TY 2021 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/1099-NEC)
(1) NANCY DAVIDSON MD...................................................................... EVP CLINICAL AFFAIRS, DIR EFF 4/22	37.40 .................	X	X	861,197	43,744
(2) THOMAS LYNCH...................................................................... PRESIDENT & DIRECTOR	55.00 .................	X	X	0	0
(3) PAULA REYNOLDS...................................................................... CHAIR THRU 03/22	2.00 .................	X	X	0	0
(4) STEWART LANDEFELD...................................................................... VICE CHAIR THRU 03/22	2.50 .................	X	X	0	0
(5) MIKE DELMAN...................................................................... TREASURER THRU 03/22	2.00 .................	X	X	0	0
(6) KIMBERLY MCNALLY...................................................................... SECRETARY THRU 03/22	5.00 .................	X	X	0	0
(7) KAREN GLOVER...................................................................... IMM. PAST CHAIR THRU 03/22	3.00 .................	X	X	0	0
(8) SUZANNE BEITEL...................................................................... DIRECTOR THRU 03/22	1.00 .................	X		0	0
(9) GERALD GRINSTEIN...................................................................... DIRECTOR THRU 03/22	1.50 .................	X		0	0
(10) RUTH MAHAN...................................................................... DIRECTOR THRU 03/22	5.00 .................	X		0	0
(11) LINDA MATTOX...................................................................... DIRECTOR THRU 03/22	0.50 .................	X		0	0
(12) RICHARD MCCUNE...................................................................... DIRECTOR THRU 03/22	2.50 .................	X		0	0
(13) JEFF NITTA...................................................................... DIRECTOR THRU 03/22	5.00 .................	X		0	0
(14) BRUCE PYM...................................................................... DIRECTOR THRU 03/22	2.00 .................	X		0	0
(15) STEVE STADUM...................................................................... DIRECTOR THRU 03/22	1.00 .................	X		0	0
(16) RUSS WILLIAMS...................................................................... DIRECTOR THRU 03/22	2.00 .................	X		0	0
(17) ALVIN WINTERROTH...................................................................... DIRECTOR THRU 03/22	2.00 .................	X		0	0

(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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) KATHY SURACE-SMITH........................................................................ CHAIR FROM 04/22	4.00 .......................	X	X				0	0
(19) LEIGH MORGAN........................................................................ VICE CHAIR FROM 04/22	3.00 .......................	X	X				0	0
(20) SEAN BOYLE........................................................................ TREASURER FROM 04/22	2.00 .......................	X	X				0	0
(21) JULIE NORDSTROM........................................................................ SECRETARY FROM 04/22	2.00 .......................	X	X				0	0
(22) KRISTIANNE BLAKE........................................................................ DIRECTOR FROM 04/22	2.00 .......................	X					0	0
(23) STEPHEN GRAHAM........................................................................ DIRECTOR FROM 04/22	2.00 .......................	X					0	0
(24) JOANNE HARRELL........................................................................ DIRECTOR FROM 04/22	2.00 .......................	X					0	0
(25) JEREMY JAECH........................................................................ DIRECTOR FROM 04/22	2.00 .......................	X					0	0
(26) EDUARDO PENALVER........................................................................ DIRECTOR FROM 04/22	2.00 .......................	X					0	0
(27) PAUL RAMSEY MD........................................................................ EX OFFICIO DIRECTOR 04/22	2.00 .......................	X					0	0
(28) LISA BRANDENBURG........................................................................ EX-OFFICIO DIRECTOR	2.00 .......................	X					0	0
(29) AARON CRANE........................................................................ EXECUTIVE VICE PRESIDENT	55.00 .......................		X				790,366	191,393
(30) THERESA MCDONNELL........................................................................ SVP, CHIEF NURSING OFFICER	55.00 .......................		X				615,786	184,120
(31) STEVEN HUEBNER........................................................................ VP, CHIEF FINANCIAL OFFICER	55.00 .......................		X				652,598	0
(32) TOM PURCELL MD........................................................................ CHIEF MEDICAL OFFICER	55.00 .......................		X				608,783	5,538
(33) KELLY PATRICK........................................................................ VP, CHIEF INFORMATION OFFICER	55.00 .......................		X				497,929	80,713
(34) STEPHANIE MAYS........................................................................ VP, CHIEF LEGAL OFFICER	55.00 .......................		X				436,413	98,451
(35) HERBERT BONE........................................................................ CORPORATE TREASURER	55.00 .......................		X				0	0
(36) DAVID BROWDY........................................................................ VICE PRESIDENT & CFO	55.00 .......................		X				0	0
(37) CHRISTOPHER BUNDESMANN........................................................................ CORPORATE CONTROLLER	55.00 .......................		X				0	0
(38) STEVEN HAYDON........................................................................ VP & GC, CORPORATE SECRETARY	55.00 .......................		X				0	0
(39) NICOLE ROBINSON........................................................................ VP & CHIEF ADMIN. OFFICER	55.00 .......................		X				0	0
(40) TAMI DEEB........................................................................ VP, CHIEF STRATEGY OFFICER	55.00 .......................			X			399,220	77,557
(41) MOREEN DUDLEY........................................................................ VP, CHIEF PEOPLE OFFICER	55.00 .......................			X			317,320	54,494
(42) GRETCHEN HANNA........................................................................ DIR. CORPORATE FINANCE	55.00 .......................			X			296,607	54,932
(43) RICHARD LAFRANCE........................................................................ DIR. PHARMACY	55.00 .......................			X			257,844	65,184
(44) CHAD HOGGARD........................................................................ CHIEF INFO SECURITY OFFICER	55.00 .......................			X			250,640	58,639
(45) ANNA ANDREWS........................................................................ INTERIM PROTON CTR TRANS LEAD	55.00 .......................			X			306,278	0
(46) NICKI NGUYEN-COLVIN........................................................................ DIR. STRATEGY & BUS DEV	55.00 .......................			X			242,214	56,065
(47) TIMOTHY EHLING........................................................................ DIR. NURSING & CLIN. OPS INTEG.	55.00 .......................			X			239,583	58,408
(48) SHANNON FERNANDEZ........................................................................ DIR. FINANCE OPS & REV CYCLE	55.00 .......................			X			249,324	47,815
(49) ADA MOHEDANO........................................................................ DIR. CLIN. ANALYTICS & BUS INTEL	55.00 .......................			X			258,213	37,737
(50) MICHELLE HALL........................................................................ DIR. IT OPERATIONS	55.00 .......................			X			238,514	53,038
(51) CINDY GIST........................................................................ VP, PATIENT SVCS & CLIN. LABS	55.00 .......................			X			238,986	44,478
(52) BRITTANY MCCREERY........................................................................ VP, CHIEF QUALITY & VALUE OFFICER	55.00 .......................			X			231,847	46,776
(53) GANSUVD BALGANSUREN........................................................................ DIRECTOR CI LABS	55.00 .......................			X			213,773	46,826
(54) MATTHEW MCSWEYN........................................................................ DIR. INFRASTRUCTURE & OPS.	55.00 .......................			X			207,040	51,125
(55) PAUL HELMUTH........................................................................ DIR. CLIN BUS OPS, COMMUNITY SITES	55.00 .......................			X			223,272	33,164
(56) CARILLA WALLIN........................................................................ DIR. STRAT OUTREACH/CCA NETWORK	55.00 .......................			X			202,614	51,974
(57) DANIEL MARKUS........................................................................ DIR. SUPPLY CHAIN	55.00 .......................			X			236,060	1,897
(58) ANDREW JACKSON........................................................................ ASSC DIR ENTERPRISE APPS	55.00 .......................			X			186,687	42,345
(59) LAURA ESAGUI........................................................................ DOSIMETRIST III	55.00 .......................				X		227,006	50,828
(60) BARBARA JAGELS........................................................................ VP, CQV OFFICER THRU 01/21	55.00 .......................				X		245,719	14,537
(61) SCOTT DEROUEN........................................................................ DIR. ENTERPRISE PROJ MGT.	55.00 .......................				X		196,821	48,851
(62) SUNI ELGAR........................................................................ ASSC CHIEF NURSE	55.00 .......................				X		190,332	49,977
(63) MAXINE ELLIS........................................................................ DIRECTOR DEI COACHING & CULTURE	55.00 .......................				X		200,979	24,854
(64) TRACI PRANZINI........................................................................ FORMER KEY EMPLOYEE	55.00 .......................					X	131,743	14,742
(65) TRACY WONG........................................................................ FORMER KEY EMPLOYEE	55.00 .......................					X	121,492	8,177

(A) Name and business address	(B) Description of services	(C) Compensation
UNIVERSITY OF WASHINGTON 1959 NE 59TH AVENUE SUITE 1005 SEATTLE,WA98104	HEALTHCARE, SERVICES	139,909,631
GLY CONSTRUCTION INC 200 112TH AVENUE NE STE 300 BELLEVUE,WA98004	CONSTRUCTION	55,118,805
FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVENUE N SEATTLE,WA98109	ADMIN, SUPPORT, SVCS, CONSULTING	39,907,558
NATIONAL MARROW DONOR PROGRAM 500 N 5TH STREET MINNEAPOLIS,MN55401	MARROW TRANSPLANT SERVICES	11,446,630
LEASE CRUTCHER LEWIS MAILSTOP S-100 PO BOX 50020 SEATTLE,WA98145	CONSTRUCTION	4,065,963
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 101

- TIN:

SCHEDULE A
(Form 990)

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

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

FRED HUTCHINSON CANCER CENTER

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	3,937,565	5,636,906	21,346,663	6,302,039	159,178,335	196,401,508
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	3,937,565	5,636,906	21,346,663	6,302,039	159,178,335	196,401,508
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.						196,401,508

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..	3,937,565	5,636,906	21,346,663	6,302,039	159,178,335	196,401,508
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	9,042,084	13,369,032	13,038,491	11,477,095	22,909,249	69,835,951
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	1,786,245	1,904,459	1,883,223	1,957,545	2,526,957	10,058,429
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..		208	595,154	4,170,223	-70,570	4,695,015
11	Total support. Add lines 7 through 10						280,990,903

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

4,119,120,596

First 5 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 2021 (line 6, column (f) divided by line 11, column (f)) .........

69.900 %

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 5 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2021

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

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 0.015 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 0.035	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) 2021

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

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, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	RECYCLING CONSIGNMENT SALES - 2018 AMOUNT: $ 208. 2019 AMOUNT: $ 19,497. 2020 AMOUNT: $ 13,517. 2021 AMOUNT: $ 7,613. MISC INCOME - 2020 AMOUNT: $ 3,844. 2021 AMOUNT: $ -78,183. UBIT REFUND - 2019 AMOUNT: $ 575,657. DEBT EXTINGUISHMENTS - 2020 AMOUNT: $ 4,152,862.

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

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

FRED HUTCHINSON CANCER CENTER

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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

14,690

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

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

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

Yes

380,295

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

394,985

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: FRED HUTCHINSON CANCER CENTER 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 - $35,959 LINE 1F: ALLIANCE OF DEDICATED CANCER CENTERS REPRESENTS MEMBER INTERESTS AT THE NATIONAL LEVEL. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - ($30,387) LINE 1F: AMERICAN HOSPITAL ASSOCIATION REPRESENTS MEMBER INTERESTS AT THE NATIONAL LEVEL. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - $9,118 LINE 1I: COMPENSATION PAID TO HIRED LOBBYISTS TO MONITOR AND REVIEW LEGISLATION AT THE LOCAL, STATE, AND FEDERAL LEVELS. AMOUNT EXPENDED - $380,295

Return Reference

Explanation

PART II-B, LINE 1:

LINE 1B: FRED HUTCHINSON CANCER CENTER 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 - $35,959 LINE 1F: ALLIANCE OF DEDICATED CANCER CENTERS REPRESENTS MEMBER INTERESTS AT THE NATIONAL LEVEL. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - ($30,387) LINE 1F: AMERICAN HOSPITAL ASSOCIATION REPRESENTS MEMBER INTERESTS AT THE NATIONAL LEVEL. THIS AMOUNT REFLECTS DUES ALLOCATED TO LEGISLATIVE EFFORTS - $9,118 LINE 1I: COMPENSATION PAID TO HIRED LOBBYISTS TO MONITOR AND REVIEW LEGISLATION AT THE LOCAL, STATE, AND FEDERAL LEVELS. AMOUNT EXPENDED - $380,295

Schedule C (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

FRED HUTCHINSON CANCER CENTER

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

$ 0

(ii)

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

$ 1,014,786

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

$ 0

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

$ 0

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

Cat. No. 52283D

Schedule D (Form 990) 2021

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 DONOR RESTRICTION

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 ....	7,343,138	5,981,426	4,074,191	3,885,397	3,716,219
b	Contributions ...	560,945,684	50,000	2,000,000	150,000
c	Net investment earnings, gains, and losses	-56,394,984	1,317,949	-87,543	42,098	169,812
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	9,438,131
f	Administrative expenses ....		6,237	5,222	3,304	634
g	End of year balance ......	502,455,707	7,343,138	5,981,426	4,074,191	3,885,397

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

Board designated or quasi-endowment SchDMd Bullet

80.000 %

Permanent endowment SchDMd Bullet

16.000 %

Term endowment SchDMd Bullet

4.000 %

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 .....	94,692,116		94,692,116
b	Buildings ....	180,600,852	76,609,608	103,991,244
c	Leasehold improvements	36,381,927	3,464,945	32,916,982
d	Equipment ....	569,864,343	265,224,338	304,640,005
e	Other .....	411,398,126	142,952,412	268,445,714
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				804,686,061

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

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

Part VIII

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

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

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

Part IX

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

(a) Description				(b) Book value
(1)RIGHT OF USE ASSETS				224,080,547
(2)BENEFICIAL INTEREST IN PERPETUAL TRUSTS				32,459,837
(3)LIMITED USE ASSETS				96,705,359
(4)OTHER NON CURRENT ASSETS				16,368,700
(5)CONTRIBUTED ARTWORK				1,014,786
(6)RESTRICTED FUNDS				3,820,975
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				374,450,204

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
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	685,898,210
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) 2021

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
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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 III, LINE 4:

IN FISCAL YEAR 2022, FRED HUTCHINSON CANCER CENTER RECEIVED ARTWORK AS THE RESULT OF A MERGER WITH ANOTHER EXEMPT ORGANIZATION. THESE ITEMS ARE DISPLAYED ONSITE AS PART OF A PUBLIC EXHIBITION AND ARE UNRESTRICTED GIFTS.

PART V, LINE 4:

THE CENTER'S SPENDING POLICY FOR ENDOWMENT FUNDS IS TO APPROPRIATE FOR DISTRIBUTION EACH YEAR 5% PERCENT OF THE ENDOWMENT FUND'S AVERAGE FAIR VALUE OVER THE PRIOR THREE YEARS, PROVIDED THAT THE FAIR VALUE OF THE ENDOWMENT FUND EXCEEDS THE CORPUS. FOR A PORTION OF THE CENTER'S BOARD-DESIGNATED INVESTMENTS, THE CENTER DOES NOT APPROPRIATE FOR DISTRIBUTION ANY AMOUNT OF INVESTMENT RETURN AS ALL OF THE RETURN EARNED IS HELD TO GROW THE FUND FOR FUTURE REPAYMENT OF LONG-TERM DEBT. IN ESTABLISHING THESE POLICIES, THE CENTER CONSIDERED THE LONG-TERM EXPECTED RETURNS ON ITS ENDOWMENT AND BOARD-DESIGNATED INVESTMENTS. REMAINING BOARD DESIGNATED INVESTMENTS, THE CENTER MAKES ALL INVESTMENT RETURN AVAILABLE FOR EXPENDITURE ON PROGRAMMATIC INITIATIVES. INCOME FROM PERMANENTLY RESTRICTED ENDOWMENT FUNDS IS USED FOR THE PURPOSE OF PROVIDING SUPPORTIVE CARE SERVICES AND RESEARCH.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Attach to Form 990. Right pointing arrow large image

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization
FRED HUTCHINSON CANCER CENTER

Employer identification number

91-1935159

Part I

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

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

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

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

Yes

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

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

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	PROGRAM SERVICES	RESEARCH	4,000
	EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	RESEARCH	120,000
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	PROGRAM SERVICES	RESEARCH	274,000
	MIDDLE EAST AND NORTH AFRICA	0	0	PROGRAM SERVICES	RESEARCH	1,000
	NORTH AMERICA	0	0	PROGRAM SERVICES	RESEARCH	436,000
	SOUTH AMERICA	0	0	PROGRAM SERVICES	RESEARCH	156,000
	SUB-SAHARAN AFRICA	0	0	PROGRAM SERVICES	RESEARCH	4,744,000
	EAST ASIA AND THE PACIFIC	0	0	GRANT MAKING	N/A	115,032
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	GRANT MAKING	N/A	198,457
	NORTH AMERICA	0	0	GRANT MAKING	N/A	400,295
	SOUTH AMERICA	0	0	GRANT MAKING	N/A	146,518
	SUB-SAHARAN AFRICA	0	0	GRANT MAKING	N/A	4,518,545





3a	Sub-total ....	0	0			5,850,032
b	Total from continuation sheets to Part I ...	0	0			5,263,815
c	Totals (add lines 3a and 3b)	0	0			11,113,847

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021

Schedule F (Form 990) 2021

Page 2

Part II

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

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	147,132	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	11,500	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	3,827,785	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	37,456	WIRE TRANSFER
NORTH AMERICA	INFORMATION TECHNOLOGY	228,778	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	7,244	WIRE TRANSFER
NORTH AMERICA	VACCINE AND INFECTIOUS DISEASE	62,174	WIRE TRANSFER
SUB-SAHARAN AFRICA	ADMINISTRATION	7,061	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	VACCINE AND INFECTIOUS DISEASE	29,166	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	ADMINISTRATION	9,731	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	6,141	WIRE TRANSFER
SOUTH AMERICA	VACCINE AND INFECTIOUS DISEASE	26,669	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	7,115	CHECK
EUROPE (INCLUDING ICELAND AND GREENLAND)	VACCINE AND INFECTIOUS DISEASE	15,656	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	ADMINISTRATION	5,036	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	CLINICAL RESEARCH	47,123	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	VACCINE AND INFECTIOUS DISEASE	27,027	WIRE TRANSFER
SOUTH AMERICA	VACCINE AND INFECTIOUS DISEASE	21,244	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	18,879	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	9,517	WIRE TRANSFER
SOUTH AMERICA	VACCINE AND INFECTIOUS DISEASE	39,576	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	10,733	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	VACCINE AND INFECTIOUS DISEASE	38,768	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	8,035	WIRE TRANSFER
NORTH AMERICA	DEVELOPMENT	5,011	CHECK
SOUTH AMERICA	VACCINE AND INFECTIOUS DISEASE	13,856	CHECK
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	18,774	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	10,048	CHECK
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	15,492	WIRE TRANSFER
NORTH AMERICA	CLINICAL RESEARCH	51,109	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	13,081	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	8,183	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	VACCINE AND INFECTIOUS DISEASE	14,505	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	HUMAN BIOLOGY	6,159	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	12,675	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	VACCINE AND INFECTIOUS DISEASE	19,410	CHECK
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	5,924	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	73,359	WIRE TRANSFER
SUB-SAHARAN AFRICA	ADMINISTRATION	12,390	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	16,201	WIRE TRANSFER
SOUTH AMERICA	VACCINE AND INFECTIOUS DISEASE	23,215	CHECK
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	40,841	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	VACCINE AND INFECTIOUS DISEASE	41,190	CHECK
SUB-SAHARAN AFRICA	ADMINISTRATION	10,831	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	HUMAN BIOLOGY	14,805	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	5,893	WIRE TRANSFER
SOUTH AMERICA	VACCINE AND INFECTIOUS DISEASE	21,958	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	30,093	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	6,400	WIRE TRANSFER
SUB-SAHARAN AFRICA	PUBLIC HEALTH SCIENCES	54,642	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	32,192	CHECK
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	23,500	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	11,417	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	VACCINE AND INFECTIOUS DISEASE	34,958	WIRE TRANSFER
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	5,577	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	VACCINE AND INFECTIOUS DISEASE	9,956	CHECK
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	5,975	CHECK
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	6,460	WIRE TRANSFER
NORTH AMERICA	VACCINE AND INFECTIOUS DISEASE	53,223	CHECK

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	59
3	Enter total number of other organizations or entities .......................	0

Schedule F (Form 990) 2021

Schedule F (Form 990) 2021Page 3

Part III

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

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2021

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2021

Page 5

Part V

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

ReturnReference	Explanation
PART I, LINE 2:	SOME RESEARCH GRANTS RECEIVED BY FRED HUTCH ARE PASSED ON TO SUBRECIPIENTS, IN ALL OR IN PART. ONCE THE NOTICE OF AWARD HAS BEEN RECEIVED FOR THE PRIME AWARD, FRED HUTCH SETS UP A SUBAWARD. AN INDIVIDUAL KNOWN AS A RESEARCH COORDINATOR (RC) IS ASSIGNED TO CLOSELY MONITOR ALL SUBAWARD ACTIVITY. THERE ARE 4 PRIMARY STEPS IN THIS PROCESS: (1) A COPY OF THE PRIME AWARD, THE SIGNED SUBAWARD APPLICATION (IF AVAILABLE) AND ANY SPECIAL INSTRUCTIONS ARE MAINTAINED. A SIGNED SUBAWARD APPLICATION SHOWS THAT THE SUBRECIPIENT ORGANIZATION HAS REVIEWED AND APPROVED THE BUDGET AND SCOPE OF WORK. (2) THE RC PREPARES A FORM THAT PROVIDES AUTHORIZATION TO ISSUE THE SUBAWARD, AND INCLUDES A SCOPE OF WORK, BUDGET, AND ANY PERTINENT SUBRECIPIENT INFORMATION. (3) INFORMATION IS COLLECTED TO SET UP THE SUBAWARD IN THE ACCOUNTING SYSTEM, INCLUDING INSTITUTIONAL REVIEW OFFICE APPROVAL, INSTITUTIONAL ANIMAL CARE AND USE COMMITTEE APPROVAL DATES, CONFIRMATION OF SUBAWARD FACILITIES AND ADMINISTRATIVE RATES AND A-133 OR UNIFORM GUIDANCE AUDIT REPORTS, REVIEW OF PRIME SPECIAL TERMS AND CONDITIONS TO DETERMINE FLOW-DOWN, CONFIRMATION THAT THE SUBRECIPIENT IS NOT DEBARRED, AND OTHER SIMILAR REGULATORY AND ADMINISTRATIVE REQUIREMENTS. FOR FOREIGN VENDORS, WE REQUIRE A COMPLETED W-8-BEN-E AND WE RUN THEIR LEGAL NAME THROUGH EXPORT.GOV. (4) THE SUBAWARD AGREEMENT IS COMPLETED AND MAILED TO THE SUBRECIPIENT FOR REVIEW OF TERMS AND CONDITIONS, APPLICABLE INSTITUTIONAL DESIGNATION, FEDERAL CONFLICT OF INTEREST, AND SIGNATURE. THE RC MAINTAINS A COPY OF THE FULLY SIGNED AGREEMENT. NO PAYMENTS ARE MADE TO THE SUBRECIPIENT UNTIL FRED HUTCH RECEIVES THE FULLY EXECUTED AGREEMENT.
PART I, LINE 3:	THE CASH METHOD WAS USED IN ACCOUNTING FOR EXPENDITURES IN PARTS I AND II.
PART III ACCOUNTING METHOD:
PART IV, LINE 1:	FORM 926 IS NOT REQUIRED TO BE FILED BECAUSE THE TRANSFER TO A FOREIGN CORPORATION DOES NOT MEET THE REPORTING REQUIREMENTS IN THE IRC SEC 6038(A)(1)(A).
PART IV, LINE 1:	THE ORGANIZATION HAS A FORM 5471 FILING OBLIGATION FOR OWNERSHIP INTEREST IN HUTCHINSON CENTER RESEARCH INSTITUTE OF SOUTH AFRICA AND HUTCHINSON CENTER RESEARCH INSTITUTE OF UGANDA LTD. PURSUANT TO FORM 5471, ITEM H, THE TAXPAYER'S FILING REQUIREMENT WITH RESPECT TO ITS INTEREST IN THE FOREIGN CORPORATIONS HAS BEEN SATISFIED. THE INFORMATION WAS FILED WITH: FRED HUTCHINSON CANCER RESEARCH CENTER EIN: 23-7156071 1100 FAIRVIEW AVENUE NORTH SEATTLE, WA 98109-1024 THE RETURN WAS FILED ON FEBRUARY 15, 2023.

Schedule F (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

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

2021

Open to Public Inspection

Name of the organization
FRED HUTCHINSON CANCER CENTER

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	GIFT ACK., EVENTS COORD., CONSULTING, MEETING W/ DONORS		No	4,052,200	142,626	3,909,574
	RKD GROUP 3400 WATERVIEW PKWY 250 RICHARDSON, TX75080	MAIL, EMAIL, WEB, SOLICITATION, DIGITAL MARKETING		No	788,909	374,633	414,276








Total . . . . . . . . . . . . . . . . . . . .					4,841,109	517,259	4,323,850

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, AZ, AR, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY

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

Cat. No. 50083H

Schedule G (Form 990) 2021

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 OBLITERIDE (event type)	(b) Event #2 CLIMB TO FIGHT (event type)	(c) Other events 1 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	947,314	92,845	75	1,040,234
2	Less: Contributions . . . .	947,314	92,845	75	1,040,234
3	Gross income (line 1 minus line 2) . . . . . .

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	281		281
7	Food and beverages . . .	7,447		7,447
8	Entertainment . . . .	8,125		8,125
9	Other direct expenses . . .	24,768	66,435	91,203
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .			107,056
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .			-107,056

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) 2021

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) 2021

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

2021

Open to Public Inspection

Name of the organization

FRED HUTCHINSON CANCER CENTER

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 30000.0000000000 %

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: . . . . . . . .

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? . . . . . .

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) . . .	8,266,562		8,266,562	0.730 %
b	Medicaid (from Worksheet 3, column a) . . . . .	91,656,744	41,889,616	49,767,128	4.390 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	99,923,306	41,889,616	58,033,690	5.120 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,328,591	512,061	1,816,530	0.160 %
f	Health professions education (from Worksheet 5) . . .	8,591,553		8,591,553	0.760 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	172,516,854	162,514,332	10,002,522	0.880 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	2,167,265	1,800,126	367,139	0.030 %
j	Total. Other Benefits . .	185,604,263	164,826,519	20,777,744	1.830 %
k	Total. Add lines 7d and 7j .	285,527,569	206,716,135	78,811,434	6.950 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
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

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. ......

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).....

204,072,512

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

225,758,369

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

-21,685,857

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) 2021

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	FRED HUTCHINSON CANCER CNTR (FKA SCCA) 1959 NE PACIFIC STREET SEATTLE,WA98195 WWW.SEATTLECCA.ORG HAC.FS.00000204	X	X	ACUTE CARE HOSPITAL

Schedule H (Form 990) 2021

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)

	FRED HUTCHINSON CANCER CENTER
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 21

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/ABOUT/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 19

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

Yes

If "Yes" (list url): HTTPS://WWW.SEATTLECCA.ORG/ABOUT/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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FRED HUTCHINSON CANCER CENTER
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 300.000000000000%
and FPG family income limit for eligibility for discounted care of 0.000000000000%

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):

HTTPS://WWW.SEATTLECCA.ORG/PATIENTS/FINANCIAL-ASSISTANCE

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

HTTPS://WWW.SEATTLECCA.ORG/PATIENTS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.SEATTLECCA.ORG/PATIENTS/FINANCIAL-ASSISTANCE

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) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	FRED HUTCHINSON CANCER CENTER
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) 2021

Page 7

Part VFacility Information (continued)

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

	FRED HUTCHINSON CANCER CENTER
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) 2021

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
FRED HUTCHINSON CANCER CENTER	PART V, SECTION B, LINE 5: FOR THE 2022 CHNA, FRED HUTCH INTERVIEWED A VARIETY OF CONSTITUENTS FROM ACROSS KING, PIERCE, AND SNOHOMISH COUNTIES. THEY REPRESENTED FEDERALLY QUALIFIED HEALTH CENTERS, RESEARCH CENTERS, LOCAL PUBLIC HEALTH AGENCIES, NATIVE TRIBES AND COMMUNITY-BASED ORGANIZATIONS WORKING ALONGSIDE PEOPLE FROM A WIDE RANGE OF RACES AND ETHNICITIES, FAMILIES AND INDIVIDUALS WITH LOW INCOME, SENIORS, RECENT IMMIGRANTS AND REFUGEES, AND OTHER GROUPS WHO FACE SIGNIFICANT BARRIERS TO ACCESSING CANCER SERVICES DUE TO CURRENT AND HISTORICAL STRUCTURAL AND SYSTEMIC RACISM AND DISCRIMINATION. WE DESIGNED A SEMI-STRUCTURED INTERVIEW PROTOCOL AND INCLUDED QUESTIONS ABOUT THE INTERVIEWEE'S ORGANIZATION AND THE SERVICES THEY PROVIDE, THEIR EXPERIENCE WORKING WITH MEDICALLY UNDERSERVED POPULATIONS, UNMET HEALTH AND CANCER-RELATED NEEDS IN THE COMMUNITY, SOCIOECONOMIC FACTORS THAT CONTRIBUTE TO HEALTH DISPARITIES, AND EXISTING RESOURCES IN THE COMMUNITY. BETWEEN SEPTEMBER AND DECEMBER 2021, THE FOLLOWING ORGANIZATIONS KINDLY AGREED TO SHARE THEIR EXPERIENCE AND EXPERTISE IN INTERVIEWS: AFRICAN AMERICANS REACH & TEACH HEALTH MINISTRY (AARTH), CIERRA SISTERS, COMMUNITIES OF COLOR COALITION, INTERNATIONAL COMMUNITY HEALTH SERVICES (ICHS), KOREAN WOMEN'S ASSOCIATION, MERCY HOUSING, MUCKLESHOOT FOOD SOVEREIGNTY PROJECT, PUBLIC HEALTH SEATTLE & KING COUNTY, SEA MAR COMMUNITY HEALTH CENTERS, SEATTLE INDIAN HEALTH BOARD, STILLY VALLEY HEALTH CONNECTIONS, AND URBAN INDIAN HEALTH INSTITUTE.
FRED HUTCHINSON CANCER CENTER	PART V, SECTION B, LINE 11: FRED HUTCH IDENTIFIED THE FOLLOWING CANCER-RELATED COMMUNITY HEALTH NEEDS THROUGH ITS CHNA: ACCESS TO AFFORDABLE AND ATTAINABLE COMPREHENSIVE CARE; CULTURALLY ATTUNED PREVENTION, EDUCATION AND SCREENING; ENVIRONMENTAL HEALTH AND CLIMATE CHANGE; HEALTH EQUITY; MENTAL HEALTH SUPPORT FOR PATIENTS, FAMILIES AND COMMUNITY; POLICY AND SYSTEMS CHANGE WHILE INCREASING CAPACITY OF COMMUNITY-BASED ORGANIZATIONS AND COMMUNITY CLINICS; TRUST AND RELATIONSHIP-BUILDING. FRED HUTCH HAS COMBINED MOST OF THE NEEDS IDENTIFIED THROUGH THE CHNA INTO THREE PRIORITY AREAS IN ITS IMPLEMENTATION STRATEGY: 1. ADVANCING HEALTH EQUITY 2. PROVIDING CULTURALLY ATTUNED PREVENTION, EDUCATION AND SCREENING 3. DELIVERING ACCESS TO AFFORDABLE AND ATTAINABLE COMPREHENSIVE CARE, INCLUDING MENTAL HEALTH CARE. WE WILL CONTINUE TO STRENGTHEN OUR TRUST AND RELATIONSHIP-BUILDING WITHIN FRED HUTCH AND WITH COMMUNITY PARTNERS. OUR COMMITMENT TO HEALTH EQUITY AND BECOMING AN ANTIRACIST ORGANIZATION ENCOMPASSES SUPPORTING POLICY AND SYSTEMS CHANGE WHILE INCREASING CAPACITY OF LOCAL TRIBAL AND COMMUNITY-BASED ORGANIZATIONS AND COMMUNITY CLINICS.THE FOLLOWING OBJECTIVES OUTLINE HOW FRED HUTCH IS ADDRESSING EACH PRIORITY AREA. ADVANCING HEALTH EQUITY: FRED HUTCH IS ADDRESSING OUR ORGANIZATION'S ENTRENCHED SOCIAL INEQUITIES ASSOCIATED WITH RACE, ETHNICITY, LANGUAGE, CULTURAL NORMS AND EDUCATION TO MOVE TO A SYSTEM WHERE EVERY PERSON HAS THE OPPORTUNITY TO ATTAIN THEIR FULL HEALTH POTENTIAL. WE WILL IMPROVE LANGUAGE ACCESS AND CULTURALLY RELEVANT RESOURCES TO BETTER SERVE COMMUNITY MEMBERS WHO SPEAK A LANGUAGE OTHER THAN ENGLISH OR PREFER VISUAL COMMUNICATION. WE WILL BUILD CULTURAL RESPONSIVENESS AND INTERNAL CAPACITY IN EQUITY, DIVERSITY, INCLUSION AND ANTI-RACISM SO THAT EVERY PATIENT WHO IDENTIFIES AS BLACK, INDIGENOUS OR ANOTHER PERSON OF COLOR RECEIVES SUPPORT ACCORDING TO THEIR PREFERENCES. FRED HUTCH IS INCREASING THE OFFERING OF DIVERSITY, EQUITY, INCLUSION, BELONGING AND BIAS AWARENESS EDUCATION TO FRED HUTCH PROVIDERS AND RESEARCH STAFF. WE ARE PARTICIPATING IN THE NATIONAL COMPREHENSIVE CANCER NETWORK (NCCN) HEALTH EQUITY REPORT CARD PILOT PROJECT. WE ARE INCREASING REPRESENTATION OF BLACK, INDIGENOUS, AND OTHER PEOPLE OF COLOR IN COMMITTEES, ADVISORY GROUPS, AND OVERALL DECISION-MAKING. TO STRENGTHEN COMMUNITY-BASED ORGANIZATIONS WHO ARE TRUSTED BY OUR COMMUNITIES, FRED HUTCH PROVIDES GRANTS TO SUPPORT CANCER AND SOCIAL DETERMINANTS OF HEALTH-RELATED AWARENESS, PREVENTION, AND CARE SERVICES. FRED HUTCH WILL BE DEVELOPING, ENHANCING, OR TRANSLATING EDUCATION MATERIALS BASED ON COMMUNITY PARTNER NEEDS TO IMPROVE LANGUAGE ACCESS AND CULTURALLY RELEVANT RESOURCES. WE WILL BE IMPROVING ACCESS TO CLINICAL TRIALS FOR UNDERREPRESENTED MINORITY PATIENTS AS WELL AS IMPROVING COLLECTION OF RACE AND ETHNICITY DATA OF NEW PATIENTS TO BETTER UNDERSTAND THE BURDEN OF CANCER. PROVIDING CULTURALLY ATTUNED PREVENTION, EDUCATION AND SCREENING: FRED HUTCH PROMOTES KNOWLEDGE OF HEALTHY LIFESTYLES AND REGULAR CANCER SCREENINGS TO DECREASE THE PREVALENCE AND SEVERITY OF CANCER WITH A FOCUS ON MARGINALIZED AND BIPOC COMMUNITIES. WE PROVIDE EDUCATION AND RECOMMENDED SCREENING AND TREATMENT OPTIONS TO MEMBERS OF OUR COMMUNITY THROUGH COMMUNITY HEALTH EVENTS THAT REACH PRIORITY POPULATIONS. THE FRED HUTCH MOBILE MAMMOGRAM VAN DELIVERS THOUSANDS OF MAMMOGRAPHY SCREENINGS TO THE COMMUNITY EACH YEAR IN VARIOUS SETTINGS. WITH A FOCUS ON BLACK AND AFRICAN AMERICAN WOMEN, WE ARE ALSO PARTNERING WITH COMMUNITY ORGANIZATIONS TO SUPPORT THEIR ESTABLISHED EVENTS AS WELL AS LAUNCHING OUTREACH CAMPAIGNS WITH OUTSIDE REFERRING PROVIDERS TO REACH DUE/OVERDUE PATIENTS. FRED HUTCH ESTABLISHED THE HELI?IL PROGRAM TO IDENTIFY BARRIERS TO LUNG CANCER SCREENING IN INDIGENOUS COMMUNITIES AND TO PARTNER WITH TRIBAL AND COMMUNITY LEADERS TO REDUCE THE RATE OF NON-CEREMONIAL TOBACCO USE IN OUR COMMUNITIES. WE ARE ALSO INCREASING AWARENESS ABOUT PROSTATE CANCER EQUITY AND SCREENINGS AMONG BLACK AND AFRICAN AMERICAN MEN THROUGH COMMUNITY-BASED RESEARCH AND ADVOCACY. DELIVERING ACCESS TO AFFORDABLE AND ATTAINABLE COMPREHENSIVE CARE, INCLUDING MENTAL HEALTH CARE: FRED HUTCH IS IMPROVING ACCESS TO HIGH-QUALITY CANCER CARE ALONG THE CANCER CARE CONTINUUM AND TO WRAPAROUND SERVICES THAT BOLSTER HEALTH. WE WORK TO CONNECT INDIVIDUALS NEEDING CARE TO HEALTH INSURANCE COVERAGE AND OTHER SUPPORT PROGRAMS. FRED HUTCH PROVIDES INTERNAL COUNSELING TO PATIENTS ABOUT INSURANCE COVERAGE AS WELL AS ACCESS TO STAFF WHO CAN HELP PATIENTS AND COMMUNITY MEMBERS LOOK FOR COVERAGE THROUGH THE WASHINGTON STATE HEALTH BENEFIT EXCHANGE. FRED HUTCH HAS A FINANCIAL ASSISTANCE, OR CHARITY CARE, PROGRAM. WE HAVE AN ADDITIONAL ASSISTANCE FUND TO SUPPORT PATIENTS IN NEED WITH TRANSPORTATION, HOUSING, GROCERIES, AND OTHER NEEDS RELATED TO THEIR BUILT ENVIRONMENT OR LIVING SITUATION. WE ARE ALSO PILOTING A SOCIAL DETERMINANTS OF HEALTH (SDOH) PATIENT SCREENING TOOL TO ASSESS PATIENTS' SOCIAL BARRIERS AND REFER THEM TO COMMUNITY RESOURCES. FRED HUTCH CONTINUES TO INTEGRATE A POPULATION-BASED NAVIGATION MODEL INTO OUR SERVICE STRUCTURE TO SERVE MORE PATIENTS EXPERIENCING SOCIO-ECONOMIC BARRIERS, AS WELL AS THOSE WHO NEED HELP NAVIGATING THROUGH FRED HUTCH OR REQUIRE COMMUNITY RESOURCES. FRED HUTCH ALSO ACTIVELY PARTICIPATES IN THE KING COUNTY BREAST, CERVICAL AND COLON HEALTH PROGRAM (BCCHP) AS WELL AS ADVOCATES ON STATE AND FEDERAL POLICIES TO IMPROVE PATIENT ACCESS TO HEALTH SERVICES. WE ARE ENHANCING ACCESS TO MENTAL HEALTH CARE FOR CANCER PATIENTS, FAMILIES, AND THE COMMUNITY BY DEEPENING RELATIONSHIPS WITH COMMUNITY-BASED MENTAL HEALTH PROVIDERS TO CREATE EASY AND FOCUSED REFERRAL DESTINATIONS WHEN PATIENTS END THEIR ACTIVE ONCOLOGY TREATMENT. WE ARE ALSO IMPLEMENTING AN INSTITUTION-WIDE SUICIDAL IDEATION ASSESSMENT. FRED HUTCH IS NOT DIRECTLY ADDRESSING ENVIRONMENTAL HEALTH AND CLIMATE CHANGE WITHIN THE COMMUNITY BENEFIT IMPLEMENTATION STRATEGY; HOWEVER, WE ARE COMMITTED TO ENVIRONMENTAL SUSTAINABILITY. ENERGY CONSERVATION, RECYCLING AND COMPOSTING, WATER CONSERVATION AND SUSTAINABLE TRANSPORTATION ARE EMBEDDED IN EVERYTHING WE DO. WE AIM TO SUPPORT ENVIRONMENTAL POLICIES, SYSTEMS AND RESEARCH THAT PROMOTE SUSTAINABLE AND CLIMATE-RESILIENT OPERATIONS AT FRED HUTCH FACILITIES AND MITIGATE THE OVERALL IMPACTS OF CLIMATE CHANGE. WE PLAN TO ENGAGE IN EXISTING AND UPCOMING CLIMATE RESILIENCE HEALTHCARE ANALYSES AND STRATEGIC FRAMEWORKS INTENDED TO MITIGATE OUR CONTRIBUTIONS TO CLIMATE CHANGE AND SECURE BUSINESS RESILIENCE IN THE FACE OF CLIMATE CHANGE, IN ALIGNMENT WITH THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' INITIATIVE TO HALVE U.S. CARBON EMISSIONS BY 2030.
FRED HUTCHINSON CANCER CENTER	PART V, SECTION B, LINE 13B: APPLICANTS 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 HARDSHIP WRITE-OFFS ON A CASE BY CASE BASIS.
FRED HUTCHINSON CANCER CENTER	PART V, SECTION B, LINE 13H: THE FOLLOWING PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY EVEN THOUGH THE PATIENTS ARE NOT RESIDENTS OF THE STATE OF WASHINGTON: 1) PATIENTS WHO HAVE AN EMERGENCY MEDICAL CONDITION; 2) PATIENTS WHO ARE REFUGEES, ASYLEES OR SEEKING ASYLUM AND PROVIDE APPROPRIATE INS DOCUMENTATION. IF THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS APPARENT, FRED HUTCH MAY, IN ITS SOLE DISCRETION, CHOOSE TO WAIVE SOME OR ALL OF THE DOCUMENTATION AND VERIFICATION REQUIREMENTS. EXAMPLES OF CIRCUMSTANCES IN WHICH THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE MAY BE APPARENT INCLUDE THE FOLLOWING:1) A PATIENT OR GUARANTOR WHO HAS DECLARED BANKRUPTCY AND HAS INCLUDED THE FRED HUTCH 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; OR4) ACCOUNTS RETURNED BY THE COLLECTION AGENCY AS UNCOLLECTIBLE DUE TO ANY OF THE ABOVE REASONS. FRED HUTCH 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 CONSIDERATION.
FRED HUTCHINSON CANCER CENTER	PART V, SECTION B, LINE 20E: FRED HUTCH CONTACTED PATIENTS AND HELPED THEM COMPLETE PAPERWORK TO APPLY FOR FINANCIAL ASSISTANCE FOR MEDICARE, MEDICAID, OR ANY OTHER POSSIBLE SOURCE OF COVERAGE.
PART V, SECTION B, LINE 3E:	FRED HUTCH IS DEDICATED TO ENSURING THAT OUR PURPOSE, WHICH UNITES THE DRIVE TO IMPROVE CANCER CARE AND OUTCOMES WITH THE POWER OF CLINICAL RESEARCH, IS MEETING OUR COMMUNITY'S HEALTH NEEDS. THE NEEDS IDENTIFIED BY DATA AVAILABLE TO US, COMMUNITY STAKEHOLDER INPUT, AND FEEDBACK ON OUR PREVIOUS HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES HAVE LED US TO PRIORITIZE CULTURALLY AND LINGUISTICALLY APPROPRIATE COMMUNITY HEALTH IMPROVEMENT EFFORTS AS WELL AS 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 OUR COMMUNITY.FRED HUTCH ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY FOR THE CHNA VIA QUANTITATIVE AND QUALITATIVE DATA ANALYSIS. WHEN POSSIBLE, WE ACCESSED DATA ON INDICATORS ABOUT INDIVIDUALS IN KING, PIERCE, AND SNOHOMISH COUNTIES DIRECTLY FROM PUBLICLY AVAILABLE DATASETS, MOST OF WHICH ARE MAINTAINED BY NATIONAL, STATE AND COUNTY GOVERNMENT AGENCIES. IN OTHER INSTANCES, WE QUERIED DATA FOR EACH COUNTY SEPARATELY AND COMBINED THEM INTO A WEIGHTED AVERAGE. IN MOST CASES, WE BENCHMARKED THE THREE-COUNTY REGION NUMBERS AGAINST WASHINGTON STATE DATA OR HEALTHY PEOPLE 2030. THIS DATA WAS THEN ANALYZED AND INTERPRETED TO UNDERSTAND THE COMMUNITY AND ITS CANCER BURDEN OVERALL, AS WELL AS THE DISPARITIES OF CERTAIN POPULATIONS WITHIN THE COMMUNITY. WITH ASSISTANCE FROM PUBLIC HEALTH SEATTLE & KING COUNTY, WE QUERIED THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE WASHINGTON STATE CENTER FOR HEALTH STATISTICS (WASHINGTON VITAL RECORDS) AND WASHINGTON STATE CANCER REGISTRY DATASETS FOR CANCER-RELATED INCIDENCE AND MORTALITY DATA ACROSS RACIAL AND ETHNIC POPULATIONS, AS WELL AS SOME OF THE BEHAVIORS THAT HAVE BEEN LINKED WITH CERTAIN TYPES OF CANCER AND THE UPTAKE OF RECOMMENDED CANCER SCREENINGS. WE INCORPORATED RELEVANT INFORMATION FROM THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT FRED HUTCH PUBLISHES TOGETHER WITH THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (KCHHC) COLLABORATIVE. THROUGH THIS EFFORT, 10 HOSPITALS AND HEALTH SYSTEMS IN KING COUNTY IDENTIFY SIGNIFICANT HEALTH NEEDS AND ASSETS IN THE COMMUNITIES WE SERVE. WE ALSO REVIEWED COMMUNITY HEALTH ASSESSMENTS AND REPORTS IN PIERCE AND SNOHOMISH COUNTIES PUBLISHED IN THE LAST THREE YEARS AND MADE AVAILABLE TO THE PUBLIC, WITH THE PURPOSE OF AVOIDING DUPLICATION AND TO HONOR THE EFFORTS OF HOSPITALS, LOCAL HEALTH DEPARTMENTS AND COMMUNITY LEADERS WHO SUMMARIZE THE NEEDS AND STRENGTHS OF THE COMMUNITIES THEY KNOW BEST. WE GATHERED DATA PRIOR TO THE ONSET OF THE COVID-19 PANDEMIC AND SOME COMPILED IN THE MIDST OF IT. DATA ARE PRESENTED FOR THE MOST RECENT YEARS WE HAVE DATA AVAILABLE IN MOST CASES AS EARLY AS 2019. WHERE APPLICABLE, WE HAVE ALSO INTEGRATED RECENT DATA COLLECTED DURING 2020 AS WELL AS SOME OF THE KNOWN IMPACTS OF THE PANDEMIC. AFTER GATHERING AND ANALYZING THE SECONDARY DATA, WE DESIGNED SEMI-STRUCTURED INTERVIEW AND LISTENING SESSION PROTOCOLS TO SOLICIT COMMUNITY INPUT. THE PROTOCOL INCLUDED QUESTIONS ABOUT THE INTERVIEWEE'S ORGANIZATION AND THE SERVICES THEY PROVIDE; THEIR PERSPECTIVES ABOUT THE MOST PRESSING HEALTH ISSUES FACING OUR COMMUNITIES; THE ROOT CAUSES AND DETERMINING FACTORS FOR THESE ISSUES, GAPS OR CONCERNS SPECIFIC TO CANCER PREVENTION AND CARE; AND THE CURRENT STRENGTHS AND ASSETS OF THE COMMUNITY SERVED. WE ALSO ASKED INTERVIEW AND LISTENING SESSION PARTICIPANTS HOW FRED HUTCH CAN BE INVOLVED IN ADDRESSING THE ISSUES OR BUILDING ON THE STRENGTHS THAT THEY IDENTIFIED. WE INTERVIEWED A VARIETY OF CONSTITUENTS FROM ACROSS THE THREE-COUNTY AREA. THEY REPRESENTED FEDERALLY QUALIFIED HEALTH CENTERS, RESEARCH CENTERS, LOCAL PUBLIC HEALTH AGENCIES, NATIVE TRIBES AND COMMUNITY-BASED ORGANIZATIONS WORKING ALONGSIDE PEOPLE FROM A WIDE RANGE OF RACES AND ETHNICITIES, FAMILIES AND INDIVIDUALS WITH LOW INCOME, SENIORS, RECENT IMMIGRANTS AND REFUGEES, AND OTHER GROUPS WHO FACE SIGNIFICANT BARRIERS TO ACCESSING CANCER SERVICES DUE TO CURRENT AND HISTORICAL STRUCTURAL AND SYSTEMIC RACISM AND DISCRIMINATION. WE CONDUCTED A LISTENING SESSION WITH FRED HUTCH'S PATIENT AND FAMILY ADVISORY COUNCIL TO HEAR THEIR FIRSTHAND PERSPECTIVES AROUND SEEKING TREATMENT, BARRIERS TO CARE AND OPPORTUNITIES FOR EDUCATION AND INFORMATION OFFERINGS ABOUT HEALTHY BEHAVIORS AND RECOMMENDED SCREENINGS. WE ALSO MET WITH A GROUP OF FRED HUTCH LEADERS AND STAFF TO SPECIFICALLY TALK ABOUT SOCIAL DETERMINANTS OF HEALTH. IN ALL, 30+ INDIVIDUALS PARTICIPATED IN THE INTERVIEW AND LISTENING SESSION PROCESS. THE INSIGHT OF THESE COMMUNITY CONSTITUENTS HELPED US UNDERSTAND THE CONTEXT SURROUNDING CANCER-RELATED HEALTH ISSUES IDENTIFIED IN THE QUALITATIVE DATA AND ALLOWED US TO OVERCOME SOME OF THE LIMITATIONS IN THE QUANTITATIVE DATA. AFTER WE COMPLETED THE CHNA, WE FACILITATED A PRIORITIZATION EXERCISE WITH FRED HUTCH LEADERS AND STAFF REPRESENTING A RANGE OF FUNCTIONS ACROSS THE ORGANIZATION, BOTH CLINICAL AND ADMINISTRATIVE, INCLUDING DEPARTMENTS ENGAGED IN CONDUCTING COMMUNITY BENEFIT ACTIVITIES ON A DAY-TO-DAY BASIS. THIS GROUP REVIEWED THE QUALITATIVE AND QUANTITATIVE DATA FROM THE CHNA AND DISCUSSED THE IDENTIFIED THEMES, WHICH OUTLINED CANCER-RELATED HEALTH NEEDS AND ASSETS IN OUR COMMUNITY. FINALLY, WE REACHED CONSENSUS ON WHICH HEALTH ISSUES WERE PRIORITIES FOR FRED HUTCH. CRITERIA FOR PRIORITIZATION INCLUDED SEVERITY OF NEED, MAGNITUDE/SCALE OF THE NEED, PRESENCE OF CLEAR DISPARITIES OR INEQUITIES, EXISTING ATTENTION AND RESOURCES DEDICATED TO THE ISSUE, POTENTIAL FOR PARTNERING AND COLLABORATING WITH LOCAL ORGANIZATIONS, AND OPPORTUNITY FOR FRED HUTCH TO MAKE A MEANINGFUL CONTRIBUTION.THROUGH OUR NEEDS ASSESSMENT PROCESS FRED HUTCH GROUPED THE HEALTH NEEDS INTO 3 PRIORITY AREAS: ADVANCING HEALTH EQUITY, PROVIDING CULTURALLY ATTUNED PREVENTION, EDUCATION, AND SCREENING, AND DELIVERING ACCESS TO AFFORDABLE AND ATTAINABLE COMPREHENSIVE CARE.

Schedule H (Form 990) 2021

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?7
Name and address		Type of Facility (describe)
1	1 - FRED HUTCHINSON CANCER CENTER 825 EASTLAKE AVENUE E SEATTLE,WA98109	HOSPITAL BASED OUTPATIENT CLINIC
2	2 - FRED HUTCH AT EVERGREEN HEALTH 12040 NE 128TH STREET KIRKLAND,WA98034	HOSPITAL BASED OUTPATIENT CLINIC
3	3 - SOUTH LAKE UNION HOUSE 207 PONTIUS AVENUE N SEATTLE,WA98109	TEMPORARY MEDICAL HOUSING FACILITY
4	4 - FRED HUTCH NWH MED ONC & RAD ONC CLNC 1560 N 115TH ST - SUITE G-16 SEATTLE,WA981338498	HOSPITAL BASED OUTPATIENT CLINIC
5	5 - FRED HUTCHINSON CANCER CTR PENINSULA 19917 7TH AVENUE NE SUITE 100 POULSBO,WA98370	COMMUNITY SITE OUTPATIENT CLINIC
6	6 - FRED HUTCHINSON CANCER CENTER ISSAQUAH 1740 NW MAPLE STREET SUITE 211 ISSAQUAH,WA98027	COMMUNITY SITE OUTPATIENT CLINIC
7	7 - FRED HUTCH AT OVERLAKE MEDICAL CENTER 1135 116TH AVE NE SUITE 250 BELLEVUE,WA98004	HOSPITAL BASED OUTPATIENT CLINIC
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Schedule H (Form 990) 2021

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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, THE APPLICANTS FAMILY SIZE AND INCOME WILL BE REVIEWED AND WILL DETERMINE PERCENTAGE OF FEDERAL POVERTY LINE, THIS PERCENTAGE WILL DETERMINE THE LEVEL OF FINANCIAL ASSISTANCE TO BE AWARDED. IF THE APPLICANT HAS A FAMILY INCOME AT OR BELOW 300% OF THE FEDERAL POVERTY STANDARD AS ADJUSTED FOR FAMILY SIZE, THE PATIENT WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE IN THE AMOUNT EQUAL TO THE UNPAID BALANCE REMAINING AFTER ALL SOURCES OF THIRD PARTY COVERAGE AND SPONSORSHIP HAVE BEEN EXHAUSTED. APPLICANTS 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 HARDSHIP WRITE-OFFS ON A CASE BY CASE BASIS.
PART I, LINE 7:	FRED HUTCH 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 $529,385. THIS AMOUNT DOES NOT RELATE TO ANY PATIENT SERVICE RELATED ACTIVITY AND IS DERIVED SOLELY FROM THE RESEARCH SIDE OF THE ORGANIZATION. EFFECTIVE JULY 1, 2018, FRED HUTCH ADOPTED ASU 2014-09 "REVENUE FROM CONTRACTS WITH CUSTOMERS (ASC TOPIC 606)." ASC 606 INTRODUCED A NEW TERM, (IMPLICIT) PRICE CONCESSION, AND REDEFINED BAD DEBT EXPENSE TO MORE CLOSELY REFLECT IMPAIRMENT. AN IMPAIRMENT LOSS OCCURS WHEN PATIENTS FRED HUTCH ORIGINALLY EXPECTED TO COLLECT FROM, UNEXPECTEDLY EXPERIENCE ADVERSE EVENTS (SUCH AS A JOB LOSS OR BANKRUPTCY) THAT LEAD TO AN INABILITY TO PAY. BECAUSE FRED HUTCH HAD ORIGINALLY EXPECTED TO COLLECT THESE AMOUNTS, THESE AMOUNTS ARE NOW CONSIDERED UNCOLLECTIBLE AND MUST BE WRITTEN OFF AS AN IMPAIRMENT LOSS. UNDER ASC 606, WHAT FRED HUTCH PREVIOUSLY DEFINED AS BAD DEBT EXPENSE IS NOW CONSIDERED AN IMPLICIT PRICE CONCESSION AND INCLUDED IN NET PATIENT SERVICE REVENUE.
PART III, LINE 2:	BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX RELATED TO PATIENT CARE SERVICES IS $0. EFFECTIVE JULY 1, 2018, FRED HUTCH ADOPTED ASU 2014-09 "REVENUE FROM CONTRACTS WITH CUSTOMERS (ASC TOPIC 606)." ASC 606 INTRODUCED A NEW TERM, (IMPLICIT) PRICE CONCESSION, AND REDEFINED BAD DEBT EXPENSE TO MORE CLOSELY REFLECT IMPAIRMENT. AN IMPAIRMENT LOSS OCCURS WHEN PATIENTS FRED HUTCH ORIGINALLY EXPECTED TO COLLECT FROM, UNEXPECTEDLY EXPERIENCE ADVERSE EVENTS (SUCH AS A JOB LOSS OR BANKRUPTCY) THAT LEAD TO AN INABILITY TO PAY. BECAUSE FRED HUTCH HAD ORIGINALLY EXPECTED TO COLLECT THESE AMOUNTS, THESE AMOUNTS ARE NOW CONSIDERED UNCOLLECTIBLE AND MUST BE WRITTEN OFF AS AN IMPAIRMENT LOSS. UNDER ASC 606, WHAT FRED HUTCH PREVIOUSLY DEFINED AS BAD DEBT EXPENSE IS NOW CONSIDERED AN IMPLICIT PRICE CONCESSION AND INCLUDED IN NET PATIENT SERVICE REVENUE.
PART III, LINE 4:	REFER TO PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	FRED HUTCH COMPLETED PART III, LINE 6 USING THE ALLOWABLE COSTS FROM THE AS-FILED MEDICARE COST REPORT FOR FY22. 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, FRED HUTCH 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 TOTAL REVENUES AND EXPENSES ATTRIBUTABLE TO ALL OF FRED HUTCH'S MEDICARE PROGRAMS: PART III, NON-COST REPORT TOTAL SECTION B FEE SCHED. MANAGED CARE MEDICAREMEDICARE REVENUE $204,072,512 $1,370,231 $31,794,377 $237,237,120MEDICARE EXPENSE $225,758,369 $2,742,501 $70,320,209 $298,821,079SHORTFALL ($21,685,857) ($1,372,269) ($38,525,832) ($61,583,959)FRED HUTCH CONSIDERS THE SHORTFALL ON MEDICARE SERVICES TO BE 100% COMMUNITY BENEFIT. HAD FRED HUTCH 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% FINANCIAL ASSISTANCE ARE REMOVED FROM THE COLLECTIONS WORKFLOW SO THEIR ACCOUNTS WILL NOT BE SENT TO COLLECTIONS.
PART VI, LINE 2:	IN ADDITION TO OUR CHNA ASSESSMENT PROCESS, FRED HUTCH WORKS TOGETHER WITH SEATTLE CHILDREN'S HOSPITAL AND THE UNIVERSITY OF WASHINGTON TO FOCUS ON DEVELOPING AND DELIVERING THE BEST CANCER PREVENTION AND TREATMENTS AVAILABLE. FRED HUTCH COLLABORATES WITH THESE OTHER INSTITUTIONS AS PART OF THE CANCER CONSORTIUM TO ASSESS THE OCCURRENCE OF CANCER IN THE COMMUNITIES WE SERVE AND EVALUATE THE DIVERSITY OF PARTICIPANTS IN OUR RESEARCH COMPARED TO OUR COMMUNITIES. WE THEN MAKE STRATEGIC INVESTMENTS IN RESEARCH TO ADDRESS AREAS OF CANCER-RELATED HEALTH NEEDS IN OUR COMMUNITIES. FURTHERMORE, FRED HUTCH IS A MEMBER INSTITUTION OF THE KING COUNTY HOSPITALS FOR A HEALTH COMMUNITY COLLABORATIVE, WHICH JOINS TOGETHER 10 HOSPITALS AND THE PUBLIC HEALTH SEATTLE & KING COUNTY TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE COUNTY AND IDENTIFY OPPORTUNITIES FOR THE DEVELOPMENT OF COLLECTIVE, DATA-DRIVEN STRATEGIES TO ADDRESS COMMUNITY HEALTH NEEDS.
PART VI, LINE 3:	PATIENTS REQUESTING INFORMATION ABOUT FINANCIAL ASSISTANCE ARE GIVEN A BROCHURE DESCRIBING THE FINANCIAL PROGRAMS AVAILABLE ALONG WITH CONTACT INFORMATION FOR FRED HUTCH 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.FRED HUTCH'S WEBSITE HAS A LIST OF OUTSIDE RESOURCES AVAILABLE TO PATIENTS IN NEED OF ASSISTANCE. FRED HUTCH'S WEBSITE HAS ITS FINANCIAL ASSISTANCE POLICY AVAILABLE IN ENGLISH, AND 5 OTHER LANGUAGES. THE FRED HUTCH FINANCIAL ASSISTANCE POLICY IS ALSO PROVIDED IN A PLAIN LANGUAGE SUMMARY IN ENGLISH AND 5 OTHER LANGUAGES ON THE WEBSITE, AND IS AVAILABLE THROUGHOUT THE CLINIC.
PART VI, LINE 4:	FRED HUTCH'S REACH EXTENDS FAR AND WIDE, WITH PATIENTS FROM ACROSS THE PUGET SOUND REGION, WASHINGTON STATE, AND THE WORLD. CONSISTENT WITH OUR PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS, WE DEFINE OUR COMMUNITY AS EVERYONE IN KING, PIERCE AND SNOHOMISH COUNTIES. THE TOTAL POPULATION IN OUR COMMUNITY IS 3.98 MILLION PEOPLE, WHICH ACCOUNTS FOR MORE THAN HALF OF THE STATE'S POPULATION. KING COUNTY AND SEATTLE ARE THE MOST POPULOUS COUNTY AND CITY IN WASHINGTON STATE, RESPECTIVELY. FURTHER, OVER HALF THE AREA'S POPULATION AND 58 PERCENT OF FRED HUTCH'S PATIENTS RESIDE IN THE COUNTY. PIERCE AND SNOHOMISH HAVE LESS THAN ONE MILLION RESIDENTS EACH, AND ABOUT 14 PERCENT AND 6 PERCENT OF FRED HUTCH PATIENTS COME FROM THESE COUNTIES, RESPECTIVELY. THE ADULT POPULATION IN THE FRED HUTCH COMMUNITY IS SLIGHTLY LOWER THAN IN THE STATE: 14 PERCENT OF PEOPLE ARE 65 AND OLDER AND 62 PERCENT ARE BETWEEN 18 AND 64 YEARS OLD, COMPARED TO 16 PERCENT AND 62 PERCENT OF WASHINGTONIANS WHO FALL WITHIN THOSE AGE RANGES, RESPECTIVELY. PIERCE COUNTY HAS THE LARGEST PERCENTAGE OF YOUTH IN THE FRED HUTCH COMMUNITY AREA; THIS IS ALSO HIGHER THAN THE AVERAGE YOUTH POPULATION IN THE STATE. A GROWING DEMOGRAPHIC DIVERSITY CONTINUES TO SHAPE AND ENRICH THE LANDSCAPE OF OUR REGION. A LARGER PROPORTION OF OUR COMMUNITY'S POPULATION IDENTIFY AS ASIAN, BLACK, HISPANIC/LATINO OR RACIALLY MIXED. INCREASING RACIAL AND ETHNIC DIVERSITY AMONG CHILDREN IS A CONTINUING DEMOGRAPHIC TREND. THE POPULATION OF CHILDREN UNDER AGE 18 IS NOW 53 PERCENT PEOPLE OF COLOR. OUR REGION HAS A WIDE RANGE OF CULTURAL AND LINGUISTIC DIVERSITY. ABOUT ONE IN FIVE INDIVIDUALS (ONE IN THREE IN KING COUNTY) LIVE IN A HOUSEHOLD WHERE A LANGUAGE OTHER THAN ENGLISH IS SPOKEN. THE MOST SPOKEN LANGUAGES OUTSIDE OF ENGLISH ARE SPANISH, CHINESE AND VIETNAMESE. IN THE FRED HUTCH COMMUNITY, THE MEDIAN HOUSEHOLD INCOME IN 2019 WAS ESTIMATED AT $95,850 ABOVE THE WASHINGTON ESTIMATE OF $78,700. DATA SHOW DISPARITIES IN INCOME BY RACE AND ETHNICITY, WITH BLACK/AFRICAN AMERICAN AND HISPANIC/LATINO HOUSEHOLDS AVERAGING $34,600 AND $22,705 BELOW THE FRED HUTCH COMMUNITY AVERAGE, RESPECTIVELY. AMERICAN INDIAN AND ALASKA NATIVES IN KING COUNTY HAVE THE LOWEST HOUSEHOLD INCOMES OF ALL RACES AND ETHNICITIES IN THE THREE-COUNTY AREA ($40,306).
PART VI, LINE 5:	FRED HUTCH CONTRIBUTES TO COMMUNITY HEALTH PROMOTION THROUGH A VARIETY OF PROGRAMS AND ACTIVITIES, EXAMPLES OF WHICH ARE OUTLINED BELOW. TRAINING HEALTH PROFESSIONALS:OUR CONTRIBUTION IS BROAD BECAUSE WE HAVE UNPARALLELED RESOURCES TO SHARE WHAT WE KNOW THROUGH THE EDUCATION OF DOCTORS, NURSES, AND SCIENTISTS, PUBLICATIONS 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. FRED HUTCH PARTICIPATES IN MULTIPLE EDUCATION AND TRAINING PROGRAMS FOR PHYSICIANS, NURSES AND OTHER ALLIED HEALTH PROFESSIONALS. THIS INCLUDES RESIDENCY, ROTATIONS, SHADOWING AND OTHER PROGRAMS TO ALLOW HEALTH PROFESSIONAL TRAINEES TO DEVELOP EXPERTISE IN SPECIALIZED ONCOLOGY SKILLSETS, THEREBY IMPROVING THE LOCAL HEALTHCARE WORKFORCE'S OVERALL CAPACITY TO ADDRESS THE COMMUNITY'S HEALTH NEEDS RELATED TO CANCER. CLINICAL RESEARCH: FRED HUTCH HAS HUNDREDS OF CLINICAL TRIALS OPEN AT ANY GIVEN TIME. THIS PROVIDES OUR COMMUNITY AND THE COMMUNITIES SERVED BY OUR NETWORK AFFILIATES WITH ACCESS TO GROUNDBREAKING TREATMENT OPTIONS. AS THE ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER IN A FIVE-STATE AREA (WA, WY, AK, MT, ID), THE ACCESS TO CLINICAL TRIAL PARTICIPATION IS A VALUABLE RESOURCE TO PATIENTS ACROSS THE REGION. FRED HUTCH ALSO HAS DEDICATED STAFF TO REPORT PATIENT-LEVEL DATA TO STATE AND NATIONAL CANCER REGISTRIES FOR SOLID TUMOR AND BONE MARROW TRANSPLANT POPULATIONS TO HELP ADVANCE THE CLINICAL EVIDENCE BASE. NETWORK AFFILIATE PROGRAM:FRED HUTCH PARTNERS WITH EIGHT COMMUNITY PROVIDERS ACROSS AK, HI, ID, AND WA TO COORDINATE CARE AND IMPROVE REGIONAL AND RURAL ACCESS TO THE LATEST CANCER TREATMENTS AND CLINICAL TRIALS. THROUGH THE AFFILIATION WITH LOCAL COMMUNITY CANCER CENTERS. FRED HUTCH 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. MEMBERS OF THE AFFILIATE NETWORK ALSO RECEIVE CONTINUING MEDICAL EDUCATION (CME) PRESENTATION AND RESOURCES FROM FRED HUTCH ON THE LATEST BREAKTHROUGHS IN CANCER CARE. A NUMBER OF THESE CME OFFERINGS ARE OPEN TO THE PUBLIC FOR BROADER EDUCATION FOR COMMUNITY PROVIDERS AND COMMUNITY MEMBERS. COMMUNITY HEALTH SERVICES:FRED HUTCH HAS RELATIONSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS LOCATED WITHIN THE MEDICALLY UNDERSERVED AREAS IN KING, SNOHOMISH AND PIERCE COUNTIES. FRED HUTCH HAS SPECIFIC CONTRACTS WITH PUBLIC HEALTH SEATTLE & KING COUNTY AND SEA MAR COMMUNITY HEALTH CENTERS TO PROVIDE PREVENTIVE HEALTH SCREENINGS TO THE LOCAL UNDERSERVED COMMUNITIES. FRED HUTCH IS ALSO PART OF THE BREAST, CERVICAL, AND COLON HEALTH PROGRAM (BCCHP). THE PURPOSE OF THE BCCHP IS TO REDUCE MORBIDITY AND MORTALITY FROM BREAST, CERVICAL AND COLON CANCERS BY THE EARLY DETECTION OF CANCER THROUGH FREE SCREENINGS. FRED HUTCH PROVIDES BREAST CANCER SCREENING THROUGH REGULAR MAMMOGRAMS. FRED HUTCH ACCEPTS REFERRALS OF PATIENTS WHO HAVE A FINDING ON THEIR MAMMOGRAM AND PERFORMS DIAGNOSTICS AND TREATS PATIENTS WHO ARE DEEMED TO HAVE CANCER. SINCE 2014, FRED HUTCH HAS PARTICIPATED IN THE ANNUAL SEATTLE-KING COUNTY FREE CLINIC TO PROVIDE UNDERSERVED INDIVIDUALS WITH NECESSARY HEALTH CARE, INCLUDING CANCER SCREENINGS AND OTHER MEDICAL SERVICES. FRED HUTCH PROVIDES BREAST CANCER SCREENINGS THROUGH ITS MAMMOGRAM VAN AND FRED HUTCH STAFF VOLUNTEER AT THE EVENT. COMMUNITY HEALTH EDUCATION:FRED HUTCH PROVIDES COMMUNITY EDUCATION PROGRAMMING FOR CANCER SURVIVORS, INCLUDING MEDICAL NUTRITION EDUCATION TO COMMUNITY CANCER SUPPORT GROUPS, WELLNESS CONFERENCES AND CANCER SURVIVORSHIP CONFERENCES. FRED HUTCH ALSO PROVIDES MONTHLY SURVIVORSHIP EDUCATION. FURTHERMORE, FRED HUTCH ATTENDS LOCAL COMMUNITY HEALTH FAIRS AND EVENTS TO PROVIDE CANCER SCREENING INFORMATION AND TOBACCO CESSATION EDUCATION AND COUNSELING. HEALTH POLICY ADVOCACY:FRED HUTCH INVESTS RESOURCES IN ADVOCATING FOR POLICIES THAT IMPROVE THE HEALTH OF OUR COMMUNITY, LOWER THE BURDEN OF CANCER-RELATED DISEASE, AND INCREASE ACCESS TO HIGH-QUALITY, INNOVATIVE, AND AFFORDABLE CANCER CARE. FOR EXAMPLE, FRED HUTCH RESEARCHERS AND CLINICIANS SUPPORTED THE RAPID ADAPTION OF CLINICAL TRIAL RESEARCH TO THE CIRCUMSTANCES OF ENROLLING AND TREATING PATIENTS ON PROTOCOLS DURING THE COVID-19 PANDEMIC. COVID-19 VACCINE DISTRIBUTION: FRED HUTCH WAS AMONG THE FIRST WASHINGTON HEALTHCARE PROVIDERS TO RECEIVE THE COVID-19 VACCINE AND DISTRIBUTE DOSES TO PATIENTS, FAMILIES AND THE BROADER COMMUNITY. WE PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS, PUBLIC SCHOOLS, FAITH-BASED ORGANIZATIONS, LOW INCOME/HIGH DENSITY HOUSING GROUPS, AND PRODUCTION AND MANUFACTURING FACILITIES TO HOST MOBILE CLINICS AND REACH MARGINALIZED COMMUNITIES. INSTITUTIONAL SERVICE TO THE COMMUNITY:FRED HUTCH 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. WE ARE ALSO COMMUNITY SERVANTS IN THAT FRED HUTCH IS GOVERNED BY A 13-MEMBER BOARD OF DIRECTORS, INCLUDING NINE COMMUNITY DIRECTORS AND FOUR EX OFFICIO POSITIONS. THE COMMUNITY DIRECTORS BRING A DIVERSE RANGE OF EXPERTISE AND PERSPECTIVES FROM ACROSS HEALTH CARE, TECHNOLOGY AND PROFESSIONAL SERVICES SECTORS.
PART VI, LINE 6:	FRED HUTCH IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART VI, LINE 7:	WASHINGTON STATE REQUIRES HOSPITALS TO MAKE THEIR CHNA WIDELY AVAILABLE TO THE PUBLIC AND TO ADOPT A COMMUNITY BENEFIT IMPLEMENTATION STRATEGY, WHICH IS ALSO MADE AVAILABLE TO THE PUBLIC. FRED HUTCH COMPLIES WITH BOTH REQUIREMENTS AND POSTS ITS CHNA AND IMPLEMENTATION STRATEGY ON ITS PUBLIC WEBSITE.

Schedule H (Form 990) 2021

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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

2021

Open to Public
Inspection

Name of the organization
FRED HUTCHINSON CANCER CENTER

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	(h) Purpose of grant or assistance
(1) AFRICAN AMERICANS REACH AND TEACH HEALTH 901 RAINIER AVE N STE B102 RENTON,WA98057	27-0054883	501(C)(3)	16,694	ADMINISTRATION
(2) ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 4000 AMBASSADOR DR ANCHORAGE,AK99508	92-0162721	501(C)(3)	7,325	SHARED RESOURCES
(3) ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 4000 AMBASSADOR DR ANCHORAGE,AK99508	92-0162721	501(C)(3)	5,211	PUBLIC HEALTH SCIENCES
(4) ALBERT EINSTEIN COLLEGE OF MEDICINE BELFER BUILDING 1108 BRONX,NY10461	83-0621846	501(C)(3)	16,066	VACCINE AND INFECTIOUS DISEASE
(5) ALBERT EINSTEIN COLLEGE OF MEDICINE BELFER BUILDING 1108 BRONX,NY10461	83-0621846	501(C)(3)	15,222	CLINICAL RESEARCH
(6) ALLEN INSTITUTE 615 WESTLAKE AVE N SEATTLE,WA98109	91-2155317	501(C)(3)	71,574	VACCINE AND INFECTIOUS DISEASE
(7) AMERICAN CANCER SOCIETY INC MERCKLE RESPONSE MANAGEMENT GROUP HAGERSTOWN,MD21740	13-1788491	501(C)(3)	11,523	PUBLIC HEALTH SCIENCES
(8) AMERICAN CANCER SOCIETY INC PO BOX 720310 OKLAHOMA CITY,OK73172	13-1788491	501(C)(3)	6,197	PUBLIC HEALTH SCIENCES
(9) ARIZONA STATE UNIVERSITY OFFICE FOR RESEARCH AND SPONSORED PROJECTS TEMPE,AZ852876011	86-0196696	GOVERNMENT	5,569	HUMAN BIOLOGY
(10) AXIO RESEARCH LLC 2601 4TH AVENUE SUITE 200 SEATTLE,WA98121	20-1895965	OTHER	9,144	VACCINE AND INFECTIOUS DISEASE
(11) BAYLOR COLLEGE OF MEDICINE PO BOX 301207 DALLAS,TX753031207	74-1613878	501(C)(3)	19,679	CLINICAL RESEARCH
(12) BAYLOR COLLEGE OF MEDICINE PO BOX 301207 DALLAS,TX753031207	74-1613878	501(C)(3)	5,462	VACCINE AND INFECTIOUS DISEASE
(13) BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE 1500 EAST DUARTE ROAD DUARTE,CA910103000	95-3432210	501(C)(3)	22,419	PUBLIC HEALTH SCIENCES
(14) BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE 1500 EAST DUARTE ROAD DUARTE,CA910103000	95-3432210	501(C)(3)	14,310	HUMAN BIOLOGY
(15) BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE 1500 EAST DUARTE ROAD DUARTE,CA910103000	95-3432210	501(C)(3)	11,137	CLINICAL RESEARCH
(16) BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH FINANCE OFFICE OV-540 RM 535 BOSTON,MA02215	04-2103881	501(C)(3)	36,602	CLINICAL RESEARCH
(17) BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH FINANCE OFFICE OV-540 RM 535 BOSTON,MA02215	04-2103881	501(C)(3)	12,733	VACCINE AND INFECTIOUS DISEASE
(18) BOARD OF TRUSTEES OF THE LELAND PO BOX 884253 LOS ANGELES,CA900884253	94-1156365	501(C)(3)	130,755	PUBLIC HEALTH SCIENCES
(19) BOARD OF TRUSTEES OF THE LELAND PO BOX 884253 LOS ANGELES,CA900884253	94-1156365	501(C)(3)	53,112	CLINICAL RESEARCH
(20) BOARD OF TRUSTEES OF THE LELAND PO BOX 884253 LOS ANGELES,CA900884253	94-1156365	501(C)(3)	30,396	VACCINE AND INFECTIOUS DISEASE
(21) BRIGHAM AND WOMENS HOSPITAL INC BANK OF AMERICA NA BOSTON,MA022413887	04-2312909	501(C)(3)	221,000	VACCINE AND INFECTIOUS DISEASE
(22) BRIGHAM AND WOMENS HOSPITAL INC BANK OF AMERICA NA BOSTON,MA022413887	04-2312909	501(C)(3)	7,986	PUBLIC HEALTH SCIENCES
(23) BROAD INSTITUTE INC 415 MAIN ST CAMBRIDGE,MA02142	26-3428781	501(C)(3)	28,042	PUBLIC HEALTH SCIENCES
(24) BRONX VETERANS MEDICAL RESEARCH 130 W KINGSBRIDGE RD BRONX,NY10468	13-3699250	501(C)(3)	45,973	VACCINE AND INFECTIOUS DISEASE
(25) CANCER RESEARCH AND BIOSTATISTICS 1505 WESTLAKE AVE N SUITE 750 SEATTLE,WA981093050	91-1828539	501(C)(3)	2,296,838	PUBLIC HEALTH SCIENCES
(26) CASE WESTERN RESERVE UNIVERSITY CONTROLLERS OFFICE-GENERAL ACCOUNTING CLEVELAND,OH441067006	34-1018992	501(C)(3)	258,944	VACCINE AND INFECTIOUS DISEASE
(27) CEDARS SINAI MEDICAL CENTER SPONSORED RESEARCH FUNDS ADM LOS ANGELES,CA90048	95-1644600	501(C)(3)	6,418	PUBLIC HEALTH SCIENCES
(28) CENTRAL MICHIGAN UNIVERSITY 304 WARRINER HALL MOUNT PLEASANT,MI48859	38-6004447	501(C)(3)	43,042	PUBLIC HEALTH SCIENCES
(29) CHICAGO ASSOCIATION FOR RESEARCH AND EDUCATION IN SCIENCE 5000 S 5TH AVE BLDG ONE RM C303 HINES,IL60141	36-3334177	501(C)(3)	10,927	VACCINE AND INFECTIOUS DISEASE
(30) CHILDREN'S HOSPITAL OF PHILADELPHIA RESEARCH INSTITUTE PHILADELPHIA,PA191781457	23-1352166	501(C)(3)	26,384	PUBLIC HEALTH SCIENCES
(31) CHILDRENS MERCY HOSPITAL PO BOX 803852 KANSAS CITY,MO641803852	44-0605373	501(C)(3)	39,999	VACCINE AND INFECTIOUS DISEASE
(32) CLEVELAND CLINIC FOUNDATION PO BOX 931568 CLEVELAND,OH441935012	34-0714585	501(C)(3)	10,486	CLINICAL RESEARCH
(33) CLEVELAND CLINIC FOUNDATION PO BOX 931562 CLEVELAND,OH441935012	34-0714585	501(C)(3)	7,141	PUBLIC HEALTH SCIENCES
(34) DANA FARBER CANCER INSTITUTE PO BOX 412846 BOSTON,MA022412846	04-2263040	501(C)(3)	29,040	PUBLIC HEALTH SCIENCES
(35) DARTMOUTH-HITCHCOCK CLINIC MARY HITCHCOCK MEMORIAL HOSPITAL LEBANON,NH03756	22-2519596	501(C)(3)	11,000	CLINICAL RESEARCH
(36) DENVER RESEARCH INSTITUTE 3401 QUEBEC ST STE 5000 DENVER,CO80207	84-1392442	501(C)(3)	98,884	VACCINE AND INFECTIOUS DISEASE
(37) DORN RESEARCH INSTITUTE INC 6439 GARNERS FERRY RD BLDG 9 COLUMBIA,SC29209	56-2034464	501(C)(3)	20,333	VACCINE AND INFECTIOUS DISEASE
(38) DREXEL UNIVERSITY TD BANK PHILADELPHIA,PA191951090	23-1352630	501(C)(3)	16,940	PUBLIC HEALTH SCIENCES
(39) DUKE UNIVERSITY ACCOUNTS RECEIVABLE LOCKBOX CHARLOTTE,NC282602651	56-0532129	501(C)(3)	1,609,608	VACCINE AND INFECTIOUS DISEASE
(40) DUKE UNIVERSITY ACCOUNTS RECEIVABLE LOCKBOX CHARLOTTE,NC282602651	56-0532129	501(C)(3)	6,952	PUBLIC HEALTH SCIENCES
(41) EMMES COMPANY LLC 401 NORTH WASHINGTON STREET SUITE 700 ROCKVILLE,MD20850	54-1058268	OTHER	8,005	VACCINE AND INFECTIOUS DISEASE
(42) EMORY UNIVERSITY RESEARCH GRANTS AND CONTRACTS RESEARCH ADMIN ATLANTA,GA30322	58-0566256	501(C)(3)	56,160	VACCINE AND INFECTIOUS DISEASE
(43) EMORY UNIVERSITY PO BOX 935084 ATLANTA,GA311935084	58-0566256	501(C)(3)	28,693	VACCINE AND INFECTIOUS DISEASE
(44) EMORY UNIVERSITY PO BOX 935084 ATLANTA,GA311935084	58-0566256	501(C)(3)	25,646	CLINICAL RESEARCH
(45) EMORY UNIVERSITY PO BOX 935084 ATLANTA,GA311935084	58-0566256	501(C)(3)	9,742	PUBLIC HEALTH SCIENCES
(46) EMPOWER LEARNING LLC 401 MARKWITH AVE GREENVILLE,OH45331	47-4290056	OTHER	12,997	PUBLIC HEALTH SCIENCES
(47) FEINSTEIN INSTITUTES FOR MEDICAL RESEARCH PO BOX 95000-7530 PHILADEPHIA,PA191957530	11-2673595	501(C)(3)	7,653	CLINICAL RESEARCH
(48) FENWAY COMMUNITY HEALTH 1340 BOYLSTON ST BOSTON,MA02215	04-2510564	501(C)(3)	99,911	VACCINE AND INFECTIOUS DISEASE
(49) FENWAY COMMUNITY HEALTH PO BOX 847074 BOSTON,MA022847074	04-2510564	501(C)(3)	10,519	VACCINE AND INFECTIOUS DISEASE
(50) FISHER BIOSERVICES PO BOX 418395 BOSTON,MA022418395	54-1348241	OTHER	73,695	PUBLIC HEALTH SCIENCES
(51) FOUNDATION FOR ATLANTA VETERANS 1670 CLAIRMONT RD DECATUR,GA300334004	58-1857346	501(C)(3)	22,488	VACCINE AND INFECTIOUS DISEASE
(52) FRONTIER SCIENCE AND TECHNOLOGY PO BOX 983027 BOSTON,MA022983027	16-1056814	501(C)(3)	39,141	VACCINE AND INFECTIOUS DISEASE
(53) GENERAL HOSPITAL CORPORATION RESEARCH FINANCE BOSTON,MA022413829	04-2697983	501(C)(3)	5,893	CLINICAL RESEARCH
(54) H LEE MOFFIT CANCER AND RESEARCH INSTITUTE INC 12902 MAGNOLIA DR TAMPA,FL33612	59-2451713	501(C)(3)	5,989	CLINICAL RESEARCH
(55) H LEE MOFFIT CANCER AND RESEARCH INSTITUTE INC PO BOX 742801 ATLANTA,GA303742801	59-2451713	501(C)(3)	5,384	PUBLIC HEALTH SCIENCES
(56) H LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE HOSPITAL INC PO BOX 742801 ATLANTA,GA303742801	59-3238634	501(C)(3)	5,375	CLINICAL RESEARCH
(57) HJF MEDICAL RESEARCH INTERNATIONAL INC 6720A ROCKLEDGE DR STE 100 BETHESDA,MD20817	52-2322791	501(C)(3)	1,597,194	VACCINE AND INFECTIOUS DISEASE
(58) HOWARD UNIVERSITY 2244 10TH ST NW STE 402 WASHINGTON,DC20059	53-0204707	501(C)(3)	788,250	VACCINE AND INFECTIOUS DISEASE
(59) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI DIRECTOR SPONSORED PROJ ACCTNG NEW YORK,NY10029	13-6171197	501(C)(3)	82,797	CLINICAL RESEARCH
(60) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI DIRECTOR SPONSORED PROJ ACCTNG NEW YORK,NY10029	13-6171197	501(C)(3)	80,151	PUBLIC HEALTH SCIENCES
(61) IHC HEALTH SERVICES INC DBA GRANT ACCOUNTING SALT LAKE CITY,UT841570828	94-2854057	501(C)(3)	10,368	VACCINE AND INFECTIOUS DISEASE
(62) INSTITUTE FOR MEDICAL RESEARCH INC 508 FULTON ST 151-IMR DURHAM,NC27705	56-1655431	501(C)(3)	62,987	VACCINE AND INFECTIOUS DISEASE
(63) INSTITUTE FOR SYSTEMS BIOLOGY 401 TERRY AVE NORTH SEATTLE,WA981095234	91-2003593	501(C)(3)	9,200	HUMAN BIOLOGY
(64) JOHNS HOPKINS UNIVERSITY C/O BANK OF AMERICA CHICAGO,IL60693	52-0595110	501(C)(3)	70,940	VACCINE AND INFECTIOUS DISEASE
(65) JOHNS HOPKINS UNIVERSITY C/O BANK OF AMERICA CHICAGO,IL60693	52-0595110	501(C)(3)	32,918	PUBLIC HEALTH SCIENCES
(66) KAISER FOUNDATION RESEARCH INSTITUTE A DIVISION OF KAISER FOUNDATION HOSPITALS OAKLAND,CA946123433	94-1105628	501(C)(3)	120,881	PUBLIC HEALTH SCIENCES
(67) MASSACHUSETTS INSTITUTE OF TECHNOLOGY CASHIERS OFFICE NE49-3077 CAMBRIDGE,MA02139	04-2103594	501(C)(3)	127,264	VACCINE AND INFECTIOUS DISEASE
(68) MASSACHUSETTS INSTITUTE OF TECHNOLOGY CASHIERS OFFICE NE49-3077 CAMBRIDGE,MA02139	04-2103594	501(C)(3)	49,516	CLINICAL RESEARCH
(69) MAYO CLINIC ROCHESTER DBA PO BOX 860334 MINNEAPOLIS,MN554860334	41-6011702	501(C)(3)	33,730	PUBLIC HEALTH SCIENCES
(70) MEDICAL COLLEGE OF WISCONSIN INC PO BOX 26509 MILWAUKEE,WI532260509	39-0806261	501(C)(3)	10,902	CLINICAL RESEARCH
(71) MEHARRY MEDICAL COLLEGE 1005 DR DB TODD JR BLVD NASHVILLE,TX372083599	62-0488046	501(C)(3)	89,643	VACCINE AND INFECTIOUS DISEASE
(72) MOREHOUSE SCHOOL OF MEDICINE INC 720 WESTVIEW DR SW ATLANTA,GA30310	58-1438873	501(C)(3)	19,490	VACCINE AND INFECTIOUS DISEASE
(73) NATIONAL MARROW DONOR PROGRAM NW 8428 MINNEAPOLIS,MN554851450	84-0865803	501(C)(3)	15,182	PUBLIC HEALTH SCIENCES
(74) NEW MEXICO STATE UNIVERSITY MSC SPA LAS CRUCES,NM88003	85-6000401	GOVERNMENT	11,155	PUBLIC HEALTH SCIENCES
(75) NEW YORK BLOOD CENTER INC 310 EAST 67TH STREET NEW YORK,NY10065	13-1949477	501(C)(3)	32,568	VACCINE AND INFECTIOUS DISEASE
(76) OHIO STATE UNIVERSITY OFFICE OF SPONSORED PROGRAMS COLUMBUS,OH432101063	31-6025986	GOVERNMENT	70,935	PUBLIC HEALTH SCIENCES
(77) OREGON HEALTH & SCIENCE UNIVERSITY OFFICE OF PROPOSAL AWARD MANAGEMENT PORTLAND,OR972083003	93-1176109	GOVERNMENT	53,340	VACCINE AND INFECTIOUS DISEASE
(78) OREGON HEALTH & SCIENCE UNIVERSITY OFFICE OF PROPOSAL AWARD MANAGEMENT PORTLAND,OR972083003	93-1176109	GOVERNMENT	15,257	HUMAN BIOLOGY
(79) OREGON HEALTH & SCIENCE UNIVERSITY OFFICE OF PROPOSAL AWARD MANAGEMENT PORTLAND,OR972083003	93-1176109	GOVERNMENT	6,086	PUBLIC HEALTH SCIENCES
(80) ORLANDO IMMUNOLOGY CENTER PA 1707 N MILLS AVE ORLANDO,FL32803	84-2967934	OTHER	14,442	VACCINE AND INFECTIOUS DISEASE
(81) PEACEHEALTH RESEARCH ADMINISTRATION BELLINGHAM,WA98225	91-0939479	501(C)(3)	9,450	PUBLIC HEALTH SCIENCES
(82) PROGRAM FOR APPROPRIATE TECHNOLOGY WASHINGTON GLOBAL HEALTH ALLIANCE SEATTLE,WA98109	91-1157127	501(C)(3)	28,063	VACCINE AND INFECTIOUS DISEASE
(83) PUBLIC HEALTH FOUNDATION ENTERPRISES INC 13300 CROSSROADS PKWY N SUITE 450 CITY OF INDUSTRY,CA91746	95-2557063	501(C)(3)	2,346,872	VACCINE AND INFECTIOUS DISEASE
(84) REGENTS OF THE UNIVERSITY OF CALIFORNIA UCSF MAIN DEPOSITORY LOS ANGELES,CA900744872	94-6036493	GOVERNMENT	281,478	HUMAN BIOLOGY
(85) REGENTS OF THE UNIVERSITY OF CALIFORNIA UCSF MAIN DEPOSITORY LOS ANGELES,CA900744872	94-6036493	GOVERNMENT	18,108	PUBLIC HEALTH SCIENCES
(86) REGENTS OF THE UNIVERSITY OF CALIFORNIA UCSF MAIN DEPOSITORY LOS ANGELES,CA900744872	94-6036493	GOVERNMENT	17,835	CLINICAL RESEARCH
(87) REGENTS OF THE UNIVERSITY OF CALIFORNIA AT LOS ANGELES PAYMENT SOLUTIONS AND COMPLIANCE LOS ANGELES,CA900959000	95-6006143	GOVERNMENT	39,134	PUBLIC HEALTH SCIENCES
(88) REGENTS OF THE UNIVERSITY OF CALIFORNIA UC DAVIS HEALTH SACRAMENTO,CA95817	94-6036494	GOVERNMENT	136,571	VACCINE AND INFECTIOUS DISEASE
(89) REGENTS OF THE UNIVERSITY OF MICHIGAN PO BOX 223131 PITTSBURGH,PA152512131	38-6006309	GOVERNMENT	60,202	PUBLIC HEALTH SCIENCES
(90) REGENTS OF THE UNIVERSITY OF MICHIGAN PO BOX 223131 PITTSBURGH,PA152512131	38-6006309	GOVERNMENT	5,244	HUMAN BIOLOGY
(91) REGENTS OF THE UNIVERSITY OF MINNESOTA NW 5957 PO BOX 1450 MINNEAPOLIS,MN554855957	41-6007513	GOVERNMENT	255,385	VACCINE AND INFECTIOUS DISEASE
(92) REGENTS OF UNIVERSITY OF COLORADO OFFICE OF GRANTS AND CONTRACTS F-428 DENVER,CO802910238	84-6000555	GOVERNMENT	109,605	PUBLIC HEALTH SCIENCES
(93) REGENTS OF UNIVERSITY OF COLORADO OFFICE OF GRANTS AND CONTRACTS F-428 DENVER,CO802910238	84-6000555	GOVERNMENT	102,419	VACCINE AND INFECTIOUS DISEASE
(94) RESEARCH FOUNDATION OF STATE UNIVERSITY PO BOX 9 ALBANY,NY122010009	14-1368361	501(C)(3)	122,265	VACCINE AND INFECTIOUS DISEASE
(95) ROCKEFELLER UNIVERSITY 1230 YORK AVENUE BOX 259 NEW YORK,NY100656399	13-1624158	501(C)(3)	82,960	VACCINE AND INFECTIOUS DISEASE
(96) SAINT JUDE CHILDRENS RESEARCH HOSPITAL PO BOX 1000 DEPT 949 MEMPHIS,TN381480949	62-0646012	501(C)(3)	130,737	PUBLIC HEALTH SCIENCES
(97) SAINT JUDE CHILDRENS RESEARCH HOSPITAL PO BOX 1000 DEPT 949 MEMPHIS,TN381480949	62-0646012	501(C)(3)	8,902	CLINICAL RESEARCH
(98) SEATTLE CHILDRENS HOSPITAL PO BOX 24728 SEATTLE,WA981240728	91-0564748	501(C)(3)	53,732	VACCINE AND INFECTIOUS DISEASE
(99) SEATTLE CHILDRENS HOSPITAL PO BOX 24728 SEATTLE,WA981240728	91-0564748	501(C)(3)	8,633	PUBLIC HEALTH SCIENCES
(100) SEATTLE CHILDRENS HOSPITAL PO BOX 24728 SEATTLE,WA981240728	91-0564748	501(C)(3)	7,148	INTERDISCIPLINARY
(101) SEATTLE CHILDRENS HOSPITAL PO BOX 24728 SEATTLE,WA981240728	91-0564748	501(C)(3)	7,111	ADMINISTRATION
(102) SEATTLE INSTITUTE FOR BIOMEDICAL & CLINICAL RESEARCH 1325 4TH AVE SUITE 1310 SEATTLE,WA98101	91-1452438	501(C)(3)	17,763	PUBLIC HEALTH SCIENCES
(103) SLOAN KETTERING INSTITUTE FOR CANCER RESEARCH MSKCC FINANCE NEW YORK,NY10087	13-1624182	501(C)(3)	244,332	PUBLIC HEALTH SCIENCES
(104) SLOAN KETTERING INSTITUTE FOR CANCER RESEARCH MSKCC FINANCE NEW YORK,NY10087	13-1624182	501(C)(3)	47,488	CLINICAL RESEARCH
(105) UNIVERSITY OF MISSISSIPPI MEDICAL CENTER 2500 NORTH STATE STREET JACKSON,MS392164505	64-6008520	GOVERNMENT	197,877	VACCINE AND INFECTIOUS DISEASE
(106) SUMMIT GROUP SOLUTIONSLLC 11820 NORTHUP WAY STE E-130 BELLEVUE,WA98005	26-1663892	OTHER	48,396	CLINICAL RESEARCH
(107) SWEDISH HEALTH SERVICES LB 1129 SEATTLE,WA981245143	91-0433740	501(C)(3)	14,444	PUBLIC HEALTH SCIENCES
(108) TRUSTEES OF COLUMBIA UNIVERSITY IN PH 8W-876 NEW YORK,NY10032	13-5598093	501(C)(3)	1,844,295	VACCINE AND INFECTIOUS DISEASE
(109) TRUSTEES OF COLUMBIA UNIVERSITY IN SPONSORED PROJECTS FINANCE NEW YORK,NY100879789	13-5598093	501(C)(3)	16,438	PUBLIC HEALTH SCIENCES
(110) TRUSTEES OF COLUMBIA UNIVERSITY IN SPONSORED PROJECTS FINANCE NEW YORK,NY100879789	13-5598093	501(C)(3)	14,357	VACCINE AND INFECTIOUS DISEASE
(111) TRUSTEES OF DARTMOUTH COLLEGE 11 ROPE FERRY ROAD 6210 HANOVER,NH037551404	02-0222111	501(C)(3)	22,698	VACCINE AND INFECTIOUS DISEASE
(112) TRUSTEES OF THE UNIV OF PENNSYLVANIA PO BOX 785541 PHILADELPHIA,PA191785541	23-1352685	501(C)(3)	99,273	VACCINE AND INFECTIOUS DISEASE
(113) TRUSTEES OF THE UNIV OF PENNSYLVANIA PO BOX 785541 PHILADELPHIA,PA191785541	23-1352685	501(C)(3)	23,640	CLINICAL RESEARCH
(114) UNITED STATES TREASURY OFFICE OF RESEARCH TECHNOLOGY APPLICATIONS SILVER SPRING,MD209107500		GOVERNMENT	34,633	VACCINE AND INFECTIOUS DISEASE
(115) UNIVERSITY OF TEXAS HEALTH SCIENCES CENTER PO BOX 1898 SAN ANTONIO,TX782971898	74-1586031	GOVERNMENT	464,565	PUBLIC HEALTH SCIENCES
(116) UNIVERSITY OF ALABAMA BIRMINGHAM GRANTS AND CONTRACTS ACCOUNTING BIRMINGHAM,AL352940109	63-6005396	GOVERNMENT	78,621	VACCINE AND INFECTIOUS DISEASE
(117) UNIVERSITY OF ALABAMA BIRMINGHAM 845 19TH ST S BBRB 256 BIRMINGHAM,AL352940111	63-6005396	GOVERNMENT	41,446	VACCINE AND INFECTIOUS DISEASE
(118) UNIVERSITY OF ALABAMA BIRMINGHAM GRANTS AND CONTRACTS ACCOUNTING BIRMINGHAM,AL352940109	63-6005396	GOVERNMENT	16,529	PUBLIC HEALTH SCIENCES
(119) UNIVERSITY OF ALASKA UAF GRANTS CONTRACTS ADMIN FAIRBANKS,AK997757880	92-6000147	GOVERNMENT	5,052	PUBLIC HEALTH SCIENCES
(120) UNIVERSITY OF ARKANSAS TREASURERS OFFICE SLOT 560 LITTLE ROCK,AR72205	71-6046242	GOVERNMENT	12,060	CLINICAL RESEARCH
(121) UNIVERSITY OF CALIFORNIA SAN DIEGO UCSD CAMPUS MAIN DEPOSITORY LOS ANGELES,CA900741539	95-6006144	GOVERNMENT	23,563	PUBLIC HEALTH SCIENCES
(122) UNIVERSITY OF CALIFORNIA SAN DIEGO UCSD CAMPUS MAIN DEPOSITORY LOS ANGELES,CA900741539	95-6006144	GOVERNMENT	19,068	VACCINE AND INFECTIOUS DISEASE
(123) UNIVERSITY OF CINCINNATI SRS ACCOUNTING CLEVELAND,OH44193	31-6000989	GOVERNMENT	29,657	VACCINE AND INFECTIOUS DISEASE
(124) UNIVERSITY OF CONNECTICUT OFFICE OF THE VP FOR RESEARCH STORRS,CT062691133	06-0772160	GOVERNMENT	7,414	PUBLIC HEALTH SCIENCES
(125) UNIVERSITY OF IOWA 2410 UCC IOWA CITY,IA52242	42-6004813	GOVERNMENT	633,631	VACCINE AND INFECTIOUS DISEASE
(126) UNIVERSITY OF KENTUCKY RESEARCH C/O PNC BANK CLEVELAND,OH44193	61-6033693	501(C)(3)	63,375	PUBLIC HEALTH SCIENCES
(127) UNIVERSITY OF MIAMI OFFICE OF RESEARCH ADMIN ATLANTA,GA303845803	59-0624458	501(C)(3)	37,810	VACCINE AND INFECTIOUS DISEASE
(128) UNIVERSITY OF NEBRASKA UNMC OMAHA,NE681985045	47-0049123	GOVERNMENT	62,873	PUBLIC HEALTH SCIENCES
(129) UNIVERSITY OF NEBRASKA UNMC OMAHA,NE681985045	47-0049123	GOVERNMENT	59,248	VACCINE AND INFECTIOUS DISEASE
(130) UNIVERSITY OF NORTH CAROLINA AT CHARLOTTE GRANTS CONTRACTS ADMIN CHARLOTTE,NC282230001	56-0791228	GOVERNMENT	29,166	VACCINE AND INFECTIOUS DISEASE
(131) UNIVERSITY OF NORTH CAROLINA C/O BANK OF AMERICA LOCKBOX SERVICES ATLANTA,GA303842420	56-6001393	GOVERNMENT	126,996	VACCINE AND INFECTIOUS DISEASE
(132) UNIVERSITY OF NORTH CAROLINA C/O BANK OF AMERICA LOCKBOX SERVICES ATLANTA,GA303842420	56-6001393	GOVERNMENT	71,264	PUBLIC HEALTH SCIENCES
(133) UNIVERSITY OF NORTH CAROLINA OFFICE OF SPONSORED RESEARCH ATLANTA,GA303842420	56-6001393	GOVERNMENT	6,147	PUBLIC HEALTH SCIENCES
(134) UNIVERSITY OF OREGON CASHIER EUGENE,OR974030237	46-4727800	GOVERNMENT	11,900	PUBLIC HEALTH SCIENCES
(135) UNIVERSITY OF ROCHESTER 601 ELMWOOD AVE BOX 689 ROCHESTER,NY14642	16-0743209	501(C)(3)	2,376,192	VACCINE AND INFECTIOUS DISEASE
(136) UNIVERSITY OF ROCHESTER OFFICE OF RESEARCH ACCT COST STANDARDS ROCHESTER,NY146113847	16-0743209	501(C)(3)	219,061	VACCINE AND INFECTIOUS DISEASE
(137) UNIVERSITY OF SOUTHERN CALIFORNIA SPONSORED PROJECTS ACCOUNTING LOS ANGELES,CA900898001	95-1642394	501(C)(3)	83,930	PUBLIC HEALTH SCIENCES
(138) UNIVERSITY OF TEXAS MD ANDERSON GRANTS AND CONTRACTS HOUSTON,TX772104266	74-6001118	GOVERNMENT	19,260	PUBLIC HEALTH SCIENCES
(139) UNIVERSITY OF UTAH HUNTSMAN CANCER INSTITUTE SALT LAKE CITY,UT841125550	87-6000525	GOVERNMENT	8,048	CLINICAL RESEARCH
(140) UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE PO BOX 1389 WILLISTON,VT054951389	03-0179440	GOVERNMENT	131,724	VACCINE AND INFECTIOUS DISEASE
(141) UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE SPONSORED PROJECT ADMINISTRATION BURLINGTON,VT054050160	03-0179440	GOVERNMENT	8,471	VACCINE AND INFECTIOUS DISEASE
(142) UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DRIVE CHICAGO,IL606930001	91-6001537	GOVERNMENT	3,411,944	VACCINE AND INFECTIOUS DISEASE
(143) UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DRIVE CHICAGO,IL606930001	91-6001537	GOVERNMENT	587,804	CLINICAL RESEARCH
(144) UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DRIVE CHICAGO,IL606930001	91-6001537	GOVERNMENT	457,998	PUBLIC HEALTH SCIENCES
(145) UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DRIVE CHICAGO,IL606930001	91-6001537	GOVERNMENT	208,379	SHARED RESOURCES
(146) UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DRIVE CHICAGO,IL606930001	91-6001537	GOVERNMENT	194,005	INTERDISCIPLINARY
(147) UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DRIVE CHICAGO,IL606930001	91-6001537	GOVERNMENT	155,329	HUMAN BIOLOGY
(148) UNIVERSITY OF WASHINGTON CANCER VACCINE INSTITUTE SEATTLE,WA981094714	91-6001537	GOVERNMENT	45,035	CLINICAL RESEARCH
(149) UNIVERSITY OF WASHINGTON DIVISION OF ONCOLOGY SEATTLE,WA98109	91-6001537	GOVERNMENT	25,222	VACCINE AND INFECTIOUS DISEASE
(150) UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DRIVE CHICAGO,IL606930001	91-6001537	GOVERNMENT	24,819	ADMINISTRATION
(151) UNIVERSITY OF WASHINGTON ALLERGY AND INFECTIOUS DISEASES SEATTLE,WA98104	91-6001537	GOVERNMENT	19,951	VACCINE AND INFECTIOUS DISEASE
(152) UNIVERSITY OF WASHINGTON 825 EASTLAKE AVE E MS LG-350 SEATTLE,WA98109	91-6001537	GOVERNMENT	17,380	CLINICAL RESEARCH
(153) UNIVERSITY OF WISCONSIN OFFICE FOR RESEARCH SPONSORED PROGRAMS MILWAUKEE,WI532780538	39-6006492	GOVERNMENT	96,454	CLINICAL RESEARCH
(154) UROLOGY OF VIRGINIA PLLC 225 CLEARFIELD AVE VIRGINIA BEACH,VA23462	27-4848565	OTHER	12,415	PUBLIC HEALTH SCIENCES
(155) VANDERBILT UNIVERSITY MEDICAL CENTER DEPARTMENT OF FINANCE DALLAS,TX753121236	35-2528741	501(C)(3)	36,943	VACCINE AND INFECTIOUS DISEASE
(156) VANDERBILT UNIVERSITY MEDICAL CENTER DEPARTMENT OF FINANCE DALLAS,TX753121236	35-2528741	501(C)(3)	19,430	CLINICAL RESEARCH
(157) VANDERBILT UNIVERSITY MEDICAL CENTER DEPARTMENT OF FINANCE DALLAS,TX753121236	35-2528741	501(C)(3)	16,624	PUBLIC HEALTH SCIENCES
(158) VETERANS EDUCATION AND ASSOCIATION OF MICHIGAN C/O RESEARCH SERVICE 151 ANN ARBOR,MI481052303	38-3060217	501(C)(3)	60,268	VACCINE AND INFECTIOUS DISEASE
(159) VITALANT DBA VITALANT RESEARCH INSTITUTE DEPT 880337 PHOENIX,AZ850389650	86-0098929	501(C)(3)	11,629	VACCINE AND INFECTIOUS DISEASE
(160) WAKE FOREST UNIVERSITY HEALTH SCIENCES OFFICE OF SPONSORED PROGRAMS WINSTON SALEM,NC27157	22-3849199	501(C)(3)	143,963	VACCINE AND INFECTIOUS DISEASE
(161) WAKE FOREST UNIVERSITY HEALTH SCIENCES OFFICE OF SPONSORED PROGRAMS WINSTON SALEM,NC27157	22-3849199	501(C)(3)	12,548	PUBLIC HEALTH SCIENCES
(162) WAKE FOREST UNIVERSITY HEALTH SCIENCES OCR POST AWARD - 1ST FL MEADS HALL WINSTONSALEM,NC27157	22-3849199	501(C)(3)	8,485	VACCINE AND INFECTIOUS DISEASE
(163) WAYNE STATE UNIVERSITY CASHIERS OFFICE DETROIT,MI48202	38-6028429	501(C)(3)	75,225	VACCINE AND INFECTIOUS DISEASE
(164) WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY GRANTS AND CONTRACTS ACCOUNTING NEW YORK,NY100872371	13-1623978	501(C)(3)	87,040	CLINICAL RESEARCH
(165) UNIVERSITY OF WASHINGTON FOUNDATION PO BOX 358045 SEATTLE,WA98195	94-3079432	501(C)(3)	1,093,656	TO SUPPORT UNIVERSITY OF WASHINGTON FOUNDATION ACTIVITIES
(166) FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE NORTH SEATTLE,WA98109	23-7156071	501(C)(3)	374,655	TO FUND CANCER RESEARCH ACTIVITIES
(167) AMERICAN CANCER SOCIETY CANCER ACTION NETWORK 2120 1ST AVE N SEATTLE,WA98109	52-2340031	501(C)(4)	30,000	TO SPONSOR CELEBRATING 20 YEARS OF ADVOCACY AND POLICY SUCCESS WITH ACS CAN EVENT
(168) AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET ATLANTA,GA30303	13-1788491	501(C)(3)	28,500	TO SPONSOR SEATTLE HOLE GALA
(169) FRIENDS OF KEXP 472 1ST AVENUE NORTH SEATTLE,WA98109	91-2061474	501(C)(3)	27,000	TO SPONSOR 'MUSIC HEALS: BEYOND CANCER' EVENT
(170) SWIM ACROSS AMERICA INC 11600 N COMMUNITY HOUSE ROAD SUITE 100 CHARLOTTE,NC28277	22-3248256	501(C)(3)	25,000	TO SPONSOR THE SWIM ACROSS AMERICA SEATTLE EVENT
(171) PINK BOAT REGATTA 2442 NORTHWEST MARKET STREET SUITE 265 SEATTLE,WA98107	46-4971664	501(C)(3)	25,000	TO SPONSOR PINK BOAT REGATTA ACTIVITIES
(172) SEATTLE CHILDREN'S HOSPITAL PO BOX 5371 SEATTLE,WA98145	91-0564748	501(C)(3)	18,165	TO SUPPORT SEATTLE CHILDREN'S HOSPITAL FOUNDATION ACTIVITIES
(173) LEUKEMIA AND LYMPHOMA SOCIETY 123 NW 36TH STREET SUITE 100 SEATTLE,WA98107	13-5644916	501(C)(3)	15,000	TO SPONSOR THE GREATER WASHINGTON LIGHT THE NIGHT 10/22/22 EVENT
(174) CHINESE INFORMATION AND SERVICE 611 SOUTH LANE STREET SEATTLE,WA98104	23-7438529	501(C)(3)	15,000	TO SUPPORT THE ACTIVITIES OF THE CHINESE INFORMATION AND SERVICE CENTER.
(175) NEIGHBORCARE HEALTH 1200 12TH AVE S SUITE 901 SEATTLE,WA98144	91-0893287	501(C)(3)	15,000	FY22 COMMUNITY BENEFIT GRANT
(176) BLOEDEL RESERVE 7571 NE DOLPHIN DRIVE BAINBRIDGE ISLAND,WA98110	91-6182786	501(C)(3)	10,000	TO SPONSOR GRATITUDE DAY ON 4/30/2022 TO HONOR KITSAP PENINSULA BASED HEALTHCARE WORKERS
(177) CANCER LIFELINE 6522 FREEMONT AVENUE NORTH SEATTLE,WA98103	91-6182951	501(C)(3)	10,000	TO SPONSOR CANCER LIFELINE 2022
(178) SOUTHLAKE UNION CHAMBER OF COMMERCE 500 YALE AVENUE N SEATTLE,WA98109	20-5634309	501(C)(6)	8,000	TO SPONSOR THE ACTIVITIES OF THE SOUTHLAKE UNION CHAMBER OF COMMERCE TO POSITIVELY CONTRIBUTE TO THE COMMUNITY WHERE OUR MAIN CAMPUS IS LOCATED.
(179) OLYMPIC MEDICAL CENTER FOUNDATION 1015 GEORGIANA STREET PORT ANGELES,WA98362	91-1285758	501(C)(3)	7,500	TO SPONSOR THE HARVEST OF HOPE WINEMAKER'S GALA

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

115

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) 2021

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) TUITION	119		794,465	BOOK	SCHOLARSHIPS FOR GRADUATE STUDENTS.
(2) FOOD	3000		25,217	FAIR MARKET VALUE	HOUSE FOOD PANTRIES FOR PATIENTS
(3) GAS GIFT CARDS	44		5,968	FAIR MARKET VALUE	GAS GIFT CARDS FOR PATIENTS
(4) GROCERY GIFT CARDS	153		91,723	FAIR MARKET VALUE	GROCERY GIFT CARDS FOR PATIENTS
(5) HOLIDAY ASSISTANCE GIFT CARDS	44		9,500	FAIR MARKET VALUE	HOLIDAY ASSISTANCE GIFT CARDS FOR PATIENTS
(6) MEDICAL ACCESSORIES	57		28,922	FAIR MARKET VALUE	PROSTHESIS FOR PATIENTS
(7) PATIENT FINANCIAL AID	78	128,763
(8) SHELTER	83	27,630	217,901	FAIR MARKET VALUE	RENT PAID FOR PATIENTS
(9) SUNDRIES	362		11,318	FAIR MARKET VALUE	CLOTHING AND HOUSEHOLD GOODS
(10) TRANSPORTATION	32		6,784	FAIR MARKET VALUE	CAB FARE, AIRFARE, AND PARKING FOR PATIENTS
(11) WIGS	675		31,101	FAIR MARKET VALUE	WIGS AND HATS FOR PATIENTS
(12) TUITION	52	144,860	24,000	FAIR MARKET VALUE	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:

SOME RESEARCH GRANTS RECEIVED BY FRED HUTCH ARE PASSED ON TO SUBRECIPIENTS, IN ALL OR IN PART. ONCE THE NOTICE OF AWARD HAS BEEN RECEIVED FOR THE PRIME AWARD, FRED HUTCH SETS UP A SUBAWARD. AN INDIVIDUAL KNOWN AS A RESEARCH COORDINATOR (RC) IS ASSIGNED TO CLOSELY MONITOR ALL SUBAWARD ACTIVITY. THERE ARE 4 PRIMARY STEPS IN THIS PROCESS: (1) A COPY OF THE PRIME AWARD, THE SIGNED SUBAWARD APPLICATION (IF AVAILABLE) AND ANY SPECIAL INSTRUCTIONS ARE OBTAINED. A SIGNED SUBAWARD APPLICATION SHOWS THAT THE SUBRECIPIENT ORGANIZATION HAS REVIEWED AND APPROVED THE BUDGET AND SCOPE OF WORK. (2) THE RC PREPARES A FORM THAT PROVIDES AUTHORIZATION TO ISSUE THE SUBAWARD. THIS INCLUDES THE SCOPE OF WORK, BUDGET, AND ANY PERTINENTSUBRECIPIENT INFORMATION. (3) INFORMATION IS COLLECTED TO SET-UP THE SUBAWARD IN THE ACCOUNTING SYSTEM. THIS INCLUDES INSTITUTIONAL REVIEW APPROVAL, INSTITUTIONAL ANIMAL CARE AND USE COMMITTEE APPROVAL DATES, CONFIRMATION OF SUBAWARD FACILITIES AND ADMINISTRATIVE RATES, A-133 AUDIT REPORTS OR UNIFORM GUIDANCE REPORTS, REVIEW OF THE PRIME SPECIAL TERMS AND CONDITIONS TO DETERMINE FLOW-DOWN, CONFIRMATION THAT THE SUBRECIPIENT IS NOT DEBARRED, AND OTHER SIMILAR REGULATORY AND ADMINISTRATIVE REQUIREMENTS. (4) THE SUBAWARD AGREEMENT IS COMPLETED AND MAILED TO THE SUBRECIPIENT FOR REVIEW OF THE TERMS AND CONDITIONS, APPLICABLE INSTITUTIONAL DESIGNATION, FEDERAL CONFLICT OF INTEREST, AND SIGNATURE. THE RC MAINTAINS A COPY OF THE FULLY SIGNED AGREEMENT. NO PAYMENTS ARE MADE TO THE SUBRECIPIENT UNTIL FRED HUTCH RECEIVES THE FULLY EXECUTED AGREEMENT.

Schedule I (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

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

2021

Open to Public Inspection

Name of the organization

FRED HUTCHINSON CANCER CENTER

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 .....

Yes

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

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) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1AARON CRANE EXECUTIVE VICE PRESIDENT	(i) (ii)	598,914 ------------- 0	86,550 ------------- 0	104,902 ------------- 0	171,180 ------------- 0	20,213 ------------- 0	981,759 ------------- 0	100,000 ------------- 0
2NANCY DAVIDSON MD EVP CLINICAL AFFAIRS, DIR EFF 4/22	(i) (ii)	652,132 ------------- 0	199,220 ------------- 0	9,845 ------------- 0	0 ------------- 0	43,744 ------------- 0	904,941 ------------- 0	0 ------------- 0
3THERESA MCDONNELL SVP, CHIEF NURSING OFFICER	(i) (ii)	449,053 ------------- 0	64,355 ------------- 0	102,378 ------------- 0	145,869 ------------- 0	38,251 ------------- 0	799,906 ------------- 0	100,000 ------------- 0
4STEVEN HUEBNER VP, CHIEF FINANCIAL OFFICER	(i) (ii)	652,598 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	652,598 ------------- 0	0 ------------- 0
5TOM PURCELL MD CHIEF MEDICAL OFFICER	(i) (ii)	232,149 ------------- 0	375,000 ------------- 0	1,634 ------------- 0	0 ------------- 0	5,538 ------------- 0	614,321 ------------- 0	0 ------------- 0
6KELLY PATRICK VP, CHIEF INFORMATION OFFICER	(i) (ii)	424,339 ------------- 0	60,364 ------------- 0	13,226 ------------- 0	61,294 ------------- 0	19,419 ------------- 0	578,642 ------------- 0	0 ------------- 0
7STEPHANIE MAYS VP, CHIEF LEGAL OFFICER	(i) (ii)	371,075 ------------- 0	61,649 ------------- 0	3,689 ------------- 0	59,417 ------------- 0	39,034 ------------- 0	534,864 ------------- 0	0 ------------- 0
8TAMI DEEB VP, CHIEF STRATEGY OFFICER	(i) (ii)	342,697 ------------- 0	55,738 ------------- 0	785 ------------- 0	54,049 ------------- 0	23,508 ------------- 0	476,777 ------------- 0	0 ------------- 0
9MOREEN DUDLEY VP, CHIEF PEOPLE OFFICER	(i) (ii)	269,042 ------------- 0	44,310 ------------- 0	3,968 ------------- 0	36,360 ------------- 0	18,134 ------------- 0	371,814 ------------- 0	0 ------------- 0
10GRETCHEN HANNA DIR. CORPORATE FINANCE	(i) (ii)	266,634 ------------- 0	27,429 ------------- 0	2,544 ------------- 0	27,660 ------------- 0	27,272 ------------- 0	351,539 ------------- 0	0 ------------- 0
11RICHARD LAFRANCE DIR. PHARMACY	(i) (ii)	226,624 ------------- 0	24,712 ------------- 0	6,508 ------------- 0	24,370 ------------- 0	40,814 ------------- 0	323,028 ------------- 0	0 ------------- 0
12CHAD HOGGARD CHIEF INFO SECURITY OFFICER	(i) (ii)	226,595 ------------- 0	22,882 ------------- 0	1,163 ------------- 0	23,840 ------------- 0	34,799 ------------- 0	309,279 ------------- 0	0 ------------- 0
13ANNA ANDREWS INTERIM PROTON CTR TRANS LEAD	(i) (ii)	306,278 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	306,278 ------------- 0	0 ------------- 0
14NICKI NGUYEN-COLVIN DIR. STRATEGY & BUS DEV	(i) (ii)	218,938 ------------- 0	22,795 ------------- 0	481 ------------- 0	22,583 ------------- 0	33,482 ------------- 0	298,279 ------------- 0	0 ------------- 0
15TIMOTHY EHLING DIR. NURSING & CLIN. OPS INTEG.	(i) (ii)	209,927 ------------- 0	26,568 ------------- 0	3,088 ------------- 0	22,359 ------------- 0	36,049 ------------- 0	297,991 ------------- 0	0 ------------- 0
16SHANNON FERNANDEZ DIR. FINANCE OPS & REV CYCLE	(i) (ii)	223,967 ------------- 0	24,206 ------------- 0	1,151 ------------- 0	23,688 ------------- 0	24,127 ------------- 0	297,139 ------------- 0	0 ------------- 0
17ADA MOHEDANO DIR. CLIN. ANALYTICS & BUS INTEL	(i) (ii)	227,566 ------------- 0	25,175 ------------- 0	5,472 ------------- 0	23,333 ------------- 0	14,404 ------------- 0	295,950 ------------- 0	0 ------------- 0
18MICHELLE HALL DIR. IT OPERATIONS	(i) (ii)	214,192 ------------- 0	18,404 ------------- 0	5,918 ------------- 0	21,314 ------------- 0	31,724 ------------- 0	291,552 ------------- 0	0 ------------- 0
19CINDY GIST VP, PATIENT SVCS & CLIN. LABS	(i) (ii)	210,448 ------------- 0	25,504 ------------- 0	3,034 ------------- 0	28,187 ------------- 0	16,291 ------------- 0	283,464 ------------- 0	0 ------------- 0
20BRITTANY MCCREERY VP, CHIEF QUALITY & VALUE OFFICER	(i) (ii)	200,616 ------------- 0	30,844 ------------- 0	387 ------------- 0	21,150 ------------- 0	25,626 ------------- 0	278,623 ------------- 0	0 ------------- 0
21LAURA ESAGUI DOSIMETRIST III	(i) (ii)	221,301 ------------- 0	500 ------------- 0	5,205 ------------- 0	19,990 ------------- 0	30,838 ------------- 0	277,834 ------------- 0	0 ------------- 0
22GANSUVD BALGANSUREN DIRECTOR CI LABS	(i) (ii)	211,277 ------------- 0	500 ------------- 0	1,996 ------------- 0	19,032 ------------- 0	27,794 ------------- 0	260,599 ------------- 0	0 ------------- 0
23BARBARA JAGELS VP, CQV OFFICER THRU 01/21	(i) (ii)	17,364 ------------- 0	0 ------------- 0	228,355 ------------- 0	11,534 ------------- 0	3,003 ------------- 0	260,256 ------------- 0	189,611 ------------- 0
24MATTHEW MCSWEYN DIR. INFRASTRUCTURE & OPS.	(i) (ii)	189,425 ------------- 0	16,666 ------------- 0	949 ------------- 0	18,387 ------------- 0	32,738 ------------- 0	258,165 ------------- 0	0 ------------- 0
25PAUL HELMUTH DIR. CLIN BUS OPS, COMMUNITY SITES	(i) (ii)	194,093 ------------- 0	19,177 ------------- 0	10,002 ------------- 0	18,630 ------------- 0	14,534 ------------- 0	256,436 ------------- 0	0 ------------- 0
26CARILLA WALLIN DIR. STRAT OUTREACH/CCA NETWORK	(i) (ii)	182,490 ------------- 0	19,548 ------------- 0	576 ------------- 0	17,987 ------------- 0	33,987 ------------- 0	254,588 ------------- 0	0 ------------- 0
27SCOTT DEROUEN DIR. ENTERPRISE PROJ MGT.	(i) (ii)	177,629 ------------- 0	18,620 ------------- 0	572 ------------- 0	17,111 ------------- 0	31,740 ------------- 0	245,672 ------------- 0	0 ------------- 0
28SUNI ELGAR ASSC CHIEF NURSE	(i) (ii)	178,098 ------------- 0	11,355 ------------- 0	879 ------------- 0	16,394 ------------- 0	33,583 ------------- 0	240,309 ------------- 0	0 ------------- 0
29DANIEL MARKUS DIR. SUPPLY CHAIN	(i) (ii)	215,141 ------------- 0	19,600 ------------- 0	1,319 ------------- 0	0 ------------- 0	1,897 ------------- 0	237,957 ------------- 0	0 ------------- 0
30ANDREW JACKSON ASSC DIR ENTERPRISE APPS	(i) (ii)	174,205 ------------- 0	11,619 ------------- 0	863 ------------- 0	15,952 ------------- 0	26,393 ------------- 0	229,032 ------------- 0	0 ------------- 0
31MAXINE ELLIS DIRECTOR DEI COACHING & CULTURE	(i) (ii)	189,183 ------------- 0	11,401 ------------- 0	395 ------------- 0	4,364 ------------- 0	20,490 ------------- 0	225,833 ------------- 0	0 ------------- 0
32TRACI PRANZINI FORMER KEY EMPLOYEE	(i) (ii)	131,743 ------------- 0	0 ------------- 0	0 ------------- 0	14,742 ------------- 0	0 ------------- 0	146,485 ------------- 0	0 ------------- 0
33TRACY WONG FORMER KEY EMPLOYEE	(i) (ii)	121,492 ------------- 0	0 ------------- 0	0 ------------- 0	8,177 ------------- 0	0 ------------- 0	129,669 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
PART I, LINE 1A	FIRST CLASS AIR TRAVEL IS ALLOWED CONSISTENT WITH FEDERAL REIMBURSEMENT REGULATIONS AND GENERALLY ONLY WHEN COACH FARE IS NOT AVAILABLE. SOCIAL CLUB DUES ARE PAID FOR THE CENTER'S PRESIDENT & DIRECTOR AND VICE PRESIDENT OF DEVELOPMENT. NONE OF THESE ITEMS ARE CONSIDERED TAXABLE COMPENSATION TO THESE INDIVIDUALS. TEMPORARY HOUSING IS FREQUENTLY OFFERED AS PART OF THE RELOCATION PACKAGES FOR EXECUTIVES. IT IS CONSIDERED TAXABLE COMPENSATION TO THESE INDIVIDUALS.
PART I, LINE 4B	THE FRED HUTCHINSON CANCER CENTER 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 ARE 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 457(B) MAKE-WHOLE SERP PLAN: AARON CRANE $19,500 THERESA MCDONNELL $19,500 STEPHANIE MAYS $19,500 KELLY PATRICK $17,365 TAMI DEEB $17,689 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) MAKE-WHOLE SERP PLAN: AARON CRANE $55,320 THERESA MCDONNELL $30,009 STEPHANIE MAYS $3,557 KELLY PATRICK $3,557 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 BENEFITS 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 BENEFITS ON EACH VESTING DATE. IN 2021, THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE RETENTION PLAN: AARON CRANE $60,000 THERESA MCDONNELL $60,000 BARBARA JAGELS $60,000 IN 2021, THE FOLLOWING INDIVIDUALS RECEIVED A MILESTONE PAYMENT FOR THEIR PARTICIPATION IN THE RETENTION PLAN: AARON CRANE $100,000 THERESA MCDONNELL $100,000
SCHEDULE J, PART II	NANCY DAVIDSON, MD RECEIVED COMPENSATION OF $904,941 FROM FRED HUTCHINSON CANCER RESEARCH CENTER, AN UNRELATED ORGANIZATION AND SEPARATE LEGAL ENTITY, FOR SERVICES PROVIDED TO THE NEWLY FORMED REPORTING ENTITY, FRED HUTCHINSON CANCER CENTER.

Schedule J (Form 990) 2021

Additional Data

Software ID:
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- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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

2021

Open to Public
Inspection

Name of the organization
FRED HUTCHINSON CANCER CENTER

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	93978HLJ2	10-30-2014	97,921,097	ADVANCED REFUND OF 2001, 2005, 2008 PROJECTS		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HXM2	07-08-2020	278,176,101	CONSTRUCTION OF SLU CLINIC EXPANSION AND ADVANCE REFUND OF SERIES 2010 BONDS		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HYF6	02-11-2021	44,555,911	REFUND SEATTLE PROTON CENTER, LLC'S SERIES 2018 TAXABLE BONDS		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	CT1656350	06-30-2022	55,000,000	REFINANCE BONDS ISSUED ON 03/10/22 AND 03/31/22		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	CT1656356	06-30-2022	103,545,000	REFINANCE BONDS ISSUED ON 03/10/22 AND 03/31/22		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	CT1656359	06-30-2022	125,000,000	REFINANCE BONDS ISSUED ON 03/10/22 AND 03/31/22		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	19,025,000				680,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	97,921,097		278,176,101		44,555,911		55,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			17,487,312
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,268,751		2,358,312		861,534
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			161,625,118
11 Other spent proceeds .............	96,652,346				43,694,377
12 Other unspent proceeds .............	103,545,000		96,705,359				55,000,000
13 Year of substantial completion .............	2010		2022		2021		2015
	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 2020, a current refunding issue)? ........		X	X			X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X	X			X
16 Has the final allocation of proceeds been made? ..........	X			X	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

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		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		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?			X				X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		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?
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 %		0 %		0.450 %
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 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %		0.450 %
7 Does the bond issue meet the private security or payment test? ...		X		X		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		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		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		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X		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		X	X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		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		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		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		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: 03/01/2019

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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

2021

Open to Public
Inspection

Name of the organization
FRED HUTCHINSON CANCER CENTER

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	93978HLJ2	10-30-2014	97,921,097	ADVANCED REFUND OF 2001, 2005, 2008 PROJECTS		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HXM2	07-08-2020	278,176,101	CONSTRUCTION OF SLU CLINIC EXPANSION AND ADVANCE REFUND OF SERIES 2010 BONDS		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HYF6	02-11-2021	44,555,911	REFUND SEATTLE PROTON CENTER, LLC'S SERIES 2018 TAXABLE BONDS		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	CT1656350	06-30-2022	55,000,000	REFINANCE BONDS ISSUED ON 03/10/22 AND 03/31/22		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	CT1656356	06-30-2022	103,545,000	REFINANCE BONDS ISSUED ON 03/10/22 AND 03/31/22		X		X		X
	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	CT1656359	06-30-2022	125,000,000	REFINANCE BONDS ISSUED ON 03/10/22 AND 03/31/22		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	19,025,000				680,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	97,921,097		278,176,101		44,555,911		55,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			17,487,312
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,268,751		2,358,312		861,534
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			161,625,118
11 Other spent proceeds .............	96,652,346				43,694,377
12 Other unspent proceeds .............	103,545,000		96,705,359				55,000,000
13 Year of substantial completion .............	2010		2022		2021		2015
	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 2020, a current refunding issue)? ........		X	X			X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X	X			X
16 Has the final allocation of proceeds been made? ..........	X			X	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

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		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		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?			X				X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		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?
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 %		0 %		0.450 %
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 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %		0.450 %
7 Does the bond issue meet the private security or payment test? ...		X		X		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		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		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		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X		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		X	X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		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		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		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		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: 03/01/2019

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

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

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

FRED HUTCHINSON CANCER CENTER

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 ..	X		812	FAIR MARKET VALUE
5 Clothing and household goods .......	X		38,296	FAIR MARKET VALUE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	8	487,467	FAIR MARKET VALUE
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 ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( TRVL VOUCHER )	X	2	1,416	FAIR MARKET VALUE
26 Other ( )
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

Yes

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) (2021)

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 IN PART I, COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.
PART I, LINE 32B:	IN FISCAL YEAR 2017, AN AGREEMENT WAS MADE WITH CHARITABLE ADULT RIDERS & SERVICES, INC, A TAX-EXEMPT ORGANIZATION, TO JOINTLY ENTER INTO A PROGRAM TO SOLICIT FOR THE DONATIONS OF VEHICLES.

Schedule M (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

FRED HUTCHINSON CANCER CENTER

Employer identification number

91-1935159

Return Reference	Explanation
FORM 990, PART I, LINE 6:	HUNDREDS OF VOLUNTEERS PROVIDE FRED HUTCH WITH THE IMPORTANT GIFT OF THEIR TIME. VOLUNTEERS IN OUR CLINICAL AREAS PROVIDE VITAL PRACTICAL AND SOCIAL SUPPORT FOR OUR PATIENTS AND THEIR FAMILIES AT A CRITICAL TIME IN THEIR LIVES. WITH VOLUNTEER SUPPORT RANGING FROM PROVIDING AIRPORT TRANSPORTATION TO SHARING HEALING MUSICAL TALENTS, THEY HELP US ENSURE A COMPASSIONATE CARE EXPERIENCE FOR PATIENTS AND THEIR FAMILIES. OTHER VOLUNTEER OPPORTUNITIES RANGE FROM SERVING ON A FRED HUTCH GUILD OR EVENT PLANNING COMMITTEE, HELPING AT FUNDRAISING EVENTS, SENDING THANK YOU NOTES TO SUPPORTERS, AND MUCH MORE.
FORM 990, PART III, LINE 2	EFFECTIVE APRIL 1, 2022, FRED HUTCHINSON CANCER RESEARCH CENTER MERGED WITH SEATTLE CANCER CARE ALLIANCE, FORMING FRED HUTCHINSON CANCER CENTER. AS A RESULT OF THE MERGER, THE RESEARCH PROGRAMS PREVIOUSLY OPERATED BY FRED HUTCHINSON CANCER RESEARCH CENTER BECAME A PROGRAM OF FRED HUTCHINSON CANCER CENTER. SEE PART III, LINE 4B FOR MORE INFORMATION.
FORM 990, PART VI, SECTION A, LINE 2	SUZANNE BEITEL, LISA BRANDENBURG, THOMAS LYNCH, RUTH MAHAN, STEVE STADUM, RUSS WILLIAMS AND DR. NANCY DAVIDSON HAVE BUSINESS RELATIONSHIPS. EACH NAMED INDIVIDUAL SERVED AS A BOARD MEMBER OR OFFICER FROM JULY 1, 2021 THROUGH MARCH 31, 2022. DURING THIS TIME PERIOD, THESE INDIVIDUALS WERE ALSO CURRENT BOARD MEMBERS, OFFICERS, DIRECTORS, OR KEY EMPLOYEES OF ANOTHER ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS WERE AMENDED EFFECTIVE APRIL 1, 2022. SIGNIFICANT CHANGES INCLUDE THE FOLLOWING: THE BOARD SHALL CONSIST OF THIRTEEN DIRECTORS, FOUR OF WHOM WILL BE EX-OFFICIO DIRECTORS. TWO OF THE EX-OFFICIO DIRECTORS ARE COMPENSATED BY FRED HUTCH. THE ARTICLES OF INCORPORATION WERE ALSO RESTATED. THE ENTITY IS ORGANIZED UNDER AND SUBJECT TO CHAPTER 24.03A OF THE RCW AS A 501(C)(3) ORGANIZATION. THERE ARE NO LONGER MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	PER FRED HUTCH BYLAWS, THE AUDIT AND COMPLIANCE COMMITTEE REVIEWS INTERNAL AND EXTERNAL AUDIT REPORTS AND FORM 990 AND ALL RELATED SCHEDULES AND FORMS MAKING RECOMMENDATIONS TO THE BOARD CONCERNING THESE MATTERS. CENTER LEADERSHIP AND THE FINANCE TEAM WORK CLOSELY WITH THE OUTSIDE ACCOUNTING FIRM TO PREPARE THE FORM 990. THE DRAFT FORM 990 IS FORMALLY REVIEWED INTERNALLY PRIOR TO DISTRIBUTING IT TO THE AUDIT AND COMPLIANCE COMMITTEE. THE AUDIT AND COMPLIANCE COMMITTEE CONSULTS WITH LEADERSHIP, THE FINANCE TEAM AND OTHER PERSONS THE AUDIT AND COMPLIANCE COMMITTEE MAY DESIGNATE TO REVIEW THE DRAFT FORM 990. SUBSEQUENT TO ITS REVIEW, THE AUDIT AND COMPLIANCE COMMITTEE REPORTS TO THE BOARD REGARDING ITS OVERSIGHT OF FORM 990. THE FINAL DRAFT IS PROVIDED TO THE FULL BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	MANAGEMENT PLANS FOR TRUSTEES AND THE PRESIDENT & DIRECTOR ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE AND SIGNED BY THE PERSON WITH THE CONFLICT OF INTEREST AND THE CHAIR OF THE BOARD. DISCLOSURE BY MEMBERS OF THE SCIENTIFIC STAFF, OFFICERS OTHER THAN THE PRESIDENT & DIRECTOR AND OTHER KEY PERSONNEL DESIGNATED BY THE PRESIDENT & DIRECTOR ARE REVIEWED BY THE OFFICE OF THE PRESIDENT & DIRECTOR, THE OFFICE OF THE GENERAL COUNSEL, AND THE DIRECTOR OF THE DIVISION IN WHICH THE PERSON HAS THEIR PRIMARY APPOINTMENT OR RESPONSIBILITIES. IF A CONFLICT IS DETERMINED TO EXIST UNDER THE POLICY A WRITTEN CONFLICT MANAGEMENT PLAN IS RECOMMENDED BY THE OFFICE OF THE GENERAL COUNSEL AND APPROVED AND SIGNED BY THE OFFICE OF THE DIRECTOR, THE OFFICE OF THE GENERAL COUNSEL AND THE DIVISION DIRECTOR AS WELL AS THE PERSON WHO HAS THE CONFLICT. CONFLICT MANAGEMENT PLANS ARE DESIGNATED TO MANAGE, REDUCE AND ELIMINATE CONFLICTS TO PREVENT BIAS, IMPROPER INFLUENCE, OR MISUSE OF CENTER OR GOVERNMENT RESOURCES. THE CONFLICT MANAGEMENT PLANS FOR TRUSTEES USUALLY REQUIRE THE AFFECTED TRUSTEE TO RECUSE THEMSELF FROM VOTING ON ANY MATTERS INVOLVING THE AFFECTED TRANSACTION OR RELATIONSHIP ALTHOUGH THEY ARE ALLOWED TO PROVIDE FACTUAL INFORMATION IF REQUESTED BY EXECUTIVE COMMITTEE OF THE BOARD. ALL TRANSACTIONS REQUIRING BOARD OR COMMITTEE APPROVAL MUST BE APPROVED BY A MAJORITY OF DISINTERESTED PERSONS. CONFLICT MANAGEMENT PLANS INVOLVING SCIENTIFIC STAFF, OFFICER OR OTHER KEY PERSONNEL USUALLY IMPOSE ONE OR MORE OF THE FOLLOWING CONDITIONS OR RESTRICTIONS: 1) PUBLIC DISCLOSURE OF THE INTEREST, 2) MONITORING OF RESEARCH BY INDEPENDENT REVIEWERS, 3) MODIFICATION OF THE RESEARCH PLAN, 4) DISQUALIFICATION FROM PARTICIPATION IN ALL OF OR A PORTION OF THE RESEARCH BY THE PERSON WITH THE CONFLICT OF INTEREST, 5) DIVESTURE OF THE INTEREST, 6) SEVERANCE OF THE RELATIONSHIP CREATING THE CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR THE PRESIDENT & DIRECTOR IS DETERMINED AND APPROVED BY THE BOARD COMPENSATION COMMITTEE. THE COMPENSATION OF OTHER OFFICERS AND KEY PERSONNEL ARE DETERMINED BY THE PRESIDENT & DIRECTOR SUBJECT TO RATIFICATION BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE HAS DEVELOPED, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, GUIDELINES FOR DETERMINING COMPENSATION AND BENEFITS. THE COMPENSATION COMMITTEE ALSO HIRES A QUALIFIED INDEPENDENT COMPENSATION SPECIALIST ("INDEPENDENT EXPERT") EVERY TWO YEARS TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION PACKAGES OF ALL OFFICERS AND KEY EMPLOYEES. APPROPRIATE COMPARABILITY DATA IS OBTAINED FROM THE INDEPENDENT EXPERT. NO PERSON WITH A CONFLICT OF INTEREST MAY PARTICIPATE IN DETERMINING OR APPROVING ANY EXECUTIVE COMPENSATION. MEETINGS OF THE COMPENSATION COMMITTEE ARE DOCUMENTED IN MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING. THE ABOVE PROCESS WAS LAST UNDERTAKEN IN NOVEMBER 2021.
FORM 990, PART VI, SECTION C, LINE 19	WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	ADMINISTRATIVE, FACILITIES & TRANSPORTATION: PROGRAM SERVICE EXPENSES 156,177,791. MANAGEMENT AND GENERAL EXPENSES 32,214,020. FUNDRAISING EXPENSES 813,898. TOTAL EXPENSES 189,205,709.
FORM 990, PART XI, LINE 9:	ASSETS NET OF LIABILITIES TRANSFERRED UPON MERGER 1,052,079,109. UWMC COLLABORATIVE AGREEMENT -428,824,331. INVESTMENT IN SCCA ELIMINATED UPON MERGER -427,086,641.
FORM 990, GENERAL EXPLANATION:	THE AUDITED FS ARE PREPARED IN ACCORDANCE WITH GAAP WHICH DIFFERS FROM TAX REPORTING. ONE OF THE DIFFERENCES RELATES TO PATIENT REVENUE AND EXPENSES WHICH INCLUDE 12 MONTHS ON THE TAX RETURN BUT ONLY INCLUDE 3 MONTHS ON THE AFS.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

FRED HUTCHINSON CANCER CENTER

Employer identification number

91-1935159

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) FRED HUTCHINSON INTERNATIONAL LLC 1100 FAIRVIEW AVENUE NORTH SEATTLE,WA981091024 46-2936650	FOREIGN RESEARCH COLLABORATIONS	WA	1	7,602	FRED HUTCHINSON CANCER CENTER
(2) PROCURE SEATTLE HOLDINGS LLC 825 EASTLAKE AVE E PO BOX 19023 SEATTLE,WA981091023	INACTIVE	DE	0	0	FRED HUTCHINSON CANCER CENTER
(3) SEATTLE PROTON CENTER LLC 825 EASTLAKE AVE E PO BOX 19023 SEATTLE,WA981091023	INACTIVE	DE	0	0	PROCURE SEATTLE HOLDINGS LLC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SEATTLE VACCINE RESEARCH FUND 1100 FAIRVIEW AVENUE NORTH SEATTLE,WA98109 33-1111221	ANTI-RETROVIRAL THERAPY FOR ELIGIBLE PARTICIPANTS	WA	501(C)(3)	LINE 12A, I	FRED HUTCHINSON CANCER CENTER	Yes
(2)HUTCHINSON CENTRE RESEARCH INSTITUTE OF UGANDA LIMITED POB 3935 MULAGO HOSPITAL UPPER MU KAMPALA UG	RESEARCH AND EDUCATION ON CANCER AND INFECTIOUS DISEASES	UG	N/A	N/A	FRED HUTCHINSON CANCER CENTER	Yes
(3)HUTCHINSON CENTRE RESEARCH INSTITUTE OF SOUTH AFRICA 6TH FLOOR 119 HERTZOG BLVD FORESHORE CAPETOWN 8001 SF	RESEARCH	SF	N/A	N/A	FRED HUTCHINSON CANCER CENTER	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) CHARITABLE REMAINDER TRUSTS (7) 1100 FAIRVIEW AVE NORTH SEATTLE,WA981091024	INVESTMENT	WA	N/A	T					No
(2) HUTCHINSON BIOMEDICAL SCIENCE AND TECHNOLOGY (TIANJIN) CO LTD 1100 FAIRVIEW AVE NORTH SEATTLE,WA981091024	RESEARCH	CH	N/A	C					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) HUTCHINSON CENTRE RESEARCH INSTITUTE OF UGANDA LIMITED	L	697,129	ACCOUNTING SYSTEM TRACKING
(2) HUTCHINSON CENTRE RESEARCH INSTITUTE OF UGANDA LIMITED	P	44,727	ACCOUNTING SYSTEM TRACKING
(3) HUTCHINSON CENTRE RESEARCH INSTITUTE OF SOUTH AFRICA	P	113,950	ACCOUNTING SYSTEM TRACKING
(4) HUTCHINSON CENTRE RESEARCH INSTITUTE OF UGANDA LIMITED	R	100,000	ACCOUNTING SYSTEM TRACKING
(5) HUTCHINSON CENTRE RESEARCH INSTITUTE OF SOUTH AFRICA	R	2,178,035	ACCOUNTING SYSTEM TRACKING

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: FRED HUTCHINSON CANCER CENTER UNITES INNOVATIVE RESEARCH AND COMPASSIONATE CARE TO PREVENT AND ELIMINATE CANCER AND INFECTIOUS DISEASE. WE'RE DRIVEN BY THE URGENCY OF OUR PATIENTS, THE HOPE OF OUR COMMUNITY AND OUR PASSION FOR DISCOVERY TO PURSUE SCIENTIFIC BREAKTHROUGHS AND HEALTHIER LIVES FOR EVERY PERSON IN EVERY COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	2,549
6	Total number of volunteers (estimate if necessary) .............	6	250
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,302,039	159,178,335
9	Program service revenue (Part VIII, line 2g) .........	917,419,752	1,046,363,504
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11,786,009	74,844,321
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	5,488,925	3,575,762
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	940,996,725	1,283,961,922
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,084,886	34,738,432
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)	202,228,813	328,167,481
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	189,159	517,259
b	Total fundraising expenses (Part IX, column (D), line 25) 4,008,126
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	636,842,008	771,106,257
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	841,344,866	1,134,529,429
19	Revenue less expenses. Subtract line 18 from line 12.......	99,651,859	149,432,493
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,535,470,671	2,999,831,201
21	Total liabilities (Part X, line 26).............	745,988,971	2,049,582,217
22	Net assets or fund balances. Subtract line 21 from line 20.....	789,481,700	950,248,984

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 801,589,022 including grants of $ 2,500,759 ) (Revenue $ 1,043,101,201 )
	CLINICAL CARE:A DISTINGUISHING FEATURE OF FRED HUTCH CLINICAL CARE IS THE INTEGRATION OF OUR TREATMENT PROGRAMS AND RESEARCH, WHICH WAS STRENGTHENED BY THE APRIL 2022 MERGER OF A RESPECTED CLINICAL CANCER CARE ORGANIZATION (SEATTLE CANCER CARE ALLIANCE) AND A RENOWNED RESEARCH ORGANIZATION (FRED HUTCHINSON CANCER RESEARCH CENTER), CREATING FRED HUTCHINSON CANCER CENTER. THIS UNIFICATION SUPPORTS OUR FOCUS OF SPEEDING THE TRANSFER OF NEW DIAGNOSTIC AND TREATMENT TECHNIQUES FROM THE RESEARCH SETTING TO PATIENT CARE. THE HIGHLY INTEGRATED APPROACH SUPPORTS THE FLOW OF SCIENTIFIC INFORMATION AMONG RESEARCHERS, CLINICIANS, AND PATIENTS, THEREBY ACCELERATING THE DEVELOPMENT OF NEW KNOWLEDGE AND TREATMENT OF VARIOUS CANCERS.THE 2022 MERGER WAS ALSO ACCOMPANIED BY A RESTRUCTURING OF A LONG-STANDING RELATIONSHIP WITH THE UW MEDICINE HEALTH SYSTEM. UNDER THIS RESTRUCTURING AGREEMENT, FRED HUTCH, AN INDEPENDENT, NONPROFIT ORGANIZATION, NOW SERVES AS THE CANCER PROGRAM FOR UW MEDICINE. THIS UNIQUE RELATIONSHIP BETWEEN TWO SEPARATE ORGANIZATIONS ALLOWS FOR ENHANCED CARE COORDINATION BETWEEN A TOP-RANKED CANCER CENTER AND ONE OF THE WORLD'S LEADING INTEGRATED HEALTH SYSTEMS.AS PART OF FRED HUTCH'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. FRED HUTCH IS DESIGNATED AS AN INSTRUCTIONAL SITE FOR BACHELOR AND ADVANCED DEGREE CANDIDATES FROM SEVERAL INSTITUTIONS AROUND THE PUGET SOUND AREA. FRED HUTCH OPERATES A HOUSING PROGRAM INCLUDING BOTH SOUTH LAKE UNION HOUSE AND PETE GROSS HOUSE AND RELATED TRANSPORTATION TO THE CLINIC.

4b	(Code: ) (Expenses $ 174,279,546 including grants of $ 32,237,673 ) (Revenue $ 3,340,728 )
	RESEARCH PROGRAM: FRED HUTCH RESEARCH PROGRAMS INTEGRATE THE LATEST IN COMPUTATIONAL, LABORATORY AND PATIENT-ORIENTED CLINICAL RESEARCH METHODS TO BETTER UNDERSTAND THE MECHANISMS THAT DRIVE CANCER AND OTHER HUMAN DISEASES. OUR RESEARCHERS ARE CONTINUALLY DEVELOPING NEW THERAPEUTIC APPROACHES AND THEY DEVELOP AND LEAD CLINICAL TRIALS THAT HELP MOVE LABORATORY DISCOVERIES INTO NEW TREATMENT OPTIONS FOR PATIENTS. OUR DISCOVERIES, WHICH INCLUDE PROVING BONE MARROW TRANSPLANTATION COULD CURE LEUKEMIAS AND OTHER BLOOD CANCERS, HAVE SAVED HUNDREDS OF THOUSANDS OF LIVES. FRED HUTCH RESEARCHERS PARTNER WITH SCIENTISTS AT LABORATORY, CLINICAL AND FIELD SITES IN THE AMERICAS, AFRICA, ASIA AND EUROPE. OUR RESEARCHERS TAKE PRIDE IN THEIR COLLABORATIVE EFFORTS TO PREDICT, DETECT, TREAT, AND PREVENT INFECTIOUS DISEASES IN HUMANS, INCLUDING KNOWN AND EMERGING INFECTIONS OF MAJOR GLOBAL HEALTH IMPORTANCE, SUCH AS CORONAVIRUS, HIV AND CANCER-RELATED INFECTIOUS DISEASES.

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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses975,868,568

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	10,573,200	0	1,698,379

1a	Federated campaigns..		1a	887,007
b	Membership dues..		1b
c	Fundraising events..		1c	1,040,234
d	Related organizations		1d
e	Government grants (contributions)		1e	142,384,411

f	All other contributions, gifts, grants, and similar amounts not included above		1f	14,866,683

g	Noncash contributions included in lines 1a - 1f:$		1g	527,991

h Total. Add lines 1a-1f.......		159,178,335

		Business Code
2a	PATIENT SERV. REVENUE	622310	1,038,266,433	1,037,645,695	620,738
b	PATIENT HOUSING	624221	3,788,180	3,788,180
c	RESEARCH ACTIVITIES	541714	3,378,971	3,378,971
d	INTERAFFILIATE AGMTS	541714	651,747	651,747
e	INVENTORY SALES	453220	278,173		278,173
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,046,363,504

3 Investment income (including dividends, interest, and othersimilar amounts) ......			20,969,388			20,969,388
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			1,589,915			1,589,915
		(ii) Personal	(i) Real
6a	Gross rents		349,946	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		349,946	6c
d	Net rental income or (loss).......			349,946			349,946
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	3,670,000	397,317,219	7a
b	Less: cost or other basis and sales expenses	56,489	347,055,797	7b
c	Gain or (loss)	3,613,511	50,261,422	7c
d	Net gain or (loss).........			53,874,933			53,874,933
8a	Gross income from fundraising events (not including $ 1,040,234of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	107,056
c	Net income or (loss) from fundraising events..			-107,056			-107,056
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	1,735,102			1,735,102
b	EDUCATIONAL EVENTS		923110	78,425	78,425
c	CONSIGNMENT SALES		453310	7,613			7,613
d	All other revenue ....			-78,183			-78,183
e	Total. Add lines 11a–11d ......			1,742,957
12	Total revenue. See instructions.....			1,283,961,922	1,045,543,018	0	79,240,569

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	27,811,433	27,811,433
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	1,548,152	1,548,152
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	5,378,847	5,378,847
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	12,403,720	4,079,692	8,324,028
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........	244,374,099	194,761,626	47,732,776	1,879,697
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	15,167,274	11,094,928	3,769,309	303,037
9	Other employee benefits .......	34,896,410	26,213,444	8,158,026	524,940
10	Payroll taxes ...........	21,325,978	15,748,369	5,239,792	337,817
11	Fees for services (non-employees):
a	Management ......	5,450,073	5,450,073
b	Legal .........	2,813,842	614,579	2,199,263
c	Accounting ...........	1,298,089	59,872	1,238,217
d	Lobbying ...........	394,986		394,986
e	Professional fundraising services. See Part IV, line 17	517,259			517,259
f	Investment management fees ......	720,955		720,955
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	189,205,709	156,177,791	32,214,020	813,898
12	Advertising and promotion ....	3,450,070	3,407,695	17,816	24,559
13	Office expenses .......	7,517,306	3,134,381	2,274,105	2,108,820
14	Information technology ......	38,495,711	9,117,865	29,377,846
15	Royalties ..	608,250	608,250
16	Occupancy ...........	30,887,837	15,479,743	15,407,730	364
17	Travel ............	1,507,492	1,365,261	108,571	33,660
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,850,554	1,487,149	360,133	3,272
20	Interest ...........	9,232,462	7,629,279	1,587,272	15,911
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	36,525,546	30,133,283	6,409,483	-17,220
23	Insurance ...	2,639,982	877,449	1,762,533
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	405,166,992	405,124,347	42,645
b	RESEARCH SUPPLIES	10,342,543	10,342,543
c	BUSINESS TAXES	9,697,061	5,478,234	4,218,827
d	MEDICAL EQUIPMENT R&M	8,850,487	8,831,486	19,001
e	All other expenses	4,450,310	23,912,797	-16,924,599	-2,537,888
25	Total functional expenses. Add lines 1 through 24e	1,134,529,429	975,868,568	154,652,735	4,008,126
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 ........			117,262,006	1	4,398
2	Savings and temporary cash investments .........			119,506,724	2	367,957,481
3	Pledges and grants receivable, net ......				3	79,772,937
4	Accounts receivable, net .............			154,802,509	4	342,052,782
5	Loans and other receivables from 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 ...........			0	7	2,399,931
8	Inventories for sale or use ............			18,973,013	8
9	Prepaid expenses and deferred charges ......			7,539,725	9	39,215,988
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,292,937,364
b	Less: accumulated depreciation	10b	488,251,303	279,343,525	10c	804,686,061
11	Investments—publicly traded securities .			602,628,545	11	892,497,058
12	Investments—other securities. See Part IV, line 11 .....				12	87,469,144
13	Investments—program-related. See Part IV, line 11 ..			0	13	11,025
14	Intangible assets ...............			9,013,889	14	9,314,192
15	Other assets. See Part IV, line 11 ...........			226,400,735	15	374,450,204
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,535,470,671	16	2,999,831,201

17	Accounts payable and accrued expenses .....	341,391,985	17	208,429,195
18	Grants payable ...		18
19	Deferred revenue .........	260,865	19	55,038,716
20	Tax-exempt bond liabilities .........	397,466,810	20	672,929,694
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 ..	0	23	421,225,000
24	Unsecured notes and loans payable to unrelated third parties ..	6,869,311	24	6,061,402
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	0	25	685,898,210
26	Total liabilities. Add lines 17 through 25..	745,988,971	26	2,049,582,217

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	777,835,487	27	745,653,984
28	Net assets with donor restrictions ...........	11,646,213	28	204,595,000
	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 ...........	789,481,700	32	950,248,984
33	Total liabilities and net assets/fund balances ........	1,535,470,671	33	2,999,831,201

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No