FRED HUTCHINSON CANCER CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: FRED HUTCHINSON CANCER CENTER (EIN 91-1935159)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-05-08
IRS object ID: 202041299349300439
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-05-08T11:35:13-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	911194016	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLARK NUBER PS	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10900 NE 4TH STREET SUITE 1400	AddressLine1Txt
City	BELLEVUE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	911935159	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CANCER CARE ALLIANCE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SEAT	BusinessNameControlTxt
Phone	2066061000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	825 EASTLAKE AVE E PO BOX 19023	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981091023	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AARON CRANE	PersonNm
Person Title	EXECUTIVE VICE PRESIDENT	PersonTitleTxt
Phone	2066061000	PhoneNum
Signature	2020-05-04	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SARA ELIZABETH J HYRE	PreparerPersonNm
PTIN	P00235495	PTIN
Phone	4254544919	PhoneNum
Preparation	2020-05-04	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	65.158.230.194	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-05-04	IPDt
IP Tm	12:09:44	IPTm
IP Timezone	PD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	9CA007D6FA4ECCBF5600246BD0FD47D8656BF948	AtSubmissionCreationDeviceId
At Submission Filing Device Id	A6788122FFC2A5A8460BF6C51534EA1DB831A18C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	NANCY DAVIDSON MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	825 EASTLAKE AVE E PO BOX 19023	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981091023	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,119,702,653	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SEATTLECCA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	SEATTLE CANCER CARE ALLIANCE, (SCCA) REPRESENTS A UNION OF PATIENTS AND DOCTORS, (SEE SCHEDULE O) PHYSICIANS AND RESEARCHERS, CARE AND CURES IN THE PURSUIT OF BETTER, LONGER, RICHER LIVES FOR OUR PATIENTS. ABOVE ALL, WE EXIST TO MOVE PATIENTS FORWARD, PAST BOUNDARIES AND TOWARD HOPE, BEYOND FEAR AND CLOSER TO DISCOVERY. SCCA IS THE INTERSECTION OF COMPASSION AND HARD SCIENCE. WHERE A REAL DIFFERENCE CAN BE MADE TODAY AND TRUE PROGRESS HAPPENS TOMORROW. THIS UNIQUELY BOLD AND INVENTIVE APPROACH TRULY SETS US APART. WE TREAT CARE DIFFERENTLY, AND, BECAUSE OF THAT, WE SEE PATIENTS DIFFERENTLY, TOO. OUR CARE COMBINES POWERFUL SCIENCE WITH DEVOTED COLLABORATION, WHERE BOUNDARY-PUSHING DISCOVER HAPPENS - CARE AND SCIENCE WORKING TOGETHER. IT IS OUR FUNDAMENTAL BELIEF THAT WORKING IN PARTNERSHIP WITH OUR PATIENTS IS ESSENTIAL TO WHO WE ARE TODAY AND IN THE FUTURE.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	1917	TotalEmployeeCnt
Total Volunteers	245	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,937,565	PYContributionsGrantsAmt
CY Contributions Grants	$5,636,906	CYContributionsGrantsAmt
PY Program Service Revenue	$640,707,064	PYProgramServiceRevenueAmt
CY Program Service Revenue	$733,760,564	CYProgramServiceRevenueAmt
PY Investment Income	$7,602,074	PYInvestmentIncomeAmt
CY Investment Income	$16,713,692	CYInvestmentIncomeAmt
PY Other Revenue	$1,241,086	PYOtherRevenueAmt
CY Other Revenue	$1,171,408	CYOtherRevenueAmt
PY Total Revenue	$653,487,789	PYTotalRevenueAmt
CY Total Revenue	$757,282,570	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,742,018	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,012,177	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$152,506,331	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$166,269,723	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$150,769	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$153,988	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$216,646	CYTotalFundraisingExpenseAmt
PY Other Expenses	$455,954,828	PYOtherExpensesAmt
CY Other Expenses	$514,887,621	CYOtherExpensesAmt
PY Total Expenses	$610,353,946	PYTotalExpensesAmt
CY Total Expenses	$684,323,509	CYTotalExpensesAmt
PY Revenues Less Expenses	$43,133,843	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$72,959,061	CYRevenuesLessExpensesAmt
Total Assets BOY	$647,980,104	TotalAssetsBOYAmt
Total Assets EOY	$753,310,466	TotalAssetsEOYAmt
Total Liabilities BOY	$158,070,620	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$190,944,286	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$489,909,484	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$562,366,180	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$578,502,935	ExpenseAmt
Grant	$2,493,871	GrantAmt
Revenue	$731,787,916	RevenueAmt
Desc	SCCA'S FOCUS IS TO SPEED THE TRANSFER OF NEW DIAGNOSTIC AND TREATMENT TECHNIQUES FROM THE RESEARCH SETTING TO PATIENT CARE. THE HIGHLY INTEGRATED APPROACH TO CANCER RESEARCH AND TREATMENT AMONG SCCA PARTNER ORGANIZATIONS SUPPORTS THE FLOW OF SCIENTIFIC INFORMATION AMONG RESEARCHERS, CLINICIANS, AND PATIENTS, THEREBY ACCELERATING THE DEVELOPMENT OF NEW KNOWLEDGE AND TREATMENT OF VARIOUS CANCERS.DURING THE YEAR ENDED JUNE 30, 2019, SCCA TREATED 7,192 NEW PATIENTS WITHIN THE CANCER AND BONE MARROWS/STEM CELL TRANSPLANT PROGRAMS. SCCA ALSO HAD 88,296 CLINIC VISITS, 120,869 INFUSION HOURS, 15,237 RADIATION ONCOLOGY TREATMENTS, AND PERFORMED 74,898 IMAGING SCANS. (SEE SCHEDULE O)AS PART OF SCCA'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. SCCA IS DESIGNATED AS AN INSTRUCTIONAL SITE FOR BACHELOR AND ADVANCED DEGREE CANDIDATES FROM SEVERAL INSTITUTIONS AROUND THE PUGET SOUND AREA. IN ADDITION, SCCA HAS MANY EDUCATIONAL OFFERINGS FOR CANCER PATIENTS, CAREGIVERS, THEIR FAMILIES, AND CANCER SURVIVORS.THE SCCA AFFILIATE NETWORK PROGRAM SUPPORTS SCCA'S MISSION OF ADVANCING THE STANDARD OF CANCER CARE REGIONALLY AND BEYOND. BY CONNECTING COMMUNITY-BASED PHYSICIANS AND HOSPITALS WITH THE LEADING RESEARCH TEAMS AND CANCER SPECIALISTS OF FRED HUTCH, SEATTLE CHILDREN'S AND UW MEDICINE, THE SCCA NETWORK FORGES PARTNERSHIPS TO WORK TOWARD A COMMON GOAL OF ELEVATING PATIENT CARE. THE SCCA AFFILIATE NETWORK PROVIDES OUR COMMUNITY PARTNERS WITH A WEALTH OF RESOURCES, INCLUDING CONTINUING MEDICAL EDUCATION, CONSULTATIONS WITH SCCA PHYSICIANS ABOUT DIAGNOSIS AND TREATMENT PLANS, AND ACCESS TO CLINICAL RESEARCH. PATIENTS WHO ARE TREATED FOR CANCER AT NETWORK MEMBER INSTITUTIONS HAVE ACCESS TO THE LATEST ADVANCEMENTS IN THE TREATMENT OF CANCER, PROVIDING THEM WITH WORLD-CLASS CARE CLOSE TO HOME.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,677,890	ExpenseAmt
Grant	$518,306	GrantAmt
Revenue	$2,230,082	RevenueAmt
Desc	SEATTLE CANCER CARE ALLIANCE, SCCA, OPERATES A HOUSING PROGRAM INCLUDING BOTH SCCA HOUSE AND PETE GROSS HOUSE.SCCA HOUSE IS A TEMPORARY MEDICAL HOUSING FACILITY. IT IS AN 80-ROOM FACILITY THAT PROVIDES AN AFFORDABLE HOME FOR CANCER PATIENTS AND THEIR FAMILIES WHO COME TO SEATTLE FOR EXTENDED TREATMENT WITH SCCA. THE SIX-STORY "BUILT GREEN" BUILDING WAS DESIGNED TO ADDRESS PATIENTS' PHYSICAL, EMOTIONAL, AND LOGISTICAL CHALLENGES. SCCA HOUSE IS LOCATED CLOSE TO THE SCCA OUTPATIENT CLINIC AND OFFERS SHUTTLE SERVICE TO THE SCCA CLINIC. THE SCCA HOUSE OFFERS PATIENTS A HOME AWAY FROM HOME WITH: FULLY FURNISHED SUITES WITH KITCHENETTES, LARGE COMMON KITCHEN AND DINING ROOM, EXERCISE ROOM, RESOURCE CENTER AND (SEE SCHEDULE O)LIBRARY, THEATER, CHILDREN'S ROOM, MEDITATION ROOM, IN-ROOM SEPARATE CAREGIVER SLEEPING AREAS, FREE LAUNDRY 24 HRS/DAY, FREE WIRELESS INTERNET ACCESS, SECURE ENTRY, GARAGE AND PARKING, INFECTION CONTROL MEASURES, AS WELL AS A ROOFTOP GARDEN, SPONSORED EVENTS FOR PATIENTS AND FAMILIES, AND SOCIAL EVENTS. THE COMMON AREAS SERVE AS MEETING CENTERS FOR OUR COMMUNITY PARTNERS. SCCA HOUSE IS AN EXAMPLE OF SCCA'S COMMITMENT TO THE MISSION OF PROVIDING FAMILY CENTERED PATIENT CARE.PETE GROSS HOUSE, DESIGNED SPECIFICALLY FOR PATIENTS RECOVERING FROM A STEM CELL OR BONE MARROW TRANSPLANT, IMMUNOTHERAPY OR GENERAL ONCOLOGY TREATMENT, IS A 70-UNIT APARTMENT BUILDING LOCATED LESS THAN ONE-HALF MILE FROM THE SCCA OUTPATIENT CLINIC AND OFFERS FREE SHUTTLE SERVICE TO THE SCCA CLINIC. EACH APARTMENT IS FURNISHED AND HAS A WASHER/DRYER, DISHWASHER, MICROWAVE, RANGE, TELEVISION, DVD PLAYER, LINENS, AND A GENEROUSLY EQUIPPED KITCHEN WITH FULL-SIZE REFRIGERATOR. ONE-AND TWO-BEDROOM APARTMENTS ALSO HAVE QUEEN-SIZE SLEEPER SOFAS. STUDIO APARTMENTS ALSO ARE AVAILABLE. PATIENTS STAYING AT EITHER HOUSE CAN RIDE SHUTTLE SERVICE TO SCCA OUTPATIENT CLINIC. AT THE CLINIC, SHUTTLES ARE AVAILABLE GOING TO AND FROM SCCA OUTPATIENT CLINIC TO UW MEDICAL CENTER AND SEATTLE CHILDREN'S. PATIENTS ALSO HAVE ACCESS TO SHUTTLES THAT RUN TWICE DAILY TO A LOCAL GROCERY STORE.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$581,180,825	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	162	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1917	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	HI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WV	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AARON R CRANE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2066062260	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	825 EASTLAKE AVENUE EAST PO BOX	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981091023	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (52 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KAREN GLOVER
CHAIR	5.00	Yes (X)	Yes (X)	$0	$0	$0
BRUCE PYM
VICE CHAIR	5.00	Yes (X)	Yes (X)	$0	$0	$0
MIKE DELMAN
TREASURER	4.00	Yes (X)	Yes (X)	$0	$0	$0
KIMBERLY MCNALLY
SECRETARY	3.00	Yes (X)	Yes (X)	$0	$0	$0
RICHARD MCCUNE
IMMEDIATE PAST CHAIR	3.00	Yes (X)	Yes (X)	$0	$0	$0
ROBB BAKEMEIER
DIRECTOR	4.00	Yes (X)		$0	$0	$0
SUZANNE BEITEL
DIRECTOR	3.00	Yes (X)		$0	$0	$0
LISA BRANDENBURG
DIRECTOR (FROM 11/18)	3.00	Yes (X)		$0	$0	$0
JACQUELINE CABE
DIRECTOR (THRU 11/18)	1.50	Yes (X)		$0	$0	$0
BRUCE CLURMAN
DIRECTOR	2.00	Yes (X)		$0	$0	$0
GERALD GRINSTEIN
DIRECTOR	3.00	Yes (X)		$0	$0	$0
STEWART LANDEFELD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
RUTH MAHAN
DIRECTOR	3.00	Yes (X)		$0	$0	$0
LINDA MATTOX
DIRECTOR	1.00	Yes (X)		$0	$0	$0
SANDY MELZER
DIRECTOR	3.00	Yes (X)		$0	$0	$0
PAULA REYNOLDS
DIRECTOR	3.00	Yes (X)		$0	$0	$0
STEVE STADUM
DIRECTOR	8.00	Yes (X)		$0	$0	$0
ALVIN WINTERROTH
DIRECTOR	1.50	Yes (X)		$0	$0	$0
RICHARD YARMUTH
DIRECTOR	3.00	Yes (X)		$0	$0	$0
NORMAN HUBBARD
EXECUTIVE VP (THRU 4/19)	55.00		Yes (X)	$932,837	$0	$231,024
NANCY DAVIDSON MD
EXECUTIVE DIRECTOR AND PRESIDENT	45.00		Yes (X)	$929,406	$0	$0
F MARC STEWART MD
VP, MEDICAL DIRECTOR	30.00		Yes (X)	$556,519	$0	$0
DEBORAH GENTZEN
VP, CHIEF STRATEGY OFFICER	55.00		Yes (X)	$505,671	$0	$152,782
DAVID ACKERSON
VP, CHIEF INFORMATION OFFICER	55.00		Yes (X)	$449,578	$0	$132,922
BARBARA JAGELS
VP, CHIEF QUALITY & VALUE OFFC	55.00		Yes (X)	$405,660	$0	$140,585
THERESA MCDONNELL
CHIEF NURSE EXEC, VP-CLIN OPS	55.00		Yes (X)	$405,596	$0	$135,994
AARON CRANE
INTERIM EXEC VP (FROM 4/19) & CFO	55.00		Yes (X)	$279,676	$0	$37,655
STEPHANIE MAYS
GENERAL COUNSEL	55.00			$375,051	$0	$59,807	Yes (X)
GRETCHEN HANNA
DIR. CORPORATE FINANCE	55.00			$272,735	$0	$38,329	Yes (X)
TAMI DEEB
DIR. SERVICE LINES	55.00			$255,762	$0	$42,026	Yes (X)
JOSEPH NORTON
DIR. FINANCE	55.00			$254,996	$0	$41,674	Yes (X)
MOREEN DUDLEY
DIR. CLIN. OPS, SUPPORTIVE SVCS	55.00			$246,007	$0	$34,803	Yes (X)
KRISTINE LOGAN
DIR. OPERATIONS	55.00			$236,101	$0	$32,436	Yes (X)
NICKI NGUYEN-COLVIN
DIR. STRATEGY & BUS DEV	55.00			$226,082	$0	$39,791	Yes (X)
ALPHONSO EMERY
DIR. REVENUE CYCLE MGT.	55.00			$219,386	$0	$30,548	Yes (X)
MICHELLE HALL
DIR. PERFORMANCE EXCELLENCE	55.00			$218,753	$0	$39,017	Yes (X)
TRACI PRANZINI
CORPORATE INTEGRITY OFFICER	55.00			$215,510	$0	$30,905	Yes (X)
TIMOTHY EHLING
DIR. NURSING & CLIN. OPS INTEG.	55.00			$214,598	$0	$43,810	Yes (X)
ADA MOHEDANO
DIR. CLIN. ANALYTICS & BUS INTEL	55.00			$203,383	$0	$29,266	Yes (X)
HOLLY ROSENFELD
DIR. MARKETING	55.00			$197,271	$0	$42,224	Yes (X)
CHAD HOGGARD
CHIEF INFO SECURITY OFFICER	55.00			$195,196	$0	$42,015	Yes (X)
PAUL HELMUTH
DIR. CLIN OPS, COMMUNITY SITES	55.00			$179,885	$0	$26,024	Yes (X)
MADELINE GRANT
DIR. PAYER CONTRACTING/STRATEGY	55.00			$179,371	$0	$31,366	Yes (X)
KATIE COLLEEN ANN MALETICH
DIR. QUALITY & SAFETY	55.00			$178,110	$0	$39,549	Yes (X)
BRITTANY MCCREERY
DIR. MED STAFF SVCS/PHYS PRACT	55.00			$168,256	$0	$32,095	Yes (X)
MATTHEW MCSWEYN
DIR. IT SERVICES	55.00			$167,699	$0	$37,299	Yes (X)
GANSUVD BALGANSUREN
DIR. CLINICAL IMMUNOGENETICS LAB	55.00			$167,586	$0	$32,713	Yes (X)
ROGER JANSSON
ASSC GENERAL COUNSEL (THRU 09/18)	55.00			$198,100	$0	$8,918		Yes (X)
DONNA KERN
REGISTERED NURSE	55.00			$191,896	$0	$40,515		Yes (X)
TRACY WONG
DIR. VALUE & PATIENT EXP	55.00			$166,990	$0	$15,181		Yes (X)
MARIAN RICHARDSON
ASSC DIR. CLINICAL OPS	55.00			$166,778	$0	$24,253		Yes (X)
MATTHEW PALMGREN
DIR. DIGITAL HEALTH	55.00			$165,485	$0	$38,275		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,725,930	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,703,801	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	273	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNIVERSITY OF WASHINGTON
1959 NE 59TH AVE SUITE 1005	SEATTLE	WA	98104	HEALTHCARE, SERVICES	$231,830,300
FRED HUTCHINSON CANCER RESEARCH CENTER
1100 FAIRVIEW AVE N	SEATTLE	WA	98109	ADMIN, SUPPORT, SVCS, CONSULT.	$38,417,306
SEATTLE CHILDREN'S HOSPITAL
MAILSTOP S-100 PO BOX 50020	SEATTLE	WA	98145	HEALTHCARE, SERVICES	$19,712,389
NATIONAL MARROW DONOR PROGRAM
500 N 5TH STREET	MINNEAPOLIS	MN	55401	MARROW TRANSPLANT SERVICES	$13,628,732
GLY CONSTRUCTION INC
200 112TH AVENUE NE STE 300	BELLEVUE	WA	98004	CONSTRUCTION	$4,913,134

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	101	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$559,875	FederatedCampaignsAmt
Fundraising	$286,821	FundraisingAmt
All Other Contributions	$4,790,210	AllOtherContributionsAmt
Noncash Contributions	$39,075	NoncashContributionsAmt
Total Contributions	$5,636,906	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PATIENT SERV. REVENUE	622310	$730,302,796	$729,786,109	$516,687
PATIENT HOUSING	624221	$2,230,082	$2,230,082
INTERAFFILIATE AGMTS	900099	$753,680	$753,680
INVENTORY SALES	900099	$474,006		$474,006

Field	Value	IRS element (for citing)
Total Program Service Revenue	$733,760,564	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,369,032	TotalRevenueColumnAmt
Exclusion	$13,369,032	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$365,625,853	SecuritiesAmt
Other	$25,106	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$361,624,515	SecuritiesAmt
Other	$681,784	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,001,338	SecuritiesAmt
Other	-$656,678	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,344,660	TotalRevenueColumnAmt
Exclusion	$3,344,660	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$76,400	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$286,821	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$113,784	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$37,384	TotalRevenueColumnAmt
Exclusion	-$37,384	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PARKING INCOME	531390	$951,150	$951,150
EDUCATIONAL EVENTS	923110	$257,434		$257,434
RECYCLING	562000	$208	$208

Field	Value	IRS element (for citing)
Other Revenue Total	$1,208,792	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$757,282,570	TotalRevenueColumnAmt
Related Or Exempt Func Income	$733,027,305	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$18,618,359	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,493,871	TotalAmt
Program Services	$2,493,871	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$518,306	TotalAmt
Program Services	$518,306	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,314,412	TotalAmt
Program Services	$2,596,254	ProgramServicesAmt
Management And General	$8,718,158	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$119,500,512	TotalAmt
Program Services	$89,604,422	ProgramServicesAmt
Management And General	$29,896,090	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,313,723	TotalAmt
Program Services	$4,622,352	ProgramServicesAmt
Management And General	$1,691,371	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,022,926	TotalAmt
Program Services	$14,506,567	ProgramServicesAmt
Management And General	$4,516,359	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,118,150	TotalAmt
Program Services	$7,586,838	ProgramServicesAmt
Management And General	$2,531,312	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$28,945,354	TotalAmt
Program Services	$13,573,641	ProgramServicesAmt
Management And General	$15,371,713	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,169,639	TotalAmt
Management And General	$1,169,639	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$501,173	TotalAmt
Management And General	$501,173	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$361,557	TotalAmt
Management And General	$361,557	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$153,988	TotalAmt
Fundraising	$153,988	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$426,892	TotalAmt
Management And General	$426,892	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$123,067,865	TotalAmt
Program Services	$116,744,096	ProgramServicesAmt
Management And General	$6,323,769	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,280,866	TotalAmt
Program Services	$3,224,858	ProgramServicesAmt
Management And General	$2,185	ManagementAndGeneralAmt
Fundraising	$53,823	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,659,927	TotalAmt
Program Services	$3,102,133	ProgramServicesAmt
Management And General	$2,555,186	ManagementAndGeneralAmt
Fundraising	$2,608	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$19,859,989	TotalAmt
Program Services	$7,342,478	ProgramServicesAmt
Management And General	$12,517,511	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$756,998	TotalAmt
Program Services	$756,998	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,299,153	TotalAmt
Program Services	$5,989,242	ProgramServicesAmt
Management And General	$9,309,911	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,103,732	TotalAmt
Program Services	$579,633	ProgramServicesAmt
Management And General	$522,446	ManagementAndGeneralAmt
Fundraising	$1,653	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,806,418	TotalAmt
Program Services	$1,085,787	ProgramServicesAmt
Management And General	$719,640	ManagementAndGeneralAmt
Fundraising	$991	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,460,387	TotalAmt
Program Services	$3,460,387	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,610,945	TotalAmt
Program Services	$20,056,070	ProgramServicesAmt
Management And General	$3,551,292	ManagementAndGeneralAmt
Fundraising	$3,583	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$752,207	TotalAmt
Program Services	$521,715	ProgramServicesAmt
Management And General	$230,492	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$275,701,285	$275,695,469	$5,816
BUSINESS TAXES	$4,194,770	$3,998,943	$195,827
MEDICAL EQUIPMENT R&M	$1,495,105	$1,495,105
UBI TAXES	$423,913		$423,913

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,009,446	TotalAmt
Program Services	$1,625,660	ProgramServicesAmt
Management And General	$1,383,786	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$684,323,509	TotalAmt
Program Services	$581,180,825	ProgramServicesAmt
Management And General	$102,926,038	ManagementAndGeneralAmt
Fundraising	$216,646	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$20,690,147	BOYAmt
EOY	$44,370,676	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$43,690,180	BOYAmt
EOY	$36,768,427	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$79,384,161	BOYAmt
EOY	$112,177,442	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$8,178,847	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,092,738	BOYAmt
EOY	$13,026,558	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,733,995	BOYAmt
EOY	$5,784,889	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$336,687,685	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$168,966,100	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$150,080,353	BOYAmt
EOY	$167,721,585	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$323,224,639	BOYAmt
EOY	$346,718,309	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,082,105	BOYAmt
EOY	$8,780,386	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,001,786	BOYAmt
EOY	$9,783,347	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$647,980,104	BOYAmt
EOY	$753,310,466	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$54,127,740	BOYAmt
EOY	$90,761,577	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$241,949	BOYAmt
EOY	$246,801	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$103,700,931	BOYAmt
EOY	$99,935,908	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$158,070,620	BOYAmt
EOY	$190,944,286	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$482,032,194	BOYAmt
EOY	$552,483,853	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,581,701	BOYAmt
EOY	$6,436,738	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,295,589	BOYAmt
EOY	$3,445,589	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$489,909,484	BOYAmt
EOY	$562,366,180	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$647,980,104	BOYAmt
EOY	$753,310,466	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$72,959,061	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$502,365	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	Yes (1)	PublicationsOrBroadcastInd
Publications Or Broadcast	$1,115	PublicationsOrBroadcastAmt
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$110,641	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$33,083	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$250,916	OtherActivitiesAmt
Total Lobbying Expenditures	$395,755	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LINE 1B: SCCA MET WITH AND SENT CORRESPONDENCE TO FEDERAL AND STATE OFFICIALS REGARDING HEALTH CARE ISSUES SUCH AS MEDICARE, MEDICAID, AND INSURANCE POLICIES. LINE 1E: SCCA PHYSICIAN LEADERS CO-AUTHORED AN OP-ED PUBLISHED IN THE SEATTLE TIMES REGARDING STATE TOBACCO21 LEGISLATION. AMOUNT EXPENDED - $1,115. LINE 1F: WASHINGTON STATE HOSPITAL ASSOCIATION REPRESENTS MEMBER INTERESTS ON LOCAL AND STATE LEVELS. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS -$40,641. LINE 1F: ALLIANCE OF DEDICATED CANCER CENTERS REPRESENTS MEMBER INTERESTS AT THE NATIONAL LEVEL. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - $70,000. LINE 1G: SCCA EMPLOYEES MET WITH AND SENT CORRESPONDENCE TO FEDERAL AND STATE OFFICIALS REGARDING HEALTH CARE ISSUES SUCH AS MEDICARE, MEDICAID, AND INSURANCE POLICIES. AMOUNT EXPENDED - $33,083. LINE 1I: COMPENSATION PAID TO HIRED LOBBYISTS TO MONITOR AND REVIEW LEGISLATION AT THE LOCAL, STATE, AND FEDERAL LEVELS. AMOUNT EXPENDED -$250,916.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,885,397	BeginningYearBalanceAmt
Contributions	$150,000	ContributionsAmt
Investment Earnings Or Losses	$42,098	InvestmentEarningsOrLossesAmt
Administrative Expenses	$3,304	AdministrativeExpensesAmt
End Year Balance	$4,074,191	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,716,219	BeginningYearBalanceAmt
Investment Earnings Or Losses	$169,812	InvestmentEarningsOrLossesAmt
Administrative Expenses	$634	AdministrativeExpensesAmt
End Year Balance	$3,885,397	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,233,423	BeginningYearBalanceAmt
Contributions	$100,000	ContributionsAmt
Investment Earnings Or Losses	$383,405	InvestmentEarningsOrLossesAmt
Administrative Expenses	$609	AdministrativeExpensesAmt
End Year Balance	$3,716,219	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,089,458	BeginningYearBalanceAmt
Contributions	$2,210,000	ContributionsAmt
Investment Earnings Or Losses	-$66,035	InvestmentEarningsOrLossesAmt
End Year Balance	$3,233,423	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$987,202	BeginningYearBalanceAmt
Contributions	$100,000	ContributionsAmt
Investment Earnings Or Losses	$2,256	InvestmentEarningsOrLossesAmt
End Year Balance	$1,089,458	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,961,534	OtherCostOrOtherBasisAmt
Book Value	$19,961,534	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$181,894,688	OtherCostOrOtherBasisAmt
Depreciation	$79,468,653	DepreciationAmt
Book Value	$102,426,035	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,266,700	OtherCostOrOtherBasisAmt
Depreciation	$7,614,200	DepreciationAmt
Book Value	$6,652,500	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$112,360,517	OtherCostOrOtherBasisAmt
Depreciation	$75,748,018	DepreciationAmt
Book Value	$36,612,499	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,204,246	OtherCostOrOtherBasisAmt
Depreciation	$6,135,229	DepreciationAmt
Book Value	$2,069,017	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$167,721,585	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$757,122,274	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$502,365	NetUnrealizedGainsInvstAmt
Other Revenue	-$1,500	OtherRevenueAmt
Revenue Not Reported	-$503,865	RevenueNotReportedAmt
Revenue Subtotal	$757,626,139	RevenueSubtotalAmt
Investment Expenses Not Incld	$426,892	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$770,461	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$343,569	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$757,282,570	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$684,665,578	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$768,961	OtherExpensesIncludedAmt
Expenses Not Reported	$768,961	ExpensesNotReportedAmt
Expenses Subtotal	$683,896,617	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$426,892	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$426,892	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$684,323,509	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	INCOME FROM PERMANENTLY RESTRICTED ENDOWMENT FUNDS IS USED FOR THE PURPOSE OF PROVIDING PATIENT AND FAMILY ASSISTANCE, SUPPORTIVE CARE SERVICES AND RESEARCH INTEGRATION.
PART X, LINE 2:	SCCA HAS OBTAINED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE INDICATING THAT IT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR UNRELATED BUSINESS INCOME TAX. SCCA RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CORRECTED CONTRIBUTION REPORTING -1,500.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	GAIN/LOSS ON DISPOSAL OF FIXED ASSETS -656,678. DIRECT FUNDRAISING EXPENSES -113,783.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	GAIN/LOSS ON DISPOSAL OF FIXED ASSETS 656,678. DIRECT FUNDRAISING EXPENSES 113,783. CORRECTED CONTRIBUTION REPORTING -1,500.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
EAST ASIA AND THE PACIFIC	ATTENDING EDUCATIONAL CONFERENCES	$6,000
EUROPE (INCLUDING ICELAND & GREENLAND)	ATTENDING EDUCATIONAL CONFERENCES	$1,000
NORTH AMERICA	ATTENDING EDUCATIONAL CONFERENCES	$2,000
SUB-SAHARAN AFRICA	SPEAKING AT EDUCATIONAL SEMINARS	$13,000

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$22,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$22,000	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FRED HUTCHINSON CANCER RESEARCH CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 FAIRVIEW AVENUE NORTH	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98109	ZIPCd

Field	Value	IRS element (for citing)
Activity	DEVELOPMENT AND GIFT PROCESSING	ActivityTxt
Fundraiser Control Of Funds	0	FundraiserControlOfFundsInd
Gross Receipts	$5,713,305	GrossReceiptsAmt
Retained By Contractor	$153,988	RetainedByContractorAmt
Net To Organization	$5,559,317	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$5,713,305	TotalGrossReceiptsAmt
Total Retained By Contractors	$153,988	TotalRetainedByContractorsAmt
Total Net To Organization	$5,559,317	TotalNetToOrganizationAmt
Licensed States	AL	LicensedStatesCd
Licensed States	AK	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WI	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	WAA- GAME CHANGER	Event1Nm
Gross Receipts Event1	$363,221	GrossReceiptsEvent1Amt
Charitable Contri Event1	$286,821	CharitableContriEvent1Amt
Gross Revenue Event1	$76,400	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$25,610	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$42,216	FoodAndBeverageEvent1Amt
Entertainment Event1	$5,566	EntertainmentEvent1Amt
Other Direct Expenses Event1	$40,392	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$363,221	GrossReceiptsTotalAmt
Charitable Contributions Tot	$286,821	CharitableContributionsTotAmt
Gross Revenue Total Events	$76,400	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$25,610	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$42,216	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$5,566	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$40,392	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$113,784	DirectExpenseSummaryEventsAmt
Net Income Summary	-$37,384	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,738,644	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,738,644	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,088,642	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,563,897	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,524,745	NetCommunityBenefitExpnsAmt
Total Expense	0.05780	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,827,286	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,563,897	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,263,389	NetCommunityBenefitExpnsAmt
Total Expense	0.06760	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,149,168	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,233,643	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,915,525	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,049,371	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,662	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,042,709	NetCommunityBenefitExpnsAmt
Total Expense	0.01180	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,139,804	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$395,733	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,744,071	NetCommunityBenefitExpnsAmt
Total Expense	0.01130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,523,144	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,523,144	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,861,487	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,636,038	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,225,449	NetCommunityBenefitExpnsAmt
Total Expense	0.03110	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,688,773	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,199,935	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,488,838	NetCommunityBenefitExpnsAmt
Total Expense	0.09870	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,176	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,176	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,176	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,176	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$134,474,128	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$149,135,065	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$14,660,937	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CANCER CARE ALLIANCE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1959 NE PACIFIC STREET	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98195	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SEATTLECCA.ORG	WebsiteAddressTxt
State License	HAC.FS.00000204	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Other	ACUTE CARE HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SEATTLE CANCER CARE ALLIANCE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.SEATTLECCA.ORG/COMMUNITY-BENEFIT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.SEATTLECCA.ORG/COMMUNITY-BENEFIT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SEATTLE CANCER CARE ALLIANCE	PART V, SECTION B, LINE 5: FOR THE 2019 CHNA, SCCA INVITED A WIDE VARIETY OF COMMUNITY MEMBERS AND REPRESENTATIVES TO PROVIDE INPUT TO THE CHNA THROUGH INTERVIEWS. IN COLLABORATION WITH THE CENTER FOR COMMUNITY HEALTH AND EVALUATION (CCHE), WE DESIGNED A SEMI-STRUCTURED INTERVIEW PROTOCOL TO SOLICIT COMMUNITY INPUT. THE PROTOCOL 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. SCCA SOLICITED THE PERSPECTIVE OF COMMUNITY STAKEHOLDERS WITH DEEP CONNECTIONS IN LOW-INCOME, MINORITY AND MEDICALLY UNDERSERVED POPULATIONS, WHO HAVE SIGNIFICANT EXPERIENCE WORKING WITH THESE COMMUNITIES. THESE STAKEHOLDERS INCLUDED ORGANIZATIONS SERVING LOW-INCOME INDIVIDUALS; A WIDE RANGE OF RACIAL AND ETHNIC MINORITIES, INCLUDING ASIANS, HISPANICS, BLACK/AFRICAN AMERICANS AND AMERICAN INDIAN/ALASKA NATIVES; RECENT IMMIGRANTS; AND OTHER MARGINALIZED GROUPS WITH SIGNIFICANT BARRIERS TO ACCESSING CANCER SERVICES.BETWEEN OCTOBER 2018 AND APRIL 2019, THE FOLLOWING ORGANIZATIONS GRACIOUSLY AGREED TO SHARE THEIR EXPERIENCE AND EXPERTISE IN INTERVIEWS WITH SCCA OR CCHE STAFF: CIERRA SISTERS; CITY OF ISSAQUAH OFFICE OF SUSTAINABILITY; FRED HUTCHINSON OFFICE OF COMMUNITY OUTREACH AND ENGAGEMENT; INTERNATIONAL COMMUNITY HEALTH SERVICES; KOREAN WOMEN'S ASSOCIATION; PUBLIC HEALTH - SEATTLE & KING COUNTY; SEA MAR COMMUNITY HEALTH CENTERS; SEATTLE INDIAN HEALTH BOARD; SOMALI HEALTH BOARD; STILLY VALLEY HEALTH CONNECTIONS; TACOMA-PIERCE COUNTY HEALTH DEPARTMENT.
SEATTLE CANCER CARE ALLIANCE	PART V, SECTION B, LINE 11: SCCA IDENTIFIED THE FOLLOWING CANCER-RELATED COMMUNITY HEALTH NEEDS THROUGH ITS CHNA: HEALTH LITERACY AND NORMS, CANCER PREVENTION AND SCREENING, BUILT ENVIRONMENT, TRANSPORTATION, ACCESS TO SERVICES, AND LANGUAGE BARRIERS. IN ADDITION, DATA IN THE CHNA HIGHLIGHTED HEALTH DISPARITIES IN OUR COMMUNITY'S AMERICAN INDIAN/ALASKA NATIVE POPULATION. THESE NEEDS HAVE BEEN ORGANIZED INTO FOUR CATEGORIES THAT ARE THE FOCUS OF SCCA'S STRATEGIC IMPLEMENTATION PROCESS: CANCER PREVENTION AND SCREENING, ACCESS TO CARE, CULTURE AND LANGUAGE, AND INDIGENOUS HEALTH. SCCA IS ADDRESSING ALL SIX NEEDS THROUGH SIGNIFICANT INVESTMENT ACROSS THE FOUR FOCUS AREAS IN ITS IMPLEMENTATION STRATEGY. CANCER PREVENTION AND SCREENING:SCCA SEEKS TO REDUCE CANCER INCIDENCE AND MORTALITY THROUGH PROMOTION OF HEALTHY BEHAVIORS AND RECOMMENDED SCREENINGS TO HELP PREVENT CANCER OR DIAGNOSE IT EARLY. THE SCCA LIVING TOBACCO FREE PROGRAM PROVIDES TOBACCO CESSATION EDUCATION, COUNSELING, AND NICOTINE REPLACEMENT THERAPY TO PATIENTS, THEIR CAREGIVERS AND FAMILY, AND COMMUNITY MEMBERS. THE SCCA MAMMOGRAM VAN PROVIDES HUNDREDS OF BREAST CANCER SCREENINGS TO PATIENTS IN THE COMMUNITY EACH YEAR. SCCA PROMOTES LUNG CANCER SCREENING TO COMMUNITY MEMBERS WHO ARE OR HAVE BEEN HEAVY SMOKERS. SCCA ALSO EDUCATES COMMUNITY PROVIDERS AND MEMBERS OF UNDERSERVED POPULATIONS ABOUT RECOMMENDED CANCER SCREENINGS AND PREVENTION EFFORTS. WE HAVE ALSO AWARDED COMMUNITY HEALTH GRANTS TO LOCAL ORGANIZATIONS THAT ARE PROMOTING CANCER PREVENTION AND SCREENING THROUGH THEIR PROGRAMS TO BOTH UNDERSERVED POPULATIONS AND MEDICALLY UNDERSERVED GEOGRAPHIC AREAS. ACCESS TO CARE:SCCA WORKS TO CONNECT INDIVIDUALS NEEDING CARE TO HEALTH INSURANCE COVERAGE AND OTHER SUPPORT PROGRAMS. SCCA 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. SCCA 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. SCCA ALSO ACTIVELY PARTICIPATES IN THE KING COUNTY BREAST, CERVICAL AND COLON HEALTH PROGRAM (BCCHP). SCCA ALSO ADVOCATES ON STATE AND FEDERAL POLICIES TO IMPROVE PATIENT ACCESS TO HEALTH SERVICES. CULTURE AND LANGUAGE:SCCA HAS IMPLEMENTED CULTURAL SENSITIVITY TRAINING FOR ALL STAFF. SCCA IS INVESTING IN CLINICAL PATIENT NAVIGATORS TO SPECIALIZE IN UNDERSERVED POPULATIONS AND IS EXPANDING ITS EXISTING INVENTORY OF TRANSLATED EDUCATIONAL MATERIALS FOR COMMUNITY OUTREACH TO ACCOUNT FOR LANGUAGE NEEDS AND CULTURAL NORMS. SCCA ALSO COLLABORATES WITH THE FRED HUTCHINSON OFFICE OF COMMUNITY OUTREACH AND ENGAGEMENT ON FORMING PARTNERSHIPS WITH ORGANIZATIONS AND COMMUNITY MEMBERS IN A WAY THAT ACKNOWLEDGES AND INCORPORATES CULTURAL NORMS AND BELIEFS AS WELL AS LANGUAGE PREFERENCES. INDIGENOUS HEALTH:SCCA HAS ESTABLISHED A NEW INDIGENOUS HEALTH PROGRAM TO ENGAGE WITH TRIBAL NATIONS AND INDIGENOUS HEALTH ORGANIZATIONS ACROSS OUR SERVICE AREA. THE PROGRAM INCLUDES A TRIBAL LIAISON AND COMMUNITY HEALTH WORKER TO EARN TRUST, BUILD RELATIONSHIPS AND COLLABORATE ON SERVICES FOR INDIGENOUS POPULATIONS. THE PROGRAM'S ACTIVITIES INCLUDE COMMUNITY HEALTH EDUCATION EFFORTS ABOUT CANCER PREVENTION, RECOMMENDED SCREENINGS AND CESSATION OF NON-CEREMONIAL TOBACCO USE AND SMOKING.
SEATTLE CANCER CARE ALLIANCE	PART V, SECTION B, LINE 13B: RESPONSIBLE PARTIES WHOSE INCOME EXCEEDS 300% OF THE FEDERAL POVERTY LEVEL 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.
SEATTLE CANCER CARE ALLIANCE	PART V, SECTION B, LINE 13H: THE FOLLOWING PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE UNDER THIS POLICY NOTWITHSTANDING THE FACT THEY ARE NOT RESIDENTS OF THE STATE OF WASHINGTON: 1) PATIENTS WHO HAVE AN EMERGENCY MEDICAL CONDITION; AND2) PATIENTS WHO ARE REFUGEES, ASYLEES OR SEEKING ASYLUM AND PROVIDE APPROPRIATE INS DOCUMENTATION. IF THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS APPARENT, SCCA 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 SCCA 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.4) ACCOUNTS RETURNED BY THE COLLECTION AGENCY AS UNCOLLECTIBLE DUE TO ANY OF THE ABOVE REASONS. SCCA 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.
SEATTLE CANCER CARE ALLIANCE	PART V, SECTION B, LINE 20E: SCCA 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:	SCCA 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. SCCA'S NEEDS ASSESSMENT PROCESS CONSISTED OF FOUR COMPONENTS: QUANTITATIVE DATA ANALYSIS, COMMUNITY STAKEHOLDER INTERVIEWS, COMMUNITY ASSET MAPPING AND A FACILITATED DATA DIVE WORKSHOP. QUANTITATIVE DATA AVAILABLE TO SCCA THROUGH PUBLIC SOURCES AND INSTITUTIONAL RESOURCES WERE ANALYZED AND INTERPRETED TO UNDERSTAND THE COMMUNITY AND ITS CANCER BURDEN OVERALL, AS WELL AS THE DISPARITIES OF CERTAIN POPULATIONS WITHIN THE COMMUNITY. INTERVIEWS WERE CONDUCTED TO SOLICIT THE PERSPECTIVE OF COMMUNITY STAKEHOLDERS WITH DEEP CONNECTIONS IN LOW-INCOME, MINORITY AND MEDICALLY UNDERSERVED POPULATIONS, WHO HAVE SIGNIFICANT EXPERIENCE WORKING WITH THESE COMMUNITIES. SCCA ALSO ENGAGED A GROUP OF GRADUATE STUDENTS FROM THE UNIVERSITY OF WASHINGTON SCHOOL OF PUBLIC HEALTH TO IDENTIFY ORGANIZATIONS, COALITIONS OR OTHER ASSETS IN THE COMMUNITY THAT SCCA COULD COLLABORATE WITH TO ADDRESS CANCER-SPECIFIC COMMUNITY HEALTH NEEDS. FINALLY, SCCA ASSEMBLED A COMMITTEE OF STAFF REPRESENTING A RANGE OF PERSPECTIVE FROM ACROSS THE INSTITUTION TO PARTICIPATE IN A DATA DIVE WORKSHOP WHERE COMMITTEE MEMBERS REVIEWED QUANTITATIVE DATA AND INTERVIEW DATA, IDENTIFIED CANCER-RELATED HEALTH NEEDS IN OUR COMMUNITY AND REACHED CONSENSUS ON WHICH HEALTH NEEDS WERE PRIORITIES FOR SCCA AND OUR COMMUNITY. CRITERIA FOR PRIORITIZATION INCLUDED THE SEVERITY OF HEALTH DISPARITIES, THE GEOGRAPHIC SCOPE OF NEED, THE SIZE OF AFFECTED SUBPOPULATIONS AND THE AVAILABILITY OF EVIDENCE-BASED ACTIVITIES AND RESOURCES TO ADDRESS THE NEED.THROUGH OUR NEEDS ASSESSMENT PROCESS SCCA IDENTIFIED FOUR PRIORITY AREAS: CANCER PREVENTION AND SCREENING, ACCESS TO CARE, CULTURE AND LANGUAGE, AND INDIGENOUS HEALTH.
PART V, SECTION B, LINE 14:	TO PROVIDE ADDITIONAL CLARITY TO THE PATIENTS APPLYING FOR FINANCIAL ASSISTANCE, SCCA HAS UPDATED THE LANGUAGE IN THE FINANCIAL ASSISTANCE POLICY (FAP), EFFECTIVE MARCH 2018, THAT EXPLAINS HOW AMOUNTS CHARGED TO FAP ELIGIBLE PATIENTS ARE CALCULATED AND ALSO INCLUDES THE DEFINITION OF AMOUNTS GENERALLY BILLED.
PART V, SECTION B, LINE 16:	WEBSITE APPLICABLE FOR LINES 16A, 16B, AND 16C:HTTPS://WWW.SEATTLECCA.ORG/NEW-PATIENTS/INSURANCE-COVERAGE-AND-BILLS/FINANCIAL-ASSISTANCE-RESOURCES

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SEATTLE CANCER CARE ALLIANCE
825 EASTLAKE AVENUE E	SEATTLE	WA	98109	HOSPITAL BASED OUTPATIENT CLINIC
2 - SCCA AT EVERGREEN HEALTH
12040 NE 128TH STREET	KIRKLAND	WA	98034	HOSPITAL BASED OUTPATIENT CLINIC
3 - SEATTLE CANCER CARE ALLIANCE HOUSE
207 PONTIUS AVENUE N	SEATTLE	WA	98109	TEMPORARY MEDICAL HOUSING FACILITY
4 - SCCA NWH MED ONC & RAD ONC CLINIC
1560 N 115TH ST - SUITE G-16	SEATTLE	WA	981338498	HOSPITAL BASED OUTPATIENT CLINIC
5 - SEATTLE CANCER CARE ALLIANCE PENINSULA
19917 7TH AVENUE NE SUITE 100	POULSBO	WA	98370	COMMUNITY SITE OUTPATIENT CLINIC
6 - SEATTLE CANCER CARE ALLIANCE ISSAQUAH
1740 NW MAPLE STREET SUITE 211	ISSAQUAH	WA	98027	COMMUNITY SITE OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ACCORDANCE WITH WAC 246-453-040 AND SUBJECT TO SCCA FINANCIAL RESOURCES, PATIENTS WILL BE ELIGIBLE TO BE CONSIDERED FOR FINANCIAL ASSISTANCE IF THEY SUBMIT THE NECESSARY APPLICATION AND IF THE PARTY RESPONSIBLE FOR PAYMENT HAS A FAMILY INCOME AT OR BELOW 300% OF THE FEDERAL POVERTY LEVEL AS ADJUSTED FOR FAMILY SIZE. IF THE PARTY RESPONSIBLE FOR PAYMENT HAS A FAMILY INCOME AT OR BELOW 300% OF THE FEDERAL POVERTY STANDARD AS ADJUSTED FOR FAMILY SIZE, THE PATIENT WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE IN THE AMOUNT EQUAL TO THE UNPAID BALANCE REMAINING AFTER ALL SOURCES OF THIRD PARTY COVERAGE AND SPONSORSHIP HAVE BEEN EXHAUSTED. RESPONSIBLE PARTIES WHOSE INCOME EXCEEDS 300% OF THE FEDERAL POVERTY LEVEL 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 6A:	SCCA INCLUDED IN ITS 2019 CHNA A REPORT ON COMMUNITY BENEFIT ACTIVITIES. THIS REPORT IS MADE AVAILABLE TO THE PUBLIC ON OUR WEBSITE, AT OUR RESOURCE CENTER, AND AT OUR CLINICS. SCCA'S COMMUNITY BENEFIT INFORMATION IS NOT DISCLOSED IN A REPORT PREPARED BY A RELATED ORGANIZATION.
PART I, LINE 7:	SCCA UTILIZED WORKSHEET 2 TO ARRIVE AT A COST TO CHARGE RATIO FOR COMPLETING LINE 7.
PART I, LINE 7G:	THERE ARE NO PHYSICIAN CLINIC EXPENSES INCLUDED.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX IS $0. EFFECTIVE JULY 1, 2018, SCCA 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 SCCA ORIGINALLY EXPECTED TO COLLECT FROM, UNEXPECTEDLY EXPERIENCE ADVERSE EVENTS (SUCH AS A JOB LOSS OR BANKRUPTCY) THAT LEAD TO AN INABILITY TO PAY. BECAUSE SCCA 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 SCCA PREVIOUSLY DEFINED AS BAD DEBT EXPENSE IS NOW CONSIDERED AN IMPLICIT PRICE CONCESSION AND INCLUDED IN NET PATIENT SERVICE REVENUE.
PART II, COMMUNITY BUILDING ACTIVITIES:	SCCA PARTNERS WITH BLOODWORKS NW TO HOLD BLOOD DRIVE DONATION EVENTS ON-SITE AT SCCA'S SOUTH LAKE UNION CAMPUS. THESE EVENTS, WHICH ARE ALSO OPEN TO THE PUBLIC, SUPPORT IMPROVING AND MAINTAINING COMMUNITY HEALTH BY COLLECTING A MUCH NEEDED RESOURCE BEYOND SCCA'S DIRECT PATIENT CARE SERVICES.
PART III, LINE 2:	BAD DEBT EXPENSE INCLUDED IN FORM 990, SCHEDULE H, PART III, LINE 2 IS $0. EFFECTIVE JULY 1, 2018, SCCA 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 SCCA ORIGINALLY EXPECTED TO COLLECT FROM, UNEXPECTEDLY EXPERIENCE ADVERSE EVENTS (SUCH AS A JOB LOSS OR BANKRUPTCY) THAT LEAD TO AN INABILITY TO PAY. BECAUSE SCCA 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 SCCA 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 PAGES 9 THROUGH 11 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	SCCA COMPLETED PART III, LINE 6 USING THE ALLOWABLE COSTS FROM THE AS-FILED MEDICARE COST REPORT FOR FY19. 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, SCCA 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 SCCA'S TOTAL REVENUES AND EXPENSES ATTRIBUTABLE TO ALL OF SCCA'S MEDICARE PROGRAMS: PART III, NON-COST REPORT TOTAL SECTION B FEE SCHED. MANAGED CARE MEDICAREMEDICARE REVENUE $134,474,128 $1,158,927 $30,195,246 $165,828,301MEDICARE EXPENSE $149,135,065 $2,491,027 $32,743,608 $184,369,701SHORTFALL ($14,660,937) ($1,332,100) ($2,548,362) ($18,541,400)SCCA CONSIDERS THE SHORTFALL ON MEDICARE SERVICES TO BE 100% COMMUNITY BENEFIT. HAD SCCA 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% CHARITY 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, SCCA WORKS TOGETHER WITH THE FRED HUTCHINSON CANCER RESEARCH CENTER, SEATTLE CHILDREN'S HOSPITAL AND THE UNIVERSITY OF WASHINGTON TO FOCUS ON DEVELOPING AND DELIVERING THE BEST CANCER PREVENTION AND TREATMENTS AVAILABLE. SCCA COLLABORATES WITH THESE THREE 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. SCCA ALSO PARTNERS WITH THE FRED HUTCHINSON OFFICE OF COMMUNITY OUTREACH AND ENGAGEMENT ON UNDERSTANDING THE HEALTH CARE NEEDS OF THE COMMUNITY AND IDENTIFYING OPPORTUNITIES TO ADDRESS NEEDS. FURTHERMORE, SCCA IS A MEMBER INSTITUTION OF THE KING COUNTY HOSPITALS FOR A HEALTH COMMUNITY COLLABORATIVE, WHICH JOINS TOGETHER 11 HOSPITALS AND 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:	PATIENTS REQUESTING INFORMATION ABOUT FINANCIAL ASSISTANCE ARE GIVEN A BROCHURE DESCRIBING THE FINANCIAL PROGRAMS AVAILABLE ALONG WITH CONTACT INFORMATION FOR SCCA RESOURCES. A FINANCIAL COUNSELOR IS AVAILABLE FREE OF CHARGE TO HELP PATIENTS REVIEW THEIR INFORMATION AND TO HELP COMPLETE THE NECESSARY PAPERWORK TO APPLY FOR ASSISTANCE. INTERPRETER SERVICES ARE AVAILABLE IF NEEDED TO HELP.SCCA'S WEBSITE HAS A LIST OF OUTSIDE RESOURCES AVAILABLE TO PATIENTS IN NEED OF ASSISTANCE. SCCA'S WEBSITE HAS ITS FINANCIAL ASSISTANCE POLICY AVAILABLE IN ENGLISH, AND 3 OTHER LANGUAGES. THE SCCA'S FINANCIAL ASSISTANCE POLICY IS ALSO PROVIDED IN A PLAIN LANGUAGE SUMMARY IN ENGLISH AND 3 OTHER LANGUAGES ON THE WEBSITE, AND IS AVAILABLE THROUGHOUT THE CLINIC.
PART VI, LINE 4:	SCCA SERVES MANY PATIENTS FROM THE KING, PIERCE AND SNOHOMISH COUNTIES OF WASHINGTON STATE. THE TOTAL POPULATION IN THESE COUNTIES IS 3.7 MILLION. SCCA ALSO SERVES PATIENTS FROM ACROSS WASHINGTON STATE, THE MULTI-STATE REGION OF THE PACIFIC NORTHWEST (WA, OR, ID, MT, AK, HI), AS WELL AS PATIENTS FROM ACROSS THE UNITED STATES AND THE WORLD.SCCA'S LOCAL COMMUNITY IS BECOMING INCREASINGLY DIVERSE. THE RACIAL AND ETHNIC MAKE-UP OF THE COMMUNITY IS THE FOLLOWING: 13 PERCENT ASIAN, 10 PERCENT HISPANIC, 5 PERCENT BLACK/AFRICAN AMERICAN, 5 PERCENT MULTIRACIAL, 1 PERCENT AMERICAN INDIAN/ALASKA NATIVE, 1 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER, AND 65 PERCENT WHITE. ASSOCIATED WITH DIVERSITY, THERE ARE ALSO MANY LANGUAGES SPOKEN IN OUR COMMUNITY, INCLUDING SPANISH, CHINESE, VIETNAMESE, KOREAN, JAPANESE, RUSSIAN, AND OTHERS. MANY OF THESE POPULATIONS HAVE A LARGE PROPORTION, BETWEEN ONE-THIRD AND TWO-THIRDS, OF INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY. APPROXIMATELY ONE THIRD OF HOUSEHOLDS IN THE LOCAL REGION HAVE AN ANNUAL HOUSEHOLD INCOME BELOW $50,000. ABOUT SIX PERCENT OF THE POPULATION DOES NOT HAVE HEALTH INSURANCE COVERAGE, ALTHOUGH THERE ARE DISPARITIES WITHIN THE COMMUNITY WITH LOW-INCOME INDIVIDUALS AND PEOPLE OF COLOR BEING MORE LIKELY TO NOT HAVE HEALTH INSURANCE. KING, PIERCE AND SNOHOMISH COUNTIES ALL CONTAIN FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED COMMUNITIES. THERE ARE ALSO NUMEROUS FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) OPERATING DOZENS OF MEDICAL SERVICE SITES, INCLUDING COMMUNITY HEALTH CENTERS AND SCHOOL-BASED HEALTH CENTERS, ACROSS THE REGION.
PART VI, LINE 5:	SCCA 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. SCCA 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: SCCA HAS MORE THAN 500 CLINICAL TRIALS OPEN AT ANY GIVEN TIME, WITH AN AVERAGE OF 130 NEW CLINICAL TRIALS OPENING EACH YEAR. 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. SCCA 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. UNPRECEDENTED SURVIVAL RATES:THE FRED HUTCH BONE MARROW TRANSPLANT PROGRAM AT SCCA PIONEERED THE CLINICAL USE OF BONE MARROW AND STEM CELL TRANSPLANTATION MORE THAN 40 YEARS AGO, AND HAS PERFORMED MORE TRANSPLANTS THAN ANY OTHER INSTITUTION IN THE WORLD. FOR CONSECUTIVE YEARS, OUR TRANSPLANT PROGRAM PROVIDED OUR PATIENTS WITH A HIGHER CHANCE OF SURVIVAL AS COMPARED TO THE VAST MAJORITY OF TRANSPLANT CENTERS NATIONWIDE. SCCA'S SUCCESS IN HELPING PATIENTS SURVIVE A WIDE RANGE OF CANCERS CONTINUES TO BE ACKNOWLEDGED BY NATIONAL CANCER DATABASE RANKINGS. SCCA HAS RANKED AT THE TOP OF THESE PATIENT SURVIVAL RANKINGS SINCE 2002. A STUDY COMMISSIONED BY MEMORIAL SLOAN KETTERING CANCER CENTER (MSKCC) DOCUMENTED THAT SEEKING TREATMENT AT SEATTLE CANCER CARE ALLIANCE, ALONG WITH TEN OTHER NATIONALLY DESIGNATED NCI CENTERS, PROVIDES A 10% INCREASE IN SURVIVABILITY FOR PATIENTS LIVING WITH CANCER.NETWORK AFFILIATE PROGRAM:SCCA PARTNERS WITH 10 COMMUNITY PROVIDERS ACROSS AK, HI, ID, MT 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, SCCA 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) PRESENTATIONS AND RESOURCES FROM SCCA ON THE LATEST BREAKTHROUGHS IN CANCER CARE. A NUMBER OF THESE CME OFFERINGS ARE ALSO OPEN TO THE PUBLIC FOR BROADER EDUCATION FOR COMMUNITY PROVIDERS AND COMMUNITY MEMBERS.COMMUNITY HEALTH SERVICES:SCCA HAS RELATIONSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS LOCATED WITHIN THE MEDICALLY UNDERSERVED AREAS IN KING, SNOHOMISH AND PIERCE COUNTIES. SCCA 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. SCCA 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. SCCA PROVIDES BREAST CANCER SCREENINGS THROUGH REGULAR MAMMOGRAMS. SCCA ACCEPTS REFERRALS OF PATIENTS WHO HAVE A FINDING ON THEIR MAMMOGRAM AND PERFORMS DIAGNOSTICS. PATIENTS WHO ARE DEEMED TO HAVE CANCER WILL BE TREATED.SCCA ALSO HAS THE ABILITY TO HELP ENROLL PATIENTS IN THE BCCHP PROGRAM. ONCE IDENTIFIED BY SCCA, THEY ARE FAST-TRACKED BY THE WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES INTO BCCHP. SINCE 2014, SCCA 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. SCCA STAFF VOLUNTEERS AT THE EVENT AND PROVIDES BREAST CANCER SCREENINGS THROUGH ITS MAMMOGRAM VAN.COMMUNITY HEALTH EDUCATION:SCCA PROVIDES COMMUNITY EDUCATION PROGRAMMING FOR CANCER SURVIVORS, INCLUDING MEDICAL NUTRITION EDUCATION TO COMMUNITY CANCER SUPPORT GROUPS, WELLNESS CONFERENCES AND CANCER SURVIVORSHIP CONFERENCES. SCCA ALSO PROVIDES MONTHLY SURVIVORSHIP EDUCATION. FURTHERMORE, SCCA ATTENDS LOCAL COMMUNITY HEALTH FAIRS AND EVENTS TO PROVIDE CANCER SCREENING INFORMATION AND TOBACCO CESSATION EDUCATION AND COUNSELING. HEALTH POLICY ADVOCACY:SCCA INVESTS RESOURCES IN ADVOCATING FOR POLICIES THAT IMPROVE THE HEALTH OF OUR COMMUNITY AND LOWER THE BURDEN OF CANCER-RELATED DISEASE. FOR EXAMPLE, SCCA WAS PART OF A COALITION OF STAKEHOLDERS SUPPORTING STATE LEGISLATION TO INCREASE THE LEGAL AGE FOR TOBACCO PURCHASES FROM 18 TO 21 YEARS OF AGE. SCCA STAFF PRODUCED OPINION ARTICLES AND TESTIFIED AT PUBLIC HEARINGS TO HELP ADVANCE THE LEGISLATION.INSTITUTIONAL SERVICE TO THE COMMUNITY:SCCA 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 SCCA IS GOVERNED BY AN 18-MEMBER BOARD OF DIRECTORS, COMPRISED OF REPRESENTATIVES FROM THE SCCA LEADERSHIP TEAM, MEMBERS OF THE COMMUNITY, AND REPRESENTATIVES FROM OUR ALLIANCE OWNERS AND PARTNER ORGANIZATIONS: UW, SEATTLE CHILDREN'S, AND FRED HUTCH.
PART VI, LINE 6:	SCCA 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. SCCA COMPLIES WITH BOTH REQUIREMENTS AND POSTS ITS CHNA AND IMPLEMENTATION STRATEGY ON ITS PUBLIC WEBSITE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
FRED HUTCHINSON CANCER RESEARCH CENTER
1100 FAIRVIEW AVE NORTH	SEATTLE	WA	98109	237156071	501(C)(3)	$888,142	N/A	N/A	TO FUND CANCER RESEARCH ACTIVITIES
UNIVERSITY OF WASHINGTON FOUNDATION
PO BOX 358045	SEATTLE	WA	98195	943079432	501(C)(3)	$883,922	N/A	N/A	TO SUPPORT UNIVERSITY OF WASHINGTON FOUNDATION ACTIVITIES
SEATTLE CHILDREN'S HOSPITAL
PO BOX 5371	SEATTLE	WA	98145	910564748	501(C)(3)	$217,747	N/A	N/A	TO SUPPORT SEATTLE CHILDREN'S HOSPITAL FOUNDATION ACTIVITIES
SEAFAIR FOUNDATION
2200 6TH AVE STE 400	SEATTLE	WA	98121	261233489	501(C)(3)	$120,000	N/A	N/A	TO SPONSOR FAMILY FOURTH EVENT
AMERICAN CANCER SOCIETY CANCER ACTION NETWORK
2120 1ST AVE N	SEATTLE	WA	98109	522340031	501(C)(3)	$60,000	N/A	N/A	TO SPONSOR ACS CAN WASHINGTON CANCER INNOVATION IN ACTION EVENT AND WASHINGTON POLICY LUNCHEON
NORTHWEST FOLKLIFE
305 HARRISON ST	SEATTLE	WA	98109	911311548	501(C)(3)	$45,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
AMERICAN CANCER SOCIETY
2120 FIRST AVE N	SEATTLE	WA	98109	131788491	501(C)(3)	$33,000	N/A	N/A	TO SPONSOR RELAY FOR LIFE EVENTS AND SEATTLE HOPE GALA
CIERRA SISTERS
5615 SOUTH LANGSTON ROAD	SEATTLE	WA	98178	912160317	501(C)(3)	$20,000	N/A	N/A	TO SUPPORT THE SKYWAY AND LAKEWOOD WELLNESS FESTIVALS AND COMMUNITY EMPOWERMENT PROGRAM
SUSAN G KOMEN BREAST CANCER FOUNDATION
1900 NORTHLAKE WAY STE 135	SEATTLE	WA	98103	911624040	501(C)(3)	$20,000	N/A	N/A	TO SPONSOR FOUNDATION EVENTS
KOREAN WOMEN'S ASSOCIATION
123 EAST 96TH STREET	TACOMA	WA	98445	911066806	501(C)(3)	$18,750	N/A	N/A	TO SUPPORT THE CANCER NAVIGATION PROGRAM BREAST CANCER SCREENING EVENTS AND CANCER PREVENTION EDUCATION EVENTS
PINK BOAT REGATTA
2442 NW MARKET ST STE 265	SEATTLE	WA	98107	464971664	501(C)(3)	$15,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
CANCER LIFELINE
6522 FREMONT AVE NORTH	SEATTLE	WA	98103	916182951	501(C)(3)	$12,500	N/A	N/A	TO SUPPORT THE RESOURCE FOR HOPE EVENTS
STILLY VALLEY HEALTH CONNECTIONS
875 WESLEY STREET STE 240	ARLINGTON	WA	98223	910792201	GOV	$11,400	N/A	N/A	TO SUPPORT LUNG CANCER PROGRAMS
LEUKEMIA AND LYMPHOMA SOCIETY
123 NW 36TH STREET SUITE 100	SEATTLE	WA	98107	135644916	501(C)(3)	$11,250	N/A	N/A	TO SPONSOR THE LIGHT THE NIGHT WALK AND LLS FIREFIGHTER STAIR CLIMB EVENT
OFFICE OF HEALTHY AND SAFE COMMUNITIES OFFICE OF NUTRITION SERVICES
PO BOX 47848	OLYMPIA	WA	98504	911444603	GOV	$10,000	N/A	N/A	TO SUPPORT THE GUS SCHUMACHER NUTRITION INCENTIVE PROGRAM
OLYMPIC MEDICAL CENTER FOUNDATION
1015 GEORGIANA STREET	PORT ANGELES	WA	98362	911285758	501(C)(3)	$10,000	N/A	N/A	TO SPONSOR THE HARVEST OF HOPE EVENT
PANCREATIC CANCER ACTION NETWORK
1500 ROSECRANS AVE STE 200	MANHATTAN BEACH	CA	90266	330841281	501(C)(3)	$10,000	N/A	N/A	TO SPONSOR PURPLESTRIDE EVENT
EVERGREEN HEALTH MONROE FOUNDATION
14701 179TH AVE SE	MONROE	WA	98272	943115593	501(C)(3)	$10,000	N/A	N/A	TO SPONSOR THE BLUE JEANS & BOOTS GALA
EVERGREEN HEALTH FOUNDATION
12040 NE 128TH ST	KIRKLAND	WA	98034	911519430	501(C)(3)	$10,000	N/A	N/A	TO SPONSOR THE EVERGREEN GALA
STANDUP FOR THE CURE
75 SHORE BREAKER DR	LAGUNA NIGUEL	CA	92007	453661488	501(C)(3)	$10,000	N/A	N/A	TO SPONSOR THE STANDUP FOR THE CURE EVENT
SEATTLE OUT AND PROUD
1605 12TH AVE STE 2	SEATTLE	WA	98122	203784927	501(C)(3)	$6,500	N/A	N/A	TO SPONSOR THE SEATTLE PRIDE PARADE
MULTICARE
314 MLK JR WAY STE 402	TACOMA	WA	98402	911352172	501(C)(3)	$6,272	N/A	N/A	TO SPONSOR THE BEN GREER RESEARCH AWARD
TRI CITIES CANCER CENTER
7350 W DESCHUTES AVE	KENNEWICK	WA	99336	911739024	501(C)(3)	$5,500	N/A	N/A	TO SPONSOR RADIO-THON EVENT

Field	Value	IRS element (for citing)
Total501c3 Org	23	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (12 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
FOOD	422	$0	$19,341	FMV	HOLIDAY MEALS PROGRAM FOR PATIENTS
FOOD GIFT CARDS	7	$0	$175	FMV	MEAL GIFT CARDS FOR PATIENTS
GAS GIFT CARDS	49	$0	$1,333	FMV	GAS GIFT CARDS FOR PATIENTS
GROCERY GIFT CARDS	79	$0	$3,689	FMV	GROCERY GIFT CARDS FOR PATIENTS
MEDICAL ACCESSORIES	64	$0	$15,615	FMV	PROSTHESIS FOR PATIENTS
PATIENT FINANCIAL AID	110	$66,550	$0	N/A	N/A
SHELTER	215	$3,997	$157,489	FMV	RENTS PAID FOR PATIENTS
SUNDRIES	805	$0	$19,292	FMV	HOLIDAY GIFTS; KNITTING NEEDLES; HOUSEHOLD GOODS
TICKETS	224	$0	$10,766	FMV	EVENT TICKETS TO SPORTS GAMES, ART PERFORMANCES AND LOCAL ATTRACTIONS
TRANSPORTATION	76	$0	$4,021	FMV	CAB FARES FOR PATIENTS
WIGS	529	$0	$8,566	FMV	WIGS AND HATS FOR PATIENTS
TUITION	66	$178,346	$29,124	FMV	TUITION REIMBURSEMENTS AND SCHOLARSHIP PAYMENTS MADE DIRECTLY TO SCHOOLS ON BEHALF OF SCHOLARSHIP RECIPIENTS

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	WITH REGARD TO GRANTS TO ORGANIZATIONS REPORTED ON SCHEDULE I, PART II, THE SCCA VERIFIES THE GRANTEES ARE QUALIFIED 501(C)(3) ORGANIZATIONS WITH A MISSION COMPATIBLE WITH THAT OF SCCA. UNDER CERTAIN CIRCUMSTANCES, SCCA WILL CONSIDER GRANTING FUNDS TO GOVERNMENTAL ENTITIES OR 501(C)(4) ORGANIZATIONS WHEN THE PURPOSE IS CONSISTENT WITH SCCA'S MISSION. THE SCCA RELIES ON THE GRANTEE ORGANIZATION MAINTAINING ITS TAX-EXEMPT STATUS WITH THE IRS AND DOES NOT IMPOSE THE BURDEN OF REPORTING BACK TO SCCA AS TO THE EXPENDITURE OF GRANT FUNDS. WITH REGARD TO GRANTS OR OTHER ASSISTANCE TO INDIVIDUALS REPORTED ON SCHEDULE I, PART III, MOST OF THE REQUESTS FOR ASSISTANCE ARE MADE THROUGH PATIENT FAMILY SERVICES. THESE REQUESTS ARE CONSIDERED IN ACCORDANCE WITH A MODIFICATION TO SCCA'S CHARITY CARE POLICY. ASSISTANCE IS PROVIDED IN RESPONSE TO SPECIFIC NEEDS OF INDIVIDUALS FOR INTENDED PURPOSES BY PAYING FOR CERTAIN ASSISTANCE DIRECTLY TO AND/OR ON BEHALF OF THE INDIVIDUAL. ALSO, PATIENT FAMILY SERVICES MAINTAINS CONTACT WITH PATIENTS RECEIVING ASSISTANCE THROUGHOUT THEIR TREATMENT AT SCCA WHILE THEY ARE RECEIVING ASSISTANCE TO ENSURE ELIGIBILITY. WITH REGARD TO SCHOLARSHIPS GIVEN, AN APPLICATION IS MADE AND REVIEWED BY THE SENIOR MANAGEMENT STAFF. VERY SPECIFIC CRITERIA ARE REQUIRED. ONLY BONA FIDE TUITION AND FEES QUALIFY FOR FUNDING.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
NORMAN HUBBARD
EXECUTIVE VP (THRU 4/19)	$626,770	$0	$173,961	$0	$132,106	$0	$204,918	$0	$26,106	$0	$1,163,861	$0	$124,582	$0
NANCY DAVIDSON MD
EXECUTIVE DIRECTOR AND PRESIDENT	$804,006	$0	$125,400	$0	$0	$0	$0	$0	$0	$0	$929,406	$0	$0	$0
F MARC STEWART MD
VP, MEDICAL DIRECTOR	$448,081	$0	$108,438	$0	$0	$0	$0	$0	$0	$0	$556,519	$0	$0	$0
DEBORAH GENTZEN
VP, CHIEF STRATEGY OFFICER	$406,310	$0	$75,776	$0	$23,585	$0	$127,291	$0	$25,491	$0	$658,453	$0	$21,424	$0
DAVID ACKERSON
VP, CHIEF INFORMATION OFFICER	$373,036	$0	$68,602	$0	$7,940	$0	$120,312	$0	$12,610	$0	$582,500	$0	$4,555	$0
BARBARA JAGELS
VP, CHIEF QUALITY & VALUE OFFC	$337,784	$0	$63,514	$0	$4,362	$0	$115,363	$0	$25,222	$0	$546,245	$0	$0	$0
THERESA MCDONNELL
CHIEF NURSE EXEC, VP-CLIN OPS	$340,570	$0	$63,245	$0	$1,781	$0	$110,781	$0	$25,213	$0	$541,590	$0	$0	$0
AARON CRANE
INTERIM EXEC VP (FROM 4/19) & CFO	$266,912	$0	$10,000	$0	$2,764	$0	$30,000	$0	$7,655	$0	$317,331	$0	$0	$0
STEPHANIE MAYS
GENERAL COUNSEL	$311,114	$0	$62,356	$0	$1,581	$0	$34,830	$0	$24,977	$0	$434,858	$0	$0	$0
GRETCHEN HANNA
DIR. CORPORATE FINANCE	$247,447	$0	$22,951	$0	$2,337	$0	$26,480	$0	$11,849	$0	$311,064	$0	$0	$0
TAMI DEEB
DIR. SERVICE LINES	$233,190	$0	$22,102	$0	$470	$0	$25,299	$0	$16,727	$0	$297,788	$0	$0	$0
JOSEPH NORTON
DIR. FINANCE	$231,944	$0	$21,868	$0	$1,184	$0	$24,928	$0	$16,746	$0	$296,670	$0	$0	$0
MOREEN DUDLEY
DIR. CLIN. OPS, SUPPORTIVE SVCS	$220,421	$0	$22,467	$0	$3,119	$0	$23,416	$0	$11,387	$0	$280,810	$0	$0	$0
KRISTINE LOGAN
DIR. OPERATIONS	$207,371	$0	$19,241	$0	$9,489	$0	$21,163	$0	$11,273	$0	$268,537	$0	$0	$0
NICKI NGUYEN-COLVIN
DIR. STRATEGY & BUS DEV	$199,254	$0	$26,390	$0	$438	$0	$16,183	$0	$23,608	$0	$265,873	$0	$0	$0
ALPHONSO EMERY
DIR. REVENUE CYCLE MGT.	$199,170	$0	$18,392	$0	$1,824	$0	$19,945	$0	$10,603	$0	$249,934	$0	$0	$0
MICHELLE HALL
DIR. PERFORMANCE EXCELLENCE	$197,692	$0	$18,244	$0	$2,817	$0	$20,249	$0	$18,768	$0	$257,770	$0	$0	$0
TRACI PRANZINI
CORPORATE INTEGRITY OFFICER	$194,715	$0	$20,174	$0	$621	$0	$19,756	$0	$11,149	$0	$246,415	$0	$0	$0
TIMOTHY EHLING
DIR. NURSING & CLIN. OPS INTEG.	$193,171	$0	$18,596	$0	$2,831	$0	$20,237	$0	$23,573	$0	$258,408	$0	$0	$0
ADA MOHEDANO
DIR. CLIN. ANALYTICS & BUS INTEL	$185,764	$0	$17,025	$0	$594	$0	$18,292	$0	$10,974	$0	$232,649	$0	$0	$0
HOLLY ROSENFELD
DIR. MARKETING	$179,080	$0	$17,283	$0	$908	$0	$18,383	$0	$23,841	$0	$239,495	$0	$0	$0
CHAD HOGGARD
CHIEF INFO SECURITY OFFICER	$177,357	$0	$17,248	$0	$591	$0	$18,305	$0	$23,710	$0	$237,211	$0	$0	$0
PAUL HELMUTH
DIR. CLIN OPS, COMMUNITY SITES	$163,853	$0	$15,079	$0	$953	$0	$15,196	$0	$10,828	$0	$205,909	$0	$0	$0
MADELINE GRANT
DIR. PAYER CONTRACTING/STRATEGY	$163,472	$0	$15,584	$0	$315	$0	$15,921	$0	$15,445	$0	$210,737	$0	$0	$0
KATIE COLLEEN ANN MALETICH
DIR. QUALITY & SAFETY	$162,194	$0	$15,566	$0	$350	$0	$15,894	$0	$23,655	$0	$217,659	$0	$0	$0
BRITTANY MCCREERY
DIR. MED STAFF SVCS/PHYS PRACT	$153,645	$0	$14,351	$0	$260	$0	$14,434	$0	$17,661	$0	$200,351	$0	$0	$0
MATTHEW MCSWEYN
DIR. IT SERVICES	$157,743	$0	$9,436	$0	$520	$0	$15,001	$0	$22,298	$0	$204,998	$0	$0	$0
GANSUVD BALGANSUREN
DIR. CLINICAL IMMUNOGENETICS LAB	$166,063	$0	$0	$0	$1,523	$0	$14,244	$0	$18,469	$0	$200,299	$0	$0	$0
ROGER JANSSON
ASSC GENERAL COUNSEL (THRU 09/18)	$186,621	$0	$0	$0	$11,479	$0	$0	$0	$8,918	$0	$207,018	$0	$0	$0
DONNA KERN
REGISTERED NURSE	$187,686	$0	$459	$0	$3,751	$0	$17,320	$0	$23,195	$0	$232,411	$0	$0	$0
TRACY WONG
DIR. VALUE & PATIENT EXP	$152,134	$0	$14,577	$0	$279	$0	$13,682	$0	$1,499	$0	$182,171	$0	$0	$0
MARIAN RICHARDSON
ASSC DIR. CLINICAL OPS	$157,388	$0	$7,265	$0	$2,125	$0	$13,536	$0	$10,717	$0	$191,031	$0	$0	$0
MATTHEW PALMGREN
DIR. DIGITAL HEALTH	$156,954	$0	$8,027	$0	$504	$0	$14,675	$0	$23,600	$0	$203,760	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

THE SCCA 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) AND 457(F) ARE NOT GUARANTEED OR SECURED IN ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. FURTHERMORE, ANY NON-VESTED BENEFITS UNDER THE 457(F) PLAN ARE REPORTABLE AS TAXABLE COMPENSATION WHEN THEY BECOME VESTED, EVEN IF THOSE AMOUNTS ARE NOT YET PAYABLE TO THE PARTICIPANT (AND EVEN IF THOSE AMOUNTS ARE NEVER PAID TO THE PARTICIPANT). 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 MAKE-WHOLE SERP PLAN: HUBBARD, NORMAN $61,588 GENTZEN, DEBORAH $13,961 ACKERSON, DAVID $6,982 JAGELS, BARBARA $2,033 BEGINNING IN JULY 2017, SCCA IMPLEMENTED A DEFERRED COMPENSATION PLAN ADMINISTERED IN ACCORDANCE WITH 457(F), THE BENEFITS OF WHICH ARE INTENDED AS RETENTION INCENTIVE. THE BENEFITS OF THIS PLAN VEST OVER A FIVE YEAR PERIOD WITH MILESTONE PAYMENTS AT 20 MONTH INTERVALS FOLLOWING EACH EXECUTIVE'S PLAN ENTRY DATE. PARTICIPANTS WILL RECEIVE THE VESTED PORTION OF THE BENEFITS ON EACH VESTING DATE. IN 2018, THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE RETENTION PLAN: HUBBARD, NORMAN $90,000 GENTZEN, DEBORAH $60,000 ACKERSON, DAVID $60,000 JAGELS, BARBARA $60,000 MCDONNELL, THERESA $60,000 CRANE, AARON $30,000

SCHEDULE J, PART II:

NANCY DAVIDSON, MD RECEIVED COMPENSATION OF $929,406 FROM FRED HUTCHINSON CANCER RESEARCH CENTER, AN UNRELATED ORGANIZATION FOR SERVICES PROVIDED TO SCCA. F. MARC STEWART, MD RECEIVED COMPENSATION OF $556,519 FROM FRED HUTCHINSON CANCER RESEARCH CENTER, AN UNRELATED ORGANIZATION FOR SERVICES PROVIDED TO SCCA.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
A	911108929	2010-11-18	$21,415,000	TO REFUND 2008 WEEKLY RATE BONDS	0	0	0
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
B	911108929	2014-10-30	$97,921,097	ADVANCED REFUND OF 2001, 2005, 2008 PROJECT	0	0	0	93978HLJ2

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,060,000	$21,415,000	$21,090,000	$325,000	2009	Yes (1)	0	Yes (1)	Yes (1)
B	$11,155,000	$97,921,097	$96,652,346	$1,268,751	2010	0	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	Yes (1)	0.01030	0.00000	0.01030	0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	Yes (1)	0	0	0	Yes (1)
B	0	0	0	Yes (1)	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

DATE REBATE COMPUTATION PERFORMED

ISSUER NAME: WASHINGTON HEALTH CARE FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2015 ISSUER NAME: WASHINGTON HEALTH CARE FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/01/2019

PART III, LINE 4, COLUMN B

THE PERCENTAGE REPORTED ON LINE 4 REPRESENTS THE PERCENTAGE OF RESEARCH REVENUE FROM BOTH GOVERNMENTAL AND INDUSTRY SPONSORED RESEARCH. GOVERNMENT SPONSORED RESEARCH FALLS INTO A PRIVATE BUSINESS USE SAFE HARBOR, INDUSTRY SPONSORED DOES NOT. BECAUSE THE COMBINED REVENUE FROM THE GOVERNMENT AND PRIVATELY SPONSORED RESEARCH IS LESS THAN THE APPLICABLE THRESHOLD, SCCA HAS ELECTED NOT TO DEVOTE THE RESOURCES REQUIRED TO ALLOCATE THE AGGREGATE RESEARCH REVENUE BETWEEN GOVERNMENT AND PRIVATELY SPONSORED RESEARCH. AS SUCH, PRIVATE BUSINESS USE DUE TO RESEARCH IS OVERSTATED. SCCA DOES NOT HAVE DIRECT CONTRACTS WITH INDUSTRY SPONSORED CORPORATIONS. SCCA PERFORMS SERVICES PRIMARILY FOR UNIVERSITY OF WASHINGTON, A GOVERNMENTAL ENTITY, AND FRED HUTCHINSON CANCER RESEARCH CENTER, A 501(C)(3) ENTITY. UNIVERSITY OF WASHINGTON AND FRED HUTCHINSON CANCER RESEARCH CENTER ARE CONDUCTING THE RESEARCH AND HAVE THE DIRECT CONTRACTS WITH THE GOVERNMENT AND PRIVATE INDUSTRY SPONSORED RESEARCH.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MATALE LINE LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	35% CONTROLLED ENTITY OF THE FAMILY MEMBER OF A KEY EMPLOYEE	RelationshipDescriptionTxt
Transaction	$607,277	TransactionAmt
Transaction	CONSULTING	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$377	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SELLING PRICE	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$10,916	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SELLING PRICE	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	3	ContributionCnt
Noncash Contributions Rpt F990	$8,303	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SELLING PRICE	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	105	ContributionCnt
Noncash Contributions Rpt F990	$1,655	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SELLING PRICE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	EVENT TICKETS	224	$10,766	SELLING PRICE
Yes (X)	HATS/WIGS	484	$7,058	SELLING PRICE

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE NUMBER OF ITEMS RECEIVED WAS USED TO DETERMINE THE AMOUNTS IN COLUMN B.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6:	THE VOLUNTEERS OFFER DIRECT SUPPORT IN SOCIAL, EMOTIONAL, AND PRACTICAL WAYS TO CONNECT WITH PATIENTS AND FAMILIES THROUGHOUT EACH PHASE OF A PATIENT'S EXPERIENCE WITH SCCA. THE SCCA HAS 20 VOLUNTEER ROLES: BREAST CENTER SPECIALTY CLINIC, CHILD LIFE, COMFORT HAND MASSAGE, COSMETOLOGY/BARBER, CRAFTS & CONVERSATION-KNITTING, DRIVERS, EVENTS, GENERAL ONCOLOGY/HEMATOLOGY LOBBY, GUEST SERVICES, HEALING MUSIC PROGRAM, HOLIDAY ACTIVITIES, LABYRINTH HOST, PATIENT & FAMILY RESOURCE CENTER/EDUCATION, PATIENT/FAMILY VOLUNTEERS, PHYSICAL THERAPY, SCCA GIFT SHOP, SCCA HOUSE CONCIERGE, SHINE, WOMEN'S CENTER LOBBY, AND WIG FITTERS. THE 18 MEMBERS OF THE BOARD ALSO SERVE AS VOLUNTEERS.
FORM 990, PART III, LINE 1	SEATTLE CANCER CARE ALLIANCE'S, SCCA, MISSION IS TO PROVIDE STATE-OF-THE-ART, PATIENT CENTERED CARE, SUPPORT THE CONDUCT OF CLINICAL RESEARCH AND EDUCATION, AND ADVANCE THE STANDARD OF CANCER CARE, REGIONALLY, AND BEYOND. SCCA IS A PART OF THE FRED HUTCHINSON/UW CANCER CONSORTIUM, THE CONSORTIUM, WHICH IS ONE OF 51 COMPREHENSIVE CANCER CENTERS DESIGNATED BY THE NATIONAL CANCER INSTITUTE (NCI). THE CONSORTIUM'S MEMBERS ARE SCCA, FRED HUTCHINSON CANCER RESEARCH CENTER, UW MEDICINE, AND SEATTLE CHILDREN'S. THE NCI DESIGNATION GIVES SCCA'S PATIENTS ACCESS TO RECEIVE THE LATEST TAILORED COURSE OF TREATMENTS AND THERAPIES FOR CANCER AND HAVE ACCESS TO NEW DRUGS AND TREATMENTS THAT ARE UNDER INVESTIGATION IN CLINICAL STUDIES ONLY AVAILABLE AT SCCA AND LIMITED SITES AROUND THE COUNTRY. OUR GOAL IS TO TURN CANCER PATIENTS INTO CANCER SURVIVORS. OUR PURPOSE IS TO LEAD THE WORLD IN THE PREVENTION AND TREATMENT OF CANCER. UNITING THE DOCTORS FROM FRED HUTCHINSON CANCER RESEARCH CENTER, UW MEDICINE, AND SEATTLE CHILDREN'S, SCCA IS HOME TO THE WORLD'S BEST CANCER SPECIALISTS.
FORM 990, PART VI, SECTION A, LINE 2	SUZANNE BEITEL, LISA BRANDENBURG, JACQUELINE CABE, DR. BRUCE CLURMAN, RUTH MAHAN, DR. SANDY MELZER, STEVE STADUM, AND DR. NANCY DAVIDSON HAVE BUSINESS RELATIONSHIPS. EACH NAMED INDIVIDUAL SERVES AS A SCCA BOARD MEMBER OR OFFICER, AND THESE INDIVIDUALS ARE ALSO CURRENT BOARD MEMBERS, OFFICERS, DIRECTORS, OR KEY EMPLOYEES OF ANOTHER ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6	SCCA HAS THREE MEMBERS. MEMBERS MUST BE GOVERNMENTAL ENTITIES OR ORGANIZATIONS EXEMPT UNDER IRC SECTION 501(C)(3). EACH MEMBER CURRENTLY HAS A 33 1/3% VOTING INTEREST. NO NEW MEMBER MAY BE ADMITTED TO THE CORPORATION WITHOUT THE APPROVAL OF EXISTING MEMBERS HOLDING AGGREGATE VOTING INTERESTS OF AT LEAST 75%.
FORM 990, PART VI, SECTION A, LINE 7A	EACH MEMBER WILL APPOINT SIX MEMBERS OF THE EIGHTEEN DIRECTORS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE BOARD OF DIRECTORS OF THE CORPORATION MAY NOT, EXCEPT BY AFFIRMATIVE VOTE OF 75% OF THE DIRECTORS IN OFFICE AND WITH THE APPROVAL OF THE MEMBERS HOLDING AGGREGATE VOTING INTERESTS OF AT LEAST 75%: (A) AMEND, ALTER, OR REPEAL CERTAIN SECTIONS OF THE CORPORATION'S BYLAWS; (B) REMOVE ANY DIRECTOR OR THE CHAIR OF THE CORPORATION; PROVIDED THAT A MEMBER MAY REMOVE A DIRECTOR APPOINTED BY SUCH MEMBER AT ANY TIME; (C) AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION; (D) ADOPT A PLAN OF MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION; (E) AUTHORIZE THE SALE, LEASE, OR EXCHANGE (OR PLEDGING AS SECURITY) OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION OR ANY ASSET NOT IN THE ORDINARY COURSE OF BUSINESS; (F) AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKE PROCEEDINGS THEREFOR; (G) ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION; (H) AMEND, ALTER, OR REPEAL ANY RESOLUTION OF THE MEMBERS OF THE CORPORATION; (I) INITIATE OR RESOLVE LITIGATION IN WHICH THE CORPORATION IS A PARTY IF THE LITIGATION OR RESOLUTION WOULD HAVE A MATERIAL ADVERSE EFFECT ON THE FINANCIAL WELL-BEING OR PUBLIC PERCEPTION OF THE CORPORATION OR ITS MEMBERS; (J) CHANGE THE FUNDAMENTAL PURPOSES OF THE CORPORATION; (K) ENTER INTO ANY NEW LINE OF BUSINESS; (L) OR AUTHORIZE THE RELOCATION FROM THE UNIVERSITY OF WASHINGTON MEDICAL CENTER TO ANOTHER HOSPITAL FACILITY OF THE TWENTY INPATIENT BEDS FOR WHICH THE CORPORATION HAS BEEN GRANTED A HOSPITAL LICENSE. FINALLY, THE FOLLOWING IS SUBJECT TO APPROVAL BY THE CORPORATION'S MEMBERS: - THE CORPORATION'S ANNUAL BUDGET - APPOINTMENT OF THREE ADDITIONAL DIRECTORS TO THE BOARD EXECUTIVE COMMITTEE (IN ADDITION TO THE CORPORATION'S CHAIR, IMMEDIATE PAST CHAIR, VICE CHAIR, TREASURER, AND SECRETARY) - APPOINTMENT OF DIRECTORS TO THE BOARD GOVERNANCE COMMITTEE - APPOINTMENT OF TWO DIRECTORS TO THE BOARD FINANCE COMMITTEE (IN ADDITION TO THE TREASURER) - SELECTION OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS TO CONDUCT AN ANNUAL FINANCIAL AUDIT OF THE CORPORATION
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 WAS PREPARED BY A PUBLIC ACCOUNTING FIRM AND INTERNALLY REVIEWED PRIOR TO PRESENTATION TO THE BOARD-APPOINTED FINANCE AND AUDIT COMMITTEE. THE FORM 990 WAS PROVIDED TO THE FINANCE AND AUDIT COMMITTEE FOR REVIEW BEFORE FILING. THE CHAIR OF THE FINANCE AND AUDIT COMMITTEE REPORTS TO THE FULL BOARD. ALL BOARD MEMBERS ARE PRESENTED WITH A COPY BEFORE FILING FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY IS ANNUALLY MONITORED THROUGH A QUESTIONNAIRE. IT IS A POLICY OF THE SCCA FOR SELF REPORTING. THIS SELF REPORTING IS APPLICABLE TO THE BOARD OF DIRECTORS AND ALL MANAGEMENT STAFF. THE DETERMINATION OF WHETHER AN ISSUE EXISTS IS MADE BY THE INTEGRITY OFFICER. THE ESCALATION PROCESS IS TO THE SENIOR MANAGEMENT TEAM, AND, IF DEEMED APPROPRIATE, TO THE BOARD OF DIRECTORS INTEGRITY COMMITTEE, BOARD OF DIRECTORS GOVERNANCE COMMITTEE, AND LEGAL COUNSEL. CONFLICTS OF INTEREST ARE ADDRESSED IF AND WHEN THEY ARISE. THE CONFLICTED BOARD MEMBER RECUSES HIM OR HERSELF FROM DISCUSSION AND VOTING ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15	AN INDEPENDENT COMPENSATION CONSULTING FIRM PERFORMS A MARKET ANALYSIS OF EXECUTIVE PAY AT COMPARABLE ORGANIZATIONS. A CONSULTANT FROM THIS FIRM PRESENTS ITS FINDINGS TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS EVERY TWO YEARS. THE ANALYSIS WAS LAST PERFORMED AND PRESENTED IN OCTOBER 2017. IN THE INTERVENING YEARS, THE PRIOR YEAR'S MARKET ANALYSIS IS UPDATED USING AN APPROPRIATE INFLATION FACTOR FOR USE BY THE COMPENSATION COMMITTEE IN ITS ANNUAL REVIEW OF TOTAL COMPENSATION FOR THE OFFICERS. THE COMPENSATION COMMITTEE DOCUMENTS ITS MEETINGS AND DECISIONS IN A TIMELY MANNER. THE COMPENSATION COMMITTEE PROMPTLY REPORTS TO THE BOARD ALL ACTIONS TAKEN AND SIGNIFICANT ISSUES DISCUSSED AT ITS MEETINGS.
FORM 990, PART VI, SECTION C, LINE 19	THE SCCA DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. AS REQUIRED BY THE IRS, THE SCCA'S AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990, WHICH IS A PUBLIC DISCLOSURE DOCUMENT.
FORM 990, PART IX, LINE 11G	INPATIENT SERVICES: PROGRAM SERVICE EXPENSES 50,967,222. MANAGEMENT AND GENERAL EXPENSES 1,364,954. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,332,176. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 2,940,167. MANAGEMENT AND GENERAL EXPENSES 4,272,655. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,212,822. CLINICAL SERVICES: PROGRAM SERVICE EXPENSES 10,893,658. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,893,658. PROGRAM SUPPORT: PROGRAM SERVICE EXPENSES 5,878,658. MANAGEMENT AND GENERAL EXPENSES 553,347. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,432,005. CLINICAL FUNDING: PROGRAM SERVICE EXPENSES 34,326,458. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,326,458. LAB SERVICES: PROGRAM SERVICE EXPENSES 11,518,224. MANAGEMENT AND GENERAL EXPENSES 1,975. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,520,199. OTHER AGREEMENTS: PROGRAM SERVICE EXPENSES 219,709. MANAGEMENT AND GENERAL EXPENSES 130,838. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 350,547.