2018-08-02T12:37:00-05:00 2017-09-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2016-10-01 911156519 SEATTLE CHILDREN'S HOSPITAL FOUNDATION SEAT 2069874846 PO BOX 5371 MS RC-507 SEATTLE WA 981455005 DOUGLAS PICHA PRESIDENT 2069874846 2018-07-16 1 JANE M SEARING P00000565 4254544919 2018-07-12 2016 2022-09-23 18:48:47Z SEATTLE CHILDREN'S HOSPITAL AND RESEARCH FOUNDATION STRONG AGAINST CANCER DOUGLAS PICHA PO BOX 5371 MS RC-507 SEATTLE WA 981455005 80317287 0 X WWW.SEATTLECHILDRENS.ORG/WAYS-TO-HELP X 1981 WA THE FOUNDATION SUPPORTS THE HEALTHCARE PROGRAMS OF SEATTLE CHILDREN'S HOSPITAL. 33 32 61 1494 0 0 69600423 80237837 0 0 0 0 -57150 -67043 69543273 80170794 59324702 69119158 0 0 7014547 8155076 203444 328686 9170010 3000580 2567874 69543273 80170794 0 0 1466017 1627309 1466017 1627309 0 0 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 69119158 69119158 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. 69119158 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 33 0 1 61 1 0 0 0 0 0 1 1 0 0 0 0 X 33 32 1 0 0 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 CHARLENE BLETHEN TRUSTEE 1.00 0.00 X 0 0 0 CINDY BRETTLER TRUSTEE 1.00 0.00 X 0 0 0 JAMES CARNEY EX OFFICIO VOTING TRUSTEE 2.00 0.00 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 1.00 0.00 X 0 0 0 JEAN ENERSEN TRUSTEE 3.00 0.00 X 0 0 0 ROBERT FLOWERS SECRETARY 1.00 1.00 X 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 RACINE HEACOX TRUSTEE 1.00 0.00 X 0 0 0 THEODORE JOHNSON TRUSTEE 1.00 0.00 X 0 0 0 DAN LEVITAN TRUSTEE 1.00 0.00 X 0 0 0 CANDY MARSHALL TRUSTEE 1.00 0.00 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 VICE-CHAIR 1.00 0.00 X X 0 0 0 GLORIA NORTHCROFT TRUSTEE 1.00 0.00 X 0 0 0 JUDY OGDEN EX OFFICIO VOTING TRUSTEE 2.00 10.00 X 0 0 0 LAURIE OKI TRUSTEE 1.00 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 8.00 X 0 0 0 JANET SINEGAL TRUSTEE 2.00 0.00 X 0 0 0 RAJEEV SINGH TREASURER 1.00 0.00 X X 0 0 0 KELLIE SLOAN TRUSTEE 1.00 0.00 X 0 0 0 MICHELE SMITH CHAIR 3.00 2.00 X X 0 0 0 DAVID VICTOR TRUSTEE 1.00 0.00 X 0 0 0 PEGGY WALTON TRUSTEE 1.00 0.00 X 0 0 0 LENNY WILKENS TRUSTEE 1.00 0.00 X 0 0 0 DOUGLAS PICHA PRESIDENT & NON-VOTING EX OFF TRUST 44.00 12.00 X 501224 204070 103697 SUSAN BLAKE SR DIRECTOR - OPS & SUPPORT SERVICES 45.00 2.00 X 192276 1853 22165 BRENDA MAJERCIN VP DEVELOPMENT - CORP & FOUND GRANTS 45.00 0.00 X 153892 104934 26145 ANDREW WELCH VP DEVELOPMENT 45.00 0.00 X 245639 702 42414 VALERIE COURTNEY SR DIRECTOR - DEV STRATEGY PLANNING 45.00 0.00 X 182298 324 36273 JENNIFER LOWE VP DEVELOPMENT - MAJOR GIFTS 45.00 0.00 X 178280 3379 28415 AILEEN KELLY VP DEVELOPMENT/EXEC DIR GUILD ASSN 11.00 45.00 X 46233 185388 24383 KARI RALLO SR DIR-ANNUAL GVNG/PATIENT FAMILIES 45.00 0.00 X 140042 9913 30702 SIMON PRITIKIN DIRECTOR OF DEVELOPMENT-MAJOR GIFTS 45.00 0.00 X 142559 4411 35054 HELEN SERNETT DIR OF DEVELOPMENT-ANNUAL GIVING 45.00 0.00 X 83304 52744 22986 EVE KOPP DIR OF DEVELOPMENT-CORPORATE EVENTS 45.00 0.00 X 133057 833 24974 1998804 568551 397208 18 0 1 0 COPACINO AND FUJIKADO LLC 1425 4TH AVE SUITE 700 SEATTLE WA 98101 CREATIVE MARKETING & MEDIA PRODUCTION 281401 CHILDREN'S MIRACLE NETWORK HOSPITALS 205 W 700 S SALT LAKE CITY UT 84101 PROFESSIONAL FUNDRAISING 103274 2 235093 415498 79587246 2975076 80237837 53010 415498 137634 -84624 -84624 8020 5387 2633 2633 4650 3472 1178 1178 NON-FUNDRAISING EVENTS 900099 13770 13770 13770 80170794 0 0 -67043 69119158 69119158 2158150 663918 1494232 17503 17503 4461542 560056 3901486 288401 39816 248585 719334 96764 622570 510146 90446 419700 24295 24295 328686 328686 787584 88731 698853 419984 419984 323966 92743 231223 683761 120100 563661 103473 30500 72973 13291 2072 11219 22393 20489 1904 17987 17987 DUES & SUBSCRIPTIONS 15392 2523 12869 COMMUNITY EVENT INVOLVE 3235 3235 152513 31186 121327 80170794 69119158 1881626 9170010 321056 7662 110807 115940 392508 368402 46500 24106 987654 1479601 1466017 1627309 1466017 1627309 1466017 1627309 X 0 0 1466017 1627309 0 0 X 0 1 X 1 0 X 51337770 136189782 74862837 69600423 80237837 412228649 51337770 136189782 74862837 69600423 80237837 412228649 93994849 318233800 3000 90655 93655 2350 13770 16120 412338424 0.77180 0.75950 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 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 392508 368402 24106 24106 RECEIVABLES FROM AFFILIATES 1479601 1479601 NORTH AMERICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL AND CONFERENCE EXPENSES 19400 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 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 0 0 0 0 0 0 19400 0 19400 0 0 0 0 0 0 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 4402849 364441 4038408 KP LLC 555 MONSTER ROAD SW RENTON WA 98057 DIRECT MAIL 0 694716 25387 669329 PMA DIRECT MARKETING 22404 66TH AVE S KENT WA 98032 DIRECT MAIL 0 87738 40707 47031 HEWITT & JOHNSTON CONSULTANTS 215 SPADINA AVE STE 510 TORONTO ONTARIO CA M5T 2C7 DIGITAL CAMPAIGN 0 250 10900 -10650 MARTS & LUNDY INC 1200 WALL STREET W 5TH FL LYNDHURST NJ 07071 ASSIST IN PREPARATION FOR UPCOMING GIVING CAMPAIGN 0 0 149192 -149192 5185553 590627 4594926 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 468508 415498 53010 35380 44527 3800 53927 468508 415498 53010 35380 44527 3800 53927 137634 -84624 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: KP LLC (I) ADDRESS OF FUNDRAISER: 555 MONSTER ROAD SW, RENTON, WA 98057 (I) NAME OF FUNDRAISER: PMA DIRECT MARKETING (I) ADDRESS OF FUNDRAISER: 22404 66TH AVE S, KENT, WA 98032 (I) NAME OF FUNDRAISER: HEWITT & JOHNSTON CONSULTANTS (I) ADDRESS OF FUNDRAISER: 215 SPADINA AVE, STE 510, TORONTO, ONTARIO, CANADA M5T 2C7 (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): HEWITT & JOHNSTON CONSULTANTS WERE CONTRACTED TO PROVIDE DIRECTION AND SUPPORT FOR AN EMAIL ACQUISITION CAMPAIGN. SERVICES INCLUDED MICROSITE DESIGN, EMAIL DESIGN, AND CAMPAIGN MANAGEMENT. REVENUE GENERATION WAS NOT THE MAIN PURPOSE 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 KP LLC FOR FUNDRAISING MATERIALS AND POSTAGE RELATED TO DIRECT MAIL SERVICES. $51,885 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 PMA DIRECT MARKETING FOR FUNDRAISING MATERIALS AND POSTAGE RELATED TO DIRECT MAIL SERVICES. $19,120 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 HEWITT & JOHNSTON CONSULTANTS FOR FUNDRAISING EXPENSES RELATED TO THEIR SERVICES. $30 IN FUNDRAISING 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. $12,960 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 - 6 EMPLOYEES EMPLOYEES ALSO HELPED TO SETUP AND RUN THE EVENTS: STRONG AGAINST CANCER CELEBRATION - 10 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) 61156507 2779980 MARKET VALUE BOOKS, SHOES, PUBLICLY TRADED STOCK, GAMES/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) 4984746 190375 MARKET VALUE PUBLICLY TRADED SECURITIES 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 1 1 0 0 0 0 0 0 0 DOUGLAS PICHA PRESIDENT & NON-VOTING EX OFF TRUST 304168 76042 194673 48708 2383 79320 14840 66187 18136 4534 534200 274791 0 0 SUSAN BLAKE SR DIRECTOR - OPS & SUPPORT SERVICES 170152 0 22124 8 0 1845 13503 0 8662 0 214441 1853 0 0 BRENDA MAJERCIN VP DEVELOPMENT - CORP & FOUND GRANTS 128024 78785 25868 25867 0 282 9714 6757 6046 3628 169652 115319 0 0 ANDREW WELCH VP DEVELOPMENT 211757 0 33882 396 0 306 12690 0 29724 0 288053 702 0 0 VALERIE COURTNEY SR DIRECTOR - DEV STRATEGY PLANNING 158240 0 24058 4 0 320 13301 0 22972 0 218571 324 0 0 JENNIFER LOWE VP DEVELOPMENT - MAJOR GIFTS 161193 0 17087 168 0 3211 12708 0 15707 0 206695 3379 0 0 AILEEN KELLY VP DEVELOPMENT/EXEC DIR GUILD ASSN 41362 165447 4871 19508 0 433 2942 11767 1935 7739 51110 204894 0 0 KARI RALLO SR DIR-ANNUAL GVNG/PATIENT FAMILIES 118479 9809 21563 0 0 104 7809 0 22893 0 170744 9913 0 0 SIMON PRITIKIN DIRECTOR OF DEVELOPMENT-MAJOR GIFTS 124922 0 17637 712 0 3699 10517 0 24537 0 177613 4411 0 0 HELEN SERNETT DIR OF DEVELOPMENT-ANNUAL GIVING 71668 0 11636 116 0 52628 6394 0 16592 0 106290 52744 0 0 EVE KOPP DIR OF DEVELOPMENT-CORPORATE EVENTS 114733 0 18324 708 0 125 9624 0 15350 0 158031 833 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, LINES 4A-B THE FOLLOWING RECEIVED A SEVERANCE PAYMENT: HELEN SERNETT - $48,300 THE FOLLOWING PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DOUGLAS PICHA - $62,477 DEFERRED COMPENSATION. SARAH CLISE FAMILY MEMBER OF A. M. CLISE, TRUSTEE 17503 INDEPENDENT CONTRACTOR 0 X 15000 MARKET VALUE X 29233 MARKET VALUE X 45 2854664 MARKET VALUE X GAMES & TOYS 11 41461 MARKET VALUE X AMAZON KINDLES 300 29997 MARKET VALUE X RAFFLE ITEMS 27 4721 MARKET VALUE 0 0 1 0 PART I, COLUMN (B): LINE 9 - 45 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 25 - ONE DONATION OF 10 MOBILE GAMING GO KARTS AND ONE DONATION OF LEGOS; LINE 26 - ONE DONATION OF 300 AMAZON KINDLE DEVICES; LINE 27 - CONTRIBUTIONS OF 27 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 33 UNPAID INDIVIDUALS SERVING ON THE BOARD OF DIRECTORS, TO THE 176 SERVING ON OTHER COUNCILS AND COMMITTEES, TO THE 1,285 ENTHUSIASTICALLY INVOLVED IN MAJOR FUNDRAISING EVENTS, PROMOTIONS AND ACTIVITIES BENEFITTING SEATTLE CHILDREN'S HOSPITAL IN 2017, 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 ROBERT FLOWERS, NANCY SENSENEY, MICHELE SMITH, AND JUDY OGDEN. 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. 2017/2018 COMMUNITY BENEFIT REPORT LETTER FROM OUR CHIEF EXECUTIVE OFFICER FOR THE FIRST 46 YEARS OF OUR HISTORY, SEATTLE CHILDREN'S WAS LOCATED ATOP QUEEN ANNE HILL, ABOVE THE COMMUNITY WE SERVE. BUT ABOVE HAS NEVER MEANT APART. CARING FOR THE CHILDREN AND FAMILIES IN OUR REGION MEANS WORKING WITH AND WITHIN COMMUNITIES TO CREATE SAFER AND HEALTHIER PLACES TO LIVE. THIS SPIRIT OF OUTREACH LIVES IN OUR MANY PARTNERSHIPS WITH PEOPLE AND ORGANIZATIONS WHO WORK WITH US TO MEET SOME OF THE MOST URGENT HEALTH NEEDS IN OUR REGION. TOGETHER WITH FAMILIES, COMMUNITY-BASED ORGANIZATIONS, DONORS, PUBLIC HEALTH DEPARTMENTS AND OTHERS, SEATTLE CHILDREN'S SEEKS TO: - ENHANCE ACCESS TO MENTAL AND BEHAVIORAL HEALTH. - IMPROVE COORDINATION OF CARE FOR CHILDREN WITH CHRONIC CONDITIONS. - EXPAND ACCESS TO HEALTHY EATING AND ACTIVE LIVING, INCLUDING FIGHTING FOOD INSECURITY. - DECREASE INCIDENTS OF SUICIDE AND INCREASE VIOLENCE PREVENTION ACTIVITIES. I'M PLEASED TO SHARE THE HIGHLIGHTS OF SEATTLE CHILDREN'S COMMUNITY BENEFIT ACTIVITIES OVER THE PAST YEAR. AS YOU TURN THE PAGES OF THIS REPORT, YOU WILL READ ABOUT OUR PARTNERSHIP WITH HIGHLINE PUBLIC SCHOOLS TO INSPIRE CAREERS IN BIOMEDICAL RESEARCH AND HEALTHCARE; A NETWORK THAT UNITES PEOPLE FROM ALL PERSPECTIVES TO ADDRESS FIREARM SAFETY; A MOM'S ENDURING GRATITUDE FOR OUR UNCOMPENSATED CARE PROGRAM; AND MUCH MORE. ALTHOUGH OUR WORK IS FAR FROM DONE, WITH THE SUPPORT OF OUR MANY PARTNERS WE WILL CONTINUE OUR RELENTLESS WORK TO CREATE A HEALTHIER COMMUNITY. SINCERELY, JEFF SPERRING, MD CHIEF EXECUTIVE OFFICER 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. TOTAL 2017 INVESTMENT IN THE COMMUNITY: $245,893,000* UNCOMPENSATED CARE & MEDICAID SHORTFALL: $164,605,000 HEALTH PROFESSIONS EDUCATION: $24,802,000 RESEARCH: $44,090,000 COMMUNITY PROGRAMS AND SERVICES: $12,396,000 *DOES NOT INCLUDE GRANTS AND CONTRIBUTIONS SEATTLE CHILDREN'S RECEIVED THAT SUPPORT COMMUNITY BENEFIT PROGRAMS COMMUNITY PROGRAMS AND SERVICES A HOSPITAL CANNOT FULFILL ITS MISSION WORKING ENTIRELY WITHIN ITS WALLS. SEATTLE CHILDREN'S STAFF AND PROVIDERS REACH BEYOND OUR CAMPUS EVERY DAY TO CREATE SAFER AND HEALTHIER COMMUNITIES. IN COLLABORATION WITH OTHERS, WE STRIVE TO PREVENT UNDERLYING CAUSES OF ILLNESS AND INJURY, PROVIDE A VOICE FOR FAMILIES WHO AREN'T ALWAYS HEARD, AND PROMOTE PUBLIC POLICIES THAT IMPROVE CHILD HEALTH. GENDER CLINIC MEETS GROWING NEED A RECENT STUDY SHOWS THE NUMBER OF PEOPLE WHO IDENTIFY AS TRANSGENDER IS GROWING - NOW ABOUT ONE IN EVERY 200 PEOPLE IN THE U.S. THE NEW GENDER CLINIC AT SEATTLE CHILDREN'S IS ONE OF A GROWING NUMBER OF PEDIATRIC CLINICS AROUND THE COUNTRY THAT PROVIDE GENDER-AFFIRMING TREATMENT FOR YOUNG PEOPLE WHOSE GENDER IDENTITY IS DIFFERENT FROM THEIR SEX ASSIGNED AT BIRTH. THE CLINIC RECEIVED 550 REFERRALS IN ITS FIRST YEAR OF OPENING. FEW PEDIATRIC PROVIDERS ARE PREPARED TO MEET ALL OF THE COMPLEX NEEDS OF TRANSGENDER YOUTH. LED BY DR. DAVID INWARDS-BRELAND, THE GENDER CLINIC BRINGS TOGETHER PROVIDERS WITH EXPERTISE IN ADOLESCENT MEDICINE, ENDOCRINOLOGY AND BEHAVIORAL MEDICINE WHO WORK CLOSELY TO COORDINATE CARE AND FOLLOW CONSISTENT GUIDELINES. SERVICES INCLUDE READINESS DISCUSSION, PUBERTAL BLOCKERS AND CROSS-SEX HORMONES. REQUESTS FOR SURGERY ARE REFERRED TO EXTERNAL PROVIDERS. TRANSGENDER YOUTH EXPERIENCE HIGHER RATES OF ANXIETY, DEPRESSION, SUBSTANCE ABUSE AND SUICIDE THAN THEIR PEERS. RESEARCH SHOWS THAT DELAYS IN OBTAINING GENDER-AFFIRMING TREATMENT ARE LINKED TO FURTHER PSYCHIATRIC PROBLEMS DOWN THE ROAD. THAT'S WHY THE GENDER CLINIC IS SUCH AN IMPORTANT STEP FORWARD, SAYS INWARDS-BRELAND. "BY MEDICALLY AFFIRMING THEIR GENDER IDENTITY, WE CAN MAKE A DIFFERENCE FOR THESE KIDS," HE SAYS. PUTTING RESEARCH INTO SCHOOLS HIGH SCHOOL STUDENTS AT THE PUGET SOUND SKILLS CENTER (PSSC) IN THE HIGHLINE SCHOOL DISTRICT ARE EXPERIENCING FIRST-HAND THE RESEARCH DONE AT SEATTLE CHILDREN'S RESEARCH INSTITUTE. DR. AMANDA JONES, DIRECTOR OF OUR SCIENCE EDUCATION DEPARTMENT, COLLABORATED WITH A SCIENCE, TECHNOLOGY, ENGINEERING AND MATH (STEM) SPECIALIST AT THE SCHOOL DISTRICT TO CREATE THE BIOMEDICAL RESEARCH AND GLOBAL HEALTH PROGRAM - PART OF A PLAN TO BUILD A PIPELINE OF SCIENCE EDUCATION PROGRAMS THAT SPANS ELEMENTARY SCHOOL THROUGH COLLEGE. DR. NOELLE MACHNIKI, A MEMBER OF THE INSTITUTE'S SCIENCE EDUCATION DEPARTMENT, TEACHES THE YEAR-LONG PROGRAM, HELD IN THE PSSC'S NEW HEALTH SCIENCES BUILDING. THE PSSC DRAWS STUDENTS FROM 22 HIGH SCHOOLS IN THE HIGHLINE, FEDERAL WAY, TUKWILA AND TAHOMA SCHOOL DISTRICTS. THE 19 STUDENTS ENROLLED IN THE PROGRAM MEET IN A LAB WITH STATE-OF-THE-ART EQUIPMENT RARELY SEEN OUTSIDE A PROFESSIONAL FACILITY. THE CURRICULUM IS BASED ON THE CUTTING-EDGE RESEARCH DONE AT THE INSTITUTE. BY BUILDING A STRONG FOUNDATION IN BIOLOGICAL AND LABORATORY SCIENCES AND ADDRESSING EMERGING TECHNOLOGIES, THE PROGRAM PREPARES STUDENTS FOR MANY CAREER OPPORTUNITIES IN BIOMEDICAL RESEARCH AND HEALTHCARE. "A CAREER IN RESEARCH OR HEALTH SCIENCES CAN SEEM INTIMIDATING BECAUSE THE PATHWAY ISN'T ALWAYS CLEAR," MACHNICKI SAYS. "MY HOPE IS THAT STUDENTS SEE SCIENCE AS A VIABLE CAREER OPTION AND HAVE THE CONFIDENCE TO PURSUE A HIGHER DEGREE IN STEM OR APPLY FOR AN ENTRY LEVEL LAB POSITION." RESEARCH RESEARCH IS AN ESSENTIAL PART OF OUR MISSION TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. WE'RE COMMITTED TO TRANSLATING OUR DISCOVERIES INTO NEW AND BETTER THERAPIES SO THAT ALL OF OUR PATIENTS - AND CHILDREN AROUND THE WORLD - BENEFIT FROM OUR WORK. DIET QUELLS CROHN'S WITHOUT MEDS INFLAMMATORY BOWEL DISEASE (IBD), BOTH CROHN'S AND ULCERATIVE COLITIS, STRIKES WHEN THE IMMUNE SYSTEM ATTACKS THE DIGESTIVE TRACT. THIS CAN SAP A CHILD'S ENERGY, HALT GROWTH AND SPARK INCESSANT DIARRHEA. STANDARD TREATMENT FOR INFLAMMATORY BOWEL DISEASE INCLUDES MEDICATIONS THAT SUPPRESS THE IMMUNE SYSTEM. BUT THOSE MEDICATIONS DON'T ALWAYS WORK AND CAN LEAVE PATIENTS VULNERABLE TO INFECTIONS AND OTHER SERIOUS CONDITIONS. DR. DAVID SUSKIND IS LEADING RESEARCH ON THE SPECIFIC CARBOHYDRATE DIET (SCD), WHICH HAS HELPED SOME PATIENTS ACHIEVE REMISSION WITHOUT MEDICATION. "THE SCD IS A WHOLE FOODS DIET WHICH ELIMINATES GRAINS, MOST MILK PRODUCTS AND SWEETENERS OUTSIDE OF HONEY. MANY OF OUR PATIENTS HAVE HAD SUCCESS WITH IT, HOWEVER WE ARE STILL RESEARCHING DIFFERENT COMBINATIONS OF FOODS TO IMPROVE PATIENTS' OUTCOMES," SUSKIND SAYS. "WE WANT TO HELP MORE CHILDREN WHO SUFFER FROM IBD LEAD HEALTHY ACTIVE LIVES AND POTENTIALLY FIND ANSWERS WHICH WILL LEAD TO A CURE." SUSKIND IS CONDUCTING A STUDY WHICH EXAMINES THE EFFECT OF DIFFERENT VERSIONS OF THE SCD IN PATIENTS WITH IBD. IN ADDITION, PATIENTS' GUT BACTERIA ARE BEING EXAMINED BEFORE AND AFTER THE DIET. THIS COULD HELP HIS TEAM PINPOINT WHICH SPECIFIC BACTERIA CONTRIBUTE TO IBD. "WE'RE HOPING TO SHOW EXACTLY HOW THE DIET CHANGES THE MICROBIOME AND QUIETS DOWN THE IMMUNE SYSTEM," SUSKIND SAYS. "THIS RESEARCH HAS IMPLICATIONS NOT ONLY FOR IBD BUT ALSO MANY OTHER DISEASES WHICH ARE TRIGGERED BY THE FECAL MICROBIOME." BETTER DIETS THROUGH DATA FOR REFUGEES BETWEEN 2,000 AND 3,000 REFUGEES SETTLE IN WASHINGTON EVERY YEAR - NEARLY HALF UNDER THE AGE OF 20. MANY ARRIVE WITH AT LEAST ONE FORM OF MALNUTRITION. DR. BETH DAWSON-HAHN IS WORKING TO BETTER UNDERSTAND THE NUTRITIONAL RISKS OF CHILD REFUGEES WHEN THEY ARRIVE, HOW THEY CHANGE AS THEY GET USED TO THEIR NEW ENVIRONMENT, AND HOW TO TEACH REFUGEE FAMILIES ABOUT BUYING AND PREPARING HEALTHY FOOD THEY MAY NEVER HAVE TRIED BEFORE. DAWSON-HAHN CO-LED A STUDY THAT ANALYZED GOVERNMENT HEIGHT AND WEIGHT DATA COLLECTED FROM REFUGEES BEFORE THEY LEAVE THEIR HOME COUNTRY. "WE FOUND THAT NEARLY ONE-HALF OF ALL REFUGEE CHILDREN HAD AT LEAST ONE FORM OF MALNUTRITION, AND THERE WAS, AS WE SUSPECTED, A DOUBLE BURDEN OF SOME CHILDREN BEING UNDERWEIGHT AND OTHERS BEING OVERWEIGHT," SHE SAYS. DATA FROM THE STUDY WILL HELP HEALTHCARE PROVIDERS AND NUTRITION PROGRAMS LIKE WOMEN, INFANT AND CHILDREN (WIC) UNDERSTAND THE DIFFERENCES AND SIMILARITIES BETWEEN REFUGEES FROM DIFFERENT COUNTRIES - AND BETWEEN CHILDREN WHO ALREADY LIVE HERE. "IN A BUSY CLINIC, IT'S EASY FOR PROVIDERS TO LUMP ALL REFUGEES TOGETHER, NOT NECESSARILY KNOWING THAT IRAQI CHILDREN MIGHT BE MORE LIKELY TO BE OVERWEIGHT THAN CHILDREN FROM BURMA, FOR EXAMPLE," DAWSON-HAHN SAYS. HEALTH PROFESSIONS EDUCATION TRAINING DOCTORS AND NURSES IS AN INVESTMENT IN THE HEALTH OF FUTURE GENERATIONS. BY HOSTING THE UNIVERSITY OF WASHINGTON'S PEDIATRIC RESIDENCY AND FELLOWSHIP PROGRAMS AS WELL AS TRAINING PROVIDERS FROM OTHER SCHOOLS, SEATTLE CHILDREN'S ENSURES CONTINUED ACCESS TO SPECIALIZED PEDIATRIC CARE. WE ALSO PROVIDE CONTINUING MEDICAL EDUCATION TO HUNDREDS OF HEALTHCARE PROFESSIONALS ALREADY CARING FOR KIDS IN THE COMMUNITY. PROVIDING SPECIALIZED EXPERIENCE THE ADVANCED PRACTICE PROVIDER (APP) FELLOWSHIP PROGRAM AT SEATTLE CHILDREN'S PROVIDES SPECIALIZED TRAINING TO NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS WHO ARE NEW TO WORKING WITH PEDIATRIC PATIENTS IN THE APP ROLE. "NURSE PRACTITIONERS COME OUT OF SCHOOL WITH A LOT OF KNOWLEDGE, BUT THE MAJORITY OF NEW HIRES ARE NEW GRADUATES OR HAVE NO EXPERIENCE IN THE SPECIALTY IN WHICH WE HIRED THEM," SAYS RONNA SMITH, DIRECTOR OF THE APP FELLOWSHIP PROGRAM. DURING THE ONE-YEAR PROGRAM, FELLOWS SPEND 70% OF THEIR TIME PROVIDING CLINICAL CARE ALONGSIDE AN EXPERIENCED NURSE PRACTITIONER, 20% OF THEIR TIME OBSERVING IN A CLINICAL AREA AND 10% OF THEIR TIME ATTENDING A WEEKLY LECTURE SERIES. THE GOAL IS TO HIRE THE FELLOWS BY THE END OF THE PROGRAM. KAITLIN HOBAN SPENT SIX YEARS AS A REGISTERED NURSE AT CHILDREN'S BEFORE BECOMING A NURSE PRACTITIONER AND JOINING THE FIRST COHORT OF FOUR AAP FELLOWS. "THE GREATEST PART OF THE PROGRAM IS THAT I AM EXPECTED TO BE A LEARNER AND TO ASK QUESTIONS," HOBAN SAYS. "THE FELLOWSHIP IS PUSHING US TO BE INDEPENDENT WHILE LEARNING AS MUCH AS WE CAN FROM AS MANY DIFFERENT SERVICES TO MAKE US MORE WELL-ROUNDED." ELISE COLE, A CERTIFIED NURSING ASSISTANT ON THE MEDICAL UNIT TALKS WITH CHRISTINA FINCH, A NURSING PROFESSIONAL DEVELOPMENT SPECIALIST WITH THE NURSE RESIDENCY PROGRAM. SUPPORTING FIRST-YEAR NURSES STARTING A NEW CAREER IS NEVER EASY, BUT WHEN THE JOB INVOLVES CARING FOR SERIOUSLY ILL CHILDREN, IT CAN BE ESPECIALLY CHALLENGING. THAT'S WHY SEATTLE CHILDREN'S LAUNCHED A NEW NURSE RESIDENCY PROGRAM FOR REGISTERED NURSES HIRED WITH LESS THAN ONE YEAR OF EXPERIENCE. "WHEN YOU'RE STARTING OFF AS A NURSE, YOU NEED TO BE IN A PLACE WHERE YOU CAN SAY THAT YOU DON'T KNOW SOMETHING, ADMIT ERRORS AND PULL IN OTHERS FOR SUPPORT," SAYS TAMARA LEWIS, WHO WAS PART OF THE PROGRAM'S FIRST CLASS OF 42 NURSES. HAVING PEERS GOING THROUGH THE EXPERIENCE WITH YOU IS ALSO VITALLY IMPORTANT." NURSES ATTEND 21 FOUR-HOUR CLASSES WHERE THEY WORK ON DIFFERENT SKILLS, RUN THROUGH CASE SCENARIOS, LEARN ABOUT POLICIES AND PROCEDURES, LISTEN TO SPEAKERS, AND PARTICIPATE IN SIMULATION TRAINING. NURSES ALSO DISCUSS COPING SKILLS FOR DEALING WITH THE EMOTIONS THAT CAN ARISE FROM CARING FOR KIDS WITH LIFE-THREATENING CONDITIONS. "MANY NURSES COME IN AND THEY'RE SUPER EXCITED AND TERRIFIED AT THE SAME TIME," SAYS STEPHANIE POMMER, MANAGER OF THE PROGRAM. "IT IS THE RIGHT THING TO DO TO HELP NEW GRADS DEVELOP THEIR KNOWLEDGE, BUILD THEIR SKILLS AND WALK BESIDE THEM IN WHAT CAN BE A REALLY CHALLENGING FIRST YEAR ON THE JOB." UNCOMPENSATED CARE THE COST OF MEDICAL CARE SHOULD NEVER STAND BETWEEN A CHILD AND THEIR ABILITY TO LIVE THE HEALTHIEST AND MOST FULFILLING LIFE POSSIBLE. OUR FINANCIAL ASSISTANCE PROGRAM HONORS OUR FOUNDING PROMISE TO CARE FOR EVERY CHILD WHO NEEDS US REGARDLESS OF A FAMILY'S ABILITY TO PAY. IN 2017 WE PROVIDED OVER $164 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO. REPAYING A DEBT OF GRATITUDE WITHIN THE NEATLY WRITTEN LEDGER DETAILING THE COST TO SAVE A LIFE, ONE NUMBER STANDS OUT TO DARCY SIEPAK - $2,096.34. THAT WAS THE AMOUNT OF THE BILL FROM SEATTLE CHILDREN'S THAT INSURANCE DID NOT COVER 42 YEARS AGO WHEN DARCY'S DAUGHTER WAS BORN THREE MONTHS PREMATURE AND THEN 10 WEEKS LATER - ONLY DAYS AFTER GOING HOME - NEEDED EMERGENCY HEART SURGERY. ONCE THE CHILD RECOVERED SHE WAS FREE TO GO HOME FOR GOOD. BUT AFTER MONTHS IN THE HOSPITAL AND A MAJOR SURGERY, DARCY, WHO ALSO HAD A TODDLER, WAS WORRIED THE FAMILY WOULD HAVE TO SELL THEIR HOUSE TO PAY THE MEDICAL BILLS. THE STRESS DISAPPEARED WHEN CHILDREN'S SAID THEY WOULD COVER WHAT SHE OWED. "THE ENTIRE TIME WE WERE IN THE HOSPITAL, EVERYONE MADE US FEEL LIKE ALL WE NEEDED TO CONCENTRATE ON WAS OUR DAUGHTER," DARCY RECALLS. AND AFTER ALL WE'D BEEN THROUGH, IT WAS SUCH A RELIEF TO KNOW WE COULD STAY IN OUR HOME. NOT LONG AGO DARCY CAME ACROSS THE LEDGER WITH HER DAUGHTER'S DOCTOR BILLS AND PAYMENTS - INCLUDING THE AMOUNT CHILDREN'S COVERED. "I ALWAYS FELT THAT IF SOMEONE WAS GOOD ENOUGH TO GIVE ME A GIFT, I SHOULD GIVE IT BACK IF I CAN." SHE SAYS. "WHEN I SAW THE LEDGER, I THOUGHT NOW'S THE TIME. I'M GOING TO PAY IT BACK." CLINIC'S ONE-STOP CARE IS A 'LIFESAVER' MARVA HARRIS IS THE GRANDMOTHER OF TWO GROWING BOYS, BUT SHE'S ALSO THEIR GUARDIAN AND SOLE PROVIDER AND WORKS AS A MIDDLE SCHOOL SECURITY OFFICER. THAT'S A LOT FOR ONE PERSON TO HAVE ON THEIR PLATE, BUT MARVA ISN'T ALONE IN HELPING HER GRANDSONS GROW UP STRONG AND HEALTHY. THE ODESSA BROWN CHILDREN'S CLINIC (OBCC) PROVIDES A WIDE RANGE OF MEDICAL, DENTAL AND MENTAL HEALTH CARE THAT HELPS HARRIS'S ELDEST GRANDSON, 14, AND HER YOUNGER GRANDSON, 4, THRIVE. "I CALL IT ONE-STOP SHOPPING AND THAT'S BEEN A LIFESAVER FOR ME," SAID MARVA, WHO IS 62. "WITH MY JOB, IT'S ALMOST IMPOSSIBLE TO GET AWAY FROM WORK. I DON'T KNOW WHAT I'D DO IF I HAD TO RUN ALL OVER THE CITY TO TAKE THE BOYS TO DIFFERENT DOCTORS' OFFICES." THE OBCC IS A COMMUNITY CLINIC OPERATED BY SEATTLE CHILDREN'S THAT SERVES FAMILIES REGARDLESS OF THEIR ABILITY TO PAY. BESIDES OFFERING NUMEROUS SERVICES UNDER ONE ROOF, IT BUILDS A BRIDGE OF PERSONAL COMPASSION BETWEEN FAMILIES AND CLINIC PROVIDERS. "WHEN WE COME FOR CHECKUPS, DR. SHAQUITA BELL ALWAYS ASKS ME, 'MARVA, HOW ARE YOU DOING? WHAT DO YOU NEED?' THE FIRST TIME SHE SAID THAT, I FELL IN LOVE WITH HER," MARVA RECALLED. "SHE'S NOT ONLY CONCERNED ABOUT THE BOYS, SHE'S CONCERNED ABOUT ME. THE RAPPORT I HAVE WITH DR. BELL AND THE SUPPORT SHE OFFERS MEAN THE WORLD TO ME." OUR COMMUNITY BENEFIT PRIORITIES OUR 2016-2019 COMMUNITY HEALTH ASSESSMENT IDENTIFIES FOUR URGENT HEALTH NEEDS FOR THE CHILDREN, TEENS AND FAMILIES WE SERVE. WORKING WITH OUR PARTNERS IN THE COMMUNITY, WE MADE SIGNIFICANT PROGRESS IN EACH OF THE FOUR PRIORITY AREAS. HERE ARE SOME OF OUR ACCOMPLISHMENTS. HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY GROWING BODIES NEED NUTRITION AND EXERCISE TO THRIVE AND DEVELOP. WE WORK WITH FAMILIES AND PARTNERS IN THE COMMUNITY TO FIGHT HUNGER, IMPROVE ACCESS TO NUTRITIOUS FOOD AND INCREASE OPPORTUNITIES FOR CHILDREN AND FAMILIES TO BE PHYSICALLY ACTIVE. HELPING FAMILIES ACT! HEALTHY CHILDREN ARE BORN IMITATORS. IF THE REST OF THE FAMILY EATS WELL, THEY ARE MORE LIKELY TO EAT WELL. IF THE REST OF THE FAMILY PLAYS MORE, THEY ARE MORE LIKELY TO DO THE SAME. THAT'S THE PREMISE BEHIND ACTIVELY CHANGING TOGETHER (ACT!), A NUTRITION AND EXERCISE PROGRAM FOR OBESE AND OVERWEIGHT CHILDREN THAT ENGAGES THE ENTIRE FAMILY IN ACTIVITIES THAT FIGHT OBESITY BY HELPING FAMILIES SHARE A HEALTHIER LIFESTYLE. SPONSORED BY SEATTLE CHILDREN'S AND THE YMCA, THE PROGRAM IS OFFERED IN 20 LOCATIONS RANGING FROM OLYMPIA TO MARYSVILLE TO YAKIMA AND HAS HELPED HUNDREDS OF CHILDREN AND THEIR FAMILIES SINCE IT STARTED IN 2004. CHILDREN WHOSE BODY MASS INDEX EXCEEDS THE 85TH PERCENTILE ARE REFERRED TO ACT! BY THEIR HEALTHCARE PROVIDERS. THEY AND THEIR FAMILIES ATTEND 12-WEEKLY SESSIONS AND GET FREE YMCA MEMBERSHIPS TO USE BETWEEN SESSIONS DURING THAT TIME. LED BY A NUTRITIONIST AND A PHYSICAL ACTIVITY COACH, THE 90-MINUTE SESSIONS - OFFERED IN THE FALL AND WINTER - TEACH CHILDREN AND FAMILIES HOW TO READ FOOD LABELS AND PREPARE HEALTHY/LOW-COST SNACKS WHILE INTRODUCING THEM TO A WIDE RANGE OF ACTIVITIES FROM SWIMMING TO WEIGHTLIFTING TO KARATE. ATHLETIC TRAINERS KEEP KIDS SAFELY IN THE GAME SPORTS ARE A FUN AND HEALTHY WAY FOR CHILDREN TO STAY ACTIVE, BUT THERE IS ALWAYS THE RISK OF INJURY. YOUNG ATHLETES FROM 39 LOCAL SCHOOLS COUNT ON A TEAM OF 48 LICENSED ATHLETIC TRAINERS FROM SEATTLE CHILDREN'S TO PREVENT, TREAT AND RECOVER FROM SPORTS INJURIES. THE ATHLETIC TRAINERS WORK ON CAMPUS. IN ADDITION TO DEALING WITH INJURIES, THEY ADVISE ATHLETES, COACHES AND PARENTS ABOUT NUTRITION, CONDITIONING, AND OTHER STRATEGIES TO IMPROVE BOTH PERFORMANCE AND SAFETY. "PEOPLE SEE US ON THE SIDELINES AND THINK OF US AS THE INDIVIDUALS WHO GIVE WATER TO ATHLETES," SAYS TARA PEERENBOOM, WHO IS THE ATHLETIC TRAINER AT HAZEN HIGH SCHOOL IN RENTON. "THEY DON'T SEE THE TIME WE SPEND IN THE ATHLETIC TRAINING ROOM BEFORE, AFTER, AND DURING A GAME OR PRACTICE. WE'RE NOT JUST MEDICAL PROVIDERS. OUR ATHLETES TRUST US, AND WE'RE THERE FOR THEM DURING DIFFICULT TIMES." THE ATHLETIC TRAINERS PUT THE HEALTH OF CHILDREN FIRST, BUT STRIVE TO MINIMIZE TIME LOST TO INJURY. "IF A LOT OF MY ATHLETES ARE NOT ABLE TO PARTICIPATE IN THEIR SPORT, THEN I'M NOT DOING A VERY GOOD JOB," PEERENBOOM SAYS. "OUR GOAL IS TO KEEP KIDS HEALTHY AND ON THE FIELD." COORDINATED CARE FOR CHILDREN AND TEENS WITH CHRONIC CONDITIONS CONNECTING CHILDREN WITH THE CARE THEY NEED REQUIRES COORDINATION AMONG PROVIDERS INSIDE THE HOSPITAL AND BETWEEN THE HOSPITAL AND THE COMMUNITY - ESPECIALLY IF A CHILD HAS A COMPLEX CHRONIC CONDITION. SEATTLE CHILDREN'S STRIVES TO IDENTIFY CHILDREN WITH MEDICAL COMPLEXITY, COORDINATE THEIR CARE ACROSS ALL SERVICES AND SUPPORT THEIR TRANSITION TO ADULT CARE TO HELP THEM REACH THEIR FULL POTENTIAL. CENTER CONNECTS TEENS TO CARE OUR ODESSA BROWN CHILDREN'S CLINIC (OBCC) OPERATES A FREE TEEN HEALTH CENTER AT GARFIELD HIGH SCHOOL. OPEN DURING SCHOOL HOURS, THE CENTER PROVIDES STUDENTS FROM GARFIELD AND NOVA HIGH SCHOOL WITH COORDINATED MEDICAL, NUTRITIONAL, AND MENTAL HEALTH SERVICES WHILE PROMOTING HOW TO LIVE HEALTHIER LIFESTYLES THROUGH EDUCATION AND COUNSELING. A TEAM OF SEATTLE CHILDREN'S PROVIDERS WORKS AT THE CENTER. A NURSE PRACTITIONER PROVIDES CARE FIVE DAYS A WEEK WHILE A MENTAL HEALTH SPECIALIST, A NUTRITIONIST, AND A PSYCHIATRIST SEE STUDENTS ON VARIOUS OTHER DAYS. IN CONSULTATION WITH THE SCHOOL NURSE, THE TEEN HEALTH CENTER OFFERS BASIC CARE TO STUDENTS BASED ON PARENTAL CONSENT - EVERYTHING FROM VACCINES TO SPORTS PHYSICALS TO TREATING SPRAINED ANKLES. THE CENTER ALSO PROVIDES CONFIDENTIAL MENTAL HEALTH AND REPRODUCTIVE SERVICES. IF A STUDENT'S NEEDS CANNOT BE MET ON SITE, THE CENTER CONNECTS THEM WITH THE OBCC OR PUBLIC HEALTH - SEATTLE & KING COUNTY. "WITHOUT US, STUDENTS MIGHT NOT KNOW WHAT TO DO OR WHERE TO GO FOR THE HELP THEY NEED," SAYS JAHTIA BENTON, CENTER COORDINATOR. HIGH SCHOOL CAN BE FULL OF UPS AND DOWNS. SOMETIMES THE ONLY THING STUDENTS WANT IS A FEW MINUTES TO CHILL IN THE TEEN HEALTH CENTER'S WELCOMING ENVIRONMENT. "THEY APPRECIATE THE CENTER A LOT," BENTON SAYS. "THEY ALWAYS SAY HOW GRATEFUL THEY ARE FOR HAVING A SAFE SPACE. THEY CAN COME HERE WITHOUT BEING JUDGED." TRANSITIONING TO ADULT CARE WHEN AN ADOLESCENT WITH A CHRONIC ILLNESS OUTGROWS PEDIATRIC CARE, THE NEXT STEP - THE TRANSITION TO ADULT CARE - CAN FEEL LIKE A GIANT LEAP. "ADULT CARE IS A TOTALLY DIFFERENT WORLD," SAYS PARENT LISA PETKE. PETKE WAS ONE OF EIGHT FAMILY MEMBERS OF SEATTLE CHILDREN'S PATIENTS WHO HELPED MAKE THE LEAP LESS DAUNTING THROUGH THEIR WORK ON THE ADOLESCENT TRANSITION TASK FORCE. PETKE HAS BEEN A FOSTER PARENT TO A CHILD WHO HAS MULTIPLE DISABILITIES, SINCE THE CHILD WAS 8. THIS CHILD'S TRANSITION TO ADULT CARE WAS FILLED WITH UNKNOWNS, PETKE RECALLS. "WE WERE GIVEN THE NAMES OF SOME ADULT DOCTORS AND THAT WAS THE WHOLE PROCESS," SHE RECALLS. "I DON'T EVEN KNOW WHAT QUESTIONS TO ASK." FAMILIES TODAY HAVE ACCESS TO MUCH MORE INFORMATION THANKS TO A CHECKLIST OF QUESTIONS AND A GUIDE TO HELPFUL RESOURCES DEVELOPED BY THE TASK FORCE AND POSTED ON THE CHILDREN'S WEBSITE. "IT PUTS KEY CONCERNS ON THEIR RADAR LIKE HOW DO I TEACH MY TEEN TO MANAGE THEIR OWN CARE AND WHAT ELEMENTS OF THEIR MEDICAL RECORD ARE CRITICAL FOR NEW PROVIDERS TO KNOW," SAID JOY GEHNER, A SENIOR FAMILY ADVISOR AT CHILDREN'S. IT WON'T BE TOO LONG BEFORE PETKE EXPERIENCES THE TRANSITION TO ADULT CARE ONCE AGAIN, THIS TIME WITH HER SON, CURRENTLY 15, WHO IS LIVING WITH THE CHRONIC SIDE EFFECTS OF CHEMOTHERAPY AND RADIATION TO TREAT BRAIN AND SPINAL TUMORS. "WITH MY FIRST CHILD, I DIDN'T KNOW HOW TO PREPARE. NOW, I'M VERY AWARE OF WHAT TO EXPECT WITH MY SON AND NOT SO ANXIOUS," PETKE SAYS. SUICIDE AND VIOLENCE PREVENTION A CHILD OR TEEN IS KILLED BY GUNFIRE EVERY NINE DAYS IN WASHINGTON. AN AVERAGE OF TWO YOUTH DIE BY SUICIDE EACH WEEK - ONE THIRD THROUGH THE USE OF A FIREARM. SEATTLE CHILDREN'S WORKS TO PROMOTE FIREARM SAFETY AND ADDRESS THE UNDERLYING CAUSES OF YOUTH VIOLENCE AND SUICIDE. UNITING AROUND FIREARM SAFETY FOUNDED IN PART BY SEATTLE CHILDREN'S, THE WASHINGTON STATE FIREARM TRAGEDY PREVENTION NETWORK HAS MET FOUR TIMES SINCE IT WAS FORMED IN 2016 TO PROVIDE A FORUM FOR INDIVIDUALS AND ORGANIZATIONS FROM EVERY PERSPECTIVE TO DISCUSS AND SHARE SOLUTIONS TO FIREARM TRAGEDY. "THE BIG WIN IS BRINGING EVERYONE TOGETHER TO TALK ABOUT OUR SHARED GOALS AROUND KEEPING CHILDREN AND FAMILIES SAFE," SAYS NETWORK COORDINATOR CHELSIE GALLAGHER OF SEATTLE CHILDREN'S. "WE APPROACH FIREARM TRAGEDY PREVENTION FROM A SAFETY, LEARNING, SHARING AND COLLABORATING PERSPECTIVE. THE RESPONSE HAS BEEN INCREDIBLE." CHILDREN'S CO-LEADS THE NETWORK ALONG WITH PUBLIC HEALTH - SEATTLE & KING COUNTY, THE HARBORVIEW INJURY PREVENTION AND RESEARCH CENTER AND THE WASHINGTON CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS. LEARNING TO COMMUNICATE FIREARM SAFETY MESSAGES EFFECTIVELY IS AN IMPORTANT FOCUS. "IF YOU ARE GOING TO MESSAGE TO PEOPLE WHO OWN FIREARMS, YOU HAVE TO APPROACH IT FROM A LENS OF UNDERSTANDING AND CULTURAL ACCEPTANCE," GALLAGHER SAYS. IDENTIFYING EVIDENCE-BASED PROGRAMS THAT PROMOTE FIREARM SAFETY IS ANOTHER PRIORITY. "ONE EXAMPLE IS THE SEATTLE CHILDREN'S COMMUNITY SAFE FIREARM STORAGE GIVEAWAY WHERE WE TRAVEL AROUND THE STATE GIVING OUT FREE LOCK BOXES AND TRIGGER LOCKS AND EDUCATING PEOPLE ON HOW TO USE THEM," GALLAGHER SAYS. "WE'VE EVALUATED THAT PROGRAM AND THE EVIDENCE SHOWS THAT PEOPLE ARE USING THE DEVICES AFTER ATTENDING AN EVENT." WORKING TO REDUCE SUICIDE RISK A 2013 SURVEY BY THE CENTERS FOR DISEASE CONTROL FOUND THAT MORE THAN 13% OF TEENS NATIONWIDE SERIOUSLY CONSIDERED SUICIDE IN THE PREVIOUS 12 MONTHS. MORE THAN 10% MADE A PLAN, 8% ATTEMPTED SUICIDE, NEARLY 4% NEEDED MEDICAL ATTENTION AND ONE IN 1,000 DIED. THE SURVEY ALSO SHOWED THAT 15% OF TEENS HAD AT LEAST ONE EPISODE OF NON-SUICIDAL SELF INJURY. IN WASHINGTON STATE, SUICIDE IS THE SECOND LEADING CAUSE OF INJURY DEATH TO YOUTH AGES 10 TO 24. BETWEEN 2009 AND 2013, AN AVERAGE OF TWO YOUTH DIED BY SUICIDE EACH WEEK ACROSS THE STATE. DR. ELIZABETH MCCAULEY IS EXAMINING THE EFFECTIVENESS OF TWO APPROACHES TO REDUCING THE RISK OF SELF-HARM OR SUICIDE AMONG YOUTH. ONE APPROACH FOCUSES ON ENHANCING SUPPORT AND THE OTHER ON DEVELOPING COPING SKILLS TO REDUCE DISTRESS AND SOLVE PROBLEMS. RESEARCH HAS SHOWN THAT ONE IN FIVE TEENS WILL GO THROUGH A PERIOD OF MAJOR DEPRESSION - A LEADING RISK FACTOR FOR SELF-HARM AND SUICIDE - BY THE AGE OF 18. OTHER RISK FACTORS RANGE FROM ANXIETY TO FAMILY STRIFE TO SUBSTANCE ABUSE. TO DATE, THERE ARE NO PROVEN INTERVENTIONS TO REDUCE SUICIDE RISK, SO STUDY FINDINGS HOLD GREAT PROMISE FOR INCREASING USEFUL STRATEGIES FOR WORKING WITH THESE HIGH-RISK YOUTH. MENTAL AND BEHAVIORAL HEALTH PHYSICAL AND MENTAL HEALTH GO HAND IN HAND IN HELPING CHILDREN GROW AND DEVELOP TO THEIR FULL POTENTIAL. OUR MENTAL AND BEHAVIORAL HEALTH EXPERTS WORK TO UNDERSTAND AND TREAT THE CAUSES OF CONDITIONS LIKE DEPRESSION AND ADDICTION WHILE EXPANDING THE COMMUNITY'S CAPACITY TO SERVE MORE FAMILIES THROUGH EDUCATION, RESEARCH AND CARE COORDINATION. PEARL GUIDES ADHD TREATMENT MANY CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) OR RELATED BEHAVIOR CHALLENGES GET DIAGNOSIS AND MEDICINE FROM THEIR PRIMARY CARE PROVIDER. BUT SOME HAVE SUBTLE ADHD THAT IS HARD TO DIAGNOSE OR THAT IS COMPLICATED BY OTHER ISSUES. THE PROGRAM TO ENHANCE ATTENTION, REGULATION AND LEARNING (PEARL) AT SEATTLE CHILDREN'S HELPS THOSE CHILDREN AND THEIR FAMILIES BY PROVIDING THOROUGH EVALUATIONS THAT CAN GUIDE THE TREATMENT OF LEARNING, ATTENTION AND BEHAVIOR PROBLEMS. THE CLINIC SERVED MORE THAN 700 CHILDREN AGES 5 AND OLDER IN 2017. BESIDES EXPERT DIAGNOSIS, PEARL OFFERS GROUP TREATMENT PROGRAMS THAT TEACH FAMILIES SKILLS TO MANAGE THE MANY ISSUES THAT STEM FROM DISRUPTIVE BEHAVIOR DISORDERS AT HOME, SCHOOL AND ELSEWHERE. ONE PROGRAM SERVES PARENTS OF YOUNG CHILDREN, ONE SERVES ADOLESCENTS AND ONE - NEW LAST YEAR - SERVES PARENTS OF ADOLESCENTS. "PARENTS OF TEENS TOLD US THEY COULDN'T FIND HELP IN THE COMMUNITY FOR ADDRESSING THE DAILY STRESS THEY AND THEIR CHILDREN FACE," SAID ERIN SCHOENFELDER GONZALEZ, DIRECTOR OF BEHAVIORAL TREATMENTS FOR THE CLINIC. "WHEN PARENTS GET FRUSTRATED, KIDS FEEL LIKE EVERYONE IS ANGRY WITH THEM AND IT BECOMES A NEGATIVE CYCLE THAT CAN GET FAMILIES IN A VERY STUCK PLACE." PEARL ALSO GIVES FAMILIES ACCESS TO THE LATEST TREATMENT THOUGH RESEARCH STUDIES. THE CLINIC IS CURRENTLY ENROLLING PATIENTS IN A STUDY ASSESSING MEDICATIONS FOR CHILDREN WITH ADHD AND IMPULSIVE AGGRESSION, AND WILL SOON ENROLL FOR A PROGRAM THAT HELPS FAMILIES MANAGE ADHD SYMPTOMS THROUGH EXERCISE. PAL SHRINKS ANTI-PSYCHOTIC USE A TELEPHONE CONSULTATION SYSTEM LAUNCHED BY SEATTLE CHILDREN'S HAS DECREASED THE PRESCRIPTION OF ANTIPSYCHOTICS BY NEARLY HALF FOR CHILDREN ENROLLED IN WASHINGTON STATE'S MEDICAID PROGRAM, ACCORDING TO STUDY LED BY DR. REBECCA BARCLAY. THE 49% REDUCTION IN PRESCRIPTIONS BETWEEN 2006 AND 2013 CAME AFTER THE INTRODUCTION OF THE PARTNERSHIP ACCESS LINE (PAL). THE SYSTEM, THE SECOND OF ITS KIND IN THE COUNTRY, ALLOWS PRIMARY CARE PROVIDERS TO CONSULT ON-DEMAND DIRECTLY WITH CHILD PSYCHIATRISTS AFFILIATED WITH CHILDREN'S AND THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, AND FACILITATES SECOND OPINION CONSULTATIONS FOR YOUTH WITH ATYPICAL PSYCHIATRIC MEDICATION REGIMENS. THE USE OF ANTIPSYCHOTICS TO TREAT CHILDREN HAD BEEN STEADILY INCREASING, WHICH IS A CONCERN BECAUSE SIDE EFFECTS LIKE HIGH CHOLESTEROL AND WEIGHT GAIN CAN CONTRIBUTE TO FUTURE HEALTH COMPLICATIONS. "ANTIPSYCHOTICS ARE HELPFUL AND NECESSARY IN MANY SITUATIONS, BUT WE WANT TO MAKE SURE WE'RE RESERVING THEIR USE FOR WHEN ABSOLUTELY APPROPRIATE," BARCLAY SAID. PAL ADDRESSES A STATEWIDE SHORTAGE OF CHILD PSYCHIATRISTS BY GIVING PRIMARY CARE PROVIDERS A RESOURCE FOR BETTER MEETING MENTAL AND BEHAVIORAL HEALTH NEEDS IN THEIR COMMUNITIES - INCLUDING MAKING DECISIONS ABOUT WHEN TO USE MEDICATIONS LIKE ANTIPSYCHOTICS. "WE HAVE RECEIVED THOUSANDS OF CALLS FROM PROVIDERS SINCE PAL WAS IMPLEMENTED," SAID DR. ROBERT HILT, WHO LEADS THE PROGRAM. A PAL PLUS PILOT PROGRAM WAS ALSO INTRODUCED IN 2017 TO PROVIDE IN-PERSON COUNSELING SESSIONS WITH LOCAL BEHAVIORAL HEALTH PROVIDERS FOR CHILDREN FROM UNDER-RESOURCED FAMILIES IN BENTON AND FRANKLIN COUNTIES. SHARING A COMBINATION FOR BETTER HEALTH BY FOLLOWING FIVE TIPS REPRESENTED BY THE NUMBERS 7-5-2-1-0, ALL CHILDREN AND THEIR FAMILIES CAN TAKE SMALL BUT POWERFUL STEPS TOWARD A HEALTHIER LIFESTYLE. SEATTLE CHILDREN'S WORKS IN THE COMMUNITY TO ENCOURAGE ALL CHILDREN AND THEIR FAMILIES TO FOLLOW 7-5-2-1-0. START THE DAY WITH BREAKFAST 7 DAYS A WEEK. EAT 5 SERVINGS OF FRUITS AND VEGETABLES A DAY. KEEP SCREEN TIME UNDER 2 HOURS A DAY. BE ACTIVE FOR AT LEAST 1 HOUR A DAY. AIM FOR 0 SUGAR-SWEETENED DRINKS. YOUR MENTAL HEALTH FIRST AID CLASS OFFERED SEATTLE CHILDREN'S IS EXCITED TO PARTNER WITH KING COUNTY AND CHAD'S LEGACY TO OFFER YOUTH MENTAL HEALTH FIRST AID. THIS 8-HOUR CLASS IS FOR ADULTS WHO REGULARLY INTERACT WITH ADOLESCENTS AGES 12 TO 18. YOUTH MENTAL HEALTH FIRST AID WILL IMPROVE YOUR KNOWLEDGE OF MENTAL HEALTH AND SUBSTANCE USE PROBLEMS, AND WILL TEACH YOU HOW TO CONNECT YOUTH WITH CARE WHEN NEEDED. FOR MORE INFORMATION AND TO REGISTER, VISIT: HTTP://WWW.SEATTLECHILDRENS.ORG/CLASSES-COMMUNITY/ CURRENT-CLASS-OFFERINGS/YOUTH-MENTAL-HEALTH-FIRST-AID/. 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