Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(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. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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 | ||||
| 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 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 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) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole corporate member of the corporation is Western HealthConnect, a Washington nonprofit corporation. |
| Form 990, Part VI, Section A, line 7b | The following powers are reserved to and exercised exclusively by Member: 1) To amend or repeal the Articles of Incorporation or Bylaws; 2) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale, transfer, assignment, or encumbering of the assets; 3) To approve the dissolution, liquidation, consolidation or merger with another corporation or entity; 4) 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; and 5) 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 internal PH&S Director of Taxes 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 | Swedish Health Services is a Providence-related Organization. Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related and affiliated organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence/Swedish. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. |
| Form 990, Part VI, Section B, line 15 | Process for determining compensation of top management, officers & key employees: It is Swedish's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Swedish achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Swedish has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Swedish has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are reviewed by the Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence or Swedish employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Swedish is an affiliate of Providence Health & Services, which is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Swedish executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Additionally, the Providence President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for senior executives. This process includes a rigorous and thorough analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational and individual goals for furthering Swedish's operating principles - meeting benchmarks for community benefit, achieving quality targets, delivering top-rated customer satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts an in-depth review to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. |
| Form 990, Part VI, Section C, line 19 | Swedish Health Services' Code of Conduct and Conflict of Interest Policy are available at www.swedish.org. Governing documents and financial statements are available upon request. |
| 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. Anthony Armada - 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. Debbie Burton - 1801 Lind Avenue SW, , Renton, WA 98057. Debra Canales - 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. Tom McDonagh - 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. 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 53,632,238. Management and general expenses 2,943,844. Fundraising expenses 0. Total expenses 56,576,082. Medical Director & Med Physician Fees: Program service expenses 32,167,487. Management and general expenses 0. Fundraising expenses 0. Total expenses 32,167,487. Repairs & Maintenance: Program service expenses 21,714,639. Management and general expenses 14,727,425. Fundraising expenses 0. Total expenses 36,442,064. Transcription & Translation Services: Program service expenses 1,219,153. Management and general expenses 71,609. Fundraising expenses 0. Total expenses 1,290,762. Other Patient Services: Program service expenses 36,615,994. Management and general expenses 7,193,448. Fundraising expenses 0. Total expenses 43,809,442. Other Administrative Services: Program service expenses 37,448,173. Management and general expenses 10,883,091. Fundraising expenses 0. Total expenses 48,331,264. General Consulting Fees: Program service expenses 17,895,459. Management and general expenses 2,860,119. Fundraising expenses 0. Total expenses 20,755,578. |
| Form 990, Part XI, line 9: | Book/Tax Difference - Investment in Corporations 3,358,223. Book/Tax Difference - Joint Venture Income 109,464. Restricted Contributions & Grants 16,671,494. Timing difference in Contributions from Foundation 157,550. Defined Benefit Plan Adjustment -16,636,608. Audited FS adjustment to Foundation contribution 293,166. |
| FORM 990, PART I, Line 6 - VOLUNTEERS | Volunteers play an integral role in supporting the patients, visitors and staff at our campuses. Volunteers are part of the care team in many in-patient and out-patient units. They provide non-clinical, direct patient care by greeting and checking in patients while providing instructions how to gown up; assisting with tracking the patient board to determine if a room needs to be cleaned; sanitizing supplies and equipment; helping with patient belongings; accompanying families to patient floors and directing them to appropriate services and amenities; and assisting with patient transport. In Ancillary departments, such as Spiritual Care, Community & Cancer Education Centers, Employee Health & Wellness Center, Health Information Management, Medical Imaging, Linguistic Services, Marketing & Communications, Medical Staff Services, Patient Registration and Swedish Community Specialty Clinic, volunteers performs tasks that may include data entry, filing, collating materials and assembling packets, mailing, answering phones and responding to inquiries, and assisting with Microsoft Office projects. In Physical Therapy they also help with cleaning equipment. Swedish maintains Transition Program with the Seattle School District for special needs students 18-21 years of age. These students volunteer in Physical Therapy, Parking Services, Medical Education, Breast Care Center, Swedish Cancer Institute, Mail Services, Linen Services, Women and Infants Services, Environmental Services, Material Service Center, Gift Shop, and Nutrition Services. They also complete special assignments, help to manage the clothing bank for WIC & ARS, and make packets for a variety of departments. The morning mail run is often accomplished by Transition Program volunteers. Volunteers coordinate unpaid Internships falling outside of Academic Affiliations - these include Clinical Child Life Internship, Community Education Internships, Women & Infants Internship, and other unique situations on a case-by-case basis. Newsletter volunteer helps publish "The Spark", the Eastside volunteer newsletter to bring important hospital related events and education to the volunteers. It also includes fun tidbits about different people in the spirit of engaging the team and the staff. Cuddler volunteer works closely with our Childlife Specialist and nursing staff volunteers assist with providing resources to families of pediatric patients, overseeing the playroom and responding to requests by staff specific to patient or department needs. Maybe called upon to be a cuddler to relieve parents. Assisting lactation specialist with education materials and set up of classes. Oncology volunteers oversee the activities of the education resource center by responding to patient and visitor requests for materials and resources pertaining to their condition, assist with wig fittings, and order materials under the oversight of the education resource supervisor. Volunteers also assist with patient reminder calls. In the patient infusion treatment areas volunteers provide comfort diversion activities such as getting a warm blanket, getting lunch or snacks from the nutrition room and assisting the nurses with their needs. With growing patient volumes and nearby community expansion, pharmacy volunteers are integral in supporting the pharmacy staff by assisting with retail sales and helping facilitate discharge prescription requests between customers and staff. Volunteers also help with inventory and replenishing of supplies. Volunteers need to have a Pharmacy Assistant license in order to volunteer in this area. Through a special grant that supplies books in a special reading area in the primary care clinics a volunteer reads to pediatric (five and under) while waiting to be seen for their appointments. This is a popular diversion for our young patients; this effort also contributes to their love for reading. Certified thru an accredited organization such as the Pet Partners or Therapy Dogs International pet partner teams provide comfort and therapy diversion for our pediatric and oncology patients. The staff especially loves it when our pet partners go around different waiting and public areas. Volunteers are called upon to assist with one time special projects and events such as Employee Week gifts, big mailings, taking photos at a staff function, manning a booth in one of Swedish' s community events, distributing promotional materials to the public, and assisting with decorations or display and auctions sponsored by the organization. |
| Form 990, Part XII, Line 2c - AUDIT & COMPLIANCE | The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the System's consolidated financial statements and reporting, the audit process and the System's internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the System's internal and external auditors; the System's investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation |
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