Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
Swedish Health Services
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
747 Broadway
 
Room/suite
City or town, state or country, and ZIP + 4
Seattle, WA981224307
D Employer identification number

91-0433740
E Telephone number

G Gross receipts $ 1,656,546,647
F Name and address of principal officer:
Rodney Hochman MD
747 Broadway
Seattle,WA981224307
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.swedish.org
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1908
M State of legal domicile: WA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: To improve the health and well-being of each person we serve.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 15
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 9,213
6 Total number of volunteers (estimate if necessary) .... 6 1,459
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 594,708
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -488,979
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 14,801,456 14,735,201
9 Program service revenue (Part VIII, line 2g) ......... 1,290,802,336 1,380,461,703
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 10,340,638 30,003,940
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 45,919,083 37,918,047
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,361,863,513 1,463,118,891
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 7,601,227 7,309,160
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 732,092,869 791,010,733
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 566,540,065 593,575,873
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,306,234,161 1,391,895,766
19 Revenue less expenses. Subtract line 18 from line 12...... 55,629,352 71,223,125
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 1,505,851,855 1,828,054,723
21 Total liabilities (Part X, line 26)............ 920,424,780 1,220,666,916
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 585,427,075 607,387,807
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: Swedish is a regional, community governed health-care system committed to meeting the health-care needs of the community.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,181,384,195 including grants of $ 7,309,160 ) (Revenue $ 1,417,785,042 )
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.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
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.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 1,181,384,195
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
955
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
9,213
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
15
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
WA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
Pam Palagi - Corp Controller
747 Broadway
Seattle,WA981224307
(206) 215-5967
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) Don Brennan
Trustee
 5.00 X           0 0 0
(2) Teresa Bigelow
Trustee
 5.00 X           0 0 0
(3) John Connors
Trustee
 5.00 X           0 0 0
(4) Isiaah Crawford PHD
Trustee
 5.00 X           0 0 0
(5) Ned Flohr
Trustee
 5.00 X           0 0 0
(6) Cheryl Gossman
Trustee
 5.00 X           0 0 0
(7) Michael Kelly MD
Trustee
 5.00 X           0 0 0
(8) Bill Krippaehne Jr
Trustee
 5.00 X           0 0 0
(9) Louise Liang MD
Trustee
 5.00 X           0 0 0
(10) Charles Lytle Jr
Trustee
 5.00 X           0 0 0
(11) Kirby McDonald
Trustee
 5.00 X           0 0 0
(12) John Nordstrom
Trustee
 5.00 X           0 0 0
(13) David Olsen
Trustee
 5.00 X           0 0 0
(14) Janet True
Trustee
 5.00 X           0 0 0
(15) Henry Ned Turner
Trustee
 5.00 X           0 0 0
(16) Jonathan Chinn MD
Vice Chair
 5.00 X   X       0 0 0
(17) Nancy Auer MD
Chair
 5.00 X   X       0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Martin Siegel MD
Chair
 5.00 X   X       0 0 0
(19) Rodney Hochman MD
President & CEO
 60.00     X       2,481,514 0 195,975
(20) Cynthia Strauss
Corp Secretary
 60.00     X       402,051 0 198,978
(21) Jeffrey Veilleux
CFO / Treasurer
 60.00     X       618,272 0 282,988
(22) Kevin Brown
Chief Admin Offcr
 60.00       X     498,187 0 165,681
(23) Calvin Knight
Chief Operating Offcr
 60.00       X     1,256,553 0 143,126
(24) Marcel Loh
Chief Admin Offcr
 60.00       X     425,988 0 180,779
(25) Janice Newell
Chief Information Offcr
 60.00       X     443,344 0 140,484
(26) Joanne Suffis
VP - Human Resources
 60.00       X     417,305 0 111,552
(27) Marc Mayberg
Physician
 50.00         X   2,072,441 0 214,550
(28) David Newell
Physician
 50.00         X   1,874,410 0 115,246
(29) Rod Oskouian
Physician
 50.00         X   1,819,940 0 38,677
(30) Henry Kaplan
Physician
 50.00         X   1,651,083 0 126,612
(31) Robert Bersin
Physician
 50.00         X   1,085,115 0 34,846
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 15,046,203 0 1,949,494
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet913
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
MA Mortenson Company
14719 NE 29Th Pl
Bellevue,WA98007 		Construction 8,301,481
Physicians Anesthesia Service
1229 Madison 1440
Seattle,WA98104 		Physicians 2,494,747
Cellnetix Pathology PLLC
1124 Columbia St 200
Seattle,WA98104 		Laboratory 2,075,640
Tumor Institute Radiation Oncology Group
1101 Madison St 1101
Seattle,WA98104 		Radiation oncology 1,855,520
The Polyclinic - WCCA
1145 Broadway
Seattle,WA98122 		Physicians 1,571,123
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet95
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 7,689,260
e Government grants (contributions)1e 7,045,941
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 14,735,201
Program Service Revenue Business Code
2a Net Patient Revenue 900,099 983,993,397 983,993,397    
b Medicare/Medicaid Pmts 900,099 397,088,024 397,088,024    
c JV Investment Income 900,099 -619,718 -619,718    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,380,461,703
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 9,268,382     9,268,382
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 3,740,831  
b Less: rental expenses 2,496,294  
c Rental income or (loss) 1,244,537  
d Net rental income or (loss).......MediumBullet 1,244,537 1,244,537    
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 209,391,324 2,275,696
b Less: cost or other basis and sales expenses 190,931,462  
c Gain or (loss) 18,459,862 2,275,696
d Net gain or (loss)..........MediumBullet 20,735,558     20,735,558
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a Retail Pharmacy 446,110 13,483,715 13,237,078 246,637  
b Outside Service 541,900 8,865,141 8,550,838 314,303  
c Other Operating 541,900 5,651,014 5,617,246 33,768  
d All other revenue .... 8,673,640 8,673,640    
e Total. Add lines 11a–11d ......MediumBullet 36,673,510
12 Total revenue. See Instructions....MediumBullet 1,463,118,891 1,417,785,042 594,708 30,003,940
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 7,309,160 7,309,160
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 7,962,777 2,944,699 5,018,078  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 592,823,866 517,665,178 75,158,688  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 62,336,239 54,017,282 8,318,957  
9 Other employee benefits ....... 87,544,613 75,861,524 11,683,089  
10 Payroll taxes ........... 40,343,238 34,959,313 5,383,925  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 2,344,437 429,014 1,915,423  
c Accounting ........... 480,066 17,340 462,726  
d Lobbying ........... 309,945 309,945    
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 976,137 976,137    
g Other .......... 44,068,702 21,207,201 22,861,501  
12 Advertising and promotion .... 7,245,285 76,780 7,168,505  
13 Office expenses ....... 10,150,924 6,424,934 3,725,990  
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 45,338,955 41,118,486 4,220,469  
17 Travel ............ 3,683,086 2,578,831 1,104,255  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 830,300 279,414 550,886  
20 Interest ........... 23,029,017 14,439,625 8,589,392  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 85,075,421 54,384,189 30,691,232  
23 Insurance .............. 5,729,102 5,180,423 548,679  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a Supplies 206,714,613 206,354,011 360,602  
b Purchased Services 79,225,235 62,161,358 17,063,877  
c Bad Debt 43,193,859 43,193,859    
d Taxes 19,597,240 19,295,476 301,764  
e Other 15,583,549 10,200,016 5,383,533  
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 1,391,895,766 1,181,384,195 210,511,571 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 9,312,795 1 10,289,844
2 Savings and temporary cash investments ....... 44,913,582 2 44,562,422
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 190,434,207 4 207,978,717
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 12,262,156 8 14,094,572
9 Prepaid expenses and deferred charges ............ 6,712,114 9 6,547,674
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,898,170,554
b Less: accumulated depreciation. ..... 10b 961,202,537 708,211,940 10c 936,968,017
11 Investments—publicly traded securities .......... 490,652,394 11 542,486,098
12 Investments—other securities. See Part IV, line 11 ...... 13,583,470 12 23,088,290
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 29,769,197 15 42,039,089
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,505,851,855 16 1,828,054,723
Liabilities 17 Accounts payable and accrued expenses . 102,424,531 17 253,904,124
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 547,774,846 20 628,525,126
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 270,225,403 25 338,237,666
26 Total liabilities. Add lines 17 through 25..... 920,424,780 26 1,220,666,916
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 578,918,084 27 601,164,935
28 Temporarily restricted net assets ..... 6,483,991 28 6,197,872
29 Permanently restricted net assets ..... 25,000 29 25,000
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 585,427,075 33 607,387,807
34 Total liabilities and net assets/fund balances ..... 1,505,851,855 34 1,828,054,723
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
1,463,118,891
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
1,391,895,766
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
71,223,125
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
585,427,075
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-49,262,393
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
607,387,807
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Swedish Health Services
 
Employer identification number

91-0433740
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
Swedish Health Services
 
Employer identification number

91-0433740
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
Swedish Health Services
  		Employer identification number

91-0433740
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
Swedish Health Services
  		Employer identification number

91-0433740
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
Swedish Health Services
  		Employer identification number

91-0433740
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Swedish Health Services
 
Employer identification number

91-0433740
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
309,945
j
Total. lines 1c through 1i ...................................
309,945
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
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.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Swedish Health Services
 
Employer identification number

91-0433740
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   62,938,072 62,938,072
b Buildings ................   725,347,982 309,248,791 416,099,191
c Leasehold improvements ............   54,761,774 23,402,747 31,359,027
d Equipment ................   845,849,731 628,550,999 217,298,732
e Other .................   209,272,995   209,272,995
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 936,968,017
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
Employee Retirement Payable 281,555,583
Third Party Settlements 2,735,790
Accrued Interest 2,131,502
Other Liabilities 51,814,791





Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 338,237,666
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
    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.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Swedish Health Services
 
Employer identification number

91-0433740
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    20,469,123 1,056,509 19,412,614 1.440 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    118,224,852 84,015,501 34,209,351 2.540 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		    138,693,975 85,072,010 53,621,965 3.980 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		28 59,591 5,261,982 2,927,025 2,334,957 0.170 %
f Health professions education
(from Worksheet 5) .. 		11 455 13,796,443 6,193,082 7,603,361 0.560 %
g Subsidized health services
(from Worksheet 6) .. 		7 34,323 18,980,358 15,058,534 3,921,824 0.290 %
h Research (from Worksheet 7) 12 17,142 12,124,309 4,217,936 7,906,373 0.590 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		37 39,115 7,309,160   7,309,160 0.540 %
jTotal Other Benefits ... 95 150,626 57,472,252 28,396,577 29,075,675 2.150 %
kTotal. Add lines 7d and 7j. .. 95 150,626 196,166,227 113,468,587 82,697,640 6.130 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 2   8,408   8,408 0 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building 1 2,600 781,760 51,538 730,222 0.050 %
7 Community health improvement advocacy 1 1,600 38,945   38,945 0 %
8 Workforce development            
9 Other 1   600   600 0 %
10 Total 5 4,200 829,713 51,538 778,175 0.050 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
20,793,470
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
2,599,184
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
218,848,264
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
321,235,239
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-102,386,975
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
11 Swedish First Hill Diagnostic Imaging LLC
  		Medical imaging 70.000 %   30.000 %
22 Issaquah Surgery Center LLC
  		Medical - surgery 76.500 %   23.500 %
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?5
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 Swedish First Hill
747 Broadway
Seattle,WA98122 		X     X   X X    
2 Swedish Cherry Hill
500 17th Ave
Seattle,WA98122 		X     X   X X    
3 Swedish Ballard
5300 Tallman Ave NW
Seattle,WA98107 		X     X     X    
4 Swedish Lake Sammamish
2005 NW Sammamish Rd
Issaquah,WA98027 		X           X   Outpatient ER operating under hospital license
5 Swedish Redmond
18100 Union Hill Rd
Redmond,WA98052 		X           X   Outpatient ER operating under hospital license
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:Not Required
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?21
Name and address Type of Facility (Describe)
1 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
2 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
3 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
4 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
5 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
6 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
7 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
8 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
9 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
10 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
11 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
12 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
13 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
14 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
15 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
16 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
17 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
18 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
19 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
20 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
21 Swedish Community Health Medical Home
5300 Tallman Ave NW
Seattle,WA98107 		Outpatient physician clinic
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    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
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Swedish Health Services
 
Employer identification number
91-0433740
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) American Diabetes Association1730 Minor Ave Ste 920
Seattle,WA98101 		13-1623888 501c(3) 30,000       Strategic Partnership Sponsor
(2) American Heart Association710 Second Ave 900
Seattle,WA98104 		13-5613797 501c(3) 50,000       Heart Walk Sponsor
(3) American Liver Foundation1311 Republican St
Seattle,WA98109 		36-2883000 501c(3) 6,000       General Support
(4) City Club1904 Third Avenue Ste 622
Seattle,WA98101 		91-1148262 501c(3) 5,000       Global Health Local Impact event Sponsor
(5) College Success Foundation1605 NW Sammamish Road Ste 200
Issaquah,WA98027 		91-2036088 501c(3) 7,500       Governor's Cup Sponsor
(6) Country Doctor Community Clinic2101 East Yesler Way
Seattle,WA98122 		23-7100868 501c(3) 7,500       Dinner Sponsor & Furniture Support
(7) Eastside Baby Corner1510 NW Maple Street
Issaquah,WA98017 		91-1617032 501c(3) 5,000       Benefit Lunch Sponsor
(8) Girls On The Run of Puget Sound8757 15th Ave NW
Seattle,WA98117 		84-1618574 501c(3) 5,400       Tukwila/SeaTac Schools Sponsor
(9) Guiding Lights WeekendSeattle Center Foundation3518 Fremont Ave N
Seattle,WA98103 		91-1003385 501c(3) 75,000       Weekend Mentor Program Sponsor
(10) Harmony Hill7362 E State Route 106
Union,WA98592 		94-3050703 501c(3) 5,000       Cancer program Sponsor
(11) Healthpoint955 Powell Ave SW
Renton,WA98057 		91-0884412 501c(3) 5,000       Event Sponsor
(12) Hope Heart Institute1380 112 Ave NE Ste 100
Bellevue,WA98004 		91-1138000 501c(3) 5,000       Golf Classic Sponsor
(13) Kindering Center16120 NE 8th Street
Bellevue,WA98008 		91-0816827 501c(3) 5,000       Luncheon Sponsor
(14) Lifelong Aids Alliance1002 East Seneca St
Seattle,WA98122 		91-1215715 501c(3) 15,000       Strategic Partnership - AIDS walk
(15) March of Dimes1904 Third Avenue Ste 230
Seattle,WA98119 		13-1846366 501c(3) 30,000       Strategic Partnership
(16) Medical Teams International (Haiti)c/o Oregon Hospital Assoc 4000
Kruse Way Place 2-100
Lake Oswego,OR97025 		93-0878944 501c(3) 10,000       Haiti disaster response
(17) MS Society192 Nickerson St Ste 1000
Seattle,WA98109 		91-0742424 501c(3) 5,000       Event Sponsor
(18) Neighborcare Health1537 Western Ave
Seattle,WA98101 		91-0893287 501c(3) 10,000       General Support
(19) Northwest African American Museum2300 South Massachusetts
Seattle,WA98144 		76-0835379 501c(3) 150,000       Checking our Pulse Exhibit
(20) Northwest Kidney CentersPO Box 3035
Seattle,WA98114 		91-6057438 501c(3) 15,000       Breakfast of Hopesponsor
(21) Pacific Health Summit1215 4th Ave Ste 1600
Seattle,WA98161 		91-1444105 501c(3) 50,000       Pacific Health Summit Sponsor
(22) PATHPO Box 19210
Seattle,WA98122 		91-1157127 501c(3) 17,500       Breakfast for Global Health Sponsor
(23) PNDRI720 Broadway
Seattle,WA98122 		91-0667886 501c(3) 5,000       Event Sponsor
(24) Prov O'Trees4831 35th Ave SW
Seattle,WA98126 		51-0216586 501c(3) 5,000       Event Sponsor
(25) Providence Health System2201 Lind Ave SW 200
Renton,WA98055 		51-0216586 501c(3) 3,840,474       General Support
(26) Rotary Club of Edmonds Daybreakers FoundPO Box 1584
Edmonds,WA98020 		91-1913548 501c(3) 5,000       Jazz Connection Sponsor
(27) Safe Crossings815 First Ave 312
Seattle,WA98104 		75-2992774 501c(3) 5,000       Pediatric Luncheon Sponsor
(28) Seattle University Gala901 12th Ave
Seattle,WA98122 		91-0565006 501c(3) 5,000       Event Sponsor
(29) Senior Services2208 Second Ave Ste 100
Seattle,WA98121 		91-0823767 501c(3) 30,000       Strategic Partnership Seniors
(30) Seniors Making Art16040 Christensen Rd Ste 316
Seattle,WA98188 		91-1597068 501c(3) 6,000       General Support
(31) St Joseph's Baby Corner701 5th Ave Ste 3500
Seattle,WA98104 		91-1932287 501c(3) 5,000       Gala Sponsor
(32) Stevens Hospital Foundation21601 76th Ave West
Edmonds,WA98020 		20-5803835 501c(3) 10,000       Dinner Event Sponsor
(33) Swedish Medical Center Foundation747 Broadway
Seattle,WA98122 		91-0983214 501c(3) 2,823,786       Support for Operating Expenses
(34) United Negro College Fund701 5th Avenue Ste 3599
Seattle,WA98104 		13-1624241 501c(3) 5,000       Event Sponsor
(35) University of Washington School of NursingBox 357260
Seattle,WA98195 		91-6001527 501c(3) 10,000       Nurses Recognition Banquet Sponsor
(36) Washington Health Foundation600 Stewart Street Ste 601
Seattle,WA98101 		91-6033679 501c(3) 30,000       Partnership in Healthiest State in the Nation Campaign for Washington
(37) YWCA of Sea King & Snohomish1118 Fifth Ave
Seattle,WA98104 		91-0482890 501c(3) 10,000       Seattle Luncheon Sponsor
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
37
3
Enter total number of other organizations ................................ . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
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.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Swedish Health Services
 
Employer identification number

91-0433740
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
No
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) Rodney Hochman MD (i)
(ii)		 883,096
0 		1,539,977
0 		58,441
0 		151,140
0 		44,835
0 		2,677,489
0 		714,477
0
(2) Cynthia Strauss (i)
(ii)		 324,318
0 		75,177
0 		2,556
0 		177,588
0 		21,390
0 		601,029
0 		0
0
(3) Jeffrey Veilleux (i)
(ii)		 470,511
0 		144,000
0 		3,761
0 		266,119
0 		16,869
0 		901,260
0 		0
0
(4) Kevin Brown (i)
(ii)		 373,403
0 		123,470
0 		1,314
0 		139,973
0 		25,708
0 		663,868
0 		0
0
(5) Calvin Knight (i)
(ii)		 489,798
0 		754,002
0 		12,753
0 		108,442
0 		34,684
0 		1,399,679
0 		578,322
0
(6) Marcel Loh (i)
(ii)		 323,580
0 		97,500
0 		4,908
0 		160,570
0 		20,209
0 		606,767
0 		0
0
(7) Janice Newell (i)
(ii)		 358,461
0 		72,000
0 		12,883
0 		128,008
0 		12,476
0 		583,828
0 		0
0
(8) Joanne Suffis (i)
(ii)		 332,802
0 		75,177
0 		9,326
0 		98,606
0 		12,946
0 		528,857
0 		0
0
(9) Marc Mayberg (i)
(ii)		 719,336
0 		1,343,827
0 		9,278
0 		191,454
0 		23,096
0 		2,286,991
0 		0
0
(10) David Newell (i)
(ii)		 718,125
0 		1,147,007
0 		9,278
0 		92,150
0 		23,096
0 		1,989,656
0 		0
0
(11) Rod Oskouian (i)
(ii)		 545,228
0 		1,273,386
0 		1,326
0 		17,150
0 		21,527
0 		1,858,617
0 		0
0
(12) Henry Kaplan (i)
(ii)		 1,343,307
0 		296,292
0 		11,484
0 		107,820
0 		18,792
0 		1,777,695
0 		0
0
(13) Robert Bersin (i)
(ii)		 787,446
0 		288,391
0 		9,278
0 		17,150
0 		17,696
0 		1,119,961
0 		0
0



Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  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.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Swedish Health Services
 
Employer identification number
91-0433740
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A Washington Health Care Facilities Authority
  		91-1108929 93978E3K6 03-19-2009 36,270,000 Healthcare equipment and facilities   X   X   X
B Washington Health Care Facilities Authority
  		91-1108929 93978E3L4 03-19-2009 63,730,000 Healthcare equipment and facilities   X   X   X
C Washington Health Care Facilities Authority
  		91-1108929 93978E3M2 03-19-2009 75,000,000 Healthcare equipment and facilities   X   X   X
D Washington Health Care Facilities Authority
  		91-1108929 93978E3N0 03-19-2009 75,000,000 Healthcare equipment and facilities   X   X   X
Washington Health Care Facilities Authority
  		91-1108929 93978EE32 12-21-2006 200,000,000 Healthcare equipment and facilities   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 35,074,112 61,628,705 74,392,753 74,392,753
4 Gross proceeds in reserve funds . . 3,550,972 6,239,411    
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . . 50,000,000   50,000,000 50,000,000
7 Issuance costs from proceeds . . . 189,725 333,366 730,193 730,193
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 31,333,415 55,055,928 23,662,560 23,662,560
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2008 2008 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X   X X   X  
15 Were the bonds issued as part of an advance refunding issue?   X   X X   X  
16 Has the final allocation of proceeds been made? . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X   X   X
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0.160 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0.320 %      
6 Total of lines 4 and 5 . . .. . . . . . 0.480 %      
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X   X X   X  
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .                
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Swedish Health Services
 
Employer identification number
91-0433740
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A Washington Health Care Facilities Authority
  		91-1108929 93978E3K6 03-19-2009 36,270,000 Healthcare equipment and facilities   X   X   X
B Washington Health Care Facilities Authority
  		91-1108929 93978E3L4 03-19-2009 63,730,000 Healthcare equipment and facilities   X   X   X
C Washington Health Care Facilities Authority
  		91-1108929 93978E3M2 03-19-2009 75,000,000 Healthcare equipment and facilities   X   X   X
D Washington Health Care Facilities Authority
  		91-1108929 93978E3N0 03-19-2009 75,000,000 Healthcare equipment and facilities   X   X   X
Washington Health Care Facilities Authority
  		91-1108929 93978EE32 12-21-2006 200,000,000 Healthcare equipment and facilities   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 35,074,112 61,628,705 74,392,753 74,392,753
4 Gross proceeds in reserve funds . . 3,550,972 6,239,411    
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . . 50,000,000   50,000,000 50,000,000
7 Issuance costs from proceeds . . . 189,725 333,366 730,193 730,193
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 31,333,415 55,055,928 23,662,560 23,662,560
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2008 2008 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X   X X   X  
15 Were the bonds issued as part of an advance refunding issue?   X   X X   X  
16 Has the final allocation of proceeds been made? . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X   X   X
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0.160 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0.320 %      
6 Total of lines 4 and 5 . . .. . . . . . 0.480 %      
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X   X X   X  
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .                
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Swedish Health Services
 
Employer identification number

91-0433740
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Warren Fein Warren Fein is a family member of Cynthia Strauss 420,494 Employment   No
(2) First Choice Health Administrators
  		Health Plan Administrator 2,796,440 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.   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Swedish Health Services
 
Employer identification number

91-0433740
Identifier Return Reference Explanation
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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Swedish Health Services
 
Employer identification number

91-0433740
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) Swedish Physicians LLC
600 University St Ste 1200
Seattle,WA98101
91-1942315 		Physician Clinic WA 47,052,930 11,716,895 N/A
(2) Arnold Condominium LLC
747 Broadway
Seattle,WA98122
42-1679118 		Owner Association WA 82,806 23,690,840 N/A
(3) Swedish Heart Institute Medical Grp LLC
747 Broadway
Seattle,WA98122
91-1911869 		Physician Clinic WA 31,094,585 10,815,997 N/A
(4) Swedish Neuroscience Inst Med Grp LLC
747 Broadway
Seattle,WA98122
42-1676551 		Physician Clinic WA 19,132,895 7,690,794 N/A




Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) Marsha Rivkin Center for Ovarian Cancer Research

747 Broadway

Seattle,WA98122
91-2054035 		Ovarian cancer research WA 501(c)3 Line 7 Swedish Health Services
 
Yes
 
(2) Swedish Community Services

747 Broadway

Seattle,WA98122
91-0729017 		Healthcare WA 501(c)3 Line 7 Swedish Health Services
 
Yes
 
(3) Swedish Medical Center Foundation

747 Broadway

Seattle,WA98122
91-0983214 		Primary fundraising arm of Swedish Health Services WA 501(c)3 Line 7 Swedish Health Services
 
Yes
 
(4) Seattle Heart Alliance Foundation

747 Broadway

Seattle,WA98122
20-0884590 		Heart and vascular health WA 501(c)3 Line 11a, I Swedish Health Services
 
Yes
 
(5) Swedish MJM Holdings PS

747 Broadway

Seattle,WA98122
27-3139262 		Holding company WA 501(c)3 Line 11a, I Swedish Health Services
 
Yes
 
(6) Global to Local Health Initiative

747 Broadway

Seattle,WA98122
27-3133200 		Healthcare WA 501(c)3 Line 7 Swedish Health Services
 
Yes
 
(7) Swedish Edmonds

21601 76th Ave W

Edmonds,WA98206
27-2305304 		Hospital WA 501(c)3 Line 3 Swedish Health Services
 
Yes
 
(8) Stevens Foundation

21601 76th Ave W

Edmonds,WA98206
20-5803835 		Primary fundraising arm of Snohomish PHD #2 WA 501(c)3 Line 11a, I Swedish Edmonds
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) SMC - Radia Issaquah Imaging Ctr LLC

2005 NW Sammamish Rd
Issaquah,WA98027
20-2048959 		Medical imaging WA N/A
 Related 540,226 2,220,806   No   Yes   70.000 %
(2) PETCT Imaging at Swedish Cancer Institute LLC

1221 Madison St
Seattle,WA98104
20-3132044 		Medical imaging WA N/A
 Related 1,813,450 994,058   No   Yes   63.000 %
(3) Swedish First Hill Diagnostic Imaging LLC

1001 Boylston Ave
Seattle,WA98104
20-8378242 		Medical imaging WA N/A
 Related 748,543 1,770,146   No   Yes   70.000 %
(4) Issaquah Surgery Center LLC

6505 226th Pl SE Ste 102
Issaquah,WA98027
26-1205223 		Medical - surgery WA N/A
 Related -621,567 3,422,721   No   Yes   76.500 %
(5) Minor and James Medical PLLC

515 Minor Ave Ste 200
Seattle,WA98104
91-1340223 		Physician clinic WA N/A
                 0 %




Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) 1221 Madison Street Owners Association
747 Broadway
Seattle,WA98122
20-1954319 		Owners association WA Arnold Condominium LLC
  		C -12 134,863 58.440 %
(2) Washington Cancer Centers PC
1560 N 115th G-16
Seattle,WA98133
91-1792791 		Cancer treatment WA N/A
 C -3,368,294 3,219,483 100.000 %










Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
Yes
 
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Issaquah Surgery Center LLC

 D 1,071,953 Cash
(2) Minor and James Medical PLLC

 I 120,612 Cash
(3) Minor and James Medical PLLC

 G 93,926 Cash
(4) Minor and James Medical PLLC

 N 89,633 Cash
(5) Minor and James Medical PLLC

 P 29,760,431 Cash
(6) PETCT Imaging at Swedish Cancer Institute LLC

 I 66,591 Cash
(7) PETCT Imaging at Swedish Cancer Institute LLC

 P 2,745,129 Cash
(8) Swedish Edmonds

 J 145,679 Cash
(9) Swedish Edmonds

 D 64,072,902 Cash
(10) Swedish First Hill Diagnostic Imaging LLC

 P 2,128,559 Cash
(11) Swedish Medical Center - Radia Issaquah Imaging Center LLC

 I 175,256 Cash
(12) Swedish Medical Center - Radia Issaquah Imaging Center LLC

 P 3,019,981 Cash
(13) Swedish Medical Center Foundation

 B 2,823,786 Cash
(14) Swedish Medical Center Foundation

 C 7,689,260 Cash
(15) Washington Cancer Centers PC

 B 5,673,742 Cash
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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