2025-09-29T14:34:49-05:00 2024-09-30 911194016 CLARK NUBER PS 555 110TH AVE NE SUITE 700 BELLEVUE WA 98004 990 2023-10-01 910564748 SEATTLE CHILDREN'S HOSPITAL SEAT 2068842351 PO BOX 5371 MS 818-FI SEATTLE WA 981455005 SUZANNE BEITEL SENIOR VP & CFO 2068842351 2025-09-25 1 0 SARA ELIZABETH H JONES P00235495 4254544919 2025-09-25 2023 2025-03-06 01:10:19Z JAMIE PHILLIPS PO BOX 5371 MS 818-FI SEATTLE WA 981455005 2862601693 0 8041 X WWW.SEATTLECHILDRENS.ORG X 1907 WA WE PROVIDE HOPE, CARE & CURES TO HELP EVERY CHILD LIVE THE HEALTHIEST & MOST FULFULLING LIFE POSSIBLE 17 17 11682 466 1747834 442447 308383260 338129959 1966516425 2206558130 37715227 87799087 22384548 26945861 2334999460 2659433037 57489875 49810529 0 0 1191951814 1269282686 0 0 0 1059599013 1080144363 2309040702 2399237578 25958758 260195459 4895703194 5583205947 1714328941 1994890259 3181374253 3588315688 X SEATTLE CHILDREN'S HOSPITAL (SEATTLE CHILDREN'S) WILL BE AN INNOVATIVE LEADER IN PEDIATRIC HEALTH AND WELLNESS THROUGH OUR UNSURPASSED QUALITY, CLINICAL CARE, RELENTLESS SPIRIT OF INQUIRY, AND COMPASSION FOR ALL CHILDREN AND THEIR FAMILIES. (CONT. ON SCHEDULE O)OUR FOUNDING PROMISE TO THE COMMUNITY IS AS VALID TODAY AS IT WAS OVER A CENTURY AGO. WE WILL PROVIDE QUALITY AND SAFE CARE FOR ALL CHILDREN IN OUR REGION, REGARDLESS OF THEIR FAMILY'S ABILITY TO PAY. WE WILL:- PRACTICE THE SAFEST, MOST ETHICAL AND EFFECTIVE MEDICAL CARE POSSIBLE.- DISCOVER NEW TREATMENTS AND CURES THROUGH BREAKTHROUGH RESEARCH.- PROMOTE HEALTHY COMMUNITIES.- EMPOWER OUR TEAM MEMBERS TO REACH THEIR HIGHEST POTENTIAL IN A RESPECTFUL AND ENGAGED WORK ENVIRONMENT.- EDUCATE AND INSPIRE A NEXT GENERATION OF FACULTY, STAFF AND BOARD MEMBERS WHO REPRESENT AND SERVE OUR COMMUNITY.- BUILD ON A CULTURE OF PHILANTHROPY FOR PATIENT CARE AND RESEARCH. 0 0 1928453429 3344997 2172033031 PATIENT CARE: SEATTLE CHILDREN'S PROVIDES SUPERIOR MEDICAL CARE TO CHILDREN FROM WASHINGTON, ALASKA, MONTANA AND IDAHO, SERVING THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. IN ADDITION, FAMILIES LIVING BEYOND OUR PRIMARY SERVICE REGION INCREASINGLY SEEK CARE FROM OUR WORLD-RENOWNED SPECIALISTS IN PROGRAMS SUCH AS CANCER, ORGAN TRANSPLANTS AND CRANIOFACIAL SPECIALTIES. IN FISCAL YEAR 2024, SEATTLE CHILDREN'S MEDICAL TEAM TREATED KIDS OF ALL AGES DURING 513,604 PATIENT VISITS, INCLUDING 373,775 OTHER AMBULATORY CLINIC APPOINTMENTS, 57,155 VISITS TO OUR EMERGENCY DEPARTMENT, AND 63,637 VISITS TO URGENT CARE. WE CARED FOR CHILDREN DURING 17,559 ADMISSIONS TO THE HOSPITAL AND 1,478 DAY SURGERIES. AS THE PRIMARY PEDIATRIC HOSPITAL OFFERING HIGH-LEVEL SPECIALTY CARE IN OUR REGION, IN RESPONSE TO THE COVID-19 PANDEMIC, WE SET UP TESTING SITES, HELD VACCINE CLINICS, EXPANDED TELEMEDICINE OFFERINGS, AND CREATED AN EMERGENCY COMMAND CENTER. SEATTLE CHILDREN'S RECEIVED $17.8 MILLION IN FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA) FUNDS IN FISCAL YEAR 2024 RELATED TO REIMBURSEMENT OF COSTS INCURRED IN PRIOR YEARS TO RESPOND TO THE PANDEMIC. 369953388 46465532 30192750 RESEARCH: BECAUSE RESEARCH IS THE FOUNDATION OF SEATTLE CHILDREN'S MISSION TO DISCOVER NEW TREATMENT AND CURES, SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF SEATTLE CHILDREN'S, INVESTED OVER $104 MILLION IN RESEARCH DURING FISCAL YEAR 2024. SEATTLE CHILDREN'S RESEARCH INSTITUTE INVESTIGATORS ARE ADVANCING SCIENTIFIC UNDERSTANDING OF IMPORTANT BIOLOGICAL PROCESSES AND INFLUENCING THE PRACTICE OF PEDIATRICS AROUND THE WORLD. 56274910 0 8292406 EDUCATION: SEATTLE CHILDREN'S IS THE MAJOR RESOURCE FOR PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAMS IN OUR REGION. RESIDENTS AND FELLOWS FROM 84 PROGRAMS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), THREE PROGRAMS ACCREDITED BY THE AMERICAN DENTAL ASSOCIATION (ADA), AND ELEVEN NON-ACGME ACCREDITED SUBSPECIALTY PROGRAMS ROTATED AT SEATTLE CHILDREN'S IN ACADEMIC YEAR 2023-2024. 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. 4665601 0 2436280 CARE NETWORK: CHILDREN'S CLINICALLY INTEGRATED NETWORK, DOING BUSINESS AS SEATTLE CHILDREN'S CARE NETWORK (SCCN), IS A LIMITED LIABILITY COMPANY ESTABLISHED BY SEATTLE CHILDREN'S TO DEVELOP, COORDINATE AND IMPLEMENT A CLINICALLY INTEGRATED PEDIATRIC PROVIDER NETWORK TO PROMOTE COLLABORATION AND MODIFY PRACTICE PATTERNS TO ENHANCE THE QUALITY AND COST EFFECTIVENESS OF PEDIATRIC CARE. SCCN CONTRIBUTES TO THE MISSION OF SEATTLE CHILDREN'S BY PROMOTING HEALTH THROUGH ITS PEDIATRIC ORGANIZED SYSTEM OF CARE THAT IMPROVES INTEGRATION, COORDINATION, QUALITY, SAFETY AND EFFICIENCY FOR BETTER OUTCOMES FOR PEDIATRIC PATIENTS WITHIN THE COMMUNITY. 4665601 0 2436280 2359347328 1 1 0 1 0 1 0 0 0 1 1 1 0 1 1 1 0 1 0 0 1 1 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 1 1020 0 1 11682 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 17 17 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X SAMANTHA SLOANE VP FINANCE 2068842351 818 STEWART ST 8TH FLOOR SEATTLE WA 98101 CONAN VIERNES TRUSTEE 2.00 0.00 X 30 0 0 KEN DENMAN TREASURER 1.00 0.00 X X 0 0 0 JOEL FRENCH CHAIR 15.00 1.00 X X 0 0 0 TROY HUTSON SECRETARY 10.00 0.00 X X 0 0 0 KURT SHINTAFFER VICE CHAIR 5.00 0.00 X X 0 0 0 LOREN ALHADEFF TRUSTEE 1.00 0.00 X 0 0 0 SUSAN BETCHER TRUSTEE 5.00 0.00 X 0 0 0 JILL BRUBAKER MD TRUSTEE 1.00 0.00 X 0 0 0 MARCUS EAST TRUSTEE 5.00 0.00 X 0 0 0 COLIN FOX JR PHD TRUSTEE 3.00 0.00 X 0 0 0 DAN LEVITAN TRUSTEE 2.00 0.00 X 0 0 0 SUSAN MULLANEY TRUSTEE 3.00 0.00 X 0 0 0 MARK OKERSTROM TRUSTEE 1.00 0.00 X 0 0 0 JUDITH PIERCE TRUSTEE 1.00 0.00 X 0 0 0 RACQUEL RUSSELL TRUSTEE 1.00 0.00 X 0 0 0 JOHN SCHOETTLER TRUSTEE 4.00 0.00 X 0 0 0 MOYA VAZQUEZ TRUSTEE 2.00 0.00 X 0 0 0 SUZANNE BEITEL SENIOR VP & CHIEF FINANCIAL OFFICER 0.00 56.00 X 83307 840897 174757 JAMIE PHILLIPS SENIOR VP & CHIEF OPERATING OFFICER 55.00 0.00 X 929468 0 161871 ERIC THAM MD SVP & CHIEF RESEARCH OPS OFFICER 55.00 0.00 X 905655 0 144387 JEFFREY OJEMANN MD SVP - CHIEF MEDICAL OFFICER 55.00 1.00 X 272947 460329 44680 ERIK LAUSUND CHIEF OF RESEARCH OPERATIONS 55.00 0.00 X 715238 0 26730 JEFFREY AVANSINO MD VP - MEDICAL AFFAIRS 55.00 1.00 X 475785 186236 60941 BONNIE FRYZLEWICZ SVP & CHIEF NURSING OFFICER 55.00 0.00 X 553161 0 118006 PAMELA ROCK VP, MED SERV LINE & SPEC PROGRAMS 1.00 0.00 X 635809 0 18315 PAUL SHAREK MD VP - CHIEF QUALITY & SAFETY OFFICER 55.00 0.00 X 587039 0 40557 RUTH MCDONALD MD VP-CHIEF MEDICAL OPERATIONS OFFICER 55.00 1.00 X 586142 0 39457 MICHAEL JENSEN MD VP-SC THERAPEUTICS,CHIEF MED OFFICER 14.00 41.00 X 499870 0 54452 TANYA SEATON VP & CHIEF AMBULATORY OFFICER 55.00 1.00 X 472454 0 31941 JOHN SAAVEDRA VP - PEOPLE OPERATIONS 55.00 0.00 X 420994 0 49034 WARREN HEWITT VP - FINANCE 41.00 14.00 X 289562 94945 53914 SUZANNE VANDERWERFF VP-REV CYCLE & HEALTH INFO INTEGRITY 55.00 0.00 X 387228 0 51033 WENDY JAKOBSEN VP - COMPLIANCE 55.00 0.00 X 387242 0 47003 VICTORIA CLEATOR VP-RES FACILITIES OPS, CAP PROJECTS 55.00 0.00 X 409859 0 24113 VITTORIO GALLO PHD SVP & CHIEF SCIENTIFIC OFFICER 55.00 0.00 X 415115 0 2225 ROBIN TURNER VP & DEPUTY GENERAL COUNSEL 55.00 0.00 X 358435 0 31303 ANDRE DICK MD SVP & SURGEON IN CHIEF 55.00 0.00 X 300104 39500 45016 DONDI CUPP SVP & CHIEF DEV OFFICER - FOUNDATION 5.50 49.50 X 69476 603723 129024 MICHAEL ASTION MD PHD CHIEF OF PATHOLOGY & LAB MEDICINE 55.00 0.00 X 740948 0 60105 CORY NOEL MD CARDIOLOGIST 55.00 0.00 X 532055 0 61098 RYOTA KASHIWAZAKI MD OTOLARYNGOLOGIST 55.00 0.00 X 525053 0 54188 KEVIN KOLLINS MD CARDIOLOGIST 55.00 0.00 X 487487 0 56299 JEFF SPERRING MD FORMER OFFICER 0.00 55.00 X 284969 1550322 393891 ZAFAR CHAUDRY MD FORMER KEY EMPLOYEE 0.00 55.00 X 84937 1137334 118535 MYRA GREGORIAN FORMER KEY EMPLOYEE 0.00 55.00 X 86162 656939 150585 STANLEY RA FORMER KEY EMPLOYEE 0.00 55.00 X 10555 743158 42524 RUSSELL WILLIAMS FORMER KEY EMPLOYEE 0.00 0.00 X 374150 132798 28643 SAMUEL WILLIAMS FORMER KEY EMPLOYEE 0.00 0.00 X 165881 0 3823 DOUGLAS PICHA FORMER HIGHEST COMPENSATED EMPLOYEE 0.00 24.00 X 48814 308925 50728 13095931 6755106 2369178 2907 1 1 0 AYA HEALTHCARE 5930 CORNERSTONE CT STE 300 SAN DIEGO CA 92121 CONTRACT STAFF SERVICES 77180418 CHILDREN'S UNIVERSITY MEDICAL GROUP 4500 SAND POINT WAY NE STE 100 SEATTLE WA 98105 PHYSICIAN SERVICES 71508838 UNIVERSITY OF WASHINGTON PO BOX 358220 SEATTLE WA 98195 RESIDENTS & INTERNS 46611780 SELLEN CONSTRUCTION 227 WESTLAKE AVE N SEATTLE WA 98109 CONSTRUCTION 36537453 LEASE CRUTCHER LEWIS 2200 WESTERN AVE STE 500 SEATTLE WA 98121 CONSTRUCTION 29030485 483 144024339 181520955 12584665 3589798 338129959 PATIENT SVC REVENUES 621110 2139808496 2139808496 OTHER HEALTHCARE SVCS 621110 61167381 59450337 1717044 INVESTMENT PROV CHILD 621110 2544615 2544615 CARE INTEGRATED NETWRK 621110 2436280 2436280 GIFT SHOP 459420 601358 601358 2206558130 44540067 44540067 8981319 8981319 19924743 9058707 10866036 10866036 10866036 237000418 368551 193187290 922659 43813128 -554108 43259020 43259020 CAFETERIA 722514 3994065 3994065 PARKING 812930 2433062 30790 2402272 INSURANCE SETTLEMENTS 900099 671379 671379 7098506 2659433037 2204239728 1747834 115315516 X 43162772 43162772 1704655 1704655 4943102 4943102 10135034 10135034 111775 109573 2202 983482502 967791715 15690787 58391936 57460333 931603 136437175 134260414 2176761 80724264 79436364 1287900 8372938 8239354 133584 399130 392762 6368 729057 729057 1044478 1027814 16664 173816544 171043421 2773123 4835180 4758038 77142 54889164 54013445 875719 39141018 38516550 624468 62263231 61269864 993367 6236696 6137194 99502 1373313 1351403 21910 31375805 30875226 500579 149112427 146733441 2378986 13542176 13326120 216056 PHYSICIANS SERVICES 227923122 227923122 MEDICAL SUPPLIES 213912552 213912552 LICENSES AND TAXES 39165841 38540977 624864 UBI TAXES 77027 77027 51934664 51611033 323631 2399237578 2359347328 39890250 0 38266441 73903950 36897355 37587894 18615272 46957045 457316183 499916812 132549 45088 28268797 26232095 55856906 48791501 3461729427 1214037591 2216616292 2247691836 789373441 812681970 827891314 985280356 178451124 205744545 19723990 42177831 228293530 556195024 4895703194 5583205947 339587629 359621037 1020183 500472 492583131 478178672 399161883 399375622 481976115 757214456 1714328941 1994890259 X 2450922806 2757587312 730451447 830728376 3181374253 3588315688 4895703194 5583205947 X 260195459 120009038 26736938 X 0 1 X 1 1 1 X 297631972 338017363 328081855 308383260 338129959 1610244409 297631972 338017363 328081855 308383260 338129959 1610244409 1610244409 50818939 47499657 60420729 61202217 73446129 293387671 612837 1371193 308154 187265 0 2479449 4319065 671379 4990444 1911101973 8860291832 0.84260 0.83920 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INSURANCE SETTLEMENTS - 2022 AMOUNT: $ 4,319,065. 2023 AMOUNT: $ 671,379. SCHEDULE A, PARTS I AND II: AS INDICATED ON PART I, SEATTLE CHILDREN'S IS A HOSPITAL DESCRIBED IN SECTION 170(B)(1)(A)(III). HOWEVER, THE SUPPORT SCHEDULE ON PART II HAS BEEN PREPARED IN ORDER TO DEMONSTRATE THAT IT ALSO QUALIFIES AS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI) AND THEREFORE QUALIFIES FOR THE SPECIAL RULE ON SCHEDULE B, SCHEDULE OF CONTRIBUTORS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 729057 729057 729057 729057 2406184557 2606250977 2406913614 2606980034 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 432212 448548 754496 729057 2364313 250000 250000 250000 250000 1000000 1500000 PART II-A, AFFILIATED GROUP STATEMENT: SEATTLE CHILDREN'S HOSPITAL, EIN: 91-0564748 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 729,057 OTHER EXEMPT PURPOSE EXPENDITURES: 2,406,184,557 TOTAL EXEMPT PURPOSE EXPENDITURES: 2,406,913,614 SEATTLE CHILDREN'S HOSPITAL HAS A 501(H) ELECTION SEATTLE CHILDREN'S HEALTHCARE SYSTEM, EIN: 91-1250116 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 18,200,487 TOTAL EXEMPT PURPOSE EXPENDITURES: 18,200,487 NO 501(H) ELECTION WAS MADE UMBRELLA PEDIATRICS, PC, EIN: 86-1448700 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 4,026,324 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,026,324 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S FOUNDATION, EIN: 91-1156519 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 153,969,354 TOTAL EXEMPT PURPOSE EXPENDITURES: 153,969,354 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S GUILD ASSOCIATION, EIN: 91-1394056 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 20,533,868 TOTAL EXEMPT PURPOSE EXPENDITURES: 20,533,868 NO 501(H) ELECTION WAS MADE CHILDREN'S RETAIL, EIN: 91-1998909 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 3,336,387 TOTAL EXEMPT PURPOSE EXPENDITURES: 3,336,387 NO 501(H) ELECTION WAS MADE 3 0 45635 1219327 1 1 671353000 15856000 119832000 15594000 791447000 576681000 21888000 88456000 15672000 671353000 700156000 13084000 -122501000 14058000 576681000 533143000 37085000 142145000 12217000 700156000 454809000 37952000 51168000 10786000 533143000 0.59520 0.40480 0 1 1 266988313 266988313 2113551565 644049837 1469501728 102954838 56427111 46527727 817682517 501762245 315920272 160552194 11798398 148753796 2247691836 POOLED INVESTMENTS 970939790 F INTEREST IN GENTIBIO INC 5119998 F INTEREST IN BE BIOPHARMA INC 1779857 F INTEREST IN UMOJA BIOPHARMA INC 708798 F DEFERRED COMPENSATION PLANS 2735111 F OIL LEASES & MISC EQUITY INTERESTS 18555 C LIFE INSURANCE 100691 F HOSPITAL CENTRAL SERVICES ASSOC 3877556 C 985280356 RIGHT-OF-USE ASSETS, NET 224155003 RECEIVABLE FROM AFFILIATES 193001615 GRANTS & CONTRACTS RECEIVABLE 39009418 RENTS RECEIVABLE 30236558 NEW MARKET TAX CREDIT LEVERAGE LOAN RECEIVABLE 24560875 DUE FROM BROKER FOR SECURITIES SOLD 20586779 SAFETY NET ASSESSMENT 14939986 OTHER RECEIVABLES 5298058 INTEREST RECEIVABLE 4178601 POOLED INVESTMENTS 228131 556195024 SWAP MTM VALUE - BONDS 2735340 DEFERRED COMPENSATION PLAN PAYABLE 16518337 DEFERRED AND OTHER LIABILITIES 2735110 PAYABLE TO AFFILIATE 428783812 DUE TO BROKERS FOR SECURITIES PURCHASED 36825385 OPERATING LEASE LIABILITIES 54354020 FINANCE LEASE LIABILITIES 215262452 757214456 X PART V, LINE 4: SEATTLE CHILDREN'S HOSPITAL AND SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) SHARE IN A UNIFIED ENDOWMENT FUND (UEF) THAT IS MANAGED BY SCHS. SEATTLE CHILDREN'S HOSPITAL'S RESTRICTED ASSETS REFLECT ENDOWMENTS WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL. PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS GRANTED SCHS, AND THE CONTROLLED CORPORATIONS LISTED ABOVE, EXEMPTION FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (IRC) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE IRC FORMED TO OPERATE FOR CHARITABLE, EDUCATIONAL, SCIENTIFIC, AND MEDICAL PURPOSES. DURING 2024 AND 2023, SCHS DID NOT RECORD ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. 1 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 570103302 NORTH AMERICA INVESTMENTS 1244409 EUROPE (INCLUDING ICELAND & GREENLAND) INVESTMENTS 235013 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION 2684101 SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION 1906925 NORTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION 266660 EAST ASIA AND THE PACIFIC 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION 82843 SOUTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION 2573 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES ESTIMATED PURCHASES OF MEDICAL AND IT SERVICES 691000 NORTH AMERICA 0 0 PROGRAM SERVICES ESTIMATED PURCHASES OF MEDICAL AND IT SERVICES 369000 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ESTIMATED PURCHASES OF MEDICAL AND IT SERVICES 67000 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES ESTIMATED PURCHASES OF MEDICAL AND IT SERVICES 17000 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES ESTIMATED PURCHASES OF MEDICAL AND IT SERVICES 1000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 415000 NORTH AMERICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 293000 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO CONFERENCES, WORKSHOPS, AID SITES AND RESEARCH SITES 198000 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO CONFERENCES, MEETINGS AND AID SITES 115000 SOUTH AMERICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 28000 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 12000 SOUTH ASIA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO CONFERENCES, MEETINGS AND AID SITES 10000 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 4000 RUSSIA AND NEIGHBORING STATES 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 1000 EAST ASIA AND THE PACIFIC 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION NORTH AMERICA 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION MIDDLE EAST AND NORTH AFRICA 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION SUB-SAHARAN AFRICA 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION 0 0 0 0 0 0 576525826 2221000 578746826 EUROPE (INCLUDING ICELAND & GREENLAND) PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 2008887 WIRE TRANSFER 0 EUROPE (INCLUDING ICELAND & GREENLAND) PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 198002 WIRE TRANSFER 0 EUROPE (INCLUDING ICELAND & GREENLAND) PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 196305 WIRE TRANSFER 0 EUROPE (INCLUDING ICELAND & GREENLAND) PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 149313 WIRE TRANSFER 0 EUROPE (INCLUDING ICELAND & GREENLAND) PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 55850 WIRE TRANSFER 0 EUROPE (INCLUDING ICELAND & GREENLAND) PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 44820 WIRE TRANSFER 0 EUROPE (INCLUDING ICELAND & GREENLAND) PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 17818 WIRE TRANSFER 0 EUROPE (INCLUDING ICELAND & GREENLAND) PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 13106 WIRE TRANSFER 0 SUB-SAHARAN AFRICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 880044 WIRE TRANSFER 0 SUB-SAHARAN AFRICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 617686 WIRE TRANSFER 0 SUB-SAHARAN AFRICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 399777 WIRE TRANSFER 0 SUB-SAHARAN AFRICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 9418 WIRE TRANSFER 0 NORTH AMERICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 248635 WIRE TRANSFER 0 NORTH AMERICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 18025 WIRE TRANSFER 0 EAST ASIA AND THE PACIFIC PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS 82843 WIRE TRANSFER 0 1 14 0 0 0 0 0 1 PART I, LINE 2: PRINCIPAL INVESTIGATORS AT SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF THE HOSPITAL, AND THEIR AFFILIATED CENTER BUSINESS OFFICE PERFORM QUARTERLY REVIEWS OF EACH SUBAWARD TO ENSURE THAT RECIPIENTS ARE MANAGING FUNDING IN ACCORDANCE WITH THE TERMS OF THE CONTRACT. THE OFFICE OF SPONSORED RESEARCH DEPARTMENT PERFORMS SINGLE AUDITS, RATE AGREEMENTS, AND DISCLOSURE REQUIREMENTS ARE ALL REVIEWED TO ENSURE THEY ARE CURRENT OR EXEMPT. THIS REVIEW IS TO ENSURE THAT THE SUBRECIPIENT HAS THE NECESSARY INFRASTRUCTURE IN PLACE TO MANAGE FUNDS. TERMS OF THE SUBCONTRACTS ARE MODIFIED AS NEEDED TO ADDRESS ANY ISSUES. THE PRINCIPAL INVESTIGATOR IS RESPONSIBLE TO ENSURE THE WORK IS PERFORMED TO SATISFACTION AND CONSISTENT WITH THE AIMS OF THE PROJECT. THE CENTER BUSINESS OFFICE ENSURES THAT THE INVOICED AMOUNTS ARE ALLOWABLE UNDER THE PROVISIONS OF THE AWARD AND SUBCONTRACT. A FINAL CHECK FOR COMPLIANCE TAKES PLACE AT THE EXPIRATION OF THE SUBAWARD BY THE OFFICE OF SPONSORED RESEARCH AND THE CENTER BUSINESS OFFICE AS A PART OF THE SUBAWARD CLOSEOUT PROCESS. ANY PROBLEMS WITH PERFORMANCE OR EXPENDITURES ARE IDENTIFIED AT THAT TIME AND RESOLVED AS APPROPRIATE BEFORE FINAL DISTRIBUTIONS ARE MADE AND THE SUBAWARD IS COMPLETE. PART I, LINE 3: THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR EXPENDITURES. PART IV, LINE 6: SEATTLE CHILDREN'S HOSPITAL HAS NO OPERATIONS IN A BOYCOTTING COUNTRY. PATIENT CARE REVENUE: PATIENTS FROM THESE BOYCOTTING COUNTRIES ARE SPONSORED BY THEIR GOVERNMENT AND SEEK TREATMENT IN THE UNITED STATES. SOME PATIENTS WILL PAY FOR THEIR OWN TREATMENT, HOWEVER NO PAYMENT OR CASH WAS TRANSFERRED BETWEEN SEATTLE CHILDREN'S HOSPITAL AND THE LOCAL HOSPITALS IN THESE BOYCOTTING COUNTRIES. ACADEMIC RESEARCH GRANT REVENUE: RESEARCHERS IN A BOYCOTTING COUNTRY HAVE SPONSORED A STUDY CONDUCTED BY A PRINCIPAL INVESTIGATOR WITH SEATTLE CHILDREN'S RESEARCH INSITUTE TO ADVANCE AUDIO-VISUAL TECHNOLOGY IN ORDER TO FURTHER UNDERSTANDING, ASSESSMENT TOOLS, AND THERAPIES RELATED TO AUTISM. PART IV, LINES 1-5: SEATTLE CHILDREN'S HOSPITAL REPORTS FOREIGN INVESTMENTS ON SCHEDULE F, PART I BECAUSE IT IS ALLOCATED A PORTION OF THE OVERALL INVESTMENT PORTFOLIO. HOWEVER, IT DOES NOT HAVE FOREIGN FILING REQUIREMENTS, AS THE ACTUAL OWNER OF THE INVESTMENTS IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM, WHICH IS RESPONSIBLE FOR FILING ALL APPLICABLE FOREIGN DISCLOSURES. THEREFORE, SCHEDULE F, PART IV, LINES 1 THROUGH 5 HAVE ALL BEEN ANSWERED "NO," CONFIRMING THAT SEATTLE CHILDREN'S HOSPITAL ITSELF HAS NO DIRECT FOREIGN FILING OBLIGATIONS. 1 1 X 1 X 400.000000000000 1 X 599.000000000000 1 1 0 0 1 29798 13893000 944000 12949000 0.00540 23 320089 927523000 629818000 297705000 0.12430 24 349887 941416000 630762000 310654000 0.12970 86 24483164 11969826 12513338 0.00520 98 56274910 11303316 44971594 0.01880 8 339659261 232447345 107211916 0.04470 17 1275295 258670 1016625 0.00040 209 421692630 255979157 165713473 0.06910 233 349887 1363108630 886741157 476367473 0.19880 1 7500 7500 0.00000 5 110322 43715 66607 0.00000 2 27277 27277 0.00000 15 1599965 1599965 0.00070 23 1745064 43715 1701349 0.00070 1 1488261 0 4458990 7659928 -3200938 X 1 1 1 1 SEATTLE CHILDREN'S HOSPITAL 4800 SAND POINT WAY NE SEATTLE WA 98105 WWW.SEATTLECHILDRENS.ORG 178019356 X X X X X X SEATTLE CHILDREN'S HOSPITAL 1 0 0 1 X X X X X X X X X X 21 1 0 0 1 X WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT X X 1 22 1 WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT 0 1 X 400.000000000000 599.000000000000 X X 1 1 X X X 1 X SEATTLECHILDRENS.ORG/CLINICS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE X FINASST.SEATTLECHILDRENS.ORG X SEATTLECHILDRENS.ORG/CLINICS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X 1 X 0 0 SEATTLE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 3J: SEATTLE CHILDREN'S CONDUCTED ITS FOURTH COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022 TO COVER THE FISCAL PERIOD ENDING 2022-2025 (TAX YEARS 2021-2024) IN ORDER TO:- INVOLVE STAKEHOLDERS AND THE COMMUNITY TO IDENTIFY AND ANALYZE COMMUNITY HEALTH NEEDS AND ASSETS IN ORDER TO PRIORITIZE THESE NEEDS AND TO PLAN AND ACT UPON SIGNIFICANT UNMET COMMUNITY HEALTH NEEDS.- MORE DEEPLY UNDERSTAND HEALTH AND SAFETY ISSUES FACING CHILDREN IN OUR REGION, USING EXISTING DATA AND THE PERSPECTIVES OF COMMUNITY STAKEHOLDERS AND FAMILIES.- IDENTIFY AND DOCUMENT COMMUNITY STRENGTHS, EXISTING PROGRAMS, AND ACTIVITIES THAT ARE HELPING THE COMMUNITY THRIVE.- INFORM OUR COMMUNITY BENEFIT EFFORTS BY DETERMINING WHERE THE COMMUNITY NEEDS ALIGN WITH SEATTLE CHILDREN'S STRATEGIC PLAN, GOALS, OR AREAS IN WHICH WE HAVE SIGNIFICANT EXPERTISE.IN ADDITION TO THE ELEMENTS OUTLINED IN LINE 3A THROUGH 3I, THE 2022 CHNA INCLUDES THE FOLLOWING INFORMATION:- A LIST OF QUANTITATIVE DATA SOURCES USED TO MEASURE PEDIATRIC HEALTH STATUS AND OUTCOMES IN WASHINGTON, ALASKA, MONTANA, AND IDAHO.- A COPY OF THE QUESTIONS USED IN COMMUNITY LISTENING SESSIONS AND THE COMMUNITY SURVEY TO SOLICIT COMMUNITY INPUT.- A SECTION DESCRIBING THE INTERSECTION BETWEEN HEALTH OUTCOMES AND THE HEALTH AND WELL-BEING OF CHILDREN AND TEENS SERVED BY SEATTLE CHILDREN'S.- THE IMPACT OF COVID-19 ON THE HEALTH AND WELL-BEING OF CHILDREN AND TEENS IN WASHINGTON, ALASKA, MONTANA, AND IDAHO.- A DESCRIPTION OF THE STRENGTHS AND ASSETS THAT THE COMMUNITIES SERVED BY SEATTLE CHILDREN'S HAVE THAT CONTRIBUTE TO THE HEALTH AND WELL-BEING OF CHILDREN AND TEENS IN WASHINGTON, ALASKA, MONTANA, AND IDAHO.THROUGH THIS CHNA, WE HAVE GAINED A BETTER UNDERSTANDING OF THE NEEDS AND RESOURCES OF THE COMMUNITIES WE SERVE. THE NEEDS ASSESSMENT LAYS THE FOUNDATION FOR OUR COMMUNITY HEALTH IMPLEMENTATION STRATEGIES, WHICH GUIDE HOW WE WILL CONTINUE TO FULFILL OUR COMMITMENT TO CHILDREN, TEENS AND FAMILIES, IN PARTNERSHIP WITH HEALTH ORGANIZATIONS, GOVERNMENT, BUSINESSES, COMMUNITY BASED ORGANIZATIONS AND COMMUNITIES.SEATTLE CHILDREN'S CHNA HIGHLIGHTS JUST A FEW OF THE MANY DEDICATED GOVERNMENT, NONPROFIT AND PRIVATE ORGANIZATIONS SERVING OUR COMMUNITY'S MOST VULNERABLE POPULATIONS. ORGANIZATIONS SUCH AS THE HEALTHY KING COUNTY COALITION AND THE HEALTH COALITION FOR CHILDREN AND YOUTH ARE POWERFUL ADVOCATES FOR CHILDREN AND FAMILIES. ORGANIZATIONS AND PROVIDERS LIKE COMMUNITY HEALTH CLINICS, UNIVERSITY OF WASHINGTON, HARBORVIEW MEDICAL CENTER, YAKIMA CHILDREN'S VILLAGE, YOUTHCARE, CENTER FOR CHILD AND YOUTH JUSTICE, UNITED WAY, CASCADE BICYCLE CLUB, SEATTLE PARKS AND RECREATION, THE CHILDREN'S ALLIANCE, SOLID GROUND, AND WITHINREACH OFFER EDUCATION, ADVOCACY, CLINICAL CARE, RESEARCH AND/OR DIRECT SERVICES TO HELP CHILDREN, YOUTH AND FAMILIES GET THE HEALTHCARE, HEALTH AND WELL BEING AND PREVENTIVE SERVICES THEY NEED. STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS ARE KEY TO GETTING ESSENTIAL DATA AND TO HELPING FOSTER PROGRAM, POLICY, ENVIRONMENTAL AND SYSTEM CHANGE.FOR SEATTLE CHILDREN'S COMMUNITY HEALTH IMPLEMENTATION STRATEGIES, AND AS A DIRECT RESULT OF THE CHNA, WE HAVE IDENTIFIED FOUR PRIORITY AREAS:- MENTAL AND BEHAVIORAL HEALTH- SUICIDE & INJURY PREVENTION- ECONOMIC OPPORTUNITY, AND- HEALTHY LIFESTYLES (HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY).OUR PRIORITIES HAVE BEEN APPROVED BY THE SEATTLE CHILDREN'S HOSPITAL GOVERNING BOARD OF TRUSTEES AND INCORPORATED INTO THE HOSPITAL'S OPERATING, COMMUNITY OUTREACH AND STRATEGIC INITIATIVES. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RESULTING COMMUNITY HEALTH IMPLEMENTATION STRATEGIES ARE AVAILABLE ON OUR WEBSITE:WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT SEATTLE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: BETWEEN 2019 AND 2022, SEATTLE CHILDREN'S COMPILED EXISTING CHILD AND ADOLESCENT HEALTH DATA TO DESCRIBE DETERMINANTS OF HEALTH AND SOLICITED DIRECT FEEDBACK FROM COMMUNITY STAKEHOLDERS AND FAMILIES. TO GATHER INFORMATION AND ASSESS COMMUNITY NEEDS AND STRENGTHS, WE:- CONDUCTED A REVIEW OF PUBLIC HEALTH INDICATORS AND AREA DEMOGRAPHICS FROM EXISTING SOURCES.- PROVIDED AN ONGOING DATA ANALYSIS WITH OUR LOCAL PUBLIC HEALTH DEPARTMENT(S) INCLUDING ENGAGEMENT WITH THE PUBLIC HEALTH SEATTLE KING COUNTY DEPARTMENT'S ASSESSMENT, POLICY DEVELOPMENT AND EVALUATION UNIT AND THE COMMUNITY HEALTH & BENEFIT TEAM AT SEATTLE CHILDREN'S TO HELP US CONDUCT AND AUTHOR THE ASSESSMENT.- ENGAGED WITH COALITIONS THAT HAVE EXPERTISE ADDRESSING HEALTH NEEDS, HAVE DIVERSE GEOGRAPHIC MEMBERSHIP, AND HAVE A REGIONAL OR SUB-REGIONAL FOCUS. OTHER STAKEHOLDERS INCLUDED THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY INCLUDING REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS AND FROM THE KING COUNTY ACCOUNTABLE COMMUNITY OF HEALTH, HEALTHIERHERE.- WE HOSTED LISTENING SESSIONS WITH YOUTH, PARENTS, CAREGIVERS AND EXPERTS ON SPECIFIC TOPICS AS WELL AS CONDUCTED A SURVEY OF KEY INFORMANTS, STAKEHOLDERS AND PARENTS IN THE REGION. - WE REVIEWED RECENT REPORTS ON LOCAL AND STATE HEALTH NEEDS. - TO IDENTIFY COMMUNITY CONCERNS AND ASSETS, SEATTLE CHILDREN'S SURVEYED AND INTERVIEWED STAKEHOLDERS, CONSULTED RECENT COMMUNITY-BASED REPORTS AND PULLED INFORMATION FROM PREVIOUS HOSPITAL CHNAS FOR THE GEOGRAPHIC AREAS THEY WORKED IN FOR THE MONTH.WE USED TWO FRAMEWORKS: THE SOCIAL-ECOLOGICAL AND THE SPECTRUM OF PREVENTION MODELS TO GATHER BACKGROUND ON AREAS OF NEED. WE ALSO REVIEWED EXISTING STRENGTHS, PROGRAMS AND SERVICES THAT FOCUS ON CHILD AND TEEN HEALTH AND SAFETY ISSUES. SEATTLE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 7D: SEATTLE CHILDREN'S EMAILED AN ELECTRONIC COPY OF THE CHNA TO ANYONE UPON REQUEST, INCLUDING THOSE WHO OPTED IN TO RECEIVE ONE AT OUR COMMUNITY BENEFIT FORUMS. SEATTLE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: SEATTLE CHILDREN'S 2022 CHNA CENTERS ON THE NEEDS OF FAMILIES, CHILDREN AND YOUTH IN WASHINGTON, ALASKA, MONTANA, AND IDAHO (WAMI). OUR CHNA IDENTIFIED FOUR SIGNIFICANT NEEDS, ALL OF WHICH ARE BEING ADDRESSED BY SEATTLE CHILDREN'S PROGRAMMING. BELOW IS AN ACCOUNTING OF THE NEEDS IDENTIFIED AND OUR RESPONSE TO EACH.THE CHNA RESEARCH YIELDED THE FOLLOWING ABOUT THE HEALTH NEEDS OF THE COMMUNITY WE SERVE, BUT IT SHOULD BE KNOWN THAT ACROSS THE WAMI REGION, MANY OF THESE RATES VARY BY RACE, ETHNICITY, GENDER, GEOGRAPHY, BEING IN A RURAL OR URBAN AREA, SOCIOECONOMIC STATUS, ENVIRONMENTAL FACTORS, HEALTH LITERACY AND DISABILITY:(1) MENTAL AND BEHAVIORAL HEALTH:THE UNITED STATES IS FACING A NATIONAL YOUTH MENTAL HEALTH CRISIS EXACERBATED BY THE COVID-19 PANDEMIC. THIS CRISIS IS FELT LOCALLY IN THE WAMI REGION. DATA PRIOR TO THE PANDEMIC INDICATES THAT THE PERCENTAGE OF YOUTH WHO EXPERIENCED A MAJOR DEPRESSIVE EPISODE HAD DOUBLED NATIONALLY OVER THE PAST DECADE AND SUICIDE RATES AMONG YOUTH AGES 10-19 INCREASED STEADILY FROM 2007 TO 2020. THE YOUTH MENTAL HEALTH CRISIS HAS WORSENED DUE TO INCREASED NEED FOR SUPPORT AS WELL AS INCREASING BARRIERS IN ACCESS TO CARE FOR MANY PATIENT POPULATIONS. WASHINGTON, ALASKA, MONTANA, AND IDAHO HAVE SOME OF THE HIGHEST RATES OF SUICIDE FOR ADOLESCENTS AND CONSISTENTLY RANK AS STATES WITH ABOVE AVERAGE RATES OF YOUTH MENTAL ILLNESS AND BELOW AVERAGE RATES OF ACCESS TO CARE. LACK OF MENTAL HEALTH SERVICES, RESOURCES, AND UNDERSTANDING AS WELL AS CONTINUED MENTAL HEALTH STIGMA WERE CONSISTENTLY EXPRESSED AS AREAS OF CONCERN. ADDITIONALLY, THERE ARE HIDDEN BARRIERS AND OTHER DIFFICULTIES IN NAVIGATING THE MENTAL HEALTH SYSTEM AND FEW PROFESSIONALS WHO KNOW HOW TO NAVIGATE IT. IN ADDITION TO MAINTAINING OUR BED EXPANSION IN OUR PSYCHIATRY AND BEHAVIORAL MEDICINE UNIT, WE HAVE CONTINUALLY EXPANDED THE PARTNERSHIP ACCESS LINE (PAL), A TELEPHONE-BASED CHILD MENTAL HEALTH CONSULTATION SYSTEM THAT ALLOWS PRIMARY CARE PROVIDERS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS TO TREAT KIDS WHILE KEEPING THEM CLOSER TO HOME. CHILD PSYCHIATRISTS AFFILIATED WITH THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE AND SEATTLE CHILDREN'S HOSPITAL PROVIDE RAPID CONSULTATION RESPONSES DURING BUSINESS HOURS FOR ANY TYPE OF MENTAL HEALTH ISSUE THAT ARISES WITH ANY CHILD. FURTHER, WE HAVE EXPANDED TELEMENTAL HEALTH THAT ALLOWS CHILDREN IN CERTAIN UNDERSERVED COMMUNITIES IN THE REGION TO SPEAK WITH A PSYCHIATRIST THROUGH VIDEO CONFERENCING. WE HAVE ALSO MAINTAINED THE WASHINGTON'S MENTAL HEALTH REFERRAL SERVICE FOR CHILDREN AND TEENS WHICH CONNECTS FAMILIES WITH OUTPATIENT PROVIDERS LOCALLY WHO HAVE OPENINGS IN THEIR SCHEDULE AND CAN MEET A CHILD'S SPECIALTY NEEDS AND INSURANCE COVERAGE OR LACK THEREOF. ANY WASHINGTON FAMILY CAN USE THIS FREE SERVICE AND WE MAKE REFERRALS FOR CHILDREN AND TEENS 17 AND YOUNGER.LAST, WE HAVE RENEWED OUR FOCUS TO UPSTREAM EFFORTS AROUND MENTAL AND BEHAVIORAL HEALTH. IN 2021, SEATTLE CHILDREN'S LAUNCHED AN ORGANIZATION-WIDE MENTAL HEALTH INITIATIVE TITLED GENERATION REACH, WHICH BRINGS TOGETHER A COALITION OF INTERNAL COLLEAGUES AND COMMUNITY PARTNERS TO COLLABORATE ON IMPROVING MENTAL AND BEHAVIORAL HEALTH. REACH IS AN ACRONYM OUTLINING THE FIVE PILLARS OF FOCUS AT SEATTLE CHILDREN'S: RESEARCH AND INNOVATION, ECOSYSTEM AND EQUITY, ACCESS, CAPITAL, AND HEALTHY FAMILIES AND COMMUNITIES. (2) SUICIDE AND INJURY PREVENTION:SUICIDE AND INJURY ARE ATTRIBUTED TO A VARIETY OF FACTORS. WHILE BOTH INTENTIONAL AND UNINTENTIONAL INJURIES ARE PREVALENT, MANY ARE PREVENTABLE. SEATTLE CHILDREN'S USES EVIDENCE-BASED AND EVIDENCE-INFORMED SUICIDE AND INJURY PREVENTION STRATEGIES TO SUPPORT THE HEALTH AND SAFETY OF CHILDREN AND TEENS. INJURIES, SUICIDE, AND HOMICIDE ARE LEADING CAUSES OF DEATH FOR CHILDREN AND TEENS IN THE UNITED STATES. BETWEEN 2016 AND 2020, UNINTENTIONAL INJURIES REMAINED THE OVERALL TOP LEADING CAUSE OF DEATH FOR CHILDREN AGES ONE TO 24 IN WAMI. SUICIDE IS THE SECOND LEADING CAUSE OF DEATH FOR AGES 10-24 IN WAMI. NOTABLY, AS OF 2019, NATIONWIDE FIREARM-RELATED INJURIES SURPASSED MOTOR VEHICLE CRASHES AS THE MOST COMMON CAUSE OF DEATH FROM INJURY IN CHILDREN AND ADOLESCENTS. IN 2020, FIREARM-RELATED INJURIES REMAINED THE LEADING CAUSE OF DEATH NATIONALLY AMONG CHILDREN AND ADOLESCENTS.PREVENTATIVE MEASURES WE ARE IMPLEMENTING TO REDUCE HARM INCLUDE FIREARM SAFETY COUNSELING AND EDUCATION FROM HEALTHCARE PROVIDERS AND COMMUNITY ADVOCATES AS WELL AS STORAGE DEVICE DISTRIBUTION TO PROMOTE SAFER FIREARM STORAGE AT HOME. INCORPORATING VARIED APPROACHES TO PROMOTE HEALTHY AND SAFE NEIGHBORHOODS IS ESSENTIAL TO YOUTH VIOLENCE PREVENTION. WE ARE PROMOTING SECURE MEDICINE STORAGE, SAFE MEDICINE DISPOSAL, PROVIDING EDUCATION ON SAFE USE OF OVER-THE-COUNTER AND PRESCRIPTION MEDICINES, AND INCREASING ACCESS TO NALOXONE TO PREVENT MEDICINE MISUSE, SELF-HARM, POISONING AND OVERDOSE. WE PROVIDE PARENTAL SUPPORT THROUGH OUR POSITIVE PARENTING PROGRAM TO HELP PARENTS BUILD SKILLS TO PROMOTE HEALTHY CHILD DEVELOPMENT AND PREVENT CHILD ABUSE AND NEGLECT. ALSO, WE HAVE HELPED DEVELOP SUICIDE AND INJURY PREVENTION TACTICS WHERE WE TAILOR OUR MESSAGE ACCORDING TO THE DEVELOPMENTAL LEVEL, KNOWLEDGE, BELIEFS, AND BEHAVIORS OF EACH GROUP WE SERVE. IN ADDITION, WE CONTINUE TO SUPPORT AND OPERATE THE FIREARM TRAGEDY PREVENTION NETWORK IN WASHINGTON STATE. WE HOST MULTIPLE EVIDENCE-BASED, FREE, SAFE FIREARM STORAGE GIVEAWAY EVENTS WHERE WE DISTRIBUTE LOCK BOXES AND TRIGGER LOCKS TO SAFELY STORE FIREARMS AS A WAY TO PREVENT SUICIDE AND PROVIDE ONE MECHANISM FOR LETHAL MEANS RESTRICTION. WE HOST CAR SEAT CHECK EVENTS WHERE TECHNICIANS WORK ALONGSIDE PARENTS AND CAREGIVERS TO ENSURE CAR SEATS ARE PROPERLY INSTALLED AND SHARE THE CORRECT WAY TO SAFELY SECURE A CHILD IN A MOTOR VEHICLE. WE ALSO HOST LOW-COST CAR SEAT AND BOOSTER SEAT SALES WITH EDUCATION AND DEMONSTRATION IN OUR FAMILY RESOURCE CENTER. ADDITIONALLY, WE HAVE CONTINUED TO USE OUR EXPERTISE AROUND DROWNING TO IMPLEMENT OPEN WATER DROWNING PREVENTION STRATEGIES IN PARTNERSHIP WITH MEMBERS OF THE STATEWIDE DROWNING PREVENTION NETWORK, PUBLIC HEALTH, SAFE KIDS, AND THROUGH COMMUNITY ORGANIZATIONS INCLUDING HEAD START.(3) HEALTHY LIFESTYLES:ESTABLISHING FOUNDATIONS FOR GOOD NUTRITION AND PHYSICAL ACTIVITY CAN HAVE IMPLICATIONS ON A CHILD'S MENTAL AND PHYSICAL HEALTH. APPROXIMATELY ONE-THIRD OF CHILDREN AND ADOLESCENTS IN THE UNITED STATES FACE CHALLENGES MAINTAINING A HEALTHY WEIGHT. WEIGHT MANAGEMENT CHALLENGES IN CHILDREN ARE A MAJOR CONCERN DUE TO THEIR LONG-TERM EFFECTS. IN 2020, WASHINGTON STATE HAD A WEIGHT PROBLEM RATE OF 13.2% FOR CHILDREN AGES 10-17, RANKING IT 40TH IN THE NATION, WITH THAT RATE HAVING RISEN 50% SINCE 2016. IT IS RECOMMENDED THAT CHILDREN AND ADOLESCENTS PARTICIPATE IN AT LEAST 60 MINUTES OF PHYSICAL ACTIVITY MOST DAYS OF THE WEEK, PREFERABLY DAILY. LESS THAN HALF OF CHILDREN IN WASHINGTON MET THAT LEVEL OF PHYSICAL ACTIVITY IN 2021 AND THIS FINDING WAS ECHOED IN LISTENING SESSIONS CONDUCTED RELATING TO OUR 2022 CHNA. FOOD INSECURITY POSES A SIGNIFICANT CHALLENGE TO ESTABLISHING A SOLID FOUNDATION FOR CHILDREN'S MENTAL AND PHYSICAL WELL-BEING. FOOD INSECURITY IS WHEN CONSISTENT ACCESS TO AFFORDABLE, NUTRITIOUS FOOD IS NOT AVAILABLE. FOR OUR 2022 CHNA WE REVIEWED 2021 DATA WHEREBY 12.5% OF HOUSEHOLDS IN THE U.S. WITH CHILDREN UNDER THE AGE OF 18 EXPERIENCED FOOD INSECURITY. IN WASHINGTON, 20% OF CHILDREN LIVE IN HOUSEHOLDS EXPERIENCING FOOD INSECURITY. ACCORDING TO THE 2021 WASHINGTON HEALTHY YOUTH SURVEY, 77% OF YOUTH CONSUME LESS THAN 5 SERVINGS OF FRUIT AND VEGETABLES PER DAY. BLACK AND HISPANIC FAMILIES IDENTIFIED AS EXPERIENCING FOOD INSECURITY AT A MUCH HIGHER RATE THAN WHITE FAMILIES. WHILE BENEFITS LIKE THE FEDERAL SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) PROVIDE FAMILIES WITH ELECTRONIC BENEFITS USED MUCH LIKE A DEBIT CARD TO PURCHASE BREADS, CEREALS, FRUITS, VEGETABLES, MEAT, AND DAIRY PRODUCTS FROM PARTICIPATING STORES, MANY COMMUNITIES DO NOT EVEN HAVE A GROCERY STORE ACCESSIBLE IN THEIR IMMEDIATE NEIGHBORHOOD. HALF OF SNAP BENEFICIARIES ARE CHILDREN. FAMILIES REPORTED THEY OFTEN HAVE TO MAKE DECISIONS BETWEEN FOOD AND OTHER BASIC NEEDS, SUCH AS HOUSING. FAMILIES SHARED MANY CONCERNS ABOUT NUTRITION AND ACCESS TO HEALTHY AFFORDABLE FOODS. THE COST OF FOOD, INCLUDING PRODUCE, HAS INCREASED, ADDING MORE CHALLENGES TO FAMILIES ALREADY STRUGGLING TO ACQUIRE NUTRITIOUS FOODS. (CONTINUED ON FUTURE PAGE) SEATTLE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 13H: DUE TO SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, THE STANDARD APPLICATION PROCESS FOR FINANCIAL ASSISTANCE IN RARE CASES MAY NOT BE COMPLETED. IN CASES WHERE A PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR FINANCIAL ASSISTANCE IN THE ABSENCE OF RECEIVING ALL REQUIRED INFORMATION, THE VICE PRESIDENT OF REVENUE CYCLE OR THE CHIEF FINANCIAL OFFICER, OR THEIR DELEGATE, MAY ALSO APPROVE PATIENT ACCOUNT BALANCE WRITE-OFFS TO FINANCIAL ASSISTANCE. PART V, SECTION B, LINE 4: SEATTLE CHILDREN'S LAST CONDUCTED A CHNA IN THE FISCAL YEAR ENDED SEPTEMBER 30TH, 2022, WHICH WAS TAX YEAR 2021. THE NEXT CHNA WILL BE COMPLETED IN THE FISCAL YEAR ENDED SEPTEMBER 30TH, 2025, WHICH IS TAX YEAR 2024. PART VI, LINE 7: BECAUSE THERE IS NO REQUIREMENT TO DO SO, SEATTLE CHILDREN'S HOSPITAL DOES NOT FILE A COMMUNITY BENEFIT REPORT IN WASHINGTON OR ANY OTHER STATE. 22 1 - RESEARCH INST JACK R MACDONALD BLDG 1900 NINTH AVE SEATTLE WA 98101 PEDIATRIC RESEARCH 2 - RESEARCH INSTITUTE BUILDING CURE 1920 TERRY AVE SEATTLE WA 98101 PEDIATRIC RESEARCH 3 - RESEARCH INSTITUTE 307 WESTLAKE 307 WESTLAKE AVE N SEATTLE WA 98109 PEDIATRIC RESEARCH 4 - RESEARCH INSTITUTE OLIVE LAB 1100 OLIVE WAY STE 100 SEATTLE WA 98101 PEDIATRIC RESEARCH 5 - BELLEVUE CLINIC & SURGERY CENTER 1500 116TH AVE NE BELLEVUE WA 98004 CLINIC, SUB SPECIALTY SERVICES, URGENT CARE AND SURGERY CENTER 6 - SEATTLE CHILDREN'S HOME CARE SERVICES 2525 220TH STREET SE STE 101 BOTHELL WA 98201 PEDIATRIC HOME CARE SERVICES THAT SUPPORT HOSPITAL 7 - SEATTLE CHILDREN'S SOUTH CLINIC 34920 ENCHANTED PARKWAY S FEDERAL WAY WA 98003 AMBULATORY CLINIC PROVIDING PRIMARY, CARDIOLOGY AND SUB SPECIALTY CARE 8 - SEATTLE CHILDREN'S NORTH CLINIC 1815 13TH ST EVERETT WA 98201 CLINIC, SUB SPECIALTY SERVICES, AND URGENT CARE 9 - SEATTLE CHILDREN'S AT OVERLAKE 1231 116TH AVE NE STE 385 BELLEVUE WA 98004 SUB SPECIALTY CARE 10 - ODESSA BROWN CLINIC OTHELLO 3939 S OTHELLO ST STE 101 SEATTLE WA 98118 AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE 11 - SEATTLE CHILDREN'S MAGNUSON 6901 SAND POINT WAY NE SEATTLE WA 98115 AUTISM CLINIC, OUTPATIENT PSYCHIATRIC, AND BEHAVIORAL CENTER 12 - SEATTLE CHILDREN'S FETAL CARE CLINIC 4540 SAND POINT WAY NE BLDG 1 STE 32 SEATTLE WA 98105 FETAL CARE AND TREATMENT CENTER 13 - SOUTH SOUND CARDIOLOGY CEDAR MED CTR 1901 S CEDAR ST STE 103 TACOMA WA 98405 CARDIOLOGY CLINIC 14 - SOUTH SOUND CARDIOLOGY CLEAR CREEK 9800 LEVIN RD NW STE 204 SILVERDALE WA 98383 CARDIOLOGY CLINIC 15 - SEATTLE CHILDREN'S OLYMPIA CLINIC 615 LILLY ROAD MEDICAL BLDG STE 140 OLYMPIA WA 98506 AMBULATORY CLINIC PROVIDING PRIMARY, CARDIOLOGY AND SUB SPECIALTY CARE 16 - SAND POINT CLINIC 4575 SAND POINT WAY NE STE 106 SEATTLE WA 98105 AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE 17 - PEDIATRIC CARDIOLOGY OF MONTANA 2510 BOBCAT WAY GREAT FALLS MT 59405 CARDIOLOGY CLINIC 18 - ALYSSA BURNETT ADULT LIFE CENTER 19213 BOTHELL WAY NE BOTHELL WA 98011 LIFELONG LEARNING FOR ADULTS WITH AUTISM & OTHER DEVELOPMENTAL DISABILITIES 19 - ADOLESCENT MEDICINE AT SPRINGBROOK 4540 SAND POINT WAY NE BLDG 1 STE 200 SEATTLE WA 98105 ADOLESCENT MEDICAL CLINIC 20 - PEDIATRIC CARDIOLOGY OF ALASKA 3841 PIPER ST STE T345 ANCHORAGE AK 99508 CARDIOLOGY CLINIC 21 - SEATTLE CHILDREN'S TRI-CITIES CLINIC 8232 W GRANDRIDGE BLVD KENNEWICK WA 99336 AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE 22 - SEATTLE CHILDREN'S WENATCHEE CLINIC 526 N CHELAN AVE STE B WENATCHEE WA 98801 PEDIATRIC MEDICAL CLINIC PART I, LINE 3C: SEATTLE CHILDREN'S HOSPITAL (SEATTLE CHILDREN'S) USES THE FEDERAL POVERTY GUIDELINES (FPG) AS ITS PRIMARY CRITERIA FOR QUALIFYING PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE. FAMILIES WITH INCOME BELOW OR EQUAL TO 400% FPG BASED ON THEIR FAMILY SIZE QUALIFY FOR FINANCIAL ASSISTANCE. FURTHERMORE, SEATTLE CHILDREN'S RECOGNIZES THAT FAMILIES WHO HAVE HIGH BALANCES, EVEN WITH HIGHER INCOMES, CAN EXPERIENCE FINANCIAL HARDSHIP. RESPONSIBLE PARTIES WHOSE INCOME IS BETWEEN 400% AND 599% FPG, WHO HAVE INCURRED SIGNIFICANT ACCOUNT BALANCES, AND WHO ARE NOT ELIGIBLE FOR FUNDING FROM OTHER SOURCES ARE ALSO ELIGIBLE FOR PARTIAL FINANCIAL ASSISTANCE WHEREBY THEY ARE RESPONSIBLE FOR PAYING A PERCENTAGE OF THEIR BILL WHICH IS PROPORTIONATELY DISCOUNTED BASED ON THEIR INCOME AND SEATTLE CHILDREN'S FINANCIAL ASSISTANCE FUNDS THE REMAINING BALANCES. FAMILIES WHO RECEIVE A DENIAL OF FINANCIAL ASSISTANCE BASED ON THE FPG AND FAMILY SIZE INFORMATION ARE ALLOWED TO APPEAL THE DENIAL BY PROVIDING INFORMATION ABOUT ADDITIONAL CIRCUMSTANCES IMPACTING THEIR FINANCIAL SITUATION SUCH AS EXCESSIVE MEDICAL DEBT. THE VICE PRESIDENT OF REVENUE CYCLE OR CHIEF FINANCIAL OFFICER, OR THEIR DELEGATE, MAY ADMINISTRATIVELY APPROVE FINANCIAL ASSISTANCE BASED ON THIS ADDITIONAL INFORMATION. THESE SAME INDIVIDUALS CAN ALSO GRANT FINANCIAL ASSISTANCE IN SPECIAL CASES BASED ON SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, OR DUE TO OTHER REASONS WHEN THE STANDARD APPLICATION PROCESS FOR FINANCIAL ASSISTANCE IS NOT LIKELY TO BE SUCCESSFULLY COMPLETED EVEN THOUGH THE PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR FINANCIAL ASSISTANCE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,373,893. PART I, LINE 7: THE MISSION OF SEATTLE CHILDREN'S HOSPITAL IS TO PROVIDE EXCELLENT PATIENT CARE FOR CHILDREN, TO ENGAGE IN INNOVATIVE RESEARCH THAT WILL IMPROVE THE HEALTH OF CHILDREN, TO TRAIN THE NEXT GENERATION OF PHYSICIANS, OTHER HEALTHCARE WORKERS AND SCIENTISTS WHO WILL ADVANCE THE HEALTH OF CHILDREN, AND TO ADVOCATE FOR THE HEALTHCARE NEEDS OF CHILDREN. AS PART OF ITS MISSION, SEATTLE CHILDREN'S IS COMMITTED TO CARING FOR CHILDREN IN ITS SERVICE AREA IRRESPECTIVE OF ABILITY TO PAY AND TO OTHERWISE IDENTIFY AND HELP TO MEET THE HEALTHCARE NEEDS OF CHILDREN IN THE COMMUNITY.FINANCIAL ASSISTANCE REPRESENTS THE ESTIMATED COST OF CARE PROVIDED TO CHILDREN WHO ARE UNINSURED OR UNDERINSURED AND WHOSE FAMILIES CANNOT AFFORD TO PAY FOR THEIR MEDICAL CARE. SEATTLE CHILDREN'S PROVIDES FINANCIAL ASSISTANCE IN ACCORDANCE WITH ITS FINANCIAL ASSISTANCE POLICY BASED ON FAMILY NEED AND MAINTAINS RECORDS TO IDENTIFY THE LEVEL OF ASSISTANCE IT PROVIDES. THE DETERMINATION OF FAMILY NEED IS EVALUATED DURING A PATIENT'S COURSE OF CARE AND CAN BE UPDATED AFTER CARE IS COMPLETE. BECAUSE SEATTLE CHILDREN'S DOES NOT PURSUE COLLECTION OF THESE AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, THEY ARE NOT REPORTED AS REVENUE. THE ESTIMATED COST OF FINANCIAL ASSISTANCE PROVIDED IS BASED ON A RATIO OF HOSPITAL TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF HOSPITAL TOTAL GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE SERVICES, RESULTING IN THE ESTIMATED COST OF PROVIDING FINANCIAL ASSISTANCE.MEDICAID PAYMENT SHORTFALL REPRESENTS THE ESTIMATED COST OF PROVIDING SERVICES TO PATIENTS COVERED UNDER MEDICAID IN EXCESS OF PAYMENTS RECEIVED. THE ESTIMATED COST OF SERVICES PROVIDED TO MEDICAID PATIENTS IS BASED ON A RATIO OF HOSPITAL TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF HOSPITAL TOTAL GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS CHARGES RELATED TO SERVICES PROVIDED TO MEDICAID PATIENTS, RESULTING IN THE ESTIMATED COST OF PROVIDING CARE TO THESE PATIENTS.OTHER BENEFITS REPRESENT THE COSTS OF PROVIDING PROGRAMS, NET OF DIRECT OFFSETTING REVENUES, FOR THE BENEFIT OF THE ENTIRE COMMUNITY. THESE BENEFITS INCLUDE RESEARCH, HEALTH PROFESSIONS EDUCATION AND VARIOUS OTHER COMMUNITY-BASED HEALTHCARE PROGRAMS. PART II, COMMUNITY BUILDING ACTIVITIES: IN FISCAL YEAR 2024, AS PART OF OUR MISSION TO PROVIDE HOPE, CARE AND CURES, SEATTLE CHILDREN'S PROVIDED $1.7 MILLION IN COMMUNITY BUILDING ACTIVITIES AND OVER 23,000 PAID STAFF HOURS TO PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE. EACH YEAR, SEATTLE CHILDREN'S MAKES PROACTIVE AND STRATEGIC INVESTMENTS TO HELP CHILDREN AND FAMILIES BE AND STAY HEALTHY IN THE PLACES WHERE THEY LIVE, PLAY AND LEARN. WE CONTINUE TO BUILD ON OUR LONG AND STRONG RECORD OF COLLABORATION WITH COMMUNITY GROUPS, BUSINESSES, ACADEMIC INSTITUTIONS AND GOVERNMENT ORGANIZATIONS WITH THE GOAL OF IMPROVING HEALTH OUTCOMES FOR CHILDREN AND THEIR FAMILIES WITH AN EMPHASIS ON WORKING ALONGSIDE OUR COMMUNITIES TO ADDRESS SOME DETERMINANTS OF HEALTH. SOME EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES INCLUDE THE FOLLOWING:- OUR CLINICAL AND NON-CLINICAL STAFF AND PROVIDERS PROVIDE MENTORING AND SHADOWING OPPORTUNITIES THAT DISCUSS EMPLOYMENT OPPORTUNITIES IN HEALTHCARE TO ALL STUDENTS AND MEMBERS OF ALL COMMUNITIES IN OUR REGION. ONE OF THE PROGRAMS WE OFFER REACHES OUT TO PEOPLE WHO ARE PLANNING TO ATTEND MEDICAL SCHOOL TO INCREASE THEIR SKILL SET WHEN APPLYING. IN ADDITION, WE PROVIDE NEONATAL AND PEDIATRIC CLINICAL TRAINING TO RESPIRATORY THERAPISTS AT LOCAL COLLEGES. IN FISCAL YEAR 2024 SEATTLE CHILDREN'S PROVIDED 3,600 PAID STAFF HOURS TOWARD THIS TRAINING PROGRAM. OUR GOAL IS TO TRAIN RESPIRATORY THERAPISTS TO PROPERLY ASSESS PATIENTS FOR RESPIRATORY INTERVENTIONS. ONCE THESE THERAPISTS ARE CREDENTIALED AND LICENSED, THEY WILL JOIN EMERGENCY RESPONSE TEAMS. THEIR SKILLS TO ASSESS PEDIATRIC PATIENTS WILL HAVE A VALUABLE IMPACT IN CASE OF EMERGENCY RESPONSE DEPLOYMENT. IN LIGHT OF CERTAIN TYPES OF DISASTERS AND GLOBAL PANDEMICS, WE ANTICIPATE THE NEED FOR PROFESSIONALS WHO CAN ASSESS THE NEED FOR AND ADMINISTER COMPLEX RESPIRATORY THERAPY TREATMENTS TO PEDIATRIC PATIENTS, SO THE TYPE OF TRAINING WE OFFER IS CRUCIAL. THIS TRAINING AND MENTORSHIP PROGRAM GOES WELL BEYOND OUR CLINICAL EXPERTISE FOR THE NEXT GENERATION OF HEALTH CARE WORKFORCE: IN 2024 WE INVESTED OVER $350,000 INTO OUR NON-CLINICAL SUMMER INTERNSHIP EXPERIENCES FOR YOUTH AND YOUNG PEOPLE. THIS PROGRAM PROVIDES OPPORTUNITIES FOR STUDENTS TO ENGAGE IN HANDS ON PROJECTS THAT GROW AND STRENGTHEN PROFESSIONAL DEVELOPMENT SKILLS AND BUILD CONNECTIONS WITH FELLOW INTERNS AND MENTORS. ADDITIONALLY, WE INVESTED OVER $134,000 INTO OUR MEDICAL OBSERVATIONS AND JOB SHADOWING PROGRAM WHERE INDIVIDUALS WITH OR WITHOUT PRIOR MEDICAL EDUCATION OBSERVED MEDICAL PROFESSIONALS AS THEY CARED FOR PATIENTS AND FAMILIES. OBSERVATION EXPERIENCES USUALLY OCCURRED OVER ONE TO TWO DAYS AND WE HOSTED 800 PEOPLE IN MEDICAL OBSERVATIONS AND/OR JOB SHADOWS LAST YEAR.- ODESSA BROWN CHILDREN'S CLINIC (OBCC) IS A COMMUNITY CLINIC OF SEATTLE CHILDREN'S. OBCC HAS LONG EMPLOYED A THRIVING COMMUNITY APPROACH FOR THEIR PATIENTS: CHILDREN FROM BIRTH THROUGH AGE 21 WHO RECEIVE CARE FROM A TEAM OF SPECIALLY TRAINED PEDIATRIC CARE PROVIDERS. OBCC HAS A RICH HERITAGE OF SERVING THE COMMUNITY WITH A TEAM THAT REFLECTS THE COMMUNITY SERVED. THE CLINIC'S NEWEST LOCATION NEAR THE OTHELLO LINK LIGHT RAIL STATION OPENED IN MARCH 2022. THIS OTHELLO LOCATION IS CLOSER TO 75% OF FAMILIES SERVED BY OBCC WHO HAVE MOVED TO SOUTH SEATTLE AND SOUTH KING COUNTY FOR MORE AFFORDABLE HOUSING. THE CLINIC IS LOCATED WITHIN OTHELLO SQUARE, AN URBAN COMMUNITY CONCEPT ON 3.2 ACRES THAT OFFERS COMPLEMENTARY SERVICES, PARTNERS AND RESIDENCES. THESE INCLUDE AN ECONOMIC OPPORTUNITY CENTER, COMPUTER LAB, CHARTER SCHOOL, EARLY LEARNING CENTER AND MIXED-INCOME HOUSING. OBCC PROVIDES MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO OVER 7,000 PATIENTS AT MORE THAN 40,000 CLINICAL VISITS PER YEAR, FOCUSING ESPECIALLY ON FAMILIES IN LOW-INCOME COMMUNITIES. IN FISCAL YEAR 2024, OBCC DISTRIBUTED MORE THAN $5,000 WORTH OF BOOKS TO THEIR PATIENT FAMILIES DURING WELL CHILD VISITS TO FOSTER EARLY LITERACY AND HEALTHY RELATIONSHIPS BETWEEN PARENTS AND THEIR INFANTS AND YOUNG CHILDREN. OBCC'S MODEL FOR CARE IS UNIQUE AND ADDRESSES THE SOCIAL, ECONOMIC AND ENVIRONMENTAL ROOTS OF ILLNESS. OBCC HAS A MULTI-PRONGED AND MULTI-DISCIPLINARY APPROACH TO HEALTH: ONE THAT AIMS TO REDUCE THE NUMBER OF UNDER OR UNINSURED, PROMOTE ACCESS TO HEALTH CARE, IMPROVE CARE COORDINATION AND ENCOURAGE HEALTHY BEHAVIORS. - WE HAVE ALSO INCREASED OUR COMMUNITY BUILDING EFFORTS AMONGST HOSPITAL DEPARTMENTS AND COMMUNITY GROUPS IN THE REGION. OUR WORKFORCE CONNECTION GROUPS HAVE PARTNERED WITH COMMUNITY BASED ORGANIZATIONS TO DEVELOP AND SUPPORT PROGRAMMING LED BY LOCAL LEADERS AND TO INVEST IN COMMUNITY BUILDING EFFORTS ON BEHALF OF SEATTLE CHILDREN'S. - WE ALSO PROVIDE SPONSORSHIPS TO COMMUNITY ORGANIZATIONS THAT SUPPORT CHILDREN, YOUTH AND FAMILIES BY PROVIDING QUALITY CHILDHOOD EDUCATION, WORKFORCE DEVELOPMENT, YOUTH DEVELOPMENT AND PARENTING EDUCATION. WE PARTNER WITH COMMUNITY BASED ORGANIZATIONS AND COALITIONS THAT ADVOCATE FOR COMMUNITY HEALTH IMPROVEMENT, PROVIDE ECONOMIC DEVELOPMENT AND REVITALIZATION, AND HELP MAKE COMMUNITIES SAFER AND HEALTHIER. THIS WORK IS CAPTURED BY THE ORGANIZATION'S ANCHOR MISSION WHEREBY WE ARE WORKING TO ALIGN OUR INSTITUTIONAL ASSETS TO MEANINGFULLY IMPACT THE ECONOMIC AND SOCIAL FACTORS IN OUR COMMUNITY THAT CREATE HEALTH: GOOD JOBS AND DECENT WAGES; SAFE AND AFFORDABLE HOUSING; AND A HEALTHY, CLEAN, AND SAFE ENVIRONMENT. PART III, LINE 2: THE TOTAL AMOUNT OF BAD DEBT EXPENSE PROVIDED IS BASED ON THE RATIO OF TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS BAD DEBT EXPENSE, RESULTING IN BAD DEBT EXPENSE AT COST. SEATTLE CHILDREN'S CHARACTERIZES SELF PAY AS BAD DEBT WHEN A FAMILY IS EITHER NOT ELIGIBLE OR HAS NOT APPLIED FOR FINANCIAL ASSISTANCE AND IS UNWILLING OR UNABLE TO PAY AN OUTSTANDING ACCOUNT BALANCE. THE MOST COMMON PATIENT BAD DEBT SCENARIOS INCLUDE UNPAID SELF PAY PORTIONS OF ACCOUNT BALANCES AFTER INSURANCE OR THIRD PARTY ASSISTANCE PAYMENTS OR UNPAID ACCOUNT BALANCES AFTER A BANKRUPTCY FILING. SEATTLE CHILDREN'S IS SENSITIVE TO THE FINANCIAL HEALTH OF FAMILIES AND RECOGNIZES THAT FAMILY FINANCIAL CONCERNS MAY NOT ALWAYS BE EFFECTIVELY COMMUNICATED. SEATTLE CHILDREN'S IS COMMITTED TO MANAGING COLLECTION EFFORTS INTERNALLY, IN A RESPECTFUL MANNER AND WITHOUT USING EXTERNAL COLLECTION OR CREDIT AGENCIES, EXCEPT IN LIMITED CIRCUMSTANCES SUCH AS INTERNATIONAL PATIENTS. SINCE ALL COLLECTION EFFORTS ARE MANAGED INTERNALLY, IN A RESPECTFUL MANNER, SEATTLE CHILDREN'S DOES NOT DISCLOSE ITS COLLECTION PRACTICE IN THE FOOTNOTES OF THE FINANCIAL STATEMENTS. PART III, LINE 4: THE METHOD FOR DETERMINING UNCOLLECTIBLE ACCOUNTS IS DISCUSSED IN THE SECTION OF FOOTNOTE 9 TITLED "PATIENT ACCOUNTS RECEIVABLE," WHICH IS FOUND ON PAGE 29 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE OBTAINED DIRECTLY FROM THE MEDICARE COST REPORT AND ARE DETERMINED IN ACCORDANCE WITH THE MEDICARE PRINCIPLES OF REIMBURSEMENT. THE MAJORITY OF SEATTLE CHILDREN'S MEDICARE PATIENTS ARE CHILDREN WITH END STAGE RENAL DISEASE (ESRD) THAT INCLUDES DIALYSIS CARE AND OFTEN A KIDNEY TRANSPLANT ALONG WITH OTHER RELATED SERVICES. THE ESRD CARE OFTEN RESULTS IN A LONGER LENGTH OF STAY AND HIGHER ACUITY. MEDICARE REIMBURSEMENT FOR THESE SERVICES IS SUBJECT TO THE LIMITS OF THE TAX EQUITY AND FISCAL RESPONSIBILITY ACT, WHICH ARE OFTEN BELOW SEATTLE CHILDREN'S COST. THE ACTUAL SHORTFALL IN COST REIMBURSEMENT IS NOT TREATED AS COMMUNITY BENEFIT ON PART I LINE 7, BUT IS REPORTED ON PART III LINE 7. PART III, LINE 9B: SEATTLE CHILDREN'S REVENUE CYCLE DEPARTMENT USES A STANDARD, RESPECTFUL PROCEDURE FOR RESOLVING UNPAID PATIENT BALANCES. A. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES.B. SEATTLE CHILDREN'S PROVIDES A STANDARD 25% DISCOUNT ON HEALTH CARE SERVICES TO PATIENTS WHO ARE UNINSURED IN ACCORDANCE WITH ORGANIZATIONAL POLICIES AND PROCEDURES. THIS DISCOUNT ALIGNS WITH OR IS LOWER THAN DISCOUNTS PROVIDED TO COMMERCIAL INSURERS.C. ADDITIONALLY, SEATTLE CHILDREN'S ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE INTEREST-FREE PAYMENT PLANS.D. IF A PATIENT ACCOUNT BALANCE REMAINS UNPAID AFTER STANDARD INTERNAL COLLECTION PROCEDURES HAVE BEEN FOLLOWED, AND IF THE FAMILY HAS NOT APPLIED FOR OR DOES NOT QUALIFY FOR SEATTLE CHILDREN'S FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE WILL BE WRITTEN OFF AS BAD DEBT IN ACCORDANCE WITH STANDARD PROCEDURAL TIMELINES. - UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, SEATTLE CHILDREN'S IDENTIFIES ANY OUTSTANDING ACCOUNT BALANCES FOR THE ASSOCIATED PATIENT AND WRITES OFF THESE BALANCES AS BAD DEBT. - SEATTLE CHILDREN'S FINANCE DEPARTMENT MONITORS THE PORTION OF OUTSTANDING ACCOUNTS RECEIVABLE THAT IS CLASSIFIED AS BAD DEBT FOR SIGNIFICANT VARIANCES. - SEATTLE CHILDREN'S STANDARD PRACTICE IS TO COLLECT ON OUTSTANDING PATIENT ACCOUNTS USING INTERNAL RESOURCES. 1. REPORTS ARE NOT SENT TO CREDIT AGENCIES. 2. COLLECTION AGENCIES WILL NOT BE USED TO COLLECT ANY OUTSTANDING PATIENT ACCOUNT. 3. SEATTLE CHILDREN'S WILL NOT FILE A LIEN AGAINST A PATIENT'S OR FAMILY'S PRIMARY RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES. PART V, SECTION B, LINE 3E: AS STATED, SEATTLE CHILDREN'S CONDUCTED ITS FOURTH COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022 TO COVER THE FISCAL PERIOD ENDING 2022-2025 (TAX YEARS 2021-2024), PRODUCING A PRIORITIZED LIST OF SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY SERVED BY SEATTLE CHILDREN'S. FOR THIS CHNA, WE GATHERED OVER 150 INDICES OF PEDIATRIC HEALTH STATUS AND OUTCOMES IN THE WASHINGTON, ALASKA, MONTANA, AND IDAHO REGION AND CONDUCTED STAKEHOLDER INTERVIEWS AND HELD LISTENING SESSIONS WITH COMMUNITY MEMBERS. AN ANALYSIS OF THESE DATA PRODUCED A LIST OF FOUR PRIORITIZED AND SIGNIFICANT HEALTH NEEDS FOR THE PEDIATRIC POPULATION WE SERVED OVER THE ANALYSIS PERIOD: MENTAL AND BEHAVIORAL HEALTH, SUICIDE AND INJURY PREVENTION, ECONOMIC OPPORTUNITY AND HEALTHY LIFESTYLES (AN OVERARCHING TERM MEANING SPECIFICALLY HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY). IN ALIGNMENT WITH OUR ORGANIZATIONAL MISSION TO PROVIDE HOPE, CARE AND CURES TO HELP EVERY CHILD LIVE THE HEALTHIEST AND MOST FULFILLING LIFE POSSIBLE, OUR CHNA LEANS INTO OUR VALUES OF EXCELLENCE, INTEGRITY, COLLABORATION, EQUITY AND INNOVATION TO BE A LEADER IN PEDIATRIC HEALTH AND WELLNESS THROUGHOUT OUR COMMUNITY. PART VI, LINE 2: IN ADDITION TO CONDUCTING ITS PEDIATRIC CHNA, SEATTLE CHILDREN'S COLLABORATES WITH OTHER HOSPITALS IN THE KING COUNTY REGION TO JOINTLY AUTHOR A SECOND AND MORE GEOGRAPHICALLY FOCUSED COMMUNITY HEALTH NEEDS ASSESSMENT. SEATTLE CHILDREN'S ALSO DEVELOPS AND AUTHORS A STRATEGIC PLAN THAT INVESTIGATES AND RESEARCHES THE CURRENT STATE OF SPECIALTY CARE ACCESS, MENTAL HEALTH AND EMERGENCY CARE ACCESS, AND SHORTAGE ISSUES INCLUDING BOTH SERVICES AND STAFFING. WE ALSO ASSESS THE ONGOING NEED FOR UNCOMPENSATED CARE SUPPORT AND DETERMINE POTENTIAL PARTNERSHIPS TO BETTER ADDRESS THE HEALTH CARE NEEDS OF ALL CHILDREN IN OUR REGION. FINALLY, NUMEROUS PROGRAMS AND DEPARTMENTS IN THE HOSPITAL CONDUCT ASSESSMENTS TO IDENTIFY HEALTH PROMOTION, HEALTH CARE AND HEALTH DISPARITIES THAT IMPACT THE HEALTH OF CHILDREN AND FAMILIES. PART VI, LINE 3: INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO EVERY FAMILY THAT COMES TO SEATTLE CHILDREN'S, WHETHER FOR AN INPATIENT STAY, CLINIC VISIT, SURGERY OR THROUGH THE EMERGENCY DEPARTMENT. BOTH APPLICATION FORMS AND SIGNAGE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH, SPANISH, VIETNAMESE, RUSSIAN, AND SOMALI. IN PERSON INTERPRETERS AND THE HOSPITAL'S TELEPHONE INTERPRETATION LINE HELP PROVIDE INFORMATION TO FAMILIES WITH LIMITED ENGLISH PROFICIENCY INFORMATION ABOUT FINANCIAL ASSISTANCE. AN APPLICATION FORM IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE. ALL REGISTRATION DESKS HAVE FINANCIAL ASSISTANCE INFORMATION VISIBLE AND AVAILABLE. EVERY INPATIENT AND EMERGENCY DEPARTMENT FAMILY IS OFFERED FINANCIAL ASSISTANCE INFORMATION, WHETHER OR NOT THEY HAVE INSURANCE. A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS PROVIDED DURING THE ELECTRONIC CHECK-IN PROCESS THROUGH THE PATIENT PORTAL AND ALSO INCLUDED ON ALL HOSPITAL BILLS, REGARDLESS OF INSURANCE STATUS.FINANCIAL COUNSELORS ARE AVAILABLE TO MEET INDIVIDUALLY WITH FAMILIES TO HELP DETERMINE WHAT ASSISTANCE THEY MAY QUALIFY FOR AND TO HELP THEM COMPLETE AND SUBMIT FORMS. THE FINANCIAL COUNSELORS RECEIVE INFORMATION THROUGH THE SCHEDULING SYSTEM THAT IDENTIFIES UNINSURED OR UNDERINSURED FAMILIES. FINANCIAL COUNSELORS CONTACT FAMILIES TO CLARIFY ASSISTANCE AVAILABLE AND TO OFFER THEIR HELP WITH APPLYING FOR ASSISTANCE. THEY HELP FAMILIES DETERMINE IF THEY QUALIFY FOR OTHER SOURCES OF FUNDING, INCLUDING MEDICAID AND QUALIFIED HEALTH PLANS SOLD ON THE STATE INSURANCE EXCHANGE. SOCIAL WORKERS ALSO HELP SCREEN FAMILIES FOR FINANCIAL NEEDS AND REFER PATIENTS TO FINANCIAL COUNSELORS. PART VI, LINE 4: WITH A SERVICE AREA OF ALMOST ONE MILLION SQUARE MILES, SEATTLE CHILDREN'S SERVES AS THE PEDIATRIC AND ADOLESCENT MEDICAL CENTER FOR WASHINGTON, ALASKA, IDAHO, AND MONTANA, THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. WE PRIMARILY SERVE CHILDREN FROM BIRTH TO 21 YEARS OLD, MOST OF WHOM ARE FROM WASHINGTON STATE. APPROXIMATELY 50% OF OUR PATIENTS ARE UNINSURED OR INSURED BY MEDICAID OR THE CHILDREN'S HEALTH INSURANCE PROGRAM (KNOWN AS CHIP OR APPLE HEALTH FOR KIDS IN WASHINGTON STATE). IN FISCAL YEAR 2024, WE HAD 526,855 PATIENT VISITS. 19% OF OUR PATIENTS CAME FROM SEATTLE, 33% FROM A PART OF KING COUNTY OTHER THAN SEATTLE, 44% FROM LOCATIONS IN WASHINGTON STATE OUTSIDE KING COUNTY, 3% FROM ALASKA, MONTANA, AND IDAHO AND 1% FROM AREAS OUTSIDE THE REGION. THESE AREAS ARE URBAN, SUBURBAN, RURAL, AND FRONTIER COMMUNITIES.OF THE MORE THAN 7.9 MILLION RESIDENTS OF WASHINGTON STATE, APPROXIMATELY 21% ARE UNDER 18 YEARS OLD. WASHINGTON STATE DATA ALSO SHOWS THAT 15% OF THE POPULATION ARE FOREIGN-BORN WITH 21% SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME. ALSO, 11.4% OF CHILDREN IN WASHINGTON STATE LIVE IN POVERTY, AND WHILE POVERTY IS CONCENTRATED IN DENSELY POPULATED URBAN AREAS, RURAL CHILDREN IN WASHINGTON STATE ARE DISPROPORTIONATELY AFFECTED BY POVERTY: IN THE NINE COUNTIES DESIGNATED BY THE WASHINGTON STATE DEPARTMENT OF HEALTH AS URBAN, 10.9% OF CHILDREN UNDER 18 LIVE IN POVERTY COMPARED TO 16.7% IN COUNTIES DESIGNATED AS RURAL. THE ECONOMIC DEVASTATION ACCOMPANYING THE CORONAVIRUS PANDEMIC DROVE WASHINGTONIANS ONTO MEDICAID IN RECORD NUMBERS: STATE MEDICAID SYSTEM ENROLLMENT JUMPED 11% DURING THE PANDEMIC, INSURING 2 MILLION WASHINGTONIANS, TOTALING MORE THAN ONE IN FIVE WASHINGTON RESIDENTS AND NEARLY HALF THE STATE'S CHILDREN. FROM MARCH 2023, THE END OF THE CONTINUOUS MEDICAID ENROLLMENT PROVISION DURING THE PANDEMIC, UNTIL SEPTEMBER 2024, APPROXIMATELY 470,000 WASHINGTON RESIDENTS WERE DISENROLLED FROM MEDICAID, AND 24% OF THOSE DISENROLLED WERE CHILDREN. IN 2023, 4.8% OF WASHINGTONIANS WERE UNINSURED, UP SLIGHTLY FROM 4.7% IN 2022.AS THE PEDIATRIC AND ADOLESCENT MEDICAL CENTER FOR WASHINGTON, ALASKA, IDAHO, AND MONTANA, SEATTLE CHILDREN'S HOSPITAL HAS SPECIALIZED IN MEETING THE UNIQUE PHYSICAL, EMOTIONAL, AND DEVELOPMENTAL NEEDS OF CHILDREN FROM INFANCY THROUGH YOUNG ADULTHOOD. THROUGH THE COLLABORATION OF PHYSICIANS AND OTHER CARE PROVIDERS IN NEARLY 60 PEDIATRIC SUBSPECIALTIES, WE PROVIDE INPATIENT, OUTPATIENT, DIAGNOSTIC, SURGICAL, REHABILITATIVE, BEHAVIORAL, EMERGENCY, AND OUTREACH SERVICES REGARDLESS OF A FAMILY'S ABILITY TO PAY. WHILE 96% OF OUR PATIENTS HAIL FROM WASHINGTON STATE, THE STATE ITSELF HAS 47 MEDICALLY UNDERSERVED AREAS AND POPULATIONS THROUGHOUT ITS 39 COUNTIES. PART VI, LINE 5: SEATTLE CHILDREN'S IS GOVERNED BY A BOARD OF TRUSTEES, CONSISTING OF BETWEEN 10-20 VOTING TRUSTEES WHO ARE MEMBERS OF THE LOCAL COMMUNITY. SEATTLE CHILDREN'S FUNCTIONS THROUGH COMMITTEES THAT ARE STAFFED WITH TRUSTEES OF RESPECTIVE BOARDS WHO HAVE SIGNIFICANT EXPERIENCE AND SKILLS REQUIRED BY THAT COMMITTEE, AND IN SOME CASES INCLUDE OUTSIDE MEMBERS WHO ARE NOT TRUSTEES WHEN THEIR KNOWLEDGE OR EXPERIENCE WOULD CONTRIBUTE TO THE WORK OF THE COMMITTEE. SEATTLE CHILDREN'S ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO CERTAIN QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OF ITS DEPARTMENTS. SEATTLE CHILDREN'S ALSO HAS REGIONAL STRATEGIC AFFILIATIONS WITH THE FOLLOWING ENTITIES:- UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (UWSOM)SEATTLE CHILDREN'S HAS HAD A FORMAL AFFILIATION WITH THE UWSOM SINCE 1974. SEATTLE CHILDREN'S HOSPITAL PROVIDES THE PEDIATRIC COMPONENT OF THE UWSOM UNDERGRADUATE MEDICAL EDUCATION PROGRAM AS WELL AS THE HOSPITAL-BASED PEDIATRIC TRAINING EXPERIENCE FOR ALL POST-GRADUATE PROGRAMS.THE UWSOM, A REGIONAL RESOURCE FOR WASHINGTON, WYOMING, ALASKA, MONTANA, AND IDAHO, IS A NATIONALLY AND INTERNATIONALLY RECOGNIZED LEADER IN MEDICAL EDUCATION, PATIENT CARE, SCIENTIFIC RESEARCH AND COMMUNITY SERVICE. THE UWSOM HAS 30 DEPARTMENTS, MANY CENTERS AND NUMEROUS AFFILIATIONS THROUGHOUT THE FIVE-STATE REGION. THE UWSOM OFFERS EXTENSIVE TRAINING PROGRAMS IN THE BASIC MEDICAL SCIENCES, PRIMARY CARE AND THE SPECIALTIES OF CLINICAL MEDICINE. IT HAS A FULL-TIME REGULAR AND RESEARCH FACULTY OF APPROXIMATELY 2,400. IN ADDITION TO TRAINING FUTURE PHYSICIANS, THE FACULTY ALSO TEACHES GRADUATE AND UNDERGRADUATE STUDENTS IN MANY DISCIPLINES, AND 4,600 VOLUNTEER AND PART-TIME CLINICAL FACULTY MEMBERS TEACH STUDENTS IN TOWNS AND CITIES ACROSS THE REGION. THE UWSOM IS AFFILIATED WITH THE 450-BED UNIVERSITY OF WASHINGTON MEDICAL CENTER AND THE 413-BED HARBORVIEW MEDICAL CENTER, WITH WHICH SEATTLE CHILDREN'S HOSPITAL SHARES A DESIGNATION AS A PEDIATRIC LEVEL I TRAUMA CENTER. - CHILDREN'S UNIVERSITY MEDICAL GROUP (CUMG)SEATTLE CHILDREN'S HEALTHCARE SYSTEM AND THE UNIVERSITY OF WASHINGTON (THE "UW") JOINTLY CONTROL CUMG, A WASHINGTON NONPROFIT CORPORATION AND A 501(C)(3) ORGANIZATION. CUMG IS A PEDIATRIC PRACTICE PLAN THAT EMPLOYS AND MANAGES THE CLINICAL PRACTICES OF APPROXIMATELY 500 PROFESSIONAL MEMBERS WHO ARE BOTH MEMBERS OF SEATTLE CHILDREN'S HOSPITAL MEDICAL STAFF AND PEDIATRIC FACULTY MEMBERS OF THE UWSOM.- PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC (PCNS)SEATTLE CHILDREN'S PARTICIPATES IN A JOINT VENTURE WITH PROVIDENCE EVERETT MEDICAL CENTER (PEMC), AN UNRELATED COMMUNITY-BASED HOSPITAL LOCATED IN EVERETT, WASHINGTON. CHILDREN'S AND PEMC EACH OWN A 50% INTEREST IN PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC. PCNS MANAGES THE OPERATIONS OF THE NEONATAL INTENSIVE CARE UNIT AT PEMC AND PROVIDES NEONATAL NURSE PRACTITIONER SERVICES TO PEMC. PART VI, LINE 6: SEATTLE CHILDREN'S HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART V, SECTION B, LINE 11: (CONTINUED FROM PRIOR PAGE)ALTHOUGH THERE IS NO SINGULAR OR SIMPLE SOLUTION, SEATTLE CHILDREN'S IS COMMITTED TO PROMOTING HEALTHY LIFESTYLES AND INCREASING ACCESS TO HEALTHY FOODS AS A PORTION OF ITS RESOURCE INVESTMENT. SEATTLE CHILDREN'S IS IMPROVING FOOD ACCESS AND AFFORDABILITY THROUGH ITS FRESHBUCKS RX AND SNAP MARKET INITIATIVES AND SCREENING PATIENT FAMILIES FOR FOOD INSECURITY AND REFERRING THESE FAMILIES TO RESOURCES. TO SUPPORT PHYSICAL ACTIVITY AND HEALTHY RECREATION WE ARE EXPANDING THE IMPLEMENTATION OF THE EVIDENCE-BASED ACT! CURRICULUM AND ADVOCATING FOR WATER BOTTLE FILLING STATIONS AND UPGRADES TO PLAYGROUND EQUIPMENT IN SCHOOLS. TO SUPPORT HEALTHY EATING AND NUTRITIONAL AWARENESS SEATTLE CHILDREN'S IS EXPANDING CULTURALLY AND COMMUNITY TAILORED PROGRAMMING FOR PATIENT FAMILIES THROUGH COOKING DEMONSTRATIONS AND COMMUNITY GARDENING CLASSES. THESE STRATEGIES ARE FOUNDATIONAL IN CREATING BETTER PEDIATRIC HEALTHCARE OUTCOMES FOR ALL IN THE REGION. (4) ECONOMIC OPPORTUNITY:APPROXIMATELY 30% OF CHILDREN IN THE UNITED STATES LIVE IN POVERTY OR NEAR POVERTY AND ONE IN THREE U.S. CHILDREN SPEND ONE YEAR OR MORE LIVING IN A HOUSEHOLD THAT IS BELOW THE POVERTY LINE BEFORE THEIR 18TH BIRTHDAY. THE POVERTY LEVEL IS SET BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) AND IS THE SAME FOR A FAMILY IN SEATTLE AS IT IS FOR A FAMILY IN WAPATO. EVEN THOUGH WASHINGTON IS AMONG THE TOP FIVE STATES WITH THE MOST ROBUST ECONOMY, 14% OF CHILDREN IN WASHINGTON LIVE IN HOUSEHOLDS THAT FALL UNDER THE POVERTY THRESHOLD, WHICH IS SET AT AN ANNUAL INCOME OF $24,860 OR LESS FOR A FAMILY OF THREE. THE LONG-TERM EFFECTS OF LIVING UNDER ECONOMIC INSECURITY MANIFEST IN SEVERAL WAYS AND ARE LINKED TO POORER HEALTH OUTCOMES. REDUCING CHILD POVERTY AND PROMOTING ECONOMIC SECURITY AND MOBILITY NOT ONLY IMPROVES WELL-BEING FOR CHILDREN AND THEIR FAMILIES, BUT ALSO HAS LONG-TERM NET BENEFITS FOR SOCIETY, SUCH AS HIGHER TAXES PAID, LOWER HEALTH CARE COSTS, AND LESS CRIME. INVESTING IN THE HEALTH AND WELL-BEING OF OUR CHILDREN -- OUR NATION'S FUTURE COMMUNITY MEMBERS AND LEADERS -- IS CRITICAL TO EFFECTIVELY MAINTAIN AND CULTIVATE A THRIVING REGION. BECAUSE THE RELATIONSHIP BETWEEN WEALTH, LOCATION AND HEALTH HAS BEEN WELL-ESTABLISHED, SEATTLE CHILDREN'S SEEKS TO INTENTIONALLY LEVERAGE OUR ASSETS TO ACHIEVE BETTER PEDIATRIC HEALTH OUTCOMES BY IMPROVING ECONOMIC VITALITY AND ADDRESSING OTHER SOCIAL DETERMINANTS OF HEALTH. INVESTING IN TRANSPORTATION AND HOUSING AFFORDABILITY, EDUCATION (INCLUDING EARLY CHILDHOOD EDUCATION), AND EMPLOYMENT ARE SOME AVENUES SEATTLE CHILDREN'S IS TARGETING TO IMPROVE ECONOMIC SECURITY IN COMMUNITIES ACROSS WAMI.OUR GOALS IN THIS AREA ARE TO BECOME AN ANCHOR INSTITUTION THROUGH PLACE-BASED WORK AND INVESTMENTS LOCALLY AND REGIONALLY. THIS MEANS DOCUMENTING A MEASURED INCREASE IN OUR LOCAL HIRING, ESPECIALLY FROM UNDER-RESOURCED COMMUNITIES IN OUR REGION. WE HAVE SIMILAR GOALS FOR PURCHASED SERVICES AND SUPPLIES AS WELL AS MEASURABLES OF LOCAL HIRING IN EACH OF OUR CONSTRUCTION PROJECTS. WE PLAN ON DEVELOPING AND MAINTAINING LOCAL HOUSING SUPPORTS, SUPPORTING THE MEDICAL LEGAL PARTNERSHIP, AND PARTNERING WITH COMMUNITY TRANSPORTATION SUPPORTS TO REMOVE BARRIERS TO ACCESSING CARE. WE CONTINUE TO CONTRACT WITH OUR LOCAL MEDICAID TRANSPORTATION PROVIDER, HOPELINK, TO STAFF A DESK AT THE HOSPITAL AND FACILITATE RIDES FOR FAMILIES TO AND FROM THEIR APPOINTMENTS.2022 ASSESSMENT RESULTS HAVE VALIDATED OUR EXISTING WORK AND HAVE HELPED US PRIORITIZE WHERE AND HOW TO FOCUS OUR CHNA. HOWEVER, GIVEN THE COMPLEXITY OF COMMUNITY NEEDS AND THE FINITE RESOURCES AVAILABLE TO MEET THEM, WE HAVE DIFFICULT CHOICES. WE BELIEVE THAT BY WORKING IN PARTNERSHIP WITH OTHERS, OUR EFFORTS WILL HAVE RIPPLE EFFECTS THROUGHOUT THE COMMUNITY. 1 AIDS HEALTHCARE FOUNDATION 6255 W SUNSET BLVD 21ST FL LOS ANGELES CA 90028 954112121 501(C)(3) 11882 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD AKRON CHILDREN'S HOSPITAL PO BOX 74681 CLEVELAND OH 441940002 340714357 501(C)(3) 28544 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ALASKA MARINE SAFETY EDUCATION ASSOCIATION 2924 HALIBUT POINT RD SITKA AK 99835 920129584 501(C)(3) 20000 0 GRANT FOR SAFETY TRAINING PROGRAM ALLEN INSTITUTE 615 WESTLAKE AVE N SEATTLE WA 98109 912155317 501(C)(3) 721437 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO 225 EAST CHICAGO AVE BOX 205 CHICAGO IL 60611 362170833 501(C)(3) 126415 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ARIZONA STATE UNIVERSITY PO BOX 876011 TEMPE AZ 852876011 860196696 GOVERNMENT 523677 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE INC 1 CHILDRENS WAY LITTLE ROCK AR 722023591 710694931 501(C)(3) 34194 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ASCENSION SETON PO BOX 204242 DALLAS TX 753204242 741109643 501(C)(3) 5147 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ASHLEY HOUSE 33811 9TH AVE S FEDERAL WAY WA 98003 943080307 501(C)(3) 200000 0 GIFT IN SUPPORT OF PEDIATRIC TRANSITIONAL CARE FACILITY AND SEATTLE PRIDE PARADE PARTNERSHIP ATLANTIC STREET CENTER 2103 S ATLANTIC STREET SEATTLE WA 981443615 910568710 501(C)(3) 6000 0 ANNUAL GALA SPONSORSHIPS BATTELLE MEMORIAL INSTITUTE 505 KING AVE COLUMBUS OH 432012693 314379427 501(C)(3) 196405 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD BAYLOR COLLEGE OF MEDICINE 6701 FANNIN ST STE 1040 HOUSTON TX 77030 741613878 501(C)(3) 212455 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 NINTH AVE SEATTLE WA 981012795 910653422 501(C)(3) 452958 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE BOSTON MA 02215 042103881 501(C)(3) 370410 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CAL POLY CORPORATION 1 GRAND AVE BLDG 15 SAN LUIS OBISPO CA 93407 951648180 501(C)(3) 8310 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CAREER PATH SERVICES 10 N POST ST STE 200 SPOKANE WA 99201 911032846 501(C)(3) 20000 0 SUPPORT OF CAREERWORK$ MEDICAL PROGRAM CATHOLIC UNIVERSITY OF AMERICA 620 MICHIGAN AVE NE WASHINGTON DC 20064 530196583 501(C)(3) 76636 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CENTER FOR MULTICULTURAL HEALTH 1120 EAST TERRACE ST STE 200 SEATTLE WA 98122 910983698 501(C)(3) 30000 0 DONATION TO HEALTHY KING COUNTY COALITION BUILD HEALTH CHALLENGE CHILDREN'S ALLIANCE 113 CHERRY ST BOX 87190 SEATTLE WA 98104 910982879 501(C)(3) 7500 0 SPONSORSHIP OF VOICES FOR CHILDREN EVENT CHILDREN'S HOSPITAL BOSTON PO BOX 414413 BOSTON MA 022414413 042774441 501(C)(3) 162359 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD LOS ANGELES CA 90027 951690977 501(C)(3) 479803 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNET AVE CINCINNATI OH 452293039 310833936 501(C)(3) 145911 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL OF ORANGE COUNTY 1201 W LA VETA AVE ORANGE CA 92868 952321786 501(C)(3) 14739 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL OF PHILADELPHIA PO BOX 8500 LOCKBOX 1457 PHILADELPHIA PA 191781457 231352166 501(C)(3) 568675 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S MINNESOTA 2525 CHICAGO AVE S MINNEAPOLIS MN 55404 383384800 501(C)(3) 8397 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S NATIONAL MEDICAL CENTER 111 MICHIGAN AVE NW STE 5400 WASHINGTON DC 20010 521640403 501(C)(3) 63799 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CITY OF GUSTAVUS PO BOX 1 GUSTAVUS AK 99826 270085777 GOVERNMENT 40000 0 GRANTS FOR CHILDREN'S PLAY EQUIPMENT AND IMPROVEMENTS AT SALMON RIVER PARK COLORADO STATE UNIVERSITY 2002 CAMPUS 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0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES PO BOX 748872 LOS ANGELES CA 900744872 956006143 501(C)(3) 205254 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK PO BOX 9 ALBANY NY 122010009 141368361 501(C)(3) 78963 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL PO BOX 78000 DEPT 781653 DETROIT MI 482781653 316056230 501(C)(3) 793823 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD RONALD MCDONALD HOUSE CHARITIES OF WESTERN WASHINGTON & ALASKA 5130 40TH AVE NE SEATTLE WA 98105 911061043 501(C)(3) 636808 0 SUPPORT FOR HOUSING PROGRAMS AND GALA SPONSORSHIP RUTGERS THE STATE UNIVERSITY OF NEW JERSEY 33 KNIGHTSBRIDGE RD PISCATAWAY NJ 08854 462354111 GOVERNMENT 161186 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SALK INSTITUTE FOR BIOLOGICAL STUDIES 10010 N TORREY PINES RD LA JOLLA CA 92037 952160097 501(C)(3) 441294 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SANFORD RESEARCH USD 2301 E 60TH ST N SIOUX FALLS SD 571040589 460450378 501(C)(3) 8072 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SEATTLE COLLEGES FOUNDATION 1500 HARVARD AVE SEATTLE WA 98122 830551671 501(C)(3) 76150 0 SUPPORT AND SCHOLARSHIPS FOR HEALTHCARE IT CERTIFICATE PROGRAM SEATTLE INSTITUTE FOR BIOMEDICAL AND CLINICAL RESEARCH 1660 S COLUMBIAN WAY S 151F SEATTLE WA 98108 911452438 501(C)(3) 85357 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SEATTLE OUT AND PROUD FOUNDATION 600 1ST AVE STE 300-D SEATTLE WA 98104 851407007 501(C)(3) 15000 0 SEATTLE PRIDE PARADE PARTNERSHIP SEATTLE UNIVERSITY 901 12TH AVE SEATTLE WA 98122 910565006 501(C)(3) 8145 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SHEPHERD OF THE VALLEY LUTHERAN CHURCH PO BOX 34859 JUNEAU AK 99803 920102479 CHURCH 20000 0 GRANT FOR UPDATES TO A NEW COMMUNITY PLAYGROUND SITKA CONSERVATION SOCIETY 201 LINCOLN ST STE 4 SITKA AK 99835 920096633 501(C)(3) 19346 0 GRANT FOR PACIFIC HIGH SCHOOL EDIBLE GARDEN PROGRAM SITKA FINE ARTS CAMP 110 COLLEGE DRIVE STE 111 SITKA AK 99835 237240278 501(C)(3) 20000 0 GRANT FOR RENOVATION OF STUDENT DORMS SITKA SCHOOL DISTRICT 300 KOSTROMETINOFF ST SITKA AK 98835 926000113 GOVERNMENT 26489 0 GRANTS FOR ELEMENTARY SCHOOL ENTRANCE AND HIGH SCHOOL WHALE REARTICULATION PROJECTS SOLID GROUND WASHINGTON 1501 N 45TH ST SEATTLE WA 98103 237421892 501(C)(3) 12000 0 GRANT FOR SAND POINT HOUSING AND GALA SPONSORSHIP SONIC CONCEPTS INC 18916 NORTH CREEK PKWY STE 115 BOTHELL WA 98011 911635176 49574 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SOUTHEAST ALASKA INDEPENDENT LIVING 8711 TEAL ST STE 300 JUNEAU AK 99801 920144370 501(C)(3) 20000 0 GRANT FOR FIFTH GRADE CHALLENGE PROGRAM ST FRANCIS MEDICAL CENTER 1420 W PIONEER PKWY PEORIA IL 61615 370662569 501(C)(3) 30582 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ST JUDE CHILDREN'S RESEARCH HOSPITAL INC PO BOX 1000 DEPT 949 MEMPHIS TN 38148 620646012 501(C)(3) 61774 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ST LOUIS UNIVERSITY 221 N GRAND BLVD ST LOUIS MO 631083306 430654872 501(C)(3) 26093 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ST LUKE'S REGIONAL MEDICAL CENTER PO BOX 1663 BOISE ID 837011663 820161600 501(C)(3) 21734 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD STANFORD UNIVERSITY PO BOX 44253 SAN FRANCISCO CA 941444253 941156365 501(C)(3) 278738 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SYRACUSE UNIVERSITY 119 BROWNE HALL SYRACUSE NY 132441140 150532081 501(C)(3) 215942 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD TAKSHANUK WATERSHED COUNCIL HC PO BOX 2008 HAINES AK 99827 331069246 501(C)(3) 10960 0 GRANT FOR STUDENT SUMMER PROGRAMS TEMPLE UNIVERSITY PO BOX 22432 NEW YORK NY 100872432 231365971 501(C)(3) 166919 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD TEXAS A&M AGRILIFE RESEARCH 400 HARVEY MITCHELL PKWY S COLLEGE STATION TX 77845 746000541 GOVERNMENT 12120 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD TEXAS BIOMEDICAL RESEARCH INSTITUTE PO BOX 760549 SAN ANTONIO TX 78245 741109630 501(C)(3) 155085 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE CHILDREN'S MERCY HOSPITAL PO BOX 803852 KANSAS CITY MO 641803852 440605373 501(C)(3) 49460 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE CLEVELAND CLINIC FOUNDATION PO BOX 931531 CLEVELAND OH 44193 340714585 501(C)(3) 295887 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH PO BOX 95000-7515 PHILADELPHIA PA 191957515 112673595 501(C)(3) 82033 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE JACKSON LABORATORY PO BOX 90260 CHICAGO IL 606960260 010211513 501(C)(3) 186590 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 390806261 501(C)(3) 67603 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE MEMORIAL FOUNDATION 2701 TIETON DR YAKIMA WA 98902 911022358 501(C)(3) 100000 0 SUPPORT FOR EXPANSION OF CHILDREN'S VILLAGE FACILITY WHICH SERVES CHILDREN WITH SPECIAL HEALTHCARE NEEDS AND THEIR FAMILIES THROUGHOUT CENTRAL WASHINGTON THE NEMOURS FOUNDATION 10140 CENTURION PKWY N JACKSONVILLE FL 32256 590634433 501(C)(3) 92385 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE ROCKEFELLER UNIVERSITY 1230 YORK AVE NEW YORK NY 10065 131624158 501(C)(3) 141451 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE SCRIPPS RESEARCH INSTITUTE 10550 N TORREY PINES RD LA JOLLA CA 92037 330435954 501(C)(3) 1221439 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THOMAS JEFFERSON UNIVERSITY 833 CHESTNUT ST STE 900 PHILADELPHIA PA 19107 231352651 501(C)(3) 25094 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD TOLEDO HOSPITAL 2142 N COVE BLVD TOLEDO OH 43606 344428256 501(C)(3) 17562 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD TRUDEAU INSTITUTE INC 154 ALGONQUIN AVE SARANAC LAKE NY 12983 141401413 501(C)(3) 33068 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD TRUSTEES OF DARTMOUTH COLLEGE 11 ROPE FERRY RD STE 6210 HANOVER NH 03755 020222111 501(C)(3) 18657 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD TULANE UNIVERSITY 1555 POYDRAS ST STE 805 8711 NEW ORLEANS LA 70112 720423889 501(C)(3) 11637 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNITED INDIANS OF ALL TRIBES FOUNDATION PO BOX 99100 SEATTLE WA 98139 910889016 501(C)(3) 9200 0 SEAFAIR AND EVENT SPONSORSHIPS UNITED WAY OF KING COUNTY 720 SECOND AVE SEATTLE WA 98104 910565555 501(C)(3) 10000 0 DONATION UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER PO BOX 781887 DETROIT MI 482781887 341567805 501(C)(3) 38539 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ALABAMA AT BIRMINGHAM 1720 2ND AVE S BIRMINGHAM AL 352940109 636005396 GOVERNMENT 159504 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ARIZONA PO BOX 41867 TUCSON AZ 85717 742652689 GOVERNMENT 16240 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 W MARKHAM ST SLOT 560 LITTLE ROCK AR 72205 716046242 GOVERNMENT 24180 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF CHICAGO 6054 S DREXEL AVE STE 200 CHICAGO IL 60637 362177139 501(C)(3) 215014 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF CINCINNATI PO BOX 691031 CINCINNATI OH 452210222 316000989 GOVERNMENT 32756 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF COLORADO DENVER PO BOX 910238 DENVER CO 802910238 846000555 GOVERNMENT 625201 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF DELAWARE 550 S COLLEGE AVE NEWARK DE 19713 516000297 501(C)(3) 14542 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF FLORIDA PO BOX 100219 GAINESVILLE FL 32610 596002052 GOVERNMENT 801311 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF IOWA 2410 UCC 201 S CLINTON ST IOWA CITY IA 52242 426004813 GOVERNMENT 131099 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF KANSAS FOR RESEARCH INC 2385 IRVING HILL RD LAWRENCE KS 66045 480680117 501(C)(3) 657212 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE 3901 RAINBOW BLVD MS 1039 KANSAS CITY KS 66160 481108830 501(C)(3) 100683 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION 138 LEADER AVE RM 244 LEXINGTON KY 40508 616033693 501(C)(3) 61644 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF MAINE 5717 CORBETT HALL RM 404 ORONO ME 044695717 016000769 GOVERNMENT 18625 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF MASSACHUSETTS 333 S ST STE 450 SHREWSBURY MA 01545 043167352 501(C)(3) 109161 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF MIAMI PO BOX 405803 ATLANTA GA 303845803 590624458 GOVERNMENT 13935 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF NEBRASKA MEDICAL CENTER 985065 NEBRASKA MEDICAL CTR OMAHA NE 681985065 470049123 501(C)(3) 30746 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF NORTH CAROLINA 130 MASON FARM RD CB 7020 CHAPEL HILL NC 27599 566001393 GOVERNMENT 546787 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF OKLAHOMA HEALTH SCIENCES PO BOX 26901 SCB 228 OKLAHOMA CITY OK 731260901 736017987 GOVERNMENT 34785 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF PENNSYLVANIA PO BOX 785541 PHILADELPHIA PA 191785541 231352685 501(C)(3) 135416 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF PITTSBURGH PO BOX 640458 PITTSBURGH PA 152640458 250965591 501(C)(3) 135772 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ROCHESTER 601 ELMWOOD AVE RM 11120B ROCHESTER NY 146428777 160743209 501(C)(3) 157867 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF SOUTHERN CALIFORNIA 3500 S FIGUEROA ST STE 102 LOS ANGELES CA 900898001 951642394 501(C)(3) 21533 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF TENNESSEE 62 S DUNLAP ST STE 300 MEMPHIS TN 38163 626001636 GOVERNMENT 16187 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER PO BOX 841753 DALLAS TX 752841753 756001354 GOVERNMENT 221563 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF TEXAS SOUTHWEST MEDICAL CENTER NPO BOX 841765 DALLAS TX 752841765 756002868 GOVERNMENT 301249 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF UTAH 201 S PRESIDENTS CIRCLE RM 406 SALT LAKE CITY UT 841129020 876000525 GOVERNMENT 101973 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE 85 S PROSPECT ST BURLINGTON VT 05405 030179440 501(C)(3) 65112 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF VIRGINIA 1001 N EMMET ST PO BOX 400195 CHARLOTTESVILLE VA 229044270 546001796 501(C)(3) 101104 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DR CHICAGO IL 60693 916001537 GOVERNMENT 9523626 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD, SUPPORT FOR GRADUATE EDUCATION PROGRAMS AND AWARD FOR JUVENILE MYOSITIS RESEARCH PROJECT UNIVERSITY OF WISCONSIN 800 UNIVERSITY BAY DR STE 210 MADISON WI 537056507 396006492 GOVERNMENT 216598 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD VANDERBILT UNIVERSITY PMB 406310 2301 VANDERBILT PL NASHVILLE TN 972406310 620476822 501(C)(3) 68030 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD VANDERBILT UNIVERSITY MEDICAL CENTER PO BOX 121236 DALLAS TX 753121236 352528741 501(C)(3) 146962 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD VIRGINIA COMMONWEALTH UNIVERSITY PO BOX 843039 RICHMOND VA 23219 546001758 GOVERNMENT 16197 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WASHINGTON ALLIANCE FOR BETTER SCHOOLS 18560 1ST AVE NE SHORELINE WA 98155 911698851 501(C)(3) 6000 0 EVENT SPONSORSHIPS WASHINGTON POISON CENTER 155 NE 100TH ST STE 100 SEATTLE WA 98125 943214597 501(C)(3) 28842 0 CONTRIBUTION IN SUPPORT OF PROVIDING EQUAL HEALTHCARE ACCESS WASHINGTON STATE UNIVERSITY PO BOX 641025 PULLMAN WA 991641025 916001108 GOVERNMENT 174252 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WASHINGTON UNIVERSITY WU-ACCT SVCS 7425 FORSYTH BLVD ST LOUIS MO 631052161 430653611 501(C)(3) 184558 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WAYNE STATE UNIVERSITY PO BOX 02788 DETROIT MI 48202 386028429 GOVERNMENT 21376 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WEILL CORNELL MEDICAL COLLEGE 575 LEXINGTON AVE 9TH FLR NEW YORK NY 10022 131623978 501(C)(3) 149447 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WEST VIRGINIA UNIVERSITY PO BOX 6845 MORGANTOWN WV 265066845 556000842 GOVERNMENT 32854 0 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WITHINREACH 155 NE 100TH ST STE 500 SEATTLE WA 98125 911443685 501(C)(3) 15000 0 GIFT IN SUPPORT OF MENTAL HEALTH SERVICES AND RESOURCES 167 5 SUPPORT TO PATIENT FAMILIES FOR TEMPORARY HOUSING AND RENTAL ASSISTANCE 362 831930 ACTUAL COST PAYMENTS TO HOUSING AND RENTAL COMPANIES SUPPORT TO PATIENT FAMILIES FOR FUNERAL EXPENSES 74 32393 ACTUAL COST PAYMENTS TO FUNERAL HOMES SUPPORT TO PATIENT FAMILIES FOR UTILITY PAYMENTS 43 30971 ACTUAL COST PAYMENTS TO UTILITY COMPANIES SUPPORT TO PATIENT FAMILIES FOR TRANSPORTATION TO APPOINTMENTS 121 15687 ACTUAL COST PAYMENTS TO TRANSPORTATION COMPANIES SUPPORT TO PATIENT FAMILIES FOR MEDICAL EQUIPMENT 14 2265 ACTUAL COST PAYMENTS TO MEDICAL EQUIPMENT PROVIDERS SUPPORT TO PATIENT FAMILIES FOR MEDICATION 1 300 ACTUAL COST PAYMENTS TO PHARMACIES SUPPORT TO PATIENT FAMILIES TO PURCHASE GAS FOR TRANSPORTATION TO APPOINTMENTS 1677 189903 MARKET VALUE GAS CARDS SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD 1480 93850 MARKET VALUE MEAL VOUCHERS TO CAFETERIA AND STARBUCKS GIFT CARDS SUPPORT TO PATIENT FAMILIES TO PURCHASE GROCERIES 1014 97010 MARKET VALUE GROCERY GIFT CARDS SUPPORT TO PATIENT FAMILIES TO MEET VARIOUS OTHER NEEDS 30 24183 MARKET VALUE GIFT CARDS, FURNITURE, AND OTHER ITEMS SUPPORT TO PATIENTS AND FAMILIES WHO ARE ADMITTED ON AN EMERGENT / URGENT BASIS 71 2000 MARKET VALUE CLOTHING SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD 23 435 MARKET VALUE FOOD BAGS SUPPORT TO PATIENT FAMILIES TO RECEIVE GROCERIES THROUGH FOOD INSECURITY PROGRAM 25632 111559 MARKET VALUE FOOD INCLUDING HOME DELIVERIES SUPPORT TO PATIENT FAMILIES TO BUY GROCERIES THROUGH FOOD INSECURITY PROGRAM 3986 100000 MARKET VALUE GROCERY AND GAS GIFT CARDS COLLEGE SCHOLARSHIPS FOR MINORITY NURSING STUDENTS 25 89360 ACTUAL COST PAYMENTS TO HIGHER EDUCATION COLLEGE SCHOLARSHIP FOR HOSPITAL VOLUNTEER 1 2500 ACTUAL COST PAYMENTS TO HIGHER EDUCATION BASIC NECESSITIES PROVIDED TO PATIENT FAMILIES AT OBCC OTHELLO CLINIC 12110 43567 MARKET VALUE BASIC NECESSITIES AND COMFORT ITEMS FOR FAMILIES SUCH AS FOOD AND FORMULA, CLOTHING AND SHOES, DIAPERS AND HYGIENE SUPPLIES, BOOKS AND SCHOOL SUPPLIES, CAR SEATS AND STROLLERS, MEDICAL SUPPLIES AND MORE. SUPPORT TO PATIENT FAMILIES AT OBCC OTHELLO CLINIC TO PURCHASE BASIC NECESSITIES 700 35000 MARKET VALUE GIFT CARDS SUPPORT TO PATIENT FAMILIES AT OBCC OTHELLO CLINIC FOR HOUSING AND UTILITIES 7 1742 ACTUAL COST PAYMENTS TO HOUSING, RENTAL AND UTILITY COMPANIES 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 LOCATION OF THE POPULATION SERVED, AS WELL AS DOCUMENTED COMMUNITY NEED ADDRESSED BY THE ORGANIZATION. THE PURPOSE OF GRANTS DISTRIBUTED FROM THE REUBEN CROSSETT ENDOWMENT FUND IS TO IMPROVE THE HEALTH OF CHILDREN LIVING IN SOUTHEAST ALASKA. AN ADVISORY COMMITTEE OF SEATTLE CHILDREN'S REPRESENTATIVES REVIEWS APPLICATIONS AND VISITS CITIES ACROSS SOUTHEAST ALASKA ANNUALLY TO GAIN FEEDBACK ON THE NEEDS OF THE COMMUNITIES AND MEET WITH ORGANIZATIONS THAT HAVE RECEIVED OR MAY APPLY FOR FUNDING. GRANT RECIPIENTS ARE ASKED TO PROVIDE A REPORT ON HOW THEY WILL EVALUATE THE SUCCESS OF THEIR PROJECT AND RETURN ANY UNSPENT GRANT FUNDS TO THE ENDOWMENT. PRINCIPAL INVESTIGATORS AT SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF THE HOSPITAL, AND THEIR AFFILIATED CENTER BUSINESS OFFICE PERFORM QUARTERLY REVIEWS OF EACH SUBAWARD TO ENSURE THAT RECIPIENTS ARE MANAGING FUNDING IN ACCORDANCE WITH THE TERMS OF THE CONTRACT. THE OFFICE OF SPONSORED RESEARCH DEPARTMENT PERFORMS SINGLE AUDITS, RATE AGREEMENTS, AND DISCLOSURE REQUIREMENTS ARE ALL REVIEWED TO ENSURE THEY ARE CURRENT OR EXEMPT. THIS REVIEW IS TO ENSURE THAT THE SUBRECIPIENT HAS THE NECESSARY INFRASTRUCTURE IN PLACE TO MANAGE FUNDS. TERMS OF THE SUBCONTRACTS ARE MODIFIED AS NEEDED TO ADDRESS ANY ISSUES. THE PRINCIPAL INVESTIGATOR IS RESPONSIBLE TO ENSURE THE WORK IS PERFORMED TO SATISFACTION AND CONSISTENT WITH THE AIMS OF THE PROJECT. THE CENTER BUSINESS OFFICE ENSURES THAT THE INVOICED AMOUNTS ARE ALLOWABLE UNDER THE PROVISIONS OF THE AWARD AND SUBCONTRACT. A FINAL CHECK FOR COMPLIANCE TAKES PLACE AT THE EXPIRATION OF THE SUBAWARD BY THE OFFICE OF SPONSORED RESEARCH AND THE CENTER BUSINESS OFFICE AS A PART OF THE SUBAWARD CLOSEOUT PROCESS. ANY PROBLEMS WITH PERFORMANCE OR EXPENDITURES ARE IDENTIFIED AT THAT TIME AND RESOLVED AS APPROPRIATE BEFORE FINAL DISTRIBUTIONS ARE MADE AND THE SUBAWARD IS COMPLETE. X 1 1 X X X X 1 1 0 0 0 0 0 0 0 JEFF SPERRING MD FORMER OFFICER 0 1427358 278690 92897 6279 30067 0 366969 0 26922 284969 1944213 0 0 ZAFAR CHAUDRY MD FORMER KEY EMPLOYEE 0 613575 83531 517000 1406 6759 0 105803 0 12732 84937 1255869 0 0 SUZANNE BEITEL SENIOR VP & CHIEF FINANCIAL OFFICER 0 801709 80905 26968 2402 12220 0 139428 0 35329 83307 1015654 0 0 JAMIE PHILLIPS SENIOR VP & CHIEF OPERATING OFFICER 814534 0 50000 0 64934 0 12007 111743 38121 0 979596 111743 0 0 ERIC THAM MD SVP & CHIEF RESEARCH OPS OFFICER 639434 0 265181 0 1040 0 26730 79922 37735 0 970120 79922 0 0 MYRA GREGORIAN FORMER KEY EMPLOYEE 0 643223 84755 0 1407 13716 0 112839 0 37746 86162 807524 0 0 DONDI CUPP SVP & CHIEF DEV OFFICER - FOUNDATION 59229 533055 7852 70668 2395 0 1985 92293 3475 31271 74936 727287 0 0 MICHAEL ASTION MD PHD CHIEF OF PATHOLOGY & LAB MEDICINE 702202 0 28015 0 10731 0 25055 0 35050 0 801053 0 0 0 STANLEY RA FORMER KEY EMPLOYEE 0 494833 0 248325 10555 0 0 22742 0 19782 10555 785682 0 0 JEFFREY OJEMANN MD SVP - CHIEF MEDICAL OFFICER 243777 0 25860 430548 3310 29781 18251 22789 3640 0 294838 483118 0 29781 ERIK LAUSUND CHIEF OF RESEARCH OPERATIONS 212626 0 44279 0 458333 0 4893 0 21837 0 741968 0 0 0 JEFFREY AVANSINO MD VP - MEDICAL AFFAIRS 411733 160736 59758 25500 4294 0 26730 0 34211 0 536726 186236 0 0 BONNIE FRYZLEWICZ SVP & CHIEF NURSING OFFICER 474130 0 57040 0 21991 0 26730 56872 34404 0 614295 56872 0 0 PAMELA ROCK VP, MED SERV LINE & SPEC PROGRAMS 232696 0 85178 0 317935 0 6800 0 11515 0 654124 0 0 0 PAUL SHAREK MD VP - CHIEF QUALITY & SAFETY OFFICER 524786 0 54514 0 7739 0 20688 0 19869 0 627596 0 0 0 RUTH MCDONALD MD VP-CHIEF MEDICAL OPERATIONS OFFICER 519842 0 53392 0 12908 0 24128 0 15329 0 625599 0 0 0 CORY NOEL MD CARDIOLOGIST 460866 0 3500 0 67689 0 26730 0 34368 0 593153 0 0 0 RYOTA KASHIWAZAKI MD OTOLARYNGOLOGIST 365179 0 158773 0 1101 0 20130 0 34058 0 579241 0 0 0 MICHAEL JENSEN MD VP-SC THERAPEUTICS,CHIEF MED OFFICER 446521 0 46267 0 7082 0 20130 0 34322 0 554322 0 0 0 KEVIN KOLLINS MD CARDIOLOGIST 456748 0 3500 0 27239 0 21945 0 34354 0 543786 0 0 0 RUSSELL WILLIAMS FORMER KEY EMPLOYEE 0 128999 78243 0 295907 3799 0 19167 0 9476 374150 161441 0 0 TANYA SEATON VP & CHIEF AMBULATORY OFFICER 416627 0 48572 0 7255 0 19793 0 12148 0 504395 0 0 0 JOHN SAAVEDRA VP - PEOPLE OPERATIONS 376305 0 39392 0 5297 0 20130 0 28904 0 470028 0 0 0 WARREN HEWITT VP - FINANCE 255504 85167 27280 9092 6778 686 20048 6682 20388 6796 329998 108423 0 0 SUZANNE VANDERWERFF VP-REV CYCLE & HEALTH INFO INTEGRITY 346463 0 36434 0 4331 0 26709 0 24324 0 438261 0 0 0 WENDY JAKOBSEN VP - COMPLIANCE 346483 0 35915 0 4844 0 22679 0 24324 0 434245 0 0 0 VICTORIA CLEATOR VP-RES FACILITIES OPS, CAP PROJECTS 365037 0 38310 0 6512 0 22926 0 1187 0 433972 0 0 0 VITTORIO GALLO PHD SVP & CHIEF SCIENTIFIC OFFICER 194944 0 100000 0 120171 0 0 52 2173 0 417288 52 0 0 DOUGLAS PICHA FORMER HIGHEST COMPENSATED EMPLOYEE 0 308925 44925 0 3889 0 0 26730 0 23998 48814 359653 0 0 ROBIN TURNER VP & DEPUTY GENERAL COUNSEL 321288 0 32620 0 4527 0 19214 0 12089 0 389738 0 0 0 ANDRE DICK MD SVP & SURGEON IN CHIEF 275272 0 21807 39500 3025 0 15196 29820 0 0 315300 69320 0 0 SAMUEL WILLIAMS FORMER KEY EMPLOYEE 117828 0 44274 0 3779 0 3460 0 363 0 169704 0 0 0 PART I, LINE 1A BUSINESS OR FIRST CLASS TRAVEL IS PROVIDED TO EMPLOYEES IN THE EVENT OF MEDICAL NECESSITY OR ON CERTAIN INTERNATIONAL FLIGHTS OF LONG DURATION. THIS IS NOT TREATED AS COMPENSATION. PART I, LINES 4A-B THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: JEFF SPERRING MD - $340,239 EMPLOYER CONTRIBUTIONS ZAFAR CHAUDRY MD - $79,073 EMPLOYER CONTRIBUTIONS SUZANNE BEITEL - $112,698 EMPLOYER CONTRIBUTIONS JAMIE PHILLIPS - $111,743 EMPLOYER CONTRIBUTIONS ERIC THAM MD - $79,922 EMPLOYER CONTRIBUTIONS MYRA GREGORIAN - $86,109 EMPLOYER CONTRIBUTIONS DONDI CUPP - $74,425 EMPLOYER CONTRIBUTIONS JEFFREY OJEMANN MD - $22,789 EMPLOYER CONTRIBUTIONS, $29,781 TAXABLE PAYMENT BONNIE FRYZLEWICZ - $56,872 EMPLOYER CONTRIBUTIONS RUSSELL WILLIAMS - $14,660 EMPLOYER CONTRIBUTIONS VITTORIO GALLO PHD - $11,963 EMPLOYER CONTRIBUTIONS, $11,911 TAXABLE PAYMENT ANDRE DICK MD - $29,820 EMPLOYER CONTRIBUTIONS THE FOLLOWING RECEIVED A SEVERANCE PAYMENT: ERIK LAUSUND - $452,376 PAMELA ROCK - $314,191 RUSSELL WILLIAMS - $295,668 PART II, COLUMN (F): THE FOLLOWING RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, WHICH IS BEING REPORTED IN COLUMN (B)(III). THIS PORTION OF THAT COMPENSATION WAS REPORTED IN COLUMN (C) IN PRIOR FORMS 990: JEFFREY OJEMANN MD - $29,781 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2017A 911108929 93978HSC0 2017-04-06 126646117 SEE PART VI 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2015A AND 2015B 911108929 93978HLL7 2015-02-03 303924156 SEE PART VI 0 0 0 C WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2012C AND 2012D 911108929 93978HEZ4 2012-06-20 142165000 SEE PART VI 0 0 0 A 7705000 127525980 8 1545641 125980331 2018 0 0 1 1 B 390000 303944485 62441 197416118 2600625 103865301 2015 0 1 1 1 C 63400000 142165000 2012 1 0 1 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 1 1 1 0 0 0 1 A 1 B 1 C 1 PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017A (SEATTLE CHILDREN'S HOSPITAL), ("THE 2017A BONDS"), WERE ISSUED TO (I) PAY AND/OR REIMBURSE SEATTLE CHILDREN'S HOSPITAL ("CHILDREN'S") FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING, EQUIPPING AND IMPROVING CERTAIN HEALTH CARE FACILITIES THAT ARE OR WILL BE OWNED AND OPERATED BY CHILDREN'S, INCLUDING HEALTH CARE FACILITIES LOCATED AT ITS SEATTLE CAMPUS IN SEATTLE, WASHINGTON AND THE CONSTRUCTION AND EQUIPPING OF A NEW CLINIC IN EVERETT, WASHINGTON, AND (II) PAY THE COSTS OF ISSUING THE SERIES 2017A BONDS. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2015A AND REFUNDING REVENUE BONDS, SERIES 2015B (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2015A/B BONDS"), WERE ISSUED TO (I) PROVIDE PART OF THE FUNDS NECESSARY TO PAY AND/OR REIMBURSE SEATTLE CHILDREN'S HOSPITAL FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING, EQUIPPING AND IMPROVING CERTAIN HEALTH CARE FACILITIES OWNED AND OPERATED BY CHILDREN'S; (II) ADVANCE REFUND AND DEFEASE ALL OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED MAY 29, 2008 (THE "SERIES 2008C BONDS"), THE PROCEEDS OF WHICH WERE ISSUED TO (I) REPAY AND RETIRE CHILDREN'S TAXABLE LINE OF CREDIT INDEBTEDNESS OWED TO WELLS FARGO BANK, N.A., WHICH INDEBTEDNESS WAS INCURRED TO REDEEM AND RETIRE THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED FEBRUARY 16, 2006 (THE "SERIES 2006C BONDS"), THE PROCEEDS OF WHICH WERE USED TO (I) PROVIDE A PORTION OF THE FUNDS NECESSARY TO CONSTRUCT, REMODEL AND/OR ACQUIRE ADDITIONAL HEALTH CARE FACILITIES FOR CHILDREN'S AND (II) TO PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2008C BONDS; AND (III) ADVANCE REFUND AND DEFEASE $79 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2009 (SEATTLE CHILDREN'S HOSPITAL), DATED AUGUST 19, 2009, (THE "SERIES 2009 BONDS"), THE PROCEEDS OF WHICH WERE ISSUED USED TO PROVIDE ALL OR A PORTION OF THE FUNDS NECESSARY TO (I) PAY THE COSTS (INCLUDING NEW CAPITAL COSTS, REIMBURSEMENT COSTS, AND REFINANCING COSTS) OF ACQUIRING THE LAND FOR CONSTRUCTING AND EQUIPPING A NEW OUTPATIENT CLINIC AND AMBULATORY SURGERY FACILITY IN BELLEVUE, WASHINGTON, RENOVATING AND REMODELING VARIOUS PORTIONS OF CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS; AND (III) PAY COSTS OF ISSUING THE SERIES 2015A/B BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2015A BONDS, WHICH HAVE THE LATER OF THE MATURITIES OF THE TWO SERIES. LINE C, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REFUNDING REVENUE BONDS, SERIES 2012C AND REFUNDING REVENUE BONDS, SERIES 2012D (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2012C/D BONDS"), WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008A AND SERIES 2008B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED APRIL 16, 2008 (THE "SERIES 2008A/B BONDS"), THE PROCEEDS OF WHICH WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006A AND SERIES 2006B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), EACH DATED FEBRUARY 16, 2006 (THE "SERIES 2006A/B BONDS") THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING TO ADVANCE REFUND AND DEFEASE $67 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 1998 BONDS (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED NOVEMBER 17, 1998 (THE "SERIES 1998 BONDS"), THE PROCEEDS OF WHICH WERE USED TO PROVIDE A PORTION OF THE FUNDING FOR A COMPREHENSIVE FACILITY RENOVATION PROGRAM THAT INCLUDED EXTENSIVE CAPITAL IMPROVEMENTS TO THE HOSPITAL'S MAIN FACILITY; AND (II) ADVANCE REFUND AND DEFEASE $66 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2001 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED NOVEMBER 15, 2001 (THE "SERIES 2001 BONDS"), THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING FOR A $120 MILLION CAPITAL PROGRAM, (II) PAY FOR THE PREMIUM RELATING TO THE BOND INSURANCE POLICY AND (III) PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2001 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2012D BONDS AND THERE IS NO CUSIP NUMBER FOR THE SERIES 2012C BONDS. PART II, PROCEEDS: COLUMN A, LINE 3 INCLUDES INVESTMENT EARNINGS OF $879,803.00. COLUMN B, LINES 3, 5 AND 6: LINE 3 INCLUDES INVESTMENT EARNINGS OF $20,329.00. LINE 5: $40,033.00 AND $21,371.00 OF PROCEEDS WERE TRANSFERRED TO THE PRINCIPAL AND INTEREST ACCOUNTS OF THE SERIES 2015A AND 2015B SERIES BONDS, RESPECTIVELY, AND WAS USED TO PAY INTEREST ON THE NEW MONEY PORTION OF THE SERIES 2015A AND 2015B BONDS. LINE 6: $197,416,118.00 OF TOTAL PROCEEDS FROM THE SERIES 2015B BONDS WAS DEPOSITED IN A REFUNDING ESCROW ACCOUNT. COLUMN C: $142,165,000.00 WAS USED TO REFUND, ON A CURRENT BASIS AND REDEEM ALL OF THE OUTSTANDING SERIES 2008A AND SERIES 2008B BONDS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2012C/D BONDS. PART III, PRIVATE BUSINESS USE: COLUMNS A AND B, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%. COLUMN C IS NOT REPORTED BECAUSE IT MEETS THE SPECIAL RULES FOR REFUNDING OF PRE-2003 BOND ISSUANCES. PART IV, ARBITRAGE: COLUMN A, LINE 2B: THE LAST ARBITRAGE COMPUTATION REVIEW WAS PERFORMED ON APRIL 19, 2022. COLUMN B, LINE 2B: THE LAST REBATE COMPUTATION WAS PERFORMED ON FEBRUARY 25, 2020. COLUMN C, LINE 2C: THE SERIES 2012C AND SERIES 2012D BONDS MET THE SIX-MONTH EXPENDITURE EXCEPTION. THE LAST ARBITRAGE COMPLIANCE REVIEW WAS PERFORMED ON NOVEMBER 29, 2022. COLUMN C, LINE 4A: CHILDREN'S DID NOT ENTER, NOR EXPECTS TO ENTER INTO, ANY INTEREST RATE HEDGE ARRANGEMENTS IN CONNECTION WITH THE SERIES 2012C/D BONDS. CHILDREN'S DID ENTER INTO QUALIFIED HEDGES WITH RESPECT TO THE SERIES 2008A/B BONDS, WHICH WERE REFUNDED BY THE SERIES 2012C/D BONDS. THE TERMINATION OR DEEMED TERMINATION PAYMENT, AS APPLICABLE, WITH RESPECT TO THE HEDGES HAS BEEN TAKEN INTO ACCOUNT IN THE CALCULATION OF THE YIELD ON THE SERIES 2012C/D BONDS. SARAH BOWDEN FAMILY MEMBER OF WARREN HEWITT, KEY EMPLOYEE 111350 EMPLOYMENT 0 X 32 2390983 MARKET VALUE X 3RD PARTY SVCS 2 1142990 MARKET VALUE X GIFT CARDS 492 20585 MARKET VALUE X MEDICAL CARTS 1 20240 MARKET VALUE X AIRLINE MILES 1 10400 MARKET VALUE X PATIENT NECESSITIES 1279 4600 MARKET VALUE 0 0 1 1 PART I, COLUMN (B): LINE 9 - 32 DONATIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 25 - DONATIONS OF SERVICES FROM TWO DONORS; LINE 26 - ONE DONATION OF MEDICAL CARTS; LINE 27 - DONATIONS OF 492 GIFT CARDS FOR PATIENT NEEDS; LINE 28 - DONATIONS OF AIRLINE MILES FROM ONE DONOR; OTHER TYPES OF PROPERTY CONTINUATION - DONATIONS OF VARIOUS NECESSITIES FOR 1,279 PATIENT FAMILIES. PART I, LINE 32B: SEATTLE CHILDREN'S FOUNDATION AND SEATTLE CHILDREN'S GUILD ASSOCIATION (RELATED ORGANIZATIONS) SOLICIT BOTH CASH AND NON-CASH GIFTS ON BEHALF OF SEATTLE CHILDREN'S HOSPITAL. 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 2024, 449 VOLUNTEERS, AFTER COMPLETING A THOROUGH INTERVIEW AND TRAINING PROCESS, LOGGED 24,562 HOURS OF SERVICE AT THE RESEARCH INSTITUTE, THE ALYSSA BURNETT CENTER, AND IN VARIOUS AREAS OF THE HOSPITAL INCLUDING THE GIFT SHOP, THE CHILD LIFE DEPARTMENT, AND THE EMERGENCY DEPARTMENT. IN ADDITION, 17 UNCOMPENSATED TRUSTEES SERVED ON THE SEATTLE CHILDREN'S HOSPITAL BOARD DURING FISCAL YEAR 2024. IN ALL THAT THEY DO, OUR VOLUNTEERS ARE HIGHLY VALUED MEMBERS OF OUR HOSPITAL COMMUNITY. FORM 990, PART VI, SECTION A, LINE 2 SUZANNE BEITEL HAS A BUSINESS RELATIONSHIP WITH LOREN ALHADEFF, SUSAN BETCHER, JILL BRUBAKER, KEN DENMAN, MARCUS EAST, COLIN FOX, JOEL FRENCH, TROY HUTSON, DAN LEVITAN, SUSAN MULLANEY, MARK OKERSTROM, JUDITH PIERCE, RACQUEL RUSSELL, JOHN SCHOETTLER, KURT SHINTAFFER, MOYA VAZQUEZ, AND CONAN VIERNES. WARREN HEWITT HAS A BUSINESS RELATIONSHIP WITH LOREN ALHADEFF, SUZANNE BEITEL, SUSAN BETCHER, JILL BRUBAKER, KEN DENMAN, MARCUS EAST, COLIN FOX, JOEL FRENCH, TROY HUTSON, DAN LEVITAN, SUSAN MULLANEY, MARK OKERSTROM, JUDITH PIERCE, RACQUEL RUSSELL, JOHN SCHOETTLER, KURT SHINTAFFER, MOYA VAZQUEZ, AND CONAN VIERNES. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE REVISED DURING THE YEAR TO INCORPORATE THE FOLLOWING CHANGES: - ELECTED TRUSTEES MAY SERVE NO MORE THAN THREE (REDUCED FROM FOUR) CONSECUTIVE THREE YEAR TERMS. EXCEPTIONS ARE PERMITTED FOR A TRUSTEE SERVING AS BOARD CHAIR OR AS A COMMITTEE CHAIR, WHICH MAY SERVE ONE ADDITIONAL YEAR. - THE BOARD SHALL INCLUDE NOT LESS THAN TEN (REDUCED FROM 15) AND NOT MORE THAN 20 (REDUCED FROM 30) VOTING TRUSTEES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES (WHICH IS THE GOVERNING BODY) OF SEATTLE CHILDREN'S HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, HAS THE AUTHORITY TO MAKE, ALTER, AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF SEATTLE CHILDREN'S HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT REVIEWS THE FORM 990 WITH THE GOVERNANCE, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS), A RELATED ORGANIZATION THAT IS THE DIRECT CONTROLLING ENTITY OF SEATTLE CHILDREN'S HOSPITAL. AFTER REVIEW BY THE GOVERNANCE, AUDIT AND COMPLIANCE COMMITTEE AND PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE, THE ENTIRE BOARD OF TRUSTEES RECEIVES A COPY OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY OF SEATTLE CHILDREN'S HOSPITAL REQUIRES AN ANNUAL SURVEY OF ALL OFFICERS, BOARD MEMBERS AND MEMBERS OF BOARD COMMITTEES OF SEATTLE CHILDREN'S HOSPITAL, MEMBERS OF THE MEDICAL LEADERSHIP, ALL INDIVIDUALS ENGAGED TO PROVIDE MEDICAL DIRECTION, STAFF MEMBERS OCCUPYING ROLES WITH A DEGREE OF AUTHORITY, MEMBERS OF THE INSTITUTIONAL REVIEW BOARD AND MEMBERS OF THE HOSPITAL'S PHARMACY AND THERAPEUTICS COMMITTEE. THE SENIOR VICE PRESIDENT/CHIEF LEGAL OFFICER OF SCHS, ACTING UNDER THE OVERSIGHT AND BOARD DELEGATED AUTHORITY OF THE SCHS GOVERNANCE, AUDIT AND COMPLIANCE COMMITTEE, OVERSEES THE REVIEW OF ALL DISCLOSURES AND ESTABLISHES AND OVERSEES ANY NECESSARY MANAGEMENT PLANS RELATED TO THEM. IN GENERAL, WHEN A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE CONFLICT MUST RECUSE THEMSELVES FROM PARTICIPATION IN ANY BOARD OR COMMITTEE DISCUSSION OR OTHER DECISION MAKING REGARDING THE TRANSACTION AND REFRAIN FROM VOTING ON OR DECIDING ANY ISSUES RELATING TO THE CONFLICTING INTEREST. ANY PERSON COVERED BY THE POLICY WHO ENGAGES IN CONDUCT THAT VIOLATES THE POLICY OR PURSUES A TRANSACTION OR EVENT FOLLOWING DISAPPROVAL BY THE SCHS GOVERNANCE, AUDIT AND COMPLIANCE COMMITTEE OR THE APPROPRIATE OFFICER MAY, IN THE DISCRETION OF THE SCHS GOVERNANCE, AUDIT AND COMPLIANCE COMMITTEE OR THE APPROPRIATE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM THEIR DUTIES WITH SEATTLE CHILDREN'S HOSPITAL AND/OR TERMINATED IN THEIR EMPLOYMENT. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE PEOPLE, CULTURE AND EXECUTIVE COMPENSATION COMMITTEE ("PCECC"), A JOINT COMMITTEE OF THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HOSPITAL AND SEATTLE CHILDREN'S HEALTHCARE SYSTEM, A RELATED ORGANIZATION TO SEATTLE CHILDREN'S HOSPITAL. PURSUANT TO THE BOARD-APPROVED PCECC CHARTER, THE PCECC ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT WITH EXPERIENCE IN THE COMPENSATION OF EXECUTIVES AND OTHER TOP MANAGERS OF NONPROFIT HOSPITALS AND HEALTH CARE SYSTEMS. WITH APPROPRIATE COMPARABILITY DATA PROVIDED BY ITS CONSULTANT (COMPRISING MARKET DATA REGARDING COMPENSATION PAID FOR COMPARABLE SERVICES IN COMPARABLE ORGANIZATIONS), THE PCECC ENGAGES IN AN ANNUAL REVIEW AND ASSESSMENT OF THE SEATTLE CHILDREN'S HOSPITAL EXECUTIVE COMPENSATION PROGRAM (BASE, INCENTIVE COMPENSATION, AND EMPLOYER-PAID BENEFITS) TO DETERMINE COMPETITIVENESS. BASED ON THIS ANALYSIS AND ON RELEVANT PERFORMANCE INFORMATION FOR THE EXECUTIVES IN QUESTION AND THE ORGANIZATION AS A WHOLE, THE PCECC PRESENTS A RECOMMENDATION TO THE BOARD REGARDING THE TOTAL COMPENSATION PACKAGE FOR EACH OF THE AFFECTED EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND KEY EMPLOYEES. THE FULL BOARD REVIEWS THE RECOMMENDATIONS AS WELL AS ALL RELEVANT COMPARABILITY DATA AND THE GOALS OF THE ORGANIZATION IN MAKING ITS FINAL DECISION. IN DOING SO IT RELIES ON THE CONSULTANT'S ANALYSIS TO DETERMINE THAT COMPENSATION IS REASONABLE AND WITHIN THE "BOUNDS OF COMPETITIVE PRACTICE". ALL DELIBERATIONS AND DECISIONS OF THE PCECC AND FULL BOARD ARE DOCUMENTED IN THE BOOKS AND RECORDS IN ACCORDANCE WITH GENERAL ADMINISTRATIVE PROVISIONS AND PROCEDURES WITHIN THE BYLAWS. THE PROCESS FOLLOWED BY THE PCECC AND THE FULL BOARD SATISFIES BEST GOVERNANCE PRACTICES AND ALSO MEETS THE REQUIREMENTS NECESSARY TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS WITHIN THE MEANING OF IRC SECTION 4958 AND THE TREASURY REGULATIONS THEREUNDER WITH RESPECT TO THE BOARD'S DECISION. FORM 990, PART VI, SECTION C, LINE 19 SEATTLE CHILDREN'S HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, LINE 16: WHILE THERE IS NO WRITTEN POLICY OR PROCEDURE FOR THE ARRANGEMENT, ANY JOINT VENTURE IS REVIEWED BY LEGAL COUNSEL WHO CONSIDERS THE IMPACTS OF THE TAX-EXEMPT STATUS OF THE ORGANIZATION. FORM 990, PART IX, COLUMN (D): ALTHOUGH SEATTLE CHILDREN'S HOSPITAL HAS SUBSTANTIAL CONTRIBUTION REVENUE, IT DOES NOT INCUR FUNDRAISING EXPENSES. ALL FUNDRAISING ACTIVITIES AND CONTRIBUTIONS TO SEATTLE CHILDREN'S HOSPITAL ARE CONDUCTED BY RELATED ORGANIZATIONS. SEE ADDITIONAL DESCRIPTION FOR SCHEDULE M, LINE 32. FORM 990, PART XI, LINE 9: CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS -1,275,229. CHANGE IN BENEFICIAL INTEREST IN SCHS 27,893,420. RECOVERY OF PRIOR YEAR GRANTS 118,747. CHILDREN'S CLINICALLY INTEGRATED NETWORK LLC PO BOX 5371 MS 818-FI SEATTLE WA 981455005 910564748 ADMINISTRATION OF PEDIATRIC PHYSICIANS NETWORK WA 2436280 3632912 SEATTLE CHILDREN'S HOSPITAL SEATTLE CHILDREN'S HEALTHCARE SYSTEM PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911250116 HEALTHCARE WA 501(C)(3) LINE 7 SEATTLE CHILDREN'S HOSPITAL 1 SEATTLE CHILDREN'S FOUNDATION PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911156519 FUNDRAISING WA 501(C)(3) LINE 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 SEATTLE CHILDREN'S GUILD ASSOCIATION PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911394056 FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESS WA 501(C)(3) LINE 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 CHILDREN'S RETAIL PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911998909 THRIFT STORES WA 501(C)(3) LINE 12A, I SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 CHILDREN'S UNIVERSITY MEDICAL GROUP 4500 SANDPOINT WAY NE STE 100 SEATTLE WA 98105 911336707 MEDICAL PRACTICE WA 501(C)(3) LINE 12A, I N/A 0 CHILDREN'S HEALTH NETWORK PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911226716 PEDIATRIC HEALTHCARE SERVICES WA 501(C)(3) LINE 12A, I SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 OBCC OTHELLO QALICB PO BOX 5371 MS 818-FI SEATTLE WA 981455005 852793713 CONSTRUCTION OF A HEALTHCARE CLINIC WA 501(C)(3) LINE 12C, III-FI N/A 0 UMBRELLA PEDIATRICS PC PO BOX 5371 MS 818-FI SEATTLE WA 981455005 861448700 PEDIATRIC HEALTHCARE SERVICES WA 501(C)(3) LINE 10 SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 CHARITABLE REMAINDER UNITRUSTS (3) INVESTMENTS WA SEATTLE CHILDREN'S HOSPITAL 1 CHARITABLE REMAINDER UNITRUSTS (9) INVESTMENTS WA N/A 0 CHARITABLE REMAINDER UNITRUST (1) INVESTMENTS AK SEATTLE CHILDREN'S HOSPITAL 1 CHARITABLE REMAINDER UNITRUSTS (3) INVESTMENTS CA SEATTLE CHILDREN'S HOSPITAL 1 CHARITABLE REMAINDER UNITRUST (1) INVESTMENTS FL N/A 0 CHARITABLE REMAINDER ANNUITY TRUSTS (2) INVESTMENTS WA N/A 0 PERPETUAL TRUSTS (7) INVESTMENTS WA SEATTLE CHILDREN'S HOSPITAL 1 POOLED INCOME FUND (1) INVESTMENTS WA N/A 0 BRAINCHILD BIO INC 1920 TERRY AVE SEATTLE WA 98101 934381482 BIOTECHNOLOGY DE N/A C 0 0 0 1 1 1 0 0 0 0 0 1 1 1 0 1 0 1 1 0 SEATTLE CHILDREN'S HEALTHCARE SYSTEM E 242469256 ACTUAL PAYABLE SEATTLE CHILDREN'S HEALTHCARE SYSTEM K 907702 ACTUAL RENT SEATTLE CHILDREN'S HEALTHCARE SYSTEM Q 1240047 ACTUAL REIMBURSEMENTS