SEATTLE CHILDRENS HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: SEATTLE CHILDRENS HOSPITAL (EIN 91-0564748)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-12
IRS object ID: 201132289349301643
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-12T12:36:17-05:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	910564748	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	KELLY A WALLACE	Name
Title	SENIOR VP & CFO	Title
Phone	2069874846	Phone
Date Signed	2011-08-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Jane M Searing	Name
Phone	4254544919	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	1062022515	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.SEATTLECHILDRENS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1907	YearFormation
State Legal Domicile	WA	StateLegalDomicile
Activity Or Mission Description	AT SEATTLE CHILDREN'S HOSPITAL, WE WILL PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	25	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	23	NbrIndependentVotingMembers
Total Nbr Employees	4989	TotalNbrEmployees
Total Nbr Volunteers	878	TotalNbrVolunteers
Total Gross UBI	2276592	TotalGrossUBI
Net Unrelated Business Txbl Income	32395	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	77543066	ContributionsGrantsPriorYear
Contributions Grants Current Year	91110848	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	625447848	ProgramServiceRevenuePriorYear
Program Service Revenue CY	665004815	ProgramServiceRevenueCY
Investment Income Prior Year	1635105	InvestmentIncomePriorYear
Investment Income Current Year	9760859	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3302500	OtherRevenuePriorYear
Other Revenue Current Year	3415575	OtherRevenueCurrentYear
Total Revenue Prior Year	707928519	TotalRevenuePriorYear
Total Revenue Current Year	769292097	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1448549	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1951531	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	333196537	SalariesEtcPriorYear
Salaries Etc Current Year	348135636	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	333388501	OtherExpensePriorYear
Other Expenses Current Year	363344028	OtherExpensesCurrentYear
Total Expenses Prior Year	668033587	TotalExpensesPriorYear
Total Expenses Current Year	713431195	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	39894932	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	55860902	RevenuesLessExpensesCY
Total Assets BOY	1344680288	TotalAssetsBOY
Total Assets EOY	1511039931	TotalAssetsEOY
Total Liabilities BOY	578868065	TotalLiabilitiesBOY
Total Liabilities EOY	662376562	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	765812223	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	848663369	NetAssetsOrFundBalancesEOY
Mission Description	AT SEATTLE CHILDREN'S HOSPITAL, WE BELIEVE ALL CHILDREN HAVE UNIQUE NEEDS AND SHOULD GROW UP WITHOUT ILLNESS OR INJURY. WITH THE SUPPORT OF THE COMMUNITY AND THROUGH OUR SPIRIT OF INQUIRY, WE WILL PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. (SEE THE COMMUNITY BENEFIT REPORT IN SCHEDULE O.)	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	574497866	Expense
Grants	1924531	Grants
Revenue	657814342	Revenue
Description	PATIENT CARE: SEATTLE CHILDREN'S HOSPITAL PROVIDES SUPERIOR MEDICAL CARE TO CHILDREN FROM WASHINGTON, ALASKA, MONTANA AND IDAHO, SERVING THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. IN ADDITION, FAMILIES LIVING BEYOND OUR PRIMARY SERVICE REGION INCREASINGLY SEEK CARE FROM OUR WORLD-RENOWNED SPECIALISTS IN PROGRAMS SUCH AS CANCER, ORGAN TRANSPLANTS AND CRANIOFACIAL SPECIALTIES. IN FISCAL YEAR 2010, CHILDREN'S MEDICAL TEAM TREATED KIDS OF ALL AGES DURING 314,592 PATIENT VISITS, INCLUDING 14,303 ADMISSIONS TO THE HOSPITAL AND 39,382 VISITS TO OUR EMERGENCY ROOM. WE PERFORMED 11,927 DAY SURGERIES AND CARED FOR CHILDREN DURING 248,980 APPOINTMENTS IN OUTPATIENT CLINICS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	80195606	Expense
Grants	27000	Grants
Revenue	5706987	Revenue
Description	RESEARCH: BECAUSE RESEARCH IS THE FOUNDATION OF SEATTLE CHILDREN'S MISSION TO PREVENT, TREAT, AND ELIMINATE PEDIATRIC DISEASE, SEATTLE CHILDREN'S HOSPITAL INVESTED $19.8 MILLION IN RESEARCH DURING FISCAL YEAR 2010. SEATTLE CHILDREN'S INVESTIGATORS ARE ADVANCING SCIENTIFIC UNDERSTANDING OF IMPORTANT BIOLOGICAL PROCESSES AND INFLUENCING THE PRACTICE OF PEDIATRICS AROUND THE WORLD.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	20781391	Expense
Revenue	1483486	Revenue
Description	EDUCATION: SEATTLE CHILDREN'S HOSPITAL IS THE MAJOR RESOURCE FOR PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAMS IN OUR REGION. RESIDENTS AND FELLOWS FROM 78 PROGRAMS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) PLUS 3 PROGRAMS ACCREDITED BY THE AMERICAN DENTAL ASSOCIATION (ADA) HAD RESIDENTS OR FELLOWS AT SEATTLE CHILDREN'S HOSPITAL IN ACADEMIC YEAR 2010. SEATTLE CHILDREN'S HAS DEVELOPED CURRICULUM AND EVALUATION METHODS THAT ASSESS AND ASSURE RESIDENT COMPETENCY IN SIX MAIN AREAS: PATIENT CARE, MEDICAL KNOWLEDGE, PRACTICE-BASED LEARNING, INTERPERSONAL AND COMMUNICATIONS SKILLS, PROFESSIONALISM, AND SYSTEM-BASED PRACTICE.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	675474863	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	1	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	542	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4989	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	25	NbrVotingGoverningBodyMembers
Number Independent Voting Members	23	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4300 ROOSEVELT WAY NE 5TH FLOOR	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	98105	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (56 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
DEAN ALLEN
TRUSTEE	4.00	X	0	0	0
RHODA ALTOM
TRUSTEE/SECRETARY	3.00	X	0	0	0	X
LIBBY ARMINTROUT
TRUSTEE	1.00	X	0	0	0
ROBB BAKEMEIER
TRUSTEE	9.00	X	0	0	0
JOEL BENOLIEL
TRUSTEE	5.00	X	0	0	0
JANE BLAIR
TRUSTEE	2.50	X	0	0	0
JULIA CALHOUN
TRUSTEE	1.00	X	0	0	0
PAT CHAR
TRUSTEE	3.00	X	0	0	0
NANCY DALY
TRUSTEE	5.00	X	0	0	0
MICHAEL DELMAN
TRUSTEE	3.00	X	0	0	0
MARY ANN FLYNN
TRUSTEE	3.00	X	0	0	0
GENIE HIGGINS
TRUSTEE	3.00	X	0	0	0
JUDY HOLDER
TRUSTEE	4.50	X	0	0	0
CYNTHIA HUFFMAN
TRUSTEE	2.00	X	0	0	0
CINDY MASIN
TRUSTEE	2.00	X	0	0	0
SUSAN MASK
TRUSTEE	3.00	X	0	0	0
JEFF NITTA
TRUSTEE	5.00	X	0	0	0
GLORIA NORTHCROFT
TRUSTEE	2.00	X	0	0	0
LAURIE OKI
TRUSTEE	3.00	X	0	0	0
NANCY SENSENEY
TRUSTEE	7.70	X	0	0	0
CHARLES STEVENS
TRUSTEE	2.00	X	0	0	0
PEGGY WALTON
TRUSTEE	2.00	X	0	0	0
CILLA JOONDEPH
CHAIRMAN/TRUSTEE	8.00	X	0	0	0	X
JIM LADD
CHAIRMAN-ELECT/CHAIR	8.00	X	0	0	0	X
JAN SINEGAL
VICE-CHAIRMAN	4.00	X	0	0	0	X
RESA MOORE
SECRETARY/TRUSTEE	4.00	X	0	0	0	X
BOB FLOWERS
TREASURER	2.00	X	0	0	0	X
ROB ROSKIN MD
NON-VOTING TRUSTEE	3.00	X	0	0	0
THOMAS HANSEN MD
CEO/NON-VOTING TRUSTEE	55.00		534815	534815	241634	X
KELLY WALLACE
CHIEF FINANCIAL OFFICER	55.00		418019	139340	208361	X
PATRICK HAGAN
PRESIDENT & COO	55.00		567504	63056	333420		X
JAMES HENDRICKS MD
PRESIDENT RESEARCH INSTITUTE	55.00		442695	0	89254		X
LISA BRANDENBURG
SENIOR VP & CAO	55.00		434288	0	90331		X
DREXEL DEFORD
SENIOR VP & CIO	55.00		541757	0	107460		X
DAVID FISHER MD
S.VP/MED.DIR./NON-VOTING TRUSTEE	55.00		598944	66549	125741		X
SUSAN HEATH
SENIOR VP & CNO	55.00		347736	0	62575		X
SANFORD MELZER MD
SENIOR VP - STRATEGIC PLAN	55.00		283778	216548	110627		X
JEFFREY SCONYERS
SENIOR VP & GENERAL COUNSEL	55.00		203060	203060	85016		X
EDWIN WRIGHT
VP & CHIEF TECH OFFICER	55.00		387350	0	35333		X
SUZANNE PETERSEN
VP - EXTERNAL AFFAIRS	55.00		310313	0	37346		X
JENNIFER ABERMANIS
VP - DIAG. THERAPY & SUPPORT	55.00		265646	0	41119		X
JUDITH DOUGHERTY
VP - SURGERY-HEART CENTER	55.00		264183	0	33086		X
STEVEN HURWITZ
VP - HR & SUPPLY CHAIN MGMT	55.00		298857	0	31735		X
CARA BAILEY
VP - CONT. PERF. IMPROV.	55.00		283310	0	32420		X
ERIK LAUSUND
VP - RESEARCH & LOGISTICS	55.00		284755	0	30091		X
CINDY EVANS
VP - AMB & REGNL SVCS MED SPE	55.00		270425	0	35490		X
DAVID PERRY
VP - MARKETING & COMMUNICATIONS	55.00		266934	0	35132		X
WARREN HEWITT
VP - FINANCE	55.00		269036	0	32057		X
TODD JOHNSON
VP - FACILITIES	55.00		265649	0	23170		X
RUTH BENFIELD
VP - PSYCHO-SOCIAL SERVICES	55.00		238720	0	31473		X
DOUGLAS PICHA
PRESIDENT - FOUNDATION	55.00		44814	403335	100765			X
JOE RUTLEDGE
MEDICAL DIRECTOR OF LABS	55.00		378540	0	29735			X
DAVID BRAUNER
CARDIOLOGIST	55.00		348529	0	23982			X
MARK EGBERT
DENTIST	55.00		300465	0	41555			X
JOSEPH KELLY
DENTIST - CLINIC CHIEF	55.00		289844	0	16996			X
TREUMAN KATZ
FORMER CEO			2050432	0	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	11190398	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1626703	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2065904	TotalOtherCompensation
Number Individuals GT100 K	503	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CHILDREN'S UNIVERSITY MEDICAL GROUP
PO BOX 50010	SEATTLE	WA	98105	PHYSICIAN SERVICES	51216965
SELLEN CONSTRUCTION
227 WESTLAKE AVENUE NORTH	SEATTLE	WA	98109	CONSTRUCTION	28568449
universitY OF WASHINGTON
PO BOX 358220	SEATTLE	WA	98195	resIDENTS & INTERNS	22799823
B N BUILDERS INC
2601 4TH AVENUE STE 350	SEATTLE	WA	98121	ConstRUCTION	13011945
puget SOUND BLOOD CENTER
921 TERRY AVENUE	SeATTLE	WA	98104	blOOD PROCESSING	9137276

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	145	NumberOfContractorsGT100K
Related Organizations	28985755	RelatedOrganizations
Government Grants	54377955	GovernmentGrants
All Other Contributions	7747138	AllOtherContributions
Noncash Contributions	516413	NoncashContributions
Total Contributions	91110848	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SVC REVENUES	621500	645476836	645476836
OTHER HEALTHCARE SVCS	621500	17562729	15286137	2276592
INVESTMENT PROV CHILD	621500	1965250	1965250

Field	Value	IRS element (for citing)
Total Program Service Revenue	665004815	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	9126192	TotalRevenueColumn
Exclusion	$9,126,192	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	495498	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1575547	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-1080049	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-1080049	TotalRevenueColumn
Exclusion	-$1,080,049	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	291211773	Securities
Other	577765	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	290406463	Securities
Other	748408	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	805310	Securities
Other	-170643	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	634667	TotalRevenueColumn
Exclusion	$634,667	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
PARKING & CAFETERIA	900099	4466653	$4,466,653
ROYALTY INCOME	900099	28971	$28,971

Field	Value	IRS element (for citing)
Total Other Revenue	4495624	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	769292097	TotalRevenueColumn
Related Or Exempt Function Income	662728223	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2276592	UnrelatedBusinessRevenue
Exclusion	$13,176,434	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1948531	Total
Program Services	1948531	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	3000	Total
Program Services	3000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	9456748	Total
Management And General	9456748	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	266245980	Total
Program Services	258627283	ProgramServices
Management And General	7618697	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	19606779	Total
Program Services	18658189	ProgramServices
Management And General	948590	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	32968587	Total
Program Services	31335903	ProgramServices
Management And General	1632684	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	19857542	Total
Program Services	18765377	ProgramServices
Management And General	1092165	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1648233	Total
Program Services	1549998	ProgramServices
Management And General	98235	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	354976	Total
Program Services	333819	ProgramServices
Management And General	21157	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	247092	Total
Program Services	247092	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	54935165	Total
Program Services	51661029	ProgramServices
Management And General	3274136	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3010210	Total
Program Services	2830801	ProgramServices
Management And General	179409	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	93626065	Total
Program Services	88045952	ProgramServices
Management And General	5580113	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6647771	Total
Program Services	6251564	ProgramServices
Management And General	396207	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	15636341	Total
Program Services	14704415	ProgramServices
Management And General	931926	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3655648	Total
Program Services	3437771	ProgramServices
Management And General	217877	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	24057242	Total
Program Services	22623430	ProgramServices
Management And General	1433812	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	52216101	Total
Program Services	49104021	ProgramServices
Management And General	3112080	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8447192	Total
Program Services	7943739	ProgramServices
Management And General	503453	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PHYSICIANS SERVICES	74153328	74153328
MISCELLANEOUS	12331765	11596793	734972
LICENSES & TAXES	10540075	9911887	628188
BANK FEES	1608778	1512895	95883
UBI TAXES	228046	228046

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	713431195	Total
Program Services	675474863	ProgramServices
Management And General	37956332	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	89100508	BOY
EOY	98291775	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	2190354	BOY
EOY	4636194	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	103536882	BOY
EOY	117245201	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	62541	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7261054	BOY
EOY	8018233	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5938595	BOY
EOY	8059537	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1079719741	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	357171611	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	602606815	BOY
EOY	722548130	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	408345031	BOY
EOY	434225414	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	29750751	BOY
EOY	30215001	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	95950298	BOY
EOY	87737905	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1344680288	BOY
EOY	1511039931	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	90757439	BOY
EOY	92082997	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	409507591	BOY
EOY	480065827	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

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

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	48746277	BOY
EOY	61895875	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	578868065	BOY
EOY	662376562	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	576152546	BOY
EOY	641866237	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	41101843	BOY
EOY	56086551	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	148557834	BOY
EOY	150710581	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	765812223	BOY
EOY	848663369	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1344680288	BOY
EOY	1511039931	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	247092	FilingOrganizationsTotals
Affiliated Group Totals	247092	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	247092	FilingOrganizationsTotals
Affiliated Group Totals	247092	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	710985583	FilingOrganizationsTotals
Affiliated Group Totals	716591985	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	711232675	FilingOrganizationsTotals
Affiliated Group Totals	716839077	AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

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

Grassroots Nontaxable GrassrootsNontaxableAmount

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

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

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

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

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

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

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

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

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	306333	CurrentYearMinus3
Current Year Minus2	301403	CurrentYearMinus2
Current Year Minus1	310524	CurrentYearMinus1
Current Year	247092	CurrentYear
Total	1165352	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

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

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Number Funds Held	3	NumberFundsHeld
Contrib To Funds And Other Accounts	26000	ContribToFundsAndOtherAccounts
Grants Funds And Other Accounts	33002	GrantsFundsAndOtherAccounts
Aggregate Fund Value	746818	AggregateFundValue
Disclosed Orgs Legal Control	1	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	1	DisclosedForCharitablePurposes

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.48200	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.46400	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.05400	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	59587157	OtherCostOrOtherBasis
Book Value	59587157	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	570277792	OtherCostOrOtherBasis
Depreciation	162180202	Depreciation
Book Value	408097590	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7425025	OtherCostOrOtherBasis
Depreciation	4875628	Depreciation
Book Value	2549397	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	419321297	OtherCostOrOtherBasis
Depreciation	190115781	Depreciation
Book Value	229205516	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23108470	OtherCostOrOtherBasis
Book Value	23108470	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	722548130	TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
BENEFICIAL INTEREST IN SCHS	38747304
DEFERRED FINANCING COSTS	4444869
OTHER RECEIVABLES	18218001
RECEIVABLE FROM AFFILIATES	22233599
GOODWILL	2000000
DEFERRED RENT - SCRH	2094132

Field	Value	IRS element (for citing)
Total Book Value Other Assets	87737905	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
SWAP MTM VALUE - SERIES 2006A & B	$24,390,432
PAYABLE TO SCHS - STEWART PLACE	$21,021,249
DEFERRED COMPENSATION PLAN PAYABLE	$6,305,698
DEFERRED AND OTHER LIABILITIES	$10,178,496

Field	Value	IRS element (for citing)
Total Of Amounts	61895875	TotalOfAmounts
Total Revenue	769292097	TotalRevenue
Total Expenses	713431195	TotalExpenses
Excess Or Deficit For Year	55860902	ExcessOrDeficitForYear
Net Unrealized GL On Investments	26884404	NetUnrealizedGLOnInvestments
Other	$105,840	OtherAmount
Total Adjustments	26990244	TotalAdjustments
Excess Or Deficit Per FS	82851146	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	779008000	TotRevenueEtcAuditedFinclStmt
Other Revenues	15396042	OtherRevenues
Revenue Not Rptd F990	15396042	RevenueNotRptdF990
Revenue Subtotal	763611958	RevenueSubtotal
Other Revenues Not Included	5680139	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	5680139	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	769292097	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	716887000	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	3951303	OtherExpensesIncluded
Expenses Not Rptd F990	3951303	ExpensesNotRptdF990
Expenses Subtotal	712935697	ExpensesSubtotal
Other Expenses Not Included	495498	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	495498	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	713431195	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part V, Line 4:	Description of Intended Use of Endowment Funds:	SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) AND SEATTLE CHILDREN'S HOSPITAL (SCH) SHARE IN A UNIFIED ENDOWMENT FUND (UEF) THAT IS MANAGED BY SCHS. SEATTLE CHILDREN'S HOSPITAL'S TEMPORARILY AND PERMANENTLY RESTRICTED ASSETS REFLECT ENDOWMENTS WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL.
Part XI, Line 8 - Other Adjustments:		CHANGE IN BENEFICIAL INTEREST IN SCHS: 2435557. TRANSFER FROM SCRH: 51246. NET TRANSFER FROM RESTRICTION: -2380963. ROUNDING: 0.
Part XII, Line 2d - Other Adjustments:		PROVISION FOR BAD DEBT: 2375810. UNREALIZED GAINS ON TRADING SECURITIES: 11445047. RENTAL EXPENSES NETTED IN RENTAL REVENUE: 1575547. ROUNDING: -362.
Part XII, Line 4b - Other Adjustments:		RENTAL INCOME NETTED ON F/S: 495498. NET INVESTMENT INCOME: 5184641.
Part XIII, Line 2d - Other Adjustments:		UNCOLLECTIBLE ACCT PROVISION: 2375810. RENTAL EXPENSES NETTED IN RENTAL REVENUE: 1575547. ROUNDING: -54.
Part XIII, Line 4b - Other Adjustments:		RENTAL INCOME NETTED ON F/S: 495498.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Number Of OfficesNumberOfOffices	Number Of EmployeesNumberOfEmployees	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	LEADERSHIP ATTENDED TRAINING IN CONTINUOUS PROCESS IMPROVEMENT PROCESSES IN JAPAN	400000
SUB-SAHARAN AFRICA	0	0	PROGRAM SERVICES	MEDICAL SERVICES	22216

Field	Value	IRS element (for citing)
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Total Amount Spent	422216	TotalAmountSpent

Form990 Schedule F Part IV Form990ScheduleFPartIV

Field	Value	IRS element (for citing)
Identifier	Method Used to Acccount for Expenditures:	Identifier
Explanation	Schedule F, Part I, Line 3: THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR EXPENDITURES.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

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

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	2474	PersonsServed
Total Community Benefit Expense	8539000	TotalCommunityBenefitExpense
Net Community Benefit Expense	8539000	NetCommunityBenefitExpense
Percent Of Total Expense	0.01200	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	114168	PersonsServed
Total Community Benefit Expense	276736000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	183429000	DirectOffsettingRevenue
Net Community Benefit Expense	93307000	NetCommunityBenefitExpense
Percent Of Total Expense	0.13080	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	116642	PersonsServed
Total Community Benefit Expense	285275000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	183429000	DirectOffsettingRevenue
Net Community Benefit Expense	101846000	NetCommunityBenefitExpense
Percent Of Total Expense	0.14280	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	86	NumberOfActivitiesOrPrograms
Persons Served	333360	PersonsServed
Total Community Benefit Expense	8245419	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1197875	DirectOffsettingRevenue
Net Community Benefit Expense	7047544	NetCommunityBenefitExpense
Percent Of Total Expense	0.00990	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	75	NumberOfActivitiesOrPrograms
Persons Served	6892	PersonsServed
Total Community Benefit Expense	20781391	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3592427	DirectOffsettingRevenue
Net Community Benefit Expense	17188964	NetCommunityBenefitExpense
Percent Of Total Expense	0.02410	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	765	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	74334902	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2276686	DirectOffsettingRevenue
Net Community Benefit Expense	72058216	NetCommunityBenefitExpense
Percent Of Total Expense	0.10100	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	1247750	TotalCommunityBenefitExpense
Net Community Benefit Expense	1247750	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	933	NumberOfActivitiesOrPrograms
Persons Served	340252	PersonsServed
Total Community Benefit Expense	104609462	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7066988	DirectOffsettingRevenue
Net Community Benefit Expense	97542474	NetCommunityBenefitExpense
Percent Of Total Expense	0.13670	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	942	NumberOfActivitiesOrPrograms
Persons Served	456894	PersonsServed
Total Community Benefit Expense	389884462	TotalCommunityBenefitExpense
Direct Offsetting Revenue	190495988	DirectOffsettingRevenue
Net Community Benefit Expense	199388474	NetCommunityBenefitExpense
Percent Of Total Expense	0.27950	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	14	NumberOfActivitiesOrPrograms
Persons Served	18553	PersonsServed
Total Community Building Expense	1514821	TotalCommunityBuildingExpense
Direct Offsetting Revenue	474018	DirectOffsettingRevenue
Net Community Building Expense	1040803	NetCommunityBuildingExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	8503	PersonsServed
Total Community Building Expense	126529	TotalCommunityBuildingExpense
Net Community Building Expense	126529	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	1015	PersonsServed
Total Community Building Expense	388476	TotalCommunityBuildingExpense
Net Community Building Expense	388476	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	670	PersonsServed
Total Community Building Expense	402639	TotalCommunityBuildingExpense
Net Community Building Expense	402639	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	40	NumberOfActivitiesOrPrograms
Persons Served	28741	PersonsServed
Total Community Building Expense	2432465	TotalCommunityBuildingExpense
Direct Offsetting Revenue	474018	DirectOffsettingRevenue
Net Community Building Expense	1958447	NetCommunityBuildingExpense
Percent Of Total Expense	0.00280	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,114,255	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	3279139	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	4211909	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-932770	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

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

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

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

Address Address

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

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	Part I, Line 3c: SEATTLE CHILDREN'S HOSPITAL (SCH), IN ADDITION TO THE 400% FEDERAL POVERTY GUIDELINES (FPG), USES ANOTHER CRITERION TO QUALIFY PATIENTS FOR CHARITY CARE THAT MAY NOT BE ELIGIBLE UNDER THE FPG DUE TO A CATASTROPHIC REASON SUCH AS EXCEEDING LIFE TIME MEDICAL BENEFIT OR FAILURE TO COMPLY WITH THE STANDARD APPLICATION PROCESS. RESPONSIBLE PARTIES WHOSE INCOME EXCEEDS 400% AND WHO HAVE INCURRED CATASTROPHIC ACCOUNT BALANCES AND WHO ARE NOT ELIGIBLE FOR FUNDING FROM OTHER SOURCES ARE ALSO ELIGIBLE FOR CATASTROPHIC CHARITY CARE WHEREBY THEY ARE RESPONSIBLE FOR A PORTION OF THE OUTSTANDING BALANCE AND SCH'S CHARITY CARE FUNDS THE REMAINING BALANCE. DUE TO SOCIOECONOMIC OR OTHER FACTORS, OFTEN TIMES STANDARD APPLICATION FOR CHARITY CARE PROCESS MAY NOT BE COMPLETED. IN CASES WHERE A PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR CHARITY CARE, THE ADMINISTRATIVE DIRECTOR OF BUSINESS SERVICES OR THE CHIEF FINANCIAL OFFICER MAY APPROVE CHARITY CARE WRITE-OFFS IN THE ABSENCE OF RECEIVING ALL REQUIRED INFORMATION.	IncomeBasedCriteria
Costing Method Used	Part I, Line 7: SCH USES A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 TO CALCULATE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS (7a-7d) REPORTED IN THE TABLE. SCH USED ITS 2010 MEDICARE COST REPORT TO CALCULATE PROGRAM SPECIFIC COST-TO-CHARGE RATIO FOR LINES 7e-7k.PART I, LINE 7g: SCH ACCOUNTS FOR SUBSIDIZED SERVICES SUCH AS ITS PEDIATRIC BEHAVIORAL HEALTH AND THE ODESSA BROWN CHILDREN'S CLINIC WHICH PROVIDES PRIMARY MEDICAL, DENTAL AND BEHAVIORAL HEALTH PROGRAMS IN A LOW INCOME AREA OF SEATTLE UNDER UNREIMBURSED MEDICAID (LINE 7b) AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7c).	CostingMethodUsed
Subsidized Health Services Expln	Part I, Line 7g: SCH ACCOUNTS FOR SUBSIDIZED SERVICES SUCH AS THE PSYCH PROGRAM OR ODESSA BROWN CHILDREN'S CLINIC UNDER MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS.	SubsidizedHealthServicesExpln
Bad Debt Footnote	Part III, Line 4: SCH CHARACTERIZES SELF PAY AS BAD DEBT WHEN A FAMILY IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE AND IS UNWILLING OR UNABLE TO PAY AN OUTSTANDING ACCOUNT BALANCE. THE MOST COMMON PATIENT BAD DEBT SCENARIOS INCLUDE UNPAID SELF PAY PORTIONS OF ACCOUNT BALANCES AFTER INSURANCE OR THIRD PARTY ASSISTANCE PAYMENTS, OR UNPAID ACCOUNT BALANCES AFTER A BANKRUPTCY FILING. SCH IS SENSITIVE TO THE FINANCIAL HEALTH OF FAMILIES AND RECOGNIZES THAT FAMILY FINANCIAL CONCERNS MAY NOT ALWAYS BE EFFECTIVELY COMMUNICATED. DUE TO SOCIOECONOMIC OR TO OTHER FACTORS, OFTEN TIMES STANDARD APPLICATION FOR CHARITY CARE PROCESS MAY NOT LIKELY BE COMPLETED. IN CASES WHERE A PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR CHARITY CARE, THE ADMINISTRATIVE DIRECTOR OF BUSINESS SERVICES OR THE CHIEF FINANCIAL OFFICER MAY APPROVE CHARITY CARE WRITE-OFFS IN THE ABSENCE OF RECEIVING ALL REQUIRED INFORMATION. SCH IS COMMITTED TO MANAGING COLLECTION EFFORTS INTERNALLY, IN A RESPECTFUL MANNER AND WITHOUT COMMUNICATION TO COLLECTION OR CREDIT AGENCIES, EXCEPT IN LIMITED CIRCUMSTANCES SUCH AS INTERNATIONAL PATIENTS. SINCE ALL COLLECTION EFFORTS ARE MANAGED INTERNALLY IN A RESPECTFUL MANNER, SCH DOES NOT DISCLOSE ITS COLLECTION PRACTICE IN THE FOOTNOTES OF THE FINANCIAL STATEMENTS. HOWEVER, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS PRESENTED AS A SEPARATE LINE ITEM ON THE FINANCIAL STATEMENTS.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8: SCH HAS CALCULATED THE MEDICARE SHORTFALL USING ITS FILED 2010 MEDICARE COST REPORT. SCH'S MEDICARE PATIENTS ARE PRIMARILY RENAL, DIALYSIS, OR KIDNEY TRANSPLANTS. MEDICARE REIMBURSEMENT FOR THESE SERVICES IS SUBJECT TO TEFRA LIMITS. REIMBURSEMENTS FOR THESE SERVICES ARE BELOW SCH'S RATIO OF COST TO CHARGES PRIMARILY DUE TO HIGHER LENGTH OF STAYS AND HIGHER ACUITY. HENCE, AT LEAST THE DIFFERENCE BETWEEN SCH'S RATIO OF COST TO CHARGES AND MEDICARE REIMBURSEMENT PERCENTAGE SHOULD BE TREATED AS COMMUNITY BENEFIT.	ShortfallAsCommunityBenefit
Debt Collection Policy	Part III, Line 9b: I. SCH'S BUSINESS SERVICES DEPARTMENT USES A STANDARD, RESPECTFUL PROCEDURE FOR RESOLVING UNPAID PATIENT BALANCES.A. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES.B. SCH MAY OFFER UPFRONT DISCOUNTS ON HEALTHCARE SERVICES TO PATIENTS WHO ARE UNINSURED IN ACCORDANCE WITH ORGANIZATIONAL POLICIES AND PROCEDURES.C. ADDITIONALLY, SCH ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE PAYMENT PLANS.D. IF A PATIENT'S ACCOUNT BALANCE REMAINS UNPAID AFTER STANDARD INTERNAL COLLECTION PROCEDURES HAVE BEEN FOLLOWED, AND IF THE FAMILY HAS NOT APPLIED FOR OR DOES NOT QUALIFY FOR SCH'S FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE WILL BE WRITTEN OFF AS BAD DEBT IN ACCORDANCE WITH STANDARD PROCEDURAL TIMELINES.II. UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, SCH IDENTIFIES ANY OUTSTANDING ACCOUNT BALANCES FOR THE ASSOCIATED PATIENT AND WRITES OFF THESE BALANCES AS BAD DEBT.III. AT LEAST ON AN ANNUAL BASIS, AN UPDATE IS PROVIDED TO THE APPROPRIATE GOVERNING BOARD COMMITTEE REGARDING THE STATUS OF SCH'S FINANCIAL ASSISTANCE PROGRAM AND COLLECTION EXPERIENCE.IV. SCH'S STANDARD PRACTICE IS TO COLLECT ON OUTSTANDING PATIENT ACCOUNTS USING INTERNAL RESOURCES.A. REPORTS ARE NOT SENT TO CREDIT AGENCIES.B. COLLECTION AGENCIES WILL NOT BE USED TO COLLECT ANY OUTSTANDING PATIENT ACCOUNT EXCEPT AS SPECIFICALLY AUTHORIZED BY THE DIRECTOR OF BUSINESS SERVICES IN ACCORDANCE WITH THIS POLICY.C. THE USE OF COLLECTION AGENCIES WILL ONLY BE PERMITTED IN VERY RARE SCENARIOS WHERE THE FAMILY RESIDES OUTSIDE OF SCH'S SERVICE AREA (E.G., INTERNATIONAL PATIENTS).D. SCH WILL NOT FILE A LIEN AGAINST A PATIENT'S OR FAMILY'S PRIMARY RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES.	DebtCollectionPolicy
Needs Assessment	Part VI, Line 2: SCH PHYSICIANS AND STAFF INVOLVED IN THE CLINICAL, RESEARCH, COMMUNITY OUTREACH AND ADVOCACY LEVELS WORK TOGETHER ON ASSESSING COMMUNITY HEALTH NEEDS, IN PARTNERSHIP WITH LOCAL AND STATE PUBLIC HEALTH DEPARTMENTS, THE UNIVERSITY OF WASHINGTON, HARBORVIEW INJURY PREVENTION AND RESEARCH CENTER, THE CHILDREN'S ALLIANCE AND OTHER COMMUNITY HEALTH LEADERS. UNTIL NOW, SCH HAS CONDUCTED ASSESSMENTS SPECIFIC TO A DISEASE (E.G. OBESITY); A POPULATION (E.G. HOMELESS FAMILIES); A GEOGRAPHIC AREA WITH SIGNIFICANT HEALTH DISPARITIES (E.G. SOUTH KING COUNTY); AND INJURY AREAS WITH HIGH RATES (E.G. DROWNING OR CHILD MISTREATMENT). SCH LOOKS AT BOTH ASSETS AND NEEDS, AND IDENTIFIES GAPS THAT SCH CAN HELP ADDRESS AS AN EXPERT, PARTNER OR RESOURCE. THE GOALS ARE TO NOT DUPLICATE THE EFFORTS THAT OTHER ORGANIZATIONS ARE ALREADY ADDRESSING, BUT TO WORK IN PARTNERSHIP WITH FAMILIES AND OTHER ORGANIZATIONS, AND TO EVALUATE THE RESULTS OF INTERVENTIONS. SOURCES OF DATA INCLUDE NATIONAL, STATE AND LOCAL MORTALITY, MORBIDITY AND DISABILITY DATA, SURVEYS, OBSERVATION INFORMATION AND HOSPITAL PATIENT DATA. STAFF AND PHYSICIANS USE EXISTING DATA WHEN POSSIBLE OR CONDUCT ASSESSMENTS AS NEEDED. DATA ABOUT HEALTH PROFESSIONAL SHORTAGE AREAS HAS BEEN USED TO HELP DETERMINE RESIDENCY PLACEMENT AND ROTATIONS. DATA ABOUT MEDICALLY UNDERSERVED AREAS AND POPULATIONS HAS BEEN USED IN THE DEVELOPMENT OF SERVICES LIKE THE PARTNER ACCESS LINE, WHICH PROVIDES 24-HOUR CONSULTATION WITH SCH CHILD PSYCHIATRISTS FOR PRIMARY CARE PROVIDERS IN REMOTE RURAL AREAS. SCH ALSO WORKS WITH A NUMBER OF COALITIONS SUCH AS THE HEALTH COALITION FOR CHILDREN AND YOUTH, GLOBAL ALLIANCE FOR THE PREVENTION OF PREMATURITY AND STILLBIRTH (GAPPS), SAFE KIDS, IMMUNIZATION ACTION COALITION OF WASHINGTON, AND THE OBESITY PREVENTION COALITION TO IDENTIFY NEEDS AND COLLECTIVELY DETERMINE WHAT TO DO FROM A POLICY, RESOURCE, EDUCATION AND DELIVERY STANDPOINT. IN FISCAL YEAR 2010, SCH INITIATED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. PHASE ONE HAS FOCUSED ON:- DESCRIBING SOCIAL DETERMINANTS OF HEALTH AND ACCESS IN THE ORGANIZATION'S SERVICE REGION, WHICH INCLUDES WASHINGTON, ALASKA, MONTANA, AND IDAHO;- ILLUSTRATING WASHINGTON STATE DATA, CHILDREN'S ACTIVITIES, BEST PRACTICE RECOMMENDATIONS (INCLUDING HEALTHY PEOPLE 2020), EVIDENCE-BASED PRACTICE AND COMMUNITY ASSETS/PARTNERS FOR ALMOST 30 FOCUS AREAS.OUTCOMES OF PHASE ONE ARE TO:- PROVIDE AN OVERVIEW OF ACCESS TO HEALTH CARE IN THE WAMI REGION, WITH FOCUS ON SOUTH KING COUNTY;- PROVIDE AN OVERVIEW OF CHILDREN'S HEALTH, HEALTH BEHAVIORS AND CONDITIONS, CHILD DEVELOPMENT AND SAFETY IN WASHINGTON, PARTICULARLY IN SOUTH KING COUNTY;- IDENTIFY KEY POPULATIONS OR FOCUS AREAS WITH DISPARITIES.INITIAL FINDINGS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT HAVE BEEN REVIEWED BY PHYSICIANS AND OTHER HOSPITAL LEADERS AND THE ORGANIZATION'S ADVOCACY ADVISORY COMMITTEE, AND HAVE BEEN INCORPORATED INTO THE HOSPITAL'S STRATEGIC PLANNING EFFORTS.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: EVERY FAMILY THAT COMES TO SCH, WHETHER FOR AN INPATIENT STAY, CLINIC VISIT, SURGERY OR THROUGH THE EMERGENCY DEPARTMENT, IS PROVIDED WITH INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. MATERIALS ARE AVAILABLE IN SCH PATIENTS' PRIMARY LANGUAGES: ENGLISH, SPANISH, RUSSIAN AND VIETNAMESE. INTERPRETERS HELP PROVIDE INFORMATION TO OTHER NON-ENGLISH SPEAKING FAMILIES. THIS INFORMATION IS ALSO AVAILABLE ON SCH'S WEBSITE. MATERIALS ARE AVAILABLE AT ALL OF THE HOSPITAL'S ENTRANCE COORDINATOR DESKS. CLINIC REGISTRATION DESKS PROMINENTLY DISPLAY FINANCIAL ASSISTANCE INFORMATION. EVERY FAMILY, REGARDLESS OF THEIR HEALTH INSURANCE COVERAGE, IS OFFERED INFORMATION. INPATIENT FAMILIES AND FAMILIES THAT USE THE EMERGENCY DEPARTMENT RECEIVE FINANCIAL ASSISTANCE INFORMATION AS PART OF STANDARDIZED PACKETS.PATIENT FINANCIAL SPECIALISTS ARE AVAILABLE TO MEET INDIVIDUALLY WITH FAMILIES TO HELP DETERMINE THE ASSISTANCE THEY MAY QUALIFY FOR AND TO HELP THEM COMPLETE AND SUBMIT FORMS. THE PATIENT FINANCIAL SPECIALISTS RECEIVE INFORMATION ABOUT A FAMILY'S UNINSURED OR UNDERINSURED CONDITION THROUGH THE SCHEDULING SYSTEM. SOCIAL WORKERS ALSO HELP SCREEN FAMILIES FOR FINANCIAL ASSISTANCE NEEDS. SPECIALISTS CONTACT FAMILIES TO CLARIFY ASSISTANCE AVAILABLE AND TO OFFER HELP WHEN APPLYING FOR ASSISTANCE. FINANCIAL SPECIALISTS ALSO HELP FAMILIES DETERMINE IF THEY QUALIFY FOR OTHER SOURCES OF FUNDING, INCLUDING MEDICAID. SOCIAL WORKERS ALSO HELP SCREEN FAMILIES FOR FINANCIAL ASSISTANCE.	PatientEducationAssistance
Community Information	Part VI, Line 4: SCH PRIMARILY SERVES CHILDREN FROM WASHINGTON, ALASKA, MONTANA AND IDAHO, WHICH COMPRISES THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. CHILDREN'S ORIGINAL VISION - TO CARE FOR CHILDREN REGARDLESS OF RACE, RELIGION, GENDER OR A FAMILY'S ABILITY TO PAY - STILL GUIDES THE HOSPITAL TODAY. WHILE THE HOSPITAL PRIMARILY SERVES CHILDREN FROM BIRTH TO 21 YEARS OLD, ITS SERVICES ARE EXPANDING TO SERVE HIGH-RISK PREGNANT MOTHERS AND YOUNG ADULTS WHO NEED CANCER CARE AND WOULD BENEFIT FROM THE EFFECTIVENESS OF PEDIATRIC PROTOCOLS. SCH'S PRIMARY CARE CLINIC, ODESSA BROWN CHILDREN'S CLINIC, SERVES MAINLY LOW-INCOME FAMILIES LIVING IN CENTRAL AND SOUTHEAST SEATTLE. APPROXIMATELY 15% OF CHILDREN UNDER AGE 18 IN WASHINGTON STATE LIVE BELOW THE FEDERAL POVERTY LEVEL. APPROXIMATELY 46% OF SCH'S PATIENTS ARE ON MEDICAID OR A SIMILAR LOW-INCOME INSURANCE PROGRAM, OR ARE UNINSURED.	CommunityInformation
Community Building Activities	Part VI, Line 5: SCH'S COMMUNITY BUILDING ACTIVITIES FOCUS ON HEALTH AND HEALTHCARE NEEDS IDENTIFIED BY STAKEHOLDERS AND COMMUNITY MEMBERS IN UNDERSERVED AREAS WHERE HEALTH INEQUITIES AND UNMET SOCIAL NEEDS EXIST. ALL OF SCH'S PROGRAMS ARE DONE IN PARTNERSHIP WITH OTHER HEALTHCARE PROVIDERS, COMMUNITY ORGANIZATIONS AND FAMILIES. THE FOCUSES OF THESE PROGRAMS ARE TO:- IMPROVE ACCESS TO HEALTHCARE;- ENHANCE PUBLIC HEALTH IN AREAS SUCH AS OBESITY, UNJURY, IMMUNIZATION, AND PREMATURITY;- RELIEVE GOVERNMENT BURDEN;- ENHANCE COMMUNITY RESOURCES AND COORDINATION OF CARE FOR CHILDREN WITH CHRONIC CONDITIONS;- CONCENTRATE RESOURCES ON LOW-INCOME AND UNDERSERVED COMMUNITIES WITH IDENTIFIED HEALTH INEQUITIES.EXAMPLES OF THESE PROGRAMS INCLUDE:- THE GLOBAL ALLIANCE FOR THE PREVENTION OF PREMATURITY AND STILLBIRTH (GAPPS), FORMED TO BETTER UNDERSTAND THIS WIDESPREAD PUBLIC HEALTH PROBLEM AND PREVENT THIS LEADING CAUSE OF INFANT MORTALITY THROUGHOUT THE WORLD. GAPPS PARTNERS WITH ORGANIZATIONS SUCH AS UNICEF, FIRST CANDLE, SAVE THE CHILDREN, CENTERS FOR DISEASE CONTROL AND PREVENTION, AND THE WORLD HEALTH ORGANIZATION.-PROJECT SEARCH, AN INNOVATIVE PROGRAM THAT PROVIDES TRAINING AND EMPLOYMENT OPPORTUNITIES FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES. MANY PROJECT SEARCH PARTICIPANTS HAVE BEEN HIRED PERMANENTLY AT THE HOSPITAL.- FREE FLU SHOTS FOR PARENTS, SIBLINGS AND ANYONE ELSE WHO LIVES WITH A PATIENT. FREE FLU CLINICS ARE OFFERED IN LOW-INCOME COMMUNITIES.- ODESSA BROWN CHILDREN'S CLINIC (OBCC), WHICH PROVIDES PRIMARY CARE (MEDICAL, DENTAL AND MENTAL) HEALTH SERVICES FOR THE COMMUNITY, THE GARFIELD TEEN HEALTH CLINIC AND FOR HOMELESS CHILDREN ATTENDING FIRST PLACE ELEMENTARY SCHOOL AND MORNING SONG DAY CARE.- PATIENT NAVIGATORS FOR SPANISH- AND SOMALI-SPEAKING FAMILIES WHO HAVE CHILDREN WITH COMPLEX CARE NEEDS, A PROGRAM THAT HAS RESULTED IN SIGNIFICANT DECREASES IN NO-SHOW RATES.- MEDICAL LEGAL PARTNERSHIP, WHICH PROVIDED DIRECT LEGAL SERVICES TO ALMOST 90 FAMILIES IN 2010 (350 PEOPLE), OF WHOM 35% SPEAK ENGLISH AS A SECOND LANGUAGE AND 69% ARE PEOPLE OF COLOR. THE PARTICIPANTS' MEDIAN INCOME WAS $10,700.- CENTER FOR DIVERSITY AND HEALTH EQUALITY, WHICH COORDINATES PROGRAMS DESIGNED TO PROVIDE EXPERIENCES IN HEALTHCARE FOR MINORITY YOUTH.- SEATTLE CHILDREN'S SCIENCE ADVENTURE LAB, WHICH TRAVELS AROUND WASHINGTON STATE TO UNDERSERVED AREAS TO GIVE CHILDREN HANDS-ON OPPORTUNITIES IN SCIENCE PROJECTS WITH A HEALTH AND WELLNESS COMPONENT.- THE CENTER FOR PEDIATRIC DENTISTRY, A PARTNERSHIP OF SCH AND THE UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY. THE NEW PEDIATRIC DENTAL FACILITY WILL SERVE LOW-INCOME CHILDREN AND ADVOCATE FOR THEIR DENTAL CARE NEEDS.- A POLICY PLAN TO PREVENT OPEN WATER DROWNING AMONG CHILDREN AND TEENS - THE SECOND LEADING CAUSE OF UNINTENTIONAL INJURY DEATH AND ONE THAT DISPROPORTIONATELY AFFECTS MINORITY CHILDREN. THIS PLAN WAS DEVELOPED IN PARTNERSHIP WITH THE WASHINGTON STATE DEPARTMENT OF HEALTH.	CommunityBuildingActivities
Other Information	Part VI, Line 6: PROMOTING THE HEALTH OF THE COMMUNITY IS A CORE ASPECT OF SCH'S MISSION, VISION, AND COMMITMENT. OTHER ASPECTS OF THE HOSPITAL'S COMMUNITY BENEFIT INCLUDE:- HOSPITAL SERVICES THAT ARE NOT OFFERED BY ANY OTHER HEALTHCARE FACILITY IN THE FOUR STATE REGION (WASHINGTON, ALASKA, MONTANA, AND IDAHO).- REGIONAL AND OUTREACH CLINICS THAT BRING PEDIATRIC SPECIALTY CARE CLOSER TO PATIENTS' HOMES, INCLUDING:- SEATTLE CHILDREN'S RESEARCH INSTITUTE, SEATTLE, WA: PEDIATRIC RESEARCH;- SEATTLE HOME CARE SERVICES, BOTHELL, WA: PEDIATRIC HOME CARE SERVICES;- ODESSA BROWN CHILDREN'S CLINIC, SEATTLE, WA: AMBULATORY- PRIMARY AND SUB SPECIALTY;- MADISON TOWER ORTHOTICS, SEATTLE, WA: AMBULATORY- SUB SPECIALTY;- CHILDREN'S OLYMPIA, OLYMPIA, WA: AMBULATORY- SUB SPECIALTY;- CHILDREN'S FEDERAL WAY, FEDERAL WAY, WA: AMBULATORY- SUB SPECIALTY;- CHILDREN'S BELLEVUE, BELLEVUE, WA: AMBULATORY- SUB SPECIALTY;- CHILDREN'S EVERETT, EVERETT, WA: AMBULATORY- SUB SPECIALTY;- SPRINGBROOK PROFESSIONAL CENTER, SEATTLE, WA: SUPPORT SERVICES & ADMINISTRATIVE;- SEATTLE CHILDREN'S MET PARK WEST, SEATTLE, WA: SUPPORT SERVICES & ADMINISTRATIVE;- CHILDREN'S TRI-CITIES, RICHLAND, WA: AMBULATORY- SUB SPECIALTY;- SEATTLE CHILDREN'S AUTISM CENTER, SEATTLE, WA: AMBULATORY- SUB SPECIALTY;- SEATTLE CHILDREN'S SOUTH SOUND CARDIOLOGY, TACOMA, WA: AMBULATORY- SUB SPECIALTY;- BELLEVUE CLINIC & SURGERY CENTER, BELLEVUE, WA: CLINIC & OUTPATIENT SURGERY;- SEATTLE CHILDREN'S DENTAL SURGERY CENTER, SEATTLE, WA: PEDIATRIC DENTAL CARE.- CHILDREN'S EMERGENCY ROOM, WHICH SERVES ALL CHILDREN REGARDLESS OF ABILITY TO PAY.- A SIGNIFICANT INVESTMENT IN RESEARCH FOCUSED ON BOTH PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND CHRONIC CONDITIONS.- SCH'S LONGSTANDING ROLE AS A TEACHING HOSPITAL, WITH ONE OF THE TOP-RATED RESIDENCY PROGRAMS. STUDENTS IN MANY OTHER HEALTHCARE PROFESSIONS, INCLUDING NURSING, LAB, RADIOLOGY, AND RESPIRATORY THERAPY, RECEIVE TRAINING AS WELL.- LEADERSHIP IN THE HEALTH COALITION FOR CHILDREN AND YOUTH, ADVOCATING FOR HEALTHCARE COVERAGE FOR ALL CHILDREN, INCLUDING IMMIGRANT CHILDREN.- A FAMILY ADVISORY COUNCIL AS WELL AS A NUMBER OF DEPARTMENT-SPECIFIC ADVISORY COUNCILS WHERE FAMILIES PROVIDE EXPERT GUIDANCE.- HOSPITAL FOUNDATION ACTIVITIES THAT RAISE MONEY FOR UNCOMPENSATED CARE AND FUND HEALTH IMPROVEMENT PROGRAMS FOCUSED ON AT-RISK AND UNDERSERVED CHILDREN AND FAMILIES.- THE LARGEST VOLUNTEER PROGRAM IN THE UNITED STATES WITH OVER 1,000 VOLUNTEERS EVERY MONTH.GOVERNANCE:SEATTLE CHILDREN'S GOVERNING BODY IS A SELF-PERPETUATING BOARD OF TRUSTEES. THE BOARD OF TRUSTEES IS FORMED BY COMMUNITY MEMBERS DEDICATED TO ADVANCING SCH'S MISSION. THE MEDICAL STAFF CONSISTS OF BOTH SALARIED AND COMMUNITY PHYSICIANS.	OtherInformation
Affiliated Health Care System	Part VI, Line 7: http://www.seattlechildrens.org/about/advocacy/http://www.seattlechildrens.org/pdf/community-benefit-report-2010.pdf	AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ALASKA NETWORK ON DOMESTIC VIOLENCE AND SEXUAL ASSAULT
130 SEWARD ST STE 209	JUNEAU	AK	99801	920087216	501 (C) (3)	15000	PROGRAM PROMOTING LEADERSHIP AND PREVENTING DOMESTIC VIOLENCE.
AMERICAN HEART ASSOCIATION
710 SECOND AVE STE 900	SEATTLE	WA	98104	135613797	501 (C) (3)	10000	COMMUNITY EVENT SPONSORSHIP.
CITY OF SAXMAN COMMUNITY CENTER
ROUTE 2 BOX 1	KETCHIKAN	AK	99901	920041226	501 (C) (3)	26265	SPORTS EQUIPMENT GRANT FOR COMMUNITY CENTER.
CITY OF SEATTLE DEPARTMENT OF TRANSPORTATION
800 FIFTH AVE 3000	SEATTLE	WA	981244996		goVERNMENT	29500	SEATTLE SUMMER STREETS EVENTS SPONSORSHIP AND SPONSORSHIP OF SEATTLE STREETCAR STATION.
GREATER ISSAQUAH CHAMBER OF COMMERCE
155 NW GILMAN BLVD	ISSAQUAH	WA	98027	916056410	501 (C) (6)	6500	SALMON DAYS FESTIVAL SPONSORSHIP.
GROUP HEALTH FOUNDATION
320 WESTLAKE AVE N 100	SEATTLE	WA	98109	911246278	501 (C) (3)	8750	2009 GIFT OF HEALTH GALA SPONSORSHIP.
HEART OF SEATTLE SCHOOLS
PO BOX 1724	SEATTLE	WA	98111	204200756	501 (C) (3)	5000	GRANT TO PURCHASE AEDS, TRAINING AND EDUCATION FOR SEATTLE PUBLIC SCHOOLS.
JUNEAU YOUTH SERVICES
2075 JORDAN AVENUE	JUNEAU	AK	99801	920038549	501 (C) (3)	10000	SUPPORT FOR AFTERSCHOOL PROGRAMS.
THE MEMORIAL FOUNDATION
2701 TIETON DRIVE	YAKIMA	WA	98902	911022358	501 (C) (3)	100000	CHILDREN'S VILLAGE EXPANSION GRANT.
NEIGHBORCARE HEALTH
1537 WESTERN AVENUE	SEATTLE	WA	98101	910893287	501 (C) (3)	5000	SPONSORSHIP OF 14TH ANNUAL PUMPKIN PUSH 5K AND FAMILY WALK.
REACH INC
213 THIRD STREET	JUNEAU	AK	99801	920070127	501 (C) (3)	12190	GRANT FOR HEARING TEST EQUIPMENT.
SEATTLE MARATHON ASSOCIATION
PO BOX 31849	SEATTLE	WA	981031849	911215695	501 (C) (3)	32000	SPONSORSHIP OF THE 2010 SEATTLE MARATHON.
SOLID GROUND
1501 N 45TH ST	SEATTLE	WA	981031849	237421892	501 (C) (3)	600000	SAND POINT WAY HOUSING PROJECT GRANT.
TREESWING
2505 THIRD AVENUE STE 200	SEATTLE	WA	98145	753195073	501 (C) (3)	5500	SPONSORSHIP OF 5TH ANNUAL BOARDWALK AND HEALTHY SCHOOLS SUMMIT.
UNITED WAY OF SOUTHEAST ALASKA
3225 HOSPITAL DRIVE 201	jUNEAU	AK	99801	920103202	501 (C) (3)	20600	JUNEAU AFTERSCHOOL PROGRAM DEVELOPMENT GRANT.
UNIVERSITY OF WASHINGTON DENTAL FACILITY
1325 FOURTH AVENUE 2000	SEATTLE	WA	98101	916001537	GOVERNMENT	1000000	GRANT FOR DEVELOPMENT OF A PEDIATRIC DENTAL FACILITY.
WITHIN REACH
11000 LAKE CITY WAY NE 301	SEATTLE	WA	981256748	911443685	501 (C) (3)	7250	IMMUNIZATION SOCIAL MARKETING CAMPAIGN AND 2010 BIRTHDAY BENEFIT SPONSORSHIP.

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	16	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: A SPONSORSHIP COMMITTEE WAS ESTABLISHED BY SEATTLE CHILDREN'S HOSPITAL TO MEET REGULARLY FOR THE PURPOSE OF EVALUATING DIFFERENT OPPORTUNITIES TO SUPPORT OTHER NONPROFIT ORGANIZATIONS THROUGH PROVIDING VOLUNTEERS, GRANTS, AND SPONSORSHIPS FOR FUNDRAISING AND EDUCATIONAL EVENTS. CRITERIA USED IN THE DETERMINATION OF ASSISTANCE INCLUDE: THE ORGANIZATION'S ALIGNMENT WITH THE HOSPITAL'S CORE MISSION AND VALUES, THE DIVERSITY AND LOCATION OF THE POPULATION SERVED, AS WELL AS DOCUMENTED COMMUNITY NEED ADDRESSED BY THE ORGANIZATION.	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (28 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THOMAS HANSEN MD
391315	391315	143500	143500	0	0	106130	106130	14687	14687	655632	655632	0	0
KELLY WALLACE
325079	108360	92940	30980	0	0	136518	45506	19753	6584	574290	191430	0	0
PATRICK HAGAN
424437	47160	143067	15896	0	0	275988	30665	24090	2677	867582	96398	0	0
JAMES HENDRICKS MD
325537	0	117158	0	0	0	63932	0	25322	0	531949	0	0	0
LISA BRANDENBURG
343252	0	91036	0	0	0	64765	0	25566	0	524619	0	0	0
DREXEL DEFORD
418757	0	123000	0	0	0	81163	0	26297	0	649217	0	0	0
DAVID FISHER MD
452428	50270	146516	16279	0	0	88875	9875	24292	2699	712111	79123	0	0
SUSAN HEATH
263919	0	83817	0	0	0	50227	0	12348	0	410311	0	0	0
SANFORD MELZER MD
199539	188468	84239	28080	0	0	64396	21465	18575	6191	366749	244204	0	0
JEFFREY SCONYERS
156455	156455	46605	46605	0	0	29889	29889	12619	12619	245568	245568	0	0
EDWIN WRIGHT
309662	0	77688	0	0	0	10058	0	25275	0	422683	0	0	0
SUZANNE PETERSEN
233778	0	76535	0	0	0	17154	0	20192	0	347659	0	0	0
JENNIFER ABERMANIS
214771	0	50875	0	0	0	16735	0	24384	0	306765	0	0	0
JUDITH DOUGHERTY
217997	0	46186	0	0	0	16272	0	16814	0	297269	0	0	0
STEVEN HURWITZ
241201	0	57656	0	0	0	9318	0	22417	0	330592	0	0	0
CARA BAILEY
238592	0	44718	0	0	0	16378	0	16042	0	315730	0	0	0
ERIK LAUSUND
221217	0	63538	0	0	0	17533	0	12558	0	314846	0	0	0
CINDY EVANS
220599	0	49826	0	0	0	16675	0	18815	0	305915	0	0	0
DAVID PERRY
215261	0	51673	0	0	0	10790	0	24342	0	302066	0	0	0
WARREN HEWITT
213907	0	55129	0	0	0	16778	0	15279	0	301093	0	0	0
TODD JOHNSON
214173	0	51476	0	0	0	6548	0	16622	0	288819	0	0	0
RUTH BENFIELD
198414	0	40306	0	0	0	14826	0	16647	0	270193	0	0	0
DOUGLAS PICHA
36119	325075	8695	78260	0	0	7543	67888	2533	22801	54890	494024	0	0
JOE RUTLEDGE
360804	0	17736	0	0	0	16584	0	13151	0	408275	0	0	0
DAVID BRAUNER
348029	0	500	0	0	0	3101	0	20881	0	372511	0	0	0
MARK EGBERT
280469	0	19996	0	0	0	16576	0	24979	0	342020	0	0	0
JOSEPH KELLY
289344	0	500	0	0	0	8794	0	8202	0	306840	0	0	0
TREUMAN KATZ
2050432	0	0	0	0	0	0	0	0	0	2050432	0	2050432	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation
Part I, Line 1a	PART I, LINE 1a BUSINESS OR FIRST CLASS TRAVEL IS PROVIDED IN THE EVENT OF MEDICAL NECESSITY OR ON CERTAIN INTERNATIONAL FLIGHTS OF LONG DURATION. THIS IS NOT TREATED AS COMPENSATION. THE CHIEF EXECUTIVE OFFICER IS PROVIDED MEMBERSHIP TO THE RAINIER CLUB. ANNUAL DUES ARE $2,406, WHICH IS REPORTED AS IMPUTED COMPENSATION.
Part I, Line 4b:	THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THOMAS HANSEN MD - $201,604 KELLY WALLACE - $167,324 PATRICK HAGAN - $291,953 JAMES HENDRICKS MD - $50,886 LISA BRANDENBURG - $54,965 DREXEL DEFORD - $71,363 DAVID FISHER MD - $88,950 SUSAN HEATH - $36,115 SANFORD MELZER MD - $71,652 JEFFREY SCONYERS - $45,078 DOUGLAS PICHA - $60,731

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
911108929	93978HAA3	2010-09-02	77394750	SEE SCHEDULE O	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
911108929	93978HAB1	2010-09-02	46669601	SEE SCHEDULE O	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
911108929	93978EK43	2008-04-16	148540000	SEE SCHEDULE O	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
911108929	93978E586	2008-05-29	90800036	SEE SCHEDULE O	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
911108929	93978E584	2009-08-19	113803754	SEE SCHEDULE O	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)

Total ProceedsTotalProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent	Issuance Costs From ProceedsIssuanceCostsFromProceeds
77394750	77394750	2010	0	1	1
46669601		2010	1	1	1	63575	526026
148540000		2008	1	1	1		2265000
90800036		2009	0	1	1		800036
113803754	90153962	2012	0	0	1	21674326	1975466

Form990 Schedule K Part III Form990ScheduleKPartIII (5 entries)

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

Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge
(no name)
0	0	0	0	0	1
(no name)
0	0	0	0	0	1
gOLDMAN SACHSJP
0	1	1	0	0	1	MORGAN	23.000000000000
(no name)
0	0	0	0	0	1
(no name)
0	0	0	0	0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
KING 5 TV
ENTITY IN WHICH FAMILY MEMBER OF CYNTHIA HUFFMAN, TRUSTEE, IS CEO OF	400000	SERVICES	0
MCKINSTRY COMPANY
ENTITY IN WHICH DEAN ALLEN, TRUSTEE, IS THE CEO AND PART OWNER OF	110340	SERVICES	0
SEATTLE CHILDREN'S HEALTHCARE SYSTEM
COMMON BOARD	897010	RENTAL REV/OP EXPS TRANSFERRED TO SCHS	0
SEATTLE CHILDREN'S HEALTHCARE SYSTEM
COMMON BOARD	144804	RENTAL EXP PAID TO SCHS	0
ELLEN FISCHER
SPOUSE OF DR. ROB ROSKIN, TRUSTEE	110699	EMPLOYMENT	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	24	NumberOfContributions
Noncash Contribs Rptd F990	496454	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenues

Scientific Specimens ScientificSpecimens

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	19959	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenues

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

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Method for Determining Number of Contributors:	Part I, Column (b):	PUBLICLY TRADED SECURITIES - 24 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES. SCIENTIFIC SPECIMENS - 1 CONTRIBUTION OF PULMONARY VALVES AND CONDUITS.
Third Party Use:	Part I, Line 32b:	SEATTLE CHILDREN'S HOSPITAL FOUNDATION AND SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION (RELATED ORGANIZATIONS) SOLICIT BOTH CASH AND NON-CASH GIFTS ON BEHALF OF SEATTLE CHILDREN'S HOSPITAL ("THE HOSPITAL"). FOR GIFTS OF REAL ESTATE, THE HOSPITAL HIRES REALTY COMPANIES TO SELL THE REAL ESTATE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 1	SEATTLE CHILDREN'S HOSPITAL (SCH) AND SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) HAVE 100% OVERLAPPING BOARDS. THIS MAKES THE ORGANIZATIONS BOTH RELATED AND INTERESTED PERSONS WITH REGARD TO EACH OTHER. SCH HAS REPORTED TRANSACTIONS REQUIRING DISCLOSURE ON SCHEDULE L REFLECTING THESE RELATIONSHIPS. ALTHOUGH THE BOARDS ARE IDENTICAL, ALL BOARD MEMBERS WHO DO NOT HAVE PRIVATE BUSINESS RELATIONSHIPS WITH SCH WHICH MAKE THEM PERSONALLY INTERESTED PERSONS AS DEFINED BY THE FORM 990, ARE REPORTED AS INDEPENDENT BOARD MEMBERS ON THE CORE FORM PART VI, LINE IB.
Form 990, Part VI, Section A, line 6	THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM.
Form 990, Part VI, Section A, line 7a	SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES (WHICH IS THE GOVERNING BODY) OF SEATTLE CHILDREN'S HOSPITAL.
Form 990, Part VI, Section A, line 7b	SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, HAS THE AUTHORITY TO MAKE, ALTER, AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF SEATTLE CHILDREN'S HOSPITAL.
Form 990, Part VI, Section B, line 11	MANAGEMENT AND INDEPENDENT TAX PROFESSIONALS PRESENT AND REVIEW THE FORM 990 WITH THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF TRUSTEES. THE ENTIRE BOARD OF TRUSTEES RECEIVES COPIES OF THE FORM 990 AFTER REVIEW BY THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE, PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Section B, line 12c	THE CONFLICT OF INTEREST POLICY OF SEATTLE CHILDREN'S HOSPITAL REQUIRES AN ANNUAL SURVEY OF ALL BOARD MEMBERS OF SEATTLE CHILDREN'S HOSPITAL, MEMBERS OF THE MEDICAL LEADERSHIP, STAFF MEMBERS OCCUPYING ROLES WITH A DEGREE OF AUTHORITY, AS WELL AS ALL STAFF MEMBERS PARTICIPATING IN RESEARCH ACTIVITIES AND MEMBERS OF HOSPITAL'S PHARMACY AND THERAPEUTICS COMMITTEE. THE SENIOR VICE PRESIDENT AND GENERAL COUNSEL, ACTING UNDER THE OVERSIGHT OF THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF DIRECTORS, REVIEWS ALL DISCLOSURES AND ESTABLISHES AND OVERSEES ANY NECESSARY MANAGEMENT PLANS RELATED TO THEM. ANY COVERED PERSON OR OTHER EMPLOYEE WHO ENGAGES IN A VIOLATION OF THIS POLICY OR PURSUES A TRANSACTION OR EVENT FOLLOWING DISAPPROVAL BY THE BOARD OR THE CHIEF EXECUTIVE OFFICER MAY, IN THE DISCRETION OF THE BOARD OR THE CHIEF EXECUTIVE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM HIS OR HER DUTIES WITH SEATTLE CHILDREN'S HOSPITAL AND/OR TERMINATED IN HIS OR HER EMPLOYMENT.
Form 990, Part VI, Section B, line 15	EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE BOARD ENGAGES AN INDEPENDENT THIRD-PARTY EXPERT ANNUALLY TO REVIEW AND ASSESS THE EXECUTIVE COMPENSATION PROGRAM (BASE, INCENTIVE COMPENSATION, AND EMPLOYER-PAID BENEFITS) TO DETERMINE COMPETITIVENESS. THE BOARD RELIES ON THE EXPERT ANALYSIS TO DETERMINE THAT COMPENSATION IS REASONABLE AND WITHIN THE "BOUNDS OF COMPETITIVE PRACTICE" AND TO DECLARE A REBUTTABLE PRESUMPTION OF REASONABLENESS REGARDING EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE REVIEWS THE SUMMARY DATA PROVIDED AND APPROVES BASE SALARY RECOMMENDATIONS FOR THE PRESIDENT, CHIEF EXECUTIVE OFFICER, AND OTHER "KEY" EXECUTIVES. THE FULL BOARD OF TRUSTEES REVIEWS AND FORMALLY APPROVES THE ACTIONS OF THE COMPENSATION COMMITTEE.
Form 990, Part VI, Section C, line 19	SEATTLE CHILDREN'S HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Schedule K Supplental Information	PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010A (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010A BONDS"), WERE ISSUED TO REIMBURSE SEATTLE CHILDREN'S ("CHILDREN'S") FOR THE COSTS OF ACQUIRING CERTAIN REAL PROPERTY (INCLUDING LAND) TO BE DEVELOPED AND USED AS HEALTH CARE FACILITIES OF CHILDREN'S. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010B (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010B BONDS"), WERE ISSUED TO (i) REFUND, ON A CURRENT BASIS, AND DEFEASE ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 1998 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 1998 BONDS"), AND (ii) PAY COST OF ISSUANCE FOR THE SERIES 2010B. THE SERIES 1998 BONDS WERE DATED NOVEMBER 17, 1998 AND THE PROCEEDS USED TO PROVIDE A PORTION OF THE FUNDING FOR A COMPREHENSIVE FACILITY RENOVATION PROGRAM THAT INCLUDED EXTENSIVE CAPITAL IMPROVEMENTS TO THE HOSPITAL'S MAIN FACILITY. LINE C, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008A/B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2008A/B BONDS") WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006A (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) AND SERIES 2006B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), EACH DATED FEBRUARY 16, 2006 (THE "SERIES 2006A/B BONDS") THE PROCEEDS OF WHICH WERE USED TO PROVIDE (i) A PORTION OF THE FUNDING TO ADVANCE REFUND AND DEFEASE $67 MILLION OF THE SERIES 1998 BONDS AND (ii) ADVANCE REFUND AND DEFEASE $66 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2001 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2001 BONDS"), THE PROCEEDS OF WHICH WERE USED TO PROVIDE (i) A PORTION OF THE FUNDING FOR A $120 MILLION CAPITAL PROGRAM, (ii) PAY FOR THE PREMIUM RELATING TO THE BOND INSURANCE POLICY AND (iii) PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2001 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2008B BONDS, WHICH HAVE THE LATER OF THE TWO MATURITIES OF THE TWO SERIES. LINE D, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2008C BONDS") WERE ISSUED TO (i) REPAY AND RETIRE CHILDREN'S TAXABLE LINE OF CREDIT INDEBTEDNESS OWED TO WELLS FARGO BANK, N.A., WHICH INDEBTEDNESS WAS INCURRED TO REDEEM AND RETIRE THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2006C BONDS") THE PROCEEDS OF WHICH WERE USED TO PROVIDE A PORTION OF THE FUNDS NECESSARY TO CONSTRUCT, REMODEL AND/OR ACQUIRE ADDITIONAL HEALTH CARE FACILITIES FOR CHILDREN'S AND (ii) TO PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2008C BONDS. LINE E, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2009 (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2009 BONDS") WERE ISSUED TO PROVIDE ALL OR A PORTION OF THE FUNDS NECESSARY TO (i) PAY THE COSTS (INCLUDING NEW CAPITAL COSTS, REIMBURSEMENT COSTS, AND REFINANCING COSTS) OF ACQUIRING THE LAND FOR CONSTRUCTING AND EQUIPPING A NEW OUTPATIENT CLINIC AND AMBULATORY SURGERY FACILITY IN BELLEVUE, WASHINGTON, RENOVATING AND REMODELING VARIOUS PORTIONS OF CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (ii) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS. PART II, PROCEEDS: COLUMN B: $46,080,000 WAS USED TO REFUND, ON A CURRENT BASIS, AND DEFEASE THE OUTSTANDING SERIES 1998 BONDS, WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2010B BONDS. COLUMN C: $146,275,000 WAS USED TO REFUND, ON A CURRENT BASIS AND REDEEM ALL OF THE OUTSTANDING SERIES 2006A AND SERIES 2006B BONDS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2008A/B BONDS. COLUMN D: $90,000,000 WAS USED TO REPAY AND RETIRE A TAXABLE LINE OF CREDIT INDEBTEDNESS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2008C BONDS. PART III, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%.
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 2010, 878 VOLUNTEERS, AFTER COMPLETING A THOROUGH INTERVIEW AND TRAINING PROCESS, LOGGED 94,417 HOURS OF SERVICE IN ONE OF 80 DIFFERENT DEPARTMENTS, WITH DUTIES RANGING FROM WORKING IN THE HOSPITAL GIFT SHOP, TO ENTERTAINING PATIENTS IN THE PLAYROOM, TO HELPING WITH ADMINISTRATIVE TASKS AT A RECEPTION AREA. IN ALL THAT THEY DO, OUR VOLUNTEERS ARE HIGHLY VALUED MEMBERS OF OUR HOSPITAL COMMUNITY.	ACTIVITIES OF VOLUNTEERS
FORM 990, PART VI, LINE 1B	TRUSTEE CYNTHIA HUFFMAN IS NOT INDEPENDENT BECAUSE OF HER FAMILY RELATIONSHIP TO RAY HEACOX, THE CHIEF EXECUTIVE OFFICER OF KING 5 TV. SEATTLE CHILDREN'S HOSPITAL ENGAGES WITH KING 5 TV FOR MARKETING AND COMMUNICATION SERVICES. TRUSTEE DEAN ALLEN IS THE CHIEF EXECUTIVE OFFICER AND PART OWNER OF MCKINSTRY CO. AND IS NOT INDEPENDENT BECAUSE SEATTLE CHILDREN'S HOSPITAL ENGAGES WITH MCKINSTRY CO. ON VARIOUS CONSTRUCTION PROJECTS.
FORM 990	OUR MISSION WE BELIEVE ALL CHILDREN HAVE UNIQUE NEEDS AND SHOULD GROW UP WITHOUT ILLNESS OR INJURY. WITH THE SUPPORT OF THE COMMUNITY AND THROUGH OUR SPIRIT OF INQUIRY, WE WILL PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. OUR VISION WE WILL BE THE BEST CHILDREN'S HOSPITAL. - WE WILL PROVIDE PATIENTS AND THEIR FAMILIES EXCELLENT CARE WITH COMPASSION AND RESPECT. - WE WILL PROVIDE SUPERIOR, ACCESSIBLE, COST-EFFECTIVE SERVICE. - WE WILL ATTRACT AND RETAIN THE BEST TALENT AT ALL LEVELS OF THE ORGANIZATION. - WE WILL BE ONE OF THE TOP FIVE PEDIATRIC RESEARCH INSTITUTIONS. - WE WILL BE THE NATION'S PREMIER PEDIATRIC EDUCATORS. - WE WILL ACHIEVE WORLDWIDE PROMINENCE BY INTEGRATING PATIENT CARE, RESEARCH, EDUCATION AND ADVOCACY. LETTER FROM OUR CHIEF EXECUTIVE OFFICER MAKING CHILDREN AND FAMILIES SAFER AND HEALTHIER IS OUR PASSION, OUR DUTY AND OUR PRIVILEGE. I AM PROUD TO SHARE WITH YOU OUR 2010 COMMUNITY REPORT, WHICH SHOWCASES SOME OF THE WAYS SEATTLE CHILDREN'S RESPONDS TO COMMUNITY HEALTH NEEDS. THESE PAGES HIGHLIGHT PROGRAMS AND SERVICES THAT REACH FAMILIES WHERE THEY LIVE AND MOVE US CLOSER TO FULFILLING OUR MISSION OF PREVENTING, TREATING AND ELIMINATING PEDIATRIC DISEASE. IN 2010 WE LAUNCHED A NEW COMMUNITY NEEDS ASSESSMENT PROCESS TO GAIN A BETTER VIEW OF THE HEALTH NEEDS AND RESOURCES IN THE COMMUNITIES WE SERVE. IN PARTNERSHIP WITH FAMILIES AND COMMUNITY-BASED ORGANIZATIONS, WE ARE USING WHAT WE LEARN TO COLLABORATIVELY ADDRESS THE MOST URGENT NEEDS. OUR INVESTMENT IN THE COMMUNITY TOTALED MORE THAN $201 MILLION IN 2010, INCLUDING $102 MILLION FOR UNCOMPENSATED CARE. OUR UNCOMPENSATED CARE PROGRAM - MADE POSSIBLE BY A GENEROUS COMMUNITY - GIVES FAMILIES IN OUR REGION ACCESS TO THE BEST PEDIATRIC HEALTHCARE WHEN THEY NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. PARTNERS AND FRIENDS LIKE YOU INSPIRE US; YOUR GENEROUS SUPPORT MAKES OUR WORK IN THE COMMUNITY POSSIBLE AND HELPS BUILD A HEALTHY FUTURE FOR OUR CHILDREN. THANK YOU. SINCERELY, TOM HANSEN, MD CEO, SEATTLE CHILDREN'S TOTAL 2010 VALUE TO THE COMMUNITY: $ 201,347,000 BY INVESTING IN PATIENT CARE AND RESEARCH, EDUCATING HEALTH PROFESSIONALS, AND RESPONDING TO COMMUNITY NEEDS WITH PROGRAMS AND SERVICES THAT REACH FAMILIES WHERE THEY LIVE, CHILDREN'S REMAINS COMMITTED TO OUR MISSION TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. TOTAL VALUE TO THE COMMUNITY: UNCOMPENSATED CARE $101,846,000 RESEARCH PROGRAMS $ 72,058,000 HEALTH PROFESSIONAL EDUCATION $ 17,189,000 COMMUNITY AND PROGRAM SERVICES $ 10,254,000 CONTENTS: UNCOMPENSATED CARE RESEARCH HEALTH PROFESSIONAL EDUCATION COMMUNITY PROGRAMS AND SERVICES UNCOMPENSATED CARE $102 MILLION IN UNCOMPENSATED CARE WAS PROVIDED BY SEATTLE CHILDREN'S IN 2010. WHEN A HOSPITAL BILL EXCEEDS A FAMILY'S ABILITY TO PAY, CHILDREN'S FINANCIAL ASSISTANCE PROGRAM PROVIDES RELIEF FOR FAMILIES. WHEN A CHILD IS SICK OR INJURED OR HAS A CHRONIC CONDITION REQUIRING ONGOING TREATMENT, THE ONLY CARE A FAMILY WANTS IS THE BEST POSSIBLE CARE. THAT'S WHAT SEATTLE CHILDREN'S PROMISES TO PROVIDE - REGARDLESS OF INSURANCE COVERAGE OR FINANCIAL CIRCUMSTANCES - TO EVERY CHILD AND TEEN IN WASHINGTON, ALASKA, MONTANA AND IDAHO WHO NEEDS US. IT'S OUR FOUNDING PROMISE, AND ONE WE CONTINUE TO HONOR, NO MATTER THE ECONOMIC CLIMATE. IN 2010, CHILDREN'S PROVIDED $101.8 MILLION IN UNCOMPENSATED CARE - A 6% INCREASE OVER LAST YEAR AND A STUNNING 144% INCREASE SINCE 2006. IN 2010 APPROXIMATELY 46% OF CHILDREN'S PATIENTS WERE COVERED BY MEDICAID, THE GOVERNMENT PROGRAM THAT PROVIDES MEDICAL COVERAGE AT NO COST TO LOW-INCOME FAMILIES. HOWEVER, THE PROGRAM REIMBURSED CHILDREN'S FOR JUST 73% OF THE REAL COST OF TREATMENT, DOWN FROM 83% IN 2006. OUR UNCOMPENSATED CARE PROGRAM MADE UP THE SHORTFALL - A TOTAL OF $93.3 MILLION. ANOTHER $8.5 MILLION WENT TO FAMILIES WITH NO ABILITY TO PAY FOR THEIR CHILDREN'S CARE. UNCOMPENSATED CARE TREND DATA: 2010 $101,846,000 2009 $ 96,405,000 2008 $ 86,240,000 2007 $ 65,430,000 2006 $ 41,729,000 SPEAKING OUT FOR CHILDREN AND FAMILIES SEATTLE CHILDREN'S IS A POWERFUL ADVOCATE FOR CHILDREN AND FAMILIES, WORKING STRATEGICALLY WITH PARTNERS FROM AROUND THE REGION AND ACROSS THE NATION TO EXPAND ACCESS TO THE HEALTHCARE CHILDREN NEED TO GROW AND THRIVE. THANKS TO THESE EFFORTS, 97% OF WASHINGTON CHILDREN ARE PRIVATELY INSURED OR COVERED BY APPLE HEALTH FOR KIDS, THE FEDERAL-STATE PARTNERSHIP THAT PROVIDES FREE OR LOW-COST HEALTH INSURANCE TO KIDS WHO QUALIFY FOR MEDICAID AND OTHER PUBLIC INSURANCE PROGRAMS. APPLE HEALTH FOR KIDS, A LIFELINE FOR MANY WASHINGTON FAMILIES, HAS BEEN HAILED AS A NATIONAL MODEL. DURING THE 2010 STATE LEGISLATIVE SESSION, CHILDREN'S SUCCESSFULLY ADVOCATED FOR THE HOSPITAL SAFETY NET ASSESSMENT LAW THAT GETS ADDITIONAL FEDERAL MEDICAID MONEY TO HOSPITALS. THIS LAW SAFEGUARDS PATIENTS' ACCESS TO HEALTHCARE BY OFFSETTING THE DEEP CUT IN REIMBURSEMENT THAT LEGISLATORS MADE IN THE 2009 SESSION. ON THE NATIONAL FRONT, CHILDREN'S CEO DR. TOM HANSEN WORKS WITH LEADERS OF OTHER PEDIATRIC HOSPITALS TO ADVOCATE FOR A SYSTEM THAT PROVIDES ADEQUATE AND UNIFORM MEDICAID REIMBURSEMENT NATIONWIDE, MUCH LIKE THE COVERAGE SENIORS GET THROUGH MEDICARE. JOINING FORCES FOR CHILDREN'S HEALTH SEATTLE CHILDREN'S IS A FOUNDING MEMBER AND ACTIVE PARTNER IN THE HEALTH COALITION FOR CHILDREN AND YOUTH, WHICH PROMOTES LAWS AND POLICIES THAT HELP YOUNG PEOPLE GET THE HEALTHCARE AND PREVENTIVE SERVICES THEY NEED. THE COALITION SUCCESSFULLY CHAMPIONED WASHINGTON STATE'S 2007 COVER ALL KIDS LAW, WHICH EXPANDED ACCESS TO HEALTH COVERAGE FOR CHILDREN AND LAUNCHED APPLE HEALTH FOR KIDS. THE COALITION'S 43 MEMBER ORGANIZATIONS INCLUDE COMMUNITY CLINICS, HOSPITALS, DENTAL AND HEALTHCARE PROVIDER GROUPS, INSURERS AND FAITH-BASED ORGANIZATIONS. "THIS STRATEGIC ALLIANCE BETWEEN ADVOCATES, INSURANCE COMPANIES, HOSPITALS AND PROVIDER GROUPS IS EXTREMELY RARE," SAYS HUGH EWART, CHILDREN'S DIRECTOR FOR STATE AND FEDERAL GOVERNMENT AFFAIRS. "IT IS A PRETTY SPECTACULAR MODEL FOR THE REST OF THE NATION." COMMITTED TO CARE CLOSE TO HOME 158,989 PATIENT VISITS WERE TO REGIONAL CLINICS IN 2010. SEATTLE CHILDREN'S UNCOMPENSATED CARE PROGRAM PROVIDES FINANCIAL ASSISTANCE TO FAMILIES WHO NEED IT, WHETHER THEY VISIT THE HOSPITAL'S MAIN SEATTLE CAMPUS, A REGIONAL CLINIC OR AN OUTREACH CLINIC. LAST YEAR, 30% OF ALL OUTPATIENT VISITS TO CHILDREN'S TOOK PLACE AT CHILDREN'S SPECIALTY CLINICS IN BELLEVUE, EVERETT, FEDERAL WAY, OLYMPIA AND THE TRI-CITIES), AT ODESSA BROWN CHILDREN'S CLINIC, A PRIMARY CARE CLINIC IN SEATTLE'S CENTRAL DISTRICT, OR AT OUR OUTREACH CLINICS IN ALASKA. SUPPORTING FAMILIES OF KIDS WITH RARE GENETIC DISORDERS THERE IS NO CURE FOR MUCOPOLYSACCHARIDOSES (MPS), THE RARE GENETIC DISEASE THAT AFFECTS ONE 3-YEAR-OLD CHILD. BUT SHE AND HER MOTHER GET REGULAR DOSES OF HOPE AND CARE FROM THE BIOCHEMICAL GENETICS CLINIC AT SEATTLE CHILDREN'S, THE MEDICAL HOME FOR HUNDREDS OF CHILDREN WITH RARE DISORDERS LIKE MPS. THESE CHILDREN FACE A GAUNTLET OF PHYSICAL, EMOTIONAL AND SCHOOL-RELATED DIFFICULTIES EVERY DAY. AS FAMILIES GUIDE THEIR CHILDREN THROUGH THESE CHALLENGES, THEY OFTEN FACE ANOTHER: THE CRUSHING FINANCIAL BURDEN OF PROVIDING NEEDED MEDICAL CARE. EVEN FAMILIES WHO HAVE GOOD PRIVATE INSURANCE ARE FACED WITH LIFETIME BENEFIT LIMITS AND OVERWHELMING OUT-OF-POCKET COSTS. THROUGH ITS FINANCIAL ASSISTANCE PROGRAM, CHILDREN'S HELPS LIFT THAT BURDEN. "FIGURING OUT FINANCES REALLY CONSUMED MY LIFE," SAYS ONE MOTHER, WHOSE SON WAS A LONG-TIME PATIENT AT CHILDREN'S UNTIL HE PASSED AWAY LAST YEAR. "I LITERALLY HAD TO MAKE DECISIONS ABOUT WHAT TESTS TO HAVE BECAUSE WE WERE RUNNING OUT OF MONEY THROUGH OUR INSURANCE. WE EVEN FACED LOSING OUR HOUSE. BUT CHILDREN'S FINANCIAL ASSISTANCE PROGRAM REALLY TOOK CARE OF US." ASSISTANCE FROM CHILDREN'S HELPS EASE THE FINANCIAL CHALLENGES OF CARING FOR A CHILD WITH A CHRONIC ILLNESS, SO PARENTS CAN FOCUS ON THEIR TOP PRIORITY - CREATING THE MOST FULFILLING LIFE POSSIBLE FOR THEIR CHILDREN.	SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT 2010
	RESEARCH $72 MILLION INVESTED IN RESEARCH RESEARCH PLAYS AN INTEGRAL ROLE IN CHILDREN'S MISSION TO PREVENT, TREAT AND ELIMINATE CHILDHOOD DISEASE. SEATTLE CHILDREN'S RESEARCH INSTITUTE IS THE LARGEST PEDIATRIC RESEARCH ENTERPRISE WEST OF THE MISSISSIPPI, BASED ON THE FUNDING RECEIVED FROM THE NATIONAL INSTITUTES OF HEALTH (NIH). SINCE 2006, WHEN CHILDREN'S CREATED THE RESEARCH INSTITUTE AND ACQUIRED ITS FIRST FACILITIES, ANNUAL EXTRAMURAL FUNDING HAS GROWN FROM $25 MILLION TO NEARLY $67.1 MILLION IN FISCAL YEAR 2010. GRANTS FROM THE NIH INCREASED FROM $11.1 MILLION IN 2005 TO MORE THAN $52.6 MILLION IN 2010. SEATTLE CHILDREN'S RESEARCH INSTITUTE IS ONE OF THE TOP FIVE PEDIATRIC RESEARCH CENTERS IN THE NATION FOR AWARDS FROM THE NIH. DISCOVERY CENTRAL SEATTLE CHILDREN'S RESEARCH INSTITUTE COMPRISES NINE INTERDISCIPLINARY CENTERS AND FOUR INITIATIVES: THE CENTER FOR CHILD HEALTH, BEHAVIOR AND DEVELOPMENT ADDRESSES MAJOR ISSUES THAT AFFECT THE HEALTH OF CHILDREN EVERYWHERE. THE CENTER FOR CHILDHOOD CANCER TRANSLATES NEW SCIENTIFIC KNOWLEDGE AND TECHNOLOGIES INTO EFFECTIVE TREATMENTS FOR CHILDHOOD CANCER. THE CENTER FOR CHILDHOOD INFECTIONS AND PREMATURITY RESEARCH USES BASIC BIOLOGY TO DEVELOP STRATEGIES FOR THE DIAGNOSIS, TREATMENT AND PREVENTION OF INFECTIOUS DISEASES AND CONDITIONS. THE CENTER FOR CLINICAL AND TRANSLATIONAL RESEARCH TAKES DISCOVERIES MADE IN THE LABORATORY AND TRANSLATES THEM INTO THERAPIES FOR USE IN THE HEALTHCARE SETTING AND IN DAILY LIFE. THE CENTER FOR DEVELOPMENTAL THERAPEUTICS IDENTIFIES AND DEVELOPS SAFER AND MORE EFFECTIVE DRUGS AND TREATMENTS FOR CHILDREN. THE CENTER FOR GENETICS AND DEVELOPMENT IMPROVES DIAGNOSIS AND TREATMENT OPTIONS, AND SEARCHES FOR CURES, FOR A BROAD RANGE OF DISEASES AND CONDITIONS. THE CENTER FOR IMMUNITY AND IMMUNOTHERAPIES SOLVES SOME OF THE IMMUNE SYSTEM'S MOST COMPLEX PROBLEMS. THE CENTER FOR INTEGRATIVE BRAIN RESEARCH SEEKS A BETTER UNDERSTANDING OF PEDIATRIC NEUROLOGICAL, NEURODEVELOPMENTAL AND NEUROPSYCHIATRIC DISORDERS. THE CENTER FOR TISSUE AND CELL SCIENCES STUDIES THE BODY'S RESPONSE AT THE MOLECULAR, CELLULAR, TISSUE AND WHOLE-ORGAN LEVELS TO DEVELOP INNOVATIVE THERAPEUTIC INTERVENTIONS THAT WILL ULTIMATELY HELP THE BODY REPAIR ITSELF. INITIATIVES THE TREUMAN KATZ CENTER FOR PEDIATRIC BIOETHICS IMPROVES THE LIVES OF CHILDREN AND THEIR FAMILIES BY ENHANCING ETHICAL DELIBERATION IN PEDIATRIC HEALTHCARE AND RESEARCH. THE NORTHWEST GENOME ENGINEERING CONSORTIUM BRINGS TOGETHER RESEARCHERS AT SEATTLE CHILDREN'S RESEARCH INSTITUTE, FRED HUTCHINSON CANCER RESEARCH CENTER AND THE UNIVERSITY OF WASHINGTON TO DEVELOP NEW METHODS TO REPAIR GENES. THE SCIENCE ADVENTURE LAB IS A MOBILE SCIENCE LAB THAT BRINGS INNOVATIVE SCIENCE EDUCATION EXPERIENCES TO CHILDREN ACROSS WASHINGTON STATE. THE GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH IS A COLLABORATIVE, GLOBAL EFFORT TO INCREASE AWARENESS AND ACCELERATE RESEARCH AND INTERVENTIONS TO IMPROVE MATERNAL, NEWBORN AND CHILD HEALTH OUTCOMES. IDENTIFYING THE BEST TREATMENTS HELPING BABIES BREATHE MORE EASILY EVERY YEAR, 1 MILLION PREMATURE INFANTS AROUND THE GLOBE DIE FROM RESPIRATORY ILLNESS; SEATTLE CHILDREN'S CEO TOM HANSEN HAS SPENT HIS CAREER FINDING WAYS TO SAVE THEM. HANSEN STILL TRADES HIS SUIT COAT FOR A LAB COAT ONCE A WEEK TO WORK AT SEATTLE CHILDREN'S RESEARCH INSTITUTE. IN 2010 THE TEAM HE LEADS DESIGNED A SIMPLE, LOW-COST VENTILATOR THAT COULD SAVE MANY OF THESE TINY BABIES. THE HANSEN VENTILATOR WOULD COST LESS THAN $1,500 TO PRODUCE. IT WOULD ALSO BE EASY TO ASSEMBLE, USE AND REPAIR, MAKING IT MORE PRACTICAL FOR USE IN DEVELOPING NATIONS THAN HIGH-TECH VENTILATORS, WHICH TYPICALLY COST $30,000 TO $50,000. "IF WE CAN EVEN MAKE A 10% DIFFERENCE IN [MORTALITY], IT WOULD MEAN 100,000 LIVES SAVED EACH YEAR," HANSEN SAYS. "I COULD LIVE WITH THAT." PROTECTING THE BRAINS OF CRITICALLY ILL NEWBORNS SEATTLE CHILDREN'S NEONATOLOGISTS ARE LEARNING HOW TO PROTECT THE BRAINS OF PREMATURE AND CRITICALLY ILL NEWBORNS JUST BEFORE AND JUST AFTER BIRTH - A CRUCIAL PERIOD FOR BRAIN DEVELOPMENT. DR. SANDRA (SUNNY) JUUL IS INVESTIGATING WHETHER USING ERYTHROPOIETIN (ALSO KNOWN AS EPO) - A HORMONE THAT BOOSTS OXYGEN-CARRYING RED BLOOD CELLS - IN COMBINATION WITH HYPOTHERMIA THERAPY WORKS BETTER THAN HYPOTHERMIA ALONE FOR TREATING BRAIN INJURY DUE TO OXYGEN DEPRIVATION. JUUL AND DR. CHRISTINE GLEASON ARE ALSO STUDYING THE LONG-TERM EFFECTS ON BRAIN DEVELOPMENT OF MEDICATIONS USED TO ALLEVIATE PAIN AND STRESS IN THE NEONATAL INTENSIVE CARE UNIT (NICU). AS JUUL AND GLEASON WORK TO UNDERSTAND THOSE EFFECTS, CHILDREN'S NICU IS USING MORE AND MORE ALTERNATIVES TO SEDATIVES AND PAINKILLERS. ONE EXAMPLE: GIVING A TUBE-FED INFANT A TINY TASTE OF MOTHER'S MILK TO TRIGGER THE RELEASE OF NATURAL PAIN-RELIEVING ENDORPHINS. LINKING CAUSE AND EFFECT LOOKING MORE DEEPLY AT FLAT HEAD SYNDROME SINCE THE START OF A SUCCESSFUL NATIONAL CAMPAIGN DESIGNED TO REDUCE SUDDEN INFANT DEATH SYNDROME MORE THAN 25 YEARS AGO, BABIES HAVE INCREASINGLY SPENT TIME ON THEIR BACKS IN STROLLERS, CAR SEATS AND CRIBS. THE SAME PERIOD HAS SEEN A DRAMATIC RISE IN THE DIAGNOSIS OF POSITIONAL PLAGIOCEPHALY, OR FLAT HEAD SYNDROME. A STUDY LED BY DR. MATTHEW SPELTZ SUGGESTS THAT 6-MONTH-OLD BABIES WITH FLATTENED AREAS ON THE BACKS OF THEIR HEADS MIGHT FACE AN INCREASED RISK OF COGNITIVE AND MOTOR DELAYS. "MANY PARENTS AND PHYSICIANS HAVE DISMISSED PLAGIOCEPHALY AS A COSMETIC ISSUE OR ONE THAT BABIES WILL GROW OUT OF AS THEY DEVELOP, BUT OUR STUDY INDICATES THAT WE SHOULD LOOK DEEPER," SAYS SPELTZ. HE AND HIS TEAM PLAN FUTURE STUDIES TO SEE WHETHER THE ASSOCIATION BETWEEN PLAGIOCEPHALY AND DEVELOPMENTAL DELAYS PERSISTS AS BABIES MATURE. PREVENTING ILLNESSES AND INJURIES TALLYING LIFE JACKET USE ON WASHINGTON WATERWAYS LIFE JACKETS, ALSO KNOWN AS PERSONAL FLOTATION DEVICES, SAVE LIVES. EACH YEAR, AN AVERAGE OF 25 CHILDREN AND TEENS DIE FROM DROWNING IN OUR STATE. SEATTLE CHILDREN'S DR. LINDA QUAN AND STAFF, IN PARTNERSHIP WITH WASHINGTON STATE PARKS BOATING PROGRAM AND HARBORVIEW INJURY PREVENTION AND RESEARCH CENTER, TRAINED VOLUNTEERS FROM ACROSS THE STATE TO OBSERVE LIFE JACKET USE AMONG 5,306 CHILDREN AND ADULTS ON BOATS AT 33 SITES ON WASHINGTON WATERS. BOTH CHILDREN AND TEENS WERE SIGNIFICANTLY MORE LIKELY TO WEAR A LIFE JACKET IF AT LEAST ONE ADULT IN THE BOAT WAS WEARING ONE. THE DATA FROM THIS STUDY WILL INFORM EDUCATION AND MEDIA STRATEGIES, GUIDE LOCAL AND STATE LAWS ON LIFE JACKET USE AND HELP WASHINGTON STATE PARKS BOATING PROGRAM MONITOR THE PROGRESS OF EFFORTS TO IMPROVE RECREATIONAL BOATING SAFETY. OVERALL, 67% OF CHILDREN UP TO AGE 17 WERE OBSERVED WEARING A LIFE JACKET. HOWEVER, IF AT LEAST ONE ADULT WAS WEARING ONE, THE FIGURE ROSE TO 87%. PEOPLE MAKING A DIFFERENCE: HALLE SHOWALTER SALAS RESEARCH AND FAMILY LIAISON BRINGS FAMILY-CENTERED CARE TO THE RESEARCH ARENA. ONE MOTHER WAS OVERWHELMED WHEN HER SON WAS DIAGNOSED WITH OSTEOSARCOMA, A TYPE OF BONE CANCER. NOT ONLY DID HER FAMILY FACE A LIFE-CHANGING CRISIS, THEY ALSO FACED A STEEP LEARNING CURVE. RESEARCHERS AT CHILDREN'S WERE INVOLVED IN SEVERAL STUDIES THAT HER SON COULD JOIN AS PART OF HIS TREATMENT, AND ALL HAD POTENTIAL BENEFITS AND RISKS. "WE HAVE A LOT OF FAITH IN DOCTORS AND RESEARCHERS, BUT WE WANTED TO MAKE THE MOST INFORMED DECISIONS POSSIBLE," SAYS THIS MOTHER. "OUR SON'S LIFE WAS AT STAKE." THE FAMILY ASKED HALLE SHOWALTER SALAS TO BE IN THE ROOM WHEN THEY LEARNED ABOUT THE OPTIONS. SALAS, A RESEARCH AND FAMILY LIAISON AT CHILDREN'S, HELPED THE FAMILY ASK THE RIGHT QUESTIONS AND GET THOROUGH ANSWERS. "HALLE CAME THROUGH FOR US AS WE WERE MAKING SOME EXTREMELY TOUGH DECISIONS," SAYS THE MOTHER. "WITH HER SUPPORT, OUR SON FELT CONFIDENT THAT WE WERE ALL MAKING THE MOST INFORMED DECISIONS POSSIBLE ABOUT HIS TREATMENT." IN HER ROLE, SALAS PARTNERS WITH FAMILIES AND RESEARCH TEAMS TO SUPPORT COMMUNICATION SO FAMILIES GET THE INFORMATION THEY NEED TO MAKE INFORMED DECISIONS. "SOME FAMILIES MAY BE RELUCTANT TO ASK QUESTIONS BECAUSE THEY MIGHT SEE DOCTORS OR RESEARCHERS AS AUTHORITY FIGURES," SAYS DR. JIM HENDRICKS, PRESIDENT OF SEATTLE CHILDREN'S RESEARCH INSTITUTE. "THERE ARE ADDITIONAL BARRIERS FOR FAMILIES WHO HAVE LIMITED EXPERIENCE WITH RESEARCH, ESPECIALLY FAMILIES WHO ARE FROM OTHER COUNTRIES OR WHO HAVE LIMITED ENGLISH PROFICIENCY." SALAS FACILITATES CONVERSATIONS BETWEEN THESE FAMILIES AND RESEARCHERS. HER GOAL, SAYS HENDRICKS, IS NOT TO PROMOTE RESEARCH BUT TO BUILD FAMILY UNDERSTANDING. RESEARCH IS FUNDAMENTAL TO SEATTLE CHILDREN'S MISSION TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. BY DEMYSTIFYING THE RESEARCH PROCESS FOR FAMILIES AND HELPING RESEARCHERS COMMUNICATE CLEARLY, SALAS HELPS CHILDREN'S UPHOLD THE HIGHEST POSSIBLE ETHICAL STANDARDS WHEN CONDUCTING RESEARCH THAT ADVANCES PEDIATRIC MEDICAL CARE AND TREATMENTS.
	COMBATING CHILDHOOD OBESITY CHILDRENS IS APPROACHING THE PROBLEM FROM MANY ANGLES. THE PERCENTAGE OF OVERWEIGHT CHILDREN IN THE UNITED STATES HAS MORE THAN TRIPLED IN THE LAST 30 YEARS, WITH 33% OF KIDS NOW CONSIDERED OVERWEIGHT OR OBESE. IT IS A DOUBLE-EDGED EPIDEMIC, THREATENING THE HEALTH OF THESE CHILDREN TODAY AND INCREASING THEIR RISK FOR WEIGHT-RELATED HEALTH PROBLEMS IN ADULTHOOD. AT SEATTLE CHILDREN'S, CLINICIANS, RESEARCHERS, EDUCATORS AND OTHERS ARE IMMERSED IN A COMPREHENSIVE OBESITY PROGRAM FOCUSED ON PREVENTION AND EARLY INTERVENTION. GROUPS FROM ACROSS DISCIPLINES MEET REGULARLY TO MAP STRATEGIES, SHARE RESULTS AND REVIEW PROGRESS IN CLINICAL CARE, ADVOCACY, RESEARCH AND EDUCATION (CARE). OBESITY RESEARCHERS AT SEATTLE CHILDREN'S RESEARCH INSTITUTE ARE FOCUSED ON THREE AREAS OF STUDY: - EVALUATING THE EFFECTIVENESS OF OBESITY TREATMENTS - EXPLORING ENVIRONMENTAL IMPACTS ON OBESITY, EATING AND PHYSICAL ACTIVITY - UNDERSTANDING THE RISKS AND CONSEQUENCES OF CHILDHOOD OBESITY THEIR STUDIES ARE YIELDING DATA THAT CLINICIANS, ADVOCATES, EDUCATORS AND OTHERS CAN IMMEDIATELY PUT INTO ACTION. FOR INSTANCE, RESEARCHERS AT CHILDREN'S, THE UNIVERSITY OF WASHINGTON AND GROUP HEALTH RESEARCH INSTITUTE CORRELATED MEDICAL RECORDS FOR 8,000 CHILDREN WITH CENSUS DATA TO IDENTIFY FIVE SPECIFIC SOCIOECONOMIC FACTORS THAT INCREASE CHILDREN'S RISK OF OBESITY. STUDY LEADER DR. H. MOLLIE GREVES GROW AND HER COLLABORATORS ARE USING THE RESULTS IN THEIR WORK WITH OVERWEIGHT CHILDREN AND THEIR FAMILIES IN PROGRAMS AT THE YMCA OF GREATER SEATTLE, CHILDREN'S AND GROUP HEALTH. ANOTHER STUDY, LED BY DR. POOJA S. TANDON, FOUND THAT WHEN CALORIE INFORMATION IS INCLUDED ON FAST FOOD MENUS, PARENTS CHOOSE MEALS FOR THEIR CHILDREN WITH ABOUT 20% FEWER CALORIES. THESE FINDINGS REINFORCE EFFORTS TO ADVOCATE FOR NUTRITIONAL LABELING POLICIES THAT HELP PARENTS MAKE HEALTHIER CHOICES FOR THEIR CHILDREN. FOR MORE ON CHILDREN'S EFFORTS TO PREVENT CHILDHOOD OBESITY, SEE PAGE 17 [OBESITY SUMMIT]. HEALTH PROFESSIONAL EDUCATION $17,2 MILLION INVESTED IN TRAINING IN 2010 SEATTLE CHILDREN'S IS A CLASSROOM AND LABORATORY FOR HEALTH PROFESSIONALS-IN-TRAINING AT THE UNIVERSITY OF WASHINGTON AND OTHER GRADUATE INSTITUTIONS. BUT THAT'S JUST THE TIP OF OUR EDUCATION ACTIVITIES. WE TEACH FAMILIES TO BE PARTNERS IN THEIR CHILDREN'S HEALTHCARE, OFFER CONTINUING MEDICAL EDUCATION PROGRAMS TO DOCTORS WHO CARE FOR CHILDREN IN THE COMMUNITY, AND PARTNER WITH SCHOOLS TO HELP YOUNG PEOPLE LEARN ABOUT THEIR OWN HEALTH AND PLAN FOR CAREERS IN HEALTHCARE. CHILDREN'S INVESTMENT IN EDUCATION TODAY WILL YIELD DIVIDENDS FOR GENERATIONS OF CHILDREN IN OUR REGION AND BEYOND. TRAINING THE NEXT GENERATION EDUCATING RESIDENT PHYSICIANS, FELLOWS AND MEDICAL STUDENTS AS THE ONLY PEDIATRIC RESIDENCY PROGRAM IN WASHINGTON, WYOMING, ALASKA, MONTANA AND IDAHO, THE UNIVERSITY OF WASHINGTON (UW) SCHOOL OF MEDICINE PEDIATRIC RESIDENCY PROGRAM PREPARES YOUNG PHYSICIANS TO PROVIDE OUTSTANDING MEDICAL CARE FOR CHILDREN IN THE NORTHWEST. ONE OF THE MOST DESIRED PEDIATRIC RESIDENCIES IN THE NATION, THE UW/SEATTLE CHILDREN'S RESIDENCY RECEIVED ALMOST 1,100 APPLICANTS FOR THEIR 32 POSITIONS THIS YEAR. IN 2010, 732 RESIDENTS FROM TRAINING PROGRAMS THROUGHOUT THE NORTHWEST ROTATED AT CHILDREN'S. MANY RESIDENTS CONTINUE THEIR EDUCATION AT CHILDREN'S, WHICH OFFERS FELLOWSHIPS IN MORE THAN 30 SPECIALTY AREAS, INCLUDING ADOLESCENT MEDICINE, CARDIOLOGY, CLINICAL BIOETHICS, CRITICAL CARE MEDICINE, HEMATOLOGY/ONCOLOGY AND SURGERY. IN 2010, 27 PHYSICIANS COMPLETED PEDIATRIC RESIDENCY AND 43 COMPLETED SUB-SPECIALTY FELLOWSHIPS AT CHILDREN'S. IN ADDITION, CHILDREN'S WAS A TRAINING SITE FOR 1,026 MEDICAL STUDENTS. BY TRAINING TOP-NOTCH PEDIATRICIANS, CHILDREN'S RAISES THE LEVEL OF CARE FOR CHILDREN EVERYWHERE AND ESPECIALLY IN OUR COMMUNITY; MORE THAN HALF OF OUR GRADUATES CHOOSE TO STAY IN THE PACIFIC NORTHWEST TO PRACTICE AS PRIMARY CARE AND SUB-SPECIALTY PEDIATRICIANS. FEEDING YOUNG DOCTORS' PASSION FOR HEALTHCARE IN 2010 THE PATHWAYS PROGRAM GAVE 16 CHILDREN'S MEDICAL RESIDENTS STRUCTURED TIME AWAY FROM CLINICAL ROTATIONS IN THEIR SECOND AND THIRD YEAR, HELPING THEM RENEW THEIR PASSION FOR WHAT FIRST DREW THEM TO MEDICINE. FIRST-YEAR RESIDENTS CAN APPLY FOR ONE OF THREE PATHWAYS: GLOBAL HEALTH, INTEGRATIVE RESEARCH, OR COMMUNITY PEDIATRICS AND ADVOCACY. THE PROGRAM ENCOURAGES RESIDENTS TO DEVELOP PROJECTS THAT FEED THEIR SOULS AND THAT MAY WELL HELP THEM DETERMINE THE TRAJECTORY OF THEIR CAREERS. "MOST OF OUR RESIDENTS COME INTO THE PROGRAM WITH LOTS OF LIFE EXPERIENCE AND A HIGHLY DEVELOPED SOCIAL CONSCIOUSNESS," EXPLAINS DR. BRIAN JOHNSTON, WHO DIRECTS THE PATHWAYS PROGRAM. "IT'S EASY TO LOSE THAT BROAD VISION OF HEALTH AND HEALTHCARE WHEN YOU SPEND THREE YEARS NARROWLY FOCUSED ON CLINICAL TRAINING." LEARNING BY DOING MORE THAN A DOZEN INTERNS - FROM HIGH SCHOOL STUDENTS TO GRADUATE STUDENTS - SPENT THE SUMMER OF 2010 WORKING TO MAKE A DIFFERENCE AT SEATTLE CHILDREN'S. THE HOSPITAL'S ACADEMIC ROOTS ARE CLEARLY EVIDENT IN ITS SUPPORT OF EDUCATIONAL OPPORTUNITIES LIKE THE INTERNSHIP PROGRAM, WHICH PAIRS STUDENTS WITH HEALTH PROFESSIONALS IN DEPARTMENTS ACROSS THE ORGANIZATION TO LEARN NEW SKILLS IN A SUPPORTIVE, REAL-WORLD ENVIRONMENT. CHILDREN'S ALSO PARTNERED WITH THE SEATTLE YOUTH EMPLOYMENT PROGRAM (SYEP) TO PLACE AN ADDITIONAL 14 STUDENTS, AGES 14 TO 21, IN DEPARTMENTS THROUGHOUT THE HOSPITAL. SYEP HELPS YOUTH FROM LOW-INCOME FAMILIES EARN MONEY, DEVELOP LEADERSHIP SKILLS AND EXPLORE THE WORLD. "IN MY MIND, INTERNSHIPS ARE A GREAT WIN-WIN FOR BOTH THE STUDENT AND CHILDREN'S," SAYS ELIZABETH "TIZZY" BENNETT, INTERN MENTOR AND DIRECTOR OF GUEST SERVICES AND ADVOCACY. "THE STUDENT GAINS VALUABLE SKILLS AND EXPERIENCE AND WE ARE ABLE TO ACCOMPLISH MORE BY HAVING THEM HERE." REACHING OUT TO STUDENTS KIDS DON'T ENCOUNTER A BROAD RANGE OF HEALTHCARE PROFESSIONALS IN THE REMOTE COMMUNITY OF NEAH BAY, WASH., HOME TO THE MAKAH NATION. BUT A BLOSSOMING RELATIONSHIP WITH SEATTLE CHILDREN'S GIVES NEAH BAY'S STUDENTS OPPORTUNITIES TO LEARN ABOUT HEALTHCARE CAREERS AND MEET PEOPLE WHO DO THOSE JOBS. NEAH BAY HIGH SCHOOL STUDENTS FIRST CAME TO CHILDREN'S IN 2008 FOR AN INTERACTIVE TOUR; EACH YEAR SINCE, THE SCHOOL HAS PARTICIPATED IN EPALS, A PROGRAM RUN BY THE HOSPITAL'S CENTER FOR DIVERSITY AND HEALTH EQUITY, WHICH PAIRS YOUTH IN UNDERSERVED COMMUNITIES WITH CHILDREN'S STAFF MEMBERS FOR STRUCTURED EMAIL EXCHANGES. THE PROGRAM CHALLENGES STUDENTS TO USE TECHNOLOGY, HELPS THEM DEVELOP WRITING SKILLS AND EXPOSES THEM TO MANY OF THE CAREERS REQUIRED TO RUN A HOSPITAL. EACH SESSION ENDS WITH A FACE-TO-FACE MEETING AT CHILDREN'S FOR STUDENTS AND MENTORS. IN 2010 THE HOSPITAL'S MOBILE SCIENCE ADVENTURE LAB VISITED STUDENTS AT NEAH BAY MIDDLE SCHOOL FOR HANDS-ON LEARNING WITH A MESSAGE: YOU, TOO, CAN BE A SCIENTIST. OPENING LABORATORY DOORS A GROUP OF 45 AMERICAN INDIAN STUDENTS (7TH THROUGH 10TH GRADERS) - PARTICIPANTS IN THE NATIVE YOUTH ENRICHMENT PROGRAM - VISITED SEATTLE CHILDREN'S RESEARCH INSTITUTE FOR A HANDS-ON RESEARCH EXPERIENCE. THE PROGRAM, RUN BY THE UNIVERSITY OF WASHINGTON INDIGENOUS WELLNESS RESEARCH INSTITUTE, INTRODUCES NATIVE STUDENTS TO CAREERS IN SCIENCE, TECHNOLOGY, ENGINEERING AND MATH - FIELDS IN WHICH AMERICAN INDIANS ARE TRADITIONALLY UNDERREPRESENTED. STAFF FROM CHILDREN'S SCIENCE EDUCATION OUTREACH DEPARTMENT LED THE STUDENTS THROUGH A CHEMISTRY EXPERIMENT TO QUANTIFY THE AMOUNT OF SUGAR IN VARIOUS BEVERAGES, GAVE TOURS AND ANSWERED THE STUDENTS' QUESTIONS ABOUT RESEARCH CAREERS. EDUCATING HEALTH PROVIDERS HELPING PEDIATRICIANS MANAGE MENTAL HEALTH SEATTLE CHILDREN'S PARTNERSHIP ACCESS LINE (PAL) IS A TELEPHONE-BASED CHILD MENTAL HEALTH CONSULTATION PROGRAM THAT GIVES PEDIATRICIANS ACROSS WASHINGTON STATE IMMEDIATE ACCESS TO CHILDREN'S PSYCHIATRISTS AND SOCIAL WORKERS FOR ADVICE ABOUT MENTAL HEALTH DIAGNOSES. PAL HELPS PHYSICIANS IN THE COMMUNITY MANAGE THE MENTAL HEALTH NEEDS OF THEIR PATIENTS. THE PROGRAM IS OPERATED BY THE WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES (DSHS), FUNDED BY THE STATE AND DIRECTED BY CHILDREN'S PSYCHIATRIST DR. ROBERT HILT. THE SERVICE HAS PERFORMED MORE THAN 2,000 CONSULTATIONS SINCE ITS INCEPTION IN 2008. IN 2010 THE LINE RECEIVED 814 CONSULTATIONS. THE PAL TOLL-FREE NUMBER IS 866-599-7257. MODELING BEST PRACTICES SEATTLE CHILDREN'S OPENS ITS DOORS TO ADULTS WHO WORK IN HEALTHCARE FIELDS OR ARE INTERESTED IN CAREERS IN MEDICINE, OFFERING OPPORTUNITIES TO SHADOW EXPERTS AND OBSERVE SPECIFIC DEPARTMENTS OR ASPECTS OF OPERATION. IN 2010, 250 PEOPLE VISITED CHILDREN'S AS OBSERVERS. THEY CAME FROM NEARBY AND AROUND THE WORLD, INCLUDING A COUPLE FROM VIETNAM WHO WANTED TO SEE OUR MUSIC AND ART THERAPY PROGRAMS IN ACTION. A WOMAN PLANNING TO START AN ORPHANAGE IN AFRICA CAME TO CHILDREN'S TO LEARN HOW TO ENGAGE STAFF IN THE WORK OF AN ORGANIZATION.
	INVESTING IN EMPLOYEES SEATTLE CHILDREN'S TUITION ASSISTANCE PLAN (TAP) SUPPORTS THE DREAMS AND ASPIRATIONS OF ITS EMPLOYEES BY PROVIDING TUITION GRANTS OF UP TO $8,000 PER YEAR TOWARD ACADEMIC DEGREE OR CERTIFICATION PROGRAMS FOR THOSE PREPARING TO ADVANCE THEIR CAREERS WITHIN THE ORGANIZATION. ALL EMPLOYEES WITH 3,000 HOURS OR MORE OF SERVICE TO CHILDREN'S (THE EQUIVALENT OF 18 MONTHS' FULL-TIME EMPLOYMENT) ARE ELIGIBLE TO APPLY FOR TAP GRANTS. IN 2010, 75 EMPLOYEES TOOK ADVANTAGE OF THIS BENEFIT TO PURSUE PROGRAMS IN A BROAD RANGE OF FIELDS, INCLUDING NURSING, PHARMACY, PSYCHOLOGY, HEALTH INFORMATION TECHNOLOGY, MANAGEMENT AND LEADERSHIP. PEOPLE MAKING A DIFFERENCE: DR. DOUG JACKSON DR. DOUG JACKSON, CHIEF OF SEATTLE CHILDREN'S CENTER FOR DIVERSITY AND HEALTH EQUITY (CDHE), KNOWS THAT QUALITY AND EQUALITY ARE DEEPLY LINKED WHEN IT COMES TO HEALTH AND HEALTHCARE. JACKSON AND HIS STAFF TRACK THE MANY WAYS THAT ETHNIC, CULTURAL AND LANGUAGE DIFFERENCES AFFECT PATIENT SAFETY AND OUTCOMES. HIS TEAM WORKS TO MAKE CHILDREN SAFER AND HEALTHIER - AT CHILDREN'S AND EVERYWHERE - BY INTEGRATING RESEARCH, EDUCATION, ADVOCACY AND SERVICE TO ELIMINATE PEDIATRIC HEALTHCARE DISPARITIES. A DENTAL ANESTHESIOLOGIST WITH A DOCTORATE IN NEUROPHARMACOLOGY, JACKSON BRINGS A SCIENTIST'S PROBLEM-SOLVING SKILLS TO HIS WORK AND ENVISIONS A FUTURE IN WHICH HEALTHCARE WORKPLACES ARE REFLECTIONS OF THE COMMUNITIES THEY SERVE. EDUCATION - FOR TODAY'S HEALTHCARE WORKFORCE AND TOMORROW'S - IS A KEY TO THAT FUTURE. THE CENTER OFFERS LANGUAGE CLASSES AND CULTURAL EDUCATION SEMINARS TO CHILDREN'S STAFF MEMBERS, HELPING THEM CONNECT NOT ONLY WITH PATIENTS AND FAMILIES FROM DIVERSE BACKGROUNDS, BUT ALSO WITH THEIR COLLEAGUES AT WORK. THE AIM IS TO MAKE CULTURAL INCLUSION PART OF CHILDREN'S HEALING ENVIRONMENT, SAYS JACKSON. THE CENTER ALSO WORKS TO PRIME A RICH, DIVERSE "PIPELINE" OF FUTURE HEALTH PROFESSIONALS. BY BRINGING ELEMENTARY THROUGH COLLEGE STUDENTS TO CHILDREN'S FOR A VARIETY OF EDUCATIONAL PROGRAMS, WE'RE INTRODUCING THEM TO CAREER OPPORTUNITIES THEY MAY HAVE NEVER CONSIDERED. IN 2010, MORE THAN 100 STUDENTS FROM RACIAL AND ETHNIC GROUPS THAT HAVE BEEN HISTORICALLY UNDERREPRESENTED IN THE HEALTH PROFESSIONS TOOK PART IN THESE PROGRAMS AND LEARNED THROUGH THE INSPIRATIONAL LENSES OF CHILDREN'S STAFF. (READ ABOUT THE CENTER'S EPALS PROGRAM ON PAGE 11.) IN THE LONG RUN, SAYS JACKSON, SUCH PROGRAMS WILL HELP TIP THE HEALTH EQUITY BALANCE. IN THE SHORT RUN, THEY CHANGE THE PERSPECTIVES AND ASPIRATIONS OF THE STUDENTS. "MANY OF THESE KIDS ARE THE FIRST IN THEIR FAMILIES WITH THE OPPORTUNITY TO GO TO COLLEGE," HE NOTES. THE EXPERIENCES HELP STUDENTS SEE THEIR OWN PROMISE FOR THE FUTURE AND OFFER THEM CONNECTIONS TO MENTORS WHO CAN HELP THEM REACH THEIR GOALS, HE ADDS. THE STAFF AND FACULTY WHO PARTICIPATE IN THESE PROGRAMS LEARN TOO. "WORKING WITH YOUTH WHO COME FROM A COMPLETELY DIFFERENT BACKGROUND THAN ONE'S OWN IS A REAL EYE-OPENER," SAYS JACKSON. "IT HELPS US RECOGNIZE SOME OF OUR OWN BIASES AND WORK TO ELIMINATE THEM." FOSTERING THE FUTURE OF SCIENCE BY MENTORING RESEARCHERS, SEATTLE CHILDREN'S HELPS YOUNG SCIENTISTS FOR THE LONG HAUL. WHEN DR. BONNIE RAMSEY JOINED THE SEATTLE CHILDREN'S STAFF IN 1980, CYSTIC FIBROSIS (CF) PATIENTS OFTEN DID NOT SURVIVE INTO ADULTHOOD. NOW MANY OF THEM ARE LIVING INTO THEIR 40S, THANKS IN PART TO THE MANY YEARS OF EFFORT INVESTED BY RAMSEY AND HER MENTOR, DR. ARNIE SMITH. RAMSEY, WHO WORKED CLOSELY WITH SMITH TO DEVELOP THE FIRST INHALED ANTIBIOTIC FOR CF PATIENTS, UNDERSTANDS THE LIFE-CHANGING POTENTIAL OF WORKING WITH A MORE EXPERIENCED RESEARCHER. AS THE DIRECTOR OF THE CENTER FOR CLINICAL AND TRANSLATIONAL RESEARCH (CCTR), RAMSEY IS CREATING OPPORTUNITIES FOR OTHER YOUNG RESEARCHERS TO DEVELOP MEANINGFUL COLLABORATIONS WITH EXPERIENCED COLLEAGUES THROUGH THE MENTORED SCHOLARS PROGRAM. TRANSLATIONAL RESEARCH, EXPLAINS RAMSEY, IS FOCUSED ON TURNING LABORATORY RESEARCH BREAKTHROUGHS INTO TREATMENTS THAT HELP PATIENTS. IT TAKES RESEARCHERS MANY YEARS OF UNRELENTING EFFORT TO ACHIEVE BREAKTHROUGHS; THE CCTR FOSTERS COLLABORATION AND PROVIDES CRITICAL RESEARCH SERVICES TO SUPPORT THEM ALONG THE WAY. "IT'S ABSOLUTELY CRITICAL TO DEVELOP THE NEXT GENERATION OF SCIENTISTS," SAYS RAMSEY. "IT'S A VERY LONG, ARDUOUS PROCESS TO GET FUNDING THROUGH THE NATIONAL INSTITUTES OF HEALTH, AND RESEARCHERS NEED THE SUPPORT OF MENTORS TO SUCCEED." IN ADDITION TO LINKING JUNIOR AND SENIOR FACULTY MEMBERS, THE MENTORED SCHOLARS PROGRAM PROVIDES THE YOUNGER SCIENTISTS WITH PROTECTED LAB TIME AND SUPPORT SERVICES TO DEVELOP RESEARCH PROJECTS. THE GOAL IS TO GIVE THE YOUNGER RESEARCHERS THE TOOLS THEY NEED TO SUCCESSFULLY SECURE INDEPENDENT RESEARCH FUNDING. THE MENTORED SCHOLARS PROGRAM IS ONE WAY CHILDREN'S FACILITATES THE WORK OF SCIENTISTS RACING TO FIND CURES FOR DISEASES. COMMUNITY PROGRAMS AND SERVICES $10,3 MILLION INVESTED IN COMMUNITY PROGRAMS AND SERVICES IN 2010 CHILDREN'S IS A TRUSTED COMMUNITY PARTNER, DEDICATED TO NURTURING HEALTHY CHILDREN, HEALTHY FAMILIES AND HEALTHY COMMUNITIES THROUGHOUT THE PACIFIC NORTHWEST. CARING FOR OUR REGION'S CHILDREN AND FAMILIES MEANS GOING OUT INTO THE COMMUNITY TO FIND AND ADDRESS THE ROOT CAUSES OF ISSUES THAT AFFECT CHILDREN'S HEALTH. IT'S OUR JOB TO GIVE A VOICE TO FAMILIES WHO SOMETIMES ARE NOT HEARD, TO MAKE IT EASIER FOR PARENTS TO KEEP THEIR CHILDREN HEALTHY AND SAFE, TO ADVOCATE FOR THE CARE OF CHILDREN WITH CHRONIC CONDITIONS CLOSE TO HOME AND TO BE A GOOD NEIGHBOR. PROVIDING A HEALING ENVIRONMENT GETTING CLOSER TO FAMILIES SEATTLE CHILDREN'S BELLEVUE CLINIC AND SURGERY CENTER WAS BUILT FOR FAMILIES, BRINGING EXPANDED PEDIATRIC SERVICES, OUTPATIENT SURGERY, AND AN AFTER-HOURS URGENT CARE CENTER TO THE EASTERN SHORE OF LAKE WASHINGTON. THE BELLEVUE CLINIC AND SURGERY CENTER BRINGS COMPASSIONATE, HIGH-TECH, HIGH-TOUCH CARE TO CHILDREN ON THE EAST SIDE - REGARDLESS OF A FAMILY'S FINANCIAL CIRCUMSTANCES OR THEIR ABILITY TO PAY. THE SUSTAINABLE, GREEN STRATEGIES INTEGRATED INTO THE BUILDING'S DESIGN ARE EXPECTED TO SAVE SEATTLE CHILDREN'S $117,000 PER YEAR IN ENERGY COSTS. EVERY DOLLAR SAVED GOES DIRECTLY INTO PATIENT CARE. THE COLORFUL, INVITING INTERIOR ART - INSPIRED BY THE MUTUALLY BENEFICIAL RELATIONSHIP OF PATIENTS AND THEIR CAREGIVERS - HELPS CREATE A COMFORTABLE, ENGAGING AND POSITIVE SETTING IN WHICH TO GIVE AND RECEIVE CARE. EARNING THE TRUST OF A NEIGHBORHOOD FOR 40 YEARS, ODESSA BROWN CHILDREN'S CLINIC (OBCC) HAS HELPED KEEP CHILDREN IN CENTRAL AND SOUTHEAST SEATTLE HEALTHY AND THEIR FAMILIES AND COMMUNITY STRONG. OBCC PROVIDES MEDICAL, DENTAL AND MENTAL HEALTHCARE FOR BABIES, CHILDREN AND TEENS, WITH SERVICES AND PROGRAMS THAT CONTINUOUSLY EVOLVE TO MEET THE NEEDS OF FAMILIES IN ONE OF SEATTLE MOST RACIALLY AND ETHNICALLY DIVERSE COMMUNITIES. OBCC RECEIVED THE 2010 RACE CONFERENCE RACIAL JUSTICE AWARD FOR ITS WORK TO ELIMINATE RACIAL ECONOMIC AND RACIAL INEQUITY IN HEALTHCARE. EVERY YEAR OBCC HOSTS 30,000 PATIENT VISITS, EACH ONE "AN OPPORTUNITY TO SPEND TIME WITH A FAMILY AND TO FIND OUT HOW WE CAN SUPPORT THEM," SAYS DR. BEN DANIELSON, THE CLINIC'S MEDICAL DIRECTOR. OUTREACH IS AN IMPORTANT FACET OF OBCC SERVICES. THE CLINIC PARTNERS WITH SCHOOLS, COMMUNITY ORGANIZATIONS, MEDICAL GROUPS AND GOVERNMENT AGENCIES TO REACH KIDS AND FAMILIES. OBCC, IN PARTNERSHIP WITH THE AMERICAN ACADEMY OF PEDIATRIC DENTISTRY AND HEAD START PROGRAMS, PROVIDES ORAL HEALTH SERVICES TO APPROXIMATELY 700 LOCAL HEAD START PRESCHOOL STUDENTS. IN ADDITION, OBCC OUTREACH TO AMERICAN INDIAN/ALASKAN NATIVE CHILDREN REACHES NEARLY MORE THAN 4,700 PRESCHOOL CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO.
	STEPPING IN WITH LEGAL HELP MANY FAMILIES FACE COMPLEX LEGAL ISSUES - SUCH AS HOUSING SECURITY, ACCESS TO PUBLIC ASSISTANCE, IMMIGRATION STATUS AND EDUCATIONAL INCLUSION - THAT CAN AFFECT THE HEALTH OF A CHILD. OUR MEDICAL-LEGAL PARTNERSHIP FOR CHILDREN (MLPC) PROVIDES LEGAL SERVICES TO FAMILIES OF PATIENTS, TRAINS HEALTHCARE PROVIDERS TO BE ADVOCATES FOR FAMILIES, AND SUPPORTS PUBLIC POLICY CHANGES THAT IMPROVE CHILDREN'S HEALTH. MLPC IS A PARTNERSHIP BETWEEN CHILDREN'S, HARBORVIEW MEDICAL CENTER, THE NORTHWEST JUSTICE PROJECT AND THE LAW FIRM OF DAVIS WRIGHT TREMAINE LLP. IT IS THE FIRST PARTNERSHIP OF ITS KIND IN THE PACIFIC NORTHWEST, ALTHOUGH THIS PROGRAM MODEL HAS BEEN IMPLEMENTED IN OVER 30 STATES AND 160 HOSPITALS AND CLINICS. IN ONE CASE, THE PROGRAM HELPED A FAMILY WHOSE CHILD HAD SEVERE ASTHMA AND STRUGGLED TO BREATHE IN THEIR MOLD-INFESTED APARTMENT. FOR MONTHS THEIR LANDLORD IGNORED THE PARENTS' PLEAS TO FIX THE PROBLEM OR ALLOW THEM TO SWITCH APARTMENTS. AFTER THE MLPC LAWYER INFORMED THE LANDLORD OF HIS LEGAL RESPONSIBILITIES, HOWEVER, THE FAMILY MOVED INTO A MOLD-FREE APARTMENT WITHIN A WEEK. IN 2010, MLPC PROVIDED SIMILAR DIRECT LEGAL SERVICES TO 78 FAMILIES AND CONSULTED PRIVATELY WITH 67 HEALTHCARE PROVIDERS. IT ALSO CONDUCTED 19 SESSIONS THAT TRAINED 260 CLINICAL STAFF HOW TO HELP FAMILIES ACCESS SERVICES AND PROGRAMS FOR MEETING THEIR BASIC NEEDS. ADDRESSING PUBLIC HEALTH ISSUES CURBING TOOTH DECAY EPIDEMIC THROUGH PREVENTION NEARLY 60% OF ELEMENTARY SCHOOL CHILDREN IN WASHINGTON SUFFER FROM PREVENTABLE DENTAL DECAY, AND MORE THAN ONE IN FIVE HAVE CAVITIES IN SEVEN OR MORE TEETH. SEATTLE CHILDREN'S WORKS TO LOWER THE BARRIERS TO PREVENTIVE DENTAL CARE FOR ALL CHILDREN IN THE STATE. THE DENTAL CLINIC AT ODESSA BROWN CHILDREN'S CLINIC IS A TRAINING SITE FOR THE STATE'S ACCESS TO BABY AND CHILD DENTISTRY (ABCD) PROGRAM, WHICH WORKS TO INCREASE THE NUMBER OF DENTAL OFFICES PREPARED AND WILLING TO CARE FOR LOW-INCOME PATIENTS UNDER AGE 6. THE SMILEMOBILE (A THREE-CHAIR MOBILE DENTAL OFFICE THAT CHILDREN'S OPERATES IN PARTNERSHIP WITH WASHINGTON DENTAL SERVICE AND WASHINGTON DENTAL SERVICE FOUNDATION) SERVED NEARLY 2,000 CHILDREN ACROSS THE STATE IN 2010. THE CENTER FOR PEDIATRIC DENTISTRY (A PARTNERSHIP OF CHILDREN'S AND THE UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY) ENGAGED 171 COMMUNITY VOLUNTEERS TO HELP INFORM MORE THAN 22,000 FAMILIES ABOUT THE IMPORTANCE OF EARLY CHILDHOOD ORAL HEALTH THROUGH VARIOUS INITIATIVES. KEEPING KIDS WITH FOOD ALLERGIES SAFE MORE THAN TWO MILLION CHILDREN IN THE UNITED STATES ARE AFFECTED BY FOOD ALLERGIES, AND THE INCIDENCE HAS DOUBLED IN THE LAST 10 YEARS. UNTIL THERE IS A CURE, EDUCATION ABOUT MANAGING FOOD ALLERGIES AND PREVENTING SEVERE REACTIONS HELPS KEEP CHILDREN SAFE. CHILDREN'S, IN PARTNERSHIP WITH THE FOOD ALLERGY INITIATIVE NORTHWEST, ESTABLISHED THE FOOD ALLERGY COMMUNITY HEALTH EDUCATION PROGRAM TO CREATE TOOLS FOR SCHOOLS, CAMPS AND OTHER ORGANIZATIONS TO MANAGE FOOD ALLERGIES AND ASSURE SAFETY. IN THE PAST TWO YEARS THE PROGRAM HAS CONDUCTED MORE THAN 160 FOOD ALLERGY AND SAFETY SEMINARS AT SCHOOLS AND COMMUNITY CENTERS, TRAINING MORE THAN 3,500 TEACHERS, PARENTS, PLAYGROUND SUPERVISORS, BUS DRIVERS AND OTHERS. HALF THE PARTICIPANTS REPORTED THAT THE SEMINAR WAS THEIR INTRODUCTION TO MANAGING FOOD ALLERGIES, AND 96% REPORTED THAT THE SEMINAR GAVE THEM THE TOOLS THEY NEED TO HELP KEEP CHILDREN SAFE. REACHING OUT TO UNDERSERVED COMMUNITIES STAYING SAFE ON TWO WHEELS BICYCLE INJURIES ARE THE SECOND LEADING CAUSE OF INJURY HOSPITALIZATION FOR WASHINGTON CHILDREN AGES 5 TO 14, AND HEAD INJURY IS THE MOST COMMON CAUSE OF DEATH AND SERIOUS DISABILITY FROM BICYCLE CRASHES. BICYCLE HELMETS REDUCE THE RISK OF HEAD INJURY BY NEARLY 85%. SEATTLE CHILDREN'S, IN PARTNERSHIP WITH KOHL'S DEPARTMENT STORES, FITTED AND DISTRIBUTED 2,550 BICYCLE HELMETS IN 2009 AND 2010. UNLIKE MOST HELMET GIVEAWAY AND LOW-COST SALES PROGRAMS, THE CHILDREN'S PROGRAM DISTRIBUTES HELMETS FOR CHILDREN AND ADULTS, GIVING PARENTS AND GUARDIANS THE OPPORTUNITY TO BE ROLE MODELS IN BICYCLE SAFETY. THE SEATTLE CHILDREN'S HEALTH AND SAFETY VAN SUPPORTED BY KOHL'S VISITED 24 HEALTH FAIRS AND COMMUNITY EVENTS IN 2010, DISTRIBUTING HELMETS AND SAFETY INFORMATION TO CHILDREN AND FAMILIES IN PLACES LIKE YAKIMA, THE MUCKLESHOOT INDIAN RESERVATION, SEATTLE'S RAINIER VALLEY AND CENTRAL DISTRICT, AND AT HOPELINK, A COMMUNITY SERVICE AGENCY IN BELLEVUE. CHILDREN'S ALSO HELD FITTINGS AND DISTRIBUTED HELMETS TO AMERICAN INDIAN FAMILIES AT THE SEATTLE INDIAN HEALTH BOARD HALLOWEEN FAIR, AND TO LOW-INCOME REFUGEE AND IMMIGRANT FAMILIES AT SOUTH SEATTLE'S DENISE LOUIE EDUCATION CENTER. FIGHTING KIDNEY DISEASE AFRICAN-AMERICANS, WHO MAKE UP JUST 12% OF THE U.S. POPULATION, ACCOUNT FOR 32% OF PEOPLE WHO EXPERIENCE KIDNEY FAILURE. A HEALTHY, LOW-SODIUM DIET HELPS PREVENT HIGH BLOOD PRESSURE, A MAJOR CAUSE OF KIDNEY DISEASE AMONG AFRICAN-AMERICANS. IN 2010 THE SEATTLE CHILDREN'S HEALTH AND SAFETY VAN SUPPORTED BY KOHL'S TRAVELED TO THE NORTHWEST KIDNEY CENTER'S EIGHTH ANNUAL KIDNEY HEALTH FEST FOR AFRICAN AMERICAN FAMILIES. IT BROUGHT PHYSICIANS, MEDICAL ASSISTANTS, NURSES AND A DIETICIAN TO TALK WITH YOUNG PEOPLE AND THEIR PARENTS ABOUT PREVENTING KIDNEY DISEASE THROUGH NUTRITION. THE EXPERTS OFFERED FREE BLOOD PRESSURE AND BLOOD GLUCOSE SCREENING FOR 23 TEENS AND DISTRIBUTED INFORMATION ON HEALTHY EATING AND LOW SODIUM FOODS TO 323 PEOPLE AT THE EVENT. BOOSTING CAR SAFETY FOR KIDS CAR SEATS HELP KEEP BABIES AND CHILDREN SAFE. IN WASHINGTON, 45% OF CHILDREN AND TEENS WHO DIE IN MOTOR VEHICLE CRASHES ARE UNRESTRAINED BY A CHILD SAFETY SEAT OR SEAT BELT. CHILDREN WHO LIVE IN LOW-INCOME NEIGHBORHOODS FACE AN INCREASED RISK OF INJURY OR DEATH FROM MOTOR VEHICLE ACCIDENTS BECAUSE THEIR FAMILIES OFTEN LACK ACCESS TO AFFORDABLE SAFETY DEVICES. IN 2010, SEATTLE CHILDREN'S - IN PARTNERSHIP WITH STATE FARM INSURANCE, KOHL'S DEPARTMENT STORES, SCHUCK'S (NOW O'REILLY) AUTO PARTS AND PEMCO INSURANCE - HELPED FILL THIS NEED BY DISTRIBUTING 480 FREE AND LOW-COST BOOSTER SEATS AND CAR SEATS AND TEACHING PARENTS HOW TO USE THEM CORRECTLY. CHILDREN'S IS AN ACTIVE ADVOCATE FOR CAR SEAT USE, CO-SPONSORING A LATINO BOOSTER SEAT CAMPAIGN, HOLDING REGULAR CAR SEAT CHECKS AT THE HOSPITAL THAT ARE FREE AND OPEN TO THE PUBLIC, PROVIDING CLASSES FOR NEW PARENTS, PARTNERING WITH COMMUNITY ORGANIZATIONS ON CHILD PASSENGER SAFETY AND PROVIDING INFORMATION AND UPDATES FOR THE WASHINGTON STATE BOOSTER SEAT COALITION'S WEBSITE, BOOSTERSEAT.ORG. LEADING THE FIRST-EVER STATEWIDE CHILDHOOD OBESITY SUMMIT CHILDHOOD OBESITY IS ONE OF OUR NATION'S LEADING HEALTH THREATS; IT PUTS CHILDREN AT RISK FOR CHRONIC DISEASES NOT TYPICALLY SEEN UNTIL ADULTHOOD, INCLUDING HEART DISEASE AND DIABETES. CHILDREN'S AND THE AMERICAN HEART ASSOCIATION HOSTED THE FIRST-EVER WASHINGTON STATE CHILDHOOD OBESITY SUMMIT, BRINGING TOGETHER THE MANY ORGANIZATIONS WORKING TO REVERSE THIS TREND, WHICH THREATENS TO MAKE THIS GENERATION THE FIRST TO LIVE SHORTER LIVES THAN THEIR PARENTS. SOME 142 PARTICIPANTS - ADVOCATES, PUBLIC HEALTH OFFICIALS AND POLICY MAKERS - CAME TO THE SUMMIT AT CHILDREN'S. THEY SHARED BEST PRACTICES IN OBESITY EDUCATION AND PREVENTION AND LAID THE GROUNDWORK FOR SHAPING LEGISLATION TO IMPROVE ACCESS TO HEALTHY FOODS AND ACTIVITIES. FOR MORE ON CHILDREN'S OBESITY PREVENTION AND EARLY INTERVENTION ACTIVITIES, SEE PAGE 9. BEING A GOOD NEIGHBOR IMPROVING TRANSPORTATION AROUND US SEATTLE CHILDREN'S IS MINDFUL OF THE VITAL LINK BETWEEN THE BUILT ENVIRONMENT AND HEALTH AS WE BEGIN A MAJOR EXPANSION TO MEET OUR REGION'S GROWING NEED FOR PEDIATRIC SPECIALTY CARE. THE WORK OF RESEARCHERS LIKE DR. BRIAN SAELENS HIGHLIGHTS HOW LAND USE, TRANSPORTATION SYSTEMS, AND URBAN DESIGN CAN INFLUENCE HEALTH OUTCOMES SUCH AS OBESITY, ASTHMA AND INJURY. AS PART OF OUR EXPANSION, CHILDREN'S IS INVESTING $4 MILLION IN TRANSPORTATION IMPROVEMENTS IN NORTHEAST SEATTLE. OUR LIVABLE STREETS INITIATIVE WILL ALLEVIATE TRAFFIC IMPACTS AND HELP MAKE STREETS HEALTHIER FOR EVERYONE. THE INITIATIVE KICKED OFF IN 2010 WITH A CELEBRATORY COMMUNITY WORKSHOP WHERE CITIZENS PRESENTED IDEAS TO MAKE NEIGHBORHOOD STREETS SAFER AND GREENER. CHILDREN'S WILL MOVE AHEAD WITH THE BEST IDEAS IN PARTNERSHIP WITH SEATTLE'S DEPARTMENT OF TRANSPORTATION, DESIGNING IMPROVEMENTS IN 2011 AND COMPLETING THEM IN 2012.
	HARNESSING PEDAL POWER THE PUGET SOUND REGION IS ONE OF THE MOST BICYCLE-FRIENDLY AREAS OF THE COUNTRY, AND SEATTLE CHILDREN'S IS A REGIONAL LEADER IN DEVELOPING SOLUTIONS TO THE CHALLENGES COMMUTERS FACE. WE NURTURE A THRIVING BICYCLE-COMMUTING CULTURE TO HELP RELIEVE AREA TRAFFIC, REDUCE THE CARBON FOOTPRINT OF OUR WORKFORCE AND PROMOTE EMPLOYEE HEALTH. CEO DR. TOM HANSEN IS AMONG THE MORE THAN 10% OF CHILDREN'S 3,000 EMPLOYEES WHO BIKE TO WORK REGULARLY. THE HOSPITAL OFFERS EMPLOYEES FREE ANNUAL BIKE TUNE-UPS, TWO-HOUR BICYCLE COMMUTING CLASSES, AND A BIKE-SHARING PROGRAM FOR EMPLOYEES WHO NEED LOCAL TRANSPORTATION DURING THE WORKDAY. RECYCLING, RENEWING AND REUSING WE ARE COMMITTED TO REDUCING THE HOSPITAL'S IMPACT ON THE ENVIRONMENT. OUR RECYCLING PROGRAM DIVERTS MORE THAN 460 TONS OF WASTE FROM LANDFILLS EACH YEAR. WHEN WE REMOVED OUR KITCHEN GARBAGE DISPOSALS THREE YEARS AGO, CHILDREN'S RELIEVED PRESSURE ON THE CITY'S SEWER SYSTEM AND KICKED OFF A COMPOSTING PROGRAM THAT GENERATES SIX TONS OF COMPOST MATERIAL EVERY MONTH. SUSTAINABLE PRACTICES ARE ALSO AN IMPORTANT FEATURE OF SITE PREPARATION FOR THE HOSPITAL'S EXPANSION; MORE THAN 95% OF MATERIALS REMOVED FROM THE FORMER HOUSING UNITS ON THE CONSTRUCTION SITE - INCLUDING DUCTWORK, REBAR AND THE CONCRETE FOUNDATIONS - WILL BE REUSED. SOME TREES REMOVED FROM THE SITE WILL BE MOVED, AND OTHERS WILL BE SENT TO A LOCAL SUSTAINABLE FURNITURE COMPANY TO RECLAIM THE WOOD FOR FUTURE USE. EDUCATING COMMUNITY MEMBERS REACHING OUT TO GRIEVING PARENTS EACH YEAR, SEATTLE CHILDREN'S JOURNEY PROGRAM HELPS MORE THAN 200 FAMILIES COPE WITH THE UNBEARABLE FEELINGS OF LOSS THAT FOLLOW THE DEATH OF A CHILD. THE PROGRAM IS ONE OF ONLY A FEW IN THE NATION WITH A MENTAL HEALTH - RATHER THAN A SPIRITUAL - FOCUS. IT IS ALSO UNUSUAL BECAUSE GRIEVING FATHERS PARTICIPATE AT THE SAME RATE AS GRIEVING MOTHERS. MANY OF THE PROGRAM'S VOLUNTEER SUPPORT-GROUP LEADERS ARE PARENTS WHO ONCE WERE PARTICIPANTS IN THE PROGRAM. "THE WORK WE DO IS FREE AND AVAILABLE TO ANY FAMILY IN THE REGION FOR AS LONG AS THEY NEED SUPPORT," SAYS JACKIE KITE, A STRESS AND TRAUMA EXPERT WHO HAS MANAGED THE PROGRAM FOR 18 YEARS. THE PROGRAM IS AVAILABLE TO EVERY FAMILY WHO LOSES A CHILD, WHETHER OR NOT THE CHILD WAS A PATIENT AT CHILDREN'S. PARTNERING TO SAVE YOUNG ATHLETES WHEN A YOUNG ATHLETE DIES ON THE PLAYING FIELD, THE CAUSE IS USUALLY AN UNDETECTED HEART CONDITION. SEATTLE CHILDREN'S WORKS WITH THE NICK OF TIME FOUNDATION TO REDUCE SUDDEN CARDIAC DEATH IN ATHLETES THROUGH EARLY DETECTION AND MEDICAL INTERVENTION. VOLUNTEER PHYSICIANS AND CARDIAC TECHNICIANS FROM CHILDREN'S CONDUCT FREE CARDIOVASCULAR SCREENING OF STUDENT ATHLETES AT SEATTLE-AREA HIGH SCHOOLS. THE SCREENINGS, WHICH ARE MANDATORY FOR FOOTBALL PLAYERS, TAKE PLACE EVERY TWO MONTHS DURING THE SCHOOL YEAR. OF THE 400 TESTS ADMINISTERED BY THE PROGRAM, FOUR FOUND ABNORMALITIES AND TWO UNCOVERED POTENTIALLY FATAL PROBLEMS. PREVENTING TRAUMATIC BRAIN INJURY ON THE PLAYING FIELD EMERGENCY DEPARTMENTS IN THE UNITED STATES TREAT ABOUT 135,000 SPORTS- AND RECREATION-RELATED TRAUMATIC BRAIN INJURIES EACH YEAR, INCLUDING CONCUSSIONS. AT CHILDREN'S, THERE WERE 422 CLINIC VISITS OF PATIENTS WITH CONCUSSIONS LAST YEAR. IF A YOUNG ATHLETE RETURNS TO PLAY BEFORE THE BRAIN HEALS FROM A CONCUSSION, AN ADDITIONAL BLOW CAN CAUSE POTENTIALLY CATASTROPHIC DAMAGE. SEATTLE CHILDREN'S TEACHES COACHES, PARENTS, ATHLETIC TRAINERS, SCHOOL NURSES AND STUDENT ATHLETES HOW TO RECOGNIZE AND PREVENT CONCUSSIONS. CHILDREN'S, IN PARTNERSHIP WITH UW MEDICINE AND HARBORVIEW MEDICAL CENTER, RUNS THE SEATTLE CONCUSSION PROGRAM TO EVALUATE, TREAT AND PROVIDE MEDICAL CLEARANCE FOR STUDENT ATHLETES TO RETURN TO THEIR SPORTS. IN 2010 THE PROGRAM SERVED NEARLY 3,500 STUDENTS. THE PROGRAM HELPS ATHLETES AND SCHOOLS COMPLY WITH WASHINGTON'S 2009 ZACKERY LYSTEDT LAW, WHICH REQUIRES STUDENT ATHLETES WHO SHOW SIGNS OF A CONCUSSION TO GET WRITTEN APPROVAL FROM A LICENSED HEALTHCARE PROVIDER BEFORE RETURNING TO PLAY. IN 2010, CHILDREN'S WORKED WITH BOTH SAFE KIDS SEATTLE AND SAFE KIDS WASHINGTON ON TRAINING 25 COACHES THROUGH SEATTLE YOUTH SOCCER ASSOCIATION. PEOPLE MAKING A DIFFERENCE: DR. ED MARCUSE WHEN THE RECENT BUDGET CRISIS THREATENED TO DESTROY THE PROGRAM THAT BUYS VACCINE FOR ALL KIDS IN WASHINGTON, DR. ED MARCUSE WAS AMONG THE CHILD HEALTH ADVOCATES WHO FOUGHT HARD TO SAVE IT. MARCUSE JOINED FORCES WITH THE WASHINGTON CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS (AAP), HEALTHCARE INSURERS, PUBLIC HEALTH OFFICIALS AND LEGISLATORS TO CREATE A BOLD, INNOVATIVE SOLUTION - THE WASHINGTON VACCINE ASSOCIATION, A NEW PUBLIC-PRIVATE PARTNERSHIP, LIFTS THE STATE'S FINANCIAL BURDEN AND KEEPS FREE VACCINE FLOWING TO HEALTHCARE PROVIDERS. "VACCINES ARE AVAILABLE TO ALL CHILDREN IN WASHINGTON," SAYS MARCUSE. "AND THAT'S PRETTY CLOSE TO A MIRACLE." IF SO, IT'S JUST THE LATEST MIRACLE MARCUSE HAS ORCHESTRATED TO GET VACCINES TO CHILDREN DURING HIS DISTINGUISHED CAREER. HE FIRST RAISED HIS VOICE TO PROTECT CHILDREN FROM PREVENTABLE DISEASES AND SAFEGUARD PUBLIC HEALTH AS A YOUNG PEDIATRICIAN AT ODESSA BROWN CHILDREN'S CLINIC IN 1970S. SINCE THEN HE HAS LED MANY LOCAL, STATEWIDE AND NATIONAL VACCINE POLICY INITIATIVES, INCLUDING CHAIRING THE DEPARTMENT OF HEALTH AND HUMAN SERVICE'S NATIONAL VACCINE ADVISORY COMMITTEE AND EDITING THE AAP RED BOOK ON INFECTIOUS DISEASE, WHICH SETS VACCINE STANDARDS FOR THE NATION'S PHYSICIANS. MARCUSE HAS WITNESSED A REVOLUTION IN SCIENTISTS' UNDERSTANDING OF THE IMMUNE SYSTEM AND A SURGE IN NEW VACCINES TO PROTECT CHILDREN AGAINST ONCE-COMMON DEVASTATING DISEASES. HOWEVER, THE SUCCESS OF VACCINES HAS GIVEN RISE TO A NEW THREAT: TODAY MANY PARENTS, MORE CONCERNED ABOUT HARM FROM VACCINES THAN FROM THE NOW-RARE DISEASES THEY PREVENT, ARE DELAYING OR REFUSING IMMUNIZATIONS FOR THEIR CHILDREN. MARCUSE IS ON THE LEADING EDGE OF REFRAMING THE ISSUE FOR THIS NEW GENERATION - FOSTERING DIALOGUE, LISTENING AND LEARNING ABOUT FAMILIES' CONCERNS, AND GENERATING NEW MESSAGES AND CLINICAL TOOLS FOR DOCTORS TO HELP PARENTS MAKE INFORMED DECISIONS ABOUT IMMUNIZATION. MAKING SPECIALTY CARE MORE ACCESSIBLE CHILDREN'S BRINGS EXPERT CARE CLOSE TO HOME. DR. STANLEY STAMM MISSED MAKING HOUSE CALLS. SO IN 1964 - TWO YEARS AFTER THE CARDIOLOGIST STARTED WORKING AT CHILDREN'S - HE BEGAN MOTORING TO THE OLYMPIC PENINSULA TOWN OF PORT ANGELES, WASH., TO VISIT PATIENTS WHO NEEDED HEART CARE. WITHIN A FEW YEARS, STAMM AND HIS TEAM WERE TRAVELING TO PEDIATRIC CLINICS IN BELLINGHAM AND YAKIMA, AND TO THE INDIAN HEALTH SERVICES IN TOPPENISH, WASH. BEFORE LONG, THEY STARTED FLYING TO ALASKA. BY THE TIME STAMM RETIRED IN 2010, HIS TRAVELING BAND OF SPECIALISTS HAD DEVELOPED INTO A SOPHISTICATED REGIONAL OUTREACH PROGRAM SERVING CHILDREN AND FAMILIES IN SMALLER AND RURAL COMMUNITIES THROUGHOUT THE PACIFIC NORTHWEST AND ALASKA. TODAY, OUTREACH TO SMALLER COMMUNITIES TAKES MULTIPLE FORMS: - MORE THAN 40 PEDIATRIC SPECIALISTS WORK TOGETHER AT THE HEART CENTER IN SEATTLE AND REGIONAL SITES IN WASHINGTON, ALASKA AND MONTANA TO TREAT EVERY CHILDHOOD HEART ISSUE. - DOCTORS AND NURSES FROM CHILDREN'S TRAVEL TO PARTNER HOSPITALS AND HEALTH CENTERS IN SMALL AND RURAL COMMUNITIES IN WASHINGTON, ALASKA AND MONTANA FOR REGULAR PATIENT VISITS. - CHILDREN'S TELEMEDICINE PROGRAM USES VIDEOCONFERENCING AND A SECURE NETWORK TO SHARE MEDICAL RECORDS AND IMAGES IN REAL TIME, ALLOWING SPECIALISTS IN SEATTLE TO COLLABORATE WITH PARTNERS AT SMALL HOSPITALS AND MEDICAL CENTERS ANYWHERE. - CHILDREN'S IS WORKING WITH ALASKA'S TWO LARGEST HOSPITALS TO DEVELOP A RESIDENCY PROGRAM THERE THAT WILL HELP MITIGATE THAT STATE'S SEVERE SHORTAGE OF PEDIATRIC SUBSPECIALISTS. PEDIATRIC SUBSPECIALISTS ARE OFTEN CONCENTRATED IN URBAN AREAS, BUT CHILDREN WHOSE LIVES DEPEND ON THEM LIVE EVERYWHERE. THROUGH ITS OUTREACH PROGRAMS, CHILDREN'S GIVES FAMILIES IN SMALL COMMUNITIES ACCESS TO THE BEST CARE CLOSER TO HOME.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	910564748	EIN
Primary Activities	PROPERTY DEVELOPMENT AND OPERATION	PrimaryActivities
Legal Domicile State	WA	LegalDomicileState
Total Income	1603024	TotalIncome
EOY Assets	28300186	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1
SEATTLE CHILDREN'S HEALTHCARE SYSTEM
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911250116	HEALTH CARE	WA	501(C) (3)	7	N/A
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911156519	FUNDRAISING	WA	501(C) (3)	7		SEATTLE CHILDREN'S HEALTHCARE SYSTEM
SEATTLE CHILDREN'S HOSPITAL GUILD ASSN
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911394056	FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESS	WA	501(C) (3)	7		SEATTLE CHILDREN'S HEALTHCARE SYSTEM
CHILDREN'S RETAIL
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911998909	THRIFT STORES	WA	501(C) (3)	LINE 11 - TYPE I		SEATTLE CHILDREN'S HEALTHCARE SYSTEM
CHILDREN'S PHYSICIANS
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911348125	MEDICAL PRACTICE	WA	501(C) (3)	7		SEATTLE CHILDREN'S HEALTHCARE SYSTEM
CHILDREN'S UNIVERSITY MEDICAL GROUP
PO BOX 50010	SEATTLE	WA	98105	911336707	MEDICAL PRACTICE	WA	501(C) (3)	LINE 11, TYPE I	N/A
CHILDREN'S HEALTH NETWORK
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911226716	PEDIATRIC HEALTHCARE SERVICES	WA	501(C) (3)	LINE 11, TYPE I		SEATTLE CHILDREN'S HEALTHCARE SYSTEM

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	263852796	EIN
Primary Activity	RESEARCH FACILITY DEVELOPMENT	PrimaryActivity
Legal Domicile State	WA	LegalDomicileState
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	4426	ShareOfTotalIncome
Share Of EOY Assets	225755	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner

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