2014-04-01T12:58:06-05:00 2012-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1700 Bellevue WA 98004 990 2012-01-01 910433740 SWEDISH HEALTH SERVICES SWED 2062155967 747 Broadway Seattle WA 981224307 Todd Hofheins 4255253985 2014-04-01 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 2012 2016-02-25 16:41:14Z Rodney Hochman MD 1801 Lind Avenue SW Renton WA 980579016 1862797057 0 X www.swedish.org X 1908 WA To improve the health and well-being of each person we serve. 16 16 10249 1326 1212797 0 31160566 19481962 1498626735 1684823878 26132811 65196878 43484490 88662389 1599404602 1858165107 7765223 4377847 0 0 886076196 902722563 0 0 0 712223508 905575585 1606064927 1812675995 -6660325 45489112 2072269453 5157151145 1635774200 4399382077 436495253 757769068 X Swedish is a regional health-care system committed to meeting the health-care needs of the community. 0 1 720012097 0 917765738 Acute Care - Inpatient Patient Days - 206,205Admissions - 55,214Since 1910, Swedish has been the region's hallmark for excellence in health care. In fact, in an independent research study conducted by the National Research Corp., Swedish is consistently named the area's best hospital. Swedish has grown to become the largest nonprofit health-care provider in the Greater Seattle area with more than 10,000 employees, more than 2,800 physicians and 1,700 volunteers. Swedish has: *Five hospital campuses (Ballard, Cherry Hill, Edmonds, First Hill and Issaquah). Swedish Edmonds is a separate corporation under the Swedish Health Services "umbrella" and files a separate Form 990. *An emergency room and specialty center in Redmond and Mill Creek *Swedish Medical Group, a network of more than 100 primary-care and specialty clinics located throughout the Puget Sound *Affiliations with suburban hospitals and physician groups In addition to general medical and surgical care, Swedish is known as a regional referral center, providing specialized treatment in areas such as cardiovascular care, cancer care, neuroscience, orthopedics, high-risk obstetrics, pediatric specialties, organ transplantation and clinical research.Swedish is affiliated with Providence Health & Services, which is a not-for-profit Catholic health-care ministry committed to providing for the needs of the communities it serves - especially for those who are poor and vulnerable. Providence and its affiliates include 32 hospitals, 400 physician clinics, senior services, supportive housing and many other health and educational services. The affiliated health system employs more than 64,000 people across five states - Alaska, California, Montana, Oregon and Washington - with its system office located in Renton, Washington. During 2012, there were 8,747 births, 182,033 emergency room visits and 38,945 surgeries performed.But Swedish is not just facilities, research and new techniques. It's about people coming together to provide the most compassionate care possible. From nurses and physicians to social workers and dieticians, the dedicated teams at Swedish are defining on a personal level what excellence really means.Improving the health and well-being of the community is central to the Swedish mission. 451691898 0 575750532 Acute Care - Outpatient Patient Visits - 807,147 159700195 0 203562368 Primary Care & Specialty Visits - 793,756Swedish is known as a regional referral center, providing an extensive range of specialized treatment:*Oncology - Swedish Cancer Institute*Cardiovascular care - Swedish Heart & Vascular Institute*Neurological care - Swedish Neuroscience Institute*Orthopedic care - Swedish Orthopedic Institute*Obstetrics (OB) and high-risk OB - Women and Children's Services*Clinical research*Pediatrics - Swedish Pediatric Specialty Care*Primary care - Swedish Physicians*Surgery 1720114 0 2192549 Health Care Joint Ventures 4377847 4377847 0 Grant & Allocations - See Schedules F & I 6097961 4377847 2192549 1337502151 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 1 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 X 1006 0 1 10249 1 1 1 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 1 0 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 WA X Karl E Fritschel CPA 4255253339 1801 Lind Avenue SW 9016 Renton WA 980579016 X Lucille Dean SP 2.00 11.10 X X 0 0 0 M Adrian Davis LCM -Dcd 512 0.00 2.90 X 0 0 0 Mary Corita Heid RSM 2.00 3.60 X 0 0 0 Michael A Stein 2.00 4.30 X 0 18300 0 Michael Holcomb 2.00 5.70 X 0 19050 0 Dana A Rasmussen 2.00 4.00 X 0 18300 0 James S Roberts MD 2.00 7.10 X 0 20500 0 Peter J Snow 2.00 3.80 X 0 20500 0 Jeffrey B Clode MD -Thru 612 2.00 5.10 X 0 8750 0 Sallye Liner 2.00 2.20 X 0 15300 0 Owen B Robinson 2.00 3.50 X 0 15300 0 Cheryl M Scott 2.00 2.70 X 0 15000 0 Ellen L Wolf 2.00 5.80 X 0 15300 0 Isiaah Crawford 2.00 2.20 X 0 15000 0 Martha Diaz Aszkenazy 2.00 5.80 X 0 15175 0 Kirby McDonald 2.00 2.70 X 0 15175 0 Dave Olsen 2.00 3.60 X 0 15175 0 Charles Chuck Watts 2.00 4.20 X 0 15175 0 John Nordstrom -Thru 712 0.00 0.80 X 0 0 0 John F Koster MD 2.00 52.00 X 0 4069812 382715 Jeffrey W Rogers 2.00 48.00 X 0 623631 319793 Todd Hofheins 2.00 58.00 X 0 555725 40426 Jeffrey D Veilleux -Thru 112 50.00 10.00 X 235225 575341 212439 Dan Harris 39.00 1.00 X 0 691053 301635 Michael L Butler 0.00 65.00 X 0 1406031 890844 Rod Hochman MD 5.40 59.60 X 496070 942640 332177 John H Vassall MD 54.00 1.00 X 380061 314847 148095 Arnold R Schaffer 0.00 60.00 X 0 1938273 209541 John V Fletcher 0.00 55.00 X 0 1575373 259253 Janice J Jones 0.00 55.00 X 0 1031256 204051 Myron Berdischewsky MD 0.00 60.00 X 0 2359308 166605 Todd Strumwasser MD 54.00 1.00 X 190580 318768 98354 Cindra R Syverson 0.00 60.00 X 0 562260 220668 Terry L Smith 0.00 60.00 X 0 1012414 349119 Joanne Suffis 50.00 10.00 X 330467 616193 115177 Michael Wilson 0.00 55.00 X 0 794997 917 Ray Williams 27.50 27.50 X 645913 594522 162999 Kevin Brown 48.00 12.00 X 200348 569424 154103 Cindy Strauss 4.60 50.40 X 164311 457499 205923 Janice Newell 50.00 10.00 X 184484 487327 183598 David T Brooks 0.00 60.00 X 0 607017 245535 Medrice Coluccio 0.00 60.00 X 0 577022 433005 John O Mudd 0.00 55.00 X 0 505083 114350 Phil Jackson 0.00 55.00 X 0 609104 157689 David Warren Newell 50.00 0.00 X 1373926 0 36104 Henry G Kaplan 50.00 0.00 X 1354794 0 39668 Rod Jamshid Oskouian 50.00 0.00 X 1331110 0 36647 Marc Robert Mayberg 50.00 0.00 X 1199759 0 40860 Joseph F Tepley 50.00 0.00 X 1137349 0 35326 9224397 24036920 6097616 952 0 1 0 Dynacare Lab of Pathology 550 17th Avenue Suite 310 Seattle WA 98122 Lab Service 27599836 Sellen Construction Co Inc 227 Westlake Avenue North Seattle WA 98109 Construction 20832520 Medimpact Healthcare Systems 10680 Treena Street 5th Floor San Diego CA 92131 Claims Processing 7087064 Radiation Therapy Innovations LLC 1221 Madison Street 1st Floor Seattle WA 981043589 Equipment Usage 6367876 Hospital Central Services Assn 1600 M Street NW Auburn WA 980014218 Linen Service 5402375 353 10142066 9339896 19481962 Acute Care Inpatient 900099 909962837 909962837 Acute Care Outpatient 621400 570855465 570855465 Primary Care 621110 201831668 201831668 JV Investment Income 900099 2173908 2173908 1684823878 15648858 15648858 8570701 2951659 5619042 5619042 5619042 49190664 431071 0 73715 49190664 357356 49548020 49548020 2689090 1606576 1082514 82371 1000143 Retail Pharmacy 446110 13201179 577102 12624077 Parking 812930 5420218 342567 5077651 Cafeteria 722210 5305459 134705 5170754 58033977 14447309 76052 43510616 81960833 1858165107 1699271187 1212797 138199161 4316914 4316914 1284 1284 59649 59649 2827459 2827459 681360226 501128328 180231898 19836974 8742694 11094280 150501993 110802263 39699730 48195911 12967690 35228221 5109403 1805546 3303857 288386 288386 679233 679233 162035489 95013471 67022018 6625309 615854 6009455 54232858 27009814 27223044 61703 61703 51551044 34637098 16913946 3255599 1570747 1684852 601487 184994 416493 35612491 18721493 16890998 139144581 87885456 51259125 6195203 2819949 3375254 Medical Supplies 225506286 225441120 65166 Bad Debt 82050803 82050803 Loss on Debt Extinguish 71018299 71018299 Provider Taxes 19235256 19235256 42372155 31473429 10898726 1812675995 1337502151 475173844 0 3789707 136129025 42140040 33390903 2077626 252924582 218758930 17767 18982396 16397206 8276971 19242860 1445386118 131211336 1124262820 1314174782 545296221 584748652 15740246 48257023 57145295 60856470 2726811076 2072269453 5157151145 237310879 152546166 24681510 790640000 771370000 1688180 607823321 3449096221 1635774200 4399382077 X 430553739 707920686 5916514 43558583 25000 6289799 436495253 757769068 2072269453 5157151145 X 45489112 8318108 267466595 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 209131079 209131079 722410365 34057928 688352437 120284800 12620318 107664482 369145026 84533090 284611936 24414848 24414848 1314174782 Due From Affiliates 2694279617 Third Party Settlements 12276862 Other Receivables 8650291 Unamortized Financing Costs 8855380 Trustee Helds Funds 2735178 Federal Income Taxes 13748 2726811076 Third Party Settlements 11753555 Other Liabilities 32378127 Due To Affiliates 2664722280 Long Term Accrued Pension Costs 421967619 Taxable Bond Issue 142786276 Self Insured Trust IBNR 37093031 LT Liab Asset Ret Oblig.-FIN 47 2203914 Bond Premium Discount 42399245 Non-Trust Workers Compensation 3144270 Capital Lease Obligation 89367828 Other Debt & Direct Obligation 1256792 Unclaimed Property 23284 3449096221 X Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. 1 South America 0 0 Grants to Recipients located in the Region Placental Disorder Research 20183 East Asia and Pacific 0 0 Program Services Earthquake Relief Assistance 39466 0 0 0 0 0 0 59649 0 59649 South America Placental Disorder Research 20183 0 East Asia and the Pacific Earthquake Relief Assistance 0 39466 Insulin Pens Cost 2 0 0 0 0 0 0 0 Procedure for Monitoring Grants Outside the U.S.: Schedule F, Part I, Line 2: This grant was subawarded and a PO was requisitioned under the project as approved by the prime grant recipient. The study costs charged to the grant are closely monitored by the Program Manager and Financial Analyst through the use of separate budgets for this specific study. Invoices are submitted by the grant recipient and are approved by the authorized manager before payment is processed. Invoices are reviewed for appropriate costs allowed under the grant award. Only costs allowed in the contract and amounts not exceeding the award budgeted amounts are paid to the grantee. Progress reports as specified in the grant award documents are submitted and reviewed accordingly. 1 1 X 1 X 1 X 1 1 1 0 1 1 0 0 28886208 28886208 0.01670 0 0 175430995 121427610 54003385 0.03120 0 0 10498081 7637978 2860103 0.00170 214815284 129065588 85749696 0.04960 0 0 4772548 4772548 0.00280 0 0 11144508 11144508 0.00640 0 0 23049859 16714056 6335803 0.00370 0 0 10473121 10473121 0.00610 49440036 16714056 32725980 0.01900 264255320 145779644 118475676 0.06860 0 0 443640 443640 0.00030 443640 443640 0.00030 1 82050803 394647588 520109170 -125461582 X 1 1 4 1 Swedish First Hill

747 Broadway Seattle WA 98122

www.swedish.org X X X X A 2 Swedish Cherry Hill

500 17th Avenue Seattle WA 98122

www.swedish.org X X X X A 3 Swedish Ballard

5300 Tallman Avenue NW Seattle WA 98107

www.swedish.org X X X A 4 Swedish Issaquah

751 NE Blakely Dr Issaquah WA 98029

www.swedish.org X X Outpatient ER Operating under Hospital License A Facility Reporting Group A 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X X X X 1 X 1 X X X X X 1 X 0 0 21 Swedish Community Health Medical Home

5300 Tallman Avenue NW Seattle WA 98107

Outpatient Physician Clinic Swedish Family Medicine - Cherry Hill

550 16th Avenue Suite 100 Seattle WA 98122

Outpatient Physician Clinic Swedish Family Medicine - First Hill

1401 Madison Street Ste 100 Seattle WA 98104

Outpatient Physician Clinic Swedish Cancer Institute at Highline

16251 Sylverster Rd SW seattle WA 98166

Outpatient Physician Clinic Swedish Cancer Institute at Northwest

1560 N 115th Suite G-15 Seattle WA 98133

Outpatient Physician Clinic Swedish Cancer Institute at Stevens

21605 76th Avenue W Edmons WA 98026

Outpatient Physician Clinic SMG - Ballard

5350 Tallman Avenue NW Suite 301 Seattle WA 98107

Outpatient Physician Clinic SMG - Central Seattle Clinic

1600 E Jefferson Suite 510 Seattle WA 98122

Outpatient Physician Clinic SMG - Children's Clinic

3400 Califonia Avenue SW Suite 200 Seattle WA 98116

Outpatient Physician Clinic SMG - Cle Elum

214 W First Street Cle Elum WA 98922

Outpatient Physician Clinic SMG - Downtown Seattle

1001 Fourth Avenue Plaza Suite 420 Seattle WA 98154

Outpatient Physician Clinic SMG - Factoria

12917 SE 38th Street Suite 100 Bellevue WA 98004

Outpatient Physician Clinic SMG - Greenlake

7210 Roosevelt Way NE Seattle WA 98115

Outpatient Physician Clinic SMG - Healthcare for Women

1229 Madison Street Suite 1450 Seattle WA 98104

Outpatient Physician Clinic SMG - Issaquah

2005 NW Sammamish Rd Issaquah WA 98027

Outpatient Physician Clinic SMG - Magnolia

24350 33rd Avenue W Suite 100 Seattle WA 98199

Outpatient Physician Clinic SMG - Pine Lake

22707 SE 29th Street Bldg C Sammamish WA 98075

Outpatient Physician Clinic SMG - Queen Anne

2211 Queen Anne Avenue N Seattle WA 98109

Outpatient Physician Clinic SMG - Redmond

15670 Redmond Way Redmond WA 98052

Outpatient Physician Clinic SMG - Snoqualmie

37624 SE Fury Street Snoqualmie WA 98065

Outpatient Physician Clinic SMG - West Seattle

3400 Califonia Avenue SW Suite 300 Seattle WA 98116

Outpatient Physician Clinic 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 $ 82050803. Part II: PROMOTION OF COMMUNITY HEALTH:Swedish Partnerships After we identified negative health trends in our communities, Swedish launched an initiative aimed at strengthening partnerships with agencies whose missions improve the health of our community. The development of the Community Health Needs Assessment (CHNA) provided a scientific approach to allocating sponsorship funds. The CHNA identified and prioritized community needs which in turn offered a litmus test for identifying programs/agencies that impact negative health indicators trends. We instituted a new simplified approach where sponsorship dollars would be matched with agencies that address specific health indicators. Level 1 funding would be for Strategic Partners defined by agencies that closely fit the health-indicator trends. These partners were offered multiple-year partnerships through agreements that focused less on the funds and more about engagement. Our vanguard partnership groups include:*American Heart Association*Lifelong AIDS Allicance*March of Dimes*Senior Services*National Multiple Sclerosis SocietyOur close partnerships with local agencies committed to reversing negative health trends are a fundamental piece of the Swedish Community Benefits Program. These growing partnerships have explored new ways to share resources and encourage teamwork to impact the health of our community. The CEOs and executive directors of these agencies sit on an advisory council that meets quarterly. Below are more details on our unique partnerships. American Heart Association The American Heart Association (AHA) is dedicated to building healthier lives free of heart disease and stroke through cutting-edge research, public and professional education programs and public health. The partnership with Swedish has enhanced opportunities to expand CPR training, community presentations of its Life's Simple 7 cardiovascular program and expand participation in walking and diet programs offered by the AHA. Lifelong AIDS Alliance Lifelong AIDS Alliance empowers people living with or at risk of HIV/AIDS and other chronic conditions to lead healthier lives. As a community care provider, Swedish has partnered with the organization to host conferences focused on prevention, policy and practice, along with forming a Medicaid Expansion work group to understand the upcoming challenges and opportunities with health-care reform in Washington. March of Dimes The March of Dimes works to improve the health of babies by preventing birth defects, premature birth and infant mortality. Long recognized for prenatal, labor and delivery care, Swedish staff works closely with March of Dimes to improve education and support for expecting and new parents, along with an active involvement in public functions and fundraising activities throughout the community. In 2012, March of Dimes selected Jennifer Graves, R.N., MS, Chief Executive and Nurse Executive, Swedish/Ballard, as their Nurse of the Year for her commitment to prenatal and infant care programs.Senior Services Senior Services is the Puget Sound's one-stop nonprofit shop for senior citizens and their loved ones. Swedish has partnered with Senior Services to provide mobile mammography services to aging women of color, along with tailored health and fitness classes. In 2012, Swedish and Senior Services partnered on presentations to 15 senior housing facilities, centers and groups. National Multiple Sclerosis Society The Pacific Northwest has the highest rates of multiple sclerosis in the United States. Medical partners are critical to increasing access to education, early treatment protocols and screening. Swedish's physicians participate in numerous community events to provide information and education. Its Charity Care program funds care for uninsured patients and the Swedish Multiple Sclerosis Center hosts regular group support meetings with individuals in various stages of the disease.Sponsorships As a nonprofit health system, Swedish is pleased to support the vital work of local nonprofit organizations. With the advent of the CHNA, we aligned our donation practices to support organizations that work to improve the health of citizens in our community. These organizations must align with our mission, vision and our community needs assessment. Sponsorship Guidelines *Promote healthy living or disease prevention for the general public. *Closely fit the Swedish mission, vision and community needs assessment. *Address a target population in the communities we serve. Program Highlights Global to Local Global to Local is a new approach in applying global solutions to local health-care challenges in underserved populations. Swedish, in partnership with HeathPoint, Public Health-Seattle & King County and the Washington Global Health Alliance, is working to improve the lives of people worldwide. Global to Local seeks to utilize expertise and experience from these organizations to discover ways in which successful global health strategies can be applied in our county, state and country. Global to Local is collaborating with neighboring cities of Tukwila and SeaTac, Wash., to provide innovative, holistic and community-driven solutions to providing health care and economic development strategies in these diverse, low-income populations.Swedish Community Specialty Clinic To further Swedish's commitment to serve the uninsured, we opened the Swedish Community Specialty Clinic at the Swedish/First Hill campus in September 2010. The former Mother Joseph and Glaser specialty clinics combined and partnered with King County Project Access (KCPA) to provide expanded specialty care services to our community. The Community Specialty Clinic provides a workable solution to one of the most pressing health-care problems facing low-income and uninsured people in our community - access to specialty care services. This program builds on the safety net of primary care provided by the community health and public-health clinics in King County. Through KCPA and a volunteer staff of more than 300 Swedish specialty physicians, low-income uninsured patients have access to needed specialty health care and donated ancillary, in- and out-patient hospital services. A Specialty Dental Clinic with more than 30 volunteer oral surgeons and dentists was added. This program was developed and funded through a unique collaboration between Swedish, Project Access Northwest, Seattle-King County Dental Society/Foundation and the Washington Dental Services Foundation. Our goal is to set a new standard in community health and demonstrate the importance of charity care to our nonprofit mission even in tough economic times. Collaborations with King County Hospitals and Public Health Swedish is participating in a collaborative approach that identifies community needs, assets, resources and strategies toward assuring better health and health equity for all King County residents. This collaborative approach will eliminate duplicative efforts, lead to the creation of an effective, sustainable process and stronger relationships between hospitals and public health; and enable joint efforts for implementation strategies that will improve the health and well-being of our communities. The purpose is to institutionalize a collaborative approach to conduct comprehensive CHNA for King County and identify opportunities for the development and implementation of collective, data driven, implementation strategies. Part III, Line 4: The Health System provides for an allowance against patient accounts receivable for amounts that could become uncollectible. The Health System 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 coverage and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process used by the Health System. The Health System records a provision for bad debts in the period of services on the basis of past experience, which has historically indicated that many patients are unresponsive or are otherwise unwilling to pay the portion of their bill for which they are financially responsible. Part III, Line 8: The amount reported on Part III, Section B, Line 6 was determined by applying the Cost to Charges Ratio to the Medicare revenue.Swedish believes that all of the Medicare shortfall should be considered community benefit. The hospital provides care regardless of the shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. Part III, Line 9b: Swedish Health Services follows standard collection practices and complies with governing laws, regulations and authorities, including WAC Title 246 Chapter 453, Hospital Charity Care.Charity is re-screened throughout the revenue cycle when account events, such as patient-initiated contact requesting alternative payment options, trigger review. A guarantor may submit a charity care discount application at any point in the revenue cycle, from pre-admission to final payment of the bill. The patient application process is not a requirement for charity eligibility review of accounts with characteristics identified for charity approval. Part VI, Line 2: NEEDS ASSESSMENT:Working with a community advisory committee made up of key community partners, Swedish developed a community needs assessment tool. This instrument defined, among other things, underserved patient access to care and access for specialty health care needs. The methodology was derived from the leading health indicators for King County and was cross referenced with research done by the Washington Health Foundation, United Way of King County and Healthy People 2010.Based on this information, Swedish has developed partnerships with community agencies where we have combined our resources to impact the negative health trends in the community. To date, we have developed partnerships with the American Diabetes Association, the American Heart Association, Senior Services of King County, March of Dimes, United Way, Lifelong Aids Alliance, National Multiple Sclerosis Society and the Washington Health Foundation.Some current trends affecting the community include: poverty and access to affordable healthcare.Negative local trends affecting the community assessment include: prevalence of low birth weight babies, breast cancer, diabetes, HIV/Aids, hypertension, high blood cholesterol, heavy drinking and multiple sclerosis.Areas seeing improvement in King County, but still needing improvement, include incidence of stroke, colorectal cancer death, lung cancer death, suicide, smoking cessation, vaccinations, aids incidence and seatbelt use.Swedish is customizing and expanding its community needs assessment to each hospital within Swedish Health Services. As of January 2012, each hospital had an individualized assessment geared to the specific community it serves. Part VI, Line 3: COMMUNICATIONS TO THE PUBLIC:Swedish Medical Center is committed to the provision of healthcare services to all persons in need of medical attention regardless of their ability to pay.Employees are responsible for processing applications in a respectful and courteous manner. Processing should in no way discourage patients from receiving healthcare or result in the delayed provision of essential healthcare services. Charity care/financial assistance are available to any eligible patient without regard to race, color, sex, religion, age or national origin. All interactions with patients must respect the inherent worth of all persons and their individual dignity.Public Notices:Our Financial Assistance (Charity Care) Policy is made available via wall posters that are located in registration areas and emergency departments. Letter size posters are also available in departments and health resource centers.Brochures are available for dissemination or upon request and are available in several languages including, but not limited to, English, Spanish, Chinese, Vietnamese and Korean. Brochures, applications and the sliding scale are available to any person requesting the information whether in person, by mail or by telephone.Timing of Application:Patients may apply for charity care prior to service, at the time of service or at any point in the billing process up to the resolution of the account.Identification of Charity Care Candidates:Every effort is made to identify patients who would benefit from charity care at the earliest point possible. Care for a patient's well-being is as important as care for their medical needs. It is our goal to diminish a patient's worry over healthcare bills. Employees must be alert to indications that the patient or family has concerns about their ability to pay healthcare bills, even if the patient does not specifically ask about charity care or financial assistance.General Application Process:Once a patient is identified as a charity care candidate, the patient will be interviewed. Interpreters will be offered and arranged as appropriate. Registrars or financial counselors may assist patients in completion of applications. Part VI, Line 4: COMMUNITY INFORMATION:King County King County's population is not only growing, but is becoming more diverse by race and ethnicity. In 1980, 13 percent of the population was people of color. By 2010, that proportion had grown to 35 percent. This trend is likely to continue as nearly half of all people in King County under age 18 are people of color. In 2009, the Tukwila School District was named the most ethnically diverse school district in the United States. More than 100 languages are spoken in King County and 11 percent of the population over age 5 has limited-English proficiency. The proportion of the population with limited-English proficiency varies significantly across geographic areas of the county. Leading Health Indicators measure environmental conditions and behaviors that impact health and safety as well as specific health outcomes. Key trends in King County include: *Deaths and injuries resulting in hospitalizations due to motor vehicle crashes have continued to decline in the East Region since 1990. Throughout King County, however, injuries have leveled off. Males between the ages of 15-24 and 75 or older had the highest motor vehicle injury death rates. *Infant mortality declined to a rate of 4.3 per 1,000 births in King County. The rate was highest for African Americans, American Indian/Alaska Natives, those living in high poverty areas and South King County residents. *The teen birth rate has declined since 1992, leveling off in 2003. Seattle, North and East Regions have continued to show a decline. Rates declined sharply in high-poverty neighborhoods. All racial/ethnic groups have experienced a drop or leveling of teen births, with the exception of the Hispanic/Latino population, which has risen. Overall, the average level of stress reported by King County residents was not especially high. It decreased among residents in the East Region. By comparison, residents of Seattle and South Region reported more stress than residents of East Region. Younger adults, people of color, people with a high school education or less and people who have lower incomes experience more stress than others. *Abuse of alcohol and use of tobacco remain problems countywide. Although smoking has declined, tobacco use remains common among younger adults, people of color, adults with lower income and lower educational levels. Males were three-times more likely to report binge drinking than females. Five percent of 8th graders reported smoking cigarettes and 12 percent reported using alcohol in the last month. *The proportion of adults who are overweight and obese continued to increase in King County. In 2007, 55.5 percent of King County adults were overweight or obese, up from 47 percent in 1997. Just over half of adults met physical activity recommendations, with 16 percent reporting no leisure-time physical activity in the past month. Among youth, 22 percent were overweight or at-risk of overweight and 39 percent met physical activity recommendations. *Almost 7 percent of adults were severely limited in their daily activities due to poor health, increasing from 1998 to 2007. Twenty-one percent of adults in King County reported a disability due to a lasting physical, emotional or mental problem, with or without accompanying poor health. *Following a decline from 1993 to 2001, the percentage of King County adults under the age of 65 without health insurance rose to 13 percent. Uninsured rates were highest in the South Region. Younger adults, Hispanic/Latino population, men, those with low income and those with low educational attainment were more likely to be uninsured. Approximately 15,000 children ages 18 or younger were uninsured in 2006. Snohomish County There are 704,300 residents in Snohomish County. Key demographic features of Snohomish County include: *A population that has grown rapidly and become more diverse. Snohomish County has grown 16.2 percent since 2000 and is expected to increase to 862,000 by 2020. Hispanics were the fastest growing ethnic group. *An aging population, with middle-aged adults (45-64 years) increasing by 48 percent since 1990. *A growing population of vulnerable residents (as measured by the percent of births paid for by Medicaid and percentage of residents without health insurance) is increasing as well. King County Community Health Indicators Each indicator includes separate measures linked to King County trends and demographics, data for King County Health Planning Areas and comparisons to other U.S. counties and the Healthy People 2010 Indicator, if available. Part VI, Line 6: AFFILIATED HEALTH CARE SYSTEM:The Health System (as defined below) owns or operates 32 general acute care hospitals, three ambulatory care centers, five medical groups, six long-term care facilities, seven homecare and hospice entities, five assisted living facilities, a high school, a university, 13 low-income housing projects, the Health Plan, a health services contractor, two programs of all inclusive care for the elderly, and 21 controlled fundraising foundations.The Health System provides inpatient, outpatient, primary care, and home care services in Alaska, Washington, Montana, Oregon, and Southern California. The Health System operates these businesses primarily in the greater metropolitan areas of Anchorage, Alaska; Everett, Seattle, Edmonds, Spokane, and Olympia, Washington; Missoula, Montana; Portland and Medford, Oregon; and Los Angeles, California. Reports Filed With States Part VI, Line 7 WA Part V, Line 8 Facility Reporting Group A See below Facility 1 -- Swedish First Hill Part V, Section B, line 20d: There is no maximum amount. Swedish Health Services adjusts all eligible amounts. Facility 2 -- Swedish Cherry Hill Part V, Section B, line 20d: There is no maximum amount. Swedish Health Services adjusts all eligible amounts. Facility 3 -- Swedish Ballard Part V, Section B, line 20d: There is no maximum amount. Swedish Health Services adjusts all eligible amounts. Facility 4 -- Swedish Issaquah Part V, Section B, line 20d: There is no maximum amount. Swedish Health Services adjusts all eligible amounts. 1 Swedish Medical Center Foundation 747 Broadway Seattle WA 98122 910983214 501(c)(3) 2690732 Operation Support Allen Institute For Brain Science 551 North 34th Street Ste 200 Seattle WA 98103 912155317 501(c)(3) 223856 Brain Research Pacific Science Center 200 2nd Ave N Seattle WA 98109 910750867 501(c)(3) 150000 Professional Wellbody Academy Western Institutional Review Board 3535 7th Ave SW Olympia WA 98502 911002554 Other 102641 Drug Research and Review University of Washington 3917 University Way NE Box 351130 Seattle WA 98105 916001537 115 61008 Migraine Research Fred Hutchison Cancer Research Center 1100 Fairview Ave N J4-500 - PO Box 19024 Seattle WA 98109 237156071 501(c)(3) 57223 Cancer Research Seattle Center Foundation 305 Harrison Street Seattle WA 98109 911003385 501(c)(3) 50000 Guiding Lights Weekend Sponsorship Washington Health Foundation 600 Stewart Street Suite 220 Seattle WA 98101 916033679 501(c)(3) 50000 Healthiest State Campaign Sponsorship & Support for Assistance to Global to Local Health Project. American Diabetes Association 6315 Fleming Street Everett WA 98203 131623888 501(c)(3) 40000 ADA Expo Sponsorship Michigan State University 840 Service Rd East Lansing MI 48824 386005984 501(c)(3) 37310 MicroRNA & PTD Study March Of Dimes 1904 3rd Avenue 230 Seattle WA 98101 131846366 501(c)(3) 35880 MoD Event Sponsorship + Promo T-shits Senior Services 2208 Second Avenue Suite 100 Seattle WA 98121 910823767 501(c)(3) 35000 Senior Services Sponsorship American Heart Association 710 2nd Avenue Suite 900 Seattle WA 98104 135613797 501(c)(3) 30000 AHA Heart Walk Sponsorship Lifelong Aids Alliance 1002 E Seneca Street Seattle WA 98122 911215715 501(c)(3) 30000 LAA Benefit Sponsorship National Bureau Of Asian Research 1414 NE 42nd Street Seattle WA 98105 911444105 501(c)(3) 20000 Pacific Health Summit Sponsorship United Way Of King County 720 2nd Avenue Seattle WA 98104 910565555 501(c)(3) 20000 Bridge to Basics - After School Meals Program Susan G Komen Race for the Cure 1500 SW 1st Ave Suite 270 Portland OR 97201 931068897 501(c)(3) 16000 Program Support National MS Society 192 Nickerson Street Seattle WA 98109 135661935 501(c)(3) 15000 Dinner of Champions and On the Move Luncheons Sponsorships Rotary Club of Seattle Northeast Foundation PO Box 25688 Seattle WA 98165 911440821 501(c)(3) 15000 Program Support The Foundation Of The Rotary Club Of Mercer Island PO Box 1 Mercer Island WA 98040 911058004 501(c)(3) 15000 Mercer Island Rotary Half Marathon Sponsorship State of Washington Employment Security PO Box 9046 Olympia WA 98507 916001099 Government 13500 AmeriCorps cash match for 2012-2013 (Payment for Global to Local Health Promoters) Seattle University 901 12th Avenue Box 222000 Seattle WA 98122 910565006 501(c)(3) 12500 2012-2013 Seattle University Corporate Partnership/Program Support University Of Washington Foundation Box 357230 Attn Patricia McCowan Seattle WA 98195 943079432 501(c)(3) 12500 Leo Greenawalt Professorship Columbia University 2920 Broadway New York City NY 10027 135598093 501(c)(3) 11862 Placental Disorder Research American Cancer Society 2120 1st Ave Seattle WA 98109 841316555 501(c)(3) 10200 Program Support Arthritis Foundation 115 NE 100th St Suite 350 Seattle WA 98125 383826066 501(c)(3) 10000 Program Support George Pocock Rowing Foundation 3320 Fuhrman Avenue E Seattle WA 98102 911276445 501(c)(3) 10000 Youth Development Initiative Support Kindering Center 16120 NE 8th Street Bellevue WA 98008 910816827 501(c)(3) 10000 Salute to Courage Luncheon Sponsorship Mary Meyer Life Fitness 2917 24th Avenue W Seattle WA 98199 141844698 Other 10000 Get Out There & Tri Triathlon Sponsorship Medical Teams International 9680 153rd Avenue NE Redmond WA 98052 930878944 501(c)(3) 10000 Sponsorship of Mobil Dental Clinics Neighborcare Health 1537 Western Avenue Seattle WA 98101 910893287 501(c)(3) 10000 Pumpkin Push 5k & Family Walk Sponsorship Northwest Kidney Centers PO Box 3035 Seattle WA 98114 916057438 501(c)(3) 10000 Breakfast of Hope Sponsorship Pacific Northwest Diabetes Research Institute 720 Broadway Seattle WA 98122 910667886 501(c)(3) 10000 Evening of Wine Sponsorship Providence Health & Services - Washington 1801 Lind Avenue SW Renton WA 98057 510216586 501(c)(3) 10000 Providence O'Christmas Trees Sponsorship The Seattle Foundation 1200 5th Avenue Seattle WA 98101 916013536 501(c)(3) 10000 GiveBIG Sponsorship Washington Global Health Alliance 1900 9th Avenue Floor 10 Seattle WA 98101 272314726 501(c)(3) 10000 Global Health Month Sponsorship YWCA Of Seattle King & Snohomish Counties 1118 Fifth Avenue Seattle WA 98101 910482890 501(c)(3) 10000 Seattle Luncheon Sponsorship Lutheran Community Services Northwest 4040 S 188th Street Suite 300 SeaTac WA 98188 930386860 501(c)(3) 8000 Back to School Resource Fair - Event Support College Success Foundation 1605 NE Sammamish Road 200 Issaquah WA 98027 912036088 501(c)(3) 7500 Sponsorship benefiting the WA State Governor's Scholarships for Foster Youth Foundation Of The NSNA 45 Main Street Suite 606 Brooklyn NY 11201 133123125 501(c)(3) 7500 Promise of Nursing for WA Gala Sponsorship Life Support PO Box 264 South Cle Elum WA 98943 200413954 501(c)(3) 6000 Life Support Golf Classic/Dinner Auction Sponsorship Parent Advisory Committee (BC PAC) 3000 Landerholm Circle SE Bellevue WA 98007 911009451 501(c)(3) 6000 Healthy Kids Healthy Families Sponsorship Physicians Anesthesia Service 1229 Madison St Ste 1440 Seattle WA 98104 910885149 Other 5601 Research Study Seattle Science Foundation 550 17th Avenue 600 Seattle WA 98122 611502822 501(c)(3) 5199 Swedish Heart & Vascular Institute Donor Event Cancer Lifeline of King County 6522 Fremont Ave N Seattle WA 98103 916182951 501(c)(3) 5000 Program Support Community Lunch On Capitol Hill 1710 11th Avenue Seattle WA 98122 050588889 501(c)(3) 5000 Contribution Eastside Baby Corner 1510 NW Maple Street Issaquah WA 98027 911617032 501(c)(3) 5000 Annual Benefit Luncheon Sponsorship Gilda's Club Seattle 1400 Broadway Seattle WA 98122 911742315 501(c)(3) 5000 Program Support Little Red School House 14 E Casino Road Everett WA 98208 916053563 501(c)(3) 5000 Assistance with mass mailing to resident of Snohomish County relative to the pertussis epidemic Nick Of Time Foundation 1423 34th Avenue Unit C Seattle WA 98122 204200756 501(c)(3) 5000 Nick of Time Foundation Sponsorship Northwest African American Museum 2300 S Massachusetts Street Seattle WA 98144 760835379 501(c)(3) 5000 Genealogy and Education Center Programming Support Polyclinic Community Health Foundation 904 7th Avenue Seattle WA 98104 810584770 501(c)(3) 5000 Music for Medicine Sponsorship Program for Early Parent Support 4649 Sunnyside Avenue N Seattle WA 98103 911212698 501(c)(3) 5000 Benefit Luncheon Sponsorship Safe Crossing Foundation 1402 3rd Avenue Seattle WA 98101 752992774 501(c)(3) 5000 Luncheon Sponsorship The Foundation for Private Enterprise Education (dba WA Business Week) 33305 1st Way South Suite B-212 Federal Way WA 98003 911048245 501(c)(3) 5000 Healthcare Program Contribution University Of Washington School Of Nursing 4333 Brooklyn Avenue NE Seattle WA 98195 916001537 115(1) 5000 Recognition Banquet Sponsorship 53 3 Community grants and sponsorships are determined via the data-driven methodology contained in the Community Health Needs Assessment. In addition, a community advisory council monitors and confirms our ongoing assessment of these healthcare needs. Swedish Health Services makes an annual contribution to the Swedish Medical Center Foundation to assist with the foundation's operating expenses. 1 1 0 0 0 0 0 0 0 John F Koster MD 0 1257618 0 2794425 0 17769 0 353700 0 29015 0 4452527 0 339126 Jeffrey W Rogers 0 444646 0 178408 0 577 0 300735 0 19058 0 943424 0 48099 Todd Hofheins 0 362360 0 175788 0 17577 0 18701 0 21725 0 596151 0 0 Jeffrey D Veilleux -Thru 112 145225 350341 0 225000 90000 0 16549 174667 7657 13566 259431 763574 0 0 Dan Harris 0 409731 0 280745 0 577 0 293467 0 8168 0 992688 0 0 Michael L Butler 0 873495 0 516168 0 16368 0 863387 0 27457 0 2296875 0 435962 Rod Hochman MD 293670 692640 0 250000 202400 0 22400 284676 7973 17128 526443 1244444 0 0 John H Vassall MD 126435 314847 185400 0 68226 0 12500 114181 9062 12352 401623 441380 0 0 Arnold R Schaffer 0 741165 0 1189129 0 7979 0 185872 0 23669 0 2147814 0 630732 John V Fletcher 0 547460 0 1010144 0 17769 0 238549 0 20704 0 1834626 0 388497 Janice J Jones 0 593458 0 370591 0 67207 0 180325 0 23726 0 1235307 0 154703 Myron Berdischewsky MD 0 496463 0 1828076 0 34769 0 142532 0 24073 0 2525913 0 404844 Todd Strumwasser MD 129003 306845 2500 0 59077 11923 13735 63193 7717 13709 212032 395670 0 0 Cindra R Syverson 0 396975 0 164708 0 577 0 197231 0 23437 0 782928 0 130173 Terry L Smith 0 620095 0 326004 0 66315 0 326854 0 22265 0 1361533 0 69195 Joanne Suffis 101486 243068 180250 373125 48731 0 17374 86327 4190 7286 352031 709806 0 0 Michael Wilson 0 794997 0 0 0 0 0 917 0 0 0 795914 0 0 Ray Williams 147282 344522 202500 250000 296131 0 17500 119753 7827 17919 671240 732194 0 0 Kevin Brown 126656 333424 0 225000 73692 11000 14929 114573 9428 15173 224705 699170 0 0 Cindy Strauss 108978 267832 0 180000 55333 9667 11558 162256 20713 11396 196582 631151 0 0 Janice Newell 117311 287077 0 191250 67173 9000 14641 153142 7631 8184 206756 648653 0 0 David T Brooks 0 424982 0 181458 0 577 0 225451 0 20084 0 852552 0 149660 Medrice Coluccio 0 417956 0 141489 0 17577 0 419464 0 13541 0 1010027 0 344898 John O Mudd 0 359051 0 128263 0 17769 0 94957 0 19393 0 619433 0 0 Phil Jackson 0 393919 0 165118 0 50067 0 134924 0 22765 0 766793 0 0 David Warren Newell 742587 0 614339 0 17000 0 17500 0 18604 0 1410030 0 0 0 Henry G Kaplan 1113801 0 240993 0 0 0 17500 0 22168 0 1394462 0 0 0 Rod Jamshid Oskouian 541689 0 772421 0 17000 0 17829 0 18818 0 1367757 0 0 0 Marc Robert Mayberg 864059 0 318700 0 17000 0 17500 0 23360 0 1240619 0 0 0 Joseph F Tepley 1137349 0 0 0 0 0 17500 0 17826 0 1172675 0 0 0 Part I, Line 1a The reporting organization did not provide any of the benefits listed in Part I, Line 1a. However, as part of the related organization's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. The related organization's Expense Reimbursement Procedures include the following policies: First Class Travel or Charter Travel or Travel of Companions Air travel is reimbursable for tourist or economy class and should be at the least expensive airfare; which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class air travel will only be reimbursed when tourist or economy class air travel is not available and business travel is mandated by a supervisor. In the rare circumstance that an executive must fly on a first class full fare ticket, their senior level supervisor must approve this expense. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approval by the SVP/Chief Human Resources Officer. During 2012, a total of one first-class ticket was purchased for disclosed personnel. Tax Indemnifications or Gross-Up Payments The related organization follows the federal and state taxation laws related to relocation expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way the related organization has chosen to pay the relocation expenses, the related organization reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. The related organization will gross-up the relocation benefits to offset the personal tax burden to the employee for IRS allowable expenses. During 2012, the following Key Employees received gross-up payments: Arnold R. Schaffer - Relocation Phil Jackson - Relocation The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. Discretionary Spending Account The related organization provides an executive flex spending allowance per year (paid bi-weekly). This benefit is provided as discretionary spending because the organization does not reimburse for or provide additional executive benefits, such as a car allowance, additional executive life or disability insurance, or other market-based executive benefits practices. This benefit was discontinued for Calendar Year 2012. Housing Allowance or Residence for Personal Use The related organization provides housing allowances for purposes of relocation assistance only. The related organization may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding "rent" which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The SVP/Chief Human Resources Officer may approve temporary housing assistance for up to six months when family relocation is delayed to accommodate the school year or equivalent circumstances. Only in extenuating circumstances is housing extended beyond this six month period. During 2012, the following Key Employees received relocation/housing program payments: Arnold R. Schaffer Phil Jackson Terry L. Smith Ray Williams The amounts reported for these relocation payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. Part I, Line 3 Swedish Health Services' Board consists of the same individuals as those then currently serving on the Board of Directors of Providence Health & Services - Washington. Part I, Lines 4a-b NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan C) ESP = Elective Survivor Plan D) NQ = Non-Qualified 409(a) Payout 1) John F. Koster, MD a) Taxable SERP Earned but not Paid- $1,872,867 b) SERP Interest Credit - $327,363 2) Jeffrey W. Rogers a) Taxable SERP Earned but not Paid - $44,273 b) ESP Interest Credit - $87,150 c) SERP Interest Credit - $136,048 3) Michael L. Butler a) SERP Interest Credit - $301,732 b) SERP Earned but not Vested - $527,516 4) Rod Hochman, MD a) NQ - $202,400 b) SERP Earned but not Vested - $284,676 5) Arnold R. Schaffer a) Taxable SERP Earned but not Paid - $819,315 b) SERP Interest Credit - $157,753 6) John V. Fletcher a) Taxable SERP Earned but not Paid - $511,574 b) Taxable CBRP Earned but not Paid - $5,997 c) ESP Interest Credit - $50,355 d) SERP Interest Credit - $122,030 7) Janice J. Jones a) Taxable SERP Earned but not Paid - $147,676 b) Taxable CBRP Earned but not Paid - $264 c) Non-Taxable SERP Earned - $1 d) SERP Interest Credit - $144,057 8) Myron Berdischewsky, MD a) Taxable SERP Earned but not Paid - $1,522,140 b) Non-Taxable SERP Earned - $43,658 c) SERP Interest Credit - $82,406 9) Cindra R. Syverson a) SERP Interest Credit - $33,544 b) SERP Earned but not Vested - $148,036 10) Terry L. Smith a) Taxable SERP Earned but not Paid - $68,857 b) Taxable CBRP Earned but not Paid - $673 c) ESP Interest Credit - $67,068 d) SERP Interest Credit - $164,038 11) Ray Williams a) SERP Earned but not Vested - $119,753 12) Kevin Brown a) NQ - $60,000 b) SERP Earned but not Vested - $114,573 13) Cindy Strauss a) NQ - $48,000 b) SERP Earned but not Vested - $161,294 14) Phil Jackson a) SERP Interest Credit - $9,748 b) SERP Earned but not Vested - $85,986 15) David T. Brooks a) SERP Interest Credit - $44,009 b) SERP Earned but not Vested - $161,703 16) Medrice Coluccio a) SERP Interest Credit - $55,860 b) SERP Earned but not Vested - $341,617 17) Jeffrey D. Veilleux a) SERP Earned but not Vested - $172,821 18) Dan Harris a) SERP Interest Credit - $44,809 b) SERP Earned but not Vested - $216,576 19) Joanne Suffis a) SERP Earned but not Vested - $86,327 20) John H. Vassall a) SERP Earned but not Vested - $111,416 21) Janice Newell a) SERP Earned but not Vested - $146,896 22) Todd A. Strumwasser a) SERP Earned but not Vested - $63,193 Supplemental Information Part III FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM Based upon the Affiliation Agreement with Providence Health & Services discussed in Schedule O, executives of Swedish Health Services beacme employees of Providence Health & Services during 2012. As such, they qualified for the Providence Executive Performance Awards Program discussed below. The Providence Executive Performance Awards Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives and personal objectives. In 2012, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's five strategic priorities of: mission driven, financially responsible, people centered, service oriented and quality focused. In 2012 the percent allocation for each of these strategic priorities was: Mission driven 10% Financially responsible 10% People centered 10% Service oriented 10% Quality focused 10%. To ensure affordability of the program, the organization (system, region or entity) must meet a threshold of 50 percent of budgeted net operating income. A Washington Health Care Facilities Authority Revenue Bonds SeriesABC & D 911108929 93978HGG4 2012-07-19 819530895 Proceeds were used to refinance all of outstanding WHCFA (SHS Bonds) 0 0 0 A 819530895 2974847 348510222 7422456 242643 460380728 2011 1 1 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 Warren Fein Family Member of Cindy Strauss 380140 Employment 0 Changes in Program Services Form 990, Part III, line 3 During 2012, as a result of the affiliation with Providence Health & Services, Swedish Health Services closed down its Home Health Division and Visiting Nurses Program. Affiliation Agreement On February 1, 2012, Providence Health & Services (the Health System) and Swedish Health Services (Swedish) effected an affiliation Agreement, which integrated the operations of the two health systems. The Health System and Swedish have affiliated to create a fully integrated, nonprofit, charitable health care system serving the communities throughout Western Washington. No cash or other purchase consideration was transferred to effect the affiliation. Effective July 1, 2012, Providence Health System - Southern California entered into an affiliation agreement with Facey Medical Foundation and Facey Medical Group. The Facey Medical Foundation is a nonprofit medical foundation, which operates ten clinics in the North San Fernando, Santa Clarita, San Gabriel and Simi Valleys. These sites are staffed by the Facey Medical Group physicians pursuant to a professional services agreement. No cash or other purchase consideration was transferred to effect the affiliation. Form 990, Part VI, Section A, line 6 The sole corporate member of the corporation is Western HealthConnect, a Washington nonprofit corporation. Form 990, Part VI, Section A, line 7b The following powers are reserved to and exercised exclusively by Member: 1) To amend or repeal the Articles of Incorporation or Bylaws; 2) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale, transfer, assignment, or encumbering of the assets; 3) To approve the dissolution, liquidation, consolidation or merger with another corporation or entity; 4) To approve the annual operating and capital budgets of the Corporation on a consolidated region-wide basis and recommend approval of the Corporation's budget; and 5) To appoint certified public accountants after receiving the recommendation of the Board of Directors, and to receive the annual audit report from such accountants. Form 990, Part VI, Section B, line 11 The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes and external tax advisors. The Board and signing Officer reviewed the Form 990 in detail. Once approved, an electronic copy of the Form 990 is emailed to the Board prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Swedish Health Services is a Providence-related Organization. Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related and affiliated organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence/Swedish and Providence/Swedish. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. Form 990, Part VI, Section B, line 15 Process for determining compensation of top management, officers & key employees: Based upon the Affiliation Agreement with Providence Health & Services, executives of Swedish Health Services became employees of Providence Health & Services during 2012. As such, the Executive Compensation policies for Providence also applied to Swedish Executives. It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are determined by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational and individual goals for furthering Providence operating principles - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated customer satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. Form 990, Part VI, Section C, line 19 Swedish Health Services' Code of Conduct and Conflict of Interest Policy are available at www.Swedish.Org. Governing documents and financial statements are available upon request. Contact Addresses for Officers, Directors, Etc Form 990, Part VII Lucille Dean, SP - 1801 Lind Avenue SW, Renton, WA 98057. Mary Corita Heid, RSM - 1801 Lind Avenue SW, Renton, WA 98057. Michael A. Stein - 1801 Lind Avenue SW, Renton, WA 98057. Michael Holcomb - 1801 Lind Avenue SW, Renton, WA 98057. Dana A. Rasmussen - 1801 Lind Avenue SW, Renton, WA 98057. James S. Roberts, MD - 1801 Lind Avenue SW, Renton, WA 98057. Peter J. Snow - 1801 Lind Avenue SW, Renton, WA 98057. Jeffrey B. Clode, MD -Thru 6/12 - 1801 Lind Avenue SW, Renton, WA 98057. Sallye Liner - 1801 Lind Avenue SW, Renton, WA 98057. Owen B. Robinson - 1801 Lind Avenue SW, Renton, WA 98057. Cheryl M. Scott - 1801 Lind Avenue SW, Renton, WA 98057. Ellen L. Wolf - 1801 Lind Avenue SW, Renton, WA 98057. Isiaah Crawford - 1801 Lind Avenue SW, Renton, WA 98057. Martha Diaz Aszkenazy - 1801 Lind Avenue SW, Renton, WA 98057. Kirby McDonald - 1801 Lind Avenue SW, Renton, WA 98057. Dave Olsen - 1801 Lind Avenue SW, Renton, WA 98057. Charles (Chuck) Watts - 1801 Lind Avenue SW, Renton, WA 98057. John Nordstrom -Thru 7/12 - 1801 Lind Avenue SW, Renton, WA 98057. John F. Koster, MD - 1801 Lind Avenue SW, Renton, WA 98057. Jeffrey W. Rogers - 1801 Lind Avenue SW, Renton, WA 98057. Todd Hofheins - 1801 Lind Avenue SW, Renton, WA 98057. Jeffrey D. Veilleux -Thru 1/12 - 1801 Lind Avenue SW, Renton, WA 98057. Dan Harris - 1801 Lind Avenue SW, Renton, WA 98057. Michael L. Butler - 1801 Lind Avenue SW, Renton, WA 98057. Rod Hochman, MD - 1801 Lind Avenue SW, Renton, WA 98057. Arnold R. Schaffer - 1801 Lind Avenue SW, Renton, WA 98057. John V. Fletcher - 1801 Lind Avenue SW, Renton, WA 98057. Janice J. Jones - 1801 Lind Avenue SW, Renton, WA 98057. Myron Berdischewsky, MD - 1801 Lind Avenue SW, Renton, WA 98057. Cindra R. Syverson - 1801 Lind Avenue SW, Renton, WA 98057. Terry L. Smith - 1801 Lind Avenue SW, Renton, WA 98057. Joanne Suffis - 1801 Lind Avenue SW, Renton, WA 98057. Michael Wilson - 1801 Lind Avenue SW, Renton, WA 98057. Ray Williams - 1801 Lind Avenue SW, Renton, WA 98057. Kevin Brown - 1801 Lind Avenue SW, Renton, WA 98057. Cindy Strauss - 1801 Lind Avenue SW, Renton, WA 98057. Janice Newell - 1801 Lind Avenue SW, Renton, WA 98057. David T. Brooks - 1801 Lind Avenue SW, Renton, WA 98057. Medrice Coluccio - 1801 Lind Avenue SW, Renton, WA 98057. John O. Mudd - 1801 Lind Avenue SW, Renton, WA 98057. Phil Jackson - 1801 Lind Avenue SW, Renton, WA 98057. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Income from Recipient Organization 2,542,261. Interaffiliate Transfers 2,896,517. Discontinued Operations -12,011,797. Net Asset Transfers 274,039,609. Rounding 5. Audit & Compliance Form 990, Part XII, Line 2c The Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. VOLUNTEERS FORM 990, PART I, Line 6 Swedish Ballard At the Swedish Ballard campus in 2012 there were 229 volunteer placements in 27 areas of service. Our service hours for the year totaled: 31,570. Volunteers served in patient care areas providing patient and visitor comfort measures, assisted with stocking, room turnovers, patient navigation, lab specimen runs, wheelchair discharges, greeting visitors and light clerical duties. In Ancillary departments volunteers may greet patients, help with reception, navigation, phones, data entry, scheduling, and stocking. In Physical Therapy they also help with cleaning equipment. Volunteers at our Information / Navigation desks assist patients and visitors to their destinations throughout the hospital and medical office buildings. They provide wheelchair assistance as needed and respond to discharge requests via wheelchair. These volunteers deliver intercampus mail, flowers to patients and perform lab specimen runs. We have a Transition Program with the Seattle School District for special needs students age 18-22. These students volunteer in Physical Therapy, Environmental Services and Nutrition Services. They also complete special assignments and make packets for a variety of departments. The morning mail run is often accomplished by a Transition Program volunteer. Volunteers also run the Gift Shop Monday through Friday and many of the Gift Shop volunteers are also members of the hospital Auxiliary. The Volunteers at Swedish Ballard play an integral role in supporting the patients, visitors and staff at our campus. Cherry Hill In 2012, 252 volunteers provided 31,996 service hours to the Cherry Hill Campus and Met Park. (Met Park volunteers are onboarded by the Cherry Hill Volunteer Department.) 44 departments throughout Cherry Hill and 3 at Met Park were served. This volunteer service equated to 17 full-time positions, for a total dollar value of $697,192.00. In addition, Swedish Cherry Hill Volunteer Services placed 14 YWCA Community Jobs interns in 20-hour week, 6-month long internships, where these candidates developed job skills and training in preparation for finding full-time work after their internship period ended. These interns served in the Pharmacy, Billing, Material Service Center, the Multiple Sclerosis Center, ECT, Family Medicine, Human Resources, Patient Registration, CV Imaging and the Skybridge Information & Transport Desk. The Supervisor of Volunteers provided monthly evaluations for each intern, and worked with the intern's case manager to provide mentoring and assistance around barriers to performance. Volunteer Service at Swedish Cherry Hill: Throughout 2012, Information Desk volunteers provided service to over 36,000 visitors and family members of patients. Services included, but were not limited to, way-finding, surgery information updates for family members, community resources, connections to interpreter services, contacting cabs, directions to locations outside of the hospital, assistance with Hopelink's ride service, and connecting surgeons with patient's families after operations. In addition to providing information and way-finding services, Skybridge Transport Desk volunteers provided over 500 transports to outpatient visitors who needed help getting to and from their appointments in the facility. Volunteers on our nursing units supported our nursing staff by performing necessary but routine tasks, thereby freeing the nursing staff to focus on patient care. Volunteers rounded on patients and family members, filled gel and soap dispensers and measured levels for hand hygiene compliance reports, checked expiration dates on lab tubes and other equipment, set up patient rooms, stocked, and helped with other tasks as requested. Volunteers served in administrative roles in a number of departments, supporting staff in a variety of ways, including helping to gather data for the Daisy Award Program, routine but necessary database entry projects helping with large mailings, managing correspondence, and scanning documents into Epic. Our Cherry Hill Inn volunteers served in the evenings so that Inn guests had someone available to them for support after paid staff had departed for the day. Other departments supported by volunteers included the Breast Center, Inpatient and Outpatient Pharmacies, Telemetry, the Mailroom, Wound Healing Center, Ambulatory Infusion, the ER, Inpatient and Outpatient Rehab, Respiratory Therapy, MRI, Case Management, Research, Spiritual Care, Ultrasound, and Bloodless Management. Special Programs: In 2012, Volunteer Services teamed up with Clinical Education to pilot the Volunteer RN Program for our Nursing Simulation Lab. Volunteer RNs take a hands-on role in helping new nurses work through guided scenarios in our state of the art Simulation Lab, setting up scenarios, organizing supplies, breaking down after a scenario, inventorying and stocking supplies, and other support. Via role playing, props, and dialogue, The Simulation Lab supports the creation of a realistic learning environment for our Resident RN Program nurses, aiding them in skill development, critical thinking, and clinical competency. In return, our volunteer RNs's receive practice hours to retain their licensure. Many of the RN's in our Volunteer RN program are just beginning to get their feet wet in the profession again after having taken time to off to raise a family. Some are attending an RN refresher course in preparation for re-entering the professional after a period of leave. We began the program with one volunteer, and by the end of 2012, we had total of 5 volunteer RN's. The program is continuing to grow and expand in 2013 with the addition of two new volunteers and new responsibilities as the program evolves. Demographics: Volunteers at Cherry Hill are a diverse group, ranging in age from 16 to 94, and coming from all walks of life and varied ethnicities. Nursing students and young people exploring careers in the medical industry make up a large portion of our volunteers, as well as retirees, many of whom have been patients at Swedish for much of their lives. Often, volunteer are motivated to "give back" after witnessing a loved one or family member receive excellent care at Swedish. Swedish Issaquah/Mill Creek & Redmond Volunteers serve in various capacities: * Concierge and transport support * Nursing floor assistants * ER liaison and support * Surgery and Recovery * Conference services * Hand Hygiene and patient visiting programs * Pharmacy assistants * Music and Pet Therapy program * Cancer and oncology support * Provide administrative and clerical support * Special projects and events * Clinic support * Imaging * Community outreach * Health info mgmt and scanners * Serve in committees to contribute ideas @ enhancing workflows efficiently First Hill On average volunteers provide 7,500 hours of uncompensated labor each month for the benefit of Swedish Health Services / First Hill. The Independent Sector values one hour of volunteer labor in the State of Washington at $21.79 (national average is $21.01). In any given month over $163,425 of in-kind revenue in generated by volunteer labor. Volunteers do not replace employees; however, they do supplement the paid workforce in nearly every department and every division at Swedish, whether it is an ongoing placement or a one-time special project. These tasks can be clerical in nature, allowing clinical staff to spend more time at the bedside or providing other direct patient care. Some of the departments supported by clerical volunteer help include Clinical Trials, Linguistic Services, Employee Health, Intensive Care nursing units and Private Pay Patient Services. Volunteers also serve in a myriad of clinical departments; which involve direct-patient contact assisting with non-clinical tasks. Non-clinical tasks include providing reading material to patients, offering warm blankets, running errands for the nursing staff, answering in-coming telephone calls and conversation with lonely patients. A few of the areas benefiting from volunteers included our Art with Heart program for Pediatric patients, volunteer visitors with our Advance Bloodless Surgery program, our many volunteers in the out-patient Cancer Treatment Infusion Center, in-patient Orthopedics nursing units, and our in-patient Short Stay nursing unit. Volunteers Continued Our Information Desk, serving patients, staff, visitors and guests alike is completely staffed by volunteers. In a typical 4-hour volunteer shift each volunteer will interact, in some manner, with approximately 150 individuals. Contacts include face-to-face assistance, inquiries by telephone, and forwarding postal mail to in-patients. Individuals also volunteer their time to learn new skills, refresh skills and accumulate hours to be eligible to sit for certification exams. Some of the departments with this type of volunteer include, but are not limited to Spiritual Care, Diagnostic Ultrasound, Clinical Engineering/Biomedical, Pharmacy, Nuclear Medicine, Sterile Processing and Social Work. Swedish Research Volunteers in the research division assisted with the research projects conducted by our investigators in numerous ways. * Preparing regulatory paperwork * Submission process to regulatory boards such as IRB * Data-mining from medical records or case report files in paper and electronic media * Publication support * Filing and other administrative tasks * Transport of patients, biospecimens, and study specific items * Data entry * Editing and other protocol writing activities * Observation of clinical procedures for data capture * Inventory * Support of coordinators, managers and investigators * Other duties as assigned related to research project or administration support Swedish Physicians LLC 600 University Street Suite 1200 Seattle WA 98101 911942315 Physician Clinic WA 65895283 17307082 Swedish Health Services Arnold Condominium LLC 747 Broadway Seattle WA 98122 421679118 Owner Association WA 86151 23770655 Swedish Health Services Swedish Heart Institute Medical Grp LLC 747 Broadway Seattle WA 98122 911911869 Physician Clinic WA 24767740 8759150 Swedish Health Services Swedish Neuroscience Inst Med Grp LLC 747 Broadway Seattle WA 98122 421676551 Physician Clinic WA 23705434 6766217 Swedish Health Services Swedish First Hill Diagnostic Imaging LLC 1001 Boylston AVe Seattle WA 98104 208378242 Medical Imaging WA 5688230 11051812 Swedish Health Services Issaquah Surgery Center LLC 751 NE Blakely Drive Issaquah WA 98029 261205223 Surgery WA -67120 725460 Swedish Health Services Providence Health & Services - 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