UW MEDICINENORTHWEST: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
UW MEDICINENORTHWEST (EIN 91-0637400)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-26
IRS object ID
201711509349300016
Schema version
2015v3.0
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)
Return2017-05-26T17:42:01-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

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 1700AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910637400EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UW MEDICINENORTHWESTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUWMEBusinessNameControlTxt
Phone2063683012PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREET NO D-180AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCYNTHIA HECKERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2063683012PhoneNum
Signature2017-05-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSARA ELIZABETH J HYREPreparerPersonNm
PTINP00235495PTIN
Phone4254544919PhoneNum
Preparation2017-05-25PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL & MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCYNTHIA HECKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREET NO D-180AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$408,095,570GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NWHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1949FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionUW MEDICINE/NORTHWEST IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2660TotalEmployeeCnt
Total Volunteers239TotalVolunteersCnt
Total Gross UBI$799,928TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,237,853PYContributionsGrantsAmt
CY Contributions Grants$2,523,156CYContributionsGrantsAmt
PY Program Service Revenue$326,022,152PYProgramServiceRevenueAmt
CY Program Service Revenue$360,031,221CYProgramServiceRevenueAmt
PY Investment Income$4,195,686PYInvestmentIncomeAmt
CY Investment Income$2,800,017CYInvestmentIncomeAmt
PY Other Revenue$11,263,072PYOtherRevenueAmt
CY Other Revenue$15,041,464CYOtherRevenueAmt
PY Total Revenue$343,718,763PYTotalRevenueAmt
CY Total Revenue$380,395,858CYTotalRevenueAmt
PY Grants And Similar Paid$1,000,803PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,589,619CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$166,742,827PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$186,501,053CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$178,150,911PYOtherExpensesAmt
CY Other Expenses$197,193,695CYOtherExpensesAmt
PY Total Expenses$345,894,541PYTotalExpensesAmt
CY Total Expenses$385,284,367CYTotalExpensesAmt
PY Revenues Less Expenses-$2,175,778PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,888,509CYRevenuesLessExpensesAmt
Total Assets BOY$247,515,510TotalAssetsBOYAmt
Total Assets EOY$245,543,275TotalAssetsEOYAmt
Total Liabilities BOY$155,237,704TotalLiabilitiesBOYAmt
Total Liabilities EOY$156,046,283TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$92,277,806NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$89,496,992NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO RAISE THE LONG-TERM HEALTH STATUS OF OUR COMMUNITY BY PROVIDING PERSONALIZED, QUALITY CARE WITH COMPASSION, DIGNITY, AND RESPECT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$346,724,625ExpenseAmt
Grant$1,589,619GrantAmt
Revenue$359,231,293RevenueAmt
DescUW MEDICINE/NORTHWEST, DOING BUSINESS AS NORTHWEST HOSPITAL & MEDICAL CENTER (NWHMC), IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL, OFFERING COMPREHENSIVE MEDICAL, SURGICAL, AND THERAPEUTIC SERVICES. WITH 281 BEDS, MORE THAN 2,300 EMPLOYEES AND A WORLD-CLASS MEDICAL STAFF, NWHMC PROVIDES INNOVATIVE, TECHNOLOGICALLY ADVANCED CARE ON A PATIENT-FRIENDLY, EASY-ACCESS CAMPUS JUST NORTH OF SEATTLE. - FROM PRIMARY CARE TO HIGHLY SPECIALIZED CARE, NORTHWEST HOSPITAL OFFERS SERVICES INCLUDING, BUT NOT LIMITED TO:- INPATIENT, OUTPATIENT, AND 24-HOUR EMERGENCY SERVICES. - CANCER CARE.- CARDIAC CARE.- CHILDBIRTH CENTER.- COMMUNITY HEALTH EDUCATION & SIMULATION CENTER.- DIAGNOSTIC IMAGING.- GEROPSYCHIATRIC CENTER.- NEUROSCIENCES.- LABORATORY SERVICES.- PHYSICAL THERAPY.- PREVENTATIVE HEALTH & WELLNESS SERVICES.- SPORTS MEDICINE.- STROKE PROGRAM.- SURGICAL SERVICES.- WOUND CARE.NWHMC IS COMMITTED TO ONGOING PERFORMANCE IMPROVEMENT AND QUALITY PATIENT CARE. THE FOCUS OF THESE EFFORTS HAS BEEN TO PROVIDE AN EFFECTIVE AND CONTINUOUS PROGRAM TO MEASURE, ASSESS, AND IMPROVE PERFORMANCE, PATIENT SAFETY, AND THE SAFETY OF THE WORK ENVIRONMENT. THE HIGHLY SUCCESSFUL QUALITY EFFORT AT NWHMC HAS RESULTED IN A NUMBER OF PRESTIGIOUS LOCAL AND NATIONAL QUALITY AWARDS, AND HAS HELPED THE HOSPITAL EARN A REPUTATION AS ONE OF THE SAFEST, HIGHEST QUALITY PROVIDERS IN THE PACIFIC NORTHWEST. FOR A MORE COMPREHENSIVE LIST OF SERVICES, ACCOMPLISHMENTS, AND ACCOLADES, VISIT WWW.NWHOSPITAL.ORG,Desc
Total Program Service Expenses$346,724,625TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
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 MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
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 Document240IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2660EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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 Line1KIMBERLY DANSIEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2063683038PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREET PZ-506AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SCOTT L HARDMAN
CHAIR2.001.00Yes (X)Yes (X)$0$0$0
JAMES K ANDERSON
TRUSTEE5.001.00Yes (X)$0$0$0
SHAIZA DAMJI
TRUSTEE2.001.00Yes (X)$0$0$0
PETER R EVANS
TRUSTEE3.001.00Yes (X)$0$0$0
TERRY L LENGFELDER
TRUSTEE1.000.00Yes (X)$0$0$0
WILLIAM J REX
TRUSTEE6.000.00Yes (X)$0$0$0
JIM SNYDER
VICE CHAIR2.001.00Yes (X)Yes (X)$0$0$0
MARIAN SVINTH
TRUSTEE5.000.00Yes (X)$0$0$0
THOMAS TURNURE
TRUSTEE1.000.00Yes (X)$0$0$0
CYNTHIA HECKER
EXECUTIVE DIRECTOR/INTERIM CHSO40.001.00Yes (X)$0$555,349$74,058
KETTY HSIEH
SR. DIR. FINANCE; SEC. (THRU 6/16)40.000.00Yes (X)$192,525$0$18,644
GREGORY SCHROEDL
CHIEF MEDICAL OFFICER40.000.00Yes (X)$371,251$0$38,595
PAMELA RENNA
SR.DIR BUS DVLP/SEC/TREAS (EFF 6/16)40.005.00Yes (X)$202,537$0$25,662
PAUL G RAMSEY
CEO, UW MEDICINE0.0040.00$0$878,424$70,357Yes (X)
JOHNESE SPISSO
CHSO, UW MEDICINE (THRU 2/16)0.0040.00$0$811,900$68,190Yes (X)
LORI MITCHELL
CFO, UW MEDICINE (THRU 12/15)0.0040.00$0$573,923$58,104Yes (X)
ADAM PARCHER
CHIEF QUAL. OFFICER/INTERIM EXEC DIR40.000.00$204,387$0$18,044Yes (X)
JACOB FLEET
CHIEF OF MEDICINE/PHYSICIAN40.000.00$318,152$0$32,752Yes (X)
MARY HORAN
SR. DIRECTOR, CLINICAL INFORMATICS40.000.00$360,536$0$18,831Yes (X)
SUE MANFREDI
CHIEF NURSING OFFICER0.0040.00$0$272,554$36,520Yes (X)
LINDA OLMSTEAD
SR. DIRECTOR, HUMAN RESOURCES40.000.00$182,736$0$29,776Yes (X)
LAUREN GUMS
SR. DIRECTOR, AMBULATORY CLINICS40.000.00$188,567$0$25,497Yes (X)
JEFFREY RICHEY
SR. DIRECTOR, CLINICAL SERVICES40.000.00$0$170,710$24,924Yes (X)
TERRENCE QUIGLEY
CHIEF OF SURGERY/PHYSICIAN40.000.00$359,727$0$29,509Yes (X)
BENJAMIN LERNER
PHYSICIAN40.000.00$382,777$0$17,995Yes (X)
JIM C HSU
PHYSICIAN40.000.00$555,185$0$25,950Yes (X)
CHRISTIAN PETERSON
PHYSICIAN40.000.00$547,911$0$36,233Yes (X)
DANIEL SCHWARTZ
PHYSICIAN40.000.00$421,938$0$3,585Yes (X)
PONTUS OBERG
PHYSICIAN40.000.00$389,127$0$31,775Yes (X)
MARKO YAKOVLEVITCH
FORMER CHIEF OF STAFF0.0040.00$0$483,484$19,804Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,677,356TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,746,344TotReportableCompRltdOrgAmt
Total Other Compensation$704,805TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K270IndivRcvdGreaterThan100KCnt
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
EMERGENCY SERVICES NORTHWEST
5203 82ND AVE SEMERCER ISLANDWA98040HEALTH CARE SERVICES$4,766,945
WESTERN WASHINGTON MEDICAL GROUP INC
12728 19TH AVE SEEVERETTWA98208HEALTH CARE SERVICES$4,356,830
UNIVERSITY OF WASHINGTON-SCHOOL OF MEDIC
PO BOX 358047SEATTLEWA98195HEALTH CARE SERVICES$2,092,378
NORTHWEST NASAL SINUS CENTER
3100 CARILLON POINTKIRKLANDWA98033HEALTH CARE SERVICES$1,863,231
WOUND CARE CENTERS INC
PO BOX 637114CINCINNATIOH45263HEALTH CARE SERVICES$1,519,112
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K37CntrctRcvdGreaterThan100KCnt
Related Organizations$1,614,089RelatedOrganizationsAmt
Government Grants$909,067GovernmentGrantsAmt
Total Contributions$2,523,156TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT FEES622110$355,972,597$355,172,669$799,928
OTHER HEALTHCARE SRVCS622110$4,058,624$4,058,624
FieldValueIRS element (for citing)
Total Program Service Revenue$360,031,221TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$957,826TotalRevenueColumnAmt
Exclusion$957,826ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,808,202RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$5,502,487RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$694,285RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$694,285TotalRevenueColumnAmt
Exclusion-$694,285ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$23,690,000SecuritiesAmt
Other$252,516OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$22,100,325SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,589,675SecuritiesAmt
Other$252,516OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,842,191TotalRevenueColumnAmt
Exclusion$1,842,191ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$804,498GrossSalesOfInventoryAmt
Cost Of Goods Sold$96,900CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$707,598TotalRevenueColumnAmt
Exclusion$707,598ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
PARKING812930$1,996,850$1,996,850
DAY CARE REVENUES624410$1,067,193$1,067,193
ESPRESSO SERVICES722210$876,633$876,633

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,087,475TotalRevenueColumnAmt
Exclusion$11,087,475ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,028,151OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$380,395,858TotalRevenueColumnAmt
Related Or Exempt Func Income$359,231,293RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$799,928UnrelatedBusinessRevenueAmt
Exclusion$17,841,481ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,589,619TotalAmt
Program Services$1,589,619ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,523,191TotalAmt
Management And General$2,523,191ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$147,743,333TotalAmt
Program Services$143,741,193ProgramServicesAmt
Management And General$4,002,140ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,968,631TotalAmt
Program Services$4,827,486ProgramServicesAmt
Management And General$141,145ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,017,359TotalAmt
Program Services$18,449,372ProgramServicesAmt
Management And General$1,567,987ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,248,539TotalAmt
Program Services$10,759,822ProgramServicesAmt
Management And General$488,717ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$622,770TotalAmt
Program Services$46,882ProgramServicesAmt
Management And General$575,888ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$321,489TotalAmt
Management And General$321,489ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$60,397,824TotalAmt
Program Services$45,760,075ProgramServicesAmt
Management And General$14,637,749ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$388,592TotalAmt
Program Services$383,980ProgramServicesAmt
Management And General$4,612ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,647,419TotalAmt
Program Services$14,129,554ProgramServicesAmt
Management And General$1,517,865ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,672,745TotalAmt
Program Services$5,284,326ProgramServicesAmt
Management And General$388,419ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$62,522TotalAmt
Management And General$62,522ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,387,899TotalAmt
Program Services$6,660,275ProgramServicesAmt
Management And General$727,624ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$326,867TotalAmt
Program Services$256,944ProgramServicesAmt
Management And General$69,923ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,735,937TotalAmt
Management And General$3,735,937ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,393,380TotalAmt
Program Services$14,629,074ProgramServicesAmt
Management And General$764,306ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,567,494TotalAmt
Program Services$611,819ProgramServicesAmt
Management And General$955,675ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$55,577,287$55,572,023$5,264
TAXES AND LICENSES$13,395,046$10,408,211$2,986,835
BAD DEBT$10,763,307$10,763,307
IN-HOUSE MEALS$1,338,783$1,120,825$217,958

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,594,334TotalAmt
Program Services$1,729,838ProgramServicesAmt
Management And General$2,864,496ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$385,284,367TotalAmt
Program Services$346,724,625ProgramServicesAmt
Management And General$38,559,742ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,441,064BOYAmt
EOY$18,643,794EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$922,129BOYAmt
EOY$1,289,629EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,914,086BOYAmt
EOY$40,943,249EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$189,852BOYAmt
EOY$46,547EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,643,564BOYAmt
EOY$4,821,052EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,702,238BOYAmt
EOY$4,492,911EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$392,530,272LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$280,971,747LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$117,345,001BOYAmt
EOY$111,558,525EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$943,244BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$571,188BOYAmt
EOY$558,757EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,933,108BOYAmt
EOY$3,217,917EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$102,659BOYAmt
EOY$54,670EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$66,807,377BOYAmt
EOY$59,916,224EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$247,515,510BOYAmt
EOY$245,543,275EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,838,672BOYAmt
EOY$40,565,985EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$570,442BOYAmt
EOY$233,110EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$14,914,041BOYAmt
EOY$14,762,058EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$102,914,549BOYAmt
EOY$100,485,130EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$155,237,704BOYAmt
EOY$156,046,283EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$91,443,701BOYAmt
EOY$86,816,884EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$834,105BOYAmt
EOY$753,603EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,926,505EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$92,277,806BOYAmt
EOY$89,496,992EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$247,515,510BOYAmt
EOY$245,543,275EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$4,888,509ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$59,404NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$21,680PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$2,188,779OtherChangesInNetAssetsAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
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)
HospitalYes (X)HospitalInd

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$0BeginningYearBalanceAmt
Contributions$1,943,293ContributionsAmt
Investment Earnings Or Losses-$16,788InvestmentEarningsOrLossesAmt
End Year Balance$1,926,505EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,801,251OtherCostOrOtherBasisAmt
Book Value$16,801,251BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$134,497,495OtherCostOrOtherBasisAmt
Depreciation$87,303,023DepreciationAmt
Book Value$47,194,472BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,352,667OtherCostOrOtherBasisAmt
Depreciation$12,459,476DepreciationAmt
Book Value$7,893,191BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$216,866,979OtherCostOrOtherBasisAmt
Depreciation$181,209,248DepreciationAmt
Book Value$35,657,731BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,011,880OtherCostOrOtherBasisAmt
Book Value$4,011,880BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$111,558,525TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
ASSETS WHOSE USE IS LIMITED - BOARD APPROVED CAPITAL INVESTMENTS$43,287,716
PROFESSIONAL LIABILITY SELF-INSURANCE$431,105
OTHER RECEIVABLES$5,742,870
RECEIVABLES FROM AFFILIATES$512,827
PREPAID EPIC PROJECT$1,991,048
PREPAID HSM & HPM$791,644
STOP LOSS RECEIVABLE$174,400
DEFERRED LOSS ON BONDS$6,065,731
PREPAID SUNQUEST LAB INFO SYSTEM$918,883
FieldValueIRS element (for citing)
Total Book Value Other Assets$59,916,224TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
RESERVE FOR PROFESSIONAL LIABILITY$371,000
PAYABLE TO AFFILIATES$29,193,891
DEFERRED RENT PAYABLE$4,039,811
DEBT PAYABLE TO AFFILIATES$65,791,470
CAPITAL LEASE LIABILITIES$1,088,958
FieldValueIRS element (for citing)
Total Liability$100,485,130TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE FOUR ENDOWMENTS WERE TRANSFERRED FROM NORTHWEST HOSPITAL FOUNDATION AND ARE MAINTAINED TO PRESERVE AND GROW PRINCIPAL AND TO FUND THE ONGOING EXEMPT PURPOSE OF THE HOSPITAL, TO SUPPORT COMMUNITY BENEFITS, AND TO SUPPORT THE LIFELINKS PROGRAM. ONE ENDOWMENT APPROPRIATES ANY RETURN GREATER THAN 3% OF ENDOWMENT DISTRIBUTED INCOME FOR UNRESTRICTED SPENDING, THE OTHER ENDOWMENTS APPROPRIATE ALL EARNINGS TO THE RESTRICTED PURPOSE OF THE ENDOWMENT.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN00INVESTMENT$4,500,000
EUROPE (INCLUDING ICELAND & GREENLAND)00INVESTMENT$1,200,000
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$5,700,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$5,700,000TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,880,377TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$507DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,879,870NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,159,994TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,622,023DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,537,971NetCommunityBenefitExpnsAmt
Total Expense0.03250TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$835,588TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$289,676DirectOffsettingRevenueAmt
Net Community Benefit Expns$545,912NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,875,959TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,912,206DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,963,753NetCommunityBenefitExpnsAmt
Total Expense0.03880TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$312,430TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$302,430NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,742,008TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$799,243DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,942,765NetCommunityBenefitExpnsAmt
Total Expense0.00500TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$99,471TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$99,471NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,153,909TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$809,243DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,344,666NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,029,868TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,721,449DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,308,419NetCommunityBenefitExpnsAmt
Total Expense0.04490TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$10,763,307BadDebtExpenseAmt
Bad Debt Expense Attributable$2,191,475BadDebtExpenseAttributableAmt
Reimbursed By Medicare$66,457,591ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$81,540,113CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$15,082,522MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL & MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREETAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.NWHOSPITAL.ORGWebsiteAddressTxt
State LicenseH-130StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL & MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SECTION C IN REF TO LINE 7D FOR FULL WEBSITE ADDRESSOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE SECTION C IN REFERENCE TO LINE 7D FOR FULL WEBSITE ADDRESSStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 5: TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. SEVENTEEN INTERVIEWS WERE COMPLETED BETWEEN DECEMBER 2015 AND FEBRUARY 2016. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS. INTERVIEW PARTICIPANTS INCLUDED:- NORTHWEST HOSPITAL AND MEDICAL CENTER EMERGENCY DEPARTMENT - SENIOR LIVING NORTHHAVEN- NORTHWEST HOSPITAL AND MEDICAL CENTER PSYCHIATRIC SERVICES- KING COUNTY PUBLIC HEALTH DEPARTMENT (2)- STENDALL PLACE HOMEOWNERS ASSOCIATION- MEDIC ONE SHORELINE- CANCER LIFELINE- SHORELINE FIRE DEPARTMENT (2)- LEASE CRUTCHER LEWIS- NORTH HELPLINE- NORTHWEST HOSPITAL AND MEDICAL CENTER PATIENT RELATIONS- GREAT STARTS- DYNAMIC LANGUAGE SERVICE- HALLER LAKE COMMUNITY CLUB- SHORELINE HISTORICAL MUSEUM
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 7D: HTTP://NWHOSPITAL.ORG/ABOUT-NORTHWEST-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-CHNA/
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 11: FOR A DESCRIPTION OF HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED, REFER TO THE ORGANIZATION'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AVAILABLE PUBLICLY AT HTTPS://NWHOSPITAL.ORG/WP-CONTENT/UPLOADS/ABOUT-NORTHWEST-HOSPITAL/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-CHNA/NWH-2016-CHNA-IMPLEMENTATION-STRATEGY.PDF
NORTHWEST HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 22D: PATIENTS ARE BILLED AT THE SAME RATE REGARDLESS OF HOW THEY ARE FUNDED.
FieldValueIRS element (for citing)
Facility23FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - VIA RADIOLOGY - MERIDIAN PAVILION
10700 MERIDIAN AVE N SUITE 505SEATTLEWA98133OUTPATIENT CLINIC
2 - WESTERN WASHINGTON CARDIOLOGY
12728 19TH AVE SE SUITE 200EVERETTWA98208OUTPATIENT CLINIC
3 - MERIDIAN WOMEN'S HEALTH
10330 MERIDIAN AVE N SUITE 200SEATTLEWA98133OUTPATIENT CLINIC
4 - SAND POINT INTERNISTS
10330 MERIDIAN AVE N SUITE 230SEATTLEWA98133OUTPATIENT CLINIC
5 - LAKE FOREST PARK MEDICAL CLINIC
17191 BOTHELL WY NE SUITE 205SEATTLEWA98155OUTPATIENT CLINIC
6 - NORTH SEATTLE SURGERY CENTER
10330 MERIDIAN AVE NSEATTLEWA98133AMBULATORY SURGERY CENTER
7 - RICHMOND INTERNAL MEDICINE
355 NW RICHMOND BEACH RDSHORELINEWA98177OUTPATIENT CLINIC
8 - NORTHWEST ENT ASSOCIATES
1536 N 115TH ST SUITE 340SEATTLEWA98133OUTPATIENT CLINIC
9 - SEATTLE PACIFIC SURGEONS
1560 N 115TH ST SUITE 102SEATTLEWA98133OUTPATIENT CLINIC
10 - NORTHWEST INTERNAL MEDICINE
1560 N 115TH ST SUITE 207SEATTLEWA98133OUTPATIENT CLINIC
11 - NORTHWEST RESPIRATORY ASSOCIATES
1560 N 115TH ST SUITE G-10SEATTLEWA98133OUTPATIENT CLINIC
12 - WOMEN'S CANCER CARE OF SEATTLE
1560 N 115TH ST SUITE 101SEATTLEWA98133OUTPATIENT CLINIC
13 - NORTHWEST HOSPITAL MIDWIVES CLINIC
10330 MERIDIAN AVE N SUITE 190SEATTLEWA98133OUTPATIENT CLINIC
14 - NORTHWEST PRIMARY CARE
1560 N 115TH ST SUITE 110SEATTLEWA98133OUTPATIENT CLINIC
15 - SEATTLE EAR NOSE & THROAT
10330 MERIDIAN AVE N SUITE 220SEATTLEWA98133OUTPATIENT CLINIC
16 - JAMES JOKI MD
1560 N 115TH ST SUITE 110SEATTLEWA98133OUTPATIENT CLINIC
17 - CHAU-SU OU MD
10330 MERIDIAN AVE N SUITE 372SEATTLEWA98133OUTPATIENT CLINIC
18 - NORTHWEST NEUROLOGY
1536 N 115TH ST SUITE 330SEATTLEWA98133OUTPATIENT CLINIC
19 - JAMES COGHLAN MD
10330 MERIDIAN AVE N SUITE 230SEATTLEWA98133OUTPATIENT CLINIC
20 - KENT SULLIVAN MD
1550 N 115TH STSEATTLEWA98133MOBILE CLINIC
21 - WOUND CARE CENTER
1560 N 115TH ST SUITE 201SEATTLEWA98133OUTPATIENT CLINIC
22 - INTERNAL MEDICINE CONSULT CLINIC
1550 N 115TH STSEATTLEWA98133OUTPATIENT CLINIC
23 - NORTHWEST PRIMARY CARE
3601 FREMONT AVENUE NORTH SUITE 309SEATTLEWA98103OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:INCOME STANDARD - THE FULL AMOUNT OF HOSPITAL CHARGES WILL BE DETERMINED TO BE CHARITY CARE FOR ANY PATIENT WHOSE GROSS FAMILY INCOME IS BELOW 200% OF THE CURRENT CSA NON-FARM POVERTY INCOME GUIDELINES AS PUBLISHED IN THE FEDERAL REGISTER AND CONSISTENT WITH WAC 246-53-020. THERE IS A SLIDING SCALE DISCOUNT FOR INCOME LEVELS BETWEEN 200% AND 300% OF THE CSA NON-FARM POVERTY GUIDELINES. ASSET STANDARD - NET WORTH OF ASSETS OF EXTRAORDINARY VALUE OR MAJOR NONESSENTIAL ASSETS ON WHICH A PATIENT COULD DRAW CASH THROUGH SELLING, MORTGAGING, OR BORROWING WILL BE A CONSIDERATION IN DETERMINING A PATIENT'S ELIGIBILITY. IN ADDITION, CATASTROPHIC MEDICAL EXPENSES CAN BE USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 7:WE USE A COST-TO-CHARGE RATIO FOR THE MEDICARE SHORTFALL. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.
PART III, LINE 2:THE HOSPITAL PROVIDES AN ALLOWANCE FOR POTENTIAL UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE, WHEREBY SUCH RECEIVABLES ARE REDUCED TO THEIR ESTIMATED NET REALIZABLE VALUE. THE HOSPITAL ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE, AND THE BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS.
PART III, LINE 4:ON THE ATTACHED FINANCIAL STATEMENTS, FOOTNOTE #3 ON PAGE 25 DESCRIBES NET PATIENT SERVICE REVENUE, INCLUDING AMOUNTS ASSOCIATED WITH BAD DEBT EXPENSE (OR "PROVISION FOR UNCOLLECTIBLE ACCOUNTS" AS REFERENCED IN THE FINANCIAL STATEMENTS).THE HOSPITAL PROVIDES AN ALLOWANCE FOR POTENTIAL UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE, WHEREBY SUCH RECEIVABLES ARE REDUCED TO THEIR ESTIMATED NET REALIZABLE VALUE. THE HOSPITAL ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE, AND THE BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS.
PART III, LINE 8:MEDICARE COSTS WERE DETERMINED USING ALLOWABLE COSTS FROM THE AS-FILED MEDICARE COST REPORT FOR FY16. UNCOMPENSATED COSTS OF CARE FOR MEDICARE BENEFICIARIES WERE DETERMINED TO BE COMMUNITY BENEFIT AS THE FINANCIAL LOSS WOULD BE INCURRED BY ANOTHER INSTITUTION IF NOT PROVIDED AT THIS FACILITY.IN ADDITION, OTHER MEDICARE COSTS NOT REPORTED ON THE MEDICARE COST REPORT (FEE SCHEDULE, MANAGED CARE) ALSO INCURRED A SHORTFALL. REVENUE RECEIVED (FEE SCHEDULE, MANAGED CARE): $ 7,349,429 MEDICARE ALLOWABLE COSTS RELATING TO PAYMENTS: $13,340,336 SHORTFALL: $ 5,990,907
PART III, LINE 9B:IT IS THE POLICY OF NORTHWEST HOSPITAL TO EXPECT FULL PAYMENT ON SERVICES PROVIDED. FULL PAYMENT IS DUE FROM THE PATIENT UPON RECEIPT OF INITIAL BILLING FOR NON-INSURANCE COVERED BALANCES UNLESS ARRANGEMENTS ARE MADE WITH THE PATIENT FINANCIAL SERVICES DEPARTMENT.OPTIONS TO CLEAR AN ACCOUNTS RECEIVABLE:THERE ARE 8 OPTIONS TO CLEAR THE ACCOUNTS RECEIVABLE:- CHARGE REVERSAL,- CONTRACTUAL ADJUSTMENT,- CHARITY,- ADMINISTRATIVE/OTHER ADJUSTMENT,- INSURANCE PAYMENT,- PATIENT PAYMENT,- BAD DEBT - NON-AGENCY/OTHER, OR- BAD DEBT - COLLECTION AGENCY.PATIENT FINANCIAL SCREENING: PATIENTS ARE SCREENED TO DETERMINE FINANCIAL RESPONSIBILITY DURING PRE-ADMISSION OR DURING ADMISSION/REGISTRATION. IT IS EXPECTED THAT PATIENTS PROVIDE HONEST AND COMPLETE DATA FROM WHICH STAFF ESTABLISH THE PATIENT PAYMENT PARTICIPATION. ONCE THE PATIENT'S RESPONSIBILITY IS DETERMINED, STAFF IS DIRECTED TO NOTIFY THE PATIENT PROMPTLY.FINANCIAL SCREENING INCLUDES SOME OR ALL OF THE FOLLOWING TASKS: - COLLECTING FINANCIAL DEMOGRAPHIC INFORMATION. - DETERMINING INSURANCE ELIGIBILITY AND BENEFITS. - COMPLETING A CONFIDENTIAL FINANCIAL FORM. - OBTAINING INSURANCE AUTHORIZATION NUMBERS AND REFERRALS. - ESTABLISHING A PLAN WITH THE PATIENT TO CLEAR ACCOUNT BALANCES. - COLLECTING DEPOSITS BASED ON DEDUCTIBLES AND CO-INSURANCE AMOUNTS AS ALLOWED BY THE PATIENT'S INSURANCE PLAN. - REVIEWING A PATIENT'S PAST CREDIT HISTORY OR REQUESTING A CREDIT BUREAU REPORT. COLLECTION OF DEPOSITS: BASED ON FINANCIAL SCREENING AND ESTIMATED SELF-PAY BALANCES, IT IS THE POLICY TO REQUEST DEPOSITS AND ESTIMATED INSURANCE CO-PAY BALANCES AS SOON AS THE AMOUNT CAN BE DETERMINED OR ALLOWED BY THE PATIENT'S INSURANCE PLAN. ACCOUNTS MAY BE SET UP FOR PATIENTS TO PRE-PAY FOR THEIR CARE. PAYMENTS MAY ALSO BE COLLECTED DURING THE PERIOD OF CARE OR AT DISCHARGE. IN THE EMERGENCY ROOM, DEPOSITS ARE TO BE REQUESTED ONLY AFTER MEDICAL SERVICES HAVE BEEN PROVIDED. ALL PAYMENTS ARE TO BE REQUESTED WITH SENSITIVITY, CONSISTENT WITH ALL HOSPITAL POLICIES.NON-EMERGENT SERVICE IS NOT CONTINGENT UPON PAYMENT OF A DEPOSIT EXCEPT IN CASES OF POOR CREDIT HISTORY AND WHEN APPROVED BY A DIRECTOR OR A VICE PRESIDENT. COSMETIC OR NON-MEDICALLY REQUIRED SERVICES ARE TO BE PAID IN FULL IN ADVANCE OF SERVICE. SPECIAL CIRCUMSTANCES MAY WARRANT AN EXCEPTION TO PAYMENT IN FULL BUT MUST BE APPROVED BY THE DIRECTOR OR VICE PRESIDENT. GENERAL COLLECTION FRAMEWORK:ACCOUNT BALANCES ARE DUE UPON RECEIPT OF FIRST BILLING WITH THE FOLLOWING SELF-PAY EXCEPTIONS: - PAYMENT PLAN ARRANGEMENTS CONSISTENT WITH THIS POLICY. - ADDITIONAL FINANCIAL SCREENING IS BEING DEVELOPED. - HOSPITAL BILLING ERRORS, DELAYS, OR UNRESOLVED DISPUTES. - UNPAID INSURANCE CLAIMS WHEN PATIENT BALANCES CANNOT EASILY BE DETERMINED.INSURANCE BILLING POLICY: NORTHWEST PATIENT FINANCIAL SERVICES BILLS STATE, FEDERAL AND CONTRACTED INSURANCE PLANS. OTHER PAYMENT SOURCES ARE BILLED WHENEVER THE PATIENT PROVIDES NECESSARY DATA. THE HOSPITAL TAKES ASSIGNMENT ON ALL MEDICARE CHARGES.PATIENT BALANCES: PATIENT PAY ACCOUNTS ARE PAYABLE UPON RECEIPT OF INITIAL BILLING, UNLESS OTHER ARRANGEMENTS ARE MADE WITH PATIENT FINANCIAL SERVICES (PFS). ACCOUNTS WAITING FOR INSURANCE PAYMENT BECOME THE PATIENT'S RESPONSIBILITY 60 DAYS AFTER INITIAL INSURANCE BILLING, UNLESS DICTATED BY AN INSURANCE CONTRACT, FINANCIAL ARRANGEMENTS ARE MADE, OR THIS PROVISION IS WAIVED BY A PFS MANAGER OR DIRECTOR. NWHMC DOES NOT HOLD THE PATIENT RESPONSIBLE FOR THE BILL UNTIL PFS HAS RESOLVED ALL ISSUES WITH THE INSURANCE COMPANIES, INCLUDING APPEALS OF DENIALS. QUALITY OF CARE AND BILLING ACCURACY ISSUES ARE TO BE RESOLVED AS QUICKLY AS POSSIBLE AND PRIOR TO ENFORCING COLLECTION STANDARDS.EACH BILL PROVIDED TO A PATIENT INCLUDES INFORMATION AS TO HOW TO REQUEST FINANCIAL ASSISTANCE FROM NWHMC. ALL PATIENTS WHO INDICATE FINANCIAL HARDSHIP ARE SCREENED FOR CHARITY. CHARITY MAY BE GRANTED ANY TIME, EVEN AFTER COLLECTION AGENCY ASSIGNMENT OR FILING OF LEGAL JUDGEMENT.
PART VI, LINE 2:NORTHWEST HOSPITAL IS A COMMUNITY OF CARING HEALTH PROFESSIONALS, VALUED AND RECOGNIZED FOR PROMOTING WELLNESS THROUGH EARLY DETECTION AND PREVENTION, MINIMALLY INVASIVE INTERVENTIONS, AND INNOVATIVE CLINICAL PRACTICES.NORTHWEST HOSPITAL IS ACTIVELY INVOLVED WITH LOCAL, STATE, AND FEDERAL QUALITY INITIATIVES INCLUDING:- THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S 100K LIVES AND 5 MILLION LIVES CAMPAIGN- LEAPFROG HOSPITAL QUALITY & PATIENT SAFETY SURVEY - AS AN EARLY ADVOCATE OF THE LEAPFROG STANDARDS, NORTHWEST HOSPITAL WAS ONE OF THE FIRST HOSPITALS IN THE AREA TO MAKE THE ICU LEAP- QUALIS SURGICAL CARE IMPROVEMENT PROJECT COLLABORATIVE- CMS HCAHPS (PATIENT PERSPECTIVE ON CARE) SURVEY- HQA QUALITY INDICATOR PROGRAM- JOINT COMMISSION CORE MEASURES PROGRAM- JOINT COMMISSION NATIONAL PATIENT SAFETY GOALS- WASHINGTON STATE COAP QUALITY IMPROVEMENT PROGRAM FOR INTERVENTIONAL CARDIOLOGY AND CARDIOTHORACIC SURGERY- WASHINGTON STATE TRAUMA REGISTRY- WASHINGTON STATE BIRTH DEFECTS SURVEILLANCE PROGRAMADDITIONALLY, NORTHWEST HOSPITAL HAS A DEDICATED DECISION SUPPORT DEPARTMENT THAT ANALYZES BOTH INTERNAL AND EXTERNAL DATA TO IDENTIFY THE COMMUNITY HEALTH CARE NEEDS. THIS INCLUDES DATA, SUCH AS THE CANCER REGISTRY, IN ORDER TO IDENTIFY GAPS AND MAKE INFORMED DECISIONS REGARDING ONCOLOGY DISEASED-BASED PROGRAM DEVELOPMENT.NORTHWEST HOSPITAL LEADERSHIP IS ACTIVELY INVOLVED IN LOCAL AND NATIONAL HEALTHCARE AND CIVIC ORGANIZATIONS WHICH PROVIDE SIGNIFICANT INSIGHT INTO COMMUNITY DEVELOPMENT AND EVOLVING HEALTHCARE NEEDS.AS A MAJOR INSTITUTION, NORTHWEST HOSPITAL INTERACTS WITH CITIZEN'S ADVISORY COMMITTEE TO GATHER INFORMATION FROM ITS IMMEDIATE COMMUNITY.NORTHWEST HOSPITAL ALSO HOSTS A VARIETY OF COMMUNITY EVENTS, CLASSES AND OTHER EDUCATIONAL OPPORTUNITIES THAT PROVIDE FEEDBACK REGARDING THE HEALTHCARE NEEDS OF THE COMMUNITY.
PART VI, LINE 3:PREADMISSION FINANCIAL COUNSELING IS DONE IN SOME CASES TO IDENTIFY CHARITY ELIGIBILITY PRIOR TO TREATMENT. WHEN THIS IS NOT POSSIBLE, IT IS OFFERED DURING OR AFTER SERVICE OR EVEN ONCE THE ACCOUNT HAS BEEN ASSIGNED TO A COLLECTION AGENCY. THE HOSPITAL MAKES A DEDICATED EFFORT TO IDENTIFY CHARITY ELIGIBILITY. THE HOSPITAL ALSO CONSPICUOUSLY POSTS ITS CHARITY CARE POLICY IN PUBLIC AREAS OF THE HOSPITAL AS WELL AS ON ITS WEBSITE.
PART VI, LINE 4:NORTHWEST HOSPITAL & MEDICAL CENTER IS LOCATED AT 1550 N. 115TH STREET SEATTLE, WASHINGTON 98133. THE SERVICE AREA CONSISTS OF PORTIONS OF KING COUNTY AND SNOHOMISH COUNTY AND INCLUDES 18 ZIP CODES, REPRESENTING 6 CITIES OR COMMUNITIES. COMMUNITY PROFILE:THE POPULATION OF THE NORTHWEST HOSPITAL SERVICE AREA IS APPROXIMATELY 600,000. CHILDREN AND YOUTH, AGES 0-19, MAKE UP 21.9% OF THE POPULATION; 66.3% ARE ADULTS, AGES 20-64; AND 11.8% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. THE POPULATION IN THE NORTHWEST HOSPITAL SERVICE AREA TENDS TO HAVE A HIGHER PERCENTAGE OF ADULTS AGES 20-24 AND 25-44, AND A LOWER PERCENTAGE OF CHILDREN THAN FOUND IN THE STATE OR COUNTY. 71.4% OF THE RESIDENTS ARE WHITE; 13% ARE ASIAN; 7% ARE HISPANIC/LATINO; 3% ARE AFRICAN AMERICAN; AND 1.1% ARE AMERICAN INDIAN/ALASKAN NATIVE/NATIVE HAWAIIAN OR OTHER RACE/ETHNICITY, WHILE 4.5% IDENTIFY AS MULTIRACIAL. ENGLISH IS SPOKEN IN THE HOME AMONG 78.6% OF THE SERVICE AREA POPULATION. SPANISH IS SPOKEN AT HOME AMONG 4.8% OF THE POPULATION; 9.6% OF THE POPULATION SPEAK AN ASIAN LANGUAGE; AND 5% OF THE POPULATION SPEAKS AN INDO-EUROPEAN LANGUAGE AT HOME. SOCIAL AND ECONOMIC FACTORS:AMONG THE RESIDENTS IN THE NORTHWEST HOSPITAL SERVICE AREA, 10.9% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 22.2% ARE AT 200% OF FPL OR BELOW. THESE RATES OF POVERTY ARE LOWER THAN FOUND IN THE STATE WHERE 13.4% OF RESIDENTS ARE AT POVERTY LEVEL AND 30% ARE AT 200% OF FPL OR BELOW. IN THE SERVICE AREA, 11.4% OF CHILDREN, UNDER AGE 18 YEARS, ARE LIVING IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IN THE AREA IS $71,021. THE FIVE YEAR AVERAGE (2009-2013) UNEMPLOYMENT RATE IN THE SERVICE AREA IS 5.4%, WHICH IS LOWER THAN THE STATE RATE OF 6%. IN THE HOSPITAL SERVICE AREA, ONLY 5.7% OF ADULTS LACK A HIGH SCHOOL DIPLOMA. OVER HALF THE POPULATION (58.7%), AGES 25 AND OLDER, HAVE A COLLEGE DEGREE. THE 2015 POINT-IN-TIME COUNT ESTIMATED 10,122 HOMELESS INDIVIDUALS IN KING COUNTY AND 829 HOMELESS IN SNOHOMISH COUNTY. HEALTH ACCESS:HEALTH INSURANCE COVERAGE IS CONSIDERED A KEY COMPONENT TO ACCESS HEALTH CARE. 89.1% OF THE TOTAL POPULATION IN THE NORTHWEST HOSPITAL SERVICE AREA HAS HEALTH INSURANCE. 95.4% OF CHILDREN UNDER AGE 18 HAVE HEALTH INSURANCE COVERAGE IN THE SERVICE AREA. MOUNTLAKE TERRACE HAS THE HIGHEST HEALTH INSURANCE RATE AMONG CHILDREN (97.4%), AND LYNNWOOD HAS THE LOWEST PERCENTAGE OF CHILDREN WITH HEALTH INSURANCE (94.6%). 14% OF ADULTS IN THE SEATTLE REGION AND 8% OF ADULTS IN NORTH COUNTY HAD AN UNMET MEDICAL NEED BECAUSE THEY WERE NOT ABLE TO AFFORD CARE. THESE RATES ARE COMPARED TO THOSE FOUND IN KING COUNTY (10%). SNOHOMISH COUNTY HAS A RATE OF 13% OF ADULTS NOT ACCESSING MEDICAL CARE DUE TO COST. FOR ADDITIONAL INFORMATION REGARDING THE COMMUNITY SERVED BY THE ORGANIZATION (INCLUDING BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, CHRONIC DISEASE, HEALTH BEHAVIORS, SUBSTANCE ABUSE, MENTAL HEALTH, AND PREVENTIVE PRACTICES), REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT AVAILABLE AT WWW.NWHOSPITAL.ORG.
PART VI, LINE 5:NORTHWEST HOSPITAL PROVIDES A WIDE VARIETY OF FREE OR LOW-COST HEALTH SERVICES AND HEALTH AND WELLNESS EDUCATION TO MEMBERS OF THE COMMUNITY THROUGH MANY CHANNELS. THESE INCLUDE BUT ARE NOT LIMITED TO:- AN OPEN MEDICAL STAFF- NORTHWEST HOSPITAL COMMUNITY HEALTH EDUCATION AND SIMULATION CENTER PROVIDING FREE CLASSROOM SPACE, CLASSES, DEMONSTRATIONS AND OTHER LEARNING OPPORTUNITIES TO COMMUNITY RESIDENTS, SCHOOL GROUPS, BOY SCOUT TROOPS, VISITING HEALTH PROFESSIONALS AND STAFF- "MED INFO" HEALTH AND WELLNESS NEWSLETTER, SENT QUARTERLY TO 100,000 COMMUNITY RESIDENTS- COMMUNITY SPEAKING OPPORTUNITIES AT SENIOR LIVING FACILITIES AND COMMUNITY CENTERS, INCLUDING STROKE EDUCATION, EXERCISE AND OTHER TOPICS- ON-CAMPUS CLASSES, SEMINARS AND OTHER LEARNING OPPORTUNITIES (MANY FREE OF CHARGE OR LOW-COST)- VOLUNTEERISM BY CLINICAL STAFF TO PROVIDE MEDICAL CARE AT CHARITY CLINICS AND COMMUNITY EVENTS- DONATION OF FREE LAB, DIAGNOSTIC IMAGING AND OTHER HEALTH SERVICES TO LOCAL CHARITY CLINICS- HEALTH AND WELLNESS EVENTS FOR THE COMMUNITY - DISTRIBUTION OF HEALTH AND WELLNESS INFORMATION DAILY VIA THE HOSPITAL'S FACEBOOK AND TWITTER CHANNELS- PARTICIPATION IN UW MEDICINE HEALTH AND UW MEDICINE PULSE, MULTI-MEDIA PROGRAMS DESIGNED TO EDUCATE THE PUBLIC ON A VARIETY OF HEALTH TOPICS- PARTNERSHIP WITH CANCER LIFELINE TO PROVIDE CLASSES AND SUPPORT GROUPS FOR THOSE LIVING WITH CANCER- A DIABETES EDUCATION PROGRAM THAT OFFERS CLASSES, SUPPORT GROUPS AND COMMUNITY EVENTS TO COMMUNITY RESIDENTS- SPONSORSHIP OF AND PARTICIPATION IN LOCAL AND NATIONAL HEALTH-RELATED EVENTS, INCLUDING THE AHA HEART/STROKE WALK-LEADERSHIP IN AND PROMOTION OF LOCAL AND REGIONAL DISASTER PLANNING AND EDUCATION FOR STAFF AND COMMUNITY MEMBERS- EDUCATION AND SUPPORT OPPORTUNITIES FOR FEMALE CANCER SURVIVORS TO PROMOTE LYMPHEDEMA MANAGEMENT AND POST-TREATMENT HEALTH.
PART VI, LINE 6:ON JANUARY 1, 2010, THE HOSPITAL JOINED THE UNIVERSITY OF WASHINGTON MEDICINE HEALTH SYSTEM (UW MEDICINE). UW MEDICINE IS COMPRISED OF NORTHWEST HOSPITAL & MEDICAL CENTER, UW SCHOOL OF MEDICINE, UW MEDICAL CENTER, UW PHYSICIANS NETWORK, THE ASSOCIATION OF UNIVERSITY PHYSICIANS, HARBORVIEW MEDICAL CENTER, VALLEY MEDICAL CENTER, AND AIRLIFT NORTHWEST. THE UW MEDICINE COMPONENT ENTITIES SHARE THE MISSION TO IMPROVE THE HEALTH OF THE PUBLIC.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
NORTHWEST HOSPITAL FOUNDATION
1550 NORTH 115T STREET D-180SEATTLEWA98133911011603501(C)(3)$38,747N/AN/AINSTITUTIONAL SUPPORT
ASSOCIATION OF UNIVERSITY PHYSICIANS
701 5TH AVENUE SUITE 700SEATTLEWA98104911220843501(C)(3)$1,550,872N/AN/AINSTITUTIONAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL MAKES LIMITED GRANTS TO UNRELATED ORGANIZATIONS. RECORDS ARE KEPT FOR THESE TRANSACTIONS. THE HOSPITAL ALSO MAKES GRANTS TO ITS RELATED ORGANIZATIONS THROUGHOUT THE YEAR. THESE GRANTS ARE TO ASSIST WITH OPERATING EXPENDITURES FOR THE RELATED ENTITIES AND HELP FURTHER THE OVERALL MISSION OF NORTHWEST HOSPITAL AND ITS RELATED ORGANIZATIONS. ADEQUATE RECORDS ARE KEPT REGARDING THE TRANSACTIONS TO ENSURE THE FUNDS ARE BEING USED FOR CHARITABLE PURPOSES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
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 (21 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
CYNTHIA HECKER
EXECUTIVE DIRECTOR/INTERIM CHSO$0$532,357$0$0$0$22,992$0$56,573$0$17,485$0$629,407$0$0
KETTY HSIEH
SR. DIR. FINANCE; SEC. (THRU 6/16)$192,141$0$0$0$384$0$9,000$0$9,644$0$211,169$0$0$0
GREGORY SCHROEDL
CHIEF MEDICAL OFFICER$360,795$0$5,118$0$5,338$0$9,000$0$29,595$0$409,846$0$0$0
PAMELA RENNA
SR.DIR BUS DVLP/SEC/TREAS (EFF 6/16)$202,153$0$0$0$384$0$9,000$0$16,662$0$228,199$0$0$0
PAUL G RAMSEY
CEO, UW MEDICINE$0$862,932$0$0$0$15,492$0$53,000$0$17,357$0$948,781$0$0
JOHNESE SPISSO
CHSO, UW MEDICINE (THRU 2/16)$0$811,900$0$0$0$0$0$50,332$0$17,858$0$880,090$0$0
LORI MITCHELL
CFO, UW MEDICINE (THRU 12/15)$0$573,923$0$0$0$0$0$40,702$0$17,402$0$632,027$0$0
ADAM PARCHER
CHIEF QUAL. OFFICER/INTERIM EXEC DIR$204,131$0$0$0$256$0$9,000$0$9,044$0$222,431$0$0$0
JACOB FLEET
CHIEF OF MEDICINE/PHYSICIAN$270,437$0$47,271$0$444$0$9,000$0$23,752$0$350,904$0$0$0
MARY HORAN
SR. DIRECTOR, CLINICAL INFORMATICS$357,802$0$0$0$2,734$0$9,000$0$9,831$0$379,367$0$0$0
SUE MANFREDI
CHIEF NURSING OFFICER$0$272,554$0$0$0$0$0$26,500$0$10,020$0$309,074$0$0
LINDA OLMSTEAD
SR. DIRECTOR, HUMAN RESOURCES$181,150$0$0$0$1,586$0$9,000$0$20,776$0$212,512$0$0$0
LAUREN GUMS
SR. DIRECTOR, AMBULATORY CLINICS$188,223$0$0$0$344$0$9,000$0$16,497$0$214,064$0$0$0
JEFFREY RICHEY
SR. DIRECTOR, CLINICAL SERVICES$0$170,710$0$0$0$0$0$13,020$0$11,904$0$195,634$0$0
TERRENCE QUIGLEY
CHIEF OF SURGERY/PHYSICIAN$285,097$0$72,006$0$2,624$0$9,000$0$20,509$0$389,236$0$0$0
BENJAMIN LERNER
PHYSICIAN$339,802$0$41,370$0$1,605$0$9,000$0$8,995$0$400,772$0$0$0
JIM C HSU
PHYSICIAN$462,494$0$91,816$0$875$0$8,953$0$16,997$0$581,135$0$0$0
CHRISTIAN PETERSON
PHYSICIAN$413,225$0$133,434$0$1,252$0$9,000$0$27,233$0$584,144$0$0$0
DANIEL SCHWARTZ
PHYSICIAN$363,442$0$57,440$0$1,056$0$2,911$0$674$0$425,523$0$0$0
PONTUS OBERG
PHYSICIAN$207,587$0$181,230$0$310$0$4,542$0$27,233$0$420,902$0$0$0
MARKO YAKOVLEVITCH
FORMER CHIEF OF STAFF$0$483,484$0$0$0$0$0$6,240$0$13,564$0$503,288$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF THE UNIVERSITY OF WASHINGTON, AND AS SUCH, HER COMPENSATION IS ESTABLISHED AND REVIEWED BY THE UNIVERSITY. COMPENSATION IS REVIEWED BY DISINTERESTED INDIVIDUALS WITHIN UW MEDICINE, REFERENCING RELEVANT COMPARATIVE DATA AND ALIGNING COMPENSATION TO PEER EXECUTIVES WITHIN UW MEDICINE.
PART I, LINE 4BALL OFFICERS FORMERLY PAID BY HEALTH RESOURCES NORTHWEST PARTICIPATED IN A 457(F) PLAN THAT IS NOW ADMINISTERED BY THE HOSPITAL. THIS INCLUDED GREGORY SCHROEDL WHO DID NOT RECEIVE A PAY OUT FROM HIS 457(F) PLAN DURING FISCAL YEAR 2016.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMERGENCY SERVICES NORTHWESTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$4,723,190TransactionAmt
TransactionSEE PART VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:FormAndLineReferenceDesc
Explanation(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: GREGORY SCHROEDL, AN OFFICER FOR NORTHWEST HOSPITAL & MEDICAL CENTER, IS A 50% OWNER IN EMERGENCY SERVICES NORTHWEST.(D) DESCRIPTION OF TRANSACTION: BUSINESS TRANSACTION WITH EMERGENCY SERVICES NORTHWEST TO PROVIDE HEALTH CARE SERVICES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6, VOLUNTEERS:HOSPITAL VOLUNTEERS PERFORM MANY NON-TECHNICAL SERVICES IN SUPPORT OF PATIENT CARE AND OTHER DEPARTMENTS. THEY ACT AS IN-HOUSE COURIERS, HELP RUN THE GIFT SHOP, WORK THE GREETER DESK AND ASSIST STAFF AS NEEDED. IN ADDITION, THERE ARE 9 VOLUNTEER BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 2PAUL RAMSEY, MD, IS THE CEO OF UW MEDICINE, EXECUTIVE VICE PRESIDENT FOR MEDICAL AFFAIRS AND DEAN OF THE SCHOOL OF MEDICINE, UNIVERSITY OF WASHINGTON. THE FOLLOWING INDIVIDUALS ARE ALSO EMPLOYED BY THE UNIVERSITY OF WASHINGTON AND REPORT DIRECTLY OR INDIRECTLY TO DR. RAMSEY IN THAT CAPACITY: CYNTHIA HECKER, JOHNESE SPISSO, LORI MITCHELL, AND SUE MANFREDI.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF UW MEDICINE NORTHWEST (DBA NORTHWEST HOSPITAL & MEDICAL CENTER) IS THE UNIVERSITY OF WASHINGTON.
FORM 990, PART VI, SECTION A, LINE 7APER THE BYLAWS, THE MEMBER APPOINTS AND REMOVES THE TRUSTEES ON NOMINATION BY THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BPER THE BYLAWS, THE MEMBER HAS MANY RESERVE POWERS INCLUDING, BUT NOT LIMITED TO, APPROVALS OF SALES OR TRANSFERS OF ASSETS; APPOINTMENT OF AUDITORS; ESTABLISHMENT OF SUBSIDIARY, AFFILIATED OR RELATED ENTITIES; APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS; ADOPTION OF MERGER, CONSOLIDATION OR DISSOLUTION PLAN; APPROVAL OF ACQUISITION OR TRANSFER OF REAL PROPERTY.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY UW MEDICINE NORTHWEST'S LEGAL COUNSEL, CONTROLLER, AND SENIOR DIRECTOR OF FINANCE, AS WELL AS THE ENTERPRISE FINANCE OFFICER AND ASSOCIATE VICE PRESIDENT OF UW MEDICINE FOR ACCURACY AND COMPLETENESS. ONCE COMPLETED, A COPY OF THE FORM 990 IS SUBMITTED TO THE FINANCE COMMITTEE AND UW MEDICINE NORTHWEST'S BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CNWHMC ADMINISTERS AN ANNUAL CONFLICT OF INTEREST SURVEY TO ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES. COMPLETED SURVEYS ARE THEN REVIEWED BY LEGAL COUNSEL TO DETERMINE WHETHER ANY FACTS EXIST THAT CREATE A POTENTIAL CONFLICT OF INTEREST. ANY IDENTIFIED CONFLICTS OF INTEREST ARE DISCLOSED IN THE BOARD MINUTES AND ALL DISCLOSURES ARE MADE AVAILABLE TO THE ENTIRE BOARD. WHEN A CONFLICT OF INTEREST DOES ARISE, THOSE INDIVIDUALS ARE REQUIRED BY THE CONFLICT OF INTEREST POLICY TO ABSTAIN FROM VOTING ON MATTERS THAT PERTAIN TO THE ISSUE.
FORM 990, PART VI, SECTION B, LINE 15THE NWH COMPENSATION COMMITTEE REVIEWS THE COMPENSATION OF EXECUTIVES AND OTHER INDIVIDUALS EMPLOYED BY NWH, INCLUDING PHYSICIANS AND THOSE EXECUTIVE EMPLOYEES WHO REPORT DIRECTLY TO THE EXECUTIVE DIRECTOR. THE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE COMPENSATION OF EMPLOYED KEY EXECUTIVES PERIODICALLY, MEASURING EXECUTIVE COMPENSATION AGAINST RELEVANT COMPARATIVE DATA. WHEN THIS OCCURS THE COMMITTEE ASSURES THAT THE DELIBERATIONS ARE CONDUCTED BY DISINTERESTED MEMBERS AND THAT THE PROCESS AND DELIBERATIONS ARE DOCUMENTED. CERTAIN OF THOSE EMPLOYEES, AND THE EXECUTIVE DIRECTOR, ARE EMPLOYEES OF THE UNIVERSITY OF WASHINGTON, AND AS SUCH, THEIR COMPENSATION IS REVIEWED AND ESTABLISHED BY THE UNIVERSITY. FOR THE NWH EXECUTIVE DIRECTOR, COMPENSATION IS REVIEWED BY DISINTERESTED INDIVIDUALS WITHIN UW MEDICINE, REFERENCING RELEVANT COMPARATIVE DATA AND ALIGNING COMPENSATION TO PEER EXECUTIVES WITHIN UW MEDICINE.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GTEMPORARY HELP: PROGRAM SERVICE EXPENSES 1,224,589. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,224,589. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 13,327,060. MANAGEMENT AND GENERAL EXPENSES 575,802. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,902,862. BILLING SERVICES: PROGRAM SERVICE EXPENSES 375,647. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 375,647. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 517,904. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 517,904. INTERPRETER SERVICES: PROGRAM SERVICE EXPENSES 293,097. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 293,097. OTHER SERVICES: PROGRAM SERVICE EXPENSES 30,021,778. MANAGEMENT AND GENERAL EXPENSES 14,061,947. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,083,725.
FORM 990, PART XI, LINE 9:ENDOWMENT TRANSFER FROM DISSOLUTION OF AFFILIATED ENTITY 1,943,293. CONTRIBUTIONS BOOKED TO EQUITY 245,486.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NORTHWEST ENT ASSOCIATES TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133456906738GRANTOR TRUSTWA$1,656,403$0UW MEDICINE NORTHWEST
NORTHWEST HOSPITAL INPATIENT SERVICES TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133266173905GRANTOR TRUSTWA$3,732,406$0UW MEDICINE NORTHWEST
UW-MEDICINE NORTHWEST PHYSICIANS
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133466199109GRANTOR TRUSTWA$46,061,167$0UW MEDICINE NORTHWEST
WESTERN WASHINGTON CARDIOLOGY TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133456220351GRANTOR TRUSTWA$3,526,265$0UW MEDICINE NORTHWEST

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 OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
NORTHWEST HOSPITAL FOUNDATION
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133911011603FUNDRAISINGWA501(C)(3)LINE 7UW MEDICINE NORTHWESTYes (1)
ASSOCIATION OF UNIVERSITY PHYSICIANS
701 5TH AVENUE SUITE 700SEATTLEWA98104911220843MEDICAL PRACTICEWA501(C)(3)LINE 11A, IUNIVERSITY OF WASHINGTON0
UW PHYSICIANS NETWORK
MS 354943SEATTLEWA98195911715882MEDICAL PRACTICEWA501(C)(3)LINE 11A, IUNIVERSITY OF WASHINGTON0
UNIVERSITY OF WASHINGTON
1959 NE PACIFIC STREETSEATTLEWA98195916001537EDUCATION AND MEDICAL CAREWAGOVERNMENTN/A0N/A
VALLEY MEDICAL CENTER
400 SOUTH 43RD STREETRENTONWA980555010916000986HOSPITALWAGOVERNMENTN/AUNIVERSITY OF WASHINGTON0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndShare Of EOY AssetsShareOfEOYAssetsAmt
SEATTLE ARTHRITIS CLINIC
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133203890258OFFICES OF PHYSICIANSWAUW MEDICINE NORTHWESTC$5,740,2211.00000Yes (1)
SPORTS MEDICINE GROUP
10330 MERIDIAN AVENUE NORTH SUITE 3SEATTLEWA98133911698413OFFICES OF PHYSICIANSWAUW MEDICINE NORTHWESTC$145,5411.00000Yes (1)
NEUROSURGICAL CONSULTANTS OF WA INC
801 BROADWAY SUITE 617SEATTLEWA98122911856460OFFICES OF PHYSICIANSWAUW MEDICINE NORTHWESTC$3,372,5061.00000Yes (1)$138,731
SUMMIT CARDIOLOGY
1550 NORTH 115TH STREET MS PZ-506SEATTLEWA98133273492322OFFICES OF PHYSICIANSWAUW MEDICINE NORTHWESTC$4,937,7171.00000Yes (1)$764,087
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
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 OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NEUROSURGICAL CONSULTANTS OF WA
A$29,943ACTUAL COST
NEUROSURGICAL CONSULTANTS OF WA
M$221,500ACTUAL COST
NORTHWEST HOSPITAL FOUNDATION
C$245,486ACTUAL COST
NORTHWEST HOSPITAL FOUNDATION
S$1,959,772BOOK VALUE
SEATTLE ARTHRITIS CLINIC
A$105,280ACTUAL COST
SEATTLE ARTHRITIS CLINIC
L$1,144,415ACTUAL COST
SPORTS MEDICINE GROUP
A$1,830ACTUAL COST
SUMMIT CARDIOLOGY
B$4,133,669ACTUAL COST
SUMMIT CARDIOLOGY
L$255,910ACTUAL COST
SUMMIT CARDIOLOGY
M$253,735ACTUAL COST
SUMMIT CARDIOLOGY
A$14,038ACTUAL COST
SUMMIT CARDIOLOGY
Q$1,080,764ACTUAL COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE R, PART V:FormAndLineReferenceDesc
ExplanationUW MEDICINE NORTHWEST ENGAGES IN A NUMBER OF TRANSACTIONS WITH RELATED PARTIES. THE UNIVERSITY OF WASHINGTON PROVIDES VARIOUS LEVELS OF SERVICES TO NORTHWEST HOSPITAL INCLUDING BUT NOT LIMITED TO: LABORATORY, PHARMACY, AND CARDIOVASCULAR PROGRAM ADMINISTRATION, RESIDENT, AND FACULTY SUPPORT, LAUNDRY SERVICES, INFORMATION TECHNOLOGY, ADVANCEMENT, COMPLIANCE, COMMUNITY RELATIONS STAFFING, MEDICAL STAFF OVERSIGHT, MARKETING, PROFESSIONAL LIABILITY INSURANCE, AND OTHER ADMINISTRATIVE AND OPERATIONAL SERVICES. SIMILARLY, UW MEDICINE NORTHWEST PROVIDES CERTAIN SERVICES SUCH AS RENTAL OF MEDICAL OFFICE BUILDING SPACE TO THE UNIVERSITY OF WASHINGTON AND ITS AFFILIATES. UW MEDICINE NORTHWEST ALSO ENGAGES IN A NUMBER OF TRANSACTIONS WITH ITS SUBSIDIARIES. THESE TRANSACTIONS ARE PRIMARILY FOR THE LEASE OF MEDICAL OFFICE SPACE, PURCHASE OF MEDICAL SERVICES, AND OTHER ADMINISTRATIVE AND OPERATIONAL NEEDS.ExplanationTxt

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