FURP.ORG / PUBLIC DATA EXPLORER

SEATTLE CHILDRENS HEALTHCARE SYSTEM: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SEATTLE CHILDRENS HEALTHCARE SYSTEM (EIN 91-1250116)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-14
IRS object ID
201932269349301333
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-14T11:06:43-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911194016PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1400AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911250116EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SEATTLE CHILDREN'S HEALTHCARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSEATBusinessNameControlTxt
Phone2069874846PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5371 MS RC-507AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP981455005ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUZANNE B BEITELPersonNm
Person TitleSENIOR VP & CFOPersonTitleTxt
Phone2069874846PhoneNum
Signature2019-08-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJANE M SEARINGPreparerPersonNm
PTINP00000565PTIN
Phone4254544919PhoneNum
Preparation2019-08-07PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.158.230.202IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-13IPDt
IP Tm22:32:40IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id78A4C4F87B604C240469A634FCB01368FEDB2C97AtSubmissionCreationDeviceId
At Submission Filing Device IdC070BA3AF7F6D7D87E83B9D9DF9412DF7C2C6F3FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEFF SPERRING MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5371 MS RC-507AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP981455005ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$529,678,466GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SEATTLECHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTHE PROVISION OF QUALITY HEALTH CARE SERVICES TO INFANTS, CHILDREN AND ADOLESCENTS.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$233,424TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$192,721NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,911,423PYContributionsGrantsAmt
CY Contributions Grants$13,741,277CYContributionsGrantsAmt
PY Program Service Revenue$10,206,314PYProgramServiceRevenueAmt
CY Program Service Revenue$17,113,969CYProgramServiceRevenueAmt
PY Investment Income$20,445,635PYInvestmentIncomeAmt
CY Investment Income$26,357,730CYInvestmentIncomeAmt
PY Other Revenue$14,780PYOtherRevenueAmt
CY Other Revenue-$59,189CYOtherRevenueAmt
PY Total Revenue$34,578,152PYTotalRevenueAmt
CY Total Revenue$57,153,787CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,067,790PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,428,139CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,826,093PYOtherExpensesAmt
CY Other Expenses$3,430,298CYOtherExpensesAmt
PY Total Expenses$4,893,883PYTotalExpensesAmt
CY Total Expenses$7,858,437CYTotalExpensesAmt
PY Revenues Less Expenses$29,684,269PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$49,295,350CYRevenuesLessExpensesAmt
Total Assets BOY$816,917,192TotalAssetsBOYAmt
Total Assets EOY$877,916,795TotalAssetsEOYAmt
Total Liabilities BOY$6,944,411TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,478,611TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$809,972,781NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$871,438,184NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) IS ENGAGED IN ACTIVITIES RELATING TO THE PROVISION OF HEALTH CARE SERVICES TO INFANTS, CHILDREN, AND ADOLESCENTS, DELIVERING AND IMPROVING THE DELIVERY AND THE QUALITY OF THOSE SERVICES THROUGH RESEARCH, EDUCATION, AND CONTRIBUTIONS TO OR FOR THE BENEFIT OF TAX-EXEMPT ORGANIZATIONS WHICH PROVIDE HEALTH CARE SERVICES, PRIMARILY SEATTLE CHILDREN'S HOSPITAL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,976,799ExpenseAmt
Grant$0GrantAmt
Revenue$16,978,917RevenueAmt
DescSEATTLE CHILDREN'S HEALTHCARE SYSTEM'S PROGRAM OPERATING COSTS ARE RELATED TO ACTIVITIES INCURRED TO PROVIDE, DIRECTLY OR INDIRECTLY, HEALTH CARE OR HEALTH RELATED SERVICES APPROPRIATE FOR THE SPECIAL NEEDS OF INFANTS, CHILDREN AND ADOLESCENTS, DELIVERING AND IMPROVING THE DELIVERY OF THOSE SERVICES AND/OR THE QUALITY OF THOSE SERVICES THROUGH RESEARCH, EDUCATION, AND CHILD ADVOCACY. PROGRAM REVENUE IS PRIMARILY RELATED TO SEATTLE CHILDREN'S HEALTHCARE SYSTEM'S PROGRAM RELATED JOINT VENTURE WITH SEATTLE CANCER CARE ALLIANCE (SCCA), A NOT-FOR-PROFIT CORPORATION FORMED IN 1998 BY SEATTLE CHILDREN'S HEALTHCARE SYSTEM, THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, AND FRED HUTCHINSON CANCER RESEARCH CENTER FOR THE PURPOSE OF OFFERING A COMPREHENSIVE PROGRAM OF INTEGRATED CANCER CARE SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$153,879ExpenseAmt
Grant$0GrantAmt
Revenue$135,052RevenueAmt
DescOCCUPANCY AND OTHER COSTS RELATED TO THE OPERATION OF THE SAND POINTMEDICAL CENTER BUILDING WHICH IS RENTED TO SEATTLE CHILDREN'S HOSPITAL.THE RENTED SPACE IS USED TO DELIVER HEALTHCARE SERVICES TO INFANTS,CHILDREN AND ADOLESCENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$2,130,678TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee14EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WARREN E HEWITT VP FINANCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2069874846PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14300 ROOSEVELT WAY NE 5TH FLOORAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP981054718ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DEAN ALLEN
TRUSTEE4.000.00Yes (X)$0$0$0
JOEL BENOLIEL
TREASURER3.000.00Yes (X)$0$0$0Yes (X)
SUSAN BETCHER
TRUSTEE2.000.00Yes (X)$0$0$0
JILL BRUBAKER MD
TRUSTEE1.000.00Yes (X)$0$0$0
PAT CHAR
TRUSTEE1.000.00Yes (X)$0$0$0
MICHAEL DELMAN
TRUSTEE4.000.00Yes (X)$0$0$0
ROY DIAZ PHD
TRUSTEE3.000.00Yes (X)$0$0$0
COLIN FOX PHD
TRUSTEE5.000.00Yes (X)$0$0$0
DEBORAH HAUG
TRUSTEE2.000.00Yes (X)$0$0$0
JUDY HOLDER
TRUSTEE4.000.00Yes (X)$0$0$0
CYNTHIA HUFFMAN
TRUSTEE2.000.00Yes (X)$0$0$0
MONA LEE LOCKE
TRUSTEE3.000.00Yes (X)$0$0$0
PATRICIA LOERA
SECRETARY2.000.00Yes (X)$0$0$0Yes (X)
SUSAN MASK
CHAIR-ELECT5.000.00Yes (X)$0$0$0Yes (X)
JEFF NITTA
TRUSTEE4.000.00Yes (X)$0$0$0
JUDITH PIERCE
TRUSTEE3.000.00Yes (X)$0$0$0
MICHAEL REEVES
TRUSTEE2.000.00Yes (X)$0$0$0
NANCY SENSENEY
CHAIR10.002.00Yes (X)$0$0$0Yes (X)
MICHELE SMITH
TRUSTEE2.003.00Yes (X)$0$0$0
CHARLES STEVENS
TRUSTEE4.000.00Yes (X)$0$0$0
MOYA VASQUEZ
TRUSTEE3.000.00Yes (X)$0$0$0
ALVIN WINTERROTH
TRUSTEE2.000.00Yes (X)$0$0$0
JEFF SPERRING MD
CEO/NON-VOTING EX OFFICIO TRUSTEE16.0039.00$288,680$870,720$255,556Yes (X)
KELLY WALLACE
SENIOR VP & CFO THRU DEC 201714.0041.00$163,546$504,249$120,155Yes (X)
SUZANNE BEITEL
SENIOR VP & CHIEF FINANCIAL OFFICER14.0041.00$30,286$96,739$8Yes (X)
LISA HAYWARD
SR VP & GENERAL COUNSEL55.000.00$423,609$3,272$100,643Yes (X)
WARREN HEWITT
VP - FINANCE14.0041.00$77,407$236,290$40,124Yes (X)
SAMANTHA SLOANE
CONTROLLER12.0038.00$51,135$158,025$20,755Yes (X)
DONNA REINHART
DIRECTOR OF TREASURY SERVICES20.0020.00$42,189$150,866$15,004Yes (X)
MICHAEL JOO
CORPORATE ACCOUNTANT40.000.00$107,672$1,206$34,399Yes (X)
DEBRA PALMER-SEILER
SR ACCOUNTANT, TREASURY40.000.00$104,606$2,712$23,325Yes (X)
THOMAS HANSEN MD
FORMER CEO0.003.50$0$107,944$14,591Yes (X)
SANFORD MELZER MD
FORMER SR VP-CHIEF STRATEGY OFFICER0.0055.00$0$679,923$125,474Yes (X)
JODI LONG
FORMER ASSOCIATE GENERAL COUNSEL0.0045.00$0$294,926$33,819Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,289,130TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,106,872TotReportableCompRltdOrgAmt
Total Other Compensation$783,853TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WELLINGTON MANAGEMENT COMPANY LLP
2800 CONGRESS STREETBOSTONMA02210INVESTMENT MANAGEMENT$777,647
SANDERSON ASSET MANAGEMENT
250 S WACKER DRIVE STE 220CHICAGOIL60606INVESTMENT MANAGEMENT$541,873
HIGHCLERE INTERNATIONAL INVESTORS
253 BAYBERRY LANEWESTPORTCT06880INVESTMENT SERVICES$416,594
MONTICELLO ASSOCIATES INC
1800 LARIMER STREET STE 2100DENVERCO80202INVESTMENT CONSULTING$300,000
LIME ROCK RESOURCES
1111 BAGBY STREET STE 4600HOUSTONTX77002INVESTMENT MANAGEMENT$149,860
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Related Organizations$13,741,277RelatedOrganizationsAmt
Noncash Contributions$3,151,390NoncashContributionsAmt
Total Contributions$13,741,277TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICES THROUGH SCCA900099$16,410,667$16,410,667
MEDICAL CLINIC RENTAL900099$568,250$568,250
RENT FROM AFFILIATES900099$135,052$135,052
FieldValueIRS element (for citing)
Total Program Service Revenue$17,113,969TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,369,584TotalRevenueColumnAmt
Exclusion$4,369,584ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$37,725RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$96,914RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$59,189RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$59,189TotalRevenueColumnAmt
Exclusion-$59,189ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$493,496,988SecuritiesAmt
Other$918,923OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$471,673,910SecuritiesAmt
Other$753,855OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$21,823,078SecuritiesAmt
Other$165,068OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,988,146TotalRevenueColumnAmt
Unrelated Business Revenue$233,424UnrelatedBusinessRevenueAmt
Exclusion$21,754,722ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,153,787TotalRevenueColumnAmt
Related Or Exempt Func Income$17,113,969RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$233,424UnrelatedBusinessRevenueAmt
Exclusion$26,065,117ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,765,317TotalAmt
Program Services$1,765,317ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,114,522TotalAmt
Management And General$1,114,522ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$925,205TotalAmt
Management And General$925,205ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$335,504TotalAmt
Management And General$335,504ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$287,591TotalAmt
Program Services$99,527ProgramServicesAmt
Management And General$188,064ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$51,504TotalAmt
Management And General$51,504ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$204,652TotalAmt
Management And General$204,652ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,357,700TotalAmt
Management And General$1,357,700ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$168,620TotalAmt
Program Services$3,281ProgramServicesAmt
Management And General$165,339ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,433TotalAmt
Program Services$3,433ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,096,703TotalAmt
Program Services$85,248ProgramServicesAmt
Management And General$1,011,455ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,089TotalAmt
Management And General$1,089ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$675TotalAmt
Management And General$675ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$61,917TotalAmt
Program Services$61,917ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$71,565TotalAmt
Management And General$71,565ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
UBI TAXES$88,913$88,913
LICENSES AND TAXES$25$25

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$323,502TotalAmt
Program Services$111,955ProgramServicesAmt
Management And General$211,547ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,858,437TotalAmt
Program Services$2,130,678ProgramServicesAmt
Management And General$5,727,759ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,703,446BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$275,457BOYAmt
EOY$229,288EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,678,774BOYAmt
EOY$3,264,960EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,936,607LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$308,806LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,461,326BOYAmt
EOY$5,627,801EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$202,201,193BOYAmt
EOY$229,942,273EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$421,654,011BOYAmt
EOY$447,665,426EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$148,486,105BOYAmt
EOY$164,334,443EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,456,880BOYAmt
EOY$26,852,604EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$816,917,192BOYAmt
EOY$877,916,795EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$473,192BOYAmt
EOY$440,710EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$56,967BOYAmt
EOY$325,913EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,414,252BOYAmt
EOY$5,711,988EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,944,411BOYAmt
EOY$6,478,611EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$606,710,681BOYAmt
EOY$657,118,515EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,850,820BOYAmt
EOY$27,372,861EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$178,411,280BOYAmt
EOY$186,946,808EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$809,972,781BOYAmt
EOY$871,438,184EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$816,917,192BOYAmt
EOY$877,916,795EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$49,295,350ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$12,169,211NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$842PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$85,550,850CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,448,308CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,481,940CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,911,423CurrentTaxYearMinus1YearAmt
Current Tax Year$13,741,277CurrentTaxYearAmt
Total$123,133,798TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$85,550,850CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,448,308CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,481,940CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,911,423CurrentTaxYearMinus1YearAmt
Current Tax Year$13,741,277CurrentTaxYearAmt
Total$123,133,798TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$123,133,798PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,789,988CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,396,810CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,690,718CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,481,967CurrentTaxYearMinus1YearAmt
Current Tax Year$4,407,309CurrentTaxYearAmt
Total$24,766,792TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$1,424,823CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$845,917CurrentTaxYearMinus1YearAmt
Current Tax Year$192,721CurrentTaxYearAmt
Total$2,463,461TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$80,585CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$74,305CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,524CurrentTaxYearMinus1YearAmt
Total$170,414TotalAmt
FieldValueIRS element (for citing)
Total Support$150,534,465TotalSupportAmt
Gross Receipts Rltd Activities$67,134,233GrossReceiptsRltdActivitiesAmt
Public Support CY1700.81800PublicSupportCY170Pct
Public Support PY1700.80230PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationPROPERTY TAX REFUND - 2014 AMOUNT: $ 80,585. 2015 AMOUNT: $ 74,305. 2016 AMOUNT: $ 15,524.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$403,524,000BeginningYearBalanceAmt
Contributions$745,000ContributionsAmt
Investment Earnings Or Losses$31,759,000InvestmentEarningsOrLossesAmt
Other Expenditures$3,440,000OtherExpendituresAmt
End Year Balance$432,588,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$357,825,000BeginningYearBalanceAmt
Contributions$454,000ContributionsAmt
Investment Earnings Or Losses$48,663,000InvestmentEarningsOrLossesAmt
Other Expenditures$3,418,000OtherExpendituresAmt
End Year Balance$403,524,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$331,943,000BeginningYearBalanceAmt
Contributions$232,000ContributionsAmt
Investment Earnings Or Losses$29,179,000InvestmentEarningsOrLossesAmt
Other Expenditures$3,529,000OtherExpendituresAmt
End Year Balance$357,825,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$337,769,000BeginningYearBalanceAmt
Contributions$203,000ContributionsAmt
Investment Earnings Or Losses-$2,586,000InvestmentEarningsOrLossesAmt
Other Expenditures$3,443,000OtherExpendituresAmt
End Year Balance$331,943,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$310,474,000BeginningYearBalanceAmt
Contributions$239,000ContributionsAmt
Investment Earnings Or Losses$30,295,000InvestmentEarningsOrLossesAmt
Other Expenditures$3,239,000OtherExpendituresAmt
End Year Balance$337,769,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.85510BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.10430PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.04060TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$705,855InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,995,929OtherCostOrOtherBasisAmt
Book Value$4,701,784BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,025,445OtherCostOrOtherBasisAmt
Depreciation$264,529DepreciationAmt
Book Value$760,916BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$194,795OtherCostOrOtherBasisAmt
Depreciation$40,487DepreciationAmt
Book Value$154,308BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,976OtherCostOrOtherBasisAmt
Depreciation$2,287DepreciationAmt
Book Value$8,689BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,607OtherCostOrOtherBasisAmt
Depreciation$1,503DepreciationAmt
Book Value$2,104BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,627,801TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (7 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
POOLED INVESTMENTS$298,776,505C
CHARITABLE REMAINDER UNITRUSTS$801,080C
PERPETUAL & TESTAMENTARY TRUSTS$141,658,894C
GIFT ANNUITIES$2,912,609C
LIFE ESTATE$724,729C
DEFERRED COMPENSATION PLANS$2,612,817C
OTHER ALTERNATIVE INVESTMENTS$178,792C
FieldValueIRS element (for citing)
Total Book Value Securities$447,665,426TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN SCCA$160,677,333C
INVESTMENT IN SYZYGY LLC$3,657,110C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$164,334,443TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ANNUITIES AND TRUSTS PAYABLE$1,518,238
DEFERRED COMPENSATION PAYABLE$2,612,817
PAYABLE TO AFFILIATES$1,547,204
OTHER PAYABLES$33,729
FieldValueIRS element (for citing)
Total Liability$5,711,988TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) AND SEATTLE CHILDREN'S HOSPITAL (SCH) SHARE IN A UNIFIED ENDOWMENT FUND (UEF) THAT IS MANAGED BY SCHS. SEATTLE CHILDREN'S HEALTHCARE SYSTEM'S TEMPORARILY AND PERMANENTLY RESTRICTED ASSETS REFLECT ENDOWMENTS WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL.
PART X, LINE 2:THE INTERNAL REVENUE SERVICE HAS GRANTED SCHS, AND EACH OF 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 2018 AND 2017, SCHS DID NOT RECORD ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN00INVESTMENTS$110,004,142
NORTH AMERICA00INVESTMENTS$2,109,429
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$112,113,571SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$112,113,571TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3:FormAndLineReferenceDesc
ExplanationTHE ACCRUAL METHOD WAS USED TO ACCOUNT FOR INVESTMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFF SPERRING MD
CEO/NON-VOTING EX OFFICIO TRUSTEE$214,211$642,632$72,000$216,000$2,469$12,088$221,967$10,125$5,866$17,598$516,513$898,443$0$0
KELLY WALLACE
SENIOR VP & CFO THRU DEC 2017$132,286$396,858$31,260$93,780$0$13,611$84,415$14,175$5,391$16,174$253,352$534,598$0$0
LISA HAYWARD
SR VP & GENERAL COUNSEL$346,123$0$72,000$707$5,486$2,565$69,862$0$30,781$0$524,252$3,272$0$0
WARREN HEWITT
VP - FINANCE$63,880$191,640$13,300$39,902$227$4,748$4,725$14,175$5,306$15,918$87,438$266,383$0$0
SAMANTHA SLOANE
CONTROLLER$44,322$137,244$6,813$20,650$0$131$2,109$6,326$3,080$9,240$56,324$173,591$0$0
DONNA REINHART
DIRECTOR OF TREASURY SERVICES$42,162$43,314$27$83$0$107,469$3,223$3,223$4,279$4,279$49,691$158,368$0$0
THOMAS HANSEN MD
FORMER CEO$0$104,762$0$0$0$3,182$0$7,677$0$6,914$0$122,535$0$0
SANFORD MELZER MD
FORMER SR VP-CHIEF STRATEGY OFFICER$0$447,319$0$219,651$0$12,953$77,745$18,900$0$28,829$77,745$727,652$0$0
JODI LONG
FORMER ASSOCIATE GENERAL COUNSEL$0$255,945$0$38,411$0$570$0$18,647$0$15,172$0$328,745$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE CHIEF EXECUTIVE OFFICER IS PROVIDED MEMBERSHIP TO THE RAINIER CLUB. ANNUAL DUES ARE REPORTED AS TAXABLE COMPENSATION.
PART I, LINES 4A-BTHE FOLLOWING PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: JEFF SPERRING MD - $218,592 DEFERRED COMPENSATION KELLY WALLACE - $79,690 DEFERRED COMPENSATION LISA HAYWARD - $56,536 DEFERRED COMPENSATION SANFORD MELZER MD - $77,745 DEFERRED COMPENSATION THE FOLLOWING RECEIVED A SEVERANCE PAYMENT: DONNA REINHART - $101,932

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution17ContributionCnt
Noncash Contributions Rpt F990$415,220NoncashContributionsRptF990Amt
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenuesTxt

Secur Prtnrshp Trust Intrsts SecurPrtnrshpTrustIntrstsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$2,736,170NoncashContributionsRptF990Amt
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, COLUMN (B):LINE 9 - 17 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 11 - 5 CONTRIBUTIONS OF TRUST INTERESTS
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 HEALTHCARE SYSTEM (SCHS).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6:22 MEMBERS OF THE BOARD OF TRUSTEES PERFORM THEIR DUTIES UNCOMPENSATED.
FORM 990, PART VI, SECTION A, LINE 2JEFF SPERRING HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, SUZANNE BEITEL, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, 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, KELLY WALLACE, MOYA VASQUEZ, AND ALVIN WINTERROTH. WARREN HEWITT HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, SUZANNE BEITEL, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, 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, KELLY WALLACE, MOYA VASQUEZ, AND ALVIN WINTERROTH. KELLY WALLACE HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, SUZANNE BEITEL, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, 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 VASQUEZ, AND ALVIN WINTERROTH. SUZANNE BEITEL HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, 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 VASQUEZ, AND ALVIN WINTERROTH.
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT AND INDEPENDENT TAX PROFESSIONALS PRESENT AND REVIEW THE FORM 990 WITH THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF TRUSTEES. AFTER REVIEW BY THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE AND PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE, THE ENTIRE BOARD OF TRUSTEES RECEIVES A COPY OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM REQUIRES AN ANNUAL SURVEY OF ALL BOARD MEMBERS OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, MEMBERS OF THE MEDICAL LEADERSHIP, STAFF MEMBERS OCCUPYING ROLES WITH A DEGREE OF AUTHORITY AND MEMBERS OF SEATTLE CHILDREN'S HOSPITAL'S PHARMACY AND THERAPEUTICS COMMITTEE. THE SENIOR VICE PRESIDENT/GENERAL COUNSEL OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, ACTING UNDER THE OVERSIGHT OF THE AUDIT AND CORPORATE RESPONSIBILITY 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 BOARD OR THE CHIEF EXECUTIVE OFFICER MAY, IN THE DISCRETION OF THE BOARD OR THE CHIEF EXECUTIVE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM HIS OR HER DUTIES WITH SEATTLE CHILDREN'S HEALTHCARE SYSTEM AND/OR TERMINATED IN HIS OR HER EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE ("MDCC") OF THE BOARD OF TRUSTEES. 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 HEALTHCARE SYSTEM 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 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 19SEATTLE CHILDREN'S HEALTHCARE SYSTEM MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII:INDIVIDUALS REPORTED AS FORMER OFFICERS, KEY EMPLOYEES, OR HIGHLY COMPENSATED EMPLOYEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM ARE NO LONGER CURRENT EMPLOYEES OF THE ORGANIZATION AND THEREFORE NO COMPENSATION IS REPORTED IN PART VII, COLUMN (D). HOWEVER, SINCE THEY WERE REPORTED ON THE ORGANIZATION'S RETURN WITHIN THE LAST FIVE YEARS AND ARE STILL EMPLOYEES AND CONTINUE TO RECEIVE COMPENSATION FROM RELATED ORGANIZATIONS, THEY ARE REQUIRED TO BE DISCLOSED ALONG WITH THEIR COMPENSATION IN PART VII, COLUMNS (E) AND (F).
FORM 990, PART IX, COLUMN (D):ALTHOUGH SEATTLE CHILDREN'S HEALTHCARE SYSTEM HAS SUBSTANTIAL CONTRIBUTION REVENUE, IT DOES NOT INCUR FUNDRAISING EXPENSES. ALL FUNDRAISING ACTIVITIES AND CONTRIBUTIONS TO SEATTLE CHILDREN'S HEALTHCARE SYSTEM ARE CONDUCTED BY RELATED ORGANIZATIONS. SEE ADDITIONAL DESCRIPTION FOR SCHEDULE M, LINE 32.
SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT 2018-2019LETTER FROM OUR CHIEF EXECUTIVE OFFICER OUR FUTURE DEPENDS ON THE POTENTIAL OF TODAY'S CHILDREN. YET MANY OBSTACLES STAND IN THEIR WAY TO A HEALTHY, FULFILLING LIFE. INADEQUATE ACCESS TO MENTAL HEALTH CARE, TOO FEW SAFE PLACES TO PLAY, AND POOR NUTRITION AND OBESITY ARE JUST SOME OF THE CHALLENGES THAT CAN DETERMINE A CHILD'S LIFELONG PHYSICAL AND EMOTIONAL HEALTH. AT SEATTLE CHILDREN'S, WE SEEK TO BUILD ON COMMUNITY AND FAMILY STRENGTHS IN ORDER TO OVERCOME THE MYRIAD CHALLENGES KIDS FACE - IMMEDIATELY AND OVER THE LONG HAUL. OUR TOP PRIORITY IS TO PROVIDE THE BEST AND SAFEST CARE WE CAN FOR THE CHILDREN AND FAMILIES WE SERVE. THROUGHOUT OUR REGION AND BEYOND, WE REPRESENT THE PROMISE OF HOPE, CARE AND CURES. THAT PROMISE DRIVES EVERYTHING WE DO. NOT JUST AT THE HOSPITAL BEDSIDE, BUT WHEREVER THERE ARE OPPORTUNITIES TO KEEP FAMILIES SAFE AND HEALTHY. WE ADVOCATE FOR ESSENTIAL RESOURCES, GET PEDIATRIC SPECIALISTS CLOSER TO WHERE CHILDREN LIVE, TRAIN THE NEXT GENERATION OF CHILD AND ADOLESCENT HEALTH EXPERTS, PROMOTE EQUITY AND COMMUNITY HEALTH, AND RESEARCH NEW WAYS TO TREAT AND CURE CHILDHOOD DISEASES. WE'VE ACHIEVED MANY SUCCESSES BY WORKING WITH FAMILIES, COMMUNITY PARTNERS, PUBLIC HEALTH OFFICIALS AND MANY OTHERS. THIS REPORT HIGHLIGHTS SOME OF OUR MOST RECENT EFFORTS TO KEEP OUR PROMISE TO CHILDREN AND FAMILIES. THANK YOU FOR BEING PART OF OUR 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 2018 INVESTMENT IN THE COMMUNITY: $231,668,000* UNCOMPENSATED CARE & MEDICAID SHORTFALL**: $146,667,000 HEALTH PROFESSIONS EDUCATION: $30,328,000 RESEARCH: $41,828,000 COMMUNITY PROGRAMS AND SERVICES: $12,845,000 * 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, INCLUDING A $40 MILLION ONE-TIME DONATION SUPPORTING UNCOMPENSATED CARE.
COMMUNITY PROGRAMS AND SERVICESOUR MISSION ISN'T LIMITED TO HELPING CHILDREN AND FAMILIES WHO COME TO US. WE GO TO THEM WITH SERVICES AND PROGRAMS THAT MEET THEIR NEEDS WHERE THEY LIVE. WORKING WITH OTHERS IN THE COMMUNITY, WE TACKLE THE ROOT CAUSES OF ILLNESS AND INJURY, ADVOCATE FOR FAMILY VOICES AND PROMOTE CHANGES THAT BUILD ON STRENGTHS AND MAKE COMMUNITIES SAFER AND HEALTHIER. FOSTERING WELLNESS AND COMMUNITY THROUGH SOCCER WHEN IS SOCCER PRACTICE MORE THAN SOCCER PRACTICE? WHEN THE PLAYERS ARE LEARNING SOCIAL-EMOTIONAL SKILLS THEY CAN USE BOTH ON AND OFF THE FIELD. THAT'S THE GOAL OF A SOCCER WELLNESS PROGRAM FOR 7-13 YEAR-OLD KIDS STARTED BY MARK FADOOL, DIRECTOR OF MENTAL HEALTH SERVICES AT THE ODESSA BROWN CHILDREN'S CLINIC. DEVELOPED IN PARTNERSHIP WITH THE RAINIER VISTA BOYS AND GIRLS CLUB AND LED BY COACHES FROM THE NOWLAND PREMIER SOCCER ACADEMY, THE PROGRAM OFFERS SIX WEEKLY SESSIONS FOR KIDS HELD FOUR TIMES A YEAR. THE PROGRAM PROVIDES ACCESS TO PREMIER-LEVEL COACHING THAT WOULD BE UNAFFORDABLE TO MANY CHILDREN, BUT THE DRIVING FORCE WAS A REQUEST FROM THE RAINIER VISTA BOYS AND GIRLS CLUB FOR HELP PROVIDING MENTAL HEALTH SUPPORT TO YOUTH DEALING WITH A HOST OF STRESSORS. FADOOL SEES THE SOCCER WELLNESS PROGRAM AS A WAY TO DELIVER A FUN AND INNOVATIVE SOCIAL-EMOTIONAL PROGRAM TO KIDS LIVING IN SOUTHEAST SEATTLE. THE PROGRAM HAS BEEN ABLE TO PROVIDE ADDITIONAL SUPPORT TO THE UNDERSERVED EAST AFRICAN COMMUNITY BY THE USE OF SOCCER'S WORLDWIDE POPULARITY. ALL COACHES RECEIVE TRAINING IN SUPPORTING SOCIAL-EMOTIONAL HEALTH AND PROVIDE TIME BEFORE AND AFTER PRACTICE FOR PLAYERS TO REFLECT ON BEHAVIORAL GOALS LIKE BEING A GOOD TEAMMATE. NOT ALL KIDS NEED THE EXTRA SUPPORT, BUT ALL KIDS CAN BENEFIT FROM IMPROVED SOCIAL AND EMOTIONAL SKILLS WHILE HAVING FUN," FADOOL SAID. THE STRENGTH TO COPE PARENTS NEED PATIENCE AND COMPASSION - NOT JUST TOWARD THEIR CHILDREN BUT TOWARD THEMSELVES. THAT'S ESPECIALLY TRUE FOR PARENTS OF CHILDREN WITH CHRONIC CONDITIONS OR SPECIAL NEEDS. THEY MUST JUGGLE FREQUENT MEDICAL APPOINTMENTS, MAKE SURE THEIR CHILD'S NEEDS ARE BEING MET AND COPE WITH ANY MENTAL OR BEHAVIORAL HEALTH CHALLENGES THAT MAY ARISE. SHAYLA COLLINS IS ONE OF DOZENS OF SUCH PARENTS WHO HAVE LEARNED HOW TO MANAGE THE ADDED STRESS, ANXIETY AND FRUSTRATION THROUGH THE FINDING STRENGTH FOR THE LONG HAUL CLASS OFFERED BY ODESSA BROWN CHILDREN'S CLINIC. "THE CLASS TAUGHT ME IT'S OK TO FEEL SOMETHING, BUT RATHER THAN IMMEDIATELY REACT, I NEED TO GIVE MYSELF TIME TO PAUSE AND FIGURE OUT HOW - OR IF - I WANT TO RESPOND," SAYS SHAYLA, WHO BECAME A CLASS FACILITATOR HERSELF AFTER TAKING PART IN THE FIRST CLASS IN 2017. THE FIVE-WEEK CLASS, WHICH IS OFFERED IN ENGLISH AND SPANISH, EMPHASIZES MINDFULNESS AND SELF-COMPASSION - CONCEPTS THAT HELP PARENTS MAINTAIN A HEALTHY EMOTIONAL BALANCE AS THEY CARE FOR THEIR KIDS WHILE ALSO FACING OTHER ISSUES. "MANY OF THE FAMILIES WHO PARTICIPATE ARE IMMIGRANTS, REFUGEES AND PEOPLE WHO ARE FACING POVERTY OR OTHER ADVERSITY," SAYS KIM ARTHUR, WHO COORDINATES THE CLASSES. "THERE ARE A LOT OF PROGRAMS TO HELP CHILDREN WITH CHRONIC CONDITIONS, BUT WE FIND THAT PARENTS ARE EAGER TO CONNECT AND GET SUPPORT TOO."
RESEARCHOUR RESEARCH BRINGS HOPE TO CHILDREN AND FAMILIES BATTLING DISEASES THAT CAN'T BE CURED WITH CURRENT THERAPIES. WE WORK IN THE LABORATORY AND AT THE BEDSIDE TO TRANSLATE OUR DISCOVERIES INTO BETTER WAYS TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE FOR OUR PATIENTS AND FOR CHILDREN AROUND THE WORLD. OVERCOMING VACCINE HESITANCY DR. DOUG OPEL DEVELOPED A SURVEY SEVERAL YEARS AGO TO IDENTIFY FAMILIES AT RISK OF FALLING BEHIND ON THEIR CHILDHOOD VACCINATION SCHEDULE. THE PARENT ATTITUDES ABOUT CHILDHOOD VACCINES (PACV) WAS A TOOL TO HELP HIM STUDY WHY THAT HAPPENS AND HOW TO INTERVENE. OPEL IS NOW LOOKING AT WHETHER THE SURVEY CAN PLAY A DIRECT ROLE IN IMPROVING VACCINATION RATES. BY MAKING IT PART OF WELL-CHILD VISITS DOCTORS CAN ADDRESS THE SPECIFIC CONCERNS OF FAMILIES WHO THE SURVEY IDENTIFIES AS VACCINE-HESITANT. MORE THAN 150 FAMILIES IN 24 CLINICS AROUND WESTERN WASHINGTON TOOK PART IN A RANDOMIZED PILOT STUDY LED BY OPEL WITH FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH. FAMILIES RECEIVED EITHER THE PACV SURVEY OR A GENERAL SURVEY WITH NO MENTION OF VACCINES AT THEIR TWO-MONTH AND SIX-MONTH CHECKUPS. THE PACV SURVEY PROVIDED DOCTORS - WHO HAVE A LOT OF GROUND TO COVER DURING AN APPOINTMENT - WITH A HEADS UP ABOUT WHICH FAMILIES MIGHT BE VACCINE-HESITANT AND WHAT ISSUES TO DISCUSS. THE RESULTS OF THE STUDY ARE BEING ANALYZED TO SEE IF TAKING THE PACV SURVEY ULTIMATELY RESULTED IN HIGHER RATES OF VACCINE COMPLIANCE BY THE TIME A CHILD WAS EIGHT MONTHS OLD. EVEN IF IT DOESN'T, THIS STUDY IS AN IMPORTANT FIRST STEP TO IDENTIFYING INNOVATIVE WAYS TO HELP PROMOTE VACCINE ACCEPTANCE. "THE CURRENT MEASLES OUTBREAK IS JUST ONE EXAMPLE OF WHY IT'S CRITICAL TO HELP VACCINE-HESITANT FAMILIES UNDERSTAND THE BENEFITS OF VACCINATING THEIR CHILD," OPEL SAYS. ARMING T CELLS TO FIGHT HIV MODERN DRUGS SUPPRESS THE POTENTIALLY DEADLY HIV VIRUS, BUT COME WITH NEGATIVE SIDE EFFECTS RANGING FROM NAUSEA TO MORE SERIOUS CONDITIONS LIKE LIVER COMPLICATIONS - AN INCREASED CONCERN FOR YOUNG PATIENTS BECAUSE THEY HAVE TO BEAR THE BURDEN OF TREATMENT LONGER THAN PEOPLE WHO ARE INFECTED AS ADULTS. T CELLS ARE A CRUCIAL PART OF THE BODY'S IMMUNE SYSTEM, BUT HIV DESTROYS THEIR ABILITY TO FIGHT INFECTIONS. DRS. THOR WAGNER AND DAVID RAWLINGS USED GENE EDITING TO SHOW THAT T CELLS CAN BE PROGRAMMED TO BOTH KILL AND RESIST HIV IN HUMAN BLOOD SAMPLES. THEY USED A SPECIFIC ENZYME TO DAMAGE THE GENE THAT CONTROLS A RECEPTOR ON THE T CELL SURFACE TARGETED BY HIV, ELIMINATING THE RECEPTOR AND PREVENTING THE VIRUS FROM INVADING THE CELL. AT THE SAME TIME, THEY INTRODUCED A NEW GENE THAT GIVES THE T CELL VIRUS-KILLING CAPABILITIES. IF FUTURE RESEARCH PROVES THE TREATMENT SAFE, DOCTORS COULD TAKE T CELLS FROM AN HIV POSITIVE PATIENT, MODIFY THEM TO KILL AND RESIST HIV, AND THEN RETURN THEM TO THE PATIENT. "WE HOPE THIS TREATMENT CAN PREVENT THE NEED FOR HIV DRUGS THAT HAVE NEGATIVE SIDE EFFECTS FOR PEOPLE WHO NEED THEM TO STAY ALIVE," RAWLINGS SAYS.
HEALTH PROFESSIONS EDUCATIONPROVIDING CHILDREN AND FAMILIES WITH THE BEST CARE POSSIBLE DEPENDS ON SURROUNDING THEM WITH HIGHLY TRAINED DOCTORS, NURSES AND OTHER HEALTH CARE PROVIDERS. AS HOME TO THE UNIVERSITY OF WASHINGTON'S PEDIATRIC RESIDENCY AND FELLOWSHIP PROGRAMS AND A TRAINING GROUND FOR NURSES AND OTHER PROVIDERS, SEATTLE CHILDREN'S HELPS THE NEXT GENERATION OF HEALTH PROFESSIONALS GAIN INVALUABLE EXPERIENCE WORKING BESIDE WORLD-CLASS SPECIALISTS. WE ALSO OFFER CONTINUING EDUCATION AND OUTREACH TO HEALTHCARE PROVIDERS ALREADY CARING FOR KIDS IN OUR COMMUNITY. FELLOWSHIPS DRIVE CHANGE A SIMPLE QUESTION ASKED BY TWO YOUNG NURSES MAY LEAD TO CHANGES ACROSS SEATTLE CHILDREN'S THANKS TO THE HOSPITAL'S NURSING EVIDENCE BASED PRACTICE (EBP) FELLOWSHIP. SOON AFTER BEING HIRED IN 2016, OLIVIA KERWIN AND SAMANTHA KUNZE GARCIA BECAME CONCERNED THAT IMPLICIT - OR UNCONSCIOUS - BIAS BY NURSES MIGHT BE AFFECTING PATIENTS AND FAMILIES OF LOW-INCOME AND/OR MINORITY STATUS. THEY APPLIED FOR THE NURSING EBP FELLOWSHIP TO TAKE A CLOSER LOOK AT THE ISSUE. THE FELLOWSHIP PROVIDES COACHING TO NURSES AS THEY WORK ON A PROJECT RELEVANT TO THEIR UNIT. FELLOWS MEET WITH A MENTOR FOR TWO HOURS A MONTH AND ARE PAID TO WORK ON THEIR PROJECT FOR AN ADDITIONAL SIX HOURS A MONTH. ABOUT 45 NURSES HAVE TAKEN PART IN THE EIGHT-MONTH PROGRAM SO FAR. AFTER REVIEWING MORE THAN 160 ARTICLES ABOUT IMPLICIT BIAS IN HEALTHCARE SETTINGS, KERWIN AND KUNZE GARCIA APPROACHED SENIOR NURSING LEADERS WHO APPROVED THEIR IDEA TO DEVELOP AN EQUITY, DIVERSITY AND INCLUSION (EDI) TRAINING FOR ALL SEATTLE CHILDREN'S NURSES. "IN THE BEGINNING WE WERE REALLY JUST HOPING TO BEGIN A CONVERSATION," KERWIN SAYS. "IT WAS INCREDIBLE THAT SEATTLE CHILDREN'S NURSING LEADERS WERE WILLING TO LISTEN TO AND WORK WITH US." PATHWAY TO ADVOCACY DOCTORS IN TRAINING AT SEATTLE CHILDREN'S AND THE UNIVERSITY OF WASHINGTON WHO WANT TO DEVELOP SKILLS IN SPECIFIC AREAS CAN PURSUE THEIR PASSIONS THROUGH SEVERAL TRAINING PATHWAYS. THE RESIDENT EDUCATION AND ADVOCACY FOR CHILD HEALTH (REACH) PATHWAY TEACHES RESIDENTS HOW TO PROTECT AND IMPROVE THE HEALTH OF COMMUNITIES BY UNDERSTANDING AND RESPONDING TO A COMMUNITY'S PARTICULAR NEEDS. RESIDENTS BEGIN BY LEARNING TO ASSESS COMMUNITY HEALTH NEEDS, PLAN PROGRAMS AND EVALUATE RESULTS. THEY GAIN SKILLS AND UNDERSTANDING RELATED TO HEALTH POLICY, THE SOCIAL DETERMINANTS OF HEALTH AND DATA COLLECTION/ANALYSIS/REPORTING. THEY COMPLETE THEIR TRAINING BY APPLYING THEIR NEW SKILLS DURING A ROTATION IN ONE OF TWO LOCATIONS - THE YAKIMA VALLEY FARM WORKERS CLINIC IN THE SMALL EASTERN WASHINGTON TOWN OF TOPPENISH OR IN KISII, KENYA, WHERE THEY WORK ALONGSIDE RESIDENTS FROM THE UNIVERSITY OF NAIROBI. THE REACH PATHWAY IS A WIN-WIN. RESIDENTS GAIN DESIRED SKILLS WHILE THEIR TRAINING LOCATIONS BENEFIT FROM THEIR TIME AND TALENTS AS THEY ADVOCATE FOR UNDERSERVED POPULATIONS.
UNCOMPENSATED CAREFAMILIES WITH A SERIOUSLY ILL OR INJURED CHILD ALREADY HAVE ENOUGH ON THEIR MINDS. THEY SHOULD NOT HAVE TO WORRY ABOUT HOW TO PAY THE MOUNTAIN OF MEDICAL BILLS THAT CAN PILE UP EVEN IF THEY HAVE INSURANCE. OUR FINANCIAL ASSISTANCE FUND FILLS THE GAP BETWEEN WHAT FAMILIES CAN AFFORD TO PAY AND THE COST OF HELPING THEIR CHILD LIVE THE FULLEST LIFE POSSIBLE. IN 2018 WE PROVIDED OVER $146 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO. FUND LIFTS FINANCIAL BURDEN DANI COLE WILL NEVER FORGET GETTING INTO AN ELEVATOR AT SEATTLE CHILDREN'S WITH HER HUSBAND JAMES AND THEIR DAUGHTER. JAMES WAS HOLDING [HIS DAUGHTER'S] HAND AS SHE LAY IN A HOSPITAL BED BEING PUSHED BY A NURSE. THEY WERE ON THEIR WAY TO THE EIGHTH FLOOR - THE CANCER UNIT. "ALL I COULD THINK ABOUT WAS HOW CAN THIS BE POSSIBLE?" DANI RECALLS. "HOW CAN OUR BRIGHT ANGEL HAVE A TUMOR WRAPPED AROUND HER SPINE?" AT 2 YEARS OLD, THE CHILD HAD BEEN DIAGNOSED WITH NEUROBLASTOMA, A FORM OF CANCER FOUND MOSTLY IN CHILDREN THAT OCCURS WHEN SPECIAL NERVE CELLS CALLED NEUROBLASTS MATURE INTO TUMOR CELLS INSTEAD OF NORMALLY FUNCTIONING NERVE CELLS. THE NEWS CAUSED THE BOTTOM TO FALL OUT OF THEIR WORLD. ON TOP OF THE SHEER TERROR THEY FELT HEARING WORDS LIKE "MASS AND "TUMOR," THEY WERE DEVASTATED TO LEARN THAT THE MEDICAL CARE REQUIRED TO SAVE HER WOULD QUICKLY EAT UP THE LIFETIME MAXIMUM OF THEIR INSURANCE COVERAGE. "WHILE I WAS STILL TRYING TO PROCESS THE FACT THAT OUR LITTLE GIRL HAD CANCER, I HAD NO IDEA HOW WE WERE GOING TO AFFORD HER TREATMENT, LET ALONE PAY OUR MORTGAGE, OUR CAR PAYMENT AND ALL OF OUR DAY-TO-DAY BILLS," DANI SAYS. THEN THEY FOUND OUT THEY QUALIFIED FOR FINANCIAL ASSISTANCE FROM THE UNCOMPENSATED CARE FUND AT SEATTLE CHILDREN'S. AT FIRST, THEY DIDN'T APPEAR TO QUALIFY, BUT WHEN DANI TOLD A TEAM MEMBER FROM THE FINANCIAL ASSISTANCE PROGRAM SHE WAS TAKING THE YEAR OFF TO CARE FOR [HER LITTLE GIRL], THE DROP IN INCOME MADE THEM ELIGIBLE. "YOU CAN'T IMAGINE THE WEIGHT OFF OUR SHOULDERS WHEN WE REALIZED THE FUND WOULD PICK UP ANYTHING OUR INSURANCE WOULDN'T - AND THAT WE COULD FOCUS ENTIRELY ON GETTING [OUR DAUGHTER] WELL," SAYS HER MOM. OVER THE NEXT 18 MONTHS, SHE SPENT MORE THAN 200 NIGHTS AT SEATTLE CHILDREN'S FOR TREATMENT THAT INCLUDED THREE SURGERIES, FIVE ROUNDS OF CHEMOTHERAPY, 20 ROUNDS OF RADIATION, A STEM CELL TRANSPLANT AND A TYPE OF IMMUNOTHERAPY. IT WAS A LONG AND GRUELING JOURNEY, BUT IT SAVED HER LIFE. "THROUGH IT ALL, WE NEVER HAD TO ASK ABOUT COST WHEN OUR CARE TEAM RECOMMENDED TESTS AND TREATMENTS," DANI SAYS. "WITHOUT SEATTLE CHILDREN'S FINANCIAL ASSISTANCE WE WOULD HAVE GONE INTO DEBT AND LOST OUR HOME. TO THIS DAY, I HAVE ZERO IDEA HOW MUCH THE TREATMENT COST, BUT WE ARE FOREVER GRATEFUL."
OUR COMMUNITY BENEFIT PRIORITIESWE WORK WITH PARTNERS IN THE COMMUNITY TO ADDRESS FOUR URGENT HEALTH NEEDS IDENTIFIED BY OUR 2016-2019 COMMUNITY HEALTH ASSESSMENT. HERE ARE SOME OF OUR RECENT ACCOMPLISHMENTS IN EACH OF THE FOUR PRIORITY AREAS.
MENTAL AND BEHAVIORAL HEALTHWE ARE COMMITTED TO HELPING ALL CHILDREN GET THE MENTAL HEALTH CARE THEY NEED. OUR MENTAL AND BEHAVIORAL HEALTH EXPERTS NOT ONLY DIAGNOSE AND TREAT PROBLEMS LIKE ANXIETY AND DEPRESSION, THEY STRIVE TO UNDERSTAND THEM AND FIND BETTER WAYS TO HELP CHILDREN AND FAMILIES PREVENT AND OVERCOME THEM. WORKING WITH PARTNERS, WE EXPAND THE CAPACITY OF THE COMMUNITY TO PROVIDE SERVICES THAT ARE ESSENTIAL TO A CHILD'S WELL-BEING. FIRST AID FOR KIDS IN CRISIS MANY PEOPLE KNOW HOW TO SAVE A LIFE BY PERFORMING CPR, BUT FEW KNOW HOW TO HAVE A CONVERSATION WITH AN ADOLESCENT STRUGGLING WITH DEPRESSION OR ADDICTION - A SKILL THAT CAN ALSO SAVE A LIFE. A NEW CLASS OFFERED AT SEATTLE CHILDREN'S GIVES PARENTS AND OTHER ADULTS WHO INTERACT WITH YOUNG PEOPLE SKILLS TO HELP AN ADOLESCENT WHO IS EXPERIENCING A MENTAL HEALTH CHALLENGE. YOUTH MENTAL HEALTH FIRST AID IS AN EVIDENCE BASED PROGRAM THAT PROVIDES PRACTICAL INFORMATION ABOUT COMMON YOUTH MENTAL HEALTH ISSUES, ADOLESCENT DEVELOPMENT AND HOW TO SUPPORT YOUNG PEOPLE IN CRISIS AND NON-CRISIS SITUATIONS. PARTICIPANTS PRACTICE ASKING DIFFICULT QUESTIONS SUCH AS, "ARE YOU THINKING ABOUT KILLING YOURSELF? AND LEARN THAT ASKING SOMEONE IF THEY ARE AT RISK OF SUICIDE DOES NOT PUT THE IDEA IN THEIR HEAD. LAURA CROOKS, SEATTLE CHILDREN'S FORMER SENIOR DIRECTOR OF PATIENT AND FAMILY EXPERIENCE AND NOW CEO AT CHILDREN'S VILLAGE IN YAKIMA, WA WAS INSTRUMENTAL IN BRINGING THE CLASS TO SEATTLE CHILDREN'S AFTER LOSING HER OWN SON TO SUICIDE. "THE YOUTH MENTAL HEALTH FIRST AID CLASS HELPS YOU UNDERSTAND WHEN THERE'S REALLY A PROBLEM," SHE SAYS. "WE'D LIKE TO SEE THIS CLASS BECOME AS PREVALENT AS CPR. EVERYONE SHOULD TAKE IT." YOUTH MENTAL HEALTH FIRST AID CLASS AT SEATTLE CHILDREN'S IS TAUGHT IN PARTNERSHIP WITH USA YOUTH MENTAL HEALTH FIRST AID, CHAD'S LEGACY PROJECT, AND KING COUNTY. VIDEO CHAT REFERRALS BOOST ACCESS WHEN CHILDREN NEED MENTAL HEALTH CARE, PRIMARY CARE PROVIDERS REFER THEM TO MENTAL HEALTH PROVIDERS. AS SIMPLE AS THAT SOUNDS, MANY PARENTS STRUGGLE TO COMPLETE THE FIRST STEP OF THE MENTAL HEALTH INTAKE PROCEDURE. RECENT RESEARCH LED BY DR. TUMAINI COKER FOUND THAT A VIDEO CHAT REFERRAL PROCESS DEVELOPED BY AN ACADEMIC-COMMUNITY PARTNERED RESEARCH TEAM INCREASED THE ODDS THREEFOLD THAT PARENTS WOULD FINISH THE SCREENING NECESSARY TO GET MENTAL HEALTH CARE FOR THEIR CHILD. FUNDED BY THE PATIENT-CENTERED OUTCOMES RESEARCH INSTITUTE, THE STUDY AIMED TO IMPROVE ACCESS TO MENTAL HEALTH CARE FOR FAMILIES IN UNDERSERVED AREAS. NEARLY 350 PARENTS OF CHILDREN AGES 5-12 PARTICIPATED IN THE RANDOMIZED TRIAL. NEARLY 90% OF THE CHILDREN WERE LATINX AND ALL WERE COVERED BY MEDICAID. THE VIDEO CHAT REFERRAL PROCESS PROVIDES PARENTS WITH MORE PERSONAL SUPPORT THAN THE USUAL TELEPHONE REFERRALS. AT THE PRIMARY CARE CLINIC, PARENT ARE SHOWN A FIVE-MINUTE VIDEO ABOUT WHAT TO EXPECT, MEET WITH A CARE COORDINATOR, AND THEN SCHEDULE A VIDEO CHAT WITH A SCREENER FROM THE MENTAL HEALTH CENTER. DURING THE CHAT, PARENTS CAN SEE THE SCREENER ASKING THE QUESTIONS, WHICH CAN MAKE THEM FEEL MORE COMFORTABLE ABOUT SHARING PERSONAL INFORMATION.
SUICIDE AND VIOLENCE PREVENTIONSEATTLE CHILDREN'S WORKS TO PROMOTE FIREARM SAFETY AND ADDRESS THE UNDERLYING CAUSES OF YOUTH VIOLENCE AND SUICIDE. WE GIVE AWAY FREE FIREARM SAFE STORAGE DEVICES AT COMMUNITY EVENTS AS WELL AS AT THE HOSPITAL, AND WE ACT PROACTIVELY TO PREVENT SUICIDE WITHIN THE POPULATION WE SERVE. ASKING LIFESAVING QUESTIONS BETWEEN 2007 AND 2016, THE SUICIDE RATE FOR BOYS AGE 10-14 HAD DOUBLED; FOR GIRLS AGE 10-14 OVER THE SAME TIME PERIOD, THE SUICIDE RATE HAS TRIPLED. SEATTLE CHILDREN'S CREATED A NEW CLINICAL SERVICES PATHWAY TO GUIDE PROVIDERS IN SCREENING, ASSESSING AND REFERRING YOUTH FOR SUICIDE RISK. ALL CHILDREN 10 AND OLDER ADMITTED TO THE HOSPITAL OR EMERGENCY ROOM ARE NOW ASKED FOUR QUESTIONS ABOUT SELF-HARM, DEATH AND DYING. "MANY KIDS WHO ARE EXPERIENCING SUICIDAL IDEATION OR THOUGHTS ABOUT HARMING THEMSELVES DON'T DISCLOSE THIS UNTIL THEY ENGAGE IN THE BEHAVIOR," SAID CLINICAL PSYCHOLOGIST MOLLY ADRIAN. "WE BELIEVE THAT ASKING ALL CHILDREN THESE QUESTIONS WILL HELP US CATCH THE THREAT EARLY AND BETTER RESPOND TO AND TREAT THE DISTRESS THAT IS CREATING THE URGE TO DIE." IF A CHILD IS FOUND TO BE AT RISK, THEIR HEALTH PROVIDER DISCUSSES THE FINDINGS WITH THE FAMILY, HELPS THEM CREATE A CRISIS PREVENTION PLAN AND TRANSFERS CARE TO A MENTAL HEALTH PROVIDER THROUGH A WARM HANDOFF IN WHICH THE PROVIDERS AND THE FAMILY ARE ALL PRESENT. SUICIDE SCREENING WILL EXPAND BEYOND THE HOSPITAL TO INCLUDE ALL SEATTLE CHILDREN'S PATIENT CARE SITES. IN ADDITION, THE MAJORITY OF SEATTLE CHILDREN'S CARE PROVIDERS WILL RECEIVE SIX HOURS OF SUICIDE PREVENTION TRAINING. ALL OF THESE STEPS ALIGN WITH THE GOALS OF THE NATIONAL ZERO SUICIDE INITIATIVE, WHICH CHALLENGES HEALTH SYSTEMS TO MAKE IMPROVEMENTS THAT CAN PREVENT DEATH BY SUICIDE OF INDIVIDUALS UNDER THEIR CARE. SAFER FIREARM STORAGE MENTAL HEALTH ISSUES SUCH AS DEPRESSION ARE A MAJOR RISK FACTOR FOR SUICIDE - MORE SO IF THERE IS A FIREARM IN THE HOUSE AND IF IT IS NOT SAFELY STORED. A STUDY LED BY DR. NEIL USPAL GATHERED INFORMATION ABOUT FIREARM OWNERSHIP AND SAFE STORAGE PRACTICES FROM FAMILIES WHOSE CHILD SOUGHT MENTAL HEALTH CARE IN OUR EMERGENCY DEPARTMENT OR INPATIENT PSYCHIATRY AND BEHAVIORAL MEDICINE UNIT. WHEN DATA ANALYSIS IS COMPLETE, USPAL'S STUDY WILL SHOW WHETHER GIVING FAMILIES A FREE FIREARM STORAGE DEVICE - EITHER A LOCK BOX OR A TRIGGER LOCK - AFFECTS WHETHER THE DEVICE IS BEING USED. "WE WERE WORRIED THAT NOBODY WOULD WANT TO BE IN THE STUDY BECAUSE WE ASKED PRETTY SPECIFIC QUESTIONS ABOUT PEOPLE'S FIREARMS SUCH AS HOW MANY THEY OWN, WHERE THEY STORE THEM, AND WHERE THEY STORE AMMUNITION," USPAL SAYS. "BUT ONCE WE EXPLAINED THE STUDY AND WHY IT WAS IMPORTANT, PEOPLE WERE VERY INTERESTED IN PARTICIPATING." SEPARATE FROM THE STUDY, THE INPATIENT PSYCHIATRY AND BEHAVIORAL MEDICINE UNIT NOW OFFERS A FREE FIREARM STORAGE DEVICE TO FIREARM OWNING FAMILIES OF ALL CHILDREN. THE ODESSA BROWN CHILDREN'S CLINIC AND THE AMBULATORY PSYCHIATRIC CLINICS ALSO OFFER FREE FIREARM STORAGE DEVICES TO THE FAMILIES THEY SERVE.
HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITYNUTRITIOUS FOOD AND PHYSICAL ACTIVITY ARE ESSENTIAL FOR CHILDREN TO GROW UP STRONG AND HEALTHY. WE WORK ALONGSIDE THE COMMUNITY TO FIGHT HUNGER, IMPROVE ACCESS TO NUTRITIOUS FOOD AND INCREASE OPPORTUNITIES FOR CHILDREN AND FAMILIES TO BE PHYSICALLY ACTIVE. FIGHTING FOOD INSECURITY DURING FINANCIAL HARDSHIPS, FAMILIES MAKE DIFFICULT TRADE-OFFS. FAMILIES REDUCE THEIR FOOD QUALITY AND VARIETY, EVEN SKIPPING MEALS, IN ORDER TO MAKE ENDS MEET. THE LACK OF STEADY NUTRITION CAUSED BY FOOD INSECURITY (HUNGER) HAMPERS A SICK CHILD'S HEALING AND ABILITY TO STAY WELL. CHILDREN WITH CHRONIC ILLNESSES ALSO HAVE SPECIAL DIETARY NEEDS, WHICH CAN BE COSTLY, AND MIGHT NOT BE COVERED AT COMMUNITY FOOD BANKS. PARENTS AND CAREGIVERS OF CHILDREN WITH CHRONIC ILLNESS MAY FACE LOSS OF INCOME IF THEY REDUCE THEIR WORK HOURS TO CARE FOR KIDS. A GROWING NUMBER OF SPECIALTY CLINICS WITHIN SEATTLE CHILDREN'S NOW ASK FAMILIES ABOUT FOOD INSECURITY. FAMILIES WHO WANT HELP ARE GIVEN A TWO-DAY SUPPLY OF NUTRITIOUS FOOD FROM OUR FOOD PANTRY, WHICH IS SUPPORTED BY DONORS, GRANTS, THE HOSPITAL, AND A PARTNERSHIP WITH NORTHWEST HARVEST. TO HELP FAMILIES WITH ONGOING FOOD RESOURCES, WE LINK THEM TO WITHINREACH, A LOCAL NONPROFIT THAT CONNECTS PEOPLE WITH THE SOCIAL SERVICES THEY NEED TO STAY SAFE AND HEALTHY. A SURVEY OF FAMILIES FROM TWO CLINICS SERVING CHILDREN WITH END-STAGE KIDNEY DISEASE SHOWED A CORRELATION BETWEEN IMPROVED FOOD SECURITY AND FEWER HOSPITALIZATIONS AND INFECTIONS. OBESITY TIED TO NEIGHBORHOOD TRAITS CHILDHOOD OBESITY CONTINUES TO BE A SERIOUS HEALTH CONCERN IN THE UNITED STATES, PUTTING CHILDREN AT GREATER RISK FOR DEVELOPING CONDITIONS LIKE HEART DISEASE AND TYPE 2 DIABETES. RESEARCH LED BY DR. BRIAN SAELENS FOUND THAT A CHILD'S WEIGHT STATUS CHANGES OVER TIME BASED ON THE AVAILABILITY OF NUTRITIOUS FOOD AND THE OPPORTUNITY FOR PHYSICAL ACTIVITY IN THE NEIGHBORHOOD WHERE THEY LIVE. THE STUDY INVOLVED MORE THAN 600 CHILDREN AGES 8-13 IN SEATTLE/KING COUNTY AND SAN DIEGO COUNTY. WHEN HE BEGAN HIS RESEARCH SAELENS FOUND THAT CHILDREN WERE MORE LIKELY TO BE OVERWEIGHT OR OBESE IN NEIGHBORHOODS WITH NO PARKS OR LOW QUALITY PARKS AND NO SUPERMARKETS OR A HIGH CONCENTRATION OF FAST FOOD RESTAURANTS. THEY ALSO WERE MORE SEDENTARY AND CONSUMED MORE CALORIES. THE OPPOSITE WAS TRUE FOR CHILDREN LIVING IN NEIGHBORHOODS WITH AT LEAST ONE HIGH-QUALITY PARK, AT LEAST ONE SUPERMARKET, A SMALLER CONCENTRATION OF FAST FOOD RESTAURANTS AND MORE OPPORTUNITIES TO WALK. AFTER FOLLOWING UP TWO YEARS LATER, SAELENS FOUND THAT CHILDREN IN THE LESS FAVORABLE NEIGHBORHOODS - I.E. LACKING ACCESS TO NUTRITIOUS FOOD AND OPPORTUNITIES FOR PHYSICAL ACTIVITY - HAD BECOME EVEN MORE LIKELY TO HAVE WEIGHT ISSUES. MEANWHILE, THE OPPOSITE WAS TRUE FOR THOSE IN THE MORE FAVORABLE NEIGHBORHOODS SAELENS HOPES HIS RESEARCH WILL HELP CHANGE THE WAY NEIGHBORHOODS GROW AND DEVELOP. "ACTIVITY AND HEALTHY EATING AREN'T ALWAYS AT THE FOREFRONT OF OUR MINDS WHEN WE THINK ABOUT HOW THINGS ARE BUILT," HE SAYS.
COORDINATED CARE FOR CHILDREN AND TEENS WITH CHRONIC CONDITIONSCARING FOR CHILDREN WITH COMPLEX CHRONIC CONDITIONS REQUIRES PROVIDERS IN THE HOSPITAL AND IN THE COMMUNITY TO WORK AS A TEAM TO ADDRESS THEIR MANY MEDICAL ISSUES. WE STRIVE TO COORDINATE A CHILD'S CARE ACROSS ALL SERVICES, SUPPORT FAMILIES AS THEY CARE FOR THEIR CHILD OUTSIDE THE HOSPITAL AND HELP CHILDREN MAKE A SUCCESSFUL TRANSITION TO ADULT CARE. TLC FOR KIDS WITH MEDICAL COMPLEXITY RAISING A CHILD WITH MEDICAL COMPLEXITY IS AN ENORMOUS CHALLENGE. THEY NEED ONGOING CARE FOR MULTIPLE CHRONIC CONDITIONS AND FACE MANY MEDICAL AND PSYCHO-SOCIAL ISSUES OVER TIME. WE LIFT SOME OF THE WEIGHT FROM A FAMILY'S SHOULDERS THROUGH TLC - SHORT FOR TRANSITIONAL LONGITUDINAL CARE. THIS PROGRAM PREPARES FAMILIES TO GO HOME AFTER HOSPITAL STAYS AND COORDINATES CARE FOR THEIR CHILD GOING FORWARD. WE ASSIGN EACH FAMILY A REGISTERED NURSE CARE MANAGER TO SERVE AS A SINGLE POINT OF CONTACT FOR ALL THEIR NEEDS AND QUESTIONS. "IT COULD BE A MEDICATION ISSUE, AN EQUIPMENT ISSUE, A FINANCIAL ISSUE OR A SCHOOL ISSUE," SAYS KATHY MULLIN, DIRECTOR OF CARE COORDINATION AT SEATTLE CHILDREN'S. "THE REGISTERED NURSE CASE MANAGER CAN ASSIST FAMILIES NAVIGATE THE SYSTEM TO ANSWER THEIR QUESTIONS AND OBTAIN THE HELP THEY NEED FROM SEATTLE CHILDREN'S AND IN THE COMMUNITY." THE PROGRAM IS ESPECIALLY HELPFUL TO FAMILIES WHO ARE JUST STARTING THEIR JOURNEY WITH A CHILD WITH MEDICAL COMPLEXITY. "EVERY STEP IS NEW TO THEM AND IT GIVES THEM PEACE OF MIND TO KNOW THERE IS SOMEBODY THEY CAN CALL," SAYS ERIN MARTIN, ONE OF THE PROGRAM'S REGISTERED NURSE CARE MANAGERS. PREPARING FAMILY CAREGIVERS THE HEALING PROCESS DOESN'T END AT THE HOSPITAL. MUCH OF A CHILD'S RECOVERY TAKES PLACE AT HOME UNDER THE CARE OF THEIR FAMILY. THAT'S WHY WE CONTINUALLY WORK TO IMPROVE THE HOSPITAL-TO-HOME TRANSITION. DR. ARTI DESAI RECENTLY CREATED AN OUTCOME MEASURE TO ASSESS HOW WELL THE HOSPITAL PREPARES FAMILIES TO CARE FOR THEIR CHILD AT HOME AND SUPPORTS THEM AFTER DISCHARGE. DR. DESAI INTERVIEWED PATIENT FAMILIES TO UNCOVER EIGHT CONCEPTS THAT WERE MOST IMPORTANT TO THEM DURING THE HOSPITAL-TO-HOME TRANSITION. "THE MEASURE ASKS ABOUT THINGS LIKE DID THEY GET ENOUGH DISCHARGE EDUCATION, DID THEY FEEL CONFIDENT WHEN THEY GOT HOME, WERE THEIR FOLLOW-UP PROVIDERS INFORMED ABOUT THE CARE THEY RECEIVED IN THE HOSPITAL," DR. DESAI SAYS. THE HOSPITAL COLLECTS FEEDBACK ON THESE OUTCOMES THROUGH A SHORT SURVEY GIVEN TO FAMILIES. "OUR MAIN GOAL IS TO GIVE FAMILIES A VOICE IN TELLING US HOW WELL WE'RE PREPARING THEM TO DEAL WITH A CHALLENGING TIME IN THEIR LIFE," DR. DESAI SAYS. THIS SURVEY, AND OTHER MEASURES SHE HAS DEVELOPED WITH COLLEAGUES, HAVE GUIDED EFFORTS TO IMPROVE THE DISCHARGE INSTRUCTIONS FAMILIES RECEIVE FROM THE HOSPITAL SO THEY CAN BETTER MANAGE THEIR CHILD'S CARE AT HOME. IN ADDITION, DR. DESAI IS WORKING TO ENSURE THAT UP-TO-DATE CARE PLANS FOR CHILDREN WITH MEDICAL COMPLEXITY - WHO HAVE CHRONIC CONDITIONS THAT REQUIRE CLOSELY COORDINATED CARE FROM MULTIPLE SPECIALISTS - ARE READILY AVAILABLE TO OTHER PROVIDERS ONCE A CHILD LEAVES THE HOSPITAL.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SYZYGY PROPERTIES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5371 MS RC-507AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP981455005ZIPCd
FieldValueIRS element (for citing)
EIN911250116EIN
Primary ActivitiesREAL ESTATE MANAGEMENTPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Total Income$527,302TotalIncomeAmt
End Of Year Assets$5,187,591EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SEATTLE CHILDREN'S HEALTHCARE SYSTEMBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SEATTLE CHILDREN'S HOSPITAL
PO BOX 5371 MS RC-507SEATTLEWA981455005910564748PEDIATRIC MEDICAL CAREWA501(C)(3)LINE 3SEATTLE CHILDREN'S HEALTHCARE SYSTEMYes (1)
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
PO BOX 5371 MS RC-507SEATTLEWA981455005911156519FUNDRAISINGWA501(C)(3)LINE 7SEATTLE CHILDREN'S HEALTHCARE SYSTEMYes (1)
SEATTLE CHILDREN'S HOSPITAL GUILD ASSN
PO BOX 5371 MS RC-507SEATTLEWA981455005911394056FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESSWA501(C)(3)LINE 7SEATTLE CHILDREN'S HEALTHCARE SYSTEMYes (1)
CHILDREN'S RETAIL
PO BOX 5371 MS RC-507SEATTLEWA981455005911998909THRIFT STORESWA501(C)(3)LINE 12A, ISEATTLE CHILDREN'S HEALTHCARE SYSTEMYes (1)
CHILDREN'S HEALTH NETWORK
PO BOX 5371 MS RC-507SEATTLEWA981455005911226716PEDIATRIC HEALTHCARE SERVICESWA501(C)(3)LINE 12A, ISEATTLE CHILDREN'S HEALTHCARE SYSTEMYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Primary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CHARITABLE REMAINDER UNITRUSTS (6)
INVESTMENTSWASEATTLE CHILDREN'S HEALTHCARE SYSTEMYes (1)
CHARITABLE REMAINDER UNITRUSTS (5)
INVESTMENTSWA0N/A
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTSAK0N/A
CHARITABLE REMAINDER UNITRUSTS (3)
INVESTMENTSCA0N/A
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTSFL0N/A
CHARITABLE REMAINDER ANNUITY TRUSTS (1)
INVESTMENTSWA0N/A
PERPETUAL TRUSTS (2)
INVESTMENTSWASEATTLE CHILDREN'S HEALTHCARE SYSTEMYes (1)
PERPETUAL TRUSTS (6)
INVESTMENTSWA0N/A
POOLED INCOME FUND (1)
INVESTMENTSWA0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SEATTLE CHILDREN'S HOSPITAL
A$135,052ACTUAL RENT
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
C$13,542,037ACTUAL CONTRIBUTION
CHILDREN'S RETAIL
C$168,898ACTUAL CONTRIBUTION
PERPETUAL TRUST
C$74,237ACTUAL CONTRIBUTION
PERPETUAL TRUST
C$80,712ACTUAL CONTRIBUTION
SEATTLE CHILDREN'S HOSPITAL
D$19,766,206ACTUAL RECEIVABLE
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
E$1,267,655ACTUAL PAYABLE
SEATTLE CHILDREN'S HOSPITAL GUILD ASSN
E$223,155ACTUAL PAYABLE
CHILDREN'S RETAIL
E$56,393ACTUAL PAYABLE
SEATTLE CHILDREN'S HOSPITAL
P$997,750ACTUAL EXPENSES