TY 2015 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) DEAN ALLEN...................................................................... TRUSTEE	4.00 ................. 0.00	X
(2) JOEL BENOLIEL...................................................................... TREASURER	4.00 ................. 0.00	X	X
(3) SUSAN BETCHER...................................................................... TRUSTEE	2.00 ................. 0.00	X
(4) PAT CHAR...................................................................... TRUSTEE	2.00 ................. 0.00	X
(5) MICHAEL DELMAN...................................................................... TRUSTEE	4.00 ................. 0.00	X
(6) ROY DIAZ PHD...................................................................... TRUSTEE	6.00 ................. 0.00	X
(7) ROBERT FLOWERS...................................................................... TRUSTEE	2.00 ................. 1.00	X
(8) COLIN FOX PHD...................................................................... TRUSTEE	6.00 ................. 0.00	X
(9) DEBORAH HAUG...................................................................... TRUSTEE	2.00 ................. 0.00	X
(10) JUDY HOLDER...................................................................... CHAIR/TRUSTEE	15.00 ................. 1.00	X	X
(11) CYNTHIA HUFFMAN...................................................................... TRUSTEE	3.00 ................. 0.00	X
(12) JIM LADD...................................................................... TRUSTEE	3.00 ................. 0.00	X
(13) MONA LEE LOCKE...................................................................... TRUSTEE	2.00 ................. 0.00	X
(14) PATRICIA LOERA...................................................................... TRUSTEE	2.00 ................. 0.00	X
(15) SUSAN MASK...................................................................... SECRETARY	3.00 ................. 0.00	X	X
(16) JEFF NITTA...................................................................... TRUSTEE	2.00 ................. 0.00	X
(17) LAURIE OKI...................................................................... TRUSTEE	3.00 ................. 1.00	X

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JUDITH PIERCE........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0	0
(19) MICHAEL REEVES........................................................................ TRUSTEE	3.00 .......................0.00	X					0	0	0
(20) ROB ROSKIN MD........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0	0
(21) NANCY SENSENEY........................................................................ CHAIR ELECT/CHAIR	10.00 .......................1.00	X	X				0	0	0
(22) MICHELE SMITH........................................................................ TRUSTEE	3.00 .......................3.00	X					0	0	0
(23) CHARLES STEVENS........................................................................ TRUSTEE/VICE CHAIR	8.00 .......................0.00	X	X				0	0	0
(24) ALVIN WINTERROTH........................................................................ TRUSTEE	3.00 .......................0.00	X					0	0	0
(25) KELLY WALLACE........................................................................ SENIOR VP & CHIEF FINANCIAL OFFICER	41.00 .......................15.00		X				506,487	165,866	120,380
(26) JEFF SPERRING MD........................................................................ CEO/NON-VOTING EX-OFFICIO TRUSTEE	42.00 .......................15.00		X				449,462	148,872	141,203
(27) THOMAS HANSEN MD........................................................................ CEO THRU MAY 2015/PRINC INVESTIGATOR	45.00 .......................0.00			X			1,110,757	180,366	272,910
(28) LISA BRANDENBURG........................................................................ PRESIDENT - HOSPITAL	55.00 .......................1.00			X			812,050	0	152,454
(29) SANFORD MELZER MD........................................................................ EXEC VP-NETWORKS & POPULATION HEALTH	55.00 .......................0.00			X			606,952	152,931	129,551
(30) MARK DEL BECCARO MD........................................................................ SR VP-CHIEF MED OFF/NON-VOTING TRUST	55.00 .......................1.00			X			557,572	0	99,801
(31) JAMES HENDRICKS PHD........................................................................ PRESIDENT - RESEARCH INSTITUTE	55.00 .......................0.00			X			518,791	0	105,599
(32) SUSAN HEATH........................................................................ SENIOR VP & CHIEF NURSING OFFICER	55.00 .......................0.00			X			460,769	0	29,168
(33) CINDY GAZECKI........................................................................ SENIOR VP - HOSPITAL OPERATIONS	55.00 .......................0.00			X			441,800	0	96,513
(34) SUZANNE PETERSEN........................................................................ COS TO CEO & VP - EXT. AFFAIRS	55.00 .......................0.00			X			428,637	0	44,390
(35) ERIK LAUSUND........................................................................ VP - RESEARCH OPERATIONS & LOGISTICS	55.00 .......................0.00			X			374,621	0	39,992
(36) JEFFREY SCONYERS........................................................................ SENIOR VP & GENERAL COUNSEL	27.50 .......................27.50			X			193,331	179,313	76,144
(37) WARREN HEWITT........................................................................ VP - FINANCE	55.00 .......................0.00			X			351,338	0	38,346
(38) CARA BAILEY........................................................................ SR VP-CONTINUOUS PERFORMANCE IMPROVE.	55.00 .......................0.00			X			350,715	0	64,714
(39) TODD JOHNSON........................................................................ VP - FACILITIES	55.00 .......................0.00			X			340,855	0	46,457
(40) STEPHANIE AXELROD........................................................................ VP-COMMUNITY & STRATEGIC INITIATIVES	55.00 .......................0.00			X			323,905	0	47,849
(41) ALEXANDER GARRARD........................................................................ VP - HUMAN RESOURCES	55.00 .......................0.00			X			274,620	0	47,877
(42) JENNIFER BECKER........................................................................ VP - AMBULATORY SERVICES	55.00 .......................0.00			X			255,538	0	33,383
(43) KATHY JO FREEMAN........................................................................ VP - PERIOP. & SURGICAL SERV. LINES	55.00 .......................0.00			X			250,705	0	46,806
(44) EDWIN WRIGHT........................................................................ SENIOR VP & CHIEF INFO. OFFICER	55.00 .......................0.00			X			235,243	0	40,197
(45) GREGORY BLACKBURN........................................................................ VP - CLINICAL SUPPORT SERVICES	55.00 .......................0.00			X			217,468	0	19,359
(46) MICHAEL MURPHY........................................................................ VP - ACCOUNTABLE CARE NETWORK	55.00 .......................0.00			X			199,384	0	7,619
(47) DOUGLAS PICHA........................................................................ PRESIDENT - FOUNDATION	5.50 .......................50.50				X		88,699	630,204	106,691
(48) MARK EGBERT DDS........................................................................ CHIEF - ORAL & MAXILLOFACIAL SURGERY	55.00 .......................0.00				X		540,424	0	49,438
(49) MICHAEL ASTION MD........................................................................ MEDICAL DIRECTOR - LABORATORIES	55.00 .......................0.00				X		501,205	0	46,558
(50) JAMES CHRISTIANSEN MD........................................................................ CARDIOLOGIST	55.00 .......................0.00				X		461,945	0	43,581
(51) CRAIG RUBENS MD PHD........................................................................ EXECUTIVE DIRECTOR - GAPPS	55.00 .......................0.00				X		447,580	0	40,394
(52) DAVID FISHER MD........................................................................ FORMER SR VP & CHIEF MEDICAL OFFICER	0.00 .......................0.00					X	227,089	0	13,625

(A) Name and business address	(B) Description of services	(C) Compensation
CHILDREN'S UNIVERSITY MEDICAL GROUP PO BOX 50010 SEATTLE,WA98105	PHYSICIAN SERVICES	87,213,877
SELLEN CONSTRUCTION 227 WESTLAKE AVENUE NORTH SEATTLE,WA98109	CONSTRUCTION	34,185,274
UNIVERSITY OF WASHINGTON PO BOX 358220 SEATTLE,WA98195	RESIDENTS & INTERNS	30,262,110
LEASE CRUTCHER LEWIS 107 SPRING STREET SEATTLE,WA98104	CONSTRUCTION	15,145,822
ALDRICH AND ASSOCIATES INC 810 240 STREET SE BOTHELL,WA98021	CONSTRUCTION	14,328,165
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 307

- TIN:

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.
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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

SEATTLE CHILDREN'S HOSPITAL

Employer identification number

91-0564748

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


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

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)		(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.) ....	108,394,674	128,241,214	116,550,644	130,967,380	141,913,396	626,067,308
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	108,394,674	128,241,214	116,550,644	130,967,380	141,913,396	626,067,308
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)..						35,358,316
6	Public support. Subtract line 5 from line 4.						590,708,992

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..	108,394,674	128,241,214	116,550,644	130,967,380	141,913,396	626,067,308
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	18,776,508	13,392,514	17,945,000	27,132,475	39,030,564	116,277,061
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	193,627	145,624	441,244	452,668	480,145	1,713,308
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..				9,790,406	20,490,033	30,280,439
11	Total support. Add lines 7 through 10.						774,338,116

Gross receipts from related activities, etc. (see instructions) ..................

5,054,583,743

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

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

76.290 %

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

78.890 %

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

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)		(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)		(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.)..

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

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

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) .

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).

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.

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.

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.

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

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

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described in (a) above?

11b

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

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

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, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	GAIN ON FORGIVENESS OF DEBT - 2014 AMOUNT: $ 9,790,406. 2015 AMOUNT: $ 19,740,033. LITIGATION SETTLEMENT - 2015 AMOUNT: $ 750,000.
SCHEDULE A, PARTS I AND II:	AS INDICATED ON PART I, SEATTLE CHILDREN'S IS A HOSPITAL DESCRIBED IN SECTION 170(B)(1)(A)(III). HOWEVER, THE SUPPORT SCHEDULE ON PART II HAS BEEN PREPARED IN ORDER TO DEMONSTRATE THAT IT ALSO QUALIFIES AS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI).

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

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

SEATTLE CHILDREN'S HOSPITAL

Employer identification number

91-0564748

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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 SEATTLE CHILDREN'S HOSPITAL

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (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 SEATTLE CHILDREN'S HOSPITAL		Employer identification number 91-0564748

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 SEATTLE CHILDREN'S HOSPITAL			Employer identification number 91-0564748
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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose 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

(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

(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

(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:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

SEATTLE CHILDREN'S HOSPITAL

Employer identification number

91-0564748

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................	379,062	379,062
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................	379,062	379,062
d	Other exempt purpose expenditures .........................................................................................	1,168,231,693	1,266,460,440
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................	1,168,610,755	1,266,839,502
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................	250,000	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................	0	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................	0	0
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................		Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	318,904	588,370	341,775	379,062	1,628,111

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-A, AFFILIATED GROUP STATEMENT:	SEATTLE CHILDREN'S HOSPITAL, EIN: 91-0564748 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 379,062 OTHER EXEMPT PURPOSE EXPENDITURES: 1,168,231,693 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,168,610,755 SEATTLE CHILDREN'S HOSPITAL HAS A 501(H) ELECTION SEATTLE CHILDREN'S HEALTHCARE SYSTEM, EIN: 91-1250116 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 8,394,765 TOTAL EXEMPT PURPOSE EXPENDITURES: 8,394,765 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL FOUNDATION, EIN: 91-1156519 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 69,494,795 TOTAL EXEMPT PURPOSE EXPENDITURES: 69,494,795 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION, EIN: 91-1394056 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 15,756,026 TOTAL EXEMPT PURPOSE EXPENDITURES: 15,756,026 NO 501(H) ELECTION WAS MADE CHILDREN'S RETAIL, EIN: 91-1998909 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 4,583,161 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,583,161 NO 501(H) ELECTION WAS MADE

Return Reference

Explanation

PART II-A, AFFILIATED GROUP STATEMENT:

SEATTLE CHILDREN'S HOSPITAL, EIN: 91-0564748 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 379,062 OTHER EXEMPT PURPOSE EXPENDITURES: 1,168,231,693 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,168,610,755 SEATTLE CHILDREN'S HOSPITAL HAS A 501(H) ELECTION SEATTLE CHILDREN'S HEALTHCARE SYSTEM, EIN: 91-1250116 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 8,394,765 TOTAL EXEMPT PURPOSE EXPENDITURES: 8,394,765 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL FOUNDATION, EIN: 91-1156519 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 69,494,795 TOTAL EXEMPT PURPOSE EXPENDITURES: 69,494,795 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION, EIN: 91-1394056 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 15,756,026 TOTAL EXEMPT PURPOSE EXPENDITURES: 15,756,026 NO 501(H) ELECTION WAS MADE CHILDREN'S RETAIL, EIN: 91-1998909 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 4,583,161 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,583,161 NO 501(H) ELECTION WAS MADE

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

SEATTLE CHILDREN'S HOSPITAL

Employer identification number

91-0564748

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 ....	3
2	Aggregate value of contributions to (during year)	650
3	Aggregate value of grants from (during year)	25,500
4	Aggregate value at end of year ....	960,102

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? ...........

Yes No

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? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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.

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.

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

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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 ....	342,807,000	343,981,000	318,219,000	285,708,000	249,976,000
b	Contributions ...	4,574,000	10,256,000	3,339,000	4,773,000	2,947,000
c	Net investment earnings, gains, and losses	29,475,000	-3,157,000	29,991,000	34,516,000	38,833,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	8,715,000	8,273,000	7,568,000	6,778,000	6,048,000
f	Administrative expenses ....
g	End of year balance ......	368,141,000	342,807,000	343,981,000	318,219,000	285,708,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

52.850 %

Permanent endowment SchDMd Bullet

37.920 %

Temporarily restricted endowment SchDMd Bullet

9.230 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

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 ...	203,548,113		203,548,113
b	Buildings	871,209,965	308,887,025	562,322,940
c	Leasehold improvements	31,007,849	13,115,908	17,891,941
d	Equipment ...	472,189,524	326,830,691	145,358,833
e	Other ...	97,861,225	5,932,037	91,929,188
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,021,051,015

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther 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) POOLED INVESTMENTS	349,197,758	F
(B) DEFERRED COMPENSATION PLANS	2,263,697	F
(C) OIL LEASES	18,500	C
(D) LIFE INSURANCE	31,102	F
(E) INVESTMENT IN HCSA PROPERTIES, LLC	947,100	C
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	352,458,157

Part VIII

InvestmentsProgram 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)BENEFICIAL INTEREST IN SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS)	138,187,268	F
(2)RECEIVABLE FROM SCHS - SCRI INVESTMENT	10,528,741	C
(3)INVESTMENT IN PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC	5,825,800	C
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	154,541,809

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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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
SWAP MTM VALUE - BONDS	26,040,679
DEFERRED COMPENSATION PLAN PAYABLE	2,263,697
DEFERRED AND OTHER LIABILITIES	12,254,207
PAYABLE TO AFFILIATE	6,871,957
DUE TO BROKERS FOR SECURITIES PURCHASED	48,266,608
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	95,697,148
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

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	1,453,998,698
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	23,672,926
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	38,319,314
e	Add lines 2a through 2d .....................			2e	61,992,240
3	Subtract line 2e from line 1..................			3	1,392,006,458
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	1,230,985
b	Other (Describe in Part XIII.) ...........	4b	-3,576,835
c	Add lines 4a and 4b....................			4c	-2,345,850
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,389,660,608

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	1,166,512,278
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	5,399,622
e	Add lines 2a through 2d....................			2e	5,399,622
3	Subtract line 2e from line 1...................			3	1,161,112,656
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	1,230,985
b	Other (Describe in Part XIII.) ............	4b	3,119,033
c	Add lines 4a and 4b.....................			4c	4,350,018
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,165,462,674

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 V, LINE 4:	SEATTLE CHILDREN'S HOSPITAL AND SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) SHARE IN A UNIFIED ENDOWMENT FUND (UEF) THAT IS MANAGED BY SCHS. SEATTLE CHILDREN'S HOSPITAL'S TEMPORARILY AND PERMANENTLY RESTRICTED ASSETS REFLECT ENDOWMENTS WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN BENEFICIAL INTEREST IN SCHS 5,910,770. TRANSFER OF PROPERTY FROM SCHS 35,527,577. BAD DEBT EXPENSE -2,900,877. UBI TAX EXPENSE -218,156.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -4,326,835. PROCEEDS INCLUDED WITH NONOPERATING EXPENSES ON AUDITED FINANCIAL STATEMENTS 750,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 4,326,835. CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS 1,822,787. PROCEEDS INCLUDED WITH NONOPERATING EXPENSES ON AUDITED FINANCIAL STATEMENTS -750,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 2,900,877. UBI TAX EXPENSE 218,156.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
SEATTLE CHILDREN'S HOSPITAL

Employer identification number

91-0564748

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS		159,848,389
	SUB-SAHARAN AFRICA	GRANTS TO RECIPIENTS LOCATED IN THE REGION		1,012,432
	NORTH AMERICA	GRANTS TO RECIPIENTS LOCATED IN THE REGION		637,806
	EUROPE (INCLUDING ICELAND & GREENLAND)	GRANTS TO RECIPIENTS LOCATED IN THE REGION		245,262
	SOUTH AMERICA	GRANTS TO RECIPIENTS LOCATED IN THE REGION		8,468
	NORTH AMERICA	PROGRAM SERVICES	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES	824,000
	EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES	410,000
	SUB-SAHARAN AFRICA	PROGRAM SERVICES	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES	11,000
	EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES	10,000
	MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES	5,000
	EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	151,000
	NORTH AMERICA	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	65,000
	EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	64,000
	MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND AID SITES	26,000
	SOUTH AMERICA	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	23,000
	SUB-SAHARAN AFRICA	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	22,000
	SOUTH ASIA	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	6,000
	CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	4,000
	EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	LEADERSHIP TRAINING IN JAPAN ON CONTINUOUS PERFORMANCE IMPROVEMENT (LEAN)	189,394
	SOUTH ASIA	PROGRAM SERVICES	TRAVEL, SUPPLIES, & HONORARIUMS FOR COHORT SITE VISITS AND MEETINGS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM	83,654
	SUB-SAHARAN AFRICA	PROGRAM SERVICES	TRAVEL & EVENTS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM	37,798
	EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	TRAVEL & EVENTS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM	28,214
	NORTH AMERICA	PROGRAM SERVICES	TRAVEL & EVENTS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM	12,642
	EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	TRAVEL & EVENTS: GLOBAL ALLIANCE TO PREVENT PREMATURITY & STILLBIRTH (GAPPS) PROGRAM	693
	EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	PATIENT ACCOUNT REFUNDS	73,000
	EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	PATIENT ACCOUNT REFUNDS	9,000
	RUSSIA AND NEIGHBORING STATES	PROGRAM SERVICES	PATIENT ACCOUNT REFUNDS	4,000
	MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	TRAVEL TO INTERNATIONAL HOSPITALS TO MAINTAIN GLOBAL RELATIONSHIPS AND PEDIATRIC REFERRALS	29,649
	EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	TRAVEL TO INTERNATIONAL HOSPITALS TO MAINTAIN GLOBAL RELATIONSHIPS AND PEDIATRIC REFERRALS	12,331
	SUB-SAHARAN AFRICA	PROGRAM SERVICES	PEDIATRIC HEALTHCARE - GLOBAL HEALTH PATHWAY RESIDENCY PROGRAM	37,606
	SUB-SAHARAN AFRICA	PROGRAM SERVICES	PARTNERS IN AFRICA CLEFT TRAINING	16,603
	EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
	EAST ASIA AND THE PACIFIC	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
	NORTH AMERICA	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
	SUB-SAHARAN AFRICA	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
	MIDDLE EAST AND NORTH AFRICA	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
3a	Sub-total .....			162,997,357
b	Total from continuation sheets to Part I ...			910,584
c	Totals (add lines 3a and 3b)			163,907,941

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement
SUB-SAHARAN AFRICA	PREVENTING PRETERM BIRTH INITIATIVE	850,283	WIRE TRANSFER
NORTH AMERICA	PREVENTING PRETERM BIRTH INITIATIVE	350,358	WIRE TRANSFER
EUROPE (INCLUDING ICELAND & GREENLAND)	PREVENTING PRETERM BIRTH INITIATIVE	245,262	WIRE TRANSFER
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	121,355	CASH PAYMENT
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	87,217	CASH PAYMENT
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	77,676	CASH PAYMENT
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	152,040	CASH PAYMENT
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	10,109	CASH PAYMENT

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	5
3	Enter total number of other organizations or entities .......................	3

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
PART I, LINE 2:	ORGANIZATIONS SELECTED AS GRANTEES UNDER THE GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH (GAPPS) PROGRAM ARE REQUIRED TO PROVIDE WRITTEN AND FINANCIAL REPORTS. THESE REPORTS ARE PREPARED ON AN INTERIM BASIS AS WELL AS AT THE END OF THE FISCAL YEAR. ADDITIONALLY, PRINCIPAL INVESTIGATORS HAVE QUARTERLY CHECK-IN PHONE CALLS AND ATTEND AN ANNUAL INVESTIGATORS MEETING IN SEATTLE TO REPORT ON THEIR PROGRESS.
PART I, LINE 3:	THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR EXPENDITURES.
PART IV, LINE 6	SEATTLE CHILDREN'S HOSPITAL HAS NO OPERATIONS IN A BOYCOTTING COUNTRY. AS PART OF THEIR HOSPITAL-TO-HOSPITAL AND PHYSICIANS-TO-PHYSICIANS CONNECTIONS, IN ORDER TO INCREASE PATIENT REFERRALS FROM COUNTRIES THAT DO NOT HAVE ADVANCED MEDICAL TREATMENT LOCALLY, PHYSICIANS HAVE TRAVELED AND CONDUCTED MEETINGS WITH HOSPITAL ADMINISTRATORS AND PHYSICIANS IN BOYCOTTING COUNTRIES. PATIENTS FROM THESE BOYCOTTING COUNTRIES ARE SPONSORED BY THEIR GOVERNMENT AND SEEK TREATMENT IN THE UNITED STATES. SOME PATIENTS WILL PAY FOR THEIR OWN TREATMENT HOWEVER NO PAYMENT OR CASH WAS TRANSFERRED BETWEEN SEATTLE CHILDREN'S HOSPITAL AND THE LOCAL HOSPITALS IN THESE BOYCOTTING COUNTRIES.

Schedule F (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

SEATTLE CHILDREN'S HOSPITAL

Employer identification number

91-0564748

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other 40000.0000000000 %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 59900.0000000000 %

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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

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) . . .	1	15,798	11,470,000	1,258,000	10,212,000	0.880 %
b	Medicaid (from Worksheet 3, column a) . . . . .	17	166,168	443,991,000	327,520,000	116,471,000	10.020 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	18	181,966	455,461,000	328,778,000	126,683,000	10.900 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	161		14,522,973	6,740,607	7,782,366	0.670 %
f	Health professions education (from Worksheet 5) . . .	82		33,138,846	8,507,397	24,631,449	2.120 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	8		132,129,128	102,445,326	29,683,802	2.550 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	23		2,427,200	210,947	2,216,253	0.190 %
j	Total. Other Benefits . .	274		182,218,147	117,904,277	64,313,870	5.530 %
k	Total. Add lines 7d and 7j .	292	181,966	637,679,147	446,682,277	190,996,870	16.430 %

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)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	1	500		500	0 %
2	Economic development
3	Community support	11	808,706	34,679	774,027	0.070 %
4	Environmental improvements	2	16,351		16,351	0 %
5	Leadership development and training for community members	2	21,880		21,880	0 %
6	Coalition building	1	1,000		1,000	0 %
7	Community health improvement advocacy	4	33,016		33,016	0 %
8	Workforce development	7	336,115		336,115	0.030 %
9	Other	3	338,359		338,359	0.030 %
10	Total	31	1,555,927	34,679	1,521,248	0.130 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,223,120

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

4,450,789

Enter Medicare allowable costs of care relating to payments on line 5.....

6,681,937

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-2,231,148

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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

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)
1	SEATTLE CHILDREN'S HOSPITAL 4800 SAND POINT WAY NE SEATTLE,WA98105 WWW.SEATTLECHILDRENS.ORG 178019356	X	X	X	X	X	X

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)

	SEATTLE CHILDREN'S HOSPITAL
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):

Yes

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

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 .................

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..................................

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. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SEATTLE CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 400.000000000000% and FPG family income limit for eligibility for discounted care of 599.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEATTLECHILDRENS.ORG/CLINICS-PROGRAMS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

FINASST.SEATTLECHILDRENS.ORG

A plain language summary of the FAP was widely available on a website (list url):
SEATTLECHILDRENS.ORG/CLINICS-PROGRAMS/PAYING-FOR-CARE/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	SEATTLE CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

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
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 3J: SEATTLE CHILDREN'S CONDUCTED ITS FIRST COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2013 TO COVER THE PERIOD 2013-2016 (TAX YEARS 2012-2015) IN ORDER TO:- UNDERSTAND HEALTH AND SAFETY ISSUES FACING UNDERSERVED POPULATIONS WHO EXPERIENCE HEALTH DISPARITIES, USING EXISTING DATA AND THE PERSPECTIVES OF COMMUNITY STAKEHOLDERS AND FAMILIES.- IDENTIFY STRENGTHS, EXISTING PROGRAMS AND ACTIVITIES THAT ARE HELPING THE COMMUNITY THRIVE.- INFORM OUR COMMUNITY BENEFIT EFFORTS BY DETERMINING WHERE THE COMMUNITY NEEDS ALIGN WITH SEATTLE CHILDREN'S STRATEGIC PLAN OR AREAS IN WHICH WE HAVE SIGNIFICANT EXPERTISE.THROUGH THIS FIRST THOROUGH CHNA, WE HAVE GAINED A BETTER UNDERSTANDING OF THE NEEDS AND RESOURCES OF THE COMMUNITIES WE SERVE. THE NEEDS ASSESSMENT LAYS THE FOUNDATION FOR OUR COMMUNITY BENEFIT PLAN, WHICH WILL GUIDE HOW WE WILL CONTINUE TO FULFILL OUR COMMITMENT TO CHILDREN, TEENS AND FAMILIES, IN PARTNERSHIP WITH HEALTH ORGANIZATIONS, GOVERNMENT, BUSINESSES AND COMMUNITIES.SEATTLE CHILDREN'S CHNA HIGHLIGHTS JUST A FEW OF THE MANY DEDICATED GOVERNMENT, NONPROFIT AND PRIVATE ORGANIZATIONS SERVING OUR COMMUNITY'S MOST VULNERABLE POPULATIONS. COALITIONS SUCH AS CHILDHOOD OBESITY PREVENTION COALITION AND THE HEALTH COALITION FOR CHILDREN AND YOUTH ARE POWERFUL ADVOCATES FOR CHILDREN AND FAMILIES. ORGANIZATIONS AND PROVIDERS LIKE COMMUNITY HEALTH CLINICS, UNIVERSITY OF WASHINGTON, HARBORVIEW MEDICAL CENTER, YAKIMA CHILDREN'S VILLAGE, YOUTHCARE, THE CHILDREN'S ALLIANCE AND WITHINREACH OFFER EDUCATION, ADVOCACY, CLINICAL CARE, RESEARCH AND DIRECT SERVICES TO HELP CHILDREN, YOUTH AND FAMILIES GET THE HEALTHCARE AND PREVENTIVE SERVICES THEY NEED. STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS ARE KEY TO GETTING ESSENTIAL DATA AND TO HELPING FOSTER PROGRAM, POLICY AND SYSTEM CHANGE.IN THE CHNA, THE FOLLOWING THEMES EMERGED FROM OUR QUALITATIVE RESEARCH:- POVERTY PLAYS A LARGE ROLE IN FAMILIES' ABILITY TO ACCESS SERVICES.- OBESITY IS A SHARED CONCERN. CONTRIBUTING FACTORS INCLUDE LIMITED SCHOOL-BASED PHYSICAL EDUCATION, NEIGHBORHOODS THAT ARE NOT CONDUCIVE TO PHYSICAL ACTIVITY, A LACK OF HEALTHY FOODS IN SCHOOLS AND LOCAL STORES, AND THE HIGH COST OF SPORTS AND RECREATION OPPORTUNITIES. - ACCESS TO MENTAL HEALTH SERVICES IS LACKING. MENTAL HEALTH SERVICES ARE NOT LOCALLY AVAILABLE AND COST TOO MUCH MONEY. INDIVIDUALS MAY NOT SEEK MENTAL HEALTH SERVICES BECAUSE OF THE STIGMA ASSOCIATED WITH MENTAL ILLNESS. - PARENTS WANT MORE INFORMATION TO BE READILY AVAILABLE TO THEM, GRANDPARENTS AND OTHER CAREGIVERS ABOUT HOW TO KEEP THEIR CHILDREN SAFE AND HEALTHY. THEY FACE CHALLENGES WITH NAVIGATING THE HEALTHCARE SYSTEM. - COMMUNICATION BETWEEN HEALTHCARE PROVIDERS, SCHOOLS AND FAMILIES IS CRITICAL TO GOOD HEALTH.- RURAL WASHINGTON AND SOUTH KING COUNTY ARE GEOGRAPHIC AREAS IN NEED. TEENS, REFUGEES AND IMMIGRANT FAMILIES ARE UNDERSERVED POPULATIONS. - CULTURALLY RELEVANT SERVICES ARE NEEDED. LANGUAGE, IMMIGRATION STATUS, COST, TRANSPORTATION AND LACK OF EDUCATION ABOUT THE HEALTHCARE SYSTEM ARE BARRIERS IN KNOWING ABOUT AND ACCESSING SERVICES AND ACTIVITIES.ASSESSMENT RESULTS HAVE VALIDATED OUR EXISTING WORK AND HAVE HELPED US PRIORITIZE WHERE AND HOW TO FOCUS OUR NEW WORK. GIVEN THE COMPLEXITY OF COMMUNITY NEEDS AND THE FINITE RESOURCES AVAILABLE TO MEET THEM, WE HAVE DIFFICULT CHOICES. WE BELIEVE THAT BY WORKING IN PARTNERSHIP WITH OTHERS, OUR EFFORTS WILL BE AMPLIFIED THROUGHOUT THE COMMUNITY.FOR SEATTLE CHILDREN'S COMMUNITY BENEFIT PLAN, WE HAVE IDENTIFIED FIVE PRIORITY AREAS: - ACCESS TO HIGH QUALITY HEALTHCARE- COORDINATED CARE FOR CHILDREN AND TEENS WITH CHRONIC CONDITIONS- HEALTH EQUITY AND ACCESS IN SOUTH KING COUNTY- OBESITY - MENTAL AND BEHAVIORAL HEALTHWE HAVE SUSTAINED FOUR OTHER COMMUNITY BENEFIT PROGRAMS:- ADOLESCENT HEALTH- INJURY PREVENTION (BOTH INTENTIONAL AND UNINTENTIONAL INJURY)- SERVICES FOR CHILDREN WITH SPECIAL NEEDS- PARENT AND FAMILY EDUCATION AND RESOURCESOUR PRIORITIES HAVE BEEN APPROVED BY THE SEATTLE CHILDREN'S HOSPITAL GOVERNING BOARD OF TRUSTEES AND INCORPORATED INTO THE HOSPITAL'S OPERATING, COMMUNITY OUTREACH AND STRATEGIC INITIATIVES.THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON OUR WEBSITE: WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT.THE COMMUNITY BENEFIT IMPLEMENTATION PLAN IS AVAILABLE ON OUR WEBSITE: WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: IN THE 2013-2016 COMMUNITY HEALTH NEEDS ASSESSMENT (TAX YEARS 2012-2015), SEATTLE CHILDREN'S COMPILED EXISTING CHILD AND ADOLESCENT HEALTH DATA TO DESCRIBE SOCIAL DETERMINANTS OF HEALTH AND SOLICITED DIRECT FEEDBACK FROM COMMUNITY STAKEHOLDERS AND FAMILIES. TO GATHER INFORMATION AND ASSESS COMMUNITY NEEDS AND STRENGTHS, WE CONDUCTED:- A REVIEW OF PUBLIC HEALTH INDICATORS AND AREA DEMOGRAPHICS FROM EXISTING SOURCES- AN ONGOING DATA ANALYSIS WITH OUR LOCAL PUBLIC HEALTH DEPARTMENT- AN ONLINE SURVEY OF 74 COMMUNITY LEADERS REPRESENTING 57 CHILD HEALTHRELATED ORGANIZATIONS ACROSS THE STATE THAT SERVE POPULATIONS THAT ARE HISTORICALLY UNDERSERVED OR ARE EXPERIENCING HEALTH DISPARITIES- INTERVIEWS WITH CHILDREN'S PHYSICIANS AND STAFF LEADERS, 10 PUBLIC HEALTH EXPERTS AND COMMUNITY REPRESENTATIVES- PARENT LISTENING GROUPS (IN ENGLISH, SPANISH AND WITH OUR FAMILY ADVISORY COUNCIL)WE USED TWO FRAMEWORKS, THE SOCIAL-ECOLOGICAL AND THE SPECTRUM OF PREVENTION MODELS TO GATHER BACKGROUND ON 24 AREAS OF NEED, INCLUDING ASTHMA, INJURIES, MENTAL HEALTH, OBESITY, ORAL HEALTH, ACCESS TO CARE, AND CHILDREN WITH CHRONIC CONDITIONS. WE ALSO REVIEWED EXISTING STRENGTHS, PROGRAMS AND SERVICES THAT FOCUS ON CHILD AND TEEN HEALTH AND SAFETY ISSUES.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 7D: SEATTLE CHILDREN'S EMAILED AN ELECTRONIC COPY OF THE CHNA TO ANYONE UPON REQUEST, INCLUDING THOSE WHO OPTED IN TO RECEIVE ONE AT OUR COMMUNITY BENEFIT FORUMS.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: OUR 2013-2016 CHNA (APPLICABLE TO TAX YEARS 2012-2015) CENTERS ON THE NEEDS OF FAMILIES, CHILDREN AND YOUTH OF WASHINGTON STATE AND, SPECIFICALLY, KING COUNTY, WITH A SPECIAL FOCUS ON SOUTH KING COUNTY. OUR CHNA IDENTIFIED SIX SIGNIFICANT NEEDS STATEWIDE, ALL OF WHICH ARE BEING ADDRESSED BY PROGRAMMING THAT SEATTLE CHILDREN'S OFFERS. BELOW IS AN ACCOUNTING OF THE NEEDS IDENTIFIED AND OUR RESPONSE TO EACH.THE CHNA RESEARCH YIELDED THE FOLLOWING ABOUT THE HEALTH NEEDS OF THE COMMUNITY WE SERVE:- ALL COUNTIES IN WASHINGTON STATE, EXCLUDING KING COUNTY, HAVE A SHORTAGE OF PRIMARY MENTAL OR DENTAL CARE PROVIDERS. THROUGH OUR COMMUNITY BENEFIT PROGRAM, WE INVEST IN AND DEVELOP NEW HEALTH CARE PROVIDERS VIA OUR HEALTH PROFESSIONS EDUCATION.- IN A SURVEY OF PEDIATRICIANS IN WASHINGTON STATE, 47.9% REPORTED ACCEPTING ALL NEW MEDICAID PATIENTS. LOW PROVIDER PAYMENT WAS THE NUMBER ONE BARRIER TO PARTICIPATION IN MEDICAID. AT SEATTLE CHILDREN'S WE STRIVE TO ENSURE PATIENTS HAVE EXCEPTIONAL AND EQUAL ACCESS TO HIGH QUALITY HEALTH CARE REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY.- THE LEADING CAUSES OF DEATH AMONG WASHINGTON CHILDREN ARE UNINTENTIONAL INJURIES, BIRTH DEFECTS, SUICIDE, MATERNAL COMPLICATIONS, SUDDEN INFANT DEATH SYNDROME (SIDS), CANCER, PREMATURITY, AND HOMICIDE. SINCE THE LEADING CAUSE OF DEATH IS UNINTENTIONAL INJURY, WE HAVE PROGRAMS THAT FOCUS ON THE LEADING CAUSES OF INJURY DEATHS. IN ORDER, THEY ARE: FOR THE BIRTH - 1 POPULATION: SUFFOCATION, HOMICIDE AND MOTOR VEHICLE CRASHES. FOR AGES 1-4: DROWNING, HOMICIDE AND MOTOR VEHICLE CRASHES. FOR AGES 5-14: MOTOR VEHICLE CRASHES AND DROWNING. FOR AGES 15-19: MOTOR VEHICLE CRASHES, SUICIDE AND POISONING. AS SUCH, WE HAVE HELPED TO DEVELOP OPEN-WATER DROWNING PREVENTION POLICIES USED BY THE STATEWIDE DROWNING PREVENTION COALITION WHERE WE AIM TO TAILOR OUR MESSAGE ACCORDING TO THE DEVELOPMENTAL LEVEL AS WELL AS THE KNOWLEDGE, BELIEFS AND BEHAVIORS OF EACH GROUP WE SERVE. IN ADDITION, WE OFFER MULTIPLE CAR SEAT CHECKS EACH YEAR, WITH TECHNICIANS WORKING ALONGSIDE PARENTS AND CAREGIVERS TO CHECK THE WAY CAR SEATS ARE INSTALLED. OUR TECHNICIANS ALSO SHARE THE CORRECT WAY TO MOST SAFELY SECURE A CHILD IN A MOTOR VEHICLE. - YOUTH WITH DISABILITIES ARE MORE LIKELY TO BE AT RISK FOR UNINTENTIONAL INJURY, DEPRESSION, SUICIDE, ABUSE, AND USE TOBACCO, ALCOHOL OR MARIJUANA. ADDITIONALLY, OUR CENTER FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS (CSHCN) PROVIDES INFORMATION AND RESOURCES FOR PROVIDERS, FAMILIES, AND YOUTH TO MANAGE THEIR HEALTH AND CHRONIC CONDITIONS.- MANY OF OUR PATIENTS HAVE COMPLEX HEALTHCARE NEEDS, AND THROUGH COORDINATED CARE, WE ARE IMPROVING THE WAYS WE WORK WITH OUR PATIENTS WHEN THEY ARE NOT IN THE HOSPITAL AND ARE IMPROVING WAYS WE CONSISTENTLY COORDINATE CARE WITH THEIR OTHER PROVIDERS. THROUGH COORDINATED CARE, WE AIM TO NOT ONLY IMPROVE HOW WE COMMUNICATE WITH OUR PATIENTS AND THEIR FAMILIES, BUT ALSO WITH OTHER PROVIDERS, SPECIALISTS AND HOSPITALS INVOLVED IN CARING FOR THESE HIGH-NEED PATIENTS. WE OFFER NUMEROUS SUPPORT GROUPS AND PARENT RESOURCES AND ARE ALWAYS DEVELOPING OUR COMMUNITY PARTNERSHIPS AROUND CARE COORDINATION.- OF WASHINGTON HIGH SCHOOL STUDENTS, 11% ARE OBESE AND 14-16% ARE OVERWEIGHT. FOR THESE REASONS, WE HAVE HELPED TO TAILOR A HEATH EDUCATION AND NUTRITION COURSE THAT WE ENROLL FAMILIES AT OUR CLINICS. WE HAVE ALSO MADE STRIDES IN MAKING OUR OWN "ON CAMPUS" MEAL OPTIONS FOR STAFF AND FAMILIES MORE HEALTHY. ADDITIONALLY, WE HAVE IMPROVED OUR ON SITE FOOD OPTIONS, ELIMINATED SUGAR SWEETENED BEVERAGES FROM OUR CAFES, DEVELOPED A TEACHING GARDEN SITE WHERE OUR FORMER HELIPAD USED TO BE, AND INSTALLED SEVERAL NEW WATER BOTTLE FILLING SITES ON CAMPUS. ADDITIONALLY WE HAVE PARTNERED WITH THE LOCAL PUBLIC HEALTH DEPARTMENT AND THE HEALTHY KING COUNTY COALITION TO ADDRESS HEALTHY EATING AND ACTIVE LIVING INITIATIVES IN THE COMMUNITIES WE SERVE. WE HAVE ALSO LAUNCHED A 7-5-2-1-0 HEALTHY EATING CURRICULUM THAT WE OFTEN PRESENT AT LOCAL HEALTH FAIRS AND EVENTS IN THE REGION. - HEALTH DISPARITIES EXIST: COMPARED TO OTHER REGIONS OF KING COUNTY, SOUTH KING HAS THE HIGHEST RATES OF: UNINSURED CHILDREN BIRTH TO 17; POOR MATERNAL AND CHILD HEALTH; HOSPITALIZATION FOR CHILDREN AGES 0 TO 17 INJURED BY MOTOR VEHICLE CRASHES, FIREARMS (UNINTENTIONAL AND ASSAULT), POISONING, FALLS AND SUFFOCATION; AND TEEN OBESITY AND RISK OF OVERWEIGHT. WE HAVE OPENED A NEW SATELLITE CLINIC IN SOUTH KING COUNTY IN ORDER TO PLACE OUR DIRECT SERVICES CLOSER TO THE COMMUNITIES WHERE DISPARITIES ARE MOST STARK. OUR NEW SOUTH CLINIC IS LOCATED NEAR A TRANSIT CENTER TO MAKE IT EASIER FOR FAMILIES USING PUBLIC TRANSPORTATION AS WELL.- IN WASHINGTON, 25% OF STUDENTS IN 8TH GRADE, 30% OF STUDENTS IN 10TH GRADE AND 28% OF STUDENTS IN 12TH GRADE REPORTED EXPERIENCING DEPRESSIVE FEELINGS. ALSO, OF CHILDREN AGES 2 TO 17, 12% HAVE ONE OR MORE EMOTIONAL, BEHAVIORAL OR DEVELOPMENTAL CONDITION. WE HAVE UNDERGONE A MASSIVE BED EXPANSION WITHIN OUR PSYCHIATRY AND BEHAVIORAL MEDICINE UNIT (PBMU) IN THE PAST THREE YEARS TO BE BETTER ABLE TO TREAT THESE CHILDREN. OUR PBMU UNIT NOW HAS 41 BEDS WHERE WE CAN TREAT CHILDREN FROM AGES 3 TO 18. ALSO, WE HAVE EXPANDED THE PARTNERSHIP ACCESS LINE (PAL), WHICH IS A TELEPHONE-BASED CHILD MENTAL HEALTH CONSULTATION SYSTEM FOR PRIMARY CARE PROVIDERS THAT ALLOWS KIDS TO BE TREATED AND KEEPS THEM CLOSER TO HOME. STAFFED BY CHILD PSYCHIATRISTS AFFILIATED WITH THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE AND SEATTLE CHILDREN'S HOSPITAL, PAL HAS EXPANDED ITS CONSULTATION SERVICES RECENTLY. PAL IS AVAILABLE TO PRIMARY CARE DOCTORS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS AND PROVIDES RAPID CONSULTATION RESPONSES DURING BUSINESS HOURS FOR ANY TYPE OF MENTAL HEALTH ISSUE THAT ARISES WITH ANY CHILD.ASSESSMENT RESULTS HAVE VALIDATED OUR EXISTING WORK AND HAVE HELPED US PRIORITIZE WHERE AND HOW TO FOCUS OUR 2013-2016 CHNA (APPLICABLE TO TAX YEARS 2012-2015). HOWEVER, GIVEN THE COMPLEXITY OF COMMUNITY NEEDS AND THE FINITE RESOURCES AVAILABLE TO MEET THEM, WE HAVE DIFFICULT CHOICES. WE BELIEVE THAT BY WORKING IN PARTNERSHIP WITH OTHERS, OUR EFFORTS WILL HAVE RIPPLE EFFECTS THROUGHOUT THE COMMUNITY.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 13H: DUE TO SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, THE STANDARD APPLICATION PROCESS FOR FINANCIAL ASSISTANCE IN RARE CASES MAY NOT BE COMPLETED. IN CASES WHERE A PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR FINANCIAL ASSISTANCE IN THE ABSENCE OF RECEIVING ALL REQUIRED INFORMATION, THE SENIOR DIRECTOR OF REVENUE CYCLE OR THE CHIEF FINANCIAL OFFICER MAY ALSO APPROVE PATIENT ACCOUNT BALANCE WRITE-OFFS TO FINANCIAL ASSISTANCE.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 22D: THE HOSPITAL USED THE AVERAGE AMOUNT PAID BY ALL PAYERS (MEDICARE, MEDICAID, AND COMMERCIAL PAYERS) DURING THE LAST COMPLETE TAX YEAR WHEN DETERMINING THE AMOUNTS GENERALLY BILLED (AGB).

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?18
Name and address		Type of Facility (describe)
1	1 - RESEARCH INSTITUTE OLIVE LAB 1100 OLIVE WAY SUITE 100 SEATTLE,WA98101	PEDIATRIC RESEARCH
2	2 - RESEARCH INST JACK R MACDONALD BLDG 1900 NINTH AVE SEATTLE,WA98101	PEDIATRIC RESEARCH
3	3 - RESEARCH INSTITUTE WEST 8TH 2001 EIGHTH AVE SUITE 400 SEATTLE,WA98121	PEDIATRIC RESEARCH
4	4 - BELLEVUE CLINIC & SURGERY CENTER 1500 116TH AVE NE BELLEVUE,WA98004	CLINIC, SUB SPECIALITY SERVICES, URGENT CARE AND SURGERY CENTER
5	5 - SEATTLE CHILDREN'S HOME CARE SERVICES 2525 220TH STREET SE SUITE 101 BOTHELL,WA98201	PEDIATRIC HOME CARE SERVICES THAT SUPPORT HOSPITAL
6	6 - SEATTLE CHILDREN'S SOUTH CLINIC 34920 ENCHANTED PARKWAY S FEDERAL WAY,WA98003	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
7	7 - SEATTLE CHILDREN'S AT OVERLAKE 1135 116TH AVE NE SUITE 400 BELLEVUE,WA98004	SUB SPECIALITY CARE
8	8 - SEATTLE CHILDREN'S AUTISM CENTER 4909 25TH AVE NE SEATTLE,WA98105	AUTISM CLINIC
9	9 - ODESSA BROWN CHILDREN'S CLINIC 2101 E YESLER WAY SEATTLE,WA98122	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
10	10 - SEATTLE CHILDREN'S EVERETT CLINIC 900 PACIFIC AVE SUITE 100 EVERETT,WA98201	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
11	11 - SEATTLE CHILDREN'S MILL CREEK CLINIC 12800 BOTHELL EVERETT HWY SUITE 150 EVERETT,WA98208	CLINIC, SUB SPECIALITY SERVICES, AND URGENT CARE
12	12 - SOUTH SOUND CARDIOLOGY CEDAR MED CTR 1901 S CEDAR ST SUITE 103 TACOMA,WA98405	CARDIOLOGY CLINIC
13	13 - PEDIATRIC CARDIOLOGY OF ALASKA 3841 PIPER ST SUITE T345 ANCHORAGE,AK99508	CARDIOLOGY CLINIC
14	14 - SEATTLE CHILDREN'S OLYMPIA CLINIC 615 LILLY ROAD MEDICAL BLDG SUITE 140 OLYMPIA,WA98506	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
15	15 - ADOLESCENT MEDICINE AT SPRINGBROOK 4540 SAND POINT WAY NE BLDG 1 STE 200 SEATTLE,WA98105	ADOLESCENT MEDICAL CLINIC
16	16 - SEATTLE CHILDREN'S WENATCHEE CLINIC 526 N CHELAN AVE SUITE B WENATCHEE,WA98801	PEDIATRIC MEDICAL CLINIC
17	17 - SEATTLE CHILDREN'S TRI-CITIES CLINIC 900 STEVENS DR SUITE 204 RICHLAND,WA99352	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE
18	18 - CHILDREN'S ORTHOTICS & PROSTHETICS 4575 SAND POINT WAY NE SUITE 106 SEATTLE,WA98105	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALITY CARE

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:	SEATTLE CHILDREN'S HOSPITAL (SEATTLE CHILDREN'S) USES THE FEDERAL POVERTY GUIDELINES (FPG) AS ITS PRIMARY CRITERIA FOR QUALIFYING PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE. FAMILIES WHO RESIDE IN OUR REGION WITH INCOME BELOW OR EQUAL TO 400% FPG BASED ON THEIR FAMILY SIZE QUALIFY FOR FINANCIAL ASSISTANCE. FURTHERMORE, SEATTLE CHILDREN'S RECOGNIZES THAT FAMILIES WHO HAVE HIGH BALANCES, EVEN WITH HIGHER INCOMES, CAN EXPERIENCE FINANCIAL HARDSHIP. RESPONSIBLE PARTIES WHOSE INCOME IS BETWEEN 400% AND 599% FPG, WHO HAVE INCURRED SIGNIFICANT ACCOUNT BALANCES, AND WHO ARE NOT ELIGIBLE FOR FUNDING FROM OTHER SOURCES ARE ALSO ELIGIBLE FOR SLIDING SCALE FINANCIAL ASSISTANCE WHEREBY THEY ARE RESPONSIBLE FOR PAYING A PERCENTAGE OF THEIR BILL WHICH IS PROPORTIONATELY DISCOUNTED BASED ON THEIR INCOME AND SEATTLE CHIDREN'S FINANCIAL ASSISTANCE FUNDS THE REMAINING BALANCES. FAMILIES WHO RECEIVE A DENIAL OF FINANCIAL ASSISTANCE BASED ON THE FPG AND FAMILY SIZE INFORMATION ARE ALLOWED TO APPEAL THE DENIAL BY PROVIDING INFORMATION ABOUT ADDITIONAL CIRCUMSTANCES IMPACTING THEIR FINANCIAL SITUATION SUCH AS EXCESSIVE MEDICAL DEBT. THE SENIOR DIRECTOR OF REVENUE CYCLE OR CHIEF FINANCIAL OFFICER MAY ADMINISTRATIVELY APPROVE FINANCIAL ASSISTANCE BASED ON THIS ADDITIONAL INFORMATION. THESE SAME INDIVIDUALS CAN ALSO GRANT FINANCIAL ASSISTANCE IN RARE CASES BASED ON SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, OR DUE TO OTHER REASONS WHEN THE STANDARD APPLICATION PROCESS FOR FINANCIAL ASSISTANCE IS NOT LIKELY TO BE SUCCESSFULLY COMPLETED EVEN THOUGH THE PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR FINANCIAL ASSISTANCE.
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 $ 2,900,877.
PART I, LINE 6:	SEATTLE CHILDREN'S PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE TO THE GENERAL PUBLIC. SEATTLE CHILDREN'S APPLIES THE CATHOLIC HEALTH ASSOCIATION PRINCIPLES AND USES THE "CBISA LYONS" SOFTWARE TO ACCUMULATE THE INFORMATION INCLUDED IN ITS ANNUAL COMMUNITY BENEFIT REPORT. SEE SCHEDULE O FOR THE FULL 2016 COMMUNITY BENEFIT REPORT OR VISIT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT.
PART I, LINE 7:	THE MISSION OF SEATTLE CHILDREN'S HOSPITAL IS TO PROVIDE EXCELLENT PATIENT CARE FOR CHILDREN, TO ENGAGE IN INNOVATIVE RESEARCH THAT WILL IMPROVE THE HEALTH OF CHILDREN, TO TRAIN THE NEXT GENERATION OF PHYSICIANS, OTHER HEALTHCARE WORKERS AND SCIENTISTS WHO WILL ADVANCE THE HEALTH OF CHILDREN, AND TO ADVOCATE FOR THE HEALTHCARE NEEDS OF CHILDREN. AS PART OF ITS MISSION, SEATTLE CHILDREN'S IS COMMITTED TO CARING FOR CHILDREN IN ITS SERVICE AREA IRRESPECTIVE OF ABILITY TO PAY AND TO OTHERWISE IDENTIFY AND HELP TO MEET THE HEALTHCARE NEEDS OF CHILDREN IN THE COMMUNITY.FINANCIAL ASSISTANCE REPRESENTS THE ESTIMATED COST OF CARE PROVIDED TO CHILDREN WHO ARE UNINSURED OR UNDERINSURED AND WHOSE FAMILIES CANNOT AFFORD TO PAY FOR THEIR MEDICAL CARE. SEATTLE CHILDREN'S PROVIDES FINANCIAL ASSISTANCE IN ACCORDANCE WITH ITS FINANCIAL ASSISTANCE POLICY BASED ON FAMILY NEED AND MAINTAINS RECORDS TO IDENTIFY THE LEVEL OF ASSISTANCE IT PROVIDES. THE DETERMINATION OF FAMILY NEED IS EVALUATED DURING A PATIENT'S COURSE OF CARE AND CAN BE UPDATED AFTER CARE IS COMPLETE. BECAUSE SEATTLE CHILDREN'S DOES NOT PURSUE COLLECTION OF THESE AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, THEY ARE NOT REPORTED AS REVENUE. THE ESTIMATED COST OF FINANCIAL ASSISTANCE PROVIDED IS BASED ON A RATIO OF HOSPITAL TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF HOSPITAL TOTAL GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE SERVICES, RESULTING IN THE ESTIMATED COST OF PROVIDING FINANCIAL ASSISTANCE.MEDICAID PAYMENT SHORTFALL REPRESENTS THE ESTIMATED COST OF PROVIDING SERVICES TO PATIENTS COVERED UNDER MEDICAID IN EXCESS OF PAYMENTS RECEIVED. THE ESTIMATED COST OF SERVICES PROVIDED TO MEDICAID PATIENTS IS BASED ON A RATIO OF HOSPITAL TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF HOSPITAL TOTAL GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS CHARGES RELATED TO SERVICES PROVIDED TO MEDICAID PATIENTS, RESULTING IN THE ESTIMATED COST OF PROVIDING CARE TO THESE PATIENTS.OTHER BENEFITS REPRESENT THE COSTS OF PROVIDING PROGRAMS, NET OF DIRECT OFFSETTING REVENUES, FOR THE BENEFIT OF THE ENTIRE COMMUNITY. THESE BENEFITS INCLUDE RESEARCH, HEALTH PROFESSIONS EDUCATION AND VARIOUS OTHER COMMUNITY-BASED HEALTHCARE PROGRAMS.
PART II, COMMUNITY BUILDING ACTIVITIES:	AS PART OF OUR MISSION TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE, SEATTLE CHILDREN'S MAKES PROACTIVE AND STRATEGIC INVESTMENTS TO HELP CHILDREN AND FAMILIES BE AND STAY HEALTHY IN THE PLACES WHERE THEY LIVE, PLAY AND LEARN. WE WORK WITH OUR COMMUNITIES TO ADDRESS SOME OF THE SOCIAL AND ECONOMIC CAUSES OF HEALTH PROBLEMS SUCH AS EDUCATION, HOUSING, SOCIAL SUPPORT AND THE BUILT ENVIRONMENT. SOME EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES INCLUDE:- WE SPONSOR COMMUNITY ORGANIZATIONS THAT SUPPORT FAMILIES BY PROVIDING QUALITY CHILD CARE, LANGUAGE AND CULTURAL TRAINING, WORKFORCE DEVELOPMENT AND PARENTING SKILLS. WE ALSO OFFER SMALL GRANTS TO ORGANIZATIONS AND COALITIONS THAT ADVOCATE FOR COMMUNITY HEALTH IMPROVEMENT, PROVIDE ECONOMIC DEVELOPMENT AND REVITALIZATION, AND HELP MAKE COMMUNITIES SAFER. - SEATTLE CHILDREN'S ALSO HOSTS THE SCIENCE ADVENTURE LAB. THE SCIENCE ADVENTURE LAB IS A CUSTOM-BUILT, MOBILE SCIENCE LAB OUTFITTED WITH RESEARCH GRADE EQUIPMENT AND SPACE FOR UP TO 28 STUDENTS AT A TIME. THE MOBILE LAB TRAVELS TO SCHOOLS ACROSS WASHINGTON TO PROVIDE INNOVATIVE, HANDS-ON SCIENCE CURRICULUM TO STUDENTS IN GRADES FOUR THROUGH TWELVE. APPLICATIONS ARE ACCEPTED BASED ON A COMBINATION OF GEOGRAPHY, WHETHER THE SCHOOL IS A TITLE ONE SCHOOL OR NOT, AND PERCENTAGE OF STUDENTS ON THE FREE OR REDUCED PRICE SCHOOL LUNCH PROGRAM. THE ADVENTURE LAB FOCUSES ON PROVIDING SCHOOLS WITH ACCESS TO STATE-OF-THE-ART LABORATORY FACILITIES THAT WOULD OTHERWISE NOT BE AVAILABLE.- ODESSA BROWN CHILDREN'S CLINIC (OBCC) IS A SITE FOR REACH OUT AND READ, AN ORGANIZATION THAT PROMOTES EARLY LITERACY BY PROVIDING BOOKS AT WELL-CHILD VISITS FOR CHILDREN AGES 6 MONTHS TO 5 YEARS OLD. OBCC PROVIDES BOOKS TO ALL CHILDREN AT ALL VISITS AND EXTENDS THE OFFERING TO SIBLINGS THAT COME TO THE APPOINTMENTS. WE ALSO DISTRIBUTE BOOKS AT NO COST TO LOCAL SCHOOLS WHERE OBCC PROVIDES HEALTH AND MENTAL HEALTH SERVICES. LAST YEAR OBCC DISSEMINATED 5,000 BOOKS.- OUR CLINICAL AND NON CLINICAL STAFF PROVIDE LECTURES, TOURS, MENTORING AND SHADOWING OPPORTUNITIES THAT DISCUSS EMPLOYMENT OPPORTUNITIES IN HEALTHCARE TO UNDERSERVED STUDENTS AND PEOPLE FROM DIVERSE BACKGROUNDS. ONE OF THE PROGRAMS REACHES OUT TO PEOPLE WHO ARE PLANNING TO ATTEND MEDICAL SCHOOL TO INCREASE THEIR SKILLSET WHEN APPLYING. ALSO, WE PROVIDE NEONATAL AND PEDIATRIC CLINICAL TRAINING TO RESPIRATORY THERAPISTS AT LOCAL COLLEGES. OUR GOAL HERE IS TO TRAIN RESPIRATORY THERAPISTS TO PROPERLY ASSESS PATIENTS FOR RESPIRATORY INTERVENTIONS. ONCE THESE THERAPISTS ARE CREDENTIALED AND LICENSED, THEY WILL JOIN THE RANKS OF OUR EMERGENCY RESPONSE TEAMS AND THEIR SKILLS TO ASSESS PEDIATRIC PATIENTS WILL HAVE A VALUABLE IMPACT IN CASE OF EMERGENCY RESPONSE DEPLOYMENT. WITH CERTAIN TYPES OF DISASTERS, WE ANTICIPATE THE NEED FOR PROFESSIONALS WHO CAN ASSESS THE NEED FOR AND ADMINISTER COMPLEX RESPIRATORY THERAPY TREATMENTS TO PEDIATRIC PATIENTS, SO THE TYPE OF TRAINING WE OFFER IS CRUCIAL.- SEATTLE CHILDREN'S ANNUAL INVESTMENT IN KING COUNTY METRO'S TRANSIT NOW PARTNERSHIP MAKES MORE TRANSIT SERVICES AVAILABLE TO COMMUNITIES IN THE NORTHEAST SEATTLE AREA.- SEATTLE CHILDREN'S IS COMMITTED TO CONTRIBUTING TO TRANSPORTATION IMPROVEMENTS IN NORTHEAST SEATTLE. THROUGH OUR LIVABLE STREETS INITIATIVE, WE WORK WITH OUR COMMUNITY ON PROJECTS SUCH AS UPGRADES TO LOCAL STREETS SO THAT THEY ARE SAFE FOR PEDESTRIANS AND BIKERS OF ALL AGES AND ABILITIES; INTELLIGENT TRANSPORTATION SYSTEMS THAT USE TECHNOLOGY TO GIVE DRIVERS MORE INFORMATION; AND INTERSECTION IMPROVEMENTS THAT INCREASE SAFETY FOR ALL USERS.
PART III, LINE 2:	THE TOTAL AMOUNT OF BAD DEBT EXPENSE PROVIDED IS BASED ON THE RATIO OF TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS BAD DEBT EXPENSE, RESULTING IN BAD DEBT EXPENSE AT COST. SEATTLE CHILDREN'S CHARACTERIZES SELF PAY AS BAD DEBT WHEN A FAMILY IS EITHER NOT ELIGIBLE OR HAS NOT APPLIED FOR FINANCIAL ASSISTANCE AND IS UNWILLING OR UNABLE TO PAY AN OUTSTANDING ACCOUNT BALANCE. THE MOST COMMON PATIENT BAD DEBT SCENARIOS INCLUDE UNPAID SELF PAY PORTIONS OF ACCOUNT BALANCES AFTER INSURANCE OR THIRD PARTY ASSISTANCE PAYMENTS OR UNPAID ACCOUNT BALANCES AFTER A BANKRUPTCY FILING. SEATTLE CHILDREN'S IS SENSITIVE TO THE FINANCIAL HEALTH OF FAMILIES AND RECOGNIZES THAT FAMILY FINANCIAL CONCERNS MAY NOT ALWAYS BE EFFECTIVELY COMMUNICATED. SEATTLE CHILDREN'S IS COMMITTED TO MANAGING COLLECTION EFFORTS INTERNALLY, IN A RESPECTFUL MANNER AND WITHOUT USING EXTERNAL COLLECTION OR CREDIT AGENCIES, EXCEPT IN LIMITED CIRCUMSTANCES SUCH AS INTERNATIONAL PATIENTS. SINCE ALL COLLECTION EFFORTS ARE MANAGED INTERNALLY, IN A RESPECTFUL MANNER, SEATTLE CHILDREN'S DOES NOT DISCLOSE ITS COLLECTION PRACTICE IN THE FOOTNOTES OF THE FINANCIAL STATEMENTS.
PART III, LINE 4:	THE METHOD FOR DETERMINING UNCOLLECTIBLE ACCOUNTS IS DISCUSSED IN FOOTNOTE (1)(K), WHICH IS FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS ARE OBTAINED DIRECTLY FROM THE MEDICARE COST REPORT AND ARE DETERMINED IN ACCORDANCE WITH THE MEDICARE PRINCIPLES OF REIMBURSEMENT. THE MAJORITY OF SEATTLE CHILDREN'S MEDICARE PATIENTS ARE CHILDREN WITH END STAGE RENAL DISEASE (ESRD) THAT INCLUDES DIALYSIS CARE AND OFTEN A KIDNEY TRANSPLANT ALONG WITH OTHER RELATED SERVICES. THE ESRD CARE OFTEN RESULTS IN A LONGER LENGTH OF STAY AND HIGHER ACUITY. MEDICARE REIMBURSEMENT FOR THESE SERVICES IS SUBJECT TO THE LIMITS OF THE TAX EQUITY AND FISCAL RESPONSIBILITY ACT, WHICH ARE OFTEN BELOW SEATTLE CHILDREN'S COST. THE ACTUAL SHORTFALL IN COST REIMBURSEMENT SHOULD AT LEAST BE TREATED AS COMMUNITY BENEFIT.
PART III, LINE 9B:	SEATTLE CHILDREN'S REVENUE CYCLE DEPARTMENT USES A STANDARD, RESPECTFUL PROCEDURE FOR RESOLVING UNPAID PATIENT BALANCES. A. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES.B. SEATTLE CHILDREN'S PROVIDES A STANDARD 25% DISCOUNT ON HEALTH CARE SERVICES TO PATIENTS WHO ARE UNINSURED IN ACCORDANCE WITH ORGANIZATIONAL POLICIES AND PROCEDURES. THIS DISCOUNT ALIGNS WITH OR IS LOWER THAN DISCOUNTS PROVIDED TO COMMERCIAL INSURERS.C. ADDITIONALLY, SEATTLE CHILDREN'S ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE INTEREST-FREE PAYMENT PLANS.D. IF A PATIENT ACCOUNT BALANCE REMAINS UNPAID AFTER STANDARD INTERNAL COLLECTION PROCEDURES HAVE BEEN FOLLOWED, AND IF THE FAMILY HAS NOT APPLIED FOR OR DOES NOT QUALIFY FOR SEATTLE CHILDREN'S FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE WILL BE WRITTEN OFF AS BAD DEBT IN ACCORDANCE WITH STANDARD PROCEDURAL TIMELINES. - UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, SEATTLE CHILDREN'S IDENTIFIES ANY OUTSTANDING ACCOUNT BALANCES FOR THE ASSOCIATED PATIENT AND WRITES OFF THESE BALANCES AS BAD DEBT. - SEATTLE CHILDREN'S FINANCE DEPARTMENT MONITORS THE PORTION OF OUTSTANDING ACCOUNTS RECEIVABLE THAT IS CLASSIFIED AS BAD DEBT FOR SIGNIFICANT VARIANCES. - SEATTLE CHILDREN'S STANDARD PRACTICE IS TO COLLECT ON OUTSTANDING PATIENT ACCOUNTS USING INTERNAL RESOURCES. 1. REPORTS ARE NOT SENT TO CREDIT AGENCIES. 2. COLLECTION AGENCIES WILL NOT BE USED TO COLLECT ANY OUTSTANDING PATIENT ACCOUNT EXCEPT AS SPECIFICALLY AUTHORIZED BY THE SENIOR DIRECTOR OF REVENUE CYCLE. 3. THE USE OF COLLECTION AGENCIES WILL ONLY BE PERMITTED IN VERY RARE SCENARIOS WHERE THE FAMILY RESIDES OUTSIDE OF SEATTLE CHILDREN'S SERVICE AREA (E.G., INTERNATIONAL PATIENTS). 4. SEATTLE CHILDREN'S WILL NOT FILE A LIEN AGAINST A PATIENT'S OR FAMILY'S PRIMARY RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES.
PART VI, LINE 2:	AS PART OF SEATTLE CHILDREN'S STRATEGIC PLAN DEVELOPMENT, WE HAVE DONE RESEARCH TO IDENTIFY SPECIALTY CARE, MENTAL HEALTH AND EMERGENCY CARE ACCESS AND SHORTAGE ISSUES; ASSESS THE ONGOING NEED FOR UNCOMPENSATED CARE SUPPORT; AND DETERMINE POTENTIAL PARTNERSHIPS TO BETTER ADDRESS THE HEALTH CARE NEEDS OF ALL CHILDREN IN OUR REGION. ADDITIONALLY, NUMEROUS PROGRAMS AND DEPARTMENTS IN THE HOSPITAL CONDUCT NEEDS ASSESSMENTS TO IDENTIFY HEALTH PROMOTION, HEALTH CARE AND HEALTH DISPARITIES THAT IMPACT THE HEALTH OF CHILDREN AND FAMILIES.
PART VI, LINE 3:	INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO EVERY FAMILY THAT COMES TO SEATTLE CHILDREN'S, WHETHER FOR AN INPATIENT STAY, CLINIC VISIT, SURGERY OR THROUGH THE EMERGENCY DEPARTMENT. BOTH APPLICATION FORMS AND SIGNAGE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH, SPANISH, VIETNAMESE, RUSSIAN, AND SOMALI. IN PERSON INTERPRETERS AND THE HOSPITAL'S SPEAK LINE, WHICH ACCESSES TELEPHONE INTERPRETATION, HELP PROVIDE INFORMATION TO FAMILIES WITH LIMITED ENGLISH PROFICIENCY INFORMATION ABOUT FINANCIAL ASSISTANCE. AN APPLICATION FORM IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE. ALL REGISTRATION DESKS HAVE FINANCIAL ASSISTANCE INFORMATION VISIBLE AND AVAILABLE. EVERY INPATIENT AND EMERGENCY DEPARTMENT FAMILY IS OFFERED FINANCIAL ASSISTANCE INFORMATION, WHETHER OR NOT THEY HAVE INSURANCE. ALL HOSPITAL BILLS INCLUDE A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IF HELP IS NEEDED IN PAYING A BILL, REGARDLESS OF INSURANCE STATUS.FINANCIAL COUNSELORS ARE AVAILABLE TO MEET INDIVIDUALLY WITH FAMILIES TO HELP DETERMINE WHAT ASSISTANCE THEY MAY QUALIFY FOR AND TO HELP THEM COMPLETE AND SUBMIT FORMS. THE FINANCIAL COUNSELORS RECEIVE INFORMATION THROUGH THE SCHEDULING SYSTEM THAT IDENTIFIES UNINSURED OR UNDERINSURED FAMILIES. FINANCIAL COUNSELORS CONTACT FAMILIES TO CLARIFY ASSISTANCE AVAILABLE AND TO OFFER THEIR HELP WITH APPLYING FOR ASSISTANCE. THEY HELP FAMILIES DETERMINE IF THEY QUALIFY FOR OTHER SOURCES OF FUNDING, INCLUDING MEDICAID AND QUALIFIED HEALTH PLANS SOLD ON THE STATE INSURANCE EXCHANGE. SOCIAL WORKERS ALSO HELP SCREEN FAMILIES FOR FINANCIAL NEEDS AND REFER PATIENTS TO FINANCIAL COUNSELORS.
PART VI, LINE 4:	SEATTLE CHILDREN'S SERVES AS THE PEDIATRIC AND ADOLESCENT MEDICAL CENTER FOR WASHINGTON, ALASKA, IDAHO, AND MONTANA, THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. WE PRIMARILY SERVE CHILDREN FROM BIRTH TO 21 YEARS OLD, MOST OF WHOM ARE FROM WASHINGTON STATE. OVER 47% OF OUR PATIENTS ARE ON MEDICAID, ON A SIMILAR LOW INCOME INSURANCE PROGRAM, OR ARE UNINSURED. IN 2016, 17.5% OF OUR PATIENTS CAME FROM SEATTLE, 34% FROM KING COUNTY, 44.5% FROM LOCATIONS IN WASHINGTON STATE OUTSIDE KING COUNTY, 3% FROM ALASKA, MONTANA AND IDAHO AND 1% FROM AREAS OUTSIDE THE REGION. THESE AREAS ARE URBAN, SUBURBAN AND RURAL. - OF THE MORE THAN 7 MILLION RESIDENTS OF WASHINGTON STATE, NEARLY 27% ARE UNDER 20 YEARS OLD. WASHINGTON STATE DATA ALSO SHOWS THAT 13% OF THE POPULATION ARE FOREIGN-BORN WITH 18% SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME. OF THE 1.6 MILLION CHILDREN UNDER THE AGE OF 18 IN WASHINGTON STATE, 21% OF THEM ARE OF HISPANIC OR LATINO ORIGIN. ALSO, 18% OF CHILDREN IN WASHINGTON STATE AND 15% OF CHILDREN IN KING COUNTY LIVE IN POVERTY AND 7% OF WASHINGTONIANS (5% KING COUNTY) LIVE IN EXTREME POVERTY. ALMOST HALF OF ALL WASHINGTON RESIDENTS ON MEDICAID ARE CHILDREN OR TEENS.- SINCE 2005, GRADUATION RATES HAVE INCREASED ACROSS ALL ETHNICITIES IN WASHINGTON STATE AND KING COUNTY. HIGH SCHOOL GRADUATION RATES ARE ALMOST 80% FOR ALL STUDENTS IN THE STATE.- IN A ONE YEAR PERIOD, FAMILY HOMELESSNESS IN WASHINGTON STATE ROSE 9.2%, COMPARED TO A NATIONAL INCREASE OF ONLY 2.7%. THE 2016 KING COUNTY ONE NIGHT COUNT IDENTIFIED 10,688 HOMELESS PEOPLE ON ONE JANUARY NIGHT. THIS INCLUDED ALMOST 3,000 PEOPLE IN TRANSITIONAL HOUSING, 3,200 IN SHELTERS, 4,505 ON THE STREETS; A 19% INCREASE FROM 2015. 904 HOUSEHOLDS WITH CHILDREN WERE IN OVERNIGHT SHELTERS OR TRANSITIONAL HOUSING DURING THE ONE NIGHT COUNT. - IN 2016, 8,942 CHILDREN WERE IN FOSTER CARE IN WASHINGTON. CHILDREN IN FOSTER CARE USE MENTAL HEALTH SERVICES 8 TO 11 TIMES MORE THAN OTHER LOW-INCOME AND GENERALLY HIGH-RISK CHILDREN IN THE MEDICAID PROGRAM.
PART VI, LINE 5:	SEATTLE CHILDREN'S IS GOVERNED BY A BOARD OF TRUSTEES, CONSISTING OF BETWEEN 20-30 VOTING TRUSTEES WHO ARE MEMBERS OF THE LOCAL COMMUNITY. SEATTLE CHILDREN'S FUNCTIONS THROUGH COMMITTEES THAT ARE STAFFED WITH TRUSTEES OF RESPECTIVE BOARDS WHO HAVE SIGNIFICANT EXPERIENCE AND SKILLS REQUIRED BY THAT COMMITTEE, AND IN SOME CASES INCLUDE OUTSIDE MEMBERS WHO ARE NOT TRUSTEES WHEN THEIR KNOWLEDGE OR EXPERIENCE WOULD CONTRIBUTE TO THE WORK OF THE COMMITTEE. SEATTLE CHILDREN'S ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO CERTAIN QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OF ITS DEPARTMENTS. SEATTLE CHILDREN'S ALSO HAS REGIONAL STRATEGIC AFFILIATIONS WITH THE FOLLOWING ENTITIES:- UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (UWSOM)SEATTLE CHILDREN'S HAS HAD A FORMAL AFFILIATION WITH THE UWSOM SINCE 1974. SEATTLE CHILDREN'S HOSPITAL PROVIDES THE PEDIATRIC COMPONENT OF THE UWSOM UNDERGRADUATE MEDICAL EDUCATION PROGRAM AS WELL AS THE HOSPITAL-BASED PEDIATRIC TRAINING EXPERIENCE FOR ALL POST-GRADUATE PROGRAMS.THE UWSOM, A REGIONAL RESOURCE FOR WASHINGTON, WYOMING, ALASKA, MONTANA, AND IDAHO, IS A NATIONALLY AND INTERNATIONALLY RECOGNIZED LEADER IN MEDICAL EDUCATION, PATIENT CARE, SCIENTIFIC RESEARCH AND COMMUNITY SERVICE. THE UWSOM HAS 30 DEPARTMENTS, MANY CENTERS AND NUMEROUS AFFILIATIONS THROUGHOUT THE FIVE-STATE REGION. THE UWSOM OFFERS EXTENSIVE TRAINING PROGRAMS IN THE BASIC MEDICAL SCIENCES, PRIMARY CARE AND THE SPECIALTIES OF CLINICAL MEDICINE. IT HAS A FULL-TIME REGULAR AND RESEARCH FACULTY OF APPROXIMATELY 2,400. IN ADDITION TO TRAINING FUTURE PHYSICIANS, THE FACULTY ALSO TEACHES GRADUATE AND UNDERGRADUATE STUDENTS IN MANY DISCIPLINES, AND 4,600 VOLUNTEER AND PART-TIME CLINICAL FACULTY MEMBERS TEACH STUDENTS IN TOWNS AND CITIES ACROSS THE REGION. THE UWSOM IS AFFILIATED WITH THE 450-BED UNIVERSITY OF WASHINGTON MEDICAL CENTER AND THE 413-BED HARBORVIEW MEDICAL CENTER, WITH WHICH SEATTLE CHILDREN'S HOSPITAL SHARES A DESIGNATION AS A PEDIATRIC LEVEL I TRAUMA CENTER.- CHILDREN'S UNIVERSITY MEDICAL GROUP (CUMG)SEATTLE CHILDREN'S HEALTHCARE SYSTEM AND THE UNIVERSITY OF WASHINGTON (THE "UW") JOINTLY CONTROL CUMG, A WASHINGTON NONPROFIT CORPORATION AND A 501(C)(3) ORGANIZATION. CUMG IS A PEDIATRIC PRACTICE PLAN THAT EMPLOYS AND MANAGES THE CLINICAL PRACTICES OF APPROXIMATELY 500 PROFESSIONAL MEMBERS WHO ARE BOTH MEMBERS OF SEATTLE CHILDREN'S HOSPITAL MEDICAL STAFF AND PEDIATRIC FACULTY MEMBERS OF THE UWSOM.- PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC (PCNS)SEATTLE CHILDREN'S PARTICIPATES IN A JOINT VENTURE WITH PROVIDENCE EVERETT MEDICAL CENTER (PEMC), AN UNRELATED COMMUNITY-BASED HOSPITAL LOCATED IN EVERETT, WASHINGTON. CHILDREN'S AND PEMC EACH OWN A 50% INTEREST IN PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC. PCNS MANAGES THE OPERATIONS OF THE NEONATAL INTENSIVE CARE UNIT AT PEMC AND PROVIDES NEONATAL NURSE PRACTITIONER SERVICES TO PEMC.- SEATTLE CANCER CARE ALLIANCE (SCCA)THE SEATTLE CANCER CARE ALLIANCE, A WASHINGTON NONPROFIT CORPORATION AND 501(C)(3) ORGANIZATION, OFFERS A COMPREHENSIVE PROGRAM OF INTEGRATED CANCER CARE SERVICES. ITS MEMBERS ARE SEATTLE CHILDREN'S HEALTHCARE SYSTEM, UW, AND FRED HUTCHINSON CANCER RESEARCH CENTER. SCCA OPERATES AN AMBULATORY CANCER CARE SERVICES FACILITY AND A 20-BED LICENSED HOSPITAL INSIDE UWMC.

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
SEATTLE CHILDREN'S HOSPITAL

Employer identification number
91-0564748

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) AKRON CHILDREN'S HOSPITAL ONE PERKINS SQUARE AKRON,OH44308	34-0714357	501(C)(3)	24,472	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(2) ALASKA ARTS SOUTHEAST INC PO BOX 3086 SITKA,AK99835	23-7240278	501(C)(3)	10,000	GRANT TO SUPPORT THE PURCHASE OF A SPECIALIZED FRAME TENT FOR THE SITKA FINE ARTS CAMP
(3) ALL CHILDREN'S RESEARCH INSTITUTE INC 501 6TH AVE S DEPT 9581 ST PETERSBURG,FL33701	59-2481742	501(C)(3)	25,116	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(4) AMERICAN ACADEMY OF PEDIATRICS 141 NW POINT BLVD ELK GROVE,IL60007	36-2275597	501(C)(3)	93,695	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(5) AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS,TX75231	13-5613797	501(C)(3)	10,800	SPONSORSHIPS OF ALASKA HEART RUN/WALK AND TACOMA HEART BALL
(6) ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO 225 E CHICAGO AVE BOX 205 CHICAGO,IL60611	36-2170833	501(C)(3)	243,202	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(7) ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE INC 1 CHILDRENS WAY MAIL SLOT 663 LITTLE ROCK,AR722023591	71-0694931	501(C)(3)	17,735	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(8) BAYLOR COLLEGE OF MEDICINE TEXAS CHILDRENS 6701 FANNIN ST SUITE 1040 HOUSTON,TX77030	74-1613878	501(C)(3)	257,196	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(9) BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 NINTH AVE SEATTLE,WA981012795	91-0653422	501(C)(3)	219,415	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(10) CASCADE BICYCLE CLUB EDUCATION FOUNDATION 7787 62ND AVE NE SEATTLE,WA98115	91-2165219	501(C)(3)	12,200	SPONSORSHIPS OF BIKE TO SCHOOL MONTH, BIKE TO WORK BREAKFAST, AND LET'S GO BIKE AND PEDESTRIAN SAFETY PROGRAM
(11) CASE WESTERN RESERVE UNIVERSITY 10900 EUCLID AVE CLEVELAND,OH441067006	34-1018992	501(C)(3)	372,827	GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD
(12) CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES,CA90048	95-1644600	501(C)(3)	19,940	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(13) CENTER FOR CHILDREN AND YOUTH JUSTICE 615 2ND AVE SUITE 275 SEATTLE,WA98104	20-4457248	501(C)(3)	10,000	SPONSORSHIP OF NORM MALENG ADVOCATE FOR YOUTH AWARD BREAKFAST
(14) CHILDREN'S ALLIANCE 718 6TH AVE S SEATTLE,WA98104	91-0982879	501(C)(3)	16,610	SPONSORSHIP OF VOICES FOR CHILDREN LUNCHEON AND MEMBERSHIP CONTRIBUTION
(15) CHILDREN'S HOSPITAL AND CLINICS OF MINNESOTA 32-2210 2525 CHICAGO AVE S MINNEAPOLIS,MN55404	41-1754276	501(C)(3)	68,620	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(16) CHILDREN'S HOSPITAL BOSTON PO BOX 414413 BOSTON,MA022414413	04-2774441	501(C)(3)	118,877	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(17) CHILDREN'S HOSPITAL COLORADO 13123 E 16TH AVE B148 AURORA,CO80045	84-0166760	501(C)(3)	24,610	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(18) CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD MS97 LOS ANGELES,CA90027	95-1690977	501(C)(3)	146,565	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(19) CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNET AVE MLC4900 CINCINNATI,OH452293039	31-0833936	501(C)(3)	220,250	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(20) CHILDREN'S HOSPITAL OF PHILADELPHIA 3401 CIVIC CENTER BLVD PHILADELPHIA,PA191044318	23-1352166	501(C)(3)	266,826	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(21) CHILDREN'S NATIONAL MEDICAL CENTER 111 MICHIGAN AVE NW WASHINGTON,DC20010	52-1640403	501(C)(3)	18,433	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(22) CITY OF SEATTLE 100 DEXTER AVE N SEATTLE,WA981095199	91-6001275	GOVERNMENT	16,130	DONATION TO SEATTLE PARKS AND RECREATION'S SWIM SCHOLARSHIP FUND AND SPONSORSHIPS OF BIG DAY OF PLAY AND FRESH BUCKS PROGRAM
(23) COFFMAN COVE COMMUNITY LIBRARY PO BOX 18135 COFFMAN COVE,AK99918	92-0132969	GOVERNMENT	10,000	GRANT FOR DEVELOPMENT OF AN EARLY LITERACY CENTER
(24) COLLEGE SUCCESS FOUNDATION 1605 NW SAMMAMISH RD SUITE 200 ISSAQUAH,WA98027	91-2036088	501(C)(3)	14,289	SPONSORSHIPS OF EMPOWERING YOUTH LUNCHEON AND D.C. BREAKFASTS
(25) COLUMBIA UNIVERSITY PO BOX 26453 NEW YORK,NY10032	13-5598093	501(C)(3)	52,749	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(26) CONNECTICUT CHILDREN'S MEDICAL CENTER 282 WASHINGTON ST HARTFORD,CT06106	06-0646755	501(C)(3)	5,850	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(27) COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVE FORT WORTH,TX76104	75-2051646	501(C)(3)	7,422	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(28) CROHN'S AND COLITIS FOUNDATION OF AMERICA NORTHWEST CHAPTER 9 LAKE BELLEVUE DR SUITE 203 BELLEVUE,WA98005	13-6193105	501(C)(3)	8,000	SPONSORSHIPS OF BENEFIT LUNCHEON, TAKE STEPS WESTERN WASHINGTON, & PEDIATRIC IBD CONFERENCE
(29) DAYTON CHILDREN'S HOSPITAL ONE CHILDRENS PLAZA DAYTON,OH45404	31-0672132	501(C)(3)	37,542	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(30) DBIA SERVICES DBA METROPOLITAN IMPROVEMENT DISTRICT 1809 7TH AVE SUITE 900 SEATTLE,WA98101	74-2927336	501(C)(6)	10,000	CONTRIBUTION FOR WESTLAKE PARK PLAY AREA
(31) EASTERN VIRGINIA MEDICAL SCHOOL 855 W BRAMBLETON AVE NORFOLK,VA23510	54-6055378	GOVERNMENT	5,616	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(32) EMORY UNIVERSITY PO BOX 935084 ATLANTA,GA311935084	58-0566256	501(C)(3)	201,170	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(33) FOUNDATION FOR HEALTHY GENERATIONS 419 THIRD AVE W SEATTLE,WA98119	91-6186093	501(C)(3)	12,325	SUPPORT FOR CHILDHOOD OBESITY PREVENTION COALITION, SYMPOSIUM, WASHINGTON STATE PUBLIC HEALTH ASSOCIATION CONFERENCE, AND SCIENCE OF HOPE CONFERENCE
(34) FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE N SEATTLE,WA98109	23-7156071	501(C)(3)	2,411,363	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD AND SUPPORT OF NEURO-ONCOLOGY RESEARCH IN PEDIATRIC BRAIN TUMORS
(35) GEORGIA REGENTS UNIVERSITY PO BOX 945552 ATLANTA,GA303945552	58-1418202	501(C)(3)	8,911	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(36) GIRLS ON THE RUN OF PUGET SOUND 1404 E YESLER WAY SUITE 201 SEATTLE,WA98122	84-1618574	501(C)(3)	6,500	SPONSORSHIP OF BUILDING HEALTHY HABITS IN PUGET SOUND YOUTH EVENTS
(37) GROUP HEALTH FOUNDATION 320 WESTLAKE AVE N SUITE 100 SEATTLE,WA98109	91-1246278	501(C)(3)	7,000	GIFT OF HEALTH GALA SPONSORSHIP
(38) HOPELINK 10675 WILLOWS RD NE SUITE 275 REDMOND,WA98052	91-0982116	501(C)(3)	5,450	REACHING OUT LUNCHEON SPONSORSHIPS
(39) HYDABURG CITY SCHOOL DISTRICT PO BOX 109 HYDABURG,AK99922	92-6000703	GOVERNMENT	20,000	GRANT FOR GARDENING PROJECT AND FACILITY LIGHTING UPDATES FOR SCHOOL GROUNDS
(40) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL BOX 3500 NEW YORK,NY10029	13-6171197	501(C)(3)	23,585	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(41) IHC HEALTH SERVICES INC PO BOX 58249 SALT LAKE CITY,UT841580249	94-2854057	501(C)(3)	75,000	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(42) INDIANA UNIVERSITY DEPT 78867 PO BOX 78000 DETROIT,MI482780867	35-6001673	GOVERNMENT	164,377	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(43) ISLAND INSTITUTE PO BOX 2420 SITKA,AK99835	94-3057411	501(C)(3)	20,000	GRANT FOR EDUCATIONAL MT. EDGECUMBE HIGH SCHOOL SOCIAL MEDIA PROJECT
(44) JDRF INTERNATIONAL DBA JDRF SEATTLE GUILD 1215 4TH AVE SUITE 1100 SEATTLE,WA98161	23-1907729	501(C)(3)	10,500	SPONSORSHIP OF ANNUAL DREAM GALA AND TYPEONENATION SUMMIT
(45) JOHNS HOPKINS UNIVERSITY 12529 COLLECTIONS CENTER DR CHICAGO,IL60693	52-0595110	GOVERNMENT	67,952	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(46) KAISER FOUNDATION HEALTH PLAN PO BOX 34587 SEATTLE,WA981249990	91-0511770	501(C)(3)	57,550	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(47) KAISER FOUNDATION HOSPITALS 1800 HARRISON ST 16TH FLOOR OAKLAND,CA94612	94-1105628	501(C)(3)	17,861	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(48) KASEY KAHNE FOUNDATION 265 CAYUGA DR MOORESVILLE,NC98117	25-1926392	501(C)(3)	6,400	SPONSORSHIP OF THE DRIVE EVENT WITH RUSSELL WILSON AND KASEY KAHNE
(49) KETCHIKAN YOUTH INITIATIVES INC 724 BAYVIEW ST KETCHIKAN,AK99901	20-2549904	501(C)(3)	11,850	GRANT FOR CAPACITY BUILDING FOR NEW YOUTH COMMUNITY CENTER
(50) KING COUNTY DEPARTMENT OF TRANSPORTATION 201 S JACKSON ST SEATTLE,WA981049788	91-6001327	GOVERNMENT	5,134	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(51) LOS ANGELES BIOMEDICAL RESEARCH INSTITUTE AT HARBOR-UCLA MEDICAL CENTER 1124 W CARSON ST N21 TORRANCE,CA90502	95-2138184	501(C)(3)	62,271	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(52) LOUISIANA STATE UNIVERSITY 433 BOLIVER ST NEW ORLEANS,LA701122256	72-6087770	GOVERNMENT	28,814	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(53) MAINE MEDICAL CENTER 22 BRAMHALL ST PORTLAND,ME041023175	01-0238552	501(C)(3)	22,021	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(54) MARCH OF DIMES 1904 THIRD AVE SUITE 230 SEATTLE,WA98101	13-1846366	501(C)(3)	21,000	SPONSORSHIPS OF NURSE OF THE YEAR EVENT AND MARCH FOR BABIES
(55) MARY HITCHCOCK MEMORIAL HOSPITAL 1 MEDICAL CTR DR LEBANON,NH03756	02-0222140	501(C)(3)	60,503	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(56) MASSACHUSETTS GENERAL HOSPITAL THE GENERAL HOSPITAL CORPORATION PO BOX 414876 BOSTON,MA022414876	04-2697983	501(C)(3)	22,820	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(57) MEDICAL UNIVERSITY OF SOUTH CAROLINA 19 HAGOOD AVE RM 303 CHARLESTON,SC294258040	57-6000722	GOVERNMENT	81,410	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(58) MONMOUTH MEDICAL CENTER INC 300 SECOND AVE STE SH 013 LONG BRANCH,NJ07740	22-3452412	501(C)(3)	13,574	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(59) MULTICARE HEALTH SYSTEM 315 M3-CRD 315 MARTIN LUTHER KING JR WAY S TACOMA,WA98405	91-1352172	501(C)(3)	10,716	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(60) NATIONAL JEWISH HEALTH 1400 JACKSON ST M216 DENVER,CO80206	74-2044647	501(C)(3)	24,146	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(61) NEW YORK MEDICAL COLLEGE 40 SUNSHINE COTTAGE RD VALHALLA,NY10595	13-1099420	501(C)(3)	65,500	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(62) NORTHSHORE UNIVERSITY HEALTH SYSTEM 1001 UNIVERSITY PL EVANSTON,IL60201	36-2167060	501(C)(3)	38,581	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(63) OREGON HEALTH AND SCIENCE UNIVERSITY 0690 SW BANCROFT ST MAIL CODE L106SPA PORTLAND,OR97239	93-1176109	GOVERNMENT	112,944	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(64) PACIFIC SCIENCE CENTER FOUNDATION 200 SECOND AVE N SEATTLE,WA981094895	91-0750867	501(C)(3)	23,150	SUPPORT OF FESTIVAL OF THE FOUNDATIONS, FOUNDATIONS OF SCIENCE BREAKFAST, AND SCIENCE CAFE SPRING SERIES
(65) PENNSYLVANIA STATE UNIVERSITY CONTROLLERS OFFICE G230 PO BOX 850 HERSHEY,PA17033	24-6000376	GOVERNMENT	32,034	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(66) PETERSBURG CHILDREN'S CENTER INC PO BOX 138 PETERSBURG,AK99833	92-0047233	501(C)(3)	20,000	GRANT FOR FACILITY EXPANSION
(67) PHOENIX CHILDREN'S HOSPITAL 1919 E THOMAS RD PHOENIX,AZ85016	86-0422559	501(C)(3)	5,355	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(68) PORTLAND STATE UNIVERSITY PO BOX 751 PORTLAND,OR972070751	36-4776757	GOVERNMENT	34,932	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(69) PROGRAM FOR EARLY PARENT SUPPORT 4649 SUNNYSIDE AVE N SUITE 324 SEATTLE,WA98103	91-1212698	501(C)(3)	6,000	ANNUAL SPONSORSHIP
(70) PROMEDICA TOLEDO HOSPITAL 2142 N COVE BLVD TOLEDO,OH43606	34-4428256	501(C)(3)	7,350	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(71) PROVIDENCE HEALTH & SERVICES WASHINGTON PO BOX 190005 ANCHORAGE,AK995190005	92-0016429	501(C)(3)	14,898	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(72) RAND CORPORATION PO BOX 2138 SANTA MONICA,CA904072138	95-1958142	501(C)(3)	162,511	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(73) REGENTS OF THE UNIVERSITY OF MINNESOTA PO BOX 1450 NW 5957 MINNEAPOLIS,MN554855957	41-6007513	GOVERNMENT	159,598	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(74) REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES BOX 0897 1855 FOLSOM ST MCB 425 SAN FRANCISCO,CA941430897	95-6006143	501(C)(3)	30,295	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(75) RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL 700 CHILDRENS DR COLUMBUS,OH43205	31-6056230	501(C)(3)	185,551	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(76) RONALD MCDONALD HOUSE CHARITIES WESTERN WASHINGTON & ALASKA 5130 40TH AVE NE SEATTLE,WA98105	91-1061043	501(C)(3)	428,654	SUPPORT FOR HOUSING PROGRAMS AND GALA SPONSORSHIP
(77) SAGE BIONETWORKS 1100 FAIRVIEW AVE N M1-C110 SEATTLE,WA98121	26-4489946	501(C)(3)	121,446	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(78) SAN DIEGO STATE UNIVERSITY FOUNDATION 5250 CAMPANILE DR SAN DIEGO,CA921821948	95-6042721	501(C)(3)	34,590	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(79) SANFORD RESEARCH USD 2301 E 60TH ST N SIOUX FALLS,SD571040589	46-0450378	501(C)(3)	5,465	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(80) SETON HEALTHCARE NETWORK PO BOX 204242 DALLAS,TX753204242	74-1109643	501(C)(3)	8,023	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(81) SMART CITIES - TECHSTREET HOUSTON INC 410 PIERCE ST HOUSTON,TX770028646	46-3387791	501(C)(3)	15,000	CONTRIBUTION TO ENERGIZING HEALTH INITIATIVE FOR IMPACT PEDIATRIC HEALTH EVENT
(82) SOLID GROUND WASHINGTON 1501 N 45TH ST SEATTLE,WA98103	23-7421892	501(C)(3)	8,500	SPONSORSHIP OF ANNUAL BUILDING COMMUNITY LUNCHEON
(83) SOUTHEAST ALASKA INDEPENDENT LIVING 3225 HOSPITAL DR SUITE 300 JUNEAU,AK99803	92-0144370	501(C)(3)	20,000	GRANT FOR COMMUNITY PLAYGROUND PROJECT
(84) SPECTRUM HEALTH HOSPITALS 100 MICHIGAN ST NE MC 038 GRAND RAPIDS,MI49503	38-1360529	501(C)(3)	77,414	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(85) ST LOUIS UNIVERSITY FUSZ HALL ROOM 368 3700 W PINE MALL MALL ST LOUIS,MO631083306	43-0654872	501(C)(3)	55,556	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(86) ST LUKE'S REGIONAL MEDICAL CENTER 190 E BANNOCK ST BOISE,ID83712	82-0161600	501(C)(3)	13,103	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(87) STANFORD UNIVERSITY PO BOX 44253 SAN FRANCISCO,CA94144	94-1156365	501(C)(3)	49,058	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(88) TEXAS A AND M UNIVERSITY 400 HARVEY MITCHELL PKWY S 300 COLLEGE STATION,TX77845	74-6000531	GOVERNMENT	22,349	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(89) THE ASSOCIATION OF ALASKA SCHOOL BOARDS 1111 W 9TH ST JUNEAU,AK99801	92-0098760	501(C)(3)	20,000	GRANT FOR CULTURALLY RESPONSIVE SOCIAL AND EMOTIONAL LEARNING PROGRAM
(90) THE CHILDREN'S MERCY HOSPITAL PO BOX 803852 KANSAS CITY,MO64180	44-0605373	501(C)(3)	60,347	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(91) THE GEORGE WASHINGTON UNIVERSITY 45155 RESEARCH PL ASHBURN,VA20147	53-0196584	501(C)(3)	20,927	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(92) THE MEDICAL COLLEGE OF WISCONSIN 9000 W WISCONSIN AVE MILWAUKEE,WI53201	39-0806261	501(C)(3)	115,990	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(93) THE NEMOURS FOUNDATION 10140 CENTURION PKWY N JACKSONVILLE,FL32256	59-0634433	501(C)(3)	47,581	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(94) THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK PO BOX 9 ALBANY,NY122010009	14-1368361	501(C)(3)	217,035	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(95) THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER PO BOX 842265 DALLAS,TX752842265	75-6001354	GOVERNMENT	26,397	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(96) THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS PO BOX 841753 DALLAS,TX752841753	75-6002868	GOVERNMENT	18,066	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(97) TULANE UNIVERSITY 800 E COMMERCE RD SUITE 203 HARAHAN,LA70123	72-0423889	501(C)(3)	30,424	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(98) UNITED WAY OF KING COUNTY 720 SECOND AVE SEATTLE,WA98104	91-0565555	501(C)(3)	25,850	SPONSORSHIPS OF SUMMER FOOD INVASION FIELD DAYS AND ANNUAL BREAKFAST
(99) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER 11100 EUCLID AVE CLEVELAND,OH482781686	34-1567805	501(C)(3)	45,841	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(100) UNIVERSITY OF ALABAMA AT BIRMINGHAM 1600 7TH AVE S ACC 620 BIRMINGHAM,AL352940109	63-6005396	GOVERNMENT	327,795	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(101) UNIVERSITY OF ARIZONA 1303 E UNIVERSITY BLVD BOX 3 TUCSON,AZ857190521	74-2652689	GOVERNMENT	33,084	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(102) UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 W MARKHAM ST LITTLE ROCK,AR72205	71-6046242	GOVERNMENT	7,888	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(103) UNIVERSITY OF COLORADO PO BOX 910238 DENVER,CO802910238	84-6000555	GOVERNMENT	552,461	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD AND GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD
(104) UNIVERSITY OF FLORIDA PO BOX 113001 GAINESVILLE,FL326113001	59-6002052	501(C)(3)	37,285	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(105) UNIVERSITY OF ILLINOIS AT CHICAGO 28395 NETWORK PL CHICAGO,IL606731283	37-6000511	GOVERNMENT	115,119	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(106) UNIVERSITY OF IOWA 118 S CLINTON ST IOWA CITY,IA52242	42-6004813	GOVERNMENT	59,074	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(107) UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE 3901 RAINBOW BLVD MS 1039 KANSAS CITY,KS66160	48-1108830	501(C)(3)	58,492	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(108) UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION 138 LEADER AVE SUITE 249 LEXINGTON,KY40508	61-6033693	501(C)(3)	24,799	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(109) UNIVERSITY OF MARYLAND RM 4101 CHESAPEAKE BLDG COLLEGE PARK,MD207423141	52-6002033	GOVERNMENT	35,356	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(110) UNIVERSITY OF MASSACHUSETTS 55 LAKE AVE N WORCESTER,MA01655	04-3167352	GOVERNMENT	9,038	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(111) UNIVERSITY OF MICHIGAN BOX 223131 PITTSBURGH,PA152512131	38-6006309	GOVERNMENT	16,583	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(112) UNIVERSITY OF NEBRASKA BOARD OF REGENTS 985100 NEBRASKA MEDICAL CENTER OMAHA,NE681985100	47-0049123	GOVERNMENT	28,284	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(113) UNIVERSITY OF NORTH CAROLINA PO BOX 402420 ATLANTA,GA303842420	56-6001393	GOVERNMENT	225,302	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(114) UNIVERSITY OF OKLAHOMA HEALTH SCIENCES PO BOX 26901 SCB 228 OKLAHOMA CITY,OK731260901	73-6017987	GOVERNMENT	12,233	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(115) UNIVERSITY OF PENNSYLVANIA PO BOX 785541 PHILADELPHIA,PA191785541	23-1352685	501(C)(3)	520,800	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(116) UNIVERSITY OF PITTSBURGH PO BOX 371220 PITTSBURGH,PA152517220	25-0965591	501(C)(3)	395,517	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(117) UNIVERSITY OF ROCHESTER 601 ELMWOOD AVE BOX 777 ROCHESTER,NY14642	16-0743209	501(C)(3)	68,634	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(118) UNIVERSITY OF TENNESSEE 62 S DUNLAP ST SUITE 300 MEMPHIS,TN38163	62-6001636	GOVERNMENT	7,263	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(119) UNIVERSITY OF UTAH 201 S PRESIDENTS CIRCLE ROOM 406 SALT LAKE CITY,UT84112	87-6000525	GOVERNMENT	176,804	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(120) UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE 85 S PROSPECT ST BURLINGTON,VT05405	03-0179440	501(C)(3)	9,396	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(121) UNIVERSITY OF VIRGINIA PO BOX 400201 CHARLOTTESVILLE,VA229041034	54-6001796	501(C)(3)	36,002	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(122) UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DR CHICAGO,IL60693	91-6001537	GOVERNMENT	5,631,258	GIFT IN SUPPORT OF CENTER FOR PEDIATRIC DENTISTRY, SUPPORT FOR DEPARTMENT OF IMMUNOLOGY GRADUATE EDUCATION PROGRAM, PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD, AND REFUND OF GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD
(123) UNIVERSITY OF WISCONSIN 600 HIGHLAND AVE MC 9988 MADISON,WI537920001	39-6006492	GOVERNMENT	14,434	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(124) VANDERBILT UNIVERSITY 1400 18TH AVE S NASHVILLE,TN372122809	62-0476822	501(C)(3)	592,747	GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD AND PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(125) VIRGINIA COMMONWEALTH UNIVERSITY PO BOX 843039 RICHMOND,VA232842506	54-6001758	GOVERNMENT	202,057	GAPPS SUBGRANT: PREVENTING PRETERM BIRTH INITIATIVE AWARD AND PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(126) WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES PO BOX 45204 OLYMPIA,WA985045204	91-6001088	GOVERNMENT	29,967	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(127) WASHINGTON STATE UNIVERSITY PO BOX 645220 PULLMAN,WA991645220	91-1075542	GOVERNMENT	336,443	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(128) WASHINGTON UNIVERSITY 660 S EUCLID BOX 8009 ST LOUIS,MO63110	43-0653611	501(C)(3)	88,406	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(129) WAYNE STATE UNIVERSITY PO BOX 02788 DETROIT,MI48202	38-6028429	GOVERNMENT	48,085	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(130) WEST VIRGINIA UNIVERSITY RESEARCH 886 CHESTNUT RIDGE RD PO BOX 6845 MORGANTOWN,WV265066845	55-0665758	501(C)(3)	5,234	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(131) WITHINREACH 155 NE 100TH STREET SUITE 500 SEATTLE,WA98125	91-1443685	501(C)(3)	12,000	VAX NORTHWEST IMMUNIZATION CAMPAIGN, HEALTHY CONNECTIONS LUNCHEON SPONSORSHIP, AND GENERAL DEVELOPMENT SUPPORT
(132) YALE UNIVERSITY 333 CEDAR ST I-100 SHM NEW HAVEN,CT065208087	06-0646973	501(C)(3)	14,307	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(133) YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY 1118 FIFTH AVENUE SEATTLE,WA98101	91-0482890	501(C)(3)	10,000	SPONSORSHIP OF INSPIRE LUNCHEON
(134) YOUTH ADVOCATES OF SITKA 805 LINCOLN ST SITKA,AK99835	92-0064393	501(C)(3)	20,000	GRANT FOR YOUTH EMPLOYMENT PROGRAM FOCUSED ON IMPROVING OUTCOMES FOR YOUTH WITH DISORDERS

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

133

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1) SUPPORT TO PATIENT FAMILIES OF MEDICALLY FRAGILE CHILDREN FOR EMERGENCY GENERATORS	1	1,000
(2) COLLEGE SCHOLARSHIPS FOR HOSPITAL VOLUNTEERS	2	6,000
(3) GRANT FOR THE PRODUCTION OF A VIDEO SERIES DESIGNED TO EDUCATE YOUTH ABOUT SUBSTANCE ABUSE ON BEHALF OF THE NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE IN JUNEAU, ALASKA	1	8,400
(4) SUPPORT TO PATIENT FAMILIES TO MEET VARIOUS NEEDS	13	3,837
(5) SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	1093		32,766	MARKET VALUE	MEAL VOUCHERS TO CAFETERIA
(6) SUPPORT TO PATIENT FAMILIES TO PURCHASE GROCERIES	341		21,570	MARKET VALUE	SAFEWAY GIFT CARDS
(7) SUPPORT TO PATIENT FAMILIES TO PURCHASE GAS FOR TRANSPORTATION TO APPOINTMENTS	414		19,990	MARKET VALUE	GAS CARDS
(8) SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	194		3,231	MARKET VALUE	FOOD BAGS
(9) SUPPORT TO PATIENTS AND FAMILIES WHO ARE ADMITTED ON AN EMERGENT / URGENT BASIS	154		2,681	MARKET VALUE	CLOTHING
(10) SUPPORT TO PATIENT FAMILIES FOR TEMPORARY HOUSING AND RENTAL ASSISTANCE	62		10,441	ACTUAL COST	PAYMENTS TO HOUSING AND RENTAL COMPANIES AND FOR PROPERTY TAXES
(11) SUPPORT TO PATIENT FAMILIES FOR TRANSPORTATION AND TRAVEL	149		7,827	ACTUAL COST	PAYMENTS TO TRANSPORTATION COMPANIES, FOR CAR LOANS, AND FOR AUTO INSURANCE
(12) SUPPORT TO PATIENT FAMILIES FOR FUNERAL EXPENSES	33		5,025	ACTUAL COST	PAYMENTS TO FUNERAL HOMES
(13) SUPPORT TO PATIENT FAMILIES FOR UTILITY EXPENSES, STORAGE, AND HOME MAINTENANCE	7		4,221	ACTUAL COST	PAYMENTS TO UTILITY COMPANIES, STORAGE COMPANIES, HOUSECLEANERS, AND FOR HOME REPAIR COSTS
(14) SUPPORT TO PATIENT FAMILIES FOR MEDICAL EQUIPMENT	7		798	ACTUAL COST	PAYMENTS TO MEDICAL EQUIPMENT PROVIDERS

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

A SPONSORSHIP COMMITTEE WAS ESTABLISHED BY SEATTLE CHILDREN'S HOSPITAL TO MEET REGULARLY FOR THE PURPOSE OF EVALUATING DIFFERENT OPPORTUNITIES TO SUPPORT OTHER NONPROFIT ORGANIZATIONS THROUGH PROVIDING VOLUNTEERS, GRANTS, AND SPONSORSHIPS FOR FUNDRAISING AND EDUCATIONAL EVENTS. CRITERIA USED IN THE DETERMINATION OF ASSISTANCE INCLUDE: THE ORGANIZATION'S ALIGNMENT WITH THE HOSPITAL'S CORE MISSION AND VALUES, THE DIVERSITY AND LOCATION OF THE POPULATION SERVED, AS WELL AS DOCUMENTED COMMUNITY NEED ADDRESSED BY THE ORGANIZATION. THE PURPOSE OF GRANTS DISTRIBUTED FROM THE REUBEN CROSSETT ENDOWMENT FUND IS TO IMPROVE THE HEALTH OF CHILDREN LIVING IN SOUTHEAST ALASKA. AN ADVISORY COMMITTEE OF SEATTLE CHILDREN'S REPRESENTATIVES REVIEWS APPLICATIONS AND VISITS THE CITIES OF KETCHIKAN, SITKA, AND JUNEAU ANNUALLY TO GAIN FEEDBACK ON THE NEEDS OF THE COMMUNITIES AND VISIT ORGANIZATIONS THAT HAVE APPLIED FOR FUNDING. GRANT RECIPIENTS ARE ASKED TO PROVIDE A REPORT ON HOW THEY WILL EVALUATE THE SUCCESS OF THEIR PROJECT AND RETURN ANY UNSPENT GRANT FUNDS TO THE ENDOWMENT. SEATTLE CHILDREN'S HOSPITAL HOLDS SEVERAL ENDOWMENTS THAT WERE ESTABLISHED TO SUPPORT PEDIATRIC BRAIN TUMOR RESEARCH ACTIVITIES. FUNDS ARE GRANTED FROM THESE ENDOWMENTS TO THE FRED HUTCHINSON CANCER RESEARCH CENTER. THE PRIMARY RESEARCHER IS INTERVIEWED ANNUALLY TO REPORT ON THE ACTIVITIES SUPPORTED BY THESE ENDOWMENTS. ORGANIZATIONS SELECTED AS SUBGRANTEES UNDER THE GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH (GAPPS) PROGRAM ARE REQUIRED TO PROVIDE WRITTEN AND FINANCIAL REPORTS. THESE REPORTS ARE PREPARED ON AN INTERIM BASIS AS WELL AS AT THE END OF THE FISCAL YEAR. ADDITIONALLY, PRINCIPAL INVESTIGATORS HAVE QUARTERLY CHECK-IN PHONE CALLS AND ATTEND AN ANNUAL INVESTIGATORS MEETING IN SEATTLE TO REPORT ON THEIR PROGRESS. THE OFFICE OF SPONSORED RESEARCH DEPARTMENT AT SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF THE HOSPITAL, PERFORMS QUARTERLY REVIEWS OF EACH SUBAWARD TO ENSURE THAT RECIPIENTS ARE MANAGING FUNDING IN ACCORDANCE WITH THE TERMS OF THE CONTRACT. A-133 AUDITS, RATE AGREEMENTS, AND DISCLOSURE REQUIREMENTS ARE ALL REVIEWED TO ENSURE THEY ARE CURRENT OR EXEMPT. THIS REVIEW IS TO ENSURE THAT THE SUBRECIPIENT HAS THE NECESSARY INFRASTRUCTURE IN PLACE TO MANAGE FUNDS. TERMS OF THE SUBCONTRACTS ARE MODIFIED AS NEEDED TO ADDRESS ANY ISSUES. THE PRIVATE INVESTIGATOR IS RESPONSIBLE TO ENSURE THE WORK IS PERFORMED TO SATISFACTION AND CONSISTENT WITH THE AIMS OF THE PROJECT. THE CENTER BUSINESS OFFICE ENSURES THAT THE INVOICED AMOUNTS ARE ALLOWABLE UNDER THE PROVISIONS OF THE AWARD AND SUBCONTRACT. A FINAL CHECK FOR COMPLIANCE TAKES PLACE AT THE EXPIRATION OF THE SUBAWARD WHEN THE OFFICE OF SPONSORED RESEARCH PERFORMS ITS FINAL CLOSEOUT. ANY PROBLEMS WITH PERFORMANCE OR EXPENDITURES ARE IDENTIFIED AT THAT TIME AND RESOLVED AS APPROPRIATE BEFORE FINAL DISTRIBUTIONS ARE MADE AND THE SUBAWARD IS COMPLETE.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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

SEATTLE CHILDREN'S HOSPITAL

Employer identification number

91-0564748

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .........

Yes

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? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

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:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

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 ............

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 .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1KELLY WALLACESENIOR VP & CHIEF FINANCIAL OFFICER	(i) (ii)	366,563 ------------- 122,187	129,545 ------------- 43,182	10,379 ------------- 497	13,334 ------------- 85,537	16,132 ------------- 5,377	535,953 ------------- 256,780	0 ------------- 0
2JEFF SPERRING MDCEO/NON-VOTING EX-OFFICIO TRUSTEE	(i) (ii)	378,709 ------------- 126,237	68,118 ------------- 22,635	2,635 ------------- 0	1,988 ------------- 120,309	14,179 ------------- 4,727	465,629 ------------- 273,908	0 ------------- 0
3THOMAS HANSEN MDCEO THRU MAY 2015/PRINC INVESTIGATOR	(i) (ii)	405,257 ------------- 80,086	692,739 ------------- 100,280	12,761 ------------- 0	13,912 ------------- 241,802	12,897 ------------- 4,299	1,137,566 ------------- 426,467	0 ------------- 0
4LISA BRANDENBURGPRESIDENT - HOSPITAL	(i) (ii)	573,505 ------------- 0	232,842 ------------- 0	5,703 ------------- 0	18,430 ------------- 103,163	30,861 ------------- 0	861,341 ------------- 103,163	0 ------------- 0
5SANFORD MELZER MDEXEC VP-NETWORKS & POPULATION HEALTH	(i) (ii)	374,660 ------------- 120,156	224,056 ------------- 0	8,236 ------------- 32,775	17,751 ------------- 79,199	28,951 ------------- 3,650	653,654 ------------- 235,780	0 ------------- 32,775
6MARK DEL BECCARO MDSR VP-CHIEF MED OFF/NON-VOTING TRUST	(i) (ii)	448,397 ------------- 0	102,070 ------------- 0	7,105 ------------- 0	18,550 ------------- 69,919	11,332 ------------- 0	587,454 ------------- 69,919	0 ------------- 0
7JAMES HENDRICKS PHDPRESIDENT - RESEARCH INSTITUTE	(i) (ii)	360,095 ------------- 0	152,849 ------------- 0	5,847 ------------- 0	17,805 ------------- 59,030	28,764 ------------- 0	565,360 ------------- 59,030	0 ------------- 0
8SUSAN HEATHSENIOR VP & CHIEF NURSING OFFICER	(i) (ii)	305,336 ------------- 0	149,097 ------------- 0	6,336 ------------- 0	17,456 ------------- 0	11,712 ------------- 0	489,937 ------------- 0	0 ------------- 0
9CINDY GAZECKISENIOR VP - HOSPITAL OPERATIONS	(i) (ii)	336,144 ------------- 0	99,648 ------------- 0	6,008 ------------- 0	18,550 ------------- 47,928	30,035 ------------- 0	490,385 ------------- 47,928	0 ------------- 0
10SUZANNE PETERSENCOS TO CEO & VP - EXT. AFFAIRS	(i) (ii)	328,337 ------------- 0	94,201 ------------- 0	6,099 ------------- 0	18,550 ------------- 0	25,840 ------------- 0	473,027 ------------- 0	0 ------------- 0
11ERIK LAUSUNDVP - RESEARCH OPERATIONS & LOGISTICS	(i) (ii)	277,931 ------------- 0	93,165 ------------- 0	3,525 ------------- 0	18,472 ------------- 0	21,520 ------------- 0	414,613 ------------- 0	0 ------------- 0
12JEFFREY SCONYERSSENIOR VP & GENERAL COUNSEL	(i) (ii)	118,230 ------------- 118,231	61,623 ------------- 61,082	13,478 ------------- 0	8,611 ------------- 43,976	11,778 ------------- 11,779	213,720 ------------- 235,068	0 ------------- 0
13WARREN HEWITTVP - FINANCE	(i) (ii)	239,930 ------------- 0	76,926 ------------- 0	34,482 ------------- 0	18,550 ------------- 0	19,796 ------------- 0	389,684 ------------- 0	0 ------------- 0
14CARA BAILEYSR VP-CONTINUOUS PERFORMANCE IMPROVE	(i) (ii)	258,513 ------------- 0	87,678 ------------- 0	4,524 ------------- 0	18,550 ------------- 33,609	12,555 ------------- 0	381,820 ------------- 33,609	0 ------------- 0
15TODD JOHNSONVP - FACILITIES	(i) (ii)	266,226 ------------- 0	69,028 ------------- 0	5,601 ------------- 0	18,550 ------------- 0	27,907 ------------- 0	387,312 ------------- 0	0 ------------- 0
16STEPHANIE AXELRODVP-COMMUNITY & STRATEGIC INITIATIVES	(i) (ii)	235,121 ------------- 0	83,359 ------------- 0	5,425 ------------- 0	18,550 ------------- 0	29,299 ------------- 0	371,754 ------------- 0	0 ------------- 0
17ALEXANDER GARRARDVP - HUMAN RESOURCES	(i) (ii)	233,206 ------------- 0	33,054 ------------- 0	8,360 ------------- 0	17,769 ------------- 0	30,108 ------------- 0	322,497 ------------- 0	0 ------------- 0
18JENNIFER BECKERVP - AMBULATORY SERVICES	(i) (ii)	211,444 ------------- 0	42,025 ------------- 0	2,069 ------------- 0	17,808 ------------- 0	15,575 ------------- 0	288,921 ------------- 0	0 ------------- 0
19KATHY JO FREEMANVP - PERIOP. & SURGICAL SERV. LINES	(i) (ii)	200,201 ------------- 0	43,778 ------------- 0	6,726 ------------- 0	17,095 ------------- 0	29,711 ------------- 0	297,511 ------------- 0	0 ------------- 0
20EDWIN WRIGHTSENIOR VP & CHIEF INFO. OFFICER	(i) (ii)	76,103 ------------- 0	139,050 ------------- 0	20,090 ------------- 0	15,754 ------------- 16,044	8,399 ------------- 0	259,396 ------------- 16,044	0 ------------- 0
21GREGORY BLACKBURNVP - CLINICAL SUPPORT SERVICES	(i) (ii)	215,953 ------------- 0	8 ------------- 0	1,507 ------------- 0	4,618 ------------- 0	14,741 ------------- 0	236,827 ------------- 0	0 ------------- 0
22MICHAEL MURPHYVP - ACCOUNTABLE CARE NETWORK	(i) (ii)	122,210 ------------- 0	75,228 ------------- 0	1,946 ------------- 0	523 ------------- 0	7,096 ------------- 0	207,003 ------------- 0	0 ------------- 0
23DOUGLAS PICHAPRESIDENT - FOUNDATION	(i) (ii)	36,311 ------------- 326,803	33,499 ------------- 301,488	18,889 ------------- 1,913	1,775 ------------- 74,590	3,033 ------------- 27,293	93,507 ------------- 732,087	0 ------------- 0
24MARK EGBERT DDSCHIEF - ORAL & MAXILLOFACIAL SURGERY	(i) (ii)	448,717 ------------- 0	79,606 ------------- 0	12,101 ------------- 0	18,550 ------------- 0	30,888 ------------- 0	589,862 ------------- 0	0 ------------- 0
25MICHAEL ASTION MDMEDICAL DIRECTOR - LABORATORIES	(i) (ii)	461,771 ------------- 0	36,485 ------------- 0	2,949 ------------- 0	14,213 ------------- 0	32,345 ------------- 0	547,763 ------------- 0	0 ------------- 0
26JAMES CHRISTIANSEN MDCARDIOLOGIST	(i) (ii)	373,870 ------------- 0	85,000 ------------- 0	3,075 ------------- 0	13,079 ------------- 0	30,502 ------------- 0	505,526 ------------- 0	0 ------------- 0
27CRAIG RUBENS MD PHDEXECUTIVE DIRECTOR - GAPPS	(i) (ii)	351,002 ------------- 0	89,018 ------------- 0	7,560 ------------- 0	18,550 ------------- 0	21,844 ------------- 0	487,974 ------------- 0	0 ------------- 0
28DAVID FISHER MDFORMER SR VP & CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 0	227,089 ------------- 0	0 ------------- 0	13,625 ------------- 0	0 ------------- 0	240,714 ------------- 0	0 ------------- 0

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	BUSINESS OR FIRST CLASS TRAVEL IS PROVIDED TO EMPLOYEES IN THE EVENT OF MEDICAL NECESSITY OR ON CERTAIN INTERNATIONAL FLIGHTS OF LONG DURATION. THIS IS NOT TREATED AS COMPENSATION. THE CHIEF EXECUTIVE OFFICER IS PROVIDED MEMBERSHIP TO THE RAINIER CLUB. ANNUAL DUES ARE REPORTED AS IMPUTED COMPENSATION. JAMES HENDRICKS AND STEPHANIE AXELROD ARE PROVIDED ROTARY CLUB MEMBERSHIPS, WHICH ARE NOT TREATED AS COMPENSATION.
PART I, LINE 4B	THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: KELLY WALLACE - $81,092 DEFERRED COMPENSATION. JEFF SPERRING MD - $119,647 DEFERRED COMPENSATION. THOMAS HANSEN MD - $237,164 DEFERRED COMPENSATION. LISA BRANDENBURG - $103,163 DEFERRED COMPENSATION. SANFORD MELZER MD - $67,003 DEFERRED COMPENSATION, $32,775 REPORTABLE PAYMENT. MARK DEL BECCARO MD - $69,919 DEFERRED COMPENSATION. JAMES HENDRICKS MD - $59,030 DEFERRED COMPENSATION. CYNDY GAZECKI - $47,928 DEFERRED COMPENSATION. JEFFREY SCONYERS - $35,365 DEFERRED COMPENSATION. CARA BAILEY - $33,609 DEFERRED COMPENSATION. EDWIN WRIGHT - $58,759 DEFERRED COMPENSATION. DOUGLAS PICHA - $51,391 DEFERRED COMPENSATION. DAVID FISHER MD - $32,290 DEFERRED COMPENSATION.
PART II, COLUMN (F):	THE FOLLOWING RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, WHICH IS BEING REPORTED IN COLUMN (B)(III). THIS COMPENSATION WAS REPORTED IN COLUMN (C) IN PRIOR FORMS 990: SANFORD MELZER MD - $32,775

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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.
SchKMediumBullet

Information 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
SEATTLE CHILDREN'S HOSPITAL

Employer identification number
91-0564748

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HLL7	02-03-2015	303,924,156	SEE PART VI		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HDX0	06-20-2012	80,423,004	SEE PART VI		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HEZ4	06-20-2012	142,165,000	SEE PART VI		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HAA3	09-02-2010	77,394,750	SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HAB1	09-02-2010	46,669,601	SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978E584	08-19-2009	113,722,874	SEE PART VI	X			X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............			105,895,000
3 Total proceeds of issue ..................	303,944,485		80,423,004		142,165,000		77,394,750
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	61,404		285
6 Proceeds in refunding escrows ...............	197,416,118		30,419,377
7 Issuance costs from proceeds ...............	2,600,625		1,975,466
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	103,865,301		50,003,342				77,394,750
11 Other spent proceeds .............
12 Other unspent proceeds .............	1,037
13 Year of substantial completion .............	2015		2013		2012		2010
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X		X	X			X
15 Were the bonds issued as part of an advance refunding issue? .....	X		X			X		X
16 Has the final allocation of proceeds been made? ..........		X	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

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		X		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		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		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 ....
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 .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		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		X		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		X		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		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X			X
b Exception to rebate? ........		X	X		X		X
c No rebate due? .........		X	X			X		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		X	X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

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		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		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		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

ENTITY 1 - FIRST SCHEDULE:

PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2015A AND REFUNDING REVENUE BONDS, SERIES 2015B (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2015A/B BONDS"), WERE ISSUED TO (I) TO PROVIDE PART OF THE FUNDS NECESSARY TO PAY AND/OR REIMBURSE SEATTLE CHILDREN'S HOSPITAL ("SEATTLE CHILDREN'S") FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING, EQUIPPING AND IMPROVING CERTAIN HEALTH CARE FACILITIES OWNED AND OPERATED BY SEATTLE CHILDREN'S; (II) ADVANCE REFUND AND DEFEASE ALL OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED MAY 29, 2008 (THE "SERIES 2008C BONDS"). THE PROCEEDS OF THE SERIES 2008C BONDS WERE ISSUED TO (I) REPAY AND RETIRE SEATTLE CHILDREN'S TAXABLE LINE OF CREDIT INDEBTEDNESS OWED TO WELLS FARGO BANK, N.A., WHICH INDEBTEDNESS WAS INCURRED TO REDEEM AND RETIRE THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED FEBRUARY 16, 2006 (THE "SERIES 2006C BONDS"). THE PROCEEDS OF THE SERIES 2006C BONDS WERE USED TO (I) PROVIDE A PORTION OF THE FUNDS NECESSARY TO CONSTRUCT, REMODEL AND/OR ACQUIRE ADDITIONAL HEALTH CARE FACILITIES FOR SEATTLE CHILDREN'S AND (II) TO PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2008C BONDS; AND (III) ADVANCE REFUND AND DEFEASE $79 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2009 (SEATTLE CHILDREN'S HOSPITAL), DATED AUGUST 19, 2009, (THE "SERIES 2009 BONDS"). THE PROCEEDS OF THE SERIES 2009 BONDS WERE ISSUED TO PROVIDE ALL OR A PORTION OF THE FUNDS NECESSARY TO (I) PAY THE COSTS (INCLUDING NEW CAPITAL COSTS, REIMBURSEMENT COSTS, AND REFINANCING COSTS) OF ACQUIRING THE LAND FOR CONSTRUCTING AND EQUIPPING A NEW OUTPATIENT CLINIC AND AMBULATORY SURGERY FACILITY IN BELLEVUE, WASHINGTON, RENOVATING AND REMODELING VARIOUS PORTIONS OF SEATTLE CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN SEATTLE CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS; AND (III) PAY COSTS OF ISSUING THE SERIES 2015A/B BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2015A BONDS, WHICH HAVE THE LATER OF THE MATURITIES OF THE TWO SERIES. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2012A AND REFUNDING REVENUE BONDS, SERIES 2012B (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2012A/B BONDS"), WERE ISSUED TO (I) REIMBURSE SEATTLE CHILDREN'S FOR A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPPING CERTAIN HEALTH CARE FACILITIES OF SEATTLE CHILDREN'S, AND (II) TO ADVANCE REFUND AND DEFEASE $27 MILLION OF THE SERIES 2009 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2012A BONDS, WHICH HAVE THE LATER OF THE MATURITIES OF THE TWO SERIES. LINE C, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REFUNDING REVENUE BONDS, SERIES 2012C AND REFUNDING REVENUE BONDS, SERIES 2012D (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2012C/D BONDS"), WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008A AND SERIES 2008B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED APRIL 16, 2008 (THE "SERIES 2008A/B BONDS"). THE PROCEEDS OF THE SERIES 2008A/B BONDS WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006A AND SERIES 2006B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), EACH DATED FEBRUARY 16, 2006 (THE "SERIES 2006A/B BONDS"). THE PROCEEDS OF THE SERIES 2006A/B BONDS WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING TO ADVANCE REFUND AND DEFEASE $67 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 1998 BONDS (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED NOVEMBER 17, 1998 (THE "SERIES 1998 BONDS"), AND (II) ADVANCE REFUND AND DEFEASE $66 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2001 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED NOVEMBER 15, 2001 (THE "SERIES 2001 BONDS"). THE PROCEEDS OF THE SERIES 1998 BONDS WERE USED TO PROVIDE A PORTION OF THE FUNDING FOR A COMPREHENSIVE FACILITY RENOVATION PROGRAM THAT INCLUDED EXTENSIVE CAPITAL IMPROVEMENTS TO THE HOSPITAL'S MAIN FACILITY. THE PROCEEDS OF THE SERIES 2001 BONDS WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING FOR A $120 MILLION CAPITAL PROGRAM, (II) PAY FOR THE PREMIUM RELATING TO THE BOND INSURANCE POLICY AND (III) PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2001 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2012D BONDS AND THERE IS NO CUSIP NUMBER FOR THE SERIES 2012C BONDS. LINE D, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010A (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010A BONDS"), WERE ISSUED TO REIMBURSE SEATTLE CHILDREN'S FOR THE COSTS OF ACQUIRING CERTAIN REAL PROPERTY (INCLUDING LAND) TO BE DEVELOPED AND USED AS HEALTH CARE FACILITIES OF SEATTLE CHILDREN'S. PART II, PROCEEDS: COLUMN A, LINES 3, 5 AND 6: LINE 3 INCLUDES INVESTMENT EARNINGS OF $20,329.00. LINE 5: $40,033.00 AND $21,371.00 OF PROCEEDS WAS TRANSFERRED TO THE PRINCIPAL AND INTEREST ACCOUNTS OF THE SERIES 2015A AND SERIES 2015B BONDS, RESPECTIVELY, AND WAS USED TO PAY INTEREST ON THE NEW MONEY PORTION OF THE SERIES 2015A AND SERIES 2015B BONDS. LINE 6: $197,416,118.00 OF TOTAL PROCEEDS FROM THE SERIES 2015B BONDS WAS DEPOSITED IN A REFUNDING ESCROW ACCOUNT. COLUMN B, LINES 5 AND 6: $30,419,377.00 OF TOTAL PROCEEDS FROM THE SERIES 2012B BONDS WAS DEPOSITED IN A REFUNDING ESCROW ACCOUNT AND $285.00 OF TOTAL PROCEEDS WAS DEPOSITED IN THE SERIES 2012B PRINCIPAL AND INTEREST ACCOUNT AND USED TO PAY INTEREST DUE ON THE SERIES 2012B BONDS. COLUMN C: $142,165.00 WAS USED TO REFUND, ON A CURRENT BASIS AND REDEEM ALL OF THE OUTSTANDING SERIES 2008A AND SERIES 2008B BONDS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2012C/D BONDS. PART III, PRIVATE BUSINESS USE: COLUMN A, B AND COLUMN D, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%. PART IV, ARBITRAGE: COLUMN A, LINE 2B: NO REBATE CALCULATION IS REQUIRED AS OF THE FILING DATE. IT IS EXPECTED THE SERIES 2015A/B BONDS WILL MEET AN EXCEPTION TO REBATE. COLUMN B, LINE 2B: A PORTION OF THE SERIES 2012A/B BOND ISSUE MET THE 6-MONTH SPENDING EXCEPTION TO REBATE SET FORTH IN REGULATIONS 1.148-9(H) AND 1.148-7. COLUMN B, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON NOVEMBER 4, 2014. COLUMN C, LINE 4A: SEATTLE CHILDREN'S DID NOT ENTER, NOR EXPECTS TO ENTER INTO, ANY INTEREST RATE HEDGE ARRANGEMENTS IN CONNECTION WITH THE SERIES 2012C/D BONDS. SEATTLE CHILDREN'S DID ENTER INTO QUALIFIED HEDGES WITH RESPECT TO THE SERIES 2008A/B BONDS, WHICH WERE REFUNDED BY THE SERIES 2012C/D BONDS. THE TERMINATION OR DEEMED TERMINATION PAYMENT, AS APPLICABLE, WITH RESPECT TO THE HEDGES WILL BE TAKEN INTO ACCOUNT IN THE CALCULATION OF THE YIELD ON THE SERIES 2012C/D BONDS.

ENTITY 2 - SECOND SCHEDULE:

PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010B (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010B BONDS"), WERE ISSUED TO (I) REFUND, ON A CURRENT BASIS, AND DEFEASE ALL OF THE OUTSTANDING SERIES 1998 BONDS AND (II) PAY COST OF ISSUANCE FOR THE SERIES 2010B BONDS. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2009 (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2009 BONDS") WERE ISSUED TO PROVIDE ALL OR A PORTION OF THE FUNDS NECESSARY TO (I) PAY THE COSTS (INCLUDING NEW CAPITAL COSTS, REIMBURSEMENT COSTS, AND REFINANCING COSTS) OF ACQUIRING THE LAND FOR CONSTRUCTING AND EQUIPPING A NEW OUTPATIENT CLINIC AND AMBULATORY SURGERY FACILITY IN BELLEVUE, WASHINGTON, RENOVATING AND REMODELING VARIOUS PORTIONS OF SEATTLE CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN SEATTLE CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS. PART II, PROCEEDS: COLUMN A: $46,080,000.00 WAS USED TO REFUND, ON A CURRENT BASIS, AND DEFEASE THE OUTSTANDING SERIES 1998 BONDS, WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2010B BONDS. $20,887.00 OF PROCEEDS WAS TRANSFERRED TO THE PRINCIPAL AND INTEREST ACCOUNT OF THE SERIES 2010B BONDS, AND USED TO PAY INTEREST DUE ON THE SERIES 2010B BONDS. COLUMN B: LINE 3 INCLUDES INVESTMENT EARNINGS OF $100,396.00 PART III, PRIVATE BUSINESS USE: COLUMN B, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%. PART IV, ARBITRAGE: COLUMN B, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON OCTOBER 11, 2012.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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.
SchKMediumBullet

Information 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
SEATTLE CHILDREN'S HOSPITAL

Employer identification number
91-0564748

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HLL7	02-03-2015	303,924,156	SEE PART VI		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HDX0	06-20-2012	80,423,004	SEE PART VI		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HEZ4	06-20-2012	142,165,000	SEE PART VI		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HAA3	09-02-2010	77,394,750	SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HAB1	09-02-2010	46,669,601	SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978E584	08-19-2009	113,722,874	SEE PART VI	X			X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............			105,895,000
3 Total proceeds of issue ..................	303,944,485		80,423,004		142,165,000		77,394,750
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	61,404		285
6 Proceeds in refunding escrows ...............	197,416,118		30,419,377
7 Issuance costs from proceeds ...............	2,600,625		1,975,466
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	103,865,301		50,003,342				77,394,750
11 Other spent proceeds .............
12 Other unspent proceeds .............	1,037
13 Year of substantial completion .............	2015		2013		2012		2010
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X		X	X			X
15 Were the bonds issued as part of an advance refunding issue? .....	X		X			X		X
16 Has the final allocation of proceeds been made? ..........		X	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

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		X		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		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		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 ....
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 .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		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		X		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		X		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		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X			X
b Exception to rebate? ........		X	X		X		X
c No rebate due? .........		X	X			X		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		X	X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

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		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		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		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

ENTITY 1 - FIRST SCHEDULE:

ENTITY 2 - SECOND SCHEDULE:

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (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

SEATTLE CHILDREN'S HOSPITAL

Employer identification number

91-0564748

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MCKINSTRY COMPANY	DEAN ALLEN, TRUSTEE, IS CEO AND PART OWNER OF MCKINSTRY COMPANY.	124,109	SERVICES		No
(2) ELLEN FISCHER	FAMILY MEMBER OF DR. ROB ROSKIN, TRUSTEE	32,789	EMPLOYMENT		No
(3) JULIE MARTINA	FAMILY MEMBER OF ALVIN WINTERROTH, TRUSTEE	66,907	EMPLOYMENT		No
(4) DAWN COTTER	FAMILY MEMBER OF DR. MARK DEL BECCARO, KEY EMPLOYEE	242,653	EMPLOYMENT		No
(5) SARAH BOWDEN	FAMILY MEMBER OF WARREN HEWITT, KEY EMPLOYEE	67,186	EMPLOYMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

SEATTLE CHILDREN'S HOSPITAL

Employer identification number

91-0564748

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	37	2,785,038	MARKET VALUE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, COLUMN (B):	LINE 9 - 37 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES
PART I, LINE 32B:	SEATTLE CHILDREN'S HOSPITAL FOUNDATION AND SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION (RELATED ORGANIZATIONS) SOLICIT BOTH CASH AND NON-CASH GIFTS ON BEHALF OF SEATTLE CHILDREN'S HOSPITAL.

Schedule M (Form 990) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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

SEATTLE CHILDREN'S HOSPITAL

Employer identification number

91-0564748

Return Reference	Explanation
FORM 990, PART I, LINE 6:	SEATTLE CHILDREN'S HOSPITAL HAS A DEDICATED GROUP OF VOLUNTEERS WHO GENEROUSLY GIVE THEIR TIME AND ENERGY TO SUPPORTING THE MISSION OF THE HOSPITAL. IN FISCAL YEAR 2016, 661 VOLUNTEERS, AFTER COMPLETING A THOROUGH INTERVIEW AND TRAINING PROCESS, LOGGED 76,343 HOURS OF SERVICE IN ONE OF THE 80 DIFFERENT DEPARTMENTS, WITH DUTIES RANGING FROM WORKING IN THE HOSPITAL GIFT SHOP, TO ENTERTAINING PATIENTS IN THE PLAYROOM, TO HELPING WITH ADMINISTRATIVE TASKS AT A RECEPTION AREA. IN ADDITION, 24 UNCOMPENSATED TRUSTEES SERVED ON THE SEATTLE CHILDREN'S HOSPITAL BOARD DURING FISCAL YEAR 2016. IN ALL THAT THEY DO, OUR VOLUNTEERS ARE HIGHLY VALUED MEMBERS OF OUR HOSPITAL COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 2	JEFFREY SCONYERS HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, JOEL BENOLIEL, SUSAN BETCHER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, COLIN FOX, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, LAURIE OKI, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, MICHELE SMITH, JEFF SPERRING, CHARLES STEVENS, KELLY WALLACE, AND ALVIN WINTERROTH. JEFF SPERRING HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, JOEL BENOLIEL, SUSAN BETCHER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, COLIN FOX, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, LAURIE OKI, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, MICHELE SMITH, CHARLES STEVENS, KELLY WALLACE, AND ALVIN WINTERROTH. KELLY WALLACE HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, JOEL BENOLIEL, SUSAN BETCHER, PAT CHAR, MICHAEL DELMAN, ROY DIAZ, ROBERT FLOWERS, COLIN FOX, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, JIM LADD, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, LAURIE OKI, JUDITH PIERCE, MICHAEL REEVES, ROB ROSKIN, NANCY SENSENEY, MICHELE SMITH, CHARLES STEVENS, AND ALVIN WINTERROTH.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7A	SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES (WHICH IS THE GOVERNING BODY) OF SEATTLE CHILDREN'S HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, HAS THE AUTHORITY TO MAKE, ALTER, AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF SEATTLE CHILDREN'S HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11	MANAGEMENT AND INDEPENDENT TAX PROFESSIONALS PRESENT AND REVIEW THE FORM 990 WITH THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF TRUSTEES. AFTER REVIEW BY THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE AND PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE, THE ENTIRE BOARD OF TRUSTEES RECEIVES A COPY OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY OF SEATTLE CHILDREN'S HOSPITAL REQUIRES AN ANNUAL SURVEY OF ALL BOARD MEMBERS OF SEATTLE CHILDREN'S HOSPITAL, MEMBERS OF THE MEDICAL LEADERSHIP, STAFF MEMBERS OCCUPYING ROLES WITH A DEGREE OF AUTHORITY AND MEMBERS OF THE HOSPITAL'S PHARMACY AND THERAPEUTICS COMMITTEE. THE SENIOR VICE PRESIDENT/GENERAL COUNSEL OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, ACTING UNDER THE OVERSIGHT OF THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF TRUSTEES, OVERSEES THE REVIEW OF ALL DISCLOSURES AND ESTABLISHES AND OVERSEES ANY NECESSARY MANAGEMENT PLANS RELATED TO THEM. IN GENERAL, WHEN A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE CONFLICT MUST RECUSE THEMSELVES FROM PARTICIPATION IN ANY BOARD DISCUSSION OR OTHER DECISION MAKING REGARDING THE TRANSACTION AND REFRAIN FROM VOTING ON OR DECIDING ANY ISSUES RELATING TO THE CONFLICTING INTEREST. ANY PERSON COVERED BY THE POLICY WHO ENGAGES IN CONDUCT THAT VIOLATES THE POLICY OR PURSUES A TRANSACTION OR EVENT FOLLOWING DISAPPROVAL BY THE BOARD OR THE CHIEF EXECUTIVE OFFICER MAY, IN THE DISCRETION OF THE BOARD OR THE CHIEF EXECUTIVE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM HIS OR HER DUTIES WITH SEATTLE CHILDREN'S HOSPITAL AND/OR TERMINATED IN HIS OR HER EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE (MDCC) OF THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS), A RELATED ORGANIZATION THAT IS THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL. PURSUANT TO THE BOARD-APPROVED MDCC CHARTER, THE MDCC ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT EXPERT IN THE COMPENSATION OF EXECUTIVES AND OTHER TOP MANAGERS OF NONPROFIT HOSPITALS AND HEALTH CARE SYSTEMS. WITH APPROPRIATE COMPARABILITY DATA PROVIDED BY ITS CONSULTANT (COMPRISING MARKET DATA REGARDING COMPENSATION PAID FOR COMPARABLE SERVICES IN COMPARABLE ORGANIZATIONS), THE MDCC ENGAGES IN AN ANNUAL REVIEW AND ASSESSMENT OF THE SEATTLE CHILDREN'S HOSPITAL EXECUTIVE COMPENSATION PROGRAM (BASE, INCENTIVE COMPENSATION, AND EMPLOYER-PAID BENEFITS) TO DETERMINE COMPETITIVENESS. BASED ON THIS EXPERT ANALYSIS AND ON RELEVANT PERFORMANCE INFORMATION FOR THE EXECUTIVES IN QUESTION AND THE ORGANIZATION AS A WHOLE, THE MDCC PRESENTS A RECOMMENDATION TO THE SCHS BOARD REGARDING THE TOTAL COMPENSATION PACKAGE FOR EACH OF THE EFFECTED EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND KEY EMPLOYEES. THE FULL BOARD REVIEWS THE RECOMMENDATIONS AS WELL AS ALL RELEVANT COMPARABILITY DATA AND THE GOALS OF THE ORGANIZATION IN MAKING ITS FINAL DECISION. IN DOING SO IT RELIES ON THE EXPERT ANALYSIS TO DETERMINE THAT COMPENSATION IS REASONABLE AND WITHIN THE "BOUNDS OF COMPETITIVE PRACTICE". ALL DELIBERATIONS AND DECISIONS OF THE MDCC AND FULL BOARD ARE DOCUMENTED IN THE BOOKS AND RECORDS IN ACCORDANCE WITH GENERAL ADMINISTRATIVE PROVISIONS AND PROCEDURES WITHIN THE BYLAWS. THE PROCESS FOLLOWED BY THE MDCC AND THE FULL BOARD SATISFIES BEST GOVERNANCE PRACTICES AND ALSO MEETS THE REGULATORY REQUIREMENTS NECESSARY TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO THE BOARD'S DECISION.
FORM 990, PART VI, SECTION C, LINE 19	SEATTLE CHILDREN'S HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS -1,822,787. CHANGE IN BENEFICIAL INTEREST IN SCHS 5,910,770. TRANSFER OF PROPERTY FROM SCHS 35,527,577.
SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT 2016-2017	OUR MISSION WE PROVIDE HOPE, CARE AND CURES TO HELP EVERY CHILD LIVE THE MOST HEALTHY AND FULFILLING LIFE POSSIBLE. OUR VISION SEATTLE CHILDREN'S WILL BE AN INNOVATIVE LEADER IN PEDIATRIC HEALTH AND WELLNESS THROUGH OUR UNSURPASSED QUALITY, CLINICAL CARE, RELENTLESS SPIRIT OF INQUIRY, AND COMPASSION FOR CHILDREN AND THEIR FAMILIES. OUR FOUNDING PROMISE TO THE COMMUNITY IS AS VALID TODAY AS IT WAS OVER A CENTURY AGO. WE WILL CARE FOR EVERY CHILD IN OUR REGION, REGARDLESS OF THEIR FAMILY'S ABILITY TO PAY. WE WILL: - PRACTICE THE SAFEST, MOST ETHICAL AND EFFECTIVE MEDICAL CARE POSSIBLE. - DISCOVER NEW TREATMENTS AND CURES THROUGH BREAKTHROUGH RESEARCH. - PROMOTE HEALTHY COMMUNITIES WHILE REDUCING HEALTH DISPARITIES. - EMPOWER OUR TEAM TO REACH THEIR HIGHEST POTENTIAL IN A RESPECTFUL WORK ENVIRONMENT. - EDUCATE AND INSPIRE THE NEXT GENERATION OF FACULTY, STAFF, AND LEADERS. - BUILD ON A CULTURE OF PHILANTHROPY FOR PATIENT CARE AND RESEARCH. LETTER FROM OUR CHIEF EXECUTIVE OFFICER HEALTH STARTS LONG BEFORE ILLNESS - IN OUR HOMES, SCHOOLS AND JOBS - BUT ONE HOSPITAL CAN'T DO IT ALONE. PARTNERSHIPS ARE A KEY COMPONENT OF OUR SUCCESS AT SEATTLE CHILDREN'S. WE ARE PARTNERS WITH PATIENTS AND FAMILIES IN THEIR HEALING. WE ARE PARTNERS WITH THE COMMUNITY IN RESEARCHING AND CREATING SAFE AND HEALTHY ENVIRONMENTS. AND WE ARE PARTNERS WITH OTHER HEALTHCARE ORGANIZATIONS IN FINDING NEW WAYS TO PREVENT, CURE AND TREAT PEDIATRIC DISEASE. OUR SPIRIT OF PARTNERSHIP IS EMBEDDED IN OUR COMMUNITY BENEFITS THAT HELP US MEET SOME OF THE GREATEST HEALTH NEEDS OF CHILDREN AND FAMILIES IN OUR REGION. IN COLLABORATION WITH COMMUNITY ORGANIZATIONS, PUBLIC HEALTH DEPARTMENTS, RESEARCHERS, DONORS AND OTHERS, WE HAVE WORKED TO: - IMPROVE COORDINATION OF CARE FOR CHILDREN WITH CHRONIC CONDITIONS. - ENHANCE ACCESS TO MENTAL AND BEHAVIORAL HEALTH. - DECREASE INCIDENCE OF SUICIDE AND INCREASE VIOLENCE PREVENTION ACTIVITIES. - IMPROVE ACCESS TO HEALTHY EATING AND ACTIVE LIVING EFFORTS INCLUDING FIGHTING FOOD INSECURITY. THIS REPORT HIGHLIGHTS OUR COMMUNITY BENEFIT EFFORTS DURING THE PAST YEAR. FROM SEARCHING FOR THE CAUSE OF SIDS TO GIVING TEENS TOOLS TO RESPOND TO DISTURBING SOCIAL MEDIA POSTS, OUR TEAM HAS WORKED HAND-IN-HAND WITH OTHERS TO HELP EVERY CHILD THRIVE AND MEET THEIR FULLEST POTENTIAL. WE FEEL SO STRONGLY ABOUT COMMUNITY HEALTH THAT IT IS NOW A PART OF OUR FIVE-YEAR STRATEGIC PLANNING EFFORT AS AN ORGANIZATION. I AM PROUD OF WHAT WE HAVE ACCOMPLISHED AND EXCITED ABOUT WHAT WE WILL ACHIEVE IN THE YEARS AHEAD. SINCERELY, JEFF SPERRING, MD CHIEF EXECUTIVE OFFICER
WHAT IS COMMUNITY BENEFIT?	A COMMUNITY BENEFIT IS A PROGRAM OR SERVICE THAT MEETS AT LEAST ONE OF THESE OBJECTIVES: - IMPROVES ACCESS TO HEALTHCARE. - ENHANCES THE HEALTH OF THE COMMUNITY. - ADVANCES MEDICAL OR HEALTH KNOWLEDGE. - RELIEVES OR REDUCES THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. COMMUNITY BENEFITS ARE CLASSIFIED AS UNCOMPENSATED CARE, RESEARCH, HEALTH PROFESSIONS EDUCATION AND COMMUNITY HEALTH IMPROVEMENT. COMMUNITY BENEFIT IS ALSO THE BASIS OF THE TAX-EXEMPTION OF NON PROFIT HOSPITALS. TOTAL 2016 INVESTMENT IN THE COMMUNITY: $192,518,000* UNCOMPENSATED CARE & MEDICAID SHORTFALL: $126,683,000 HEALTH PROFESSIONS EDUCATION: $24,631,000 RESEARCH: $29,684,000 COMMUNITY PROGRAMS AND SERVICES: $11,520,000 * DOES NOT INCLUDE GRANTS AND CONTRIBUTIONS SEATTLE CHILDREN'S RECEIVED THAT SUPPORT COMMUNITY BENEFIT PROGRAMS LEARN MORE ABOUT HOW WE CONTRIBUTE TO THE COMMUNITY AT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT COMMUNITY PROGRAMS AND SERVICES OUR MISSION IS NOT BOUNDED BY THE WALLS OF OUR HOSPITAL AND CLINICS. SEATTLE CHILDREN'S STAFF AND PROVIDERS WORK TO KEEP FAMILIES SAFE AND HEALTHY WHERE THEY LIVE. WE COLLABORATE WITH COMMUNITY LEADERS, ORGANIZATIONS, POLICY MAKERS AND FAMILIES TO SUPPORT CHANGES THAT IMPROVE CHILD HEALTH. WE IDENTIFY AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND SPEAK UP FOR THOSE WHO AREN'T ALWAYS HEARD. LAWYERS LEAD FAMILIES PAST LEGAL BARRIERS MANY FAMILIES HIT A BRICK WALL WHEN TRYING TO OBTAIN ASSISTANCE TO MEET THE BASIC NEEDS OF A CHILD WITH A COMPLEX HEALTH CONDITION. THE WASHINGTON MEDICAL-LEGAL PARTNERSHIP (MLP) HELPS FAMILIES WITH RIGHTS TO A SERVICE OR BENEFIT NAVIGATE THE LEGAL SYSTEM TO GET THE ASSISTANCE THEY'RE ENTITLED TO UNDER THE LAW. MOST MLP CLIENTS ARE DISADVANTAGED FAMILIES WHO - BECAUSE OF INCOME, LANGUAGE AND OTHER BARRIERS - ARE OFTEN UNAWARE OF THEIR RIGHTS AND DON'T KNOW WHERE TO GO FOR HELP MEETING BASIC NEEDS. BASED AT SEATTLE CHILDREN'S WITH THE SUPPORT OF HOSPITAL OPERATIONS, COMMUNITY FOUNDATIONS, AND DONORS, MLP ATTORNEYS BATTLE FOR SYSTEMIC CHANGE; PROVIDE FREE LEGAL SERVICES TO FAMILIES; AND TRAIN HEALTHCARE PROVIDERS TO RECOGNIZE HEALTH-HARMING LEGAL NEEDS, ADVOCATE FOR FAMILIES, AND REFER TO MLP. IN 2016 ALONE, 1,514 INDIVIDUALS RECEIVED HEALTH CARE RELATED LEGAL SERVICES FROM THE MLP. EDUCATION, FOOD, HOUSING, PERSONAL SAFETY, AND MEDICAL INSURANCE ARE ALL SOCIAL DETERMINANTS OF A CHILD'S FUTURE HEALTH. IF THOSE BASIC NEEDS GO UNMET, THEY CREATE BARRIERS TO HEALTH THAT MAKE IT DIFFICULT FOR A CHILD TO THRIVE. "IT'S AMAZING HOW MANY TIMES THERE ARE LEGAL SOLUTIONS TO HEALTH BARRIERS, BUT THEY'RE NOT ALWAYS OBVIOUS TO THE UNTRAINED EYE," SAYS DR. BEN DANIELSON, WHO CO-FOUNDED THE WASHINGTON MLP WITH DR. BRIAN JOHNSTON AND CAROL JENKINS. "THE MLP MODEL HELPS THOSE OF US IN HEALTHCARE CONNECT THE DOTS SO FAMILIES GET THE HELP THEY NEED." PROVIDING MORE RELIABLE RIDES CHILDREN COVERED BY MEDICAID QUALIFY FOR TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS. A TRANSPORTATION DESK AT THE OUTPATIENT ENTRANCE TO SEATTLE CHILDREN'S HOSPITAL ENSURES THEY AND THEIR FAMILIES RECEIVE TIMELY AND RELIABLE SERVICE. THE DESK IS STAFFED 10 HOURS A DAY. WHEN A PATIENT AND/OR FAMILY IS READY TO LEAVE THE HOSPITAL, THE PERSON ON DUTY SCHEDULES THEIR RIDE HOME AND - IF NEEDED - THEIR NEXT RIDE TO THE HOSPITAL. FAMILIES WAITED UP TO TWO HOURS FOR THEIR RIDE BEFORE THE DESK OPENED OVER FIVE YEARS AGO. NOW THEY'RE TYPICALLY ON THEIR WAY IN 20 MINUTES, SAYS JULIE POVICK, WHO MANAGES THE MEDICAID TRANSPORTATION DESK. IN 2016, THE STAFF HELPED COORDINATE AN AVERAGE OF 50 RIDES FOR FAMILIES EACH DAY. THE LONG WAITS OCCURRED BECAUSE CAB DRIVERS WOULDN'T SHOW UP OR WOULD LEAVE WITHOUT MAKING MUCH EFFORT TO LET FAMILIES KNOW THEY HAD ARRIVED. NORTHWEST TRANSPORT INC., WHICH OFFERS TRANSPORTATION TO INDIVIDUALS WITH SPECIAL NEEDS, NOW PROVIDES 80 PERCENT OF THE RIDES WHILE THE PERSON AT THE TRANSPORTATION DESK MAKES SURE DRIVERS CONNECT WITH FAMILIES. THE TRANSPORTATION DESK IS A COLLABORATION BETWEEN SEATTLE CHILDREN'S AND HOPELINK, A NONPROFIT AGENCY THAT CONTRACTS WITH THE STATE TO COORDINATE TRANSPORTATION AND HOUSING ASSISTANCE FOR QUALIFYING MEDICARE AND MEDICAID PATIENTS IN THIS REGION.
RESEARCH	RESEARCH IS OUR INVESTMENT IN FINDING CURES. SEATTLE CHILDREN'S RESEARCHERS STRIVE TO FIND BETTER WAYS TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE - WORK THAT IMPROVES THE LIVES OF CHILDREN AND FAMILIES HERE AND AROUND THE WORLD. COLLABORATING TO CONQUER SIDS THE CAUSE OF SUDDEN INFANT DEATH SYNDROME (SIDS) IS A TRAGIC MYSTERY, BUT DR. DANIEL RUBENS CONTINUES TO NARROW THE SEARCH FOR A WAY TO KEEP NEWBORNS SAFE. RUBENS HAS BEEN INVESTIGATING A POSSIBLE LINK BETWEEN INNER EAR DYSFUNCTION AND SIDS FOR MANY YEARS. HE IS CURRENTLY WORKING WITH COLLABORATORS IN THE UNITED KINGDOM AND DENMARK TO STUDY THE RELATIONSHIP BETWEEN SIDS AND CHILDREN WITH HEARING ABNORMALITIES IDENTIFIED BY A STANDARDIZED NEWBORN HEARING TEST. RUBENS, AN ANESTHESIOLOGIST, BELIEVES THE INNER EAR PLAYS A KEY ROLE IN RELAYING VITAL INFORMATION TO THE BRAIN AND THAT INNER EAR DAMAGE PREVENTS SOME BABIES FROM MOVING OR WAKING UP IF THEIR BREATHING BECOMES COMPROMISED. "OUR ULTIMATE GOAL IS TO DEVELOP A SCREENING TOOL AT BIRTH THAT WOULD IDENTIFY INFANTS AT HIGH RISK FOR UNEXPECTED SUDDEN DEATH," RUBENS SAYS. "THIS COULD ALLOW US TO MONITOR THEM AND PROVIDE INTERVENTIONS THAT WOULD POTENTIALLY REDUCE THE NUMBER OF SIDS DEATHS." ABOUT 2,000 BABIES BORN IN THE UNITED STATES DIE EACH YEAR FROM SIDS. "WE WILL KEEP WORKING AWAY TO UNDERSTAND THE CAUSE OF SIDS AND WE WON'T GIVE UP UNTIL WE FIND IT," RUBENS SAYS. IMPROVING DEPRESSION OUTCOMES DEPRESSION IS ONE OF THE MOST COMMON MENTAL HEALTH ISSUES AMONG TEENS. ALTHOUGH HIGHLY TREATABLE, DEPRESSION AFFECTS MOTIVATION. THE BURDEN OF SETTING UP APPOINTMENTS, FINDING PROVIDERS AND ACCESSING SERVICES MAKES IT LESS LIKELY PATIENTS WILL SEEK OR COMPLY WITH CARE. DR. LAURA RICHARDSON AND CO-INVESTIGATORS FROM THE UNIVERSITY OF WASHINGTON AND GROUP HEALTH COOPERATIVE CREATED A COLLABORATIVE CARE MODEL THAT CENTERED ON ASSIGNING TEENS A DEPRESSION CARE MANAGER WHO WORKED WITH PATIENTS, FAMILIES AND DOCTORS OVER THE COURSE OF A YEAR TO DEVELOP AND FOLLOW A TREATMENT PLAN. AFTER OBSERVING A COHORT OF TEENS FROM NINE PRIMARY CARE CLINICS, RICHARDSON AND HER CO-INVESTIGATORS FOUND THAT THOSE RECEIVING COLLABORATIVE CARE HAD FIVE TIMES GREATER ODDS OF GOING INTO REMISSION COMPARED TO THOSE WHO WERE ONLY SCREENED AND ENCOURAGED TO SEEK CARE - ALL AT AN ADDITIONAL HEALTHCARE COST OF JUST $883 PER PATIENT COMPARED TO STANDARD CARE. "CARE MANAGERS CHECKED IN WITH TEENS ABOUT HOW THEY WERE DOING REGULARLY AND COORDINATED CARE AMONG PROVIDERS. THEY ALSO DELIVERED EVIDENCE-BASED TREATMENTS LIKE BRIEF PSYCHOTHERAPY AND HELPED TO MAKE SURE TEENS WERE TAKING THEIR MEDICATIONS. IT IS CLEAR THAT HAVING THIS CONTINUITY IN CARE MADE A DIFFERENCE FOR THESE TEENS AND THEIR FAMILIES," RICHARDSON SAID.
HEALTH PROFESSIONS EDUCATION	HEALING AND TEACHING GO HAND IN HAND AT SEATTLE CHILDREN'S. WE HOST THE UNIVERSITY OF WASHINGTON'S PEDIATRIC RESIDENCY AND FELLOWSHIP PROGRAMS AND ARE A TRAINING GROUND FOR NURSES AND OTHER PROVIDERS FROM A NUMBER OF SCHOOLS. EDUCATING THE NEXT GENERATION OF PEDIATRIC HEALTH PROFESSIONALS RAISES THE LEVEL OF CARE FOR CHILDREN EVERYWHERE. WE ALSO SUPPORT HEALTH PROFESSIONALS ALREADY CARING FOR KIDS IN OUR COMMUNITY THROUGH OUR CONTINUING MEDICAL EDUCATION PROGRAMS. NURSE CAMP FOSTERS DIVERSITY SEATTLE CHILDREN'S ATTRACTS MANY APPLICANTS FOR VACANT NURSING POSITIONS, BUT THE POOL OF APPLICANTS DOES NOT ALWAYS REFLECT THE DIVERSITY OF THE PATIENTS AND FAMILIES WE SERVE. EVERY YEAR WE OFFER HIGH SCHOOL STUDENTS FROM DIVERSE BACKGROUNDS THE OPPORTUNITY TO ATTEND A THREE-DAY NURSE CAMP TO LEARN ABOUT CAREERS IN PEDIATRIC NURSING. "THE NURSING PROFESSION MUST ATTRACT MORE STUDENTS FROM DIVERSE ETHNIC BACKGROUNDS," SAYS LESLIE HARDER, DIRECTOR OF NURSING PROFESSIONAL DEVELOPMENT. "GETTING ACCEPTED INTO NURSING SCHOOL IS CHALLENGING. NURSE CAMP SHOWCASES NURSING TO HIGH SCHOOL STUDENTS AND ENCOURAGES THEM TO TAKE ESSENTIAL SCIENCE COURSES AND GET GOOD GRADES SO THEY CAN PURSUE A NURSING CAREER." OUR 2017 CAMP HAS EXPANDED TO 40 STUDENTS FROM 24. DURING THE CAMP STUDENTS JOB SHADOW WORKING NURSES, LEARN BASIC NURSING SKILLS, RECEIVE CPR TRAINING AND HEAR FROM SEATTLE CHILDREN'S NURSES AND NURSING PROFESSORS FROM LOCAL UNIVERSITIES. A SURVEY OF STUDENTS IN LAST YEAR'S CAMP SHOWED MOST BECAME MORE EXCITED ABOUT NURSING AFTER ATTENDING THE CAMP. JESSICA HAVENS ATTENDED THE 2004 CAMP AND NOW WORKS IN THE OPERATING ROOM. "THE CAMP GIVES FUTURE NURSES THE OPPORTUNITY TO FALL IN LOVE WITH THE JOB," SHE SAYS. THIS TRACK LEADS TO ALASKA YOU COULD SAY THAT SEATTLE CHILDREN'S PRIMARY CARE RESIDENTS ARE MADE IN ALASKA. THAT'S BECAUSE RESIDENTS WHO CHOOSE OUR PRIMARY CARE TRACK SPEND FOUR MONTHS IN ALASKA DURING EACH OF THEIR THREE YEARS OF TRAINING. THE PROGRAM WILL GRADUATE ITS THIRD CLASS OF RESIDENTS THIS YEAR. RESIDENTS ROTATE BETWEEN THE ALASKA NATIVE MEDICAL CENTER IN ANCHORAGE, A LARGE PRIVATE PEDIATRIC CLINIC IN ANCHORAGE, A NATIVE CENTER IN BETHEL AND A PRIVATE PRACTICE IN FAIRBANKS. BY THE TIME THEY COMPLETE THEIR RESIDENCY, THEY SPEND A TOTAL OF ONE YEAR IN PRIMARY CARE SETTINGS. THE ALASKA ROTATIONS MEET SEVERAL NEEDS, SAYS DR. RICHARD SHUGERMAN, A SEATTLE CHILDREN'S EMERGENCY MEDICINE PHYSICIAN AND PEDIATRIC EDUCATION DIRECTOR FOR THE FIVE-STATE REGION WE SERVE. "PEDIATRICIANS IN ALASKA WANT TO WORK WITH OUR RESIDENTS WHILE MANY PEOPLE WHO GO INTO PRIMARY CARE WANT TO WORK WITH UNDERSERVED POPULATIONS," HE SAYS. THE ALASKA ROTATION ALSO HELPS PREPARE RESIDENTS TO WORK IN THE RURAL AREAS OF OUR FIVE-STATE REGION, WHERE THERE IS A HUGE NEED FOR PRIMARY CARE PROVIDERS. TEN OF THE 12 GRADUATES OF OUR PRIMARY CARE TRACK NOW PRACTICE IN OUR REGION - NINE OF THEM IN ALASKA.
UNCOMPENSATED CARE	A CHILD'S HEALTH SHOULD NOT HINGE ON A FAMILY'S FINANCES. SEATTLE CHILDREN'S WAS FOUNDED ON THE BELIEF AND PROMISE THAT ALL CHILDREN SHOULD RECEIVE THE BEST QUALITY CARE REGARDLESS OF ABILITY TO PAY. AT SEATTLE CHILDREN'S WE PROVIDE HOPE, CARE AND CURES TO EVERY CHILD TO HELP EVERY CHILD LIVE THE HEALTHIEST AND MOST FULFILLING LIFE POSSIBLE. IN 2016, WE PROVIDED $126 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO. A PATH TO WELLNESS NICOLE SMITH CAN'T SAY ENOUGH ABOUT THE SICKLE CELL TEAM AT THE ODESSA BROWN CHILDREN'S CLINIC (OBCC), WHERE HER DAUGHTER HAS RECEIVED CARE SINCE SHORTLY AFTER HER BIRTH 14 YEARS AGO. "I BRAG ABOUT THEM," SHE SAYS. "THE FACT THEY ARE SICKLE CELL EXPERTS IS REASSURING BECAUSE IT'S SUCH A COMPLEX DISEASE." THE COST OF MANAGING A CHRONIC DISEASE LIKE SICKLE CELL CAN BE DAUNTING, BUT OUR UNCOMPENSATED CARE FUND FILLS GAPS IN A FAMILY'S ABILITY TO PAY. "WE NEVER HAVE TO WORRY ABOUT COMPROMISING PATIENT CARE," SAYS DR. M. A. BENDER, WHO LEADS THE SEATTLE CHILDREN'S / ODESSA BROWN CHILDREN'S CLINIC SICKLE CELL PROGRAM. SICKLE CELL RESULTS IN ABNORMAL RED BLOOD CELLS, CAUSING PAIN, ANEMIA AND ORGAN DAMAGE AND INCREASES THE RISK OF LIFE THREATENING INFECTION. THE DISEASE IS MOST COMMON AMONG AFRICAN AMERICANS. NICOLE'S DAUGHTER TRAVELS 60 MILES FROM HER HOME IN MOUNT VERNON TO THE OBCC EVERY THREE MONTHS FOR CHECKUPS AND FOLLOW-UP CARE. "OUR TEAM FOCUSES ON EDUCATION, THE MOST UP-TO DATE SCREENING AND THE BEST MEDICINES TO PREVENT AND TREAT PROBLEMS," BENDER SAYS. "IF AN EMERGENCY ARISES, FAMILIES CAN CONSULT OUR EXPERTS 24 HOURS DAY." SICKLE CELL EXHIBITS FEW OUTWARD SIGNS, WHICH CAN MAKE TEACHERS, COACHES AND OTHERS DOUBT WHETHER SYMPTOMS SUCH AS FATIGUE ARE GENUINE. "[MY DAUGHTER] HASN'T HAD THAT PROBLEM, BUT THE SICKLE CELL TEAM ALWAYS SAYS THEY ARE GLAD TO COME UP IF WE NEED THEM TO ANSWER QUESTIONS," NICOLE SAYS. "IT MEANS SO MUCH THAT THEY ALWAYS HAVE OUR BACK." WAITING FOR THE CALL A CHILD FROM ALASKA WAS BORN WITH A SEVERE BIRTH DEFECT THAT CAUSED HIS HEART TO DEVELOP ON THE OPPOSITE SIDE OF HIS BODY WITH ONLY ONE PUMPING CHAMBER AND MALFORMED VALVES. HIS ONLY CHANCE AT LIFE WAS A NEW HEART; HIS HEALTH WAS RAPIDLY DECLINING AND HE WAS IMMEDIATELY PUT ON THE TRANSPLANT LIST. HE HAD GONE INTO CARDIAC ARREST MULTIPLE TIMES, AND HIS PARENTS AND DOCTORS FEARED HE MIGHT NOT MAKE IT. THE FAMILY UPROOTED THEIR LIVES IN ANCHORAGE AND MOVED TO SEATTLE TO SAVE THE BOY'S LIFE. "WE WERE WORRIED WE'D HAVE TO CHOOSE BETWEEN SAVING OUR SON AND BANKRUPTING OUR FAMILY," SAID MINDY, HIS MOTHER. "WE HAD TO ASK OURSELVES, 'CAN WE DO THIS FOR HIM?'" THANKS TO THE UNCOMPENSATED CARE FUND AT SEATTLE CHILDREN'S, THE FAMILY WAS ABLE TO SAY YES. "THE TRANSPLANT CARDIOLOGIST RECOMMENDED WE LOOK INTO UNCOMPENSATED CARE," SAID MINDY. "FROM THERE, THE WHOLE PROCESS WAS SEAMLESS. THEY ALLOWED US TO NOT WORRY ABOUT THE COST SO WE COULD FOCUS ON OUR SON." EIGHTY-NINE DAYS AFTER PUTTING THEIR SON ON THE TRANSPLANT LIST, THEY RECEIVED A CALL; THEY HAD A MATCH. ONLY 21 DAYS AFTER RECEIVING A LIFE-SAVING HEART TRANSPLANT, HE WAS DISCHARGED FROM SEATTLE CHILDREN'S WITH A NEW HEART AND A NEW LEASE ON LIFE. THE FAMILY RETURNED TO ANCHORAGE WHERE THE BOY IS GROWING UP HAPPY AND MEETING HIS MILESTONES.
COMMUNITY BENEFIT PRIORITIES	OUR 2016-2019 COMMUNITY HEALTH ASSESSMENT IDENTIFIES FOUR URGENT HEALTH NEEDS FOR THE CHILDREN, TEENS AND FAMILIES WE SERVE. WORKING WITH OUR PARTNERS IN THE COMMUNITY, WE MADE SIGNIFICANT PROGRESS IN EACH OF THE FOUR PRIORITY AREAS. HERE ARE SOME OF OUR ACCOMPLISHMENTS. COORDINATED CARE FOR CHRONIC CONDITIONS MANAGING THE HEALTH OF CHILDREN WITH MEDICAL COMPLEXITY REQUIRES CLOSE COLLABORATION BETWEEN MANY DIFFERENT HEALTHCARE PROVIDERS AT THE HOSPITAL AND IN THE COMMUNITY. WE HELP CHILDREN WITH CHRONIC PHYSICAL, DEVELOPMENTAL, BEHAVIORAL OR EMOTIONAL CONDITIONS REACH THEIR FULL POTENTIAL BY COMMUNICATING, COORDINATING AND TRACKING THEIR NEEDS AND OUTCOMES AS THEY GROW UP AND MOVE TO ADULT CARE. TRANSFORMING HEALTH CARE DELIVERY THE ODESSA BROWN CHILDREN'S CLINIC (OBCC) HOUSES A WIDE RANGE OF PRIMARY CARE. BUT IT'S NOT ENOUGH TO PLACE MEDICAL, DENTAL, NUTRITION AND MENTAL HEALTH SERVICES IN ONE BUILDING. OBCC STAFF AND PROVIDERS WORK AS A TEAM TO COORDINATE PATIENT CARE, LISTEN TO FAMILIES AND ADDRESS ALL THE FACTORS THAT DETERMINE A CHILD'S HEALTH. "AS THE SOCIAL AND ECONOMIC SAFETY NET GETS MORE FRAYED, FAMILIES COME TO US WITH A MULTITUDE OF ISSUES SUCH AS IMMIGRATION, HOUSING AND FOOD INSECURITY," SAYS MARK FADOOL, WHO DIRECTS MENTAL HEALTH SERVICES AT THE CLINIC. THESE SOCIAL COMPLEXITIES ARE PARTICULARLY MORE CHALLENGING FOR CHILDREN WITH CHRONIC CONDITIONS. MARK CONTINUES, "WE NEED TO IDENTIFY THOSE CONCERNS AND PROVIDE AN INTEGRATED RESPONSE IF WE WANT TO GET TO THE ROOT CAUSES OF MEDICAL ISSUES." A PART OF SEATTLE CHILDREN'S, THE OBCC SERVES CHILDREN LIVING IN SEATTLE'S CENTRAL DISTRICT AS WELL AS SOUTH SEATTLE AND SOUTH KING COUNTY. CLINIC SOCIAL WORKERS AND COMMUNITY CARE COORDINATORS PLAY AN EVER EXPANDING ROLE IN THE CLINIC'S MISSION. BY PARTICIPATING IN A CHILD'S MEDICAL APPOINTMENTS FROM INFANCY ON, THEY HELP FAMILIES TALK ABOUT ISSUES IN THEIR DAILY LIFE THAT MAY BE AFFECTING A CHILD'S HEALTH AND CONNECT FAMILIES WITH ASSISTANCE AND RESOURCES. OBCC'S TEAM ALSO WORKS WITH SCHOOLS WHERE THESE CHILDREN ATTEND, PROVIDING A TRUE MEDICAL HOME WITH COORDINATED CARE. "WE DON'T WANT TO WAIT UNTIL A CHILD IS AN ADOLESCENT AND A FAMILY IS IN CRISIS BEFORE FULLY UNDERSTANDING THEIR NEEDS," FADOOL SAYS. MANY SERVICES, ONE ROOF AS CHILDREN APPROACH THEIR TEENS, NEW PHYSICAL, EMOTIONAL AND SOCIAL ISSUES ARISE. OUR ADOLESCENT MEDICINE CLINICS IN SEATTLE, BELLEVUE AND FEDERAL WAY PROVIDE CONSULTATION, DIAGNOSIS AND TREATMENT FOR VARIOUS ADOLESCENT HEALTH CONCERNS IN LOCATIONS DESIGNED SPECIFICALLY FOR THIS AGE GROUP. THE CLINICS SERVE PATIENTS AGES 10-21 SEEKING SPECIALIZED HELP WITH OBESITY, EATING DISORDERS, REPRODUCTIVE HEALTH, TRANSGENDER CARE, SUBSTANCE ABUSE/ADDICTION AND BIOFEEDBACK FOR CHRONIC HEADACHES AND ABDOMINAL PAIN. MANY OF THOSE CONCERNS REQUIRE CARE FROM MULTIPLE SPECIALISTS, SO INSTEAD OF WORKING IN WIDELY DISPERSED OFFICES, ALL CLINIC PROVIDERS SIT NEXT TO EACH OTHER IN A LARGE TEAM ROOM WITH EXAM ROOMS RIGHT OUTSIDE THE DOOR. "IT'S LIKE NASA MISSION CONTROL," SAYS DR. YOLANDA EVANS, AN ADOLESCENT MEDICINE SPECIALIST. "PROVIDERS CAN EASILY CONSULT WITH ONE ANOTHER AND DEVELOP INTEGRATED CARE PLANS BEFORE THEY SEE THEIR PATIENTS. PLUS IT'S EASY FOR NURSES TO TRACK DOWN PROVIDERS IF THEIR SERVICES ARE NEEDED BY OTHER PROVIDERS." FAMILIES WELCOME THE CONVENIENCE OF OBTAINING A VARIETY OF SPECIALTY SERVICES UNDER THE SAME ROOF AND APPRECIATE THE IMPROVED COMMUNICATION BETWEEN PROVIDERS. "FAMILIES DON'T HAVE TO REPEAT THEIR STORIES OVER AND OVER AGAIN," EVANS SAYS. AND PATIENTS ARE VERY HAPPY THAT THE DECOR AND FURNISHINGS WERE CHOSEN FOR THEIR AGE GROUP, NOT LITTLE KIDS." HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY CHILDREN NEED MORE THAN GREAT MEDICAL CARE TO GROW UP HEALTHY, HAPPY AND STRONG. SEATTLE CHILDREN'S WORKS TOGETHER WITH FAMILIES AND COMMUNITY PARTNERS TO FIGHT CHILDHOOD HUNGER, FOSTER HEALTHIER ENVIRONMENTS, PROMOTE NUTRITIOUS CHOICES AND ENCOURAGE KIDS TO GET THE RECOMMENDED AMOUNT OF PHYSICAL ACTIVITY THEY NEED TO THRIVE. REDUCING HEALTH DISPARITIES SEATTLE CHILDREN'S IS COMMITTED TO REDUCING HEALTH DISPARITIES. FUNDED BY A GRANT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND THROUGH A PARTNERSHIP WITH DEPARTMENT OF PUBLIC HEALTH - SEATTLE AND KING COUNTY AND THE HEALTHY KING COUNTY COALITION WE ARE DISTRIBUTING $8 MILLION IN FEDERAL FUNDS (2015-2017), TO WORK WITH NEARLY 23 CITIES, AGENCIES AND ORGANIZATIONS FOR PROJECTS THAT CREATE HEALTHIER ENVIRONMENTS AND SYSTEMS WHERE PEOPLE LIVE, WORK AND PLAY. PROJECT EXAMPLES INCLUDE: - INTRODUCING EVIDENCE-BASED PHYSICAL EDUCATION CURRICULUM AND PHYSICAL ACTIVITY THROUGHOUT THE SCHOOL DAY IN THE INTERAGENCY ACADEMY AND THE FEDERAL WAY AND HIGHLINE PUBLIC SCHOOL SYSTEMS. - CREATING A YOUTH-LED EDUCATION AND AWARENESS CAMPAIGN IN DELRIDGE AND WHITE CENTER TO BUILD KNOWLEDGE AND AWARENESS ABOUT EATING HEALTHY FOODS. IN KENT, YOUTH RESIDENTS HELD LOCAL COOKING CONTESTS TO PROMOTE HEALTHY EATING, WERE INVOLVED IN LAUNCHING THE FIRST EVER COMMUNITY RUN FARMERS MARKET, AND HOLD SEATS ON THE LOCAL FOOD POLICY COUNCIL. - EXPANDING COMMUNITY LEADERSHIP IN THE FOOD INNOVATION NETWORK (FIN) IN SEATAC AND TUKWILA. IN ORDER TO ENHANCE THE LOCAL FOOD SYSTEM, FIN SUPPORTS RESOURCE AND IDEA-SHARING THAT ENGAGES THE DIVERSE COMMUNITIES OF SEATAC, TUKWILA AND SOUTH KING COUNTY. FIN IS SUPPORTED BY THE GRANT TO WORK CLOSELY WITH COMMUNITY FOOD ADVOCATES TO IDENTIFY COMMON BARRIERS FOR FOOD ENTREPRENEURS, AND TO DEVELOP LEADERSHIP SKILLS AMONG FOOD ADVOCATES TO SUPPORT ACCESS TO HEALTHY AND AFFORDABLE FOOD. TAKE TWO CARROTS AND CALL ME IN THE MORNING HUNGER AND POOR NUTRITION CONTRIBUTE GREATLY TO DIET-RELATED DISEASES, BUT OUR HEALTH CARE SYSTEM DOESN'T COVER FOOD THE SAME WAY IT COVERS PROCEDURES AND MEDICATIONS. THE PRODUCE PRESCRIPTION PROGRAM OFFERS A REMEDY FOR LOW-INCOME PATIENTS TO PREVENT, TREAT AND MANAGE DIET-RELATED DISEASES. THE PRODUCE PRESCRIPTION PROGRAM ENABLES PROVIDERS AT ODESSA BROWN CHILDREN'S CLINIC (OBCC), A COMMUNITY CLINIC OF SEATTLE CHILDREN'S, TO PRESCRIBE FRUITS AND VEGETABLES TO ELIGIBLE PATIENT FAMILIES AND PROVIDE VOUCHERS TO REDEEM AT SAFEWAY LOCATIONS OR AT LOCAL FARMERS MARKETS THROUGH THE CITY OF SEATTLE'S FRESH BUCKS RX. THROUGH THIS PROGRAM, HEALTH CARE PROVIDERS SUPPORT AND ENCOURAGE FRUIT AND VEGETABLE CONSUMPTION AMONGST THEIR PATIENTS: FROM JULY TO DECEMBER OF 2016 ALONE, 105 FAMILIES HAVE ENROLLED AND EACH RECEIVE 6 MONTHS OF WEEKLY PRESCRIPTIONS. THE PROGRAM IS PART OF COMPLETE EATS, A STATEWIDE MULTI-SECTOR PARTNERSHIP OPERATED BY THE WASHINGTON STATE DEPARTMENT OF HEALTH, AND PARTIALLY FUNDED THROUGH A FOUR-YEAR FEDERAL FOOD INSECURITY NUTRITION INCENTIVE (FINI) GRANT. FOOD HARDSHIP IS A REAL AND GROWING PROBLEM THAT AFFECTS COMMUNITIES OF COLOR DISPROPORTIONATELY. BESIDES BEING UNDERNOURISHED, STUDIES SHOW THAT PEOPLE LIVING IN FOOD INSECURE HOUSEHOLDS SKIP, DELAY OR REDUCE MEDICATIONS SO THEY CAN AFFORD TO BUY FOOD. "MAINTAINING A HEALTHY DIET IS ONE OF THE KEY ACTIONS A PERSON CAN TAKE TO IMPROVE PHYSICAL AND MENTAL HEALTH," SAYS DR. BEN DANIELSON, MEDICAL DIRECTOR AT THE OBCC. "I AM THRILLED I CAN NOW PRESCRIBE BETTER NUTRITION."
SUICIDE AND VIOLENCE PREVENTION	A CHILD OR TEEN IS KILLED BY GUNFIRE EVERY EIGHT DAYS IN WASHINGTON. AN AVERAGE OF TWO YOUTH DIE BY SUICIDE EACH WEEK - ONE THIRD THROUGH THE USE OF A FIREARM. SEATTLE CHILDREN'S WORKS TO PROMOTE FIREARM SAFETY AND ADDRESS THE UNDERLYING CAUSES OF YOUTH VIOLENCE AND SUICIDE. FIREARM SAFETY SEATTLE CHILDREN'S HAS A LONG HISTORY OF PROTECTING CHILDREN FROM INJURY BY PROMOTING AND INCREASING AWARENESS AND ACCESS TO SAFETY MEASURES LIKE CAR SEATS, BIKE HELMETS AND LIFE JACKETS. WE PROVIDE LOW-COST LIFE JACKETS AND FREE BIKE HELMETS AND CAR SEAT CHECKS TO CHILDREN AND FAMILIES ACROSS THE REGION EVERY YEAR. WE ALSO PROMOTE SAFE FIREARM STORAGE. IN RESPONSE TO EVERY FIREARM-RELATED INCIDENT AND ACT OF GUN VIOLENCE THAT HAS AFFECTED CHILDREN AND TEENS IN WASHINGTON AND AROUND THE COUNTRY, SEATTLE CHILDREN'S LAUNCHED THE PROTECT OUR KIDS FROM FIREARM TRAGEDIES INITIATIVE IN 2014. WORKING IN PARTNERSHIP WITH PUBLIC HEALTH DEPARTMENTS, SAFE KIDS CHAPTERS, LOCAL HOSPITALS AND OTHERS, THIS INITIATIVE DISTRIBUTED NEARLY 1,000 FREE LOCK BOXES AND TRIGGER LOCKS IN CONJUNCTION WITH EDUCATION ABOUT SAFE FIREARM STORAGE ACROSS WASHINGTON STATE IN 2016. EASY ACCESS TO FIREARMS IN A HOME IS A RISK FACTOR FOR FIREARM-RELATED DEATH AND INJURY AMONG CHILDREN AND TEENS. AT LEAST ONE FIREARM IS PRESENT IN NEARLY 40% OF WASHINGTON HOMES AND MORE THAN HALF OF THOSE HOMES REPORT HAVING AN UNLOCKED FIREARM. BY PROVIDING THE TOOLS AND EDUCATION TO SAFELY STORE FIREARMS IN THE HOME, WE HOPE TO REDUCE THIS RISK FACTOR AND HELP PREVENT FIREARM-RELATED INCIDENTS OR FIREARM VIOLENCE. "IT'S HARD TO BELIEVE THERE WAS A TIME WE USED TO PUT CHILDREN IN CARS WITHOUT CAR SEATS OR SEATBELTS," SAYS CINDY GAZECKI, CO-FOUNDER OF THE SEATTLE CHILDREN'S FIREARM TRAGEDY PREVENTION COALITION AND SENIOR VICE PRESIDENT AT CHILDREN'S. "MY HOPE IS THAT PEOPLE WILL LOOK BACK IN THE NOT-TOO-DISTANT FUTURE AND SAY IT'S HARD TO BELIEVE THERE WAS A TIME WHEN WE DIDN'T LOCK UP OUR FIREARMS." RESPONDING TO ALARMING POSTS YOUNG PEOPLE WHO SEE DISTURBING SOCIAL MEDIA POSTS FROM ANGRY OR DESPONDENT PEERS OFTEN WANT TO HELP THE PERSON WRITING THE POSTS, BUT THEY DON'T KNOW HOW. DR. MEGAN MORENO WITH THE DIVISION OF ADOLESCENT MEDICINE AT SEATTLE CHILDREN'S AND RESEARCHER AT THE CENTER FOR CHILD HEALTH BEHAVIOR AND DEVELOPMENT COLLABORATED WITH DR. STEPHANIE CRAIG RUSHING WITH THE NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB) TO UNDERSTAND HOW TO EMPOWER YOUNG PEOPLE TO RESPOND TO POSTS THAT COULD FORESHADOW A TRAGEDY. HOMICIDE IS THE SECOND LEADING CAUSE OF DEATH FOR YOUNG PEOPLE AGES 15 TO 24 WHILE SUICIDE IS THE THIRD LEADING CAUSE FOR YOUTH BETWEEN THE AGES OF 10 AND 24, ACCORDING TO THE CENTERS FOR DISEASE CONTROL. THE STATISTICS ARE HIGHER ACROSS THE BOARD FOR NATIVE AMERICAN YOUTH, MANY OF WHOM LIVE IN COMMUNITIES THAT LACK ACCESS TO MENTAL HEALTH AND COUNSELING SERVICES. AFTER MORENO AND RUSHING FORMED FOCUS GROUPS TO LEARN HOW NATIVE YOUTH RESPOND TO TROUBLING CONTENT, THE NPAIHB USED ITS SOCIAL MEDIA CHANNEL, WE R NATIVE, TO PRESENT TIPS TO YOUTH ON HOW TO REACT. IN THE FUTURE, PROACTIVE TEXT MESSAGES COULD BE DELIVERED TO A YOUNG PERSON'S PHONE REMINDING THEM TO REACH OUT IF A POST TROUBLES THEM AND SUGGESTING STEPS THEY MIGHT TAKE.
MENTAL AND BEHAVIORAL HEALTH	OUR MENTAL AND BEHAVIORAL HEALTH EXPERTS DIAGNOSE, TREAT AND PREVENT PROBLEMS WITH EMOTIONS AND BEHAVIOR THAT CAN AFFECT A CHILD'S SAFETY, DEVELOPMENT AND WELLBEING. THEY WORK TO UNDERSTAND THE CAUSES OF PROBLEMS LIKE DEPRESSION AND ADDICTION AND FIND MORE EFFECTIVE WAYS TO HELP CHILDREN AND FAMILIES OVERCOME THEM. BY INCREASING ACCESS TO MENTAL HEALTH SERVICES AND EXPANDING THE COMMUNITY'S CAPACITY TO ASSIST FAMILIES, WE HELP MORE CHILDREN GET THE MENTAL HEALTH CARE THEY NEED. TELEHEALTH EXPANDS ACCESS TO CARE HALF OF ALL LIFETIME CASES OF MENTAL AND BEHAVIORAL HEALTH DISORDERS BEGIN BY AGE 14, BUT A DECADE OR MORE CAN PASS BEFORE MOST CHILDREN AND ADOLESCENTS ARE APPROPRIATELY DIAGNOSED. THE LONG DELAY IN ACCESS TO EXPERT MENTAL AND BEHAVIORAL HEALTH SERVICES CAN HINDER EDUCATION, EMPLOYMENT, AND QUALITY OF LIFE OF YOUNG PEOPLE, AND LEAD TO FURTHER HEALTH COMPLICATIONS. THE LACK OF ACCESS TO SPECIALTY SERVICES ESPECIALLY AFFECTS YOUNG PEOPLE LIVING IN RURAL AREAS AND SMALL TOWNS. THE DEPARTMENT OF CHILD PSYCHIATRY AND BEHAVIORAL MEDICINE AT SEATTLE CHILDREN'S HOSPITAL IS IMPROVING ACCESS TO EVIDENCE-BASED MENTAL HEALTH SERVICES BY OFFERING BOTH DIRECT CARE TO YOUNG PEOPLE AND COLLABORATIVE OUTPATIENT MENTAL AND BEHAVIORAL HEALTH SERVICES WITH THEIR PRIMARY CARE PROVIDERS THROUGH VIDEOCONFERENCING. VIDEOCONFERENCING USES COMPUTERS WITH VIDEO AND AUDIO CAPABILITY TO DELIVER DIAGNOSTIC AND TREATMENT SERVICES COMPARABLE TO SERVICES DELIVERED IN PERSON. THIS SERVICE DELIVERY IS OFTEN CALLED TELEMENTAL HEALTH OR TELEBEHAVIORAL HEALTH AND IS NOW COVERED BY MANY INSURANCE COMPANIES ACROSS THE COUNTRY. FOR 15 YEARS, OUR MENTAL AND BEHAVIORAL HEALTH SPECIALISTS HAVE PROVIDED CONSULTATIONS AND ONGOING DIRECT CARE SERVICES TO MORE THAN 6,000 YOUNG PEOPLE IN OUTPATIENT CLINICS AND AT COMMUNITY MENTAL HEALTH CENTERS IN WASHINGTON (INCLUDING OLYMPIA, TRI-CITIES, WENATCHEE, MOSES LAKE, LONGVIEW, AND BELLINGHAM, AS WELL AS OKANAGAN COUNTY AND STEVENS COUNTY) AND ALASKA (SOUTHEAST, SOUTHCENTRAL AND SOUTHWEST ALASKA). RAPID ACCESS TELEPHONE CONSULTATIONS ARE ALSO AVAILABLE AT NO COST TO ALL PRIMARY CARE PROVIDERS IN WASHINGTON AND WYOMING THROUGH STATE MEDICAID PARTNERSHIPS. CONNECTING WITH MENTAL AND BEHAVIORAL HEALTH SPECIALISTS IN REAL TIME GIVES PEDIATRICIANS THE SUPPORT AND RESOURCES TO DIAGNOSE AND TREAT DEPRESSION, EATING DISORDERS, ATTENTION DEFICIT HYPERACTIVITY DISORDER AND OTHER ISSUES THAT MIGHT GO UNDIAGNOSED AND UNTREATED BECAUSE OF LACK OF ACCESS TO SPECIALIZED CARE. THE DEPARTMENT OF CHILD PSYCHIATRY AND BEHAVIORAL MEDICINE AT SEATTLE CHILDREN'S IS RECOGNIZED AS A NATIONAL LEADER IN DISTANT CARE USING TELEHEALTH TECHNOLOGIES. COUNSELING KIDS WITH HEARING LOSS CHALLENGES FOR DEAF AND HARD-OF-HEARING CHILDREN GO BEYOND LANGUAGE. THEIR STRUGGLE TO COMMUNICATE WITH THEIR FAMILIES AND UNDERSTAND THE WORLD AROUND THEM CAN CONTRIBUTE TO MENTAL HEALTH ISSUES. THESE CHILDREN AND THEIR FAMILIES FIND THE THERAPY AND SUPPORT THEY NEED AT SEATTLE CHILDREN'S, WHERE A TEAM OF FOUR PSYCHIATRY AND BEHAVIORAL MEDICINE PROVIDERS DELIVER SPECIALIZED OUTPATIENT CARE. THE FOUR THERAPISTS ARE FLUENT IN SIGN LANGUAGE AND ARE TRAINED IN CHILD DEVELOPMENT AND IN WORKING WITH DEAF/HARD-OF-HEARING CHILDREN AND THEIR FAMILIES. TWO ARE DEAF THEMSELVES AND ONE SPEAKS FLUENT SPANISH. COMMUNICATING WITH PATIENTS DIRECTLY AND FLUENTLY IN THEIR PRIMARY LANGUAGE AND/OR COMMUNICATION MODE ENABLES PATIENTS TO GIVE AND RECEIVE INFORMATION IMMEDIATELY WITHOUT GOING THROUGH AN INTERPRETER. BESIDES FACING UNIQUE CHALLENGES, THIS GROUP OF CHILDREN IS PRONE TO MENTAL HEALTH ISSUES THAT ALSO AFFECT HEARING CHILDREN LIKE ADHD, ANXIETY, DEPRESSION OR AUTISM. "PEOPLE WHO DO NOT SPECIALIZE IN THE DEAF AND HARD-OF-HEARING POPULATION MIGHT ASSUME A HARD-OF-HEARING CHILD IS FINE, BUT THESE KIDS NEED SOMEBODY WHO UNDERSTANDS THEIR PERSPECTIVE AND THEIR EXPERIENCES TO HELP THEM NAVIGATE THE THINGS THAT HAPPEN IN THEIR LIVES. OUR TEAM HERE SUPPORTS THESE CHILDREN TO DO WELL IN THEIR OWN COMMUNITIES," SAYS THERAPIST SUSAN SIDMAN. VISIT OUR DISCOVERY PORTAL SEATTLE CHILDREN'S RESEARCH INSTITUTE'S DISCOVERY PORTAL IS A FREE VISITOR CENTER WHERE OUR COMMUNITY CAN LEARN ABOUT THE WORK UNDERWAY TO DEVELOP LIFESAVING CURES, ACCELERATE CLINICAL ADVANCES AND ADDRESS HEALTH ISSUES AFFECTING CHILDREN AND FAMILIES AROUND THE WORLD. WE REGULARLY WELCOME TOUR GROUPS, DONORS, STUDENT VISITORS, AND MEMBERS OF THE PUBLIC WHO ARE INTERESTED IN LEARNING MORE ABOUT THE INSPIRATIONAL RESEARCH HAPPENING AT SEATTLE CHILDREN'S. THE DISCOVERY PORTAL IS A SELF-GUIDED EXPERIENCE AND IS ACCESSIBLE FOR ANYONE. WE ARE OPEN MONDAY THROUGH FRIDAY, 8 A.M. UNTIL 4:30 P.M. IN THE LOBBY OF THE JACK R. MACDONALD BUILDING, 1900 NINTH AVENUE, SEATTLE, WA. VISIT WWW.SEATTLECHILDRENS.ORG/DISCOVERYPORTAL TO LEARN MORE AND TO PLAN YOUR VISIT. THE 2016-2019 SEATTLE CHILDREN'S COMMUNITY HEALTH ASSESSMENT IS AVAILABLE FOR DOWNLOAD MORE THAN 100 PAGES OF IMPORTANT AND USEFUL INFORMATION FOR HOSPITALS AND CLINICS, PUBLIC HEALTH AND LOCAL ORGANIZATIONS INTERESTED IN IMPROVING THE HEALTH AND SAFETY CHILDREN AND FAMILIES IN KING COUNTY AND WASHINGTON STATE. USE IT FOR YOUR REPORTS, GRANT MAKING PROPOSALS, AND SCHOOL PROJECTS. THE ASSESSMENT COMPILES EPIDEMIOLOGIC DATA ON HEALTH OUTCOMES AS WELL AS DEMOGRAPHIC, BEHAVIORAL AND ENVIRONMENTAL DATA, INCLUDES PRIMARY DATA, SUCH AS KEY INFORMANT INTERVIEWS, COMMUNITY LISTENING SESSIONS, AND A COMMUNITY ASSETS ASSESSMENT. VISIT: WWW.SEATTLECHILDRENS.ORG/ABOUT/COMMUNITY-BENEFIT/ COMMUNITY-HEALTH-ASSESSMENT/

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:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach 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

SEATTLE CHILDREN'S HOSPITAL

Employer identification number

91-0564748

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
(1) SEATTLE CHILDREN'S RESEARCH HOLDINGS LLC PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-0564748	PROPERTY DEVELOPMENT AND OPERATION	WA	20,519,241	0	SEATTLE CHILDREN'S HOSPITAL
(2) CHILDREN'S CLINICALLY INTEGRATED NETWORK LLC PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-0564748	ADMINISTRATION OF PEDIATRIC PHYSICIANS NETWORK	WA	0	0	SEATTLE CHILDREN'S HOSPITAL

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?
(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	Yes	No
(1)SEATTLE CHILDREN'S HEALTHCARE SYSTEM PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-1250116	HEALTH CARE	WA	501(C)(3)	LINE 7	N/A		No
(2)SEATTLE CHILDREN'S HOSPITAL FOUNDATION PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-1156519	FUNDRAISING	WA	501(C)(3)	LINE 7	SEATTLE CHILDREN'S HEALTHCARE SYSTEM		No
(3)SEATTLE CHILDREN'S HOSPITAL GUILD ASSN PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-1394056	FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESS	WA	501(C)(3)	LINE 7	SEATTLE CHILDREN'S HEALTHCARE SYSTEM		No
(4)CHILDREN'S RETAIL PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-1998909	THRIFT STORES	WA	501(C)(3)	LINE 11A, I	SEATTLE CHILDREN'S HEALTHCARE SYSTEM		No
(5)CHILDREN'S UNIVERSITY MEDICAL GROUP PO BOX 50010 SEATTLE,WA98105 91-1336707	MEDICAL PRACTICE	WA	501(C)(3)	LINE 11A, I	N/A		No
(6)CHILDREN'S HEALTH NETWORK PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-1226716	PEDIATRIC HEALTHCARE SERVICES	WA	501(C)(3)	LINE 11A, I	SEATTLE CHILDREN'S HEALTHCARE SYSTEM		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) SEATTLE CHILDREN'S RESEARCH INVESTORS LLC PO BOX 5371 MS RC-507 SEATTLE,WA981455005 26-3852796	RESEARCH FACILITY DEVELOPMENT	WA	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	RELATED	-71,227	190,619		No			No	1.000 %

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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) CHARITABLE REMAINDER UNITRUSTS (2)	INVESTMENTS	WA	SEATTLE CHILDREN'S HOSPITAL				Yes
(2) CHARITABLE REMAINDER UNITRUSTS (8)	INVESTMENTS	WA	N/A					No
(3) CHARITABLE REMAINDER UNITRUST (1)	INVESTMENTS	AK	SEATTLE CHILDREN'S HOSPITAL				Yes
(4) CHARITABLE REMAINDER UNITRUSTS (3)	INVESTMENTS	CA	SEATTLE CHILDREN'S HOSPITAL				Yes
(5) CHARITABLE REMAINDER UNITRUST (1)	INVESTMENTS	FL	N/A					No
(6) CHARITABLE REMAINDER ANNUITY TRUST (1)	INVESTMENTS	WA	SEATTLE CHILDREN'S HOSPITAL				Yes
(7) CHARITABLE REMAINDER ANNUITY TRUST (1)	INVESTMENTS	WA	N/A					No
(8) PERPETUAL TRUSTS (5)	INVESTMENTS	WA	SEATTLE CHILDREN'S HOSPITAL				Yes
(9) PERPETUAL TRUSTS (2)	INVESTMENTS	WA	N/A					No
(10) POOLED INCOME FUND (1)	INVESTMENTS	WA	N/A					No

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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

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

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

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

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: AT SEATTLE CHILDREN'S HOSPITAL, WE WILL PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	23
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	20
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	6,974
6	Total number of volunteers (estimate if necessary) .............	6	685
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,347,897
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	479,145

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	130,967,380	141,913,396
9	Program service revenue (Part VIII, line 2g) .........	1,120,251,220	1,172,052,713
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	39,722,137	41,567,611
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	19,532,130	34,126,888
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,310,472,867	1,389,660,608
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	18,443,178	20,347,095
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)	540,553,777	586,788,469
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	546,981,608	558,327,110
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,105,978,563	1,165,462,674
19	Revenue less expenses. Subtract line 18 from line 12.......	204,494,304	224,197,934
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,589,145,957	2,896,162,830
21	Total liabilities (Part X, line 26).............	854,312,446	873,842,899
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,734,833,511	2,022,319,931

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 904,582,882 including grants of $ 5,023,375 ) (Revenue $ 1,145,074,578 )
	PATIENT CARE: SEATTLE CHILDREN'S HOSPITAL (SEATTLE CHILDREN'S) PROVIDES SUPERIOR MEDICAL CARE TO CHILDREN FROM WASHINGTON, ALASKA, MONTANA AND IDAHO, SERVING THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. IN ADDITION, FAMILIES LIVING BEYOND OUR PRIMARY SERVICE REGION INCREASINGLY SEEK CARE FROM OUR WORLD-RENOWNED SPECIALISTS IN PROGRAMS SUCH AS CANCER, ORGAN TRANSPLANTS AND CRANIOFACIAL SPECIALTIES. IN FISCAL YEAR 2016, SEATTLE CHILDREN'S MEDICAL TEAM TREATED KIDS OF ALL AGES DURING 420,996 PATIENT VISITS, INCLUDING 15,834 ADMISSIONS TO THE HOSPITAL AND 43,147 VISITS TO OUR EMERGENCY DEPARTMENT. WE PERFORMED 14,931 DAY SURGERIES AND CARED FOR CHILDREN DURING 347,084 APPOINTMENTS IN OUTPATIENT CLINICS.

4b	(Code: ) (Expenses $ 144,902,000 including grants of $ 15,323,720 ) (Revenue $ 28,269,938 )
	RESEARCH: BECAUSE RESEARCH IS THE FOUNDATION OF SEATTLE CHILDREN'S MISSION TO PREVENT, TREAT, AND ELIMINATE PEDIATRIC DISEASE, SEATTLE CHILDREN'S INVESTED $34 MILLION IN RESEARCH DURING FISCAL YEAR 2016. SEATTLE CHILDREN'S INVESTIGATORS ARE ADVANCING SCIENTIFIC UNDERSTANDING OF IMPORTANT BIOLOGICAL PROCESSES AND INFLUENCING THE PRACTICE OF PEDIATRICS AROUND THE WORLD.

4c	(Code: ) (Expenses $ 33,138,846 including grants of $ ) (Revenue $ 5,708,194 )
	EDUCATION: SEATTLE CHILDREN'S IS THE MAJOR RESOURCE FOR PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAMS IN OUR REGION. RESIDENTS AND FELLOWS FROM 71 PROGRAMS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), 3 PROGRAMS ACCREDITED BY THE AMERICAN DENTAL ASSOCIATION (ADA), AND 8 NON-ACGME ACCREDITED SUBSPECIALTY PROGRAMS ROTATED AT SEATTLE CHILDREN'S IN ACADEMIC YEAR 2016. SEATTLE CHILDREN'S HAS DEVELOPED CURRICULUM AND EVALUATION METHODS THAT ASSESS AND ASSURE RESIDENT COMPETENCY IN SIX MAIN AREAS: PATIENT CARE, MEDICAL KNOWLEDGE, PRACTICE-BASED LEARNING, INTERPERSONAL AND COMMUNICATIONS SKILLS, PROFESSIONALISM, AND SYSTEM-BASED PRACTICE.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,082,623,728

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	11,527,942	1,457,552	2,000,999

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	70,560,216
e	Government grants (contributions)		1e	64,516,604

f	All other contributions, gifts, grants, and similar amounts not included above		1f	6,836,576

g	Noncash contributions included in lines 1a-1f:$ 2,785,038
h Total.Add lines 1a-1f.......		141,913,396

			Business Code
2a	PATIENT SVC REVENUES	621500	1,136,801,867	1,136,801,867
b	OTHER HEALTHCARE SVCS	621500	34,105,568	32,757,671	1,347,897
c	INVESTMENT PROV CHILD	621500	600,000	600,000
d	WHALE GIFT SHOP	453220	545,278			545,278
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			1,172,052,713

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			28,066,871			28,066,871
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			419,453			419,453
		(ii) Personal	(i) Real
6a	Gross rents		10,544,240
b	Less: rental expenses		4,326,835
c	Rental income or (loss)		6,217,405
d	Net rental income or (loss)......			6,217,405			6,217,405
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	7,825	1,551,196,809
b	Less: cost or other basis and sales expenses	631,432	1,537,072,462
c	Gain or (loss)	-623,607	14,124,347
d	Net gain or (loss).....			13,500,740			13,500,740
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..
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..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	GAIN-DEBT FORGIVENESS		900099	19,740,033			19,740,033
b	CAFETERIA		722212	3,758,149			3,758,149
c	PARKING		812930	3,241,848			3,241,848
d	All other revenue ....			750,000			750,000
e	Total. Add lines 11a–11d ......			27,490,030
12	Total revenue. See Instructions......			1,389,660,608	1,170,159,538	1,347,897	76,239,777

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	18,315,340	18,315,340
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	127,787	127,787
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	1,903,968	1,903,968
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	9,889,890		9,889,890
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	409,535	379,652	29,883
7	Other salaries and wages	450,951,611	418,046,971	32,904,640
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	25,907,858	24,017,436	1,890,422
9	Other employee benefits .......	65,059,172	60,311,992	4,747,180
10	Payroll taxes ...........	34,570,403	32,047,900	2,522,503
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,533,664	2,348,790	184,874
c	Accounting ...........	431,806	400,298	31,508
d	Lobbying ...........	379,062	379,062
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,230,985	1,141,164	89,821
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	80,035,166	74,195,231	5,839,935
12	Advertising and promotion ....	2,450,274	2,271,485	178,789
13	Office expenses .......	144,429,465	133,890,863	10,538,602
14	Information technology ......	15,684,046	14,539,626	1,144,420
15	Royalties ..
16	Occupancy ...........	21,250,354	19,699,777	1,550,577
17	Travel ............	4,766,031	4,418,267	347,764
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,263,755	1,171,542	92,213
20	Interest ...........	22,307,941	20,680,195	1,627,746
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	73,833,201	68,445,805	5,387,396
23	Insurance ...	6,012,482	5,573,769	438,713
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	PHYSICIANS SERVICES	131,810,153	131,810,153
b	LICENSES & TAXES	34,237,297	31,739,100	2,498,197
c	BAD DEBT EXPENSE	2,900,877	2,900,877
d	UBI TAXES	383,156	383,156
e	All other expenses	12,387,395	11,483,522	903,873
25	Total functional expenses. Add lines 1 through 24e	1,165,462,674	1,082,623,728	82,838,946	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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			21,504,999	1	43,519,690
2	Savings and temporary cash investments .........			44,370,195	2	49,859,528
3	Pledges and grants receivable, net ......			5,240,267	3	5,935,613
4	Accounts receivable, net .............			188,653,271	4	185,581,046
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 ....			6,222,657	7	6,409,337
8	Inventories for sale or use ........			10,503,327	8	12,550,926
9	Prepaid expenses and deferred charges ......			12,920,256	9	16,333,043
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,675,816,676
b	Less: accumulated depreciation	10b	654,765,661	969,912,251	10c	1,021,051,015
11	Investments—publicly traded securities .			820,550,745	11	1,006,401,534
12	Investments—other securities. See Part IV, line 11 .....			311,701,961	12	352,458,157
13	Investments—program-related. See Part IV, line 11 ..			160,225,198	13	154,541,809
14	Intangible assets ...............			6,892,532	14	6,350,560
15	Other assets. See Part IV, line 11 ...........			30,448,298	15	35,170,572
16	Total assets. Add lines 1 through 15 (must equal line 34)...			2,589,145,957	16	2,896,162,830

17	Accounts payable and accrued expenses .....	155,840,686	17	162,273,686
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	626,992,856	20	615,872,065
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 ..	19,956,758	23	0
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	51,522,146	25	95,697,148
26	Total liabilities. Add lines 17 through 25..	854,312,446	26	873,842,899

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,363,937,410	27	1,618,581,137
28	Temporarily restricted net assets ...........	116,088,431	28	139,915,331
29	Permanently restricted net assets	254,807,670	29	263,823,463
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	1,734,833,511	33	2,022,319,931
34	Total liabilities and net assets/fund balances ........	2,589,145,957	34	2,896,162,830

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No