Swedish
Legal name: Swedish Health Services
Nonprofit profile at a glance
- EIN
- 910433740
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Jun 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Renton, Washington, United States
- Phone
- 2066822550
- Rating
- 74
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $3,338,219,787
- Expenses
- $3,315,116,364
- Assets
- $3,697,751,526
- Liabilities
- $3,414,807,070
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
28 people listed
Executive titles in this filing
- ELIZABETH WAKO (PRESIDENT/CEO)
Highest reported compensation
- GREG HOFFMAN (EVP & CFO/TREASURER): $4,270,929 total reported compensation
- ANNA NEWSOM (EVP & CHIEF LEGAL OFFICER/SECRETARY): $2,895,675 total reported compensation
- ELIZABETH WAKO (PRESIDENT/CEO): $2,820,837 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
And Values Our Mission Improve the health and well-being of each person we serve. Improve the health and well-being of each person we serve. Our Vision. EXCELLENCE: We set the highest standards for ourselves and our services. Through transformation and innovation, we strive to improve the health and quality of life in our communities. We commit to compassionate and reliable practices for the care of all. DIGNITY: We value, encourage and celebrate the gifts in one another. We respect the inherent dignity and worth of every individual. We recognize each interaction as a sacred encounter. INTEGRITY: We hold ourselves accountable to do the right thing for the right reasons. We speak truthfully and courageously with respect and generosity. We seek authenticity with humility and simplicity.
What it reported doing in 2024
See schedule o. At providence, we use our voice to advocate for vulnerable populations and needed reforms in health care. We are also pursuing innovative ways to transform health care by keeping people healthy, and making our services more convenient, accessible and affordable for all. In an increasingly uncertain world, we are committed to high-quality, compassionate health care for everyone - regardless of coverage or ability to pay. We help people and communities benefit from the best health care model for the future - today.together, our 125,000 caregivers (all employees) serve in 51 hospitals, 1,014 clinics and a comprehensive range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The providence affiliate family includes:-providence across five western states-covenant health in west Texas and New Mexico-facey medical group in los angeles, ca-kadlec in southeast Washington-pacific medical centers in seattle, wa-swedish health services in seattle, wa in 2024, providence ministries and affiliates provided $1.9 billion in community benefit programs. This includes free and discounted care, uncompensated and subsidized care, and other community health activities.one of these vital programs, medicaid, is a lifeline for millions of individuals, including seniors, children, pregnant patients, those with disabilities and veterans. We are grateful to everyone in our communities who has joined us in advocating for continued funding and expansion of this program. Together, we are helping to ensure more people have access to needed care. For more information go to: https://www.providence.org/about/annual-report through our community benefit programs, we focus on meeting the diverse needs of the people we serve by working to ensure basic health needs are met, removing barriers to care, building community resilience and innovating for the future. Providence continues to work towards carbon negative and in 2024 decreased emissions by 19 percent compared to our 2019 baseline. Our efforts earned us a system record 55 environmental excellence awards from practice greenhealth and made us the first large system to receive the joint commission's sustainable healthcare certification in 2024 for each of our hospitals. 2024 program service accomplishmentsat providence swedish, we are committed to improving the health of the communities we serve. As a leading provider of primary and specialty care in the puget sound with more than a century of experience serving those in need, we are dedicated to improving community health and promoting health equity in king county and beyond.swedish health services is the largest nonprofit health care provider in the greater seattle area with five hospital campuses - first hill, cherry hill, ballard, edmonds, and issaquah - ambulatory care centers in redmond and mill creek, and a network of more than 100 primary care and specialty clinics throughout the greater puget sound area. It is a regional referral center for leading-edge procedures, such as robotic-assisted surgery and personalized treatment in cardiovascular care, cancer care, neuroscience, orthopedics, high-risk obstetrics, pediatric specialties, organ transplantation and clinical research. Our commitment to improving the health of our community extends beyond patient care. Through community health improvement and strategic partnerships, health professions education and research, free, discounted and subsidized care, and other means of outreach, we commit to caring for those we serve through high-impact community benefit programs and services. Examples of our commitment in action and service accomplishments in 2024 include: mental and behavioral health: in the king county area, there are few options available for acute psychiatric care, especially for those who are uninsured or underinsured. At swedish ballard's inpatient psychiatric unit, patients with serious mental illness receive crisis stabil
Operating model
- Revenue model
- Earned-program. 92% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and the filing reports few safeguards for money sent abroad.
Rating breakdown
- Financial Efficiency: 76
- Transparency & Controls: 61
- Accountability: 91
- Sustainability: 41
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 85.7%; rating input score 86
- Program expense ratio: 86.3%; rating input score 86
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Scored; rating input score 0
- Grant itemization coverage: 97.8%; rating input score 98; 33rd percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
- Governance controls: 7 of 9 controls in place; rating input score 78
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 0.7%; rating input score 35; 35th percentile among comparable filings
- Total-asset coverage ratio: 1.12; rating input score 43; 43rd percentile among comparable filings
- Liabilities to assets ratio: 0.92; rating input score 10; 10th percentile among comparable filings
- Officer compensation ratio: 0.4%; rating input score 87; 87th percentile among comparable filings
Growth
- Program expense growth: 4.9% per year; rating input score 100; 39th percentile among comparable filings
- Revenue growth: 4.9% per year; rating input score 100; 41st percentile among comparable filings
- Asset growth: 0.2% per year; rating input score 100; 8th percentile among comparable filings
Details
- What they do: 1 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 85.7% of revenue deployed · 86.3% of spending went to programs
- Governance: 11 of 11 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $2.9B in reported program spending
- Leadership: top reported pay $4.3M · 28 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $233.5M reported
- Consistency: 31 of 32 current checks pass · 1 finding to review
- Schedules: 11 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 44 filed money-flow records
- Related organizations: 216 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- High — Transparency & Controls: Foreign activity oversight scored 0/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- Moderate — Sustainability: Operating margin scored 35/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 43/100.
- High — Sustainability: Liabilities to assets ratio scored 10/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.