TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) RICHARD MCCUNE...................................................................... CHAIR	2.50 .................	X	X
(2) MIKE DELMAN...................................................................... VICE CHAIR & TREASURER	4.00 .................	X	X
(3) KIMBERLY MCNALLY...................................................................... SECRETARY	2.00 .................	X	X
(4) BOB FLOWERS...................................................................... DIRECTOR	2.00 .................	X
(5) BROOKS RAGEN...................................................................... DIRECTOR	2.00 .................	X
(6) BRUDER STAPLETON...................................................................... DIRECTOR	1.50 .................	X
(7) CARL BEHNKE...................................................................... DIRECTOR	5.00 .................	X
(8) GERALD GRINSTEIN...................................................................... DIRECTOR	1.50 .................	X
(9) JACQUELINE CABE...................................................................... DIRECTOR	1.00 .................	X
(10) JOANN TARICANI...................................................................... DIRECTOR	1.00 .................	X
(11) JOHNESE SPISSO...................................................................... DIRECTOR THRU 2/5/16	2.00 .................	X
(12) KAREN GLOVER...................................................................... DIRECTOR	2.00 .................	X
(13) LINDA MATTOX...................................................................... DIRECTOR	1.00 .................	X
(14) LISA BRANDENBURG...................................................................... DIRECTOR	2.50 .................	X
(15) MARK GROUDINE...................................................................... DIRECTOR	1.50 .................	X
(16) MYRA TANITA...................................................................... DIRECTOR THRU 12/11/15	2.00 .................	X
(17) NICOLE ROBINSON...................................................................... DIRECTOR	1.00 .................	X

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) RICHARD YARMUTH........................................................................ DIRECTOR	2.50 .......................	X				0	0
(19) ROBB BAKEMEIER........................................................................ DIRECTOR	4.00 .......................	X				0	0
(20) RUTH MAHAN........................................................................ DIRECTOR	2.50 .......................	X				0	0
(21) FRED APPELBAUM MD........................................................................ EXECUTIVE DIRECTOR AND PRESIDENT	12.00 .......................		X			328,857	0
(22) NORMAN HUBBARD........................................................................ EXECUTIVE VICE PRESIDENT	55.00 .......................		X			693,720	94,741
(23) DAVID ACKERSON........................................................................ CHIEF INFORMATION OFFICER AND VP	55.00 .......................		X			395,284	45,231
(24) DEBORAH GENTZEN........................................................................ CHIEF STRATEGY OFFICER AND VP	55.00 .......................		X			435,136	61,898
(25) BARBARA JAGELS........................................................................ CHIEF QUALITY OFFICER AND VP	55.00 .......................		X			247,562	54,199
(26) ANGELIQUE RICHARD........................................................................ CHIEF NURSE EXECUTIVE AND VP	55.00 .......................		X			425,974	42,386
(27) F MARC STEWART MD........................................................................ MEDICAL DIRECTOR AND VICE PRESIDENT	30.00 .......................		X			510,701	0
(28) JONATHAN TINGSTAD........................................................................ CHIEF FINANCIAL OFFICER AND VP	55.00 .......................		X			480,508	67,461
(29) GRETCHEN HANNA........................................................................ DIR. CORPORATE FINANCE	55.00 .......................			X		234,793	33,030
(30) JOSEPH NORTON........................................................................ DIRECTOR FINANCE	55.00 .......................			X		228,723	37,102
(31) CHERYL WYMAN........................................................................ DIR. DIAGNOSTIC & THERAPEUTIC SVCS	55.00 .......................			X		221,773	37,503
(32) ALEANA WAITE........................................................................ DIR. RES INTEG/IMMUNO/CELL THERAPY	55.00 .......................			X		204,801	35,443
(33) KRISTINE LOGAN........................................................................ DIR. PT ACCESS & FACILITIES	55.00 .......................			X		195,274	26,880
(34) SUSAN HAMMOND........................................................................ DIR. PROGRAM MANAGEMENT	55.00 .......................			X		190,977	33,087
(35) MOREEN DUDLEY........................................................................ DIR. SPPT CARE/RAD SVC/SPC CLIN	55.00 .......................			X		185,428	31,380
(36) LINDA LAKE........................................................................ DIR. CLIN INFO SYST & HIM	55.00 .......................			X		184,667	25,884
(37) ALPHONSO EMERY........................................................................ DIR. DIVERSITY EFFORTS	55.00 .......................			X		179,051	25,101
(38) MICHELLE HALL........................................................................ DIR. IT SERVICES	55.00 .......................			X		172,751	31,292
(39) SHARI MCCLURE........................................................................ DIR. STRATEGY & BUS DEV	55.00 .......................			X		171,052	24,567
(40) CAMILLE RAPACZ........................................................................ DIR. STRAT OUTREACH/CCA NETWORK	55.00 .......................			X		167,945	31,079
(41) HOLLY ROSENFELD........................................................................ DIR. MARKETING	55.00 .......................			X		162,069	22,498
(42) TRACI PRANZINI........................................................................ CORPORATE INTEGRITY OFFICER	55.00 .......................			X		161,583	23,435
(43) ADA MOHEDANO........................................................................ DIR. CLIN ANALYTICS & BUS INTEL	55.00 .......................			X		158,364	23,000
(44) GANSUVD BALGANSUREN........................................................................ DIR. CLINICAL IMMUNOGENETICS LABS	55.00 .......................			X		153,100	18,684
(45) CECILIA ZAPATA........................................................................ DIR. STRAT OUTREACH/CCA NETWORK	55.00 .......................			X		166,148	23,955
(46) TIMOTHY EHLING........................................................................ ASSOC DIR. OPERATIONS	55.00 .......................				X	153,686	34,206
(47) MATTHEW MCSWEYN........................................................................ ASSC DIR. ENTERPRISE APPS	55.00 .......................				X	147,805	32,281
(48) DEBORAH STENHJEM........................................................................ DIR. REV CYCLE MGMT	32.00 .......................				X	145,890	33,311
(49) DONNA KERN........................................................................ RN	55.00 .......................				X	150,401	28,095
(50) LORI BARE........................................................................ IT INFRASTRUCTURE MGR	55.00 .......................				X	196,102	0

(A) Name and business address	(B) Description of services	(C) Compensation
UNIVERSITY OF WASHINGTON 1959 NE 59TH AVE SUITE 1005 SEATTLE,WA98104	HEALTHCARE, SERVICES, SUPPLIES	115,141,690
FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE N SEATTLE,WA98109	ADMIN, SUPPORT, SVCS, CONSULT.	26,088,278
SEATTLE CHILDREN'S HOSPITAL MAILSTOP S-100 PO BOX 50020 SEATTLE,WA98145	HEALTHCARE, SERVICES	23,821,407
NATIONAL MARROW DONOR PROGRAM 3001 BROADWAY ST NE MINNEAPOLIS,MN55413	MARROW TRANSPLANT SERVICES	9,801,564
PUGET SOUND BLOOD CENTER 921 TERRY AVENUE SEATTLE,WA98104	BLOOD & TISSUE SERVICES	5,850,203
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 105

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

SEATTLE CANCER CARE ALLIANCE

Employer identification number

91-1935159

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

SEATTLE CANCER CARE ALLIANCE

Employer identification number

91-1935159

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization SEATTLE CANCER CARE ALLIANCE

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization SEATTLE CANCER CARE ALLIANCE		Employer identification number 91-1935159

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization SEATTLE CANCER CARE ALLIANCE			Employer identification number 91-1935159
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

SEATTLE CANCER CARE ALLIANCE

Employer identification number

91-1935159

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

192,810

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

96,117

Total. Add lines 1c through 1i ....................................................................................................

288,927

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	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.

Return Reference

Explanation

PART II-B, LINE 1:

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.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

SEATTLE CANCER CARE ALLIANCE

Employer identification number

91-1935159

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	1,089,458	987,202	906,178	892,849	900,365
b	Contributions ...	2,210,000	100,000
c	Net investment earnings, gains, and losses	-66,035	2,256	129,324	36,992	7,260
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...			44,492	20,455
f	Administrative expenses ....			3,808	3,208	14,776
g	End of year balance ......	3,233,423	1,089,458	987,202	906,178	892,849

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

Yes

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	19,961,534		19,961,534
b	Buildings	136,502,668	60,787,580	75,715,088
c	Leasehold improvements	8,484,419	4,772,676	3,711,743
d	Equipment ...	80,872,713	54,874,539	25,998,174
e	Other ...	8,204,245	5,010,038	3,194,207
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				128,580,746

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	528,711,000
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-5,994,284
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-798,844
e	Add lines 2a through 2d .....................			2e	-6,793,128
3	Subtract line 2e from line 1..................			3	535,504,128
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	612,298
b	Other (Describe in Part XIII.) ...........	4b	3,499,826
c	Add lines 4a and 4b....................			4c	4,112,124
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	539,616,252

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	473,690,000
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	513,283
e	Add lines 2a through 2d....................			2e	513,283
3	Subtract line 2e from line 1...................			3	473,176,717
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	612,298
b	Other (Describe in Part XIII.) ............	4b	2,108,995
c	Add lines 4a and 4b.....................			4c	2,721,293
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	475,898,010

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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 D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
SEATTLE CANCER CARE ALLIANCE

Employer identification number

91-1935159

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM	0	0	PROGRAM SERVICE	TECHNOLOGY SUPPLIES	3,000
	EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM	0	0	PROGRAM SERVICE	DUES AND SUBSCRIPTIONS	2,000
	NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES	0	0	PROGRAM SERVICES	CONSULTING FEES	24,000
	NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES	0	0	PROGRAM SERVICE	MEDICAL SUPPLIES	7,000













3a	Sub-total .....	0	0			36,000
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			36,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
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 F (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
SEATTLE CANCER CARE ALLIANCE

Employer identification number

91-1935159

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
			Yes	No
	FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVENUE NORTH SEATTLE, WA98109	DEVELOPMENT, GIFT PROCESSING		No	0	24,613	-24,613
	UNIVERSITY OF WASHINGTON PO BOX 358047 SEATTLE, WA98195	FALL MAILING AND STRATEGY		No	0	23,566	-23,566








Total . . . . . . . . . . . . . . . . . . . .						48,179	-48,179

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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, MO, NV

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 (event type)	(b) Event #2 (event type)	(c) Other events (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .
2	Less: Contributions . . . .
3	Gross income (line 1 minus line 2) . . . . . .

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

SEATTLE CANCER CARE ALLIANCE

Employer identification number

91-1935159

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	3,383,069	0	3,383,069	0.710 %
b	Medicaid (from Worksheet 3, column a) . . . . .	43,459,368	21,142,572	22,316,796	4.710 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	158	31	127	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	46,842,595	21,142,603	25,699,992	5.420 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	4,727,269	2,393,354	2,333,915	0.490 %
f	Health professions education (from Worksheet 5) . . .	5,675,255	213,224	5,462,031	1.150 %
g	Subsidized health services (from Worksheet 6) . . . .				0 %
h	Research (from Worksheet 7) .	10,379,128	306,160	10,072,968	2.130 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	957,785	13,579	944,206	0.200 %
j	Total. Other Benefits . .	21,739,437	2,926,317	18,813,120	3.970 %
k	Total. Add lines 7d and 7j .	68,582,032	24,068,920	44,513,112	9.390 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	1	338	147,344	147,344	0.030 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	1	338	147,344	147,344	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,968,505

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

113,613,117

Enter Medicare allowable costs of care relating to payments on line 5.....

126,320,329

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-12,707,212

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)				Other (Describe)
1	SEATTLE CANCER CARE ALLIANCE 1959 NE PACIFIC STREET SEATTLE,WA98195 WWW.SEATTLECCA.ORG HAC.FS.00000204	X	X	ACUTE CARE HOSPITAL

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SEATTLE CANCER CARE ALLIANCE
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.SEATTLECCA.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.SEATTLECCA.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

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Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SEATTLE CANCER CARE ALLIANCE
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.SEATTLECCA.ORG/FINANCIAL-ASSISTANCE-RESOURCES.CFM#SCCA

The FAP application form was widely available on a website (list url):

HTTP://WWW.SEATTLECCA.ORG/FINANCIAL-ASSISTANCE-RESOURCES.CFM#SCCA

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.SEATTLECCA.ORG/FINANCIAL-ASSISTANCE-RESOURCES.CFM#SCCA

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

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Part VFacility Information (continued)

	SEATTLE CANCER CARE ALLIANCE
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

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Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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.

Schedule H (Form 990) 2015

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?5
Name and address		Type of Facility (describe)
1	1 - SEATTLE CANCER CARE ALLIANCE 825 EASTLAKE AVENUE E SEATTLE,WA98109	HOSPITAL BASED OUTPATIENT CLINIC
2	2 - SCCA AT EVERGREEN HEALTH 12040 NE 128TH STREET KIRKLAND,WA98034	HOSPITAL BASED OUTPATIENT CLINIC
3	3 - SEATTLE CANCER CARE ALLIANCE HOUSE 207 PONTIUS AVENUE N SEATTLE,WA98109	TEMPORARY MEDICAL HOUSING FACILITY
4	4 - SCCA NWH MED ONC & RAD ONC CLINIC 1560 N 115TH ST - SUITE G-16B SEATTLE,WA981338498	HOSPITAL BASED OUTPATIENT CLINIC
5	5 - SCCA PROTON THERAPY CENTER 1570 N 115TH STREET SEATTLE,WA98133	OUTPATIENT CLINIC
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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 H (Form 990) 2015

Additional Data

Software ID:
Software Version:

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
SEATTLE CANCER CARE ALLIANCE

Employer identification number
91-1935159

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) UNIVERSITY OF WASHINGTON FOUNDATION PO BOX 358045 SEATTLE,WA98195	94-3079432	501(C)(3)	503,830	N/A	N/A	TO SUPPORT UNIVERSITY OF WASHINGTON FOUNDATION ACTIVITIES
(2) FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE NORTH SEATTLE,WA98109	23-7156071	501(C)(3)	336,025	N/A	N/A	TO FUND SPECIFIC CANCER RESEARCH ACTIVITIES
(3) RICHARD SHERMAN FAMILY FOUNDATION 17791 FJORD DR NE POULSBO,WA98370	46-2420963	501(C)(3)	75,000	N/A	N/A	TO SPONSOR RICHARD SHERMAN CELEBRITY SOFTBALL GAME
(4) SEATTLE THEATRE GROUP 911 PINE STREET SEATTLE,WA98101	94-3130227	501(C)(3)	65,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
(5) AMERICAN CANCER SOCIETY 2120 1ST AVE N SEATTLE,WA98109	91-0583892	501(C)(3)	57,500	N/A	N/A	TO SPONSOR BREAKFAST AND GALA AND COMMUNITY EVENT
(6) NORTHWEST FOLKLIFE 305 HARRISON ST SEATTLE,WA98109	91-1311548	501(C)(3)	35,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
(7) SEAFAIR FOUNDATION 2200 6TH AVE STE 400 SEATTLE,WA98121	26-1233489	501(C)(3)	35,000	N/A	N/A	TO SPONSOR 2016 FAMILY FOURTH EVENT
(8) AMERICAN CANCER SOCIETY CANCER ACTION NETWORK 555 11TH STREET NW STE 300 WASHINGTON,DC20004	52-2340031	501(C)(3)	24,000	N/A	N/A	TO SPONSOR SEATTLE RESEARCH BREAKFAST EVENT
(9) LIGHT KNOWLEDGE RESOURCES LLC 103 CARNEGIE CENTER STE 106 PRINCETON,NJ08540	20-3145931		24,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
(10) LIQUID VELO DBA SCCASTARBUCKS CYCLING 8809 27TH AVE NW SEATTLE,WA98117	27-4072470	501(C)(3)	20,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
(11) SUSAN G KOMEN BREAST CANCER FOUNDATION 1900 NORTHLAKE WAY STE 135 SEATTLE,WA98103	91-1624040	501(C)(3)	20,000	N/A	N/A	TO SPONSOR PINK PEARL RACE
(12) PINK BOAT REGATTA 2442 NW MARKET ST 265 SEATTLE,WA98107	46-4971664	501(C)(3)	20,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
(13) BINAYTARA FOUNDATION 3502 QUAILRIDGE DRIVE CLARKSTON,WA99403	26-1603676	501(C)(3)	10,500	N/A	N/A	TO SPONSOR 4TH INT'L CONFERENCE ON ADVANCES IN HEMATOLOGY AND ONCOLOGY
(14) OLYMPIC MEDICAL CENTER FOUNDATION 928 CAROLINE STREET PORT ANGELES,WA98362	91-6001709	501(C)(3)	10,000	N/A	N/A	TO SPONSOR 2015 HARVEST OF HOPE EVENT
(15) EVERGREEN HEALTH FOUNDATION 12040 NE 128TH ST MS 5 KIRKLAND,WA98034	91-1519430	501(C)(3)	10,000	N/A	N/A	TO SPONSOR 2016 EVERGREEN GALA
(16) CIERRA SISTERS INC 5616 SOUTH LANGSTON RD SEATTLE,WA98178	94-3089631	501(C)(3)	10,000	N/A	N/A	TO SPONSOR 20TH ANNIVERSARY GALA
(17) AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC 822 JOHN STREET SEATTLE,WA98109	93-0386887	501(C)(3)	10,000	N/A	N/A	TO SPONSOR LUNG FORCE WALK AND EXPO SEATTLE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

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

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

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.

Schedule I (Form 990) 2015

Additional Data

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Software Version:

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

SEATTLE CANCER CARE ALLIANCE

Employer identification number

91-1935159

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1FRED APPELBAUM MDEXECUTIVE DIRECTOR AND PRESIDENT	(i) (ii)	230,848 ------------- 0	98,009 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	328,857 ------------- 0	0 ------------- 0
2NORMAN HUBBARDEXECUTIVE VICE PRESIDENT	(i) (ii)	524,817 ------------- 0	89,901 ------------- 0	79,002 ------------- 0	71,396 ------------- 0	23,345 ------------- 0	788,461 ------------- 0	0 ------------- 0
3DAVID ACKERSONCHIEF INFORMATION OFFICER AND VP	(i) (ii)	321,000 ------------- 0	41,027 ------------- 0	33,257 ------------- 0	33,825 ------------- 0	11,406 ------------- 0	440,515 ------------- 0	0 ------------- 0
4DEBORAH GENTZENCHIEF STRATEGY OFFICER AND VP	(i) (ii)	348,582 ------------- 0	45,317 ------------- 0	41,237 ------------- 0	39,378 ------------- 0	22,520 ------------- 0	497,034 ------------- 0	0 ------------- 0
5BARBARA JAGELSCHIEF QUALITY OFFICER AND VP	(i) (ii)	220,508 ------------- 0	27,054 ------------- 0	0 ------------- 0	32,558 ------------- 0	21,641 ------------- 0	301,761 ------------- 0	0 ------------- 0
6ANGELIQUE RICHARDCHIEF NURSE EXECUTIVE AND VP	(i) (ii)	378,379 ------------- 0	47,595 ------------- 0	0 ------------- 0	26,282 ------------- 0	16,104 ------------- 0	468,360 ------------- 0	0 ------------- 0
7F MARC STEWART MDMEDICAL DIRECTOR AND VICE PRESIDENT	(i) (ii)	415,410 ------------- 0	95,291 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	510,701 ------------- 0	0 ------------- 0
8JONATHAN TINGSTADCHIEF FINANCIAL OFFICER AND VP	(i) (ii)	383,437 ------------- 0	48,061 ------------- 0	49,010 ------------- 0	44,737 ------------- 0	22,724 ------------- 0	547,969 ------------- 0	0 ------------- 0
9GRETCHEN HANNADIR. CORPORATE FINANCE	(i) (ii)	216,686 ------------- 0	18,107 ------------- 0	0 ------------- 0	22,541 ------------- 0	10,489 ------------- 0	267,823 ------------- 0	0 ------------- 0
10JOSEPH NORTONDIRECTOR FINANCE	(i) (ii)	210,651 ------------- 0	18,072 ------------- 0	0 ------------- 0	22,343 ------------- 0	14,759 ------------- 0	265,825 ------------- 0	0 ------------- 0
11CHERYL WYMANDIR. DIAGNOSTIC & THERAPEUTIC SVCS	(i) (ii)	212,699 ------------- 0	9,074 ------------- 0	0 ------------- 0	21,310 ------------- 0	16,193 ------------- 0	259,276 ------------- 0	0 ------------- 0
12ALEANA WAITEDIR. RES INTEG/IMMUNO/CELL THERAPY	(i) (ii)	188,514 ------------- 0	16,287 ------------- 0	0 ------------- 0	18,862 ------------- 0	16,581 ------------- 0	240,244 ------------- 0	0 ------------- 0
13KRISTINE LOGANDIR. PT ACCESS & FACILITIES	(i) (ii)	180,653 ------------- 0	14,621 ------------- 0	0 ------------- 0	16,985 ------------- 0	9,895 ------------- 0	222,154 ------------- 0	0 ------------- 0
14SUSAN HAMMONDDIR. PROGRAM MANAGEMENT	(i) (ii)	176,068 ------------- 0	14,909 ------------- 0	0 ------------- 0	17,344 ------------- 0	15,743 ------------- 0	224,064 ------------- 0	0 ------------- 0
15MOREEN DUDLEYDIR. SPPT CARE/RAD SVC/SPC CLIN	(i) (ii)	170,398 ------------- 0	15,030 ------------- 0	0 ------------- 0	17,040 ------------- 0	14,340 ------------- 0	216,808 ------------- 0	0 ------------- 0
16LINDA LAKEDIR. CLIN INFO SYST & HIM	(i) (ii)	170,595 ------------- 0	14,072 ------------- 0	0 ------------- 0	16,062 ------------- 0	9,822 ------------- 0	210,551 ------------- 0	0 ------------- 0
17ALPHONSO EMERYDIR. DIVERSITY EFFORTS	(i) (ii)	165,118 ------------- 0	13,933 ------------- 0	0 ------------- 0	15,845 ------------- 0	9,256 ------------- 0	204,152 ------------- 0	0 ------------- 0
18MICHELLE HALLDIR. IT SERVICES	(i) (ii)	159,141 ------------- 0	13,610 ------------- 0	0 ------------- 0	15,342 ------------- 0	15,950 ------------- 0	204,043 ------------- 0	0 ------------- 0
19SHARI MCCLUREDIR. STRATEGY & BUS DEV	(i) (ii)	157,871 ------------- 0	13,181 ------------- 0	0 ------------- 0	14,907 ------------- 0	9,660 ------------- 0	195,619 ------------- 0	0 ------------- 0
20CAMILLE RAPACZDIR. STRAT OUTREACH/CCA NETWORK	(i) (ii)	154,675 ------------- 0	13,270 ------------- 0	0 ------------- 0	14,857 ------------- 0	16,222 ------------- 0	199,024 ------------- 0	0 ------------- 0
21HOLLY ROSENFELDDIR. MARKETING	(i) (ii)	154,972 ------------- 0	7,097 ------------- 0	0 ------------- 0	2,487 ------------- 0	20,011 ------------- 0	184,567 ------------- 0	0 ------------- 0
22TRACI PRANZINICORPORATE INTEGRITY OFFICER	(i) (ii)	149,112 ------------- 0	12,471 ------------- 0	0 ------------- 0	13,785 ------------- 0	9,650 ------------- 0	185,018 ------------- 0	0 ------------- 0
23ADA MOHEDANODIR. CLIN ANALYTICS & BUS INTEL	(i) (ii)	153,915 ------------- 0	4,449 ------------- 0	0 ------------- 0	13,386 ------------- 0	9,614 ------------- 0	181,364 ------------- 0	0 ------------- 0
24GANSUVD BALGANSURENDIR. CLINICAL IMMUNOGENETICS LABS	(i) (ii)	152,600 ------------- 0	500 ------------- 0	0 ------------- 0	2,486 ------------- 0	16,198 ------------- 0	171,784 ------------- 0	0 ------------- 0
25CECILIA ZAPATADIR. STRAT OUTREACH/CCA NETWORK	(i) (ii)	152,533 ------------- 0	13,615 ------------- 0	0 ------------- 0	14,284 ------------- 0	9,671 ------------- 0	190,103 ------------- 0	0 ------------- 0
26TIMOTHY EHLINGASSOC DIR. OPERATIONS	(i) (ii)	146,161 ------------- 0	7,525 ------------- 0	0 ------------- 0	13,578 ------------- 0	20,628 ------------- 0	187,892 ------------- 0	0 ------------- 0
27MATTHEW MCSWEYNASSC DIR. ENTERPRISE APPS	(i) (ii)	141,519 ------------- 0	6,286 ------------- 0	0 ------------- 0	13,048 ------------- 0	19,233 ------------- 0	180,086 ------------- 0	0 ------------- 0
28DEBORAH STENHJEMDIR. REV CYCLE MGMT	(i) (ii)	133,828 ------------- 0	12,062 ------------- 0	0 ------------- 0	13,030 ------------- 0	20,281 ------------- 0	179,201 ------------- 0	0 ------------- 0
29DONNA KERNRN	(i) (ii)	149,901 ------------- 0	500 ------------- 0	0 ------------- 0	12,365 ------------- 0	15,730 ------------- 0	178,496 ------------- 0	0 ------------- 0
30LORI BAREIT INFRASTRUCTURE MGR	(i) (ii)	195,602 ------------- 0	500 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	196,102 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
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 J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
SEATTLE CANCER CARE ALLIANCE

Employer identification number
91-1935159

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929		11-18-2010	21,415,000	TO REFUND 2008 WEEKLY RATE BONDS		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HLJ2	10-30-2014	97,921,097	ADVANCED REFUND OF 2001, 2005, 2008 PROJECT		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	2,501,000		4,340,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	21,415,000		97,921,097
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	21,090,000		96,652,346
7 Issuance costs from proceeds ...............	325,000		1,268,751
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2009		2010
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			X
15 Were the bonds issued as part of an advance refunding issue? .....		X	X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X	X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?			X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0.710 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0.710 %
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X	X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..			0.180 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............			X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X
b Exception to rebate? ........		X		X
c No rebate due? .........	X			X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

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 K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

SEATTLE CANCER CARE ALLIANCE

Employer identification number

91-1935159

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	1	6,000	SELLING PRICE
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......	X		14,929	SELLING PRICE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	5	204,726	SELLING PRICE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	203	552	SELLING PRICE
20 Drugs and medical supplies .	X	1,310	2,308	SELLING PRICE
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( EVENT TICKETS )	X	2,312	75,550	SELLING PRICE
26 Other ( HATS/WIGS )	X	1,285	10,672	SELLING PRICE
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, COLUMN (B):	THE NUMBER OF ITEMS RECEIVED WAS USED TO DETERMINE THE AMOUNTS IN COLUMN B.

Schedule M (Form 990) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

SEATTLE CANCER CARE ALLIANCE

Employer identification number

91-1935159

Return Reference	Explanation
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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	1,559
6	Total number of volunteers (estimate if necessary) .............	6	234
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,501,715	4,648,972
9	Program service revenue (Part VIII, line 2g) .........	476,998,099	525,316,260
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,463,736	9,458,420
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-22,840,944	192,600
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	464,122,606	539,616,252
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,606,020	2,007,625
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	111,034,354	120,859,920
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	21,870	48,179
b	Total fundraising expenses (Part IX, column (D), line 25) 254,854
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	331,230,365	352,982,286
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	443,892,609	475,898,010
19	Revenue less expenses. Subtract line 18 from line 12.......	20,229,997	63,718,242
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	523,790,656	556,564,703
21	Total liabilities (Part X, line 26).............	187,968,271	163,084,395
22	Net assets or fund balances. Subtract line 21 from line 20.....	335,822,385	393,480,308

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 377,299,188 including grants of $ 1,704,707 ) (Revenue $ 523,349,364 )
	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.

4b	(Code: ) (Expenses $ 1,952,563 including grants of $ 302,918 ) (Revenue $ 2,240,449 )
	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.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	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.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses379,251,751

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	7,450,125	0	977,729

1a	Federated campaigns..		1a	1,083,791
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	3,565,181

g	Noncash contributions included in lines 1a-1f:$ 314,737
h Total.Add lines 1a-1f.......		4,648,972

			Business Code
2a	CANCER HOSP/OUTPATIENT	622310	384,613,528	383,999,548	613,980
b	MEDICARE/MEDICAID PMTS	923130	137,085,928	137,085,928
c	PATIENT HOUSING	624221	2,240,449	2,240,449
d	INTERAFFILIATE AGMTS	900099	1,376,355	577,610	798,745
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			525,316,260

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			9,593,134			9,593,134
4 Income from investment of tax-exempt bond proceeds			219			219
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	5,154	99,518,487
b	Less: cost or other basis and sales expenses	15,022	99,643,552
c	Gain or (loss)	-9,868	-125,065
d	Net gain or (loss).....			-134,933			-134,933
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a		421,169
b	Less: cost of goods sold ..b		504,061
c	Net income or (loss) from sales of inventory..			-82,892			-82,892
Business Code			Miscellaneous Revenue
11a	EDUCATIONAL EVENTS		923110	273,553	273,553
b	SETTLEMENT INCOME		622310	1,311			1,311
c	SCRAP SALE		900099	628			628
d	All other revenue ....
e	Total. Add lines 11a–11d ......			275,492
12	Total revenue. See Instructions......			539,616,252	524,177,088	0	10,790,192

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	1,337,029	1,337,029
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	670,596	670,596
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	9,152,710	4,601,196	4,551,514
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	87,793,201	56,309,153	31,457,624	26,424
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,904,604	3,536,997	1,367,607
9	Other employee benefits .......	11,818,045	7,856,561	3,954,197	7,287
10	Payroll taxes ...........	7,191,360	4,138,715	3,052,645
11	Fees for services (non-employees):
a	Management ......	39,039,551	11,794,063	27,219,398	26,090
b	Legal .........	1,651,490		1,651,490
c	Accounting ...........	492,038	40,000	452,038
d	Lobbying ...........	288,927		288,927
e	Professional fundraising services. See Part IV, line 17	48,179			48,179
f	Investment management fees ......	612,298		612,298
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	95,869,931	93,889,023	1,980,908
12	Advertising and promotion ....	4,110,506	4,110,506
13	Office expenses .......	5,390,804	3,373,247	1,945,472	72,085
14	Information technology ......	2,339,737	319,719	2,019,258	760
15	Royalties ..	192,864	192,864
16	Occupancy ...........	12,963,262	6,535,434	6,425,328	2,500
17	Travel ............	787,855	371,793	415,986	76
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,606,431	900,083	652,576	53,772
20	Interest ...........	3,306,199	3,306,199
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	21,380,276	13,125,423	8,254,853
23	Insurance ...	628,971	200,244	428,727
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	161,105,962	161,057,564	48,398
b	BAD DEBT	1,968,505	1,968,505
c	DUES & SUBSCRIPTIONS	761,280	222,836	534,893	3,551
d	BUSINESS TAXES	-1,893,827	-969,693	-924,134
e	All other expenses	379,226	363,694	1,402	14,130
25	Total functional expenses. Add lines 1 through 24e	475,898,010	379,251,751	96,391,405	254,854
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			13,885,667	1	21,052,187
2	Savings and temporary cash investments .........			30,801,301	2	8,403,000
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			66,189,986	4	72,534,112
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			6,764,692	8	7,677,179
9	Prepaid expenses and deferred charges ......			3,875,787	9	4,489,439
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	254,025,579
b	Less: accumulated depreciation	10b	125,444,833	124,937,636	10c	128,580,746
11	Investments—publicly traded securities .			248,831,072	11	287,817,687
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			9,805,416	14	8,550,133
15	Other assets. See Part IV, line 11 ...........			18,699,099	15	17,460,220
16	Total assets. Add lines 1 through 15 (must equal line 34)...			523,790,656	16	556,564,703

17	Accounts payable and accrued expenses .....	73,916,930	17	52,726,244
18	Grants payable ...		18
19	Deferred revenue .........	291,322	19	193,563
20	Tax-exempt bond liabilities .........	113,760,019	20	110,164,588
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D		25
26	Total liabilities. Add lines 17 through 25..	187,968,271	26	163,084,395

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	333,024,644	27	388,045,323
28	Temporarily restricted net assets ...........	1,812,152	28	2,239,396
29	Permanently restricted net assets	985,589	29	3,195,589
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	335,822,385	33	393,480,308
34	Total liabilities and net assets/fund balances ........	523,790,656	34	556,564,703

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No