FRED HUTCHINSON CANCER CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: FRED HUTCHINSON CANCER CENTER (EIN 91-1935159)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-03-10
IRS object ID: 201740699349300844
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-03-10T15:48:43-06:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10900 NE 4TH STREET SUITE 1700	AddressLine1Txt
City	BELLEVUE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	911935159	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	SEAT	BusinessNameControlTxt
Phone	2062881000	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JONATHAN TINGSTAD	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	2062881000	PhoneNum
Signature	2017-03-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SARA ELIZABETH J HYRE	PreparerPersonNm
PTIN	P00235495	PTIN
Phone	4254544919	PhoneNum
Preparation	2017-03-07	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$639,778,887	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SEATTLECCA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	SEATTLE CANCER CARE ALLIANCE, (SCCA) REPRESENTS A UNION OF PATIENTS AND DOCTORS, (SEE SCHEDULE O) PHYSICIANS AND RESEARCHERS, CARE AND CURES IN THE PURSUIT OF BETTER, LONGER, RICHER LIVES FOR OUR PATIENTS. ABOVE ALL, WE EXIST TO MOVE PATIENTS FORWARD, PAST BOUNDARIES AND TOWARD HOPE, BEYOND FEAR AND CLOSER TO DISCOVERY. SCCA IS THE INTERSECTION OF COMPASSION AND HARD SCIENCE. WHERE A REAL DIFFERENCE CAN BE MADE TODAY AND TRUE PROGRESS HAPPENS TOMORROW. THIS UNIQUELY BOLD AND INVENTIVE APPROACH TRULY SETS US APART. WE TREAT CARE DIFFERENTLY, AND, BECAUSE OF THAT, WE SEE PATIENTS DIFFERENTLY, TOO. OUR CARE COMBINES POWERFUL SCIENCE WITH DEVOTED COLLABORATION, WHERE BOUNDARY-PUSHING DISCOVER HAPPENS - CARE AND SCIENCE WORKING TOGETHER. IT IS OUR FUNDAMENTAL BELIEF THAT WORKING IN PARTNERSHIP WITH OUR PATIENTS IS ESSENTIAL TO WHO WE ARE TODAY AND IN THE FUTURE.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	1559	TotalEmployeeCnt
Total Volunteers	234	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,501,715	PYContributionsGrantsAmt
CY Contributions Grants	$4,648,972	CYContributionsGrantsAmt
PY Program Service Revenue	$476,998,099	PYProgramServiceRevenueAmt
CY Program Service Revenue	$525,316,260	CYProgramServiceRevenueAmt
PY Investment Income	$7,463,736	PYInvestmentIncomeAmt
CY Investment Income	$9,458,420	CYInvestmentIncomeAmt
PY Other Revenue	-$22,840,944	PYOtherRevenueAmt
CY Other Revenue	$192,600	CYOtherRevenueAmt
PY Total Revenue	$464,122,606	PYTotalRevenueAmt
CY Total Revenue	$539,616,252	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,606,020	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,007,625	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$111,034,354	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$120,859,920	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$21,870	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$48,179	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$254,854	CYTotalFundraisingExpenseAmt
PY Other Expenses	$331,230,365	PYOtherExpensesAmt
CY Other Expenses	$352,982,286	CYOtherExpensesAmt
PY Total Expenses	$443,892,609	PYTotalExpensesAmt
CY Total Expenses	$475,898,010	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,229,997	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$63,718,242	CYRevenuesLessExpensesAmt
Total Assets BOY	$523,790,656	TotalAssetsBOYAmt
Total Assets EOY	$556,564,703	TotalAssetsEOYAmt
Total Liabilities BOY	$187,968,271	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$163,084,395	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$335,822,385	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$393,480,308	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEATTLE CANCER CARE ALLIANCE, SCCA, IS A PART OF THE FRED HUTCHINSON/UW CANCER CONSORTIUM, THE CONSORTIUM, WHICH IS ONE OF 47 COMPREHENSIVE CANCER CENTERS DESIGNATED BY THE NATIONAL CANCER INSTITUTE (NCI). THE CONSORTIUM'S MEMBERS ARE SCCA, (SEE SCHEDULE O) 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 SURGEONS, MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, PATHOLOGISTS, AND RADIOLOGISTS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$377,299,188	ExpenseAmt
Grant	$1,704,707	GrantAmt
Revenue	$523,349,364	RevenueAmt
Desc	SCCA'S FOCUS IS TO SPEED THE TRANSFER OF NEW DIAGNOSTIC AND TREATMENT TECHNIQUES FROM THE RESEARCH SETTING TO PATIENT CARE. THE HIGHLY INTEGRATED APPROACH TO CANCER RESEARCH AND TREATMENT AMONG SCCA PARTNER ORGANIZATIONS SUPPORTS THE FLOW OF SCIENTIFIC INFORMATION AMONG RESEARCHERS, CLINICIANS, AND PATIENTS, THEREBY ACCELERATING THE DEVELOPMENT OF NEW KNOWLEDGE AND TREATMENT OF VARIOUS CANCERS. DURING THE YEAR ENDED JUNE 30, 2016, SCCA TREATED 7,395 NEW PATIENTS WITHIN THE CANCER AND BONE MARROW/STEM CELL TRANSPLANT PROGRAMS. SCCA ALSO HAD 79,930 CLINIC VISITS, 106,655 INFUSION HOURS, 51,291 RADIATION ONCOLOGY TREATMENTS, AND PERFORMED (SEE SCHEDULE O) 12,598 IMAGING SCANS. 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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,952,563	ExpenseAmt
Grant	$302,918	GrantAmt
Revenue	$2,240,449	RevenueAmt
Desc	SEATTLE CANCER CARE ALLIANCE, SCCA, OPERATES A HOUSING PROGRAM INCLUDING BOTH SCCA HOUSE AND PETE GROSS HOUSE. SCCA HOUSE IS A TEMPORARY MEDICAL HOUSING FACILITY. IT IS AN 80-ROOM FACILITY THAT PROVIDES AN AFFORDABLE HOME FOR CANCER PATIENTS AND THEIR FAMILIES WHO COME TO SEATTLE FOR EXTENDED TREATMENT WITH SCCA. THE SIX-STORY "BUILT GREEN" BUILDING WAS DESIGNED TO ADDRESS PATIENTS' PHYSICAL, EMOTIONAL, AND LOGISTICAL CHALLENGES. SCCA HOUSE IS LOCATED CLOSE TO THE SCCA OUTPATIENT CLINIC AND OFFERS SHUTTLE SERVICE TO THE SCCA CLINIC. THE SCCA HOUSE OFFERS PATIENTS A HOME AWAY FROM HOME WITH: FULLY FURNISHED SUITES WITH KITCHENETTES, LARGE COMMON KITCHEN AND DINING ROOM, EXERCISE ROOM, (SEE SCHEDULE O) RESOURCE CENTER AND 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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	SCCA PROTON THERAPY CENTER (CENTER), LOCATED ON UW MEDICINE'S NORTHWEST HOSPITAL & MEDICAL CENTER CAMPUS, OPENED DURING 2013. AN ADVANCED FORM OF RADIATION TREATMENT, PROTON THERAPY CAN BE CALIBRATED WITH GREAT PRECISION TO SELECTIVELY KILL CANCER CELLS. THE CLINICAL BENEFITS PROTON THERAPY OFFERS OVER STANDARD X-RAY TREATMENT FOR CERTAIN TYPES OF CANCER ARE BECOMING INCREASINGLY WELL KNOWN. THE ACCURACY OF THE DELIVERY OF PROTON RADIATION, FOR EXAMPLE, REDUCES DAMAGE TO THE HEALTHY TISSUES AND ORGANS SURROUNDING TUMORS. OTHER BENEFITS INCLUDE FEWER SIDE EFFECTS, INCLUDING A DECREASED RISK OF DEVELOPING SECONDARY TUMORS (CANCERS THAT RESULT FROM RADIATION TREATMENT). SINCE PROTON THERAPY WAS APPROVED BY THE US FOOD AND DRUG ADMINISTRATION TO TREAT PATIENTS IN 1988, (SEE SCHEDULE O)THE MEDICAL COMMUNITY HAS CONTINUED TO CONDUCT RESEARCH ON THE USE OF PROTONS IN TREATING DIFFERENT TYPES OF CANCER THROUGH CLINICAL TRIALS. OVER THE YEARS, MANY PATIENTS HAVE VOLUNTEERED TO TAKE PART IN THESE CLINICAL TRIALS TO HELP FIND IMPROVEMENTS IN FIGHTING CANCER WITH PROTON THERAPY. THE CENTER, WITH OUR PARTNER THE UNIVERSITY OF WASHINGTON, IS CURRENTLY PARTICIPATING IN MANY CLINICAL TRIALS. IN OUR QUEST TO LOOK FOR WAYS TO IMPROVE THE LIVES OF PATIENTS WITH CANCER, OUR CENTER WILL PARTICIPATE IN CLINICAL TRIALS TO FURTHER OUR KNOWLEDGE OF THE BENEFITS OF PROTON THERAPY IN MANY TUMOR TYPES. OUR DOCTORS VIEW THE NEW CENTER AS A TREMENDOUS OPPORTUNITY TO TAKE THE LEAD IN ACTIVE CLINICAL INVESTIGATIONS THAT WILL HELP DEFINE THE ROLE OF PROTON THERAPY IN FUTURE CANCER TREATMENT. ONGOING STUDIES CONDUCTED BY SCCA DOCTORS WILL HELP CHART A CLEAR COURSE FOR THE USE OF PROTON RADIATION IN ACHIEVING THE BEST POSSIBLE OUTCOMES IN TREATING CANCER.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$379,251,751	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	137	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1559	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	HI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ME	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WV	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NV	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JONATHAN TINGSTAD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2062881058	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (50 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RICHARD MCCUNE
CHAIR	2.50	Yes (X)	Yes (X)	$0	$0	$0
MIKE DELMAN
VICE CHAIR & TREASURER	4.00	Yes (X)	Yes (X)	$0	$0	$0
KIMBERLY MCNALLY
SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
BOB FLOWERS
DIRECTOR	2.00	Yes (X)		$0	$0	$0
BROOKS RAGEN
DIRECTOR	2.00	Yes (X)		$0	$0	$0
BRUDER STAPLETON
DIRECTOR	1.50	Yes (X)		$0	$0	$0
CARL BEHNKE
DIRECTOR	5.00	Yes (X)		$0	$0	$0
GERALD GRINSTEIN
DIRECTOR	1.50	Yes (X)		$0	$0	$0
JACQUELINE CABE
DIRECTOR	1.00	Yes (X)		$0	$0	$0
JOANN TARICANI
DIRECTOR	1.00	Yes (X)		$0	$0	$0
JOHNESE SPISSO
DIRECTOR THRU 2/5/16	2.00	Yes (X)		$0	$0	$0
KAREN GLOVER
DIRECTOR	2.00	Yes (X)		$0	$0	$0
LINDA MATTOX
DIRECTOR	1.00	Yes (X)		$0	$0	$0
LISA BRANDENBURG
DIRECTOR	2.50	Yes (X)		$0	$0	$0
MARK GROUDINE
DIRECTOR	1.50	Yes (X)		$0	$0	$0
MYRA TANITA
DIRECTOR THRU 12/11/15	2.00	Yes (X)		$0	$0	$0
NICOLE ROBINSON
DIRECTOR	1.00	Yes (X)		$0	$0	$0
RICHARD YARMUTH
DIRECTOR	2.50	Yes (X)		$0	$0	$0
ROBB BAKEMEIER
DIRECTOR	4.00	Yes (X)		$0	$0	$0
RUTH MAHAN
DIRECTOR	2.50	Yes (X)		$0	$0	$0
FRED APPELBAUM MD
EXECUTIVE DIRECTOR AND PRESIDENT	12.00		Yes (X)	$328,857	$0	$0
NORMAN HUBBARD
EXECUTIVE VICE PRESIDENT	55.00		Yes (X)	$693,720	$0	$94,741
DAVID ACKERSON
CHIEF INFORMATION OFFICER AND VP	55.00		Yes (X)	$395,284	$0	$45,231
DEBORAH GENTZEN
CHIEF STRATEGY OFFICER AND VP	55.00		Yes (X)	$435,136	$0	$61,898
BARBARA JAGELS
CHIEF QUALITY OFFICER AND VP	55.00		Yes (X)	$247,562	$0	$54,199
ANGELIQUE RICHARD
CHIEF NURSE EXECUTIVE AND VP	55.00		Yes (X)	$425,974	$0	$42,386
F MARC STEWART MD
MEDICAL DIRECTOR AND VICE PRESIDENT	30.00		Yes (X)	$510,701	$0	$0
JONATHAN TINGSTAD
CHIEF FINANCIAL OFFICER AND VP	55.00		Yes (X)	$480,508	$0	$67,461
GRETCHEN HANNA
DIR. CORPORATE FINANCE	55.00			$234,793	$0	$33,030	Yes (X)
JOSEPH NORTON
DIRECTOR FINANCE	55.00			$228,723	$0	$37,102	Yes (X)
CHERYL WYMAN
DIR. DIAGNOSTIC & THERAPEUTIC SVCS	55.00			$221,773	$0	$37,503	Yes (X)
ALEANA WAITE
DIR. RES INTEG/IMMUNO/CELL THERAPY	55.00			$204,801	$0	$35,443	Yes (X)
KRISTINE LOGAN
DIR. PT ACCESS & FACILITIES	55.00			$195,274	$0	$26,880	Yes (X)
SUSAN HAMMOND
DIR. PROGRAM MANAGEMENT	55.00			$190,977	$0	$33,087	Yes (X)
MOREEN DUDLEY
DIR. SPPT CARE/RAD SVC/SPC CLIN	55.00			$185,428	$0	$31,380	Yes (X)
LINDA LAKE
DIR. CLIN INFO SYST & HIM	55.00			$184,667	$0	$25,884	Yes (X)
ALPHONSO EMERY
DIR. DIVERSITY EFFORTS	55.00			$179,051	$0	$25,101	Yes (X)
MICHELLE HALL
DIR. IT SERVICES	55.00			$172,751	$0	$31,292	Yes (X)
SHARI MCCLURE
DIR. STRATEGY & BUS DEV	55.00			$171,052	$0	$24,567	Yes (X)
CAMILLE RAPACZ
DIR. STRAT OUTREACH/CCA NETWORK	55.00			$167,945	$0	$31,079	Yes (X)
HOLLY ROSENFELD
DIR. MARKETING	55.00			$162,069	$0	$22,498	Yes (X)
TRACI PRANZINI
CORPORATE INTEGRITY OFFICER	55.00			$161,583	$0	$23,435	Yes (X)
ADA MOHEDANO
DIR. CLIN ANALYTICS & BUS INTEL	55.00			$158,364	$0	$23,000	Yes (X)
GANSUVD BALGANSUREN
DIR. CLINICAL IMMUNOGENETICS LABS	55.00			$153,100	$0	$18,684	Yes (X)
CECILIA ZAPATA
DIR. STRAT OUTREACH/CCA NETWORK	55.00			$166,148	$0	$23,955	Yes (X)
TIMOTHY EHLING
ASSOC DIR. OPERATIONS	55.00			$153,686	$0	$34,206		Yes (X)
MATTHEW MCSWEYN
ASSC DIR. ENTERPRISE APPS	55.00			$147,805	$0	$32,281		Yes (X)
DEBORAH STENHJEM
DIR. REV CYCLE MGMT	32.00			$145,890	$0	$33,311		Yes (X)
DONNA KERN
RN	55.00			$150,401	$0	$28,095		Yes (X)
LORI BARE
IT INFRASTRUCTURE MGR	55.00			$196,102	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,450,125	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$977,729	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	186	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNIVERSITY OF WASHINGTON
1959 NE 59TH AVE SUITE 1005	SEATTLE	WA	98104	HEALTHCARE, SERVICES, SUPPLIES	$115,141,690
FRED HUTCHINSON CANCER RESEARCH CENTER
1100 FAIRVIEW AVE N	SEATTLE	WA	98109	ADMIN, SUPPORT, SVCS, CONSULT.	$26,088,278
SEATTLE CHILDREN'S HOSPITAL
MAILSTOP S-100 PO BOX 50020	SEATTLE	WA	98145	HEALTHCARE, SERVICES	$23,821,407
NATIONAL MARROW DONOR PROGRAM
3001 BROADWAY ST NE	MINNEAPOLIS	MN	55413	MARROW TRANSPLANT SERVICES	$9,801,564
PUGET SOUND BLOOD CENTER
921 TERRY AVENUE	SEATTLE	WA	98104	BLOOD & TISSUE SERVICES	$5,850,203

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	105	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$1,083,791	FederatedCampaignsAmt
All Other Contributions	$3,565,181	AllOtherContributionsAmt
Noncash Contributions	$314,737	NoncashContributionsAmt
Total Contributions	$4,648,972	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
CANCER HOSP/OUTPATIENT	622310	$384,613,528	$383,999,548	$613,980
MEDICARE/MEDICAID PMTS	923130	$137,085,928	$137,085,928
PATIENT HOUSING	624221	$2,240,449	$2,240,449
INTERAFFILIATE AGMTS	900099	$1,376,355	$577,610	$798,745

Field	Value	IRS element (for citing)
Total Program Service Revenue	$525,316,260	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,593,134	TotalRevenueColumnAmt
Exclusion	$9,593,134	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$219	TotalRevenueColumnAmt
Exclusion	$219	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$99,518,487	SecuritiesAmt
Other	$5,154	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$99,643,552	SecuritiesAmt
Other	$15,022	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$125,065	SecuritiesAmt
Other	-$9,868	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$134,933	TotalRevenueColumnAmt
Exclusion	-$134,933	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$421,169	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$504,061	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$82,892	TotalRevenueColumnAmt
Exclusion	-$82,892	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
EDUCATIONAL EVENTS	923110	$273,553	$273,553
SETTLEMENT INCOME	622310	$1,311		$1,311
SCRAP SALE	900099	$628		$628

Field	Value	IRS element (for citing)
Other Revenue Total	$275,492	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$539,616,252	TotalRevenueColumnAmt
Related Or Exempt Func Income	$524,177,088	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$10,790,192	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,337,029	TotalAmt
Program Services	$1,337,029	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$670,596	TotalAmt
Program Services	$670,596	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,152,710	TotalAmt
Program Services	$4,601,196	ProgramServicesAmt
Management And General	$4,551,514	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$87,793,201	TotalAmt
Program Services	$56,309,153	ProgramServicesAmt
Management And General	$31,457,624	ManagementAndGeneralAmt
Fundraising	$26,424	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,904,604	TotalAmt
Program Services	$3,536,997	ProgramServicesAmt
Management And General	$1,367,607	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,818,045	TotalAmt
Program Services	$7,856,561	ProgramServicesAmt
Management And General	$3,954,197	ManagementAndGeneralAmt
Fundraising	$7,287	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,191,360	TotalAmt
Program Services	$4,138,715	ProgramServicesAmt
Management And General	$3,052,645	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$39,039,551	TotalAmt
Program Services	$11,794,063	ProgramServicesAmt
Management And General	$27,219,398	ManagementAndGeneralAmt
Fundraising	$26,090	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,651,490	TotalAmt
Management And General	$1,651,490	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$492,038	TotalAmt
Program Services	$40,000	ProgramServicesAmt
Management And General	$452,038	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$288,927	TotalAmt
Management And General	$288,927	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$48,179	TotalAmt
Fundraising	$48,179	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$612,298	TotalAmt
Management And General	$612,298	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$95,869,931	TotalAmt
Program Services	$93,889,023	ProgramServicesAmt
Management And General	$1,980,908	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,110,506	TotalAmt
Program Services	$4,110,506	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,390,804	TotalAmt
Program Services	$3,373,247	ProgramServicesAmt
Management And General	$1,945,472	ManagementAndGeneralAmt
Fundraising	$72,085	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,339,737	TotalAmt
Program Services	$319,719	ProgramServicesAmt
Management And General	$2,019,258	ManagementAndGeneralAmt
Fundraising	$760	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$192,864	TotalAmt
Program Services	$192,864	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,963,262	TotalAmt
Program Services	$6,535,434	ProgramServicesAmt
Management And General	$6,425,328	ManagementAndGeneralAmt
Fundraising	$2,500	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$787,855	TotalAmt
Program Services	$371,793	ProgramServicesAmt
Management And General	$415,986	ManagementAndGeneralAmt
Fundraising	$76	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,606,431	TotalAmt
Program Services	$900,083	ProgramServicesAmt
Management And General	$652,576	ManagementAndGeneralAmt
Fundraising	$53,772	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,306,199	TotalAmt
Program Services	$3,306,199	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$21,380,276	TotalAmt
Program Services	$13,125,423	ProgramServicesAmt
Management And General	$8,254,853	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$628,971	TotalAmt
Program Services	$200,244	ProgramServicesAmt
Management And General	$428,727	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$161,105,962	$161,057,564	$48,398
BAD DEBT	$1,968,505	$1,968,505
DUES & SUBSCRIPTIONS	$761,280	$222,836	$534,893	$3,551
BUSINESS TAXES	-$1,893,827	-$969,693	-$924,134

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$379,226	TotalAmt
Program Services	$363,694	ProgramServicesAmt
Management And General	$1,402	ManagementAndGeneralAmt
Fundraising	$14,130	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$475,898,010	TotalAmt
Program Services	$379,251,751	ProgramServicesAmt
Management And General	$96,391,405	ManagementAndGeneralAmt
Fundraising	$254,854	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,885,667	BOYAmt
EOY	$21,052,187	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$30,801,301	BOYAmt
EOY	$8,403,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$66,189,986	BOYAmt
EOY	$72,534,112	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,764,692	BOYAmt
EOY	$7,677,179	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,875,787	BOYAmt
EOY	$4,489,439	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$254,025,579	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$125,444,833	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$124,937,636	BOYAmt
EOY	$128,580,746	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$248,831,072	BOYAmt
EOY	$287,817,687	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,805,416	BOYAmt
EOY	$8,550,133	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$18,699,099	BOYAmt
EOY	$17,460,220	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$523,790,656	BOYAmt
EOY	$556,564,703	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$73,916,930	BOYAmt
EOY	$52,726,244	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$291,322	BOYAmt
EOY	$193,563	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$113,760,019	BOYAmt
EOY	$110,164,588	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$187,968,271	BOYAmt
EOY	$163,084,395	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$333,024,644	BOYAmt
EOY	$388,045,323	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,812,152	BOYAmt
EOY	$2,239,396	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$985,589	BOYAmt
EOY	$3,195,589	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$335,822,385	BOYAmt
EOY	$393,480,308	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$523,790,656	BOYAmt
EOY	$556,564,703	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$63,718,242	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$6,060,319	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$192,810	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$96,117	OtherActivitiesAmt
Total Lobbying Expenditures	$288,927	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LINE 1B: SCCA MADE VISITS AND SENT CORRESPONDENCE TO FEDERAL AND STATE OFFICIALS REGARDING HEALTH CARE ISSUES SUCH AS MEDICARE, MEDICAID, AND INSURANCE POLICIES. LINE 1G: COMPENSATION PAID TO HIRED LOBBYISTS TO MONITOR AND REVIEW LEGISLATION AT THE LOCAL, STATE, AND FEDERAL LEVELS. LINE 1I: WASHINGTON STATE HOSPITAL ASSOCIATION REPRESENTS MEMBER INTERESTS ON LOCAL AND STATE LEVELS. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS = $27,520. LINE 1I: ALLIANCE OF DEDICATED CANCER CENTERS REPRESENTS MEMBER INTERESTS AT THE NATIONAL LEVEL. AMOUNT EXPENDED = $42,727. LINE 1I: SCCA EMPLOYEES' DIRECT CONTACT WITH LEGISLATORS ON SUBJECT MATTER IMPACTING SCCA. AMOUNT EXPENDED = $25,870.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$906,178	BeginningYearBalanceAmt
Investment Earnings Or Losses	$129,324	InvestmentEarningsOrLossesAmt
Other Expenditures	$44,492	OtherExpendituresAmt
Administrative Expenses	$3,808	AdministrativeExpensesAmt
End Year Balance	$987,202	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$892,849	BeginningYearBalanceAmt
Investment Earnings Or Losses	$36,992	InvestmentEarningsOrLossesAmt
Other Expenditures	$20,455	OtherExpendituresAmt
Administrative Expenses	$3,208	AdministrativeExpensesAmt
End Year Balance	$906,178	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$900,365	BeginningYearBalanceAmt
Investment Earnings Or Losses	$7,260	InvestmentEarningsOrLossesAmt
Administrative Expenses	$14,776	AdministrativeExpensesAmt
End Year Balance	$892,849	EndYearBalanceAmt

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

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$136,502,668	OtherCostOrOtherBasisAmt
Depreciation	$60,787,580	DepreciationAmt
Book Value	$75,715,088	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,484,419	OtherCostOrOtherBasisAmt
Depreciation	$4,772,676	DepreciationAmt
Book Value	$3,711,743	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,872,713	OtherCostOrOtherBasisAmt
Depreciation	$54,874,539	DepreciationAmt
Book Value	$25,998,174	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,204,245	OtherCostOrOtherBasisAmt
Depreciation	$5,010,038	DepreciationAmt
Book Value	$3,194,207	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$128,580,746	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$528,711,000	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$5,994,284	NetUnrealizedGainsInvstAmt
Other Revenue	-$798,844	OtherRevenueAmt
Revenue Not Reported	-$6,793,128	RevenueNotReportedAmt
Revenue Subtotal	$535,504,128	RevenueSubtotalAmt
Investment Expenses Not Incld	$612,298	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$3,499,826	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$4,112,124	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$539,616,252	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$473,690,000	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$513,283	OtherExpensesIncludedAmt
Expenses Not Reported	$513,283	ExpensesNotReportedAmt
Expenses Subtotal	$473,176,717	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$612,298	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$2,108,995	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,721,293	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$475,898,010	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 -1,968,505. RESTRICTED REVENUES RELEASED 1,310,476. ROUNDING -325. EXPENSES RECORDED WITH REVENUES ON FINANCIAL STATEMENTS -140,490.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	GAIN/LOSS ON DISPOSAL OF FIXED ASSETS -9,868. COST OF GOODS SOLD REPORTED ON PART VIII -504,061. RESTRICTED REVENUES RECEIVED 4,013,755.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	GAIN/LOSS ON DISPOSAL OF FIXED ASSETS 9,868. COST OF GOODS SOLD REPORTED ON PART VIII 504,061. ROUNDING -646.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 1,968,505. EXPENSES RECORDED WITH REVENUES ON FINANCIAL STATEMENTS 140,490.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM	PROGRAM SERVICE	TECHNOLOGY SUPPLIES	$3,000
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM	PROGRAM SERVICE	DUES AND SUBSCRIPTIONS	$2,000
NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES	PROGRAM SERVICES	CONSULTING FEES	$24,000
NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES	PROGRAM SERVICE	MEDICAL SUPPLIES	$7,000

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$36,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$36,000	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3:	METHOD OF ACCOUNTING USED TO ACCOUNT FOR FOREIGN EXPENDITURES: ACCRUAL.
PART V:	SCCA SOURCED SOFTWARE, CONSULTING SERVICES AND SUPPLIES OUTSIDE THE U.S. SCCA SUBSCRIBED TO A DONOR DATABASE MAINTAINED IN EUROPE.

Schedule G IRS990ScheduleG

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

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
FRED HUTCHINSON CANCER RESEARCH CENTER
1100 FAIRVIEW AVENUE NORTH	SEATTLE	WA	98109	DEVELOPMENT, GIFT PROCESSING	0	$0	$24,613	-$24,613
UNIVERSITY OF WASHINGTON
PO BOX 358047	SEATTLE	WA	98195	FALL MAILING AND STRATEGY	0	$0	$23,566	-$23,566

Field	Value	IRS element (for citing)
Total Retained By Contractors	$48,179	TotalRetainedByContractorsAmt
Total Net To Organization	-$48,179	TotalNetToOrganizationAmt
Licensed States	AL	LicensedStatesCd
Licensed States	AK	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	NV	LicensedStatesCd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,383,069	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,383,069	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,459,368	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,142,572	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,316,796	NetCommunityBenefitExpnsAmt
Total Expense	0.04710	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$158	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$127	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,842,595	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,142,603	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,699,992	NetCommunityBenefitExpnsAmt
Total Expense	0.05420	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,727,269	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,393,354	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,333,915	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,675,255	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$213,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,462,031	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,379,128	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$306,160	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,072,968	NetCommunityBenefitExpnsAmt
Total Expense	0.02130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$957,785	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,579	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$944,206	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,739,437	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,926,317	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,813,120	NetCommunityBenefitExpnsAmt
Total Expense	0.03970	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,582,032	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,068,920	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,513,112	NetCommunityBenefitExpnsAmt
Total Expense	0.09390	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	338	PersonsServedCnt
Total Community Benefit Expns	$147,344	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$147,344	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	338	PersonsServedCnt
Total Community Benefit Expns	$147,344	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$147,344	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,968,505	BadDebtExpenseAmt
Reimbursed By Medicare	$113,613,117	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$126,320,329	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$12,707,212	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.SEATTLECCA.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SEATTLECCA.ORG	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.SEATTLECCA.ORG/FINANCIAL-ASSISTANCE-RESOURCES.CFM#SCCA	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.SEATTLECCA.ORG/FINANCIAL-ASSISTANCE-RESOURCES.CFM#SCCA	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.SEATTLECCA.ORG/FINANCIAL-ASSISTANCE-RESOURCES.CFM#SCCA	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 INTENDS TO ADDRESS ALL THE ISSUES RAISED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT. WE RE-ORDERED THE PRIORITIES IDENTIFIED IN THE CHNA TO BETTER REFLECT HOW WE WILL APPROACH THE WORK AS PART OF OUR IMPLEMENTATION PLAN. WORK WILL OCCUR IN FOUR MAIN PRIORITY AREAS: COMMUNITY HEALTH INFRASTRUCTURE, CANCER SCREENING AND PREVENTION, ACCESS TO SERVICES, AND SURVIVORSHIP. WE WILL FOCUS ON SPECIAL POPULATIONS IDENTIFIED IN THE CHNA - SENIORS, LOW-INCOME INDIVIDUALS, AND RECENT IMMIGRANTS AND THOSE WITH LIMITED ENGLISH PROFICIENCY - ACROSS ALL FOUR PRIORITY AREAS.COMMUNITY HEALTH INFRASTRUCTURE:IN ORDER FOR SCCA TO EFFECTIVELY EXECUTE ITS COMMUNITY BENEFIT PRIORITIES, WE WILL WORK TO ENSURE OUR PROGRAM OPERATES WITH A STRONG FOUNDATION, INCLUDING ROBUST STRUCTURES, PROCESSES, AND COLLABORATION TO SUPPORT THE WORK; BETTER DATA TO HELP TARGET OUTREACH INTERVENTIONS; AND STRONG PARTICIPATION IN EFFORTS TO ADVANCE THE FIELD OF KNOWLEDGE OF CANCER CARE.CANCER SCREENING AND PREVENTION:IN THE AREA OF SCREENING AND PREVENTION, WE SEEK TO BUILD ON BETTER DATA AND A DEEPER UNDERSTANDING OF THE NEEDS OF OUR COMMUNITY TO MORE EFFECTIVELY TARGET OUR POPULATIONS IN NEED OF EDUCATION AND OUTREACH ON HEALTHY LIFESTYLES, CANCER PREVENTION, AND CANCER SCREENING. WE ALSO SEEK TO EXPAND THE NUMBER OF INDIVIDUALS RECEIVING RECOMMENDED MAMMOGRAMS AND LUNG CANCER SCREENINGS BY DIRECTLY PROVIDING THESE SERVICES TO INDIVIDUALS IN NEED.ACCESS TO SERVICES:THE BENEFIT OF THE ADVANCEMENTS IN CANCER CARE DRIVEN BY SCCA AND OTHER SIMILAR INSTITUTIONS IS NOT SHARED EQUALLY AMONG ALL GROUPS. THESE HEALTH DISPARITIES ARE DUE IN PART TO BARRIERS TO ACCESS, INCLUDING LACK OF INSURANCE COVERAGE; NON-FINANCIAL BARRIERS TO ACCESS, SUCH AS LOW MEDICAL LITERACY; AND EVEN SEEMINGLY SIMPLE BARRIERS, SUCH AS LACK OF ACCESS TO RELIABLE TRANSPORTATION. AS PART OF OUR IMPLEMENTATION PLAN, WE WILL SEEK TO MINIMIZE THESE BARRIERS TO ACCESS FOR TARGET POPULATIONS BY CONNECTING PATIENTS WITH INSURANCE COVERAGE; IMPROVING RESOURCES FOR THOSE WITH LIMITED ENGLISH PROFICIENCY AND IMPROVING THE CULTURAL COMPETENCY OF OUR STAFF; WORKING TO INCREASE CLINICAL TRIAL ENROLLMENT FOR LOW-INCOME AND MINORITY PATIENTS IN OUR COMMUNITY; AND OFFERING FREE TRANSPORTATION TO AND FROM CLINICAL SERVICES FOR THOSE IN NEED.SURVIVORSHIP:AS CANCER MORTALITY RATES IMPROVE AND MORE MEMBERS OF OUR COMMUNITY SURVIVE AND LIVE WITH CANCER OR A HISTORY OF CANCER, WE RECOGNIZE THE NEED TO ADDRESS ISSUES RELATED TO SURVIVORSHIP AND TO IMPROVE RESOURCES FOR THIS POPULATION. WE WILL CONTINUE TO OFFER A SURVIVORSHIP CLINIC FOR PATIENTS THROUGHOUT OUR COMMUNITY, AND SEEK TO GROW THE NUMBER OF INDIVIDUALS WE SERVE OVER TIME.
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.
SEATTLE CANCER CARE ALLIANCE	PART V, SECTION B, LINE 21D: SCCA DOES NOT OPERATE AN EMERGENCY ROOM FACILITY. SCCA HAS PROCEDURES IN PLACE WHEN A PATIENT ENTERS INTO AN EMERGENT CONDITION TO STABILIZE THE PATIENT AND MOVE THEM TO AN APPROPRIATE EMERGENCY FACILITY. SCCA STABILIZES THE PATIENT WITHOUT DISCRIMINATION AND ELIGIBILITY TO PAY.
SEATTLE CANCER CARE ALLIANCE	PART V, SECTION B, LINE 22D: TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP ELIGIBLE INDIVIDUALS, SCCA USES THE REMAINING FAP PERCENTAGE MULTIPLIED BY THE GROSS CHARGES. IF THE PATIENT IS DEEMED FAP ELIGIBLE FOR 60%, THE AMOUNT BILLED TO THE ELIGIBLE PATIENT IS 40% MULTIPLIED BY THEIR GROSS BILLED CHARGES. SCCA DOES NOT CHARGE ANY PERSON QUALIFYING FOR FINANCIAL ASSISTANCE UNDER THE ABOVE SLIDING FEE SCALE MORE THAN THE AMOUNT THAT SCCA WOULD EXPECT TO BE REIMBURSED FOR THE SAME SERVICES IF THE PATIENT WERE A MEDICARE BENEFICIARY. SCCA WILL NOT REQUIRE ANY PERSON QUALIFYING FOR FINANCIAL ASSISTANCE TO PAY SCCA'S GROSS CHARGES RATE. ANY REMAINING RESPONSIBILITY AFTER THE ALLOCATION OF APPROVED FINANCIAL ASSISTANCE IS DUE 30 DAYS FROM THE STATEMENT DATE.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SEATTLE CANCER CARE ALLIANCE
825 EASTLAKE AVENUE E	SEATTLE	WA	98109	HOSPITAL BASED OUTPATIENT CLINIC
2 - SCCA AT EVERGREEN HEALTH
12040 NE 128TH STREET	KIRKLAND	WA	98034	HOSPITAL BASED OUTPATIENT CLINIC
3 - SEATTLE CANCER CARE ALLIANCE HOUSE
207 PONTIUS AVENUE N	SEATTLE	WA	98109	TEMPORARY MEDICAL HOUSING FACILITY
4 - SCCA NWH MED ONC & RAD ONC CLINIC
1560 N 115TH ST - SUITE G-16B	SEATTLE	WA	981338498	HOSPITAL BASED OUTPATIENT CLINIC
5 - SCCA PROTON THERAPY CENTER
1570 N 115TH STREET	SEATTLE	WA	98133	OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ACCORDANCE WITH WAC 246-453-040 AND SUBJECT TO SCCA FINANCIAL RESOURCES, PATIENTS WILL BE ELIGIBLE TO BE CONSIDERED FOR 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. IF THE PARTY RESPONSIBLE FOR PAYMENT HAS A FAMILY INCOME BETWEEN 200% AND 300% OF THE FEDERAL POVERTY STANDARD AS ADJUSTED FOR FAMILY SIZE, THE PATIENT WILL BE ELIGIBLE FOR CHARITY CARE BASED ON A SLIDING FEE SCALE FOR 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 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 PEPARES 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 $1,968,505. 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 11(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 ALL COSTS INCURRED FOR THE MEDICARE PROGRAM. IT INCLUDES THE AS FILED MEDICARE COST REPORT FOR FY16 PREPARED USING THE CMS PROVIDER REIMBURSEMENT MANUAL PUB 15, A CALCULATION FOR THE NON-COST REPORT FEE SCHEDULE, AND MEDICARE MANAGED CARE.THE NON-MEDICARE COST REPORT FEE SCHEDULE AND THE MANAGED CARE REVENUES REPORTED ON PART III, LINE 5 WERE BASED ON THE REIMBURSEMENT RECEIVED FROM MEDICARE. THE COSTS REPORTED ON LINE 6 WERE DERIVED USING THE RATIO OF COST TO CHARGES FROM THE AS FILED MEDICARE COST REPORT. PART III, NON-COST REPORT SECTION B FEE SCHED. MANAGED CARE TOTAL MEDICAREMEDICARE REVENUE $93,192,703 $1,601,317 $18,819,097 $113,613,117MEDICARE EXPENSE $103,352,417 $2,633,275 $20,334,637 $126,320,329SHORTFALL ($10,159,714) ($1,031,958) ($1,515,540) ($12,707,212)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. PATIENTS WHO HAVE BEEN AWARDED PARTIAL CHARITY (40% OR 60%) MAY BE SENT TO COLLECTIONS IF THE REMAINING PATIENT BALANCES ARE NOT PAID OR ARRANGEMENTS MADE WITHIN 91 DAYS OF THE FIRST BILLING CYCLE.
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.SCCA HAS A FORMAL COMMUNITY ASSESSMENT PROCESS UNDERWAY THAT IS IN COMPLIANCE WITH THE PATIENT PROTECTION ACT AND 501(R). SCCA FOCUSED IN ON THE STATE OF WASHINGTON AND THE IMPACT OF CANCER, IDENTIFYING THE LEADING CAUSES OF DEATH FROM CANCER. SCCA DEFINED ITS COMMUNITY IN ITS CHNA PROCESS TO BE THE THREE SURROUNDING COUNTIES: KING, PIERCE, AND SNOHOMISH COUNTIES. A STUDY OF THE DEMOGRAPHICS OF THE THREE COUNTIES BY GENDER AND ETHNICITY AS COMPARED TO THE SCCA PATIENT POPULATION WAS ANALYZED. THE LEADING CAUSES OF DEATH IN THE THREE COUNTY AREAS VERSUS WASHINGTON STATE WERE REVIEWED. THIS ANALYSIS IDENTIFIED CANCER AS THE LEADING CAUSE OF DEATH. FURTHER ANALYSIS WAS COMPLETED LOOKING AT THE TYPES OF CANCER CAUSING MORTALITY. THE NUMBER ONE CAUSE OF DEATH IN WASHINGTON STATE AND KING, SNOHOMISH, AND PIERCE COUNTIES WAS IDENTIFIED TO BE LUNG CANCER, FOLLOWED BY, PROSTATE, BREAST, COLORECTAL, AND PANCREAS CANCERS. AS PART OF THE CHNA PROCESS, SCCA LOOKED AT PREVENTION AND SCREENING AND THE CHRONIC DISEASE RISK FACTORS. SCCA REVIEWED ITS PROGRAMS ADDRESSING COMMUNITY NEED AND IDENTIFIED AREAS TO FOCUS ON TO HELP CLOSE THE GAP. SCCA IS IMPLEMENTING TARGETED OUTREACH AND EDUCATIONAL PROGRAMS TO PROVIDE RESOURCE INFORMATION, EDUCATION, AND PREVENTATIVE HEALTH MESSAGES THAT ARE CULTURALLY AND LINGUISTICALLY APPROPRIATE.
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 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 FOURTEEN COMMUNITY CANCER CENTER AFFILIATES IN WASHINGTON, ALASKA, IDAHO, OREGON, 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 IN THE AREAS OF EARLY DETECTION AND PREVENTION OF CANCER. ANOTHER ASPECT OF THE SEA MAR RELATIONSHIP IS TO FOSTER CONTINUITY OF CARE FOR SEA MAR PATIENTS WHO ARE DIAGNOSED WITH CANCER BETWEEN SEA MAR, SCCA, AND SCCA'S NETWORK MEMBERS.
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 SINCE OUR LAST FILING: 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 200 ACTIVE CLINICAL TRIALS OPEN FOR PATIENTS. IN FACT, SEATTLE CANCER CARE ALLIANCE IS THE ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER IN THE NORTHWEST-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 14,000 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; NEW NETWORK AFFILIATIONS WITH HOSPITALS IN WASHINGTON, OREGON, IDAHO, MONTANA, HAWAII, AND ALASKA, AND WE HAVE A CLINICAL SERVICES AGREEMENT WITH A PROTON THERAPY CENTER THAT FACILITATES MEDICAL OVERSIGHT OF THE CENTER. 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 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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF WASHINGTON FOUNDATION
PO BOX 358045	SEATTLE	WA	98195	943079432	501(C)(3)	$503,830	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)	$336,025	N/A	N/A	TO FUND SPECIFIC CANCER RESEARCH ACTIVITIES
RICHARD SHERMAN FAMILY FOUNDATION
17791 FJORD DR NE	POULSBO	WA	98370	462420963	501(C)(3)	$75,000	N/A	N/A	TO SPONSOR RICHARD SHERMAN CELEBRITY SOFTBALL GAME
SEATTLE THEATRE GROUP
911 PINE STREET	SEATTLE	WA	98101	943130227	501(C)(3)	$65,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
AMERICAN CANCER SOCIETY
2120 1ST AVE N	SEATTLE	WA	98109	910583892	501(C)(3)	$57,500	N/A	N/A	TO SPONSOR BREAKFAST AND GALA AND COMMUNITY EVENT
NORTHWEST FOLKLIFE
305 HARRISON ST	SEATTLE	WA	98109	911311548	501(C)(3)	$35,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
SEAFAIR FOUNDATION
2200 6TH AVE STE 400	SEATTLE	WA	98121	261233489	501(C)(3)	$35,000	N/A	N/A	TO SPONSOR 2016 FAMILY FOURTH EVENT
AMERICAN CANCER SOCIETY CANCER ACTION NETWORK
555 11TH STREET NW STE 300	WASHINGTON	DC	20004	522340031	501(C)(3)	$24,000	N/A	N/A	TO SPONSOR SEATTLE RESEARCH BREAKFAST EVENT
LIGHT KNOWLEDGE RESOURCES LLC
103 CARNEGIE CENTER STE 106	PRINCETON	NJ	08540	203145931		$24,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
LIQUID VELO DBA SCCASTARBUCKS CYCLING
8809 27TH AVE NW	SEATTLE	WA	98117	274072470	501(C)(3)	$20,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
SUSAN G KOMEN BREAST CANCER FOUNDATION
1900 NORTHLAKE WAY STE 135	SEATTLE	WA	98103	911624040	501(C)(3)	$20,000	N/A	N/A	TO SPONSOR PINK PEARL RACE
PINK BOAT REGATTA
2442 NW MARKET ST 265	SEATTLE	WA	98107	464971664	501(C)(3)	$20,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
BINAYTARA FOUNDATION
3502 QUAILRIDGE DRIVE	CLARKSTON	WA	99403	261603676	501(C)(3)	$10,500	N/A	N/A	TO SPONSOR 4TH INT'L CONFERENCE ON ADVANCES IN HEMATOLOGY AND ONCOLOGY
OLYMPIC MEDICAL CENTER FOUNDATION
928 CAROLINE STREET	PORT ANGELES	WA	98362	916001709	501(C)(3)	$10,000	N/A	N/A	TO SPONSOR 2015 HARVEST OF HOPE EVENT
EVERGREEN HEALTH FOUNDATION
12040 NE 128TH ST MS 5	KIRKLAND	WA	98034	911519430	501(C)(3)	$10,000	N/A	N/A	TO SPONSOR 2016 EVERGREEN GALA
CIERRA SISTERS INC
5616 SOUTH LANGSTON RD	SEATTLE	WA	98178	943089631	501(C)(3)	$10,000	N/A	N/A	TO SPONSOR 20TH ANNIVERSARY GALA
AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC
822 JOHN STREET	SEATTLE	WA	98109	930386887	501(C)(3)	$10,000	N/A	N/A	TO SPONSOR LUNG FORCE WALK AND EXPO SEATTLE

Field	Value	IRS element (for citing)
Total501c3 Org	16	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (15 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
GAS	47	$2,264	$0	N/A	N/A
FOOD	370	$82,600	$29,617	FMV	GROCERY GIFT CARDS PROVIDED TO PATIENTS FOR FOOD
SHELTER	179	$17,081	$318,064	FMV	RENTS PAID FOR PATIENTS
MEDICAL ACCESSORIES	1310	$0	$2,308	FMV	MEDICAL ACCESSORIES INCLUDING PARTS, SUPPLIES FOR PROSTHESIS
PARKING	37	$100	$0	N/A	N/A
SUNDRIES	6535	$0	$36,031	FMV	BOOKS, DVDS, CDS, MAGAZINES, BAGS, TOYS, BLANKETS & OTHERS
TRANSPORTATION	23	$5,112	$0	N/A	N/A
UTILITIES	7	$2,032	$0	N/A	N/A
WIGS	1324	$0	$11,938	FMV	WIGS AND HATS FOR CANCER PATIENTS
MEDICAL	24	$1,458	$13,252	FMV	MEDICAL DRUGS & HEALTH INSURANCE
TICKETS	2312	$0	$75,550	FMV	EVENT TICKETS TO SPORTS GAMES, ART PERFORMANCES AND LOCAL ATTRACTIONS
PEGGY MEANS SCHOLARSHIP	3	$27,500	$0	N/A	N/A
STEINBERG SCHOLARSHIP	12	$14,596	$0	N/A	N/A
RESEARCH AWARD	1	$20,000	$0	N/A	N/A
FUTURE OF ONCOLOGY SCHOLARSHIP	3	$9,000	$0	N/A	N/A

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	WITH REGARD TO GRANTS TO ORGANIZATIONS REPORTED ON SCHEDULE I, PART II, THE SCCA VERIFIES THE GRANTEES ARE QUALIFIED 501(C)(3) ORGANIZATIONS WITH A MISSION COMPATIBLE WITH THAT OF SCCA. UNDER CERTAIN CIRCUMSTANCES, SCCA WILL CONSIDER GRANTING FUNDS TO 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FRED APPELBAUM MD
EXECUTIVE DIRECTOR AND PRESIDENT	$230,848	$0	$98,009	$0	$0	$0	$0	$0	$0	$0	$328,857	$0	$0	$0
NORMAN HUBBARD
EXECUTIVE VICE PRESIDENT	$524,817	$0	$89,901	$0	$79,002	$0	$71,396	$0	$23,345	$0	$788,461	$0	$0	$0
DAVID ACKERSON
CHIEF INFORMATION OFFICER AND VP	$321,000	$0	$41,027	$0	$33,257	$0	$33,825	$0	$11,406	$0	$440,515	$0	$0	$0
DEBORAH GENTZEN
CHIEF STRATEGY OFFICER AND VP	$348,582	$0	$45,317	$0	$41,237	$0	$39,378	$0	$22,520	$0	$497,034	$0	$0	$0
BARBARA JAGELS
CHIEF QUALITY OFFICER AND VP	$220,508	$0	$27,054	$0	$0	$0	$32,558	$0	$21,641	$0	$301,761	$0	$0	$0
ANGELIQUE RICHARD
CHIEF NURSE EXECUTIVE AND VP	$378,379	$0	$47,595	$0	$0	$0	$26,282	$0	$16,104	$0	$468,360	$0	$0	$0
F MARC STEWART MD
MEDICAL DIRECTOR AND VICE PRESIDENT	$415,410	$0	$95,291	$0	$0	$0	$0	$0	$0	$0	$510,701	$0	$0	$0
JONATHAN TINGSTAD
CHIEF FINANCIAL OFFICER AND VP	$383,437	$0	$48,061	$0	$49,010	$0	$44,737	$0	$22,724	$0	$547,969	$0	$0	$0
GRETCHEN HANNA
DIR. CORPORATE FINANCE	$216,686	$0	$18,107	$0	$0	$0	$22,541	$0	$10,489	$0	$267,823	$0	$0	$0
JOSEPH NORTON
DIRECTOR FINANCE	$210,651	$0	$18,072	$0	$0	$0	$22,343	$0	$14,759	$0	$265,825	$0	$0	$0
CHERYL WYMAN
DIR. DIAGNOSTIC & THERAPEUTIC SVCS	$212,699	$0	$9,074	$0	$0	$0	$21,310	$0	$16,193	$0	$259,276	$0	$0	$0
ALEANA WAITE
DIR. RES INTEG/IMMUNO/CELL THERAPY	$188,514	$0	$16,287	$0	$0	$0	$18,862	$0	$16,581	$0	$240,244	$0	$0	$0
KRISTINE LOGAN
DIR. PT ACCESS & FACILITIES	$180,653	$0	$14,621	$0	$0	$0	$16,985	$0	$9,895	$0	$222,154	$0	$0	$0
SUSAN HAMMOND
DIR. PROGRAM MANAGEMENT	$176,068	$0	$14,909	$0	$0	$0	$17,344	$0	$15,743	$0	$224,064	$0	$0	$0
MOREEN DUDLEY
DIR. SPPT CARE/RAD SVC/SPC CLIN	$170,398	$0	$15,030	$0	$0	$0	$17,040	$0	$14,340	$0	$216,808	$0	$0	$0
LINDA LAKE
DIR. CLIN INFO SYST & HIM	$170,595	$0	$14,072	$0	$0	$0	$16,062	$0	$9,822	$0	$210,551	$0	$0	$0
ALPHONSO EMERY
DIR. DIVERSITY EFFORTS	$165,118	$0	$13,933	$0	$0	$0	$15,845	$0	$9,256	$0	$204,152	$0	$0	$0
MICHELLE HALL
DIR. IT SERVICES	$159,141	$0	$13,610	$0	$0	$0	$15,342	$0	$15,950	$0	$204,043	$0	$0	$0
SHARI MCCLURE
DIR. STRATEGY & BUS DEV	$157,871	$0	$13,181	$0	$0	$0	$14,907	$0	$9,660	$0	$195,619	$0	$0	$0
CAMILLE RAPACZ
DIR. STRAT OUTREACH/CCA NETWORK	$154,675	$0	$13,270	$0	$0	$0	$14,857	$0	$16,222	$0	$199,024	$0	$0	$0
HOLLY ROSENFELD
DIR. MARKETING	$154,972	$0	$7,097	$0	$0	$0	$2,487	$0	$20,011	$0	$184,567	$0	$0	$0
TRACI PRANZINI
CORPORATE INTEGRITY OFFICER	$149,112	$0	$12,471	$0	$0	$0	$13,785	$0	$9,650	$0	$185,018	$0	$0	$0
ADA MOHEDANO
DIR. CLIN ANALYTICS & BUS INTEL	$153,915	$0	$4,449	$0	$0	$0	$13,386	$0	$9,614	$0	$181,364	$0	$0	$0
GANSUVD BALGANSUREN
DIR. CLINICAL IMMUNOGENETICS LABS	$152,600	$0	$500	$0	$0	$0	$2,486	$0	$16,198	$0	$171,784	$0	$0	$0
CECILIA ZAPATA
DIR. STRAT OUTREACH/CCA NETWORK	$152,533	$0	$13,615	$0	$0	$0	$14,284	$0	$9,671	$0	$190,103	$0	$0	$0
TIMOTHY EHLING
ASSOC DIR. OPERATIONS	$146,161	$0	$7,525	$0	$0	$0	$13,578	$0	$20,628	$0	$187,892	$0	$0	$0
MATTHEW MCSWEYN
ASSC DIR. ENTERPRISE APPS	$141,519	$0	$6,286	$0	$0	$0	$13,048	$0	$19,233	$0	$180,086	$0	$0	$0
DEBORAH STENHJEM
DIR. REV CYCLE MGMT	$133,828	$0	$12,062	$0	$0	$0	$13,030	$0	$20,281	$0	$179,201	$0	$0	$0
DONNA KERN
RN	$149,901	$0	$500	$0	$0	$0	$12,365	$0	$15,730	$0	$178,496	$0	$0	$0
LORI BARE
IT INFRASTRUCTURE MGR	$195,602	$0	$500	$0	$0	$0	$0	$0	$0	$0	$196,102	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	SCCA LEADERSHIP TEAM HAS MEMBERSHIPS AT LOCAL CLUBS TO ENABLE MEETINGS AND RECRUITMENT TO TAKE PLACE. JONATHAN TINGSTAD AND F. MARC STEWART RECEIVED THESE BENEFITS. SCCA HAS A DETAILED EXPENSE REIMBURSEMENT POLICY FOR TRAVEL AND ENTERTAINMENT. THE HEALTH/SOCIAL CLUB DUES ARE NOT SPECIFICALLY INCLUDED IN THE WRITTEN POLICY. SCCA REIMBURSES FOR THESE EXPENSES SUBJECT TO THE TERMS OF THE OVERALL POLICY. ANY PAYMENTS WHICH ARE A TAXABLE FRINGE BENEFIT ARE INCLUDED IN THE TAXABLE INCOME REPORTABLE ON FORM W-2 FOR THE RECIPIENT. ALL RELATED CORPORATE EXPENSES ARE MONITORED BY THE ACCOUNTING SUPERVISOR FOR PERSONAL/BUSINESS USE FOR COMPLIANCE WITH THE ACCOUNTABLE PLAN AND REIMBURSEMENT POLICY.
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' INTERESTS UNDER THESE ARRANGEMENTS (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 BENEFIT UNDER THE 457(F) PORTION OF THIS PLAN IS FORFEITED IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT, OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE OF THE PLAN. IN ADDITION, UNDER CURRENT LAW, INTERESTS 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 E $37,571 TINGSTAD, JONATHAN M $10,912 GENTZEN, DEBORAH K $5,553 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 HAD 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. ON THE VESTING DATE IN 2015 THE FOLLOWING RECEIVED A PORTION OF THE CATCH-UP AMOUNT: HUBBARD, NORMAN E $61,003 TINGSTAD, JONATHAN M $31,011 GENTZEN, DEBORAH K $23,237 ACKERSON, DAVID $15,697
SCHEDULE J, PART II:	FRED APPELBAUM, MD RECEIVED COMPENSATION OF $328,857 FROM FRED HUTCHINSON CANCER RESEARCH CENTER, AN UNRELATED ORGANIZATION FOR SERVICES PROVIDED TO SEATTLE CANCER CARE ALLIANCE. F. MARC STEWART, MD RECEIVED COMPENSATION OF $510,701 FROM FRED HUTCHINSON CANCER RESEARCH CENTER, AN UNRELATED ORGANIZATION FOR SERVICES PROVIDED TO SEATTLE CANCER CARE ALLIANCE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$2,501,000	$21,415,000	$21,090,000	$325,000	2009	Yes (1)	0	Yes (1)	Yes (1)
B	$4,340,000	$97,921,097	$96,652,346	$1,268,751	2010	0	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	Yes (1)	0.00710	0.00000	0.00710	0	Yes (1)	Yes (1)	Yes (1)	0.00180	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

DATE REBATE COMPUTATION PERFORMED

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

PART III, LINE 4, COLUMN B

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

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$6,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SELLING PRICE	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$14,929	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SELLING PRICE	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	5	ContributionCnt
Noncash Contributions Rpt F990	$204,726	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SELLING PRICE	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	203	ContributionCnt
Noncash Contributions Rpt F990	$552	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SELLING PRICE	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1310	ContributionCnt
Noncash Contributions Rpt F990	$2,308	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SELLING PRICE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	EVENT TICKETS	2312	$75,550	SELLING PRICE
Yes (X)	HATS/WIGS	1285	$10,672	SELLING PRICE

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6:	THE VOLUNTEERS OFFER DIRECT SUPPORT IN SOCIAL, EMOTIONAL, AND PRACTICAL WAYS TO CONNECT WITH PATIENTS AND FAMILIES THROUGHOUT EACH PHASE OF A PATIENT'S EXPERIENCE WITH SCCA. THE SCCA HAS 27 VOLUNTEER ROLES: BREAST CENTER, CHILD LIFE, COMFORT HAND MASSAGE, COSMETOLOGY/BARBER, CRAFTS & CONVERSATION, DRIVERS, OTHER EVENTS, EVENTS COMMITTEE, GENERAL ONCOLOGY HEMATOLOGY LOBBY, GUEST SERVICES, HEALING MUSIC, HOLIDAY MEALS/PARTY, HUTCH SCHOOL, LABYRINTH, MARKETING EVENTS, PATIENT EDUCATION, PATIENT/FAMILY SERVICES, PHYSICAL THERAPY, RAIN OR SHINE GIFT SHOP, SCCA HOUSE KITCHEN HOST, SHINE, SCCA HOUSE CONCIERGE, TRAINING, VOLUNTEER ADVISORY COUNCIL, VOLUNTEER GROUPS, AND WIG FITTER. THE 18 MEMBERS OF THE BOARD ALSO SERVE AS VOLUNTEERS.
FORM 990, PART VI, SECTION A, LINE 2	MARK GROUDINE, RICH MCCUNE, MYRA TANITA, NICOLE ROBINSON, AND FRED APPELBAUM 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. LISA BRANDENBURG, MIKE DELMAN, BOB FLOWERS AND BRUDER STAPLETON HAVE BUSINESS RELATIONSHIPS. EACH NAMED INDIVIDUAL SERVES AS A SCCA BOARD MEMBER, AND THESE INDIVIDUALS ARE ALSO 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 11	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 NOVEMBER 2015. 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 45,117,087. MANAGEMENT AND GENERAL EXPENSES 1,595,908. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,712,995. INFO TECH & ADMIN SERVICES: PROGRAM SERVICE EXPENSES 2,575,859. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,575,859. LAB SERVICES: PROGRAM SERVICE EXPENSES 9,563,911. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,563,911. OTHER AGREEMENTS: PROGRAM SERVICE EXPENSES 415,391. MANAGEMENT AND GENERAL EXPENSES 385,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 800,391. PHARMACY AND CLINIC SERVICES: PROGRAM SERVICE EXPENSES 8,075,601. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,075,601. PHYSICIAN AGREEMENTS: PROGRAM SERVICE EXPENSES 28,141,174. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,141,174.