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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T20:44:39-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN911194016EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1700AddressLine1
CityBELLEVUECity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN910637400EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UW MEDICINE NORTHWESTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUWMENameControl
Phone2063683012Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREET NO D-180AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98133ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTSE-TSIN KETTY HSIEHName
TitleSENIOR DIRECTOR OF FINANCETitle
Phone2063683012Phone
Date Signed2014-05-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSARA ELIZABETH J HYREName
PTINP00235495PTIN
Phone4254544919Phone
Date Prepared2014-05-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL & MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonCINDY HECKERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREET NO D-180AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98133ZIPCode
FieldValueIRS element (for citing)
Gross Receipts335762595GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NWHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1949YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionUW MEDICINE NORTHWEST IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees2187TotalNbrEmployees
Total Nbr Volunteers251TotalNbrVolunteers
Total Gross UBI1458287TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year25321112ContributionsGrantsPriorYear
Contributions Grants Current Year11048203ContributionsGrantsCurrentYear
Program Service Revenue Prior Year266064948ProgramServiceRevenuePriorYear
Program Service Revenue CY294042459ProgramServiceRevenueCY
Investment Income Prior Year1919566InvestmentIncomePriorYear
Investment Income Current Year4048975InvestmentIncomeCurrentYear
Other Revenue Prior Year1134152OtherRevenuePriorYear
Other Revenue Current Year1271198OtherRevenueCurrentYear
Total Revenue Prior Year294439778TotalRevenuePriorYear
Total Revenue Current Year310410835TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year823603GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY170519GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year133935806SalariesEtcPriorYear
Salaries Etc Current Year144696674SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year140212770OtherExpensePriorYear
Other Expenses Current Year148609587OtherExpensesCurrentYear
Total Expenses Prior Year274972179TotalExpensesPriorYear
Total Expenses Current Year293476780TotalExpensesCurrentYear
Revenues Less Expenses Prior Year19467599RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16934055RevenuesLessExpensesCY
Total Assets BOY244419432TotalAssetsBOY
Total Assets EOY250419260TotalAssetsEOY
Total Liabilities BOY149732747TotalLiabilitiesBOY
Total Liabilities EOY147780712TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY94686685NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY102638548NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOUR 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense263989755Expense
Grants170519Grants
Revenue294042459Revenue
DescriptionUW 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 Expense263989755TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096277NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2187NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BRIAN DAVIDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2063683012TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREET D-180AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98133ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
PETER R EVANS
CHAIR3.001.00XX042660
SCOTT L HARDMAN
VICE CHAIR2.001.00XX000
JAMES K ANDERSON
TRUSTEE5.001.00X030000
TERRY L LENGFELDER
TRUSTEE1.001.00X000
EDWARD J BUCHWALD
TRUSTEE5.000.00X000
SHAIZA DAMJI
TRUSTEE2.001.00X000
WILLIAM J REX
TRUSTEE6.000.00X025000
MARIAN SVINTH
TRUSTEE5.000.00X000
PAMELA FOWLER
TRUSTEE1.000.00X000
JIM SNYDER
TRUSTEE2.001.00X000
C WILLIAM SCHNEIDER
PRESIDENT & CEO50.001.00X38387122513624930
CINDY HECKER
EXECUTIVE DIRECTOR40.000.00X031912737718
BRUCE FERGUSON
VP, CFO, SECRETARY/TREASURER40.000.00X1794071376308410
GREGORY SCHROEDL
VP, CHIEF MEDICAL OFFICER30.0020.00X15449111957712137
GAYLE WARD
VP, CHIEF NURSING OFFICER45.000.00X12024421943018349
PAUL G RAMSEY
CEO, UW MEDICINE0.0040.00078313268123X
JOHNESE SPISSO
CHSO, UW MEDICINE0.0040.00068908861569X
LORI MITCHELL
CFO, UW MEDICINE0.0040.00047072447347X
ADAM PARCHER
SR. DIRECTOR, CHIEF QUALITY OFFICER40.000.00156412016158X
HELENA B JONES
PHYSICIAN40.000.00310640013533X
KATHRYN F MCGONIGLE
PHYSICIAN40.000.0035523408007X
HOWARD G MUNTZ
PHYSICIAN40.000.0035140807989X
TERENCE QUIGLEY
PHYSICIAN40.000.00401694016199X
LYNN M KEENAN
PHYSICIAN40.000.00310826017580X
ANNA KARIN ANDREWS
VP, COO (THRU 12/2011)0.000.001384622904610X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2862689TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3264071TotalReportableCompFrmRltdOrgs
Total Other Compensation358049TotalOtherCompensation
Number Individuals GT100 K163NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WESTERN WASHINGTON MEDICAL GROUP INC
12728 19TH AVE SE 200EVERETTWA98208HEALTH CARE SERVICES5162849
EMERGENCY SERVICES NORTHWEST
4731 BEACH DRIVE SWSEATTLEWA98116HEALTH CARE SERVICES3972697
JR ABBOTT CONSTRUCTION
3408 1ST AVE SSEATTLEWA98134CONSTRUCTION3062850
FOUSHEE & ASSOCIATES
3260 118TH AVE SE 1000BELLEVUEWA98005CONSTRUCTION2015911
WOUND CARE CENTERS INC
PO BOX 637114CINCINNATIOH45263HEALTH CARE SERVICES1403658
FieldValueIRS element (for citing)
Number Of Contractors GT100 K39NumberOfContractorsGT100K
Related Organizations8596447RelatedOrganizations
Government Grants2415501GovernmentGrants
All Other Contributions36255AllOtherContributions
Total Contributions11048203TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code624100BusinessCode
Total Revenue Column294042459TotalRevenueColumn
Related Or Exempt Function Income292620337RelatedOrExemptFunctionIncome
Unrelated Business Revenue1422122UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue294042459TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1478167TotalRevenueColumn
Unrelated Business Revenue36165UnrelatedBusinessRevenue
Exclusion$1,442,002ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real6328040Real
Personal97570Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real6588962Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-260922Real
Personal97570Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-163352TotalRevenueColumn
Exclusion-$163,352ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities20725237Securities
Other577688Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities18418053Securities
Other314064Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2307184Securities
Other263624Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2570808TotalRevenueColumn
Exclusion$2,570,808ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory19564GrossSalesOfInventory
Cost Of Goods Sold30681CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-11117TotalRevenueColumn
Exclusion-$11,117ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
DAY CARE REVENUES624410932412$932,412
BAD DEBT RECOVERY900099508016$508,016
MEDICAL RECORDS9000995239$5,239
FieldValueIRS element (for citing)
Total Other Revenue1445667TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column310410835TotalRevenueColumn
Related Or Exempt Function Income292620337RelatedOrExemptFunctionIncome
Unrelated Business Revenue1458287UnrelatedBusinessRevenue
Exclusion$5,284,008ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total170519Total
Program Services170519ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3008826Total
Program Services176841ProgramServices
Management And General2831985ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total111448851Total
Program Services108205502ProgramServices
Management And General3243349ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3561190Total
Program Services3403094ProgramServices
Management And General158096ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18281073Total
Program Services17349268ProgramServices
Management And General931805ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8396734Total
Program Services7956351ProgramServices
Management And General440383ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total642883Total
Program Services21281ProgramServices
Management And General621602ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total261379Total
Management And General261379ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total107411Total
Management And General107411ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total28231199Total
Program Services24012790ProgramServices
Management And General4218409ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total593110Total
Program Services591692ProgramServices
Management And General1418ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12253012Total
Program Services11536278ProgramServices
Management And General716734ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5084076Total
Program Services4753001ProgramServices
Management And General331075ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10498772Total
Program Services4060102ProgramServices
Management And General6438670ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total426431Total
Program Services362512ProgramServices
Management And General63919ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3873621Total
Program Services117051ProgramServices
Management And General3756570ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15808151Total
Program Services13436767ProgramServices
Management And General2371384ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total402601Total
Program Services369157ProgramServices
Management And General33444ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES41885917418831422775
BAD DEBT1692594416925944
PHYSICIAN FEES76069427120692486250
MEAL SERVICES1034826905848128978

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2973312Total
Program Services631923ProgramServices
Management And General2341389ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total293476780Total
Program Services263989755ProgramServices
Management And General29487025ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16752667BOY
EOY27713226EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1462399BOY
EOY1010587EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32491943BOY
EOY33488345EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY85056BOY
EOY550935EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4373373BOY
EOY4823411EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2700571BOY
EOY1546997EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis353410029LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec231361024LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY122257354BOY
EOY122049005EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY881812BOY
EOY918363EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY654419BOY
EOY809060EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY13339968BOY
EOY5540407EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY208245BOY
EOY172966EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY49211625BOY
EOY51795958EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY244419432BOY
EOY250419260EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY43321950BOY
EOY48576890EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY240195BOY
EOY191583EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY78000000BOY
EOY76000000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY18221573BOY
EOY16733940EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9949029BOY
EOY6278299EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY149732747BOY
EOY147780712EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY93378501BOY
EOY101452031EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1308184BOY
EOY1186517EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY94686685BOY
EOY102638548EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY244419432BOY
EOY250419260EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16934055ReconcilationRevenueExpenses
Reconciliation Unrealized Invest681747ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment-157401ReconcilationPriorAdjustment
Reconcilation Other Changes-9506538ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis16149600OtherCostOrOtherBasis
Book Value16149600BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis119640567OtherCostOrOtherBasis
Depreciation68428675Depreciation
Book Value51211892BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis15908189OtherCostOrOtherBasis
Depreciation10410088Depreciation
Book Value5498101BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis187345527OtherCostOrOtherBasis
Depreciation152522261Depreciation
Book Value34823266BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14366146OtherCostOrOtherBasis
Book Value14366146BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings122049005TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS WHOSE USE IS LIMITED - BOARD APPROVED CAPITAL INVESTMENTS34940409
ASSETS WHOSE USE IS LIMITED - BOND INDENTURE AGREEMENTS8181957
PROFESSIONAL LIABILITY SELF-INSURANCE2285391
DEFERRED FINANCING COSTS706381
OTHER RECEIVABLES34100
DEFERRED RENT RECEIVABLE640700
RECEIVABLES FROM AFFILIATES4193169
PREPAID EPIC PROJECT813851
FieldValueIRS element (for citing)
Total Book Value Other Assets51795958TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR PROFESSIONAL LIABILITY$950,000
PAYABLE TO AFFILIATES$3,116,783
DEFERRED COMPENSATION PAYABLE$614,466
DEFERRED RENT PAYABLE$1,597,050
FieldValueIRS element (for citing)
Total Of Amounts6278299TotalOfAmounts

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN -Region
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedINVESTMENTTypeOfActivitiesConducted
Specific Services ProvidedN/ASpecificServicesProvided
Total Expenditures384568TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent384568SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent384568TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp1OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifierExplanationExplanationReturn 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: ACCRUALSCHEDULE F, PART I, LINE 3, COLUMN (F):

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense5035689TotalCommunityBenefitExpense
Net Community Benefit Expense5035689NetCommunityBenefitExpense
Percent Of Total Expense0.01820PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense20895086TotalCommunityBenefitExpense
Direct Offsetting Revenue14034763DirectOffsettingRevenue
Net Community Benefit Expense6860323NetCommunityBenefitExpense
Percent Of Total Expense0.02480PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense25930775TotalCommunityBenefitExpense
Direct Offsetting Revenue14034763DirectOffsettingRevenue
Net Community Benefit Expense11896012NetCommunityBenefitExpense
Percent Of Total Expense0.04300PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1456348TotalCommunityBenefitExpense
Net Community Benefit Expense1456348NetCommunityBenefitExpense
Percent Of Total Expense0.00530PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense96562TotalCommunityBenefitExpense
Net Community Benefit Expense96562NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense18255TotalCommunityBenefitExpense
Net Community Benefit Expense18255NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1571165TotalCommunityBenefitExpense
Net Community Benefit Expense1571165NetCommunityBenefitExpense
Percent Of Total Expense0.00570PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense27501940TotalCommunityBenefitExpense
Direct Offsetting Revenue14034763DirectOffsettingRevenue
Net Community Benefit Expense13467177NetCommunityBenefitExpense
Percent Of Total Expense0.04870PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$16,925,944BadDebtExpenseAmount
Amount Reimbursed By Medicare63281064AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare111836711CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-48555647MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL & MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREETAddressLine1
CitySEATTLECity
StateWAState
ZIP Code98133ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL & MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
Adopt Implement StrategyXAdoptImplementStrategy
Prioritize Health NeedsXPrioritizeHealthNeeds
Other Needs AddressedXOtherNeedsAddressed
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities22NumberOfOtherFacilities

Other Facilities OtherFacilities (22 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
VIA RADIOLOGY - MERIDIAN PAVILION
10700 MERIDIAN AVE N SUITE 505SEATTLEWA98133OUTPATIENT CLINIC
WESTERN WASHINGTON CARDIOLOGY
12728 19TH AVE SE SUITE 200EVERETTWA98208OUTPATIENT CLINIC
MERIDIAN WOMEN'S HEALTH
10330 MERIDIAN AVE N SUITE 200SEATTLEWA98133OUTPATIENT CLINIC
SAND POINT INTERNISTS
10330 MERIDIAN AVE N SUITE 230SEATTLEWA98133OUTPATIENT CLINIC
LAKE FOREST PARK CLINIC
17191 BOTHELL WY NE SUITE 205SEATTLEWA98155OUTPATIENT CLINIC
NORTH SEATTLE SURGERY CENTER
10330 MERIDIAN AVE NSEATTLEWA98133AMBULATORY SURGERY CENTER
RICHMOND INTERNAL MEDICINE
355 NW RICHMOND BEACH RDSHORELINEWA98177OUTPATIENT CLINIC
NORTHWEST ENT ASSOCIATES
1536 N 115TH ST SUITE 340SEATTLEWA98133OUTPATIENT CLINIC
SEATTLE PACIFIC SURGEONS
1560 N 115TH ST SUITE 102SEATTLEWA98133OUTPATIENT CLINIC
NORTHWEST INTERNAL MEDICINE
1560 N 115TH ST SUITE 207SEATTLEWA98133OUTPATIENT CLINIC
NORTHWEST RESPIRATORY ASSOCIATES
1560 N 115TH ST SUITE G-10SEATTLEWA98133OUTPATIENT CLINIC
WOMEN'S CANCER CARE OF SEATTLE
1560 N 115TH ST SUITE 101SEATTLEWA98133OUTPATIENT CLINIC
NORTHWEST HOSPITAL MIDWIVES CLINIC
10330 MERIDIAN AVE N SUITE 190SEATTLEWA98133OUTPATIENT CLINIC
NW OBSTETRICS & GYNECOLOGY
1560 N 115TH ST SUITE 109SEATTLEWA98133OUTPATIENT CLINIC
SEATTLE EAR NOSE & THROAT
10330 MERIDIAN AVE N SUITE 220SEATTLEWA98133OUTPATIENT CLINIC
JAMES JOKI MD
1560 N 115TH ST SUITE 110SEATTLEWA98133OUTPATIENT CLINIC
CHAU-SU OU MD
10330 MERIDIAN AVE N SUITE 372SEATTLEWA98133OUTPATIENT CLINIC
NEUROLOGY NORTHWEST
1536 N 115TH ST SUITE 330SEATTLEWA98133OUTPATIENT CLINIC
JAMES COGHLAN MD
10330 MERIDIAN AVE N SUITE 230SEATTLEWA98133OUTPATIENT CLINIC
KENT SULLIVAN MD
1550 N 115TH STSEATTLEWA98133MOBILE CLINIC
WOUND CARE CENTER
1560 N 115TH ST SUITE 201SEATTLEWA98133OUTPATIENT CLINIC
INTERNAL MEDICINE CONSULT CLINIC
1550 N 115TH STSEATTLEWA98133OUTPATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanationIdentifierIdentifier
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 YMCANORTHWEST 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.PDFNORTHWEST 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

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11550 NORTH 115T STREET D-180AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98133ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient911011603EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant159227AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantINSTITUTIONAL SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
C WILLIAM SCHNEIDER
PRESIDENT & CEO205958223125176938097520114250425010442598839856323537400
CINDY HECKER
EXECUTIVE DIRECTOR03178930001234023294014424035684500
BRUCE FERGUSON
VP, CFO, SECRETARY/TREASURER12288113500052650038762630006674173618608113936600
GREGORY SCHROEDL
VP, CHIEF MEDICAL OFFICER10497011844944545049761128007741439616223212397300
GAYLE WARD
VP, CHIEF NURSING OFFICER838079149435683075412793608500625535941264992315240127309
PAUL G RAMSEY
CEO, UW MEDICINE074264000040492050000018123085125500
JOHNESE SPISSO
CHSO, UW MEDICINE066293100026157042882018687075065700
LORI MITCHELL
CFO, UW MEDICINE044572400025000033666013681051807100
ADAM PARCHER
SR. DIRECTOR, CHIEF QUALITY OFFICER14873707500017507045091130172570000
HELENA B JONES
PHYSICIAN2844000208130542705442080910324173000
KATHRYN F MCGONIGLE
PHYSICIAN35293400023000737706300363241000
HOWARD G MUNTZ
PHYSICIAN35017800012300735106380359397000
TERENCE QUIGLEY
PHYSICIAN33051406957201608037190124800417893000
LYNN M KEENAN
PHYSICIAN28228602753601004051000124800328406000
ANNA KARIN ANDREWS
VP, COO (THRU 12/2011)017308001384622731530000138462290461138462222692

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINES 4A-BANNA 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 7C. 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

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WA HEALTH CARE FACILITIES AUTHORITY SER 2007BusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN911108929IssuerEIN
Date Issued2007-11-29DateIssued
Issue Price84042940IssuePrice
Description Of PurposeCAPITAL EXPENDITURES & DEBTDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired8000000AmountRetired
Total Proceeds85254400TotalProceeds
Amount In Reserve Fund6706015AmountInReserveFund
Issuance Costs From Proceeds320700IssuanceCostsFromProceeds
Capital Expenditures49408005CapitalExpenditures
Other Spent Proceeds27714593OtherSpentProceeds
Year Of Subst Completion2012YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts1EngageBondCounselContracts
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00520PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00520TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due1NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested1GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action0ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2CDATE REBATE COMPUTATION PERFORMEDISSUER 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

FieldValueIRS element (for citing)
Business Name Line1EMERGENCY SERVICES NWBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipSEE PART VRelationship
Amount Of Transaction3972697AmountOfTransaction
Description Of TransactionSEE PART VDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE 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 ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 2JAMES K. ANDERSON, EDWARD J. BUCHWALD AND C. WILLIAM SCHNEIDER HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF UW MEDICINE NORTHWEST (DBA NORTHWEST HOSPITAL & MEDICAL CENTER) IS THE UNIVERSITY OF WASHINGTON.
FORM 990, PART VI, SECTION A, LINE 7APER THE BYLAWS, THE MEMBER APPOINTS AND REMOVES THE TRUSTEES ON NOMINATION BY THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BPER THE BYLAWS, THE MEMBER HAS MANY RESERVE POWERS INCLUDING, BUT NOT LIMITED TO, APPROVALS OF SALES OR TRANSFERS OF ASSETS; APPOINTMENT OF AUDITORS; ESTABLISHMENT OF SUBSIDIARY, AFFILIATED OR RELATED ENTITIES; APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS; ADOPTION OF MERGER, CONSOLIDATION OR DISSOLUTION PLAN; APPROVAL OF ACQUISITION OR TRANSFER OF REAL PROPERTY.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY 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 12CNWHMC ADMINISTERS AN ANNUAL CONFLICT OF INTEREST SURVEY TO ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES. COMPLETED SURVEYS ARE THEN REVIEWED BY LEGAL COUNSEL TO DETERMINE WHETHER ANY FACTS EXIST THAT CREATE A POTENTIAL CONFLICT OF INTEREST. ANY IDENTIFIED CONFLICTS OF INTEREST ARE DISCLOSED IN THE BOARD MINUTES AND 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 15COMPENSATION 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 19GOVERNING 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BARIATRIC SURGERY CLINIC TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133266073244GRANTOR TRUSTWA2536802UW MEDICINE NORTHWEST
DOWNEY PLASTIC SURGERY TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133276380184GRANTOR TRUSTWA0UW MEDICINE NORTHWEST
GYNECOLOGY CANCER CLINIC TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133266036216GRANTOR TRUSTWA1737881UW MEDICINE NORTHWEST
JAMES A JOKI TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133266534299GRANTOR TRUSTWA686678UW MEDICINE NORTHWEST
LAKE FOREST PARK CLINIC TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133916546627GRANTOR TRUSTWA2614230UW MEDICINE NORTHWEST
LEE CLINIC TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133276267496GRANTOR TRUSTWA0UW MEDICINE NORTHWEST
MERIDIAN WOMENS HEALTH TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133266534323GRANTOR TRUSTWA3250075UW MEDICINE NORTHWEST
MIDWIVES CLINIC TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133456330980GRANTOR TRUSTWA1077289UW MEDICINE NORTHWEST
NEUROLOGY NORTHWEST TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133456442668GRANTOR TRUSTWA525421UW MEDICINE NORTHWEST
NORTHWEST ENT ASSOCIATES TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133456906738GRANTOR TRUSTWA3040608UW MEDICINE NORTHWEST
NORTHWEST HOSPITAL CRITICAL CARE TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133266173993GRANTOR TRUSTWA1882581UW MEDICINE NORTHWEST
NORTHWEST HOSPITAL INPATIENT SERVICES TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133266173905GRANTOR TRUSTWA4768217UW MEDICINE NORTHWEST
NORTHWEST HOSPITAL PROVIDERS TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133716214304GRANTOR TRUSTWA2792593UW MEDICINE NORTHWEST
NORTHWEST INTERNAL MEDICINE TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133416558148GRANTOR TRUSTWA1576356UW MEDICINE NORTHWEST
NORTHWEST OBSTETRICS & GYNECOLOGY
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133456953859GRANTOR TRUSTWA778257UW MEDICINE NORTHWEST
NWH&MC SURGICAL PRE-OP CLINIC TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133456578380GRANTOR TRUSTWA30480UW MEDICINE NORTHWEST
OLYMPIC MEDICAL CENTER TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133227007168GRANTOR TRUSTWA638UW MEDICINE NORTHWEST
OU CLINIC TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133276380225GRANTOR TRUSTWA625787UW MEDICINE NORTHWEST
RICHMOND CLINIC TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133456333945GRANTOR TRUSTWA2071098UW MEDICINE NORTHWEST
ROOSEVELT MEDICAL CENTER TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133911685889GRANTOR TRUSTWA465669UW MEDICINE NORTHWEST
SEATTLE EAR NOSE THROAT TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133207122044GRANTOR TRUSTWA802417UW MEDICINE NORTHWEST
SULLIVAN PULMONARY CLINIC TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133266533882GRANTOR TRUSTWA447943UW MEDICINE NORTHWEST
UWNWH MEDICAL GROUP TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133456658242GRANTOR TRUSTWA126704UW MEDICINE NORTHWEST
WESTERN WASHINGTON CARDIOLOGY TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133456220351GRANTOR TRUSTWA9017232UW MEDICINE NORTHWEST
WOUND CARE CENTER TRUST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133266534268GRANTOR TRUSTWA643132UW MEDICINE NORTHWEST

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
NORTHWEST HOSPITAL FOUNDATION
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133911011603FUNDRAISINGWA501(C)(3)LINE 7UW MEDICINE NORTHWEST1
THE ASSOCIATION OF UNIVERSITY PHYSICIANS
501 EASTLAKE AVENUE EAST SUITE 400SEATTLEWA98109911220843MEDICAL PRACTICEWA501(C)(3)LINE 11A, IUNIVERSITY OF WASHINGTON0
UW PHYSICIANS NETWORK
4333 BROOKLYN AVENUE NESEATTLEWA98105911715882MEDICAL PRACTICEWA501(C)(3)LINE 11A, IUNIVERSITY OF WASHINGTON0
UNIVERSITY OF WASHINGTON
1959 NE PACIFIC STREETSEATTLEWA98195916001537EDUCATION AND MEDICAL CAREWAGOVERNMENTN/A0N/A
VALLEY MEDICAL CENTER
400 SOUTH 43RD STREETRENTONWA980555010916000986HOSPITALWAGOVERNMENTN/AUNIVERSITY OF WASHINGTON0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
NORTH SEATTLE SURGERY CENTER LLC
10330 MERIDIAN AVE NORTH SUITE 150SEATTLEWA98133202033654OFFICES OF PHYSICIANSWAN/ARELATED4166811023524010.50000
RICHMOND BUILDING PARTNERSHIP
355 RICHMOND BEACH ROADSEATTLEWA98177911518742OFFICES OF PHYSICIANSWAN/ARELATED36165576100010.37500

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
NORTHWEST ASSURANCE COMPANY
PO BOX 1109GT MARY STREETGRAND CAYMANCJINSURANCE PROVIDERCJUW MEDICINE NORTHWESTC41116764101.000001
SEATTLE ARTHRITIS CLINIC
OFFICES OF PHYSICIANSUW MEDICINE NORTHWESTC1402131020833811.0000011550 NORTH 115TH STREET MS D-180SEATTLEWA98133203890258WA
SPORTS MEDICINE GROUP
OFFICES OF PHYSICIANSUW MEDICINE NORTHWESTC1155464728961961.00000110330 MERIDIAN AVENUE NORTH SUITE 3SEATTLEWA98133911698413WA
NEUROSURGICAL CONSULTANTS OF WA
OFFICES OF PHYSICIANSUW MEDICINE NORTHWESTC6583559945521.000001801 BROADWAY SUITE 617SEATTLEWA98122911856460WA
BONE & JOINT CENTER OF SEATTLE
OFFICES OF PHYSICIANSUW MEDICINE NORTHWESTC18659176389551.0000011550 NORTH 115TH STREET MS D-180SEATTLEWA98133270208005WA
SUMMIT CARDIOLOGY
OFFICES OF PHYSICIANSUW MEDICINE NORTHWESTC41649878034041.0000011550 NORTH 115TH STREET MS D-180SEATTLEWA98133273492322WA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org1SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (19 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SUMMIT CARDIOLOGY
Q1778106ACTUAL COST
NORTHWEST HOSPITAL FOUNDATION
A3828ACTUAL COST
NORTHWEST HOSPITAL FOUNDATION
B159277ACTUAL COST
NORTHWEST HOSPITAL FOUNDATION
C377046ACTUAL COST
BONE & JOINT CENTER OF SEATTLE
A177588ACTUAL COST
BONE & JOINT CENTER OF SEATTLE
Q676931ACTUAL COST
NORTH SEATTLE SURGERY CENTER LLC
H579892ACTUAL COST
NORTH SEATTLE SURGERY CENTER LLC
A7950ACTUAL COST
NORTH SEATTLE SURGERY CENTER LLC
D476559ACTUAL COST
SEATTLE ARTHRITIS CLINIC
A320188ACTUAL COST
SEATTLE ARTHRITIS CLINIC
Q9012178ACTUAL COST
SPORTS MEDICINE GROUP
B376366ACTUAL COST
SUMMIT CARDIOLOGY
B4291053ACTUAL COST
BONE & JOINT CENTER OF SEATTLE
B1751494ACTUAL COST
BONE & JOINT CENTER OF SEATTLE
O85695ACTUAL COST
SPORTS MEDICINE GROUP
A674862ACTUAL COST
SPORTS MEDICINE GROUP
Q267285ACTUAL COST
SUMMIT CARDIOLOGY
G119934ACTUAL COST
NEUROSURGICAL CONSULTANTS NW
A86394ACTUAL COST

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