SWEDISH MEDICAL CENTER FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SWEDISH MEDICAL CENTER FOUNDATION (EIN 91-0983214)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349310688
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T17:23:39-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

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 Suite 1700AddressLine1
CityBellevueCity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN910983214EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SWEDISH MEDICAL CENTER FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSWEDNameControl
Phone2062155967Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1747 BroadwayAddressLine1
CitySeattleCity
StateWAState
ZIP Code98122ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDan HarrisName
TitleTreasurerTitle
Phone2062155967Phone
Date Signed2013-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSara Elizabeth J Hyre CPAName
PTINP00235495PTIN
Phone4254544919Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDonald TheophilusNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1747 BroadwayAddressLine1
CitySeattleCity
StateWAState
ZIP Code98122ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19228203GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.swedish.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionSwedish Medical Center Foundation is the fundraising arm of Swedish Health Services.ActivityOrMissionDescription
Nbr Voting Members Governing Body31NbrVotingMembersGoverningBody
Nbr Independent Voting Members28NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year21139529ContributionsGrantsPriorYear
Contributions Grants Current Year18209026ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1293938InvestmentIncomePriorYear
Investment Income Current Year337637InvestmentIncomeCurrentYear
Other Revenue Prior Year-844327OtherRevenuePriorYear
Other Revenue Current Year-113967OtherRevenueCurrentYear
Total Revenue Prior Year21589140TotalRevenuePriorYear
Total Revenue Current Year18432696TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year23748588GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10514083GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1765017SalariesEtcPriorYear
Salaries Etc Current Year1687475SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year207320TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY242041TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2718292TotalFundrsngExpCurrentYear
Other Expense Prior Year1069130OtherExpensePriorYear
Other Expenses Current Year1504092OtherExpensesCurrentYear
Total Expenses Prior Year26790055TotalExpensesPriorYear
Total Expenses Current Year13947691TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5200915RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4485005RevenuesLessExpensesCY
Total Assets BOY62731818TotalAssetsBOY
Total Assets EOY71325390TotalAssetsEOY
Total Liabilities BOY4231186TotalLiabilitiesBOY
Total Liabilities EOY7471846TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY58500632NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY63853544NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe Foundation is committed to supporting the efforts of Swedish Health Services in advancing health care in the region and meeting the health care needs of the community.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6415217Expense
Grants6213535Grants
Revenue0Revenue
DescriptionThe Foundation is committed to supporting the efforts of Swedish Health Services. To that end, the Foundation awards grants to Swedish to fund vital programs and services, new medical treatments and technology, charity care and other programs that provide access to the underserved, nursing clinics, patient transportation, needed facilities maintenance and upgrades and a variety of related community health programs.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2047214Expense
Grants1982853Grants
Revenue0Revenue
DescriptionThe Ben & Catherine Ivy Center for Advanced Brain Tumor Treatment (the Ivy Center) at Swedish Medical Center's Neuroscience Institute was founded in 2008 to create a world-class treatment and research facility whose primary focus would be to find new treatments - and ultimately a cure - for brain cancer. Since its establishment, the Ivy Center has led the expansion drive of major research projects and expanded treatment options for patients living with brain cancer in the Pacific Northwest and throughout the world. Much of this progress, including the screening of more than 2,000 drugs to identify possible future brain cancer treatments, and the initial development stages of a potential brain cancer vaccine, has been made possible by more than $13 million raised for the program to date.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1355471Expense
Grants1312857Grants
Revenue0Revenue
DescriptionSwedish has become a national leader in treating patients with multiple sclerosis (MS) and in conducting a broad range of MS-related clinical research studies. The MS Center at the Swedish Neuroscience Institute is also the primary referral center for patients in the Puget Sound region seeking specialty MS care. The Center is projected to see over 12,000 patients in 2013. To address and prepare for future growth, the Center recently underwent a major expansion. In April 2012, Swedish opened a new 11,700 square-foot space on the Swedish/Cherry Hill campus that is one of the largest and most comprehensive MS centers in the United States. The expansion consolidated state-of-the-art clinical care, research studies, and patient and family education activities in a facility designed to promote the well-being of MS patients and to advance the standard of care for MS. More than $4 million in community support has been raised to date to support the MS Center's physical expansion, and the growth in comprehensive programming at the Center since 2010.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1037454Expense
Grants1004838Grants
Revenue0Revenue
DescriptionIn 2012, the Swedish Medical Center Foundation was able to utilize important gifts from the community to support a wide-variety of cardiovascular related programs, including:* The construction of a new Hybrid Operating Room* Research funding through our Rising Stars Research Fund* Launching our TAVR (Trans Aortic Valve Replacement) program The Hybrid Operating Room combines state-of-the-art surgical equipment with advanced imaging equipment typically found in a cardiac cath lab such as an angiography, CT scans and MRI. It allows for minimally invasive procedures, high risk situations and care providers to collaborate all in one space. The Rising Stars program provides support to selected physicians and clinicians to enable them to take time away from their clinical practices to pursue investigational or educational interests that are important to their professional development. We have used funds to purchase equipment, develop technologies and support services needed for innovative research activities that have the potential both to advance medical science and to provide better treatment options for cardiovascular patients at the Swedish Heart and Vascular Institute. TAVR was launched at Swedish to assist patients who are too vulnerable for open heart surgery and provide lifesaving treatments to those who otherwise would not have treatment options. This has been made possible by a catheter-based system that is less invasive and results in shorter procedure time and hospital stay.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1037454TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt1004838TotalOfOtherProgramServiceGrnt
Total Program Service Expense10855356TotalProgramServiceExpense
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 Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
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 Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members31NbrVotingGoverningBodyMembers
Number Independent Voting Members28NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
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 Line1Karl E Fritschel CPABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4255253339TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11801 Lind Avenue SW 9016AddressLine1
CityRentonCity
StateWAState
ZIP Code980579016ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Lucius AD Andrew III
Trustee1.000.00X000
Nancy J Auer MD
Vice Chair1.000.00X000X
Anita Braker
Trustee1.000.00X000
Barbara Buchman
Trustee1.000.00X000
Lida Buckner
Trustee1.000.00X000
Sarah Everitt
Trustee1.000.00X000
Tom Gores
Trustee1.000.00X000
Cheryl Gossman
Chair1.000.00X000X
J Scott Harrison
Trustee1.000.00X000
Pattie Arnold
Trustee1.000.00X000
Michael Melancon
Trustee1.000.00X000
Jessica Jensen Hughes
Trustee1.000.00X000
Gwendolyn Grim Johnson
Trustee1.000.00X000
Lorna Kneeland
Trustee1.000.00X000
William Krippaehne Jr
Trustee1.000.00X000
Todd Lee
Trustee1.000.00X000
Rae Lembersky
Trustee1.000.00X000
Eric Liu
Trustee1.000.00X000
Charles S Lytle
Trustee1.000.00X000
Dan Madsen
Trustee1.000.00X000
Mary Molly McCullough
Trustee1.000.00X000
Kirby McDonald
Trustee1.000.00X000
Tracy Morris
Trustee1.000.00X000
Michael Peters MD
Trustee1.000.00X000
Diane Sabey
Trustee1.000.00X000
Janet True
Trustee1.000.00X000
Jane Uhlir MD
Trustee5.0055.00X024900411762
John Vassall II MD
Trustee1.0049.00X0694908148095
Jean Baur Viereck
Trustee1.000.00X000
John L Petersen MD
Trustee1.0059.00X055250217431
Rod Hochman MD - Thru 112
Trustee1.0064.00X01438710332177
Molly Otter - Eff 1112
Trustee1.000.00X000
Betsy Vo
Secretary2.0053.00014136716387X
Dan Harris
Treasurer1.0039.000691053301635X
Donald Theophilus
Executive Director53.002.00040075176136X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4168295TotalReportableCompFrmRltdOrgs
Total Other Compensation903623TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Sheraton Seattle HotelBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11400 Sixth StreetAddressLine1
CitySeattleCity
StateWAState
ZIP Code98101ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesBanquets & Catering ServicesDescriptionOfServices
Compensation168011Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events1716723FundraisingEvents
Related Organizations2690732RelatedOrganizations
All Other Contributions13801571AllOtherContributions
Noncash Contributions741187NoncashContributions
Total Contributions18209026TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column142969TotalRevenueColumn
Exclusion$142,969ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

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Securities380491Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities185823Securities

Gain Or Loss GainOrLoss

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Securities194668Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

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Total Revenue Column194668TotalRevenueColumn
Exclusion$194,668ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events495717GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1716723CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses609684FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-113967TotalRevenueColumn
Exclusion-$113,967ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18432696TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$223,670ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10514083Total
Program Services10514083ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total465123Total
Program Services93024ProgramServices
Management And General46513ManagementAndGeneral
Fundraising325586Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total807656Total
Program Services164779ProgramServices
Management And General80360ManagementAndGeneral
Fundraising562517Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total414696Total
Program Services82940ProgramServices
Management And General41469ManagementAndGeneral
Fundraising290287Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total242041Total
Fundraising242041Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total38021Total
Management And General38021ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total442488Total
Program Services500ProgramServices
Management And General55976ManagementAndGeneral
Fundraising386012Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total203714Total
Fundraising203714Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total261394Total
Management And General93637ManagementAndGeneral
Fundraising167757Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total56248Total
Fundraising56248Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total150Total
Program Services30ProgramServices
Management And General15ManagementAndGeneral
Fundraising105Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total24261Total
Management And General73ManagementAndGeneral
Fundraising24188Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1300Total
Fundraising1300Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneral
Bad Debts412149412149
Dues & Subscriptions379792000017979

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total26388Total
Fundraising26388Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13947691Total
Program Services10855356ProgramServices
Management And General374043ManagementAndGeneral
Fundraising2718292Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10162479BOY
EOY17102005EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY14651404BOY
EOY14719448EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY29901BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY33908146BOY
EOY35017845EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3979888BOY
EOY4486092EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY62731818BOY
EOY71325390EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19559BOY
EOY26191EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY20591EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4211627BOY
EOY7425064EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4231186BOY
EOY7471846EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY21148208BOY
EOY20738196EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY31385636BOY
EOY36992450EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5966788BOY
EOY6122898EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY58500632BOY
EOY63853544EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62731818BOY
EOY71325390EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses4485005ReconcilationRevenueExpenses
Reconciliation Unrealized Invest867907ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
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 Years15463375CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19116401CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20299923CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21139529CurrentTaxYearMinus1Year
Current Tax Year18209026CurrentTaxYear
Total94228254Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15463375CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19116401CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20299923CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21139529CurrentTaxYearMinus1Year
Current Tax Year18209026CurrentTaxYear
Total94228254Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total6430262AmountsSubstContributorsTotal
Public Support Total17087797992PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1190172CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1205741CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years482559CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year831917CurrentTaxYearMinus1Year
Current Tax Year142969CurrentTaxYear
Total3853358Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years247656CurrentTaxYearMinus4Years
Total247656Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2153CurrentTaxYearMinus4Years
Total2153Total
FieldValueIRS element (for citing)
Total Support98331421TotalSupport
Public Support Pertcentage1700.89290PublicSupportPertcentage170
Public Support Pertcent Prior Year0.88030PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 Balance5966789BeginningOfYearBalance
Contributions156109Contributions
Investment Earnings Or Losses3518612InvestmentEarningsOrLosses
Grants Or Scholarships32436GrantsOrScholarships
End Of Year Balance9609074EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5956745BeginningOfYearBalance
Contributions9844Contributions
End Of Year Balance5966589EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5887553BeginningOfYearBalance
Contributions164554Contributions
Investment Earnings Or Losses6083InvestmentEarningsOrLosses
Other Expenditures101445OtherExpenditures
End Of Year Balance5956745EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5711506BeginningOfYearBalance
Contributions198490Contributions
Other Expenditures22443OtherExpenditures
End Of Year Balance5887553EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5258351BeginningOfYearBalance
Contributions612310Contributions
Other Expenditures159155OtherExpenditures
End Of Year Balance5711506EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.22870BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.63720PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.13410TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Charitable Gift Annuity1459441
Foundation Trust Assets2132651
Other Receivables894000
FieldValueIRS element (for citing)
Total Book Value Other Assets4486092TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$6,306,547
Gift Annuity Obligation$1,118,517
FieldValueIRS element (for citing)
Total Of Amounts7425064TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt19805879TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments867907NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities225825DonatedSrvcAndUseOfFacilities
Other Revenues-330233OtherRevenues
Revenue Not Rptd F990763499RevenueNotRptdF990
Revenue Subtotal19042380RevenueSubtotal
Other Revenues Not Included-609684OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-609684RevenueNotRptdOnFinStmt
Total Revenue Per Form99018432696TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14452967TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities225825DonatedServicesUseOfFacilities
Other Expenses Included609684OtherExpensesIncluded
Expenses Not Rptd F990835509ExpensesNotRptdF990
Expenses Subtotal13617458ExpensesSubtotal
Investment Expenses Not Included238021InvestmentExpensesNotIncluded2
Other Expenses Not Included292212OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt330233ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013947691TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:Swedish Medical Center Foundation's Endowment Funds consist of individual funds established for a variety of purposes including Uncompensated Care, Research, pediatrics, Neurosciences, Cancer, Heart and Vascular and Women's Health and Childbirth Services. The majority of these funds are donor-restricted endowment funds. Net Assets associated with endowment funds are classified and reported based on the existence of donor-imposed restrictions.
Description of Uncertain Tax Positions Under FIN 48:Part X, Line 2:Accounting principles generally accepted in the United States of America require the Foundation's management to evaluate tax positions taken by the Foundation and recognize a tax liability (or asset) if the Foundation has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS. Management has analyzed tax positions taken by the Foundation and has concluded that as of December 31, 2012, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the combined financial statements.
Part XI, Line 2d - Other Adjustments:Contribution posted as Distribution for Operations -292,212. Investment Expenses -38,021.
Part XI, Line 4b - Other Adjustments:Direct Special Fundraising Event Expenses -609,684.
Part XII, Line 2d - Other Adjustments:Direct Special Fundraising Event Expenses 609,684.
Part XII, Line 4b - Other Adjustments:Contribution posted as Distribution for Operations 292,212.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
Arden Tellini Hofler
2121 30th Avenue SSeattleWA98144Celebrate Swedish, Brain Cancer Walk, Edmonds Gala & Destina082797957105770874
Marnie Foust
5039 SW Grayson StreetSeattleWA98116Destination Swedish, SummerRun, Brain Cancer Walk & Celebrat065101862802588216
MJL Events
351 NW 84th StreetSeattleWA98117Celebrate Swedish042980349000380803
Thea Warner Events
7314 238th Avenue NERedmondWA98053Event Management for Edmonds Gala019957435145164429
Doxtater And Co LLC
PO Box 19501SeattleWA98109Destination & Celebrate Swedish01040663798966077
FieldValueIRS element (for citing)
Total Gross Receipts2212440TotalGrossReceipts
Total Retained By Contractors242041TotalRetainedByContractors
Total Net To Organization1970399TotalNetToOrganization
Licensed StatesWALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SummerRunNameOfEvent1
Gross Receipts Event1713779GrossReceiptsEvent1
Charitable Contributions Event1616630CharitableContributionsEvent1
Gross Revenue Event197149GrossRevenueEvent1
Entertainment Event11200EntertainmentEvent1
Other Direct Expenses Event1107447OtherDirectExpensesEvent1
Name Of Event2Brain Cancer WalkNameOfEvent2
Gross Receipts Event2705886GrossReceiptsEvent2
Charitable Contributions Event2591849CharitableContributionsEvent2
Gross Revenue Event2114037GrossRevenueEvent2
Other Direct Expenses Event297285OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events792775GrossReceiptsOtherEvents
Charitable Contrib Other Events508244CharitableContribOtherEvents
Gross Revenue Other Events284531GrossRevenueOtherEvents
Rent Facility Costs Other Events4883RentFacilityCostsOtherEvents
Food And Beverage Other Events189552FoodAndBeverageOtherEvents
Entertainment Other Events11000EntertainmentOtherEvents
Other Direct Expenses Other Events198317OtherDirectExpensesOtherEvents
Gross Receipts Total2212440GrossReceiptsTotal
Charitable Contributions Total1716723CharitableContributionsTotal
Gross Revenue Total Events495717GrossRevenueTotalEvents
Rent Facility Costs Total Events4883RentFacilityCostsTotalEvents
Food And Beverage Total Events189552FoodAndBeverageTotalEvents
Entertainment Total Events12200EntertainmentTotalEvents
Other Direct Expenses Total Events403049OtherDirectExpensesTotalEvents
Direct Expense Summary Events609684DirectExpenseSummaryEvents
Net Income Summary-113967NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Marsha Rivkin Ctr for Ovarian Cancer Research
747 BroadwaySeattleWA98122912054035501(C)(3)366819Support Ovarian Cancer Research
Swedish Health Services
747 BroadwaySeattleWA98122910433740501(C)(3)10142066Support for Swedish Facilities and Programs
The Seattle Foundation
1200 Fifth Avenue Suite 1300SeattleWA98101916013536501(C)(3)5198Support for Heart and Vascular
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: The Foundation receives donations either completely Unrestricted to Swedish or Restricted to a Specific Area or Program or Fund. The Grantee completes an internal Foundation Form "FRA" (Pre-approval) outlining the project and the amount. The "FRA" form is approved by the Foundation if the expenditure meets the purpose of the donation and does not exceed the available amount and a check is issued to the grantee. In some cases, an annual report is requied to explain how the grant was used and who benefited.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Jane Uhlir MD
Trustee0249004000000011762026076600
John Vassall II MD
Trustee044128201854000682260126681021414084300300
John L Petersen MD
Trustee044309909240301700000017431056993300
Rod Hochman MD - Thru 112
Trustee09863100250000020240003070760251010177088700
Betsy Vo
Secretary01312860100810000016387015775400
Dan Harris
Treasurer040973102807450577029346708168099268800
Donald Theophilus
Executive Director0273943075000051808064371011765047688700

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aDan Harris is compensated by Providence Health & Services - Washington for his services provided as CFO for Swedish Health Services. The reporting organization did not provide any of the benefits listed in Part I, Line 1a. However, as part of Providence's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. Providence Health & Services Expense Reimbursement Procedures include the following policy: Discretionary Spending Account Providence Health & Services provides an executive flex spending allowance per year (paid bi-weekly). This benefit is provided as discretionary spending because the organization does not reimburse for or provide additional executive benefits, such as a car allowance, additional executive life or disability insurance, or other market-based executive benefits practices. This benefit was discontinued for Calendar Year 2012.
Part I, Line 4bNONQUALIFIED RETIREMENT PLANS A)SERP = Supplemental Executive Retirement Plan B)NQ = Non-Qualified 409(a) Payout 1) Donald Theophilus a) SERP Earned but not Vested - $45,479 b) NQ - $30,000 2) Dan Harris a) SERP Earned but not Vested - $216,576 b) SERP Interest Credit - $44,809 3) John Vassall II, MD a) SERP Earned but not Vested - $111,416 b) NQ - $54,000 4) Rod Hochman, MD a) SERP Earned but not vested - $284,676 b) NQ - $202,400
Part IIIPart II, Line 1-4 Jane Uhlir, John Vassall II, John L. Petersen and Betsy Vo are paid employees of Swedish Health Services, a related organization. They are not compensated for serving as trustees or officers of the Foundation.Supplemental Information

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions16NumberOfContributions
Noncash Contribs Rptd F99099354NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions19NumberOfContributions
Noncash Contribs Rptd F99091268NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionAuction ItemsDescription
Number Of Contributions481NumberOfContributions
Noncash Contribs Rptd F990550565NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMethod for Determining Number of Contributors:Identifier
Return ReferencePart I, Column (b):ReturnReference
ExplanationThe amounts shown on Part I, Col. B reflect the number of donations received of the specific type of item.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 3Swedish Health Services provides management services to the Swedish Medical Center Foundation. HR and payroll functions to the Foundation are administered by Swedish Health Services.
Form 990, Part VI, Section A, line 6Swedish Health Services is the sole member of Swedish Medical Center Foundation.
Form 990, Part VI, Section A, line 7aElection of members of the Board of governors is subject to the approval of Swedish Health Services.
Form 990, Part VI, Section A, line 7bThe following decisions by the governing body are subject to approval by Swedish Health Services, the sole member Swedish Medical Center Foundation: A. Appointment of the Chair and Vice-Chair. B. Delegation of the power or duties of an officer or administrator to any other officer or any director or other person. C. The filling of vacancies in the office of Chair or Vice-Chair. D. The appointment of other officers or agents appointed to exercise powers and duties on behalf of the Board of governors. E. The Chair or Vice-Chair may be removed at any time, with or without cause, by the affirmative vote of a majority of the whole board of governors or by the member. F. The bank or banks, trust company or trust companies holding the moneys of the corporation. G. The process for withdrawal of the moneys of the corporation, and H. Additions, alterations, amendment, repeal of bylaws.
Form 990, Part VI, Section B, line 11The Form 990 is prepared internally by experienced Swedish accounting staff and reviewed by the Director of Taxes of Providence Health & Services and external tax advisors. The Foundation Director and signing Board Officer will review the Form 990 in detail. Once approved, an electronic copy of the Form 990 is emailed to the Board prior to filing with the IRS.
Form 990, Part VI, Section B, line 12The Swedish Medical Center Foundation is subject to the conflict of interest policy of Swedish Health Services, its sole member. Management employees are covered by the Swedish Health Services conflict of interest policy. Board members and covered persons are required to complete a conflict of interest questionnaire annually and disclose any affiliations, interest or relationships and/or any transactions the individual and/or his or her family members have engaged in that might give rise to an actual, apparent or potential conflict of interest. The policy defines family members and describes what constitutes conflicts of interest. It requires individuals to report to the appropriate committee chair any further financial interest, situation, activity, interest or conduct that may develop before completion of the next annual questionnaire. Potential conflicts of interest with physician board members with financial interests in businesses that compete with the foundation are addressed, as well as appropriate disclosures, evaluation and resolution of said conflicts. The conflict of interest questionnaire includes an annual statement that board members and covered persons (a) have received a copy of the policy, (b) have read and understood the policy, (c) agree to comply with the policy, (d) understand that the policy applies to committees and subcommittees, (e) understand that the organization is a charitable organization that must engage primarily in exempt activities, (f) agree to report to the appropriate manager or committee chair any change to matters previously disclosed on the conflict of interest questionnaire, (g) state that the information provided in the conflict of interest questionnaire is true and accurate to the best of his or her knowledge and belief. The purpose of the policy is to ensure board members and covered persons are independent and able to perform their duties in an impartial manner, free from any bias created by personal interests, to protect the interests of the foundation, to clarify the duties and obligations of the board members and covered persons in the context of a potential conflict (and to provide a method for disclosing and resolving said conflict) and to supplement (not replace) any applicable state laws governing conflicts of interest applicable to charitable, non-profit corporations. Swedish Medical Center Foundation will not engage in any contract, transaction or arrangement involving a potential conflict of interest unless it is determined that appropriate safeguards protect the charitable mission of the Foundation have been implemented. The Executive committee of Swedish Health Services will review all conflict of interest questionnaires for board members. The Executive committee will make a finding as to whether an actual, apparent or potential conflict of interest exists and will take actions as it deems appropriate. The conflict of interest committee governs the policy and questionnaire related to all other covered persons. The minutes of meetings will identify any person attending the meeting who has a conflict of interest with respect to any matter before the board or committee and the action taken to address the conflict of interest (e.g., the individual left the room during the discussion of the matter giving rise to the conflict of interest and the individual did not vote on such matter).
Form 990, Part VI, Section B, line 15The Board of governors has delegated authority to the compensation and HR committees of the Swedish Health Services board of trustees to review and approve compensation arrangements for the Executive Director of the Foundation. All members of the compensation and HR committees are independent. Swedish Health Services is the sole member of Swedish Medical Center Foundation. Compensation for executives (including the executive director) is reasonable and consistent with the executive total compensation philosophy approved by the board of trustees. Potential conflicts of interest are addressed in accordance with the corporation's conflict of interest policy. The Board of trustees selects and retains an independent consultant to conduct an annual review of the compensation package, including salaries, incentives and benefits and recommend appropriate adjustments to ensure that each remains competitive and responsive to changing laws and in keeping with the organization's mission. The Board, as part of its analysis, obtains from the independent consultant appropriate comparability data, including total compensation paid by similarly situated for profit and not for profit healthcare organizations for positions that are functionally comparable. The consultant provides documentation that total compensation is at fair market value. The consultants' recommendations are reviewed and approved (or not approved) by the compensation and HR committees, which document the basis for their decision. Following approval of the annual review by the compensation and HR committees, the CEO of Swedish Health Services will approve changes in the compensation package for the Executive Director consistent with the annual review and recommendations approved by the compensation and HR committee. Salaries for non-executive employees are reviewed and approved by HR.
Form 990, Part VI, Section C, line 19Copies of the Swedish Medical Center Foundation's governing documents, conflict of interest policy and financial statements are available upon request.
Form 990, Part VI, Section B, Line 13The Swedish Medical Center Foundation is subject to the written whistleblower policy of its sole member, Swedish Health Services.
Form 990, Part VI, Section B, Line 14The Swedish Medical Center Foundation is subject to the written document retention and destruction policy of its sole member, Swedish Health Services.
FORM 990, PART VII, SECTION AEmployees working at the Foundation are compensated by related organizations. Therefore, no W-2s are issued by the reporting organization. Physicians serving on the Board are compensated by the related organization for their services to the medical facilities and not for their role as a trustee on the Foundation Board. Donald Theophilus's salary as Executive Director of the Foundation is paid by Swedish Health Services. The remaining persons listed on Part VII are not compensated for serving as trustees or officers of the Swedish Medical Center Foundation.COMPENSATION
FORM 990, PART I, LINE 6The Art Committee The Art Committee provides curatorial management of the Swedish Health Services (SHS) art collection, implements SHS policies regarding art, coordinates the orderly distribution of art resources throughout SHS, seeks donations of art, and acts as the final arbiter on issues regarding art. Volunteers - 10 members on the committee (plus 6 Swedish staff members) Swedish Brain Cancer Walk (SBCW) Planning Committee The SBCW Planning Committee consists of members responsible for the following Walk activities; fundraising, Tent of Honor, Patient & Survivor Tent and Walk Day Entertainment. The committee meets monthly for 6 months prior to the Walk. Volunteers - 20 Celebrate Swedish Planning Committee The CS Planning Committee assists with auction procurement, in-kind donations and event production for the 2013 Celebrate Swedish Gala. The committee meets monthly for eight months prior to the event. Volunteers - 12 Destination Swedish Committee Committee meets monthly to work on the program, audience development and the guest experience. Volunteers - 20 2012 Swedish/Edmonds Imagine Gala Planning Committee Committee assists with auction procurement, in kind donations and event production for the 2013 Imagine Gala. Swedish Medical Center Foundation event manager will work closely with committee to support and achieve goals. Volunteers - 10 Other The office volunteers at the Foundation work on a variety of administrative tasks and special projects for the Foundation. Volunteers - 3VOLUNTEERS
FORM 990, SCHEDULE R - RELATED ORGANIZATIONSOn February 1, 2012, Providence Health & Services (the Health System) and Swedish Health Services (Swedish) effected an affiliation Agreement, which integrated the operations of the two health systems. The Health System and Swedish have affiliated to create a fully integrated, nonprofit, charitable health care system serving the communities throughout Western Washington. No cash or other purchase consideration was transferred to effect the affiliation. Effective July 1, 2012, Providence Health System - Southern California entered into an affiliation agreement with Facey Medical Foundation and Facey Medical Group. The Facey Medical Foundation is a nonprofit medical foundation, which operates ten clinics in the North San Fernando, Santa Clarita, San Gabriel and Simi Valleys. These sites are staffed by the Facey Medical Group physicians pursuant to a professional services agreement. No cash or other purchase consideration was transferred to effect the affiliation.AFFILIATION AGREEMENTS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (62 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Providence Health & Services - Washington
1801 Lind Avenue SW 9016RentonWA980579016510216586Healthcare SystemWA501( c)(3)Line 3Providence Health & Services0
Providence Health & Services - Oregon
1801 Lind Avenue SW 9016RentonWA980579016510216587Healthcare SystemOR501( c)(3)Line 3Providence Health & Services0
Providence Health System - So California
1801 Lind Avenue SW 9016RentonWA980579016510216589Healthcare SystemCA501( c)(3)Line 3Providence Health & Services0
Everett Transitional Care Services
PO Box 5128EverettWA982065128943264605Transitional CareWA501( c)(3)Line 90N/A
Providence Oregon Management Corporation
1801 Lind Avenue SW 9016RentonWA980579016930813977Shell CorporationOR501( c)(3)Line 1PH & S - Oregon0
Providence Plan Partners
4400 NE Halsey Bldg 2PortlandOR97213911861964Healthcare ServicesOR501( c)(4)N/APH & S - Oregon0
Providence Health Plan
4400 NE Halsey Bldg 2PortlandOR97213930863097Health Service ContractorOR501( c)(4)N/AProvidence Plan Partners0
Providence Health Assurance
4400 NE Halsey Bldg 2PortlandOR97213550828701Medicaid Healthcare ProviderOR501( c)(4)N/AProvidence Health Plan0
Providence Medical Institute
4101 Torrance BlvdTorranceCA90503330283773HealthcareCA501( c)(3)Line 11/Type IPHS - So California0
Little Company of Mary Ancillary Services Corporation
4101 Torrance BlvdTorranceCA90503330844408Imaging ServicesCA501( c)(3)Line 9PHS - So California0
Providence TrinityCare Hospice
5315 Torrance Blvd Suite B1TorranceCA90503953264139HospiceCA501( c)(3)Line 9PHS - So California0
Providence Blanchet Association
1700 Providence PlCentraliaWA98531911789266HousingWA501( c)(3)Line 7PH & S - Washington0
St Luke Association
350 Washington Ave SEChehalisWA98352943176618HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Rossi Association
1700 Providence PlCentraliaWA98531311584166HousingWA501( c)(3)Line 9PH & S - Washington0
Lundberg Association
5921 E BurnsidePortlandOR97215911562797HousingOR501( c)(3)Line 7PH & S - Oregon0
Providence St Francis Association
3415 12th Avenue NEOlympiaWA98506943244854HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Peter Claver Association
7101 38th Avenue SouthSeattleWA98118311629656HousingWA501( c)(3)Line 7PH & S - Washington0
Providence St Elizabeth House Association
3201 SW Graham StSeattleWA98126912171539HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Gamelin House Association
4515 MLK Jr Way S Ste 200SeattleWA98108311744654HousingWA501( c)(3)Line 7PH & S - Washington0
The Gamelin Association
312 North Fourth StYakimaWA98901911180824HousingWA501( c)(3)Line 7PH & S - Washington0
The Gamelin Oregon Association
5520 NE GlisanPortlandOR97213911214491HousingOR501( c)(3)Line 9PH & S - Oregon0
The Gamelin California Association
540 23rd StOaklandCA94612911293869HousingCA501( c)(3)Line 9PHS - So California0
Gamelin Washington Association
1423 First AvenueSeattleWA98101201910170HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Foundation
1801 Lind Avenue SW 9016RentonWA980579016943078543Support PH&S InstitutionsWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Alaska Foundation
3300 Providence Drive - B Tower2AnchorageAK99508920093565Support PHS-AlaskaAK501( c)(3)Line 11/Type IPH & S - Washington0
Providence St Peter Foundation
413 Lilly Road NEOlympiaWA985065166911097056Support Affiliated Tax-Exempt OrganizationWA501( c)(3)Line 7PH & S - Washington0
Providence Health Care Foundation (Centralia)
914 S Scheuber RoadCentraliaWA98531911433382Support Providence Centralia HospitalWA501( c)(3)Line 7PH & S - Washington0
Providence Mount St Vincent Foundation
4831 - 35th Avenue SWSeattleWA981262799911188119Support Providence Mount St.VincentWA501( c)(3)Line 7PH & S - Washington0
Providence Marianwood Foundation
3725 Providence Point Drive SEIssaquahWA980297219931554288Support Providence MarianwoodWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Newberg Health Foundation
1001 Providence DriveNewbergOR97132930889144Support Providence Newberg Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Seaside Hospital Foundation
725 S Wahanna RdSeasideOR97138930927320Support Providence Seaside HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Community Health Foundation
1111 Crater Lake AveMedfordOR97504930692907Support Providence Medford Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Benedictine Nursing Center Foundation
540 South Main StMt AngelOR973629532911940286Support Providence Benedictine Nursing CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Portland Medical Foundation
4805 NE Glisan StPortlandOR972132967931231494Support Providence Portland Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence St Vincent Medical Foundation
9205 SW Barnes RdPortlandOR97225930575982Support Providence St. Vincent Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Milwaukie Foundation
10150 SE 32ndMilwaukieOR97222943079515Support Providence Milwaukie HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Child Center Foundation
830 NE 47thPortlandOR97213930800140Support Providence Child CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence TrinityCare Hospice Foundation
5315 Torrance Blvd Suite B1TorranceCA90503330261016Support TrinityCare HospiceCA501( c)(3)Line 7PHS - So California0
Providence Little Company of Mary Foundation
4101 Torrance BlvdTorranceCA90503510224944Support Little Company of Mary Service AreaCA501( c)(3)Line 7PHS - So California0
PH&S FoundationSFVSA & SCVSA
501 S Buena Vista StreetBurbankCA91505953544877Support Program & Activities of SFVSA & SCVSACA501( c)(3)Line 7PHS - So California0
Providence Hospice of Seattle Foundation
425 Pontius Avenue North 300SeattleWA981095452912077378Support Hospice of SeattleWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Health & Services - Western Washington
1801 Lind Avenue SW 9016RentonWA980579016911303277HealthcareWA501( c)(3)Line 3Providence MinistriesWHC0
Providence Health & Services
1801 Lind Avenue SW 9016RentonWA980579016911549796Shell CorporationWA501( c)(3)Line 11/Type I0N/A
Providence Health & Services - Montana
500 W Broadway PO Box 4587MissoulaMT598064587810231793HealthcareMT501( c)(3)Line 3PH & S - Washington0
Providence St Joseph Medical Center
PO Box 1010PolsonMT598601010810463482HealthcareMT501( c)(3)Line 3PH & S - Washington0
St Thomas Child and Family Center
1710 Benefis CourtGreat FallsMT59405810233495Early Childhood EducationMT501( c)(3)Line 1PH & S - Washington0
Sisters of Providence of Montana Corporation
1801 Lind Avenue SW 9016RentonWA980579016262612415Shell CorporationMT501( c)(3)Line 1PH & S - Washington0
Providence Health Care Foundation - Eastern Washington
101 W 8th AveSpokaneWA99204320014330Support PH&S-WA. Ministries in E. WA.WA501( c)(3)Line 7PH & S - Washington0
St Patrick Hospital Foundation
500 West Broadway PO Box 4587MissoulaMT598064587237056976Support Healthcare in W. MontanaMT501( c)(3)Line 7PH & S - Washington0
University of Great Falls
1301 20th Street SouthGreat FallsMT59405810231777Post Secondary EducationMT501( c)(3)Line 2PH & S - Washington0
E WA & MT Unemployment Compensation Insurance Trust
1801 Lind Avenue SW 9016RentonWA980579016911082119Unemployment BenefitsWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Willamette Falls Medical Foundation
1500 Division StreetOregon CityOR97045931003750Support Willamette Falls HospitalOR501( c)(3)Line 11/Type IPH & S - Oregon0
Providence Hood River Memorial Hospital Foundation Inc
811 13th StHood RiverOR97031930921990Support Providence Hood River Memorial HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Hospice and Home Care Foundation
2731 Wetmore Avenue Suite 500EverettWA98201272552749Support Program & Ministries of PHHCWA501(c )(3)Line 7PH & S - Washington0
Providence St Mary Foundation
401 W Poplar StWalla WallaWA99362452841492Support Program & Ministries of SMMCWA501(c )(3)Line 7PH & S - Washington0
Facey Medical Foundation
15451 San Fernando Mission Blvd 200Mission HillsCA913451420954322584Support Facey Medical GroupCA501(c )(3)Line 7PHS - So California0
Swedish Health Services
747 BroadwaySeattleWA98122910433740HealthcareWA501(c )(3)Line 3Western HealthConnect0
Swedish Edmonds
21601 76th Ave WEdmondsWA98026272305304HealthcareWA501(c )(3)Line 3Western HealthConnect0
Global To Local Health Initiative
747 BroadwaySeattleWA98122273133200HealthcareWA501(c )(3)Line 7Swedish Health Services0
Swedish MJM Holdings
747 BroadwaySeattleWA98122273139262Holding CompanyWA501(c )(3)Line 11/Type ISwedish Health Services0
Marsha Rivkin Center for Ovarian Cancer Research
747 BroadwaySeattleWA98122912054035Ovarian Cancer ResearchWA501(c )(3)Line 7Swedish Health Services0
Western HealthConnect
747 BroadwaySeattleWA98122454171900Shell CorporationWA501(c )(3)Line 11/Type IProvidence Ministries0

Form990 Schedule R Part III Form990ScheduleRPartIII (28 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Providence Imaging Center
3340 Providence DriveAnchorageAK99508920118807Medical ImagingAKN/A
Pathology Associates Medical Laboratories LLC
611 N PerrySpokaneWA99202270943279Outpatient LabWAN/A
California Laboratory Associates LLC
501 Buena VistaBurbankCA91505273888692Outpatient LabCAN/A
Surgery Ctr at Tanasbourne LLC
1235 NE 47th Ave 260PortlandOR97213208187971Ambulatory Surgery CenterORN/A
Distribution Operations Center LLC
1801 Lind Ave SW 9016RentonWA98057271054858Supplies Purchasing AgentWAN/A
Broadway Imaging LLC
500 W BroadwayMissoulaMT59802522405971Medical ImagingMTN/A
Ctr for Med Imaging-Bridgeport LLC
1235 NE 47th AvePortlandOR97213260796953Imaging - DiagnosticsORN/A
Ctr for MedImaging-Tanasbourne LLC
1235 NE 47th AvePortlandOR97213200477972Imaging - DiagnosticsORN/A
Portland Medical Imaging LLC
10538 SE Washington StPortlandOR97216201054971Imaging - DiagnosticsORN/A
Oregon Advanced Imaging LLC
881 OHare ParkwayMedfordOR97504450471748Medical ImagingORN/A
Minor & James Medical PLLC
515 Minor Avenue 200SeattleWA98104911340223Physician ClinicWAN/A
Clackamas Radiation Oncology Center LLC
1235 NE 47th Ave 288PortlandOR97213260381897Radiation OncologyORN/A
PETCT Imaging at Swedish Cancer Institute LLC
1221 Madison StreetSeattleWA98104203132044Medical ImagingWAN/A
Mountainstar Clinical Laboratories LLC
611 N PerrySpokaneWA99202261345983Outpatient LabMTN/A
PacLab LLC
611 N PerrySpokaneWA99202911743952Outpatient LabWAN/A
Center for Specialty Surgery LLC
11782 SW Barnes RdPortlandOR97225263638838Ambulatory Surgery CenterORN/A
Oregon Outpatient Surgery Center
7300 SW Childs RdTigardOR97224223883387Ambulatory Surgery CenterORN/A
ProvidenceUSP Santa Clarita GP LLC
11550 Indian Hills Road 160Mission HillsCA91345202829660Ambulatory Surgery CenterCAN/A
ProvidenceUSP Surgery Ctrs LLC
11550 Indian Hills Road 160Mission HillsCA91345200905938Ambulatory Surgery CenterCAN/A
Alpha Medical Laboratory LLC
611 N PerrySpokaneWA99202912017347Outpatient LabIDN/A
Canby Medical Center I LLC
2747 Pence Loop SESalemOR97302205470937Real Estate - MOBORN/A
Greater Valley Medical Building LP
501 S Buena Vista StBurbankCA91505954570858Real Estate - MOBCAN/A
Medalia Healthcare LLC
1801 Lind Ave SW 9016RentonWA98057911660459Physician BenefitsWAN/A
Prov Radiation Oncology Develop Assn LLC
1235 NE 47th AvePortlandOR97213260682491Real Estate - MOBORN/A
ProvidenceSilverton Rehab LLC
1235 NE 47th Ave 260PortlandOR97213481287267Rehab ServicesORN/A
Southern Idaho Regional Laboratory LLC
611 N PerrySpokaneWA99202820511819Outpatient LabIDN/A
Tri-Cities Laboratory LLC
611 N PerrySpokaneWA99202911773986Outpatient LabWAN/A
Providence Partners for Health LLC
501 S Buena Vista StBurbankCA91505454041798Clinical Quality & IntegrationCAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
Providence Health Ventures Inc
4101 Torrance BlvdTorranceCA90503330122216InvestmentCAN/AC0
Caron Health Corporation
510 W Front StMissoulaMT59802810486082Medical Physician ServiceMTN/AC0
Providence Health Care Ventures Inc
101 W 8th Ave TAF C-9SpokaneWA99204900155714Clinical/Medical LabWAN/AC0
Providence Physician Services Co
101 W 8th Ave TAF C-9SpokaneWA99204911216033Clinical/Medical LabWAN/AC0
Yakima Medical Arts Inc
611 N Perry 100SpokaneWA99202910787963Rental Real EstateWAN/AC0
Bourget Health Services Inc
PO Box 2687SpokaneWA99220911354431Clinical/Medical LabWAN/AC0
1221 Madison Street Owners Assoc
747 BroadwaySeattleWA98122201954319Owners' AssociationWAN/AC0
Washington Cancer Centers PC
1560 N 115th G-16SeattleWA98133911792791Cancer TreatmentWAN/AC0
Charitable Remainder Unitrust (1)
WAT0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
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 Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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