2020-05-08T11:35:13-05:00 2019-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2018-07-01 911935159 SEATTLE CANCER CARE ALLIANCE SEAT 2066061000 825 EASTLAKE AVE E PO BOX 19023 SEATTLE WA 981091023 AARON CRANE EXECUTIVE VICE PRESIDENT 2066061000 2020-05-04 1 SARA ELIZABETH J HYRE P00235495 4254544919 2020-05-04 65.158.230.194 2020-05-04 12:09:44 PD P 9CA007D6FA4ECCBF5600246BD0FD47D8656BF948 A6788122FFC2A5A8460BF6C51534EA1DB831A18C 2018 2020-04-17 16:48:07Z NANCY DAVIDSON MD 825 EASTLAKE AVE E PO BOX 19023 SEATTLE WA 981091023 1119702653 0 X WWW.SEATTLECCA.ORG X 1998 WA 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. 18 18 1917 245 0 0 3937565 5636906 640707064 733760564 7602074 16713692 1241086 1171408 653487789 757282570 1742018 3012177 0 0 152506331 166269723 150769 153988 216646 455954828 514887621 610353946 684323509 43133843 72959061 647980104 753310466 158070620 190944286 489909484 562366180 X SEE SCHEDULE O. 0 0 578502935 2493871 731787916 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. 2677890 518306 2230082 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. 581180825 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 1 0 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 162 0 1 1917 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 18 18 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 AL AR FL HI IL KS KY MD MA MI MN MS MO NH NJ NM NY NC OK OR PA RI SC TN UT VA WV WI X AARON R CRANE 2066062260 825 EASTLAKE AVENUE EAST PO BOX SEATTLE WA 981091023 KAREN GLOVER CHAIR 5.00 X X 0 0 0 BRUCE PYM VICE CHAIR 5.00 X X 0 0 0 MIKE DELMAN TREASURER 4.00 X X 0 0 0 KIMBERLY MCNALLY SECRETARY 3.00 X X 0 0 0 RICHARD MCCUNE IMMEDIATE PAST CHAIR 3.00 X X 0 0 0 ROBB BAKEMEIER DIRECTOR 4.00 X 0 0 0 SUZANNE BEITEL DIRECTOR 3.00 X 0 0 0 LISA BRANDENBURG DIRECTOR (FROM 11/18) 3.00 X 0 0 0 JACQUELINE CABE DIRECTOR (THRU 11/18) 1.50 X 0 0 0 BRUCE CLURMAN DIRECTOR 2.00 X 0 0 0 GERALD GRINSTEIN DIRECTOR 3.00 X 0 0 0 STEWART LANDEFELD DIRECTOR 1.00 X 0 0 0 RUTH MAHAN DIRECTOR 3.00 X 0 0 0 LINDA MATTOX DIRECTOR 1.00 X 0 0 0 SANDY MELZER DIRECTOR 3.00 X 0 0 0 PAULA REYNOLDS DIRECTOR 3.00 X 0 0 0 STEVE STADUM DIRECTOR 8.00 X 0 0 0 ALVIN WINTERROTH DIRECTOR 1.50 X 0 0 0 RICHARD YARMUTH DIRECTOR 3.00 X 0 0 0 NORMAN HUBBARD EXECUTIVE VP (THRU 4/19) 55.00 X 932837 0 231024 NANCY DAVIDSON MD EXECUTIVE DIRECTOR AND PRESIDENT 45.00 X 929406 0 0 F MARC STEWART MD VP, MEDICAL DIRECTOR 30.00 X 556519 0 0 DEBORAH GENTZEN VP, CHIEF STRATEGY OFFICER 55.00 X 505671 0 152782 DAVID ACKERSON VP, CHIEF INFORMATION OFFICER 55.00 X 449578 0 132922 BARBARA JAGELS VP, CHIEF QUALITY & VALUE OFFC 55.00 X 405660 0 140585 THERESA MCDONNELL CHIEF NURSE EXEC, VP-CLIN OPS 55.00 X 405596 0 135994 AARON CRANE INTERIM EXEC VP (FROM 4/19) & CFO 55.00 X 279676 0 37655 STEPHANIE MAYS GENERAL COUNSEL 55.00 X 375051 0 59807 GRETCHEN HANNA DIR. CORPORATE FINANCE 55.00 X 272735 0 38329 TAMI DEEB DIR. SERVICE LINES 55.00 X 255762 0 42026 JOSEPH NORTON DIR. FINANCE 55.00 X 254996 0 41674 MOREEN DUDLEY DIR. CLIN. OPS, SUPPORTIVE SVCS 55.00 X 246007 0 34803 KRISTINE LOGAN DIR. OPERATIONS 55.00 X 236101 0 32436 NICKI NGUYEN-COLVIN DIR. STRATEGY & BUS DEV 55.00 X 226082 0 39791 ALPHONSO EMERY DIR. REVENUE CYCLE MGT. 55.00 X 219386 0 30548 MICHELLE HALL DIR. PERFORMANCE EXCELLENCE 55.00 X 218753 0 39017 TRACI PRANZINI CORPORATE INTEGRITY OFFICER 55.00 X 215510 0 30905 TIMOTHY EHLING DIR. NURSING & CLIN. OPS INTEG. 55.00 X 214598 0 43810 ADA MOHEDANO DIR. CLIN. ANALYTICS & BUS INTEL 55.00 X 203383 0 29266 HOLLY ROSENFELD DIR. MARKETING 55.00 X 197271 0 42224 CHAD HOGGARD CHIEF INFO SECURITY OFFICER 55.00 X 195196 0 42015 PAUL HELMUTH DIR. CLIN OPS, COMMUNITY SITES 55.00 X 179885 0 26024 MADELINE GRANT DIR. PAYER CONTRACTING/STRATEGY 55.00 X 179371 0 31366 KATIE COLLEEN ANN MALETICH DIR. QUALITY & SAFETY 55.00 X 178110 0 39549 BRITTANY MCCREERY DIR. MED STAFF SVCS/PHYS PRACT 55.00 X 168256 0 32095 MATTHEW MCSWEYN DIR. IT SERVICES 55.00 X 167699 0 37299 GANSUVD BALGANSUREN DIR. CLINICAL IMMUNOGENETICS LAB 55.00 X 167586 0 32713 ROGER JANSSON ASSC GENERAL COUNSEL (THRU 09/18) 55.00 X 198100 0 8918 DONNA KERN REGISTERED NURSE 55.00 X 191896 0 40515 TRACY WONG DIR. VALUE & PATIENT EXP 55.00 X 166990 0 15181 MARIAN RICHARDSON ASSC DIR. CLINICAL OPS 55.00 X 166778 0 24253 MATTHEW PALMGREN DIR. DIGITAL HEALTH 55.00 X 165485 0 38275 9725930 0 1703801 273 0 1 1 UNIVERSITY OF WASHINGTON 1959 NE 59TH AVE SUITE 1005 SEATTLE WA 98104 HEALTHCARE, SERVICES 231830300 FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE N SEATTLE WA 98109 ADMIN, SUPPORT, SVCS, CONSULT. 38417306 SEATTLE CHILDREN'S HOSPITAL MAILSTOP S-100 PO BOX 50020 SEATTLE WA 98145 HEALTHCARE, SERVICES 19712389 NATIONAL MARROW DONOR PROGRAM 500 N 5TH STREET MINNEAPOLIS MN 55401 MARROW TRANSPLANT SERVICES 13628732 GLY CONSTRUCTION INC 200 112TH AVENUE NE STE 300 BELLEVUE WA 98004 CONSTRUCTION 4913134 101 559875 286821 4790210 39075 5636906 PATIENT SERV. REVENUE 622310 730302796 729786109 516687 PATIENT HOUSING 624221 2230082 2230082 INTERAFFILIATE AGMTS 900099 753680 753680 INVENTORY SALES 900099 474006 474006 733760564 13369032 13369032 365625853 25106 361624515 681784 4001338 -656678 3344660 3344660 76400 286821 113784 -37384 -37384 PARKING INCOME 531390 951150 951150 EDUCATIONAL EVENTS 923110 257434 257434 RECYCLING 562000 208 208 1208792 757282570 733027305 0 18618359 X 2493871 2493871 518306 518306 11314412 2596254 8718158 119500512 89604422 29896090 6313723 4622352 1691371 19022926 14506567 4516359 10118150 7586838 2531312 28945354 13573641 15371713 1169639 1169639 501173 501173 361557 361557 153988 153988 426892 426892 123067865 116744096 6323769 3280866 3224858 2185 53823 5659927 3102133 2555186 2608 19859989 7342478 12517511 756998 756998 15299153 5989242 9309911 1103732 579633 522446 1653 1806418 1085787 719640 991 3460387 3460387 23610945 20056070 3551292 3583 752207 521715 230492 MEDICAL SUPPLIES 275701285 275695469 5816 BUSINESS TAXES 4194770 3998943 195827 MEDICAL EQUIPMENT R&M 1495105 1495105 UBI TAXES 423913 423913 3009446 1625660 1383786 684323509 581180825 102926038 216646 20690147 44370676 43690180 36768427 79384161 112177442 8178847 11092738 13026558 4733995 5784889 336687685 168966100 150080353 167721585 323224639 346718309 6082105 8780386 9001786 9783347 647980104 753310466 54127740 90761577 241949 246801 103700931 99935908 158070620 190944286 X 482032194 552483853 4581701 6436738 3295589 3445589 489909484 562366180 647980104 753310466 72959061 -502365 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 1 1115 1 110641 1 33083 0 1 250916 395755 0 PART II-B, LINE 1: 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. 3885397 150000 42098 3304 4074191 3716219 169812 634 3885397 3233423 100000 383405 609 3716219 1089458 2210000 -66035 3233423 987202 100000 2256 1089458 0.00000 1.00000 0.00000 1 0 19961534 19961534 181894688 79468653 102426035 14266700 7614200 6652500 112360517 75748018 36612499 8204246 6135229 2069017 167721585 X 757122274 -502365 -1500 -503865 757626139 426892 -770461 -343569 757282570 684665578 768961 768961 683896617 426892 426892 684323509 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. EAST ASIA AND THE PACIFIC 0 0 ATTENDING EDUCATIONAL CONFERENCES 6000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 ATTENDING EDUCATIONAL CONFERENCES 1000 NORTH AMERICA 0 0 ATTENDING EDUCATIONAL CONFERENCES 2000 SUB-SAHARAN AFRICA 0 0 SPEAKING AT EDUCATIONAL SEMINARS 13000 0 0 0 0 0 0 22000 0 22000 0 0 0 0 0 0 X X X X X X 1 FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVENUE NORTH SEATTLE WA 98109 DEVELOPMENT AND GIFT PROCESSING 0 5713305 153988 5559317 5713305 153988 5559317 AL AK AR CA CO CT FL HI IL KS KY ME MD MA MI MN MS MO NV NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WA WV WI WAA- GAME CHANGER 363221 286821 76400 25610 42216 5566 40392 363221 286821 76400 25610 42216 5566 40392 113784 -37384 1 1 X 1 X 300.000000000000 0 1 1 1 0 1 1 6738644 0 6738644 0.00980 64088642 24563897 39524745 0.05780 70827286 24563897 46263389 0.06760 5149168 2233643 2915525 0.00430 8049371 6662 8042709 0.01180 8139804 395733 7744071 0.01130 2523144 0 2523144 0.00370 23861487 2636038 21225449 0.03110 94688773 27199935 67488838 0.09870 8176 8176 0.00000 8176 8176 0.00000 1 134474128 149135065 -14660937 X 1 1 1 1 SEATTLE CANCER CARE ALLIANCE 1959 NE PACIFIC STREET SEATTLE WA 98195 WWW.SEATTLECCA.ORG HAC.FS.00000204 X X ACUTE CARE HOSPITAL SEATTLE CANCER CARE ALLIANCE 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X HTTPS://WWW.SEATTLECCA.ORG/COMMUNITY-BENEFIT X 1 16 1 HTTPS://WWW.SEATTLECCA.ORG/COMMUNITY-BENEFIT 0 1 X 300.000000000000 0.000000000000 X X X X X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X X 1 X 0 0 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 6 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 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. 1 FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE NORTH SEATTLE WA 98109 237156071 501(C)(3) 888142 N/A N/A TO FUND CANCER RESEARCH ACTIVITIES UNIVERSITY OF WASHINGTON FOUNDATION PO BOX 358045 SEATTLE WA 98195 943079432 501(C)(3) 883922 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) 217747 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) 120000 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) 60000 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) 45000 N/A N/A TO PROMOTE COMMUNITY HEALTH IMPROVEMENT AMERICAN CANCER SOCIETY 2120 FIRST AVE N SEATTLE WA 98109 131788491 501(C)(3) 33000 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) 20000 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) 20000 N/A N/A TO SPONSOR FOUNDATION EVENTS KOREAN WOMEN'S ASSOCIATION 123 EAST 96TH STREET TACOMA WA 98445 911066806 501(C)(3) 18750 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) 15000 N/A N/A TO PROMOTE COMMUNITY HEALTH IMPROVEMENT CANCER LIFELINE 6522 FREMONT AVE NORTH SEATTLE WA 98103 916182951 501(C)(3) 12500 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 11400 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) 11250 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 10000 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) 10000 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) 10000 N/A N/A TO SPONSOR PURPLESTRIDE EVENT EVERGREEN HEALTH MONROE FOUNDATION 14701 179TH AVE SE MONROE WA 98272 943115593 501(C)(3) 10000 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) 10000 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) 10000 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) 6500 N/A N/A TO SPONSOR THE SEATTLE PRIDE PARADE MULTICARE 314 MLK JR WAY STE 402 TACOMA WA 98402 911352172 501(C)(3) 6272 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) 5500 N/A N/A TO SPONSOR RADIO-THON EVENT 23 0 FOOD 422 0 19341 FMV HOLIDAY MEALS PROGRAM FOR PATIENTS FOOD GIFT CARDS 7 0 175 FMV MEAL GIFT CARDS FOR PATIENTS GAS GIFT CARDS 49 0 1333 FMV GAS GIFT CARDS FOR PATIENTS GROCERY GIFT CARDS 79 0 3689 FMV GROCERY GIFT CARDS FOR PATIENTS MEDICAL ACCESSORIES 64 0 15615 FMV PROSTHESIS FOR PATIENTS PATIENT FINANCIAL AID 110 66550 0 N/A N/A SHELTER 215 3997 157489 FMV RENTS PAID FOR PATIENTS SUNDRIES 805 0 19292 FMV HOLIDAY GIFTS; KNITTING NEEDLES; HOUSEHOLD GOODS TICKETS 224 0 10766 FMV EVENT TICKETS TO SPORTS GAMES, ART PERFORMANCES AND LOCAL ATTRACTIONS TRANSPORTATION 76 0 4021 FMV CAB FARES FOR PATIENTS WIGS 529 0 8566 FMV WIGS AND HATS FOR PATIENTS TUITION 66 178346 29124 FMV TUITION REIMBURSEMENTS AND SCHOLARSHIP PAYMENTS MADE DIRECTLY TO SCHOOLS ON BEHALF OF SCHOLARSHIP RECIPIENTS PART I, LINE 2: 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. 1 X X X X X 0 1 0 0 0 0 0 0 0 NORMAN HUBBARD EXECUTIVE VP (THRU 4/19) 626770 0 173961 0 132106 0 204918 0 26106 0 1163861 0 124582 0 NANCY DAVIDSON MD EXECUTIVE DIRECTOR AND PRESIDENT 804006 0 125400 0 0 0 0 0 0 0 929406 0 0 0 F MARC STEWART MD VP, MEDICAL DIRECTOR 448081 0 108438 0 0 0 0 0 0 0 556519 0 0 0 DEBORAH GENTZEN VP, CHIEF STRATEGY OFFICER 406310 0 75776 0 23585 0 127291 0 25491 0 658453 0 21424 0 DAVID ACKERSON VP, CHIEF INFORMATION OFFICER 373036 0 68602 0 7940 0 120312 0 12610 0 582500 0 4555 0 BARBARA JAGELS VP, CHIEF QUALITY & VALUE OFFC 337784 0 63514 0 4362 0 115363 0 25222 0 546245 0 0 0 THERESA MCDONNELL CHIEF NURSE EXEC, VP-CLIN OPS 340570 0 63245 0 1781 0 110781 0 25213 0 541590 0 0 0 AARON CRANE INTERIM EXEC VP (FROM 4/19) & CFO 266912 0 10000 0 2764 0 30000 0 7655 0 317331 0 0 0 STEPHANIE MAYS GENERAL COUNSEL 311114 0 62356 0 1581 0 34830 0 24977 0 434858 0 0 0 GRETCHEN HANNA DIR. CORPORATE FINANCE 247447 0 22951 0 2337 0 26480 0 11849 0 311064 0 0 0 TAMI DEEB DIR. SERVICE LINES 233190 0 22102 0 470 0 25299 0 16727 0 297788 0 0 0 JOSEPH NORTON DIR. FINANCE 231944 0 21868 0 1184 0 24928 0 16746 0 296670 0 0 0 MOREEN DUDLEY DIR. CLIN. OPS, SUPPORTIVE SVCS 220421 0 22467 0 3119 0 23416 0 11387 0 280810 0 0 0 KRISTINE LOGAN DIR. OPERATIONS 207371 0 19241 0 9489 0 21163 0 11273 0 268537 0 0 0 NICKI NGUYEN-COLVIN DIR. STRATEGY & BUS DEV 199254 0 26390 0 438 0 16183 0 23608 0 265873 0 0 0 ALPHONSO EMERY DIR. REVENUE CYCLE MGT. 199170 0 18392 0 1824 0 19945 0 10603 0 249934 0 0 0 MICHELLE HALL DIR. PERFORMANCE EXCELLENCE 197692 0 18244 0 2817 0 20249 0 18768 0 257770 0 0 0 TRACI PRANZINI CORPORATE INTEGRITY OFFICER 194715 0 20174 0 621 0 19756 0 11149 0 246415 0 0 0 TIMOTHY EHLING DIR. NURSING & CLIN. OPS INTEG. 193171 0 18596 0 2831 0 20237 0 23573 0 258408 0 0 0 ADA MOHEDANO DIR. CLIN. ANALYTICS & BUS INTEL 185764 0 17025 0 594 0 18292 0 10974 0 232649 0 0 0 HOLLY ROSENFELD DIR. MARKETING 179080 0 17283 0 908 0 18383 0 23841 0 239495 0 0 0 CHAD HOGGARD CHIEF INFO SECURITY OFFICER 177357 0 17248 0 591 0 18305 0 23710 0 237211 0 0 0 PAUL HELMUTH DIR. CLIN OPS, COMMUNITY SITES 163853 0 15079 0 953 0 15196 0 10828 0 205909 0 0 0 MADELINE GRANT DIR. PAYER CONTRACTING/STRATEGY 163472 0 15584 0 315 0 15921 0 15445 0 210737 0 0 0 KATIE COLLEEN ANN MALETICH DIR. QUALITY & SAFETY 162194 0 15566 0 350 0 15894 0 23655 0 217659 0 0 0 BRITTANY MCCREERY DIR. MED STAFF SVCS/PHYS PRACT 153645 0 14351 0 260 0 14434 0 17661 0 200351 0 0 0 MATTHEW MCSWEYN DIR. IT SERVICES 157743 0 9436 0 520 0 15001 0 22298 0 204998 0 0 0 GANSUVD BALGANSUREN DIR. CLINICAL IMMUNOGENETICS LAB 166063 0 0 0 1523 0 14244 0 18469 0 200299 0 0 0 ROGER JANSSON ASSC GENERAL COUNSEL (THRU 09/18) 186621 0 0 0 11479 0 0 0 8918 0 207018 0 0 0 DONNA KERN REGISTERED NURSE 187686 0 459 0 3751 0 17320 0 23195 0 232411 0 0 0 TRACY WONG DIR. VALUE & PATIENT EXP 152134 0 14577 0 279 0 13682 0 1499 0 182171 0 0 0 MARIAN RICHARDSON ASSC DIR. CLINICAL OPS 157388 0 7265 0 2125 0 13536 0 10717 0 191031 0 0 0 MATTHEW PALMGREN DIR. DIGITAL HEALTH 156954 0 8027 0 504 0 14675 0 23600 0 203760 0 0 0 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. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2010-11-18 21415000 TO REFUND 2008 WEEKLY RATE BONDS 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978HLJ2 2014-10-30 97921097 ADVANCED REFUND OF 2001, 2005, 2008 PROJECT 0 0 0 A 4060000 21415000 21090000 325000 2009 1 0 1 1 B 11155000 97921097 96652346 1268751 2010 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 1 1 0.01030 0.00000 0.01030 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 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. MATALE LINE LLC 35% CONTROLLED ENTITY OF THE FAMILY MEMBER OF A KEY EMPLOYEE 607277 CONSULTING 0 X 377 SELLING PRICE X 10916 SELLING PRICE X 3 8303 SELLING PRICE X 105 1655 SELLING PRICE X EVENT TICKETS 224 10766 SELLING PRICE X HATS/WIGS 484 7058 SELLING PRICE 0 0 1 0 PART I, COLUMN (B): THE NUMBER OF ITEMS RECEIVED WAS USED TO DETERMINE THE AMOUNTS IN COLUMN B. 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.