2019-04-02T16:06:20-05:00 2018-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2017-07-01 911935159 SEATTLE CANCER CARE ALLIANCE SEAT 2066061000 825 EASTLAKE AVE E PO BOX 19023 SEATTLE WA 981091023 AARON CRANE VP & CFO 2066061000 2019-04-02 1 SARA ELIZABETH J HYRE P00235495 4254544919 2019-04-01 65.158.230.194 2019-04-02 13:52:41 PD P DE1D2BBAE0F1147E7A7EA18DABEA7E867F199504 00A7300E43E73FAEAEBEB9E0895558C2993B7DE4 2017 2019-02-21 02:37:17Z NANCY DAVIDSON MD 825 EASTLAKE AVE E PO BOX 19023 SEATTLE WA 981091023 751576524 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 1811 249 0 721594 4436071 3937565 546848167 640707064 3757016 7602074 1075320 1241086 556116574 653487789 1927743 1742018 0 0 136061873 152506331 25268 150769 257138 390565823 455954828 528580707 610353946 27535867 43133843 593129652 647980104 153860582 158070620 439269070 489909484 X SEE SCHEDULE O. 0 0 504971262 1384536 638917876 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, 2018, SCCA TREATED 7,919 NEW PATIENTS WITHIN THE CANCER AND BONE MARROWS/STEM CELL TRANSPLANT PROGRAMS. SCCA ALSO HAD 82,534 CLINIC VISITS, 110,627 INFUSION HOURS, 12,465 RADIATION ONCOLOGY TREATMENTS, AND PERFORMED 62,580 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. 3916264 357482 2156777 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, 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. HUTCH SCHOOL FOR SCHOOL-AGE PATIENTS AND FAMILY MEMBERS IS CONVENIENTLY LOCATED ON THE FIRST FLOOR.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. 508887526 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 176 0 1 1811 1 1 1 0 0 0 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 CA 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 2066066778 825 EASTLAKE AVENUE EAST PO BOX SEATTLE WA 981091023 RICHARD MCCUNE CHAIR 5.00 X X 0 0 0 KAREN GLOVER VICE CHAIR 2.00 X X 0 0 0 MIKE DELMAN TREASURER 3.50 X X 0 0 0 KIMBERLY MCNALLY SECRETARY 2.00 X X 0 0 0 CARL BEHNKE IMMEDIATE PAST CHAIR 2.00 X X 0 0 0 ROBB BAKEMEIER DIRECTOR 2.00 X 0 0 0 JACQUELINE CABE DIRECTOR 1.50 X 0 0 0 BRUCE CLURMAN DIRECTOR 1.00 X 0 0 0 GERALD GRINSTEIN DIRECTOR 4.00 X 0 0 0 DEBORAH HAUG DIRECTOR (THRU 2/18) 0.50 X 0 0 0 STEWART LANDEFELD DIRECTOR (FROM 4/18) 4.00 X 0 0 0 RUTH MAHAN DIRECTOR 2.00 X 0 0 0 LINDA MATTOX DIRECTOR 0.50 X 0 0 0 SANDY MELZER DIRECTOR 1.50 X 0 0 0 BRUCE PYM DIRECTOR 1.00 X 0 0 0 BROOKS RAGEN DIRECTOR (THRU 3/18) 1.00 X 0 0 0 STEVE STADUM DIRECTOR 2.50 X 0 0 0 BRUDER STAPLETON DIRECTOR 1.50 X 0 0 0 ALVIN WINTERROTH DIRECTOR (FROM 3/18) 1.50 X 0 0 0 RICHARD YARMUTH DIRECTOR 3.00 X 0 0 0 NANCY DAVIDSON MD EXECUTIVE DIRECTOR AND PRESIDENT 45.00 X 1273027 0 0 NORMAN HUBBARD EXECUTIVE VP 55.00 X 948024 0 165779 JONATHAN TINGSTAD VP & CFO (THRU 10/17) 55.00 X 634441 0 55362 F MARC STEWART MD VP, MEDICAL DIRECTOR 55.00 X 515591 0 0 DEBORAH GENTZEN VP, CHIEF STRATEGY OFFICER 55.00 X 423869 0 111983 DAVID ACKERSON VP, CHIEF INFORMATION OFFICER 55.00 X 389833 0 94009 BARBARA JAGELS VP, CHIEF QUALITY & VALUE OFFC 55.00 X 353516 0 101199 THERESA MCDONNELL CHIEF NURSE EXEC, VP-CLIN OPS 55.00 X 348640 0 50425 AARON CRANE VP & CFO (FROM 5/18) 55.00 X 0 0 0 GRETCHEN HANNA DIR. CORPORATE FINANCE 55.00 X 255771 0 35490 JOSEPH NORTON DIR. FINANCE 55.00 X 239040 0 38582 MARIA GONZALEZ DIR. RESEARCH INT. (THRU 1/18) 55.00 X 234607 0 39314 KRISTINE LOGAN DIR. OPERATIONS 55.00 X 209309 0 28447 THOMAS TSAI DIR CLINICAL OPS DIAG/THERAPY SVCS (THRU 1/18) 55.00 X 207209 0 20701 MOREEN DUDLEY DIR. CLIN. OPS, SUPPORTIVE SVCS 55.00 X 204837 0 30195 ALPHONSO EMERY DIR. REVENUE CYCLE MGT 55.00 X 204542 0 28045 TAMI DEEB DIR. SERVICE LINES 55.00 X 201208 0 27304 AVRIL MCDOWELL DIR. CLINICAL OPS (THRU 7/17) 55.00 X 195822 0 14480 STEPHANIE MAYS GENERAL COUNSEL 55.00 X 189375 0 14342 ADA MOHEDANO DIR. CLIN. ANALYTICS & BUS INTEL 55.00 X 188599 0 26732 MICHELLE HALL DIR. PERFORMANCE EXCELLENCE 55.00 X 187794 0 33408 TIMOTHY EHLING DIR. NURSING & CLIN. OPS INTEG. 55.00 X 183884 0 38503 HOLLY ROSENFELD DIR. MARKETING 55.00 X 183795 0 38761 BRANDON JONES CHIEF TECHNOLOGY OFFICER 55.00 X 183079 0 26072 TRACI PRANZINI CORPORATE INTEGRITY OFFICER 55.00 X 180562 0 25795 CHAD HOGGARD DIR. IT SECURITY 55.00 X 176175 0 37275 PAUL HELMUTH DIR. CLINICAL OPERATIONS 55.00 X 169203 0 24011 CECILIA ZAPATA DIR STRAT OUTREACH/CCA NETWORK (THRU 8/17) 55.00 X 168315 0 14281 KATIE COLLEEN ANN MALETICH DIR. QUALITY & SAFETY 55.00 X 165741 0 28091 DONNA KERN REGISTERED NURSE 55.00 X 179044 0 34647 ARIAM ZERESENNAI REGISTERED NURSE 55.00 X 168272 0 35859 GANSUVD BALGANSUREN CIL DIR. 55.00 X 162731 0 30730 DEBRA KIRKLEY DIR. MAGNET PROGRAM (THRU 7/17) 55.00 X 160866 0 11205 MARIAN RICHARDSON ASSC. DIR. CLINICAL OPS 55.00 X 159854 0 22590 FRED APPLEBAUM MD FORMER EXEC. DIR. & PRESIDENT 12.00 X 162147 0 0 CHERYL WYMAN FORMER DIR. DIAG/THERAPY SVCS 0.00 X 136037 0 0 9944759 0 1283617 247 1 1 1 UNIVERSITY OF WASHINGTON 1959 NE 59TH AVE SUITE 1005 SEATTLE WA 98104 HEALTHCARE, SERVICES 195754182 FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE N SEATTLE WA 98109 ADMIN, SUPPORT, SVCS, CONSULT. 35543947 SEATTLE CHILDREN'S HOSPITAL MAILSTOP S-100 PO BOX 50020 SEATTLE WA 98145 HEALTHCARE, SERVICES 23070660 NATIONAL MARROW DONOR PROGRAM 500 N 5TH STREET MINNEAPOLIS MN 55401 MARROW TRANSPLANT SERVICES 11288352 LEASE CRUTCHER LEWIS 107 SPRING ST SUITE 300 SEATTLE WA 98104 CONSTRUCTION 4369573 98 76097 457382 3404086 45094 3937565 PATIENT SERV. REVENUE 622310 637469625 636969042 500583 PATIENT HOUSING 624221 2156777 2156777 INTERAFFILIATE AGMTS 900099 668497 668497 INVENTORY SALES 900099 412165 412165 640707064 9042084 9042084 96500965 24332 97942952 22355 -1441987 1977 -1440010 -1440010 45300 457382 123428 -78128 -78128 PARKING INCOME 531390 951625 951625 EDUCATIONAL EVENTS 923110 367589 367589 1319214 653487789 640161905 0 9388319 X 1251594 1251594 487424 487424 3000 3000 9912108 2067280 7844828 109187596 80864212 28290437 32947 5950776 4378302 1570645 1829 18230696 13726059 4499097 5540 9225155 6832431 2389940 2784 27989979 11945657 16044322 509485 509485 311970 311970 334108 334108 150769 150769 466722 466722 121809725 115119650 6690075 2466921 2396315 70606 7061900 4492038 2524676 45186 15832187 4974529 10853788 3870 55507 55507 15574716 6685061 8889655 853889 521395 332430 64 1953277 1225372 718011 9894 3406760 3406760 22386580 14709904 7672421 4255 755221 506586 248635 MEDICAL SUPPLIES 226802062 226781789 20273 BUSINESS TAXES 3708444 3705185 3259 BAD DEBT 2259933 2259933 DUES & SUBSCRIPTIONS 1189793 283627 906166 225649 207916 17733 610353946 508887526 101209282 257138 29786806 20690147 13525319 43690180 70467951 79384161 8778234 11092738 3902068 4733995 306464836 156384483 137305864 150080353 309010459 323224639 7323209 6082105 13029742 9001786 593129652 647980104 46197444 54127740 361982 241949 107301156 103700931 153860582 158070620 X 432800067 482032194 3173414 4581701 3295589 3295589 439269070 489909484 593129652 647980104 X 43133843 7466571 40000 X 0 1 X 1 0 X 0 1 0 0 0 1 82870 1 47650 0 1 251237 381757 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 1F: WASHINGTON STATE HOSPITAL ASSOCIATION REPRESENTS MEMBER INTERESTS ON LOCAL AND STATE LEVELS. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - $41,052. LINE 1F: ALLIANCE OF DEDICATED CANCER CENTERS REPRESENTS MEMBER INTERESTS AT THE NATIONAL LEVEL. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - $41,818. 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 - $47,650 LINE 1I: COMPENSATION PAID TO HIRED LOBBYISTS TO MONITOR AND REVIEW LEGISLATION AT THE LOCAL, STATE, AND FEDERAL LEVELS. AMOUNT EXPENDED - $251,237. 3716219 169812 634 3885397 3233423 100000 383405 609 3716219 1089458 2210000 -66035 3233423 987202 100000 2256 1089458 906178 129324 44492 3808 987202 0.00000 1.00000 0.00000 1 0 19961534 19961534 159603448 72992937 86610511 9383294 6541431 2841863 109312314 71081189 38231125 8204246 5768926 2435320 150080353 X 656958830 7335227 12000 -659513 6687714 650271116 466722 2749951 3216673 653487789 607726702 12000 77362 89362 607637340 466722 2249884 2716606 610353946 PART V, LINE 4: INCOME FROM PERMANENTLY RESTRICTED ENDOWMENT FUNDS IS USED FOR THE PURPOSE OF PROVIDING UNCOMPENSATED PATIENT CARE, 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: BAD DEBT EXPENSE -2,259,933. RESTRICTED REVENUES RELEASED 1,588,871. FINANCIAL STATEMENT RECLASS 10,049. CASH DONATION RECORDED AS IN-KIND AND CASH DONATION 1,500. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN/LOSS ON DISPOSAL OF FIXED ASSETS 1,978. DIRECT FUNDRAISING EXPENSES -117,840. RESTRICTED REVENUES RECEIVED 2,865,813. PART XII, LINE 2D - OTHER ADJUSTMENTS: GAIN/LOSS ON DISPOSAL OF FIXED ASSETS -1,978. DIRECT FUNDRAISING EXPENSES 117,840. REVERSAL OF PRIOR YEAR GRANT EXPENSE -40,000. CASH DONATION RECORDED AS IN-KIND AND CASH DONATION 1,500. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 2,259,933. FINANCIAL STATEMENT RECLASS -10,049. X X X X X X 1 FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVENUE NORTH SEATTLE WA 98109 DEVELOPMENT AND GIFT PROCESSING 0 3982865 150769 3832096 3982865 150769 3832096 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 502682 457382 45300 26656 41747 13257 41768 502682 457382 45300 26656 41747 13257 41768 123428 -78128 1 1 X 1 X 1 X 1 1 1 0 1 1 4662012 0 4662012 0.00770 58444411 24767982 33676429 0.05540 63106423 24767982 38338441 0.06310 4634212 2204993 2429219 0.00400 8092216 58850 8033366 0.01320 11874633 73908 11800725 0.01940 1312852 0 1312852 0.00220 25913913 2337751 23576162 0.03880 89020336 27105733 61914603 0.10190 5401 5401 0.00000 5401 5401 0.00000 1 2259933 116965884 130864625 -13898741 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 15 1 0 0 1 X HTTPS://WWW.SEATTLECCA.ORG/COMMUNITY-BENEFIT X 1 16 1 HTTPS://WWW.SEATTLECCA.ORG/COMMUNITY-BENEFIT 0 1 X 200.000000000000 300.000000000000 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: IN TOTAL, WE REACHED OUT TO MORE THAN 40 INDIVIDUALS AT ORGANIZATIONS REPRESENTING STATE, COUNTY, AND TRIBAL GOVERNMENT HEALTH PROGRAMS, CANCER ADVOCACY GROUPS, CANCER RESOURCE AND SUPPORT GROUPS, COMMUNITY HEALTH CENTERS, HOSPITALS, AND GROUPS SERVING SPECIFIC RACIAL AND ETHNIC POPULATIONS. THE FOLLOWING ORGANIZATIONS GRACIOUSLY SHARED THEIR EXPERIENCE AND EXPERTISE THROUGH IN-PERSON INTERVIEWS, TELEPHONE INTERVIEWS, AND EMAIL RESPONSES DURING THE FIRST FOUR MONTHS OF 2016: AMERICAN CANCER SOCIETY; AMERICAN SOCIETY OF CLINICAL ONCOLOGY; CANCER LIFELINE; FRED HUTCHINSON HEALTH DISPARITIES RESEARCH CENTER; HUTCHINSON INSTITUTE FOR CANCER OUTCOMES RESEARCH; HEALTHPOINT COMMUNITY HEALTH CENTERS; KING COUNTY DEPARTMENT OF PUBLIC HEALTH; KOREAN WOMEN'S ASSOCIATION; MULTICARE HEALTH SYSTEM; NATIONAL ASIAN PACIFIC CENTER ON AGING; SEA MAR COMMUNITY HEALTH CENTERS; SEATTLE INDIAN HEALTH BOARD; SNOHOMISH HEALTH DISTRICT; SOUTH PUGET INTERTRIBAL PLANNING AGENCY; TACOMA URBAN LEAGUE; TACOMA-PIERCE COUNTY HEALTH DEPARTMENT; URBAN INDIAN HEALTH INSTITUTE; WASHINGTON STATE DEPARTMENT OF HEALTH COMPREHENSIVE CANCER CONTROL PROGRAM; AND YWCA OF SEATTLE/KING/SNOHOMISH COUNTIES. SEATTLE CANCER CARE ALLIANCE PART V, SECTION B, LINE 11: SCCA IDENTIFIED FOUR MAJOR AREAS OF PLANNED INVESTMENT THROUGH ITS CHNA AND STRATEGIC IMPLEMENTATION PROCESS: CANCER SCREENING AND PREVENTION, ACCESS TO SERVICES, SURVIVORSHIP, AND COMMUNITY HEALTH INFRASTRUCTURE. SCCA HAS MADE SIGNIFICANT CONTRIBUTIONS IN THESE FOUR AREAS.CANCER SCREENING AND PREVENTION:SCCA SEEKS TO REDUCE THE BURDEN OF CANCER THROUGH BROADER SCREENING AND PREVENTION EFFORTS IN THE COMMUNITY. SOME EXAMPLES OF WORK IN THIS AREA INCLUDE: EDUCATING UNDERSERVED POPULATIONS ABOUT RECOMMENDED SCREENINGS AND PREVENTION EFFORTS, PROVIDING TOBACCO CESSATION EDUCATION AND SUPPORT, ADVOCATING FOR POLICIES THAT WOULD LIMIT USE OF TOBACCO, AND PROVIDING SCREENINGS SUCH AS MAMMOGRAMS AND LUNG CANCER EARLY DETECTION.ACCESS TO SERVICES:SCCA WORKS TO CONNECT INDIVIDUALS NEEDING SERVICES WITH COVERAGE, THROUGH INTERNAL COUNSELING AND OTHER RESOURCES FOR PATIENTS, ACTIVE PARTICIPATION IN THE KING COUNTY BREAST, CERVICAL, AND COLON HEALTH PROGRAM (BCCHP PROGRAM), AND ADVOCACY ON STATE AND FEDERAL POLICIES TO IMPROVE ACCESS TO SERVICES. SCCA HAS ALSO IMPLEMENTED A NEW CULTURAL SENSITIVITY TRAINING FOR STAFF, AS WELL AS FUNDED TRANSPORTATION FOR PATIENTS IN FINANCIAL NEED.SURVIVORSHIP:SCCA HOSTS A SURVIVORSHIP CLINIC FOR PATIENTS AND COMMUNITY MEMBERS, TO ADDRESS THE UNIQUE NEEDS OF THESE PATIENTS. SCCA UNDERTOOK SIGNIFICANT EFFORTS TO PLAN FOR THE OPENING OF ITS NEW SURVIVORSHIP CLINIC.COMMUNITY HEALTH INFRASTRUCTURE:SCCA UNDERTOOK SIGNIFICANT EFFORTS TO INVEST RESOURCES IN IMPROVING ITS INTERNAL STRUCTURES AND PROCESSES TO SUPPORT ONGOING COMMUNITY BENEFIT WORK, AND CONTINUES TO PARTICIPATE IN STATE AND NATIONAL WORK TO ADVANCE THE PROLIFERATION OF QUALITY DATA FOR CANCER CARE, ULTIMATELY DRIVING BENCHMARKING AND IMPROVEMENT. SEATTLE CANCER CARE ALLIANCE PART V, SECTION B, LINE 13B: RESPONSIBLE PARTIES WHOSE INCOME LEVEL EXCEEDS 300% OF THE FEDERAL POVERTY STANDARD AS ADJUSTED FOR FAMILY SIZE BUT WHO HAVE INCURRED CATASTROPHIC ACCOUNT BALANCES AFTER ALL SOURCES OF THIRD PARTY COVERAGE AND SPONSORSHIP WILL BE CONSIDERED FOR CHARITY CARE 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) PERSONS WHO HAVE AN EMERGENCY MEDICAL CONDITION; AND 2) PERSONS WHO ARE REFUGEES, ASYLEES OR SEEKING ASYLUM AND PROVIDE APPROPRIATE IMMIGRATION AND NATURALIZATION SERVICE DOCUMENTATION. IF THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE/CHARITY CARE IS APPARENT, SCCA MAY, IN ITS SOLE DISCRETION, CHOOSE TO WAIVE SOME OF THE DOCUMENTATION AND VERIFICATION REQUIREMENTS. EXAMPLES OF CIRCUMSTANCES IN WHICH THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE/CHARITY CARE 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/CHARITY CARE CONSIDERATION. SEATTLE CANCER CARE ALLIANCE PART V, SECTION B, LINE 20E: SCCA CONTACTED PATIENTS AND HELPED THEM COMPLETE PAPER WORK 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 FOR PATIENTS AND THEIR FAMILIES WITH THE POWER OF CLINICAL RESEARCH, IS MEETING OUR COMMUNITY'S HEALTH NEEDS. THE HEALTH NEEDS IDENTIFIED BY THE DATA AVAILABLE TO US, OUR STAKEHOLDERS' INPUT, AND FEEDBACK ON OUR PREVIOUS HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY LED US TO PRIORITIZE 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 INDIVIDUALS, THEIR FAMILIES, AND OUR COMMUNITY. BY USING THIS FRAMEWORK, WE ARE ABLE TO PRIORITIZE COMMUNITY HEALTH NEEDS WHERE OUR INVOLVEMENT CAN CONTRIBUTE MEANINGFULLY TO HEALTH IMPROVEMENT. USING THIS LENS, WE IDENTIFIED MANY POTENTIAL HEALTH NEEDS, WHICH WE GROUPED INTO SIX HIGH-LEVEL AREAS OF FOCUS: CANCER PREVENTION, CANCER SCREENING, ACCESS TO HIGH-QUALITY CANCER CARE SERVICES, SURVIVORSHIP, HIGH-NEEDS POPULATIONS, AND COMMUNITY HEALTH INFRASTRUCTURE. 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 INCLUDED 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 4 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 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 CHARITY CARE 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 STANDARD AS ADJUSTED FOR FAMILY SIZE. IF THE PARTY RESPONSIBLE FOR PAYMENT HAS A FAMILY INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY STANDARD AS ADJUSTED FOR FAMILY SIZE, THE PATIENT WILL BE ELIGIBLE FOR CHARITY CARE IN THE AMOUNT EQUAL TO THE UNPAID BALANCE REMAINING AFTER ALL SOURCES OF THIRD PARTY COVERAGE AND SPONSORSHIP HAVE BEEN EXHAUSTED. FOR THOSE WHOSE INCOME ARE BETWEEN 200% AND 300% OF THE FEDERAL POVERTY STANDARD, ADDITIONAL ASSET-BASED DOCUMENTATION MAY BE CONSIDERED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. RESPONSIBLE PARTIES WHOSE INCOME EXCEEDS 300% OF THE FEDERAL POVERTY STANDARD AS ADJUSTED FOR FAMILY SIZE BUT WHO HAVE INCURRED CATASTROPHIC ACCOUNT BALANCES AFTER ALL SOURCES OF THIRD PARTY COVERAGE AND SPONSORSHIP WILL BE CONSIDERED FOR CHARITY CARE ON A CASE BY CASE BASIS. PART I, LINE 6A: SCCA PREPARES AN ANNUAL REPORT EVERY YEAR AND IT INCLUDES THE COMMUNITY BENEFIT REPORT INFORMATION. IT IS MADE AVAILABLE TO THE PUBLIC AT THE FRONT DESK AND ON OUR WEBSITE. 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 $2,259,993. IT WAS SUBTRACTED UTILIZING WORKSHEET 1 FROM THE TOTAL ON FORM 990 PART IX TO ARRIVE AT THE DENOMINATOR USED TO CALCULATE THIS COLUMN. PART III, LINE 2: DISCOUNTS ON PATIENT ACCOUNTS PRIOR TO BAD DEBT STATUS: FOR A PATIENT WHO HAS INSURANCE, CONTRACTUAL ADJUSTMENTS ARE APPLIED TO THE ACCOUNT BASED ON THE INSURANCE COMPANY CONTRACT IN FORCE. THE REMAINING SELF PAY AMOUNTS ARE NOT FURTHER ADJUSTED. FOR A PATIENT WITH NO INSURANCE, A 10% DISCOUNT IS APPLIED AT TIME OF SERVICE. NO OTHER SPECIFIC DISCOUNTS ARE MADE TO PATIENT ACCOUNTS. AMOUNTS WRITTEN OFF TO BAD DEBT EXPENSE REPRESENT THE UNPAID BALANCE AFTER INSURANCE CONTRACTUAL ADJUSTMENT, OR SELF PAY DISCOUNT; AND ANY PAYMENTS RECEIVED. ONCE AN ACCOUNT IS IN BAD DEBT STATUS, ANY PAYMENTS RECEIVED ON A PATIENT ACCOUNT CONTINUE TO REDUCE THE OUTSTANDING PATIENT ACCOUNT LIABILITY.ESTIMATED AMOUNT FOR PATIENTS WHO 'WOULD QUALIFY' FOR FINANCIAL ASSISTANCE:THE SCCA IDENTIFIES PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE AND THE ACCOUNT IS DESIGNATED AS FINANCIAL ASSISTANCE WITHIN THE PATIENT ACCOUNTING SYSTEM. ALL OTHER ACCOUNTS ARE EVALUATED OVER A PERIOD OF TIME THROUGH A SERIES OF CRITERIA BEFORE DESIGNATION AS BAD DEBT. BECAUSE SCCA IS A SPECIALTY HOSPITAL TREATING CANCER PATIENTS, SCCA MAKES EVERY EFFORT IN COMMUNICATING WITH OUR PATIENTS THE PROGRAMS AND FINANCIAL ASSISTANCE POLICIES AVAILABLE TO ITS PATIENT POPULATION BEFORE, DURING, AND AFTER TREATMENT IS RECEIVED. PART III, LINE 3: PART III LINE 3 IS BLANK FOR SCCA. COMMUNITY BENEFIT: SCCA BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDIBLE IN THE CALCULATION OF THE COMMUNITY BENEFIT. SCCA PROVIDED TREATMENT TO THOSE PATIENTS UNABLE TO PAY THEIR BILL. IF SCCA DID NOT TREAT THESE PATIENTS, THEY WOULD BE TREATED BY SOMEONE ELSE IN THE COMMUNITY OR THROUGH A GOVERNMENTAL UNIT. PART III, LINE 4: SCCA'S AUDITED FINANCIAL STATEMENTS FOOTNOTE 10(E) BAD DEBT READS AS FOLLOWS: FOR PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, SCCA RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A PORTION OF SCCA'S PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, SCCA RECORDS A PROVISION FOR BAD DEBTS RELATED TO PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PART III, LINE 8: SCCA COMPLETED PART III, LINE 6 USING THE ALLOWABLE COSTS FROM THE AS-FILED MEDICARE COST REPORT FOR FY18. 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 $116,965,884 $1,105,004 $26,026,281 $144,097,169MEDICARE EXPENSE $130,864,625 $2,286,437 $28,699,483 $161,850,545SHORTFALL ($13,898,741) ($1,181,433) ($2,673,202) ($17,753,376)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: SEATTLE CANCER CARE ALLIANCE (SCCA) IS A SPECIALTY HOSPITAL DEDICATED TO PROVIDE STATE-OF-THE-ART PATIENT AND FAMILY CENTERED CARE; SUPPORT THE CONDUCT OF CANCER CLINICAL RESEARCH AND EDUCATION; ENHANCE ACCESS TO IMPROVED CANCER INTERVENTIONS AND ADVANCE THE STANDARD OF CANCER CARE, REGIONALLY AND BEYOND. IT BRINGS TOGETHER THE PHYSICIANS FROM THE FRED HUTCHINSON CANCER RESEARCH CENTER, SEATTLE CHILDREN'S HOSPITAL, AND THE UNIVERSITY OF WASHINGTON FOCUSED ON FORMULATING AND DELIVERING THE BEST CANCER TREATMENTS AVAILABLE. OUR NEEDS ASSESSMENT STRATEGY IS TO ANALYZE WHERE AND WHAT TYPE OF CANCER IS OCCURRING, DETERMINE WHERE COMPELLING SCIENCE EXISTS, AND MAKE INVESTMENTS TO GROW THESE PROGRAMS.SCCA IN CONJUNCTION WITH FRED HUTCHINSON CANCER RESEARCH CENTER, UNIVERSITY OF WASHINGTON, AND SEATTLE CHILDREN'S REVIEWS THE OCCURRENCE RATES IN THE TYPES OF CANCERS IN COMPARISON TO WHERE RESEARCH DOES NOT EXIST AND MAKES STRATEGIC INVESTMENTS TO DEVELOP SCIENCE, BREAKTHROUGHS, AND TREATMENTS IN AREAS OF CANCER NOT BEING PURSUED BY OTHERS.WITH THE COMBINED EFFORTS OF ALL THREE INSTITUTIONS, STATE OF THE ART RESEARCH IS CONDUCTED, DELIVERED TO OUR PATIENT POPULATION, AND SHARED WITH THE COMMUNITY. 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 SUMMARIZED 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 IS LOCATED IN SEATTLE, WA. THE PATIENT POPULATION UTILIZING THE SERVICES OF SCCA ARE PRIMARILY LOCATED IN THE PACIFIC NORTHWEST; HOWEVER, SCCA HAS PATIENTS FROM ALL OVER THE WORLD. SCCA REPRESENTS A UNION OF PATIENTS AND DOCTORS, 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 DISCOVERY 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.WITH OUR DEVOTION TO THE INTERSECTION OF COMPASSION AND HARD SCIENCE, SCCA STRIVES TO REACH THE REGIONAL POPULATION OF THE PACIFIC NORTHWEST (WA, OR, ID, MT, HI, AK), WHICH ACCORDING TO THE US CENSUS BUREAU FOR 2015 REPRESENTS 16,057,242.SCCA IS PRIMARILY LOCATED IN SEATTLE, WA, HOWEVER, THROUGH THE SCCA NETWORK PROGRAM OF AFFILIATIONS 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. THE MUA PATIENT POPULATION RECEIVES THE BENEFIT OF SCCA'S EXPERTISE WITHOUT NEEDING TO LEAVE HOME. SCCA'S NETWORK PROGRAM SPANS TEN COMMUNITY CANCER CENTER AFFILIATES IN WASHINGTON, ALASKA, IDAHO, HAWAII AND MONTANA.THE LOCAL GEOGRAPHICAL AREA SCCA RESIDES IN CONSISTS OF KING, SNOHOMISH, AND PIERCE COUNTIES. THE METROPOLITAN AREA 2015 POPULATION ESTIMATE ACCORDING TO THE US CENSUS BUREAU IS 3,733,580.KING, SNOHOMISH, AND PIERCE COUNTIES ALL HAVE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED COMMUNITIES.KING COUNTY HAS 22 PROVIDERS DESIGNATED AS FEDERALLY QUALIFIED HEALTH CENTERS, FQHC, WITH 46 OPERATING MEDICAL SERVICES SITES; SNOHOMISH COUNTY HAS 1 FQHC DESIGNATED PROVIDER WITH 3 OPERATING MEDICAL SERVICES SITES, AND PIERCE COUNTY HAS 2 FQHC DESIGNATED PROVIDERS WITH 8 OPERATING MEDICAL SERVICES SITES. PIERCE COUNTY IS CONSIDERED A MEDICALLY UNDERSERVED COUNTY BY THE WASHINGTON STATE DEPARTMENT OF PUBLIC HEALTH.SCCA HAS DIRECT RELATIONSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS THAT ARE LOCATED WITHIN THE MUA'S IN KING, SNOHOMISH, AND PIERCE COUNTIES, WASHINGTON. SCCA HAS SPECIFIC CONTRACTS WITH PUBLIC HEALTH SEATTLE KING COUNTY (PHSKC) AND SEA MAR AS PART OF OUR OUTREACH SERVICES TO PROVIDE PREVENTIVE HEALTH SCREENINGS AND ALSO SERVE OUR DESIRE TO REACH THE LOCAL UNDERSERVED COMMUNITIES.THE SCCA'S RELATIONSHIP WITH PHSKC IS PART OF THE BREAST, CERVICAL, AND COLON HEALTH PROGRAM (BCCHP). THE PURPOSE OF BCCHP IS TO REDUCE MORTALITY AND MORBIDITY FROM BREAST, CERVICAL, AND COLON CANCERS BY THE EARLY DETECTION OF CANCER THROUGH FREE SCREENINGS. SCCA IS CONTRACTED WITH BCCHP TO PROVIDE SERVICES FOR PATIENTS IN KING, KITSAP, JEFFERSON, AND CLALLAM COUNTIES. SCCA CONTRACTED SERVICES ARE FOR BREAST CANCER SCREENING THROUGH REGULAR MAMMOGRAMS. SCCA ACCEPTS REFERRALS FROM PHSKC WHEN THE PRIMARY CARE PHYSICIAN HAS DETECTED SOMETHING OF INTEREST. SCCA PERFORMS DIAGNOSTICS, AND IF THE PATIENTS ARE DEEMED TO HAVE CANCER, SCCA WILL TREAT THESE PATIENTS.SCCA ALSO HAS THE UNIQUE ABILITY TO HELP ENROLL PATIENTS INTO THE BCCHP PROGRAM. ONCE IDENTIFIED BY SCCA, THEY ARE FAST TRACKED AT THE WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES INTO BCCHP. PATIENTS WHO COME TO SCCA DIRECTLY TO HAVE A DIAGNOSTIC COMPLETED AND CANCER IS FOUND, CAN BE ENROLLED DIRECTLY BY THE SCCA INTO THE BCCHP. ENROLLMENT INTO BCCHP IS DEPENDENT ON ELIGIBILITY CRITERIA. BCCHP IS FUNDED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION, WASHINGTON STATE, AND SUSAN G. KOMEN (PUGET SOUND, EASTERN WASHINGTON AND PORTLAND/SOUTHWEST WASHINGTON AFFILIATES).SEA MAR COMMUNITY HEALTH CENTER IS A COMMUNITY-BASED ORGANIZATION COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE HEALTH, HUMAN, AND HOUSING SERVICES TO DIVERSE COMMUNITIES, SPECIALIZING IN SERVICE TO LATINOS. SEA MAR'S MEDICAL CLINICS ARE LOCATED IN EIGHT COUNTIES IN WASHINGTON STATE. THE SCCA'S RELATIONSHIP WITH SEA MAR IS TO PROVIDE CLINICAL EDUCATION OPPORTUNITIES FOR PRIMARY CARE PROVIDERS AS WELL AS COMMUNITY OUTREACH IN THE AREAS OF EARLY DETECTION AND PREVENTION OF CANCER. PART VI, LINE 5: SEATTLE CANCER CARE ALLIANCE IS ONE OF A SMALL HANDFUL OF CANCER ORGANIZATIONS THAT ARE HAVING A POWERFUL IMPACT ON THE HEALTH OF PEOPLE IN OUR STATE AND REGION, WHILE, AT THE SAME TIME, HAVING A DIRECT EFFECT ON HOW A WIDE RANGE OF CANCERS ARE UNDERSTOOD, PREVENTED, DIAGNOSED, AND TREATED AROUND THE WORLD. OUR CONTRIBUTION IS DEEP, BECAUSE SCCA BRINGS TOGETHER THE BEST TALENT OF THREE WORLD-RENOWNED MEDICAL CENTERS-FRED HUTCH, UW MEDICINE, AND SEATTLE CHILDREN'S-TO PIONEER NEW RESEARCH, AND THEN RAPIDLY APPLY OUR FINDINGS IN A CLINICAL SETTING. WE ARE ONE TEAM DEDICATED TO PROVIDING THE BEST POSSIBLE CARE WITH THE BEST POSSIBLE OUTCOME FOR PATIENTS. OUR CONTRIBUTION IS BROAD, BECAUSE WE HAVE UNPARALLELED RESOURCES TO SHARE WHAT WE KNOW THROUGH THE EDUCATION OF DOCTORS, NURSES, AND SCIENTISTS, PUBLICATION 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.WITH THAT BACKGROUND AS CONTEXT, THERE ARE FOUR KEY AREAS IN WHICH SCCA HAS MADE A PARTICULARLY STRONG CONTRIBUTION TO OUR COMMUNITY: GROUND BREAKING RESEARCH- WE ARE MAKING INCREDIBLE PROGRESS IN OUR EFFORT TO LEAD THE WORLD IN TRANSLATING SCIENTIFIC DISCOVERY INTO THE PREVENTION, DIAGNOSIS, TREATMENT, AND CURE OF CANCER. THIS YEAR SCCA HAS MORE THAN 300 ACTIVE CLINICAL TRIALS OPEN FOR PATIENTS. IN FACT, SEATTLE CANCER CARE ALLIANCE IS THE ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER IN THE WWAMI (WASHINGTON, WYOMING, ALASKA, MONTANA, IDAHO) REGION - A DISTINCTION RESERVED ONLY FOR CENTERS WITH THE MOST IN-DEPTH RESEARCH PROGRAMS. AND, AS A RESEARCH HUB, WE ARE ABLE TO ATTRACT THE BEST AND MOST EXPERIENCED DOCTORS, NURSES, AND SPECIALISTS FROM AROUND THE WORLD.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 THAN 15,000 BONE MARROW TRANSPLANTS - MORE 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 DATA BASE RANKINGS. SCCA HAS RANKED AT THE TOP OF THESE PATIENT SURVIVAL RANKINGS SINCE 2002. ADDITIONALLY, SCCA IS RANKED AMONG THE TOP TEN BEST HOSPITALS IN THE NATION FOR ADULT CANCER TREATMENT BY U.S. NEWS & WORLD REPORT. 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. EXTENSION OF OUR NETWORK TO PROVIDE MORE COMMUNITY-BASED CARE- WE HAVE EXTENDED OUR NETWORK TO IMPROVE COMMUNITY-BASED CARE THROUGHOUT THE NORTHWEST AND BEYOND. IN ADDITION TO OUR THREE ORIGINAL TREATMENT SITES AT SOUTH LAKE UNION, UW MEDICAL CENTER, AND SEATTLE CHILDREN'S, SCCA HAS ADDED A MEDICAL ONCOLOGY CLINIC AT EVERGREEN HEALTH IN KIRKLAND, WASHINGTON; MEDICAL AND RADIATION ONCOLOGY CLINIC AT UW MEDICINE'S NORTHWEST HOSPITAL & MEDICAL CENTER IN SEATTLE, WASHINGTON; SCCA HAS NETWORK AFFILIATIONS WITH HOSPITALS IN WASHINGTON, IDAHO, MONTANA, HAWAII, AND ALASKA. ENGAGEMENT WITH, AND LEADERSHIP BY, THE COMMUNITY-SEATTLE CANCER CARE ALLIANCE HAS MORE THAN 3,000 PEOPLE WORKING IN A HIGHLY COMPETITIVE, HIGHLY PROFESSIONAL MEDICAL SECTOR. IN ADDITION, 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. BUT WE ARE NOT JUST ONE OF OUR COMMUNITY'S LARGER EMPLOYERS, AND MORE EFFECTIVE COLLABORATORS-WE ARE ALSO COMMUNITY SERVANTS IN THE TRUEST SENSE OF THE WORD. 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.SCCA IS WHERE THE BEST AND BRIGHTEST PHYSICIANS, SCIENTISTS, AND CAREGIVERS FROM FRED HUTCH, UW MEDICINE, AND SEATTLE CHILDREN'S COME TOGETHER TO OFFER OUR COMMUNITY AN APPROACH TO TREATMENT OF CANCER THAT IS TRULY UNIQUE AND RARE. WE HAVE BECOME A TRUE CENTER OF EXCELLENCE, AND OUR APPROACH HAS PROVEN TO OFFER THE BEST POSSIBLE OUTCOMES FOR THE PEOPLE IN OUR COMMUNITY, AND AROUND THE WORLD. WE ARE A PROUD CITIZEN OF THE NORTHWEST-DEVOTED TO PROVIDING THE MEMBERS OF OUR COMMUNITY THE BEST POSSIBLE CARE AND COMMITTED TO LIVING UP TO THE HIGHEST STANDARDS AND ASPIRATIONS OF OUR REGION, AS WE SERVE PEOPLE FROM COMMUNITIES AROUND THE WORLD. PART VI, LINE 6: SCCA IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7: WA REQUIRES THE SCCA TO HAVE ITS CHNA INFORMATION AVAILABLE ON ITS WEBSITE 15 DAYS FOLLOWING THE FILING OF ITS FORM 990 WITH THE IRS. ALSO, WA STATE HAS IMPLEMENTED ITS OWN COMPENSATION REPORTING REQUIREMENTS WHICH CAN BE THE IRS FORM 990 SCHEDULE J OR USE OF THE WA FORM. SCCA HAS COMPLIED WITH THE COMPENSATION REPORTING REQUIREMENTS AND HAS COMPLIED WITH THE ADDITIONAL CHNA REPORTING REQUIREMENTS. 1 UNIVERSITY OF WASHINGTON FOUNDATION PO BOX 358045 SEATTLE WA 98195 943079432 501(C)(3) 480697 N/A N/A TO SUPPORT UNIVERSITY OF WASHINGTON FOUNDATION ACTIVITIES FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE NORTH SEATTLE WA 98109 237156071 501(C)(3) 445901 N/A N/A TO FUND CANCER RESEARCH ACTIVITIES SEAFAIR FOUNDATION 2200 6TH AVE STE 400 SEATTLE WA 98121 261233489 501(C)(3) 120000 N/A N/A TO SPONSOR FAMILY FOURTH NORTHWEST FOLKLIFE 305 HARRISON ST SEATTLE WA 98109 911311548 501(C)(3) 35000 N/A N/A TO PROMOTE COMMUNITY HEALTH IMPROVEMENT SEATTLE SYMPHONY ORCHESTRA 200 UNIVERSITY STREET SEATTLE WA 98101 910667412 501(C)(3) 25000 N/A N/A SYMPHONY CONCERT SPONSORSHIP FOR BREAST CANCER AWARENESS MONTH MULTICARE 314 MARTIN LUTHER KING JR WAY 402 TACOMA WA 98402 911352172 501(C)(3) 18424 N/A N/A TO SPONSOR THE BEN GREER RESEARCH AWARD 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 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 CANCER FOR COLLEGE 28465 OLD TOWN FRONT STREET 315 TEMECULA CA 92590 931144756 501(C)(3) 10000 N/A N/A TO SPONSOR TASTE TO EDUCATE EVENT LEUKEMIA AND LYMPHOMA SOCIETY 123 NW 36TH ST SUITE 100 SEATTLE WA 98107 135644916 501(C)(3) 10000 N/A N/A TO SPONSOR LIGHT THE NIGHT WALK AND GALA TRI CITIES CANCER CENTER 7350 W DESCHUTES AVE KENNEWICK WA 99336 911739024 501(C)(3) 7500 N/A N/A TO SPONSOR 2017 RADIO-THON EVENT. SUSAN G KOMEN BREAST CANCER FOUNDATION 1900 NORTHLAKE WAY SUITE 135 SEATTLE WA 98103 911624040 501(C)(3) 7500 N/A N/A TO SPONSOR FOUNDATION EVENTS NORTHWEST SARCOMA FOUNDATION 220 2ND AVE S STE 115 SEATTLE WA 98104 911717600 501(C)(3) 5500 N/A N/A TO SPONSOR 2017 STORIES FROM THE VINEYARD AND 2018 SEATTLE DRAGONSLAYER EVENTS 13 0 FOOD 479 0 9005 FMV HOLIDAY MEALS PROGRAM FOR PATIENTS FOOD GIFT CARDS 19 0 405 FMV MEAL GIFT CARDS FOR PATIENTS GAS GIFT CARDS 38 0 1032 FMV GAS GIFT CARDS FOR PATIENTS GROCERY GIFT CARDS 29 0 4189 FMV GROCERY GIFT CARDS FOR PATIENTS MEDICAL ACCESSORIES 160 0 9995 FMV PROSTHESIS FOR PATIENTS PATIENT FINANCIAL AID 151 72780 0 N/A N/A SHELTER 236 871 198372 FMV RENTS PAID FOR PATIENTS SUNDRIES 37 0 24611 FMV HOLIDAY GIFTS; KNITTING NEEDLES; HOUSEHOLD GOODS TICKETS 517 0 17058 FMV EVENT TICKETS TO SPORTS GAMES, ART PERFORMANCES AND LOCAL ATTRACTIONS TRANSPORTATION 181 0 4200 FMV CAB FARES FOR PATIENTS WIGS 481 0 14963 FMV WIGS AND HATS FOR PATIENTS TUITION 34 90277 39314 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 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 ON BEHALF OF THE INDIVIDUAL. ALSO, PATIENT FAMILY SERVICES MAINTAINS CONTACT WITH PATIENTS RECEIVING ASSISTANCE THROUGHOUT THEIR TREATMENT AT SCCA. 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 1 1 0 0 0 0 0 0 0 NANCY DAVIDSON MD EXECUTIVE DIRECTOR AND PRESIDENT 820027 0 73500 0 379500 0 0 0 0 0 1273027 0 0 0 NORMAN HUBBARD EXECUTIVE VP 608574 0 70628 0 268822 0 141640 0 24139 0 1113803 0 91062 0 JONATHAN TINGSTAD VP & CFO (THRU 10/17) 371650 0 34641 0 228150 0 34140 0 21222 0 689803 0 45184 0 F MARC STEWART MD VP, MEDICAL DIRECTOR 465878 0 49713 0 0 0 0 0 0 0 515591 0 0 0 DEBORAH GENTZEN VP, CHIEF STRATEGY OFFICER 389940 0 31852 0 2077 0 88439 0 23544 0 535852 0 0 0 DAVID ACKERSON VP, CHIEF INFORMATION OFFICER 359132 0 28836 0 1865 0 82304 0 11705 0 483842 0 0 0 BARBARA JAGELS VP, CHIEF QUALITY & VALUE OFFC 325100 0 26698 0 1718 0 77953 0 23246 0 454715 0 0 0 THERESA MCDONNELL CHIEF NURSE EXEC, VP-CLIN OPS 285656 0 61467 0 1517 0 30000 0 20425 0 399065 0 0 0 GRETCHEN HANNA DIR. CORPORATE FINANCE 239630 0 13883 0 2258 0 24500 0 10990 0 291261 0 0 0 JOSEPH NORTON DIR. FINANCE 224625 0 13266 0 1149 0 23119 0 15463 0 277622 0 0 0 MARIA GONZALEZ DIR. RESEARCH INT. (THRU 1/18) 222156 0 11951 0 500 0 16905 0 22409 0 273921 0 0 0 KRISTINE LOGAN DIR. OPERATIONS 189739 0 10909 0 8661 0 18093 0 10354 0 237756 0 0 0 THOMAS TSAI DIR CLINICAL OPS DIAG/THERAPY SVCS (THRU 1/18) 196301 0 10279 0 629 0 10293 0 10408 0 227910 0 0 0 MOREEN DUDLEY DIR. CLIN. OPS, SUPPORTIVE SVCS 191054 0 11048 0 2735 0 18629 0 11566 0 235032 0 0 0 ALPHONSO EMERY DIR. REVENUE CYCLE MGT 191636 0 11158 0 1748 0 18372 0 9673 0 232587 0 0 0 TAMI DEEB DIR. SERVICE LINES 188743 0 12067 0 398 0 13807 0 13497 0 228512 0 0 0 AVRIL MCDOWELL DIR. CLINICAL OPS (THRU 7/17) 110588 0 0 0 85234 0 7420 0 7060 0 210302 0 0 0 STEPHANIE MAYS GENERAL COUNSEL 169753 0 18733 0 889 0 0 0 14342 0 203717 0 0 0 ADA MOHEDANO DIR. CLIN. ANALYTICS & BUS INTEL 177896 0 10328 0 375 0 16591 0 10141 0 215331 0 0 0 MICHELLE HALL DIR. PERFORMANCE EXCELLENCE 175457 0 9909 0 2428 0 16617 0 16791 0 221202 0 0 0 TIMOTHY EHLING DIR. NURSING & CLIN. OPS INTEG. 171708 0 10543 0 1633 0 16749 0 21754 0 222387 0 0 0 HOLLY ROSENFELD DIR. MARKETING 173482 0 9436 0 877 0 16812 0 21949 0 222556 0 0 0 BRANDON JONES CHIEF TECHNOLOGY OFFICER 172683 0 10033 0 363 0 15935 0 10137 0 209151 0 0 0 TRACI PRANZINI CORPORATE INTEGRITY OFFICER 170059 0 9963 0 540 0 15618 0 10177 0 206357 0 0 0 CHAD HOGGARD DIR. IT SECURITY 170387 0 5232 0 556 0 16211 0 21064 0 213450 0 0 0 PAUL HELMUTH DIR. CLINICAL OPERATIONS 159138 0 9148 0 917 0 13968 0 10043 0 193214 0 0 0 CECILIA ZAPATA DIR STRAT OUTREACH/CCA NETWORK (THRU 8/17) 107462 0 0 0 60853 0 7660 0 6621 0 182596 0 0 0 KATIE COLLEEN ANN MALETICH DIR. QUALITY & SAFETY 156748 0 8656 0 337 0 6318 0 21773 0 193832 0 0 0 DONNA KERN REGISTERED NURSE 174389 0 300 0 4355 0 15852 0 18795 0 213691 0 0 0 ARIAM ZERESENNAI REGISTERED NURSE 162852 0 300 0 5120 0 14614 0 21245 0 204131 0 0 0 GANSUVD BALGANSUREN CIL DIR. 161257 0 0 0 1474 0 13702 0 17028 0 193461 0 0 0 DEBRA KIRKLEY DIR. MAGNET PROGRAM (THRU 7/17) 90561 0 0 0 70305 0 1394 0 9811 0 172071 0 0 0 MARIAN RICHARDSON ASSC. DIR. CLINICAL OPS 153392 0 4407 0 2055 0 12698 0 9892 0 182444 0 0 0 FRED APPLEBAUM MD FORMER EXEC. DIR. & PRESIDENT 0 0 162147 0 0 0 0 0 0 0 162147 0 0 0 CHERYL WYMAN FORMER DIR. DIAG/THERAPY SVCS 0 0 0 0 136037 0 0 0 0 0 136037 0 0 0 PART I, LINES 4A-B SEVERANCE PAYMENTS WERE MADE TO THE FOLLOWING INDIVIDUALS: WYMAN, CHERYL $136,037 MCDOWELL, AVRIL $75,232 ZAPATA, CECILIA $45,739 KIRKLEY, DEBRA $61,599 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 IS 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 $44,500 GENTZEN, DEBORAH $6,299 ACKERSON, DAVID $164 THE FOLLOWING INDIVIDUAL TERMINATED AND RECEIVED THE BALANCE UNDER 457(B) ARRANGEMENT: TINGSTAD, JONATHAN $55,467 BEGINNING IN 2015, SCCA COMMENCED A CATCH-UP BENEFIT PLAN. THE BENEFITS ARE INTENDED AS A RETENTION INCENTIVE AND WILL BE ADMINISTERED IN ACCORDANCE WITH 457(F). THE BENEFIT IS BASED ON THE AMOUNT THAT WOULD HAVE BEEN ACCUMULATED IF A SERP HAS BEEN IN PLACE SINCE THE LATER OF 1998 OR THE DATE THAT THE EXECUTIVE COMPENSATION WOULD HAVE TRIGGERED A SERP CONTRIBUTION. SUCH AMOUNT WILL BE CREDITED WITH INTEREST ANNUALLY AT THE PRIME RATE IN A BOOKKEEPING ACCOUNT. THE EXECUTIVE WILL RECEIVE A PORTION OF THE AMOUNT AS IT VESTS ON EACH VESTING DATE. UPON THE EXECUTIVE'S TERMINATION OF EMPLOYMENT FOR ANY REASON, ANY UNVESTED PORTION REMAINING IN THE BOOKKEEPING ACCOUNT WILL BE FORFEITED. TO FURTHER AID WITH RETENTION, ALL REMAINING CATCH-UP BALANCES WERE PAID IN 2017: HUBBARD, NORMAN $263,920 TINGSTAD, JONATHAN $134,164 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 BENEFIT 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 BENEFIT ON EACH VESTING DATE. IN 2017, THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE RETENTION PLAN: HUBBARD, NORMAN $45,000 GENTZEN, DEBORAH $30,000 JAGELS, BARBARA $30,000 ACKERSON, DAVID $30,000 MCDONNELL, THERESA $30,000 SCHEDULE J, PART II: NANCY DAVIDSON, MD RECEIVED COMPENSATION OF $1,273,027 FROM FRED HUTCHINSON CANCER RESEARCH CENTER, AN UNRELATED ORGANIZATION FOR SERVICES PROVIDED TO SCCA. F. MARC STEWART, MD RECEIVED COMPENSATION OF $515,591 FROM FRED HUTCHINSON CANCER RESEARCH CENTER, AN UNRELATED ORGANIZATION FOR SERVICES PROVIDED TO SCCA. FRED APPLEBAUM, MD RECEIVED COMPENSATION OF $162,147 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 3471000 21415000 21090000 325000 2009 1 0 1 1 B 8770000 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 0.00800 0.00000 0.00800 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 1 0 0 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 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. X 13679 SELLING PRICE X 3 2384 SELLING PRICE X 464 898 SELLING PRICE X EVENT TICKETS 516 16983 SELLING PRICE X HATS/WIGS 425 13534 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 22 VOLUNTEER ROLES: BREAST CENTER SPECIALTY CLINIC, CHILD LIFE, COMFORT HAND MASSAGE, COSMETOLOGY/BARBER, CRAFTS & CONVERSATION-KNITTING, DRIVERS, EVENTS, GENERAL ONCOLOGY/HEMATOLOGY LOBBY, HOUSING AND INPATIENT TOURS, GUEST SERVICES, HEALING MUSIC PROGRAM, HOLIDAY ACTIVITIES, HUTCH SCHOOL TUTORS, LABYRINTH HOST, PATIENT & FAMILY RESOURCE CENTER/EDUCATION, PATIENT/FAMILY SERVICES, 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 49 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 JACQUELINE CABE, DR. BRUCE CLURMAN, RUTH MAHAN, DR. SANDY MELZER, STEVE STADUM, AND DR. BRUDER STAPLETON 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 54,839,088. MANAGEMENT AND GENERAL EXPENSES 1,272,927. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,112,015. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 1,543,446. MANAGEMENT AND GENERAL EXPENSES 3,630,868. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,174,314. CLINICAL SERVICES: PROGRAM SERVICE EXPENSES 9,101,706. MANAGEMENT AND GENERAL EXPENSES 846,898. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,948,604. PROGRAM SUPPORT: PROGRAM SERVICE EXPENSES 5,693,148. MANAGEMENT AND GENERAL EXPENSES 438,487. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,131,635. CLINICAL FUNDING: PROGRAM SERVICE EXPENSES 32,412,917. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,412,917. LAB SERVICES: PROGRAM SERVICE EXPENSES 10,216,435. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,216,435. OTHER AGREEMENTS: PROGRAM SERVICE EXPENSES 1,312,910. MANAGEMENT AND GENERAL EXPENSES 500,895. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,813,805. FORM 990, PART XI, LINE 9: REVERSAL OF PRIOR YEAR GRANT EXPENSE 40,000.