FURP.ORG / PUBLIC DATA EXPLORER

SEATTLE CHILDRENS HEALTHCARE SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SEATTLE CHILDRENS HEALTHCARE SYSTEM (EIN 91-1250116)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-09
IRS object ID
201322219349300827
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-09T10:48:23-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN911194016EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1700AddressLine1
CityBELLEVUECity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911250116EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SEATTLE CHILDREN'S HEALTHCARE SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSEATNameControl
Phone2069874846Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5371 MS RC-507AddressLine1
CitySEATTLECity
StateWAState
ZIP Code981455005ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKELLY A WALLACEName
TitleSENIOR VP & CFOTitle
Phone2069874846Phone
Date Signed2013-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJANE M SEARINGName
PTINP00000565PTIN
Phone4254544919Phone
Date Prepared2013-08-01DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKELLY A WALLACENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5371 MS RC-507AddressLine1
CitySEATTLECity
StateWAState
ZIP Code981455005ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1400013225GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SEATTLECHILDRENS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTHE PROVISION OF QUALITY HEALTH CARE SERVICES TO INFANTS, CHILDREN AND ADOLESCENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees9TotalNbrEmployees
Total Nbr Volunteers27TotalNbrVolunteers
Total Gross UBI146620TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6249116ContributionsGrantsPriorYear
Contributions Grants Current Year6058912ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11130777ProgramServiceRevenuePriorYear
Program Service Revenue CY10901203ProgramServiceRevenueCY
Investment Income Prior Year8939408InvestmentIncomePriorYear
Investment Income Current Year12652102InvestmentIncomeCurrentYear
Other Revenue Prior Year836994OtherRevenuePriorYear
Other Revenue Current Year471763OtherRevenueCurrentYear
Total Revenue Prior Year27156295TotalRevenuePriorYear
Total Revenue Current Year30083980TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3263821SalariesEtcPriorYear
Salaries Etc Current Year3295041SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2149636OtherExpensePriorYear
Other Expenses Current Year2079597OtherExpensesCurrentYear
Total Expenses Prior Year5413457TotalExpensesPriorYear
Total Expenses Current Year5374638TotalExpensesCurrentYear
Revenues Less Expenses Prior Year21742838RevenuesLessExpensesPriorYear
Revenues Less Expenses CY24709342RevenuesLessExpensesCY
Total Assets BOY529987668TotalAssetsBOY
Total Assets EOY570594098TotalAssetsEOY
Total Liabilities BOY20016522TotalLiabilitiesBOY
Total Liabilities EOY8796083TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY509971146NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY561798015NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEATTLE 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1637208Expense
Revenue10901203Revenue
DescriptionSEATTLE 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 Expense1637208TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees9NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WARREN E HEWITT VP FINANCEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2069874846TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14300 ROOSEVELT WAY NE 5TH FLOORAddressLine1
CitySEATTLECity
StateWAState
ZIP Code981054718ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeFormerFormer
DEAN ALLEN
TRUSTEE4.00X000
LIBBY ARMINTROUT
TRUSTEE3.00X000
ROBB BAKEMEIER
TRUSTEE3.00X000
JOEL BENOLIEL
TRUSTEE3.00X000
SUSAN BETCHER
TRUSTEE5.00X000
JANE BLAIR
TRUSTEE2.00X000
ROSS BOGUE
TRUSTEE1.00X000
PAT CHAR
TRUSTEE4.00X000
MICHAEL DELMAN
TREASURER5.00X000X
ROY DIAZ
TRUSTEE2.00X000
DAVID FISHER MD
SR VP/MED DTR/NON VOTING3.00X0699845132355
ROBERT FLOWERS
VICE-CHAIR/CHAIR4.00X000X
MARY ANN FLYNN
TRUSTEE4.00X000
JUDY HOLDER
TRUSTEE6.00X000
CYNTHIA HUFFMAN
SECRETARY2.00X000X
JIM LADD
CHAIR/TRUSTEE6.00X000X
SANDRA MADRID
TRUSTEE3.00X000
SUSAN MASK
TRUSTEE3.00X000
RESA MOORE
TRUSTEE3.00X000
JEFF NITTA
TRUSTEE5.00X000
GLORIA NORTHCROFT
TRUSTEE2.00X000
LAURIE OKI
TRUSTEE3.00X000
JUDITH PIERCE
TRUSTEE4.00X000
ROB ROSKIN MD
NON-VOTING TRUSTEE12.00X000
NANCY SENSENEY
TRUSTEE/VICE-CHAIR10.00X000X
PETE SHIMER
TRUSTEE2.00X000
MICHELE SMITH
TRUSTEE5.00X000
CHARLES STEVENS
TRUSTEE2.00X000
THOMAS HANSEN MD
CEO/NON-VOTING TRUSTEE29.50553072567515252075X
KELLY WALLACE
SENIOR VP & CFO14.00141991435071147200X
SANFORD MELZER MD
SR VP - STRATEGIC PLANNING14.00438696315531114748X
JEFFREY SCONYERS
SR VP & GENERAL COUNSEL27.5020709221476288352X
PATRICK HAGAN
FORMER PRESIDENT & COO0.000659808250391X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1340851TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2892532TotalReportableCompFrmRltdOrgs
Total Other Compensation985121TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WELLINGTON TRUST COMPANY NA
PO BOX 13766NEWARKNJ071880766INVESTMENT MANAGEMENT608094
MELLON TRUST OF NEW ENGLAND
ONE BOSTON PLACE FLOOR 8BOSTONMA02108INVESTMENT SERVICES156470
MONTICELLO ASSOCIATES INC
1200 17TH STREET STE 2600DENVERCO80202INVESTMENT SERVICES150000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations6058912RelatedOrganizations
Noncash Contributions118587NoncashContributions
Total Contributions6058912TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SERVICES THROUGH SCCA9000991062633310626333
MEDICAL CLINIC RENTAL900099274870274870
FieldValueIRS element (for citing)
Total Program Service Revenue10901203TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4416777TotalRevenueColumn
Unrelated Business Revenue146620UnrelatedBusinessRevenue
Exclusion$4,270,157ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real465169Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real339550Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real125619Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column125619TotalRevenueColumn
Exclusion$125,619ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1377056564Securities
Other768456Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1368789695Securities
Other800000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities8266869Securities
Other-31544Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column8235325TotalRevenueColumn
Exclusion$8,235,325ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPENSION FORFEITUREDescription
Business Code900099BusinessCode
Total Revenue Column346144TotalRevenueColumn
Exclusion$346,144ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue346144TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column30083980TotalRevenueColumn
Related Or Exempt Function Income10901203RelatedOrExemptFunctionIncome
Unrelated Business Revenue146620UnrelatedBusinessRevenue
Exclusion$12,977,245ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1480978Total
Program Services1480978ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total914695Total
Management And General914695ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total50854Total
Management And General50854ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total559291Total
Management And General559291ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total289223Total
Program Services148030ProgramServices
Management And General141193ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total120277Total
Management And General120277ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total583719Total
Management And General583719ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total21386Total
Management And General21386ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total40Total
Management And General40ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total987486Total
Management And General987486ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total137Total
Management And General137ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total62108Total
Management And General62108ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionLICENSES AND TAXESDescription
Total288422Total
Management And General288422ManagementAndGeneral

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16022Total
Program Services8200ProgramServices
Management And General7822ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5374638Total
Program Services1637208ProgramServices
Management And General3737430ManagementAndGeneral
Fundraising0Fundraising

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY620382BOY
EOY388745EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY72817BOY
EOY174689EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis47057908LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec471592LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY47484405BOY
EOY46586316EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY168731209BOY
EOY184681511EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY190989009BOY
EOY212390488EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY109194450BOY
EOY115282589EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12895396BOY
EOY11089760EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY529987668BOY
EOY570594098EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY552836BOY
EOY433595EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY38442BOY
EOY38442EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19425244BOY
EOY8324046EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20016522BOY
EOY8796083EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY420495300BOY
EOY467069079EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY18053813BOY
EOY19901943EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY71422033BOY
EOY74826993EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY509971146BOY
EOY561798015EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY529987668BOY
EOY570594098EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses24709342ReconcilationRevenueExpenses
Reconcilation Other Changes27117527ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11458517CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8543940CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4426584CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6249116CurrentTaxYearMinus1Year
Current Tax Year6058912CurrentTaxYear
Total36737069Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11458517CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8543940CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4426584CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6249116CurrentTaxYearMinus1Year
Current Tax Year6058912CurrentTaxYear
Total36737069Total
FieldValueIRS element (for citing)
Public Support Total17036737069PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7474033CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7813686CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5361362CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5398742CurrentTaxYearMinus1Year
Current Tax Year4881946CurrentTaxYear
Total30929769Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years67588CurrentTaxYearMinus4Years
Total67588Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year346144CurrentTaxYear
Total346144Total
FieldValueIRS element (for citing)
Total Support68080570TotalSupport
Gross Receipts From Admissions Etc46716979GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.53960PublicSupportPertcentage170
Public Support Pertcent Prior Year0.56680PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: 2007 2008 2009 2010 2011 PENSION FORFEITURE 0 0 0 0 346,144GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance243536000BeginningOfYearBalance
Contributions408000Contributions
Investment Earnings Or Losses37409000InvestmentEarningsOrLosses
Other Expenditures2904000OtherExpenditures
End Of Year Balance278449000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance243212000BeginningOfYearBalance
Contributions1204000Contributions
Investment Earnings Or Losses1848000InvestmentEarningsOrLosses
Other Expenditures2728000OtherExpenditures
End Of Year Balance243536000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance221667000BeginningOfYearBalance
Contributions667000Contributions
Investment Earnings Or Losses23571000InvestmentEarningsOrLosses
Other Expenditures2693000OtherExpenditures
End Of Year Balance243212000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance221109000BeginningOfYearBalance
Contributions650000Contributions
Investment Earnings Or Losses2392000InvestmentEarningsOrLosses
Other Expenditures2484000OtherExpenditures
End Of Year Balance221667000EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.82240BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.15110PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.02650TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis44331962OtherCostOrOtherBasis
Book Value44331962BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2461096OtherCostOrOtherBasis
Depreciation471592Depreciation
Book Value1989504BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis264850OtherCostOrOtherBasis
Book Value264850BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings46586316TotalOfBookValueLandBuildings

Other Securities OtherSecurities (6 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
POOLED INVESTMENTS172298947C
CHARITABLE REMAINDER UNITRUSTS892486C
PERPETUAL & TESTAMENTARY TRUSTS32488502C
GIFT ANNUITIES3005457C
DEFERRED COMPENSATION PLANS3174795C
OTHER ALTERNATIVE INVESTMENTS530301C
FieldValueIRS element (for citing)
Total Of Book Value Securities212390488TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN SCCA89218000C
INVESTMENT IN SCRI, LLC21901672C
INVESTMENT IN SYZYGY LLC3991750C
ACCRUED INTEREST171167F
FieldValueIRS element (for citing)
Total Of Book Value Program Related115282589TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ANNUITIES AND TRUSTS PAYABLE$2,534,662
DEFERRED COMPENSATION PAYABLE$3,524,789
PAYABLE TO AFFILIATES$2,113,276
OTHER PAYABLES$151,319
FieldValueIRS element (for citing)
Total Of Amounts8324046TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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: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, 2012 AND 2011, SCHS DID NOT RECORD ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegion
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConducted
Total Expenditures102400528TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent102400528SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent102400528TotalAmountSpent
Transfer To Foreign Corp1TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co1PassiveForeignInvestCo
Foreign Partnership1ForeignPartnership
Boycott Countries0BoycottCountries

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID FISHER MD
047902202092770115469410698000284499410673809400
THOMAS HANSEN MD
3652513652501853751853752446168902138787350154241542378237459028800
KELLY WALLACE
10190430571239239117716848116431083851102569482084225732446693800
SANFORD MELZER MD
6293718881139663118988336096773277481110256561196815227383462373359430
JEFFREY SCONYERS
14904814904757224576818208034543167350133431334327475123545500
PATRICK HAGAN
04537660201236048062074751470002821620747570272400

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ATHE CHIEF EXECUTIVE OFFICER IS PROVIDED MEMBERSHIP TO THE RAINIER CLUB. ANNUAL DUES ARE $2,285, WHICH IS REPORTED AS TAXABLE COMPENSATION.
PART I, LINE 4BTHE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THOMAS HANSEN MD - $206,528 DEFERRED COMPENSATION KELLY WALLACE - $104,710 DEFERRED COMPENSATION DAVID FISHER MD - $94,106 DEFERRED COMPENSATION SANFORD MELZER MD - $73,806 DEFERRED COMPENSATION, $335,943 REPORTABLE PAYMENT. JEFFREY SCONYERS - $46,966 DEFERRED COMPENSATION
PART IIIPART 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: SANFORD MELZER MD - $335,943.SUPPLEMENTAL INFORMATION

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions40NumberOfContributions
Noncash Contribs Rptd F990118587NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:PART I, COLUMN (B):LINE 9 - 40 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 (13 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART I, LINE 6:27 MEMBERS OF THE BOARD OF TRUSTEES PERFORM THEIR DUTIES UNCOMPENSATED.
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT 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 12CTHE 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 15EXECUTIVE 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 19SEATTLE CHILDREN'S HEALTHCARE SYSTEM MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A, COLUMN (B):HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: DAVID FISHER MD - 53 ROBERT FLOWERS - 1 JIM LADD - 1 RESA MOORE - 1 GLORA NORTHCROFT - 1 LAURIE OKI - 3 PETE SHIMER - 1 MICHELE SMITH - 1 THOMAS HANSEN MD - 26.5 KELLY WALLACE - 42 SANFORD MELZER MD - 41 JEFFREY SCONYERS - 27.5 PATRICK HAGAN - 55
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 5:NET UNREALIZED GAINS ON INVESTMENTS: 31,479,186. CHANGE IN MINIMUM PENSION LIABILITY 151,007. SHARE OF LOSS FROM INVESTMENT IN SCCA RELATED TO PROCURE SEATTLE HOLDINGS -4,512,666. TOTAL TO FORM 990, PART XI, LINE 5: 27,117,527.CHANGES IN NET ASSETS OR FUND BALANCES:
SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT 2012OUR MISSION: WE BELIEVE ALL CHILDREN HAVE UNIQUE NEEDS AND SHOULD GROW UP WITHOUT ILLNESS OR INJURY. WITH THE SUPPORT OF THE COMMUNITY AND THROUGH OUR SPIRIT OF INQUIRY, WE WILL PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. OUR VISION: WE WILL BE THE BEST CHILDREN'S HOSPITAL. - WE WILL PROVIDE PATIENTS AND THEIR FAMILIES EXCELLENT CARE WITH COMPASSION AND RESPECT. - WE WILL PROVIDE SUPERIOR, ACCESSIBLE, COST-EFFECTIVE SERVICE. - WE WILL ATTRACT AND RETAIN THE BEST TALENT AT ALL LEVELS OF THE ORGANIZATION. - WE WILL BE ONE OF THE TOP FIVE PEDIATRIC RESEARCH INSTITUTIONS. - WE WILL BE THE NATION'S PREMIER PEDIATRIC EDUCATORS. - WE WILL ACHIEVE WORLDWIDE PROMINENCE BY INTEGRATING PATIENT CARE, RESEARCH, EDUCATION AND ADVOCACY. LETTER FROM OUR CHIEF EXECUTIVE OFFICER AT SEATTLE CHILDREN'S, WE ARE ALWAYS LOOKING FOR WAYS TO IMPROVE THE HEALTH AND SAFETY OF CHILDREN AND FAMILIES. BUT BEFORE WE CAN MAKE THINGS BETTER, WE HAVE TO UNDERSTAND THE NEEDS AND CHALLENGES THAT FAMILIES FACE. IN 2012, WE COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE VAST REGION WE SERVE - WASHINGTON, ALASKA, MONTANA AND IDAHO. TWO YEARS IN THE MAKING, THE ASSESSMENT IDENTIFIES AREAS OF PRESSING NEED IN OUR REGION AND PRIORITIZES OUR FUTURE COMMUNITY BENEFIT WORK BASED ON OUR ABILITY TO BRING ABOUT POSITIVE CHANGE. THIS ASSESSMENT IS OUR BLUEPRINT FOR WORKING WITH FAMILIES, COMMUNITY ORGANIZATIONS AND OTHERS TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. IT WAS GRATIFYING TO LEARN THAT THE ASSESSMENT RESULTS VALIDATE MUCH OF THE COMMUNITY BENEFIT WORK WE ARE ALREADY DOING TO MEET THE REGION'S NEEDS. HERE ARE THE PRIORITIES THE ASSESSMENT IDENTIFIED FOR THE NEXT THREE YEARS: - IMPROVING ACCESS TO HIGH-QUALITY HEALTHCARE - FIGHTING OBESITY - IMPROVING MENTAL AND BEHAVIORAL HEALTH SERVICES - COORDINATING CARE FOR CHILDREN AND TEENS WITH CHRONIC CONDITIONS - TACKLING HEALTH DISPARITIES AND ENHANCING ACCESS IN SOUTH KING COUNTY I AM PLEASED TO SHARE MANY EXAMPLES OF OUR WORK IN THE FOLLOWING PAGES AND PROUD TO ANNOUNCE THAT THE TOTAL VALUE OF OUR INVESTMENT IN THE COMMUNITY IN 2012 WAS $234,324,000 - WITH NEARLY HALF GOING TO UNCOMPENSATED CARE. YOUR SUPPORT MAKES OUR WORK POSSIBLE. TOGETHER, WE ARE BUILDING A SAFE AND HEALTHY FUTURE FOR CHILDREN AND FAMILIES. THANK YOU. SINCERELY, TOM HANSEN, MD CEO, SEATTLE CHILDREN'S TOTAL 2012 VALUE TO THE COMMUNITY: $234,324,000 CHILDREN'S IS COMMITTED TO PREVENTING, TREATING AND ELIMINATING PEDIATRIC DISEASE THROUGH COMMUNITY BENEFIT INVESTMENTS IN PATIENT CARE AND RESEARCH, EDUCATING HEALTH PROFESSIONALS AND MEETING COMMUNITY NEEDS WITH PROGRAMS AND SERVICES THAT REACH FAMILIES WHERE THEY LIVE. UNCOMPENSATED CARE: $113,726,000 RESEARCH PROGRAMS: $85,023,000 HEALTH PROFESSIONAL EDUCATION: $19,291,000 COMMUNITY PROGRAMS AND SERVICES: $16,284,000 LEARN MORE ABOUT THE WAYS WE BENEFIT OUR COMMUNITY AT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT. UNCOMPENSATED CARE CHILDREN'S WAS FOUNDED ON THE PROMISE THAT ALL OF THE COMMUNITY'S SICK AND INJURED CHILDREN SHOULD HAVE ACCESS TO THE BEST MEDICAL CARE AVAILABLE, REGARDLESS OF A FAMILY'S ABILITY TO PAY. IN 2012, CHILDREN'S PROVIDED $113.7 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO - AN AMOUNT THAT'S GROWN NEARLY THREE TIMES SINCE 2006. PROMISE KEPT. BRIDGING THE GAP MORE THAN ONE DESPERATE PARENT HAS LOOKED AT THE SIZE OF THEIR CHILD'S HOSPITAL BILL AND ASKED BARBARA CAMELON, "AM I GOING TO HAVE TO SELL MY HOUSE?" CAMELON'S ANSWER: "ABSOLUTELY NOT!" CAMELON LEADS THE FINANCIAL COUNSELING TEAM AT CHILDREN'S. WITH SUPPORT FROM OUR GENEROUS COMMUNITY, THE TEAM WORKS WITH FAMILIES IN WASHINGTON, ALASKA, MONTANA AND IDAHO TO BRIDGE THE GAP BETWEEN A CHILD'S HOSPITAL BILL AND WHAT PRIVATE INSURANCE OR MEDICAID AND CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) WILL COVER. MEDICAID AND CHIP ARE THE GOVERNMENT PROGRAMS THAT PROVIDE MEDICAL COVERAGE AT LITTLE OR NO COST TO LOW-INCOME FAMILIES, NEARLY HALF OF OUR PATIENTS RECEIVED COVERAGE THROUGH MEDICAID (KNOWN IN WASHINGTON STATE AS APPLE HEALTH FOR KIDS) IN 2012, BUT THEY PAID ONLY ABOUT 68% OF THE ACTUAL COST OF CARE, DOWN FROM 71% THE YEAR BEFORE. OUR UNCOMPENSATED CARE PROGRAM HELPS COVER THE SHORTFALL. THE FINANCIAL ASSISTANCE PROGRAM ALSO HELPS ERASE GAPS FOR FAMILIES WHEN THEIR BILL EXCEEDS THEIR COVERAGE. "WE HAVE A VERY SATISFYING JOB," CAMELON SAYS, "BECAUSE 90% OF THE TIME, WE CAN HELP." PROGRAM HELPS PROTECT FAMILY STABILITY A BOY'S MOM SUSPECTED SOMETHING WASN'T RIGHT WHEN SHE HEARD HER SON'S CRIES IN THE DELIVERY ROOM. HE WAS SOON HAVING SEIZURES, AND BY THE TIME HE WAS 3 WEEKS OLD, HE WAS HAVING UP TO 15 A DAY. WHEN THE STATE MEDICAL INSURANCE THAT COVERS MOMS AND BABIES FOR THE FIRST YEAR OF A CHILD'S LIFE ENDED, SHE CALLED CHILDREN'S TO CANCEL ALL OF THEIR APPOINTMENTS UNTIL SHE AND HER HUSBAND COULD FIGURE OUT HOW TO PAY. THAT'S WHEN SHE LEARNED ABOUT CHILDREN'S UNCOMPENSATED CARE PROGRAM. FOR HER, CHILDREN'S COMMITMENT TO PROVIDING UNCOMPENSATED CARE MEANS THAT HER FAMILY DOESN'T HAVE TO CHOOSE BETWEEN PAYING THE MORTGAGE ON THEIR HOUSE IN MARYSVILLE, WASH., AND GETTING THEIR SON THE CARE, PRESCRIPTIONS AND MEDICAL SUPPLIES HE NEEDS - MORE THAN $15,000 A YEAR IN COSTS THAT THEIR PRIVATE INSURANCE DOESN'T COVER. "CHILDREN'S FINANCIAL ASSISTANCE HELPS US KEEP OUR SON HEALTHY, PUT SOME MONEY AWAY FOR OUR DAUGHTER'S COLLEGE EDUCATION AND HOLD ONTO WHAT LITTLE FINANCIAL SECURITY WE HAVE," SHARES THE MOM. PRESERVING ACCESS TO THE EMERGENCY DEPARTMENT CHILDREN'S, TOGETHER WITH THE WASHINGTON STATE MEDICAL ASSOCIATION, THE WASHINGTON HOSPITAL ASSOCIATION, THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS AND OTHER HOSPITALS, HELPED OVERTURN A STATE BUDGET PROPOSAL TO LIMIT MEDICAID COVERAGE FOR VISITS TO THE EMERGENCY DEPARTMENT (ED) FOR A LIST OF SERVICES, MANY OF THEM EMERGENT FOR CHILDREN, THAT THE STATE DEFINED AS NONEMERGENT. THE THREE-VISIT LIMIT WAS INTENDED TO REDUCE COSTLY OVERUSE OF EDS, BUT IT COULD HAVE DISCOURAGED PARENTS FROM BRINGING CHILDREN TO THE ED WHEN THEIR CHILDREN EXPERIENCED THE NEED FOR EMERGENCY MEDICAL CARE - FOR NEEDS NO PARENT COULD DIAGNOSE AS EMERGENT OR NONEMERGENT WITHOUT EXAMINATION BY A PHYSICIAN. CHILDREN'S AND ITS PARTNERS HELPED DEVELOP AN ALTERNATIVE THAT ADDRESSES OVERUSE BUT PRESERVES COVERAGE FOR ED VISITS. CHILDREN'S AND ALMOST EVERY OTHER ED IN THE STATE NOW SEND ADMISSIONS DATA TO A CENTRALIZED SYSTEM THAT TRACKS REPEAT PATIENTS. HOSPITALS COORDINATE TO DEVELOP CARE PLANS AND CONNECT THESE PATIENTS WITH PRIMARY CARE PROVIDERS SO THEY'LL BE LESS RELIANT ON THE STATE'S EMERGENCY DEPARTMENTS. KEEPING FAMILIES STABLE DURING CRISIS WHEN FAMILIES COME TO CHILDREN'S, THEIR BIGGEST WORRY IS THEIR CHILD'S HEALTH. YET MANY FAMILIES FACE ADDED STRESS BECAUSE THEY'RE STRUGGLING TO PAY FOR FOOD, TRANSPORTATION, HOUSING AND OTHER ESSENTIALS WHILE THEIR CHILD IS SERIOUSLY ILL. THE SOCIAL WORK EMERGENCY FUND HELPS FAMILIES MEET BASIC NEEDS SO THEY CAN MAINTAIN THEIR STABILITY AND FOCUS ON THE WELL-BEING OF THEIR CHILD. OUR SOCIAL WORKERS PROVIDED ASSISTANCE TO MORE THAN 2,000 FAMILIES LAST YEAR - UP 43% FROM FOUR YEARS AGO. "IN THIS ECONOMY, WE'VE SEEN MORE FAMILIES FACING EVICTION OR THE LOSS OF ELECTRICITY AND HEAT," SAID ROOSEVELT TRAVIS, JR., WHO LEADS OUR SOCIAL WORK TEAM. "THE EMERGENCY FUND IS A CRUCIAL RESOURCE FOR FAMILIES DURING A TIME OF CRISIS." ROLLING OUT THE WELCOME MAT WE SERVE THE LARGEST GEOGRAPHIC AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. MANY FAMILIES TRAVEL LONG DISTANCES TO GET SPECIALIZED CARE FOR THEIR CHILD AT CHILDREN'S. AS PART OF OUR COMMITMENT TO ACCESS TO CARE, OUR GUEST SERVICES TEAM ASSISTS FAMILIES DURING EVERY STEP OF THEIR JOURNEY, INCLUDING: - PROVIDING FREE SHUTTLE RIDES TO AND FROM THE HOSPITAL, PLANES, TRAINS, BUSES AND FERRIES - FINDING DISCOUNTED LODGING - CONNECTING FAMILIES WHO NEED FINANCIAL ASSISTANCE WITH THE APPROPRIATE RESOURCES - HELPING FAMILIES STAY IN TOUCH WITH HOME THROUGH VIDEO TELECONFERENCING "WE DO A LITTLE BIT OF EVERYTHING FOR FAMILIES WHETHER THEY'RE COMING FOR A CLINIC VISIT, SURGERY OR A HOSPITAL STAY," SAYS TAMY GURDIAN, ONE OF FIVE GUEST SERVICES SPECIALISTS. GUEST SERVICES COORDINATED 3,111 HOUSING REQUESTS AND PROVIDED 2,698 SHUTTLE RIDES IN 2012. TOTAL REQUESTS FOR ASSISTANCE NUMBERED 7,328.
SPOTLIGHT ON: MENTAL HEALTH PROVIDING A SAFETY NET IN THE ED RESOURCES FOR YOUTH WITH MENTAL HEALTH ISSUES ARE SCARCE AND BECOMING SCARCER. THE EMERGENCY DEPARTMENT SERVES AS A SAFETY NET FOR CHILDREN AND TEENS IN CRISIS. "FAMILIES COME TO THE ED WHEN THEY'VE REACHED THE END OF THEIR ROPE AND THEY FEEL THEY HAVE NO OTHER OPTIONS," SAYS DR. RUSS MIGITA, CLINICAL DIRECTOR OF EMERGENCY MEDICINE. A TWO-PERSON TEAM MEETS WITH FAMILIES AS SOON AS THEY ARRIVE TO STABILIZE THE CRISIS AND MAKE A PLAN TO HELP THE CHILD. IF THE CHILD IS NOT ADMITTED TO OUR INPATIENT PSYCHIATRIC UNIT, WE MAKE SURE FAMILIES LEAVE THE ED WITH THE SKILLS AND CONNECTIONS TO COMMUNITY RESOURCES THEY NEED. RESEARCH RESEARCH IS THE ENGINE THAT MOVES NEW CURES AND TREATMENTS FORWARD AND GIVES PATIENTS AND FAMILIES HOPE FOR A BETTER TOMORROW. IT IS OUR INVESTMENT IN THE FUTURE OF HEALTHCARE. AS ONE OF THE TOP FIVE PEDIATRIC RESEARCH CENTERS IN THE NATION, SEATTLE CHILDREN'S RESEARCH INSTITUTE BRINGS TOGETHER THE BEST MINDS TO TRANSLATE SCIENTIFIC DISCOVERIES INTO STATE-OF-THE-ART THERAPIES FOR OUR PATIENTS AND FOR CHILDREN AROUND THE WORLD. GRANTS FROM THE NATIONAL INSTITUTES OF HEALTH (NIH) INCREASED FROM $22.7 MILLION IN 2008 TO MORE THAN $34.5 MILLION IN FISCAL YEAR 2012. TOTAL EXTRAMURAL AWARDS GREW FROM $67 MILLION IN 2010 TO $70 MILLION IN 2012. DISCOVERY CENTRAL SEATTLE CHILDREN'S RESEARCH INSTITUTE INCLUDES NINE INTERDISCIPLINARY CENTERS AND TWO PROGRAMS ENCOMPASSING AREAS CENTRAL TO PEDIATRIC HEALTH. CENTERS: - BEN TOWNE CENTER FOR CHILDHOOD CANCER RESEARCH - CENTER FOR CHILD HEALTH, BEHAVIOR AND DEVELOPMENT - CENTER FOR CHILDHOOD INFECTIONS AND PREMATURITY RESEARCH - CENTER FOR CLINICAL AND TRANSLATIONAL RESEARCH - CENTER FOR DEVELOPMENTAL BIOLOGY AND REGENERATIVE MEDICINE - CENTER FOR DEVELOPMENTAL THERAPEUTICS - CENTER FOR GENETICS AND DEVELOPMENT - CENTER FOR IMMUNITY AND IMMUNOTHERAPIES - CENTER FOR INTEGRATIVE BRAIN RESEARCH PROGRAMS: - SCIENCE ADVENTURE LAB - TREUMAN KATZ CENTER FOR PEDIATRIC BIOETHICS IDENTIFYING THE BEST PRACTICES CONTROLLING ASTHMA THROUGH ONLINE TOOLS ASTHMA ATTACKS SEND THOUSANDS OF CHILDREN TO THE HOSPITAL EVERY YEAR, BUT MOST HOSPITALIZATIONS COULD BE AVOIDED IF CHILDREN TOOK ASTHMA MEDICATION REGULARLY. ONE WAY TO GET MORE KIDS TO TAKE THEIR MEDICINE COULD BE JUST A CLICK AWAY. CHILDREN WHO NEED DAILY MEDICATIONS TO TREAT THEIR ASTHMA WERE TWICE AS LIKELY TO USE THEM REGULARLY IF THEIR PARENTS WERE GIVEN ACCESS TO A WEBSITE CALLED MY CHILD'S ASTHMA, ACCORDING TO A STUDY LED BY DR. DIMITRI CHRISTAKIS AND DR. MICHELLE GARRISON. CHRISTAKIS AND GARRISON DEVELOPED THE WEBSITE TO GIVE PARENTS PERSONALIZED ADVICE ABOUT THEIR CHILD'S SYMPTOMS AND MEDICATION, OFFER THEM PRACTICAL TIPS FOR REMINDING KIDS TO TAKE THEIR MEDICATION (EXAMPLE: KEEP THE INHALER NEXT TO THE TOOTHBRUSH) AND PROMPT THEM TO SET GOALS AND CHART THEIR CHILD'S PROGRESS. FIGHTING HEADACHES WITH BIOFEEDBACK NEARLY ONE OUT OF FIVE OF CHILDREN IN THE UNITED STATES EXPERIENCE FREQUENT OR SEVERE HEADACHES. HEADACHES CAN CAUSE MORE THAN DISCOMFORT. REPEATED HEADACHES ARE ASSOCIATED WITH MENTAL HEALTH DISORDERS, FUNCTIONAL LIMITATIONS AND POOR QUALITY OF LIFE. A STUDY BY DR. HEIDI K. BLUME AND COLLEAGUES FOUND THAT TEACHING PATIENTS HOW TO REDUCE MUSCLE TENSION AND CONTROL AUTONOMIC BODY FUNCTIONS LIKE HEART RATE AND SKIN TEMPERATURE CAN REDUCE HEADACHE PAIN OR EVEN PREVENT HEADACHES FROM DEVELOPING. PATIENTS IN THE STUDY ATTENDED A SERIES OF BIOFEEDBACK THERAPY SESSIONS WHERE THEY LEARNED RELAXATION AND VISUALIZATION TECHNIQUES. BY THE LAST SESSION, 58% OF THE CHILDREN REPORTED A DECLINE OF 50% OR GREATER IN HEADACHE FREQUENCY OR A DROP OF MORE THAN THREE POINTS IN HEADACHE SEVERITY ON A SCALE OF ONE TO 10. PREVENTING ILLNESSES AND INJURIES STUDY PRESCRIBES MORE OUTDOOR PLAY OUTDOOR ACTIVITIES PLAY AN ESSENTIAL ROLE IN A CHILD'S DEVELOPMENT, YET NEARLY HALF OF PRESCHOOLERS IN THE UNITED STATES AREN'T GETTING A DAILY DOSE OF OUTDOOR PLAY TIME WITH THEIR PARENTS, ACCORDING TO A STUDY LED BY DR. POOJA TANDON. THE STUDY ALSO FOUND THAT GIRLS WERE LESS LIKELY TO PLAY OUTSIDE THAN BOYS AND THAT MOTHERS TOOK THEIR CHILDREN OUTSIDE MORE OFTEN THAN FATHERS. "OUTDOOR PLAY HELPS CHILDREN DEVELOP MOTOR SKILLS AND HAVE SOCIAL INTERACTIONS AND SENSORY EXPERIENCES THAT MAY NOT BE POSSIBLE INDOORS," TANDON SAYS. "IT ALSO IMPROVES VITAMIN D LEVELS AND PROBABLY LEADS TO BETTER BEHAVIOR AND MENTAL HEALTH." TANDON POSTED TIPS FOR INCREASING OUTDOOR PLAY TIME ON CHILDREN'S WEBSITE. "MANY OF US MAY ASSUME YOUNG CHILDREN SPEND SOME TIME OUTDOORS EVERY DAY," TANDON SAYS, "BUT THE STUDY SHOWS THERE'S CONSIDERABLE ROOM FOR IMPROVEMENT." TRACKING VACCINATION COMPLIANCE TRENDS COMPLYING WITH RECOMMENDED CHILDHOOD VACCINE SCHEDULES PROTECTS CHILDREN FROM LIFE-THREATENING DISEASES WHILE ALSO PROTECTING FAMILY, FRIENDS AND THE COMMUNITIES WHERE VACCINATED CHILDREN LIVE. A STUDY BY THE SEATTLE CHILDREN'S RESEARCH INSTITUTE FOUND THAT 77% OF WASHINGTON'S PEDIATRICIANS ARE FREQUENTLY OR SOMETIMES ASKED TO PROVIDE ALTERNATIVE VACCINE SCHEDULES FOR THEIR PATIENTS AND THAT 61% ARE COMFORTABLE HONORING SUCH REQUESTS FROM PARENTS. "THE STUDY DEMONSTRATES THE NEED FOR MORE RESEARCH ON THE USE OF IMMUNIZATION SCHEDULES THAT DIFFER FROM THE RECOMMENDATIONS AND THE SAFETY, EFFICACY AND CONSEQUENCES OF DELAYING IMMUNIZATIONS," SAYS DR. DOUG OPEL, CO-AUTHOR OF THE STUDY. THE RESEARCH INSTITUTE WILL CONTINUE TO STUDY THIS TOPIC TO BETTER UNDERSTAND THE EFFECT OF CHILDHOOD IMMUNIZATION SCHEDULES ON INDIVIDUALS AND PUBLIC HEALTH. BIOREPOSITORY SUPPORTS PREGNANCY RESEARCH PREMATURITY IS THE LEADING CAUSE OF INFANT DEATH WORLDWIDE. THE GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH (GAPPS) IS A CHILDREN'S INITIATIVE TO IMPROVE THE HEALTH OF MOTHERS, NEWBORNS AND CHILDREN EVERYWHERE. A NEW BIOREPOSITORY CREATED BY GAPPS IS THE ONLY WIDELY AVAILABLE REPOSITORY OF ITS KIND. IT TIES BLOOD, TISSUE AND OTHER PREGNANCY SPECIMENS TO DETAILED INFORMATION - DIET, ENVIRONMENTAL EXPOSURE, REPRODUCTIVE HISTORY - ABOUT MOTHERS AND THEIR PREGNANCIES. "THE GAPPS REPOSITORY ENABLES RESEARCHERS TO STUDY MULTIPLE FACTORS AT DIFFERENT POINTS THROUGHOUT PREGNANCY," SAYS DR. CRAIG RUBENS, WHO LEADS GAPPS. "WITH THESE SPECIMENS, RESEARCHERS CAN BEGIN TO UNDERSTAND WHAT CAUSES PRETERM BIRTH AND STILLBIRTH, LEARN HOW TO BETTER IDENTIFY WOMEN AT RISK AND DEVELOP WAYS TO PREVENT ADVERSE PREGNANCY OUTCOMES." THE COLLECTION INCLUDES CONTRIBUTIONS FROM WOMEN REPRESENTING A RANGE OF RACIAL, ETHNIC, REGIONAL AND SOCIOECONOMIC BACKGROUNDS. LINKING CAUSE AND EFFECT IDENTIFYING MATERNAL AND FETAL CHEMICAL RISKS A STAGGERING 80,000 DIFFERENT CHEMICALS ARE PRODUCED AND USED IN PRODUCTS WORLDWIDE, YET LESS THAN 1% HAVE BEEN TESTED FOR HEALTH RISKS. DR. SHEELA SATHYANARAYANA HAS BEEN STUDYING HOW CHEMICALS LIKE BISPHENOL A AND PHTHALATES - USED IN COSMETICS, PLASTIC CONTAINERS, THE LININGS OF CANS AND OTHER HOUSEHOLD PRODUCTS - AFFECT CHILDREN AND PREGNANT WOMEN. A TEAM OF RESEARCHERS LED BY SATHYANARAYANA CREATED A GUIDE THAT ADVISES REPRODUCTIVE HEALTH PROVIDERS ON COUNSELING THEIR PATIENTS - BOTH DURING PREGNANCY AND BEFORE CONCEPTION - ABOUT REDUCING EXPOSURE TO COMMON ENVIRONMENTAL TOXINS. THE GUIDE CONTAINS USEFUL INFORMATION FOR PATIENTS, TOO. "WOMEN AND THEIR PARTNERS SHOULD BE AWARE THAT ENVIRONMENTAL CHEMICALS CAN CAUSE HARM TO A DEVELOPING FETUS, AND THAT THIS TOPIC IS IMPORTANT TO DISCUSS WITH HEALTHCARE PROVIDERS," SATHYANARAYANA SAYS.
STUDYING THE CIRCUITRY OF ADDICTION ADOLESCENT SUBSTANCE ABUSE IS A SERIOUS PROBLEM. NEARLY 42% OF U.S. HIGH SCHOOL STUDENTS CONSUME ALCOHOL AND NEARLY 21% USE MARIJUANA, ACCORDING TO A 2009 REPORT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION. DR. SUSAN FERGUSON IS STUDYING NEURAL PATHWAYS THAT MAY LEAD SOME ADOLESCENTS TO BECOME ADDICTED. USING ANIMAL MODELS, HER WORK FOCUSES ON AN AREA OF THE BRAIN THOUGHT TO REGULATE REWARD, MOTIVATION AND IMPULSIVE/COMPULSIVE BEHAVIOR. "THIS CIRCUITRY BECOMES DISRUPTED IN ADDICTIVE INDIVIDUALS, WHO ASSIGN ABNORMALLY HIGH VALUE TO THE PURSUIT OF THEIR ADDICTIONS," FERGUSON SAYS. "ADDICTION IS, THEREFORE, TRULY A BRAIN DISEASE BECAUSE AFFECTED INDIVIDUALS REALLY CAN'T CONTROL THEMSELVES. BY IDENTIFYING THE SPECIFIC CIRCUITS THAT REGULATE ADDICTION, WE HOPE TO DESIGN MORE TARGETED AND EFFECTIVE THERAPIES." LINKING OPIOID USE TO MENTAL HEALTH DISORDERS A STUDY BY DR. LAURA RICHARDSON AND A TEAM AT THE SEATTLE CHILDREN'S RESEARCH INSTITUTE AND THE UNIVERSITY OF WASHINGTON FOUND THAT ADOLESCENTS AND YOUNG ADULTS AGES 13 TO 24 WERE MORE LIKELY TO BE PRESCRIBED OPIOIDS LIKE OXYCONTIN AND VICODIN FOR CHRONIC PAIN IF THEY HAD MENTAL HEALTH DISORDERS. THEY ALSO WERE 2.4 TIMES MORE LIKELY TO BECOME LONG-TERM USERS. "PHYSICIANS MAY SEE THESE PATIENTS AS BEING MORE DISTRESSED AND MAY BE WILLING TO TREAT THE PAIN SYMPTOMS OVER A LONGER TIME," RICHARDSON SAYS. THE STUDY SUGGESTS PROVIDERS SHOULD SCREEN FOR MENTAL HEALTH DISORDERS BEFORE STARTING MEDICATIONS, CONSIDER REFERRING PATIENTS WITH ANXIETY AND DEPRESSION FOR COUNSELING OR OTHER MENTAL HEALTH TREATMENT AND HAVE FRANK CONVERSATIONS WITH FAMILIES ABOUT THE RISKS INVOLVED WITH LONG-TERM OPIOID USE. OUR MISSION KNOWS NO BOUNDARIES THERE ARE NO BOUNDARIES ON OUR MISSION TO PREVENT, TREAT AND ELIMINATE CHILDHOOD DISEASE. CHILDREN'S LEADS AND CONTRIBUTES TO MORE THAN 20 GLOBAL HEALTH RESEARCH PROJECTS AROUND THE WORLD. WE COLLABORATE WITH ORGANIZATIONS IN THE PLACES WHERE WE WORK AS WELL AS WITH THE MANY GLOBAL HEALTH LEADERS IN SEATTLE, LIKE THE UNIVERSITY OF WASHINGTON, FRED HUTCHINSON CANCER RESEARCH CENTER, PATH AND THE BILL AND MELINDA GATES FOUNDATION. IN THE UKRAINE, WE'RE WORKING WITH THE CHILDREN'S CARDIAC CARE CENTER IN KIEV TO TEACH NEW MEDICAL AND SURGICAL TECHNIQUES. IN AFRICA, ASIA AND LATIN AMERICA, WE'RE COLLABORATING WITH LOCAL ORGANIZATIONS TO DEVELOP AN INEXPENSIVE TEST TO DETECT WHETHER MOTHERS INFECTED WITH HUMAN IMMUNODEFICIENCY VIRUS (HIV) ARE RESISTANT TO A COMMON ANTIRETROVIRAL THERAPY - AN ADVANCE THAT COULD PREVENT MOTHER-TO-INFANT TRANSMISSION. DR. KATHLEEN BONGIOVANNI FROM THE SEATTLE CHILDREN'S RESEARCH INSTITUTE SPENT A MONTH IN UGANDA LAST YEAR TO DETERMINE WHETHER CLINICIANS, BIRTH ATTENDANTS AND MOTHERS WOULD BE COMFORTABLE CONDUCTING A SIMPLE TEST THAT COULD EASILY AND INEXPENSIVELY DETECT RESPIRATORY DISTRESS SYNDROME IN PRETERM INFANTS. THE TEST INVOLVES TAKING ORAL FLUIDS FROM AN INFANT'S MOUTH. AFTER RECEIVING A FAVORABLE RESPONSE IN UGANDA, SHE LAUNCHED A CLINICAL TRIAL IN THE UNITED STATES TO CONFIRM THE TEST'S USEFULNESS. SPOTLIGHT ON: OBESITY WHERE YOU LIVE CAN ADD POUNDS CHILDREN LIVING IN NEIGHBORHOODS WITH SAFE, NEARBY PARKS AND HEALTHY FOOD CHOICES (MORE SUPERMARKETS AND FEWER FAST FOOD RESTAURANTS) WERE 59% LESS LIKELY TO BE OBESE, ACCORDING TO A SEATTLE CHILDREN'S RESEARCH INSTITUTE STUDY. THE STUDY USED DATA FROM A GEOGRAPHIC INFORMATION SYSTEM TO EXAMINE NEIGHBORHOODS IN SEATTLE AND SAN DIEGO. "OUR RESULTS SHOW THAT WE NEED TO CHANGE OUR ENVIRONMENTS TO BETTER SUPPORT PHYSICAL ACTIVITY AND NUTRITION," SAYS DR. BRIAN SAELENS, WHO LED THE STUDY. HEALTH PROFESSIONAL EDUCATION AS THE NATION FACES A GROWING SHORTAGE OF PHYSICIANS, CHILDREN'S IS A VITAL TRAINING GROUND FOR THE PEDIATRIC NURSES, PRIMARY CARE DOCTORS AND SPECIALISTS NEEDED BY FUTURE GENERATIONS OF CHILDREN. WE ARE HOME TO THE UNIVERSITY OF WASHINGTON'S PEDIATRIC RESIDENCY AND FELLOWSHIP TRAINING PROGRAMS, WHERE PHYSICIANS IN TRAINING GAIN VALUABLE EXPERIENCE CARING FOR SERIOUSLY ILL CHILDREN WHILE WORKING BESIDE WORLD-CLASS SPECIALISTS. IN 2012, 850 RESIDENTS FROM TRAINING PROGRAMS THROUGHOUT THE NORTHWEST ROTATED AT CHILDREN'S. MORE THAN HALF OF THE PEDIATRICIANS WHO TRAIN HERE END UP PRACTICING IN THE PACIFIC NORTHWEST. IN ADDITION TO TRAINING THE NEXT GENERATION OF DOCTORS AND NURSES, WE PROVIDE CONTINUING MEDICAL EDUCATION TO HEALTHCARE PROFESSIONALS ALREADY CARING FOR KIDS IN THE COMMUNITY. EDUCATING HEALTHCARE PROVIDERS EXPANDING ACCESS TO GRAND ROUNDS CHILDREN'S HOSTS PROVIDER, NURSING AND PSYCHIATRIC GRAND ROUNDS IN OUR AUDITORIUM EVERY WEEK, BUT WE SHARE THE PRESENTATIONS WITH A MUCH BROADER AUDIENCE THANKS TO LIVE WEBCASTS THAT ENABLE DOCTORS, NURSES AND OTHERS TO WATCH FROM THEIR OWN LOCATIONS IN REAL TIME. WE ALSO MAINTAIN AN ONLINE LIBRARY OF PAST GRAND ROUNDS. THE PRESENTATIONS ARE AN IMPORTANT PROFESSIONAL DEVELOPMENT TOOL. GRAND ROUNDS PROVIDE INFORMATION ABOUT NEW RESEARCH, EMERGING TRENDS AND CHALLENGING ISSUES THAT HELP PROFESSIONALS IN THE COMMUNITY REMAIN CURRENT IN THEIR PRACTICES AND MEET CONTINUING EDUCATION REQUIREMENTS. WE ALSO COLLABORATE WITH THE STATE DEPARTMENT OF HEALTH AND OFFICE OF SUPERINTENDENT OF PUBLIC INSTRUCTION TO BROADCAST AN ANNUAL TELECONFERENCE TO SCHOOL DISTRICTS AND PUBLIC HEALTH NURSES ACROSS THE STATE AND TO PROVIDE LINKS TO TELECONFERENCE PRESENTATIONS ARCHIVED ON OUR WEBSITE. OFFERING FELLOWSHIP OPPORTUNITIES FELLOWSHIPS PLAY AN ESSENTIAL ROLE IN TRAINING DOCTORS TO BECOME LEADERS WHO WILL IMPROVE PATIENT CARE AND ADVANCE MEDICAL KNOWLEDGE AS EXPERTS IN THEIR CHOSEN FIELDS. CHILDREN'S FELLOWSHIP PROGRAM HAS GROWN DRAMATICALLY AND NOW OFFERS FELLOWSHIPS IN MORE THAN 30 SPECIALTY AREAS FOR RESIDENTS WHO WANT TO BECOME CARDIOLOGISTS, NEUROLOGISTS, GASTROENTEROLOGISTS OR OTHER SUBSPECIALISTS. FELLOWS COMPLETE AN ADDITIONAL YEAR OF CLINICAL WORK AND SPEND TWO YEARS CONDUCTING RESEARCH RELATED TO THEIR SUBSPECIALTY. IN 2012, 46 DOCTORS COMPLETED SUBSPECIALTY FELLOWSHIPS AT CHILDREN'S. TRAINING THE NEXT GENERATION DEVELOPING TECHNICAL PROFESSIONALS LABORATORY TECHNICIANS PERFORM ESSENTIAL DIAGNOSTIC TESTS ON PATIENT BLOOD, TISSUE AND OTHER SAMPLES, BUT THERE'S A SHORTAGE OF LAB TECHS NATIONWIDE. CHILDREN'S PLAYS AN IMPORTANT PART IN TRAINING MORE LAB TECHS BY PROVIDING SIX WEEKS OF HANDS-ON EXPERIENCE IN OUR LABS TO MEDICAL TECHNOLOGY STUDENTS FROM THE UNIVERSITY OF WASHINGTON. WE ALSO INTRODUCE HIGH SCHOOL STUDENTS TO LAB CAREERS AS PART OF U-DOC, A UW SUMMER ENRICHMENT PROGRAM FOR STUDENTS INTERESTED IN HEALTHCARE PROFESSIONS. IN ADDITION, FUTURE PHARMACY AND RADIOLOGY TECHNICIANS FROM LOCAL COMMUNITY COLLEGES AND VOCATIONAL PROGRAMS ROTATE THROUGH OUR PHARMACY AND RADIOLOGY DEPARTMENTS AS PART OF THEIR PREPARATION TO JOIN THE WORKFORCE. KENYAN CONNECTION OFFERS UNIQUE EXPERIENCE EACH YEAR, FOUR GLOBAL HEALTH RESIDENTS FROM CHILDREN'S AND THE UNIVERSITY OF WASHINGTON SPEND TWO MONTHS LIVING AND WORKING IN KENYA WITH RESIDENTS FROM THE UNIVERSITY OF NAIROBI. LAUNCHED IN 2009, THE GLOBAL HEALTH PATHWAY PREPARES RESIDENTS TO BECOME ADVOCATES FOR UNDERSERVED POPULATIONS - BOTH AROUND THE WORLD AND HERE AT HOME. PAIRING OUR RESIDENTS WITH KENYAN RESIDENTS PROMOTES GREATER SHARING OF EXPERTISE, DEVELOPS A DEEPER UNDERSTANDING OF KENYAN CULTURE AND BUILDS A SUSTAINABLE PARTNERSHIP WITH THE COMMUNITY. RESIDENTS DEVOTE MOST OF THEIR ROTATION TO COLLABORATING ON A COMMUNITY NEEDS ASSESSMENT FOR THE RURAL TOWN OF KISI FOUR HOURS OUTSIDE NAIROBI. THE ASSESSMENTS BUILD ON THE FIRST ASSESSMENT IN 2009, WHICH FOUND MALNUTRITION WAS THE MAIN CAUSE OF CHILDHOOD ILLNESS AND DEATH. RECENT PROJECTS HAVE FOCUSED ON TRAINING LOCAL HEALTH WORKERS TO RECOGNIZE MALNUTRITION, WORKING WITH TRADITIONAL HEALERS TO ADDRESS MALNUTRITION AND PROMOTING BREASTFEEDING AS A WAY TO IMPROVE NUTRITION. BUILDING COMMUNITY HEALTH SKILLS OUR COMMUNITY PEDIATRICS AND ADVOCACY PATHWAY IS ONE OF SEVERAL TRACKS WE OFFER DOCTORS IN TRAINING WHO WANT TO DEVELOP SKILLS IN A SPECIFIC AREA. PEDIATRIC RESIDENTS ON THIS TRACK LEARN HOW TO PROTECT AND IMPROVE THE HEALTH OF COMMUNITIES BY UNDERSTANDING AND RESPONDING TO SOCIAL INFLUENCES ON CHILD HEALTH. THEY GAIN SKILLS IN ASSESSING COMMUNITY HEALTH NEEDS, PLANNING PROGRAMS AND EVALUATING RESULTS WHILE WORKING WITH CHILDREN'S TO UNDERSTAND HEALTH ISSUES IN LOCAL COMMUNITIES. THIS TRACK INCLUDES A ROTATION AT THE YAKIMA VALLEY FARM WORKERS CLINIC IN THE SMALL EASTERN WASHINGTON COMMUNITY OF TOPPENISH. LAST YEAR, RESIDENTS WORKING IN TOPPENISH SOUGHT INPUT FROM YOUTH, PARENTS, EDUCATORS, HEALTHCARE WORKERS AND COMMUNITY LEADERS TO BETTER UNDERSTAND THE COMMUNITY'S CHALLENGES AND STRENGTHS RELATED TO CHILD HEALTH ISSUES. THIS LONG-TERM PARTNERSHIP WITH A SPECIFIC COMMUNITY WILL ALLOW FUTURE CHILDREN'S RESIDENTS TO ADDRESS THE IDENTIFIED NEEDS.
SPOTLIGHT ON: EQUITY AND ACCESS IN SOUTH KING COUNTY NEW SITE INCREASES TRAINING AND ACCESS CHILDREN'S AND THE UNIVERSITY OF WASHINGTON HAVE HELPED INCREASE ACCESS TO PRIMARY CARE IN SOUTH KING COUNTY BY MAKING THE UW NEIGHBORHOOD KENT/DES MOINES CLINIC A TRAINING SITE FOR PEDIATRIC RESIDENTS. THE ADDITION OF TWO RESIDENTS DOUBLES THE NUMBER OF PEDIATRICIANS AT THE CLINIC. THE CLINIC NOW OFFERS APPOINTMENTS SIX DAYS A WEEK AND EXTENDED HOURS TO 7 P.M. FOUR DAYS A WEEK. "THE CLINIC IS AN OUTSTANDING ENVIRONMENT FOR TRAINING RESIDENTS IN A MEDICAL HOME MODEL," SAYS DR. FRED RIVARA, LEADER OF GENERAL PEDIATRICS AT CHILDREN'S. COMMUNITY PROGRAMS AND SERVICES CHILDREN'S MISSION DOES NOT END AT THE HOSPITAL WALLS. OUR STAFF AND FACULTY MEMBERS REACH BEYOND OUR CAMPUS EVERY DAY TO MAKE CHILDREN AND FAMILIES SAFER AND HEALTHIER WHERE THEY LIVE - A TRADITION THAT DATES BACK TO 1908 WHEN A CHILDREN'S PHYSICIAN FOUND IMPURE MILK WAS CAUSING INFANT DEATHS AND HELPED ESTABLISH THE SEATTLE MILK COMMISSION TO REMEDY THE PROBLEM. WE ARE DRIVEN TO FIND THE ROOT CAUSES OF ILLNESS AND INJURY, SPEAK UP FOR FAMILIES WHO AREN'T ALWAYS HEARD AND PUSH FOR CHANGES - LIKE THE MILK COMMISSION - THAT CREATE HEALTHIER COMMUNITIES. BY COLLABORATING WITH COMMUNITY LEADERS, ORGANIZATIONS, FAMILIES AND POLICY MAKERS, WE IMPROVE ACCESS TO QUALITY HEALTHCARE; EDUCATE PARENTS, TEENS AND CHILDREN ABOUT HEALTH AND SAFETY; PROVIDE CHILDREN WITH SPECIAL HEALTHCARE NEEDS SERVICES CLOSER TO HOME AND ADDRESS HEALTH DISPARITIES BETWEEN DIFFERENT POPULATIONS. ADDRESSING PUBLIC HEALTH ISSUES PROMOTING WATER SAFETY, FITNESS AND FUN LEARNING TO SWIM OPENS THE DOOR TO FUN AND FITNESS WHILE KEEPING FAMILIES SAFE AROUND THE MANY BODIES OF WATER IN OUR REGION. CHILDREN'S COLLABORATES WITH PUBLIC HEALTH SEATTLE AND KING COUNTY, COMMUNITY HEALTH CLINICS, POOLS AND OTHER WATER ORGANIZATIONS TO INCREASE ACCESS TO SWIMMING AND WATER RECREATION FOR CULTURALLY DIVERSE AND LOW-INCOME FAMILIES THROUGH A PROGRAM CALLED EVERYONE SWIMS. THE PROGRAM WORKED WITH EIGHT HEALTH CLINICS AT 27 DIFFERENT SITES AND NINE AQUATIC ORGANIZATIONS (28 POOLS, NINE BEACHES AND TWO ROWING HOUSES) IN 2012. THOSE PARTNERS SCREENED CHILDREN FOR SWIMMING ABILITY, REFERRED THEM TO NEARBY SWIMMING AND WATER RECREATION OPPORTUNITIES, OFFERED SPECIAL PROGRAMS FOR FAMILIES WITH UNIQUE NEEDS AND PROVIDED SUBSIDIZED SWIMMING LESSONS. PROGRAM LEADERS FROM CHILDREN'S SHARED THEIR SUCCESS IN A WEBINAR OFFERED THROUGH THE NORTHWEST CENTER FOR PUBLIC HEALTH PRACTICE AT THE UNIVERSITY OF WASHINGTON. TAKING A FAMILY APPROACH TO ADDRESSING OBESITY OBESITY POSES A SPECIAL RISK TO CHILDREN IN POVERTY BECAUSE HEALTHY LIFESTYLES - SPORTS PROGRAMS, BETTER QUALITY FOODS, HOMES WITH SAFE PLACES TO PLAY OUTSIDE - CAN BE EXPENSIVE. CHILDREN'S AND THE YMCA HAVE WORKED TOGETHER SINCE 2004 TO OFFER A PROGRAM CALLED ACTIVELY CHANGING TOGETHER (ACT!). THE 12-WEEK PROGRAM TEACHES OVERWEIGHT CHILDREN AGES 8 TO 14 AND THEIR FAMILIES HOW TO READ FOOD LABELS; PREPARE HEALTHY, LOW-COST SNACKS; AND TRY ACTIVITIES LIKE SWIMMING, WEIGHTS, ZUMBA AND KARATE. THE RECENT ADDITION OF A LOCATION IN YAKIMA BRINGS THE TOTAL NUMBER OF LOCATIONS OFFERING ACT! TO 14. A 2012 STUDY FOUND THAT PARTICIPATING CHILDREN AND PARENTS REPORTED IMPROVED PHYSICAL AND EMOTIONAL FUNCTIONING AND OVERALL QUALITY OF LIFE. NEARLY A QUARTER OF THE CHILDREN PARTICIPATING REDUCED THEIR BODY MASS INDEX BY >0.1 AND 74% MAINTAINED THE SAME BODY MASS INDEX (BMI). WORKING TO KEEP KIDS SAFE IN SOUTH KING COUNTY UNINTENTIONAL CHILDHOOD INJURY IS A LEADING CAUSE OF DEATH AND DISABILITY AMONG CHILDREN 14 AND UNDER. SAFE KIDS SOUTH KING COUNTY, LED BY CHILDREN'S SINCE 2012, IS A COALITION OF PUBLIC AND PRIVATE ORGANIZATIONS AND INDIVIDUALS WHO WORK TOGETHER TO PROVIDE EDUCATION, AWARENESS AND RESOURCES IN A CULTURALLY RESPECTFUL MANNER FOR THE COMMUNITIES OF SOUTH KING COUNTY. CHILD PASSENGER SAFETY, BICYCLE SAFETY, PEDESTRIAN SAFETY AND WATER SAFETY ARE PRIORITIES FOR THE COALITION. THE COALITION HOSTED FOUR MONTHLY CAR SEAT CHECKS AT FOUR HOSPITALS IN SOUTH KING COUNTY AND PARTICIPATED IN MANY COMMUNITY EVENTS. UNITING PROVIDERS UNDER ONE ROOF FAMILIES IN CENTRAL AND SOUTHEAST SEATTLE COUNT ON THE ODESSA BROWN CHILDREN'S CLINIC (OBCC) TO KEEP THEIR CHILDREN HEALTHY AND THEIR COMMUNITY STRONG. THE CLINIC IS OUR ONLY PRIMARY CARE CLINIC AND THE ONLY PEDIATRIC COMMUNITY HEALTH CLINIC IN THE PUGET SOUND AREA WHERE MEDICAL, DENTAL AND MENTAL HEALTH PROVIDERS WORK UNDER ONE ROOF. OBCC SERVES ONE OF SEATTLE'S MOST DISADVANTAGED AND CULTURALLY DIVERSE COMMUNITIES, WITH 30,000 PATIENT VISITS A YEAR. OBCC WORKS PROACTIVELY WITH SCHOOLS, COMMUNITY ORGANIZATIONS AND MEDICAL AND GOVERNMENT AGENCIES TO IDENTIFY AND ADDRESS EMERGING NEEDS. FOR EXAMPLE, THE CLINIC BEGAN REFERRING PATIENTS TO COOKING CLASSES, SWIMMING LESSONS AND OTHER HEALTH AND FITNESS PROGRAMS AFTER A REVIEW OF PATIENT CHARTS FOUND NEARLY HALF OF OBCC'S PATIENTS WERE OVERWEIGHT.
BEING GOOD NEIGHBORS TRANSFORMING A STREET INTO A GREENWAY GREENWAYS ARE RESIDENTIAL STREETS WHERE TRAFFIC MOVES AT SLOWER SPEEDS AND PEOPLE FEEL SAFER AND MORE COMFORTABLE WALKING AND BIKING. IN 2012, CHILDREN'S TRANSFORMED 39TH AVENUE NE INTO A 1.4-MILE GREENWAY BETWEEN NE 52ND STREET AND NE 80TH STREET. IMPROVEMENTS INCLUDE EXTENDED CURBS, MEDIAN ISLANDS AND STOP SIGNS. THE GREENWAY IS PART OF OUR LIVABLE STREETS INITIATIVE, WHICH SUPPORTS OUR 20-YEAR MASTER PLAN FOR THE HOSPITAL CAMPUS. WE'RE SPENDING NEARLY $4 MILLION TO MAKE THE STREET SYSTEM AROUND THE HOSPITAL SAFER AND MORE EFFICIENT FOR PEDESTRIANS, CYCLISTS AND MOTORISTS ALIKE. CREATING A HEALTHIER DOWNTOWN FOR KIDS MORE AND MORE FAMILIES ARE CALLING DOWNTOWN SEATTLE HOME, BUT THERE ARE FEW PUBLIC PLAY AREAS DESIGNED FOR THE 3,000 CHILDREN WHO LIVE THERE. AS A MEMBER OF THE DOWNTOWN COMMUNITY, THE SEATTLE CHILDREN'S RESEARCH INSTITUTE WAS THE LEADING SPONSOR OF THE DOWNTOWN SEATTLE ASSOCIATION'S EFFORT TO CREATE A PLAY AREA IN WESTLAKE PARK - THE SEATTLE CHILDREN'S WESTLAKE PLAY AREA. THE FENCED AREA INCLUDES A PAIR OF PLAY STRUCTURES WITH SOFT SURFACES BELOW AND SEATING ALL AROUND. RECENT RESEARCH INSTITUTE STUDIES UNDERSCORE THE NEED TO PROVIDE CHILDREN WITH SAFE PLACES TO PLAY OUTDOORS TO SUPPORT THEIR DEVELOPMENT AND PREVENT OBESITY. EDUCATING COMMUNITY MEMBERS HELPING FAMILIES MANAGE FOOD ALLERGIES NEARLY ONE IN 10 CHILDREN YOUNGER THAN AGE 18 IS ALLERGIC TO CERTAIN FOODS. IN ALMOST 40% OF THE CASES, THE ALLERGIES ARE SEVERE OR LIFE-THREATENING. THERE IS NO CURE, SO EDUCATING FAMILIES AND PEOPLE WHO WORK WITH CHILDREN ABOUT MANAGING FOOD ALLERGIES IS THE BEST WAY TO PREVENT DANGEROUS REACTIONS AND KEEP KIDS SAFE. CHILDREN'S COLLABORATED WITH A NATIONAL NONPROFIT ORGANIZATION, THE FOOD ALLERGY INITIATIVE, TO DEVELOP THE FOOD ALLERGY COMMUNITY HEALTH EDUCATION PROGRAM. ANNE WAHL, THE PROGRAM'S COMMUNITY HEALTH EDUCATOR, MADE 122 PRESENTATIONS AT SCHOOLS, DAYCARE CENTERS, SUMMER CAMPS AND OTHER SITES AROUND THE STATE BETWEEN MARCH 2011 AND MARCH 2012. THE PRESENTATIONS WERE ATTENDED BY NEARLY 2,200 PEOPLE WHO LEARNED HOW TO KEEP KIDS WITH FOOD ALLERGIES SAFE AT HOME AND IN THE WORLD AROUND THEM. TEACHING THE ABCS OF BABYSITTING BABYSITTING IS A COMMON FIRST JOB FOR KIDS, BUT MANY YOUNG SITTERS MAY NOT BE PREPARED FOR ALL THE DEMANDS AND RESPONSIBILITY. OUR BETTER BABYSITTERS CLASS TEACHES KIDS AGES 11 TO 14 HOW TO PROVIDE SAFE AND SATISFYING CARE. THEY STUDY BASIC CHILD DEVELOPMENT AND GAIN IMPORTANT CHILD CARE SKILLS, LIKE HOW TO CHANGE A DIAPER AND LEARN WHAT TO DO IN AN EMERGENCY. THEY ALSO GET BUSINESS TIPS AND ADVICE ON COMMUNICATING WITH PARENTS. CHILDREN'S OFFERS THESE ONE-DAY CLASSES THROUGHOUT THE YEAR IN SEATTLE, BELLEVUE (IN PARTNERSHIP WITH OVERLAKE MEDICAL CENTER) AND - STARTING LAST YEAR - IN EVERETT. WE ALSO OFFER CLASSES AT SCHOOLS OR NONPROFIT GROUPS UPON REQUEST DEPENDING ON INSTRUCTOR AVAILABILITY. MORE THAN 1,400 KIDS ATTENDED 64 CLASSES IN 2012. CHILDREN'S INTRODUCES HEALTHIER FOOD AND DRINK OPTIONS CHILDREN'S HAS ALWAYS TALKED THE TALK ABOUT THE IMPORTANCE OF A HEALTHY DIET. AFTER LAUNCHING MISSION: NUTRITION, WE'RE WALKING THE WALK TOO. MISSION: NUTRITION IS AN ONGOING INITIATIVE TO SERVE HEALTHIER FOOD AND DRINKS AT ALL CHILDREN'S LOCATIONS. "WITH THE RATE OF CHILDHOOD OBESITY MORE THAN TRIPLING IN THE PAST 30 YEARS, CHILDREN'S HAS A RESPONSIBILITY TO MODEL THE POLICIES, ENVIRONMENTS AND BEHAVIORS THAT PROMOTE THE HEALTH OF CHILDREN AND FAMILIES IN OUR CARE," SAYS DR. LENNA LIU, WHO HELPED DEVELOP MISSION: NUTRITION. WE BEGAN MAKING CHANGES LAST FALL. ONE OF THE BIGGEST: REMOVING ALL SUGAR-SWEETENED BEVERAGES FROM CAFETERIAS, VENDING MACHINES AND GIFT SHOPS. WE ALSO STOPPED SERVING AT THE HOSPITAL DEEP-FRIED FOOD AND NOW BAKE ITEMS THAT WERE TYPICALLY FRIED LIKE FRENCH FRIES, FISH FILLETS AND EGG ROLLS. IN ADDITION, WE ADDED HEALTHY ALTERNATIVES LIKE WILD SALMON WITH TOMATO PESTO TO THE HOSPITAL CAFETERIA'S ROTATING MENU. A SURVEY OF MORE THAN 300 PATIENT FAMILIES SHOWED OVERWHELMING SUPPORT FOR THE GOALS OF MISSION: NUTRITION - 87% AGREED WE SHOULD MAKE OUR MENU HEALTHIER, AND 64% SAID THEY'D BE MORE LIKELY TO VISIT OUR CAFETERIAS IF WE DID. SPOTLIGHT ON: CARE COORDINATION IMPROVING CARE FOR KIDS WITH SPECIAL NEEDS MANAGING THE HEALTH OF A CHILD WITH CHRONIC PHYSICAL, DEVELOPMENTAL, BEHAVIORAL OR EMOTIONAL CONDITIONS IS COMPLEX AND REQUIRES COORDINATION WITH MANY DIFFERENT HEALTHCARE PROVIDERS. OUR ONLINE CENTER FOR CHILDREN WITH SPECIAL NEEDS PROVIDES FAMILIES AND HEALTHCARE PROFESSIONALS WITH INFORMATION AND CONNECTS THEM WITH THE SERVICES AND RESOURCES THEY NEED TO CARE FOR CHILDREN WITH ASTHMA, CANCER, AUTISM, CEREBRAL PALSY AND OTHER CHRONIC CONDITIONS. THE STATE DEPARTMENT OF HEALTH SUPPORTS DEVELOPMENT AND MAINTENANCE OF THE WEBSITE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SYZYGY PROPERTIES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5371 MS RC-507AddressLine1
CitySEATTLECity
StateWAState
ZIP Code981455005ZIPCode
FieldValueIRS element (for citing)
EIN911250116EIN
Primary ActivitiesREAL ESTATE MANAGEMENTPrimaryActivities
Legal Domicile StateWALegalDomicileState
Total Income390075TotalIncome
EOY Assets6054725EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SEATTLE CHILDREN'S HEALTHCARE SYSTEMBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SEATTLE CHILDREN'S HOSPITAL
PO BOX 5371 MS RC-507SEATTLEWA981455005910564748PEDIATRIC MEDICAL CAREWA501(C)(3)LINE 3SEATTLE CHILDREN'S HEALTHCARE SYSTEM1
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
PO BOX 5371 MS RC-507SEATTLEWA981455005911156519FUNDRAISINGWA501(C)(3)LINE 7SEATTLE CHILDREN'S HEALTHCARE SYSTEM1
SEATTLE CHILDREN'S HOSPITAL GUILD ASSN
PO BOX 5371 MS RC-507SEATTLEWA981455005911394056FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESSWA501(C)(3)LINE 7SEATTLE CHILDREN'S HEALTHCARE SYSTEM1
CHILDREN'S RETAIL
PO BOX 5371 MS RC-507SEATTLEWA981455005911998909THRIFT STORESWA501(C)(3)LINE 11A, ISEATTLE CHILDREN'S HEALTHCARE SYSTEM1
CHILDREN'S HEALTH NETWORK
PO BOX 5371 MS RC-507SEATTLEWA981455005911226716PEDIATRIC HEALTHCARE SERVICESWA501(C)(3)LINE 11A, ISEATTLE CHILDREN'S HEALTHCARE SYSTEM1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SEATTLE CHILDREN'S RESEARCH INVESTORS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5371 MS RC-507AddressLine1
CitySEATTLECity
StateWAState
ZIP Code981455005ZIPCode
FieldValueIRS element (for citing)
EIN263852796EIN
Primary ActivityRESEARCH FACILITY DEVELOPMENTPrimaryActivity
Legal Domicile StateWALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SEATTLE CHILDREN'S HEALTHCARE SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income438421ShareOfTotalIncome
Share Of EOY Assets23231337ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.99000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Primary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
CHARITABLE REMAINDER UNITRUSTS (12)
INVESTMENTSWASEATTLE CHILDREN'S HEALTHCARE SYST
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTSAKSEATTLE CHILDREN'S HEALTHCARE SYST
CHARITABLE REMAINDER UNITRUSTS (4)
INVESTMENTSCASEATTLE CHILDREN'S HEALTHCARE SYST
CHARITABLE REMAINDER UNITRUST (1)
INVESTMENTSFLSEATTLE CHILDREN'S HEALTHCARE SYST
CHARITABLE REMAINDER ANNUITY TRUSTS (3)
INVESTMENTSWASEATTLE CHILDREN'S HEALTHCARE SYST
PERPETUAL TRUSTS (7)
INVESTMENTSWASEATTLE CHILDREN'S HEALTHCARE SYST
POOLED INCOME FUND (1)
INVESTMENTSWASEATTLE CHILDREN'S HEALTHCARE SYST
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SEATTLE CHILDREN'S RESEARCH INVESTORS LLC
A438421ACTUAL INTEREST INCOME
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
C5649693ACTUAL CONTRIBUTION
CHILDREN'S RETAIL
C409219ACTUAL CONTRIBUTION
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
E556289ACTUAL PAYABLE
SEATTLE CHILDREN'S HOSPITAL GUILD ASSN
E177740ACTUAL PAYABLE
CHILDREN'S RETAIL
E95010ACTUAL PAYABLE
SEATTLE CHILDREN'S HOSPITAL
O812522ACTUAL EXPENSES