2016-08-15T14:16:52-05:00 2015-09-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2014-10-01 911250116 SEATTLE CHILDREN'S HEALTHCARE SYSTEM SEAT 2069874846 PO BOX 5371 MS RC-507 SEATTLE WA 981455005 KELLY A WALLACE SENIOR VP & CHIEF FINANCIAL OFFICER 2069874846 2016-08-12 1 JANE M SEARING P00000565 4254544919 2016-08-01 2014 2016-09-27 15:27:22Z KELLY A WALLACE PO BOX 5371 MS RC-507 SEATTLE WA 981455005 406799551 0 X WWW.SEATTLECHILDRENS.ORG X 1984 WA THE PROVISION OF QUALITY HEALTH CARE SERVICES TO INFANTS, CHILDREN AND ADOLESCENTS. 24 21 8 24 933940 0 85550850 16448308 10334873 7008609 19514729 15634797 -124870 69430 115275582 39161144 500000 631089 0 0 2671977 2259513 0 0 0 2655868 2480458 5827845 5371060 109447737 33790084 765760377 759634443 41660511 28905550 724099866 730728893 X SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) IS ENGAGED IN ACTIVITIES RELATING TO THE PROVISION OF HEALTH CARE SERVICES TO INFANTS, CHILDREN, AND ADOLESCENTS, DELIVERING AND IMPROVING THE DELIVERY AND THE QUALITY OF THOSE SERVICES THROUGH RESEARCH, EDUCATION, AND CONTRIBUTIONS TO OR FOR THE BENEFIT OF TAX-EXEMPT ORGANIZATIONS WHICH PROVIDE HEALTH CARE SERVICES, PRIMARILY SEATTLE CHILDREN'S HOSPITAL. 0 0 2080111 631089 6886631 SEATTLE CHILDREN'S HEALTHCARE SYSTEM'S PROGRAM OPERATING COSTS ARE RELATED TO ACTIVITIES INCURRED TO PROVIDE, DIRECTLY OR INDIRECTLY, HEALTH CARE OR HEALTH RELATED SERVICES APPROPRIATE FOR THE SPECIAL NEEDS OF INFANTS, CHILDREN AND ADOLESCENTS, DELIVERING AND IMPROVING THE DELIVERY OF THOSE SERVICES AND/OR THE QUALITY OF THOSE SERVICES THROUGH RESEARCH, EDUCATION, AND CHILD ADVOCACY. PROGRAM REVENUE IS PRIMARILY RELATED TO SEATTLE CHILDREN'S HEALTHCARE SYSTEM'S PROGRAM RELATED JOINT VENTURE WITH SEATTLE CANCER CARE ALLIANCE (SCCA), A NOT-FOR-PROFIT CORPORATION FORMED IN 1998 BY SEATTLE CHILDREN'S HEALTHCARE SYSTEM, THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, AND FRED HUTCHINSON CANCER RESEARCH CENTER FOR THE PURPOSE OF OFFERING A COMPREHENSIVE PROGRAM OF INTEGRATED CANCER CARE SERVICES. 50274 0 121978 OCCUPANCY AND OTHER COSTS RELATED TO THE OPERATION OF THE SAND POINTMEDICAL CENTER BUILDING WHICH IS RENTED TO SEATTLE CHILDREN'S HOSPITAL.THE RENTED SPACE IS USED TO DELIVER HEALTHCARE SERVICES TO INFANTS,CHILDREN AND ADOLESCENTS. 2130385 1 1 0 0 0 0 0 0 0 1 1 1 1 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 2 0 1 8 1 1 1 0 0 0 0 0 0 0 0 0 X 24 21 1 0 0 0 0 0 0 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 ROBB BAKEMEIER TRUSTEE 8.00 0.00 X 0 0 0 JOEL BENOLIEL TREASURER 4.00 0.00 X X 0 0 0 SUSAN BETCHER TRUSTEE 4.00 0.00 X 0 0 0 PAT CHAR TRUSTEE 2.00 0.00 X 0 0 0 MARK DEL BECARRO MD SR VP-CHIEF MED OFF/NON-VOTING TRUST 10.00 46.00 X 0 442899 40384 MICHAEL DELMAN VICE CHAIR/TRUSTEE 5.00 0.00 X X 0 0 0 ROY DIAZ PHD TRUSTEE 4.00 0.00 X 0 0 0 ROBERT FLOWERS TRUSTEE 6.00 2.00 X 0 0 0 COLIN FOX PHD TRUSTEE 2.00 0.00 X 0 0 0 DEBORAH HAUG TRUSTEE 3.00 0.00 X 0 0 0 JUDY HOLDER CHAIR 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 1.00 0.00 X 0 0 0 PATRICIA LOERA TRUSTEE 3.00 0.00 X 0 0 0 SUSAN MASK SECRETARY 3.00 0.00 X X 0 0 0 JEFF NITTA TRUSTEE 3.00 0.00 X 0 0 0 LAURIE OKI TRUSTEE 2.00 1.00 X 0 0 0 JUDITH PIERCE TRUSTEE 8.00 0.00 X 0 0 0 MICHAEL REEVES TRUSTEE 3.00 0.00 X 0 0 0 ROB ROSKIN MD TRUSTEE 3.00 0.00 X 0 0 0 NANCY SENSENEY TRUSTEE/CHAIR ELECT 6.00 0.00 X X 0 0 0 MICHELE SMITH TRUSTEE 2.00 2.00 X 0 0 0 CHARLES STEVENS TRUSTEE 10.00 0.00 X 0 0 0 ALVIN WINTERROTH TRUSTEE 1.00 0.00 X 0 0 0 THOMAS HANSEN MD CEO/NON-VOTING TRUSTEE 19.00 42.00 X 286452 878910 255662 JEFF SPERRING MD CEO/NON-VOTING TRUSTEE 20.00 36.00 X 0 0 0 KELLY WALLACE SENIOR VP & CHIEF FINANCIAL OFFICER 14.00 42.00 X 150003 458709 113707 JEFFREY SCONYERS SENIOR VP & GENERAL COUNSEL 27.50 27.50 X 640182 216904 60661 DONNA REINHART DIRECTOR OF TREASURY SERVICES 20.00 20.00 X 93161 93842 29820 MICHAEL JOO CORPORATE ACCOUNTANT 40.00 0.00 X 103100 1043 22951 ROBERT MEASE SENIOR INVESTMENT ANALYST 40.00 0.00 X 104009 59 13227 DAVID FISHER MD FORMER SR VP-CHIEF MEDICAL OFFICER 0.00 55.00 X 859461 619871 64363 SANFORD MELZER MD FORMER SR VP-CHIEF STRATEGY OFFICER 0.00 55.00 X 50855 413293 89216 2287223 3125530 689991 6 1 1 0 WELLINGTON TRUST COMPANY NA PO BOX 13766 NEWARK NJ 071880766 INVESTMENT MANAGEMENT 689316 SANDERSON ASSET MANAGEMENT 250 S WACKER DRIVE STE 220 CHICAGO IL 60606 INVESTMENT MANAGEMENT 409092 MONTICELLO ASSOCIATES INC 1800 LARIMER STREET STE 2100 DENVER CO 80202 INVESTMENT CONSULTING 250000 CAPITAL GUARDIAN TRUST COMPANY PO BOX 659518 SAN ANTONIO TX 782659088 INVESTMENT MANAGEMENT 185544 HIGHCLERE INTERNATIONAL INVESTORS 253 BAYBERRY LANE WESTPORT CT 06880 INVESTMENT SERVICES 174383 6 16448308 15652523 16448308 SERVICES THROUGH SCCA 900099 6422333 6422333 MEDICAL CLINIC RENTAL 900099 464298 464298 RENT FROM AFFILIATES 900099 121978 121978 7008609 5270725 933940 4336785 60025 71180 -11155 -11155 -11155 377155230 776069 366732671 834556 10422559 -58487 10364072 10364072 PROPERTY TAX REFUND 900099 80585 80585 80585 39161144 7008609 933940 14770287 X 631089 631089 1363186 1363186 63469 63469 359836 359836 341846 341846 50127 50127 81049 56664 24385 154800 154800 796431 796431 42671 2008 40663 786 786 1351807 48266 1303541 6267 6267 58596 58596 LICENSES AND TAXES 27374 27374 41726 29172 12554 5371060 2130385 3240675 0 248742 290777 68430 42243 41539177 225049 54906991 41314128 182556762 175358506 375351108 383306040 132406100 138687911 20222244 20634838 765760377 759634443 450869 439714 38442 38442 41171200 28427394 41660511 28905550 X 546663719 549762692 22936223 18675237 154499924 162290964 724099866 730728893 765760377 759634443 33790084 -27161057 0 X 0 1 X 1 0 X 6249116 6058912 2161183 85550850 16448308 116468369 6249116 6058912 2161183 85550850 16448308 116468369 116468369 5752273 4735326 3572498 5789988 4396810 24246895 146620 187829 933940 1268389 346144 80585 426729 142410382 42559775 0.81780 0.80130 X SCHEDULE A, PART II, LINE 10, EXPLANATION FOR OTHER INCOME: 2011 PENSION FORFEITURE: $346,144 2014 PROPERTY TAX REFUND: $80,585 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 337769000 203000 -2586000 3443000 331943000 310474000 239000 30295000 3239000 337769000 278449000 492000 34591000 3058000 310474000 243536000 408000 37409000 2904000 278449000 243212000 1204000 1848000 2728000 243536000 0.84060 0.12960 0.02980 0 0 40099955 40099955 716372 225049 491323 722850 722850 41314128 POOLED INVESTMENTS 256494283 C CHARITABLE REMAINDER UNITRUSTS 792343 C PERPETUAL & TESTAMENTARY TRUSTS 119058743 C GIFT ANNUITIES 3775891 C DEFERRED COMPENSATION PLANS 2690183 C OTHER ALTERNATIVE INVESTMENTS 494597 C 383306040 INVESTMENT IN SCCA 112907000 C INVESTMENT IN SCRI, LLC 21901672 C INVESTMENT IN SYZYGY LLC 3733568 C ACCRUED INTEREST 145671 F 138687911 ANNUITIES AND TRUSTS PAYABLE 2540171 DEFERRED COMPENSATION PAYABLE 2690181 PAYABLE TO AFFILIATES 23101720 OTHER PAYABLES 95322 28427394 X PART V, LINE 4: SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) AND SEATTLE CHILDREN'S HOSPITAL (SCH) SHARE IN A UNIFIED ENDOWMENT FUND (UEF) THAT IS MANAGED BY SCHS. SEATTLE CHILDREN'S HEALTHCARE SYSTEM'S TEMPORARILY AND PERMANENTLY RESTRICTED ASSETS REFLECT ENDOWMENTS WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL. PART X, LINE 2: THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED ACCOUNTING STANDARDS CERTIFICATION (ASC) TOPIC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR HOW A COMPANY SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT THE COMPANY HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. DURING THE YEARS ENDED SEPTEMBER 30, 2015 AND 2014, SCHS DID NOT RECORD ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 INVESTMENTS 133120128 0 0 0 0 0 0 133120128 0 133120128 1 0 0 0 1 0 PART I, LINE 3: THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR INVESTMENTS. 1 SEATTLE CHILDREN'S HOSPITAL FOUNDATION PO BOX 5371 MS RC-507 SEATTLE WA 981455005 911156519 501(C)(3) 631089 UNRESTRICTED DONATION TO AFFILIATE 1 0 PART I, LINE 2: SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) WORKS CLOSELY WITH GRANTEES TO MONITOR EFFORTS RELATED TO THE GRANT'S PURPOSE AND TRACK THE RELATED EXPENDITURES. SCHS IS THE CONTROLLING PARENT ORGANIZATION OF SEVERAL SUBSIDIARY FUNDRAISING ORGANIZATIONS. WHEN ONE OF THESE RELATED ORGANIZATIONS INCURS FUNDRAISING EXPENSES IN EXCESS OF TOTAL UNRESTRICTED REVENUES AND SUPPORT, SCHS PROVIDES AN UNRESTRICTED DONATION IN THE AMOUNT OF THE DEFICIT. RECORDS ARE MAINTAINED TO SUBSTANTIATE THE AMOUNT OF SUPPORT. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 MARK DEL BECARRO MD SR VP-CHIEF MED OFF/NON-VOTING TRUST 0 360370 0 77691 0 4838 15057 17556 0 7771 15057 468226 0 0 THOMAS HANSEN MD CEO/NON-VOTING TRUSTEE 208543 625631 76704 230163 1205 23116 218404 11700 6390 19168 511246 909778 0 0 KELLY WALLACE SENIOR VP & CHIEF FINANCIAL OFFICER 116066 348197 33262 99787 675 10725 78658 11700 5837 17512 234498 487921 0 0 JEFFREY SCONYERS SENIOR VP & GENERAL COUNSEL 162365 162365 47660 48464 430157 6075 30881 7800 10990 10990 682053 235694 429492 0 DONNA REINHART DIRECTOR OF TREASURY SERVICES 84135 84135 9026 9174 0 533 6264 6265 8646 8645 108071 108752 0 0 DAVID FISHER MD FORMER SR VP-CHIEF MEDICAL OFFICER 0 415873 0 173883 859461 30115 32290 15600 0 16473 891751 651944 859461 0 SANFORD MELZER MD FORMER SR VP-CHIEF STRATEGY OFFICER 0 287306 0 117870 50855 8117 52002 15600 0 21614 102857 450507 50855 0 PART I, LINE 1A THE CHIEF EXECUTIVE OFFICER IS PROVIDED MEMBERSHIP TO THE RAINIER CLUB. ANNUAL DUES ARE REPORTED AS TAXABLE COMPENSATION. PART I, LINE 4B THE FOLLOWING PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: MARK DEL BECCARO MD - $15,057 DEFERRED COMPENSATION. THOMAS HANSEN MD - $214,504 DEFERRED COMPENSATION. KELLY WALLACE - $74,758 DEFERRED COMPENSATION. JEFFREY SCONYERS - $23,081 DEFERRED COMPENSATION, $429,492 REPORTABLE PAYMENT. DAVID FISHER MD - $32,290 DEFERRED COMPENSATION, $859,461 REPORTABLE PAYMENT SANFORD MELZER MD - $52,002 DEFERRED COMPENSATION, $50,855 REPORTABLE PAYMENT. 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: JEFFREY SCONYERS - $429,492 DAVID FISHER MD - $859,461 SANFORD MELZER MD - $50,855 X 19 272693 MARKET VALUE X 4 15357670 MARKET VALUE X AIRLINE MILES 1 22160 MARKET VALUE 0 0 1 1 PART I, COLUMN (B): LINE 9 - 19 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 11 - 4 CONTRIBUTIONS OF TRUST INTERESTS; LINE 25 - 1 CONTRIBUTION OF 2,216,000 AIRLINE MILES WITH A VALUE OF 1 CENT PER MILE. PART I, LINE 32B: SEATTLE CHILDREN'S HOSPITAL FOUNDATION AND SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION (RELATED ORGANIZATIONS) SOLICIT BOTH CASH AND NON-CASH GIFTS ON BEHALF OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS). FORM 990, PART I, LINE 6: 24 MEMBERS OF THE BOARD OF TRUSTEES PERFORM THEIR DUTIES UNCOMPENSATED. FORM 990, PART VI, SECTION A, LINE 2 THOMAS HANSEN AND JEFF SPERRING EACH HAVE A BUSINESS RELATIONSHIP WITH DEAN ALLEN, ROBB BAKEMEIER, 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. JEFFREY SCONYERS HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, ROBB BAKEMEIER, JOEL BENOLIEL, SUSAN BETCHER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, COLIN FOX, THOMAS HANSEN, 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. KELLY WALLACE HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, ROBB BAKEMEIER, 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 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 HEALTHCARE SYSTEM REQUIRES AN ANNUAL SURVEY OF ALL BOARD MEMBERS OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, MEMBERS OF THE MEDICAL LEADERSHIP, STAFF MEMBERS OCCUPYING ROLES WITH A DEGREE OF AUTHORITY AND MEMBERS OF SEATTLE CHILDREN'S HOSPITAL'S PHARMACY AND THERAPEUTICS COMMITTEE. THE SENIOR VICE PRESIDENT AND GENERAL COUNSEL OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, ACTING UNDER THE OVERSIGHT OF THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF DIRECTORS, REVIEWS ALL DISCLOSURES AND ESTABLISHES AND OVERSEES ANY NECESSARY MANAGEMENT PLANS RELATED TO THEM. IN GENERAL, WHEN A CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON 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 COVERED PERSON OR OTHER EMPLOYEE WHO ENGAGES IN A VIOLATION OF THIS POLICY OR PURSUES A TRANSACTION OR EVENT FOLLOWING DISAPPROVAL BY THE BOARD OR THE CHIEF EXECUTIVE OFFICER MAY, IN THE DISCRETION OF THE BOARD OR THE CHIEF EXECUTIVE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM HIS OR HER DUTIES WITH SEATTLE CHILDREN'S HEALTHCARE SYSTEM AND/OR TERMINATED IN HIS OR HER EMPLOYMENT. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE ("MDCC") OF THE BOARD OF TRUSTEES. PURSUANT TO THE BOARD-APPROVED MDCC CHARTER, THE MDCC ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT EXPERT IN THE COMPENSATION OF EXECUTIVES AND OTHER TOP MANAGERS OF NONPROFIT HOSPITALS AND HEALTH CARE SYSTEMS. WITH APPROPRIATE COMPARABILITY DATA PROVIDED BY ITS CONSULTANT (COMPRISING MARKET DATA REGARDING COMPENSATION PAID FOR COMPARABLE SERVICES IN COMPARABLE ORGANIZATIONS), THE MDCC ENGAGES IN AN ANNUAL REVIEW AND ASSESSMENT OF THE SEATTLE CHILDREN'S HEALTHCARE SYSTEM EXECUTIVE COMPENSATION PROGRAM (BASE, INCENTIVE COMPENSATION, AND EMPLOYER-PAID BENEFITS) TO DETERMINE COMPETITIVENESS. BASED ON THIS EXPERT ANALYSIS AND ON RELEVANT PERFORMANCE INFORMATION FOR THE EXECUTIVES IN QUESTION AND THE ORGANIZATION AS A WHOLE, THE MDCC PRESENTS A RECOMMENDATION TO THE BOARD REGARDING THE TOTAL COMPENSATION PACKAGE FOR EACH OF THE 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 HEALTHCARE SYSTEM MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, COLUMN (D): ALTHOUGH SEATTLE CHILDREN'S HEALTHCARE SYSTEM HAS SUBSTANTIAL CONTRIBUTION REVENUE, IT DOES NOT INCUR FUNDRAISING EXPENSES. ALL FUNDRAISING ACTIVITIES AND CONTRIBUTIONS TO SEATTLE CHILDREN'S HEALTHCARE SYSTEM ARE CONDUCTED BY RELATED ORGANIZATIONS. SEE ADDITIONAL DESCRIPTION FOR SCHEDULE M, LINE 32. SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT 2015 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 SEATTLE CHILDREN'S HAS A LONG HISTORY OF GOING BEYOND OUR HOSPITAL'S WALLS TO WORK WITH COMMUNITIES TO CREATE SAFER, HEALTHIER PLACES TO LIVE. THREE YEARS AGO WE CREATED A PLAN FOR OUR COMMUNITY BENEFIT EFFORTS THAT IS DESIGNED TO ADDRESS SOME OF THE MOST URGENT HEALTH NEEDS OF THE CHILDREN AND FAMILIES WE SERVE IN OUR REGION. TOGETHER WITH COMMUNITY ORGANIZATIONS, PUBLIC HEALTH DEPARTMENTS, FAMILIES, DONORS AND OTHERS, WE HAVE WORKED TO: - INCREASE ACCESS TO QUALITY HEALTHCARE FOR ALL CHILDREN AND TEENS. - IMPROVE COORDINATION OF CARE FOR CHILDREN WITH CHRONIC CONDITIONS. - IMPROVE HEALTH EQUITY AND ACCESS IN SOUTH KING COUNTY. - PREVENT AND TREAT OBESITY. - ENHANCE ACCESS TO MENTAL AND BEHAVIORAL HEALTH. PARTNERING WITH OTHER ORGANIZATIONS AND INDIVIDUALS IN THE COMMUNITY IS VITAL TO ENSURING WE CAN CARE FOR EVERY CHILD WHO NEEDS US. THE WORK HIGHLIGHTED IN THIS REPORT WOULD NOT BE POSSIBLE WITHOUT SUCH PARTNERS. FROM OPENING A NEW SOUTH CLINIC IN FEDERAL WAY TO IMPROVING THE TRANSITION OF TEEN CANCER SURVIVORS TO ADULT SURVIVORSHIP CARE, OUR TEAM HAS INVESTED MIGHTILY ALONGSIDE MANY TO MEET THE NEEDS OF OUR PATIENTS, FAMILIES AND COMMUNITIES. I AM PROUD AND EXCITED ABOUT THE STEPS WE HAVE TAKEN, AND RECOGNIZE THERE IS STILL MUCH TO DO TO ASSURE THE WELL BEING OF ALL CHILDREN. WE ARE COMMITTED TO CONTINUE OUR MISSION TO BRING HOPE, CARE AND CURES TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN IN OUR REGION AND ACROSS THE WORLD. SINCERELY, JEFF SPERRING, MD CEO 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 IN THE CATEGORIES OF UNCOMPENSATED CARE, RESEARCH, HEALTH PROFESSIONS EDUCATION AND COMMUNITY HEALTH IMPROVEMENT. COMMUNITY BENEFIT IS ALSO THE BASIS OF THE TAX-EXEMPTION OF NONPROFIT HOSPITALS. THESE REPORTS DOCUMENT THE WAYS IN WHICH HOSPITALS GO ABOVE AND BEYOND THEIR CORE FUNCTIONS TO SUPPORT THE HEALTH NEEDS OF THE COMMUNITY. TOTAL 2015 INVESTMENT IN THE COMMUNITY: $175,349,000* UNCOMPENSATED CARE & MEDICAID SHORTFALL: $111,818,000 HEALTH PROFESSIONS EDUCATION: $24,522,000 RESEARCH: $30,341,000 COMMUNITY PROGRAMS AND SERVICES: $8,668,000 *DOES NOT INCLUDE GRANTS AND CONTRIBUTIONS THAT SUPPORT COMMUNITY BENEFIT PROGRAMS. LEARN MORE ABOUT HOW WE CONTRIBUTE TO THE COMMUNITY AT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT, WHERE YOU WILL ALSO FIND OUR 2013-2016 COMMUNITY BENEFIT IMPLEMENTATION PLAN. COMMUNITY PROGRAMS AND SERVICES KEEPING CHILDREN AND FAMILIES SAFE AND HEALTHY MEANS HELPING PEOPLE WHERE THEY LIVE. SEATTLE CHILDREN'S WORKS IN THE COMMUNITY AND WITH THE COMMUNITY TO TACKLE THE UNDERLYING CAUSES OF INJURY AND ILLNESS, SPEAK UP FOR UNDERSERVED FAMILIES, AND SUPPORT POLICY CHANGES THAT IMPROVE CHILD HEALTH. CLEARING THE AIR ABOUT POT A HAZE OF MISINFORMATION AND RISKY BEHAVIOR HOVERS OVER LEGALIZED MARIJUANA USE IN WASHINGTON. A RECENT UNIVERSITY OF WASHINGTON SURVEY FOUND THAT ONLY 57% OF PARENTS KNEW THE LEGAL AGE FOR MARIJUANA USE IS 21 WHILE THE POISON CENTER REPORTS AN INCREASE IN CALLS INVOLVING TEENS WHO HAVE CONSUMED TOO MUCH POT. THREE SEATTLE CHILDREN'S PHYSICIANS WERE FEATURED IN A PUBLIC SERVICE CAMPAIGN TO EDUCATE PARENTS ABOUT THE LAW AND STRESS THE IMPORTANCE OF TALKING TO CHILDREN ABOUT THE RISKS OF MARIJUANA USE. PICTURES OF DR. LESLIE WALKER, DR. GLEN TAMURA AND DR. NATHALIA JIMENEZ APPEARED ON BILLBOARDS THAT URGED PARENTS TO "TALK WITH YOUR KIDS." THE CAMPAIGN WAS LAUNCHED BY A GROUP OF ORGANIZATIONS INCLUDING PREVENTION WORKS IN SEATTLE (WINS), A COMMUNITY COALITION INVOLVING SEATTLE CHILDREN'S AND OTHER PARTNERS WHO WORK TOGETHER TO FIGHT ADOLESCENT DRUG AND ALCOHOL ABUSE. "PARENTS ARE THE NUMBER ONE INFLUENCE ON THEIR CHILDREN - EVEN TEENS," SAYS WALKER. "IT'S IMPORTANT THAT THEY KNOW THE LAW AND HOW TO HELP CHILDREN DEVELOP THE SOCIAL AND EMOTIONAL SKILLS NEEDED TO AVOID DRUG USE." KEEPING KIDS SAFE IN THE WATER DROWNING IS AN ESPECIALLY WORRISOME RISK FOR CHILDREN AND TEENS IN PLACES LIKE WASHINGTON WHERE THERE IS SO MUCH OPPORTUNITY TO SPEND TIME IN AND AROUND OPEN WATER. AN AVERAGE OF 25 CHILDREN AND TEENS DROWN IN THIS STATE EVERY YEAR - MOST OF THEM WHILE SWIMMING, PLAYING IN OR NEAR WATER, OR BOATING. SEATTLE CHILDREN'S HAS WORKED FOR MANY YEARS TO UNDERSTAND THE RISK FACTORS AND DEVELOP PROGRAMS TO PREVENT DROWNING. WE CO-LEAD THE WASHINGTON STATE DROWNING PREVENTION NETWORK AND WORKED WITH THE STATE DEPARTMENT OF HEALTH AND NUMEROUS OTHER COMMUNITY PARTNERS TO FORM A STATEWIDE POLICY STRATEGY PLAN TO REDUCE OPEN WATER DROWNING. FUNDED BY A GRANT FROM THE CENTERS FOR DISEASE CONTROL, THE PLAN HAS BEEN THE CATALYST FOR IDENTIFYING POLICIES AND SYSTEMS THAT IMPROVE WATER SAFETY INCLUDING A STRONGER BOATING UNDER THE INFLUENCE LAW, GUIDELINES FOR DESIGNATED SWIMMING AREAS, PROGRAMS TO LOAN LIFE JACKETS AT MORE THAN 180 SITES STATEWIDE AND PUBLIC SINGLE GENDER SWIM SESSIONS TO ADDRESS CULTURAL BARRIERS. RESEARCH WE IMPROVE THE LIVES OF CHILDREN IN OUR REGION AND AROUND THE WORLD THROUGH OUR RESEARCH. BY IDENTIFYING PROBLEMS, DISCOVERING SOLUTIONS AND TRANSLATING THEM INTO NEW CURES AND TREATMENTS, WE PROVIDE HOPE TO CHILDREN AND FAMILIES EVERYWHERE. ADVANCING PEDIATRIC TREATMENTS DRUG COMPANIES DEVELOP RELATIVELY FEW THERAPIES SPECIFICALLY FOR CHILDREN BECAUSE THE NUMBER OF CHILDREN AFFECTED BY MOST CHILDHOOD DISEASES IS TOO SMALL TO PRODUCE A SUFFICIENT RETURN ON INVESTMENT. THE HIGH COST OF PEDIATRIC CLINICAL TRIALS CAN BE ANOTHER BARRIER. THE CONSENT PROCESS AND ETHICAL CONSIDERATIONS ARE MORE COMPLEX AND THERAPIES MUST BE TESTED AT EACH OF THE VARIOUS STAGES OF CHILDHOOD DEVELOPMENT. OUR NEW OFFICE OF SCIENCE-INDUSTRY PARTNERSHIPS COLLABORATES WITH THE PRIVATE SECTOR TO OVERCOME THOSE CHALLENGES AND ADVANCE NEW PEDIATRIC THERAPIES SO PROVIDERS AREN'T FORCED TO PRESCRIBE ADULT MEDICATIONS THAT MAY NOT BE APPROPRIATE FOR DEVELOPING BODIES. "OUR MESSAGE TO INDUSTRY IS LET US HELP YOU FUND YOUR RESEARCH AND BRING THERAPIES THAT BENEFIT CHILDREN TO MARKET," SAYS DR. ELIZABETH AYLWARD, WHO LEADS THE PARTNERSHIP OFFICE. IN ADDITION TO THERAPEUTICS, THE OFFICE OF SCIENCE-INDUSTRY PARTNERSHIPS ALSO FOCUSES ON DIAGNOSTICS, VACCINES AND MEDICAL DEVICES TO ADVANCE PEDIATRIC TREATMENTS. SEARCHING FOR SUICIDE WARNINGS SOCIAL MEDIA OPENS A NEW WINDOW INTO PEOPLE'S STATE OF MIND - ESPECIALLY ADOLESCENTS AND YOUNG ADULTS WHO OFTEN POST THOUGHTS AND FEELINGS THEY OTHERWISE MIGHT NOT SHARE. DR. MOLLY ADRIAN IS WORKING ON A WAY TO LOOK THROUGH THAT WINDOW FOR SIGNS THAT AN ADOLESCENT OR YOUNG ADULT IS A SUICIDE RISK. ADRIAN IS EXPLORING WHETHER A VOLUNTARY SYSTEM THAT IDENTIFIES SUICIDE RISK AMONG MILITARY VETERANS CAN DO THE SAME FOR YOUNG PEOPLE. THE SYSTEM MINES FACEBOOK POSTS AND OTHER SOCIAL MEDIA COMMUNICATION (E.G. TWITTER AND INSTAGRAM) AND THEN COMPARES KEY WORDS AND PHRASES OF VETERANS WHO DIED BY SUICIDE WITH VETERANS WHO DIED FROM OTHER CAUSES. IN THE CASE OF ADRIAN'S WORK, THIS WORK SEEKS TO USE PREDICTIVE ANALYTICS TO IDENTIFY YOUNG PEOPLE AT RISK FOR SUICIDE. THE SYSTEM TRACKS AND SCORES EACH PATIENT'S RISK LEVEL. WHEN THE SCORE REACHES A DANGEROUS LEVEL, THE SYSTEM SENDS AN E-MAIL OR TEXT MESSAGE TO A MENTAL HEALTH PROVIDER OR FAMILY MEMBER. "SUICIDE RISK RISES AND FALLS, BUT IT'S REALLY HARD TO TELL WHEN IT'S RISING, EVEN WHEN YOU'RE REGULARLY SEEING A PATIENT," ADRIAN SAYS. "THIS SYSTEM MIGHT BE ABLE TO HELP KIDS BEFORE IT'S TOO LATE." COLLEGE CYBERBULLYING TIED TO DEPRESSION COLLEGE MAY SEEM LIKE A TIME FOR LEAVING ADOLESCENT TROUBLES BEHIND, BUT THAT'S NOT NECESSARILY TRUE FOR CYBERBULLYING. A STUDY LED BY DR. ELLEN SELKIE AND DR. MEGAN MORENO FOUND THAT ONE IN FOUR FEMALE STUDENTS REPORTED BEING CYBERBULLIED WHILE IN COLLEGE. THE STUDY ALSO FOUND THAT COLLEGE GIRLS WHO REPORTED BEING CYBERBULLIED WERE THREE TIMES MORE LIKELY TO MEET CLINICAL CRITERIA FOR DEPRESSION. IF THE CYBERBULLYING INVOLVED UNWANTED SEXUAL ADVANCES, THE ODDS OF DEPRESSION DOUBLED. THOSE WHO ACTED AS BULLIES ALSO WERE MORE LIKELY TO REPORT DEPRESSION AND ALCOHOL ABUSE. THE STUDY IS UNIQUE BECAUSE IT EXPLORES CYBERBULLYING IN COLLEGE STUDENTS RATHER THAN YOUNG ADOLESCENTS, THE PRIMARY TARGET OF PREVIOUS CYBERBULLYING RESEARCH. THE FINDINGS ARE IMPORTANT BECAUSE COLLEGE STUDENTS ARE AMONG THE MOST FREQUENT USERS OF DIGITAL TECHNOLOGY AND BECAUSE FEMALES - THE SPECIFIC FOCUS OF THE STUDY - ARE MORE LIKELY TO BE INVOLVED IN CYBERBULLYING AND BECOME DISTRESSED BY IT. "DEPRESSION AND ALCOHOL ABUSE ARE ALREADY MAJOR CONCERNS FOR COLLEGE STUDENTS, SO IT'S CRITICAL TO BE AWARE THAT CYBERBULLYING IS A POTENTIAL TRIGGER FOR THOSE HEALTH RISKS IN YOUNG WOMEN," SELKIE SAYS. HEALTH PROFESSIONS EDUCATION TRAINING THE NEXT GENERATION OF PEDIATRIC DOCTORS, NURSES AND OTHER HEALTHCARE PROFESSIONALS IS ESSENTIAL TO OUR MISSION AND RAISES THE LEVEL OF CARE FOR CHILDREN EVERYWHERE. WE ARE HOME TO THE UNIVERSITY OF WASHINGTON'S PEDIATRIC RESIDENCY AND FELLOWSHIP PROGRAMS AND ARE A TRAINING GROUND FOR NURSES AND OTHER PROVIDERS. WE ALSO OFFER CONTINUING EDUCATION AND OUTREACH TO HEALTHCARE PROFESSIONALS ALREADY CARING FOR KIDS IN THE COMMUNITY. SHARING EXPERTISE IN AFRICA CHILDREN BORN WITH CLEFT LIP AND PALATE STRUGGLE TO SURVIVE AND THRIVE WITHOUT PROPER CARE AND TREATMENT. IN AFRICA, FAMILIES TRAVEL LONG DISTANCES TO REACH HOSPITALS, WAIT IN LONG LINES TO GET CARE AND FACE PUBLIC REJECTION. AFTER REPAIRING A CLEFT, DOCTORS THERE TYPICALLY DON'T COORDINATE WITH OTHER SPECIALISTS TO TREAT ONGOING PROBLEMS SUCH AS DIFFICULTY EATING, TALKING AND BREATHING. DR. MICHAEL CUNNINGHAM AND DR. RICHARD HOPPER FOUNDED THE PARTNERS IN AFRICAN CLEFT TRAINING (PACT) PROGRAM TO TEACH DOCTORS IN GHANA, ETHIOPIA AND NIGERIA THE SURGICAL TECHNIQUES AND COORDINATED CARE APPROACH THAT THE CRANIOFACIAL CENTER AT SEATTLE CHILDREN'S USES TO HELP KIDS WITH CLEFT. THEIR ALLIANCE WITH THE CLEFT CLINIC AT THE KOMOFO ANOKYE TEACHING HOSPITAL IN KUMASI, GHANA, HAS MADE A LASTING IMPACT BECAUSE THE PEOPLE THEY TRAIN PASS ON WHAT THEY LEARN TO OTHERS. "WITH THIS APPROACH, THE NUMBER OF PATIENTS WHO BENEFIT FROM IMPROVED CARE REACHES THE THOUSANDS," HOPPER SAYS. "THE KEY TO PACT'S SUCCESS IS TRANSLATING WHAT WE DO HERE INTO SOMETHING THAT WORKS IN A PART OF THE WORLD WITH A VERY DIFFERENT CULTURE AND RESOURCES." TEENS GET TASTE OF RESEARCH MORE THAN TWO DOZEN TEENS GOT A SENSE OF WHAT A RESEARCH OR HEALTHCARE CAREER MIGHT BE LIKE AT THE SUMMER SCHOLARS DAY CAMP AT SEATTLE CHILDREN'S RESEARCH INSTITUTE. ORGANIZED BY THE SOCIAL MEDIA ADOLESCENT HEALTH RESEARCH TEAM (SMAHRT), THE WEEK-LONG PROGRAM ENABLED TEENS TO DESIGN AND ANSWER THEIR OWN RESEARCH QUESTIONS, SUCH AS "CAN YOU BE ADDICTED TO THE INTERNET AND "HOW DOES INSTAGRAM AFFECT YOUR WELL-BEING." THEY PRESENTED THEIR FINDINGS ON THE LAST DAY OF CAMP. IN 2015, THE PROGRAM'S INAUGURAL YEAR, NEARLY 50 TEENS APPLIED FOR 25 SPOTS IN THE PROGRAM. MOST WERE FROM THE KENT AND HIGHLINE SCHOOL DISTRICTS AND MANY WERE FROM FAMILIES WITH LIMITED INCOMES. THEY RECEIVED FREE TRANSPORTATION AND A $100 STIPEND TO OFFSET THE POTENTIAL LOSS OF INCOME FROM NOT WORKING THAT WEEK. "WE REALIZED THERE WAS A GAP IN THE COMMUNITY FOR SOME KIDS WHO AREN'T NECESSARILY ABLE TO HAVE EDUCATIONAL SUMMER EXPERIENCES," SAYS DR. MEGAN MORENO, WHO LEADS THE SMAHRT TEAM. "WE WANTED TO OFFER THEM A CHANCE TO SEE HOW EXCITING RESEARCH CAN BE AND PROVIDE A WINDOW TO THE MANY OPPORTUNITIES THAT EXIST IN THE RESEARCH AND HEALTHCARE FIELDS." UNCOMPENSATED CARE SEATTLE CHILDREN'S FOUNDING PROMISE IS THAT EVERY CHILD SHOULD HAVE ACCESS TO THE BEST MEDICAL CARE AVAILABLE REGARDLESS OF THEIR FAMILY'S ABILITY TO PAY. IN 2015, WE PROVIDED $111.8 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO. DEAR SEATTLE CHILDREN'S: THANK YOU A FAMILY'S FIRST CONCERN WHEN A CHILD ENTERS THE HOSPITAL IS WITH HEALING THEIR CHILD'S ILLNESS OR INJURY. BUT ANOTHER CONCERN AWAITS MANY FAMILIES - HOW TO PAY THE MEDICAL BILLS THAT WILL SOON ARRIVE IN THEIR MAILBOX. EVERY YEAR A NUMBER OF PATIENT FAMILIES FIND AN ENVELOPE FROM SEATTLE CHILDREN'S IN THEIR MAILBOX THAT DOESN'T BRING A BILL BUT INSTEAD DELIVERS WHAT CAN FEEL LIKE A MIRACLE: A LETTER STATING THEIR HOSPITAL BILL HAS BEEN PAID THROUGH OUR UNCOMPENSATED CARE FUND. BELOW ARE EXCERPTS FROM THE STEADY STREAM OF RESPONSES WE RECEIVE FROM GRATEFUL FAMILIES. "YOUR SUPPORT WILL MAKE SUCH A DIFFERENCE TO US. I FELT SO BURIED IN MEDICAL BILLS. WHEN I LOOK AT THE REMAINING STACK NOW, I FEEL AS IF I CAN BREATHE A LITTLE EASIER." "WE JUST RECEIVED A LETTER FROM SEATTLE CHILDREN'S SAYING THE REMAINDER BALANCE WILL BE PAID BY SEATTLE CHILDREN'S. I KID YOU NOT, I LOST IT WHEN I READ THE LETTER. I JUST HUGGED MY HUSBAND AND COULD NOT STOP CRYING. YOU REALLY HAVE NO IDEA WHAT THIS MEANS TO ME AND MY FAMILY." BRIDGING THE GAP CHILDREN'S UNCOMPENSATED CARE PROGRAM HELPS FAMILIES FOCUS ON HEALING, NOT COST, REGARDLESS OF THEIR INSURANCE COVERAGE OR FINANCIAL CIRCUMSTANCES. OUR PROGRAM BRIDGES THE GROWING GAP BETWEEN MEDICAID REIMBURSEMENTS AND THE REAL COST OF TREATMENT. MEDICAID IS THE GOVERNMENT PROGRAM THAT PROVIDES MEDICAL COVERAGE AT NO OR LOW COST TO LOW-INCOME FAMILIES. EVEN WITH MEDICAID EXPANSION AND THE ADVENT OF THE AFFORDABLE CARE ACT, NEARLY HALF OF OUR PATIENTS RECEIVED COVERAGE THROUGH MEDICAID AND THE CHILDREN'S HEALTH INSURANCE PROGRAM (WHICH IS KNOWN AS APPLE HEALTH FOR KIDS IN WASHINGTON STATE). WHILE THESE PROGRAMS PROVIDE COMPREHENSIVE MEDICAL COVERAGE, THEY ONLY COVER 70% OF THE ACTUAL COST OF THE CARE PROVIDED. OUR UNCOMPENSATED CARE PROGRAM MADE UP FOR THE SHORTFALL OF $102.2 MILLION IN 2015. ANOTHER $9.6 MILLION COVERED THE COST OF CARE FOR CHILDREN WHOSE FAMILIES IN OUR REGION WERE UNABLE TO PAY FOR CARE. SAVING MORE THAN A NICKEL A YOUNG CHILD WAS STRUGGLING TO BREATHE AND HER PARENTS WERE SCARED "OUT OF THEIR MINDS." THEY SAW THE TODDLER SWALLOW SOMETHING BUT WEREN'T SURE WHAT. AFTER AN AMBULANCE RUSHED HER TO EVERGREEN HOSPITAL, X-RAYS REVEALED A COIN LODGED IN HER THROAT. THE PATIENT WAS TRANSFERRED TO SEATTLE CHILDREN'S FOR THE DELICATE PROCEDURE NEEDED TO SAFELY REMOVE THE NICKEL. AN HOUR AFTER THE OPERATION, SHE WAS SMILING AND EATING POTATO CHIPS. LATER THE FAMILY LEARNED SEATTLE CHILDREN'S WOULD HELP FOOT HER MEDICAL BILL. "AS A MIDDLE-CLASS FAMILY LIVING PAYCHECK TO PAYCHECK, WE KNEW THE COST OF THE 'NICKEL' WOULD BE A LITTLE MORE THAN FIVE CENTS," WROTE THE FAMILY IN A THANK YOU LETTER TO SEATTLE CHILDREN'S. "WE ARE EXTREMELY GRATEFUL FOR YOU IN HELPING OUR FAMILY WITH THE COSTS." SPEAKING UP FOR CHILD HEALTH SEATTLE CHILDREN'S IS AN ACTIVE MEMBER OF THE HEALTH COALITION FOR CHILDREN AND YOUTH, A STATEWIDE GROUP OF MORE THAN 45 ORGANIZATIONS THAT WORK TOGETHER TO PROMOTE PUBLIC POLICIES TO IMPROVE CHILD HEALTH. HUGH EWART, CHILDREN'S DIRECTOR OF STATE AND FEDERAL GOVERNMENT RELATIONS, CHAIRS THE COALITION. DURING THE LAST STATE LEGISLATIVE SESSION, THE COALITION HELPED PASS LEGISLATION TO IMPROVE THE STATE'S CHILD MENTAL HEALTH SYSTEM. IT SETS UP A WORKGROUP TO STUDY GAPS IN THE SYSTEM AND MAKE RECOMMENDATIONS TO THE GOVERNOR AND LEGISLATURE TO IMPROVE IT. ONGOING EFFORTS INCLUDE TRANSFORMING THE STATE'S MEDICAID PROGRAM BY WORKING WITHIN THE STATE'S NINE REGIONAL ACCOUNTABLE COMMUNITIES OF HEALTH AND MAKING ITS VOICE HEARD ON CHANGES AFFECTING CHILD HEALTH. COMMUNITY BENEFIT PRIORITIES OUR 2013-2016 COMMUNITY HEALTH ASSESSMENT IDENTIFIES FIVE 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 FIVE PRIORITY AREAS. HERE ARE SOME OF OUR ACCOMPLISHMENTS. ACCESS TO HIGH QUALITY HEALTHCARE OUR FOUNDERS MADE A PROMISE TO PROVIDE THE BEST CARE POSSIBLE FOR EVERY CHILD WHO NEEDS US. WE WORK EVERY DAY TO KEEP THAT PROMISE. WE CONNECT ELIGIBLE FAMILIES WITH PUBLIC INSURANCE PROGRAMS SUCH AS MEDICAID (KNOWN IN THIS STATE AS APPLE HEALTH), MONITOR INSURANCE NETWORKS TO MAKE SURE COVERAGE IS ADEQUATE TO MEET CHILDREN'S NEEDS AND MAINTAIN A FINANCIAL ASSISTANCE PROGRAM FOR FAMILIES EARNING UP TO 400% OF THE POVERTY LEVEL. LINKING CANCER SURVIVAL AND INSURANCE CANCER CAUSES MORE DEATHS AMONG YOUNG PEOPLE AGES 15 TO 39 THAN ANY OTHER DISEASE. WHILE CANCER SURVIVAL CONTINUES TO IMPROVE FOR CHILDREN AND OLDER ADULTS, OUTCOMES LAG FOR TEENS AND YOUNG ADULTS. FINDINGS FROM A STUDY LED BY DR. ABBY ROSENBERG COULD HELP REDUCE THIS DISPARITY. THE STUDY SHOWED THAT TEENS AND YOUNG ADULTS WERE AT MUCH GREATER RISK TO HAVE ADVANCED STAGE CANCER AND TO DIE FROM CANCER IF THEY HAD NO OR LIMITED HEALTHCARE INSURANCE (DEFINED AS EITHER NO COVERAGE AT ALL OR MEDICAID COVERAGE) COMPARED TO THOSE WHO HAD PRIVATE HEALTHCARE INSURANCE. TEENS AND YOUNG ADULTS ARE HISTORICALLY THE LEAST INSURED AGE GROUP IN THE COUNTRY. THE STUDY REINFORCES THE NEED FOR HEALTHCARE PROVIDERS TO URGE THIS AGE GROUP TO GET INSURANCE AND TO ESTABLISH A CONSISTENT MEDICAL HOME TO OBTAIN PREVENTATIVE CARE, ROSENBERG SAYS. A FINDING THAT THE RISK OF DEATH WAS HIGHEST FOR THOSE WITH LOWER STAGE CANCER AT THE TIME OF THEIR DIAGNOSIS SUGGESTS YOUNG CANCER SURVIVORS MAY ALSO NEED BETTER ACCESS TO FOLLOW-UP CARE AFTER TREATMENT AND MORE EDUCATION ABOUT THEIR ONGOING MEDICAL NEEDS, ROSENBERG SAYS. COORDINATED CARE FOR CHRONIC CONDITIONS CARING FOR CHILDREN WITH MEDICAL COMPLEXITY REQUIRES THAT MANY DIFFERENT HEALTHCARE PROVIDERS - AT THE HOSPITAL AND IN THE COMMUNITY - WORK CLOSELY AND CONSISTENTLY TOGETHER. WE HELP THESE CHILDREN REACH THEIR FULL POTENTIAL BY EFFECTIVELY COMMUNICATING, COORDINATING AND TRACKING THEIR NEEDS AND OUTCOMES AS THEY GROW UP AND TRANSITION TO ADULT CARE. IMPROVING CARE, REDUCING COSTS IMPROVING OUTCOMES AND REDUCING THE TOTAL COST OF CARE FOR CHILDREN WITH SPECIAL NEEDS IS A NATIONAL HEALTHCARE GOAL. SEATTLE CHILDREN'S IS SHOWING THE WAY WITH THE PEDIATRIC PARTNERS IN CARE (PPIC) PROGRAM. LAUNCHED WITH A $5.56 MILLION FEDERAL GRANT, PPIC STRIVES TO KEEP CHILDREN OUT OF THE HOSPITAL, REDUCE THE USE OF EMERGENCY SERVICES FOR NON-EMERGENT CARE, AND PREVENT UNPLANNED INPATIENT RETURNS. AS A PART OF OUR WORK IN THIS AREA, SEATTLE CHILDREN'S IS COORDINATING WITH OTHERS INVOLVED TO PROVIDE THE BEST HEALTH CARE; FOR US THAT MEANS WORKING WITH THE PATIENT AND FAMILY FIRST AND THEN COORDINATING WITH HEALTH PLANS, SCHOOLS, COMMUNITY AND HOME OR OTHER HEALTH CARE PROVIDERS TO HELP MANAGE THE CARE OUR PATIENTS RECEIVE. IT ALSO MEANS TRAINING AND CONSULTATION FOR THE PRIMARY CARE PROVIDERS WHO ARE CARING FOR THESE CHILDREN. THE THREE-YEAR PILOT PROGRAM INVOLVES 4,200 CHILDREN WHO ARE ON SUPPLEMENTAL SECURITY INCOME (SSI) FROM KING AND SNOHOMISH COUNTIES. ALSO WORKING ALONG SIDE US ARE FOUR MEDICAID MANAGED CARE ORGANIZATIONS WHO ARE COLLABORATING TO DEVELOP A FRAMEWORK FOR SUSTAINABLE FUNDING OF THESE INTERVENTIONS. "THE PPIC PROGRAM REPRESENTS A HUGE LEAP FORWARD FOR THE SPECIAL NEEDS CHILDREN WE SERVE," SAYS DR. SANDY MELZER, EXECUTIVE VICE PRESIDENT FOR NETWORKS AND POPULATION HEALTH. "THESE CHILDREN AND THEIR FAMILIES ALREADY HAVE SO MANY CHALLENGES. IT IS OUR RESPONSIBILITY TO LOOK FOR WAYS TO IMPROVE THEIR LIVES WHILE ALSO SUPPORTING NATIONAL GOALS TO REDUCE COSTS OF CARE." FINDING THE WAY SEATTLE CHILDREN'S CENTER FOR DIVERSITY AND HEALTH EQUITY STRIVES TO EMPOWER CHILDREN AND FAMILIES AT RISK FOR HEALTH INEQUITIES, IMPROVING HEALTH OUTCOMES FOR ALL CHILDREN. THE CENTER WORKS BOTH INSIDE AND OUTSIDE SEATTLE CHILDREN'S TO ENSURE OUR PATIENTS AND ALL FAMILIES IN OUR REGION GET THE HIGHEST QUALITY CARE - NO MATTER WHAT THEIR RACE, ETHNICITY, LANGUAGE, LITERACY, AGE, GENDER, GENDER IDENTITY, SEXUAL ORIENTATION, RELIGION, DISABILITY OR FINANCES. ONE CORNERSTONE OF THIS WORK IS TO ENSURE SAFE AND EFFECTIVE CARE FOR ALL OUR PATIENTS AND ONE WAY IN WHICH THE CENTER DOES THAT IS THROUGH ITS PATIENT NAVIGATION PROGRAM. PATIENT NAVIGATORS ARE BILINGUAL INDIVIDUALS WHO COMBINE THE ROLE OF CASE MANAGER AND PATIENT ADVOCATE. PATIENT NAVIGATORS HELP FAMILIES UNDERSTAND THEIR CHILD'S HEALTH NEEDS AND TEACH FAMILIES HOW TO NAVIGATE WITHIN THE HEALTHCARE SYSTEM BY HELPING THEM LEARN HOW TO: ADVOCATE FOR THEIR CHILD AND ASK QUESTIONS, SCHEDULE APPOINTMENTS, REQUEST INTERPRETER SERVICES, SOLICIT FINANCIAL ASSISTANCE AND ARRANGE TRANSPORTATION. PATIENT NAVIGATORS BUILD TRUST WITH FAMILIES IN THEIR OWN LANGUAGE, ASSURE FAMILIES UNDERSTAND CARE, AND HELP PROVIDERS UNDERSTAND FAMILIES' UNIQUE NEEDS AND STRENGTHS. OUR PATIENT NAVIGATORS SPEAK SPANISH, SOMALI, ARABIC, MANDARIN AND CANTONESE AND SERVE AS A TOUCHSTONE FOR FAMILIES FOR WHOM LANGUAGE AND CULTURAL ISSUES ARE IMPACTING CARE, AND WHOSE CHILDREN HAVE MEDICALLY COMPLEX NEEDS. HEALTH EQUITY AND ACCESS IN SOUTH KING COUNTY A FAMILY'S ZIP CODE SHOULDN'T FACTOR INTO A CHILD'S HEALTH AND WELL-BEING. WE WORK WITH FAMILIES AND COMMUNITY GROUPS TO UNDERSTAND THE AREA'S DIVERSE STRENGTHS AND CHALLENGES, PROMOTE HEALTHY CHOICES AND PROVIDE CULTURALLY RELEVANT SERVICES. FAMILIES WELCOME SOUTH CLINIC ACCESS FAMILIES IN SOUTH KING AND NORTH PIERCE COUNTIES CAN NOW RECEIVE SPECIALTY CARE FROM OUR PEDIATRIC PROVIDERS CLOSE TO HOME THANKS TO THE OPENING OF SEATTLE CHILDREN'S SOUTH CLINIC IN FEDERAL WAY, WASHINGTON. "WHEN YOU'RE ALREADY DEALING WITH A SICK CHILD, TRAVELING FROM TACOMA OR FEDERAL WAY TO SEATTLE CHILDREN'S MAIN CAMPUS CAN BE A CHALLENGE," SAYS CYNTHIA GORDON, WHOSE SON HAS CEREBRAL PALSY AND RECEIVES OCCUPATIONAL AND PHYSICAL THERAPY AT THE NEW CLINIC. "THE NEED IN THIS AREA IS JUST TREMENDOUS." MORE THAN 15 SPECIALTY CLINICS RANGING FROM CARDIOLOGY TO ORTHOPEDICS TO GASTROENTEROLOGY ARE HOUSED IN THE 32,000-SQUARE-FOOT BUILDING, WHICH ALSO FEATURES AN URGENT CARE CLINIC, IMAGING CENTER, LABORATORY AND INFUSION CENTER. IN ADDITION TO A STAFF OF 30, NUMEROUS PROVIDERS ROTATE TO THE SOUTH CLINIC FROM OUR MAIN CAMPUS. THE SOUTH CLINIC OCCUPIES A FORMER ELECTRONICS SUPERSTORE THAT UNDERWENT MORE THAN A YEAR OF RENOVATION TO BECOME A STATE-OF-THE-ART MEDICAL FACILITY LOCATED NEXT TO A TRANSIT CENTER TO MAKE GETTING TO THE CLINIC EASIER. "SEATTLE CHILDREN'S SOUTH CLINIC HAS A LOT IN COMMON WITH THE LOOK AND FEEL OF OUR BELLEVUE CLINIC AND SURGERY CENTER," SAYS TODD JOHNSON, VICE PRESIDENT OF FACILITIES. "IT'S BEAUTIFUL, WELCOMING, VERSATILE AND EFFICIENT." A COMMITMENT TO EQUITY ODESSA BROWN CHILDREN'S CLINIC (OBCC) IS A COMMUNITY CLINIC OF SEATTLE CHILDREN'S LOCATED IN SEATTLE'S CENTRAL DISTRICT. CHILDREN FROM BIRTH THROUGH AGE 21 RECEIVE COORDINATED, FAMILY-CENTERED CARE FROM A TEAM OF SPECIALLY TRAINED PEDIATRIC CARE PROVIDERS. OBCC PROVIDES MEDICAL, DENTAL, MENTAL HEALTH AND NUTRITION SERVICES TO ALL FAMILIES, REGARDLESS OF THEIR ABILITY TO PAY. SINCE 1970, OBCC HAS BEEN DEDICATED TO PROVIDING QUALITY PEDIATRIC CARE, FAMILY ADVOCACY, HEALTH COLLABORATION, MENTORING AND EDUCATION IN A CULTURALLY RELEVANT CONTEXT. OBCC LOOKS AT THE WHOLE PICTURE - MEDICAL AND NONMEDICAL - TO HELP KIDS FROM LOW-INCOME AND ETHNICALLY DIVERSE FAMILIES THRIVE. THE MAJORITY OF THE CLINIC'S PATIENTS LIVE IN LOW-INCOME AREAS OF SOUTH SEATTLE AND SOUTH KING COUNTY WHERE KIDS HAVE TWO TO FIVE TIMES THE RISK OF ASTHMA, MENTAL HEALTH AND BEHAVIOR CONCERNS, DENTAL DISEASE AND OBESITY. ABOUT 80% ARE ON MEDICAID. ALMOST 20% SPEAK ANOTHER LANGUAGE (PRIMARILY SPANISH) AT HOME. NEARLY 10% ARE IMMIGRANTS FROM EAST AFRICA. IN ADDITION TO A FOCUS ON MANAGING ASTHMA, SICKLE CELL, OBESITY AND ADHD, OBCC OFFERS A FIT 4 YOU PROGRAM THAT ENCOURAGES PATIENTS AND FAMILIES TO EAT HEALTHY AND STAY ACTIVE THROUGH COOKING AND NUTRITION CLASSES AND SWIMMING LESSONS. THROUGH A PARTNERSHIP WITH REACH OUT AND READ, OBCC GIVES FREE BOOKS TO CHILDREN DURING WELL-CHILD VISITS. OBCC ALSO EXTENDS CARE OUTSIDE ITS WALLS, RUNNING HEALTH CLINICS IN THREE LOCAL SCHOOLS AND A DAYCARE, USING LEGAL AID TO ASSIST FAMILIES IN NEED, MAKING HOUSE CALLS TO HELP FAMILIES SECURE BASIC NEEDS AND ORGANIZING COMMUNITY DENTAL SCREENINGS FOR TODDLERS. OBESITY WE WORK IN CLINICS AND THE COMMUNITY TO HELP CHILDREN, TEENS AND FAMILIES MAKE HEALTHY CHANGES TO PREVENT AND REDUCE OBESITY. THROUGH EDUCATION, ADVOCACY AND RESEARCH, WE PROMOTE HEALTHY EATING AND ACTIVE LIVING TO IMPROVE QUALITY OF LIFE FOR CHILDREN AND TEENS. STUDY FINDS KIDS NEED A PLAY RAISE PRESCHOOLERS MAY SEEM LIKE SQUIRMING BUNDLES OF ENERGY, YET A STUDY LED BY DR. POOJA TANDON SUGGESTS MANY MAY NOT BE GETTING ENOUGH OPPORTUNITIES FOR PHYSICAL ACTIVITY. TANDON FOUND THAT PRESCHOOLERS AT 10 SEATTLE CHILD-CARE CENTERS SPENT ONLY 30 MINUTES OUTSIDE PLAYING AND WERE OFFERED LESS THAN ONE HOUR OF ACTIVE PLAY OPPORTUNITIES EACH DAY. NATIONAL GUIDELINES FOR CHILDREN IN THIS AGE GROUP CALL FOR AT LEAST ONE HOUR OF UNSTRUCTURED FREE PLAY EACH DAY. OVERALL, THE STUDY FOUND THAT PRESCHOOLERS SPENT 73 PERCENT OF THEIR TIME IN SEDENTARY ACTIVITY, 13 PERCENT OF THEIR TIME IN LIGHT ACTIVITY AND 14 PERCENT OF THEIR TIME ON MODERATE TO VIGOROUS PHYSICAL ACTIVITY - FINDINGS THAT BOTH SURPRISED AND CONCERNED RESEARCHERS. "CHILDREN NEED DAILY OPPORTUNITIES FOR PHYSICAL ACTIVITY NOT ONLY FOR OPTIMAL WEIGHT STATUS, BUT BECAUSE PHYSICAL ACTIVITY PROMOTES NUMEROUS ASPECTS OF THEIR HEALTH, DEVELOPMENT, LEARNING AND OVERALL WELL-BEING" TANDON SAYS. MENTAL AND BEHAVIORAL HEALTH OUR MENTAL AND BEHAVIORAL HEALTH EXPERTS TREAT CHILDREN WITH ADDICTION, DEPRESSION AND OTHER PROBLEMS THAT AFFECT THEIR DEVELOPMENT, SAFETY AND WELL-BEING. BY INCREASING ACCESS TO OUR MENTAL HEALTH SERVICES AND EXPANDING THE COMMUNITY'S CAPACITY TO ASSIST FAMILIES, WE HELP MORE CHILDREN GET THE MENTAL HEALTHCARE THEY NEED. HELP AT A MOMENT'S NOTICE PRIMARY CARE PROVIDERS ARE AT THE FRONT LINE OF MENTAL AND BEHAVIORAL HEALTHCARE. WHEN PATIENTS SHOW SYMPTOMS OF MENTAL HEALTH ISSUES, PROVIDERS THROUGHOUT WASHINGTON AND WYOMING CAN CALL OUR PARTNERSHIP ACCESS LINE (PAL) TO CONSULT WITH CHILD PSYCHIATRISTS FROM SEATTLE CHILDREN'S AND THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE. PAL PROVIDES AN IMMEDIATE RESPONSE DURING BUSINESS HOURS TO ANY MENTAL HEALTH ISSUE THAT ARISES WITH A CHILD OR TEEN. THE CONSULTATIONS HELP PROVIDERS DIAGNOSE CONDITIONS, PRESCRIBE TREATMENT, MAKE REFERRALS AND GUIDE FAMILIES TO RESOURCES IN THEIR HOME COMMUNITY. PAL ALSO DISTRIBUTES CHILD MENTAL HEALTHCARE GUIDES WITH RATING SCALES, MEDICATION GUIDELINES AND OTHER USEFUL INFORMATION. OUR NEW PAL PLUS PILOT PROGRAM WILL SUPPORT PRIMARY CARE PROVIDERS IN THE TRI-CITIES WITH A MENTAL AND BEHAVIORAL HEALTH SPECIALIST WHO WILL MEET FAMILIES AT PROVIDER CLINICS TO COORDINATE CARE FOR CHILDREN WITH ANXIETY AND DEPRESSION. THE GOAL IS TO ADDRESS CARE WITH THE PRIMARY CARE PROVIDERS (PCP) AS THEY IDENTIFY CHILDREN WITH ANXIETY AND DEPRESSION. THE BEHAVIORAL HEALTH SPECIALIST WILL COLLABORATE LOCALLY WITH THE PCPS TO SCREEN CHILDREN, PROVIDE ONSITE THERAPY, AND SHARE INFORMATION WITH A PAL CHILD PSYCHIATRIST AND PSYCHOLOGIST. CARING FOR MORE KIDS OUR NEW PSYCHIATRY AND BEHAVIORAL MEDICINE UNIT DOUBLES OUR PREVIOUS CAPACITY SO WE CAN BETTER MEET THE COMMUNITY'S PRESSING NEED FOR GREATER MENTAL HEALTH SERVICES. DESIGNED WITH INPUT FROM PATIENTS AND FAMILIES, THE NEW UNIT HAS 41 SINGLE-PATIENT ROOMS PLUS A FAMILY RECEPTION AREA, A CLASSROOM, A COMFORT ROOM, A DINING AREA, AN EXERCISE/RECREATION AREA AND A DESIGNATED SPACE FOR THE AUTISM SPECTRUM DISORDERS PROGRAM. CLASSES AND COMMUNITY OUR COMMITMENT TO THE WELL-BEING OF CHILDREN GOES BEYOND OUR WALLS. SEATTLE CHILDREN'S OFFERS: - CLASSES ON PUBERTY, BABYSITTING, CPR AND MORE - FREE OR LOW-COST SAFETY GEAR, LIKE BIKE HELMETS AND LIFE JACKETS - PARENTING EVENTS AND RESOURCES FOR A LIST OF OUR CLASSES AND EVENTS VISIT: WWW.SEATTLECHILDRENS.ORG/CLASSES SYZYGY PROPERTIES LLC PO BOX 5371 MS RC-507 SEATTLE WA 981455005 911250116 REAL ESTATE MANAGEMENT WA 396251 5519316 SEATTLE CHILDREN'S HEALTHCARE SYSTEM SEATTLE CHILDREN'S HOSPITAL PO BOX 5371 MS RC-507 SEATTLE WA 981455005 910564748 PEDIATRIC MEDICAL CARE WA 501(C)(3) LINE 3 SEATTLE CHILDREN'S HEALTHCARE SYSTEM 1 SEATTLE CHILDREN'S HOSPITAL FOUNDATION PO BOX 5371 MS RC-507 SEATTLE WA 981455005 911156519 FUNDRAISING WA 501(C)(3) LINE 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM 1 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 1 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 1 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 1 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 443420 24555048 0 1 0.99000 CHARITABLE REMAINDER UNITRUSTS (10) INVESTMENTS WA SEATTLE CHILDREN'S HEALTHCARE SYS 0 CHARITABLE REMAINDER UNITRUST (1) INVESTMENTS AK SEATTLE CHILDREN'S HEALTHCARE SYS 0 CHARITABLE REMAINDER UNITRUSTS (3) INVESTMENTS CA SEATTLE CHILDREN'S HEALTHCARE SYS 0 CHARITABLE REMAINDER UNITRUST (1) INVESTMENTS FL SEATTLE CHILDREN'S HEALTHCARE SYS 0 CHARITABLE REMAINDER ANNUITY TRUSTS (2) INVESTMENTS WA SEATTLE CHILDREN'S HEALTHCARE SYS 0 PERPETUAL TRUSTS (7) INVESTMENTS WA SEATTLE CHILDREN'S HEALTHCARE SYS 0 POOLED INCOME FUND (1) INVESTMENTS WA SEATTLE CHILDREN'S HEALTHCARE SYS 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 SEATTLE CHILDREN'S RESEARCH INVESTORS LLC A 443420 ACTUAL INTEREST INCOME SEATTLE CHILDREN'S HOSPITAL FOUNDATION B 631089 ACTUAL GRANT SEATTLE CHILDREN'S HOSPITAL FOUNDATION C 16077655 ACTUAL CONTRIBUTION CHILDREN'S RETAIL C 370653 ACTUAL CONTRIBUTION SEATTLE CHILDREN'S HOSPITAL D 13914526 ACTUAL RECEIVABLE SEATTLE CHILDREN'S HOSPITAL FOUNDATION E 970096 ACTUAL PAYABLE SEATTLE CHILDREN'S HOSPITAL GUILD ASSN E 194712 ACTUAL PAYABLE CHILDREN'S RETAIL E 35240 ACTUAL PAYABLE SEATTLE CHILDREN'S HOSPITAL P 1018894 ACTUAL EXPENSES