SEATTLE CHILDRENS HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SEATTLE CHILDRENS HOSPITAL (EIN 91-0564748)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-12
IRS object ID: 202022259349300217
Schema version: 2018v3.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-12T12:47:18-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	911194016	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLARK NUBER PS	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10900 NE 4TH STREET SUITE 1400	AddressLine1Txt
City	BELLEVUE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	910564748	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SEAT	BusinessNameControlTxt
Phone	2069874846	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981455005	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SUZANNE B BEITEL	PersonNm
Person Title	SENIOR VP & CFO	PersonTitleTxt
Phone	2069874846	PhoneNum
Signature	2020-07-23	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KATHRYN OKIMOTO	PreparerPersonNm
PTIN	P00746598	PTIN
Phone	4254544919	PhoneNum
Preparation	2020-07-24	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	65.158.230.194	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-07-23	IPDt
IP Tm	13:38:38	IPTm
IP Timezone	PD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	9C75230018D5B80955F7F8F52B6C41F090A63707	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JEFF SPERRING MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981455005	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,079,469,892	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	8041	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SEATTLECHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1907	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	WE PROVIDE HOPE, CARE & CURES TO HELP EVERY CHILD LIVE THE HEALTHIEST & MOST FULFULLING LIFE POSSIBLE	ActivityOrMissionDesc
Voting Members Governing Body	22	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	9178	TotalEmployeeCnt
Total Volunteers	716	TotalVolunteersCnt
Total Gross UBI	$1,942,378	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$380,890	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$246,106,645	PYContributionsGrantsAmt
CY Contributions Grants	$294,717,218	CYContributionsGrantsAmt
PY Program Service Revenue	$1,420,371,215	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,480,441,574	CYProgramServiceRevenueAmt
PY Investment Income	$80,657,746	PYInvestmentIncomeAmt
CY Investment Income	$73,673,879	CYInvestmentIncomeAmt
PY Other Revenue	$12,431,557	PYOtherRevenueAmt
CY Other Revenue	$17,714,821	CYOtherRevenueAmt
PY Total Revenue	$1,759,567,163	PYTotalRevenueAmt
CY Total Revenue	$1,866,547,492	CYTotalRevenueAmt
PY Grants And Similar Paid	$21,963,717	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$23,906,698	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$733,807,731	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$807,687,602	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$699,992,603	PYOtherExpensesAmt
CY Other Expenses	$779,690,085	CYOtherExpensesAmt
PY Total Expenses	$1,455,764,051	PYTotalExpensesAmt
CY Total Expenses	$1,611,284,385	CYTotalExpensesAmt
PY Revenues Less Expenses	$303,803,112	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$255,263,107	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,605,274,314	TotalAssetsBOYAmt
Total Assets EOY	$3,878,355,666	TotalAssetsEOYAmt
Total Liabilities BOY	$1,035,707,026	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,061,319,116	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,569,567,288	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,817,036,550	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEATTLE CHILDREN'S HOSPITAL (SEATTLE CHILDREN'S) WILL BE AN INNOVATIVE LEADER IN PEDIATRIC HEALTH AND WELLNESS THROUGH OUR UNSURPASSED QUALITY, CLINICAL CARE, RELENTLESS SPIRIT OF INQUIRY, AND COMPASSION FOR CHILDREN AND THEIR FAMILIES. (CONTINUED ON SCHEDULE O.)OUR FOUNDING PROMISE TO THE COMMUNITY IS AS VALID TODAY AS IT WAS OVER A CENTURY AGO. WE WILL CARE FOR ALL CHILDREN IN OUR REGION, REGARDLESS OF THEIR FAMILY'S ABILITY TO PAY. WE WILL:- PRACTICE THE SAFEST, MOST ETHICAL AND EFFECTIVE MEDICAL CARE POSSIBLE.- DISCOVER NEW TREATMENTS AND CURES THROUGH BREAKTHROUGH RESEARCH.- PROMOTE HEALTHY COMMUNITIES WHILE REDUCING HEALTH DISPARITIES. (SEE THE COMMUNITY BENEFIT REPORT IN SCHEDULE O.)- EMPOWER OUR TEAM MEMBERS TO REACH THEIR HIGHEST POTENTIAL IN A RESPECTFUL WORK ENVIRONMENT.- EDUCATE AND INSPIRE THE NEXT GENERATION OF FACULTY, STAFF AND LEADERS.- BUILD ON A CULTURE OF PHILANTHROPY FOR PATIENT CARE AND RESEARCH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,308,262,523	ExpenseAmt
Grant	$1,883,493	GrantAmt
Revenue	$1,447,234,873	RevenueAmt
Desc	PATIENT CARE: SEATTLE CHILDREN'S PROVIDES SUPERIOR MEDICAL CARE TO CHILDREN FROM WASHINGTON, ALASKA, MONTANA AND IDAHO, SERVING THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. IN ADDITION, FAMILIES LIVING BEYOND OUR PRIMARY SERVICE REGION INCREASINGLY SEEK CARE FROM OUR WORLD-RENOWNED SPECIALISTS IN PROGRAMS SUCH AS CANCER, ORGAN TRANSPLANTS AND CRANIOFACIAL SPECIALTIES. IN FISCAL YEAR 2019, SEATTLE CHILDREN'S MEDICAL TEAM TREATED KIDS OF ALL AGES DURING 442,125 PATIENT VISITS, INCLUDING 16,032 ADMISSIONS TO THE HOSPITAL AND 51,136 VISITS TO OUR EMERGENCY DEPARTMENT. WE PERFORMED 16,328 DAY SURGERIES AND CARED FOR CHILDREN DURING 42,148 VISITS FOR BEHAVIORAL MEDICINE, 37,129 VISITS TO URGENT CARE, AND 279,352 OTHER AMBULATORY CLINIC APPOINTMENTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$231,133,720	ExpenseAmt
Grant	$22,023,205	GrantAmt
Revenue	$32,252,083	RevenueAmt
Desc	RESEARCH: BECAUSE RESEARCH IS THE FOUNDATION OF SEATTLE CHILDREN'S MISSION TO DISCOVER NEW TREATMENT AND CURES, SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF SEATTLE CHILDRENS, INVESTED $51 MILLION IN RESEARCH DURING FISCAL YEAR 2019. SEATTLE CHILDREN'S RESEARCH INSTITUTE INVESTIGATORS ARE ADVANCING SCIENTIFIC UNDERSTANDING OF IMPORTANT BIOLOGICAL PROCESSES AND INFLUENCING THE PRACTICE OF PEDIATRICS AROUND THE WORLD.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$43,626,234	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$6,729,605	RevenueAmt
Desc	EDUCATION: SEATTLE CHILDREN'S IS THE MAJOR RESOURCE FOR PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAMS IN OUR REGION. RESIDENTS AND FELLOWS FROM 82 PROGRAMS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), THREE PROGRAMS ACCREDITED BY THE AMERICAN DENTAL ASSOCIATION (ADA), AND TWELVE NON-ACGME ACCREDITED SUBSPECIALTY PROGRAMS ROTATED AT SEATTLE CHILDREN'S IN ACADEMIC YEAR 2018-2019. 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.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$2,881,265	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$366,015	RevenueAmt
Desc	CHILDREN'S CLINICALLY INTEGRATED NETWORK, DOING BUSINESS AS SEATTLE CHILDREN'S CARE NETWORK (SCCN), IS A LIMITED LIABILITY COMPANY ESTABLISHED BY SEATTLE CHILDREN'S TO DEVELOP, COORDINATE AND IMPLEMENT A CLINICALLY INTEGRATED PEDIATRIC PROVIDER NETWORK TO PROMOTE COLLABORATION AND MODIFY PRACTICE PATTERNS TO ENHANCE THE QUALITY AND COST EFFECTIVENESS OF PEDIATRIC CARE. SCCN CONTRIBUTES TO THE MISSION OF SEATTLE CHILDREN'S BY PROMOTING HEALTH THROUGH ITS PEDIATRIC ORGANIZED SYSTEM OF CARE THAT IMPROVES INTEGRATION, COORDINATION, QUALITY, SAFETY AND EFFICIENCY FOR BETTER OUTCOMES FOR PEDIATRIC PATIENTS WITHIN THE COMMUNITY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$2,881,265	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$366,015	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,585,903,742	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	Yes (1)	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	759	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	9178	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	22	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WARREN E HEWITT VP FINANCE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2069874846	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 ROOSEVELT WAY NE 5TH FLOOR	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981054718	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (53 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DEAN ALLEN
TRUSTEE	4.00	0.00	Yes (X)	$0	$0	$0
JOEL BENOLIEL
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
SUSAN BETCHER
TRUSTEE	10.00	0.00	Yes (X)	$0	$0	$0
JILL BRUBAKER MD
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
MICHAEL DELMAN
TRUSTEE	4.00	0.00	Yes (X)	$0	$0	$0
ROY DIAZ PHD
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
COLIN FOX PHD
TRUSTEE	4.00	0.00	Yes (X)	$0	$0	$0
COLLEEN FUKUI-SKETCHLEY
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
DEBORAH HAUG
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
JUDY HOLDER
TRUSTEE	4.00	0.00	Yes (X)	$0	$0	$0
CYNTHIA HUFFMAN
VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
MONA LEE LOCKE
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
PATRICIA LOERA
SECRETARY	3.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
SUSAN MASK
CHAIR	15.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
JEFF NITTA
TREASURER	4.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
JUDITH PIERCE
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
MICHAEL REEVES
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
NANCY SENSENEY
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
MICHELE SMITH
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
CHARLES STEVENS
TRUSTEE	5.00	0.00	Yes (X)	$0	$0	$0
MOYA VAZQUEZ
TRUSTEE	3.00	0.00	Yes (X)	$0	$0	$0
ALVIN WINTERROTH
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
JEFF SPERRING MD
CEO/NON-VOTING EX OFFICIO TRUSTEE	43.00	12.00		$1,021,126	$338,918	$296,331	Yes (X)
SUZANNE BEITEL
SENIOR VP & CHIEF FINANCIAL OFFICER	41.00	14.00		$463,755	$140,850	$117,238	Yes (X)
JAMES HENDRICKS PHD
PRESIDENT - RESEARCH INSTITUTE	55.00	0.00		$635,308	$600,000	$119,366		Yes (X)
CINDY GAZECKI
SENIOR VP - HOSPITAL OPERATIONS	55.00	0.00		$765,656	$219,907	$70,829		Yes (X)
SANFORD MELZER MD
EXEC VP-NETWORKS & POPULATION HEALTH	55.00	0.00		$741,339	$106,953	$158,968		Yes (X)
MARK DEL BECCARO MD
SR VP-CHIEF MED OFF/NON-VOTING TRUST	55.00	0.00		$718,354	$0	$112,827		Yes (X)
RUSSELL WILLIAMS
SR VP & CHIEF OPERATING OFFICER	55.00	0.00		$637,070	$0	$94,158		Yes (X)
MADLYN MURREY
SR VP - CHIEF CLINICAL OFFICER	55.00	0.00		$541,035	$0	$100,315		Yes (X)
MYRA GREGORIAN
SR VP - CHIEF PEOPLE OFFICER	55.00	0.00		$480,928	$0	$92,975		Yes (X)
ERIC THAM MD
VP & ASSOC CHIEF INFORMATION OFFICER	55.00	0.00		$516,596	$0	$50,548		Yes (X)
ZAFAR CHAUDRY MD
SR VP - CHIEF INFORMATION OFFICER	55.00	0.00		$482,731	$0	$76,772		Yes (X)
SUZANNE PETERSEN
VP - EXTERNAL AFFAIRS & GUEST SVCS	55.00	0.00		$486,881	$0	$45,317		Yes (X)
ERIK LAUSUND
VP - RESEARCH OPERATIONS & LOGISTICS	55.00	0.00		$465,700	$0	$41,921		Yes (X)
CARA BAILEY
SR VP-INNOVATION/IMPROVEMENT OFFICER	55.00	0.00		$421,011	$0	$70,991		Yes (X)
RUTH MCDONALD MD
VP, ASSOC CHIEF MEDICAL OFFICER	55.00	0.00		$461,902	$0	$26,812		Yes (X)
TODD JOHNSON
VP - FACILITIES	55.00	0.00		$381,109	$0	$47,551		Yes (X)
KELLY WALLACE
SENIOR VP & CFO THRU JAN 2018	1.00	1.00		$168,321	$230,915	$21,075		Yes (X)
MICHAEL MURPHY
VP - ACC CARE & EXEC DIRECTOR SCCN	1.00	0.00		$390,110	$0	$29,886		Yes (X)
PETRA SMITH
VP - HUMAN RESOURCES	55.00	0.00		$362,017	$0	$49,990		Yes (X)
WARREN HEWITT
VP - FINANCE	41.00	14.00		$266,669	$87,488	$40,026		Yes (X)
CHRISTINE KESSLER
VP SYS ACCESS, AMB OPS & EX DIR CUMG	55.00	0.00		$347,667	$0	$36,012		Yes (X)
JEFFREY AVANSINO MD
VP & MEDICAL DIRECTOR, SURGICAL SVCS	55.00	0.00		$337,364	$147,904	$53,433		Yes (X)
DOUGLAS PICHA
PRESIDENT - FOUNDATION	5.50	49.50		$68,236	$518,419	$111,268			Yes (X)
MARK EGBERT DDS
CHIEF - ORAL & MAXILLOFACIAL SURGERY	55.00	0.00		$598,054	$0	$50,128			Yes (X)
MICHAEL ASTION MD PHD
MEDICAL DIRECTOR - LABORATORIES	55.00	0.00		$593,033	$0	$51,312			Yes (X)
JAMES CHRISTIANSEN MD
CARDIOLOGIST	55.00	0.00		$456,412	$0	$50,290			Yes (X)
WAYNE CHANDLER MD
MEDICAL DIRECTOR - LABORATORY MED	55.00	0.00		$449,578	$0	$42,341			Yes (X)
JENNIFER BECKER
FORMER KEY EMPLOYEE	55.00	0.00		$306,714	$0	$33,318				Yes (X)
PAMELA ROCK
FORMER KEY EMPLOYEE	55.00	0.00		$307,143	$0	$31,960				Yes (X)
SCOTT BINGHAM
FORMER KEY EMPLOYEE	55.00	0.00		$269,501	$0	$35,299				Yes (X)
GREGORY BLACKBURN
FORMER KEY EMPLOYEE	0.00	0.00		$203,256	$0	$23,137				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,344,576	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,391,354	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,182,394	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1643	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
LEASE CRUTCHER LEWIS
107 SPRING STREET	SEATTLE	WA	981041052	CONSTRUCTION	$130,112,979
CHILDREN'S UNIVERSITY MEDICAL GROUP
PO BOX 50010	SEATTLE	WA	98105	PHYSICIAN SERVICES	$112,433,364
UNIVERSITY OF WASHINGTON
PO BOX 358220	SEATTLE	WA	98195	RESIDENTS & INTERNS	$36,085,766
SELLEN CONSTRUCTION
227 WESTLAKE AVENUE NORTH	SEATTLE	WA	98109	CONSTRUCTION	$32,499,440
ALDRICH AND ASSOCIATES INC
810 240TH ST SE	BOTHELL	WA	98021	CONSTRUCTION	$18,550,041

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	374	CntrctRcvdGreaterThan100KCnt
Related Organizations	$157,129,313	RelatedOrganizationsAmt
Government Grants	$95,301,650	GovernmentGrantsAmt
All Other Contributions	$42,286,255	AllOtherContributionsAmt
Noncash Contributions	$19,528,125	NoncashContributionsAmt
Total Contributions	$294,717,218	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SVC REVENUES	621500	$1,434,794,246	$1,434,794,246
OTHER HEALTHCARE SVCS	621500	$44,489,862	$42,547,484	$1,942,378
WHALE GIFT SHOP	453220	$587,466			$587,466
INVESTMENT PROV CHILD	621500	$570,000	$570,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,480,441,574	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$56,177,199	TotalRevenueColumnAmt
Exclusion	$56,177,199	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,197,769	TotalRevenueColumnAmt
Exclusion	$3,197,769	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$13,736,142	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,360,092	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$8,376,050	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,376,050	TotalRevenueColumnAmt
Exclusion	$8,376,050	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$225,047,288	SecuritiesAmt
Other	$11,700	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$207,327,410	SecuritiesAmt
Other	$234,898	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$17,719,878	SecuritiesAmt
Other	-$223,198	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,496,680	TotalRevenueColumnAmt
Exclusion	$17,496,680	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PARKING	812930	$3,791,084	$3,791,084
CAFETERIA	722212	$2,349,918	$2,349,918

Field	Value	IRS element (for citing)
Other Revenue Total	$6,141,002	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,866,547,492	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,477,911,730	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,942,378	UnrelatedBusinessRevenueAmt
Exclusion	$91,976,166	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$21,656,145	TotalAmt
Program Services	$21,656,145	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$640,624	TotalAmt
Program Services	$640,624	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$1,609,929	TotalAmt
Program Services	$1,609,929	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,729,724	TotalAmt
Management And General	$10,729,724	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,749,008	TotalAmt
Program Services	$1,730,793	ProgramServicesAmt
Management And General	$18,215	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$624,587,440	TotalAmt
Program Services	$618,082,861	ProgramServicesAmt
Management And General	$6,504,579	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$34,873,118	TotalAmt
Program Services	$34,509,942	ProgramServicesAmt
Management And General	$363,176	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$86,061,711	TotalAmt
Program Services	$85,165,447	ProgramServicesAmt
Management And General	$896,264	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$49,686,601	TotalAmt
Program Services	$49,169,155	ProgramServicesAmt
Management And General	$517,446	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,254,919	TotalAmt
Program Services	$2,231,436	ProgramServicesAmt
Management And General	$23,483	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$413,449	TotalAmt
Program Services	$409,143	ProgramServicesAmt
Management And General	$4,306	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$485,351	TotalAmt
Program Services	$485,351	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,730,939	TotalAmt
Program Services	$2,702,498	ProgramServicesAmt
Management And General	$28,441	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$124,978,228	TotalAmt
Program Services	$123,676,680	ProgramServicesAmt
Management And General	$1,301,548	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,467,882	TotalAmt
Program Services	$2,442,181	ProgramServicesAmt
Management And General	$25,701	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$210,464,766	TotalAmt
Program Services	$208,272,944	ProgramServicesAmt
Management And General	$2,191,822	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$25,342,742	TotalAmt
Program Services	$25,078,818	ProgramServicesAmt
Management And General	$263,924	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$45,406,058	TotalAmt
Program Services	$44,933,190	ProgramServicesAmt
Management And General	$472,868	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,586,612	TotalAmt
Program Services	$6,518,018	ProgramServicesAmt
Management And General	$68,594	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,432,892	TotalAmt
Program Services	$1,417,970	ProgramServicesAmt
Management And General	$14,922	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,409,757	TotalAmt
Program Services	$12,280,519	ProgramServicesAmt
Management And General	$129,238	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$96,826,286	TotalAmt
Program Services	$95,817,918	ProgramServicesAmt
Management And General	$1,008,368	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,003,521	TotalAmt
Program Services	$6,930,585	ProgramServicesAmt
Management And General	$72,936	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHYSICIANS SERVICES	$166,106,024	$166,106,024
LICENSES & TAXES	$43,076,779	$42,628,169	$448,610
BAD DEBT EXPENSE	$2,406,777	$2,406,777
UBI TAXES	$828,463	$828,463

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$28,468,640	TotalAmt
Program Services	$28,172,162	ProgramServicesAmt
Management And General	$296,478	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,611,284,385	TotalAmt
Program Services	$1,585,903,742	ProgramServicesAmt
Management And General	$25,380,643	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$37,010,075	BOYAmt
EOY	$32,715,660	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$37,157,976	BOYAmt
EOY	$60,652,245	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$68,575,952	BOYAmt
EOY	$101,640,655	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$251,969,932	BOYAmt
EOY	$270,779,283	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,806,274	BOYAmt
EOY	$18,719,564	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$23,010,161	BOYAmt
EOY	$28,002,098	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,384,532,347	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$854,452,482	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,280,373,310	BOYAmt
EOY	$1,530,079,865	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,230,348,030	BOYAmt
EOY	$1,141,504,700	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$436,999,762	BOYAmt
EOY	$383,135,297	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$163,955,138	BOYAmt
EOY	$191,545,965	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,000,000	BOYAmt
EOY	$2,543,237	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$58,067,704	BOYAmt
EOY	$117,037,097	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,605,274,314	BOYAmt
EOY	$3,878,355,666	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$216,994,599	BOYAmt
EOY	$217,630,274	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$833,084	BOYAmt
EOY	$1,166,667	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$713,217,472	BOYAmt
EOY	$699,695,150	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$104,661,871	BOYAmt
EOY	$142,827,025	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,035,707,026	BOYAmt
EOY	$1,061,319,116	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,055,396,407	BOYAmt
EOY	$2,229,758,916	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$514,170,881	BOYAmt
EOY	$587,277,634	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,569,567,288	BOYAmt
EOY	$2,817,036,550	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,605,274,314	BOYAmt
EOY	$3,878,355,666	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$255,263,107	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$787,038	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$7,006,807	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$130,967,380	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$141,913,396	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$166,489,706	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$246,106,645	CurrentTaxYearMinus1YearAmt
Current Tax Year	$294,717,218	CurrentTaxYearAmt
Total	$980,194,345	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$130,967,380	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$141,913,396	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$166,489,706	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$246,106,645	CurrentTaxYearMinus1YearAmt
Current Tax Year	$294,717,218	CurrentTaxYearAmt
Total	$980,194,345	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$980,194,345	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$27,132,475	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$39,030,564	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$48,960,832	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$55,689,382	CurrentTaxYearMinus1YearAmt
Current Tax Year	$73,111,110	CurrentTaxYearAmt
Total	$243,924,363	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$284,687	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$479,145	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$216,488	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$64,447	CurrentTaxYearMinus1YearAmt
Current Tax Year	$330,013	CurrentTaxYearAmt
Total	$1,374,780	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,790,406	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$20,490,033	CurrentTaxYearMinus3YearsAmt
Total	$30,280,439	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$1,255,773,927	TotalSupportAmt
Gross Receipts Rltd Activities	$6,438,170,549	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.78060	PublicSupportCY170Pct
Public Support PY170	0.73910	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:

GAIN ON TERMINATION OF NEW MARKETS TAX CREDIT FINANCING OF RESEARCH FACILITY 2014 AMOUNT: $ 9,790,406. 2015 AMOUNT: $ 19,740,033. LITIGATION SETTLEMENT - 2015 AMOUNT: $ 750,000.

SCHEDULE A, PARTS I AND II:

AS INDICATED ON PART I, SEATTLE CHILDREN'S IS A HOSPITAL DESCRIBED IN SECTION 170(B)(1)(A)(III). HOWEVER, THE SUPPORT SCHEDULE ON PART II HAS BEEN PREPARED IN ORDER TO DEMONSTRATE THAT IT ALSO QUALIFIES AS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI) AND THEREFORE QUALIFIES FOR THE SPECIAL RULE ON SCHEDULE B, SCHEDULE OF CONTRIBUTORS.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$485,351	FilingOrganizationsTotalAmt
Affiliated Group Total	$485,351	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$485,351	FilingOrganizationsTotalAmt
Affiliated Group Total	$485,351	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,613,769,155	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,805,512,186	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,614,254,506	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,805,997,537	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$379,062	CurrentYearMinus3Amt
Current Year Minus2	$485,089	CurrentYearMinus2Amt
Current Year Minus1	$481,522	CurrentYearMinus1Amt
Current Year	$485,351	CurrentYearAmt
Total	$1,831,024	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-A, AFFILIATED GROUP STATEMENT:	FormAndLineReferenceDesc
Explanation	SEATTLE CHILDREN'S HOSPITAL, EIN: 91-0564748 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 485,351 OTHER EXEMPT PURPOSE EXPENDITURES: 1,613,769,155 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,614,254,506 SEATTLE CHILDREN'S HOSPITAL HAS A 501(H) ELECTION SEATTLE CHILDREN'S HEALTHCARE SYSTEM, EIN: 91-1250116 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 7,077,208 TOTAL EXEMPT PURPOSE EXPENDITURES: 7,077,208 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL FOUNDATION, EIN: 91-1156519 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 159,500,304 TOTAL EXEMPT PURPOSE EXPENDITURES: 159,500,304 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION, EIN: 91-1394056 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 19,293,262 TOTAL EXEMPT PURPOSE EXPENDITURES: 19,293,262 NO 501(H) ELECTION WAS MADE CHILDREN'S RETAIL, EIN: 91-1998909 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 5,872,257 TOTAL EXEMPT PURPOSE EXPENDITURES: 5,872,257 NO 501(H) ELECTION WAS MADE	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Funds And Other Accounts Held	2	FundsAndOtherAccountsHeldCnt
Funds And Other Accounts Contri	$2,440	FundsAndOtherAccountsContriAmt
Funds And Other Accounts Grants	$215,844	FundsAndOtherAccountsGrantsAmt
Funds And Other Accounts Vl EOY	$871,719	FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg Ctrl	Yes (1)	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	Yes (1)	DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$444,625,000	BeginningYearBalanceAmt
Contributions	$6,140,000	ContributionsAmt
Investment Earnings Or Losses	$14,026,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$9,982,000	OtherExpendituresAmt
End Year Balance	$454,809,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$409,859,000	BeginningYearBalanceAmt
Contributions	$12,310,000	ContributionsAmt
Investment Earnings Or Losses	$31,902,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$9,446,000	OtherExpendituresAmt
End Year Balance	$444,625,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$368,141,000	BeginningYearBalanceAmt
Contributions	$1,524,000	ContributionsAmt
Investment Earnings Or Losses	$49,357,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$9,163,000	OtherExpendituresAmt
End Year Balance	$409,859,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$342,807,000	BeginningYearBalanceAmt
Contributions	$4,574,000	ContributionsAmt
Investment Earnings Or Losses	$29,475,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,715,000	OtherExpendituresAmt
End Year Balance	$368,141,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$343,981,000	BeginningYearBalanceAmt
Contributions	$10,256,000	ContributionsAmt
Investment Earnings Or Losses	-$3,157,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,273,000	OtherExpendituresAmt
End Year Balance	$342,807,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.55570	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.44430	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$221,166,313	OtherCostOrOtherBasisAmt
Book Value	$221,166,313	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,263,137,456	OtherCostOrOtherBasisAmt
Depreciation	$411,365,321	DepreciationAmt
Book Value	$851,772,135	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$72,392,193	OtherCostOrOtherBasisAmt
Depreciation	$21,388,422	DepreciationAmt
Book Value	$51,003,771	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$617,614,252	OtherCostOrOtherBasisAmt
Depreciation	$413,473,636	DepreciationAmt
Book Value	$204,140,616	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$210,222,133	OtherCostOrOtherBasisAmt
Depreciation	$8,225,103	DepreciationAmt
Book Value	$201,997,030	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,530,079,865	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
POOLED INVESTMENTS	$378,609,201	F
DEFERRED COMPENSATION PLANS	$2,321,840	F
OIL LEASES	$18,500	C
LIFE INSURANCE	$55,170	F
INVESTMENT IN HCSA PROPERTIES, LLC	$2,130,557	C
PRONIRAS	$29	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$383,135,297	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
SWAP MTM VALUE - BONDS	$17,038,974
DEFERRED COMPENSATION PLAN PAYABLE	$2,321,840
DEFERRED AND OTHER LIABILITIES	$16,420,368
PAYABLE TO AFFILIATE	$22,351,821
DUE TO BROKERS FOR SECURITIES PURCHASED	$75,266,109
OPERATING LEASE & LEASE INCENTIVE LIABILITIES	$9,427,913

Field	Value	IRS element (for citing)
Total Liability	$142,827,025	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

SEATTLE CHILDREN'S HOSPITAL AND SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) SHARE IN A UNIFIED ENDOWMENT FUND (UEF) THAT IS MANAGED BY SCHS. SEATTLE CHILDREN'S HOSPITAL'S RESTRICTED ASSETS REFLECT ENDOWMENTS WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL.

PART X, LINE 2:

THE INTERNAL REVENUE SERVICE HAS GRANTED SCHS, AND THE CONTROLLED CORPORATIONS LISTED ABOVE, EXEMPTION FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (IRC) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE IRC FORMED TO OPERATE FOR CHARITABLE, EDUCATIONAL, SCIENTIFIC, AND MEDICAL PURPOSES. DURING 2019 AND 2018, SCHS DID NOT RECORD ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (30 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	OfficesOfficesCnt	EmployeeEmployeeCnt	Specific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	$149,955,316
NORTH AMERICA	PROGRAM SERVICES	$1,261,000	0	0	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	$910,000	0	0	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	$51,000	0	0	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
SOUTH ASIA	PROGRAM SERVICES	$8,000	0	0	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	$5,000	0	0	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	$2,000	0	0	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES
SUB-SAHARAN AFRICA	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$667,200	0	0
EUROPE (INCLUDING ICELAND & GREENLAND)	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$645,235	0	0
NORTH AMERICA	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$193,206	0	0
EAST ASIA AND THE PACIFIC	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$91,256	0	0
SOUTH AMERICA	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$13,032	0	0
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	$362,000	0	0	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
NORTH AMERICA	PROGRAM SERVICES	$124,000	0	0	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	$70,000	0	0	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$53,000	0	0	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND AID SITES
SOUTH AMERICA	PROGRAM SERVICES	$31,000	0	0	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	$8,000	0	0	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	$6,000	0	0	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
SOUTH ASIA	PROGRAM SERVICES	$3,000	0	0	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	$465,000	0	0	PATIENT ACCOUNT REFUNDS
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	$285,000	0	0	PATIENT ACCOUNT REFUNDS
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	$200	0	0	PATIENT ACCOUNT REFUNDS
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$113,847	0	0	PARTNERS IN AFRICA CLEFT TRAINING
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$73,412	0	0	PEDIATRIC HEALTHCARE - GLOBAL HEALTH PATHWAY RESIDENCY PROGRAM
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH GRANTS AND OTHER HEALTHCARE REVENUES FROM ORGANIZATIONS IN THE REGION		0	0
SUB-SAHARAN AFRICA	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION		0	0
EAST ASIA AND THE PACIFIC	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION		0	0
NORTH AMERICA	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION		0	0
			0	0

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$152,859,516	SubtotalSpentAmt
Continuation Spent	$2,537,188	ContinuationSpentAmt
Total Spent	$155,396,704	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (13 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$308,137	WIRE TRANSFER
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$286,771	WIRE TRANSFER
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$72,292	WIRE TRANSFER
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$351,336	WIRE TRANSFER
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$127,200	WIRE TRANSFER
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$101,619	WIRE TRANSFER
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$59,113	WIRE TRANSFER
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$5,967	WIRE TRANSFER
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$146,651	CHECK PAYMENT
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$24,398	CHECK PAYMENT
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$13,398	CHECK PAYMENT
EAST ASIA AND THE PACIFIC	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$88,406	WIRE TRANSFER
SOUTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	$10,117	WIRE TRANSFER

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	9	TotalOtherOrgCnt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	Yes (1)	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 2:

THE OFFICE OF SPONSORED RESEARCH DEPARTMENT AT SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF THE HOSPITAL, PERFORMS QUARTERLY REVIEWS OF EACH SUBAWARD TO ENSURE THAT RECIPIENTS ARE MANAGING FUNDING IN ACCORDANCE WITH THE TERMS OF THE CONTRACT. A-133 AUDITS, RATE AGREEMENTS, AND DISCLOSURE REQUIREMENTS ARE ALL REVIEWED TO ENSURE THEY ARE CURRENT OR EXEMPT. THIS REVIEW IS TO ENSURE THAT THE SUBRECIPIENT HAS THE NECESSARY INFRASTRUCTURE IN PLACE TO MANAGE FUNDS. TERMS OF THE SUBCONTRACTS ARE MODIFIED AS NEEDED TO ADDRESS ANY ISSUES. THE PRIVATE INVESTIGATOR IS RESPONSIBLE TO ENSURE THE WORK IS PERFORMED TO SATISFACTION AND CONSISTENT WITH THE AIMS OF THE PROJECT. THE CENTER BUSINESS OFFICE ENSURES THAT THE INVOICED AMOUNTS ARE ALLOWABLE UNDER THE PROVISIONS OF THE AWARD AND SUBCONTRACT. A FINAL CHECK FOR COMPLIANCE TAKES PLACE AT THE EXPIRATION OF THE SUBAWARD WHEN THE OFFICE OF SPONSORED RESEARCH PERFORMS ITS FINAL CLOSEOUT. ANY PROBLEMS WITH PERFORMANCE OR EXPENDITURES ARE IDENTIFIED AT THAT TIME AND RESOLVED AS APPROPRIATE BEFORE FINAL DISTRIBUTIONS ARE MADE AND THE SUBAWARD IS COMPLETE.

PART I, LINE 3:

THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR EXPENDITURES.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.000000000000	FreeCareOtherPct

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	599.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	21219	PersonsServedCnt
Total Community Benefit Expns	$11,469,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,598,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,871,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	214387	PersonsServedCnt
Total Community Benefit Expns	$606,393,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$432,065,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$174,328,000	NetCommunityBenefitExpnsAmt
Total Expense	0.10840	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	235606	PersonsServedCnt
Total Community Benefit Expns	$617,862,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$433,663,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$184,199,000	NetCommunityBenefitExpnsAmt
Total Expense	0.11450	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	138	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,199,319	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,758,992	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,440,327	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	97	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$43,626,234	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,632,047	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,994,187	NetCommunityBenefitExpnsAmt
Total Expense	0.02110	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$203,196,882	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$147,165,646	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,031,236	NetCommunityBenefitExpnsAmt
Total Expense	0.03480	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$922,852	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$253,666	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$669,186	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	252	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$262,945,287	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$160,810,351	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$102,134,936	NetCommunityBenefitExpnsAmt
Total Expense	0.06340	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	271	ActivitiesOrProgramsCnt
Persons Served	235606	PersonsServedCnt
Total Community Benefit Expns	$880,807,287	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$594,473,351	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$286,333,936	NetCommunityBenefitExpnsAmt
Total Expense	0.17790	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$257,522	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,371	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$176,151	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$20,297	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,297	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,315	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,315	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,306	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,306	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,203,172	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,203,087	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$11,293	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,293	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	33	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,508,905	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,456	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,427,449	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,064,523	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$5,848,584	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$9,362,538	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,513,954	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4800 SAND POINT WAY NE	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98105	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SEATTLECHILDRENS.ORG	WebsiteAddressTxt
State License	178019356	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	599.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEATTLECHILDRENS.ORG/CLINICS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	FINASST.SEATTLECHILDRENS.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEATTLECHILDRENS.ORG/CLINICS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 3J: SEATTLE CHILDREN'S CONDUCTED ITS THIRD COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019 TO COVER THE FISCAL PERIOD ENDING 2019-2022 (TAX YEARS 2018-2021) IN ORDER TO:- INVOLVE STAKEHOLDERS AND THE COMMUNITY TO IDENTIFY AND ANALYZE COMMUNITY HEALTH NEEDS AND ASSETS IN ORDER TO PRIORITIZE THESE NEEDS AND TO PLAN AND ACT UPON SIGNIFICANT UNMET COMMUNITY HEALTH NEEDS.- MORE DEEPLY UNDERSTAND HEALTH AND SAFETY ISSUES FACING UNDERSERVED AND UNDER RESOURCED POPULATIONS WHO EXPERIENCE HEALTH INEQUITIES, USING EXISTING DATA AND THE PERSPECTIVES OF COMMUNITY STAKEHOLDERS AND FAMILIES.- IDENTIFY AND DOCUMENT COMMUNITY STRENGTHS, EXISTING PROGRAMS, AND ACTIVITIES THAT ARE HELPING THE COMMUNITY THRIVE.- INFORM OUR COMMUNITY BENEFIT EFFORTS BY DETERMINING WHERE THE COMMUNITY NEEDS ALIGN WITH SEATTLE CHILDREN'S STRATEGIC PLAN, GOALS, OR AREAS IN WHICH WE HAVE SIGNIFICANT EXPERTISE.THROUGH THIS CHNA, WE HAVE GAINED A BETTER UNDERSTANDING OF THE NEEDS AND RESOURCES OF THE COMMUNITIES WE SERVE. THE NEEDS ASSESSMENT LAYS THE FOUNDATION FOR OUR COMMUNITY HEALTH IMPLEMENTATION STRATEGIES, WHICH GUIDE HOW WE WILL CONTINUE TO FULFILL OUR COMMITMENT TO CHILDREN, TEENS AND FAMILIES, IN PARTNERSHIP WITH HEALTH ORGANIZATIONS, GOVERNMENT, BUSINESSES, COMMUNITY BASED ORGANIZATIONS AND COMMUNITIES.SEATTLE CHILDREN'S CHNA HIGHLIGHTS JUST A FEW OF THE MANY DEDICATED GOVERNMENT, NONPROFIT AND PRIVATE ORGANIZATIONS SERVING OUR COMMUNITY'S MOST VULNERABLE POPULATIONS. ORGANIZATIONS SUCH AS THE HEALTHY KING COUNTY COALITION, THE CHILDHOOD OBESITY PREVENTION COALITION AND THE HEALTH COALITION FOR CHILDREN AND YOUTH ARE POWERFUL ADVOCATES FOR CHILDREN AND FAMILIES. ORGANIZATIONS AND PROVIDERS LIKE COMMUNITY HEALTH CLINICS, UNIVERSITY OF WASHINGTON, HARBORVIEW MEDICAL CENTER, YAKIMA CHILDREN'S VILLAGE, YOUTHCARE, CENTER FOR CHILD AND YOUTH JUSTICE, UNITED WAY, CASCADE BICYCLE CLUB, SEATTLE PARKS AND RECREATION, THE CHILDREN'S ALLIANCE, SOLID GROUND, AND WITHINREACH OFFER EDUCATION, ADVOCACY, CLINICAL CARE, RESEARCH AND/OR DIRECT SERVICES TO HELP CHILDREN, YOUTH AND FAMILIES GET THE HEALTHCARE, HEALTH AND WELL BEING AND PREVENTIVE SERVICES THEY NEED. STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS ARE KEY TO GETTING ESSENTIAL DATA AND TO HELPING FOSTER PROGRAM, POLICY, ENVIRONMENTAL AND SYSTEM CHANGE.IN THE CHNA, THE FOLLOWING THEMES EMERGED FROM OUR QUALITATIVE RESEARCH:- ACCESSIBLE MENTAL AND BEHAVIORAL HEALTH SERVICES FOR CHILDREN, TEENS AND YOUNG ADULTS CONTINUES TO BE AN UNMET NEED IN MANY COMMUNITIES, ESPECIALLY FOR NON-ENGLISH SPEAKERS AND FAMILIES LIVING IN RURAL AREAS.- OVER THE LAST DECADE, RATES OF DEPRESSION AMONG YOUTH HAVE INCREASED BY AS MUCH AS 30% ACROSS THE WASHINGTON, ALASKA, MONTANA AND IDAHO (WAMI) REGION. SUICIDE RATES HAVE ALSO BEEN ON THE RISE, WITH ABOUT 1 IN 10 HIGH SCHOOLERS REPORTING THAT THEY HAD ATTEMPTED SUICIDE.- INJURIES, BOTH UNINTENTIONAL AND INTENTIONAL, CONTINUE TO HURT, HARM AND HOSPITALIZE CHILDREN IN THE REGION. MOTOR VEHICLE COLLISIONS, DROWNING, AND POISONINGS ARE SOME OF THE LEADING CAUSES OF UNINTENTIONAL INJURY.-MANY FAMILIES ACROSS THE REGION STRUGGLE TO AFFORD HEALTHY FOODS AND OTHER BASIC NEEDS WHEN FACED WITH HIGH HOUSING, CHILD CARE AND HEALTHCARE COSTS. LIVING WAGES IN SOME COMMUNITIES MAY NOT BE KEEPING PACE WITH THESE COSTS.- THE MAJORITY OF HIGH SCHOOL STUDENTS ARE NOT MEETING THE DAILY PHYSICAL ACTIVITY RECOMMENDATION AND DO NOT CONSUME THE RECOMMENDED AMOUNT OF FRUITS AND VEGETABLES EACH DAY. - DIFFICULTIES NAVIGATING THE HEALTHCARE SYSTEM AND FINDING RELIABLE AND AFFORDABLE TRANSPORTATION TO GET TO AND FROM APPOINTMENTS CONTINUE TO BE BARRIERS TO ACCESSING CARE; AS DO SHORTAGES OF LOCAL SUBSPECIALTY SERVICES AND LONG WAITLISTS FOR AVAILABLE SERVICES.- CIGARETTE SMOKING RATES AMONG HIGH SCHOOL STUDENTS CONTINUE TO DECLINE, BUT THE RATE OF ELECTRONIC VAPOR PRODUCT USE HAS STAYED STEADY OR INCREASED ACROSS THE WAMI REGION. RATES OF ALCOHOL, MARIJUANA AND OTHER DRUG USE VARY ACROSS THE REGION.- COORDINATED CARE AND COMMUNICATION BETWEEN HEALTHCARE PROVIDERS, SCHOOLS AND FAMILIES IS CRITICAL TO GOOD HEALTH. THIS IS ESPECIALLY IMPORTANT FOR CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS.- HEALTH DISPARITIES ARE CAUSED BY INEQUITIES AND EXIST ACROSS THE REGION BY RACE, ETHNICITY, GENDER, GEOGRAPHY, SOCIOECONOMIC STATUS, ENVIRONMENTAL FACTORS, HEALTH LITERACY AND DISABILITY. TO MEET THE DIVERSE NEEDS IN OUR COMMUNITY, CULTURALLY RELEVANT SERVICES ARE NEEDED.ASSESSMENT RESULTS HAVE VALIDATED OUR EXISTING WORK AND HAVE HELPED US PRIORITIZE WHERE AND HOW TO FOCUS OUR NEW WORK. GIVEN THE COMPLEXITY OF COMMUNITY NEEDS AND THE FINITE RESOURCES AVAILABLE TO MEET THEM, WE HAVE DIFFICULT CHOICES. WE BELIEVE THAT BY WORKING IN PARTNERSHIP WITH OTHERS, OUR EFFORTS WILL BE AMPLIFIED THROUGHOUT THE COMMUNITY.FOR SEATTLE CHILDREN'S COMMUNITY HEALTH IMPLEMENTATION STRATEGIES, AND AS A DIRECT RESULT OF THE CHNA, WE HAVE IDENTIFIED FOUR PRIORITY AREAS:- MENTAL AND BEHAVIORAL HEALTH- SUICIDE & INJURY PREVENTION- ECONOMIC SECURITY- HEALTHY LIFESTYLES (HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY)WE HAVE SUSTAINED FOUR OTHER COMMUNITY BENEFIT PROGRAMS:- ACCESS AND CARE COORDINATION- ADOLESCENT HEALTH- PROGRAMS AND SERVICES FOR CHILDREN WITH SPECIAL NEEDS- FAMILY EDUCATION AND RESOURCESOUR PRIORITIES HAVE BEEN APPROVED BY THE SEATTLE CHILDREN'S HOSPITAL GOVERNING BOARD OF TRUSTEES AND INCORPORATED INTO THE HOSPITAL'S OPERATING, COMMUNITY OUTREACH AND STRATEGIC INITIATIVES. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON OUR WEBSITE:WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENTTHE COMMUNITY HEALTH IMPLEMENTATION STRATEGIES ARE AVAILABLE ON OUR WEBSITE:WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (TAX YEARS 2018-2021), SEATTLE CHILDREN'S COMPILED EXISTING CHILD AND ADOLESCENT HEALTH DATA TO DESCRIBE DETERMINANTS OF HEALTH AND SOLICITED DIRECT FEEDBACK FROM COMMUNITY STAKEHOLDERS AND FAMILIES. TO GATHER INFORMATION AND ASSESS COMMUNITY NEEDS AND STRENGTHS, WE:- CONDUCTED A REVIEW OF PUBLIC HEALTH INDICATORS AND AREA DEMOGRAPHICS FROM EXISTING SOURCES.- PROVIDED AN ONGOING DATA ANALYSIS WITH OUR LOCAL PUBLIC HEALTH DEPARTMENT(S) INCLUDING THE HIRING OF TWO SUMMER MASTERS IN PUBLIC HEALTH STUDENTS, CO-SUPERVISED BY THE PUBLIC HEALTH SEATTLE KING COUNTY DEPARTMENT'S ASSESSMENT, POLICY DEVELOPMENT AND EVALUATION UNIT AND THE COMMUNITY HEALTH & BENEFIT TEAM AT SEATTLE CHILDREN'S TO HELP US CONDUCT AND AUTHOR THE ASSESSMENT.- ENGAGED WITH COALITIONS THAT HAVE EXPERTISE ADDRESSING HEALTH NEEDS, HAVE DIVERSE MEMBERSHIP, AND HAVE A REGIONAL OR SUB-REGIONAL FOCUS. OTHER STAKEHOLDERS INCLUDED THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY; REPRESENTATIVES OF MEDICALLY UNDER-RESOURCED, LOW-INCOME POPULATIONS, PEOPLE OF COLOR, AND/OR POPULATIONS WITH CHRONIC DISEASES, INCLUDING REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS AND FROM THE KING COUNTY ACCOUNTABLE COMMUNITY OF HEALTH, HEALTHIERHERE.- WE HOSTED LISTENING SESSIONS WITH YOUTH, PARENTS, CAREGIVERS AND EXPERTS ON SPECIFIC TOPICS; AND REVIEWED RECENT REPORTS ON LOCAL AND STATE HEALTH NEEDS. - TO IDENTIFY COMMUNITY CONCERNS AND ASSETS, SEATTLE CHILDREN'S WORKED WITH PEDIATRICIANS IN THEIR SECOND YEAR OF RESIDENCY WHO, AS A PART OF THEIR TRAINING, TAKE A MONTH-LONG ROTATION IN THE COMMUNITY HEALTH AND BENEFIT DIVISION OF THE EXTERNAL AFFAIRS AND GUEST SERVICES DEPARTMENT AT SEATTLE CHILDREN'S. THESE RESIDENTS INTERVIEWED STAKEHOLDERS, CONSULTED RECENT COMMUNITY-BASED REPORTS AND PULLED INFORMATION FROM PREVIOUS HOSPITAL CHNAS FOR THE GEOGRAPHIC AREAS THEY WORKED IN FOR THE MONTH.- BETWEEN 2016 AND 2019, THESE PEDIATRICIANS AND THE COMMUNITY HEALTH AND BENEFIT TEAM MEMBERS AT SEATTLE CHILDREN'S WHO TRAINED THEM CONDUCTED 26 LISTENING SESSIONS ACROSS THE WAMI REGION WITH PARENTS OR CAREGIVERS OF CHILDREN AGES 0 TO 21. WE CONDUCTED ALL OF OUR LISTENING SESSIONS IN ENGLISH, AND PROVIDED SPANISH TRANSLATION AT THREE EVENTS, SOMALI TRANSLATION AT FIVE EVENTS, AMHARIC TRANSLATION AT FIVE EVENTS, OROMO TRANSLATION AT ONE EVENT AND VIETNAMESE TRANSLATION AT ONE EVENT. ADDITIONALLY, WE VISITED EIGHT COMMUNITIES THAT WERE URBAN, SUBURBAN OR RURAL, INCLUDING VILLAGES, TO LEARN ABOUT COMMUNITY HEALTH CHALLENGES. - IN ADDITION, WE INTERVIEWED 172 KEY INFORMANTS IN THE WASHINGTON, ALASKA, MONTANA AND IDAHO (WAMI) REGION.- APPROXIMATELY 70% OF THE PARTICIPANTS TAKING PART IN THESE MEETINGS AND LISTENING GROUPS SELF IDENTIFIED AS EITHER LOW-INCOME, PEOPLE OF COLOR, OR FROM MEDICALLY UNDERSERVED COMMUNITIES OR IDENTIFIED AS REPRESENTING THESE POPULATIONS.WE USED TWO FRAMEWORKS: THE SOCIAL-ECOLOGICAL AND THE SPECTRUM OF PREVENTION MODELS TO GATHER BACKGROUND ON AREAS OF NEED. WE ALSO REVIEWED EXISTING STRENGTHS, PROGRAMS AND SERVICES THAT FOCUS ON CHILD AND TEEN HEALTH AND SAFETY ISSUES.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 7D: SEATTLE CHILDREN'S EMAILED AN ELECTRONIC COPY OF THE CHNA TO ANYONE UPON REQUEST, INCLUDING THOSE WHO OPTED IN TO RECEIVE ONE AT OUR COMMUNITY BENEFIT FORUMS.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: OUR 2019 CHNA (APPLICABLE TO TAX YEARS 2018-2021) CENTERS ON THE NEEDS OF FAMILIES, CHILDREN AND YOUTH IN WASHINGTON, ALASKA, MONTANA AND IDAHO (WAMI). OUR CHNA IDENTIFIED FOUR SIGNIFICANT NEEDS, ALL OF WHICH ARE BEING ADDRESSED BY SEATTLE CHILDREN'S PROGRAMMING. BELOW IS AN ACCOUNTING OF THE NEEDS IDENTIFIED AND OUR RESPONSE TO EACH.THE CHNA RESEARCH YIELDED THE FOLLOWING ABOUT THE HEALTH NEEDS OF THE COMMUNITY WE SERVE, BUT IT SHOULD BE KNOWN THAT ACROSS THE WAMI REGION, MANY OF THESE RATES VARY BY RACE, ETHNICITY, GENDER, GEOGRAPHY, BEING IN A RURAL OR URBAN AREA, SOCIOECONOMIC STATUS, ENVIRONMENTAL FACTORS, HEALTH LITERACY AND DISABILITY:MENTAL AND BEHAVIORAL HEALTH:IN WASHINGTON, 25% OF STUDENTS IN 8TH GRADE, 30% OF STUDENTS IN 10TH GRADE AND 28% OF STUDENTS IN 12TH GRADE REPORTED EXPERIENCING DEPRESSIVE FEELINGS. ALSO, OF CHILDREN AGES 2 TO 17, 12% HAVE ONE OR MORE EMOTIONAL, BEHAVIORAL OR DEVELOPMENTAL CONDITION. IN ADDITION TO OUR BED EXPANSION IN OUR PSYCHIATRY AND BEHAVIORAL MEDICINE UNIT, WE HAVE EXPANDED THE PARTNERSHIP ACCESS LINE (PAL), A TELEPHONE-BASED CHILD MENTAL HEALTH CONSULTATION SYSTEM THAT ALLOWS PRIMARY CARE PROVIDERS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS TO TREAT KIDS WHILE KEEPING THEM CLOSER TO HOME. CHILD PSYCHIATRISTS AFFILIATED WITH THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE AND SEATTLE CHILDREN'S HOSPITAL PROVIDE RAPID CONSULTATION RESPONSES DURING BUSINESS HOURS FOR ANY TYPE OF MENTAL HEALTH ISSUE THAT ARISES WITH ANY CHILD. FURTHER, WE HAVE EXPANDED TELEMENTAL HEALTH THAT ALLOWS CHILDREN IN CERTAIN UNDERSERVED COMMUNITIES IN THE REGION TO SPEAK WITH A PSYCHIATRIST THROUGH VIDEO CONFERENCING. WE HAVE LAUNCHED THE WASHINGTON'S MENTAL HEALTH REFERRAL SERVICE FOR CHILDREN AND TEENS WHICH CONNECTS FAMILIES WITH OUTPATIENT PROVIDERS LOCALLY WHO HAVE OPENINGS IN THEIR SCHEDULE AND CAN MEET A CHILD'S SPECIALTY NEEDS AND INSURANCE COVERAGE OR LACK THEREOF. ANY WASHINGTON FAMILY CAN USE THIS FREE SERVICE AND WE MAKE REFERRALS FOR CHILDREN AND TEENS 17 AND YOUNGER.LAST, WE HAVE RENEWED OUR FOCUS TO UPSTREAM EFFORTS AROUND MENTAL AND BEHAVIORAL HEALTH SUCH AS OUR POSITIVE PARENTING SERIES AND OUR ODESSA BROWN CHILDREN'S CLINIC PROGRAMMING AROUND MOVEMENT AND SOCCER TO SUPPORT THE RELATIONSHIP BETWEEN BEING HEALTHY AND ACTIVE WITH POSITIVE MENTAL HEALTH APPROACHES.SUICIDE AND INJURY PREVENTION:SUICIDE BY FIREARM, DROWNING, POISONING AND MOTOR VEHICLE CRASHES ARE THE LEADING CAUSES OF DEATH AND INJURY AMONG ADOLESCENTS ACROSS THE WAMI REGION. SUICIDE RATES CONTINUE TO RISE AND FIREARMS ACCOUNT FOR OVER HALF OF THESE DEATHS. DROWNINGS MOST OFTEN OCCUR WHILE SWIMMING, BOATING OR PLAYING IN OR NEAR WATER. POISONS INCLUDE MEDICINES, CLEANING PRODUCTS AND LIQUID NICOTINE. CORRECTLY USED, CHILD SAFETY SEATS CAN REDUCE THE RISK OF DEATH BY 71%, YET MORE THAN HALF ARE USED INCORRECTLY. THESE INJURIES AND DEATHS ARE PREVENTABLE.WE HAVE HELPED DEVELOP SUICIDE AND INJURY PREVENTION TACTICS WHERE WE TAILOR OUR MESSAGE ACCORDING TO THE DEVELOPMENTAL LEVEL, KNOWLEDGE, BELIEFS AND BEHAVIORS OF EACH GROUP WE SERVE. IN ADDITION, WE HAVE FOUNDED THE FIREARM TRAGEDY PREVENTION NETWORK IN WASHINGTON STATE. WE HOST MULTIPLE EVIDENCE-BASED, FREE, SAFE FIREARM STORAGE GIVEAWAY EVENTS WHERE WE DISTRIBUTE LOCK BOXES AND TRIGGER LOCKS IN ORDER TO SAFELY STORE FIREARMS AS A WAY TO PREVENT SUICIDE AND PROVIDE ONE MECHANISM FOR LETHAL MEANS RESTRICTION. IN ADDITION, OUR SECURITY TEAM OFFERS DE-ESCALATION TRAININGS ACROSS THE STATE AND OUR RESEARCH INSTITUTE PURSUES RESEARCH PROJECTS ALIGNED WITH YOUTH SUICIDE, INJURY AND FIREARM TRAGEDY PREVENTION. OUR RESEARCHERS COLLABORATE WITH STATEWIDE PARTNERS TO STUDY THE COURSE AND MANAGEMENT OF DEPRESSION IN YOUNG PEOPLE AND TO STUDY SUICIDAL/SELF-HARMING ADOLESCENTS. OUR PROTECTION ADVOCACY AND OUTREACH TEAM FOCUSES ON CHILD ABUSE PREVENTION, INCLUDING STATEWIDE DISSEMINATION AND TRAINING FOR THE EVIDENCE-BASED PERIOD OF PURPLE CRYING. WE HOST CAR SEAT CHECK EVENTS WHERE TECHNICIANS WORK ALONGSIDE PARENTS AND CAREGIVERS TO ENSURE CAR SEATS ARE PROPERLY INSTALLED AND SHARE THE CORRECT WAY TO SAFELY SECURE A CHILD IN A MOTOR VEHICLE. WE ALSO HOST LOW COST CAR SEAT AND BOOSTER SEAT SALES WITH EDUCATION AND DEMONSTRATION IN OUR FAMILY RESOURCE CENTER. ADDITIONALLY, WE HAVE CONTINUED TO USE OUR EXPERTISE AROUND DROWNING TO IMPLEMENT OPEN-WATER DROWNING PREVENTION STRATEGIES IN PARTNERSHIP WITH MEMBERS OF THE STATEWIDE DROWNING PREVENTION NETWORK, PUBLIC HEALTH, SAFE KIDS AND THROUGH COMMUNITY ORGANIZATIONS INCLUDING HEAD START.HEALTHY LIFESTYLES:OF WASHINGTON HIGH SCHOOL STUDENTS, 11% ARE OBESE AND 14% ARE OVERWEIGHT. POOR DIET AND PHYSICAL ACTIVITY ARE RISK FACTORS FOR BECOMING OVERWEIGHT OR OBESE. EATING FEWER MEALS AT HOME, INCREASED AVAILABILITY AND AFFORDABILITY OF UNHEALTHY FOOD, AND INCREASED PORTION SIZES CAN CONTRIBUTE TO POOR DIET AMONG YOUTH. FOOD INSECURITY AND OBESITY CAN AFFECT THE SAME YOUTH SINCE FOOD INSECURITY IS LARGELY ATTRIBUTED TO LOW INCOME, AND UNDER-RESOURCED COMMUNITIES OFTEN LACK ACCESS TO PLACES SUCH AS PARKS THAT PROMOTE HEALTHY EXERCISE. ALSO, WHEN PEOPLE EAT LESS OR SKIP MEALS TO STRETCH FOOD BUDGETS, THEY MAY OVEREAT WHEN FOOD IS AVAILABLE, OR FILL UP ON AFFORDABLE MEALS HIGH IN FAT, BUT LOW IN NUTRITIONAL VALUE.FOR THESE REASONS, WE HAVE HELPED TAILOR A HEALTH EDUCATION AND NUTRITION COURSE FOR FAMILIES. AT OUR HOSPITAL CAMPUS, WE HAVE BEGUN OFFERING HEALTHIER FOOD OPTIONS FOR STAFF AND FAMILIES, ELIMINATED SUGAR SWEETENED BEVERAGES FROM OUR CAFES, DEVELOPED A TEACHING GARDEN, AND INSTALLED WATER BOTTLE FILLING SITES. WE ARE EXPANDING THE NUMBER OF CLINICS WHERE WE SCREEN FOR FOOD INSECURITY AND HAVE OPENED A FOOD PANTRY ON CAMPUS FOR FAMILIES. WE ARE CONTINUALLY INVESTING IN CULTURALLY AND COMMUNITY TAILORED PROGRAMS TO PROMOTE FOOD AFFORDABILITY AS WELL AS COOKING AND EATING AT HOME. ADDITIONALLY, WE HAVE PARTNERED WITH THE PUBLIC HEALTH DEPARTMENT AND THE HEALTHY KING COUNTY COALITION TO ADDRESS HEALTHY EATING AND ACTIVE LIVING INITIATIVES IN THE COMMUNITIES WE SERVE. WE HAVE ALSO LAUNCHED A 7-5-2-1-0 HEALTHY EATING CURRICULUM THAT WE OFTEN PRESENT AT LOCAL HEALTH FAIRS AND EVENTS IN THE REGION ALONGSIDE OUR ODESSA BROWN CHILDREN'S CLINIC PROGRAMMING ABOUT MINDFULNESS AND NUTRITION.ECONOMIC SECURITY AND BASIC NEEDS:MEETING CHILDREN'S BASIC NEEDS IS CRITICAL TO PROVIDE A FOUNDATION FOR LIFE-LONG HEALTH. THE COMMUNITY ADDRESSED SEVERAL NEEDS INCLUDING AFFORDABLE HOUSING AND CHILDCARE AND AN INCREASE IN PUBLIC TRANSPORTATION, PUBLIC SAFETY AND LIVING WAGES. SOME FAMILIES ALSO DISCUSSED THE COST OF HEALTHCARE SERVICES AND TRAVEL FOR CARE, AND HOW IT IMPACTED THEIR ABILITY TO AFFORD OTHER BASIC NEEDS. CHILD AND TEEN HEALTH ARE INFLUENCED BY A VARIETY OF ENVIRONMENTAL AND SOCIAL FACTORS. SOCIAL RISK FACTORS, SUCH AS POVERTY, RACE AND ETHNICITIES, ARE ASSOCIATED WITH POORER HEALTH OUTCOMES FOR CHILDREN. APPROXIMATELY 14% OF WASHINGTON CHILDREN LIVE IN HOUSEHOLDS UNDER THE POVERTY THRESHOLD. CHILDREN EXPERIENCING POVERTY ARE MORE LIKELY TO ENTER SCHOOL BEHIND THEIR PEERS, SCORE LOWER ON ACHIEVEMENT TESTS, EARN LESS AS ADULTS, AND HAVE WORSE HEALTH OUTCOMES. THIS PATTERN IS ESPECIALLY CLEAR FOR THE POOREST AND YOUNGEST CHILDREN AND THOSE WHO REMAIN IN POVERTY A LONG TIME. THERE IS STRONG EVIDENCE LINKING INCOME AND HEALTH THAT SUGGESTS THAT POLICIES PROMOTING ECONOMIC EQUITY MAY HAVE BROAD HEALTH EFFECTS. WE KNOW THAT INCOME INFLUENCES HEALTH THROUGH VARIOUS CLINICAL, BEHAVIORAL, SOCIAL AND ENVIRONMENTAL WAYS. INCOME INEQUALITY HAS GROWN SUBSTANTIALLY IN RECENT YEARS, WHICH EXACERBATES HEALTH INEQUITIES IN KING COUNTY AND THE WAMI REGION.AS SUCH, OUR GOALS IN THIS AREA ARE TO BECOME AN ANCHOR INSTITUTION THROUGH PLACE-BASED WORK AND INVESTMENTS LOCALLY AND REGIONALLY. THIS MEANS DOCUMENTING A MEASURED INCREASE IN OUR LOCAL, DIVERSE HIRING, ESPECIALLY FROM UNDER-RESOURCED COMMUNITIES IN OUR REGION. WE HAVE SIMILAR GOALS FOR PURCHASED SERVICES AND SUPPLIES AS WELL AS MEASUREABLES OF LOCAL AND DIVERSE HIRING IN EACH OF OUR CONSTRUCTION PROJECTS. WE PLAN ON DEVELOPING AND MAINTAINING LOCAL HOUSING SUPPORTS, SUPPORTING THE MEDICAL LEGAL PARTNERSHIP, REDEVELOPING THE NEW ODESSA BROWN CHILDREN'S CLINIC FOR HEALTH CARE AND MIXED USE AND PARTNERING WITH COMMUNITY TRANSPORTATION SUPPORTS TO REMOVE BARRIERS TO ACCESSING CARE. WE CONTINUE TO CONTRACT WITH OUR LOCAL MEDICAID TRANSPORTATION PROVIDER, HOPELINK, TO STAFF A DESK AT THE HOSPITAL AND FACILITATE RIDES FOR FAMILIES TO AND FROM THEIR APPOINTMENTS.ASSESSMENT RESULTS HAVE VALIDATED OUR EXISTING WORK AND HAVE HELPED US PRIORITIZE WHERE AND HOW TO FOCUS OUR CHNA. HOWEVER, GIVEN THE COMPLEXITY OF COMMUNITY NEEDS AND THE FINITE RESOURCES AVAILABLE TO MEET THEM, WE HAVE DIFFICULT CHOICES. WE BELIEVE THAT BY WORKING IN PARTNERSHIP WITH OTHERS, OUR EFFORTS WILL HAVE RIPPLE EFFECTS THROUGHOUT THE COMMUNITY.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 13H: DUE TO SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, THE STANDARD APPLICATION PROCESS FOR FINANCIAL ASSISTANCE IN RARE CASES MAY NOT BE COMPLETED. IN CASES WHERE A PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR FINANCIAL ASSISTANCE IN THE ABSENCE OF RECEIVING ALL REQUIRED INFORMATION, THE VICE PRESIDENT OF REVENUE CYCLE OR THE CHIEF FINANCIAL OFFICER, OR THEIR DELEGATE, MAY ALSO APPROVE PATIENT ACCOUNT BALANCE WRITE-OFFS TO FINANCIAL ASSISTANCE.
PART V, SECTION B, LINE 3E:	AS STATED, SEATTLE CHILDREN'S CONDUCTED ITS THIRD COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019 TO COVER THE FISCAL PERIOD ENDING 2019-2022 (TAX YEARS 2018-2021). IN THIS CHNA, WE LOOKED AT AND ANALYZED OVER 150 INDICIES OF PEDIATRIC HEALTH STATUS AND OUTCOMES IN THE WASHINGTON, ALASKA, MONTANA AND IDAHO REGION. AS IDENTIFIED THROUGH THE CHNA, THE PRIORITIZED AND SIGNIFICANT HEALTH NEEDS FOR THE PEDIATRIC POPULATION WE SERVE OVER THIS TIME PERIOD ARE: MENTAL AND BEHAVIORAL HEALTH, SUICIDE AND INJURY PREVENTION, ECONOMIC SECURITY AND HEALTHY LIFESTYLES (AN OVERARCHING TERM MEANING SPECIFICALLY HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY). IN ALIGNMENT WITH OUR ORGANIZATIONAL MISSION TO PROVIDE HOPE, CARE AND CURES TO HELP EVERY CHILD LIVE THE HEALTHIEST AND MOST FULFILLING LIFE POSSIBLE, OUR CHNA LEANS INTO OUR VALUES OF EXCELLENCE, INTEGRITY, COLLABORATION, EQUITY AND INNOVATION TO BE A LEADER IN PEDIATRIC HEALTH AND WELLNESS THROUGHOUT OUR COMMUNITY.

Field	Value	IRS element (for citing)
Facility	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - RESEARCH INSTITUTE OLIVE LAB
1100 OLIVE WAY SUITE 100	SEATTLE	WA	98101	PEDIATRIC RESEARCH
2 - RESEARCH INST JACK R MACDONALD BLDG
1900 NINTH AVE	SEATTLE	WA	98101	PEDIATRIC RESEARCH
3 - RESEARCH INSTITUTE WEST 8TH
2001 EIGHTH AVE SUITE 400	SEATTLE	WA	98121	PEDIATRIC RESEARCH
4 - RESEARCH INSTITUTE 307 WESTLAKE
307 WESTLAKE AVE N	SEATTLE	WA	98109	PEDIATRIC RESEARCH
5 - RESEARCH INSTITUTE MET PARK WEST
1100 OLIVE WAY	SEATTLE	WA	98101	PEDIATRIC RESEARCH
6 - BELLEVUE CLINIC & SURGERY CENTER
1500 116TH AVE NE	BELLEVUE	WA	98004	CLINIC, SUB SPECIALTY SERVICES, URGENT CARE AND SURGERY CENTER
7 - SEATTLE CHILDREN'S HOME CARE SERVICES
2525 220TH STREET SE SUITE 101	BOTHELL	WA	98201	PEDIATRIC HOME CARE SERVICES THAT SUPPORT HOSPITAL
8 - SEATTLE CHILDREN'S SOUTH CLINIC
34920 ENCHANTED PARKWAY S	FEDERAL WAY	WA	98003	AMBULATORY CLINIC PROVIDING PRIMARY, CARDIOLOGY AND SUB SPECIALTY CARE
9 - SEATTLE CHILDREN'S NORTH CLINIC
1815 13TH ST	EVERETT	WA	98201	CLINIC, SUB SPECIALTY SERVICES, AND URGENT CARE
10 - SEATTLE CHILDREN'S AT OVERLAKE
1135 116TH AVE NE SUITE 400	BELLEVUE	WA	98004	SUB SPECIALTY CARE
11 - ODESSA BROWN CHILDREN'S CLINIC
2101 E YESLER WAY	SEATTLE	WA	98122	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE
12 - SEATTLE CHILDREN'S AUTISM CENTER
4909 25TH AVE NE	SEATTLE	WA	98105	AUTISM CLINIC
13 - SOUTH SOUND CARDIOLOGY CEDAR MED CTR
1901 S CEDAR ST SUITE 103	TACOMA	WA	98405	CARDIOLOGY CLINIC
14 - SOUTH SOUND CARDIOLOGY CLEAR CREEK
9800 LEVIN RD NW SUITE 204	SILVERDALE	WA	98383	CARDIOLOGY CLINIC
15 - SEATTLE CHILDREN'S OLYMPIA CLINIC
615 LILLY ROAD MEDICAL BLDG SUITE	OLYMPIA	WA	98506	AMBULATORY CLINIC PROVIDING PRIMARY, CARDIOLOGY AND SUB SPECIALTY CARE	140
16 - ADOLESCENT MEDICINE AT SPRINGBROOK
4540 SAND POINT WAY NE BLDG 1 STE	SEATTLE	WA	98105	ADOLESCENT MEDICAL CLINIC	200
17 - PEDIATRIC CARDIOLOGY OF MONTANA
2510 BOBCAT WAY	GREAT FALLS	MT	59405	CARDIOLOGY CLINIC
18 - PEDIATRIC CARDIOLOGY OF ALASKA
3841 PIPER ST SUITE T345	ANCHORAGE	AK	99508	CARDIOLOGY CLINIC
19 - SEATTLE CHILDREN'S WENATCHEE CLINIC
526 N CHELAN AVE SUITE B	WENATCHEE	WA	98801	PEDIATRIC MEDICAL CLINIC
20 - SEATTLE CHILDREN'S TRI-CITIES CLINIC
900 STEVENS DR SUITE 204	RICHLAND	WA	99352	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE
21 - CHILDREN'S ORTHOTICS & PROSTHETICS
4575 SAND POINT WAY NE SUITE 106	SEATTLE	WA	98105	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	SEATTLE CHILDREN'S HOSPITAL (SEATTLE CHILDREN'S) USES THE FEDERAL POVERTY GUIDELINES (FPG) AS ITS PRIMARY CRITERIA FOR QUALIFYING PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE. FAMILIES WHO RESIDE IN OUR REGION WITH INCOME BELOW OR EQUAL TO 400% FPG BASED ON THEIR FAMILY SIZE QUALIFY FOR FINANCIAL ASSISTANCE. FURTHERMORE, SEATTLE CHILDREN'S RECOGNIZES THAT FAMILIES WHO HAVE HIGH BALANCES, EVEN WITH HIGHER INCOMES, CAN EXPERIENCE FINANCIAL HARDSHIP. RESPONSIBLE PARTIES WHOSE INCOME IS BETWEEN 400% AND 599% FPG, WHO HAVE INCURRED SIGNIFICANT ACCOUNT BALANCES, AND WHO ARE NOT ELIGIBLE FOR FUNDING FROM OTHER SOURCES ARE ALSO ELIGIBLE FOR SLIDING SCALE FINANCIAL ASSISTANCE WHEREBY THEY ARE RESPONSIBLE FOR PAYING A PERCENTAGE OF THEIR BILL WHICH IS PROPORTIONATELY DISCOUNTED BASED ON THEIR INCOME AND SEATTLE CHIDREN'S FINANCIAL ASSISTANCE FUNDS THE REMAINING BALANCES. FAMILIES WHO RECEIVE A DENIAL OF FINANCIAL ASSISTANCE BASED ON THE FPG AND FAMILY SIZE INFORMATION ARE ALLOWED TO APPEAL THE DENIAL BY PROVIDING INFORMATION ABOUT ADDITIONAL CIRCUMSTANCES IMPACTING THEIR FINANCIAL SITUATION SUCH AS EXCESSIVE MEDICAL DEBT. THE VICE PRESIDENT OF REVENUE CYCLE OR CHIEF FINANCIAL OFFICER, OR THEIR DELEGATE, MAY ADMINISTRATIVELY APPROVE FINANCIAL ASSISTANCE BASED ON THIS ADDITIONAL INFORMATION. THESE SAME INDIVIDUALS CAN ALSO GRANT FINANCIAL ASSISTANCE IN SPECIAL CASES BASED ON SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, OR DUE TO OTHER REASONS WHEN THE STANDARD APPLICATION PROCESS FOR FINANCIAL ASSISTANCE IS NOT LIKELY TO BE SUCCESSFULLY COMPLETED EVEN THOUGH THE PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR FINANCIAL ASSISTANCE.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,406,777.
PART I, LINE 6:	SEATTLE CHILDREN'S PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE TO THE GENERAL PUBLIC. SEATTLE CHILDREN'S APPLIES THE CATHOLIC HEALTH ASSOCIATION PRINCIPLES AND USES THE "CBISA LYONS" SOFTWARE TO ACCUMULATE THE INFORMATION INCLUDED IN ITS ANNUAL COMMUNITY BENEFIT REPORT. SEE SCHEDULE O FOR THE FULL 2019 COMMUNITY BENEFIT REPORT OR VISIT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT.
PART I, LINE 7:	THE MISSION OF SEATTLE CHILDREN'S HOSPITAL IS TO PROVIDE EXCELLENT PATIENT CARE FOR CHILDREN, TO ENGAGE IN INNOVATIVE RESEARCH THAT WILL IMPROVE THE HEALTH OF CHILDREN, TO TRAIN THE NEXT GENERATION OF PHYSICIANS, OTHER HEALTHCARE WORKERS AND SCIENTISTS WHO WILL ADVANCE THE HEALTH OF CHILDREN, AND TO ADVOCATE FOR THE HEALTHCARE NEEDS OF CHILDREN. AS PART OF ITS MISSION, SEATTLE CHILDREN'S IS COMMITTED TO CARING FOR CHILDREN IN ITS SERVICE AREA IRRESPECTIVE OF ABILITY TO PAY AND TO OTHERWISE IDENTIFY AND HELP TO MEET THE HEALTHCARE NEEDS OF CHILDREN IN THE COMMUNITY.FINANCIAL ASSISTANCE REPRESENTS THE ESTIMATED COST OF CARE PROVIDED TO CHILDREN WHO ARE UNINSURED OR UNDERINSURED AND WHOSE FAMILIES CANNOT AFFORD TO PAY FOR THEIR MEDICAL CARE. SEATTLE CHILDREN'S PROVIDES FINANCIAL ASSISTANCE IN ACCORDANCE WITH ITS FINANCIAL ASSISTANCE POLICY BASED ON FAMILY NEED AND MAINTAINS RECORDS TO IDENTIFY THE LEVEL OF ASSISTANCE IT PROVIDES. THE DETERMINATION OF FAMILY NEED IS EVALUATED DURING A PATIENT'S COURSE OF CARE AND CAN BE UPDATED AFTER CARE IS COMPLETE. BECAUSE SEATTLE CHILDREN'S DOES NOT PURSUE COLLECTION OF THESE AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, THEY ARE NOT REPORTED AS REVENUE. THE ESTIMATED COST OF FINANCIAL ASSISTANCE PROVIDED IS BASED ON A RATIO OF HOSPITAL TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF HOSPITAL TOTAL GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE SERVICES, RESULTING IN THE ESTIMATED COST OF PROVIDING FINANCIAL ASSISTANCE.MEDICAID PAYMENT SHORTFALL REPRESENTS THE ESTIMATED COST OF PROVIDING SERVICES TO PATIENTS COVERED UNDER MEDICAID IN EXCESS OF PAYMENTS RECEIVED. THE ESTIMATED COST OF SERVICES PROVIDED TO MEDICAID PATIENTS IS BASED ON A RATIO OF HOSPITAL TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF HOSPITAL TOTAL GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS CHARGES RELATED TO SERVICES PROVIDED TO MEDICAID PATIENTS, RESULTING IN THE ESTIMATED COST OF PROVIDING CARE TO THESE PATIENTS.OTHER BENEFITS REPRESENT THE COSTS OF PROVIDING PROGRAMS, NET OF DIRECT OFFSETTING REVENUES, FOR THE BENEFIT OF THE ENTIRE COMMUNITY. THESE BENEFITS INCLUDE RESEARCH, HEALTH PROFESSIONS EDUCATION AND VARIOUS OTHER COMMUNITY-BASED HEALTHCARE PROGRAMS.
PART II, COMMUNITY BUILDING ACTIVITIES:	AS PART OF OUR MISSION TO PROVIDE HOPE, CARE AND CURES TO HELP EVERY CHILD LEAD THEIR HEALTHIEST AND MOST FULLFILLING LIFE POSSIBLE, SEATTLE CHILDREN'S MAKES PROACTIVE AND STRATEGIC INVESTMENTS TO HELP CHILDREN AND FAMILIES BE AND STAY HEALTHY IN THE PLACES WHERE THEY LIVE, PLAY AND LEARN. WE WORK WITH OUR COMMUNITIES TO ADDRESS SOME OF THE DETERMINANTS OF HEALTH SUCH AS EDUCATION, HOUSING, ACCESS TO HEALTHY AFFORDABLE FOOD, SOCIAL SUPPORTS AND THE BUILT ENVIRONMENT. SOME EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES INCLUDE:- ODESSA BROWN CHILDREN'S CLINIC (OBCC) IS A COMMUNITY CLINIC OF SEATTLE CHILDREN'S. CHILDREN FROM BIRTH THROUGH AGE 21 RECEIVE CARE FROM A TEAM OF SPECIALLY TRAINED PEDIATRIC CARE PROVIDERS. LOCATED IN SEATTLE'S CENTRAL DISTRICT, OBCC PROVIDES MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO OVER 40,000 PATIENTS A YEAR, FOCUSING ESPECIALLY ON FAMILIES IN LOW-INCOME COMMUNITIES. OBCC'S MODEL FOR CARE IS UNIQUE AND ADDRESSES THE SOCIAL, ECONOMIC AND ENVIRONMENTAL ROOTS OF ILLNESS. AS A SITE FOR REACH OUT AND READ, OBCC PROMOTES EARLY LITERACY BY PROVIDING BOOKS AT WELL-CHILD VISITS FOR CHILDREN AGES 6 MONTHS TO 5 YEARS OLD. OBCC PROVIDES BOOKS TO ALL CHILDREN AT ALL VISITS AND EXTENDS THE OFFERING TO SIBLINGS THAT COME TO THE APPOINTMENTS. OBCC ALSO DISTRIBUTES BOOKS AT NO COST TO LOCAL SCHOOLS WHERE THEY PROVIDE HEALTH AND MENTAL HEALTH SERVICES. LAST YEAR OBCC DISSEMINATED 6,000 BOOKS.- OUR CLINICAL AND NON-CLINICAL STAFF AND PROVIDERS PROVIDE LECTURES, TOURS, MENTORING AND SHADOWING OPPORTUNITIES THAT DISCUSS EMPLOYMENT OPPORTUNITIES IN HEALTHCARE TO UNDER RESOURCED STUDENTS AND PEOPLE FROM DIVERSE BACKGROUNDS. ONE OF THE PROGRAMS REACHES OUT TO PEOPLE WHO ARE PLANNING TO ATTEND MEDICAL SCHOOL TO INCREASE THEIR SKILL SET WHEN APPLYING. IN ADDITION, WE PROVIDE NEONATAL AND PEDIATRIC CLINICAL TRAINING TO RESPIRATORY THERAPISTS AT LOCAL COLLEGES. OUR GOAL IS TO TRAIN RESPIRATORY THERAPISTS TO PROPERLY ASSESS PATIENTS FOR RESPIRATORY INTERVENTIONS. ONCE THESE THERAPISTS ARE CREDENTIALED AND LICENSED, THEY WILL JOIN EMERGENCY RESPONSE TEAMS AND THEIR SKILLS TO ASSESS PEDIATRIC PATIENTS WILL HAVE A VALUABLE IMPACT IN CASE OF EMERGENCY RESPONSE DEPLOYMENT. WITH CERTAIN TYPES OF DISASTERS, WE ANTICIPATE THE NEED FOR PROFESSIONALS WHO CAN ASSESS THE NEED FOR AND ADMINISTER COMPLEX RESPIRATORY THERAPY TREATMENTS TO PEDIATRIC PATIENTS, SO THE TYPE OF TRAINING WE OFFER IS CRUCIAL. - ADDITIONALLY, SEATTLE CHILDREN'S OFFERS MEDICAL OBSERVERSHIPS AND SHADOWING OPPORTUNITIES WHEREBY INDIVIDUALS WITH OR WITHOUT PRIOR MEDICAL EDUCATION CAN OBSERVE MEDICAL PROFESSIONALS AS THEY CARE FOR PATIENTS AND FAMILIES FOR A SPECIFIC PERIOD OF TIME. WHILE OBSERVERS ARE VISITORS AND NOT INVOLVED IN PATIENT CARE, PARTICIPANTS ARE EXPOSED TO DIFFERENT MEDICAL PROFESSIONS AND ARE OFTEN INSPIRED TO PURSUE A CAREER IN HEALTH CARE DELIVERY. - SEATTLE CHILDREN'S HOSTS THE SCIENCE ADVENTURE LAB. THE SCIENCE ADVENTURE LAB IS A CUSTOM-BUILT, MOBILE SCIENCE LAB OUTFITTED WITH RESEARCH GRADE EQUIPMENT AND SPACE FOR UP TO 30 STUDENTS AT A TIME. THE MOBILE LAB TRAVELS TO SCHOOLS ACROSS WASHINGTON TO PROVIDE INNOVATIVE, HANDS-ON SCIENCE CURRICULUM TO STUDENTS IN GRADES FOUR THROUGH TWELVE REACHING 6,397 CHILDREN IN 2019. INSIDE, STUDENTS PERFORM SCIENCE EXPERIMENTS AND LEARN ABOUT CAREERS IN SCIENCE AND HEALTH CARE. MANY OF THE SCHOOLS ARE IN RURAL AREAS AND/OR HAVE HIGH NUMBERS OF LOW INCOME CHILDREN. THE SCIENCE ADVENTURE LAB PROGRAM OFFERS A VARIETY OF DIFFERENT CURRICULUM MODULES FROM WHICH TEACHERS CAN SELECT. EACH MODULE USES HANDS-ON ACTIVITIES TO TEACH SCIENCE CONTENT WHILE ADDRESSING KEY ISSUES IN PEDIATRIC HEALTH SUCH AS ASTHMA, CONCUSSIONS, NUTRITION AND THE CONNECTION BETWEEN GENES AND HEALTH. IN ADDITION TO THE MOBILE LAB, OUR SCIENCE EDUCATION DEPARTMENT HOSTS HIGH SCHOOL STUDENTS FOR CAREERS IN BIOMEDICAL RESEARCH AND HEALTH CARE THROUGH A YEAR-LONG ACADEMIC PROGRAM, A RESEARCH TRAINING PROGRAM WHEREBY HIGH SCHOOL STUDENTS FROM UNDER REPRESENTED GROUPS APPLY FOR POSITIONS IN OUR RESEARCH TRAINING PROGRAM. WE ALSO HOST THE SCIENCE DISCOVERY LAB AT OUR BUILDING CURE SITE WHERE STUDENTS OF ANY AGE CAN PARTICIPATE IN AUTHENTIC SCIENCE IN A LAB EMBEDDED IN OUR RESEARCH INSTITUTE ITSELF. - ADDITIONALLY, SEATTLE CHILDREN'S IS COMMITTED TO CONTRIBUTING TO TRANSPORTATION IMPROVEMENTS IN NORTHEAST SEATTLE AND BEYOND. THROUGH OUR LIVABLE STREETS INITIATIVE, WE WORK WITH OUR COMMUNITY ON PROJECTS SUCH AS UPGRADES TO LOCAL STREETS SO THAT THEY ARE SAFE FOR PEDESTRIANS AND BIKERS OF ALL AGES AND ABILITIES; INTELLIGENT TRANSPORTATION SYSTEMS THAT USE TECHNOLOGY TO GIVE DRIVERS MORE INFORMATION; AND INTERSECTION IMPROVEMENTS THAT INCREASE SAFETY FOR ALL USERS. IN 2019, OUR COMMUNITY BUILDING WORK INCLUDED COLLABORATION WITH OTHER COMMUNITY PARTNERS SUCH AS FORTERRA AND PLANTED 250 TREES TO SEQUESTER 1,300 TONS OF CARBON. ADDITIONALLY, SEATTLE CHILDREN'S PARTNERED WITH U-DISTRICT RESIDENTS, BUSINESSES, THE UNIVERSITY OF WASHINGTON, U-DISTRICT PARTNERSHIP, GOVERNMENT AGENCIES AND COMMUNITY GROUPS TO SPONSOR AND HELP CRAFT AN ACCESS PLAN FOR THE FUTURE U-DISTRICT LIGHT RAIL STATION AT 43RD AND BROOKLYN. THE PLAN IS BOTH A VISION AND A LIST OF ACTIONABLE RECOMMENDATIONS THAT ADDRESS ACCESS, SAFETY AND LIVABILITY AROUND THE FUTURE LIGHT RAIL STATION. SEATTLE CHILDREN'S STAFF HELPED SECURE FUNDING, CREATE AN RFP FOR A CONSULTANT TEAM, CRAFT SURVEYS, LEAD COMMUNITY WORKSHOPS, TRANSLATE MATERIALS, ATTEND OUTREACH EVENTS AND COORDINATE WITH GOVERNMENTAL AGENCIES TO DEVELOP THE PLAN.- WE HAVE ALSO INCREASED OUR COMMUNITY BUILDING EFFORTS AMONGST OUR WORKFORCE, OUR DIVERSITY AND INCLUSION DIVISION AND OTHER COMMUNITY GROUPS IN THE REGION. EXAMPLES OF OUR INCLUSION NETWORKS ARE: Q POD (LGBTQ) NETWORK, THE GREEN TEAM (SUSTAINABILITY) NETWORK, HOLA (HISPANIC/LATINO) NETWORK, THE INDIGENOUS PEOPLES NETWORK, THE PARENTING NETWORK AND THE BLACK AND AFRICAN HERITAGE NETWORK. THESE GROUPS HAVE PARTNERED WITH COMMUNITY BASED ORGANIZATIONS TO DEVELOP AND SUPPORT PROGRAMMING AS LED BY LOCAL LEADERS AND INVEST IN COMMUNITY BUILDING EFFORTS ON BEHALF OF SEATTLE CHILDREN'S. THESE EFFORTS INCLUDE FUNDING SUPPORTIVE HOUSING INITIATIVES AND SUBSIDIZING THE COST OF HOUSING FOR OUR MOST UNDERSERVED RESIDENTS THROUGH THE HOUSING SOLUTIONS FOR HOPE GUILD.- WE ALSO PROVIDE SPONSORSHIPS TO COMMUNITY ORGANIZATIONS THAT SUPPORT CHILDREN, YOUTH AND FAMILIES BY PROVIDING QUALITY CHILD CARE, LANGUAGE AND CULTURAL TRAINING, HOUSING, WORKFORCE DEVELOPMENT, YOUTH DEVELOPMENT AND PARENTING SKILLS. WE ALSO PARTNER WITH COMMUNITY BASED ORGANIZATIONS AND COALITIONS THAT ADVOCATE FOR COMMUNITY HEALTH IMPROVEMENT, PROVIDE ECONOMIC DEVELOPMENT AND REVITALIZATION, AND HELP MAKE COMMUNITIES SAFER AND HEALTHIER. THIS WORK IS CAPTURED BY THE ORGANIZATION'S ANCHOR MISSION WHEREBY WE ARE WORKING TO ALIGN OUR INSTITUTIONAL ASSETS TO MEANINGFULLY IMPACT THE ECONOMIC AND SOCIAL FACTORS IN OUR COMMUNITY THAT CREATE HEALTH - GOOD JOBS AND DECENT WAGES; SAFE AND AFFORDABLE HOUSING; ACCESS TO HEALTHY FOOD; AND A HEALTHY, CLEAN, AND SAFE ENVIRONMENT.
PART III, LINE 2:	THE TOTAL AMOUNT OF BAD DEBT EXPENSE PROVIDED IS BASED ON THE RATIO OF TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS BAD DEBT EXPENSE, RESULTING IN BAD DEBT EXPENSE AT COST. SEATTLE CHILDREN'S CHARACTERIZES SELF PAY AS BAD DEBT WHEN A FAMILY IS EITHER NOT ELIGIBLE OR HAS NOT APPLIED FOR FINANCIAL ASSISTANCE AND IS UNWILLING OR UNABLE TO PAY AN OUTSTANDING ACCOUNT BALANCE. THE MOST COMMON PATIENT BAD DEBT SCENARIOS INCLUDE UNPAID SELF PAY PORTIONS OF ACCOUNT BALANCES AFTER INSURANCE OR THIRD PARTY ASSISTANCE PAYMENTS OR UNPAID ACCOUNT BALANCES AFTER A BANKRUPTCY FILING. SEATTLE CHILDREN'S IS SENSITIVE TO THE FINANCIAL HEALTH OF FAMILIES AND RECOGNIZES THAT FAMILY FINANCIAL CONCERNS MAY NOT ALWAYS BE EFFECTIVELY COMMUNICATED. SEATTLE CHILDREN'S IS COMMITTED TO MANAGING COLLECTION EFFORTS INTERNALLY, IN A RESPECTFUL MANNER AND WITHOUT USING EXTERNAL COLLECTION OR CREDIT AGENCIES, EXCEPT IN LIMITED CIRCUMSTANCES SUCH AS INTERNATIONAL PATIENTS. SINCE ALL COLLECTION EFFORTS ARE MANAGED INTERNALLY, IN A RESPECTFUL MANNER, SEATTLE CHILDREN'S DOES NOT DISCLOSE ITS COLLECTION PRACTICE IN THE FOOTNOTES OF THE FINANCIAL STATEMENTS.
PART III, LINE 4:	THE METHOD FOR DETERMINING UNCOLLECTIBLE ACCOUNTS IS DISCUSSED IN THE SECTION OF FOOTNOTE 8 TITLED "PATIENT ACCOUNTS RECEIVABLE," WHICH IS FOUND ON PAGE 28 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS ARE OBTAINED DIRECTLY FROM THE MEDICARE COST REPORT AND ARE DETERMINED IN ACCORDANCE WITH THE MEDICARE PRINCIPLES OF REIMBURSEMENT. THE MAJORITY OF SEATTLE CHILDREN'S MEDICARE PATIENTS ARE CHILDREN WITH END STAGE RENAL DISEASE (ESRD) THAT INCLUDES DIALYSIS CARE AND OFTEN A KIDNEY TRANSPLANT ALONG WITH OTHER RELATED SERVICES. THE ESRD CARE OFTEN RESULTS IN A LONGER LENGTH OF STAY AND HIGHER ACUITY. MEDICARE REIMBURSEMENT FOR THESE SERVICES IS SUBJECT TO THE LIMITS OF THE TAX EQUITY AND FISCAL RESPONSIBILITY ACT, WHICH ARE OFTEN BELOW SEATTLE CHILDREN'S COST. THE ACTUAL SHORTFALL IN COST REIMBURSEMENT SHOULD AT LEAST BE TREATED AS COMMUNITY BENEFIT.
PART III, LINE 9B:	SEATTLE CHILDREN'S REVENUE CYCLE DEPARTMENT USES A STANDARD, RESPECTFUL PROCEDURE FOR RESOLVING UNPAID PATIENT BALANCES. A. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES.B. SEATTLE CHILDREN'S PROVIDES A STANDARD 25% DISCOUNT ON HEALTH CARE SERVICES TO PATIENTS WHO ARE UNINSURED IN ACCORDANCE WITH ORGANIZATIONAL POLICIES AND PROCEDURES. THIS DISCOUNT ALIGNS WITH OR IS LOWER THAN DISCOUNTS PROVIDED TO COMMERCIAL INSURERS.C. ADDITIONALLY, SEATTLE CHILDREN'S ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE INTEREST-FREE PAYMENT PLANS.D. IF A PATIENT ACCOUNT BALANCE REMAINS UNPAID AFTER STANDARD INTERNAL COLLECTION PROCEDURES HAVE BEEN FOLLOWED, AND IF THE FAMILY HAS NOT APPLIED FOR OR DOES NOT QUALIFY FOR SEATTLE CHILDREN'S FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE WILL BE WRITTEN OFF AS BAD DEBT IN ACCORDANCE WITH STANDARD PROCEDURAL TIMELINES. - UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, SEATTLE CHILDREN'S IDENTIFIES ANY OUTSTANDING ACCOUNT BALANCES FOR THE ASSOCIATED PATIENT AND WRITES OFF THESE BALANCES AS BAD DEBT. - SEATTLE CHILDREN'S FINANCE DEPARTMENT MONITORS THE PORTION OF OUTSTANDING ACCOUNTS RECEIVABLE THAT IS CLASSIFIED AS BAD DEBT FOR SIGNIFICANT VARIANCES. - SEATTLE CHILDREN'S STANDARD PRACTICE IS TO COLLECT ON OUTSTANDING PATIENT ACCOUNTS USING INTERNAL RESOURCES. 1. REPORTS ARE NOT SENT TO CREDIT AGENCIES. 2. COLLECTION AGENCIES WILL NOT BE USED TO COLLECT ANY OUTSTANDING PATIENT ACCOUNT EXCEPT AS SPECIFICALLY AUTHORIZED BY THE SENIOR DIRECTOR OF REVENUE CYCLE. 3. THE USE OF COLLECTION AGENCIES WILL ONLY BE PERMITTED IN VERY RARE SCENARIOS WHERE THE FAMILY RESIDES OUTSIDE OF SEATTLE CHILDREN'S SERVICE AREA (E.G., INTERNATIONAL PATIENTS). 4. SEATTLE CHILDREN'S WILL NOT FILE A LIEN AGAINST A PATIENT'S OR FAMILY'S PRIMARY RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES.
PART VI, LINE 2:	AS PART OF SEATTLE CHILDREN'S STRATEGIC PLAN DEVELOPMENT, WE HAVE DONE RESEARCH TO IDENTIFY SPECIALTY CARE, MENTAL HEALTH AND EMERGENCY CARE ACCESS AND SHORTAGE ISSUES INCLUDING BOTH SERVICES AND STAFFING; ASSESS THE ONGOING NEED FOR UNCOMPENSATED CARE SUPPORT; AND DETERMINE POTENTIAL PARTNERSHIPS TO BETTER ADDRESS THE HEALTH CARE NEEDS OF ALL CHILDREN IN OUR REGION. ADDITIONALLY, NUMEROUS PROGRAMS AND DEPARTMENTS IN THE HOSPITAL CONDUCT NEEDS ASSESSMENTS TO IDENTIFY HEALTH PROMOTION, HEALTH CARE AND HEALTH DISPARITIES THAT IMPACT THE HEALTH OF CHILDREN AND FAMILIES.
PART VI, LINE 3:	INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO EVERY FAMILY THAT COMES TO SEATTLE CHILDREN'S, WHETHER FOR AN INPATIENT STAY, CLINIC VISIT, SURGERY OR THROUGH THE EMERGENCY DEPARTMENT. BOTH APPLICATION FORMS AND SIGNAGE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH, SPANISH, VIETNAMESE, RUSSIAN, AND SOMALI. IN PERSON INTERPRETERS AND THE HOSPITAL'S SPEAK LINE, WHICH ACCESSES TELEPHONE INTERPRETATION, HELP PROVIDE INFORMATION TO FAMILIES WITH LIMITED ENGLISH PROFICIENCY INFORMATION ABOUT FINANCIAL ASSISTANCE. AN APPLICATION FORM IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE. ALL REGISTRATION DESKS HAVE FINANCIAL ASSISTANCE INFORMATION VISIBLE AND AVAILABLE. EVERY INPATIENT AND EMERGENCY DEPARTMENT FAMILY IS OFFERED FINANCIAL ASSISTANCE INFORMATION, WHETHER OR NOT THEY HAVE INSURANCE. ALL HOSPITAL BILLS INCLUDE A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IF HELP IS NEEDED IN PAYING A BILL, REGARDLESS OF INSURANCE STATUS.FINANCIAL COUNSELORS ARE AVAILABLE TO MEET INDIVIDUALLY WITH FAMILIES TO HELP DETERMINE WHAT ASSISTANCE THEY MAY QUALIFY FOR AND TO HELP THEM COMPLETE AND SUBMIT FORMS. THE FINANCIAL COUNSELORS RECEIVE INFORMATION THROUGH THE SCHEDULING SYSTEM THAT IDENTIFIES UNINSURED OR UNDERINSURED FAMILIES. FINANCIAL COUNSELORS CONTACT FAMILIES TO CLARIFY ASSISTANCE AVAILABLE AND TO OFFER THEIR HELP WITH APPLYING FOR ASSISTANCE. THEY HELP FAMILIES DETERMINE IF THEY QUALIFY FOR OTHER SOURCES OF FUNDING, INCLUDING MEDICAID AND QUALIFIED HEALTH PLANS SOLD ON THE STATE INSURANCE EXCHANGE. SOCIAL WORKERS ALSO HELP SCREEN FAMILIES FOR FINANCIAL NEEDS AND REFER PATIENTS TO FINANCIAL COUNSELORS.
PART VI, LINE 4:	SEATTLE CHILDREN'S SERVES AS THE PEDIATRIC AND ADOLESCENT MEDICAL CENTER FOR WASHINGTON, ALASKA, IDAHO, AND MONTANA, THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. WE PRIMARILY SERVE CHILDREN FROM BIRTH TO 21 YEARS OLD, MOST OF WHOM ARE FROM WASHINGTON STATE. OVER 51% OF OUR PATIENTS ARE UNINSURED OR INSURED BY MEDICAID OR THE CHILDRENS HEALTH INSURANCE PROGRAM (KNOWN AS CHIP OR APPLE HEALTH FOR KIDS IN WASHINGTON STATE). IN 2019, 18% OF OUR PATIENTS CAME FROM SEATTLE, 33% FROM KING COUNTY, 45% FROM LOCATIONS IN WASHINGTON STATE OUTSIDE KING COUNTY, 3% FROM ALASKA, MONTANA AND IDAHO AND 1% FROM AREAS OUTSIDE THE REGION. THESE AREAS ARE URBAN, SUBURBAN AND RURAL. OF THE MORE THAN 7.5 MILLION RESIDENTS OF WASHINGTON STATE, NEARLY 25% ARE UNDER 20 YEARS OLD. WASHINGTON STATE DATA ALSO SHOWS THAT 13.5% OF THE POPULATION ARE FOREIGN-BORN WITH 19% SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME. OF THE 1.6 MILLION CHILDREN UNDER THE AGE OF 18 IN WASHINGTON STATE, 21% OF THEM ARE OF HISPANIC OR LATINO ORIGIN. ALSO, 18% OF CHILDREN IN WASHINGTON STATE AND 15% OF CHILDREN IN KING COUNTY LIVE IN POVERTY AND 7% OF WASHINGTONIANS (5% KING COUNTY) LIVE IN EXTREME POVERTY. ALMOST HALF OF ALL WASHINGTON RESIDENTS ON MEDICAID ARE CHILDREN OR TEENS. WHILE MEDICAID EXPANSION HAS PLAYED A ROLE IN REDUCING THE UNINSURED RATE IN WASHINGTON STATE, DATA TELLS US THAT 5.5% OF THE WASHINGTON STATE POPULATION IS UNINSURED (400,000 INDIVIDUALS OF ALL AGES) EVEN AFTER THE AFFORDABLE CARE AND PATIENT PROTECTION ACT AND MEDICAID EXPANSION. FOR CHILDREN WHO REMAIN UNINSURED IN WASHINGTON STATE, WE BELIEVE THAT MOST ARE LIKELY ELIGIBLE FOR APPLE HEALTH FOR KIDS, ALTHOUGH THEIR PARENTS MAY NOT BE AWARE OF THEIR ELIGIBILITY. AS THE PEDIATRIC AND ADOLESCENT MEDICAL CENTER FOR WASHINGTON, ALASKA, IDAHO, AND MONTANA, SEATTLE CHILDREN'S HOSPITAL HAS SPECIALIZED IN MEETING THE UNIQUE PHYSICAL, EMOTIONAL AND DEVELOPMENTAL NEEDS OF CHILDREN FROM INFANCY THROUGH YOUNG ADULTHOOD. THROUGH THE COLLABORATION OF PHYSICIANS AND OTHER CARE PROVIDERS IN NEARLY 60 PEDIATRIC SUBSPECIALTIES, WE PROVIDE INPATIENT, OUTPATIENT, DIAGNOSTIC, SURGICAL, REHABILITATIVE, BEHAVIORAL, EMERGENCY AND OUTREACH SERVICES - REGARDLESS OF A FAMILY'S ABILITY TO PAY. WHILE 96% OF OUR PATIENTS HAIL FROM WASHINGTON STATE, THE STATE ITSELF HAS 47 MEDICALLY UNDERSERVED AREAS AND POPULATIONS THROUGHOUT ITS 39 COUNTIES.
PART VI, LINE 5:	SEATTLE CHILDREN'S IS GOVERNED BY A BOARD OF TRUSTEES, CONSISTING OF BETWEEN 20-30 VOTING TRUSTEES WHO ARE MEMBERS OF THE LOCAL COMMUNITY. SEATTLE CHILDREN'S FUNCTIONS THROUGH COMMITTEES THAT ARE STAFFED WITH TRUSTEES OF RESPECTIVE BOARDS WHO HAVE SIGNIFICANT EXPERIENCE AND SKILLS REQUIRED BY THAT COMMITTEE, AND IN SOME CASES INCLUDE OUTSIDE MEMBERS WHO ARE NOT TRUSTEES WHEN THEIR KNOWLEDGE OR EXPERIENCE WOULD CONTRIBUTE TO THE WORK OF THE COMMITTEE. SEATTLE CHILDREN'S ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO CERTAIN QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OF ITS DEPARTMENTS. SEATTLE CHILDREN'S ALSO HAS REGIONAL STRATEGIC AFFILIATIONS WITH THE FOLLOWING ENTITIES:- UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (UWSOM)SEATTLE CHILDREN'S HAS HAD A FORMAL AFFILIATION WITH THE UWSOM SINCE 1974. SEATTLE CHILDREN'S HOSPITAL PROVIDES THE PEDIATRIC COMPONENT OF THE UWSOM UNDERGRADUATE MEDICAL EDUCATION PROGRAM AS WELL AS THE HOSPITAL-BASED PEDIATRIC TRAINING EXPERIENCE FOR ALL POST-GRADUATE PROGRAMS.THE UWSOM, A REGIONAL RESOURCE FOR WASHINGTON, WYOMING, ALASKA, MONTANA, AND IDAHO, IS A NATIONALLY AND INTERNATIONALLY RECOGNIZED LEADER IN MEDICAL EDUCATION, PATIENT CARE, SCIENTIFIC RESEARCH AND COMMUNITY SERVICE. THE UWSOM HAS 30 DEPARTMENTS, MANY CENTERS AND NUMEROUS AFFILIATIONS THROUGHOUT THE FIVE-STATE REGION. THE UWSOM OFFERS EXTENSIVE TRAINING PROGRAMS IN THE BASIC MEDICAL SCIENCES, PRIMARY CARE AND THE SPECIALTIES OF CLINICAL MEDICINE. IT HAS A FULL-TIME REGULAR AND RESEARCH FACULTY OF APPROXIMATELY 2,400. IN ADDITION TO TRAINING FUTURE PHYSICIANS, THE FACULTY ALSO TEACHES GRADUATE AND UNDERGRADUATE STUDENTS IN MANY DISCIPLINES, AND 4,600 VOLUNTEER AND PART-TIME CLINICAL FACULTY MEMBERS TEACH STUDENTS IN TOWNS AND CITIES ACROSS THE REGION. THE UWSOM IS AFFILIATED WITH THE 450-BED UNIVERSITY OF WASHINGTON MEDICAL CENTER AND THE 413-BED HARBORVIEW MEDICAL CENTER, WITH WHICH SEATTLE CHILDREN'S HOSPITAL SHARES A DESIGNATION AS A PEDIATRIC LEVEL I TRAUMA CENTER.- CHILDREN'S UNIVERSITY MEDICAL GROUP (CUMG)SEATTLE CHILDREN'S HEALTHCARE SYSTEM AND THE UNIVERSITY OF WASHINGTON (THE "UW") JOINTLY CONTROL CUMG, A WASHINGTON NONPROFIT CORPORATION AND A 501(C)(3) ORGANIZATION. CUMG IS A PEDIATRIC PRACTICE PLAN THAT EMPLOYS AND MANAGES THE CLINICAL PRACTICES OF APPROXIMATELY 500 PROFESSIONAL MEMBERS WHO ARE BOTH MEMBERS OF SEATTLE CHILDREN'S HOSPITAL MEDICAL STAFF AND PEDIATRIC FACULTY MEMBERS OF THE UWSOM.- PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC (PCNS)SEATTLE CHILDREN'S PARTICIPATES IN A JOINT VENTURE WITH PROVIDENCE EVERETT MEDICAL CENTER (PEMC), AN UNRELATED COMMUNITY-BASED HOSPITAL LOCATED IN EVERETT, WASHINGTON. CHILDREN'S AND PEMC EACH OWN A 50% INTEREST IN PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC. PCNS MANAGES THE OPERATIONS OF THE NEONATAL INTENSIVE CARE UNIT AT PEMC AND PROVIDES NEONATAL NURSE PRACTITIONER SERVICES TO PEMC.- SEATTLE CANCER CARE ALLIANCE (SCCA)THE SEATTLE CANCER CARE ALLIANCE, A WASHINGTON NONPROFIT CORPORATION AND 501(C)(3) ORGANIZATION, OFFERS A COMPREHENSIVE PROGRAM OF INTEGRATED CANCER CARE SERVICES. ITS MEMBERS ARE SEATTLE CHILDREN'S HEALTHCARE SYSTEM, UW, AND FRED HUTCHINSON CANCER RESEARCH CENTER. SCCA OPERATES AN AMBULATORY CANCER CARE SERVICES FACILITY AND A 20-BED LICENSED HOSPITAL INSIDE UWMC.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (146 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
AHS HOSPITAL CORPORATION
PO BOX 48328	NEWARK	NJ	071014828	521958352	501(C)(3)	$17,817	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
AKRON CHILDREN'S HOSPITAL
ONE PERKINS SQUARE	AKRON	OH	44308	340714357	501(C)(3)	$53,231	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
ALASKA MARINE SAFETY EDUCATION ASSOCIATION
2924 HALIBUT POINT RD	SITKA	AK	99835	920129584	501(C)(3)	$19,850	GRANT IN SUPPORT OF COLD WATER SAFETY AND SURVIVAL EDUCATION FOR CHILDREN AND TEACHERS
ALL CHILDREN'S RESEARCH INSTITUTE INC
501 6TH AVE S DEPT 9581	ST PETERSBURG	FL	33701	592481742	501(C)(3)	$30,455	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
AMERICAN ACADEMY OF PEDIATRICS
141 NORTHWEST POINT BLVD	ELK GROVE	IL	60007	362275597	501(C)(3)	$33,611	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	136813787	501(C)(3)	$20,000	GRANT IN SUPPORT OF INFANT CPR AND CPR ANYTIME PROGRAM FOR SOUTHEAST ALASKA
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	$22,378	SPONSORSHIPS OF ALASKA HEART RUN AND TACOMA HEART BALL
ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO
225 E CHICAGO AVE BOX 205	CHICAGO	IL	60611	362170833	501(C)(3)	$58,989	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
BARTLETT REGIONAL HOSPITAL
3260 HOSPITAL DRIVE	JUNEAU	AK	99801	920118538	GOVERNMENT	$6,675	GRANTS IN SUPPORT OF BARTLETT BEGINNINGS PROGRAM AND SCREENAGERS DOCUMENTARY VIEWING
BAYLOR COLLEGE OF MEDICINE
TEXAS CHILDRENS 6701 FANNIN ST STE	HOUSTON	TX	77030	741613878	501(C)(3)	$233,353	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	1040
BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON
1201 NINTH AVE	SEATTLE	WA	981012795	910653422	501(C)(3)	$715,319	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
BILLINGS CLINIC
2800 TENTH AVE S	BILLINGS	MT	59101	810231784	501(C)(3)	$12,786	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
BLOODWORKS NORTHWEST
921 TERRY AVE	SEATTLE	WA	981041256	911019655	501(C)(3)	$140,131	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CAROLINAS HEALTHCARE SYSTEM
PO BOX 601979	CHARLOTTE	NC	28260	560529945	GOVERNMENT	$8,729	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CASCADE BICYCLE CLUB EDUCATION FOUNDATION
7787 62ND AVE NE	SEATTLE	WA	98115	912165219	501(C)(3)	$6,000	SPONSORSHIPS OF BIKE TO SCHOOL MONTH, BIKE EVERYWHERE BREAKFAST, AND LET'S GO BIKE AND PEDESTRIAN SAFETY PROGRAM
CASE WESTERN RESERVE UNIVERSITY
10900 EUCLID AVE	CLEVELAND	OH	44106	341018992	501(C)(3)	$151,565	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CENTER FOR CHILDREN AND YOUTH JUSTICE
615 2ND AVE STE 275	SEATTLE	WA	98104	204457248	501(C)(3)	$10,000	BREAKFAST SPONSORSHIP
CENTER FOR INFECTIOUS DISEASE RESEARCH
307 WESTLAKE AVE N STE 500	SEATTLE	WA	98109	910961784	501(C)(3)	$7,929	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CENTER FOR MULTICULTURAL HEALTH
1120 EAST TERRACE STREET STE 200	SEATTLE	WA	98122	910983698	501(C)(3)	$10,000	HEALTHY KING COUNTY COALITION PROGRAM SPONSORSHIP
CHILDREN'S HEALTHCARE OF ATLANTA
1687 TULLIE CIRCLE	ATLANTA	GA	30329	582367819	501(C)(3)	$17,174	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL AND CLINICS OF MINNESOTA
2525 CHICAGO AVE S	MINNEAPOLIS	MN	55404	411754276	501(C)(3)	$81,004	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL BOSTON
PO BOX 414413	BOSTON	MA	022414413	042774441	501(C)(3)	$73,929	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS97	LOS ANGELES	CA	90027	951690977	501(C)(3)	$277,998	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S HOSPITAL MEDICAL CENTER
3333 BURNET AVE MLC4900	CINCINNATI	OH	452293039	310833936	501(C)(3)	$177,418	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD AND SPONSORSHIP OF IMPACT PEDIATRIC HEALTH CONSORTIUM
CHILDREN'S HOSPITAL OF PHILADELPHIA
3401 CIVIC CENTER BLVD	PHILADELPHIA	PA	191044318	231352166	501(C)(3)	$316,701	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILDREN'S NATIONAL MEDICAL CENTER
111 MICHIGAN AVE NW	WASHINGTON	DC	20010	521640403	501(C)(3)	$105,434	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CHILKAT VALLEY COMMUNITY RECREATION CENTER INC
PO BOX 866	HAINES	AK	99827	920170349	501(C)(3)	$10,144	GRANT IN SUPPORT OF HAINES MIDDLE SCHOOL ATHLETIC PROGRAM
COLUMBIA UNIVERSITY
PO BOX 26453	NEW YORK	NY	10032	135598093	501(C)(3)	$183,273	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
COMMUNITY CONNECTIONS INC
PO BOX 420	CRAIG	AK	99921	920112719	501(C)(3)	$7,813	GRANTS IN SUPPORT OF EARLY LEARNING PROGRAM - TRANSDISCIPLINARY PLAY BASED ASSESSMENT
CONNECTICUT CHILDREN'S MEDICAL CENTER
282 WASHINGTON ST	HARTFORD	CT	06106	060646755	501(C)(3)	$61,488	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVE	FORT WORTH	TX	76104	752051646	501(C)(3)	$33,350	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
CROHN'S AND COLITIS FOUNDATION OF AMERICA NORTHWEST CHAPTER
9 LAKE BELLEVUE DR STE 203	BELLEVUE	WA	98005	136193105	501(C)(3)	$9,000	SPONSORSHIPS OF BENEFIT LUNCHEON, TAKE STEPS WALK AND FALL EVENT, & PEDIATRIC EDUCATION CONFERENCE
CYSTIC FIBROSIS FOUNDATION
6931 ARLINGTON RD	BETHESDA	MD	20814	131930701	501(C)(3)	$9,000	SPONSORSHIPS OF BREATH OF LIFE GALA AND AUCTION
DAYTON CHILDREN'S HOSPITAL
ONE CHILDRENS PLAZA	DAYTON	OH	45404	310672132	501(C)(3)	$13,780	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
DREXEL UNIVERSITY COLLEGE OF MEDICINE
PO BOX 95000-1010	PHILADELPHIA	PA	191951010	232979433	501(C)(3)	$15,092	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
EMORY UNIVERSITY
PO BOX 935084	ATLANTA	GA	311935084	580566256	501(C)(3)	$149,925	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
FOUNDATION FOR HEALTHY GENERATIONS
419 THIRD AVE W	SEATTLE	WA	98119	916186093	501(C)(3)	$10,000	SUPPORT FOR CHILDHOOD OBESITY PREVENTION COALITION
FRED HUTCHINSON CANCER RESEARCH CENTER
1100 FAIRVIEW AVE N	SEATTLE	WA	98109	237156071	501(C)(3)	$3,433,819	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD, SUPPORT OF NEURO-ONCOLOGY RESEARCH IN PEDIATRIC BRAIN TUMORS, AND SUPPORT FOR NEUROLOGY RESEARCH
FRIENDS OF THE PERFORMING ARTS
PO BOX 1971	SITKA	AK	99835	280190726	501(C)(3)	$13,735	GRANT FOR PURCHASE OF MICROPHONES AND ACCOMPANYING ACCESSORIES/EQUIPMENT FOR STUDENTS
GAPPS
19009 33RD AVE W STE 200	LYNNWOOD	WA	98036	814625437	501(C)(3)	$85,025	SUPPORT TO THE GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH
GEORGIA REGENTS UNIVERSITY
PO BOX 945552	ATLANTA	GA	303945552	581418202	501(C)(3)	$17,397	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
GEORGIA SOUTHERN UNIVERSITY RESEARCH AND SERVICE FOUNDATION INC
PO BOX 8005	STATEBORO	GA	30460	582354256	501(C)(3)	$44,886	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
GIRLS ON THE RUN OF PUGET SOUND
1404 E YESLER WAY STE 201	SEATTLE	WA	98122	841618574	501(C)(3)	$6,950	SPONSORSHIP OF BUILDING HEALTHY HABITS IN PUGET SOUND YOUTH PROGRAM
HARTFORD HOSPITAL
80 SEYMOUR ST	HARTFORD	CT	06102	060646668	501(C)(3)	$6,011	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
HOPELINK
10675 WILLOWS RD NE STE 275	REDMOND	WA	98052	910982116	501(C)(3)	$6,650	LUNCHEON SPONSORSHIP
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PL BOX 3500	NEW YORK	NY	10029	136171197	501(C)(3)	$61,204	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
INDIANA UNIVERSITY
DEPT 78867 PO BOX 78000	DETROIT	MI	482780867	356001673	GOVERNMENT	$221,063	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
INFECTIOUS DISEASE RESEARCH INSTITUTE
1616 EASTLAKE AVE E STE 400	SEATTLE	WA	98102	911608978	501(C)(3)	$28,376	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
INSTITUTE FOR SYSTEMS BIOLOGY
401 TERRY AVE N	SEATTLE	WA	981095263	912003593	501(C)(3)	$550,360	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
JDRF INTERNATIONAL DBA JDRF SEATTLE GUILD
1215 4TH AVE STE 1100	SEATTLE	WA	98161	231907729	501(C)(3)	$7,750	SPONSORSHIPS OF TYPE ONE NATION SUMMIT AND ANNUAL GALA
JOHNS HOPKINS UNIVERSITY
12529 COLLECTIONS CENTER DR	CHICAGO	IL	60693	520595110	GOVERNMENT	$235,036	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
KAISER FOUNDATION HEALTH PLAN
PO BOX 34587	SEATTLE	WA	981249990	910511770	501(C)(3)	$13,712	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
KETCHIKAN YOUTH INITIATIVES INC
724 BAYVIEW ST	KETCHIKAN	AK	99901	202549904	501(C)(3)	$12,000	GRANT IN SUPPORT OF BUILDING AND SPRINKLER SYSTEM COMPLETION OF KYI COMMUNITY CENTER
KLAWOCK CITY SCHOOL DISTRICT
PO BOX 9	KLAWOCK	AK	99925	926000105	GOVERNMENT	$13,000	GRANT FOR PURCHASE OF NEW INSTRUMENTS FOR SCHOOL MUSIC PROGRAM
LAWRENCE BERKELEY NATIONAL LABORATORY
1 CYCLOTRON ROAD	BERKELEY	CA	94720	942951741	GOVERNMENT	$92,123	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
LE BONHEUR CHILDREN'S HOSPITAL FOUNDATION
850 POPLAR AVE BLDG 2	MEMPHIS	TN	38105	621872938	501(C)(3)	$16,579	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
LONG BEACH MEMORIAL MEDICAL CENTER
2801 ATLANTIC AVE	LONG BEACH	CA	90806	953527031	501(C)(3)	$5,545	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MAINE MEDICAL CENTER
22 BRAMHALL ST	PORTLAND	ME	041023175	010238552	501(C)(3)	$26,430	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MARCH OF DIMES
1904 THIRD AVE STE 230	SEATTLE	WA	98101	131846366	501(C)(3)	$19,500	SPONSORSHIPS OF NURSE OF THE YEAR EVENT AND MARCHES FOR BABIES
MARY HITCHCOCK MEMORIAL HOSPITAL
1 MEDICAL CTR DR	LEBANON	NH	03756	020222140	501(C)(3)	$71,944	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MASSACHUSETTS GENERAL HOSPITAL THE GENERAL HOSPITAL CORPORATION
PO BOX 414876	BOSTON	MA	022414876	042697983	501(C)(3)	$29,213	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MEDICAL UNIVERSITY OF SOUTH CAROLINA
19 HAGOOD AVE RM 303	CHARLESTON	SC	294258040	576000722	GOVERNMENT	$228,902	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MEMORIAL HEALTHCARE SYSTEM
PO BOX 538514	ATLANTA	GA	30353	596014973	GOVERNMENT	$14,996	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MINNEAPOLIS HEART INSTITUTE FOUNDATION
920 E 28TH ST STE 100	MINNEAPOLIS	MN	55407	411426406	501(C)(3)	$8,900	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MONMOUTH MEDICAL CENTER INC
300 SECOND AVE STE SH 013	LONG BRANCH	NJ	07740	223452412	501(C)(3)	$20,167	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
MULTICARE HEALTH SYSTEM
315 M3-CRD 315 MARTIN LUTHER KING	TACOMA	WA	98405	911352172	501(C)(3)	$33,729	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	JR WAY S
NACHRI
PO BOX 79311	BALTIMORE	MD	212790311	510120256	501(C)(3)	$60,844	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
NATIONAL JEWISH HEALTH
1400 JACKSON ST M216	DENVER	CO	80206	742044647	501(C)(3)	$62,262	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
NEW YORK MEDICAL COLLEGE
40 SUNSHINE COTTAGE RD	VALHALLA	NY	10595	131099420	501(C)(3)	$53,597	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
NORTHEAST VALLEY HEALTH CORPORATION
1172 NORTH MACLAY AVENUE	SAN FERNANDO	CA	91340	237120632	501(C)(3)	$59,589	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
NORTHSHORE UNIVERSITY HEALTH SYSTEM
1001 UNIVERSITY PL	EVANSTON	IL	60201	362167060	501(C)(3)	$75,330	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
NORTHWESTERN UNIVERSITY
633 CLARK G-547	EVANSTON	IL	60208	362167817	501(C)(3)	$29,364	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
OREGON HEALTH AND SCIENCE UNIVERSITY
0690 SW BANCROFT ST MAIL CODE	PORTLAND	OR	97239	931176109	GOVERNMENT	$504,891	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	L106SPA
PACIFIC SCIENCE CENTER FOUNDATION
200 SECOND AVE N	SEATTLE	WA	981094895	910750867	501(C)(3)	$12,395	SPONSORSHIPS OF BREAKFAST AND EXPLORATIONS FOR ALL: SENSORY FRIENDLY VISITS PROGRAM
PENNSYLVANIA STATE UNIVERSITY
CONTROLLERS OFFICE G230 PO BOX 850	HERSHEY	PA	17033	246000376	GOVERNMENT	$141,032	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
PORTLAND STATE UNIVERSITY
PO BOX 751	PORTLAND	OR	972070751	364776757	GOVERNMENT	$40,753	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
PRINCE OF WALES LITTLE LEAGUE INC
PO BOX 8	CRAIG	AK	99921	920125223	501(C)(3)	$8,400	GRANT IN SUPPORT OF LITTLE LEAGUE'S PURCHASE OF TEAM EQUIPMENT AND PA SYSTEM
PROVIDENCE HEALTH & SERVICES WASHINGTON
PO BOX 190005	ANCHORAGE	AK	995190005	920016429	501(C)(3)	$10,571	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
RAND CORPORATION
PO BOX 2138	SANTA MONICA	CA	904072138	951958142	501(C)(3)	$109,723	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
REGENTS OF THE UNIVERSITY OF CALIFORNIA AT SAN DIEGO
ECOB 1-026 9444 MEDICAL CENTER DR	LA JOLLA	CA	920370706	956006144	501(C)(3)	$24,560	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO
BOX 0897	SAN FRANCISCO	CA	94143	946036493	501(C)(3)	$99,307	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
REGENTS OF THE UNIVERSITY OF MINNESOTA
PO BOX 1450 NW 5957	MINNEAPOLIS	MN	554855957	416007513	GOVERNMENT	$100,488	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES
PO BOX 951432	LOS ANGELES	CA	900959000	956006143	501(C)(3)	$556,501	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL
700 CHILDRENS DR	COLUMBUS	OH	43205	316056230	501(C)(3)	$58,249	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
RONALD MCDONALD HOUSE CHARITIES OF WESTERN WASHINGTON & ALASKA
5130 40TH AVE NE	SEATTLE	WA	98105	911061043	501(C)(3)	$518,804	SUPPORT FOR HOUSING PROGRAMS AND GALA SPONSORSHIP
RUTGERS THE STATE UNIVERSITY OF NEW JERSEY
65 DAVIDSON RD ROOM 306	PISCATAWAY	NJ	088545602	462354111	GOVERNMENT	$48,856	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
SAN DIEGO STATE UNIVERSITY FOUNDATION
5250 CAMPANILE DR	SAN DIEGO	CA	921821948	956042721	501(C)(3)	$45,336	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
SITKA FASTPITCH SOFTBALL CLUB
1417 DAVIDOFF ST	SITKA	AK	99835	823756125	501(C)(3)	$18,820	GRANT FOR PURCHASE OF NECESSITIES TO ESTABLISH A YEAR-ROUND INDOOR TURF FACILITY FOR GIRLS SOFTBALL
SITKA SOUND SCIENCE CENTER
834 LINCOLN ST STE 200	SITKA	AK	99835	261253086	501(C)(3)	$6,000	GRANT IN SUPPORT OF FAMILY SCIENCE CAMP EXPANSION
SOLID GROUND WASHINGTON
1501 N 45TH ST	SEATTLE	WA	98103	237421892	501(C)(3)	$11,750	GRANT TO SUPPORT CHILDREN'S PROGRAMMING AND LUNCHEON SPONSORSHIP
SPECTRUM HEALTH HOSPITALS
100 MICHIGAN ST NE MC 038	GRAND RAPIDS	MI	49503	381360529	501(C)(3)	$70,797	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
ST FRANCIS MEDICAL CENTER
530 NE GLEN AVE	PEORIA	IL	61637	370662569	501(C)(3)	$52,421	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
ST LOUIS UNIVERSITY
FUSZ HALL ROOM 368 3700 W PINE MALL	ST LOUIS	MO	631083306	430654872	501(C)(3)	$56,940	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	MALL
ST LUKE'S REGIONAL MEDICAL CENTER
190 E BANNOCK ST	BOISE	ID	83712	820161600	501(C)(3)	$43,968	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
STANFORD UNIVERSITY
PO BOX 44253	SAN FRANCISCO	CA	94144	941156365	501(C)(3)	$206,120	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
TAKSHANUK WATERSHED COUNCIL
HC PO BOX 2008	HAINES	AK	99827	331069246	501(C)(3)	$9,680	GRANT IN SUPPORT OF EXPANSION OF EDUCATIONAL PROGRAMS
THE CHILDREN'S MERCY HOSPITAL
PO BOX 803852	KANSAS CITY	MO	64180	440605373	501(C)(3)	$52,341	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RD 5TH FLOOR	WESTBURY	NY	11590	112673595	501(C)(3)	$24,538	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE MEDICAL COLLEGE OF WISCONSIN INC
8701 WATERTOWN AND PLANK RD PO BOX	MILWAUKEE	WI	532260509	390806261	501(C)(3)	$70,749	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	26509
THE NEMOURS FOUNDATION
10140 CENTURION PKWY N	JACKSONVILLE	FL	32256	590634433	501(C)(3)	$138,638	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK
PO BOX 9	ALBANY	NY	122010009	141368361	501(C)(3)	$93,965	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER
5323 HARRY HINES BLVD	DALLAS	TX	752842265	756001354	GOVERNMENT	$32,817	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
THE UNIVERSITY OF TEXAS SOUTHWEST MEDICAL CENTER
PO BOX 842265	DALLAS	TX	752842265	756002868	GOVERNMENT	$204,659	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
TOLEDO HOSPITAL
2142 N COVE BLVD	TOLEDO	OH	43606	344428256	501(C)(3)	$8,611	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
TRANSPLANT HOUSE
PO BOX 85218	SEATTLE	WA	981451218	205523963	501(C)(3)	$60,000	GRANT IN SUPPORT OF LODGING FOR PEDIATRIC PATIENTS WITH A FOCUS ON IMMUNOTHERAPY AND SEVERE COMBINED IMMUNODEFICIENCY PATIENTS AND THEIR FAMILIES
UNITED WAY OF KING COUNTY
720 SECOND AVE	SEATTLE	WA	98104	910565555	501(C)(3)	$20,000	SPONSORSHIPS OF FUEL YOUR FUTURE PROGRAM AND MLK JR DAY OF SERVICE
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
11100 EUCLID AVE	CLEVELAND	OH	482781686	341567805	501(C)(3)	$107,712	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ALABAMA AT BIRMINGHAM
1600 7TH AVE S ACC 620	BIRMINGHAM	AL	352940109	636005396	GOVERNMENT	$358,972	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ARIZONA
1303 E UNIVERSITY BLVD BOX 3	TUCSON	AZ	857190521	742652689	GOVERNMENT	$33,625	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
4301 W MARKHAM ST	LITTLE ROCK	AR	72205	716046242	GOVERNMENT	$23,235	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF COLORADO
PO BOX 910238	DENVER	CO	802910238	846000555	GOVERNMENT	$195,770	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF FLORIDA
PO BOX 113001	GAINESVILLE	FL	32611	596002052	GOVERNMENT	$50,711	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF IOWA
118 S CLINTON ST	IOWA CITY	IA	52242	426004813	GOVERNMENT	$42,302	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE
3901 RAINBOW BLVD MS 1039	KANSAS CITY	KS	66160	481108830	501(C)(3)	$59,074	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION
138 LEADER AVE STE 249	LEXINGTON	KY	40508	616033693	501(C)(3)	$45,556	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF MARYLAND
RM 4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	207423141	526002033	GOVERNMENT	$10,133	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF MASSACHUSETTS
55 LAKE AVE N	WORCESTER	MA	01655	043167352	GOVERNMENT	$22,836	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF MIAMI
PO BOX 405803	ATLANTA	GA	303845803	590624458	GOVERNMENT	$16,999	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF MICHIGAN
BOX 223131	PITTSBURGH	PA	152512131	386006309	GOVERNMENT	$89,093	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE ST	JACKSON	MS	39216	646008520	GOVERNMENT	$5,508	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF NEBRASKA BOARD OF REGENTS
985100 NEBRASKA MEDICAL CENTER	OMAHA	NE	681985100	470049123	501(C)(3)	$11,400	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF NORTH CAROLINA
PO BOX 402420	ATLANTA	GA	303842420	566001393	GOVERNMENT	$251,547	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF OKLAHOMA HEALTH SCIENCES
PO BOX 26901 SCB 228	OKLAHOMA CITY	OK	731260901	736017987	GOVERNMENT	$14,274	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF OREGON
PO BOX 3237	EUGENE	OR	874030237	936001786	GOVERNMENT	$67,462	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF PENNSYLVANIA
PO BOX 785541	PHILADELPHIA	PA	191785541	231352685	501(C)(3)	$139,036	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF PITTSBURGH
PO BOX 371220	PITTSBURGH	PA	152517220	250965591	501(C)(3)	$131,165	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF ROCHESTER
601 ELMWOOD AVE BOX 777	ROCHESTER	NY	14642	160743209	501(C)(3)	$44,561	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF TENNESSEE
62 S DUNLAP ST STE 300	MEMPHIS	TN	38163	626001636	GOVERNMENT	$11,813	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF UTAH
201 S PRESIDENTS CIRCLE ROOM 406	SALT LAKE CITY	UT	84112	876000525	GOVERNMENT	$322,328	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE
85 S PROSPECT ST	BURLINGTON	VT	05405	030179440	501(C)(3)	$45,585	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF VIRGINIA
PO BOX 400201	CHARLOTTESVILLE	VA	229041034	546001796	501(C)(3)	$25,516	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
UNIVERSITY OF WASHINGTON
12455 COLLECTIONS DR	CHICAGO	IL	60693	916001537	GOVERNMENT	$6,083,553	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD, SUPPORT TO THE DEPARTMENT OF PATHOBIOLOGY GRADUATE EDUCATION PROGRAM, SUPPORT TO THE DIVISION OF GENERAL PEDIATRICS RESEARCH PROJECT, EVENT SPONSORSHIPS, AND OTHER VARIOUS SUPPORT FOR RESEARCH AND EDUCATION
UNIVERSITY OF WISCONSIN
600 HIGHLAND AVE MC 9988	MADISON	WI	537920001	396006492	GOVERNMENT	$68,884	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
VANDERBILT UNIVERSITY MEDICAL CENTER
PO BOX 121236	DALLAS	TX	753121236	620476822	501(C)(3)	$190,235	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
VIRGINIA COMMONWEALTH UNIVERSITY
PO BOX 843039	RICHMOND	VA	232842506	546001758	GOVERNMENT	$13,241	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	223849199	501(C)(3)	$20,723	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WASHINGTON STATE UNIVERSITY
PO BOX 645220	PULLMAN	WA	991645220	911075542	GOVERNMENT	$76,286	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WASHINGTON UNIVERSITY
660 S EUCLID BOX 8009	ST LOUIS	MO	63110	430653611	501(C)(3)	$136,709	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WAYNE STATE UNIVERSITY
PO BOX 02788	DETROIT	MI	48202	386028429	GOVERNMENT	$22,487	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WEILL CORNELL MEDICAL COLLEGE
575 LEXINGTON AVE 9TH FLR	NEW YORK	NY	10022	131623978	501(C)(3)	$266,252	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WEST VIRGINIA UNIVERSITY RESEARCH
886 CHESTNUT RIDGE RD PO BOX 6845	MORGANTOWN	WV	265066845	550665758	501(C)(3)	$22,645	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
WITHINREACH
155 NE 100TH STREET STE 500	SEATTLE	WA	98125	911443685	501(C)(3)	$15,000	CONTRIBUTION IN SUPPORT OF MENTAL HEALTH SERVICES AND RESOURCES
WRIGHT STATE UNIVERSITY
3640 COLONEL GLENN HWY	DAYTON	OH	45435	310732831	GOVERNMENT	$16,801	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
YALE UNIVERSITY
333 CEDAR ST I-100 SHM	NEW HAVEN	CT	065208087	060646973	501(C)(3)	$46,262	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY
1118 FIFTH AVENUE	SEATTLE	WA	98101	910482890	501(C)(3)	$6,000	SPONSORSHIPS OF LUNCHEON AND SHADES OF LEADERSHIP EVENT
YOUTH RALLY COMMITTEE INC
949 CHESTNUT OAK DRIVE	ST CHARLES	MO	63303	203579812	501(C)(3)	$10,000	CONTRIBUTION TOWARD 2019 YOUTH RALLY CAMP EXPERIENCE

Field	Value	IRS element (for citing)
Total501c3 Org	146	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (14 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
COLLEGE SCHOLARSHIPS FOR MINORITY NURSING STUDENTS	1	$5,000
COLLEGE SCHOLARSHIPS FOR HOSPITAL VOLUNTEERS	1	$5,000
SUPPORT TO PATIENT FAMILIES TO MEET VARIOUS NEEDS	1	$15
SUPPORT TO PATIENT FAMILIES FOR TEMPORARY HOUSING AND RENTAL ASSISTANCE	249		$340,278	ACTUAL COST	PAYMENTS TO HOUSING AND RENTAL COMPANIES AND FOR PROPERTY TAXES
SUPPORT TO PATIENT FAMILIES FOR TRANSPORTATION AND TRAVEL	180		$22,443	ACTUAL COST	PAYMENTS TO TRANSPORTATION COMPANIES, FOR CAR LOANS, AND FOR AUTO INSURANCE
SUPPORT TO PATIENT FAMILIES FOR FUNERAL EXPENSES	55		$14,613	ACTUAL COST	PAYMENTS TO FUNERAL HOMES
SUPPORT TO PATIENT FAMILIES FOR UTILITY EXPENSES, STORAGE, AND HOME MAINTENANCE	25		$10,805	ACTUAL COST	PAYMENTS TO UTILITY COMPANIES, STORAGE COMPANIES, HOUSECLEANERS, AND FOR HOME REPAIR COSTS
SUPPORT TO PATIENT FAMILIES FOR MEDICAL EQUIPMENT	9		$1,149	ACTUAL COST	PAYMENTS TO MEDICAL EQUIPMENT PROVIDERS
SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	1572		$94,150	MARKET VALUE	MEAL VOUCHERS TO CAFETERIA AND STARBUCKS GIFT CARDS
SUPPORT TO PATIENT FAMILIES TO PURCHASE GAS FOR TRANSPORTATION TO APPOINTMENTS	1019		$65,835	MARKET VALUE	GAS CARDS
SUPPORT TO PATIENT FAMILIES TO PURCHASE GROCERIES	608		$41,649	MARKET VALUE	GROCERY GIFT CARDS
SUPPORT TO PATIENT FAMILIES TO MEET VARIOUS OTHER NEEDS	68		$36,442	MARKET VALUE	GIFTS CARDS, FURNITURE, AND OTHER ITEMS
SUPPORT TO PATIENTS AND FAMILIES WHO ARE ADMITTED ON AN EMERGENT / URGENT BASIS	112		$2,210	MARKET VALUE	CLOTHING
SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	68		$1,035	MARKET VALUE	FOOD BAGS

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	A SPONSORSHIP COMMITTEE WAS ESTABLISHED BY SEATTLE CHILDREN'S HOSPITAL TO MEET REGULARLY FOR THE PURPOSE OF EVALUATING DIFFERENT OPPORTUNITIES TO SUPPORT OTHER NONPROFIT ORGANIZATIONS THROUGH PROVIDING VOLUNTEERS, GRANTS, AND SPONSORSHIPS FOR FUNDRAISING AND EDUCATIONAL EVENTS. CRITERIA USED IN THE DETERMINATION OF ASSISTANCE INCLUDE: THE ORGANIZATION'S ALIGNMENT WITH THE HOSPITAL'S CORE MISSION AND VALUES, THE DIVERSITY AND LOCATION OF THE POPULATION SERVED, AS WELL AS DOCUMENTED COMMUNITY NEED ADDRESSED BY THE ORGANIZATION. THE PURPOSE OF GRANTS DISTRIBUTED FROM THE REUBEN CROSSETT ENDOWMENT FUND IS TO IMPROVE THE HEALTH OF CHILDREN LIVING IN SOUTHEAST ALASKA. AN ADVISORY COMMITTEE OF SEATTLE CHILDREN'S REPRESENTATIVES REVIEWS APPLICATIONS AND VISITS THE CITIES OF KETCHIKAN, SITKA, AND JUNEAU ANNUALLY TO GAIN FEEDBACK ON THE NEEDS OF THE COMMUNITIES AND VISIT ORGANIZATIONS THAT HAVE APPLIED FOR FUNDING. GRANT RECIPIENTS ARE ASKED TO PROVIDE A REPORT ON HOW THEY WILL EVALUATE THE SUCCESS OF THEIR PROJECT AND RETURN ANY UNSPENT GRANT FUNDS TO THE ENDOWMENT. SEATTLE CHILDREN'S HOSPITAL HOLDS SEVERAL ENDOWMENTS THAT WERE ESTABLISHED TO SUPPORT PEDIATRIC BRAIN TUMOR RESEARCH ACTIVITIES. FUNDS ARE GRANTED FROM THESE ENDOWMENTS TO THE FRED HUTCHINSON CANCER RESEARCH CENTER. THE PRIMARY RESEARCHER IS INTERVIEWED ANNUALLY TO REPORT ON THE ACTIVITIES SUPPORTED BY THESE ENDOWMENTS. THE OFFICE OF SPONSORED RESEARCH DEPARTMENT AT SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF THE HOSPITAL, PERFORMS QUARTERLY REVIEWS OF EACH SUBAWARD TO ENSURE THAT RECIPIENTS ARE MANAGING FUNDING IN ACCORDANCE WITH THE TERMS OF THE CONTRACT. A-133 AUDITS, RATE AGREEMENTS, AND DISCLOSURE REQUIREMENTS ARE ALL REVIEWED TO ENSURE THEY ARE CURRENT OR EXEMPT. THIS REVIEW IS TO ENSURE THAT THE SUBRECIPIENT HAS THE NECESSARY INFRASTRUCTURE IN PLACE TO MANAGE FUNDS. TERMS OF THE SUBCONTRACTS ARE MODIFIED AS NEEDED TO ADDRESS ANY ISSUES. THE PRIVATE INVESTIGATOR IS RESPONSIBLE TO ENSURE THE WORK IS PERFORMED TO SATISFACTION AND CONSISTENT WITH THE AIMS OF THE PROJECT. THE CENTER BUSINESS OFFICE ENSURES THAT THE INVOICED AMOUNTS ARE ALLOWABLE UNDER THE PROVISIONS OF THE AWARD AND SUBCONTRACT. A FINAL CHECK FOR COMPLIANCE TAKES PLACE AT THE EXPIRATION OF THE SUBAWARD WHEN THE OFFICE OF SPONSORED RESEARCH PERFORMS ITS FINAL CLOSEOUT. ANY PROBLEMS WITH PERFORMANCE OR EXPENDITURES ARE IDENTIFIED AT THAT TIME AND RESOLVED AS APPROPRIATE BEFORE FINAL DISTRIBUTIONS ARE MADE AND THE SUBAWARD IS COMPLETE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFF SPERRING MD
CEO/NON-VOTING EX OFFICIO TRUSTEE	$703,162	$234,387	$308,170	$102,720	$9,794	$1,811	$10,313	$261,995	$18,017	$6,006	$1,049,456	$606,919	$0	$0
SUZANNE BEITEL
SENIOR VP & CHIEF FINANCIAL OFFICER	$414,908	$138,303	$644	$124	$48,203	$2,423	$2,063	$82,543	$24,474	$8,158	$490,292	$231,551	$0	$0
JAMES HENDRICKS PHD
PRESIDENT - RESEARCH INSTITUTE	$432,904	$0	$182,253	$0	$20,151	$600,000	$19,250	$70,896	$29,220	$0	$683,778	$670,896	$0	$600,000
CINDY GAZECKI
SENIOR VP - HOSPITAL OPERATIONS	$209,938	$0	$135,002	$0	$420,716	$219,907	$19,232	$33,265	$18,332	$0	$803,220	$253,172	$0	$219,907
SANFORD MELZER MD
EXEC VP-NETWORKS & POPULATION HEALTH	$476,621	$106,953	$244,635	$0	$20,083	$0	$19,250	$107,923	$26,257	$5,538	$786,846	$220,414	$0	$0
MARK DEL BECCARO MD
SR VP-CHIEF MED OFF/NON-VOTING TRUST	$520,936	$0	$181,842	$0	$15,576	$0	$19,250	$87,744	$5,833	$0	$743,437	$87,744	$0	$0
RUSSELL WILLIAMS
SR VP & CHIEF OPERATING OFFICER	$447,984	$0	$163,447	$0	$25,639	$0	$13,352	$71,852	$8,954	$0	$659,376	$71,852	$0	$0
MADLYN MURREY
SR VP - CHIEF CLINICAL OFFICER	$392,360	$0	$130,495	$0	$18,180	$0	$19,250	$61,493	$19,572	$0	$579,857	$61,493	$0	$0
MYRA GREGORIAN
SR VP - CHIEF PEOPLE OFFICER	$385,885	$0	$84,658	$0	$10,385	$0	$6,768	$57,297	$28,910	$0	$516,606	$57,297	$0	$0
ERIC THAM MD
VP & ASSOC CHIEF INFORMATION OFFICER	$351,222	$0	$163,816	$0	$1,558	$0	$19,250	$0	$31,298	$0	$567,144	$0	$0	$0
ZAFAR CHAUDRY MD
SR VP - CHIEF INFORMATION OFFICER	$426,191	$0	$31,289	$0	$25,251	$0	$2,750	$62,486	$11,536	$0	$497,017	$62,486	$0	$0
SUZANNE PETERSEN
VP - EXTERNAL AFFAIRS & GUEST SVCS	$372,710	$0	$107,472	$0	$6,699	$0	$19,250	$0	$26,067	$0	$532,198	$0	$0	$0
ERIK LAUSUND
VP - RESEARCH OPERATIONS & LOGISTICS	$311,236	$0	$151,753	$0	$2,711	$0	$19,250	$0	$22,671	$0	$507,621	$0	$0	$0
CARA BAILEY
SR VP-INNOVATION/IMPROVEMENT OFFICER	$306,092	$0	$103,729	$0	$11,190	$0	$18,954	$43,655	$8,382	$0	$448,347	$43,655	$0	$0
RUTH MCDONALD MD
VP, ASSOC CHIEF MEDICAL OFFICER	$343,340	$0	$114,808	$0	$3,754	$0	$13,205	$0	$13,607	$0	$488,714	$0	$0	$0
TODD JOHNSON
VP - FACILITIES	$293,556	$0	$82,808	$0	$4,745	$0	$19,250	$0	$28,301	$0	$428,660	$0	$0	$0
KELLY WALLACE
SENIOR VP & CFO THRU JAN 2018	$22,771	$7,590	$144,610	$48,203	$940	$175,122	$14,438	$4,812	$1,369	$456	$184,128	$236,183	$0	$175,122
MICHAEL MURPHY
VP - ACC CARE & EXEC DIRECTOR SCCN	$163,702	$0	$109,199	$0	$117,209	$0	$13,504	$0	$16,382	$0	$419,996	$0	$0	$0
PETRA SMITH
VP - HUMAN RESOURCES	$258,930	$0	$101,535	$0	$1,552	$0	$19,250	$0	$30,740	$0	$412,007	$0	$0	$0
WARREN HEWITT
VP - FINANCE	$197,567	$65,856	$64,928	$21,632	$4,174	$0	$14,437	$4,813	$15,582	$5,194	$296,688	$97,495	$0	$0
CHRISTINE KESSLER
VP SYS ACCESS, AMB OPS & EX DIR CUMG	$268,440	$0	$78,000	$0	$1,227	$0	$19,250	$0	$16,762	$0	$383,679	$0	$0	$0
JEFFREY AVANSINO MD
VP & MEDICAL DIRECTOR, SURGICAL SVCS	$301,952	$147,904	$33,000	$0	$2,412	$0	$5,533	$13,311	$28,225	$6,364	$371,122	$167,579	$0	$0
DOUGLAS PICHA
PRESIDENT - FOUNDATION	$42,065	$378,587	$14,634	$131,704	$11,537	$8,128	$1,925	$85,742	$2,360	$21,241	$72,521	$625,402	$0	$0
MARK EGBERT DDS
CHIEF - ORAL & MAXILLOFACIAL SURGERY	$475,452	$0	$106,145	$0	$16,457	$0	$19,250	$0	$30,878	$0	$648,182	$0	$0	$0
MICHAEL ASTION MD PHD
MEDICAL DIRECTOR - LABORATORIES	$523,806	$0	$66,893	$0	$2,334	$0	$18,954	$0	$32,358	$0	$644,345	$0	$0	$0
JAMES CHRISTIANSEN MD
CARDIOLOGIST	$413,699	$0	$38,357	$0	$4,356	$0	$19,116	$0	$31,174	$0	$506,702	$0	$0	$0
WAYNE CHANDLER MD
MEDICAL DIRECTOR - LABORATORY MED	$387,402	$0	$59,451	$0	$2,725	$0	$13,422	$0	$28,919	$0	$491,919	$0	$0	$0
JENNIFER BECKER
FORMER KEY EMPLOYEE	$231,269	$0	$73,934	$0	$1,511	$0	$19,250	$0	$14,068	$0	$340,032	$0	$0	$0
PAMELA ROCK
FORMER KEY EMPLOYEE	$232,698	$0	$71,996	$0	$2,449	$0	$19,250	$0	$12,710	$0	$339,103	$0	$0	$0
SCOTT BINGHAM
FORMER KEY EMPLOYEE	$226,183	$0	$42,806	$0	$512	$0	$18,688	$0	$16,611	$0	$304,800	$0	$0	$0
GREGORY BLACKBURN
FORMER KEY EMPLOYEE	$119,368	$0	$83,249	$0	$639	$0	$10,271	$0	$12,866	$0	$226,393	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	BUSINESS OR FIRST CLASS TRAVEL IS PROVIDED TO EMPLOYEES IN THE EVENT OF MEDICAL NECESSITY OR ON CERTAIN INTERNATIONAL FLIGHTS OF LONG DURATION. THIS IS NOT TREATED AS COMPENSATION. THE CHIEF EXECUTIVE OFFICER IS PROVIDED MEMBERSHIP TO THE RAINIER CLUB. ANNUAL DUES ARE REPORTED AS TAXABLE COMPENSATION.
PART I, LINES 4A-B	THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: JEFF SPERRING MD - $258,558 DEFERRED COMPENSATION SUZANNE BEITEL - $81,856 DEFERRED COMPENSATION JAMES HENDRICKS PHD - $70,896 DEFERRED COMPENSATION, $600,000 REPORTABLE PAYMENT CINDY GAZECKI - $33,265 DEFERRED COMPENSATION, $219,907 REPORTABLE PAYMENT SANFORD MELZER MD - $97,228 DEFERRED COMPENSATION MARK DEL BECCARO MD - $87,744 DEFERRED COMPENSATION RUSSELL WILLIAMS - $71,852 DEFERRED COMPENSATION MADLYN MURREY - $61,493 DEFERRED COMPENSATION MYRA GREGORIAN - $57,297 DEFERRED COMPENSATION ZAFAR CHAUDRY MD - $62,486 DEFERRED COMPENSATION CARA BAILEY - $43,656 DEFERRED COMPENSATION KELLY WALLACE - $175,122 REPORTABLE PAYMENT DOUGLAS PICHA - $68,417 DEFERRED COMPENSATION THE FOLLOWING RECEIVED A SEVERANCE PAYMENT: CINDY GAZECKI - $417,375 MICHAEL MURPHY - $113,440
PART II, COLUMN (F):	THE FOLLOWING RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, WHICH IS BEING REPORTED IN COLUMN (B)(III). THIS COMPENSATION WAS REPORTED IN COLUMN (C) IN PRIOR FORMS 990: JAMES HENDRICKS PHD - $600,000 CINDY GAZECKI - $219,907 KELLY WALLACE - $175,122

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2017A
A	911108929	93978HSC0	2017-04-06	$126,646,117	SEE PART VI	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2015A AND 2015B
B	911108929	93978HLL7	2015-02-03	$303,924,156	SEE PART VI	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2012A AND 2012B
C	911108929	93978HDX0	2012-06-20	$80,423,004	SEE PART VI	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2012C AND 2012D
D	911108929	93978HEZ4	2012-06-20	$142,165,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt
A	$1,260,000	$127,525,980	$1,545,641	$125,980,331	$7	2018	0	0	0	Yes (1)
B	$120,000	$303,944,485	$2,600,625	$103,865,301		2015	0	Yes (1)	Yes (1)	Yes (1)	$62,441	$197,416,118
C	$250,000	$80,423,004		$50,003,342		2013	0	Yes (1)	Yes (1)	Yes (1)	$285	$30,419,377
D	$29,810,000	$142,165,000				2012	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	0	0	Yes (1)
B	Yes (1)	0	0	0	Yes (1)
C	0	0	Yes (1)	0	Yes (1)
D	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

ENTITY 1 - FIRST SCHEDULE:

PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017A (SEATTLE CHILDREN'S HOSPITAL), ("THE 2017A BONDS"), WERE ISSUED TO (I) PAY AND/OR REIMBURSE SEATTLE CHILDREN'S HOSPITAL ("CHILDREN'S") FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING, EQUIPPING AND IMPROVING CERTAIN HEALTH CARE FACILITIES THAT ARE OR WILL BE OWNED AND OPERATED BY CHILDREN'S, INCLUDING HEALTH CARE FACILITIES LOCATED AT ITS SEATTLE CAMPUS IN SEATTLE, WASHINGTON AND THE CONSTRUCTION AND EQUIPPING OF A NEW CLINIC IN EVERETT, WASHINGTON, AND (II) PAY THE COSTS OF ISSUING THE SERIES 2017A BONDS. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2015A AND REFUNDING REVENUE BONDS, SERIES 2015B (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2015A/B BONDS"), WERE ISSUED TO (I) PROVIDE PART OF THE FUNDS NECESSARY TO PAY AND/OR REIMBURSE SEATTLE CHILDREN'S HOSPITAL FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING, EQUIPPING AND IMPROVING CERTAIN HEALTH CARE FACILITIES OWNED AND OPERATED BY CHILDREN'S; (II) ADVANCE REFUND AND DEFEASE ALL OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED MAY 29, 2008 (THE "SERIES 2008C BONDS"), THE PROCEEDS OF WHICH WERE ISSUED TO (I) REPAY AND RETIRE CHILDREN'S TAXABLE LINE OF CREDIT INDEBTEDNESS OWED TO WELLS FARGO BANK, N.A., WHICH INDEBTEDNESS WAS INCURRED TO REDEEM AND RETIRE THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED FEBRUARY 16, 2006 (THE "SERIES 2006C BONDS"), THE PROCEEDS OF WHICH WERE USED TO (I) PROVIDE A PORTION OF THE FUNDS NECESSARY TO CONSTRUCT, REMODEL AND/OR ACQUIRE ADDITIONAL HEALTH CARE FACILITIES FOR CHILDREN'S AND (II) TO PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2008C BONDS; AND (III) ADVANCE REFUND AND DEFEASE $79 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2009 (SEATTLE CHILDREN'S HOSPITAL), DATED AUGUST 19, 2009, (THE "SERIES 2009 BONDS"), THE PROCEEDS OF WHICH WERE ISSUED USED TO PROVIDE ALL OR A PORTION OF THE FUNDS NECESSARY TO (I) PAY THE COSTS (INCLUDING NEW CAPITAL COSTS, REIMBURSEMENT COSTS, AND REFINANCING COSTS) OF ACQUIRING THE LAND FOR CONSTRUCTING AND EQUIPPING A NEW OUTPATIENT CLINIC AND AMBULATORY SURGERY FACILITY IN BELLEVUE, WASHINGTON, RENOVATING AND REMODELING VARIOUS PORTIONS OF CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS; AND (III) PAY COSTS OF ISSUING THE SERIES 2015A/B BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2015A BONDS, WHICH HAVE THE LATER OF THE MATURITIES OF THE TWO SERIES. LINE C, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2012A AND REFUNDING REVENUE BONDS, SERIES 2012B (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2012A/B BONDS"), WERE ISSUED TO (I) REIMBURSE CHILDREN'S FOR A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPMENT CERTAIN HEALTH CARE FACILITIES OF CHILDREN'S, AND (II) TO ADVANCE REFUND AND DEFEASE $27 MILLION OF THE SERIES 2009 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2012A BONDS, WHICH HAVE THE LATER OF THE MATURITIES OF THE TWO SERIES. LINE D, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REFUNDING REVENUE BONDS, SERIES 2012C AND REFUNDING REVENUE BONDS, SERIES 2012D (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2012C/D BONDS"), WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008A AND SERIES 2008B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED APRIL 16, 2008 (THE "SERIES 2008A/B BONDS"), THE PROCEEDS OF WHICH WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006A AND SERIES 2006B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), EACH DATED FEBRUARY 16, 2006 (THE "SERIES 2006A/B BONDS") THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING TO ADVANCE REFUND AND DEFEASE $67 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 1998 BONDS (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED NOVEMBER 17, 1998 (THE "SERIES 1998 BONDS"), THE PROCEEDS OF WHICH WERE USED TO PROVIDE A PORTION OF THE FUNDING FOR A COMPREHENSIVE FACILITY RENOVATION PROGRAM THAT INCLUDED EXTENSIVE CAPITAL IMPROVEMENTS TO THE HOSPITAL'S MAIN FACILITY; AND (II) ADVANCE REFUND AND DEFEASE $66 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2001 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED NOVEMBER 15, 2001 (THE "SERIES 2001 BONDS"), THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING FOR A $120 MILLION CAPITAL PROGRAM, (II) PAY FOR THE PREMIUM RELATING TO THE BOND INSURANCE POLICY AND (III) PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2001 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2012D BONDS AND THERE IS NO CUSIP NUMBER FOR THE SERIES 2012C BONDS. PART II, PROCEEDS: COLUMN A, LINE 3 INCLUDES INVESTMENT EARNINGS OF $879,803.00. COLUMN B, LINES 3, 5 AND 6: LINE 3 INCLUDES INVESTMENT EARNINGS OF $20,329.00. LINE 5: $40,033.00 AND $21,371.00 OF PROCEEDS WERE TRANSFERRED TO THE PRINCIPAL AND INTEREST ACCOUNTS OF THE SERIES 2015A AND 2015B SERIES BONDS, RESPECTIVELY, AND WAS USED TO PAY INTEREST ON THE NEW MONEY PORTION OF THE SERIES 2015A AND 2015B BONDS. LINE 6: $197,416,118.00 OF TOTAL PROCEEDS FROM THE SERIES 2015B BONDS WAS DEPOSITED IN A REFUNDING ESCROW ACCOUNT. COLUMN C, LINES 5 AND 6: $30,419,377.00 OF TOTAL PROCEEDS FROM THE SERIES 2012B BONDS WAS DEPOSITED IN A REFUNDING ESCROW ACCOUNT AND $285.00 OF TOTAL PROCEEDS WAS DEPOSITED IN THE SERIES 2012B PRINCIPAL AND INTEREST ACCOUNT AND USED TO PAY INTEREST DUE ON THE SERIES 2012B BONDS. COLUMN D: $142,165,000.00 WAS USED TO REFUND, ON A CURRENT BASIS AND REDEEM ALL OF THE OUTSTANDING SERIES 2008A AND SERIES 2008B BONDS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2012C/D BONDS. PART III, PRIVATE BUSINESS USE: COLUMNS A, B AND C, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%. COLUMN D IS NOT REPORTED BECAUSE IT MEETS THE SPECIAL RULES FOR REFUNDING OF PRE-2003 BOND ISSUANCES. PART IV, ARBITRAGE: COLUMN A, LINE 2B: NO REBATE CALCULATION IS REQUIRED AS OF THE PERIOD COVERED BY THIS SCHEDULE. IT IS EXPECTED THE SERIES 2017A BONDS WILL MEET AN EXCEPTION TO REBATE. COLUMN B, LINE 2B: NO REBATE CALCULATION IS REQUIRED AS OF THE PERIOD COVERED BY THIS SCHEDULE. COLUMN C, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON JULY 18, 2017. COLUMN D, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON JUNE 22, 2017. COLUMN D, LINE 4A: CHILDREN'S DID NOT ENTER, NOR EXPECTS TO ENTER INTO, ANY INTEREST RATE HEDGE ARRANGEMENTS IN CONNECTION WITH THE SERIES 2012C/D BONDS. CHILDREN'S DID ENTER INTO QUALIFIED HEDGES WITH RESPECT TO THE SERIES 2008A/B BONDS, WHICH WERE REFUNDED BY THE SERIES 2012C/D BONDS. THE TERMINATION OR DEEMED TERMINATION PAYMENT, AS APPLICABLE, WITH RESPECT TO THE HEDGES HAS BEEN TAKEN INTO ACCOUNT IN THE CALCULATION OF THE YIELD ON THE SERIES 2012C/D BONDS.

ENTITY 2 - SECOND SCHEDULE:

PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010A (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010A BONDS"), WERE ISSUED TO REIMBURSE 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 SERIES 1998 BONDS AND (II) PAY COST OF ISSUANCE FOR THE SERIES 2010B BONDS. LINE C, 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: $46,080,000.00 WAS USED TO REFUND, ON A CURRENT BASIS, AND DEFEASE THE OUTSTANDING SERIES 1998 BONDS, WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2010B BONDS. $20,887.00 OF PROCEEDS WAS TRANSFERRED TO THE PRINCIPAL AND INTEREST ACCOUNT OF THE SERIES 2010B BONDS, AND USED TO PAY INTEREST DUE ON THE SERIES 2010B BONDS. COLUMN C: LINE 3 INCLUDES INVESTMENT EARNINGS OF $100,396.00 PART III, PRIVATE BUSINESS USE: COLUMN A AND COLUMN C, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%. COLUMN B IS NOT REPORTED BECAUSE IT MEETS THE SPECIAL RULES FOR REFUNDING OF PRE-2003 BOND ISSUANCES. PART IV, ARBITRAGE: COLUMN A, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON OCTOBER 16, 2013. COLUMN B, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON OCTOBER 16, 2013. COLUMN C, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON OCTOBER 11, 2012.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2010A
A	911108929	93978HAA3	2010-09-02	$77,394,750	SEE PART VI	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2010B
B	911108929	93978HAB1	2010-09-02	$46,669,601	SEE PART VI	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2009
C	911108929	93978E584	2009-08-19	$113,722,874	SEE PART VI	Yes (1)	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Bond DefeasedBondDefeasedAmt
A	$77,394,750	$77,394,750	2010	0	Yes (1)	Yes (1)
B	$46,669,601		2010	Yes (1)	Yes (1)	Yes (1)	$25,460,000	$20,887	$568,714
C	$113,824,086	$111,848,620	2012	0	Yes (1)	Yes (1)	$8,200,000		$1,975,466	$105,895,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	Yes (1)	0	0	0	Yes (1)
C	0	0	0		0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MCKINSTRY COMPANY
DEAN ALLEN, TRUSTEE, IS CEO AND PART OWNER OF MCKINSTRY COMPANY.	$302,357	SERVICES	0
JULIE MARTINA
FAMILY MEMBER OF ALVIN WINTERROTH, TRUSTEE	$76,935	EMPLOYMENT	0
DAWN COTTER
FAMILY MEMBER OF DR. MARK DEL BECCARO, KEY EMPLOYEE	$276,657	EMPLOYMENT	0
SARAH BOWDEN
FAMILY MEMBER OF WARREN HEWITT, KEY EMPLOYEE	$78,297	EMPLOYMENT	0
JESSICA BLUE
FAMILY MEMBER OF SCOTT BINGHAM, FORMER KEY EMPLOYEE	$84,865	EMPLOYMENT	0
EMILY WALTER
FAMILY MEMBER OF JUDITH PIERCE, TRUSTEE	$40,720	EMPLOYMENT	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	76	ContributionCnt
Noncash Contributions Rpt F990	$14,372,539	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	EQUIP/FURNITURE	1	$5,025,055	MARKET VALUE
Yes (X)	ELECTRONICS	2	$73,561	MARKET VALUE
Yes (X)	AIRLINE MILES	2	$56,970	MARKET VALUE

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, COLUMN (B):	LINE 9 - 76 DONATIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 25 - ONE DONATION OF LEASEHOLD IMPROVEMENTS, FURNISHINGS AND EQUIPMENT; LINE 26 - ONE DONATION OF 35 MICROSOFT SURFACE PRO TABLETS AND ONE DONATION OF 120 AMAZON FIRE TABLETS AND 300 ECHO DOTS; LINE 27 - DONATIONS OF AIRLINE MILES FROM TWO DONORS
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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2019, 694 VOLUNTEERS, AFTER COMPLETING A THOROUGH INTERVIEW AND TRAINING PROCESS, LOGGED 72,780 HOURS OF SERVICE IN ONE OF THE 80 DIFFERENT DEPARTMENTS, WITH DUTIES RANGING FROM WORKING IN THE HOSPITAL GIFT SHOP, TO ENTERTAINING PATIENTS IN THE PLAYROOM, TO HELPING WITH ADMINISTRATIVE TASKS AT A RECEPTION AREA. IN ADDITION, 22 UNCOMPENSATED TRUSTEES SERVED ON THE SEATTLE CHILDREN'S HOSPITAL BOARD DURING FISCAL YEAR 2019. IN ALL THAT THEY DO, OUR VOLUNTEERS ARE HIGHLY VALUED MEMBERS OF OUR HOSPITAL COMMUNITY.
FORM 990, PART V, LINE 15:	THIS IS THE FIRST TAX YEAR SEATTLE CHILDREN'S HOSPITAL, AS AN EMPLOYER, WOULD BE SUBJECT TO IRC SECTION 4960 TAX ON PAYMENT(S) OF MORE THAN $1,000,000. HOWEVER, PER IRS NOTICE 2019-09, Q39, REMUNERATION PAID BEFORE THE START OF THE FIRST TAX YEAR BEGINNING AFTER THE EFFECTIVE DATE OF THE NEW LAW IS NOT SUBJECT TO THE EXCISE TAX. REMUNERATION PAID TO JEFF SPERRING MD WAS PAID EQUALLY OVER THE CALENDAR YEAR 2018 AND THEREFORE, THE ORGANIZATION IS NOT SUBJECT TO THE IRC 4960 TAX FOR THE YEAR ENDED SEPTEMBER 30, 2019.
FORM 990, PART VI, SECTION A, LINE 2	WARREN HEWITT HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, SUZANNE BEITEL, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, COLLEEN FUKUI-SKETCHLEY, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, JUDITH PIERCE, MICHAEL REEVES, NANCY SENSENEY, MICHELE SMITH, JEFF SPERRING, CHARLES STEVENS, MOYA VAZQUEZ, AND ALVIN WINTERROTH. JEFF SPERRING HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, SUZANNE BEITEL, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, COLLEEN FUKUI-SKETCHLEY, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, JUDITH PIERCE, MICHAEL REEVES, NANCY SENSENEY, MICHELE SMITH, CHARLES STEVENS, MOYA VAZQUEZ, AND ALVIN WINTERROTH. SUZANNE BEITEL HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, COLLEEN FUKUI-SKETCHLEY, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, JUDITH PIERCE, MICHAEL REEVES, NANCY SENSENEY, MICHELE SMITH, CHARLES STEVENS, MOYA VAZQUEZ, AND ALVIN WINTERROTH.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7A	SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES (WHICH IS THE GOVERNING BODY) OF SEATTLE CHILDREN'S HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, HAS THE AUTHORITY TO MAKE, ALTER, AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF SEATTLE CHILDREN'S HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11B	MANAGEMENT AND INDEPENDENT TAX PROFESSIONALS PRESENT AND REVIEW THE FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. AFTER REVIEW BY THE AUDIT AND COMPLIANCE COMMITTEE AND PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE, THE ENTIRE BOARD OF TRUSTEES RECEIVES A COPY OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY OF SEATTLE CHILDREN'S HOSPITAL REQUIRES AN ANNUAL SURVEY OF ALL BOARD MEMBERS OF SEATTLE CHILDREN'S HOSPITAL, MEMBERS OF THE MEDICAL LEADERSHIP, ALL INDIVIDUALS ENGAGED TO PROVIDE MEDICAL DIRECTION, STAFF MEMBERS OCCUPYING ROLES WITH A DEGREE OF AUTHORITY, MEMBERS OF THE INSTITUTIONAL REVIEW BOARD AND MEMBERS OF THE HOSPITAL'S PHARMACY AND THERAPEUTICS COMMITTEE. THE SENIOR VICE PRESIDENT/CHIEF LEGAL OFFICER OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, ACTING UNDER THE OVERSIGHT AND BOARD DELEGATED AUTHORITY OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES, OVERSEES THE REVIEW OF ALL DISCLOSURES AND ESTABLISHES AND OVERSEES ANY NECESSARY MANAGEMENT PLANS RELATED TO THEM. IN GENERAL, WHEN A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE CONFLICT MUST RECUSE THEMSELVES FROM PARTICIPATION IN ANY BOARD DISCUSSION OR OTHER DECISION MAKING REGARDING THE TRANSACTION AND REFRAIN FROM VOTING ON OR DECIDING ANY ISSUES RELATING TO THE CONFLICTING INTEREST. ANY PERSON COVERED BY THE POLICY WHO ENGAGES IN CONDUCT THAT VIOLATES THE POLICY OR PURSUES A TRANSACTION OR EVENT FOLLOWING DISAPPROVAL BY THE AUDIT AND COMPLIANCE COMMITTE OR THE APPROPRIATE OFFICER MAY, IN THE DISCRETION OF THE AUDIT AND COMPLIANCE COMMITTEE OR THE APPROPRIATE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM HIS OR HER DUTIES WITH SEATTLE CHILDREN'S HOSPITAL AND/OR TERMINATED IN HIS OR HER EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE (MDCC) OF THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS), A RELATED ORGANIZATION THAT IS THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL. PURSUANT TO THE BOARD-APPROVED MDCC CHARTER, THE MDCC ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT EXPERT IN THE COMPENSATION OF EXECUTIVES AND OTHER TOP MANAGERS OF NONPROFIT HOSPITALS AND HEALTH CARE SYSTEMS. WITH APPROPRIATE COMPARABILITY DATA PROVIDED BY ITS CONSULTANT (COMPRISING MARKET DATA REGARDING COMPENSATION PAID FOR COMPARABLE SERVICES IN COMPARABLE ORGANIZATIONS), THE MDCC ENGAGES IN AN ANNUAL REVIEW AND ASSESSMENT OF THE SEATTLE CHILDREN'S HOSPITAL EXECUTIVE COMPENSATION PROGRAM (BASE, INCENTIVE COMPENSATION, AND EMPLOYER-PAID BENEFITS) TO DETERMINE COMPETITIVENESS. BASED ON THIS EXPERT ANALYSIS AND ON RELEVANT PERFORMANCE INFORMATION FOR THE EXECUTIVES IN QUESTION AND THE ORGANIZATION AS A WHOLE, THE MDCC PRESENTS A RECOMMENDATION TO THE SCHS BOARD REGARDING THE TOTAL COMPENSATION PACKAGE FOR EACH OF THE AFFECTED EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND KEY EMPLOYEES. THE FULL BOARD REVIEWS THE RECOMMENDATIONS AS WELL AS ALL RELEVANT COMPARABILITY DATA AND THE GOALS OF THE ORGANIZATION IN MAKING ITS FINAL DECISION. IN DOING SO IT RELIES ON THE EXPERT ANALYSIS TO DETERMINE THAT COMPENSATION IS REASONABLE AND WITHIN THE "BOUNDS OF COMPETITIVE PRACTICE". ALL DELIBERATIONS AND DECISIONS OF THE MDCC AND FULL BOARD ARE DOCUMENTED IN THE BOOKS AND RECORDS IN ACCORDANCE WITH GENERAL ADMINISTRATIVE PROVISIONS AND PROCEDURES WITHIN THE BYLAWS. THE PROCESS FOLLOWED BY THE MDCC AND THE FULL BOARD SATISFIES BEST GOVERNANCE PRACTICES AND ALSO MEETS THE REGULATORY REQUIREMENTS NECESSARY TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO THE BOARD'S DECISION.
FORM 990, PART VI, SECTION C, LINE 19	SEATTLE CHILDREN'S HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, LINE 16:	WHILE THERE IS NO WRITTEN POLICY OR PROCEDURE FOR THE ARRANGEMENT, ANY JOINT VENTURE IS REVIEWED BY LEGAL COUNSEL WHO CONSIDERS THE IMPACTS OF THE TAX-EXEMPT STATUS OF THE ORGANIZATION.
FORM 990, PART IX, COLUMN (D):	ALTHOUGH SEATTLE CHILDREN'S HOSPITAL HAS SUBSTANTIAL CONTRIBUTION REVENUE, IT DOES NOT INCUR FUNDRAISING EXPENSES. ALL FUNDRAISING ACTIVITIES AND CONTRIBUTIONS TO SEATTLE CHILDREN'S HOSPITAL ARE CONDUCTED BY RELATED ORGANIZATIONS. SEE ADDITIONAL DESCRIPTION FOR SCHEDULE M, LINE 32.
FORM 990, PART XI, LINE 9:	CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS -5,940,015. CHANGE IN BENEFICIAL INTEREST IN SCHS -1,066,792.
SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT	LETTER FROM OUR CEO MOST PEOPLE DON'T HAVE TO LOOK FAR TO FIND A HOSPITAL. AFTER ALL, THERE ARE MORE THAN 6,000 HOSPITALS ACROSS THE UNITED STATES. BUT OPTIONS SHRINK DRAMATICALLY WHEN A FAMILY NEEDS A HOSPITAL LIKE SEATTLE CHILDREN'S. ALTHOUGH THERE ARE MORE THAN 70 MILLION KIDS UNDER AGE 18 IN THE U.S., THERE ARE ONLY ABOUT 200 HOSPITALS WITH SPECIALIZED PROGRAMS FOR CHILDREN AND ADOLESCENTS. OF THOSE, ROUGHLY 100 PROVIDE COMPREHENSIVE CARE FOR YOUNG PEOPLE WITH THE GREATEST HEALTH CHALLENGES. ALONG WITH SEATTLE CHILDREN'S, THESE HOSPITALS ARE AN ESSENTIAL PART OF OUR COUNTRY'S HEALTHCARE SYSTEM AND ARE A CRITICAL SAFETY NET FOR FAMILIES IN NEED. AND, OFTEN, WE'RE THE SOURCE OF HOPE WHEN THEY'VE BEEN TOLD ARE NO OTHER ANSWERS. LIKE US, OUR CHILDREN'S HOSPITAL PEERS PROVIDE A WIDE RANGE OF HIGHLY SPECIALIZED PROGRAMS TO MEET THE IMMEDIATE AND LONG-TERM NEEDS OF CHILDREN WITH COMPLEX CONDITIONS. WE ALSO SERVE AS REGIONAL AND NATIONAL REFERRAL CENTERS FOR KIDS WITH THE MOST ACUTE MEDICAL ILLNESSES AND MENTAL AND BEHAVIORAL HEALTH CONDITIONS. ACROSS THE COUNTRY, CHILDREN'S HOSPITALS ARE UNITED BY A SIMPLE FACT: WE DON'T DO IT ALONE. HERE AT SEATTLE CHILDREN'S WE WORK CLOSELY WITH ACADEMIC MEDICAL CENTERS TO ADVANCE PEDIATRIC CLINICAL CARE, TRAINING AND RESEARCH. AT THE SAME TIME, WE COLLABORATE WITH FAMILIES, COMMUNITY PARTNERS, PUBLIC HEALTH AGENCIES SERVING THE LARGEST AND MOST DIVERSE GEOGRAPHIC AREA OF ANY HOSPITAL: WASHINGTON, ALASKA, MONTANA, AND IDAHO. BEING ONE OF THE ONLY HOSPITAL'S IN THE NATION TO NAME EQUITY AS A CORE VALUE MEANS THAT WE REPEATEDLY COMMIT TO COLLABORATE WITH MANY OTHERS TO DELIVER ON OUR PROMISE OF HOPE, CARE AND CURES FOR EVERY CHILD. THAT PROMISE IS THE CORNERSTONE OF SEATTLE CHILDREN'S PLAN TO ADDRESS THE GREATEST HEALTH NEEDS OF OUR COMMUNITIES - NOT JUST WITHIN OUR WALLS BUT WHEREVER WE CAN HELP KEEP FAMILIES SAFE AND HEALTHY AND ELIMINATE HEALTH INEQUITIES. INSIDE THIS REPORT ARE MANY EXAMPLES OF OUR MOST RECENT EFFORTS TO UPHOLD OUR PROMISE. WE ARE GRATEFUL TO EVERYONE WHO HAS JOINED US ON THIS JOURNEY. SINCERELY, JEFF SPERRING, MD CEO, SEATTLE CHILDREN'S WHAT IS COMMUNITY BENEFIT? A COMMUNITY BENEFIT IS A PROGRAM OR SERVICE THAT MEETS AT LEAST ONE OF THESE OBJECTIVES: - IMPROVES ACCESS TO HEALTHCARE. - ENHANCES THE HEALTH OF THE COMMUNITY. - ADVANCES MEDICAL OR HEALTH KNOWLEDGE. - RELIEVES OR REDUCES THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. COMMUNITY BENEFITS ARE CLASSIFIED AS UNCOMPENSATED CARE, RESEARCH, HEALTH PROFESSIONS EDUCATION AND COMMUNITY HEALTH IMPROVEMENT. COMMUNITY BENEFIT IS ALSO THE BASIS OF THE TAX-EXEMPTION OF NONPROFIT HOSPITALS. LEARN MORE ABOUT HOW WE CONTRIBUTE TO THE COMMUNITY AT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT TOTAL 2019 INVESTMENT IN THE COMMUNITY: $287,761,000* UNCOMPENSATED CARE & MEDICAID SHORTFALL*: $184,199,000 HEALTH PROFESSIONS EDUCATION: $33,994,000 RESEARCH: $56,031,000 COMMUNITY PROGRAMS AND SERVICES: $13,537,000 DOES NOT INCLUDE GRANTS AND CONTRIBUTIONS SEATTLE CHILDREN'S RECEIVED THAT SUPPORT COMMUNITY BENEFIT PROGRAMS. **REFLECTS COSTS AFTER SUBTRACTING PAYMENTS FROM MEDICAID, DONATIONS, AND GRANTS SEATTLE CHILDREN'S RECEIVED THAT SUPPORT THESE PROGRAMS. COMMUNITY PROGRAMS AND SERVICES WE STRIVE EVERY DAY TO DO WHATEVER IT TAKES TO HELP CHILDREN AND FAMILIES IN OUR REGION - NOT JUST INSIDE OUR HOSPITAL BUT BEYOND OUR WALLS. BY WORKING WITH PARTNERS IN THE COMMUNITY TO PROVIDE MEDICAL SERVICES, PROMOTE PUBLIC POLICIES AND ADVOCATE FOR THE UNDERSERVED, WE MAKE LIFE SAFER AND HEALTHIER FOR CHILDREN AND FAMILIES WHERE THEY LIVE. RAISING AWARENESS OF VAPING RISKS AS A FOUNDING PARTNER OF PREVENTION WORKS IN SEATTLE (WINS), WE ARE ON THE FRONTLINE OF THE FIGHT AGAINST YOUTH SUBSTANCE ABUSE - INCLUDING THE GROWING BUT DANGEROUS PRACTICE OF VAPING. VAPING - INHALING THE VAPOR FROM ELECTRONIC CIGARETTES - IS CATCHING ON WITH TEENS AT AN ALARMING RATE. THIS IS AT LEAST PARTIALLY DUE TO THE POPULARITY OF E-CIGARETTE JUICE FLAVORS LIKE COTTON CANDY AND CHERRY COLA THAT ARE EXTRA SWEET AND MARKETED AS FREE FROM NICOTINE. "TESTING SHOWS THAT SOME FLAVORS MARKETED AS 'JUST FLAVORING' DO CONTAIN NICOTINE, MAKING E-CIGARETTES AND VAPE USE AMONG YOUTH EXTREMELY DANGEROUS BECAUSE IT LAYS THE GROUNDWORK FOR A LIFETIME OF ADDICTION." SAYS LIZ WILHELM, DRUG FREE COMMUNITIES COORDINATOR WITH PREVENTION WINS. "E-CIGARETTES ALSO CONTAIN DANGEROUS CHEMICALS THAT, WHEN INHALED, CAN REDUCE LUNG CAPACITY." PREVENTION WINS HAS PARTNERED WITH THE WASHINGTON POISON CENTER TO PROVIDE EDUCATIONAL TRAINING ABOUT THE RISKS OF E-CIGARETTES AND VAPING TO LOCAL EDUCATORS, PARENTS AND OTHER COMMUNITY COALITIONS. ONE OF THE MOST IMPORTANT THINGS TO UNDERSTAND IS THAT E-CIGARETTES AND VAPING IS NOT SAFER THAN COMBUSTIBLE CIGARETTES - ESPECIALLY FOR YOUNG PEOPLE WHOSE BODIES ARE STILL DEVELOPING. "PARENTS SHOULD SEND CLEAR MESSAGES TO THEIR CHILDREN ASKING THEM NOT TO USE E-CIGARETTES AND LET THEM KNOW THE CONSEQUENCES IF THEY DO," WILHELM SAYS. THROUGH THIS COLLABORATION, PREVENTION WINS HAS TRAINED HUNDREDS OF INDIVIDUALS ON THESE RISKS IN 2019. SPECIALTY CARE CLOSER TO HOME SEATTLE CHILDREN'S IS THE MAIN PEDIATRIC HOSPITAL FOR A VAST GEOGRAPHIC REGION - THE LARGEST OF ANY CHILDREN'S HOSPITAL IN THE COUNTRY. OUR NETWORK OF CLINICS GIVES KIDS ACROSS WASHINGTON, ALASKA, MONTANA AND IDAHO LOCAL ACCESS TO SPECIALTY CARE THAT COULD SAVE THEIR LIFE. WHEN A YOUNG PATIENT HAD A FEVER THAT LASTED FOR FOUR DAYS, HIS PEDIATRICIAN IN ANCHORAGE, ALASKA, THOUGHT IT WAS AN EVERYDAY VIRUS. AS SYMPTOMS WORSENED AND HE STARTED STRUGGLING TO BREATHE, HE ENDED UP IN THE EMERGENCY ROOM, WHERE DR. JAMES CHRISTIANSEN, A SEATTLE CHILDREN'S CARDIOLOGIST WHO LIVES AND WORKS IN ANCHORAGE, DIAGNOSED HIM WITH RHEUMATIC FEVER. "THE CHILD WAS ON THE VERGE OF CARDIAC ARREST AND NO ONE KNEW WHY UNTIL WE SAW DR. CHRISTIANSEN," MERSING SAYS. "HE PUT HIS PATIENT ON THE RIGHT MEDICATIONS AND IT PROBABLY SAVED HIS LIFE." WHILE FAMILIES STILL TRAVEL TO SEATTLE FOR COMPLEX SURGERIES AND PROCEDURES, OUR SPECIALISTS SEE THOUSANDS OF KIDS LIKE THIS ONE IN OUR REGIONAL CLINICS. OUR FOUNDING PROMISE TO PROVIDE UNCOMPENSATED CARE TO CHILDREN WHO NEED IT APPLIES EVEN WHEN A CHILD IS SEEN AT ONE OF OUR REGIONAL CLINICS. "WE'RE CONSTANTLY STRIVING TO MAKE IT EASIER FOR FAMILIES TO GET EVALUATED, DIAGNOSED AND TREATED BY SEATTLE CHILDREN'S EXPERTS NO MATTER WHERE THEY LIVE," SAYS DR. HOWARD JEFFRIES, WHO DIRECTS OUR REGIONAL NETWORK. "FAMILIES HAVE ENOUGH TO WORRY ABOUT WITHOUT WONDERING WHETHER THE SPECIALIST THEY NEED IS AVAILABLE IN THEIR COMMUNITY." RESEARCH RESEARCH IS THE SPRINGBOARD TO HOPE. BY IDENTIFYING PROBLEMS, DISCOVERING SOLUTIONS AND TRANSLATING THEM INTO NEW CURES AND TREATMENTS, WE TRANSFORM THE LIVES OF CHILDREN AND FAMILIES EVERYWHERE. NEUROLOGY TEAM DELIVERS NOVEL CARE THE SEATTLE CHILDREN'S NEUROSCIENCES CENTER UNLOCKS THE MYSTERIES OF THE BRAIN TO HELP CHILDREN FIGHT NEUROLOGICAL CONDITIONS THAT THREATEN THEIR LIVES AND THEIR DREAMS. OUR TEAM OF NEUROLOGISTS, NEUROSURGEONS AND NUMEROUS OTHER SPECIALISTS TAKE EVERY STEP POSSIBLE - INCLUDING BLAZING NEW TRAILS - TO HELP CHILDREN AND TEENS FULFILL THEIR POTENTIAL. ONE SUCH TEENAGE PATIENT HAS A PASSION FOR PERFORMING MUSICAL THEATER. SO IT FELT LIKE A CRUEL JOKE WHEN DOCTORS DETERMINED SHE HAD MUSIC-TRIGGERED EPILEPSY CAUSED BY A BRAIN TUMOR PRESSING AGAINST HER AUDITORY CORTEX. SHE NEEDED BRAIN SURGERY TO REMOVE THE TUMOR. BECAUSE OF THE TUMOR'S LOCATION, OUR EPILEPSY SURGERY TEAM TOOK A NOVEL APPROACH. THEY WOKE HER UP DURING HER SURGERY AND HAD HER SING AND PERFORM MUSIC-RELATED TASKS WHILE MAPPING AREAS OF HER BRAIN SO THEY COULD AVOID DAMAGE TO REGIONS RELATED TO HEARING AND SINGING. ALTHOUGH WE ARE A LEADER IN THIS TYPE OF SURGERY - KNOWN AS AWAKE CRANIOTOMY - THIS WAS THE FIRST TIME WE FOCUSED ON PRESERVING THE ABILITY TO SING. JUST 48 HOURS AFTER SURGERY, THE TEEN WAS PLAYING GUITAR AND SINGING FROM HER HOSPITAL BED. "AT SEATTLE CHILDREN'S, WE DEAL WITH THE INCREDIBLE EVERY DAY," SAYS NEUROSURGEON DR. JASON HAUPTMAN. "WE CAME TOGETHER AND DEVELOPED A VERY NOVEL WAY TO APPROACH A PROBLEM THAT WE HOPE WILL HAVE A POSITIVE IMPACT FOR THE REST OF HER LIFE."
SEARCHING FOR SOLUTIONS TO INEQUITIES	CHILDREN FROM LOW-INCOME GROUPS OFTEN HAVE WORSE MEDICAL OUTCOMES THAN KIDS WHO ARE FROM HIGHER-INCOME FAMILIES. BACKED BY A NATIONAL INSTITUTES OF HEALTH GRANT, DR. CASEY LION IS SEEKING TO IDENTIFY WHAT CONTRIBUTES TO THOSE DISPARITIES AND TEST A NEW WAY TO OVERCOME THEM. LION'S TEAM WILL SURVEY PARENTS OF COLOR AND LOW-INCOME PARENTS WHOSE CHILDREN ARE HOSPITALIZED. THE SURVEY WILL GAUGE THINGS LIKE A FAMILY'S TRUST IN THE HEALTHCARE SYSTEM AND THE QUALITY OF COMMUNICATION FROM DOCTORS AND NURSES. LION'S TEAM THEN WILL LOOK FOR ASSOCIATIONS BETWEEN THE SURVEY'S FINDINGS AND EACH CHILD'S MEDICAL OUTCOMES. FOR INSTANCE, LION SUSPECTS THAT CHILDREN MAY HAVE WORSE OUTCOMES IF THE PROVIDERS AREN'T EFFECTIVELY COMMUNICATING WITH PARENTS, WHICH COULD LIMIT A PARENT'S ABILITY TO CARE FOR THEIR CHILD AFTER GOING HOME FROM THE HOSPITAL. NEXT, LION WILL INVESTIGATE WHETHER PATIENT NAVIGATORS COULD IMPROVE OUTCOMES. PATIENT NAVIGATORS ARE CHARGED WITH THINGS LIKE EXPLAINING THE DIFFERENT ASPECTS OF CARE TO PATIENTS AND THEIR FAMILIES, HELPING THEM COMMUNICATE WITH DOCTORS AND NURSES AND ENCOURAGING FAMILIES TO TAKE AN ACTIVE ROLE IN CARE. "NAVIGATORS COULD BE A COST-EFFECTIVE WAY TO HELP THESE PATIENTS TODAY AND BUILD A FOUNDATION THAT IMPROVES THEIR HEALTHCARE THROUGHOUT LIFE," LION SAYS. HEALTH PROFESSIONALS EDUCATION EDUCATION IS THE OXYGEN THAT HEALTHCARE REQUIRES TO EFFECTIVELY RESPOND TO PATIENT AND FAMILY NEEDS. OUR INVESTMENT IN ONGOING TRAINING FOR OUR DOCTORS AND NURSES - AND FOR PROVIDERS IN THE COMMUNITY - ENSURES CHILDREN IN OUR REGION HAVE ACCESS TO HIGHLY SPECIALIZED CARE. AND AS A TRAINING GROUND FOR FUTURE DOCTORS, NURSES AND HEALTH CARE PROFESSIONALS WE ENSURE FUTURE GENERATIONS WILL CONTINUE TO HAVE THE SAME ACCESS. MOBILIZING TO MEET COMMUNITY'S NEEDS OUR PATIENT TRANSPORT SERVICE HAS COME A LONG WAY. AFTER TRANSPORTING ONLY NEONATAL PATIENTS - BABIES YOUNGER THAN 30 DAYS OLD - FOR MANY YEARS, THE TEAM BEGAN TRANSPORTING CHILDREN OF ALL AGES LAST YEAR. ANOTHER 2019 MILESTONE: PROVIDING CLINICAL CARE ON AIRLIFT NORTHWEST FLIGHTS INVOLVING NEONATAL PATIENTS. NOW KNOWN AS THE CRITICAL CARE TRANSPORT SERVICE, THE TEAM HAS DOUBLED IN SIZE TO NEARLY 40 HIGHLY-TRAINED NURSES, RESPIRATORY CARE THERAPISTS AND EMERGENCY MEDICAL TECHNICIANS (EMTS) DEDICATED TO THE SAFE TRANSFER OF PATIENTS REQUIRING CRITICAL OR SPECIALTY CARE SERVICES AT SEATTLE CHILDREN'S OR ANOTHER FACILITY IN WESTERN WASHINGTON. EXPANDING THE PROGRAM REQUIRED SIGNIFICANT AND ONGOING TRAINING BY ALL MEMBERS OF THE TEAM. THIS INCLUDED TWO DAYS OF COMPETENCY TRAININGS IN 2019 THAT INVOLVED LEARNING ADVANCED SKILLS AND CONDUCTING HANDS-ON SIMULATIONS BEYOND WHAT IS STANDARDLY REQUIRED. THIS YEAR THE TEAM WILL PARTICIPATE IN THREE DAYS OF COMPETENCY TRAININGS TO CONTINUE FINE-TUNING THEIR SKILLS. "WHAT HAS BEEN SO INCREDIBLE IS HOW EACH MEMBER OF THE TEAM HAS BEEN CROSS-TRAINED SO EVERYONE HAS LEARNED TRANSPORT SKILLS RATHER THAN JUST NURSING SKILLS OR RESPIRATORY THERAPY SKILLS," SAYS NICKI NIKODYM, A NURSE WITH THE TEAM. "OUR TEAM WORKS SO COHESIVELY BECAUSE IT IS JUST THAT - A TEAM." INTERNSHIPS CULTIVATE DIVERSITY IN RESEARCH THE SEATTLE CHILDREN'S RESEARCH INSTITUTE IS COMMITTED TO HELPING TRAIN THE NEXT GENERATION OF MEDICAL RESEARCHERS - AND TO HELPING UNDERREPRESENTED STUDENTS PARTICIPATE IN THAT TRAINING. LAST YEAR THE OFFICE FOR TEACHING, EDUCATION AND RESEARCH (OTER) LAUNCHED A SUMMER INTERNSHIP PROGRAM FOR UNDERREPRESENTED UNDERGRADUATE STUDENTS. THE PROGRAM RECEIVED MORE THAN 700 APPLICANTS, OF WHICH, 36 STUDENTS WERE GIVEN AN OPPORTUNITY TO ENGAGE IN BASIC, CLINICAL AND/OR TRANSLATIONAL RESEARCH UNDER THE MENTORSHIP OF EXPERIENCED RESEARCHERS AND PRINCIPAL INVESTIGATORS. INTERNS LEARNED NEW RESEARCH METHODOLOGIES, BECAME EXPERIENCED WITH LAB EQUIPMENT, WORKED WITH DATA, CONDUCTED THEIR OWN RESEARCH PROJECTS AND SUBMITTED AN ABSTRACT OF THEIR RESEARCH AT THE END OF THEIR INTERNSHIP. PROJECTS RANGED FROM THE EFFECTS OF SLEEP DEPRIVATION ON EPILEPSY IN A MOUSE MODEL, THE SOCIAL IMPACT OF PEDIATRIC SKIN DISORDERS - TO WHY PARENTS ARE STILL REFUSING AND DELAYING VACCINES. INTERNS ALSO ATTENDED A SERIES OF TRAINING SESSIONS ON READING SCHOLARLY ARTICLES, WRITING INDIVIDUAL DEVELOPMENT PLANS, CREATING LINKEDIN PROFILES AND OTHER USEFUL PROFESSIONAL SKILLS. "THE AREA OF MEDICINE I WAS INTRODUCED TO BLEW MY MIND AWAY," SAID ONE INTERN. "I LEARNED A LOT ABOUT WHAT IT TAKES TO BE IN THAT SETTING AND I AM GLAD BECAUSE (THE INTERNSHIP) GAVE ME MORE MOTIVATION TO CONTINUE THIS CAREER PATH." UNCOMPENSATED CARE THE COST OF SPECIALIZED CARE FOR A CHILD WITH A SERIOUS ILLNESS OR INJURY IS STAGGERING, BUT IT IS NEVER A BARRIER FOR FAMILIES WHO COME TO US FOR HELP. OUR DOORS ARE ALWAYS OPEN REGARDLESS OF A FAMILY'S FINANCIAL SITUATION. IN 2019 WE PROVIDED OVER $184 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO. A WINNING ATTITUDE, A DEDICATED TEAM IF YOU LOOK AT ONE PARTICULAR CHILDREN'S PATIENT, YOU SEE A GIRL WHO LOVES COMPUTER GAMES, VOLLEYBALL AND THE PERFORMER CARDI B. WHAT YOU DON'T SEE IS THE SICKLE CELL DISEASE THAT HAS SHAPED HER LIFE - OR THE SEATTLE CHILDREN'S MEDICAL TEAM THAT'S BEEN WITH HER EVERY STEP OF THE WAY. OUR EXPERTS AT THE ODESSA BROWN CHILDREN'S CLINIC (OBCC) PROVIDE HER WITH THE CARE SHE NEEDS TO MANAGE HER CHRONIC CONDITION. SICKLE CELL DISEASE PREVENTS A PERSON'S BLOOD CELLS FROM DELIVERING OXYGEN TO THEIR BODY, WHICH CAN LEAD TO TERRIBLE PAIN, SERIOUS INFECTIONS, DAILY MEDICATION AND A LIFETIME OF TREATMENT. "SICKLE CELL AFFECTS THE ENTIRE CHILD AND THE TEAM AT OBCC UNDERSTANDS THAT," SAYS THE CHILD'S DAD. "EVEN IF WE NEED TO CALL FOR HELP AT 3 A.M., OUR MEDICAL TEAM IS THERE FOR US. THEY'RE LIKE A SECOND FAMILY." THE GIRL'S MOM HAS INSURANCE AND HER DAD WORKS TWO JOBS, BUT THE COST OF MEDICATION, BLOOD TRANSFUSIONS AND EMERGENCY ROOM VISITS IS MORE THAN THE FAMILY CAN BEAR ALONE. BUT THEY DON'T HAVE TO, THANKS TO SUPPORT FROM OUR UNCOMPENSATED CARE FUND. "OUR LIVES WOULD BE DRAMATICALLY DIFFERENT WITHOUT THAT HELP," SAYS HER DAD. "WE FEEL TRULY BLESSED FOR ALL THE PEOPLE WHO STEP FORWARD AND SUPPORT THE HOSPITAL - AND FAMILIES LIKE OURS." OUR COMMUNITY BENEFIT PRIORITIES WE WORK WITH PARTNERS IN THE COMMUNITY TO ADDRESS FOUR URGENT HEALTH NEEDS IDENTIFIED BY OUR 2019-2022 COMMUNITY HEALTH ASSESSMENT. HERE ARE SOME OF OUR RECENT ACCOMPLISHMENTS IN EACH OF THE FOUR PRIORITY AREAS.
MENTAL AND BEHAVIORAL HEALTH	MENTAL AND EMOTIONAL HEALTH ARE ESSENTIAL IN ORDER FOR CHILDREN TO GROW UP AND REACH THEIR FULL POTENTIAL. OUR MENTAL AND BEHAVIORAL HEALTH EXPERTS ARE TRAINED TO UNDERSTAND AND MEET THE SPECIFIC NEEDS OF CHILDREN AND ADOLESCENTS DEALING WITH ANXIETY, DEPRESSION AND THE ISSUES THAT AFFECT THEIR DEVELOPMENT, SAFETY AND WELL-BEING. WORKING WITH THE COMMUNITY, WE STRIVE TO INCREASE ACCESS TO CARE SO EVERYONE GETS THE HELP THEY NEED. CULTIVATING INCLUSIVE AUTISM CONVERSATIONS THE SEATTLE CHILDREN'S AUTISM CENTER HAS PROVIDED VITAL EDUCATION TO PARENTS AND CAREGIVERS FOR MANY YEARS. NOW OUR COURSES ARE MORE EASILY AND WIDELY ACCESSIBLE THANKS TO A COLLABORATION BETWEEN THE AUTISM CENTER AND SEATTLE CHILDREN'S SOCIAL MEDIA TEAM. THE COURSES ARE STREAMED ON FACEBOOK LIVE, ELIMINATING THE NEED FOR ANYONE TO TRAVEL TO SEATTLE CHILDREN'S OR SOME OTHER LOCATION TO ACCESS THE INFORMATION PRESENTED. BESIDES BEING AVAILABLE ON FACEBOOK LIVE, THE COURSES ARE UPLOADED TO OUR YOUTUBE CHANNEL. PRESENTING THE INFORMATION ON FACEBOOK LIVE AND MAKING IT PERMANENTLY AVAILABLE AFTERWARD ON SOCIAL MEDIA MEANS THAT ANY PROVIDER - AT SEATTLE CHILDREN'S OR IN THE COMMUNITY -- CAN POINT FAMILIES TO THOSE RESOURCES ANY TIME THEY NEED EDUCATION, INFORMATION OR SUPPORT. MUCH OF THE INFORMATION IS PRESENTED THROUGH PANEL DISCUSSIONS. INVITED EXPERTS ADDRESS TOPICS ACROSS THE AUTISM SPECTRUM BASED ON WHAT THE AUTISM CENTER HEARS FROM FAMILIES ABOUT THEIR GREATEST NEEDS AND CONCERNS. "WE STRIVE TO BE AS INCLUSIVE AS POSSIBLE AND OFFER MULTIPLE PERSPECTIVES FROM THE AUTISM COMMUNITY," SAID JIM MANCINI, WHO DIRECTS PARENT EDUCATION AND RESEARCH AT THE AUTISM CENTER. ONE OF LAST YEAR'S PANELS EXAMINED CRISIS RESOURCES FOR INDIVIDUALS WITH AUTISM, WHICH REVEALED A LACK OF CRISIS RESOURCES AND STARTED A CONVERSATION AT THE STATE LEVEL ABOUT THE NEED FOR INCREASED CRISIS SUPPORTS -- WHICH ULTIMATELY BECAME A CATALYST FOR POSITIVE LEGISLATION. GUIDING FAMILIES THROUGH MENTAL HEALTH MAZE THE MENTAL HEALTH SYSTEM CAN SEEM LIKE A MAZE TO PARENTS IN SEARCH OF THERAPY FOR A CHILD. NOT ONLY DOES THE STATE OF WASHINGTON LACK ADEQUATE RESOURCES, BUT ACCESSING THOSE RESOURCES IS CHALLENGING BECAUSE OF COMPLICATED INSURANCE COVERAGES, MULTIPLE HIDDEN BARRIERS AND MINIMAL SUPPORTS. A BIG STEP FORWARD WAS TAKEN LAST YEAR WHEN SEATTLE CHILDREN'S BEGAN OPERATING THE MENTAL HEALTH REFERRAL SERVICE FOR CHILDREN AND TEENS. FUNDED BY THE STATE, THE TELEPHONE-BASED SERVICE CONNECTS PARENTS AND CAREGIVERS WITH A REFERRAL SPECIALIST. THE SPECIALIST ASKS A SERIES OF QUESTIONS TO DETERMINE THE TYPE OF HELP NEEDED AND THEN FINDS A THERAPIST THAT MATCHES A CHILD'S CLINICAL NEEDS, ACCEPTS THEIR INSURANCE AND IS CONVENIENTLY LOCATED. THE REFERRAL COMPLETED 596 INTAKES IN ITS FIRST SIX MONTHS - WITH OVERWHELMINGLY POSITIVE RESULTS. WHEN PARENTS WERE SURVEYED ABOUT HOW LIKELY THEY WERE TO RECOMMEND THE SERVICE, THE AVERAGE RATING FROM 105 RESPONSES WAS A 4.9 OUT OF 5. "THIS IS SUCH A VALUABLE RESOURCE FOR FAMILIES LIKE OURS WHO ARE TRYING TO NAVIGATE THE COMPLICATED MENTAL HEALTH SYSTEM AND GET OUR CHILDREN THE SUPPORT THEY NEED," SAID ONE PARENT. "THANK YOU SO MUCH FOR YOUR HELP!"
SUICIDE & INJURY PREVENTION	SEATTLE CHILDREN'S SUPPORTS THE HEALTH AND SAFETY OF CHILDREN, TEENS AND FAMILIES BY IDENTIFYING PREVENTABLE INJURIES AND PROMOTING EDUCATION AND RESOURCES TO REDUCE THOSE INJURIES. WORKING WITH PARTNERS IN THE COMMUNITY, WE TO SEEK TO UNDERSTAND INJURY AND ADDRESS POTENTIAL HARMS WHEREVER WE FIND THEM. WORKING WITH FAMILIES TO KEEP KIDS SAFE THE BEHAVIORAL HEALTH CRISIS CARE CLINIC (CCC) IS AN ALTERNATIVE TO THE EMERGENCY DEPARTMENT THAT IS DESIGNED FOR CHILDREN WHO ARE IN CRISIS - INCLUDING EXPERIENCING SUICIDAL THOUGHTS OR BEHAVIORS - BUT WHO ARE NOT AT IMMINENT RISK OF HARM. LAUNCHED IN 2019, THE CCC PROVIDES CLINICAL SUPPORT TO BOTH CHILDREN AND THEIR CAREGIVERS IN ORDER TO ADDRESS THE IMPACTS OF A MENTAL HEALTH CRISIS ON THE WHOLE FAMILY. WE ALSO PROVIDE FAMILIES WITH CASE MANAGEMENT SUPPORT TO INCREASE THEIR ACCESS TO ONGOING CARE IN THE COMMUNITY. THIS NEW PROGRAM INCREASES OPTIONS FOR FAMILIES IN CRISIS WHO MAY OTHERWISE HAVE TO CHOOSE BETWEEN VISITING THE EMERGENCY DEPARTMENT AND NAVIGATING LENGTHY WAITLISTS TO ACCESS CARE. THE PROTECT OUR KIDS FROM FIREARM TRAGEDY COALITION CONTINUES TO WORK TO REDUCE FIREARM TRAGEDIES BY GIVING AWAY SAFE FIREARM STORAGE DEVICES. IN 2019 WE DISTRIBUTED 2,633 FIREARM LOCKING DEVICES AT COMMUNITY EVENTS IN YAKIMA, VANCOUVER AND SEATTLE IN PARTNERSHIP WITH LOCAL HOSPITALS, SAFE KIDS, PUBLIC HEALTH AND SUICIDE PREVENTION COMMUNITY ORGANIZATIONS. IN ADDITION, OVER 250 PATIENT FAMILIES HAVE RECEIVED FIREARM LOCKING DEVICES - ALONG WITH COUNSEL FROM STAFF AND PROVIDERS IN OUR EMERGENCY DEPARTMENT, PSYCHIATRY AND BEHAVIORAL MEDICINE INPATIENT UNIT, PSYCHIATRY CLINICS AND ODESSA BROWN CHILDREN'S CLINIC (OBCC). AT OBCC, PROVIDERS BLEND CONVERSATIONS ABOUT CHILDHOOD INJURY PREVENTION INTO WELL-CHILD CHECKS, MAKING SURE THAT FAMILIES KNOW HOW TO SECURELY STORE FIREARMS IN THEIR HOMES AND HAVE THE RESOURCES TO DO SO. ASSISTANCE DURING STAY, ON WAY HOME WHEN A CHILD SPENDS A LONG TIME IN THE HOSPITAL, FAMILIES SPEND A LONG TIME THERE TOO. IN MANY CASES, THEY FIND THEMSELVES IN UNFAMILIAR SURROUNDINGS FAR FROM HOME, FAMILY AND FRIENDS. SEATTLE CHILDREN'S FAMILY RESOURCE CENTER (FRC) OFFERS SUPPORT SERVICES FOR FAMILIES IN HOPES TO MAKE THEIR STAY A LITTLE EASIER. THE FRC PROVIDES A PLACE TO DO LAUNDRY AT NO COST, PRIVATE SHOWERS, A KITCHEN WITH FREE COFFEE AND TEA, COMPUTER ACCESS, CELL PHONE CHARGERS, HEALTH INFORMATION AND MORE. FRC STAFF HELP FAMILIES WHO ARE AT THE HOSPITAL IN HOW TO NAVIGATE SERVICES, IDENTIFY TRANSPORTATION OPTIONS AND FIND INFORMATION ON THINGS TO DO. WHEN FAMILIES ARE READY TO GO HOME, WE MAKE SURE THAT FAMILIES TRAVEL SAFELY BY PROVIDING CAR SEATS TO INPATIENT AND EMERGENCY DEPARTMENT PATIENTS. CAR CRASHES CONTINUE TO BE A LEADING CAUSE OF DEATH AND INJURIES TO CHILDREN. FAMILIES PAY WHAT THEY ARE ABLE TO AND NO MORE THAN THE WHOLESALE COST OF THE CAR SEAT. TRAINED FRC STAFF ASSIST PARENTS AND CAREGIVERS WITH CAR SEAT EDUCATION AND INSTALLATION. WE PROVIDED 338 CAR SEATS TO FAMILIES LAST YEAR. "IT ALWAYS MAKES ME FEEL GOOD WHEN WE ARE ABLE TO HELP FAMILIES WHO NEED A CAR SEAT," SHARES JUDY MACCARRONE, SENIOR PROGRAM COORDINATOR FOR THE FRC. ECONOMIC SECURITY AS INCOME INEQUALITY GROWS, WE KNOW THAT MORE AND MORE OF OUR FAMILIES LACK THE RESOURCES TO MAINTAIN A SAFE AND HEALTHY STANDARD OF LIVING. WITHOUT ECONOMIC SECURITY, CHILDREN ARE MORE LIKELY TO ENTER SCHOOL BEHIND THEIR PEERS, SCORE LOWER ON ACHIEVEMENT TESTS AND HAVE WORSE HEALTH OUTCOMES. SEATTLE CHILDREN'S WORKS DIRECTLY WITH FAMILIES AND WITH PARTNERS IN THE COMMUNITY TO ADDRESS ACCESS TO HEALTHY FOOD, HOUSING, EXPOSURE TO POLLUTION AND OTHER ISSUES THAT CAN ARISE FROM A LACK OF ECONOMIC SECURITY. AFFORDABLE HOUSING A NEW SEATTLE CHILDREN'S CLINIC WILL INCREASE ACCESS TO HEALTHCARE FOR LOW-INCOME FAMILIES WHO HAVE MOVED TO SOUTH SEATTLE AND SOUTH KING COUNTY WHILE AT THE SAME TIME HELPING BOOST THE SUPPLY OF AFFORDABLE HOUSING IN THE AREA. CONSTRUCTION CREWS BROKE GROUND LAST YEAR ON A NEW ODESSA BROWN CHILDREN'S CLINIC (OBCC) - PART OF THE 3.2-ACRE OTHELLO SQUARE DEVELOPMENT NEAR THE OTHELLO RAIL STATION. THE CLINIC AS WELL AS A CHILD DEVELOPMENT CENTER RUN BY A COMMUNITY PARTNER WILL OCCUPY THE FIRST TWO FLOORS OF A SEVEN-STORY BUILDING. ABOVE THE CLINIC WILL BE 176 APARTMENTS FOR FAMILIES WITH INCOMES BETWEEN 65% AND 120% OF THE AREA MEDIAN INCOME. CHILDREN'S INVESTED AN ADDITIONAL $8 MILLION TO INCREASE THE NUMBER OF UNITS SET ASIDE FOR INDIVIDUALS AND FAMILIES AT THE LOWEST END OF THE INCOME SPECTRUM. THE NEW CLINIC WILL PROVIDE AN INTEGRATED RANGE OF MEDICAL, MENTAL HEALTH, DENTAL AND OTHER SERVICES WHILE OTHELLO SQUARE WILL INCLUDE A CHARTER HIGH SCHOOL, AN ECONOMIC OPPORTUNITY CENTER, A COMPUTER LAB AND OTHER FEATURES. THE ORIGINAL OBCC, LOCATED A FEW MILES NORTH IN THE CENTRAL DISTRICT, WILL BE RENOVATED AND CONTINUE TO SERVE FAMILIES IN SURROUNDING NEIGHBORHOODS. ASSISTANCE WITH THE BASICS FOOD, SHELTER AND TRANSPORTATION ARE EASY TO TAKE FOR GRANTED IF YOU HAVE THEM, BUT MANY FAMILIES WHO COME TO SEATTLE CHILDREN'S LACK ONE OR MORE OF THOSE BASIC NECESSITIES - ADDING TO THE STRESS OF THEIR CHILD'S HOSPITALIZATION AND MAKING IT HARD FOR THEM TO BE THE BEST CAREGIVERS POSSIBLE. LAST YEAR WE EXPANDED OUR EFFORTS TO ASSIST FAMILIES BY CREATING A COMMUNITY RESPONSE TEAM (CRT) TO SCREEN FOR HOMELESSNESS, FOOD INSECURITY AND OTHER ISSUES. THE 16 VOLUNTEER TEAM MEMBERS - ALL PRE-MED STUDENTS - WORK DIRECTLY WITH FAMILIES TO SIGN THEM UP FOR ASSISTANCE SUCH AS SNAP FOOD BENEFITS (FORMERLY KNOWN AS FOOD STAMPS), BUS PASSES, CHILD CARE SUBSIDIES AND OTHER BENEFITS. SEVEN CRT STUDENTS SPEAK A SECOND LANGUAGE. "THE BEAUTY OF THIS PROGRAM IS THAT THERE ARE A TON OF PRE-MED STUDENTS LOOKING FOR THIS KIND OF EXPERIENCE," SAID JULIE POVICK, WHO LEADS PATIENT TRANSPORTATION SERVICES AND THE CRT. "THEY ARE ALL SUPER-EXCITED TO BE DOING THIS."
HEALTHY LIFESTYLES	NUTRITIOUS FOOD AND AN ACTIVE LIFESTYLE ARE CORNERSTONES OF A HEALTHY LIFE. CHILDREN NEED PLENTY OF BOTH TO GROW AND THRIVE. SEATTLE CHILDREN'S WORKS WITH FAMILIES AND PARTNERS IN THE COMMUNITY TO FIGHT CHILDHOOD HUNGER, PROMOTE NUTRITIOUS DIETS AND FOSTER HEALTHY ENVIRONMENTS WHERE CHILDREN CAN SAFELY GET THE PHYSICAL ACTIVITY THEY NEED. WORKING AT THE INTERSECTION OF HUNGER AND HEALTH IN 2019, 12% OF PEOPLE LIVING IN KING COUNTY EXPERIENCED FOOD INSECURITY, MEANING NEARLY 250,000 PEOPLE IN OUR IMMEDIATE COMMUNITY OFTEN RUN OUT OF FOOD AND DON'T HAVE MONEY TO BUY MORE. PEOPLE WHO CAN'T AFFORD TO EAT HEALTHY AND NUTRITIOUS FOODS OFTEN STRUGGLE TO MANAGE CHRONIC CONDITIONS LIKE DIABETES AND HEART DISEASE. A POOR DIET WORSENS UNDERLYING CONDITIONS, TRAPPING THEM IN A CYCLE OF MORE VISITS TO THE DOCTOR, GREATER FINANCIAL BURDEN AND DECLINING HEALTH. SEATTLE CHILDREN'S IS WORKING TO BREAK THAT CYCLE AS PART OF A NETWORK OF HEALTHCARE SYSTEMS CALLED THE FOOD INSECURITY COMMUNITY OF PRACTICE. BY IMPROVING HOW WE SCREEN FAMILIES FOR FOOD INSECURITY AND THEN CONNECTING THOSE IN NEED WITH THE RIGHT RESOURCES, THE NETWORK'S 10 MEMBERS ARE REDUCING THE BURDEN OF DISEASE, THE INCREASE IN HEALTH DISPARITIES AND THE COST OF HEALTHCARE. WE TREAT HUNGER AS A VITAL SIGN. EVERY FAMILY WHO COMES TO OUR ODESSA BROWN CLINIC FOR A WELL-CHILD VISIT COMPLETES A SHORT QUESTIONNAIRE ABOUT FOOD INSECURITY. PATIENTS THAT SCREEN POSITIVE ARE CONNECTED TO FOOD ASSISTANCE PROGRAMS SUCH AS SNAP, WIC OR THEIR NEIGHBORHOOD FOOD BANK. IN ADDITION, WE TEAM UP WITH NORTHWEST HARVEST TO BRING A MOBILE FOOD PANTRY TO ODESSA BROWN TWICE A MONTH AND WE PROVIDE FAMILIES WITH PRODUCE PRESCRIPTIONS - VOUCHERS FOR FRUITS AND VEGETABLES THAT ARE GOOD AT GROCERY STORES AND FARMERS MARKETS. REDUCING RACE AND PLACE-BASED DISPARITIES AS KING COUNTY'S HOUSING COSTS HAVE SOARED, MANY PEOPLE OF COLOR AND LOWER INCOME FAMILIES HAVE MOVED TO MORE AFFORDABLE LOCATIONS IN SOUTH SEATTLE AND SOUTH KING COUNTY. WHILE MOVING CAN LIFT FINANCIAL BURDENS, THIS DISPLACEMENT DISRUPTS LONG ESTABLISHED COMMUNITIES, SEPARATES PEOPLE FROM SERVICES AND OFTEN SEGREGATES PEOPLE OF COLOR AND LOWER-INCOME INDIVIDUALS AND FAMILIES IN AREAS WITH FEWER RESOURCES AND MORE HEALTH RISK FACTORS. THE RESULT: INCREASED HEALTH DISPARITIES BASED ON RACE AND PLACE. TO COUNTER THOSE DISPARITIES, SEATTLE CHILDREN'S IS WORKING WITH PUBLIC HEALTH - SEATTLE & KING COUNTY AND THE HEALTHY KING COUNTY COALITION TO INCREASE ACCESS TO HEALTHY FOODS, HELP RESIDENTS CREATE ACTIVE LIVING ENVIRONMENTS AND ESTABLISH EFFECTIVE LINKS WITH LOCAL HEALTH CLINICS. FUNDED BY A FEDERAL RACIAL ETHNIC APPROACHES TO COMMUNITY HEALTH (REACH) GRANT, THE EFFORT FOCUSES ON AFRICAN-AMERICAN, AFRICAN-BORN AND ASIAN-AMERICAN POPULATIONS IN SOUTH SEATTLE AND THE CITIES OF SEATAC AND TUKWILA. COMPRISED OF PRIMARILY NEIGHBORHOODS OF COLOR THAT HAVE A LONG HISTORY OF WELCOMING IMMIGRANTS, THEY SHOULDER THE HIGHEST CHRONIC DISEASE RATES IN THE COUNTY. PROJECTS RANGE FROM CREATING GROUP-PURCHASING AGREEMENTS TO BRING HEALTHIER FOODS TO COMMUNITIES AT A LOWER COST TO PROVIDING BREASTFEEDING EDUCATION AND SUPPORT GROUPS TO NEW AFRICAN AMERICAN MOTHERS FACING SYSTEMIC AND CULTURAL BARRIERS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S CLINICALLY INTEGRATED NETWORK LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981455005	ZIPCd

Field	Value	IRS element (for citing)
EIN	910564748	EIN
Primary Activities	ADMINISTRATION OF PEDIATRIC PHYSICIANS NETWORK	PrimaryActivitiesTxt
Legal Domicile State	WA	LegalDomicileStateCd
Total Income	$366,015	TotalIncomeAmt
End Of Year Assets	$428,059	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SEATTLE CHILDREN'S HEALTHCARE SYSTEM
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911250116	HEALTHCARE	WA	501(C)(3)	LINE 7	N/A	0
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911156519	FUNDRAISING	WA	501(C)(3)	LINE 7		Yes (1)	SEATTLE CHILDREN'S HEALTHCARE SYSTEM
SEATTLE CHILDREN'S HOSPITAL GUILD ASSN
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911394056	FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESS	WA	501(C)(3)	LINE 7		Yes (1)	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 12A, I		Yes (1)	SEATTLE CHILDREN'S HEALTHCARE SYSTEM
CHILDREN'S UNIVERSITY MEDICAL GROUP
PO BOX 50010	SEATTLE	WA	98105	911336707	MEDICAL PRACTICE	WA	501(C)(3)	LINE 12A, I	N/A	0
CHILDREN'S HEALTH NETWORK
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911226716	PEDIATRIC HEALTHCARE SERVICES	WA	501(C)(3)	LINE 12A, I		Yes (1)	SEATTLE CHILDREN'S HEALTHCARE SYSTEM

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CHARITABLE REMAINDER UNITRUSTS (2)
INVESTMENTS	WA	SEATTLE CHILDREN'S HOSPITAL	Yes (1)
CHARITABLE REMAINDER UNITRUSTS (9)
INVESTMENTS	WA		0	N/A
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTS	AK	SEATTLE CHILDREN'S HOSPITAL	Yes (1)
CHARITABLE REMAINDER UNITRUSTS (3)
INVESTMENTS	CA	SEATTLE CHILDREN'S HOSPITAL	Yes (1)
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTS	FL		0	N/A
CHARITABLE REMAINDER ANNUITY TRUST (1)
INVESTMENTS	WA		0	N/A
CHARITABLE LEAD ANNUITY TRUST (1)
INVESTMENTS	WA		0	N/A
PERPETUAL TRUSTS (6)
INVESTMENTS	WA	SEATTLE CHILDREN'S HOSPITAL	Yes (1)
PERPETUAL TRUSTS (2)
INVESTMENTS	WA		0	N/A
POOLED INCOME FUND (1)
INVESTMENTS	WA		0	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd