SEATTLE CHILDRENS HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SEATTLE CHILDRENS HOSPITAL (EIN 91-0564748)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-09
IRS object ID: 201232229349301208
Schema version: 2010v3.4
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	2012-08-09T13:27:12-05:00	Timestamp
Tax Period End Date	2011-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2010-10-01	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	2012-08-08	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JANE M SEARING	Name
Phone	4254544919	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	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	1032614625	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	21	NbrIndependentVotingMembers
Total Nbr Employees	5309	TotalNbrEmployees
Total Nbr Volunteers	851	TotalNbrVolunteers
Total Gross UBI	2075272	TotalGrossUBI
Net Unrelated Business Txbl Income	552155	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	91110848	ContributionsGrantsPriorYear
Contributions Grants Current Year	109050088	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	665004815	ProgramServiceRevenuePriorYear
Program Service Revenue CY	717569080	ProgramServiceRevenueCY
Investment Income Prior Year	9760859	InvestmentIncomePriorYear
Investment Income Current Year	32753835	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3415575	OtherRevenuePriorYear
Other Revenue Current Year	4554899	OtherRevenueCurrentYear
Total Revenue Prior Year	769292097	TotalRevenuePriorYear
Total Revenue Current Year	863927902	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1951531	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	4468797	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	348135636	SalariesEtcPriorYear
Salaries Etc Current Year	382749549	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	363344028	OtherExpensePriorYear
Other Expenses Current Year	397743508	OtherExpensesCurrentYear
Total Expenses Prior Year	713431195	TotalExpensesPriorYear
Total Expenses Current Year	784961854	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	55860902	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	78966048	RevenuesLessExpensesCY
Total Assets BOY	1511039931	TotalAssetsBOY
Total Assets EOY	1603702328	TotalAssetsEOY
Total Liabilities BOY	662376562	TotalLiabilitiesBOY
Total Liabilities EOY	695794835	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	848663369	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	907907493	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	AT SEATTLE CHILDREN'S HOSPITAL, 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	617444998	Expense
Grants	4432797	Grants
Revenue	711109760	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 2011, CHILDREN'S MEDICAL TEAM TREATED KIDS OF ALL AGES DURING 323,292 PATIENT VISITS, INCLUDING 14,118 ADMISSIONS TO THE HOSPITAL AND 36,200 VISITS TO OUR EMERGENCY ROOM. WE PERFORMED 12,714 DAY SURGERIES AND CARED FOR CHILDREN DURING 260,260 APPOINTMENTS IN OUTPATIENT CLINICS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	91221860	Expense
Grants	36000	Grants
Revenue	4852991	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 $25.5 MILLION IN RESEARCH DURING FISCAL YEAR 2011. 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	21947577	Expense
Revenue	1606329	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 2011. SEATTLE CHILDREN'S HAS DEVELOPED CURRICULUM AND EVALUATION METHODS THAT ASSESS AND ASSURE RESIDENT COMPETENCY IN SIX MAIN AREAS: PATIENT CARE, MEDICAL KNOWLEDGE, PRACTICE-BASED LEARNING, INTERPERSONAL AND COMMUNICATIONS SKILLS, PROFESSIONALISM, AND SYSTEM-BASED PRACTICE.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	730614435	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
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	0	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	0	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	0	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	533	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	5309	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	21	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 (57 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
DEAN ALLEN
TRUSTEE	4.00	X	0	0	0
RHODA ALTOM
SECRETARY	3.00	X	0	0	0	X
LIBBY ARMINTROUT
TRUSTEE	1.00	X	0	0	0
ROBB BAKEMEIER
TRUSTEE	8.00	X	0	0	0
JOEL BENOLIEL
TRUSTEE	2.00	X	0	0	0
JANE BLAIR
TRUSTEE	2.50	X	0	0	0
ROSS BOGUE
TRUSTEE	1.00	X	0	0	0
PAT CHAR
TRUSTEE	3.00	X	0	0	0
NANCY DALY
TRUSTEE	2.00	X	0	0	0
MICHAEL DELMAN
TRUSTEE/TREASURER	4.00	X	0	0	0	X
BOB FLOWERS
TREASURER/VICE-CHAIR	2.00	X	0	0	0	X
MARY ANN FLYNN
TRUSTEE	6.00	X	0	0	0
GENIE HIGGINS
TRUSTEE	4.00	X	0	0	0
JUDY HOLDER
TRUSTEE	3.00	X	0	0	0
CYNTHIA HUFFMAN
TRUSTEE/SECRETARY	4.00	X	0	0	0	X
CILLA JOONDEPH
TRUSTEE	5.00	X	0	0	0
JIM LADD
CHAIR	5.00	X	0	0	0	X
SANDRA MADRID
TRUSTEE	1.00	X	0	0	0
CINDY MASIN
TRUSTEE	3.00	X	0	0	0
SUSAN MASK
TRUSTEE	4.00	X	0	0	0
RESA MOORE
TRUSTEE	4.00	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
ROB ROSKIN MD
NON-VOTING TRUSTEE	2.00	X	0	0	0
NANCY SENSENEY
TRUSTEE	5.00	X	0	0	0
PETE SHIMER
TRUSTEE	2.00	X	0	0	0
JAN SINEGAL
VICE-CHAIR	10.00	X	0	0	0	X
MICHELE SMITH
TRUSTEE	2.00	X	0	0	0
CHARLES STEVENS
TRUSTEE	2.00	X	0	0	0
THOMAS HANSEN MD
CEO/NON-VOTING TRUSTEE	27.50		569477	569476	224724	X
KELLY WALLACE
SENIOR VP & CFO	41.00		430470	143490	125090	X
PATRICK HAGAN
PRESIDENT & COO	50.00		594413	66046	210140		X
DAVID FISHER MD
S.VP/MED.DIR./NON-VOTING T	50.00		630665	70074	119347		X
DREXEL DEFORD
SENIOR VP & CIO	55.00		560986	0	95445		X
SANFORD MELZER MD
SENIOR VP - STRATEGIC PLAN	41.00		302399	221963	122555		X
JAMES HENDRICKS MD
PRES RESEARCH INSTITUTE	55.00		418569	0	81991		X
LISA BRANDENBURG
SENIOR VP & CAO	55.00		480574	0	90263		X
JEFFREY SCONYERS
SR VP & GENERAL COUNSEL	28.00		209729	209728	81629		X
EDWIN WRIGHT
VP & CHIEF TECH OFFICER	55.00		406983	0	35742		X
SUSAN HEATH
SENIOR VP & CNO	55.00		359442	0	65453		X
SUZANNE PETERSEN
VP - EXTERNAL AFFAIRS	55.00		294216	0	40716		X
STEVEN HURWITZ
VP - HR & SUPPLY CHAIN MGM	55.00		313576	0	33752		X
CARA BAILEY
VP - CONT. PERF. IMPROV.	55.00		298446	0	23897		X
ERIK LAUSUND
VP - RESEARCH & LOGISTICS	55.00		278049	0	28330		X
JENNIFER ABERMANIS
VP - DIAG. THERAPY/SUPPORT	55.00		275109	0	39765		X
CINDY EVANS
VP - AMB & REGNL SVCS MED	55.00		322662	0	31833		X
DAVID PERRY
VP - MKT & COMMUNICATIONS	55.00		275506	0	34678		X
WARREN HEWITT
VP - FINANCE	55.00		259595	0	30199		X
JUDITH DOUGHERTY
VP - SURGERY-HEART CENTER	55.00		273352	0	31325		X
TODD JOHNSON
VP - FACILITIES	55.00		277446	0	28133		X
CHARLES HODGE
VP - STRATEGIC SOURCING	55.00		250974	0	32583		X
DAVID BRAUNER
CARDIOLOGIST	55.00		499766	0	29393			X
DOUGLAS PICHA
PRESIDENT - FOUNDATION	5.50		41638	374734	76174			X
JOE RUTLEDGE
MEDICAL DIRECTOR OF LABS	55.00		368257	0	28094			X
ANNE MANKTELOW
PEDIATRIC SURGEON	55.00		366662	0	15892			X
DONA BREKKE
CARDIOLOGIST	55.00		352521	0	16852			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9711482	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1655511	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1773995	TotalOtherCompensation
Number Individuals GT100 K	476	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CHILDREN'S UNIVERSITY MEDICAL GROUP
PO BOX 50010	SEATTLE	WA	98105	PHYSICIAN SERVICES	56266011
UNIVERSITY OF WASHINGTON
PO BOX 358220	SEATTLE	WA	98195	RESIDENTS & INTERNS	27132985
SELLEN CONSTRUCTION
227 WESTLAKE AVENUE NORTH	SEATTLE	WA	98109	CONSTRUCTION	23060515
PUGET SOUND BLOOD CENTER
921 TERRY AVENUE	SEATTLE	WA	98104	BLOOD PROCESSING	8498375
DENALI ADVANCED INTEGRATION
17735 NE 65TH STREET SUITE 130	REDMOND	WA	98052	IT CONSULTING	5828187

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	188	NumberOfContractorsGT100K
Related Organizations	41672323	RelatedOrganizations
Government Grants	64854712	GovernmentGrants
All Other Contributions	2523053	AllOtherContributions
Noncash Contributions	382342	NoncashContributions
Total Contributions	109050088	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	707937443	707937443
OTHER HEALTHCARE SVCS	621500	8336196	4817265	2075272	$1,443,659
INVESTMENT PROV CHILD	621500	654500	654500
WHALE GIFT SHOP	453220	640941			$640,941

Field	Value	IRS element (for citing)
Total Program Service Revenue	717569080	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	28611737	TotalRevenueColumn
Exclusion	$28,611,737	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	169308481	Securities
Other	3520340	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	165497353	Securities
Other	3189370	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3811128	Securities
Other	330970	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	4142098	TotalRevenueColumn
Exclusion	$4,142,098	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA	722212	2678257	$2,678,257
PARKING	812930	1866300	$1,866,300
MISCELLANEOUS	900099	10342	$10,342

Field	Value	IRS element (for citing)
Total Other Revenue	4554899	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	863927902	TotalRevenueColumn
Related Or Exempt Function Income	713409208	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2075272	UnrelatedBusinessRevenue
Exclusion	$39,393,334	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	4468797	Total
Program Services	4468797	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	9742032	Total
Management And General	9742032	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	295121188	Total
Program Services	276079640	ProgramServices
Management And General	19041548	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	14648660	Total
Program Services	13703512	ProgramServices
Management And General	945148	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	41980624	Total
Program Services	39271987	ProgramServices
Management And General	2708637	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	21257045	Total
Program Services	19885517	ProgramServices
Management And General	1371528	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1972678	Total
Program Services	1845399	ProgramServices
Management And General	127279	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	305675	Total
Program Services	285953	ProgramServices
Management And General	19722	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	267015	Total
Program Services	267015	ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	388994	Total
Program Services	363896	ProgramServices
Management And General	25098	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	64331912	Total
Program Services	60181145	ProgramServices
Management And General	4150767	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2607749	Total
Program Services	2439494	ProgramServices
Management And General	168255	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	98677433	Total
Program Services	92310655	ProgramServices
Management And General	6366778	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7721185	Total
Program Services	7223006	ProgramServices
Management And General	498179	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	17299393	Total
Program Services	16183217	ProgramServices
Management And General	1116176	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2821978	Total
Program Services	2639901	ProgramServices
Management And General	182077	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1736760	Total
Program Services	1624702	ProgramServices
Management And General	112058	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	23109066	Total
Program Services	21618043	ProgramServices
Management And General	1491023	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	55959769	Total
Program Services	52349182	ProgramServices
Management And General	3610587	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2388113	Total
Program Services	2234029	ProgramServices
Management And General	154084	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PHYSICIANS SERVICES	78968204	78968204
LICENSES & TAXES	27228756	25471926	1756830
MISCELLANEOUS	10128084	9474608	653476
BANK FEES	1644994	1538857	106137
UBI TAXES	185750	185750

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	784961854	Total
Program Services	730614435	ProgramServices
Management And General	54347419	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	98291775	BOY
EOY	185075395	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	4636194	BOY
EOY	4650912	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	117245201	BOY
EOY	107695722	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	62541	BOY
EOY	64752	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	8018233	BOY
EOY	8349144	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8059537	BOY
EOY	7378119	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1140207151	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	401038189	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	722548130	BOY
EOY	739168962	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	434225414	BOY
EOY	447000132	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	30215001	BOY
EOY	28369501	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	87737905	BOY
EOY	75949689	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1511039931	BOY
EOY	1603702328	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	92082997	BOY
EOY	126024567	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	479128486	BOY
EOY	474772627	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	28331863	BOY
EOY	29856758	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	62833216	BOY
EOY	65140883	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	662376562	BOY
EOY	695794835	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	641866237	BOY
EOY	693079002	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	56086551	BOY
EOY	61713507	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	150710581	BOY
EOY	153114984	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	848663369	BOY
EOY	907907493	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1511039931	BOY
EOY	1603702328	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	78966048	ReconcilationRevenueExpenses
Reconcilation Other Changes	-19721924	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	267015	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	267015	FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	783172722	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	783439737	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	301403	CurrentYearMinus3
Current Year Minus2	310524	CurrentYearMinus2
Current Year Minus1	247092	CurrentYearMinus1
Current Year	267015	CurrentYear
Total	1126034	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	31200	ContribToFundsAndOtherAccounts
Grants Funds And Other Accounts	35580	GrantsFundsAndOtherAccounts
Aggregate Fund Value	748782	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	250467000	BeginningOfYearBalance
Contributions	2576000	Contributions
Investment Earnings Or Losses	2474000	InvestmentEarningsOrLosses
Other Expenditures	5541000	OtherExpenditures
End Of Year Balance	249976000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	0.48300	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.47500	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.04200	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	581262323	OtherCostOrOtherBasis
Depreciation	178710804	Depreciation
Book Value	402551519	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10760012	OtherCostOrOtherBasis
Depreciation	4440879	Depreciation
Book Value	6319133	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	317589947	OtherCostOrOtherBasis
Depreciation	214910338	Depreciation
Book Value	102679609	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	66843093	OtherCostOrOtherBasis
Depreciation	2976168	Depreciation
Book Value	63866925	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	739168962	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
SWAP MTM VALUE - SERIES 2006A & B	$27,971,966
PAYABLE TO SCHS - STEWART PLACE	$21,021,249
DEFERRED COMPENSATION PLAN PAYABLE	$6,087,288
DEFERRED AND OTHER LIABILITIES	$9,278,402
CAPITAL LEASE OBLIGATION	$781,978

Field	Value	IRS element (for citing)
Total Of Amounts	65140883	TotalOfAmounts
Total Revenue	863927902	TotalRevenue
Total Expenses	784961854	TotalExpenses
Excess Or Deficit For Year	78966048	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-25807114	NetUnrealizedGLOnInvestments
Other	$6,085,190	OtherAmount
Total Adjustments	-19721924	TotalAdjustments
Excess Or Deficit Per FS	59244124	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	836072605	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-7017562	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	-7017562	RevenueNotRptdF990
Revenue Subtotal	843090167	RevenueSubtotal
Investment Expenses Not Included	388994	InvestmentExpensesNotIncluded
Other Revenues Not Included	20448741	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	20837735	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	863927902	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	787554690	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	2981830	OtherExpensesIncluded
Expenses Not Rptd F990	2981830	ExpensesNotRptdF990
Expenses Subtotal	784572860	ExpensesSubtotal
Investment Expenses Not Included2	388994	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	388994	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	784961854	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 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 BENEFICIAL INTEREST IN SCHS -672,399. RESTRICTED GRANTS AND DONATIONS 36,893,177. NET ASSETS RELEASED FROM RESTRICTION -30,135,588.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		NET INVESTMENT INCOME 23,430,571. PROVISION FOR BAD DEBT -2,981,830.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		PROVISION FOR BAD DEBT 2,981,830.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (17 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	ATTENDED LEADERSHIP TRAINING IN JAPAN ON CONTINUOUS PROCESS IMPROVEMENTS	132732
SUB-SAHARAN AFRICA	PROGRAM SERVICES	TEACHING IN KENYA - PEDIATRIC RESIDENCY GLOBAL TRACK PROGRAM	59620
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM	327219
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM	38471
SOUTH ASIA	PROGRAM SERVICES	DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM	21621
SUB-SAHARAN AFRICA	PROGRAM SERVICES	DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM	2892
NORTH AMERICA	PROGRAM SERVICES	DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM	814
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES	84249
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES	48028
NORTH AMERICA	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES	27292
SUB-SAHARAN AFRICA	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES	19340
SOUTH AMERICA	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES	9736
SOUTH ASIA	PROGRAM SERVICES	INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES	1599
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	MEDICAL SERVICES	14262
SOUTH AMERICA	PROGRAM SERVICES	MEDICAL SERVICES	2438
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	MEDICAL SERVICES	615
SUB-SAHARAN AFRICA	PROGRAM SERVICES	EFFORTS FOR THE PREVENTION OF AIDS	22216

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	667618	SubtotalAmountSpent
Cont Amount Spent	145526	ContAmountSpent
Total Amount Spent	813144	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
METHOD USED TO ACCCOUNT FOR EXPENDITURES:	SCHEDULE F, PART I, LINE 3: THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR EXPENDITURES.
OTHER INFORMATION	SCHEDULE F, PART IV, LINE 1: FORM 926 IS NOT REQUIRED TO BE FILED BECAUSE THE TRANSFER TO A FOREIGN CORPORATION DOES NOT MEET THE REPORTING REQUIREMENTS IN I.R.C. SEC. 6038(A)(1)(A).	SCHEDULE F, PART V

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
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
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
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	20217	PersonsServed
Total Community Benefit Expense	10679000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	10679000	NetCommunityBenefitExpense
Percent Of Total Expense	0.01360	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	123833	PersonsServed
Total Community Benefit Expense	291941000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	199229000	DirectOffsettingRevenue
Net Community Benefit Expense	92712000	NetCommunityBenefitExpense
Percent Of Total Expense	0.11810	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	144050	PersonsServed
Total Community Benefit Expense	302620000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	199229000	DirectOffsettingRevenue
Net Community Benefit Expense	103391000	NetCommunityBenefitExpense
Percent Of Total Expense	0.13170	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	93	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	10389042	TotalCommunityBenefitExpense
Direct Offsetting Revenue	735400	DirectOffsettingRevenue
Net Community Benefit Expense	9653642	NetCommunityBenefitExpense
Percent Of Total Expense	0.01230	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	78	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	21947577	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3032805	DirectOffsettingRevenue
Net Community Benefit Expense	18914772	NetCommunityBenefitExpense
Percent Of Total Expense	0.02410	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	86610028	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1545476	DirectOffsettingRevenue
Net Community Benefit Expense	85064552	NetCommunityBenefitExpense
Percent Of Total Expense	0.10840	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	1526932	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1526932	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	186	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	120473579	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5313681	DirectOffsettingRevenue
Net Community Benefit Expense	115159898	NetCommunityBenefitExpense
Percent Of Total Expense	0.14670	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	195	NumberOfActivitiesOrPrograms
Persons Served	144050	PersonsServed
Total Community Benefit Expense	423093579	TotalCommunityBenefitExpense
Direct Offsetting Revenue	204542681	DirectOffsettingRevenue
Net Community Benefit Expense	218550898	NetCommunityBenefitExpense
Percent Of Total Expense	0.27840	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Total Community Building Expense	572594	TotalCommunityBuildingExpense
Net Community Building Expense	572594	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	35182	TotalCommunityBuildingExpense
Net Community Building Expense	35182	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Total Community Building Expense	49488	TotalCommunityBuildingExpense
Net Community Building Expense	49488	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Total Community Building Expense	483973	TotalCommunityBuildingExpense
Net Community Building Expense	483973	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Total Community Building Expense	343097	TotalCommunityBuildingExpense
Net Community Building Expense	343097	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	32	NumberOfActivitiesOrPrograms
Total Community Building Expense	1484334	TotalCommunityBuildingExpense
Net Community Building Expense	1484334	NetCommunityBuildingExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,452,500	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	3484864	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	5378967	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1894103	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	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Other	X	Other
Needs Assessment Conducted	10	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	0	CHNAWidelyAvailable
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	400.000000000000	FPGFreePercent
Uses FPG Discounted	0	UsesFPGDiscounted
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
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 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	16	NumberOfOtherFacilities

Other Facilities OtherFacilities (16 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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
LISA LI BUILDING
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 STE 103	TACOMA	WA	98405	CARDIOLOGY CLINIC
OLYMPIA CLINIC
615 LILLY ROAD MEDICAL BLDG STE 140	OLYMPIA	WA	98506	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
MONTANA CARDIOLOGY PRACTICE
2835 FORT MISSOULA ROAD	MISSOULA	MT	59804	CARDIOLOGY CLINIC
MADISON TOWER CLINIC
1101 MADISON STREET SUITE 550	SEATTLE	WA	98104	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

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
PART I, LINE 3C: SEATTLE CHILDREN'S HOSPITAL (SCH) USES 400% OF THE FEDERAL POVERTY GUIDELINES (FPG) AS ITS THRESHOLD FOR QUALIFYING PATIENTS WHO APPLY FOR CHARITY CARE. FURTHERMORE, SCH USES ADDITIONAL CRITERIA OTHER THAN FPG TO QUALIFY ADDITIONAL PATIENTS FOR CHARITY CARE. RESPONSIBLE PARTIES WHOSE INCOME EXCEEDS 400%, HAVE INCURRED CATASTROPHIC ACCOUNT BALANCES AND WHO ARE NOT ELIGIBLE FOR FUNDING FROM OTHER SOURCES ARE ALSO ELIGIBLE FOR CATASTROPHIC CHARITY CARE WHEREBY THEY ARE RESPONSIBLE FOR A PORTION OF THE OUTSTANDING BALANCE AND SCH'S CHARITY CARE FUNDS THE REMAINING BALANCE. FAMILIES WHO RECEIVE A DENIAL OF CHARITY CARE 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 CHARITY CARE BASED ON THIS ADDITIONAL INFORMATION. DUE TO SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, THE STANDARD APPLICATION PROCESS FOR CHARITY CARE IN RARE CASES MAY NOT BE COMPLETED. IN CASES WHERE A PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR CHARITY CARE 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 FOR CHARITY CARE.
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 2011 COMMUNITY BENEFIT REPORT AND AT WWW.SEATTLECHILDRENS.ORG.	PART I, LINE 6:
SCH USES A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 TO CALCULATE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS (7A-7D) REPORTED IN THE TABLE. SCH USED ITS 2011 MEDICARE COST REPORT TO CALCULATE PROGRAM SPECIFIC COST-TO-CHARGE RATIOS FOR LINES 7E-7K.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 CHARITY CARE, 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:CHARITY CARE - 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 CHARITY CARE IN ACCORDANCE WITH ITS CHARITY CARE POLICY BASED ON FAMILY NEED AND MAINTAINS RECORDS TO IDENTIFY THE LEVEL OF CHARITY 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 RATIO OF COST-TO-CHARGE WAS DETERMINED USING SUPPLEMENTARY WORKSHEET 2 OF SCHEDULE H.UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS - REPRESENTS THE ESTIMATED COST OF PROVIDING SERVICES TO PATIENTS COVERED UNDER MEDICAID AND INDIGENT CARE PROGRAMS, IN EXCESS OF PAYMENTS FROM ALL SOURCES. THE UNREIMBURSED COST FOR PROVIDING THESE SERVICES WAS DETERMINED USING SUPPLEMENTARY WORKSHEET 3 OF SCHEDULE H.OTHER BENEFITS - REPRESENTS 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: PROMOTING THE HEALTH OF THE COMMUNITY IS A CORE ASPECT OF OUR HOSPITAL MISSION, VISION AND COMMITMENT. OTHER ASPECTS OF OUR HOSPITALS COMMUNITY BENEFIT INCLUDE:- MOBILE PROGRAMS SUCH AS THE SMILEMOBILE, THE SCIENCE ADVENTURE LAB AND THE HEALTH AND SAFETY VAN TRAVEL THE STATE OFFERING DENTAL CARE, SCIENCE EDUCATION AND HEALTH AND SAFETY INFORMATION AND GEAR, RESPECTIVELY, TO CHILDREN WHO MIGHT NOT OTHERWISE RECEIVE THESE SERVICES.- COORDINATION WITH STATE AND LOCAL GOVERNMENT AGENCIES, HEALTHCARE PROVIDERS AND COMMUNITY ORGANIZATIONS TO BRING PREVENTION AND TREATMENT SERVICES RELATED TO SUBSTANCE ABUSE, DROWNING, MOTOR VEHICLE INJURIES, HEAD CONCUSSIONS, ABUSIVE HEAD TRAUMA, IMMUNIZATIONS, AND OBESITY, AMONG OTHERS.- CLASSES AND SUPPORT GROUPS TO CHILDREN, TEENS, PARENTS, CAREGIVERS AND HEALTHCARE PROVIDERS IN THE COMMUNITY ABOUT AUTISM, CPR, SAFE BABYSITTING, CHILD PASSENGER SAFETY AND GROWING UP.- FREE HEALTH AND SAFETY EDUCATION AND INFORMATION TO THE COMMUNITY THROUGH PRINTED MATERIALS, COMMUNITY OUTREACH EVENTS, MEDIA PARTNERSHIPS AND SOCIAL MEDIA VEHICLES.- OUR LONGSTANDING ROLE AS A TEACHING HOSPITAL WITH ONE OF THE TOP RATED RESIDENCY PROGRAMS. STUDENTS IN MANY OTHER HEALTH CARE PROFESSIONS INCLUDING NURSING, LAB, RADIOLOGY AND RESPIRATORY THERAPY RECEIVE TRAINING.- INTERNSHIPS AND JOB SHADOWING OFFERED FOR HIGH SCHOOL, UNDERGRADUATE AND GRADUATE STUDENTS, AS WELL AS OBSERVERSHIPS FOR HEALTHCARE PROFESSIONALS AND NURSING CAMP.- GRAND ROUNDS AND OTHER EDUCATIONAL SESSIONS OPEN TO COMMUNITY AND SCHOOL NURSES AS WELL AS DOCTORS THROUGHOUT THE REGION. HEALTHCARE PROFESSIONALS LEARN ABOUT SPECIALTY PEDIATRIC CARE AND DIFFERENT HEALTH CONDITIONS. STATEWIDE TELECONFERENCE IS BROADCASTED ACROSS THE STATE.- A COMMITMENT TO SPEND NEARLY $4 MILLION ON TRANSPORTATION OVER THE NEXT 20 YEARS TO IMPROVE NORTHEAST SEATTLE'S WALKABILITY, BIKEABILITY, AND DRIVABILITY AS PART OF THE HOSPITAL'S COMPREHENSIVE TRANSPORTATION PLAN. IMPROVEMENTS WILL POTENTIALLY INCLUDE "SMART" SIGNALS TO EASE TRAFFIC FLOW, BICYCLE BOULEVARDS, INCREASED ACCESS TO CITYWIDE BIKE TRAIL SYSTEMS, AND BETTER STREET CROSSINGS.- A SIGNIFICANT INVESTMENT IN RESEARCH FOCUSED ON BOTH PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND CHRONIC CONDITIONS.- A FAMILY ADVISORY COUNCIL AS WELL AS A NUMBER OF DEPARTMENT SPECIFIC ADVISORY COUNCILS WHERE FAMILIES PROVIDE EXPERT GUIDANCE. - LEADERSHIP IN THE HEALTH COALITION FOR CHILDREN AND YOUTH, ADVOCATING FOR HEALTHCARE COVERAGE FOR ALL CHILDREN, INCLUDING IMMIGRANT CHILDREN. - HOSPITAL FOUNDATION ACTIVITIES TO RAISE MONEY FOR UNCOMPENSATED CARE AND TO FUND HEALTH IMPROVEMENT PROGRAMS FOCUSED ON AT RISK AND UNDERSERVED CHILDREN AND FAMILIES.- THE LARGEST VOLUNTEER PROGRAM IN THE UNITED STATES WITH OVER 800 VOLUNTEERS A MONTH.
PART III, LINE 4: 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. SCH'S MEDICARE PATIENTS ARE CHILDREN WITH END STAGE RENAL DISEASE (ESRD) THAT INCLUDES DIALYSIS CARE AND OFTEN KIDNEY TRANSPLANT ALONG THE OTHER RELATED SERVICES. THE ESRD CARE OFTEN RESULTS IN LONGER LENGTH OF STAY AND HIGHER ACUITY. MEDICARE REIMBURSEMENT FOR THESE SERVICES IS SUBJECT TO TEFRA A LIMIT THAT OFTEN IS 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 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 AR 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 1J: IN 2011 SEATTLE CHILDREN'S CONTINUED OUR COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INITIATED IN 2010 WITH PHASE ONE, AND WHICH FOCUSED ON DESCRIBING SOCIAL DETERMINANTS OF HEALTH AND ACCESS IN OUR SERVICE REGION (WASHINGTON, ALASKA, MONTANA AND IDAHO). PHASE TWO HAD THE PURPOSE OF A) IDENTIFYING ISSUES AND ASSETS THAT IMPACT AT RISK AND UNDERSERVED POPULATIONS, INCLUDING FAMILIES WHO HAVE A CHILD WITH SPECIAL HEALTH CARE NEEDS; B) IDENTIFYING KEY HEALTH AND SAFETY ISSUES USING EXISTING DATA AND FROM THE PERSPECTIVE OF COMMUNITY STAKEHOLDERS AND FAMILIES; AND C) PRIORITIZING TOPIC AREAS BASED ON COMMUNITY NEEDS AND WHERE SEATTLE CHILDREN'S HAS SIGNIFICANT EXPERTISE. THIS LAYS THE FOUNDATION FOR A COMMUNITY BENEFIT IMPLEMENTATION PLAN THAT ENGAGES STAKEHOLDERS, LINKS TO THE HOSPITAL'S STRATEGIC PLAN AND SUPPORTS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, OTHER HEALTHCARE PROVIDERS AND THE COMMUNITY.		SEATTLE CHILDREN'S HOSPITAL (SCH)
PART V, SECTION B, LINE 3: IN GATHERING QUALITATIVE AND QUANTITATIVE INFORMATION FOR PHASE TWO OF THE CHNA, WE USED A MULTI-PRONGED COMMUNITY PARTICIPATION APPROACH. LED BY THE EXTERNAL AFFAIRS AND GUEST SERVICES AND WITH SUPPORT FROM THE HOSPITAL'S ADVOCACY ADVISORY COMMITTEE, WE ELICITED AND INCORPORATED INPUT FROM 75 COMMUNITY LEADERS, FROM 57 ORGANIZATIONS, FAMILY REPRESENTATIVES FROM TWO FOCUS GROUPS, AND THE HOSPITAL'S FAMILY ADVISORY COUNCIL, AS WELL AS KEY INTERNAL STAKEHOLDERS. WE COMPILED AVAILABLE CHILD AND ADOLESCENT HEALTH DATA FROM VARIOUS SOURCES ON 24 KEY TOPIC AREAS, INTERVIEWED KEY MEMBERS OF OUR ORGANIZATION AND INTERNAL STAKEHOLDERS, QUERIED PUBLIC HEALTH EXPERTS AND COMMUNITY REPRESENTATIVES, CONDUCTED AN ONLINE SURVEY WITH COMMUNITY STAKEHOLDERS AND CONDUCTED TWO PARENT LISTENING GROUPS. AS A RESULT WE HAVE DRAFTED FIVE PROPOSED COMMUNITY BENEFIT PRIORITIES. IN THE LAST QUARTER OF 2011 AND FIRST QUARTER OF 2012, WE ARE ENTERING PHASE THREE, WHICH CONSISTS OF PRESENTING THE FINDINGS OF THE CHNA AND PROPOSING THE FIVE PRIORITY AREAS TO BE INCORPORATED IN THE HOSPITAL'S OPERATING AND STRATEGIC INITIATIVES.		SEATTLE CHILDREN'S HOSPITAL (SCH)
PART V, SECTION B, LINE 5C: PHASE FOUR OF THE CHNA, WHICH CONSISTS OF WRITING AND PUBLISHING THE CHNA REPORT IS SCHEDULED FOR THE SECOND HALF OF 2012 AFTER APPROVAL BY THE HOSPITAL'S BOARD OF TRUSTEES. THE CHNA WILL BE MADE WIDELY AVAILABLE THROUGH THE HOSPITAL'S WEBSITE, WWW.SEATTLECHILDRENS.ORG.		SEATTLE CHILDREN'S HOSPITAL (SCH)
PART V, SECTION B, LINE 7: SEATTLE CHILDREN'S HAS A HISTORY OF EXTENSIVE INVOLVEMENT IN COMMUNITY BENEFIT. WHILE WE ARE IDENTIFYING COMMUNITY BENEFIT PRIORITY AREAS AS A RESULT OF THIS COMPREHENSIVE CHNA PROCESS, THE HOSPITAL CONTINUES TO ENCOURAGE COMMUNITY BENEFIT PROGRAMS AT ALL LEVELS OF THE ORGANIZATION. EXECUTION OF IMPLEMENTATION STRATEGIES GENERALLY HAPPEN AT DEPARTMENTAL AND PROGRAM LEVELS. THE RESULTS OF THE CHNA WILL BOTH VALIDATE EXISTING WORK AND PROVIDE FOCUS FOR PRIORITY WORK IN KEY FOCUS AREAS AT AN ORGANIZATIONAL LEVEL. PHASE FIVE OF THE CHNA CONSISTS IN WRITING AND PUBLISHING THE COMMUNITY BENEFIT IMPLEMENTATION STRATEGY AND WILL INCLUDE A DEFINITION OF THE PRIORITY COMMUNITY BENEFIT AREAS, THE PLAN FOR ADDRESSING THEM, METRICS TO TRACK PROGRESS AND THE REASONING WHY THE HOSPITAL WILL NOT BE ADDRESSING OTHER IDENTIFIED NEEDS. THIS PHASE FIVE IS SCHEDULED TO BE COMPLETED BY END OF SEPTEMBER 2012.		SEATTLE CHILDREN'S HOSPITAL (SCH)
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 CHARITY CARE IN RARE CASES MAY NOT BE COMPLETED. IN CASES WHERE A PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR CHARITY CARE 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 FOR CHARITY CARE.		SEATTLE CHILDREN'S HOSPITAL (SCH)
PART VI, LINE 2: AS PART OF CHILDREN'S STRATEGIC PLAN DEVELOPMENT, RESEARCH WAS DONE TO IDENTIFY SPECIALTY CARE, MENTAL HEALTH AND EMERGENCY CARE ACCESS AND SHORTAGE ISSUES; ASSESS THE ONGOING NEED FOR UNCOMPENSATED CARE SUPPORT; AND DETERMINE POTENTIAL PARTNERSHIPS TO BETTER ADDRESS THE HEALTH CARE NEEDS OF ALL CHILDREN IN 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. FOR EXAMPLE, THE CENTER FOR DIVERSITY AND HEALTH EQUITY HAS ASSESSED THE NEED FOR MORE CULTURAL NAVIGATORS; MEDICAL LEGAL PARTNERSHIP HAS ASSESSED HOW MANY PRIMARY CARE PRACTICES ARE ACCEPTING NEW MEDICAID CHILDREN IN KING COUNTY AND SAFE KIDS SOUTH KING IS ASSESSING INJURY RATES AND COMMUNITY ASSETS.
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 AND 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, A SIMILAR LOW INCOME INSURANCE PROGRAM OR WHO ARE UNINSURED.
PART VI, LINE 6: SCH IS GOVERNED BY A BOARD OF TRUSTEES, CONSISTING BETWEEN 20-30 VOTING TRUSTEES AND 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)CHILDREN'S PHYSICIANS 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 495 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 (31 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ALASKA ARTS SOUTHEAST INC
PO BOX 3086	SITKA	AK	99835	237240278	501 (C) (3)	15000	SCHOLARSHIPS FOR CHILDREN WHO WISH TO PARTICIPATE IN THE SITKA FINE ARTS CAMP PROGRAM
ALASKA NETWORK ON DOMESTIC VIOLENCE AND SEXUAL ASSAULT
130 SEWARD ST STE 209	JUNEAU	AK	99801	920087216	501 (C) (3)	12000	PROGRAM PROMOTING LEADERSHIP AND PREVENTING DOMESTIC VIOLENCE
ALASKA COUNCIL OF SCHOOL ADMINISTRATORS
326 4TH ST STE 404	JUNEAU	AK	99801	920073478	501 (C) (6)	25682	JUNEAU UNITED MEDICAL PROVIDERS AND PARENTS (JUMPP) PROJECT
AMERICAN HEART ASSOCIATION
710 SECOND AVE STE 900	SEATTLE	WA	98104	135613797	501 (C) (3)	13200	SEATTLE HEART BALL SPONSORSHIP
BARTLETT REGIONAL MEDICAL CENTER
3260 HOSPITAL DRIVE	JUNEAU	AK	99801	920118538	GOVERNMENT	15324	NEONATAL RESUSCITATION PROGRAM
BETTY ELIASON CHILD CARE CENTER
607 LINCOLN ST	SITKA	AK	99835	920065572	501 (C) (3)	8939	PURCHASE OF A NEW SANITIZING DISHWASHER & REFRIGERATOR
BLATCHLEY MIDDLE SCHOOL
601 HALIBUT POINT RD	SITKA	AK	99835	926000113	GOVERNMENT	20300	"DISCOVERING YOUR POTENTIAL" AND ANTI-BULLYING PROGRAM GRANT
CAMP KOREY
28901 NE CARNATION FARM RD	CARNATION	WA	98014	203829742	501 (C) (3)	15000	ONGOING SUPPORT FOR CAMP PROGRAMS
CATHOLIC COMMUNITY SERVICE INC
419 6TH STREET	JUNEAU	AK	99801	920042651	501 (C) (3)	15000	EDUCATIONAL & RECREATIONAL AFTER SCHOOL PROGRAM FOR STUDENTS AND FAMILIES
CITY OF SAXMAN
ROUTE 2 BOX 1	KETCHIKAN	AK	99901	920041226	501 (C) (3)	22000	BRIDGE THE YOUTH CAPACITY BUILDING PROGRAM FUNDING GAP
GREATER ISSAQUAH CHAMBER OF COMMERCE
155 NW GILMAN BLVD	ISSAQUAH	WA	98027	916056410	501 (C) (6)	5500	SALMON DAYS FESTIVAL SPONSORSHIP
GROUP HEALTH FOUNDATION
320 WESTLAKE AVE N STE 100	SEATTLE	WA	98109	911246278	501 (C) (3)	8750	GIFT OF HEALTH GALA SPONSORSHIP
JDRF SEATTLE GUILD
1215 FOURTH AVE STE 1400	SEATTLE	WA	98161	231907729	501 (C) (3)	25000	DREAM GALA AND SEATTLE SWEDEN DIABETES AWARENESS DAY SPONSORSHIPS
KETCHIKAN WELLNESS COALITION
PO BOX 23167	KETCHIKAN	AK	99901	270897521	501 (C) (3)	7800	"BE THE CHANGE" CHALLENGE DAY FOLLOW-UP ACTIVITIES
MARCH OF DIMES
1904 THIRD AVE STE 230	SEATTLE	WA	98101	131846366	501 (C) (3)	10550	NURSE OF THE YEAR BREAKFAST SPONSORSHIP
PACIFIC HIGH SCHOOL
509 LINCOLN STREET	SITKA	AK	99835	926000113	GOVERNMENT	24500	"HEALTHY LUNCH, HEALTHY LIVES" PROGRAM
PACIFIC SCIENCE CENTER FOUNDATION
200 SECOND AVE N	SEATTLE	WA	981094895	910750867	501 (C) (3)	50000	SUPPORT FOR PROFESSOR WELLBODY'S HEALTH AND WELLNESS ACADEMY EXHIBIT
PELICAN CITY SCHOOL DISTRICT
PO BOX 90	PELICAN	AK	99832	926000109	GOVERNMENT	6000	STUDENTS TO CAREER FAIR AND JOB SHADOWING
PROVIDENCE HOSPICE & HOME CARE FOUNDATION SNOHOMISH COUNTY
2731 WETMORE AVE STE 500	EVERETT	WA	98201	272552749	501 (C) (3)	6250	BRUNCH BY THE BAY AND PEDIATRIC LUNCHEON EVENT SPONSORSHIPS
PUGET SOUND HEALTH ALLIANCE
2003 WESTERN AVE STE 600	SEATTLE	WA	98121	470948895	501 (C) (3)	7777	COMMUNITY CHECKUP PARTICIPATION
RONALD MCDONALD HOUSE CHARITIES OF WESTERN WASHINGTON & ALASKA
5130 40TH AVE NE	SEATTLE	WA	98105	911061043	501 (C) (3)	317475	ONGOING SUPPORT FOR HOUSING PROGRAMS
SEATTLE CANCER CARE ALLIANCE
825 EASTLAKE AVE E	SEATTLE	WA	98109	911935159	501 (C) (3)	2461351	PROTON BEAM
SEATTLE POLICE FOUNDATION
PO BOX 456	SEATTLE	WA	98111	912171529	501 (C) (3)	10000	AWARDS BANQUET SPONSORSHIP
SEATTLE UNIVERSITY
901 12TH AVE / PO BOX 222000	SEATTLE	WA	981221090	910565006	501 (C) (3)	18500	SEATTLE UNIVERSITY GALA SPONSORSHIP
SITKA CONSERVATION SOCIETY
PO BOX 6533	SITKA	AK	99835	920096633	501 (C) (3)	10000	PROGRAM TO SERVE LOCALLY HARVESTED FISH IN SITKA'S SCHOOL LUNCHES
SITKA SOUND SCIENCE CENTER
834 LINCOLN STREET SUITE 200	SITKA	AK	99835	261253086	501 (C) (3)	18618	SCHOLARSHIPS FOR MAKING WAVES SCIENCE CAMP PROGRAM
SOUTHEAST ALASKA INDEPENDENT LIVING
3225 HOSPITAL DRIVE SUITE 300	JUNEAU	AK	99801	920144370	501 (C) (3)	25000	WHEELCHAIR ACCESSIBILITY UPGRADE TO CITY PLAYGROUND FOR CHILDREN
UNIVERSITY OF WASHINGTON DENTAL FACILITY
1325 FOURTH AVENUE 2000	SEATTLE	WA	98101	916001537	GOVERNMENT	1000000	GRANT FOR DEVELOPMENT OF A PEDIATRIC DENTAL FACILITY
UNIVERSITY OF WASHINGTON FOUNDATION
407 GERBERDING HALL	SEATTLE	WA	98195	943079432	501 (C) (3)	76871	ORAL HEALTH DENTISTRY FUND, PROFESSORSHIP IN HEALTH POLICY, AND GALA SPONSORSHIP
WITHIN REACH
11000 LAKE CITY WAY NE 301	SEATTLE	WA	981256748	911443685	501 (C) (3)	15000	IMMUNIZATION SOCIAL MARKETING CAMPAIGN AND LUNCHEON SPONSORSHIP
YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY
1118 FIFTH AVENUE	SEATTLE	WA	98101	910482890	501 (C) (3)	6000	COMMUNITY EVENT SPONSORSHIP

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	29	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

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.	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (27 entries)

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
369272	369271	200205	200205	0	0	97542	97541	14820	14821	681839	681838	0	0
KELLY WALLACE
303521	101173	126949	42317	0	0	73889	24629	19929	6643	524288	174762	0	0
PATRICK HAGAN
399016	44335	195397	21711	0	0	164823	18314	24303	2700	783539	87060	0	0
DAVID FISHER MD
427196	47466	203469	22608	0	0	82896	9211	24516	2724	738077	82009	0	0
DREXEL DEFORD
397322	0	163664	0	0	0	75455	0	19990	0	656431	0	0	0
SANFORD MELZER MD
189011	184167	113388	37796	0	0	61214	32600	18749	9992	382362	264555	0	0
JAMES HENDRICKS MD
307755	0	110814	0	0	0	56410	0	25581	0	500560	0	0	0
LISA BRANDENBURG
342091	0	138483	0	0	0	64413	0	25850	0	570837	0	0	0
JEFFREY SCONYERS
147873	147873	61856	61855	0	0	28090	28089	12725	12725	250544	250542	0	0
EDWIN WRIGHT
305596	0	101387	0	0	0	10261	0	25481	0	442725	0	0	0
SUSAN HEATH
249612	0	109830	0	0	0	47922	0	17531	0	424895	0	0	0
SUZANNE PETERSEN
224377	0	69839	0	0	0	15985	0	24731	0	334932	0	0	0
STEVEN HURWITZ
241513	0	72063	0	0	0	11125	0	22627	0	347328	0	0	0
CARA BAILEY
221772	0	76674	0	0	0	14254	0	9643	0	322343	0	0	0
ERIK LAUSUND
216156	0	61893	0	0	0	15579	0	12751	0	306379	0	0	0
JENNIFER ABERMANIS
204032	0	71077	0	0	0	15176	0	24589	0	314874	0	0	0
CINDY EVANS
228140	0	94522	0	0	0	14465	0	17368	0	354495	0	0	0
DAVID PERRY
205296	0	70210	0	0	0	10118	0	24560	0	310184	0	0	0
WARREN HEWITT
204326	0	55269	0	0	0	14758	0	15441	0	289794	0	0	0
JUDITH DOUGHERTY
207848	0	65504	0	0	0	14373	0	16952	0	304677	0	0	0
TODD JOHNSON
205721	0	71725	0	0	0	11397	0	16736	0	305579	0	0	0
CHARLES HODGE
182881	0	68093	0	0	0	10460	0	22123	0	283557	0	0	0
DAVID BRAUNER
349266	0	150500	0	0	0	9800	0	19593	0	529159	0	0	0
DOUGLAS PICHA
33608	302469	8030	72265	0	0	5061	45548	2556	23009	49255	443291	0	0
JOE RUTLEDGE
348394	0	19863	0	0	0	14799	0	13295	0	396351	0	0	0
ANNE MANKTELOW
361662	0	5000	0	0	0	6588	0	9304	0	382554	0	0	0
DONA BREKKE
250182	0	102339	0	0	0	10467	0	6385	0	369373	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 1A

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 - $188,589 KELLY WALLACE - $87,493 PATRICK HAGAN - $172,112 JAMES HENDRICKS MD - $44,784 LISA BRANDENBURG - $57,023 DREXEL DEFORD - $68,105 DAVID FISHER MD - $84,757 SUSAN HEATH - $35,908 SANFORD MELZER MD - $70,345 JEFFREY SCONYERS - $44,669 DOUGLAS PICHA - $38,458

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	93978HAA3	2010-09-02	77394750	SEE PART V SUPPLEMENTAL INFORMATION	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
911108929	93978HAB1	2010-09-02	46669601	SEE PART V SUPPLEMENTAL INFORMATION	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
911108929	93978EK43	2008-04-16	148540000	SEE PART V SUPPLEMENTAL INFORMATION	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
911108929	93978E586	2008-05-29	90800036	SEE PART V SUPPLEMENTAL INFORMATION	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Amount UnspentAmountUnspent
77394750	77394750	2010	0	1	1
46669601		2010	1	1	1	568714	20887
148540000		2008	1	1	1	2265000
90800036		2009	0	1	1	800036

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	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	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
0	0	0	0	0	1
(no name)
0	0	0	0	0	1
GOLDMAN SACHSJP
0	1	1	0	0	1	MORGAN	23.000000000000	0	0
(no name)
0	0	0	0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (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 2010A (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010A BONDS"), WERE ISSUED TO REIMBURSE SEATTLE CHILDREN'S ("CHILDREN'S") FOR THE COSTS OF ACQUIRING CERTAIN REAL PROPERTY (INCLUDING LAND) TO BE DEVELOPED AND USED AS HEALTH CARE FACILITIES OF CHILDREN'S. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010B (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010B BONDS"), WERE ISSUED TO (I) REFUND, ON A CURRENT BASIS, AND DEFEASE ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 1998 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 1998 BONDS"), AND (II) PAY COST OF ISSUANCE FOR THE SERIES 2010B. THE SERIES 1998 BONDS WERE DATED NOVEMBER 17, 1998 AND THE PROCEEDS 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. LINE C, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008A/B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (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 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) AND SERIES 2006B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), EACH DATED FEBRUARY 16, 2006 (THE "SERIES 2006A/B BONDS") THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING TO ADVANCE REFUND AND DEFEASE $67 MILLION OF THE SERIES 1998 BONDS AND (II) ADVANCE REFUND AND DEFEASE $66 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2001 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2001 BONDS"), THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING FOR A $120 MILLION CAPITAL PROGRAM, (II) PAY FOR THE PREMIUM RELATING TO THE BOND INSURANCE POLICY AND (III) PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2001 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2008B BONDS, WHICH HAVE THE LATER OF THE TWO MATURITIES OF THE TWO SERIES. LINE D, 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) (THE "SERIES 2006C BONDS") THE PROCEEDS OF WHICH 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 B: $46,080,000 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. COLUMN C: $146,275,000 WAS USED TO REFUND, ON A CURRENT BASIS AND REDEEM ALL OF THE OUTSTANDING SERIES 2006A AND SERIES 2006B BONDS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2008A/B BONDS. COLUMN D: $90,000,000 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: LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%.

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. PART II, PROCEEDS: COLUMN A: LINE 3 INCLUDES INVESTMENT EARNINGS OF $100,038. PART III, PRIVATE BUSINESS USE: LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	911108929	IssuerEIN
CUSIP Number	93978E584	CUSIPNumber
Date Issued	2009-08-19	DateIssued
Issue Price	113722874	IssuePrice
Description Of Purpose	SEE PART V SUPPLEMENTAL INFORMATION	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	113822912	TotalProceeds
Issuance Costs From Proceeds	1975466	IssuanceCostsFromProceeds
Capital Expenditures	107009910	CapitalExpenditures
Amount Unspent	4837536	AmountUnspent
Year Of Subst Completion	2012	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Bond Counsel Routinely Engaged	1	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 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.	1723761	SERVICES	0
SEATTLE CHILDREN'S HEALTHCARE SYSTEM
COMMON BOARD	923220	RENTAL REV/OP EXPS TRANSFERRED TO SCHS	0
KING 5 TV
FAMILY MEMBER OF CYNTHIA HUFFMAN, TRUSTEE, IS CEO OF KING 5 TV.	525000	SERVICES	0
MCKINSTRY COMPANY
DEAN ALLEN, TRUSTEE, IS CEO AND PART OWNER OF MCKINSTRY COMPANY.	126571	SERVICES	0
ELLEN FISCHER
DR. ROB ROSKIN, TRUSTEE, IS THE SPOUSE OF ELLEN FISCHER.	111005	EMPLOYMENT	0
SARAH BOWDEN
WARREN HEWITT, VP OF FINANCE, IS A FAMILY MEMBER OF SARAH BOWDEN.	49983	EMPLOYMENT	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	14800	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	37	NumberOfContributions
Noncash Contribs Rptd F990	267451	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenues

Securities Prtnrshp Trust Intrsts SecuritiesPrtnrshpTrustIntrsts

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	44091	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenues

Real Estate Other RealEstateOther

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	20000	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	MICROSCOPE	Description
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	36000	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	1	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 1 - 1 CONTRIBUTION OF AN OIL PAINTING; LINE 9 - 37 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 11 - 1 CONTRIBUTION OF A RETURN OF LIFE INTEREST IN A CHARITABLE REMAINDER TRUST; LINE 17 - 1 CONTRIBUTION OF LAND; LINE 25 - 1 CONTRIBUTION OF AN EVOS FL DIGITAL FLUORESCENCE MICROSCOPE.
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 2011, 821 VOLUNTEERS, AFTER COMPLETING A THOROUGH INTERVIEW AND TRAINING PROCESS, LOGGED 90,966 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, 30 TRUSTEES SERVED ON THE SEATTLE CHILDREN'S HOSPITAL BOARD DURING FISCAL YEAR 2011. IN ALL THAT THEY DO, OUR VOLUNTEERS ARE HIGHLY VALUED MEMBERS OF OUR HOSPITAL COMMUNITY.
	THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM.	FORM 990, PART VI, SECTION A, LINE 6
	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 7A
	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 A, LINE 7B
	MANAGEMENT AND INDEPENDENT TAX PROFESSIONALS PRESENT AND REVIEW THE FORM 990 WITH THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF TRUSTEES. THE ENTIRE BOARD OF TRUSTEES RECEIVES COPIES OF THE FORM 990 AFTER REVIEW BY THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE, PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE.	FORM 990, PART VI, SECTION B, LINE 11
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, AS WELL AS ALL STAFF MEMBERS PARTICIPATING IN RESEARCH ACTIVITIES AND MEMBERS OF THE HOSPITAL'S PHARMACY AND THERAPEUTICS COMMITTEE. THE SENIOR VICE PRESIDENT AND GENERAL COUNSEL, 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. 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 COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE BOARD ENGAGES AN INDEPENDENT THIRD-PARTY EXPERT ANNUALLY TO REVIEW AND ASSESS THE EXECUTIVE COMPENSATION PROGRAM (BASE, INCENTIVE COMPENSATION, AND EMPLOYER-PAID BENEFITS) TO DETERMINE COMPETITIVENESS. THE BOARD RELIES ON THE EXPERT ANALYSIS TO DETERMINE THAT COMPENSATION IS REASONABLE AND WITHIN THE "BOUNDS OF COMPETITIVE PRACTICE" AND TO DECLARE A REBUTTABLE PRESUMPTION OF REASONABLENESS REGARDING EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE REVIEWS THE SUMMARY DATA PROVIDED AND APPROVES BASE SALARY RECOMMENDATIONS FOR THE PRESIDENT, CHIEF EXECUTIVE OFFICER, AND OTHER "KEY" EXECUTIVES. THE FULL BOARD OF TRUSTEES REVIEWS AND FORMALLY APPROVES THE ACTIONS OF THE COMPENSATION COMMITTEE.
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 VI, LINE 1B:	TRUSTEE CYNTHIA HUFFMAN IS NOT INDEPENDENT BECAUSE OF HER FAMILY RELATIONSHIP TO RAY HEACOX, THE CHIEF EXECUTIVE OFFICER OF KING 5 TV. SEATTLE CHILDREN'S HOSPITAL ENGAGES WITH KING 5 TV FOR MARKETING AND COMMUNICATION SERVICES. TRUSTEE DEAN ALLEN IS THE CHIEF EXECUTIVE OFFICER AND PART OWNER OF MCKINSTRY CO. AND IS NOT INDEPENDENT BECAUSE SEATTLE CHILDREN'S HOSPITAL ENGAGES WITH MCKINSTRY CO. ON VARIOUS CONSTRUCTION PROJECTS.
FORM 990, PART VII, SECTION A, COLUMN (B):	HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: JIM LADD - 1 LAURIE OKI - 3 JAN SINEGAL - 1 THOMAS HANSEN - 28.5 KELLY WALLACE - 15 PATRICK HAGAN - 5 DAVID FISHER - 6 SANFORD MELZER - 14 JEFFREY SCONYERS - 27 DOUGLAS PICHA - 50.5
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -25,807,114. CHANGE IN BENEFICIAL INTEREST IN SCHS -672,399. RESTRICTED GRANTS AND DONATIONS 36,893,177. NET ASSETS RELEASED FROM RESTRICTION -30,135,588. TOTAL TO FORM 990, PART XI, LINE 5: -19,721,924.	CHANGES IN NET ASSETS OR FUND BALANCES:
SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT 2011	LETTER FROM OUR CHIEF EXECUTIVE OFFICER AT SEATTLE CHILDREN'S, WE'RE ALWAYS THINKING OF THE HEALTH AND WELL-BEING OF EVERY CHILD AND FAMILY IN THE COMMUNITY. IT IS OUR MISSION AND OUR PASSION. OUR STAFF AND FACULTY MEMBERS REACH BEYOND OUR CAMPUS EVERY DAY TO PROVIDE PROGRAMS, SERVICES, EDUCATION AND RESEARCH TO MAKE CHILDREN AND FAMILIES SAFER AND HEALTHIER WHERE THEY LIVE. OUR 2011 COMMUNITY BENEFIT REPORT DESCRIBES SOME OF THE WAYS CHILDREN'S RESPONDS TO COMMUNITY NEEDS AS WE STRIVE TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. I'M PROUD TO REPORT THAT THE TOTAL VALUE OF OUR INVESTMENT IN THE COMMUNITY IN 2011 WAS $220,035,000 - WITH A LITTLE LESS THAN HALF GOING TO UNCOMPENSATED CARE. WITH HELP FROM FAMILIES AND LEADERS IN COMMUNITY ORGANIZATIONS AND PUBLIC HEALTH AGENCIES, WE'RE "TAKING THE TEMPERATURE" OF CHILDREN AND FAMILIES WITH A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT TO MAKE SURE OUR INVESTMENT IS MEETING THEIR MOST URGENT NEEDS. ONE OF THE TOP HEALTH CONCERNS THAT HAS SURFACED IN OUR COMMUNITY HEALTH ASSESSMENT IS OBESITY. OBESITY IS AN EPIDEMIC THAT IS SWEEPING THE COUNTRY. ABOUT 11% OF HIGH SCHOOL YOUTH IN WASHINGTON STATE ARE OBESE AND 14 TO 16% ARE OVERWEIGHT. ONE IN FIVE HIGH-SCHOOL YOUTHS IN KING COUNTY IS OVERWEIGHT. ON EACH SECTION OF OUR COMMUNITY BENEFIT REPORT WE HIGHLIGHT EXAMPLES OF HOW WE ARE ADDRESSING THIS SERIOUS HEALTH ISSUE IN PARTNERSHIP WITH PUBLIC HEALTH, COMMUNITY ORGANIZATIONS AND FAMILIES. BUILDING A SAFE AND HEALTHY FUTURE FOR CHILDREN AND FAMILIES IS A BIG JOB. WE COULDN'T DO THIS WORK WITHOUT YOUR SUPPORT. THANK YOU. TOTAL 2011 VALUE TO THE COMMUNITY: $220,035,000 OUR COMMUNITY BENEFIT INVESTMENT IN PATIENT CARE AND RESEARCH, IN EDUCATING HEALTHCARE PROFESSIONALS AND IN COMMUNITY PROGRAMS AND SERVICES REFLECTS CHILDREN'S COMMITMENT TO PREVENTING, TREATING AND ELIMINATING PEDIATRIC DISEASE. LEARN MORE ABOUT THE WAYS WE BENEFIT OUR COMMUNITY AT WWW.SEATTLECHILDRENS.ORG/ABOUT/COMMUNITY-BENEFIT/. UNCOMPENSATED CARE OUR FINANCIAL ASSISTANCE PROGRAM HONORS OUR FOUNDING PROMISE TO CARE FOR EVERY CHILD WHO NEEDS US REGARDLESS OF A FAMILY'S ABILITY TO PAY. IN 2011, CHILDREN'S PROVIDED $103 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO, ENSURING ALL OF OUR REGION'S SICK AND INJURED CHILDREN HAVE ACCESS TO THE BEST MEDICAL CARE AVAILABLE. WHEN A CHILD IS BATTLING A SERIOUS MEDICAL CONDITION, FAMILIES HAVE ENOUGH TO WORRY ABOUT WITHOUT STRESSING OVER HOW TO PAY THE HOSPITAL BILL. CHILDREN'S UNCOMPENSATED CARE PROGRAM HELPS FAMILIES FOCUS ON HEALING, NOT COST, REGARDLESS OF THEIR INSURANCE COVERAGE OR FINANCIAL CIRCUMSTANCES. CHILDREN'S UNCOMPENSATED CARE PROGRAM BRIDGES THE GROWING GAP BETWEEN MEDICAID REIMBURSEMENTS AND THE REAL COST OF TREATMENT. MEDICAID IS THE GOVERNMENT PROGRAM THAT PROVIDES MEDICAL COVERAGE AT NO OR LOW COST TO LOW-INCOME FAMILIES. NEARLY HALF OF OUR PATIENTS RECEIVED COVERAGE THROUGH MEDICAID IN 2011, AND ONLY 71% OF THE COST WAS REIMBURSED FOR THE CARE PROVIDED. OUR UNCOMPENSATED CARE PROGRAM MADE UP FOR THE SHORTFALL WHICH AMOUNTED TO $92.3 MILLION IN 2011. ANOTHER $10.7 MILLION WENT TO SUPPORT FAMILIES WITH NO ABILITY TO PAY FOR THEIR CHILD'S CARE. FEATURE: A BOY AND HIS FAMILY FIND CARE AND COMPASSION AT CHILDREN'S A BOY'S LIFE HAS BEEN FILLED WITH DOCTORS, HOSPITAL STAYS AND MEDICAL EQUIPMENT. BORN IN 2009, HE WAS DIAGNOSED PRENATALLY WITH LARGE CYSTS ON HIS CHEEK AND NECK - KNOWN AS LYMPHATIC MALFORMATIONS - AND HAS REQUIRED EXTRAORDINARY CARE FOR THE MOST BASIC THINGS, LIKE EATING AND BREATHING. BY THE END OF 2009, THE MEDICAL BILLS FOR HIS CARE OVERWHELMED HIS FAMILY. THEY APPLIED TO CHILDREN'S UNCOMPENSATED CARE PROGRAM AND WERE GRANTED FINANCIAL SUPPORT. "WE HUMBLY ACCEPTED THE HELP AND FELL TO OUR KNEES IN GRATITUDE," SAYS HIS MOTHER. "IT FEELS SO SAFE AND SECURE TO KNOW A CO-PAY WILL NEVER STAND IN THE WAY OF OUR SON'S CARE." NOW, THE FAMILY WANTS TO GIVE BACK. THEY'RE FORMING A GUILD TO SUPPORT RESEARCH FOR VASCULAR ANOMALIES. "WE FEEL DRIVEN TO HELP OTHER FAMILIES THE WAY WE'VE BEEN HELPED," SAYS HIS MOTHER. FOCUS ON OBESITY: FIGHTING FOR POLICIES THAT FIGHT OBESITY CHILDREN'S PLAYS A LEADING ROLE IN THE STATEWIDE CHILDHOOD OBESITY PREVENTION COALITION. THE COALITION'S 43 MEMBERS ADVOCATE FOR POLICIES TO BUILD A HEALTHIER GENERATION. IN 2011, THE COALITION HELPED PASS LEGISLATION TO MAKE STREETS SAFER FOR PEDESTRIANS AND BICYCLISTS, LAUNCHED A SODA FREE SUNDAYS CAMPAIGN TO RAISE AWARENESS ABOUT THE RISKS OF SUGARY DRINKS, AND HELD AN OBESITY PREVENTION SUMMIT CO-HOSTED BY CHILDREN'S AND THE AMERICAN HEART ASSOCIATION. RESEARCH RESEARCH IS ESSENTIAL IN FULFILLING CHILDREN'S MISSION TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. WE'RE COMMITTED TO TRANSLATING OUR RESEARCH INTO NEW AND BETTER THERAPIES SO THAT ALL OF OUR PATIENTS - AND CHILDREN AROUND THE WORLD - BENEFIT FROM OUR DISCOVERIES. THE SEATTLE CHILDREN'S RESEARCH INSTITUTE HAS BECOME THE LARGEST PEDIATRIC RESEARCH CENTER WEST OF THE MISSISSIPPI, AND ONE OF THE TOP FIVE IN THE NATION BASED ON FUNDING RECEIVED FROM THE NATIONAL INSTITUTES OF HEALTH (NIH). GRANTS FROM THE NIH INCREASED FROM $13 MILLION IN 2006 TO MORE THAN $52 MILLION IN FISCAL YEAR 2011. TOTAL EXTRAMURAL FUNDING GREW TO $69 MILLION IN 2011. DISCOVERY CENTRAL SEATTLE CHILDREN'S RESEARCH INSTITUTE COMPRISES NINE INTERDISCIPLINARY CENTERS AND FOUR 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 THERAPEUTICS - CENTER FOR GENETICS AND DEVELOPMENT - CENTER FOR IMMUNITY AND IMMUNOTHERAPIES - CENTER FOR INTEGRATIVE BRAIN RESEARCH - CENTER FOR TISSUE AND CELL SCIENCES PROGRAMS: - GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH - NORTHWEST GENOME ENGINEERING CONSORTIUM - SCIENCE ADVENTURE LAB - TREUMAN KATZ CENTER FOR PEDIATRIC BIOETHICS PREVENTING ILLNESSES AND INJURIES ADDRESSING TEEN SUICIDE RISK TEEN SUICIDE IS A DEADLY PROBLEM IN THE UNITED STATES. ACCORDING TO THE WASHINGTON STATE DEPARTMENT OF HEALTH, SUICIDE IS THE SECOND LEADING CAUSE OF DEATH FOR YOUTH 10 TO 24 YEARS OLD IN OUR STATE. IDENTIFYING TEENS WITH SUICIDAL THOUGHTS IS CRITICAL TO PREVENTING SUICIDE, BUT A STUDY LED BY DR. CAROLYN MCCARTY SUGGESTS SUICIDAL TEENS AREN'T GETTING THE MENTAL HEALTH SERVICES THEY NEED. MCCARTY AND HER CO-INVESTIGATORS FROM THE UNIVERSITY OF WASHINGTON (UW) AND GROUP HEALTH RESEARCH INSTITUTE FOUND THAT ONLY 13% OF TEENS AGES 13 TO 18 WITH SUICIDAL THOUGHTS VISITED A MENTAL HEALTH PROFESSIONAL THROUGH THEIR HEALTH CARE NETWORK AND ONLY 16% RECEIVED SERVICES THE YEAR AFTER. THE LOW RATES ARE A STRIKING CALL TO ACTION, SAYS MCCARTY. "THESE FINDINGS UNDERSCORE THE NEED FOR PRIMARY CARE PHYSICIANS TO SCREEN FOR DEPRESSION AND SUICIDAL THOUGHTS." ESTABLISHING HIGH BLOOD PRESSURE RISK HIGH BLOOD PRESSURE AMONG CHILDREN IN THE UNITED STATES HAS INCREASED FIVE-FOLD OVER THE LAST 30 YEARS. RESEARCH LED BY DR. JOSEPH FLYNN AND A TEAM FROM JOHN HOPKINS CENTER FOUND THAT HIGH BLOOD PRESSURE MAY LEAD TO WORSE HEART TROUBLE FOR BLACK CHILDREN UNDER THE AGE OF 13 THAN FOR OTHER CHILDREN OF THE SAME AGES. THE STUDY FOUND THEY WERE TWICE AS LIKELY TO DEVELOP A DANGEROUS THICKENING OF THE HEART MUSCLE THAT IS AN EARLY AND COMMON COMPLICATION OF HIGH BLOOD PRESSURE. THE STUDY ALSO FOUND THAT BLACK TEENS HAVE HIGHER BLOOD PRESSURE OVERALL AND THAT IT REMAINED IN THE DANGEROUS RANGE LONGER THAN OTHER TEENS. "THE STUDY EMPHASIZES THE NEED FOR EARLY DIAGNOSIS AND TREATMENT OF HIGH BLOOD PRESSURE IN ALL CHILDREN, BUT PEDIATRICIANS SHOULD BE AWARE THAT BLACK CHILDREN AND TEENS MAY DEVELOP MORE SEVERE COMPLICATIONS OR DEVELOP THEM MORE QUICKLY," FLYNN SAYS. IDENTIFYING THE BEST TREATMENTS HELPING FAMILIES COPE WITH FETAL ALCOHOL SYNDROME CHILDREN WITH FETAL ALCOHOL SPECTRUM DISORDERS (FASD) ARE BORN WITH A PAINFUL LEGACY OF LIFELONG NEUROLOGICAL ISSUES RANGING FROM LEARNING DEFICITS TO MEMORY LOSS. DR. HEATHER CARMICHAEL OLSON IS LEADING AN ONGOING RESEARCH EFFORT THAT IS IMPROVING THE LIVES OF CHILDREN AND FAMILIES COPING WITH FASD. CARMICHAEL OLSON DEVELOPED A STRATEGY THAT CONNECTS FAMILIES WITH TRAINED SPECIALISTS. THE SPECIALISTS TEACH PARENTS HOW TO RECOGNIZE THEIR CHILD'S NEURODEVELOPMENTAL DISABILITIES AND ADAPT THE HOME AND SCHOOL ENVIRONMENT TO LESSEN THE IMPACT AND IMPROVE THEIR CHILD'S DAY-TO-DAY FUNCTION. FOR EXAMPLE, WHEN A PARENT ASKS A CHILD WITH FASD TO GET DRESSED, THE CHILD MIGHT NOT BE ABLE TO REMEMBER LONG ENOUGH TO COMPLETE THE REQUEST, SO PARENTS LEARN WAYS TO ADDRESS THE MEMORY PROBLEM SUCH AS HANGING A POSTER ON THE BEDROOM WALL AS A VISUAL CLUE.
	COORDINATING CARE FOR CHRONICALLY ILL CHILDREN MANAGING THE HEALTH OF A CHILD WITH A LIFELONG CHRONIC ILLNESS SUCH AS CYSTIC FIBROSIS OR TYPE 1 DIABETES IS COMPLEX AND REQUIRES COORDINATION WITH MANY DIFFERENT HEALTHCARE PROVIDERS. THESE CHILDREN OFTEN END UP IN AND OUT OF THE HOSPITAL - IN PART BECAUSE HOSPITALS LACK A CONSISTENT METHOD TO IDENTIFY THEM AND EFFICIENTLY COORDINATE THEIR CARE ONCE THEY GO HOME. A STUDY LED BY DR. JOHN NEFF USED HOSPITAL DISCHARGE DATA FROM CHILDREN'S AND ODESSA BROWN CHILDREN'S CLINIC TO DEVELOP A UNIQUE WAY TO TRACK CHILDREN WITH LIFELONG CHRONIC CONDITIONS - THE FIRST STEP TOWARD IMPROVING THEIR QUALITY OF LIFE AND REDUCING COSTS BY DECREASING READMISSIONS. LINKING CAUSE AND EFFECT BRINGING PAIN MANAGEMENT HOME DR. TONYA PALERMO IS LEADING A NATIONWIDE TRIAL OF AN ONLINE TOOL TO HELP CHILDREN MANAGE CHRONIC PAIN AT HOME. THE WEB-BASED INTERVENTION SHE DEVELOPED TEACHES CHILDREN TO USE COGNITIVE BEHAVIORAL STRATEGIES, SUCH AS PROBLEM-SOLVING AND RELAXATION TECHNIQUES, AND TEACHES PARENTS HOW TO SUPPORT THEIR CHILDREN. UP TO 40% OF CHILDREN EXPERIENCE SOME DEGREE OF CHRONIC PAIN, USUALLY HEADACHES, BACKACHES OR ABDOMINAL PAIN. IN 5% TO 10% OF CASES, THE PAIN BECOMES DISABLING, CAUSING CHILDREN TO MISS SCHOOL, STOP EXERCISING AND WITHDRAW FROM FRIENDS. PALERMO'S TOOL PROVIDES AN OPTION FOR CHILDREN WHO LACK ACCESS TO PAIN MANAGEMENT PROGRAMS IN THEIR COMMUNITY AND COULD HELP ALL CHILDREN WITH CHRONIC PAIN ADDRESS THEIR PAIN SOONER. PEOPLE MAKING A DIFFERENCE: DR. DOUG DIEKEMA PHYSICIAN HELPS MAKE SENSE OF COMPLEX ETHICAL ISSUES CARING FOR CHILDREN WITH COMPLEX ILLNESSES AND INJURIES CREATES MANY MEDICAL CHALLENGES, BUT ALSO GENERATES MANY ETHICAL QUESTIONS. ADVANCES IN MEDICAL TECHNOLOGY, FINANCIAL CONSTRAINTS AND CHANGES IN THE HEALTHCARE SYSTEM ARE CONSTANTLY RAISING NEW ISSUES. AS A BIOETHICS CONSULTANT AT SEATTLE CHILDREN'S, DR. DOUG DIEKEMA GUIDES FAMILIES, PHYSICIANS, RESEARCHERS AND INSTITUTIONS THROUGH CHALLENGING DECISIONS, SUCH AS WHAT TO DO IF FAMILIES AND DOCTORS DISAGREE ABOUT TREATMENT OR WHETHER TO TELL CHILDREN THEY'RE CARRYING A GENE THAT COULD THREATEN THEIR LIFE AS AN ADULT. "MY JOB IS TO TAKE THESE COMPLEX AND PERPLEXING ISSUES AND PRESENT THEM IN A WAY THAT PEOPLE CAN UNDERSTAND AND ACT ON," DIEKEMA SAYS. IN 2011, THE CENTER PROVIDED 31 CLINICAL BIOETHICS CONSULTS. "THERE'S MORE TO MOST MEDICAL DECISIONS THAN THE MEDICAL FACTS," DIEKEMA SAYS. "OUR ROLE IN BIOETHICS IS TO SHINE A LIGHT ON THE DIFFERENT VALUES PEOPLE BRING TO THE TABLE WHEN THEY'RE MAKING DIFFICULT CHOICES." FEATURE: WASHINGTON GLOBAL HEALTH ALLIANCE MAPPING PROJECT IMPROVING THE HEALTH OF THE WORLD'S MOST VULNERABLE POPULATIONS SEATTLE IS HOME TO A STELLAR NETWORK OF WORLD LEADERS IN GLOBAL HEALTH RESEARCH. LOCAL INSTITUTIONS, BUSINESSES AND FOUNDATIONS ARE WORKING FROM UGANDA TO THE UKRAINE TO IMPROVE THE HEALTH OF THE WORLD'S MOST VULNERABLE POPULATIONS. CHILDREN'S IS PART OF THE WASHINGTON GLOBAL HEALTH ALLIANCE MAPPING PROJECT THAT TRACKS THE ACTIVITIES OF THE STATE'S GLOBAL HEALTH ORGANIZATIONS AND FOSTERS COLLABORATION BETWEEN THEM. IN 2011, CHILDREN'S COLLABORATED WITH 70 GLOBAL HEALTH INSTITUTIONS, INCLUDING 32 INTERNATIONAL COLLABORATORS. WE WORK IN PARTNERSHIP WITH 16 COUNTRIES SUCH AS EGYPT, PAKISTAN, INDIA, BRAZIL AND MALAYSIA. DR. LISA FRENKEL AND HER COLLABORATORS AT CHILDREN'S ARE WORKING WITH INVESTIGATORS IN AFRICA, ASIA AND LATIN AMERICA TO IMPROVE THE HEALTH OF HIV-INFECTED PERSONS AND TO PREVENT MOTHER-TO-INFANT TRANSMISSION OF HIV. THEIR GOALS INCLUDE DEVELOPING AN INEXPENSIVE TEST TO DETECT WHETHER HIV-INFECTED MOTHERS ARE RESISTANT TO A COMMON ANTIRETROVIRAL THERAPY. FOCUS ON OBESITY: DO NEIGHBORHOODS AFFECT FITNESS? CHILDREN'S AND THE UW ARE STUDYING THE LINK BETWEEN A PERSON'S ACTIVITY LEVEL AND WHERE THEY LIVE. PARTICIPANTS IN THE TRAVEL ASSESSMENT AND COMMUNITY (TRAC) PROJECT, LED BY DR. BRIAN SAELENS, WILL COMPLETE SURVEYS ABOUT NEIGHBORHOOD TRANSPORTATION OPTIONS (SIDEWALKS, BIKE PATHS, BUS SERVICE, ETC.), WEAR AN ACTIVITY METER AND RECORD THEIR MODES OF TRAVEL. THE INFORMATION WILL SHOW HOW NEIGHBORHOODS COULD BECOME HEALTHIER PLACES BY PROVIDING TRANSPORTATION CHOICES THAT HELP PEOPLE STAY ACTIVE. HEALTH PROFESSIONAL EDUCATION SEATTLE CHILDREN'S IS A PLACE WHERE HEALING AND TEACHING GO HAND-IN-HAND. AS HOME TO THE ONLY PEDIATRIC RESIDENCY PROGRAM IN A FIVE-STATE REGION, WE HELP YOUNG DOCTORS IN TRAINING FROM THE UNIVERSITY OF WASHINGTON GAIN INVALUABLE EXPERIENCE CARING FOR SERIOUSLY ILL CHILDREN WHILE WORKING BESIDE WORLD-CLASS SPECIALISTS. WITH PEDIATRIC SPECIALISTS IN SHORT SUPPLY NATIONWIDE, CHILDREN'S IS A VITAL TRAINING GROUND FOR BOTH THE PEDIATRICIANS AND THE SPECIALISTS NEEDED BY FUTURE GENERATIONS OF CHILDREN. WE'RE ALSO AN IMPORTANT RESOURCE FOR THE COMMUNITY. ALL OF OUR RESIDENTS SPEND TIME WORKING IN RURAL COMMUNITIES WHERE ACCESS TO CARE CAN BE LIMITED. IN ADDITION, WE PROVIDE CONTINUING MEDICAL EDUCATION FOR COMMUNITY CLINICIANS AND OFFER PROGRAMS THAT TEACH PARENTS HOW TO BE PARTNERS IN THEIR CHILD'S HEALTH CARE. TRAINING THE NEXT GENERATION EDUCATING THE NEW CLINICIANS CHILDREN'S TRAINS TOP-NOTCH PEDIATRICIANS. WE RAISE THE LEVEL OF CARE FOR CHILDREN EVERYWHERE AND ESPECIALLY IN OUR COMMUNITY. MORE THAN HALF OF ALL GRADUATES OF THE UW PEDIATRIC RESIDENCY PROGRAM, WHICH IS BASED AT CHILDREN'S, CHOOSE TO STAY IN THE PACIFIC NORTHWEST TO PRACTICE AS PRIMARY CARE AND SUB-SPECIALTY PEDIATRICIANS. THE UW PROGRAM IS THE ONLY PEDIATRIC RESIDENCY PROGRAM IN WASHINGTON, WYOMING, ALASKA, MONTANA AND IDAHO (WWAMI REGION). IN 2011, 776 RESIDENTS FROM TRAINING PROGRAMS THROUGHOUT THE NORTHWEST ROTATED AT CHILDREN'S. BECAUSE WE OFFER FELLOWSHIPS IN MORE THAN 30 SPECIALTY AREAS, MANY RESIDENTS CONTINUE THEIR EDUCATION AT CHILDREN'S. IN JUNE 2011, 27 PHYSICIANS COMPLETED PEDIATRIC RESIDENCY (AND 1 COMPLETED PRELIMINARY TRAINING) BEFORE ENTERING INTO SUB-SPECIALTY FELLOWSHIPS AT CHILDREN'S. IN ADDITION, CHILDREN'S WAS A TRAINING SITE FOR 787 MEDICAL STUDENTS. SUPPORTING NURSING EDUCATION CHILDREN'S SUPPORTS THE EDUCATION OF NURSES AT ALL STAGES. WE HOST A FREE NURSING CAMP EVERY SUMMER WHERE HIGH SCHOOL STUDENTS SHADOW FOUR DIFFERENT NURSES OVER THREE DAYS. IN 2011, 27 STUDENTS INTERACTED WITH PATIENTS, WATCHED SURGERIES AND PARTICIPATED IN PANEL DISCUSSIONS AS THEY EXPLORED WHETHER A NURSING CAREER IS RIGHT FOR THEM. NURSES-IN-TRAINING COME TO CHILDREN'S FOR CLINICAL ROTATIONS WHERE THEY WORK ALONGSIDE OUR HIGHLY EXPERIENCED NURSING STAFF TO LEARN MORE ABOUT CARING FOR PEDIATRIC PATIENTS. WE OFFER CLINICAL PRECEPTORSHIPS TO NURSING STUDENTS AT ALL LEVELS, FROM BACCALAUREATE TO DOCTORAL PROGRAMS. CHILDREN'S NURSES SERVE AS INVITED LECTURERS AT NURSING PROGRAMS ACROSS THE REGION. WE ALSO HELP EDUCATE STUDENT NURSES AT OTHER HOSPITALS THROUGH OUR OUTREACH PROGRAMS. PEDIATRIC NURSING GROUND ROUNDS PROVIDE COMMUNITY NURSES THROUGHOUT THE REGION WITH THE LATEST INFORMATION ABOUT PEDIATRIC NURSING AND DIFFERENT HEALTH CONDITIONS. THE PRESENTATIONS TAKE PLACE NINE TIMES A YEAR AT CHILDREN'S AND ARE BROADCAST TO 47 SITES AROUND THE REGION AND ARCHIVED ONLINE. IN ADDITION, CHILDREN'S COLLABORATES WITH THE STATE DEPARTMENT OF HEALTH AND OFFICE OF SUPERINTENDENT OF PUBLIC INSTRUCTION TO SPONSOR AN ANNUAL TELECONFERENCE BROADCAST TO SCHOOL DISTRICTS AND PUBLIC HEALTH NURSES ACROSS THE STATE. IN 2011, THE TELECONFERENCE FOCUSED ON PEDIATRIC NEUROLOGICAL CASE REVIEWS. EDUCATING HEALTHCARE PROFESSIONALS HELPING RESEARCHERS COMMUNICATE CLEARLY PATIENTS MUST GIVE THEIR INFORMED CONSENT BEFORE PARTICIPATING IN RESEARCH. BUT THAT CAN BE DIFFICULT SINCE MANY CONSENT FORMS ARE FULL OF MEDICAL JARGON AND EXCEED THE READING LEVEL OF MANY ADULTS. A NEW ONLINE COURSE, FREE AND AVAILABLE TO ANY RESEARCHER, SHOWS HOW TO USE PLAIN LANGUAGE IN INFORMED CONSENT FORMS AND OTHER COMMUNICATIONS SO THAT STUDY PARTICIPANTS CAN UNDERSTAND THESE DOCUMENTS. THE COURSE USES CONCRETE EXAMPLES TO HELP RESEARCHERS TRANSITION FROM WRITING FOR ACADEMIC JOURNALS TO WRITING FOR THE PATIENTS AND FAMILIES. THE COURSE WAS DEVELOPED BY THE GROUP HEALTH RESEARCH INSTITUTE AND THE INSTITUTE FOR TRANSLATIONAL HEALTH SCIENCES, A PARTNERSHIP INVOLVING CHILDREN'S, THE UW, FRED HUTCHINSON CANCER RESEARCH CENTER AND OTHERS. PROVIDING A WAY TO TEST FOR TEEN DEPRESSION DEPRESSION IS COMMON IN TEENAGERS, BUT PRIMARY CARE DOCTORS HAVE LACKED A RELIABLE WAY TO SCREEN FOR IT - UNTIL NOW. DR. LAURA RICHARDSON AND COLLEAGUES AT CHILDREN'S, THE UW AND GROUP HEALTH RESEARCH INSTITUTE DETERMINED THAT A QUESTIONNAIRE COMMONLY USED TO SCREEN ADULTS FOR DEPRESSION ALSO WORKS WELL WITH TEENS. THE FINDINGS WERE BASED ON A STUDY OF 442 TEENS 13 TO 17 YEARS OLD. THE SCREENING TOOL - KNOWN AS THE PHQ-9 - IS EASY TO SCORE AND INTERPRET AND FREELY AVAILABLE ONLINE.
	SHARING EXPERTISE ABOUT KIDS WITH SPECIAL NEEDS HELPING CHILDREN WITH DEVELOPMENTAL DISABILITIES GROW UP TO REACH THEIR FULL POTENTIAL IS A TEAM EFFORT THAT INVOLVES THEIR FAMILIES AND NUMEROUS MEDICAL SPECIALISTS. SINCE 1977, CHILDREN'S HAS HOSTED THE ANNUAL DUNCAN SEMINAR, AN INTERDISCIPLINARY CONFERENCE WHERE HOSPITAL STAFF AND FACULTY, COMMUNITY HEALTHCARE PROVIDERS AND FAMILIES COME TO LEARN NEW SKILLS AND SHARE EXPERIENCES. "WE'RE ALL WORKING TOGETHER TO DEVELOP HAPPY, PRODUCTIVE ADULTS, AND OUR GOAL IS FOR NO ONE TO FALL SHORT, WHILE BEING REALISTIC ABOUT EACH INDIVIDUAL'S CIRCUMSTANCE," SAYS DR. JOHN MCLAUGHLIN, WHO OVERSEES THE DUNCAN SEMINAR. IN 2011, THE EVENT (ATTENDED BY 126 PEOPLE) FOCUSED ON THE UNIQUE COMMUNICATIONS CHALLENGES FACED BY CHILDREN WITH DEVELOPMENTAL DISABILITIES, WHO OFTEN MUST USE ADAPTIVE STRATEGIES AND EQUIPMENT TO EXPRESS THEMSELVES. PEOPLE MAKING A DIFFERENCE: DR. KYLE YASUDA PASSION FOR ADVOCACY DRIVES PEDIATRICIAN DR. KYLE YASUDA HAS ANSWERED COUNTLESS QUESTIONS FROM RESIDENTS DURING HIS MANY YEARS AS A TEACHING PHYSICIAN, BUT WHEN THEY ASK WHY HE BECAME A PEDIATRICIAN, "IT'S BEEN TOO LONG. I CAN'T REMEMBER," HE LAUGHS. YASUDA IS CERTAIN, THOUGH, THAT HE MADE THE RIGHT CHOICE. "I LOVE BEING AN ADVOCATE AND WORKING WITH KIDS, DOCTORS AND THE COMMUNITY TO IMPROVE CHILD HEALTH." YASUDA, WHO COMPLETED HIS OWN RESIDENCY AT CHILDREN'S IN 1983, WORKS WITH CHILDREN'S RESIDENTS AS A STAFF PEDIATRICIAN AT HARBORVIEW MEDICAL CENTER AND IN THE RESIDENCY'S COMMUNITY PEDIATRICS AND ADVOCACY PATHWAY. A HIGH POINT OF HIS CAREER CAME IN 2011 WHEN HE WAS ELECTED TO THE BOARD OF THE AMERICAN ACADEMY OF PEDIATRICS. IT'S ONE OF MANY LEADERSHIP ROLES HE'S PLAYED AT THE LOCAL, STATE AND NATIONAL LEVELS TO ADDRESS IMPORTANT PEDIATRIC HEALTH ISSUES - OFTEN IN COLLABORATION WITH CHILDREN'S. YASUDA'S ONGOING ADVOCACY AND HIS YEARS AS A PRACTICING PEDIATRICIAN MAKE HIM A COMPELLING ROLE MODEL. "THERE'S MORE TO MEDICINE THAN THE XS AND OS," HE SAYS. "I TRY TO SHARE WHAT THE HEART AND SOUL OF MEDICINE IS ALL ABOUT - UNDERSTANDING THE COMMUNITY'S NEEDS AND BUILDING GENUINE RELATIONSHIPS WITH PATIENTS AND FAMILIES." FEATURE: BROADENING THE HORIZONS OF PEDIATRIC RESIDENCY PROGRAM OFFERS DIVERSE EXPERIENCES THE RESIDENCY PROGRAM AT CHILDREN'S IS ONE OF THE MOST COMPETITIVE IN THE NATION. IN 2011, ALMOST HALF OF THE MEDICAL STUDENTS IN THE COUNTRY PLANNING TO ENTER PEDIATRICS APPLIED FOR ONE OF THE 34 SPOTS IN CHILDREN'S PROGRAM. OUR NEW ALASKA TRACK, ANNOUNCED LAST YEAR, ADDS FOUR SPOTS FOR RESIDENTS INTERESTED IN PRIMARY CARE STARTING IN 2012. RESIDENTS ON THE ALASKA TRACK WILL SPEND EIGHT MONTHS IN SEATTLE AND FOUR MONTHS IN ALASKA DURING ALL THREE YEARS OF THEIR RESIDENCY. IN ALASKA, THEY'LL PROVIDE PRIMARY CARE TO THE GENERAL POPULATION AND AT SITES SERVING THE ALASKA NATIVE POPULATION. THE ALASKA TRACK JOINS EXISTING TRAINING PATHWAYS FOR RESIDENTS INTERESTED IN COMMUNITY HEALTH, GLOBAL HEALTH AND RESEARCH. ALL OF OUR RESIDENTS SPEND TWO MONTHS WORKING WITH PRIMARY CARE PROVIDERS IN RURAL COMMUNITIES ACROSS THE WWAMI REGION, INCLUDING BELLINGHAM, PORT ANGELES AND YAKIMA, WASH. AND SANDPOINT AND POCATELLO, IDAHO. RESIDENTS WHO GO TO YAKIMA, WASH., SPEND PART OF THEIR ROTATION AT THE YAKIMA VALLEY FARM WORKERS CLINIC IN NEARBY TOPPENISH. THE WWAMI ROTATION AND ALASKA TRACK GIVE RESIDENTS UNIQUE EXPERIENCES, PROVIDE ISOLATED COMMUNITIES BETTER ACCESS TO CARE AND POTENTIALLY LEAD YOUNG DOCTORS TO ESTABLISH PRACTICES WHERE THEY'RE NEEDED MOST. FOCUS ON OBESITY: TRAINING RESIDENTS TO BUILD HEALTHY HABITS CHILDREN'S IS COLLABORATING WITH A GROUP OF CHILD CARE SITES AND PEDIATRIC CLINICS TO PROMOTE PHYSICAL ACTIVITY AND OBESITY PREVENTION FOR CHILDREN FROM BIRTH TO AGE 5. WE'RE TRAINING RESIDENTS WORKING IN CLINICS SO THEY CAN EDUCATE PARENTS AND CHILD CARE PROVIDERS ABOUT KEEPING KIDS ACTIVE AND HEALTHY. WE'RE ALSO DEVELOPING MATERIALS THAT WILL GIVE PARENTS TIPS ON HELPING THEIR CHILDREN PLAY AND INFORMATION ABOUT LOW-COST ACTIVITIES IN THEIR COMMUNITY. COMMUNITY PROGRAMS AND SERVICES CHILDREN'S WORKS IN AND WITH THE COMMUNITY TO ADDRESS THE HEALTH AND SAFETY NEEDS OF CHILDREN AND FAMILIES. WE TACKLE THE ROOT CAUSES OF ILLNESS AND INJURY, PROVIDE A VOICE FOR FAMILIES WHO ARE NOT ALWAYS HEARD, AND PROMOTE CHANGES THAT WILL LEAD TO HEALTHIER COMMUNITIES. TOGETHER WITH OUR PARTNERS, WE STRIVE TO IMPROVE ACCESS TO HEALTHCARE, PROMOTE HEALTHY CHILD DEVELOPMENT AND MEET THE SPECIAL NEEDS OF CHILDREN WITH CHRONIC CONDITIONS WHERE THEY LIVE. ADDRESSING PUBLIC HEALTH ISSUES COMMUNICATING WITH VACCINE-HESITANT PARENTS MORE THAN 6% OF WASHINGTON PARENTS OPT OUT OF REQUIRED KINDERGARTEN VACCINATIONS FOR THEIR CHILDREN - THE HIGHEST RATE OF ANY STATE IN THE COUNTRY. WHEN SOME PARENTS SKIP OR DELAY ROUTINE VACCINATIONS, IT PUTS THE COMMUNITY AT RISK OF OUTBREAKS. TO HELP VACCINE-HESITANT PARENTS MAKE AN INFORMED DECISION, CHILDREN'S JOINED GROUP HEALTH, WASHINGTON STATE DEPARTMENT OF HEALTH, WITHIN REACH AND THE COMMUNITY PEDIATRIC FOUNDATION OF WASHINGTON IN 2011 TO LAUNCH VAX NORTHWEST. VAX NORTHWEST WORKS WITH PARENTS OF VACCINATED CHILDREN TO SHARE INFORMATION ON IMMUNIZATION WITH OTHER PARENTS WHO MAY BE HESITANT TO VACCINATE THEIR CHILD. IT ALSO HAS DEVELOPED TOOLS TO HELP VACCINE PROVIDERS HAVE PRODUCTIVE CONVERSATIONS WITH PARENTS WHO ARE HESITANT ABOUT IMMUNIZATION. THIS COMES ON THE HEELS OF A NEW STATE LAW WHICH MANDATES THAT PARENTS WHO WANT TO OPT OUT MUST HAVE A VACCINE PROVIDER SIGN THE EXEMPTION FORM TO CONFIRM THEY'VE RECEIVED VACCINE BENEFIT AND RISK INFORMATION. VAX NORTHWEST IS STUDYING ITS TWO-PRONGED APPROACH OF WORKING WITH BOTH PARENTS AND PROVIDERS AND WILL SHARE WHAT IT LEARNS THROUGHOUT THE STATE AND BEYOND. DELIVERING DENTAL CARE TO CHILDREN STATEWIDE CHILDREN SHOULD BE SEEN BY A DENTIST AS SOON AS THEY HAVE TEETH, BUT THE NUMBER OF CHILDREN IN OUR STATE WHO GROW UP WITHOUT DENTAL CARE IS HEARTBREAKING. WHEN THE SMILEMOBILE ROLLS INTO A COMMUNITY, IT CAN BE THE FIRST TIME MANY CHILDREN SEE A DENTIST - AND SOMETIMES THEY ARE 18 YEARS OLD. THE SMILEMOBILE IS A 38-FOOT DENTAL CLINIC ON WHEELS SPONSORED BY CHILDREN'S AND THE WASHINGTON DENTAL SERVICE FOUNDATION THAT TRAVELS THROUGHOUT WASHINGTON PROVIDING DENTAL CARE TO CHILDREN FROM FAMILIES WITH LIMITED INCOMES. THE SMILEMOBILE HELPED 2,000 CHILDREN IN 2011 AND MORE THAN 25,000 CHILDREN SINCE HITTING THE ROAD IN 1995. THE MOBILE CLINIC PROVIDES EXAMS, PREVENTIVE CARE, FILLINGS AND MINOR ORAL SURGERY ON A SLIDING-FEE BASIS. THE SMILEMOBILE ADDRESSES A PRESSING NEED. TWO-YEAR-OLDS IN WASHINGTON ARE MORE THAN TWICE AS LIKELY AS CHILDREN ELSEWHERE IN THE NATION TO HAVE DENTAL DECAY, ACCORDING TO THE DENTAL ASSOCIATION FOUNDATION. PREVENTING DRUG AND ALCOHOL ABUSE MORE THAN 10% OF TEENS IN WASHINGTON USE PRESCRIPTION MEDICINE TO GET HIGH, AND MORE THAN THREE OUT OF FIVE TEENS SAY PAIN RELIEVERS ARE EASY TO GET FROM A PARENT'S OR GRANDPARENT'S MEDICINE CABINET, ACCORDING TO THE WASHINGTON STATE DEPARTMENT OF HEALTH. CHILDREN'S WORKS ON MANY FRONTS TO PREVENT ADOLESCENT SUBSTANCE ABUSE - INCLUDING IN THE NEIGHBORHOOD AROUND US. OUR ADOLESCENT MEDICINE DEPARTMENT OFFERS SUBSTANCE ABUSE PREVENTION AND MENTAL HEALTH SERVICES AT ECKSTEIN MIDDLE SCHOOL. WE'RE ALSO PART OF PREVENTION WORKS IN SEATTLE (WINS), A COMMUNITY COALITION FOCUSED ON FIGHTING ADOLESCENT DRUG AND ALCOHOL ABUSE IN THE NORTHEAST SEATTLE COMMUNITY. SINCE 2006, PREVENTION WINS CONDUCTS PROGRAMS SERVING FAMILIES AT ECKSTEIN - INCLUDING MAILING A SERIES OF INFORMATIONAL POSTCARDS WITH A SPECIAL FOCUS ON THE GROWING DANGER OF PRESCRIPTION DRUG ABUSE. THESE AND OTHER EFFORTS SEEM TO BE PAYING OFF. ACCORDING TO THE WASHINGTON STATE HEALTHY YOUTH SURVEY, ALCOHOL USE RATES FOR 10TH AND 12TH GRADERS IN NATHAN HALE AND ROOSEVELT HIGH SCHOOLS (WHERE ECKSTEIN STUDENTS GO TO) DROPPED BY MORE THAN 10% FROM 2006 TO 2010. REACHING OUT TO FAMILIES OF CHILDREN WITH AUTISM LEARNING THEIR CHILD HAS AUTISM IS AN EMOTIONALLY DISTRESSING PIECE OF NEWS FOR PARENTS TO RECEIVE. THEY'RE TOLD THEIR CHILD HAS A NEURODEVELOPMENTAL DISORDER WITH AN UNKNOWN CAUSE, NO KNOWN CURE AND AN UNCERTAIN TREATMENT PATH. OUR AUTISM CENTER HELPS FAMILIES COPE BY OFFERING CLASSES AND SUPPORT GROUPS. IN 2011, WE ADDED AN AUTISM BLOG. THE BLOG ENABLES AUTISM EXPERTS TO ANSWER QUESTIONS, SHARE THE LATEST NEWS AND OFFER PERSPECTIVE ON HOW TO RAISE A CHILD WITH AUTISM - EVERYTHING FROM HOW TO CHOOSE A SUMMER CAMP TO MAKING THE TRANSITION FROM PRESCHOOL TO KINDERGARTEN. ONE OUT OF EVERY 110 CHILDREN IS DIAGNOSED WITH AUTISM, ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION, AND THERE'S A LONG LIST OF FAMILIES WAITING TO BE SEEN AT THE AUTISM CENTER. THE BLOG LETS US REACH MORE FAMILIES AND PROVIDE THE SUPPORT AND INFORMATION THEY NEED.
	PROTECTING INFANTS FROM ABUSIVE HEAD TRAUMA IN A TRAGIC PARALLEL TO THE ECONOMIC DOWNTURN, HOSPITALS HAVE BEEN TREATING A RISING NUMBER OF INFANTS FOR ABUSIVE HEAD TRAUMA, ACCORDING TO A MULTI-SITE STUDY THAT INCLUDED CHILDREN'S. THE STUDY SHOWED THE NUMBER OF CASES OF ABUSIVE HEAD TRAUMA - ALSO KNOWN AS SHAKEN BABY SYNDROME - DOUBLED BETWEEN 2007 AND 2009. FRUSTRATION OVER A CRYING BABY IS THE MOST COMMON TRIGGER FOR CAREGIVERS INFLICTING ABUSIVE HEAD INJURIES IN INFANTS. THIS ALARMING TREND LED CHILDREN'S TO FORM THE ABUSIVE HEAD TRAUMA PREVENTION TASK FORCE, A STATEWIDE NETWORK OF PROFESSIONALS AND PARENTS OF VICTIMS WORKING TO PREVENT SHAKEN BABY SYNDROME. THE TASK FORCE HAS BEEN INSTRUMENTAL IN PROVIDING EDUCATIONAL MATERIALS TO 35,000 NEW FAMILIES TO RAISE AWARENESS THAT CRYING IS NORMAL AND CAREGIVERS SHOULD DEVELOP A PLAN TO COPE WITH THE POTENTIAL FRUSTRATION. THE EDUCATIONAL MATERIALS ARE BASED ON THE PERIOD OF PURPLE CRYING EVIDENCE-BASED PROGRAM, DEVELOPED BY THE NATIONAL CENTER ON SHAKEN BABY SYNDROME. THE ACRONYM PURPLE DESCRIBES THE SPECIFIC CHARACTERISTICS OF AN INFANT'S CRYING AND REASSURES THEM THIS PERIOD WILL END. EDUCATING THE PUBLIC ABOUT DWARFISM CHILDREN'S, THE PUGET SOUND CHAPTER OF LITTLE PEOPLE OF AMERICA (LPA) AND CAFFE LADRO ESPRESSO BAR AND BAKERY KICKED OFF NATIONAL DWARFISM MONTH WITH A "STAND TALL FOR LITTLE PEOPLE" CAMPAIGN. THROUGHOUT OCTOBER, CAFFE LADRO'S 13 LOCATIONS USED CUPS THAT SHRANK THE SIZE OF THEIR SIGNATURE "TALL MAN" LOGO, ADDED THE PHRASE "STAND TALL FOR LITTLE PEOPLE" AND DIRECTED COFFEE DRINKERS TO THE PUGET SOUND CHAPTER OF LPA WEBSITE - ALL TO RAISE AWARENESS ABOUT ISSUES SURROUNDING DWARFISM OR SKELETAL DYSPLASIA. CHILDREN'S HAS ONE OF THE LARGEST SKELETAL DYSPLASIA CLINICS IN THE REGION AND CARES FOR PEOPLE OF ALL AGES WITH SKELETAL DYSPLASIA AND OTHER RARE BONE CONDITIONS. "WE HAVE A RESPONSIBILITY TO PROVIDE EXPERTISE AND COMPREHENSIVE CARE TO PATIENTS, AND TO ALSO SUPPORT THE BROADER DWARFISM COMMUNITY BY EDUCATING THE GENERAL PUBLIC," SAYS DR. MICHAEL GOLDBERG, WHO LEADS THE SKELETAL DYSPLASIA CLINIC. EDUCATING COMMUNITY MEMBERS SHARING INFORMATION THROUGH THE MEDIA CHILDREN'S IS A TRUSTED SOURCE OF INFORMATION ABOUT THE HEALTH AND SAFETY OF CHILDREN AND FAMILIES. WE USE ALL FORMS OF MEDIA TO EDUCATE THE COMMUNITY AND RESPOND TO QUESTIONS AND CONCERNS. IN 2011, WE COLLABORATED WITH KUNS/UNIVISION TV TO PRODUCE A HALF-HOUR PROGRAM IN SPANISH ABOUT DIABETES. THE PROGRAM TOLD THE STORIES OF THREE LATINO PATIENTS AND EMPHASIZED THAT IT TAKES A TEAM - INCLUDING THE FAMILY - TO PROVIDE THE CARE AND SUPPORT NEEDED BY DIABETES PATIENTS. WE WORKED WITH KING-TV TO AIR 30 SHORT HEALTHLINK SEGMENTS ABOUT TYPICAL CHILDHOOD AND PARENTING CONCERNS, AS WELL AS TWO HOUR-LONG SPECIALS - ONE ABOUT TEEN HEALTH ISSUES AND ANOTHER ABOUT HOW STAFF, PATIENTS AND VOLUNTEERS SUPPORT THE HOSPITAL. WE PRODUCED FOUR ISSUES OF GOOD GROWING NEWSLETTER - DISTRIBUTED ONLINE AND THROUGH PARENTMAP MAGAZINE -AND SIX ISSUES OF MY GOOD GROWING, AN EMAIL NEWSLETTER PROVIDING CHILD HEALTH AND SAFETY INFORMATION. WE ALSO CONTINUED TO EXPAND OUR USE OF SOCIAL MEDIA TO INTERACT WITH THE COMMUNITY - AND HELP FAMILIES SHARE EXPERIENCES WITH OTHER FAMILIES - THROUGH BLOGS (TEENOLOGY 101, SEATTLE MAMA DOC, AUTISM), FACEBOOK, TWITTER AND YOUTUBE (WHERE WE'VE POSTED MORE THAN 300 VIDEOS). SUPPORTING TEENS AND YOUNG ADULTS WITH CANCER WITH THE MANY LIFE CHANGES TEENS AND YOUNG ADULTS GO THROUGH, SUPPORT FROM PEERS IS ALWAYS IMPORTANT, BUT IT'S EVEN MORE IMPORTANT FOR YOUNG PEOPLE FIGHTING CANCER. TO HELP MEET THEIR UNIQUE NEEDS, CHILDREN'S RELEASED A NEW VIDEO SERIES ON YOU TUBE CALLED "GOOD TIMES AND BALD TIMES." THE VIDEOS FEATURE SEVEN CANCER SURVIVALS FROM THE ADOLESCENT AND YOUNG ADULT (AYA) ONCOLOGY PROGRAM TALKING ABOUT THEIR CANCER EXPERIENCES IN CANDID GROUP DISCUSSIONS KNOWN AS TEEN TALKING CIRCLES (TTC). "USING THE TTC APPROACH FOR TEENS WITH CANCER IS NEW," SAYS LEAH KROON, A NURSE WITH THE AYA TEAM, "BUT IT'S A SAFE WAY FOR THEM TO TALK ABOUT THEIR EXPERIENCES AND A GREAT PLATFORM FOR REACHING OTHER TEENS WITH CANCER." THE 12 VIDEOS ADDRESS TOPICS RANGING FROM DEALING WITH SCHOOL TO FERTILITY ISSUES SUCH AS SPERM BANKING AND EGG PRESERVATION. "IT'S SO IMPORTANT THAT TEENS AND YOUNG ADULTS WITH CANCER KNOW THERE ARE PEERS OUT THERE WHO KNOW WHAT THEY'RE GOING THROUGH," SAYS DR. REBECCA JOHNSON, WHO LEADS THE AYA ONCOLOGY PROGRAM. PEOPLE MAKING A DIFFERENCE: REGIONAL CARE COORDINATORS FINDING HEALING IN A BOWL OF MOOSE SOUP MEDICINE COMES IN MANY FORMS. AN ALASKA NATIVE BOY FOUND HEALING IN A BOWL OF MOOSE SOUP, THANKS TO KATHY SALMONSON, A REGIONAL CARE COORDINATOR FROM CHILDREN'S. THE BOY - WHO NEEDED A LIVER TRANSPLANT - CAME TO CHILDREN'S FROM A SMALL VILLAGE IN ALASKA. AS THE 12-YEAR-OLD RECUPERATED FROM SURGERY, HE WASN'T EATING MUCH. FOOD HERE WAS JUST TOO DIFFERENT FROM WHAT HE WAS USED TO BACK HOME. THE ONLY FOOD HE WANTED WAS MOOSE SOUP. WHEN SALMONSON LEARNED OF HIS REQUEST, SHE USED HER CONTACTS HERE AND IN ALASKA TO OBTAIN NATIVE INGREDIENTS FOR THE DISH. LOCAL ALASKA NATIVE COMMUNITY MEMBERS COOKED AND PREPARED FOOD TO BRING TO HIM AND HIS FAMILY. HE STARTED EATING AGAIN AFTER RECEIVING FOODS FROM HOME. CHILDREN'S IS THE PEDIATRIC REFERRAL CENTER FOR A FOURSTATE REGION, SO WE CARE FOR MANY CHILDREN LIKE THIS PATIENT WHO COME FROM SMALL AND DISTANT COMMUNITIES. OUR REGIONAL NURSE CARE COORDINATORS, SALMONSON WITH ALASKA AND MONTANA AND CATE FAIRHEAD WITH CENTRAL WASHINGTON, SERVE AS A LINK BETWEEN HOME AND HOSPITAL. THEIR MAIN JOB IS TO SUPPORT COMMUNICATION, SYSTEM NAVIGATION, CARE COORDINATION AND DISCHARGE PLANNING BETWEEN CHILDREN'S AND CARE PROVIDERS IN THEIR RESPECTIVE REGION. AS PART OF COORDINATING FOLLOWUP CARE FOR DISCHARGED PATIENTS, SALMONSON AND FAIRHEAD PROVIDE SUPPORT TO FAMILIES DURING THEIR STAY HERE. "IT'S REALLY IMPORTANT TO TAKE THE TIME TO LISTEN AND BE AWARE OF HOW FAR FROM HOME SOME FAMILIES ARE AND HOW SCARY THIS ALL IS," SALMONSON SAYS. "WE TRY OUR BEST TO MAKE A DIFFERENCE FOR FAMILIES DURING A DIFFICULT TIME IN THEIR LIVES." FEATURE: FAMILIES FIND STRENGTH IN SUPPORT GROUPS WHEN LYNN VIGO JOINED CHILDREN'S FIVE YEARS AGO, SHE KNEW FROM EXPERIENCE THAT PARENTS OF CHILDREN WITH AUTISM LACKED OPPORTUNITIES TO LEAN ON AND LEARN FROM EACH OTHER - BECAUSE HER DAUGHTER HAS AUTISM. "RAISING A CHILD WITH AUTISM CAN BE ISOLATING," VIGO SAYS. "PARENTS NEED A PLACE TO SHARE CHALLENGES AND SUCCESSES AND KNOW THEY'RE NOT ALONE, BUT THE DEMAND WASN'T BEING MET." NOW A FAMILY ADVOCATE WITH CHILDREN'S AUTISM CENTER, VIGO STARTED AUTISM LIVING LIFE & YOU (ALLY), A MONTHLY SUPPORT GROUP FOR PARENTS OF CHILDREN SIGNIFICANTLY AFFECTED BY AUTISM. ALLY IS NOW UP TO FOUR DIFFERENT GROUPS. CHILDREN'S ALSO SPONSORS SUPPORT GROUPS FOR PARENTS OF CHILDREN WITH ARTHROGRYPOSIS (A DEBILITATING CONTRACTION OF THE MUSCLES); PARENTS OF INFANTS, TODDLERS AND PRESCHOOLERS WITH DIABETES; SIBLINGS OF CHILDREN WITH SPECIAL NEEDS; AND FAMILIES WHO HAVE EXPERIENCED A CHILD'S DEATH. IN ADDITION, WE PROVIDE SPACE FOR NUMEROUS INDEPENDENT SUPPORT GROUPS TO MEET. FOCUS ON OBESITY: EVERYONE SWIMS SWIMMING IS A GOOD WAY TO GET THE EXERCISE NEEDED TO FIGHT OBESITY, AND KNOWING HOW TO SWIM HELPS PROTECT CHILDREN FROM DROWNING. IN 2011, CHILDREN'S WORKED WITH POOLS, COMMUNITY HEALTH CLINICS AND MANY OTHER ORGANIZATIONS ON EVERYONE SWIMS, A PROGRAM TO INCREASE ACCESS TO SWIMMING AND WATER RECREATION FOR LOW-INCOME AND CULTURALLY DIVERSE FAMILIES. WE'RE WORKING WITH PARTNERS LIKE SEATTLE PARKS AND RECREATION TO INCREASE THE NUMBER OF SCHOLARSHIPS FOR SWIMMING LESSONS AND MAKE PEOPLE AWARE OF SWIMMING OPPORTUNITIES IN THEIR COMMUNITIES. IN SEATTLE'S CENTRAL DISTRICT, FOR EXAMPLE, ODESSA BROWN CHILDREN'S CLINIC AND MEDGAR EVERS POOL WORK TOGETHER TO OFFER SWIM LESSONS FOR OBCC PATIENTS.

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	1590519	TotalIncome
EOY Assets	28201299	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (7 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)	7	N/A	0
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911156519	FUNDRAISING	WA	501(C) (3)	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)	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 11 - TYPE I		0	SEATTLE CHILDREN'S HEALTHCARE SYSTEM
CHILDREN'S PHYSICIANS
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911348125	MEDICAL PRACTICE	WA	501(C) (3)	7		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 11, TYPE 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 11, TYPE 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	4462	ShareOfTotalIncome
Share Of EOY Assets	235399	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner
Percentage Ownership	0.01000	PercentageOwnership

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	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	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	0	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