUIRE ADDITIONAL HEALTH CARE FACILITIES FOR SEATTLE CHILDREN'S AND (II) TO PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2008C BONDS. PART II, PROCEEDS: COLUMN A: LINE 3 INCLUDES INVESTMENT EARNINGS OF $100,396.00. COLUMN B: $90,000,000.00 WAS USED TO REPAY AND RETIRE A TAXABLE LINE OF CREDIT INDEBTEDNESS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2008C BONDS. PART III, PRIVATE BUSINESS USE: COLUMN A AND COLUMN B, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%. PART IV, ARBITRAGE: COLUMN A, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON OCTOBER 11, 2012.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
A	911108929	93978E584	2009-08-19	113722874	SEE PART VI	1	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
B	911108929	93978ES86	2008-05-29	90800036	SEE PART VI	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	27295000	113824086	1975466	111848620	2012	0	0	1	1
B		90800036	800036		2009	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	1
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	0	0	1	0	0	0	0	1
B	0	0	1	0	0	0	0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
HOSPITAL CENTRAL SERVICES ASSOCIATION (HCSA)
KELLY WALLACE, CFO, IS ON THE BOARD OF HCSA.	1847759	SERVICES	0
KING 5 TV
FAMILY MEMBER OF CYNTHIA HUFFMAN, TRUSTEE, IS CEO OF KING 5 TV.	517887	SERVICES	0
ELLEN FISCHER
DR. ROB ROSKIN, TRUSTEE, IS THE SPOUSE OF ELLEN FISCHER.	103290	EMPLOYMENT	0
SARAH BOWDEN
WARREN HEWITT, VP OF FINANCE, IS A FAMILY MEMBER OF SARAH BOWDEN.	38770	EMPLOYMENT	0
LILAH MELZER
DR. SANFORD MELZER, KEY EMPLOYEE, IS A FAMILY MEMBER OF LILAH MELZER.	36353	EMPLOYMENT	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	42	NumberOfContributions
Noncash Contribs Rptd F990	8188228	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenues

Real Estate Commercial RealEstateCommercial

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	1970000	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	TABLETS	Description
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	60969	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	1	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS:	PART I, COLUMN (B):	LINE 9 - 42 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 16 - 1 CONTRIBUTION OF COMMERCIAL REAL ESTATE PROPERTY; LINE 25 - 1 CONTRIBUTION OF 130 MICROSOFT SURFACE TABLETS AND TOUCH COVERS.
THIRD PARTY USE:	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. WHEN GIFTS OF REAL ESTATE ARE NOT HELD FOR OTHER PURPOSES, SEATTLE CHILDREN'S HIRES REALTY COMPANIES TO SELL THE REAL ESTATE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 2013, 747 VOLUNTEERS, AFTER COMPLETING A THOROUGH INTERVIEW AND TRAINING PROCESS, LOGGED 78,518 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, 28 UNCOMPENSATED TRUSTEES SERVED ON THE SEATTLE CHILDREN'S HOSPITAL BOARD DURING FISCAL YEAR 2013. IN ALL THAT THEY DO, OUR VOLUNTEERS ARE HIGHLY VALUED MEMBERS OF OUR HOSPITAL COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 2	SANFORD MELZER AND JEFFREY SCONYERS EACH HAVE A BUSINESS RELATIONSHIP WITH DEAN ALLEN, LIBBY ARMINTROUT, ROBB BAKEMEIER, JOEL BENOLIEL, SUSAN BETCHER, ROSS BOGUE, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, MARY ANN FLYNN, THOMAS HANSEN, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SANDRA MADRID, SUSAN MASK, JEFF NITTA, LAURIE OKI, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, PETE SHIMER, MICHELE SMITH, CHARLES STEVENS, AND KELLY WALLACE. THOMAS HANSEN HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, LIBBY ARMINTROUT, ROBB BAKEMEIER, JOEL BENOLIEL, SUSAN BETCHER, ROSS BOGUE, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, MARY ANN FLYNN, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SANDRA MADRID, SUSAN MASK, JEFF NITTA, LAURIE OKI, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, PETE SHIMER, MICHELE SMITH, CHARLES STEVENS, AND KELLY WALLACE. KELLY WALLACE HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, LIBBY ARMINTROUT, ROBB BAKEMEIER, JOEL BENOLIEL, SUSAN BETCHER, ROSS BOGUE, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, MARY ANN FLYNN, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SANDRA MADRID, SUSAN MASK, JEFF NITTA, LAURIE OKI, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, PETE SHIMER, MICHELE SMITH, AND CHARLES STEVENS.
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 11	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 AND GENERAL COUNSEL OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, ACTING UNDER THE OVERSIGHT OF THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF DIRECTORS, REVIEWS ALL DISCLOSURES AND ESTABLISHES AND OVERSEES ANY NECESSARY MANAGEMENT PLANS RELATED TO THEM. IN GENERAL, WHEN A CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON 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 COVERED PERSON OR OTHER EMPLOYEE WHO ENGAGES IN A VIOLATION OF THIS 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 11,352,766. CHANGE IN BENEFICIAL INTEREST IN SCHS 4,071,701.	CHANGES IN NET ASSETS OR FUND BALANCES:
SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT 2013	LETTER FROM OUR CHIEF EXECUTIVE OFFICER: A PLAN IS JUST ANOTHER PIECE OF PAPER UNTIL YOU ACT ON IT. OUR COMMUNITY BENEFIT IMPLEMENTATION PLAN IS NOT JUST ANOTHER PIECE OF PAPER. THE PLAN, COMPLETED IN 2013, DRIVES THE WORK DESCRIBED IN THE PAGES OF THIS REPORT. BASED ON A COMMUNITY HEALTH NEEDS ASSESSMENT OF THE REGION WE SERVE - WASHINGTON, ALASKA, MONTANA AND IDAHO - THE PLAN ADDRESSES SOME OF THE MOST URGENT HEALTH NEEDS AND HIGHLIGHTS THE NUMEROUS STRENGTHS OUR COMMUNITIES HAVE. WE'RE FOCUSING ON FIVE AREAS: - INCREASING ACCESS TO QUALITY HEALTHCARE FOR ALL CHILDREN AND TEENS - IMPROVING COORDINATION OF CARE FOR CHILDREN WITH CHRONIC CONDITIONS - IMPROVING HEALTH EQUITY AND ACCESS IN SOUTH KING COUNTY - PREVENTING AND TREATING OBESITY - ENHANCING ACCESS TO MENTAL AND BEHAVIORAL HEALTH CHILDREN'S IS WORKING WITH OTHER HOSPITALS AND WITH PUBLIC HEALTH SEATTLE & KING COUNTY AND THE WASHINGTON STATE HOSPITAL ASSOCIATION TO ACHIEVE SOME OF THESE GOALS THROUGH KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY. THIS IS THE FIRST TIME HOSPITALS IN WASHINGTON STATE HAVE JOINED TOGETHER FOR A COMMON COMMUNITY HEALTH CAUSE. OUR FIRST STEP WAS TO PLEDGE TO INCREASE HEALTHY FOOD AND BEVERAGE CHOICES IN OUR FACILITIES. WE'RE ALSO COLLABORATING TO CREATE A JOINT COMMUNITY HEALTH ASSESSMENT. CARING FOR THE COMMUNITY IS OUR PASSION, OUR DUTY AND OUR PRIVILEGE. IN PARTNERSHIP WITH FAMILIES, PUBLIC HEALTH, HEALTHCARE PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS, WE ARE WORKING TO MAKE OUR COMMUNITIES HEALTHIER AND SAFER. SINCERELY, TOM HANSEN, MD CEO, SEATTLE CHILDREN'S WHAT IS COMMUNITY BENEFIT? A COMMUNITY BENEFIT IS A PROGRAM OR SERVICE THAT: - 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 TOTAL 2013 VALUE TO THE COMMUNITY: $246,616,000 UNCOMPENSATED CARE (INCLUDING MEDICAID SHORTFALL): $117,244,000 HEALTH PROFESSIONS EDUCATION: $22,017,000 RESEARCH: $91,743,000 COMMUNITY PROGRAMS AND SERVICES: $15,612,000 LEARN MORE ABOUT THE WAYS WE BENEFIT OUR COMMUNITY AT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT, WHERE YOU WILL ALSO FIND OUR 2013-2016 COMMUNITY HEALTH ASSESSMENT AND COMMUNITY BENEFIT IMPLEMENTATION PLAN. UNCOMPENSATED CARE NO CHILD SHOULD HAVE TO GROW UP WITH ILLNESS OR INJURY, SO WHEN A CHILD NEEDS SPECIALIZED MEDICAL CARE, OUR DOORS ARE ALWAYS OPEN, REGARDLESS OF A FAMILY'S FINANCIAL SITUATION. WITH THE SUPPORT OF THE COMMUNITY, CHILDREN'S PROVIDED $117.2 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO IN 2013. ASSISTANCE AVERTS FINANCIAL HARDSHIP A YOUNG GIRL WAS BORN WITH A LIFE-THREATENING HEART CONDITION. TWO MAJOR VESSELS THAT CARRY BLOOD AWAY FROM HER HEART WERE TRANSPOSED, AND HER HEART WASN'T CIRCULATING OXYGENATED BLOOD TO HER BODY. THE CONDITION REQUIRED THREE SURGERIES AT CHILDREN'S AND LONG HOSPITAL STAYS HERE AND IN HER HOMETOWN OF HELENA, MONT. - CARE THAT COULD HAVE EXCEEDED THE $1 MILLION CAP ON THE FAMILY'S HEALTHCARE PLAN BY UP TO $500,000. A CHILDREN'S SOCIAL WORKER SUGGESTED THEY APPLY FOR FINANCIAL ASSISTANCE, BUT THE FAMILY WAS RELUCTANT. ULTIMATELY, THEY AGREED TO APPLY. "WE WERE BEYOND ELATED WHEN CHILDREN'S SENT US A LETTER SAYING WE QUALIFIED," SAYS THE PATIENT'S MOTHER. "WITHOUT IT, WE MIGHT HAVE LOST EVERYTHING WE HAD, AND OUR PARENTS AND GRANDPARENTS WOULD HAVE SOLD EVERYTHING THEY HAD TO HELP US." OVERCOMING LANGUAGE BARRIERS COMMUNICATION BETWEEN PARENTS AND PROVIDERS IS ESSENTIAL IN CARING FOR CHILDREN WITH CHRONIC AND COMPLEX ILLNESSES. FAMILIES NEED TO WORK WITH A SMALL ARMY OF CAREGIVERS INSIDE AND OUTSIDE THE HOSPITAL, A COMPLEX AND POTENTIALLY CONFUSING SITUATION UNDER THE BEST OF CIRCUMSTANCES AND ESPECIALLY SO FOR FAMILIES WHO SPEAK LIMITED ENGLISH. OUR PATIENT NAVIGATOR PROGRAM HELPS SPANISH AND SOMALI FAMILIES BECOME ACTIVE PARTNERS IN THEIR CHILD'S CARE. "FAMILIES PLAY A VITAL ROLE IN MAINTAINING CONTINUITY BETWEEN THE CARE THEIR CHILD RECEIVES AT CHILDREN'S AND THE CARE THEY RECEIVE IN THE COMMUNITY," SAYS SARAH RAFTON, WHO LEADS THE PATIENT NAVIGATOR PROGRAM. "WE TEACH THEM HOW TO UNDERSTAND ALL THE INFORMATION THEY RECEIVE FROM US AND OTHER PROVIDERS, HOW TO MAKE USE OF IT AND HOW TO MAKE SURE THEIR QUESTIONS AND CONCERNS ARE ADDRESSED." LAST YEAR, THE PATIENT NAVIGATOR PROGRAM ASSISTED 178 INDIVIDUALS. FEATURE: DELIVERING LEGAL REMEDIES WHEN AN ILL CHILD NEEDS HELP, SOME FAMILIES NEED MORE THAN A GOOD DOCTOR. THEY ALSO NEED A GOOD LAWYER. THE WASHINGTON MEDICAL-LEGAL ASSISTANCE PARTNERSHIP (MLP) CAN PROVIDE ONE. THE MLP, A COLLABORATION BETWEEN CHILDREN'S, THE NORTHWEST JUSTICE PROJECT, HARBORVIEW MEDICAL CENTER AND SEA MAR COMMUNITY HEALTH CENTERS, GOES TO BAT FOR LOW-INCOME FAMILIES WHO FACE LEGAL BARRIERS THAT COULD DENY THEIR CHILD ACCESS TO BETTER HEALTH. BASED AT CHILDREN'S, THE MLP SERVED 464 PEOPLE LAST YEAR. "MOST OF THE FAMILIES WE SERVE WOULD NOT HAVE ACCESS TO LEGAL SERVICES IF WE WEREN'T HERE," SAYS SCOTT CRAIN, ONE OF THREE LAWYERS WHO WORK IN THE PROGRAM. THE LAWYERS HAVE THE SKILL AND KNOWLEDGE TO FIGHT FOR ASSISTANCE THAT FAMILIES ARE LEGALLY ENTITLED TO RECEIVE, SUCH AS INSURANCE BENEFITS AND EDUCATIONAL ACCOMMODATIONS. THEY ALSO TRAIN MEDICAL PROVIDERS, SOCIAL WORKERS AND STAFF TO RECOGNIZE LEGAL NEEDS, INTERVENE AS ABLE AND REFER TO THE MLP ATTORNEY AS NEEDED. IN 2013, THE MLP TEAM CONDUCTED 32 TRAININGS, EDUCATING 589 PROVIDERS. "A LITTLE BIT OF LEGAL ADVOCACY CAN GO A LONG WAY," SAYS ANNETTE QUAYLE, WHO COORDINATES THE MLP. "SCOTT AND THE OTHER LAWYERS KNOW THE SYSTEM, THEY KNOW THE LEGAL REQUIREMENTS AND THEY KNOW OUR FAMILIES. THEIR INVOLVEMENT CAN MAKE A HUGE DIFFERENCE." FEATURE: ADVANCING CARE FOR MEDICALLY COMPLEX KIDS CHILDREN WITH MEDICALLY COMPLEX CONDITIONS REQUIRE CARE FROM MANY DIFFERENT PROVIDERS IN A VARIETY OF SETTINGS - OFTEN IN DIFFERENT STATES. MANY OF THE MEDICALLY COMPLEX CHILDREN IN OUR REGION ARE COVERED BY MEDICAID. ADDING TO THE LOGISTICAL COMPLEXITY OF CARING FOR CHILDREN WHO LIVE FAR FROM OUR HOSPITAL IS THE VARIATION IN MEDICAID REIMBURSEMENT RATES FROM STATE TO STATE. CHILDREN'S IS WORKING WITH THE CHILDREN'S HOSPITAL ASSOCIATION AND OTHER HOSPITALS AROUND THE COUNTRY ON A PROPOSAL TO CREATE NATIONAL PROVIDER NETWORKS FOR CHILDREN WITH COMPLEX MEDICAL CONDITIONS. EACH NETWORK WOULD BE ANCHORED BY A CHILDREN'S HOSPITAL. THE GOAL IS TO ENSURE ACCESS TO SPECIALIZED CARE, IMPROVE THE COORDINATION OF CARE AND COLLECT INFORMATION TO INCREASE QUALITY AND REDUCE COSTS. ESTABLISHING STANDARD MEDICAID REIMBURSEMENTS FOR THESE CHILDREN IS A KEY COMPONENT OF THIS PROPOSAL. CHILDREN'S STAFF HAVE EDUCATED U.S. REPRESENTATIVES AND SENATORS REPRESENTING WASHINGTON STATE ABOUT WHAT THE PROPOSAL MEANS TO PATIENTS AND FAMILIES. IN ADDITION TO THIS NATIONAL POLICY EFFORT, WE ARE STUDYING THE ABILITY OF A CASE MANAGEMENT PROGRAM TO IMPROVE RESULTS AND DECREASE COSTS FOR CHILDREN WITH COMPLEX NEEDS. RESEARCH RESEARCH AND HEALING GO HAND IN HAND AT CHILDREN'S. WE IDENTIFY PROBLEMS, FIND ANSWERS AND TRANSLATE OUR DISCOVERIES INTO NEW AND BETTER THERAPIES THAT BENEFIT CHILDREN EVERYWHERE. SEATTLE CHILDREN'S RESEARCH INSTITUTE IS THE LARGEST PEDIATRIC RESEARCH CENTER WEST OF THE MISSISSIPPI, AND ONE OF THE TOP FIVE IN THE NATION BASED ON FUNDING RECEIVED FROM THE NATIONAL INSTITUTES OF HEALTH (NIH). TOTAL EXTRAMURAL FUNDING GREW FROM $37 MILLION IN 2008 TO $76 MILLION IN 2013. USING T-CELLS TO FIGHT CANCER OUR FIRST CANCER IMMUNOTHERAPY CLINICAL TRIAL SHOWED PROMISING RESULTS IN 2013, AS THE FIRST TWO PATIENTS TO ENROLL EXPERIENCED COMPLETE REMISSION OF THEIR RELAPSED ACUTE LYMPHOBLASTIC LEUKEMIA (ALL). THEY THEN UNDERWENT SUCCESSFUL BONE MARROW TRANSPLANTS. CANCER IMMUNOTHERAPY INVOLVES DRAWING BLOOD FROM THE PATIENT, REPROGRAMMING THEIR OWN INFECTION-FIGHTING T-CELLS TO DESTROY THE CANCER CELLS AND THEN INFUSING THE BLOOD BACK INTO THEIR BODY. "LESS THAN 40% OF PATIENTS WITH RELAPSED ALL TYPICALLY SURVIVE, SO IT'S IMPERATIVE THAT WE FIND NEW PATHS TO A CURE," SAYS DR. REBECCA GARDNER, WHO LEADS THE TRIAL. "ULTIMATELY, WE HOPE TO APPLY THIS SAME TYPE OF THERAPY FOR PATIENTS WITH MANY TYPES OF CANCER." READ MORE AT SEATTLECHILDRENS.ORG/AAR.
	OVERCOMING PARENTAL HESITANCY TOWARD CHILDHOOD VACCINES ABOUT ONE IN 20 CHILDREN IN WASHINGTON STATE DID NOT COMPLY WITH RECOMMENDED CHILDHOOD VACCINE SCHEDULES DURING THE 2012-2013 SCHOOL YEAR - THE SEVENTH HIGHEST RATE IN THE COUNTRY, ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION. DR. DOUG OPEL HELPED DEVELOP A SURVEY FOR PARENTS OF YOUNG CHILDREN THAT CAN PREDICT IF A FAMILY IS AT RISK OF FALLING BEHIND ON THEIR CHILD'S VACCINE SCHEDULE. THE SURVEY QUERIES PARENTS' ATTITUDES TOWARD CHILDHOOD VACCINES, SUCH AS HOW CONCERNED THEY ARE ABOUT VACCINE SIDE EFFECTS AND SAFETY AND WHETHER THEY BELIEVE IT'S BETTER TO LET CHILDREN DEVELOP IMMUNITY BY GETTING SICK INSTEAD OF GETTING SHOTS. "PARENT SCORES ON THE SURVEY ARE ASSOCIATED WITH THEIR CHILD'S IMMUNIZATION STATUS, SO THE SURVEY CAN SERVE AS A TOOL FOR DOCTORS TO IDENTIFY VACCINE-HESITANT PARENTS EARLY AND ADDRESS THEIR VACCINE CONCERNS BEFORE THEIR CHILD FALLS BEHIND ON THEIR VACCINATION SCHEDULE," OPEL SAYS. PIONEERING A NEW SURGICAL TREATMENT DR. RICHARD HOPPER HAS DEVELOPED A PIONEERING SURGICAL TREATMENT FOR APERT SYNDROME THAT HELPS CHILDREN WITH THIS CONDITION LEAD MORE NORMAL LIVES. APERT SYNDROME IS A RARE GENETIC DISORDER THAT PREVENTS THE SKULL FROM GROWING PROPERLY, RESTRICTING A CHILD'S BREATHING PASSAGES AND CAUSING SLEEP APNEA. TRADITIONAL SURGERY MOVES A CHILD'S FACIAL BONES IN A SINGLE BLOCK TO IMPROVE BREATHING, BUT IT DOES NOTHING TO REMEDY THE FACIAL DEFORMITIES CAUSED BY THE DISORDER. HOPPER'S TECHNIQUE MOVES FACIAL BONES INDIVIDUALLY, WHICH NOT ONLY TREATS SLEEP APNEA MORE EFFECTIVELY, BUT ALSO IMPROVES A CHILD'S APPEARANCE. "IT'S EXCITING THAT WE CAN NOW OFFER SOMETHING THAT MAKES IT EASIER FOR A CHILD TO INTERACT WITH THEIR PEERS, MEET NEW FRIENDS AND GROW AS ADULTS," HOPPER SAYS. "WE'RE EAGER TO SHARE WHAT WE'VE LEARNED AND HELP MANY MORE CHILDREN IN THE FUTURE." HIS RESEARCH HAS BEEN PRESENTED AT INTERNATIONAL CONFERENCES AND HAS RECEIVED THE MARCHAC AWARD AND KAWAMOTO AWARD FROM THE INTERNATIONAL AND THE AMERICAN SOCIETIES OF CRANIOFACIAL SURGERY, RESPECTIVELY. READ MORE AT SEATTLECHILDRENS.ORG/AAR. OMG! DEVICES POSE DANGEROUS DISTRACTION A STUDY CO-AUTHORED BY DR. BETH EBEL FOUND THAT ONE IN FOUR PEDESTRIANS WAS USING A CELL PHONE OR OTHER MOBILE DEVICE TO TALK, TEXT OR LISTEN TO MUSIC AS THEY CROSSED BUSY SEATTLE STREETS - A POTENTIALLY DANGEROUS DISTRACTION BECAUSE MANY IGNORED BASIC SAFETY RULES SUCH AS LOOKING BOTH WAYS, OBEYING THE LIGHTS AND STAYING IN THE CROSSWALK. TEXTERS WERE THE WORST OFFENDERS. THEY WERE FOUR TIMES LESS LIKELY THAN OTHER PEDESTRIANS TO FOLLOW ALL SAFETY RULES. WHILE MOST OF THE PEDESTRIANS OBSERVED IN THE STUDY WERE ADULTS, MANY CHILDREN USE CELL PHONES AND OTHER MOBILE DEVICES AT A YOUNG AGE. EBEL SAYS THE STUDY UNDERSCORES THE NEED FOR PARENTS TO TALK TO THEIR CHILDREN ABOUT PUTTING DOWN THE PHONE WHILE CROSSING THE STREET. SHE EMPHASIZES THE IMPORTANCE OF TRAFFIC CALMING AND GOOD ROAD DESIGN AROUND SCHOOLS AND WALKING ROUTES SO THAT KIDS AND THEIR PARENTS CAN WALK SAFELY. SOLVING THE MYSTERY OF SIDS DR. DANIEL RUBENS IS INVESTIGATING A POSSIBLE LINK BETWEEN AN INNER EAR DEFICIT AND SUDDEN INFANT DEATH SYNDROME (SIDS) - WORK THAT COULD SAVE THE LIVES OF MANY BABIES AT RISK FOR THIS MYSTERIOUS DISEASE. THE INNER EAR CONTAINS THE ORGANS OF HEARING AND BALANCE. IN A STUDY PUBLISHED LAST YEAR, RUBENS FOUND THAT IMPAIRMENT TO THE BALANCE PORTION OF THE INNER EAR PREVENTED MICE FROM AROUSING AND MOVING AWAY TO ACCESS FRESH AIR WHEN EXPOSED TO SUFFOCATING GASES. THAT FOLLOWS AN EARLIER STUDY IN WHICH RUBENS FOUND THAT SIDS INFANTS HAD A RIGHT-SIDED HEARING IMPAIRMENT AT BIRTH. THE TWO FINDINGS SUPPORT HIS THEORY THAT NEWBORNS WITH INNER EAR DYSFUNCTION, EVEN IF ONLY ON ONE SIDE, MAY LACK A MECHANISM FOR AWAKENING IF THEY MOVE INTO A SUFFOCATING POSITION WHILE SLEEPING. RUBENS PLANS TO CONTINUE HIS RESEARCH WITH A LARGE POPULATION-BASED STUDY OF NEWBORNS IN HOPES OF ULTIMATELY ESTABLISHING A METHOD TO IDENTIFY CHILDREN AT RISK FOR SIDS AND DEVELOPING WAYS TO PREVENT IT. ASSESSING PROBLEMATIC INTERNET USE EVERYONE KNOWS YOUNG PEOPLE SPEND LOTS OF TIME ON THE INTERNET, BUT WHEN DOES IT BECOME A PROBLEM? THE SOCIAL MEDIA AND ADOLESCENT HEALTH RESEARCH TEAM DEVELOPED A SCREENING TOOL THAT ASSESSES THE EFFECTS OF INTERNET USE ON THE HEALTH AND WELL-BEING OF TEENS AND HELPS IDENTIFY THOSE WHO MAY BE STRUGGLING WITH ISSUES CAUSED BY THEIR ONLINE ACTIVITIES. THE TOOL USES 18 QUESTIONS TO MEASURE AND ATTACH A SCORE TO INTERNET USE THAT IS DEEMED RISKY, EXCESSIVE AND IMPULSIVE AND THAT CREATES NEGATIVE CONSEQUENCES SUCH AS FAILING TO BUILD REAL-LIFE RELATIONSHIPS, PERFORMING POORLY IN SCHOOL OR NOT SLEEPING AT NIGHT. A STUDY OF 300 COLLEGE STUDENTS FOUND THAT THOSE SCORING HIGHEST FOR PROBLEMATIC INTERNET USE ALSO WERE MORE LIKELY TO REPORT BEING DEPRESSED, HAVING SOCIAL ANXIETY AND HAVING ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD). READ MORE AT SEATTLECHILDRENS.ORG/AAR. COLLABORATION FUELS DISCOVERY DR. ERIC TURNER AND DR. TIM COX COLLABORATED ON A STUDY AT OUR RESEARCH INSTITUTE THAT COULD EVENTUALLY HELP IDENTIFY THE GENETIC MUTATIONS THAT CAUSE CONGENITAL EAR MALFORMATIONS IN CHILDREN. TURNER, A NEUROSCIENTIST, AND COX, A CRANIOFACIAL EXPERT, DISCOVERED A COMMON MUTATION IN SO-CALLED DUMBO MICE AND RATS - NAMED AFTER THE DISNEY CHARACTER BECAUSE OF THEIR OUTSIZED EARS. THEIR LONG-TERM GOAL IS TO CONNECT INSIGHTS FROM THEIR RODENT RESEARCH TO HUMAN EAR MALFORMATIONS. THEIR WORK IS AN EXAMPLE OF THE INSTITUTE'S MULTIDISCIPLINARY ENVIRONMENT IN ACTION. "THE INSTITUTE PUTS INVESTIGATORS INTERESTED IN DIFFERENT KINDS OF PROBLEMS - IN THIS CASE, BRAIN DEVELOPMENT AND CRANIOFACIAL BIRTH DEFECTS - UNDER ONE ROOF WHERE THEY CAN INTERACT, COMPARE IDEAS AND PURSUE QUESTIONS THEY MAY NOT HAVE IMAGINED ALONE," TURNER SAYS. FEATURE: ANSWERING MENTAL AND BEHAVIORAL HEALTH QUESTIONS OUR MENTAL AND BEHAVIORAL HEALTH EXPERTS CARE FOR CHILDREN WITH ADDICTION, DEPRESSION AND OTHER PROBLEMS THAT AFFECT THEIR DEVELOPMENT, SAFETY AND WELL-BEING. THEY ALSO WORK TO UNDERSTAND THE CAUSES OF THOSE PROBLEMS AND FIND MORE EFFECTIVE WAYS TO TREAT AND PREVENT THEM. - DR. SUSAN FERGUSON CO-LEADS A TEAM STUDYING A PART OF THE BRAIN INVOLVED IN DECISION-MAKING. THE TEAM IDENTIFIED A SET OF NEURONS THAT COULD BE ALTERED OR USED AS A TARGET FOR MEDICATION TO HELP PATIENTS WITH ADDICTION AND OTHER IMPULSE-CONTROL PROBLEMS MAKE BETTER CHOICES. - 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. 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. - DR. LAURA RICHARDSON FOUND THAT MANY YOUNG PEOPLE WITH AN INITIAL POSITIVE SCREENING FOR DEPRESSION GET BETTER WITHOUT REQUIRING ANTIDEPRESSANTS OR PSYCHOTHERAPY AND THAT REGULAR VISITS WITH THEIR CLINICIAN AND POSITIVE SUPPORT FROM THEIR PARENTS ARE KEYS TO THEIR RECOVERY. - DR. MEGAN MORENO AND OUR SOCIAL MEDIA AND ADOLESCENT HEALTH RESEARCH TEAM EXPLORE HOW SOCIAL MEDIA SUCH AS FACEBOOK BOTH REVEALS AND INFLUENCES HEALTH RISKS AMONG YOUNG PEOPLE. THEY FOUND EVIDENCE SUGGESTING THAT CIGARETTES ARE A GATEWAY DRUG TO MARIJUANA AND THAT STUDENTS WHO ENTER COLLEGE INTENDING NOT TO DRINK TYPICALLY REFRAIN FROM HARMFUL LEVELS OF DRINKING. HEALTH PROFESSIONAL EDUCATION CHILDREN'S INVESTMENT IN TRAINING DOCTORS AND NURSES HELPS ENSURE THAT CHILDREN OF FUTURE GENERATIONS WILL HAVE ACCESS TO HIGHLY TRAINED PROFESSIONALS SPECIALIZING IN PEDIATRIC CARE. WE ARE THE ONLY PEDIATRIC RESIDENCY PROGRAM IN A FIVE-STATE REGION AND HELPED TRAIN 848 RESIDENTS AND FELLOWS IN 2013. WE ALSO PROVIDED CONTINUING MEDICAL EDUCATION TO HUNDREDS OF HEALTHCARE PROFESSIONALS ALREADY CARING FOR KIDS IN THE COMMUNITY.
	NURSING EDUCATION MAKES BROAD IMPACT THE AMERICAN NURSES ASSOCIATION RECOGNIZED THE RANGE AND CONTENT OF OUR PROFESSIONAL DEVELOPMENT PROGRAMS WHEN THEY RENEWED CHILDREN'S MAGNET HOSPITAL DESIGNATION IN 2013. THE MAGNET DESIGNATION RECOGNIZES SELECT HEALTHCARE ORGANIZATIONS FOR THEIR OVERALL NURSING EXCELLENCE - INCLUDING THE STRENGTH OF THEIR PROFESSIONAL DEVELOPMENT PROGRAMS INSIDE THE HOSPITAL AND IN THE COMMUNITY. OUR PARTNERSHIP WITH THE WASHINGTON STATE DEPARTMENT OF HEALTH AND THE STATE SUPERINTENDENT OF PUBLIC INSTRUCTION IS AN EXAMPLE OF OUR OUTREACH EFFORTS. WE COLLABORATE EVERY YEAR TO WEBCAST NINE REGIONAL PEDIATRIC AND NEONATAL NURSING GRAND ROUNDS TO 64 SITES IN ALASKA, MONTANA AND WASHINGTON AND A CONTINUING EDUCATION TELECONFERENCE TO SCHOOL DISTRICTS AND PUBLIC HEALTH NURSES, AND PROVIDE LINKS TO PREVIOUS TELECONFERENCES ARCHIVED ON OUR WEBSITE. LAST YEAR, THE GRAND ROUNDS WERE SHARED WITH 1,600 PROFESSIONALS AND THE TELECONFERENCE WAS BROADCAST TO 350 SCHOOL AND PUBLIC HEALTH NURSES. WE RECENTLY TEAMED UP TO START A NURSING NETWORK FORUM TO PROMOTE SHARED CARE COORDINATION FOR CHILDREN WITH COMPLEX MEDICAL CONDITIONS AS THEY MOVE BETWEEN THE HOSPITAL, SCHOOL AND THEIR PRIMARY CAREGIVER. ADVANCING PHYSICAL THERAPY FOR NEWBORNS CHILDREN'S CARES FOR MANY FRAGILE NEWBORNS WITH PHYSICAL CHALLENGES. THESE INFANTS OFTEN STRUGGLE TO BUILD STRENGTH, GAIN RANGE OF MOTION AND ACQUIRE FEEDING SKILLS. THEY NEED SPECIAL OCCUPATIONAL/PHYSICAL THERAPY (OT/PT) TO ASSIST THEIR DEVELOPMENT, BUT UNTIL RECENTLY, THERE WERE NO FORMAL TRAINING PROGRAMS IN NEONATOLOGY FOR THERAPISTS. CHILDREN'S IS HOME TO THE FIRST NEONATOLOGY PHYSICAL THERAPY FELLOWSHIP PROGRAM IN THE COUNTRY. EACH FELLOW TAKES ACADEMIC COURSES AT ROCKY MOUNTAIN UNIVERSITY OF HEALTH PROFESSIONS IN UTAH AND COMPLETES THEIR CLINICAL WORK AT CHILDREN'S, WHERE THEY RECEIVE ONE-ON-ONE TRAINING FROM MENTOR THERAPISTS. "WE WERE THE FIRST ACCREDITED PROGRAM, AND WE LOOK FORWARD TO MORE NEONATOLOGY FELLOWSHIPS IN PHYSICAL THERAPY, AS THIS FILLS A GREAT TRAINING NEED," SAYS GAYLE BONATO, FELLOWSHIP COORDINATOR. RESIDENTS PROVIDE PRIMARY CARE IN ALASKA TWELVE OF OUR PEDIATRIC RESIDENTS DEDICATE A PORTION OF THEIR TRAINING EACH YEAR TO PRIMARY CARE CLINICS IN ALASKA. EACH RESIDENT SPENDS EIGHT MONTHS IN SEATTLE AND FOUR MONTHS IN ALASKA THROUGHOUT THEIR THREE-YEAR RESIDENCY. IN ALASKA, THEY PROVIDE PRIMARY CARE IN FOUR DIFFERENT SETTINGS THAT SERVE BOTH THE GENERAL POPULATION AND THE ALASKA NATIVE POPULATION. THE ALASKA RESIDENCY TRACK GIVES NEW DOCTORS UNIQUE EXPERIENCES AND PROVIDES ISOLATED COMMUNITIES BETTER ACCESS TO CARE. THE ULTIMATE GOAL OF THE PROGRAM IS TO INTEREST NEW DOCTORS IN ESTABLISHING PRACTICES WHERE THEY'RE BADLY NEEDED. THE ALASKA TRACK IS THE FOURTH TRAINING PATHWAY OFFERED BY CHILDREN'S PEDIATRIC RESIDENCY. THE OTHERS ARE FOR RESIDENTS INTERESTED IN COMMUNITY HEALTH, GLOBAL HEALTH AND RESEARCH. FEATURE: SHARING RESOURCES TO FIGHT OBESITY CHILDHOOD OBESITY HAS TRIPLED IN THE UNITED STATES SINCE 1980, AND ONE IN FIVE YOUTH IN KING COUNTY ARE OBESE OR OVERWEIGHT. WHILE OBESITY CONTRIBUTES TO MANY CHRONIC DISEASES, HEALTHCARE PROVIDERS OFTEN LACK THE TRAINING AND SUPPORT TO EFFECTIVELY CARE FOR OVERWEIGHT KIDS. CHILDREN'S WORKS ON MANY LEVELS TO SHARE KNOWLEDGE AND RESOURCES WITH PROVIDERS SO THEY CAN BETTER FIGHT OBESITY IN OUR COMMUNITIES. OUR EFFORTS IN 2013 INCLUDED INVITING DR. STEVEN GORTMAKER, WHO LEADS THE HARVARD SCHOOL OF PUBLIC HEALTH RESEARCH CENTER, TO SPEAK AT OUR WEEKLY GRAND ROUNDS ABOUT COST-EFFECTIVE WAYS TO REDUCE CHILDHOOD OBESITY. WE ALSO HOSTED A TALK BY DAVID JUST FROM THE CORNELL CENTER FOR BEHAVIORAL ECONOMICS, WHO DISCUSSED HOW TO HELP PEOPLE MAKE HEALTHY FOOD DECISIONS BY CHANGING THE ENVIRONMENT AROUND THEM. MORE THAN 100 PEOPLE FROM HOSPITALS ACROSS THE STATE ATTENDED THE TALK. WE PRODUCED HANDOUTS FOR PRIMARY CARE PROVIDERS TO GIVE PARENTS THAT EXPLAIN IN SEVERAL LANGUAGES THE IMPORTANCE OF ACTIVE PLAY IN A CHILD'S DEVELOPMENT AND OFFER TIPS FOR PROVIDING PLAY TIME FOR KIDS FROM BIRTH TO AGE 5. IN ADDITION, WE WORKED WITH OTHER CHILDREN'S HOSPITALS AROUND THE COUNTRY TO IMPROVE PREVENTION AND MANAGEMENT OF CHILDHOOD OBESITY AND EXPAND HEALTHY HOSPITAL EFFORTS THROUGH THE FOCUS ON A FITTER FUTURE INITIATIVE OF THE CHILDREN'S HOSPITAL ASSOCIATION. COMMUNITY PROGRAMS AND SERVICES CHILDREN'S IS MORE THAN A PLACE WHERE FAMILIES RECEIVE EXPERT MEDICAL CARE. WE ARE A TRUSTED COMMUNITY PARTNER THAT WORKS BEYOND THE WALLS OF THE HOSPITAL TO PROMOTE SERVICES, PROGRAMS AND POLICIES THAT IMPROVE CHILDREN'S HEALTH, SAFETY AND ACCESS TO QUALITY HEALTHCARE. HELPING NEW PARENTS BEGIN THEIR JOURNEY THE PROGRAM FOR EARLY PARENT SUPPORT (PEPS) IS A SEATTLE NONPROFIT THAT HELPS NEW MOMS AND DADS BEGIN THEIR JOURNEY INTO PARENTHOOD. PEPS NEIGHBORHOOD GROUPS HELP PARENTS SHARE EXPERIENCES, LEARN IMPORTANT SKILLS AND DEVELOP CONFIDENCE IN THEIR PARENTING ABILITIES AT WEEKLY MEETINGS. CHILDREN'S SPEECH-LANGUAGE PATHOLOGISTS ATTEND PEPS MEETINGS TO TALK ABOUT HOW PLAYING, READING AND INTERACTING WITH BABIES CONTRIBUTE TO A CHILD'S LANGUAGE DEVELOPMENT. "THEY HAVE VISITED MORE PEPS GROUPS OVER THE LAST SEVEN-PLUS YEARS THAN ANY OTHER SPEAKERS AND HAVE INFORMED, ENGAGED AND REASSURED THOUSANDS OF NEW PARENTS," SAYS L.B. KUSSICK, EXECUTIVE DIRECTOR OF PEPS. LAST YEAR, 250 PARENTS RECEIVED THE INFORMATION. EXPANDING NEWBORN SCREENING ALL BABIES BORN IN WASHINGTON STATE WILL BE SCREENED FOR SEVERE COMBINED IMMUNODEFICIENCY (SCID) AFTER CHILDREN'S IMMUNOLOGISTS HELPED THE STATE DEPARTMENT OF HEALTH (DOH) GAIN LEGISLATIVE APPROVAL TO ADD SCID SCREENING TO THE STATE'S NEWBORN SCREENING PROGRAM. SCID, SOMETIMES CALLED BUBBLE BOY DISEASE, IS A RARE CONDITION THAT MAKES IT IMPOSSIBLE FOR A CHILD TO FIGHT INFECTIONS. DIAGNOSING AND TREATING SCID BEFORE AN INFECTION TAKES HOLD CAN PREVENT COMPLICATIONS AND SAVE LIVES. CHILDREN'S GAVE THE STATE LAB TECHNICAL SUPPORT TO DEVELOP THE SCREENING PROCESS AND EDUCATED LAWMAKERS AND OTHER STAKEHOLDERS ABOUT THE LIFE-THREATENING CONSEQUENCES OF SCID AND THE POWER OF SCREENING TO SAVE LIVES. WHILE THE TEST WILL ADD $8 PER BABY TO THE COST OF NEWBORN SCREENING, THE COST OF CARING FOR ONE BABY WITH SCID CAN RUN INTO THE MILLIONS IF THE CONDITION IS NOT DETECTED EARLY. PROVIDING HELMET SAFETY FOR CHILDREN AND TEENS HELMETS SAVE LIVES AND HELP PREVENT HEAD INJURIES, BUT MANY KIDS DON'T HAVE A HELMET OR DON'T WEAR ONE EVEN THOUGH MANY WASHINGTON CITIES REQUIRE THEM BY LAW. A PROPERLY FITTING BIKE HELMET CAN REDUCE THE RISK OF HEAD INJURY BY 85%. THE KOHL'S HELMET SAFETY PROGRAM AT SEATTLE CHILDREN'S ALLOWS US TO PROVIDE FREE BIKE AND SKI HELMETS TO KIDS AND TEENS IN WASHINGTON STATE. IN PARTNERSHIP WITH KOHL'S, WE HOST UP TO 12 COMMUNITY EVENTS EACH YEAR, WHERE WE DISTRIBUTE THE FREE HELMETS AND TEACH PARENTS AND KIDS PROPER FIT AND USE. WE EMPHASIZE THAT THE HELMET SHOULD BE ADJUSTED TO FIT EACH CHILD'S HEAD AND WORN EVERY TIME THEY BIKE, SKATEBOARD, SKI OR SNOWBOARD. THE PROGRAM DISTRIBUTED 4,257 HELMETS DURING THE LAST FISCAL YEAR. KEEPING KIDS SAFE IN CARS CAR CRASHES ARE THE LEADING CAUSE OF DEATH FOR CHILDREN FROM BIRTH TO AGE 12, ACCORDING TO THE U.S. DEPARTMENT OF TRANSPORTATION. A PROPERLY FIT CHILD SAFETY SEAT REDUCES THE RISK OF FATALITY BY 71%, BUT CHOOSING THE RIGHT CAR SEAT OR BOOSTER SEAT AND INSTALLING IT CORRECTLY ARE EASIER SAID THAN DONE. EVERY YEAR, CHILDREN'S HOSTS FREE CHILD CAR SEAT CHECKS WHERE PARENTS, GRANDPARENTS AND CAREGIVERS CAN GET EXPERT ADVICE AND ASSISTANCE INSTALLING THEIR CHILD'S CAR SEAT. IN 2013, 68 PARENTS WERE SERVED. CHILDREN'S HAS A LONG HISTORY OF PROMOTING CHILD PASSENGER SAFETY. THE HOSPITAL WAS A FOUNDER OF THE WASHINGTON STATE BOOSTER SEAT COALITION, WHICH HELPED PASS THE NATION'S FIRST BOOSTER SEAT LAW IN 2000. SEATTLE CHILDREN'S ALSO WORKS WITH HEAD START PROGRAMS AND OFFERS CLASSES TO NEW PARENTS. SERIES OFFERS IBD ADVICE GROWING UP WITH CROHN'S DISEASE OR ULCERATIVE COLITIS PRESENTS MANY PHYSICAL AND EMOTIONAL CHALLENGES. THE FREQUENT AND URGENT NEED TO GO TO THE BATHROOM AND INCREASED FATIGUE INTERFERE WITH SCHOOL AND ACTIVITIES AND CAUSE EMBARRASSMENT. TO HELP CHILDREN AND THEIR FAMILIES COPE, THE INFLAMMATORY BOWEL DISEASE (IBD) CENTER AT CHILDREN'S PRODUCED A VIDEO SERIES THAT IS AVAILABLE ON OUR WEBSITE AND ON YOUTUBE. THE EIGHT-PART SERIES EXPLAINS IBD, DESCRIBES VARIOUS TREATMENTS AND PROVIDES TIPS FOR DEALING WITH CROHN'S AND ULCERATIVE COLITIS, SUCH AS MAKING SURE CHILDREN CAN LEAVE THEIR CLASSROOM TO USE THE BATHROOM AT ANY TIME. READ ABOUT HOW CHILDREN'S RESEARCHERS ARE USING FECAL TRANSPLANT TO FIND CURES FOR IBD AT SEATTLECHILDRENS.ORG/AAR.
	BLOG OFFERS INSIGHT ON RAISING TEENS RAISING A TEENAGER IS NOT ALWAYS SMOOTH SAILING. OUR TEENOLOGY 101 BLOG IS A VALUABLE RESOURCE FOR PARENTS AND CAREGIVERS OF TEENS AS THEY NAVIGATE THIS TURBULENT PERIOD IN A CHILD'S LIFE. ADOLESCENT MEDICINE EXPERT DR. YOLANDA EVANS, NURSE JENNIE BROWN, AND OTHERS OFFER TIPS FOR KEEPING TEENS SAFE AND HEALTHY, EXPLORE RELEVANT SOCIAL/POLITICAL ISSUES AND INVITE READERS TO SHARE THEIR PERSONAL INSIGHTS. A RECENT SERIES OF POSTS DISCUSSED PREPARING TEENS FOR COLLEGE. "OUR GOAL IS TO GIVE PARENTS ENCOURAGEMENT, ANSWER LOOMING QUESTIONS AND PROVIDE A WINDOW INTO THE MINDS OF TEENS," EVANS SAYS. CARING FOR KIDS WHERE THEY ARE THE ODESSA BROWN CHILDREN'S CLINIC (OBCC) PROVIDES MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO LOW-INCOME AND CULTURALLY DIVERSE FAMILIES WHO OFTEN HAVE A DIFFICULT TIME ACCESSING HEALTH CARE. LOCATED IN THE CENTRAL DISTRICT, OBCC IS SEATTLE CHILDREN'S ONLY PRIMARY CARE CLINIC. IN 2013, INTERDISCIPLINARY TEAMS FROM THE CLINIC BEGAN TO OFFER NURSING, MENTAL HEALTH AND CASE MANAGEMENT SERVICES AT BEACON HILL INTERNATIONAL SCHOOL AND MADRONA K-8 SCHOOL. REACHING OUT TO CHILDREN AT SCHOOL INCREASES SOCIAL AND EMOTIONAL DEVELOPMENT, REDUCES ACTING-OUT BEHAVIOR, IMPROVES OVERALL SCHOOL PERFORMANCE AND RAISES STAFF MORALE. "ALL TOO OFTEN WE EXPECT FAMILIES TO COME TO US," SAYS MARK FADOOL, DIRECTOR OF MENTAL HEALTH SERVICES AT OBCC. "BY GOING TO SCHOOLS, WE ARE EXPANDING THE WALLS OF OUR MEDICAL HOME AND MAKING IT POSSIBLE FOR FAMILIES WITH THE MOST BARRIERS TO ACCESS QUALITY SERVICES." PREVENTING TEEN SUBSTANCE ABUSE SEATTLE CHILDREN'S IS AN ACTIVE PARTNER IN PREVENTION WORKS IN SEATTLE (WINS), A COMMUNITY COALITION FIGHTING ADOLESCENT DRUG AND ALCOHOL ABUSE IN NORTHEAST SEATTLE. IN 2013, DR. LESLIE WALKER OF CHILDREN'S AND DR. KEVIN HAGGERTY OF THE SOCIAL DEVELOPMENT RESEARCH GROUP AT THE UNIVERSITY OF WASHINGTON WROTE "A PARENT'S GUIDE TO PREVENTING UNDERAGE MARIJUANA USE," A BOOKLET PUBLISHED BY PREVENTION WINS TO HELP PARENTS DISCOURAGE THEIR CHILDREN FROM USING MARIJUANA - A MORE COMPLICATED JOB NOW THAT MARIJUANA IS LEGAL IN WASHINGTON. PREVENTION WINS ALSO RELEASED A VIDEO ABOUT ADOLESCENT ALCOHOL USE CALLED "A PARENT'S ROLE IN PREVENTION." CHILDREN'S HOSTED THE PREMIERE OF THE VIDEO. WALKER SPOKE AFTERWARD ABOUT WHAT PARENTS CAN DO TO STOP UNDERAGE DRINKING AND JOINED A PANEL DISCUSSION ABOUT THE ROLE OF PARENTS AND THE COMMUNITY. GRANT SUPPORTS BIKE-SHARE PROGRAM CHILDREN'S AWARDED A $500,000 GRANT IN 2013 TO MAKE BIKE HELMETS AVAILABLE AT A NETWORK OF BIKE-SHARE STATIONS IN THE SEATTLE AREA. THE NONPROFIT ORGANIZATION PUGET SOUND BIKE SHARE WILL OPEN THE FIRST 50 RENTAL SITES, INCLUDING ONE AT CHILDREN'S, IN 2014. THE STATION WILL OFFER CHILDREN'S AND OUR NEIGHBORS ACCESS TO A BRAND-NEW FORM OF TRANSPORTATION. THE GRANT IS PART OF CHILDREN'S COMMITMENT TO REDUCING RELIANCE ON SINGLE-OCCUPANCY VEHICLES, WHICH ALSO INCLUDES BUILDING A CYCLE TRACK IN FRONT OF THE HOSPITAL AND CREATING A NEW CONNECTION TO THE NEARBY BURKE-GILMAN TRAIL. CHILDREN'S EMPLOYEES WILL RECEIVE FREE MEMBERSHIPS IN THE BIKE-SHARE PROGRAM. "WE ARE DEDICATED TO SUPPORTING A HEALTHY WORKFORCE AND HELPING OUR EMPLOYEES FIND TRANSPORTATION ALTERNATIVES," SAID LISA BRANDENBURG, HOSPITAL PRESIDENT. "BIKE SHARING IS ALSO ANOTHER OF OUR CONTRIBUTIONS TO MAKE OUR CITY A HEALTHIER PLACE TO LIVE." PROTECTING INFANTS FROM HEAD INJURY THE ABUSIVE HEAD TRAUMA PREVENTION TASK FORCE WORKS TO PREVENT SHAKEN BABY SYNDROME. AS A FOUNDER OF THE STATEWIDE GROUP, CHILDREN'S HELPS INTRODUCE HOSPITALS TO THE PERIOD OF PURPLE CRYING, A TRAINING PROGRAM THAT HELPS PARENTS SAFELY COPE WITH THE POTENTIAL FRUSTRATION OF A BABY'S PROLONGED CRYING, WHICH PREDICTABLY OCCURS DURING THE FIRST SIX MONTHS OF LIFE. THE NATIONAL CENTER ON SHAKEN BABY SYNDROME DEVELOPED THE PROGRAM. THE ACRONYM PURPLE DESCRIBES SPECIFIC CHARACTERISTICS OF AN INFANT'S CRYING AND LETS CAREGIVERS KNOW IT WILL END. CHILDREN'S HELPED RAISE AWARENESS OF THE PROGRAM IN 2013 BY COLLECTING 3,600 HAND-KNIT PURPLE HATS OVER THE COURSE OF THE YEAR AND GIVING THEM TO BABIES BORN IN NOVEMBER AT HOSPITALS OFFERING PERIOD OF PURPLE CRYING TRAINING. FEATURE: CULTIVATING HEALTHY COMMUNITIES CHILDREN'S IS PLANTING SEEDS FOR HEALTHY LIVING AMONG NEARLY 500,000 PEOPLE IN SOUTH SEATTLE AND SOUTH KING COUNTY THROUGH A COMMUNITY-BASED PREVENTION INITIATIVE. TOGETHER WITH THE HEALTHY KING COUNTY COALITION AND PUBLIC HEALTH SEATTLE & KING COUNTY, WE'RE USING A FEDERAL COMMUNITY TRANSFORMATION GRANT (CTG) TO SUPPORT POLICIES AND PROJECTS THAT PROMOTE NUTRITIOUS EATING, PHYSICAL ACTIVITY AND TOBACCO-FREE ENVIRONMENTS IN NUMEROUS COMMUNITIES WHERE THESE PROGRAMS ARE NEEDED MOST. OVER THE LAST YEAR, WE HAVE PARTNERED WITH LOCAL GOVERNMENT, SCHOOLS, CHILDCARE, HOSPITALS AND COMMUNITY ORGANIZATIONS. FOR EXAMPLE, THE CTG HELPED A GROUP OF SEVEN SCHOOL DISTRICTS WORK TOGETHER TO MAKE HEALTHY SCHOOL LUNCHES MORE APPEALING TO STUDENTS, FUNDED A FARM TOUR SO SCHOOLS COULD LEARN ABOUT SOURCING FRESH FOOD DIRECTLY FROM FARMERS AND HELPED TWO SCHOOL DISTRICTS UPDATE THEIR PHYSICAL EDUCATION PROGRAMS. CHILDREN'S AND ITS CTG PARTNERS ALSO EDUCATED STAKEHOLDERS ON POLICIES LIKE INCREASING THE SUPPLY OF TOBACCO-FREE AFFORDABLE HOUSING AND ADDING SINGLE-GENDER SESSIONS AT PUBLIC POOLS TO ENABLE PEOPLE FROM ALL CULTURES TO SWIM FOR EXERCISE. RENTON PUBLIC HOUSING AND RENTON PARKS ARE NOW SMOKE FREE, AND TUKWILA OFFERS WEEKLY SWIMS FOR MEN AND WOMEN. CTG BUILDS ON A PREVIOUS FEDERAL GRANT CALLED COMMUNITIES PUTTING PREVENTION TO WORK, WHICH LED TO A 17% DECLINE IN YOUTH OBESITY IN KING COUNTY, ACCORDING TO A REPORT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S RESEARCH HOLDINGS LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	981455005	ZIPCode

Field	Value	IRS element (for citing)
EIN	910564748	EIN
Primary Activities	PROPERTY DEVELOPMENT AND OPERATION	PrimaryActivities
Legal Domicile State	WA	LegalDomicileState
Total Income	1589304	TotalIncome
EOY Assets	25878843	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HOSPITAL	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
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

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDRENS'S RESEARCH INVESTORS LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	981455005	ZIPCode

Field	Value	IRS element (for citing)
EIN	263852796	EIN
Primary Activity	RESEARCH FACILITY DEVELOPMENT	PrimaryActivity
Legal Domicile State	WA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	4446	ShareOfTotalIncome
Share Of EOY Assets	247593	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner
Percentage Ownership	0.01000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
CHARITABLE REMAINDER UNITRUSTS (11)
INVESTMENTS	WA	N/A	T	0
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTS	AK	N/A	T	0
CHARITABLE REMAINDER UNITRUSTS (4)
INVESTMENTS	CA	N/A	T	0
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTS	FL	N/A	T	0
CHARITABLE REMAINDER ANNUITY TRUSTS (3)
INVESTMENTS	WA	N/A	T	0
PERPETUAL TRUSTS (7)
INVESTMENTS	WA	N/A	T	0
POOLED INCOME FUND (1)
INVESTMENTS	WA	N/A	T	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg