TY 2018 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...................................................................... TRUSTEE	2.00 ................. 0.00	X
(3) SUSAN BETCHER...................................................................... TRUSTEE	10.00 ................. 0.00	X
(4) JILL BRUBAKER MD...................................................................... TRUSTEE	2.00 ................. 0.00	X
(5) MICHAEL DELMAN...................................................................... TRUSTEE	4.00 ................. 0.00	X
(6) ROY DIAZ PHD...................................................................... TRUSTEE	2.00 ................. 0.00	X
(7) COLIN FOX PHD...................................................................... TRUSTEE	4.00 ................. 0.00	X
(8) COLLEEN FUKUI-SKETCHLEY...................................................................... TRUSTEE	1.00 ................. 0.00	X
(9) DEBORAH HAUG...................................................................... TRUSTEE	1.00 ................. 0.00	X
(10) JUDY HOLDER...................................................................... TRUSTEE	4.00 ................. 0.00	X
(11) CYNTHIA HUFFMAN...................................................................... VICE CHAIR	2.00 ................. 0.00	X	X
(12) MONA LEE LOCKE...................................................................... TRUSTEE	3.00 ................. 0.00	X
(13) PATRICIA LOERA...................................................................... SECRETARY	3.00 ................. 0.00	X	X
(14) SUSAN MASK...................................................................... CHAIR	15.00 ................. 1.00	X	X
(15) JEFF NITTA...................................................................... TREASURER	4.00 ................. 0.00	X	X
(16) JUDITH PIERCE...................................................................... TRUSTEE	2.00 ................. 0.00	X
(17) MICHAEL REEVES...................................................................... TRUSTEE	2.00 ................. 0.00	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) NANCY SENSENEY........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0	0
(19) MICHELE SMITH........................................................................ TRUSTEE	3.00 .......................0.00	X					0	0	0
(20) CHARLES STEVENS........................................................................ TRUSTEE	5.00 .......................0.00	X					0	0	0
(21) MOYA VAZQUEZ........................................................................ TRUSTEE	3.00 .......................0.00	X					0	0	0
(22) ALVIN WINTERROTH........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0	0
(23) JEFF SPERRING MD........................................................................ CEO/NON-VOTING EX OFFICIO TRUSTEE	17.00 .......................38.00		X				338,918	1,021,126	296,331
(24) SUZANNE BEITEL........................................................................ SENIOR VP & CHIEF FINANCIAL OFFICER	14.00 .......................41.00		X				140,850	463,755	117,238
(25) LISA HAYWARD........................................................................ SENIOR VP & CHIEF LEGAL OFFICER	55.00 .......................0.00			X			529,169	3,357	104,446
(26) KELLY WALLACE........................................................................ SENIOR VP & CFO THRU JAN 2018	1.00 .......................1.00			X			230,915	168,321	21,075
(27) WARREN HEWITT........................................................................ VP - FINANCE	14.00 .......................41.00			X			87,488	266,668	40,026
(28) SAMANTHA SLOANE........................................................................ CONTROLLER	12.00 .......................38.00				X		49,373	172,871	33,274
(29) MICHAEL JOO........................................................................ CORPORATE ACCOUNTANT	40.00 .......................0.00				X		109,141	1,069	35,016
(30) SPENCER OSTROM........................................................................ FINANCIAL REPORTING MANAGER	45.00 .......................0.00				X		111,981	11,868	16,240
(31) DEBRA PALMER-SEILER........................................................................ SR ACCOUNTANT, TREASURY	40.00 .......................0.00				X		115,644	391	22,854
(32) SANFORD MELZER MD........................................................................ FORMER HIGHEST COMPENSATED EMPLOYEE	0.00 .......................55.00					X	0	741,339	142,735
(33) JODI LONG........................................................................ FORMER HIGHEST COMPENSATED EMPLOYEE	0.00 .......................45.00					X	0	326,587	34,892

(A) Name and business address	(B) Description of services	(C) Compensation
WELLINGTON MANAGEMENT COMPANY LLP 280 CONGRESS STREET BOSTON,MA02210	INVESTMENT MANAGEMENT	819,174
SANDERSON ASSET MANAGEMENT 250 S WACKER DRIVE STE 220 CHICAGO,IL60606	INVESTMENT MANAGEMENT	602,731
HIGHCLERE INTERNATIONAL INVESTORS 8 WRIGHT STREET STE 107 WESTPORT,CT06880	INVESTMENT SERVICES	541,775
MONTICELLO ASSOCIATES INC 1800 LARIMER STREET STE 2100 DENVER,CO80202	INVESTMENT CONSULTING	500,000
HAMMOND HANLON CAMP LLC 4655 EXECUTIVE DRIVE STE 280 SAN DIEGO,CA92121	STRATEGIC CONSULTING	188,338
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 7

- 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.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

SEATTLE CHILDREN'S HEALTHCARE SYSTEM

Employer identification number

91-1250116

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	16,448,308	3,481,940	3,911,423	13,741,277	6,355,833	43,938,781
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	16,448,308	3,481,940	3,911,423	13,741,277	6,355,833	43,938,781
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.						43,938,781

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..	16,448,308	3,481,940	3,911,423	13,741,277	6,355,833	43,938,781
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	4,396,810	4,690,718	5,481,967	4,407,309	8,296,653	27,273,457
9	Net income from unrelated business activities, whether or not the business is regularly carried on..		1,424,823	845,917	192,721	81,699	2,545,160
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	80,585	74,305	15,524			170,414
11	Total support. Add lines 7 through 10						73,927,812

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

81,220,136

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 2018 (line 6, column (f) divided by line 11, column (f)) .........

59.430 %

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

81.800 %

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2018

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) 2018

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 (explain in Part VI). 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) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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:	PROPERTY TAX REFUND - 2014 AMOUNT: $ 80,585. 2015 AMOUNT: $ 74,305. 2016 AMOUNT: $ 15,524.

Schedule A (Form 990 or 990-EZ) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

SEATTLE CHILDREN'S HEALTHCARE SYSTEM

Employer identification number

91-1250116

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization SEATTLE CHILDREN'S HEALTHCARE SYSTEM

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization SEATTLE CHILDREN'S HEALTHCARE SYSTEM		Employer identification number 91-1250116

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization SEATTLE CHILDREN'S HEALTHCARE SYSTEM			Employer identification number 91-1250116
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) (2018)

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SEATTLE CHILDREN'S HEALTHCARE SYSTEM

Employer identification number

91-1250116

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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 7/25/06, 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) 2018

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 ....	432,588,000	403,524,000	357,825,000	331,943,000	337,769,000
b	Contributions ...	-804,000	745,000	454,000	232,000	203,000
c	Net investment earnings, gains, and losses	13,040,000	31,759,000	48,663,000	29,179,000	-2,586,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	3,794,000	3,440,000	3,418,000	3,529,000	3,443,000
f	Administrative expenses ....
g	End of year balance ......	441,030,000	432,588,000	403,524,000	357,825,000	331,943,000

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

Board designated or quasi-endowment SchDMd Bullet

85.570 %

Permanent endowment SchDMd Bullet

14.430 %

Temporarily restricted endowment SchDMd Bullet

0 %

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)

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

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 .....	696,855	3,995,929		4,692,784
b	Buildings ....		1,025,445	321,898	703,547
c	Leasehold improvements		194,795	59,979	134,816
d	Equipment ....		10,976	3,384	7,592
e	Other .....		3,607	2,224	1,383
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					5,540,122

Schedule D (Form 990) 2018

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	371,823,423	C
(B) CHARITABLE TRUSTS	8,508,607	C
(C) PERPETUAL & TESTAMENTARY TRUSTS	139,097,317	C
(D) GIFT ANNUITIES	2,490,122	C
(E) LIFE ESTATE	724,539	C
(F) DEFERRED COMPENSATION PLANS	3,061,766	C
(G) OTHER ALTERNATIVE INVESTMENTS	235,225	C
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	525,940,999

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)INVESTMENT IN SCCA	184,317,000	C
(2)INVESTMENT IN SYZYGY LLC	3,851,830	C
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	188,168,830

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
ANNUITIES AND TRUSTS PAYABLE	6,319,998
DEFERRED COMPENSATION PAYABLE	3,135,423
PAYABLE TO AFFILIATES	2,361,904
OTHER PAYABLES	32,757
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	11,850,082
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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) AND SEATTLE CHILDREN'S HOSPITAL (SCH) SHARE IN A UNIFIED ENDOWMENT FUND (UEF) THAT IS MANAGED BY SCHS. SEATTLE CHILDREN'S HEALTHCARE SYSTEM'S RESTRICTED ASSETS REFLECT ENDOWMENTS WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL.

PART X, LINE 2:

THE INTERNAL REVENUE SERVICE HAS GRANTED SCHS, AND EACH OF THE CONTROLLED CORPORATIONS LISTED ABOVE, EXEMPTION FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (IRC) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE IRC FORMED TO OPERATE FOR CHARITABLE, EDUCATIONAL, SCIENTIFIC, AND MEDICAL PURPOSES. DURING 2019 AND 2018, SCHS DID NOT RECORD ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.

Schedule D (Form 990) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
SEATTLE CHILDREN'S HEALTHCARE SYSTEM

Employer identification number

91-1250116

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		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	CENTRAL AMERICA AND THE CARIBBEAN			INVESTMENTS	145,199,730
	NORTH AMERICA			INVESTMENTS	2,067,951















3a	Sub-total .....	0	0		147,267,681
b	Total from continuation sheets to Part I ...				0
c	Totals (add lines 3a and 3b)	0	0		147,267,681

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

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.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 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) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

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

Schedule F (Form 990) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SEATTLE CHILDREN'S HEALTHCARE SYSTEM

Employer identification number

91-1250116

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 nonfixed
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) 2018

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)
1JEFF SPERRING MD CEO/NON-VOTING EX OFFICIO TRUSTEE	(i) (ii)	234,387 ------------- 703,162	102,720 ------------- 308,170	1,811 ------------- 9,794	261,995 ------------- 10,313	6,006 ------------- 18,017	606,919 ------------- 1,049,456	0 ------------- 0
2SUZANNE BEITEL SENIOR VP & CHIEF FINANCIAL OFFICER	(i) (ii)	138,303 ------------- 414,908	124 ------------- 644	2,423 ------------- 48,203	82,543 ------------- 2,063	8,158 ------------- 24,474	231,551 ------------- 490,292	0 ------------- 0
3LISA HAYWARD SENIOR VP & CHIEF LEGAL OFFICER	(i) (ii)	392,379 ------------- 0	126,360 ------------- 663	10,430 ------------- 2,694	72,876 ------------- 0	31,570 ------------- 0	633,615 ------------- 3,357	0 ------------- 0
4KELLY WALLACE SENIOR VP & CFO THRU JAN 2018	(i) (ii)	7,590 ------------- 22,771	48,203 ------------- 144,610	175,122 ------------- 940	4,812 ------------- 14,438	456 ------------- 1,369	236,183 ------------- 184,128	175,122 ------------- 0
5WARREN HEWITT VP - FINANCE	(i) (ii)	65,856 ------------- 197,567	21,632 ------------- 64,927	0 ------------- 4,174	4,813 ------------- 14,437	5,194 ------------- 15,582	97,495 ------------- 296,687	0 ------------- 0
6SAMANTHA SLOANE CONTROLLER	(i) (ii)	40,385 ------------- 145,609	8,988 ------------- 27,089	0 ------------- 173	2,732 ------------- 8,198	5,586 ------------- 16,758	57,691 ------------- 197,827	0 ------------- 0
7SANFORD MELZER MD FORMER HIGHEST COMPENSATED EMPLOYEE	(i) (ii)	0 ------------- 476,621	0 ------------- 244,635	0 ------------- 20,083	97,228 ------------- 19,250	0 ------------- 26,257	97,228 ------------- 786,846	0 ------------- 0
8JODI LONG FORMER HIGHEST COMPENSATED EMPLOYEE	(i) (ii)	0 ------------- 272,668	0 ------------- 37,372	0 ------------- 16,547	0 ------------- 19,009	0 ------------- 15,883	0 ------------- 361,479	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	THE CHIEF EXECUTIVE OFFICER IS PROVIDED MEMBERSHIP TO THE RAINIER CLUB. ANNUAL DUES ARE REPORTED AS TAXABLE COMPENSATION.
PART I, LINE 4B	THE FOLLOWING PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: JEFF SPERRING MD - $258,558 DEFERRED COMPENSATION SUZANNE BEITEL - $81,856 DEFERRED COMPENSATION LISA HAYWARD - $59,126 DEFERRED COMPENSATION KELLY WALLACE - $175,122 REPORTABLE PAYMENT SANFORD MELZER MD - $97,228 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: KELLY WALLACE - $175,122

Schedule J (Form 990) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SEATTLE CHILDREN'S HEALTHCARE SYSTEM

Employer identification number

91-1250116

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	20	261,522	MARKET VALUE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....	X	4	2,801,601	MARKET VALUE
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 nonstandard 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) (2018)

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 - 20 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 11 - 4 CONTRIBUTIONS OF TRUST INTERESTS
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 HEALTHCARE SYSTEM (SCHS).

Schedule M (Form 990) (2018)

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

SEATTLE CHILDREN'S HEALTHCARE SYSTEM

Employer identification number

91-1250116

Return Reference	Explanation
FORM 990, PART I, LINE 6:	22 MEMBERS OF THE BOARD OF TRUSTEES PERFORM THEIR DUTIES UNCOMPENSATED.
FORM 990, PART V, LINE 15:	THIS IS THE FIRST TAX YEAR SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS AN EMPLOYER, WOULD BE SUBJECT TO IRC SECTION 4960 TAX ON PAYMENT(S) OF MORE THAN $1,000,000. HOWEVER, PER IRS NOTICE 2019-09, Q39, REMUNERATION PAID BEFORE THE START OF THE FIRST TAX YEAR BEGINNING AFTER THE EFFECTIVE DATE OF THE NEW LAW IS NOT SUBJECT TO THE EXCISE TAX. REMUNERATION PAID TO JEFF SPERRING MD WAS PAID EQUALLY OVER THE CALENDAR YEAR 2018 AND THEREFORE, THE ORGANIZATION IS NOT SUBJECT TO THE IRC 4960 TAX FOR THE YEAR ENDED SEPTEMBER 30, 2019.
FORM 990, PART VI, SECTION A, LINE 2	JEFF SPERRING HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, SUZANNE BEITEL, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, COLLEEN FUKUI-SKETCHLEY, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, JUDITH PIERCE, MICHAEL REEVES, NANCY SENSENEY, MICHELE SMITH, CHARLES STEVENS, MOYA VAZQUEZ, AND ALVIN WINTERROTH. WARREN HEWITT HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, SUZANNE BEITEL, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, COLLEEN FUKUI-SKETCHLEY, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, JUDITH PIERCE, MICHAEL REEVES, NANCY SENSENEY, MICHELE SMITH, JEFF SPERRING, CHARLES STEVENS, MOYA VAZQUEZ, AND ALVIN WINTERROTH. SUZANNE BEITEL HAS A BUSINESS RELATIONSHIP WITH DEAN ALLEN, JOEL BENOLIEL, SUSAN BETCHER, JILL BRUBAKER, MICHAEL DELMAN, ROY DIAZ, COLIN FOX, COLLEEN FUKUI-SKETCHLEY, DEBORAH HAUG, JUDY HOLDER, CYNTHIA HUFFMAN, MONA LEE LOCKE, PATRICIA LOERA, SUSAN MASK, JEFF NITTA, JUDITH PIERCE, MICHAEL REEVES, NANCY SENSENEY, MICHELE SMITH, CHARLES STEVENS, MOYA VAZQUEZ, AND ALVIN WINTERROTH.
FORM 990, PART VI, SECTION B, LINE 11B	MANAGEMENT AND INDEPENDENT TAX PROFESSIONALS PRESENT AND REVIEW THE FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. AFTER REVIEW BY THE AUDIT AND COMPLIANCE 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 HEALTHCARE SYSTEM REQUIRES AN ANNUAL SURVEY OF ALL BOARD MEMBERS OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, MEMBERS OF MEDICAL LEADERSHIP, ALL INDIVIDUALS ENGAGED TO PROVIDE MEDICAL DIRECTION, STAFF MEMBERS OCCUPYING ROLES WITH A DEGREE OF AUTHORITY, MEMBERS OF THE INSTITUTIONAL REVIEW BOARD, AND MEMBERS OF SEATTLE CHILDREN'S HOSPITAL'S PHARMACY AND THERAPEUTICS COMMITTEE. THE SENIOR VICE PRESIDENT/CHIEF LEGAL OFFICER OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, ACTING UNDER THE OVERSIGHT AND BOARD DELEGATED AUTHORITY OF THE AUDIT AND COMPLIANCE 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 AUDIT AND COMPLIANCE COMMITTEE OR THE APPROPRIATE OFFICER MAY, IN THE DISCRETION OF THE AUDIT AND COMPLIANCE COMMITTEE OR THE APPROPRIATE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM HIS OR HER DUTIES WITH SEATTLE CHILDREN'S HEALTHCARE SYSTEM 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. 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 HEALTHCARE SYSTEM 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 BOARD REGARDING THE TOTAL COMPENSATION PACKAGE FOR EACH OF THE AFFECTED 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 HEALTHCARE SYSTEM MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII:	INDIVIDUALS REPORTED AS FORMER OFFICERS, KEY EMPLOYEES, OR HIGHLY COMPENSATED EMPLOYEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM ARE NO LONGER CURRENT EMPLOYEES OF THE ORGANIZATION AND THEREFORE NO COMPENSATION IS REPORTED IN PART VII, COLUMN (D). HOWEVER, SINCE THEY WERE REPORTED ON THE ORGANIZATION'S RETURN WITHIN THE LAST FIVE YEARS AND ARE STILL EMPLOYEES AND CONTINUE TO RECEIVE COMPENSATION FROM RELATED ORGANIZATIONS, THEY ARE REQUIRED TO BE DISCLOSED ALONG WITH THEIR COMPENSATION IN PART VII, COLUMNS (E) AND (F).
FORM 990, PART IX, COLUMN (D):	ALTHOUGH SEATTLE CHILDREN'S HEALTHCARE SYSTEM HAS SUBSTANTIAL CONTRIBUTION REVENUE, IT DOES NOT INCUR FUNDRAISING EXPENSES. ALL FUNDRAISING ACTIVITIES AND CONTRIBUTIONS TO SEATTLE CHILDREN'S HEALTHCARE SYSTEM ARE CONDUCTED BY RELATED ORGANIZATIONS. SEE ADDITIONAL DESCRIPTION FOR SCHEDULE M, LINE 32.
SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT	LETTER FROM OUR CEO MOST PEOPLE DON'T HAVE TO LOOK FAR TO FIND A HOSPITAL. AFTER ALL, THERE ARE MORE THAN 6,000 HOSPITALS ACROSS THE UNITED STATES. BUT OPTIONS SHRINK DRAMATICALLY WHEN A FAMILY NEEDS A HOSPITAL LIKE SEATTLE CHILDREN'S. ALTHOUGH THERE ARE MORE THAN 70 MILLION KIDS UNDER AGE 18 IN THE U.S., THERE ARE ONLY ABOUT 200 HOSPITALS WITH SPECIALIZED PROGRAMS FOR CHILDREN AND ADOLESCENTS. OF THOSE, ROUGHLY 100 PROVIDE COMPREHENSIVE CARE FOR YOUNG PEOPLE WITH THE GREATEST HEALTH CHALLENGES. ALONG WITH SEATTLE CHILDREN'S, THESE HOSPITALS ARE AN ESSENTIAL PART OF OUR COUNTRY'S HEALTHCARE SYSTEM AND ARE A CRITICAL SAFETY NET FOR FAMILIES IN NEED. AND, OFTEN, WE'RE THE SOURCE OF HOPE WHEN THEY'VE BEEN TOLD ARE NO OTHER ANSWERS. LIKE US, OUR CHILDREN'S HOSPITAL PEERS PROVIDE A WIDE RANGE OF HIGHLY SPECIALIZED PROGRAMS TO MEET THE IMMEDIATE AND LONG-TERM NEEDS OF CHILDREN WITH COMPLEX CONDITIONS. WE ALSO SERVE AS REGIONAL AND NATIONAL REFERRAL CENTERS FOR KIDS WITH THE MOST ACUTE MEDICAL ILLNESSES AND MENTAL AND BEHAVIORAL HEALTH CONDITIONS. ACROSS THE COUNTRY, CHILDREN'S HOSPITALS ARE UNITED BY A SIMPLE FACT: WE DON'T DO IT ALONE. HERE AT SEATTLE CHILDREN'S WE WORK CLOSELY WITH ACADEMIC MEDICAL CENTERS TO ADVANCE PEDIATRIC CLINICAL CARE, TRAINING AND RESEARCH. AT THE SAME TIME, WE COLLABORATE WITH FAMILIES, COMMUNITY PARTNERS, PUBLIC HEALTH AGENCIES SERVING THE LARGEST AND MOST DIVERSE GEOGRAPHIC AREA OF ANY HOSPITAL: WASHINGTON, ALASKA, MONTANA, AND IDAHO. BEING ONE OF THE ONLY HOSPITAL'S IN THE NATION TO NAME EQUITY AS A CORE VALUE MEANS THAT WE REPEATEDLY COMMIT TO COLLABORATE WITH MANY OTHERS TO DELIVER ON OUR PROMISE OF HOPE, CARE AND CURES FOR EVERY CHILD. THAT PROMISE IS THE CORNERSTONE OF SEATTLE CHILDREN'S PLAN TO ADDRESS THE GREATEST HEALTH NEEDS OF OUR COMMUNITIES - NOT JUST WITHIN OUR WALLS BUT WHEREVER WE CAN HELP KEEP FAMILIES SAFE AND HEALTHY AND ELIMINATE HEALTH INEQUITIES. INSIDE THIS REPORT ARE MANY EXAMPLES OF OUR MOST RECENT EFFORTS TO UPHOLD OUR PROMISE. WE ARE GRATEFUL TO EVERYONE WHO HAS JOINED US ON THIS JOURNEY. SINCERELY, JEFF SPERRING, MD CEO, SEATTLE CHILDREN'S 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 NONPROFIT HOSPITALS. LEARN MORE ABOUT HOW WE CONTRIBUTE TO THE COMMUNITY AT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT TOTAL 2019 INVESTMENT IN THE COMMUNITY: $287,761,000* UNCOMPENSATED CARE & MEDICAID SHORTFALL*: $184,199,000 HEALTH PROFESSIONS EDUCATION: $33,994,000 RESEARCH: $56,031,000 COMMUNITY PROGRAMS AND SERVICES: $13,537,000 DOES NOT INCLUDE GRANTS AND CONTRIBUTIONS SEATTLE CHILDREN'S RECEIVED THAT SUPPORT COMMUNITY BENEFIT PROGRAMS. **REFLECTS COSTS AFTER SUBTRACTING PAYMENTS FROM MEDICAID, DONATIONS, AND GRANTS SEATTLE CHILDREN'S RECEIVED THAT SUPPORT THESE PROGRAMS. COMMUNITY PROGRAMS AND SERVICES WE STRIVE EVERY DAY TO DO WHATEVER IT TAKES TO HELP CHILDREN AND FAMILIES IN OUR REGION - NOT JUST INSIDE OUR HOSPITAL BUT BEYOND OUR WALLS. BY WORKING WITH PARTNERS IN THE COMMUNITY TO PROVIDE MEDICAL SERVICES, PROMOTE PUBLIC POLICIES AND ADVOCATE FOR THE UNDERSERVED, WE MAKE LIFE SAFER AND HEALTHIER FOR CHILDREN AND FAMILIES WHERE THEY LIVE. RAISING AWARENESS OF VAPING RISKS AS A FOUNDING PARTNER OF PREVENTION WORKS IN SEATTLE (WINS), WE ARE ON THE FRONTLINE OF THE FIGHT AGAINST YOUTH SUBSTANCE ABUSE - INCLUDING THE GROWING BUT DANGEROUS PRACTICE OF VAPING. VAPING - INHALING THE VAPOR FROM ELECTRONIC CIGARETTES - IS CATCHING ON WITH TEENS AT AN ALARMING RATE. THIS IS AT LEAST PARTIALLY DUE TO THE POPULARITY OF E-CIGARETTE JUICE FLAVORS LIKE COTTON CANDY AND CHERRY COLA THAT ARE EXTRA SWEET AND MARKETED AS FREE FROM NICOTINE. "TESTING SHOWS THAT SOME FLAVORS MARKETED AS 'JUST FLAVORING' DO CONTAIN NICOTINE, MAKING E-CIGARETTES AND VAPE USE AMONG YOUTH EXTREMELY DANGEROUS BECAUSE IT LAYS THE GROUNDWORK FOR A LIFETIME OF ADDICTION." SAYS LIZ WILHELM, DRUG FREE COMMUNITIES COORDINATOR WITH PREVENTION WINS. "E-CIGARETTES ALSO CONTAIN DANGEROUS CHEMICALS THAT, WHEN INHALED, CAN REDUCE LUNG CAPACITY." PREVENTION WINS HAS PARTNERED WITH THE WASHINGTON POISON CENTER TO PROVIDE EDUCATIONAL TRAINING ABOUT THE RISKS OF E-CIGARETTES AND VAPING TO LOCAL EDUCATORS, PARENTS AND OTHER COMMUNITY COALITIONS. ONE OF THE MOST IMPORTANT THINGS TO UNDERSTAND IS THAT E-CIGARETTES AND VAPING IS NOT SAFER THAN COMBUSTIBLE CIGARETTES - ESPECIALLY FOR YOUNG PEOPLE WHOSE BODIES ARE STILL DEVELOPING. "PARENTS SHOULD SEND CLEAR MESSAGES TO THEIR CHILDREN ASKING THEM NOT TO USE E-CIGARETTES AND LET THEM KNOW THE CONSEQUENCES IF THEY DO," WILHELM SAYS. THROUGH THIS COLLABORATION, PREVENTION WINS HAS TRAINED HUNDREDS OF INDIVIDUALS ON THESE RISKS IN 2019. SPECIALTY CARE CLOSER TO HOME SEATTLE CHILDREN'S IS THE MAIN PEDIATRIC HOSPITAL FOR A VAST GEOGRAPHIC REGION - THE LARGEST OF ANY CHILDREN'S HOSPITAL IN THE COUNTRY. OUR NETWORK OF CLINICS GIVES KIDS ACROSS WASHINGTON, ALASKA, MONTANA AND IDAHO LOCAL ACCESS TO SPECIALTY CARE THAT COULD SAVE THEIR LIFE. WHEN A YOUNG PATIENT HAD A FEVER THAT LASTED FOR FOUR DAYS, HIS PEDIATRICIAN IN ANCHORAGE, ALASKA, THOUGHT IT WAS AN EVERYDAY VIRUS. AS SYMPTOMS WORSENED AND HE STARTED STRUGGLING TO BREATHE, HE ENDED UP IN THE EMERGENCY ROOM, WHERE DR. JAMES CHRISTIANSEN, A SEATTLE CHILDREN'S CARDIOLOGIST WHO LIVES AND WORKS IN ANCHORAGE, DIAGNOSED HIM WITH RHEUMATIC FEVER. "THE CHILD WAS ON THE VERGE OF CARDIAC ARREST AND NO ONE KNEW WHY UNTIL WE SAW DR. CHRISTIANSEN," MERSING SAYS. "HE PUT HIS PATIENT ON THE RIGHT MEDICATIONS AND IT PROBABLY SAVED HIS LIFE." WHILE FAMILIES STILL TRAVEL TO SEATTLE FOR COMPLEX SURGERIES AND PROCEDURES, OUR SPECIALISTS SEE THOUSANDS OF KIDS LIKE THIS ONE IN OUR REGIONAL CLINICS. OUR FOUNDING PROMISE TO PROVIDE UNCOMPENSATED CARE TO CHILDREN WHO NEED IT APPLIES EVEN WHEN A CHILD IS SEEN AT ONE OF OUR REGIONAL CLINICS. "WE'RE CONSTANTLY STRIVING TO MAKE IT EASIER FOR FAMILIES TO GET EVALUATED, DIAGNOSED AND TREATED BY SEATTLE CHILDREN'S EXPERTS NO MATTER WHERE THEY LIVE," SAYS DR. HOWARD JEFFRIES, WHO DIRECTS OUR REGIONAL NETWORK. "FAMILIES HAVE ENOUGH TO WORRY ABOUT WITHOUT WONDERING WHETHER THE SPECIALIST THEY NEED IS AVAILABLE IN THEIR COMMUNITY." RESEARCH RESEARCH IS THE SPRINGBOARD TO HOPE. BY IDENTIFYING PROBLEMS, DISCOVERING SOLUTIONS AND TRANSLATING THEM INTO NEW CURES AND TREATMENTS, WE TRANSFORM THE LIVES OF CHILDREN AND FAMILIES EVERYWHERE. NEUROLOGY TEAM DELIVERS NOVEL CARE THE SEATTLE CHILDREN'S NEUROSCIENCES CENTER UNLOCKS THE MYSTERIES OF THE BRAIN TO HELP CHILDREN FIGHT NEUROLOGICAL CONDITIONS THAT THREATEN THEIR LIVES AND THEIR DREAMS. OUR TEAM OF NEUROLOGISTS, NEUROSURGEONS AND NUMEROUS OTHER SPECIALISTS TAKE EVERY STEP POSSIBLE - INCLUDING BLAZING NEW TRAILS - TO HELP CHILDREN AND TEENS FULFILL THEIR POTENTIAL. ONE SUCH TEENAGE PATIENT HAS A PASSION FOR PERFORMING MUSICAL THEATER. SO IT FELT LIKE A CRUEL JOKE WHEN DOCTORS DETERMINED SHE HAD MUSIC-TRIGGERED EPILEPSY CAUSED BY A BRAIN TUMOR PRESSING AGAINST HER AUDITORY CORTEX. SHE NEEDED BRAIN SURGERY TO REMOVE THE TUMOR. BECAUSE OF THE TUMOR'S LOCATION, OUR EPILEPSY SURGERY TEAM TOOK A NOVEL APPROACH. THEY WOKE HER UP DURING HER SURGERY AND HAD HER SING AND PERFORM MUSIC-RELATED TASKS WHILE MAPPING AREAS OF HER BRAIN SO THEY COULD AVOID DAMAGE TO REGIONS RELATED TO HEARING AND SINGING. ALTHOUGH WE ARE A LEADER IN THIS TYPE OF SURGERY - KNOWN AS AWAKE CRANIOTOMY - THIS WAS THE FIRST TIME WE FOCUSED ON PRESERVING THE ABILITY TO SING. JUST 48 HOURS AFTER SURGERY, THE TEEN WAS PLAYING GUITAR AND SINGING FROM HER HOSPITAL BED. "AT SEATTLE CHILDREN'S, WE DEAL WITH THE INCREDIBLE EVERY DAY," SAYS NEUROSURGEON DR. JASON HAUPTMAN. "WE CAME TOGETHER AND DEVELOPED A VERY NOVEL WAY TO APPROACH A PROBLEM THAT WE HOPE WILL HAVE A POSITIVE IMPACT FOR THE REST OF HER LIFE."
SEARCHING FOR SOLUTIONS TO INEQUITIES	CHILDREN FROM LOW-INCOME GROUPS OFTEN HAVE WORSE MEDICAL OUTCOMES THAN KIDS WHO ARE FROM HIGHER-INCOME FAMILIES. BACKED BY A NATIONAL INSTITUTES OF HEALTH GRANT, DR. CASEY LION IS SEEKING TO IDENTIFY WHAT CONTRIBUTES TO THOSE DISPARITIES AND TEST A NEW WAY TO OVERCOME THEM. LION'S TEAM WILL SURVEY PARENTS OF COLOR AND LOW-INCOME PARENTS WHOSE CHILDREN ARE HOSPITALIZED. THE SURVEY WILL GAUGE THINGS LIKE A FAMILY'S TRUST IN THE HEALTHCARE SYSTEM AND THE QUALITY OF COMMUNICATION FROM DOCTORS AND NURSES. LION'S TEAM THEN WILL LOOK FOR ASSOCIATIONS BETWEEN THE SURVEY'S FINDINGS AND EACH CHILD'S MEDICAL OUTCOMES. FOR INSTANCE, LION SUSPECTS THAT CHILDREN MAY HAVE WORSE OUTCOMES IF THE PROVIDERS AREN'T EFFECTIVELY COMMUNICATING WITH PARENTS, WHICH COULD LIMIT A PARENT'S ABILITY TO CARE FOR THEIR CHILD AFTER GOING HOME FROM THE HOSPITAL. NEXT, LION WILL INVESTIGATE WHETHER PATIENT NAVIGATORS COULD IMPROVE OUTCOMES. PATIENT NAVIGATORS ARE CHARGED WITH THINGS LIKE EXPLAINING THE DIFFERENT ASPECTS OF CARE TO PATIENTS AND THEIR FAMILIES, HELPING THEM COMMUNICATE WITH DOCTORS AND NURSES AND ENCOURAGING FAMILIES TO TAKE AN ACTIVE ROLE IN CARE. "NAVIGATORS COULD BE A COST-EFFECTIVE WAY TO HELP THESE PATIENTS TODAY AND BUILD A FOUNDATION THAT IMPROVES THEIR HEALTHCARE THROUGHOUT LIFE," LION SAYS. HEALTH PROFESSIONALS EDUCATION EDUCATION IS THE OXYGEN THAT HEALTHCARE REQUIRES TO EFFECTIVELY RESPOND TO PATIENT AND FAMILY NEEDS. OUR INVESTMENT IN ONGOING TRAINING FOR OUR DOCTORS AND NURSES - AND FOR PROVIDERS IN THE COMMUNITY - ENSURES CHILDREN IN OUR REGION HAVE ACCESS TO HIGHLY SPECIALIZED CARE. AND AS A TRAINING GROUND FOR FUTURE DOCTORS, NURSES AND HEALTH CARE PROFESSIONALS WE ENSURE FUTURE GENERATIONS WILL CONTINUE TO HAVE THE SAME ACCESS. MOBILIZING TO MEET COMMUNITY'S NEEDS OUR PATIENT TRANSPORT SERVICE HAS COME A LONG WAY. AFTER TRANSPORTING ONLY NEONATAL PATIENTS - BABIES YOUNGER THAN 30 DAYS OLD - FOR MANY YEARS, THE TEAM BEGAN TRANSPORTING CHILDREN OF ALL AGES LAST YEAR. ANOTHER 2019 MILESTONE: PROVIDING CLINICAL CARE ON AIRLIFT NORTHWEST FLIGHTS INVOLVING NEONATAL PATIENTS. NOW KNOWN AS THE CRITICAL CARE TRANSPORT SERVICE, THE TEAM HAS DOUBLED IN SIZE TO NEARLY 40 HIGHLY-TRAINED NURSES, RESPIRATORY CARE THERAPISTS AND EMERGENCY MEDICAL TECHNICIANS (EMTS) DEDICATED TO THE SAFE TRANSFER OF PATIENTS REQUIRING CRITICAL OR SPECIALTY CARE SERVICES AT SEATTLE CHILDREN'S OR ANOTHER FACILITY IN WESTERN WASHINGTON. EXPANDING THE PROGRAM REQUIRED SIGNIFICANT AND ONGOING TRAINING BY ALL MEMBERS OF THE TEAM. THIS INCLUDED TWO DAYS OF COMPETENCY TRAININGS IN 2019 THAT INVOLVED LEARNING ADVANCED SKILLS AND CONDUCTING HANDS-ON SIMULATIONS BEYOND WHAT IS STANDARDLY REQUIRED. THIS YEAR THE TEAM WILL PARTICIPATE IN THREE DAYS OF COMPETENCY TRAININGS TO CONTINUE FINE-TUNING THEIR SKILLS. "WHAT HAS BEEN SO INCREDIBLE IS HOW EACH MEMBER OF THE TEAM HAS BEEN CROSS-TRAINED SO EVERYONE HAS LEARNED TRANSPORT SKILLS RATHER THAN JUST NURSING SKILLS OR RESPIRATORY THERAPY SKILLS," SAYS NICKI NIKODYM, A NURSE WITH THE TEAM. "OUR TEAM WORKS SO COHESIVELY BECAUSE IT IS JUST THAT - A TEAM." INTERNSHIPS CULTIVATE DIVERSITY IN RESEARCH THE SEATTLE CHILDREN'S RESEARCH INSTITUTE IS COMMITTED TO HELPING TRAIN THE NEXT GENERATION OF MEDICAL RESEARCHERS - AND TO HELPING UNDERREPRESENTED STUDENTS PARTICIPATE IN THAT TRAINING. LAST YEAR THE OFFICE FOR TEACHING, EDUCATION AND RESEARCH (OTER) LAUNCHED A SUMMER INTERNSHIP PROGRAM FOR UNDERREPRESENTED UNDERGRADUATE STUDENTS. THE PROGRAM RECEIVED MORE THAN 700 APPLICANTS, OF WHICH, 36 STUDENTS WERE GIVEN AN OPPORTUNITY TO ENGAGE IN BASIC, CLINICAL AND/OR TRANSLATIONAL RESEARCH UNDER THE MENTORSHIP OF EXPERIENCED RESEARCHERS AND PRINCIPAL INVESTIGATORS. INTERNS LEARNED NEW RESEARCH METHODOLOGIES, BECAME EXPERIENCED WITH LAB EQUIPMENT, WORKED WITH DATA, CONDUCTED THEIR OWN RESEARCH PROJECTS AND SUBMITTED AN ABSTRACT OF THEIR RESEARCH AT THE END OF THEIR INTERNSHIP. PROJECTS RANGED FROM THE EFFECTS OF SLEEP DEPRIVATION ON EPILEPSY IN A MOUSE MODEL, THE SOCIAL IMPACT OF PEDIATRIC SKIN DISORDERS - TO WHY PARENTS ARE STILL REFUSING AND DELAYING VACCINES. INTERNS ALSO ATTENDED A SERIES OF TRAINING SESSIONS ON READING SCHOLARLY ARTICLES, WRITING INDIVIDUAL DEVELOPMENT PLANS, CREATING LINKEDIN PROFILES AND OTHER USEFUL PROFESSIONAL SKILLS. "THE AREA OF MEDICINE I WAS INTRODUCED TO BLEW MY MIND AWAY," SAID ONE INTERN. "I LEARNED A LOT ABOUT WHAT IT TAKES TO BE IN THAT SETTING AND I AM GLAD BECAUSE (THE INTERNSHIP) GAVE ME MORE MOTIVATION TO CONTINUE THIS CAREER PATH." UNCOMPENSATED CARE THE COST OF SPECIALIZED CARE FOR A CHILD WITH A SERIOUS ILLNESS OR INJURY IS STAGGERING, BUT IT IS NEVER A BARRIER FOR FAMILIES WHO COME TO US FOR HELP. OUR DOORS ARE ALWAYS OPEN REGARDLESS OF A FAMILY'S FINANCIAL SITUATION. IN 2019 WE PROVIDED OVER $184 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO. A WINNING ATTITUDE, A DEDICATED TEAM IF YOU LOOK AT ONE PARTICULAR CHILDREN'S PATIENT, YOU SEE A GIRL WHO LOVES COMPUTER GAMES, VOLLEYBALL AND THE PERFORMER CARDI B. WHAT YOU DON'T SEE IS THE SICKLE CELL DISEASE THAT HAS SHAPED HER LIFE - OR THE SEATTLE CHILDREN'S MEDICAL TEAM THAT'S BEEN WITH HER EVERY STEP OF THE WAY. OUR EXPERTS AT THE ODESSA BROWN CHILDREN'S CLINIC (OBCC) PROVIDE HER WITH THE CARE SHE NEEDS TO MANAGE HER CHRONIC CONDITION. SICKLE CELL DISEASE PREVENTS A PERSON'S BLOOD CELLS FROM DELIVERING OXYGEN TO THEIR BODY, WHICH CAN LEAD TO TERRIBLE PAIN, SERIOUS INFECTIONS, DAILY MEDICATION AND A LIFETIME OF TREATMENT. "SICKLE CELL AFFECTS THE ENTIRE CHILD AND THE TEAM AT OBCC UNDERSTANDS THAT," SAYS THE CHILD'S DAD. "EVEN IF WE NEED TO CALL FOR HELP AT 3 A.M., OUR MEDICAL TEAM IS THERE FOR US. THEY'RE LIKE A SECOND FAMILY." THE GIRL'S MOM HAS INSURANCE AND HER DAD WORKS TWO JOBS, BUT THE COST OF MEDICATION, BLOOD TRANSFUSIONS AND EMERGENCY ROOM VISITS IS MORE THAN THE FAMILY CAN BEAR ALONE. BUT THEY DON'T HAVE TO, THANKS TO SUPPORT FROM OUR UNCOMPENSATED CARE FUND. "OUR LIVES WOULD BE DRAMATICALLY DIFFERENT WITHOUT THAT HELP," SAYS HER DAD. "WE FEEL TRULY BLESSED FOR ALL THE PEOPLE WHO STEP FORWARD AND SUPPORT THE HOSPITAL - AND FAMILIES LIKE OURS." OUR COMMUNITY BENEFIT PRIORITIES WE WORK WITH PARTNERS IN THE COMMUNITY TO ADDRESS FOUR URGENT HEALTH NEEDS IDENTIFIED BY OUR 2019-2022 COMMUNITY HEALTH ASSESSMENT. HERE ARE SOME OF OUR RECENT ACCOMPLISHMENTS IN EACH OF THE FOUR PRIORITY AREAS.
MENTAL AND BEHAVIORAL HEALTH	MENTAL AND EMOTIONAL HEALTH ARE ESSENTIAL IN ORDER FOR CHILDREN TO GROW UP AND REACH THEIR FULL POTENTIAL. OUR MENTAL AND BEHAVIORAL HEALTH EXPERTS ARE TRAINED TO UNDERSTAND AND MEET THE SPECIFIC NEEDS OF CHILDREN AND ADOLESCENTS DEALING WITH ANXIETY, DEPRESSION AND THE ISSUES THAT AFFECT THEIR DEVELOPMENT, SAFETY AND WELL-BEING. WORKING WITH THE COMMUNITY, WE STRIVE TO INCREASE ACCESS TO CARE SO EVERYONE GETS THE HELP THEY NEED. CULTIVATING INCLUSIVE AUTISM CONVERSATIONS THE SEATTLE CHILDREN'S AUTISM CENTER HAS PROVIDED VITAL EDUCATION TO PARENTS AND CAREGIVERS FOR MANY YEARS. NOW OUR COURSES ARE MORE EASILY AND WIDELY ACCESSIBLE THANKS TO A COLLABORATION BETWEEN THE AUTISM CENTER AND SEATTLE CHILDREN'S SOCIAL MEDIA TEAM. THE COURSES ARE STREAMED ON FACEBOOK LIVE, ELIMINATING THE NEED FOR ANYONE TO TRAVEL TO SEATTLE CHILDREN'S OR SOME OTHER LOCATION TO ACCESS THE INFORMATION PRESENTED. BESIDES BEING AVAILABLE ON FACEBOOK LIVE, THE COURSES ARE UPLOADED TO OUR YOUTUBE CHANNEL. PRESENTING THE INFORMATION ON FACEBOOK LIVE AND MAKING IT PERMANENTLY AVAILABLE AFTERWARD ON SOCIAL MEDIA MEANS THAT ANY PROVIDER - AT SEATTLE CHILDREN'S OR IN THE COMMUNITY -- CAN POINT FAMILIES TO THOSE RESOURCES ANY TIME THEY NEED EDUCATION, INFORMATION OR SUPPORT. MUCH OF THE INFORMATION IS PRESENTED THROUGH PANEL DISCUSSIONS. INVITED EXPERTS ADDRESS TOPICS ACROSS THE AUTISM SPECTRUM BASED ON WHAT THE AUTISM CENTER HEARS FROM FAMILIES ABOUT THEIR GREATEST NEEDS AND CONCERNS. "WE STRIVE TO BE AS INCLUSIVE AS POSSIBLE AND OFFER MULTIPLE PERSPECTIVES FROM THE AUTISM COMMUNITY," SAID JIM MANCINI, WHO DIRECTS PARENT EDUCATION AND RESEARCH AT THE AUTISM CENTER. ONE OF LAST YEAR'S PANELS EXAMINED CRISIS RESOURCES FOR INDIVIDUALS WITH AUTISM, WHICH REVEALED A LACK OF CRISIS RESOURCES AND STARTED A CONVERSATION AT THE STATE LEVEL ABOUT THE NEED FOR INCREASED CRISIS SUPPORTS -- WHICH ULTIMATELY BECAME A CATALYST FOR POSITIVE LEGISLATION. GUIDING FAMILIES THROUGH MENTAL HEALTH MAZE THE MENTAL HEALTH SYSTEM CAN SEEM LIKE A MAZE TO PARENTS IN SEARCH OF THERAPY FOR A CHILD. NOT ONLY DOES THE STATE OF WASHINGTON LACK ADEQUATE RESOURCES, BUT ACCESSING THOSE RESOURCES IS CHALLENGING BECAUSE OF COMPLICATED INSURANCE COVERAGES, MULTIPLE HIDDEN BARRIERS AND MINIMAL SUPPORTS. A BIG STEP FORWARD WAS TAKEN LAST YEAR WHEN SEATTLE CHILDREN'S BEGAN OPERATING THE MENTAL HEALTH REFERRAL SERVICE FOR CHILDREN AND TEENS. FUNDED BY THE STATE, THE TELEPHONE-BASED SERVICE CONNECTS PARENTS AND CAREGIVERS WITH A REFERRAL SPECIALIST. THE SPECIALIST ASKS A SERIES OF QUESTIONS TO DETERMINE THE TYPE OF HELP NEEDED AND THEN FINDS A THERAPIST THAT MATCHES A CHILD'S CLINICAL NEEDS, ACCEPTS THEIR INSURANCE AND IS CONVENIENTLY LOCATED. THE REFERRAL COMPLETED 596 INTAKES IN ITS FIRST SIX MONTHS - WITH OVERWHELMINGLY POSITIVE RESULTS. WHEN PARENTS WERE SURVEYED ABOUT HOW LIKELY THEY WERE TO RECOMMEND THE SERVICE, THE AVERAGE RATING FROM 105 RESPONSES WAS A 4.9 OUT OF 5. "THIS IS SUCH A VALUABLE RESOURCE FOR FAMILIES LIKE OURS WHO ARE TRYING TO NAVIGATE THE COMPLICATED MENTAL HEALTH SYSTEM AND GET OUR CHILDREN THE SUPPORT THEY NEED," SAID ONE PARENT. "THANK YOU SO MUCH FOR YOUR HELP!"
SUICIDE & INJURY PREVENTION	SEATTLE CHILDREN'S SUPPORTS THE HEALTH AND SAFETY OF CHILDREN, TEENS AND FAMILIES BY IDENTIFYING PREVENTABLE INJURIES AND PROMOTING EDUCATION AND RESOURCES TO REDUCE THOSE INJURIES. WORKING WITH PARTNERS IN THE COMMUNITY, WE TO SEEK TO UNDERSTAND INJURY AND ADDRESS POTENTIAL HARMS WHEREVER WE FIND THEM. WORKING WITH FAMILIES TO KEEP KIDS SAFE THE BEHAVIORAL HEALTH CRISIS CARE CLINIC (CCC) IS AN ALTERNATIVE TO THE EMERGENCY DEPARTMENT THAT IS DESIGNED FOR CHILDREN WHO ARE IN CRISIS - INCLUDING EXPERIENCING SUICIDAL THOUGHTS OR BEHAVIORS - BUT WHO ARE NOT AT IMMINENT RISK OF HARM. LAUNCHED IN 2019, THE CCC PROVIDES CLINICAL SUPPORT TO BOTH CHILDREN AND THEIR CAREGIVERS IN ORDER TO ADDRESS THE IMPACTS OF A MENTAL HEALTH CRISIS ON THE WHOLE FAMILY. WE ALSO PROVIDE FAMILIES WITH CASE MANAGEMENT SUPPORT TO INCREASE THEIR ACCESS TO ONGOING CARE IN THE COMMUNITY. THIS NEW PROGRAM INCREASES OPTIONS FOR FAMILIES IN CRISIS WHO MAY OTHERWISE HAVE TO CHOOSE BETWEEN VISITING THE EMERGENCY DEPARTMENT AND NAVIGATING LENGTHY WAITLISTS TO ACCESS CARE. THE PROTECT OUR KIDS FROM FIREARM TRAGEDY COALITION CONTINUES TO WORK TO REDUCE FIREARM TRAGEDIES BY GIVING AWAY SAFE FIREARM STORAGE DEVICES. IN 2019 WE DISTRIBUTED 2,633 FIREARM LOCKING DEVICES AT COMMUNITY EVENTS IN YAKIMA, VANCOUVER AND SEATTLE IN PARTNERSHIP WITH LOCAL HOSPITALS, SAFE KIDS, PUBLIC HEALTH AND SUICIDE PREVENTION COMMUNITY ORGANIZATIONS. IN ADDITION, OVER 250 PATIENT FAMILIES HAVE RECEIVED FIREARM LOCKING DEVICES - ALONG WITH COUNSEL FROM STAFF AND PROVIDERS IN OUR EMERGENCY DEPARTMENT, PSYCHIATRY AND BEHAVIORAL MEDICINE INPATIENT UNIT, PSYCHIATRY CLINICS AND ODESSA BROWN CHILDREN'S CLINIC (OBCC). AT OBCC, PROVIDERS BLEND CONVERSATIONS ABOUT CHILDHOOD INJURY PREVENTION INTO WELL-CHILD CHECKS, MAKING SURE THAT FAMILIES KNOW HOW TO SECURELY STORE FIREARMS IN THEIR HOMES AND HAVE THE RESOURCES TO DO SO. ASSISTANCE DURING STAY, ON WAY HOME WHEN A CHILD SPENDS A LONG TIME IN THE HOSPITAL, FAMILIES SPEND A LONG TIME THERE TOO. IN MANY CASES, THEY FIND THEMSELVES IN UNFAMILIAR SURROUNDINGS FAR FROM HOME, FAMILY AND FRIENDS. SEATTLE CHILDREN'S FAMILY RESOURCE CENTER (FRC) OFFERS SUPPORT SERVICES FOR FAMILIES IN HOPES TO MAKE THEIR STAY A LITTLE EASIER. THE FRC PROVIDES A PLACE TO DO LAUNDRY AT NO COST, PRIVATE SHOWERS, A KITCHEN WITH FREE COFFEE AND TEA, COMPUTER ACCESS, CELL PHONE CHARGERS, HEALTH INFORMATION AND MORE. FRC STAFF HELP FAMILIES WHO ARE AT THE HOSPITAL IN HOW TO NAVIGATE SERVICES, IDENTIFY TRANSPORTATION OPTIONS AND FIND INFORMATION ON THINGS TO DO. WHEN FAMILIES ARE READY TO GO HOME, WE MAKE SURE THAT FAMILIES TRAVEL SAFELY BY PROVIDING CAR SEATS TO INPATIENT AND EMERGENCY DEPARTMENT PATIENTS. CAR CRASHES CONTINUE TO BE A LEADING CAUSE OF DEATH AND INJURIES TO CHILDREN. FAMILIES PAY WHAT THEY ARE ABLE TO AND NO MORE THAN THE WHOLESALE COST OF THE CAR SEAT. TRAINED FRC STAFF ASSIST PARENTS AND CAREGIVERS WITH CAR SEAT EDUCATION AND INSTALLATION. WE PROVIDED 338 CAR SEATS TO FAMILIES LAST YEAR. "IT ALWAYS MAKES ME FEEL GOOD WHEN WE ARE ABLE TO HELP FAMILIES WHO NEED A CAR SEAT," SHARES JUDY MACCARRONE, SENIOR PROGRAM COORDINATOR FOR THE FRC. ECONOMIC SECURITY AS INCOME INEQUALITY GROWS, WE KNOW THAT MORE AND MORE OF OUR FAMILIES LACK THE RESOURCES TO MAINTAIN A SAFE AND HEALTHY STANDARD OF LIVING. WITHOUT ECONOMIC SECURITY, CHILDREN ARE MORE LIKELY TO ENTER SCHOOL BEHIND THEIR PEERS, SCORE LOWER ON ACHIEVEMENT TESTS AND HAVE WORSE HEALTH OUTCOMES. SEATTLE CHILDREN'S WORKS DIRECTLY WITH FAMILIES AND WITH PARTNERS IN THE COMMUNITY TO ADDRESS ACCESS TO HEALTHY FOOD, HOUSING, EXPOSURE TO POLLUTION AND OTHER ISSUES THAT CAN ARISE FROM A LACK OF ECONOMIC SECURITY. AFFORDABLE HOUSING A NEW SEATTLE CHILDREN'S CLINIC WILL INCREASE ACCESS TO HEALTHCARE FOR LOW-INCOME FAMILIES WHO HAVE MOVED TO SOUTH SEATTLE AND SOUTH KING COUNTY WHILE AT THE SAME TIME HELPING BOOST THE SUPPLY OF AFFORDABLE HOUSING IN THE AREA. CONSTRUCTION CREWS BROKE GROUND LAST YEAR ON A NEW ODESSA BROWN CHILDREN'S CLINIC (OBCC) - PART OF THE 3.2-ACRE OTHELLO SQUARE DEVELOPMENT NEAR THE OTHELLO RAIL STATION. THE CLINIC AS WELL AS A CHILD DEVELOPMENT CENTER RUN BY A COMMUNITY PARTNER WILL OCCUPY THE FIRST TWO FLOORS OF A SEVEN-STORY BUILDING. ABOVE THE CLINIC WILL BE 176 APARTMENTS FOR FAMILIES WITH INCOMES BETWEEN 65% AND 120% OF THE AREA MEDIAN INCOME. CHILDREN'S INVESTED AN ADDITIONAL $8 MILLION TO INCREASE THE NUMBER OF UNITS SET ASIDE FOR INDIVIDUALS AND FAMILIES AT THE LOWEST END OF THE INCOME SPECTRUM. THE NEW CLINIC WILL PROVIDE AN INTEGRATED RANGE OF MEDICAL, MENTAL HEALTH, DENTAL AND OTHER SERVICES WHILE OTHELLO SQUARE WILL INCLUDE A CHARTER HIGH SCHOOL, AN ECONOMIC OPPORTUNITY CENTER, A COMPUTER LAB AND OTHER FEATURES. THE ORIGINAL OBCC, LOCATED A FEW MILES NORTH IN THE CENTRAL DISTRICT, WILL BE RENOVATED AND CONTINUE TO SERVE FAMILIES IN SURROUNDING NEIGHBORHOODS. ASSISTANCE WITH THE BASICS FOOD, SHELTER AND TRANSPORTATION ARE EASY TO TAKE FOR GRANTED IF YOU HAVE THEM, BUT MANY FAMILIES WHO COME TO SEATTLE CHILDREN'S LACK ONE OR MORE OF THOSE BASIC NECESSITIES - ADDING TO THE STRESS OF THEIR CHILD'S HOSPITALIZATION AND MAKING IT HARD FOR THEM TO BE THE BEST CAREGIVERS POSSIBLE. LAST YEAR WE EXPANDED OUR EFFORTS TO ASSIST FAMILIES BY CREATING A COMMUNITY RESPONSE TEAM (CRT) TO SCREEN FOR HOMELESSNESS, FOOD INSECURITY AND OTHER ISSUES. THE 16 VOLUNTEER TEAM MEMBERS - ALL PRE-MED STUDENTS - WORK DIRECTLY WITH FAMILIES TO SIGN THEM UP FOR ASSISTANCE SUCH AS SNAP FOOD BENEFITS (FORMERLY KNOWN AS FOOD STAMPS), BUS PASSES, CHILD CARE SUBSIDIES AND OTHER BENEFITS. SEVEN CRT STUDENTS SPEAK A SECOND LANGUAGE. "THE BEAUTY OF THIS PROGRAM IS THAT THERE ARE A TON OF PRE-MED STUDENTS LOOKING FOR THIS KIND OF EXPERIENCE," SAID JULIE POVICK, WHO LEADS PATIENT TRANSPORTATION SERVICES AND THE CRT. "THEY ARE ALL SUPER-EXCITED TO BE DOING THIS."
HEALTHY LIFESTYLES	NUTRITIOUS FOOD AND AN ACTIVE LIFESTYLE ARE CORNERSTONES OF A HEALTHY LIFE. CHILDREN NEED PLENTY OF BOTH TO GROW AND THRIVE. SEATTLE CHILDREN'S WORKS WITH FAMILIES AND PARTNERS IN THE COMMUNITY TO FIGHT CHILDHOOD HUNGER, PROMOTE NUTRITIOUS DIETS AND FOSTER HEALTHY ENVIRONMENTS WHERE CHILDREN CAN SAFELY GET THE PHYSICAL ACTIVITY THEY NEED. WORKING AT THE INTERSECTION OF HUNGER AND HEALTH IN 2019, 12% OF PEOPLE LIVING IN KING COUNTY EXPERIENCED FOOD INSECURITY, MEANING NEARLY 250,000 PEOPLE IN OUR IMMEDIATE COMMUNITY OFTEN RUN OUT OF FOOD AND DON'T HAVE MONEY TO BUY MORE. PEOPLE WHO CAN'T AFFORD TO EAT HEALTHY AND NUTRITIOUS FOODS OFTEN STRUGGLE TO MANAGE CHRONIC CONDITIONS LIKE DIABETES AND HEART DISEASE. A POOR DIET WORSENS UNDERLYING CONDITIONS, TRAPPING THEM IN A CYCLE OF MORE VISITS TO THE DOCTOR, GREATER FINANCIAL BURDEN AND DECLINING HEALTH. SEATTLE CHILDREN'S IS WORKING TO BREAK THAT CYCLE AS PART OF A NETWORK OF HEALTHCARE SYSTEMS CALLED THE FOOD INSECURITY COMMUNITY OF PRACTICE. BY IMPROVING HOW WE SCREEN FAMILIES FOR FOOD INSECURITY AND THEN CONNECTING THOSE IN NEED WITH THE RIGHT RESOURCES, THE NETWORK'S 10 MEMBERS ARE REDUCING THE BURDEN OF DISEASE, THE INCREASE IN HEALTH DISPARITIES AND THE COST OF HEALTHCARE. WE TREAT HUNGER AS A VITAL SIGN. EVERY FAMILY WHO COMES TO OUR ODESSA BROWN CLINIC FOR A WELL-CHILD VISIT COMPLETES A SHORT QUESTIONNAIRE ABOUT FOOD INSECURITY. PATIENTS THAT SCREEN POSITIVE ARE CONNECTED TO FOOD ASSISTANCE PROGRAMS SUCH AS SNAP, WIC OR THEIR NEIGHBORHOOD FOOD BANK. IN ADDITION, WE TEAM UP WITH NORTHWEST HARVEST TO BRING A MOBILE FOOD PANTRY TO ODESSA BROWN TWICE A MONTH AND WE PROVIDE FAMILIES WITH PRODUCE PRESCRIPTIONS - VOUCHERS FOR FRUITS AND VEGETABLES THAT ARE GOOD AT GROCERY STORES AND FARMERS MARKETS. REDUCING RACE AND PLACE-BASED DISPARITIES AS KING COUNTY'S HOUSING COSTS HAVE SOARED, MANY PEOPLE OF COLOR AND LOWER INCOME FAMILIES HAVE MOVED TO MORE AFFORDABLE LOCATIONS IN SOUTH SEATTLE AND SOUTH KING COUNTY. WHILE MOVING CAN LIFT FINANCIAL BURDENS, THIS DISPLACEMENT DISRUPTS LONG ESTABLISHED COMMUNITIES, SEPARATES PEOPLE FROM SERVICES AND OFTEN SEGREGATES PEOPLE OF COLOR AND LOWER-INCOME INDIVIDUALS AND FAMILIES IN AREAS WITH FEWER RESOURCES AND MORE HEALTH RISK FACTORS. THE RESULT: INCREASED HEALTH DISPARITIES BASED ON RACE AND PLACE. TO COUNTER THOSE DISPARITIES, SEATTLE CHILDREN'S IS WORKING WITH PUBLIC HEALTH - SEATTLE & KING COUNTY AND THE HEALTHY KING COUNTY COALITION TO INCREASE ACCESS TO HEALTHY FOODS, HELP RESIDENTS CREATE ACTIVE LIVING ENVIRONMENTS AND ESTABLISH EFFECTIVE LINKS WITH LOCAL HEALTH CLINICS. FUNDED BY A FEDERAL RACIAL ETHNIC APPROACHES TO COMMUNITY HEALTH (REACH) GRANT, THE EFFORT FOCUSES ON AFRICAN-AMERICAN, AFRICAN-BORN AND ASIAN-AMERICAN POPULATIONS IN SOUTH SEATTLE AND THE CITIES OF SEATAC AND TUKWILA. COMPRISED OF PRIMARILY NEIGHBORHOODS OF COLOR THAT HAVE A LONG HISTORY OF WELCOMING IMMIGRANTS, THEY SHOULDER THE HIGHEST CHRONIC DISEASE RATES IN THE COUNTY. PROJECTS RANGE FROM CREATING GROUP-PURCHASING AGREEMENTS TO BRING HEALTHIER FOODS TO COMMUNITIES AT A LOWER COST TO PROVIDING BREASTFEEDING EDUCATION AND SUPPORT GROUPS TO NEW AFRICAN AMERICAN MOTHERS FACING SYSTEMIC AND CULTURAL BARRIERS.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SEATTLE CHILDREN'S HEALTHCARE SYSTEM

Employer identification number

91-1250116

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) SYZYGY PROPERTIES LLC PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-1250116	REAL ESTATE MANAGEMENT	WA	616,577	5,231,138	SEATTLE CHILDREN'S HEALTHCARE SYSTEM

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 HOSPITAL PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-0564748	PEDIATRIC MEDICAL CARE	WA	501(C)(3)	LINE 3	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	Yes
(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	Yes
(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	Yes
(4)CHILDREN'S RETAIL PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-1998909	THRIFT STORES	WA	501(C)(3)	LINE 12A, I	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	Yes
(5)CHILDREN'S HEALTH NETWORK PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-1226716	PEDIATRIC HEALTHCARE SERVICES	WA	501(C)(3)	LINE 12A, I	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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	(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 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

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 (6)	INVESTMENTS	WA	SEATTLE CHILDREN'S HEALTHCARE SYSTEM				Yes
(2) CHARITABLE REMAINDER UNITRUSTS (5)	INVESTMENTS	WA	N/A					No
(3) CHARITABLE REMAINDER UNITRUST (1)	INVESTMENTS	AK	N/A					No
(4) CHARITABLE REMAINDER UNITRUSTS (3)	INVESTMENTS	CA	N/A					No
(5) CHARITABLE REMAINDER UNITRUST (1)	INVESTMENTS	FL	N/A					No
(6) CHARITABLE REMAINDER ANNUITY TRUST (1)	INVESTMENTS	WA	N/A					No
(7) PERPETUAL TRUSTS (2)	INVESTMENTS	WA	SEATTLE CHILDREN'S HEALTHCARE SYSTEM				Yes
(8) PERPETUAL TRUSTS (6)	INVESTMENTS	WA	N/A					No
(9) POOLED INCOME FUND (1)	INVESTMENTS	WA	N/A					No
(10) CHARITABLE LEAD ANNUITY TRUST (1)	INVESTMENTS	WA	N/A					No

Schedule R (Form 990) 2018

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

Yes

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) ............................

Yes

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) .................

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

Yes

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

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
(1) SEATTLE CHILDREN'S HOSPITAL	A	136,389	ACTUAL RENT
(2) SEATTLE CHILDREN'S HOSPITAL FOUNDATION	C	5,874,189	ACTUAL CONTRIBUTION
(3) CHILDREN'S RETAIL	C	445,219	ACTUAL CONTRIBUTION
(4) PERPETUAL TRUST	C	79,001	ACTUAL CONTRIBUTION
(5) PERPETUAL TRUST	C	84,856	ACTUAL CONTRIBUTION
(6) SEATTLE CHILDREN'S HOSPITAL	D	22,351,821	ACTUAL RECEIVABLE
(7) SEATTLE CHILDREN'S HOSPITAL FOUNDATION	E	1,995,651	ACTUAL PAYABLE
(8) SEATTLE CHILDREN'S HOSPITAL GUILD ASSN	E	212,903	ACTUAL PAYABLE
(9) CHILDREN'S RETAIL	E	153,350	ACTUAL PAYABLE
(10) SEATTLE CHILDREN'S HOSPITAL	P	1,078,215	ACTUAL EXPENSES

Schedule R (Form 990) 2018

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) 2018

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) 2018

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	13,741,277	6,355,833
9	Program service revenue (Part VIII, line 2g) .........	17,113,969	24,420,776
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	26,357,730	20,172,847
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-59,189	-41,134
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	57,153,787	50,908,322
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	4,428,139	4,109,028
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)....	3,430,298	2,955,474
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	7,858,437	7,064,502
19	Revenue less expenses. Subtract line 18 from line 12.......	49,295,350	43,843,820
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	877,916,795	925,123,055
21	Total liabilities (Part X, line 26).............	6,478,611	12,933,221
22	Net assets or fund balances. Subtract line 21 from line 20.....	871,438,184	912,189,834

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,078,673 including grants of $ 0 ) (Revenue $ 24,284,387 )
	SEATTLE CHILDREN'S HEALTHCARE SYSTEM'S PROGRAM OPERATING COSTS ARE RELATED TO ACTIVITIES INCURRED TO PROVIDE, DIRECTLY OR INDIRECTLY, HEALTH CARE OR HEALTH RELATED SERVICES APPROPRIATE FOR THE SPECIAL NEEDS OF INFANTS, CHILDREN AND ADOLESCENTS, DELIVERING AND IMPROVING THE DELIVERY OF THOSE SERVICES AND/OR THE QUALITY OF THOSE SERVICES THROUGH RESEARCH, EDUCATION, AND CHILD ADVOCACY. PROGRAM REVENUE IS PRIMARILY RELATED TO SEATTLE CHILDREN'S HEALTHCARE SYSTEM'S PROGRAM RELATED JOINT VENTURE WITH SEATTLE CANCER CARE ALLIANCE (SCCA), A NOT-FOR-PROFIT CORPORATION FORMED IN 1998 BY SEATTLE CHILDREN'S HEALTHCARE SYSTEM, THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, AND FRED HUTCHINSON CANCER RESEARCH CENTER FOR THE PURPOSE OF OFFERING A COMPREHENSIVE PROGRAM OF INTEGRATED CANCER CARE SERVICES.

4b	(Code: ) (Expenses $ 129,305 including grants of $ 0 ) (Revenue $ 136,389 )
	OCCUPANCY AND OTHER COSTS RELATED TO THE OPERATION OF THE SAND POINTMEDICAL CENTER BUILDING WHICH IS RENTED TO SEATTLE CHILDREN'S HOSPITAL.THE RENTED SPACE IS USED TO DELIVER HEALTHCARE SERVICES TO INFANTS,CHILDREN AND ADOLESCENTS.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,207,978

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,713,479	3,177,352	864,127

		Business Code
2a	SERVICES THROUGH SCCA	900099	23,639,667	23,639,667
b	MEDICAL CLINIC RENTAL	900099	644,720	644,720
c	RENT FROM AFFILIATES	900099	136,389	136,389
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		24,420,776

1	Briefly describe the organization’s mission or most significant activities: THE PROVISION OF QUALITY HEALTH CARE SERVICES TO INFANTS, CHILDREN AND ADOLESCENTS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	22
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	19
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	14
6	Total number of volunteers (estimate if necessary) .............	6	22
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	81,699

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	6,355,833
e	Government grants (contributions)		1e

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

g	Noncash contributions included in lines 1a - 1f:$ 3,063,123
h Total. Add lines 1a-1f.......		6,355,833

3 Investment income (including dividends, interest, and othersimilar amounts) ......			8,261,148			8,261,148
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		35,505
b	Less: rental expenses		76,639
c	Rental income or (loss)		-41,134
d	Net rental income or (loss)......			-41,134			-41,134
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	23,330	275,705,919
b	Less: cost or other basis and sales expenses	8,909	263,808,641
c	Gain or (loss)	14,421	11,897,278
d	Net gain or (loss).....			11,911,699			11,911,699
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
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			50,908,322	24,420,776	0	20,131,713

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,947,502	1,947,502
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	810,406		810,406
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	852,517		852,517
9	Other employee benefits .......	244,821		244,821
10	Payroll taxes ...........	253,782	113,033	140,749
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	26,833		26,833
c	Accounting ...........	219,109		219,109
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,269,344		1,269,344
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	127,795	3,829	123,966
12	Advertising and promotion ....
13	Office expenses .......	189	165	24
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	1,155,670	63,998	1,091,672
17	Travel ............	707		707
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	275		275
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	61,917	61,917
23	Insurance ...	23,734		23,734
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	UBI TAXES	30,449		30,449
b	LICENSES AND TAXES	85		85
c
d
e	All other expenses	39,367	17,534	21,833
25	Total functional expenses. Add lines 1 through 24e	7,064,502	2,207,978	4,856,524	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 ........				1
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			229,288	3	1,124,207
4	Accounts receivable, net .............			3,264,960	4	13,644
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........				8
9	Prepaid expenses and deferred charges ......				9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	5,927,607
b	Less: accumulated depreciation	10b	387,485	5,627,801	10c	5,540,122
11	Investments—publicly traded securities .			229,942,273	11	174,952,563
12	Investments—other securities. See Part IV, line 11 .....			447,665,426	12	525,940,999
13	Investments—program-related. See Part IV, line 11 ..			164,334,443	13	188,168,830
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			26,852,604	15	29,382,690
16	Total assets. Add lines 1 through 15 (must equal line 34)...			877,916,795	16	925,123,055

17	Accounts payable and accrued expenses .....	440,710	17	824,691
18	Grants payable ...		18
19	Deferred revenue .........	325,913	19	258,448
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	5,711,988	25	11,850,082
26	Total liabilities. Add lines 17 through 25..	6,478,611	26	12,933,221

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	657,118,515	27	697,066,467
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets	214,319,669	29	215,123,367
	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 ...........	871,438,184	33	912,189,834
34	Total liabilities and net assets/fund balances ........	877,916,795	34	925,123,055

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; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	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; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No