SEATTLE CHILDRENS HEALTHCARE SYSTEM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SEATTLE CHILDRENS HEALTHCARE SYSTEM (EIN 91-1250116)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-12
IRS object ID: 201432249349302483
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-12T16:54:56-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	911194016	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLARK NUBER PS	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	10900 NE 4TH STREET SUITE 1700	AddressLine1
City	BELLEVUE	City
State	WA	State
ZIP Code	98004	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	911250116	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SEAT	NameControl
Phone	2069874846	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	981455005	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KELLY A WALLACE	Name
Title	SENIOR VP & CHIEF FINANCIAL OFFICER	Title
Phone	2069874846	Phone
Date Signed	2014-08-12	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JANE M SEARING	Name
PTIN	P00000565	PTIN
Phone	4254544919	Phone
Date Prepared	2014-07-28	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KELLY A WALLACE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	981455005	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	591424002	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SEATTLECHILDRENS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1984	YearFormation
State Legal Domicile	WA	StateLegalDomicile
Activity Or Mission Description	THE PROVISION OF QUALITY HEALTH CARE SERVICES TO INFANTS, CHILDREN AND ADOLESCENTS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	26	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	24	NbrIndependentVotingMembers
Total Nbr Employees	12	TotalNbrEmployees
Total Nbr Volunteers	28	TotalNbrVolunteers
Total Gross UBI	187829	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6058912	ContributionsGrantsPriorYear
Contributions Grants Current Year	2161183	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	10901203	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3184313	ProgramServiceRevenueCY
Investment Income Prior Year	12652102	InvestmentIncomePriorYear
Investment Income Current Year	7258998	InvestmentIncomeCurrentYear
Other Revenue Prior Year	471763	OtherRevenuePriorYear
Other Revenue Current Year	155895	OtherRevenueCurrentYear
Total Revenue Prior Year	30083980	TotalRevenuePriorYear
Total Revenue Current Year	12760389	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	3295041	SalariesEtcPriorYear
Salaries Etc Current Year	2816200	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2079597	OtherExpensePriorYear
Other Expenses Current Year	2106939	OtherExpensesCurrentYear
Total Expenses Prior Year	5374638	TotalExpensesPriorYear
Total Expenses Current Year	4923139	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	24709342	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	7837250	RevenuesLessExpensesCY
Total Assets BOY	570594098	TotalAssetsBOY
Total Assets EOY	611136103	TotalAssetsEOY
Total Liabilities BOY	8796083	TotalLiabilitiesBOY
Total Liabilities EOY	8187124	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	561798015	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	602948979	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) IS ENGAGED IN ACTIVITIES RELATING TO THE PROVISION OF HEALTH CARE SERVICES TO INFANTS, CHILDREN, AND ADOLESCENTS, DELIVERING AND IMPROVING THE DELIVERY AND THE QUALITY OF THOSE SERVICES THROUGH RESEARCH, EDUCATION, AND CONTRIBUTIONS TO OR FOR THE BENEFIT OF TAX-EXEMPT ORGANIZATIONS WHICH PROVIDE HEALTH CARE SERVICES, PRIMARILY SEATTLE CHILDREN'S HOSPITAL.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	1588559	Expense
Revenue	3184313	Revenue
Description	SEATTLE CHILDREN'S HEALTHCARE SYSTEM'S PROGRAM OPERATING COSTS ARE RELATED TO ACTIVITIES INCURRED TO PROVIDE, DIRECTLY OR INDIRECTLY, HEALTHCARE OR HEALTH RELATED SERVICES APPROPRIATE FOR THE SPECIAL NEEDS OF INFANTS, CHILDREN AND ADOLESCENTS, DELIVERING AND IMPROVING THE DELIVERY OF THOSE SERVICES AND/OR THE QUALITY OF THOSE SERVICES THROUGH RESEARCH, EDUCATION, AND CHILD ADVOCACY. PROGRAM REVENUE IS PRIMARILY RELATED TO SEATTLE CHILDREN'S HEALTHCARE SYSTEM'S PROGRAM RELATED JOINT VENTURE WITH SEATTLE CANCER CARE ALLIANCE (SCCA), A NOT-FOR-PROFIT CORPORATION FORMED IN 1998 BY SEATTLE CHILDREN'S HEALTHCARE SYSTEM, THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, AND FRED HUTCHINSON CANCER RESEARCH CENTER FOR THE PURPOSE OF OFFERING A COMPREHENSIVE PROGRAM OF INTEGRATED CANCER CARE SERVICES.	Description
Total Program Service Expense	1588559	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	1	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	3	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	12	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	26	NbrVotingGoverningBodyMembers
Number Independent Voting Members	24	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	WARREN E HEWITT VP FINANCE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2069874846	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4300 ROOSEVELT WAY NE 5TH FLOOR	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	981054718	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
DEAN ALLEN
TRUSTEE	2.00	0.00	X	0	0	0
LIBBY ARMINTROUT
TRUSTEE (ON LEAVE AS OF JULY 2013)	1.00	0.00	X	0	0	0
ROBB BAKEMEIER
TRUSTEE	9.00	0.00	X	0	0	0
JOEL BENOLIEL
TRUSTEE	3.00	0.00	X	0	0	0
SUSAN BETCHER
TRUSTEE	3.00	0.00	X	0	0	0
ROSS BOGUE
TRUSTEE	1.00	0.00	X	0	0	0
PAT CHAR
TRUSTEE	1.00	0.00	X	0	0	0
MICHAEL DELMAN
TREASURER	3.00	0.00	X	0	0	0	X
ROY DIAZ
TRUSTEE	4.00	0.00	X	0	0	0
DAVID FISHER MD
SR VP-CHIEF MED OFF/NON-VOTING TRUST	5.00	51.00	X	0	685381	125909
ROBERT FLOWERS
CHAIR	5.00	1.00	X	0	0	0	X
MARY ANN FLYNN
TRUSTEE	3.00	0.00	X	0	0	0
DEBORAH HAUG
TRUSTEE	3.00	0.00	X	0	0	0
JUDY HOLDER
TRUSTEE/CHAIR-ELECT	7.00	0.00	X	0	0	0	X
CYNTHIA HUFFMAN
SECRETARY	3.00	0.00	X	0	0	0	X
JIM LADD
TRUSTEE	6.00	0.00	X	0	0	0
MONA LEE LOCKE
TRUSTEE	1.00	0.00	X	0	0	0
PATRICIA LOERA
TRUSTEE	3.00	0.00	X	0	0	0
SANDRA MADRID
TRUSTEE	2.00	0.00	X	0	0	0
SUSAN MASK
TRUSTEE	3.00	0.00	X	0	0	0
JEFF NITTA
TRUSTEE	5.00	0.00	X	0	0	0
LAURIE OKI
TRUSTEE	2.00	1.00	X	0	0	0
JUDITH PIERCE
TRUSTEE	5.00	0.00	X	0	0	0
MICHAEL REEVES
TRUSTEE	2.00	0.00	X	0	0	0
ROB ROSKIN MD
NON-VOTING TRUSTEE/TRUSTEE	3.00	0.00	X	0	0	0
NANCY SENSENEY
VICE-CHAIR/TRUSTEE	4.00	0.00	X	0	0	0	X
PETE SHIMER
TRUSTEE	2.00	1.00	X	0	0	0
MICHELE SMITH
TRUSTEE	2.00	1.00	X	0	0	0
CHARLES STEVENS
TRUSTEE	5.00	0.00	X	0	0	0
THOMAS HANSEN MD
CEO/NON-VOTING TRUSTEE	31.00	30.00		2137798	548931	238410	X
KELLY WALLACE
SENIOR VP & CHIEF FINANCIAL OFFICER	14.00	42.00		2372583	432031	152677	X
JEFFREY SCONYERS
SENIOR VP & GENERAL COUNSEL	27.50	27.50		198825	203960	81484		X
SANFORD MELZER MD
SENIOR VP & CHIEF STRATEGY OFFICER	14.00	41.00		143890	289702	84445			X
JODI LONG
ASSOCIATE GENERAL COUNSEL	22.00	23.00		123856	123856	33576			X
DONNA REINHART
DIRECTOR OF TREASURY SERVICES	20.00	20.00		86900	86901	28079			X
PATRICK HAGAN
FORMER PRESIDENT & COO	0.00	55.00		3366467	764355	133511				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8430319	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3135117	TotalReportableCompFrmRltdOrgs
Total Other Compensation	878091	TotalOtherCompensation
Number Individuals GT100 K	6	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
WELLINGTON TRUST COMPANY NA
PO BOX 13766	NEWARK	NJ	071880766	INVESTMENT MANAGEMENT	597303
MONTICELLO ASSOCIATES INC
1800 LARIMER STREET STE 2100	DENVER	CO	80202	INVESTMENT CONSULTING	250000
BNY MELLON NA
PO BOX 223230	PITTSBURGH	PA	152512230	INVESTMENT SERVICES	151063
CAPITAL GUARDIAN TRUST COMPANY
PO BOX 659518	SAN ANTONIO	TX	782659088	INVESTMENT MANAGEMENT	138661

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Related Organizations	2161183	RelatedOrganizations
Noncash Contributions	51486	NoncashContributions
Total Contributions	2161183	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SERVICES THROUGH SCCA	900099	2779333	2779333
MEDICAL CLINIC RENTAL	900099	404980	404980

Field	Value	IRS element (for citing)
Total Program Service Revenue	3184313	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3277869	TotalRevenueColumn
Unrelated Business Revenue	187829	UnrelatedBusinessRevenue
Exclusion	$3,090,040	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	482458	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	326563	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	155895	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	155895	TotalRevenueColumn
Exclusion	$155,895	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	579903910	Securities
Other	2414269	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	575102266	Securities
Other	3234784	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	4801644	Securities
Other	-820515	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3981129	TotalRevenueColumn
Exclusion	$3,981,129	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12760389	TotalRevenueColumn
Related Or Exempt Function Income	3184313	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	187829	UnrelatedBusinessRevenue
Exclusion	$7,227,064	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1515092	Total
Program Services	1515092	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	682885	Total
Management And General	682885	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	395518	Total
Management And General	395518	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	100071	Total
Management And General	100071	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	122634	Total
Program Services	70667	ProgramServices
Management And General	51967	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	128420	Total
Management And General	128420	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	530516	Total
Management And General	530516	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	52046	Total
Management And General	52046	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1006302	Total
Management And General	1006302	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1560	Total
Management And General	1560	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	69786	Total
Management And General	69786	ManagementAndGeneral

Other Expenses OtherExpenses

Field	Value	IRS element (for citing)
Description	LICENSES AND TAXES	Description
Total	313449	Total
Management And General	313449	ManagementAndGeneral

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4860	Total
Program Services	2800	ProgramServices
Management And General	2060	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	4923139	Total
Program Services	1588559	ProgramServices
Management And General	3334580	ManagementAndGeneral
Fundraising	0	Fundraising

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	388745	BOY
EOY	383772	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	181962	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	174689	BOY
EOY	224810	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	43568872	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	301499	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	46586316	BOY
EOY	43267373	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	184681511	BOY
EOY	175774975	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	212390488	BOY
EOY	255670890	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	115282589	BOY
EOY	122454286	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	11089760	BOY
EOY	13178035	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	570594098	BOY
EOY	611136103	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	433595	BOY
EOY	676926	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	38442	BOY
EOY	38442	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	8324046	BOY
EOY	7471756	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	8796083	BOY
EOY	8187124	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	467069079	BOY
EOY	501686992	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	19901943	BOY
EOY	24496393	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	74826993	BOY
EOY	76765594	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	561798015	BOY
EOY	602948979	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	570594098	BOY
EOY	611136103	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	7837250	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	28813714	ReconciliationUnrealizedInvest
Reconcilation Other Changes	4500000	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8543940	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4426584	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6249116	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6058912	CurrentTaxYearMinus1Year
Current Tax Year	2161183	CurrentTaxYear
Total	27439735	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8543940	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4426584	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6249116	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6058912	CurrentTaxYearMinus1Year
Current Tax Year	2161183	CurrentTaxYear
Total	27439735	Total

Field	Value	IRS element (for citing)
Public Support Total170	27439735	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7813686	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5361362	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5752273	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4735326	CurrentTaxYearMinus1Year
Current Tax Year	3572498	CurrentTaxYear
Total	27235145	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	146620	CurrentTaxYearMinus1Year
Current Tax Year	187829	CurrentTaxYear
Total	334449	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	346144	CurrentTaxYearMinus1Year
Total	346144	Total

Field	Value	IRS element (for citing)
Total Support	55355473	TotalSupport
Gross Receipts From Admissions Etc	42362042	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.49570	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.53960	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
General Explanation	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: PENSION FORFEITURE - 2011 AMOUNT: $ 346,144.	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	278449000	BeginningOfYearBalance
Contributions	492000	Contributions
Investment Earnings Or Losses	34591000	InvestmentEarningsOrLosses
Other Expenditures	3058000	OtherExpenditures
End Of Year Balance	310474000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	243536000	BeginningOfYearBalance
Contributions	408000	Contributions
Investment Earnings Or Losses	37409000	InvestmentEarningsOrLosses
Other Expenditures	2904000	OtherExpenditures
End Of Year Balance	278449000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	243212000	BeginningOfYearBalance
Contributions	1204000	Contributions
Investment Earnings Or Losses	1848000	InvestmentEarningsOrLosses
Other Expenditures	2728000	OtherExpenditures
End Of Year Balance	243536000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	221667000	BeginningOfYearBalance
Contributions	667000	Contributions
Investment Earnings Or Losses	23571000	InvestmentEarningsOrLosses
Other Expenditures	2693000	OtherExpenditures
End Of Year Balance	243212000	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	221109000	BeginningOfYearBalance
Contributions	650000	Contributions
Investment Earnings Or Losses	2392000	InvestmentEarningsOrLosses
Other Expenditures	2484000	OtherExpenditures
End Of Year Balance	221667000	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.82970	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.13710	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.03320	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	41984292	OtherCostOrOtherBasis
Book Value	41984292	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1319730	OtherCostOrOtherBasis
Depreciation	301499	Depreciation
Book Value	1018231	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	264850	OtherCostOrOtherBasis
Book Value	264850	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	43267373	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (6 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
POOLED INVESTMENTS	214081185	C
CHARITABLE REMAINDER UNITRUSTS	894626	C
PERPETUAL & TESTAMENTARY TRUSTS	33941151	C
GIFT ANNUITIES	3774150	C
DEFERRED COMPENSATION PLANS	2484522	C
OTHER ALTERNATIVE INVESTMENTS	495256	C

Field	Value	IRS element (for citing)
Total Of Book Value Securities	255670890	TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN SCCA	96497333	C
INVESTMENT IN SCRI, LLC	21901672	C
INVESTMENT IN SYZYGY LLC	3946730	C
ACCRUED INTEREST	108551	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	122454286	TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
ANNUITIES AND TRUSTS PAYABLE	$2,956,350
DEFERRED COMPENSATION PAYABLE	$2,834,521
PAYABLE TO AFFILIATES	$1,571,992
OTHER PAYABLES	$108,893

Field	Value	IRS element (for citing)
Total Of Amounts	7471756	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) AND SEATTLE CHILDREN'S HOSPITAL (SCH) SHARE IN A UNIFIED ENDOWMENT FUND (UEF) THAT IS MANAGED BY SCHS. SEATTLE CHILDREN'S HEALTHCARE SYSTEM'S TEMPORARILY AND PERMANENTLY RESTRICTED ASSETS REFLECT ENDOWMENTS WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED ACCOUNTING STANDARDS CERTIFICATION (ASC) TOPIC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR HOW A COMPANY SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT THE COMPANY HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. DURING THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012, SCHS DID NOT RECORD ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN -	Region
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConducted
Total Expenditures	192260307	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	192260307	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	192260307	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	1	PassiveForeignInvestCo
Foreign Partnership	1	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	METHOD USED TO ACCCOUNT FOR EXPENDITURES:	Identifier
Explanation	SCHEDULE F, PART I, LINE 3: THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR INVESTMENTS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID FISHER MD
SR VP-CHIEF MED OFF/NON-VOTING TRUST	0	501843	0	173406	0	10132	87505	15000	0	23404	87505	723785	0	0
THOMAS HANSEN MD
CEO/NON-VOTING TRUSTEE	382654	382655	144593	144595	1610551	21681	205005	7500	12952	12953	2355755	569384	1609194	0
KELLY WALLACE
SENIOR VP & CHIEF FINANCIAL OFFICER	107613	322838	33196	99588	2231774	9605	118675	11250	5688	17064	2496946	460345	2231394	0
JEFFREY SCONYERS
SENIOR VP & GENERAL COUNSEL	153314	153314	44972	45574	539	5072	52484	7500	10750	10750	262059	222210	0	0
SANFORD MELZER MD
SENIOR VP & CHIEF STRATEGY OFFICER	66744	200231	27297	81892	49849	7579	52070	11250	5281	15844	201241	316796	49849	0
JODI LONG
ASSOCIATE GENERAL COUNSEL	112406	112405	10420	10420	1030	1031	8555	8554	8233	8234	140644	140644	0	0
DONNA REINHART
DIRECTOR OF TREASURY SERVICES	80319	80320	6356	6357	225	224	5819	5818	8221	8221	100940	100940	0	0
PATRICK HAGAN
FORMER PRESIDENT & COO	0	53539	0	154928	3366467	555888	114624	15000	0	3887	3481091	783242	3366467	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	THE CHIEF EXECUTIVE OFFICER IS PROVIDED MEMBERSHIP TO THE RAINIER CLUB. ANNUAL DUES ARE REPORTED AS TAXABLE COMPENSATION.
PART I, LINE 4B	THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DAVID FISHER MD - $87,505 DEFERRED COMPENSATION. THOMAS HANSEN MD - $197,505 DEFERRED COMPENSATION, $1,609,194 REPORTABLE PAYMENT. KELLY WALLACE - $114,925 DEFERRED COMPENSATION, $2,231,394 REPORTABLE PAYMENT. JEFFREY SCONYERS - $44,984 DEFERRED COMPENSATION. SANFORD MELZER MD - $48,320 DEFERRED COMPENSATION, $49,849 REPORTABLE PAYMENT. PATRICK HAGAN - $114,624 DEFERRED COMPENSATION, $3,366,467 REPORTABLE PAYMENT.
PART III	PART II, COLUMN (F): THE FOLLOWING RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, WHICH IS BEING REPORTED IN COLUMN (B)(III). THIS COMPENSATION WAS REPORTED IN COLUMN (C) IN PRIOR FORMS 990: THOMAS HANSEN MD - $1,609,194 KELLY WALLACE - $2,231,394 SANFORD MELZER MD - $49,849 PATRICK HAGAN - $3,366,467	SUPPLEMENTAL INFORMATION

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	13	NumberOfContributions
Noncash Contribs Rptd F990	51486	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	1	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS:	PART I, COLUMN (B):	LINE 9 - 13 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES.
THIRD PARTY USE:	PART I, LINE 32B:	SEATTLE CHILDREN'S HOSPITAL FOUNDATION AND SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION (RELATED ORGANIZATIONS) SOLICIT BOTH CASH AND NON-CASH GIFTS ON BEHALF OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS).

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART I, LINE 6:	28 MEMBERS OF THE BOARD OF TRUSTEES PERFORM THEIR DUTIES UNCOMPENSATED.
FORM 990, PART VI, SECTION A, LINE 2	THOMAS HANSEN HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, LIBBY ARMINTROUT, ROBB BAKEMEIER, JOEL BENOLIEL, SUSAN BETCHER, ROSS BOGUE, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, MARY ANN FLYNN, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SANDRA MADRID, SUSAN MASK, JEFF NITTA, LAURIE OKI, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, PETE SHIMER, MICHELE SMITH, CHARLES STEVENS, AND KELLY WALLACE. JEFFREY SCONYERS HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, LIBBY ARMINTROUT, ROBB BAKEMEIER, JOEL BENOLIEL, SUSAN BETCHER, ROSS BOGUE, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, MARY ANN FLYNN, THOMAS HANSEN, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SANDRA MADRID, SUSAN MASK, JEFF NITTA, LAURIE OKI, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, PETE SHIMER, MICHELE SMITH, CHARLES STEVENS, AND KELLY WALLACE. KELLY WALLACE HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, LIBBY ARMINTROUT, ROBB BAKEMEIER, JOEL BENOLIEL, SUSAN BETCHER, ROSS BOGUE, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, MARY ANN FLYNN, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SANDRA MADRID, SUSAN MASK, JEFF NITTA, LAURIE OKI, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, PETE SHIMER, MICHELE SMITH, AND CHARLES STEVENS.
FORM 990, PART VI, SECTION B, LINE 11	MANAGEMENT AND INDEPENDENT TAX PROFESSIONALS PRESENT AND REVIEW THE FORM 990 WITH THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF TRUSTEES. AFTER REVIEW BY THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE AND PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE, THE ENTIRE BOARD OF TRUSTEES RECEIVES A COPY OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM REQUIRES AN ANNUAL SURVEY OF ALL BOARD MEMBERS OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, MEMBERS OF THE MEDICAL LEADERSHIP, STAFF MEMBERS OCCUPYING ROLES WITH A DEGREE OF AUTHORITY AND MEMBERS OF SEATTLE CHILDREN'S HOSPITAL'S PHARMACY AND THERAPEUTICS COMMITTEE. THE SENIOR VICE PRESIDENT AND GENERAL COUNSEL OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, ACTING UNDER THE OVERSIGHT OF THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF DIRECTORS, REVIEWS ALL DISCLOSURES AND ESTABLISHES AND OVERSEES ANY NECESSARY MANAGEMENT PLANS RELATED TO THEM. IN GENERAL, WHEN A CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM PARTICIPATION IN ANY BOARD DISCUSSION OR OTHER DECISION MAKING REGARDING THE TRANSACTION AND REFRAIN FROM VOTING ON OR DECIDING ANY ISSUES RELATING TO THE CONFLICTING INTEREST. ANY COVERED PERSON OR OTHER EMPLOYEE WHO ENGAGES IN A VIOLATION OF THIS POLICY OR PURSUES A TRANSACTION OR EVENT FOLLOWING DISAPPROVAL BY THE BOARD OR THE CHIEF EXECUTIVE OFFICER MAY, IN THE DISCRETION OF THE BOARD OR THE CHIEF EXECUTIVE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM HIS OR HER DUTIES WITH SEATTLE CHILDREN'S HEALTHCARE SYSTEM AND/OR TERMINATED IN HIS OR HER EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE ("MDCC") OF THE BOARD OF TRUSTEES. PURSUANT TO THE BOARD-APPROVED MDCC CHARTER, THE MDCC ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT EXPERT IN THE COMPENSATION OF EXECUTIVES AND OTHER TOP MANAGERS OF NONPROFIT HOSPITALS AND HEALTH CARE SYSTEMS. WITH APPROPRIATE COMPARABILITY DATA PROVIDED BY ITS CONSULTANT (COMPRISING MARKET DATA REGARDING COMPENSATION PAID FOR COMPARABLE SERVICES IN COMPARABLE ORGANIZATIONS), THE MDCC ENGAGES IN AN ANNUAL REVIEW AND ASSESSMENT OF THE SEATTLE CHILDREN'S HEALTHCARE SYSTEM EXECUTIVE COMPENSATION PROGRAM (BASE, INCENTIVE COMPENSATION, AND EMPLOYER-PAID BENEFITS) TO DETERMINE COMPETITIVENESS. BASED ON THIS EXPERT ANALYSIS AND ON RELEVANT PERFORMANCE INFORMATION FOR THE EXECUTIVES IN QUESTION AND THE ORGANIZATION AS A WHOLE, THE MDCC PRESENTS A RECOMMENDATION TO THE BOARD REGARDING THE TOTAL COMPENSATION PACKAGE FOR EACH OF THE EFFECTED EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND KEY EMPLOYEES. THE FULL BOARD REVIEWS THE RECOMMENDATIONS AS WELL AS ALL RELEVANT COMPARABILITY DATA AND THE GOALS OF THE ORGANIZATION IN MAKING ITS FINAL DECISION. IN DOING SO IT RELIES ON THE EXPERT ANALYSIS TO DETERMINE THAT COMPENSATION IS REASONABLE AND WITHIN THE "BOUNDS OF COMPETITIVE PRACTICE". ALL DELIBERATIONS AND DECISIONS OF THE MDCC AND FULL BOARD ARE DOCUMENTED IN THE BOOKS AND RECORDS IN ACCORDANCE WITH GENERAL ADMINISTRATIVE PROVISIONS AND PROCEDURES WITHIN THE BYLAWS. THE PROCESS FOLLOWED BY THE MDCC AND THE FULL BOARD SATISFIES BEST GOVERNANCE PRACTICES AND ALSO MEETS THE REGULATORY REQUIREMENTS NECESSARY TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO THE BOARD'S DECISION.
FORM 990, PART VI, SECTION C, LINE 19	SEATTLE CHILDREN'S HEALTHCARE SYSTEM MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, COLUMN (D):	ALTHOUGH SEATTLE CHILDREN'S HEALTHCARE SYSTEM HAS SUBSTANTIAL CONTRIBUTION REVENUE, IT DOES NOT INCUR FUNDRAISING EXPENSES. ALL FUNDRAISING ACTIVITIES AND CONTRIBUTIONS TO SEATTLE CHILDREN'S HEALTHCARE SYSTEM ARE CONDUCTED BY RELATED ORGANIZATIONS. SEE ADDITIONAL DESCRIPTION FOR SCHEDULE M, LINE 32.
FORM 990, PART XI, LINE 9:	SHARE OF LOSS FROM INVESTMENT IN SCCA RELATED TO PROCURE SEATTLE HOLDINGS 4,500,000.	CHANGES IN NET ASSETS OR FUND BALANCES:
SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT 2013	LETTER FROM OUR CHIEF EXECUTIVE OFFICER: A PLAN IS JUST ANOTHER PIECE OF PAPER UNTIL YOU ACT ON IT. OUR COMMUNITY BENEFIT IMPLEMENTATION PLAN IS NOT JUST ANOTHER PIECE OF PAPER. THE PLAN, COMPLETED IN 2013, DRIVES THE WORK DESCRIBED IN THE PAGES OF THIS REPORT. BASED ON A COMMUNITY HEALTH NEEDS ASSESSMENT OF THE REGION WE SERVE - WASHINGTON, ALASKA, MONTANA AND IDAHO - THE PLAN ADDRESSES SOME OF THE MOST URGENT HEALTH NEEDS AND HIGHLIGHTS THE NUMEROUS STRENGTHS OUR COMMUNITIES HAVE. WE'RE FOCUSING ON FIVE AREAS: - INCREASING ACCESS TO QUALITY HEALTHCARE FOR ALL CHILDREN AND TEENS - IMPROVING COORDINATION OF CARE FOR CHILDREN WITH CHRONIC CONDITIONS - IMPROVING HEALTH EQUITY AND ACCESS IN SOUTH KING COUNTY - PREVENTING AND TREATING OBESITY - ENHANCING ACCESS TO MENTAL AND BEHAVIORAL HEALTH CHILDREN'S IS WORKING WITH OTHER HOSPITALS AND WITH PUBLIC HEALTH SEATTLE & KING COUNTY AND THE WASHINGTON STATE HOSPITAL ASSOCIATION TO ACHIEVE SOME OF THESE GOALS THROUGH KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY. THIS IS THE FIRST TIME HOSPITALS IN WASHINGTON STATE HAVE JOINED TOGETHER FOR A COMMON COMMUNITY HEALTH CAUSE. OUR FIRST STEP WAS TO PLEDGE TO INCREASE HEALTHY FOOD AND BEVERAGE CHOICES IN OUR FACILITIES. WE'RE ALSO COLLABORATING TO CREATE A JOINT COMMUNITY HEALTH ASSESSMENT. CARING FOR THE COMMUNITY IS OUR PASSION, OUR DUTY AND OUR PRIVILEGE. IN PARTNERSHIP WITH FAMILIES, PUBLIC HEALTH, HEALTHCARE PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS, WE ARE WORKING TO MAKE OUR COMMUNITIES HEALTHIER AND SAFER. SINCERELY, TOM HANSEN, MD CEO, SEATTLE CHILDREN'S WHAT IS COMMUNITY BENEFIT? A COMMUNITY BENEFIT IS A PROGRAM OR SERVICE THAT: - IMPROVES ACCESS TO HEALTHCARE - ENHANCES THE HEALTH OF THE COMMUNITY - ADVANCES MEDICAL OR HEALTH KNOWLEDGE - RELIEVES OR REDUCES THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS TOTAL 2013 VALUE TO THE COMMUNITY: $246,616,000 UNCOMPENSATED CARE (INCLUDING MEDICAID SHORTFALL): $117,244,000 HEALTH PROFESSIONS EDUCATION: $22,017,000 RESEARCH: $91,743,000 COMMUNITY PROGRAMS AND SERVICES: $15,612,000 LEARN MORE ABOUT THE WAYS WE BENEFIT OUR COMMUNITY AT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT, WHERE YOU WILL ALSO FIND OUR 2013-2016 COMMUNITY HEALTH ASSESSMENT AND COMMUNITY BENEFIT IMPLEMENTATION PLAN. UNCOMPENSATED CARE NO CHILD SHOULD HAVE TO GROW UP WITH ILLNESS OR INJURY, SO WHEN A CHILD NEEDS SPECIALIZED MEDICAL CARE, OUR DOORS ARE ALWAYS OPEN, REGARDLESS OF A FAMILY'S FINANCIAL SITUATION. WITH THE SUPPORT OF THE COMMUNITY, CHILDREN'S PROVIDED $117.2 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO IN 2013. ASSISTANCE AVERTS FINANCIAL HARDSHIP A YOUNG GIRL WAS BORN WITH A LIFE-THREATENING HEART CONDITION. TWO MAJOR VESSELS THAT CARRY BLOOD AWAY FROM HER HEART WERE TRANSPOSED, AND HER HEART WASN'T CIRCULATING OXYGENATED BLOOD TO HER BODY. THE CONDITION REQUIRED THREE SURGERIES AT CHILDREN'S AND LONG HOSPITAL STAYS HERE AND IN HER HOMETOWN OF HELENA, MONT. - CARE THAT COULD HAVE EXCEEDED THE $1 MILLION CAP ON THE FAMILY'S HEALTHCARE PLAN BY UP TO $500,000. A CHILDREN'S SOCIAL WORKER SUGGESTED THEY APPLY FOR FINANCIAL ASSISTANCE, BUT THE FAMILY WAS RELUCTANT. ULTIMATELY, THEY AGREED TO APPLY. "WE WERE BEYOND ELATED WHEN CHILDREN'S SENT US A LETTER SAYING WE QUALIFIED," SAYS THE PATIENT'S MOTHER. "WITHOUT IT, WE MIGHT HAVE LOST EVERYTHING WE HAD, AND OUR PARENTS AND GRANDPARENTS WOULD HAVE SOLD EVERYTHING THEY HAD TO HELP US." OVERCOMING LANGUAGE BARRIERS COMMUNICATION BETWEEN PARENTS AND PROVIDERS IS ESSENTIAL IN CARING FOR CHILDREN WITH CHRONIC AND COMPLEX ILLNESSES. FAMILIES NEED TO WORK WITH A SMALL ARMY OF CAREGIVERS INSIDE AND OUTSIDE THE HOSPITAL, A COMPLEX AND POTENTIALLY CONFUSING SITUATION UNDER THE BEST OF CIRCUMSTANCES AND ESPECIALLY SO FOR FAMILIES WHO SPEAK LIMITED ENGLISH. OUR PATIENT NAVIGATOR PROGRAM HELPS SPANISH AND SOMALI FAMILIES BECOME ACTIVE PARTNERS IN THEIR CHILD'S CARE. "FAMILIES PLAY A VITAL ROLE IN MAINTAINING CONTINUITY BETWEEN THE CARE THEIR CHILD RECEIVES AT CHILDREN'S AND THE CARE THEY RECEIVE IN THE COMMUNITY," SAYS SARAH RAFTON, WHO LEADS THE PATIENT NAVIGATOR PROGRAM. "WE TEACH THEM HOW TO UNDERSTAND ALL THE INFORMATION THEY RECEIVE FROM US AND OTHER PROVIDERS, HOW TO MAKE USE OF IT AND HOW TO MAKE SURE THEIR QUESTIONS AND CONCERNS ARE ADDRESSED." LAST YEAR, THE PATIENT NAVIGATOR PROGRAM ASSISTED 178 INDIVIDUALS. FEATURE: DELIVERING LEGAL REMEDIES WHEN AN ILL CHILD NEEDS HELP, SOME FAMILIES NEED MORE THAN A GOOD DOCTOR. THEY ALSO NEED A GOOD LAWYER. THE WASHINGTON MEDICAL-LEGAL ASSISTANCE PARTNERSHIP (MLP) CAN PROVIDE ONE. THE MLP, A COLLABORATION BETWEEN CHILDREN'S, THE NORTHWEST JUSTICE PROJECT, HARBORVIEW MEDICAL CENTER AND SEA MAR COMMUNITY HEALTH CENTERS, GOES TO BAT FOR LOW-INCOME FAMILIES WHO FACE LEGAL BARRIERS THAT COULD DENY THEIR CHILD ACCESS TO BETTER HEALTH. BASED AT CHILDREN'S, THE MLP SERVED 464 PEOPLE LAST YEAR. "MOST OF THE FAMILIES WE SERVE WOULD NOT HAVE ACCESS TO LEGAL SERVICES IF WE WEREN'T HERE," SAYS SCOTT CRAIN, ONE OF THREE LAWYERS WHO WORK IN THE PROGRAM. THE LAWYERS HAVE THE SKILL AND KNOWLEDGE TO FIGHT FOR ASSISTANCE THAT FAMILIES ARE LEGALLY ENTITLED TO RECEIVE, SUCH AS INSURANCE BENEFITS AND EDUCATIONAL ACCOMMODATIONS. THEY ALSO TRAIN MEDICAL PROVIDERS, SOCIAL WORKERS AND STAFF TO RECOGNIZE LEGAL NEEDS, INTERVENE AS ABLE AND REFER TO THE MLP ATTORNEY AS NEEDED. IN 2013, THE MLP TEAM CONDUCTED 32 TRAININGS, EDUCATING 589 PROVIDERS. "A LITTLE BIT OF LEGAL ADVOCACY CAN GO A LONG WAY," SAYS ANNETTE QUAYLE, WHO COORDINATES THE MLP. "SCOTT AND THE OTHER LAWYERS KNOW THE SYSTEM, THEY KNOW THE LEGAL REQUIREMENTS AND THEY KNOW OUR FAMILIES. THEIR INVOLVEMENT CAN MAKE A HUGE DIFFERENCE." FEATURE: ADVANCING CARE FOR MEDICALLY COMPLEX KIDS CHILDREN WITH MEDICALLY COMPLEX CONDITIONS REQUIRE CARE FROM MANY DIFFERENT PROVIDERS IN A VARIETY OF SETTINGS - OFTEN IN DIFFERENT STATES. MANY OF THE MEDICALLY COMPLEX CHILDREN IN OUR REGION ARE COVERED BY MEDICAID. ADDING TO THE LOGISTICAL COMPLEXITY OF CARING FOR CHILDREN WHO LIVE FAR FROM OUR HOSPITAL IS THE VARIATION IN MEDICAID REIMBURSEMENT RATES FROM STATE TO STATE. CHILDREN'S IS WORKING WITH THE CHILDREN'S HOSPITAL ASSOCIATION AND OTHER HOSPITALS AROUND THE COUNTRY ON A PROPOSAL TO CREATE NATIONAL PROVIDER NETWORKS FOR CHILDREN WITH COMPLEX MEDICAL CONDITIONS. EACH NETWORK WOULD BE ANCHORED BY A CHILDREN'S HOSPITAL. THE GOAL IS TO ENSURE ACCESS TO SPECIALIZED CARE, IMPROVE THE COORDINATION OF CARE AND COLLECT INFORMATION TO INCREASE QUALITY AND REDUCE COSTS. ESTABLISHING STANDARD MEDICAID REIMBURSEMENTS FOR THESE CHILDREN IS A KEY COMPONENT OF THIS PROPOSAL. CHILDREN'S STAFF HAVE EDUCATED U.S. REPRESENTATIVES AND SENATORS REPRESENTING WASHINGTON STATE ABOUT WHAT THE PROPOSAL MEANS TO PATIENTS AND FAMILIES. IN ADDITION TO THIS NATIONAL POLICY EFFORT, WE ARE STUDYING THE ABILITY OF A CASE MANAGEMENT PROGRAM TO IMPROVE RESULTS AND DECREASE COSTS FOR CHILDREN WITH COMPLEX NEEDS. RESEARCH RESEARCH AND HEALING GO HAND IN HAND AT CHILDREN'S. WE IDENTIFY PROBLEMS, FIND ANSWERS AND TRANSLATE OUR DISCOVERIES INTO NEW AND BETTER THERAPIES THAT BENEFIT CHILDREN EVERYWHERE. SEATTLE CHILDREN'S RESEARCH INSTITUTE IS THE LARGEST PEDIATRIC RESEARCH CENTER WEST OF THE MISSISSIPPI, AND ONE OF THE TOP FIVE IN THE NATION BASED ON FUNDING RECEIVED FROM THE NATIONAL INSTITUTES OF HEALTH (NIH). TOTAL EXTRAMURAL FUNDING GREW FROM $37 MILLION IN 2008 TO $76 MILLION IN 2013. USING T-CELLS TO FIGHT CANCER OUR FIRST CANCER IMMUNOTHERAPY CLINICAL TRIAL SHOWED PROMISING RESULTS IN 2013, AS THE FIRST TWO PATIENTS TO ENROLL EXPERIENCED COMPLETE REMISSION OF THEIR RELAPSED ACUTE LYMPHOBLASTIC LEUKEMIA (ALL). THEY THEN UNDERWENT SUCCESSFUL BONE MARROW TRANSPLANTS. CANCER IMMUNOTHERAPY INVOLVES DRAWING BLOOD FROM THE PATIENT, REPROGRAMMING THEIR OWN INFECTION-FIGHTING T-CELLS TO DESTROY THE CANCER CELLS AND THEN INFUSING THE BLOOD BACK INTO THEIR BODY. "LESS THAN 40% OF PATIENTS WITH RELAPSED ALL TYPICALLY SURVIVE, SO IT'S IMPERATIVE THAT WE FIND NEW PATHS TO A CURE," SAYS DR. REBECCA GARDNER, WHO LEADS THE TRIAL. "ULTIMATELY, WE HOPE TO APPLY THIS SAME TYPE OF THERAPY FOR PATIENTS WITH MANY TYPES OF CANCER." READ MORE AT SEATTLECHILDRENS.ORG/AAR.
	OVERCOMING PARENTAL HESITANCY TOWARD CHILDHOOD VACCINES ABOUT ONE IN 20 CHILDREN IN WASHINGTON STATE DID NOT COMPLY WITH RECOMMENDED CHILDHOOD VACCINE SCHEDULES DURING THE 2012-2013 SCHOOL YEAR - THE SEVENTH HIGHEST RATE IN THE COUNTRY, ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION. DR. DOUG OPEL HELPED DEVELOP A SURVEY FOR PARENTS OF YOUNG CHILDREN THAT CAN PREDICT IF A FAMILY IS AT RISK OF FALLING BEHIND ON THEIR CHILD'S VACCINE SCHEDULE. THE SURVEY QUERIES PARENTS' ATTITUDES TOWARD CHILDHOOD VACCINES, SUCH AS HOW CONCERNED THEY ARE ABOUT VACCINE SIDE EFFECTS AND SAFETY AND WHETHER THEY BELIEVE IT'S BETTER TO LET CHILDREN DEVELOP IMMUNITY BY GETTING SICK INSTEAD OF GETTING SHOTS. "PARENT SCORES ON THE SURVEY ARE ASSOCIATED WITH THEIR CHILD'S IMMUNIZATION STATUS, SO THE SURVEY CAN SERVE AS A TOOL FOR DOCTORS TO IDENTIFY VACCINE-HESITANT PARENTS EARLY AND ADDRESS THEIR VACCINE CONCERNS BEFORE THEIR CHILD FALLS BEHIND ON THEIR VACCINATION SCHEDULE," OPEL SAYS. PIONEERING A NEW SURGICAL TREATMENT DR. RICHARD HOPPER HAS DEVELOPED A PIONEERING SURGICAL TREATMENT FOR APERT SYNDROME THAT HELPS CHILDREN WITH THIS CONDITION LEAD MORE NORMAL LIVES. APERT SYNDROME IS A RARE GENETIC DISORDER THAT PREVENTS THE SKULL FROM GROWING PROPERLY, RESTRICTING A CHILD'S BREATHING PASSAGES AND CAUSING SLEEP APNEA. TRADITIONAL SURGERY MOVES A CHILD'S FACIAL BONES IN A SINGLE BLOCK TO IMPROVE BREATHING, BUT IT DOES NOTHING TO REMEDY THE FACIAL DEFORMITIES CAUSED BY THE DISORDER. HOPPER'S TECHNIQUE MOVES FACIAL BONES INDIVIDUALLY, WHICH NOT ONLY TREATS SLEEP APNEA MORE EFFECTIVELY, BUT ALSO IMPROVES A CHILD'S APPEARANCE. "IT'S EXCITING THAT WE CAN NOW OFFER SOMETHING THAT MAKES IT EASIER FOR A CHILD TO INTERACT WITH THEIR PEERS, MEET NEW FRIENDS AND GROW AS ADULTS," HOPPER SAYS. "WE'RE EAGER TO SHARE WHAT WE'VE LEARNED AND HELP MANY MORE CHILDREN IN THE FUTURE." HIS RESEARCH HAS BEEN PRESENTED AT INTERNATIONAL CONFERENCES AND HAS RECEIVED THE MARCHAC AWARD AND KAWAMOTO AWARD FROM THE INTERNATIONAL AND THE AMERICAN SOCIETIES OF CRANIOFACIAL SURGERY, RESPECTIVELY. READ MORE AT SEATTLECHILDRENS.ORG/AAR. OMG! DEVICES POSE DANGEROUS DISTRACTION A STUDY CO-AUTHORED BY DR. BETH EBEL FOUND THAT ONE IN FOUR PEDESTRIANS WAS USING A CELL PHONE OR OTHER MOBILE DEVICE TO TALK, TEXT OR LISTEN TO MUSIC AS THEY CROSSED BUSY SEATTLE STREETS - A POTENTIALLY DANGEROUS DISTRACTION BECAUSE MANY IGNORED BASIC SAFETY RULES SUCH AS LOOKING BOTH WAYS, OBEYING THE LIGHTS AND STAYING IN THE CROSSWALK. TEXTERS WERE THE WORST OFFENDERS. THEY WERE FOUR TIMES LESS LIKELY THAN OTHER PEDESTRIANS TO FOLLOW ALL SAFETY RULES. WHILE MOST OF THE PEDESTRIANS OBSERVED IN THE STUDY WERE ADULTS, MANY CHILDREN USE CELL PHONES AND OTHER MOBILE DEVICES AT A YOUNG AGE. EBEL SAYS THE STUDY UNDERSCORES THE NEED FOR PARENTS TO TALK TO THEIR CHILDREN ABOUT PUTTING DOWN THE PHONE WHILE CROSSING THE STREET. SHE EMPHASIZES THE IMPORTANCE OF TRAFFIC CALMING AND GOOD ROAD DESIGN AROUND SCHOOLS AND WALKING ROUTES SO THAT KIDS AND THEIR PARENTS CAN WALK SAFELY. SOLVING THE MYSTERY OF SIDS DR. DANIEL RUBENS IS INVESTIGATING A POSSIBLE LINK BETWEEN AN INNER EAR DEFICIT AND SUDDEN INFANT DEATH SYNDROME (SIDS) - WORK THAT COULD SAVE THE LIVES OF MANY BABIES AT RISK FOR THIS MYSTERIOUS DISEASE. THE INNER EAR CONTAINS THE ORGANS OF HEARING AND BALANCE. IN A STUDY PUBLISHED LAST YEAR, RUBENS FOUND THAT IMPAIRMENT TO THE BALANCE PORTION OF THE INNER EAR PREVENTED MICE FROM AROUSING AND MOVING AWAY TO ACCESS FRESH AIR WHEN EXPOSED TO SUFFOCATING GASES. THAT FOLLOWS AN EARLIER STUDY IN WHICH RUBENS FOUND THAT SIDS INFANTS HAD A RIGHT-SIDED HEARING IMPAIRMENT AT BIRTH. THE TWO FINDINGS SUPPORT HIS THEORY THAT NEWBORNS WITH INNER EAR DYSFUNCTION, EVEN IF ONLY ON ONE SIDE, MAY LACK A MECHANISM FOR AWAKENING IF THEY MOVE INTO A SUFFOCATING POSITION WHILE SLEEPING. RUBENS PLANS TO CONTINUE HIS RESEARCH WITH A LARGE POPULATION-BASED STUDY OF NEWBORNS IN HOPES OF ULTIMATELY ESTABLISHING A METHOD TO IDENTIFY CHILDREN AT RISK FOR SIDS AND DEVELOPING WAYS TO PREVENT IT. ASSESSING PROBLEMATIC INTERNET USE EVERYONE KNOWS YOUNG PEOPLE SPEND LOTS OF TIME ON THE INTERNET, BUT WHEN DOES IT BECOME A PROBLEM? THE SOCIAL MEDIA AND ADOLESCENT HEALTH RESEARCH TEAM DEVELOPED A SCREENING TOOL THAT ASSESSES THE EFFECTS OF INTERNET USE ON THE HEALTH AND WELL-BEING OF TEENS AND HELPS IDENTIFY THOSE WHO MAY BE STRUGGLING WITH ISSUES CAUSED BY THEIR ONLINE ACTIVITIES. THE TOOL USES 18 QUESTIONS TO MEASURE AND ATTACH A SCORE TO INTERNET USE THAT IS DEEMED RISKY, EXCESSIVE AND IMPULSIVE AND THAT CREATES NEGATIVE CONSEQUENCES SUCH AS FAILING TO BUILD REAL-LIFE RELATIONSHIPS, PERFORMING POORLY IN SCHOOL OR NOT SLEEPING AT NIGHT. A STUDY OF 300 COLLEGE STUDENTS FOUND THAT THOSE SCORING HIGHEST FOR PROBLEMATIC INTERNET USE ALSO WERE MORE LIKELY TO REPORT BEING DEPRESSED, HAVING SOCIAL ANXIETY AND HAVING ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD). READ MORE AT SEATTLECHILDRENS.ORG/AAR. COLLABORATION FUELS DISCOVERY DR. ERIC TURNER AND DR. TIM COX COLLABORATED ON A STUDY AT OUR RESEARCH INSTITUTE THAT COULD EVENTUALLY HELP IDENTIFY THE GENETIC MUTATIONS THAT CAUSE CONGENITAL EAR MALFORMATIONS IN CHILDREN. TURNER, A NEUROSCIENTIST, AND COX, A CRANIOFACIAL EXPERT, DISCOVERED A COMMON MUTATION IN SO-CALLED DUMBO MICE AND RATS - NAMED AFTER THE DISNEY CHARACTER BECAUSE OF THEIR OUTSIZED EARS. THEIR LONG-TERM GOAL IS TO CONNECT INSIGHTS FROM THEIR RODENT RESEARCH TO HUMAN EAR MALFORMATIONS. THEIR WORK IS AN EXAMPLE OF THE INSTITUTE'S MULTIDISCIPLINARY ENVIRONMENT IN ACTION. "THE INSTITUTE PUTS INVESTIGATORS INTERESTED IN DIFFERENT KINDS OF PROBLEMS - IN THIS CASE, BRAIN DEVELOPMENT AND CRANIOFACIAL BIRTH DEFECTS - UNDER ONE ROOF WHERE THEY CAN INTERACT, COMPARE IDEAS AND PURSUE QUESTIONS THEY MAY NOT HAVE IMAGINED ALONE," TURNER SAYS. FEATURE: ANSWERING MENTAL AND BEHAVIORAL HEALTH QUESTIONS OUR MENTAL AND BEHAVIORAL HEALTH EXPERTS CARE FOR CHILDREN WITH ADDICTION, DEPRESSION AND OTHER PROBLEMS THAT AFFECT THEIR DEVELOPMENT, SAFETY AND WELL-BEING. THEY ALSO WORK TO UNDERSTAND THE CAUSES OF THOSE PROBLEMS AND FIND MORE EFFECTIVE WAYS TO TREAT AND PREVENT THEM. - DR. SUSAN FERGUSON CO-LEADS A TEAM STUDYING A PART OF THE BRAIN INVOLVED IN DECISION-MAKING. THE TEAM IDENTIFIED A SET OF NEURONS THAT COULD BE ALTERED OR USED AS A TARGET FOR MEDICATION TO HELP PATIENTS WITH ADDICTION AND OTHER IMPULSE-CONTROL PROBLEMS MAKE BETTER CHOICES. - DR. ELIZABETH MCCAULEY IS EXAMINING THE EFFECTIVENESS OF TWO APPROACHES TO REDUCING THE RISK OF SELF-HARM OR SUICIDE AMONG YOUTH. ONE APPROACH FOCUSES ON ENHANCING SUPPORT AND THE OTHER ON DEVELOPING COPING SKILLS TO REDUCE DISTRESS AND SOLVE PROBLEMS. TO DATE, THERE ARE NO PROVEN INTERVENTIONS TO REDUCE SUICIDE RISK, SO STUDY FINDINGS HOLD GREAT PROMISE FOR INCREASING USEFUL STRATEGIES FOR WORKING WITH THESE HIGH-RISK YOUTH. - DR. LAURA RICHARDSON FOUND THAT MANY YOUNG PEOPLE WITH AN INITIAL POSITIVE SCREENING FOR DEPRESSION GET BETTER WITHOUT REQUIRING ANTIDEPRESSANTS OR PSYCHOTHERAPY AND THAT REGULAR VISITS WITH THEIR CLINICIAN AND POSITIVE SUPPORT FROM THEIR PARENTS ARE KEYS TO THEIR RECOVERY. - DR. MEGAN MORENO AND OUR SOCIAL MEDIA AND ADOLESCENT HEALTH RESEARCH TEAM EXPLORE HOW SOCIAL MEDIA SUCH AS FACEBOOK BOTH REVEALS AND INFLUENCES HEALTH RISKS AMONG YOUNG PEOPLE. THEY FOUND EVIDENCE SUGGESTING THAT CIGARETTES ARE A GATEWAY DRUG TO MARIJUANA AND THAT STUDENTS WHO ENTER COLLEGE INTENDING NOT TO DRINK TYPICALLY REFRAIN FROM HARMFUL LEVELS OF DRINKING. HEALTH PROFESSIONAL EDUCATION CHILDREN'S INVESTMENT IN TRAINING DOCTORS AND NURSES HELPS ENSURE THAT CHILDREN OF FUTURE GENERATIONS WILL HAVE ACCESS TO HIGHLY TRAINED PROFESSIONALS SPECIALIZING IN PEDIATRIC CARE. WE ARE THE ONLY PEDIATRIC RESIDENCY PROGRAM IN A FIVE-STATE REGION AND HELPED TRAIN 848 RESIDENTS AND FELLOWS IN 2013. WE ALSO PROVIDED CONTINUING MEDICAL EDUCATION TO HUNDREDS OF HEALTHCARE PROFESSIONALS ALREADY CARING FOR KIDS IN THE COMMUNITY.
	NURSING EDUCATION MAKES BROAD IMPACT THE AMERICAN NURSES ASSOCIATION RECOGNIZED THE RANGE AND CONTENT OF OUR PROFESSIONAL DEVELOPMENT PROGRAMS WHEN THEY RENEWED CHILDREN'S MAGNET HOSPITAL DESIGNATION IN 2013. THE MAGNET DESIGNATION RECOGNIZES SELECT HEALTHCARE ORGANIZATIONS FOR THEIR OVERALL NURSING EXCELLENCE - INCLUDING THE STRENGTH OF THEIR PROFESSIONAL DEVELOPMENT PROGRAMS INSIDE THE HOSPITAL AND IN THE COMMUNITY. OUR PARTNERSHIP WITH THE WASHINGTON STATE DEPARTMENT OF HEALTH AND THE STATE SUPERINTENDENT OF PUBLIC INSTRUCTION IS AN EXAMPLE OF OUR OUTREACH EFFORTS. WE COLLABORATE EVERY YEAR TO WEBCAST NINE REGIONAL PEDIATRIC AND NEONATAL NURSING GRAND ROUNDS TO 64 SITES IN ALASKA, MONTANA AND WASHINGTON AND A CONTINUING EDUCATION TELECONFERENCE TO SCHOOL DISTRICTS AND PUBLIC HEALTH NURSES, AND PROVIDE LINKS TO PREVIOUS TELECONFERENCES ARCHIVED ON OUR WEBSITE. LAST YEAR, THE GRAND ROUNDS WERE SHARED WITH 1,600 PROFESSIONALS AND THE TELECONFERENCE WAS BROADCAST TO 350 SCHOOL AND PUBLIC HEALTH NURSES. WE RECENTLY TEAMED UP TO START A NURSING NETWORK FORUM TO PROMOTE SHARED CARE COORDINATION FOR CHILDREN WITH COMPLEX MEDICAL CONDITIONS AS THEY MOVE BETWEEN THE HOSPITAL, SCHOOL AND THEIR PRIMARY CAREGIVER. ADVANCING PHYSICAL THERAPY FOR NEWBORNS CHILDREN'S CARES FOR MANY FRAGILE NEWBORNS WITH PHYSICAL CHALLENGES. THESE INFANTS OFTEN STRUGGLE TO BUILD STRENGTH, GAIN RANGE OF MOTION AND ACQUIRE FEEDING SKILLS. THEY NEED SPECIAL OCCUPATIONAL/PHYSICAL THERAPY (OT/PT) TO ASSIST THEIR DEVELOPMENT, BUT UNTIL RECENTLY, THERE WERE NO FORMAL TRAINING PROGRAMS IN NEONATOLOGY FOR THERAPISTS. CHILDREN'S IS HOME TO THE FIRST NEONATOLOGY PHYSICAL THERAPY FELLOWSHIP PROGRAM IN THE COUNTRY. EACH FELLOW TAKES ACADEMIC COURSES AT ROCKY MOUNTAIN UNIVERSITY OF HEALTH PROFESSIONS IN UTAH AND COMPLETES THEIR CLINICAL WORK AT CHILDREN'S, WHERE THEY RECEIVE ONE-ON-ONE TRAINING FROM MENTOR THERAPISTS. "WE WERE THE FIRST ACCREDITED PROGRAM, AND WE LOOK FORWARD TO MORE NEONATOLOGY FELLOWSHIPS IN PHYSICAL THERAPY, AS THIS FILLS A GREAT TRAINING NEED," SAYS GAYLE BONATO, FELLOWSHIP COORDINATOR. RESIDENTS PROVIDE PRIMARY CARE IN ALASKA TWELVE OF OUR PEDIATRIC RESIDENTS DEDICATE A PORTION OF THEIR TRAINING EACH YEAR TO PRIMARY CARE CLINICS IN ALASKA. EACH RESIDENT SPENDS EIGHT MONTHS IN SEATTLE AND FOUR MONTHS IN ALASKA THROUGHOUT THEIR THREE-YEAR RESIDENCY. IN ALASKA, THEY PROVIDE PRIMARY CARE IN FOUR DIFFERENT SETTINGS THAT SERVE BOTH THE GENERAL POPULATION AND THE ALASKA NATIVE POPULATION. THE ALASKA RESIDENCY TRACK GIVES NEW DOCTORS UNIQUE EXPERIENCES AND PROVIDES ISOLATED COMMUNITIES BETTER ACCESS TO CARE. THE ULTIMATE GOAL OF THE PROGRAM IS TO INTEREST NEW DOCTORS IN ESTABLISHING PRACTICES WHERE THEY'RE BADLY NEEDED. THE ALASKA TRACK IS THE FOURTH TRAINING PATHWAY OFFERED BY CHILDREN'S PEDIATRIC RESIDENCY. THE OTHERS ARE FOR RESIDENTS INTERESTED IN COMMUNITY HEALTH, GLOBAL HEALTH AND RESEARCH. FEATURE: SHARING RESOURCES TO FIGHT OBESITY CHILDHOOD OBESITY HAS TRIPLED IN THE UNITED STATES SINCE 1980, AND ONE IN FIVE YOUTH IN KING COUNTY ARE OBESE OR OVERWEIGHT. WHILE OBESITY CONTRIBUTES TO MANY CHRONIC DISEASES, HEALTHCARE PROVIDERS OFTEN LACK THE TRAINING AND SUPPORT TO EFFECTIVELY CARE FOR OVERWEIGHT KIDS. CHILDREN'S WORKS ON MANY LEVELS TO SHARE KNOWLEDGE AND RESOURCES WITH PROVIDERS SO THEY CAN BETTER FIGHT OBESITY IN OUR COMMUNITIES. OUR EFFORTS IN 2013 INCLUDED INVITING DR. STEVEN GORTMAKER, WHO LEADS THE HARVARD SCHOOL OF PUBLIC HEALTH RESEARCH CENTER, TO SPEAK AT OUR WEEKLY GRAND ROUNDS ABOUT COST-EFFECTIVE WAYS TO REDUCE CHILDHOOD OBESITY. WE ALSO HOSTED A TALK BY DAVID JUST FROM THE CORNELL CENTER FOR BEHAVIORAL ECONOMICS, WHO DISCUSSED HOW TO HELP PEOPLE MAKE HEALTHY FOOD DECISIONS BY CHANGING THE ENVIRONMENT AROUND THEM. MORE THAN 100 PEOPLE FROM HOSPITALS ACROSS THE STATE ATTENDED THE TALK. WE PRODUCED HANDOUTS FOR PRIMARY CARE PROVIDERS TO GIVE PARENTS THAT EXPLAIN IN SEVERAL LANGUAGES THE IMPORTANCE OF ACTIVE PLAY IN A CHILD'S DEVELOPMENT AND OFFER TIPS FOR PROVIDING PLAY TIME FOR KIDS FROM BIRTH TO AGE 5. IN ADDITION, WE WORKED WITH OTHER CHILDREN'S HOSPITALS AROUND THE COUNTRY TO IMPROVE PREVENTION AND MANAGEMENT OF CHILDHOOD OBESITY AND EXPAND HEALTHY HOSPITAL EFFORTS THROUGH THE FOCUS ON A FITTER FUTURE INITIATIVE OF THE CHILDREN'S HOSPITAL ASSOCIATION. COMMUNITY PROGRAMS AND SERVICES CHILDREN'S IS MORE THAN A PLACE WHERE FAMILIES RECEIVE EXPERT MEDICAL CARE. WE ARE A TRUSTED COMMUNITY PARTNER THAT WORKS BEYOND THE WALLS OF THE HOSPITAL TO PROMOTE SERVICES, PROGRAMS AND POLICIES THAT IMPROVE CHILDREN'S HEALTH, SAFETY AND ACCESS TO QUALITY HEALTHCARE. HELPING NEW PARENTS BEGIN THEIR JOURNEY THE PROGRAM FOR EARLY PARENT SUPPORT (PEPS) IS A SEATTLE NONPROFIT THAT HELPS NEW MOMS AND DADS BEGIN THEIR JOURNEY INTO PARENTHOOD. PEPS NEIGHBORHOOD GROUPS HELP PARENTS SHARE EXPERIENCES, LEARN IMPORTANT SKILLS AND DEVELOP CONFIDENCE IN THEIR PARENTING ABILITIES AT WEEKLY MEETINGS. CHILDREN'S SPEECH-LANGUAGE PATHOLOGISTS ATTEND PEPS MEETINGS TO TALK ABOUT HOW PLAYING, READING AND INTERACTING WITH BABIES CONTRIBUTE TO A CHILD'S LANGUAGE DEVELOPMENT. "THEY HAVE VISITED MORE PEPS GROUPS OVER THE LAST SEVEN-PLUS YEARS THAN ANY OTHER SPEAKERS AND HAVE INFORMED, ENGAGED AND REASSURED THOUSANDS OF NEW PARENTS," SAYS L.B. KUSSICK, EXECUTIVE DIRECTOR OF PEPS. LAST YEAR, 250 PARENTS RECEIVED THE INFORMATION. EXPANDING NEWBORN SCREENING ALL BABIES BORN IN WASHINGTON STATE WILL BE SCREENED FOR SEVERE COMBINED IMMUNODEFICIENCY (SCID) AFTER CHILDREN'S IMMUNOLOGISTS HELPED THE STATE DEPARTMENT OF HEALTH (DOH) GAIN LEGISLATIVE APPROVAL TO ADD SCID SCREENING TO THE STATE'S NEWBORN SCREENING PROGRAM. SCID, SOMETIMES CALLED BUBBLE BOY DISEASE, IS A RARE CONDITION THAT MAKES IT IMPOSSIBLE FOR A CHILD TO FIGHT INFECTIONS. DIAGNOSING AND TREATING SCID BEFORE AN INFECTION TAKES HOLD CAN PREVENT COMPLICATIONS AND SAVE LIVES. CHILDREN'S GAVE THE STATE LAB TECHNICAL SUPPORT TO DEVELOP THE SCREENING PROCESS AND EDUCATED LAWMAKERS AND OTHER STAKEHOLDERS ABOUT THE LIFE-THREATENING CONSEQUENCES OF SCID AND THE POWER OF SCREENING TO SAVE LIVES. WHILE THE TEST WILL ADD $8 PER BABY TO THE COST OF NEWBORN SCREENING, THE COST OF CARING FOR ONE BABY WITH SCID CAN RUN INTO THE MILLIONS IF THE CONDITION IS NOT DETECTED EARLY. PROVIDING HELMET SAFETY FOR CHILDREN AND TEENS HELMETS SAVE LIVES AND HELP PREVENT HEAD INJURIES, BUT MANY KIDS DON'T HAVE A HELMET OR DON'T WEAR ONE EVEN THOUGH MANY WASHINGTON CITIES REQUIRE THEM BY LAW. A PROPERLY FITTING BIKE HELMET CAN REDUCE THE RISK OF HEAD INJURY BY 85%. THE KOHL'S HELMET SAFETY PROGRAM AT SEATTLE CHILDREN'S ALLOWS US TO PROVIDE FREE BIKE AND SKI HELMETS TO KIDS AND TEENS IN WASHINGTON STATE. IN PARTNERSHIP WITH KOHL'S, WE HOST UP TO 12 COMMUNITY EVENTS EACH YEAR, WHERE WE DISTRIBUTE THE FREE HELMETS AND TEACH PARENTS AND KIDS PROPER FIT AND USE. WE EMPHASIZE THAT THE HELMET SHOULD BE ADJUSTED TO FIT EACH CHILD'S HEAD AND WORN EVERY TIME THEY BIKE, SKATEBOARD, SKI OR SNOWBOARD. THE PROGRAM DISTRIBUTED 4,257 HELMETS DURING THE LAST FISCAL YEAR. KEEPING KIDS SAFE IN CARS CAR CRASHES ARE THE LEADING CAUSE OF DEATH FOR CHILDREN FROM BIRTH TO AGE 12, ACCORDING TO THE U.S. DEPARTMENT OF TRANSPORTATION. A PROPERLY FIT CHILD SAFETY SEAT REDUCES THE RISK OF FATALITY BY 71%, BUT CHOOSING THE RIGHT CAR SEAT OR BOOSTER SEAT AND INSTALLING IT CORRECTLY ARE EASIER SAID THAN DONE. EVERY YEAR, CHILDREN'S HOSTS FREE CHILD CAR SEAT CHECKS WHERE PARENTS, GRANDPARENTS AND CAREGIVERS CAN GET EXPERT ADVICE AND ASSISTANCE INSTALLING THEIR CHILD'S CAR SEAT. IN 2013, 68 PARENTS WERE SERVED. CHILDREN'S HAS A LONG HISTORY OF PROMOTING CHILD PASSENGER SAFETY. THE HOSPITAL WAS A FOUNDER OF THE WASHINGTON STATE BOOSTER SEAT COALITION, WHICH HELPED PASS THE NATION'S FIRST BOOSTER SEAT LAW IN 2000. SEATTLE CHILDREN'S ALSO WORKS WITH HEAD START PROGRAMS AND OFFERS CLASSES TO NEW PARENTS. SERIES OFFERS IBD ADVICE GROWING UP WITH CROHN'S DISEASE OR ULCERATIVE COLITIS PRESENTS MANY PHYSICAL AND EMOTIONAL CHALLENGES. THE FREQUENT AND URGENT NEED TO GO TO THE BATHROOM AND INCREASED FATIGUE INTERFERE WITH SCHOOL AND ACTIVITIES AND CAUSE EMBARRASSMENT. TO HELP CHILDREN AND THEIR FAMILIES COPE, THE INFLAMMATORY BOWEL DISEASE (IBD) CENTER AT CHILDREN'S PRODUCED A VIDEO SERIES THAT IS AVAILABLE ON OUR WEBSITE AND ON YOUTUBE. THE EIGHT-PART SERIES EXPLAINS IBD, DESCRIBES VARIOUS TREATMENTS AND PROVIDES TIPS FOR DEALING WITH CROHN'S AND ULCERATIVE COLITIS, SUCH AS MAKING SURE CHILDREN CAN LEAVE THEIR CLASSROOM TO USE THE BATHROOM AT ANY TIME. READ ABOUT HOW CHILDREN'S RESEARCHERS ARE USING FECAL TRANSPLANT TO FIND CURES FOR IBD AT SEATTLECHILDRENS.ORG/AAR.
	BLOG OFFERS INSIGHT ON RAISING TEENS RAISING A TEENAGER IS NOT ALWAYS SMOOTH SAILING. OUR TEENOLOGY 101 BLOG IS A VALUABLE RESOURCE FOR PARENTS AND CAREGIVERS OF TEENS AS THEY NAVIGATE THIS TURBULENT PERIOD IN A CHILD'S LIFE. ADOLESCENT MEDICINE EXPERT DR. YOLANDA EVANS, NURSE JENNIE BROWN, AND OTHERS OFFER TIPS FOR KEEPING TEENS SAFE AND HEALTHY, EXPLORE RELEVANT SOCIAL/POLITICAL ISSUES AND INVITE READERS TO SHARE THEIR PERSONAL INSIGHTS. A RECENT SERIES OF POSTS DISCUSSED PREPARING TEENS FOR COLLEGE. "OUR GOAL IS TO GIVE PARENTS ENCOURAGEMENT, ANSWER LOOMING QUESTIONS AND PROVIDE A WINDOW INTO THE MINDS OF TEENS," EVANS SAYS. CARING FOR KIDS WHERE THEY ARE THE ODESSA BROWN CHILDREN'S CLINIC (OBCC) PROVIDES MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO LOW-INCOME AND CULTURALLY DIVERSE FAMILIES WHO OFTEN HAVE A DIFFICULT TIME ACCESSING HEALTH CARE. LOCATED IN THE CENTRAL DISTRICT, OBCC IS SEATTLE CHILDREN'S ONLY PRIMARY CARE CLINIC. IN 2013, INTERDISCIPLINARY TEAMS FROM THE CLINIC BEGAN TO OFFER NURSING, MENTAL HEALTH AND CASE MANAGEMENT SERVICES AT BEACON HILL INTERNATIONAL SCHOOL AND MADRONA K-8 SCHOOL. REACHING OUT TO CHILDREN AT SCHOOL INCREASES SOCIAL AND EMOTIONAL DEVELOPMENT, REDUCES ACTING-OUT BEHAVIOR, IMPROVES OVERALL SCHOOL PERFORMANCE AND RAISES STAFF MORALE. "ALL TOO OFTEN WE EXPECT FAMILIES TO COME TO US," SAYS MARK FADOOL, DIRECTOR OF MENTAL HEALTH SERVICES AT OBCC. "BY GOING TO SCHOOLS, WE ARE EXPANDING THE WALLS OF OUR MEDICAL HOME AND MAKING IT POSSIBLE FOR FAMILIES WITH THE MOST BARRIERS TO ACCESS QUALITY SERVICES." PREVENTING TEEN SUBSTANCE ABUSE SEATTLE CHILDREN'S IS AN ACTIVE PARTNER IN PREVENTION WORKS IN SEATTLE (WINS), A COMMUNITY COALITION FIGHTING ADOLESCENT DRUG AND ALCOHOL ABUSE IN NORTHEAST SEATTLE. IN 2013, DR. LESLIE WALKER OF CHILDREN'S AND DR. KEVIN HAGGERTY OF THE SOCIAL DEVELOPMENT RESEARCH GROUP AT THE UNIVERSITY OF WASHINGTON WROTE "A PARENT'S GUIDE TO PREVENTING UNDERAGE MARIJUANA USE," A BOOKLET PUBLISHED BY PREVENTION WINS TO HELP PARENTS DISCOURAGE THEIR CHILDREN FROM USING MARIJUANA - A MORE COMPLICATED JOB NOW THAT MARIJUANA IS LEGAL IN WASHINGTON. PREVENTION WINS ALSO RELEASED A VIDEO ABOUT ADOLESCENT ALCOHOL USE CALLED "A PARENT'S ROLE IN PREVENTION." CHILDREN'S HOSTED THE PREMIERE OF THE VIDEO. WALKER SPOKE AFTERWARD ABOUT WHAT PARENTS CAN DO TO STOP UNDERAGE DRINKING AND JOINED A PANEL DISCUSSION ABOUT THE ROLE OF PARENTS AND THE COMMUNITY. GRANT SUPPORTS BIKE-SHARE PROGRAM CHILDREN'S AWARDED A $500,000 GRANT IN 2013 TO MAKE BIKE HELMETS AVAILABLE AT A NETWORK OF BIKE-SHARE STATIONS IN THE SEATTLE AREA. THE NONPROFIT ORGANIZATION PUGET SOUND BIKE SHARE WILL OPEN THE FIRST 50 RENTAL SITES, INCLUDING ONE AT CHILDREN'S, IN 2014. THE STATION WILL OFFER CHILDREN'S AND OUR NEIGHBORS ACCESS TO A BRAND-NEW FORM OF TRANSPORTATION. THE GRANT IS PART OF CHILDREN'S COMMITMENT TO REDUCING RELIANCE ON SINGLE-OCCUPANCY VEHICLES, WHICH ALSO INCLUDES BUILDING A CYCLE TRACK IN FRONT OF THE HOSPITAL AND CREATING A NEW CONNECTION TO THE NEARBY BURKE-GILMAN TRAIL. CHILDREN'S EMPLOYEES WILL RECEIVE FREE MEMBERSHIPS IN THE BIKE-SHARE PROGRAM. "WE ARE DEDICATED TO SUPPORTING A HEALTHY WORKFORCE AND HELPING OUR EMPLOYEES FIND TRANSPORTATION ALTERNATIVES," SAID LISA BRANDENBURG, HOSPITAL PRESIDENT. "BIKE SHARING IS ALSO ANOTHER OF OUR CONTRIBUTIONS TO MAKE OUR CITY A HEALTHIER PLACE TO LIVE." PROTECTING INFANTS FROM HEAD INJURY THE ABUSIVE HEAD TRAUMA PREVENTION TASK FORCE WORKS TO PREVENT SHAKEN BABY SYNDROME. AS A FOUNDER OF THE STATEWIDE GROUP, CHILDREN'S HELPS INTRODUCE HOSPITALS TO THE PERIOD OF PURPLE CRYING, A TRAINING PROGRAM THAT HELPS PARENTS SAFELY COPE WITH THE POTENTIAL FRUSTRATION OF A BABY'S PROLONGED CRYING, WHICH PREDICTABLY OCCURS DURING THE FIRST SIX MONTHS OF LIFE. THE NATIONAL CENTER ON SHAKEN BABY SYNDROME DEVELOPED THE PROGRAM. THE ACRONYM PURPLE DESCRIBES SPECIFIC CHARACTERISTICS OF AN INFANT'S CRYING AND LETS CAREGIVERS KNOW IT WILL END. CHILDREN'S HELPED RAISE AWARENESS OF THE PROGRAM IN 2013 BY COLLECTING 3,600 HAND-KNIT PURPLE HATS OVER THE COURSE OF THE YEAR AND GIVING THEM TO BABIES BORN IN NOVEMBER AT HOSPITALS OFFERING PERIOD OF PURPLE CRYING TRAINING. FEATURE: CULTIVATING HEALTHY COMMUNITIES CHILDREN'S IS PLANTING SEEDS FOR HEALTHY LIVING AMONG NEARLY 500,000 PEOPLE IN SOUTH SEATTLE AND SOUTH KING COUNTY THROUGH A COMMUNITY-BASED PREVENTION INITIATIVE. TOGETHER WITH THE HEALTHY KING COUNTY COALITION AND PUBLIC HEALTH SEATTLE & KING COUNTY, WE'RE USING A FEDERAL COMMUNITY TRANSFORMATION GRANT (CTG) TO SUPPORT POLICIES AND PROJECTS THAT PROMOTE NUTRITIOUS EATING, PHYSICAL ACTIVITY AND TOBACCO-FREE ENVIRONMENTS IN NUMEROUS COMMUNITIES WHERE THESE PROGRAMS ARE NEEDED MOST. OVER THE LAST YEAR, WE HAVE PARTNERED WITH LOCAL GOVERNMENT, SCHOOLS, CHILDCARE, HOSPITALS AND COMMUNITY ORGANIZATIONS. FOR EXAMPLE, THE CTG HELPED A GROUP OF SEVEN SCHOOL DISTRICTS WORK TOGETHER TO MAKE HEALTHY SCHOOL LUNCHES MORE APPEALING TO STUDENTS, FUNDED A FARM TOUR SO SCHOOLS COULD LEARN ABOUT SOURCING FRESH FOOD DIRECTLY FROM FARMERS AND HELPED TWO SCHOOL DISTRICTS UPDATE THEIR PHYSICAL EDUCATION PROGRAMS. CHILDREN'S AND ITS CTG PARTNERS ALSO EDUCATED STAKEHOLDERS ON POLICIES LIKE INCREASING THE SUPPLY OF TOBACCO-FREE AFFORDABLE HOUSING AND ADDING SINGLE-GENDER SESSIONS AT PUBLIC POOLS TO ENABLE PEOPLE FROM ALL CULTURES TO SWIM FOR EXERCISE. RENTON PUBLIC HOUSING AND RENTON PARKS ARE NOW SMOKE FREE, AND TUKWILA OFFERS WEEKLY SWIMS FOR MEN AND WOMEN. CTG BUILDS ON A PREVIOUS FEDERAL GRANT CALLED COMMUNITIES PUTTING PREVENTION TO WORK, WHICH LED TO A 17% DECLINE IN YOUTH OBESITY IN KING COUNTY, ACCORDING TO A REPORT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	SYZYGY PROPERTIES LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	981455005	ZIPCode

Field	Value	IRS element (for citing)
EIN	911250116	EIN
Primary Activities	REAL ESTATE MANAGEMENT	PrimaryActivities
Legal Domicile State	WA	LegalDomicileState
Total Income	308363	TotalIncome
EOY Assets	5815560	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
SEATTLE CHILDREN'S HOSPITAL
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	910564748	PEDIATRIC MEDICAL CARE	WA	501(C)(3)	LINE 3	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	1
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911156519	FUNDRAISING	WA	501(C)(3)	LINE 7	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	1
SEATTLE CHILDREN'S HOSPITAL GUILD ASSN
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911394056	FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESS	WA	501(C)(3)	LINE 7	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	1
CHILDREN'S RETAIL
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911998909	THRIFT STORES	WA	501(C)(3)	LINE 11A, I	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	1
CHILDREN'S HEALTH NETWORK
PO BOX 5371 MS RC-507	SEATTLE	WA	981455005	911226716	PEDIATRIC HEALTHCARE SERVICES	WA	501(C)(3)	LINE 11A, I	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S RESEARCH INVESTORS LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5371 MS RC-507	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	981455005	ZIPCode

Field	Value	IRS element (for citing)
EIN	263852796	EIN
Primary Activity	RESEARCH FACILITY DEVELOPMENT	PrimaryActivity
Legal Domicile State	WA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	440112	ShareOfTotalIncome
Share Of EOY Assets	23669845	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	1	GeneralOrManagingPartner
Percentage Ownership	0.99000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
CHARITABLE REMAINDER UNITRUSTS (11)
INVESTMENTS	WA	SEATTLE CHILDREN'S HEALTHCARE SYS	T	0
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTS	AK	SEATTLE CHILDREN'S HEALTHCARE SYS	T	0
CHARITABLE REMAINDER UNITRUSTS (4)
INVESTMENTS	CA	SEATTLE CHILDREN'S HEALTHCARE SYS	T	0
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTS	FL	SEATTLE CHILDREN'S HEALTHCARE SYS	T	0
CHARITABLE REMAINDER ANNUITY TRUSTS (3)
INVESTMENTS	WA	SEATTLE CHILDREN'S HEALTHCARE SYS	T	0
PERPETUAL TRUSTS (7)
INVESTMENTS	WA	SEATTLE CHILDREN'S HEALTHCARE SYS	T	0
POOLED INCOME FUND (1)
INVESTMENTS	WA	SEATTLE CHILDREN'S HEALTHCARE SYS	T	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
SEATTLE CHILDREN'S RESEARCH INVESTORS LLC
A	440112	ACTUAL INTEREST INCOME
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
C	1704880	ACTUAL CONTRIBUTION
CHILDREN'S RETAIL
C	456303	ACTUAL CONTRIBUTION
SEATTLE CHILDREN'S HOSPITAL
D	962527	ACTUAL RECEIVABLE
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
E	360761	ACTUAL PAYABLE
SEATTLE CHILDREN'S HOSPITAL GUILD ASSN
E	322331	ACTUAL PAYABLE
CHILDREN'S RETAIL
E	8477	ACTUAL PAYABLE
SEATTLE CHILDREN'S HOSPITAL
P	963103	ACTUAL EXPENSES