TY 2023 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/1099-NEC)
(1) CONAN VIERNES...................................................................... TRUSTEE	2.00 ................. 0.00	X		30
(2) KEN DENMAN...................................................................... TREASURER	1.00 ................. 0.00	X	X	0
(3) JOEL FRENCH...................................................................... CHAIR	15.00 ................. 1.00	X	X	0
(4) TROY HUTSON...................................................................... SECRETARY	10.00 ................. 0.00	X	X	0
(5) KURT SHINTAFFER...................................................................... VICE CHAIR	5.00 ................. 0.00	X	X	0
(6) LOREN ALHADEFF...................................................................... TRUSTEE	1.00 ................. 0.00	X		0
(7) SUSAN BETCHER...................................................................... TRUSTEE	5.00 ................. 0.00	X		0
(8) JILL BRUBAKER MD...................................................................... TRUSTEE	1.00 ................. 0.00	X		0
(9) MARCUS EAST...................................................................... TRUSTEE	5.00 ................. 0.00	X		0
(10) COLIN FOX JR PHD...................................................................... TRUSTEE	3.00 ................. 0.00	X		0
(11) DAN LEVITAN...................................................................... TRUSTEE	2.00 ................. 0.00	X		0
(12) SUSAN MULLANEY...................................................................... TRUSTEE	3.00 ................. 0.00	X		0
(13) MARK OKERSTROM...................................................................... TRUSTEE	1.00 ................. 0.00	X		0
(14) JUDITH PIERCE...................................................................... TRUSTEE	1.00 ................. 0.00	X		0
(15) RACQUEL RUSSELL...................................................................... TRUSTEE	1.00 ................. 0.00	X		0
(16) JOHN SCHOETTLER...................................................................... TRUSTEE	4.00 ................. 0.00	X		0
(17) MOYA VAZQUEZ...................................................................... TRUSTEE	2.00 ................. 0.00	X		0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) SUZANNE BEITEL........................................................................ SENIOR VP & CHIEF FINANCIAL OFFICER	0.00 .......................56.00	X				83,307	840,897	174,757
(19) JAMIE PHILLIPS........................................................................ SENIOR VP & CHIEF OPERATING OFFICER	55.00 .......................0.00	X				929,468	0	161,871
(20) ERIC THAM MD........................................................................ SVP & CHIEF RESEARCH OPS OFFICER	55.00 .......................0.00		X			905,655	0	144,387
(21) JEFFREY OJEMANN MD........................................................................ SVP - CHIEF MEDICAL OFFICER	55.00 .......................1.00		X			272,947	460,329	44,680
(22) ERIK LAUSUND........................................................................ CHIEF OF RESEARCH OPERATIONS	55.00 .......................0.00		X			715,238	0	26,730
(23) JEFFREY AVANSINO MD........................................................................ VP - MEDICAL AFFAIRS	55.00 .......................1.00		X			475,785	186,236	60,941
(24) BONNIE FRYZLEWICZ........................................................................ SVP & CHIEF NURSING OFFICER	55.00 .......................0.00		X			553,161	0	118,006
(25) PAMELA ROCK........................................................................ VP, MED SERV LINE & SPEC PROGRAMS	1.00 .......................0.00		X			635,809	0	18,315
(26) PAUL SHAREK MD........................................................................ VP - CHIEF QUALITY & SAFETY OFFICER	55.00 .......................0.00		X			587,039	0	40,557
(27) RUTH MCDONALD MD........................................................................ VP-CHIEF MEDICAL OPERATIONS OFFICER	55.00 .......................1.00		X			586,142	0	39,457
(28) MICHAEL JENSEN MD........................................................................ VP-SC THERAPEUTICS,CHIEF MED OFFICER	14.00 .......................41.00		X			499,870	0	54,452
(29) TANYA SEATON........................................................................ VP & CHIEF AMBULATORY OFFICER	55.00 .......................1.00		X			472,454	0	31,941
(30) JOHN SAAVEDRA........................................................................ VP - PEOPLE OPERATIONS	55.00 .......................0.00		X			420,994	0	49,034
(31) WARREN HEWITT........................................................................ VP - FINANCE	41.00 .......................14.00		X			289,562	94,945	53,914
(32) SUZANNE VANDERWERFF........................................................................ VP-REV CYCLE & HEALTH INFO INTEGRITY	55.00 .......................0.00		X			387,228	0	51,033
(33) WENDY JAKOBSEN........................................................................ VP - COMPLIANCE	55.00 .......................0.00		X			387,242	0	47,003
(34) VICTORIA CLEATOR........................................................................ VP-RES FACILITIES OPS, CAP PROJECTS	55.00 .......................0.00		X			409,859	0	24,113
(35) VITTORIO GALLO PHD........................................................................ SVP & CHIEF SCIENTIFIC OFFICER	55.00 .......................0.00		X			415,115	0	2,225
(36) ROBIN TURNER........................................................................ VP & DEPUTY GENERAL COUNSEL	55.00 .......................0.00		X			358,435	0	31,303
(37) ANDRE DICK MD........................................................................ SVP & SURGEON IN CHIEF	55.00 .......................0.00		X			300,104	39,500	45,016
(38) DONDI CUPP........................................................................ SVP & CHIEF DEV OFFICER - FOUNDATION	5.50 .......................49.50			X		69,476	603,723	129,024
(39) MICHAEL ASTION MD PHD........................................................................ CHIEF OF PATHOLOGY & LAB MEDICINE	55.00 .......................0.00			X		740,948	0	60,105
(40) CORY NOEL MD........................................................................ CARDIOLOGIST	55.00 .......................0.00			X		532,055	0	61,098
(41) RYOTA KASHIWAZAKI MD........................................................................ OTOLARYNGOLOGIST	55.00 .......................0.00			X		525,053	0	54,188
(42) KEVIN KOLLINS MD........................................................................ CARDIOLOGIST	55.00 .......................0.00			X		487,487	0	56,299
(43) JEFF SPERRING MD........................................................................ FORMER OFFICER	0.00 .......................55.00				X	284,969	1,550,322	393,891
(44) ZAFAR CHAUDRY MD........................................................................ FORMER KEY EMPLOYEE	0.00 .......................55.00				X	84,937	1,137,334	118,535
(45) MYRA GREGORIAN........................................................................ FORMER KEY EMPLOYEE	0.00 .......................55.00				X	86,162	656,939	150,585
(46) STANLEY RA........................................................................ FORMER KEY EMPLOYEE	0.00 .......................55.00				X	10,555	743,158	42,524
(47) RUSSELL WILLIAMS........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00				X	374,150	132,798	28,643
(48) SAMUEL WILLIAMS........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00				X	165,881	0	3,823
(49) DOUGLAS PICHA........................................................................ FORMER HIGHEST COMPENSATED EMPLOYEE	0.00 .......................24.00				X	48,814	308,925	50,728

(A) Name and business address	(B) Description of services	(C) Compensation
AYA HEALTHCARE 5930 CORNERSTONE CT STE 300 SAN DIEGO,CA92121	CONTRACT STAFF SERVICES	77,180,418
CHILDREN'S UNIVERSITY MEDICAL GROUP 4500 SAND POINT WAY NE STE 100 SEATTLE,WA98105	PHYSICIAN SERVICES	71,508,838
UNIVERSITY OF WASHINGTON PO BOX 358220 SEATTLE,WA98195	RESIDENTS & INTERNS	46,611,780
SELLEN CONSTRUCTION 227 WESTLAKE AVE N SEATTLE,WA98109	CONSTRUCTION	36,537,453
LEASE CRUTCHER LEWIS 2200 WESTERN AVE STE 500 SEATTLE,WA98121	CONSTRUCTION	29,030,485
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 483

- TIN:

SCHEDULE A
(Form 990)

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 instructions and the latest information.

OMB No. 1545-0047

2023

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	297,631,972	338,017,363	328,081,855	308,383,260	338,129,959	1,610,244,409
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	297,631,972	338,017,363	328,081,855	308,383,260	338,129,959	1,610,244,409
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.						1,610,244,409

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..	297,631,972	338,017,363	328,081,855	308,383,260	338,129,959	1,610,244,409
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	50,818,939	47,499,657	60,420,729	61,202,217	73,446,129	293,387,671
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	612,837	1,371,193	308,154	187,265	0	2,479,449
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..				4,319,065	671,379	4,990,444
11	Total support. Add lines 7 through 10						1,911,101,973

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

8,860,291,832

First 5 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 2023 (line 6, column (f) divided by line 11, column (f)) .........

84.260 %

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

83.920 %

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 on 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 5 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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

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 on 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 on 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) 2023

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2023

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 0.015 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 0.035	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) 2023

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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:	INSURANCE SETTLEMENTS - 2022 AMOUNT: $ 4,319,065. 2023 AMOUNT: $ 671,379.
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:

INSURANCE SETTLEMENTS - 2022 AMOUNT: $ 4,319,065. 2023 AMOUNT: $ 671,379.

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) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2023

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) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization SEATTLE CHILDREN'S HOSPITAL

Part I Contributors	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) (2023)

Schedule B (Form 990) (2023)

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) (2023)

Schedule B (Form 990) (2023)

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) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2022

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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.

Cat. No. 50084S

Schedule C (Form 990) 2022

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 right arrow

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 right arrow

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) ........................	729,057	729,057
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	729,057	729,057
d	Other exempt purpose expenditures ...............................................................................	2,406,184,557	2,606,250,977
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	2,406,913,614	2,606,980,034
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) 2019	(b) 2020	(c) 2021	(d) 2022	(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	432,212	448,548	754,496	729,057	2,364,313

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) 2022

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|No

(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: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 729,057 OTHER EXEMPT PURPOSE EXPENDITURES: 2,406,184,557 TOTAL EXEMPT PURPOSE EXPENDITURES: 2,406,913,614 SEATTLE CHILDREN'S HOSPITAL HAS A 501(H) ELECTION SEATTLE CHILDREN'S HEALTHCARE SYSTEM, EIN: 91-1250116 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 18,200,487 TOTAL EXEMPT PURPOSE EXPENDITURES: 18,200,487 NO 501(H) ELECTION WAS MADE UMBRELLA PEDIATRICS, PC, EIN: 86-1448700 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 4,026,324 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,026,324 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S FOUNDATION, EIN: 91-1156519 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 153,969,354 TOTAL EXEMPT PURPOSE EXPENDITURES: 153,969,354 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S GUILD ASSOCIATION, EIN: 91-1394056 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 20,533,868 TOTAL EXEMPT PURPOSE EXPENDITURES: 20,533,868 NO 501(H) ELECTION WAS MADE CHILDREN'S RETAIL, EIN: 91-1998909 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 3,336,387 TOTAL EXEMPT PURPOSE EXPENDITURES: 3,336,387 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: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 729,057 OTHER EXEMPT PURPOSE EXPENDITURES: 2,406,184,557 TOTAL EXEMPT PURPOSE EXPENDITURES: 2,406,913,614 SEATTLE CHILDREN'S HOSPITAL HAS A 501(H) ELECTION SEATTLE CHILDREN'S HEALTHCARE SYSTEM, EIN: 91-1250116 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 18,200,487 TOTAL EXEMPT PURPOSE EXPENDITURES: 18,200,487 NO 501(H) ELECTION WAS MADE UMBRELLA PEDIATRICS, PC, EIN: 86-1448700 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 4,026,324 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,026,324 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S FOUNDATION, EIN: 91-1156519 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 153,969,354 TOTAL EXEMPT PURPOSE EXPENDITURES: 153,969,354 NO 501(H) ELECTION WAS MADE SEATTLE CHILDREN'S GUILD ASSOCIATION, EIN: 91-1394056 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 20,533,868 TOTAL EXEMPT PURPOSE EXPENDITURES: 20,533,868 NO 501(H) ELECTION WAS MADE CHILDREN'S RETAIL, EIN: 91-1998909 PO BOX 5371, MS: 818-FI, SEATTLE, WA 98145-5005 TOTAL LOBBYING EXPENSES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 3,336,387 TOTAL EXEMPT PURPOSE EXPENDITURES: 3,336,387 NO 501(H) ELECTION WAS MADE

Schedule C (Form 990) 2022

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

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 .........	3
2	Aggregate value of contributions to (during year)	0
3	Aggregate value of grants from (during year)	45,635
4	Aggregate value at end of year ........	1,219,327

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 FASB 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 FASB 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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 ....	671,353,000	576,681,000	700,156,000	533,143,000	454,809,000
b	Contributions ...	15,856,000	21,888,000	13,084,000	37,085,000	37,952,000
c	Net investment earnings, gains, and losses	119,832,000	88,456,000	-122,501,000	142,145,000	51,168,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	15,594,000	15,672,000	14,058,000	12,217,000	10,786,000
f	Administrative expenses ....
g	End of year balance ......	791,447,000	671,353,000	576,681,000	700,156,000	533,143,000

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

Board designated or quasi-endowment right arrow

59.520 %

Permanent endowment right arrow

40.480 %

Term endowment right arrow

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 .....	266,988,313		266,988,313
b	Buildings ....	2,113,551,565	644,049,837	1,469,501,728
c	Leasehold improvements	102,954,838	56,427,111	46,527,727
d	Equipment ....	817,682,517	501,762,245	315,920,272
e	Other .....	160,552,194	11,798,398	148,753,796
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				2,247,691,836

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) POOLED INVESTMENTS	970,939,790	F
(B) INTEREST IN GENTIBIO INC	5,119,998	F
(C) INTEREST IN BE BIOPHARMA INC	1,779,857	F
(D) INTEREST IN UMOJA BIOPHARMA INC	708,798	F
(E) DEFERRED COMPENSATION PLANS	2,735,111	F
(F) OIL LEASES & MISC EQUITY INTERESTS	18,555	C
(G) LIFE INSURANCE	100,691	F
(H) HOSPITAL CENTRAL SERVICES ASSOC	3,877,556	C
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	985,280,356

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

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)RIGHT-OF-USE ASSETS, NET				224,155,003
(2)RECEIVABLE FROM AFFILIATES				193,001,615
(3)GRANTS & CONTRACTS RECEIVABLE				39,009,418
(4)RENTS RECEIVABLE				30,236,558
(5)NEW MARKET TAX CREDIT LEVERAGE LOAN RECEIVABLE				24,560,875
(6)DUE FROM BROKER FOR SECURITIES SOLD				20,586,779
(7)SAFETY NET ASSESSMENT				14,939,986
(8)OTHER RECEIVABLES				5,298,058
(9)INTEREST RECEIVABLE				4,178,601
(10)POOLED INVESTMENTS				228,131
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				556,195,024

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	2,735,340
DEFERRED COMPENSATION PLAN PAYABLE	16,518,337
DEFERRED AND OTHER LIABILITIES	2,735,110
PAYABLE TO AFFILIATE	428,783,812
DUE TO BROKERS FOR SECURITIES PURCHASED	36,825,385
OPERATING LEASE LIABILITIES	54,354,020
FINANCE LEASE LIABILITIES	215,262,452


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	757,214,456
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) 2022

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 2024 AND 2023, SCHS DID NOT RECORD ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.

Schedule D (Form 990) 2022

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 arrow

Attach to Form 990. Right arrow

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

OMB No. 1545-0047

2023

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" on 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 the region	(d) Activities conducted in region (by type) (such as, 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 the region	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN			INVESTMENTS		570,103,302
	NORTH AMERICA			INVESTMENTS		1,244,409
	EUROPE (INCLUDING ICELAND & GREENLAND)			INVESTMENTS		235,013
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	GRANTS TO RECIPIENTS LOCATED IN REGION		2,684,101
	SUB-SAHARAN AFRICA	0	0	GRANTS TO RECIPIENTS LOCATED IN REGION		1,906,925
	NORTH AMERICA	0	0	GRANTS TO RECIPIENTS LOCATED IN REGION		266,660
	EAST ASIA AND THE PACIFIC	0	0	GRANTS TO RECIPIENTS LOCATED IN REGION		82,843
	SOUTH AMERICA	0	0	GRANTS TO RECIPIENTS LOCATED IN REGION		2,573
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	PROGRAM SERVICES	ESTIMATED PURCHASES OF MEDICAL AND IT SERVICES	691,000
	NORTH AMERICA	0	0	PROGRAM SERVICES	ESTIMATED PURCHASES OF MEDICAL AND IT SERVICES	369,000
	EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	ESTIMATED PURCHASES OF MEDICAL AND IT SERVICES	67,000
	MIDDLE EAST AND NORTH AFRICA	0	0	PROGRAM SERVICES	ESTIMATED PURCHASES OF MEDICAL AND IT SERVICES	17,000
	SUB-SAHARAN AFRICA	0	0	PROGRAM SERVICES	ESTIMATED PURCHASES OF MEDICAL AND IT SERVICES	1,000
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	415,000
	NORTH AMERICA	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	293,000
	SUB-SAHARAN AFRICA	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO CONFERENCES, WORKSHOPS, AID SITES AND RESEARCH SITES	198,000
	EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO CONFERENCES, MEETINGS AND AID SITES	115,000
	SOUTH AMERICA	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	28,000
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	12,000
	SOUTH ASIA	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO CONFERENCES, MEETINGS AND AID SITES	10,000
	MIDDLE EAST AND NORTH AFRICA	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	4,000
	RUSSIA AND NEIGHBORING STATES	0	0	PROGRAM SERVICES	ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS	1,000
	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
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
	MIDDLE EAST AND NORTH AFRICA	0	0	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
	SUB-SAHARAN AFRICA	0	0	RESEARCH GRANTS RECEIVED FROM ORGANIZATIONS IN THE REGION
3a	Sub-total ....	0	0			576,525,826
b	Total from continuation sheets to Part I ...	0	0			2,221,000
c	Totals (add lines 3a and 3b)	0	0			578,746,826

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023

Schedule F (Form 990) 2023

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on 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	(g) Amount of noncash assistance
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	2,008,887	WIRE TRANSFER	0
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	198,002	WIRE TRANSFER	0
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	196,305	WIRE TRANSFER	0
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	149,313	WIRE TRANSFER	0
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	55,850	WIRE TRANSFER	0
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	44,820	WIRE TRANSFER	0
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	17,818	WIRE TRANSFER	0
EUROPE (INCLUDING ICELAND & GREENLAND)	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	13,106	WIRE TRANSFER	0
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	880,044	WIRE TRANSFER	0
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	617,686	WIRE TRANSFER	0
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	399,777	WIRE TRANSFER	0
SUB-SAHARAN AFRICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	9,418	WIRE TRANSFER	0
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	248,635	WIRE TRANSFER	0
NORTH AMERICA	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	18,025	WIRE TRANSFER	0
EAST ASIA AND THE PACIFIC	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARDS	82,843	WIRE TRANSFER	0

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 .......	1
3	Enter total number of other organizations or entities .......................	14

Schedule F (Form 990) 2023

Schedule F (Form 990) 2023Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2023

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2023

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:	PRINCIPAL INVESTIGATORS AT SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF THE HOSPITAL, AND THEIR AFFILIATED CENTER BUSINESS OFFICE PERFORM QUARTERLY REVIEWS OF EACH SUBAWARD TO ENSURE THAT RECIPIENTS ARE MANAGING FUNDING IN ACCORDANCE WITH THE TERMS OF THE CONTRACT. THE OFFICE OF SPONSORED RESEARCH DEPARTMENT PERFORMS SINGLE 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 PRINCIPAL 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 BY THE OFFICE OF SPONSORED RESEARCH AND THE CENTER BUSINESS OFFICE AS A PART OF THE SUBAWARD CLOSEOUT PROCESS. 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.
PART IV, LINE 6:	SEATTLE CHILDREN'S HOSPITAL HAS NO OPERATIONS IN A BOYCOTTING COUNTRY. PATIENT CARE REVENUE: PATIENTS FROM THESE BOYCOTTING COUNTRIES ARE SPONSORED BY THEIR GOVERNMENT AND SEEK TREATMENT IN THE UNITED STATES. SOME PATIENTS WILL PAY FOR THEIR OWN TREATMENT, HOWEVER NO PAYMENT OR CASH WAS TRANSFERRED BETWEEN SEATTLE CHILDREN'S HOSPITAL AND THE LOCAL HOSPITALS IN THESE BOYCOTTING COUNTRIES. ACADEMIC RESEARCH GRANT REVENUE: RESEARCHERS IN A BOYCOTTING COUNTRY HAVE SPONSORED A STUDY CONDUCTED BY A PRINCIPAL INVESTIGATOR WITH SEATTLE CHILDREN'S RESEARCH INSITUTE TO ADVANCE AUDIO-VISUAL TECHNOLOGY IN ORDER TO FURTHER UNDERSTANDING, ASSESSMENT TOOLS, AND THERAPIES RELATED TO AUTISM.
PART IV, LINES 1-5:	SEATTLE CHILDREN'S HOSPITAL REPORTS FOREIGN INVESTMENTS ON SCHEDULE F, PART I BECAUSE IT IS ALLOCATED A PORTION OF THE OVERALL INVESTMENT PORTFOLIO. HOWEVER, IT DOES NOT HAVE FOREIGN FILING REQUIREMENTS, AS THE ACTUAL OWNER OF THE INVESTMENTS IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM, WHICH IS RESPONSIBLE FOR FILING ALL APPLICABLE FOREIGN DISCLOSURES. THEREFORE, SCHEDULE F, PART IV, LINES 1 THROUGH 5 HAVE ALL BEEN ANSWERED "NO," CONFIRMING THAT SEATTLE CHILDREN'S HOSPITAL ITSELF HAS NO DIRECT FOREIGN FILING OBLIGATIONS.

Schedule F (Form 990) 2023

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

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? . . . . . . . . .

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

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	29,798	13,893,000	944,000	12,949,000	0.540 %
b	Medicaid (from Worksheet 3, column a) . . . . .	23	320,089	927,523,000	629,818,000	297,705,000	12.430 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	24	349,887	941,416,000	630,762,000	310,654,000	12.970 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	86		24,483,164	11,969,826	12,513,338	0.520 %
f	Health professions education (from Worksheet 5) . . .	98		56,274,910	11,303,316	44,971,594	1.880 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	8		339,659,261	232,447,345	107,211,916	4.470 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	17		1,275,295	258,670	1,016,625	0.040 %
j	Total. Other Benefits . .	209		421,692,630	255,979,157	165,713,473	6.910 %
k	Total. Add lines 7d and 7j .	233	349,887	1,363,108,630	886,741,157	476,367,473	19.880 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	1		7,500		7,500	0 %
3	Community support	5		110,322	43,715	66,607	0 %
4	Environmental improvements	2		27,277		27,277	0 %
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	15		1,599,965		1,599,965	0.070 %
9	Other
10	Total	23		1,745,064	43,715	1,701,349	0.070 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

1,488,261

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

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

Section B. Medicare

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

4,458,990

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

7,659,928

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

-3,200,938

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) 2023

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) 2023

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 21

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 22

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) 2023

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) 2023

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2023

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) 2023

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, 20a, 20b, 20c, 20d, 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 FOURTH COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022 TO COVER THE FISCAL PERIOD ENDING 2022-2025 (TAX YEARS 2021-2024) 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 CHILDREN IN OUR REGION, 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.IN ADDITION TO THE ELEMENTS OUTLINED IN LINE 3A THROUGH 3I, THE 2022 CHNA INCLUDES THE FOLLOWING INFORMATION:- A LIST OF QUANTITATIVE DATA SOURCES USED TO MEASURE PEDIATRIC HEALTH STATUS AND OUTCOMES IN WASHINGTON, ALASKA, MONTANA, AND IDAHO.- A COPY OF THE QUESTIONS USED IN COMMUNITY LISTENING SESSIONS AND THE COMMUNITY SURVEY TO SOLICIT COMMUNITY INPUT.- A SECTION DESCRIBING THE INTERSECTION BETWEEN HEALTH OUTCOMES AND THE HEALTH AND WELL-BEING OF CHILDREN AND TEENS SERVED BY SEATTLE CHILDREN'S.- THE IMPACT OF COVID-19 ON THE HEALTH AND WELL-BEING OF CHILDREN AND TEENS IN WASHINGTON, ALASKA, MONTANA, AND IDAHO.- A DESCRIPTION OF THE STRENGTHS AND ASSETS THAT THE COMMUNITIES SERVED BY SEATTLE CHILDREN'S HAVE THAT CONTRIBUTE TO THE HEALTH AND WELL-BEING OF CHILDREN AND TEENS IN WASHINGTON, ALASKA, MONTANA, AND IDAHO.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 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.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 OPPORTUNITY, AND- HEALTHY LIFESTYLES (HEALTHY EATING, ACTIVE LIVING AND FOOD SECURITY).OUR 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 AND RESULTING COMMUNITY HEALTH IMPLEMENTATION STRATEGIES ARE AVAILABLE ON OUR WEBSITE:WWW.SEATTLECHILDRENS.ORG/COMMUNITYHEALTHASSESSMENT
SEATTLE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: BETWEEN 2019 AND 2022, 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 ENGAGEMENT WITH 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 GEOGRAPHIC MEMBERSHIP, AND HAVE A REGIONAL OR SUB-REGIONAL FOCUS. OTHER STAKEHOLDERS INCLUDED THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY 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 AS WELL AS CONDUCTED A SURVEY OF KEY INFORMANTS, STAKEHOLDERS AND PARENTS IN THE REGION. - WE REVIEWED RECENT REPORTS ON LOCAL AND STATE HEALTH NEEDS. - TO IDENTIFY COMMUNITY CONCERNS AND ASSETS, SEATTLE CHILDREN'S SURVEYED AND INTERVIEWED STAKEHOLDERS, CONSULTED RECENT COMMUNITY-BASED REPORTS AND PULLED INFORMATION FROM PREVIOUS HOSPITAL CHNAS FOR THE GEOGRAPHIC AREAS THEY WORKED IN FOR THE MONTH.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: SEATTLE CHILDREN'S 2022 CHNA 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:(1) MENTAL AND BEHAVIORAL HEALTH:THE UNITED STATES IS FACING A NATIONAL YOUTH MENTAL HEALTH CRISIS EXACERBATED BY THE COVID-19 PANDEMIC. THIS CRISIS IS FELT LOCALLY IN THE WAMI REGION. DATA PRIOR TO THE PANDEMIC INDICATES THAT THE PERCENTAGE OF YOUTH WHO EXPERIENCED A MAJOR DEPRESSIVE EPISODE HAD DOUBLED NATIONALLY OVER THE PAST DECADE AND SUICIDE RATES AMONG YOUTH AGES 10-19 INCREASED STEADILY FROM 2007 TO 2020. THE YOUTH MENTAL HEALTH CRISIS HAS WORSENED DUE TO INCREASED NEED FOR SUPPORT AS WELL AS INCREASING BARRIERS IN ACCESS TO CARE FOR MANY PATIENT POPULATIONS. WASHINGTON, ALASKA, MONTANA, AND IDAHO HAVE SOME OF THE HIGHEST RATES OF SUICIDE FOR ADOLESCENTS AND CONSISTENTLY RANK AS STATES WITH ABOVE AVERAGE RATES OF YOUTH MENTAL ILLNESS AND BELOW AVERAGE RATES OF ACCESS TO CARE. LACK OF MENTAL HEALTH SERVICES, RESOURCES, AND UNDERSTANDING AS WELL AS CONTINUED MENTAL HEALTH STIGMA WERE CONSISTENTLY EXPRESSED AS AREAS OF CONCERN. ADDITIONALLY, THERE ARE HIDDEN BARRIERS AND OTHER DIFFICULTIES IN NAVIGATING THE MENTAL HEALTH SYSTEM AND FEW PROFESSIONALS WHO KNOW HOW TO NAVIGATE IT. IN ADDITION TO MAINTAINING OUR BED EXPANSION IN OUR PSYCHIATRY AND BEHAVIORAL MEDICINE UNIT, WE HAVE CONTINUALLY 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 ALSO MAINTAINED 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. IN 2021, SEATTLE CHILDREN'S LAUNCHED AN ORGANIZATION-WIDE MENTAL HEALTH INITIATIVE TITLED GENERATION REACH, WHICH BRINGS TOGETHER A COALITION OF INTERNAL COLLEAGUES AND COMMUNITY PARTNERS TO COLLABORATE ON IMPROVING MENTAL AND BEHAVIORAL HEALTH. REACH IS AN ACRONYM OUTLINING THE FIVE PILLARS OF FOCUS AT SEATTLE CHILDREN'S: RESEARCH AND INNOVATION, ECOSYSTEM AND EQUITY, ACCESS, CAPITAL, AND HEALTHY FAMILIES AND COMMUNITIES. (2) SUICIDE AND INJURY PREVENTION:SUICIDE AND INJURY ARE ATTRIBUTED TO A VARIETY OF FACTORS. WHILE BOTH INTENTIONAL AND UNINTENTIONAL INJURIES ARE PREVALENT, MANY ARE PREVENTABLE. SEATTLE CHILDREN'S USES EVIDENCE-BASED AND EVIDENCE-INFORMED SUICIDE AND INJURY PREVENTION STRATEGIES TO SUPPORT THE HEALTH AND SAFETY OF CHILDREN AND TEENS. INJURIES, SUICIDE, AND HOMICIDE ARE LEADING CAUSES OF DEATH FOR CHILDREN AND TEENS IN THE UNITED STATES. BETWEEN 2016 AND 2020, UNINTENTIONAL INJURIES REMAINED THE OVERALL TOP LEADING CAUSE OF DEATH FOR CHILDREN AGES ONE TO 24 IN WAMI. SUICIDE IS THE SECOND LEADING CAUSE OF DEATH FOR AGES 10-24 IN WAMI. NOTABLY, AS OF 2019, NATIONWIDE FIREARM-RELATED INJURIES SURPASSED MOTOR VEHICLE CRASHES AS THE MOST COMMON CAUSE OF DEATH FROM INJURY IN CHILDREN AND ADOLESCENTS. IN 2020, FIREARM-RELATED INJURIES REMAINED THE LEADING CAUSE OF DEATH NATIONALLY AMONG CHILDREN AND ADOLESCENTS.PREVENTATIVE MEASURES WE ARE IMPLEMENTING TO REDUCE HARM INCLUDE FIREARM SAFETY COUNSELING AND EDUCATION FROM HEALTHCARE PROVIDERS AND COMMUNITY ADVOCATES AS WELL AS STORAGE DEVICE DISTRIBUTION TO PROMOTE SAFER FIREARM STORAGE AT HOME. INCORPORATING VARIED APPROACHES TO PROMOTE HEALTHY AND SAFE NEIGHBORHOODS IS ESSENTIAL TO YOUTH VIOLENCE PREVENTION. WE ARE PROMOTING SECURE MEDICINE STORAGE, SAFE MEDICINE DISPOSAL, PROVIDING EDUCATION ON SAFE USE OF OVER-THE-COUNTER AND PRESCRIPTION MEDICINES, AND INCREASING ACCESS TO NALOXONE TO PREVENT MEDICINE MISUSE, SELF-HARM, POISONING AND OVERDOSE. WE PROVIDE PARENTAL SUPPORT THROUGH OUR POSITIVE PARENTING PROGRAM TO HELP PARENTS BUILD SKILLS TO PROMOTE HEALTHY CHILD DEVELOPMENT AND PREVENT CHILD ABUSE AND NEGLECT. ALSO, 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 CONTINUE TO SUPPORT AND OPERATE 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 TO SAFELY STORE FIREARMS AS A WAY TO PREVENT SUICIDE AND PROVIDE ONE MECHANISM FOR LETHAL MEANS RESTRICTION. 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.(3) HEALTHY LIFESTYLES:ESTABLISHING FOUNDATIONS FOR GOOD NUTRITION AND PHYSICAL ACTIVITY CAN HAVE IMPLICATIONS ON A CHILD'S MENTAL AND PHYSICAL HEALTH. APPROXIMATELY ONE-THIRD OF CHILDREN AND ADOLESCENTS IN THE UNITED STATES FACE CHALLENGES MAINTAINING A HEALTHY WEIGHT. WEIGHT MANAGEMENT CHALLENGES IN CHILDREN ARE A MAJOR CONCERN DUE TO THEIR LONG-TERM EFFECTS. IN 2020, WASHINGTON STATE HAD A WEIGHT PROBLEM RATE OF 13.2% FOR CHILDREN AGES 10-17, RANKING IT 40TH IN THE NATION, WITH THAT RATE HAVING RISEN 50% SINCE 2016. IT IS RECOMMENDED THAT CHILDREN AND ADOLESCENTS PARTICIPATE IN AT LEAST 60 MINUTES OF PHYSICAL ACTIVITY MOST DAYS OF THE WEEK, PREFERABLY DAILY. LESS THAN HALF OF CHILDREN IN WASHINGTON MET THAT LEVEL OF PHYSICAL ACTIVITY IN 2021 AND THIS FINDING WAS ECHOED IN LISTENING SESSIONS CONDUCTED RELATING TO OUR 2022 CHNA. FOOD INSECURITY POSES A SIGNIFICANT CHALLENGE TO ESTABLISHING A SOLID FOUNDATION FOR CHILDREN'S MENTAL AND PHYSICAL WELL-BEING. FOOD INSECURITY IS WHEN CONSISTENT ACCESS TO AFFORDABLE, NUTRITIOUS FOOD IS NOT AVAILABLE. FOR OUR 2022 CHNA WE REVIEWED 2021 DATA WHEREBY 12.5% OF HOUSEHOLDS IN THE U.S. WITH CHILDREN UNDER THE AGE OF 18 EXPERIENCED FOOD INSECURITY. IN WASHINGTON, 20% OF CHILDREN LIVE IN HOUSEHOLDS EXPERIENCING FOOD INSECURITY. ACCORDING TO THE 2021 WASHINGTON HEALTHY YOUTH SURVEY, 77% OF YOUTH CONSUME LESS THAN 5 SERVINGS OF FRUIT AND VEGETABLES PER DAY. BLACK AND HISPANIC FAMILIES IDENTIFIED AS EXPERIENCING FOOD INSECURITY AT A MUCH HIGHER RATE THAN WHITE FAMILIES. WHILE BENEFITS LIKE THE FEDERAL SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) PROVIDE FAMILIES WITH ELECTRONIC BENEFITS USED MUCH LIKE A DEBIT CARD TO PURCHASE BREADS, CEREALS, FRUITS, VEGETABLES, MEAT, AND DAIRY PRODUCTS FROM PARTICIPATING STORES, MANY COMMUNITIES DO NOT EVEN HAVE A GROCERY STORE ACCESSIBLE IN THEIR IMMEDIATE NEIGHBORHOOD. HALF OF SNAP BENEFICIARIES ARE CHILDREN. FAMILIES REPORTED THEY OFTEN HAVE TO MAKE DECISIONS BETWEEN FOOD AND OTHER BASIC NEEDS, SUCH AS HOUSING. FAMILIES SHARED MANY CONCERNS ABOUT NUTRITION AND ACCESS TO HEALTHY AFFORDABLE FOODS. THE COST OF FOOD, INCLUDING PRODUCE, HAS INCREASED, ADDING MORE CHALLENGES TO FAMILIES ALREADY STRUGGLING TO ACQUIRE NUTRITIOUS FOODS. (CONTINUED ON FUTURE PAGE)
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 4:	SEATTLE CHILDREN'S LAST CONDUCTED A CHNA IN THE FISCAL YEAR ENDED SEPTEMBER 30TH, 2022, WHICH WAS TAX YEAR 2021. THE NEXT CHNA WILL BE COMPLETED IN THE FISCAL YEAR ENDED SEPTEMBER 30TH, 2025, WHICH IS TAX YEAR 2024.
PART VI, LINE 7:	BECAUSE THERE IS NO REQUIREMENT TO DO SO, SEATTLE CHILDREN'S HOSPITAL DOES NOT FILE A COMMUNITY BENEFIT REPORT IN WASHINGTON OR ANY OTHER STATE.

Schedule H (Form 990) 2023

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?22
Name and address		Type of Facility (describe)
1	1 - RESEARCH INST JACK R MACDONALD BLDG 1900 NINTH AVE SEATTLE,WA98101	PEDIATRIC RESEARCH
2	2 - RESEARCH INSTITUTE BUILDING CURE 1920 TERRY AVE SEATTLE,WA98101	PEDIATRIC RESEARCH
3	3 - RESEARCH INSTITUTE 307 WESTLAKE 307 WESTLAKE AVE N SEATTLE,WA98109	PEDIATRIC RESEARCH
4	4 - RESEARCH INSTITUTE OLIVE LAB 1100 OLIVE WAY STE 100 SEATTLE,WA98101	PEDIATRIC RESEARCH
5	5 - BELLEVUE CLINIC & SURGERY CENTER 1500 116TH AVE NE BELLEVUE,WA98004	CLINIC, SUB SPECIALTY SERVICES, URGENT CARE AND SURGERY CENTER
6	6 - SEATTLE CHILDREN'S HOME CARE SERVICES 2525 220TH STREET SE STE 101 BOTHELL,WA98201	PEDIATRIC HOME CARE SERVICES THAT SUPPORT HOSPITAL
7	7 - SEATTLE CHILDREN'S SOUTH CLINIC 34920 ENCHANTED PARKWAY S FEDERAL WAY,WA98003	AMBULATORY CLINIC PROVIDING PRIMARY, CARDIOLOGY AND SUB SPECIALTY CARE
8	8 - SEATTLE CHILDREN'S NORTH CLINIC 1815 13TH ST EVERETT,WA98201	CLINIC, SUB SPECIALTY SERVICES, AND URGENT CARE
9	9 - SEATTLE CHILDREN'S AT OVERLAKE 1231 116TH AVE NE STE 385 BELLEVUE,WA98004	SUB SPECIALTY CARE
10	10 - ODESSA BROWN CLINIC OTHELLO 3939 S OTHELLO ST STE 101 SEATTLE,WA98118	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE
11	11 - SEATTLE CHILDREN'S MAGNUSON 6901 SAND POINT WAY NE SEATTLE,WA98115	AUTISM CLINIC, OUTPATIENT PSYCHIATRIC, AND BEHAVIORAL CENTER
12	12 - SEATTLE CHILDREN'S FETAL CARE CLINIC 4540 SAND POINT WAY NE BLDG 1 STE 32 SEATTLE,WA98105	FETAL CARE AND TREATMENT CENTER
13	13 - SOUTH SOUND CARDIOLOGY CEDAR MED CTR 1901 S CEDAR ST STE 103 TACOMA,WA98405	CARDIOLOGY CLINIC
14	14 - SOUTH SOUND CARDIOLOGY CLEAR CREEK 9800 LEVIN RD NW STE 204 SILVERDALE,WA98383	CARDIOLOGY CLINIC
15	15 - SEATTLE CHILDREN'S OLYMPIA CLINIC 615 LILLY ROAD MEDICAL BLDG STE 140 OLYMPIA,WA98506	AMBULATORY CLINIC PROVIDING PRIMARY, CARDIOLOGY AND SUB SPECIALTY CARE
16	16 - SAND POINT CLINIC 4575 SAND POINT WAY NE STE 106 SEATTLE,WA98105	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE
17	17 - PEDIATRIC CARDIOLOGY OF MONTANA 2510 BOBCAT WAY GREAT FALLS,MT59405	CARDIOLOGY CLINIC
18	18 - ALYSSA BURNETT ADULT LIFE CENTER 19213 BOTHELL WAY NE BOTHELL,WA98011	LIFELONG LEARNING FOR ADULTS WITH AUTISM & OTHER DEVELOPMENTAL DISABILITIES
19	19 - ADOLESCENT MEDICINE AT SPRINGBROOK 4540 SAND POINT WAY NE BLDG 1 STE 200 SEATTLE,WA98105	ADOLESCENT MEDICAL CLINIC
20	20 - PEDIATRIC CARDIOLOGY OF ALASKA 3841 PIPER ST STE T345 ANCHORAGE,AK99508	CARDIOLOGY CLINIC
21	21 - SEATTLE CHILDREN'S TRI-CITIES CLINIC 8232 W GRANDRIDGE BLVD KENNEWICK,WA99336	AMBULATORY CLINIC PROVIDING PRIMARY AND SUB SPECIALTY CARE
22	22 - SEATTLE CHILDREN'S WENATCHEE CLINIC 526 N CHELAN AVE STE B WENATCHEE,WA98801	PEDIATRIC MEDICAL CLINIC

Schedule H (Form 990) 2023

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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 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 PARTIAL FINANCIAL ASSISTANCE WHEREBY THEY ARE RESPONSIBLE FOR PAYING A PERCENTAGE OF THEIR BILL WHICH IS PROPORTIONATELY DISCOUNTED BASED ON THEIR INCOME AND SEATTLE CHILDREN'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 $ 3,373,893.
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:	IN FISCAL YEAR 2024, AS PART OF OUR MISSION TO PROVIDE HOPE, CARE AND CURES, SEATTLE CHILDREN'S PROVIDED $1.7 MILLION IN COMMUNITY BUILDING ACTIVITIES AND OVER 23,000 PAID STAFF HOURS TO PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE. EACH YEAR, 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 CONTINUE TO BUILD ON OUR LONG AND STRONG RECORD OF COLLABORATION WITH COMMUNITY GROUPS, BUSINESSES, ACADEMIC INSTITUTIONS AND GOVERNMENT ORGANIZATIONS WITH THE GOAL OF IMPROVING HEALTH OUTCOMES FOR CHILDREN AND THEIR FAMILIES WITH AN EMPHASIS ON WORKING ALONGSIDE OUR COMMUNITIES TO ADDRESS SOME DETERMINANTS OF HEALTH. SOME EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES INCLUDE THE FOLLOWING:- OUR CLINICAL AND NON-CLINICAL STAFF AND PROVIDERS PROVIDE MENTORING AND SHADOWING OPPORTUNITIES THAT DISCUSS EMPLOYMENT OPPORTUNITIES IN HEALTHCARE TO ALL STUDENTS AND MEMBERS OF ALL COMMUNITIES IN OUR REGION. ONE OF THE PROGRAMS WE OFFER 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. IN FISCAL YEAR 2024 SEATTLE CHILDREN'S PROVIDED 3,600 PAID STAFF HOURS TOWARD THIS TRAINING PROGRAM. 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. THEIR SKILLS TO ASSESS PEDIATRIC PATIENTS WILL HAVE A VALUABLE IMPACT IN CASE OF EMERGENCY RESPONSE DEPLOYMENT. IN LIGHT OF CERTAIN TYPES OF DISASTERS AND GLOBAL PANDEMICS, 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. THIS TRAINING AND MENTORSHIP PROGRAM GOES WELL BEYOND OUR CLINICAL EXPERTISE FOR THE NEXT GENERATION OF HEALTH CARE WORKFORCE: IN 2024 WE INVESTED OVER $350,000 INTO OUR NON-CLINICAL SUMMER INTERNSHIP EXPERIENCES FOR YOUTH AND YOUNG PEOPLE. THIS PROGRAM PROVIDES OPPORTUNITIES FOR STUDENTS TO ENGAGE IN HANDS ON PROJECTS THAT GROW AND STRENGTHEN PROFESSIONAL DEVELOPMENT SKILLS AND BUILD CONNECTIONS WITH FELLOW INTERNS AND MENTORS. ADDITIONALLY, WE INVESTED OVER $134,000 INTO OUR MEDICAL OBSERVATIONS AND JOB SHADOWING PROGRAM WHERE INDIVIDUALS WITH OR WITHOUT PRIOR MEDICAL EDUCATION OBSERVED MEDICAL PROFESSIONALS AS THEY CARED FOR PATIENTS AND FAMILIES. OBSERVATION EXPERIENCES USUALLY OCCURRED OVER ONE TO TWO DAYS AND WE HOSTED 800 PEOPLE IN MEDICAL OBSERVATIONS AND/OR JOB SHADOWS LAST YEAR.- ODESSA BROWN CHILDREN'S CLINIC (OBCC) IS A COMMUNITY CLINIC OF SEATTLE CHILDREN'S. OBCC HAS LONG EMPLOYED A THRIVING COMMUNITY APPROACH FOR THEIR PATIENTS: CHILDREN FROM BIRTH THROUGH AGE 21 WHO RECEIVE CARE FROM A TEAM OF SPECIALLY TRAINED PEDIATRIC CARE PROVIDERS. OBCC HAS A RICH HERITAGE OF SERVING THE COMMUNITY WITH A TEAM THAT REFLECTS THE COMMUNITY SERVED. THE CLINIC'S NEWEST LOCATION NEAR THE OTHELLO LINK LIGHT RAIL STATION OPENED IN MARCH 2022. THIS OTHELLO LOCATION IS CLOSER TO 75% OF FAMILIES SERVED BY OBCC WHO HAVE MOVED TO SOUTH SEATTLE AND SOUTH KING COUNTY FOR MORE AFFORDABLE HOUSING. THE CLINIC IS LOCATED WITHIN OTHELLO SQUARE, AN URBAN COMMUNITY CONCEPT ON 3.2 ACRES THAT OFFERS COMPLEMENTARY SERVICES, PARTNERS AND RESIDENCES. THESE INCLUDE AN ECONOMIC OPPORTUNITY CENTER, COMPUTER LAB, CHARTER SCHOOL, EARLY LEARNING CENTER AND MIXED-INCOME HOUSING. OBCC PROVIDES MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO OVER 7,000 PATIENTS AT MORE THAN 40,000 CLINICAL VISITS PER YEAR, FOCUSING ESPECIALLY ON FAMILIES IN LOW-INCOME COMMUNITIES. IN FISCAL YEAR 2024, OBCC DISTRIBUTED MORE THAN $5,000 WORTH OF BOOKS TO THEIR PATIENT FAMILIES DURING WELL CHILD VISITS TO FOSTER EARLY LITERACY AND HEALTHY RELATIONSHIPS BETWEEN PARENTS AND THEIR INFANTS AND YOUNG CHILDREN. OBCC'S MODEL FOR CARE IS UNIQUE AND ADDRESSES THE SOCIAL, ECONOMIC AND ENVIRONMENTAL ROOTS OF ILLNESS. OBCC HAS A MULTI-PRONGED AND MULTI-DISCIPLINARY APPROACH TO HEALTH: ONE THAT AIMS TO REDUCE THE NUMBER OF UNDER OR UNINSURED, PROMOTE ACCESS TO HEALTH CARE, IMPROVE CARE COORDINATION AND ENCOURAGE HEALTHY BEHAVIORS. - WE HAVE ALSO INCREASED OUR COMMUNITY BUILDING EFFORTS AMONGST HOSPITAL DEPARTMENTS AND COMMUNITY GROUPS IN THE REGION. OUR WORKFORCE CONNECTION GROUPS HAVE PARTNERED WITH COMMUNITY BASED ORGANIZATIONS TO DEVELOP AND SUPPORT PROGRAMMING LED BY LOCAL LEADERS AND TO INVEST IN COMMUNITY BUILDING EFFORTS ON BEHALF OF SEATTLE CHILDREN'S. - WE ALSO PROVIDE SPONSORSHIPS TO COMMUNITY ORGANIZATIONS THAT SUPPORT CHILDREN, YOUTH AND FAMILIES BY PROVIDING QUALITY CHILDHOOD EDUCATION, WORKFORCE DEVELOPMENT, YOUTH DEVELOPMENT AND PARENTING EDUCATION. WE 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; 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 9 TITLED "PATIENT ACCOUNTS RECEIVABLE," WHICH IS FOUND ON PAGE 29 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 IS NOT TREATED AS COMMUNITY BENEFIT ON PART I LINE 7, BUT IS REPORTED ON PART III LINE 7.
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. 3. 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 V, SECTION B, LINE 3E:	AS STATED, SEATTLE CHILDREN'S CONDUCTED ITS FOURTH COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022 TO COVER THE FISCAL PERIOD ENDING 2022-2025 (TAX YEARS 2021-2024), PRODUCING A PRIORITIZED LIST OF SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY SERVED BY SEATTLE CHILDREN'S. FOR THIS CHNA, WE GATHERED OVER 150 INDICES OF PEDIATRIC HEALTH STATUS AND OUTCOMES IN THE WASHINGTON, ALASKA, MONTANA, AND IDAHO REGION AND CONDUCTED STAKEHOLDER INTERVIEWS AND HELD LISTENING SESSIONS WITH COMMUNITY MEMBERS. AN ANALYSIS OF THESE DATA PRODUCED A LIST OF FOUR PRIORITIZED AND SIGNIFICANT HEALTH NEEDS FOR THE PEDIATRIC POPULATION WE SERVED OVER THE ANALYSIS PERIOD: MENTAL AND BEHAVIORAL HEALTH, SUICIDE AND INJURY PREVENTION, ECONOMIC OPPORTUNITY 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.
PART VI, LINE 2:	IN ADDITION TO CONDUCTING ITS PEDIATRIC CHNA, SEATTLE CHILDREN'S COLLABORATES WITH OTHER HOSPITALS IN THE KING COUNTY REGION TO JOINTLY AUTHOR A SECOND AND MORE GEOGRAPHICALLY FOCUSED COMMUNITY HEALTH NEEDS ASSESSMENT. SEATTLE CHILDREN'S ALSO DEVELOPS AND AUTHORS A STRATEGIC PLAN THAT INVESTIGATES AND RESEARCHES THE CURRENT STATE OF SPECIALTY CARE ACCESS, MENTAL HEALTH AND EMERGENCY CARE ACCESS, AND SHORTAGE ISSUES INCLUDING BOTH SERVICES AND STAFFING. WE ALSO 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. FINALLY, NUMEROUS PROGRAMS AND DEPARTMENTS IN THE HOSPITAL CONDUCT 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 TELEPHONE INTERPRETATION LINE 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. A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS PROVIDED DURING THE ELECTRONIC CHECK-IN PROCESS THROUGH THE PATIENT PORTAL AND ALSO INCLUDED ON ALL HOSPITAL BILLS, 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:	WITH A SERVICE AREA OF ALMOST ONE MILLION SQUARE MILES, 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. APPROXIMATELY 50% OF OUR PATIENTS ARE UNINSURED OR INSURED BY MEDICAID OR THE CHILDREN'S HEALTH INSURANCE PROGRAM (KNOWN AS CHIP OR APPLE HEALTH FOR KIDS IN WASHINGTON STATE). IN FISCAL YEAR 2024, WE HAD 526,855 PATIENT VISITS. 19% OF OUR PATIENTS CAME FROM SEATTLE, 33% FROM A PART OF KING COUNTY OTHER THAN SEATTLE, 44% 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, RURAL, AND FRONTIER COMMUNITIES.OF THE MORE THAN 7.9 MILLION RESIDENTS OF WASHINGTON STATE, APPROXIMATELY 21% ARE UNDER 18 YEARS OLD. WASHINGTON STATE DATA ALSO SHOWS THAT 15% OF THE POPULATION ARE FOREIGN-BORN WITH 21% SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME. ALSO, 11.4% OF CHILDREN IN WASHINGTON STATE LIVE IN POVERTY, AND WHILE POVERTY IS CONCENTRATED IN DENSELY POPULATED URBAN AREAS, RURAL CHILDREN IN WASHINGTON STATE ARE DISPROPORTIONATELY AFFECTED BY POVERTY: IN THE NINE COUNTIES DESIGNATED BY THE WASHINGTON STATE DEPARTMENT OF HEALTH AS URBAN, 10.9% OF CHILDREN UNDER 18 LIVE IN POVERTY COMPARED TO 16.7% IN COUNTIES DESIGNATED AS RURAL. THE ECONOMIC DEVASTATION ACCOMPANYING THE CORONAVIRUS PANDEMIC DROVE WASHINGTONIANS ONTO MEDICAID IN RECORD NUMBERS: STATE MEDICAID SYSTEM ENROLLMENT JUMPED 11% DURING THE PANDEMIC, INSURING 2 MILLION WASHINGTONIANS, TOTALING MORE THAN ONE IN FIVE WASHINGTON RESIDENTS AND NEARLY HALF THE STATE'S CHILDREN. FROM MARCH 2023, THE END OF THE CONTINUOUS MEDICAID ENROLLMENT PROVISION DURING THE PANDEMIC, UNTIL SEPTEMBER 2024, APPROXIMATELY 470,000 WASHINGTON RESIDENTS WERE DISENROLLED FROM MEDICAID, AND 24% OF THOSE DISENROLLED WERE CHILDREN. IN 2023, 4.8% OF WASHINGTONIANS WERE UNINSURED, UP SLIGHTLY FROM 4.7% IN 2022.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 10-20 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.
PART VI, LINE 6:	SEATTLE CHILDREN'S HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART V, SECTION B, LINE 11:	(CONTINUED FROM PRIOR PAGE)ALTHOUGH THERE IS NO SINGULAR OR SIMPLE SOLUTION, SEATTLE CHILDREN'S IS COMMITTED TO PROMOTING HEALTHY LIFESTYLES AND INCREASING ACCESS TO HEALTHY FOODS AS A PORTION OF ITS RESOURCE INVESTMENT. SEATTLE CHILDREN'S IS IMPROVING FOOD ACCESS AND AFFORDABILITY THROUGH ITS FRESHBUCKS RX AND SNAP MARKET INITIATIVES AND SCREENING PATIENT FAMILIES FOR FOOD INSECURITY AND REFERRING THESE FAMILIES TO RESOURCES. TO SUPPORT PHYSICAL ACTIVITY AND HEALTHY RECREATION WE ARE EXPANDING THE IMPLEMENTATION OF THE EVIDENCE-BASED ACT! CURRICULUM AND ADVOCATING FOR WATER BOTTLE FILLING STATIONS AND UPGRADES TO PLAYGROUND EQUIPMENT IN SCHOOLS. TO SUPPORT HEALTHY EATING AND NUTRITIONAL AWARENESS SEATTLE CHILDREN'S IS EXPANDING CULTURALLY AND COMMUNITY TAILORED PROGRAMMING FOR PATIENT FAMILIES THROUGH COOKING DEMONSTRATIONS AND COMMUNITY GARDENING CLASSES. THESE STRATEGIES ARE FOUNDATIONAL IN CREATING BETTER PEDIATRIC HEALTHCARE OUTCOMES FOR ALL IN THE REGION. (4) ECONOMIC OPPORTUNITY:APPROXIMATELY 30% OF CHILDREN IN THE UNITED STATES LIVE IN POVERTY OR NEAR POVERTY AND ONE IN THREE U.S. CHILDREN SPEND ONE YEAR OR MORE LIVING IN A HOUSEHOLD THAT IS BELOW THE POVERTY LINE BEFORE THEIR 18TH BIRTHDAY. THE POVERTY LEVEL IS SET BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) AND IS THE SAME FOR A FAMILY IN SEATTLE AS IT IS FOR A FAMILY IN WAPATO. EVEN THOUGH WASHINGTON IS AMONG THE TOP FIVE STATES WITH THE MOST ROBUST ECONOMY, 14% OF CHILDREN IN WASHINGTON LIVE IN HOUSEHOLDS THAT FALL UNDER THE POVERTY THRESHOLD, WHICH IS SET AT AN ANNUAL INCOME OF $24,860 OR LESS FOR A FAMILY OF THREE. THE LONG-TERM EFFECTS OF LIVING UNDER ECONOMIC INSECURITY MANIFEST IN SEVERAL WAYS AND ARE LINKED TO POORER HEALTH OUTCOMES. REDUCING CHILD POVERTY AND PROMOTING ECONOMIC SECURITY AND MOBILITY NOT ONLY IMPROVES WELL-BEING FOR CHILDREN AND THEIR FAMILIES, BUT ALSO HAS LONG-TERM NET BENEFITS FOR SOCIETY, SUCH AS HIGHER TAXES PAID, LOWER HEALTH CARE COSTS, AND LESS CRIME. INVESTING IN THE HEALTH AND WELL-BEING OF OUR CHILDREN -- OUR NATION'S FUTURE COMMUNITY MEMBERS AND LEADERS -- IS CRITICAL TO EFFECTIVELY MAINTAIN AND CULTIVATE A THRIVING REGION. BECAUSE THE RELATIONSHIP BETWEEN WEALTH, LOCATION AND HEALTH HAS BEEN WELL-ESTABLISHED, SEATTLE CHILDREN'S SEEKS TO INTENTIONALLY LEVERAGE OUR ASSETS TO ACHIEVE BETTER PEDIATRIC HEALTH OUTCOMES BY IMPROVING ECONOMIC VITALITY AND ADDRESSING OTHER SOCIAL DETERMINANTS OF HEALTH. INVESTING IN TRANSPORTATION AND HOUSING AFFORDABILITY, EDUCATION (INCLUDING EARLY CHILDHOOD EDUCATION), AND EMPLOYMENT ARE SOME AVENUES SEATTLE CHILDREN'S IS TARGETING TO IMPROVE ECONOMIC SECURITY IN COMMUNITIES ACROSS WAMI.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 HIRING, ESPECIALLY FROM UNDER-RESOURCED COMMUNITIES IN OUR REGION. WE HAVE SIMILAR GOALS FOR PURCHASED SERVICES AND SUPPLIES AS WELL AS MEASURABLES OF LOCAL HIRING IN EACH OF OUR CONSTRUCTION PROJECTS. WE PLAN ON DEVELOPING AND MAINTAINING LOCAL HOUSING SUPPORTS, SUPPORTING THE MEDICAL LEGAL PARTNERSHIP, 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.2022 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.

Schedule H (Form 990) 2023

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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

2023

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) AIDS HEALTHCARE FOUNDATION 6255 W SUNSET BLVD 21ST FL LOS ANGELES,CA90028	95-4112121	501(C)(3)	11,882	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(2) AKRON CHILDREN'S HOSPITAL PO BOX 74681 CLEVELAND,OH441940002	34-0714357	501(C)(3)	28,544	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(3) ALASKA MARINE SAFETY EDUCATION ASSOCIATION 2924 HALIBUT POINT RD SITKA,AK99835	92-0129584	501(C)(3)	20,000	GRANT FOR SAFETY TRAINING PROGRAM
(4) ALLEN INSTITUTE 615 WESTLAKE AVE N SEATTLE,WA98109	91-2155317	501(C)(3)	721,437	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(5) ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO 225 EAST CHICAGO AVE BOX 205 CHICAGO,IL60611	36-2170833	501(C)(3)	126,415	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(6) ARIZONA STATE UNIVERSITY PO BOX 876011 TEMPE,AZ852876011	86-0196696	GOVERNMENT	523,677	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(7) ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE INC 1 CHILDRENS WAY LITTLE ROCK,AR722023591	71-0694931	501(C)(3)	34,194	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(8) ASCENSION SETON PO BOX 204242 DALLAS,TX753204242	74-1109643	501(C)(3)	5,147	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(9) ASHLEY HOUSE 33811 9TH AVE S FEDERAL WAY,WA98003	94-3080307	501(C)(3)	200,000	GIFT IN SUPPORT OF PEDIATRIC TRANSITIONAL CARE FACILITY AND SEATTLE PRIDE PARADE PARTNERSHIP
(10) ATLANTIC STREET CENTER 2103 S ATLANTIC STREET SEATTLE,WA981443615	91-0568710	501(C)(3)	6,000	ANNUAL GALA SPONSORSHIPS
(11) BATTELLE MEMORIAL INSTITUTE 505 KING AVE COLUMBUS,OH432012693	31-4379427	501(C)(3)	196,405	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(12) BAYLOR COLLEGE OF MEDICINE 6701 FANNIN ST STE 1040 HOUSTON,TX77030	74-1613878	501(C)(3)	212,455	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(13) BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 NINTH AVE SEATTLE,WA981012795	91-0653422	501(C)(3)	452,958	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(14) BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE BOSTON,MA02215	04-2103881	501(C)(3)	370,410	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(15) CAL POLY CORPORATION 1 GRAND AVE BLDG 15 SAN LUIS OBISPO,CA93407	95-1648180	501(C)(3)	8,310	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(16) CAREER PATH SERVICES 10 N POST ST STE 200 SPOKANE,WA99201	91-1032846	501(C)(3)	20,000	SUPPORT OF CAREERWORK$ MEDICAL PROGRAM
(17) CATHOLIC UNIVERSITY OF AMERICA 620 MICHIGAN AVE NE WASHINGTON,DC20064	53-0196583	501(C)(3)	76,636	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(18) CENTER FOR MULTICULTURAL HEALTH 1120 EAST TERRACE ST STE 200 SEATTLE,WA98122	91-0983698	501(C)(3)	30,000	DONATION TO HEALTHY KING COUNTY COALITION BUILD HEALTH CHALLENGE
(19) CHILDREN'S ALLIANCE 113 CHERRY ST BOX 87190 SEATTLE,WA98104	91-0982879	501(C)(3)	7,500	SPONSORSHIP OF VOICES FOR CHILDREN EVENT
(20) CHILDREN'S HOSPITAL BOSTON PO BOX 414413 BOSTON,MA022414413	04-2774441	501(C)(3)	162,359	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(21) CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD LOS ANGELES,CA90027	95-1690977	501(C)(3)	479,803	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(22) CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNET AVE CINCINNATI,OH452293039	31-0833936	501(C)(3)	145,911	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(23) CHILDREN'S HOSPITAL OF ORANGE COUNTY 1201 W LA VETA AVE ORANGE,CA92868	95-2321786	501(C)(3)	14,739	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(24) CHILDREN'S HOSPITAL OF PHILADELPHIA PO BOX 8500 LOCKBOX 1457 PHILADELPHIA,PA191781457	23-1352166	501(C)(3)	568,675	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(25) CHILDREN'S MINNESOTA 2525 CHICAGO AVE S MINNEAPOLIS,MN55404	38-3384800	501(C)(3)	8,397	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(26) CHILDREN'S NATIONAL MEDICAL CENTER 111 MICHIGAN AVE NW STE 5400 WASHINGTON,DC20010	52-1640403	501(C)(3)	63,799	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(27) CITY OF GUSTAVUS PO BOX 1 GUSTAVUS,AK99826	27-0085777	GOVERNMENT	40,000	GRANTS FOR CHILDREN'S PLAY EQUIPMENT AND IMPROVEMENTS AT SALMON RIVER PARK
(28) COLORADO STATE UNIVERSITY 2002 CAMPUS DELIVERY FORT COLLINS,CO805232002	84-6000545	GOVERNMENT	2,776,745	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(29) COLUMBIA UNIVERSITY PO BOX 29789 GPO NEW YORK,NY100879789	13-5598093	501(C)(3)	76,311	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(30) COMMUNITY CONNECTIONS INC 721 STEDMAN ST KETCHIKAN,AK99901	92-0112719	501(C)(3)	20,000	GRANT TO FURNISH THERAPY AND REHAB SERVICES GROUP ROOMS AND UPDATE NEW SENSORY TOYS
(31) CONNECTICUT CHILDREN'S MEDICAL CENTER 282 WASHINGTON ST HARTFORD,CT06106	06-0646755	501(C)(3)	24,428	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(32) COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVE FORT WORTH,TX76104	75-2051646	501(C)(3)	52,810	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(33) COREWELL HEALTH 100 MICHIGAN ST NE GRAND RAPIDS,MI49503	38-3382353	501(C)(3)	86,921	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(34) CORNELL UNIVERSITY PO BOX 22 ITHACA,NY148510022	15-0532082	501(C)(3)	46,482	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(35) DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVE BP451 BOSTON,MA02215	04-2263040	501(C)(3)	820,039	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(36) DOWNTOWN SEATTLE ASSOCIATION 1809 7TH AVE STE 900 SEATTLE,WA98101	91-0681761	501(C)(6)	11,210	SPONSORSHIPS OF ANNUAL MEETING AND STATE OF DOWNTOWN EVENT
(37) DREXEL UNIVERSITY COLLEGE OF MEDICINE BOX 3352 2301 ERWIN RD PHILADELPHIA,PA191951010	23-2979433	501(C)(3)	28,615	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(38) DUKE UNIVERSITY HEALTH SYSTEM INC 2200 W MAIN ST STE 220 DURHAM,NC27705	56-2070036	501(C)(3)	150,597	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(39) EMORY UNIVERSITY PO BOX 935084 ATLANTA,GA311935084	58-0566256	501(C)(3)	1,296,318	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(40) EVERGREEN HEALTH 12040 NE 128TH ST MS 50 KIRKLAND,WA980343098	91-0844563	GOVERNMENT	14,828	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(41) FATHOMS ALASKA LLC 8403 NUGGET DR JUNEAU,AK99801	88-3015884		7,500	GRANT FOR CANOEING PADDLE WORKSHOP
(42) FLORIDA INTERNATIONAL UNIVERSITY 11200 SW 8TH ST MIAMI,FL33199	65-0177616	GOVERNMENT	235,401	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(43) FLORIDA STATE UNIVERSITY PO BOX 3064166 TALLAHASSEE,FL32306	59-1961248	GOVERNMENT	206,631	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(44) FORTERRA NW 5101 14TH AVE NW STE 200 307 SEATTLE,WA98194	94-3112461	501(C)(3)	24,312	CONTRIBUTION TOWARD THE PLANTING OF TREES IN ORDER TO SEQUESTER CARBON
(45) FRED HUTCHINSON CANCER CENTER PO BOX 19024 SEATTLE,WA98109	91-1935159	501(C)(3)	2,255,265	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(46) GEORGETOWN UNIVERSITY PO BOX 825738 PHILADELPHIA,PA191825738	53-0196603	501(C)(3)	51,158	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(47) GEORGIA REGENTS UNIVERSITY PO BOX 945552 ATLANTA,GA30394	58-1418202	501(C)(3)	13,746	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(48) GEORGIA TECH RESEARCH CORPORATION PO BOX 100117 ATLANTA,GA303840117	58-0603146	501(C)(3)	201,271	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(49) HEALTHCARE ANCHOR NETWORK INC 2202 18TH ST NW STE 317 WASHINGTON,DC20009	86-2147253	501(C)(3)	7,500	DONATION
(50) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL BOX 3500 NEW YORK,NY10029	13-6171197	501(C)(3)	146,192	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(51) INDIANA UNIVERSITY PO BOX 78000 DETROIT,MI482780867	35-6001673	GOVERNMENT	96,156	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(52) INSTITUTE FOR SYSTEMS BIOLOGY 401 TERRY AVE N SEATTLE,WA981095263	91-2003593	501(C)(3)	53,152	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(53) JOHNS HOPKINS UNIVERSITY 12529 COLLECTIONS CENTER DR CHICAGO,IL60693	52-0595110	GOVERNMENT	271,470	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(54) JUNEAU MOUNTAIN BIKE ALLIANCE 2544 DOUGLAS HWY JUNEAU,AK99801	81-2221061	501(C)(3)	10,000	GRANT FOR BIKE PARK DEVELOPMENT PROJECT
(55) KENNEDY KRIEGER INSTITUTE INC 1741 ASHLAND AVE 7TH FL BALTIMORE,MD212051531	52-1524965	501(C)(3)	10,000	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(56) KITWARE INC 1712 ROUTE 9 STE 200 CLIFTON PARK,NY12065	14-1802694		200,427	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(57) KLAWOCK CITY SCHOOL DISTRICT PO BOX 9 KLAWOCK,AK99925	92-6000105	GOVERNMENT	12,500	GRANT FOR KLAWOCK SCHOOL GIRLS BASKETBALL TEAM TRIP
(58) LA JOLLA INSTITUTE FOR IMMUNOLOGY 9420 ATHENA CIRCLE LA JOLLA,CA92037	33-0328688	501(C)(3)	8,856	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(59) LOS ANGELES BIOMEDICAL RESEARCH INSTITUTE AT HARBOR-UCLA MEDICAL CENTER 1124 WEST CARSON ST TORRANCE,CA90502	95-2138184	501(C)(3)	71,836	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(60) LOUISIANA STATE UNIVERSITY 1430 TULANE AVE STE 4530 NEW ORLEANS,LA70112	72-6087770	GOVERNMENT	191,168	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(61) MAINE MEDICAL CENTER 1 DANA COURT WESTBROOK,ME04092	01-0238552	501(C)(3)	16,332	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(62) MARCH OF DIMES 5129 EVERGREEN WAY SET D 179 EVERETT,WA98203	13-1846366	501(C)(3)	22,500	SPONSORSHIPS OF MARCH FOR BABIES AND NURSE OF THE YEAR EVENTS
(63) MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DR LEBANON,NH03756	02-0222140	501(C)(3)	57,924	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(64) MASSACHUSETTS GENERAL HOSPITAL PO BOX 414876 BOSTON,MA022414876	04-2697983	501(C)(3)	253,810	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(65) MAYO CLINIC 200 FIRST ST SW ROCHESTER,MN55905	41-6011702	501(C)(3)	11,189	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(66) MEDICAL UNIVERSITY OF SOUTH CAROLINA 1 SOUTH PARK CIRCLE CHARLESTON,SC29407	57-6000722	GOVERNMENT	147,099	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(67) MEMORIAL HEALTH SERVICES 17360 BROOKHURST ST FOUNTAIN VALLEY,CA92708	95-1643381	501(C)(3)	10,660	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(68) MEMORIAL HEALTHCARE SYSTEM PO BOX 538514 ATLANTA,GA303538514	59-6014973	GOVERNMENT	5,969	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(69) METROPOLITAN SEATTLE SICKLE CELL TASK FORCE PO BOX 20194 SEATTLE,WA98102	91-1670471	501(C)(3)	5,500	ANNUAL WALK SPONSORSHIP
(70) MICHIGAN STATE UNIVERSITY 426 AUDITORIUM RD RM 2 EAST LANSING,MI488241048	38-6005984	GOVERNMENT	38,663	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(71) NATIONAL JEWISH HEALTH 1400 JACKSON ST M216 DENVER,CO80206	74-2044647	501(C)(3)	82,291	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(72) NEW YORK MEDICAL COLLEGE 40 SUNSHINE COTTAGE RD VALHALLA,NY10595	13-1099420	501(C)(3)	20,723	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(73) NO MORE UNDER 3815 S OTHELLO ST STE 100-310 SEATTLE,WA98118	84-3022106	501(C)(3)	6,700	FUNDRAISING EVENT SPONSORSHIP
(74) NORTHWESTERN UNIVERSITY 633 CLARK ST ROOM G 547 EVANSTON,IL602081112	36-2167817	501(C)(3)	27,274	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(75) NOVA SOUTHEASTERN UNIVERSITY 3301 COLLEGE AVE FORT LAUDERDALE,FL33314	59-1083502	501(C)(3)	59,821	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(76) OHIO STATE UNIVERSITY PO BOX 772398 DETROIT,MI482772398	31-6025986	GOVERNMENT	379,533	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(77) OREGON HEALTH AND SCIENCE UNIVERSITY PO BOX 3003 PORTLAND,OR972083003	93-1176109	GOVERNMENT	5,532,639	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(78) PENNSYLVANIA STATE UNIVERSITY PO BOX 8500 LOCKBOX 1457 HERSHEY,PA17033	24-6000376	GOVERNMENT	58,304	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(79) PRISMA HEALTH-MIDLANDS TAYLOR AT MARION ST COLUMBIA,SC29220	58-2296052	501(C)(3)	20,215	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(80) PROVIDENCE ALASKA MEDICAL CENTER LB 1128 PO BOX 35143 SEATTLE,WA981245143	92-0016429	501(C)(3)	25,950	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(81) PROVIDENCE HEALTH & SERVICES - WASHINGTON 1801 LIND AVE SW RENTON,WA98057	51-0216586	501(C)(3)	17,961	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(82) REGENTS OF THE UNIVERSITY OF CALIFORNIA AT SAN DIEGO 9444 MEDICAL CENTER DR LA JOLLA,CA920370706	95-6006144	501(C)(3)	12,518	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(83) REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO PO BOX 748872 LOS ANGELES,CA900744872	94-6036493	501(C)(3)	183,921	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(84) REGENTS OF THE UNIVERSITY OF MICHIGAN C/O BNY MELLON BOX 223131 PITTSBURGH,PA152512131	38-6006309	GOVERNMENT	59,379	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(85) REGENTS OF THE UNIVERSITY OF MINNESOTA NW 5957 PO BOX 1450 MINNEAPOLIS,MN554855957	41-6007513	GOVERNMENT	389,335	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(86) REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES PO BOX 748872 LOS ANGELES,CA900744872	95-6006143	501(C)(3)	205,254	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(87) RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK PO BOX 9 ALBANY,NY122010009	14-1368361	501(C)(3)	78,963	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(88) RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL PO BOX 78000 DEPT 781653 DETROIT,MI482781653	31-6056230	501(C)(3)	793,823	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(89) RONALD MCDONALD HOUSE CHARITIES OF WESTERN WASHINGTON & ALASKA 5130 40TH AVE NE SEATTLE,WA98105	91-1061043	501(C)(3)	636,808	SUPPORT FOR HOUSING PROGRAMS AND GALA SPONSORSHIP
(90) RUTGERS THE STATE UNIVERSITY OF NEW JERSEY 33 KNIGHTSBRIDGE RD PISCATAWAY,NJ08854	46-2354111	GOVERNMENT	161,186	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(91) SALK INSTITUTE FOR BIOLOGICAL STUDIES 10010 N TORREY PINES RD LA JOLLA,CA92037	95-2160097	501(C)(3)	441,294	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(92) SANFORD RESEARCH USD 2301 E 60TH ST N SIOUX FALLS,SD571040589	46-0450378	501(C)(3)	8,072	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(93) SEATTLE COLLEGES FOUNDATION 1500 HARVARD AVE SEATTLE,WA98122	83-0551671	501(C)(3)	76,150	SUPPORT AND SCHOLARSHIPS FOR HEALTHCARE IT CERTIFICATE PROGRAM
(94) SEATTLE INSTITUTE FOR BIOMEDICAL AND CLINICAL RESEARCH 1660 S COLUMBIAN WAY S 151F SEATTLE,WA98108	91-1452438	501(C)(3)	85,357	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(95) SEATTLE OUT AND PROUD FOUNDATION 600 1ST AVE STE 300-D SEATTLE,WA98104	85-1407007	501(C)(3)	15,000	SEATTLE PRIDE PARADE PARTNERSHIP
(96) SEATTLE UNIVERSITY 901 12TH AVE SEATTLE,WA98122	91-0565006	501(C)(3)	8,145	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(97) SHEPHERD OF THE VALLEY LUTHERAN CHURCH PO BOX 34859 JUNEAU,AK99803	92-0102479	CHURCH	20,000	GRANT FOR UPDATES TO A NEW COMMUNITY PLAYGROUND
(98) SITKA CONSERVATION SOCIETY 201 LINCOLN ST STE 4 SITKA,AK99835	92-0096633	501(C)(3)	19,346	GRANT FOR PACIFIC HIGH SCHOOL EDIBLE GARDEN PROGRAM
(99) SITKA FINE ARTS CAMP 110 COLLEGE DRIVE STE 111 SITKA,AK99835	23-7240278	501(C)(3)	20,000	GRANT FOR RENOVATION OF STUDENT DORMS
(100) SITKA SCHOOL DISTRICT 300 KOSTROMETINOFF ST SITKA,AK98835	92-6000113	GOVERNMENT	26,489	GRANTS FOR ELEMENTARY SCHOOL ENTRANCE AND HIGH SCHOOL WHALE REARTICULATION PROJECTS
(101) SOLID GROUND WASHINGTON 1501 N 45TH ST SEATTLE,WA98103	23-7421892	501(C)(3)	12,000	GRANT FOR SAND POINT HOUSING AND GALA SPONSORSHIP
(102) SONIC CONCEPTS INC 18916 NORTH CREEK PKWY STE 115 BOTHELL,WA98011	91-1635176		49,574	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(103) SOUTHEAST ALASKA INDEPENDENT LIVING 8711 TEAL ST STE 300 JUNEAU,AK99801	92-0144370	501(C)(3)	20,000	GRANT FOR FIFTH GRADE CHALLENGE PROGRAM
(104) ST FRANCIS MEDICAL CENTER 1420 W PIONEER PKWY PEORIA,IL61615	37-0662569	501(C)(3)	30,582	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(105) ST JUDE CHILDREN'S RESEARCH HOSPITAL INC PO BOX 1000 DEPT 949 MEMPHIS,TN38148	62-0646012	501(C)(3)	61,774	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(106) ST LOUIS UNIVERSITY 221 N GRAND BLVD ST LOUIS,MO631083306	43-0654872	501(C)(3)	26,093	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(107) ST LUKE'S REGIONAL MEDICAL CENTER PO BOX 1663 BOISE,ID837011663	82-0161600	501(C)(3)	21,734	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(108) STANFORD UNIVERSITY PO BOX 44253 SAN FRANCISCO,CA941444253	94-1156365	501(C)(3)	278,738	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(109) SYRACUSE UNIVERSITY 119 BROWNE HALL SYRACUSE,NY132441140	15-0532081	501(C)(3)	215,942	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(110) TAKSHANUK WATERSHED COUNCIL HC PO BOX 2008 HAINES,AK99827	33-1069246	501(C)(3)	10,960	GRANT FOR STUDENT SUMMER PROGRAMS
(111) TEMPLE UNIVERSITY PO BOX 22432 NEW YORK,NY100872432	23-1365971	501(C)(3)	166,919	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(112) TEXAS A&M AGRILIFE RESEARCH 400 HARVEY MITCHELL PKWY S COLLEGE STATION,TX77845	74-6000541	GOVERNMENT	12,120	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(113) TEXAS BIOMEDICAL RESEARCH INSTITUTE PO BOX 760549 SAN ANTONIO,TX78245	74-1109630	501(C)(3)	155,085	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(114) THE CHILDREN'S MERCY HOSPITAL PO BOX 803852 KANSAS CITY,MO641803852	44-0605373	501(C)(3)	49,460	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(115) THE CLEVELAND CLINIC FOUNDATION PO BOX 931531 CLEVELAND,OH44193	34-0714585	501(C)(3)	295,887	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(116) THE FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH PO BOX 95000-7515 PHILADELPHIA,PA191957515	11-2673595	501(C)(3)	82,033	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(117) THE JACKSON LABORATORY PO BOX 90260 CHICAGO,IL606960260	01-0211513	501(C)(3)	186,590	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(118) THE MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN PLANK RD MILWAUKEE,WI53226	39-0806261	501(C)(3)	67,603	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(119) THE MEMORIAL FOUNDATION 2701 TIETON DR YAKIMA,WA98902	91-1022358	501(C)(3)	100,000	SUPPORT FOR EXPANSION OF CHILDREN'S VILLAGE FACILITY WHICH SERVES CHILDREN WITH SPECIAL HEALTHCARE NEEDS AND THEIR FAMILIES THROUGHOUT CENTRAL WASHINGTON
(120) THE NEMOURS FOUNDATION 10140 CENTURION PKWY N JACKSONVILLE,FL32256	59-0634433	501(C)(3)	92,385	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(121) THE ROCKEFELLER UNIVERSITY 1230 YORK AVE NEW YORK,NY10065	13-1624158	501(C)(3)	141,451	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(122) THE SCRIPPS RESEARCH INSTITUTE 10550 N TORREY PINES RD LA JOLLA,CA92037	33-0435954	501(C)(3)	1,221,439	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(123) THOMAS JEFFERSON UNIVERSITY 833 CHESTNUT ST STE 900 PHILADELPHIA,PA19107	23-1352651	501(C)(3)	25,094	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(124) TOLEDO HOSPITAL 2142 N COVE BLVD TOLEDO,OH43606	34-4428256	501(C)(3)	17,562	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(125) TRUDEAU INSTITUTE INC 154 ALGONQUIN AVE SARANAC LAKE,NY12983	14-1401413	501(C)(3)	33,068	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(126) TRUSTEES OF DARTMOUTH COLLEGE 11 ROPE FERRY RD STE 6210 HANOVER,NH03755	02-0222111	501(C)(3)	18,657	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(127) TULANE UNIVERSITY 1555 POYDRAS ST STE 805 8711 NEW ORLEANS,LA70112	72-0423889	501(C)(3)	11,637	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(128) UNITED INDIANS OF ALL TRIBES FOUNDATION PO BOX 99100 SEATTLE,WA98139	91-0889016	501(C)(3)	9,200	SEAFAIR AND EVENT SPONSORSHIPS
(129) UNITED WAY OF KING COUNTY 720 SECOND AVE SEATTLE,WA98104	91-0565555	501(C)(3)	10,000	DONATION
(130) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER PO BOX 781887 DETROIT,MI482781887	34-1567805	501(C)(3)	38,539	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(131) UNIVERSITY OF ALABAMA AT BIRMINGHAM 1720 2ND AVE S BIRMINGHAM,AL352940109	63-6005396	GOVERNMENT	159,504	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(132) UNIVERSITY OF ARIZONA PO BOX 41867 TUCSON,AZ85717	74-2652689	GOVERNMENT	16,240	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(133) UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 W MARKHAM ST SLOT 560 LITTLE ROCK,AR72205	71-6046242	GOVERNMENT	24,180	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(134) UNIVERSITY OF CHICAGO 6054 S DREXEL AVE STE 200 CHICAGO,IL60637	36-2177139	501(C)(3)	215,014	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(135) UNIVERSITY OF CINCINNATI PO BOX 691031 CINCINNATI,OH452210222	31-6000989	GOVERNMENT	32,756	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(136) UNIVERSITY OF COLORADO DENVER PO BOX 910238 DENVER,CO802910238	84-6000555	GOVERNMENT	625,201	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(137) UNIVERSITY OF DELAWARE 550 S COLLEGE AVE NEWARK,DE19713	51-6000297	501(C)(3)	14,542	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(138) UNIVERSITY OF FLORIDA PO BOX 100219 GAINESVILLE,FL32610	59-6002052	GOVERNMENT	801,311	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(139) UNIVERSITY OF IOWA 2410 UCC 201 S CLINTON ST IOWA CITY,IA52242	42-6004813	GOVERNMENT	131,099	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(140) UNIVERSITY OF KANSAS FOR RESEARCH INC 2385 IRVING HILL RD LAWRENCE,KS66045	48-0680117	501(C)(3)	657,212	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(141) UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE 3901 RAINBOW BLVD MS 1039 KANSAS CITY,KS66160	48-1108830	501(C)(3)	100,683	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(142) UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION 138 LEADER AVE RM 244 LEXINGTON,KY40508	61-6033693	501(C)(3)	61,644	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(143) UNIVERSITY OF MAINE 5717 CORBETT HALL RM 404 ORONO,ME044695717	01-6000769	GOVERNMENT	18,625	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(144) UNIVERSITY OF MASSACHUSETTS 333 S ST STE 450 SHREWSBURY,MA01545	04-3167352	501(C)(3)	109,161	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(145) UNIVERSITY OF MIAMI PO BOX 405803 ATLANTA,GA303845803	59-0624458	GOVERNMENT	13,935	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(146) UNIVERSITY OF NEBRASKA MEDICAL CENTER 985065 NEBRASKA MEDICAL CTR OMAHA,NE681985065	47-0049123	501(C)(3)	30,746	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(147) UNIVERSITY OF NORTH CAROLINA 130 MASON FARM RD CB 7020 CHAPEL HILL,NC27599	56-6001393	GOVERNMENT	546,787	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(148) UNIVERSITY OF OKLAHOMA HEALTH SCIENCES PO BOX 26901 SCB 228 OKLAHOMA CITY,OK731260901	73-6017987	GOVERNMENT	34,785	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(149) UNIVERSITY OF PENNSYLVANIA PO BOX 785541 PHILADELPHIA,PA191785541	23-1352685	501(C)(3)	135,416	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(150) UNIVERSITY OF PITTSBURGH PO BOX 640458 PITTSBURGH,PA152640458	25-0965591	501(C)(3)	135,772	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(151) UNIVERSITY OF ROCHESTER 601 ELMWOOD AVE RM 11120B ROCHESTER,NY146428777	16-0743209	501(C)(3)	157,867	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(152) UNIVERSITY OF SOUTHERN CALIFORNIA 3500 S FIGUEROA ST STE 102 LOS ANGELES,CA900898001	95-1642394	501(C)(3)	21,533	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(153) UNIVERSITY OF TENNESSEE 62 S DUNLAP ST STE 300 MEMPHIS,TN38163	62-6001636	GOVERNMENT	16,187	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(154) UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER PO BOX 841753 DALLAS,TX752841753	75-6001354	GOVERNMENT	221,563	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(155) UNIVERSITY OF TEXAS SOUTHWEST MEDICAL CENTER NPO BOX 841765 DALLAS,TX752841765	75-6002868	GOVERNMENT	301,249	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(156) UNIVERSITY OF UTAH 201 S PRESIDENTS CIRCLE RM 406 SALT LAKE CITY,UT841129020	87-6000525	GOVERNMENT	101,973	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(157) UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE 85 S PROSPECT ST BURLINGTON,VT05405	03-0179440	501(C)(3)	65,112	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(158) UNIVERSITY OF VIRGINIA 1001 N EMMET ST PO BOX 400195 CHARLOTTESVILLE,VA229044270	54-6001796	501(C)(3)	101,104	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(159) UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DR CHICAGO,IL60693	91-6001537	GOVERNMENT	9,523,626	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD, SUPPORT FOR GRADUATE EDUCATION PROGRAMS AND AWARD FOR JUVENILE MYOSITIS RESEARCH PROJECT
(160) UNIVERSITY OF WISCONSIN 800 UNIVERSITY BAY DR STE 210 MADISON,WI537056507	39-6006492	GOVERNMENT	216,598	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(161) VANDERBILT UNIVERSITY PMB 406310 2301 VANDERBILT PL NASHVILLE,TN972406310	62-0476822	501(C)(3)	68,030	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(162) VANDERBILT UNIVERSITY MEDICAL CENTER PO BOX 121236 DALLAS,TX753121236	35-2528741	501(C)(3)	146,962	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(163) VIRGINIA COMMONWEALTH UNIVERSITY PO BOX 843039 RICHMOND,VA23219	54-6001758	GOVERNMENT	16,197	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(164) WASHINGTON ALLIANCE FOR BETTER SCHOOLS 18560 1ST AVE NE SHORELINE,WA98155	91-1698851	501(C)(3)	6,000	EVENT SPONSORSHIPS
(165) WASHINGTON POISON CENTER 155 NE 100TH ST STE 100 SEATTLE,WA98125	94-3214597	501(C)(3)	28,842	CONTRIBUTION IN SUPPORT OF PROVIDING EQUAL HEALTHCARE ACCESS
(166) WASHINGTON STATE UNIVERSITY PO BOX 641025 PULLMAN,WA991641025	91-6001108	GOVERNMENT	174,252	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(167) WASHINGTON UNIVERSITY WU-ACCT SVCS 7425 FORSYTH BLVD ST LOUIS,MO631052161	43-0653611	501(C)(3)	184,558	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(168) WAYNE STATE UNIVERSITY PO BOX 02788 DETROIT,MI48202	38-6028429	GOVERNMENT	21,376	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(169) WEILL CORNELL MEDICAL COLLEGE 575 LEXINGTON AVE 9TH FLR NEW YORK,NY10022	13-1623978	501(C)(3)	149,447	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(170) WEST VIRGINIA UNIVERSITY PO BOX 6845 MORGANTOWN,WV265066845	55-6000842	GOVERNMENT	32,854	PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD
(171) WITHINREACH 155 NE 100TH ST STE 500 SEATTLE,WA98125	91-1443685	501(C)(3)	15,000	GIFT IN SUPPORT OF MENTAL HEALTH SERVICES AND RESOURCES

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

167

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) 2023

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) SUPPORT TO PATIENT FAMILIES FOR TEMPORARY HOUSING AND RENTAL ASSISTANCE	362	831,930	ACTUAL COST	PAYMENTS TO HOUSING AND RENTAL COMPANIES
(2) SUPPORT TO PATIENT FAMILIES FOR FUNERAL EXPENSES	74	32,393	ACTUAL COST	PAYMENTS TO FUNERAL HOMES
(3) SUPPORT TO PATIENT FAMILIES FOR UTILITY PAYMENTS	43	30,971	ACTUAL COST	PAYMENTS TO UTILITY COMPANIES
(4) SUPPORT TO PATIENT FAMILIES FOR TRANSPORTATION TO APPOINTMENTS	121	15,687	ACTUAL COST	PAYMENTS TO TRANSPORTATION COMPANIES
(5) SUPPORT TO PATIENT FAMILIES FOR MEDICAL EQUIPMENT	14	2,265	ACTUAL COST	PAYMENTS TO MEDICAL EQUIPMENT PROVIDERS
(6) SUPPORT TO PATIENT FAMILIES FOR MEDICATION	1	300	ACTUAL COST	PAYMENTS TO PHARMACIES
(7) SUPPORT TO PATIENT FAMILIES TO PURCHASE GAS FOR TRANSPORTATION TO APPOINTMENTS	1677	189,903	MARKET VALUE	GAS CARDS
(8) SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	1480	93,850	MARKET VALUE	MEAL VOUCHERS TO CAFETERIA AND STARBUCKS GIFT CARDS
(9) SUPPORT TO PATIENT FAMILIES TO PURCHASE GROCERIES	1014	97,010	MARKET VALUE	GROCERY GIFT CARDS
(10) SUPPORT TO PATIENT FAMILIES TO MEET VARIOUS OTHER NEEDS	30	24,183	MARKET VALUE	GIFT CARDS, FURNITURE, AND OTHER ITEMS
(11) SUPPORT TO PATIENTS AND FAMILIES WHO ARE ADMITTED ON AN EMERGENT / URGENT BASIS	71	2,000	MARKET VALUE	CLOTHING
(12) SUPPORT TO PATIENT FAMILIES WHO LACK THE FINANCIAL RESOURCES TO PURCHASE FOOD	23	435	MARKET VALUE	FOOD BAGS
(13) SUPPORT TO PATIENT FAMILIES TO RECEIVE GROCERIES THROUGH FOOD INSECURITY PROGRAM	25632	111,559	MARKET VALUE	FOOD INCLUDING HOME DELIVERIES
(14) SUPPORT TO PATIENT FAMILIES TO BUY GROCERIES THROUGH FOOD INSECURITY PROGRAM	3986	100,000	MARKET VALUE	GROCERY AND GAS GIFT CARDS
(15) COLLEGE SCHOLARSHIPS FOR MINORITY NURSING STUDENTS	25	89,360	ACTUAL COST	PAYMENTS TO HIGHER EDUCATION
(16) COLLEGE SCHOLARSHIP FOR HOSPITAL VOLUNTEER	1	2,500	ACTUAL COST	PAYMENTS TO HIGHER EDUCATION
(17) BASIC NECESSITIES PROVIDED TO PATIENT FAMILIES AT OBCC OTHELLO CLINIC	12110	43,567	MARKET VALUE	BASIC NECESSITIES AND COMFORT ITEMS FOR FAMILIES SUCH AS FOOD AND FORMULA, CLOTHING AND SHOES, DIAPERS AND HYGIENE SUPPLIES, BOOKS AND SCHOOL SUPPLIES, CAR SEATS AND STROLLERS, MEDICAL SUPPLIES AND MORE.
(18) SUPPORT TO PATIENT FAMILIES AT OBCC OTHELLO CLINIC TO PURCHASE BASIC NECESSITIES	700	35,000	MARKET VALUE	GIFT CARDS
(19) SUPPORT TO PATIENT FAMILIES AT OBCC OTHELLO CLINIC FOR HOUSING AND UTILITIES	7	1,742	ACTUAL COST	PAYMENTS TO HOUSING, RENTAL AND UTILITY COMPANIES

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 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 CITIES ACROSS SOUTHEAST ALASKA ANNUALLY TO GAIN FEEDBACK ON THE NEEDS OF THE COMMUNITIES AND MEET WITH ORGANIZATIONS THAT HAVE RECEIVED OR MAY APPLY 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. PRINCIPAL INVESTIGATORS AT SEATTLE CHILDREN'S RESEARCH INSTITUTE, A DIVISION OF THE HOSPITAL, AND THEIR AFFILIATED CENTER BUSINESS OFFICE PERFORM QUARTERLY REVIEWS OF EACH SUBAWARD TO ENSURE THAT RECIPIENTS ARE MANAGING FUNDING IN ACCORDANCE WITH THE TERMS OF THE CONTRACT. THE OFFICE OF SPONSORED RESEARCH DEPARTMENT PERFORMS SINGLE 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 PRINCIPAL 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 BY THE OFFICE OF SPONSORED RESEARCH AND THE CENTER BUSINESS OFFICE AS A PART OF THE SUBAWARD CLOSEOUT PROCESS. 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) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

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 on 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 on 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) 2023

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, 1099-MISC compensation, and/or 1099-NEC			(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 FORMER OFFICER	(i) (ii)	0 ------------- 1,427,358	278,690 ------------- 92,897	6,279 ------------- 30,067	0 ------------- 366,969	0 ------------- 26,922	284,969 ------------- 1,944,213	0 ------------- 0
2ZAFAR CHAUDRY MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 613,575	83,531 ------------- 517,000	1,406 ------------- 6,759	0 ------------- 105,803	0 ------------- 12,732	84,937 ------------- 1,255,869	0 ------------- 0
3SUZANNE BEITEL SENIOR VP & CHIEF FINANCIAL OFFICER	(i) (ii)	0 ------------- 801,709	80,905 ------------- 26,968	2,402 ------------- 12,220	0 ------------- 139,428	0 ------------- 35,329	83,307 ------------- 1,015,654	0 ------------- 0
4JAMIE PHILLIPS SENIOR VP & CHIEF OPERATING OFFICER	(i) (ii)	814,534 ------------- 0	50,000 ------------- 0	64,934 ------------- 0	12,007 ------------- 111,743	38,121 ------------- 0	979,596 ------------- 111,743	0 ------------- 0
5ERIC THAM MD SVP & CHIEF RESEARCH OPS OFFICER	(i) (ii)	639,434 ------------- 0	265,181 ------------- 0	1,040 ------------- 0	26,730 ------------- 79,922	37,735 ------------- 0	970,120 ------------- 79,922	0 ------------- 0
6MYRA GREGORIAN FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 643,223	84,755 ------------- 0	1,407 ------------- 13,716	0 ------------- 112,839	0 ------------- 37,746	86,162 ------------- 807,524	0 ------------- 0
7DONDI CUPP SVP & CHIEF DEV OFFICER - FOUNDATION	(i) (ii)	59,229 ------------- 533,055	7,852 ------------- 70,668	2,395 ------------- 0	1,985 ------------- 92,293	3,475 ------------- 31,271	74,936 ------------- 727,287	0 ------------- 0
8MICHAEL ASTION MD PHD CHIEF OF PATHOLOGY & LAB MEDICINE	(i) (ii)	702,202 ------------- 0	28,015 ------------- 0	10,731 ------------- 0	25,055 ------------- 0	35,050 ------------- 0	801,053 ------------- 0	0 ------------- 0
9STANLEY RA FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 494,833	0 ------------- 248,325	10,555 ------------- 0	0 ------------- 22,742	0 ------------- 19,782	10,555 ------------- 785,682	0 ------------- 0
10JEFFREY OJEMANN MD SVP - CHIEF MEDICAL OFFICER	(i) (ii)	243,777 ------------- 0	25,860 ------------- 430,548	3,310 ------------- 29,781	18,251 ------------- 22,789	3,640 ------------- 0	294,838 ------------- 483,118	0 ------------- 29,781
11ERIK LAUSUND CHIEF OF RESEARCH OPERATIONS	(i) (ii)	212,626 ------------- 0	44,279 ------------- 0	458,333 ------------- 0	4,893 ------------- 0	21,837 ------------- 0	741,968 ------------- 0	0 ------------- 0
12JEFFREY AVANSINO MD VP - MEDICAL AFFAIRS	(i) (ii)	411,733 ------------- 160,736	59,758 ------------- 25,500	4,294 ------------- 0	26,730 ------------- 0	34,211 ------------- 0	536,726 ------------- 186,236	0 ------------- 0
13BONNIE FRYZLEWICZ SVP & CHIEF NURSING OFFICER	(i) (ii)	474,130 ------------- 0	57,040 ------------- 0	21,991 ------------- 0	26,730 ------------- 56,872	34,404 ------------- 0	614,295 ------------- 56,872	0 ------------- 0
14PAMELA ROCK VP, MED SERV LINE & SPEC PROGRAMS	(i) (ii)	232,696 ------------- 0	85,178 ------------- 0	317,935 ------------- 0	6,800 ------------- 0	11,515 ------------- 0	654,124 ------------- 0	0 ------------- 0
15PAUL SHAREK MD VP - CHIEF QUALITY & SAFETY OFFICER	(i) (ii)	524,786 ------------- 0	54,514 ------------- 0	7,739 ------------- 0	20,688 ------------- 0	19,869 ------------- 0	627,596 ------------- 0	0 ------------- 0
16RUTH MCDONALD MD VP-CHIEF MEDICAL OPERATIONS OFFICER	(i) (ii)	519,842 ------------- 0	53,392 ------------- 0	12,908 ------------- 0	24,128 ------------- 0	15,329 ------------- 0	625,599 ------------- 0	0 ------------- 0
17CORY NOEL MD CARDIOLOGIST	(i) (ii)	460,866 ------------- 0	3,500 ------------- 0	67,689 ------------- 0	26,730 ------------- 0	34,368 ------------- 0	593,153 ------------- 0	0 ------------- 0
18RYOTA KASHIWAZAKI MD OTOLARYNGOLOGIST	(i) (ii)	365,179 ------------- 0	158,773 ------------- 0	1,101 ------------- 0	20,130 ------------- 0	34,058 ------------- 0	579,241 ------------- 0	0 ------------- 0
19MICHAEL JENSEN MD VP-SC THERAPEUTICS,CHIEF MED OFFICER	(i) (ii)	446,521 ------------- 0	46,267 ------------- 0	7,082 ------------- 0	20,130 ------------- 0	34,322 ------------- 0	554,322 ------------- 0	0 ------------- 0
20KEVIN KOLLINS MD CARDIOLOGIST	(i) (ii)	456,748 ------------- 0	3,500 ------------- 0	27,239 ------------- 0	21,945 ------------- 0	34,354 ------------- 0	543,786 ------------- 0	0 ------------- 0
21RUSSELL WILLIAMS FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 128,999	78,243 ------------- 0	295,907 ------------- 3,799	0 ------------- 19,167	0 ------------- 9,476	374,150 ------------- 161,441	0 ------------- 0
22TANYA SEATON VP & CHIEF AMBULATORY OFFICER	(i) (ii)	416,627 ------------- 0	48,572 ------------- 0	7,255 ------------- 0	19,793 ------------- 0	12,148 ------------- 0	504,395 ------------- 0	0 ------------- 0
23JOHN SAAVEDRA VP - PEOPLE OPERATIONS	(i) (ii)	376,305 ------------- 0	39,392 ------------- 0	5,297 ------------- 0	20,130 ------------- 0	28,904 ------------- 0	470,028 ------------- 0	0 ------------- 0
24WARREN HEWITT VP - FINANCE	(i) (ii)	255,504 ------------- 85,167	27,280 ------------- 9,092	6,778 ------------- 686	20,048 ------------- 6,682	20,388 ------------- 6,796	329,998 ------------- 108,423	0 ------------- 0
25SUZANNE VANDERWERFF VP-REV CYCLE & HEALTH INFO INTEGRITY	(i) (ii)	346,463 ------------- 0	36,434 ------------- 0	4,331 ------------- 0	26,709 ------------- 0	24,324 ------------- 0	438,261 ------------- 0	0 ------------- 0
26WENDY JAKOBSEN VP - COMPLIANCE	(i) (ii)	346,483 ------------- 0	35,915 ------------- 0	4,844 ------------- 0	22,679 ------------- 0	24,324 ------------- 0	434,245 ------------- 0	0 ------------- 0
27VICTORIA CLEATOR VP-RES FACILITIES OPS, CAP PROJECTS	(i) (ii)	365,037 ------------- 0	38,310 ------------- 0	6,512 ------------- 0	22,926 ------------- 0	1,187 ------------- 0	433,972 ------------- 0	0 ------------- 0
28VITTORIO GALLO PHD SVP & CHIEF SCIENTIFIC OFFICER	(i) (ii)	194,944 ------------- 0	100,000 ------------- 0	120,171 ------------- 0	0 ------------- 52	2,173 ------------- 0	417,288 ------------- 52	0 ------------- 0
29DOUGLAS PICHA FORMER HIGHEST COMPENSATED EMPLOYEE	(i) (ii)	0 ------------- 308,925	44,925 ------------- 0	3,889 ------------- 0	0 ------------- 26,730	0 ------------- 23,998	48,814 ------------- 359,653	0 ------------- 0
30ROBIN TURNER VP & DEPUTY GENERAL COUNSEL	(i) (ii)	321,288 ------------- 0	32,620 ------------- 0	4,527 ------------- 0	19,214 ------------- 0	12,089 ------------- 0	389,738 ------------- 0	0 ------------- 0
31ANDRE DICK MD SVP & SURGEON IN CHIEF	(i) (ii)	275,272 ------------- 0	21,807 ------------- 39,500	3,025 ------------- 0	15,196 ------------- 29,820	0 ------------- 0	315,300 ------------- 69,320	0 ------------- 0
32SAMUEL WILLIAMS FORMER KEY EMPLOYEE	(i) (ii)	117,828 ------------- 0	44,274 ------------- 0	3,779 ------------- 0	3,460 ------------- 0	363 ------------- 0	169,704 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

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.
PART I, LINES 4A-B	THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: JEFF SPERRING MD - $340,239 EMPLOYER CONTRIBUTIONS ZAFAR CHAUDRY MD - $79,073 EMPLOYER CONTRIBUTIONS SUZANNE BEITEL - $112,698 EMPLOYER CONTRIBUTIONS JAMIE PHILLIPS - $111,743 EMPLOYER CONTRIBUTIONS ERIC THAM MD - $79,922 EMPLOYER CONTRIBUTIONS MYRA GREGORIAN - $86,109 EMPLOYER CONTRIBUTIONS DONDI CUPP - $74,425 EMPLOYER CONTRIBUTIONS JEFFREY OJEMANN MD - $22,789 EMPLOYER CONTRIBUTIONS, $29,781 TAXABLE PAYMENT BONNIE FRYZLEWICZ - $56,872 EMPLOYER CONTRIBUTIONS RUSSELL WILLIAMS - $14,660 EMPLOYER CONTRIBUTIONS VITTORIO GALLO PHD - $11,963 EMPLOYER CONTRIBUTIONS, $11,911 TAXABLE PAYMENT ANDRE DICK MD - $29,820 EMPLOYER CONTRIBUTIONS THE FOLLOWING RECEIVED A SEVERANCE PAYMENT: ERIK LAUSUND - $452,376 PAMELA ROCK - $314,191 RUSSELL WILLIAMS - $295,668
PART II, COLUMN (F):	THE FOLLOWING RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, WHICH IS BEING REPORTED IN COLUMN (B)(III). THIS PORTION OF THAT COMPENSATION WAS REPORTED IN COLUMN (C) IN PRIOR FORMS 990: JEFFREY OJEMANN MD - $29,781

Schedule J (Form 990) 2023

Additional Data

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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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

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 2012C AND 2012D	91-1108929	93978HEZ4	06-20-2012	142,165,000	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	7,705,000		390,000		63,400,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	127,525,980		303,944,485		142,165,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	8		62,441
6 Proceeds in refunding escrows ...............			197,416,118
7 Issuance costs from proceeds ...............	1,545,641		2,600,625
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	125,980,331		103,865,301
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2018		2015		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X	X			X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	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
c Are there any research agreements that may result in private business use of bond-financed property? .............		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
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
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

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
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X
b Exception to rebate? ........		X		X	X
c No rebate due? .........	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

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		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
7 Has the organization established written procedures to monitor the requirements of section 148? ...	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

Part Ⅵ

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

Return Reference	Explanation
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 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: $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 AND B, LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%. COLUMN C IS NOT REPORTED BECAUSE IT MEETS THE SPECIAL RULES FOR REFUNDING OF PRE-2003 BOND ISSUANCES.
PART IV, ARBITRAGE:	COLUMN A, LINE 2B: THE LAST ARBITRAGE COMPUTATION REVIEW WAS PERFORMED ON APRIL 19, 2022. COLUMN B, LINE 2B: THE LAST REBATE COMPUTATION WAS PERFORMED ON FEBRUARY 25, 2020. COLUMN C, LINE 2C: THE SERIES 2012C AND SERIES 2012D BONDS MET THE SIX-MONTH EXPENDITURE EXCEPTION. THE LAST ARBITRAGE COMPLIANCE REVIEW WAS PERFORMED ON NOVEMBER 29, 2022. COLUMN C, 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.

Schedule K (Form 990) 2023

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	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	11,682
6	Total number of volunteers (estimate if necessary) .............	6	466
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,747,834
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	442,447

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	308,383,260	338,129,959
9	Program service revenue (Part VIII, line 2g) .........	1,966,516,425	2,206,558,130
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	37,715,227	87,799,087
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	22,384,548	26,945,861
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,334,999,460	2,659,433,037
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	57,489,875	49,810,529
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)	1,191,951,814	1,269,282,686
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)....	1,059,599,013	1,080,144,363
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,309,040,702	2,399,237,578
19	Revenue less expenses. Subtract line 18 from line 12.......	25,958,758	260,195,459
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,895,703,194	5,583,205,947
21	Total liabilities (Part X, line 26).............	1,714,328,941	1,994,890,259
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,181,374,253	3,588,315,688

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,928,453,429 including grants of $ 3,344,997 ) (Revenue $ 2,172,033,031 )
	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 2024, SEATTLE CHILDREN'S MEDICAL TEAM TREATED KIDS OF ALL AGES DURING 513,604 PATIENT VISITS, INCLUDING 373,775 OTHER AMBULATORY CLINIC APPOINTMENTS, 57,155 VISITS TO OUR EMERGENCY DEPARTMENT, AND 63,637 VISITS TO URGENT CARE. WE CARED FOR CHILDREN DURING 17,559 ADMISSIONS TO THE HOSPITAL AND 1,478 DAY SURGERIES. AS THE PRIMARY PEDIATRIC HOSPITAL OFFERING HIGH-LEVEL SPECIALTY CARE IN OUR REGION, IN RESPONSE TO THE COVID-19 PANDEMIC, WE SET UP TESTING SITES, HELD VACCINE CLINICS, EXPANDED TELEMEDICINE OFFERINGS, AND CREATED AN EMERGENCY COMMAND CENTER. SEATTLE CHILDREN'S RECEIVED $17.8 MILLION IN FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA) FUNDS IN FISCAL YEAR 2024 RELATED TO REIMBURSEMENT OF COSTS INCURRED IN PRIOR YEARS TO RESPOND TO THE PANDEMIC.

4b	(Code: ) (Expenses $ 369,953,388 including grants of $ 46,465,532 ) (Revenue $ 30,192,750 )
	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 CHILDREN'S, INVESTED OVER $104 MILLION IN RESEARCH DURING FISCAL YEAR 2024. 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 $ 56,274,910 including grants of $ 0 ) (Revenue $ 8,292,406 )
	EDUCATION: SEATTLE CHILDREN'S IS THE MAJOR RESOURCE FOR PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAMS IN OUR REGION. RESIDENTS AND FELLOWS FROM 84 PROGRAMS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), THREE PROGRAMS ACCREDITED BY THE AMERICAN DENTAL ASSOCIATION (ADA), AND ELEVEN NON-ACGME ACCREDITED SUBSPECIALTY PROGRAMS ROTATED AT SEATTLE CHILDREN'S IN ACADEMIC YEAR 2023-2024. 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 $ 4,665,601 including grants of $ 0 ) (Revenue $ 2,436,280 )
	CARE NETWORK: 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 $ 4,665,601 including grants of $ 0 ) (Revenue $ 2,436,280 )
4e	Total program service expenses2,359,347,328

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	13,095,931	6,755,106	2,369,178

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	144,024,339
e	Government grants (contributions)		1e	181,520,955

f	All other contributions, gifts, grants, and similar amounts not included above		1f	12,584,665

g	Noncash contributions included in lines 1a - 1f:$		1g	3,589,798

h Total. Add lines 1a-1f.......		338,129,959

		Business Code
2a	PATIENT SVC REVENUES	621110	2,139,808,496	2,139,808,496
b	OTHER HEALTHCARE SVCS	621110	61,167,381	59,450,337	1,717,044
c	INVESTMENT PROV CHILD	621110	2,544,615	2,544,615
d	CARE INTEGRATED NETWRK	621110	2,436,280	2,436,280
e	GIFT SHOP	459420	601,358			601,358
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		2,206,558,130

3 Investment income (including dividends, interest, and othersimilar amounts) ......			44,540,067			44,540,067
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			8,981,319			8,981,319
			(i) Real	(ii) Personal
6a	Gross rents	6a	19,924,743
b	Less: rental expenses	6b	9,058,707
c	Rental income or (loss)	6c	10,866,036
d	Net rental income or (loss).......			10,866,036			10,866,036
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	237,000,418	368,551
b	Less: cost or other basis and sales expenses	7b	193,187,290	922,659
c	Gain or (loss)	7c	43,813,128	-554,108
d	Net gain or (loss).........			43,259,020			43,259,020
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	CAFETERIA		722514	3,994,065			3,994,065
b	PARKING		812930	2,433,062		30,790	2,402,272
c	INSURANCE SETTLEMENTS		900099	671,379			671,379
d	All other revenue ....
e	Total. Add lines 11a–11d ......			7,098,506
12	Total revenue. See instructions.....			2,659,433,037	2,204,239,728	1,747,834	115,315,516

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	43,162,772	43,162,772
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	1,704,655	1,704,655
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	4,943,102	4,943,102
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	10,135,034		10,135,034
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	111,775	109,573	2,202
7	Other salaries and wages........	983,482,502	967,791,715	15,690,787
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	58,391,936	57,460,333	931,603
9	Other employee benefits .......	136,437,175	134,260,414	2,176,761
10	Payroll taxes ...........	80,724,264	79,436,364	1,287,900
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	8,372,938	8,239,354	133,584
c	Accounting ...........	399,130	392,762	6,368
d	Lobbying ...........	729,057	729,057
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,044,478	1,027,814	16,664
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	173,816,544	171,043,421	2,773,123
12	Advertising and promotion ....	4,835,180	4,758,038	77,142
13	Office expenses .......	54,889,164	54,013,445	875,719
14	Information technology ......	39,141,018	38,516,550	624,468
15	Royalties ..
16	Occupancy ...........	62,263,231	61,269,864	993,367
17	Travel ............	6,236,696	6,137,194	99,502
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,373,313	1,351,403	21,910
20	Interest ...........	31,375,805	30,875,226	500,579
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	149,112,427	146,733,441	2,378,986
23	Insurance ...	13,542,176	13,326,120	216,056
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	227,923,122	227,923,122
b	MEDICAL SUPPLIES	213,912,552	213,912,552
c	LICENSES AND TAXES	39,165,841	38,540,977	624,864
d	UBI TAXES	77,027	77,027
e	All other expenses	51,934,664	51,611,033	323,631
25	Total functional expenses. Add lines 1 through 24e	2,399,237,578	2,359,347,328	39,890,250	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 ........			38,266,441	1	73,903,950
2	Savings and temporary cash investments .........			36,897,355	2	37,587,894
3	Pledges and grants receivable, net ......			18,615,272	3	46,957,045
4	Accounts receivable, net .............			457,316,183	4	499,916,812
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			132,549	7	45,088
8	Inventories for sale or use ............			28,268,797	8	26,232,095
9	Prepaid expenses and deferred charges ......			55,856,906	9	48,791,501
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,461,729,427
b	Less: accumulated depreciation	10b	1,214,037,591	2,216,616,292	10c	2,247,691,836
11	Investments—publicly traded securities .			789,373,441	11	812,681,970
12	Investments—other securities. See Part IV, line 11 .....			827,891,314	12	985,280,356
13	Investments—program-related. See Part IV, line 11 ..			178,451,124	13	205,744,545
14	Intangible assets ...............			19,723,990	14	42,177,831
15	Other assets. See Part IV, line 11 ...........			228,293,530	15	556,195,024
16	Total assets. Add lines 1 through 15 (must equal line 33)...			4,895,703,194	16	5,583,205,947

17	Accounts payable and accrued expenses .....	339,587,629	17	359,621,037
18	Grants payable ...		18
19	Deferred revenue .........	1,020,183	19	500,472
20	Tax-exempt bond liabilities .........	492,583,131	20	478,178,672
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	399,161,883	23	399,375,622
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	481,976,115	25	757,214,456
26	Total liabilities. Add lines 17 through 25..	1,714,328,941	26	1,994,890,259

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	2,450,922,806	27	2,757,587,312
28	Net assets with donor restrictions ...........	730,451,447	28	830,728,376
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	3,181,374,253	32	3,588,315,688
33	Total liabilities and net assets/fund balances ........	4,895,703,194	33	5,583,205,947

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

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

(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 ............... $

(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) SARAH BOWDEN	FAMILY MEMBER OF WARREN HEWITT, KEY EMPLOYEE	111,350	EMPLOYMENT		No

	(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	32	2,390,983	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 ( 3RD PARTY SVCS )	X	2	1,142,990	MARKET VALUE
26 Other ( GIFT CARDS )	X	492	20,585	MARKET VALUE
27 Other ( MEDICAL CARTS )	X	1	20,240	MARKET VALUE
28 Other ( AIRLINE MILES )	X	1	10,400	MARKET VALUE
Other ( PATIENT NECESSITIES )	X	1,279	4,600	MARKET VALUE

Return Reference	Explanation
PART I, COLUMN (B):	LINE 9 - 32 DONATIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 25 - DONATIONS OF SERVICES FROM TWO DONORS; LINE 26 - ONE DONATION OF MEDICAL CARTS; LINE 27 - DONATIONS OF 492 GIFT CARDS FOR PATIENT NEEDS; LINE 28 - DONATIONS OF AIRLINE MILES FROM ONE DONOR; OTHER TYPES OF PROPERTY CONTINUATION - DONATIONS OF VARIOUS NECESSITIES FOR 1,279 PATIENT FAMILIES.
PART I, LINE 32B:	SEATTLE CHILDREN'S FOUNDATION AND SEATTLE CHILDREN'S GUILD ASSOCIATION (RELATED ORGANIZATIONS) SOLICIT BOTH CASH AND NON-CASH GIFTS ON BEHALF OF SEATTLE CHILDREN'S HOSPITAL.

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 2024, 449 VOLUNTEERS, AFTER COMPLETING A THOROUGH INTERVIEW AND TRAINING PROCESS, LOGGED 24,562 HOURS OF SERVICE AT THE RESEARCH INSTITUTE, THE ALYSSA BURNETT CENTER, AND IN VARIOUS AREAS OF THE HOSPITAL INCLUDING THE GIFT SHOP, THE CHILD LIFE DEPARTMENT, AND THE EMERGENCY DEPARTMENT. IN ADDITION, 17 UNCOMPENSATED TRUSTEES SERVED ON THE SEATTLE CHILDREN'S HOSPITAL BOARD DURING FISCAL YEAR 2024. IN ALL THAT THEY DO, OUR VOLUNTEERS ARE HIGHLY VALUED MEMBERS OF OUR HOSPITAL COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 2	SUZANNE BEITEL HAS A BUSINESS RELATIONSHIP WITH LOREN ALHADEFF, SUSAN BETCHER, JILL BRUBAKER, KEN DENMAN, MARCUS EAST, COLIN FOX, JOEL FRENCH, TROY HUTSON, DAN LEVITAN, SUSAN MULLANEY, MARK OKERSTROM, JUDITH PIERCE, RACQUEL RUSSELL, JOHN SCHOETTLER, KURT SHINTAFFER, MOYA VAZQUEZ, AND CONAN VIERNES. WARREN HEWITT HAS A BUSINESS RELATIONSHIP WITH LOREN ALHADEFF, SUZANNE BEITEL, SUSAN BETCHER, JILL BRUBAKER, KEN DENMAN, MARCUS EAST, COLIN FOX, JOEL FRENCH, TROY HUTSON, DAN LEVITAN, SUSAN MULLANEY, MARK OKERSTROM, JUDITH PIERCE, RACQUEL RUSSELL, JOHN SCHOETTLER, KURT SHINTAFFER, MOYA VAZQUEZ, AND CONAN VIERNES.
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS WERE REVISED DURING THE YEAR TO INCORPORATE THE FOLLOWING CHANGES: - ELECTED TRUSTEES MAY SERVE NO MORE THAN THREE (REDUCED FROM FOUR) CONSECUTIVE THREE YEAR TERMS. EXCEPTIONS ARE PERMITTED FOR A TRUSTEE SERVING AS BOARD CHAIR OR AS A COMMITTEE CHAIR, WHICH MAY SERVE ONE ADDITIONAL YEAR. - THE BOARD SHALL INCLUDE NOT LESS THAN TEN (REDUCED FROM 15) AND NOT MORE THAN 20 (REDUCED FROM 30) VOTING TRUSTEES.
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 REVIEWS THE FORM 990 WITH THE GOVERNANCE, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS), A RELATED ORGANIZATION THAT IS THE DIRECT CONTROLLING ENTITY OF SEATTLE CHILDREN'S HOSPITAL. AFTER REVIEW BY THE GOVERNANCE, 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 OFFICERS, BOARD MEMBERS AND MEMBERS OF BOARD COMMITTEES 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 SCHS, ACTING UNDER THE OVERSIGHT AND BOARD DELEGATED AUTHORITY OF THE SCHS GOVERNANCE, AUDIT AND COMPLIANCE COMMITTEE, 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 OR COMMITTEE 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 SCHS GOVERNANCE, AUDIT AND COMPLIANCE COMMITTEE OR THE APPROPRIATE OFFICER MAY, IN THE DISCRETION OF THE SCHS GOVERNANCE, AUDIT AND COMPLIANCE COMMITTEE OR THE APPROPRIATE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM THEIR DUTIES WITH SEATTLE CHILDREN'S HOSPITAL AND/OR TERMINATED IN THEIR EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE PEOPLE, CULTURE AND EXECUTIVE COMPENSATION COMMITTEE ("PCECC"), A JOINT COMMITTEE OF THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HOSPITAL AND SEATTLE CHILDREN'S HEALTHCARE SYSTEM, A RELATED ORGANIZATION TO SEATTLE CHILDREN'S HOSPITAL. PURSUANT TO THE BOARD-APPROVED PCECC CHARTER, THE PCECC ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT WITH EXPERIENCE 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 PCECC 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 ANALYSIS AND ON RELEVANT PERFORMANCE INFORMATION FOR THE EXECUTIVES IN QUESTION AND THE ORGANIZATION AS A WHOLE, THE PCECC PRESENTS A RECOMMENDATION TO THE BOARD REGARDING THE TOTAL COMPENSATION PACKAGE FOR EACH OF THE AFFECTED EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND KEY EMPLOYEES. THE FULL BOARD REVIEWS THE RECOMMENDATIONS AS WELL AS ALL RELEVANT COMPARABILITY DATA AND THE GOALS OF THE ORGANIZATION IN MAKING ITS FINAL DECISION. IN DOING SO IT RELIES ON THE CONSULTANT'S ANALYSIS TO DETERMINE THAT COMPENSATION IS REASONABLE AND WITHIN THE "BOUNDS OF COMPETITIVE PRACTICE". ALL DELIBERATIONS AND DECISIONS OF THE PCECC 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 PCECC AND THE FULL BOARD SATISFIES BEST GOVERNANCE PRACTICES AND ALSO MEETS THE REQUIREMENTS NECESSARY TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS WITHIN THE MEANING OF IRC SECTION 4958 AND THE TREASURY REGULATIONS THEREUNDER 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 -1,275,229. CHANGE IN BENEFICIAL INTEREST IN SCHS 27,893,420. RECOVERY OF PRIOR YEAR GRANTS 118,747.

(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 818-FI SEATTLE,WA981455005 91-0564748	ADMINISTRATION OF PEDIATRIC PHYSICIANS NETWORK	WA	2,436,280	3,632,912	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 818-FI SEATTLE,WA981455005 91-1250116	HEALTHCARE	WA	501(C)(3)	LINE 7	SEATTLE CHILDREN'S HOSPITAL	Yes
(2)SEATTLE CHILDREN'S FOUNDATION PO BOX 5371 MS 818-FI SEATTLE,WA981455005 91-1156519	FUNDRAISING	WA	501(C)(3)	LINE 7	SEATTLE CHILDREN'S HEALTHCARE SYSTEM		No
(3)SEATTLE CHILDREN'S GUILD ASSOCIATION PO BOX 5371 MS 818-FI SEATTLE,WA981455005 91-1394056	FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESS	WA	501(C)(3)	LINE 7	SEATTLE CHILDREN'S HEALTHCARE SYSTEM		No
(4)CHILDREN'S RETAIL PO BOX 5371 MS 818-FI SEATTLE,WA981455005 91-1998909	THRIFT STORES	WA	501(C)(3)	LINE 12A, I	SEATTLE CHILDREN'S HEALTHCARE SYSTEM		No
(5)CHILDREN'S UNIVERSITY MEDICAL GROUP 4500 SANDPOINT WAY NE STE 100 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 818-FI SEATTLE,WA981455005 91-1226716	PEDIATRIC HEALTHCARE SERVICES	WA	501(C)(3)	LINE 12A, I	SEATTLE CHILDREN'S HEALTHCARE SYSTEM		No
(7)OBCC OTHELLO QALICB PO BOX 5371 MS 818-FI SEATTLE,WA981455005 85-2793713	CONSTRUCTION OF A HEALTHCARE CLINIC	WA	501(C)(3)	LINE 12C, III-FI	N/A		No
(8)UMBRELLA PEDIATRICS PC PO BOX 5371 MS 818-FI SEATTLE,WA981455005 86-1448700	PEDIATRIC HEALTHCARE SERVICES	WA	501(C)(3)	LINE 10	SEATTLE CHILDREN'S HEALTHCARE SYSTEM		No

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) SEATTLE CHILDREN'S HEALTHCARE SYSTEM	E	242,469,256	ACTUAL PAYABLE
(2) SEATTLE CHILDREN'S HEALTHCARE SYSTEM	K	907,702	ACTUAL RENT
(3) SEATTLE CHILDREN'S HEALTHCARE SYSTEM	Q	1,240,047	ACTUAL REIMBURSEMENTS

(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?		(k) Percentage ownership
(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	(k) Percentage ownership