UW MEDICINENORTHWEST: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- UW MEDICINENORTHWEST (EIN 91-0637400)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201641349349305494
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T14:19:47-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1700 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910637400 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UW MEDICINE NORTHWEST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UWME | BusinessNameControlTxt |
| Phone | 2063683012 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET NO D-180 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98133 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TSE-TSIN KETTY HSIEH | PersonNm |
| Person Title | SENIOR DIRECTOR OF FINANCE | PersonTitleTxt |
| Phone | 2063683012 | PhoneNum |
| Signature | 2016-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SARA ELIZABETH J HYRE | PreparerPersonNm |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Preparation | 2016-05-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL & MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CINDY HECKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET NO D-180 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98133 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $365,532,179 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NWHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1949 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | UW MEDICINE NORTHWEST IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 2460 | TotalEmployeeCnt |
| Total Volunteers | 265 | TotalVolunteersCnt |
| Total Gross UBI | $923,683 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$25,175 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,394,911 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,237,853 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $284,769,149 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $326,022,152 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,879,590 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,195,686 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,095,637 | PYOtherRevenueAmt |
| CY Other Revenue | $11,263,072 | CYOtherRevenueAmt |
| PY Total Revenue | $293,139,287 | PYTotalRevenueAmt |
| CY Total Revenue | $343,718,763 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $130,783 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,000,803 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $148,304,427 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $166,742,827 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $151,178,502 | PYOtherExpensesAmt |
| CY Other Expenses | $178,150,911 | CYOtherExpensesAmt |
| PY Total Expenses | $299,613,712 | PYTotalExpensesAmt |
| CY Total Expenses | $345,894,541 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,474,425 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,175,778 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $242,218,166 | TotalAssetsBOYAmt |
| Total Assets EOY | $247,515,510 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $144,593,003 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $155,237,704 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $97,625,163 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $92,277,806 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION IS TO RAISE THE LONG-TERM HEALTH STATUS OF OUR COMMUNITY BY PROVIDING PERSONALIZED, QUALITY CARE WITH COMPASSION, DIGNITY, AND RESPECT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $309,474,611 | ExpenseAmt |
| Grant | $1,000,803 | GrantAmt |
| Revenue | $333,333,153 | RevenueAmt |
| Desc | UW MEDICINE NORTHWEST, DOING BUSINESS AS NORTHWEST HOSPITAL & MEDICAL CENTER (NWHMC), IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL, OFFERING COMPREHENSIVE MEDICAL, SURGICAL, AND THERAPEUTIC SERVICES. WITH 281 BEDS, MORE THAN 2,100 EMPLOYEES AND A WORLD-CLASS MEDICAL STAFF, NWHMC PROVIDES INNOVATIVE, TECHNOLOGICALLY ADVANCED CARE ON A PATIENT-FRIENDLY, EASY-ACCESS CAMPUS JUST NORTH OF SEATTLE. - FROM PRIMARY CARE TO HIGHLY SPECIALIZED CARE, NORTHWEST HOSPITAL OFFERS SERVICES INCLUDING, BUT NOT LIMITED TO:- INPATIENT, OUTPATIENT, AND 24-HOUR EMERGENCY SERVICES. - BARIATRIC SURGERY.- CANCER CARE.- CARDIAC CARE.- CHILDBIRTH CENTER.- COMMUNITY HEALTH EDUCATION & SIMULATION CENTER.- DIAGNOSTIC IMAGING.- GEROPSYCHIATRIC CENTER.- NEUROSCIENCES.- LABORATORY SERVICES.- PHYSICAL THERAPY.- PREVENTATIVE HEALTH & WELLNESS SERVICES.- SPORTS MEDICINE.- STROKE PROGRAM.- SURGICAL SERVICES.- WOUND CARE.NWHMC IS COMMITTED TO ONGOING PERFORMANCE IMPROVEMENT AND QUALITY PATIENT CARE. THE FOCUS OF THESE EFFORTS HAS BEEN TO PROVIDE AN EFFECTIVE AND CONTINUOUS PROGRAM TO MEASURE, ASSESS, AND IMPROVE PERFORMANCE, PATIENT SAFETY, AND THE SAFETY OF THE WORK ENVIRONMENT. THE HIGHLY SUCCESSFUL QUALITY EFFORT AT NWHMC HAS RESULTED IN A NUMBER OF PRESTIGIOUS LOCAL AND NATIONAL QUALITY AWARDS, AND HAS HELPED THE HOSPITAL EARN A REPUTATION AS ONE OF THE SAFEST, HIGHEST QUALITY PROVIDERS IN THE PACIFIC NORTHWEST. FOR A MORE COMPREHENSIVE LIST OF SERVICES, ACCOMPLISHMENTS, AND ACCOLADES, VISIT WWW.NWHOSPITAL.ORG, | Desc |
| Total Program Service Expenses | $309,474,611 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 273 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2460 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIMBERLY DANSIE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2063683038 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET PZ-506 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98133 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SCOTT L HARDMAN | ||||||||||
| CHAIR | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMES K ANDERSON | ||||||||||
| TRUSTEE | 5.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHAIZA DAMJI | ||||||||||
| TRUSTEE | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PETER R EVANS | ||||||||||
| TRUSTEE | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| TERRY L LENGFELDER | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM J REX | ||||||||||
| TRUSTEE | 6.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JIM SNYDER | ||||||||||
| TRUSTEE | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARIAN SVINTH | ||||||||||
| TRUSTEE | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS TURNURE | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CINDY HECKER | ||||||||||
| EXECUTIVE DIRECTOR | 40.00 | 1.00 | Yes (X) | $0 | $468,355 | $57,035 | ||||
| KETTY HSIEH | ||||||||||
| SR. DIRECTOR, FINANCE; SECRETARY | 40.00 | 0.00 | Yes (X) | $170,395 | $0 | $14,423 | ||||
| GREGORY SCHROEDL | ||||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | Yes (X) | $623,750 | $0 | $37,613 | ||||
| PAUL G RAMSEY | ||||||||||
| CEO, UW MEDICINE | 0.00 | 40.00 | $0 | $842,155 | $68,850 | Yes (X) | ||||
| JOHNESE SPISSO | ||||||||||
| CHSO, UW MEDICINE | 0.00 | 40.00 | $0 | $768,293 | $61,856 | Yes (X) | ||||
| LORI MITCHELL | ||||||||||
| CFO, UW MEDICINE | 0.00 | 40.00 | $0 | $558,579 | $56,705 | Yes (X) | ||||
| ADAM PARCHER | ||||||||||
| SR. DIRECTOR, CHIEF QUALITY OFFICER | 40.00 | 0.00 | $173,731 | $0 | $17,004 | Yes (X) | ||||
| JACOB FLEET | ||||||||||
| CHIEF OF MEDICINE/PHYSICIAN | 40.00 | 0.00 | $311,617 | $0 | $36,124 | Yes (X) | ||||
| MARY HORAN | ||||||||||
| SR. DIRECTOR, CLINICAL INFORMATICS | 40.00 | 0.00 | $299,591 | $0 | $18,338 | Yes (X) | ||||
| PAMELA RENNA | ||||||||||
| SR. DIR BUS DVLP/STRATEGIC PLAN | 40.00 | 5.00 | $173,839 | $0 | $24,691 | Yes (X) | ||||
| SUE MANFREDI | ||||||||||
| CHIEF NURSING OFFICER | 0.00 | 40.00 | $0 | $240,403 | $33,747 | Yes (X) | ||||
| LINDA OLMSTEAD | ||||||||||
| SR. DIRECTOR, HUMAN RESOURCES | 40.00 | 0.00 | $158,602 | $0 | $30,196 | Yes (X) | ||||
| LAUREN GUMS | ||||||||||
| SR. DIRECTOR, AMBULATORY CLINICS | 40.00 | 0.00 | $158,299 | $0 | $24,395 | Yes (X) | ||||
| JEFFREY RICHEY | ||||||||||
| SR. DIRECTOR, CLINICAL SERVICES | 40.00 | 0.00 | $0 | $152,697 | $23,022 | Yes (X) | ||||
| KATHRYN F MCGONIGLE | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $355,191 | $0 | $18,046 | Yes (X) | ||||
| HOWARD G MUNTZ | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $357,959 | $0 | $9,382 | Yes (X) | ||||
| TERRENCE QUIGLEY | ||||||||||
| CHIEF OF SURGERY/PHYSICIAN | 40.00 | 0.00 | $352,036 | $0 | $23,270 | Yes (X) | ||||
| BENJAMIN LERNER | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $398,688 | $0 | $19,147 | Yes (X) | ||||
| CAROL A SALERNO | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $339,649 | $0 | $9,382 | Yes (X) | ||||
| GAYLE WARD | ||||||||||
| FORMER CHIEF NURSING OFFICER | 0.00 | 0.00 | $321,025 | $0 | $14,427 | Yes (X) | ||||
| MARKO YAKOVLEVITCH | ||||||||||
| FORMER CHIEF OF STAFF | 0.00 | 40.00 | $31,395 | $430,139 | $20,972 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,225,767 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,460,621 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $618,625 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 242 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EMERGENCY SERVICES NORTHWEST | |||||
| 5203 82ND AVE SE | MERCER ISLAND | WA | 98010 | HEALTH CARE SERVICES | $4,675,140 |
| WESTERN WASHINGTON MEDICAL GROUP INC | |||||
| 1728 W MARINE VIEW DR 110 | EVERETT | WA | 98040 | HEALTH CARE SERVICES | $4,545,655 |
| UNIVERSITY OF WASHINGTON-SCHOOL OF MEDIC | |||||
| PO BOX 358047 | SEATTLE | WA | 98195 | HEALTH CARE SERVICES | $1,962,171 |
| NORTHWEST NASAL SINUS CENTER | |||||
| 3100 CARILLON POINT | KIRKLAND | WA | 98033 | HEALTH CARE SERVICES | $1,944,670 |
| WOUND CARE CENTERS INC | |||||
| 2835 82ND AVE SE STE S-1 | MERCER ISLAND | WA | 98040 | HEALTH CARE SERVICES | $1,823,896 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 33 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $374,894 | RelatedOrganizationsAmt |
| Government Grants | $1,784,937 | GovernmentGrantsAmt |
| All Other Contributions | $78,022 | AllOtherContributionsAmt |
| Total Contributions | $2,237,853 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT FEES | 622110 | $321,309,562 | $320,407,869 | $901,693 |
| OTHER HEALTHCARE SERVI | 622110 | $4,712,590 | $4,712,590 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $326,022,152 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,100,577 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $21,990 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,078,587 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,411,540 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,478,680 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$67,140 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$67,140 | TotalRevenueColumnAmt |
| Exclusion | -$67,140 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,278,000 | SecuritiesAmt |
| Other | $26,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,947,306 | SecuritiesAmt |
| Other | $261,585 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,330,694 | SecuritiesAmt |
| Other | -$235,585 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,095,109 | TotalRevenueColumnAmt |
| Exclusion | $3,095,109 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $329,955 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $125,845 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $204,110 | TotalRevenueColumnAmt |
| Exclusion | $204,110 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PARKING | 812930 | $1,973,513 | $1,973,513 |
| DAY CARE REVENUES | 624410 | $1,047,997 | $1,047,997 |
| ESPRESSO SERVICES | 722210 | $793,591 | $793,591 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,311,001 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,311,001 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,126,102 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $343,718,763 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $332,431,460 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $923,683 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,125,767 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000,803 | TotalAmt |
| Program Services | $1,000,803 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,447,639 | TotalAmt |
| Management And General | $2,447,639 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,937,170 | TotalAmt |
| Program Services | $128,363,195 | ProgramServicesAmt |
| Management And General | $3,573,975 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,437,068 | TotalAmt |
| Program Services | $4,311,023 | ProgramServicesAmt |
| Management And General | $126,045 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,875,824 | TotalAmt |
| Program Services | $16,475,586 | ProgramServicesAmt |
| Management And General | $1,400,238 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,045,126 | TotalAmt |
| Program Services | $9,608,694 | ProgramServicesAmt |
| Management And General | $436,432 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $556,143 | TotalAmt |
| Program Services | $41,866 | ProgramServicesAmt |
| Management And General | $514,277 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,095 | TotalAmt |
| Management And General | $287,095 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,936,228 | TotalAmt |
| Program Services | $40,864,483 | ProgramServicesAmt |
| Management And General | $13,071,745 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,019 | TotalAmt |
| Program Services | $342,900 | ProgramServicesAmt |
| Management And General | $4,119 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,973,397 | TotalAmt |
| Program Services | $12,617,919 | ProgramServicesAmt |
| Management And General | $1,355,478 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,065,852 | TotalAmt |
| Program Services | $4,718,988 | ProgramServicesAmt |
| Management And General | $346,864 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,833 | TotalAmt |
| Management And General | $55,833 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,597,513 | TotalAmt |
| Program Services | $5,947,733 | ProgramServicesAmt |
| Management And General | $649,780 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,897 | TotalAmt |
| Program Services | $229,455 | ProgramServicesAmt |
| Management And General | $62,442 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,903,516 | TotalAmt |
| Management And General | $4,903,516 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,756,796 | TotalAmt |
| Program Services | $14,974,446 | ProgramServicesAmt |
| Management And General | $782,350 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,603,173 | TotalAmt |
| Program Services | $625,745 | ProgramServicesAmt |
| Management And General | $977,428 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $49,631,410 | $49,626,709 | $4,701 |
| TAXES AND LICENSES | $11,961,992 | $9,294,700 | $2,667,292 |
| BAD DEBT | $7,884,678 | $7,884,678 | |
| IN-HOUSE MEALS | $1,195,555 | $1,000,915 | $194,640 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,102,814 | TotalAmt |
| Program Services | $1,544,773 | ProgramServicesAmt |
| Management And General | $2,558,041 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,894,541 | TotalAmt |
| Program Services | $309,474,611 | ProgramServicesAmt |
| Management And General | $36,419,930 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,677,958 | BOYAmt |
| EOY | $12,441,064 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,207,549 | BOYAmt |
| EOY | $922,129 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,569,167 | BOYAmt |
| EOY | $34,914,086 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,114 | BOYAmt |
| EOY | $189,852 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,763,886 | BOYAmt |
| EOY | $4,643,564 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,867,162 | BOYAmt |
| EOY | $5,702,238 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $380,327,205 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $262,982,204 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,239,789 | BOYAmt |
| EOY | $117,345,001 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $940,339 | BOYAmt |
| EOY | $943,244 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $575,795 | BOYAmt |
| EOY | $571,188 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,481,053 | BOYAmt |
| EOY | $2,933,108 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,854 | BOYAmt |
| EOY | $102,659 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,513,500 | BOYAmt |
| EOY | $66,807,377 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,218,166 | BOYAmt |
| EOY | $247,515,510 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,464,168 | BOYAmt |
| EOY | $36,838,672 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,037 | BOYAmt |
| EOY | $570,442 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,400,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,579,308 | BOYAmt |
| EOY | $14,914,041 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,942,490 | BOYAmt |
| EOY | $102,914,549 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,593,003 | BOYAmt |
| EOY | $155,237,704 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,559,079 | BOYAmt |
| EOY | $91,443,701 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,066,084 | BOYAmt |
| EOY | $834,105 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,625,163 | BOYAmt |
| EOY | $92,277,806 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,218,166 | BOYAmt |
| EOY | $247,515,510 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,175,778 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,482,506 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $310,927 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,744,956 | OtherCostOrOtherBasisAmt |
| Book Value | $16,744,956 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $132,850,498 | OtherCostOrOtherBasisAmt |
| Depreciation | $81,392,819 | DepreciationAmt |
| Book Value | $51,457,679 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,473,237 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,984,391 | DepreciationAmt |
| Book Value | $3,488,846 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $204,258,551 | OtherCostOrOtherBasisAmt |
| Depreciation | $170,604,994 | DepreciationAmt |
| Book Value | $33,653,557 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,999,963 | OtherCostOrOtherBasisAmt |
| Book Value | $11,999,963 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $117,345,001 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (10 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS WHOSE USE IS LIMITED - BOARD APPROVED CAPITAL INVESTMENTS | $40,918,230 |
| ASSETS WHOSE USE IS LIMITED - BOND INDENTURE AGREEMENTS | $116 |
| PROFESSIONAL LIABILITY SELF-INSURANCE | $430,585 |
| OTHER RECEIVABLES | $2,401,987 |
| DEFERRED RENT RECEIVABLE | $448,595 |
| RECEIVABLES FROM AFFILIATES | $13,138,533 |
| PREPAID EPIC PROJECT | $627,497 |
| PREPAID HSM & HPM | $2,169,017 |
| STOP LOSS RECEIVABLE | $237,600 |
| DEFERRED LOSS ON BONDS | $6,435,217 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $66,807,377 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| RESERVE FOR PROFESSIONAL LIABILITY | $582,000 |
| PAYABLE TO AFFILIATES | $31,652,861 |
| DEFERRED RENT PAYABLE | $1,434,165 |
| PAYABLE TO CONTRACTUAL AGENCIES | $407,191 |
| DEBT PAYABLE TO AFFILIATES | $68,838,332 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $102,914,549 | TotalLiabilityAmt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|
| CENTRAL AMERICA AND THE CARIBBEAN | 0 | 0 | INVESTMENT | $6,052,255 |
| EUROPE (INCLUDING ICELAND & GREENLAND) | 0 | 0 | INVESTMENT | $1,320,966 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $7,373,221 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $7,373,221 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,067,944 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,365 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,066,579 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,034,411 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,957,236 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,077,175 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04940 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $305,004 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $81,882 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $223,122 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,407,359 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,040,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,366,876 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05600 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $752,933 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $752,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,440 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $69,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $822,373 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $822,373 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,229,732 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,040,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,189,249 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05840 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,884,678 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $63,124,940 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $115,509,276 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$52,384,336 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL & MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98133 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.NWHOSPITAL.ORG | WebsiteAddressTxt |
| State License | H-130 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL & MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.NWHOSPITAL.ORG/ABOUTUS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.NWHOSPITAL.ORG/ABOUTUS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NORTHWEST HOSPITAL & MEDICAL CENTER | PART V, SECTION B, LINE 5: TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. FIFTEEN INTERVIEWS WERE COMPLETED THROUGHOUT OCTOBER, NOVEMBER, AND DECEMBER 2012. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS. ADDITIONALLY, INPUT WAS OBTAINED FROM THE KING COUNTY PUBLIC HEALTH DEPARTMENT. THREE FOCUS GROUPS WERE CONDUCTED IN NOVEMBER 2012, WITH A TOTAL OF 18 PEOPLE REPRESENTING AREA RESIDENTS, NORTHWEST HOSPITAL VOLUNTEERS, NORTHWEST HOSPITAL CITIZENS' ADVISORY GROUP, AND SHORELINE ROTARY.INTERVIEW PARTICIPANTS INCLUDED: NORTHWEST HOSPITAL AND MEDICAL CENTER PSYCHIATRIC SERVICES, SOUND HEALTH PHYSICIANS, NORTH HELPLINE, CANCER LIFELINE, NORTHWEST HOSPITAL AND MEDICAL CENTER PATIENT RELATIONS/RISK MANAGEMENT, SHORELINE SCHOOL DISTRICT, DYNAMIC LANGUAGE, SHORELINE FIRE DEPARTMENT, NORTH SEATTLE CHAMBER OF COMMERCE, NORTHWEST HOSPITAL AND MEDICAL CENTER EMERGENCY DEPARTMENT, PARENT TRUST FOR WASHINGTON CHILDREN, KING COUNTY PUBLIC HEALTH DEPARTMENT, NORTHAVEN INDEPENDENT & ASSISTED LIVING, DALE TURNER FAMILY YMCA. |
| NORTHWEST HOSPITAL & MEDICAL CENTER | PART V, SECTION B, LINE 11: THE HEALTH NEEDS WERE IDENTIFIED FROM ISSUES SUPPORTED BY PRIMARY AND SECONDARY DATA SOURCES GATHERED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. EACH HEALTH NEED WAS CONFIRMED BY MORE THAN ONE INDICATOR OR DATA SOURCE (I.E., THE HEALTH NEED WAS SUGGESTED BY MORE THAN ONE SOURCE OF SECONDARY OR PRIMARY DATA).IN ADDITION, THE HEALTH NEEDS WERE BASED ON THE SIZE OF THE PROBLEM (NUMBER OF PEOPLE PER 1,000, 10,000, OR 100,000 PERSONS); OR THE SERIOUSNESS OF THE PROBLEM (IMPACT AT INDIVIDUAL, FAMILY, AND COMMUNITY LEVELS). TO DETERMINE SIZE OR SERIOUSNESS OF A PROBLEM, THE HEALTH NEED INDICATORS IDENTIFIED IN THE SECONDARY DATA WERE MEASURED AGAINST BENCHMARK DATA, SPECIFICALLY WASHINGTON STATE RATES OR HEALTHY PEOPLE 2020 OBJECTIVES. INDICATORS RELATED TO THE HEALTH NEEDS THAT PERFORMED POORLY AGAINST THESE BENCHMARKS WERE CONSIDERED TO HAVE MET THE SIZE OR SERIOUSNESS CRITERIA. ADDITIONALLY, PRIMARY DATA SOURCES WERE ASKED TO IDENTIFY COMMUNITY AND HEALTH ISSUES BASED ON THE PERCEIVED SIZE OR SERIOUSNESS OF A PROBLEM.IDENTIFIED HEALTH NEEDS INCLUDED: ACCESS TO CARE: HEALTH INSURANCE, MEDICATIONS, PRIMARY CARE, SPECIALTY CARE; ASTHMA; CANCER; CARDIOVASCULAR DISEASE; DIABETES; LUNG DISEASE; MENTAL HEALTH CARE; ORAL HEALTH; OVERWEIGHT AND OBESITY; PREVENTIVE HEALTH; SMOKING; STD/HIV.PRIORITY SETTING: IN ADDITION TO FITTING WITHIN THE CONTEXT OF THE UW MEDICINE STRATEGIC PLAN, THE CRITERIA USED FOR PRIORITIZING THE IDENTIFIED HEALTH NEEDS INCLUDE: REPRESENT A CURRENT AREA OF COMMUNITY NEED IN WHICH THE HOSPITAL HAS ACKNOWLEDGED COMPETENCIES AND EXPERTISE TO ADDRESS; BUILD ON ESTABLISHED AND PLANNED RELATIONSHIPS WITHIN THE UW MEDICINE HEALTH SYSTEM AND WITH COMMUNITY PROVIDERS; AND SUPPORTED BY ORGANIZATIONAL RESOURCES THAT ENSURE NORTHWEST HOSPITAL HAS THE SYSTEMS, STAFF AND SUPPORT TO INITIATE AND MAINTAIN THE PROGRAM(S).AS A RESULT OF THE PRIORITY SETTING PROCESS THE IDENTIFIED PRIORITY HEALTH NEEDS FOR NORTHWEST HOSPITAL ARE: ACCESS TO CARE: HEALTH INSURANCE, PRIMARY CARE, SPECIALTY CARE; CANCER; CARDIOVASCULAR DISEASE.THE RESULTS OF THE PRIORITY RANKINGS WERE REVIEWED WITH THE EXECUTIVE DIRECTOR/PRESIDENT OF NORTHWEST HOSPITAL TO SECURE THEIR CONCURRENCE AND FINALLY PRESENTED TO THE NORTHWEST HOSPITAL BOARD OF TRUSTEES FOR REVIEW AND APPROVAL. |
| NORTHWEST HOSPITAL & MEDICAL CENTER | PART V, SECTION B, LINE 22D: PATIENTS ARE BILLED AT THE SAME RATE REGARDLESS OF HOW THEY ARE FUNDED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 21 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| VIA RADIOLOGY - MERIDIAN PAVILION | ||||
| 10700 MERIDIAN AVE N SUITE 505 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| WESTERN WASHINGTON CARDIOLOGY | ||||
| 12728 19TH AVE SE SUITE 200 | EVERETT | WA | 98208 | OUTPATIENT CLINIC |
| MERIDIAN WOMEN'S HEALTH | ||||
| 10330 MERIDIAN AVE N SUITE 200 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| NORTHWEST HOSPITAL PALLIATIVE CARE | ||||
| 1530 N 115TH ST SUITE 102 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| NW PRIMARY CARE-LAKE FOREST PARK | ||||
| 17191 BOTHELL WY NE SUITE 205 | SEATTLE | WA | 98155 | OUTPATIENT CLINIC |
| INFECTIOUS DISEASE CLINIC | ||||
| 1550 N 115TH ST SUITE 101 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| NW PRIMARY CARE- RICHMOND BEACH | ||||
| 355 NW RICHMOND BEACH RD | SHORELINE | WA | 98177 | OUTPATIENT CLINIC |
| NORTHWEST ENT ASSOCIATES | ||||
| 1536 N 115TH ST SUITE 340 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| SURGICAL SERVICES & HERNIA CENTER | ||||
| 1560 N 115TH ST SUITE 102 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| NORTHWEST INTERNAL MEDICINE | ||||
| 1560 N 115TH ST SUITE 207 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| NORTHWEST RESPIRATORY ASSOCIATES | ||||
| 1560 N 115TH ST SUITE G-10 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| WOMEN'S CANCER CARE OF SEATTLE | ||||
| 1560 N 115TH ST SUITE 101 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| MIDWIVES CLINIC | ||||
| 10330 MERIDIAN AVE N SUITE 190 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| NW OBSTETRICS & GYNECOLOGY | ||||
| 1560 N 115TH ST SUITE 109/110 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| SEATTLE EAR NOSE & THROAT | ||||
| 10330 MERIDIAN AVE N SUITE 220 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| SPORTS MEDICINE CLINIC | ||||
| 1455 NW LEARY WAY SUITE 350 | SEATTLE | WA | 98107 | OUTPATIENT CLINIC |
| NORTHWEST NEUROLOGY | ||||
| 1536 N 115TH ST SUITE 330 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| NORTHWEST PRIMARY CARE-OPMC | ||||
| 10330 MERIDIAN AVE N SUITE 230 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| SULLIVAN PULMONARY CLINIC | ||||
| 1550 N 115TH ST SUITE 107 | SEATTLE | WA | 98133 | MOBILE CLINIC |
| WOUND CARE CENTER | ||||
| 1560 N 115TH ST SUITE 201 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| NWH&MC SURGICAL PRE-OP CLINIC | ||||
| 1560 N 115TH ST SUITE 206 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | INCOME STANDARD - THE FULL AMOUNT OF HOSPITAL CHARGES WILL BE DETERMINED TO BE CHARITY CARE FOR ANY PATIENT WHOSE GROSS FAMILY INCOME IS BELOW 200% OF THE CURRENT CSA NON-FARM POVERTY INCOME GUIDELINES AS PUBLISHED IN THE FEDERAL REGISTER AND CONSISTENT WITH WAC 246-53-020. THERE IS A SLIDING SCALE DISCOUNT FOR INCOME LEVELS BETWEEN 200% AND 300% OF THE CSA NON-FARM POVERTY GUIDELINES. ASSET STANDARD - NET WORTH OF ASSETS OF EXTRAORDINARY VALUE OR MAJOR NONESSENTIAL ASSETS ON WHICH A PATIENT COULD DRAW CASH THROUGH SELLING, MORTGAGING, OR BORROWING WILL BE A CONSIDERATION IN DETERMINING A PATIENT'S ELIGIBILITY. IN ADDITION, CATASTROPHIC MEDICAL EXPENSES CAN BE USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| PART I, LINE 7: | WE USE A COST TO CHARGE RATIO FOR THE MEDICARE SHORTFALL. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. |
| PART III, LINE 4: | THE HOSPITAL PROVIDES AN ALLOWANCE FOR POTENTIAL UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE, WHEREBY SUCH RECEIVABLES ARE REDUCED TO THEIR ESTIMATED NET REALIZABLE VALUE. THE HOSPITAL ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE, AND THE BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS. |
| PART III, LINE 8: | STANDARD MEDICARE STEP-DOWN METHODOLOGY IS USED IN THE MEDICARE COST REPORT. |
| PART III, LINE 9B: | IT IS THE POLICY OF NORTHWEST HOSPITAL TO EXPECT FULL PAYMENT ON SERVICES PROVIDED. FULL PAYMENT IS DUE FROM THE PATIENT UPON RECEIPT OF INITIAL BILLING FOR NON-INSURANCE COVERED BALANCES UNLESS ARRANGEMENTS ARE MADE WITH THE PATIENT FINANCIAL SERVICES DEPARTMENT.OPTIONS TO CLEAR AN ACCOUNTS RECEIVABLE:THERE ARE 8 OPTIONS TO CLEAR THE ACCOUNTS RECEIVABLE:- CHARGE REVERSAL- CONTRACTUAL ADJUSTMENT- CHARITY- ADMINISTRATIVE/OTHER ADJUSTMENT- INSURANCE PAYMENT- PATIENT PAYMENT- BAD DEBT - NON-AGENCY/OTHER- BAD DEBT - COLLECTION AGENCYPATIENT FINANCIAL SCREENING: PATIENTS ARE SCREENED TO DETERMINE FINANCIAL RESPONSIBILITY DURING PRE-ADMISSION OR DURING ADMISSION/REGISTRATION. IT IS EXPECTED THAT PATIENTS PROVIDE HONEST AND COMPLETE DATA FROM WHICH STAFF ESTABLISH THE PATIENT PAYMENT PARTICIPATION. ONCE THE PATIENT'S RESPONSIBILITY IS DETERMINED, STAFF IS OBLIGATED TO NOTIFY THE PATIENT PROMPTLY.FINANCIAL SCREENING INCLUDES SOME OR ALL OF THE FOLLOWING TASKS: - COLLECTING FINANCIAL DEMOGRAPHIC INFORMATION. - DETERMINING INSURANCE ELIGIBILITY AND BENEFITS. - COMPLETING A CONFIDENTIAL FINANCIAL FORM. - OBTAINING INSURANCE AUTHORIZATION NUMBERS AND REFERRALS. - ESTABLISHING A PLAN WITH THE PATIENT TO CLEAR ACCOUNT BALANCES. - COLLECTING DEPOSITS BASED ON DEDUCTIBLES AND CO-INSURANCE AMOUNTS AS ALLOWED BY THE PATIENT'S INSURANCE PLAN. - REVIEWING A PATIENT'S PAST CREDIT HISTORY OR REQUESTING A CREDIT BUREAU REPORT. COLLECTION OF DEPOSITS: BASED ON FINANCIAL SCREENING AND ESTIMATED SELF-PAY BALANCES, IT IS THE POLICY TO REQUEST DEPOSITS AND ESTIMATED INSURANCE CO-PAY BALANCES AS SOON AS THE AMOUNT CAN BE DETERMINED OR ALLOWED BY THE PATIENT'S INSURANCE PLAN. ACCOUNTS MAY BE SET UP FOR PATIENTS TO PRE-PAY FOR THEIR CARE. PAYMENTS MAY ALSO BE COLLECTED DURING THE PERIOD OF CARE OR AT DISCHARGE. IN THE EMERGENCY ROOM, DEPOSITS ARE TO BE REQUESTED ONLY AFTER MEDICAL SERVICES HAVE BEEN PROVIDED. ALL PAYMENTS ARE TO BE REQUESTED WITH SENSITIVITY, CONSISTENT WITH ALL HOSPITAL POLICIES.NON-EMERGENT SERVICE IS NOT CONTINGENT UPON PAYMENT OF A DEPOSIT EXCEPT IN CASES OF POOR CREDIT HISTORY AND WHEN APPROVED BY A DIRECTOR OR A VICE PRESIDENT. COSMETIC OR NON-MEDICALLY REQUIRED SERVICES ARE TO BE PAID IN FULL IN ADVANCE OF SERVICE. SPECIAL CIRCUMSTANCES MAY WARRANT AN EXCEPTION TO PAYMENT IN FULL BUT MUST BE APPROVED BY THE DIRECTOR OR VICE PRESIDENT. GENERAL COLLECTION FRAMEWORK:ACCOUNT BALANCES ARE DUE UPON RECEIPT OF FIRST BILLING WITH THE FOLLOWING SELF-PAY EXCEPTIONS: - PAYMENT PLAN ARRANGEMENTS CONSISTENT WITH THIS POLICY. - ADDITIONAL FINANCIAL SCREENING IS BEING DEVELOPED. - HOSPITAL BILLING ERRORS, DELAYS, OR UNRESOLVED DISPUTES. - UNPAID INSURANCE CLAIMS WHEN PATIENT BALANCES CANNOT EASILY BE DETERMINED.INSURANCE BILLING POLICY: NORTHWEST PATIENT FINANCIAL SERVICES BILLS STATE, FEDERAL AND CONTRACTED INSURANCE PLANS. OTHER PAYMENT SOURCES ARE BILLED WHENEVER THE PATIENT PROVIDES NECESSARY DATA. THE HOSPITAL TAKES ASSIGNMENT ON ALL MEDICARE CHARGES.PATIENT BALANCES: PATIENT PAY ACCOUNTS ARE PAYABLE UPON RECEIPT OF INITIAL BILLING, UNLESS OTHER ARRANGEMENTS ARE MADE WITH PATIENT FINANCIAL SERVICES (PFS). ACCOUNTS WAITING FOR INSURANCE PAYMENT BECOME THE PATIENT'S RESPONSIBILITY 60 DAYS AFTER INITIAL INSURANCE BILLING, UNLESS DICTATED BY AN INSURANCE CONTRACT, FINANCIAL ARRANGEMENTS ARE MADE, OR THIS PROVISION IS WAIVED BY A PFS MANAGER OR DIRECTOR. NWHMC DOES NOT HOLD THE PATIENT RESPONSIBLE FOR THE BILL UNTIL PFS HAS RESOLVED ALL ISSUES WITH THE INSURANCE COMPANIES, INCLUDING APPEALS OF DENIALS.QUALITY OF CARE AND BILLING ACCURACY ISSUES ARE TO BE RESOLVED AS QUICKLY AS POSSIBLE AND PRIOR TO ENFORCING COLLECTION STANDARDS.ALL PATIENTS WHO INDICATE FINANCIAL HARDSHIP ARE SCREENED FOR CHARITY. CHARITY MAY BE GRANTED ANY TIME, EVEN AFTER COLLECTION AGENCY ASSIGNMENT AND UP UNTIL FILING OF LEGAL ACTION. |
| PART VI, LINE 2: | NORTHWEST HOSPITAL IS A COMMUNITY OF CARING HEALTH PROFESSIONALS, VALUED AND RECOGNIZED FOR PROMOTING WELLNESS THROUGH EARLY DETECTION AND PREVENTION, MINIMALLY INVASIVE INTERVENTIONS, AND INNOVATIVE CLINICAL PRACTICES.NORTHWEST HOSPITAL IS ACTIVELY INVOLVED WITH LOCAL, STATE, AND FEDERAL QUALITY INITIATIVES INCLUDING:- THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S 100K LIVES AND 5 MILLION LIVES CAMPAIGN- LEAPFROG HOSPITAL QUALITY & PATIENT SAFETY SURVEY - AS AN EARLY ADVOCATE OF THE LEAPFROG STANDARDS, NORTHWEST HOSPITAL WAS ONE OF THE FIRST HOSPITALS IN THE AREA TO MAKE THE ICU LEAP.- QUALIS SURGICAL CARE IMPROVEMENT PROJECT COLLABORATIVE- CMS HCAHPS (PATIENT PERSPECTIVE ON CARE) SURVEY- HQA QUALITY INDICATOR PROGRAM- JOINT COMMISSION CORE MEASURES PROGRAM- JOINT COMMISSION NATIONAL PATIENT SAFETY GOALS- WASHINGTON STATE COAP QUALITY IMPROVEMENT PROGRAM FOR INTERVENTIONAL CARDIOLOGY AND CARDIOTHORACIC SURGERY- WASHINGTON STATE TRAUMA REGISTRY- WASHINGTON STATE BIRTH DEFECTS SURVEILLANCE PROGRAMADDITIONALLY, NORTHWEST HOSPITAL HAS A DEDICATED DECISION SUPPORT DEPARTMENT THAT ANALYZES BOTH INTERNAL AND EXTERNAL DATA TO IDENTIFY THE COMMUNITY HEALTH CARE NEEDS. THIS INCLUDES DATA, SUCH AS THE CANCER REGISTRY, IN ORDER TO IDENTIFY GAPS AND MAKE INFORMED DECISIONS REGARDING ONCOLOGY DISEASED-BASED PROGRAM DEVELOPMENT.NORTHWEST HOSPITAL LEADERSHIP IS ACTIVELY INVOLVED IN LOCAL AND NATIONAL HEALTHCARE AND CIVIC ORGANIZATIONS WHICH PROVIDE SIGNICICANT INSIGHT INTO COMMUNITY DEVELOPMENT AND EVOLVING HEALTHCARE NEEDS.AS A MAJOR INSTITUTION, NORTHWEST HOSPITAL INTERACTS WITH CITIZENS ADVISORY COMMITTEE TO GATHER INFORMATION FROM ITS IMMEDIATE COMMUNITY.NORTHWEST HOSPITAL ALSO HOSTS A VARIETY OF COMMUNITY EVENTS, CLASSES AND OTHER EDUCATIONAL OPPORTUNITIES THAT PROVIDE FEEDBACK REGARDING THE HEALTHCARE NEEDS OF THE COMMUNITY. |
| PART VI, LINE 3: | PREADMISSION FINANCIAL COUNSELING IS DONE IN SOME CASES TO IDENTIFY CHARITY ELIGIBILITY PRIOR TO TREATMENT. WHEN THIS IS NOT POSSIBLE, IT IS OFFERED DURING OR AFTER SERVICE OR EVEN ONCE THE ACCOUNT HAS BEEN ASSIGNED TO A COLLECTION AGENCY. THE HOSPITAL MAKES A DEDICATED EFFORT TO IDENTIFY CHARITY ELIGIBILITY. THE HOSPITAL ALSO CONSPICUOUSLY POSTS ITS CHARITY CARE POLICY IN PUBLIC AREAS OF THE HOSPITAL AS WELL AS ON ITS WEBSITE. |
| PART VI, LINE 4: | NORTHWEST HOSPITAL & MEDICAL CENTER IS LOCATED AT 1550 N. 115TH STREET SEATTLE, WASHINGTON 98133. THE SERVICE AREA CONSISTS OF PORTIONS OF KING COUNTY AND SNOHOMISH COUNTY AND INCLUDES 19 ZIP CODES, REPRESENTING 7 CITIES OR COMMUNITIES. NORTHWEST HOSPITAL DETERMINES THE COMMUNITY BENEFIT SERVICE AREA BY ASSIGNING ZIP CODES BASED ON PATIENT DISCHARGES. THE TOP 75% OF INPATIENT DISCHARGES, BASED ON THE ZIP CODES OF PATIENT ORIGIN, CONSTITUTES THE PRIMARY SERVICE AREA. AT THE TIME OF THE 2010 CENSUS, THE POPULATION OF THE NORTHWEST HOSPITAL SERVICE AREA WAS APPROXIMATELY 639,000 PEOPLE. KING COUNTY CONSISTS OF 49.8% MALES AND 50.2% FEMALES. SNOHOMISH COUNTY CONSISTS OF 50% MALES AND 50% FEMALES. CHILDREN AND YOUTH, AGES 0-19, MAKE UP 22.7% OF THE POPULATION; 66.4% ARE ADULTS, AGES 20-64; AND 11% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. THE POPULATION IN THE NORTHWEST HOSPITAL SERVICE AREA TENDS TO HAVE A HIGHER PERCENTAGE OF YOUNG ADULTS, AGES 20-24, AND A LOWER PERCENTAGE OF CHILDREN THAN FOUND IN THE ENTIRE STATE. THE PERCENT OF THE POPULATION 65 YEARS AND OLDER IN THE NORTHWEST HOSPITAL SERVICE AREA IS 11%, WHICH IS ALSO LOWER THAN THE STATE RATE OF 12.3%.THE MAJORITY POPULATION (71.8%) IN THE NORTHWEST HOSPITAL SERVICE AREA IDENTIFIES AS WHITE/CAUCASIAN, WITH 12.5% OF THE POPULATION IDENTIFYING AS ASIAN, 7.0% OF THE POPULATION AS HISPANIC/LATINO, AND 3.3% OF THE POPULATION AS BLACK/AFRICAN AMERICAN. THE REMAINING RACIAL/ETHNIC GROUPS MAKE UP LESS THAN 1.2% OF THE POPULATION, WITH THE EXCEPTION OF MULTIRACIAL (TWO-OR-MORE RACES). THE MAJORITY OF MULTIRACIAL RESPONDENTS IDENTIFY AS WHITE/CAUCASIAN AND ASIAN.THE LANGUAGES SPOKEN AT HOME BY AREA RESIDENTS MIRROR THE RACIAL/ETHNIC MAKE-UP OF THE NORTHWEST HOSPITAL SERVICE AREA COMMUNITIES 79.6% ENGLISH ONLY, 4.7% SPANISH, 4.6% OTHER INDO-EUROPEAN LANGUAGES, 9.5% ASIAN AND PACIFIC ISLANDER LANGUAGES, 1.5% OTHER LANGUAGES. |
| PART VI, LINE 5: | NORTHWEST HOSPITAL PROVIDES A WIDE VARIETY OF FREE OR LOW-COST HEALTH SERVICES AND HEALTH AND WELLNESS EDUCATION TO MEMBERS OF THE COMMUNITY THROUGH MANY CHANNELS. THESE INCLUDE:- NORTHWEST HOSPITAL COMMUNITY HEALTH EDUCATION AND SIMULATION CENTER PROVIDING FREE CLASSES, DEMONSTRATIONS AND OTHER LEARNING OPPORTUNITIES TO COMMUNITY RESIDENTS, SCHOOL GROUPS, BOY AND GIRL SCOUT TROOPS, VISITING HEALTH PROFESSIONALS AND STAFF- "MED INFO" HEALTH AND WELLNESS NEWSLETTER, SENT QUARTERLY TO 100,000 COMMUNITY RESIDENTS- COMMUNITY SPEAKING OPPORTUNITIES AT SENIOR LIVING FACILITIES AND COMMUNITY CENTERS, INCLUDING STROKE EDUCATION, EXERCISE AND OTHER TOPICS,ON-CAMPUS CLASSES, SEMINARS AND OTHER LEARNING OPPORTUNITIES (MANY FREE OF CHARGE OR LOW-COST)- VOLUNTEERISM BY CLINICAL STAFF TO PROVIDE MEDICAL CARE AT CHARITY CLINICS AND COMMUNITY EVENTS- DONATION OF FREE LAB, DIAGNOSTIC IMAGING AND OTHER HEALTH SERVICES TO LOCAL CHARITY CLINICS- HEALTH AND WELLNESS EVENTS FOR THE COMMUNITY MOST RECENTLY A "HEALTHY HEART FAIR", WHICH INCLUDED EDUCATION, EXHIBITS, SPEAKERS AND FREE HEALTH SCREENINGS- DISTRIBUTION OF HEALTH AND WELLNESS INFORMATION DAILY VIA THE HOSPITAL'S FACEBOOK AND TWITTER CHANNELS- PARTICIPATION IN UW MEDICINE HEALTH AND UW MEDICINE PULSE, MULTI-MEDIA PROGRAMS DESIGNED TO EDUCATE THE PUBLIC ON A VARIETY OF HEALTH TOPICS.- PARTNERSHIP WITH CANCER LIFELINE TO PROVIDE CLASSES AND SUPPORT GROUPS FOR THOSE LIVING WITH CANCER- A DIABETES EDUCATION PROGRAM THAT OFFERS CLASSES, SUPPORT GROUPS AND COMMUNITY EVENTS TO COMMUNITY RESIDENTS- SPONSORSHIP OF AND PARTICIPATION IN LOCAL AND NATIONAL HEALTH-RELATED EVENTS, INCLUDING THE AHA HEART/STROKE WALK; LEUKEMIA AND LYMPHOMA SOCIETY RACE FOR THE CURE; MARCH OF DIMES MARCH FOR BABIES, MS SOCIETY MS WALK; AND OTHERS- LEADERSHIP IN AND PROMOTION OF LOCAL AND REGIONAL DISASTER PLANNING AND EDUCATION FOR STAFF AND COMMUNITY MEMBERS- EDUCATION AND SUPPORT OPPORTUNITIES FOR FEMALE CANCER SURVIVORS TO PROMOTE LYMPHEDEMA MANAGEMENT AND POST-TREATMENT HEALTH |
| PART VI, LINE 6: | ON JANUARY 1, 2010, THE HOSPITAL JOINED THE UNIVERSITY OF WASHINGTON MEDICINE HEALTH SYSTEM (UW MEDICINE). UW MEDICINE IS COMPRISED OF NORTHWEST HOSPITAL & MEDICAL CENTER, UW SCHOOL OF MEDICINE, UW MEDICAL CENTER, UW NEIGHBORHOOD CLINICS, UW PHYSICIANS, HARBORVIEW MEDICAL CENTER, VALLEY MEDICAL CENTER, AND AIRLIFT NORTHWEST. THE UW MEDICINE COMPONENT ENTITIES SHARE THE MISSION TO IMPROVE THE HEALTH OF THE PUBLIC. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST HOSPITAL FOUNDATION | |||||||||
| 1550 NORTH 115T STREET D-180 | SEATTLE | WA | 98133 | 911011603 | 501(C)(3) | $31,645 | N/A | N/A | INSTITUTIONAL SUPPORT |
| ASSOCIATION OF UNIVERSITY PHYSICIANS | |||||||||
| 701 5TH AVENUE SUITE 700 | SEATTLE | WA | 98104 | 911220843 | 501(C)(3) | $969,158 | N/A | N/A | INSTITUTIONAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL MAKES LIMITED GRANTS TO UNRELATED ORGANIZATIONS. RECORDS ARE KEPT FOR THESE TRANSACTIONS. THE HOSPITAL ALSO MAKES GRANTS TO ITS RELATED ORGANIZATIONS THROUGHOUT THE YEAR. THESE GRANTS ARE TO ASSIST WITH OPERATING EXPENDITURES FOR THE RELATED ENTITIES AND HELP FURTHER THE OVERALL MISSION OF NORTHWEST HOSPITAL AND ITS RELATED ORGANIZATIONS. ADEQUATE RECORDS ARE KEPT REGARDING THE TRANSACTIONS TO ENSURE THE FUNDS ARE BEING USED FOR CHARITABLE PURPOSES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CINDY HECKER | ||||||||||||||
| EXECUTIVE DIRECTOR | $0 | $445,363 | $0 | $0 | $0 | $22,992 | $0 | $43,655 | $0 | $13,380 | $0 | $525,390 | $0 | $0 |
| KETTY HSIEH | ||||||||||||||
| SR. DIRECTOR, FINANCE; SECRETARY | $170,011 | $0 | $0 | $0 | $384 | $0 | $5,294 | $0 | $9,129 | $0 | $184,818 | $0 | $0 | $0 |
| GREGORY SCHROEDL | ||||||||||||||
| CHIEF MEDICAL OFFICER | $237,698 | $0 | $94,756 | $0 | $291,296 | $0 | $8,750 | $0 | $28,863 | $0 | $661,363 | $0 | $286,426 | $0 |
| PAUL G RAMSEY | ||||||||||||||
| CEO, UW MEDICINE | $0 | $826,155 | $0 | $0 | $0 | $16,000 | $0 | $52,000 | $0 | $16,850 | $0 | $911,005 | $0 | $0 |
| JOHNESE SPISSO | ||||||||||||||
| CHSO, UW MEDICINE | $0 | $768,293 | $0 | $0 | $0 | $0 | $0 | $44,711 | $0 | $17,145 | $0 | $830,149 | $0 | $0 |
| LORI MITCHELL | ||||||||||||||
| CFO, UW MEDICINE | $0 | $558,579 | $0 | $0 | $0 | $0 | $0 | $39,921 | $0 | $16,784 | $0 | $615,284 | $0 | $0 |
| ADAM PARCHER | ||||||||||||||
| SR. DIRECTOR, CHIEF QUALITY OFFICER | $173,475 | $0 | $0 | $0 | $256 | $0 | $7,875 | $0 | $9,129 | $0 | $190,735 | $0 | $0 | $0 |
| JACOB FLEET | ||||||||||||||
| CHIEF OF MEDICINE/PHYSICIAN | $272,898 | $0 | $38,281 | $0 | $438 | $0 | $8,750 | $0 | $27,374 | $0 | $347,741 | $0 | $0 | $0 |
| MARY HORAN | ||||||||||||||
| SR. DIRECTOR, CLINICAL INFORMATICS | $296,832 | $0 | $400 | $0 | $2,359 | $0 | $8,750 | $0 | $9,588 | $0 | $317,929 | $0 | $0 | $0 |
| PAMELA RENNA | ||||||||||||||
| SR. DIR BUS DVLP/STRATEGIC PLAN | $173,461 | $0 | $0 | $0 | $378 | $0 | $8,750 | $0 | $15,941 | $0 | $198,530 | $0 | $0 | $0 |
| SUE MANFREDI | ||||||||||||||
| CHIEF NURSING OFFICER | $0 | $240,403 | $0 | $0 | $0 | $0 | $0 | $24,135 | $0 | $9,612 | $0 | $274,150 | $0 | $0 |
| LINDA OLMSTEAD | ||||||||||||||
| SR. DIRECTOR, HUMAN RESOURCES | $157,248 | $0 | $0 | $0 | $1,354 | $0 | $8,750 | $0 | $21,446 | $0 | $188,798 | $0 | $0 | $0 |
| LAUREN GUMS | ||||||||||||||
| SR. DIRECTOR, AMBULATORY CLINICS | $156,364 | $0 | $1,609 | $0 | $326 | $0 | $7,703 | $0 | $16,692 | $0 | $182,694 | $0 | $0 | $0 |
| JEFFREY RICHEY | ||||||||||||||
| SR. DIRECTOR, CLINICAL SERVICES | $0 | $152,697 | $0 | $0 | $0 | $0 | $0 | $11,634 | $0 | $11,388 | $0 | $175,719 | $0 | $0 |
| KATHRYN F MCGONIGLE | ||||||||||||||
| PHYSICIAN | $352,374 | $0 | $0 | $0 | $2,817 | $0 | $8,750 | $0 | $9,296 | $0 | $373,237 | $0 | $0 | $0 |
| HOWARD G MUNTZ | ||||||||||||||
| PHYSICIAN | $354,342 | $0 | $0 | $0 | $3,617 | $0 | $8,750 | $0 | $632 | $0 | $367,341 | $0 | $0 | $0 |
| TERRENCE QUIGLEY | ||||||||||||||
| CHIEF OF SURGERY/PHYSICIAN | $329,879 | $0 | $20,321 | $0 | $1,836 | $0 | $2,427 | $0 | $20,843 | $0 | $375,306 | $0 | $0 | $0 |
| BENJAMIN LERNER | ||||||||||||||
| PHYSICIAN | $397,608 | $0 | $0 | $0 | $1,080 | $0 | $8,481 | $0 | $10,666 | $0 | $417,835 | $0 | $0 | $0 |
| CAROL A SALERNO | ||||||||||||||
| PHYSICIAN | $297,297 | $0 | $41,054 | $0 | $1,298 | $0 | $8,750 | $0 | $632 | $0 | $349,031 | $0 | $0 | $0 |
| GAYLE WARD | ||||||||||||||
| FORMER CHIEF NURSING OFFICER | $67,652 | $0 | $0 | $0 | $253,373 | $0 | $7,307 | $0 | $7,120 | $0 | $335,452 | $0 | $85,297 | $0 |
| MARKO YAKOVLEVITCH | ||||||||||||||
| FORMER CHIEF OF STAFF | $31,395 | $321,336 | $0 | $108,503 | $0 | $300 | $0 | $17,500 | $0 | $3,472 | $31,395 | $451,111 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINES 4A-B | FormAndLineReferenceDesc |
| Explanation | ALL OFFICERS FORMERLY PAID BY HEALTH RESOURCES NORTHWEST PARTICIPATED IN A 457(F) PLAN THAT IS NOW ADMINISTERED BY THE HOSPITAL. THIS INCLUDED GREGORY SCHROEDL AND GAYLE WARD. DURING FISCAL YEAR 2015, GAYLE WARD RECEIVED $30,394 AS A PAY OUT FROM HER 457(F) PLAN. GREG SCHROEDL RECEIVED $286,426 OF A DISTRIBUTION FROM HIS 457(F) PLAN. GAYLE WARD RECEIVED $118,457 IN SEVERANCE PAYMENTS DURING CALENDAR YEAR 2014. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMERGENCY SERVICES NW | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $4,969,467 | TransactionAmt |
| Transaction | SEE PART V | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | FormAndLineReferenceDesc |
| Explanation | (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: GREGORY SCHROEDL, AN OFFICER FOR NORTHWEST HOSPITAL & MEDICAL CENTER, IS A 50% OWNER IN EMERGENCY SERVICES NORTHWEST.(D) DESCRIPTION OF TRANSACTION: BUSINESS TRANSACTION WITH EMERGENCY SERVICES NORTHWEST TO PROVIDE HEALTH CARE SERVICES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 6, VOLUNTEERS: | HOSPITAL VOLUNTEERS PERFORM MANY NON-TECHNICAL SERVICES IN SUPPORT OF PATIENT CARE AND OTHER DEPARTMENTS. THEY ACT AS IN-HOUSE COURIERS, HELP RUN THE GIFT SHOP, WORK THE GREETER DESK AND ASSIST STAFF AS NEEDED. IN ADDITION, THERE ARE 9 VOLUNTEER BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 2 | PAUL RAMSEY, MD, IS THE CEO OF UW MEDICINE, EXECUTIVE VICE PRESIDENT FOR MEDICAL AFFAIRS AND DEAN OF THE SCHOOL OF MEDICINE, UNIVERSITY OF WASHINGTON. THE FOLLOWING INDIVIDUALS ARE ALSO EMPLOYED BY THE UNIVERSITY OF WASHINGTON AND REPORT DIRECTLY OR INDIRECTLY TO DR. RAMSEY IN THAT CAPACITY: CINDY HECKER, JOHNESE SPISSO, LORI MITCHELL, AND SUE MANFREDI. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF UW MEDICINE NORTHWEST (DBA NORTHWEST HOSPITAL & MEDICAL CENTER) IS THE UNIVERSITY OF WASHINGTON. |
| FORM 990, PART VI, SECTION A, LINE 7A | PER THE BYLAWS, THE MEMBER APPOINTS AND REMOVES THE TRUSTEES ON NOMINATION BY THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | PER THE BYLAWS, THE MEMBER HAS MANY RESERVE POWERS INCLUDING, BUT NOT LIMITED TO, APPROVALS OF SALES OR TRANSFERS OF ASSETS; APPOINTMENT OF AUDITORS; ESTABLISHMENT OF SUBSIDIARY, AFFILIATED OR RELATED ENTITIES; APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS; ADOPTION OF MERGER, CONSOLIDATION OR DISSOLUTION PLAN; APPROVAL OF ACQUISITION OR TRANSFER OF REAL PROPERTY. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED BY UW MEDICINE NORTHWEST'S LEGAL COUNSEL, CONTROLLER, AND SENIOR DIRECTOR OF FINANCE, AS WELL AS THE ENTERPRISE FINANCE OFFICER AND ASSOCIATE VICE PRESIDENT OF UW MEDICINE FOR ACCURACY AND COMPLETENESS. ONCE COMPLETED, A COPY OF THE FORM 990 IS SUBMITTED TO THE FINANCE COMMITTEE AND UW MEDICINE NORTHWEST'S BOARD OF TRUSTEES PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | NWHMC ADMINISTERS AN ANNUAL CONFLICT OF INTEREST SURVEY TO ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES. COMPLETED SURVEYS ARE THEN REVIEWED BY LEGAL COUNSEL TO DETERMINE WHETHER ANY FACTS EXIST THAT CREATE A POTENTIAL CONFLICT OF INTEREST. ANY IDENTIFIED CONFLICTS OF INTEREST ARE DISCLOSED IN THE BOARD MINUTES AND ALL DISCLOSURES ARE MADE AVAILABLE TO THE ENTIRE BOARD. WHEN A CONFLICT OF INTEREST DOES ARISE, THOSE INDIVIDUALS ARE REQUIRED BY THE CONFLICT OF INTEREST POLICY TO ABSTAIN FROM VOTING ON MATTERS THAT PERTAIN TO THE ISSUE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE NWH COMPENSATION COMMITTEE REVIEWS THE COMPENSATION OF EXECUTIVES AND OTHER INDIVIDUALS EMPLOYED BY NWH, INCLUDING PHYSICIANS AND THOSE EXECUTIVE EMPLOYEES WHO REPORT DIRECTLY TO THE EXECUTIVE DIRECTOR. THE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE COMPENSATION OF EMPLOYED KEY EXECUTIVES ROUTINELY, MEASURING EXECUTIVE COMPENSATION AGAINST RELEVANT COMPARATIVE DATA. WHEN THIS OCCURS THE COMMITTEE ASSURES THAT THE DELIBERATIONS ARE CONDUCTED BY DISINTERESTED MEMBERS AND THAT THE PROCESS AND DELIBERATIONS ARE DOCUMENTED. CERTAIN OF THOSE EMPLOYEES, AND THE EXECUTIVE DIRECTOR, ARE EMPLOYEES OF THE UNIVERSITY OF WASHINGTON, AND AS SUCH, THEIR COMPENSATION IS REVIEWED AND ESTABLISHED BY THE UNIVERSITY. FOR THE NWH EXECUTIVE DIRECTOR, COMPENSATION IS REVIEWED BY DISINTERESTED INDIVIDUALS WITHIN UW MEDICINE, REFERENCING RELEVANT COMPARATIVE DATA AND ALIGNING COMPENSATION TO PEER EXECUTIVES WITHIN UW MEDICINE. THE LAST COMPENSATION REVIEW OCCURRED IN OCTOBER AND DECEMBER 2014. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | TEMPORARY HELP: PROGRAM SERVICE EXPENSES 1,093,578. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,093,578. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 11,901,279. MANAGEMENT AND GENERAL EXPENSES 514,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,415,479. BILLING SERVICES: PROGRAM SERVICE EXPENSES 335,459. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 335,459. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 462,497. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 462,497. INTERPRETER SERVICES: PROGRAM SERVICE EXPENSES 261,740. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 261,740. OTHER SERVICES: PROGRAM SERVICE EXPENSES 26,809,930. MANAGEMENT AND GENERAL EXPENSES 12,557,545. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,367,475. |
| FORM 990, PART XI, LINE 9: | CONTRIBUTIONS BOOKED TO EQUITY 374,894. LIFELINKS TR FUND BALANCE -149,657. WSHA LEAPT PROGRAM STIPEND 85,690. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| NORTHWEST ENT ASSOCIATES TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456906738 | GRANTOR TRUST | WA | $3,424,987 | UW MEDICINE NORTHWEST |
| NORTHWEST HOSPITAL INPATIENT SERVICES TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266173905 | GRANTOR TRUST | WA | $5,873,703 | UW MEDICINE NORTHWEST |
| UW-MEDICINE NORTHWEST PHYSICIANS | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 466199109 | GRANTOR TRUST | WA | $41,964,141 | UW MEDICINE NORTHWEST |
| WESTERN WASHINGTON CARDIOLOGY TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456220351 | GRANTOR TRUST | WA | $7,898,376 | UW MEDICINE NORTHWEST |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST HOSPITAL FOUNDATION | |||||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 911011603 | FUNDRAISING | WA | 501(C)(3) | LINE 7 | UW MEDICINE NORTHWEST | Yes (1) | |
| ASSOCIATION OF UNIVERSITY PHYSICIANS | |||||||||||
| 701 5TH AVENUE SUITE 700 | SEATTLE | WA | 98109 | 911220843 | MEDICAL PRACTICE | WA | 501(C)(3) | LINE 11A, I | UNIVERSITY OF WASHINGTON | 0 | |
| UW PHYSICIANS NETWORK | |||||||||||
| 4333 BROOKLYN AVENUE NE | SEATTLE | WA | 98105 | 911715882 | MEDICAL PRACTICE | WA | 501(C)(3) | LINE 11A, I | UNIVERSITY OF WASHINGTON | 0 | |
| UNIVERSITY OF WASHINGTON | |||||||||||
| 1959 NE PACIFIC STREET | SEATTLE | WA | 98195 | 916001537 | EDUCATION AND MEDICAL CARE | WA | GOVERNMENT | N/A | 0 | N/A | |
| VALLEY MEDICAL CENTER | |||||||||||
| 400 SOUTH 43RD STREET | RENTON | WA | 980555010 | 916000986 | HOSPITAL | WA | GOVERNMENT | N/A | UNIVERSITY OF WASHINGTON | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SEATTLE ARTHRITIS CLINIC | ||||||||||||
| 1550 NORTH 115TH STREET MS PZ-506 | SEATTLE | WA | 98133 | 203890258 | OFFICES OF PHYSICIANS | WA | UW MEDICINE NORTHWEST | C | $15,258,294 | $2,265,377 | 1.00000 | Yes (1) |
| SPORTS MEDICINE GROUP | ||||||||||||
| 1551 NW 54TH STREET SUITE 200 | SEATTLE | WA | 98107 | 911698413 | OFFICES OF PHYSICIANS | WA | UW MEDICINE NORTHWEST | C | $2,211,883 | $377,841 | 1.00000 | Yes (1) |
| NEUROSURGICAL CONSULTANTS OF WA INC | ||||||||||||
| 801 BROADWAY SUITE 617 | SEATTLE | WA | 98122 | 911856460 | OFFICES OF PHYSICIANS | WA | UW MEDICINE NORTHWEST | C | $5,824,693 | $87,008 | 1.00000 | Yes (1) |
| BONE & JOINT CENTER OF SEATTLE | ||||||||||||
| 1550 NORTH 115TH STREET MS PZ-506 | SEATTLE | WA | 98133 | 270208005 | OFFICES OF PHYSICIANS | WA | UW MEDICINE NORTHWEST | C | $24,064 | 1.00000 | Yes (1) | |
| SUMMIT CARDIOLOGY | ||||||||||||
| 1550 NORTH 115TH STREET MS PZ-506 | SEATTLE | WA | 98133 | 273492322 | OFFICES OF PHYSICIANS | WA | UW MEDICINE NORTHWEST | C | $4,737,912 | $1,006,271 | 1.00000 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| NEUROSURGICAL CONSULTANTS NW | ||
| A | $83,193 | ACTUAL COST |
| NEUROSURGICAL CONSULTANTS NW | ||
| P | $440,000 | ACTUAL COST |
| NORTHWEST HOSPITAL FOUNDATION | ||
| C | $374,894 | ACTUAL COST |
| SEATTLE ARTHRITIS CLINIC | ||
| A | $315,840 | ACTUAL COST |
| SEATTLE ARTHRITIS CLINIC | ||
| Q | $215,656 | ACTUAL COST |
| SPORTS MEDICINE GROUP | ||
| B | $139,486 | ACTUAL COST |
| SPORTS MEDICINE GROUP | ||
| A | $234,284 | ACTUAL COST |
| SPORTS MEDICINE GROUP | ||
| Q | $2,130,534 | ACTUAL COST |
| SPORTS MEDICINE GROUP | ||
| D | $139,295 | ENDING LOAN BALANCE |
| SUMMIT CARDIOLOGY | ||
| B | $4,182,609 | ACTUAL COST |
| SUMMIT CARDIOLOGY | ||
| Q | $255,832 | ACTUAL COST |
| SUMMIT CARDIOLOGY | ||
| P | $225,860 | ACTUAL COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE R, PART V: | FormAndLineReferenceDesc |
| Explanation | UW MEDICINE/NORTHWEST ENGAGES IN A NUMBER OF TRANSACTIONS WITH RELATED PARTIES. THE UNIVERSITY OF WASHINGTON PROVIDES VARIOUS LEVELS OF SUPPORT TO NORTHWEST HOSPITAL INCLUDING BUT NOT LIMITED TO: LABORATORY, PHARMACY, AND CARDIOVASCULAR PROGRAM ADMINISTRATION, RESIDENT, AND FACULTY SUPPORT, LAUNDRY SERVICES, INFORMATION TECHNOLOGY, ADVANCEMENT, COMPLIANCE, COMMUNITY RELATIONS STAFFING, MEDICAL STAFF OVERSIGHT, MARKETING, PROFESSIONAL LIABILITY INSURANCE, AND OTHER ADMINISTRATIVE AND OPERATIONAL SERVICES. SIMILARLY, UW MEDICINE/NORTHWEST PROVIDES CERTAIN SERVICES SUCH AS RENTAL OF MEDICAL OFFICE BUILDING SPACE TO THE UNIVERSITY OF WASHINGTON AND ITS AFFILIATES. UW MEDICINE/NORTHWEST ALSO ENGAGES IN A NUMBER OF TRANSACTIONS WITH ITS SUBSIDIARIES. THESE TRANSACTIONS ARE PRIMARILY FOR THE LEASE OF MEDICAL OFFICE SPACE, PURCHASE OF MEDICAL SERVICES, AND OTHER ADMINISTRATIVE AND OPERATIONAL NEEDS. FOR ADDITIONAL DETAILS, SEE FOOTNOTE 9 TO THE AUDITED FINANCIAL STATEMENTS. | ExplanationTxt |
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