2024-04-29T14:16:21-05:00 2023-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2022-07-01 911935159 FRED HUTCHINSON CANCER CENTER FRED 2066674876 1100 FAIRVIEW AVENUE NORTH SEATTLE WA 981091024 CHRIS BUNDESMANN CORPORATE CONTROLLER 2066672092 2024-04-25 1 CHRIS BUNDESMANN 999009999 0 MEGAN R RYAN P00737884 4254544919 2024-04-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DR THOMAS LYNCH JR 1100 FAIRVIEW AVENUE NORTH SEATTLE WA 981091024 2563119113 0 X WWW.FREDHUTCH.ORG X 1998 WA FRED HUTCHINSON CANCER CENTER UNITES INNOVATIVE RESEARCH AND COMPASSIONATE CARE TO PREVENT AND ELIMINATE CANCER AND INFECTIOUS DISEASE. WE'RE DRIVEN BY THE URGENCY OF OUR PATIENTS, THE HOPE OF OUR COMMUNITY AND OUR PASSION FOR DISCOVERY TO PURSUE SCIENTIFIC BREAKTHROUGHS AND HEALTHIER LIVES FOR EVERY PERSON IN EVERY COMMUNITY. 12 10 6568 965 0 0 159178335 1047209861 1046363504 1220881238 74844321 40621641 3575762 14083231 1283961922 2322795971 34738432 149912745 0 0 328167481 657862084 517259 2279028 25590677 771106257 1141606736 1134529429 1951660593 149432493 371135378 2999831201 3407176412 2049582217 2024301434 950248984 1382874978 X THROUGH ITS INDIVIDUALIZED CANCER CARE AND ADVANCED SCIENTIFIC RESEARCH, FRED HUTCHINSON CANCER CENTER (FRED HUTCH) PROVIDES THE LATEST CANCER TREATMENT OPTIONS AND ACCELERATES DISCOVERIES THAT PREVENT, TREAT AND CURE CANCER AND INFECTIOUS DISEASES WORLDWIDE. 0 0 896126287 957116 1204355136 CLINICAL CARE:A DISTINGUISHING FEATURE OF FRED HUTCH CLINICAL CARE IS THE INTEGRATION OF OUR TREATMENT PROGRAMS AND RESEARCH, WHICH WAS STRENGTHENED BY THE APRIL 2022 MERGER OF A RESPECTED CLINICAL CANCER CARE ORGANIZATION (SEATTLE CANCER CARE ALLIANCE) AND A RENOWNED RESEARCH ORGANIZATION (FRED HUTCHINSON CANCER RESEARCH CENTER), CREATING FRED HUTCHINSON CANCER CENTER. THIS UNIFICATION SUPPORTS OUR FOCUS OF SPEEDING THE TRANSFER OF NEW DIAGNOSTIC AND TREATMENT TECHNIQUES FROM THE RESEARCH SETTING TO PATIENT CARE. THE HIGHLY INTEGRATED APPROACH SUPPORTS THE FLOW OF SCIENTIFIC INFORMATION AMONG RESEARCHERS, CLINICIANS, AND PATIENTS, THEREBY ACCELERATING THE DEVELOPMENT OF NEW KNOWLEDGE AND TREATMENT OF VARIOUS CANCERS.THE 2022 MERGER WAS ALSO ACCOMPANIED BY A RESTRUCTURING OF A LONG-STANDING RELATIONSHIP WITH THE UW MEDICINE HEALTH SYSTEM. UNDER THIS RESTRUCTURING AGREEMENT, FRED HUTCH, AN INDEPENDENT, NONPROFIT ORGANIZATION, NOW SERVES AS THE CANCER PROGRAM FOR UW MEDICINE. THIS UNIQUE RELATIONSHIP BETWEEN TWO SEPARATE ORGANIZATIONS ALLOWS FOR ENHANCED CARE COORDINATION BETWEEN A TOP-RANKED CANCER CENTER AND ONE OF THE WORLD'S LEADING INTEGRATED HEALTH SYSTEMS.AS PART OF FRED HUTCH'S COMMITMENT TO ADVANCING THE STANDARD OF CANCER CARE, IT OFFERS MANY EDUCATIONAL OPPORTUNITIES FOR HEALTH CARE PROFESSIONALS OF ALL KINDS SEEKING THE SPECIALIZED KNOWLEDGE IN ONCOLOGY SETTINGS TO EARN CONTINUING EDUCATION CREDITS. FRED HUTCH IS DESIGNATED AS AN INSTRUCTIONAL SITE FOR BACHELOR AND ADVANCED DEGREE CANDIDATES FROM SEVERAL INSTITUTIONS AROUND THE PUGET SOUND AREA. FRED HUTCH OPERATES A HOUSING PROGRAM INCLUDING BOTH SOUTH LAKE UNION HOUSE AND PETE GROSS HOUSE AND RELATED TRANSPORTATION TO THE CLINIC. 833283550 148955628 16919104 RESEARCH PROGRAM: FRED HUTCH RESEARCH PROGRAMS INTEGRATE THE LATEST IN COMPUTATIONAL, LABORATORY AND PATIENT-ORIENTED CLINICAL RESEARCH METHODS TO BETTER UNDERSTAND THE MECHANISMS THAT DRIVE CANCER AND OTHER HUMAN DISEASES. OUR RESEARCHERS ARE CONTINUALLY DEVELOPING NEW THERAPEUTIC APPROACHES AND THEY DEVELOP AND LEAD CLINICAL TRIALS THAT HELP MOVE LABORATORY DISCOVERIES INTO NEW TREATMENT OPTIONS FOR PATIENTS. OUR DISCOVERIES, WHICH INCLUDE PROVING BONE MARROW TRANSPLANTATION COULD CURE LEUKEMIAS AND OTHER BLOOD CANCERS, HAVE SAVED MORE THAN A MILLION LIVES WORLDWIDE. FRED HUTCH RESEARCHERS PARTNER WITH SCIENTISTS AT LABORATORY, CLINICAL AND FIELD SITES IN THE AMERICAS, AFRICA, ASIA AND EUROPE. OUR RESEARCHERS TAKE PRIDE IN THEIR COLLABORATIVE EFFORTS TO PREDICT, DETECT, TREAT, AND PREVENT INFECTIOUS DISEASES IN HUMANS, INCLUDING KNOWN AND EMERGING INFECTIONS OF MAJOR GLOBAL HEALTH IMPORTANCE, SUCH AS CORONAVIRUS, HIV AND CANCER-RELATED INFECTIOUS DISEASES. 1729409837 1 1 0 1 0 0 0 1 0 1 1 0 0 1 1 0 0 1 0 1 1 1 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 X 1373 0 6568 1 1 1 1 UG SF UK CA 0 0 0 1 1 1 1 0 0 0 1 0 X 12 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WV WI WY X DAVID BROWDY 2066674876 1100 FAIRVIEW AVENUE NORTH SEATTLE WA 981091024 THOMAS LYNCH PRESIDENT & DIRECTOR 55.00 0.00 X X 1877400 0 85620 NANCY DAVIDSON MD EVP CLINICAL AFFAIRS 55.00 0.00 X 1545412 0 50466 KATHY SURACE-SMITH CHAIR 4.00 0.00 X X 0 0 0 LEIGH MORGAN VICE CHAIR 4.00 2.00 X X 0 0 0 SEAN BOYLE TREASURER 4.00 0.00 X X 0 0 0 JULIE NORDSTROM SECRETARY 2.00 0.00 X X 0 0 0 KRISTIANNE BLAKE DIRECTOR 2.00 0.00 X 0 0 0 STEPHEN GRAHAM DIRECTOR 2.00 0.00 X 0 0 0 JOANNE HARRELL DIRECTOR 2.00 0.00 X 0 0 0 CYNTHIA DOLD DIRECTOR 2.00 0.00 X 0 0 0 EDUARDAO PENALVER DIRECTOR 2.00 0.00 X 0 0 0 TIMOTHY DELLIT DIRECTOR 2.00 0.00 X 0 0 0 JEREMY JAECH DIRECTOR (THRU 03/23) 2.00 0.00 X 0 0 0 LISA BRANDENBURG EX-OFFICIO DIRECTOR (THRU 9/22) 2.00 0.00 X 0 0 0 NICOLE C ROBINSON VP & DEPUTY COO 55.00 0.00 X 960946 0 76800 DAVID HARLAN BROWDY VP & CHIEF FINANCIAL OFFICER 55.00 0.00 X 902580 0 66120 STEVEN HAYDON VP, GENERAL COUNSEL 55.00 0.00 X 661179 0 80452 CHRIS BUNDESMANN CORPORATE CONTROLLER 55.00 0.00 X 311642 0 46225 HERBERT L BONE III CORPORATE TREASURER 55.00 0.00 X 280088 0 52047 TOM PURCELL VP & CHIEF MEDICAL OFFICER 55.00 0.00 X 825503 0 59288 THERESA MCDONELL VP & CHIEF NURSING OFFICER 55.00 0.00 X 595290 0 63824 KELLY O'BRIEN VP PHILANTHROPY 55.00 0.00 X 573513 0 60488 BRUCE E CLURMAN EXEC VP & DEPUTY DIR, FHCC 40.00 0.00 X 842773 0 60954 ERIC C HOLLAND NE MDO STAFF 40.00 0.00 X 775665 0 75792 FREDERICK R APPELBAUM EXEC VP & DEPUTY DIR, EXT AFFR 40.00 0.00 X 749598 0 59552 STEVE STADUM EXEC VP & COOO 20.00 0.00 X 592831 0 80406 KELLY PATRICK FORMER OFF/VP 55.00 0.00 X 603285 0 52191 AARON CRANE FORMER OFF/CHIEF CLINICAL OP 55.00 0.00 X 1546465 0 44521 STEPHANIE MAYS FORMER OFF/AVP & DEPUTY GEN. 55.00 0.00 X 475128 0 66941 STEVEN HUEBNER FORMER OFF/CFO 55.00 0.00 X 340470 0 0 BRITTANY MCCREERY FORMER KE/VP 55.00 0.00 X 330621 0 56206 RICHARD LAFRANCE FORMER KE/DIR. PHARMACY 55.00 0.00 X 307586 0 57109 CHAD HOGGARD FORMER KE/CHIEF INFO SEC. OFF 55.00 0.00 X 294876 0 56680 NICKI NGUYEN-COLVIN FORMER KE/DIR. STRATEGY 55.00 0.00 X 281392 0 53337 CINDY GIST FORMER KE/VP, PATIENT SVCS 55.00 0.00 X 286843 0 47859 DANIEL MARKUS FORMER KE/DIR. SUPPLY CHAIN 55.00 0.00 X 295010 0 28063 TIMOTHY EHLING FORMER KE/DIR. NURSING 55.00 0.00 X 253545 0 50073 MATTHEW MCSWEYN FORMER KE/DIR. INFRA & OPS. 55.00 0.00 X 250600 0 43190 MICHELLE HALL FORMER KE/DIR. IT OPS 55.00 0.00 X 248584 0 44064 PAUL HELMUTH FORMER KE/DIR. CLIN BUS OPS 55.00 0.00 X 241622 0 31470 GANSUVD BALGANSUREN FORMER KE/DIR. CI LABS 55.00 0.00 X 224007 0 41634 CARILLA WALLIN FORMER KE/DIR. STRAT OUTREACH 55.00 0.00 X 209028 0 46000 ANDREW JACKSON FORMER KE/ASSOC. DIR. ENTER. 55.00 0.00 X 191839 0 32882 17875321 0 1670254 1597 1 1 0 UNIVERSITY OF WASHINGTON 1959 NE 59TH AVENUE SUITE 1005 SEATTLE WA 98104 HEALTHCARE SERVICES 163056732 GLY CONSTRUCTION INC 200 112TH AVENUE NE STE 300 BELLEVUE WA 98004 CONSTRUCTION SERVICES 92084358 NATIONAL MARROW DONOR PROGRAM 500 N 5TH STREET MINNEAPOLIS MN 55401 MARROW TRANSPLANT SERVICES 13734600 EMMES COMPANY 401 NORTH WASHINGTON STREET ROCKILLE MD 20850 RESEARCH SERVICES 11048313 LEASE CRUTCHER LEWIS MAILSTOP S-100 PO BOX 50020 SEATTLE WA 98145 CONSTRUCTION SERVICES 6537251 98 1520620 4078291 563415851 478195099 38500744 1047209861 PATIENT SERV. REVENUE 622310 1199273455 1198525185 748270 RESEARCH ACTIVITIES 541714 16866887 16866887 PATIENT HOUSING 624221 3711816 3711816 INTERAFFILIATE AGMTS 900099 702467 702467 INVENTORY SALES 459420 326613 326613 1220881238 40038469 40038469 10710203 10710203 1046754 0 1046754 1046754 1046754 239863998 8090 239219016 69900 644982 -61810 583172 583172 305531 4078291 1034226 -728695 -728695 PARKING INCOME 531390 2975113 2975113 EDUCATIONAL EVENTS 611630 393002 393002 REALIZED CURRENCY LOSS 900099 -317972 -317972 4826 4826 3054969 2322795971 1220199357 0 55386753 84461089 84461089 3137589 3137589 62314067 62314067 16536682 9378348 6524333 634001 542069 542069 512808390 412529480 90616788 9662122 28623103 15202657 12901208 519238 57413718 46174066 10239518 1000134 41938122 33607578 7604475 726069 3653265 3638680 14585 2512602 840526 1672076 526092 526092 635646 635646 2279028 2279028 1240531 1240531 251246227 196545573 51075484 3625170 5304965 5188652 113305 3008 15207325 8354457 5192641 1660227 51120530 7575033 43545497 41645085 27359113 14285972 4621474 4128232 358656 134586 4380457 3753465 601313 25679 37980819 35243057 2585664 152098 53626068 47329616 6203223 93229 8670745 198825 8471920 MEDICAL SUPPLIES 488133719 488043908 89811 COLLAB. ARRANGEMENT 101613919 101613919 RESEARCH SUPPLIES 34280192 34280192 MEDICAL EQUIPMENT R&M 27115613 16504827 10465587 145199 8091462 81464819 -78304246 4930889 1951660593 1729409837 196660079 25590677 4398 2300 367957481 240511417 79772937 445428725 342052782 337315272 2399931 2276424 39215988 44771083 1437016073 529825199 804686061 907190874 892497058 1133912742 87469144 22153223 11025 11025 9314192 7625195 374450204 265978132 2999831201 3407176412 208429195 226902508 55038716 38859021 672929694 661905084 421225000 421225000 6061402 10148118 685898210 665261703 2049582217 2024301434 X 745653984 745821978 204595000 637053000 950248984 1382874978 2999831201 3407176412 X 371135378 60666547 -1388 825457 X 0 1 X 1 1 1 X 5636906 21346663 6302039 159178335 1047209861 1239673804 5636906 21346663 6302039 159178335 1047209861 1239673804 457635231 782038573 13369032 13038491 11477095 22909249 51795426 112589293 1904459 1883223 1957545 2526957 3321301 11593485 208 595154 4170223 -70570 -313146 4381869 1368238451 4699158048 0.57160 0.69900 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: RECYCLING CONSIGNMENT SALES - 2018 AMOUNT: $ 208. 2019 AMOUNT: $ 19,497. 2020 AMOUNT: $ 13,517. 2021 AMOUNT: $ 7,613. 2022 AMOUNT: $ 8,266. MISC INCOME - 2020 AMOUNT: $ 3,844. 2021 AMOUNT: $ -78,183. 2022 AMOUNT: $ -3,440. UBIT REFUND - 2019 AMOUNT: $ 575,657. DEBT EXTINGUISHMENTS - 2020 AMOUNT: $ 4,152,862. CURRENCY GAIN/LOSS - 2022 AMOUNT: $ -317,972. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 89800 1 649 0 1 545197 635646 0 PART II-B, LINE 1: LINE 1B: FRED HUTCHINSON CANCER CENTER MET WITH AND SENT CORRESPONDENCE TO FEDERAL AND STATE OFFICIALS REGARDING HEALTH CARE ISSUES SUCH AS MEDICARE, MEDICAID, AND INSURANCE POLICIES. LINE 1F: WASHINGTON STATE HOSPITAL ASSOCIATION REPRESENTS MEMBER INTERESTS ON LOCAL AND STATE LEVELS. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - $18,418 LINE 1F: ALLIANCE OF DEDICATED CANCER CENTERS REPRESENTS MEMBER INTERESTS AT THE NATIONAL LEVEL. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - $53,200 LINE 1F: AMERICAN HOSPITAL ASSOCIATION REPRESENTS MEMBER INTERESTS AT THE NATIONAL LEVEL. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - $18,182 LINE 1G: FHCC EMPLOYEES MET WITH AND SENT CORRESPONDENCE TO FEDERAL AND STATE OFFICIALS REGARDING HEALTH CARE ISSUES SUCH AS MEDICARE, MEDICAID, AND INSURANCE POLICIES. AMOUNT EXPENDED - $649 LINE 1I: COMPENSATION PAID TO HIRED LOBBYISTS TO MONITOR AND REVIEW LEGISLATION AT THE LOCAL, STATE, AND FEDERAL LEVELS. AMOUNT EXPENDED - $545,197 0 1014786 0 0 X X DONOR RESTRICTION 0 502455707 6595026 45010776 7011934 547049575 7343138 560945684 -56394984 9438131 502455707 5981426 50000 1317949 6237 7343138 4074191 2000000 -87543 5222 5981426 3885397 150000 42098 3304 4074191 0.80000 0.20000 0.00000 0 0 94692116 94692116 180600852 81782692 98818160 36381927 5354916 31027011 879127930 293534778 585593152 246213248 149152813 97060435 907190874 RIGHT OF USE ASSETS 209413568 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 33285294 OTHER NON CURRENT ASSETS 18184902 CONTRIBUTED ARTWORK 1014786 RESTRICTED FUNDS 4079582 265978132 DEFERRED CREDIT ON CASH FLOW HEDGES 9804650 LEASE LIABILITY 226632722 UW COLLABORATIVE ARRANGEMENT 428824331 665261703 PART V, LINE 4: THE CENTER'S SPENDING POLICY FOR ENDOWMENT FUNDS IS TO APPROPRIATE FOR DISTRIBUTION EACH YEAR 5% PERCENT OF THE ENDOWMENT FUND'S AVERAGE FAIR VALUE OVER THE PRIOR THREE YEARS, PROVIDED THAT THE FAIR VALUE OF THE ENDOWMENT FUND EXCEEDS THE CORPUS. FOR A PORTION OF THE CENTER'S BOARD-DESIGNATED INVESTMENTS, THE CENTER DOES NOT APPROPRIATE FOR DISTRIBUTION ANY AMOUNT OF INVESTMENT RETURN AS ALL OF THE RETURN EARNED IS HELD TO GROW THE FUND FOR FUTURE REPAYMENT OF LONG-TERM DEBT. IN ESTABLISHING THESE POLICIES, THE CENTER CONSIDERED THE LONG-TERM EXPECTED RETURNS ON ITS ENDOWMENT AND BOARD-DESIGNATED INVESTMENTS. REMAINING BOARD DESIGNATED INVESTMENTS, THE CENTER MAKES ALL INVESTMENT RETURNS AVAILABLE FOR EXPENDITURE ON PROGRAMMATIC INITIATIVES. INCOME FROM PERMANENTLY RESTRICTED ENDOWMENT FUNDS IS USED FOR THE PURPOSE OF PROVIDING SUPPORTIVE CARE SERVICES AND RESEARCH. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES RESEARCH 8000 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES RESEARCH 308000 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 PROGRAM SERVICES RESEARCH 1346000 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES RESEARCH 4000 NORTH AMERICA 0 0 PROGRAM SERVICES RESEARCH 1531000 SOUTH AMERICA 0 0 PROGRAM SERVICES RESEARCH 420000 SOUTH ASIA 0 0 PROGRAM SERVICES RESEARCH 2000 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES RESEARCH 13262000 CENTRAL AMERICA AND THE CARIBBEAN 0 0 GRANT MAKING N/A 333942 EAST ASIA AND THE PACIFIC 0 0 GRANT MAKING N/A 202899 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 GRANT MAKING N/A 1119636 NORTH AMERICA 0 0 GRANT MAKING N/A 1959884 SOUTH AMERICA 0 0 GRANT MAKING N/A 13432454 SUB-SAHARAN AFRICA 0 0 GRANT MAKING N/A 45265253 0 0 0 0 0 0 16881000 62314068 79195068 SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 2401425 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 1708230 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 1052376 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 3872443 WIRE TRANSFER 0 BOOK NORTH AMERICA PUBLIC HEALTH SCIENCES 8730 CHECK 0 BOOK NORTH AMERICA PUBLIC HEALTH SCIENCES 21426 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 1690627 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 1625387 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 2286942 WIRE TRANSFER 0 BOOK NORTH AMERICA HUMAN BIOLOGY 21600 CHECK 0 BOOK EUROPE (INCLUDING ICELAND AND GREENLAND) VACCINE AND INFECTIOUS DISEASE RESEARCH 24666 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 2815548 WIRE TRANSFER 0 BOOK EUROPE (INCLUDING ICELAND AND GREENLAND) HUMAN BIOLOGY 156101 CHECK 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 8014 WIRE TRANSFER 0 BOOK NORTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 559344 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 283709 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 966645 WIRE TRANSFER 0 BOOK EUROPE (INCLUDING ICELAND AND GREENLAND) PUBLIC HEALTH SCIENCES 386625 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 32087 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 1179504 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 327438 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 681683 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 769766 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 183825 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 229781 WIRE TRANSFER 0 BOOK NORTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 800054 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 99572 WIRE TRANSFER 0 BOOK NORTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 18897 CHECK 0 BOOK EUROPE (INCLUDING ICELAND AND GREENLAND) HUMAN BIOLOGY 204044 CHECK 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 384883 WIRE TRANSFER 0 BOOK CENTRAL AMERICA AND THE CARIBBEAN PUBLIC HEALTH SCIENCES 276030 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 350416 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 831041 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA PUBLIC HEALTH SCIENCES 338161 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 2917154 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 2377194 WIRE TRANSFER 0 BOOK EUROPE (INCLUDING ICELAND AND GREENLAND) HUMAN BIOLOGY 63836 WIRE TRANSFER 0 BOOK CENTRAL AMERICA AND THE CARIBBEAN PUBLIC HEALTH SCIENCES 57912 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 130709 WIRE TRANSFER 0 BOOK EUROPE (INCLUDING ICELAND AND GREENLAND) VACCINE AND INFECIOUS DISEASE RESEARCH 191404 CHECK 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 3525883 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 3797528 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 1520914 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 1192367 WIRE TRANSFER 0 BOOK NORTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 290248 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA PUBLIC HEALTH SCIENCES 166366 WIRE TRANSFER 0 BOOK EAST ASIA AND THE PACIFIC PUBLIC HEALTH SCIENCES 80880 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 535012 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 2358278 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 1228262 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 564186 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 3045162 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 302704 WIRE TRANSFER 0 BOOK NORTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 21784 CHECK 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 764922 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 680008 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 269992 WIRE TRANSFER 0 BOOK EUROPE (INCLUDING ICELAND AND GREENLAND) VACCINE AND INFECTIOUS DISEASE RESEARCH 38317 WIRE TRANSFER 0 BOOK EUROPE (INCLUDING ICELAND AND GREENLAND) PUBLIC HEALTH SCIENCES 54643 WIRE TRANSFER 0 BOOK NORTH AMERICA HUMAN BIOLOGY 217800 CHECK 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 2600266 WIRE TRANSFER 0 BOOK EAST ASIA AND THE PACIFIC PUBLIC HEALTH SCIENCES 51039 WIRE TRANSFER 0 BOOK EAST ASIA AND THE PACIFIC PUBLIC HEALTH SCIENCES 70980 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 213890 WIRE TRANSFER 0 BOOK SUB-SAHARAN AFRICA VACCINE AND INFECTIOUS DISEASE RESEARCH 5999701 WIRE TRANSFER 0 BOOK SOUTH AMERICA VACCINE AND INFECTIOUS DISEASE RESEARCH 384883 CHECK 0 BOOK 0 64 1 0 1 0 0 0 PART I, LINE 2: SOME RESEARCH GRANTS RECEIVED BY FRED HUTCH ARE PASSED ON TO SUBRECIPIENTS, IN ALL OR IN PART. ONCE THE NOTICE OF AWARD HAS BEEN RECEIVED FOR THE PRIME AWARD, FRED HUTCH SETS UP A SUBAWARD. AN INDIVIDUAL KNOWN AS A RESEARCH COORDINATOR (RC) IS ASSIGNED TO CLOSELY MONITOR ALL SUBAWARD ACTIVITY. THERE ARE 4 PRIMARY STEPS IN THIS PROCESS: (1) A COPY OF THE PRIME AWARD, THE SIGNED SUBAWARD APPLICATION (IF AVAILABLE) AND ANY SPECIAL INSTRUCTIONS ARE MAINTAINED. A SIGNED SUBAWARD APPLICATION SHOWS THAT THE SUBRECIPIENT ORGANIZATION HAS REVIEWED AND APPROVED THE BUDGET AND SCOPE OF WORK. (2) THE RC PREPARES A FORM THAT PROVIDES AUTHORIZATION TO ISSUE THE SUBAWARD, AND INCLUDES A SCOPE OF WORK, BUDGET, AND ANY PERTINENT SUBRECIPIENT INFORMATION. (3) INFORMATION IS COLLECTED TO SET UP THE SUBAWARD IN THE ACCOUNTING SYSTEM, INCLUDING INSTITUTIONAL REVIEW OFFICE APPROVAL, INSTITUTIONAL ANIMAL CARE AND USE COMMITTEE APPROVAL DATES, CONFIRMATION OF SUBAWARD FACILITIES AND ADMINISTRATIVE RATES AND A-133 OR UNIFORM GUIDANCE AUDIT REPORTS, REVIEW OF PRIME SPECIAL TERMS AND CONDITIONS TO DETERMINE FLOW-DOWN, CONFIRMATION THAT THE SUBRECIPIENT IS NOT DEBARRED, AND OTHER SIMILAR REGULATORY AND ADMINISTRATIVE REQUIREMENTS. FOR FOREIGN VENDORS, WE REQUIRE A COMPLETED W-8-BEN-E AND WE RUN THEIR LEGAL NAME THROUGH EXPORT.GOV. (4) THE SUBAWARD AGREEMENT IS COMPLETED AND MAILED TO THE SUBRECIPIENT FOR REVIEW OF TERMS AND CONDITIONS, APPLICABLE INSTITUTIONAL DESIGNATION, FEDERAL CONFLICT OF INTEREST, AND SIGNATURE. THE RC MAINTAINS A COPY OF THE FULLY SIGNED AGREEMENT. NO PAYMENTS ARE MADE TO THE SUBRECIPIENT UNTIL FRED HUTCH RECEIVES THE FULLY EXECUTED AGREEMENT. PART I, LINE 3: THE ACCRUAL METHOD WAS USED IN ACCOUNTING FOR EXPENDITURES IN PARTS I AND II. PART III ACCOUNTING METHOD: PART IV, LINE 1: FORM 926 IS NOT REQUIRED TO BE FILED BECAUSE THE TRANSFER TO A FOREIGN CORPORATION DOES NOT MEET THE REPORTING REQUIREMENTS IN THE IRC SEC 6038(A)(1)(A). X X X X X X X 1 RKD GROUP 3400 WATERVIEW PKWY 250 RICHARDSON TX 75080 MAIL, EMAIL, WEB, SOLICITATION, DIGITAL MARKETING 0 4593244 2279028 2314216 4593244 2279028 2314216 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY DC OBLITERIDE 2820193 2573612 246581 125438 190281 33584 481564 CLIMB TO FIGHT 1157046 1157046 6192 2 406583 347633 58950 2086 77688 11126 106267 4383822 4078291 305531 127524 274161 44710 587831 1034226 -728695 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 0 10858163 10858163 0.00560 104046182 51205631 52840551 0.02710 114904345 51205631 63698714 0.03270 3495715 794757 2700958 0.00140 10402727 74000 10328727 0.00530 621471306 560576532 60894774 0.03120 525782 31703 494079 0.00030 635895530 561476992 74418538 0.03820 750799875 612682623 138117252 0.07090 2948 2948 0.00000 1474 1474 0.00000 29395 415 28980 0.00000 209500 209500 0.00010 16313 16313 0.00000 259630 415 259215 0.00010 1 0 0 244237675 271106976 -26869301 X 1 1 1 1 FRED HUTCHINSON CANCER CENTER 1959 NE PACIFIC STREET SEATTLE WA 98195 WWW.FREDHUTCH.ORG HAC.FS00000204 X X ACUTE CARE HOSPITAL FRED HUTCHINSON CANCER CENTER 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE PART V, PAGE 8 X 1 22 1 SEE PART V, PAGE 8 0 1 X 300.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X X 1 X 0 0 FRED HUTCHINSON CANCER CENTER PART V, SECTION B, LINE 5: FOR THE 2022 CHNA, FRED HUTCHINSON CANCER CENTER INTERVIEWED A VARIETY OF CONSTITUENTS FROM ACROSS KING, PIERCE, AND SNOHOMISH COUNTIES. THEY REPRESENTED FEDERALLY QUALIFIED HEALTH CENTERS, RESEARCH CENTERS, LOCAL PUBLIC HEALTH AGENCIES, NATIVE TRIBES AND COMMUNITY-BASED ORGANIZATIONS WORKING ALONGSIDE PEOPLE FROM A WIDE RANGE OF RACES AND ETHNICITIES, FAMILIES AND INDIVIDUALS WITH LOW INCOME, SENIORS, RECENT IMMIGRANTS AND REFUGEES, AND OTHER GROUPS WHO FACE SIGNIFICANT BARRIERS TO ACCESSING CANCER SERVICES DUE TO CURRENT AND HISTORICAL STRUCTURAL AND SYSTEMIC RACISM AND DISCRIMINATION. WE DESIGNED A SEMI-STRUCTURED INTERVIEW PROTOCOL AND INCLUDED QUESTIONS ABOUT THE INTERVIEWEE'S ORGANIZATION AND THE SERVICES THEY PROVIDE, THEIR EXPERIENCE WORKING WITH MEDICALLY UNDERSERVED POPULATIONS, UNMET HEALTH AND CANCER-RELATED NEEDS IN THE COMMUNITY, SOCIOECONOMIC FACTORS THAT CONTRIBUTE TO HEALTH DISPARITIES, AND EXISTING RESOURCES IN THE COMMUNITY. BETWEEN SEPTEMBER AND DECEMBER 2021, THE FOLLOWING ORGANIZATIONS KINDLY AGREED TO SHARE THEIR EXPERIENCE AND EXPERTISE IN INTERVIEWS: AFRICAN AMERICANS REACH & TEACH HEALTH MINISTRY (AARTH); CIERRA SISTERS, COMMUNITIES OF COLOR COALITION, INTERNATIONAL COMMUNITY HEALTH SERVICES (ICHS), KOREAN WOMEN'S ASSOCIATION, MERCY HOUSING, MUCKLESHOOT FOOD SOVEREIGNTY PROJECT, PUBLIC HEALTH - SEATTLE & KING COUNTY, SEA MAR COMMUNITY HEALTH CENTERS, SEATTLE INDIAN HEALTH BOARD, STILLY VALLEY HEALTH CONNECTIONS, AND URBAN INDIAN HEALTH INSTITUTE. FRED HUTCHINSON CANCER CENTER PART V, SECTION B, LINE 11: FRED HUTCHINSON CANCER CENTER IDENTIFIED THE FOLLOWING CANCER-RELATED COMMUNITY HEALTH NEEDS THROUGH ITS CHNA: ACCESS TO AFFORDABLE AND ATTAINABLE COMPREHENSIVE CARE; CULTURALLY ATTUNED PREVENTION, EDUCATION AND SCREENING; ENVIRONMENTAL HEALTH AND CLIMATE CHANGE; HEALTH EQUITY; MENTAL HEALTH SUPPORT FOR PATIENTS, FAMILIES AND COMMUNITY; POLICY AND SYSTEMS CHANGE WHILE INCREASING CAPACITY OF COMMUNITY-BASED ORGANIZATIONS AND COMMUNITY CLINICS; TRUST AND RELATIONSHIP-BUILDING. FRED HUTCHINSON CANCER CENTER HAS COMBINED MOST OF THE NEEDS IDENTIFIED THROUGH THE CHNA INTO THREE PRIORITY AREAS IN ITS IMPLEMENTATION STRATEGY: 1. ADVANCING HEALTH EQUITY 2. PROVIDING CULTURALLY ATTUNED PREVENTION, EDUCATION AND SCREENING 3. DELIVERING ACCESS TO AFFORDABLE AND ATTAINABLE COMPREHENSIVE CARE, INCLUDING MENTAL HEALTH CARE. WE WILL CONTINUE TO STRENGTHEN OUR TRUST AND RELATIONSHIP-BUILDING WITHIN FRED HUTCHINSON CANCER CENTER AND WITH COMMUNITY PARTNERS. OUR COMMITMENT TO HEALTH EQUITY AND BECOMING AN ANTIRACIST ORGANIZATION ENCOMPASSES SUPPORTING POLICY AND SYSTEMS CHANGE WHILE INCREASING CAPACITY OF LOCAL TRIBAL AND COMMUNITY-BASED ORGANIZATIONS AND COMMUNITY CLINICS.THE FOLLOWING OBJECTIVES OUTLINE HOW FRED HUTCHINSON CANCER CENTER IS ADDRESSING EACH PRIORITY AREA. ADVANCING HEALTH EQUITY: FRED HUTCHINSON CANCER CENTER IS ADDRESSING OUR ORGANIZATION'S ENTRENCHED SOCIAL INEQUITIES ASSOCIATED WITH RACE, ETHNICITY, LANGUAGE, CULTURAL NORMS AND EDUCATION TO MOVE TO A SYSTEM WHERE EVERY PERSON HAS THE OPPORTUNITY TO ATTAIN THEIR FULL HEALTH POTENTIAL. WE WILL IMPROVE LANGUAGE ACCESS AND CULTURALLY RELEVANT RESOURCES TO BETTER SERVE COMMUNITY MEMBERS WHO SPEAK A LANGUAGE OTHER THAN ENGLISH OR PREFER VISUAL COMMUNICATION. WE WILL BUILD CULTURAL RESPONSIVENESS AND INTERNAL CAPACITY IN EQUITY, DIVERSITY, INCLUSION AND ANTI-RACISM SO THAT EVERY PATIENT WHO IDENTIFIES AS BLACK, INDIGENOUS OR ANOTHER PERSON OF COLOR RECEIVES SUPPORT ACCORDING TO THEIR PREFERENCES. FRED HUTCHINSON CANCER CENTER IS INCREASING THE OFFERING OF DIVERSITY, EQUITY, INCLUSION, BELONGING AND BIAS AWARENESS EDUCATION TO FRED HUTCHINSON CANCER CENTER PROVIDERS AND RESEARCH STAFF. WE ARE PARTICIPATING IN THE NATIONAL COMPREHENSIVE CANCER NETWORK (NCCN) HEALTH EQUITY REPORT CARD PILOT PROJECT. WE ARE INCREASING REPRESENTATION OF BLACK, INDIGENOUS, AND OTHER PEOPLE OF COLOR IN COMMITTEES, ADVISORY GROUPS, AND OVERALL DECISION-MAKING. TO STRENGTHEN COMMUNITY-BASED ORGANIZATIONS WHO ARE TRUSTED BY OUR COMMUNITIES, FRED HUTCHINSON CANCER CENTER PROVIDES GRANTS TO SUPPORT CANCER AND SOCIAL DETERMINANTS OF HEALTH-RELATED AWARENESS, PREVENTION, AND CARE SERVICES. FRED HUTCHINSON CANCER CENTER WILL BE DEVELOPING, ENHANCING, OR TRANSLATING EDUCATION MATERIALS BASED ON COMMUNITY PARTNER NEEDS TO IMPROVE LANGUAGE ACCESS AND CULTURALLY RELEVANT RESOURCES. WE WILL BE IMPROVING ACCESS TO CLINICAL TRIALS FOR UNDERREPRESENTED MINORITY PATIENTS AS WELL AS IMPROVING COLLECTION OF RACE AND ETHNICITY DATA OF NEW PATIENTS TO BETTER UNDERSTAND THE BURDEN OF CANCER. PROVIDING CULTURALLY ATTUNED PREVENTION, EDUCATION AND SCREENING: FRED HUTCHINSON CANCER CENTER PROMOTES KNOWLEDGE OF HEALTHY LIFESTYLES AND REGULAR CANCER SCREENINGS TO DECREASE THE PREVALENCE AND SEVERITY OF CANCER WITH A FOCUS ON MARGINALIZED AND BIPOC COMMUNITIES. WE PROVIDE EDUCATION AND RECOMMENDED SCREENING AND TREATMENT OPTIONS TO MEMBERS OF OUR COMMUNITY THROUGH COMMUNITY HEALTH EVENTS THAT REACH PRIORITY POPULATIONS. THE FRED HUTCHINSON CANCER CENTER MOBILE MAMMOGRAM VAN DELIVERS THOUSANDS OF MAMMOGRAPHY SCREENINGS TO THE COMMUNITY EACH YEAR IN VARIOUS SETTINGS. WITH A FOCUS ON BLACK AND AFRICAN AMERICAN WOMEN, WE ARE ALSO PARTNERING WITH COMMUNITY ORGANIZATIONS TO SUPPORT THEIR ESTABLISHED EVENTS AS WELL AS LAUNCHING OUTREACH CAMPAIGNS WITH OUTSIDE REFERRING PROVIDERS TO REACH DUE/OVERDUE PATIENTS. FRED HUTCHINSON CANCER CENTER ESTABLISHED THE HELI?IL PROGRAM TO IDENTIFY BARRIERS TO LUNG CANCER SCREENING IN INDIGENOUS COMMUNITIES AND TO PARTNER WITH TRIBAL AND COMMUNITY LEADERS TO REDUCE THE RATE OF NON-CEREMONIAL TOBACCO USE IN OUR COMMUNITIES. WE ARE ALSO INCREASING AWARENESS ABOUT PROSTATE CANCER EQUITY AND SCREENINGS AMONG BLACK AND AFRICAN AMERICAN MEN THROUGH COMMUNITY-BASED RESEARCH AND ADVOCACY. DELIVERING ACCESS TO AFFORDABLE AND ATTAINABLE COMPREHENSIVE CARE, INCLUDING MENTAL HEALTH CARE: FRED HUTCHINSON CANCER CENTER IS IMPROVING ACCESS TO HIGH-QUALITY CANCER CARE ALONG THE CANCER CARE CONTINUUM AND TO WRAPAROUND SERVICES THAT BOLSTER HEALTH. WE WORK TO CONNECT INDIVIDUALS NEEDING CARE TO HEALTH INSURANCE COVERAGE AND OTHER SUPPORT PROGRAMS. FRED HUTCHINSON CANCER CENTER PROVIDES INTERNAL COUNSELING TO PATIENTS ABOUT INSURANCE COVERAGE AS WELL AS ACCESS TO STAFF WHO CAN HELP PATIENTS AND COMMUNITY MEMBERS LOOK FOR COVERAGE THROUGH THE WASHINGTON STATE HEALTH BENEFIT EXCHANGE. FRED HUTCHINSON CANCER CENTER HAS A FINANCIAL ASSISTANCE, OR CHARITY CARE, PROGRAM. WE HAVE AN ADDITIONAL ASSISTANCE FUND TO SUPPORT PATIENTS IN NEED WITH TRANSPORTATION, HOUSING, GROCERIES, AND OTHER NEEDS RELATED TO THEIR BUILT ENVIRONMENT OR LIVING SITUATION. WE ARE ALSO PILOTING A SOCIAL DETERMINANTS OF HEALTH (SDOH) PATIENT SCREENING TOOL TO ASSESS PATIENTS' SOCIAL BARRIERS AND REFER THEM TO COMMUNITY RESOURCES. FRED HUTCHINSON CANCER CENTER CONTINUES TO INTEGRATE A POPULATION-BASED NAVIGATION MODEL INTO OUR SERVICE STRUCTURE TO SERVE MORE PATIENTS EXPERIENCING SOCIO-ECONOMIC BARRIERS, AS WELL AS THOSE WHO NEED HELP NAVIGATING THROUGH FRED HUTCHINSON CANCER CENTER OR REQUIRE COMMUNITY RESOURCES. FRED HUTCHINSON CANCER CENTER ALSO ACTIVELY PARTICIPATES IN THE KING COUNTY BREAST, CERVICAL AND COLON HEALTH PROGRAM (BCCHP) AS WELL AS ADVOCATES ON STATE AND FEDERAL POLICIES TO IMPROVE PATIENT ACCESS TO HEALTH SERVICES. WE ARE ENHANCING ACCESS TO MENTAL HEALTH CARE FOR CANCER PATIENTS, FAMILIES, AND THE COMMUNITY BY DEEPENING RELATIONSHIPS WITH COMMUNITY-BASED MENTAL HEALTH PROVIDERS TO CREATE EASY AND FOCUSED REFERRAL DESTINATIONS WHEN PATIENTS END THEIR ACTIVE ONCOLOGY TREATMENT. WE ARE ALSO IMPLEMENTING AN INSTITUTION-WIDE SUICIDAL IDEATION ASSESSMENT. FRED HUTCHINSON CANCER CENTER IS NOT DIRECTLY ADDRESSING ENVIRONMENTAL HEALTH AND CLIMATE CHANGE WITHIN THE COMMUNITY BENEFIT IMPLEMENTATION STRATEGY; HOWEVER, WE ARE COMMITTED TO ENVIRONMENTAL SUSTAINABILITY. ENERGY CONSERVATION, RECYCLING AND COMPOSTING, WATER CONSERVATION AND SUSTAINABLE TRANSPORTATION ARE EMBEDDED IN EVERYTHING WE DO. WE AIM TO SUPPORT ENVIRONMENTAL POLICIES, SYSTEMS AND RESEARCH THAT PROMOTE SUSTAINABLE AND CLIMATE-RESILIENT OPERATIONS AT FRED HUTCHINSON CANCER CENTER FACILITIES AND MITIGATE THE OVERALL IMPACTS OF CLIMATE CHANGE. WE PLAN TO ENGAGE IN EXISTING AND UPCOMING CLIMATE RESILIENCE HEALTHCARE ANALYSES AND STRATEGIC FRAMEWORKS INTENDED TO MITIGATE OUR CONTRIBUTIONS TO CLIMATE CHANGE AND SECURE BUSINESS RESILIENCE IN THE FACE OF CLIMATE CHANGE, IN ALIGNMENT WITH THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' INITIATIVE TO HALVE U.S. CARBON EMISSIONS BY 2030. FRED HUTCHINSON CANCER CENTER PART V, SECTION B, LINE 13H: THE FOLLOWING PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY EVEN THOUGH THE PATIENTS ARE NOT RESIDENTS OF THE STATE OF WASHINGTON: 1) PATIENTS WHO HAVE AN EMERGENCY MEDICAL CONDITION; 2) PATIENTS WHO ARE REFUGEES, ASYLEES OR SEEKING ASYLUM AND PROVIDE APPROPRIATE INS DOCUMENTATION. IF THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS APPARENT, FRED HUTCHINSON CANCER CENTER MAY, IN ITS SOLE DISCRETION, CHOOSE TO WAIVE SOME OR ALL OF THE DOCUMENTATION AND VERIFICATION REQUIREMENTS. EXAMPLES OF CIRCUMSTANCES IN WHICH THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE MAY BE APPARENT INCLUDE THE FOLLOWING:1) A PATIENT OR GUARANTOR WHO HAS DECLARED BANKRUPTCY AND HAS INCLUDED THE FRED HUTCHINSON CANCER CENTER DEBT IN THE BANKRUPTCY;2) A PATIENT OR GUARANTOR WHO DIES WITHOUT MATERIAL ASSETS;3) A PATIENT OR GUARANTOR WHO IS DETERMINED TO BE HOMELESS; OR4) ACCOUNTS RETURNED BY THE COLLECTION AGENCY AS UNCOLLECTIBLE DUE TO ANY OF THE ABOVE REASONS. FRED HUTCHINSON CANCER CENTER STAFF DISCRETION WILL BE EXERCISED IN SITUATIONS WHERE FACTORS SUCH AS SOCIAL OR HEALTH ISSUES EXIST. SUCH ISSUES WILL BE DOCUMENTED TO SUPPORT FINANCIAL ASSISTANCE CONSIDERATION. FRED HUTCHINSON CANCER CENTER PART V, SECTION B, LINE 15E: ALTHOUGH THE FINANCIAL ASSISTANCE POLICY DOES NOT HAVE SPECIFIC CONTACT INFORMATION OF NONPROFIT ORGANIZATIONS OR GOVERNMENT AGENCIES THAT MAY BE SOURCES OF ASSISTANCE, THE FRED HUTCHINSON CANCER CENTER DOES HAVE GUIDELINES AND STEPS FOR ASSISTING PATIENTS WITH THIS CONTACT INFORMATION/PROCESS INCLUDED IN THE FINANCIAL ASSISTANCE POLICY AND ON OUR WEBSITE. GUIDELINES AND STEPS: THE FOLLOWING PROCEDURES WILL APPLY FOR IDENTIFYING PATIENTS AND/OR THEIR GUARANTORS WHO MAY BE ELIGIBLE FOR HEALTH CARE COVERAGE THROUGH WASHINGTON MEDICAL ASSISTANCE PROGRAMS (E.G., APPLE HEALTH) OR THE WASHINGTON HEALTH BENEFIT EXCHANGE:1. AS A PART OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS FOR DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, FRED HUTCHINSON CANCER CENTER WILL QUERY AS TO WHETHER A PATIENT OR THEIR GUARANTOR MEETS THE CRITERIA FOR HEALTH CARE COVERAGE UNDER MEDICAL ASSISTANCE PROGRAMS UNDER CHAPTER 74.09 RCW OR THE WASHINGTON HEALTH BENEFIT EXCHANGE. 2. IF INFORMATION IN THE APPLICATION INDICATES THAT THE PATIENT OR THEIR GUARANTOR IS ELIGIBLE FOR COVERAGE, WE WILL ASSIST THE PATIENT OR THEIR GUARANTOR IN APPLYING BY, AMONG OTHER THINGS, PROVIDING THE PATIENT/FAMILY WITH INFORMATION ABOUT THE APPLICATION PROCESS, ASSISTING PATIENTS THROUGH THE APPLICATION PROCESS, PROVIDING NECESSARY INFORMATION FORMS THAT MUST BE COMPLETED, AND/OR CONNECTING THE PATIENT/FAMILY WITH OTHER AGENCIES OR RESOURCES WHO CAN ASSIST THE PATIENT/FAMILY IN COMPLETING SUCH APPLICATIONS. FRED HUTCHINSON CANCER CENTER PART V, SECTION B, LINE 20E: FRED HUTCHINSON CANCER CENTER CONTACTED PATIENTS AND HELPED THEM COMPLETE PAPERWORK TO APPLY FOR FINANCIAL ASSISTANCE FOR MEDICARE, MEDICAID, OR ANY OTHER POSSIBLE SOURCE OF COVERAGE. PART V, SECTION B, LINE 3E: FRED HUTCHINSON CANCER CENTER IS DEDICATED TO ENSURING THAT OUR PURPOSE, WHICH UNITES THE DRIVE TO IMPROVE CANCER CARE AND OUTCOMES WITH THE POWER OF CLINICAL RESEARCH, IS MEETING OUR COMMUNITY'S HEALTH NEEDS. THE NEEDS IDENTIFIED BY DATA AVAILABLE TO US, COMMUNITY STAKEHOLDER INPUT, AND FEEDBACK ON OUR PREVIOUS HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES HAVE LED US TO PRIORITIZE CULTURALLY AND LINGUISTICALLY APPROPRIATE COMMUNITY HEALTH IMPROVEMENT EFFORTS AS WELL AS CANCER-RELATED HEALTH NEEDS THAT ARE CLEARLY IDENTIFIED IN THE COMMUNITY AND FOR WHICH AN EVIDENCE-BASED INTERVENTION EXISTS THAT CAN IMPROVE CANCER CARE AND OUTCOMES FOR OUR COMMUNITY.FRED HUTCHINSON CANCER CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY FOR THE CHNA VIA QUANTITATIVE AND QUALITATIVE DATA ANALYSIS. WHEN POSSIBLE, WE ACCESSED DATA ON INDICATORS ABOUT INDIVIDUALS IN KING, PIERCE, AND SNOHOMISH COUNTIES DIRECTLY FROM PUBLICLY AVAILABLE DATASETS, MOST OF WHICH ARE MAINTAINED BY NATIONAL, STATE AND COUNTY GOVERNMENT AGENCIES. IN OTHER INSTANCES, WE QUERIED DATA FOR EACH COUNTY SEPARATELY AND COMBINED THEM INTO A WEIGHTED AVERAGE. IN MOST CASES, WE BENCHMARKED THE THREE-COUNTY REGION NUMBERS AGAINST WASHINGTON STATE DATA OR HEALTHY PEOPLE 2030. THIS DATA WAS THEN ANALYZED AND INTERPRETED TO UNDERSTAND THE COMMUNITY AND ITS CANCER BURDEN OVERALL, AS WELL AS THE DISPARITIES OF CERTAIN POPULATIONS WITHIN THE COMMUNITY. WITH ASSISTANCE FROM PUBLIC HEALTH SEATTLE & KING COUNTY, WE QUERIED THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE WASHINGTON STATE CENTER FOR HEALTH STATISTICS (WASHINGTON VITAL RECORDS) AND WASHINGTON STATE CANCER REGISTRY DATASETS FOR CANCER-RELATED INCIDENCE AND MORTALITY DATA ACROSS RACIAL AND ETHNIC POPULATIONS, AS WELL AS SOME OF THE BEHAVIORS THAT HAVE BEEN LINKED WITH CERTAIN TYPES OF CANCER AND THE UPTAKE OF RECOMMENDED CANCER SCREENINGS. WE INCORPORATED RELEVANT INFORMATION FROM THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT FRED HUTCH PUBLISHES TOGETHER WITH THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (KCHHC) COLLABORATIVE. THROUGH THIS EFFORT, 10 HOSPITALS AND HEALTH SYSTEMS IN KING COUNTY IDENTIFY SIGNIFICANT HEALTH NEEDS AND ASSETS IN THE COMMUNITIES WE SERVE. WE ALSO REVIEWED COMMUNITY HEALTH ASSESSMENTS AND REPORTS IN PIERCE AND SNOHOMISH COUNTIES PUBLISHED IN THE LAST THREE YEARS AND MADE AVAILABLE TO THE PUBLIC, WITH THE PURPOSE OF AVOIDING DUPLICATION AND TO HONOR THE EFFORTS OF HOSPITALS, LOCAL HEALTH DEPARTMENTS AND COMMUNITY LEADERS WHO SUMMARIZE THE NEEDS AND STRENGTHS OF THE COMMUNITIES THEY KNOW BEST. WE GATHERED DATA PRIOR TO THE ONSET OF THE COVID-19 PANDEMIC AND SOME COMPILED IN THE MIDST OF IT. DATA ARE PRESENTED FOR THE MOST RECENT YEARS WE HAVE DATA AVAILABLE IN MOST CASES AS EARLY AS 2019. WHERE APPLICABLE, WE HAVE ALSO INTEGRATED RECENT DATA COLLECTED DURING 2020 AS WELL AS SOME OF THE KNOWN IMPACTS OF THE PANDEMIC. AFTER GATHERING AND ANALYZING THE SECONDARY DATA, WE DESIGNED SEMI-STRUCTURED INTERVIEW AND LISTENING SESSION PROTOCOLS TO SOLICIT COMMUNITY INPUT. THE PROTOCOL INCLUDED QUESTIONS ABOUT THE INTERVIEWEE'S ORGANIZATION AND THE SERVICES THEY PROVIDE; THEIR PERSPECTIVES ABOUT THE MOST PRESSING HEALTH ISSUES FACING OUR COMMUNITIES; THE ROOT CAUSES AND DETERMINING FACTORS FOR THESE ISSUES, GAPS OR CONCERNS SPECIFIC TO CANCER PREVENTION AND CARE; AND THE CURRENT STRENGTHS AND ASSETS OF THE COMMUNITY SERVED. WE ALSO ASKED INTERVIEW AND LISTENING SESSION PARTICIPANTS HOW FRED HUTCHINSON CANCER CENTER CAN BE INVOLVED IN ADDRESSING THE ISSUES OR BUILDING ON THE STRENGTHS THAT THEY IDENTIFIED. WE INTERVIEWED A VARIETY OF CONSTITUENTS FROM ACROSS THE THREE-COUNTY AREA. THEY REPRESENTED FEDERALLY QUALIFIED HEALTH CENTERS, RESEARCH CENTERS, LOCAL PUBLIC HEALTH AGENCIES, NATIVE TRIBES AND COMMUNITY-BASED ORGANIZATIONS WORKING ALONGSIDE PEOPLE FROM A WIDE RANGE OF RACES AND ETHNICITIES, FAMILIES AND INDIVIDUALS WITH LOW INCOME, SENIORS, RECENT IMMIGRANTS AND REFUGEES, AND OTHER GROUPS WHO FACE SIGNIFICANT BARRIERS TO ACCESSING CANCER SERVICES DUE TO CURRENT AND HISTORICAL STRUCTURAL AND SYSTEMIC RACISM AND DISCRIMINATION. WE CONDUCTED A LISTENING SESSION WITH FRED HUTCH'S PATIENT AND FAMILY ADVISORY COUNCIL TO HEAR THEIR FIRSTHAND PERSPECTIVES AROUND SEEKING TREATMENT, BARRIERS TO CARE AND OPPORTUNITIES FOR EDUCATION AND INFORMATION OFFERINGS ABOUT HEALTHY BEHAVIORS AND RECOMMENDED SCREENINGS. WE ALSO MET WITH A GROUP OF FRED HUTCHINSON CANCER CENTER LEADERS AND STAFF TO SPECIFICALLY TALK ABOUT SOCIAL DETERMINANTS OF HEALTH. IN ALL, 30+ INDIVIDUALS PARTICIPATED IN THE INTERVIEW AND LISTENING SESSION PROCESS. THE INSIGHT OF THESE COMMUNITY CONSTITUENTS HELPED US UNDERSTAND THE CONTEXT SURROUNDING CANCER-RELATED HEALTH ISSUES IDENTIFIED IN THE QUALITATIVE DATA AND ALLOWED US TO OVERCOME SOME OF THE LIMITATIONS IN THE QUANTITATIVE DATA. AFTER WE COMPLETED THE CHNA, WE FACILITATED A PRIORITIZATION EXERCISE WITH FRED HUTCHINSON CANCER CENTER LEADERS AND STAFF REPRESENTING A RANGE OF FUNCTIONS ACROSS THE ORGANIZATION, BOTH CLINICAL AND ADMINISTRATIVE, INCLUDING DEPARTMENTS ENGAGED IN CONDUCTING COMMUNITY BENEFIT ACTIVITIES ON A DAY-TO-DAY BASIS. THIS GROUP REVIEWED THE QUALITATIVE AND QUANTITATIVE DATA FROM THE CHNA AND DISCUSSED THE IDENTIFIED THEMES, WHICH OUTLINED CANCER-RELATED HEALTH NEEDS AND ASSETS IN OUR COMMUNITY. FINALLY, WE REACHED CONSENSUS ON WHICH HEALTH ISSUES WERE PRIORITIES FOR FRED HUTCHINSON CANCER CENTER. CRITERIA FOR PRIORITIZATION INCLUDED SEVERITY OF NEED, MAGNITUDE/SCALE OF THE NEED, PRESENCE OF CLEAR DISPARITIES OR INEQUITIES, EXISTING ATTENTION AND RESOURCES DEDICATED TO THE ISSUE, POTENTIAL FOR PARTNERING AND COLLABORATING WITH LOCAL ORGANIZATIONS, AND OPPORTUNITY FOR FRED HUTCHINSON CANCER CENTER TO MAKE A MEANINGFUL CONTRIBUTION.THROUGH OUR NEEDS ASSESSMENT PROCESS FRED HUTCHINSON CANCER CENTER GROUPED THE HEALTH NEEDS INTO 3 PRIORITY AREAS: ADVANCING HEALTH EQUITY, PROVIDING CULTURALLY ATTUNED PREVENTION, EDUCATION, AND SCREENING, AND DELIVERING ACCESS TO AFFORDABLE AND ATTAINABLE COMPREHENSIVE CARE. PART V, SECTION B, LINES 7A, 10A WEBSITE: HTTPS://WWW.FREDHUTCH.ORG/EN/ABOUT/ABOUT-THE-HUTCH/PATIENT-CARE-AT-FRED-HUTCH/COMMUNITY-BENEFIT.HTML PART V, SECTION B, LINES 16A, 16B, 16C FAP WEBSITE: HTTPS://WWW.FREDHUTCH.ORG/EN/PATIENT-CARE/PATIENT-SERVICES/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE.HTML 9 1 - FRED HUTCHINSON CANCER CENTER 825 EASTLAKE AVENUE E SEATTLE WA 98109 HOSPITAL BASED OUTPATIENT CLINIC 2 - FRED HUTCHINSON AT EVERGREEN HEALTH 12040 NE 128TH STREET KIRKLAND WA 98034 HOSPITAL BASED OUTPATIENT CLINIC 3 - SOUTH LAKE UNION HOUSE 207 PONTIUS AVENUE N SEATTLE WA 98109 TEMPORARY MEDICAL HOUSING FACILITY 4 - FRED HUTCH NWH MED ONC & RAD ONC CLNC 1560 N 115TH ST - SUITE G-16 SEATTLE WA 98133 HOSPITAL BASED OUTPATIENT CLINIC 5 - FRED HUTCHINSON CANCER CTR PENINSULA 19917 7TH AVENUE NE SUITE 100 POULSBO WA 98370 COMMUNITY SITE OUTPATIENT CLINIC 6 - FRED HUTCHINSON CANCER CENTER ISSAQUAH 1740 NW MAPLE STREET SUITE 211 ISSAQUAH WA 98027 COMMUNITY SITE OUTPATIENT CLINIC 7 - FRED HUTCH AT OVERLAKE MEDICAL CENTER 1135 116TH AVE NE SUITE 250 BELLEVUE WA 98004 HOSPITAL BASED OUTPATIENT CLINIC 8 - PETE GROSS HOUSE 525 MINOR AVE N SEATTLE WA 98109 TEMPORARY MEDICAL HOUSING FACILITY 9 - FRED HUTCH CANCER CENTER PROTON THERAPY 1570 N 115TH STREET SEATTLE WA 98133 HOSPITAL BASED OUTPATIENT CLINIC PART I, LINE 3C: IN ACCORDANCE WITH WAC 246-453-040, THE APPLICANT'S FAMILY INCOME ADJUSTED FOR FAMILY SIZE WILL BE REVIEWED PER THE FEDERAL POVERTY STANDARD, AND FINANCIAL ASSISTANCE APPLIED TO UNPAID BALANCES REMAINING AFTER ALL SOURCES OF THIRD PARTY COVERAGE AND SPONSORSHIP HAVE BEEN EXHAUSTED. FINANCIAL ASSISTANCE WILL BE AWARDED AT THE FOLLOWING RATES RELATIVE TO APPLICANT'S INCOME RELATIVE TO THE FEDERAL POVERTY STANDARD. -ADJUSTED FAMILY INCOME AT OR LESS THAN 300% OF THE FPS WILL HAVE UNPAID BALANCES DISCOUNTED BY 100% -ADJUSTED FAMILY INCOME AT 301% TO 350% OF THE FPS WILL HAVE UNPAID BALANCES DISCOUNTED BY 75% -ADJUSTED FAMILY INCOME AT 351% TO 400% OF THE FPS WILL HAVE UNPAID BALANCES DISCOUNTED BY 50%APPLICANTS WHOSE INCOME EXCEEDS 400% OF THE FEDERAL POVERTY STANDARD AS ADJUSTED FOR FAMILY SIZE, BUT WHO HAVE INCURRED CATASTROPHIC ACCOUNT BALANCES AFTER ALL SOURCES OF THIRD PARTY COVERAGE AND SPONSORSHIP WILL BE CONSIDERED FOR HARDSHIP WRITE-OFFS ON A CASE BY CASE BASIS. PART I, LINE 7: FRED HUTCH UTILIZED WORKSHEET 2 TO ARRIVE AT A COST TO CHARGE RATIO FOR COMPLETING LINE 7. PART I, LN 7 COL(F): BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX IS $1,387,445. THIS AMOUNT DOES NOT RELATE TO ANY PATIENT SERVICE RELATED ACTIVITY AND IS DERIVED SOLELY FROM THE RESEARCH SIDE OF THE ORGANIZATION. EFFECTIVE JULY 1, 2018, FRED HUTCHINSON CANCER CENTER ADOPTED ASU 2014-09 "REVENUE FROM CONTRACTS WITH CUSTOMERS (ASC TOPIC 606)." ASC 606 INTRODUCED A NEW TERM, (IMPLICIT) PRICE CONCESSION, AND REDEFINED BAD DEBT EXPENSE TO MORE CLOSELY REFLECT IMPAIRMENT. AN IMPAIRMENT LOSS OCCURS WHEN PATIENTS FRED HUTCHINSON CANCER CENTER ORIGINALLY EXPECTED TO COLLECT FROM, UNEXPECTEDLY EXPERIENCE ADVERSE EVENTS (SUCH AS A JOB LOSS OR BANKRUPTCY) THAT LEAD TO AN INABILITY TO PAY. BECAUSE FRED HUTCHINSON CANCER CENTER HAD ORIGINALLY EXPECTED TO COLLECT THESE AMOUNTS, THESE AMOUNTS ARE NOW CONSIDERED UNCOLLECTIBLE AND MUST BE WRITTEN OFF AS AN IMPAIRMENT LOSS. UNDER ASC 606, WHAT FRED HUTCHINSON CANCER CENTER PREVIOUSLY DEFINED AS BAD DEBT EXPENSE IS NOW CONSIDERED AN IMPLICIT PRICE CONCESSION AND INCLUDED IN NET PATIENT SERVICE REVENUE. PART III, LINE 2: BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX RELATED TO PATIENT CARE SERVICES IS $0. EFFECTIVE JULY 1, 2018, FRED HUTCHINSON CANCER CENTER ADOPTED ASU 2014-09 "REVENUE FROM CONTRACTS WITH CUSTOMERS (ASC TOPIC 606)." ASC 606 INTRODUCED A NEW TERM, (IMPLICIT) PRICE CONCESSION, AND REDEFINED BAD DEBT EXPENSE TO MORE CLOSELY REFLECT IMPAIRMENT. AN IMPAIRMENT LOSS OCCURS WHEN PATIENTS FRED HUTCHINSON CANCER CENTER ORIGINALLY EXPECTED TO COLLECT FROM, UNEXPECTEDLY EXPERIENCE ADVERSE EVENTS (SUCH AS A JOB LOSS OR BANKRUPTCY) THAT LEAD TO AN INABILITY TO PAY. BECAUSE FRED HUTCHINSON CANCER CENTER HAD ORIGINALLY EXPECTED TO COLLECT THESE AMOUNTS, THESE AMOUNTS ARE NOW CONSIDERED UNCOLLECTIBLE AND MUST BE WRITTEN OFF AS AN IMPAIRMENT LOSS. UNDER ASC 606, WHAT FRED HUTCHINSON CANCER CENTER PREVIOUSLY DEFINED AS BAD DEBT EXPENSE IS NOW CONSIDERED AN IMPLICIT PRICE CONCESSION AND INCLUDED IN NET PATIENT SERVICE REVENUE. PART III, LINE 4: REFER TO PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: FRED HUTCHINSON CANCER CENTER COMPLETED PART III, LINE 6 USING THE ALLOWABLE COSTS FROM THE AS-FILED MEDICARE COST REPORT FOR FY23. THE METHODOLOGY USED TO COMPLETE THE MEDICARE COST REPORT WAS BASED ON THE CMS PROVIDER REIMBURSEMENT MANUAL PUB 15.IN ADDITION TO MEDICARE AMOUNTS REPORTED ON THE MEDICARE COST REPORT, FRED HUTCHINSON CANCER CENTER HAS A NON-MEDICARE COST REPORT FEE SCHEDULE AND MEDICARE MANAGED CARE. THE NON-MEDICARE COST REPORT FEE SCHEDULE AND THE MANAGED CARE REVENUES ARE BASED ON THE REIMBURSEMENT RECEIVED FROM MEDICARE. THE COSTS ARE DERIVED USING THE RATIO OF COST TO CHARGES FROM THE AS FILED MEDICARE COST REPORT. THE TABLE BELOW REFLECTS TOTAL REVENUES AND EXPENSES ATTRIBUTABLE TO ALL OF FRED HUTCHINSON CANCER CENTER'S MEDICARE PROGRAMS: PART III, NON-COST REPORT TOTAL SECTION B FEE SCHED. MANAGED CARE MEDICAREMEDICARE REVENUE $244,237,675 $3,621,201 $86,273,553 $334,132,429MEDICARE EXPENSE $271,106,976 $4,831,391 $100,198,308 $376,136,675SHORTFALL ($26,869,301) ($1,210,191) ($13,924,755) ($42,004,246)FRED HUTCHINSON CANCER CENTER CONSIDERS THE SHORTFALL ON MEDICARE SERVICES TO BE 100% COMMUNITY BENEFIT. HAD FRED HUTCHINSON CANCER CENTER NOT DELIVERED THE SERVICES, THE SERVICES AND FINANCIAL LOSS WOULD FALL TO ANOTHER COMMUNITY HOSPITAL. PART III, LINE 9B: PATIENTS WHO HAVE BEEN APPROVED FOR 100% FINANCIAL ASSISTANCE ARE REMOVED FROM THE COLLECTIONS WORKFLOW SO THEIR ACCOUNTS WILL NOT BE SENT TO COLLECTIONS. PART VI, LINE 2: IN ADDITION TO OUR CHNA ASSESSMENT PROCESS, FRED HUTCHINSON CANCER CENTER WORKS TOGETHER WITH SEATTLE CHILDREN'S HOSPITAL AND THE UNIVERSITY OF WASHINGTON TO FOCUS ON DEVELOPING AND DELIVERING THE BEST CANCER PREVENTION AND TREATMENTS AVAILABLE. FRED HUTCHINSON CANCER CENTER COLLABORATES WITH THESE OTHER INSTITUTIONS AS PART OF THE CANCER CONSORTIUM TO ASSESS THE OCCURRENCE OF CANCER IN THE COMMUNITIES WE SERVE AND EVALUATE THE DIVERSITY OF PARTICIPANTS IN OUR RESEARCH COMPARED TO OUR COMMUNITIES. WE THEN MAKE STRATEGIC INVESTMENTS IN RESEARCH TO ADDRESS AREAS OF CANCER-RELATED HEALTH NEEDS IN OUR COMMUNITIES. FURTHERMORE, FRED HUTCHINSON CANCER CENTER IS A MEMBER INSTITUTION OF THE KING COUNTY HOSPITALS FOR A HEALTH COMMUNITY COLLABORATIVE, WHICH JOINS TOGETHER 10 HOSPITALS AND THE PUBLIC HEALTH SEATTLE & KING COUNTY TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE COUNTY AND IDENTIFY OPPORTUNITIES FOR THE DEVELOPMENT OF COLLECTIVE, DATA-DRIVEN STRATEGIES TO ADDRESS COMMUNITY HEALTH NEEDS. PART VI, LINE 3: FRED HUTCHINSON CANCER CENTER PROVIDES INFORMATION ON OUR WEBSITE WHICH INCLUDES THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION IN ENGLISH AND 5 OTHER LANGUAGES, AS WELL AS A LIST OF OUTSIDE RESOURCES AVAILABLE TO PATIENTS IN NEED OF ASSISTANCE. SIGNAGE IS POSTED PUBLICLY IN OUR OUTPATIENT CLINICS AND HOSPITAL, INFORMING PATIENTS AND PERSONS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. FRED HUTCHISON CANCER CENTER CLINIC BROCHURES DESCRIBE THE FINANCIAL ASSISTANCE PROGRAM ALONG WITH CONTACT INFORMATION FOR FRED HUTCHINSON CANCER CENTER FINANCIAL COUNSELORS WHO ARE AVAILABLE FREE OF CHARGE TO HELP REVIEW THEIR INFORMATION AND TO HELP COMPLETE THE NECESSARY PAPERWORK TO APPLY FOR ASSISTANCE. INTERPRETER SERVICES ARE AVAILABLE IF NEEDED. PATIENT BILLING STATEMENTS INCLUDE A WRITTEN NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND A DIRECT LINK TO THE WEBSITE. PART VI, LINE 4: FRED HUTCHINSON CANCER CENTER'S REACH EXTENDS FAR AND WIDE, WITH PATIENTS FROM ACROSS THE PUGET SOUND REGION, WASHINGTON STATE, AND THE WORLD. CONSISTENT WITH OUR PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS, WE DEFINE OUR COMMUNITY AS EVERYONE IN KING, PIERCE AND SNOHOMISH COUNTIES. THE TOTAL POPULATION IN OUR COMMUNITY IS 3.98 MILLION PEOPLE, WHICH ACCOUNTS FOR MORE THAN HALF OF THE STATE'S POPULATION. KING COUNTY AND SEATTLE ARE THE MOST POPULOUS COUNTY AND CITY IN WASHINGTON STATE, RESPECTIVELY. FURTHER, OVER HALF THE AREA'S POPULATION AND 58 PERCENT OF FRED HUTCHINSON CANCER CENTER'S PATIENTS RESIDE IN THE COUNTY. PIERCE AND SNOHOMISH HAVE LESS THAN ONE MILLION RESIDENTS EACH, AND ABOUT 14 PERCENT AND 6 PERCENT OF FRED HUTCHINSON CANCER CENTER PATIENTS COME FROM THESE COUNTIES, RESPECTIVELY. THE ADULT POPULATION IN THE FRED HUTCHINSON CANCER CENTER COMMUNITY IS SLIGHTLY LOWER THAN IN THE STATE: 14 PERCENT OF PEOPLE ARE 65 AND OLDER AND 62 PERCENT ARE BETWEEN 18 AND 64 YEARS OLD, COMPARED TO 16 PERCENT AND 62 PERCENT OF WASHINGTONIANS WHO FALL WITHIN THOSE AGE RANGES, RESPECTIVELY. PIERCE COUNTY HAS THE LARGEST PERCENTAGE OF YOUTH IN THE FRED HUTCHINSON CANCER CENTER COMMUNITY AREA; THIS IS ALSO HIGHER THAN THE AVERAGE YOUTH POPULATION IN THE STATE. A GROWING DEMOGRAPHIC DIVERSITY CONTINUES TO SHAPE AND ENRICH THE LANDSCAPE OF OUR REGION. A LARGER PROPORTION OF OUR COMMUNITY'S POPULATION IDENTIFY AS ASIAN, BLACK, HISPANIC/LATINO OR RACIALLY MIXED. INCREASING RACIAL AND ETHNIC DIVERSITY AMONG CHILDREN IS A CONTINUING DEMOGRAPHIC TREND. THE POPULATION OF CHILDREN UNDER AGE 18 IS NOW 53 PERCENT PEOPLE OF COLOR. OUR REGION HAS A WIDE RANGE OF CULTURAL AND LINGUISTIC DIVERSITY. ABOUT ONE IN FIVE INDIVIDUALS (ONE IN THREE IN KING COUNTY) LIVE IN A HOUSEHOLD WHERE A LANGUAGE OTHER THAN ENGLISH IS SPOKEN. THE MOST SPOKEN LANGUAGES OUTSIDE OF ENGLISH ARE SPANISH, CHINESE AND VIETNAMESE. IN THE FRED HUTCHINSON CANCER CENTER COMMUNITY, THE MEDIAN HOUSEHOLD INCOME IN 2019 WAS ESTIMATED AT $95,850 ABOVE THE WASHINGTON ESTIMATE OF $78,700. DATA SHOW DISPARITIES IN INCOME BY RACE AND ETHNICITY, WITH BLACK/AFRICAN AMERICAN AND HISPANIC/LATINO HOUSEHOLDS AVERAGING $34,600 AND $22,705 BELOW THE FRED HUTCHINSON CANCER CENTER COMMUNITY AVERAGE, RESPECTIVELY. AMERICAN INDIAN AND ALASKA NATIVES IN KING COUNTY HAVE THE LOWEST HOUSEHOLD INCOMES OF ALL RACES AND ETHNICITIES IN THE THREE-COUNTY AREA ($40,306). PART VI, LINE 5: FRED HUTCHINSON CANCER CENTER CONTRIBUTES TO COMMUNITY HEALTH PROMOTION THROUGH A VARIETY OF PROGRAMS AND ACTIVITIES, EXAMPLES OF WHICH ARE OUTLINED BELOW. TRAINING HEALTH PROFESSIONALS:OUR CONTRIBUTION IS BROAD BECAUSE WE HAVE UNPARALLELED RESOURCES TO SHARE WHAT WE KNOW THROUGH THE EDUCATION OF DOCTORS, NURSES, AND SCIENTISTS, PUBLICATIONS IN LEADING MEDICAL JOURNALS, AND SPECIALIZED TRAINING AND SYMPOSIA FOR MEDICAL PROFESSIONALS. WE ARE PROUD TO BE A HUB FOR CONTINUING MEDICAL EDUCATION (CME) IN OUR REGION. FRED HUTCHINSON CANCER CENTER PARTICIPATES IN MULTIPLE EDUCATION AND TRAINING PROGRAMS FOR PHYSICIANS, NURSES AND OTHER ALLIED HEALTH PROFESSIONALS. THIS INCLUDES RESIDENCY, ROTATIONS, SHADOWING AND OTHER PROGRAMS TO ALLOW HEALTH PROFESSIONAL TRAINEES TO DEVELOP EXPERTISE IN SPECIALIZED ONCOLOGY SKILLSETS, THEREBY IMPROVING THE LOCAL HEALTHCARE WORKFORCE'S OVERALL CAPACITY TO ADDRESS THE COMMUNITY'S HEALTH NEEDS RELATED TO CANCER. CLINICAL RESEARCH: FRED HUTCHINSON CANCER CENTER HAS HUNDREDS OF CLINICAL TRIALS OPEN AT ANY GIVEN TIME. THIS PROVIDES OUR COMMUNITY AND THE COMMUNITIES SERVED BY OUR NETWORK AFFILIATES WITH ACCESS TO GROUNDBREAKING TREATMENT OPTIONS. AS THE ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER IN A FIVE-STATE AREA (WA, WY, AK, MT, ID), THE ACCESS TO CLINICAL TRIAL PARTICIPATION IS A VALUABLE RESOURCE TO PATIENTS ACROSS THE REGION. FRED HUTCHINSON CANCER CENTER ALSO HAS DEDICATED STAFF TO REPORT PATIENT-LEVEL DATA TO STATE AND NATIONAL CANCER REGISTRIES FOR SOLID TUMOR AND BONE MARROW TRANSPLANT POPULATIONS TO HELP ADVANCE THE CLINICAL EVIDENCE BASE. NETWORK AFFILIATE PROGRAM:FRED HUTCHINSON CANCER CENTER PARTNERS WITH EIGHT COMMUNITY PROVIDERS ACROSS AK, HI, ID, AND WA TO COORDINATE CARE AND IMPROVE REGIONAL AND RURAL ACCESS TO THE LATEST CANCER TREATMENTS AND CLINICAL TRIALS. THROUGH THE AFFILIATION WITH LOCAL COMMUNITY CANCER CENTERS. FRED HUTCHINSON CANCER CENTER IS ABLE TO PROVIDE ACCESS TO RESOURCES AND THERAPIES TO ALL OF THE NETWORK MEMBER PATIENT POPULATIONS. ALL OF OUR NETWORK MEMBERS HAVE DESIGNATED MEDICALLY UNDERSERVED AREAS (MUA) WITHIN THEIR OPERATING LOCALITY. MEMBERS OF THE AFFILIATE NETWORK ALSO RECEIVE CONTINUING MEDICAL EDUCATION (CME) PRESENTATION AND RESOURCES FROM FRED HUTCHINSON CANCER CENTER ON THE LATEST BREAKTHROUGHS IN CANCER CARE. A NUMBER OF THESE CME OFFERINGS ARE OPEN TO THE PUBLIC FOR BROADER EDUCATION FOR COMMUNITY PROVIDERS AND COMMUNITY MEMBERS. COMMUNITY HEALTH SERVICES:FRED HUTCHINSON CANCER CENTER HAS RELATIONSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS LOCATED WITHIN THE MEDICALLY UNDERSERVED AREAS IN KING, SNOHOMISH AND PIERCE COUNTIES. FRED HUTCHINSON CANCER CENTER HAS SPECIFIC CONTRACTS WITH PUBLIC HEALTH SEATTLE & KING COUNTY AND SEA MAR COMMUNITY HEALTH CENTERS TO PROVIDE PREVENTIVE HEALTH SCREENINGS TO THE LOCAL UNDERSERVED COMMUNITIES. FRED HUTCHINSON CANCER CENTER IS ALSO PART OF THE BREAST, CERVICAL, AND COLON HEALTH PROGRAM (BCCHP). THE PURPOSE OF THE BCCHP IS TO REDUCE MORBIDITY AND MORTALITY FROM BREAST, CERVICAL AND COLON CANCERS BY THE EARLY DETECTION OF CANCER THROUGH FREE SCREENINGS. FRED HUTCHINSON CANCER CENTER PROVIDES BREAST CANCER SCREENING THROUGH REGULAR MAMMOGRAMS. FRED HUTCHINSON CANCER CENTER ACCEPTS REFERRALS OF PATIENTS WHO HAVE A FINDING ON THEIR MAMMOGRAM AND PERFORMS DIAGNOSTICS AND TREATS PATIENTS WHO ARE DEEMED TO HAVE CANCER. SINCE 2014, FRED HUTCHINSON CANCER CENTER HAS PARTICIPATED IN THE ANNUAL SEATTLE-KING COUNTY FREE CLINIC TO PROVIDE UNDERSERVED INDIVIDUALS WITH NECESSARY HEALTH CARE, INCLUDING CANCER SCREENINGS AND OTHER MEDICAL SERVICES. FRED HUTCHINSON CANCER CENTER PROVIDES BREAST CANCER SCREENINGS THROUGH ITS MAMMOGRAM VAN AND FRED HUTCHINSON CANCER CENTER STAFF VOLUNTEER AT THE EVENT. COMMUNITY HEALTH EDUCATION:FRED HUTCHINSON CANCER CENTER PROVIDES COMMUNITY EDUCATION PROGRAMMING FOR CANCER SURVIVORS, INCLUDING MEDICAL NUTRITION EDUCATION TO COMMUNITY CANCER SUPPORT GROUPS, WELLNESS CONFERENCES AND CANCER SURVIVORSHIP CONFERENCES. FRED HUTCHINSON CANCER CENTER ALSO PROVIDES MONTHLY SURVIVORSHIP EDUCATION. FURTHERMORE, FRED HUTCHINSON CANCER CENTER ATTENDS LOCAL COMMUNITY HEALTH FAIRS AND EVENTS TO PROVIDE CANCER SCREENING INFORMATION AND TOBACCO CESSATION EDUCATION AND COUNSELING. HEALTH POLICY ADVOCACY:FRED HUTCHINSON CANCER CENTER INVESTS RESOURCES IN ADVOCATING FOR POLICIES THAT IMPROVE THE HEALTH OF OUR COMMUNITY, LOWER THE BURDEN OF CANCER-RELATED DISEASE, AND INCREASE ACCESS TO HIGH-QUALITY, INNOVATIVE, AND AFFORDABLE CANCER CARE. FOR EXAMPLE, FRED HUTCHINSON CANCER CENTER RESEARCHERS AND CLINICIANS SUPPORTED THE RAPID ADAPTION OF CLINICAL TRIAL RESEARCH TO THE CIRCUMSTANCES OF ENROLLING AND TREATING PATIENTS ON PROTOCOLS DURING THE COVID-19 PANDEMIC. COVID-19 VACCINE DISTRIBUTION: FRED HUTCHINSON CANCER CENTER WAS AMONG THE FIRST WASHINGTON HEALTHCARE PROVIDERS TO RECEIVE THE COVID-19 VACCINE AND DISTRIBUTE DOSES TO PATIENTS, FAMILIES AND THE BROADER COMMUNITY. WE PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS, PUBLIC SCHOOLS, FAITH-BASED ORGANIZATIONS, LOW INCOME/HIGH DENSITY HOUSING GROUPS, AND PRODUCTION AND MANUFACTURING FACILITIES TO HOST MOBILE CLINICS AND REACH MARGINALIZED COMMUNITIES. INSTITUTIONAL SERVICE TO THE COMMUNITY:FRED HUTCHINSON CANCER CENTER HAS A LONG AND PROUD REPUTATION OF COLLABORATION WITH OTHER HEALTHCARE, GOVERNMENTAL, AND NONPROFIT ORGANIZATIONS IN THE DEVELOPMENT AND DEPLOYMENT OF COMMUNITY EDUCATION PROGRAMS, WELLNESS INITIATIVES, AND AWARENESS CAMPAIGNS. WE ARE ALSO COMMUNITY SERVANTS IN THAT FRED HUTCHINSON CANCER CENTER IS GOVERNED BY A 13-MEMBER BOARD OF DIRECTORS, INCLUDING NINE COMMUNITY DIRECTORS AND FOUR EX OFFICIO POSITIONS. THE COMMUNITY DIRECTORS BRING A DIVERSE RANGE OF EXPERTISE AND PERSPECTIVES FROM ACROSS HEALTH CARE, TECHNOLOGY AND PROFESSIONAL SERVICES SECTORS. PART VI, LINE 6: FRED HUTCHINSON CANCER CENTER IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7: WASHINGTON STATE REQUIRES HOSPITALS TO MAKE THEIR CHNA WIDELY AVAILABLE TO THE PUBLIC AND TO ADOPT A COMMUNITY BENEFIT IMPLEMENTATION STRATEGY, WHICH IS ALSO MADE AVAILABLE TO THE PUBLIC. FRED HUTCHINSON CANCER CENTER COMPLIES WITH BOTH REQUIREMENTS AND POSTS ITS CHNA AND IMPLEMENTATION STRATEGY ON ITS PUBLIC WEBSITE. 1 ACCESS TO ADVANCED HEALTH INSTITUTE 1616 EASTLAKE AVE E STE 400 SEATTLE WA 98102 911608978 501(C)(3) 49096 0 VACCINE AND INFECTIOUS DISEASE RESEARCH ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 4000 AMBASSADOR DR ANCHORAGE AK 99508 920162721 501(C)(3) 5303 0 TRANSLATIONAL SCIENCE & THERAPY ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 4000 AMBASSADOR DR ANCHORAGE AK 99508 920162721 501(C)(3) 96870 0 SHARED RESOURCES ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 4000 AMBASSADOR DR ANCHORAGE AK 99508 920162721 501(C)(3) 157345 0 PUBLIC HEALTH SCIENCES ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVE BRONX NY 10461 830621846 501(C)(3) 42052 0 PUBLIC HEALTH SCIENCES ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVE BRONX NY 10461 830621846 501(C)(3) 101207 0 CLINICAL RESEARCH ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVE BRONX NY 10461 830621846 501(C)(3) 16556 0 VACCINE AND INFECTIOUS DISEASE RESEARCH ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVE BRONX NY 104611900 830621846 501(C)(3) 11826 0 PUBLIC HEALTH SCIENCES ALLEN INSTITUTE 615 WESTLAKE AVE N SEATTLE WA 98109 912155317 501(C)(3) 434289 0 VACCINE AND INFECTIOUS DISEASE RESEARCH AMERICAN CANCER SOCIETY CANCER ACTION NETWORK 2120 1ST AVE N SEATTLE WA 98109 522340031 501(C)(4) 30000 0 TO SPONSOR ACS CAN WASHINGTON STATE POLICY FORUM AMERICAN CANCER SOCIETY INC PO BOX 720310 ATLANTA GA 30303 131788491 501(C)(3) 30000 0 TO SPONSOR ACS SEATTLE HOPE GALA AMERICAN CANCER SOCIETY INC PO BOX 720310 OKLAHOMA CITY OK 73172 131788491 501(C)(3) 21371 0 PUBLIC HEALTH SCIENCES ARIZONA STATE UNIVERSITY 1475 N SCOTTSDALE RD STE 200 SCOTTSDALE AZ 85257 860196696 GOVERNMENT 5110 0 PUBLIC HEALTH SCIENCES ARIZONA STATE UNIVERSITY 1475 N SCOTTSDALE RD STE 200 TEMPE AZ 852876011 860196696 GOVERNMENT 373424 0 HUMAN BIOLOGY ARIZONA STATE UNIVERSITY 1475 N SCOTTSDALE RD STE 200 TEMPE 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BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE BOSTON MA 02215 042103881 501(C)(3) 113458 0 PUBLIC HEALTH SCIENCES BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE BOSTON MA 02215 042103881 501(C)(3) 88692 0 CLINICAL RESEARCH BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE BOSTON MA 02215 042103881 501(C)(3) 176419 0 VACCINE AND INFECTIOUS DISEASE RESEARCH BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE BOSTON MA 02215 042103881 501(C)(3) 563666 0 VACCINE AND INFECTIOUS DISEASE RESEARCH BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE BOSTON MA 02215 042103881 501(C)(3) 14289 0 VACCINE AND INFECTIOUS DISEASE RESEARCH BOARD OF TRUSTEES OF MICHIGAN STATE 426 AUDITORIUM RD ROOM 2 EAST LANSING MI 48824 386005984 GOVERNMENT 17271 0 PUBLIC HEALTH SCIENCES BOARD OF TRUSTEES OF THE LELAND PO BOX 884253 LOS ANGELES CA 900884253 941156365 501(C)(3) 263529 0 CLINICAL RESEARCH BOARD OF TRUSTEES OF THE LELAND PO BOX 884253 LOS ANGELES CA 900884253 941156365 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OF CORNELL UNIV PO BOX 22371 NEW YORK NY 100872371 131623978 501(C)(3) 69248 0 CLINICAL RESEARCH WRIGHT STATE UNIVERSITY 3640 COLONEL GLENN HWY DAYTON OH 45435 310732831 GOVERNMENT 24831 0 PUBLIC HEALTH SCIENCES YALE UNIVERSITY PO BOX 1873 NEW HAVEN CT 065081873 060646973 501(C)(3) 7614 0 TRANSLATIONAL SCIENCE & THERAPY ZERO - THE END OF PROSTATE CANCER 515 KING STREET 420 ALEXANDRIA VA 22314 593400922 501(C)(3) 6000 0 TO SPONSOR 2023 ZERO SEATTLE RUN/WALK 123 18 FOOD 3000 37289 FAIR MARKET VALUE HOUSE FOOD PANTRIES FOR PATIENTS GAS GIFT CARDS 31 5654 FAIR MARKET VALUE GAS GIFT CARDS FOR PATIENTS GROCERY GIFT CARDS 216 155340 FAIR MARKET VALUE GROCERY GIFT CARDS FOR PATIENTS MEDICAL ACCESSORIES 41 32377 FAIR MARKET VALUE PROSTHESIS FOR PATIENTS PATIENT FINANCIAL AID 3 1662 SHELTER 73 13422 159464 FAIR MARKET VALUE RENT PAID FOR PATIENTS SUNDRIES 50 400 FAIR MARKET VALUE CLOTHING AND HOUSEHOLD GOODS TRANSPORTATION 6 470 FAIR MARKET VALUE CAB FARE, AIRFARE, AND PARKING FOR PATIENTS TUITION 189 2445228 FAIR MARKET VALUE SCHOLARSHIPS FOR GRADUATE STUDENTS TUITION 86 226253 50478 FAIR MARKET VALUE TUITION REIMBURSEMENTS AND SCHOLARSHIP PAYMENTS MADE DIRECTLY TO SCHOOLS ON BEHALF OF SCHOLARSHIP RECIPIENTS WIGS 143 9552 FAIR MARKET VALUE WIGS AND HATS FOR PATIENTS PART I, LINE 2: SOME RESEARCH GRANTS RECEIVED BY FRED HUTCH ARE PASSED ON TO SUBRECIPIENTS, IN ALL OR IN PART. ONCE THE NOTICE OF AWARD HAS BEEN RECEIVED FOR THE PRIME AWARD, FRED HUTCH SETS UP A SUBAWARD. AN INDIVIDUAL KNOWN AS A RESEARCH COORDINATOR (RC) IS ASSIGNED TO CLOSELY MONITOR ALL SUBAWARD ACTIVITY. THERE ARE 4 PRIMARY STEPS IN THIS PROCESS: (1) A COPY OF THE PRIME AWARD, THE SIGNED SUBAWARD APPLICATION (IF AVAILABLE) AND ANY SPECIAL INSTRUCTIONS ARE OBTAINED. A SIGNED SUBAWARD APPLICATION SHOWS THAT THE SUBRECIPIENT ORGANIZATION HAS REVIEWED AND APPROVED THE BUDGET AND SCOPE OF WORK. (2) THE RC PREPARES A FORM THAT PROVIDES AUTHORIZATION TO ISSUE THE SUBAWARD. THIS INCLUDES THE SCOPE OF WORK, BUDGET, AND ANY PERTINENTSUBRECIPIENT INFORMATION. (3) INFORMATION IS COLLECTED TO SET-UP THE SUBAWARD IN THE ACCOUNTING SYSTEM. THIS INCLUDES INSTITUTIONAL REVIEW APPROVAL, INSTITUTIONAL ANIMAL CARE AND USE COMMITTEE APPROVAL DATES, CONFIRMATION OF SUBAWARD FACILITIES AND ADMINISTRATIVE RATES, A-133 AUDIT REPORTS OR UNIFORM GUIDANCE REPORTS, REVIEW OF THE PRIME SPECIAL TERMS AND CONDITIONS TO DETERMINE FLOW-DOWN, CONFIRMATION THAT THE SUBRECIPIENT IS NOT DEBARRED, AND OTHER SIMILAR REGULATORY AND ADMINISTRATIVE REQUIREMENTS. (4) THE SUBAWARD AGREEMENT IS COMPLETED AND MAILED TO THE SUBRECIPIENT FOR REVIEW OF THE TERMS AND CONDITIONS, APPLICABLE INSTITUTIONAL DESIGNATION, FEDERAL CONFLICT OF INTEREST, AND SIGNATURE. THE RC MAINTAINS A COPY OF THE FULLY SIGNED AGREEMENT. NO PAYMENTS ARE MADE TO THE SUBRECIPIENT UNTIL FRED HUTCH RECEIVES THE FULLY EXECUTED AGREEMENT. X X X 1 1 X X X X X X 1 1 0 0 0 0 0 0 0 THOMAS LYNCH PRESIDENT & DIRECTOR 1575915 0 290336 0 11149 0 57900 0 27720 0 1963020 0 0 0 NANCY DAVIDSON MD EVP CLINICAL AFFAIRS 1015015 0 528926 0 1471 0 38400 0 12066 0 1595878 0 0 0 AARON CRANE FORMER OFF/CHIEF CLINICAL OP 275649 0 32802 0 1238014 0 38400 0 6121 0 1590986 0 207198 0 NICOLE C ROBINSON VP & DEPUTY COO 797902 0 155520 0 7524 0 57900 0 18900 0 1037746 0 0 0 DAVID HARLAN BROWDY VP & CHIEF FINANCIAL OFFICER 759086 0 139669 0 3825 0 38400 0 27720 0 968700 0 0 0 BRUCE E CLURMAN EXEC VP & DEPUTY DIR, FHCC 707010 0 129438 0 6325 0 38400 0 22554 0 903727 0 0 0 TOM PURCELL VP & CHIEF MEDICAL OFFICER 720601 0 100000 0 4902 0 41400 0 17888 0 884791 0 0 0 ERIC C HOLLAND NE MDO STAFF 710973 0 63091 0 1601 0 56892 0 18900 0 851457 0 0 0 FREDERICK R APPELBAUM EXEC VP & DEPUTY DIR, EXT AFFR 623593 0 116511 0 9494 0 38400 0 21152 0 809150 0 0 0 STEVEN HAYDON VP, GENERAL COUNSEL 557325 0 102144 0 1710 0 57900 0 22552 0 741631 0 0 0 STEVE STADUM EXEC VP & COOO 472003 0 113304 0 7524 0 57900 0 22506 0 673237 0 0 0 THERESA MCDONELL VP & CHIEF NURSING OFFICER 464491 0 126404 0 4395 0 38400 0 25424 0 659114 0 120000 0 KELLY PATRICK FORMER OFF/VP 499698 0 98864 0 4723 0 38400 0 13791 0 655476 0 0 0 KELLY O'BRIEN VP PHILANTHROPY 487689 0 83392 0 2432 0 38400 0 22088 0 634001 0 0 0 STEPHANIE MAYS FORMER OFF/AVP & DEPUTY GEN. 389556 0 81727 0 3845 0 38242 0 28699 0 542069 0 0 0 BRITTANY MCCREERY FORMER KE/VP 244552 0 85583 0 486 0 34561 0 21645 0 386827 0 0 0 RICHARD LAFRANCE FORMER KE/DIR. PHARMACY 247834 0 52778 0 6974 0 29250 0 27859 0 364695 0 0 0 CHRIS BUNDESMANN CORPORATE CONTROLLER 279419 0 25000 0 7223 0 29250 0 16975 0 357867 0 0 0 CHAD HOGGARD FORMER KE/CHIEF INFO SEC. OFF 254187 0 39372 0 1317 0 29032 0 27648 0 351556 0 0 0 STEVEN HUEBNER FORMER OFF/CFO 255470 0 0 0 85000 0 0 0 0 0 340470 0 0 0 NICKI NGUYEN-COLVIN FORMER KE/DIR. STRATEGY 233780 0 46838 0 774 0 27054 0 26283 0 334729 0 0 0 CINDY GIST FORMER KE/VP, PATIENT SVCS 231517 0 48740 0 6586 0 36119 0 11740 0 334702 0 0 0 HERBERT L BONE III CORPORATE TREASURER 247564 0 25000 0 7524 0 26681 0 25366 0 332135 0 0 0 DANIEL MARKUS FORMER KE/DIR. SUPPLY CHAIN 242737 0 51788 0 485 0 26609 0 1454 0 323073 0 0 0 TIMOTHY EHLING FORMER KE/DIR. NURSING 235540 0 14530 0 3475 0 23768 0 26305 0 303618 0 0 0 MATTHEW MCSWEYN FORMER KE/DIR. INFRA & OPS. 204586 0 44986 0 1028 0 23374 0 19816 0 293790 0 0 0 MICHELLE HALL FORMER KE/DIR. IT OPS 225781 0 16539 0 6264 0 22297 0 21767 0 292648 0 0 0 PAUL HELMUTH FORMER KE/DIR. CLIN BUS OPS 225994 0 13732 0 1896 0 19329 0 12141 0 273092 0 0 0 GANSUVD BALGANSUREN FORMER KE/DIR. CI LABS 220355 0 450 0 3202 0 19886 0 21748 0 265641 0 0 0 CARILLA WALLIN FORMER KE/DIR. STRAT OUTREACH 194187 0 14207 0 634 0 18449 0 27551 0 255028 0 0 0 ANDREW JACKSON FORMER KE/ASSOC. DIR. ENTER. 183418 0 6704 0 1717 0 16088 0 16794 0 224721 0 0 0 PART I, LINE 1A FIRST CLASS AIR TRAVEL IS ALLOWED CONSISTENT WITH FEDERAL REIMBURSEMENT REGULATIONS AND GENERALLY ONLY WHEN COACH FARE IS NOT AVAILABLE. SOCIAL CLUB DUES ARE PAID FOR THE CENTER'S PRESIDENT & DIRECTOR. NONE OF THESE ITEMS ARE CONSIDERED TAXABLE COMPENSATION TO THIS INDIVIDUAL. TEMPORARY HOUSING IS FREQUENTLY OFFERED AS PART OF THE RELOCATION PACKAGES FOR EXECUTIVES. IT IS CONSIDERED TAXABLE COMPENSATION TO THESE INDIVIDUALS. PART I, LINES 4A-B THE FRED HUTCHINSON CANCER CENTER OPERATES A MAKE-WHOLE SERP PLAN THAT WAS DESIGNED TO REPLACE THE BENEFITS THE PARTICIPANTS LOST DUE TO THE COMPENSATION LIMITS IMPOSED BY LAW UPON OUR QUALIFIED RETIREMENT PLAN. IN THE MANNER REQUIRED BY APPLICABLE IRS RULES, THE DESIGN OF THIS ARRANGEMENT WAS APPROVED AS REASONABLE, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON THE DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTEREST UNDER THE ARRANGEMENT 457(B) ARE NOT GUARANTEED OR SECURED IN ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. IN COMBINATION WITH THE OTHER RETIREMENT PROGRAMS OF THE EMPLOYER, THE MAKE-WHOLE SERP PLAN IS DESIGNED TO ACHIEVE A REASONABLE RETIREMENT BENEFIT LEVEL FOR EACH PARTICIPANT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(B) MAKE-WHOLE SERP PLAN: AARON CRANE $9,271.88 STEPHANIE MAYS $20,400 KELLY PATRICK $20,500 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) MAKEWHOLE SERP PLAN: STEPHANIE MAYS $3,557 KELLY PATRICK $16,533 AARON CRANE RECEIVED A SEVERANCE PAYMENT OF $1,207,989. FRED HUTCHINSON CANCER CENTER PROVIDED CHANGE-OF-CONTROL CONTINUTY BONUS AGREEMENTS TO KEY INDIVIDUALS PROVIDED THEY REMAINED EMPLOYED THROUGH SPECIFIED DATES. THE FOLLOWING INDIVIDUALS RECEIVED CHANGE-OF-CONTROL CONTINUTY BONUS: KELLY PATRICK $76,500 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978HLJ2 2014-10-30 97921097 ADVANCED REFUND OF 2001, 2005, 2008 PROJECTS 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978HXM2 2020-07-08 278176101 CONSTRUCTION OF SLU CLINIC EXPANSION AND ADVANCE REFUND OF SERIES 2010 BONDS 0 0 0 C WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978HYF6 2021-02-11 44555911 REFUND SEATTLE PROTON CENTER, LLC'S SERIES 2018 TAXABLE BONDS 0 0 0 D WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 CT1656350 2022-06-30 55000000 REFINANCE BONDS ISSUED ON 03/10/22 AND 03/31/22 0 0 0 A 21900000 97921097 1268751 96652346 2010 0 1 1 1 B 278176101 22425729 2358312 243467230 9924830 2022 1 0 0 1 C 1390000 44555911 861534 43694377 2021 0 1 1 1 D 55000000 55000000 2015 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00450 0.00450 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WASHINGTON HEALTH CARE FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/01/2019 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 CT1656356 2022-06-30 103545000 REFINANCE BONDS ISSUED ON 03/10/22 AND 03/31/22 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 CT1656359 2022-06-30 125000000 REFINANCE BONDS ISSUED ON 03/10/22 AND 03/31/22 0 0 0 A 103545000 103545000 2001 0 0 1 1 B 125000000 125000000 2022 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 X 400 FAIR MARKET VALUE X 74 37980335 FAIR MARKET VALUE X 440 7500 FAIR MARKET VALUE X EQUIPMENT 1 420000 FAIR MARKET VALUE X AUCTION ITEMS 23 86706 FAIR MARKET VALUE X HATS/WIGS 30 5803 FAIR MARKET VALUE 2 0 1 0 PART I, COLUMN (B): THE NUMBER IN PART I, COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART I, LINE 6, DESCRIPTION OF VOLUNTEERS: HUNDREDS OF VOLUNTEERS PROVIDE FRED HUTCH WITH THE IMPORTANT GIFT OF THEIR TIME. VOLUNTEERS IN OUR CLINICAL AREAS PROVIDE VITAL PRACTICAL AND SOCIAL SUPPORT FOR OUR PATIENTS AND THEIR FAMILIES AT A CRITICAL TIME IN THEIR LIVES. WITH VOLUNTEER SUPPORT RANGING FROM PROVIDING AIRPORT TRANSPORTATION TO SHARING HEALING MUSICAL TALENTS, THEY HELP US ENSURE A COMPASSIONATE CARE EXPERIENCE FOR PATIENTS AND THEIR FAMILIES. OTHER VOLUNTEER OPPORTUNITIES RANGE FROM SERVING ON A FRED HUTCH GUILD OR EVENT PLANNING COMMITTEE, HELPING AT FUNDRAISING EVENTS, SENDING THANK YOU NOTES TO SUPPORTERS, AND MUCH MORE. FORM 990, PART III, LINE 1 DESCRIPTION OF ORGANIZATION MISSION (CONTINUED): BASED IN SEATTLE, FRED HUTCH IS THE ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER IN WASHINGTON. OUR CARE IS FOCUSED ON PREVENTING, DIAGNOSING AND TREATING CANCER IN ADULTS. FRED HUTCH PROVIDERS ARE EXPERTS IN A WIDE ARRAY OF CANCERS AND DISEASES, PROVIDING DIAGNOSTIC SERVICES, TREATMENT AND FOLLOW-UP CARE TAILORED TO SPECIFIC NEEDS. FRED HUTCH OPERATES EIGHT CLINICAL CARE SITES THAT PROVIDE MEDICAL ONCOLOGY, INFUSION, RADIATION, PROTON THERAPY AND RELATED SERVICES. IT ALSO OFFERS SERVICES AT MULTIPLE UW MEDICAL CENTER LOCATIONS AND AT TWO COMMUNITY HOSPITAL SITES IN THE PUGET SOUND AREA. WE HAVE EARNED A GLOBAL REPUTATION FOR OUR TRACK RECORD OF DISCOVERIES IN CANCER, INFECTIOUS DISEASE AND BASIC RESEARCH, INCLUDING IMPORTANT ADVANCES IN BONE MARROW TRANSPLANTATION, IMMUNOTHERAPY, HIV/AIDS PREVENTION AND COVID-19 VACCINES. OUR INNOVATION AND DISCOVERY EFFORTS SPAN THE BASIC SCIENCES, FOUNDATIONAL BIOLOGY, AND TRANSLATIONAL AND COMPUTATIONAL SCIENCES, WITH SIGNIFICANT EFFORTS TO IMPROVE POPULATION HEALTH AND REDUCE HEALTH DISPARITIES. FORM 990, PART VI, SECTION A, LINE 2 TIM DELLIT, JEREMY JAECH, AND LISA BRANDENBURG HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B PER FRED HUTCH BYLAWS, THE AUDIT AND COMPLIANCE COMMITTEE REVIEWS INTERNAL AND EXTERNAL AUDIT REPORTS AND FORM 990 AND ALL RELATED SCHEDULES AND FORMS MAKING RECOMMENDATIONS TO THE BOARD CONCERNING THESE MATTERS. CENTER LEADERSHIP AND THE FINANCE TEAM WORK CLOSELY WITH THE OUTSIDE ACCOUNTING FIRM TO PREPARE THE FORM 990. THE DRAFT FORM 990 IS FORMALLY REVIEWED INTERNALLY PRIOR TO DISTRIBUTING IT TO THE AUDIT AND COMPLIANCE COMMITTEE. THE AUDIT AND COMPLIANCE COMMITTEE CONSULTS WITH LEADERSHIP, THE FINANCE TEAM AND OTHER PERSONS THE AUDIT AND COMPLIANCE COMMITTEE MAY DESIGNATE TO REVIEW THE DRAFT FORM 990. SUBSEQUENT TO ITS REVIEW, THE AUDIT AND COMPLIANCE COMMITTEE REPORTS TO THE BOARD REGARDING ITS OVERSIGHT OF FORM 990. THE FINAL DRAFT IS PROVIDED TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MANAGEMENT PLANS FOR TRUSTEES AND THE PRESIDENT & DIRECTOR ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE AND SIGNED BY THE PERSON WITH THE CONFLICT OF INTEREST AND THE CHAIR OF THE BOARD. DISCLOSURE BY MEMBERS OF THE SCIENTIFIC STAFF, OFFICERS OTHER THAN THE PRESIDENT & DIRECTOR AND OTHER KEY PERSONNEL DESIGNATED BY THE PRESIDENT & DIRECTOR ARE REVIEWED BY THE OFFICE OF THE PRESIDENT & DIRECTOR, THE OFFICE OF THE GENERAL COUNSEL, AND THE DIRECTOR OF THE DIVISION IN WHICH THE PERSON HAS THEIR PRIMARY APPOINTMENT OR RESPONSIBILITIES. IF A CONFLICT IS DETERMINED TO EXIST UNDER THE POLICY A WRITTEN CONFLICT MANAGEMENT PLAN IS RECOMMENDED BY THE OFFICE OF THE GENERAL COUNSEL AND APPROVED AND SIGNED BY THE OFFICE OF THE DIRECTOR, THE OFFICE OF THE GENERAL COUNSEL AND THE DIVISION DIRECTOR AS WELL AS THE PERSON WHO HAS THE CONFLICT. CONFLICT MANAGEMENT PLANS ARE DESIGNATED TO MANAGE, REDUCE AND ELIMINATE CONFLICTS TO PREVENT BIAS, IMPROPER INFLUENCE, OR MISUSE OF CENTER OR GOVERNMENT RESOURCES. THE CONFLICT MANAGEMENT PLANS FOR TRUSTEES USUALLY REQUIRE THE AFFECTED TRUSTEE TO RECUSE THEMSELF FROM VOTING ON ANY MATTERS INVOLVING THE AFFECTED TRANSACTION OR RELATIONSHIP ALTHOUGH THEY ARE ALLOWED TO PROVIDE FACTUAL INFORMATION IF REQUESTED BY EXECUTIVE COMMITTEE OF THE BOARD. ALL TRANSACTIONS REQUIRING BOARD OR COMMITTEE APPROVAL MUST BE APPROVED BY A MAJORITY OF DISINTERESTED PERSONS. CONFLICT MANAGEMENT PLANS INVOLVING SCIENTIFIC STAFF, OFFICER OR OTHER KEY PERSONNEL USUALLY IMPOSE ONE OR MORE OF THE FOLLOWING CONDITIONS OR RESTRICTIONS: 1) PUBLIC DISCLOSURE OF THE INTEREST, 2) MONITORING OF RESEARCH BY INDEPENDENT REVIEWERS, 3) MODIFICATION OF THE RESEARCH PLAN, 4) DISQUALIFICATION FROM PARTICIPATION IN ALL OF OR A PORTION OF THE RESEARCH BY THE PERSON WITH THE CONFLICT OF INTEREST, 5) DIVESTURE OF THE INTEREST, 6) SEVERANCE OF THE RELATIONSHIP CREATING THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE PRESIDENT & DIRECTOR IS DETERMINED AND APPROVED BY THE BOARD COMPENSATION COMMITTEE. THE COMPENSATION OF OTHER OFFICERS AND KEY PERSONNEL ARE DETERMINED BY THE PRESIDENT & DIRECTOR SUBJECT TO RATIFICATION BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE HAS DEVELOPED, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, GUIDELINES FOR DETERMINING COMPENSATION AND BENEFITS. THE COMPENSATION COMMITTEE ALSO HIRES A QUALIFIED INDEPENDENT COMPENSATION SPECIALIST ("INDEPENDENT EXPERT") EVERY TWO YEARS TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION PACKAGES OF ALL OFFICERS AND KEY EMPLOYEES. APPROPRIATE COMPARABILITY DATA IS OBTAINED FROM THE INDEPENDENT EXPERT. NO PERSON WITH A CONFLICT OF INTEREST MAY PARTICIPATE IN DETERMINING OR APPROVING ANY EXECUTIVE COMPENSATION. MEETINGS OF THE COMPENSATION COMMITTEE ARE DOCUMENTED IN MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING. THE ABOVE PROCESS WAS LAST UNDERTAKEN IN NOVEMBER 2021. FORM 990, PART VI, SECTION C, LINE 19 WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT-INTEREST TRUST 825,457. FRED HUTCHINSON INTERNATIONAL LLC 1100 FAIRVIEW AVENUE NORTH SEATTLE WA 981091024 462936650 FOREIGN RESEARCH COLLABORATIONS WA 0 18154 FRED HUTCHINSON CANCER CENTER SEATTLE PROTON CENTER LLC 825 EASTLAKE AVE E PO BOX 19023 SEATTLE WA 981091023 INACTIVE DE 0 0 PROCURE SEATTLE HOLDINGS LLC PROCURE SEATTLE HOLDINGS LLC 825 EASTLAKE AVE E PO BOX 19023 SEATTLE WA 981091023 INACTIVE DE 0 0 FRED HUTCHINSON CANCER CENTER SEATTLE VACCINE RESEARCH FUND 1100 FAIRVIEW AVENUE NORTH SEATTLE WA 98109 331111221 ANTI-RETROVIRAL THERAPY FOR ELIGIBLE PARTICIPANTS WA 501(C)(3) LINE 12A, I FRED HUTCHINSON CANCER CENTER 1 HUTCHINSON CENTRE RESEARCH INSTITUTE OF SOUTH AFRICA 6TH FLOOR 119 HERTZOG BLVD FORESHORE CAPETOWN SF 8001 RESEARCH SF N/A N/A FRED HUTCHINSON CANCER CENTER 1 HUTCHINSON CENTRE RESEARCH INSTITUTE OF UGANDA LIMITED POB 3935 MULAGO HOSPITAL UPPER MUL KAMPALA UGANDA UG RESEARCH AND EDUCATION ON CANCER AND INFECTIOUS DISEASE UG N/A N/A FRED HUTCHINSON CANCER CENTER 1 CHARITABLE REMAINDER TRUSTS (7) 1100 FAIRVIEW AVE NORTH SEATTLE WA 981091024 INVESTMENT WA N/A T 0 HUTCHINSON BIOMEDICAL SCIENCE AND TECHNOLOGY (TIANJIN) CO LTD 1100 FAIRVIEW AVE NORTH SEATTLE WA 981091024 RESEARCH CH N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 HUTCHINSON CENTRE RESEARCH INSTITUTE OF UGANDA LIMITED L 1183589 ACCOUNTING SYSTEM TRACKING HUTCHINSON CENTRE RESEARCH INSTITUTE OF UGANDA LIMITED P 155838 ACCOUNTING SYSTEM TRACKING HUTCHINSON CENTRE RESEARCH INSTITUTE OF SOUTH AFRICA P 158523 ACCOUNTING SYSTEM TRACKING HUTCHINSON CENTRE RESEARCH INSTITUTE OF UGANDA LIMITED R 2830000 ACCOUNTING SYSTEM TRACKING HUTCHINSON CENTRE RESEARCH INSTITUTE OF SOUTH AFRICA R 14700440 ACCOUNTING SYSTEM TRACKING