TY 2017 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	5.00 .................	X	X
(2) KAREN GLOVER...................................................................... VICE CHAIR	2.00 .................	X	X
(3) MIKE DELMAN...................................................................... TREASURER	3.50 .................	X	X
(4) KIMBERLY MCNALLY...................................................................... SECRETARY	2.00 .................	X	X
(5) CARL BEHNKE...................................................................... IMMEDIATE PAST CHAIR	2.00 .................	X	X
(6) ROBB BAKEMEIER...................................................................... DIRECTOR	2.00 .................	X
(7) JACQUELINE CABE...................................................................... DIRECTOR	1.50 .................	X
(8) BRUCE CLURMAN...................................................................... DIRECTOR	1.00 .................	X
(9) GERALD GRINSTEIN...................................................................... DIRECTOR	4.00 .................	X
(10) DEBORAH HAUG...................................................................... DIRECTOR (THRU 2/18)	0.50 .................	X
(11) STEWART LANDEFELD...................................................................... DIRECTOR (FROM 4/18)	4.00 .................	X
(12) RUTH MAHAN...................................................................... DIRECTOR	2.00 .................	X
(13) LINDA MATTOX...................................................................... DIRECTOR	0.50 .................	X
(14) SANDY MELZER...................................................................... DIRECTOR	1.50 .................	X
(15) BRUCE PYM...................................................................... DIRECTOR	1.00 .................	X
(16) BROOKS RAGEN...................................................................... DIRECTOR (THRU 3/18)	1.00 .................	X
(17) STEVE STADUM...................................................................... DIRECTOR	2.50 .................	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) BRUDER STAPLETON........................................................................ DIRECTOR	1.50 .......................	X					0	0
(19) ALVIN WINTERROTH........................................................................ DIRECTOR (FROM 3/18)	1.50 .......................	X					0	0
(20) RICHARD YARMUTH........................................................................ DIRECTOR	3.00 .......................	X					0	0
(21) NANCY DAVIDSON MD........................................................................ EXECUTIVE DIRECTOR AND PRESIDENT	45.00 .......................		X				1,273,027	0
(22) NORMAN HUBBARD........................................................................ EXECUTIVE VP	55.00 .......................		X				948,024	165,779
(23) JONATHAN TINGSTAD........................................................................ VP & CFO (THRU 10/17)	55.00 .......................		X				634,441	55,362
(24) F MARC STEWART MD........................................................................ VP, MEDICAL DIRECTOR	55.00 .......................		X				515,591	0
(25) DEBORAH GENTZEN........................................................................ VP, CHIEF STRATEGY OFFICER	55.00 .......................		X				423,869	111,983
(26) DAVID ACKERSON........................................................................ VP, CHIEF INFORMATION OFFICER	55.00 .......................		X				389,833	94,009
(27) BARBARA JAGELS........................................................................ VP, CHIEF QUALITY & VALUE OFFC	55.00 .......................		X				353,516	101,199
(28) THERESA MCDONNELL........................................................................ CHIEF NURSE EXEC, VP-CLIN OPS	55.00 .......................		X				348,640	50,425
(29) AARON CRANE........................................................................ VP & CFO (FROM 5/18)	55.00 .......................		X				0	0
(30) GRETCHEN HANNA........................................................................ DIR. CORPORATE FINANCE	55.00 .......................			X			255,771	35,490
(31) JOSEPH NORTON........................................................................ DIR. FINANCE	55.00 .......................			X			239,040	38,582
(32) MARIA GONZALEZ........................................................................ DIR. RESEARCH INT. (THRU 1/18)	55.00 .......................			X			234,607	39,314
(33) KRISTINE LOGAN........................................................................ DIR. OPERATIONS	55.00 .......................			X			209,309	28,447
(34) THOMAS TSAI DIR CLINICAL OPS........................................................................ DIAG/THERAPY SVCS (THRU 1/18)	55.00 .......................			X			207,209	20,701
(35) MOREEN DUDLEY........................................................................ DIR. CLIN. OPS, SUPPORTIVE SVCS	55.00 .......................			X			204,837	30,195
(36) ALPHONSO EMERY........................................................................ DIR. REVENUE CYCLE MGT	55.00 .......................			X			204,542	28,045
(37) TAMI DEEB........................................................................ DIR. SERVICE LINES	55.00 .......................			X			201,208	27,304
(38) AVRIL MCDOWELL........................................................................ DIR. CLINICAL OPS (THRU 7/17)	55.00 .......................			X			195,822	14,480
(39) STEPHANIE MAYS........................................................................ GENERAL COUNSEL	55.00 .......................			X			189,375	14,342
(40) ADA MOHEDANO........................................................................ DIR. CLIN. ANALYTICS & BUS INTEL	55.00 .......................			X			188,599	26,732
(41) MICHELLE HALL........................................................................ DIR. PERFORMANCE EXCELLENCE	55.00 .......................			X			187,794	33,408
(42) TIMOTHY EHLING........................................................................ DIR. NURSING & CLIN. OPS INTEG.	55.00 .......................			X			183,884	38,503
(43) HOLLY ROSENFELD........................................................................ DIR. MARKETING	55.00 .......................			X			183,795	38,761
(44) BRANDON JONES........................................................................ CHIEF TECHNOLOGY OFFICER	55.00 .......................			X			183,079	26,072
(45) TRACI PRANZINI........................................................................ CORPORATE INTEGRITY OFFICER	55.00 .......................			X			180,562	25,795
(46) CHAD HOGGARD........................................................................ DIR. IT SECURITY	55.00 .......................			X			176,175	37,275
(47) PAUL HELMUTH........................................................................ DIR. CLINICAL OPERATIONS	55.00 .......................			X			169,203	24,011
(48) CECILIA ZAPATA DIR STRAT........................................................................ OUTREACH/CCA NETWORK (THRU 8/17)	55.00 .......................			X			168,315	14,281
(49) KATIE COLLEEN ANN MALETICH........................................................................ DIR. QUALITY & SAFETY	55.00 .......................			X			165,741	28,091
(50) DONNA KERN........................................................................ REGISTERED NURSE	55.00 .......................				X		179,044	34,647
(51) ARIAM ZERESENNAI........................................................................ REGISTERED NURSE	55.00 .......................				X		168,272	35,859
(52) GANSUVD BALGANSUREN........................................................................ CIL DIR.	55.00 .......................				X		162,731	30,730
(53) DEBRA KIRKLEY........................................................................ DIR. MAGNET PROGRAM (THRU 7/17)	55.00 .......................				X		160,866	11,205
(54) MARIAN RICHARDSON........................................................................ ASSC. DIR. CLINICAL OPS	55.00 .......................				X		159,854	22,590
(55) FRED APPLEBAUM MD........................................................................ FORMER EXEC. DIR. & PRESIDENT	12.00 .......................					X	162,147	0
(56) CHERYL WYMAN........................................................................ FORMER DIR. DIAG/THERAPY SVCS	0.00 .......................					X	136,037	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	195,754,182
FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE N SEATTLE,WA98109	ADMIN, SUPPORT, SVCS, CONSULT.	35,543,947
SEATTLE CHILDREN'S HOSPITAL MAILSTOP S-100 PO BOX 50020 SEATTLE,WA98145	HEALTHCARE, SERVICES	23,070,660
NATIONAL MARROW DONOR PROGRAM 500 N 5TH STREET MINNEAPOLIS,MN55401	MARROW TRANSPLANT SERVICES	11,288,352
LEASE CRUTCHER LEWIS 107 SPRING ST SUITE 300 SEATTLE,WA98104	CONSTRUCTION	4,369,573
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 98

- 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.
right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2019

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) 2019

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 (explain in Part VI). 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) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization SEATTLE CANCER CARE ALLIANCE

Part I Contributors	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
		$	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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|No

(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? ..........................................................

Yes

82,870

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

Yes

47,650

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

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

Yes

251,237

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

381,757

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 MET WITH AND SENT CORRESPONDENCE TO FEDERAL AND STATE OFFICIALS REGARDING HEALTH CARE ISSUES SUCH AS MEDICARE, MEDICAID, AND INSURANCE POLICIES. LINE 1F: WASHINGTON STATE HOSPITAL ASSOCIATION REPRESENTS MEMBER INTERESTS ON LOCAL AND STATE LEVELS. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - $41,052. LINE 1F: ALLIANCE OF DEDICATED CANCER CENTERS REPRESENTS MEMBER INTERESTS AT THE NATIONAL LEVEL. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - $41,818. LINE 1G: SCCA EMPLOYEES MET WITH AND SENT CORRESPONDENCE TO FEDERAL AND STATE OFFICIALS REGARDING HEALTH CARE ISSUES SUCH AS MEDICARE, MEDICAID, AND INSURANCE POLICIES. AMOUNT EXPENDED - $47,650 LINE 1I: COMPENSATION PAID TO HIRED LOBBYISTS TO MONITOR AND REVIEW LEGISLATION AT THE LOCAL, STATE, AND FEDERAL LEVELS. AMOUNT EXPENDED - $251,237.

Return Reference

Explanation

PART II-B, LINE 1:

LINE 1B: SCCA MET WITH AND SENT CORRESPONDENCE TO FEDERAL AND STATE OFFICIALS REGARDING HEALTH CARE ISSUES SUCH AS MEDICARE, MEDICAID, AND INSURANCE POLICIES. LINE 1F: WASHINGTON STATE HOSPITAL ASSOCIATION REPRESENTS MEMBER INTERESTS ON LOCAL AND STATE LEVELS. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - $41,052. LINE 1F: ALLIANCE OF DEDICATED CANCER CENTERS REPRESENTS MEMBER INTERESTS AT THE NATIONAL LEVEL. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - $41,818. LINE 1G: SCCA EMPLOYEES MET WITH AND SENT CORRESPONDENCE TO FEDERAL AND STATE OFFICIALS REGARDING HEALTH CARE ISSUES SUCH AS MEDICARE, MEDICAID, AND INSURANCE POLICIES. AMOUNT EXPENDED - $47,650 LINE 1I: COMPENSATION PAID TO HIRED LOBBYISTS TO MONITOR AND REVIEW LEGISLATION AT THE LOCAL, STATE, AND FEDERAL LEVELS. AMOUNT EXPENDED - $251,237.

Schedule C (Form 990 or 990EZ) 2019

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2019

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 ....	3,716,219	3,233,423	1,089,458	987,202	906,178
b	Contributions ...		100,000	2,210,000	100,000
c	Net investment earnings, gains, and losses	169,812	383,405	-66,035	2,256	129,324
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...					44,492
f	Administrative expenses ....	634	609			3,808
g	End of year balance ......	3,885,397	3,716,219	3,233,423	1,089,458	987,202

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 %

Term 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 ....	159,603,448	72,992,937	86,610,511
c	Leasehold improvements	9,383,294	6,541,431	2,841,863
d	Equipment ....	109,312,314	71,081,189	38,231,125
e	Other .....	8,204,246	5,768,926	2,435,320
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				150,080,353

Schedule D (Form 990) 2019

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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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) 2019

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	656,958,830
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	7,335,227
b	Donated services and use of facilities .........	2b	12,000
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-659,513
e	Add lines 2a through 2d .....................			2e	6,687,714
3	Subtract line 2e from line 1..................			3	650,271,116
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	466,722
b	Other (Describe in Part XIII.) ...........	4b	2,749,951
c	Add lines 4a and 4b....................			4c	3,216,673
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	653,487,789

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	607,726,702
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a	12,000
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	77,362
e	Add lines 2a through 2d....................			2e	89,362
3	Subtract line 2e from line 1...................			3	607,637,340
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	466,722
b	Other (Describe in Part XIII.) ............	4b	2,249,884
c	Add lines 4a and 4b.....................			4c	2,716,606
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	610,353,946

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 -2,259,933. RESTRICTED REVENUES RELEASED 1,588,871. FINANCIAL STATEMENT RECLASS 10,049. CASH DONATION RECORDED AS IN-KIND AND CASH DONATION 1,500.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	GAIN/LOSS ON DISPOSAL OF FIXED ASSETS 1,978. DIRECT FUNDRAISING EXPENSES -117,840. RESTRICTED REVENUES RECEIVED 2,865,813.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	GAIN/LOSS ON DISPOSAL OF FIXED ASSETS -1,978. DIRECT FUNDRAISING EXPENSES 117,840. REVERSAL OF PRIOR YEAR GRANT EXPENSE -40,000. CASH DONATION RECORDED AS IN-KIND AND CASH DONATION 1,500.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 2,259,933. FINANCIAL STATEMENT RECLASS -10,049.

Schedule D (Form 990) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 10 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 AND GIFT PROCESSING		No	3,982,865	150,769	3,832,096









Total . . . . . . . . . . . . . . . . . . . .					3,982,865	150,769	3,832,096

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, CA, CO, CT, FL, HI, IL, KS, KY, ME, MD, MA, MI, MN, MS, MO, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, TN, UT, VA, WA, WV, WI

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2019

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 WAA- GAME CHANGER (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	502,682	502,682
2	Less: Contributions . . . .	457,382	457,382
3	Gross income (line 1 minus line 2) . . . . . .	45,300	45,300

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	26,656	26,656
7	Food and beverages . . .	41,747	41,747
8	Entertainment . . . .	13,257	13,257
9	Other direct expenses . . .	41,768	41,768
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		123,428
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		-78,128

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) 2019

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 provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2019

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

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) . . .	4,662,012	0	4,662,012	0.770 %
b	Medicaid (from Worksheet 3, column a) . . . . .	58,444,411	24,767,982	33,676,429	5.540 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	63,106,423	24,767,982	38,338,441	6.310 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	4,634,212	2,204,993	2,429,219	0.400 %
f	Health professions education (from Worksheet 5) . . .	8,092,216	58,850	8,033,366	1.320 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	11,874,633	73,908	11,800,725	1.940 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,312,852	0	1,312,852	0.220 %
j	Total. Other Benefits . .	25,913,913	2,337,751	23,576,162	3.880 %
k	Total. Add lines 7d and 7j .	89,020,336	27,105,733	61,914,603	10.190 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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.

		(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	5,401	5,401	0 %
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	5,401	5,401	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

2,259,933

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).....

116,965,884

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

130,864,625

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

-13,898,741

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) 2019

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?1Name, 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) 2019

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

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): HTTPS://WWW.SEATTLECCA.ORG/COMMUNITY-BENEFIT

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 16

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

Yes

If "Yes" (list url): HTTPS://WWW.SEATTLECCA.ORG/COMMUNITY-BENEFIT

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) 2019

Page 5

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)

Was widely publicized 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):

SEE PART V, SECTION C

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

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	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 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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 IDENTIFIED FOUR MAJOR AREAS OF PLANNED INVESTMENT THROUGH ITS CHNA AND STRATEGIC IMPLEMENTATION PROCESS: CANCER SCREENING AND PREVENTION, ACCESS TO SERVICES, SURVIVORSHIP, AND COMMUNITY HEALTH INFRASTRUCTURE. SCCA HAS MADE SIGNIFICANT CONTRIBUTIONS IN THESE FOUR AREAS.CANCER SCREENING AND PREVENTION:SCCA SEEKS TO REDUCE THE BURDEN OF CANCER THROUGH BROADER SCREENING AND PREVENTION EFFORTS IN THE COMMUNITY. SOME EXAMPLES OF WORK IN THIS AREA INCLUDE: EDUCATING UNDERSERVED POPULATIONS ABOUT RECOMMENDED SCREENINGS AND PREVENTION EFFORTS, PROVIDING TOBACCO CESSATION EDUCATION AND SUPPORT, ADVOCATING FOR POLICIES THAT WOULD LIMIT USE OF TOBACCO, AND PROVIDING SCREENINGS SUCH AS MAMMOGRAMS AND LUNG CANCER EARLY DETECTION.ACCESS TO SERVICES:SCCA WORKS TO CONNECT INDIVIDUALS NEEDING SERVICES WITH COVERAGE, THROUGH INTERNAL COUNSELING AND OTHER RESOURCES FOR PATIENTS, ACTIVE PARTICIPATION IN THE KING COUNTY BREAST, CERVICAL, AND COLON HEALTH PROGRAM (BCCHP PROGRAM), AND ADVOCACY ON STATE AND FEDERAL POLICIES TO IMPROVE ACCESS TO SERVICES. SCCA HAS ALSO IMPLEMENTED A NEW CULTURAL SENSITIVITY TRAINING FOR STAFF, AS WELL AS FUNDED TRANSPORTATION FOR PATIENTS IN FINANCIAL NEED.SURVIVORSHIP:SCCA HOSTS A SURVIVORSHIP CLINIC FOR PATIENTS AND COMMUNITY MEMBERS, TO ADDRESS THE UNIQUE NEEDS OF THESE PATIENTS. SCCA UNDERTOOK SIGNIFICANT EFFORTS TO PLAN FOR THE OPENING OF ITS NEW SURVIVORSHIP CLINIC.COMMUNITY HEALTH INFRASTRUCTURE:SCCA UNDERTOOK SIGNIFICANT EFFORTS TO INVEST RESOURCES IN IMPROVING ITS INTERNAL STRUCTURES AND PROCESSES TO SUPPORT ONGOING COMMUNITY BENEFIT WORK, AND CONTINUES TO PARTICIPATE IN STATE AND NATIONAL WORK TO ADVANCE THE PROLIFERATION OF QUALITY DATA FOR CANCER CARE, ULTIMATELY DRIVING BENCHMARKING AND IMPROVEMENT.
SEATTLE CANCER CARE ALLIANCE	PART V, SECTION B, LINE 13B: RESPONSIBLE PARTIES WHOSE INCOME LEVEL EXCEEDS 300% OF THE FEDERAL POVERTY STANDARD AS ADJUSTED FOR FAMILY SIZE BUT WHO HAVE INCURRED CATASTROPHIC ACCOUNT BALANCES AFTER ALL SOURCES OF THIRD PARTY COVERAGE AND SPONSORSHIP WILL BE CONSIDERED FOR CHARITY CARE ON A CASE BY CASE BASIS.
SEATTLE CANCER CARE ALLIANCE	PART V, SECTION B, LINE 13H: THE FOLLOWING PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE UNDER THIS POLICY NOTWITHSTANDING THE FACT THEY ARE NOT RESIDENTS OF THE STATE OF WASHINGTON: 1) PERSONS WHO HAVE AN EMERGENCY MEDICAL CONDITION; AND 2) PERSONS WHO ARE REFUGEES, ASYLEES OR SEEKING ASYLUM AND PROVIDE APPROPRIATE IMMIGRATION AND NATURALIZATION SERVICE DOCUMENTATION. IF THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE/CHARITY CARE IS APPARENT, SCCA MAY, IN ITS SOLE DISCRETION, CHOOSE TO WAIVE SOME OF THE DOCUMENTATION AND VERIFICATION REQUIREMENTS. EXAMPLES OF CIRCUMSTANCES IN WHICH THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE/CHARITY CARE MAY BE APPARENT INCLUDE THE FOLLOWING: 1) A PATIENT OR GUARANTOR WHO HAS DECLARED BANKRUPTCY AND HAS INCLUDED THE SCCA DEBT IN THE BANKRUPTCY. 2) A PATIENT OR GUARANTOR WHO DIES WITHOUT MATERIAL ASSETS. 3) A PATIENT OR GUARANTOR WHO IS DETERMINED TO BE HOMELESS. 4) ACCOUNTS RETURNED BY THE COLLECTION AGENCY AS UNCOLLECTIBLE DUE TO ANY OF THE ABOVE REASONS. SCCA STAFF DISCRETION WILL BE EXERCISED IN SITUATIONS WHERE FACTORS SUCH AS SOCIAL OR HEALTH ISSUES EXIST. SUCH ISSUES WILL BE DOCUMENTED TO SUPPORT FINANCIAL ASSISTANCE/CHARITY CARE CONSIDERATION.
SEATTLE CANCER CARE ALLIANCE	PART V, SECTION B, LINE 20E: SCCA CONTACTED PATIENTS AND HELPED THEM COMPLETE PAPER WORK TO APPLY FOR FINANCIAL ASSISTANCE FOR MEDICARE, MEDICAID, OR ANY OTHER POSSIBLE SOURCE OF COVERAGE.
PART V, SECTION B, LINE 3E:	SCCA IS DEDICATED TO ENSURING THAT OUR PURPOSE, WHICH UNITES THE DRIVE TO IMPROVE CANCER CARE AND OUTCOMES FOR PATIENTS AND THEIR FAMILIES WITH THE POWER OF CLINICAL RESEARCH, IS MEETING OUR COMMUNITY'S HEALTH NEEDS. THE HEALTH NEEDS IDENTIFIED BY THE DATA AVAILABLE TO US, OUR STAKEHOLDERS' INPUT, AND FEEDBACK ON OUR PREVIOUS HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY LED US TO PRIORITIZE CANCER-RELATED HEALTH NEEDS THAT ARE CLEARLY IDENTIFIED IN THE COMMUNITY AND FOR WHICH AN EVIDENCE-BASED INTERVENTION EXISTS THAT CAN IMPROVE CANCER CARE AND OUTCOMES FOR INDIVIDUALS, THEIR FAMILIES, AND OUR COMMUNITY. BY USING THIS FRAMEWORK, WE ARE ABLE TO PRIORITIZE COMMUNITY HEALTH NEEDS WHERE OUR INVOLVEMENT CAN CONTRIBUTE MEANINGFULLY TO HEALTH IMPROVEMENT. USING THIS LENS, WE IDENTIFIED MANY POTENTIAL HEALTH NEEDS, WHICH WE GROUPED INTO SIX HIGH-LEVEL AREAS OF FOCUS: CANCER PREVENTION, CANCER SCREENING, ACCESS TO HIGH-QUALITY CANCER CARE SERVICES, SURVIVORSHIP, HIGH-NEEDS POPULATIONS, AND COMMUNITY HEALTH INFRASTRUCTURE.
PART V, SECTION B, LINE 14	TO PROVIDE ADDITIONAL CLARITY TO THE PATIENTS APPLYING FOR FINANCIAL ASSISTANCE, SCCA HAS UPDATED THE LANGUAGE IN THE FINANCIAL ASSISTANCE POLICY (FAP), EFFECTIVE MARCH 2018, THAT EXPLAINS HOW AMOUNTS CHARGED TO FAP ELIGIBLE PATIENTS ARE CALCULATED AND ALSO INCLUDED THE DEFINITION OF AMOUNTS GENERALLY BILLED.
PART V, SECTION B, LINE 16	WEBSITE APPLICABLE FOR LINES 16A, 16B, AND 16C:HTTPS://WWW.SEATTLECCA.ORG/NEW-PATIENTS/INSURANCE-COVERAGE-AND-BILLS/FINANCIAL-ASSISTANCE-RESOURCES

Schedule H (Form 990) 2019

Page 9

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?4
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-16 SEATTLE,WA981338498	HOSPITAL BASED OUTPATIENT CLINIC
5
6
7
8
9
10

Schedule H (Form 990) 2019

Page 10

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. FOR THOSE WHOSE INCOME ARE BETWEEN 200% AND 300% OF THE FEDERAL POVERTY STANDARD, ADDITIONAL ASSET-BASED DOCUMENTATION MAY BE CONSIDERED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. RESPONSIBLE PARTIES WHOSE INCOME EXCEEDS 300% OF THE FEDERAL POVERTY STANDARD AS ADJUSTED FOR FAMILY SIZE BUT WHO HAVE INCURRED CATASTROPHIC ACCOUNT BALANCES AFTER ALL SOURCES OF THIRD PARTY COVERAGE AND SPONSORSHIP WILL BE CONSIDERED FOR CHARITY CARE ON A CASE BY CASE BASIS.
PART I, LINE 6A:	SCCA PREPARES AN ANNUAL REPORT EVERY YEAR AND IT INCLUDES THE COMMUNITY BENEFIT REPORT INFORMATION. IT IS MADE AVAILABLE TO THE PUBLIC AT THE FRONT DESK AND ON OUR WEBSITE. SCCA'S COMMUNITY BENEFIT INFORMATION IS NOT DISCLOSED IN A REPORT PREPARED BY A RELATED ORGANIZATION.
PART I, LINE 7:	SCCA UTILIZED WORKSHEET 2 TO ARRIVE AT A COST TO CHARGE RATIO FOR COMPLETING LINE 7.
PART I, LINE 7G:	THERE ARE NO PHYSICIAN CLINIC EXPENSES INCLUDED.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX IS $2,259,993. IT WAS SUBTRACTED UTILIZING WORKSHEET 1 FROM THE TOTAL ON FORM 990 PART IX TO ARRIVE AT THE DENOMINATOR USED TO CALCULATE THIS COLUMN.
PART III, LINE 2:	DISCOUNTS ON PATIENT ACCOUNTS PRIOR TO BAD DEBT STATUS: FOR A PATIENT WHO HAS INSURANCE, CONTRACTUAL ADJUSTMENTS ARE APPLIED TO THE ACCOUNT BASED ON THE INSURANCE COMPANY CONTRACT IN FORCE. THE REMAINING SELF PAY AMOUNTS ARE NOT FURTHER ADJUSTED. FOR A PATIENT WITH NO INSURANCE, A 10% DISCOUNT IS APPLIED AT TIME OF SERVICE. NO OTHER SPECIFIC DISCOUNTS ARE MADE TO PATIENT ACCOUNTS. AMOUNTS WRITTEN OFF TO BAD DEBT EXPENSE REPRESENT THE UNPAID BALANCE AFTER INSURANCE CONTRACTUAL ADJUSTMENT, OR SELF PAY DISCOUNT; AND ANY PAYMENTS RECEIVED. ONCE AN ACCOUNT IS IN BAD DEBT STATUS, ANY PAYMENTS RECEIVED ON A PATIENT ACCOUNT CONTINUE TO REDUCE THE OUTSTANDING PATIENT ACCOUNT LIABILITY.ESTIMATED AMOUNT FOR PATIENTS WHO 'WOULD QUALIFY' FOR FINANCIAL ASSISTANCE:THE SCCA IDENTIFIES PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE AND THE ACCOUNT IS DESIGNATED AS FINANCIAL ASSISTANCE WITHIN THE PATIENT ACCOUNTING SYSTEM. ALL OTHER ACCOUNTS ARE EVALUATED OVER A PERIOD OF TIME THROUGH A SERIES OF CRITERIA BEFORE DESIGNATION AS BAD DEBT. BECAUSE SCCA IS A SPECIALTY HOSPITAL TREATING CANCER PATIENTS, SCCA MAKES EVERY EFFORT IN COMMUNICATING WITH OUR PATIENTS THE PROGRAMS AND FINANCIAL ASSISTANCE POLICIES AVAILABLE TO ITS PATIENT POPULATION BEFORE, DURING, AND AFTER TREATMENT IS RECEIVED.
PART III, LINE 3:	PART III LINE 3 IS BLANK FOR SCCA. COMMUNITY BENEFIT: SCCA BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDIBLE IN THE CALCULATION OF THE COMMUNITY BENEFIT. SCCA PROVIDED TREATMENT TO THOSE PATIENTS UNABLE TO PAY THEIR BILL. IF SCCA DID NOT TREAT THESE PATIENTS, THEY WOULD BE TREATED BY SOMEONE ELSE IN THE COMMUNITY OR THROUGH A GOVERNMENTAL UNIT.
PART III, LINE 4:	SCCA'S AUDITED FINANCIAL STATEMENTS FOOTNOTE 10(E) BAD DEBT READS AS FOLLOWS: FOR PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, SCCA RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A PORTION OF SCCA'S PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, SCCA RECORDS A PROVISION FOR BAD DEBTS RELATED TO PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.
PART III, LINE 8:	SCCA COMPLETED PART III, LINE 6 USING THE ALLOWABLE COSTS FROM THE AS-FILED MEDICARE COST REPORT FOR FY18. THE METHODOLOGY USED TO COMPLETE THE MEDICARE COST REPORT WAS BASED ON THE CMS PROVIDER REIMBURSEMENT MANUAL PUB 15.IN ADDITION TO MEDICARE AMOUNTS REPORTED ON THE MEDICARE COST REPORT, SCCA HAS A NON-MEDICARE COST REPORT FEE SCHEDULE AND MEDICARE MANAGED CARE. THE NON-MEDICARE COST REPORT FEE SCHEDULE AND THE MANAGED CARE REVENUES ARE BASED ON THE REIMBURSEMENT RECEIVED FROM MEDICARE. THE COSTS ARE DERIVED USING THE RATIO OF COST TO CHARGES FROM THE AS FILED MEDICARE COST REPORT. THE TABLE BELOW REFLECTS SCCA'S TOTAL REVENUES AND EXPENSES ATTRIBUTABLE TO ALL OF SCCA'S MEDICARE PROGRAMS: PART III, NON-COST REPORT TOTAL SECTION B FEE SCHED. MANAGED CARE MEDICAREMEDICARE REVENUE $116,965,884 $1,105,004 $26,026,281 $144,097,169MEDICARE EXPENSE $130,864,625 $2,286,437 $28,699,483 $161,850,545SHORTFALL ($13,898,741) ($1,181,433) ($2,673,202) ($17,753,376)SCCA CONSIDERS THE SHORTFALL ON MEDICARE SERVICES TO BE 100% COMMUNITY BENEFIT. HAD SCCA NOT DELIVERED THE SERVICES, THE SERVICES AND FINANCIAL LOSS WOULD FALL TO ANOTHER COMMUNITY HOSPITAL.
PART III, LINE 9B:	PATIENTS WHO HAVE BEEN APPROVED FOR 100% CHARITY ARE REMOVED FROM THE COLLECTIONS WORKFLOW SO THEIR ACCOUNTS WILL NOT BE SENT TO COLLECTIONS.
PART VI, LINE 2:	SEATTLE CANCER CARE ALLIANCE (SCCA) IS A SPECIALTY HOSPITAL DEDICATED TO PROVIDE STATE-OF-THE-ART PATIENT AND FAMILY CENTERED CARE; SUPPORT THE CONDUCT OF CANCER CLINICAL RESEARCH AND EDUCATION; ENHANCE ACCESS TO IMPROVED CANCER INTERVENTIONS AND ADVANCE THE STANDARD OF CANCER CARE, REGIONALLY AND BEYOND. IT BRINGS TOGETHER THE PHYSICIANS FROM THE FRED HUTCHINSON CANCER RESEARCH CENTER, SEATTLE CHILDREN'S HOSPITAL, AND THE UNIVERSITY OF WASHINGTON FOCUSED ON FORMULATING AND DELIVERING THE BEST CANCER TREATMENTS AVAILABLE. OUR NEEDS ASSESSMENT STRATEGY IS TO ANALYZE WHERE AND WHAT TYPE OF CANCER IS OCCURRING, DETERMINE WHERE COMPELLING SCIENCE EXISTS, AND MAKE INVESTMENTS TO GROW THESE PROGRAMS.SCCA IN CONJUNCTION WITH FRED HUTCHINSON CANCER RESEARCH CENTER, UNIVERSITY OF WASHINGTON, AND SEATTLE CHILDREN'S REVIEWS THE OCCURRENCE RATES IN THE TYPES OF CANCERS IN COMPARISON TO WHERE RESEARCH DOES NOT EXIST AND MAKES STRATEGIC INVESTMENTS TO DEVELOP SCIENCE, BREAKTHROUGHS, AND TREATMENTS IN AREAS OF CANCER NOT BEING PURSUED BY OTHERS.WITH THE COMBINED EFFORTS OF ALL THREE INSTITUTIONS, STATE OF THE ART RESEARCH IS CONDUCTED, DELIVERED TO OUR PATIENT POPULATION, AND SHARED WITH THE COMMUNITY.
PART VI, LINE 3:	PATIENTS REQUESTING INFORMATION ABOUT FINANCIAL ASSISTANCE ARE GIVEN A BROCHURE DESCRIBING THE FINANCIAL PROGRAMS AVAILABLE ALONG WITH CONTACT INFORMATION FOR SCCA RESOURCES. A FINANCIAL COUNSELOR IS AVAILABLE FREE OF CHARGE TO HELP PATIENTS REVIEW THEIR INFORMATION AND TO HELP COMPLETE THE NECESSARY PAPERWORK TO APPLY FOR ASSISTANCE. INTERPRETER SERVICES ARE AVAILABLE IF NEEDED TO HELP.SCCA'S WEBSITE HAS A LIST OF OUTSIDE RESOURCES AVAILABLE TO PATIENTS IN NEED OF ASSISTANCE. SCCA'S WEBSITE HAS ITS FINANCIAL ASSISTANCE POLICY AVAILABLE IN ENGLISH, AND 3 OTHER LANGUAGES. THE SCCA'S FINANCIAL ASSISTANCE POLICY IS ALSO SUMMARIZED IN A PLAIN LANGUAGE SUMMARY IN ENGLISH AND 3 OTHER LANGUAGES ON THE WEBSITE AND IS AVAILABLE THROUGHOUT THE CLINIC.
PART VI, LINE 4:	SCCA IS LOCATED IN SEATTLE, WA. THE PATIENT POPULATION UTILIZING THE SERVICES OF SCCA ARE PRIMARILY LOCATED IN THE PACIFIC NORTHWEST; HOWEVER, SCCA HAS PATIENTS FROM ALL OVER THE WORLD. SCCA REPRESENTS A UNION OF PATIENTS AND DOCTORS, PHYSICIANS AND RESEARCHERS, CARE AND CURES IN THE PURSUIT OF BETTER, LONGER, RICHER LIVES FOR OUR PATIENTS. ABOVE ALL, WE EXIST TO MOVE PATIENTS FORWARD, PAST BOUNDARIES AND TOWARD HOPE, BEYOND FEAR AND CLOSER TO DISCOVERY. SCCA IS THE INTERSECTION OF COMPASSION AND HARD SCIENCE WHERE A REAL DIFFERENCE CAN BE MADE TODAY AND TRUE PROGRESS HAPPENS TOMORROW. THIS UNIQUELY BOLD AND INVENTIVE APPROACH TRULY SETS US APART. WE TREAT CARE DIFFERENTLY. AND, BECAUSE OF THAT, WE SEE PATIENTS DIFFERENTLY, TOO. OUR CARE COMBINES POWERFUL SCIENCE WITH DEVOTED COLLABORATION, WHERE BOUNDARY-PUSHING DISCOVERY HAPPENS - CARE AND SCIENCE WORKING TOGETHER.IT IS OUR FUNDAMENTAL BELIEF THAT WORKING IN PARTNERSHIP WITH OUR PATIENTS IS ESSENTIAL TO WHO WE ARE TODAY AND IN THE FUTURE.WITH OUR DEVOTION TO THE INTERSECTION OF COMPASSION AND HARD SCIENCE, SCCA STRIVES TO REACH THE REGIONAL POPULATION OF THE PACIFIC NORTHWEST (WA, OR, ID, MT, HI, AK), WHICH ACCORDING TO THE US CENSUS BUREAU FOR 2015 REPRESENTS 16,057,242.SCCA IS PRIMARILY LOCATED IN SEATTLE, WA, HOWEVER, THROUGH THE SCCA NETWORK PROGRAM OF AFFILIATIONS WITH LOCAL COMMUNITY CANCER CENTERS, SCCA IS ABLE TO PROVIDE ACCESS TO RESOURCES AND THERAPIES TO ALL OF THE NETWORK MEMBER PATIENT POPULATIONS. ALL OF OUR NETWORK MEMBERS HAVE DESIGNATED MEDICALLY UNDERSERVED AREAS, MUA, WITHIN THEIR OPERATING LOCALITY. THE MUA PATIENT POPULATION RECEIVES THE BENEFIT OF SCCA'S EXPERTISE WITHOUT NEEDING TO LEAVE HOME. SCCA'S NETWORK PROGRAM SPANS TEN COMMUNITY CANCER CENTER AFFILIATES IN WASHINGTON, ALASKA, IDAHO, HAWAII AND MONTANA.THE LOCAL GEOGRAPHICAL AREA SCCA RESIDES IN CONSISTS OF KING, SNOHOMISH, AND PIERCE COUNTIES. THE METROPOLITAN AREA 2015 POPULATION ESTIMATE ACCORDING TO THE US CENSUS BUREAU IS 3,733,580.KING, SNOHOMISH, AND PIERCE COUNTIES ALL HAVE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED COMMUNITIES.KING COUNTY HAS 22 PROVIDERS DESIGNATED AS FEDERALLY QUALIFIED HEALTH CENTERS, FQHC, WITH 46 OPERATING MEDICAL SERVICES SITES; SNOHOMISH COUNTY HAS 1 FQHC DESIGNATED PROVIDER WITH 3 OPERATING MEDICAL SERVICES SITES, AND PIERCE COUNTY HAS 2 FQHC DESIGNATED PROVIDERS WITH 8 OPERATING MEDICAL SERVICES SITES. PIERCE COUNTY IS CONSIDERED A MEDICALLY UNDERSERVED COUNTY BY THE WASHINGTON STATE DEPARTMENT OF PUBLIC HEALTH.SCCA HAS DIRECT RELATIONSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS THAT ARE LOCATED WITHIN THE MUA'S IN KING, SNOHOMISH, AND PIERCE COUNTIES, WASHINGTON. SCCA HAS SPECIFIC CONTRACTS WITH PUBLIC HEALTH SEATTLE KING COUNTY (PHSKC) AND SEA MAR AS PART OF OUR OUTREACH SERVICES TO PROVIDE PREVENTIVE HEALTH SCREENINGS AND ALSO SERVE OUR DESIRE TO REACH THE LOCAL UNDERSERVED COMMUNITIES.THE SCCA'S RELATIONSHIP WITH PHSKC IS PART OF THE BREAST, CERVICAL, AND COLON HEALTH PROGRAM (BCCHP). THE PURPOSE OF BCCHP IS TO REDUCE MORTALITY AND MORBIDITY FROM BREAST, CERVICAL, AND COLON CANCERS BY THE EARLY DETECTION OF CANCER THROUGH FREE SCREENINGS. SCCA IS CONTRACTED WITH BCCHP TO PROVIDE SERVICES FOR PATIENTS IN KING, KITSAP, JEFFERSON, AND CLALLAM COUNTIES. SCCA CONTRACTED SERVICES ARE FOR BREAST CANCER SCREENING THROUGH REGULAR MAMMOGRAMS. SCCA ACCEPTS REFERRALS FROM PHSKC WHEN THE PRIMARY CARE PHYSICIAN HAS DETECTED SOMETHING OF INTEREST. SCCA PERFORMS DIAGNOSTICS, AND IF THE PATIENTS ARE DEEMED TO HAVE CANCER, SCCA WILL TREAT THESE PATIENTS.SCCA ALSO HAS THE UNIQUE ABILITY TO HELP ENROLL PATIENTS INTO THE BCCHP PROGRAM. ONCE IDENTIFIED BY SCCA, THEY ARE FAST TRACKED AT THE WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES INTO BCCHP. PATIENTS WHO COME TO SCCA DIRECTLY TO HAVE A DIAGNOSTIC COMPLETED AND CANCER IS FOUND, CAN BE ENROLLED DIRECTLY BY THE SCCA INTO THE BCCHP. ENROLLMENT INTO BCCHP IS DEPENDENT ON ELIGIBILITY CRITERIA. BCCHP IS FUNDED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION, WASHINGTON STATE, AND SUSAN G. KOMEN (PUGET SOUND, EASTERN WASHINGTON AND PORTLAND/SOUTHWEST WASHINGTON AFFILIATES).SEA MAR COMMUNITY HEALTH CENTER IS A COMMUNITY-BASED ORGANIZATION COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE HEALTH, HUMAN, AND HOUSING SERVICES TO DIVERSE COMMUNITIES, SPECIALIZING IN SERVICE TO LATINOS. SEA MAR'S MEDICAL CLINICS ARE LOCATED IN EIGHT COUNTIES IN WASHINGTON STATE. THE SCCA'S RELATIONSHIP WITH SEA MAR IS TO PROVIDE CLINICAL EDUCATION OPPORTUNITIES FOR PRIMARY CARE PROVIDERS AS WELL AS COMMUNITY OUTREACH IN THE AREAS OF EARLY DETECTION AND PREVENTION OF CANCER.
PART VI, LINE 5:	SEATTLE CANCER CARE ALLIANCE IS ONE OF A SMALL HANDFUL OF CANCER ORGANIZATIONS THAT ARE HAVING A POWERFUL IMPACT ON THE HEALTH OF PEOPLE IN OUR STATE AND REGION, WHILE, AT THE SAME TIME, HAVING A DIRECT EFFECT ON HOW A WIDE RANGE OF CANCERS ARE UNDERSTOOD, PREVENTED, DIAGNOSED, AND TREATED AROUND THE WORLD. OUR CONTRIBUTION IS DEEP, BECAUSE SCCA BRINGS TOGETHER THE BEST TALENT OF THREE WORLD-RENOWNED MEDICAL CENTERS-FRED HUTCH, UW MEDICINE, AND SEATTLE CHILDREN'S-TO PIONEER NEW RESEARCH, AND THEN RAPIDLY APPLY OUR FINDINGS IN A CLINICAL SETTING. WE ARE ONE TEAM DEDICATED TO PROVIDING THE BEST POSSIBLE CARE WITH THE BEST POSSIBLE OUTCOME FOR PATIENTS. OUR CONTRIBUTION IS BROAD, BECAUSE WE HAVE UNPARALLELED RESOURCES TO SHARE WHAT WE KNOW THROUGH THE EDUCATION OF DOCTORS, NURSES, AND SCIENTISTS, PUBLICATION IN LEADING MEDICAL JOURNALS, AND SPECIALIZED TRAINING AND SYMPOSIA FOR MEDICAL PROFESSIONALS. WE ARE PROUD TO BE A HUB FOR CONTINUING MEDICAL EDUCATION (CME) IN OUR REGION.WITH THAT BACKGROUND AS CONTEXT, THERE ARE FOUR KEY AREAS IN WHICH SCCA HAS MADE A PARTICULARLY STRONG CONTRIBUTION TO OUR COMMUNITY: GROUND BREAKING RESEARCH- WE ARE MAKING INCREDIBLE PROGRESS IN OUR EFFORT TO LEAD THE WORLD IN TRANSLATING SCIENTIFIC DISCOVERY INTO THE PREVENTION, DIAGNOSIS, TREATMENT, AND CURE OF CANCER. THIS YEAR SCCA HAS MORE THAN 300 ACTIVE CLINICAL TRIALS OPEN FOR PATIENTS. IN FACT, SEATTLE CANCER CARE ALLIANCE IS THE ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER IN THE WWAMI (WASHINGTON, WYOMING, ALASKA, MONTANA, IDAHO) REGION - A DISTINCTION RESERVED ONLY FOR CENTERS WITH THE MOST IN-DEPTH RESEARCH PROGRAMS. AND, AS A RESEARCH HUB, WE ARE ABLE TO ATTRACT THE BEST AND MOST EXPERIENCED DOCTORS, NURSES, AND SPECIALISTS FROM AROUND THE WORLD.UNPRECEDENTED SURVIVAL RATES- THE FRED HUTCH BONE MARROW TRANSPLANT PROGRAM AT SCCA PIONEERED THE CLINICAL USE OF BONE MARROW AND STEM CELL TRANSPLANTATION MORE THAN 40 YEARS AGO, AND HAS PERFORMED MORE THAN 15,000 BONE MARROW TRANSPLANTS - MORE THAN ANY OTHER INSTITUTION IN THE WORLD. FOR CONSECUTIVE YEARS, OUR TRANSPLANT PROGRAM PROVIDED OUR PATIENTS WITH A HIGHER CHANCE OF SURVIVAL AS COMPARED TO THE VAST MAJORITY OF TRANSPLANT CENTERS NATIONWIDE. SCCA'S SUCCESS IN HELPING PATIENTS SURVIVE A WIDE RANGE OF CANCERS CONTINUES TO BE ACKNOWLEDGED BY NATIONAL CANCER DATA BASE RANKINGS. SCCA HAS RANKED AT THE TOP OF THESE PATIENT SURVIVAL RANKINGS SINCE 2002. ADDITIONALLY, SCCA IS RANKED AMONG THE TOP TEN BEST HOSPITALS IN THE NATION FOR ADULT CANCER TREATMENT BY U.S. NEWS & WORLD REPORT. A STUDY COMMISSIONED BY MEMORIAL SLOAN KETTERING CANCER CENTER (MSKCC) DOCUMENTED THAT SEEKING TREATMENT AT SEATTLE CANCER CARE ALLIANCE, ALONG WITH TEN OTHER NATIONALLY DESIGNATED NCI CENTERS PROVIDES A 10% INCREASE IN SURVIVABILITY FOR PATIENTS LIVING WITH CANCER. EXTENSION OF OUR NETWORK TO PROVIDE MORE COMMUNITY-BASED CARE- WE HAVE EXTENDED OUR NETWORK TO IMPROVE COMMUNITY-BASED CARE THROUGHOUT THE NORTHWEST AND BEYOND. IN ADDITION TO OUR THREE ORIGINAL TREATMENT SITES AT SOUTH LAKE UNION, UW MEDICAL CENTER, AND SEATTLE CHILDREN'S, SCCA HAS ADDED A MEDICAL ONCOLOGY CLINIC AT EVERGREEN HEALTH IN KIRKLAND, WASHINGTON; MEDICAL AND RADIATION ONCOLOGY CLINIC AT UW MEDICINE'S NORTHWEST HOSPITAL & MEDICAL CENTER IN SEATTLE, WASHINGTON; SCCA HAS NETWORK AFFILIATIONS WITH HOSPITALS IN WASHINGTON, IDAHO, MONTANA, HAWAII, AND ALASKA. ENGAGEMENT WITH, AND LEADERSHIP BY, THE COMMUNITY-SEATTLE CANCER CARE ALLIANCE HAS MORE THAN 3,000 PEOPLE WORKING IN A HIGHLY COMPETITIVE, HIGHLY PROFESSIONAL MEDICAL SECTOR. IN ADDITION, SCCA HAS A LONG AND PROUD REPUTATION OF COLLABORATION WITH OTHER HEALTHCARE, GOVERNMENTAL, AND NONPROFIT ORGANIZATIONS IN THE DEVELOPMENT AND DEPLOYMENT OF COMMUNITY EDUCATION PROGRAMS, WELLNESS INITIATIVES, AND AWARENESS CAMPAIGNS. BUT WE ARE NOT JUST ONE OF OUR COMMUNITY'S LARGER EMPLOYERS, AND MORE EFFECTIVE COLLABORATORS-WE ARE ALSO COMMUNITY SERVANTS IN THE TRUEST SENSE OF THE WORD. SCCA IS GOVERNED BY AN 18-MEMBER BOARD OF DIRECTORS, COMPRISED OF REPRESENTATIVES FROM THE SCCA LEADERSHIP TEAM, MEMBERS OF THE COMMUNITY, AND REPRESENTATIVES FROM OUR ALLIANCE OWNERS AND PARTNER ORGANIZATIONS: UW, SEATTLE CHILDREN'S, AND FRED HUTCH.SCCA IS WHERE THE BEST AND BRIGHTEST PHYSICIANS, SCIENTISTS, AND CAREGIVERS FROM FRED HUTCH, UW MEDICINE, AND SEATTLE CHILDREN'S COME TOGETHER TO OFFER OUR COMMUNITY AN APPROACH TO TREATMENT OF CANCER THAT IS TRULY UNIQUE AND RARE. WE HAVE BECOME A TRUE CENTER OF EXCELLENCE, AND OUR APPROACH HAS PROVEN TO OFFER THE BEST POSSIBLE OUTCOMES FOR THE PEOPLE IN OUR COMMUNITY, AND AROUND THE WORLD. WE ARE A PROUD CITIZEN OF THE NORTHWEST-DEVOTED TO PROVIDING THE MEMBERS OF OUR COMMUNITY THE BEST POSSIBLE CARE AND COMMITTED TO LIVING UP TO THE HIGHEST STANDARDS AND ASPIRATIONS OF OUR REGION, AS WE SERVE PEOPLE FROM COMMUNITIES AROUND THE WORLD.
PART VI, LINE 6:	SCCA IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART VI, LINE 7:	WA REQUIRES THE SCCA TO HAVE ITS CHNA INFORMATION AVAILABLE ON ITS WEBSITE 15 DAYS FOLLOWING THE FILING OF ITS FORM 990 WITH THE IRS. ALSO, WA STATE HAS IMPLEMENTED ITS OWN COMPENSATION REPORTING REQUIREMENTS WHICH CAN BE THE IRS FORM 990 SCHEDULE J OR USE OF THE WA FORM. SCCA HAS COMPLIED WITH THE COMPENSATION REPORTING REQUIREMENTS AND HAS COMPLIED WITH THE ADDITIONAL CHNA REPORTING REQUIREMENTS.

Schedule H (Form 990) 2019

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) UNIVERSITY OF WASHINGTON FOUNDATION PO BOX 358045 SEATTLE,WA98195	94-3079432	501(C)(3)	480,697	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)	445,901	N/A	N/A	TO FUND CANCER RESEARCH ACTIVITIES
(3) SEAFAIR FOUNDATION 2200 6TH AVE STE 400 SEATTLE,WA98121	26-1233489	501(C)(3)	120,000	N/A	N/A	TO SPONSOR FAMILY FOURTH
(4) NORTHWEST FOLKLIFE 305 HARRISON ST SEATTLE,WA98109	91-1311548	501(C)(3)	35,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
(5) SEATTLE SYMPHONY ORCHESTRA 200 UNIVERSITY STREET SEATTLE,WA98101	91-0667412	501(C)(3)	25,000	N/A	N/A	SYMPHONY CONCERT SPONSORSHIP FOR BREAST CANCER AWARENESS MONTH
(6) MULTICARE 314 MARTIN LUTHER KING JR WAY 402 TACOMA,WA98402	91-1352172	501(C)(3)	18,424	N/A	N/A	TO SPONSOR THE BEN GREER RESEARCH AWARD
(7) PINK BOAT REGATTA 2442 NW MARKET ST STE 265 SEATTLE,WA98107	46-4971664	501(C)(3)	15,000	N/A	N/A	TO PROMOTE COMMUNITY HEALTH IMPROVEMENT
(8) PANCREATIC CANCER ACTION NETWORK 1500 ROSECRANS AVE STE 200 MANHATTAN BEACH,CA90266	33-0841281	501(C)(3)	10,000	N/A	N/A	TO SPONSOR PURPLESTRIDE EVENT
(9) CANCER FOR COLLEGE 28465 OLD TOWN FRONT STREET 315 TEMECULA,CA92590	93-1144756	501(C)(3)	10,000	N/A	N/A	TO SPONSOR TASTE TO EDUCATE EVENT
(10) LEUKEMIA AND LYMPHOMA SOCIETY 123 NW 36TH ST SUITE 100 SEATTLE,WA98107	13-5644916	501(C)(3)	10,000	N/A	N/A	TO SPONSOR LIGHT THE NIGHT WALK AND GALA
(11) TRI CITIES CANCER CENTER 7350 W DESCHUTES AVE KENNEWICK,WA99336	91-1739024	501(C)(3)	7,500	N/A	N/A	TO SPONSOR 2017 RADIO-THON EVENT.
(12) SUSAN G KOMEN BREAST CANCER FOUNDATION 1900 NORTHLAKE WAY SUITE 135 SEATTLE,WA98103	91-1624040	501(C)(3)	7,500	N/A	N/A	TO SPONSOR FOUNDATION EVENTS
(13) NORTHWEST SARCOMA FOUNDATION 220 2ND AVE S STE 115 SEATTLE,WA98104	91-1717600	501(C)(3)	5,500	N/A	N/A	TO SPONSOR 2017 STORIES FROM THE VINEYARD AND 2018 SEATTLE DRAGONSLAYER EVENTS

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) 2019

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) FOOD	479	0	9,005	FMV	HOLIDAY MEALS PROGRAM FOR PATIENTS
(2) FOOD GIFT CARDS	19	0	405	FMV	MEAL GIFT CARDS FOR PATIENTS
(3) GAS GIFT CARDS	38	0	1,032	FMV	GAS GIFT CARDS FOR PATIENTS
(4) GROCERY GIFT CARDS	29	0	4,189	FMV	GROCERY GIFT CARDS FOR PATIENTS
(5) MEDICAL ACCESSORIES	160	0	9,995	FMV	PROSTHESIS FOR PATIENTS
(6) PATIENT FINANCIAL AID	151	72,780	0	N/A	N/A
(7) SHELTER	236	871	198,372	FMV	RENTS PAID FOR PATIENTS
(8) SUNDRIES	37	0	24,611	FMV	HOLIDAY GIFTS; KNITTING NEEDLES; HOUSEHOLD GOODS
(9) TICKETS	517	0	17,058	FMV	EVENT TICKETS TO SPORTS GAMES, ART PERFORMANCES AND LOCAL ATTRACTIONS
(10) TRANSPORTATION	181	0	4,200	FMV	CAB FARES FOR PATIENTS
(11) WIGS	481	0	14,963	FMV	WIGS AND HATS FOR PATIENTS
(12) TUITION	34	90,277	39,314	FMV	TUITION REIMBURSEMENTS AND SCHOLARSHIP PAYMENTS MADE DIRECTLY TO SCHOOLS ON BEHALF OF SCHOLARSHIP RECIPIENTS

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) 2019

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 on 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 .........

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 on 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? .............

Yes

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 nonfixed
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) 2019

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)
1NANCY DAVIDSON MD EXECUTIVE DIRECTOR AND PRESIDENT	(i) (ii)	820,027 ------------- 0	73,500 ------------- 0	379,500 ------------- 0	0 ------------- 0	0 ------------- 0	1,273,027 ------------- 0	0 ------------- 0
2NORMAN HUBBARD EXECUTIVE VP	(i) (ii)	608,574 ------------- 0	70,628 ------------- 0	268,822 ------------- 0	141,640 ------------- 0	24,139 ------------- 0	1,113,803 ------------- 0	91,062 ------------- 0
3JONATHAN TINGSTAD VP & CFO (THRU 10/17)	(i) (ii)	371,650 ------------- 0	34,641 ------------- 0	228,150 ------------- 0	34,140 ------------- 0	21,222 ------------- 0	689,803 ------------- 0	45,184 ------------- 0
4F MARC STEWART MD VP, MEDICAL DIRECTOR	(i) (ii)	465,878 ------------- 0	49,713 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	515,591 ------------- 0	0 ------------- 0
5DEBORAH GENTZEN VP, CHIEF STRATEGY OFFICER	(i) (ii)	389,940 ------------- 0	31,852 ------------- 0	2,077 ------------- 0	88,439 ------------- 0	23,544 ------------- 0	535,852 ------------- 0	0 ------------- 0
6DAVID ACKERSON VP, CHIEF INFORMATION OFFICER	(i) (ii)	359,132 ------------- 0	28,836 ------------- 0	1,865 ------------- 0	82,304 ------------- 0	11,705 ------------- 0	483,842 ------------- 0	0 ------------- 0
7BARBARA JAGELS VP, CHIEF QUALITY & VALUE OFFC	(i) (ii)	325,100 ------------- 0	26,698 ------------- 0	1,718 ------------- 0	77,953 ------------- 0	23,246 ------------- 0	454,715 ------------- 0	0 ------------- 0
8THERESA MCDONNELL CHIEF NURSE EXEC, VP-CLIN OPS	(i) (ii)	285,656 ------------- 0	61,467 ------------- 0	1,517 ------------- 0	30,000 ------------- 0	20,425 ------------- 0	399,065 ------------- 0	0 ------------- 0
9GRETCHEN HANNA DIR. CORPORATE FINANCE	(i) (ii)	239,630 ------------- 0	13,883 ------------- 0	2,258 ------------- 0	24,500 ------------- 0	10,990 ------------- 0	291,261 ------------- 0	0 ------------- 0
10JOSEPH NORTON DIR. FINANCE	(i) (ii)	224,625 ------------- 0	13,266 ------------- 0	1,149 ------------- 0	23,119 ------------- 0	15,463 ------------- 0	277,622 ------------- 0	0 ------------- 0
11MARIA GONZALEZ DIR. RESEARCH INT. (THRU 1/18)	(i) (ii)	222,156 ------------- 0	11,951 ------------- 0	500 ------------- 0	16,905 ------------- 0	22,409 ------------- 0	273,921 ------------- 0	0 ------------- 0
12KRISTINE LOGAN DIR. OPERATIONS	(i) (ii)	189,739 ------------- 0	10,909 ------------- 0	8,661 ------------- 0	18,093 ------------- 0	10,354 ------------- 0	237,756 ------------- 0	0 ------------- 0
13THOMAS TSAI DIR CLINICAL OPS DIAG/THERAPY SVCS (THRU 1/18)	(i) (ii)	196,301 ------------- 0	10,279 ------------- 0	629 ------------- 0	10,293 ------------- 0	10,408 ------------- 0	227,910 ------------- 0	0 ------------- 0
14MOREEN DUDLEY DIR. CLIN. OPS, SUPPORTIVE SVCS	(i) (ii)	191,054 ------------- 0	11,048 ------------- 0	2,735 ------------- 0	18,629 ------------- 0	11,566 ------------- 0	235,032 ------------- 0	0 ------------- 0
15ALPHONSO EMERY DIR. REVENUE CYCLE MGT	(i) (ii)	191,636 ------------- 0	11,158 ------------- 0	1,748 ------------- 0	18,372 ------------- 0	9,673 ------------- 0	232,587 ------------- 0	0 ------------- 0
16TAMI DEEB DIR. SERVICE LINES	(i) (ii)	188,743 ------------- 0	12,067 ------------- 0	398 ------------- 0	13,807 ------------- 0	13,497 ------------- 0	228,512 ------------- 0	0 ------------- 0
17AVRIL MCDOWELL DIR. CLINICAL OPS (THRU 7/17)	(i) (ii)	110,588 ------------- 0	0 ------------- 0	85,234 ------------- 0	7,420 ------------- 0	7,060 ------------- 0	210,302 ------------- 0	0 ------------- 0
18STEPHANIE MAYS GENERAL COUNSEL	(i) (ii)	169,753 ------------- 0	18,733 ------------- 0	889 ------------- 0	0 ------------- 0	14,342 ------------- 0	203,717 ------------- 0	0 ------------- 0
19ADA MOHEDANO DIR. CLIN. ANALYTICS & BUS INTEL	(i) (ii)	177,896 ------------- 0	10,328 ------------- 0	375 ------------- 0	16,591 ------------- 0	10,141 ------------- 0	215,331 ------------- 0	0 ------------- 0
20MICHELLE HALL DIR. PERFORMANCE EXCELLENCE	(i) (ii)	175,457 ------------- 0	9,909 ------------- 0	2,428 ------------- 0	16,617 ------------- 0	16,791 ------------- 0	221,202 ------------- 0	0 ------------- 0
21TIMOTHY EHLING DIR. NURSING & CLIN. OPS INTEG.	(i) (ii)	171,708 ------------- 0	10,543 ------------- 0	1,633 ------------- 0	16,749 ------------- 0	21,754 ------------- 0	222,387 ------------- 0	0 ------------- 0
22HOLLY ROSENFELD DIR. MARKETING	(i) (ii)	173,482 ------------- 0	9,436 ------------- 0	877 ------------- 0	16,812 ------------- 0	21,949 ------------- 0	222,556 ------------- 0	0 ------------- 0
23BRANDON JONES CHIEF TECHNOLOGY OFFICER	(i) (ii)	172,683 ------------- 0	10,033 ------------- 0	363 ------------- 0	15,935 ------------- 0	10,137 ------------- 0	209,151 ------------- 0	0 ------------- 0
24TRACI PRANZINI CORPORATE INTEGRITY OFFICER	(i) (ii)	170,059 ------------- 0	9,963 ------------- 0	540 ------------- 0	15,618 ------------- 0	10,177 ------------- 0	206,357 ------------- 0	0 ------------- 0
25CHAD HOGGARD DIR. IT SECURITY	(i) (ii)	170,387 ------------- 0	5,232 ------------- 0	556 ------------- 0	16,211 ------------- 0	21,064 ------------- 0	213,450 ------------- 0	0 ------------- 0
26PAUL HELMUTH DIR. CLINICAL OPERATIONS	(i) (ii)	159,138 ------------- 0	9,148 ------------- 0	917 ------------- 0	13,968 ------------- 0	10,043 ------------- 0	193,214 ------------- 0	0 ------------- 0
27CECILIA ZAPATA DIR STRAT OUTREACH/CCA NETWORK (THRU 8/17)	(i) (ii)	107,462 ------------- 0	0 ------------- 0	60,853 ------------- 0	7,660 ------------- 0	6,621 ------------- 0	182,596 ------------- 0	0 ------------- 0
28KATIE COLLEEN ANN MALETICH DIR. QUALITY & SAFETY	(i) (ii)	156,748 ------------- 0	8,656 ------------- 0	337 ------------- 0	6,318 ------------- 0	21,773 ------------- 0	193,832 ------------- 0	0 ------------- 0
29DONNA KERN REGISTERED NURSE	(i) (ii)	174,389 ------------- 0	300 ------------- 0	4,355 ------------- 0	15,852 ------------- 0	18,795 ------------- 0	213,691 ------------- 0	0 ------------- 0
30ARIAM ZERESENNAI REGISTERED NURSE	(i) (ii)	162,852 ------------- 0	300 ------------- 0	5,120 ------------- 0	14,614 ------------- 0	21,245 ------------- 0	204,131 ------------- 0	0 ------------- 0
31GANSUVD BALGANSUREN CIL DIR.	(i) (ii)	161,257 ------------- 0	0 ------------- 0	1,474 ------------- 0	13,702 ------------- 0	17,028 ------------- 0	193,461 ------------- 0	0 ------------- 0
32DEBRA KIRKLEY DIR. MAGNET PROGRAM (THRU 7/17)	(i) (ii)	90,561 ------------- 0	0 ------------- 0	70,305 ------------- 0	1,394 ------------- 0	9,811 ------------- 0	172,071 ------------- 0	0 ------------- 0
33MARIAN RICHARDSON ASSC. DIR. CLINICAL OPS	(i) (ii)	153,392 ------------- 0	4,407 ------------- 0	2,055 ------------- 0	12,698 ------------- 0	9,892 ------------- 0	182,444 ------------- 0	0 ------------- 0
34FRED APPLEBAUM MD FORMER EXEC. DIR. & PRESIDENT	(i) (ii)	0 ------------- 0	162,147 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	162,147 ------------- 0	0 ------------- 0
35CHERYL WYMAN FORMER DIR. DIAG/THERAPY SVCS	(i) (ii)	0 ------------- 0	0 ------------- 0	136,037 ------------- 0	0 ------------- 0	0 ------------- 0	136,037 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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, LINES 4A-B

SEVERANCE PAYMENTS WERE MADE TO THE FOLLOWING INDIVIDUALS: WYMAN, CHERYL $136,037 MCDOWELL, AVRIL $75,232 ZAPATA, CECILIA $45,739 KIRKLEY, DEBRA $61,599 THE SCCA OPERATES A MAKE-WHOLE SERP PLAN THAT WAS DESIGNED TO REPLACE THE BENEFITS THE PARTICIPANTS LOST DUE TO THE COMPENSATION LIMITS IMPOSED BY LAW UPON OUR QUALIFIED RETIREMENT PLAN. IN THE MANNER REQUIRED BY APPLICABLE IRS RULES, THE DESIGN OF THIS ARRANGEMENT WAS APPROVED AS REASONABLE, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON THE DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTEREST UNDER THE ARRANGEMENT 457(B) AND 457(F) ARE NOT GUARANTEED OR SECURED IN ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. FURTHERMORE, ANY NON-VESTED BENEFITS UNDER THE 457(F) PLAN IS REPORTABLE AS TAXABLE COMPENSATION WHEN THEY BECOME VESTED, EVEN IF THOSE AMOUNTS ARE NOT YET PAYABLE TO THE PARTICIPANT (AND EVEN IF THOSE AMOUNTS ARE NEVER PAID TO THE PARTICIPANT). IN COMBINATION WITH THE OTHER RETIREMENT PROGRAMS OF THE EMPLOYER, THE MAKE-WHOLE SERP PLAN IS DESIGNED TO ACHIEVE A REASONABLE RETIREMENT BENEFIT LEVEL FOR EACH PARTICIPANT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE MAKE-WHOLE SERP PLAN: HUBBARD, NORMAN $44,500 GENTZEN, DEBORAH $6,299 ACKERSON, DAVID $164 THE FOLLOWING INDIVIDUAL TERMINATED AND RECEIVED THE BALANCE UNDER 457(B) ARRANGEMENT: TINGSTAD, JONATHAN $55,467 BEGINNING IN 2015, SCCA COMMENCED A CATCH-UP BENEFIT PLAN. THE BENEFITS ARE INTENDED AS A RETENTION INCENTIVE AND WILL BE ADMINISTERED IN ACCORDANCE WITH 457(F). THE BENEFIT IS BASED ON THE AMOUNT THAT WOULD HAVE BEEN ACCUMULATED IF A SERP HAS BEEN IN PLACE SINCE THE LATER OF 1998 OR THE DATE THAT THE EXECUTIVE COMPENSATION WOULD HAVE TRIGGERED A SERP CONTRIBUTION. SUCH AMOUNT WILL BE CREDITED WITH INTEREST ANNUALLY AT THE PRIME RATE IN A BOOKKEEPING ACCOUNT. THE EXECUTIVE WILL RECEIVE A PORTION OF THE AMOUNT AS IT VESTS ON EACH VESTING DATE. UPON THE EXECUTIVE'S TERMINATION OF EMPLOYMENT FOR ANY REASON, ANY UNVESTED PORTION REMAINING IN THE BOOKKEEPING ACCOUNT WILL BE FORFEITED. TO FURTHER AID WITH RETENTION, ALL REMAINING CATCH-UP BALANCES WERE PAID IN 2017: HUBBARD, NORMAN $263,920 TINGSTAD, JONATHAN $134,164 BEGINNING IN JULY 2017, SCCA IMPLEMENTED A DEFERRED COMPENSATION PLAN ADMINISTERED IN ACCORDANCE WITH 457(F), THE BENEFITS OF WHICH ARE INTENDED AS RETENTION INCENTIVE. THE BENEFIT OF THIS PLAN VEST OVER A FIVE YEAR PERIOD WITH MILESTONE PAYMENTS AT 20 MONTH INTERVALS FOLLOWING EACH EXECUTIVE'S PLAN ENTRY DATE. PARTICIPANTS WILL RECEIVE THE VESTED PORTION OF THE BENEFIT ON EACH VESTING DATE. IN 2017, THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE RETENTION PLAN: HUBBARD, NORMAN $45,000 GENTZEN, DEBORAH $30,000 JAGELS, BARBARA $30,000 ACKERSON, DAVID $30,000 MCDONNELL, THERESA $30,000

SCHEDULE J, PART II:

NANCY DAVIDSON, MD RECEIVED COMPENSATION OF $1,273,027 FROM FRED HUTCHINSON CANCER RESEARCH CENTER, AN UNRELATED ORGANIZATION FOR SERVICES PROVIDED TO SCCA. F. MARC STEWART, MD RECEIVED COMPENSATION OF $515,591 FROM FRED HUTCHINSON CANCER RESEARCH CENTER, AN UNRELATED ORGANIZATION FOR SERVICES PROVIDED TO SCCA. FRED APPLEBAUM, MD RECEIVED COMPENSATION OF $162,147 FROM FRED HUTCHINSON CANCER RESEARCH CENTER, AN UNRELATED ORGANIZATION FOR SERVICES PROVIDED TO SCCA.

Schedule J (Form 990) 2019

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 ..................	3,471,000		8,770,000
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 of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........
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) 2019

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 %		0.800 %
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 %		0.800 %
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. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
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) 2019

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) 2019

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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 ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......	X		13,679	SELLING PRICE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	3	2,384	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	464	898	SELLING PRICE
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( EVENT TICKETS )	X	516	16,983	SELLING PRICE
26 Other ( HATS/WIGS )	X	425	13,534	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 isn't 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 nonstandard 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 didn't 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) (2019)

Page 2

Part IISupplemental 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) (2019)

Additional Data

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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 22 VOLUNTEER ROLES: BREAST CENTER SPECIALTY CLINIC, CHILD LIFE, COMFORT HAND MASSAGE, COSMETOLOGY/BARBER, CRAFTS & CONVERSATION-KNITTING, DRIVERS, EVENTS, GENERAL ONCOLOGY/HEMATOLOGY LOBBY, HOUSING AND INPATIENT TOURS, GUEST SERVICES, HEALING MUSIC PROGRAM, HOLIDAY ACTIVITIES, HUTCH SCHOOL TUTORS, LABYRINTH HOST, PATIENT & FAMILY RESOURCE CENTER/EDUCATION, PATIENT/FAMILY SERVICES, PHYSICAL THERAPY, SCCA GIFT SHOP, SCCA HOUSE CONCIERGE, SHINE, WOMEN'S CENTER LOBBY, AND WIG FITTERS. THE 18 MEMBERS OF THE BOARD ALSO SERVE AS VOLUNTEERS.
FORM 990, PART III, LINE 1	SEATTLE CANCER CARE ALLIANCE'S, SCCA, MISSION IS TO PROVIDE STATE-OF-THE-ART, PATIENT CENTERED CARE, SUPPORT THE CONDUCT OF CLINICAL RESEARCH AND EDUCATION, AND ADVANCE THE STANDARD OF CANCER CARE, REGIONALLY, AND BEYOND. SCCA IS A PART OF THE FRED HUTCHINSON/UW CANCER CONSORTIUM, THE CONSORTIUM, WHICH IS ONE OF 49 COMPREHENSIVE CANCER CENTERS DESIGNATED BY THE NATIONAL CANCER INSTITUTE (NCI). THE CONSORTIUM'S MEMBERS ARE SCCA, FRED HUTCHINSON CANCER RESEARCH CENTER, UW MEDICINE, AND SEATTLE CHILDREN'S. THE NCI DESIGNATION GIVES SCCA'S PATIENTS ACCESS TO RECEIVE THE LATEST TAILORED COURSE OF TREATMENTS AND THERAPIES FOR CANCER AND HAVE ACCESS TO NEW DRUGS AND TREATMENTS THAT ARE UNDER INVESTIGATION IN CLINICAL STUDIES ONLY AVAILABLE AT SCCA AND LIMITED SITES AROUND THE COUNTRY. OUR GOAL IS TO TURN CANCER PATIENTS INTO CANCER SURVIVORS. OUR PURPOSE IS TO LEAD THE WORLD IN THE PREVENTION AND TREATMENT OF CANCER. UNITING THE DOCTORS FROM FRED HUTCHINSON CANCER RESEARCH CENTER, UW MEDICINE, AND SEATTLE CHILDREN'S, SCCA IS HOME TO THE WORLD'S BEST CANCER SPECIALISTS.
FORM 990, PART VI, SECTION A, LINE 2	JACQUELINE CABE, DR. BRUCE CLURMAN, RUTH MAHAN, DR. SANDY MELZER, STEVE STADUM, AND DR. BRUDER STAPLETON HAVE BUSINESS RELATIONSHIPS. EACH NAMED INDIVIDUAL SERVES AS A SCCA BOARD MEMBER OR OFFICER, AND THESE INDIVIDUALS ARE ALSO CURRENT BOARD MEMBERS, OFFICERS, DIRECTORS, OR KEY EMPLOYEES OF ANOTHER ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6	SCCA HAS THREE MEMBERS. MEMBERS MUST BE GOVERNMENTAL ENTITIES OR ORGANIZATIONS EXEMPT UNDER IRC SECTION 501(C)(3). EACH MEMBER CURRENTLY HAS A 33 1/3% VOTING INTEREST. NO NEW MEMBER MAY BE ADMITTED TO THE CORPORATION WITHOUT THE APPROVAL OF EXISTING MEMBERS HOLDING AGGREGATE VOTING INTERESTS OF AT LEAST 75%.
FORM 990, PART VI, SECTION A, LINE 7A	EACH MEMBER WILL APPOINT SIX MEMBERS OF THE EIGHTEEN DIRECTORS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE BOARD OF DIRECTORS OF THE CORPORATION MAY NOT, EXCEPT BY AFFIRMATIVE VOTE OF 75% OF THE DIRECTORS IN OFFICE AND WITH THE APPROVAL OF THE MEMBERS HOLDING AGGREGATE VOTING INTERESTS OF AT LEAST 75%: (A) AMEND, ALTER, OR REPEAL CERTAIN SECTIONS OF THE CORPORATION'S BYLAWS; (B) REMOVE ANY DIRECTOR OR THE CHAIR OF THE CORPORATION; PROVIDED THAT A MEMBER MAY REMOVE A DIRECTOR APPOINTED BY SUCH MEMBER AT ANY TIME; (C) AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION; (D) ADOPT A PLAN OF MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION; (E) AUTHORIZE THE SALE, LEASE, OR EXCHANGE (OR PLEDGING AS SECURITY) OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION OR ANY ASSET NOT IN THE ORDINARY COURSE OF BUSINESS; (F) AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKE PROCEEDINGS THEREFOR; (G) ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION; (H) AMEND, ALTER, OR REPEAL ANY RESOLUTION OF THE MEMBERS OF THE CORPORATION; (I) INITIATE OR RESOLVE LITIGATION IN WHICH THE CORPORATION IS A PARTY IF THE LITIGATION OR RESOLUTION WOULD HAVE A MATERIAL ADVERSE EFFECT ON THE FINANCIAL WELL-BEING OR PUBLIC PERCEPTION OF THE CORPORATION OR ITS MEMBERS; (J) CHANGE THE FUNDAMENTAL PURPOSES OF THE CORPORATION; (K) ENTER INTO ANY NEW LINE OF BUSINESS; (L) OR AUTHORIZE THE RELOCATION FROM THE UNIVERSITY OF WASHINGTON MEDICAL CENTER TO ANOTHER HOSPITAL FACILITY OF THE TWENTY INPATIENT BEDS FOR WHICH THE CORPORATION HAS BEEN GRANTED A HOSPITAL LICENSE. FINALLY, THE FOLLOWING IS SUBJECT TO APPROVAL BY THE CORPORATION'S MEMBERS: - THE CORPORATION'S ANNUAL BUDGET - APPOINTMENT OF THREE ADDITIONAL DIRECTORS TO THE BOARD EXECUTIVE COMMITTEE (IN ADDITION TO THE CORPORATION'S CHAIR, IMMEDIATE PAST CHAIR, VICE CHAIR, TREASURER, AND SECRETARY) - APPOINTMENT OF DIRECTORS TO THE BOARD GOVERNANCE COMMITTEE - APPOINTMENT OF TWO DIRECTORS TO THE BOARD FINANCE COMMITTEE (IN ADDITION TO THE TREASURER) - SELECTION OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS TO CONDUCT AN ANNUAL FINANCIAL AUDIT OF THE CORPORATION
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 WAS PREPARED BY A PUBLIC ACCOUNTING FIRM AND INTERNALLY REVIEWED PRIOR TO PRESENTATION TO THE BOARD-APPOINTED FINANCE AND AUDIT COMMITTEE. THE FORM 990 WAS PROVIDED TO THE FINANCE AND AUDIT COMMITTEE FOR REVIEW BEFORE FILING. THE CHAIR OF THE FINANCE AND AUDIT COMMITTEE REPORTS TO THE FULL BOARD. ALL BOARD MEMBERS ARE PRESENTED WITH A COPY BEFORE FILING FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY IS ANNUALLY MONITORED THROUGH A QUESTIONNAIRE. IT IS A POLICY OF THE SCCA FOR SELF REPORTING. THIS SELF REPORTING IS APPLICABLE TO THE BOARD OF DIRECTORS AND ALL MANAGEMENT STAFF. THE DETERMINATION OF WHETHER AN ISSUE EXISTS IS MADE BY THE INTEGRITY OFFICER. THE ESCALATION PROCESS IS TO THE SENIOR MANAGEMENT TEAM, AND, IF DEEMED APPROPRIATE, TO THE BOARD OF DIRECTORS INTEGRITY COMMITTEE, BOARD OF DIRECTORS GOVERNANCE COMMITTEE, AND LEGAL COUNSEL. CONFLICTS OF INTEREST ARE ADDRESSED IF AND WHEN THEY ARISE. THE CONFLICTED BOARD MEMBER RECUSES HIM OR HERSELF FROM DISCUSSION AND VOTING ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15	AN INDEPENDENT COMPENSATION CONSULTING FIRM PERFORMS A MARKET ANALYSIS OF EXECUTIVE PAY AT COMPARABLE ORGANIZATIONS. A CONSULTANT FROM THIS FIRM PRESENTS ITS FINDINGS TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS EVERY TWO YEARS. THE ANALYSIS WAS LAST PERFORMED AND PRESENTED IN OCTOBER 2017. IN THE INTERVENING YEARS, THE PRIOR YEAR'S MARKET ANALYSIS IS UPDATED USING AN APPROPRIATE INFLATION FACTOR FOR USE BY THE COMPENSATION COMMITTEE IN ITS ANNUAL REVIEW OF TOTAL COMPENSATION FOR THE OFFICERS. THE COMPENSATION COMMITTEE DOCUMENTS ITS MEETINGS AND DECISIONS IN A TIMELY MANNER. THE COMPENSATION COMMITTEE PROMPTLY REPORTS TO THE BOARD ALL ACTIONS TAKEN AND SIGNIFICANT ISSUES DISCUSSED AT ITS MEETINGS.
FORM 990, PART VI, SECTION C, LINE 19	THE SCCA DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. AS REQUIRED BY THE IRS, THE SCCA'S AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990, WHICH IS A PUBLIC DISCLOSURE DOCUMENT.
FORM 990, PART IX, LINE 11G	INPATIENT SERVICES: PROGRAM SERVICE EXPENSES 54,839,088. MANAGEMENT AND GENERAL EXPENSES 1,272,927. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,112,015. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 1,543,446. MANAGEMENT AND GENERAL EXPENSES 3,630,868. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,174,314. CLINICAL SERVICES: PROGRAM SERVICE EXPENSES 9,101,706. MANAGEMENT AND GENERAL EXPENSES 846,898. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,948,604. PROGRAM SUPPORT: PROGRAM SERVICE EXPENSES 5,693,148. MANAGEMENT AND GENERAL EXPENSES 438,487. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,131,635. CLINICAL FUNDING: PROGRAM SERVICE EXPENSES 32,412,917. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,412,917. LAB SERVICES: PROGRAM SERVICE EXPENSES 10,216,435. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,216,435. OTHER AGREEMENTS: PROGRAM SERVICE EXPENSES 1,312,910. MANAGEMENT AND GENERAL EXPENSES 500,895. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,813,805.
FORM 990, PART XI, LINE 9:	REVERSAL OF PRIOR YEAR GRANT EXPENSE 40,000.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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 2019 (Part V, line 2a) ......	5	1,811
6	Total number of volunteers (estimate if necessary) .............	6	249
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 39 .........	7b	721,594

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,436,071	3,937,565
9	Program service revenue (Part VIII, line 2g) .........	546,848,167	640,707,064
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,757,016	7,602,074
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,075,320	1,241,086
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	556,116,574	653,487,789
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,927,743	1,742,018
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)	136,061,873	152,506,331
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	25,268	150,769
b	Total fundraising expenses (Part IX, column (D), line 25) 257,138
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	390,565,823	455,954,828
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	528,580,707	610,353,946
19	Revenue less expenses. Subtract line 18 from line 12.......	27,535,867	43,133,843
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	593,129,652	647,980,104
21	Total liabilities (Part X, line 26).............	153,860,582	158,070,620
22	Net assets or fund balances. Subtract line 21 from line 20.....	439,269,070	489,909,484

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 504,971,262 including grants of $ 1,384,536 ) (Revenue $ 638,917,876 )
	SCCA'S FOCUS IS TO SPEED THE TRANSFER OF NEW DIAGNOSTIC AND TREATMENT TECHNIQUES FROM THE RESEARCH SETTING TO PATIENT CARE. THE HIGHLY INTEGRATED APPROACH TO CANCER RESEARCH AND TREATMENT AMONG SCCA PARTNER ORGANIZATIONS SUPPORTS THE FLOW OF SCIENTIFIC INFORMATION AMONG RESEARCHERS, CLINICIANS, AND PATIENTS, THEREBY ACCELERATING THE DEVELOPMENT OF NEW KNOWLEDGE AND TREATMENT OF VARIOUS CANCERS.DURING THE YEAR ENDED JUNE 30, 2018, SCCA TREATED 7,919 NEW PATIENTS WITHIN THE CANCER AND BONE MARROWS/STEM CELL TRANSPLANT PROGRAMS. SCCA ALSO HAD 82,534 CLINIC VISITS, 110,627 INFUSION HOURS, 12,465 RADIATION ONCOLOGY TREATMENTS, AND PERFORMED 62,580 IMAGING SCANS. (SEE SCHEDULE O)AS PART OF SCCA'S COMMITMENT TO ADVANCING THE STANDARD OF CANCER CARE, IT OFFERS MANY EDUCATIONAL OPPORTUNITIES FOR HEALTH CARE PROFESSIONALS OF ALL KINDS SEEKING THE SPECIALIZED KNOWLEDGE IN ONCOLOGY SETTINGS TO EARN CONTINUING EDUCATION CREDITS. SCCA IS DESIGNATED AS AN INSTRUCTIONAL SITE FOR BACHELOR AND ADVANCED DEGREE CANDIDATES FROM SEVERAL INSTITUTIONS AROUND THE PUGET SOUND AREA. IN ADDITION, SCCA HAS MANY EDUCATIONAL OFFERINGS FOR CANCER PATIENTS, CAREGIVERS, THEIR FAMILIES, AND CANCER SURVIVORS.THE SCCA AFFILIATE NETWORK PROGRAM SUPPORTS SCCA'S MISSION OF ADVANCING THE STANDARD OF CANCER CARE REGIONALLY AND BEYOND. BY CONNECTING COMMUNITY-BASED PHYSICIANS AND HOSPITALS WITH THE LEADING RESEARCH TEAMS AND CANCER SPECIALISTS OF FRED HUTCH, SEATTLE CHILDREN'S AND UW MEDICINE, THE SCCA NETWORK FORGES PARTNERSHIPS TO WORK TOWARD A COMMON GOAL OF ELEVATING PATIENT CARE. THE SCCA AFFILIATE NETWORK PROVIDES OUR COMMUNITY PARTNERS WITH A WEALTH OF RESOURCES, INCLUDING CONTINUING MEDICAL EDUCATION, CONSULTATIONS WITH SCCA PHYSICIANS ABOUT DIAGNOSIS AND TREATMENT PLANS, AND ACCESS TO CLINICAL RESEARCH. PATIENTS WHO ARE TREATED FOR CANCER AT NETWORK MEMBER INSTITUTIONS HAVE ACCESS TO THE LATEST ADVANCEMENTS IN THE TREATMENT OF CANCER, PROVIDING THEM WITH WORLD-CLASS CARE CLOSE TO HOME.

4b	(Code: ) (Expenses $ 3,916,264 including grants of $ 357,482 ) (Revenue $ 2,156,777 )
	SEATTLE CANCER CARE ALLIANCE, SCCA, OPERATES A HOUSING PROGRAM INCLUDING BOTH SCCA HOUSE AND PETE GROSS HOUSE.SCCA HOUSE IS A TEMPORARY MEDICAL HOUSING FACILITY. IT IS AN 80-ROOM FACILITY THAT PROVIDES AN AFFORDABLE HOME FOR CANCER PATIENTS AND THEIR FAMILIES WHO COME TO SEATTLE FOR EXTENDED TREATMENT WITH SCCA. THE SIX-STORY "BUILT GREEN" BUILDING WAS DESIGNED TO ADDRESS PATIENTS' PHYSICAL, EMOTIONAL, AND LOGISTICAL CHALLENGES. SCCA HOUSE IS LOCATED CLOSE TO THE SCCA OUTPATIENT CLINIC AND OFFERS SHUTTLE SERVICE TO THE SCCA CLINIC. THE SCCA HOUSE OFFERS PATIENTS A HOME AWAY FROM HOME WITH: FULLY FURNISHED SUITES WITH KITCHENETTES, LARGE COMMON KITCHEN AND DINING ROOM, EXERCISE ROOM, RESOURCE CENTER AND (SEE SCHEDULE O) LIBRARY, THEATER, CHILDREN'S ROOM, MEDITATION ROOM, IN-ROOM SEPARATE CAREGIVER SLEEPING AREAS, FREE LAUNDRY 24 HRS/DAY, FREE WIRELESS INTERNET ACCESS, SECURE ENTRY, GARAGE AND PARKING, INFECTION CONTROL MEASURES, AS WELL AS A ROOFTOP GARDEN, SPONSORED EVENTS FOR PATIENTS AND FAMILIES, AND SOCIAL EVENTS. THE COMMON AREAS SERVE AS MEETING CENTERS FOR OUR COMMUNITY PARTNERS. SCCA HOUSE IS AN EXAMPLE OF SCCA'S COMMITMENT TO THE MISSION OF PROVIDING FAMILY CENTERED PATIENT CARE.PETE GROSS HOUSE, DESIGNED SPECIFICALLY FOR PATIENTS RECOVERING FROM A STEM CELL OR BONE MARROW TRANSPLANT, IS A 70-UNIT APARTMENT BUILDING LOCATED LESS THAN ONE-HALF MILE FROM THE SCCA OUTPATIENT CLINIC AND OFFERS FREE SHUTTLE SERVICE TO THE SCCA CLINIC. EACH APARTMENT IS FURNISHED AND HAS A WASHER/DRYER, DISHWASHER, MICROWAVE, RANGE, TELEVISION, DVD PLAYER, LINENS, AND A GENEROUSLY EQUIPPED KITCHEN WITH FULL-SIZE REFRIGERATOR. ONE-AND TWO-BEDROOM APARTMENTS ALSO HAVE QUEEN-SIZE SLEEPER SOFAS. STUDIO APARTMENTS ALSO ARE AVAILABLE. HUTCH SCHOOL FOR SCHOOL-AGE PATIENTS AND FAMILY MEMBERS IS CONVENIENTLY LOCATED ON THE FIRST FLOOR.PATIENTS STAYING AT EITHER HOUSE CAN RIDE SHUTTLE SERVICE TO SCCA OUTPATIENT CLINIC. AT THE CLINIC, SHUTTLES ARE AVAILABLE GOING TO AND FROM SCCA OUTPATIENT CLINIC TO UW MEDICAL CENTER AND SEATTLE CHILDREN'S. PATIENTS ALSO HAVE ACCESS TO SHUTTLES THAT RUN TWICE DAILY TO A LOCAL GROCERY STORE.

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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses508,887,526

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,944,759	0	1,283,617

1a	Federated campaigns..		1a	76,097
b	Membership dues..		1b
c	Fundraising events..		1c	457,382
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	3,404,086

g	Noncash contributions included in lines 1a - 1f:$		1g	45,094

h Total. Add lines 1a-1f.......		3,937,565

		Business Code
2a	PATIENT SERV. REVENUE	622310	637,469,625	636,969,042	500,583
b	PATIENT HOUSING	624221	2,156,777	2,156,777
c	INTERAFFILIATE AGMTS	900099	668,497	668,497
d	INVENTORY SALES	900099	412,165		412,165
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		640,707,064

3 Investment income (including dividends, interest, and othersimilar amounts) ......			9,042,084			9,042,084
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	24,332	96,500,965	7a
b	Less: cost or other basis and sales expenses	22,355	97,942,952	7b
c	Gain or (loss)	1,977	-1,441,987	7c
d	Net gain or (loss).........			-1,440,010			-1,440,010
8a	Gross income from fundraising events (not including $ 457,382of contributions reported on line 1c). See Part IV, line 18 ....
			8a	45,300
b	Less: direct expenses ...		8b	123,428
c	Net income or (loss) from fundraising events..			-78,128			-78,128
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	PARKING INCOME		531390	951,625			951,625
b	EDUCATIONAL EVENTS		923110	367,589	367,589
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,319,214
12	Total revenue. See instructions.....			653,487,789	640,161,905	0	9,388,319

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,251,594	1,251,594
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	487,424	487,424
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	3,000	3,000
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	9,912,108	2,067,280	7,844,828
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........	109,187,596	80,864,212	28,290,437	32,947
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,950,776	4,378,302	1,570,645	1,829
9	Other employee benefits .......	18,230,696	13,726,059	4,499,097	5,540
10	Payroll taxes ...........	9,225,155	6,832,431	2,389,940	2,784
11	Fees for services (non-employees):
a	Management ......	27,989,979	11,945,657	16,044,322
b	Legal .........	509,485		509,485
c	Accounting ...........	311,970		311,970
d	Lobbying ...........	334,108		334,108
e	Professional fundraising services. See Part IV, line 17	150,769			150,769
f	Investment management fees ......	466,722		466,722
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	121,809,725	115,119,650	6,690,075
12	Advertising and promotion ....	2,466,921	2,396,315	70,606
13	Office expenses .......	7,061,900	4,492,038	2,524,676	45,186
14	Information technology ......	15,832,187	4,974,529	10,853,788	3,870
15	Royalties ..	55,507	55,507
16	Occupancy ...........	15,574,716	6,685,061	8,889,655
17	Travel ............	853,889	521,395	332,430	64
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,953,277	1,225,372	718,011	9,894
20	Interest ...........	3,406,760	3,406,760
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	22,386,580	14,709,904	7,672,421	4,255
23	Insurance ...	755,221	506,586	248,635
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	226,802,062	226,781,789	20,273
b	BUSINESS TAXES	3,708,444	3,705,185	3,259
c	BAD DEBT	2,259,933	2,259,933
d	DUES & SUBSCRIPTIONS	1,189,793	283,627	906,166
e	All other expenses	225,649	207,916	17,733
25	Total functional expenses. Add lines 1 through 24e	610,353,946	508,887,526	101,209,282	257,138
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 ........			29,786,806	1	20,690,147
2	Savings and temporary cash investments .........			13,525,319	2	43,690,180
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			70,467,951	4	79,384,161
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			8,778,234	8	11,092,738
9	Prepaid expenses and deferred charges ......			3,902,068	9	4,733,995
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	306,464,836
b	Less: accumulated depreciation	10b	156,384,483	137,305,864	10c	150,080,353
11	Investments—publicly traded securities .			309,010,459	11	323,224,639
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			7,323,209	14	6,082,105
15	Other assets. See Part IV, line 11 ...........			13,029,742	15	9,001,786
16	Total assets. Add lines 1 through 15 (must equal line 33)...			593,129,652	16	647,980,104

17	Accounts payable and accrued expenses .....	46,197,444	17	54,127,740
18	Grants payable ...		18
19	Deferred revenue .........	361,982	19	241,949
20	Tax-exempt bond liabilities .........	107,301,156	20	103,700,931
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			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..	153,860,582	26	158,070,620

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	439,269,070	32	489,909,484
33	Total liabilities and net assets/fund balances ........	593,129,652	33	647,980,104