UW MEDICINENORTHWEST: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- UW MEDICINENORTHWEST (EIN 91-0637400)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201401349349308415
- Schema version
- 2012v2.1
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T20:44:39-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911194016 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1700 | AddressLine1 |
| City | BELLEVUE | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910637400 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UW MEDICINE NORTHWEST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UWME | NameControl |
| Phone | 2063683012 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET NO D-180 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98133 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TSE-TSIN KETTY HSIEH | Name |
| Title | SENIOR DIRECTOR OF FINANCE | Title |
| Phone | 2063683012 | Phone |
| Date Signed | 2014-05-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SARA ELIZABETH J HYRE | Name |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | Phone |
| Date Prepared | 2014-05-12 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL & MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CINDY HECKER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET NO D-180 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98133 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 335762595 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NWHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1949 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | UW MEDICINE NORTHWEST IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2187 | TotalNbrEmployees |
| Total Nbr Volunteers | 251 | TotalNbrVolunteers |
| Total Gross UBI | 1458287 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 25321112 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 11048203 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 266064948 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 294042459 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1919566 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4048975 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1134152 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1271198 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 294439778 | TotalRevenuePriorYear |
| Total Revenue Current Year | 310410835 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 823603 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 170519 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 133935806 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 144696674 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 140212770 | OtherExpensePriorYear |
| Other Expenses Current Year | 148609587 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 274972179 | TotalExpensesPriorYear |
| Total Expenses Current Year | 293476780 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 19467599 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 16934055 | RevenuesLessExpensesCY |
| Total Assets BOY | 244419432 | TotalAssetsBOY |
| Total Assets EOY | 250419260 | TotalAssetsEOY |
| Total Liabilities BOY | 149732747 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 147780712 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 94686685 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 102638548 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | OUR MISSION IS TO RAISE THE LONG-TERM HEALTH STATUS OF OUR COMMUNITY BY PROVIDING PERSONALIZED, QUALITY CARE WITH COMPASSION, DIGNITY, AND RESPECT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 263989755 | Expense |
| Grants | 170519 | Grants |
| Revenue | 294042459 | Revenue |
| Description | 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 PROVIDES EVERYTHING YOU WOULD NEED IN ONE PLACE. - A NETWORK OF THE BEST PHYSICIANS AND CLINICAL PROFESSIONALS THE REGION HAS TO OFFER. SEE SCHEDULE O FOR CONTINUATION...- AN ENVIRONMENT OF CARE THAT IS WARM, COMFORTABLE AND STATE-OF-THE-ART. - INPATIENT, OUTPATIENT, AND 24-HOUR EMERGENCY SERVICES. - BARIATRIC SURGERY.- CANCER CARE.- CARDIAC CARE.- CENTER FOR MEDICAL REHABILITATION (CLOSED MARCH 2013).- CHILDBIRTH CENTER.- COMMUNITY HEALTH EDUCATION & SIMULATION CENTER.- DIAGNOSTIC IMAGING.- EMERGENCY DEPARTMENT.- GEROPSYCHIATRIC CENTER.- INPATIENT TEAM.- NEUROSCIENCES.- NORTHWEST CLINICAL LABORATORY.- PHYSICAL THERAPY.- PREVENTATIVE HEALTH & WELLNESS SERVICES.- ROBOTIC SURGICAL SERVICES.- SEATTLE BREAST CENTER.- SLEEP CENTER.- SPORTS MEDICINE.- STROKE PROGRAM.- SURGICAL SERVICES.- WEIGHT LOSS SURGERY.- 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.NWHMC IS ALSO AN ACTIVE PARTICIPANT IN NUMEROUS LOCAL, STATE, AND NATIONAL QUALITY INITIATIVES. NWHMC WAS ALSO AN EARLY ADOPTER/"DRY RUN" PARTICIPANT IN THE CMS NATIONAL CONSUMER ASSESSMENT OF CARE (HCAHPS PATIENT SATISFACTION SURVEY).AT NWHMC, INFORMATION AND EDUCATION ARE VITAL PARTS OF THE HEALTHCARE EXPERIENCE FOR EVERY PERSON. NWHMC OFFERS A WIDE VARIETY OF CLASSES, SUPPORT GROUPS, AND OTHER PROGRAMS - MANY ARE COMPLIMENTARY. WHETHER YOU ARE PLANNING A PREGNANCY, WORKING TO MAINTAIN GOOD HEALTH, LEARNING TO LIVE WITH A CHRONIC DISEASE, OR COPING WITH A NEW DIAGNOSIS, THE TRAINED EDUCATORS AND EXPERTS PROVIDE THE LATEST INFORMATION AND A WEALTH OF UNDERSTANDING.AS AN INTEGRAL PART OF NWHMC'S CHARITABLE MISSION, THE HOSPITAL PROVIDES PATIENT CARE TO INDIVIDUALS IN THE COMMUNITIES IT SERVES WHO DO NOT HAVE ADEQUATE RESOURCES TO PAY FOR HEALTH CARE SERVICES. CHARITY CARE HAS BEEN MEASURED IN TERMS OF CHARGES FORGONE FOR SERVICES FURNISHED UNDER THE CHARITY CARE POLICY. THE FORGONE CHARGES FOR SERVICES TO PERSONS UNABLE TO PAY WERE $16,575,000 IN 2013. IN ADDITION TO CHARITY CARE, NWHMC PROVIDES CARE AT LESS THAN COST FOR MEDICAID AND MEDICARE PATIENTS. LASTLY NWHMC PROVIDES A VARIETY OF COMMUNITY SERVICES AT NO COST TO THE COMMUNITY INCLUDING BUT NOT LIMITED TO: COMMUNITY EDUCATION, COMMUNITY HEALTH SERVICES AND SUPPORT GROUPS, SENIOR WELLNESS PROGRAMS, PATIENT TRANSPORTATION, AND CANCER PROGRAMS. | Description |
| Total Program Service Expense | 263989755 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 277 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2187 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | WA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIAN DAVID | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2063683012 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET D-180 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98133 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| PETER R EVANS | ||||||||||
| CHAIR | 3.00 | 1.00 | X | X | 0 | 4266 | 0 | |||
| SCOTT L HARDMAN | ||||||||||
| VICE CHAIR | 2.00 | 1.00 | X | X | 0 | 0 | 0 | |||
| JAMES K ANDERSON | ||||||||||
| TRUSTEE | 5.00 | 1.00 | X | 0 | 3000 | 0 | ||||
| TERRY L LENGFELDER | ||||||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| EDWARD J BUCHWALD | ||||||||||
| TRUSTEE | 5.00 | 0.00 | X | 0 | 0 | 0 | ||||
| SHAIZA DAMJI | ||||||||||
| TRUSTEE | 2.00 | 1.00 | X | 0 | 0 | 0 | ||||
| WILLIAM J REX | ||||||||||
| TRUSTEE | 6.00 | 0.00 | X | 0 | 2500 | 0 | ||||
| MARIAN SVINTH | ||||||||||
| TRUSTEE | 5.00 | 0.00 | X | 0 | 0 | 0 | ||||
| PAMELA FOWLER | ||||||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| JIM SNYDER | ||||||||||
| TRUSTEE | 2.00 | 1.00 | X | 0 | 0 | 0 | ||||
| C WILLIAM SCHNEIDER | ||||||||||
| PRESIDENT & CEO | 50.00 | 1.00 | X | 383871 | 225136 | 24930 | ||||
| CINDY HECKER | ||||||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | X | 0 | 319127 | 37718 | ||||
| BRUCE FERGUSON | ||||||||||
| VP, CFO, SECRETARY/TREASURER | 40.00 | 0.00 | X | 179407 | 137630 | 8410 | ||||
| GREGORY SCHROEDL | ||||||||||
| VP, CHIEF MEDICAL OFFICER | 30.00 | 20.00 | X | 154491 | 119577 | 12137 | ||||
| GAYLE WARD | ||||||||||
| VP, CHIEF NURSING OFFICER | 45.00 | 0.00 | X | 120244 | 219430 | 18349 | ||||
| PAUL G RAMSEY | ||||||||||
| CEO, UW MEDICINE | 0.00 | 40.00 | 0 | 783132 | 68123 | X | ||||
| JOHNESE SPISSO | ||||||||||
| CHSO, UW MEDICINE | 0.00 | 40.00 | 0 | 689088 | 61569 | X | ||||
| LORI MITCHELL | ||||||||||
| CFO, UW MEDICINE | 0.00 | 40.00 | 0 | 470724 | 47347 | X | ||||
| ADAM PARCHER | ||||||||||
| SR. DIRECTOR, CHIEF QUALITY OFFICER | 40.00 | 0.00 | 156412 | 0 | 16158 | X | ||||
| HELENA B JONES | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | 310640 | 0 | 13533 | X | ||||
| KATHRYN F MCGONIGLE | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | 355234 | 0 | 8007 | X | ||||
| HOWARD G MUNTZ | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | 351408 | 0 | 7989 | X | ||||
| TERENCE QUIGLEY | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | 401694 | 0 | 16199 | X | ||||
| LYNN M KEENAN | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | 310826 | 0 | 17580 | X | ||||
| ANNA KARIN ANDREWS | ||||||||||
| VP, COO (THRU 12/2011) | 0.00 | 0.00 | 138462 | 290461 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2862689 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3264071 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 358049 | TotalOtherCompensation |
| Number Individuals GT100 K | 163 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WESTERN WASHINGTON MEDICAL GROUP INC | |||||
| 12728 19TH AVE SE 200 | EVERETT | WA | 98208 | HEALTH CARE SERVICES | 5162849 |
| EMERGENCY SERVICES NORTHWEST | |||||
| 4731 BEACH DRIVE SW | SEATTLE | WA | 98116 | HEALTH CARE SERVICES | 3972697 |
| JR ABBOTT CONSTRUCTION | |||||
| 3408 1ST AVE S | SEATTLE | WA | 98134 | CONSTRUCTION | 3062850 |
| FOUSHEE & ASSOCIATES | |||||
| 3260 118TH AVE SE 1000 | BELLEVUE | WA | 98005 | CONSTRUCTION | 2015911 |
| WOUND CARE CENTERS INC | |||||
| PO BOX 637114 | CINCINNATI | OH | 45263 | HEALTH CARE SERVICES | 1403658 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 39 | NumberOfContractorsGT100K |
| Related Organizations | 8596447 | RelatedOrganizations |
| Government Grants | 2415501 | GovernmentGrants |
| All Other Contributions | 36255 | AllOtherContributions |
| Total Contributions | 11048203 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT FEES | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 294042459 | TotalRevenueColumn |
| Related Or Exempt Function Income | 292620337 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1422122 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 294042459 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1478167 | TotalRevenueColumn |
| Unrelated Business Revenue | 36165 | UnrelatedBusinessRevenue |
| Exclusion | $1,442,002 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 6328040 | Real |
| Personal | 97570 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 6588962 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -260922 | Real |
| Personal | 97570 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -163352 | TotalRevenueColumn |
| Exclusion | -$163,352 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 20725237 | Securities |
| Other | 577688 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 18418053 | Securities |
| Other | 314064 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2307184 | Securities |
| Other | 263624 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2570808 | TotalRevenueColumn |
| Exclusion | $2,570,808 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 19564 | GrossSalesOfInventory |
| Cost Of Goods Sold | 30681 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -11117 | TotalRevenueColumn |
| Exclusion | -$11,117 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| DAY CARE REVENUES | 624410 | 932412 | $932,412 |
| BAD DEBT RECOVERY | 900099 | 508016 | $508,016 |
| MEDICAL RECORDS | 900099 | 5239 | $5,239 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1445667 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 310410835 | TotalRevenueColumn |
| Related Or Exempt Function Income | 292620337 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1458287 | UnrelatedBusinessRevenue |
| Exclusion | $5,284,008 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170519 | Total |
| Program Services | 170519 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3008826 | Total |
| Program Services | 176841 | ProgramServices |
| Management And General | 2831985 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111448851 | Total |
| Program Services | 108205502 | ProgramServices |
| Management And General | 3243349 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3561190 | Total |
| Program Services | 3403094 | ProgramServices |
| Management And General | 158096 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18281073 | Total |
| Program Services | 17349268 | ProgramServices |
| Management And General | 931805 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8396734 | Total |
| Program Services | 7956351 | ProgramServices |
| Management And General | 440383 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 642883 | Total |
| Program Services | 21281 | ProgramServices |
| Management And General | 621602 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 261379 | Total |
| Management And General | 261379 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107411 | Total |
| Management And General | 107411 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28231199 | Total |
| Program Services | 24012790 | ProgramServices |
| Management And General | 4218409 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 593110 | Total |
| Program Services | 591692 | ProgramServices |
| Management And General | 1418 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12253012 | Total |
| Program Services | 11536278 | ProgramServices |
| Management And General | 716734 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5084076 | Total |
| Program Services | 4753001 | ProgramServices |
| Management And General | 331075 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10498772 | Total |
| Program Services | 4060102 | ProgramServices |
| Management And General | 6438670 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 426431 | Total |
| Program Services | 362512 | ProgramServices |
| Management And General | 63919 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3873621 | Total |
| Program Services | 117051 | ProgramServices |
| Management And General | 3756570 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15808151 | Total |
| Program Services | 13436767 | ProgramServices |
| Management And General | 2371384 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 402601 | Total |
| Program Services | 369157 | ProgramServices |
| Management And General | 33444 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 41885917 | 41883142 | 2775 |
| BAD DEBT | 16925944 | 16925944 | |
| PHYSICIAN FEES | 7606942 | 7120692 | 486250 |
| MEAL SERVICES | 1034826 | 905848 | 128978 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2973312 | Total |
| Program Services | 631923 | ProgramServices |
| Management And General | 2341389 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 293476780 | Total |
| Program Services | 263989755 | ProgramServices |
| Management And General | 29487025 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16752667 | BOY |
| EOY | 27713226 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1462399 | BOY |
| EOY | 1010587 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32491943 | BOY |
| EOY | 33488345 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85056 | BOY |
| EOY | 550935 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4373373 | BOY |
| EOY | 4823411 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2700571 | BOY |
| EOY | 1546997 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 353410029 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 231361024 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122257354 | BOY |
| EOY | 122049005 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 881812 | BOY |
| EOY | 918363 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 654419 | BOY |
| EOY | 809060 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13339968 | BOY |
| EOY | 5540407 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208245 | BOY |
| EOY | 172966 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49211625 | BOY |
| EOY | 51795958 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 244419432 | BOY |
| EOY | 250419260 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43321950 | BOY |
| EOY | 48576890 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 240195 | BOY |
| EOY | 191583 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78000000 | BOY |
| EOY | 76000000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18221573 | BOY |
| EOY | 16733940 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9949029 | BOY |
| EOY | 6278299 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149732747 | BOY |
| EOY | 147780712 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93378501 | BOY |
| EOY | 101452031 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1308184 | BOY |
| EOY | 1186517 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94686685 | BOY |
| EOY | 102638548 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 244419432 | BOY |
| EOY | 250419260 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 16934055 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 681747 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | -157401 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | -9506538 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16149600 | OtherCostOrOtherBasis |
| Book Value | 16149600 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 119640567 | OtherCostOrOtherBasis |
| Depreciation | 68428675 | Depreciation |
| Book Value | 51211892 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15908189 | OtherCostOrOtherBasis |
| Depreciation | 10410088 | Depreciation |
| Book Value | 5498101 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 187345527 | OtherCostOrOtherBasis |
| Depreciation | 152522261 | Depreciation |
| Book Value | 34823266 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14366146 | OtherCostOrOtherBasis |
| Book Value | 14366146 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 122049005 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (8 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ASSETS WHOSE USE IS LIMITED - BOARD APPROVED CAPITAL INVESTMENTS | 34940409 |
| ASSETS WHOSE USE IS LIMITED - BOND INDENTURE AGREEMENTS | 8181957 |
| PROFESSIONAL LIABILITY SELF-INSURANCE | 2285391 |
| DEFERRED FINANCING COSTS | 706381 |
| OTHER RECEIVABLES | 34100 |
| DEFERRED RENT RECEIVABLE | 640700 |
| RECEIVABLES FROM AFFILIATES | 4193169 |
| PREPAID EPIC PROJECT | 813851 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 51795958 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RESERVE FOR PROFESSIONAL LIABILITY | $950,000 |
| PAYABLE TO AFFILIATES | $3,116,783 |
| DEFERRED COMPENSATION PAYABLE | $614,466 |
| DEFERRED RENT PAYABLE | $1,597,050 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6278299 | TotalOfAmounts |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN - | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | INVESTMENT | TypeOfActivitiesConducted |
| Specific Services Provided | N/A | SpecificServicesProvided |
| Total Expenditures | 384568 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 384568 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 384568 | TotalAmountSpent |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 1 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: | SCHEDULE F, PART I, LINE 2: NORTHWEST HOSPITAL & MEDICAL CENTER DOES NOT PROVIDE GRANTS TO ENTITIES OUTSIDE THE UNITED STATES. THE HOSPITAL IS SELF-INSURED THROUGH NORTHWEST ASSURANCE CO. LTD., A WHOLLY OWNED SUBSIDIARY LOCATED IN THE CAYMAN ISLANDS. THE COMPANY PROVIDES INSURANCE COVERAGE FOR THE HOSPITAL AND ITS PHYSICIANS. AMOUNTS SENT TO NORTHWEST ASSURANCE ARE FOR INSURANCE EXPENSES. THERE ARE NO DIRECT ACTIVITIES THAT OCCUR WITHIN THE CAYMAN ISLANDS. | |
| METHOD USED TO ACCOUNT FOR TOTAL EXPENDITURES AND INVESTMENTS IN REGION: ACCRUAL | SCHEDULE F, PART I, LINE 3, COLUMN (F): |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5035689 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5035689 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01820 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20895086 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14034763 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6860323 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02480 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25930775 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14034763 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11896012 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04300 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1456348 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1456348 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00530 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 96562 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 96562 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18255 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 18255 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1571165 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1571165 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27501940 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14034763 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13467177 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04870 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $16,925,944 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 63281064 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 111836711 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -48555647 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL & MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98133 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL & MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 22 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (22 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 |
| SAND POINT INTERNISTS | ||||
| 10330 MERIDIAN AVE N SUITE 230 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| LAKE FOREST PARK CLINIC | ||||
| 17191 BOTHELL WY NE SUITE 205 | SEATTLE | WA | 98155 | OUTPATIENT CLINIC |
| NORTH SEATTLE SURGERY CENTER | ||||
| 10330 MERIDIAN AVE N | SEATTLE | WA | 98133 | AMBULATORY SURGERY CENTER |
| RICHMOND INTERNAL MEDICINE | ||||
| 355 NW RICHMOND BEACH RD | SHORELINE | WA | 98177 | OUTPATIENT CLINIC |
| NORTHWEST ENT ASSOCIATES | ||||
| 1536 N 115TH ST SUITE 340 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| SEATTLE PACIFIC SURGEONS | ||||
| 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 |
| NORTHWEST HOSPITAL MIDWIVES CLINIC | ||||
| 10330 MERIDIAN AVE N SUITE 190 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| NW OBSTETRICS & GYNECOLOGY | ||||
| 1560 N 115TH ST SUITE 109 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| SEATTLE EAR NOSE & THROAT | ||||
| 10330 MERIDIAN AVE N SUITE 220 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| JAMES JOKI MD | ||||
| 1560 N 115TH ST SUITE 110 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| CHAU-SU OU MD | ||||
| 10330 MERIDIAN AVE N SUITE 372 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| NEUROLOGY NORTHWEST | ||||
| 1536 N 115TH ST SUITE 330 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| JAMES COGHLAN MD | ||||
| 10330 MERIDIAN AVE N SUITE 230 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| KENT SULLIVAN MD | ||||
| 1550 N 115TH ST | SEATTLE | WA | 98133 | MOBILE CLINIC |
| WOUND CARE CENTER | ||||
| 1560 N 115TH ST SUITE 201 | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
| INTERNAL MEDICINE CONSULT CLINIC | ||||
| 1550 N 115TH ST | SEATTLE | WA | 98133 | OUTPATIENT CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| 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 I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 16925944. | |
| 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 V, SECTION B, LINE 3: 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- CITY OF SHORELINE PARKS & RECREATION 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 6I: ON JANUARY 1, 2010, NORTHWEST HOSPITAL JOINED THE UNIVERSITY OF WASHINGTON MEDICINE HEALTH SYSTEM (UW MEDICINE). UW MEDICINE IS COMPRISED OF NORTHWEST HOSPITAL & MEDICAL CENTER, UW SCHOOL OF MEDICNE, UW MEDICAL CENTER, UW PHYSICIANS, ASSOCIATION OF UNIVERSITY PHYSICIANS, HARBORVIEW MEDICAL CENTER, VALLEY MEDICAL CENTER AND AIRLIFT NORTHWEST. THE UW MEDICINE COMPONENT ENTITIES SHARE THE MISSION TO IMPROVE THE HEALTH OF THE PUBLIC.A COY OF NORTHWEST HOSPITAL'S IMPLEMENTATION STRATEGY CAN BE FOUND ON ITS WEBSITE AT HTTP://WWW.NWHOSPITAL.ORG/DOWNLOADS/PDFS/NORTHWEST-HOSPITAL-CHNA-2013-IMPLEMENTATION.PDF | NORTHWEST HOSPITAL & MEDICAL CENTER |
| PART V, SECTION B, LINE 7: 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.THE IDENTIFIED HEALTH NEEDS INCLUDED:- ACCESS TO CARE: HEALTH INSURANCE, MEDICATIONS, PRIMARY CARE, SPECIALTY CARE- ASTHMA- CANCER- CARDIOVASCULAR DISEASE- DIABETES- LUNG DISEASE (COPD, PNEUMONIA)- MENTAL HEALTH CARE- ORAL HEALTH- OVERWEIGHT AND OBESITY- PREVENTIVE HEALTH (IMMUNIZATIONS, SCREENINGS)- SMOKING- STD/HIVPRIORITY 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 HASACKNOWLEDGED 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 DISEASETHE RESULTS OF THE PRIORITY RANKINGS WERE REVIEWED WITH THE EXECUTIVE DIRECTOR AND CEO/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 11: NWHMC'S FINANCIAL ASSISTANCE POLICY IS UPDATED ANNUALLY WHEN THE NEW FEDERAL POVERTY GUIDELINES ARE PUBLISHED EACH SPRING. | NORTHWEST HOSPITAL & MEDICAL CENTER |
| PART V, SECTION B, LINE 20D: PATIENTS ARE BILLED AT THE SAME RATE REGARDLESS OF HOW THEY ARE FUNDED. | NORTHWEST HOSPITAL & MEDICAL CENTER |
| 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 PHYSICIANS NETWORK, THE ASSOCIATION OF UNIVERSITY PHYSICIANS, HARBORVIEW MEDICAL CENTER, VALLEY MEDICAL CENTER, AND AIRLIFT NORTHWEST. THE UW MEDICINE COMPONENT ENTITIES SHARE THE MISSION TO IMPROVE THE HEALTH OF THE PUBLIC. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115T STREET D-180 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98133 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 911011603 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 159227 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
| Method Of Valuation | N/A | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
| Purpose Of Grant | INSTITUTIONAL SUPPORT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C WILLIAM SCHNEIDER | ||||||||||||||
| PRESIDENT & CEO | 205958 | 223125 | 176938 | 0 | 975 | 2011 | 4250 | 4250 | 10442 | 5988 | 398563 | 235374 | 0 | 0 |
| CINDY HECKER | ||||||||||||||
| EXECUTIVE DIRECTOR | 0 | 317893 | 0 | 0 | 0 | 1234 | 0 | 23294 | 0 | 14424 | 0 | 356845 | 0 | 0 |
| BRUCE FERGUSON | ||||||||||||||
| VP, CFO, SECRETARY/TREASURER | 122881 | 135000 | 52650 | 0 | 3876 | 2630 | 0 | 0 | 6674 | 1736 | 186081 | 139366 | 0 | 0 |
| GREGORY SCHROEDL | ||||||||||||||
| VP, CHIEF MEDICAL OFFICER | 104970 | 118449 | 44545 | 0 | 4976 | 1128 | 0 | 0 | 7741 | 4396 | 162232 | 123973 | 0 | 0 |
| GAYLE WARD | ||||||||||||||
| VP, CHIEF NURSING OFFICER | 83807 | 91494 | 35683 | 0 | 754 | 127936 | 0 | 8500 | 6255 | 3594 | 126499 | 231524 | 0 | 127309 |
| PAUL G RAMSEY | ||||||||||||||
| CEO, UW MEDICINE | 0 | 742640 | 0 | 0 | 0 | 40492 | 0 | 50000 | 0 | 18123 | 0 | 851255 | 0 | 0 |
| JOHNESE SPISSO | ||||||||||||||
| CHSO, UW MEDICINE | 0 | 662931 | 0 | 0 | 0 | 26157 | 0 | 42882 | 0 | 18687 | 0 | 750657 | 0 | 0 |
| LORI MITCHELL | ||||||||||||||
| CFO, UW MEDICINE | 0 | 445724 | 0 | 0 | 0 | 25000 | 0 | 33666 | 0 | 13681 | 0 | 518071 | 0 | 0 |
| ADAM PARCHER | ||||||||||||||
| SR. DIRECTOR, CHIEF QUALITY OFFICER | 148737 | 0 | 7500 | 0 | 175 | 0 | 7045 | 0 | 9113 | 0 | 172570 | 0 | 0 | 0 |
| HELENA B JONES | ||||||||||||||
| PHYSICIAN | 284400 | 0 | 20813 | 0 | 5427 | 0 | 5442 | 0 | 8091 | 0 | 324173 | 0 | 0 | 0 |
| KATHRYN F MCGONIGLE | ||||||||||||||
| PHYSICIAN | 352934 | 0 | 0 | 0 | 2300 | 0 | 7377 | 0 | 630 | 0 | 363241 | 0 | 0 | 0 |
| HOWARD G MUNTZ | ||||||||||||||
| PHYSICIAN | 350178 | 0 | 0 | 0 | 1230 | 0 | 7351 | 0 | 638 | 0 | 359397 | 0 | 0 | 0 |
| TERENCE QUIGLEY | ||||||||||||||
| PHYSICIAN | 330514 | 0 | 69572 | 0 | 1608 | 0 | 3719 | 0 | 12480 | 0 | 417893 | 0 | 0 | 0 |
| LYNN M KEENAN | ||||||||||||||
| PHYSICIAN | 282286 | 0 | 27536 | 0 | 1004 | 0 | 5100 | 0 | 12480 | 0 | 328406 | 0 | 0 | 0 |
| ANNA KARIN ANDREWS | ||||||||||||||
| VP, COO (THRU 12/2011) | 0 | 17308 | 0 | 0 | 138462 | 273153 | 0 | 0 | 0 | 0 | 138462 | 290461 | 138462 | 222692 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINES 4A-B | ANNA KARIN ANDREWS, FORMER CHIEF OPERATING OFFICER, RECEIVED $132,692 IN SEVERANCE PAYMENTS FROM HEALTH RESOURCES NORTHWEST AND $138,462 IN SEVERANCE PAYMENTS FROM NORTHWEST HOSPITAL & MEDICAL CENTER. ALL OFFICERS FORMERLY PAID BY HEALTH RESOURCES NORTHWEST PARTICIPATE IN A 457(F) PLAN THAT IS NOW ADMINISTERED BY THE HOSPITAL. THIS INCLUDES C. WILLIAM SCHNEIDER, BRUCE FERGUSON, GREGORY SCHROEDL, GAYLE WARD AND ANNA KARIN ANDREWS. DURING 2012, ANNA KARIN ANDREWS RECEIVED $96,112 AS A PAY OUT FROM HER 457(F) PLAN. GAYLE WARD RECEIVED $127,375 OF A DISTRIBUTION FROM HER 457(F) PLAN. |
| PART I, LINE 7 | C. WILLIAM SCHNEIDER'S INCENTIVE COMPENSATION IS REVIEWED AND DETERMINED AT THE DISCRETION OF THE BOARD'S COMPENSATION COMMITTEE. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WA HEALTH CARE FACILITIES AUTHORITY SER 2007 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 911108929 | IssuerEIN |
| Date Issued | 2007-11-29 | DateIssued |
| Issue Price | 84042940 | IssuePrice |
| Description Of Purpose | CAPITAL EXPENDITURES & DEBT | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 8000000 | AmountRetired |
| Total Proceeds | 85254400 | TotalProceeds |
| Amount In Reserve Fund | 6706015 | AmountInReserveFund |
| Issuance Costs From Proceeds | 320700 | IssuanceCostsFromProceeds |
| Capital Expenditures | 49408005 | CapitalExpenditures |
| Other Spent Proceeds | 27714593 | OtherSpentProceeds |
| Year Of Subst Completion | 2012 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 1 | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | 1 | EngageBondCounselContracts |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00520 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00520 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 1 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 1 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 0 | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE K PART IV, ARBITRAGE, LINE 2C | DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: WA HEALTH CARE FACILITIES AUTHORITY, SER. 2007 DATE THE REBATE COMPUTATION WAS PERFORMED: 11/29/2012 |
| PART I, LINE A, COLUMN (E) | THE DIFFERENCE BETWEEN PART I, LINE A, COLUMN (E) ISSUE PRICE AND PART II, COLUMN A, LINE 3 TOTAL PROCEEDS OF ISSUE IS INTEREST EARNED FROM THE INCEPTION OF THE FUND. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMERGENCY SERVICES NW | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SEE PART V | Relationship |
| Amount Of Transaction | 3972697 | AmountOfTransaction |
| Description Of Transaction | SEE PART V | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | Identifier |
| 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART I, LINE 6, VOLUNTEERS: | NORTHWEST 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. THE HOSPITAL AUXILIARY RAISES MONEY TO SUPPORT SCHOLARSHIPS AND GRANTS. IN ADDITION, THERE ARE 10 VOLUNTEER BOARD MEMBERS. | |
| FORM 990, PART VI, SECTION A, LINE 2 | JAMES K. ANDERSON, EDWARD J. BUCHWALD AND C. WILLIAM SCHNEIDER HAVE A BUSINESS RELATIONSHIP. | |
| 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 LEGAL COUNSEL, THE CONTROLLER, CFO AND CEO FOR ACCURACY AND COMPLETENESS. ONCE COMPLETED, A COPY OF THE FORM 990 IS SUBMITTED TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL BEFORE FILING. THE FINANCE COMMITTEE IN TURN REPORTS TO THE ENTIRE BOARD THE OUTCOME OF THEIR REVIEW PRIOR TO FILING THE FORM 990 WITH THE IRS. THE ENTIRE BOARD RECEIVES A FULL COPY OF THE RETURN PRIOR TO FILING WITH THE IRS. | |
| 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 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 | COMPENSATION FOR THE SENIOR TEAM IS REGULARLY EVALUATED FOR FAIR MARKET VALUE (FMV). THE SENIOR TEAM INCLUDES THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, AND THE CHIEF NURSING OFFICER. THE PROCESS FOR ASSESSING FMV INVOLVES ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO ASSESS COMPENSATION LEVELS AND REPORT BACK TO THE COMPENSATION COMMITTEE OF THE BOARD. THE INDEPENDENT CONSULTANT BRINGS FORTH RELEVANT COMPARISON INFORMATION INCLUDING SURVEYS AND REGIONAL DATA. THE COMPENSATION COMMITTEE OF THE BOARD IN TURN APPROVES THE COMPENSATION OF THE SENIOR TEAM. THIS PROCESS WAS LAST PERFORMED IN MAY 2013. THE CHIEF QUALITY OFFICER'S POSITION WAS REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR USING COMPARABLE SALARY MARKET DATA IN AUGUST 2013. THE UNIVERSITY OF WASHINGTON IS RESPONSIBLE FOR EVALUATING THE COMPENSATION FOR THE THREE UNIVERSITY OF WASHINGTON EXECUTIVES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | CONTRIBUTIONS BOOKED TO EQUITY -8,661,438. NORTHWEST ASSURANCE COMPANY, LTD PRIOR YEAR NET ASSETS -442,929. DIFFERENCE IN VALUE OF HEALTH RESOURCES NW MERGER -402,171. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (25 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|
| BARIATRIC SURGERY CLINIC TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266073244 | GRANTOR TRUST | WA | 2536802 | UW MEDICINE NORTHWEST |
| DOWNEY PLASTIC SURGERY TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 276380184 | GRANTOR TRUST | WA | 0 | UW MEDICINE NORTHWEST |
| GYNECOLOGY CANCER CLINIC TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266036216 | GRANTOR TRUST | WA | 1737881 | UW MEDICINE NORTHWEST |
| JAMES A JOKI TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266534299 | GRANTOR TRUST | WA | 686678 | UW MEDICINE NORTHWEST |
| LAKE FOREST PARK CLINIC TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 916546627 | GRANTOR TRUST | WA | 2614230 | UW MEDICINE NORTHWEST |
| LEE CLINIC TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 276267496 | GRANTOR TRUST | WA | 0 | UW MEDICINE NORTHWEST |
| MERIDIAN WOMENS HEALTH TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266534323 | GRANTOR TRUST | WA | 3250075 | UW MEDICINE NORTHWEST |
| MIDWIVES CLINIC TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456330980 | GRANTOR TRUST | WA | 1077289 | UW MEDICINE NORTHWEST |
| NEUROLOGY NORTHWEST TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456442668 | GRANTOR TRUST | WA | 525421 | UW MEDICINE NORTHWEST |
| NORTHWEST ENT ASSOCIATES TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456906738 | GRANTOR TRUST | WA | 3040608 | UW MEDICINE NORTHWEST |
| NORTHWEST HOSPITAL CRITICAL CARE TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266173993 | GRANTOR TRUST | WA | 1882581 | UW MEDICINE NORTHWEST |
| NORTHWEST HOSPITAL INPATIENT SERVICES TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266173905 | GRANTOR TRUST | WA | 4768217 | UW MEDICINE NORTHWEST |
| NORTHWEST HOSPITAL PROVIDERS TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 716214304 | GRANTOR TRUST | WA | 2792593 | UW MEDICINE NORTHWEST |
| NORTHWEST INTERNAL MEDICINE TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 416558148 | GRANTOR TRUST | WA | 1576356 | UW MEDICINE NORTHWEST |
| NORTHWEST OBSTETRICS & GYNECOLOGY | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456953859 | GRANTOR TRUST | WA | 778257 | UW MEDICINE NORTHWEST |
| NWH&MC SURGICAL PRE-OP CLINIC TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456578380 | GRANTOR TRUST | WA | 30480 | UW MEDICINE NORTHWEST |
| OLYMPIC MEDICAL CENTER TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 227007168 | GRANTOR TRUST | WA | 638 | UW MEDICINE NORTHWEST |
| OU CLINIC TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 276380225 | GRANTOR TRUST | WA | 625787 | UW MEDICINE NORTHWEST |
| RICHMOND CLINIC TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456333945 | GRANTOR TRUST | WA | 2071098 | UW MEDICINE NORTHWEST |
| ROOSEVELT MEDICAL CENTER TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 911685889 | GRANTOR TRUST | WA | 465669 | UW MEDICINE NORTHWEST |
| SEATTLE EAR NOSE THROAT TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 207122044 | GRANTOR TRUST | WA | 802417 | UW MEDICINE NORTHWEST |
| SULLIVAN PULMONARY CLINIC TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266533882 | GRANTOR TRUST | WA | 447943 | UW MEDICINE NORTHWEST |
| UWNWH MEDICAL GROUP TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456658242 | GRANTOR TRUST | WA | 126704 | UW MEDICINE NORTHWEST |
| WESTERN WASHINGTON CARDIOLOGY TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456220351 | GRANTOR TRUST | WA | 9017232 | UW MEDICINE NORTHWEST |
| WOUND CARE CENTER TRUST | ||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266534268 | GRANTOR TRUST | WA | 643132 | UW MEDICINE NORTHWEST |
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST HOSPITAL FOUNDATION | |||||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 911011603 | FUNDRAISING | WA | 501(C)(3) | LINE 7 | UW MEDICINE NORTHWEST | 1 | |
| THE ASSOCIATION OF UNIVERSITY PHYSICIANS | |||||||||||
| 501 EASTLAKE AVENUE EAST SUITE 400 | 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 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH SEATTLE SURGERY CENTER LLC | |||||||||||||
| 10330 MERIDIAN AVE NORTH SUITE 150 | SEATTLE | WA | 98133 | 202033654 | OFFICES OF PHYSICIANS | WA | N/A | RELATED | 416681 | 1023524 | 0 | 1 | 0.50000 |
| RICHMOND BUILDING PARTNERSHIP | |||||||||||||
| 355 RICHMOND BEACH ROAD | SEATTLE | WA | 98177 | 911518742 | OFFICES OF PHYSICIANS | WA | N/A | RELATED | 36165 | 576100 | 0 | 1 | 0.37500 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST ASSURANCE COMPANY | ||||||||||||||||
| PO BOX 1109GT MARY STREET | GRAND CAYMAN | CJ | INSURANCE PROVIDER | CJ | UW MEDICINE NORTHWEST | C | 411 | 1676410 | 1.00000 | 1 | ||||||
| SEATTLE ARTHRITIS CLINIC | ||||||||||||||||
| OFFICES OF PHYSICIANS | UW MEDICINE NORTHWEST | C | 14021310 | 2083381 | 1.00000 | 1 | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 203890258 | WA | ||||
| SPORTS MEDICINE GROUP | ||||||||||||||||
| OFFICES OF PHYSICIANS | UW MEDICINE NORTHWEST | C | 11554647 | 2896196 | 1.00000 | 1 | 10330 MERIDIAN AVENUE NORTH SUITE 3 | SEATTLE | WA | 98133 | 911698413 | WA | ||||
| NEUROSURGICAL CONSULTANTS OF WA | ||||||||||||||||
| OFFICES OF PHYSICIANS | UW MEDICINE NORTHWEST | C | 6583559 | 94552 | 1.00000 | 1 | 801 BROADWAY SUITE 617 | SEATTLE | WA | 98122 | 911856460 | WA | ||||
| BONE & JOINT CENTER OF SEATTLE | ||||||||||||||||
| OFFICES OF PHYSICIANS | UW MEDICINE NORTHWEST | C | 1865917 | 638955 | 1.00000 | 1 | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 270208005 | WA | ||||
| SUMMIT CARDIOLOGY | ||||||||||||||||
| OFFICES OF PHYSICIANS | UW MEDICINE NORTHWEST | C | 4164987 | 803404 | 1.00000 | 1 | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 273492322 | WA | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 1 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 1 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (19 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| SUMMIT CARDIOLOGY | ||
| Q | 1778106 | ACTUAL COST |
| NORTHWEST HOSPITAL FOUNDATION | ||
| A | 3828 | ACTUAL COST |
| NORTHWEST HOSPITAL FOUNDATION | ||
| B | 159277 | ACTUAL COST |
| NORTHWEST HOSPITAL FOUNDATION | ||
| C | 377046 | ACTUAL COST |
| BONE & JOINT CENTER OF SEATTLE | ||
| A | 177588 | ACTUAL COST |
| BONE & JOINT CENTER OF SEATTLE | ||
| Q | 676931 | ACTUAL COST |
| NORTH SEATTLE SURGERY CENTER LLC | ||
| H | 579892 | ACTUAL COST |
| NORTH SEATTLE SURGERY CENTER LLC | ||
| A | 7950 | ACTUAL COST |
| NORTH SEATTLE SURGERY CENTER LLC | ||
| D | 476559 | ACTUAL COST |
| SEATTLE ARTHRITIS CLINIC | ||
| A | 320188 | ACTUAL COST |
| SEATTLE ARTHRITIS CLINIC | ||
| Q | 9012178 | ACTUAL COST |
| SPORTS MEDICINE GROUP | ||
| B | 376366 | ACTUAL COST |
| SUMMIT CARDIOLOGY | ||
| B | 4291053 | ACTUAL COST |
| BONE & JOINT CENTER OF SEATTLE | ||
| B | 1751494 | ACTUAL COST |
| BONE & JOINT CENTER OF SEATTLE | ||
| O | 85695 | ACTUAL COST |
| SPORTS MEDICINE GROUP | ||
| A | 674862 | ACTUAL COST |
| SPORTS MEDICINE GROUP | ||
| Q | 267285 | ACTUAL COST |
| SUMMIT CARDIOLOGY | ||
| G | 119934 | ACTUAL COST |
| NEUROSURGICAL CONSULTANTS NW | ||
| A | 86394 | ACTUAL COST |
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