UW MEDICINENORTHWEST: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- UW MEDICINENORTHWEST (EIN 91-0637400)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-11
- IRS object ID
- 201231329349301763
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-11T11:08:34-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1700 | AddressLine1 |
| City | BELLEVUE | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910637400 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UW MEDICINE NORTHWEST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UWME | NameControl |
| Phone | 2063683012 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET NO D-180 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98133 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRUCE FERGUSON | Name |
| Title | VP AND CFO | Title |
| Phone | 2063683012 | Phone |
| Date Signed | 2012-05-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SARA ELIZABETH J HYRE | Name |
| Phone | 4254544919 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL & MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | C WILLIAM SCHNEIDER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET NO D-180 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98133 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 277247086 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NWHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1949 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | UW MEDICINE NORTHWEST IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2133 | TotalNbrEmployees |
| Total Nbr Volunteers | 265 | TotalNbrVolunteers |
| Total Gross UBI | 974305 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 630276 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2896559 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 115332181 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 248579757 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 20754 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3590839 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -298427 | OtherRevenuePriorYear |
| Other Revenue Current Year | -196243 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 115684784 | TotalRevenuePriorYear |
| Total Revenue Current Year | 254870912 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 23885 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5825871 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 62186880 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 126838837 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 58649473 | OtherExpensePriorYear |
| Other Expenses Current Year | 133731596 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 120860238 | TotalExpensesPriorYear |
| Total Expenses Current Year | 266396304 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -5175454 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -11525392 | RevenuesLessExpensesCY |
| Total Assets BOY | 223053140 | TotalAssetsBOY |
| Total Assets EOY | 216241405 | TotalAssetsEOY |
| Total Liabilities BOY | 136722268 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 140395783 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 86330872 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 75845622 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | OUR MISSION IS TO RAISE THE LONG-TERM HEALTH STATUS OF OUR COMMUNITY BY PROVIDING PERSONALIZED, QUALITY CARE WITH COMPASSION, DIGNITY, AND RESPECT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 239674074 | Expense |
| Grants | 5825871 | Grants |
| Revenue | 248579757 | Revenue |
| Description | UW MEDICINE NORTHWEST, DOING BUSINESS AS NORTHWEST HOSPITAL & MEDICAL CENTER (NWHMC), IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL, OFFERING COMPREHENSIVE MEDICAL, SURGICAL AND THERAPEUTIC SERVICES. WITH 281 BEDS, MORE THAN 1,700 EMPLOYEES AND A WORLD-CLASS MEDICAL STAFF, WE PROVIDE INNOVATIVE, TECHNOLOGICALLY ADVANCED CARE ON A PATIENT-FRIENDLY, EASY-ACCESS CAMPUS JUST NORTH OF SEATTLE. - FROM PRIMARY CARE TO HIGHLY SPECIALIZED CARE, NORTHWEST HOSPITAL PROVIDES EVERYTHING YOU WOULD NEED IN ONE PLACE. - A NETWORK OF THE BEST PHYSICIANS AND CLINICAL PROFESSIONALS THE REGION HAS TO OFFER. - AN ENVIRONMENT OF CARE THAT IS WARM, COMFORTABLE AND STATE-OF-THE-ART. - INPATIENT, OUTPATIENT AND 24-HOUR EMERGENCY SERVICES. AS THE WINNER OF THE HEALTHGRADES DISTINGUISHED HOSPITAL AWARD FOR PATIENT SAFETY FOR THE LAST THREE YEARS IN A ROW, WE ARE ALSO ONE OF THE SAFEST PLACES TO GET CARE - AMONG THE TOP 5% IN THE COUNTRY. SINCE 1960, NWHMC HAS PIONEERED TREATMENTS AND PROCEDURES THAT HAVE BECOME STANDARDS OF CARE IN OUR STATE AND BEYOND. - OUR 24-HOUR EMERGENCY DEPARTMENT FEATURES ALL-PRIVATE ROOMS, LEADING-EDGE TECHNOLOGY AND EQUIPMENT, AND ONE OF THE FASTEST TIMES-TO-TREATMENT IN THE STATE FOR HEART ATTACK AND STROKE PATIENTS. - WE ARE A NOTED NATIONAL LEADER IN CANCER TREATMENT, INCLUDING BRAIN, BREAST, GYNECOLOGIC AND PROSTATE CANCERS.- WE HAVE ESTABLISHED PREEMINENT PROGRAMS IN CARDIOLOGY, CARDIAC SURGERY AND CARDIAC REHABILITATION, IN PARTNERSHIP WITH THE UNIVERSITY OF WASHINGTON MEDICAL CENTER AND OTHER REGIONAL ORGANIZATIONS.- THE FIRST TO INTRODUCE THE LABOR, DELIVERY, RECOVERY AND POSTPARTUM BIRTHING SUITE TO THE REGION, WE WELCOME MORE THAN 1,100 BABIES IN OUR CHILDBIRTH CENTER EACH YEAR. - OUR SEATTLE BREAST CENTER IS ONE OF ONLY A FEW IN THE AREA TO OFFER ALL-DIGITAL MAMMOGRAPHY, BOARD-CERTIFIED BREAST RADIOLOGISTS, AND BREAST MRI AND MRI BIOPSY ALL UNDER ONE ROOF. - OUR AWARD-WINNING NEUROSCIENCES PROGRAMS INCLUDE STROKE, DEEP BRAIN STIMULATION AND GAMMA KNIFE RADIOSURGERY FOR NON-INVASIVE TREATMENT OF BRAIN DISEASES AND DISORDERS.- WE ARE A VITAL SOURCE OF COMMUNITY HEALTH EDUCATION AND WELLNESS, OFFERING CLASSES, SUPPORT GROUPS, SCREENINGS AND OTHER RESOURCES.NWHMC'S MISSION IS TO RAISE THE LONG-TERM HEALTH STATUS OF OUR COMMUNITY BY PROVIDING PERSONALIZED, QUALITY CARE WITH COMPASSION, DIGNITY, AND RESPECT. THE VISION OF NWHMC IS A COMMUNITY OF CARING HEALTH PROFESSIONALS, VALUED AND RECOGNIZED FOR PROMOTING WELLNESS THROUGH EARLY DETECTION AND PREVENTION, MINIMALLY INVASIVE INTERVENTIONS, AND INNOVATIVE CLINICAL PRACTICES. NWHMC PROVIDES COMPLETE MEDICAL AND SURGICAL SERVICES IN BOTH INPATIENT AND OUTPATIENT SETTINGS, AT TWO CONVENIENT LOCATIONS - OUR MAIN HOSPITAL CAMPUS AND THE NORTHWEST OUTPATIENT MEDICAL CENTER. WE OFFER A FULL RANGE OF SERVICES INCLUDING THE FOLLOWING:- BARIATRIC SURGERY- CANCER CARE- CARDIAC CARE- CENTER FOR MEDICAL REHABILITATION- CHILDBIRTH CENTER- COMMUNITY HEALTH EDUCATION & SIMULATION CENTER- DIAGNOSTIC IMAGING- EMERGENCY DEPARTMENT- GAMMA KNIFE CENTER- GEROPSYCHIATRIC CENTER- INPATIENT TEAM- NEUROSCIENCES- NORTHWEST CLINICAL LABORATORY- PHYSICAL THERAPY- PREVENTATIVE HEALTH & WELLNESS SERVICES- ROBOTIC SURGICAL SERVICES- SEATTLE BREAST CENTER- SLEEP CENTER- SPORTS MEDICINE- STROKE PROGRAM- SURGICAL SERVICES- WEIGHT LOSS SURGERY- WOUND CARENWHMC IS COMMITTED TO ONGOING PERFORMANCE IMPROVEMENT AND QUALITY PATIENT CARE. THE FOCUS OF THESE EFFORTS HAS BEEN TO PROVIDE AN EFFECTIVE AND CONTINUOUS PROGRAM TO MEASURE, ASSESS AND IMPROVE PERFORMANCE, PATIENT SAFETY AND THE SAFETY OF THE WORK ENVIRONMENT. THE HIGHLY SUCCESSFUL QUALITY EFFORT AT NWHMC HAS RESULTED IN A NUMBER OF PRESTIGIOUS LOCAL AND NATIONAL QUALITY AWARDS, AND HAS HELPED THE HOSPITAL EARN A REPUTATION AS ONE OF THE SAFEST, HIGHEST QUALITY PROVIDERS IN THE PACIFIC NORTHWEST.NWHMC IS ALSO AN ACTIVE PARTICIPANT IN NUMEROUS LOCAL, STATE AND NATIONAL QUALITY INITIATIVES. NWHMC WAS ALSO AN EARLY ADOPTER/"DRY RUN" PARTICIPANT IN THE CMS NATIONAL CONSUMER ASSESSMENT OF CARE (HCAHPS PATIENT SATISFACTION SURVEY).SOME OF THE VOLUNTARY QUALITY INITIATIVES IN WHICH NWHMC ACTIVELY PARTICIPATES INCLUDE:- THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S 100K LIVES AND 5 MILLION LIVES CAMPAIGN- LEAPFROG HOSPITAL QUALITY & PATIENT SAFETY SURVEY - AS AN EARLY ADVOCATE OF THE LEAPFROG STANDARDS NWHMC WAS ONE OF THE FIRST HOSPITALS IN THE AREA TO MEET THE ICU LEAP- QUALIS SURGICAL CARE IMPROVEMENT PROJECT COLLABORATIVE- CMS HCAHPS (PATIENT PERSPECTIVES ON CARE) SURVEY- HQA QUALITY INDICATOR PROGRAM- JCAHO CORE MEASURES PROGRAM- JCAHO NATIONAL PATIENT SAFETY GOALS- WA STATE COAP QUALITY IMPROVEMENT PROGRAM FOR INTERVENTIONALCARDIOLOGY AND CARDIOTHORACIC SURGERY- WASHINGTON STATE TRAUMA REGISTRY- WASHINGTON STATE BIRTH DEFECTS SURVEILLANCE PROGRAMAT NWHMC, WE BELIEVE THAT INFORMATION AND EDUCATION ARE VITAL PARTS OF THE HEALTHCARE EXPERIENCE FOR EVERY PERSON. WE OFFER A WIDE VARIETY OF CLASSES, SUPPORT GROUPS AND OTHER PROGRAMS. MANY ARE COMPLIMENTARY. WHETHER YOU ARE PLANNING A PREGNANCY, WORKING TO MAINTAIN GOOD HEALTH, LEARNING TO LIVE WITH A CHRONIC DISEASE OR COPING WITH A NEW DIAGNOSIS, OUR TRAINED EDUCATORS AND EXPERTS PROVIDE THE LATEST INFORMATION AND A WEALTH OF UNDERSTANDING.AS AN INTEGRAL PART OF NWHMC'S CHARITABLE MISSION, THE HOSPITAL PROVIDES PATIENT CARE TO INDIVIDUALS IN THE COMMUNITIES IT SERVES WHO DO NOT HAVE ADEQUATE RESOURCES TO PAY FOR HEALTH CARE SERVICES. CHARITY CARE HAS BEEN MEASURED IN TERMS OF CHARGES FORGONE FOR SERVICES FURNISHED UNDER THE CHARITY CARE POLICY. THE FORGONE CHARGES FOR SERVICES TO PERSONS UNABLE TO PAY WERE $3,357,547 IN 2011. IN ADDITION TO CHARITY CARE, NWHMC PROVIDES CARE AT LESS THAN COST FOR MEDICAID AND MEDICARE PATIENTS. LASTLY NWHMC PROVIDES A VARIETY OF COMMUNITY SERVICES AT NO COST TO THE COMMUNITY INCLUDING BUT LIMITED TO: COMMUNITY EDUCATION, COMMUNITY HEALTH SERVICES AND SUPPORT GROUPS, SENIOR WELLNESS PROGRAMS, PATIENT TRANSPORTATION AND CANCER PROGRAMS. | Description |
| Total Program Service Expense | 239674074 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 285 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2133 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | WA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIAN DAVID | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2063683012 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET D-180 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98133 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| PETER R EVANS | ||||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | |||
| SCOTT L HARDMAN | ||||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | |||
| JAMES K ANDERSON | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| TERRY L LENGFELDER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| EDWARD J BUCHWALD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SHAIZA DAMJI | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM J REX | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MARIAN SVINTH | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| PAMELA FOWLER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| C WILLIAM SCHNEIDER | ||||||||
| PRESIDENT & CEO | 1.00 | 0 | 778140 | 541915 | X | |||
| BRUCE FERGUSON | ||||||||
| VP, CFO, SECRETARY/TREASURER | 1.00 | 0 | 0 | 0 | X | |||
| GREG SCHROEDL | ||||||||
| VP, CQO | 1.00 | 0 | 277317 | 149820 | X | |||
| GAYLE WARD | ||||||||
| VP, CNO | 1.00 | 0 | 256091 | 140878 | X | |||
| ANNA KARIN ANDREWS | ||||||||
| VP, COO | 1.00 | 0 | 365007 | 178831 | X | |||
| MICHAEL SCHEER | ||||||||
| CFO (6/1/10-10/1/10) | 40.00 | 0 | 124646 | 3326 | X | |||
| DANIEL L DOWNEY | ||||||||
| PHYSICIAN | 40.00 | 363402 | 0 | 15864 | X | |||
| KATHRYN F MCGONIGLE | ||||||||
| PHYSICIAN | 40.00 | 353499 | 0 | 5930 | X | |||
| HOWARD G MUNTZ | ||||||||
| PHYSICIAN | 40.00 | 346824 | 0 | 5690 | X | |||
| CHAU-SU OU | ||||||||
| PHYSICIAN | 40.00 | 340344 | 0 | 20249 | X | |||
| LYNN M KEENAN | ||||||||
| PHYSICIAN | 40.00 | 327275 | 0 | 10005 | X | |||
| ROBERT STEIGMEYER | ||||||||
| FORMER SR. VP OF OPS & FIN | 0 | 1040692 | 285865 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1731344 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2841893 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1358373 | TotalOtherCompensation |
| Number Individuals GT100 K | 158 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SELLEN CONSTRUCTION CO INC | |||||
| PO BOX 9970 | SEATTLE | WA | 98109 | CONSTRUCTION | 12865727 |
| SIEMENS MEDICAL SOLUTIONS USA INC | |||||
| DEPT LA 21536 | PASADENA | CA | 91185 | IT CONSULTANTS | 10302439 |
| EMERGENCY SERVICES NORTHWEST | |||||
| 4731 BEACH DRIVE SW | SEATTLE | WA | 98116 | ER DOCTORS | 4225886 |
| PUGET SOUND BLOOD CENTER | |||||
| 921 TERRY AVE | SEATTLE | WA | 98104 | HEALTHCARE SERVICES | 2018367 |
| WOUND CARE CENTERS INC | |||||
| PO BOX 637114 | CINCINNATI | OH | 45263 | MEDICAL MANAGEMENT | 1131713 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Related Organizations | 2535235 | RelatedOrganizations |
| Government Grants | 292609 | GovernmentGrants |
| All Other Contributions | 68715 | AllOtherContributions |
| Total Contributions | 2896559 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT FEES | 624100 | 243297296 | 243297296 | |
| OTHER PROGRAM REVENUE | 624100 | 5282040 | 4337083 | 944957 |
| AUXILIARY MEMBERSHIP | 900099 | 421 | 421 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 248579757 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1669422 | TotalRevenueColumn |
| Unrelated Business Revenue | 29348 | UnrelatedBusinessRevenue |
| Exclusion | $1,640,074 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3301882 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4238933 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -937051 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -937051 | TotalRevenueColumn |
| Exclusion | -$937,051 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 19577950 | Securities |
| Other | 395357 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 17933204 | Securities |
| Other | 118686 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1644746 | Securities |
| Other | 276671 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1921417 | TotalRevenueColumn |
| Exclusion | $1,921,417 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 6771 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 3703 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3068 | TotalRevenueColumn |
| Exclusion | $3,068 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 114 | GrossIncomeGaming |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 114 | TotalRevenueColumn |
| Exclusion | $114 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 62044 | GrossSalesOfInventory |
| Cost Of Goods Sold | 81648 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -19604 | TotalRevenueColumn |
| Exclusion | -$19,604 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| DAY CARE REVENUES | 624410 | 756987 | $756,987 |
| MISCELLANEOUS | 900099 | 243 | $243 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 757230 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 254870912 | TotalRevenueColumn |
| Related Or Exempt Function Income | 247634800 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 974305 | UnrelatedBusinessRevenue |
| Exclusion | $3,365,248 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5825871 | Total |
| Program Services | 5825871 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100960131 | Total |
| Program Services | 97185637 | ProgramServices |
| Management And General | 3774494 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3167699 | Total |
| Program Services | 3167699 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15083936 | Total |
| Program Services | 14038996 | ProgramServices |
| Management And General | 1044940 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7627071 | Total |
| Program Services | 7627071 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1074136 | Total |
| Program Services | 184834 | ProgramServices |
| Management And General | 889302 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159200 | Total |
| Management And General | 159200 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60000 | Total |
| Management And General | 60000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25478496 | Total |
| Program Services | 21632883 | ProgramServices |
| Management And General | 3845613 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1534427 | Total |
| Program Services | 1520490 | ProgramServices |
| Management And General | 13937 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12212898 | Total |
| Program Services | 11575078 | ProgramServices |
| Management And General | 637820 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3897266 | Total |
| Program Services | 3509831 | ProgramServices |
| Management And General | 387435 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11165555 | Total |
| Program Services | 4388085 | ProgramServices |
| Management And General | 6777470 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 473506 | Total |
| Program Services | 316806 | ProgramServices |
| Management And General | 156700 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3336544 | Total |
| Program Services | 146031 | ProgramServices |
| Management And General | 3190513 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16794837 | Total |
| Program Services | 12868216 | ProgramServices |
| Management And General | 3926621 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1710442 | Total |
| Program Services | 483162 | ProgramServices |
| Management And General | 1227280 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 35493925 | 35488980 | 4945 |
| BAD DEBT | 13583531 | 13583531 | |
| PHYSICIAN FEES | 4980021 | 4846521 | 133500 |
| MEAL SERVICES | 866085 | 738145 | 127940 |
| EMPLOYEE RELATIONS | 586154 | 402951 | 183203 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 324573 | Total |
| Program Services | 143256 | ProgramServices |
| Management And General | 181317 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 266396304 | Total |
| Program Services | 239674074 | ProgramServices |
| Management And General | 26722230 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8401564 | BOY |
| EOY | 7938728 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30479519 | BOY |
| EOY | 31452783 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161719 | BOY |
| EOY | 629617 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3976952 | BOY |
| EOY | 4014256 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3400099 | BOY |
| EOY | 2136937 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 312332300 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 190720430 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120974409 | BOY |
| EOY | 121611870 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1278468 | BOY |
| EOY | 2336233 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 99735 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54380410 | BOY |
| EOY | 46021246 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 223053140 | BOY |
| EOY | 216241405 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31838713 | BOY |
| EOY | 38056803 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 735999 | BOY |
| EOY | 254838 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82000000 | BOY |
| EOY | 79900000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7316455 | BOY |
| EOY | 8385843 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14831101 | BOY |
| EOY | 13798299 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 136722268 | BOY |
| EOY | 140395783 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83648783 | BOY |
| EOY | 74377744 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 967292 | BOY |
| EOY | 1467878 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1714797 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86330872 | BOY |
| EOY | 75845622 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 223053140 | BOY |
| EOY | 216241405 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -11525392 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1040142 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $60,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 60000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | THE HOSPITAL INCURRED LOBBYING EXPENSES IN SECURING A GRANT FOR THE SIMULATION CENTER. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15366118 | OtherCostOrOtherBasis |
| Book Value | 15366118 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 95719721 | OtherCostOrOtherBasis |
| Depreciation | 44313208 | Depreciation |
| Book Value | 51406513 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17392086 | OtherCostOrOtherBasis |
| Depreciation | 9374173 | Depreciation |
| Book Value | 8017913 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 174378227 | OtherCostOrOtherBasis |
| Depreciation | 137033049 | Depreciation |
| Book Value | 37345178 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9476148 | OtherCostOrOtherBasis |
| Book Value | 9476148 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 121611870 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ASSETS WHOSE USE IS LIMITED - BOARD APPROVED CAPITAL INVESTMENTS | 30455035 |
| ASSETS WHOSE USE IS LIMITED - BOND INDENTURE AGREEMENTS | 10233584 |
| PROFESSIONAL LIABILITY SELF-INSURANCE | 4502720 |
| DEFERRED FINANCING COSTS | 703159 |
| OTHER RECEIVABLES | 44114 |
| OTHER LONG-TERM ASSETS | 82634 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 46021246 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RESERVE FOR PROFESSIONAL LIABILITY | $4,524,650 |
| PAYABLE TO AFFILIATES | $4,848,646 |
| RESERVE FOR ASBESTOS LIABILITY | $1,992,564 |
| OTHER LONG-TERM LIABILITIES | $2,432,439 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 13798299 | TotalOfAmounts |
| Total Revenue | 254870912 | TotalRevenue |
| Total Expenses | 266396304 | TotalExpenses |
| Excess Or Deficit For Year | -11525392 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 2547047 | NetUnrealizedGLOnInvestments |
| Other | -$535,235 | OtherAmount |
| Total Adjustments | 2011812 | TotalAdjustments |
| Excess Or Deficit Per FS | -9513580 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 244456598 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2547047 | NetUnrealizedGainsInvestments |
| Other Revenues | -17075641 | OtherRevenues |
| Revenue Not Rptd F990 | -14528594 | RevenueNotRptdF990 |
| Revenue Subtotal | 258985192 | RevenueSubtotal |
| Other Revenues Not Included | -4114280 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -4114280 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 254870912 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 253970178 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 4649515 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 4649515 | ExpensesNotRptdF990 |
| Expenses Subtotal | 249320663 | ExpensesSubtotal |
| Other Expenses Not Included | 17075641 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 17075641 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 266396304 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CONTRIBUTION FROM FOUNDATION REPORTED IN NET ASSETS ON FINANCIALS -535,235. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT -13,583,531. INTEREST EXPENSE -72,312. GRANT EXPENSE TO HEALTH RESOURCES NW REPORTED WITH REVENUE ON FINANCIALS -3,419,798. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES REPORTED WITH EXPENSES ON FINANCIAL STATEMENTS -4,238,933. COST OF GOODS SOLD REPORTED WITH EXPENSES ON FINANCIAL STATEMENTS -81,648. OTHER RECLASSES -328,934. CONTRIBUTION REVENUE FROM FOUNDATION REPORTED WITH NET ASSETS ON FINANCIALS 535,235. |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES REPORTED WITH EXPENSES ON FINANCIAL STATEMENTS 4,238,933. COST OF GOODS SOLD REPORTED WITH EXPENSES ON FINANCIAL STATEMENTS 81,648. OTHER RECLASSES 328,934. |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT 13,583,531. INTEREST EXPENSE 72,312. GRANT EXPENSE TO HEALTH RESOURCES NW REPORTED WITH REVENUE ON FINANCIALS 3,419,798. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | SELF-INSURANCE | TypeOfActivitiesConducted |
| Specific Services Provided | N/A | SpecificServicesProvided |
| Total Expenditures | 2605154 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 2605154 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 2605154 | TotalAmountSpent |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 1 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: | Identifier |
| Explanation | SCHEDULE F, PART I, LINE 2: NORTHWEST HOSPITAL & MEDICAL CENTER DOES NOT PROVIDE GRANTS TO ENTITIES OUTSIDE THE UNITED STATES. THE HOSPITAL IS SELF-INSURED THROUGH NORTHWEST ASSURANCE CO. LTD., A WHOLLY OWNED SUBSIDIARY LOCATED IN THE CAYMAN ISLANDS. THE COMPANY PROVIDES INSURANCE COVERAGE FOR THE HOSPITAL AND ITS PHYSICIANS. AMOUNTS SENT TO NORTHWEST ASSURANCE ARE FOR INSURANCE EXPENSES. THERE ARE NO DIRECT ACTIVITIES THAT OCCUR WITHIN THE CAYMAN ISLANDS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3500734 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3500734 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01310 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23101627 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14913067 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8188560 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03070 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 26602361 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14913067 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11689294 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04380 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1238318 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1238318 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 68766 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 68766 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32483 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 32483 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1339567 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1339567 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00500 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27941928 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14913067 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13028861 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04880 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,666,314 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 56870118 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 105845093 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -48974975 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UW MEDICINE NORTHWEST | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 NORTH 115TH STREET | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98133 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL & MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| WESTERN RADIOLOGY LLC | ||||
| 10700 MERIDIAN AVE N STE 505 | SEATTLE | WA | 98133 | HEALTHCARE DIAGNOSTIC IMAGING |
| NORTH SEATTLE SURGERY CENTER LLC | ||||
| 10330 MERIDIAN AVE N STE 150 | SEATTLE | WA | 98133 | AMBULATORY SURGICAL CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)
| ExplanationExplanation |
|---|
| PART III, LINE 4: THE HOSPITAL PROVIDES AN ALLOWANCE FOR POTENTIAL UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE, WHEREBY SUCH RECEIVABLES ARE REDUCED TO THEIR ESTIMATED NET REALIZABLE VALUE. THE HOSPITAL ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE, AND THE BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS.THE BAD DEBT COSTING METHODOLOGY USED WAS TO APPLY A RATIO OF COST TO CHARGES TO BAD DEBT WRITE-OFFS. ADJUSTED PATIENT CARE CHARGES DIVIDED BY ADJUSTED PATIENT CARE COST (EXPENSES LESS BAD DEBTS LESS NON PATIENT EXPENSES LESS COMMUNITY BENEFIT EXPENSES) RESULTED IN THE RATIO OF COST TO CHARGES.CHARGES FOR PATIENTS ELIGIBLE FOR CHARITY ARE NOT WRITTEN OFF TO BAD DEBT. PREADMISSION FINANCIAL COUNSELING IS DONE IN SOME CASES TO IDENTIFY CHARITY ELIGIBILITY PRIOR TO TREATMENT. WHEN THIS IS NOT POSSIBLE, IT IS OFFERED DURING OR AFTER SERVICE OR EVEN ONCE THE ACCOUNT HAS BEEN ASSIGNED TO A COLLECTION AGENCY. THE HOSPITAL MAKES A DEDICATED EFFORT TO IDENTIFY CHARITY ELIGIBILITY.DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE NOT WRITTEN OFF TO BAD DEBT.FOR 2010, BAD DEBT EXPENSE IS SHOWN AS REDUCTION FROM REVENUE ON THE FINANCIAL STATEMENTS CONSISTENT WITH GASB. |
| PART III, LINE 8: STANDARD MEDICARE STEP-DOWN METHODOLOGY IS USED IN THE MEDICARE COST REPORT. |
| PART III, LINE 9B: IT IS THE POLICY OF UW MEDICINE NORTHWEST TO EXPECT FULL PAYMENT ON SERVICES PROVIDED. FULL PAYMENT IS DUE FROM THE PATIENT UPON RECEIPT OF INITIAL BILLING FOR NON-INSURANCE COVERED BALANCES UNLESS ARRANGEMENTS ARE MADE WITH THE PATIENT FINANCIAL SERVICES DEPARTMENT.OPTIONS TO CLEAR AN ACCOUNTS RECEIVABLE:THERE ARE 8 OPTIONS TO CLEAR THE ACCOUNTS RECEIVABLE:- CHARGE REVERSAL- CONTRACTUAL ADJUSTMENT- CHARITY- ADMINISTRATIVE/OTHER ADJUSTMENT- INSURANCE PAYMENT- PATIENT PAYMENT- BAD DEBT - NON-AGENCY/OTHER- BAD DEBT - COLLECTION AGENCYPATIENT FINANCIAL SCREENING: ALL PATIENTS WILL BE SCREENED TO DETERMINE FINANCIAL RESPONSIBILITY DURING PRE-ADMISSION OR DURING ADMISSION/REGISTRATION. IT IS EXPECTED THAT PATIENTS WILL PROVIDE HONEST AND COMPLETE DATA FROM WHICH STAFF WILL ESTABLISH THE PATIENT PAYMENT PARTICIPATION. ONCE THE PATIENT'S RESPONSIBILITY IS DETERMINED, STAFF IS OBLIGATED TO NOTIFY THE PATIENT PROMPTLY.FINANCIAL SCREENING INCLUDES SOME OR ALL OF THE FOLLOWING TASKS: - COLLECTING FINANCIAL DEMOGRAPHIC INFORMATION. - DETERMINING INSURANCE ELIGIBILITY AND BENEFITS. - COMPLETING A CONFIDENTIAL FINANCIAL FORM. - OBTAINING INSURANCE AUTHORIZATION NUMBERS AND REFERRALS. - ESTABLISHING A PLAN WITH THE PATIENT TO CLEAR ACCOUNT BALANCES. - COLLECTING DEPOSITS BASED ON DEDUCTIBLES AND CO-INSURANCE AMOUNTS AS ALLOWED BY THE PATIENT'S INSURANCE PLAN. - REVIEWING A PATIENT'S PAST CREDIT HISTORY OR REQUESTING A CREDIT BUREAU REPORT. COLLECTION OF DEPOSITS: BASED ON FINANCIAL SCREENING AND ESTIMATED SELF PAY BALANCES, IT IS THE POLICY TO REQUEST DEPOSITS AND ESTIMATED INSURANCE CO-PAY BALANCES AS SOON AS THE AMOUNT CAN BE DETERMINED OR ALLOWED BY THE PATIENT'S INSURANCE PLAN. ACCOUNTS MAY BE SET UP FOR PATIENTS TO PRE-PAY FOR THEIR CARE. PAYMENTS MAY ALSO BE COLLECTED DURING THE PERIOD OF CARE OR AT DISCHARGE. IN THE EMERGENCY ROOM DEPOSITS ARE TO BE REQUESTED ONLY AFTER MEDICAL SERVICES HAVE BEEN PROVIDED. ALL PAYMENTS ARE TO BE REQUESTED WITH SENSITIVITY, CONSISTENT WITH ALL HOSPITAL POLICIES.NON-EMERGENT SERVICE IS NOT CONTINGENT UPON PAYMENT OF A DEPOSIT EXCEPT IN CASES OF POOR CREDIT HISTORY AND WHEN APPROVED BY A DIRECTOR OR A VICE PRESIDENT. COSMETIC OR NON-MEDICALLY REQUIRED SERVICES ARE TO BE PAID IN FULL IN ADVANCE OF SERVICE. SPECIAL CIRCUMSTANCES MAY WARRANT AN EXCEPTION TO PAYMENT IN FULL BUT MUST BE APPROVED BY THE DIRECTOR OR VICE PRESIDENT. GENERAL COLLECTION FRAMEWORK:ALL ACCOUNT BALANCES ARE DUE UPON RECEIPT OF FIRST BILLING WITH THE FOLLOWING SELF PAY EXCEPTIONS: - PAYMENT PLAN ARRANGEMENTS CONSISTENT WITH THIS POLICY. - ADDITIONAL FINANCIAL SCREENING IS BEING DEVELOPED. - HOSPITAL BILLING ERRORS, DELAYS OR UNRESOLVED DISPUTES. - UNPAID INSURANCE CLAIMS WHEN PATIENT BALANCES CANNOT EASILY BE DETERMINED.INSURANCE BILLING POLICY: NORTHWEST PATIENT FINANCIAL SERVICES WILL BILL STATE, FEDERAL AND CONTRACTED INSURANCE PLANS. OTHER PAYMENT SOURCES WILL BE BILLED WHENEVER THE PATIENT PROVIDES NECESSARY DATA. NWHMC TAKES ASSIGNMENT ON ALL MEDICARE CHARGES.PATIENT BALANCES: PATIENT PAY ACCOUNTS ARE PAYABLE UPON RECEIPT OF INITIAL BILLING, UNLESS OTHER ARRANGEMENTS ARE MADE WITH PATIENT FINANCIAL SERVICES (PFS). ACCOUNTS WAITING FOR INSURANCE PAYMENT BECOME THE PATIENT'S RESPONSIBILITY 60 DAYS AFTER INITIAL INSURANCE BILLING, UNLESS DICTATED BY AN INSURANCE CONTRACT, FINANCIAL ARRANGEMENTS ARE MADE, OR THIS PROVISION IS WAIVED BY PFS MANAGER OR DIRECTOR. NORTHWEST WILL RE-BILL OR OTHERWISE AID A PATIENT'S COLLECTION EFFORTS WITH THEIR INSURANCE COMPANY; HOWEVER IT CANNOT ACCEPT RESPONSIBILITY FOR THE INSURANCE CLAIM OR NEGOTIATE SETTLEMENT OF A DISPUTED CLAIM.QUALITY OF CARE AND BILLING ACCURACY ISSUES ARE TO BE RESOLVED AS QUICKLY AS POSSIBLE AND PRIOR TO ENFORCING COLLECTION STANDARDS.ALL PATIENTS WHO INDICATE FINANCIAL HARDSHIP ARE TO BE SCREENED FOR CHARITY. CHARITY MAY BE GRANTED ANY TIME, EVEN AFTER COLLECTION AGENCY ASSIGNMENT UP UNTIL FILING OF LEGAL ACTION. |
| PART VI, LINE 2: NORTHWEST HOSPITAL IS A COMMUNITY OF CARING HEALTH PROFESSIONALS, VALUED AND RECOGNIZED FOR PROMOTING WELLNESS THROUGH EARLY DETECTION AND PREVENTION, MINIMALLY INVASIVE INTERVENTIONS, AND INNOVATIVE CLINICAL PRACTICES.NORTHWEST HOSPITAL IS ACTIVELY INVOLVED WITH LOCAL, STATE, AND FEDERAL QUALITY INITIATIVES INCLUDING:-LEAPFROG HOSPITAL QUALITY & PATIENT SAFETY SURVEY - AS AN EARLY ADVOCATE OF THE LEAPFROG STANDARDS NORTHWEST HOSPITAL WAS ONE OF THE FIRST HOSPITALS IN THE AREA TO MEET THE ICU LEAP.-CMS HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) -CMS & JOINT COMMISSION HOSPITAL INPATIENT QUALITY REPORTING PROGRAM (IQR, FORMERLY HQDAPU/'CORE MEASURES') -CMS HOSPITAL OUTPATIENT QUALITY DATA REPORTING PROGRAM (OQR, FORMERLY HOPQDRP)-CMS PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI)-JOINT COMMISSION NATIONAL PATIENT SAFETY GOALS-JOINT COMMISSION PRIMARY STROKE CENTER CERTIFICATION PROGRAM-AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES (GWTG) STROKE REGISTRY-FOUNDATION FOR HEALTHCARE QUALITY'S CLINICAL OUTCOMES ASSESSMENT PROGRAM (COAP) FOR INTERVENTIONAL CARDIOLOGY AND CARDIOTHORACIC SURGERY-FOUNDATION FOR HEALTHCARE QUALITY'S SURGICAL CARE AND OUTCOMES ASSESSMENT PROGRAM (SCOAP)-SOCIETY OF THORACIC SURGEONS (STS) ADULT CARDIAC SURGERY REGISTRY-AMERICAN COLLEGE OF SURGEONS (ACOS) COMMISSION ON CANCER CERTIFIED CANCER REGISTRY-WASHINGTON STATE DEPARTMENT OF HEALTH TRAUMA REGISTRY.-WASHINGTON STATE DEPARTMENT OF HEALTH BIRTH DEFECTS SURVEILLANCE PROGRAM-CENTERS FOR DISEASE CONTROL AND PREVENTION NATIONAL HEALTHCARE SAFETY NETWORK (CDC NHSN) |
| PART VI, LINE 3: FINANCIAL COUNSELING IS PROVIDED AT REGISTRATION WHENEVER POSSIBLE AND A LETTER REGARDING FINANCIAL ASSISTANCE IS PROVIDED AT THAT TIME. WE ALSO CONTRACT WITH RCA (RESOURCE CORP OF AMERICA) TO SCREEN SELF PAY PATIENTS OR UNDERFUNDED (POOR INSURANCE COVERAGE) FOR MEDICAID. EACH PATIENT BILLING STATEMENT CONTAINS INFORMATION ABOUT THE CHARITY ASSISTANCE POLICY ALONG WITH THE RELEVANT CONTACT INFORMATION. IN ADDITION, THERE IS INFORMATION ON OUR WEBSITE AND SIGNAGE IN THE ORGANIZATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY. |
| PART VI, LINE 4: NORTHWEST HOSPITAL IS A FULL SERVICE, NON-PROFIT COMMUNITY HOSPITAL ESTABLISHED IN 1960. MORE THAN 600 PRIMARY CARE PROVIDERS AND SPECIALISTS IN THE COMMUNITY ARE ACTIVE OR AFFILIATED TO OUR MEDICAL STAFF. NORTHWEST HOSPITAL IS THE SECOND LARGEST ACUTE CARE MARKET SHARE HOLDER IN OUR PRIMARY SERVICE AREA, WITH 20% OF PATIENTS. OUR PRIMARY SERVICE AREA CONSISTS OF 13 PRIMARY ZIP CODES IN NORTH SEATTLE. OUR SECONDARY SERVICE AREA INCLUDES MANY SNOHOMISH COUNTY ZIP CODES AS WELL AS ADDITIONAL SEATTLE ZIP CODES. OTHER ACUTE CARE HOSPITALS LOCATED IN NORTHWEST HOSPITAL'S SERVICE AREAS INCLUDE SWEDISH MEDICAL CENTER, UW MEDICAL CENTER, VIRGINIA MASON MEDICAL CENTER, HARBORVIEW MEDICAL CENTER, PROVIDENCE EVERETT MEDICAL CENTER, SEATTLE CHILDREN'S HOSPITAL AND EVERGREEN HOSPITAL. |
| PART VI, LINE 6: NORTHWEST HOSPITAL IS A FULL-SERVICE, NON-PROFIT COMMUNITY HOSPITAL, OFFERING COMPREHENSIVE MEDICAL, SURGICAL AND THERAPEUTIC SERVICES. WITH 281 LICENSED BEDS, MORE THAN 1,900 EMPLOYEES AND A WORLD-CLASS MEDICAL STAFF, WE PROVIDE INNOVATIVE, TECHNOLOGICALLY ADVANCED CARE ON A PATIENT-FRIENDLY, EASY-ACCESS CAMPUS JUST NORTH OF DOWNTOWN SEATTLE. IN 2010, NORTHWEST HOSPITAL BECAME AN ENTITY OF THE UW MEDICINE HEALTH SYSTEM. NORTHWEST HOSPITAL PROVIDES:- A NETWORK OF THE BEST PHYSICIANS AND CLINICAL PROFESSIONALS THE REGION HAS TO OFFER. - AN ENVIRONMENT OF CARE THAT IS WARM, COMFORTABLE AND STATE-OF-THE-ART. - INPATIENT, OUTPATIENT AND 24-HOUR EMERGENCY SERVICES. - NORTHWEST HOSPITAL HAS WON THE HEALTHGRADES PATIENT SAFETY EXCELLENCE AWARD FOR THE PAST FIVE YEARS IN A ROW, PUTTING IT AMONG THE TOP 5% IN THE COUNTRY FOR PATIENT SAFETY. - SINCE 1960, NORTHWEST HOSPITAL HAS PIONEERED TREATMENTS AND PROCEDURES THAT HAVE BECOME STANDARDS OF CARE IN OUR STATE AND BEYOND, INCLUDING RADIOACTIVE SEED IMPLANTATION FOR PROSTATE CANCER AND GAMMA KNIFE RADIOSURGERY, AMONG OTHERS.. - OUR 24-HOUR EMERGENCY DEPARTMENT FEATURES ALL-PRIVATE ROOMS, LEADING-EDGE TECHNOLOGY AND EQUIPMENT, AND ONE OF THE FASTEST TIMES-TO-TREATMENT IN THE STATE FOR HEART ATTACK AND STROKE PATIENTS. - WE ARE A NOTED NATIONAL LEADER IN CANCER TREATMENT, INCLUDING BRAIN, BREAST, GYNECOLOGIC AND PROSTATE CANCERS. - WE HAVE ESTABLISHED PREEMINENT PROGRAMS IN CARDIOLOGY, ORTHOPAEDICS, CARDIAC SURGERY AND CARDIAC REHABILITATION, IN PARTNERSHIP WITH THE UNIVERSITY OF WASHINGTON MEDICAL CENTER AND OTHER REGIONAL ORGANIZATIONS. - THE FIRST TO INTRODUCE THE LABOR, DELIVERY, RECOVERY AND POSTPARTUM BIRTHING SUITE TO THE REGION, WE WELCOME MORE THAN 1,100 BABIES IN OUR CHILDBIRTH CENTER EACH YEAR. - OUR SEATTLE BREAST CENTER IS ONE OF ONLY A FEW IN THE AREA TO OFFER ALL-DIGITAL MAMMOGRAPHY, BOARD-CERTIFIED BREAST RADIOLOGISTS, AND BREAST MRI AND MRI BIOPSY ALL UNDER ONE ROOF. - OUR AWARD-WINNING NEUROSCIENCES PROGRAMS INCLUDE STROKE, DEEP BRAIN STIMULATION AND GAMMA KNIFE RADIOSURGERY FOR NON-INVASIVE TREATMENT OF BRAIN DISEASES AND DISORDERS. - WE ARE A VITAL SOURCE OF COMMUNITY HEALTH EDUCATION AND WELLNESS, OFFERING CLASSES, SUPPORT GROUPS, SCREENINGS AND OTHER RESOURCES. |
| PART VI, LINE 7: ON JANUARY 1, 2010, THE HOSPITAL JOINED THE UNIVERSITY OF WASHINGTON MEDICINE HEALTH SYSTEM (UW MEDICINE). NORTHWEST HOSPITAL & MEDICAL CENTER, UW SCHOOL OF MEDICINE, UW MEDICAL CENTER, UW PHYSICIANS, ASSOCIATION OF UNIVERSITY PHYSICIANS, HARBORVIEW MEDICAL CENTER, VALLEY MEDICAL CENTER, AND AIRLIFT NORTHWEST COMPRISE UW MEDICINE, AN UMBRELLA ORGANIZATION SERVING TO COORDINATE THESE ACTIVITIES AND PROMOTE QUALITY HEALTHCARE IN THE PACIFIC NORTHWEST AND BEYOND, AND TO CONDUCT CUTTING EDGE MEDICAL RESEARCH WITH WORLDWIDE BENEFIT. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST HOSPITAL FOUNDATION | |||||||||
| 1550 NORTH 115T STREET D-180 | SEATTLE | WA | 98133 | 911011603 | 501(C)(3) | 399823 | N/A | N/A | INSTITUTIONAL SUPPORT |
| HEALTH RESOURCES NORTHWEST | |||||||||
| 1550 NORTH 115T STREET D-180 | SEATTLE | WA | 98133 | 911157294 | 501(C)(3) | 5419798 | N/A | N/A | OPERATING SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE HOSPITAL MAKES LIMITED GRANTS TO UNRELATED ORGANIZATIONS. RECORDS ARE KEPT FOR THESE TRANSACTIONS. THE HOSPITAL ALSO MAKES GRANTS TO ITS RELATED ORGANIZATIONS THROUGHOUT THE YEAR. THESE GRANTS ARE TO ASSIST WITH OPERATING EXPENDITURES FOR THE RELATED ENTITIES AND HELP FURTHER THE OVERALL MISSION OF NORTHWEST HOSPITAL AND ITS RELATED ORGANIZATIONS. ADEQUATE RECORDS ARE KEPT REGARDING THE TRANSACTIONS TO ENSURE THE FUNDS ARE BEING USED FOR CHARITABLE PURPOSES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C WILLIAM SCHNEIDER | |||||||||||||
| 0 | 446250 | 0 | 0 | 0 | 331890 | 0 | 518863 | 0 | 23052 | 0 | 1320055 | 0 | 327994 |
| GREG SCHROEDL | |||||||||||||
| 0 | 203055 | 0 | 0 | 0 | 74262 | 0 | 127476 | 0 | 22344 | 0 | 427137 | 0 | 112815 |
| GAYLE WARD | |||||||||||||
| 0 | 182989 | 0 | 0 | 0 | 73102 | 0 | 123129 | 0 | 17749 | 0 | 396969 | 0 | 108831 |
| ANNA KARIN ANDREWS | |||||||||||||
| 0 | 279742 | 0 | 0 | 0 | 85265 | 0 | 163890 | 0 | 14941 | 0 | 543838 | 0 | 124957 |
| DANIEL L DOWNEY | |||||||||||||
| 363402 | 0 | 0 | 0 | 0 | 0 | 6290 | 0 | 9574 | 0 | 379266 | 0 | 0 | 0 |
| KATHRYN F MCGONIGLE | |||||||||||||
| 353499 | 0 | 0 | 0 | 0 | 0 | 4123 | 0 | 1807 | 0 | 359429 | 0 | 0 | 0 |
| HOWARD G MUNTZ | |||||||||||||
| 346824 | 0 | 0 | 0 | 0 | 0 | 3883 | 0 | 1807 | 0 | 352514 | 0 | 0 | 0 |
| CHAU-SU OU | |||||||||||||
| 340344 | 0 | 0 | 0 | 0 | 0 | 8250 | 0 | 11999 | 0 | 360593 | 0 | 0 | 0 |
| LYNN M KEENAN | |||||||||||||
| 327275 | 0 | 0 | 0 | 0 | 0 | 1652 | 0 | 8353 | 0 | 337280 | 0 | 0 | 0 |
| ROBERT STEIGMEYER | |||||||||||||
| 0 | 200789 | 0 | 0 | 0 | 839903 | 0 | 274451 | 0 | 11414 | 0 | 1326557 | 0 | 530087 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | FIRST CLASS TRAVEL WAS PROVIDED FOR PETER R. EVANS, CHAIRMAN, FOR ONE BUSINESS RELATED TRIP DURING THE YEAR. IT WAS NOT CONSIDERED TAXABLE COMPENSATION. | |
| PART I, LINES 4A-B | DURING THE YEAR, C. WILLIAM SCHNEIDER RECEIVED $55,781 IN TAXABLE DISTRIBUTIONS FROM A SECTION 457(F) PLAN. THE AMOUNTS WERE REPORTED AS NONTAXABLE COMPENSATION ON A PREVIOUS TAX RETURN WHEN THE CONTRIBUTION TO THE PLAN WAS MADE. ROBERT STEIGMEYER, FORMER SENIOR VICE PRESIDENT OF OPERATIONS AND FINANCE, RECEIVED A SEVERANCE PAYMENT AS A RESULT OF THE ORGANIZATION'S AFFILIATION WITH THE UNIVERSITY OF WASHINGTON. $367,259 WAS PAID OVER A 12 MONTH PERIOD BEGINNING 7/1/10. THE SEVERANCE AGREEMENT WAS CONDITIONED UPON MR. STEIGMEYER'S CONTINUED EMPLOYMENT WITH THE ORGANIZATION THROUGH JUNE 30, 2010 TO ASSIST WITH THE ORGANIZATIONAL CHANGE. THE TOTAL REPORTED FOR MR. STEIGMEYER INCLUDES $274,451 IN DEFERRED COMPENSATION. ROBERT STEIGMEYER'S POSITION AS SENIOR VICE PRESIDENT OF OPERATIONS AND FINANCE AND CHIEF FINANCIAL OFFICER OF NORTHWEST HOSPITAL & MEDICAL CENTER WAS SUBSTANTIALLY IMPACTED WITH THE AFFILIATION OF HEALTH RESOURCES NORTHWEST AND THE UNIVERSITY OF WASHINGTON. IT WAS EXTREMELY IMPORTANT TO MAINTAIN STABILITY OF LEADERSHIP, ESPECIALLY AT THE OFFICER LEVEL GIVEN THE MAGNITUDE OF THE ORGANIZATION CHANGE AND THE IMPACT ON THE MEDICAL STAFF, EMPLOYEES AND COMMUNITY. HEALTH RESOURCES NORTHWEST PROVIDED A SEVERANCE PACKAGE TO MR. STEIGMEYER IN EXCHANGE FOR HIS COMMITMENT TO REMAIN WITH THE ORGANIZATION DURING THE INITIAL TRANSITION THROUGH JUNE 30, 2010. | |
| PART III | SCHEDULE J, PART I, LINE 3: THE TOP MANAGEMENT OFFICIAL IS UNCOMPENSATED BY UW MEDICINE NORTHWEST. UW MEDICINE NORTHWEST RELIES ON HEALTH RESOURCES NORTHWEST, A RELATED ORGANIZATION, TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL. | SUPPLEMENTAL INFORMATION |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON HEALTH CARE FACILITIES AUTHORITY SER 2007 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 911108929 | IssuerEIN |
| Date Issued | 2007-11-29 | DateIssued |
| Issue Price | 84042940 | IssuePrice |
| Description Of Purpose | CAPITAL EXPENDITURES & DEBT | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 4100000 | AmountRetired |
| Total Proceeds | 84042940 | TotalProceeds |
| Amount In Reserve Fund | 6706015 | AmountInReserveFund |
| Refunding Escrow | 27714593 | RefundingEscrow |
| Issuance Costs From Proceeds | 320700 | IssuanceCostsFromProceeds |
| Capital Expenditures | 48212431 | CapitalExpenditures |
| Amount Unspent | 2283079 | AmountUnspent |
| Year Of Subst Completion | 2011 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMERGENCY SERVICES NW | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SEE PART V | Relationship |
| Amount Of Transaction | 4225886 | AmountOfTransaction |
| Description Of Transaction | SEE PART V | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | Identifier |
| Explanation | (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: GREGORY SCHROEDL, AN OFFICER FOR NORTHWEST HOSPITAL & MEDICAL CENTER, IS A 50% OWNER IN EMERGENCY SERVICES NORTHWEST.(D) DESCRIPTION OF TRANSACTION: BUSINESS TRANSACTION WITH EMERGENCY SERVICES NORTHWEST TO PROVIDE HEALTH CARE SERVICES. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART I, LINE 6, VOLUNTEERS: | NORTHWEST HOSPITAL VOLUNTEERS PERFORM MANY NON-TECHNICAL SERVICES IN SUPPORT OF PATIENT CARE AND OTHER DEPARTMENTS. THEY ACT AS IN-HOUSE COURIERS, HELP RUN THE GIFT SHOP, WORK THE GREETER DESK AND ASSIST STAFF AS NEEDED. THE HOSPITAL AUXILIARY RAISES MONEY TO SUPPORT SCHOLARSHIPS AND GRANTS. IN ADDITION, THERE ARE 9 VOLUNTEER BOARD MEMBERS. | |
| THE SOLE MEMBER OF UW MEDICINE NORTHWEST (DBA NORTHWEST HOSPITAL & MEDICAL CENTER) IS THE UNIVERSITY OF WASHINGTON. | FORM 990, PART VI, SECTION A, LINE 6 | |
| PER THE BYLAWS, THE MEMBER SHALL ELECT TRUSTEES TO THE BOARD OF TRUSTEES AND THE MEMBER MAY REMOVE TRUSTEES FROM OFFICE. | FORM 990, PART VI, SECTION A, LINE 7A | |
| PER THE BYLAWS, THE MEMBER HAS MANY RESERVE POWERS INCLUDING, BUT NOT LIMITED TO, APPROVALS OF SALES OR TRANSFERS OF ASSETS; APPOINTMENT OF AUDITORS; ESTABLISHMENT OF SUBSIDIARY, AFFILIATED OR RELATED ENTITIES; APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS; ADOPTION OF MERGER, CONSOLIDATION OR DISSOLUTION PLAN; APPROVAL OF ACQUISITION OR TRANSFER OF REAL PROPERTY. | FORM 990, PART VI, SECTION A, LINE 7B | |
| THE FORM 990 IS REVIEWED BY THE CONTROLLER, CFO AND CEO FOR ACCURACY AND COMPLETENESS. ONCE COMPLETED, A COPY OF THE FORM 990 IS SUBMITTED TO THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL BEFORE FILING. THE AUDIT COMMITTEE IN TURN REPORTS TO THE BOARD THE OUTCOME OF THEIR REVIEW PRIOR TO FILING THE FORM 990 WITH THE IRS. | FORM 990, PART VI, SECTION B, LINE 11 | |
| FORM 990, PART VI, SECTION B, LINE 12C | WE ADMINISTER AN ANNUAL CONFLICT OF INTEREST SURVEY TO ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES. COMPLETED SURVEYS ARE THEN REVIEWED BY OUR LEGAL COUNSEL TO DETERMINE WHETHER ANY CONFLICT OF INTEREST EXISTS. WHEN A CONFLICT OF INTEREST DOES ARISE, THOSE INDIVIDUALS ARE REQUIRED BY THE CONFLICT OF INTEREST POLICY TO ABSTAIN FROM VOTING ON MATTERS THAT PERTAIN TO THE ISSUE. ANY IDENTIFIED CONFLICTS OF INTEREST ARE DISCLOSED IN THE BOARD MINUTES AND MADE AVAILABLE TO THE ENTIRE BOARD. | |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE SENIOR TEAM IS REGULARLY EVALUATED FOR FAIR MARKET VALUE (FMV). THE SENIOR TEAM INCLUDES THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF QUALITY OFFICER, CHIEF NURSING OFFICER, AND THE CHIEF OPERATIONS OFFICER. THE PROCESS FOR ASSESSING FMV INVOLVES ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO ASSESS COMPENSATION LEVELS AND REPORT BACK TO THE COMPENSATION COMMITTEE OF THE BOARD. THE INDEPENDENT CONSULTANT WILL BRING FORTH RELEVANT COMPARISON INFORMATION INCLUDING SURVEYS AND REGIONAL DATA. THE COMPENSATION COMMITTEE OF THE BOARD IN TURN APPROVES THE COMPENSATION OF THE SENIOR TEAM. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. | |
| FORM 990, PART VII, COLUMN B: HOURS FOR RELATED ORGANIZATIONS | THE OFFICER'S AVERAGE HOURS PER WEEK ARE BASED ON INDIVIDUAL HOURS WORKED PER ORGANIZATION. THE REMAINING HOURS ARE REPORTED ON THE RELATED ORGANIZATION'S (HEALTH RESOURCES NORTHWEST) TAX RETURN. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 2,547,047. PRIOR PERIOD ADJUSTMENT TO CORRECT PLEDGE MADE TO UW MEDICINE NORTHWEST 422,204. RELEASE OF PERMANENTLY RESTRICTED NET ASSETS OF RELATED ORGANIZATION -1,716,527. OTHER CHANGES IN NET ASSETS -212,582. TOTAL TO FORM 990, PART XI, LINE 5: 1,040,142. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (24 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| BARIATRIC SURGERY CLINIC TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266073244 | GRANTOR TRUST | WA | 1027364 | 0 | N/A |
| DEEP BRAIN SIMULATION TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 276267538 | GRANTOR TRUST | WA | 15543 | 0 | N/A |
| DOWNEY PLASTIC SURGERY TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 276380184 | GRANTOR TRUST | WA | 686231 | 0 | N/A |
| GYNECOLOGY CANCER CLINIC TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266036216 | GRANTOR TRUST | WA | 2868454 | 0 | N/A |
| JAMES A JOKI TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266534299 | GRANTOR TRUST | WA | 593025 | 0 | N/A |
| LAKE FOREST PARK CLINIC TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 916546627 | GRANTOR TRUST | WA | 1985638 | 0 | N/A |
| LEE CLINIC TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 276267496 | GRANTOR TRUST | WA | 193515 | 0 | N/A |
| MERIDIAN WOMENS HEALTH TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266534323 | GRANTOR TRUST | WA | 2004190 | 0 | N/A |
| MIDWIVES CLINIC TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456330980 | GRANTOR TRUST | WA | 0 | 0 | N/A |
| NEUROLOGY NORTHWEST TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456442668 | GRANTOR TRUST | WA | 0 | 0 | N/A |
| NORTHWEST HOSPITAL CRITICAL CARE TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266173993 | GRANTOR TRUST | WA | 901616 | 0 | N/A |
| NORTHWEST HOSPITAL INPATIENT SERVICES TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266173905 | GRANTOR TRUST | WA | 2150036 | 0 | N/A |
| NORTHWEST HOSPITAL PROVIDERS TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 716214304 | GRANTOR TRUST | WA | 1436962 | 0 | N/A |
| NORTHWEST INTERNAL MEDICINE TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 416558148 | GRANTOR TRUST | WA | 1064373 | 0 | N/A |
| NWH&MC SURGICAL PRE-OP CLINIC TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456578380 | GRANTOR TRUST | WA | 0 | 0 | N/A |
| OLYMPIC MEDICAL CENTER TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 227007168 | GRANTOR TRUST | WA | 805215 | 0 | N/A |
| OU CLINIC TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 276380225 | GRANTOR TRUST | WA | 418656 | 0 | N/A |
| RICHMOND CLINIC TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456333945 | GRANTOR TRUST | WA | 0 | 0 | N/A |
| ROOSEVELT MEDICAL CENTER TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 911685889 | GRANTOR TRUST | WA | 354545 | 0 | N/A |
| SEATTLE EAR NOSE THROAT TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 207122044 | GRANTOR TRUST | WA | 439380 | 0 | N/A |
| SULLIVAN PULMONARY CLINIC TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266533882 | GRANTOR TRUST | WA | 401981 | 0 | N/A |
| UWNWH MEDICAL GROUP TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456658242 | GRANTOR TRUST | WA | 0 | 0 | N/A |
| WESTERN WASHINGTON CARDIOLOGY TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 456220351 | GRANTOR TRUST | WA | 550967 | 0 | N/A |
| WOUND CARE CENTER TRUST | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 266534268 | GRANTOR TRUST | WA | 221807 | 0 | N/A |
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH RESOURCES NORTHWEST | |||||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 911157294 | MANAGEMENT SERVICES | WA | 501(C)(3) | LINE 11B, II | UW MEDICINE NORTHWEST | 0 | |
| NORTHWEST HOSPITAL FOUNDATION | |||||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 911011603 | SUPPORT THE HOSPITAL | WA | 501(C)(3) | LINE 7 | UW MEDICINE NORTHWEST | 1 | |
| THE ASSOCIATION OF UNIVERSITY PHYSICIANS | |||||||||||
| 501 EASTLAKE AVENUE EAST SUITE 400 | SEATTLE | WA | 98109 | 911220843 | MEDICAL PRACTICE | WA | 501(C)(3) | LINE 11A, I | UNIVERSITY OF WASHINGTON | 0 | |
| UW PHYSICIANS NETWORK | |||||||||||
| 4333 BROOKLYN AVENUE NE | SEATTLE | WA | 98105 | 911715882 | MEDICAL PRACTICE | WA | 501(C)(3) | LINE 11A, I | UNIVERSITY OF WASHINGTON | 0 | |
| UNIVERSITY OF WASHINGTON | |||||||||||
| 1959 NE PACIFIC STREET | SEATTLE | WA | 98195 | 916001537 | EDUCATION AND MEDICAL CARE | WA | GOVERNMENT | N/A | 0 | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH SEATTLE SURGERY CENTER LLC | |||||||||||||
| 10330 MERIDIAN AVE NORTH SUITE 150 | SEATTLE | WA | 98133 | 202033654 | OFFICES OF PHYSICIANS | WA | N/A | RELATED | 93030 | 1564913 | 0 | 1 | 0.50000 |
| RICHMOND BUILDING PARTNERSHIP | |||||||||||||
| 355 RICHMOND BEACH ROAD | SEATTLE | WA | 98177 | 911518742 | RENTAL OF PHYSICIAN OFFICE | WA | N/A | RELATED | 32248 | 624267 | 0 | 1 | 0.37500 |
| WESTERN RADIOLOGY IMAGING | |||||||||||||
| 10330 MERIDIAN AVE NORTH SUITE 505 | SEATTLE | WA | 98133 | 050627028 | MEDICAL IMAGING SERVICES | WA | N/A | RELATED | 280289 | 1156186 | 0 | 0 | 0.50000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST ASSURANCE COMPANY | |||||||||||||||
| GRAND CAYMAN | CAYMAN ISLANDS | CJ | INSURANCE PROVIDER | CJ | UW MEDICINE NORTHWEST | C | -19669 | 3084905 | 1.00000 | ||||||
| SEATTLE ARTHRITIS CLINIC | |||||||||||||||
| OFFICES OF PHYSICIANS | HEALTH RESOURCES NORTHWEST | C | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 203890258 | WA | |||||||
| RICHMOND INTERNAL MEDICINE | |||||||||||||||
| OFFICES OF PHYSICIANS | HEALTH RESOURCES NORTHWEST | C | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 204512942 | WA | |||||||
| SPORTS MEDICINE GROUP | |||||||||||||||
| OFFICES OF PHYSICIANS | HEALTH RESOURCES NORTHWEST | C | 10330 MERIDIAN AVENUE NORTH SUITE 3 | SEATTLE | WA | 98133 | 911698413 | WA | |||||||
| NEUROSURGICAL CONSULTANTS NW | |||||||||||||||
| OFFICES OF PHYSICIANS | HEALTH RESOURCES NORTHWEST | C | 801 BROADWAY SUITE 617 | SEATTLE | WA | 98122 | 911856460 | WA | |||||||
| BONE & JOINT CENTER OF SEATTLE | |||||||||||||||
| OFFICES OF PHYSICIANS | HEALTH RESOURCES NORTHWEST | C | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 270208005 | WA | |||||||
| PRIMARY CARE PARTNERS NW PS | |||||||||||||||
| OFFICES OF PHYSICIANS | HEALTH RESOURCES NORTHWEST | C | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 270568642 | WA | |||||||
| SUMMIT CARDIOLOGY | |||||||||||||||
| OFFICES OF PHYSICIANS | HEALTH RESOURCES NORTHWEST | C | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 273492322 | WA | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| NORTHWEST HOSPITAL FOUNDATION | ||
| C | 535235 | ACTUAL COST |
| NORTHWEST HOSPITAL FOUNDATION | ||
| N | 237551 | ACTUAL COST |
| NORTHWEST HOSPITAL FOUNDATION | ||
| B | 404823 | ACTUAL COST |
| NORTHWEST HOSPITAL FOUNDATION | ||
| D | 501980 | ACTUAL COST |
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