SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
SWEDISH HEALTH SERVICES
 
Employer identification number

91-0433740
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
b
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: . . . . . . . .
3b
Yes
 
%
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
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) . . . 		    19,696,720 0 19,696,720 0.770 %
b Medicaid (from Worksheet 3, column a) . . . . .     334,800,234 209,900,036 124,900,198 4.880 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     354,496,954 209,900,036 144,596,918 5.650 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     6,098,357 1,600 6,096,757 0.240 %
f Health professions education (from Worksheet 5) . . .     32,930,898 2,531,025 30,999,873 1.210 %
g Subsidized health services (from Worksheet 6) . . . .     26,383,701 19,893,578 6,490,123 0.250 %
h Research (from Worksheet 7) .     29,431,546 9,810,467 19,621,079 0.770 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     3,830,144 0 3,830,144 0.150 %
j Total. Other Benefits . .     98,674,646 32,236,670 67,037,976 2.620 %
k Total. Add lines 7d and 7j .     453,171,600 242,136,706 211,634,894 8.270 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (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            
3 Community support     2,019,091   2,019,091 0.080 %
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     2,019,091   2,019,091 0.080 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
37,658,704
3
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. ......
3
 
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
648,030,574
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
900,659,744
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-252,629,170
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?4Name, 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) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 SWEDISH FIRST HILL
747 BROADWAY
SEATTLE,WA98122
WWW.SWEDISH.ORG/LOCATIONS
00000001 		X     X   X X     A
2 SWEDISH CHERRY HILL
500 17TH AVENUE
SEATTLE,WA98122
WWW.SWEDISH.ORG/LOCATIONS
60329940 		X     X   X X     A
3 SWEDISH BALLARD
5300 TALLMAN AVENUE NW
SEATTLE,WA98107
WWW.SWEDISH.ORG/LOCATIONS
00000001 		X     X     X     A
4 SWEDISH ISSAQUAH
751 NE BLAKELY DR
ISSAQUAH,WA98029
WWW.SWEDISH.ORG/LOCATIONS
60256001 		X           X   OUTPATIENT ER OPERATING UNDER HOSPITAL LICENSE  
Schedule H (Form 990) 2018
Page 4
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SWEDISH ISSAQUAH (4)
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): 		4
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Page 5
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SWEDISH ISSAQUAH (4)
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Page 6
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
SWEDISH ISSAQUAH (4)
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Page 7
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SWEDISH ISSAQUAH (4)
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24 Yes  
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Page 4
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SWEDISH HEALTH SERVICES (GROUP A - 1-3)
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 No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Page 5
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SWEDISH HEALTH SERVICES (GROUP A - 1-3)
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Page 6
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
SWEDISH HEALTH SERVICES (GROUP A - 1-3)
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Page 7
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SWEDISH HEALTH SERVICES (GROUP A - 1-3)
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24 Yes  
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Page 8
Schedule H (Form 990) 2018
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
SWEDISH ISSAQUAH (4) Part V, Section B, Line 5: SWEDISH ISSAQUAH TOOK INTO ACCOUNT INPUT FROMPERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVEDINCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH.THOSE CONSULTED INCLUDE THE FOLLOWING:PUBLIC HEALTH SEATTLE AND KING COUNTYAMY LAURENT, EPIDEMIOLOGIST IIIISSAQUAH SCHOOLS FOUNDATION, CONGREGATIONS FOR THE HOMELESS, ISSAQUAH SCHOOLS CASE MANAGERS, PROVIDENCE MARIANWOOD AND EASTSIDE FRIENDS OF SENIORS ARE SOME ORGANIZATIONS WHO PROVIDED A VOICE FROM COMMUNITY MEMBERS, STUDENTS, FAMILIES AND SENIORS.
SWEDISH ISSAQUAH (4) Part V, Section B, Line 6a: SWEDISH CHERRY HILL, SWEDISH FIRST HILL, SWEDISH BALLARD, SWEDISH EDMONDS, SWEDISH CANCER INSTITUTE
SWEDISH ISSAQUAH (4) Part V, Section B, Line 6b: PUBLIC HEALTH - SEATTLE & KING COUNTY
SWEDISH ISSAQUAH (4) Part V, Section B, Line 11: THROUGH A PRIORITIZATION PROCESS ALIGNED WITH THE ORGANIZATION'S MISSION SWEDISH ISSAQUAH WILL FOCUS ON THESE AREAS: MENTAL HEALTH, DRUG ADDICTION, OBESITY AND DIABETES, HOMELESSNESS AND JOINT AND BACK PAIN.MENTAL HEALTH AND WELLNESS:IMPLEMENT AND FACILITATE A NEW PROGRAM THAT PROVIDES MENTAL HEALTH PEER SUPPORT IN SWEDISH EMERGENCY DEPARTMENTS (ED). THIS PROGRAM WILL BE ADAPTED FROM THE ED CONNECT PROGRAM IMPLEMENTED BY HOAG HOSPITAL NEWPORT BEACH ED IN PARTNERSHIP WITH THE NATIONAL ALLIANCE ON MENTAL HEALTH (NAMI). IN 2019, DEVELOP A PSYCHOLOGY POSTDOCTORAL PROGRAM FOR PRIMARY CARE THAT WILL SERVE ANYONE IN THE SWEDISH COMMUNITY IRRESPECTIVE OF THEIR ABILITY TO PAY, WHILE CREATING A MUCH NEEDED WORKFORCE TO SUPPORT INTEGRATED BEHAVIORAL HEALTH CARE. CONDUCT FIRST AID MENTAL HEALTH WORKSHOPS IN THE COMMUNITY.DRUG ADDICTION SUBSTANCE ABUSE AND OPIOID USE DISORDER:INITIATE A PILOT PROGRAM AT ANOTHER SWEDISH CAMPUS (BALLARD) EMERGENCY DEPARTMENT TO TRANSITION PATIENTS WITH OPIOID USE DISORDER (OUD) TO A SUBOXONE CLINIC FOR TREATMENT. THIS PILOT WILL BE MODELED OFF OF THE SWEDISH EDMONDS SUBOXONE PROGRAM. THE GOAL IS TO ADDRESS THE IDENTIFIED COMMUNITY NEED THROUGH ENHANCED TREATMENT OF PATIENTS PRESENTING WITH OUD WITH EVIDENCE-BASED GUIDELINES FOR WITHDRAWAL MANAGEMENT.OBESITY AND DIABETES:INCREASE AWARENESS ON THE IMPORTANCE OF HEALTHY EATING AND EXERCISE AND REDUCE THE PREVALENCE OF CHILDHOOD OBESITY AND RISK OF DIABETES IN DIVERSE COMMUNITIES. OFFER AND FACILITATE DIABETES SCREENING TABLES - OBTAIN 'AT RISK' COMMUNITY MEMBERS (THOSE WHO SCREEN POSITIVE FOR DIABETES PREDIABETES, OR WITH HIGH GLUCOSE LEVELS) WHO ARE GIVEN INFORMATION FOR APPROPRIATE FOLLOW UP (PRIMARY PROVIDER, SWEDISH DIABETES CENTER, YMCA, OTHER COMMUNITY CLINICS. OFFER MONTHLY ONLINE COOKING CLASSES THROUGH FACEBOOK LIVE, #SWEDISHEATS.HOMELESSNESS:DEVELOP COLLABORATIVE STRATEGIES WITH COMMUNITY-BASED ORGANIZATIONS AND CITY AND COUNTY ENTITIES ON PROVIDING SUPPORT FOR FAMILIES EXPERIENCING HOMELESSNESS AND FOCUSED ON MOVING A PERCENT OF THE HOMELESS FAMILIES TO STABLE HOUSING. ADDITIONALLY, THIS CONSORTIUM WILL WORK TO ADDRESS UPSTREAM HEALTH NEEDS, SUCH AS BEHAVIORAL HEALTH, AND SOCIAL DETERMINANTS OF HEALTH, SUCH AS EMPLOYMENT.JOINT AND BACK PAIN - JOINT AND BACK PAIN EDUCATION FOR PEOPLE IN THE SWEDISH ISSAQUAH SERVICE AREA:DUE TO THE IMPACT OF JOINT AND BACK PAIN IN THE SWEDISH ISSAQUAH COMMUNITY, THIS INITIATIVE SEEKS TO INCREASE OUTREACH AND EDUCATION FOR INDIVIDUALS IMPACTED BY JOINT AND BACK PAIN, WITH AN EMPHASIS ON NON-SURGICAL ALTERNATIVES. OTHER ACTION PLANS TO ADDRESS THIS HEALTH CONCERN INCLUDE: FITNESS PRESENTATION AT GIBSON EK HIGH SCHOOL IN ISSAQUAH WITH A FOCUS ON HIGH SCHOOL STUDENTS AND PARENTS, SWEDISH SPORTS MEDICINE COMBINE PRESENTATIONS AND JOINT AND BACK PAIN BOOTH AT BE WELL RESOURCE FAIR.A LIST OF COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2018 SWEDISH CHNA CAMPUS REPORTS MAY NOT BE ADDRESSED AS PART OF THE CURRENT CHIP: TEXTING WHILE DRIVING, CANCER, ENVIRONMENTAL FACTORS, ALZHEIMER'S DISEASE/DEMENTIA, TEETH AND ORAL HEALTH ISSUES, STROKE, CHILD ABUSE AND NEGLECT, SEXUALLY TRANSMITTED DISEASES, SMOKING, ETC. SOME OF THESE AREAS ARE OUT OF OUR SCOPE OF OUR CURRENT COMMUNITY HEALTH PROGRAM EXPERTISE, AND OTHER NON-PROFITS IN THE COMMUNITY ARE PROVIDING ROBUST SERVICES. NO HOSPITAL FACILITY CAN ADDRESS ALL HEALTH NEEDS PRESENT IN THE COMMUNITY HOWEVER, WE ARE COMMITTED TO OUR MISSION THROUGH SWEDISH COMMUNITY BENEFITS GRANTING PROGRAMS AND PARTNERING WITH LIKE-MINDED ORGANIZATIONS IN SERVICE TO OUR COMMUNITY.
SWEDISH ISSAQUAH (4) Part V, Section B, Line 15e: ACCESS TO MULTI LANGUAGE RESOURCES IN THIS WEBSITE:WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
SWEDISH ISSAQUAH (4) Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES, A PATIENT MAY BE BILLED THE GROSS CHARGES.
SWEDISH ISSAQUAH (4) Part V, Section B, Line 3e:THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THESIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THECHNA.
SWEDISH ISSAQUAH (4) Part V, Section B, Line 7A:HTTP://WWW.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-ENGAGEMENT/COMMUNITY-NEEDS-ASSESSMENT
SWEDISH ISSAQUAH (4) Part V, Section B, Line 10A:HTTPS://WWW.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-ENGAGEMENT/COMMUNITY-NEEDS-ASSESSMENT/ASSESSMENTS-SITE-LIST
SWEDISH ISSAQUAH (4) Part V, Line 16A, FAP WEBSITE:WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
SWEDISH ISSAQUAH (4) Part V, Line 16B, FAP WEBSITE:WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
SWEDISH ISSAQUAH (4) Part V, Line 16C, FAP WEBSITE:WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
Part V, Section B Facility Reporting Group A
Facility Reporting Group A consists of: - Facility 1: SWEDISH FIRST HILL, - Facility 2: SWEDISH CHERRY HILL, - Facility 3: SWEDISH BALLARD
SWEDISH HEALTH SERVICES (GROUP A - 1-3) Part V, Section B, line 5: DR ARPAN WAGHRAY, IS A GERIATRIC PSYCHIATRIST AND SYSTEM DIRECTOR FOR BEHAVIORAL MEDICINE AT SWEDISH HEALTH SERVICES AND CHIEF MEDICAL OFFICER AT WELL BEING TRUST.MARGUERITE RO, KC PUBLIC HEALTH, PROVIDED A VOICE FROM COMMUNITY MEMBER REGARDING ACCESS AND SOCIAL DETERMINATE OF HEALTH. DON JENSON EXECUTIVE DIRECTOR COMMUNITY LUNCH ON CAPITOL HILL COMMUNITY HOT MEAL PROGRAM FOR UNHOUSED AND FOOD INSECURE POPULATION.TAMMY MESSINA MEDICAL TEAMS INTERNATIONAL DEVELOPMENT DIRECTOR AND COMMUNITY OUTREACH ADVISOR.
SWEDISH HEALTH SERVICES (GROUP A - 1-3) Part V, Section B, line 6a: SWEDISH EDMONDS, SWEDISH ISSAQUAH, SWEDISH CANCER INSTITUTE
SWEDISH HEALTH SERVICES (GROUP A - 1-3) Part V, Section B, line 6b: PUBLIC HEALTH - SEATTLE & KING COUNTY
SWEDISH HEALTH SERVICES (GROUP A - 1-3) Part V, Section B, line 11: SWEDISH HAS IDENTIFIED 5 SYSTEM WIDE PRIORITIES THAT WILL BE OUR FOCUS - DIABETES AND OBESITY, MENTAL HEALTH/BEHAVIORAL HEALTH, HOMELESSNESS, SUBSTANCE ABUSES, AND COMMUNITY EDUCATION.DIABETES/OBESITY:IN KING COUNTY, 7% OF 10TH GRADERS AND 8% OF ADULTS ON AVERAGE, 7% OF KING COUNTY ADULTS HAVE BEEN DIAGNOSED WITH DIABETES. OVER THE NEXT FEW YEARS, THE DIABETES TEAM WILL EXPAND ITS SERVICES AND HAS IDENTIFIED THE FOLLOWING COMPONENTS THAT WILL CONSTITUTE OUR COMPREHENSIVE PROGRAM: -INCREASE AWARENESS OF INDIVIDUALS WHO ARE AT RISK FOR DEVELOPING PREDIABETES INCLUDING SCREENINGS. IDENTIFY AND ACKNOWLEDGE ADDITIONAL AVENUES FOR IMPROVING KNOWLEDGE TO REDUCE AND PREVENT THE RISK OF DEVELOPING TYPE 2 DIABETES.-BALLARD ADDED IMBEDDED PSYCHIATRIC THERAPIST THAT PARTNERS WITH DIABETES AND BARIATRIC CARE.MENTAL HEALTH/BEHAVIORAL HEALTH:MENTAL ILLNESS IS A COMMON CAUSE OF DISABILITY. MENTAL HEALTH DISORDERS CAN HAVE A SERIOUS IMPACT ON PHYSICAL HEALTH AND ARE ASSOCIATED WITH THE PREVALENCE, PROGRESSION AND OUTCOME OF CHRONIC DISEASES. BALLARD ADDED IMBEDDED PSYCHIATRIC THERAPIST. -IMPLEMENT A NEW PROGRAM THAT PROVIDES MENTAL HEALTH PEER SUPPORT IN SWEDISH EMERGENCY DEPARTMENTS (ED)-MENTAL HEALTH FIRST AID TRAINING, HOMELESSNESS:A POINT-IN-TIME COUNT OF HOMELESS PEOPLE IS CONDUCTED EVERY YEAR IN EVERY COUNTY IN THE STATE. THE 2017 POINT-IN TIME COUNT ESTIMATED 11,643 HOMELESS INDIVIDUALS IN KING COUNTY AND 1,066 HOMELESS INDIVIDUALS IN SNOHOMISH COUNTY. 52.9% OF THE HOMELESS IN KING COUNTY, 23.8% OF THE HOMELESS IN KING COUNTY ARE CONSIDERED TO BE CHRONICALLY HOMELESS. TRENDS IN THE HOMELESS POPULATION INDICATE THE HOMELESS POPULATION HAS DECREASED FROM 2006 TO 2017, WHILE HOMELESSNESS HAS RISEN IN KING COUNTY. THE PROPORTION OF UNSHELTERED HOMELESS IN BOTH COUNTIES AND THE STATE HAS RISEN OVER TIME-DEVELOP ONGOING PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND CITY AND COUNTY ENTITIES WHOSE FOCUS IS HOMELESSNESS AND PROVIDING SUPPORT FOR FAMILIES EXPERIENCING HOMELESSNESS IN KING COUNTY SUBSTANCE ABUSE:SMOKING IS A CONTRIBUTING CAUSE TO DISEASE AND DEATH. IT INCREASES THE RISK OF DEVELOPING HEART DISEASE, STROKE AND CANCER. ALCOHOL AND DRUG ABUSE HAS A MAJOR IMPACT ON INDIVIDUALS, FAMILIES, AND COMMUNITIES. THE EFFECTS OF SUBSTANCE ABUSE CONTRIBUTE TO COSTLY SOCIAL, PHYSICAL, MENTAL, AND PUBLIC HEALTH PROBLEMS.-INITIATE A PILOT PROGRAM AT THE BALLARD EMERGENCY DEPARTMENT (ED) TO TRANSITION PATIENTS WITH OPIOID USE DISORDER (OUD) TO A SUBOXONE CLINIC FOR TREATMENT.COMMUNITY EDUCATION:INCREASE OUTREACH AND ENGAGEMENT OPPORTUNITIES FOR COMMUNITIES IN AND AROUND THE BALLARD COMMUNITY. OUTREACH ACTIVITIES TO INCREASE AND IMPROVE AWARENESS AND EDUCATION AMONG THE INCREASING NUMBERS OF FAMILIES AND ADULTS.-PARTNER WITH BALLARD COMMUNITY EVENTS TO PROVIDE HEALTH EDUCATION AND OUTREACH TO THE COMMUNITY. WE WILL SELECT TWO TO THREE EVENTS DURING THE YEAR ADDRESSING ISSUES OF HEART HEALTH, DIABETES PREVENTION, HEALTHY BMI AND EXERCISE.
SWEDISH HEALTH SERVICES (GROUP A - 1-3) Part V, Section B, line 24: FOR NON-MEDICALLY NECESSARY SERVICES, A PATIENT MAY BE BILLED THE GROSS CHARGES.
SWEDISH HEALTH SERVICES (GROUP A - 1-3) Part V, Section B, Line 3e:THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THESIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THECHNA.
SWEDISH HEALTH SERVICES (GROUP A - 1-3) Part V, Section B, Line 7a:HTTP://WWW.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-ENGAGEMENT/COMMUNITY-NEEDS-ASSESSMENT
SWEDISH HEALTH SERVICES (GROUP A - 1-3) Part V, Section B, Line 10a:HTTPS://WWW.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-ENGAGEMENT/COMMUNITY-NEEDS-ASSESSMENT/ASSESSMENTS-SITE-LIST
SWEDISH HEALTH SERVICES (GROUP A - 1-3) Part V, Section B, Line 16a:HTTPS://WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
SWEDISH HEALTH SERVICES (GROUP A - 1-3) Part V, Section B, Line 16b:HTTPS://WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
SWEDISH HEALTH SERVICES (GROUP A - 1-3) Part V, Section B, Line 16c:HTTPS://WWW.SWEDISH.ORG/PATIENT-VISITOR-INFO/BILLING/FINANCIAL-ASSISTANCE
   
   
Schedule H (Form 990) 2018
Page 9
Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?150
Name and address Type of Facility (describe)
1 1 - DIABETES EDUCATION AND NUTRITION - FIRST
1124 COLUMBIA ST SUITE 400
SEATTLE,WA98104 		EDUCATION
2 2 - EXPRESS CARE AT WALGREENS BELLEVUE
15585 NE 24TH ST
BELLEVUE,WA98007 		EXPRESS CARE
3 3 - EXPRESS CARE AT WALGREENS BOTHELL
20812 BOTHELL EVERETT HIGHWAY
BOTHELL,WA98021 		EXPRESS CARE
4 4 - EXPRESS CARE AT WALGREENS ISSAQUAH
6300 E LAKE SAMMAMISH PKWY SE
ISSAQUAH,WA98029 		EXPRESS CARE
5 5 - EXPRESS CARE AT WALGREENS KIRKLAND
12405 NE 85TH ST
KIRKLAND,WA98033 		EXPRESS CARE
6 6 - EXPRESS CARE AT WALGREENS LAKE FOREST PA
14352 LAKE CITY WAY NE
SEATTLE,WA98125 		EXPRESS CARE
7 7 - EXPRESS CARE AT WALGREENS MERCER ISLAND
7707 SE 27TH ST
MERCER ISLAND,WA98040 		EXPRESS CARE
8 8 - EXPRESS CARE AT WALGREENS RENTON
4105 NE 4TH ST
RENTON,WA98059 		EXPRESS CARE
9 9 - BREAST IMAGING CENTER - FIRST HILL
1101 MADISON ST SUITE 310
SEATTLE,WA98104 		IMAGING CENTER
10 10 - CARDIOVASCULAR DIAGNOSTIC IMAGING - CHER
550 17TH AVE SUITE 630
SEATTLE,WA98122 		IMAGING CENTER
11 11 - MEDICAL IMAGING - BALLARD
5350 TALLMAN AVE NW 2ND FLOOR
SEATTLE,WA98107 		IMAGING CENTER
12 12 - MEDICAL IMAGING - CHERRY HILL
500 17TH AVE
SEATTLE,WA98122 		IMAGING CENTER
13 13 - MEDICAL IMAGING - FIRST HILL
747 BROADWAY 4TH FLOOR EAST
SEATTLE,WA98122 		IMAGING CENTER
14 14 - MEDICAL IMAGING - ISSAQUAH
751 NE BLAKELY DRIVE 1ST FLOOR
ISSAQUAH,WA98029 		IMAGING CENTER
15 15 - MEDICAL IMAGING - MILL CREEK
13020 MERIDIAN AVE S
EVERETT,WA98208 		IMAGING CENTER
16 16 - MEDICAL IMAGING - REDMOND
18100 NE UNION HILL ROAD
REDMOND,WA98052 		IMAGING CENTER
17 17 - PETCT IMAGING AT SWEDISH CANCER INSTITU
1221 MADISON STREET SUITE 150
SEATTLE,WA98104 		IMAGING CENTER
18 18 - WOMEN'S IMAGING CENTER - BALLARD
5300 TALLMAN AVE NW 2ND FLOOR
SEATTLE,WA98107 		IMAGING CENTER
19 19 - LAB PATIENT SERVICES CENTER AT SWEDISH M
13020 MERIDIAN AVE S 2ND FLOOR
EVERETT,WA98028 		LAB
20 20 - OUTPATIENT PHARMACY - FIRST HILL
1221 MADISON ST
SEATTLE,WA98104 		PHARMACY
21 21 - BAINBRIDGE ISLAND PRIMARY CARE
945 HILDEBRAND LANE NE SUITE 100
BAINBRIDGE ISLAND,WA98110 		PRIMARY CARE
22 22 - BALLARD PRIMARY CARE
5350 TALLMAN AVE NW SUITE 301
SEATTLE,WA98107 		PRIMARY CARE
23 23 - BALLINGER PRIMARY CARE
6007B 244TH ST SW
MOUNTLAKE TERRACE,WA98043 		PRIMARY CARE
24 24 - BELLEVUE PRIMARY CARE
1200 112TH AVE NE SUITE B100
BELLEVUE,WA98004 		PRIMARY CARE
25 25 - CENTRAL SEATTLE PRIMARY CARE
1600 E JEFFERSON ST JEFFERSON TOWER
S
SEATTLE,WA98122 		PRIMARY CARE
26 26 - CLE ELUM PRIMARY CARE
214 W 1ST ST
CLE ELUM,WA98922 		PRIMARY CARE
27 27 - DOWNTOWN SEATTLE PRIMARY CARE
800 5TH AVE SUITE P100
SEATTLE,WA98104 		PRIMARY CARE
28 28 - FACTORIA PRIMARY CARE
12917 SE 38TH ST SUITE 100
BELLEVUE,WA98006 		PRIMARY CARE
29 29 - GREENLAKE PRIMARY CARE
7210 ROOSEVELT WAY NE
SEATTLE,WA98115 		PRIMARY CARE
30 30 - ISSAQUAH PRIMARY CARE
751 NE BLAKELY DRIVE 5TH FLOOR
ISSAQUAH,WA98029 		PRIMARY CARE
31 31 - KINGSTON PRIMARY CARE
25989 BARBER CUT OFF ROAD
KINGSTON,WA98346 		PRIMARY CARE
32 32 - KLAHANIE PRIMARY CARE
4560 KLAHANIE DRIVE SE SUITE 400
ISSAQUAH,WA98029 		PRIMARY CARE
33 33 - MAGNOLIA PRIMARY CARE
2450 33RD AVE W SUITE 100
SEATTLE,WA98199 		PRIMARY CARE
34 34 - MERCER ISLAND PRIMARY CARE
3236 78TH AVE SE SUITE 200
MERCER ISLAND,WA98040 		PRIMARY CARE
35 35 - MILL CREEK PRIMARY CARE
13020 MERIDIAN AVE S
EVERETT,WA98208 		PRIMARY CARE
36 36 - PINE LAKE PRIMARY CARE
22707 SE 29TH ST
SAMMAMISH,WA98075 		PRIMARY CARE
37 37 - QUEEN ANNE PRIMARY CARE
2211 QUEEN ANNE AVE N
SEATTLE,WA98109 		PRIMARY CARE
38 38 - REDMOND PRIMARY CARE AND URGENT CARE
18100 NE UNION HILL RD SUITE 200
REDMOND,WA98052 		PRIMARY CARE
39 39 - RENTON PRIMARY CARE
911 N 10TH PLACE
RENTON,WA98057 		PRIMARY CARE
40 40 - RICHMOND BEACH PRIMARY CARE
604 NW RICHMOND BEACH ROAD
SHORELINE,WA98177 		PRIMARY CARE
41 41 - SAND POINT PRIMARY CARE
4540 UNION BAY PLACE NE
SEATTLE,WA98105 		PRIMARY CARE
42 42 - SNOQUALMIE PRIMARY CARE
37624 SE FURY ST
SNOQUALMIE,WA98065 		PRIMARY CARE
43 43 - SOUTH LAKE UNION PRIMARY CARE
510 BOREN AVE N
SEATTLE,WA98109 		PRIMARY CARE
44 44 - WEST SEATTLE PRIMARY CARE
3400 CALIFORNIA AVE SW SUITE 300
SEATTLE,WA98116 		PRIMARY CARE
45 45 - ACUTE REHABILITATION UNIT
500 17TH AVE 6-EAST
SEATTLE,WA98122 		REHAB & PHYSICAL THERAPY
46 46 - OUTPATIENT REHABILITATION - BALLARD
5300 TALLMAN AVE NW 1SOUTH
SEATTLE,WA98107 		REHAB & PHYSICAL THERAPY
47 47 - OUTPATIENT REHABILITATION - CHERRY HILL
500 17TH AVE SUITE 100
SEATTLE,WA98122 		REHAB & PHYSICAL THERAPY
48 48 - OUTPATIENT REHABILITATION - FIRST HILL
1229 MADISON ST NORDSTROM TOWER
SUITE
SEATTLE,WA98104 		REHAB & PHYSICAL THERAPY
49 49 - OUTPATIENT REHABILITATION - ISSAQUAH
751 NE BLAKELY DRIVE SUITE 4010
ISSAQUAH,WA98029 		REHAB & PHYSICAL THERAPY
50 50 - OUTPATIENT REHABILITATION - MILL CREEK
13020 MERIDIAN AVE S SUITE 310
EVERETT,WA98029 		REHAB & PHYSICAL THERAPY
51 51 - OUTPATIENT REHABILITATION - REDMOND
18100 NE UNION HILL RD SUITE 310
REDMOND,WA98052 		REHAB & PHYSICAL THERAPY
52 52 - OUTPATIENT REHABILITATION - RENTON
916 10TH PLACE N
RENTON,WA98057 		REHAB & PHYSICAL THERAPY
53 53 - OUTPATIENT REHABILITATION - WEST SEATTLE
3400 CALIFORNIA AVE SW SUITE 100
SEATTLE,WA98116 		REHAB & PHYSICAL THERAPY
54 54 - PHYSICAL THERAPY - FACTORIA
12917 SE 38TH ST SUITE 208
BELLEVUE,WA98006 		REHAB & PHYSICAL THERAPY
55 55 - ANTICOAGULATION CLINIC - FIRST HILL
601 BROADWAY SUITE BR117
SEATTLE,WA98122 		SPECIALTY CLINIC
56 56 - BEN AND CATHERINE IVY CENTER FOR ADVANCE
550 17TH AVE SUITE 540
SEATTLE,WA98122 		SPECIALTY CLINIC
57 57 - BONE HEALTH AND OSTEOPOROSIS - FIRST HIL
601 BROADWAY SUITE 600
SEATTLE,WA98122 		SPECIALTY CLINIC
58 58 - BRAIN AND SPINE SPECIALISTS
1600 E JEFFERSON ST JEFFERSON TOWER
S
SEATTLE,WA98122 		SPECIALTY CLINIC
59 59 - CANCER INSTITUTE GYNECOLOGIC ONCOLOGY AN
1101 MADISON ST SUITE 1500
SEATTLE,WA98104 		SPECIALTY CLINIC
60 60 - CANCER INSTITUTE TREATMENT CENTER - FIRS
1221 MADISON ST 3RD FLOOR
SEATTLE,WA98104 		SPECIALTY CLINIC
61 61 - CANCER REHABILITATION - FIRST HILL
1229 MADISON SUITE 1050
SEATTLE,WA98104 		SPECIALTY CLINIC
62 62 - CARDIAC REHABILITATION - CHERRY HILL
550 17TH AVE JAMES TOWER CENTER FOR
HE
SEATTLE,WA98122 		SPECIALTY CLINIC
63 63 - CARDIAC SURGERY
1600 E JEFFERSON ST SUITE 110
SEATTLE,WA98122 		SPECIALTY CLINIC
64 64 - CARDIOVASCULAR WELLNESS - CHERRY HILL
550 17TH AVE JAMES TOWER SUITE 100
SEATTLE,WA98122 		SPECIALTY CLINIC
65 65 - CENTER FOR BLOOD DISORDERS AND STEM CELL
1221 MADISON ST 10TH FLOOR
SEATTLE,WA98104 		SPECIALTY CLINIC
66 66 - CENTER FOR COMPREHENSIVE CARE
515 MINOR AVE
SEATTLE,WA98104 		SPECIALTY CLINIC
67 67 - CENTER FOR HEARING AND SKULL BASE SURGER
550 17TH AVE SUITE 540
SEATTLE,WA98122 		SPECIALTY CLINIC
68 68 - CENTER FOR PERINATAL BONDING AND SUPPORT
1101 MADISON SUITE 500
SEATTLE,WA98104 		SPECIALTY CLINIC
69 69 - CEREBROVASCULAR CENTER
550 17TH AVE SUITE 110
SEATTLE,WA98122 		SPECIALTY CLINIC
70 70 - COLON & RECTAL CLINIC - BALLARD
1801 NW MARKET BALLARD CAMPUS SUITE
207
SEATTLE,WA98107 		SPECIALTY CLINIC
71 71 - COLON & RECTAL CLINIC - FIRST HILL
1101 MADISON ST FIRST HILL CAMPUS
SUIT
SEATTLE,WA98104 		SPECIALTY CLINIC
72 72 - COMMUNITY SPECIALTY CLINIC
801 BROADWAY HEATH BUILDING SUITE
901
SEATTLE,WA98122 		SPECIALTY CLINIC
73 73 - COUNTRY DOCTOR WALK-IN AFTER-HOURS CARE
550 16TH AVE
SEATTLE,WA98122 		SPECIALTY CLINIC
74 74 - DEEP BRAIN STIMULATION
550 17TH AVE SUITE 540
SEATTLE,WA98122 		SPECIALTY CLINIC
75 75 - ENDOCRINOLOGY - FIRST HILL
1124 COLUMBIA ST SUITE 400
SEATTLE,WA98104 		SPECIALTY CLINIC
76 76 - ENDOCRINOLOGY - WEST SEATTLE
3400 CALIFORNIA AVE SW SUITE 210
SEATTLE,WA98116 		SPECIALTY CLINIC
77 77 - EPILEPSY CENTER
550 17TH AVE CHERRY HILL CAMPUS
JAMES
SEATTLE,WA98122 		SPECIALTY CLINIC
78 78 - FUNCTIONAL RESTORATION
600 BROADWAY SUITE 580
SEATTLE,WA98122 		SPECIALTY CLINIC
79 79 - GASTROENTEROLOGY - FIRST HILL
1221 MADISON ST SUITE 1220
SEATTLE,WA98104 		SPECIALTY CLINIC
80 80 - GOSSMAN ADVANCED HEALTHCARE SIMULATION
600 BROADWAY SUITE 100
SEATTLE,WA98122 		SPECIALTY CLINIC
81 81 - HEAD & NECK SURGERY
1101 MADISON ST SUITE 850
SEATTLE,WA98104 		SPECIALTY CLINIC
82 82 - HEART & VASCULAR - BALLARD
1801 NW MARKET ST SUITE 207
SEATTLE,WA98107 		SPECIALTY CLINIC
83 83 - HEART & VASCULAR - CHERRY HILL (4TH FLOO
550 17TH AVE SUITE 450
SEATTLE,WA98122 		SPECIALTY CLINIC
84 84 - HEART & VASCULAR - CHERRY HILL (6TH FLOO
550 17TH AVE SUITE 680
SEATTLE,WA98122 		SPECIALTY CLINIC
85 85 - HEART & VASCULAR - FACTORIA
12917 SE 38TH ST SUITE 100
BELLEVUE,WA98006 		SPECIALTY CLINIC
86 86 - HEART & VASCULAR - KENT
23914 100TH AVE S
KENT,WA98031 		SPECIALTY CLINIC
87 87 - HEART & VASCULAR - SEQUIM
840 NORTH 5TH AVE SUITE 2400
SEQUIM,WA98382 		SPECIALTY CLINIC
88 88 - HEART & VASCULAR - WEST SEATTLE
3400 CALIFORNIA AVE SW
SEATTLE,WA98116 		SPECIALTY CLINIC
89 89 - HIP AND PELVIS CENTER
600 BROADWAY SUITE 340
SEATTLE,WA98122 		SPECIALTY CLINIC
90 90 - IBD CENTER
1221 MADISON ST SUITE 1220A
SEATTLE,WA98104 		SPECIALTY CLINIC
91 91 - JOHN L LOCKE JR ADVANCED CARDIAC SUPPO
1600 E JEFFERSON ST SUITE 600
SEATTLE,WA98122 		SPECIALTY CLINIC
92 92 - MATERNAL AND FETAL SPECIALTY CENTER - FI
1229 MADISON NORDSTROM TOWER SUITE
750
SEATTLE,WA98104 		SPECIALTY CLINIC
93 93 - MAXILLOFACIAL SURGERY
600 BROADWAY SUITE 460
SEATTLE,WA98122 		SPECIALTY CLINIC
94 94 - MEDICAL ONCOLOGY - FIRST HILL
1221 MADISON ST ARNOLD PAVILION
SUITE
SEATTLE,WA98104 		SPECIALTY CLINIC
95 95 - MIDWIFERY - FIRST HILL
1101 MADISON ST SUITE 700
SEATTLE,WA98104 		SPECIALTY CLINIC
96 96 - MOVEMENT DISORDERS
550 17TH AVE SUITE 540
SEATTLE,WA98122 		SPECIALTY CLINIC
97 97 - MULTIPLE SCLEROSIS CENTER
1600 E JEFFERSON ST A LEVEL
SEATTLE,WA98122 		SPECIALTY CLINIC
98 98 - MUSCULOSKELETAL SERVICES - RENTON
916 N 10TH PLACE
RENTON,WA98057 		SPECIALTY CLINIC
99 99 - NEUROLOGIC RESTORATION - CHERRY HILL
550 17TH AVE SUITE 540
SEATTLE,WA98122 		SPECIALTY CLINIC
100 100 - NEUROLOGY - CHERRY HILL
550 17TH AVE SUITE 400
SEATTLE,WA98122 		SPECIALTY CLINIC
101 101 - NEURO-OPHTHALMOLOGY
1600 E JEFFERSON ST SUITE 205
SEATTLE,WA98101 		SPECIALTY CLINIC
102 102 - NEUROSURGERY - CHERRY HILL
550 17TH AVE SUITE 500
SEATTLE,WA98122 		SPECIALTY CLINIC
103 103 - OBGYN SPECIALISTS - FIRST HILL
1101 MADISON ST SUITE 700
SEATTLE,WA98104 		SPECIALTY CLINIC
104 104 - OFFICE OF DR ZHAO AND DR GOLDBERG
1221 MADISON SUITE 1020
SEATTLE,WA98104 		SPECIALTY CLINIC
105 105 - ONCOLOGY SOCIAL WORK - ISSAQUAH
751 NE BLAKELY DR SUITE 1090
ISSAQUAH,WA98029 		SPECIALTY CLINIC
106 106 - ORTHOPEDIC INSTITUTE - FIRST HILL
601 BROADWAY
SEATTLE,WA98122 		SPECIALTY CLINIC
107 107 - OTOLARYNGOLOGY - BALLARD
1801 NW MARKET ST SUITE 411
SEATTLE,WA98107 		SPECIALTY CLINIC
108 108 - OTOLARYNGOLOGY - FIRST HILL
600 BROADWAY SUITE 200
SEATTLE,WA98122 		SPECIALTY CLINIC
109 109 - PAIN SERVICES - FIRST HILL
600 BROADWAY SUITE 530
SEATTLE,WA98122 		SPECIALTY CLINIC
110 110 - PAIN SERVICES - ISSAQUAH
751 BLAKELY DRIVE SUITE 4010
ISSAQUAH,WA98029 		SPECIALTY CLINIC
111 111 - PALLIATIVE CARE AND SYMPTOM MANAGEMENT C
1221 MADISON ST 2ND FLOOR
SEATTLE,WA98104 		SPECIALTY CLINIC
112 112 - PALLIATIVE CARE CLINIC - CHERRY HILL
550 17TH AVE SUITE 400
SEATTLE,WA98122 		SPECIALTY CLINIC
113 113 - PEDIATRIC NEUROSCIENCE
600 BROADWAY SUITE 400
SEATTLE,WA98122 		SPECIALTY CLINIC
114 114 - PEDIATRIC SPECIALTY CARE - SEATTLE
1101 MADISON MADISON TOWER SUITE
800
SEATTLE,WA98104 		SPECIALTY CLINIC
115 115 - PEDIATRIC THERAPY
1229 MADISON ST NORDSTROM TOWER
SUITE
SEATTLE,WA98104 		SPECIALTY CLINIC
116 116 - PEDIATRICS - MEADOW CREEK
6520 226TH PL SE SUITE 100
ISSAQUAH,WA98027 		SPECIALTY CLINIC
117 117 - PEDIATRICS - REDMOND
8301 161ST AVE NE SUITE 204
REDMOND,WA98052 		SPECIALTY CLINIC
118 118 - PEDIATRICS - WEST SEATTLE
4744 41ST AVE SW SUITE 101
SEATTLE,WA98116 		SPECIALTY CLINIC
119 119 - PITUITARY CENTER
550 17TH AVE SUITE 400
SEATTLE,WA98122 		SPECIALTY CLINIC
120 120 - PLASTICS AND AESTHETICS
901 BOREN AVE CABRINI MEDICAL TOWER
SU
SEATTLE,WA98104 		SPECIALTY CLINIC
121 121 - RADIATION ONCOLOGY - FIRST HILL
1221 MADISON ST ARNOLD PAVILION 1ST
FL
SEATTLE,WA98104 		SPECIALTY CLINIC
122 122 - RADIATION ONCOLOGY - SWEDISH CANCER INST
16233 SYLVESTER RD SW SUITE 110
BURIEN,WA98166 		SPECIALTY CLINIC
123 123 - RADIATION ONCOLOGY - SWEDISH CANCER INST
400 S 43RD STREET
RENTON,WA98055 		SPECIALTY CLINIC
124 124 - RADIOSURGERY CENTER - CHERRY HILL
550 17TH AVE SUITE A10
SEATTLE,WA98122 		SPECIALTY CLINIC
125 125 - SLEEP MEDICINE - BALLARD
1801 NW MARKET ST SUITE 207
SEATTLE,WA98107 		SPECIALTY CLINIC
126 126 - SLEEP MEDICINE - CHERRY HILL
550 17TH AVE JAMES TOWER LEVEL A20
SEATTLE,WA98122 		SPECIALTY CLINIC
127 127 - SLEEP MEDICINE - NORTH SEATTLE
1536 N 115TH ST MCMURRAY BUILDING
SUI
SEATTLE,WA98133 		SPECIALTY CLINIC
128 128 - SLEEP MEDICINE - WEST SEATTLE
3400 CALIFORNIA AVE SW SUITE 210
SEATTLE,WA98116 		SPECIALTY CLINIC
129 129 - SPECIALTY CARE BELLEVUE
1200 112TH AVE NE SUITE B250
BELLEVUE,WA98004 		SPECIALTY CLINIC
130 130 - SPECIALTY CARE RENTON
910 N 10TH PLACE
RENTON,WA98057 		SPECIALTY CLINIC
131 131 - SPINE SPECIALISTS AT SNI
550 17TH AVE JAMES TOWER 5TH FLOOR
SEATTLE,WA98122 		SPECIALTY CLINIC
132 132 - SPINE SPORTS & MUSCULOSKELETAL MEDICINE
1750 112TH AVE NE BUILDING 3 SUITE
D25
BELLEVUE,WA98004 		SPECIALTY CLINIC
133 133 - SPINE SPORTS & MUSCULOSKELETAL MEDICINE
1600 E JEFFERSON ST JEFFERSON TOWER
S
SEATTLE,WA98122 		SPECIALTY CLINIC
134 134 - SURGICAL SPECIALISTS - BALLARD
1801 NW MARKET ST BALLARD PROFESSIO
AL
SEATTLE,WA98107 		SPECIALTY CLINIC
135 135 - SURGICAL SPECIALISTS - CHERRY HILL
1600 E JEFFERSON ST SUITE 305
SEATTLE,WA98122 		SPECIALTY CLINIC
136 136 - SURGICAL SPECIALISTS - FIRST HILL (BROAD
801 BROADWAY SUITE 300
SEATTLE,WA98122 		SPECIALTY CLINIC
137 137 - SURGICAL SPECIALISTS - FIRST HILL (MADIS
1221 MADISON ST ARNOLD PAVILION
SUITE
SEATTLE,WA98104 		SPECIALTY CLINIC
138 138 - SURGICAL SPECIALISTS - WEST SEATTLE
3400 CALIFORNIA AVE SW SUITE 300
SEATTLE,WA98116 		SPECIALTY CLINIC
139 139 - SWEDISH FAMILY MEDICINE - BALLARD
1801 NW MARKET ST SUITE 403
SEATTLE,WA98107 		SPECIALTY CLINIC
140 140 - SWEDISH FAMILY MEDICINE - CHERRY HILL
550 16TH AVE SUITE 100
SEATTLE,WA98122 		SPECIALTY CLINIC
141 141 - SWEDISH FAMILY MEDICINE - FIRST HILL
1401 MADISON ST SUITE 100
SEATTLE,WA98104 		SPECIALTY CLINIC
142 142 - SWEDISH ORGAN TRANSPLANT AND LIVER CENTE
1124 COLUMBIA ST SUITE 600
SEATTLE,WA98104 		SPECIALTY CLINIC
143 143 - THORACIC SURGERY - FIRST HILL
1101 MADISON ST SUITE 900
SEATTLE,WA98104 		SPECIALTY CLINIC
144 144 - TRUE FAMILY WOMEN'S CANCER CENTER - 5TH
1221 MADISON ST 5TH FLOOR
SEATTLE,WA98104 		SPECIALTY CLINIC
145 145 - TRUE FAMILY WOMENS CANCER CENTER - 6TH F
1221 MADISON ST 6TH FLOOR
SEATTLE,WA98104 		SPECIALTY CLINIC
146 146 - VASCULAR SURGERY - BALLARD
1801 NW MARKET ST SUITE 207
SEATTLE,WA98107 		SPECIALTY CLINIC
147 147 - VASCULAR SURGERY - FIRST HILL
801 BROADWAY 5TH FLOOR SUITE 500
SEATTLE,WA98122 		SPECIALTY CLINIC
148 148 - VASCULAR SURGERY - WEST SEATTLE
3400 CALIFORNIA AVE SW
SEATTLE,WA98116 		SPECIALTY CLINIC
149 149 - WEIGHT LOSS SERVICES - FIRST HILL
1124 COLUMBIA ST SUITE 400
SEATTLE,WA98104 		SPECIALTY CLINIC
150 150 - WOUND HEALING CENTER
540 16TH AVE
SEATTLE,WA98122 		SPECIALTY CLINIC
Schedule H (Form 990) 2018
Page 10
Schedule H (Form 990) 2018
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Part I, Line 3c: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
Part I, Line 6a: SWEDISH HEALTH SERVICES PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.SWEDISH.ORG/ABOUT/OVERVIEW/MISSION-OUTREACH/COMMUNITY-HEALTH-INVESTMENT/COMMUNITY-BENEFITS
Part I, Line 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS.
Part I, Line 7g: NO COSTS ATTRIBUTABLE TO PHYSICAL CLINICS WERE INCLUDED
Part II, Community Building Activities: SWEDISH PARTNERSHIPS:AFTER WE IDENTIFIED NEGATIVE HEALTH TRENDS IN OUR COMMUNITIES, SWEDISH LAUNCHED AN INITIATIVE AIMED AT STRENGTHENING PARTNERSHIPS WITH AGENCIES WHOSE MISSIONS IMPROVE THE HEALTH OF OUR COMMUNITY.THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDED A SCIENTIFIC APPROACH TO ALLOCATING SPONSORSHIP FUNDS. THE CHNA IDENTIFIED AND PRIORITIZED COMMUNITY NEEDS WHICH IN TURN OFFERED A LITMUS TEST FOR IDENTIFYING PROGRAMS/AGENCIES THAT IMPACT NEGATIVE HEALTH INDICATORS TRENDS.WE INSTITUTED A NEW SIMPLIFIED APPROACH WHERE SPONSORSHIP DOLLARS WOULD BE MATCHED WITH AGENCIES THAT ADDRESS SPECIFIC HEALTH INDICATORS. THESE PARTNERS WERE OFFERED MULTIPLE-YEAR PARTNERSHIPS THROUGH AGREEMENTS THAT FOCUSED LESS ON THE FUNDS AND MORE ABOUT ENGAGEMENT. OUR VANGUARD PARTNERSHIP GROUPS INCLUDE:- AMERICAN HEART ASSOCIATION- LIFELONG - MARCH OF DIMES- SOUND GENERATION- AMERICAN CANCER SOCIETY- PLYMOUTH HOUSING- NAMI WASHINGTON - AMERICAN DIABETES ASSOCIATION - NATIONAL MULTIPLE SCLEROSIS SOCIETY- COUNTRY DOCTOR AFTERHOURS CLINIC- SWEDISH COMMUNITY SPECIALTY CLINICBELOW ARE MORE DETAILS ON OUR UNIQUE PARTNERSHIPS.AMERICAN HEART ASSOCIATIONTHE AMERICAN HEART ASSOCIATION (AHA) IS DEDICATED TO BUILDING HEALTHIER LIVES FREE OF HEART DISEASE AND STROKE THROUGH CUTTING-EDGE RESEARCH, PUBLIC AND PROFESSIONAL EDUCATION PROGRAMS AND PUBLIC HEALTH. THE PARTNERSHIP WITH SWEDISH HAS ENHANCED OPPORTUNITIES TO EXPAND CPR TRAINING, COMMUNITY PRESENTATIONS OF ITS LIFE'S SIMPLE 7 CARDIOVASCULAR PROGRAM AND EXPAND PARTICIPATION IN WALKING AND DIET PROGRAMS OFFERED BY THE AHA.LIFELONG LIFELONG EMPOWERS PEOPLE LIVING WITH OR AT RISK OF HIV/AIDS AND OTHER CHRONIC CONDITIONS TO LEAD HEALTHIER LIVES. AS A COMMUNITY CARE PROVIDER, SWEDISH HAS PARTNERED WITH THE ORGANIZATION TO HOST CONFERENCES FOCUSED ON PREVENTION, POLICY AND PRACTICE, ALONG WITH FORMING A MEDICAID EXPANSION WORK GROUP TO UNDERSTAND THE UPCOMING CHALLENGES AND OPPORTUNITIES WITH HEALTH-CARE REFORM IN WASHINGTON.MARCH OF DIMESTHE MARCH OF DIMES WORKS TO IMPROVE THE HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTH AND INFANT MORTALITY. LONG RECOGNIZED FOR PRENATAL, LABOR AND DELIVERY CARE, SWEDISH STAFF WORKS CLOSELY WITH MARCH OF DIMES TO IMPROVE EDUCATION AND SUPPORT FOR EXPECTING AND NEW PARENTS, ALONG WITH AN ACTIVE INVOLVEMENT IN PUBLIC FUNCTIONS AND FUNDRAISING ACTIVITIES THROUGHOUT THE COMMUNITY.SOUND GENERATION SENIOR SERVICES PROMOTES POSITIVE AGING FOR OLDER ADULTS THROUGHOUT KING COUNTY. THROUGH ITS INTEGRATED SYSTEM OF QUALITY PROGRAMS AND SENIOR CENTERS THEY BUILD A JUST SOCIETY WHERE AGING ADULTS AND THOSE WHO CARES FOR THEM CAN LIVE THEIR BEST LIVES. SWEDISH AND SENIOR SERVICES PARTNERSHIP EXTENDS ACCESS TO CARE TO 15 SENIOR HOUSING FACILITIES, CENTER AND COMMUNITY GROUPS IN WAYS TO BUILD HEALTHIER COMMUNITIES.NATIONAL MULTIPLE SCLEROSIS SOCIETYTHE PACIFIC NORTHWEST HAS THE HIGHEST RATES OF MULTIPLE SCLEROSIS IN THE UNITED STATES. MEDICAL PARTNERS ARE CRITICAL TO INCREASING ACCESS TO EDUCATION, EARLY TREATMENT PROTOCOLS AND SCREENING. SWEDISH'S PHYSICIANS PARTICIPATE IN NUMEROUS COMMUNITY EVENTS TO PROVIDE INFORMATION AND EDUCATION. ITS CHARITY CARE PROGRAM FUNDS CARE FOR UNINSURED PATIENTS AND THE SWEDISH MULTIPLE SCLEROSIS CENTER HOSTS REGULAR GROUP SUPPORT MEETINGS WITH INDIVIDUALS IN VARIOUS STAGES OF THE DISEASE.AMERICAN DIABETES ASSOCIATION DIABETES IS A GROWING CHRONIC ILLNESS ACROSS THE NATION. RESEARCH, EDUCATION AND PRESENTATIVE PROCESS SUPPORTS THE COMBAT OF THIS QUITE DISEASE AMONG YOUTH AND ADULTS. AMERICAN CANCER SOCIETYPARTNERSHIP IN SUPPORT OF SURVIVOR SUPPORT, OUTREACH, EDUCATION AND CLINICAL PROCEDURE. INTEGRATED MEDICAL AND THERAPIES ALL PATIENT TO LIVE LONGER AND HAVE A BETTER QUALITY OF LIFE. NAMI, THE NATIONAL ALLIANCE ON MENTAL ILLNESS - WASHINGTON STATE PROVIDES GOVERNANCE, ADVOCACY AND FUNDRAISING SUPPORT FOR THE 19 NAMI AFFILIATE OFFICES, LARGE AND SMALL, THROUGHOUT THE STATE. NAMI'S MISSION IS TO IMPROVE THE QUALITY OF LIFE FOR ALL THOSE AFFECTED BY MENTAL ILLNESS. WE DO THIS BY PROVIDING A STATEWIDE, UNIFYING VOICE OF ADVOCACY AND COORDINATING THE DELIVERY OF EDUCATION, SUPPORT AND RECOVERY. NAMI WASHINGTON TRAINS AFFILIATE VOLUNTEERS TO TEACH AND LEAD NAMI'S PROGRAMS IN THEIR COMMUNITIESPLYMOUTH HOUSING'S MISSION IS TO ELIMINATE HOMELESSNESS AND ADDRESS ITS CAUSES BY PRESERVING, DEVELOPING, AND OPERATING SAFE, QUALITY, SUPPORTIVE HOUSING AND BY PROVIDING ADULTS EXPERIENCING HOMELESSNESS WITH OPPORTUNITIES TO STABILIZE AND IMPROVE THEIR LIVES.COUNTRY DOCTOR AND AFTERHOURS CLINIC:HEALTHCARE FOR THE HOMELESS IS A CRITICAL SERVICE FOR SEATTLE GROWING HOMELESS POPULATION SWEDISH PARTNERS WITH COUNTRY DOCTOR FOR PROVIDE HEALTH SCREENINGS, PRIMARY CARE AND REFERRAL. SWEDISH COMMUNITY SPECIALTY CLINICTO FURTHER SWEDISH'S COMMITMENT TO SERVE THE UNINSURED, WE OPENED THE SWEDISH COMMUNITY SPECIALTY CLINIC AT THE SWEDISH/FIRST HILL CAMPUS IN SEPTEMBER 2010. THE FORMER MOTHER JOSEPH AND GLASER SPECIALTY CLINICS COMBINED AND PARTNERED WITH KING COUNTY PROJECT ACCESS (KCPA) TO PROVIDE EXPANDED SPECIALTY CARE SERVICES TO OUR COMMUNITY.A SPECIALTY DENTAL CLINIC WITH MORE THAN 30 VOLUNTEER ORAL SURGEONS AND DENTISTS WAS ADDED. THIS PROGRAM WAS DEVELOPED AND FUNDED THROUGH A UNIQUE COLLABORATION BETWEEN SWEDISH, PROJECT ACCESS NORTHWEST, SEATTLE-KING COUNTY DENTAL SOCIETY/FOUNDATION AND THE WASHINGTON DENTAL SERVICES FOUNDATION.OUR GOAL IS TO SET A NEW STANDARD IN COMMUNITY HEALTH AND DEMONSTRATE THE IMPORTANCE OF CHARITY CARE TO OUR NONPROFIT MISSION EVEN IN TOUGH ECONOMIC TIMES.
Part III, Line 2: THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE.
Part III, Line 3: THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION, THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
Part III, Line 4: THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
Part III, Line 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
Part III, Line 9b: PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
Part VI, Line 2: SWEDISH MEDICAL CENTER IS A MEMBER OF KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (HHC) A COLLABORATIVE OF ALL 12 HOSPITALS AND HEALTH SYSTEMS IN KING COUNTY AND PUBLIC HEALTH-SEATTLE & KING COUNTY. HHC MEMBERS JOINED FORCES TO IDENTIFY THE MOST IMPORTANT HEALTH NEEDS IN THE COMMUNITIES THEY SERVE AND TO DEVELOP STRATEGIES THAT ADDRESS THOSE NEEDS. HHC MEMBERS HAVE ALSO WORKED TOGETER TO INCREASE ACCESS TO HEALTHY FOODS AND BEVERAGES IN THEIR FACILITIES AND TO ADDRESS ACCESS-TO-CARE ISSUES BY ASSISTING WITH ENROLLMENT OF RESIDENTS IN FREE OR LOW- COST HEALTH INSURANCE. USING THE HHC ASSESSMENT AS A FOUNDATION, EACH OF SWEDISH HOSPITALS DEVELOPED ITS OWN CHNA AND IMPLEMENTATION STRATEGY REFLECTING THE FINDINGS FROM THE COLLABORATIVE COMBINED WITH THE FINDINGS OF THE LOCAL COMMUNITY.STAKEHOLDER SURVEYS WERE USED TO GATHER DATA AND OPINIONS FROM PERSON WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. SECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES. SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEY MONKEY LINK. THE LINK WAS DISTRIBUTED TO PARTNER ORGANIZATIONS WHO THEN DISTRIBUTED THEM TO COMMUNITY RESIDENTS AND TO LEADERS AND STAFF MEMBERS CARING FOR MEDICALLY UNDERSERVED, LOW-INCOME, IMMIGRANT AND MINORITY POPULATIONS. PAPER COPIES WERE ALSO MADE AVAILABLE TO COMMUNITY MEMBERS.
Part VI, Line 3: SWEDISH HOSPITALS ARE COMMITTED TO THE PROVISION OF HEALTHCARE SERVICES TO ALL PERSONS IN NEED OF MEDICAL ATTENTION REGARDLESS OF THEIR ABILITY TO PAY.EMPLOYEES ARE RESPONSIBLE FOR PROCESSING APPLICATIONS IN A RESPECTFUL AND COURTEOUS MANNER. PROCESSING SHOULD IN NO WAY DISCOURAGE PATIENTS FROM RECEIVING HEALTHCARE OR RESULT IN THE DELAYED PROVISION OF ESSENTIAL HEALTHCARE SERVICES. CHARITY CARE/FINANCIAL ASSISTANCE ARE AVAILABLE TO ANY ELIGIBLE PATIENT WITHOUT REGARD TO RACE, COLOR, SEX, RELIGION, AGE ORNATIONAL ORIGIN. ALL INTERACTIONS WITH PATIENTS MUST RESPECT THE INHERENTWORTH OF ALL PERSONS AND THEIR INDIVIDUAL DIGNITY.PUBLIC NOTICES:OUR FINANCIAL ASSISTANCE (CHARITY CARE) POLICY IS MADE AVAILABLE VIA WALLPOSTERS THAT ARE LOCATED IN REGISTRATION AREAS AND EMERGENCY DEPARTMENTS. LETTER SIZE POSTERS ARE ALSO AVAILABLE IN DEPARTMENTS AND HEALTH RESOURCE CENTERS.BROCHURES ARE AVAILABLE FOR DISSEMINATION OR UPON REQUEST AND ARE AVAILABLE IN SEVERAL LANGUAGES INCLUDING, BUT NOT LIMITED TO, ENGLISH, SPANISH, CHINESE, VIETNAMESE AND KOREAN. BROCHURES, APPLICATIONS AND THE SLIDING SCALE ARE AVAILABLE TO ANY PERSON REQUESTING THE INFORMATION WHETHER IN PERSON, BY MAIL OR BY TELEPHONE.TIMING OF APPLICATION:PATIENTS MAY APPLY FOR CHARITY CARE PRIOR TO SERVICE, AT THE TIME OF SERVICE OR AT ANY POINT IN THE BILLING PROCESS UP TO THE RESOLUTION OF THE ACCOUNT.IDENTIFICATION OF CHARITY CARE CANDIDATES:EVERY EFFORT IS MADE TO IDENTIFY PATIENTS WHO WOULD BENEFIT FROM CHARITY CARE AT THE EARLIEST POINT POSSIBLE. CARE FOR A PATIENT'S WELL-BEING IS AS IMPORTANT AS CARE FOR THEIR MEDICAL NEEDS. IT IS OUR GOAL TO DIMINISH A PATIENT'S WORRY OVER HEALTHCARE BILLS. EMPLOYEES MUST BE ALERT TOINDICATIONS THAT THE PATIENT OR FAMILY HAS CONCERNS ABOUT THEIR ABILITY TO PAY HEALTHCARE BILLS, EVEN IF THE PATIENT DOES NOT SPECIFICALLY ASK ABOUT CHARITY CARE OR FINANCIAL ASSISTANCE.GENERAL APPLICATION PROCESS:ONCE A PATIENT IS IDENTIFIED AS A CHARITY CARE CANDIDATE, THE PATIENT WILL BE INTERVIEWED. INTERPRETERS WILL BE OFFERED AND ARRANGED AS APPROPRIATE.
Part VI, Line 4: SWEDISH FIRST HILL, SWEDISH CHERRY HILL AND SWEDISH BALLARD SERVE KING AND SNOHOMISH COUNTIES. THERE ARE TWELVE HOSPITALS SERVING THE COMMUNITY.- IN 2017, THE POPULATION IN THE TOTAL SERVICE AREA (PSA + SSA) WAS 2,846,268. - 21% OF THE POPULATION ARE CHILDREN AND YOUTH, AGES 0-17, AND 13.5% OF THE POPULATION ARE SENIORS, 65 YEARS AND OLDER. - AMONG COMMUNITY RESIDENTS, 61.4% WERE NON-LATINO WHITE, 18.1% ASIAN/PACIFIC ISLANDER, 9.1% WERE HISPANIC OR LATINO, 7.0% WERE AFRICAN AMERICAN OR BLACK, AND 5.8% WERE OF TWO OR MORE RACES/ETHNICITIES AND 3.5% WERE OTHER RACES/ETHNICITIES. - WITHIN SERVICE AREA HOMES, 67.3% OF RESIDENTS SPEAK ENGLISH ONLY. - HIGH SCHOOL GRADUATION RATES IN KING COUNTY ARE 80.5% AND IN SNOHOMISH COUNTY THEY ARE 79.5%. THESE RATES DO NOT MEET THE HEALTHY PEOPLE 2020 OBJECTIVE OF AN 87% HIGH SCHOOL GRADUATION RATE. - IN 2016, THE MEDIAN HOUSEHOLD INCOME FOR THE SERVICE AREA WAS $82,071, AND THE UNEMPLOYMENT RATE WAS 6%.- 4.1% OF SERVICE AREA HOUSEHOLDS AND 10.1% OF INDIVIDUALS ARE AT POVERTY LEVEL - WITHIN THE SERVICE AREA THERE ARE 1,071,149 HOUSEHOLDS. 34.7% OF RESIDENTS SPEND 30% OR MORE OF THEIR INCOME ON HOUSING, AND 34,255 PERSONS LIVE IN OVERCROWDED OR SUBSTANDARD HOUSING. - IN 2017 THERE WERE AN ESTIMATED 11,643 HOMELESS INDIVIDUALS IN KING COUNTY AND 1,066 HOMELESS INDIVIDUALS IN SNOHOMISH COUNTY. 52.9% OF THE HOMELESS IN KING COUNTY AND 51.7% IN SNOHOMISH COUNTY ARE SHELTERED. 23.8% OF THE HOMELESS IN KING COUNTY AND 36.3% IN SNOHOMISH COUNTY ARE CONSIDERED TO BE CHRONICALLY HOMELESS.- FOOD INSECURITY IS ONE WAY TO MEASURE THE RISK OF HUNGER. IN 2016 IN KING COUNTY, 12.2% OF THE POPULATION (254,200 PERSONS) EXPERIENCED FOOD INSECURITY. IN SNOHOMISH COUNTY, THE RATE OF FOOD INSECURITY WAS 10.9% (82,600 PERSONS). - IN THE FIRST HILL AND CHERRY HILL SERVICE AREAS, 4.5% OF COMMUNITY RESIDENTS WERE UNINSURED. 65.2% OF COMMUNITY RESIDENTS HAD PRIVATE (COMMERCIAL) INSURANCE, 18.1% OF RESIDENTS RECEIVED MEDICAID AND 12.1% OF THE POPULATION WERE COVERED BY MEDICARE.SWEDISH ISSAQUAHSWEDISH ISSAQUAH HOSPITAL IS LOCATED IN ISSAQUAH WASHINGTON, DESCRIBED AS A VIBRANT, EVER GROWING COMMUNITY NESTLED AT THE FOOT OF THREE MOUNTAINS WHERE I-90 MEETS THE URBAN BOUNDARY. - ESTABLISHED IN 1892, THE CURRENT POPULATION IS 1,451,299 (2017). THE POPULATION GREW BY 9.3% FROM 2011-2016. USING 2017 THE COMMUNITY IS COMPRISED OF 22.5% CHILDREN AND YOUTH; 15.6% YOUNG ADULTS, 49% ADULTS AND 12.9% SENIORS, 65 AND OVER- AMONG COMMUNITY RESIDENTS IN 2016, 59.7 % WERE NON-LATINO WHITE, 20.3 ASIAN/PACIFIC ISLANDER, 8.4% WERE HISPANIC OR LATINO, 6.8% WERE AFRICAN AMERICAN OR BLACK 5.3% WERE OF TWO OR MORE RACES/ETHNICITIES AND 3.2% WERE OTHER RACES/ETHNICITIES.- 8.9% OF INDIVIDUALS ARE AT POVERTY LEVEL, 9.9 OF AREA HOUSEHOLDS AND 19.6% OF INDIVIDUALS ARE CATEGORIZED AS LOW-INCOME WITH INCOMES BELOW 200%.- WITHIN SERVICE AREA HOMES, 65.1% SPEAK ENGLISH ONLY.- IN THE SERVICE AREA, 20.6% OF RESIDENTS, HAVE GRADUATED HIGH SCHOOL, 7.9% OF THE ADULT POPULATION HAS LESS THAN A HIGH SCHOOL DEGREE AND 46.7% HAVE A COLLEGE DEGREE.- IN 2016, 4.0 % OF COMMUNITY RESIDENTS WERE UNINSURED, 69% HAD PRIVATE (COMMERCIAL) INSURANCE, 15.4 % RECEIVED MEDICAID AND 11.6 %WERE COVERED BY MEDICARE.MAJOR EMPLOYERS INCLUDE COSTCO CORPORATE AND SWEDISH HOSPITAL. OTHER LOCAL HEALTHCARE PROVIDERS INCLUDE: - OVERLAKE HAS URGENT CARE IN ISSAQUAH - VIRGINIA MASON HAS A MEDICAL CENTER IN ISSAQUAH - UW MEDICINE HAS PRIMARY CARE IN ISSAQUAH - EVERGREEN HEALTH HAS PRIMARY CARE CLOSE TO ISSAQUAH IN SAMMAMISH THE CITY ANTICIPATES CONTINUED GROWTH WITH 3,916 ADDITIONAL HOUSING UNITS AND 17,517 JOBS BY 2031. SWEDISH HOSPITAL IS EXPECTED TO EXPAND TO ACCOMMODATE THE GROWTH.AS WITH MANY COMMUNITIES ON THE EASTSIDE OF LAKE WASHINGTON, ISSAQUAH HAS A MIX OF FAMILIES WITH CHILDREN, AS WELL AS A PROPORTIONATELY LARGE SENIOR POPULATION. TO MEET HEALTH NEEDS OF ISSAQUAH AND SURROUNDING COMMUNITIES, SWEDISH ISSAQUAH PROVIDES CARE FOR ALL AGES.
Part VI, Line 5: SENIOR LEADERSHIP COMMUNITY BOARD PARTICIPATION - SOUND GENERATION, AHA, CAPITOL HILL CHAMBER, SEATTLE WORKFORCE DEVELOPMENT, ACS, LIFELONG, COMPANIS, KCACH, HEALTHIERHERE, UNCF, CAMP TEN TREES, CAMPAINS, WELLSPRINGS.COMMUNITY HEALTH FAIRS - SOMALIA HEALTH BOARD, TET, NEIGHBORHOOD HOUSE, URBAN GAMES, BALLARD SEAFOOD FEST, SEATTLE STORM OUTREACH, YEAR UP RESOURCE FAIR, SEAFAIR TORCH LIGHT 8K AND 5K RUN, LIFE SUPPORT, AFRICAN AMERICAN MEN WELLNESS 5K, SUMMER RUN, MACK STRONG MEAL PROGRAMS COMMUNITY LUNCH ON CAPITOL HILL, LIFELONG DISTRIBUTION KITCHEN, FOOD BANK AT ST MARY'S, BYRD BARR, TREEHOUSE, SANDWICH DISTRIBUTION TO HOMELESS, IN-KIND DONATION OF CLOTHING, AND CARE PACKS MARY'S PLACE, BABY CORNER, YWCA, WELLSPRINGS, YMCA, COMMUNITY LUNCH ON CAPITOL HILL, KOREAN OLYMPICS, ACRS, NOURISHING NETWORK, LINKS, URBAN GAMES, COUNTRY DOCTOR, CLEM ELUM SCHOOLS IN-KIND DONATION MEDICAL SUPPLIES SEATTLE U, HEALTHCARE CAMP, MENS CLINIC, CLEAN SWEEP, CAMP TEN TREES, REDMOND'S CLINIC, FAMILY MEDICAL CLINIC, HEALTH SCHOLARS, PREP NURSES ASSOCIATION LATINO NURSES ASSOCIATION AND WA BUSINESS WEEK.EMERGENCY PREPAREDNESS KITS - CASCADE SCHOOL, SERVICE BOARD, CAPITOL HILL CHAMBER, SEATTLE STORM, FIRST HILL IMPROVEMENT ASSOCIATION, CAMP TEN TREES, URBAN GAMES.LGBTQ HEALTH - LGBTQ 101 - CME TANS HEALTH 101, LGBTQ+ HEALTH, CME, PRIDE DAY HEALTH AND COMMUNITY EDUCATION.ASK THE DR AND ASK THE RN EVENTS - URBAN GAMES.SENIOR LEADERSHIP COMMUNITY BOARDS PARTICIPATION - AMERICAN RED CROSS, ISSAQUAH CHAMBER OF COMMERCE, BELLEVUE COMMUNITY COLLEGE, AND ISSAQUAH SCHOOL BOARD AND EASTSIDE BABY CORNER.COMMUNITY HEALTH FAIRS - TASTE OF ISSAQUAH, SALMON DAYS, BELLEVUE DAY, MUSIC IN THE PARK, ISSAQUAH HIGH SCHOOL.MEAL PROGRAM YWCA FOOD BANK, ISSAQUAH COUNTY FOOD PANTRY.IN- KIND DONATIONS MEDICAL EQUIPMENT AND SUPPLIES.EMERGENCY PREPAREDNESS LIFE SUPPORT, SCHOOLS AND COMMUNITY CENTERS.COMMUNITY EDUCATION SUICIDE PREVENTION AND EDUCATION.PARTNERSHIP WITH THE PROGRAMS SUCH AS ACT, TAVON AND ENCOMPASS THAT SUPPORT INDIVIDUALS WITH DISABILITIES AND SPECIAL NEEDS SO THEY CAN THRIVE.
Part VI, Line 6: ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (LEGACY PHS) AND ST. JOSEPH HEALTH SYSTEM (LEGACY SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS AND OVER 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.
Part VI, Line 7, Reports Filed With States WA
Schedule H (Form 990) 2018
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