SEATTLE CHILDRENS HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SEATTLE CHILDRENS HOSPITAL (EIN 91-0564748)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-09
IRS object ID: 201302219349300830
Schema version: 2011v1.5
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	2013-08-09T10:48:23-05:00	Timestamp
Tax Period End Date	2012-09-30	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	2011-10-01	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	2013-08-08	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	2013-08-01	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	1066324437	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	23	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	22	NbrIndependentVotingMembers
Total Nbr Employees	5532	TotalNbrEmployees
Total Nbr Volunteers	666	TotalNbrVolunteers
Total Gross UBI	925049	TotalGrossUBI
Net Unrelated Business Txbl Income	192627	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	109050088	ContributionsGrantsPriorYear
Contributions Grants Current Year	108394674	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	717569080	ProgramServiceRevenuePriorYear
Program Service Revenue CY	835717564	ProgramServiceRevenueCY
Investment Income Prior Year	32753835	InvestmentIncomePriorYear
Investment Income Current Year	22099184	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4554899	OtherRevenuePriorYear
Other Revenue Current Year	6045504	OtherRevenueCurrentYear
Total Revenue Prior Year	863927902	TotalRevenuePriorYear
Total Revenue Current Year	972256926	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	4468797	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1292736	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	382749549	SalariesEtcPriorYear
Salaries Etc Current Year	416297033	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	397743508	OtherExpensePriorYear
Other Expenses Current Year	410603909	OtherExpensesCurrentYear
Total Expenses Prior Year	784961854	TotalExpensesPriorYear
Total Expenses Current Year	828193678	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	78966048	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	144063248	RevenuesLessExpensesCY
Total Assets BOY	1603702328	TotalAssetsBOY
Total Assets EOY	1854709908	TotalAssetsEOY
Total Liabilities BOY	695794835	TotalLiabilitiesBOY
Total Liabilities EOY	769841875	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	907907493	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1084868033	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	657370950	Expense
Grants	1211585	Grants
Revenue	833070267	Revenue
Description	PATIENT CARE: SEATTLE CHILDREN'S HOSPITAL 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 2012, CHILDREN'S MEDICAL TEAM TREATED KIDS OF ALL AGES DURING 351,147 PATIENT VISITS, INCLUDING 14,498 ADMISSIONS TO THE HOSPITAL AND 32,810 VISITS TO OUR EMERGENCY ROOM. WE PERFORMED 13,168 DAY SURGERIES AND CARED FOR CHILDREN DURING 290,671 APPOINTMENTS IN OUTPATIENT CLINICS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	94276227	Expense
Grants	81151	Grants
Revenue	6190986	Revenue
Description	RESEARCH: BECAUSE RESEARCH IS THE FOUNDATION OF SEATTLE CHILDREN'S MISSION TO PREVENT, TREAT, AND ELIMINATE PEDIATRIC DISEASE, SEATTLE CHILDREN'S HOSPITAL INVESTED $23 MILLION IN RESEARCH DURING FISCAL YEAR 2012. 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	22245307	Expense
Revenue	1428066	Revenue
Description	EDUCATION: SEATTLE CHILDREN'S HOSPITAL IS THE MAJOR RESOURCE FOR PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAMS IN OUR REGION. RESIDENTS AND FELLOWS FROM 75 PROGRAMS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) PLUS 3 PROGRAMS ACCREDITED BY THE AMERICAN DENTAL ASSOCIATION (ADA) HAD RESIDENTS OR FELLOWS AT SEATTLE CHILDREN'S HOSPITAL IN ACADEMIC YEAR 2012. 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 COMMUNICATION SKILLS, PROFESSIONALISM, AND SYSTEM-BASED PRACTICE.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	773892484	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	0	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
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	484	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	5532	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	23	NbrVotingGoverningBodyMembers
Number Independent Voting Members	22	NumberIndependentVotingMembers
Family Or Business Relationship	0	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (56 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
DEAN ALLEN
TRUSTEE	4.00	X	0	0	0
LIBBY ARMINTROUT
TRUSTEE	3.00	X	0	0	0
ROBB BAKEMEIER
TRUSTEE	3.00	X	0	0	0
JOEL BENOLIEL
TRUSTEE	3.00	X	0	0	0
SUSAN BETCHER
TRUSTEE	5.00	X	0	0	0
JANE BLAIR
TRUSTEE	2.00	X	0	0	0
ROSS BOGUE
TRUSTEE	1.00	X	0	0	0
PAT CHAR
TRUSTEE	4.00	X	0	0	0
MICHAEL DELMAN
TREASURER	5.00	X	0	0	0	X
ROY DIAZ
TRUSTEE	2.00	X	0	0	0
ROBERT FLOWERS
VICE-CHAIR/CHAIR	4.00	X	0	0	0	X
MARY ANN FLYNN
TRUSTEE	4.00	X	0	0	0
JUDY HOLDER
TRUSTEE	6.00	X	0	0	0
CYNTHIA HUFFMAN
SECRETARY	2.00	X	0	0	0	X
JIM LADD
CHAIR/TRUSTEE	6.00	X	0	0	0	X
SANDRA MADRID
TRUSTEE	3.00	X	0	0	0
SUSAN MASK
TRUSTEE	3.00	X	0	0	0
RESA MOORE
TRUSTEE	3.00	X	0	0	0
JEFF NITTA
TRUSTEE	5.00	X	0	0	0
GLORIA NORTHCROFT
TRUSTEE	2.00	X	0	0	0
LAURIE OKI
TRUSTEE	3.00	X	0	0	0
JUDITH PIERCE
TRUSTEE	4.00	X	0	0	0
ROB ROSKIN MD
NON-VOTING TRUSTEE	12.00	X	0	0	0
NANCY SENSENEY
TRUSTEE/VICE-CHAIR	10.00	X	0	0	0	X
PETE SHIMER
TRUSTEE	2.00	X	0	0	0
MICHELE SMITH
TRUSTEE	5.00	X	0	0	0
CHARLES STEVENS
TRUSTEE	2.00	X	0	0	0
THOMAS HANSEN MD
CEO/NON-VOTING TRUSTEE	29.50		567515	553072	252075	X
KELLY WALLACE
SENIOR VP & CFO	41.00		435071	141991	147200	X
SANFORD MELZER MD
SENIOR VP & CSO	41.00		315531	558652	132034		X
DAVID FISHER MD
S.VP/MED.DIR./NON-VOTING T	55.00		699845	0	132355		X
PATRICK HAGAN
PRESIDENT & COO	55.00		659808	0	250391		X
DREXEL DEFORD
SENIOR VP & CIO	55.00		569889	0	105375		X
LISA BRANDENBURG
PRESIDENT	55.00		527363	0	106024		X
SUSAN HEATH
SENIOR VP & CNO	55.00		362118	149499	52461		X
JEFFREY SCONYERS
SR VP & GENERAL COUNSEL	27.50		214762	207092	88352		X
JAMES HENDRICKS MD
PRES RESEARCH INSTITUTE	55.00		415483	0	87902		X
EDWIN WRIGHT
SENIOR VP & CIO	55.00		406224	0	39110		X
STEVEN HURWITZ
VP - SHARED SERVICES	55.00		363994	0	36416		X
CINDY EVANS
SENIOR VP - HOSPITAL OPS	55.00		349762	0	34895		X
SUZANNE PETERSEN
COS TO CEO, VP-EXT.AFF.	55.00		317798	0	42696		X
CARA BAILEY
VP - CONT. PERF. IMPROV.	55.00		309609	0	26778		X
WARREN HEWITT
VP - FINANCE	55.00		293318	0	33028		X
JENNIFER ABERMANIS
VP - DIAG. THERAPY/SUPPORT	55.00		282508	0	42687		X
ERIK LAUSUND
VP - RESEARCH & LOGISTICS	55.00		281258	0	30186		X
TODD JOHNSON
VP - FACILITIES	55.00		275942	0	34743		X
JUDY DOUGHERTY
VP - SURGICAL SERVICES	55.00		274893	0	34261		X
RUTH BENFIELD
VP - PSYCHO-SOC.SERVICES	55.00		249380	0	34244		X
STEPHANIE AXELROD
VP - COMM. & STRAT. INIT.	55.00		234693	0	41383		X
DAVID BRAUNER
CARDIOLOGIST	55.00		502475	0	31449			X
DOUGLAS PICHA
PRESIDENT - FOUNDATION	5.50		48357	419870	84863			X
WARREN TOEWS
FLOAT PHYSICIAN	55.00		414250	0	0			X
CRAIG RUBENS
EXEC. DIRECTOR, GAPPS	55.00		399286	0	22163			X
JOE RUTLEDGE
MEDICAL DIRECTOR OF LABS	55.00		386647	0	30512			X
CHARLES HODGE
VP & FORMER KEY EMPLOYEE	55.00		153676	0	16772				X
DAVID PERRY
VP & FORMER KEY EMPLOYEE	55.00		148541	0	20402				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10459996	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2030176	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1990757	TotalOtherCompensation
Number Individuals GT100 K	577	NumberIndividualsGT100K
Formers Listed	1	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
CHILDREN'S UNIVERSITY MEDICAL GROUP
PO BOX 50010	SEATTLE	WA	98105	PHYSICIAN SERVICES	62433254
SELLEN CONSTRUCTION
227 WESTLAKE AVENUE NORTH	SEATTLE	WA	98109	CONSTRUCTION	52319380
UNIVERSITY OF WASHINGTON
PO BOX 358220	SEATTLE	WA	98195	RESIDENTS & INTERNS	28826109
PUGET SOUND BLOOD CENTER
921 TERRY AVENUE	SEATTLE	WA	98104	BLOOD PROCESSING	7151297
DENALI ADVANCED INTEGRATION
17735 NE 65TH STREET SUITE 130	REDMOND	WA	98052	IT CONSULTING	5507310

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	186	NumberOfContractorsGT100K
Related Organizations	39678174	RelatedOrganizations
Government Grants	55177245	GovernmentGrants
All Other Contributions	13539255	AllOtherContributions
Noncash Contributions	1446756	NoncashContributions
Total Contributions	108394674	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	815530966	815530966
OTHER HEALTHCARE SVCS	621500	17638646	16713597	925049
INVESTMENT PROV CHILD	621500	2030000	2030000
WHALE GIFT SHOP	453220	517952			$517,952

Field	Value	IRS element (for citing)
Total Program Service Revenue	835717564	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	17153331	TotalRevenueColumn
Exclusion	$17,153,331	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1623177	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	549428	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1073749	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1073749	TotalRevenueColumn
Exclusion	$1,073,749	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	98440436	Securities
Other	23500	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	93425677	Securities
Other	92406	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	5014759	Securities
Other	-68906	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	4945853	TotalRevenueColumn
Exclusion	$4,945,853	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA	722212	2893055	$2,893,055
PARKING	812930	2078700	$2,078,700

Field	Value	IRS element (for citing)
Total Other Revenue	4971755	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	972256926	TotalRevenueColumn
Related Or Exempt Function Income	834274563	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	925049	UnrelatedBusinessRevenue
Exclusion	$28,662,640	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1177963	Total
Program Services	1177963	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	114773	Total
Program Services	114773	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	8714255	Total
Management And General	8714255	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	318978974	Total
Program Services	299171664	ProgramServices
Management And General	19807310	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	17726269	Total
Program Services	16625539	ProgramServices
Management And General	1100730	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	47053747	Total
Program Services	44131899	ProgramServices
Management And General	2921848	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	23823788	Total
Program Services	22344427	ProgramServices
Management And General	1479361	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1258767	Total
Program Services	1180603	ProgramServices
Management And General	78164	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	339089	Total
Program Services	318033	ProgramServices
Management And General	21056	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	272966	Total
Program Services	272966	ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	509116	Total
Program Services	477502	ProgramServices
Management And General	31614	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	66487242	Total
Program Services	62358652	ProgramServices
Management And General	4128590	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2567444	Total
Program Services	2408016	ProgramServices
Management And General	159428	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	103572237	Total
Program Services	97140818	ProgramServices
Management And General	6431419	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9730178	Total
Program Services	9125973	ProgramServices
Management And General	604205	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	17818627	Total
Program Services	16712162	ProgramServices
Management And General	1106465	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	3107471	Total
Program Services	2914510	ProgramServices
Management And General	192961	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2105401	Total
Program Services	1974664	ProgramServices
Management And General	130737	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	17053492	Total
Program Services	15994539	ProgramServices
Management And General	1058953	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	57814686	Total
Program Services	54224627	ProgramServices
Management And General	3590059	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3532654	Total
Program Services	3313290	ProgramServices
Management And General	219364	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PHYSICIANS SERVICES	81355527	81355527
LICENSES & TAXES	23709035	22236799	1472236
LOSS ON REFINANCING	4053546	3801837	251709
BAD DEBTS	2421389	2421389

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	12895042	Total
Program Services	12094312	ProgramServices
Management And General	800730	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	828193678	Total
Program Services	773892484	ProgramServices
Management And General	54301194	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	16869643	BOY
EOY	21020376	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	24918135	BOY
EOY	18033375	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	4650912	BOY
EOY	6246789	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	107695722	BOY
EOY	141313906	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	64752	BOY
EOY	62099	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	8349144	BOY
EOY	9106326	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7378119	BOY
EOY	8254028	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1273211071	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	447861874	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	739168962	BOY
EOY	825349197	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	428085974	BOY
EOY	544088259	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	162201775	BOY
EOY	180103426	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	66444406	BOY
EOY	69742637	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	6890099	BOY
EOY	7115152	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	30984685	BOY
EOY	24274338	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1603702328	BOY
EOY	1854709908	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	126024567	BOY
EOY	147256105	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	474772744	BOY
EOY	519876419	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	65140766	BOY
EOY	72852593	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	695794835	BOY
EOY	769841875	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	693079002	BOY
EOY	849143191	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	61713507	BOY
EOY	78379911	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	153114984	BOY
EOY	157344931	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	907907493	BOY
EOY	1084868033	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1603702328	BOY
EOY	1854709908	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	144063248	ReconcilationRevenueExpenses
Reconcilation Other Changes	32897292	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
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	272966	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	272966	FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	827738718	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	828011684	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	310524	CurrentYearMinus3
Current Year Minus2	247092	CurrentYearMinus2
Current Year Minus1	267015	CurrentYearMinus1
Current Year	272966	CurrentYear
Total	1097597	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	18000	ContribToFundsAndOtherAccounts
Grants Funds And Other Accounts	37597	GrantsFundsAndOtherAccounts
Aggregate Fund Value	845668	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	249976000	BeginningOfYearBalance
Contributions	2947000	Contributions
Investment Earnings Or Losses	38833000	InvestmentEarningsOrLosses
Other Expenditures	6048000	OtherExpenditures
End Of Year Balance	285708000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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	0.50040	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.42590	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.07370	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	163751776	OtherCostOrOtherBasis
Book Value	163751776	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	587364196	OtherCostOrOtherBasis
Depreciation	199872078	Depreciation
Book Value	387492118	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13062009	OtherCostOrOtherBasis
Depreciation	5788336	Depreciation
Book Value	7273673	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	335474286	OtherCostOrOtherBasis
Depreciation	239071613	Depreciation
Book Value	96402673	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	173558804	OtherCostOrOtherBasis
Depreciation	3129847	Depreciation
Book Value	170428957	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	825349197	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
POOLED INVESTMENTS	175151247	C
DEFERRED COMPENSATION PLANS	4907679	C
OTHER ALTERNATIVE INVESTMENTS	44500	C

Field	Value	IRS element (for citing)
Total Of Book Value Securities	180103426	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
SWAP MTM VALUE - SERIES 2012C & D	$31,753,123
PAYABLE TO SCHS - STEWART PLACE	$21,021,249
DEFERRED COMPENSATION PLAN PAYABLE	$4,907,679
DEFERRED AND OTHER LIABILITIES	$14,423,723
CAPITAL LEASE OBLIGATION	$746,819

Field	Value	IRS element (for citing)
Total Of Amounts	72852593	TotalOfAmounts
Total Revenue	972256926	TotalRevenue
Total Expenses	828193678	TotalExpenses
Excess Or Deficit For Year	144063248	ExcessOrDeficitForYear
Net Unrealized GL On Investments	32910219	NetUnrealizedGLOnInvestments
Other	-$12,927	OtherAmount
Total Adjustments	32897292	TotalAdjustments
Excess Or Deficit Per FS	176960540	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1006554298	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	32910219	NetUnrealizedGainsInvestments
Other Revenues	1346841	OtherRevenues
Revenue Not Rptd F990	34257060	RevenueNotRptdF990
Revenue Subtotal	972297238	RevenueSubtotal
Investment Expenses Not Included	509116	InvestmentExpensesNotIncluded
Other Revenues Not Included	-549428	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-40312	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	972256926	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	829593758	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	4330585	OtherExpensesIncluded
Expenses Not Rptd F990	4330585	ExpensesNotRptdF990
Expenses Subtotal	825263173	ExpensesSubtotal
Investment Expenses Not Included2	509116	InvestmentExpensesNotIncluded2
Other Expenses Not Included	2421389	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	2930505	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	828193678	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) AND SEATTLE CHILDREN'S HOSPITAL (SCH) 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 8 - OTHER ADJUSTMENTS:		CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS -3,781,157. CHANGE IN BENEFICIAL INTEREST IN SCHS 3,768,230. TOTAL TO SCHEDULE D, PART XI, LINE 8: -12,927.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		CHANGE IN BENEFICIAL INTEREST IN SCHS 3,768,230. BAD DEBT EXPENSE -2,421,389.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -549,428.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 549,428. CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS 3,781,157.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		BAD DEBT EXPENSE 2,421,389.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (23 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	ATTEND LEADERSHIP TRAINING IN JAPAN ON CONTINUOUS PROCESS IMPROVEMENT	1248800
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	PURCHASE OF MEDICAL SERVICES AND SUPPLIES	515251
SOUTH AMERICA	PROGRAM SERVICES	PURCHASE OF MEDICAL SERVICES AND SUPPLIES	9779
NORTH AMERICA	PROGRAM SERVICES	PURCHASE OF MEDICAL SERVICES AND SUPPLIES	3352
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	PURCHASE OF MEDICAL SERVICES AND SUPPLIES	2889
SOUTH ASIA	PROGRAM SERVICES	PURCHASE OF MEDICAL SERVICES AND SUPPLIES	161
SUB-SAHARAN AFRICA	PROGRAM SERVICES	PURCHASE OF MEDICAL SERVICES AND SUPPLIES	138
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM	121242
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM	16749
SOUTH ASIA	PROGRAM SERVICES	DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM	10643
SUB-SAHARAN AFRICA	PROGRAM SERVICES	DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM	10000
NORTH AMERICA	PROGRAM SERVICES	DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM	6146
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES	104318
SUB-SAHARAN AFRICA	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES AND AID SITES	71456
SOUTH ASIA	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES	44998
NORTH AMERICA	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES	30355
SOUTH AMERICA	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES	12746
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES	9983
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES	7707
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES	3527
SUB-SAHARAN AFRICA	PROGRAM SERVICES	TEACHING IN KENYA - PEDIATRIC RESIDENCY GLOBAL TRACK PROGRAM	52850
SUB-SAHARAN AFRICA	PROGRAM SERVICES	PARTNERS IN AFRICA CLEFT TRAINING	48866
SUB-SAHARAN AFRICA	PROGRAM SERVICES	EFFORTS FOR THE PREVENTION OF AIDS	23825

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	1901612	SubtotalAmountSpent
Cont Amount Spent	454169	ContAmountSpent
Total Amount Spent	2355781	TotalAmountSpent
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

Field	Value	IRS element (for citing)
Identifier	METHOD USED TO ACCCOUNT FOR EXPENDITURES:	Identifier
Explanation	SCHEDULE F, PART I, LINE 3: THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR EXPENDITURES.	Explanation

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	17972	PersonsServed
Total Community Benefit Expense	10572000	TotalCommunityBenefitExpense
Net Community Benefit Expense	10572000	NetCommunityBenefitExpense
Percent Of Total Expense	0.01280	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	130676	PersonsServed
Total Community Benefit Expense	295374000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	192220000	DirectOffsettingRevenue
Net Community Benefit Expense	103154000	NetCommunityBenefitExpense
Percent Of Total Expense	0.12460	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	18	NumberOfActivitiesOrPrograms
Persons Served	148648	PersonsServed
Total Community Benefit Expense	305946000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	192220000	DirectOffsettingRevenue
Net Community Benefit Expense	113726000	NetCommunityBenefitExpense
Percent Of Total Expense	0.13740	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	130	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	13564908	TotalCommunityBenefitExpense
Direct Offsetting Revenue	651555	DirectOffsettingRevenue
Net Community Benefit Expense	12913353	NetCommunityBenefitExpense
Percent Of Total Expense	0.01560	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	78	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	22245307	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2954418	DirectOffsettingRevenue
Net Community Benefit Expense	19290889	NetCommunityBenefitExpense
Percent Of Total Expense	0.02330	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	88973457	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3950462	DirectOffsettingRevenue
Net Community Benefit Expense	85022995	NetCommunityBenefitExpense
Percent Of Total Expense	0.10270	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	1176907	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3000	DirectOffsettingRevenue
Net Community Benefit Expense	1173907	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	227	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	125960579	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7559435	DirectOffsettingRevenue
Net Community Benefit Expense	118401144	NetCommunityBenefitExpense
Percent Of Total Expense	0.14300	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	245	NumberOfActivitiesOrPrograms
Persons Served	148648	PersonsServed
Total Community Benefit Expense	431906579	TotalCommunityBenefitExpense
Direct Offsetting Revenue	199779435	DirectOffsettingRevenue
Net Community Benefit Expense	232127144	NetCommunityBenefitExpense
Percent Of Total Expense	0.28040	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	1707612	TotalCommunityBuildingExpense
Net Community Building Expense	1707612	NetCommunityBuildingExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	10325	TotalCommunityBuildingExpense
Net Community Building Expense	10325	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	112650	TotalCommunityBuildingExpense
Net Community Building Expense	112650	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	3750	TotalCommunityBuildingExpense
Net Community Building Expense	3750	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	2000	TotalCommunityBuildingExpense
Net Community Building Expense	2000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Total Community Building Expense	21532	TotalCommunityBuildingExpense
Net Community Building Expense	21532	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Total Community Building Expense	73170	TotalCommunityBuildingExpense
Net Community Building Expense	73170	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	265386	TotalCommunityBuildingExpense
Net Community Building Expense	265386	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Total Community Building Expense	2196425	TotalCommunityBuildingExpense
Net Community Building Expense	2196425	NetCommunityBuildingExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$977,555	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	4202994	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	6354968	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2151974	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 (SCH)	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)
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 (SCH)	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	0	CHNAConducted
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	17	NumberOfOtherFacilities

Other Facilities OtherFacilities (17 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY	SEATTLE	WA	98101	PEDIATRIC RESEARCH
SEATTLE CHILDREN'S RESEARCH INSTITUTE
307 WESTLAKE AVENUE	SEATTLE	WA	98101	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	BOTHELL	WA	98201	PEDIATRIC HOME CARE SERVICES THAT SUPPORT SCH
OVERLAKE MEDICAL TOWER
1135 116TH AVE NE SUITE 400	SEATTLE	WA	98004	SUB SPECIALITY CARE
ODESSA BROWN CLINIC
2101 E YESLER WAY	SEATTLE	WA	98122	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
ANCHORAGE CLINIC
3260 PROVIDENCE DRIVE	ANCHORAGE	AK	99508	CARDIOLOGY CLINIC
SEATTLE CHILDREN'S DENTAL SURGERY CTR
6222 NE 74TH STREET	SEATTLE	WA	98115	PEDIATRIC DENTAL CARE
SEATTLE CHILDREN'S AUTISM CENTER
4909 25TH AVE NE	SEATTLE	WA	98105	AUTISM CLINIC
FEDERAL WAY CLINIC
34503 9TH AVE S SUITE 300	FEDERAL WAY	WA	98003	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
EVERETT CLINIC
900 PACIFIC AVE SUITE 100	EVERETT	WA	98201	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
SOUTH SOUND CARDIOLOGY CEDAR MED CTR
1901 S CEDAR ST SUITE 103	TACOMA	WA	98405	CARDIOLOGY CLINIC
OLYMPIA CLINIC
615 LILLY ROAD MEDICAL BLDG SUITE	OLYMPIA	WA	98506	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE	140
MONTANA CARDIOLOGY PRACTICE
2835 FORT MISSOULA ROAD	MISSOULA	MT	59804	CARDIOLOGY CLINIC
CHILDREN'S ORTHOTICS & PROSTHETICS
4575 SAND POINT WAY NE SUITE 106	SEATTLE	WA	98105	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
TRI CITIES CLINIC
969 STEVENS DRIVE	RICHLAND	WA	99352	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
MILL CREEK CLINIC
12800 BOTHELL EVERETT HIGHWAY	EVERETT	WA	98206	CLINIC, SUB SPECIALITY SERVICES, AND URGENT CARE

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
PART I, LINE 3C: SEATTLE CHILDREN'S HOSPITAL (SCH) USES THE FEDERAL POVERTY GUIDELINES (FPG) AS ONE OF ITS CRITERIA FOR QUALIFYING PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE. FAMILIES WITH INCOME BELOW OR EQUAL TO 400% FPG QUALIFY FOR FREE CARE. FURTHERMORE, SCH USES ADDITIONAL CRITERIA OTHER THAN FPG TO QUALIFY ADDITIONAL PATIENTS FOR FINANCIAL ASSISTANCE. RESPONSIBLE PARTIES WHOSE INCOME IS BETWEEN 400% AND 849% FPG, 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 SCH'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. 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.
SCH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE TO THE GENERAL PUBLIC. SCH APPLIES THE CATHOLIC HEALTH ASSOCIATION PRINCIPLES AND USES THE "LYONS" SOFTWARE TO ACCUMULATE THE INFORMATION INCLUDED IN ITS ANNUAL COMMUNITY BENEFIT REPORT. SEE SCHEDULE O FOR THE FULL 2012 COMMUNITY BENEFIT REPORT OR VISIT WWW.SEATTLECHILDRENS.ORG.	PART I, LINE 6:
IN ACCORDANCE WITH ITS MISSION TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE, SCH COMMITS SIGNIFICANT RESOURCES TO PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN. IN SUPPORT OF THIS ENDEAVOR, SCH RECOGNIZES THAT SOME OF ITS MOST FRAGILE CONSTITUENTS ARE CHILDREN WHOSE FAMILIES ARE FINANCIALLY OR MEDICALLY INDIGENT. TO THAT END, SCH PROVIDES MEDICAL TREATMENT TO CHILDREN WHOSE FAMILIES ARE UNABLE TO PAY FOR SUCH TREATMENT. SCH ENSURES THAT FINANCIAL ASSISTANCE, EDUCATION, RESEARCH AND OTHER SPONSORED COMMUNITY PROGRAMS BENEFIT ALL CHILDREN, REGARDLESS OF ECONOMIC STATUS. THEREFORE, SCH 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. SCH 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 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 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 IS BASED ON A RATIO OF TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF TOTAL GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS CHARGES RELATED TO SERVICES PROVIDED TO MEDICAID PATIENTS, RESULTING IN THE ESTIMATED COST OF PROVIDING CARE TO THESE PATIENTS.OTHER BENEFITS - 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.	PART I, LINE 7:
PART II: AS PART OF OUR MISSION TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE, 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 SUPPORTS AND THE BUILT ENVIRONMENT. SOME EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES INCLUDE:- OUR LIVABLE STREETS INITIATIVE. IN PARTNERSHIP WITH THE CITY, WE ARE WORKING TO MAKE THE STREET SYSTEM AROUND THE HOSPITAL SAFER AND MORE COMFORTABLE FOR WALKING AND BIKING. IMPROVEMENTS INCLUDE EXTENDED CURBS, MEDIAN ISLANDS AND STOP SIGNS. - RELIGIOUS SERVICES OPEN TO PATIENTS, FAMILIES, STAFF, AND COMMUNITY MEMBERS, INCLUDING MEMORIAL SERVICES FOR FAMILIES AND LOVED ONES OF CHILDREN WHO HAVE PASSED AWAY AT THE HOSPITAL AND IN THE VARIOUS COMMUNITIES, WEEKLY CATHOLIC MASSES, AND HANUKKAH CELEBRATIONS.- BIKE SHARE PARTNERSHIP. SEATTLE CHILDREN'S IS ONE OF THE FOUNDING MEMBERS OF THE PUGET SOUND BIKE SHARE PARTNERSHIP, A GROUP OF PUBLIC AND PRIVATE ORGANIZATIONS WORKING TO BRING BIKE SHARING TO KING COUNTY. THE PARTNERSHIP'S VISION IS TO PROVIDE KING COUNTY RESIDENTS AND VISITORS ACCESS TO A LOW-COST, FAST, FLEXIBLE, AND CONVENIENT TRANSPORTATION ALTERNATIVE WITH ECONOMIC, SOCIAL, AND ENVIRONMENTAL BENEFITS TO THE REGION. THE PARTNERSHIP WAS FORMED BY CHILDREN'S, THE CITY OF SEATTLE, KING COUNTY METRO, MICROSOFT, THE UNIVERSITY OF WASHINGTON, AND OTHERS TO MANAGE THE CREATION OF A PUBLIC BIKE SHARE SYSTEM FOR THE SEATTLE AREA. BIKE SHARING IS AN INNOVATIVE APPROACH TO URBAN MOBILITY, COMBINING THE CONVENIENCE AND FLEXIBILITY OF A BICYCLE WITH THE ACCESSIBILITY OF PUBLIC TRANSPORTATION. BIKE SHARE SYSTEMS CONSIST OF A FLEET OF BIKES PROVIDED AT A NETWORK OF STATIONS LOCATED THROUGHOUT A CITY. BIKES ARE AVAILABLE ON DEMAND TO PROVIDE FAST AND EASY ACCESS FOR SHORT TRIPS.- PARTNERSHIPS WITH SCHOOLS AND OTHER HEALTHCARE ORGANIZATIONS IN THE U.S. AND INTERNATIONALLY TO PROVIDE TOURS FOR INDIVIDUALS WHO WANT TO LEARN MORE ABOUT THE MEDICAL FIELD AND THE U.S. HEALTH CARE SYSTEM. OUR HOPE IS TO INSPIRE THEM TO CHOOSE TO EVENTUALLY BE INVOLVED IN CARING FOR THE COMMUNITIES THROUGH WORKING IN THIS FIELD.- FOSTER CARE ADVOCACY. WE PARTNER WITH SEVERAL ORGANIZATIONS TO ENSURE THAT FAMILIES OF KIDS IN FOSTER CARE ARE GIVEN ADEQUATE MENTAL HEALTH SERVICES. - OUTERWEAR PROGRAM. PATIENTS, FAMILIES AND THEIR LOVED ONES ARE AT RISK FOR POOR HEALTH AND ILLNESS DUE TO LACK OF ADEQUATE CLOTHING AND OUTERWEAR. THESE RESOURCES ARE SCARCE OR UNAVAILABLE IN THE BROADER COMMUNITY. THE OUTERWEAR PROGRAM USES DONATED MONEY TO PURCHASE COATS, SHOES, HATS, GLOVES, SCARVES, ETC. FOR FAMILIES IN NEED.- EPALS, AN OUTREACH PROGRAM THAT CONNECTS YOUTH FROM WING LUKE ELEMENTARY SCHOOL, OLIVIA PARK ELEMENTARY SCHOOL, AND NEAH BAY HIGH SCHOOL WITH ROLE MODELS FROM WITHIN THE RANKS OF OUR STAFF. OVER THE COURSE OF THE PROGRAM, YOUTH AND CHILDREN'S STAFF HAVE STRUCTURED EMAIL CORRESPONDENCE THAT FOLLOWS A CURRICULUM DEVELOPED IN COLLABORATION BETWEEN THE CENTER FOR DIVERSITY'S STAFF AND THE TEACHERS AT PARTICIPATING SCHOOLS. THE PROGRAM'S CAPSTONE IS AN INTERACTIVE TOUR OF THE HOSPITAL AND A LUNCH IN WHICH THE STUDENTS MEET THE EPALS WITH WHOM THEY HAVE BEEN CORRESPONDING. THIS PROGRAM TRIES TO INCREASE THE VISIBILITY OF MANY CAREER OPPORTUNITIES THAT SUPPORT HEALTH AND HEALTH CARE THAT STUDENTS MAY HAVE NEVER CONSIDERED. THE PROGRAM ALSO PROVIDES TEACHERS WITH A REAL-WORLD ACTIVITY THAT HELPS THEIR STUDENTS DEVELOP THEIR COMMUNICATION SKILLS.- TRANSIT NOW PARTNERSHIP. CHILDREN'S PARTNERS WITH KING COUNTY METRO TO FUND INCREASED TRANSIT SERVICE ON THE BUS ROUTES 75 AND 65. BY POOLING FINANCIAL RESOURCES FROM CHILDREN'S AND METRO, THE TRANSIT NOW PARTNERSHIP MAKES MORE TRANSIT SERVICE AVAILABLE TO COMMUNITIES IN NORTHEAST SEATTLE. WE PAY ONE THIRD OF THE NEW SERVICE. - 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 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 TOTAL BAD DEBTS AT COST.SCH 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. SCH IS SENSITIVE TO THE FINANCIAL HEALTH OF FAMILIES AND RECOGNIZES THAT FAMILY FINANCIAL CONCERNS MAY NOT ALWAYS BE EFFECTIVELY COMMUNICATED. SCH 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 COLLECTIONS EFFORTS ARE MANAGED INTERNALLY, IN A RESPECTFUL MANNER, SCH DOES NOT DISCLOSE ITS COLLECTION PRACTICE IN THE FOOTNOTES OF THE FINANCIAL STATEMENTS.
PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE OBTAINED DIRECTLY FROM THE MEDICARE COST REPORT AND ARE DETERMINED IN ACCORDANCE WITH THE MEDICARE PRINCIPLES OF REIMBURSEMENT. THE MAJORITY OF SCH'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 SCH'S COST. THE ACTUAL SHORTFALL IN COST REIMBURSEMENT SHOULD AT LEAST BE TREATED AS COMMUNITY BENEFIT.
PART III, LINE 9B: SCH'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. SCH 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, SCH 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 SCH'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, SCH IDENTIFIES ANY OUTSTANDING ACCOUNT BALANCES FOR THE ASSOCIATED PATIENT AND WRITES OFF THESE BALANCES AS BAD DEBT. - SCH'S FINANCE DEPARTMENT MONITORS THE PORTION OF OUTSTANDING ACCOUNTS RECEIVABLE THAT IS CLASSIFIED AS BAD DEBT FOR SIGNIFICANT VARIANCES. - SCH'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 SCH'S SERVICE AREA (E.G., INTERNATIONAL PATIENTS). 4. SCH WILL NOT FILE A LIEN AGAINST A PATIENT'S OR FAMILY'S PRIMARY RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES.
PART V, SECTION B, LINE 11H: 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 (SCH)
PART VI, LINE 2: FOR MORE THAN 100 YEARS, SEATTLE CHILDREN'S HAS BEEN DEDICATED TO THE WELL BEING OF OUR COMMUNITY BEYOND THE HOSPITAL WALLS. AS PART OF THIS WORK, WE HAVE BEEN INVOLVED IN SMALL SCALE COMMUNITY NEEDS ASSESSMENTS. FOR EXAMPLE, DURING OUR STRATEGIC PLAN DEVELOPMENT, WE RESEARCHED THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE 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 THE PACIFIC NORTHWEST. 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. SINCE 2010 WE HAVE BEEN WORKING ON A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT. IN 2012 WE FINE-TUNED THE RESEARCH CONDUCTED THE YEAR PRIOR, WHICH FOCUSED ON UNDERSTANDING HEALTH AND SAFETY ISSUES FACING UNDERSERVED POPULATIONS WHO EXPERIENCE HEALTH DISPARITIES, USING EXISTING DATA AND THE PERSPECTIVES OF COMMUNITY STAKEHOLDERS AND FAMILIES; IDENTIFYING STRENGTHS, EXISTING PROGRAMS, AND ACTIVITIES THAT ARE HELPING THE COMMUNITY THRIVE; AND SHAPING OUR COMMUNITY BENEFIT EFFORTS BY DETERMINING WHERE THE COMMUNITY NEEDS ALIGN WITH CHILDREN'S STRATEGIC PLAN OR AREAS IN WHICH WE HAVE SIGNIFICANT EXPERTISE. THIS YEAR WE HAVE SHARED OUR FINDINGS WITH MEMBERS OF OUR COMMUNITY AND WITH OUR LOCAL PUBLIC HEALTH DEPARTMENT, PUBLIC HEALTH - SEATTLE & KING COUNTY, FOR THEIR INPUT AND FEEDBACK. AS A RESULT, WE HAVE DRAFTED FIVE PROPOSED COMMUNITY BENEFIT PRIORITIES, WHICH WE HAVE SHARED INTERNALLY AND EXTERNALLY WITH OTHER HOSPITALS, PUBLIC HEALTH DEPARTMENTS, COMMUNITY LEADERS, FAMILIES AND OTHERS IN THE AREA. WHILE WE ARE IDENTIFYING COMMUNITY BENEFIT PRIORITY AREAS AS A RESULT OF THIS COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT PROCESS, THE HOSPITAL CONTINUES TO ENCOURAGE COMMUNITY BENEFIT PROGRAMS AT ALL LEVELS OF THE ORGANIZATION. IN 2012 WE ALSO BEGAN WRITING AND EDITING THIS COMPREHENSIVE COMMUNITY ASSESSMENT REPORT. THE COMMUNITY HEALTH ASSESSMENT WORK CONDUCTED IN THESE RECENT YEARS LAYS THE FOUNDATION FOR A COMMUNITY BENEFIT IMPLEMENTATION PLAN THAT WILL BE ADOPTED AND APPROVED BY THE SEATTLE CHILDREN'S BOARD OF TRUSTEES, AND MADE WIDELY AVAILABLE TO THE PUBLIC ON OUR WEBSITE, WWW.SEATTLECHILDRENS.ORG IN FISCAL YEAR 2013.
PART VI, LINE 3: EVERY FAMILY THAT COMES TO SCH, WHETHER FOR AN INPATIENT STAY, CLINIC VISIT, SURGERY OR THROUGH THE EMERGENCY DEPARTMENT, IS PROVIDED WITH INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. 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: SCH PRIMARILY SERVES CHILDREN FROM WASHINGTON, ALASKA, MONTANA AND IDAHO, COMPRISING THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. SEATTLE CHILDREN'S ORIGINAL VISION - TO CARE FOR CHILDREN REGARDLESS OF RACE, RELIGION, GENDER OR A FAMILY'S ABILITY TO PAY - STILL GUIDES THE HOSPITAL TODAY. WHILE WE PRIMARILY SERVE CHILDREN FROM BIRTH TO 21 YEARS OLD, OUR SERVICES ARE EXPANDING TO SERVE HIGH RISK PREGNANT MOTHERS AND YOUNG ADULTS SUCH AS THOSE WHO NEED CANCER CARE AND WOULD BENEFIT FROM THE EFFECTIVENESS OF PEDIATRIC PROTOCOLS. OUR PRIMARY CARE CLINIC, ODESSA BROWN CHILDREN'S CLINIC, SERVES PRIMARILY LOW INCOME FAMILIES LIVING IN CENTRAL AND SOUTHEAST SEATTLE. APPROXIMATELY 15% OF CHILDREN UNDER AGE 18 IN WASHINGTON STATE LIVE BELOW THE FEDERAL POVERTY LEVEL WHILE OVER 45% OF OUR PATIENTS ARE ON MEDICAID, ON A SIMILAR LOW INCOME INSURANCE PROGRAM, OR ARE UNINSURED.
PART VI, LINE 5: SCH IS GOVERNED BY A BOARD OF TRUSTEES, CONSISTING OF BETWEEN 20-30 VOTING TRUSTEES WHO ARE MEMBERS OF THE LOCAL COMMUNITY. SCH 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. SCH ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO CERTAIN QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OF ITS DEPARTMENTS. SCH ALSO HAS REGIONAL STRATEGIC AFFILIATIONS WITH THE FOLLOWING ENTITIES:- UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (UWSOM)SCH 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, LLCSCH 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 (23 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION
710 SECOND AVE SUITE 900	SEATTLE	WA	98104	135613797	501(C)(3)	19630	SEATTLE HEART BALL SPONSORSHIP AND TRI-CITIES CONTRIBUTION
BRAIN INJURY ASSOCIATION OF WASHINGTON
28901 NE CARNATION FARM RD	CARNATION	WA	98014	203829742	501(C)(3)	5700	ANNUAL GALA SPONSORSHIPS
CHILDREN'S ALLIANCE
718 6TH AVE S	SEATTLE	WA	98104	910982879	501(C)(3)	5250	ANNUAL VOICES LUNCHEON SPONSORSHIP AND CONTRIBUTION
COMMUNITY CONNECTIONS INC
201 DEERMOUNT ST	KETCHIKAN	AK	99901	920112719	501(C)(3)	15000	EQUIPMENT FOR INFANT-PARENT INDOOR PLAY GROUP
COMPREHENSIVE HEALTH EDUCATION FOUNDATION
159 S JACKSON ST SUITE 510	SEATTLE	WA	98104	916186093	501(C)(3)	20000	CHILDHOOD OBESITY PREVENTION COALITION EVENT SPONSORSHIP
CYSTIC FIBROSIS FOUNDATION
6931 ARLINGTON RD	BETHESDA	MD	20814	131930701	501(C)(3)	11500	ANNUAL BREATH OF LIFE GALA AND AUCTION 65 ROSES SPONSORSHIP AND DONATION
DOWNTOWN SEATTLE ASSOCIATION
600 STEWART ST SUITE 200	SEATTLE	WA	98101	910681761	501(C)(4)	43500	WESTLAKE PARK CHILDREN'S PLAY SPACE AND STATE OF DOWNTOWN SPONSORSHIPS
THE FIRST TEE OF GREATER SEATTLE
2340 BROADMOOR DR E	SEATTLE	WA	98112	912116912	501(C)(3)	15000	MERCER SWING FOR KIDS GOLF TOURNAMENT SPONSORSHIP AND CONTRIBUTION
FOUNDATION OF THE NATIONAL STUDENT NURSES ASSOCIATION INC
45 MAIN STREET SUITE 606	BROOKLYN	NY	11201	133123125	501(C)(3)	7000	PROMISE OF NURSING FOR WASHINGTON GALA SPONSORSHIP
GLOBAL HEALTH NEXUS
PO BOX 9661	SEATTLE	WA	98109	272314726	501(C)(3)	35000	SPONSORSHIPS FOR GLOBAL HEALTH MONTH, MATERNAL NEWBORN CHILD LIFE LANE AND ACTIVITY TENT
GREATER ISSAQUAH CHAMBER OF COMMERCE
155 NW GILMAN BLVD	ISSAQUAH	WA	98027	916056410	501(C)(6)	7000	SALMON DAYS FESTIVAL SPONSORSHIP
GROUP HEALTH FOUNDATION
320 WESTLAKE AVE N SUITE 100	SEATTLE	WA	98109	911246278	501(C)(3)	7750	GIFT OF HEALTH GALA SPONSORSHIPS
HOPELINK
10675 WILLOWS RD NE SUITE 275	REDMOND	WA	98052	910982116	501(C)(3)	5750	REACHING OUT LUNCHEON SPONSORSHIP
JUVENILE DIABETES RESEARCH FOUNDATION SEATTLE GUILD
1215 FOURTH AVE SUITE 1400	SEATTLE	WA	98161	231907729	501(C)(3)	18500	DREAM GALA SPONSORSHIP
MARCH OF DIMES
1904 THIRD AVE SUITE 230	SEATTLE	WA	98101	131846366	501(C)(3)	23450	NURSE OF THE YEAR AND SIGNATURE CHEFS DINNER AND AUCTION SPONSORSHIPS
MEMORIAL FOUNDATION
2701 TIETON DR	YAKIMA	WA	98902	911022358	501(C)(3)	100000	CHILDREN'S VILLAGE EXPANSION CAMPAIGN CONTRIBUTION
PACIFIC SCIENCE CENTER FOUNDATION
200 SECOND AVE N	SEATTLE	WA	981094895	910750867	501(C)(3)	53500	CONTRIBUTION TOWARD WELLBODY EXHIBIT AND GOLDEN GALA DONATION
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
RONALD MCDONALD HOUSE CHARITIES OF WESTERN WASHINGTON & ALASKA
5130 40TH AVE NE	SEATTLE	WA	98105	911061043	501(C)(3)	371636	SUPPORT FOR HOUSING PROGRAMS AND GALA SPONSORSHIP
SEATTLE MARATHON ASSOCIATION
PO BOX 31849	SEATTLE	WA	98103	911215695	501(C)(3)	30000	SEATTLE KIDS MARATHON SPONSORSHIP
SOLID GROUND WASHINGTON
1501 N 45TH ST	SEATTLE	WA	98103	237421892	501(C)(3)	14750	ANNUAL LUNCHEON SPONSORSHIP AND STATEWIDE POVERTY ACTION NETWORK PROGRAM SUPPORT
UNIVERSITY OF WASHINGTON FOUNDATION
407 GERBERDING HALL	SEATTLE	WA	98195	943079432	501(C)(3)	130400	PEDIATRIC INJURY PREVENTION RESEARCH FUND, LIVER REGENERATION MECHANISMS FUND, GALA SPONSORSHIPS, AND VARIOUS OTHER FUNDS
WITHIN REACH
11000 LAKE CITY WAY NE SUITE 301	SEATTLE	WA	981256748	911443685	501(C)(3)	10000	LUNCHEON SPONSORSHIP AND IMMUNIZATION SOCIAL MARKETING CAMPAIGN

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	21	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (15 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	6	9750
SUPPORT TO PATIENT FAMILIES FOR TEMPORARY HOUSING AND RENTAL ASSISTANCE	61		32635	ACTUAL COST	PAYMENTS TO HOUSING AND RENTAL COMPANIES
SUPPORT TO PATIENT FAMILIES FOR UTILITY PAYMENTS	16		10139	ACTUAL COST	PAYMENTS TO UTILITY COMPANIES
SUPPORT TO PATIENT FAMILIES FOR TRANSPORTATION TO APPOINTMENTS	178		6062	ACTUAL COST	PAYMENTS TO TRANSPORTATION COMPANIES
SUPPORT TO PATIENT FAMILIES FOR FUNERAL EXPENSES	13		2773	ACTUAL COST	PAYMENTS TO FUNERAL HOMES
SUPPORT TO PATIENT FAMILIES FOR MEDICAL EQUIPMENT	14		2417	ACTUAL COST	PAYMENTS TO MEDICAL EQUIPMENT PROVIDERS
SUPPORT TO PATIENT FAMILIES FOR VARIOUS NEEDS	46	1863
SUPPORT TO PATIENT FAMILIES TO PURCHASE GROCERIES	276		8000	MARKET VALUE	SAFEWAY GIFT CARDS
SUPPORT TO PATIENT FAMILIES TO PURCHASE GAS FOR TRANSPORTATION TO APPOINTMENTS	364		11905	MARKET VALUE	GAS CARDS
SUPPORT TO PATIENT FAMILIES TO CONNECT WITH FAMILY AND FRIENDS DURING CHILD'S HOSPITALIZATION	42		182	MARKET VALUE	PHONE CARDS
SUPPORT TO PATIENTS AND FAMILIES WHO ARE ADMITTED ON AN EMERGENT / URGENT BASIS	84		1161	MARKET VALUE	CLOTHING
SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	1432		5101	MARKET VALUE	MEAL VOUCHERS TO CAFETERIA
SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	83		1290	MARKET VALUE	FOOD BAGS
SUPPORT TO PATIENT FAMILIES FOR VARIOUS NEEDS	46		19495	MARKET VALUE	GIFT 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.	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 (29 entries)

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
365250	365251	185375	185375	16890	2446	7350	213878	15423	15424	590288	782374	0	0
KELLY WALLACE
305712	101904	117716	39239	11643	848	11025	108385	20842	6948	466938	257324	0	0
SANFORD MELZER MD
188811	182893	118988	39663	7732	336096	11025	89677	19681	11651	346237	659980	0	335943
DAVID FISHER MD
479022	0	209277	0	11546	0	9800	94106	28449	0	738094	94106	0	0
PATRICK HAGAN
453766	0	201236	0	4806	0	14700	207475	28216	0	702724	207475	0	0
DREXEL DEFORD
403406	0	165685	0	798	0	9800	75706	19869	0	599558	75706	0	0
LISA BRANDENBURG
388613	0	128540	0	10210	0	9800	68651	27573	0	564736	68651	0	0
SUSAN HEATH
250007	0	101631	0	10480	149499	14700	21396	16365	0	393183	170895	0	149499
JEFFREY SCONYERS
149047	149048	57681	57224	8034	820	7350	54316	13343	13343	235455	274751	0	0
JAMES HENDRICKS MD
311759	0	94998	0	8726	0	14700	46388	26814	0	456997	46388	0	0
EDWIN WRIGHT
316625	0	84442	0	5157	0	12248	0	26862	0	445334	0	0	0
STEVEN HURWITZ
281329	0	72656	0	10009	0	12226	0	24190	0	400410	0	0	0
CINDY EVANS
250568	0	94974	0	4220	0	16527	0	18368	0	384657	0	0	0
SUZANNE PETERSEN
240560	0	70061	0	7177	0	16564	0	26132	0	360494	0	0	0
CARA BAILEY
233066	0	72140	0	4403	0	16583	0	10195	0	336387	0	0	0
WARREN HEWITT
213542	0	76609	0	3167	0	16729	0	16299	0	326346	0	0	0
JENNIFER ABERMANIS
213345	0	65810	0	3353	0	16777	0	25910	0	325195	0	0	0
ERIK LAUSUND
225110	0	52921	0	3227	0	16798	0	13388	0	311444	0	0	0
TODD JOHNSON
214641	0	59366	0	1935	0	12250	0	22493	0	310685	0	0	0
JUDY DOUGHERTY
215231	0	54685	0	4977	0	16397	0	17864	0	309154	0	0	0
RUTH BENFIELD
193383	0	50402	0	5595	0	16557	0	17687	0	283624	0	0	0
STEPHANIE AXELROD
208582	0	24671	0	1440	0	15546	0	25837	0	276076	0	0	0
DAVID BRAUNER
347888	0	150000	0	4587	0	12250	0	19199	0	533924	0	0	0
DOUGLAS PICHA
30671	276045	11574	104159	6112	39666	1470	56594	2680	24119	52507	500583	0	37513
WARREN TOEWS
414250	0	0	0	0	0	0	0	0	0	414250	0	0	0
CRAIG RUBENS
310540	0	86153	0	2593	0	8767	0	13396	0	421449	0	0	0
JOE RUTLEDGE
361194	0	12164	0	13289	0	16534	0	13978	0	417159	0	0	0
CHARLES HODGE
68072	0	55890	0	29714	0	7047	0	9725	0	170448	0	0	0
DAVID PERRY
95299	0	51870	0	1372	0	7414	0	12988	0	168943	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 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 $2,285, WHICH IS REPORTED AS IMPUTED COMPENSATION. ADDITIONALLY, JAMES HENDRICKS, A KEY EMPLOYEE, AND DOUGLAS PICHA, A HIGHEST COMPENSATED EMPLOYEE, ARE PROVIDED ROTARY CLUB MEMBERSHIPS, FOR WHICH ANNUAL DUES ARE $560 EACH.
PART I, LINE 4B	THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THOMAS HANSEN MD - $206,528 DEFERRED COMPENSATION KELLY WALLACE - $104,710 DEFERRED COMPENSATION SANFORD MELZER MD - $73,806 DEFERRED COMPENSATION, $335,943 REPORTABLE PAYMENT DAVID FISHER MD - $94,106 DEFERRED COMPENSATION PATRICK HAGAN - $207,475 DEFERRED COMPENSATION DREXEL DEFORD - $75,706 DEFERRED COMPENSATION LISA BRANDENBURG - $68,651 DEFERRED COMPENSATION SUSAN HEATH - $21,396 DEFERRED COMPENSATION, $149,499 REPORTABLE PAYMENT JEFFREY SCONYERS - $46,966 DEFERRED COMPENSATION JAMES HENDRICKS MD - $46,388 DEFERRED COMPENSATION DOUGLAS PICHA - $43,364 DEFERRED COMPENSATION, $37,513 REPORTABLE PAYMENT
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: SANFORD MELZER - $335,943 SUSAN HEATH - $149,499 DOUGLAS PICHA - $37,513	SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

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

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

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
80423004	285	30419377	50003342	2013	0	1	0	1
142165000				2012	1	0	1	1
77394750			77394750	2010	0	0	1	1
46669601	20887			2010	1	0	1	1	568714

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0.00000	0.00000	0.00000	1
			1
0.00000	0.00000	0.00000	1
			1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	0
0	1	0	0	0	1
0	0	0	0	0	1
0	0	0	0	0	1

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

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 CHIDLREN'S HOSPITAL ("CHILDREN'S") FOR A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPPING CERTAIN HEALTH CARE FACILITIES OF 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 CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS. 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"). 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; 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 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 CHILDREN'S FOR THE COSTS OF ACQUIRING CERTAIN REAL PROPERTY (INCLUDING LAND) TO BE DEVELOPED AND USED AS HEALTH CARE FACILITIES OF CHILDREN'S. LINE 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 6: 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 3A: CHILDREN'S DID NOT ENTER, NOR EXPECTS TO ENTER INTO, ANY INTEREST RATE HEDGE ARRANGEMENTS IN CONNECTION WITH THE SERIES 2012C/D BONDS. CHILDREN'S DID ENTER INTO QUALIFIED HEDGES WITH RESPECT TO THE SERIES 2008A/B BONDS, WHICH WERE REFUNDED BY THE SERIES 2012C/D BONDS. THE TERMINATION OR DEEMED TERMINATION PAYMENT, AS APPLICABLE, WITH RESPECT TO THE HEDGES 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 CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS. 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 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 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%.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

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

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

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
27295000	113824086	1975466	111848620	2012	0	0	1	1
	90800036	800036		2009	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

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	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	0.00000	0.00000	0.00000	1
0	0	0	0	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	0
0	0	0	0	0	1

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 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.	1746701	SERVICES	0
KING 5 TV
FAMILY MEMBER OF CYNTHIA HUFFMAN, TRUSTEE, IS CEO OF KING 5 TV.	528599	SERVICES	0
ELLEN FISCHER
DR. ROB ROSKIN, TRUSTEE, IS THE SPOUSE OF ELLEN FISCHER.	100760	EMPLOYMENT	0
SARAH BOWDEN
WARREN HEWITT, VP OF FINANCE, IS A FAMILY MEMBER OF SARAH BOWDEN.	41482	EMPLOYMENT	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	47	NumberOfContributions
Noncash Contribs Rptd F990	1424887	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	VENTILATORS	Description
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	21869	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 CONTRIBUTORS:	PART I, COLUMN (B):	LINE 9 - 47 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 25 - 1 CONTRIBUTION OF TWO MEDICAL VENTILATORS WITH BATTERY, FLOOR STAND, AND MOUNT.
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 ("THE HOSPITAL"). FOR GIFTS OF REAL ESTATE, THE HOSPITAL HIRES REALTY COMPANIES TO SELL THE REAL ESTATE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 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 2012, 639 VOLUNTEERS, AFTER COMPLETING A THOROUGH INTERVIEW AND TRAINING PROCESS, LOGGED 76,291 HOURS OF SERVICE IN ONE OF 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, 27 TRUSTEES SERVED ON THE SEATTLE CHILDREN'S HOSPITAL BOARD DURING FISCAL YEAR 2012. IN ALL THAT THEY DO, OUR VOLUNTEERS ARE HIGHLY VALUED MEMBERS OF OUR HOSPITAL COMMUNITY.
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 VII, SECTION A, COLUMN (B):	HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: ROBERT FLOWERS - 1 JIM LADD - 1 RESA MOORE - 1 GLORIA NORTHCROFT - 1 LAURIE OKI - 3 PETE SHIMER - 1 MICHELE SMITH - 1 THOMAS HANSEN MD - 26.5 KELLY WALLACE - 15 SANFORD MELZER MD - 14 DAVID FISHER MD - 1 JEFFREY SCONYERS - 27.5 DOUGLAS PICHA - 50.5
FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 32,910,219. CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS -3,781,157. CHANGE IN BENEFICIAL INTEREST IN SCHS 3,768,230. TOTAL TO FORM 990, PART XI, LINE 5: 32,897,292.	CHANGES IN NET ASSETS OR FUND BALANCES:
SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT 2012	OUR MISSION: 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. OUR VISION: WE WILL BE THE BEST CHILDREN'S HOSPITAL. - WE WILL PROVIDE PATIENTS AND THEIR FAMILIES EXCELLENT CARE WITH COMPASSION AND RESPECT. - WE WILL PROVIDE SUPERIOR, ACCESSIBLE, COST-EFFECTIVE SERVICE. - WE WILL ATTRACT AND RETAIN THE BEST TALENT AT ALL LEVELS OF THE ORGANIZATION. - WE WILL BE ONE OF THE TOP FIVE PEDIATRIC RESEARCH INSTITUTIONS. - WE WILL BE THE NATION'S PREMIER PEDIATRIC EDUCATORS. - WE WILL ACHIEVE WORLDWIDE PROMINENCE BY INTEGRATING PATIENT CARE, RESEARCH, EDUCATION AND ADVOCACY. LETTER FROM OUR CHIEF EXECUTIVE OFFICER AT SEATTLE CHILDREN'S, WE ARE ALWAYS LOOKING FOR WAYS TO IMPROVE THE HEALTH AND SAFETY OF CHILDREN AND FAMILIES. BUT BEFORE WE CAN MAKE THINGS BETTER, WE HAVE TO UNDERSTAND THE NEEDS AND CHALLENGES THAT FAMILIES FACE. IN 2012, WE COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE VAST REGION WE SERVE - WASHINGTON, ALASKA, MONTANA AND IDAHO. TWO YEARS IN THE MAKING, THE ASSESSMENT IDENTIFIES AREAS OF PRESSING NEED IN OUR REGION AND PRIORITIZES OUR FUTURE COMMUNITY BENEFIT WORK BASED ON OUR ABILITY TO BRING ABOUT POSITIVE CHANGE. THIS ASSESSMENT IS OUR BLUEPRINT FOR WORKING WITH FAMILIES, COMMUNITY ORGANIZATIONS AND OTHERS TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. IT WAS GRATIFYING TO LEARN THAT THE ASSESSMENT RESULTS VALIDATE MUCH OF THE COMMUNITY BENEFIT WORK WE ARE ALREADY DOING TO MEET THE REGION'S NEEDS. HERE ARE THE PRIORITIES THE ASSESSMENT IDENTIFIED FOR THE NEXT THREE YEARS: - IMPROVING ACCESS TO HIGH-QUALITY HEALTHCARE - FIGHTING OBESITY - IMPROVING MENTAL AND BEHAVIORAL HEALTH SERVICES - COORDINATING CARE FOR CHILDREN AND TEENS WITH CHRONIC CONDITIONS - TACKLING HEALTH DISPARITIES AND ENHANCING ACCESS IN SOUTH KING COUNTY I AM PLEASED TO SHARE MANY EXAMPLES OF OUR WORK IN THE FOLLOWING PAGES AND PROUD TO ANNOUNCE THAT THE TOTAL VALUE OF OUR INVESTMENT IN THE COMMUNITY IN 2012 WAS $234,324,000 - WITH NEARLY HALF GOING TO UNCOMPENSATED CARE. YOUR SUPPORT MAKES OUR WORK POSSIBLE. TOGETHER, WE ARE BUILDING A SAFE AND HEALTHY FUTURE FOR CHILDREN AND FAMILIES. THANK YOU. SINCERELY, TOM HANSEN, MD CEO, SEATTLE CHILDREN'S TOTAL 2012 VALUE TO THE COMMUNITY: $234,324,000 CHILDREN'S IS COMMITTED TO PREVENTING, TREATING AND ELIMINATING PEDIATRIC DISEASE THROUGH COMMUNITY BENEFIT INVESTMENTS IN PATIENT CARE AND RESEARCH, EDUCATING HEALTH PROFESSIONALS AND MEETING COMMUNITY NEEDS WITH PROGRAMS AND SERVICES THAT REACH FAMILIES WHERE THEY LIVE. UNCOMPENSATED CARE: $113,726,000 RESEARCH PROGRAMS: $85,023,000 HEALTH PROFESSIONAL EDUCATION: $19,291,000 COMMUNITY PROGRAMS AND SERVICES: $16,284,000 LEARN MORE ABOUT THE WAYS WE BENEFIT OUR COMMUNITY AT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT. UNCOMPENSATED CARE CHILDREN'S WAS FOUNDED ON THE PROMISE THAT ALL OF THE COMMUNITY'S SICK AND INJURED CHILDREN SHOULD HAVE ACCESS TO THE BEST MEDICAL CARE AVAILABLE, REGARDLESS OF A FAMILY'S ABILITY TO PAY. IN 2012, CHILDREN'S PROVIDED $113.7 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO - AN AMOUNT THAT'S GROWN NEARLY THREE TIMES SINCE 2006. PROMISE KEPT. BRIDGING THE GAP MORE THAN ONE DESPERATE PARENT HAS LOOKED AT THE SIZE OF THEIR CHILD'S HOSPITAL BILL AND ASKED BARBARA CAMELON, "AM I GOING TO HAVE TO SELL MY HOUSE?" CAMELON'S ANSWER: "ABSOLUTELY NOT!" CAMELON LEADS THE FINANCIAL COUNSELING TEAM AT CHILDREN'S. WITH SUPPORT FROM OUR GENEROUS COMMUNITY, THE TEAM WORKS WITH FAMILIES IN WASHINGTON, ALASKA, MONTANA AND IDAHO TO BRIDGE THE GAP BETWEEN A CHILD'S HOSPITAL BILL AND WHAT PRIVATE INSURANCE OR MEDICAID AND CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) WILL COVER. MEDICAID AND CHIP ARE THE GOVERNMENT PROGRAMS THAT PROVIDE MEDICAL COVERAGE AT LITTLE OR NO COST TO LOW-INCOME FAMILIES, NEARLY HALF OF OUR PATIENTS RECEIVED COVERAGE THROUGH MEDICAID (KNOWN IN WASHINGTON STATE AS APPLE HEALTH FOR KIDS) IN 2012, BUT THEY PAID ONLY ABOUT 68% OF THE ACTUAL COST OF CARE, DOWN FROM 71% THE YEAR BEFORE. OUR UNCOMPENSATED CARE PROGRAM HELPS COVER THE SHORTFALL. THE FINANCIAL ASSISTANCE PROGRAM ALSO HELPS ERASE GAPS FOR FAMILIES WHEN THEIR BILL EXCEEDS THEIR COVERAGE. "WE HAVE A VERY SATISFYING JOB," CAMELON SAYS, "BECAUSE 90% OF THE TIME, WE CAN HELP." PROGRAM HELPS PROTECT FAMILY STABILITY A BOY'S MOM SUSPECTED SOMETHING WASN'T RIGHT WHEN SHE HEARD HER SON'S CRIES IN THE DELIVERY ROOM. HE WAS SOON HAVING SEIZURES, AND BY THE TIME HE WAS 3 WEEKS OLD, HE WAS HAVING UP TO 15 A DAY. WHEN THE STATE MEDICAL INSURANCE THAT COVERS MOMS AND BABIES FOR THE FIRST YEAR OF A CHILD'S LIFE ENDED, SHE CALLED CHILDREN'S TO CANCEL ALL OF THEIR APPOINTMENTS UNTIL SHE AND HER HUSBAND COULD FIGURE OUT HOW TO PAY. THAT'S WHEN SHE LEARNED ABOUT CHILDREN'S UNCOMPENSATED CARE PROGRAM. FOR HER, CHILDREN'S COMMITMENT TO PROVIDING UNCOMPENSATED CARE MEANS THAT HER FAMILY DOESN'T HAVE TO CHOOSE BETWEEN PAYING THE MORTGAGE ON THEIR HOUSE IN MARYSVILLE, WASH., AND GETTING THEIR SON THE CARE, PRESCRIPTIONS AND MEDICAL SUPPLIES HE NEEDS - MORE THAN $15,000 A YEAR IN COSTS THAT THEIR PRIVATE INSURANCE DOESN'T COVER. "CHILDREN'S FINANCIAL ASSISTANCE HELPS US KEEP OUR SON HEALTHY, PUT SOME MONEY AWAY FOR OUR DAUGHTER'S COLLEGE EDUCATION AND HOLD ONTO WHAT LITTLE FINANCIAL SECURITY WE HAVE," SHARES THE MOM. PRESERVING ACCESS TO THE EMERGENCY DEPARTMENT CHILDREN'S, TOGETHER WITH THE WASHINGTON STATE MEDICAL ASSOCIATION, THE WASHINGTON HOSPITAL ASSOCIATION, THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS AND OTHER HOSPITALS, HELPED OVERTURN A STATE BUDGET PROPOSAL TO LIMIT MEDICAID COVERAGE FOR VISITS TO THE EMERGENCY DEPARTMENT (ED) FOR A LIST OF SERVICES, MANY OF THEM EMERGENT FOR CHILDREN, THAT THE STATE DEFINED AS NONEMERGENT. THE THREE-VISIT LIMIT WAS INTENDED TO REDUCE COSTLY OVERUSE OF EDS, BUT IT COULD HAVE DISCOURAGED PARENTS FROM BRINGING CHILDREN TO THE ED WHEN THEIR CHILDREN EXPERIENCED THE NEED FOR EMERGENCY MEDICAL CARE - FOR NEEDS NO PARENT COULD DIAGNOSE AS EMERGENT OR NONEMERGENT WITHOUT EXAMINATION BY A PHYSICIAN. CHILDREN'S AND ITS PARTNERS HELPED DEVELOP AN ALTERNATIVE THAT ADDRESSES OVERUSE BUT PRESERVES COVERAGE FOR ED VISITS. CHILDREN'S AND ALMOST EVERY OTHER ED IN THE STATE NOW SEND ADMISSIONS DATA TO A CENTRALIZED SYSTEM THAT TRACKS REPEAT PATIENTS. HOSPITALS COORDINATE TO DEVELOP CARE PLANS AND CONNECT THESE PATIENTS WITH PRIMARY CARE PROVIDERS SO THEY'LL BE LESS RELIANT ON THE STATE'S EMERGENCY DEPARTMENTS. KEEPING FAMILIES STABLE DURING CRISIS WHEN FAMILIES COME TO CHILDREN'S, THEIR BIGGEST WORRY IS THEIR CHILD'S HEALTH. YET MANY FAMILIES FACE ADDED STRESS BECAUSE THEY'RE STRUGGLING TO PAY FOR FOOD, TRANSPORTATION, HOUSING AND OTHER ESSENTIALS WHILE THEIR CHILD IS SERIOUSLY ILL. THE SOCIAL WORK EMERGENCY FUND HELPS FAMILIES MEET BASIC NEEDS SO THEY CAN MAINTAIN THEIR STABILITY AND FOCUS ON THE WELL-BEING OF THEIR CHILD. OUR SOCIAL WORKERS PROVIDED ASSISTANCE TO MORE THAN 2,000 FAMILIES LAST YEAR - UP 43% FROM FOUR YEARS AGO. "IN THIS ECONOMY, WE'VE SEEN MORE FAMILIES FACING EVICTION OR THE LOSS OF ELECTRICITY AND HEAT," SAID ROOSEVELT TRAVIS, JR., WHO LEADS OUR SOCIAL WORK TEAM. "THE EMERGENCY FUND IS A CRUCIAL RESOURCE FOR FAMILIES DURING A TIME OF CRISIS." ROLLING OUT THE WELCOME MAT WE SERVE THE LARGEST GEOGRAPHIC AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. MANY FAMILIES TRAVEL LONG DISTANCES TO GET SPECIALIZED CARE FOR THEIR CHILD AT CHILDREN'S. AS PART OF OUR COMMITMENT TO ACCESS TO CARE, OUR GUEST SERVICES TEAM ASSISTS FAMILIES DURING EVERY STEP OF THEIR JOURNEY, INCLUDING: - PROVIDING FREE SHUTTLE RIDES TO AND FROM THE HOSPITAL, PLANES, TRAINS, BUSES AND FERRIES - FINDING DISCOUNTED LODGING - CONNECTING FAMILIES WHO NEED FINANCIAL ASSISTANCE WITH THE APPROPRIATE RESOURCES - HELPING FAMILIES STAY IN TOUCH WITH HOME THROUGH VIDEO TELECONFERENCING "WE DO A LITTLE BIT OF EVERYTHING FOR FAMILIES WHETHER THEY'RE COMING FOR A CLINIC VISIT, SURGERY OR A HOSPITAL STAY," SAYS TAMY GURDIAN, ONE OF FIVE GUEST SERVICES SPECIALISTS. GUEST SERVICES COORDINATED 3,111 HOUSING REQUESTS AND PROVIDED 2,698 SHUTTLE RIDES IN 2012. TOTAL REQUESTS FOR ASSISTANCE NUMBERED 7,328.
	SPOTLIGHT ON: MENTAL HEALTH PROVIDING A SAFETY NET IN THE ED RESOURCES FOR YOUTH WITH MENTAL HEALTH ISSUES ARE SCARCE AND BECOMING SCARCER. THE EMERGENCY DEPARTMENT SERVES AS A SAFETY NET FOR CHILDREN AND TEENS IN CRISIS. "FAMILIES COME TO THE ED WHEN THEY'VE REACHED THE END OF THEIR ROPE AND THEY FEEL THEY HAVE NO OTHER OPTIONS," SAYS DR. RUSS MIGITA, CLINICAL DIRECTOR OF EMERGENCY MEDICINE. A TWO-PERSON TEAM MEETS WITH FAMILIES AS SOON AS THEY ARRIVE TO STABILIZE THE CRISIS AND MAKE A PLAN TO HELP THE CHILD. IF THE CHILD IS NOT ADMITTED TO OUR INPATIENT PSYCHIATRIC UNIT, WE MAKE SURE FAMILIES LEAVE THE ED WITH THE SKILLS AND CONNECTIONS TO COMMUNITY RESOURCES THEY NEED. RESEARCH RESEARCH IS THE ENGINE THAT MOVES NEW CURES AND TREATMENTS FORWARD AND GIVES PATIENTS AND FAMILIES HOPE FOR A BETTER TOMORROW. IT IS OUR INVESTMENT IN THE FUTURE OF HEALTHCARE. AS ONE OF THE TOP FIVE PEDIATRIC RESEARCH CENTERS IN THE NATION, SEATTLE CHILDREN'S RESEARCH INSTITUTE BRINGS TOGETHER THE BEST MINDS TO TRANSLATE SCIENTIFIC DISCOVERIES INTO STATE-OF-THE-ART THERAPIES FOR OUR PATIENTS AND FOR CHILDREN AROUND THE WORLD. GRANTS FROM THE NATIONAL INSTITUTES OF HEALTH (NIH) INCREASED FROM $22.7 MILLION IN 2008 TO MORE THAN $34.5 MILLION IN FISCAL YEAR 2012. TOTAL EXTRAMURAL AWARDS GREW FROM $67 MILLION IN 2010 TO $70 MILLION IN 2012. DISCOVERY CENTRAL SEATTLE CHILDREN'S RESEARCH INSTITUTE INCLUDES NINE INTERDISCIPLINARY CENTERS AND TWO PROGRAMS ENCOMPASSING AREAS CENTRAL TO PEDIATRIC HEALTH. CENTERS: - BEN TOWNE CENTER FOR CHILDHOOD CANCER RESEARCH - CENTER FOR CHILD HEALTH, BEHAVIOR AND DEVELOPMENT - CENTER FOR CHILDHOOD INFECTIONS AND PREMATURITY RESEARCH - CENTER FOR CLINICAL AND TRANSLATIONAL RESEARCH - CENTER FOR DEVELOPMENTAL BIOLOGY AND REGENERATIVE MEDICINE - CENTER FOR DEVELOPMENTAL THERAPEUTICS - CENTER FOR GENETICS AND DEVELOPMENT - CENTER FOR IMMUNITY AND IMMUNOTHERAPIES - CENTER FOR INTEGRATIVE BRAIN RESEARCH PROGRAMS: - SCIENCE ADVENTURE LAB - TREUMAN KATZ CENTER FOR PEDIATRIC BIOETHICS IDENTIFYING THE BEST PRACTICES CONTROLLING ASTHMA THROUGH ONLINE TOOLS ASTHMA ATTACKS SEND THOUSANDS OF CHILDREN TO THE HOSPITAL EVERY YEAR, BUT MOST HOSPITALIZATIONS COULD BE AVOIDED IF CHILDREN TOOK ASTHMA MEDICATION REGULARLY. ONE WAY TO GET MORE KIDS TO TAKE THEIR MEDICINE COULD BE JUST A CLICK AWAY. CHILDREN WHO NEED DAILY MEDICATIONS TO TREAT THEIR ASTHMA WERE TWICE AS LIKELY TO USE THEM REGULARLY IF THEIR PARENTS WERE GIVEN ACCESS TO A WEBSITE CALLED MY CHILD'S ASTHMA, ACCORDING TO A STUDY LED BY DR. DIMITRI CHRISTAKIS AND DR. MICHELLE GARRISON. CHRISTAKIS AND GARRISON DEVELOPED THE WEBSITE TO GIVE PARENTS PERSONALIZED ADVICE ABOUT THEIR CHILD'S SYMPTOMS AND MEDICATION, OFFER THEM PRACTICAL TIPS FOR REMINDING KIDS TO TAKE THEIR MEDICATION (EXAMPLE: KEEP THE INHALER NEXT TO THE TOOTHBRUSH) AND PROMPT THEM TO SET GOALS AND CHART THEIR CHILD'S PROGRESS. FIGHTING HEADACHES WITH BIOFEEDBACK NEARLY ONE OUT OF FIVE OF CHILDREN IN THE UNITED STATES EXPERIENCE FREQUENT OR SEVERE HEADACHES. HEADACHES CAN CAUSE MORE THAN DISCOMFORT. REPEATED HEADACHES ARE ASSOCIATED WITH MENTAL HEALTH DISORDERS, FUNCTIONAL LIMITATIONS AND POOR QUALITY OF LIFE. A STUDY BY DR. HEIDI K. BLUME AND COLLEAGUES FOUND THAT TEACHING PATIENTS HOW TO REDUCE MUSCLE TENSION AND CONTROL AUTONOMIC BODY FUNCTIONS LIKE HEART RATE AND SKIN TEMPERATURE CAN REDUCE HEADACHE PAIN OR EVEN PREVENT HEADACHES FROM DEVELOPING. PATIENTS IN THE STUDY ATTENDED A SERIES OF BIOFEEDBACK THERAPY SESSIONS WHERE THEY LEARNED RELAXATION AND VISUALIZATION TECHNIQUES. BY THE LAST SESSION, 58% OF THE CHILDREN REPORTED A DECLINE OF 50% OR GREATER IN HEADACHE FREQUENCY OR A DROP OF MORE THAN THREE POINTS IN HEADACHE SEVERITY ON A SCALE OF ONE TO 10. PREVENTING ILLNESSES AND INJURIES STUDY PRESCRIBES MORE OUTDOOR PLAY OUTDOOR ACTIVITIES PLAY AN ESSENTIAL ROLE IN A CHILD'S DEVELOPMENT, YET NEARLY HALF OF PRESCHOOLERS IN THE UNITED STATES AREN'T GETTING A DAILY DOSE OF OUTDOOR PLAY TIME WITH THEIR PARENTS, ACCORDING TO A STUDY LED BY DR. POOJA TANDON. THE STUDY ALSO FOUND THAT GIRLS WERE LESS LIKELY TO PLAY OUTSIDE THAN BOYS AND THAT MOTHERS TOOK THEIR CHILDREN OUTSIDE MORE OFTEN THAN FATHERS. "OUTDOOR PLAY HELPS CHILDREN DEVELOP MOTOR SKILLS AND HAVE SOCIAL INTERACTIONS AND SENSORY EXPERIENCES THAT MAY NOT BE POSSIBLE INDOORS," TANDON SAYS. "IT ALSO IMPROVES VITAMIN D LEVELS AND PROBABLY LEADS TO BETTER BEHAVIOR AND MENTAL HEALTH." TANDON POSTED TIPS FOR INCREASING OUTDOOR PLAY TIME ON CHILDREN'S WEBSITE. "MANY OF US MAY ASSUME YOUNG CHILDREN SPEND SOME TIME OUTDOORS EVERY DAY," TANDON SAYS, "BUT THE STUDY SHOWS THERE'S CONSIDERABLE ROOM FOR IMPROVEMENT." TRACKING VACCINATION COMPLIANCE TRENDS COMPLYING WITH RECOMMENDED CHILDHOOD VACCINE SCHEDULES PROTECTS CHILDREN FROM LIFE-THREATENING DISEASES WHILE ALSO PROTECTING FAMILY, FRIENDS AND THE COMMUNITIES WHERE VACCINATED CHILDREN LIVE. A STUDY BY THE SEATTLE CHILDREN'S RESEARCH INSTITUTE FOUND THAT 77% OF WASHINGTON'S PEDIATRICIANS ARE FREQUENTLY OR SOMETIMES ASKED TO PROVIDE ALTERNATIVE VACCINE SCHEDULES FOR THEIR PATIENTS AND THAT 61% ARE COMFORTABLE HONORING SUCH REQUESTS FROM PARENTS. "THE STUDY DEMONSTRATES THE NEED FOR MORE RESEARCH ON THE USE OF IMMUNIZATION SCHEDULES THAT DIFFER FROM THE RECOMMENDATIONS AND THE SAFETY, EFFICACY AND CONSEQUENCES OF DELAYING IMMUNIZATIONS," SAYS DR. DOUG OPEL, CO-AUTHOR OF THE STUDY. THE RESEARCH INSTITUTE WILL CONTINUE TO STUDY THIS TOPIC TO BETTER UNDERSTAND THE EFFECT OF CHILDHOOD IMMUNIZATION SCHEDULES ON INDIVIDUALS AND PUBLIC HEALTH. BIOREPOSITORY SUPPORTS PREGNANCY RESEARCH PREMATURITY IS THE LEADING CAUSE OF INFANT DEATH WORLDWIDE. THE GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH (GAPPS) IS A CHILDREN'S INITIATIVE TO IMPROVE THE HEALTH OF MOTHERS, NEWBORNS AND CHILDREN EVERYWHERE. A NEW BIOREPOSITORY CREATED BY GAPPS IS THE ONLY WIDELY AVAILABLE REPOSITORY OF ITS KIND. IT TIES BLOOD, TISSUE AND OTHER PREGNANCY SPECIMENS TO DETAILED INFORMATION - DIET, ENVIRONMENTAL EXPOSURE, REPRODUCTIVE HISTORY - ABOUT MOTHERS AND THEIR PREGNANCIES. "THE GAPPS REPOSITORY ENABLES RESEARCHERS TO STUDY MULTIPLE FACTORS AT DIFFERENT POINTS THROUGHOUT PREGNANCY," SAYS DR. CRAIG RUBENS, WHO LEADS GAPPS. "WITH THESE SPECIMENS, RESEARCHERS CAN BEGIN TO UNDERSTAND WHAT CAUSES PRETERM BIRTH AND STILLBIRTH, LEARN HOW TO BETTER IDENTIFY WOMEN AT RISK AND DEVELOP WAYS TO PREVENT ADVERSE PREGNANCY OUTCOMES." THE COLLECTION INCLUDES CONTRIBUTIONS FROM WOMEN REPRESENTING A RANGE OF RACIAL, ETHNIC, REGIONAL AND SOCIOECONOMIC BACKGROUNDS. LINKING CAUSE AND EFFECT IDENTIFYING MATERNAL AND FETAL CHEMICAL RISKS A STAGGERING 80,000 DIFFERENT CHEMICALS ARE PRODUCED AND USED IN PRODUCTS WORLDWIDE, YET LESS THAN 1% HAVE BEEN TESTED FOR HEALTH RISKS. DR. SHEELA SATHYANARAYANA HAS BEEN STUDYING HOW CHEMICALS LIKE BISPHENOL A AND PHTHALATES - USED IN COSMETICS, PLASTIC CONTAINERS, THE LININGS OF CANS AND OTHER HOUSEHOLD PRODUCTS - AFFECT CHILDREN AND PREGNANT WOMEN. A TEAM OF RESEARCHERS LED BY SATHYANARAYANA CREATED A GUIDE THAT ADVISES REPRODUCTIVE HEALTH PROVIDERS ON COUNSELING THEIR PATIENTS - BOTH DURING PREGNANCY AND BEFORE CONCEPTION - ABOUT REDUCING EXPOSURE TO COMMON ENVIRONMENTAL TOXINS. THE GUIDE CONTAINS USEFUL INFORMATION FOR PATIENTS, TOO. "WOMEN AND THEIR PARTNERS SHOULD BE AWARE THAT ENVIRONMENTAL CHEMICALS CAN CAUSE HARM TO A DEVELOPING FETUS, AND THAT THIS TOPIC IS IMPORTANT TO DISCUSS WITH HEALTHCARE PROVIDERS," SATHYANARAYANA SAYS.
	STUDYING THE CIRCUITRY OF ADDICTION ADOLESCENT SUBSTANCE ABUSE IS A SERIOUS PROBLEM. NEARLY 42% OF U.S. HIGH SCHOOL STUDENTS CONSUME ALCOHOL AND NEARLY 21% USE MARIJUANA, ACCORDING TO A 2009 REPORT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION. DR. SUSAN FERGUSON IS STUDYING NEURAL PATHWAYS THAT MAY LEAD SOME ADOLESCENTS TO BECOME ADDICTED. USING ANIMAL MODELS, HER WORK FOCUSES ON AN AREA OF THE BRAIN THOUGHT TO REGULATE REWARD, MOTIVATION AND IMPULSIVE/COMPULSIVE BEHAVIOR. "THIS CIRCUITRY BECOMES DISRUPTED IN ADDICTIVE INDIVIDUALS, WHO ASSIGN ABNORMALLY HIGH VALUE TO THE PURSUIT OF THEIR ADDICTIONS," FERGUSON SAYS. "ADDICTION IS, THEREFORE, TRULY A BRAIN DISEASE BECAUSE AFFECTED INDIVIDUALS REALLY CAN'T CONTROL THEMSELVES. BY IDENTIFYING THE SPECIFIC CIRCUITS THAT REGULATE ADDICTION, WE HOPE TO DESIGN MORE TARGETED AND EFFECTIVE THERAPIES." LINKING OPIOID USE TO MENTAL HEALTH DISORDERS A STUDY BY DR. LAURA RICHARDSON AND A TEAM AT THE SEATTLE CHILDREN'S RESEARCH INSTITUTE AND THE UNIVERSITY OF WASHINGTON FOUND THAT ADOLESCENTS AND YOUNG ADULTS AGES 13 TO 24 WERE MORE LIKELY TO BE PRESCRIBED OPIOIDS LIKE OXYCONTIN AND VICODIN FOR CHRONIC PAIN IF THEY HAD MENTAL HEALTH DISORDERS. THEY ALSO WERE 2.4 TIMES MORE LIKELY TO BECOME LONG-TERM USERS. "PHYSICIANS MAY SEE THESE PATIENTS AS BEING MORE DISTRESSED AND MAY BE WILLING TO TREAT THE PAIN SYMPTOMS OVER A LONGER TIME," RICHARDSON SAYS. THE STUDY SUGGESTS PROVIDERS SHOULD SCREEN FOR MENTAL HEALTH DISORDERS BEFORE STARTING MEDICATIONS, CONSIDER REFERRING PATIENTS WITH ANXIETY AND DEPRESSION FOR COUNSELING OR OTHER MENTAL HEALTH TREATMENT AND HAVE FRANK CONVERSATIONS WITH FAMILIES ABOUT THE RISKS INVOLVED WITH LONG-TERM OPIOID USE. OUR MISSION KNOWS NO BOUNDARIES THERE ARE NO BOUNDARIES ON OUR MISSION TO PREVENT, TREAT AND ELIMINATE CHILDHOOD DISEASE. CHILDREN'S LEADS AND CONTRIBUTES TO MORE THAN 20 GLOBAL HEALTH RESEARCH PROJECTS AROUND THE WORLD. WE COLLABORATE WITH ORGANIZATIONS IN THE PLACES WHERE WE WORK AS WELL AS WITH THE MANY GLOBAL HEALTH LEADERS IN SEATTLE, LIKE THE UNIVERSITY OF WASHINGTON, FRED HUTCHINSON CANCER RESEARCH CENTER, PATH AND THE BILL AND MELINDA GATES FOUNDATION. IN THE UKRAINE, WE'RE WORKING WITH THE CHILDREN'S CARDIAC CARE CENTER IN KIEV TO TEACH NEW MEDICAL AND SURGICAL TECHNIQUES. IN AFRICA, ASIA AND LATIN AMERICA, WE'RE COLLABORATING WITH LOCAL ORGANIZATIONS TO DEVELOP AN INEXPENSIVE TEST TO DETECT WHETHER MOTHERS INFECTED WITH HUMAN IMMUNODEFICIENCY VIRUS (HIV) ARE RESISTANT TO A COMMON ANTIRETROVIRAL THERAPY - AN ADVANCE THAT COULD PREVENT MOTHER-TO-INFANT TRANSMISSION. DR. KATHLEEN BONGIOVANNI FROM THE SEATTLE CHILDREN'S RESEARCH INSTITUTE SPENT A MONTH IN UGANDA LAST YEAR TO DETERMINE WHETHER CLINICIANS, BIRTH ATTENDANTS AND MOTHERS WOULD BE COMFORTABLE CONDUCTING A SIMPLE TEST THAT COULD EASILY AND INEXPENSIVELY DETECT RESPIRATORY DISTRESS SYNDROME IN PRETERM INFANTS. THE TEST INVOLVES TAKING ORAL FLUIDS FROM AN INFANT'S MOUTH. AFTER RECEIVING A FAVORABLE RESPONSE IN UGANDA, SHE LAUNCHED A CLINICAL TRIAL IN THE UNITED STATES TO CONFIRM THE TEST'S USEFULNESS. SPOTLIGHT ON: OBESITY WHERE YOU LIVE CAN ADD POUNDS CHILDREN LIVING IN NEIGHBORHOODS WITH SAFE, NEARBY PARKS AND HEALTHY FOOD CHOICES (MORE SUPERMARKETS AND FEWER FAST FOOD RESTAURANTS) WERE 59% LESS LIKELY TO BE OBESE, ACCORDING TO A SEATTLE CHILDREN'S RESEARCH INSTITUTE STUDY. THE STUDY USED DATA FROM A GEOGRAPHIC INFORMATION SYSTEM TO EXAMINE NEIGHBORHOODS IN SEATTLE AND SAN DIEGO. "OUR RESULTS SHOW THAT WE NEED TO CHANGE OUR ENVIRONMENTS TO BETTER SUPPORT PHYSICAL ACTIVITY AND NUTRITION," SAYS DR. BRIAN SAELENS, WHO LED THE STUDY. HEALTH PROFESSIONAL EDUCATION AS THE NATION FACES A GROWING SHORTAGE OF PHYSICIANS, CHILDREN'S IS A VITAL TRAINING GROUND FOR THE PEDIATRIC NURSES, PRIMARY CARE DOCTORS AND SPECIALISTS NEEDED BY FUTURE GENERATIONS OF CHILDREN. WE ARE HOME TO THE UNIVERSITY OF WASHINGTON'S PEDIATRIC RESIDENCY AND FELLOWSHIP TRAINING PROGRAMS, WHERE PHYSICIANS IN TRAINING GAIN VALUABLE EXPERIENCE CARING FOR SERIOUSLY ILL CHILDREN WHILE WORKING BESIDE WORLD-CLASS SPECIALISTS. IN 2012, 850 RESIDENTS FROM TRAINING PROGRAMS THROUGHOUT THE NORTHWEST ROTATED AT CHILDREN'S. MORE THAN HALF OF THE PEDIATRICIANS WHO TRAIN HERE END UP PRACTICING IN THE PACIFIC NORTHWEST. IN ADDITION TO TRAINING THE NEXT GENERATION OF DOCTORS AND NURSES, WE PROVIDE CONTINUING MEDICAL EDUCATION TO HEALTHCARE PROFESSIONALS ALREADY CARING FOR KIDS IN THE COMMUNITY. EDUCATING HEALTHCARE PROVIDERS EXPANDING ACCESS TO GRAND ROUNDS CHILDREN'S HOSTS PROVIDER, NURSING AND PSYCHIATRIC GRAND ROUNDS IN OUR AUDITORIUM EVERY WEEK, BUT WE SHARE THE PRESENTATIONS WITH A MUCH BROADER AUDIENCE THANKS TO LIVE WEBCASTS THAT ENABLE DOCTORS, NURSES AND OTHERS TO WATCH FROM THEIR OWN LOCATIONS IN REAL TIME. WE ALSO MAINTAIN AN ONLINE LIBRARY OF PAST GRAND ROUNDS. THE PRESENTATIONS ARE AN IMPORTANT PROFESSIONAL DEVELOPMENT TOOL. GRAND ROUNDS PROVIDE INFORMATION ABOUT NEW RESEARCH, EMERGING TRENDS AND CHALLENGING ISSUES THAT HELP PROFESSIONALS IN THE COMMUNITY REMAIN CURRENT IN THEIR PRACTICES AND MEET CONTINUING EDUCATION REQUIREMENTS. WE ALSO COLLABORATE WITH THE STATE DEPARTMENT OF HEALTH AND OFFICE OF SUPERINTENDENT OF PUBLIC INSTRUCTION TO BROADCAST AN ANNUAL TELECONFERENCE TO SCHOOL DISTRICTS AND PUBLIC HEALTH NURSES ACROSS THE STATE AND TO PROVIDE LINKS TO TELECONFERENCE PRESENTATIONS ARCHIVED ON OUR WEBSITE. OFFERING FELLOWSHIP OPPORTUNITIES FELLOWSHIPS PLAY AN ESSENTIAL ROLE IN TRAINING DOCTORS TO BECOME LEADERS WHO WILL IMPROVE PATIENT CARE AND ADVANCE MEDICAL KNOWLEDGE AS EXPERTS IN THEIR CHOSEN FIELDS. CHILDREN'S FELLOWSHIP PROGRAM HAS GROWN DRAMATICALLY AND NOW OFFERS FELLOWSHIPS IN MORE THAN 30 SPECIALTY AREAS FOR RESIDENTS WHO WANT TO BECOME CARDIOLOGISTS, NEUROLOGISTS, GASTROENTEROLOGISTS OR OTHER SUBSPECIALISTS. FELLOWS COMPLETE AN ADDITIONAL YEAR OF CLINICAL WORK AND SPEND TWO YEARS CONDUCTING RESEARCH RELATED TO THEIR SUBSPECIALTY. IN 2012, 46 DOCTORS COMPLETED SUBSPECIALTY FELLOWSHIPS AT CHILDREN'S. TRAINING THE NEXT GENERATION DEVELOPING TECHNICAL PROFESSIONALS LABORATORY TECHNICIANS PERFORM ESSENTIAL DIAGNOSTIC TESTS ON PATIENT BLOOD, TISSUE AND OTHER SAMPLES, BUT THERE'S A SHORTAGE OF LAB TECHS NATIONWIDE. CHILDREN'S PLAYS AN IMPORTANT PART IN TRAINING MORE LAB TECHS BY PROVIDING SIX WEEKS OF HANDS-ON EXPERIENCE IN OUR LABS TO MEDICAL TECHNOLOGY STUDENTS FROM THE UNIVERSITY OF WASHINGTON. WE ALSO INTRODUCE HIGH SCHOOL STUDENTS TO LAB CAREERS AS PART OF U-DOC, A UW SUMMER ENRICHMENT PROGRAM FOR STUDENTS INTERESTED IN HEALTHCARE PROFESSIONS. IN ADDITION, FUTURE PHARMACY AND RADIOLOGY TECHNICIANS FROM LOCAL COMMUNITY COLLEGES AND VOCATIONAL PROGRAMS ROTATE THROUGH OUR PHARMACY AND RADIOLOGY DEPARTMENTS AS PART OF THEIR PREPARATION TO JOIN THE WORKFORCE. KENYAN CONNECTION OFFERS UNIQUE EXPERIENCE EACH YEAR, FOUR GLOBAL HEALTH RESIDENTS FROM CHILDREN'S AND THE UNIVERSITY OF WASHINGTON SPEND TWO MONTHS LIVING AND WORKING IN KENYA WITH RESIDENTS FROM THE UNIVERSITY OF NAIROBI. LAUNCHED IN 2009, THE GLOBAL HEALTH PATHWAY PREPARES RESIDENTS TO BECOME ADVOCATES FOR UNDERSERVED POPULATIONS - BOTH AROUND THE WORLD AND HERE AT HOME. PAIRING OUR RESIDENTS WITH KENYAN RESIDENTS PROMOTES GREATER SHARING OF EXPERTISE, DEVELOPS A DEEPER UNDERSTANDING OF KENYAN CULTURE AND BUILDS A SUSTAINABLE PARTNERSHIP WITH THE COMMUNITY. RESIDENTS DEVOTE MOST OF THEIR ROTATION TO COLLABORATING ON A COMMUNITY NEEDS ASSESSMENT FOR THE RURAL TOWN OF KISI FOUR HOURS OUTSIDE NAIROBI. THE ASSESSMENTS BUILD ON THE FIRST ASSESSMENT IN 2009, WHICH FOUND MALNUTRITION WAS THE MAIN CAUSE OF CHILDHOOD ILLNESS AND DEATH. RECENT PROJECTS HAVE FOCUSED ON TRAINING LOCAL HEALTH WORKERS TO RECOGNIZE MALNUTRITION, WORKING WITH TRADITIONAL HEALERS TO ADDRESS MALNUTRITION AND PROMOTING BREASTFEEDING AS A WAY TO IMPROVE NUTRITION. BUILDING COMMUNITY HEALTH SKILLS OUR COMMUNITY PEDIATRICS AND ADVOCACY PATHWAY IS ONE OF SEVERAL TRACKS WE OFFER DOCTORS IN TRAINING WHO WANT TO DEVELOP SKILLS IN A SPECIFIC AREA. PEDIATRIC RESIDENTS ON THIS TRACK LEARN HOW TO PROTECT AND IMPROVE THE HEALTH OF COMMUNITIES BY UNDERSTANDING AND RESPONDING TO SOCIAL INFLUENCES ON CHILD HEALTH. THEY GAIN SKILLS IN ASSESSING COMMUNITY HEALTH NEEDS, PLANNING PROGRAMS AND EVALUATING RESULTS WHILE WORKING WITH CHILDREN'S TO UNDERSTAND HEALTH ISSUES IN LOCAL COMMUNITIES. THIS TRACK INCLUDES A ROTATION AT THE YAKIMA VALLEY FARM WORKERS CLINIC IN THE SMALL EASTERN WASHINGTON COMMUNITY OF TOPPENISH. LAST YEAR, RESIDENTS WORKING IN TOPPENISH SOUGHT INPUT FROM YOUTH, PARENTS, EDUCATORS, HEALTHCARE WORKERS AND COMMUNITY LEADERS TO BETTER UNDERSTAND THE COMMUNITY'S CHALLENGES AND STRENGTHS RELATED TO CHILD HEALTH ISSUES. THIS LONG-TERM PARTNERSHIP WITH A SPECIFIC COMMUNITY WILL ALLOW FUTURE CHILDREN'S RESIDENTS TO ADDRESS THE IDENTIFIED NEEDS.
	SPOTLIGHT ON: EQUITY AND ACCESS IN SOUTH KING COUNTY NEW SITE INCREASES TRAINING AND ACCESS CHILDREN'S AND THE UNIVERSITY OF WASHINGTON HAVE HELPED INCREASE ACCESS TO PRIMARY CARE IN SOUTH KING COUNTY BY MAKING THE UW NEIGHBORHOOD KENT/DES MOINES CLINIC A TRAINING SITE FOR PEDIATRIC RESIDENTS. THE ADDITION OF TWO RESIDENTS DOUBLES THE NUMBER OF PEDIATRICIANS AT THE CLINIC. THE CLINIC NOW OFFERS APPOINTMENTS SIX DAYS A WEEK AND EXTENDED HOURS TO 7 P.M. FOUR DAYS A WEEK. "THE CLINIC IS AN OUTSTANDING ENVIRONMENT FOR TRAINING RESIDENTS IN A MEDICAL HOME MODEL," SAYS DR. FRED RIVARA, LEADER OF GENERAL PEDIATRICS AT CHILDREN'S. COMMUNITY PROGRAMS AND SERVICES CHILDREN'S MISSION DOES NOT END AT THE HOSPITAL WALLS. OUR STAFF AND FACULTY MEMBERS REACH BEYOND OUR CAMPUS EVERY DAY TO MAKE CHILDREN AND FAMILIES SAFER AND HEALTHIER WHERE THEY LIVE - A TRADITION THAT DATES BACK TO 1908 WHEN A CHILDREN'S PHYSICIAN FOUND IMPURE MILK WAS CAUSING INFANT DEATHS AND HELPED ESTABLISH THE SEATTLE MILK COMMISSION TO REMEDY THE PROBLEM. WE ARE DRIVEN TO FIND THE ROOT CAUSES OF ILLNESS AND INJURY, SPEAK UP FOR FAMILIES WHO AREN'T ALWAYS HEARD AND PUSH FOR CHANGES - LIKE THE MILK COMMISSION - THAT CREATE HEALTHIER COMMUNITIES. BY COLLABORATING WITH COMMUNITY LEADERS, ORGANIZATIONS, FAMILIES AND POLICY MAKERS, WE IMPROVE ACCESS TO QUALITY HEALTHCARE; EDUCATE PARENTS, TEENS AND CHILDREN ABOUT HEALTH AND SAFETY; PROVIDE CHILDREN WITH SPECIAL HEALTHCARE NEEDS SERVICES CLOSER TO HOME AND ADDRESS HEALTH DISPARITIES BETWEEN DIFFERENT POPULATIONS. ADDRESSING PUBLIC HEALTH ISSUES PROMOTING WATER SAFETY, FITNESS AND FUN LEARNING TO SWIM OPENS THE DOOR TO FUN AND FITNESS WHILE KEEPING FAMILIES SAFE AROUND THE MANY BODIES OF WATER IN OUR REGION. CHILDREN'S COLLABORATES WITH PUBLIC HEALTH SEATTLE AND KING COUNTY, COMMUNITY HEALTH CLINICS, POOLS AND OTHER WATER ORGANIZATIONS TO INCREASE ACCESS TO SWIMMING AND WATER RECREATION FOR CULTURALLY DIVERSE AND LOW-INCOME FAMILIES THROUGH A PROGRAM CALLED EVERYONE SWIMS. THE PROGRAM WORKED WITH EIGHT HEALTH CLINICS AT 27 DIFFERENT SITES AND NINE AQUATIC ORGANIZATIONS (28 POOLS, NINE BEACHES AND TWO ROWING HOUSES) IN 2012. THOSE PARTNERS SCREENED CHILDREN FOR SWIMMING ABILITY, REFERRED THEM TO NEARBY SWIMMING AND WATER RECREATION OPPORTUNITIES, OFFERED SPECIAL PROGRAMS FOR FAMILIES WITH UNIQUE NEEDS AND PROVIDED SUBSIDIZED SWIMMING LESSONS. PROGRAM LEADERS FROM CHILDREN'S SHARED THEIR SUCCESS IN A WEBINAR OFFERED THROUGH THE NORTHWEST CENTER FOR PUBLIC HEALTH PRACTICE AT THE UNIVERSITY OF WASHINGTON. TAKING A FAMILY APPROACH TO ADDRESSING OBESITY OBESITY POSES A SPECIAL RISK TO CHILDREN IN POVERTY BECAUSE HEALTHY LIFESTYLES - SPORTS PROGRAMS, BETTER QUALITY FOODS, HOMES WITH SAFE PLACES TO PLAY OUTSIDE - CAN BE EXPENSIVE. CHILDREN'S AND THE YMCA HAVE WORKED TOGETHER SINCE 2004 TO OFFER A PROGRAM CALLED ACTIVELY CHANGING TOGETHER (ACT!). THE 12-WEEK PROGRAM TEACHES OVERWEIGHT CHILDREN AGES 8 TO 14 AND THEIR FAMILIES HOW TO READ FOOD LABELS; PREPARE HEALTHY, LOW-COST SNACKS; AND TRY ACTIVITIES LIKE SWIMMING, WEIGHTS, ZUMBA AND KARATE. THE RECENT ADDITION OF A LOCATION IN YAKIMA BRINGS THE TOTAL NUMBER OF LOCATIONS OFFERING ACT! TO 14. A 2012 STUDY FOUND THAT PARTICIPATING CHILDREN AND PARENTS REPORTED IMPROVED PHYSICAL AND EMOTIONAL FUNCTIONING AND OVERALL QUALITY OF LIFE. NEARLY A QUARTER OF THE CHILDREN PARTICIPATING REDUCED THEIR BODY MASS INDEX BY >0.1 AND 74% MAINTAINED THE SAME BODY MASS INDEX (BMI). WORKING TO KEEP KIDS SAFE IN SOUTH KING COUNTY UNINTENTIONAL CHILDHOOD INJURY IS A LEADING CAUSE OF DEATH AND DISABILITY AMONG CHILDREN 14 AND UNDER. SAFE KIDS SOUTH KING COUNTY, LED BY CHILDREN'S SINCE 2012, IS A COALITION OF PUBLIC AND PRIVATE ORGANIZATIONS AND INDIVIDUALS WHO WORK TOGETHER TO PROVIDE EDUCATION, AWARENESS AND RESOURCES IN A CULTURALLY RESPECTFUL MANNER FOR THE COMMUNITIES OF SOUTH KING COUNTY. CHILD PASSENGER SAFETY, BICYCLE SAFETY, PEDESTRIAN SAFETY AND WATER SAFETY ARE PRIORITIES FOR THE COALITION. THE COALITION HOSTED FOUR MONTHLY CAR SEAT CHECKS AT FOUR HOSPITALS IN SOUTH KING COUNTY AND PARTICIPATED IN MANY COMMUNITY EVENTS. UNITING PROVIDERS UNDER ONE ROOF FAMILIES IN CENTRAL AND SOUTHEAST SEATTLE COUNT ON THE ODESSA BROWN CHILDREN'S CLINIC (OBCC) TO KEEP THEIR CHILDREN HEALTHY AND THEIR COMMUNITY STRONG. THE CLINIC IS OUR ONLY PRIMARY CARE CLINIC AND THE ONLY PEDIATRIC COMMUNITY HEALTH CLINIC IN THE PUGET SOUND AREA WHERE MEDICAL, DENTAL AND MENTAL HEALTH PROVIDERS WORK UNDER ONE ROOF. OBCC SERVES ONE OF SEATTLE'S MOST DISADVANTAGED AND CULTURALLY DIVERSE COMMUNITIES, WITH 30,000 PATIENT VISITS A YEAR. OBCC WORKS PROACTIVELY WITH SCHOOLS, COMMUNITY ORGANIZATIONS AND MEDICAL AND GOVERNMENT AGENCIES TO IDENTIFY AND ADDRESS EMERGING NEEDS. FOR EXAMPLE, THE CLINIC BEGAN REFERRING PATIENTS TO COOKING CLASSES, SWIMMING LESSONS AND OTHER HEALTH AND FITNESS PROGRAMS AFTER A REVIEW OF PATIENT CHARTS FOUND NEARLY HALF OF OBCC'S PATIENTS WERE OVERWEIGHT.
	BEING GOOD NEIGHBORS TRANSFORMING A STREET INTO A GREENWAY GREENWAYS ARE RESIDENTIAL STREETS WHERE TRAFFIC MOVES AT SLOWER SPEEDS AND PEOPLE FEEL SAFER AND MORE COMFORTABLE WALKING AND BIKING. IN 2012, CHILDREN'S TRANSFORMED 39TH AVENUE NE INTO A 1.4-MILE GREENWAY BETWEEN NE 52ND STREET AND NE 80TH STREET. IMPROVEMENTS INCLUDE EXTENDED CURBS, MEDIAN ISLANDS AND STOP SIGNS. THE GREENWAY IS PART OF OUR LIVABLE STREETS INITIATIVE, WHICH SUPPORTS OUR 20-YEAR MASTER PLAN FOR THE HOSPITAL CAMPUS. WE'RE SPENDING NEARLY $4 MILLION TO MAKE THE STREET SYSTEM AROUND THE HOSPITAL SAFER AND MORE EFFICIENT FOR PEDESTRIANS, CYCLISTS AND MOTORISTS ALIKE. CREATING A HEALTHIER DOWNTOWN FOR KIDS MORE AND MORE FAMILIES ARE CALLING DOWNTOWN SEATTLE HOME, BUT THERE ARE FEW PUBLIC PLAY AREAS DESIGNED FOR THE 3,000 CHILDREN WHO LIVE THERE. AS A MEMBER OF THE DOWNTOWN COMMUNITY, THE SEATTLE CHILDREN'S RESEARCH INSTITUTE WAS THE LEADING SPONSOR OF THE DOWNTOWN SEATTLE ASSOCIATION'S EFFORT TO CREATE A PLAY AREA IN WESTLAKE PARK - THE SEATTLE CHILDREN'S WESTLAKE PLAY AREA. THE FENCED AREA INCLUDES A PAIR OF PLAY STRUCTURES WITH SOFT SURFACES BELOW AND SEATING ALL AROUND. RECENT RESEARCH INSTITUTE STUDIES UNDERSCORE THE NEED TO PROVIDE CHILDREN WITH SAFE PLACES TO PLAY OUTDOORS TO SUPPORT THEIR DEVELOPMENT AND PREVENT OBESITY. EDUCATING COMMUNITY MEMBERS HELPING FAMILIES MANAGE FOOD ALLERGIES NEARLY ONE IN 10 CHILDREN YOUNGER THAN AGE 18 IS ALLERGIC TO CERTAIN FOODS. IN ALMOST 40% OF THE CASES, THE ALLERGIES ARE SEVERE OR LIFE-THREATENING. THERE IS NO CURE, SO EDUCATING FAMILIES AND PEOPLE WHO WORK WITH CHILDREN ABOUT MANAGING FOOD ALLERGIES IS THE BEST WAY TO PREVENT DANGEROUS REACTIONS AND KEEP KIDS SAFE. CHILDREN'S COLLABORATED WITH A NATIONAL NONPROFIT ORGANIZATION, THE FOOD ALLERGY INITIATIVE, TO DEVELOP THE FOOD ALLERGY COMMUNITY HEALTH EDUCATION PROGRAM. ANNE WAHL, THE PROGRAM'S COMMUNITY HEALTH EDUCATOR, MADE 122 PRESENTATIONS AT SCHOOLS, DAYCARE CENTERS, SUMMER CAMPS AND OTHER SITES AROUND THE STATE BETWEEN MARCH 2011 AND MARCH 2012. THE PRESENTATIONS WERE ATTENDED BY NEARLY 2,200 PEOPLE WHO LEARNED HOW TO KEEP KIDS WITH FOOD ALLERGIES SAFE AT HOME AND IN THE WORLD AROUND THEM. TEACHING THE ABCS OF BABYSITTING BABYSITTING IS A COMMON FIRST JOB FOR KIDS, BUT MANY YOUNG SITTERS MAY NOT BE PREPARED FOR ALL THE DEMANDS AND RESPONSIBILITY. OUR BETTER BABYSITTERS CLASS TEACHES KIDS AGES 11 TO 14 HOW TO PROVIDE SAFE AND SATISFYING CARE. THEY STUDY BASIC CHILD DEVELOPMENT AND GAIN IMPORTANT CHILD CARE SKILLS, LIKE HOW TO CHANGE A DIAPER AND LEARN WHAT TO DO IN AN EMERGENCY. THEY ALSO GET BUSINESS TIPS AND ADVICE ON COMMUNICATING WITH PARENTS. CHILDREN'S OFFERS THESE ONE-DAY CLASSES THROUGHOUT THE YEAR IN SEATTLE, BELLEVUE (IN PARTNERSHIP WITH OVERLAKE MEDICAL CENTER) AND - STARTING LAST YEAR - IN EVERETT. WE ALSO OFFER CLASSES AT SCHOOLS OR NONPROFIT GROUPS UPON REQUEST DEPENDING ON INSTRUCTOR AVAILABILITY. MORE THAN 1,400 KIDS ATTENDED 64 CLASSES IN 2012. CHILDREN'S INTRODUCES HEALTHIER FOOD AND DRINK OPTIONS CHILDREN'S HAS ALWAYS TALKED THE TALK ABOUT THE IMPORTANCE OF A HEALTHY DIET. AFTER LAUNCHING MISSION: NUTRITION, WE'RE WALKING THE WALK TOO. MISSION: NUTRITION IS AN ONGOING INITIATIVE TO SERVE HEALTHIER FOOD AND DRINKS AT ALL CHILDREN'S LOCATIONS. "WITH THE RATE OF CHILDHOOD OBESITY MORE THAN TRIPLING IN THE PAST 30 YEARS, CHILDREN'S HAS A RESPONSIBILITY TO MODEL THE POLICIES, ENVIRONMENTS AND BEHAVIORS THAT PROMOTE THE HEALTH OF CHILDREN AND FAMILIES IN OUR CARE," SAYS DR. LENNA LIU, WHO HELPED DEVELOP MISSION: NUTRITION. WE BEGAN MAKING CHANGES LAST FALL. ONE OF THE BIGGEST: REMOVING ALL SUGAR-SWEETENED BEVERAGES FROM CAFETERIAS, VENDING MACHINES AND GIFT SHOPS. WE ALSO STOPPED SERVING AT THE HOSPITAL DEEP-FRIED FOOD AND NOW BAKE ITEMS THAT WERE TYPICALLY FRIED LIKE FRENCH FRIES, FISH FILLETS AND EGG ROLLS. IN ADDITION, WE ADDED HEALTHY ALTERNATIVES LIKE WILD SALMON WITH TOMATO PESTO TO THE HOSPITAL CAFETERIA'S ROTATING MENU. A SURVEY OF MORE THAN 300 PATIENT FAMILIES SHOWED OVERWHELMING SUPPORT FOR THE GOALS OF MISSION: NUTRITION - 87% AGREED WE SHOULD MAKE OUR MENU HEALTHIER, AND 64% SAID THEY'D BE MORE LIKELY TO VISIT OUR CAFETERIAS IF WE DID. SPOTLIGHT ON: CARE COORDINATION IMPROVING CARE FOR KIDS WITH SPECIAL NEEDS MANAGING THE HEALTH OF A CHILD WITH CHRONIC PHYSICAL, DEVELOPMENTAL, BEHAVIORAL OR EMOTIONAL CONDITIONS IS COMPLEX AND REQUIRES COORDINATION WITH MANY DIFFERENT HEALTHCARE PROVIDERS. OUR ONLINE CENTER FOR CHILDREN WITH SPECIAL NEEDS PROVIDES FAMILIES AND HEALTHCARE PROFESSIONALS WITH INFORMATION AND CONNECTS THEM WITH THE SERVICES AND RESOURCES THEY NEED TO CARE FOR CHILDREN WITH ASTHMA, CANCER, AUTISM, CEREBRAL PALSY AND OTHER CHRONIC CONDITIONS. THE STATE DEPARTMENT OF HEALTH SUPPORTS DEVELOPMENT AND MAINTENANCE OF THE WEBSITE.

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	1589306	TotalIncome
EOY Assets	26982856	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	4428	ShareOfTotalIncome
Share Of EOY Assets	241544	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
CHARITABLE REMAINDER UNITRUSTS (12)
INVESTMENTS	WA	N/A	T
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTS	AK	N/A	T
CHARITABLE REMAINDER UNITRUSTS (4)
INVESTMENTS	CA	N/A	T
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTS	FL	N/A	T
CHARITABLE REMAINDER ANNUITY TRUSTS (3)
INVESTMENTS	WA	N/A	T
PERPETUAL TRUSTS (7)
INVESTMENTS	WA	N/A	T
POOLED INCOME FUND (1)
INVESTMENTS	WA	N/A	T

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	0	LoansOrGuaranteesFromOtherOrg
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