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	43.00 .......................12.00		X				1,021,126	338,918	296,331
(24) SUZANNE BEITEL........................................................................ SENIOR VP & CHIEF FINANCIAL OFFICER	41.00 .......................14.00		X				463,755	140,850	117,238
(25) JAMES HENDRICKS PHD........................................................................ PRESIDENT - RESEARCH INSTITUTE	55.00 .......................0.00			X			635,308	600,000	119,366
(26) CINDY GAZECKI........................................................................ SENIOR VP - HOSPITAL OPERATIONS	55.00 .......................0.00			X			765,656	219,907	70,829
(27) SANFORD MELZER MD........................................................................ EXEC VP-NETWORKS & POPULATION HEALTH	55.00 .......................0.00			X			741,339	106,953	158,968
(28) MARK DEL BECCARO MD........................................................................ SR VP-CHIEF MED OFF/NON-VOTING TRUST	55.00 .......................0.00			X			718,354	0	112,827
(29) RUSSELL WILLIAMS........................................................................ SR VP & CHIEF OPERATING OFFICER	55.00 .......................0.00			X			637,070	0	94,158
(30) MADLYN MURREY........................................................................ SR VP - CHIEF CLINICAL OFFICER	55.00 .......................0.00			X			541,035	0	100,315
(31) MYRA GREGORIAN........................................................................ SR VP - CHIEF PEOPLE OFFICER	55.00 .......................0.00			X			480,928	0	92,975
(32) ERIC THAM MD........................................................................ VP & ASSOC CHIEF INFORMATION OFFICER	55.00 .......................0.00			X			516,596	0	50,548
(33) ZAFAR CHAUDRY MD........................................................................ SR VP - CHIEF INFORMATION OFFICER	55.00 .......................0.00			X			482,731	0	76,772
(34) SUZANNE PETERSEN........................................................................ VP - EXTERNAL AFFAIRS & GUEST SVCS	55.00 .......................0.00			X			486,881	0	45,317
(35) ERIK LAUSUND........................................................................ VP - RESEARCH OPERATIONS & LOGISTICS	55.00 .......................0.00			X			465,700	0	41,921
(36) CARA BAILEY........................................................................ SR VP-INNOVATION/IMPROVEMENT OFFICER	55.00 .......................0.00			X			421,011	0	70,991
(37) RUTH MCDONALD MD........................................................................ VP, ASSOC CHIEF MEDICAL OFFICER	55.00 .......................0.00			X			461,902	0	26,812
(38) TODD JOHNSON........................................................................ VP - FACILITIES	55.00 .......................0.00			X			381,109	0	47,551
(39) KELLY WALLACE........................................................................ SENIOR VP & CFO THRU JAN 2018	1.00 .......................1.00			X			168,321	230,915	21,075
(40) MICHAEL MURPHY........................................................................ VP - ACC CARE & EXEC DIRECTOR SCCN	1.00 .......................0.00			X			390,110	0	29,886
(41) PETRA SMITH........................................................................ VP - HUMAN RESOURCES	55.00 .......................0.00			X			362,017	0	49,990
(42) WARREN HEWITT........................................................................ VP - FINANCE	41.00 .......................14.00			X			266,669	87,488	40,026
(43) CHRISTINE KESSLER........................................................................ VP SYS ACCESS, AMB OPS & EX DIR CUMG	55.00 .......................0.00			X			347,667	0	36,012
(44) JEFFREY AVANSINO MD........................................................................ VP & MEDICAL DIRECTOR, SURGICAL SVCS	55.00 .......................0.00			X			337,364	147,904	53,433
(45) DOUGLAS PICHA........................................................................ PRESIDENT - FOUNDATION	5.50 .......................49.50				X		68,236	518,419	111,268
(46) MARK EGBERT DDS........................................................................ CHIEF - ORAL & MAXILLOFACIAL SURGERY	55.00 .......................0.00				X		598,054	0	50,128
(47) MICHAEL ASTION MD PHD........................................................................ MEDICAL DIRECTOR - LABORATORIES	55.00 .......................0.00				X		593,033	0	51,312
(48) JAMES CHRISTIANSEN MD........................................................................ CARDIOLOGIST	55.00 .......................0.00				X		456,412	0	50,290
(49) WAYNE CHANDLER MD........................................................................ MEDICAL DIRECTOR - LABORATORY MED	55.00 .......................0.00				X		449,578	0	42,341
(50) JENNIFER BECKER........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00					X	306,714	0	33,318
(51) PAMELA ROCK........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00					X	307,143	0	31,960
(52) SCOTT BINGHAM........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00					X	269,501	0	35,299
(53) GREGORY BLACKBURN........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00					X	203,256	0	23,137

(A) Name and business address	(B) Description of services	(C) Compensation
LEASE CRUTCHER LEWIS 107 SPRING STREET SEATTLE,WA981041052	CONSTRUCTION	130,112,979
CHILDREN'S UNIVERSITY MEDICAL GROUP PO BOX 50010 SEATTLE,WA98105	PHYSICIAN SERVICES	112,433,364
UNIVERSITY OF WASHINGTON PO BOX 358220 SEATTLE,WA98195	RESIDENTS & INTERNS	36,085,766
SELLEN CONSTRUCTION 227 WESTLAKE AVENUE NORTH SEATTLE,WA98109	CONSTRUCTION	32,499,440
ALDRICH AND ASSOCIATES INC 810 240TH ST SE BOTHELL,WA98021	CONSTRUCTION	18,550,041
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 374

- 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 HOSPITAL

Employer identification number

91-0564748

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 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.") ..	130,967,380	141,913,396	166,489,706	246,106,645	294,717,218	980,194,345
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	130,967,380	141,913,396	166,489,706	246,106,645	294,717,218	980,194,345
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.						980,194,345

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..	130,967,380	141,913,396	166,489,706	246,106,645	294,717,218	980,194,345
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	27,132,475	39,030,564	48,960,832	55,689,382	73,111,110	243,924,363
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	284,687	479,145	216,488	64,447	330,013	1,374,780
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	9,790,406	20,490,033				30,280,439
11	Total support. Add lines 7 through 10						1,255,773,927

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

6,438,170,549

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)) .........

78.060 %

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

73.910 %

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:	GAIN ON TERMINATION OF NEW MARKETS TAX CREDIT FINANCING OF RESEARCH FACILITY 2014 AMOUNT: $ 9,790,406. 2015 AMOUNT: $ 19,740,033. LITIGATION SETTLEMENT - 2015 AMOUNT: $ 750,000.
SCHEDULE A, PARTS I AND II:	AS INDICATED ON PART I, SEATTLE CHILDREN'S IS A HOSPITAL DESCRIBED IN SECTION 170(B)(1)(A)(III). HOWEVER, THE SUPPORT SCHEDULE ON PART II HAS BEEN PREPARED IN ORDER TO DEMONSTRATE THAT IT ALSO QUALIFIES AS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI) AND THEREFORE QUALIFIES FOR THE SPECIAL RULE ON SCHEDULE B, SCHEDULE OF CONTRIBUTORS.

Return Reference

Explanation

SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:

GAIN ON TERMINATION OF NEW MARKETS TAX CREDIT FINANCING OF RESEARCH FACILITY 2014 AMOUNT: $ 9,790,406. 2015 AMOUNT: $ 19,740,033. LITIGATION SETTLEMENT - 2015 AMOUNT: $ 750,000.

SCHEDULE A, PARTS I AND II:

AS INDICATED ON PART I, SEATTLE CHILDREN'S IS A HOSPITAL DESCRIBED IN SECTION 170(B)(1)(A)(III). HOWEVER, THE SUPPORT SCHEDULE ON PART II HAS BEEN PREPARED IN ORDER TO DEMONSTRATE THAT IT ALSO QUALIFIES AS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI) AND THEREFORE QUALIFIES FOR THE SPECIAL RULE ON SCHEDULE B, SCHEDULE OF CONTRIBUTORS.

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 HOSPITAL

Employer identification number

91-0564748

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

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

Special Rules

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

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. 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 HOSPITAL

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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

Page 3

Name of organization SEATTLE CHILDREN'S HOSPITAL		Employer identification number 91-0564748

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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

Page 4


Name of organization SEATTLE CHILDREN'S HOSPITAL			Employer identification number 91-0564748
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

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

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

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

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

OMB No. 1545-0047

2018

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

SEATTLE CHILDREN'S HOSPITAL

Employer identification number

91-0564748

Part I-A

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

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

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

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

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

A Check SchCMd Bullet

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

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

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................	0	0
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................	485,351	485,351
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................	485,351	485,351
d	Other exempt purpose expenditures ........................................................................	1,613,769,155	1,805,512,186
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................	1,614,254,506	1,805,997,537
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

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

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

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

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

c	Total lobbying expenditures	379,062	485,089	481,522	485,351	1,831,024

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

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
PART II-A, AFFILIATED GROUP STATEMENT:	SEATTLE CHILDREN'S HOSPITAL, EIN: 91-0564748 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 485,351 OTHER EXEMPT PURPOSE EXPENDITURES: 1,613,769,155 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,614,254,506 SEATTLE CHILDREN'S HOSPITAL HAS A 501(H) ELECTION SEATTLE CHILDREN'S HEALTHCARE SYSTEM, EIN: 91-1250116 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 7,077,208 TOTAL EXEMPT PURPOSE EXPENDITURES: 7,077,208 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL FOUNDATION, EIN: 91-1156519 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 159,500,304 TOTAL EXEMPT PURPOSE EXPENDITURES: 159,500,304 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION, EIN: 91-1394056 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 19,293,262 TOTAL EXEMPT PURPOSE EXPENDITURES: 19,293,262 NO 501(H) ELECTION WAS MADE CHILDREN'S RETAIL, EIN: 91-1998909 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 5,872,257 TOTAL EXEMPT PURPOSE EXPENDITURES: 5,872,257 NO 501(H) ELECTION WAS MADE

Return Reference

Explanation

PART II-A, AFFILIATED GROUP STATEMENT:

SEATTLE CHILDREN'S HOSPITAL, EIN: 91-0564748 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 485,351 OTHER EXEMPT PURPOSE EXPENDITURES: 1,613,769,155 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,614,254,506 SEATTLE CHILDREN'S HOSPITAL HAS A 501(H) ELECTION SEATTLE CHILDREN'S HEALTHCARE SYSTEM, EIN: 91-1250116 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 7,077,208 TOTAL EXEMPT PURPOSE EXPENDITURES: 7,077,208 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL FOUNDATION, EIN: 91-1156519 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 159,500,304 TOTAL EXEMPT PURPOSE EXPENDITURES: 159,500,304 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION, EIN: 91-1394056 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 19,293,262 TOTAL EXEMPT PURPOSE EXPENDITURES: 19,293,262 NO 501(H) ELECTION WAS MADE CHILDREN'S RETAIL, EIN: 91-1998909 PO BOX 5371, MS: RC-507, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 5,872,257 TOTAL EXEMPT PURPOSE EXPENDITURES: 5,872,257 NO 501(H) ELECTION WAS MADE

Schedule C (Form 990 or 990EZ) 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 HOSPITAL

Employer identification number

91-0564748

Part I

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

		(b) Funds and other accounts
1	Total number at end of year .........	2
2	Aggregate value of contributions to (during year)	2,440
3	Aggregate value of grants from (during year)	215,844
4	Aggregate value at end of year ........	871,719

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 ....	444,625,000	409,859,000	368,141,000	342,807,000	343,981,000
b	Contributions ...	6,140,000	12,310,000	1,524,000	4,574,000	10,256,000
c	Net investment earnings, gains, and losses	14,026,000	31,902,000	49,357,000	29,475,000	-3,157,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	9,982,000	9,446,000	9,163,000	8,715,000	8,273,000
f	Administrative expenses ....
g	End of year balance ......	454,809,000	444,625,000	409,859,000	368,141,000	342,807,000

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

Board designated or quasi-endowment SchDMd Bullet

55.570 %

Permanent endowment SchDMd Bullet

44.430 %

Temporarily restricted endowment SchDMd Bullet

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

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

Yes

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

3a(i)

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

3a(ii)

Yes

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

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	221,166,313		221,166,313
b	Buildings ....	1,263,137,456	411,365,321	851,772,135
c	Leasehold improvements	72,392,193	21,388,422	51,003,771
d	Equipment ....	617,614,252	413,473,636	204,140,616
e	Other .....	210,222,133	8,225,103	201,997,030
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,530,079,865

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	378,609,201	F
(B) DEFERRED COMPENSATION PLANS	2,321,840	F
(C) OIL LEASES	18,500	C
(D) LIFE INSURANCE	55,170	F
(E) INVESTMENT IN HCSA PROPERTIES, LLC	2,130,557	C
(F) PRONIRAS	29	F
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	383,135,297

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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
SWAP MTM VALUE - BONDS	17,038,974
DEFERRED COMPENSATION PLAN PAYABLE	2,321,840
DEFERRED AND OTHER LIABILITIES	16,420,368
PAYABLE TO AFFILIATE	22,351,821
DUE TO BROKERS FOR SECURITIES PURCHASED	75,266,109
OPERATING LEASE & LEASE INCENTIVE LIABILITIES	9,427,913
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	142,827,025
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 HOSPITAL AND SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) SHARE IN A UNIFIED ENDOWMENT FUND (UEF) THAT IS MANAGED BY SCHS. SEATTLE CHILDREN'S HOSPITAL'S RESTRICTED ASSETS REFLECT ENDOWMENTS WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL.

PART X, LINE 2:

THE INTERNAL REVENUE SERVICE HAS GRANTED SCHS, AND 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 HOSPITAL

Employer identification number

91-0564748

Part I

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

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

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

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

Yes

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

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

(a) Region		(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)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	CENTRAL AMERICA AND THE CARIBBEAN			INVESTMENTS		149,955,316
	NORTH AMERICA	0	0	PROGRAM SERVICES	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES	1,261,000
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	PROGRAM SERVICES	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES	910,000
	EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES	51,000
	SOUTH ASIA	0	0	PROGRAM SERVICES	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES	8,000
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	PROGRAM SERVICES	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES	5,000
	MIDDLE EAST AND NORTH AFRICA	0	0	PROGRAM SERVICES	ESTIMATED PURCHASE OF MEDICAL SERVICES AND SUPPLIES	2,000
	SUB-SAHARAN AFRICA	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION		667,200
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION		645,235
	NORTH AMERICA	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION		193,206
	EAST ASIA AND THE PACIFIC	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION		91,256
	SOUTH AMERICA	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION		13,032
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	362,000
	NORTH AMERICA	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	124,000
	EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	70,000
	SUB-SAHARAN AFRICA	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND AID SITES	53,000
	SOUTH AMERICA	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	31,000
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	8,000
	MIDDLE EAST AND NORTH AFRICA	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	6,000
	SOUTH ASIA	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	3,000
	EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	PATIENT ACCOUNT REFUNDS	465,000
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	PROGRAM SERVICES	PATIENT ACCOUNT REFUNDS	285,000
	MIDDLE EAST AND NORTH AFRICA	0	0	PROGRAM SERVICES	PATIENT ACCOUNT REFUNDS	200
	SUB-SAHARAN AFRICA	0	0	PROGRAM SERVICES	PARTNERS IN AFRICA CLEFT TRAINING	113,847
	SUB-SAHARAN AFRICA	0	0	PROGRAM SERVICES	PEDIATRIC HEALTHCARE - GLOBAL HEALTH PATHWAY RESIDENCY PROGRAM	73,412
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	RESEARCH GRANTS AND OTHER HEALTHCARE REVENUES FROM ORGANIZATIONS IN THE REGION
	SUB-SAHARAN AFRICA	0	0	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
	EAST ASIA AND THE PACIFIC	0	0	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
	NORTH AMERICA	0	0	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
		0	0
3a	Sub-total .....	0	0			152,859,516
b	Total from continuation sheets to Part I ...					2,537,188
c	Totals (add lines 3a and 3b)	0	0			155,396,704

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.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	308,137	WIRE TRANSFER
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	286,771	WIRE TRANSFER
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	72,292	WIRE TRANSFER
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	351,336	WIRE TRANSFER
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	127,200	WIRE TRANSFER
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	101,619	WIRE TRANSFER
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	59,113	WIRE TRANSFER
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	5,967	WIRE TRANSFER
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	146,651	CHECK PAYMENT
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	24,398	CHECK PAYMENT
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	13,398	CHECK PAYMENT
EAST ASIA AND THE PACIFIC	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	88,406	WIRE TRANSFER
SOUTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD	10,117	WIRE TRANSFER

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 .......	4
3	Enter total number of other organizations or entities .......................	9

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
PART I, LINE 2:	THE OFFICE OF SPONSORED RESEARCH DEPARTMENT AT SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF THE HOSPITAL, PERFORMS QUARTERLY REVIEWS OF EACH SUBAWARD TO ENSURE THAT RECIPIENTS ARE MANAGING FUNDING IN ACCORDANCE WITH THE TERMS OF THE CONTRACT. A-133 AUDITS, RATE AGREEMENTS, AND DISCLOSURE REQUIREMENTS ARE ALL REVIEWED TO ENSURE THEY ARE CURRENT OR EXEMPT. THIS REVIEW IS TO ENSURE THAT THE SUBRECIPIENT HAS THE NECESSARY INFRASTRUCTURE IN PLACE TO MANAGE FUNDS. TERMS OF THE SUBCONTRACTS ARE MODIFIED AS NEEDED TO ADDRESS ANY ISSUES. THE PRIVATE INVESTIGATOR IS RESPONSIBLE TO ENSURE THE WORK IS PERFORMED TO SATISFACTION AND CONSISTENT WITH THE AIMS OF THE PROJECT. THE CENTER BUSINESS OFFICE ENSURES THAT THE INVOICED AMOUNTS ARE ALLOWABLE UNDER THE PROVISIONS OF THE AWARD AND SUBCONTRACT. A FINAL CHECK FOR COMPLIANCE TAKES PLACE AT THE EXPIRATION OF THE SUBAWARD WHEN THE OFFICE OF SPONSORED RESEARCH PERFORMS ITS FINAL CLOSEOUT. ANY PROBLEMS WITH PERFORMANCE OR EXPENDITURES ARE IDENTIFIED AT THAT TIME AND RESOLVED AS APPROPRIATE BEFORE FINAL DISTRIBUTIONS ARE MADE AND THE SUBAWARD IS COMPLETE.
PART I, LINE 3:	THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR EXPENDITURES.

Schedule F (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SEATTLE CHILDREN'S HOSPITAL

Employer identification number

91-0564748

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

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

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 40000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

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

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

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

Yes

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

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	1	21,219	11,469,000	1,598,000	9,871,000	0.610 %
b	Medicaid (from Worksheet 3, column a) . . . . .	18	214,387	606,393,000	432,065,000	174,328,000	10.840 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	19	235,606	617,862,000	433,663,000	184,199,000	11.450 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	138		15,199,319	3,758,992	11,440,327	0.710 %
f	Health professions education (from Worksheet 5) . . .	97		43,626,234	9,632,047	33,994,187	2.110 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	7		203,196,882	147,165,646	56,031,236	3.480 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	10		922,852	253,666	669,186	0.040 %
j	Total. Other Benefits . .	252		262,945,287	160,810,351	102,134,936	6.340 %
k	Total. Add lines 7d and 7j .	271	235,606	880,807,287	594,473,351	286,333,936	17.790 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	12	257,522	81,371	176,151	0.010 %
4	Environmental improvements	3	20,297		20,297	0 %
5	Leadership development and training for community members	1	10,315		10,315	0 %
6	Coalition building
7	Community health improvement advocacy	3	6,306		6,306	0 %
8	Workforce development	11	1,203,172	85	1,203,087	0.070 %
9	Other	3	11,293		11,293	0 %
10	Total	33	1,508,905	81,456	1,427,449	0.080 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

1,064,523

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

5,848,584

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

9,362,538

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

-3,513,954

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	SEATTLE CHILDREN'S HOSPITAL 4800 SAND POINT WAY NE SEATTLE,WA98105 WWW.SEATTLECHILDRENS.ORG 178019356	X	X	X	X	X	X

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

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

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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

Yes

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

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

Other website (list url):

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

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

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

Yes

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

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

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

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

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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

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

Yes

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

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

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

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

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

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

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

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

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

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

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

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

FINASST.SEATTLECHILDRENS.ORG

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

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

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

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

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

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

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 3J: SEATTLE CHILDREN'S CONDUCTED ITS THIRD COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019 TO COVER THE FISCAL PERIOD ENDING 2019-2022 (TAX YEARS 2018-2021) IN ORDER TO:- INVOLVE STAKEHOLDERS AND THE COMMUNITY TO IDENTIFY AND ANALYZE COMMUNITY HEALTH NEEDS AND ASSETS IN ORDER TO PRIORITIZE THESE NEEDS AND TO PLAN AND ACT UPON SIGNIFICANT UNMET COMMUNITY HEALTH NEEDS.- MORE DEEPLY UNDERSTAND HEALTH AND SAFETY ISSUES FACING UNDERSERVED AND UNDER RESOURCED POPULATIONS WHO EXPERIENCE HEALTH INEQUITIES, USING EXISTING DATA AND THE PERSPECTIVES OF COMMUNITY STAKEHOLDERS AND FAMILIES.- IDENTIFY AND DOCUMENT COMMUNITY STRENGTHS, EXISTING PROGRAMS, AND ACTIVITIES THAT ARE HELPING THE COMMUNITY THRIVE.- INFORM OUR COMMUNITY BENEFIT EFFORTS BY DETERMINING WHERE THE COMMUNITY NEEDS ALIGN WITH SEATTLE CHILDREN'S STRATEGIC PLAN, GOALS, OR AREAS IN WHICH WE HAVE SIGNIFICANT EXPERTISE.THROUGH THIS CHNA, WE HAVE GAINED A BETTER UNDERSTANDING OF THE NEEDS AND RESOURCES OF THE COMMUNITIES WE SERVE. THE NEEDS ASSESSMENT LAYS THE FOUNDATION FOR OUR COMMUNITY HEALTH IMPLEMENTATION STRATEGIES, WHICH GUIDE HOW WE WILL CONTINUE TO FULFILL OUR COMMITMENT TO CHILDREN, TEENS AND FAMILIES, IN PARTNERSHIP WITH HEALTH ORGANIZATIONS, GOVERNMENT, BUSINESSES, COMMUNITY BASED ORGANIZATIONS AND COMMUNITIES.SEATTLE CHILDREN'S CHNA HIGHLIGHTS JUST A FEW OF THE MANY DEDICATED GOVERNMENT, NONPROFIT AND PRIVATE ORGANIZATIONS SERVING OUR COMMUNITY'S MOST VULNERABLE POPULATIONS. ORGANIZATIONS SUCH AS THE HEALTHY KING COUNTY COALITION, THE CHILDHOOD OBESITY PREVENTION COALITION AND THE HEALTH COALITION FOR CHILDREN AND YOUTH ARE POWERFUL ADVOCATES FOR CHILDREN AND FAMILIES. ORGANIZATIONS AND PROVIDERS LIKE COMMUNITY HEALTH CLINICS, UNIVERSITY OF WASHINGTON, HARBORVIEW MEDICAL CENTER, YAKIMA CHILDREN'S VILLAGE, YOUTHCARE, CENTER FOR CHILD AND YOUTH JUSTICE, UNITED WAY, CASCADE BICYCLE CLUB, SEATTLE PARKS AND RECREATION, THE CHILDREN'S ALLIANCE, SOLID GROUND, AND WITHINREACH OFFER EDUCATION, ADVOCACY, CLINICAL CARE, RESEARCH AND/OR DIRECT SERVICES TO HELP CHILDREN, YOUTH AND FAMILIES GET THE HEALTHCARE, HEALTH AND WELL BEING AND PREVENTIVE SERVICES THEY NEED. STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS ARE KEY TO GETTING ESSENTIAL DATA AND TO HELPING FOSTER PROGRAM, POLICY, ENVIRONMENTAL AND SYSTEM CHANGE.IN THE CHNA, THE FOLLOWING THEMES EMERGED FROM OUR QUALITATIVE RESEARCH:- ACCESSIBLE MENTAL AND BEHAVIORAL HEALTH SERVICES FOR CHILDREN, TEENS AND YOUNG ADULTS CONTINUES TO BE AN UNMET NEED IN MANY COMMUNITIES, ESPECIALLY FOR NON-ENGLISH SPEAKERS AND FAMILIES LIVING IN RURAL AREAS.- OVER THE LAST DECADE, RATES OF DEPRESSION AMONG YOUTH HAVE INCREASED BY AS MUCH AS 30% ACROSS THE WASHINGTON, ALASKA, MONTANA AND IDAHO (WAMI) REGION. SUICIDE RATES HAVE ALSO BEEN ON THE RISE, WITH ABOUT 1 IN 10 HIGH SCHOOLERS REPORTING THAT THEY HAD ATTEMPTED SUICIDE.- INJURIES, BOTH UNINTENTIONAL AND INTENTIONAL, CONTINUE TO HURT, HARM AND HOSPITALIZE CHILDREN IN THE REGION. MOTOR VEHICLE COLLISIONS, DROWNING, AND POISONINGS ARE SOME OF THE LEADING CAUSES OF UNINTENTIONAL INJURY.-MANY FAMILIES ACROSS THE REGION STRUGGLE TO AFFORD HEALTHY FOODS AND OTHER BASIC NEEDS WHEN FACED WITH HIGH HOUSING, CHILD CARE AND HEALTHCARE COSTS. LIVING WAGES IN SOME COMMUNITIES MAY NOT BE KEEPING PACE WITH THESE COSTS.- THE MAJORITY OF HIGH SCHOOL STUDENTS ARE NOT MEETING THE DAILY PHYSICAL ACTIVITY RECOMMENDATION AND DO NOT CONSUME THE RECOMMENDED AMOUNT OF FRUITS AND VEGETABLES EACH DAY. - DIFFICULTIES NAVIGATING THE HEALTHCARE SYSTEM AND FINDING RELIABLE AND AFFORDABLE TRANSPORTATION TO GET TO AND FROM APPOINTMENTS CONTINUE TO BE BARRIERS TO ACCESSING CARE; AS DO SHORTAGES OF LOCAL SUBSPECIALTY SERVICES AND LONG WAITLISTS FOR AVAILABLE SERVICES.- CIGARETTE SMOKING RATES AMONG HIGH SCHOOL STUDENTS CONTINUE TO DECLINE, BUT THE RATE OF ELECTRONIC VAPOR PRODUCT USE HAS STAYED STEADY OR INCREASED ACROSS THE WAMI REGION. RATES OF ALCOHOL, MARIJUANA AND OTHER DRUG USE VARY ACROSS THE REGION.- COORDINATED CARE AND COMMUNICATION BETWEEN HEALTHCARE PROVIDERS, SCHOOLS AND FAMILIES IS CRITICAL TO GOOD HEALTH. THIS IS ESPECIALLY IMPORTANT FOR CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS.- HEALTH DISPARITIES ARE CAUSED BY INEQUITIES AND EXIST ACROSS THE REGION BY RACE, ETHNICITY, GENDER, GEOGRAPHY, SOCIOECONOMIC STATUS, ENVIRONMENTAL FACTORS, HEALTH LITERACY AND DISABILITY. TO MEET THE DIVERSE NEEDS IN OUR COMMUNITY, CULTURALLY RELEVANT SERVICES ARE NEEDED.ASSESSMENT RESULTS HAVE VALIDATED OUR EXISTING WORK AND HAVE HELPED US PRIORITIZE WHERE AND HOW TO FOCUS OUR NEW WORK. GIVEN THE COMPLEXITY OF COMMUNITY NEEDS AND THE FINITE RESOURCES AVAILABLE TO MEET THEM, WE HAVE DIFFICULT CHOICES. WE BELIEVE THAT BY WORKING IN PARTNERSHIP WITH OTHERS, OUR EFFORTS WILL BE AMPLIFIED THROUGHOUT THE COMMUNITY.FOR SEATTLE CHILDREN'S COMMUNITY HEALTH IMPLEMENTATION STRATEGIES, AND AS A DIRECT RESULT OF THE CHNA, WE HAVE IDENTIFIED FOUR PRIORITY AREAS:- MENTAL AND BEHAVIORAL HEALTH- SUICIDE & INJURY PREVENTION- ECONOMIC SECURITY- HEALTHY LIFESTYLES (HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY)WE HAVE SUSTAINED FOUR OTHER COMMUNITY BENEFIT PROGRAMS:- ACCESS AND CARE COORDINATION- ADOLESCENT HEALTH- PROGRAMS AND SERVICES FOR CHILDREN WITH SPECIAL NEEDS- FAMILY EDUCATION AND RESOURCESOUR PRIORITIES HAVE BEEN APPROVED BY THE SEATTLE CHILDREN'S HOSPITAL GOVERNING BOARD OF TRUSTEES AND INCORPORATED INTO THE HOSPITAL'S OPERATING, COMMUNITY OUTREACH AND STRATEGIC INITIATIVES. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON OUR WEBSITE:WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENTTHE COMMUNITY HEALTH IMPLEMENTATION STRATEGIES ARE AVAILABLE ON OUR WEBSITE:WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (TAX YEARS 2018-2021), SEATTLE CHILDREN'S COMPILED EXISTING CHILD AND ADOLESCENT HEALTH DATA TO DESCRIBE DETERMINANTS OF HEALTH AND SOLICITED DIRECT FEEDBACK FROM COMMUNITY STAKEHOLDERS AND FAMILIES. TO GATHER INFORMATION AND ASSESS COMMUNITY NEEDS AND STRENGTHS, WE:- CONDUCTED A REVIEW OF PUBLIC HEALTH INDICATORS AND AREA DEMOGRAPHICS FROM EXISTING SOURCES.- PROVIDED AN ONGOING DATA ANALYSIS WITH OUR LOCAL PUBLIC HEALTH DEPARTMENT(S) INCLUDING THE HIRING OF TWO SUMMER MASTERS IN PUBLIC HEALTH STUDENTS, CO-SUPERVISED BY THE PUBLIC HEALTH SEATTLE KING COUNTY DEPARTMENT'S ASSESSMENT, POLICY DEVELOPMENT AND EVALUATION UNIT AND THE COMMUNITY HEALTH & BENEFIT TEAM AT SEATTLE CHILDREN'S TO HELP US CONDUCT AND AUTHOR THE ASSESSMENT.- ENGAGED WITH COALITIONS THAT HAVE EXPERTISE ADDRESSING HEALTH NEEDS, HAVE DIVERSE MEMBERSHIP, AND HAVE A REGIONAL OR SUB-REGIONAL FOCUS. OTHER STAKEHOLDERS INCLUDED THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY; REPRESENTATIVES OF MEDICALLY UNDER-RESOURCED, LOW-INCOME POPULATIONS, PEOPLE OF COLOR, AND/OR POPULATIONS WITH CHRONIC DISEASES, INCLUDING REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS AND FROM THE KING COUNTY ACCOUNTABLE COMMUNITY OF HEALTH, HEALTHIERHERE.- WE HOSTED LISTENING SESSIONS WITH YOUTH, PARENTS, CAREGIVERS AND EXPERTS ON SPECIFIC TOPICS; AND REVIEWED RECENT REPORTS ON LOCAL AND STATE HEALTH NEEDS. - TO IDENTIFY COMMUNITY CONCERNS AND ASSETS, SEATTLE CHILDREN'S WORKED WITH PEDIATRICIANS IN THEIR SECOND YEAR OF RESIDENCY WHO, AS A PART OF THEIR TRAINING, TAKE A MONTH-LONG ROTATION IN THE COMMUNITY HEALTH AND BENEFIT DIVISION OF THE EXTERNAL AFFAIRS AND GUEST SERVICES DEPARTMENT AT SEATTLE CHILDREN'S. THESE RESIDENTS INTERVIEWED STAKEHOLDERS, CONSULTED RECENT COMMUNITY-BASED REPORTS AND PULLED INFORMATION FROM PREVIOUS HOSPITAL CHNAS FOR THE GEOGRAPHIC AREAS THEY WORKED IN FOR THE MONTH.- BETWEEN 2016 AND 2019, THESE PEDIATRICIANS AND THE COMMUNITY HEALTH AND BENEFIT TEAM MEMBERS AT SEATTLE CHILDREN'S WHO TRAINED THEM CONDUCTED 26 LISTENING SESSIONS ACROSS THE WAMI REGION WITH PARENTS OR CAREGIVERS OF CHILDREN AGES 0 TO 21. WE CONDUCTED ALL OF OUR LISTENING SESSIONS IN ENGLISH, AND PROVIDED SPANISH TRANSLATION AT THREE EVENTS, SOMALI TRANSLATION AT FIVE EVENTS, AMHARIC TRANSLATION AT FIVE EVENTS, OROMO TRANSLATION AT ONE EVENT AND VIETNAMESE TRANSLATION AT ONE EVENT. ADDITIONALLY, WE VISITED EIGHT COMMUNITIES THAT WERE URBAN, SUBURBAN OR RURAL, INCLUDING VILLAGES, TO LEARN ABOUT COMMUNITY HEALTH CHALLENGES. - IN ADDITION, WE INTERVIEWED 172 KEY INFORMANTS IN THE WASHINGTON, ALASKA, MONTANA AND IDAHO (WAMI) REGION.- APPROXIMATELY 70% OF THE PARTICIPANTS TAKING PART IN THESE MEETINGS AND LISTENING GROUPS SELF IDENTIFIED AS EITHER LOW-INCOME, PEOPLE OF COLOR, OR FROM MEDICALLY UNDERSERVED COMMUNITIES OR IDENTIFIED AS REPRESENTING THESE POPULATIONS.WE USED TWO FRAMEWORKS: THE SOCIAL-ECOLOGICAL AND THE SPECTRUM OF PREVENTION MODELS TO GATHER BACKGROUND ON AREAS OF NEED. WE ALSO REVIEWED EXISTING STRENGTHS, PROGRAMS AND SERVICES THAT FOCUS ON CHILD AND TEEN HEALTH AND SAFETY ISSUES.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 7D: SEATTLE CHILDREN'S EMAILED AN ELECTRONIC COPY OF THE CHNA TO ANYONE UPON REQUEST, INCLUDING THOSE WHO OPTED IN TO RECEIVE ONE AT OUR COMMUNITY BENEFIT FORUMS.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: OUR 2019 CHNA (APPLICABLE TO TAX YEARS 2018-2021) CENTERS ON THE NEEDS OF FAMILIES, CHILDREN AND YOUTH IN WASHINGTON, ALASKA, MONTANA AND IDAHO (WAMI). OUR CHNA IDENTIFIED FOUR SIGNIFICANT NEEDS, ALL OF WHICH ARE BEING ADDRESSED BY SEATTLE CHILDREN'S PROGRAMMING. BELOW IS AN ACCOUNTING OF THE NEEDS IDENTIFIED AND OUR RESPONSE TO EACH.THE CHNA RESEARCH YIELDED THE FOLLOWING ABOUT THE HEALTH NEEDS OF THE COMMUNITY WE SERVE, BUT IT SHOULD BE KNOWN THAT ACROSS THE WAMI REGION, MANY OF THESE RATES VARY BY RACE, ETHNICITY, GENDER, GEOGRAPHY, BEING IN A RURAL OR URBAN AREA, SOCIOECONOMIC STATUS, ENVIRONMENTAL FACTORS, HEALTH LITERACY AND DISABILITY:MENTAL AND BEHAVIORAL HEALTH:IN WASHINGTON, 25% OF STUDENTS IN 8TH GRADE, 30% OF STUDENTS IN 10TH GRADE AND 28% OF STUDENTS IN 12TH GRADE REPORTED EXPERIENCING DEPRESSIVE FEELINGS. ALSO, OF CHILDREN AGES 2 TO 17, 12% HAVE ONE OR MORE EMOTIONAL, BEHAVIORAL OR DEVELOPMENTAL CONDITION. IN ADDITION TO OUR BED EXPANSION IN OUR PSYCHIATRY AND BEHAVIORAL MEDICINE UNIT, WE HAVE EXPANDED THE PARTNERSHIP ACCESS LINE (PAL), A TELEPHONE-BASED CHILD MENTAL HEALTH CONSULTATION SYSTEM THAT ALLOWS PRIMARY CARE PROVIDERS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS TO TREAT KIDS WHILE KEEPING THEM CLOSER TO HOME. CHILD PSYCHIATRISTS AFFILIATED WITH THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE AND SEATTLE CHILDREN'S HOSPITAL PROVIDE RAPID CONSULTATION RESPONSES DURING BUSINESS HOURS FOR ANY TYPE OF MENTAL HEALTH ISSUE THAT ARISES WITH ANY CHILD. FURTHER, WE HAVE EXPANDED TELEMENTAL HEALTH THAT ALLOWS CHILDREN IN CERTAIN UNDERSERVED COMMUNITIES IN THE REGION TO SPEAK WITH A PSYCHIATRIST THROUGH VIDEO CONFERENCING. WE HAVE LAUNCHED THE WASHINGTON'S MENTAL HEALTH REFERRAL SERVICE FOR CHILDREN AND TEENS WHICH CONNECTS FAMILIES WITH OUTPATIENT PROVIDERS LOCALLY WHO HAVE OPENINGS IN THEIR SCHEDULE AND CAN MEET A CHILD'S SPECIALTY NEEDS AND INSURANCE COVERAGE OR LACK THEREOF. ANY WASHINGTON FAMILY CAN USE THIS FREE SERVICE AND WE MAKE REFERRALS FOR CHILDREN AND TEENS 17 AND YOUNGER.LAST, WE HAVE RENEWED OUR FOCUS TO UPSTREAM EFFORTS AROUND MENTAL AND BEHAVIORAL HEALTH SUCH AS OUR POSITIVE PARENTING SERIES AND OUR ODESSA BROWN CHILDREN'S CLINIC PROGRAMMING AROUND MOVEMENT AND SOCCER TO SUPPORT THE RELATIONSHIP BETWEEN BEING HEALTHY AND ACTIVE WITH POSITIVE MENTAL HEALTH APPROACHES.SUICIDE AND INJURY PREVENTION:SUICIDE BY FIREARM, DROWNING, POISONING AND MOTOR VEHICLE CRASHES ARE THE LEADING CAUSES OF DEATH AND INJURY AMONG ADOLESCENTS ACROSS THE WAMI REGION. SUICIDE RATES CONTINUE TO RISE AND FIREARMS ACCOUNT FOR OVER HALF OF THESE DEATHS. DROWNINGS MOST OFTEN OCCUR WHILE SWIMMING, BOATING OR PLAYING IN OR NEAR WATER. POISONS INCLUDE MEDICINES, CLEANING PRODUCTS AND LIQUID NICOTINE. CORRECTLY USED, CHILD SAFETY SEATS CAN REDUCE THE RISK OF DEATH BY 71%, YET MORE THAN HALF ARE USED INCORRECTLY. THESE INJURIES AND DEATHS ARE PREVENTABLE.WE HAVE HELPED DEVELOP SUICIDE AND INJURY PREVENTION TACTICS WHERE WE TAILOR OUR MESSAGE ACCORDING TO THE DEVELOPMENTAL LEVEL, KNOWLEDGE, BELIEFS AND BEHAVIORS OF EACH GROUP WE SERVE. IN ADDITION, WE HAVE FOUNDED THE FIREARM TRAGEDY PREVENTION NETWORK IN WASHINGTON STATE. WE HOST MULTIPLE EVIDENCE-BASED, FREE, SAFE FIREARM STORAGE GIVEAWAY EVENTS WHERE WE DISTRIBUTE LOCK BOXES AND TRIGGER LOCKS IN ORDER TO SAFELY STORE FIREARMS AS A WAY TO PREVENT SUICIDE AND PROVIDE ONE MECHANISM FOR LETHAL MEANS RESTRICTION. IN ADDITION, OUR SECURITY TEAM OFFERS DE-ESCALATION TRAININGS ACROSS THE STATE AND OUR RESEARCH INSTITUTE PURSUES RESEARCH PROJECTS ALIGNED WITH YOUTH SUICIDE, INJURY AND FIREARM TRAGEDY PREVENTION. OUR RESEARCHERS COLLABORATE WITH STATEWIDE PARTNERS TO STUDY THE COURSE AND MANAGEMENT OF DEPRESSION IN YOUNG PEOPLE AND TO STUDY SUICIDAL/SELF-HARMING ADOLESCENTS. OUR PROTECTION ADVOCACY AND OUTREACH TEAM FOCUSES ON CHILD ABUSE PREVENTION, INCLUDING STATEWIDE DISSEMINATION AND TRAINING FOR THE EVIDENCE-BASED PERIOD OF PURPLE CRYING. WE HOST CAR SEAT CHECK EVENTS WHERE TECHNICIANS WORK ALONGSIDE PARENTS AND CAREGIVERS TO ENSURE CAR SEATS ARE PROPERLY INSTALLED AND SHARE THE CORRECT WAY TO SAFELY SECURE A CHILD IN A MOTOR VEHICLE. WE ALSO HOST LOW COST CAR SEAT AND BOOSTER SEAT SALES WITH EDUCATION AND DEMONSTRATION IN OUR FAMILY RESOURCE CENTER. ADDITIONALLY, WE HAVE CONTINUED TO USE OUR EXPERTISE AROUND DROWNING TO IMPLEMENT OPEN-WATER DROWNING PREVENTION STRATEGIES IN PARTNERSHIP WITH MEMBERS OF THE STATEWIDE DROWNING PREVENTION NETWORK, PUBLIC HEALTH, SAFE KIDS AND THROUGH COMMUNITY ORGANIZATIONS INCLUDING HEAD START.HEALTHY LIFESTYLES:OF WASHINGTON HIGH SCHOOL STUDENTS, 11% ARE OBESE AND 14% ARE OVERWEIGHT. POOR DIET AND PHYSICAL ACTIVITY ARE RISK FACTORS FOR BECOMING OVERWEIGHT OR OBESE. EATING FEWER MEALS AT HOME, INCREASED AVAILABILITY AND AFFORDABILITY OF UNHEALTHY FOOD, AND INCREASED PORTION SIZES CAN CONTRIBUTE TO POOR DIET AMONG YOUTH. FOOD INSECURITY AND OBESITY CAN AFFECT THE SAME YOUTH SINCE FOOD INSECURITY IS LARGELY ATTRIBUTED TO LOW INCOME, AND UNDER-RESOURCED COMMUNITIES OFTEN LACK ACCESS TO PLACES SUCH AS PARKS THAT PROMOTE HEALTHY EXERCISE. ALSO, WHEN PEOPLE EAT LESS OR SKIP MEALS TO STRETCH FOOD BUDGETS, THEY MAY OVEREAT WHEN FOOD IS AVAILABLE, OR FILL UP ON AFFORDABLE MEALS HIGH IN FAT, BUT LOW IN NUTRITIONAL VALUE.FOR THESE REASONS, WE HAVE HELPED TAILOR A HEALTH EDUCATION AND NUTRITION COURSE FOR FAMILIES. AT OUR HOSPITAL CAMPUS, WE HAVE BEGUN OFFERING HEALTHIER FOOD OPTIONS FOR STAFF AND FAMILIES, ELIMINATED SUGAR SWEETENED BEVERAGES FROM OUR CAFES, DEVELOPED A TEACHING GARDEN, AND INSTALLED WATER BOTTLE FILLING SITES. WE ARE EXPANDING THE NUMBER OF CLINICS WHERE WE SCREEN FOR FOOD INSECURITY AND HAVE OPENED A FOOD PANTRY ON CAMPUS FOR FAMILIES. WE ARE CONTINUALLY INVESTING IN CULTURALLY AND COMMUNITY TAILORED PROGRAMS TO PROMOTE FOOD AFFORDABILITY AS WELL AS COOKING AND EATING AT HOME. ADDITIONALLY, WE HAVE PARTNERED WITH THE PUBLIC HEALTH DEPARTMENT AND THE HEALTHY KING COUNTY COALITION TO ADDRESS HEALTHY EATING AND ACTIVE LIVING INITIATIVES IN THE COMMUNITIES WE SERVE. WE HAVE ALSO LAUNCHED A 7-5-2-1-0 HEALTHY EATING CURRICULUM THAT WE OFTEN PRESENT AT LOCAL HEALTH FAIRS AND EVENTS IN THE REGION ALONGSIDE OUR ODESSA BROWN CHILDREN'S CLINIC PROGRAMMING ABOUT MINDFULNESS AND NUTRITION.ECONOMIC SECURITY AND BASIC NEEDS:MEETING CHILDREN'S BASIC NEEDS IS CRITICAL TO PROVIDE A FOUNDATION FOR LIFE-LONG HEALTH. THE COMMUNITY ADDRESSED SEVERAL NEEDS INCLUDING AFFORDABLE HOUSING AND CHILDCARE AND AN INCREASE IN PUBLIC TRANSPORTATION, PUBLIC SAFETY AND LIVING WAGES. SOME FAMILIES ALSO DISCUSSED THE COST OF HEALTHCARE SERVICES AND TRAVEL FOR CARE, AND HOW IT IMPACTED THEIR ABILITY TO AFFORD OTHER BASIC NEEDS. CHILD AND TEEN HEALTH ARE INFLUENCED BY A VARIETY OF ENVIRONMENTAL AND SOCIAL FACTORS. SOCIAL RISK FACTORS, SUCH AS POVERTY, RACE AND ETHNICITIES, ARE ASSOCIATED WITH POORER HEALTH OUTCOMES FOR CHILDREN. APPROXIMATELY 14% OF WASHINGTON CHILDREN LIVE IN HOUSEHOLDS UNDER THE POVERTY THRESHOLD. CHILDREN EXPERIENCING POVERTY ARE MORE LIKELY TO ENTER SCHOOL BEHIND THEIR PEERS, SCORE LOWER ON ACHIEVEMENT TESTS, EARN LESS AS ADULTS, AND HAVE WORSE HEALTH OUTCOMES. THIS PATTERN IS ESPECIALLY CLEAR FOR THE POOREST AND YOUNGEST CHILDREN AND THOSE WHO REMAIN IN POVERTY A LONG TIME. THERE IS STRONG EVIDENCE LINKING INCOME AND HEALTH THAT SUGGESTS THAT POLICIES PROMOTING ECONOMIC EQUITY MAY HAVE BROAD HEALTH EFFECTS. WE KNOW THAT INCOME INFLUENCES HEALTH THROUGH VARIOUS CLINICAL, BEHAVIORAL, SOCIAL AND ENVIRONMENTAL WAYS. INCOME INEQUALITY HAS GROWN SUBSTANTIALLY IN RECENT YEARS, WHICH EXACERBATES HEALTH INEQUITIES IN KING COUNTY AND THE WAMI REGION.AS SUCH, OUR GOALS IN THIS AREA ARE TO BECOME AN ANCHOR INSTITUTION THROUGH PLACE-BASED WORK AND INVESTMENTS LOCALLY AND REGIONALLY. THIS MEANS DOCUMENTING A MEASURED INCREASE IN OUR LOCAL, DIVERSE HIRING, ESPECIALLY FROM UNDER-RESOURCED COMMUNITIES IN OUR REGION. WE HAVE SIMILAR GOALS FOR PURCHASED SERVICES AND SUPPLIES AS WELL AS MEASUREABLES OF LOCAL AND DIVERSE HIRING IN EACH OF OUR CONSTRUCTION PROJECTS. WE PLAN ON DEVELOPING AND MAINTAINING LOCAL HOUSING SUPPORTS, SUPPORTING THE MEDICAL LEGAL PARTNERSHIP, REDEVELOPING THE NEW ODESSA BROWN CHILDREN'S CLINIC FOR HEALTH CARE AND MIXED USE AND PARTNERING WITH COMMUNITY TRANSPORTATION SUPPORTS TO REMOVE BARRIERS TO ACCESSING CARE. WE CONTINUE TO CONTRACT WITH OUR LOCAL MEDICAID TRANSPORTATION PROVIDER, HOPELINK, TO STAFF A DESK AT THE HOSPITAL AND FACILITATE RIDES FOR FAMILIES TO AND FROM THEIR APPOINTMENTS.ASSESSMENT RESULTS HAVE VALIDATED OUR EXISTING WORK AND HAVE HELPED US PRIORITIZE WHERE AND HOW TO FOCUS OUR CHNA. HOWEVER, GIVEN THE COMPLEXITY OF COMMUNITY NEEDS AND THE FINITE RESOURCES AVAILABLE TO MEET THEM, WE HAVE DIFFICULT CHOICES. WE BELIEVE THAT BY WORKING IN PARTNERSHIP WITH OTHERS, OUR EFFORTS WILL HAVE RIPPLE EFFECTS THROUGHOUT THE COMMUNITY.
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 13H: DUE TO SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, THE STANDARD APPLICATION PROCESS FOR FINANCIAL ASSISTANCE IN RARE CASES MAY NOT BE COMPLETED. IN CASES WHERE A PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR FINANCIAL ASSISTANCE IN THE ABSENCE OF RECEIVING ALL REQUIRED INFORMATION, THE VICE PRESIDENT OF REVENUE CYCLE OR THE CHIEF FINANCIAL OFFICER, OR THEIR DELEGATE, MAY ALSO APPROVE PATIENT ACCOUNT BALANCE WRITE-OFFS TO FINANCIAL ASSISTANCE.
PART V, SECTION B, LINE 3E:	AS STATED, SEATTLE CHILDREN'S CONDUCTED ITS THIRD COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019 TO COVER THE FISCAL PERIOD ENDING 2019-2022 (TAX YEARS 2018-2021). IN THIS CHNA, WE LOOKED AT AND ANALYZED OVER 150 INDICIES OF PEDIATRIC HEALTH STATUS AND OUTCOMES IN THE WASHINGTON, ALASKA, MONTANA AND IDAHO REGION. AS IDENTIFIED THROUGH THE CHNA, THE PRIORITIZED AND SIGNIFICANT HEALTH NEEDS FOR THE PEDIATRIC POPULATION WE SERVE OVER THIS TIME PERIOD ARE: MENTAL AND BEHAVIORAL HEALTH, SUICIDE AND INJURY PREVENTION, ECONOMIC SECURITY AND HEALTHY LIFESTYLES (AN OVERARCHING TERM MEANING SPECIFICALLY HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY). IN ALIGNMENT WITH OUR ORGANIZATIONAL MISSION TO PROVIDE HOPE, CARE AND CURES TO HELP EVERY CHILD LIVE THE HEALTHIEST AND MOST FULFILLING LIFE POSSIBLE, OUR CHNA LEANS INTO OUR VALUES OF EXCELLENCE, INTEGRITY, COLLABORATION, EQUITY AND INNOVATION TO BE A LEADER IN PEDIATRIC HEALTH AND WELLNESS THROUGHOUT OUR COMMUNITY.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?21
Name and address		Type of Facility (describe)
1	1 - RESEARCH INSTITUTE OLIVE LAB 1100 OLIVE WAY SUITE 100 SEATTLE,WA98101	PEDIATRIC RESEARCH
2	2 - RESEARCH INST JACK R MACDONALD BLDG 1900 NINTH AVE SEATTLE,WA98101	PEDIATRIC RESEARCH
3	3 - RESEARCH INSTITUTE WEST 8TH 2001 EIGHTH AVE SUITE 400 SEATTLE,WA98121	PEDIATRIC RESEARCH
4	4 - RESEARCH INSTITUTE 307 WESTLAKE 307 WESTLAKE AVE N SEATTLE,WA98109	PEDIATRIC RESEARCH
5	5 - RESEARCH INSTITUTE MET PARK WEST 1100 OLIVE WAY SEATTLE,WA98101	PEDIATRIC RESEARCH
6	6 - BELLEVUE CLINIC & SURGERY CENTER 1500 116TH AVE NE BELLEVUE,WA98004	CLINIC, SUB SPECIALTY SERVICES, URGENT CARE AND SURGERY CENTER
7	7 - SEATTLE CHILDREN'S HOME CARE SERVICES 2525 220TH STREET SE SUITE 101 BOTHELL,WA98201	PEDIATRIC HOME CARE SERVICES THAT SUPPORT HOSPITAL
8	8 - SEATTLE CHILDREN'S SOUTH CLINIC 34920 ENCHANTED PARKWAY S FEDERAL WAY,WA98003	AMBULATORY CLINIC PROVIDING PRIMARY, CARDIOLOGY AND SUB SPECIALTY CARE
9	9 - SEATTLE CHILDREN'S NORTH CLINIC 1815 13TH ST EVERETT,WA98201	CLINIC, SUB SPECIALTY SERVICES, AND URGENT CARE
10	10 - SEATTLE CHILDREN'S AT OVERLAKE 1135 116TH AVE NE SUITE 400 BELLEVUE,WA98004	SUB SPECIALTY CARE
11	11 - ODESSA BROWN CHILDREN'S CLINIC 2101 E YESLER WAY SEATTLE,WA98122	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE
12	12 - SEATTLE CHILDREN'S AUTISM CENTER 4909 25TH AVE NE SEATTLE,WA98105	AUTISM CLINIC
13	13 - SOUTH SOUND CARDIOLOGY CEDAR MED CTR 1901 S CEDAR ST SUITE 103 TACOMA,WA98405	CARDIOLOGY CLINIC
14	14 - SOUTH SOUND CARDIOLOGY CLEAR CREEK 9800 LEVIN RD NW SUITE 204 SILVERDALE,WA98383	CARDIOLOGY CLINIC
15	15 - SEATTLE CHILDREN'S OLYMPIA CLINIC 615 LILLY ROAD MEDICAL BLDG SUITE 140 OLYMPIA,WA98506	AMBULATORY CLINIC PROVIDING PRIMARY, CARDIOLOGY AND SUB SPECIALTY CARE
16	16 - ADOLESCENT MEDICINE AT SPRINGBROOK 4540 SAND POINT WAY NE BLDG 1 STE 200 SEATTLE,WA98105	ADOLESCENT MEDICAL CLINIC
17	17 - PEDIATRIC CARDIOLOGY OF MONTANA 2510 BOBCAT WAY GREAT FALLS,MT59405	CARDIOLOGY CLINIC
18	18 - PEDIATRIC CARDIOLOGY OF ALASKA 3841 PIPER ST SUITE T345 ANCHORAGE,AK99508	CARDIOLOGY CLINIC
19	19 - SEATTLE CHILDREN'S WENATCHEE CLINIC 526 N CHELAN AVE SUITE B WENATCHEE,WA98801	PEDIATRIC MEDICAL CLINIC
20	20 - SEATTLE CHILDREN'S TRI-CITIES CLINIC 900 STEVENS DR SUITE 204 RICHLAND,WA99352	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE
21	21 - CHILDREN'S ORTHOTICS & PROSTHETICS 4575 SAND POINT WAY NE SUITE 106 SEATTLE,WA98105	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	SEATTLE CHILDREN'S HOSPITAL (SEATTLE CHILDREN'S) USES THE FEDERAL POVERTY GUIDELINES (FPG) AS ITS PRIMARY CRITERIA FOR QUALIFYING PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE. FAMILIES WHO RESIDE IN OUR REGION WITH INCOME BELOW OR EQUAL TO 400% FPG BASED ON THEIR FAMILY SIZE QUALIFY FOR FINANCIAL ASSISTANCE. FURTHERMORE, SEATTLE CHILDREN'S RECOGNIZES THAT FAMILIES WHO HAVE HIGH BALANCES, EVEN WITH HIGHER INCOMES, CAN EXPERIENCE FINANCIAL HARDSHIP. RESPONSIBLE PARTIES WHOSE INCOME IS BETWEEN 400% AND 599% FPG, WHO HAVE INCURRED SIGNIFICANT ACCOUNT BALANCES, AND WHO ARE NOT ELIGIBLE FOR FUNDING FROM OTHER SOURCES ARE ALSO ELIGIBLE FOR SLIDING SCALE FINANCIAL ASSISTANCE WHEREBY THEY ARE RESPONSIBLE FOR PAYING A PERCENTAGE OF THEIR BILL WHICH IS PROPORTIONATELY DISCOUNTED BASED ON THEIR INCOME AND SEATTLE CHIDREN'S FINANCIAL ASSISTANCE FUNDS THE REMAINING BALANCES. FAMILIES WHO RECEIVE A DENIAL OF FINANCIAL ASSISTANCE BASED ON THE FPG AND FAMILY SIZE INFORMATION ARE ALLOWED TO APPEAL THE DENIAL BY PROVIDING INFORMATION ABOUT ADDITIONAL CIRCUMSTANCES IMPACTING THEIR FINANCIAL SITUATION SUCH AS EXCESSIVE MEDICAL DEBT. THE VICE PRESIDENT OF REVENUE CYCLE OR CHIEF FINANCIAL OFFICER, OR THEIR DELEGATE, MAY ADMINISTRATIVELY APPROVE FINANCIAL ASSISTANCE BASED ON THIS ADDITIONAL INFORMATION. THESE SAME INDIVIDUALS CAN ALSO GRANT FINANCIAL ASSISTANCE IN SPECIAL CASES BASED ON SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, OR DUE TO OTHER REASONS WHEN THE STANDARD APPLICATION PROCESS FOR FINANCIAL ASSISTANCE IS NOT LIKELY TO BE SUCCESSFULLY COMPLETED EVEN THOUGH THE PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR FINANCIAL ASSISTANCE.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,406,777.
PART I, LINE 6:	SEATTLE CHILDREN'S PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE TO THE GENERAL PUBLIC. SEATTLE CHILDREN'S APPLIES THE CATHOLIC HEALTH ASSOCIATION PRINCIPLES AND USES THE "CBISA LYONS" SOFTWARE TO ACCUMULATE THE INFORMATION INCLUDED IN ITS ANNUAL COMMUNITY BENEFIT REPORT. SEE SCHEDULE O FOR THE FULL 2019 COMMUNITY BENEFIT REPORT OR VISIT WWW.SEATTLECHILDRENS.ORG/COMMUNITYBENEFIT.
PART I, LINE 7:	THE MISSION OF SEATTLE CHILDREN'S HOSPITAL IS TO PROVIDE EXCELLENT PATIENT CARE FOR CHILDREN, TO ENGAGE IN INNOVATIVE RESEARCH THAT WILL IMPROVE THE HEALTH OF CHILDREN, TO TRAIN THE NEXT GENERATION OF PHYSICIANS, OTHER HEALTHCARE WORKERS AND SCIENTISTS WHO WILL ADVANCE THE HEALTH OF CHILDREN, AND TO ADVOCATE FOR THE HEALTHCARE NEEDS OF CHILDREN. AS PART OF ITS MISSION, SEATTLE CHILDREN'S IS COMMITTED TO CARING FOR CHILDREN IN ITS SERVICE AREA IRRESPECTIVE OF ABILITY TO PAY AND TO OTHERWISE IDENTIFY AND HELP TO MEET THE HEALTHCARE NEEDS OF CHILDREN IN THE COMMUNITY.FINANCIAL ASSISTANCE REPRESENTS THE ESTIMATED COST OF CARE PROVIDED TO CHILDREN WHO ARE UNINSURED OR UNDERINSURED AND WHOSE FAMILIES CANNOT AFFORD TO PAY FOR THEIR MEDICAL CARE. SEATTLE CHILDREN'S PROVIDES FINANCIAL ASSISTANCE IN ACCORDANCE WITH ITS FINANCIAL ASSISTANCE POLICY BASED ON FAMILY NEED AND MAINTAINS RECORDS TO IDENTIFY THE LEVEL OF ASSISTANCE IT PROVIDES. THE DETERMINATION OF FAMILY NEED IS EVALUATED DURING A PATIENT'S COURSE OF CARE AND CAN BE UPDATED AFTER CARE IS COMPLETE. BECAUSE SEATTLE CHILDREN'S DOES NOT PURSUE COLLECTION OF THESE AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, THEY ARE NOT REPORTED AS REVENUE. THE ESTIMATED COST OF FINANCIAL ASSISTANCE PROVIDED IS BASED ON A RATIO OF HOSPITAL TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF HOSPITAL TOTAL GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE SERVICES, RESULTING IN THE ESTIMATED COST OF PROVIDING FINANCIAL ASSISTANCE.MEDICAID PAYMENT SHORTFALL REPRESENTS THE ESTIMATED COST OF PROVIDING SERVICES TO PATIENTS COVERED UNDER MEDICAID IN EXCESS OF PAYMENTS RECEIVED. THE ESTIMATED COST OF SERVICES PROVIDED TO MEDICAID PATIENTS IS BASED ON A RATIO OF HOSPITAL TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF HOSPITAL TOTAL GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS CHARGES RELATED TO SERVICES PROVIDED TO MEDICAID PATIENTS, RESULTING IN THE ESTIMATED COST OF PROVIDING CARE TO THESE PATIENTS.OTHER BENEFITS REPRESENT THE COSTS OF PROVIDING PROGRAMS, NET OF DIRECT OFFSETTING REVENUES, FOR THE BENEFIT OF THE ENTIRE COMMUNITY. THESE BENEFITS INCLUDE RESEARCH, HEALTH PROFESSIONS EDUCATION AND VARIOUS OTHER COMMUNITY-BASED HEALTHCARE PROGRAMS.
PART II, COMMUNITY BUILDING ACTIVITIES:	AS PART OF OUR MISSION TO PROVIDE HOPE, CARE AND CURES TO HELP EVERY CHILD LEAD THEIR HEALTHIEST AND MOST FULLFILLING LIFE POSSIBLE, SEATTLE CHILDREN'S MAKES PROACTIVE AND STRATEGIC INVESTMENTS TO HELP CHILDREN AND FAMILIES BE AND STAY HEALTHY IN THE PLACES WHERE THEY LIVE, PLAY AND LEARN. WE WORK WITH OUR COMMUNITIES TO ADDRESS SOME OF THE DETERMINANTS OF HEALTH SUCH AS EDUCATION, HOUSING, ACCESS TO HEALTHY AFFORDABLE FOOD, SOCIAL SUPPORTS AND THE BUILT ENVIRONMENT. SOME EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES INCLUDE:- ODESSA BROWN CHILDREN'S CLINIC (OBCC) IS A COMMUNITY CLINIC OF SEATTLE CHILDREN'S. CHILDREN FROM BIRTH THROUGH AGE 21 RECEIVE CARE FROM A TEAM OF SPECIALLY TRAINED PEDIATRIC CARE PROVIDERS. LOCATED IN SEATTLE'S CENTRAL DISTRICT, OBCC PROVIDES MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO OVER 40,000 PATIENTS A YEAR, FOCUSING ESPECIALLY ON FAMILIES IN LOW-INCOME COMMUNITIES. OBCC'S MODEL FOR CARE IS UNIQUE AND ADDRESSES THE SOCIAL, ECONOMIC AND ENVIRONMENTAL ROOTS OF ILLNESS. AS A SITE FOR REACH OUT AND READ, OBCC PROMOTES EARLY LITERACY BY PROVIDING BOOKS AT WELL-CHILD VISITS FOR CHILDREN AGES 6 MONTHS TO 5 YEARS OLD. OBCC PROVIDES BOOKS TO ALL CHILDREN AT ALL VISITS AND EXTENDS THE OFFERING TO SIBLINGS THAT COME TO THE APPOINTMENTS. OBCC ALSO DISTRIBUTES BOOKS AT NO COST TO LOCAL SCHOOLS WHERE THEY PROVIDE HEALTH AND MENTAL HEALTH SERVICES. LAST YEAR OBCC DISSEMINATED 6,000 BOOKS.- OUR CLINICAL AND NON-CLINICAL STAFF AND PROVIDERS PROVIDE LECTURES, TOURS, MENTORING AND SHADOWING OPPORTUNITIES THAT DISCUSS EMPLOYMENT OPPORTUNITIES IN HEALTHCARE TO UNDER RESOURCED STUDENTS AND PEOPLE FROM DIVERSE BACKGROUNDS. ONE OF THE PROGRAMS REACHES OUT TO PEOPLE WHO ARE PLANNING TO ATTEND MEDICAL SCHOOL TO INCREASE THEIR SKILL SET WHEN APPLYING. IN ADDITION, WE PROVIDE NEONATAL AND PEDIATRIC CLINICAL TRAINING TO RESPIRATORY THERAPISTS AT LOCAL COLLEGES. OUR GOAL IS TO TRAIN RESPIRATORY THERAPISTS TO PROPERLY ASSESS PATIENTS FOR RESPIRATORY INTERVENTIONS. ONCE THESE THERAPISTS ARE CREDENTIALED AND LICENSED, THEY WILL JOIN EMERGENCY RESPONSE TEAMS AND THEIR SKILLS TO ASSESS PEDIATRIC PATIENTS WILL HAVE A VALUABLE IMPACT IN CASE OF EMERGENCY RESPONSE DEPLOYMENT. WITH CERTAIN TYPES OF DISASTERS, WE ANTICIPATE THE NEED FOR PROFESSIONALS WHO CAN ASSESS THE NEED FOR AND ADMINISTER COMPLEX RESPIRATORY THERAPY TREATMENTS TO PEDIATRIC PATIENTS, SO THE TYPE OF TRAINING WE OFFER IS CRUCIAL. - ADDITIONALLY, SEATTLE CHILDREN'S OFFERS MEDICAL OBSERVERSHIPS AND SHADOWING OPPORTUNITIES WHEREBY INDIVIDUALS WITH OR WITHOUT PRIOR MEDICAL EDUCATION CAN OBSERVE MEDICAL PROFESSIONALS AS THEY CARE FOR PATIENTS AND FAMILIES FOR A SPECIFIC PERIOD OF TIME. WHILE OBSERVERS ARE VISITORS AND NOT INVOLVED IN PATIENT CARE, PARTICIPANTS ARE EXPOSED TO DIFFERENT MEDICAL PROFESSIONS AND ARE OFTEN INSPIRED TO PURSUE A CAREER IN HEALTH CARE DELIVERY. - SEATTLE CHILDREN'S HOSTS THE SCIENCE ADVENTURE LAB. THE SCIENCE ADVENTURE LAB IS A CUSTOM-BUILT, MOBILE SCIENCE LAB OUTFITTED WITH RESEARCH GRADE EQUIPMENT AND SPACE FOR UP TO 30 STUDENTS AT A TIME. THE MOBILE LAB TRAVELS TO SCHOOLS ACROSS WASHINGTON TO PROVIDE INNOVATIVE, HANDS-ON SCIENCE CURRICULUM TO STUDENTS IN GRADES FOUR THROUGH TWELVE REACHING 6,397 CHILDREN IN 2019. INSIDE, STUDENTS PERFORM SCIENCE EXPERIMENTS AND LEARN ABOUT CAREERS IN SCIENCE AND HEALTH CARE. MANY OF THE SCHOOLS ARE IN RURAL AREAS AND/OR HAVE HIGH NUMBERS OF LOW INCOME CHILDREN. THE SCIENCE ADVENTURE LAB PROGRAM OFFERS A VARIETY OF DIFFERENT CURRICULUM MODULES FROM WHICH TEACHERS CAN SELECT. EACH MODULE USES HANDS-ON ACTIVITIES TO TEACH SCIENCE CONTENT WHILE ADDRESSING KEY ISSUES IN PEDIATRIC HEALTH SUCH AS ASTHMA, CONCUSSIONS, NUTRITION AND THE CONNECTION BETWEEN GENES AND HEALTH. IN ADDITION TO THE MOBILE LAB, OUR SCIENCE EDUCATION DEPARTMENT HOSTS HIGH SCHOOL STUDENTS FOR CAREERS IN BIOMEDICAL RESEARCH AND HEALTH CARE THROUGH A YEAR-LONG ACADEMIC PROGRAM, A RESEARCH TRAINING PROGRAM WHEREBY HIGH SCHOOL STUDENTS FROM UNDER REPRESENTED GROUPS APPLY FOR POSITIONS IN OUR RESEARCH TRAINING PROGRAM. WE ALSO HOST THE SCIENCE DISCOVERY LAB AT OUR BUILDING CURE SITE WHERE STUDENTS OF ANY AGE CAN PARTICIPATE IN AUTHENTIC SCIENCE IN A LAB EMBEDDED IN OUR RESEARCH INSTITUTE ITSELF. - ADDITIONALLY, SEATTLE CHILDREN'S IS COMMITTED TO CONTRIBUTING TO TRANSPORTATION IMPROVEMENTS IN NORTHEAST SEATTLE AND BEYOND. THROUGH OUR LIVABLE STREETS INITIATIVE, WE WORK WITH OUR COMMUNITY ON PROJECTS SUCH AS UPGRADES TO LOCAL STREETS SO THAT THEY ARE SAFE FOR PEDESTRIANS AND BIKERS OF ALL AGES AND ABILITIES; INTELLIGENT TRANSPORTATION SYSTEMS THAT USE TECHNOLOGY TO GIVE DRIVERS MORE INFORMATION; AND INTERSECTION IMPROVEMENTS THAT INCREASE SAFETY FOR ALL USERS. IN 2019, OUR COMMUNITY BUILDING WORK INCLUDED COLLABORATION WITH OTHER COMMUNITY PARTNERS SUCH AS FORTERRA AND PLANTED 250 TREES TO SEQUESTER 1,300 TONS OF CARBON. ADDITIONALLY, SEATTLE CHILDREN'S PARTNERED WITH U-DISTRICT RESIDENTS, BUSINESSES, THE UNIVERSITY OF WASHINGTON, U-DISTRICT PARTNERSHIP, GOVERNMENT AGENCIES AND COMMUNITY GROUPS TO SPONSOR AND HELP CRAFT AN ACCESS PLAN FOR THE FUTURE U-DISTRICT LIGHT RAIL STATION AT 43RD AND BROOKLYN. THE PLAN IS BOTH A VISION AND A LIST OF ACTIONABLE RECOMMENDATIONS THAT ADDRESS ACCESS, SAFETY AND LIVABILITY AROUND THE FUTURE LIGHT RAIL STATION. SEATTLE CHILDREN'S STAFF HELPED SECURE FUNDING, CREATE AN RFP FOR A CONSULTANT TEAM, CRAFT SURVEYS, LEAD COMMUNITY WORKSHOPS, TRANSLATE MATERIALS, ATTEND OUTREACH EVENTS AND COORDINATE WITH GOVERNMENTAL AGENCIES TO DEVELOP THE PLAN.- WE HAVE ALSO INCREASED OUR COMMUNITY BUILDING EFFORTS AMONGST OUR WORKFORCE, OUR DIVERSITY AND INCLUSION DIVISION AND OTHER COMMUNITY GROUPS IN THE REGION. EXAMPLES OF OUR INCLUSION NETWORKS ARE: Q POD (LGBTQ) NETWORK, THE GREEN TEAM (SUSTAINABILITY) NETWORK, HOLA (HISPANIC/LATINO) NETWORK, THE INDIGENOUS PEOPLES NETWORK, THE PARENTING NETWORK AND THE BLACK AND AFRICAN HERITAGE NETWORK. THESE GROUPS HAVE PARTNERED WITH COMMUNITY BASED ORGANIZATIONS TO DEVELOP AND SUPPORT PROGRAMMING AS LED BY LOCAL LEADERS AND INVEST IN COMMUNITY BUILDING EFFORTS ON BEHALF OF SEATTLE CHILDREN'S. THESE EFFORTS INCLUDE FUNDING SUPPORTIVE HOUSING INITIATIVES AND SUBSIDIZING THE COST OF HOUSING FOR OUR MOST UNDERSERVED RESIDENTS THROUGH THE HOUSING SOLUTIONS FOR HOPE GUILD.- WE ALSO PROVIDE SPONSORSHIPS TO COMMUNITY ORGANIZATIONS THAT SUPPORT CHILDREN, YOUTH AND FAMILIES BY PROVIDING QUALITY CHILD CARE, LANGUAGE AND CULTURAL TRAINING, HOUSING, WORKFORCE DEVELOPMENT, YOUTH DEVELOPMENT AND PARENTING SKILLS. WE ALSO PARTNER WITH COMMUNITY BASED ORGANIZATIONS AND COALITIONS THAT ADVOCATE FOR COMMUNITY HEALTH IMPROVEMENT, PROVIDE ECONOMIC DEVELOPMENT AND REVITALIZATION, AND HELP MAKE COMMUNITIES SAFER AND HEALTHIER. THIS WORK IS CAPTURED BY THE ORGANIZATION'S ANCHOR MISSION WHEREBY WE ARE WORKING TO ALIGN OUR INSTITUTIONAL ASSETS TO MEANINGFULLY IMPACT THE ECONOMIC AND SOCIAL FACTORS IN OUR COMMUNITY THAT CREATE HEALTH - GOOD JOBS AND DECENT WAGES; SAFE AND AFFORDABLE HOUSING; ACCESS TO HEALTHY FOOD; AND A HEALTHY, CLEAN, AND SAFE ENVIRONMENT.
PART III, LINE 2:	THE TOTAL AMOUNT OF BAD DEBT EXPENSE PROVIDED IS BASED ON THE RATIO OF TOTAL PATIENT CARE COSTS AS A PERCENTAGE OF GROSS PATIENT CARE CHARGES. THIS COST RATIO IS APPLIED TO GROSS BAD DEBT EXPENSE, RESULTING IN BAD DEBT EXPENSE AT COST. SEATTLE CHILDREN'S CHARACTERIZES SELF PAY AS BAD DEBT WHEN A FAMILY IS EITHER NOT ELIGIBLE OR HAS NOT APPLIED FOR FINANCIAL ASSISTANCE AND IS UNWILLING OR UNABLE TO PAY AN OUTSTANDING ACCOUNT BALANCE. THE MOST COMMON PATIENT BAD DEBT SCENARIOS INCLUDE UNPAID SELF PAY PORTIONS OF ACCOUNT BALANCES AFTER INSURANCE OR THIRD PARTY ASSISTANCE PAYMENTS OR UNPAID ACCOUNT BALANCES AFTER A BANKRUPTCY FILING. SEATTLE CHILDREN'S IS SENSITIVE TO THE FINANCIAL HEALTH OF FAMILIES AND RECOGNIZES THAT FAMILY FINANCIAL CONCERNS MAY NOT ALWAYS BE EFFECTIVELY COMMUNICATED. SEATTLE CHILDREN'S IS COMMITTED TO MANAGING COLLECTION EFFORTS INTERNALLY, IN A RESPECTFUL MANNER AND WITHOUT USING EXTERNAL COLLECTION OR CREDIT AGENCIES, EXCEPT IN LIMITED CIRCUMSTANCES SUCH AS INTERNATIONAL PATIENTS. SINCE ALL COLLECTION EFFORTS ARE MANAGED INTERNALLY, IN A RESPECTFUL MANNER, SEATTLE CHILDREN'S DOES NOT DISCLOSE ITS COLLECTION PRACTICE IN THE FOOTNOTES OF THE FINANCIAL STATEMENTS.
PART III, LINE 4:	THE METHOD FOR DETERMINING UNCOLLECTIBLE ACCOUNTS IS DISCUSSED IN THE SECTION OF FOOTNOTE 8 TITLED "PATIENT ACCOUNTS RECEIVABLE," WHICH IS FOUND ON PAGE 28 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS ARE OBTAINED DIRECTLY FROM THE MEDICARE COST REPORT AND ARE DETERMINED IN ACCORDANCE WITH THE MEDICARE PRINCIPLES OF REIMBURSEMENT. THE MAJORITY OF SEATTLE CHILDREN'S MEDICARE PATIENTS ARE CHILDREN WITH END STAGE RENAL DISEASE (ESRD) THAT INCLUDES DIALYSIS CARE AND OFTEN A KIDNEY TRANSPLANT ALONG WITH OTHER RELATED SERVICES. THE ESRD CARE OFTEN RESULTS IN A LONGER LENGTH OF STAY AND HIGHER ACUITY. MEDICARE REIMBURSEMENT FOR THESE SERVICES IS SUBJECT TO THE LIMITS OF THE TAX EQUITY AND FISCAL RESPONSIBILITY ACT, WHICH ARE OFTEN BELOW SEATTLE CHILDREN'S COST. THE ACTUAL SHORTFALL IN COST REIMBURSEMENT SHOULD AT LEAST BE TREATED AS COMMUNITY BENEFIT.
PART III, LINE 9B:	SEATTLE CHILDREN'S REVENUE CYCLE DEPARTMENT USES A STANDARD, RESPECTFUL PROCEDURE FOR RESOLVING UNPAID PATIENT BALANCES. A. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES.B. SEATTLE CHILDREN'S PROVIDES A STANDARD 25% DISCOUNT ON HEALTH CARE SERVICES TO PATIENTS WHO ARE UNINSURED IN ACCORDANCE WITH ORGANIZATIONAL POLICIES AND PROCEDURES. THIS DISCOUNT ALIGNS WITH OR IS LOWER THAN DISCOUNTS PROVIDED TO COMMERCIAL INSURERS.C. ADDITIONALLY, SEATTLE CHILDREN'S ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE INTEREST-FREE PAYMENT PLANS.D. IF A PATIENT ACCOUNT BALANCE REMAINS UNPAID AFTER STANDARD INTERNAL COLLECTION PROCEDURES HAVE BEEN FOLLOWED, AND IF THE FAMILY HAS NOT APPLIED FOR OR DOES NOT QUALIFY FOR SEATTLE CHILDREN'S FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE WILL BE WRITTEN OFF AS BAD DEBT IN ACCORDANCE WITH STANDARD PROCEDURAL TIMELINES. - UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, SEATTLE CHILDREN'S IDENTIFIES ANY OUTSTANDING ACCOUNT BALANCES FOR THE ASSOCIATED PATIENT AND WRITES OFF THESE BALANCES AS BAD DEBT. - SEATTLE CHILDREN'S FINANCE DEPARTMENT MONITORS THE PORTION OF OUTSTANDING ACCOUNTS RECEIVABLE THAT IS CLASSIFIED AS BAD DEBT FOR SIGNIFICANT VARIANCES. - SEATTLE CHILDREN'S STANDARD PRACTICE IS TO COLLECT ON OUTSTANDING PATIENT ACCOUNTS USING INTERNAL RESOURCES. 1. REPORTS ARE NOT SENT TO CREDIT AGENCIES. 2. COLLECTION AGENCIES WILL NOT BE USED TO COLLECT ANY OUTSTANDING PATIENT ACCOUNT EXCEPT AS SPECIFICALLY AUTHORIZED BY THE SENIOR DIRECTOR OF REVENUE CYCLE. 3. THE USE OF COLLECTION AGENCIES WILL ONLY BE PERMITTED IN VERY RARE SCENARIOS WHERE THE FAMILY RESIDES OUTSIDE OF SEATTLE CHILDREN'S SERVICE AREA (E.G., INTERNATIONAL PATIENTS). 4. SEATTLE CHILDREN'S WILL NOT FILE A LIEN AGAINST A PATIENT'S OR FAMILY'S PRIMARY RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES.
PART VI, LINE 2:	AS PART OF SEATTLE CHILDREN'S STRATEGIC PLAN DEVELOPMENT, WE HAVE DONE RESEARCH TO IDENTIFY SPECIALTY CARE, MENTAL HEALTH AND EMERGENCY CARE ACCESS AND SHORTAGE ISSUES INCLUDING BOTH SERVICES AND STAFFING; ASSESS THE ONGOING NEED FOR UNCOMPENSATED CARE SUPPORT; AND DETERMINE POTENTIAL PARTNERSHIPS TO BETTER ADDRESS THE HEALTH CARE NEEDS OF ALL CHILDREN IN OUR REGION. ADDITIONALLY, NUMEROUS PROGRAMS AND DEPARTMENTS IN THE HOSPITAL CONDUCT NEEDS ASSESSMENTS TO IDENTIFY HEALTH PROMOTION, HEALTH CARE AND HEALTH DISPARITIES THAT IMPACT THE HEALTH OF CHILDREN AND FAMILIES.
PART VI, LINE 3:	INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO EVERY FAMILY THAT COMES TO SEATTLE CHILDREN'S, WHETHER FOR AN INPATIENT STAY, CLINIC VISIT, SURGERY OR THROUGH THE EMERGENCY DEPARTMENT. BOTH APPLICATION FORMS AND SIGNAGE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH, SPANISH, VIETNAMESE, RUSSIAN, AND SOMALI. IN PERSON INTERPRETERS AND THE HOSPITAL'S SPEAK LINE, WHICH ACCESSES TELEPHONE INTERPRETATION, HELP PROVIDE INFORMATION TO FAMILIES WITH LIMITED ENGLISH PROFICIENCY INFORMATION ABOUT FINANCIAL ASSISTANCE. AN APPLICATION FORM IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE. ALL REGISTRATION DESKS HAVE FINANCIAL ASSISTANCE INFORMATION VISIBLE AND AVAILABLE. EVERY INPATIENT AND EMERGENCY DEPARTMENT FAMILY IS OFFERED FINANCIAL ASSISTANCE INFORMATION, WHETHER OR NOT THEY HAVE INSURANCE. ALL HOSPITAL BILLS INCLUDE A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IF HELP IS NEEDED IN PAYING A BILL, REGARDLESS OF INSURANCE STATUS.FINANCIAL COUNSELORS ARE AVAILABLE TO MEET INDIVIDUALLY WITH FAMILIES TO HELP DETERMINE WHAT ASSISTANCE THEY MAY QUALIFY FOR AND TO HELP THEM COMPLETE AND SUBMIT FORMS. THE FINANCIAL COUNSELORS RECEIVE INFORMATION THROUGH THE SCHEDULING SYSTEM THAT IDENTIFIES UNINSURED OR UNDERINSURED FAMILIES. FINANCIAL COUNSELORS CONTACT FAMILIES TO CLARIFY ASSISTANCE AVAILABLE AND TO OFFER THEIR HELP WITH APPLYING FOR ASSISTANCE. THEY HELP FAMILIES DETERMINE IF THEY QUALIFY FOR OTHER SOURCES OF FUNDING, INCLUDING MEDICAID AND QUALIFIED HEALTH PLANS SOLD ON THE STATE INSURANCE EXCHANGE. SOCIAL WORKERS ALSO HELP SCREEN FAMILIES FOR FINANCIAL NEEDS AND REFER PATIENTS TO FINANCIAL COUNSELORS.
PART VI, LINE 4:	SEATTLE CHILDREN'S SERVES AS THE PEDIATRIC AND ADOLESCENT MEDICAL CENTER FOR WASHINGTON, ALASKA, IDAHO, AND MONTANA, THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. WE PRIMARILY SERVE CHILDREN FROM BIRTH TO 21 YEARS OLD, MOST OF WHOM ARE FROM WASHINGTON STATE. OVER 51% OF OUR PATIENTS ARE UNINSURED OR INSURED BY MEDICAID OR THE CHILDRENS HEALTH INSURANCE PROGRAM (KNOWN AS CHIP OR APPLE HEALTH FOR KIDS IN WASHINGTON STATE). IN 2019, 18% OF OUR PATIENTS CAME FROM SEATTLE, 33% FROM KING COUNTY, 45% FROM LOCATIONS IN WASHINGTON STATE OUTSIDE KING COUNTY, 3% FROM ALASKA, MONTANA AND IDAHO AND 1% FROM AREAS OUTSIDE THE REGION. THESE AREAS ARE URBAN, SUBURBAN AND RURAL. OF THE MORE THAN 7.5 MILLION RESIDENTS OF WASHINGTON STATE, NEARLY 25% ARE UNDER 20 YEARS OLD. WASHINGTON STATE DATA ALSO SHOWS THAT 13.5% OF THE POPULATION ARE FOREIGN-BORN WITH 19% SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME. OF THE 1.6 MILLION CHILDREN UNDER THE AGE OF 18 IN WASHINGTON STATE, 21% OF THEM ARE OF HISPANIC OR LATINO ORIGIN. ALSO, 18% OF CHILDREN IN WASHINGTON STATE AND 15% OF CHILDREN IN KING COUNTY LIVE IN POVERTY AND 7% OF WASHINGTONIANS (5% KING COUNTY) LIVE IN EXTREME POVERTY. ALMOST HALF OF ALL WASHINGTON RESIDENTS ON MEDICAID ARE CHILDREN OR TEENS. WHILE MEDICAID EXPANSION HAS PLAYED A ROLE IN REDUCING THE UNINSURED RATE IN WASHINGTON STATE, DATA TELLS US THAT 5.5% OF THE WASHINGTON STATE POPULATION IS UNINSURED (400,000 INDIVIDUALS OF ALL AGES) EVEN AFTER THE AFFORDABLE CARE AND PATIENT PROTECTION ACT AND MEDICAID EXPANSION. FOR CHILDREN WHO REMAIN UNINSURED IN WASHINGTON STATE, WE BELIEVE THAT MOST ARE LIKELY ELIGIBLE FOR APPLE HEALTH FOR KIDS, ALTHOUGH THEIR PARENTS MAY NOT BE AWARE OF THEIR ELIGIBILITY. AS THE PEDIATRIC AND ADOLESCENT MEDICAL CENTER FOR WASHINGTON, ALASKA, IDAHO, AND MONTANA, SEATTLE CHILDREN'S HOSPITAL HAS SPECIALIZED IN MEETING THE UNIQUE PHYSICAL, EMOTIONAL AND DEVELOPMENTAL NEEDS OF CHILDREN FROM INFANCY THROUGH YOUNG ADULTHOOD. THROUGH THE COLLABORATION OF PHYSICIANS AND OTHER CARE PROVIDERS IN NEARLY 60 PEDIATRIC SUBSPECIALTIES, WE PROVIDE INPATIENT, OUTPATIENT, DIAGNOSTIC, SURGICAL, REHABILITATIVE, BEHAVIORAL, EMERGENCY AND OUTREACH SERVICES - REGARDLESS OF A FAMILY'S ABILITY TO PAY. WHILE 96% OF OUR PATIENTS HAIL FROM WASHINGTON STATE, THE STATE ITSELF HAS 47 MEDICALLY UNDERSERVED AREAS AND POPULATIONS THROUGHOUT ITS 39 COUNTIES.
PART VI, LINE 5:	SEATTLE CHILDREN'S IS GOVERNED BY A BOARD OF TRUSTEES, CONSISTING OF BETWEEN 20-30 VOTING TRUSTEES WHO ARE MEMBERS OF THE LOCAL COMMUNITY. SEATTLE CHILDREN'S FUNCTIONS THROUGH COMMITTEES THAT ARE STAFFED WITH TRUSTEES OF RESPECTIVE BOARDS WHO HAVE SIGNIFICANT EXPERIENCE AND SKILLS REQUIRED BY THAT COMMITTEE, AND IN SOME CASES INCLUDE OUTSIDE MEMBERS WHO ARE NOT TRUSTEES WHEN THEIR KNOWLEDGE OR EXPERIENCE WOULD CONTRIBUTE TO THE WORK OF THE COMMITTEE. SEATTLE CHILDREN'S ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO CERTAIN QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OF ITS DEPARTMENTS. SEATTLE CHILDREN'S ALSO HAS REGIONAL STRATEGIC AFFILIATIONS WITH THE FOLLOWING ENTITIES:- UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (UWSOM)SEATTLE CHILDREN'S HAS HAD A FORMAL AFFILIATION WITH THE UWSOM SINCE 1974. SEATTLE CHILDREN'S HOSPITAL PROVIDES THE PEDIATRIC COMPONENT OF THE UWSOM UNDERGRADUATE MEDICAL EDUCATION PROGRAM AS WELL AS THE HOSPITAL-BASED PEDIATRIC TRAINING EXPERIENCE FOR ALL POST-GRADUATE PROGRAMS.THE UWSOM, A REGIONAL RESOURCE FOR WASHINGTON, WYOMING, ALASKA, MONTANA, AND IDAHO, IS A NATIONALLY AND INTERNATIONALLY RECOGNIZED LEADER IN MEDICAL EDUCATION, PATIENT CARE, SCIENTIFIC RESEARCH AND COMMUNITY SERVICE. THE UWSOM HAS 30 DEPARTMENTS, MANY CENTERS AND NUMEROUS AFFILIATIONS THROUGHOUT THE FIVE-STATE REGION. THE UWSOM OFFERS EXTENSIVE TRAINING PROGRAMS IN THE BASIC MEDICAL SCIENCES, PRIMARY CARE AND THE SPECIALTIES OF CLINICAL MEDICINE. IT HAS A FULL-TIME REGULAR AND RESEARCH FACULTY OF APPROXIMATELY 2,400. IN ADDITION TO TRAINING FUTURE PHYSICIANS, THE FACULTY ALSO TEACHES GRADUATE AND UNDERGRADUATE STUDENTS IN MANY DISCIPLINES, AND 4,600 VOLUNTEER AND PART-TIME CLINICAL FACULTY MEMBERS TEACH STUDENTS IN TOWNS AND CITIES ACROSS THE REGION. THE UWSOM IS AFFILIATED WITH THE 450-BED UNIVERSITY OF WASHINGTON MEDICAL CENTER AND THE 413-BED HARBORVIEW MEDICAL CENTER, WITH WHICH SEATTLE CHILDREN'S HOSPITAL SHARES A DESIGNATION AS A PEDIATRIC LEVEL I TRAUMA CENTER.- CHILDREN'S UNIVERSITY MEDICAL GROUP (CUMG)SEATTLE CHILDREN'S HEALTHCARE SYSTEM AND THE UNIVERSITY OF WASHINGTON (THE "UW") JOINTLY CONTROL CUMG, A WASHINGTON NONPROFIT CORPORATION AND A 501(C)(3) ORGANIZATION. CUMG IS A PEDIATRIC PRACTICE PLAN THAT EMPLOYS AND MANAGES THE CLINICAL PRACTICES OF APPROXIMATELY 500 PROFESSIONAL MEMBERS WHO ARE BOTH MEMBERS OF SEATTLE CHILDREN'S HOSPITAL MEDICAL STAFF AND PEDIATRIC FACULTY MEMBERS OF THE UWSOM.- PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC (PCNS)SEATTLE CHILDREN'S PARTICIPATES IN A JOINT VENTURE WITH PROVIDENCE EVERETT MEDICAL CENTER (PEMC), AN UNRELATED COMMUNITY-BASED HOSPITAL LOCATED IN EVERETT, WASHINGTON. CHILDREN'S AND PEMC EACH OWN A 50% INTEREST IN PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC. PCNS MANAGES THE OPERATIONS OF THE NEONATAL INTENSIVE CARE UNIT AT PEMC AND PROVIDES NEONATAL NURSE PRACTITIONER SERVICES TO PEMC.- SEATTLE CANCER CARE ALLIANCE (SCCA)THE SEATTLE CANCER CARE ALLIANCE, A WASHINGTON NONPROFIT CORPORATION AND 501(C)(3) ORGANIZATION, OFFERS A COMPREHENSIVE PROGRAM OF INTEGRATED CANCER CARE SERVICES. ITS MEMBERS ARE SEATTLE CHILDREN'S HEALTHCARE SYSTEM, UW, AND FRED HUTCHINSON CANCER RESEARCH CENTER. SCCA OPERATES AN AMBULATORY CANCER CARE SERVICES FACILITY AND A 20-BED LICENSED HOSPITAL INSIDE UWMC.

Schedule H (Form 990) 2018

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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 HOSPITAL

Employer identification number
91-0564748

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) AHS HOSPITAL CORPORATION PO BOX 48328 NEWARK,NJ071014828	52-1958352	501(C)(3)	17,817	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(2) AKRON CHILDREN'S HOSPITAL ONE PERKINS SQUARE AKRON,OH44308	34-0714357	501(C)(3)	53,231	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(3) ALASKA MARINE SAFETY EDUCATION ASSOCIATION 2924 HALIBUT POINT RD SITKA,AK99835	92-0129584	501(C)(3)	19,850	GRANT IN SUPPORT OF COLD WATER SAFETY AND SURVIVAL EDUCATION FOR CHILDREN AND TEACHERS
(4) ALL CHILDREN'S RESEARCH INSTITUTE INC 501 6TH AVE S DEPT 9581 ST PETERSBURG,FL33701	59-2481742	501(C)(3)	30,455	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(5) AMERICAN ACADEMY OF PEDIATRICS 141 NORTHWEST POINT BLVD ELK GROVE,IL60007	36-2275597	501(C)(3)	33,611	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(6) AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS,TX75231	13-6813787	501(C)(3)	20,000	GRANT IN SUPPORT OF INFANT CPR AND CPR ANYTIME PROGRAM FOR SOUTHEAST ALASKA
(7) AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS,TX75231	13-5613797	501(C)(3)	22,378	SPONSORSHIPS OF ALASKA HEART RUN AND TACOMA HEART BALL
(8) ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO 225 E CHICAGO AVE BOX 205 CHICAGO,IL60611	36-2170833	501(C)(3)	58,989	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(9) BARTLETT REGIONAL HOSPITAL 3260 HOSPITAL DRIVE JUNEAU,AK99801	92-0118538	GOVERNMENT	6,675	GRANTS IN SUPPORT OF BARTLETT BEGINNINGS PROGRAM AND SCREENAGERS DOCUMENTARY VIEWING
(10) BAYLOR COLLEGE OF MEDICINE TEXAS CHILDRENS 6701 FANNIN ST STE 1040 HOUSTON,TX77030	74-1613878	501(C)(3)	233,353	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(11) BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 NINTH AVE SEATTLE,WA981012795	91-0653422	501(C)(3)	715,319	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(12) BILLINGS CLINIC 2800 TENTH AVE S BILLINGS,MT59101	81-0231784	501(C)(3)	12,786	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(13) BLOODWORKS NORTHWEST 921 TERRY AVE SEATTLE,WA981041256	91-1019655	501(C)(3)	140,131	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(14) CAROLINAS HEALTHCARE SYSTEM PO BOX 601979 CHARLOTTE,NC28260	56-0529945	GOVERNMENT	8,729	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(15) CASCADE BICYCLE CLUB EDUCATION FOUNDATION 7787 62ND AVE NE SEATTLE,WA98115	91-2165219	501(C)(3)	6,000	SPONSORSHIPS OF BIKE TO SCHOOL MONTH, BIKE EVERYWHERE BREAKFAST, AND LET'S GO BIKE AND PEDESTRIAN SAFETY PROGRAM
(16) CASE WESTERN RESERVE UNIVERSITY 10900 EUCLID AVE CLEVELAND,OH44106	34-1018992	501(C)(3)	151,565	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(17) CENTER FOR CHILDREN AND YOUTH JUSTICE 615 2ND AVE STE 275 SEATTLE,WA98104	20-4457248	501(C)(3)	10,000	BREAKFAST SPONSORSHIP
(18) CENTER FOR INFECTIOUS DISEASE RESEARCH 307 WESTLAKE AVE N STE 500 SEATTLE,WA98109	91-0961784	501(C)(3)	7,929	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(19) CENTER FOR MULTICULTURAL HEALTH 1120 EAST TERRACE STREET STE 200 SEATTLE,WA98122	91-0983698	501(C)(3)	10,000	HEALTHY KING COUNTY COALITION PROGRAM SPONSORSHIP
(20) CHILDREN'S HEALTHCARE OF ATLANTA 1687 TULLIE CIRCLE ATLANTA,GA30329	58-2367819	501(C)(3)	17,174	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(21) CHILDREN'S HOSPITAL AND CLINICS OF MINNESOTA 2525 CHICAGO AVE S MINNEAPOLIS,MN55404	41-1754276	501(C)(3)	81,004	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(22) CHILDREN'S HOSPITAL BOSTON PO BOX 414413 BOSTON,MA022414413	04-2774441	501(C)(3)	73,929	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(23) CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD MS97 LOS ANGELES,CA90027	95-1690977	501(C)(3)	277,998	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(24) CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNET AVE MLC4900 CINCINNATI,OH452293039	31-0833936	501(C)(3)	177,418	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD AND SPONSORSHIP OF IMPACT PEDIATRIC HEALTH CONSORTIUM
(25) CHILDREN'S HOSPITAL OF PHILADELPHIA 3401 CIVIC CENTER BLVD PHILADELPHIA,PA191044318	23-1352166	501(C)(3)	316,701	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(26) CHILDREN'S NATIONAL MEDICAL CENTER 111 MICHIGAN AVE NW WASHINGTON,DC20010	52-1640403	501(C)(3)	105,434	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(27) CHILKAT VALLEY COMMUNITY RECREATION CENTER INC PO BOX 866 HAINES,AK99827	92-0170349	501(C)(3)	10,144	GRANT IN SUPPORT OF HAINES MIDDLE SCHOOL ATHLETIC PROGRAM
(28) COLUMBIA UNIVERSITY PO BOX 26453 NEW YORK,NY10032	13-5598093	501(C)(3)	183,273	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(29) COMMUNITY CONNECTIONS INC PO BOX 420 CRAIG,AK99921	92-0112719	501(C)(3)	7,813	GRANTS IN SUPPORT OF EARLY LEARNING PROGRAM - TRANSDISCIPLINARY PLAY BASED ASSESSMENT
(30) CONNECTICUT CHILDREN'S MEDICAL CENTER 282 WASHINGTON ST HARTFORD,CT06106	06-0646755	501(C)(3)	61,488	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(31) COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVE FORT WORTH,TX76104	75-2051646	501(C)(3)	33,350	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(32) CROHN'S AND COLITIS FOUNDATION OF AMERICA NORTHWEST CHAPTER 9 LAKE BELLEVUE DR STE 203 BELLEVUE,WA98005	13-6193105	501(C)(3)	9,000	SPONSORSHIPS OF BENEFIT LUNCHEON, TAKE STEPS WALK AND FALL EVENT, & PEDIATRIC EDUCATION CONFERENCE
(33) CYSTIC FIBROSIS FOUNDATION 6931 ARLINGTON RD BETHESDA,MD20814	13-1930701	501(C)(3)	9,000	SPONSORSHIPS OF BREATH OF LIFE GALA AND AUCTION
(34) DAYTON CHILDREN'S HOSPITAL ONE CHILDRENS PLAZA DAYTON,OH45404	31-0672132	501(C)(3)	13,780	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(35) DREXEL UNIVERSITY COLLEGE OF MEDICINE PO BOX 95000-1010 PHILADELPHIA,PA191951010	23-2979433	501(C)(3)	15,092	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(36) EMORY UNIVERSITY PO BOX 935084 ATLANTA,GA311935084	58-0566256	501(C)(3)	149,925	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(37) FOUNDATION FOR HEALTHY GENERATIONS 419 THIRD AVE W SEATTLE,WA98119	91-6186093	501(C)(3)	10,000	SUPPORT FOR CHILDHOOD OBESITY PREVENTION COALITION
(38) FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE N SEATTLE,WA98109	23-7156071	501(C)(3)	3,433,819	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD, SUPPORT OF NEURO-ONCOLOGY RESEARCH IN PEDIATRIC BRAIN TUMORS, AND SUPPORT FOR NEUROLOGY RESEARCH
(39) FRIENDS OF THE PERFORMING ARTS PO BOX 1971 SITKA,AK99835	28-0190726	501(C)(3)	13,735	GRANT FOR PURCHASE OF MICROPHONES AND ACCOMPANYING ACCESSORIES/EQUIPMENT FOR STUDENTS
(40) GAPPS 19009 33RD AVE W STE 200 LYNNWOOD,WA98036	81-4625437	501(C)(3)	85,025	SUPPORT TO THE GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH
(41) GEORGIA REGENTS UNIVERSITY PO BOX 945552 ATLANTA,GA303945552	58-1418202	501(C)(3)	17,397	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(42) GEORGIA SOUTHERN UNIVERSITY RESEARCH AND SERVICE FOUNDATION INC PO BOX 8005 STATEBORO,GA30460	58-2354256	501(C)(3)	44,886	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(43) GIRLS ON THE RUN OF PUGET SOUND 1404 E YESLER WAY STE 201 SEATTLE,WA98122	84-1618574	501(C)(3)	6,950	SPONSORSHIP OF BUILDING HEALTHY HABITS IN PUGET SOUND YOUTH PROGRAM
(44) HARTFORD HOSPITAL 80 SEYMOUR ST HARTFORD,CT06102	06-0646668	501(C)(3)	6,011	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(45) HOPELINK 10675 WILLOWS RD NE STE 275 REDMOND,WA98052	91-0982116	501(C)(3)	6,650	LUNCHEON SPONSORSHIP
(46) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL BOX 3500 NEW YORK,NY10029	13-6171197	501(C)(3)	61,204	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(47) INDIANA UNIVERSITY DEPT 78867 PO BOX 78000 DETROIT,MI482780867	35-6001673	GOVERNMENT	221,063	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(48) INFECTIOUS DISEASE RESEARCH INSTITUTE 1616 EASTLAKE AVE E STE 400 SEATTLE,WA98102	91-1608978	501(C)(3)	28,376	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(49) INSTITUTE FOR SYSTEMS BIOLOGY 401 TERRY AVE N SEATTLE,WA981095263	91-2003593	501(C)(3)	550,360	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(50) JDRF INTERNATIONAL DBA JDRF SEATTLE GUILD 1215 4TH AVE STE 1100 SEATTLE,WA98161	23-1907729	501(C)(3)	7,750	SPONSORSHIPS OF TYPE ONE NATION SUMMIT AND ANNUAL GALA
(51) JOHNS HOPKINS UNIVERSITY 12529 COLLECTIONS CENTER DR CHICAGO,IL60693	52-0595110	GOVERNMENT	235,036	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(52) KAISER FOUNDATION HEALTH PLAN PO BOX 34587 SEATTLE,WA981249990	91-0511770	501(C)(3)	13,712	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(53) KETCHIKAN YOUTH INITIATIVES INC 724 BAYVIEW ST KETCHIKAN,AK99901	20-2549904	501(C)(3)	12,000	GRANT IN SUPPORT OF BUILDING AND SPRINKLER SYSTEM COMPLETION OF KYI COMMUNITY CENTER
(54) KLAWOCK CITY SCHOOL DISTRICT PO BOX 9 KLAWOCK,AK99925	92-6000105	GOVERNMENT	13,000	GRANT FOR PURCHASE OF NEW INSTRUMENTS FOR SCHOOL MUSIC PROGRAM
(55) LAWRENCE BERKELEY NATIONAL LABORATORY 1 CYCLOTRON ROAD BERKELEY,CA94720	94-2951741	GOVERNMENT	92,123	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(56) LE BONHEUR CHILDREN'S HOSPITAL FOUNDATION 850 POPLAR AVE BLDG 2 MEMPHIS,TN38105	62-1872938	501(C)(3)	16,579	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(57) LONG BEACH MEMORIAL MEDICAL CENTER 2801 ATLANTIC AVE LONG BEACH,CA90806	95-3527031	501(C)(3)	5,545	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(58) MAINE MEDICAL CENTER 22 BRAMHALL ST PORTLAND,ME041023175	01-0238552	501(C)(3)	26,430	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(59) MARCH OF DIMES 1904 THIRD AVE STE 230 SEATTLE,WA98101	13-1846366	501(C)(3)	19,500	SPONSORSHIPS OF NURSE OF THE YEAR EVENT AND MARCHES FOR BABIES
(60) MARY HITCHCOCK MEMORIAL HOSPITAL 1 MEDICAL CTR DR LEBANON,NH03756	02-0222140	501(C)(3)	71,944	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(61) MASSACHUSETTS GENERAL HOSPITAL THE GENERAL HOSPITAL CORPORATION PO BOX 414876 BOSTON,MA022414876	04-2697983	501(C)(3)	29,213	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(62) MEDICAL UNIVERSITY OF SOUTH CAROLINA 19 HAGOOD AVE RM 303 CHARLESTON,SC294258040	57-6000722	GOVERNMENT	228,902	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(63) MEMORIAL HEALTHCARE SYSTEM PO BOX 538514 ATLANTA,GA30353	59-6014973	GOVERNMENT	14,996	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(64) MINNEAPOLIS HEART INSTITUTE FOUNDATION 920 E 28TH ST STE 100 MINNEAPOLIS,MN55407	41-1426406	501(C)(3)	8,900	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(65) MONMOUTH MEDICAL CENTER INC 300 SECOND AVE STE SH 013 LONG BRANCH,NJ07740	22-3452412	501(C)(3)	20,167	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(66) MULTICARE HEALTH SYSTEM 315 M3-CRD 315 MARTIN LUTHER KING JR WAY S TACOMA,WA98405	91-1352172	501(C)(3)	33,729	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(67) NACHRI PO BOX 79311 BALTIMORE,MD212790311	51-0120256	501(C)(3)	60,844	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(68) NATIONAL JEWISH HEALTH 1400 JACKSON ST M216 DENVER,CO80206	74-2044647	501(C)(3)	62,262	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(69) NEW YORK MEDICAL COLLEGE 40 SUNSHINE COTTAGE RD VALHALLA,NY10595	13-1099420	501(C)(3)	53,597	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(70) NORTHEAST VALLEY HEALTH CORPORATION 1172 NORTH MACLAY AVENUE SAN FERNANDO,CA91340	23-7120632	501(C)(3)	59,589	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(71) NORTHSHORE UNIVERSITY HEALTH SYSTEM 1001 UNIVERSITY PL EVANSTON,IL60201	36-2167060	501(C)(3)	75,330	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(72) NORTHWESTERN UNIVERSITY 633 CLARK G-547 EVANSTON,IL60208	36-2167817	501(C)(3)	29,364	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(73) OREGON HEALTH AND SCIENCE UNIVERSITY 0690 SW BANCROFT ST MAIL CODE L106SPA PORTLAND,OR97239	93-1176109	GOVERNMENT	504,891	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(74) PACIFIC SCIENCE CENTER FOUNDATION 200 SECOND AVE N SEATTLE,WA981094895	91-0750867	501(C)(3)	12,395	SPONSORSHIPS OF BREAKFAST AND EXPLORATIONS FOR ALL: SENSORY FRIENDLY VISITS PROGRAM
(75) PENNSYLVANIA STATE UNIVERSITY CONTROLLERS OFFICE G230 PO BOX 850 HERSHEY,PA17033	24-6000376	GOVERNMENT	141,032	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(76) PORTLAND STATE UNIVERSITY PO BOX 751 PORTLAND,OR972070751	36-4776757	GOVERNMENT	40,753	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(77) PRINCE OF WALES LITTLE LEAGUE INC PO BOX 8 CRAIG,AK99921	92-0125223	501(C)(3)	8,400	GRANT IN SUPPORT OF LITTLE LEAGUE'S PURCHASE OF TEAM EQUIPMENT AND PA SYSTEM
(78) PROVIDENCE HEALTH & SERVICES WASHINGTON PO BOX 190005 ANCHORAGE,AK995190005	92-0016429	501(C)(3)	10,571	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(79) RAND CORPORATION PO BOX 2138 SANTA MONICA,CA904072138	95-1958142	501(C)(3)	109,723	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(80) REGENTS OF THE UNIVERSITY OF CALIFORNIA AT SAN DIEGO ECOB 1-026 9444 MEDICAL CENTER DR LA JOLLA,CA920370706	95-6006144	501(C)(3)	24,560	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(81) REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO BOX 0897 SAN FRANCISCO,CA94143	94-6036493	501(C)(3)	99,307	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(82) REGENTS OF THE UNIVERSITY OF MINNESOTA PO BOX 1450 NW 5957 MINNEAPOLIS,MN554855957	41-6007513	GOVERNMENT	100,488	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(83) REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES PO BOX 951432 LOS ANGELES,CA900959000	95-6006143	501(C)(3)	556,501	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(84) RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL 700 CHILDRENS DR COLUMBUS,OH43205	31-6056230	501(C)(3)	58,249	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(85) RONALD MCDONALD HOUSE CHARITIES OF WESTERN WASHINGTON & ALASKA 5130 40TH AVE NE SEATTLE,WA98105	91-1061043	501(C)(3)	518,804	SUPPORT FOR HOUSING PROGRAMS AND GALA SPONSORSHIP
(86) RUTGERS THE STATE UNIVERSITY OF NEW JERSEY 65 DAVIDSON RD ROOM 306 PISCATAWAY,NJ088545602	46-2354111	GOVERNMENT	48,856	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(87) SAN DIEGO STATE UNIVERSITY FOUNDATION 5250 CAMPANILE DR SAN DIEGO,CA921821948	95-6042721	501(C)(3)	45,336	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(88) SITKA FASTPITCH SOFTBALL CLUB 1417 DAVIDOFF ST SITKA,AK99835	82-3756125	501(C)(3)	18,820	GRANT FOR PURCHASE OF NECESSITIES TO ESTABLISH A YEAR-ROUND INDOOR TURF FACILITY FOR GIRLS SOFTBALL
(89) SITKA SOUND SCIENCE CENTER 834 LINCOLN ST STE 200 SITKA,AK99835	26-1253086	501(C)(3)	6,000	GRANT IN SUPPORT OF FAMILY SCIENCE CAMP EXPANSION
(90) SOLID GROUND WASHINGTON 1501 N 45TH ST SEATTLE,WA98103	23-7421892	501(C)(3)	11,750	GRANT TO SUPPORT CHILDREN'S PROGRAMMING AND LUNCHEON SPONSORSHIP
(91) SPECTRUM HEALTH HOSPITALS 100 MICHIGAN ST NE MC 038 GRAND RAPIDS,MI49503	38-1360529	501(C)(3)	70,797	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(92) ST FRANCIS MEDICAL CENTER 530 NE GLEN AVE PEORIA,IL61637	37-0662569	501(C)(3)	52,421	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(93) ST LOUIS UNIVERSITY FUSZ HALL ROOM 368 3700 W PINE MALL MALL ST LOUIS,MO631083306	43-0654872	501(C)(3)	56,940	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(94) ST LUKE'S REGIONAL MEDICAL CENTER 190 E BANNOCK ST BOISE,ID83712	82-0161600	501(C)(3)	43,968	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(95) STANFORD UNIVERSITY PO BOX 44253 SAN FRANCISCO,CA94144	94-1156365	501(C)(3)	206,120	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(96) TAKSHANUK WATERSHED COUNCIL HC PO BOX 2008 HAINES,AK99827	33-1069246	501(C)(3)	9,680	GRANT IN SUPPORT OF EXPANSION OF EDUCATIONAL PROGRAMS
(97) THE CHILDREN'S MERCY HOSPITAL PO BOX 803852 KANSAS CITY,MO64180	44-0605373	501(C)(3)	52,341	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(98) THE FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH 972 BRUSH HOLLOW RD 5TH FLOOR WESTBURY,NY11590	11-2673595	501(C)(3)	24,538	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(99) THE MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN AND PLANK RD PO BOX 26509 MILWAUKEE,WI532260509	39-0806261	501(C)(3)	70,749	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(100) THE NEMOURS FOUNDATION 10140 CENTURION PKWY N JACKSONVILLE,FL32256	59-0634433	501(C)(3)	138,638	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(101) THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK PO BOX 9 ALBANY,NY122010009	14-1368361	501(C)(3)	93,965	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(102) THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER 5323 HARRY HINES BLVD DALLAS,TX752842265	75-6001354	GOVERNMENT	32,817	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(103) THE UNIVERSITY OF TEXAS SOUTHWEST MEDICAL CENTER PO BOX 842265 DALLAS,TX752842265	75-6002868	GOVERNMENT	204,659	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(104) TOLEDO HOSPITAL 2142 N COVE BLVD TOLEDO,OH43606	34-4428256	501(C)(3)	8,611	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(105) TRANSPLANT HOUSE PO BOX 85218 SEATTLE,WA981451218	20-5523963	501(C)(3)	60,000	GRANT IN SUPPORT OF LODGING FOR PEDIATRIC PATIENTS WITH A FOCUS ON IMMUNOTHERAPY AND SEVERE COMBINED IMMUNODEFICIENCY PATIENTS AND THEIR FAMILIES
(106) UNITED WAY OF KING COUNTY 720 SECOND AVE SEATTLE,WA98104	91-0565555	501(C)(3)	20,000	SPONSORSHIPS OF FUEL YOUR FUTURE PROGRAM AND MLK JR DAY OF SERVICE
(107) UNIVERSITY HOSPITALS CASE MEDICAL CENTER 11100 EUCLID AVE CLEVELAND,OH482781686	34-1567805	501(C)(3)	107,712	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(108) UNIVERSITY OF ALABAMA AT BIRMINGHAM 1600 7TH AVE S ACC 620 BIRMINGHAM,AL352940109	63-6005396	GOVERNMENT	358,972	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(109) UNIVERSITY OF ARIZONA 1303 E UNIVERSITY BLVD BOX 3 TUCSON,AZ857190521	74-2652689	GOVERNMENT	33,625	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(110) UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 W MARKHAM ST LITTLE ROCK,AR72205	71-6046242	GOVERNMENT	23,235	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(111) UNIVERSITY OF COLORADO PO BOX 910238 DENVER,CO802910238	84-6000555	GOVERNMENT	195,770	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(112) UNIVERSITY OF FLORIDA PO BOX 113001 GAINESVILLE,FL32611	59-6002052	GOVERNMENT	50,711	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(113) UNIVERSITY OF IOWA 118 S CLINTON ST IOWA CITY,IA52242	42-6004813	GOVERNMENT	42,302	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(114) UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE 3901 RAINBOW BLVD MS 1039 KANSAS CITY,KS66160	48-1108830	501(C)(3)	59,074	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(115) UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION 138 LEADER AVE STE 249 LEXINGTON,KY40508	61-6033693	501(C)(3)	45,556	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(116) UNIVERSITY OF MARYLAND RM 4101 CHESAPEAKE BLDG COLLEGE PARK,MD207423141	52-6002033	GOVERNMENT	10,133	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(117) UNIVERSITY OF MASSACHUSETTS 55 LAKE AVE N WORCESTER,MA01655	04-3167352	GOVERNMENT	22,836	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(118) UNIVERSITY OF MIAMI PO BOX 405803 ATLANTA,GA303845803	59-0624458	GOVERNMENT	16,999	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(119) UNIVERSITY OF MICHIGAN BOX 223131 PITTSBURGH,PA152512131	38-6006309	GOVERNMENT	89,093	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(120) UNIVERSITY OF MISSISSIPPI MEDICAL CENTER 2500 N STATE ST JACKSON,MS39216	64-6008520	GOVERNMENT	5,508	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(121) UNIVERSITY OF NEBRASKA BOARD OF REGENTS 985100 NEBRASKA MEDICAL CENTER OMAHA,NE681985100	47-0049123	501(C)(3)	11,400	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(122) UNIVERSITY OF NORTH CAROLINA PO BOX 402420 ATLANTA,GA303842420	56-6001393	GOVERNMENT	251,547	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(123) UNIVERSITY OF OKLAHOMA HEALTH SCIENCES PO BOX 26901 SCB 228 OKLAHOMA CITY,OK731260901	73-6017987	GOVERNMENT	14,274	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(124) UNIVERSITY OF OREGON PO BOX 3237 EUGENE,OR874030237	93-6001786	GOVERNMENT	67,462	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(125) UNIVERSITY OF PENNSYLVANIA PO BOX 785541 PHILADELPHIA,PA191785541	23-1352685	501(C)(3)	139,036	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(126) UNIVERSITY OF PITTSBURGH PO BOX 371220 PITTSBURGH,PA152517220	25-0965591	501(C)(3)	131,165	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(127) UNIVERSITY OF ROCHESTER 601 ELMWOOD AVE BOX 777 ROCHESTER,NY14642	16-0743209	501(C)(3)	44,561	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(128) UNIVERSITY OF TENNESSEE 62 S DUNLAP ST STE 300 MEMPHIS,TN38163	62-6001636	GOVERNMENT	11,813	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(129) UNIVERSITY OF UTAH 201 S PRESIDENTS CIRCLE ROOM 406 SALT LAKE CITY,UT84112	87-6000525	GOVERNMENT	322,328	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(130) UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE 85 S PROSPECT ST BURLINGTON,VT05405	03-0179440	501(C)(3)	45,585	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(131) UNIVERSITY OF VIRGINIA PO BOX 400201 CHARLOTTESVILLE,VA229041034	54-6001796	501(C)(3)	25,516	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(132) UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DR CHICAGO,IL60693	91-6001537	GOVERNMENT	6,083,553	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD, SUPPORT TO THE DEPARTMENT OF PATHOBIOLOGY GRADUATE EDUCATION PROGRAM, SUPPORT TO THE DIVISION OF GENERAL PEDIATRICS RESEARCH PROJECT, EVENT SPONSORSHIPS, AND OTHER VARIOUS SUPPORT FOR RESEARCH AND EDUCATION
(133) UNIVERSITY OF WISCONSIN 600 HIGHLAND AVE MC 9988 MADISON,WI537920001	39-6006492	GOVERNMENT	68,884	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(134) VANDERBILT UNIVERSITY MEDICAL CENTER PO BOX 121236 DALLAS,TX753121236	62-0476822	501(C)(3)	190,235	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(135) VIRGINIA COMMONWEALTH UNIVERSITY PO BOX 843039 RICHMOND,VA232842506	54-6001758	GOVERNMENT	13,241	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(136) WAKE FOREST UNIVERSITY HEALTH SCIENCES MEDICAL CENTER BLVD WINSTON SALEM,NC27157	22-3849199	501(C)(3)	20,723	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(137) WASHINGTON STATE UNIVERSITY PO BOX 645220 PULLMAN,WA991645220	91-1075542	GOVERNMENT	76,286	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(138) WASHINGTON UNIVERSITY 660 S EUCLID BOX 8009 ST LOUIS,MO63110	43-0653611	501(C)(3)	136,709	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(139) WAYNE STATE UNIVERSITY PO BOX 02788 DETROIT,MI48202	38-6028429	GOVERNMENT	22,487	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(140) WEILL CORNELL MEDICAL COLLEGE 575 LEXINGTON AVE 9TH FLR NEW YORK,NY10022	13-1623978	501(C)(3)	266,252	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(141) WEST VIRGINIA UNIVERSITY RESEARCH 886 CHESTNUT RIDGE RD PO BOX 6845 MORGANTOWN,WV265066845	55-0665758	501(C)(3)	22,645	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(142) WITHINREACH 155 NE 100TH STREET STE 500 SEATTLE,WA98125	91-1443685	501(C)(3)	15,000	CONTRIBUTION IN SUPPORT OF MENTAL HEALTH SERVICES AND RESOURCES
(143) WRIGHT STATE UNIVERSITY 3640 COLONEL GLENN HWY DAYTON,OH45435	31-0732831	GOVERNMENT	16,801	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(144) YALE UNIVERSITY 333 CEDAR ST I-100 SHM NEW HAVEN,CT065208087	06-0646973	501(C)(3)	46,262	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(145) YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY 1118 FIFTH AVENUE SEATTLE,WA98101	91-0482890	501(C)(3)	6,000	SPONSORSHIPS OF LUNCHEON AND SHADES OF LEADERSHIP EVENT
(146) YOUTH RALLY COMMITTEE INC 949 CHESTNUT OAK DRIVE ST CHARLES,MO63303	20-3579812	501(C)(3)	10,000	CONTRIBUTION TOWARD 2019 YOUTH RALLY CAMP EXPERIENCE

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

146

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

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

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

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

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

(1) COLLEGE SCHOLARSHIPS FOR MINORITY NURSING STUDENTS	1	5,000
(2) COLLEGE SCHOLARSHIPS FOR HOSPITAL VOLUNTEERS	1	5,000
(3) SUPPORT TO PATIENT FAMILIES TO MEET VARIOUS NEEDS	1	15
(4) SUPPORT TO PATIENT FAMILIES FOR TEMPORARY HOUSING AND RENTAL ASSISTANCE	249		340,278	ACTUAL COST	PAYMENTS TO HOUSING AND RENTAL COMPANIES AND FOR PROPERTY TAXES
(5) SUPPORT TO PATIENT FAMILIES FOR TRANSPORTATION AND TRAVEL	180		22,443	ACTUAL COST	PAYMENTS TO TRANSPORTATION COMPANIES, FOR CAR LOANS, AND FOR AUTO INSURANCE
(6) SUPPORT TO PATIENT FAMILIES FOR FUNERAL EXPENSES	55		14,613	ACTUAL COST	PAYMENTS TO FUNERAL HOMES
(7) SUPPORT TO PATIENT FAMILIES FOR UTILITY EXPENSES, STORAGE, AND HOME MAINTENANCE	25		10,805	ACTUAL COST	PAYMENTS TO UTILITY COMPANIES, STORAGE COMPANIES, HOUSECLEANERS, AND FOR HOME REPAIR COSTS
(8) SUPPORT TO PATIENT FAMILIES FOR MEDICAL EQUIPMENT	9		1,149	ACTUAL COST	PAYMENTS TO MEDICAL EQUIPMENT PROVIDERS
(9) SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	1572		94,150	MARKET VALUE	MEAL VOUCHERS TO CAFETERIA AND STARBUCKS GIFT CARDS
(10) SUPPORT TO PATIENT FAMILIES TO PURCHASE GAS FOR TRANSPORTATION TO APPOINTMENTS	1019		65,835	MARKET VALUE	GAS CARDS
(11) SUPPORT TO PATIENT FAMILIES TO PURCHASE GROCERIES	608		41,649	MARKET VALUE	GROCERY GIFT CARDS
(12) SUPPORT TO PATIENT FAMILIES TO MEET VARIOUS OTHER NEEDS	68		36,442	MARKET VALUE	GIFTS CARDS, FURNITURE, AND OTHER ITEMS
(13) SUPPORT TO PATIENTS AND FAMILIES WHO ARE ADMITTED ON AN EMERGENT / URGENT BASIS	112		2,210	MARKET VALUE	CLOTHING
(14) SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	68		1,035	MARKET VALUE	FOOD BAGS

Part IV

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

Return Reference

Explanation

PART I, LINE 2:

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

Schedule I (Form 990) 2018

Additional Data

Software ID:
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- 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 HOSPITAL

Employer identification number

91-0564748

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

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

Yes

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)	703,162 ------------- 234,387	308,170 ------------- 102,720	9,794 ------------- 1,811	10,313 ------------- 261,995	18,017 ------------- 6,006	1,049,456 ------------- 606,919	0 ------------- 0
2SUZANNE BEITEL SENIOR VP & CHIEF FINANCIAL OFFICER	(i) (ii)	414,908 ------------- 138,303	644 ------------- 124	48,203 ------------- 2,423	2,063 ------------- 82,543	24,474 ------------- 8,158	490,292 ------------- 231,551	0 ------------- 0
3JAMES HENDRICKS PHD PRESIDENT - RESEARCH INSTITUTE	(i) (ii)	432,904 ------------- 0	182,253 ------------- 0	20,151 ------------- 600,000	19,250 ------------- 70,896	29,220 ------------- 0	683,778 ------------- 670,896	0 ------------- 600,000
4CINDY GAZECKI SENIOR VP - HOSPITAL OPERATIONS	(i) (ii)	209,938 ------------- 0	135,002 ------------- 0	420,716 ------------- 219,907	19,232 ------------- 33,265	18,332 ------------- 0	803,220 ------------- 253,172	0 ------------- 219,907
5SANFORD MELZER MD EXEC VP-NETWORKS & POPULATION HEALTH	(i) (ii)	476,621 ------------- 106,953	244,635 ------------- 0	20,083 ------------- 0	19,250 ------------- 107,923	26,257 ------------- 5,538	786,846 ------------- 220,414	0 ------------- 0
6MARK DEL BECCARO MD SR VP-CHIEF MED OFF/NON-VOTING TRUST	(i) (ii)	520,936 ------------- 0	181,842 ------------- 0	15,576 ------------- 0	19,250 ------------- 87,744	5,833 ------------- 0	743,437 ------------- 87,744	0 ------------- 0
7RUSSELL WILLIAMS SR VP & CHIEF OPERATING OFFICER	(i) (ii)	447,984 ------------- 0	163,447 ------------- 0	25,639 ------------- 0	13,352 ------------- 71,852	8,954 ------------- 0	659,376 ------------- 71,852	0 ------------- 0
8MADLYN MURREY SR VP - CHIEF CLINICAL OFFICER	(i) (ii)	392,360 ------------- 0	130,495 ------------- 0	18,180 ------------- 0	19,250 ------------- 61,493	19,572 ------------- 0	579,857 ------------- 61,493	0 ------------- 0
9MYRA GREGORIAN SR VP - CHIEF PEOPLE OFFICER	(i) (ii)	385,885 ------------- 0	84,658 ------------- 0	10,385 ------------- 0	6,768 ------------- 57,297	28,910 ------------- 0	516,606 ------------- 57,297	0 ------------- 0
10ERIC THAM MD VP & ASSOC CHIEF INFORMATION OFFICER	(i) (ii)	351,222 ------------- 0	163,816 ------------- 0	1,558 ------------- 0	19,250 ------------- 0	31,298 ------------- 0	567,144 ------------- 0	0 ------------- 0
11ZAFAR CHAUDRY MD SR VP - CHIEF INFORMATION OFFICER	(i) (ii)	426,191 ------------- 0	31,289 ------------- 0	25,251 ------------- 0	2,750 ------------- 62,486	11,536 ------------- 0	497,017 ------------- 62,486	0 ------------- 0
12SUZANNE PETERSEN VP - EXTERNAL AFFAIRS & GUEST SVCS	(i) (ii)	372,710 ------------- 0	107,472 ------------- 0	6,699 ------------- 0	19,250 ------------- 0	26,067 ------------- 0	532,198 ------------- 0	0 ------------- 0
13ERIK LAUSUND VP - RESEARCH OPERATIONS & LOGISTICS	(i) (ii)	311,236 ------------- 0	151,753 ------------- 0	2,711 ------------- 0	19,250 ------------- 0	22,671 ------------- 0	507,621 ------------- 0	0 ------------- 0
14CARA BAILEY SR VP-INNOVATION/IMPROVEMENT OFFICER	(i) (ii)	306,092 ------------- 0	103,729 ------------- 0	11,190 ------------- 0	18,954 ------------- 43,655	8,382 ------------- 0	448,347 ------------- 43,655	0 ------------- 0
15RUTH MCDONALD MD VP, ASSOC CHIEF MEDICAL OFFICER	(i) (ii)	343,340 ------------- 0	114,808 ------------- 0	3,754 ------------- 0	13,205 ------------- 0	13,607 ------------- 0	488,714 ------------- 0	0 ------------- 0
16TODD JOHNSON VP - FACILITIES	(i) (ii)	293,556 ------------- 0	82,808 ------------- 0	4,745 ------------- 0	19,250 ------------- 0	28,301 ------------- 0	428,660 ------------- 0	0 ------------- 0
17KELLY WALLACE SENIOR VP & CFO THRU JAN 2018	(i) (ii)	22,771 ------------- 7,590	144,610 ------------- 48,203	940 ------------- 175,122	14,438 ------------- 4,812	1,369 ------------- 456	184,128 ------------- 236,183	0 ------------- 175,122
18MICHAEL MURPHY VP - ACC CARE & EXEC DIRECTOR SCCN	(i) (ii)	163,702 ------------- 0	109,199 ------------- 0	117,209 ------------- 0	13,504 ------------- 0	16,382 ------------- 0	419,996 ------------- 0	0 ------------- 0
19PETRA SMITH VP - HUMAN RESOURCES	(i) (ii)	258,930 ------------- 0	101,535 ------------- 0	1,552 ------------- 0	19,250 ------------- 0	30,740 ------------- 0	412,007 ------------- 0	0 ------------- 0
20WARREN HEWITT VP - FINANCE	(i) (ii)	197,567 ------------- 65,856	64,928 ------------- 21,632	4,174 ------------- 0	14,437 ------------- 4,813	15,582 ------------- 5,194	296,688 ------------- 97,495	0 ------------- 0
21CHRISTINE KESSLER VP SYS ACCESS, AMB OPS & EX DIR CUMG	(i) (ii)	268,440 ------------- 0	78,000 ------------- 0	1,227 ------------- 0	19,250 ------------- 0	16,762 ------------- 0	383,679 ------------- 0	0 ------------- 0
22JEFFREY AVANSINO MD VP & MEDICAL DIRECTOR, SURGICAL SVCS	(i) (ii)	301,952 ------------- 147,904	33,000 ------------- 0	2,412 ------------- 0	5,533 ------------- 13,311	28,225 ------------- 6,364	371,122 ------------- 167,579	0 ------------- 0
23DOUGLAS PICHA PRESIDENT - FOUNDATION	(i) (ii)	42,065 ------------- 378,587	14,634 ------------- 131,704	11,537 ------------- 8,128	1,925 ------------- 85,742	2,360 ------------- 21,241	72,521 ------------- 625,402	0 ------------- 0
24MARK EGBERT DDS CHIEF - ORAL & MAXILLOFACIAL SURGERY	(i) (ii)	475,452 ------------- 0	106,145 ------------- 0	16,457 ------------- 0	19,250 ------------- 0	30,878 ------------- 0	648,182 ------------- 0	0 ------------- 0
25MICHAEL ASTION MD PHD MEDICAL DIRECTOR - LABORATORIES	(i) (ii)	523,806 ------------- 0	66,893 ------------- 0	2,334 ------------- 0	18,954 ------------- 0	32,358 ------------- 0	644,345 ------------- 0	0 ------------- 0
26JAMES CHRISTIANSEN MD CARDIOLOGIST	(i) (ii)	413,699 ------------- 0	38,357 ------------- 0	4,356 ------------- 0	19,116 ------------- 0	31,174 ------------- 0	506,702 ------------- 0	0 ------------- 0
27WAYNE CHANDLER MD MEDICAL DIRECTOR - LABORATORY MED	(i) (ii)	387,402 ------------- 0	59,451 ------------- 0	2,725 ------------- 0	13,422 ------------- 0	28,919 ------------- 0	491,919 ------------- 0	0 ------------- 0
28JENNIFER BECKER FORMER KEY EMPLOYEE	(i) (ii)	231,269 ------------- 0	73,934 ------------- 0	1,511 ------------- 0	19,250 ------------- 0	14,068 ------------- 0	340,032 ------------- 0	0 ------------- 0
29PAMELA ROCK FORMER KEY EMPLOYEE	(i) (ii)	232,698 ------------- 0	71,996 ------------- 0	2,449 ------------- 0	19,250 ------------- 0	12,710 ------------- 0	339,103 ------------- 0	0 ------------- 0
30SCOTT BINGHAM FORMER KEY EMPLOYEE	(i) (ii)	226,183 ------------- 0	42,806 ------------- 0	512 ------------- 0	18,688 ------------- 0	16,611 ------------- 0	304,800 ------------- 0	0 ------------- 0
31GREGORY BLACKBURN FORMER KEY EMPLOYEE	(i) (ii)	119,368 ------------- 0	83,249 ------------- 0	639 ------------- 0	10,271 ------------- 0	12,866 ------------- 0	226,393 ------------- 0	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	BUSINESS OR FIRST CLASS TRAVEL IS PROVIDED TO EMPLOYEES IN THE EVENT OF MEDICAL NECESSITY OR ON CERTAIN INTERNATIONAL FLIGHTS OF LONG DURATION. THIS IS NOT TREATED AS COMPENSATION. THE CHIEF EXECUTIVE OFFICER IS PROVIDED MEMBERSHIP TO THE RAINIER CLUB. ANNUAL DUES ARE REPORTED AS TAXABLE COMPENSATION.
PART I, LINES 4A-B	THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: JEFF SPERRING MD - $258,558 DEFERRED COMPENSATION SUZANNE BEITEL - $81,856 DEFERRED COMPENSATION JAMES HENDRICKS PHD - $70,896 DEFERRED COMPENSATION, $600,000 REPORTABLE PAYMENT CINDY GAZECKI - $33,265 DEFERRED COMPENSATION, $219,907 REPORTABLE PAYMENT SANFORD MELZER MD - $97,228 DEFERRED COMPENSATION MARK DEL BECCARO MD - $87,744 DEFERRED COMPENSATION RUSSELL WILLIAMS - $71,852 DEFERRED COMPENSATION MADLYN MURREY - $61,493 DEFERRED COMPENSATION MYRA GREGORIAN - $57,297 DEFERRED COMPENSATION ZAFAR CHAUDRY MD - $62,486 DEFERRED COMPENSATION CARA BAILEY - $43,656 DEFERRED COMPENSATION KELLY WALLACE - $175,122 REPORTABLE PAYMENT DOUGLAS PICHA - $68,417 DEFERRED COMPENSATION THE FOLLOWING RECEIVED A SEVERANCE PAYMENT: CINDY GAZECKI - $417,375 MICHAEL MURPHY - $113,440
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: JAMES HENDRICKS PHD - $600,000 CINDY GAZECKI - $219,907 KELLY WALLACE - $175,122

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

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 HOSPITAL

Employer identification number
91-0564748

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2017A	91-1108929	93978HSC0	04-06-2017	126,646,117	SEE PART VI		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2015A AND 2015B	91-1108929	93978HLL7	02-03-2015	303,924,156	SEE PART VI		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2012A AND 2012B	91-1108929	93978HDX0	06-20-2012	80,423,004	SEE PART VI		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2012C AND 2012D	91-1108929	93978HEZ4	06-20-2012	142,165,000	SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2010A	91-1108929	93978HAA3	09-02-2010	77,394,750	SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2010B	91-1108929	93978HAB1	09-02-2010	46,669,601	SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2009	91-1108929	93978E584	08-19-2009	113,722,874	SEE PART VI	X			X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	1,260,000		120,000		250,000		29,810,000
2 Amount of bonds legally defeased ..............					105,895,000
3 Total proceeds of issue ..................	127,525,980		303,944,485		80,423,004		142,165,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			62,441		285
6 Proceeds in refunding escrows ...............			197,416,118		30,419,377
7 Issuance costs from proceeds ...............	1,545,641		2,600,625		1,975,466
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	125,980,331		103,865,301		50,003,342
11 Other spent proceeds .............
12 Other unspent proceeds .............	7
13 Year of substantial completion .............	2018		2015		2013		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X		X		X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X	X		X			X
16 Has the final allocation of proceeds been made? ..........		X	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X			X		X
b Exception to rebate? ........		X		X		X	X
c No rebate due? .........		X		X	X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

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

Return Reference

Explanation

ENTITY 1 - FIRST SCHEDULE:

PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017A (SEATTLE CHILDREN'S HOSPITAL), ("THE 2017A BONDS"), WERE ISSUED TO (I) PAY AND/OR REIMBURSE SEATTLE CHILDREN'S HOSPITAL ("CHILDREN'S") FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING, EQUIPPING AND IMPROVING CERTAIN HEALTH CARE FACILITIES THAT ARE OR WILL BE OWNED AND OPERATED BY CHILDREN'S, INCLUDING HEALTH CARE FACILITIES LOCATED AT ITS SEATTLE CAMPUS IN SEATTLE, WASHINGTON AND THE CONSTRUCTION AND EQUIPPING OF A NEW CLINIC IN EVERETT, WASHINGTON, AND (II) PAY THE COSTS OF ISSUING THE SERIES 2017A BONDS. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2015A AND REFUNDING REVENUE BONDS, SERIES 2015B (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2015A/B BONDS"), WERE ISSUED TO (I) PROVIDE PART OF THE FUNDS NECESSARY TO PAY AND/OR REIMBURSE SEATTLE CHILDREN'S HOSPITAL FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING, EQUIPPING AND IMPROVING CERTAIN HEALTH CARE FACILITIES OWNED AND OPERATED BY CHILDREN'S; (II) ADVANCE REFUND AND DEFEASE ALL OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED MAY 29, 2008 (THE "SERIES 2008C BONDS"), THE PROCEEDS OF WHICH WERE ISSUED TO (I) REPAY AND RETIRE CHILDREN'S TAXABLE LINE OF CREDIT INDEBTEDNESS OWED TO WELLS FARGO BANK, N.A., WHICH INDEBTEDNESS WAS INCURRED TO REDEEM AND RETIRE THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED FEBRUARY 16, 2006 (THE "SERIES 2006C BONDS"), THE PROCEEDS OF WHICH WERE USED TO (I) PROVIDE A PORTION OF THE FUNDS NECESSARY TO CONSTRUCT, REMODEL AND/OR ACQUIRE ADDITIONAL HEALTH CARE FACILITIES FOR CHILDREN'S AND (II) TO PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2008C BONDS; AND (III) ADVANCE REFUND AND DEFEASE $79 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2009 (SEATTLE CHILDREN'S HOSPITAL), DATED AUGUST 19, 2009, (THE "SERIES 2009 BONDS"), THE PROCEEDS OF WHICH WERE ISSUED USED TO PROVIDE ALL OR A PORTION OF THE FUNDS NECESSARY TO (I) PAY THE COSTS (INCLUDING NEW CAPITAL COSTS, REIMBURSEMENT COSTS, AND REFINANCING COSTS) OF ACQUIRING THE LAND FOR CONSTRUCTING AND EQUIPPING A NEW OUTPATIENT CLINIC AND AMBULATORY SURGERY FACILITY IN BELLEVUE, WASHINGTON, RENOVATING AND REMODELING VARIOUS PORTIONS OF CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS; AND (III) PAY COSTS OF ISSUING THE SERIES 2015A/B BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2015A BONDS, WHICH HAVE THE LATER OF THE MATURITIES OF THE TWO SERIES. LINE C, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2012A AND REFUNDING REVENUE BONDS, SERIES 2012B (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2012A/B BONDS"), WERE ISSUED TO (I) REIMBURSE CHILDREN'S FOR A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPMENT CERTAIN HEALTH CARE FACILITIES OF CHILDREN'S, AND (II) TO ADVANCE REFUND AND DEFEASE $27 MILLION OF THE SERIES 2009 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2012A BONDS, WHICH HAVE THE LATER OF THE MATURITIES OF THE TWO SERIES. LINE D, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REFUNDING REVENUE BONDS, SERIES 2012C AND REFUNDING REVENUE BONDS, SERIES 2012D (SEATTLE CHILDREN'S HOSPITAL), (THE "SERIES 2012C/D BONDS"), WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008A AND SERIES 2008B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED APRIL 16, 2008 (THE "SERIES 2008A/B BONDS"), THE PROCEEDS OF WHICH WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006A AND SERIES 2006B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), EACH DATED FEBRUARY 16, 2006 (THE "SERIES 2006A/B BONDS") THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING TO ADVANCE REFUND AND DEFEASE $67 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 1998 BONDS (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED NOVEMBER 17, 1998 (THE "SERIES 1998 BONDS"), THE PROCEEDS OF WHICH WERE USED TO PROVIDE A PORTION OF THE FUNDING FOR A COMPREHENSIVE FACILITY RENOVATION PROGRAM THAT INCLUDED EXTENSIVE CAPITAL IMPROVEMENTS TO THE HOSPITAL'S MAIN FACILITY; AND (II) ADVANCE REFUND AND DEFEASE $66 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2001 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), DATED NOVEMBER 15, 2001 (THE "SERIES 2001 BONDS"), THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING FOR A $120 MILLION CAPITAL PROGRAM, (II) PAY FOR THE PREMIUM RELATING TO THE BOND INSURANCE POLICY AND (III) PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2001 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2012D BONDS AND THERE IS NO CUSIP NUMBER FOR THE SERIES 2012C BONDS. PART II, PROCEEDS: COLUMN A, LINE 3 INCLUDES INVESTMENT EARNINGS OF $879,803.00. COLUMN B, LINES 3, 5 AND 6: LINE 3 INCLUDES INVESTMENT EARNINGS OF $20,329.00. LINE 5: $40,033.00 AND $21,371.00 OF PROCEEDS WERE TRANSFERRED TO THE PRINCIPAL AND INTEREST ACCOUNTS OF THE SERIES 2015A AND 2015B SERIES BONDS, RESPECTIVELY, AND WAS USED TO PAY INTEREST ON THE NEW MONEY PORTION OF THE SERIES 2015A AND 2015B BONDS. LINE 6: $197,416,118.00 OF TOTAL PROCEEDS FROM THE SERIES 2015B BONDS WAS DEPOSITED IN A REFUNDING ESCROW ACCOUNT. COLUMN C, LINES 5 AND 6: $30,419,377.00 OF TOTAL PROCEEDS FROM THE SERIES 2012B BONDS WAS DEPOSITED IN A REFUNDING ESCROW ACCOUNT AND $285.00 OF TOTAL PROCEEDS WAS DEPOSITED IN THE SERIES 2012B PRINCIPAL AND INTEREST ACCOUNT AND USED TO PAY INTEREST DUE ON THE SERIES 2012B BONDS. COLUMN D: $142,165,000.00 WAS USED TO REFUND, ON A CURRENT BASIS AND REDEEM ALL OF THE OUTSTANDING SERIES 2008A AND SERIES 2008B BONDS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2012C/D BONDS. PART III, PRIVATE BUSINESS USE: COLUMNS A, B AND C, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%. COLUMN D IS NOT REPORTED BECAUSE IT MEETS THE SPECIAL RULES FOR REFUNDING OF PRE-2003 BOND ISSUANCES. PART IV, ARBITRAGE: COLUMN A, LINE 2B: NO REBATE CALCULATION IS REQUIRED AS OF THE PERIOD COVERED BY THIS SCHEDULE. IT IS EXPECTED THE SERIES 2017A BONDS WILL MEET AN EXCEPTION TO REBATE. COLUMN B, LINE 2B: NO REBATE CALCULATION IS REQUIRED AS OF THE PERIOD COVERED BY THIS SCHEDULE. COLUMN C, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON JULY 18, 2017. COLUMN D, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON JUNE 22, 2017. COLUMN D, LINE 4A: CHILDREN'S DID NOT ENTER, NOR EXPECTS TO ENTER INTO, ANY INTEREST RATE HEDGE ARRANGEMENTS IN CONNECTION WITH THE SERIES 2012C/D BONDS. CHILDREN'S DID ENTER INTO QUALIFIED HEDGES WITH RESPECT TO THE SERIES 2008A/B BONDS, WHICH WERE REFUNDED BY THE SERIES 2012C/D BONDS. THE TERMINATION OR DEEMED TERMINATION PAYMENT, AS APPLICABLE, WITH RESPECT TO THE HEDGES HAS BEEN TAKEN INTO ACCOUNT IN THE CALCULATION OF THE YIELD ON THE SERIES 2012C/D BONDS.

ENTITY 2 - SECOND SCHEDULE:

PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010A (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010A BONDS"), WERE ISSUED TO REIMBURSE CHILDREN'S FOR THE COSTS OF ACQUIRING CERTAIN REAL PROPERTY (INCLUDING LAND) TO BE DEVELOPED AND USED AS HEALTH CARE FACILITIES OF CHILDREN'S. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010B (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010B BONDS"), WERE ISSUED TO (I) REFUND, ON A CURRENT BASIS, AND DEFEASE ALL OF THE OUTSTANDING SERIES 1998 BONDS AND (II) PAY COST OF ISSUANCE FOR THE SERIES 2010B BONDS. LINE C, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2009 (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2009 BONDS") WERE ISSUED TO PROVIDE ALL OR A PORTION OF THE FUNDS NECESSARY TO (I) PAY THE COSTS (INCLUDING NEW CAPITAL COSTS, REIMBURSEMENT COSTS, AND REFINANCING COSTS) OF ACQUIRING THE LAND FOR CONSTRUCTING AND EQUIPPING A NEW OUTPATIENT CLINIC AND AMBULATORY SURGERY FACILITY IN BELLEVUE, WASHINGTON, RENOVATING AND REMODELING VARIOUS PORTIONS OF CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS. PART II, PROCEEDS: COLUMN B: $46,080,000.00 WAS USED TO REFUND, ON A CURRENT BASIS, AND DEFEASE THE OUTSTANDING SERIES 1998 BONDS, WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2010B BONDS. $20,887.00 OF PROCEEDS WAS TRANSFERRED TO THE PRINCIPAL AND INTEREST ACCOUNT OF THE SERIES 2010B BONDS, AND USED TO PAY INTEREST DUE ON THE SERIES 2010B BONDS. COLUMN C: LINE 3 INCLUDES INVESTMENT EARNINGS OF $100,396.00 PART III, PRIVATE BUSINESS USE: COLUMN A AND COLUMN C, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%. COLUMN B IS NOT REPORTED BECAUSE IT MEETS THE SPECIAL RULES FOR REFUNDING OF PRE-2003 BOND ISSUANCES. PART IV, ARBITRAGE: COLUMN A, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON OCTOBER 16, 2013. COLUMN B, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON OCTOBER 16, 2013. COLUMN C, LINE 2C: THE LAST REBATE COMPUTATION WAS PERFORMED ON OCTOBER 11, 2012.

Schedule K (Form 990) 2018

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

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 HOSPITAL

Employer identification number
91-0564748

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2017A	91-1108929	93978HSC0	04-06-2017	126,646,117	SEE PART VI		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2015A AND 2015B	91-1108929	93978HLL7	02-03-2015	303,924,156	SEE PART VI		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2012A AND 2012B	91-1108929	93978HDX0	06-20-2012	80,423,004	SEE PART VI		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2012C AND 2012D	91-1108929	93978HEZ4	06-20-2012	142,165,000	SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2010A	91-1108929	93978HAA3	09-02-2010	77,394,750	SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2010B	91-1108929	93978HAB1	09-02-2010	46,669,601	SEE PART VI		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY SERIES 2009	91-1108929	93978E584	08-19-2009	113,722,874	SEE PART VI	X			X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	1,260,000		120,000		250,000		29,810,000
2 Amount of bonds legally defeased ..............					105,895,000
3 Total proceeds of issue ..................	127,525,980		303,944,485		80,423,004		142,165,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			62,441		285
6 Proceeds in refunding escrows ...............			197,416,118		30,419,377
7 Issuance costs from proceeds ...............	1,545,641		2,600,625		1,975,466
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	125,980,331		103,865,301		50,003,342
11 Other spent proceeds .............
12 Other unspent proceeds .............	7
13 Year of substantial completion .............	2018		2015		2013		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X		X		X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X	X		X			X
16 Has the final allocation of proceeds been made? ..........		X	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X			X		X
b Exception to rebate? ........		X		X		X	X
c No rebate due? .........		X		X	X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

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

Return Reference

Explanation

ENTITY 1 - FIRST SCHEDULE:

ENTITY 2 - SECOND SCHEDULE:

Schedule K (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ.
MediumBullet

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 HOSPITAL

Employer identification number

91-0564748

Part I

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

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

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

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

Part II

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

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






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

Part III

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

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

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MCKINSTRY COMPANY	DEAN ALLEN, TRUSTEE, IS CEO AND PART OWNER OF MCKINSTRY COMPANY.	302,357	SERVICES		No
(2) JULIE MARTINA	FAMILY MEMBER OF ALVIN WINTERROTH, TRUSTEE	76,935	EMPLOYMENT		No
(3) DAWN COTTER	FAMILY MEMBER OF DR. MARK DEL BECCARO, KEY EMPLOYEE	276,657	EMPLOYMENT		No
(4) SARAH BOWDEN	FAMILY MEMBER OF WARREN HEWITT, KEY EMPLOYEE	78,297	EMPLOYMENT		No
(5) JESSICA BLUE	FAMILY MEMBER OF SCOTT BINGHAM, FORMER KEY EMPLOYEE	84,865	EMPLOYMENT		No
(6) EMILY WALTER	FAMILY MEMBER OF JUDITH PIERCE, TRUSTEE	40,720	EMPLOYMENT		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 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 HOSPITAL

Employer identification number

91-0564748

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	76	14,372,539	MARKET VALUE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( EQUIP/FURNITURE )	X	1	5,025,055	MARKET VALUE
26 Other ( ELECTRONICS )	X	2	73,561	MARKET VALUE
27 Other ( AIRLINE MILES )	X	2	56,970	MARKET VALUE
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 - 76 DONATIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 25 - ONE DONATION OF LEASEHOLD IMPROVEMENTS, FURNISHINGS AND EQUIPMENT; LINE 26 - ONE DONATION OF 35 MICROSOFT SURFACE PRO TABLETS AND ONE DONATION OF 120 AMAZON FIRE TABLETS AND 300 ECHO DOTS; LINE 27 - DONATIONS OF AIRLINE MILES FROM TWO DONORS
PART I, LINE 32B:	SEATTLE CHILDREN'S HOSPITAL FOUNDATION AND SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION (RELATED ORGANIZATIONS) SOLICIT BOTH CASH AND NON-CASH GIFTS ON BEHALF OF SEATTLE CHILDREN'S HOSPITAL.

Schedule M (Form 990) (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 HOSPITAL

Employer identification number

91-0564748

Return Reference	Explanation
FORM 990, PART I, LINE 6:	SEATTLE CHILDREN'S HOSPITAL HAS A DEDICATED GROUP OF VOLUNTEERS WHO GENEROUSLY GIVE THEIR TIME AND ENERGY TO SUPPORTING THE MISSION OF THE HOSPITAL. IN FISCAL YEAR 2019, 694 VOLUNTEERS, AFTER COMPLETING A THOROUGH INTERVIEW AND TRAINING PROCESS, LOGGED 72,780 HOURS OF SERVICE IN ONE OF THE 80 DIFFERENT DEPARTMENTS, WITH DUTIES RANGING FROM WORKING IN THE HOSPITAL GIFT SHOP, TO ENTERTAINING PATIENTS IN THE PLAYROOM, TO HELPING WITH ADMINISTRATIVE TASKS AT A RECEPTION AREA. IN ADDITION, 22 UNCOMPENSATED TRUSTEES SERVED ON THE SEATTLE CHILDREN'S HOSPITAL BOARD DURING FISCAL YEAR 2019. IN ALL THAT THEY DO, OUR VOLUNTEERS ARE HIGHLY VALUED MEMBERS OF OUR HOSPITAL COMMUNITY.
FORM 990, PART V, LINE 15:	THIS IS THE FIRST TAX YEAR SEATTLE CHILDREN'S HOSPITAL, 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	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. 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. 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 A, LINE 6	THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7A	SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES (WHICH IS THE GOVERNING BODY) OF SEATTLE CHILDREN'S HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, HAS THE AUTHORITY TO MAKE, ALTER, AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF SEATTLE CHILDREN'S HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 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 HOSPITAL REQUIRES AN ANNUAL SURVEY OF ALL BOARD MEMBERS OF SEATTLE CHILDREN'S HOSPITAL, MEMBERS OF THE 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 THE 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 COMMITTE 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 HOSPITAL AND/OR TERMINATED IN HIS OR HER EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE (MDCC) OF THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS), A RELATED ORGANIZATION THAT IS THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL. PURSUANT TO THE BOARD-APPROVED MDCC CHARTER, THE MDCC ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT EXPERT IN THE COMPENSATION OF EXECUTIVES AND OTHER TOP MANAGERS OF NONPROFIT HOSPITALS AND HEALTH CARE SYSTEMS. WITH APPROPRIATE COMPARABILITY DATA PROVIDED BY ITS CONSULTANT (COMPRISING MARKET DATA REGARDING COMPENSATION PAID FOR COMPARABLE SERVICES IN COMPARABLE ORGANIZATIONS), THE MDCC ENGAGES IN AN ANNUAL REVIEW AND ASSESSMENT OF THE SEATTLE CHILDREN'S HOSPITAL EXECUTIVE COMPENSATION PROGRAM (BASE, INCENTIVE COMPENSATION, AND EMPLOYER-PAID BENEFITS) TO DETERMINE COMPETITIVENESS. BASED ON THIS EXPERT ANALYSIS AND ON RELEVANT PERFORMANCE INFORMATION FOR THE EXECUTIVES IN QUESTION AND THE ORGANIZATION AS A WHOLE, THE MDCC PRESENTS A RECOMMENDATION TO THE SCHS BOARD REGARDING THE TOTAL COMPENSATION PACKAGE FOR EACH OF THE 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 HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, LINE 16:	WHILE THERE IS NO WRITTEN POLICY OR PROCEDURE FOR THE ARRANGEMENT, ANY JOINT VENTURE IS REVIEWED BY LEGAL COUNSEL WHO CONSIDERS THE IMPACTS OF THE TAX-EXEMPT STATUS OF THE ORGANIZATION.
FORM 990, PART IX, COLUMN (D):	ALTHOUGH SEATTLE CHILDREN'S HOSPITAL HAS SUBSTANTIAL CONTRIBUTION REVENUE, IT DOES NOT INCUR FUNDRAISING EXPENSES. ALL FUNDRAISING ACTIVITIES AND CONTRIBUTIONS TO SEATTLE CHILDREN'S HOSPITAL ARE CONDUCTED BY RELATED ORGANIZATIONS. SEE ADDITIONAL DESCRIPTION FOR SCHEDULE M, LINE 32.
FORM 990, PART XI, LINE 9:	CHANGE IN VALUATION OF INTEREST RATE SWAP AGREEMENTS -5,940,015. CHANGE IN BENEFICIAL INTEREST IN SCHS -1,066,792.
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:

1	Briefly describe the organization’s mission or most significant activities: WE PROVIDE HOPE, CARE & CURES TO HELP EVERY CHILD LIVE THE HEALTHIEST & MOST FULFULLING LIFE POSSIBLE
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	9,178
6	Total number of volunteers (estimate if necessary) .............	6	716
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,942,378
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	380,890

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	246,106,645	294,717,218
9	Program service revenue (Part VIII, line 2g) .........	1,420,371,215	1,480,441,574
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	80,657,746	73,673,879
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	12,431,557	17,714,821
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,759,567,163	1,866,547,492
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	21,963,717	23,906,698
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)	733,807,731	807,687,602
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)....	699,992,603	779,690,085
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,455,764,051	1,611,284,385
19	Revenue less expenses. Subtract line 18 from line 12.......	303,803,112	255,263,107
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,605,274,314	3,878,355,666
21	Total liabilities (Part X, line 26).............	1,035,707,026	1,061,319,116
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,569,567,288	2,817,036,550

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,308,262,523 including grants of $ 1,883,493 ) (Revenue $ 1,447,234,873 )
	PATIENT CARE: SEATTLE CHILDREN'S PROVIDES SUPERIOR MEDICAL CARE TO CHILDREN FROM WASHINGTON, ALASKA, MONTANA AND IDAHO, SERVING THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. IN ADDITION, FAMILIES LIVING BEYOND OUR PRIMARY SERVICE REGION INCREASINGLY SEEK CARE FROM OUR WORLD-RENOWNED SPECIALISTS IN PROGRAMS SUCH AS CANCER, ORGAN TRANSPLANTS AND CRANIOFACIAL SPECIALTIES. IN FISCAL YEAR 2019, SEATTLE CHILDREN'S MEDICAL TEAM TREATED KIDS OF ALL AGES DURING 442,125 PATIENT VISITS, INCLUDING 16,032 ADMISSIONS TO THE HOSPITAL AND 51,136 VISITS TO OUR EMERGENCY DEPARTMENT. WE PERFORMED 16,328 DAY SURGERIES AND CARED FOR CHILDREN DURING 42,148 VISITS FOR BEHAVIORAL MEDICINE, 37,129 VISITS TO URGENT CARE, AND 279,352 OTHER AMBULATORY CLINIC APPOINTMENTS.

4b	(Code: ) (Expenses $ 231,133,720 including grants of $ 22,023,205 ) (Revenue $ 32,252,083 )
	RESEARCH: BECAUSE RESEARCH IS THE FOUNDATION OF SEATTLE CHILDREN'S MISSION TO DISCOVER NEW TREATMENT AND CURES, SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF SEATTLE CHILDRENS, INVESTED $51 MILLION IN RESEARCH DURING FISCAL YEAR 2019. SEATTLE CHILDREN'S RESEARCH INSTITUTE INVESTIGATORS ARE ADVANCING SCIENTIFIC UNDERSTANDING OF IMPORTANT BIOLOGICAL PROCESSES AND INFLUENCING THE PRACTICE OF PEDIATRICS AROUND THE WORLD.

4c	(Code: ) (Expenses $ 43,626,234 including grants of $ 0 ) (Revenue $ 6,729,605 )
	EDUCATION: SEATTLE CHILDREN'S IS THE MAJOR RESOURCE FOR PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAMS IN OUR REGION. RESIDENTS AND FELLOWS FROM 82 PROGRAMS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), THREE PROGRAMS ACCREDITED BY THE AMERICAN DENTAL ASSOCIATION (ADA), AND TWELVE NON-ACGME ACCREDITED SUBSPECIALTY PROGRAMS ROTATED AT SEATTLE CHILDREN'S IN ACADEMIC YEAR 2018-2019. SEATTLE CHILDREN'S HAS DEVELOPED CURRICULUM AND EVALUATION METHODS THAT ASSESS AND ASSURE RESIDENT COMPETENCY IN SIX MAIN AREAS: PATIENT CARE, MEDICAL KNOWLEDGE, PRACTICE-BASED LEARNING, INTERPERSONAL AND COMMUNICATIONS SKILLS, PROFESSIONALISM, AND SYSTEM-BASED PRACTICE.

	(Code: ) (Expenses $ 2,881,265 including grants of $ 0 ) (Revenue $ 366,015 )
	CHILDREN'S CLINICALLY INTEGRATED NETWORK, DOING BUSINESS AS SEATTLE CHILDREN'S CARE NETWORK (SCCN), IS A LIMITED LIABILITY COMPANY ESTABLISHED BY SEATTLE CHILDREN'S TO DEVELOP, COORDINATE AND IMPLEMENT A CLINICALLY INTEGRATED PEDIATRIC PROVIDER NETWORK TO PROMOTE COLLABORATION AND MODIFY PRACTICE PATTERNS TO ENHANCE THE QUALITY AND COST EFFECTIVENESS OF PEDIATRIC CARE. SCCN CONTRIBUTES TO THE MISSION OF SEATTLE CHILDREN'S BY PROMOTING HEALTH THROUGH ITS PEDIATRIC ORGANIZED SYSTEM OF CARE THAT IMPROVES INTEGRATION, COORDINATION, QUALITY, SAFETY AND EFFICIENCY FOR BETTER OUTCOMES FOR PEDIATRIC PATIENTS WITHIN THE COMMUNITY.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 2,881,265 including grants of $ 0 ) (Revenue $ 366,015 )
4e	Total program service expenses1,585,903,742

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	14,344,576	2,391,354	2,182,394

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	157,129,313
e	Government grants (contributions)		1e	95,301,650

f	All other contributions, gifts, grants, and similar amounts not included above		1f	42,286,255

g	Noncash contributions included in lines 1a - 1f:$ 19,528,125
h Total. Add lines 1a-1f.......		294,717,218

		Business Code
2a	PATIENT SVC REVENUES	621500	1,434,794,246	1,434,794,246
b	OTHER HEALTHCARE SVCS	621500	44,489,862	42,547,484	1,942,378
c	WHALE GIFT SHOP	453220	587,466			587,466
d	INVESTMENT PROV CHILD	621500	570,000	570,000
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		1,480,441,574

3 Investment income (including dividends, interest, and othersimilar amounts) ......			56,177,199			56,177,199
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			3,197,769			3,197,769
		(ii) Personal	(i) Real
6a	Gross rents		13,736,142
b	Less: rental expenses		5,360,092
c	Rental income or (loss)		8,376,050
d	Net rental income or (loss)......			8,376,050			8,376,050
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	11,700	225,047,288
b	Less: cost or other basis and sales expenses	234,898	207,327,410
c	Gain or (loss)	-223,198	17,719,878
d	Net gain or (loss).....			17,496,680			17,496,680
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	PARKING		812930	3,791,084			3,791,084
b	CAFETERIA		722212	2,349,918			2,349,918
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			6,141,002
12	Total revenue. See Instructions......			1,866,547,492	1,477,911,730	1,942,378	91,976,166

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	21,656,145	21,656,145
2	Grants and other assistance to domestic individuals. See Part IV, line 22	640,624	640,624
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	1,609,929	1,609,929
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	10,729,724		10,729,724
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	1,749,008	1,730,793	18,215
7	Other salaries and wages	624,587,440	618,082,861	6,504,579
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	34,873,118	34,509,942	363,176
9	Other employee benefits .......	86,061,711	85,165,447	896,264
10	Payroll taxes ...........	49,686,601	49,169,155	517,446
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,254,919	2,231,436	23,483
c	Accounting ...........	413,449	409,143	4,306
d	Lobbying ...........	485,351	485,351
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	2,730,939	2,702,498	28,441
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	124,978,228	123,676,680	1,301,548
12	Advertising and promotion ....	2,467,882	2,442,181	25,701
13	Office expenses .......	210,464,766	208,272,944	2,191,822
14	Information technology ......	25,342,742	25,078,818	263,924
15	Royalties ..
16	Occupancy ...........	45,406,058	44,933,190	472,868
17	Travel ............	6,586,612	6,518,018	68,594
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,432,892	1,417,970	14,922
20	Interest ...........	12,409,757	12,280,519	129,238
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	96,826,286	95,817,918	1,008,368
23	Insurance ...	7,003,521	6,930,585	72,936
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PHYSICIANS SERVICES	166,106,024	166,106,024
b	LICENSES & TAXES	43,076,779	42,628,169	448,610
c	BAD DEBT EXPENSE	2,406,777	2,406,777
d	UBI TAXES	828,463	828,463
e	All other expenses	28,468,640	28,172,162	296,478
25	Total functional expenses. Add lines 1 through 24e	1,611,284,385	1,585,903,742	25,380,643	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 ........			37,010,075	1	32,715,660
2	Savings and temporary cash investments .........			37,157,976	2	60,652,245
3	Pledges and grants receivable, net ......			68,575,952	3	101,640,655
4	Accounts receivable, net .............			251,969,932	4	270,779,283
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 ........			15,806,274	8	18,719,564
9	Prepaid expenses and deferred charges ......			23,010,161	9	28,002,098
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,384,532,347
b	Less: accumulated depreciation	10b	854,452,482	1,280,373,310	10c	1,530,079,865
11	Investments—publicly traded securities .			1,230,348,030	11	1,141,504,700
12	Investments—other securities. See Part IV, line 11 .....			436,999,762	12	383,135,297
13	Investments—program-related. See Part IV, line 11 ..			163,955,138	13	191,545,965
14	Intangible assets ...............			2,000,000	14	2,543,237
15	Other assets. See Part IV, line 11 ...........			58,067,704	15	117,037,097
16	Total assets. Add lines 1 through 15 (must equal line 34)...			3,605,274,314	16	3,878,355,666

17	Accounts payable and accrued expenses .....	216,994,599	17	217,630,274
18	Grants payable ...		18
19	Deferred revenue .........	833,084	19	1,166,667
20	Tax-exempt bond liabilities .........	713,217,472	20	699,695,150
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	104,661,871	25	142,827,025
26	Total liabilities. Add lines 17 through 25..	1,035,707,026	26	1,061,319,116

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	2,055,396,407	27	2,229,758,916
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets	514,170,881	29	587,277,634
	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 ...........	2,569,567,288	33	2,817,036,550
34	Total liabilities and net assets/fund balances ........	3,605,274,314	34	3,878,355,666

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

(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) CHILDREN'S CLINICALLY INTEGRATED NETWORK LLC PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-0564748	ADMINISTRATION OF PEDIATRIC PHYSICIANS NETWORK	WA	366,015	428,059	SEATTLE CHILDREN'S HOSPITAL

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SEATTLE CHILDREN'S HEALTHCARE SYSTEM PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-1250116	HEALTHCARE	WA	501(C)(3)	LINE 7	N/A		No
(2)SEATTLE CHILDREN'S HOSPITAL FOUNDATION PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-1156519	FUNDRAISING	WA	501(C)(3)	LINE 7	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	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 UNIVERSITY MEDICAL GROUP PO BOX 50010 SEATTLE,WA98105 91-1336707	MEDICAL PRACTICE	WA	501(C)(3)	LINE 12A, I	N/A		No
(6)CHILDREN'S HEALTH NETWORK PO BOX 5371 MS RC-507 SEATTLE,WA981455005 91-1226716	PEDIATRIC HEALTHCARE SERVICES	WA	501(C)(3)	LINE 12A, I	SEATTLE CHILDREN'S HEALTHCARE SYSTEM	Yes

(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

(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