2011-11-10T21:05:56-06:00 2010-12-31 Clark Nuber PS 10900 NE 4th Street Suite 1700 Bellevue WA 98004 990 2010-01-01 910433740 Swedish Health Services SWED 2062155967 747 Broadway Seattle WA 981224307 Jeffrey Veilleux 2062155967 2011-11-10 1 Sara Elizabeth J Hyre 4254544919 2010 2016-03-07 17:11:31Z Rodney Hochman MD 747 Broadway Seattle WA 981224307 1656546647 0 X www.swedish.org X 1908 WA To improve the health and well-being of each person we serve. 15 15 9213 1459 594708 -488979 14801456 14735201 1290802336 1380461703 10340638 30003940 45919083 37918047 1361863513 1463118891 7601227 7309160 0 0 732092869 791010733 0 0 0 566540065 593575873 1306234161 1391895766 55629352 71223125 1505851855 1828054723 920424780 1220666916 585427075 607387807 X Swedish is a regional, community governed health-care system committed to meeting the health-care needs of the community. 0 0 1181384195 7309160 1417785042 Since 1910, Swedish has been the region's hallmark for excellence in health care. In fact, in an independent research study conducted by the National Research Corp., Swedish is consistently named the area's best hospital, with the best doctors, nurses and overall care in a variety of specialty areas. Swedish is the largest, most comprehensive, nonprofit health provider in the Greater Seattle area. We have:- Three hospital locations in Seattle- An emergency room and specialty center in Issaquah- An emergency room and specialty center in Redmond- Swedish Visiting Nurse Services- Swedish Medical Group network of primary-care clinics- Multiple specialty clinics- Affiliations with suburban hospitals and physician groupsBut Swedish is not just about facilities, research and new techniques. It's about people coming together to provide the most compassionate care possible. From nurses and physicians to social workers and dieticians, the dedicated teams at Swedish are defining on a personal level what excellence really means.Improving the health and well-being of the community is central to the Swedish mission. In 2010, Swedish provided $112,243,000 in community benefits to improve health in the broader community, including:- $25,418,000 in charity care- $66,515,000 in Medicaid subsidies - $7,911,000 in health research - $8,045,000 in medical education - $4,354,000 in community health activities and non-billed services This work is part of our commitment to provide the best health care available to all members of our communities, regardless of their ability to pay. During 2010, Swedish:- Delivered 7,570 babies- Served 91,457 patients in our emergency departments- Admitted 42,848 patients to our three hospital campuses- Performed 33,795 surgeries- Had 76,434 visits to our medical oncology and treatment centersSwedish Medical Center has a combined medical staff of more than 2,000 providers, representing nearly every medical and surgical specialty and subspecialty. In all, Swedish has roughly 8,000 employees.Community OutreachAs a charitable, nonprofit 501(c)(3) organization, Swedish invests its resources in programs and services that improve the health of the community and region, from building partnerships with community clinics that serve the underprivileged to providing free and low-cost health-education classes to the public.From newly arrived immigrants and at-risk teenagers to low-income seniors and families, Swedish compassionately reaches out to those who might not otherwise get the health-care services they need.Here you'll find the many invaluable community programs and services available through Swedish.Global to LocalIn support of Swedish's mission to improve the health and well-being of each person we serve and continuing Swedish's long-standing commitment to improve the health of our region, Swedish has partnered with Washington Global Health Alliance, Public Health - Seattle & King County, and HealthPoint to address disparities in local healthcare through a groundbreaking initiative: Global to Local. In 2010, partnerships have expanded to include a number of corporate sponsors that will further support community building including GE Healthcare, T-Mobile, and Chase Bank.The Global to Local initiative is a new approach in applying global solutions to local healthcare challenges in underserved populations.Charity CareSwedish offers free or discounted hospital services for people who cannot afford care. At Swedish, a patient making two times the federal poverty level will qualify for a full uncompensated-care write-off. We provide financial assistance on a sliding scale for uninsured patients whose yearly family income is between 0 percent and 400 percent of the federal poverty level, and we ensure that financial constraints are not a barrier to the provision of care. Swedish Community Specialty ClinicIn September 2010 the SCSC clinic opened on First Hill. The former Mother Joseph and Glaser specialty clinics combined and expanded specialty care services to the uninsured in our community. The clinic is partnered with Project Access Northwest and is a testament to Swedish Medical Center's commitment to serve the uninsured and underinsured patients in our community.SCSC provides a workable solution to one of the most pressing health care problems facing low-income and uninsured people in our community - access to specialty care services. This program builds on the safety net of primary care provided by the community health and public health clinics in King County. Through PAN and a volunteer staff of over 180 Swedish specialty physicians, low-income uninsured patients have access to needed specialty health care and donated ancillary, in- and out-patient hospital services.Our goal is to set a new standard in community health and to highlight that Charity care is a core part of our nonprofit mission which will continue even in a down economy.In 2010 Swedish partnered with the dental care community to support the opening of a community specialty dental clinic. This partnership will include the Washington Dental Service Foundation, Seattle-King County Dental Foundation, Burkhart Dental Supply and The Pacific Hospital Preservation & Development Authority. The resulting collaboration will provide adult specialty dental services to the underserved in King County. It will also include a dental residency program supported by Dr. Bart Johnson and Dr. Amy Winston.Residency programs for the economically disadvantagedSwedish Family Medicine Residency clinics select residents from the nation's top medical schools to provide the best care to people of all ethnic backgrounds and financial situations. Physician residents treat patients regardless of their ability to pay, logging more than 41,000 patient visits each year. In addition to seeing patients at our First Hill and Cherry Hill campuses, the Family Medicine Residency also provides care through partnerships with the SeaMar, Indian Health Board and Downtown Family Medicine Clinics.Services for low-income mothers and newbornsEvery year, Swedish delivers more babies than any other hospital in the state. And 2010 was no exception. Nearly 7,500 babies were born at Swedish last year. From the moment a mother finds out she's expecting to when the baby leaves the hospital, Swedish is dedicated to making sure mom and baby are as healthy as possible. With such a strong and comprehensive Women and Infants program, we're here to care for moms of all backgrounds - and to ensure each baby delivered at Swedish gets a healthy shot at life.Swedish SafeRide provides car seats for families whose infants are born or receive care at Swedish. The SafeRide program was created to help families with limited incomes buy car seats. However, families of any income level can buy car seats through SafeRide at wholesale prices. The program has grown to include education, training on proper car seat use and installation not only for patients, but for all community members.In addition, Swedish also partners with community programs such as St. Joseph's Baby Corner and the Women, Infants and Children's (WIC) Supplemental Feeding and Nutrition. With these programs, Swedish is able to provide fundamental needs like shelter, food and clothing to mothers and their young ones. In addition to partnering with St. Joseph's Baby Corner, Swedish donates space on its First Hill campus to this organization which provides basic baby necessities to families with newborns.Swedish Pregnant Women ServicesThis program assists expectant mothers with drug and alcohol addictions and works with Swedish Perinatal Medicine to make sure these women get the extra medical attention they need to reduce the risk for complications with their pregnancy and health problems in their newborn.Clinical services for low-income seniorsThe Swedish Ballard Community Nursing Clinic offers free vaccinations, blood pressure checks, foot care and other basic services to low-income seniors. Each Tuesday, the clinic sees patients at the Ballard campus. And on each Monday and Wednesday, the clinic sees patients at various locations throughout the community, including 16 different senior apartment complexes, Ballard Northwest Senior Center and Ballard Manor. Each year, the clinic logs more than 8,000 visits both onsite and in the community. Other activities include water aerobics, jazzercise and nutrition classes at no cost to the elderly and those members of the community who are poor in health. Health-care services at Ballard High SchoolThe Ballard Teen Health Center is a partnership between Swedish and Ballard High School to provide students at the school with physical and mental-health services. Teens visit the center for treatments ranging from illnesses and injuries to confidential family-planning services, STD testing and mental-health counseling. The center, which was started by Swedish in 2002, also provides smoking-cessation programs, nutrition and exercise counseling, general health information and school-wide health promotion and classroom presentations. The center targets adolescents who are uninsured or underinsured and those who have no other options for medical care and counseling.Support for patients and familiesThe Swedish Patient Assistance Fund provides patients and their families with financial support for a range of items and services, including utility bills, wheelchairs and walkers, rent and mortgage assistance, skilled nursing and home care, and more. Food banks, clothing banks, patient transportation and comfort therapies for hospice patients are also part of this program.Family violence programMany of our staff members are specially trained to identify patients who may be victims of family violence and connect them with community agencies that can provide the help they need. In addition, Swedish provides financial support and donates space to organizations, such as New Beginnings and the YWCA, that support battered women and their families.The Social and Health Justice ProgramThis program is a partnership between Seattle University Law School and Swedish Medical Center, known as the Public Benefits Assistance Project - Medical Legal Partnership. Modeled after the preeminent national model of medical legal partnerships - National Center for Medical Legal Partnership -the program started in spring of 2010.The main task of the Public Benefits Assistance Project - Medical Legal Partnership is to identify and enroll eligible Swedish Family Medicine First Hill Clinic patients age 50 and above into a public benefit program known as the COPES program. Both Swedish Medical and Seattle University Law School have a strong commitment to financial justice, believing it to be a direct contributor to health and wellness. SMC patients live in the greater Seattle urban area, including many in the urban core.The immediate impact of community members' enrollment is to build a social safety and wellness net. First, specific patient needs are systematically addressed in the formal assessment tool. Medical transport, hygiene, nutrition, medication reminders, medical appointment reminders, and concrete medical devices are just some examples of the customized care plan. Second, the patient perceives a stronger sense of social connection. Third, a coordinated care team enhances provider collaboration and communication. Finally, unmet needs due to financial paucity are eliminated.Community health educationThe Patient/Family Education and Community Health Program is committed to helping patients, families and the community make informed choices about their health. The program offers classes on topics such as cancer, childbirth, diabetes, orthopedics, nutrition, safety and injury prevention, stress management and more. These community health educations classes are available to patients, families, community members, physicians, nurses and clinical staff.Arming patients with health information they need allows them to make informed decisions and be advocates of their care. One way Swedish provides access to health information is through education and resource centers at our three main campuses.The largest and most comprehensive resource center is the James B. Douglas Health Education Center, located at the First Hill campus. Here, patients, family and community members can find information about support groups and health resources, register for classes, access online health information, pick up free education brochures, and purchase car seats.In addition to hosting hundreds of health education classes each year, Swedish offers the community many supports groups on a range of topics from cancer to bereavement to childbirth.Swedish Mobile Mammography ProgramThe Mobile Mammography Program is dedicated to bringing high-quality mammography services to women throughout Western Washington, primarily those in underserved and hard-to-reach areas. The program includes two Breast Care Express coaches which deliver experienced technologists and mammography equipment to locations convenient for women - places in their community or at their workplace. In 2010, the Swedish Mobile Mammography Program provided mammograms to 4,141 women. To reach women who need these vital - and often life-saving - breast-health services, Swedish joins with important community partners such as the YWCA, Center for Multicultural Health, Senior Services of Seattle/King County, the Rainier Park Community Clinic and North Seattle Public Health Center. Swedish also works closely with the South Puget Inter-Tribal Planning Agency, Family Planning of Clallam County and the Tulalip and Muckleshoot tribal clinics.Job training for developmentally disabled studentsA special program at Swedish provides job training for students with disabilities.Bereavement support groupsSwedish provides a number of support groups for people who have lost loved ones.Spiritual care eventsThe Spiritual Care Department at Swedish offers several community-based educational events, including a workshop for pastoral caregivers that focuses on hospital visitation, as well as other workshops open to the public on such topics as end-of-life issues and access to health care.Other community programsSwedish also made donations to nearly 50 local organizations and groups to support the vital work each is doing in the Puget Sound area. These organizations include the American Heart Association, Big Brothers Big Sisters, Gilda's Club, Eastside Fire and Rescue, King County Sexual Assault Resource Center, Seattle University, United Way of King County and the YWCA of Seattle/King County. 1181384195 1 1 0 1 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 955 0 1 9213 1 1 1 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WA X Pam Palagi - Corp Controller 2062155967 747 Broadway Seattle WA 981224307 Don Brennan 5.00 X 0 0 0 Teresa Bigelow 5.00 X 0 0 0 John Connors 5.00 X 0 0 0 Isiaah Crawford PHD 5.00 X 0 0 0 Ned Flohr 5.00 X 0 0 0 Cheryl Gossman 5.00 X 0 0 0 Michael Kelly MD 5.00 X 0 0 0 Bill Krippaehne Jr 5.00 X 0 0 0 Louise Liang MD 5.00 X 0 0 0 Charles Lytle Jr 5.00 X 0 0 0 Kirby McDonald 5.00 X 0 0 0 John Nordstrom 5.00 X 0 0 0 David Olsen 5.00 X 0 0 0 Janet True 5.00 X 0 0 0 Henry Ned Turner 5.00 X 0 0 0 Jonathan Chinn MD 5.00 X X 0 0 0 Nancy Auer MD 5.00 X X 0 0 0 Martin Siegel MD 5.00 X X 0 0 0 Rodney Hochman MD 60.00 X 2481514 0 195975 Cynthia Strauss 60.00 X 402051 0 198978 Jeffrey Veilleux 60.00 X 618272 0 282988 Kevin Brown 60.00 X 498187 0 165681 Calvin Knight 60.00 X 1256553 0 143126 Marcel Loh 60.00 X 425988 0 180779 Janice Newell 60.00 X 443344 0 140484 Joanne Suffis 60.00 X 417305 0 111552 Marc Mayberg 50.00 X 2072441 0 214550 David Newell 50.00 X 1874410 0 115246 Rod Oskouian 50.00 X 1819940 0 38677 Henry Kaplan 50.00 X 1651083 0 126612 Robert Bersin 50.00 X 1085115 0 34846 15046203 0 1949494 913 0 1 0 MA Mortenson Company 14719 NE 29Th Pl Bellevue WA 98007 Construction 8301481 Physicians Anesthesia Service 1229 Madison 1440 Seattle WA 98104 Physicians 2494747 Cellnetix Pathology PLLC 1124 Columbia St 200 Seattle WA 98104 Laboratory 2075640 Tumor Institute Radiation Oncology Group 1101 Madison St 1101 Seattle WA 98104 Radiation oncology 1855520 The Polyclinic - WCCA 1145 Broadway Seattle WA 98122 Physicians 1571123 95 7689260 7045941 14735201 Net Patient Revenue 900099 983993397 983993397 Medicare/Medicaid Pmts 900099 397088024 397088024 JV Investment Income 900099 -619718 -619718 1380461703 9268382 9268382 3740831 2496294 1244537 1244537 1244537 209391324 2275696 190931462 18459862 2275696 20735558 20735558 Retail Pharmacy 446110 13483715 13237078 246637 Outside Service 541900 8865141 8550838 314303 Other Operating 541900 5651014 5617246 33768 8673640 8673640 36673510 1463118891 1417785042 594708 30003940 7309160 7309160 7962777 2944699 5018078 592823866 517665178 75158688 62336239 54017282 8318957 87544613 75861524 11683089 40343238 34959313 5383925 2344437 429014 1915423 480066 17340 462726 309945 309945 976137 976137 44068702 21207201 22861501 7245285 76780 7168505 10150924 6424934 3725990 45338955 41118486 4220469 3683086 2578831 1104255 830300 279414 550886 23029017 14439625 8589392 85075421 54384189 30691232 5729102 5180423 548679 Supplies 206714613 206354011 360602 Purchased Services 79225235 62161358 17063877 Bad Debt 43193859 43193859 Taxes 19597240 19295476 301764 Other 15583549 10200016 5383533 1391895766 1181384195 210511571 0 9312795 10289844 44913582 44562422 190434207 207978717 12262156 14094572 6712114 6547674 1898170554 961202537 708211940 936968017 490652394 542486098 13583470 23088290 29769197 42039089 1505851855 1828054723 102424531 253904124 547774846 628525126 270225403 338237666 920424780 1220666916 X 578918084 601164935 6483991 6197872 25000 25000 585427075 607387807 1505851855 1828054723 X 71223125 -49262393 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 309945 309945 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: We retain a lobbyist for Washington State to monitor health care activities in our state capitol of Olympia and to work to support the health care activities of the Washington State Hospital Association. We retain a lobbyist in Washington DC to monitor health care matters and to provide counsel regarding federal health matters. The only contact employees have had with state or federal legislators has been informational in nature; describing the current state of health care delivery in our hospital system as well as a summary of our community benefits. No letters, publications or advertising were used. 62938072 62938072 725347982 309248791 416099191 54761774 23402747 31359027 845849731 628550999 217298732 209272995 209272995 936968017 Employee Retirement Payable 281555583 Third Party Settlements 2735790 Accrued Interest 2131502 Other Liabilities 51814791 338237666 Swedish takes various tax positions in preparing tax returns. Only uncertain positions that meet a more-likely than-not designation are recognized in the combined financial statements. As of December 31, 2010 and 2009, no uncertain tax positions have been recognized. The Internal Revenue Service has determined that Swedish is exempt from federal income taxes under Section 501(c)(3) of Internal Revenue Code. There was no significant taxable unrelated business income during 2010 and 2009. Swedish is also a majority owner in various joint ventures and has consolidated the financial results of those entities. However, these relationships are consistent with the tax-exempt status of Swedish. Therefore, no provision for income taxes has been made in the combined financial statements. 1 1 X 1 X 1 X 1 1 1 0 1 1 20469123 1056509 19412614 0.01440 118224852 84015501 34209351 0.02540 138693975 85072010 53621965 0.03980 28 59591 5261982 2927025 2334957 0.00170 11 455 13796443 6193082 7603361 0.00560 7 34323 18980358 15058534 3921824 0.00290 12 17142 12124309 4217936 7906373 0.00590 37 39115 7309160 7309160 0.00540 95 150626 57472252 28396577 29075675 0.02150 95 150626 196166227 113468587 82697640 0.06130 2 8408 8408 0.00000 1 2600 781760 51538 730222 0.00050 1 1600 38945 38945 0.00000 1 600 600 0.00000 5 4200 829713 51538 778175 0.00050 1 20793470 2599184 218848264 321235239 -102386975 X 1 1 1 Swedish First Hill Diagnostic Imaging LLC Medical imaging 0.70000 0.30000 2 Issaquah Surgery Center LLC Medical - surgery 0.76500 0.23500 5 1 Swedish First Hill

747 Broadway Seattle WA 98122

X X X X 2 Swedish Cherry Hill

500 17th Ave Seattle WA 98122

X X X X 3 Swedish Ballard

5300 Tallman Ave NW Seattle WA 98107

X X X 4 Swedish Lake Sammamish

2005 NW Sammamish Rd Issaquah WA 98027

X X Outpatient ER operating under hospital license 5 Swedish Redmond

18100 Union Hill Rd Redmond WA 98052

X X Outpatient ER operating under hospital license Not Required 1 21 Swedish Community Health Medical Home

5300 Tallman Ave NW Seattle WA 98107

Outpatient physician clinic Swedish Family Medicine - Cherry Hill

550 16th Ave Ste 100 Seattle WA 98122

Outpatient physician clinic Swedish Family Medicine - First Hill

1401 Madison St Ste 100 Seattle WA 98104

Outpatient physician clinic Swedish Cancer Institute at Highline

16251 Sylvester Rd SW Seattle WA 98166

Cancer treatment center Swedish Cancer Institute at Northwest

1560 N 115th Ste G-16 Seattle WA 98133

Cancer treatment center Swedish Cancer Institute at Stevens

21605 76th Ave W Edmonds WA 98026

Cancer treatment center SMG - Ballard

5350 Tallman Ave NW Ste 301 Seattle WA 98107

Outpatient physician clinic SMG - Central Seattle Clinic

1600 E Jefferson Ste 510 Seattle WA 98122

Outpatient physician clinic SMG - Children's Clinic

3400 California Ave SW Ste 200 Seattle WA 98116

Outpatient physician clinic SMG - Cle Elum

214 W First St Cle Elum WA 98922

Outpatient physician clinic SMG - Downtown Seattle

1001 Fourth Ave Plaza Ste 420 Seattle WA 98154

Outpatient physician clinic SMG - Factoria

12917 SE 38th Street Ste 100 Bellevue WA 98006

Outpatient physician clinic SMG - Greenlake

7210 Roosevelt Way NE Seattle WA 98115

Outpatient physician clinic SMG - Healthcare for Women

1229 Madison St Ste 1450 Seattle WA 98104

Outpatient physician clinic SMG - Issaquah

2005 NW Sammammish Rd Issaquah WA 98027

Outpatient physician clinic SMG - Magnolia

24350 33rd Ave W Ste 100 Seattle WA 98199

Outpatient physician clinic SMG - Pine Lake

22707 SE 29th St Bldg C Sammammish WA 98075

Outpatient physician clinic SMG - Queen Anne

2211 Queen Anne Ave N Seattle WA 98109

Outpatient physician clinic SMG - Redmond

15670 Redmond Way Redmond WA 98052

Outpatient physician clinic SMG - Snoqualmie

37624 SE Fury St Snoqualmie WA 98065

Outpatient physician clinic SMG - West Seattle

3400 California Ave SW Ste 300 Seattle WA 98116

Outpatient physician clinic Part I, Line 7: Costs for table 7, lines a through d were calculated using a cost to charges ratio. Costs for table 7, lines e, f, h, and i are from actual expenses incurred. Costs for table 7, line g are from a cost accounting system, which addresses all patient segments including Medicare, Medicaid, uninsured, and self pay. Part I, L7 Col(f): Bad debt expense subtracted for purposes of calculating percentage of total expense (from PART IX): $43,193,859. Part II: Coalition Building - The Global to Local Initiative:In support of Swedish's mission to improve the health and well-being of each person we serve and continuing Swedish's long-standing commitment to improve the health of our region, Swedish has partnered with Washington Global Health Alliance, Public Health - Seattle & King County, and HealthPoint to address disparities in local healthcare through a groundbreaking initiative: Global to Local. In 2010, partnerships have expanded to include a number of corporate sponsors that will further support community building including GE Healthcare, T-Mobile, and Chase Bank.Some of the strategies include:- Easily accessible primary care delivery site (based on medical home model)- Utilizing and deploying community health workers- Linking health with economic development- Mobilizing and empowering community based organizations- Generating focused education campaigns around priority health issuesCoalition Building - Social Justice Program:This program is a partnership between Seattle University Law School and Swedish Medical Center. The main task of this medical legal partnership and public benefits assistance project is to identify and enroll eligible Swedish family medicine patients age 60 and over into the COPES program (a public benefit program designed to support elders and disabled adults in their home).Coalition Building - Symposium: Innovation in the Age of Reform / Redesigning Health-Care DeliveryPresented by Swedish to the CommunityTo effectively address the nation's health-care crisis, it will take more than insurance reform. It will require completely redesigning the way healthcare is delivered. The challenge is to increase access and improve quality while simultaneously reducing costs. In communities throughout the United States, providers and institutions are pioneering innovative new models of delivery, and they're seeing success in their individual areas. The purpose of this symposium is to bring these pioneers and innovative minds together, to learn what works in health-care delivery, to determine how to disseminate these best practices thereby initiating an effort to redesign the American health-care system.Community Support - Medical Home Development:More than 178,000 adults between the ages of 18-64 in King County are uninsured. People who are under-insured tend to either delay receiving care until they have serious symptoms or to use the emergency room for primary care. We believe the planned expansion of one of our family-medicine residency program sites on the Swedish/Ballard campus provides a unique opportunity to build a patient-centered medical home primary-care clinic from the ground up that is focused on an innovative primary-care model for all patients, including the underserved. The focus groups for this pilot are the un- and under-insured, Medicaid and Medicare beneficiaries, and a select group of insured customers. Objectives: - To improve the effectiveness and efficiency of primary-care delivery by:- Increasing access to primary care- Redesigning care processes- Improving management of patient health- Redesigning payment- Giving patients an alternative to the emergency room Community Support - Swedish Community Specialty Clinic:This proposal seeks to combine the Glaser Clinic at First Hill with the Cherry Hill Mother Joseph Clinic and relocate these clinics to one site on First Hill. The development of this clinic in partnership with Project Access Northwest and specialty care clinics will be a testament to Swedish Medical Center's commitment to serve the uninsured and underinsured patients in our community. King County Project Access provides a workable solution to one of the most pressing health care problems facing low-income and uninsured people in our community - access to specialty care services. This program builds on the safety net of primary care provided by the community health and public health clinics in King County. Through PAN, low-income uninsured patients have access to needed specialty health care and donated ancillary, in- and out-patient hospital services.Our goal is to set a new standard in community health and to highlight that Charity care is a core part of our nonprofit mission which will continue even in a down economy. Glaser Clinic and Mother Joseph Clinic were in effect for 2009. This specialty clinic was designed to build on the primary care available in our medical home model. Arrangements with specialists, including those providing dentistry care, were finalized during 2010 and the new clinic as described above will open in 2011.In 2010 Swedish partnered with the dental care community to support the opening of a community specialty dental clinic. This partnership will include the Washington Dental Service Foundation, Seattle-King County Dental Foundation, Burkhart Dental Supply and The Pacific Hospital Preservation & Development Authority. The resulting collaboration will provide adult specialty dental services to the underserved in King County. It will also include a dental residency program supported by Dr. Bart Johnson and Dr. Amy Winston. Part III, Line 4: The total amount of bad debt expense reported are bad debt write-offs not including any recoveries. Bad debt expense attributable to patients likely qualifying for charity care is an estimate. It is based on the percentage of bad debt reclassified as charity care in prior years after the close of the financials.Swedish Health Service's audited financial statements do not include a footnote on bad debt expense. Part III, Line 8: Costing methodology is based upon Medicare Cost Report and Medicare PS&R report. Swedish believes that all of the $102 million shortfall should be conidered as community benefit. The hospital provides care regardless of the shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. Part III, Line 9b: Swedish Health Services follows standard collection practices and complies with governing laws, regulations, and authorities including WAC Title 246 Chapter 453, Hospital Charity Care.Charity is re-screened throughout the revenue cycle when account events, such as patient initiated contact requesting alternative payment options, trigger review. A guarantor may submit a charity care discount application at any point in the revenue cycle, from pre-admission to final payment of the bill. The patient application process is not a requirement for charity eligibility review of accounts with characteristics identified for charity approval. Part VI, Line 2: Working with a Community Advisory Committee made up of key community partners, Swedish developed a Community Needs Assessment Tool. This instrument defined, among other things, underserved patient access to care and access for specialty health care needs. The methodology was derived from the Leading Health Indicators for King County and was cross referenced with research done by the Washington Health Foundation, United Way of King County and Healthy People 2010. Based on this information, Swedish has developed partnerships with community agencies where we have combined our resources to impact the negative health trends in the community. To date we have developed partnerships with The American Diabetes Association, the American Heart Association, Senior Services of King County, March of Dimes, United Way, Lifelong AIDS Alliance and the Washington Health Foundation.Some current trends affecting the community include: poverty and access to affordable healthcare.Negative local trends affecting the community assessment include: prevalence of low birth weight babies, breast cancer, diabetes, HIV / AIDS, hypertension, high blood cholesterol, heavy drinking, and multiple sclerosis. Areas seeing improvement in King County but still needing improvement include incidence of stroke, colorectal cancer death, lung cancer death, suicide, smoking cessation, vaccinations, AIDS incidence, and seatbelt use.Swedish is customizing and expanding its Community Needs Assessment to each hospital within Swedish Health Services. By January of 2012 each hospital will have an individualized assessment geared to the specific community it serves. Part VI, Line 3: Swedish Medical Center is committed to the provision of healthcare services to all persons in need of medical attention regardless of their ability to pay. Employees are responsible for processing applications in a respectful and courteous manner. Processing should in no way discourage patients from receiving healthcare, or result in the delayed provision of essential healthcare services. Charity care/financial assistance is available to any eligible patient without regard to race, color, sex, religion, age or national origin. All interactions with patients must respect the inherent worth of all persons and their individual dignity.Public Notices Our Financial Assistance (Charity Care) policy is made available via wall posters that are located in registration areas and emergency departments. Letter size posters are also available in departments and Health Resource Centers. Brochures are available for dissemination or upon request and are available in several languages including but not limited to English, Spanish, Chinese, Vietnamese, and Korean. Brochures, applications and the sliding scale are available to any person requesting the information whether in person, by mail or by telephone. Timing of Application Patients may apply for charity care prior to service, at the time of service or at any point in the billing process up to the resolution of the account. Identification of Charity Care Candidates Every effort is made to identify patients who would benefit from charity care at the earliest point possible. Care for a patient's well being is as important as care for their medical needs. It is our goal to diminish a patient's worry over health care bills. Employees must be alert to indications that the patient or family has concerns about their ability to pay health care bills even if the patient does not specifically ask about charity care or financial assistance.General Application Process Once a patient is identified as a charity care candidate a further interview will occur. Interpreters will be offered and arranged as appropriate. Registrars or Financial Counselors may assist patients in completion of applications. Part VI, Line 4: Swedish is a nonprofit health provider serving the Greater Seattle area. We have three hospital locations in Seattle, an emergency room and specialty center in Issaquah (East King County) and more:Swedish Medical Center/BallardSwedish Medical Center/First HillSwedish Medical Center/Cherry Hill (formerly Providence)Swedish Medical Center/IssaquahSwedish Medical Center/RedmondSwedish Visiting Nurse ServicesSwedish Physicians network of primary care clinicsMultiple specialty clinicsAffiliations with suburban hospitals and physician groupsThe estimated total King County population in 2010 was 1,931,249. Since 2000, the population has increased by 11.2%.King County's largest city, Seattle, had a 2010 population of 608,660, an 8.0% increase from 2000. The next three biggest cities and their 2010 populations were Bellevue (122,363, 11.7% growth since 2000), Kent (92,411 16.2% growth), and Federal Way (89,306, 7.3% growth).Population characteristics and trends help describe King County's many communities and provide a context for trends in health outcomes. King County's fastest-growing age groups are those aged 75 and older and 45 to 64. The county is increasing in racial diversity, especially in South King County. Social determinants of health, such as poverty and educational attainment, have a substantial impact on a broad range of behavioral risks and health outcomes. Educational attainment increased from 2000 to 2010, but disparities remain in the percent of those who finish high school and who have a college education.Over 10 hospitals serve King County. There are federally designated medically underserved areas present in our region. Reports Filed With States Part VI, Line 7 WA 1 American Diabetes Association 1730 Minor Ave Ste 920 Seattle WA 98101 131623888 501c(3) 30000 Strategic Partnership Sponsor American Heart Association 710 Second Ave 900 Seattle WA 98104 135613797 501c(3) 50000 Heart Walk Sponsor American Liver Foundation 1311 Republican St Seattle WA 98109 362883000 501c(3) 6000 General Support City Club 1904 Third Avenue Ste 622 Seattle WA 98101 911148262 501c(3) 5000 Global Health Local Impact event Sponsor College Success Foundation 1605 NW Sammamish Road Ste 200 Issaquah WA 98027 912036088 501c(3) 7500 Governor's Cup Sponsor Country Doctor Community Clinic 2101 East Yesler Way Seattle WA 98122 237100868 501c(3) 7500 Dinner Sponsor & Furniture Support Eastside Baby Corner 1510 NW Maple Street Issaquah WA 98017 911617032 501c(3) 5000 Benefit Lunch Sponsor Girls On The Run of Puget Sound 8757 15th Ave NW Seattle WA 98117 841618574 501c(3) 5400 Tukwila/SeaTac Schools Sponsor Guiding Lights WeekendSeattle Center Foundation 3518 Fremont Ave N Seattle WA 98103 911003385 501c(3) 75000 Weekend Mentor Program Sponsor Harmony Hill 7362 E State Route 106 Union WA 98592 943050703 501c(3) 5000 Cancer program Sponsor Healthpoint 955 Powell Ave SW Renton WA 98057 910884412 501c(3) 5000 Event Sponsor Hope Heart Institute 1380 112 Ave NE Ste 100 Bellevue WA 98004 911138000 501c(3) 5000 Golf Classic Sponsor Kindering Center 16120 NE 8th Street Bellevue WA 98008 910816827 501c(3) 5000 Luncheon Sponsor Lifelong Aids Alliance 1002 East Seneca St Seattle WA 98122 911215715 501c(3) 15000 Strategic Partnership - AIDS walk March of Dimes 1904 Third Avenue Ste 230 Seattle WA 98119 131846366 501c(3) 30000 Strategic Partnership Medical Teams International (Haiti) c/o Oregon Hospital Assoc 4000 Kruse Way Place 2-100 Lake Oswego OR 97025 930878944 501c(3) 10000 Haiti disaster response MS Society 192 Nickerson St Ste 1000 Seattle WA 98109 910742424 501c(3) 5000 Event Sponsor Neighborcare Health 1537 Western Ave Seattle WA 98101 910893287 501c(3) 10000 General Support Northwest African American Museum 2300 South Massachusetts Seattle WA 98144 760835379 501c(3) 150000 Checking our Pulse Exhibit Northwest Kidney Centers PO Box 3035 Seattle WA 98114 916057438 501c(3) 15000 Breakfast of Hopesponsor Pacific Health Summit 1215 4th Ave Ste 1600 Seattle WA 98161 911444105 501c(3) 50000 Pacific Health Summit Sponsor PATH PO Box 19210 Seattle WA 98122 911157127 501c(3) 17500 Breakfast for Global Health Sponsor PNDRI 720 Broadway Seattle WA 98122 910667886 501c(3) 5000 Event Sponsor Prov O'Trees 4831 35th Ave SW Seattle WA 98126 510216586 501c(3) 5000 Event Sponsor Providence Health System 2201 Lind Ave SW 200 Renton WA 98055 510216586 501c(3) 3840474 General Support Rotary Club of Edmonds Daybreakers Found PO Box 1584 Edmonds WA 98020 911913548 501c(3) 5000 Jazz Connection Sponsor Safe Crossings 815 First Ave 312 Seattle WA 98104 752992774 501c(3) 5000 Pediatric Luncheon Sponsor Seattle University Gala 901 12th Ave Seattle WA 98122 910565006 501c(3) 5000 Event Sponsor Senior Services 2208 Second Ave Ste 100 Seattle WA 98121 910823767 501c(3) 30000 Strategic Partnership Seniors Seniors Making Art 16040 Christensen Rd Ste 316 Seattle WA 98188 911597068 501c(3) 6000 General Support St Joseph's Baby Corner 701 5th Ave Ste 3500 Seattle WA 98104 911932287 501c(3) 5000 Gala Sponsor Stevens Hospital Foundation 21601 76th Ave West Edmonds WA 98020 205803835 501c(3) 10000 Dinner Event Sponsor Swedish Medical Center Foundation 747 Broadway Seattle WA 98122 910983214 501c(3) 2823786 Support for Operating Expenses United Negro College Fund 701 5th Avenue Ste 3599 Seattle WA 98104 131624241 501c(3) 5000 Event Sponsor University of Washington School of Nursing Box 357260 Seattle WA 98195 916001527 501c(3) 10000 Nurses Recognition Banquet Sponsor Washington Health Foundation 600 Stewart Street Ste 601 Seattle WA 98101 916033679 501c(3) 30000 Partnership in Healthiest State in the Nation Campaign for Washington YWCA of Sea King & Snohomish 1118 Fifth Ave Seattle WA 98104 910482890 501c(3) 10000 Seattle Luncheon Sponsor 37 0 Other Information: Part IV: The Swedish Community Needs Assessment is a living document that was developed as a tool to manage and allocate the resources of Swedish Medical Center in accordance with our mission, while meeting the specific health needs of our community. Community grants and sponsorships are determined via this data driven methodology. In addition, a Community Advisory Council monitors and confirms our ongoing assessment of these health care needs. Swedish Health Services makes an annual contribution to Providence Health Services of Washington. Providence is a nonprofit 501(c)(3) charitable healthcare organization. Contributions are invested in improving the quality of the local region's healthcare. They are also used to raise funds in support of new and improved technology to enhance medical excellence in heart care, pediatrics, cancer, vascular, and emergency medicine. Swedish Health Services makes an annual contribution to the Swedish Medical Center Foundation to assist with the Foundation's operating expenses. X X X 0 1 X X X X 0 0 0 0 0 1 0 0 0 Rodney Hochman MD 883096 0 1539977 0 58441 0 151140 0 44835 0 2677489 0 714477 0 Cynthia Strauss 324318 0 75177 0 2556 0 177588 0 21390 0 601029 0 0 0 Jeffrey Veilleux 470511 0 144000 0 3761 0 266119 0 16869 0 901260 0 0 0 Kevin Brown 373403 0 123470 0 1314 0 139973 0 25708 0 663868 0 0 0 Calvin Knight 489798 0 754002 0 12753 0 108442 0 34684 0 1399679 0 578322 0 Marcel Loh 323580 0 97500 0 4908 0 160570 0 20209 0 606767 0 0 0 Janice Newell 358461 0 72000 0 12883 0 128008 0 12476 0 583828 0 0 0 Joanne Suffis 332802 0 75177 0 9326 0 98606 0 12946 0 528857 0 0 0 Marc Mayberg 719336 0 1343827 0 9278 0 191454 0 23096 0 2286991 0 0 0 David Newell 718125 0 1147007 0 9278 0 92150 0 23096 0 1989656 0 0 0 Rod Oskouian 545228 0 1273386 0 1326 0 17150 0 21527 0 1858617 0 0 0 Henry Kaplan 1343307 0 296292 0 11484 0 107820 0 18792 0 1777695 0 0 0 Robert Bersin 787446 0 288391 0 9278 0 17150 0 17696 0 1119961 0 0 0 Part I, Line 1a Persons who received taxable tax gross-up payments: Rodney Hochman, Calvin Knight, Mark Mayberg, David Newell, Rod Oskouian, Robert Bersin Persons who received taxable discretionary spending amount: Rodney Hochman, Calvin Knight Persons who received taxable housing allowance: Rodney Hochman Part I, Line 1b The Board of Trustees approves all benefits provided to executives in accordance with its policy on approving executive compensation. Part I, Line 6 The Board, its Compensation and HR Committee and Human Resource Leadership develop and approve annual goals and performance criteria that are used to determine variable compensation opportunities for management. This is consistent with the Compensation Philosophy of Swedish Health Services. SHS leadership assesses performance against these goals and performance criteria, which include furthering clinical performance, operating principles, patient satisfaction, and the needs of the underserved. For 2010, the initial threshold that must be achieved was a three and one-half percent (3.5%) operating margin for the organization as a whole. If the threshold is met, the margin above it is available for payout based on achieving additional criteria. This provision preserves sufficient funds that are critical for future growth, while allowing Swedish to compete with other organizations, including for-profit corporations, for talented leaders. SHS places a high priority on the need to recruit and retain a strong leadership team and to create a highly motivated and engaged workforce to drive superior organizational performance in order to achieve top tier integrated care delivery system status. The additional performance criteria that must be met include organizational growth and expansion of services to support the needs of the community; achievement of quality standards (i.e., continued Joint Commission on Accreditation of Healthcare Organizations accreditation, regulatory issue resolution and hand hygiene); service (as measured by inpatient and outpatient satisfaction scores); and employee and physician satisfaction ratings. The criteria and measures are objective and measurable, rather than subjective in nature. Managers and Executives receiving this variable compensation devote an average of 60 hours per week to perform their responsibilities. Supplemental Information Part III Reportable compensation is based on the total amount paid during the fiscal year, including current year payments of amounts reported in prior years as contributions to employee benefit plans and deferred compensation, together with investment earnings from those prior year contributions. As a result, certain amounts have been reported twice, both in prior years when earned or accrued, and again in the current year when paid. Washington Health Care Facilities Authority 911108929 93978E3K6 2009-03-19 36270000 Healthcare equipment and facilities 0 0 0 Washington Health Care Facilities Authority 911108929 93978E3L4 2009-03-19 63730000 Healthcare equipment and facilities 0 0 0 Washington Health Care Facilities Authority 911108929 93978E3M2 2009-03-19 75000000 Healthcare equipment and facilities 0 0 0 Washington Health Care Facilities Authority 911108929 93978E3N0 2009-03-19 75000000 Healthcare equipment and facilities 0 0 0 35074112 3550972 189725 31333415 2008 0 0 1 1 61628705 6239411 333366 55055928 2008 0 0 1 1 74392753 50000000 730193 23662560 2008 0 1 1 1 74392753 50000000 730193 23662560 2008 0 1 1 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 Washington Health Care Facilities Authority 911108929 93978EE32 2006-12-21 200000000 Healthcare equipment and facilities 0 0 0 200000000 1064000 198936000 2007 0 0 1 1 0 1 0 0 1 0.00160 0.00320 0.00480 1 0 1 0 0 0 Warren Fein Warren Fein is a family member of Cynthia Strauss 420494 Employment 0 First Choice Health Administrators Health Plan Administrator 2796440 First Choice is the health plan administrator of Swedish Health Services. Rod Hochman and Calvin Knight were board members of First Choice Health Administrators in 2010. Rod Hochman is the CEO of Swedish Health Services. Calvin Knight is a Chief Administrative Officer and Key Employee of Swedish Health Services. 0 Volunteers Estimate Form 990, Part I, Line 6 On average volunteers provide 15,000 hours of uncompensated labor each month for the benefit of Swedish Health Services. Volunteers do not replace employees; however, they do supplement the paid workforce in nearly every department and every division at Swedish, whether it is an ongoing placement or a one-time special project. These tasks can be clerical in nature, allowing clinical staff to spend more time at the bedside or providing other direct patient care. Some of the departments supported by clerical volunteer help include Clinical Trials, Linguistic Services, Employee Health, Intensive Care nursing units, and Private Pay Patient Services. Volunteers also serve in a myriad of clinical departments, which involve direct-patient contact assisting with non-clinical tasks. Non-clinical tasks include providing reading material to patients, offering warm blankets, running errands for the nursing staff, answering in-coming telephone calls and conversation with patients. A few of the areas benefiting from volunteers included our Art with Heart program for Pediatric patients, volunteer visitors with our Advance Bloodless Surgery program, our many volunteers in the out-patient Cancer Treatment Infusion Center, in-patient Orthopedics nursing units, and our in-patient Short Stay nursing unit. Our Information Desk, serving patients, staff, visitors and guests alike is completely staffed by volunteers. In a typical 4-hour volunteer shift each volunteer will interact, in some manner, with approximately 150 individuals. Contacts include face-to-face assistance, inquiries by telephone, and forwarding postal mail to in-patients. Individuals also volunteer their time to learn new skills, refresh skills and accumulate hours to be eligible to sit for certification exams. Some of the departments with this type of volunteer include, but are not limited to Spiritual Care, Diagnostic Ultrasound, Clinical Engineering/Biomedical, Pharmacy, Nuclear Medicine, Sterile Processing and Social Work. Form 990, Part VI, Section A, line 6 Swedish Health Services has no members other than a "Special Member" of the Corporation, Providence Health System - Washington, a Washington not-for-profit corporation. As Special Member, PHSW has the right to nominate candidates for election by the Board of Trustees of the Corporation to fill not less than two voting Active Trustee membership positions on the Corporation's Board of Trustees. Form 990, Part VI, Section A, line 7b Providence Health Services - Washington (PHSW) has the authority to exercise approval with respect to the following actions that may be taken by the board of trustees of the corporation: A. Any amendment of the Articles of Incorporation or Bylaws of the Corporation that may adversely affect the specifically enumerated rights of PHSW. B. Any reorganization of the Corporation or change in control of the Corporation, or any sale, long term lease, donation (or similar type of transaction) involving all or substantially all of the assets of the Corporation in a manner that does not provide for the assumption of the obligations of the Corporation. C. Any fundamental change in the mission and philosophy of the Corporation. Form 990, Part VI, Section B, line 11 Preparation and review of the Form 990 involves the compilation of information from all areas of the organization, including Human Resources, Finance and the Board of Directors. The initial draft return is prepared by Finance and reviewed by Management. An external independent review is performed by an independent tax advisor. All schedules and forms are then reviewed by the financial manager(s), the Corporate Controller, the Vice President of Finance, and the CFO. Before the return is filed, a copy of the return is made available to all members of the board. The return is then filed with the IRS by the deadline. Form 990, Part VI, Section B, line 12c Swedish Health Services (SHS) publishes its written Board of Trustees Conflict of Interest Policy and the Conflict of Interest Policy for Management and Other Persons (Covered Persons) with Significant Administrative Responsibility on the corporation's internet site. Covered Persons are defined as the Chief Executive Officer (CEO), Management, Medical Directors, members of the Pharmacy and Therapeutics Committee, Value Analysis Teams including voting stakeholders and the Institutional Review Board (IRB), all new employee applicants for the position of Medical Director (or similar position with significant administrative responsibilities), and all recruits for employed provider positions. 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/her family members have engaged in that might give rise to an actual, apparent, or potential conflict of interest. The policies define family members and describe what constitutes conflicts of interest. They require individuals to report any further financial interest, situation, activity or conduct that may develop before completion of the next questionnaire. Potential conflicts of interest with physician board members with financial interests in businesses that compete with SHS are addressed, as well as appropriate disclosures, evaluation and resolution of said conflicts. The Conflict of Interest Questionnaires include an annual statement that Board Members and Covered Persons (a) have received a copy, read and understand the Policy; (b) agree to comply; (c) understand that the Policy applies to committees and subcommittees; (d) understand that SHS is a charitable organization that must engage primarily in exempt activities; (e) agree to report any change to matters previously disclosed on the Conflict of Interest Questionnaire; (f) state that the information provided in the Questionnaire is true to the best of his/her knowledge and belief; and (g) affirm that neither they nor family members have violated the policy. The purposes of the policies are to ensure that 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 SHS when it is contemplating entering into an arrangement that might benefit the private interest of Board Members or Covered Persons, to clarify the duties of Board Members and Covered Persons in the context of a potential conflict (and to provide with a method for disclosing and resolving said conflict), and to supplement (not replace) any applicable state laws governing conflicts of interest applicable to charitable, not for profit corporations. SHS will not engage in any contract, transaction, or arrangement involving a potential conflict of interest unless it is determined that appropriate safeguards to protect the charitable mission of SHS have been implemented. The Board's Governance Committee, working with the organization's Compliance Officer, will review all Conflict of Interest Questionnaires for Board Members. The Governance Committee will make a finding as to whether an actual, apparent or potential conflict of interest exists and will forward that finding, along with recommendations for resolution, to the Board of Trustees for discussion and vote. For Covered Persons the organization's Conflict of Interest Committee works with the Compliance Officer and follows a similar process. It reviews all questionnaires submitted by Covered Persons and communicates its findings and recommendations to be implemented by the appropriate committees. Meeting minutes will identify any person attending any 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. Form 990, Part VI, Section B, line 15 The Board of Trustees has delegated authority to the Compensation and HR Committee to review and approve compensation arrangements for senior managers. Senior managers are those individuals in the following positions: President/Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, Chief Medical Officer, Chief Nursing Officer, Vice President, Executive Director of Swedish Medical Center Foundation, and Other Executive Directors of major programs (as identified by the President/CEO). Compensation for executives is 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 (as described in SHS's response to Line 12C). 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 health care 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 Committee the Board will be responsible for approving any changes in the compensation of the President/CEO. The Compensation and HR Committee will approve changes in the compensation package for key employees (as defined by the 990). The President/CEO will be responsible for approving any changes in the compensation package of the other senior managers. Form 990, Part VI, Section C, line 19 Swedish Health Services' Code of Conduct and Conflict of Interest Policy are available at www.swedish.org. Governing documents and financial statements are available upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 25,305,675. Decrease (increase) in accrued pension liability -74,730,949. Temporarily restricted assets released from restriction -286,119. Net asset transfers 449,000. Total to Form 990, Part XI, Line 5: -49,262,393. Swedish Physicians LLC 600 University St Ste 1200 Seattle WA 98101 911942315 Physician Clinic WA 47052930 11716895 N/A Arnold Condominium LLC 747 Broadway Seattle WA 98122 421679118 Owner Association WA 82806 23690840 N/A Swedish Heart Institute Medical Grp LLC 747 Broadway Seattle WA 98122 911911869 Physician Clinic WA 31094585 10815997 N/A Swedish Neuroscience Inst Med Grp LLC 747 Broadway Seattle WA 98122 421676551 Physician Clinic WA 19132895 7690794 N/A Marsha Rivkin Center for Ovarian Cancer Research 747 Broadway Seattle WA 98122 912054035 Ovarian cancer research WA 501(c)3 Line 7 Swedish Health Services 1 Swedish Community Services 747 Broadway Seattle WA 98122 910729017 Healthcare WA 501(c)3 Line 7 Swedish Health Services 1 Swedish Medical Center Foundation 747 Broadway Seattle WA 98122 910983214 Primary fundraising arm of Swedish Health Services WA 501(c)3 Line 7 Swedish Health Services 1 Seattle Heart Alliance Foundation 747 Broadway Seattle WA 98122 200884590 Heart and vascular health WA 501(c)3 Line 11a, I Swedish Health Services 1 Swedish MJM Holdings PS 747 Broadway Seattle WA 98122 273139262 Holding company WA 501(c)3 Line 11a, I Swedish Health Services 1 Global to Local Health Initiative 747 Broadway Seattle WA 98122 273133200 Healthcare WA 501(c)3 Line 7 Swedish Health Services 1 Swedish Edmonds 21601 76th Ave W Edmonds WA 98206 272305304 Hospital WA 501(c)3 Line 3 Swedish Health Services 1 Stevens Foundation 21601 76th Ave W Edmonds WA 98206 205803835 Primary fundraising arm of Snohomish PHD #2 WA 501(c)3 Line 11a, I Swedish Edmonds 0 SMC - Radia Issaquah Imaging Ctr LLC 2005 NW Sammamish Rd Issaquah WA 98027 202048959 Medical imaging WA N/A Related 540226 2220806 0 1 0.70000 PETCT Imaging at Swedish Cancer Institute LLC 1221 Madison St Seattle WA 98104 203132044 Medical imaging WA N/A Related 1813450 994058 0 1 0.63000 Swedish First Hill Diagnostic Imaging LLC 1001 Boylston Ave Seattle WA 98104 208378242 Medical imaging WA N/A Related 748543 1770146 0 1 0.70000 Issaquah Surgery Center LLC 6505 226th Pl SE Ste 102 Issaquah WA 98027 261205223 Medical - surgery WA N/A Related -621567 3422721 0 1 0.76500 Minor and James Medical PLLC 515 Minor Ave Ste 200 Seattle WA 98104 911340223 Physician clinic WA N/A 0.00000 1221 Madison Street Owners Association 747 Broadway Seattle WA 98122 201954319 Owners association WA Arnold Condominium LLC C -12 134863 0.58440 Washington Cancer Centers PC 1560 N 115th G-16 Seattle WA 98133 911792791 Cancer treatment WA N/A C -3368294 3219483 1.00000 0 1 1 1 0 0 1 0 1 1 0 0 0 1 1 1 0 0 Issaquah Surgery Center LLC D 1071953 Cash Minor and James Medical PLLC I 120612 Cash Minor and James Medical PLLC G 93926 Cash Minor and James Medical PLLC N 89633 Cash Minor and James Medical PLLC P 29760431 Cash PETCT Imaging at Swedish Cancer Institute LLC I 66591 Cash PETCT Imaging at Swedish Cancer Institute LLC P 2745129 Cash Swedish Edmonds J 145679 Cash Swedish Edmonds D 64072902 Cash Swedish First Hill Diagnostic Imaging LLC P 2128559 Cash Swedish Medical Center - Radia Issaquah Imaging Center LLC I 175256 Cash Swedish Medical Center - Radia Issaquah Imaging Center LLC P 3019981 Cash Swedish Medical Center Foundation B 2823786 Cash Swedish Medical Center Foundation C 7689260 Cash Washington Cancer Centers PC B 5673742 Cash