2019-07-24T12:11:30-05:00 2018-09-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2017-10-01 911156519 SEATTLE CHILDREN'S HOSPITAL FOUNDATION SEAT 2069874846 PO BOX 5371 MS RC-507 SEATTLE WA 981455005 DOUGLAS PICHA PRESIDENT 2069874846 2019-07-10 1 JANE M SEARING P00000565 4254544919 65.158.230.194 2019-07-10 11:52:56 PD P 41114BE78F9267D8857AD0643F4D09414A798F58 A8F8671919AEAF184819608176B45343F82BD7C9 2017 2019-02-21 02:37:17Z SEATTLE CHILDREN'S HOSPITAL AND RESEARCH FOUNDATION STRONG AGAINST CANCER DOUGLAS PICHA PO BOX 5371 MS RC-507 SEATTLE WA 981455005 146113009 0 X WWW.SEATTLECHILDRENS.ORG/WAYS-TO-HELP X 1981 WA THE FOUNDATION SUPPORTS THE HEALTHCARE PROGRAMS OF SEATTLE CHILDREN'S HOSPITAL. 31 30 69 1667 0 0 80237837 145879487 0 0 0 62850 -67043 -38989 80170794 145903348 69119158 132952427 0 0 8155076 8430882 328686 359511 10465547 2567874 4160528 80170794 145903348 0 0 1627309 1419100 1627309 1419100 0 0 X SEATTLE CHILDREN'S HOSPITAL FOUNDATION EXISTS TO IMPROVE THE QUALITY OF HEALTH CARE SERVICES TO INFANTS, CHILDREN, AND ADOLESCENTS THROUGH CONTRIBUTIONS TO ORGANIZATIONS PROVIDING HEALTH CARE SERVICES, RESEARCH AND EDUCATION. 0 0 132952427 132952427 0 SEATTLE CHILDREN'S HOSPITAL FOUNDATION ("THE FOUNDATION") SOLICITS AND RECEIVES PRIVATE GIFTS AND GRANTS FOR THE BENEFIT OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, A 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES, PRIMARILY SEATTLE CHILDREN'S HOSPITAL. DONATIONS MADE TO THE FOUNDATION SUPPORT SEATTLE CHILDREN'S MISSION TO PROVIDE HOPE, CARE AND CURES TO HELP EVERY CHILD LIVE THE HEALTHIEST AND MOST FULFULLLING LIFE POSSIBLE. THESE CONTRIBUTIONS HELP FUND PATIENT CARE PROGRAMS, RESEARCH ACTIVITIES, UNCOMPENSATED CARE PROVIDED TO PATIENTS WITH INSUFFICIENT MEDICAL COVERAGE, EDUCATION FOR PEDIATRIC RESIDENTS AND OTHER HEALTHCARE PROVIDERS, CHILD ADVOCACY PROGRAMS AND CAPITAL PROJECTS.IN ADDITION, THE FOUNDATION ENGAGES A CORPS OF PROFESSIONAL ADVISOR VOLUNTEERS IN INCREASING THE PUBLIC'S AWARENESS OF THE BENEFITS OF CHARITABLE PLANNING AND THE CREATION OF CHARITABLE GIFT PLANS. ATTORNEYS, FINANCIAL ADVISORS, ACCOUNTANTS, INSURANCE PROFESSIONALS AND OTHER VOLUNTEERS HELP WITH EFFORTS TO EDUCATE THE COMUMNITY ON CHARITABLE GIVING STRATEGIES. TO SUPPORT THESE ADVISORS, THE FOUNDATION PROVIDES CONTINUING EDUCATION COURSES, NETWORKING AND TRAINING EVENTS, EDUCATIONAL MATERIALS, AND COMPLIMENTARY CASE CONSULTATIONS. 132952427 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 32 0 1 69 1 0 0 0 0 0 1 1 1 1 0 0 1 0 X 31 30 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AL AR CA CT FL GA HI IL KS KY MD MA MI MN MS NH NJ NM NY NC OR PA RI SC TN UT VA WV WI LA X WARREN E HEWITT 2069874846 4300 ROOSEVELT WAY NE 5TH FLOOR SEATTLE WA 981054718 X JENNIFER BELLE TRUSTEE 1.00 0.00 X 0 0 0 CHARLENE BLETHEN SECRETARY 1.00 0.00 X X 0 0 0 CINDY BRETTLER TRUSTEE 1.00 0.00 X 0 0 0 DEBRA CADY EX OFFICIO VOTING TRUSTEE 1.00 3.00 X 0 0 0 CONSTANTINOS CHRISTOFILIS TRUSTEE 1.00 0.00 X 0 0 0 A M CLISE TRUSTEE 1.00 0.00 X 0 0 0 DANIEL EDERER TRUSTEE 2.00 0.00 X 0 0 0 JEAN ENERSEN TRUSTEE 3.00 0.00 X 0 0 0 MATT ENGLIZIAN EX OFFICIO VOTING TRUSTEE 1.00 0.00 X 0 0 0 ROBERT FLOWERS TRUSTEE 1.00 0.00 X 0 0 0 NATHANIEL GERLICH TRUSTEE 1.00 0.00 X 0 0 0 LESLIE HANAUER TRUSTEE 1.00 0.00 X 0 0 0 DAN LEVITAN VICE-CHAIR 1.00 0.00 X X 0 0 0 KEVIN MATHER EX OFFICIO VOTING TRUSTEE 1.00 0.00 X 0 0 0 JOHN MEISENBACH TRUSTEE 1.00 0.00 X 0 0 0 LINDA MYHRVOLD TRUSTEE 1.00 0.00 X 0 0 0 ANUPAMA NADELLA TRUSTEE 1.00 0.00 X 0 0 0 MOLLY NORDSTROM CHAIR 1.00 0.00 X X 0 0 0 GLORIA NORTHCROFT TRUSTEE 1.00 0.00 X 0 0 0 LAURIE OKI TRUSTEE 2.00 0.00 X 0 0 0 EDDIE POPLAWSKI TRUSTEE 1.00 0.00 X 0 0 0 CHARLES RILEY JR TRUSTEE 1.00 0.00 X 0 0 0 KEITH SCHORSCH TRUSTEE 1.00 0.00 X 0 0 0 NANCY SENSENEY EX OFFICIO VOTING TRUSTEE 2.00 10.00 X 0 0 0 JANET SINEGAL TRUSTEE 3.00 0.00 X 0 0 0 RAJEEV SINGH TRUSTEE 1.00 0.00 X 0 0 0 KELLIE SLOAN TRUSTEE 1.00 0.00 X 0 0 0 MICHELE SMITH TRUSTEE 3.00 2.00 X 0 0 0 RON VACHRIS TRUSTEE 1.00 0.00 X 0 0 0 DAVID VICTOR TREASURER 1.00 0.00 X X 0 0 0 PEGGY WALTON TRUSTEE 1.00 0.00 X 0 0 0 DOUGLAS PICHA PRESIDENT & NON-VOTING EX OFF TRUST 44.00 11.00 X 508703 488031 119571 SUSAN BLAKE SENIOR DEVELOPMENT ADVISOR 45.00 2.00 X 157300 38389 16728 JULIE TAYLOR SR DIRECTOR - FOUNDATION ADMIN 45.00 1.00 X 190223 385 21041 BRENDA MAJERCIN VP DEVELOPMENT 45.00 0.00 X 331395 60110 27226 ANDREW WELCH VP DEVELOPMENT 45.00 0.00 X 330128 1011 43483 JENNIFER LOWE VP DEVELOPMENT - MAJOR GIFTS 45.00 0.00 X 292884 660 34249 VALERIE COURTNEY SR DIRECTOR - DEV STRATEGY PLANNING 45.00 0.00 X 266982 361 33621 KARI RALLO SR DIRECTOR - ANNUAL GIVING 45.00 0.00 X 232991 132 34723 SIMON PRITIKIN SR DIRECTOR - DEV MAJOR GIFTS 45.00 0.00 X 201775 8319 39753 JESSICA BREITBARTH SR DIRECTOR - DEV LEGACY & TRUSTS 45.00 0.00 X 197997 3411 25677 AILEEN KELLY VP DEVELOPMENT/EXEC DIR GUILD ASSN 11.00 45.00 X 63216 257525 26854 EVE KOPP DIR OF COMMUNITY EVENTS & PROGRAMS 45.00 0.00 X 186537 994 29373 ALLISON BROADGATE DIRECTOR - STRONG AGAINST CANCER 45.00 0.00 X 183241 171 28553 ERIKA KREGER DIRECTOR OF DEV, MAJOR GIFTS 45.00 0.00 X 181287 230 16970 MANDY HANOUSEK DIR OF DONOR MEMBERSHIP PROGRAMS 45.00 0.00 X 165621 1030 11735 3490280 860759 509557 20 0 1 0 COPACINO AND FUJIKADO LLC 1425 4TH AVE SUITE 700 SEATTLE WA 98101 CREATIVE MARKETING & MEDIA PRODUCTION 237940 MARTS & LUNDY INC 1200 WALL STREET W 5TH FL LYNDHURST NJ 07071 CONSULTING AND COMMUNICATIONS 167360 ELLIOTT BAY PRODUCTIONS 3708 SW AUSTIN STREET SEATTLE WA 98126 PROJECT AND EVENT SERVICES 141258 SINCLAIR BROADCAST GROUP INC 140 4TH AVENUE N SEATTLE WA 98109 TELEVISION MARKETING 110000 CHILDREN'S MIRACLE NETWORK HOSPITALS 205 W 700 S SALT LAKE CITY UT 84101 PROFESSIONAL FUNDRAISING 102500 5 234068 434663 145210756 6258607 145879487 114100 51250 62850 62850 62850 40600 434663 150774 -110174 -110174 8470 5179 3291 3291 2051 2458 -407 -407 NON-FUNDRAISING EVENTS 900099 68301 68301 68301 145903348 0 0 23861 132952427 132952427 2519856 644960 1874896 18450 18450 4236616 698808 3537808 336026 120171 215855 700944 262350 438594 618990 204925 414065 18937 18937 359511 359511 1430835 203690 1227145 938658 938658 369714 97440 272274 943800 121918 821882 182859 38819 144040 17689 7145 10544 15449 14128 1321 18741 18741 COMMUNITY EVENT INVOLVE 19531 250 19281 DUES & SUBSCRIPTIONS 12141 1340 10801 192174 31752 160422 145903348 132952427 2485374 10465547 7662 76398 115940 66390 392508 383851 24106 8657 1479601 1267655 1627309 1419100 1627309 1419100 1627309 1419100 X 0 0 1627309 1419100 0 0 X 0 1 X 1 0 X 136189782 74862837 69600423 80237837 145879487 506770366 136189782 74862837 69600423 80237837 145879487 506770366 121130105 385640261 90655 0 0 0 0 90655 2350 13770 68301 84421 506945442 0.76070 0.77180 X PART II, LINE 9: LINE 9 REPRESENTS ACTIVITIES THAT ARE PART OF THE ORGANIZATION'S FUNDRAISING EFFORTS. THE PORTION OF GROSS REVENUE THAT IS ALLOCATED TOWARDS CONTRIBUTIONS IS REPORTED ON LINE 1 AS GIFT, GRANTS, AND CONTRIBUTIONS. LINE 9 DOES NOT REPRESENT AMOUNTS SUBJECT TO UNRELATED BUSINESS INCOME TAX. PART II, LINE 10, EXPLANATION FOR OTHER INCOME: 2015 NON-FUNDRAISING EVENT REVENUES: $2,350 2016 NON-FUNDRAISING EVENT REVENUES: $13,770 2017 NON-FUNDRAISING EVENT REVENUES: $68,301 392508 383851 8657 8657 RECEIVABLES FROM AFFILIATES 1267655 1267655 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES ESTIMATED TRAVEL EXPENSES 29300 NORTH AMERICA 0 0 FUNDRAISING REVENUES RECEIVED FROM DONORS IN THE REGION EAST ASIA AND THE PACIFIC 0 0 FUNDRAISING REVENUES RECEIVED FROM DONORS IN THE REGION EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 FUNDRAISING REVENUES RECEIVED FROM DONORS IN THE REGION SOUTH AMERICA 0 0 FUNDRAISING REVENUES RECEIVED FROM DONORS IN THE REGION MIDDLE EAST AND NORTH AFRICA 0 0 FUNDRAISING REVENUES RECEIVED FROM DONORS IN THE REGION RUSSIA AND NEIGHBORING STATES 0 0 FUNDRAISING REVENUES RECEIVED FROM DONORS IN THE REGION SOUTH ASIA 0 0 FUNDRAISING REVENUES RECEIVED FROM DONORS IN THE REGION 0 0 0 0 0 0 29300 0 29300 0 0 0 0 0 1 X X X X X X 1 CHILDREN'S MIRACLE NETWORK HOSPITALS 205 W 700 S SALT LAKE CITY UT 84101 PROVISION OF FUNDRAISING TOOLS AND GUIDANCE FOR CORPORATE PA 1 5125946 429875 4696071 PMA DIRECT MARKETING 22404 66TH AVE S KENT WA 98032 DIRECT MAIL 0 821635 96405 725230 TRUESENSE MARKETING PO BOX 641114 PITTSBURGH PA 15264 DIRECT MAIL AND STRATEGY 0 39059 41002 -1943 MARTS & LUNDY INC 1200 WALL STREET W 5TH FL LYNDHURST NJ 07071 PROVISION OF TRAINING AND COMMUNICATIONS COUNSEL 0 0 65735 -65735 THIRD SECTOR CONSULTING PO BOX 7025 TACOMA WA 98417 PROVISION OF COACHING AND CAMPAIGN SUPPORT TO THE SENIOR DEV 0 0 36786 -36786 5986640 669803 5316837 AL AK AR CA CO CT FL GA HI IL KS KY ME MD MA MI MN MS NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WA WV WI MO LA NV STRONG AGAINST CANCER CELEBRATION 475263 434663 40600 0 0 22817 57505 10162 60290 475263 434663 40600 22817 57505 10162 60290 150774 -110174 PART I, LINE 2B, LIST OF TEN HIGHEST PAID FUNDRAISERS: (I) NAME OF FUNDRAISER: CHILDREN'S MIRACLE NETWORK HOSPITALS (I) ADDRESS OF FUNDRAISER: 205 W 700 S, SALT LAKE CITY, UT 84101 (I) NAME OF FUNDRAISER: PMA DIRECT MARKETING (I) ADDRESS OF FUNDRAISER: 22404 66TH AVE S, KENT, WA 98032 (I) NAME OF FUNDRAISER: TRUESENSE MARKETING (I) ADDRESS OF FUNDRAISER: PO BOX 641114, PITTSBURGH, PA 15264 (I) NAME OF FUNDRAISER: THIRD SECTOR CONSULTING (I) ADDRESS OF FUNDRAISER: PO BOX 7025, TACOMA, WA 98417 (I) NAME OF FUNDRAISER: MARTS & LUNDY INC (I) ADDRESS OF FUNDRAISER: 1200 WALL STREET W, 5TH FL, LYNDHURST, NJ 07071 PART I, LINE 2B, COLUMN (III): CHILDREN'S MIRACLE NETWORK HOSPITALS PROVIDES NATIONAL EXPOSURE FOR SEATTLE CHILDREN'S HOSPITAL AS WELL AS OTHER PARTICIPATING NONPROFIT ORGANIZATIONS. NATIONAL CORPORATIONS DONATE TO CHILDREN'S MIRACLE NETWORK HOSPITALS, WHICH IN TURN DISTRIBUTES THE CONTRIBUTIONS TO ITS PARTICIPATING CHARITIES, BASED ON THE CORPORATIONS' MARKET SHARE IN THE CHARITIES' REGIONS. PART I, LINE 2B, COLUMN (IV): THIRD SECTOR CONSULTING WAS CONTRACTED TO PROVIDE COACHING AND SUPPORT TO THE SENIOR DEVELOPMENT STAFF AND THE "IT STARTS WITH YES" CAMPAIGN. REVENUE GENERATION WAS NOT THE MAIN GOAL OF THEIR SCOPE OF WORK. MARTS & LUNDY INC WERE CONTRACTED TO PROVIDE CAMPAIGN FUNDRAISING COUNSEL. SERVICES INCLUDED INTERVIEWING DONORS AND MEETING WITH STAFF. NO REVENUE WAS GENERATED PER THEIR SCOPE OF WORK. PART I, LINE 2B, COLUMN (V): SEATTLE CHILDREN'S HOSPITAL FOUNDATION (SCHF) PAYS CHILDREN'S MIRACLE NETWORK HOSPITALS A MEMBERSHIP FEE FOR ITS SERVICES, WHICH DOES NOT INCLUDE ANY REIMBURSEMENTS FOR EXPENSES INCURRED. THE MEMBERSHIP FEE, WHICH IS REPORTED ON LINE 2B, COLUMN (V), IS AGREED UPON IN AN ANNUAL CONTRACT. IN ADDITION TO THE MEMBERSHIP FEE, SCHF IS RESPONSIBLE FOR PAYING CHILDREN'S MIRACLE NETWORK HOSPITALS FOR FUNDRAISING MATERIALS ESSENTIAL TO CONDUCTING ITS FUNDRAISING CAMPAIGNS AND FOR VARIOUS OTHER EXPENSES. SUCH CHARGES ARE BILLED SEPARATELY FROM THE ANNUAL MEMBERSHIP FEE AND HAVE NOT BEEN INCLUDED ON LINE 2B, COLUMN (V) BUT ARE REPORTED UNDER THEIR NATURAL EXPENSE CLASSIFICATIONS ON FORM 990, PART IX. SCHF IS RESPONSIBLE FOR PAYING PMA DIRECT MARKETING FOR FUNDRAISING MATERIALS AND POSTAGE RELATED TO DIRECT MAIL SERVICES. $20,394 IN SUPPLIES AND POSTAGE EXPENSES HAVE NOT BEEN INCLUDED ON LINE 2B, COLUMN (V) BUT ARE REPORTED UNDER THEIR NATURAL EXPENSE CLASSIFICATIONS ON FORM 990, PART IX. SCHF IS RESPONSIBLE FOR PAYING THIRD SECTOR CONSULTING FOR TRAVEL EXPENSES INCURRED BY CONSULTANTS. $1,482 IN TRAVEL EXPENSES HAVE NOT BEEN INCLUDED ON LINE 2B, COLUMN (V) BUT ARE REPORTED UNDER THEIR NATURAL EXPENSE CLASSIFICATIONS ON FORM 990, PART IX. SCHF IS RESPONSIBLE FOR PAYING TRUESENSE MARKETING FOR FUNDRAISING MATERIALS AND POSTAGE RELATED TO DIRECT MAIL SERVICES. $32,925 IN POSTAGE EXPENSES HAVE NOT BEEN INCLUDED ON LINE 2B, COLUMN (V) BUT ARE REPORTED UNDER THEIR NATURAL EXPENSE CLASSIFICATIONS ON FORM 990, PART IX. ACCORDING TO THE AGREEMENT WITH MARTS & LUNDY INC, SCHF IS RESPONSIBLE FOR PAYING A PER DIEM RATE FOR TRAVEL EXPENSES INCURRED BY CONSULTANTS. $5,837 IN TRAVEL EXPENSES HAVE NOT BEEN INCLUDED ON LINE 2B, COLUMN (V) BUT ARE REPORTED UNDER THEIR NATURAL EXPENSE CLASSIFICATIONS ON FORM 990, PART IX. PART II, LINE 9: SEATTLE CHILDREN'S HOSPITAL FOUNDATION EMPLOYEES SPENT TIME PLANNING AND ORGANIZING THE FOLLOWING EVENTS: STRONG AGAINST CANCER CELEBRATION - 7 EMPLOYEES EMPLOYEES ALSO HELPED TO SETUP AND RUN THE EVENTS: STRONG AGAINST CANCER CELEBRATION - 22 EMPLOYEES SINCE THESE EMPLOYEES' HOURS WERE NOT TRACKED SEPARATELY, NO SALARIES OR WAGES HAVE BEEN REPORTED ON LINE 9. 1 SEATTLE CHILDREN'S HOSPITAL PO BOX 5371 MS RC-507 SEATTLE WA 981455005 910564748 501 (C) (3) 114845532 3051408 MARKET VALUE PUBLICLY TRADED STOCK, REAL ESTATE, TOYS, ELECTRONICS & RAFFLE ITEMS PEDIATRIC CARE, MEDICAL RESEARCH, TEACHING SEATTLE CHILDREN'S HEALTHCARE SYSTEM PO BOX 5371 MS RC-507 SEATTLE WA 981455005 911250116 501 (C) (3) 11885932 3151390 MARKET VALUE PUBLICLY TRADED SECURITIES AND TRUST INTERESTS PEDIATRIC CARE, MEDICAL RESEARCH, TEACHING 2 0 PART I, LINE 2: A SPONSORSHIP COMMITTEE WAS ESTABLISHED BY SEATTLE CHILDREN'S HOSPITAL AND ITS AFFILIATES, INCLUDING SEATTLE CHILDREN'S HOSPITAL FOUNDATION, 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 OF THE POPULATION SERVED, AS WELL AS DOCUMENTED COMMUNITY NEED ADDRESSED BY THE ORGANIZATION. X X 1 1 0 1 0 0 0 0 0 0 0 DOUGLAS PICHA PRESIDENT & NON-VOTING EX OFF TRUST 319979 79994 186848 46716 1876 361321 15120 81475 18380 4596 542203 574102 0 349176 SUSAN BLAKE SENIOR DEVELOPMENT ADVISOR 109437 0 47863 0 0 38389 13681 0 3047 0 174028 38389 0 0 JULIE TAYLOR SR DIRECTOR - FOUNDATION ADMIN 118714 0 71509 27 0 358 11919 0 9122 0 211264 385 0 0 BRENDA MAJERCIN VP DEVELOPMENT 201092 0 130303 5 0 60105 18255 0 8971 0 358621 60110 0 0 ANDREW WELCH VP DEVELOPMENT 217051 0 113077 517 0 494 13500 0 29983 0 373611 1011 0 0 JENNIFER LOWE VP DEVELOPMENT - MAJOR GIFTS 194840 0 98044 477 0 183 18206 0 16043 0 327133 660 0 0 VALERIE COURTNEY SR DIRECTOR - DEV STRATEGY PLANNING 171152 0 95830 0 0 361 18125 0 15496 0 300603 361 0 0 KARI RALLO SR DIRECTOR - ANNUAL GIVING 154112 0 78879 5 0 127 14295 0 20428 0 267714 132 0 0 SIMON PRITIKIN SR DIRECTOR - DEV MAJOR GIFTS 127734 3686 74041 735 0 3898 14320 0 25433 0 241528 8319 0 0 JESSICA BREITBARTH SR DIRECTOR - DEV LEGACY & TRUSTS 130466 0 67531 660 0 2751 9312 0 16365 0 223674 3411 0 0 AILEEN KELLY VP DEVELOPMENT/EXEC DIR GUILD ASSN 43362 173448 19854 79466 0 4611 3414 13654 1957 7829 68587 279008 0 0 EVE KOPP DIR OF COMMUNITY EVENTS & PROGRAMS 118861 0 67676 852 0 142 13396 0 15977 0 215910 994 0 0 ALLISON BROADGATE DIRECTOR - STRONG AGAINST CANCER 127146 0 56095 76 0 95 12871 0 15682 0 211794 171 0 0 ERIKA KREGER DIRECTOR OF DEV, MAJOR GIFTS 124646 0 56641 85 0 145 9084 0 7886 0 198257 230 0 0 MANDY HANOUSEK DIR OF DONOR MEMBERSHIP PROGRAMS 106955 0 58666 40 0 990 10336 0 1399 0 177356 1030 0 0 PART I, LINE 1A BUSINESS OR FIRST CLASS TRAVEL IS PROVIDED IN THE EVENT OF MEDICAL NECESSITY OR CERTAIN INTERNATIONAL FLIGHTS OF LONG DURATION. THIS IS NOT TREATED AS TAXABLE COMPENSATION. DOUGLAS PICHA AND KARI RALLO ARE PROVIDED ROTARY CLUB MEMBERSHIPS, WHICH ARE NOT TREATED AS COMPENSATION. PART I, LINE 3 EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS), A RELATED ORGANIZATION THAT IS THE DIRECT CONTROLLING ENTITY OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION. THE FOLLOWING ARE USED BY SCHS TO ESTABLISH THE COMPENSATION OF THE PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION STUDY - APPROVAL BY THE COMPENSATION COMMITTEE AND FULL SCHS BOARD PART I, LINE 4B THE FOLLOWING PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DOUGLAS PICHA - $77,695 DEFERRED COMPENSATION. 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: DOUGLAS PICHA - $349,176 SARAH CLISE FAMILY MEMBER OF A. M. CLISE, TRUSTEE 18450 INDEPENDENT CONTRACTOR 0 X 1 51250 MARKET VALUE X 56 2167091 MARKET VALUE X 5 2736170 MARKET VALUE X 1 457598 MARKET VALUE X TOYS 1 821542 MARKET VALUE X AMAZON TABLETS 200 20397 MARKET VALUE X RAFFLE ITEMS 30 4559 MARKET VALUE 1 0 1 0 PART I, COLUMN (B): LINE 6 - ONE CONTRIBUTION OF A CLASSIC CAR; LINE 9 - 56 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 11 - FIVE CONTRIBUTIONS OF TRUST INTERESTS; LINE 15 - ONE CONTRIBUTION OF A RESIDENTIAL PROPERTY; LINE 25 - ONE DONATION OF 87,210 PACKS OF CRAYOLA DOUGH; LINE 26 - ONE DONATION OF 200 AMAZON FIRE TABLETS; LINE 27 - CONTRIBUTIONS OF 30 RAFFLE ITEMS FORM 990, PART I, LINE 6: SEATTLE CHILDREN'S HOSPITAL FOUNDATION IS FAITHFULLY SUPPORTED BY A LARGE GROUP OF VOLUNTEERS, WILLING TO GENEROUSLY GIVE THEIR TIME AND RESOURCES TO HELP SEATTLE CHILDREN'S HOSPITAL FULFILL ITS MISSION. FROM THE 31 UNPAID INDIVIDUALS SERVING ON THE BOARD OF DIRECTORS, TO THE 350 PROFESSIONAL LEGACY ADVISORS AND LEGACY COUNCIL MEMBERS, TO THE 116 SERVING ON OTHER COUNCILS AND COMMITTEES, TO THE 1,170 ENTHUSIASTICALLY INVOLVED IN MAJOR FUNDRAISING EVENTS, PROMOTIONS AND ACTIVITIES BENEFITTING SEATTLE CHILDREN'S HOSPITAL IN 2018, VOLUNTEERS HAVE ALWAYS BEEN AT THE HEART OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 2 DOUGLAS PICHA HAS A BUSINESS RELATIONSHIP WITH DEBRA CADY, NANCY SENSENEY, AND MICHELE SMITH. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE REVISED DURING THE YEAR. THE AMENDED DOCUMENT EXPLAINS THAT SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION, HAS EXCLUSIVE AUTHORITY WITH RESPECT TO THE FOLLOWING: STRATEGIC AND FINANCIAL PLANS, CAPITAL AND OPERATING BUDGETS, CONTROL OF INVESTMENTS, UNBUDGETED CAPITAL EXPENDITURES, AND THE APPOINTMENT AND COMPENSATION OF AN INDEPENDENT AUDITOR. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION 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 FOUNDATION, ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES (WHICH IS THE GOVERNING BODY) OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION, HAS THE SOLE AUTHORITY TO MAKE, ALTER, AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT AND INDEPENDENT TAX PROFESSIONALS PRESENT AND REVIEW THE FORM 990 WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. AFTER REVIEW BY THE EXECUTIVE 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 FOUNDATION REQUIRES AN ANNUAL SURVEY OF ALL BOARD MEMBERS OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION AND STAFF MEMBERS OCCUPYING ROLES WITH A DEGREE OF AUTHORITY. THE SENIOR VICE PRESIDENT/GENERAL COUNSEL OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM OVERSEES THE REVIEW OF ALL DISCLOSURES AND ESTABLISHES AND OVERSEES ANY NECESSARY MANAGEMENT PLANS RELATED TO THEM, IN CONJUNCTION WITH BOARD AND EXECUTIVE LEADERSHIP. 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 OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM MAY, AT THE DISCRETION OF THE BOARD OR THE CHIEF EXECUTIVE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM HIS OR HER DUTIES WITH SEATTLE CHILDREN'S HOSPITAL FOUNDATION 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 DIRECT CONTROLLING ENTITY OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION. THE SCHS BOARD ENGAGES AN INDEPENDENT THIRD-PARTY EXPERT ANNUALLY TO REVIEW AND ASSESS THE EXECUTIVE COMPENSATION PROGRAM (BASE, INCENTIVE COMPENSATION, AND EMPLOYER-PAID BENEFITS) TO DETERMINE COMPETITIVENESS. THE SCHS BOARD RELIES ON THE EXPERT ANALYSIS TO DETERMINE THAT COMPENSATION IS REASONABLE AND WITHIN THE "BOUNDS OF COMPETITIVE PRACTICE AND TO DECLARE A REBUTTABLE PRESUMPTION OF REASONABLENESS REGARDING EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE REVIEWS THE SUMMARY DATA PROVIDED AND APPROVES BASE SALARY RECOMMENDATIONS FOR THE PRESIDENT. DIRECTOR AND MANAGER COMPENSATION IS REVIEWED ANNUALLY BY THE HUMAN RESOURCES DEPARTMENT OF SEATTLE CHILDREN'S HOSPITAL (SCH), A RELATED ORGANIZATION TO SEATTLE CHILDREN'S HOSPITAL FOUNDATION. USING A COMPREHENSIVE MARKET REVIEW PROCESS THROUGH WHICH POSITIONS ARE COMPARED TO RELEVANT SURVEY DATA, KEY EMPLOYEE SALARIES ARE DETERMINED BY PERFORMANCE AND POSITION WITHIN RANGE AND GOVERNED BY THE RANGE MINIMUM AND MAXIMUM TO MAINTAIN COMPENSATION WITHIN THE BOUNDS OF COMPETITIVE PRACTICE. THE FULL SCHS BOARD OF TRUSTEES REVIEWS AND APPROVES ACTIONS OF THE COMPENSATION COMMITTEE, AS WELL AS THE BUDGETS FOR SALARIES AS RECOMMENDED BY THE HUMAN RESOURCES DEPARTMENT OF SCH. FORM 990, PART VI, SECTION C, LINE 19 SEATTLE CHILDREN'S HOSPITAL FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: EX OFFICIO VOTING TRUSTEES SERVE TERMS CONCURRENT WITH THE TERMS THEY SERVE IN THEIR RESPECTIVE OFFICES: THE CHAIR OF SEATTLE CHILDREN'S HOSPITAL SYSTEM, THE CHAIR OF SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION, THE SEATTLE CHILDREN'S BOARD LIAISON, THE CHAIR OF CHILDREN'S LEGACY COUNCIL, AND THE CHAIR OF SEATTLE CHILDREN'S CORPORATE LEADERSHIP COUNCIL. COMMUNITY BENEFIT REPORT SEATTLE CHILDREN'S HOSPITAL'S COMMUNITY BENEFIT WORK IS DESCRIBED IN AN ANNUAL REPORT, WHICH IS MADE AVAILABLE TO THE PUBLIC. TO READ THE MOST RECENTLY PUBLISHED COMMUNITY BENEFIT REPORT, PLEASE VISIT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT. 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 PO BOX 5371 MS RC-507 SEATTLE WA 981455005 910564748 PEDIATRIC MEDICAL CARE WA 501(C)(3) LINE 3 SEATTLE CHILDREN'S HEALTHCARE SYSTEM 1 SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION PO BOX 5371 MS RC-507 SEATTLE WA 981455005 911394056 FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESS WA 501(C)(3) LINE 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM 1 CHILDREN'S RETAIL PO BOX 5371 MS RC-507 SEATTLE WA 981455005 911998909 THRIFT STORES WA 501(C)(3) LINE 12A, I SEATTLE CHILDREN'S HEALTHCARE SYSTEM 1 CHILDREN'S HEALTH NETWORK PO BOX 5371 MS RC-507 SEATTLE WA 981455005 911226716 PEDIATRIC HEALTHCARE SERVICES WA 501(C)(3) LINE 12A, I SEATTLE CHILDREN'S HEALTHCARE SYSTEM 1 ERNA JORGENSEN CHARITABLE TRUST KEY BANK 10 W SECOND STREET 26TH FL DAYTON OH 45402 916369099 GRANT MAKING WA 501(C)(3) LINE 12D, III-O N/A 0 JACK R MACDONALD CHARITABLE TRUST BANK OF AMERICA NA PO BOX 831041 DALLAS TX 752831041 306410216 GRANT MAKING WA 501(C)(3) LINE 12D, III-O N/A 0 CHARITABLE REMAINDER UNITRUSTS (3) INVESTMENTS WA SEATTLE CHILDREN'S HOSPITAL FOUNDATION 1 CHARITABLE REMAINDER UNITRUSTS (8) INVESTMENTS WA N/A 0 CHARITABLE REMAINDER UNITRUST (1) INVESTMENTS AK N/A 0 CHARITABLE REMAINDER UNITRUSTS (3) INVESTMENTS CA N/A 0 CHARITABLE REMAINDER UNITRUST (1) INVESTMENTS FL SEATTLE CHILDREN'S HOSPITAL FOUNDATION 1 CHARITABLE REMAINDER ANNUITY TRUST (1) INVESTMENTS WA SEATTLE CHILDREN'S HOSPITAL FOUNDATION 1 PERPETUAL TRUSTS (8) INVESTMENTS WA N/A 0 POOLED INCOME FUND (1) INVESTMENTS WA SEATTLE CHILDREN'S HOSPITAL FOUNDATION 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0