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 private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 10-01-2013 , 2013, and ending 09-30-2014
BCheck if applicable:
CName of organization
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
 
Doing Business As
SEATTLE CHILDREN'S HOSPITAL AND RESEARCH FOUNDATION
 
Number and street (or P.O. box if mail is not delivered to street address)
PO BOX 5371 MS RC-507
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SEATTLE, WA981455005
D Employer identification number

91-1156519
E Telephone number

G Gross receipts $ 136,315,000
F Name and address of principal officer:
DOUGLAS PICHA
PO BOX 5371 MS RC-507
SEATTLE,WA981455005
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.WAYSTOHELP.SEATTLECHILDRENS.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1981
M State of legal domicile: WA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE FOUNDATION SUPPORTS THE HEALTHCARE PROGRAMS OF SEATTLE CHILDREN'S HOSPITAL.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 39
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 30
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 51
6 Total number of volunteers (estimate if necessary) ............. 6 1,592
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 51,337,770 136,189,782
9 Program service revenue (Part VIII, line 2g) ......... 0 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 0 0
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,000 90,655
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 51,340,770 136,280,437
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 44,232,547 128,325,818
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) 4,918,052 5,502,048
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 97,404 112,014
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet6,361,177    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 2,092,767 2,340,557
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 51,340,770 136,280,437
19 Revenue less expenses. Subtract line 18 from line 12....... 0 0
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 820,496 963,635
21 Total liabilities (Part X, line 26)............. 820,496 963,635
22 Net assets or fund balances. Subtract line 21 from line 20..... 0 0
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 Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: SEATTLE CHILDREN'S HOSPITAL FOUNDATION EXISTS TO IMPROVE THE QUALITY OF HEALTH CARE SERVICES TO INFANTS, CHILDREN, AND ADOLESCENTS THROUGH CONTRIBUTIONS TO ORGANIZATIONS PROVIDING HEALTH CARE SERVICES, RESEARCH AND EDUCATION.
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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 128,325,818 including grants of $ 128,325,818 ) (Revenue $   )
SEATTLE CHILDREN'S HOSPITAL FOUNDATION SUPPORTS THE HEALTHCARE PROGRAMS OF SEATTLE CHILDREN'S HOSPITAL (A 501(C)(3) TAX-EXEMPT HOSPITAL) WHICH PROVIDES PEDIATRIC PATIENT CARE, MEDICAL RESEARCH, TEACHING OF PEDIATRIC RESIDENTS AND OTHER HEALTHCARE PROVIDERS, AS WELL AS ADVOCACY FOR CHILDREN IN THE PACIFIC NORTHWEST. DONATIONS MADE TO SEATTLE CHILDREN'S HOSPITAL FOUNDATION PROVIDE SUPPORT TO THE UNCOMPENSATED CARE PROGRAM OF THE HOSPITAL WHICH OFFERS FINANCIAL ASSISTANCE TO PATIENTS BASED ON FAMILY NEED AND HOSPITAL RESOURCES. ADDITIONALLY, DONATIONS TO SEATTLE CHILDREN'S HOSPITAL FOUNDATION SUPPORT SEATTLE CHILDREN'S HOSPITAL'S MISSION TO PREVENT, TREAT AHD ELIMINATE PEDIATRIC DISEASE BY PROVIDING FUNDING FOR PATIENT CARE PROGRAMS, RESEARCH ACTIVITIES AND CAPITAL PROJECTS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet128,325,818
Form 990 (2013)
Form 990 (2013)
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 (see instructions)? 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 I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
No
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
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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 for escrow or custodial account liability; 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 temporarily restricted endowments, permanent endowments, 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, line 10?
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 VIIClick 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 VIIIClick 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 IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
 
No
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 XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII 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 and XII 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, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
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 (see instructions).... Click to see attachment
17
Yes
 
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............ Click to see attachment
18
Yes
 
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................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government 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 or 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, line 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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
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
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
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........
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...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II....................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
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 ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
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 direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M............. Click to see attachment
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
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, 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...
35b
 
 
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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
24
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
51
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
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
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, securities account, or other financial 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 as charitable contributions?...
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
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
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. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
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 or note to any line 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
39
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
30
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
Yes
 
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
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
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
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete 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 this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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 15a or 15b, 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
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
AL , AK , AR , CA , CT , FL , GA , HI , IL , KS , KY , MD , MA , MI , MN , MS , NH , NJ , NM , NY , NC , OK , OR , PA , RI , SC , TN , UT , VA , WV , WI
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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletWARREN E HEWITT4300 ROOSEVELT WAY NE 5TH FLOORSEATTLEWA981054718 (206) 987-4846
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) CHAP ALVORD........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(2) LISA BRANDENBURG........................................................................
EX OFFICIO TRUSTEE
 2.00
.......................55.00 		X           0 742,338 135,091
(3) CINDY BRETTLER........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(4) SUE BYERS........................................................................
EX OFFICIO TRUSTEE
 1.00
.......................5.00 		X           0 0 0
(5) ROBERT CLINE........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(6) A M CLISE........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(7) RONALD CROCKETT........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(8) DAN EDERER........................................................................
SECRETARY-TREASURER
 1.00
.......................0.00 		X   X       0 0 0
(9) DAVID FISHER MD........................................................................
EX OFFICIO TRUSTEE
 1.00
.......................55.00 		X           0 740,630 132,222
(10) ROBERT FLOWERS........................................................................
EX OFFICIO TRUSTEE/TRUSTEE
 2.00
.......................8.00 		X           0 0 0
(11) SHALISAN FOSTER........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(12) LESLIE HANAUER........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(13) THOMAS HANSEN MD........................................................................
EX OFFICIO TRUSTEE
 6.00
.......................55.00 		X           0 1,157,597 254,657
(14) RAY HEACOX........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(15) JUDY HOLDER........................................................................
EX OFFICIO TRUSTEE
 1.00
.......................10.00 		X           0 0 0
(16) KANDACE HOLLEY........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(17) TED JOHNSON........................................................................
VICE-CHAIR
 1.00
.......................0.00 		X   X       0 0 0
Form 990 (2013)
Form 990 (2013)
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 (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) CRAIG KINZER........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(19) DAN LEVITAN........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(20) CANDY MARSHALL........................................................................
CHAIR
 2.00
.......................0.00 		X   X       0 0 0
(21) PAMELA MCCABE........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(22) JOHN MEISENBACH........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(23) RESA MOORE........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(24) LINDA MYHRVOLD........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(25) MOLLY NORDSTROM........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(26) GLORIA NORTHCROFT........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(27) LAURIE OKI........................................................................
TRUSTEE
 1.00
.......................2.00 		X           0 0 0
(28) GORDON PERKIN MD........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(29) CINDY PIGOTT........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(30) SCOTT REDMAN........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(31) TAMI RELLER........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(32) ROBERT SAWIN MD........................................................................
EX OFFICIO TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(33) KEITH SCHORSCH........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(34) JAN SINEGAL........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(35) RAJEEV SINGH........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(36) CHRISTIE SMITH........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(37) MICHELE SMITH........................................................................
TRUSTEE
 1.00
.......................4.00 		X           0 0 0
(38) F BRUDER STAPLETON MD........................................................................
EX OFFICIO TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(39) JEFF TOWNE........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(40) KELLY WALLACE........................................................................
EX OFFICIO TRUSTEE & CFO OF HOSPITAL
 1.00
.......................55.00 		X   X       0 611,623 113,382
(41) PEGGY WALTON........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(42) LENNY WILKENS........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(43) DOUGLAS PICHA........................................................................
PRESIDENT & NON-VOTING EX OFF TRUST
 44.00
.......................12.00 		    X       364,710 107,590 91,116
(44) LORRAINE DEL PRADO........................................................................
SR DIRECTOR - DEV LEGACY & TRUSTS
 45.00
.......................0.00 		      X     201,876 234 26,645
(45) BRENDA MAJERCIN........................................................................
SENIOR DIRECTOR OF DEVELOPMENT
 23.00
.......................22.00 		      X     89,419 89,611 19,693
(46) SUSAN BLAKE........................................................................
SR DIRECTOR - OPS & SUPPORT SERVICES
 45.00
.......................1.00 		      X     164,828 1,099 19,410
(47) AILEEN KELLY........................................................................
EXEC DIRECTOR - GUILD ASSOCIATION
 10.00
.......................46.00 		        X   43,842 135,133 20,535
(48) VALERIE COURTNEY........................................................................
SR DIRECTOR - DEV STRATEGY PLANNING
 45.00
.......................0.00 		        X   146,979 168 25,294
(49) JENNIFER LOWE........................................................................
SENIOR DIRECTOR - DEV, MAJOR GIFTS
 45.00
.......................0.00 		        X   131,488 14,390 25,637
(50) SARA YOUNG-BECKER........................................................................
DIRECTOR OF DONOR RELATIONS
 45.00
.......................0.00 		        X   131,460 73 28,221
(51) SIMON PRITIKIN........................................................................
DIRECTOR OF DEV, MAJOR GIFTS
 45.00
.......................0.00 		        X   121,711 3,253 23,141
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 1,396,313 3,603,739 915,044
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet13
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
THE PURSUANT GROUPPO BOX 203471DALLASTX753203421 DIRECT MAIL SERVICES 122,178
CHILDREN'S MIRACLE NETWORK205 W 700 SSALT LAKE CITYUT84101 PROFESSIONAL FUNDRAISING 113,379
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet2
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 1,059,437
b Membership dues....1b  
c Fundraising events....1c 252,142
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		134,878,203
g Noncash contributions included in lines
1a-1f:$ 		84,385,910
h Total. Add lines 1a-1f.......MediumBullet 136,189,782
Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet  
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet        
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$ 252,142
of contributions reported on line 1c). See Part IV, line 18 ..
a 125,218
b Less: direct expenses ...b 34,563
c Net income or (loss) from fundraising events..MediumBullet 90,655   90,655
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            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See Instructions......MediumBullet 136,280,437 0 0 90,655
Form 990 (2013)
Form 990 (2013)
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).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 United States. See Part IV, line 21 128,325,818 128,325,818
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 843,029   175,087 667,942
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 3,403,692   703,309 2,700,383
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 241,661   56,847 184,814
9 Other employee benefits ....... 666,591   156,806 509,785
10 Payroll taxes ........... 347,075   81,644 265,431
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,700   1,700  
c Accounting ........... 19,240   19,240  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17 112,014 112,014
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 946,642   90,899 855,743
12 Advertising and promotion .... 182,189     182,189
13 Office expenses ....... 267,993   73,330 194,663
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 629,044   132,970 496,074
17 Travel ............ 93,379   22,667 70,712
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 11,928     11,928
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 30,168   24,342 5,826
23 Insurance .............. 16,848   16,848  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a DUES & SUBSCRIPTIONS 16,859   10,570 6,289
b COMMUNITY EVENT INVOLVE 2,710     2,710
c
d
e All other expenses 121,857   27,183 94,674
25 Total functional expenses. Add lines 1 through 24e 136,280,437 128,325,818 1,593,442 6,361,177
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 223,211 1 44,196
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net .............   4  
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 119,025 9 113,262
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 685,868
b Less: accumulated depreciation ..... 10b 574,732 117,499 10c 111,136
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 360,761 15 695,041
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 820,496 16 963,635
Liabilities 17 Accounts payable and accrued expenses ......... 820,496 17 963,635
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other 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 (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................   25  
26 Total liabilities. Add lines 17 through 25......... 820,496 26 963,635
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..............   27  
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... 0 33 0
34 Total liabilities and net assets/fund balances ........ 820,496 34 963,635
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
136,280,437
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
136,280,437
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
0
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
0
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
0
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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
 
No
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
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
 
Employer identification number

91-1156519
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 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
Provide the following information about the supported organization(s).
(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 monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... 29,150,093 43,651,444 43,027,441 51,337,770 136,189,782 303,356,530
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 29,150,093 43,651,444 43,027,441 51,337,770 136,189,782 303,356,530
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).. 82,779,570
6 Public support. Subtract line 5 from line 4. 220,576,960
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4.. 29,150,093 43,651,444 43,027,441 51,337,770 136,189,782 303,356,530
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..       3,000 90,655 93,655
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10). 303,450,185
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
72.690 %
15
15
93.150 %
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

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.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
 
Employer identification number

91-1156519
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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
  		Employer identification number

91-1156519
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
  		Employer identification number

91-1156519
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
  		Employer identification number

91-1156519
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(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) (2013)

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
 
Employer identification number

91-1156519
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 can 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 through 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 (ASC 958) 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and 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 current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
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 XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................   685,868 574,732 111,136
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 111,136
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) RECEIVABLES FROM AFFILIATES 695,041








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 695,041
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet  
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
 
Employer identification number

91-1156519
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
 
CHILDREN'S MIRACLE NETWORK
205 W 700 S
 
SALT LAKE CITY, UT84101 		PROFESSIONAL FUNDRAISING Yes   1,073,003 112,014 960,989
             
             
             
             
             
             
             
             
             
Total .................right arrow 1,073,003 112,014 960,989
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
AL, AK, AR, CA, CO, CT, FL, GA, HI, IL, KS, KY, ME, MD, MA, MI, MN, MS, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, TN, UT, VA, WA, WV, WI
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

SEATTLE MUSICIANS FOR CHILDREN'S
(event type) 		(b) Event #2

 
(event type) 		(c) Other events

 
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 377,360     377,360
2 Less: Contributions . . 252,142     252,142
3 Gross income (line 1
minus line 2) . . . 		125,218     125,218
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages .        
8 Entertainment . . .        
9 Other direct expenses . 34,563     34,563
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 34,563
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow 90,655
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
SCHEDULE G, PART I, LINE 2B, COLUMN (V) CHILDREN'S MIRACLE NETWORK PROVIDES NATIONAL EXPOSURE FOR SEATTLE CHILDREN'S HOSPITAL AS WELL AS OTHER PARTICIPATING NONPROFIT ORGANIZATIONS. NATIONAL CORPORATIONS DONATE TO CHILDREN'S MIRACLE NETWORK WHICH IN TURN DISTRIBUTES THE CONTRIBUTIONS TO ITS PARTICIPATING CHARITIES, BASED ON THE CORPORATIONS' MARKET SHARE IN THE CHARITIES' REGIONS. SEATTLE CHILDREN'S HOSPITAL FOUNDATION PAYS CHILDREN'S MIRACLE NETWORK A MEMBERSHIP FEE FOR ITS SERVICES, WHICH DOES NOT INCLUDE ANY REIMBURSEMENTS FOR EXPENSES INCURRED. THE MEMBERSHIP FEE, WHICH IS REPORTED ON LINE 2B, COLUMN (V), IS AGREED UPON IN AN ANNUAL CONTRACT. IN ADDITION TO THE MEMBERSHIP FEE, SEATTLE CHILDREN'S HOSPITAL FOUNDATION IS RESPONSIBLE FOR PAYING CHILDREN'S MIRACLE NETWORK FOR FUNDRAISING MATERIALS ESSENTIAL TO CONDUCTING ITS FUNDRAISING CAMPAIGNS AND FOR VARIOUS OTHER EXPENSES. SUCH CHARGES ARE BILLED SEPARATELY FROM THE ANNUAL MEMBERSHIP FEE AND HAVE NOT BEEN INCLUDED ON LINE 2B, COLUMN (V).
PART II, LINE 9: TWO SEATTLE CHILDREN'S HOSPITAL FOUNDATION EMPLOYEES HELPED TO SETUP AND RUN THE SEATTLE MUSICIANS FOR CHILDREN'S HOSPITAL EVENT. HOWEVER, SINCE THEIR HOURS WERE NOT TRACKED SEPARATELY, NO SALARIES OR WAGES HAVE BEEN REPORTED ON LINE 9.
Schedule G (Form 990 or 990-EZ) 2013
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
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
 
Employer identification number
91-1156519
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. Part II can be duplicated if additional space is needed.
(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) SEATTLE CHILDREN'S HOSPITAL
PO BOX 5371 MS RC-507
SEATTLE,WA981455005 		91-0564748 501 (C) (3) 36,230,185 5,804,926 MARKET VALUE PUBLICLY TRADED SECURITIES AND REAL ESTATE PEDIATRIC CARE, MEDICAL RESEARCH, TEACHING
(2) SEATTLE CHILDREN'S HEALTHCARE SYSTEM
PO BOX 5371 MS RC-507
SEATTLE,WA981455005 		91-1250116 501 (C) (3) 7,741,786 78,546,421 MARKET VALUE SECURITIES, TRUST INTERESTS, AND REAL ESTATE PEDIATRIC CARE, MEDICAL RESEARCH, TEACHING




















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
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.
Part III can be duplicated 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. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: A SPONSORSHIP COMMITTEE WAS ESTABLISHED BY SEATTLE CHILDREN'S HOSPITAL AND ITS AFFILIATES, INCLUDING SEATTLE CHILDREN'S HOSPITAL FOUNDATION, TO MEET REGULARLY FOR THE PURPOSE OF EVALUATING DIFFERENT OPPORTUNITIES TO SUPPORT OTHER NONPROFIT ORGANIZATIONS THROUGH PROVIDING VOLUNTEERS, GRANTS, AND SPONSORSHIPS FOR FUNDRAISING AND EDUCATIONAL EVENTS. CRITERIA USED IN THE DETERMINATION OF ASSISTANCE INCLUDE: THE ORGANIZATION'S ALIGNMENT WITH THE HOSPITAL'S CORE MISSION AND VALUES, THE DIVERSITY OF THE POPULATION SERVED, AS WELL AS DOCUMENTED COMMUNITY NEED ADDRESSED BY THE ORGANIZATION.
Schedule I (Form 990) 2013


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, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
 
Employer identification number

91-1156519
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 or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
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
Yes
 
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
 
No
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 Regulations 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)LISA BRANDENBURGEX OFFICIO TRUSTEE (i)
(ii)		 0
525,913 		0
211,033 		0
5,392 		0
111,506 		0
23,585 		0
877,429 		0
0
(2)DAVID FISHER MDEX OFFICIO TRUSTEE (i)
(ii)		 0
517,296 		0
199,894 		0
23,440 		0
108,844 		0
23,378 		0
872,852 		0
0
(3)THOMAS HANSEN MDEX OFFICIO TRUSTEE (i)
(ii)		 0
782,528 		0
352,751 		0
22,318 		0
228,771 		0
25,886 		0
1,412,254 		0
0
(4)KELLY WALLACEEX OFFICIO TRUSTEE & CFO OF HOSPITAL (i)
(ii)		 0
448,849 		0
152,376 		0
10,398 		0
90,661 		0
22,721 		0
725,005 		0
0
(5)DOUGLAS PICHAPRESIDENT & NON-VOTING EX OFF TRUST (i)
(ii)		 266,275
66,570 		97,341
24,334 		1,094
16,686 		12,240
57,241 		17,307
4,328 		394,257
169,159 		0
0
(6)LORRAINE DEL PRADOSR DIRECTOR - DEV LEGACY & TRUSTS (i)
(ii)		 174,369
0 		27,507
0 		0
234 		14,503
0 		12,142
0 		228,521
234 		0
0
(7)BRENDA MAJERCINSENIOR DIRECTOR OF DEVELOPMENT (i)
(ii)		 77,512
77,511 		11,907
11,907 		0
193 		5,851
5,851 		3,995
3,996 		99,265
99,458 		0
0
(8)SUSAN BLAKESR DIRECTOR - OPS & SUPPORT SERVICES (i)
(ii)		 149,584
287 		15,244
16 		0
796 		11,594
0 		7,816
0 		184,238
1,099 		0
0
(9)AILEEN KELLYEXEC DIRECTOR - GUILD ASSOCIATION (i)
(ii)		 38,618
115,854 		5,224
16,113 		0
3,166 		3,138
9,412 		1,996
5,989 		48,976
150,534 		0
0
(10)VALERIE COURTNEYSR DIRECTOR - DEV STRATEGY PLANNING (i)
(ii)		 135,859
0 		11,120
3 		0
165 		10,097
0 		15,197
0 		172,273
168 		0
0
(11)JENNIFER LOWESENIOR DIRECTOR - DEV, MAJOR GIFTS (i)
(ii)		 115,705
14,175 		15,783
120 		0
95 		10,210
0 		15,427
0 		157,125
14,390 		0
0
(12)SARA YOUNG-BECKERDIRECTOR OF DONOR RELATIONS (i)
(ii)		 113,485
0 		17,975
0 		0
73 		9,463
0 		18,758
0 		159,681
73 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A BUSINESS OR FIRST CLASS TRAVEL IS PROVIDED IN THE EVENT OF MEDICAL NECESSITY OR CERTAIN INTERNATIONAL FLIGHTS OF LONG DURATION. THIS IS NOT TREATED AS TAXABLE COMPENSATION.
PART I, LINE 3 EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS), A RELATED ORGANIZATION THAT IS THE DIRECT CONTROLLING ENTITY OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION. THE FOLLOWING ARE USED BY SCHS TO ESTABLISH THE COMPENSATION OF THE PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION STUDY - APPROVAL BY THE COMPENSATION COMMITTEE AND FULL SCHS BOARD
PART I, LINE 4B THE FOLLOWING PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: LISA BRANDENBURG - $96,206 DEFERRED COMPENSATION. DAVID FISHER, MD - $93,544 DEFERRED COMPENSATION. THOMAS HANSEN, MD - $213,471 DEFERRED COMPENSATION. KELLY WALLACE - $75,361 DEFERRED COMPENSATION. DOUGLAS PICHA - $54,181 DEFERRED COMPENSATION.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
 
Employer identification number

91-1156519
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art .... X 2    
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 48 5,924,270 MARKET VALUE
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		X 3 78,079,077 MARKET VALUE
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential . X 2 348,000 MARKET VALUE
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( AUCTION ITEMS ) X 39 34,563 MARKET VALUE
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
2
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2013)
Schedule M (Form 990) (2013)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
PART I, COLUMN (B): LINE 1 - 2 CONTRIBUTIONS OF ARTWORK; LINE 9 - 48 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 11 - 3 CONTRIBUTIONS OF TRUST INTERESTS; LINE 15 - 2 CONTRIBUTIONS OF RESIDENTIAL REAL ESTATE PROPERTY; LINE 25 - 39 AUCTION ITEMS.
PART I, LINE 33: LINE 1 - NO AMOUNTS HAVE BEEN REPORTED IN COLUMN (C) FOR THE CONTRIBUTIONS OF ARTWORK SINCE NO VALUE WAS ASSIGNED TO THESE DONATIONS AND THEY WERE NOT RECORDED IN THE FINANCIAL STATEMENTS.
Schedule M (Form 990) (2013)
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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
 
Employer identification number

91-1156519
Return Reference Explanation
FORM 990, PART I, ITEM C DBA: SEATTLE CHILDREN'S HOSPITAL AND RESEARCH FOUNDATION DBA: STRONG AGAINST CANCER
FORM 990, PART I, LINE 6: SEATTLE CHILDREN'S HOSPITAL FOUNDATION IS FAITHFULLY SUPPORTED BY A LARGE GROUP OF VOLUNTEERS, WILLING TO GENEROUSLY GIVE THEIR TIME AND RESOURCES TO HELP SEATTLE CHILDREN'S HOSPITAL FULFILL ITS MISSION. FROM THE 42 UNPAID INDIVIDUALS SERVING ON THE BOARD OF DIRECTORS TO THE 1,550 VOLUNTEERS PITCHING IN AT THE MAJOR FUNDRAISING EVENTS BENEFITTING SEATTLE CHILDREN'S HOSPITAL IN 2014, VOLUNTEERS HAVE ALWAYS BEEN AT THE HEART OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 2 LISA BRANDENBURG AND DAVID FISHER EACH HAVE A BUSINESS RELATIONSHIP WITH ROBERT FLOWERS, THOMAS HANSEN, JUDY HOLDER, LAURIE OKI, MICHELE SMITH, AND KELLY WALLACE. THOMAS HANSEN HAS A BUSINESS RELATIONSHIP WITH ROBERT FLOWERS, JUDY HOLDER, LAURIE OKI, MICHELE SMITH, AND KELLY WALLACE. DOUGLAS PICHA HAS A BUSINESS RELATIONSHIP WITH ROBERT FLOWERS, THOMAS HANSEN, JUDY HOLDER, LAURIE OKI, MICHELE SMITH, KELLY WALLACE, AND SUE BYERS. KELLY WALLACE HAS A BUSINESS RELATIONSHIP WITH ROBERT FLOWERS, JUDY HOLDER, LAURIE OKI, AND MICHELE SMITH.
FORM 990, PART VI, SECTION A, LINE 6 THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7A SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION, ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES (WHICH IS THE GOVERNING BODY) OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7B SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION, HAS THE SOLE AUTHORITY TO MAKE, ALTER, AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION.
FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT AND INDEPENDENT TAX PROFESSIONALS PRESENT AND REVIEW THE FORM 990 WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. AFTER REVIEW BY THE EXECUTIVE COMMITTEE AND PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE, THE ENTIRE BOARD OF TRUSTEES RECEIVES A COPY OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION REQUIRES AN ANNUAL SURVEY OF ALL BOARD MEMBERS OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION AND STAFF MEMBERS OCCUPYING ROLES WITH A DEGREE OF AUTHORITY. THE SENIOR VICE PRESIDENT/GENERAL COUNSEL OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM REVIEWS ALL DISCLOSURES AND ESTABLISHES AND OVERSEES ANY NECESSARY MANAGEMENT PLANS RELATED TO THEM, IN CONJUNCTION WITH BOARD AND EXECUTIVE LEADERSHIP. IN GENERAL, WHEN A CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM PARTICIPATION IN ANY BOARD DISCUSSION OR OTHER DECISION MAKING REGARDING THE TRANSACTION AND REFRAIN FROM VOTING ON OR DECIDING ANY ISSUES RELATING TO THE CONFLICTING INTEREST. ANY COVERED PERSON OR OTHER EMPLOYEE WHO ENGAGES IN A VIOLATION OF THIS POLICY, OR PURSUES A TRANSACTION OR EVENT FOLLOWING DISAPPROVAL BY THE BOARD OR THE CHIEF EXECUTIVE OFFICER OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM MAY, AT THE DISCRETION OF THE BOARD OR THE CHIEF EXECUTIVE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM HIS OR HER DUTIES WITH SEATTLE CHILDREN'S HOSPITAL FOUNDATION AND/OR TERMINATED IN HIS OR HER EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS), A RELATED ORGANIZATION THAT IS THE DIRECT CONTROLLING ENTITY OF SEATTLE CHILDREN'S HOSPITAL FOUNDATION. THE SCHS BOARD ENGAGES AN INDEPENDENT THIRD-PARTY EXPERT ANNUALLY TO REVIEW AND ASSESS THE EXECUTIVE COMPENSATION PROGRAM (BASE, INCENTIVE COMPENSATION, AND EMPLOYER-PAID BENEFITS) TO DETERMINE COMPETITIVENESS. THE SCHS BOARD RELIES ON THE EXPERT ANALYSIS TO DETERMINE THAT COMPENSATION IS REASONABLE AND WITHIN THE "BOUNDS OF COMPETITIVE PRACTICE" AND TO DECLARE A REBUTTABLE PRESUMPTION OF REASONABLENESS REGARDING EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE REVIEWS THE SUMMARY DATA PROVIDED AND APPROVES BASE SALARY RECOMMENDATIONS FOR THE PRESIDENT. DIRECTOR AND MANAGER COMPENSATION IS REVIEWED ANNUALLY BY THE HUMAN RESOURCES DEPARTMENT OF SEATTLE CHILDREN'S HOSPITAL (SCH), A RELATED ORGANIZATION TO SEATTLE CHILDREN'S HOSPITAL FOUNDATION. USING A COMPREHENSIVE MARKET REVIEW PROCESS THROUGH WHICH POSITIONS ARE COMPARED TO RELEVANT SURVEY DATA, KEY EMPLOYEE SALARIES ARE DETERMINED BY PERFORMANCE AND POSITION WITHIN RANGE AND GOVERNED BY THE RANGE MINIMUM AND MAXIMUM TO MAINTAIN COMPENSATION WITHIN THE BOUNDS OF COMPETITIVE PRACTICE. THE FULL SCHS BOARD OF TRUSTEES REVIEWS AND APPROVES ACTIONS OF THE COMPENSATION COMMITTEE, AS WELL AS THE BUDGETS FOR SALARIES AS RECOMMENDED BY THE HUMAN RESOURCES DEPARTMENT OF SCH.
FORM 990, PART VI, SECTION C, LINE 19 SEATTLE CHILDREN'S HOSPITAL FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT 2014 LETTER FROM OUR CHIEF EXECUTIVE OFFICER AT SEATTLE CHILDREN'S, WE ARE ALWAYS THINKING OF THE HEALTH AND WELL-BEING OF CHILDREN, TEENS AND FAMILIES AND THE COMMUNITIES THEY LIVE IN. TOGETHER WITH OUR PARTNERS - FAMILIES, SCHOOLS, PUBLIC HEALTH DEPARTMENTS AND COMMUNITY-BASED ORGANIZATIONS - WE ARE TACKLING FIVE PRIORITY AREAS TO ADDRESS SOME OF THE GREATEST NEEDS OF OUR COMMUNITIES: - INCREASE ACCESS TO QUALITY HEALTHCARE FOR ALL CHILDREN AND TEENS. - IMPROVE COORDINATION OF CARE FOR CHILDREN WITH CHRONIC CONDITIONS. - IMPROVE HEALTH EQUITY AND ACCESS IN SOUTH KING COUNTY. - PROMOTE HEALTHY EATING AND ACTIVE LIVING AND PREVENT OBESITY. - ENHANCE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE. IN 2014 WE PROVIDED EDUCATION, PROMOTED POLICIES, IMPROVED ACCESS TO CARE, CONDUCTED RESEARCH AND ADVOCATED FOR IMPROVEMENTS TO MAKE OUR COMMUNITIES SAFER AND HEALTHIER. IN MY TEN YEARS AS CEO OF SEATTLE CHILDREN'S, WE HAVE SEEN THE HOSPITAL'S COMMITMENT TO COMMUNITY BENEFIT INCREASE IN ALL AREAS: UNCOMPENSATED CARE, RESEARCH, EDUCATION OF HEALTH PROFESSIONALS AND COMMUNITY PROGRAMS AND SERVICES. I AM PROUD OF WHAT HAS BEEN ACCOMPLISHED AND EXCITED TO SHARE STORIES THAT HIGHLIGHT THIS WORK. I ALSO RECOGNIZE THAT OUR WORK IS FAR FROM DONE. WITH THE SUPPORT OF OUR PARTNERS, WE ARE COMMITTED TO WORKING TOWARD A HEALTHY COMMUNITY. AFTER ALL, THAT IS OUR PASSION, OUR DUTY AND OUR PRIVILEGE. SINCERELY, THOMAS N. HANSEN, MD CEO WHAT IS COMMUNITY BENEFIT? A COMMUNITY BENEFIT IS A PROGRAM OR SERVICE THAT MEETS AT LEAST ONE OF THESE OBJECTIVES: - IMPROVES ACCESS TO HEALTHCARE - ENHANCES THE HEALTH OF THE COMMUNITY - ADVANCES MEDICAL OR HEALTH KNOWLEDGE - RELIEVES OR REDUCES THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS COMMUNITY BENEFITS ARE CLASSIFIED IN THE CATEGORIES OF UNCOMPENSATED CARE, RESEARCH, HEALTH PROFESSIONS EDUCATION AND COMMUNITY HEALTH IMPROVEMENT. TOTAL 2014 INVESTMENT IN THE COMMUNITY: $183,377,000* UNCOMPENSATED CARE, INCLUDING MEDICAID PAYMENT SHORTFALL: $120,587,000 HEALTH PROFESSIONS EDUCATION: $22,919,000 RESEARCH: $29,930,000 COMMUNITY PROGRAMS AND SERVICES: $9,941,000 *DOES NOT INCLUDE GRANTS AND CONTRIBUTIONS THAT SUPPORT COMMUNITY BENEFIT PROGRAMS. LEARN MORE ABOUT THE WAYS WE CONTRIBUTE TO THE COMMUNITY AT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT, WHERE YOU WILL ALSO FIND OUR 2013-2016 COMMUNITY HEALTH ASSESSMENT AND COMMUNITY BENEFIT IMPLEMENTATION PLAN. UNCOMPENSATED CARE A SERIOUS ILLNESS OR INJURY CAN STRIKE ANY CHILD AT ANY TIME. THE UNEXPECTED COST OF HOSPITALIZATION HITS MANY FAMILIES HARD, CREATING MOUNTAINS OF MEDICAL BILLS THAT CAN BE IMPOSSIBLE TO PAY IN FULL - EVEN FOR THOSE WITH INSURANCE. IN 2014, WE PROVIDED $120.5 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO. MEETING A CONTINUING NEED THE AFFORDABLE CARE ACT EXPANDED THE NUMBER OF ADULTS WITH HEALTHCARE COVERAGE, BUT IT DID NOT CHANGE THE NEED FOR UNCOMPENSATED CARE FOR CHILDREN AND TEENS. NEARLY HALF OF OUR PATIENTS ARE COVERED BY MEDICAID AND THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP), KNOWN AS APPLE HEALTH FOR KIDS IN WASHINGTON STATE, WHICH PROVIDES COMPREHENSIVE MEDICAL COVERAGE FOR LOW-INCOME CHILDREN BUT DOES NOT PAY FOR THE FULL COST OF THE SERVICES. IN ADDITION, FAMILIES WITH PRIVATE INSURANCE STILL FACE HIGH DEDUCTIBLES AND COVERAGE LIMITS THAT CAN CREATE THOUSANDS OF DOLLARS IN OUT-OF-POCKET EXPENSES THAT MANY CANNOT AFFORD. "PROVIDING UNCOMPENSATED CARE REMAINS FUNDAMENTAL TO OUR MISSION," SAYS HUGH EWART, WHO LEADS STATE AND FEDERAL GOVERNMENT RELATIONS AT CHILDREN'S. "BY BRIDGING THE GAP BETWEEN THE FULL COST OF CARE AND WHAT MEDICAID, CHIP AND PRIVATE INSURANCE PAY, WE ENSURE CHILDREN IN OUR REGION RECEIVE THE MEDICAL CARE THEY NEED." HEALTH PROFESSIONS EDUCATION THE HEALTH OF FUTURE GENERATIONS OF CHILDREN DEPENDS ON EDUCATING THE NEXT GENERATION OF DOCTORS, NURSES AND OTHER HEALTHCARE PROFESSIONALS SPECIALIZING IN PEDIATRICS. SEATTLE CHILDREN'S IS THE SITE OF THE UNIVERSITY OF WASHINGTON PEDIATRIC RESIDENCY AND FELLOWSHIP PROGRAMS AND SERVES AS A TRAINING SITE FOR NURSES AND OTHER HEALTHCARE PROFESSIONALS. WE ALSO OFFER CONTINUING EDUCATION AND OUTREACH EDUCATION PROGRAMS. CONFERENCE EXPLORES SOCIAL MEDIA IMPACTS THE SOCIAL MEDIA AND ADOLESCENT HEALTH RESEARCH TEAM (SMAHRT) AT SEATTLE CHILDREN'S EXPLORES THE HEALTH RISKS AND OPPORTUNITIES CREATED BY TECHNOLOGY'S OMNIPRESENT ROLE IN ADOLESCENT LIFE. SMAHRT HOSTED ITS FIRST CONFERENCE LAST YEAR, "USING SOCIAL MEDIA TO IMPROVE HEALTH, CATALYZE RESEARCH AND EMPOWER COMMUNITIES." THE THREE-DAY CONFERENCE ADDRESSED HOW SOCIAL MEDIA CAN CAUSE PROBLEMATIC BEHAVIOR, LIKE OVERUSE OF THE INTERNET, BUT CAN ALSO LEAD TO POSITIVE ACTIONS, LIKE SUPPORTING HEALTHY DIETS. RESEARCHERS, EDUCATORS, PUBLIC HEALTH PROFESSIONALS, HEALTHCARE PROVIDERS AND PARENTS FROM ACROSS WASHINGTON AND OREGON ATTENDED. SESSION TOPICS RANGED FROM CYBER BULLYING TO HOW TECHNOLOGY AFFECTS SLEEP TO HOW TO USE SOCIAL MEDIA AS A RESEARCH TOOL. ONE OF THE HIGHLIGHTS WAS A PANEL DISCUSSION BY A GROUP OF ADOLESCENT AND YOUNG ADULT CANCER SURVIVORS WHO TALKED ABOUT THE ROLE OF SOCIAL MEDIA IN THEIR TREATMENT AND RECOVERY. "PARTICIPANTS SAID THEY APPRECIATED HEARING ABOUT THE LATEST RESEARCH, LEARNING NEW IDEAS TO USE SOCIAL MEDIA TO ENGAGE TEENS AND MEETING OTHER PROFESSIONALS INTERESTED IN THIS TOPIC," SAYS DR. MEGAN MORENO, WHO LEADS SMAHRT. "WE PLAN TO HOLD FUTURE CONFERENCES EVERY OTHER YEAR."
RESEARCH WE PROVIDE MORE THAN HEALTHCARE TO OUR PATIENTS. OUR RESEARCHERS AND SCIENTISTS WORK IN THE HOSPITAL, LABORATORY AND COMMUNITY TO FIND CURES FOR PEDIATRIC DISEASES AND IMPROVE THE LIVES OF CHILDREN IN OUR REGION AND THROUGHOUT THE WORLD. WALKING - AND PEDALING - TO FIGHT OBESITY THE DAYS WHEN NEARLY HALF OF ALL CHILDREN WALKED OR PEDALED TO SCHOOL ARE GONE. ONLY A HANDFUL - 12% TO 13% - TRAVEL TO SCHOOL BY FOOT OR BIKE TODAY. THAT MAY BE PART OF THE REASON WHY MORE THAN ONE THIRD OF CHILDREN AND ADOLESCENTS ARE OBESE OR OVERWEIGHT AND WHY MANY DO NOT GET THE RECOMMENDED 60 MINUTES OF DAILY PHYSICAL ACTIVITY. DR. JASON MENDOZA IS STUDYING WHETHER "WALKING SCHOOL BUSES" AND "BICYCLE TRAINS" CAN INCREASE PHYSICAL ACTIVITY AMONG CHILDREN. BIKE TRAINS AND WALKING SCHOOL BUSES INVOLVE ADULTS LEADING GROUPS OF CHILDREN ALONG SET ROUTES TO MAKE BIKING AND WALKING TO SCHOOL SAFER AND MORE ENJOYABLE. MENDOZA IS ANALYZING HEALTH AND PHYSICAL ACTIVITY DATA FROM PARTICIPANTS IN A BIKE TRAIN STUDY LAST YEAR AT FOUR SEATTLE ELEMENTARY SCHOOLS, AND CONTINUES TO GATHER DATA FROM PARTICIPANTS IN ONGOING WALKING SCHOOL BUSES IN SEATTLE AND FEDERAL WAY. MENDOZA IS FOCUSING ON STUDENTS FROM LOW-INCOME NEIGHBORHOODS BECAUSE THEY ARE AT GREATER RISK FOR OBESITY, DIABETES AND - LATER IN LIFE - CARDIOVASCULAR DISEASE. "WE WANT TO HELP CHILDREN BUILD PHYSICAL ACTIVITY INTO THEIR DAILY ROUTINE NOW AND THROUGHOUT THEIR LIVES," HE SAYS. STUDYING CONCUSSION IN KIDS SEATTLE CHILDREN'S IS DEDICATED TO PROVIDING THE BEST CARE POSSIBLE FOR CHILDREN WITH CONCUSSION. WE ARE PART OF THE SPORTS CONCUSSION PROGRAM, AN AFFILIATE PROGRAM AMONG SEATTLE CHILDREN'S, HARBORVIEW MEDICAL CENTER AND UW MEDICINE. CURRENTLY, THERE IS NO OBJECTIVE WAY TO DIAGNOSE CONCUSSIONS AND NO OBJECTIVE EVIDENCE THAT SHOWS WHICH TREATMENTS ARE MOST EFFECTIVE. BETTER CARE REQUIRES BETTER RESEARCH, BUT MOST CONCUSSION RESEARCH FOCUSES ON COLLEGE OR PROFESSIONAL ATHLETES. A NEW YOUTH CONCUSSION RESEARCH PROGRAM AT SEATTLE CHILDREN'S RESEARCH INSTITUTE - SUPPORTED WITH A GRANT FROM THE SATTERBERG FOUNDATION - AIMS TO IMPROVE CONCUSSION CARE FOR KIDS. "THEIR BRAINS ARE UNDERGOING ENORMOUS CHANGES, BUT WE DON'T KNOW IF CONCUSSIONS DIFFER IN THE DEVELOPING BRAIN THAN IN MATURE BRAINS," SAYS DR. FRED RIVARA, WHO LEADS THE RESEARCH PROGRAM. "WE WANT KIDS TO LIVE ACTIVE LIVES, BUT KEEP THEIR BRAINS HEALTHY, TOO." REMOVING BARRIERS TO CARE FOR TEENS WITH DEPRESSION WHEN PRIMARY CARE DOCTORS DIAGNOSE TEENS WITH DEPRESSION, THEY TYPICALLY REFER THEM TO MENTAL HEALTH SPECIALISTS. BUT THAT MEANS FAMILIES MUST FIND A SPECIALIST, MAKE AN APPOINTMENT AND TRAVEL TO A NEW CARE SETTING - ALL OF WHICH MAKES IT MORE DIFFICULT FOR TEENS TO GET EVIDENCE-BASED TREATMENT. DR. LAURA RICHARDSON DEVELOPED AN INTERVENTION THAT INTEGRATES MENTAL HEALTH TREATMENT INTO PRIMARY CARE BY HAVING TEENS DIAGNOSED WITH DEPRESSION MEET WITH A CARE MANAGER IN THE PRIMARY CARE CLINIC. THE CARE MANAGER WORKS WITH PATIENTS AND THEIR PARENTS TO CHOOSE A TREATMENT. DEPENDING ON THEIR CHOICE, THE CARE MANAGER PROVIDES PSYCHOTHERAPY IN THE CLINIC AND/OR WORKS WITH THE PRIMARY CARE PHYSICIAN TO MAKE SURE PATIENTS RECEIVE ANTIDEPRESSANT MEDICATION. IN A STUDY COMPARING TWO GROUPS OF 13- TO 17-YEAR-OLDS, RICHARDSON FOUND 86% OF THE INTERVENTION GROUP RECEIVED EVIDENCE-BASED TREATMENT FOR THEIR DEPRESSION VERSUS ONLY 27% OF THOSE GETTING TYPICAL CARE. IN ADDITION, 67% OF THE INTERVENTION GROUP HAD AT LEAST A 50% REDUCTION IN DEPRESSION SYMPTOMS COMPARED TO 39% OF THE OTHERS. "THE INTERVENTION REDUCED THE BURDEN OF STARTING TREATMENT AND SHOWED INTEGRATED CARE WORKS MUCH BETTER FOR TEENS WITH DEPRESSION THAN THE CURRENT SYSTEM," RICHARDSON SAYS. COMMUNITY PROGRAMS AND SERVICES THE CARE WE PROVIDE INSIDE SEATTLE CHILDREN'S IS ONLY ONE MEASURE OF OUR MISSION. IN PARTNERSHIP WITH THE COMMUNITY, WE STRIVE TO PREVENT UNDERLYING CAUSES OF ILLNESS AND INJURY, PROVIDE A VOICE FOR FAMILIES WHO ARE NOT ALWAYS HEARD AND PROMOTE PUBLIC POLICIES THAT IMPROVE CHILD HEALTH. WE WORK IN THE COMMUNITY TO MAKE CHILDREN AND FAMILIES SAFER AND HEALTHIER WHERE THEY LIVE. SUPPORTING STUDENT SUCCESS A GROWING BODY OF EVIDENCE SHOWS A LINK BETWEEN STUDENT HEALTH AND EDUCATIONAL SUCCESS. SEATTLE CHILDREN'S WORKS WITH SCHOOLS AND STUDENTS IN THE COMMUNITY AND IN THE HOSPITAL TO PREVENT ILLNESS AND INJURY FROM AFFECTING A CHILD'S WELL-BEING AND PROGRESS IN THE CLASSROOM. OUR ONSITE SCHOOL SERVES 1,300 HOSPITALIZED CHILDREN A YEAR. THE SCHOOL'S SIX TEACHERS AND FOUR INSTRUCTIONAL AIDES COORDINATE LESSONS WITH EACH CHILD'S REGULAR TEACHERS AND WORK WITH THEIR SCHOOL TO ENSURE A SUCCESSFUL RETURN. OUR ODESSA BROWN CHILDREN'S CLINIC (OBCC) OPERATES A FREE TEEN CLINIC AT GARFIELD HIGH SCHOOL, WITH APPROXIMATELY 1,400 CLINIC VISITS EVERY SCHOOL YEAR. OPEN DURING SCHOOL HOURS, THE TEEN CLINIC OFFERS A RANGE OF HEALTHCARE SERVICES. OBCC PROVIDES MEDICAL AND MENTAL HEALTH SERVICES AT BEACON HILL INTERNATIONAL SCHOOL, MADRONA K-8 AND WELLSPRING FAMILY SERVICES, A DAYCARE CENTER FOR CHILDREN WHO ARE HOMELESS. WE SUPPORT SCHOOL NURSES THROUGH THE OFFICE OF THE SUPERINTENDENT OF PUBLIC INSTRUCTION (OSPI) TO IMPROVE SHARED CARE PLANNING FOR STUDENTS WITH CHRONIC CONDITIONS. OUR 21 ATHLETIC TRAINERS WORK WITH 300 TO 800 ATHLETES AT PUBLIC AND PRIVATE HIGH SCHOOLS ACROSS THE PUGET SOUND AREA EACH SPORTS SEASON. LAST YEAR THEY HELPED OVER 12,000 STUDENT ATHLETES. OUR COMMUNITY BENEFIT PRIORITIES IN 2013, WE COMPLETED A COMMUNITY HEALTH ASSESSMENT THAT DESCRIBED THE HEALTH OF CHILDREN, TEENS AND FAMILIES IN WASHINGTON STATE AND KING COUNTY. THE ASSESSMENT HELPED US IDENTIFY FIVE PRIORITY AREAS TO IMPROVE COMMUNITY HEALTH. TOGETHER WITH OUR PARTNERS IN THE COMMUNITY, WE MADE PROGRESS ON MORE THAN 40 PROJECTS THAT ADDRESS SOME OF THE HEALTH NEEDS OF CHILDREN AND FAMILIES IN OUR REGION. HERE ARE HIGHLIGHTS FROM WORK IN EACH PRIORITY AREA. VISIT WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT TO LEARN MORE ABOUT OUR FIVE PRIORITIES. ACCESS TO QUALITY HEALTHCARE SEATTLE CHILDREN'S WAS FOUNDED ON THE PROMISE THAT NO CHILD WILL BE TURNED AWAY, REGARDLESS OF A FAMILY'S ABILITY TO PAY. TO KEEP THAT PROMISE, WE HELP ELIGIBLE FAMILIES ENROLL IN PUBLIC INSURANCE PROGRAMS SUCH AS MEDICAID (KNOWN AS APPLE HEALTH IN WASHINGTON STATE), WORK WITH KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY TO PROMOTE PARTICIPATION IN THE WASHINGTON HEALTH BENEFIT EXCHANGE AND MAINTAIN OUR FINANCIAL ASSISTANCE PROGRAM FOR FAMILIES EARNING UP TO 400% OF THE POVERTY LEVEL. HELPING FAMILIES NAVIGATE THE ACA SEATTLE CHILDREN'S TOOK NUMEROUS STEPS IN 2014 TO HELP FAMILIES OBTAIN THE INSURANCE COVERAGE THEY NEEDED THROUGH THE AFFORDABLE CARE ACT (ACA). NINE OF OUR STAFF MEMBERS AT THE HOSPITAL AND THE ODESSA BROWN CHILDREN'S CLINIC WERE TRAINED AS CERTIFIED ASSISTERS FOR THE WASHINGTON HEALTH BENEFIT EXCHANGE SO THEY COULD HELP FAMILIES RESOLVE ANY ISSUES THEY FACED FINDING AND ENROLLING IN QUALIFIED PLANS. WE ALSO CONTACTED PATIENTS 18 TO 21 YEARS OLD TO MAKE SURE THEY UNDERSTOOD THEIR OPTIONS AS YOUNG ADULTS, POSTED EXTENSIVE ACA INFORMATION FOR FAMILIES ONLINE AND ESTABLISHED A DEDICATED PHONE LINE TO ANSWER QUESTIONS. IN ADDITION, WE EDUCATED FAMILIES AND STATE AND FEDERAL DECISION MAKERS ABOUT THE IMPORTANCE OF ENSURING THAT ALL INSURANCE PLANS IN THE EXCHANGE OFFER ALL PEDIATRIC SPECIALTY SERVICES WITHIN THEIR PROVIDER NETWORKS.
COORDINATED CARE FOR CHRONIC CONDITIONS CARING FOR CHILDREN WITH COMPLEX CHRONIC CONDITIONS - 25% OF THE CHILDREN WE CARE FOR - REQUIRES SPECIALIZED CARE FROM MANY DIFFERENT PROVIDERS, BOTH AT SEATTLE CHILDREN'S AND IN THE COMMUNITY, WHO NEED TO WORK AS A TEAM. WE STRIVE TO IDENTIFY MEDICALLY COMPLEX CHILDREN, COORDINATE THEIR CARE ACROSS ALL SERVICES AND SUPPORT THEIR TRANSITION TO ADULT CARE TO HELP THEM REACH THEIR FULL POTENTIAL. IDENTIFYING THOSE IN NEED THE FIRST STEP IN PROVIDING CARE COORDINATION FOR MEDICALLY COMPLEX CHILDREN IS IDENTIFYING CHILDREN AND FAMILIES WHO NEED ASSISTANCE. DRS. TAMARA SIMON AND RITA MANGIONE-SMITH LED THE DEVELOPMENT OF AN ALGORITHM THAT DISTINGUISHES PATIENTS WHO ARE MEDICALLY COMPLEX FROM THOSE WHO ARE NOT AND TELLS HEALTHCARE PROVIDERS WHICH FAMILIES ARE MOST LIKELY TO BENEFIT FROM CARE COORDINATION. THE ALGORITHM, WHICH APPLIES A STANDARD SET OF CRITERIA TO DISCHARGE DATA AND OTHER ADMINISTRATIVE DATA, HAS BEEN ADOPTED BY 20 HEALTHCARE ORGANIZATIONS NATIONWIDE. "WITHOUT A DEFINITIVE METHODOLOGY, MEDICAL COMPLEXITY IS OPEN TO INTERPRETATION BY A CHILD'S INDIVIDUAL PROVIDERS," MANGIONE-SMITH SAYS. "THE ALGORITHM IS AN OBJECTIVE WAY TO ASSESS MEDICAL COMPLEXITY SO THOSE WHO NEED CARE COORDINATION DON'T SLIP THROUGH THE CRACKS AND SO LIMITED RESOURCES GO TO THOSE MOST IN NEED." PREPARING TEENS FOR ADULT MEDICAL CARE TRANSITIONING FROM PEDIATRIC MEDICAL CARE TO ADULT MEDICAL CARE CAN BE CHALLENGING FOR TEENS, PARTICULARLY THOSE WITH SPECIAL HEALTHCARE NEEDS. CHILDREN BORN WITH HEART DEFECTS, FOR EXAMPLE, MAY NEED CARE THEIR ENTIRE LIVES. OUR HEART CENTER HELPS TEENS WITH HEART DEFECTS PREPARE FOR THE TRANSITION TO ADULT CARE BY COLLABORATING WITH THE UNIVERSITY OF WASHINGTON (UW) TO OFFER THE ADULT CONGENITAL HEART DISEASE PROGRAM. THE TEAM INCLUDES DOCTORS AND NURSES FROM BOTH SEATTLE CHILDREN'S AND THE UNIVERSITY OF WASHINGTON, WHO HELP TEENS UNDERSTAND THEIR CONDITION AND TEACH THEM TO MANAGE THEIR CARE AS THEY MATURE INTO ADULTS. AT LAST YEAR'S TEEN HEART TRANSPLANT TRANSITION DAY, HEART PATIENTS AGES 15 TO 18 DISCUSSED DIET, EXERCISE AND OTHER IMPORTANT HEALTH TOPICS, HEARD FROM YOUNG ADULTS WHO HAVE ALREADY TRANSITIONED TO ADULT CARE AND MET ADULT PROVIDERS AND STAFF FROM THE UW. EQUITY AND ACCESS IN SOUTH KING COUNTY SEATTLE CHILDREN'S WORKS CLOSELY WITH FAMILIES AND COMMUNITY ORGANIZATIONS THROUGHOUT SOUTH KING COUNTY TO UNDERSTAND THE AREA'S STRENGTHS AND CHALLENGES, PROVIDE EQUITABLE ACCESS TO HEALTHY CHOICES AND FOSTER INCLUSIVENESS. TEENS SHARE THEIR VIEW ON COMMUNITY HEALTH WHAT KEEPS COMMUNITIES HEALTHY? WE ASKED TWO DOZEN YOUTH FROM SOUTHWEST KING COUNTY, SPECIFICALLY HIGHLINE SCHOOL DISTRICT'S HEALTH SCIENCES AND HUMAN SERVICES HIGH SCHOOL, MATT GRIFFIN YMCA, BOYS & GIRLS CLUB EX3 TEEN CENTER AND THE INTERNATIONAL RESCUE COMMITTEE'S TRUE GROUP, TO DESCRIBE HEALTH IN THEIR COMMUNITIES THROUGH PHOTOS. AS PART OF A PHOTOVOICE PROJECT, EACH PARTICIPANT TOOK AT LEAST 20 PHOTOS OF THE PEOPLE, PLACES AND THINGS THAT KEEP BURIEN, WHITE CENTER, SEATAC, FEDERAL WAY AND TUKWILA HEALTHY - EVERYTHING FROM A FARMER'S MARKET TO FAMILY AND FRIENDS TO A COMMUNITY HEALTH CLINIC. SOME OF THEM PRESENTED THEIR PHOTOS AT A LOCAL COFFEE SHOP. "THIS PROJECT GENERATED A TEEN PERSPECTIVE ON HEALTH THAT WILL HELP GUIDE SEATTLE CHILDREN'S WORK IN THEIR COMMUNITIES," SAYS CELESTE CHUNG, ONE OF THE PROJECT LEADERS. MAKING COMMUNITIES HEALTHIER SOUTH SEATTLE AND SOUTH KING COUNTY RESIDENTS ARE EXERCISING MORE, EATING HEALTHIER AND BREATHING EASIER THANKS TO SUPPORT FROM A COMMUNITY TRANSFORMATION GRANT (CTG) AWARDED TO SEATTLE CHILDREN'S, THE HEALTHY KING COUNTY COALITION (HKCC) AND PUBLIC HEALTH SEATTLE KING COUNTY. AIMED AT OBESITY PREVENTION AND TOBACCO CONTROL, THE CTG HELPED COMMUNITIES TAKE A NUMBER OF IMPORTANT STEPS IN 2014. THE RENTON HOUSING AUTHORITY, FOR EXAMPLE, ADOPTED A SMOKE-FREE POLICY FOR ALL OF ITS BUILDINGS. THE HIGHLINE AND KENT SCHOOL DISTRICTS INTRODUCED NEW PHYSICAL EDUCATION CURRICULUMS DESIGNED TO INCREASE ACTIVITY DURING PE CLASS AND THROUGHOUT THE DAY. HIGHLINE, HARBORVIEW, VALLEY AND MULTICARE AUBURN MEDICAL CENTERS CHANGED THEIR CAFETERIA ENVIRONMENTS AND VENDING TO PROVIDE ACCESS TO HEALTHIER FOOD AND BEVERAGES. IN ADDITION TO ORGANIZATIONAL CHANGES, COMMUNITY MEMBERS GAINED SKILLS IN COMMUNICATING AND PROMOTING STRONGER POLICIES, BETTER SYSTEMS AND ENVIRONMENTAL CHANGES TO DECISION MAKERS AND ORGANIZATIONAL LEADERS. "BY STEPPING UP TO HELP SHEPHERD THIS GRANT, SEATTLE CHILDREN'S HAS BEEN PARAMOUNT IN IMPROVING HEALTH EQUITY AND ACCESS IN SOUTH KING COUNTY," SAYS VAL THOMAS-MATSON, WHO LEADS THE HKCC. OBESITY HEALTHY EATING AND ACTIVE LIVING ARE LIFELONG HABITS. WE ARE A LEADER IN COMMUNITYWIDE EFFORTS TO PROMOTE HEALTHY EATING AND ACTIVE LIVING AND TO PREVENT AND REDUCE OBESITY AMONG ALL CHILDREN, TEENS AND FAMILIES. WE EDUCATE CAREGIVERS, PROMOTE POLICES AND SUPPORT PROGRAMS SO ALL CHILDREN, TEENS AND FAMILIES ARE EMPOWERED TO MAKE HEALTHY CHANGES. SHARING A COMBINATION FOR BETTER HEALTH BY FOLLOWING FIVE TIPS REPRESENTED BY THE NUMBERS 7-5-2-1-0, ALL CHILDREN AND THEIR FAMILIES CAN TAKE SMALL BUT POWERFUL STEPS TOWARD A HEALTHIER LIFESTYLE. SEATTLE CHILDREN'S WORKS IN THE COMMUNITY TO ENCOURAGE ALL CHILDREN AND THEIR FAMILIES TO FOLLOW 7-5-2-1-0. IN 2014 WE DEVELOPED A 7-5-2-1-0 TOOL KIT WITH HANDS-ON ACTIVITIES TO TEACH YOUNG CHILDREN ABOUT HEALTHY CHOICES AND TRAINED CHILDCARE WORKERS FROM NEIGHBORHOOD HOUSE EARLY LEARNING AND THE HORN OF AFRICA SERVICES TO USE THE KIT IN THEIR CLASSROOMS. IN PARTNERSHIP WITH KITSAP COUNTY PUBLIC HEALTH, MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL, SPOKANE HEALTH DISTRICT, INLAND NW HEALTH SERVICES AND OTHER HEALTHCARE ORGANIZATIONS, WE ALSO HOSTED MEETINGS TO PROMOTE HEALTHY EATING AND ACTIVE LIVING CHOICES FOR CHILDREN, TEENS, ADULTS, AND FAMILIES ACROSS WASHINGTON STATE. HELPING FAMILIES ACT! HEALTHY SEATTLE CHILDREN'S AND THE YMCA HAVE HELPED HUNDREDS OF OBESE AND OVERWEIGHT CHILDREN AND THEIR FAMILIES LEAD HEALTHIER LIFESTYLES THROUGH THE ACTIVELY CHANGING TOGETHER! (ACT!) PROGRAM. THE EVIDENCE-BASED PROGRAM HAS GROWN FROM FOUR SEATTLE-AREA YMCAS WHEN IT STARTED TO 17 LOCATIONS RANGING FROM OLYMPIA TO MARYSVILLE TO YAKIMA. CHILDREN 8 TO 14 YEARS OLD ARE REFERRED TO ACT! BY HEATH PROVIDERS. THEY AND THEIR FAMILIES ATTEND 12 WEEKLY SESSIONS AND GET FREE YMCA MEMBERSHIPS DURING THAT TIME. THE 90-MINUTE SESSIONS INCLUDE FITNESS ACTIVITIES FOR THE CHILD WITH THEIR FAMILY AND ON THEIR OWN, GUIDANCE FOR PARENTS IN DEVELOPING A HEALTHY FAMILY LIFESTYLE AND PREPARATION OF A LIGHT MEAL DURING WHICH FAMILIES LEARN ABOUT NUTRITION. "WHEN KIDS SEE THEIR PARENTS EATING A WIDE VARIETY OF FOODS AND BEING ACTIVE, THEY'RE MORE LIKELY TO DO THE SAME," SAYS MARY JONES VERBOVSKI, A CHILDREN'S DIETITIAN WHO LEADS ACT! SESSIONS. MENTAL AND BEHAVIORAL HEALTH ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES IS VITAL TO KEEPING OUR COMMUNITY HEALTHY; HOWEVER, LESS THAN 20% OF CHILDREN IN WASHINGTON STATE WHO NEED MENTAL HEALTH SERVICES RECEIVE IT. THROUGH EDUCATION, TRAINING, RESEARCH AND CARE COORDINATION, WE WORK TO INCREASE ACCESS TO MENTAL HEALTH SERVICES AND EXPAND THE COMMUNITY'S CAPACITY TO SERVE MORE FAMILIES. TRACKING TREATMENT PROGRESS MENTAL HEALTH TREATMENT IS DIFFICULT TO MONITOR OBJECTIVELY. DR. FREDA LIU WORKED WITH DR. COREY FAGAN AND JON HAUSER OF THE UNIVERSITY OF WASHINGTON TO INCORPORATE TRACKING MEASURES FOR CHILDREN IN A MONITORING PROGRAM THEY DEVELOPED FOR ADULTS. THE PROGRAM, CALLED OWLOUTCOMES, USES COMPUTERIZED SURVEYS TO TRACK PROGRESS BETWEEN EACH THERAPY SESSION. PARENTS AND PATIENTS (IF THEY'RE OLD ENOUGH) RESPOND TO STATEMENTS IN THE SURVEYS ABOUT THE SEVERITY OF THEIR SYMPTOMS. THE RESPONSES ARE PLOTTED ON GRAPHS THAT SHOW HOW THE SEVERITY CHANGES OVER TIME. ALL OF THE PROVIDERS IN OUR PSYCHIATRY AND BEHAVIORAL MEDICINE CLINIC WERE TRAINED TO USE THE PROGRAM LAST YEAR. "FAMILIES AND PROVIDERS ALIKE APPRECIATE LEARNING HOW TREATMENT IS WORKING AND WHAT PROGRESS THEY'RE MAKING TOWARD THEIR GOALS," LIU SAYS. PROVIDING A RESOURCE FOR YOUNG ADULTS CHILDREN WITH DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES RELY ON PUBLIC SCHOOLS TO MEET MANY OF THEIR UNIQUE EDUCATIONAL AND SOCIAL NEEDS. AS THESE CHILDREN BECOME YOUNG ADULTS, THEY OFTEN STRUGGLE TO FIND RESOURCES IN THE COMMUNITY. SEATTLE CHILDREN'S OPENED THE ALYSSA BURNETT ADULT LIFE CENTER IN BOTHELL LAST YEAR TO FILL THIS GAP. CHARLIE AND BARBARA BURNETT AND A NONPROFIT THEY FOUNDED, TESSERA, DONATED $7 MILLION TO LAUNCH THE CENTER, NAMED AFTER THEIR DAUGHTER, A YOUNG WOMAN ON THE AUTISM SPECTRUM. THE CENTER, AFFILIATED WITH THE AUTISM CENTER AT SEATTLE CHILDREN'S, OFFERS CLASSES RANGING FROM MUSIC TO FITNESS TO COOKING, AND PROVIDES A PLACE TO MEET FOR YOUNG ADULTS WITH DEVELOPMENTAL DISABILITIES OF ALL KINDS. "THESE ARE LIFELONG CONDITIONS," SAYS DR. GARY STOBBE OF THE AUTISM CENTER. "OUR COMMITMENT TO THE INDIVIDUALS AND FAMILIES DOESN'T STOP AT A CERTAIN AGE."
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
 
Employer identification number

91-1156519
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) 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










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 entity?
Yes No
(1) SEATTLE CHILDREN'S HEALTHCARE SYSTEM

PO BOX 5371 MS RC-507

SEATTLE,WA981455005
91-1250116 		HEALTHCARE WA 501(C)(3) LINE 7 N/A
 
No
(2) SEATTLE CHILDREN'S HOSPITAL

PO BOX 5371 MS RC-507

SEATTLE,WA981455005
91-0564748 		PEDIATRIC MEDICAL CARE WA 501(C)(3) LINE 3 SEATTLE CHILDREN'S HEALTHCARE SYSTEM
 
 
No
(3) SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION

PO BOX 5371 MS RC-507

SEATTLE,WA981455005
91-1394056 		FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESS WA 501(C)(3) LINE 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM
 
 
No
(4) CHILDREN'S RETAIL

PO BOX 5371 MS RC-507

SEATTLE,WA981455005
91-1998909 		THRIFT STORES WA 501(C)(3) LINE 11A, I SEATTLE CHILDREN'S HEALTHCARE SYSTEM
 
 
No
(5) CHILDREN'S HEALTH NETWORK

PO BOX 5371 MS RC-507

SEATTLE,WA981455005
91-1226716 		PEDIATRIC HEALTHCARE SERVICES WA 501(C)(3) LINE 11A, I SEATTLE CHILDREN'S HEALTHCARE SYSTEM
 
 
No




For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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) SEATTLE CHILDREN'S RESEARCH INVESTORS LLC

PO BOX 5371 MS RC-507
SEATTLE,WA981455005
26-3852796 		RESEARCH FACILITY DEVELOPMENT WA N/A
                  












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
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CHARITABLE REMAINDER UNITRUSTS (11)

 
 
INVESTMENTS WA N/A
           No
(2) CHARITABLE REMAINDER UNITRUST (1)

 
 
INVESTMENTS AK N/A
           No
(3) CHARITABLE REMAINDER UNITRUSTS (4)

 
 
INVESTMENTS CA N/A
           No
(4) CHARITABLE REMAINDER UNITRUST (1)

 
 
INVESTMENTS FL N/A
           No
(5) CHARITABLE REMAINDER ANNUITY TRUSTS (3)

 
 
INVESTMENTS WA N/A
           No
(6) PERPETUAL TRUSTS (7)

 
 
INVESTMENTS WA N/A
           No
(7) POOLED INCOME FUND (1)

 
 
INVESTMENTS WA N/A
           No
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
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 related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(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 Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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