2017-06-14T16:57:16-05:00 2015-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2014-07-01 911935159 SEATTLE CANCER CARE ALLIANCE SEAT 2062881000 825 EASTLAKE AVE E PO BOX 19023 SEATTLE WA 981091023 JONATHAN TINGSTAD CHIEF FINANCIAL OFFICER 2062881000 2017-05-25 1 SARA ELIZABETH J HYRE P00235495 4254544919 2017-05-25 2014 2021-01-29 14:40:06Z X FRED APPELBAUM MD 1100 FAIRVIEW AVE N SEATTLE WA 98109 553083571 0 X WWW.SEATTLECCA.ORG X 1998 WA SEATTLE CANCER CARE ALLIANCE (SCCA) IS A NATIONAL CANCER INSTITUTE (NCI)(SEE SCHEDULE O) DESIGNATED COMPREHENSIVE CANCER TREATMENT CENTER THAT UNITES THE DOCTORS FROM FRED HUTCHINSON CANCER RESEARCH CENTER, UW MEDICINE, AND SEATTLE CHILDREN'S. OUR GOAL, EVERY DAY, IS TO TURN CANCER PATIENTS INTO CANCER SURVIVORS. OUR PURPOSE IS TO LEAD THE WORLD IN THE PREVENTION AND TREATMENT OF CANCER. 18 18 1517 236 0 0 2092569 2501715 430480614 476998099 1996124 7463736 41875 -22840944 434611182 464122606 1301089 1606020 0 0 99764523 111034354 21405 21870 21870 308327052 331230365 409414069 443892609 25197113 20229997 488899365 523790656 170708733 187968271 318190632 335822385 X SEATTLE CANCER CARE ALLIANCE, SCCA, IS A PART OF THE FRED HUTCHINSON/UW CANCER CONSORTIUM, THE CONSORTIUM, WHICH IS ONE OF 41 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. 0 0 335621781 1445919 474873890 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, 2015, SCCA TREATED 7,065 NEW PATIENTS WITHIN THE CANCER AND BONE MARROW/STEM CELL TRANSPLANT PROGRAMS. SCCA ALSO HAD 76,604 CLINIC VISITS, 101,174 INFUSION HOURS, 12,245 RADIATION ONCOLOGY TREATMENTS, AND PERFORMED (SEE SCHEDULE O) 53,973 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 TO CANCER PATIENTS, CAREGIVERS, THEIR FAMILIES, AND CANCER SURVIVORS. 2712224 160101 2202816 SEATTLE CANCER CARE ALLIANCE 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 WELLNESS AND EXERCISE ROOMS, IN ROOM KITCHENETTES, A LARGE COMMON KITCHEN AND DINING ROOM, RESOURCE CENTER AND LIBRARY, THEATER, EXERCISE ROOM, IN-ROOM, SEPARATE CAREGIVER SLEEPING AREAS, FREE LAUNDRY 24 HRS/DAY, FREE WIRELESS INTERNET ACCESS, SECURE BUILDING, GARAGE AND PARKING, (SEE SCHEDULE O) INFECTION CONTROL MEASURES, AS WELL AS A ROOFTOP GARDEN. 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. SCCA PROTON THERAPY, A PROCURE 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. 338334005 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 133 0 1 1517 1 0 0 0 0 0 0 0 0 0 0 X 18 18 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 1 AL AK AR CO CT FL HI IL KS KY ME MD MA MI MS NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WA WV WI MN MO AZ X JONATHAN TINGSTAD 2062881058 825 EASTLAKE AVENUE EAST PO BOX SEATTLE WA 98109 CARL BEHNKE CHAIRMAN 10.00 X X 0 0 0 RICH MCCUNE VICE CHAIR 2.00 X X 0 0 0 MIKE DELMAN TREASURER 3.00 X X 0 0 0 KIMBERLY MCNALLY MN RN SECRETARY 2.00 X X 0 0 0 ROBB BAKEMEIER DIRECTOR 3.00 X 0 0 0 LISA BRANDENBURG DIRECTOR 2.50 X 0 0 0 BOB FLOWERS DIRECTOR 2.50 X 0 0 0 KARI GLOVER DIRECTOR 1.00 X 0 0 0 MARK GROUDINE MD PHD DIRECTOR 2.00 X 0 0 0 RUTH MAHAN DIRECTOR 5.00 X 0 0 0 LINDA MATTOX DIRECTOR 1.50 X 0 0 0 SHAN MULLIN DIRECTOR 2.00 X 0 0 0 BROOKS RAGEN DIRECTOR 1.50 X 0 0 0 JOHNESE SPISSO DIRECTOR 2.00 X 0 0 0 BRUDER STAPLETON MD DIRECTOR 1.50 X 0 0 0 MYRA TANITA DIRECTOR 2.00 X 0 0 0 JOANN TARICANI DIRECTOR 1.00 X 0 0 0 RICHARD YARMUTH DIRECTOR 2.50 X 0 0 0 FRED APPELBAUM MD PRESIDENT AND EXECUTIVE DIRECTOR 12.00 X 339496 0 0 DAVID ACKERSON VP CHIEF INFORMATION OFFICER 55.00 X 373201 0 43864 DEBORAH GENTZEN VP CHIEF STRATEGY OFFICER 55.00 X 405911 0 57501 BARBARA JAGELS VP QUALITY SAFETY AND VALUE 55.00 X 216499 0 45074 NORMAN HUBBARD EXECUTIVE VICE PRESIDENT 55.00 X 611438 0 82733 ANGELIQUE RICHARD PHD RN CNE/VP CLINICAL OPERATIONS 55.00 X 206263 0 5659 F MARC STEWART MD MEDICAL DIRECTOR/VP CLINIC & LAB OPS 30.00 X 469480 0 0 JONATHAN TINGSTAD VP CHIEF FINANCIAL OFFICER 55.00 X 447065 0 62997 CHERYL WYMAN DIR. DIAGNOSTIC & THERAPY SVCS 55.00 X 258124 0 40190 GRETCHEN HANNA DIR. CORPORATE FINANCE 55.00 X 224668 0 31103 CLAIRE BECK-KEELER DIRECTOR OF MARKETING 55.00 X 218076 0 19958 JOSEPH NORTON DIRECTOR OF FINANCE 55.00 X 217395 0 40265 ALEANA WAITE DIR. RES INTEG, IMMUNO, CELL THRPY 55.00 X 200919 0 33520 ZAKARIA RAMADAN-JRADI DIR. CELL THERAP & CLIN LABS 55.00 X 198411 0 35724 KRISTINE LOGAN DIR. PT ACCESS & FACILITIES 55.00 X 186954 0 25287 SUSAN HAMMOND DIR. PROGRAM MANAGEMENT 55.00 X 184056 0 30874 LINDA LAKE DIR. CLIN INFO SYST & HIM 55.00 X 175365 0 24098 ALPHONSO EMERY DIR DIVERSITY EFFORTS 55.00 X 172398 0 23197 MOREEN DUDLEY DIR. SUPPORT CARE/SPEC CLINICS 55.00 X 171729 0 28460 CAMILLE RAPACZ DIRECTOR OF CPI 55.00 X 161250 0 28786 SHARI MCCLURE DIR. MEDICAL STAFF SERVICES 55.00 X 159729 0 22514 MICHELLE HALL DIRECTOR OF IT SERVICES 55.00 X 153220 0 27664 MARGARET OWENS CTP QUALITY SENIOR MANAGER 65.00 X 172659 0 15102 TRACI PRANZINI CORPORATE INTEGRITY OFFICER 55.00 X 147344 0 20940 CECILIA ZAPATA DIR. REGIONAL & GLOBAL NETWORK 55.00 X 143636 0 20427 DEBORAH STENHJEM DIR. REVENUE CYCLE MGMT 55.00 X 139307 0 30471 KAREN HOLLOWAY RADIATION ONCOLOGY MGR 55.00 X 136857 0 19814 6491450 0 816222 151 0 1 1 UNIVERITY OF WASHINGTON 1959 NE 59TH AVE SUITE 1005 SEATTLE WA 98104 HEALTHCARE, SERVICES, SUPPLIES 208360837 FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE N SEATTLE WA 98109 ADMIN, SUPPORT, SVCS CONSULT. 27085795 SEATTLE CHILDREN'S HOSPITAL PO BOX 50020 SEATTLE WA 98145 HEALTHCARE SERVICES 16183072 NATIONAL MARROW DONOR PROGRAM 3001 BROADWAY ST NE MINNEAPOLIS MN 55413 MARROW TRANSPLANT SERVICES 9594232 PUGET SOUND BLOOD CENTER 921 TERRY AVENUE SEATTLE WA 98104 BLOOD & TISSUE SERVICES 5163082 84 464512 2037203 190079 2501715 CANCER HOSP/OUTPATIENT 622310 353774007 353092893 681114 MEDICARE/MEDICAID PMTS 923130 119389228 119389228 PATIENT HOUSING 624221 2202816 2202816 INTERAFFILIATE AGMTS 900099 1632048 382048 1250000 476998099 7915687 7915687 504 504 88022303 3204 88065214 412748 -42911 -409544 -452455 -452455 383123 483003 -99880 -99880 EDUCATIONAL EVENTS 923110 78607 78607 SETTLEMENT INCOME 622310 340 340 LOSS ON EXTING OF DEBT 900099 -22820011 -22820011 -22741064 464122606 475145592 0 -13524701 X 893796 893796 712224 712224 6733157 2374744 4358413 80991547 51294142 29697405 4653926 3004251 1649675 11853896 7514660 4339236 6801828 4059599 2742229 57993858 26761638 31232220 2103160 2103160 541971 541971 228689 228689 21870 21870 541522 541522 81102742 78152046 2950696 3838705 3817771 20934 7275416 4744433 2530983 4741415 822596 3918819 191327 191327 7392524 884092 6508432 656471 97390 559081 1047834 102692 945142 4317808 4317808 18917509 10328833 8588676 722330 167054 555276 MEDICAL SUPPLIES 125879775 125793478 86297 BUSINESS TAXES 10072281 9540693 531588 BAD DEBT 2728474 2728474 DUES & SUBSCRIPTIONS 667402 12092 655310 269152 18172 250980 443892609 338334005 105536734 21870 13844686 13885667 32538243 30801301 55057922 66189986 5534493 6764692 3309820 3875787 236593549 111655913 109084797 124937636 244586521 248831072 11046520 9805416 13896363 18699099 488899365 523790656 69801762 73916930 229162 291322 100677809 113760019 170708733 187968271 X 315816153 333024644 1488890 1812152 885589 985589 318190632 335822385 488899365 523790656 20229997 -2598144 -100 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 1 189000 0 1 44374 233374 0 PART II-B, LINE 1: LINE 1B: SCCA SENT LETTERS AND MADE VISITS TO FEDERAL AND STATE OFFICIALS REGARDING MEDICARE AND MEDICAID. IN ADDITION, SCCA MET WITH THE OFFICE OF THE INSURANCE COMMISSION REGARDING THE AFFORDABLE CARE ACT. 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 = $27,872. LINE 1I: ALLIANCE OF DEDICATED CANCER CENTERS REPRESENTS MEMBER INTERESTS AT THE NATIONAL LEVEL. AMOUNT EXPENDED = $11,818. LINE 1I: SCCA EMPLOYEES' DIRECT CONTACT WITH LEGISLATORS ON SUBJECT MATTER IMPACTING SCCA. AMOUNT EXPENDED = $4,684. 987202 100000 2256 1089458 906178 129324 44492 3808 987202 892849 36992 20455 3208 906178 900365 7260 14776 892849 800371 112671 12677 900365 0.00000 0.90600 0.09400 0 0 19961534 19961534 126821584 55080536 71741048 8093819 3384208 4709611 73220484 48580901 24639583 8496128 4610268 3885860 124937636 X 458725000 -2598146 -1540329 -4138475 462863475 541522 717609 1259131 464122606 441517000 893627 893627 440623373 541522 2727714 3269236 443892609 PART V, LINE 4: INCOME FROM PERMANENTLY RESTRICTED ENDOWMENT FUNDS IS USED FOR THE PURPOSE OF PROVIDING UNCOMPENSATED PATIENT CARE. PART X, LINE 2: SCCA HAS OBTAINED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE INDICATING THAT IT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR UNRELATED BUSINESS INCOME TAX. SCCA RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -2,728,474. RESTRICTED REVENUES RELEASED 1,187,874. ROUNDING 271. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN/LOSS ON DISPOSAL OF FIXED ASSETS -409,544. COST OF GOODS SOLD REPORTED ON PART VIII -483,003. RESTRICTED REVENUES RECEIVED 1,508,983. ENDOWMENT INCOME 100,000. REVENUES RECORDED WITH EXPENSES ON FINANCIAL STATEMENTS -1,080. CHANGE IN FAIR MARKET VALUE OF RESTRICTED ASSETS 2,253. PART XII, LINE 2D - OTHER ADJUSTMENTS: REVENUES RECORDED WITH EXPENSES ON FINANCIAL STATEMENTS 1,080. GAIN/LOSS ON DISPOSAL OF FIXED ASSETS 409,544. COST OF GOODS SOLD 483,003. PART XII, LINE 4B - OTHER ADJUSTMENTS: ROUNDING -760. BAD DEBT EXPENSE 2,728,474. EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 PROGRAM SERVICE BLOOD/BLOOD PATHOGENS 717 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 PROGRAM SERVICE CONSULTING SPEAKER FEES 9516 NORTH AMERICA 0 0 FUNDRAISING DRAGON BOAT FESTIVAL REGISTRATION 1500 NORTH AMERICA 0 0 PROGRAM SERVICE TECHNOLOGY SUPPLIES 56793 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, 0 0 PROGRAM SERVICE TECHNOLOGY SUPPLIES 1520 0 0 0 0 0 0 70046 0 70046 0 0 0 0 0 0 PART I, LINE 3: METHOD OF ACCOUNTING USED TO ACCOUNT FOR FOREIGN EXPENDITURES: ACCRUAL. PART V: SCCA SOURCES PERIPHERAL BLOOD STEM CELLS, BONE MARROW, AND CORD BLOOD FROM ALL OVER THE WORLD TO TREAT TRANSPLANT PATIENTS. IN DELIVERING STEM CELL TRANSPLANT SERVICES, SCCA SEEKS OUT THE MOST APPROPRIATE DONOR BASED ON CRITERIA OF HUMAN LEUKOCYTE ANTIGEN MATCH AND OTHER PERTINENT DONOR CRITERIA. HAVING THE CLOSEST POSSIBLE BONE MARROW DONOR MATCH IS CRUCIAL TO THE SURVIVAL OF THE PATIENT. ALSO, SOME OF THE FOREIGN DONOR ORGANIZATIONS HAVE HIGHER LEVELS OF TYPING ON THEIR DONOR WHICH REDUCED PATIENT COSTS. IN ADDITION, SCCA HAS SOURCED SOFTWARE OUTSIDE OF THE US. X X X X X 1 FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVENUE NORTH SEATTLE WA 98109 DEVELOPMENT, GIFT PROCESSING 0 0 21870 -21870 21870 -21870 AL AK AR CO CT FL HI IL KS KY ME MD MA MI MN MS NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WA WV WI AZ MO 1 1 X 1 X 1 X 1 1 0 1 1 3152867 3152867 0.00710 45261634 21956396 23305238 0.05280 221 129 92 0.00000 48414722 21956525 26458197 0.05990 4312715 2474648 1838067 0.00420 4577297 21585 4555712 0.01030 131807 81682 50125 0.00010 9347198 670134 8677064 0.01970 894558 894558 0.00200 19263575 3248049 16015526 0.03630 67678297 25204574 42473723 0.09620 1 2728474 77818973 89914099 -12095126 X 1 1 1 1 SEATTLE CANCER CARE ALLIANCE 1959 NE PACIFIC STREET SEATTLE WA 98195 WWW.SEATTLECCA.ORG HAC.FS.00000204 X X ACUTE CARE HOSPITAL SEATTLE CANCER CARE ALLIANCE 1 0 0 1 X X X X X X X X X 12 1 0 0 1 X WWW.SEATTLECCA.ORG X X 1 12 1 WWW.SEATTLECCA.ORG 0 0 1 X 200.000000000000 300.000000000000 X X X X X X X 1 1 X X X X 1 X HTTP://WWW.SEATTLECCA.ORG/FINANCIAL-ASSISTANCE-RESOURCES.CFM#SCCA X HTTP://WWW.SEATTLECCA.ORG/FINANCIAL-ASSISTANCE-RESOURCES.CFM#SCCA X HTTP://WWW.SEATTLECCA.ORG/FINANCIAL-ASSISTANCE-RESOURCES.CFM#SCCA X X X X 1 X 0 X X X X X 1 X 0 0 SEATTLE CANCER CARE ALLIANCE PART V, SECTION B, LINE 5: SCCA CONDUCTED AN ONLINE SURVEY TO COLLECT INFORMATION ABOUT CANCER-RELATED HEALTH CONCERNS. THE SURVEY WAS SENT TO 58 INDIVIDUALS AND ORGANIZATIONS REPRESENTING HEALTHCARE PROVIDERS, COMMUNITY PARTNERS, CANCER SUPPORTIVE SERVICES, FOUNDATIONS, MEDIA, OTHEREDUCATIONAL PROVIDERS, COMMUNITY AND BUSINESS LEADERS, AND CANCER SURVIVORS FROM PREDOMINATELY KING, PIERCE, AND SNOHOMISH COUNTIES. IN ADDITION, SCCA IS PARTICIPATING IN A KING COUNTY-WIDE GROUP CALLED THE KING COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (KC CHNA) COLLABORATIVE. THIS GROUP REVIEWED SCCA'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND MADE SUGGESTIONS TO IMPROVE IT. THE COLLABORATION EFFORT IS LED BY THE SEATTLE KING COUNTY DEPARTMENT OF PUBLIC HEALTH AND INCLUDES MOST OF THE HOSPITALS IN KING COUNTY. THE PURPOSE OF THE KC CHNA COLLABORATIVE IS TO INSTITUTIONALIZE A COLLABORATIVE APPROACH TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR KING COUNTY AND TO IDENTIFYOPPORTUNITIES FOR THE DEVELOPMENT AND IMPLEMENTATION OF COLLECTIVE, DATA-DRIVEN, IMPLEMENTATION STRATEGIES OVER THE NEXT THREE YEARS. SEATTLE CANCER CARE ALLIANCE PART V, SECTION B, LINE 7D: DURING FY13, SCCA DISTRIBUTED ITS CHNA AND SURVEY RESULTS TO ITS PATIENT AND FAMILY ADVISORY GROUP. THE SCCA PATIENT AND FAMILY ADVISORY GROUP IS MADE UP OF PAST AND PRESENT PATIENTS AND THEIR FAMILY MEMBERS. SCCA ALSO DISTRIBUTED ITS CHNA TO THE KING COUNTY CHNA COLLABORATIVE, WHICH IS A GROUP OF HOSPITALS FORMED TO WORK TOGETHER ON THE HEALTHIER HOSPITALS INITIATIVE. SCCA'S CHNA CONTINUES TO BE POSTED ON OUR WEBSITE AT WWW.SEATTLECCA.ORG/SCCA-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.CFM SEATTLE CANCER CARE ALLIANCE PART V, SECTION B, LINE 11: THE CHNA PROCESS IDENTIFIED THAT THE INCIDENT RATE OF CANCER CONTINUES TO GROW AND CANCER IS A LEADING CAUSE OF DEATH IN KING, SNOHOMISH, AND PIERCE COUNTIES. REDUCING THE INCIDENCE RATE OF CANCER IS THOUGHT TO OCCUR THROUGH NEW TREATMENTS, TECHNOLOGIES, AND DRUG THERAPIES AS WELL AS BEHAVIOR MODIFICATION AND EARLY DETECTION THROUGH SCREENING. SOME SCCA COMMUNITIES HAVE BARRIERS TO ACCESS APPROPRIATE HEALTH SERVICES AND PREVENTION RESOURCES. SCCA HAS IDENTIFIED OPPORTUNITIES FOR OUTREACH AND PREVENTATIVE ACTIVITIES FOR THESE COMMUNITIES AS PART OF ITS CHNA GOALS. BECAUSE OF CONSTRAINED RESOURCES, SCCA IS NOT SPECIFICALLY TARGETING THE FOLLOWING COMMUNITIES:1) YOUNG ADULTS (THOSE 18 YEARS AND YOUNGER) - WHO HAVE SIGNIFICANTLY LOWER CANCER RATES;2) LESBIAN, GAY, BISEXUAL, TRANSGENDER (LGBT) COMMUNITY;3) HEALTH CARE FOR MALESHOWEVER, SCCA CREATED SEVERAL ACTIVITIES TO ENGAGE WITH THESE COMMUNITIES AND PROVIDE PREVENTION AND SCREENING INFORMATION. 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. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY SEATTLE CANCER CARE ALLIANCE PART V, SECTION B, LINE 16A WEBSITE: HTTP://WWW.SEATTLECCA.ORG/FINANCIAL-ASSISTANCE-RESOURCES.CFM#SCCA SEATTLE CANCER CARE ALLIANCE PART V, SECTION B, LINE 16B WEBSITE: HTTP://WWW.SEATTLECCA.ORG/FINANCIAL-ASSISTANCE-RESOURCES.CFM#SCCA SEATTLE CANCER CARE ALLIANCE PART V, SECTION B, LINE 16C WEBSITE: HTTP://WWW.SEATTLECCA.ORG/FINANCIAL-ASSISTANCE-RESOURCES.CFM#SCCA 5 SEATTLE CANCER CARE ALLIANCE 825 EASTLAKE AVENUE E SEATTLE WA 98109 HOSPITAL BASED OUTPATIENT CLINIC SCCA AT EVERGREEN HEALTH 12040 NE 128TH STREET KIRKLAND WA 98034 HOSPITAL BASED OUTPATIENT CLINIC SEATTLE CANCER CARE ALLIANCE HOUSE 207 PONTIUS AVENUE N SEATTLE WA 98109 TEMPORARY MEDICAL HOUSING FACILITY SCCA NWH MED ONC & RAD ONC CLINIC 1560 N 115TH ST - SUITE G-16B SEATTLE WA 981338498 HOSPITAL BASED OUTPATIENT CLINIC SCCA PROTON THERAPY A PROCURE CENTER 1570 N 115TH STREET SEATTLE WA 98133 OUTPATIENT CLINIC PART I, LINE 3C: IN ACCORDANCE WITH WAC 246-453-040 AND SUBJECT TO SCCA FINANCIAL RESOURCES, PATIENTS WILL BE ELIGIBLE TO BE CONSIDERED FOR CHARITY CARE IF THEY SUBMIT THE NECESSARY APPLICATION AND IF THE PARTY RESPONSIBLE FOR PAYMENT HAS A FAMILY INCOME AT OR BELOW 300% OF THE FEDERAL POVERTY STANDARD AS ADJUSTED FOR FAMILY SIZE. IF THE PARTY RESPONSIBLE FOR PAYMENT HAS A FAMILY INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY STANDARD AS ADJUSTED FOR FAMILY SIZE, THE PATIENT WILL BE ELIGIBLE FOR CHARITY CARE IN THE AMOUNT EQUAL TO THE UNPAID BALANCE REMAINING AFTER ALL SOURCES OF THIRD PARTY COVERAGE AND SPONSORSHIP HAVE BEEN EXHAUSTED. 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 COMPLETED AN ANNUAL REPORT FOR FY15 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. SCCA IS REPORTING AS A COMMUNITY BENEFIT PALLIATIVE CARE SERVICES AS A SUBSIDIZED HEALTH SERVICE.SCCA PROVIDES AN OUTPATIENT PALLIATIVE CARE PROGRAM. ITS MAIN PURPOSE IS TO PROVIDE AN EXTRA LAYER OF SUPPORT FOR PATIENTS WITH SERIOUS ILLNESS. THE GOAL OF PALLIATIVE CARE IS TO PREVENT AND RELIEVE SUFFERING AND TO SUPPORT THE BEST POSSIBLE QUALITY OF LIFE FOR PATIENTS AND THEIR FAMILIES. IT IS APPROPRIATE AT ANY AGE AND AT ANY STAGE OF SERIOUS ILLNESS AND IT IS PROVIDED ALONG WITH CURATIVE TREATMENT. PART I, LN 7 COL(F): BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX IS $2,728,474. 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 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: FOR PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, 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 LINE 6 USING THE ALLOWABLE COSTS FROM THE AS-FILED MEDICARE COST REPORT FOR FY15. THE METHODOLOGY USED TO COMPLETE THE MEDICARE COST REPORT WAS BASED ON THE CMS PROVIDER REIMBURSEMENT MANUAL PUB 15.IN ADDITION TO MEDICARE AMOUNTS REPORTED ON THE MEDICARE COST REPORT, SCCA HAS A NON-MEDICARE COST REPORT FEE SCHEDULE AND MEDICARE MANAGED CARE. THE NON-MEDICARE COST REPORT FEE SCHEDULE AND THE MANAGED CARE REVENUES ARE BASED ON THE REIMBURSEMENT RECEIVED FROM MEDICARE. THE COSTS ARE DERIVED USING THE RATIO OF COST TO CHARGES FROM THE AS FILED MEDICARE COST REPORT. THE TABLE BELOW REFLECTS SCCA'S TOTAL REVENUES AND EXPENSES ATTRIBUTABLE TO ALL OF SCCA'S MEDICARE PROGRAMS: PART III, NON-COST REPORT SECTION B FEE SCHED. MANAGED CARE TOTAL MEDICAREMEDICARE REVENUE $77,818,973 $1,093,727 $17,143,665 $96,056,366MEDICARE EXPENSE $89,914,099 $1,907,101 $18,655,499 $110,476,699SHORTFALL ($12,095,125) ($813,374) ($1,511,834) ($14,420,334)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 HUTCHISON 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 HUTCHISON 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 AREA 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 POPULATIONS OF THE PACIFIC NORTHWEST (WA, OR, ID, MT, AK), WHICH ACCORDING TO THE US CENSUS BUREAU FOR 2014 REPRESENTS 14,426,544.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 UNDER SERVICE AREAS, MUA, WITH IN THEIR OPERATING LOCALITY. THE MUA PATIENT POPULATION RECEIVES THE BENEFIT OF SCCA'S EXPERTISE WITHOUT NEEDING TO LEAVE HOME. SCCA'S NETWORK PROGRAM SPANS THIRTEEN COMMUNITY CANCER CENTER AFFILIATES IN WASHINGTON, ALASKA, IDAHO, OREGON, AND MONTANA.THE LOCAL GEOGRAPHICAL AREA SCCA RESIDES IN CONSISTS OF KING, SNOHOMISH, AND PIERCE COUNTIES. THE METROPOLITAN AREA 2014 POPULATION ESTIMATE ACCORDING TO THE US CENSUS BUREAU IS 3,671,478.KING, SNOHOMISH, AND PIERCE COUNTIES ALL HAVE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED COMMUNITIES.KING COUNTY HAS EIGHTEEN PROVIDERS DESIGNATED AS FEDERALLY QUALIFIED HEALTH CENTERS, FQHC, WITH FORTY SIX OPERATING MEDICAL SERVICES SITES; SNOHOMISH COUNTY HAS ONE FQHC DESIGNATED PROVIDER WITH THREE OPERATING MEDICAL SERVICES SITES, AND PIERCE COUNTY HAS TWO FQHC DESIGNATED PROVIDERS WITH NINE 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. PUBLIC HEALTH SEATTLE KING COUNTY (PHSKC) AND SEAMAR HAVE SPECIFIC CONTRACTS WITH SCCA AS PART OF OUR OUTREACH SERVICES TO PROVIDE PREVENTIVE HEALTH SCREENINGS AND ALSO SERVE ITS 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 CANCER BY THE EARLY DETECTION OF CANCER THROUGH FREE SCREENINGS. SCCA IS CONTRACTED WITH BCCHP TO PROVIDE SERVICES FOR PATIENTS IN KING, KITSAP, JEFFERSON, AND CLALLUM 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. KOMAN (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. SEAMAR'S MEDICAL CLINICS ARE LOCATED IN EIGHT COUNTIES IN WASHINGTON STATE. THE SCCA'S RELATIONSHIP WITH SEAMAR IS TO PROVIDE CLINICAL EDUCATION OPPORTUNITIES FOR PRIMARY CARE PROVIDERS IN THE AREAS OF EARLY DETECTION AND PREVENTION OF CANCER. ANOTHER ASPECT OF THE SEAMAR RELATIONSHIP IS TO FOSTER CONTINUITY OF CARE FOR SEAMAR PATIENTS WHO ARE DIAGNOSED WITH CANCER BETWEEN SEAMAR, SCCA, AND SCCA'S NETWORK MEMBERS. PART VI, LINE 5: SCCA 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 (NCI) 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 THE THIRD YEAR IN A ROW, 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 FIVE 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; A PROTON THERAPY CENTER; AND NEW NETWORK AFFILIATIONS WITH HOSPITALS IN WASHINGTON, OREGON, IDAHO, MONTANA, AND ALASKA. ENGAGEMENT WITH, AND LEADERSHIP BY, THE COMMUNITY: SEATTLE CANCER CARE ALLIANCE EMPLOYS MORE THAN 3,000 PEOPLE IN A HIGHLY COMPETITIVE, HIGHLY PROFESSIONAL MEDICAL SECTOR. IN ADDITION, SEATTLE CANCER CARE ALLIANCE 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. HOWEVER, 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 OWNER AND PARTNER ORGANIZATIONS, UW MEDICINE, SEATTLE CHILDREN'S, AND FRED HUTCH.SEATTLE CANCER CARE ALLIANCE 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. 1 UNIVERSITY OF WASHINGTON FOUNDATION PO BOX 358045 SEATTLE WA 98195 943079432 501(C)(3) 511717 N/A N/A TO SUPPORT UNIVERSITY OF WASHINGTON FOUNDATION EVENTS. FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE NORTH SEATTLE WA 98109 237156071 501(C)(3) 220381 N/A N/A TO FUND CANCER RESEARCH ACTIVITIES. AMERICAN CANCER SOCIETY CANCER ACTION NETWORK INC 555 11TH STREET NW SUITE 300 WASHINGTON DC 20004 522340031 501(C)(4) 25000 N/A N/A TO SUPPORT AMERICAN CANCER SOCIETY CANCER ACTION NETWORK'S ADVOCACY ACTIVITIES NATIONWIDE. UNIVERSITY OF WASHINGTON PHYSICIANS PO BOX 34115 SEATTLE WA 98124 911220843 501(C)(3) 22433 N/A N/A UWP ACCEPTS A GREATLY REDUCED FEE FOR SERVICES AS PART OF THE EFFORTS TO SCREEN THE UNDERSERVED THROUGH THE MAMMOGRAM PROGRAM. LIQUID VELO DBA SCCASTARBUCKS CYCLING 21527 NE 9TH PL SAMMAMISH WA 98074 274072470 501(C)(3) 20000 N/A N/A SCCA SUPPORTED A COST OF AN EVENT TO RAISE AWARENESS TO FIGHT AGAINST BREAST CANCER. CANCER FOR COLLEGE 981 PARK CENTER DRIVE VISTA CA 92081 931144756 501(C)(3) 12500 N/A N/A SCCA SUPPORTED A COST OF AN EVENT TO RAISE AWARENESS TO FIGHT AGAINST CANCER. OLYMPIC MEDICAL CENTER FOUNDATION 928 CAROLINE STREET PORT ANGELES WA 98362 916001709 501(C)(3) 10000 N/A N/A SCCA SUPPORTED A COST OF AN EVENT TO RAISE AWARENESS TO FIGHT AGAINST CANCER. AMERICAN CANCER SOCIETY 250 WILLIAMS ST NW ATLANTA GA 30303 131788491 501(C)(3) 10000 N/A N/A SCCA COMMUNITY HEALTH IMPROVEMENT GRANTS CORNERSTONE MEDICAL SERVICES FOUNDATION 1014 SOUTH 320TH STREET SUITE C FEDERAL WAY WA 98003 273832515 501(C)(3) 7500 N/A N/A SCCA COMMUNITY HEALTH IMPROVEMENT GRANTS EL CENTRO DE LA RAZA 2524 16TH AVE S SEATTLE WA 98144 910899927 501(C)(3) 7500 N/A N/A SCCA COMMUNITY HEALTH IMPROVEMENT GRANTS NEIGHBORCARE 905 SPRUCE STREET SUITE 300 SEATTLE WA 98104 910893287 501(C)(3) 7500 N/A N/A SCCA COMMUNITY HEALTH IMPROVEMENT GRANTS YMCA OF SEATTLE KING COUNTY SNOHOMISH COUNTY 1118 FIFTH AVENUE SEATTLE WA 98101 910482890 501(C)(3) 7500 N/A N/A SCCA COMMUNITY HEALTH IMPROVEMENT GRANTS AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC 822 JOHN STREET SEATTLE WA 98109 930386887 501(C)(3) 7500 N/A N/A SCCA SUPPORTED A COST OF AN EVENT TO RAISE AWARENESS TO FIGHT AGAINST CANCER. WITHIN REACH 155 NE 100TH STREET STE 500 SEATTLE WA 98125 911443685 501(C)(3) 7460 N/A N/A SCCA COMMUNITY HEALTH IMPROVEMENT GRANTS HEALTHPOINT 955 POWELL AVE SW RENTON WA 98057 910884412 501(C)(3) 5718 N/A N/A SCCA COMMUNITY HEALTH IMPROVEMENT GRANTS 14 2 CASH FOR EMERGENCIES (ONE TIME ASSISTANCE PROGRAM) 522 20664 0 N/A N/A FUNERAL/MEMORIAL SERVICES 1 73 0 N/A N/A TRANSPORTATION 135 13711 0 N/A N/A FOOD 2070 102184 3179 FMV GIFT CARDS PROVIDED TO PATIENTS FOR FOOD AND GROCERY STORES. SHELTER 369 131127 159830 FMV RENTS PAID FOR PATIENTS. MEDICAL 251 34593 0 N/A N/A PARKING 282 27569 0 N/A N/A SUNDRIES 1199 921 7186 FMV BOOKS, DVDS, CDS, MAGAZINES, BAGS, TOYS, BLANKETS & OTHERS. UTILITIES 11 3353 0 N/A N/A WIGS 1441 1689 28092 FMV WIGS & HATS FOR CANCER PATIENTS. MEDICAL ACCESSORIES 69 0 1315 FMV MEDICAL ACCESSORIES INCLUDING PARTS & SUPPLIES FOR PROSTHESIS. TICKETS 2426 0 135618 FMV EVENT TICKETS TO SPORTS GAMES, ART PERFORMANCES, AND LOCAL ATTRACTIONS. STEINBERG TUITION ASSISTANCE 4 6142 0 N/A N/A PEGGY MEANS SCHOLARSHIP 5 35000 0 N/A N/A PART I, LINE 2: WITH REGARD TO GRANTS TO ORGANIZATIONS REPORTED ON SCHEDULE I, PART II, THE SCCA VERIFIES THE GRANTEES ARE QUALIFIED 501(C)(3) ORGANIZATIONS WITH A MISSION COMPATIBLE WITH THAT OF SCCA. UNDER CERTAIN CIRCUMSTANCES, SCCA WILL CONSIDER GRANTING FUNDS TO 501(C)(4) ORGANIZATIONS WHEN THE PURPOSE IS CONSISTENT WITH SCCA'S MISSION. THE SCCA RELIES ON THE GRANTEE ORGANIZATION MAINTAINING ITS TAX EXEMPT STATUS WITH THE IRS AND DOES NOT IMPOSE THE BURDEN OF REPORTING BACK TO SCCA AS TO THE EXPENDITURE OF GRANT FUNDS. WITH REGARD TO GRANTS OR OTHER ASSISTANCE TO INDIVIDUALS REPORTED ON SCHEDULE I, PART III, MOST OF THE REQUESTS FOR ASSISTANCE ARE MADE THROUGH PATIENT FAMILY SERVICES. THESE REQUESTS ARE CONSIDERED IN ACCORDANCE WITH A MODIFICATION TO SCCA'S CHARITY CARE POLICY. ASSISTANCE IS PROVIDED IN RESPONSE TO SPECIFIC NEEDS OF INDIVIDUALS FOR INTENDED PURPOSES BY PAYING FOR CERTAIN ASSISTANCE DIRECTLY ON BEHALF OF THE INDIVIDUAL. ALSO, PATIENT FAMILY SERVICES MAINTAINS CONTACT WITH PATIENTS RECEIVING ASSISTANCE THROUGHOUT THEIR TREATMENT AT SCCA. WITH REGARD TO SCHOLARSHIPS GIVEN, AN APPLICATION IS MADE AND REVIEWED BY THE SENIOR MANAGEMENT STAFF. VERY SPECIFIC CRITERIA ARE REQUIRED. ONLY BONA FIDE TUITION AND FEES QUALIFY FOR FUNDING. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 FRED APPELBAUM MD PRESIDENT AND EXECUTIVE DIRECTOR 250620 0 88876 0 0 0 0 0 0 0 339496 0 0 0 DAVID ACKERSON VP CHIEF INFORMATION OFFICER 327647 0 32987 0 12567 0 33150 0 10714 0 417065 0 0 0 DEBORAH GENTZEN VP CHIEF STRATEGY OFFICER 352778 0 36436 0 16697 0 36975 0 20526 0 463412 0 0 0 BARBARA JAGELS VP QUALITY SAFETY AND VALUE 193999 0 22500 0 0 0 28575 0 16499 0 261573 0 0 0 NORMAN HUBBARD EXECUTIVE VICE PRESIDENT 524426 0 69512 0 17500 0 65768 0 16965 0 694171 0 0 0 ANGELIQUE RICHARD PHD RN CNE/VP CLINICAL OPERATIONS 113609 0 92654 0 0 0 5659 0 0 0 211922 0 0 0 F MARC STEWART MD MEDICAL DIRECTOR/VP CLINIC & LAB OPS 411208 0 58272 0 0 0 0 0 0 0 469480 0 0 0 JONATHAN TINGSTAD VP CHIEF FINANCIAL OFFICER 389938 0 39627 0 17500 0 42257 0 20740 0 510062 0 0 0 CHERYL WYMAN DIR. DIAGNOSTIC & THERAPY SVCS 242298 0 15826 0 0 0 25350 0 14840 0 298314 0 0 0 GRETCHEN HANNA DIR. CORPORATE FINANCE 208878 0 15790 0 0 0 21403 0 9700 0 255771 0 0 0 CLAIRE BECK-KEELER DIRECTOR OF MARKETING 218076 0 0 0 0 0 7043 0 12915 0 238034 0 0 0 JOSEPH NORTON DIRECTOR OF FINANCE 201636 0 15759 0 0 0 21350 0 18915 0 257660 0 0 0 ALEANA WAITE DIR. RES INTEG, IMMUNO, CELL THRPY 186716 0 14203 0 0 0 18484 0 15036 0 234439 0 0 0 ZAKARIA RAMADAN-JRADI DIR. CELL THERAP & CLIN LABS 187099 0 11312 0 0 0 14112 0 21612 0 234135 0 0 0 KRISTINE LOGAN DIR. PT ACCESS & FACILITIES 174204 0 12750 0 0 0 16156 0 9131 0 212241 0 0 0 SUSAN HAMMOND DIR. PROGRAM MANAGEMENT 171055 0 13001 0 0 0 16590 0 14284 0 214930 0 0 0 LINDA LAKE DIR. CLIN INFO SYST & HIM 165548 0 9817 0 0 0 15035 0 9063 0 199463 0 0 0 ALPHONSO EMERY DIR DIVERSITY EFFORTS 160248 0 12150 0 0 0 14649 0 8548 0 195595 0 0 0 MOREEN DUDLEY DIR. SUPPORT CARE/SPEC CLINICS 159373 0 12356 0 0 0 15477 0 12983 0 200189 0 0 0 CAMILLE RAPACZ DIRECTOR OF CPI 149679 0 11571 0 0 0 14123 0 14663 0 190036 0 0 0 SHARI MCCLURE DIR. MEDICAL STAFF SERVICES 148235 0 11494 0 0 0 13622 0 8892 0 182243 0 0 0 MICHELLE HALL DIRECTOR OF IT SERVICES 142371 0 10849 0 0 0 13086 0 14578 0 180884 0 0 0 MARGARET OWENS CTP QUALITY SENIOR MANAGER 172659 0 0 0 0 0 13421 0 1681 0 187761 0 0 0 TRACI PRANZINI CORPORATE INTEGRITY OFFICER 136469 0 10875 0 0 0 12152 0 8788 0 168284 0 0 0 CECILIA ZAPATA DIR. REGIONAL & GLOBAL NETWORK 133488 0 10148 0 0 0 11666 0 8761 0 164063 0 0 0 DEBORAH STENHJEM DIR. REVENUE CYCLE MGMT 128789 0 10518 0 0 0 12304 0 18167 0 169778 0 0 0 KAREN HOLLOWAY RADIATION ONCOLOGY MGR 136857 0 0 0 0 0 11005 0 8809 0 156671 0 0 0 PART I, LINE 1A SCCA LEADERSHIP TEAM HAS MEMBERSHIPS AT LOCAL CLUBS TO ENABLE MEETINGS AND RECRUITMENT TO TAKE PLACE. JONATHAN TINGSTAND 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 AP 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 (457B AND 457F) 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 457F 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 457F 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: NORMAN HUBBARD $32,618 JONATHAN TINGSTAD $9,107 DEBORAH GENTZEN $3,825 SCHEDULE J, PART II: FRED APPELBAUM, MD RECEIVED COMPENSATION OF $339,496 FROM FRED HUTCHINSON CANCER RESEARCH CENTER, AN UNRELATED ORGANIZATION FOR SERVICES PROVIDED TO SEATTLE CANCER CARE ALLIANCE. F. MARC STEWARD, MD RECEIVED COMPENSATION OF $469,480 FROM FRED HUTCHINSON CANCER RESEARCH CENTER, AN UNRELATED ORGANIZATION FOR SERVICES PROVIDED TO SEATTLE CANCER CARE ALLIANCE. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2010-11-18 21415000 TO REFUND 2008 WEEKLY RATE BONDS 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 93978HLJ2 2014-10-30 97921097 ADVANCED REFUND OF 2001, 2005, 2008 PROJECT 0 0 0 A 2044000 21415000 21090000 325000 2009 1 0 1 1 B 2275000 97921097 96652346 1268751 2010 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 1 1 0.00500 0.00000 0.00500 0 1 0.00180 1 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 PART III, LINE 4, COLUMN B THE PERCENTAGE REPORTED ON LINE 4 REPRESENTS THE PERCENTAGE OF RESEARCH REVENUE FROM BOTH GOVERNMENTAL AND INDUSTRY SPONSORED RESEARCH. GOVERNMENT SPONSORED RESEARCH FALLS INTO A PRIVATE BUSINESS USE SAFE HARBOR, INDUSTRY SPONSORED DOES NOT. BECAUSE THE COMBINED REVENUE FROM THE GOVERNMENT AND PRIVATELY SPONSORED RESEARCH IS LESS THAN THE APPLICABLE THRESHOLD, SCCA HAS ELECTED NOT TO DEVOTE THE RESOURCES REQUIRED TO ALLOCATE THE AGGREGATE RESEARCH REVENUE BETWEEN GOVERNMENT AND PRIVATELY SPONSORED RESEARCH. AS SUCH, PRIVATE BUSINESS USE DUE TO RESEARCH IS OVERSTATED. SCCA DOES NOT HAVE DIRECT CONTRACTS WITH INDUSTRY SPONSORED CORPORATIONS. SCCA PERFORMS SERVICES PRIMARILY FOR UNIVERSITY OF WASHINGTON, A GOVERNMENTAL ENTITY, AND FRED HUTCHINSON CANCER RESEARCH CENTER, A 501(C)(3) ENTITY. UNIVERSITY OF WASHINGTON AND FRED HUTCHINSON CANCER RESEARCH CENTER ARE CONDUCTING THE RESEARCH AND HAVE THE DIRECT CONTRACTS WITH THE GOVERNMENT AND PRIVATE INDUSTRY SPONSORED RESEARCH. X 7186 SELLING PRICE X 5 10189 SELLING PRICE X 640 3179 SELLING PRICE X 69 1315 SELLING PRICE X EVENT TICKETS 2407 135118 SELLING PRICE X HATS/WIGS 1394 28092 SELLING PRICE X FURNITURE 1 5000 SELLING PRICE 0 0 1 0 PART I, COLUMN (B): THE NUMBER OF ITEMS RECEIVED WAS USED TO DETERMINE THE AMOUNTS IN COLUMN B. FORM 990, PART I, LINE 6: THE VOLUNTEERS OFFER DIRECT SUPPORT IN SOCIAL, EMOTIONAL, AND PRACTICAL WAYS TO CONNECT WITH PATIENTS AND FAMILIES THROUGHOUT EACH PHASE OF A PATIENT'S EXPERIENCE WITH SCCA. THE SCCA HAS 27 VOLUNTEER ROLES: BREAST CENTER, CHILD LIFE, CRAFTS & CONVERSATION/KNITTING, DRIVERS, OTHER EVENTS, EVENTS COMMITTEE, GUEST SERVICES, HOLIDAY MEALS/PARTY, HUTCH SCHOOL, KNIT FOR LIFE, LABYRINTH, RAIN OR SHINE GIFT SHOP, WIG FITTER, SCCA HOUSE KITCHEN HOST, SPECIAL EVENTS, PATIENT EDUCATION, SHINE, COSMETOLOGY/BARBER, WOMEN'S CENTER LOBBY, SCCA HOUSE CONCIERGE, PATIENT/FAMILY SERVICES, PHYSICAL THERAPY, COMFORT HAND MASSAGE, HEALING MUSIC, GENERAL ONCOLOGY HEMOTOLOGY LOBBY, TRAINING, VOLUNTEER ADVISORY COUNCIL. THE 18 MEMBERS OF THE BOARD ALSO SERVE AS VOLUNTEERS. FORM 990, PART VI, SECTION A, LINE 2 MARK GROUDINE, RICH MCCUNE, MYRA TANITA, 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. ROBB BAKEMEIER, 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 2013. 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 38,559,764. MANAGEMENT AND GENERAL EXPENSES 1,292,636. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,852,400. INFO TECH & ADMIN SERVICES: PROGRAM SERVICE EXPENSES 1,610,024. MANAGEMENT AND GENERAL EXPENSES 1,273,060. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,883,084. LAB SERVICES: PROGRAM SERVICE EXPENSES 9,497,966. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,497,966. OTHER AGREEMENTS: PROGRAM SERVICE EXPENSES 1,407,851. MANAGEMENT AND GENERAL EXPENSES 385,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,792,851. PHARMACY AND CLINIC SERVICES: PROGRAM SERVICE EXPENSES 6,647,997. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,647,997. MEDICAL LEADERSHIP & PROVIDER AGREEMENT: PROGRAM SERVICE EXPENSES 20,428,444. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,428,444. AMENDED RETURN SEATTLE CANCER CARE ALLIANCE HAS AMENDED ITS FORM 990 FOR THE YEAR ENDED JUNE 30, 2015 FOR THE FOLLOWING ITEMS: 1) FORM 990, PART III, LINE 4A: ADJUSTMENT TO PROGRAM EXPENSES NOTED IN THE PARANTHETICALS. 2) FORM 990, PART VIII, LINES 2A AND 2B: INCREASE TO LINE 2A, CANCER HOSPITAL/OUTPATIENT REVENUE, WITH A CORRESPONDING REDUCTION TO LINE 2B, MEDICARE/MEDICAID PAYMENTS. 3) FORM 990, PART IX: ADJUSTMENTS WERE MADE TO COLUMNS B AND C ON LINES 5, 13, 22, AND 24B. AMOUNTS REPORTED IN COLUMN B, PROGRAM EXPENSES, INCREASED WITH A CORRESPONDING DECREASE IN AMOUNTS REPORTED IN COLUMN C, MANAGEMENT AND GENERAL EXPENSES. THERE IS NO CHANGE TOTAL EXPENSE REPORTED IN COLUMN A ON ANY OF THE AFFECTED LINES. 4) SCHEDULE H, PART I, LINE 7: AMOUNTS REPORTED ON LINES A, B, C, E AND F IN COLUMN C ARE ADJUSTED TO CORRECT FOR MISCALCULATIONS IN THE WORKSHEETS IN THE INSTRUCTIONS TO SCHEDULE H. 5) SCHEDULE H, PART III, LINES 5-7: MEDICARE INFORMATION REPORTED ON THESE LINES IS ADJUSTED TO AGREE WITH THE MEDICARE COST REPORT. 6) SCHEDULE H, PART III, LINE 8: THE NARRATIVE EXPLANATION FOR THIS LINE INCLUDES A TABLE THAT REFLECTS THE MEDICARE COST REPORT FIGURES AS WELL AS ADDITIONAL MEDICARE ACTIVITY NOT INCLUDED IN THE COST REPORT. THIS PROVIDES A MORE ACCURATE PICTURE OF THE ORGANIZATION'S ENTIRE MEDICARE ACTIVITY THAN IS PRESENTED ON SCHEDULE H, PART III, LINES 5-7.