Form990
Click to see attachment
Department of the TreasuryInternal 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.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 01-01-2015 , and ending 12-31-2015
BCheck if applicable:
CName of organization
SWEDISH EDMONDS
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
21601 76th Ave W
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Edmonds, WA98026
D Employer identification number

27-2305304
E Telephone number

G Gross receipts $ 242,882,511
F Name and address of principal officer:
Rod Hochman MD
1801 Lind Ave SW 9016
Renton,WA98057
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.swedish.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: 2010
M State of legal domicile: WA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: To improve the health and well-being of each person we serve in Snohomish County.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 14
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 1,587
6 Total number of volunteers (estimate if necessary) ............. 6 346
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 12,235
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 2,526
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 4,972,741 1,162,641
9 Program service revenue (Part VIII, line 2g) ......... 193,183,178 212,394,307
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 321,854 -438,955
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 20,992,398 29,247,501
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 219,470,171 242,365,494
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 2,500
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) 99,945,803 85,901,712
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 92,901,098 104,330,398
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 192,846,901 190,234,610
19 Revenue less expenses. Subtract line 18 from line 12....... 26,623,270 52,130,884
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 145,810,157 168,333,557
21 Total liabilities (Part X, line 26)............. 128,889,203 99,297,302
22 Net assets or fund balances. Subtract line 21 from line 20..... 16,920,954 69,036,255
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 (2015)
Form 990 (2015)
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: Swedish Edmonds is part of Swedish Health Services, a healthcare system committed to meeting the health-care needs of Snohomish County.
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 $ 79,526,651 including grants of $ 0 ) (Revenue $ 126,353,985 )
Acute Inpatient - 9,509 admissions in 2015 with 42,210 Patient Days. Swedish Edmonds (formerly Stevens Hospital) has served Edmonds and surrounding communities for the last 50 years. Together with the larger Swedish and Providence Systems, we are creating an innovative, regional health-care delivery network that will provide more local services, while giving residents greater access to the latest medical treatments and the comprehensive services of the Swedish and Providence systems. Our campus includes 217 licensed beds, more than 450 medical staff physicians, more than 1,400 staff and a full scope of medical and surgical services, including Level IV Trauma emergency medicine, diagnostic, treatment and support services.In addition to over $12M in community benefit provided through charity care and other community services, through our innovative partnership with Verdant (Snohomish County Public Hospital District #2) we provide more than $7M annually in funds that can be directly attributed to meeting the health needs of the community. In 2015, Phase II of the hospital expansion project, a two story 77,000 square-foot addition was opened that included: A new emergency department with private exam rooms and reduced wait times. A new outpatient diagnostic imaging center. An observation center. A new 7,600 square-foot public lobby that's spacious and inviting. And 37,000 square-feet of additional reserved space on the second floor for future hospital services and programs.
4b (Code:   ) (Expenses $ 66,435,384 including grants of $ 0 ) (Revenue $ 105,549,101 )
Acute Outpatient - Swedish Edmonds provided 157,381 outpatient visits and 39,837 Outpatient Emergency Room visits in 2015. Outpatient services include emergency visits, specialty care, and diagnostic services. Examples are services for wound care, endocrinology, pain treatment, sleep medicine, behavioral health, breast imaging, and other medical imaging.
4c (Code:   ) (Expenses $ 2,664,023 including grants of $ 0 ) (Revenue $ 4,232,463 )
Primary Care - In 2015, Swedish Edmonds provided primary care in Swedish Internal Medicine (an internal medicine clinic). Other primary care services in the community are provided by community practices and through Swedish Medical Group and include the Birth and Family Clinic (a family practice clinic that also provides obstetrical care) and Swedish Children's Clinic Edmonds, a pediatric practice, among others.
(Code:   ) (Expenses $ 0 including grants of $ 0 ) (Revenue $ 501,365 )
Healthcare Joint Ventures - Swedish/Edmonds partners with Radia to provide imaging services in an outpatient setting at our joint venture, Swedish Radia Imaging Center, Edmonds. Services provided include x-ray, CT, MRI, and ultrasound.
(Code:   ) (Expenses $ 2,500 including grants of $ 2,500 ) (Revenue $ 0 )
Grants and Allocations
4d Other program services (Describe in Schedule O.)
(Expenses $ 2,500 including grants of $ 2,500 ) (Revenue $ 501,365 )
4e Total program service expensesMediumBullet148,628,558
Form 990 (2015)
Form 990 (2015)
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
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI 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) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2015)
Form 990 (2015)
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 domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
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...............Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) 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 "Yes," 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..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........Click to see attachment
33
 
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 (2015)
Form 990 (2015)
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
0
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
 
 
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
1,587
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, 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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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 (2015)
Form 990 (2015)
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
14
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
14
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
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
 
No
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
Yes
 
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
 
No
b
Other officers or key employees of the organization ................
15b
 
No
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
Yes
 
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
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletKarl E Fritschel CPA2001 Lind Ave SW 9016   Renton,WA980579016 (425) 525-3339
Form 990 (2015)
Form 990 (2015)
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) Michael Holcomb......................................................................
Chair of the Board
 0.10
.................
7.60 		X   X       0 60,360 0
(2) Chauncey Boyle SP......................................................................
Director
 0.10
.................
5.50 		X           0 0 0
(3) Marian Schubert CSJ......................................................................
Director
 0.10
.................
4.30 		X           0 0 0
(4) Phyllis Hughes RSM......................................................................
Director
 0.10
.................
5.00 		X           0 0 0
(5) Carolina Reyes MD......................................................................
Director
 0.10
.................
4.60 		X           0 15,360 0
(6) Michael A Stein......................................................................
Director
 0.10
.................
6.00 		X           0 15,360 0
(7) Eugene Al Parrish......................................................................
Director
 0.10
.................
5.00 		X           0 15,360 0
(8) Bob Wilson......................................................................
Director
 0.10
.................
5.00 		X           0 18,360 0
(9) Sallye Liner......................................................................
Director
 0.10
.................
4.30 		X           0 15,360 0
(10) Isiaah Crawford......................................................................
Director
 0.10
.................
4.10 		X           0 18,360 0
(11) Martha Diaz Aszkenazy......................................................................
Director
 0.10
.................
7.70 		X           0 18,360 0
(12) Kirby McDonald......................................................................
Director
 0.10
.................
4.60 		X           0 15,360 0
(13) Dave Olsen......................................................................
Director
 0.10
.................
5.50 		X           0 17,860 0
(14) Charles Chuck Watts......................................................................
Director
 0.10
.................
4.60 		X           0 18,360 0
(15) Rod F Hochman MD......................................................................
President / CEO
 1.00
.................
64.00 		    X       0 5,102,809 74,417
(16) Todd Hofheins......................................................................
EVP/CFO
 1.00
.................
64.00 		    X       0 970,092 295,713
(17) Cindy Strauss......................................................................
EVP/Chief Legal Officer
 1.00
.................
59.00 		    X       0 1,526,357 64,699
Form 990 (2015)
Form 990 (2015)
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) Jennifer Graves........................................................................
CEO / Swedish Edmonds
 60.00
.......................0.00 		    X       0 445,497 70,874
(19) Dan Harris........................................................................
CFO / Swedish
 6.00
.......................53.00 		    X       0 604,624 52,848
(20) Anthony Armada........................................................................
CE/Swedish
 6.00
.......................59.00 		      X     0 1,164,684 290,262
(21) Randy Axelrod MD Thru 315........................................................................
EVP/Clinical & Patient Services
 1.00
.......................59.00 		      X     0 1,416,580 35,750
(22) Mike Butler........................................................................
President/Operations & Services
 1.00
.......................59.00 		      X     0 1,572,348 740,248
(23) David Brown........................................................................
VP/Strategy & Business Development
 1.00
.......................54.00 		      X     0 516,263 200,297
(24) Debbie Burton........................................................................
SVP/ Chief Nrsg. Officer
 1.00
.......................59.00 		      X     0 683,302 55,602
(25) Debra Canales........................................................................
EVP/Chief People & Experience Officer
 1.00
.......................59.00 		      X     0 1,650,655 458,130
(26) Gary Flaming........................................................................
SVP/Chief Risk Officer
 1.00
.......................54.00 		      X     0 518,559 91,255
(27) Jack Friedman Thru 615........................................................................
SVP/Accountable Care & Payor Relations
 1.00
.......................49.00 		      X     0 770,782 117,919
(28) Mark Gargett........................................................................
VP/Digital Integration
 1.00
.......................49.00 		      X     0 632,716 82,292
(29) Joel Gilbertson........................................................................
SVP, Comm. Partnrshp. & Ext. Affairs
 1.00
.......................59.00 		      X     0 566,699 203,896
(30) Aaron Martin........................................................................
SVP/Strategy & Innovation
 1.00
.......................64.00 		      X     0 681,696 189,399
(31) Rhonda Medows MD........................................................................
EVP/Population Health
 1.00
.......................59.00 		      X     0 667,975 188,508
(32) Janice Newell........................................................................
SVP/Chief Information Officer
 1.00
.......................59.00 		      X     0 1,535,323 37,767
(33) Harvey Smith........................................................................
SVP/Chief Customer Svc. Officer
 1.00
.......................49.00 		      X     0 844,548 41,905
(34) Teresa Spalding........................................................................
VP/Revenue Cycle
 1.00
.......................59.00 		      X     0 691,899 45,132
(35) Greg Till........................................................................
VP/Chief Talent Officer
 1.00
.......................59.00 		      X     0 534,186 99,744
(36) Sharon Toncray........................................................................
SVP/HR Strat. Partners
 1.00
.......................54.00 		      X     0 563,982 196,084
(37) Lisa Vance........................................................................
SVP/Clinical Program Services
 1.00
.......................64.00 		      X     0 786,086 51,186
(38) Mike Waters........................................................................
VP,CAO/Physician Services
 1.00
.......................64.00 		      X     0 517,949 126,125
(39) Craig Wright MD........................................................................
SVP/Physician Services
 1.00
.......................59.00 		      X     0 2,795,040 125,380
(40) Peter Ro........................................................................
Physician/Hyperbaric Medicine
 60.00
.......................0.00 		        X   409,716 0 38,233
(41) Elena Geamanu........................................................................
Physician/Endocrinology
 60.00
.......................0.00 		        X   323,977 0 46,361
(42) Adam Balkany........................................................................
Physician
 60.00
.......................0.00 		        X   314,944 0 34,687
(43) Christopher Wilson........................................................................
Med. Director / Psych Svcs.
 60.00
.......................0.00 		        X   291,419 0 36,031
(44) Todd Baumeister........................................................................
Physician/Pain Mgmnt.
 60.00
.......................0.00 		        X   290,926 0 39,113
(45) David Jaffe........................................................................
Former CEO
 0.00
.......................0.00 		          X 0 595,194 6,884
(46) John Fletcher........................................................................
Former VP/Operations Support
 0.00
.......................0.00 		          X 0 583,850 18,778
(47) Jan Jones........................................................................
Former SVP/CAO
 0.00
.......................0.00 		          X 0 759,461 33,986
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 1,630,982 29,927,616 4,189,505
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet214
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
Yes
 
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
Sellen Construction CoInc

227 Westlake Avenue N
Seattle,WA98109 		Construction 32,713,672
Shiftwise

1800 SW 1st Avenue Suite 510
Portland,OR97201 		Staffing 5,097,063
Pediatrix Critical Care

PO Box 201034
Atlanta,GA30384 		Staffing 848,080
Medical Solutions Inc

1010 N 102nd Street Suite 300
Omaha,NE68114 		Staffing 810,491
NBBJ LP

PO Box 742088
Los Angeles,CA90074 		Architect 528,936
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet29
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 125,383
e Government grants (contributions)1e 1,037,258
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a-1f:$  
h Total.Add lines 1a-1f.......MediumBullet 1,162,641
Program Service RevenueAmt Business Code
2a Acute Care/Inpatient 900099 113,381,075 113,381,075    
b Acute Care/Outpatient 621400 94,713,890 94,713,890    
c Primary Care 621110 3,797,977 3,797,977    
d Healthcare JVs 900099 501,365 501,365    
e
f All other program service revenue.        
g Total.Add lines 2a–2f.....MediumBullet 212,394,307
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 37,405     37,405
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   819,618
b Less: rental expenses   0
c Rental income or (loss)   819,618
d Net rental income or (loss)......MediumBullet 819,618     819,618
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses 476,360  
c Gain or (loss) -476,360  
d Net gain or (loss).....MediumBullet -476,360     -476,360
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a 106,880
b Less: cost of goods sold ..b 40,657
c Net income or (loss) from sales of inventory..MediumBullet 66,223     66,223
Business Code Miscellaneous Revenue
11a Provider Tax 900099 16,349,959 16,349,959    
b Pharmacy 446110 7,843,572 7,843,572    
c Cafeteria 900099 621,376     621,376
d All other revenue .... 3,546,753 49,076 12,235 3,485,442
e Total. Add lines 11a–11d ...... MediumBullet 28,361,660
12 Total revenue. See Instructions......MediumBullet 242,365,494 236,636,914 12,235 4,553,704
Form 990 (2015)
Form 990 (2015)
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 domestic organizations and domestic governments. See Part IV, line 21 2,500 2,500
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 .... 504,881   504,881  
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 79,638,797 62,512,069 17,126,728  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits ....... 4,851 3,784 1,067  
10 Payroll taxes ........... 5,753,183 4,487,483 1,265,700  
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ........... 4,364 3,404 960  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
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) 23,200,829 16,625,413 6,575,416  
12 Advertising and promotion .... 32,905 25,666 7,239  
13 Office expenses ....... 4,590,109 3,580,285 1,009,824  
14 Information technology ...... 175,440 136,843 38,597  
15 Royalties ..        
16 Occupancy ........... 9,757,281 7,610,679 2,146,602  
17 Travel ............ 113,395 88,448 24,947  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 116,116 90,571 25,545  
20 Interest ........... 2,515,102 2,515,102    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 9,018,712 7,034,595 1,984,117  
23 Insurance ... 147,745 115,241 32,504  
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 Medical Supplies 34,488,321 26,900,890 7,587,431  
b Taxes & Licenses 14,296,794 11,158,519 3,138,275  
c Bad Debt 5,286,015 5,286,015    
d UBI Tax 9,000   9,000  
e All other expenses 578,270 451,051 127,219  
25 Total functional expenses. Add lines 1 through 24e 190,234,610 148,628,558 41,606,052 0
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 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 5,217,490 1 3,458,779
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 20,188,161 4 30,229,381
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 ........ 3,415,777 8 3,532,685
9 Prepaid expenses and deferred charges ...... 7,820,027 9 903,151
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 113,337,394
b Less: accumulated depreciation 10b 30,731,185 49,376,401 10c 82,606,209
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 .. 4,068,567 13 4,479,726
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 55,723,734 15 43,123,626
16 Total assets. Add lines 1 through 15 (must equal line 34)... 145,810,157 16 168,333,557
Liabilities 17 Accounts payable and accrued expenses ..... 19,340,488 17 14,253,746
18 Grants payable ...   18  
19 Deferred revenue ......... 33,453,550 19 29,981,478
20 Tax-exempt bond liabilities ......... 45,880,519 20 45,880,519
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 30,214,646 25 9,181,559
26 Total liabilities. Add lines 17 through 25.. 128,889,203 26 99,297,302
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 15,947,462 27 67,952,967
28 Temporarily restricted net assets ........... 973,492 28 1,083,288
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 ........... 16,920,954 33 69,036,255
34 Total liabilities and net assets/fund balances ........ 145,810,157 34 168,333,557
Form 990 (2015)
Form 990 (2015)
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
242,365,494
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
190,234,610
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
52,130,884
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
16,920,954
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
-15,583
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
69,036,255
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 (2015)
Form 990 (2015)
Additional Data


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

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
SWEDISH EDMONDS
 
Employer identification number

27-2305304
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
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations ..............  

g
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 (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total      

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10.  
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 section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
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) 2015

Schedule A (Form 990 or 990-EZ) 2015
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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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 VI.) ..            
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) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2015 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2015 		(iii)
Distributable
Amount for 2015
1 Distributable amount for 2015 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2015
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......  
e From 2014.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2015 distributable amount  
i Carryover from 2010 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2015 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2015 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2015, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2015. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2016. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a
b
c Excess from 2013.......  
d From 2014.......  
e From 2015.......  
Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2015


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
2015
Name of the organization
SWEDISH EDMONDS
 
Employer identification number

27-2305304
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) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
Name of organization
SWEDISH EDMONDS
  		Employer identification number
27-2305304
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


(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) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 3
Name of organization
SWEDISH EDMONDS
  		Employer identification number

27-2305304
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) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 4
Name of organization
SWEDISH EDMONDS
  		Employer identification number

27-2305304
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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) (2015)

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," on 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
SWEDISH EDMONDS
 
Employer identification number

27-2305304
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ....    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)
Revenue included on 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
Revenue included on 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) 2015

Schedule D (Form 990) 2015
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" on 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, for escrow or custodial account liability?
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" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ...          
c 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 on 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" on 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' on 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   56,286,801 2,075,749 54,211,052
c Leasehold improvements   1,469,150 232,609 1,236,541
d Equipment ...   50,961,787 28,422,827 22,538,960
e Other ...   4,619,656   4,619,656
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 82,606,209
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on 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    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
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' on 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Other AR 1,503,772
(2) Due from Affiliates 39,696,510
(3) Third Party Settlements 1,385,563
(4) Trustee Held Funds 40
(5) Unamortized Bond Financing Costs 537,741
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 43,123,626
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
FIN 47 - LT Asset Retirement Obligation 1,670,706
Capital Lease 2,969,991
Due to Affiliates 61,246
Third Party Settlements 968,369
Bond Premium Discounts 3,511,247
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 9,181,559
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) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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
Part X, Line 2: The Health System (Providence Health & Services) recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs.
Schedule D (Form 990) 2015


Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
SWEDISH EDMONDS
 
Employer identification number

27-2305304
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		  491 2,524,672   2,524,672 1.370 %
b Medicaid (from Worksheet 3, column a) . . . . .   7,500 51,132,551 41,451,751 9,680,800 5.230 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .   7,991 53,657,223 41,451,751 12,205,472 6.600 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).   39,266 219,003   219,003 0.120 %
f Health professions education (from Worksheet 5) . . .            
g Subsidized health services (from Worksheet 6) . . . .     6,715,508 6,600,244 115,264 0.060 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     6,300   6,300 0 %
j Total. Other Benefits . .   39,266 6,940,811 6,600,244 340,567 0.180 %
k Total. Add lines 7d and 7j .   47,257 60,598,034 48,051,995 12,546,039 6.780 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy   10,315 9,804   9,804 0.010 %
8 Workforce development            
9 Other            
10 Total   10,315 9,804   9,804 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
5,286,015
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
79,925,986
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
105,792,939
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-25,866,953
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 Swedish Edmonds
21601 76th Avenue W
Edmonds,WA98026
www.swedish.org/locations/edmonds-camp
HAC.FS.60183546 		X X         X      
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Swedish Edmonds
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Section C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Swedish Edmonds
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
www.swedish.org/patient-visitor-info/billing/financial-assistance
b
www.swedish.org/patient-visitor-info/billing/financial-assistance
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

Swedish Edmonds
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24 Yes  
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 7
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Swedish Edmonds Part V, Section B, Line 5: The primary source of information was the Snohomish Health District. Supplemental sources of information included meetings with community partners, Verdant Health Commission, feedback gathered at community events, conferences with Swedish/Edmonds service lines and input from Edmonds leadership team.
Swedish Edmonds Part V, Section B, Line 6a: Swedish First HillSwedish Cherry HillSwedish BallardSwedish Issaquah
Swedish Edmonds Part V, Section B, Line 11: In developing the list of priority needs/issues, Swedish looked at bringing its expertise and resources to those issues where it can make positive change. Because the organization has limited resources, it focused on areas where it has the expertise and ability to make a positive impact in its community. For those reasons, the following health needs were chosen by the hospital as part of their implementation strategy:Priority 1: Diabetes - Diabetes affects 25.8 million people of all ages in the United States or 8.3% of the U.S. Population. This includes 18.8 million diagnosed and 7 million undiagnosed individuals. Diabetes is the leading cause of kidney failure, nontraumatic lower-limb amputation, and new cases of blindness among adults. It is a Major cause of heart disease and stroke and is the seventh leading cause of death. Priority 2: Behavioral Health - Access to behavioral healthcare, integration of behavioral and physical healthcare, and boarding of mental health patients were identified as key issues. Opportunities include use of standardized referral protocols, coordinated discharge planning, and increased capacity for integrated healthcare.Priority 3: Access to care - Lack of health insurance is common among young adults, people of color, and low-income populations. For 1 in 7 adults, costs are a barrier to seeking medical care. Opportunities include providing assistance to the uninsured or underinsured, addressing issues of workforce capacity and cultural competence, ensuring receipt of recommended clinical preventive services, supporting non-clinical services, and increasing reimbursement for oral health care.Priority 4: Community Needs for an Advisory Council - After we identified the top tier negative health trends in our communities, Swedish launched an initiative aimed at strengthening partnerships with specific agencies whose missions addressed the particular negative health trends identified in our CHNA. These local, regional and national agencies were committed to reversing negative health trends and we brought them together to form the cornerstone to our Community Benefits program. These evolving partnerships have explored new ways to share resources and encourage teamwork to impact the health of our community. The CEOs and Executive Directors of these agencies sit on an Advisory Council that meets quarterly. We learned quickly that this group could not only help us shape our response to a particular health trend, but collectively we could start working on overlapping health concerns. These partners were offered multiple year partnerships through agreements that focused less on the funds and more about engagement. To date, the CHNA Advisory Council includes: American Cancer Society American Diabetes Association Lifelong AIDS Alliance Senior Services March of Dimes National Multiple Sclerosis Society American Heart AssociationDue to funding and resource availability, the following needs were identified but not adressed during this cycle due to funding and resource availability: obesity, heart disease, cancer, access to primary care providers, and suicide.
Swedish Edmonds Part V, Section B, Line 22d: The hospital used the average of the negotiated commercial insurance rates for contracts with the most covered lives.
Swedish Edmonds Part V, Section B, Line 24: For non-medically necessary services, a patient may be charged full billed charges.
Part V, Section B, Line 7a http://www.swedish.org/about/overview/mission-outreach/community-engagement/community-needs-assessment/assessments-site-list
Part V, Section B, Line 10a http://www.swedish.org/about/overview/mission-outreach/community-engagement/community-needs-assessment/assessments-site-list
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 8
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?20
Name and address Type of Facility (describe)
1 1 - Diabetes Education and Nutrition - Edmon
21601 76th Ave W
Edmonds,WA98026 		Education
2 2 - Medical Imaging - Edmonds
21601 76th Ave W
Edmonds,WA98026 		Imaging Center
3 3 - Cardiac Diagnostic Imaging - Edmonds
7320 216th St SW Suite 110
Edmonds,WA98026 		Imaging Center
4 4 - Laboratory
21601 76th Ave W
Edmonds,WA98026 		Lab
5 5 - Lab Patient Services Center at Stevens P
21616 76th Ave W Suite 208
Edmonds,WA98026 		Lab
6 6 - Lab Patient Services Center at 76 Common
21911 76th Ave Suite 207
Edmonds,WA98026 		Lab
7 7 - Lab Patient Services Center at Edmonds M
7320 216th St SW Suite 130
Edmonds,WA98026 		Lab
8 8 - Edmonds Primary Care
7320 216th St SW Edmonds Medical
Pavili
Edmonds,WA98026 		Primary Care
9 9 - Outpatient Rehabilitation - Edmonds
21601 76th Ave W
Edmonds,WA98026 		Rehab & Physical Therapy
10 10 - Edmonds Urgent Care
21600 Highway 99 Kruger Building
Suite
Edmonds,WA98026 		Specialty Clinic
11 11 - Pediatrics - Edmonds
21600 Highway 99 Kruger Clinic Bldg
Su
Edmonds,WA98026 		Specialty Clinic
12 12 - Wound Healing & Hyperbarics
21600 Highway 99 Kruger Clinic
Building
Edmonds,WA98026 		Specialty Clinic
13 13 - Medical Oncology - Edmonds
21632 Highway 99
Edmonds,WA98026 		Specialty Clinic
14 14 - Oncology Social Work - Edmonds
21632 Highway 99
Edmonds,WA98026 		Specialty Clinic
15 15 - Birth & Family Clinic - Edmonds
21911 76th Ave W 76 Commons Suite
11
Edmonds,WA98026 		Specialty Clinic
16 16 - Heart & Vascular - Edmonds Professional
7315 212th St SW Suite 205
Edmonds,WA98026 		Specialty Clinic
17 17 - Heart & Vascular - Edmonds Medical Pavil
7320 216th St SW Suite 210
Edmonds,WA98026 		Specialty Clinic
18 18 - Breast Center - Edmonds
7320 216th St SW Suite 120
Edmonds,WA98026 		Specialty Clinic
19 19 - Sleep Medicine - Edmonds
7320 216th St SW Suite 40
Edmonds,WA98026 		Specialty Clinic
20 20 - Edmonds Neurology
7320 216th St SW Suite 310
Edmonds,WA98026 		Specialty Clinic
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 9
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Part I, Line 3c: The sliding fee scale will be used to determine the amount to be written off as charity care for guarantors with income between 101% and 400% of the current federal poverty level after all funding possibilities available to the guarantor have been exhausted or denied and personal financial resources and assets have been reviewed for possible funding to pay for billing charges.
Part I, Line 6a: In addition to having Community Benefit information included in the consolidated Swedish Health Services Community Benefit Report, this information is also included in the Providence Health & Services Community Benefit Report.
Part I, Line 7: Costs for table 7 are from actual expenses incurred.
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 5,286,015.
Part II, Community Building Activities: COMMUNITY BUILDING ACTIVITIES:Educating the community regarding healthy living by representing Swedish Edmonds on the Edmonds School District Creating Community Connections Committee.
Part III, Line 2: Bad debt expense represents the amount of gross charges for patients who do not have insurance and which Swedish Edmonds was unable to qualify for assistance under either government programs or our internal charity care policy.
Part III, Line 4: The Health System provides for an allowance against patient accounts receivable for amounts that could become uncollectible. The Health System estimates this allowance based on the aging of accounts receivable, historical collection experience by payor, and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured and underinsured patients, the increased burden of copayments to be made by patients with insurance coverage and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process used by the Health System. The Health System records a provision for bad debts in the period of services on the basis of past experience, which has historically indicated that many patients are unresponsive or are otherwise unwilling to pay the portion of their bill for which they are financially responsible.
Part III, Line 8: It is Swedish's policy to exclude any Medicare shortfall from Community Benefit information.The amount reported on Part III, Section B, Line 6, was determined by applying the Cost-to-Charge Ratio to the Medicare revenue.
Part III, Line 9b: The debt collection policy applies to self-pay individuals who have been evaluated and determined not to be eligible for financial assistance.
Part VI, Line 2: The needs assessment was completed on a consolidated basis with Swedish Health ServicesWorking with a community advisory committee made up of key community partners, Swedish developed a community needs assessment tool. This instrument defined, among other things, underserved patient access to care and access for specialty health care needs. The methodology was derived from the leading health indicators for King County and was cross referenced with research done by the Washington Health Foundation, United Way of King County and Healthy People 2010.Based on this information, Swedish has developed partnerships with community agencies where we have combined our resources to impact the negative health trends in the community. To date, we have developed partnerships with the American Diabetes Association, the American Heart Association, Senior Services of King County, March of Dimes, United Way, Lifelong Aids Alliance, National Multiple Sclerosis Society and the Washington Health Foundation.Some current trends affecting the community include: poverty and access to affordable healthcare, diabetes, obesity and lack of access to behavioral health.Negative local trends affecting the community assessment include: prevalence of low birth weight babies, breast cancer, diabetes, HIV/AIDS, hypertension, high blood cholesterol, heavy drinking and multiple sclerosis.Areas seeing improvement in King County, but still needing improvement, include incidence of stroke, colorectal cancer death, lung cancer death, suicide, smoking cessation, vaccinations, AIDS incidence and seatbelt use.Swedish customized and expanded its community needs assessment to each hospital within Swedish Health Services. As of January 2012, each hospital has an individualized assessment geared to the specific community it serves.In 2013 Swedish has identified 4 system wide priorities that will be our focus for the next 3 years. In addition, each Swedish campus has an implementation strategy which addresses site specific priorities.These system priorities were chosen based on public health data, recommendations from the CHNA champions at each site (using community feedback) and the Swedish CHNA Advisory Council. Our goal will be to strengthen our existing programs, create new programs and collaborate with numerous community partners to improve the health in our community.2013-2016 priorities include:* Diabetes and Obesity* Access to Care* Behavioral Health* Community Needs Advisory Council
Part VI, Line 3: COMMUNICATION TO THE PUBLIC:Swedish Edmonds is committed to providing health care services to all persons in need of medical attention, regardless of their ability to pay. The hospital posts notices regarding the availability of financial assistance to low-income uninsured patients. These notices are posted in visible locations throughout the hospital such as admitting/registration, billing office, emergency department and other outpatient settings.Every posted notice regarding financial assistance policies contains brief instructions on how to apply for financial assistance or a discounted payment. The notices also include a contact telephone number that a patient or family member can call to obtain more information.At the time of registration, patients receive a packet that includes information on charity care and financial assistance. If patients have any questions, Swedish has financial counselors that will educate them on any financial assistance through the hospital or any government program that the patient may qualify for.Swedish ensures that appropriate staff members are knowledgeable about the existence of the hospital's financial assistance policies. Training is provided to staff members (i.e., billing office, financial department, etc.) who directly interact with patients regarding their hospital bills.When communicating to patients regarding their financial assistance policies, Swedish attempts to do so in the primary language of the patient, or his/her family, if reasonably possible, and in a manner consistent with all applicable federal and state laws and regulations.Swedish shares their financial assistance policies with appropriate community health and human services agencies and other organizations that assist such patients.
Part VI, Line 4: The Hospital's community is defined as individuals, organizations and the public in locations including Edmonds, Lynnwood, Brier, Mountlake Terrace and Woodway. There are 704,300 residents in Snohomish County. Key demographic features of Snohomish County include:A population that has grown rapidly and become more diverse. The County has grown 16.2% since 2000 and is expected to increase to 862,000 by 2020. Hispanics were the fastest growing ethnic group.An aging County, with its population of middle-aged adults (45-64 years) having increased by 48% since 1990.A growing population of vulnerable residents (as measured by the percent of births paid for by Medicaid and per cent residents without health insurance) is increasing as well.
Part VI, Line 5: PROMOTION OF COMMUNITY HEALTH:Swedish Edmonds integrates community benefits into its ongoing planning processes, budgeting and reporting. The Hospital uses its resources at both the local and Swedish Health System-wide levels to benefit citizens in need and to promote healing and health in its communities. Senior management ensures that resources are allocated to assess, develop and implement community benefit programs and initiatives that respond to the unmet health priorities. The Hospital participates in the assurance of community health assets and needs with special attention to geographical areas and populations with disproportionate unmet health-related needs. The Hospital budget includes financial resources to assess, plan, develop, implement, manage and report on community benefit initiatives.The Hospital's community benefit programs are developed in response to health issues identified in various assessments of the service area and disease status identified, focused on disproportionate unmet health-related needs, with emphasis on prevention and access to continuing care.The Hospital determines measurable goals, including the number of people reached, disproportionate populations visited, and education provided and gained access to care.
Part VI, Line 6: Swedish Edmonds is an Affiliated Member with Providence Health & Services. The Health System owns or operates 34 general acute care hospitals, three ambulatory care centers, six medical groups, six long term care facilities, seven homecare and hospice entities, five assisted living facilities, a high school, a university, 13 low income housing projects, the Health Plan, a health services contractor, two programs of all inclusive care for the elderly, and 23 controlled fundraising foundations.The Health System provides inpatient, outpatient, primary care, and home care services in Alaska, Washington, Montana, Oregon, and Southern California. The Health System operates these businesses primarily in the greater metropolitan areas of Anchorage, Alaska; Seattle, Spokane, Kennewick, and Olympia, Washington; Missoula, Montana; Portland and Medford, Oregon; and Los Angeles, California.
Part VI, Line 7, Reports Filed With States WA
Schedule H (Form 990) 2015
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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
SWEDISH EDMONDS
 
Employer identification number

27-2305304
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 on 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
 
 
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
 
 
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 on 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
Yes
 
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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on 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 on 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" on 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) 2015

Schedule J (Form 990) 2015
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 on 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 in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Rod F Hochman MDPresident / CEO (i)

(ii)		 0
-------------
1,562,459 		0
-------------
3,522,350 		0
-------------
18,000 		0
-------------
49,002 		0
-------------
25,415 		0
-------------
5,177,226 		0
-------------
1,152,963
2Todd HofheinsEVP/CFO (i)

(ii)		 0
-------------
704,452 		0
-------------
247,640 		0
-------------
18,000 		0
-------------
269,139 		0
-------------
26,574 		0
-------------
1,265,805 		0
-------------
0
3Cindy StraussEVP/Chief Legal Officer (i)

(ii)		 0
-------------
526,875 		0
-------------
981,482 		0
-------------
18,000 		0
-------------
40,075 		0
-------------
24,624 		0
-------------
1,591,056 		0
-------------
524,784
4Jennifer GravesCEO / Swedish Edmonds (i)

(ii)		 0
-------------
350,637 		0
-------------
69,654 		0
-------------
25,206 		0
-------------
59,383 		0
-------------
11,491 		0
-------------
516,371 		0
-------------
0
5Dan HarrisCFO / Swedish (i)

(ii)		 0
-------------
459,056 		0
-------------
145,568 		0
-------------
0 		0
-------------
39,105 		0
-------------
13,743 		0
-------------
657,472 		0
-------------
0
6Anthony ArmadaCE/Swedish (i)

(ii)		 0
-------------
721,925 		0
-------------
421,790 		0
-------------
20,969 		0
-------------
266,381 		0
-------------
23,881 		0
-------------
1,454,946 		0
-------------
0
7Randy Axelrod MD Thru 315EVP/Clinical & Patient Services (i)

(ii)		 0
-------------
190,509 		0
-------------
679,339 		0
-------------
546,732 		0
-------------
11,925 		0
-------------
23,825 		0
-------------
1,452,330 		0
-------------
0
8Mike ButlerPresident/Operations & Services (i)

(ii)		 0
-------------
1,151,688 		0
-------------
402,660 		0
-------------
18,000 		0
-------------
710,959 		0
-------------
29,289 		0
-------------
2,312,596 		0
-------------
0
9David BrownVP/Strategy & Business Development (i)

(ii)		 0
-------------
389,093 		0
-------------
127,170 		0
-------------
0 		0
-------------
177,846 		0
-------------
22,451 		0
-------------
716,560 		0
-------------
0
10Debbie BurtonSVP/ Chief Nrsg. Officer (i)

(ii)		 0
-------------
365,287 		0
-------------
300,015 		0
-------------
18,000 		0
-------------
31,695 		0
-------------
23,907 		0
-------------
738,904 		0
-------------
0
11Debra CanalesEVP/Chief People & Experience Office (i)

(ii)		 0
-------------
772,941 		0
-------------
715,960 		0
-------------
161,754 		0
-------------
444,164 		0
-------------
13,966 		0
-------------
2,108,785 		0
-------------
0
12Gary FlamingSVP/Chief Risk Officer (i)

(ii)		 0
-------------
294,399 		0
-------------
206,160 		0
-------------
18,000 		0
-------------
72,712 		0
-------------
18,543 		0
-------------
609,814 		0
-------------
0
13Jack Friedman Thru 615SVP/Accountable Care & Payor Relatio (i)

(ii)		 0
-------------
364,689 		0
-------------
388,093 		0
-------------
18,000 		0
-------------
103,565 		0
-------------
14,354 		0
-------------
888,701 		0
-------------
0
14Mark GargettVP/Digital Integration (i)

(ii)		 0
-------------
387,625 		0
-------------
245,091 		0
-------------
0 		0
-------------
58,688 		0
-------------
23,604 		0
-------------
715,008 		0
-------------
0
15Joel GilbertsonSVP, Comm. Partnrshp. & Ext. Affairs (i)

(ii)		 0
-------------
421,859 		0
-------------
126,840 		0
-------------
18,000 		0
-------------
181,114 		0
-------------
22,782 		0
-------------
770,595 		0
-------------
0
16Aaron MartinSVP/Strategy & Innovation (i)

(ii)		 0
-------------
512,696 		0
-------------
151,000 		0
-------------
18,000 		0
-------------
182,349 		0
-------------
7,050 		0
-------------
871,095 		0
-------------
0
17Rhonda Medows MDEVP/Population Health (i)

(ii)		 0
-------------
524,152 		0
-------------
100,000 		0
-------------
43,823 		0
-------------
176,410 		0
-------------
12,098 		0
-------------
856,483 		0
-------------
0
18Janice NewellSVP/Chief Information Officer (i)

(ii)		 0
-------------
578,517 		0
-------------
938,806 		0
-------------
18,000 		0
-------------
23,307 		0
-------------
14,460 		0
-------------
1,573,090 		0
-------------
185,427
19Harvey SmithSVP/Chief Customer Svc. Officer (i)

(ii)		 0
-------------
591,345 		0
-------------
235,203 		0
-------------
18,000 		0
-------------
23,818 		0
-------------
18,087 		0
-------------
886,453 		0
-------------
0
20Teresa SpaldingVP/Revenue Cycle (i)

(ii)		 0
-------------
328,808 		0
-------------
345,091 		0
-------------
18,000 		0
-------------
32,190 		0
-------------
12,942 		0
-------------
737,031 		0
-------------
0
21Greg TillVP/Chief Talent Officer (i)

(ii)		 0
-------------
374,064 		0
-------------
159,900 		0
-------------
222 		0
-------------
77,595 		0
-------------
22,149 		0
-------------
633,930 		0
-------------
0
22Sharon ToncraySVP/HR Strat. Partners (i)

(ii)		 0
-------------
413,272 		0
-------------
132,710 		0
-------------
18,000 		0
-------------
173,585 		0
-------------
22,499 		0
-------------
760,066 		0
-------------
0
23Lisa VanceSVP/Clinical Program Services (i)

(ii)		 0
-------------
479,541 		0
-------------
203,545 		0
-------------
103,000 		0
-------------
37,359 		0
-------------
13,827 		0
-------------
837,272 		0
-------------
0
24Mike WatersVP,CAO/Physician Services (i)

(ii)		 0
-------------
398,289 		0
-------------
119,660 		0
-------------
0 		0
-------------
114,645 		0
-------------
11,480 		0
-------------
644,074 		0
-------------
0
25Craig Wright MDSVP/Physician Services (i)

(ii)		 0
-------------
552,895 		0
-------------
2,237,145 		0
-------------
5,000 		0
-------------
105,811 		0
-------------
19,569 		0
-------------
2,920,420 		0
-------------
835,177
26Peter RoPhysician/Hyperbaric Medicine (i)

(ii)		 391,716
-------------
0 		0
-------------
0 		18,000
-------------
0 		18,550
-------------
0 		19,683
-------------
0 		447,949
-------------
0 		0
-------------
0
27Elena GeamanuPhysician/Endocrinology (i)

(ii)		 210,719
-------------
0 		113,258
-------------
0 		0
-------------
0 		18,550
-------------
0 		27,811
-------------
0 		370,338
-------------
0 		0
-------------
0
28Adam BalkanyPhysician (i)

(ii)		 195,353
-------------
0 		101,591
-------------
0 		18,000
-------------
0 		17,774
-------------
0 		16,913
-------------
0 		349,631
-------------
0 		0
-------------
0
29Christopher WilsonMed. Director / Psych Svcs. (i)

(ii)		 287,669
-------------
0 		0
-------------
0 		3,750
-------------
0 		17,339
-------------
0 		18,692
-------------
0 		327,450
-------------
0 		0
-------------
0
30Todd BaumeisterPhysician/Pain Mgmnt. (i)

(ii)		 285,535
-------------
0 		5,391
-------------
0 		0
-------------
0 		18,550
-------------
0 		20,563
-------------
0 		330,039
-------------
0 		0
-------------
0
31David JaffeFormer CEO (i)

(ii)		 0
-------------
29,560 		0
-------------
262,858 		0
-------------
302,776 		0
-------------
1,529 		0
-------------
5,355 		0
-------------
602,078 		0
-------------
0
32John FletcherFormer VP/Operations Support (i)

(ii)		 0
-------------
0 		0
-------------
102,560 		0
-------------
481,290 		0
-------------
773 		0
-------------
18,005 		0
-------------
602,628 		0
-------------
0
33Jan JonesFormer SVP/CAO (i)

(ii)		 0
-------------
0 		0
-------------
106,169 		0
-------------
653,292 		0
-------------
8,197 		0
-------------
25,789 		0
-------------
793,447 		0
-------------
0
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
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 The reporting organization did not provide any of the benefits listed in Part I, Line 1a. However, as part of Swedish's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. Swedish Edmonds executives adhere to the Providence Expense Reimbursement Procedures which include the following policies. First Class Travel or Charter Travel or Travel of Companions Air travel is reimbursable for tourist or economy class and should be at the least expensive airfare; which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class air travel will only be reimbursed when tourist or economy class air travel is not available and business travel is mandated by a supervisor. In the rare circumstance that an executive must fly on a first class full fare ticket, their senior level supervisor must approve this expense. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approved by the Executive Vice President, Chief People/Experience Officer. Spouse or Companion Travel. Travel expenses incurred by a Swedish Edmonds employee's spouse or companion will not be reimbursed by Swedish Edmonds unless the spouse or companion is required to, or invited to attend a System-sponsored meeting. These expenses may be considered a taxable benefit by the IRS and if so, will be included on the employee's W- 2. During 2015, there were 13 First Class tickets utilized by Officers, Directors or Key Employees listed on Form 990, Part VII. Tax Indemnifications or Gross-Up Payments Swedish Edmonds follows the federal and state taxation laws related to relocation expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Swedish Edmonds has chosen to pay the relocation expenses, Swedish Edmonds reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Swedish Edmonds will gross-up the relocation benefits to offset the personal tax burden to the employee for IRS allowable expenses. During 2015, the following Listed Persons received gross-up payments: Debra Canales Greg Till Anthony Armada Rhonda Medows, MD The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation in the 990. Housing Allowance or Residence for Personal Use Swedish Edmonds provides housing allowances for purposes of relocation assistance only. Swedish Edmonds may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding "rent" which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The Executive Vice President, Chief People/Experience Officer may approve temporary housing assistance for up to six months when family relocation is delayed to accommodate the school year or equivalent circumstances. Only in extenuating circumstances is housing extended beyond this six month period. During 2015, the following Listed Persons received relocation/housing program payments: Debra Canales Greg Till Anthony Armada Rhonda Medows, MD The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation.
Part I, Lines 4a-b NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan 1) Rod Hochman, MD a) SERP Vested but not Paid - $1,918,360 b) SERP Interest Credit - $32,014 2) Todd Hofheins a) SERP Earned but not Vested - $244,283 3) Cindy Strauss a) SERP Vested but not Paid - $796,632 b) SERP Interest Credit - $20,200 4) Jennifer Graves a) SERP Earned but Not Vested - $46,917 5) Dan Harris a) Taxable CBRP Paid - $961 b) Taxable SERP Paid - $14,747 c) SERP Interest Credit - $9,572 d) Non-Taxable CBRP Earned - $24 6) Craig Wright, MD a) SERP Vested but not Paid - $2,047,185 b) SERP Interest Credit - $75,356 7) Debra Canales a) SERP Earned but not Vested - $432,239 8) Michael Butler a) SERP Earned but not Vested - $590,423 b) SERP Interest Credit - $84,804 9) Janice Newell a) SERP Vested but not Paid - $772,706 b) SERP Interest Credit - $4,758 10) Anthony Armada a) SERP Earned but not Vested - $254,456 11) Lisa Vance a) SERP Earned but not Paid - $22,291 b) SERP Interest Credit - $5,164 c) Taxable CBRP Earned - $63 d) Non-Taxable CBRP Earned - $2 12) Jack Friedman a) Taxable SERP Earned but not Paid - $69,453 b) SERP Interest Credit - $54,261 13) Teresa Spalding a) Taxable SERP Earned but not Paid - $245,180 b) Taxable CBRP Paid - $2 14) Debbie Burton a) SERP Earned but not Paid - $191,285 b) SERP Interest Credit - $5,020 15) Aaron Martin a) SERP Earned but not Vested - $170,424 16) Rhonda Medows, MD a) SERP Earned but not Vested - $164,484 17) Mark Gargett a) Taxable SERP Earned but not Paid - $136,029 b) Taxable CBRP Paid - $42 c) SERP Interest Credit - $22,957 17) Joel Gilbertson a) SERP Earned but not Vested - $143,438 b) SERP Interest Credit - $13,113 19) Sharon Toncray a) SERP Earned but not Vested- $135,371 b) SERP Interest Credit - $11,848 20) Greg Till a) SERP Earned but not Vested - $65,670 21) Gary Flaming a) SERP Earned but not Paid - $118,151 b) Non-Taxable SERP Earned - $32 c) Taxable CBRP Paid - $118 b) SERP Interest Credit - $1,640 22) Mike Waters a) SERP Earned but not Vested - $95,852 b) SERP Interest Credit - $243 23) David Brown a) SERP Earned but not Vested - $130,902 b) SERP Interest Credit - $19,770 24) John Fletcher a) Taxable SERP Paid - $102,560 b) Non-Taxable SERP Paid - $773 25) Jan Jones a) Taxable SERP Paid - $106,169 b) SERP Interest Credit - $8,197 26) David Jaffe a) Taxable SERP Paid - $181,948
Part I, Lines 4a-b SEVERANCE 1) Randy Axelrod - $ 515,897 2) David Jaffe - $ 302,776 3) John Fletcher - $ 476,515 4) Jan Jones - $ 653,292
FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM Swedish executives participate in the Providence Executive Incentive Program which provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives, in combination with personal goals for top executives. In 2015, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's six strategic priorities of: creating healthier communities together, inspire and develop our people, building enduring relationships with consumers, create alignment with clinicians & care teams, develop and thrive under new care delivery & economic models, and grow by optimizing expert-to-expert capabilities. The remaining 50% was based on a robust set of personal goals designed to align critical mission and business drivers, executive team talent development (deepening talent pipeline for top 200+leaders) and professional development. In 2015 the percent allocation for each of these strategic priorities was as outline below: * Success Measures - System Goals : 50% Community Benefit - 5% Caregiver (Employee) Engagement - 7.5% MyChart Activations - 5% Patient Loyalty Index - 5% Clinical Excellence Index - 7.5% Free Cash Flow - 5% Salary Expense / Net Operating Revenue - 2.5% Primary Care Panel Size - 5% Total Growth in Operating Revenue - 7.5% * Success Measures - Personal Goals : 50% Mission/Business Driver - 15% Exec Talent Development - 20% Professional Development - 15% TOTAL ALLOCATION: 100%
Schedule J (Form 990) 2015
Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
SWEDISH EDMONDS
 
Employer identification number
27-2305304
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A Washington Health Care Facilities Authority
  		91-1108929 93978HKL8 09-10-2014 49,546,745 Construction of ambulatory services at Swedish Edmonds   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired ..................        
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 49,546,745      
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 561,147      
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 48,985,597      
11 Other spent proceeds .............        
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2015
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X            
15 Were the bonds issued as part of an advance refunding issue? .....   X            
16 Has the final allocation of proceeds been made? .......... X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X              
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X              
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X              
c Are there any research agreements that may result in private business use of bond-financed property? .............   X            
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 %      
6 Total of lines 4 and 5 ............. 0 %      
7 Does the bond issue meet the private security or payment test? ...   X            
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X            
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X              
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X            
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X              
b Exception to rebate? ........   X            
c No rebate due? .........   X            
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X            
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X            
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X            
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X            
7 Has the organization established written procedures to monitor the requirements of section 148? ... X              
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X              
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART III, LINE 7 - BOND ISSUE A As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, Line 6. The organization has not undertaken an analysis of the private security test with respect to the bonds, as the level of private business use and/or unrelated trade or business use reported in Part III, Line 6 is not in excess of amounts permitted under Section 145 of the Code.
SCHEDULE K, PART I & II - BOND ISSUE A The 2014C Series issued by the Washington Health Care Facilities Authority was issued to cover both the construction of ambulatory services at Swedish Edmonds as well as to partially refinance a taxable financing of Providence Health & Services - Washington dba Providence Regional Medical Center Everett. Since this bond issue is spread across two separate legal entities, the amounts shown only reflect the portion directly related to the new construction at Swedish Edmonds.
Schedule K (Form 990) 2015

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 990-EZ 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
2015
Open to Public
Inspection
Name of the organization
SWEDISH EDMONDS
 
Employer identification number

27-2305304
Return Reference Explanation
Form 990, Part VI, Section A, line 6 Western HealthConnect is the sole member of Swedish Edmonds.
Form 990, Part VI, Section A, line 7b The following powers are reserved to and exercised exclusively by the Member: A) To amend or repeal the Articles of Incorporation or Bylaws. B) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale, transfer, assignment or encumbering of assets. C) To approve the dissolution, liquidation, consolidation or merger with another corporation or entity. D) To approve the annual operating and capital budgets of the Corporation on a consolidated region-wide basis and recommend approval of the Corporation's budget. E) To appoint certified public accountants after receiving the recommendation of the Board of Directors, and to receive the annual audit report from such accountants.
Form 990, Part VI, Section B, line 11 The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the Director of Taxes of Providence Health & Services and external tax advisors. The Board and signing Officer reviewed the Form 990 in detail. Once approved, an electronic copy of the Form 990 is emailed to the Board prior to filing with the IRS.
Form 990, Part VI, Section B, line 12c The Board of Trustees has adopted a conflict of interest policy. Management employees are covered by the Swedish Health Services conflict of interest policy. Both policies are substantially similar and are jointly referred to herein as "the policy." Board members and covered persons are required to complete a conflict of interest questionnaire annually and disclose any affiliations, interest or relationships and/or any transactions the individual and/or his or her family members have engaged in that might give rise to an actual, apparent, or potential conflict of interest. The policy defines family members and describes what constitutes conflicts of interest. It requires individuals to report to the appropriate committee chair any further financial interest, situation, activity, interest or conduct that may develop before completion of the next annual questionnaire. Potential conflicts of interest with physician board members with financial interests in businesses that compete with Swedish Edmonds are addressed, as well as appropriate disclosures, evaluation and resolution of said conflicts. The conflict of interest questionnaire includes an annual statement that board members and covered persons (a) have received a copy of the policy, (b) have read and understood the policy, (c) agree to comply with the policy, (d) understand that the policy applies to committees and subcommittees, (e) understand that the organization is a charitable organization that must engage primarily in exempt activities, (f) agree to report to the appropriate manager or committee chair any change to matters previously disclosed on the conflict of interest questionnaire, (g) state that the information provided in the conflict of interest questionnaire is true and accurate to the best of his or her knowledge and belief. The purpose of the policy is to ensure board members and covered persons are independent and able to perform their duties in an impartial manner, free from any bias created by personal interests, to protect the interests of Swedish Edmonds, to clarify the duties and obligations of the board members and covered persons in the context of a potential conflict (and to provide a method for disclosing and resolving said conflict) and to supplement (not replace) any applicable state laws governing conflicts of interest applicable to charitable, nonprofit corporations. Swedish Edmonds will not engage in any contract, transaction or arrangement involving a potential conflict of interest unless it is determined that appropriate safeguards to protect the charitable mission of the organization have been implemented. The executive committee will review all conflict of interest questionnaires for board members. The executive committee will make a finding as to whether an actual, apparent or potential conflict of interest exists and will take actions as it deems appropriate. The conflict of interest committee governs the policy and questionnaire related to all other covered persons. The minutes of meetings will identify any person attending the meeting who has a conflict of interest with respect to any matter before the board or committee and the action taken to address the conflict of interest (e.g., the individual left the room during the discussion of the matter giving rise to the conflict of interest and the individual did not vote on such matter).
Form 990, Part VI, Section B, line 15 The Board has delegated authority to the Swedish Health Services compensation and HR committees to review and approve compensation arrangements for the CAO of Swedish Edmonds. All members of the compensation and HR committees are independent. Compensation for executives (including the CAO) is reasonable and consistent with the executive total compensation philosophy approved by the Board of Trustees. Potential conflicts of interest are addressed in accordance with the corporation's conflict of interest policy. The Board of Trustees selects and retains an independent consultant to conduct an annual review of the compensation package, including salaries, incentives and benefits and recommend appropriate adjustments to ensure that each remains competitive and responsive to changing laws and in keeping with the organization's mission. The Board, as part of its analysis, obtains from the independent consultant appropriate comparability data, including total compensation paid by similarly situated for profit and not for profit healthcare organizations for positions that are functionally comparable. The consultant provides documentation that total compensation is at fair market value. The consultants' recommendations are reviewed and approved (or not approved) by the compensation and HR committees, which document the basis for their decision. Following approval of the annual review by the compensation and HR committees, the CEO of Swedish Health Services will approve changes in the compensation package for the CAO of Swedish Edmonds consistent with the annual review and recommendations approved by the compensation and HR committees. Salaries for non-executive employees are reviewed and approved by HR.
Form 990, Part VI, Section C, line 19 Copies of Swedish Edmonds' governing documents, conflict of interest policy and financial statements are available upon request.
Form 990, Part VII Michael Holcomb - 1801 Lind Avenue SW, Renton, WA 98057. Chauncey Boyle, SP - 1801 Lind Avenue SW, Renton, WA 98057. Marian Schubert, CSJ - 1801 Lind Avenue SW, Renton, WA 98057. Phyllis Hughes, RSM - 1801 Lind Avenue SW, Renton, WA 98057. Carolina Reyes, MD - 1801 Lind Avenue SW, Renton, WA 98057. Michael A. Stein - 1801 Lind Avenue SW, Renton, WA 98057. Eugene "Al" Parrish - 1801 Lind Avenue SW, Renton, WA 98057. Bob Wilson - 1801 Lind Avenue SW, Renton, WA 98057. Sallye Liner - 1801 Lind Avenue SW, Renton, WA 98057. Isiaah Crawford - 1801 Lind Avenue SW, Renton, WA 98057. Martha Diaz Aszkenazy - 1801 Lind Avenue SW, Renton, WA 98057. Kirby McDonald - 1801 Lind Avenue SW, Renton, WA 98057. Dave Olsen - 1801 Lind Avenue SW, Renton, WA 98057. Charles (Chuck) Watts - 1801 Lind Avenue SW, Renton, WA 98057. Rod F. Hochman, MD - 1801 Lind Avenue SW, Renton, WA 98057. Todd Hofheins - 1801 Lind Avenue SW, Renton, WA 98057. Cindy Strauss - 1801 Lind Avenue SW, Renton, WA 98057. Randy Axelrod, MD (Thru 3/15) - 1801 Lind Avenue SW, Renton, WA 98057. Mike Butler - 1801 Lind Avenue SW, Renton, WA 98057. David Brown - 1801 Lind Avenue SW, Renton, WA 98057. Debbie Burton - 1801 Lind Avenue SW, Renton, WA 98057. Debra Canales - 1801 Lind Avenue SW, Renton, WA 98057. Gary Flaming - 1801 Lind Avenue SW, Renton, WA 98057. Jack Friedman (Thru 6/15) - 1801 Lind Avenue SW, Renton, WA 98057. Mark Gargett - 1801 Lind Avenue SW, Renton, WA 98057. Joel Gilbertson - 1801 Lind Avenue SW, Renton, WA 98057. Aaron Martin - 1801 Lind Avenue SW, Renton, WA 98057. Rhonda Medows, MD - 1801 Lind Avenue SW, Renton, WA 98057. Janice Newell - 1801 Lind Avenue SW, Renton, WA 98057. Harvey Smith - 1801 Lind Avenue SW, Renton, WA 98057. Teresa Spalding - 1801 Lind Avenue SW, Renton, WA 98057. Greg Till - 1801 Lind Avenue SW, Renton, WA 98057. Sharon Toncray - 1801 Lind Avenue SW, Renton, WA 98057. Lisa Vance - 1801 Lind Avenue SW, Renton, WA 98057. Mike Waters - 1801 Lind Avenue SW, Renton, WA 98057. Craig Wright, MD - 1801 Lind Avenue SW, Renton, WA 98057. John Fletcher - 1801 Lind Avenue SW, Renton, WA 98057. Jan Jones - 1801 Lind Avenue SW, Renton, WA 98057.
Form 990, Part IX, line 11g Agency/Contract Labor: Program service expenses 4,737,865. Management and general expenses 2,440,718. Fundraising expenses 0. Total expenses 7,178,583. Medical Director & Med Physician Fees: Program service expenses 3,861,369. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,861,369. Repairs & Maintenance: Program service expenses 2,409,399. Management and general expenses 1,241,206. Fundraising expenses 0. Total expenses 3,650,605. Other Patient Services: Program service expenses 5,457,958. Management and general expenses 2,811,675. Fundraising expenses 0. Total expenses 8,269,633. Other Administrative Services: Program service expenses 81,087. Management and general expenses 41,772. Fundraising expenses 0. Total expenses 122,859. General Consulting Fees: Program service expenses 77,735. Management and general expenses 40,045. Fundraising expenses 0. Total expenses 117,780.
Form 990, Part XI, line 9: Recipient Organization Adjustment 109,795. Contributions Reclassifications -125,383. Rounding 5.
FORM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE The Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation.
FORM 990, PART I, LINE 6 - VOLUNTEERS The volunteers at Swedish/Edmonds provide assistance to the staff in many areas from clerical support to patient care areas. They are an extension of the staff in Edmonds striving to uphold our mission, vision and values. We offer different volunteer opportunities based on interest, education requirements and community outreach. ED Volunteer Program Our pre-nursing/pre-med volunteers help out in the ED. This program is for students going into the medical field to fulfill specific course requirements and also supports the staff in ways that allow them to focus on patient care and not restocking supplies. This gives students valuable insite into the medical field that they are training to one day be a part of. ACV Program Our senior project program or ACV (Advanced Care Volunteer) is for high school seniors ages 17-18 that are interested in the medical field. This program offers students the opportunity to volunteer on the nursing floors providing assistance to the nursing staff while experiencing the healthcare environment to support their career goals of going into healthcare. Surgery Liaison & Concierge Desk Volunteers Our courtesy desk volunteers provide support to the surgical families, visitors, staff and anyone that may need direction when coming to visit Swedish/Edmonds. They are trained on Epic in order to deliver status updates to waiting families. As well as provide information for visitors on where to find loved ones or where to find their appointment location. They deliver gifts and flowers to patients and also discharge patients from several different floors to assist the nursing staff. Breast Center Volunteers in the breast imaging center assist staff in getting patients ready for their exams by showing them to the dressing area and explaining the dressing instructions. Volunteers also assist staff by resetting the dressing area for the next patient. They inform the technologist that the patient is ready and waiting also noting the time in the log. The volunteers make reminder calls for patients' appointments and help restock the supply areas. Clerical Support Volunteers assist staff with filing paperwork, scanning, copying, data entry projects, archiving information and any other support projects as needed. This position can be done in any area that has a need. Companionship Care Program Volunteers in this program provide comfort, support and companionship to patients by playing games, reading to the patient, delivering books or magazines for the patient to read on their own, playing a musical instrument or by just being a good listener. Volunteers are trained to identify patient problems and report them to the charge nurse immediately. Cancer Resource Center - SCI Cancer Resource Center (CRC) Volunteers guide cancer patients, families and/or caregivers with cancer-related information and referrals to local, state and/or federal resources including American Cancer Society (ACS) programs and services. Center for Wound Healing & Hyperbaric Volunteers assist the staff by reviewing charts and entering data into excel spreadsheets, processing files for discharged patients, revising clinical forms, filing paperwork, and any administrative projects as needed and directed by staff. Employee Health Volunteers assist the staff with data entry, archiving information and filing. They must be detail oriented and have good computer skills. Gift Shop Volunteers provide customer service to patients, visitors and staff of the hospital. They must have cash handling experience, ability to accurately run the cash register and credit card machines, take phone orders accurately, restock shelves as needed, and any additional duties as directed by staff. Health Information Management Assist staff in preparing folders for permanent filing, alphabetizing accurately, purging records, copying and sorting files by data and alpha order. Must be able to work independently and have good accuracy. Patient Access ER and Outpatient Admitting Assist staff with greeting walk-ins and visitors in a timely and professional manner. Able to use all computer functions to assist staff in locating patient information. Locates and retrieves wheelchairs for patient use as needed, walking charts to and from triage as needed. Print Center Assist staff with assembling printing projects or other projects as needed. Assist with mail delivery around the hospital campus. Stocking shelves and any other projects or tasks as assigned. Rehab/OT/PT Assist staff with filing charts, making copies, assembling handout packets, changing out rooms between patients, restocking supplies and general straightening of waiting area. Volunteer Services Assist staff with data entry, filing and other administrative office duties as well as gift shop office duties including labeling and processing product for the gift shop.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


Additional Data


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

OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
SWEDISH EDMONDS
 
Employer identification number

27-2305304
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)Providence Health & Services - Washington
1801 Lind Avenue SW 9016

Renton,WA980579016
51-0216586 		Healthcare System WA 501( c)(3) Line 3 Providence Health & Services
 
 
No
(2)Providence Health & Services - Oregon
1801 Lind Avenue SW 9016

Renton,WA980579016
51-0216587 		Healthcare System OR 501( c)(3) Line 3 Providence Health & Services
 
 
No
(3)Providence Health System - So California
1801 Lind Avenue SW 9016

Renton,WA980579016
51-0216589 		Healthcare System CA 501( c)(3) Line 3 Providence Health & Services
 
 
No
(4)Everett Transitional Care Services
PO Box 5128

Everett,WA982065128
94-3264605 		Transitional Care WA 501( c)(3) Line 9 N/A
 
No
(5)Providence Oregon Management Corporation
1801 Lind Avenue SW 9016

Renton,WA980579016
93-0813977 		Shell Corporation OR 501( c)(3) Line 1 PH & S - Oregon
 
 
No
(6)Providence Plan Partners
4400 NE Halsey Bldg 2

Portland,OR97213
91-1861964 		Healthcare Services OR 501( c)(4) N/A PH & S - Oregon
 
 
No
(7)Providence Health Plan
4400 NE Halsey Bldg 2

Portland,OR97213
93-0863097 		Health Service Contractor OR 501( c)(4) N/A Providence Plan Partners
 
 
No
(8)Providence Health Assurance
4400 NE Halsey Bldg 2

Portland,OR97213
55-0828701 		Medicaid Healthcare Provider OR 501( c)(4) N/A Providence Health Plan
 
 
No
(9)Providence Medical Institute
4101 Torrance Blvd

Torrance,CA90503
33-0283773 		Healthcare CA 501( c)(3) Line 11/Type I PHS - So California
 
 
No
(10)Little Company of Mary Ancillary Services Corporation
4101 Torrance Blvd

Torrance,CA90503
33-0844408 		Imaging Services CA 501( c)(3) Line 9 PHS - So California
 
 
No
(11)Providence TrinityCare Hospice
5315 Torrance Blvd Suite B1

Torrance,CA90503
95-3264139 		Hospice CA 501( c)(3) Line 9 PHS - So California
 
 
No
(12)Providence Blanchet Association
1700 Providence Pl

Centralia,WA98531
91-1789266 		Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(13)St Luke Association
350 Washington Ave SE

Chehalis,WA98352
94-3176618 		Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(14)Providence Rossi Association
1700 Providence Pl

Centralia,WA98531
31-1584166 		Supportive Housing WA 501( c)(3) Line 9 PH & S - Washington
 
 
No
(15)Lundberg Association
5921 E Burnside

Portland,OR97215
91-1562797 		Supportive Housing OR 501( c)(3) Line 7 PH & S - Oregon
 
 
No
(16)Providence St Francis Association
3415 12th Avenue NE

Olympia,WA98506
94-3244854 		Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(17)Providence Peter Claver Association
7101 38th Avenue South

Seattle,WA98118
31-1629656 		Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(18)Providence St Elizabeth House Association
3201 SW Graham St

Seattle,WA98126
91-2171539 		Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(19)Providence Gamelin House Association
4515 MLK Jr Way S Ste 200

Seattle,WA98108
31-1744654 		Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(20)The Gamelin Association
312 North Fourth St

Yakima,WA98901
91-1180824 		Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(21)The Gamelin Oregon Association
5520 NE Glisan

Portland,OR97213
91-1214491 		Supportive Housing OR 501( c)(3) Line 9 PH & S - Oregon
 
 
No
(22)The Gamelin California Association
540 23rd St

Oakland,CA94612
91-1293869 		Supportive Housing CA 501( c)(3) Line 9 PHS - So California
 
 
No
(23)Gamelin Washington Association
1423 First Avenue

Seattle,WA98101
20-1910170 		Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(24)Providence Dethman House
1205 Montello Ave

Hood River,OR97031
47-3385506 		Supportive Housing WA 501( c)(3) Pending N/A
 
No
(25)Providence Foundation
1801 Lind Avenue SW 9016

Renton,WA980579016
94-3078543 		Support PH&S Institutions WA 501( c)(3) Line 11/Type II PH & S - Washington
 
 
No
(26)Providence Alaska Foundation
3300 Providence Drive - B Tower2

Anchorage,AK99508
92-0093565 		Support PHS-Alaska AK 501( c)(3) Line 11/Type I PH & S - Washington
 
 
No
(27)Providence St Peter Foundation
413 Lilly Road NE

Olympia,WA985065166
91-1097056 		Support Affiliated Tax-Exempt Organization WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(28)Providence Health Care Foundation (Centralia)
914 S Scheuber Road

Centralia,WA98531
91-1433382 		Support Providence Centralia Hospital WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(29)Providence Mount St Vincent Foundation
4831 - 35th Avenue SW

Seattle,WA981262799
91-1188119 		Support Providence Mount St.Vincent WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(30)Providence Marianwood Foundation
3725 Providence Point Drive SE

Issaquah,WA980297219
93-1554288 		Support Providence Marianwood WA 501( c)(3) Line 11/Type I PH & S - Washington
 
 
No
(31)Providence Newberg Health Foundation
1001 Providence Drive

Newberg,OR97132
93-0889144 		Support Providence Newberg Medical Center OR 501( c)(3) Line 7 PH & S - Oregon
 
 
No
(32)Providence Seaside Hospital Foundation
725 S Wahanna Rd

Seaside,OR97138
93-0927320 		Support Providence Seaside Hospital OR 501( c)(3) Line 7 PH & S - Oregon
 
 
No
(33)Providence Community Health Foundation
1111 Crater Lake Ave

Medford,OR97504
93-0692907 		Support Providence Medford Medical Center OR 501( c)(3) Line 7 PH & S - Oregon
 
 
No
(34)Providence Benedictine Nursing Center Foundation
540 South Main St

Mt Angel,OR973629532
91-1940286 		Support Providence Benedictine Nursing Center OR 501( c)(3) Line 7 PH & S - Oregon
 
 
No
(35)Providence Portland Medical Foundation
4805 NE Glisan St

Portland,OR972132967
93-1231494 		Support Providence Portland Medical Center OR 501( c)(3) Line 7 PH & S - Oregon
 
 
No
(36)Providence St Vincent Medical Foundation
9205 SW Barnes Rd

Portland,OR97225
93-0575982 		Support Providence St. Vincent Medical Center OR 501( c)(3) Line 7 PH & S - Oregon
 
 
No
(37)Providence Milwaukie Foundation
10150 SE 32nd

Milwaukie,OR97222
94-3079515 		Support Providence Milwaukie Hospital OR 501( c)(3) Line 7 PH & S - Oregon
 
 
No
(38)Providence Child Center Foundation
830 NE 47th

Portland,OR97213
93-0800140 		Support Providence Child Center OR 501( c)(3) Line 7 PH & S - Oregon
 
 
No
(39)Providence TrinityCare Hospice Foundation
5315 Torrance Blvd Suite B1

Torrance,CA90503
33-0261016 		Support TrinityCare Hospice CA 501( c)(3) Line 7 Providence TrinityCare Hospice
 
 
No
(40)Providence Little Company of Mary Foundation
4101 Torrance Blvd

Torrance,CA90503
51-0224944 		Support Little Company of Mary Service Area CA 501( c)(3) Line 7 PHS - So California
 
 
No
(41)PH&S FoundationSFVSA & SCVSA
501 S Buena Vista Street

Burbank,CA91505
95-3544877 		Support Program & Activities of SFVSA & SCVSA CA 501( c)(3) Line 7 PHS - So California
 
 
No
(42)Providence Hospice of Seattle Foundation
425 Pontius Avenue North 300

Seattle,WA981095452
91-2077378 		Support Hospice of Seattle WA 501( c)(3) Line 11/Type I PH & S - Washington
 
 
No
(43)Providence Health & Services - Western Washington
1801 Lind Avenue SW 9016

Renton,WA980579016
91-1303277 		Healthcare WA 501( c)(3) Line 3 Providence MinistriesWHC
 
 
No
(44)Providence Health & Services
1801 Lind Avenue SW 9016

Renton,WA980579016
91-1549796 		Shell Corporation WA 501( c)(3) Line 11/Type II Providence Ministries
 
 
No
(45)Providence Health & Services - Montana
500 W Broadway PO Box 4587

Missoula,MT598064587
81-0231793 		Healthcare MT 501( c)(3) Line 3 PH & S - Washington
 
 
No
(46)Providence St Joseph Medical Center
PO Box 1010

Polson,MT598601010
81-0463482 		Healthcare MT 501( c)(3) Line 3 PH & S - Washington
 
 
No
(47)St Thomas Child and Family Center
1710 Benefis Court

Great Falls,MT59405
81-0233495 		Early Childhood Education MT 501( c)(3) Line 9 PH & S - Washington
 
 
No
(48)Sisters of Providence of Montana Corporation
1801 Lind Avenue SW 9016

Renton,WA980579016
26-2612415 		Shell Corporation MT 501( c)(3) Line 1 PH & S - Washington
 
 
No
(49)Providence Health Care Foundation - Eastern Washington
101 W 8th Ave

Spokane,WA99204
32-0014330 		Support PH&S-WA. Ministries in E. WA. WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(50)St Patrick Hospital Foundation
500 West Broadway PO Box 4587

Missoula,MT598064587
23-7056976 		Support Healthcare in W. Montana MT 501( c)(3) Line 7 PH & S - Washington
 
 
No
(51)University of Great Falls
1301 20th Street South

Great Falls,MT59405
81-0231777 		Post Secondary Education MT 501( c)(3) Line 2 Providence Health & Services
 
 
No
(52)E WA & MT Unemployment Compensation Insurance Trust
1801 Lind Avenue SW 9016

Renton,WA980579016
91-1082119 		Unemployment Benefits WA 501( c)(3) Line 11/Type I PH & S - Washington
 
 
No
(53)Providence Willamette Falls Medical Foundation
1500 Division Street

Oregon City,OR97045
93-1003750 		Support Willamette Falls Hospital OR 501( c)(3) Line 11/Type I PH & S - Oregon
 
 
No
(54)Providence Hood River Memorial Hospital Foundation Inc
811 13th St

Hood River,OR97031
93-0921990 		Support Providence Hood River Memorial Hospital OR 501( c)(3) Line 7 PH & S - Oregon
 
 
No
(55)Providence Hospice and Home Care Foundation
2731 Wetmore Avenue Suite 500

Everett,WA98201
27-2552749 		Support Program & Ministries of PHHC WA 501(c )(3) Line 7 PH & S - Washington
 
 
No
(56)Providence St Mary Foundation
401 W Poplar St

Walla Walla,WA99362
45-2841492 		Support Program & Ministries of SMMC WA 501(c )(3) Line 7 PH & S - Washington
 
 
No
(57)Facey Medical Foundation
15451 San Fernando Mission Blvd 200

Mission Hills,CA913451420
95-4322584 		Support Facey Medical Group CA 501(c )(3) Line 7 PHS - So California
 
 
No
(58)Swedish Health Services
747 Broadway

Seattle,WA98122
91-0433740 		Healthcare WA 501(c )(3) Line 3 Western HealthConnect
 
 
No
(59)Swedish Medical Center Foundation
747 Broadway

Seattle,WA98122
91-0983214 		Support Swedish Health Services WA 501(c )(3) Line 7 Swedish Health Services
 
 
No
(60)Global To Local Health Initiative
2800 South 192nd St 104

SeaTac,WA98188
27-3133200 		Healthcare WA 501(c )(3) Line 7 Swedish Health Services
 
 
No
(61)Swedish MJM Holdings
747 Broadway

Seattle,WA98122
27-3139262 		Holding Company WA 501(c )(3) Line 11/Type I Swedish Health Services
 
 
No
(62)Marsha Rivkin Center for Ovarian Cancer Research
747 Broadway

Seattle,WA98122
91-2054035 		Ovarian Cancer Research WA 501(c )(3) Line 7 Swedish Health Services
 
 
No
(63)Western HealthConnect
747 Broadway

Seattle,WA98122
45-4171900 		Shell Corporation WA 501(c )(3) Line 11/Type II PH&S Western Washington
 
 
No
(64)Inland Northwest Health Services
601 W 1st Avenue

Spokane,WA99201
91-1307555 		Healthcare WA 501( c)(3) Line 3 PH&S - Washington
 
 
No
(65)Kadlec Regional Medical Center
888 Swift Blvd

Richland,WA99352
91-0655392 		Healthcare WA 501(c )(3) Line 3 Western HealthConnect
 
 
No
(66)Kadlec Neurological Resource Center
1268 Lee Blvd

Richland,WA99352
91-1266345 		Healthcare WA 501(c )(3) Line 9 Western HealthConnect
 
 
No
(67)Kadlec Foundation
888 Swift Blvd

Richland,WA99352
23-7005501 		Support Kadlec Regional Medical Center WA 501(c )(3) Line 11/Type I Kadlec Regional Medical Center
 
 
No
(68)PacMed Clinics
1200 12th Ave S

Seattle,WA98144
56-2290878 		Healthcare WA 501(c )(3) Line 9 Western HealthConnect
 
 
No
(69)Seattle Science Foundation
550 17th Ave

Seattle,WA98122
61-1502822 		Physician Collaboration WA 501(c )(3) Line 7 Western HealthConnect
 
 
No
(70)Providence Saint John's Health Center
2121 Santa Monica Blvd

Santa Monica,CA90404
95-1684082 		Healthcare CA 501(c )(3) Line 3 PHS - So California
 
 
No
(71)John Wayne Cancer Institute
2200 Santa Monica Blvd

Santa Monica,CA90404
95-4291515 		Cancer Treatment CA 501(c )(3) Line 4 Providence Saint John's Health Center
 
 
No
(72)Saint John's HospitalHealth Center Foundation
2121 Santa Monica Blvd

Santa Monica,CA90404
95-6100079 		Support Saint John Health Center & JWCI CA 501(c )(3) Line 7 Providence Saint John's Health Center
 
 
No
(73)Providence St Joseph Health
1801 Lind Avenue SW 9016

Renton,WA98057
81-1244422 		Shell Corporation WA 501(c )(3) Pending N/A
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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) Providence Imaging Center

3340 Providence Drive
Anchorage,AK99508
92-0118807 		Medical Imaging AK N/A
                  
(2) California Laboratory Associates LLC

501 Buena Vista
Burbank,CA91505
27-3888692 		Outpatient Lab CA N/A
                  
(3) Broadway Imaging LLC

500 W Broadway
Missoula,MT59802
52-2405971 		Medical Imaging MT N/A
                  
(4) Ctr for Med Imaging-Bridgeport LLC

4400 NE Halsey 495
Portland,OR97213
26-0796953 		Imaging - Diagnostics OR N/A
                  
(5) Ctr for Med Imaging-Tanasbourne LLC

4400 NE Halsey 495
Portland,OR97213
20-0477972 		Imaging - Diagnostics OR N/A
                  
(6) Pathology Associates Medical Laboratories LLC

611 N Perry
Spokane,WA99202
27-0943279 		Outpatient Lab WA N/A
                  
(7) Portland Medical Imaging LLC

4400 NE Halsey 495
Portland,OR97213
20-1054971 		Imaging - Diagnostics OR N/A
                  
(8) Oregon Advanced Imaging LLC

881 OHare Parkway
Medford,OR97504
45-0471748 		Medical Imaging OR N/A
                  
(9) Minor & James Medical PLLC

515 Minor Avenue 200
Seattle,WA98104
91-1340223 		Physician Clinic WA N/A
                  
(10) Providence Surgery Center LLC

902 N Orange St
Missoula,MT59802
84-1401625 		Ambulatory Surgery Center MT N/A
                  
(11) Clackamas Radiation Oncology Center LLC

4400 NE Halsey St Bldg II 495
Portland,OR97213
26-0381897 		Radiation Oncology OR N/A
                  
(12) PETCT Imaging at Swedish Cancer Institute LLC

1221 Madison Street
Seattle,WA98104
20-3132044 		Medical Imaging WA N/A
                  
(13) PacLab LLC

611 N Perry
Spokane,WA99202
91-1743952 		Outpatient Lab WA N/A
                  
(14) The Madison Spokane Inn LLC

15 West Rockwood Blvd
Spokane,WA99204
84-1606484 		Hotel Services WA N/A
                  
(15) Center for Specialty Surgery LLC

11782 SW Barnes Rd
Portland,OR97225
26-3638838 		Ambulatory Surgery Center OR N/A
                  
(16) Oregon Outpatient Surgery Center

7300 SW Childs Rd
Tigard,OR97224
22-3883387 		Ambulatory Surgery Center OR N/A
                  
(17) ProvidenceUSP Santa Clarita GP LLC

11550 Indian Hills Road 160
Mission Hills,CA91345
20-2829660 		Ambulatory Surgery Center CA N/A
                  
(18) ProvidenceUSP Surgery Ctrs LLC

11550 Indian Hills Road 160
Mission Hills,CA91345
20-0905938 		Ambulatory Surgery Center CA N/A
                  
(19) Alpha Medical Laboratory LLC

611 N Perry
Spokane,WA99202
91-2017347 		Outpatient Lab ID N/A
                  
(20) Greater Valley Medical Building LP

501 S Buena Vista St
Burbank,CA91505
95-4570858 		Real Estate - MOB CA N/A
                  
(21) Prov Radiation Oncology Develop Assn LLC

4400 NE Halsey 495
Portland,OR97213
26-0682491 		Real Estate - MOB OR N/A
                  
(22) Providence Partners for Health LLC

501 S Buena Vista St
Burbank,CA91505
45-4041798 		Clinical Quality & Integration CA N/A
                  
(23) ProvidenceSilverton Rehab LLC

4400 NE Halsey 425
Portland,OR97213
48-1287267 		Rehab Services OR N/A
                  
(24) Southern Idaho Regional Laboratory LLC

611 N Perry
Spokane,WA99202
82-0511819 		Outpatient Lab ID N/A
                  
(25) Mountainstar Clinical Laboratories LLC

611 N Perry
Spokane,WA99202
26-1345983 		Outpatient Lab MT N/A
                  
(26) Tri-Cities Laboratory LLC

611 N Perry
Spokane,WA99202
91-1773986 		Outpatient Lab 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) Providence Health Ventures Inc

4101 Torrance Blvd
Torrance,CA90503
33-0122216 		Investment CA N/A
 C         No
(2) Caron Health Corporation

510 W Front St
Missoula,MT59802
81-0486082 		Medical Physician Service MT N/A
 C         No
(3) Providence Health Care Ventures Inc

101 W 8th Ave TAF C-9
Spokane,WA99204
90-0155714 		Clinical/Medical Lab WA N/A
 C         No
(4) Providence Physician Services Co

101 W 8th Ave TAF C-9
Spokane,WA99204
91-1216033 		Clinical/Medical Lab WA N/A
 C         No
(5) Yakima Medical Arts Inc

611 N Perry 100
Spokane,WA99202
91-0787963 		Rental Real Estate WA N/A
 C         No
(6) Bourget Health Services Inc

PO Box 2687
Spokane,WA99220
91-1354431 		Clinical/Medical Lab WA N/A
 C         No
(7) 1221 Madison Street Owners Assoc

747 Broadway
Seattle,WA98122
20-1954319 		Owners' Association WA N/A
 C         No
(8) Western HealthConnect Ventures Inc

1801 Lind Ave SW 9016
Renton,WA98057
80-0953654 		Investment WA N/A
 C         No
(9) PHN Holdings

20555 Earl Street
Torrance,CA90503
46-1814184 		Strategic Planning Services CA N/A
 C         No
(10) Providence Health Network

20555 Earl Street
Torrance,CA90503
80-0886966 		Prepaid Healthcare CA N/A
 C         No
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
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
Yes
 
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
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
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
Yes
 
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) 2015
Schedule R (Form 990) 2015
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) 2015
Schedule R (Form 990) 2015
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) 2015

Additional Data


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