SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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.
1
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? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
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   341,409,014
EUROPE (INCLUDING ICELAND & GREENLAND)     INVESTMENTS   17,899,711
EAST ASIA AND THE PACIFIC     INVESTMENTS   7,831,178
NORTH AMERICA     INVESTMENTS   2,080,963
SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION   1,757,820
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION   1,143,096
NORTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION   278,062
EAST ASIA AND THE PACIFIC 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION   138,386
SOUTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION   14,270
NORTH AMERICA 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES 436,000
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES 116,000
MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES 50,000
EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ESTIMATED PURCHASE OF MEDICAL SERVICES 50,000
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 210,000
NORTH AMERICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 62,000
EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 46,000
SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND AID SITES 37,000
MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES ESTIMATED TRAVEL TO MEDICAL CONFERENCES AND MEETINGS 5,000
SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES PEDIATRIC HEALTHCARE - GLOBAL HEALTH PATHWAY RESIDENCY PROGRAM 64,257
SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES PEDIATRIC EMERGENCY AND CRITICAL CARE - KENYA FELLOWSHIP TRAINING PROGRAM 13,497
EAST ASIA AND THE PACIFIC 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    
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    
3a Sub-total .... 0 0 372,538,230
b Total from continuation sheets to Part I ... 0 0 1,104,024
c Totals (add lines 3a and 3b) 0 0 373,642,254
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
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.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 723,392 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 596,401 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 160,367 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 153,377 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 82,894 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 41,388 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 336,949 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 215,373 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 171,277 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 149,132 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 125,494 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 84,870 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM AWARD IN SUPPORT OF RESEARCH PROJECT 60,000 WIRE TRANSFER 0    
NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 278,062 CHECK PAYMENT 0    
EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 138,386 WIRE TRANSFER 0    
SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, PEDIATRIC MEDICAL RESEARCH GRANT SUBAWARD 9,100 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 .......MediumBullet
2
3 Enter total number of other organizations or entities .......................MediumBullet
14
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021Page 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) 2021
Schedule F (Form 990) 2021
Page 4
Part IV
Foreign Forms
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .
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) .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
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, OFFICE OF RESEARCH FINANCE, 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 III ACCOUNTING METHOD:  
PART IV, LINE 6: SEATTLE CHILDREN'S HOSPITAL HAS NO OPERATIONS IN A BOYCOTTING COUNTRY. PATIENTS FROM THESE BOYCOTTING COUNTRIES ARE SPONSORED BY THEIR GOVERNMENT AND SEEK TREATMENT IN THE UNITED STATES. SOME PATIENTS WILL PAY FOR THEIR OWN TREATMENT HOWEVER NO PAYMENT OR CASH WAS TRANSFERRED BETWEEN SEATTLE CHILDREN'S HOSPITAL AND THE LOCAL HOSPITALS IN THESE BOYCOTTING COUNTRIES.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2021
Additional Data


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