2017-08-15T14:12:21-05:00 2016-09-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2015-10-01 910564748 SEATTLE CHILDREN'S HOSPITAL SEAT 2069874846 PO BOX 5371 MS RC-507 SEATTLE WA 981455005 KELLY A WALLACE SENIOR VP & CFO 2069874846 2017-08-04 1 JANE M SEARING P00000565 4254544919 2017-08-11 2015 2021-01-29 14:40:06Z JEFF SPERRING MD PO BOX 5371 MS RC-507 SEATTLE WA 981455005 2931691337 0 8041 X WWW.SEATTLECHILDRENS.ORG X 1907 WA AT SEATTLE CHILDREN'S HOSPITAL, WE WILL PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. 23 20 6974 685 1347897 479145 130967380 141913396 1120251220 1172052713 39722137 41567611 19532130 34126888 1310472867 1389660608 18443178 20347095 0 0 540553777 586788469 0 0 0 546981608 558327110 1105978563 1165462674 204494304 224197934 2589145957 2896162830 854312446 873842899 1734833511 2022319931 WE BELIEVE ALL CHILDREN HAVE UNIQUE NEEDS AND SHOULD GROW UP WITHOUT ILLNESS OR INJURY. WITH THE SUPPORT OF THE COMMUNITY AND THROUGH OUR SPIRIT OF INQUIRY, WE WILL PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. (SEE THE COMMUNITY BENEFIT REPORT IN SCHEDULE O.) 0 0 904582882 5023375 1145074578 PATIENT CARE: SEATTLE CHILDREN'S HOSPITAL (SEATTLE CHILDREN'S) PROVIDES SUPERIOR MEDICAL CARE TO CHILDREN FROM WASHINGTON, ALASKA, MONTANA AND IDAHO, SERVING THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. IN ADDITION, FAMILIES LIVING BEYOND OUR PRIMARY SERVICE REGION INCREASINGLY SEEK CARE FROM OUR WORLD-RENOWNED SPECIALISTS IN PROGRAMS SUCH AS CANCER, ORGAN TRANSPLANTS AND CRANIOFACIAL SPECIALTIES. IN FISCAL YEAR 2016, SEATTLE CHILDREN'S MEDICAL TEAM TREATED KIDS OF ALL AGES DURING 420,996 PATIENT VISITS, INCLUDING 15,834 ADMISSIONS TO THE HOSPITAL AND 43,147 VISITS TO OUR EMERGENCY DEPARTMENT. WE PERFORMED 14,931 DAY SURGERIES AND CARED FOR CHILDREN DURING 347,084 APPOINTMENTS IN OUTPATIENT CLINICS. 144902000 15323720 28269938 RESEARCH: BECAUSE RESEARCH IS THE FOUNDATION OF SEATTLE CHILDREN'S MISSION TO PREVENT, TREAT, AND ELIMINATE PEDIATRIC DISEASE, SEATTLE CHILDREN'S INVESTED $34 MILLION IN RESEARCH DURING FISCAL YEAR 2016. SEATTLE CHILDREN'S INVESTIGATORS ARE ADVANCING SCIENTIFIC UNDERSTANDING OF IMPORTANT BIOLOGICAL PROCESSES AND INFLUENCING THE PRACTICE OF PEDIATRICS AROUND THE WORLD. 33138846 5708194 EDUCATION: SEATTLE CHILDREN'S IS THE MAJOR RESOURCE FOR PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAMS IN OUR REGION. RESIDENTS AND FELLOWS FROM 71 PROGRAMS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), 3 PROGRAMS ACCREDITED BY THE AMERICAN DENTAL ASSOCIATION (ADA), AND 8 NON-ACGME ACCREDITED SUBSPECIALTY PROGRAMS ROTATED AT SEATTLE CHILDREN'S IN ACADEMIC YEAR 2016. SEATTLE CHILDREN'S HAS DEVELOPED CURRICULUM AND EVALUATION METHODS THAT ASSESS AND ASSURE RESIDENT COMPETENCY IN SIX MAIN AREAS: PATIENT CARE, MEDICAL KNOWLEDGE, PRACTICE-BASED LEARNING, INTERPERSONAL AND COMMUNICATIONS SKILLS, PROFESSIONALISM, AND SYSTEM-BASED PRACTICE. 1082623728 1 1 0 1 0 1 0 0 0 1 1 1 1 0 1 0 1 1 0 0 1 1 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 0 1 599 0 1 6974 1 1 1 0 0 0 0 0 0 0 0 0 X 23 20 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X WARREN E HEWITT VP FINANCE 2069874846 4300 ROOSEVELT WAY NE 5TH FLOOR SEATTLE WA 981054718 DEAN ALLEN TRUSTEE 4.00 0.00 X 0 0 0 JOEL BENOLIEL TREASURER 4.00 0.00 X X 0 0 0 SUSAN BETCHER TRUSTEE 2.00 0.00 X 0 0 0 PAT CHAR TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL DELMAN TRUSTEE 4.00 0.00 X 0 0 0 ROY DIAZ PHD TRUSTEE 6.00 0.00 X 0 0 0 ROBERT FLOWERS TRUSTEE 2.00 1.00 X 0 0 0 COLIN FOX PHD TRUSTEE 6.00 0.00 X 0 0 0 DEBORAH HAUG TRUSTEE 2.00 0.00 X 0 0 0 JUDY HOLDER CHAIR/TRUSTEE 15.00 1.00 X X 0 0 0 CYNTHIA HUFFMAN TRUSTEE 3.00 0.00 X 0 0 0 JIM LADD TRUSTEE 3.00 0.00 X 0 0 0 MONA LEE LOCKE TRUSTEE 2.00 0.00 X 0 0 0 PATRICIA LOERA TRUSTEE 2.00 0.00 X 0 0 0 SUSAN MASK SECRETARY 3.00 0.00 X X 0 0 0 JEFF NITTA TRUSTEE 2.00 0.00 X 0 0 0 LAURIE OKI TRUSTEE 3.00 1.00 X 0 0 0 JUDITH PIERCE TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL REEVES TRUSTEE 3.00 0.00 X 0 0 0 ROB ROSKIN MD TRUSTEE 2.00 0.00 X 0 0 0 NANCY SENSENEY CHAIR ELECT/CHAIR 10.00 1.00 X X 0 0 0 MICHELE SMITH TRUSTEE 3.00 3.00 X 0 0 0 CHARLES STEVENS TRUSTEE/VICE CHAIR 8.00 0.00 X X 0 0 0 ALVIN WINTERROTH TRUSTEE 3.00 0.00 X 0 0 0 KELLY WALLACE SENIOR VP & CHIEF FINANCIAL OFFICER 41.00 15.00 X 506487 165866 120380 JEFF SPERRING MD CEO/NON-VOTING EX-OFFICIO TRUSTEE 42.00 15.00 X 449462 148872 141203 THOMAS HANSEN MD CEO THRU MAY 2015/PRINC INVESTIGATOR 45.00 0.00 X 1110757 180366 272910 LISA BRANDENBURG PRESIDENT - HOSPITAL 55.00 1.00 X 812050 0 152454 SANFORD MELZER MD EXEC VP-NETWORKS & POPULATION HEALTH 55.00 0.00 X 606952 152931 129551 MARK DEL BECCARO MD SR VP-CHIEF MED OFF/NON-VOTING TRUST 55.00 1.00 X 557572 0 99801 JAMES HENDRICKS PHD PRESIDENT - RESEARCH INSTITUTE 55.00 0.00 X 518791 0 105599 SUSAN HEATH SENIOR VP & CHIEF NURSING OFFICER 55.00 0.00 X 460769 0 29168 CINDY GAZECKI SENIOR VP - HOSPITAL OPERATIONS 55.00 0.00 X 441800 0 96513 SUZANNE PETERSEN COS TO CEO & VP - EXT. AFFAIRS 55.00 0.00 X 428637 0 44390 ERIK LAUSUND VP - RESEARCH OPERATIONS & LOGISTICS 55.00 0.00 X 374621 0 39992 JEFFREY SCONYERS SENIOR VP & GENERAL COUNSEL 27.50 27.50 X 193331 179313 76144 WARREN HEWITT VP - FINANCE 55.00 0.00 X 351338 0 38346 CARA BAILEY SR VP-CONTINUOUS PERFORMANCE IMPROVE. 55.00 0.00 X 350715 0 64714 TODD JOHNSON VP - FACILITIES 55.00 0.00 X 340855 0 46457 STEPHANIE AXELROD VP-COMMUNITY & STRATEGIC INITIATIVES 55.00 0.00 X 323905 0 47849 ALEXANDER GARRARD VP - HUMAN RESOURCES 55.00 0.00 X 274620 0 47877 JENNIFER BECKER VP - AMBULATORY SERVICES 55.00 0.00 X 255538 0 33383 KATHY JO FREEMAN VP - PERIOP. & SURGICAL SERV. LINES 55.00 0.00 X 250705 0 46806 EDWIN WRIGHT SENIOR VP & CHIEF INFO. OFFICER 55.00 0.00 X 235243 0 40197 GREGORY BLACKBURN VP - CLINICAL SUPPORT SERVICES 55.00 0.00 X 217468 0 19359 MICHAEL MURPHY VP - ACCOUNTABLE CARE NETWORK 55.00 0.00 X 199384 0 7619 DOUGLAS PICHA PRESIDENT - FOUNDATION 5.50 50.50 X 88699 630204 106691 MARK EGBERT DDS CHIEF - ORAL & MAXILLOFACIAL SURGERY 55.00 0.00 X 540424 0 49438 MICHAEL ASTION MD MEDICAL DIRECTOR - LABORATORIES 55.00 0.00 X 501205 0 46558 JAMES CHRISTIANSEN MD CARDIOLOGIST 55.00 0.00 X 461945 0 43581 CRAIG RUBENS MD PHD EXECUTIVE DIRECTOR - GAPPS 55.00 0.00 X 447580 0 40394 DAVID FISHER MD FORMER SR VP & CHIEF MEDICAL OFFICER 0.00 0.00 X 227089 0 13625 11527942 1457552 2000999 981 1 1 0 CHILDREN'S UNIVERSITY MEDICAL GROUP PO BOX 50010 SEATTLE WA 98105 PHYSICIAN SERVICES 87213877 SELLEN CONSTRUCTION 227 WESTLAKE AVENUE NORTH SEATTLE WA 98109 CONSTRUCTION 34185274 UNIVERSITY OF WASHINGTON PO BOX 358220 SEATTLE WA 98195 RESIDENTS & INTERNS 30262110 LEASE CRUTCHER LEWIS 107 SPRING STREET SEATTLE WA 98104 CONSTRUCTION 15145822 ALDRICH AND ASSOCIATES INC 810 240 STREET SE BOTHELL WA 98021 CONSTRUCTION 14328165 307 70560216 64516604 6836576 2785038 141913396 PATIENT SVC REVENUES 621500 1136801867 1136801867 OTHER HEALTHCARE SVCS 621500 34105568 32757671 1347897 INVESTMENT PROV CHILD 621500 600000 600000 WHALE GIFT SHOP 453220 545278 545278 1172052713 28066871 28066871 419453 419453 10544240 4326835 6217405 6217405 6217405 1551196809 7825 1537072462 631432 14124347 -623607 13500740 13500740 GAIN-DEBT FORGIVENESS 900099 19740033 19740033 CAFETERIA 722212 3758149 3758149 PARKING 812930 3241848 3241848 750000 750000 27490030 1389660608 1170159538 1347897 76239777 18315340 18315340 127787 127787 1903968 1903968 9889890 9889890 409535 379652 29883 450951611 418046971 32904640 25907858 24017436 1890422 65059172 60311992 4747180 34570403 32047900 2522503 2533664 2348790 184874 431806 400298 31508 379062 379062 1230985 1141164 89821 80035166 74195231 5839935 2450274 2271485 178789 144429465 133890863 10538602 15684046 14539626 1144420 21250354 19699777 1550577 4766031 4418267 347764 1263755 1171542 92213 22307941 20680195 1627746 73833201 68445805 5387396 6012482 5573769 438713 PHYSICIANS SERVICES 131810153 131810153 LICENSES & TAXES 34237297 31739100 2498197 BAD DEBT EXPENSE 2900877 2900877 UBI TAXES 383156 383156 12387395 11483522 903873 1165462674 1082623728 82838946 0 21504999 43519690 44370195 49859528 5240267 5935613 188653271 185581046 6222657 6409337 10503327 12550926 12920256 16333043 1675816676 654765661 969912251 1021051015 820550745 1006401534 311701961 352458157 160225198 154541809 6892532 6350560 30448298 35170572 2589145957 2896162830 155840686 162273686 626992856 615872065 19956758 0 51522146 95697148 854312446 873842899 X 1363937410 1618581137 116088431 139915331 254807670 263823463 1734833511 2022319931 2589145957 2896162830 X 224197934 23672926 39615560 X 0 1 X 1 1 1 X 108394674 128241214 116550644 130967380 141913396 626067308 108394674 128241214 116550644 130967380 141913396 626067308 35358316 590708992 18776508 13392514 17945000 27132475 39030564 116277061 193627 145624 441244 452668 480145 1713308 9790406 20490033 30280439 774338116 5054583743 0.76290 0.78890 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: GAIN ON FORGIVENESS OF DEBT - 2014 AMOUNT: $ 9,790,406. 2015 AMOUNT: $ 19,740,033. LITIGATION SETTLEMENT - 2015 AMOUNT: $ 750,000. SCHEDULE A, PARTS I AND II: AS INDICATED ON PART I, SEATTLE CHILDREN'S IS A HOSPITAL DESCRIBED IN SECTION 170(B)(1)(A)(III). HOWEVER, THE SUPPORT SCHEDULE ON PART II HAS BEEN PREPARED IN ORDER TO DEMONSTRATE THAT IT ALSO QUALIFIES AS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 379062 379062 379062 379062 1168231693 1266460440 1168610755 1266839502 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 318904 588370 341775 379062 1628111 250000 250000 250000 250000 1000000 1500000 PART II-A, AFFILIATED GROUP STATEMENT: SEATTLE CHILDREN'S HOSPITAL, EIN: 91-0564748 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 379,062 OTHER EXEMPT PURPOSE EXPENDITURES: 1,168,231,693 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,168,610,755 SEATTLE CHILDREN'S HOSPITAL HAS A 501(H) ELECTION SEATTLE CHILDREN'S HEALTHCARE SYSTEM, EIN: 91-1250116 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 8,394,765 TOTAL EXEMPT PURPOSE EXPENDITURES: 8,394,765 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL FOUNDATION, EIN: 91-1156519 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 69,494,795 TOTAL EXEMPT PURPOSE EXPENDITURES: 69,494,795 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION, EIN: 91-1394056 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 15,756,026 TOTAL EXEMPT PURPOSE EXPENDITURES: 15,756,026 NO 501(H) ELECTION WAS MADE CHILDREN'S RETAIL, EIN: 91-1998909 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 4,583,161 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,583,161 NO 501(H) ELECTION WAS MADE 3 650 25500 960102 1 1 342807000 4574000 29475000 8715000 368141000 343981000 10256000 -3157000 8273000 342807000 318219000 3339000 29991000 7568000 343981000 285708000 4773000 34516000 6778000 318219000 249976000 2947000 38833000 6048000 285708000 0.52850 0.37920 0.09230 0 1 1 203548113 203548113 871209965 308887025 562322940 31007849 13115908 17891941 472189524 326830691 145358833 97861225 5932037 91929188 1021051015 POOLED INVESTMENTS 349197758 F DEFERRED COMPENSATION PLANS 2263697 F OIL LEASES 18500 C LIFE INSURANCE 31102 F INVESTMENT IN HCSA PROPERTIES, LLC 947100 C 352458157 BENEFICIAL INTEREST IN SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) 138187268 F RECEIVABLE FROM SCHS - SCRI INVESTMENT 10528741 C INVESTMENT IN PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC 5825800 C 154541809 SWAP MTM VALUE - BONDS 26040679 DEFERRED COMPENSATION PLAN PAYABLE 2263697 DEFERRED AND OTHER LIABILITIES 12254207 PAYABLE TO AFFILIATE 6871957 DUE TO BROKERS FOR SECURITIES PURCHASED 48266608 95697148 1453998698 23672926 38319314 61992240 1392006458 1230985 -3576835 -2345850 1389660608 1166512278 5399622 5399622 1161112656 1230985 3119033 4350018 1165462674 PART V, LINE 4: SEATTLE CHILDREN'S HOSPITAL AND SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) SHARE IN A UNIFIED ENDOWMENT FUND (UEF) THAT IS MANAGED BY SCHS. SEATTLE CHILDREN'S HOSPITAL'S TEMPORARILY AND PERMANENTLY RESTRICTED ASSETS REFLECT ENDOWMENTS WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN SCHS 5,910,770. TRANSFER OF PROPERTY FROM SCHS 35,527,577. BAD DEBT EXPENSE -2,900,877. UBI TAX EXPENSE -218,156. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -4,326,835. PROCEEDS INCLUDED WITH NONOPERATING EXPENSES ON AUDITED FINANCIAL STATEMENTS 750,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 4,326,835. CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS 1,822,787. PROCEEDS INCLUDED WITH NONOPERATING EXPENSES ON AUDITED FINANCIAL STATEMENTS -750,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 2,900,877. UBI TAX EXPENSE 218,156. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 159848389 SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 1012432 NORTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 637806 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 245262 SOUTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 8468 NORTH AMERICA 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES 824000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES 410000 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES 11000 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES 10000 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES 5000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 151000 NORTH AMERICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 65000 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 64000 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND AID SITES 26000 SOUTH AMERICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 23000 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 22000 SOUTH ASIA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 6000 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 4000 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES LEADERSHIP TRAINING IN JAPAN ON CONTINUOUS PERFORMANCE IMPROVEMENT (LEAN) 189394 SOUTH ASIA 0 0 PROGRAM SERVICES TRAVEL, SUPPLIES, & HONORARIUMS FOR COHORT SITE VISITS AND MEETINGS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM 83654 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES TRAVEL & EVENTS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM 37798 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES TRAVEL & EVENTS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM 28214 NORTH AMERICA 0 0 PROGRAM SERVICES TRAVEL & EVENTS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM 12642 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES TRAVEL & EVENTS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM 693 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES PATIENT ACCOUNT REFUNDS 73000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES PATIENT ACCOUNT REFUNDS 9000 RUSSIA AND NEIGHBORING STATES 0 0 PROGRAM SERVICES PATIENT ACCOUNT REFUNDS 4000 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES TRAVEL TO INTERNATIONAL HOSPITALS TO MAINTAIN GLOBAL RELATIONSHIPS AND PEDIATRIC REFERRALS 29649 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES TRAVEL TO INTERNATIONAL HOSPITALS TO MAINTAIN GLOBAL RELATIONSHIPS AND PEDIATRIC REFERRALS 12331 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES PEDIATRIC HEALTHCARE - GLOBAL HEALTH PATHWAY RESIDENCY PROGRAM 37606 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES PARTNERS IN AFRICA CLEFT TRAINING 16603 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION EAST ASIA AND THE PACIFIC 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION NORTH AMERICA 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION SUB-SAHARAN AFRICA 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION MIDDLE EAST AND NORTH AFRICA 0 0 RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION 0 0 0 0 0 0 162997357 910584 163907941 SUB-SAHARAN AFRICA PREVENTING PRETERM BIRTH INITIATIVE 850283 WIRE TRANSFER NORTH AMERICA PREVENTING PRETERM BIRTH INITIATIVE 350358 WIRE TRANSFER EUROPE (INCLUDING ICELAND & GREENLAND) PREVENTING PRETERM BIRTH INITIATIVE 245262 WIRE TRANSFER NORTH AMERICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 121355 CASH PAYMENT NORTH AMERICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 87217 CASH PAYMENT NORTH AMERICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 77676 CASH PAYMENT SUB-SAHARAN AFRICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 152040 CASH PAYMENT SUB-SAHARAN AFRICA PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 10109 CASH PAYMENT 5 3 0 0 0 0 0 1 PART I, LINE 2: ORGANIZATIONS SELECTED AS GRANTEES UNDER THE GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH (GAPPS) PROGRAM ARE REQUIRED TO PROVIDE WRITTEN AND FINANCIAL REPORTS. THESE REPORTS ARE PREPARED ON AN INTERIM BASIS AS WELL AS AT THE END OF THE FISCAL YEAR. ADDITIONALLY, PRINCIPAL INVESTIGATORS HAVE QUARTERLY CHECK-IN PHONE CALLS AND ATTEND AN ANNUAL INVESTIGATORS MEETING IN SEATTLE TO REPORT ON THEIR PROGRESS. PART I, LINE 3: THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR EXPENDITURES. PART IV, LINE 6 SEATTLE CHILDREN'S HOSPITAL HAS NO OPERATIONS IN A BOYCOTTING COUNTRY. AS PART OF THEIR HOSPITAL-TO-HOSPITAL AND PHYSICIANS-TO-PHYSICIANS CONNECTIONS, IN ORDER TO INCREASE PATIENT REFERRALS FROM COUNTRIES THAT DO NOT HAVE ADVANCED MEDICAL TREATMENT LOCALLY, PHYSICIANS HAVE TRAVELED AND CONDUCTED MEETINGS WITH HOSPITAL ADMINISTRATORS AND PHYSICIANS IN BOYCOTTING COUNTRIES. PATIENTS FROM THESE BOYCOTTING COUNTRIES ARE SPONSORED BY THEIR GOVERNMENT AND SEEK TREATMENT IN THE UNITED STATES. SOME PATIENTS WILL PAY FOR THEIR OWN TREATMENT HOWEVER NO PAYMENT OR CASH WAS TRANSFERRED BETWEEN SEATTLE CHILDREN'S HOSPITAL AND THE LOCAL HOSPITALS IN THESE BOYCOTTING COUNTRIES. 1 1 X 1 X 400.000000000000 1 X 599.000000000000 1 1 0 1 1 1 15798 11470000 1258000 10212000 0.00880 17 166168 443991000 327520000 116471000 0.10020 18 181966 455461000 328778000 126683000 0.10900 161 14522973 6740607 7782366 0.00670 82 33138846 8507397 24631449 0.02120 8 132129128 102445326 29683802 0.02550 23 2427200 210947 2216253 0.00190 274 182218147 117904277 64313870 0.05530 292 181966 637679147 446682277 190996870 0.16430 1 500 500 0.00000 11 808706 34679 774027 0.00070 2 16351 16351 0.00000 2 21880 21880 0.00000 1 1000 1000 0.00000 4 33016 33016 0.00000 7 336115 336115 0.00030 3 338359 338359 0.00030 31 1555927 34679 1521248 0.00130 1 1223120 0 4450789 6681937 -2231148 X 1 1 1 1 SEATTLE CHILDREN'S HOSPITAL 4800 SAND POINT WAY NE SEATTLE WA 98105 WWW.SEATTLECHILDRENS.ORG 178019356 X X X X X X SEATTLE CHILDREN'S HOSPITAL 1 0 0 1 X X X X X X X X X X 12 1 0 0 1 X WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT X X 1 12 1 WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT 0 0 1 X 400.000000000000 599.000000000000 X X X 1 1 X X X 1 X SEATTLECHILDRENS.ORG/CLINICS-PROGRAMS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE X FINASST.SEATTLECHILDRENS.ORG X SEATTLECHILDRENS.ORG/CLINICS-PROGRAMS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE X X X X 1 X 0 X 1 X 0 0 SEATTLE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 3J: SEATTLE CHILDREN'S CONDUCTED ITS FIRST COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2013 TO COVER THE PERIOD 2013-2016 (TAX YEARS 2012-2015) IN ORDER TO:- UNDERSTAND HEALTH AND SAFETY ISSUES FACING UNDERSERVED POPULATIONS WHO EXPERIENCE HEALTH DISPARITIES, USING EXISTING DATA AND THE PERSPECTIVES OF COMMUNITY STAKEHOLDERS AND FAMILIES.- IDENTIFY STRENGTHS, EXISTING PROGRAMS AND ACTIVITIES THAT ARE HELPING THE COMMUNITY THRIVE.- INFORM OUR COMMUNITY BENEFIT EFFORTS BY DETERMINING WHERE THE COMMUNITY NEEDS ALIGN WITH SEATTLE CHILDREN'S STRATEGIC PLAN OR AREAS IN WHICH WE HAVE SIGNIFICANT EXPERTISE.THROUGH THIS FIRST THOROUGH CHNA, WE HAVE GAINED A BETTER UNDERSTANDING OF THE NEEDS AND RESOURCES OF THE COMMUNITIES WE SERVE. THE NEEDS ASSESSMENT LAYS THE FOUNDATION FOR OUR COMMUNITY BENEFIT PLAN, WHICH WILL GUIDE HOW WE WILL CONTINUE TO FULFILL OUR COMMITMENT TO CHILDREN, TEENS AND FAMILIES, IN PARTNERSHIP WITH HEALTH ORGANIZATIONS, GOVERNMENT, BUSINESSES AND COMMUNITIES.SEATTLE CHILDREN'S CHNA HIGHLIGHTS JUST A FEW OF THE MANY DEDICATED GOVERNMENT, NONPROFIT AND PRIVATE ORGANIZATIONS SERVING OUR COMMUNITY'S MOST VULNERABLE POPULATIONS. COALITIONS SUCH AS CHILDHOOD OBESITY PREVENTION COALITION AND THE HEALTH COALITION FOR CHILDREN AND YOUTH ARE POWERFUL ADVOCATES FOR CHILDREN AND FAMILIES. ORGANIZATIONS AND PROVIDERS LIKE COMMUNITY HEALTH CLINICS, UNIVERSITY OF WASHINGTON, HARBORVIEW MEDICAL CENTER, YAKIMA CHILDREN'S VILLAGE, YOUTHCARE, THE CHILDREN'S ALLIANCE AND WITHINREACH OFFER EDUCATION, ADVOCACY, CLINICAL CARE, RESEARCH AND DIRECT SERVICES TO HELP CHILDREN, YOUTH AND FAMILIES GET THE HEALTHCARE AND PREVENTIVE SERVICES THEY NEED. STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS ARE KEY TO GETTING ESSENTIAL DATA AND TO HELPING FOSTER PROGRAM, POLICY AND SYSTEM CHANGE.IN THE CHNA, THE FOLLOWING THEMES EMERGED FROM OUR QUALITATIVE RESEARCH:- POVERTY PLAYS A LARGE ROLE IN FAMILIES' ABILITY TO ACCESS SERVICES.- OBESITY IS A SHARED CONCERN. CONTRIBUTING FACTORS INCLUDE LIMITED SCHOOL-BASED PHYSICAL EDUCATION, NEIGHBORHOODS THAT ARE NOT CONDUCIVE TO PHYSICAL ACTIVITY, A LACK OF HEALTHY FOODS IN SCHOOLS AND LOCAL STORES, AND THE HIGH COST OF SPORTS AND RECREATION OPPORTUNITIES. - ACCESS TO MENTAL HEALTH SERVICES IS LACKING. MENTAL HEALTH SERVICES ARE NOT LOCALLY AVAILABLE AND COST TOO MUCH MONEY. INDIVIDUALS MAY NOT SEEK MENTAL HEALTH SERVICES BECAUSE OF THE STIGMA ASSOCIATED WITH MENTAL ILLNESS. - PARENTS WANT MORE INFORMATION TO BE READILY AVAILABLE TO THEM, GRANDPARENTS AND OTHER CAREGIVERS ABOUT HOW TO KEEP THEIR CHILDREN SAFE AND HEALTHY. THEY FACE CHALLENGES WITH NAVIGATING THE HEALTHCARE SYSTEM. - COMMUNICATION BETWEEN HEALTHCARE PROVIDERS, SCHOOLS AND FAMILIES IS CRITICAL TO GOOD HEALTH.- RURAL WASHINGTON AND SOUTH KING COUNTY ARE GEOGRAPHIC AREAS IN NEED. TEENS, REFUGEES AND IMMIGRANT FAMILIES ARE UNDERSERVED POPULATIONS. - CULTURALLY RELEVANT SERVICES ARE NEEDED. LANGUAGE, IMMIGRATION STATUS, COST, TRANSPORTATION AND LACK OF EDUCATION ABOUT THE HEALTHCARE SYSTEM ARE BARRIERS IN KNOWING ABOUT AND ACCESSING SERVICES AND ACTIVITIES.ASSESSMENT RESULTS HAVE VALIDATED OUR EXISTING WORK AND HAVE HELPED US PRIORITIZE WHERE AND HOW TO FOCUS OUR NEW WORK. GIVEN THE COMPLEXITY OF COMMUNITY NEEDS AND THE FINITE RESOURCES AVAILABLE TO MEET THEM, WE HAVE DIFFICULT CHOICES. WE BELIEVE THAT BY WORKING IN PARTNERSHIP WITH OTHERS, OUR EFFORTS WILL BE AMPLIFIED THROUGHOUT THE COMMUNITY.FOR SEATTLE CHILDREN'S COMMUNITY BENEFIT PLAN, WE HAVE IDENTIFIED FIVE PRIORITY AREAS: - ACCESS TO HIGH QUALITY HEALTHCARE- COORDINATED CARE FOR CHILDREN AND TEENS WITH CHRONIC CONDITIONS- HEALTH EQUITY AND ACCESS IN SOUTH KING COUNTY- OBESITY - MENTAL AND BEHAVIORAL HEALTHWE HAVE SUSTAINED FOUR OTHER COMMUNITY BENEFIT PROGRAMS:- ADOLESCENT HEALTH- INJURY PREVENTION (BOTH INTENTIONAL AND UNINTENTIONAL INJURY)- SERVICES FOR CHILDREN WITH SPECIAL NEEDS- PARENT AND FAMILY EDUCATION AND RESOURCESOUR PRIORITIES HAVE BEEN APPROVED BY THE SEATTLE CHILDREN'S HOSPITAL GOVERNING BOARD OF TRUSTEES AND INCORPORATED INTO THE HOSPITAL'S OPERATING, COMMUNITY OUTREACH AND STRATEGIC INITIATIVES.THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON OUR WEBSITE: WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT.THE COMMUNITY BENEFIT IMPLEMENTATION PLAN IS AVAILABLE ON OUR WEBSITE: WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT. SEATTLE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: IN THE 2013-2016 COMMUNITY HEALTH NEEDS ASSESSMENT (TAX YEARS 2012-2015), SEATTLE CHILDREN'S COMPILED EXISTING CHILD AND ADOLESCENT HEALTH DATA TO DESCRIBE SOCIAL DETERMINANTS OF HEALTH AND SOLICITED DIRECT FEEDBACK FROM COMMUNITY STAKEHOLDERS AND FAMILIES. TO GATHER INFORMATION AND ASSESS COMMUNITY NEEDS AND STRENGTHS, WE CONDUCTED:- A REVIEW OF PUBLIC HEALTH INDICATORS AND AREA DEMOGRAPHICS FROM EXISTING SOURCES- AN ONGOING DATA ANALYSIS WITH OUR LOCAL PUBLIC HEALTH DEPARTMENT- AN ONLINE SURVEY OF 74 COMMUNITY LEADERS REPRESENTING 57 CHILD HEALTHRELATED ORGANIZATIONS ACROSS THE STATE THAT SERVE POPULATIONS THAT ARE HISTORICALLY UNDERSERVED OR ARE EXPERIENCING HEALTH DISPARITIES- INTERVIEWS WITH CHILDREN'S PHYSICIANS AND STAFF LEADERS, 10 PUBLIC HEALTH EXPERTS AND COMMUNITY REPRESENTATIVES- PARENT LISTENING GROUPS (IN ENGLISH, SPANISH AND WITH OUR FAMILY ADVISORY COUNCIL)WE USED TWO FRAMEWORKS, THE SOCIAL-ECOLOGICAL AND THE SPECTRUM OF PREVENTION MODELS TO GATHER BACKGROUND ON 24 AREAS OF NEED, INCLUDING ASTHMA, INJURIES, MENTAL HEALTH, OBESITY, ORAL HEALTH, ACCESS TO CARE, AND CHILDREN WITH CHRONIC CONDITIONS. WE ALSO REVIEWED EXISTING STRENGTHS, PROGRAMS AND SERVICES THAT FOCUS ON CHILD AND TEEN HEALTH AND SAFETY ISSUES. SEATTLE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 7D: SEATTLE CHILDREN'S EMAILED AN ELECTRONIC COPY OF THE CHNA TO ANYONE UPON REQUEST, INCLUDING THOSE WHO OPTED IN TO RECEIVE ONE AT OUR COMMUNITY BENEFIT FORUMS. SEATTLE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: OUR 2013-2016 CHNA (APPLICABLE TO TAX YEARS 2012-2015) CENTERS ON THE NEEDS OF FAMILIES, CHILDREN AND YOUTH OF WASHINGTON STATE AND, SPECIFICALLY, KING COUNTY, WITH A SPECIAL FOCUS ON SOUTH KING COUNTY. OUR CHNA IDENTIFIED SIX SIGNIFICANT NEEDS STATEWIDE, ALL OF WHICH ARE BEING ADDRESSED BY PROGRAMMING THAT SEATTLE CHILDREN'S OFFERS. BELOW IS AN ACCOUNTING OF THE NEEDS IDENTIFIED AND OUR RESPONSE TO EACH.THE CHNA RESEARCH YIELDED THE FOLLOWING ABOUT THE HEALTH NEEDS OF THE COMMUNITY WE SERVE:- ALL COUNTIES IN WASHINGTON STATE, EXCLUDING KING COUNTY, HAVE A SHORTAGE OF PRIMARY MENTAL OR DENTAL CARE PROVIDERS. THROUGH OUR COMMUNITY BENEFIT PROGRAM, WE INVEST IN AND DEVELOP NEW HEALTH CARE PROVIDERS VIA OUR HEALTH PROFESSIONS EDUCATION.- IN A SURVEY OF PEDIATRICIANS IN WASHINGTON STATE, 47.9% REPORTED ACCEPTING ALL NEW MEDICAID PATIENTS. LOW PROVIDER PAYMENT WAS THE NUMBER ONE BARRIER TO PARTICIPATION IN MEDICAID. AT SEATTLE CHILDREN'S WE STRIVE TO ENSURE PATIENTS HAVE EXCEPTIONAL AND EQUAL ACCESS TO HIGH QUALITY HEALTH CARE REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY.- THE LEADING CAUSES OF DEATH AMONG WASHINGTON CHILDREN ARE UNINTENTIONAL INJURIES, BIRTH DEFECTS, SUICIDE, MATERNAL COMPLICATIONS, SUDDEN INFANT DEATH SYNDROME (SIDS), CANCER, PREMATURITY, AND HOMICIDE. SINCE THE LEADING CAUSE OF DEATH IS UNINTENTIONAL INJURY, WE HAVE PROGRAMS THAT FOCUS ON THE LEADING CAUSES OF INJURY DEATHS. IN ORDER, THEY ARE: FOR THE BIRTH - 1 POPULATION: SUFFOCATION, HOMICIDE AND MOTOR VEHICLE CRASHES. FOR AGES 1-4: DROWNING, HOMICIDE AND MOTOR VEHICLE CRASHES. FOR AGES 5-14: MOTOR VEHICLE CRASHES AND DROWNING. FOR AGES 15-19: MOTOR VEHICLE CRASHES, SUICIDE AND POISONING. AS SUCH, WE HAVE HELPED TO DEVELOP OPEN-WATER DROWNING PREVENTION POLICIES USED BY THE STATEWIDE DROWNING PREVENTION COALITION WHERE WE AIM TO TAILOR OUR MESSAGE ACCORDING TO THE DEVELOPMENTAL LEVEL AS WELL AS THE KNOWLEDGE, BELIEFS AND BEHAVIORS OF EACH GROUP WE SERVE. IN ADDITION, WE OFFER MULTIPLE CAR SEAT CHECKS EACH YEAR, WITH TECHNICIANS WORKING ALONGSIDE PARENTS AND CAREGIVERS TO CHECK THE WAY CAR SEATS ARE INSTALLED. OUR TECHNICIANS ALSO SHARE THE CORRECT WAY TO MOST SAFELY SECURE A CHILD IN A MOTOR VEHICLE. - YOUTH WITH DISABILITIES ARE MORE LIKELY TO BE AT RISK FOR UNINTENTIONAL INJURY, DEPRESSION, SUICIDE, ABUSE, AND USE TOBACCO, ALCOHOL OR MARIJUANA. ADDITIONALLY, OUR CENTER FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS (CSHCN) PROVIDES INFORMATION AND RESOURCES FOR PROVIDERS, FAMILIES, AND YOUTH TO MANAGE THEIR HEALTH AND CHRONIC CONDITIONS.- MANY OF OUR PATIENTS HAVE COMPLEX HEALTHCARE NEEDS, AND THROUGH COORDINATED CARE, WE ARE IMPROVING THE WAYS WE WORK WITH OUR PATIENTS WHEN THEY ARE NOT IN THE HOSPITAL AND ARE IMPROVING WAYS WE CONSISTENTLY COORDINATE CARE WITH THEIR OTHER PROVIDERS. THROUGH COORDINATED CARE, WE AIM TO NOT ONLY IMPROVE HOW WE COMMUNICATE WITH OUR PATIENTS AND THEIR FAMILIES, BUT ALSO WITH OTHER PROVIDERS, SPECIALISTS AND HOSPITALS INVOLVED IN CARING FOR THESE HIGH-NEED PATIENTS. WE OFFER NUMEROUS SUPPORT GROUPS AND PARENT RESOURCES AND ARE ALWAYS DEVELOPING OUR COMMUNITY PARTNERSHIPS AROUND CARE COORDINATION.- OF WASHINGTON HIGH SCHOOL STUDENTS, 11% ARE OBESE AND 14-16% ARE OVERWEIGHT. FOR THESE REASONS, WE HAVE HELPED TO TAILOR A HEATH EDUCATION AND NUTRITION COURSE THAT WE ENROLL FAMILIES AT OUR CLINICS. WE HAVE ALSO MADE STRIDES IN MAKING OUR OWN "ON CAMPUS" MEAL OPTIONS FOR STAFF AND FAMILIES MORE HEALTHY. ADDITIONALLY, WE HAVE IMPROVED OUR ON SITE FOOD OPTIONS, ELIMINATED SUGAR SWEETENED BEVERAGES FROM OUR CAFES, DEVELOPED A TEACHING GARDEN SITE WHERE OUR FORMER HELIPAD USED TO BE, AND INSTALLED SEVERAL NEW WATER BOTTLE FILLING SITES ON CAMPUS. ADDITIONALLY WE HAVE PARTNERED WITH THE LOCAL PUBLIC HEALTH DEPARTMENT AND THE HEALTHY KING COUNTY COALITION TO ADDRESS HEALTHY EATING AND ACTIVE LIVING INITIATIVES IN THE COMMUNITIES WE SERVE. WE HAVE ALSO LAUNCHED A 7-5-2-1-0 HEALTHY EATING CURRICULUM THAT WE OFTEN PRESENT AT LOCAL HEALTH FAIRS AND EVENTS IN THE REGION. - HEALTH DISPARITIES EXIST: COMPARED TO OTHER REGIONS OF KING COUNTY, SOUTH KING HAS THE HIGHEST RATES OF: UNINSURED CHILDREN BIRTH TO 17; POOR MATERNAL AND CHILD HEALTH; HOSPITALIZATION FOR CHILDREN AGES 0 TO 17 INJURED BY MOTOR VEHICLE CRASHES, FIREARMS (UNINTENTIONAL AND ASSAULT), POISONING, FALLS AND SUFFOCATION; AND TEEN OBESITY AND RISK OF OVERWEIGHT. WE HAVE OPENED A NEW SATELLITE CLINIC IN SOUTH KING COUNTY IN ORDER TO PLACE OUR DIRECT SERVICES CLOSER TO THE COMMUNITIES WHERE DISPARITIES ARE MOST STARK. OUR NEW SOUTH CLINIC IS LOCATED NEAR A TRANSIT CENTER TO MAKE IT EASIER FOR FAMILIES USING PUBLIC TRANSPORTATION AS WELL.- IN WASHINGTON, 25% OF STUDENTS IN 8TH GRADE, 30% OF STUDENTS IN 10TH GRADE AND 28% OF STUDENTS IN 12TH GRADE REPORTED EXPERIENCING DEPRESSIVE FEELINGS. ALSO, OF CHILDREN AGES 2 TO 17, 12% HAVE ONE OR MORE EMOTIONAL, BEHAVIORAL OR DEVELOPMENTAL CONDITION. WE HAVE UNDERGONE A MASSIVE BED EXPANSION WITHIN OUR PSYCHIATRY AND BEHAVIORAL MEDICINE UNIT (PBMU) IN THE PAST THREE YEARS TO BE BETTER ABLE TO TREAT THESE CHILDREN. OUR PBMU UNIT NOW HAS 41 BEDS WHERE WE CAN TREAT CHILDREN FROM AGES 3 TO 18. ALSO, WE HAVE EXPANDED THE PARTNERSHIP ACCESS LINE (PAL), WHICH IS A TELEPHONE-BASED CHILD MENTAL HEALTH CONSULTATION SYSTEM FOR PRIMARY CARE PROVIDERS THAT ALLOWS KIDS TO BE TREATED AND KEEPS THEM CLOSER TO HOME. STAFFED BY CHILD PSYCHIATRISTS AFFILIATED WITH THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE AND SEATTLE CHILDREN'S HOSPITAL, PAL HAS EXPANDED ITS CONSULTATION SERVICES RECENTLY. PAL IS AVAILABLE TO PRIMARY CARE DOCTORS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS AND PROVIDES RAPID CONSULTATION RESPONSES DURING BUSINESS HOURS FOR ANY TYPE OF MENTAL HEALTH ISSUE THAT ARISES WITH ANY CHILD.ASSESSMENT RESULTS HAVE VALIDATED OUR EXISTING WORK AND HAVE HELPED US PRIORITIZE WHERE AND HOW TO FOCUS OUR 2013-2016 CHNA (APPLICABLE TO TAX YEARS 2012-2015). HOWEVER, GIVEN THE COMPLEXITY OF COMMUNITY NEEDS AND THE FINITE RESOURCES AVAILABLE TO MEET THEM, WE HAVE DIFFICULT CHOICES. WE BELIEVE THAT BY WORKING IN PARTNERSHIP WITH OTHERS, OUR EFFORTS WILL HAVE RIPPLE EFFECTS THROUGHOUT THE COMMUNITY. SEATTLE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 13H: DUE TO SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, THE STANDARD APPLICATION PROCESS FOR FINANCIAL ASSISTANCE IN RARE CASES MAY NOT BE COMPLETED. IN CASES WHERE A PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR FINANCIAL ASSISTANCE IN THE ABSENCE OF RECEIVING ALL REQUIRED INFORMATION, THE SENIOR DIRECTOR OF REVENUE CYCLE OR THE CHIEF FINANCIAL OFFICER MAY ALSO APPROVE PATIENT ACCOUNT BALANCE WRITE-OFFS TO FINANCIAL ASSISTANCE. SEATTLE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 22D: THE HOSPITAL USED THE AVERAGE AMOUNT PAID BY ALL PAYERS (MEDICARE, MEDICAID, AND COMMERCIAL PAYERS) DURING THE LAST COMPLETE TAX YEAR WHEN DETERMINING THE AMOUNTS GENERALLY BILLED (AGB). 18 1 - RESEARCH INSTITUTE OLIVE LAB 1100 OLIVE WAY SUITE 100 SEATTLE WA 98101 PEDIATRIC RESEARCH 2 - RESEARCH INST JACK R MACDONALD BLDG 1900 NINTH AVE SEATTLE WA 98101 PEDIATRIC RESEARCH 3 - RESEARCH INSTITUTE WEST 8TH 2001 EIGHTH AVE SUITE 400 SEATTLE WA 98121 PEDIATRIC RESEARCH 4 - BELLEVUE CLINIC & SURGERY CENTER 1500 116TH AVE NE BELLEVUE WA 98004 CLINIC, SUB SPECIALITY SERVICES, URGENT CARE AND SURGERY CENTER 5 - SEATTLE CHILDREN'S HOME CARE SERVICES 2525 220TH STREET SE SUITE 101 BOTHELL WA 98201 PEDIATRIC HOME CARE SERVICES THAT SUPPORT HOSPITAL 6 - SEATTLE CHILDREN'S SOUTH CLINIC 34920 ENCHANTED PARKWAY S FEDERAL WAY WA 98003 AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE 7 - SEATTLE CHILDREN'S AT OVERLAKE 1135 116TH AVE NE SUITE 400 BELLEVUE WA 98004 SUB SPECIALITY CARE 8 - SEATTLE CHILDREN'S AUTISM CENTER 4909 25TH AVE NE SEATTLE WA 98105 AUTISM CLINIC 9 - ODESSA BROWN CHILDREN'S CLINIC 2101 E YESLER WAY SEATTLE WA 98122 AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE 10 - SEATTLE CHILDREN'S EVERETT CLINIC 900 PACIFIC AVE SUITE 100 EVERETT WA 98201 AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE 11 - SEATTLE CHILDREN'S MILL CREEK CLINIC 12800 BOTHELL EVERETT HWY SUITE 150 EVERETT WA 98208 CLINIC, SUB SPECIALITY SERVICES, AND URGENT CARE 12 - SOUTH SOUND CARDIOLOGY CEDAR MED CTR 1901 S CEDAR ST SUITE 103 TACOMA WA 98405 CARDIOLOGY CLINIC 13 - PEDIATRIC CARDIOLOGY OF ALASKA 3841 PIPER ST SUITE T345 ANCHORAGE AK 99508 CARDIOLOGY CLINIC 14 - SEATTLE CHILDREN'S OLYMPIA CLINIC 615 LILLY ROAD MEDICAL BLDG SUITE 140 OLYMPIA WA 98506 AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE 15 - ADOLESCENT MEDICINE AT SPRINGBROOK 4540 SAND POINT WAY NE BLDG 1 STE 200 SEATTLE WA 98105 ADOLESCENT MEDICAL CLINIC 16 - SEATTLE CHILDREN'S WENATCHEE CLINIC 526 N CHELAN AVE SUITE B WENATCHEE WA 98801 PEDIATRIC MEDICAL CLINIC 17 - SEATTLE CHILDREN'S TRI-CITIES CLINIC 900 STEVENS DR SUITE 204 RICHLAND WA 99352 AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE 18 - CHILDREN'S ORTHOTICS & PROSTHETICS 4575 SAND POINT WAY NE SUITE 106 SEATTLE WA 98105 AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE PART I, LINE 3C: SEATTLE CHILDREN'S HOSPITAL (SEATTLE CHILDREN'S) USES THE FEDERAL POVERTY GUIDELINES (FPG) AS ITS PRIMARY CRITERIA FOR QUALIFYING PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE. FAMILIES WHO RESIDE IN OUR REGION WITH INCOME BELOW OR EQUAL TO 400% FPG BASED ON THEIR FAMILY SIZE QUALIFY FOR FINANCIAL ASSISTANCE. FURTHERMORE, SEATTLE CHILDREN'S RECOGNIZES THAT FAMILIES WHO HAVE HIGH BALANCES, EVEN WITH HIGHER INCOMES, CAN EXPERIENCE FINANCIAL HARDSHIP. RESPONSIBLE PARTIES WHOSE INCOME IS BETWEEN 400% AND 599% FPG, WHO HAVE INCURRED SIGNIFICANT ACCOUNT BALANCES, AND WHO ARE NOT ELIGIBLE FOR FUNDING FROM OTHER SOURCES ARE ALSO ELIGIBLE FOR SLIDING SCALE FINANCIAL ASSISTANCE WHEREBY THEY ARE RESPONSIBLE FOR PAYING A PERCENTAGE OF THEIR BILL WHICH IS PROPORTIONATELY DISCOUNTED BASED ON THEIR INCOME AND SEATTLE CHIDREN'S FINANCIAL ASSISTANCE FUNDS THE REMAINING BALANCES. FAMILIES WHO RECEIVE A DENIAL OF FINANCIAL ASSISTANCE BASED ON THE FPG AND FAMILY SIZE INFORMATION ARE ALLOWED TO APPEAL THE DENIAL BY PROVIDING INFORMATION ABOUT ADDITIONAL CIRCUMSTANCES IMPACTING THEIR FINANCIAL SITUATION SUCH AS EXCESSIVE MEDICAL DEBT. THE SENIOR DIRECTOR OF REVENUE CYCLE OR CHIEF FINANCIAL OFFICER MAY ADMINISTRATIVELY APPROVE FINANCIAL ASSISTANCE BASED ON THIS ADDITIONAL INFORMATION. THESE SAME INDIVIDUALS CAN ALSO GRANT FINANCIAL ASSISTANCE IN RARE CASES BASED ON SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, OR DUE TO OTHER REASONS WHEN THE STANDARD APPLICATION PROCESS FOR FINANCIAL ASSISTANCE IS NOT LIKELY TO BE SUCCESSFULLY COMPLETED EVEN THOUGH THE PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR FINANCIAL ASSISTANCE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,900,877. PART I, LINE 6: SEATTLE CHILDREN'S PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE TO THE GENERAL PUBLIC. SEATTLE CHILDREN'S APPLIES THE CATHOLIC HEALTH ASSOCIATION PRINCIPLES AND USES THE "CBISA LYONS" SOFTWARE TO ACCUMULATE THE INFORMATION INCLUDED IN ITS ANNUAL COMMUNITY BENEFIT REPORT. SEE SCHEDULE O FOR THE FULL 2016 COMMUNITY BENEFIT REPORT OR VISIT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT. PART I, LINE 7: THE MISSION OF SEATTLE CHILDREN'S HOSPITAL IS TO PROVIDE EXCELLENT PATIENT CARE FOR CHILDREN, TO ENGAGE IN INNOVATIVE RESEARCH THAT WILL IMPROVE THE HEALTH OF CHILDREN, TO TRAIN THE NEXT GENERATION OF PHYSICIANS, OTHER HEALTHCARE WORKERS AND SCIENTISTS WHO WILL ADVANCE THE HEALTH OF CHILDREN, AND TO ADVOCATE FOR THE HEALTHCARE NEEDS OF CHILDREN. AS PART OF ITS MISSION, SEATTLE CHILDREN'S IS COMMITTED TO CARING FOR CHILDREN IN ITS SERVICE AREA IRRESPECTIVE OF ABILITY TO PAY AND TO OTHERWISE IDENTIFY AND HELP TO MEET THE HEALTHCARE NEEDS OF CHILDREN IN THE COMMUNITY.FINANCIAL ASSISTANCE REPRESENTS THE ESTIMATED COST OF CARE PROVIDED TO CHILDREN WHO ARE UNINSURED OR UNDERINSURED AND WHOSE FAMILIES CANNOT AFFORD TO PAY FOR THEIR MEDICAL CARE. SEATTLE CHILDREN'S PROVIDES FINANCIAL ASSISTANCE IN ACCORDANCE WITH ITS FINANCIAL ASSISTANCE POLICY BASED ON FAMILY NEED AND MAINTAINS RECORDS TO IDENTIFY THE LEVEL OF ASSISTANCE IT PROVIDES. THE DETERMINATION OF FAMILY NEED IS EVALUATED DURING A PATIENT'S COURSE OF CARE AND CAN BE UPDATED AFTER CARE IS COMPLETE. BECAUSE SEATTLE CHILDREN'S DOES NOT PURSUE COLLECTION OF THESE AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, THEY ARE NOT REPORTED AS REVENUE. THE ESTIMATED COST OF FINANCIAL ASSISTANCE PROVIDED IS BASED ON A RATIO OF HOSPITAL TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF HOSPITAL TOTAL GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE SERVICES, RESULTING IN THE ESTIMATED COST OF PROVIDING FINANCIAL ASSISTANCE.MEDICAID PAYMENT SHORTFALL REPRESENTS THE ESTIMATED COST OF PROVIDING SERVICES TO PATIENTS COVERED UNDER MEDICAID IN EXCESS OF PAYMENTS RECEIVED. THE ESTIMATED COST OF SERVICES PROVIDED TO MEDICAID PATIENTS IS BASED ON A RATIO OF HOSPITAL TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF HOSPITAL TOTAL GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS CHARGES RELATED TO SERVICES PROVIDED TO MEDICAID PATIENTS, RESULTING IN THE ESTIMATED COST OF PROVIDING CARE TO THESE PATIENTS.OTHER BENEFITS REPRESENT THE COSTS OF PROVIDING PROGRAMS, NET OF DIRECT OFFSETTING REVENUES, FOR THE BENEFIT OF THE ENTIRE COMMUNITY. THESE BENEFITS INCLUDE RESEARCH, HEALTH PROFESSIONS EDUCATION AND VARIOUS OTHER COMMUNITY-BASED HEALTHCARE PROGRAMS. PART II, COMMUNITY BUILDING ACTIVITIES: AS PART OF OUR MISSION TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE, SEATTLE CHILDREN'S MAKES PROACTIVE AND STRATEGIC INVESTMENTS TO HELP CHILDREN AND FAMILIES BE AND STAY HEALTHY IN THE PLACES WHERE THEY LIVE, PLAY AND LEARN. WE WORK WITH OUR COMMUNITIES TO ADDRESS SOME OF THE SOCIAL AND ECONOMIC CAUSES OF HEALTH PROBLEMS SUCH AS EDUCATION, HOUSING, SOCIAL SUPPORT AND THE BUILT ENVIRONMENT. SOME EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES INCLUDE:- WE SPONSOR COMMUNITY ORGANIZATIONS THAT SUPPORT FAMILIES BY PROVIDING QUALITY CHILD CARE, LANGUAGE AND CULTURAL TRAINING, WORKFORCE DEVELOPMENT AND PARENTING SKILLS. WE ALSO OFFER SMALL GRANTS TO ORGANIZATIONS AND COALITIONS THAT ADVOCATE FOR COMMUNITY HEALTH IMPROVEMENT, PROVIDE ECONOMIC DEVELOPMENT AND REVITALIZATION, AND HELP MAKE COMMUNITIES SAFER. - SEATTLE CHILDREN'S ALSO HOSTS THE SCIENCE ADVENTURE LAB. THE SCIENCE ADVENTURE LAB IS A CUSTOM-BUILT, MOBILE SCIENCE LAB OUTFITTED WITH RESEARCH GRADE EQUIPMENT AND SPACE FOR UP TO 28 STUDENTS AT A TIME. THE MOBILE LAB TRAVELS TO SCHOOLS ACROSS WASHINGTON TO PROVIDE INNOVATIVE, HANDS-ON SCIENCE CURRICULUM TO STUDENTS IN GRADES FOUR THROUGH TWELVE. APPLICATIONS ARE ACCEPTED BASED ON A COMBINATION OF GEOGRAPHY, WHETHER THE SCHOOL IS A TITLE ONE SCHOOL OR NOT, AND PERCENTAGE OF STUDENTS ON THE FREE OR REDUCED PRICE SCHOOL LUNCH PROGRAM. THE ADVENTURE LAB FOCUSES ON PROVIDING SCHOOLS WITH ACCESS TO STATE-OF-THE-ART LABORATORY FACILITIES THAT WOULD OTHERWISE NOT BE AVAILABLE.- ODESSA BROWN CHILDREN'S CLINIC (OBCC) IS A SITE FOR REACH OUT AND READ, AN ORGANIZATION THAT PROMOTES EARLY LITERACY BY PROVIDING BOOKS AT WELL-CHILD VISITS FOR CHILDREN AGES 6 MONTHS TO 5 YEARS OLD. OBCC PROVIDES BOOKS TO ALL CHILDREN AT ALL VISITS AND EXTENDS THE OFFERING TO SIBLINGS THAT COME TO THE APPOINTMENTS. WE ALSO DISTRIBUTE BOOKS AT NO COST TO LOCAL SCHOOLS WHERE OBCC PROVIDES HEALTH AND MENTAL HEALTH SERVICES. LAST YEAR OBCC DISSEMINATED 5,000 BOOKS.- OUR CLINICAL AND NON CLINICAL STAFF PROVIDE LECTURES, TOURS, MENTORING AND SHADOWING OPPORTUNITIES THAT DISCUSS EMPLOYMENT OPPORTUNITIES IN HEALTHCARE TO UNDERSERVED STUDENTS AND PEOPLE FROM DIVERSE BACKGROUNDS. ONE OF THE PROGRAMS REACHES OUT TO PEOPLE WHO ARE PLANNING TO ATTEND MEDICAL SCHOOL TO INCREASE THEIR SKILLSET WHEN APPLYING. ALSO, WE PROVIDE NEONATAL AND PEDIATRIC CLINICAL TRAINING TO RESPIRATORY THERAPISTS AT LOCAL COLLEGES. OUR GOAL HERE IS TO TRAIN RESPIRATORY THERAPISTS TO PROPERLY ASSESS PATIENTS FOR RESPIRATORY INTERVENTIONS. ONCE THESE THERAPISTS ARE CREDENTIALED AND LICENSED, THEY WILL JOIN THE RANKS OF OUR EMERGENCY RESPONSE TEAMS AND THEIR SKILLS TO ASSESS PEDIATRIC PATIENTS WILL HAVE A VALUABLE IMPACT IN CASE OF EMERGENCY RESPONSE DEPLOYMENT. WITH CERTAIN TYPES OF DISASTERS, WE ANTICIPATE THE NEED FOR PROFESSIONALS WHO CAN ASSESS THE NEED FOR AND ADMINISTER COMPLEX RESPIRATORY THERAPY TREATMENTS TO PEDIATRIC PATIENTS, SO THE TYPE OF TRAINING WE OFFER IS CRUCIAL.- SEATTLE CHILDREN'S ANNUAL INVESTMENT IN KING COUNTY METRO'S TRANSIT NOW PARTNERSHIP MAKES MORE TRANSIT SERVICES AVAILABLE TO COMMUNITIES IN THE NORTHEAST SEATTLE AREA.- SEATTLE CHILDREN'S IS COMMITTED TO CONTRIBUTING TO TRANSPORTATION IMPROVEMENTS IN NORTHEAST SEATTLE. THROUGH OUR LIVABLE STREETS INITIATIVE, WE WORK WITH OUR COMMUNITY ON PROJECTS SUCH AS UPGRADES TO LOCAL STREETS SO THAT THEY ARE SAFE FOR PEDESTRIANS AND BIKERS OF ALL AGES AND ABILITIES; INTELLIGENT TRANSPORTATION SYSTEMS THAT USE TECHNOLOGY TO GIVE DRIVERS MORE INFORMATION; AND INTERSECTION IMPROVEMENTS THAT INCREASE SAFETY FOR ALL USERS. PART III, LINE 2: THE TOTAL AMOUNT OF BAD DEBT EXPENSE PROVIDED IS BASED ON THE RATIO OF TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS BAD DEBT EXPENSE, RESULTING IN BAD DEBT EXPENSE AT COST. SEATTLE CHILDREN'S CHARACTERIZES SELF PAY AS BAD DEBT WHEN A FAMILY IS EITHER NOT ELIGIBLE OR HAS NOT APPLIED FOR FINANCIAL ASSISTANCE AND IS UNWILLING OR UNABLE TO PAY AN OUTSTANDING ACCOUNT BALANCE. THE MOST COMMON PATIENT BAD DEBT SCENARIOS INCLUDE UNPAID SELF PAY PORTIONS OF ACCOUNT BALANCES AFTER INSURANCE OR THIRD PARTY ASSISTANCE PAYMENTS OR UNPAID ACCOUNT BALANCES AFTER A BANKRUPTCY FILING. SEATTLE CHILDREN'S IS SENSITIVE TO THE FINANCIAL HEALTH OF FAMILIES AND RECOGNIZES THAT FAMILY FINANCIAL CONCERNS MAY NOT ALWAYS BE EFFECTIVELY COMMUNICATED. SEATTLE CHILDREN'S IS COMMITTED TO MANAGING COLLECTION EFFORTS INTERNALLY, IN A RESPECTFUL MANNER AND WITHOUT USING EXTERNAL COLLECTION OR CREDIT AGENCIES, EXCEPT IN LIMITED CIRCUMSTANCES SUCH AS INTERNATIONAL PATIENTS. SINCE ALL COLLECTION EFFORTS ARE MANAGED INTERNALLY, IN A RESPECTFUL MANNER, SEATTLE CHILDREN'S DOES NOT DISCLOSE ITS COLLECTION PRACTICE IN THE FOOTNOTES OF THE FINANCIAL STATEMENTS. PART III, LINE 4: THE METHOD FOR DETERMINING UNCOLLECTIBLE ACCOUNTS IS DISCUSSED IN FOOTNOTE (1)(K), WHICH IS FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE OBTAINED DIRECTLY FROM THE MEDICARE COST REPORT AND ARE DETERMINED IN ACCORDANCE WITH THE MEDICARE PRINCIPLES OF REIMBURSEMENT. THE MAJORITY OF SEATTLE CHILDREN'S MEDICARE PATIENTS ARE CHILDREN WITH END STAGE RENAL DISEASE (ESRD) THAT INCLUDES DIALYSIS CARE AND OFTEN A KIDNEY TRANSPLANT ALONG WITH OTHER RELATED SERVICES. THE ESRD CARE OFTEN RESULTS IN A LONGER LENGTH OF STAY AND HIGHER ACUITY. MEDICARE REIMBURSEMENT FOR THESE SERVICES IS SUBJECT TO THE LIMITS OF THE TAX EQUITY AND FISCAL RESPONSIBILITY ACT, WHICH ARE OFTEN BELOW SEATTLE CHILDREN'S COST. THE ACTUAL SHORTFALL IN COST REIMBURSEMENT SHOULD AT LEAST BE TREATED AS COMMUNITY BENEFIT. PART III, LINE 9B: SEATTLE CHILDREN'S REVENUE CYCLE DEPARTMENT USES A STANDARD, RESPECTFUL PROCEDURE FOR RESOLVING UNPAID PATIENT BALANCES. A. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES.B. SEATTLE CHILDREN'S PROVIDES A STANDARD 25% DISCOUNT ON HEALTH CARE SERVICES TO PATIENTS WHO ARE UNINSURED IN ACCORDANCE WITH ORGANIZATIONAL POLICIES AND PROCEDURES. THIS DISCOUNT ALIGNS WITH OR IS LOWER THAN DISCOUNTS PROVIDED TO COMMERCIAL INSURERS.C. ADDITIONALLY, SEATTLE CHILDREN'S ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE INTEREST-FREE PAYMENT PLANS.D. IF A PATIENT ACCOUNT BALANCE REMAINS UNPAID AFTER STANDARD INTERNAL COLLECTION PROCEDURES HAVE BEEN FOLLOWED, AND IF THE FAMILY HAS NOT APPLIED FOR OR DOES NOT QUALIFY FOR SEATTLE CHILDREN'S FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE WILL BE WRITTEN OFF AS BAD DEBT IN ACCORDANCE WITH STANDARD PROCEDURAL TIMELINES. - UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, SEATTLE CHILDREN'S IDENTIFIES ANY OUTSTANDING ACCOUNT BALANCES FOR THE ASSOCIATED PATIENT AND WRITES OFF THESE BALANCES AS BAD DEBT. - SEATTLE CHILDREN'S FINANCE DEPARTMENT MONITORS THE PORTION OF OUTSTANDING ACCOUNTS RECEIVABLE THAT IS CLASSIFIED AS BAD DEBT FOR SIGNIFICANT VARIANCES. - SEATTLE CHILDREN'S STANDARD PRACTICE IS TO COLLECT ON OUTSTANDING PATIENT ACCOUNTS USING INTERNAL RESOURCES. 1. REPORTS ARE NOT SENT TO CREDIT AGENCIES. 2. COLLECTION AGENCIES WILL NOT BE USED TO COLLECT ANY OUTSTANDING PATIENT ACCOUNT EXCEPT AS SPECIFICALLY AUTHORIZED BY THE SENIOR DIRECTOR OF REVENUE CYCLE. 3. THE USE OF COLLECTION AGENCIES WILL ONLY BE PERMITTED IN VERY RARE SCENARIOS WHERE THE FAMILY RESIDES OUTSIDE OF SEATTLE CHILDREN'S SERVICE AREA (E.G., INTERNATIONAL PATIENTS). 4. SEATTLE CHILDREN'S WILL NOT FILE A LIEN AGAINST A PATIENT'S OR FAMILY'S PRIMARY RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES. PART VI, LINE 2: AS PART OF SEATTLE CHILDREN'S STRATEGIC PLAN DEVELOPMENT, WE HAVE DONE RESEARCH TO IDENTIFY SPECIALTY CARE, MENTAL HEALTH AND EMERGENCY CARE ACCESS AND SHORTAGE ISSUES; ASSESS THE ONGOING NEED FOR UNCOMPENSATED CARE SUPPORT; AND DETERMINE POTENTIAL PARTNERSHIPS TO BETTER ADDRESS THE HEALTH CARE NEEDS OF ALL CHILDREN IN OUR REGION. ADDITIONALLY, NUMEROUS PROGRAMS AND DEPARTMENTS IN THE HOSPITAL CONDUCT NEEDS ASSESSMENTS TO IDENTIFY HEALTH PROMOTION, HEALTH CARE AND HEALTH DISPARITIES THAT IMPACT THE HEALTH OF CHILDREN AND FAMILIES. PART VI, LINE 3: INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO EVERY FAMILY THAT COMES TO SEATTLE CHILDREN'S, WHETHER FOR AN INPATIENT STAY, CLINIC VISIT, SURGERY OR THROUGH THE EMERGENCY DEPARTMENT. BOTH APPLICATION FORMS AND SIGNAGE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH, SPANISH, VIETNAMESE, RUSSIAN, AND SOMALI. IN PERSON INTERPRETERS AND THE HOSPITAL'S SPEAK LINE, WHICH ACCESSES TELEPHONE INTERPRETATION, HELP PROVIDE INFORMATION TO FAMILIES WITH LIMITED ENGLISH PROFICIENCY INFORMATION ABOUT FINANCIAL ASSISTANCE. AN APPLICATION FORM IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE. ALL REGISTRATION DESKS HAVE FINANCIAL ASSISTANCE INFORMATION VISIBLE AND AVAILABLE. EVERY INPATIENT AND EMERGENCY DEPARTMENT FAMILY IS OFFERED FINANCIAL ASSISTANCE INFORMATION, WHETHER OR NOT THEY HAVE INSURANCE. ALL HOSPITAL BILLS INCLUDE A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IF HELP IS NEEDED IN PAYING A BILL, REGARDLESS OF INSURANCE STATUS.FINANCIAL COUNSELORS ARE AVAILABLE TO MEET INDIVIDUALLY WITH FAMILIES TO HELP DETERMINE WHAT ASSISTANCE THEY MAY QUALIFY FOR AND TO HELP THEM COMPLETE AND SUBMIT FORMS. THE FINANCIAL COUNSELORS RECEIVE INFORMATION THROUGH THE SCHEDULING SYSTEM THAT IDENTIFIES UNINSURED OR UNDERINSURED FAMILIES. FINANCIAL COUNSELORS CONTACT FAMILIES TO CLARIFY ASSISTANCE AVAILABLE AND TO OFFER THEIR HELP WITH APPLYING FOR ASSISTANCE. THEY HELP FAMILIES DETERMINE IF THEY QUALIFY FOR OTHER SOURCES OF FUNDING, INCLUDING MEDICAID AND QUALIFIED HEALTH PLANS SOLD ON THE STATE INSURANCE EXCHANGE. SOCIAL WORKERS ALSO HELP SCREEN FAMILIES FOR FINANCIAL NEEDS AND REFER PATIENTS TO FINANCIAL COUNSELORS. PART VI, LINE 4: SEATTLE CHILDREN'S SERVES AS THE PEDIATRIC AND ADOLESCENT MEDICAL CENTER FOR WASHINGTON, ALASKA, IDAHO, AND MONTANA, THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. WE PRIMARILY SERVE CHILDREN FROM BIRTH TO 21 YEARS OLD, MOST OF WHOM ARE FROM WASHINGTON STATE. OVER 47% OF OUR PATIENTS ARE ON MEDICAID, ON A SIMILAR LOW INCOME INSURANCE PROGRAM, OR ARE UNINSURED. IN 2016, 17.5% OF OUR PATIENTS CAME FROM SEATTLE, 34% FROM KING COUNTY, 44.5% FROM LOCATIONS IN WASHINGTON STATE OUTSIDE KING COUNTY, 3% FROM ALASKA, MONTANA AND IDAHO AND 1% FROM AREAS OUTSIDE THE REGION. THESE AREAS ARE URBAN, SUBURBAN AND RURAL. - OF THE MORE THAN 7 MILLION RESIDENTS OF WASHINGTON STATE, NEARLY 27% ARE UNDER 20 YEARS OLD. WASHINGTON STATE DATA ALSO SHOWS THAT 13% OF THE POPULATION ARE FOREIGN-BORN WITH 18% SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME. OF THE 1.6 MILLION CHILDREN UNDER THE AGE OF 18 IN WASHINGTON STATE, 21% OF THEM ARE OF HISPANIC OR LATINO ORIGIN. ALSO, 18% OF CHILDREN IN WASHINGTON STATE AND 15% OF CHILDREN IN KING COUNTY LIVE IN POVERTY AND 7% OF WASHINGTONIANS (5% KING COUNTY) LIVE IN EXTREME POVERTY. ALMOST HALF OF ALL WASHINGTON RESIDENTS ON MEDICAID ARE CHILDREN OR TEENS.- SINCE 2005, GRADUATION RATES HAVE INCREASED ACROSS ALL ETHNICITIES IN WASHINGTON STATE AND KING COUNTY. HIGH SCHOOL GRADUATION RATES ARE ALMOST 80% FOR ALL STUDENTS IN THE STATE.- IN A ONE YEAR PERIOD, FAMILY HOMELESSNESS IN WASHINGTON STATE ROSE 9.2%, COMPARED TO A NATIONAL INCREASE OF ONLY 2.7%. THE 2016 KING COUNTY ONE NIGHT COUNT IDENTIFIED 10,688 HOMELESS PEOPLE ON ONE JANUARY NIGHT. THIS INCLUDED ALMOST 3,000 PEOPLE IN TRANSITIONAL HOUSING, 3,200 IN SHELTERS, 4,505 ON THE STREETS; A 19% INCREASE FROM 2015. 904 HOUSEHOLDS WITH CHILDREN WERE IN OVERNIGHT SHELTERS OR TRANSITIONAL HOUSING DURING THE ONE NIGHT COUNT. - IN 2016, 8,942 CHILDREN WERE IN FOSTER CARE IN WASHINGTON. CHILDREN IN FOSTER CARE USE MENTAL HEALTH SERVICES 8 TO 11 TIMES MORE THAN OTHER LOW-INCOME AND GENERALLY HIGH-RISK CHILDREN IN THE MEDICAID PROGRAM. PART VI, LINE 5: SEATTLE CHILDREN'S IS GOVERNED BY A BOARD OF TRUSTEES, CONSISTING OF BETWEEN 20-30 VOTING TRUSTEES WHO ARE MEMBERS OF THE LOCAL COMMUNITY. SEATTLE CHILDREN'S FUNCTIONS THROUGH COMMITTEES THAT ARE STAFFED WITH TRUSTEES OF RESPECTIVE BOARDS WHO HAVE SIGNIFICANT EXPERIENCE AND SKILLS REQUIRED BY THAT COMMITTEE, AND IN SOME CASES INCLUDE OUTSIDE MEMBERS WHO ARE NOT TRUSTEES WHEN THEIR KNOWLEDGE OR EXPERIENCE WOULD CONTRIBUTE TO THE WORK OF THE COMMITTEE. SEATTLE CHILDREN'S ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO CERTAIN QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OF ITS DEPARTMENTS. SEATTLE CHILDREN'S ALSO HAS REGIONAL STRATEGIC AFFILIATIONS WITH THE FOLLOWING ENTITIES:- UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (UWSOM)SEATTLE CHILDREN'S HAS HAD A FORMAL AFFILIATION WITH THE UWSOM SINCE 1974. SEATTLE CHILDREN'S HOSPITAL PROVIDES THE PEDIATRIC COMPONENT OF THE UWSOM UNDERGRADUATE MEDICAL EDUCATION PROGRAM AS WELL AS THE HOSPITAL-BASED PEDIATRIC TRAINING EXPERIENCE FOR ALL POST-GRADUATE PROGRAMS.THE UWSOM, A REGIONAL RESOURCE FOR WASHINGTON, WYOMING, ALASKA, MONTANA, AND IDAHO, IS A NATIONALLY AND INTERNATIONALLY RECOGNIZED LEADER IN MEDICAL EDUCATION, PATIENT CARE, SCIENTIFIC RESEARCH AND COMMUNITY SERVICE. THE UWSOM HAS 30 DEPARTMENTS, MANY CENTERS AND NUMEROUS AFFILIATIONS THROUGHOUT THE FIVE-STATE REGION. THE UWSOM OFFERS EXTENSIVE TRAINING PROGRAMS IN THE BASIC MEDICAL SCIENCES, PRIMARY CARE AND THE SPECIALTIES OF CLINICAL MEDICINE. IT HAS A FULL-TIME REGULAR AND RESEARCH FACULTY OF APPROXIMATELY 2,400. IN ADDITION TO TRAINING FUTURE PHYSICIANS, THE FACULTY ALSO TEACHES GRADUATE AND UNDERGRADUATE STUDENTS IN MANY DISCIPLINES, AND 4,600 VOLUNTEER AND PART-TIME CLINICAL FACULTY MEMBERS TEACH STUDENTS IN TOWNS AND CITIES ACROSS THE REGION. THE UWSOM IS AFFILIATED WITH THE 450-BED UNIVERSITY OF WASHINGTON MEDICAL CENTER AND THE 413-BED HARBORVIEW MEDICAL CENTER, WITH WHICH SEATTLE CHILDREN'S HOSPITAL SHARES A DESIGNATION AS A PEDIATRIC LEVEL I TRAUMA CENTER.- CHILDREN'S UNIVERSITY MEDICAL GROUP (CUMG)SEATTLE CHILDREN'S HEALTHCARE SYSTEM AND THE UNIVERSITY OF WASHINGTON (THE "UW") JOINTLY CONTROL CUMG, A WASHINGTON NONPROFIT CORPORATION AND A 501(C)(3) ORGANIZATION. CUMG IS A PEDIATRIC PRACTICE PLAN THAT EMPLOYS AND MANAGES THE CLINICAL PRACTICES OF APPROXIMATELY 500 PROFESSIONAL MEMBERS WHO ARE BOTH MEMBERS OF SEATTLE CHILDREN'S HOSPITAL MEDICAL STAFF AND PEDIATRIC FACULTY MEMBERS OF THE UWSOM.- PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC (PCNS)SEATTLE CHILDREN'S PARTICIPATES IN A JOINT VENTURE WITH PROVIDENCE EVERETT MEDICAL CENTER (PEMC), AN UNRELATED COMMUNITY-BASED HOSPITAL LOCATED IN EVERETT, WASHINGTON. CHILDREN'S AND PEMC EACH OWN A 50% INTEREST IN PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC. PCNS MANAGES THE OPERATIONS OF THE NEONATAL INTENSIVE CARE UNIT AT PEMC AND PROVIDES NEONATAL NURSE PRACTITIONER SERVICES TO PEMC.- SEATTLE CANCER CARE ALLIANCE (SCCA)THE SEATTLE CANCER CARE ALLIANCE, A WASHINGTON NONPROFIT CORPORATION AND 501(C)(3) ORGANIZATION, OFFERS A COMPREHENSIVE PROGRAM OF INTEGRATED CANCER CARE SERVICES. ITS MEMBERS ARE SEATTLE CHILDREN'S HEALTHCARE SYSTEM, UW, AND FRED HUTCHINSON CANCER RESEARCH CENTER. SCCA OPERATES AN AMBULATORY CANCER CARE SERVICES FACILITY AND A 20-BED LICENSED HOSPITAL INSIDE UWMC. 1 AKRON CHILDREN'S HOSPITAL ONE PERKINS SQUARE AKRON OH 44308 340714357 501(C)(3) 24472 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ALASKA ARTS SOUTHEAST INC PO BOX 3086 SITKA AK 99835 237240278 501(C)(3) 10000 GRANT TO SUPPORT THE PURCHASE OF A SPECIALIZED FRAME TENT FOR THE SITKA FINE ARTS CAMP ALL CHILDREN'S RESEARCH INSTITUTE INC 501 6TH AVE S DEPT 9581 ST PETERSBURG FL 33701 592481742 501(C)(3) 25116 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD AMERICAN ACADEMY OF PEDIATRICS 141 NW POINT BLVD ELK GROVE IL 60007 362275597 501(C)(3) 93695 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 10800 SPONSORSHIPS OF ALASKA HEART RUN/WALK AND TACOMA HEART BALL ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO 225 E CHICAGO AVE BOX 205 CHICAGO IL 60611 362170833 501(C)(3) 243202 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE INC 1 CHILDRENS WAY MAIL SLOT 663 LITTLE ROCK AR 722023591 710694931 501(C)(3) 17735 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD BAYLOR COLLEGE OF MEDICINE TEXAS CHILDRENS 6701 FANNIN ST SUITE 1040 HOUSTON TX 77030 741613878 501(C)(3) 257196 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 NINTH AVE SEATTLE WA 981012795 910653422 501(C)(3) 219415 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CASCADE BICYCLE CLUB EDUCATION FOUNDATION 7787 62ND AVE NE SEATTLE WA 98115 912165219 501(C)(3) 12200 SPONSORSHIPS OF BIKE TO SCHOOL MONTH, BIKE TO WORK BREAKFAST, AND LET'S GO BIKE AND PEDESTRIAN SAFETY PROGRAM CASE WESTERN RESERVE UNIVERSITY 10900 EUCLID AVE CLEVELAND OH 441067006 341018992 501(C)(3) 372827 GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048 951644600 501(C)(3) 19940 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CENTER FOR CHILDREN AND YOUTH JUSTICE 615 2ND AVE SUITE 275 SEATTLE WA 98104 204457248 501(C)(3) 10000 SPONSORSHIP OF NORM MALENG ADVOCATE FOR YOUTH AWARD BREAKFAST CHILDREN'S ALLIANCE 718 6TH AVE S SEATTLE WA 98104 910982879 501(C)(3) 16610 SPONSORSHIP OF VOICES FOR CHILDREN LUNCHEON AND MEMBERSHIP CONTRIBUTION CHILDREN'S HOSPITAL AND CLINICS OF MINNESOTA 32-2210 2525 CHICAGO AVE S MINNEAPOLIS MN 55404 411754276 501(C)(3) 68620 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL BOSTON PO BOX 414413 BOSTON MA 022414413 042774441 501(C)(3) 118877 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL COLORADO 13123 E 16TH AVE B148 AURORA CO 80045 840166760 501(C)(3) 24610 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD MS97 LOS ANGELES CA 90027 951690977 501(C)(3) 146565 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNET AVE MLC4900 CINCINNATI OH 452293039 310833936 501(C)(3) 220250 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S HOSPITAL OF PHILADELPHIA 3401 CIVIC CENTER BLVD PHILADELPHIA PA 191044318 231352166 501(C)(3) 266826 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CHILDREN'S NATIONAL MEDICAL CENTER 111 MICHIGAN AVE NW WASHINGTON DC 20010 521640403 501(C)(3) 18433 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CITY OF SEATTLE 100 DEXTER AVE N SEATTLE WA 981095199 916001275 GOVERNMENT 16130 DONATION TO SEATTLE PARKS AND RECREATION'S SWIM SCHOLARSHIP FUND AND SPONSORSHIPS OF BIG DAY OF PLAY AND FRESH BUCKS PROGRAM COFFMAN COVE COMMUNITY LIBRARY PO BOX 18135 COFFMAN COVE AK 99918 920132969 GOVERNMENT 10000 GRANT FOR DEVELOPMENT OF AN EARLY LITERACY CENTER COLLEGE SUCCESS FOUNDATION 1605 NW SAMMAMISH RD SUITE 200 ISSAQUAH WA 98027 912036088 501(C)(3) 14289 SPONSORSHIPS OF EMPOWERING YOUTH LUNCHEON AND D.C. BREAKFASTS COLUMBIA UNIVERSITY PO BOX 26453 NEW YORK NY 10032 135598093 501(C)(3) 52749 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CONNECTICUT CHILDREN'S MEDICAL CENTER 282 WASHINGTON ST HARTFORD CT 06106 060646755 501(C)(3) 5850 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVE FORT WORTH TX 76104 752051646 501(C)(3) 7422 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD CROHN'S AND COLITIS FOUNDATION OF AMERICA NORTHWEST CHAPTER 9 LAKE BELLEVUE DR SUITE 203 BELLEVUE WA 98005 136193105 501(C)(3) 8000 SPONSORSHIPS OF BENEFIT LUNCHEON, TAKE STEPS WESTERN WASHINGTON, & PEDIATRIC IBD CONFERENCE DAYTON CHILDREN'S HOSPITAL ONE CHILDRENS PLAZA DAYTON OH 45404 310672132 501(C)(3) 37542 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD DBIA SERVICES DBA METROPOLITAN IMPROVEMENT DISTRICT 1809 7TH AVE SUITE 900 SEATTLE WA 98101 742927336 501(C)(6) 10000 CONTRIBUTION FOR WESTLAKE PARK PLAY AREA EASTERN VIRGINIA MEDICAL SCHOOL 855 W BRAMBLETON AVE NORFOLK VA 23510 546055378 GOVERNMENT 5616 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD EMORY UNIVERSITY PO BOX 935084 ATLANTA GA 311935084 580566256 501(C)(3) 201170 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD FOUNDATION FOR HEALTHY GENERATIONS 419 THIRD AVE W SEATTLE WA 98119 916186093 501(C)(3) 12325 SUPPORT FOR CHILDHOOD OBESITY PREVENTION COALITION, SYMPOSIUM, WASHINGTON STATE PUBLIC HEALTH ASSOCIATION CONFERENCE, AND SCIENCE OF HOPE CONFERENCE FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE N SEATTLE WA 98109 237156071 501(C)(3) 2411363 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD AND SUPPORT OF NEURO-ONCOLOGY RESEARCH IN PEDIATRIC BRAIN TUMORS GEORGIA REGENTS UNIVERSITY PO BOX 945552 ATLANTA GA 303945552 581418202 501(C)(3) 8911 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD GIRLS ON THE RUN OF PUGET SOUND 1404 E YESLER WAY SUITE 201 SEATTLE WA 98122 841618574 501(C)(3) 6500 SPONSORSHIP OF BUILDING HEALTHY HABITS IN PUGET SOUND YOUTH EVENTS GROUP HEALTH FOUNDATION 320 WESTLAKE AVE N SUITE 100 SEATTLE WA 98109 911246278 501(C)(3) 7000 GIFT OF HEALTH GALA SPONSORSHIP HOPELINK 10675 WILLOWS RD NE SUITE 275 REDMOND WA 98052 910982116 501(C)(3) 5450 REACHING OUT LUNCHEON SPONSORSHIPS HYDABURG CITY SCHOOL DISTRICT PO BOX 109 HYDABURG AK 99922 926000703 GOVERNMENT 20000 GRANT FOR GARDENING PROJECT AND FACILITY LIGHTING UPDATES FOR SCHOOL GROUNDS ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL BOX 3500 NEW YORK NY 10029 136171197 501(C)(3) 23585 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD IHC HEALTH SERVICES INC PO BOX 58249 SALT LAKE CITY UT 841580249 942854057 501(C)(3) 75000 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD INDIANA UNIVERSITY DEPT 78867 PO BOX 78000 DETROIT MI 482780867 356001673 GOVERNMENT 164377 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ISLAND INSTITUTE PO BOX 2420 SITKA AK 99835 943057411 501(C)(3) 20000 GRANT FOR EDUCATIONAL MT. EDGECUMBE HIGH SCHOOL SOCIAL MEDIA PROJECT JDRF INTERNATIONAL DBA JDRF SEATTLE GUILD 1215 4TH AVE SUITE 1100 SEATTLE WA 98161 231907729 501(C)(3) 10500 SPONSORSHIP OF ANNUAL DREAM GALA AND TYPEONENATION SUMMIT JOHNS HOPKINS UNIVERSITY 12529 COLLECTIONS CENTER DR CHICAGO IL 60693 520595110 GOVERNMENT 67952 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD KAISER FOUNDATION HEALTH PLAN PO BOX 34587 SEATTLE WA 981249990 910511770 501(C)(3) 57550 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD KAISER FOUNDATION HOSPITALS 1800 HARRISON ST 16TH FLOOR OAKLAND CA 94612 941105628 501(C)(3) 17861 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD KASEY KAHNE FOUNDATION 265 CAYUGA DR MOORESVILLE NC 98117 251926392 501(C)(3) 6400 SPONSORSHIP OF THE DRIVE EVENT WITH RUSSELL WILSON AND KASEY KAHNE KETCHIKAN YOUTH INITIATIVES INC 724 BAYVIEW ST KETCHIKAN AK 99901 202549904 501(C)(3) 11850 GRANT FOR CAPACITY BUILDING FOR NEW YOUTH COMMUNITY CENTER KING COUNTY DEPARTMENT OF TRANSPORTATION 201 S JACKSON ST SEATTLE WA 981049788 916001327 GOVERNMENT 5134 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD LOS ANGELES BIOMEDICAL RESEARCH INSTITUTE AT HARBOR-UCLA MEDICAL CENTER 1124 W CARSON ST N21 TORRANCE CA 90502 952138184 501(C)(3) 62271 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD LOUISIANA STATE UNIVERSITY 433 BOLIVER ST NEW ORLEANS LA 701122256 726087770 GOVERNMENT 28814 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MAINE MEDICAL CENTER 22 BRAMHALL ST PORTLAND ME 041023175 010238552 501(C)(3) 22021 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MARCH OF DIMES 1904 THIRD AVE SUITE 230 SEATTLE WA 98101 131846366 501(C)(3) 21000 SPONSORSHIPS OF NURSE OF THE YEAR EVENT AND MARCH FOR BABIES MARY HITCHCOCK MEMORIAL HOSPITAL 1 MEDICAL CTR DR LEBANON NH 03756 020222140 501(C)(3) 60503 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MASSACHUSETTS GENERAL HOSPITAL THE GENERAL HOSPITAL CORPORATION PO BOX 414876 BOSTON MA 022414876 042697983 501(C)(3) 22820 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MEDICAL UNIVERSITY OF SOUTH CAROLINA 19 HAGOOD AVE RM 303 CHARLESTON SC 294258040 576000722 GOVERNMENT 81410 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MONMOUTH MEDICAL CENTER INC 300 SECOND AVE STE SH 013 LONG BRANCH NJ 07740 223452412 501(C)(3) 13574 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD MULTICARE HEALTH SYSTEM 315 M3-CRD 315 MARTIN LUTHER KING JR WAY S TACOMA WA 98405 911352172 501(C)(3) 10716 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD NATIONAL JEWISH HEALTH 1400 JACKSON ST M216 DENVER CO 80206 742044647 501(C)(3) 24146 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD NEW YORK MEDICAL COLLEGE 40 SUNSHINE COTTAGE RD VALHALLA NY 10595 131099420 501(C)(3) 65500 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD NORTHSHORE UNIVERSITY HEALTH SYSTEM 1001 UNIVERSITY PL EVANSTON IL 60201 362167060 501(C)(3) 38581 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD OREGON HEALTH AND SCIENCE UNIVERSITY 0690 SW BANCROFT ST MAIL CODE L106SPA PORTLAND OR 97239 931176109 GOVERNMENT 112944 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD PACIFIC SCIENCE CENTER FOUNDATION 200 SECOND AVE N SEATTLE WA 981094895 910750867 501(C)(3) 23150 SUPPORT OF FESTIVAL OF THE FOUNDATIONS, FOUNDATIONS OF SCIENCE BREAKFAST, AND SCIENCE CAFE SPRING SERIES PENNSYLVANIA STATE UNIVERSITY CONTROLLERS OFFICE G230 PO BOX 850 HERSHEY PA 17033 246000376 GOVERNMENT 32034 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD PETERSBURG CHILDREN'S CENTER INC PO BOX 138 PETERSBURG AK 99833 920047233 501(C)(3) 20000 GRANT FOR FACILITY EXPANSION PHOENIX CHILDREN'S HOSPITAL 1919 E THOMAS RD PHOENIX AZ 85016 860422559 501(C)(3) 5355 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD PORTLAND STATE UNIVERSITY PO BOX 751 PORTLAND OR 972070751 364776757 GOVERNMENT 34932 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD PROGRAM FOR EARLY PARENT SUPPORT 4649 SUNNYSIDE AVE N SUITE 324 SEATTLE WA 98103 911212698 501(C)(3) 6000 ANNUAL SPONSORSHIP PROMEDICA TOLEDO HOSPITAL 2142 N COVE BLVD TOLEDO OH 43606 344428256 501(C)(3) 7350 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD PROVIDENCE HEALTH & SERVICES WASHINGTON PO BOX 190005 ANCHORAGE AK 995190005 920016429 501(C)(3) 14898 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD RAND CORPORATION PO BOX 2138 SANTA MONICA CA 904072138 951958142 501(C)(3) 162511 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD REGENTS OF THE UNIVERSITY OF MINNESOTA PO BOX 1450 NW 5957 MINNEAPOLIS MN 554855957 416007513 GOVERNMENT 159598 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES BOX 0897 1855 FOLSOM ST MCB 425 SAN FRANCISCO CA 941430897 956006143 501(C)(3) 30295 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL 700 CHILDRENS DR COLUMBUS OH 43205 316056230 501(C)(3) 185551 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD RONALD MCDONALD HOUSE CHARITIES WESTERN WASHINGTON & ALASKA 5130 40TH AVE NE SEATTLE WA 98105 911061043 501(C)(3) 428654 SUPPORT FOR HOUSING PROGRAMS AND GALA SPONSORSHIP SAGE BIONETWORKS 1100 FAIRVIEW AVE N M1-C110 SEATTLE WA 98121 264489946 501(C)(3) 121446 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SAN DIEGO STATE UNIVERSITY FOUNDATION 5250 CAMPANILE DR SAN DIEGO CA 921821948 956042721 501(C)(3) 34590 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SANFORD RESEARCH USD 2301 E 60TH ST N SIOUX FALLS SD 571040589 460450378 501(C)(3) 5465 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SETON HEALTHCARE NETWORK PO BOX 204242 DALLAS TX 753204242 741109643 501(C)(3) 8023 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD SMART CITIES - TECHSTREET HOUSTON INC 410 PIERCE ST HOUSTON TX 770028646 463387791 501(C)(3) 15000 CONTRIBUTION TO ENERGIZING HEALTH INITIATIVE FOR IMPACT PEDIATRIC HEALTH EVENT SOLID GROUND WASHINGTON 1501 N 45TH ST SEATTLE WA 98103 237421892 501(C)(3) 8500 SPONSORSHIP OF ANNUAL BUILDING COMMUNITY LUNCHEON SOUTHEAST ALASKA INDEPENDENT LIVING 3225 HOSPITAL DR SUITE 300 JUNEAU AK 99803 920144370 501(C)(3) 20000 GRANT FOR COMMUNITY PLAYGROUND PROJECT SPECTRUM HEALTH HOSPITALS 100 MICHIGAN ST NE MC 038 GRAND RAPIDS MI 49503 381360529 501(C)(3) 77414 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ST LOUIS UNIVERSITY FUSZ HALL ROOM 368 3700 W PINE MALL MALL ST LOUIS MO 631083306 430654872 501(C)(3) 55556 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD ST LUKE'S REGIONAL MEDICAL CENTER 190 E BANNOCK ST BOISE ID 83712 820161600 501(C)(3) 13103 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD STANFORD UNIVERSITY PO BOX 44253 SAN FRANCISCO CA 94144 941156365 501(C)(3) 49058 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD TEXAS A AND M UNIVERSITY 400 HARVEY MITCHELL PKWY S 300 COLLEGE STATION TX 77845 746000531 GOVERNMENT 22349 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE ASSOCIATION OF ALASKA SCHOOL BOARDS 1111 W 9TH ST JUNEAU AK 99801 920098760 501(C)(3) 20000 GRANT FOR CULTURALLY RESPONSIVE SOCIAL AND EMOTIONAL LEARNING PROGRAM THE CHILDREN'S MERCY HOSPITAL PO BOX 803852 KANSAS CITY MO 64180 440605373 501(C)(3) 60347 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE GEORGE WASHINGTON UNIVERSITY 45155 RESEARCH PL ASHBURN VA 20147 530196584 501(C)(3) 20927 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE MEDICAL COLLEGE OF WISCONSIN 9000 W WISCONSIN AVE MILWAUKEE WI 53201 390806261 501(C)(3) 115990 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE NEMOURS FOUNDATION 10140 CENTURION PKWY N JACKSONVILLE FL 32256 590634433 501(C)(3) 47581 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK PO BOX 9 ALBANY NY 122010009 141368361 501(C)(3) 217035 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER PO BOX 842265 DALLAS TX 752842265 756001354 GOVERNMENT 26397 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS PO BOX 841753 DALLAS TX 752841753 756002868 GOVERNMENT 18066 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD TULANE UNIVERSITY 800 E COMMERCE RD SUITE 203 HARAHAN LA 70123 720423889 501(C)(3) 30424 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNITED WAY OF KING COUNTY 720 SECOND AVE SEATTLE WA 98104 910565555 501(C)(3) 25850 SPONSORSHIPS OF SUMMER FOOD INVASION FIELD DAYS AND ANNUAL BREAKFAST UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER 11100 EUCLID AVE CLEVELAND OH 482781686 341567805 501(C)(3) 45841 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ALABAMA AT BIRMINGHAM 1600 7TH AVE S ACC 620 BIRMINGHAM AL 352940109 636005396 GOVERNMENT 327795 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ARIZONA 1303 E UNIVERSITY BLVD BOX 3 TUCSON AZ 857190521 742652689 GOVERNMENT 33084 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 W MARKHAM ST LITTLE ROCK AR 72205 716046242 GOVERNMENT 7888 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF COLORADO PO BOX 910238 DENVER CO 802910238 846000555 GOVERNMENT 552461 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD AND GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD UNIVERSITY OF FLORIDA PO BOX 113001 GAINESVILLE FL 326113001 596002052 501(C)(3) 37285 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ILLINOIS AT 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REGENTS 985100 NEBRASKA MEDICAL CENTER OMAHA NE 681985100 470049123 GOVERNMENT 28284 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF NORTH CAROLINA PO BOX 402420 ATLANTA GA 303842420 566001393 GOVERNMENT 225302 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF OKLAHOMA HEALTH SCIENCES PO BOX 26901 SCB 228 OKLAHOMA CITY OK 731260901 736017987 GOVERNMENT 12233 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF PENNSYLVANIA PO BOX 785541 PHILADELPHIA PA 191785541 231352685 501(C)(3) 520800 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF PITTSBURGH PO BOX 371220 PITTSBURGH PA 152517220 250965591 501(C)(3) 395517 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF ROCHESTER 601 ELMWOOD AVE BOX 777 ROCHESTER NY 14642 160743209 501(C)(3) 68634 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF TENNESSEE 62 S DUNLAP ST SUITE 300 MEMPHIS TN 38163 626001636 GOVERNMENT 7263 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF UTAH 201 S PRESIDENTS CIRCLE ROOM 406 SALT LAKE CITY UT 84112 876000525 GOVERNMENT 176804 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE 85 S PROSPECT ST BURLINGTON VT 05405 030179440 501(C)(3) 9396 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF VIRGINIA PO BOX 400201 CHARLOTTESVILLE VA 229041034 546001796 501(C)(3) 36002 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DR CHICAGO IL 60693 916001537 GOVERNMENT 5631258 GIFT IN SUPPORT OF CENTER FOR PEDIATRIC DENTISTRY, SUPPORT FOR DEPARTMENT OF IMMUNOLOGY GRADUATE EDUCATION PROGRAM, PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD, AND REFUND OF GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD UNIVERSITY OF WISCONSIN 600 HIGHLAND AVE MC 9988 MADISON WI 537920001 396006492 GOVERNMENT 14434 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD VANDERBILT UNIVERSITY 1400 18TH AVE S NASHVILLE TN 372122809 620476822 501(C)(3) 592747 GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD AND PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD VIRGINIA COMMONWEALTH UNIVERSITY PO BOX 843039 RICHMOND VA 232842506 546001758 GOVERNMENT 202057 GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD AND PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES PO BOX 45204 OLYMPIA WA 985045204 916001088 GOVERNMENT 29967 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WASHINGTON STATE UNIVERSITY PO BOX 645220 PULLMAN WA 991645220 911075542 GOVERNMENT 336443 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WASHINGTON UNIVERSITY 660 S EUCLID BOX 8009 ST LOUIS MO 63110 430653611 501(C)(3) 88406 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WAYNE STATE UNIVERSITY PO BOX 02788 DETROIT MI 48202 386028429 GOVERNMENT 48085 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WEST VIRGINIA UNIVERSITY RESEARCH 886 CHESTNUT RIDGE RD PO BOX 6845 MORGANTOWN WV 265066845 550665758 501(C)(3) 5234 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD WITHINREACH 155 NE 100TH STREET SUITE 500 SEATTLE WA 98125 911443685 501(C)(3) 12000 VAX NORTHWEST IMMUNIZATION CAMPAIGN, HEALTHY CONNECTIONS LUNCHEON SPONSORSHIP, AND GENERAL DEVELOPMENT SUPPORT YALE UNIVERSITY 333 CEDAR ST I-100 SHM NEW HAVEN CT 065208087 060646973 501(C)(3) 14307 PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY 1118 FIFTH AVENUE SEATTLE WA 98101 910482890 501(C)(3) 10000 SPONSORSHIP OF INSPIRE LUNCHEON YOUTH ADVOCATES OF SITKA 805 LINCOLN ST SITKA AK 99835 920064393 501(C)(3) 20000 GRANT FOR YOUTH EMPLOYMENT PROGRAM FOCUSED ON IMPROVING OUTCOMES FOR YOUTH WITH DISORDERS 133 1 SUPPORT TO PATIENT FAMILIES OF MEDICALLY FRAGILE CHILDREN FOR EMERGENCY GENERATORS 1 1000 COLLEGE SCHOLARSHIPS FOR HOSPITAL VOLUNTEERS 2 6000 GRANT FOR THE PRODUCTION OF A VIDEO SERIES DESIGNED TO EDUCATE YOUTH ABOUT SUBSTANCE ABUSE ON BEHALF OF THE NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE IN JUNEAU, ALASKA 1 8400 SUPPORT TO PATIENT FAMILIES TO MEET VARIOUS NEEDS 13 3837 SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD 1093 32766 MARKET VALUE MEAL VOUCHERS TO CAFETERIA SUPPORT TO PATIENT FAMILIES TO PURCHASE GROCERIES 341 21570 MARKET VALUE SAFEWAY GIFT CARDS SUPPORT TO PATIENT FAMILIES TO PURCHASE GAS FOR TRANSPORTATION TO APPOINTMENTS 414 19990 MARKET VALUE GAS CARDS SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD 194 3231 MARKET VALUE FOOD BAGS SUPPORT TO PATIENTS AND FAMILIES WHO ARE ADMITTED ON AN EMERGENT / URGENT BASIS 154 2681 MARKET VALUE CLOTHING SUPPORT TO PATIENT FAMILIES FOR TEMPORARY HOUSING AND RENTAL ASSISTANCE 62 10441 ACTUAL COST PAYMENTS TO HOUSING AND RENTAL COMPANIES AND FOR PROPERTY TAXES SUPPORT TO PATIENT FAMILIES FOR TRANSPORTATION AND TRAVEL 149 7827 ACTUAL COST PAYMENTS TO TRANSPORTATION COMPANIES, FOR CAR LOANS, AND FOR AUTO INSURANCE SUPPORT TO PATIENT FAMILIES FOR FUNERAL EXPENSES 33 5025 ACTUAL COST PAYMENTS TO FUNERAL HOMES SUPPORT TO PATIENT FAMILIES FOR UTILITY EXPENSES, STORAGE, AND HOME MAINTENANCE 7 4221 ACTUAL COST PAYMENTS TO UTILITY COMPANIES, STORAGE COMPANIES, HOUSECLEANERS, AND FOR HOME REPAIR COSTS SUPPORT TO PATIENT FAMILIES FOR MEDICAL EQUIPMENT 7 798 ACTUAL COST PAYMENTS TO MEDICAL EQUIPMENT PROVIDERS PART I, LINE 2: A SPONSORSHIP COMMITTEE WAS ESTABLISHED BY SEATTLE CHILDREN'S HOSPITAL TO MEET REGULARLY FOR THE PURPOSE OF EVALUATING DIFFERENT OPPORTUNITIES TO SUPPORT OTHER NONPROFIT ORGANIZATIONS THROUGH PROVIDING VOLUNTEERS, GRANTS, AND SPONSORSHIPS FOR FUNDRAISING AND EDUCATIONAL EVENTS. CRITERIA USED IN THE DETERMINATION OF ASSISTANCE INCLUDE: THE ORGANIZATION'S ALIGNMENT WITH THE HOSPITAL'S CORE MISSION AND VALUES, THE DIVERSITY AND LOCATION OF THE POPULATION SERVED, AS WELL AS DOCUMENTED COMMUNITY NEED ADDRESSED BY THE ORGANIZATION. THE PURPOSE OF GRANTS DISTRIBUTED FROM THE REUBEN CROSSETT ENDOWMENT FUND IS TO IMPROVE THE HEALTH OF CHILDREN LIVING IN SOUTHEAST ALASKA. AN ADVISORY COMMITTEE OF SEATTLE CHILDREN'S REPRESENTATIVES REVIEWS APPLICATIONS AND VISITS THE CITIES OF KETCHIKAN, SITKA, AND JUNEAU ANNUALLY TO GAIN FEEDBACK ON THE NEEDS OF THE COMMUNITIES AND VISIT ORGANIZATIONS THAT HAVE APPLIED FOR FUNDING. GRANT RECIPIENTS ARE ASKED TO PROVIDE A REPORT ON HOW THEY WILL EVALUATE THE SUCCESS OF THEIR PROJECT AND RETURN ANY UNSPENT GRANT FUNDS TO THE ENDOWMENT. SEATTLE CHILDREN'S HOSPITAL HOLDS SEVERAL ENDOWMENTS THAT WERE ESTABLISHED TO SUPPORT PEDIATRIC BRAIN TUMOR RESEARCH ACTIVITIES. FUNDS ARE GRANTED FROM THESE ENDOWMENTS TO THE FRED HUTCHINSON CANCER RESEARCH CENTER. THE PRIMARY RESEARCHER IS INTERVIEWED ANNUALLY TO REPORT ON THE ACTIVITIES SUPPORTED BY THESE ENDOWMENTS. ORGANIZATIONS SELECTED AS SUBGRANTEES UNDER THE GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH (GAPPS) PROGRAM ARE REQUIRED TO PROVIDE WRITTEN AND FINANCIAL REPORTS. THESE REPORTS ARE PREPARED ON AN INTERIM BASIS AS WELL AS AT THE END OF THE FISCAL YEAR. ADDITIONALLY, PRINCIPAL INVESTIGATORS HAVE QUARTERLY CHECK-IN PHONE CALLS AND ATTEND AN ANNUAL INVESTIGATORS MEETING IN SEATTLE TO REPORT ON THEIR PROGRESS. THE OFFICE OF SPONSORED RESEARCH DEPARTMENT AT SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF THE HOSPITAL, PERFORMS QUARTERLY REVIEWS OF EACH SUBAWARD TO ENSURE THAT RECIPIENTS ARE MANAGING FUNDING IN ACCORDANCE WITH THE TERMS OF THE CONTRACT. A-133 AUDITS, RATE AGREEMENTS, AND DISCLOSURE REQUIREMENTS ARE ALL REVIEWED TO ENSURE THEY ARE CURRENT OR EXEMPT. THIS REVIEW IS TO ENSURE THAT THE SUBRECIPIENT HAS THE NECESSARY INFRASTRUCTURE IN PLACE TO MANAGE FUNDS. TERMS OF THE SUBCONTRACTS ARE MODIFIED AS NEEDED TO ADDRESS ANY ISSUES. THE PRIVATE INVESTIGATOR IS RESPONSIBLE TO ENSURE THE WORK IS PERFORMED TO SATISFACTION AND CONSISTENT WITH THE AIMS OF THE PROJECT. THE CENTER BUSINESS OFFICE ENSURES THAT THE INVOICED AMOUNTS ARE ALLOWABLE UNDER THE PROVISIONS OF THE AWARD AND SUBCONTRACT. A FINAL CHECK FOR COMPLIANCE TAKES PLACE AT THE EXPIRATION OF THE SUBAWARD WHEN THE OFFICE OF SPONSORED RESEARCH PERFORMS ITS FINAL CLOSEOUT. ANY PROBLEMS WITH PERFORMANCE OR EXPENDITURES ARE IDENTIFIED AT THAT TIME AND RESOLVED AS APPROPRIATE BEFORE FINAL DISTRIBUTIONS ARE MADE AND THE SUBAWARD IS COMPLETE. X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 KELLY WALLACE SENIOR VP & CHIEF FINANCIAL OFFICER 366563 122187 129545 43182 10379 497 13334 85537 16132 5377 535953 256780 0 0 JEFF SPERRING MD CEO/NON-VOTING EX-OFFICIO TRUSTEE 378709 126237 68118 22635 2635 0 1988 120309 14179 4727 465629 273908 0 0 THOMAS HANSEN MD CEO THRU MAY 2015/PRINC INVESTIGATOR 405257 80086 692739 100280 12761 0 13912 241802 12897 4299 1137566 426467 0 0 LISA BRANDENBURG PRESIDENT - HOSPITAL 573505 0 232842 0 5703 0 18430 103163 30861 0 861341 103163 0 0 SANFORD MELZER MD EXEC VP-NETWORKS & POPULATION HEALTH 374660 120156 224056 0 8236 32775 17751 79199 28951 3650 653654 235780 0 32775 MARK DEL BECCARO MD SR VP-CHIEF MED OFF/NON-VOTING TRUST 448397 0 102070 0 7105 0 18550 69919 11332 0 587454 69919 0 0 JAMES HENDRICKS PHD PRESIDENT - RESEARCH INSTITUTE 360095 0 152849 0 5847 0 17805 59030 28764 0 565360 59030 0 0 SUSAN HEATH SENIOR VP & CHIEF NURSING OFFICER 305336 0 149097 0 6336 0 17456 0 11712 0 489937 0 0 0 CINDY GAZECKI SENIOR VP - HOSPITAL OPERATIONS 336144 0 99648 0 6008 0 18550 47928 30035 0 490385 47928 0 0 SUZANNE PETERSEN COS TO CEO & VP - EXT. AFFAIRS 328337 0 94201 0 6099 0 18550 0 25840 0 473027 0 0 0 ERIK LAUSUND VP - RESEARCH OPERATIONS & LOGISTICS 277931 0 93165 0 3525 0 18472 0 21520 0 414613 0 0 0 JEFFREY SCONYERS SENIOR VP & GENERAL COUNSEL 118230 118231 61623 61082 13478 0 8611 43976 11778 11779 213720 235068 0 0 WARREN HEWITT VP - FINANCE 239930 0 76926 0 34482 0 18550 0 19796 0 389684 0 0 0 CARA BAILEY SR VP-CONTINUOUS PERFORMANCE IMPROVE 258513 0 87678 0 4524 0 18550 33609 12555 0 381820 33609 0 0 TODD JOHNSON VP - FACILITIES 266226 0 69028 0 5601 0 18550 0 27907 0 387312 0 0 0 STEPHANIE AXELROD VP-COMMUNITY & STRATEGIC INITIATIVES 235121 0 83359 0 5425 0 18550 0 29299 0 371754 0 0 0 ALEXANDER GARRARD VP - HUMAN RESOURCES 233206 0 33054 0 8360 0 17769 0 30108 0 322497 0 0 0 JENNIFER BECKER VP - AMBULATORY SERVICES 211444 0 42025 0 2069 0 17808 0 15575 0 288921 0 0 0 KATHY JO FREEMAN VP - PERIOP. & SURGICAL SERV. LINES 200201 0 43778 0 6726 0 17095 0 29711 0 297511 0 0 0 EDWIN WRIGHT SENIOR VP & CHIEF INFO. OFFICER 76103 0 139050 0 20090 0 15754 16044 8399 0 259396 16044 0 0 GREGORY BLACKBURN VP - CLINICAL SUPPORT SERVICES 215953 0 8 0 1507 0 4618 0 14741 0 236827 0 0 0 MICHAEL MURPHY VP - ACCOUNTABLE CARE NETWORK 122210 0 75228 0 1946 0 523 0 7096 0 207003 0 0 0 DOUGLAS PICHA PRESIDENT - FOUNDATION 36311 326803 33499 301488 18889 1913 1775 74590 3033 27293 93507 732087 0 0 MARK EGBERT DDS CHIEF - ORAL & MAXILLOFACIAL SURGERY 448717 0 79606 0 12101 0 18550 0 30888 0 589862 0 0 0 MICHAEL ASTION MD MEDICAL DIRECTOR - LABORATORIES 461771 0 36485 0 2949 0 14213 0 32345 0 547763 0 0 0 JAMES CHRISTIANSEN MD CARDIOLOGIST 373870 0 85000 0 3075 0 13079 0 30502 0 505526 0 0 0 CRAIG RUBENS MD PHD EXECUTIVE DIRECTOR - GAPPS 351002 0 89018 0 7560 0 18550 0 21844 0 487974 0 0 0 DAVID FISHER MD FORMER SR VP & CHIEF MEDICAL OFFICER 0 0 227089 0 0 0 13625 0 0 0 240714 0 0 0 PART I, LINE 1A BUSINESS OR FIRST CLASS TRAVEL IS PROVIDED TO EMPLOYEES IN THE EVENT OF MEDICAL NECESSITY OR ON CERTAIN INTERNATIONAL FLIGHTS OF LONG DURATION. THIS IS NOT TREATED AS COMPENSATION. THE CHIEF EXECUTIVE OFFICER IS PROVIDED MEMBERSHIP TO THE RAINIER CLUB. ANNUAL DUES ARE REPORTED AS IMPUTED COMPENSATION. JAMES HENDRICKS AND STEPHANIE AXELROD ARE PROVIDED ROTARY CLUB MEMBERSHIPS, WHICH ARE NOT TREATED AS COMPENSATION. PART I, LINE 4B THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: KELLY WALLACE - $81,092 DEFERRED COMPENSATION. JEFF SPERRING MD - $119,647 DEFERRED COMPENSATION. THOMAS HANSEN MD - $237,164 DEFERRED COMPENSATION. LISA BRANDENBURG - $103,163 DEFERRED COMPENSATION. SANFORD MELZER MD - $67,003 DEFERRED COMPENSATION, $32,775 REPORTABLE PAYMENT. MARK DEL BECCARO MD - $69,919 DEFERRED COMPENSATION. JAMES HENDRICKS MD - $59,030 DEFERRED COMPENSATION. CYNDY GAZECKI - $47,928 DEFERRED COMPENSATION. JEFFREY SCONYERS - $35,365 DEFERRED COMPENSATION. CARA BAILEY - $33,609 DEFERRED COMPENSATION. EDWIN WRIGHT - $58,759 DEFERRED COMPENSATION. DOUGLAS PICHA - $51,391 DEFERRED COMPENSATION. DAVID FISHER MD - $32,290 DEFERRED COMPENSATION. PART II, COLUMN (F): THE FOLLOWING RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, WHICH IS BEING REPORTED IN COLUMN (B)(III). THIS COMPENSATION WAS REPORTED IN COLUMN (C) IN PRIOR FORMS 990: SANFORD MELZER MD - $32,775 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978HLL7 2015-02-03 303924156 SEE PART VI 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978HDX0 2012-06-20 80423004 SEE PART VI 0 0 0 C WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978HEZ4 2012-06-20 142165000 SEE PART VI 0 0 0 D WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978HAA3 2010-09-02 77394750 SEE PART VI 0 0 0 A 303944485 61404 197416118 2600625 103865301 1037 2015 0 1 0 1 B 80423004 285 30419377 50003342 2013 0 1 1 1 C 142165000 2012 1 0 1 1 D 77394750 77394750 2010 0 0 1 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 D 0 0 1 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 1 1 0 0 0 0 1 C 0 1 1 0 1 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 ENTITY 1 - FIRST SCHEDULE: PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2015A AND REFUNDING REVENUE BONDS, SERIES 2015B (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2015A/B BONDS"), WERE ISSUED TO (I) TO PROVIDE PART OF THE FUNDS NECESSARY TO PAY AND/OR REIMBURSE SEATTLE CHILDREN'S HOSPITAL ("SEATTLE CHILDREN'S") FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING, EQUIPPING AND IMPROVING CERTAIN HEALTH CARE FACILITIES OWNED AND OPERATED BY SEATTLE CHILDREN'S; (II) ADVANCE REFUND AND DEFEASE ALL OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED MAY 29, 2008 (THE "SERIES 2008C BONDS"). THE PROCEEDS OF THE SERIES 2008C BONDS WERE ISSUED TO (I) REPAY AND RETIRE SEATTLE CHILDREN'S TAXABLE LINE OF CREDIT INDEBTEDNESS OWED TO WELLS FARGO BANK, N.A., WHICH INDEBTEDNESS WAS INCURRED TO REDEEM AND RETIRE THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED FEBRUARY 16, 2006 (THE "SERIES 2006C BONDS"). THE PROCEEDS OF THE SERIES 2006C BONDS WERE USED TO (I) PROVIDE A PORTION OF THE FUNDS NECESSARY TO CONSTRUCT, REMODEL AND/OR ACQUIRE ADDITIONAL HEALTH CARE FACILITIES FOR SEATTLE CHILDREN'S AND (II) TO PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2008C BONDS; AND (III) ADVANCE REFUND AND DEFEASE $79 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2009 (SEATTLE CHILDREN'S HOSPITAL), DATED AUGUST 19, 2009, (THE "SERIES 2009 BONDS"). THE PROCEEDS OF THE SERIES 2009 BONDS WERE ISSUED TO PROVIDE ALL OR A PORTION OF THE FUNDS NECESSARY TO (I) PAY THE COSTS (INCLUDING NEW CAPITAL COSTS, REIMBURSEMENT COSTS, AND REFINANCING COSTS) OF ACQUIRING THE LAND FOR CONSTRUCTING AND EQUIPPING A NEW OUTPATIENT CLINIC AND AMBULATORY SURGERY FACILITY IN BELLEVUE, WASHINGTON, RENOVATING AND REMODELING VARIOUS PORTIONS OF SEATTLE CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN SEATTLE CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS; AND (III) PAY COSTS OF ISSUING THE SERIES 2015A/B BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2015A BONDS, WHICH HAVE THE LATER OF THE MATURITIES OF THE TWO SERIES. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2012A AND REFUNDING REVENUE BONDS, SERIES 2012B (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2012A/B BONDS"), WERE ISSUED TO (I) REIMBURSE SEATTLE CHILDREN'S FOR A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPPING CERTAIN HEALTH CARE FACILITIES OF SEATTLE CHILDREN'S, AND (II) TO ADVANCE REFUND AND DEFEASE $27 MILLION OF THE SERIES 2009 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2012A BONDS, WHICH HAVE THE LATER OF THE MATURITIES OF THE TWO SERIES. LINE C, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REFUNDING REVENUE BONDS, SERIES 2012C AND REFUNDING REVENUE BONDS, SERIES 2012D (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2012C/D BONDS"), WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008A AND SERIES 2008B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED APRIL 16, 2008 (THE "SERIES 2008A/B BONDS"). THE PROCEEDS OF THE SERIES 2008A/B BONDS WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006A AND SERIES 2006B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), EACH DATED FEBRUARY 16, 2006 (THE "SERIES 2006A/B BONDS"). THE PROCEEDS OF THE SERIES 2006A/B BONDS WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING TO ADVANCE REFUND AND DEFEASE $67 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 1998 BONDS (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED NOVEMBER 17, 1998 (THE "SERIES 1998 BONDS"), AND (II) ADVANCE REFUND AND DEFEASE $66 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2001 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED NOVEMBER 15, 2001 (THE "SERIES 2001 BONDS"). THE PROCEEDS OF THE SERIES 1998 BONDS WERE USED TO PROVIDE A PORTION OF THE FUNDING FOR A COMPREHENSIVE FACILITY RENOVATION PROGRAM THAT INCLUDED EXTENSIVE CAPITAL IMPROVEMENTS TO THE HOSPITAL'S MAIN FACILITY. THE PROCEEDS OF THE SERIES 2001 BONDS WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING FOR A $120 MILLION CAPITAL PROGRAM, (II) PAY FOR THE PREMIUM RELATING TO THE BOND INSURANCE POLICY AND (III) PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2001 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2012D BONDS AND THERE IS NO CUSIP NUMBER FOR THE SERIES 2012C BONDS. LINE D, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010A (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010A BONDS"), WERE ISSUED TO REIMBURSE SEATTLE CHILDREN'S FOR THE COSTS OF ACQUIRING CERTAIN REAL PROPERTY (INCLUDING LAND) TO BE DEVELOPED AND USED AS HEALTH CARE FACILITIES OF SEATTLE CHILDREN'S. PART II, PROCEEDS: COLUMN A, LINES 3, 5 AND 6: LINE 3 INCLUDES INVESTMENT EARNINGS OF $20,329.00. LINE 5: $40,033.00 AND $21,371.00 OF PROCEEDS WAS TRANSFERRED TO THE PRINCIPAL AND INTEREST ACCOUNTS OF THE SERIES 2015A AND SERIES 2015B BONDS, RESPECTIVELY, AND WAS USED TO PAY INTEREST ON THE NEW MONEY PORTION OF THE SERIES 2015A AND SERIES 2015B BONDS. LINE 6: $197,416,118.00 OF TOTAL PROCEEDS FROM THE SERIES 2015B BONDS WAS DEPOSITED IN A REFUNDING ESCROW ACCOUNT. COLUMN B, LINES 5 AND 6: $30,419,377.00 OF TOTAL PROCEEDS FROM THE SERIES 2012B BONDS WAS DEPOSITED IN A REFUNDING ESCROW ACCOUNT AND $285.00 OF TOTAL PROCEEDS WAS DEPOSITED IN THE SERIES 2012B PRINCIPAL AND INTEREST ACCOUNT AND USED TO PAY INTEREST DUE ON THE SERIES 2012B BONDS. COLUMN C: $142,165.00 WAS USED TO REFUND, ON A CURRENT BASIS AND REDEEM ALL OF THE OUTSTANDING SERIES 2008A AND SERIES 2008B BONDS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2012C/D BONDS. PART III, PRIVATE BUSINESS USE: COLUMN A, B AND COLUMN D, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%. PART IV, ARBITRAGE: COLUMN A, LINE 2B: NO REBATE CALCULATION IS REQUIRED AS OF THE FILING DATE. IT IS EXPECTED THE SERIES 2015A/B BONDS WILL MEET AN EXCEPTION TO REBATE. COLUMN B, LINE 2B: A PORTION OF THE SERIES 2012A/B BOND ISSUE MET THE 6-MONTH SPENDING EXCEPTION TO REBATE SET FORTH IN REGULATIONS 1.148-9(H) AND 1.148-7. COLUMN B, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON NOVEMBER 4, 2014. COLUMN C, LINE 4A: SEATTLE CHILDREN'S DID NOT ENTER, NOR EXPECTS TO ENTER INTO, ANY INTEREST RATE HEDGE ARRANGEMENTS IN CONNECTION WITH THE SERIES 2012C/D BONDS. SEATTLE CHILDREN'S DID ENTER INTO QUALIFIED HEDGES WITH RESPECT TO THE SERIES 2008A/B BONDS, WHICH WERE REFUNDED BY THE SERIES 2012C/D BONDS. THE TERMINATION OR DEEMED TERMINATION PAYMENT, AS APPLICABLE, WITH RESPECT TO THE HEDGES WILL BE TAKEN INTO ACCOUNT IN THE CALCULATION OF THE YIELD ON THE SERIES 2012C/D BONDS. ENTITY 2 - SECOND SCHEDULE: PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010B (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010B BONDS"), WERE ISSUED TO (I) REFUND, ON A CURRENT BASIS, AND DEFEASE ALL OF THE OUTSTANDING SERIES 1998 BONDS AND (II) PAY COST OF ISSUANCE FOR THE SERIES 2010B BONDS. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2009 (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2009 BONDS") WERE ISSUED TO PROVIDE ALL OR A PORTION OF THE FUNDS NECESSARY TO (I) PAY THE COSTS (INCLUDING NEW CAPITAL COSTS, REIMBURSEMENT COSTS, AND REFINANCING COSTS) OF ACQUIRING THE LAND FOR CONSTRUCTING AND EQUIPPING A NEW OUTPATIENT CLINIC AND AMBULATORY SURGERY FACILITY IN BELLEVUE, WASHINGTON, RENOVATING AND REMODELING VARIOUS PORTIONS OF SEATTLE CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN SEATTLE CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS. PART II, PROCEEDS: COLUMN A: $46,080,000.00 WAS USED TO REFUND, ON A CURRENT BASIS, AND DEFEASE THE OUTSTANDING SERIES 1998 BONDS, WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2010B BONDS. $20,887.00 OF PROCEEDS WAS TRANSFERRED TO THE PRINCIPAL AND INTEREST ACCOUNT OF THE SERIES 2010B BONDS, AND USED TO PAY INTEREST DUE ON THE SERIES 2010B BONDS. COLUMN B: LINE 3 INCLUDES INVESTMENT EARNINGS OF $100,396.00 PART III, PRIVATE BUSINESS USE: COLUMN B, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%. PART IV, ARBITRAGE: COLUMN B, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON OCTOBER 11, 2012. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978HAB1 2010-09-02 46669601 SEE PART VI 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978E584 2009-08-19 113722874 SEE PART VI 1 0 0 A 46669601 20887 568714 2010 1 0 1 1 B 105895000 113824086 1975466 111848620 2012 0 0 1 1 B 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 MCKINSTRY COMPANY DEAN ALLEN, TRUSTEE, IS CEO AND PART OWNER OF MCKINSTRY COMPANY. 124109 SERVICES 0 ELLEN FISCHER FAMILY MEMBER OF DR. ROB ROSKIN, TRUSTEE 32789 EMPLOYMENT 0 JULIE MARTINA FAMILY MEMBER OF ALVIN WINTERROTH, TRUSTEE 66907 EMPLOYMENT 0 DAWN COTTER FAMILY MEMBER OF DR. MARK DEL BECCARO, KEY EMPLOYEE 242653 EMPLOYMENT 0 SARAH BOWDEN FAMILY MEMBER OF WARREN HEWITT, KEY EMPLOYEE 67186 EMPLOYMENT 0 X 37 2785038 MARKET VALUE 0 0 1 1 PART I, COLUMN (B): LINE 9 - 37 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES PART I, LINE 32B: SEATTLE CHILDREN'S HOSPITAL FOUNDATION AND SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION (RELATED ORGANIZATIONS) SOLICIT BOTH CASH AND NON-CASH GIFTS ON BEHALF OF SEATTLE CHILDREN'S HOSPITAL. FORM 990, PART I, LINE 6: SEATTLE CHILDREN'S HOSPITAL HAS A DEDICATED GROUP OF VOLUNTEERS WHO GENEROUSLY GIVE THEIR TIME AND ENERGY TO SUPPORTING THE MISSION OF THE HOSPITAL. IN FISCAL YEAR 2016, 661 VOLUNTEERS, AFTER COMPLETING A THOROUGH INTERVIEW AND TRAINING PROCESS, LOGGED 76,343 HOURS OF SERVICE IN ONE OF THE 80 DIFFERENT DEPARTMENTS, WITH DUTIES RANGING FROM WORKING IN THE HOSPITAL GIFT SHOP, TO ENTERTAINING PATIENTS IN THE PLAYROOM, TO HELPING WITH ADMINISTRATIVE TASKS AT A RECEPTION AREA. IN ADDITION, 24 UNCOMPENSATED TRUSTEES SERVED ON THE SEATTLE CHILDREN'S HOSPITAL BOARD DURING FISCAL YEAR 2016. IN ALL THAT THEY DO, OUR VOLUNTEERS ARE HIGHLY VALUED MEMBERS OF OUR HOSPITAL COMMUNITY. FORM 990, PART VI, SECTION A, LINE 2 JEFFREY SCONYERS HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, JOEL BENOLIEL, SUSAN BETCHER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, COLIN FOX, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, LAURIE OKI, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, MICHELE SMITH, JEFF SPERRING, CHARLES STEVENS, KELLY WALLACE, AND ALVIN WINTERROTH. JEFF SPERRING HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, JOEL BENOLIEL, SUSAN BETCHER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, COLIN FOX, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, LAURIE OKI, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, MICHELE SMITH, CHARLES STEVENS, KELLY WALLACE, AND ALVIN WINTERROTH. KELLY WALLACE HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, JOEL BENOLIEL, SUSAN BETCHER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, COLIN FOX, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, LAURIE OKI, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, MICHELE SMITH, CHARLES STEVENS, AND ALVIN WINTERROTH. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES (WHICH IS THE GOVERNING BODY) OF SEATTLE CHILDREN'S HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, HAS THE AUTHORITY TO MAKE, ALTER, AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF SEATTLE CHILDREN'S HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT AND INDEPENDENT TAX PROFESSIONALS PRESENT AND REVIEW THE FORM 990 WITH THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF TRUSTEES. AFTER REVIEW BY THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE AND PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE, THE ENTIRE BOARD OF TRUSTEES RECEIVES A COPY OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY OF SEATTLE CHILDREN'S HOSPITAL REQUIRES AN ANNUAL SURVEY OF ALL BOARD MEMBERS OF SEATTLE CHILDREN'S HOSPITAL, MEMBERS OF THE MEDICAL LEADERSHIP, STAFF MEMBERS OCCUPYING ROLES WITH A DEGREE OF AUTHORITY AND MEMBERS OF THE HOSPITAL'S PHARMACY AND THERAPEUTICS COMMITTEE. THE SENIOR VICE PRESIDENT/GENERAL COUNSEL OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, ACTING UNDER THE OVERSIGHT OF THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF TRUSTEES, OVERSEES THE REVIEW OF ALL DISCLOSURES AND ESTABLISHES AND OVERSEES ANY NECESSARY MANAGEMENT PLANS RELATED TO THEM. IN GENERAL, WHEN A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE CONFLICT MUST RECUSE THEMSELVES FROM PARTICIPATION IN ANY BOARD DISCUSSION OR OTHER DECISION MAKING REGARDING THE TRANSACTION AND REFRAIN FROM VOTING ON OR DECIDING ANY ISSUES RELATING TO THE CONFLICTING INTEREST. ANY PERSON COVERED BY THE POLICY WHO ENGAGES IN CONDUCT THAT VIOLATES THE POLICY OR PURSUES A TRANSACTION OR EVENT FOLLOWING DISAPPROVAL BY THE BOARD OR THE CHIEF EXECUTIVE OFFICER MAY, IN THE DISCRETION OF THE BOARD OR THE CHIEF EXECUTIVE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM HIS OR HER DUTIES WITH SEATTLE CHILDREN'S HOSPITAL AND/OR TERMINATED IN HIS OR HER EMPLOYMENT. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE (MDCC) OF THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS), A RELATED ORGANIZATION THAT IS THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL. PURSUANT TO THE BOARD-APPROVED MDCC CHARTER, THE MDCC ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT EXPERT IN THE COMPENSATION OF EXECUTIVES AND OTHER TOP MANAGERS OF NONPROFIT HOSPITALS AND HEALTH CARE SYSTEMS. WITH APPROPRIATE COMPARABILITY DATA PROVIDED BY ITS CONSULTANT (COMPRISING MARKET DATA REGARDING COMPENSATION PAID FOR COMPARABLE SERVICES IN COMPARABLE ORGANIZATIONS), THE MDCC ENGAGES IN AN ANNUAL REVIEW AND ASSESSMENT OF THE SEATTLE CHILDREN'S HOSPITAL EXECUTIVE COMPENSATION PROGRAM (BASE, INCENTIVE COMPENSATION, AND EMPLOYER-PAID BENEFITS) TO DETERMINE COMPETITIVENESS. BASED ON THIS EXPERT ANALYSIS AND ON RELEVANT PERFORMANCE INFORMATION FOR THE EXECUTIVES IN QUESTION AND THE ORGANIZATION AS A WHOLE, THE MDCC PRESENTS A RECOMMENDATION TO THE SCHS BOARD REGARDING THE TOTAL COMPENSATION PACKAGE FOR EACH OF THE EFFECTED EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND KEY EMPLOYEES. THE FULL BOARD REVIEWS THE RECOMMENDATIONS AS WELL AS ALL RELEVANT COMPARABILITY DATA AND THE GOALS OF THE ORGANIZATION IN MAKING ITS FINAL DECISION. IN DOING SO IT RELIES ON THE EXPERT ANALYSIS TO DETERMINE THAT COMPENSATION IS REASONABLE AND WITHIN THE "BOUNDS OF COMPETITIVE PRACTICE". ALL DELIBERATIONS AND DECISIONS OF THE MDCC AND FULL BOARD ARE DOCUMENTED IN THE BOOKS AND RECORDS IN ACCORDANCE WITH GENERAL ADMINISTRATIVE PROVISIONS AND PROCEDURES WITHIN THE BYLAWS. THE PROCESS FOLLOWED BY THE MDCC AND THE FULL BOARD SATISFIES BEST GOVERNANCE PRACTICES AND ALSO MEETS THE REGULATORY REQUIREMENTS NECESSARY TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO THE BOARD'S DECISION. FORM 990, PART VI, SECTION C, LINE 19 SEATTLE CHILDREN'S HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS -1,822,787. CHANGE IN BENEFICIAL INTEREST IN SCHS 5,910,770. TRANSFER OF PROPERTY FROM SCHS 35,527,577. SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT 2016-2017 OUR MISSION WE PROVIDE HOPE, CARE AND CURES TO HELP EVERY CHILD LIVE THE MOST HEALTHY AND FULFILLING LIFE POSSIBLE. OUR VISION SEATTLE CHILDREN'S WILL BE AN INNOVATIVE LEADER IN PEDIATRIC HEALTH AND WELLNESS THROUGH OUR UNSURPASSED QUALITY, CLINICAL CARE, RELENTLESS SPIRIT OF INQUIRY, AND COMPASSION FOR CHILDREN AND THEIR FAMILIES. OUR FOUNDING PROMISE TO THE COMMUNITY IS AS VALID TODAY AS IT WAS OVER A CENTURY AGO. WE WILL CARE FOR EVERY CHILD IN OUR REGION, REGARDLESS OF THEIR FAMILY'S ABILITY TO PAY. WE WILL: - PRACTICE THE SAFEST, MOST ETHICAL AND EFFECTIVE MEDICAL CARE POSSIBLE. - DISCOVER NEW TREATMENTS AND CURES THROUGH BREAKTHROUGH RESEARCH. - PROMOTE HEALTHY COMMUNITIES WHILE REDUCING HEALTH DISPARITIES. - EMPOWER OUR TEAM TO REACH THEIR HIGHEST POTENTIAL IN A RESPECTFUL WORK ENVIRONMENT. - EDUCATE AND INSPIRE THE NEXT GENERATION OF FACULTY, STAFF, AND LEADERS. - BUILD ON A CULTURE OF PHILANTHROPY FOR PATIENT CARE AND RESEARCH. LETTER FROM OUR CHIEF EXECUTIVE OFFICER HEALTH STARTS LONG BEFORE ILLNESS - IN OUR HOMES, SCHOOLS AND JOBS - BUT ONE HOSPITAL CAN'T DO IT ALONE. PARTNERSHIPS ARE A KEY COMPONENT OF OUR SUCCESS AT SEATTLE CHILDREN'S. WE ARE PARTNERS WITH PATIENTS AND FAMILIES IN THEIR HEALING. WE ARE PARTNERS WITH THE COMMUNITY IN RESEARCHING AND CREATING SAFE AND HEALTHY ENVIRONMENTS. AND WE ARE PARTNERS WITH OTHER HEALTHCARE ORGANIZATIONS IN FINDING NEW WAYS TO PREVENT, CURE AND TREAT PEDIATRIC DISEASE. OUR SPIRIT OF PARTNERSHIP IS EMBEDDED IN OUR COMMUNITY BENEFITS THAT HELP US MEET SOME OF THE GREATEST HEALTH NEEDS OF CHILDREN AND FAMILIES IN OUR REGION. IN COLLABORATION WITH COMMUNITY ORGANIZATIONS, PUBLIC HEALTH DEPARTMENTS, RESEARCHERS, DONORS AND OTHERS, WE HAVE WORKED TO: - IMPROVE COORDINATION OF CARE FOR CHILDREN WITH CHRONIC CONDITIONS. - ENHANCE ACCESS TO MENTAL AND BEHAVIORAL HEALTH. - DECREASE INCIDENCE OF SUICIDE AND INCREASE VIOLENCE PREVENTION ACTIVITIES. - IMPROVE ACCESS TO HEALTHY EATING AND ACTIVE LIVING EFFORTS INCLUDING FIGHTING FOOD INSECURITY. THIS REPORT HIGHLIGHTS OUR COMMUNITY BENEFIT EFFORTS DURING THE PAST YEAR. FROM SEARCHING FOR THE CAUSE OF SIDS TO GIVING TEENS TOOLS TO RESPOND TO DISTURBING SOCIAL MEDIA POSTS, OUR TEAM HAS WORKED HAND-IN-HAND WITH OTHERS TO HELP EVERY CHILD THRIVE AND MEET THEIR FULLEST POTENTIAL. WE FEEL SO STRONGLY ABOUT COMMUNITY HEALTH THAT IT IS NOW A PART OF OUR FIVE-YEAR STRATEGIC PLANNING EFFORT AS AN ORGANIZATION. I AM PROUD OF WHAT WE HAVE ACCOMPLISHED AND EXCITED ABOUT WHAT WE WILL ACHIEVE IN THE YEARS AHEAD. 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 NON PROFIT HOSPITALS. TOTAL 2016 INVESTMENT IN THE COMMUNITY: $192,518,000* UNCOMPENSATED CARE & MEDICAID SHORTFALL: $126,683,000 HEALTH PROFESSIONS EDUCATION: $24,631,000 RESEARCH: $29,684,000 COMMUNITY PROGRAMS AND SERVICES: $11,520,000 * DOES NOT INCLUDE GRANTS AND CONTRIBUTIONS SEATTLE CHILDREN'S RECEIVED THAT SUPPORT COMMUNITY BENEFIT PROGRAMS LEARN MORE ABOUT HOW WE CONTRIBUTE TO THE COMMUNITY AT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT COMMUNITY PROGRAMS AND SERVICES OUR MISSION IS NOT BOUNDED BY THE WALLS OF OUR HOSPITAL AND CLINICS. SEATTLE CHILDREN'S STAFF AND PROVIDERS WORK TO KEEP FAMILIES SAFE AND HEALTHY WHERE THEY LIVE. WE COLLABORATE WITH COMMUNITY LEADERS, ORGANIZATIONS, POLICY MAKERS AND FAMILIES TO SUPPORT CHANGES THAT IMPROVE CHILD HEALTH. WE IDENTIFY AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND SPEAK UP FOR THOSE WHO AREN'T ALWAYS HEARD. LAWYERS LEAD FAMILIES PAST LEGAL BARRIERS MANY FAMILIES HIT A BRICK WALL WHEN TRYING TO OBTAIN ASSISTANCE TO MEET THE BASIC NEEDS OF A CHILD WITH A COMPLEX HEALTH CONDITION. THE WASHINGTON MEDICAL-LEGAL PARTNERSHIP (MLP) HELPS FAMILIES WITH RIGHTS TO A SERVICE OR BENEFIT NAVIGATE THE LEGAL SYSTEM TO GET THE ASSISTANCE THEY'RE ENTITLED TO UNDER THE LAW. MOST MLP CLIENTS ARE DISADVANTAGED FAMILIES WHO - BECAUSE OF INCOME, LANGUAGE AND OTHER BARRIERS - ARE OFTEN UNAWARE OF THEIR RIGHTS AND DON'T KNOW WHERE TO GO FOR HELP MEETING BASIC NEEDS. BASED AT SEATTLE CHILDREN'S WITH THE SUPPORT OF HOSPITAL OPERATIONS, COMMUNITY FOUNDATIONS, AND DONORS, MLP ATTORNEYS BATTLE FOR SYSTEMIC CHANGE; PROVIDE FREE LEGAL SERVICES TO FAMILIES; AND TRAIN HEALTHCARE PROVIDERS TO RECOGNIZE HEALTH-HARMING LEGAL NEEDS, ADVOCATE FOR FAMILIES, AND REFER TO MLP. IN 2016 ALONE, 1,514 INDIVIDUALS RECEIVED HEALTH CARE RELATED LEGAL SERVICES FROM THE MLP. EDUCATION, FOOD, HOUSING, PERSONAL SAFETY, AND MEDICAL INSURANCE ARE ALL SOCIAL DETERMINANTS OF A CHILD'S FUTURE HEALTH. IF THOSE BASIC NEEDS GO UNMET, THEY CREATE BARRIERS TO HEALTH THAT MAKE IT DIFFICULT FOR A CHILD TO THRIVE. "IT'S AMAZING HOW MANY TIMES THERE ARE LEGAL SOLUTIONS TO HEALTH BARRIERS, BUT THEY'RE NOT ALWAYS OBVIOUS TO THE UNTRAINED EYE," SAYS DR. BEN DANIELSON, WHO CO-FOUNDED THE WASHINGTON MLP WITH DR. BRIAN JOHNSTON AND CAROL JENKINS. "THE MLP MODEL HELPS THOSE OF US IN HEALTHCARE CONNECT THE DOTS SO FAMILIES GET THE HELP THEY NEED." PROVIDING MORE RELIABLE RIDES CHILDREN COVERED BY MEDICAID QUALIFY FOR TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS. A TRANSPORTATION DESK AT THE OUTPATIENT ENTRANCE TO SEATTLE CHILDREN'S HOSPITAL ENSURES THEY AND THEIR FAMILIES RECEIVE TIMELY AND RELIABLE SERVICE. THE DESK IS STAFFED 10 HOURS A DAY. WHEN A PATIENT AND/OR FAMILY IS READY TO LEAVE THE HOSPITAL, THE PERSON ON DUTY SCHEDULES THEIR RIDE HOME AND - IF NEEDED - THEIR NEXT RIDE TO THE HOSPITAL. FAMILIES WAITED UP TO TWO HOURS FOR THEIR RIDE BEFORE THE DESK OPENED OVER FIVE YEARS AGO. NOW THEY'RE TYPICALLY ON THEIR WAY IN 20 MINUTES, SAYS JULIE POVICK, WHO MANAGES THE MEDICAID TRANSPORTATION DESK. IN 2016, THE STAFF HELPED COORDINATE AN AVERAGE OF 50 RIDES FOR FAMILIES EACH DAY. THE LONG WAITS OCCURRED BECAUSE CAB DRIVERS WOULDN'T SHOW UP OR WOULD LEAVE WITHOUT MAKING MUCH EFFORT TO LET FAMILIES KNOW THEY HAD ARRIVED. NORTHWEST TRANSPORT INC., WHICH OFFERS TRANSPORTATION TO INDIVIDUALS WITH SPECIAL NEEDS, NOW PROVIDES 80 PERCENT OF THE RIDES WHILE THE PERSON AT THE TRANSPORTATION DESK MAKES SURE DRIVERS CONNECT WITH FAMILIES. THE TRANSPORTATION DESK IS A COLLABORATION BETWEEN SEATTLE CHILDREN'S AND HOPELINK, A NONPROFIT AGENCY THAT CONTRACTS WITH THE STATE TO COORDINATE TRANSPORTATION AND HOUSING ASSISTANCE FOR QUALIFYING MEDICARE AND MEDICAID PATIENTS IN THIS REGION. RESEARCH RESEARCH IS OUR INVESTMENT IN FINDING CURES. SEATTLE CHILDREN'S RESEARCHERS STRIVE TO FIND BETTER WAYS TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE - WORK THAT IMPROVES THE LIVES OF CHILDREN AND FAMILIES HERE AND AROUND THE WORLD. COLLABORATING TO CONQUER SIDS THE CAUSE OF SUDDEN INFANT DEATH SYNDROME (SIDS) IS A TRAGIC MYSTERY, BUT DR. DANIEL RUBENS CONTINUES TO NARROW THE SEARCH FOR A WAY TO KEEP NEWBORNS SAFE. RUBENS HAS BEEN INVESTIGATING A POSSIBLE LINK BETWEEN INNER EAR DYSFUNCTION AND SIDS FOR MANY YEARS. HE IS CURRENTLY WORKING WITH COLLABORATORS IN THE UNITED KINGDOM AND DENMARK TO STUDY THE RELATIONSHIP BETWEEN SIDS AND CHILDREN WITH HEARING ABNORMALITIES IDENTIFIED BY A STANDARDIZED NEWBORN HEARING TEST. RUBENS, AN ANESTHESIOLOGIST, BELIEVES THE INNER EAR PLAYS A KEY ROLE IN RELAYING VITAL INFORMATION TO THE BRAIN AND THAT INNER EAR DAMAGE PREVENTS SOME BABIES FROM MOVING OR WAKING UP IF THEIR BREATHING BECOMES COMPROMISED. "OUR ULTIMATE GOAL IS TO DEVELOP A SCREENING TOOL AT BIRTH THAT WOULD IDENTIFY INFANTS AT HIGH RISK FOR UNEXPECTED SUDDEN DEATH," RUBENS SAYS. "THIS COULD ALLOW US TO MONITOR THEM AND PROVIDE INTERVENTIONS THAT WOULD POTENTIALLY REDUCE THE NUMBER OF SIDS DEATHS." ABOUT 2,000 BABIES BORN IN THE UNITED STATES DIE EACH YEAR FROM SIDS. "WE WILL KEEP WORKING AWAY TO UNDERSTAND THE CAUSE OF SIDS AND WE WON'T GIVE UP UNTIL WE FIND IT," RUBENS SAYS. IMPROVING DEPRESSION OUTCOMES DEPRESSION IS ONE OF THE MOST COMMON MENTAL HEALTH ISSUES AMONG TEENS. ALTHOUGH HIGHLY TREATABLE, DEPRESSION AFFECTS MOTIVATION. THE BURDEN OF SETTING UP APPOINTMENTS, FINDING PROVIDERS AND ACCESSING SERVICES MAKES IT LESS LIKELY PATIENTS WILL SEEK OR COMPLY WITH CARE. DR. LAURA RICHARDSON AND CO-INVESTIGATORS FROM THE UNIVERSITY OF WASHINGTON AND GROUP HEALTH COOPERATIVE CREATED A COLLABORATIVE CARE MODEL THAT CENTERED ON ASSIGNING TEENS A DEPRESSION CARE MANAGER WHO WORKED WITH PATIENTS, FAMILIES AND DOCTORS OVER THE COURSE OF A YEAR TO DEVELOP AND FOLLOW A TREATMENT PLAN. AFTER OBSERVING A COHORT OF TEENS FROM NINE PRIMARY CARE CLINICS, RICHARDSON AND HER CO-INVESTIGATORS FOUND THAT THOSE RECEIVING COLLABORATIVE CARE HAD FIVE TIMES GREATER ODDS OF GOING INTO REMISSION COMPARED TO THOSE WHO WERE ONLY SCREENED AND ENCOURAGED TO SEEK CARE - ALL AT AN ADDITIONAL HEALTHCARE COST OF JUST $883 PER PATIENT COMPARED TO STANDARD CARE. "CARE MANAGERS CHECKED IN WITH TEENS ABOUT HOW THEY WERE DOING REGULARLY AND COORDINATED CARE AMONG PROVIDERS. THEY ALSO DELIVERED EVIDENCE-BASED TREATMENTS LIKE BRIEF PSYCHOTHERAPY AND HELPED TO MAKE SURE TEENS WERE TAKING THEIR MEDICATIONS. IT IS CLEAR THAT HAVING THIS CONTINUITY IN CARE MADE A DIFFERENCE FOR THESE TEENS AND THEIR FAMILIES," RICHARDSON SAID. HEALTH PROFESSIONS EDUCATION HEALING AND TEACHING GO HAND IN HAND AT SEATTLE CHILDREN'S. WE HOST THE UNIVERSITY OF WASHINGTON'S PEDIATRIC RESIDENCY AND FELLOWSHIP PROGRAMS AND ARE A TRAINING GROUND FOR NURSES AND OTHER PROVIDERS FROM A NUMBER OF SCHOOLS. EDUCATING THE NEXT GENERATION OF PEDIATRIC HEALTH PROFESSIONALS RAISES THE LEVEL OF CARE FOR CHILDREN EVERYWHERE. WE ALSO SUPPORT HEALTH PROFESSIONALS ALREADY CARING FOR KIDS IN OUR COMMUNITY THROUGH OUR CONTINUING MEDICAL EDUCATION PROGRAMS. NURSE CAMP FOSTERS DIVERSITY SEATTLE CHILDREN'S ATTRACTS MANY APPLICANTS FOR VACANT NURSING POSITIONS, BUT THE POOL OF APPLICANTS DOES NOT ALWAYS REFLECT THE DIVERSITY OF THE PATIENTS AND FAMILIES WE SERVE. EVERY YEAR WE OFFER HIGH SCHOOL STUDENTS FROM DIVERSE BACKGROUNDS THE OPPORTUNITY TO ATTEND A THREE-DAY NURSE CAMP TO LEARN ABOUT CAREERS IN PEDIATRIC NURSING. "THE NURSING PROFESSION MUST ATTRACT MORE STUDENTS FROM DIVERSE ETHNIC BACKGROUNDS," SAYS LESLIE HARDER, DIRECTOR OF NURSING PROFESSIONAL DEVELOPMENT. "GETTING ACCEPTED INTO NURSING SCHOOL IS CHALLENGING. NURSE CAMP SHOWCASES NURSING TO HIGH SCHOOL STUDENTS AND ENCOURAGES THEM TO TAKE ESSENTIAL SCIENCE COURSES AND GET GOOD GRADES SO THEY CAN PURSUE A NURSING CAREER." OUR 2017 CAMP HAS EXPANDED TO 40 STUDENTS FROM 24. DURING THE CAMP STUDENTS JOB SHADOW WORKING NURSES, LEARN BASIC NURSING SKILLS, RECEIVE CPR TRAINING AND HEAR FROM SEATTLE CHILDREN'S NURSES AND NURSING PROFESSORS FROM LOCAL UNIVERSITIES. A SURVEY OF STUDENTS IN LAST YEAR'S CAMP SHOWED MOST BECAME MORE EXCITED ABOUT NURSING AFTER ATTENDING THE CAMP. JESSICA HAVENS ATTENDED THE 2004 CAMP AND NOW WORKS IN THE OPERATING ROOM. "THE CAMP GIVES FUTURE NURSES THE OPPORTUNITY TO FALL IN LOVE WITH THE JOB," SHE SAYS. THIS TRACK LEADS TO ALASKA YOU COULD SAY THAT SEATTLE CHILDREN'S PRIMARY CARE RESIDENTS ARE MADE IN ALASKA. THAT'S BECAUSE RESIDENTS WHO CHOOSE OUR PRIMARY CARE TRACK SPEND FOUR MONTHS IN ALASKA DURING EACH OF THEIR THREE YEARS OF TRAINING. THE PROGRAM WILL GRADUATE ITS THIRD CLASS OF RESIDENTS THIS YEAR. RESIDENTS ROTATE BETWEEN THE ALASKA NATIVE MEDICAL CENTER IN ANCHORAGE, A LARGE PRIVATE PEDIATRIC CLINIC IN ANCHORAGE, A NATIVE CENTER IN BETHEL AND A PRIVATE PRACTICE IN FAIRBANKS. BY THE TIME THEY COMPLETE THEIR RESIDENCY, THEY SPEND A TOTAL OF ONE YEAR IN PRIMARY CARE SETTINGS. THE ALASKA ROTATIONS MEET SEVERAL NEEDS, SAYS DR. RICHARD SHUGERMAN, A SEATTLE CHILDREN'S EMERGENCY MEDICINE PHYSICIAN AND PEDIATRIC EDUCATION DIRECTOR FOR THE FIVE-STATE REGION WE SERVE. "PEDIATRICIANS IN ALASKA WANT TO WORK WITH OUR RESIDENTS WHILE MANY PEOPLE WHO GO INTO PRIMARY CARE WANT TO WORK WITH UNDERSERVED POPULATIONS," HE SAYS. THE ALASKA ROTATION ALSO HELPS PREPARE RESIDENTS TO WORK IN THE RURAL AREAS OF OUR FIVE-STATE REGION, WHERE THERE IS A HUGE NEED FOR PRIMARY CARE PROVIDERS. TEN OF THE 12 GRADUATES OF OUR PRIMARY CARE TRACK NOW PRACTICE IN OUR REGION - NINE OF THEM IN ALASKA. UNCOMPENSATED CARE A CHILD'S HEALTH SHOULD NOT HINGE ON A FAMILY'S FINANCES. SEATTLE CHILDREN'S WAS FOUNDED ON THE BELIEF AND PROMISE THAT ALL CHILDREN SHOULD RECEIVE THE BEST QUALITY CARE REGARDLESS OF ABILITY TO PAY. AT SEATTLE CHILDREN'S WE PROVIDE HOPE, CARE AND CURES TO EVERY CHILD TO HELP EVERY CHILD LIVE THE HEALTHIEST AND MOST FULFILLING LIFE POSSIBLE. IN 2016, WE PROVIDED $126 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO. A PATH TO WELLNESS NICOLE SMITH CAN'T SAY ENOUGH ABOUT THE SICKLE CELL TEAM AT THE ODESSA BROWN CHILDREN'S CLINIC (OBCC), WHERE HER DAUGHTER HAS RECEIVED CARE SINCE SHORTLY AFTER HER BIRTH 14 YEARS AGO. "I BRAG ABOUT THEM," SHE SAYS. "THE FACT THEY ARE SICKLE CELL EXPERTS IS REASSURING BECAUSE IT'S SUCH A COMPLEX DISEASE." THE COST OF MANAGING A CHRONIC DISEASE LIKE SICKLE CELL CAN BE DAUNTING, BUT OUR UNCOMPENSATED CARE FUND FILLS GAPS IN A FAMILY'S ABILITY TO PAY. "WE NEVER HAVE TO WORRY ABOUT COMPROMISING PATIENT CARE," SAYS DR. M. A. BENDER, WHO LEADS THE SEATTLE CHILDREN'S / ODESSA BROWN CHILDREN'S CLINIC SICKLE CELL PROGRAM. SICKLE CELL RESULTS IN ABNORMAL RED BLOOD CELLS, CAUSING PAIN, ANEMIA AND ORGAN DAMAGE AND INCREASES THE RISK OF LIFE THREATENING INFECTION. THE DISEASE IS MOST COMMON AMONG AFRICAN AMERICANS. NICOLE'S DAUGHTER TRAVELS 60 MILES FROM HER HOME IN MOUNT VERNON TO THE OBCC EVERY THREE MONTHS FOR CHECKUPS AND FOLLOW-UP CARE. "OUR TEAM FOCUSES ON EDUCATION, THE MOST UP-TO DATE SCREENING AND THE BEST MEDICINES TO PREVENT AND TREAT PROBLEMS," BENDER SAYS. "IF AN EMERGENCY ARISES, FAMILIES CAN CONSULT OUR EXPERTS 24 HOURS DAY." SICKLE CELL EXHIBITS FEW OUTWARD SIGNS, WHICH CAN MAKE TEACHERS, COACHES AND OTHERS DOUBT WHETHER SYMPTOMS SUCH AS FATIGUE ARE GENUINE. "[MY DAUGHTER] HASN'T HAD THAT PROBLEM, BUT THE SICKLE CELL TEAM ALWAYS SAYS THEY ARE GLAD TO COME UP IF WE NEED THEM TO ANSWER QUESTIONS," NICOLE SAYS. "IT MEANS SO MUCH THAT THEY ALWAYS HAVE OUR BACK." WAITING FOR THE CALL A CHILD FROM ALASKA WAS BORN WITH A SEVERE BIRTH DEFECT THAT CAUSED HIS HEART TO DEVELOP ON THE OPPOSITE SIDE OF HIS BODY WITH ONLY ONE PUMPING CHAMBER AND MALFORMED VALVES. HIS ONLY CHANCE AT LIFE WAS A NEW HEART; HIS HEALTH WAS RAPIDLY DECLINING AND HE WAS IMMEDIATELY PUT ON THE TRANSPLANT LIST. HE HAD GONE INTO CARDIAC ARREST MULTIPLE TIMES, AND HIS PARENTS AND DOCTORS FEARED HE MIGHT NOT MAKE IT. THE FAMILY UPROOTED THEIR LIVES IN ANCHORAGE AND MOVED TO SEATTLE TO SAVE THE BOY'S LIFE. "WE WERE WORRIED WE'D HAVE TO CHOOSE BETWEEN SAVING OUR SON AND BANKRUPTING OUR FAMILY," SAID MINDY, HIS MOTHER. "WE HAD TO ASK OURSELVES, 'CAN WE DO THIS FOR HIM?'" THANKS TO THE UNCOMPENSATED CARE FUND AT SEATTLE CHILDREN'S, THE FAMILY WAS ABLE TO SAY YES. "THE TRANSPLANT CARDIOLOGIST RECOMMENDED WE LOOK INTO UNCOMPENSATED CARE," SAID MINDY. "FROM THERE, THE WHOLE PROCESS WAS SEAMLESS. THEY ALLOWED US TO NOT WORRY ABOUT THE COST SO WE COULD FOCUS ON OUR SON." EIGHTY-NINE DAYS AFTER PUTTING THEIR SON ON THE TRANSPLANT LIST, THEY RECEIVED A CALL; THEY HAD A MATCH. ONLY 21 DAYS AFTER RECEIVING A LIFE-SAVING HEART TRANSPLANT, HE WAS DISCHARGED FROM SEATTLE CHILDREN'S WITH A NEW HEART AND A NEW LEASE ON LIFE. THE FAMILY RETURNED TO ANCHORAGE WHERE THE BOY IS GROWING UP HAPPY AND MEETING HIS MILESTONES. 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. COORDINATED CARE FOR CHRONIC CONDITIONS MANAGING THE HEALTH OF CHILDREN WITH MEDICAL COMPLEXITY REQUIRES CLOSE COLLABORATION BETWEEN MANY DIFFERENT HEALTHCARE PROVIDERS AT THE HOSPITAL AND IN THE COMMUNITY. WE HELP CHILDREN WITH CHRONIC PHYSICAL, DEVELOPMENTAL, BEHAVIORAL OR EMOTIONAL CONDITIONS REACH THEIR FULL POTENTIAL BY COMMUNICATING, COORDINATING AND TRACKING THEIR NEEDS AND OUTCOMES AS THEY GROW UP AND MOVE TO ADULT CARE. TRANSFORMING HEALTH CARE DELIVERY THE ODESSA BROWN CHILDREN'S CLINIC (OBCC) HOUSES A WIDE RANGE OF PRIMARY CARE. BUT IT'S NOT ENOUGH TO PLACE MEDICAL, DENTAL, NUTRITION AND MENTAL HEALTH SERVICES IN ONE BUILDING. OBCC STAFF AND PROVIDERS WORK AS A TEAM TO COORDINATE PATIENT CARE, LISTEN TO FAMILIES AND ADDRESS ALL THE FACTORS THAT DETERMINE A CHILD'S HEALTH. "AS THE SOCIAL AND ECONOMIC SAFETY NET GETS MORE FRAYED, FAMILIES COME TO US WITH A MULTITUDE OF ISSUES SUCH AS IMMIGRATION, HOUSING AND FOOD INSECURITY," SAYS MARK FADOOL, WHO DIRECTS MENTAL HEALTH SERVICES AT THE CLINIC. THESE SOCIAL COMPLEXITIES ARE PARTICULARLY MORE CHALLENGING FOR CHILDREN WITH CHRONIC CONDITIONS. MARK CONTINUES, "WE NEED TO IDENTIFY THOSE CONCERNS AND PROVIDE AN INTEGRATED RESPONSE IF WE WANT TO GET TO THE ROOT CAUSES OF MEDICAL ISSUES." A PART OF SEATTLE CHILDREN'S, THE OBCC SERVES CHILDREN LIVING IN SEATTLE'S CENTRAL DISTRICT AS WELL AS SOUTH SEATTLE AND SOUTH KING COUNTY. CLINIC SOCIAL WORKERS AND COMMUNITY CARE COORDINATORS PLAY AN EVER EXPANDING ROLE IN THE CLINIC'S MISSION. BY PARTICIPATING IN A CHILD'S MEDICAL APPOINTMENTS FROM INFANCY ON, THEY HELP FAMILIES TALK ABOUT ISSUES IN THEIR DAILY LIFE THAT MAY BE AFFECTING A CHILD'S HEALTH AND CONNECT FAMILIES WITH ASSISTANCE AND RESOURCES. OBCC'S TEAM ALSO WORKS WITH SCHOOLS WHERE THESE CHILDREN ATTEND, PROVIDING A TRUE MEDICAL HOME WITH COORDINATED CARE. "WE DON'T WANT TO WAIT UNTIL A CHILD IS AN ADOLESCENT AND A FAMILY IS IN CRISIS BEFORE FULLY UNDERSTANDING THEIR NEEDS," FADOOL SAYS. MANY SERVICES, ONE ROOF AS CHILDREN APPROACH THEIR TEENS, NEW PHYSICAL, EMOTIONAL AND SOCIAL ISSUES ARISE. OUR ADOLESCENT MEDICINE CLINICS IN SEATTLE, BELLEVUE AND FEDERAL WAY PROVIDE CONSULTATION, DIAGNOSIS AND TREATMENT FOR VARIOUS ADOLESCENT HEALTH CONCERNS IN LOCATIONS DESIGNED SPECIFICALLY FOR THIS AGE GROUP. THE CLINICS SERVE PATIENTS AGES 10-21 SEEKING SPECIALIZED HELP WITH OBESITY, EATING DISORDERS, REPRODUCTIVE HEALTH, TRANSGENDER CARE, SUBSTANCE ABUSE/ADDICTION AND BIOFEEDBACK FOR CHRONIC HEADACHES AND ABDOMINAL PAIN. MANY OF THOSE CONCERNS REQUIRE CARE FROM MULTIPLE SPECIALISTS, SO INSTEAD OF WORKING IN WIDELY DISPERSED OFFICES, ALL CLINIC PROVIDERS SIT NEXT TO EACH OTHER IN A LARGE TEAM ROOM WITH EXAM ROOMS RIGHT OUTSIDE THE DOOR. "IT'S LIKE NASA MISSION CONTROL," SAYS DR. YOLANDA EVANS, AN ADOLESCENT MEDICINE SPECIALIST. "PROVIDERS CAN EASILY CONSULT WITH ONE ANOTHER AND DEVELOP INTEGRATED CARE PLANS BEFORE THEY SEE THEIR PATIENTS. PLUS IT'S EASY FOR NURSES TO TRACK DOWN PROVIDERS IF THEIR SERVICES ARE NEEDED BY OTHER PROVIDERS." FAMILIES WELCOME THE CONVENIENCE OF OBTAINING A VARIETY OF SPECIALTY SERVICES UNDER THE SAME ROOF AND APPRECIATE THE IMPROVED COMMUNICATION BETWEEN PROVIDERS. "FAMILIES DON'T HAVE TO REPEAT THEIR STORIES OVER AND OVER AGAIN," EVANS SAYS. AND PATIENTS ARE VERY HAPPY THAT THE DECOR AND FURNISHINGS WERE CHOSEN FOR THEIR AGE GROUP, NOT LITTLE KIDS." HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY CHILDREN NEED MORE THAN GREAT MEDICAL CARE TO GROW UP HEALTHY, HAPPY AND STRONG. SEATTLE CHILDREN'S WORKS TOGETHER WITH FAMILIES AND COMMUNITY PARTNERS TO FIGHT CHILDHOOD HUNGER, FOSTER HEALTHIER ENVIRONMENTS, PROMOTE NUTRITIOUS CHOICES AND ENCOURAGE KIDS TO GET THE RECOMMENDED AMOUNT OF PHYSICAL ACTIVITY THEY NEED TO THRIVE. REDUCING HEALTH DISPARITIES SEATTLE CHILDREN'S IS COMMITTED TO REDUCING HEALTH DISPARITIES. FUNDED BY A GRANT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND THROUGH A PARTNERSHIP WITH DEPARTMENT OF PUBLIC HEALTH - SEATTLE AND KING COUNTY AND THE HEALTHY KING COUNTY COALITION WE ARE DISTRIBUTING $8 MILLION IN FEDERAL FUNDS (2015-2017), TO WORK WITH NEARLY 23 CITIES, AGENCIES AND ORGANIZATIONS FOR PROJECTS THAT CREATE HEALTHIER ENVIRONMENTS AND SYSTEMS WHERE PEOPLE LIVE, WORK AND PLAY. PROJECT EXAMPLES INCLUDE: - INTRODUCING EVIDENCE-BASED PHYSICAL EDUCATION CURRICULUM AND PHYSICAL ACTIVITY THROUGHOUT THE SCHOOL DAY IN THE INTERAGENCY ACADEMY AND THE FEDERAL WAY AND HIGHLINE PUBLIC SCHOOL SYSTEMS. - CREATING A YOUTH-LED EDUCATION AND AWARENESS CAMPAIGN IN DELRIDGE AND WHITE CENTER TO BUILD KNOWLEDGE AND AWARENESS ABOUT EATING HEALTHY FOODS. IN KENT, YOUTH RESIDENTS HELD LOCAL COOKING CONTESTS TO PROMOTE HEALTHY EATING, WERE INVOLVED IN LAUNCHING THE FIRST EVER COMMUNITY RUN FARMERS MARKET, AND HOLD SEATS ON THE LOCAL FOOD POLICY COUNCIL. - EXPANDING COMMUNITY LEADERSHIP IN THE FOOD INNOVATION NETWORK (FIN) IN SEATAC AND TUKWILA. IN ORDER TO ENHANCE THE LOCAL FOOD SYSTEM, FIN SUPPORTS RESOURCE AND IDEA-SHARING THAT ENGAGES THE DIVERSE COMMUNITIES OF SEATAC, TUKWILA AND SOUTH KING COUNTY. FIN IS SUPPORTED BY THE GRANT TO WORK CLOSELY WITH COMMUNITY FOOD ADVOCATES TO IDENTIFY COMMON BARRIERS FOR FOOD ENTREPRENEURS, AND TO DEVELOP LEADERSHIP SKILLS AMONG FOOD ADVOCATES TO SUPPORT ACCESS TO HEALTHY AND AFFORDABLE FOOD. TAKE TWO CARROTS AND CALL ME IN THE MORNING HUNGER AND POOR NUTRITION CONTRIBUTE GREATLY TO DIET-RELATED DISEASES, BUT OUR HEALTH CARE SYSTEM DOESN'T COVER FOOD THE SAME WAY IT COVERS PROCEDURES AND MEDICATIONS. THE PRODUCE PRESCRIPTION PROGRAM OFFERS A REMEDY FOR LOW-INCOME PATIENTS TO PREVENT, TREAT AND MANAGE DIET-RELATED DISEASES. THE PRODUCE PRESCRIPTION PROGRAM ENABLES PROVIDERS AT ODESSA BROWN CHILDREN'S CLINIC (OBCC), A COMMUNITY CLINIC OF SEATTLE CHILDREN'S, TO PRESCRIBE FRUITS AND VEGETABLES TO ELIGIBLE PATIENT FAMILIES AND PROVIDE VOUCHERS TO REDEEM AT SAFEWAY LOCATIONS OR AT LOCAL FARMERS MARKETS THROUGH THE CITY OF SEATTLE'S FRESH BUCKS RX. THROUGH THIS PROGRAM, HEALTH CARE PROVIDERS SUPPORT AND ENCOURAGE FRUIT AND VEGETABLE CONSUMPTION AMONGST THEIR PATIENTS: FROM JULY TO DECEMBER OF 2016 ALONE, 105 FAMILIES HAVE ENROLLED AND EACH RECEIVE 6 MONTHS OF WEEKLY PRESCRIPTIONS. THE PROGRAM IS PART OF COMPLETE EATS, A STATEWIDE MULTI-SECTOR PARTNERSHIP OPERATED BY THE WASHINGTON STATE DEPARTMENT OF HEALTH, AND PARTIALLY FUNDED THROUGH A FOUR-YEAR FEDERAL FOOD INSECURITY NUTRITION INCENTIVE (FINI) GRANT. FOOD HARDSHIP IS A REAL AND GROWING PROBLEM THAT AFFECTS COMMUNITIES OF COLOR DISPROPORTIONATELY. BESIDES BEING UNDERNOURISHED, STUDIES SHOW THAT PEOPLE LIVING IN FOOD INSECURE HOUSEHOLDS SKIP, DELAY OR REDUCE MEDICATIONS SO THEY CAN AFFORD TO BUY FOOD. "MAINTAINING A HEALTHY DIET IS ONE OF THE KEY ACTIONS A PERSON CAN TAKE TO IMPROVE PHYSICAL AND MENTAL HEALTH," SAYS DR. BEN DANIELSON, MEDICAL DIRECTOR AT THE OBCC. "I AM THRILLED I CAN NOW PRESCRIBE BETTER NUTRITION." SUICIDE AND VIOLENCE PREVENTION A CHILD OR TEEN IS KILLED BY GUNFIRE EVERY EIGHT 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. FIREARM SAFETY SEATTLE CHILDREN'S HAS A LONG HISTORY OF PROTECTING CHILDREN FROM INJURY BY PROMOTING AND INCREASING AWARENESS AND ACCESS TO SAFETY MEASURES LIKE CAR SEATS, BIKE HELMETS AND LIFE JACKETS. WE PROVIDE LOW-COST LIFE JACKETS AND FREE BIKE HELMETS AND CAR SEAT CHECKS TO CHILDREN AND FAMILIES ACROSS THE REGION EVERY YEAR. WE ALSO PROMOTE SAFE FIREARM STORAGE. IN RESPONSE TO EVERY FIREARM-RELATED INCIDENT AND ACT OF GUN VIOLENCE THAT HAS AFFECTED CHILDREN AND TEENS IN WASHINGTON AND AROUND THE COUNTRY, SEATTLE CHILDREN'S LAUNCHED THE PROTECT OUR KIDS FROM FIREARM TRAGEDIES INITIATIVE IN 2014. WORKING IN PARTNERSHIP WITH PUBLIC HEALTH DEPARTMENTS, SAFE KIDS CHAPTERS, LOCAL HOSPITALS AND OTHERS, THIS INITIATIVE DISTRIBUTED NEARLY 1,000 FREE LOCK BOXES AND TRIGGER LOCKS IN CONJUNCTION WITH EDUCATION ABOUT SAFE FIREARM STORAGE ACROSS WASHINGTON STATE IN 2016. EASY ACCESS TO FIREARMS IN A HOME IS A RISK FACTOR FOR FIREARM-RELATED DEATH AND INJURY AMONG CHILDREN AND TEENS. AT LEAST ONE FIREARM IS PRESENT IN NEARLY 40% OF WASHINGTON HOMES AND MORE THAN HALF OF THOSE HOMES REPORT HAVING AN UNLOCKED FIREARM. BY PROVIDING THE TOOLS AND EDUCATION TO SAFELY STORE FIREARMS IN THE HOME, WE HOPE TO REDUCE THIS RISK FACTOR AND HELP PREVENT FIREARM-RELATED INCIDENTS OR FIREARM VIOLENCE. "IT'S HARD TO BELIEVE THERE WAS A TIME WE USED TO PUT CHILDREN IN CARS WITHOUT CAR SEATS OR SEATBELTS," SAYS CINDY GAZECKI, CO-FOUNDER OF THE SEATTLE CHILDREN'S FIREARM TRAGEDY PREVENTION COALITION AND SENIOR VICE PRESIDENT AT CHILDREN'S. "MY HOPE IS THAT PEOPLE WILL LOOK BACK IN THE NOT-TOO-DISTANT FUTURE AND SAY IT'S HARD TO BELIEVE THERE WAS A TIME WHEN WE DIDN'T LOCK UP OUR FIREARMS." RESPONDING TO ALARMING POSTS YOUNG PEOPLE WHO SEE DISTURBING SOCIAL MEDIA POSTS FROM ANGRY OR DESPONDENT PEERS OFTEN WANT TO HELP THE PERSON WRITING THE POSTS, BUT THEY DON'T KNOW HOW. DR. MEGAN MORENO WITH THE DIVISION OF ADOLESCENT MEDICINE AT SEATTLE CHILDREN'S AND RESEARCHER AT THE CENTER FOR CHILD HEALTH BEHAVIOR AND DEVELOPMENT COLLABORATED WITH DR. STEPHANIE CRAIG RUSHING WITH THE NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB) TO UNDERSTAND HOW TO EMPOWER YOUNG PEOPLE TO RESPOND TO POSTS THAT COULD FORESHADOW A TRAGEDY. HOMICIDE IS THE SECOND LEADING CAUSE OF DEATH FOR YOUNG PEOPLE AGES 15 TO 24 WHILE SUICIDE IS THE THIRD LEADING CAUSE FOR YOUTH BETWEEN THE AGES OF 10 AND 24, ACCORDING TO THE CENTERS FOR DISEASE CONTROL. THE STATISTICS ARE HIGHER ACROSS THE BOARD FOR NATIVE AMERICAN YOUTH, MANY OF WHOM LIVE IN COMMUNITIES THAT LACK ACCESS TO MENTAL HEALTH AND COUNSELING SERVICES. AFTER MORENO AND RUSHING FORMED FOCUS GROUPS TO LEARN HOW NATIVE YOUTH RESPOND TO TROUBLING CONTENT, THE NPAIHB USED ITS SOCIAL MEDIA CHANNEL, WE R NATIVE, TO PRESENT TIPS TO YOUTH ON HOW TO REACT. IN THE FUTURE, PROACTIVE TEXT MESSAGES COULD BE DELIVERED TO A YOUNG PERSON'S PHONE REMINDING THEM TO REACH OUT IF A POST TROUBLES THEM AND SUGGESTING STEPS THEY MIGHT TAKE. MENTAL AND BEHAVIORAL HEALTH OUR MENTAL AND BEHAVIORAL HEALTH EXPERTS DIAGNOSE, TREAT AND PREVENT PROBLEMS WITH EMOTIONS AND BEHAVIOR THAT CAN AFFECT A CHILD'S SAFETY, DEVELOPMENT AND WELLBEING. THEY WORK TO UNDERSTAND THE CAUSES OF PROBLEMS LIKE DEPRESSION AND ADDICTION AND FIND MORE EFFECTIVE WAYS TO HELP CHILDREN AND FAMILIES OVERCOME THEM. BY INCREASING ACCESS TO MENTAL HEALTH SERVICES AND EXPANDING THE COMMUNITY'S CAPACITY TO ASSIST FAMILIES, WE HELP MORE CHILDREN GET THE MENTAL HEALTH CARE THEY NEED. TELEHEALTH EXPANDS ACCESS TO CARE HALF OF ALL LIFETIME CASES OF MENTAL AND BEHAVIORAL HEALTH DISORDERS BEGIN BY AGE 14, BUT A DECADE OR MORE CAN PASS BEFORE MOST CHILDREN AND ADOLESCENTS ARE APPROPRIATELY DIAGNOSED. THE LONG DELAY IN ACCESS TO EXPERT MENTAL AND BEHAVIORAL HEALTH SERVICES CAN HINDER EDUCATION, EMPLOYMENT, AND QUALITY OF LIFE OF YOUNG PEOPLE, AND LEAD TO FURTHER HEALTH COMPLICATIONS. THE LACK OF ACCESS TO SPECIALTY SERVICES ESPECIALLY AFFECTS YOUNG PEOPLE LIVING IN RURAL AREAS AND SMALL TOWNS. THE DEPARTMENT OF CHILD PSYCHIATRY AND BEHAVIORAL MEDICINE AT SEATTLE CHILDREN'S HOSPITAL IS IMPROVING ACCESS TO EVIDENCE-BASED MENTAL HEALTH SERVICES BY OFFERING BOTH DIRECT CARE TO YOUNG PEOPLE AND COLLABORATIVE OUTPATIENT MENTAL AND BEHAVIORAL HEALTH SERVICES WITH THEIR PRIMARY CARE PROVIDERS THROUGH VIDEOCONFERENCING. VIDEOCONFERENCING USES COMPUTERS WITH VIDEO AND AUDIO CAPABILITY TO DELIVER DIAGNOSTIC AND TREATMENT SERVICES COMPARABLE TO SERVICES DELIVERED IN PERSON. THIS SERVICE DELIVERY IS OFTEN CALLED TELEMENTAL HEALTH OR TELEBEHAVIORAL HEALTH AND IS NOW COVERED BY MANY INSURANCE COMPANIES ACROSS THE COUNTRY. FOR 15 YEARS, OUR MENTAL AND BEHAVIORAL HEALTH SPECIALISTS HAVE PROVIDED CONSULTATIONS AND ONGOING DIRECT CARE SERVICES TO MORE THAN 6,000 YOUNG PEOPLE IN OUTPATIENT CLINICS AND AT COMMUNITY MENTAL HEALTH CENTERS IN WASHINGTON (INCLUDING OLYMPIA, TRI-CITIES, WENATCHEE, MOSES LAKE, LONGVIEW, AND BELLINGHAM, AS WELL AS OKANAGAN COUNTY AND STEVENS COUNTY) AND ALASKA (SOUTHEAST, SOUTHCENTRAL AND SOUTHWEST ALASKA). RAPID ACCESS TELEPHONE CONSULTATIONS ARE ALSO AVAILABLE AT NO COST TO ALL PRIMARY CARE PROVIDERS IN WASHINGTON AND WYOMING THROUGH STATE MEDICAID PARTNERSHIPS. CONNECTING WITH MENTAL AND BEHAVIORAL HEALTH SPECIALISTS IN REAL TIME GIVES PEDIATRICIANS THE SUPPORT AND RESOURCES TO DIAGNOSE AND TREAT DEPRESSION, EATING DISORDERS, ATTENTION DEFICIT HYPERACTIVITY DISORDER AND OTHER ISSUES THAT MIGHT GO UNDIAGNOSED AND UNTREATED BECAUSE OF LACK OF ACCESS TO SPECIALIZED CARE. THE DEPARTMENT OF CHILD PSYCHIATRY AND BEHAVIORAL MEDICINE AT SEATTLE CHILDREN'S IS RECOGNIZED AS A NATIONAL LEADER IN DISTANT CARE USING TELEHEALTH TECHNOLOGIES. COUNSELING KIDS WITH HEARING LOSS CHALLENGES FOR DEAF AND HARD-OF-HEARING CHILDREN GO BEYOND LANGUAGE. THEIR STRUGGLE TO COMMUNICATE WITH THEIR FAMILIES AND UNDERSTAND THE WORLD AROUND THEM CAN CONTRIBUTE TO MENTAL HEALTH ISSUES. THESE CHILDREN AND THEIR FAMILIES FIND THE THERAPY AND SUPPORT THEY NEED AT SEATTLE CHILDREN'S, WHERE A TEAM OF FOUR PSYCHIATRY AND BEHAVIORAL MEDICINE PROVIDERS DELIVER SPECIALIZED OUTPATIENT CARE. THE FOUR THERAPISTS ARE FLUENT IN SIGN LANGUAGE AND ARE TRAINED IN CHILD DEVELOPMENT AND IN WORKING WITH DEAF/HARD-OF-HEARING CHILDREN AND THEIR FAMILIES. TWO ARE DEAF THEMSELVES AND ONE SPEAKS FLUENT SPANISH. COMMUNICATING WITH PATIENTS DIRECTLY AND FLUENTLY IN THEIR PRIMARY LANGUAGE AND/OR COMMUNICATION MODE ENABLES PATIENTS TO GIVE AND RECEIVE INFORMATION IMMEDIATELY WITHOUT GOING THROUGH AN INTERPRETER. BESIDES FACING UNIQUE CHALLENGES, THIS GROUP OF CHILDREN IS PRONE TO MENTAL HEALTH ISSUES THAT ALSO AFFECT HEARING CHILDREN LIKE ADHD, ANXIETY, DEPRESSION OR AUTISM. "PEOPLE WHO DO NOT SPECIALIZE IN THE DEAF AND HARD-OF-HEARING POPULATION MIGHT ASSUME A HARD-OF-HEARING CHILD IS FINE, BUT THESE KIDS NEED SOMEBODY WHO UNDERSTANDS THEIR PERSPECTIVE AND THEIR EXPERIENCES TO HELP THEM NAVIGATE THE THINGS THAT HAPPEN IN THEIR LIVES. OUR TEAM HERE SUPPORTS THESE CHILDREN TO DO WELL IN THEIR OWN COMMUNITIES," SAYS THERAPIST SUSAN SIDMAN. VISIT OUR DISCOVERY PORTAL SEATTLE CHILDREN'S RESEARCH INSTITUTE'S DISCOVERY PORTAL IS A FREE VISITOR CENTER WHERE OUR COMMUNITY CAN LEARN ABOUT THE WORK UNDERWAY TO DEVELOP LIFESAVING CURES, ACCELERATE CLINICAL ADVANCES AND ADDRESS HEALTH ISSUES AFFECTING CHILDREN AND FAMILIES AROUND THE WORLD. WE REGULARLY WELCOME TOUR GROUPS, DONORS, STUDENT VISITORS, AND MEMBERS OF THE PUBLIC WHO ARE INTERESTED IN LEARNING MORE ABOUT THE INSPIRATIONAL RESEARCH HAPPENING AT SEATTLE CHILDREN'S. THE DISCOVERY PORTAL IS A SELF-GUIDED EXPERIENCE AND IS ACCESSIBLE FOR ANYONE. WE ARE OPEN MONDAY THROUGH FRIDAY, 8 A.M. UNTIL 4:30 P.M. IN THE LOBBY OF THE JACK R. MACDONALD BUILDING, 1900 NINTH AVENUE, SEATTLE, WA. VISIT WWW.SEATTLECHILDRENS.ORG/DISCOVERYPORTAL TO LEARN MORE AND TO PLAN YOUR VISIT. THE 2016-2019 SEATTLE CHILDREN'S COMMUNITY HEALTH ASSESSMENT IS AVAILABLE FOR DOWNLOAD MORE THAN 100 PAGES OF IMPORTANT AND USEFUL INFORMATION FOR HOSPITALS AND CLINICS, PUBLIC HEALTH AND LOCAL ORGANIZATIONS INTERESTED IN IMPROVING THE HEALTH AND SAFETY CHILDREN AND FAMILIES IN KING COUNTY AND WASHINGTON STATE. USE IT FOR YOUR REPORTS, GRANT MAKING PROPOSALS, AND SCHOOL PROJECTS. THE ASSESSMENT COMPILES EPIDEMIOLOGIC DATA ON HEALTH OUTCOMES AS WELL AS DEMOGRAPHIC, BEHAVIORAL AND ENVIRONMENTAL DATA, INCLUDES PRIMARY DATA, SUCH AS KEY INFORMANT INTERVIEWS, COMMUNITY LISTENING SESSIONS, AND A COMMUNITY ASSETS ASSESSMENT. VISIT: WWW.SEATTLECHILDRENS.ORG/ABOUT/COMMUNITY-BENEFIT/ COMMUNITY-HEALTH-ASSESSMENT/ SEATTLE CHILDREN'S RESEARCH HOLDINGS LLC PO BOX 5371 MS RC-507 SEATTLE WA 981455005 910564748 PROPERTY DEVELOPMENT AND OPERATION WA 20519241 0 SEATTLE CHILDREN'S HOSPITAL CHILDREN'S CLINICALLY INTEGRATED NETWORK LLC PO BOX 5371 MS RC-507 SEATTLE WA 981455005 910564748 ADMINISTRATION OF PEDIATRIC PHYSICIANS NETWORK WA 0 0 SEATTLE CHILDREN'S HOSPITAL SEATTLE CHILDREN'S HEALTHCARE SYSTEM PO BOX 5371 MS RC-507 SEATTLE WA 981455005 911250116 HEALTH CARE WA 501(C)(3) LINE 7 N/A 0 SEATTLE CHILDREN'S HOSPITAL FOUNDATION PO BOX 5371 MS RC-507 SEATTLE WA 981455005 911156519 FUNDRAISING WA 501(C)(3) LINE 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 SEATTLE CHILDREN'S HOSPITAL GUILD ASSN PO BOX 5371 MS RC-507 SEATTLE WA 981455005 911394056 FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESS WA 501(C)(3) LINE 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 CHILDREN'S RETAIL PO BOX 5371 MS RC-507 SEATTLE WA 981455005 911998909 THRIFT STORES WA 501(C)(3) LINE 11A, I SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 CHILDREN'S UNIVERSITY MEDICAL GROUP PO BOX 50010 SEATTLE WA 98105 911336707 MEDICAL PRACTICE WA 501(C)(3) LINE 11A, I N/A 0 CHILDREN'S HEALTH NETWORK PO BOX 5371 MS RC-507 SEATTLE WA 981455005 911226716 PEDIATRIC HEALTHCARE SERVICES WA 501(C)(3) LINE 11A, I SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 SEATTLE CHILDREN'S RESEARCH INVESTORS LLC PO BOX 5371 MS RC-507 SEATTLE WA 981455005 263852796 RESEARCH FACILITY DEVELOPMENT WA SEATTLE CHILDREN'S HEALTHCARE SYSTEM RELATED -71227 190619 0 0 0.01000 CHARITABLE REMAINDER UNITRUSTS (2) INVESTMENTS WA SEATTLE CHILDREN'S HOSPITAL 1 CHARITABLE REMAINDER UNITRUSTS (8) INVESTMENTS WA N/A 0 CHARITABLE REMAINDER UNITRUST (1) INVESTMENTS AK SEATTLE CHILDREN'S HOSPITAL 1 CHARITABLE REMAINDER UNITRUSTS (3) INVESTMENTS CA SEATTLE CHILDREN'S HOSPITAL 1 CHARITABLE REMAINDER UNITRUST (1) INVESTMENTS FL N/A 0 CHARITABLE REMAINDER ANNUITY TRUST (1) INVESTMENTS WA SEATTLE CHILDREN'S HOSPITAL 1 CHARITABLE REMAINDER ANNUITY TRUST (1) INVESTMENTS WA N/A 0 PERPETUAL TRUSTS (5) INVESTMENTS WA SEATTLE CHILDREN'S HOSPITAL 1 PERPETUAL TRUSTS (2) INVESTMENTS WA N/A 0 POOLED INCOME FUND (1) INVESTMENTS WA N/A 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 1 0 1