TY 2023 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) THOMAS J LYNCH MD...................................................................... PRESIDENT & DIRECTOR	55.00 ................. 0.00	X	X	2,028,077	364,136
(2) NANCY DAVIDSON MD...................................................................... EVP, CLINICAL AFFAIRS	55.00 ................. 0.00	X		1,198,547	159,901
(3) LEIGH MORGAN...................................................................... CHAIR	4.00 ................. 1.00	X	X	0	0
(4) RICHARD ANDERSON...................................................................... VICE-CHAIR(FROM 1/24)	4.00 ................. 0.00	X	X	0	0
(5) SEAN BOYLE...................................................................... VICE-CHAIR(THRU 1/24), DIRECTOR	2.00 ................. 0.00	X	X	0	0
(6) KRISTIANNE BLAKE...................................................................... TREASURER	4.00 ................. 0.00	X	X	0	0
(7) JULIE NORDSTROM...................................................................... SECRETARY	4.00 ................. 0.00	X	X	0	0
(8) BRADLEY SIMMONS...................................................................... DIRECTOR(FROM 8/23)	2.00 ................. 0.00	X		0	0
(9) CHERYL M SCOTT...................................................................... DIRECTOR (BEG 4/24)	2.00 ................. 0.00	X		0	0
(10) CYNTHIA DOLD...................................................................... DIRECTOR(THRU 8/23)	2.00 ................. 0.00	X		0	0
(11) EDUARDO PENALVER...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(12) JOANNE HARRELL...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(13) KATHY SURACE-SMITH...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(14) PETE SHIMER...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(15) STEPHEN GRAHAM...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(16) TIMOTHY H DELLIT MD...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(17) NICOLE C ROBINSON PHD...................................................................... VP & COO	55.00 ................. 0.00		X	1,153,027	162,054

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(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) DAVID BROWDY........................................................................ VP & CFO	54.00 .......................1.00	X				1,115,822	171,675
(19) STEVEN HAYDON........................................................................ VP & GENERAL COUNSEL(THRU 2/24)	55.00 .......................0.00	X				812,745	73,528
(20) GERIANNE SANDS........................................................................ CORP SEC., VP&GEN. COUNSEL(BEG 2/24)	55.00 .......................0.00	X				365,941	62,781
(21) CHRIS BUNDESMANN........................................................................ CORPORATE CONTROLLER	54.00 .......................1.00	X				288,955	50,244
(22) HERBERT L BONE III........................................................................ CORPORATE TREASURER	55.00 .......................0.00	X				258,649	57,304
(23) BRUCE E CLURMAN MD PHD........................................................................ EVP, CHIEF SCI. OFFICER & DEPUTY DIRECTOR	55.00 .......................0.00		X			961,057	147,503
(24) FREDERICK APPELBAUM MD........................................................................ EXECUTIVE VICE PRESIDENT	55.00 .......................0.00		X			771,543	141,975
(25) TOM PURCELL MD........................................................................ VP & CHIEF MEDICAL OFFICER	55.00 .......................0.00		X			661,932	137,970
(26) KELLY O'BRIEN........................................................................ VP & CHIEF PHILANTHROPY OFFICER	55.00 .......................0.00		X			621,488	136,478
(27) THERESA MCDONNELL DNP........................................................................ VP & CHIEF NURSING OFFICER(THRU 9/23)	55.00 .......................0.00		X			608,583	63,093
(28) SARA HURVITZ MD........................................................................ SVP & DIRECTOR, CLINICAL RESEARCH	55.00 .......................0.00			X		1,057,788	58,156
(29) ERIC C HOLLAND MD PHD........................................................................ SVP & DIRECTOR, HUMAN BIOLOGY	55.00 .......................0.00			X		803,616	144,143
(30) KELLY PATRICK........................................................................ VP & CIO	55.00 .......................0.00			X		761,873	56,627
(31) GEOFFREY HILL MD........................................................................ SVP & DIRECTOR, TRANSLATIONAL SCI	55.00 .......................0.00			X		718,444	137,250
(32) JODI BURKE........................................................................ VP, HUMAN RESOURCES	55.00 .......................0.00			X		640,821	132,867
(33) STEPHANIE MAYS........................................................................ FORMER OFFICER	55.00 .......................0.00				X	512,712	68,204
(34) CHAD HOGGARD........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	368,825	70,387
(35) CINDY GIST MHA........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	354,803	87,573
(36) NICKI NGUYEN-COLVIN........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	327,282	64,843
(37) BRITTANY MCCREERY MD........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	320,868	107,709
(38) RICHARD LAFRANCE........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	276,203	65,984
(39) DANIEL MARKUS........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	270,742	33,752
(40) MICHELLE HALL........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	258,875	52,093
(41) TIMOTHY EHLING........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	252,017	60,849
(42) PAUL HELMUTH........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	240,299	34,345
(43) GANSUVD BALGANSUREN........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	233,728	49,429
(44) MATTHEW MCSWEYN........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	227,577	45,212
(45) CARILLA WALLIN........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	216,323	49,736
(46) TAMI DEEB........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	205,480	22,814
(47) ANDREW JACKSON........................................................................ FORMER KEY EMPLOYEE	55.00 .......................0.00				X	163,218	31,001

(A) Name and business address	(B) Description of services	(C) Compensation
UNIVERSITY OF WASHINGTON 1959 NE 59TH AVENUE SUITE 1005 SEATTLE,WA98104	HEALTHCARE SERVICES	165,359,224
GLY CONSTRUCTION INC 14432 SE EASTGATE WAY SUITE 300 BELLEVUE,WA98007	CONSTRUCTION SERVICES	27,432,116
NATIONAL MARROW DONOR PROGRAM 500 N 5TH STREET MINNEAPOLIS,MN55401	BONE MARROW TRANSPLANT SERVICES	17,191,214
LEASE CRUTCHER LEWIS 2200 WESTERN AVE SUITE 500 SEATTLE,WA98121	CONSTRUCTION SERVICES	8,722,862
CLOUDMED SOLUTIONS LLC 5700 GRANITE PARKWAY SUITE 940 PLANO,TX75024	DENIALS MANAGEMENT SERVICES	6,510,276
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 177

- 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.
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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

2023

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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	21,346,663	6,302,039	159,178,335	1,047,209,861	630,655,652	1,864,692,550
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	21,346,663	6,302,039	159,178,335	1,047,209,861	630,655,652	1,864,692,550
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) ..						444,128,290
6	Public support. Subtract line 5 from line 4.						1,420,564,260

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..	21,346,663	6,302,039	159,178,335	1,047,209,861	630,655,652	1,864,692,550
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	13,038,491	11,477,095	22,909,249	51,795,426	62,094,685	161,314,946
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	1,883,223	1,957,545	2,526,957	3,321,301	2,918,669	12,607,695
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	595,154	4,170,223	-70,570	-313,146	588,628	4,970,289
11	Total support. Add lines 7 through 10						2,043,585,480

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

5,320,204,797

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 2023 (line 6, column (f) divided by line 11, column (f)) .........

69.510 %

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

57.160 %

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

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) 2023

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) 2023

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) 2023

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 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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 - 2019 AMOUNT: $ 19,497. 2020 AMOUNT: $ 13,517. 2021 AMOUNT: $ 7,613. 2022 AMOUNT: $ 8,266. MISC INCOME - 2020 AMOUNT: $ 3,844. 2021 AMOUNT: $ -78,183. 2022 AMOUNT: $ -3,440. 2023 AMOUNT: $ 5,529. UBIT REFUND - 2019 AMOUNT: $ 575,657. DEBT EXTINGUISHMENTS - 2020 AMOUNT: $ 4,152,862. CURRENCY GAIN/LOSS - 2022 AMOUNT: $ -317,972. REBATES AND REFUNDS - 2023 AMOUNT: $ 583,099.

Return Reference

Explanation

SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:

RECYCLING CONSIGNMENT SALES - 2019 AMOUNT: $ 19,497. 2020 AMOUNT: $ 13,517. 2021 AMOUNT: $ 7,613. 2022 AMOUNT: $ 8,266. MISC INCOME - 2020 AMOUNT: $ 3,844. 2021 AMOUNT: $ -78,183. 2022 AMOUNT: $ -3,440. 2023 AMOUNT: $ 5,529. UBIT REFUND - 2019 AMOUNT: $ 575,657. DEBT EXTINGUISHMENTS - 2020 AMOUNT: $ 4,152,862. CURRENCY GAIN/LOSS - 2022 AMOUNT: $ -317,972. REBATES AND REFUNDS - 2023 AMOUNT: $ 583,099.

Schedule A (Form 990) 2023

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

right arrow

Complete if the organization is described below. 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

2022

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

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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) 2022

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 right arrow

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 right arrow

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) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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? ..........................................................

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

Yes

599

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

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

Yes

714,587

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

715,186

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 AND 1G: THE GOVERNMENT & COMMUNITY RELATIONS TEAM HAD DIRECT CONTACT WITH FEDERAL AND STATE OFFICIALS REGARDING HEALTHCARE RELATED ISSUES INCLUDING CANCER CARE, PATIENT ACCESS, MEDICARE, AND MEDICAID. LINE 1I: FRED HUTCH RETAINS LOBBYISTS TO ENGAGE WITH LEGISLATORS ON ITS BEHALF AT THE FEDERAL, STATE, AND LOCAL LEVELS ON POLICIES SUCH AS CANCER PREVENTION, NATIONAL INSTITUTES OF HEALTH AND NATIONAL CANCER INSTITUTE FUNDING, MEDICARE, MEDICAID, AND OTHER HEALTHCARE RELATES ISSUES. THE TOTAL AMOUNT PAID TO LOBBYISTS FOR LOBBYING ACTIVITIES DURING THE TAX YEAR WAS $574,363. FRED HUTCH PAID MEMBERSHIP DUES TO VARIOUS PROFESSIONAL ASSOCIATIONS, NATIONAL AND STATE HOSPITAL ASSOCIATIONS, AND OTHER PROFESSIONAL MEDICAL AND RESEARCH ASSOCIATIONS WHICH ATTRIBUTE A PORTION OF THE DUES WHICH THEIR MEMBERS PAY TO LOBBYING ACTIVITIES. THE AMOUNT OF MEMBERSHIP DUES PAID DURING THE TAX YEAR, AND WHICH WE WERE NOTIFIED WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES, WAS $139,625.

Return Reference

Explanation

PART II-B, LINE 1:

LINE 1B AND 1G: THE GOVERNMENT & COMMUNITY RELATIONS TEAM HAD DIRECT CONTACT WITH FEDERAL AND STATE OFFICIALS REGARDING HEALTHCARE RELATED ISSUES INCLUDING CANCER CARE, PATIENT ACCESS, MEDICARE, AND MEDICAID. LINE 1I: FRED HUTCH RETAINS LOBBYISTS TO ENGAGE WITH LEGISLATORS ON ITS BEHALF AT THE FEDERAL, STATE, AND LOCAL LEVELS ON POLICIES SUCH AS CANCER PREVENTION, NATIONAL INSTITUTES OF HEALTH AND NATIONAL CANCER INSTITUTE FUNDING, MEDICARE, MEDICAID, AND OTHER HEALTHCARE RELATES ISSUES. THE TOTAL AMOUNT PAID TO LOBBYISTS FOR LOBBYING ACTIVITIES DURING THE TAX YEAR WAS $574,363. FRED HUTCH PAID MEMBERSHIP DUES TO VARIOUS PROFESSIONAL ASSOCIATIONS, NATIONAL AND STATE HOSPITAL ASSOCIATIONS, AND OTHER PROFESSIONAL MEDICAL AND RESEARCH ASSOCIATIONS WHICH ATTRIBUTE A PORTION OF THE DUES WHICH THEIR MEMBERS PAY TO LOBBYING ACTIVITIES. THE AMOUNT OF MEMBERSHIP DUES PAID DURING THE TAX YEAR, AND WHICH WE WERE NOTIFIED WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES, WAS $139,625.

Schedule C (Form 990) 2022

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
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Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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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 ......................... right arrow

$ 0

(ii)

Assets included in Form 990, Part X ............................... right arrow

$ 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 .......................... right arrow

$ 0

Assets included in Form 990, Part X ............................... right arrow

$ 0

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

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


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

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

Yes No

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

Part V

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

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

1a	Beginning of year balance ....	547,049,575	502,455,707	7,343,138	5,981,426	4,074,191
b	Contributions ...	11,382,186	6,595,026	560,945,684	50,000	2,000,000
c	Net investment earnings, gains, and losses	63,496,890	45,010,776	-56,394,984	1,317,949	-87,543
d	Grants or scholarships ...	5,496
e	Other expenditures for facilities and programs ...	56,376,691	7,011,934	9,438,131
f	Administrative expenses ....	599,682			6,237	5,222
g	End of year balance ......	564,946,782	547,049,575	502,455,707	7,343,138	5,981,426

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

Board designated or quasi-endowment right arrow

76.720 %

Permanent endowment right arrow

17.740 %

Term endowment right arrow

5.540 %

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)

(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 .....	156,362,116		156,362,116
b	Buildings ....	479,718,584	99,886,820	379,831,764
c	Leasehold improvements	51,327,534	11,853,391	39,474,143
d	Equipment ....	535,073,215	316,426,659	218,646,556
e	Other .....	310,698,147	159,931,759	150,766,388
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				945,080,967

Schedule D (Form 990) 2022

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				176,028,807
(2)BENEFICIAL INTEREST IN PERPETUAL TRUSTS				35,336,769
(3)OTHER NON CURRENT ASSETS				18,390,175
(4)CONTRIBUTED ARTWORK				1,014,786
(5)RESTRICTED FUNDS				4,392,691
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				235,163,228

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
DEFERRED CREDIT ON CASH FLOW HEDGES	5,380,776
LEASE LIABILITY	194,533,227
UW COLLABORATIVE ARRANGEMENT	440,420,004






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	640,334,007
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) 2022

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:	FRED HUTCH PERIODICALLY RECEIVES AND MAINTAINS A COLLECTION OF WORKS OF ART THAT HAVE BEEN DONATED TO FRED HUTCH. OUR COLLECTION INCLUDES PAINTINGS, PHOTOGRAPHS, SCULPTURES AND OTHER SIMILAR ITEMS. THESE ITEMS ARE UNIQUE IN NATURE AND HELD ON DISPLAY FOR THE BENEFIT AND ENJOYMENT OF FRED HUTCH'S PATIENTS, FAMILIES, CAREGIVERS, VISITORS, FACULTY AND STAFF.
PART V, LINE 4:	FRED HUTCH'S ENDOWMENT CONSISTS OF FUNDS WITH DONOR RESTRICTIONS FOR TIME OR PURPOSE, AMOUNTS THAT ARE RESTRICTED IN PERPETUITY, AS WELL AS BOARD-DESIGNATED INVESTMENTS. FRED HUTCH'S SPENDING POLICY FOR INDIVIDUAL ENDOWMENT FUNDS IS TO APPROPRIATE FOR DISTRIBUTION EACH YEAR 5% 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. CERTAIN BOARD-DESIGNATED FUNDS HELD FOR FUTURE CAPITAL AND DEBT OBLIGATIONS DO NOT MAKE DISTRIBUTIONS. FOR THE REMAINING ENDOWMENT FUNDS, FRED HUTCH APPROPRIATES DISTRIBUTIONS TO SUPPORT ITS CLINICAL AND RESEARCH PROGRAMS.
PART X, LINE 2:	FRED HUTCH HAS OBTAINED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICES THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3), EXCEPT FROM UNRELATED BUSINESS INCOME. UNRELATED BUSINESS INCOME TYPICALLY IS TRADE OR BUSINESS ACTIVITY REGULARLY CARRIED ON AND IS NOT RELATED TO FURTHERING THE EXEMPT PURPOSE OF FRED HUTCH. DURING 2024 AND 2023, FRED HUTCH DID NOT RECORD ANY LIABILITY FOR UNCERTAIN TAX BENEFITS.

Schedule D (Form 990) 2022

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 arrow

Attach to Form 990. Right arrow

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

OMB No. 1545-0047

2023

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 CARRIBBEAN	0	0	PROGRAM SERVICES	RESEARCH ACTIVITIES	1,833
	EAST ASIA AND THE PACIFIC	0	6	PROGRAM SERVICES	RESEARCH ACTIVITIES	374,618
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	40	PROGRAM SERVICES	RESEARCH ACTIVITIES	1,114,275
	MIDDLE EAST AND NORTH AFRICA	0	1	PROGRAM SERVICES	RESEARCH ACTIVITIES	5,607
	NORTH AMERICA	0	13	PROGRAM SERVICES	RESEARCH ACTIVITIES	771,808
	SOUTH AMERICA	0	9	PROGRAM SERVICES	RESEARCH ACTIVITIES	338,408
	SUB-SAHARAN AFRICA	0	21	PROGRAM SERVICES	RESEARCH ACTIVITIES	2,463,632
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	N/A	784,154
	EAST ASIA AND THE PACIFIC	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	N/A	364,433
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	N/A	1,737,106
	MIDDLE EAST AND NORTH AFRICA	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	N/A	123,333
	NORTH AMERICA	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	N/A	1,555,793
	SOUTH AMERICA	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	N/A	3,449,649
	SUB-SAHARAN AFRICA	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	N/A	12,552,989
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	N/A	138,720,167
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	INVESTMENTS	N/A	6,497,465

3a	Sub-total ....	0	90			5,854,335
b	Total from continuation sheets to Part I ...	0	0			165,000,935
c	Totals (add lines 3a and 3b)	0	90			170,855,270

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023

Schedule F (Form 990) 2023

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
SOUTH AMERICA	VACCINE AND INFECTIOUS DISEASE	958,812	WIRE
SOUTH AMERICA	VACCINE AND INFECTIOUS DISEASE	583,468	WIRE
SOUTH AMERICA	VACCINE AND INFECTIOUS DISEASE	349,014	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	1,248,283	WIRE
NORTH AMERICA	PUBLIC HEALTH SCIENCES	41,780	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	175,643	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	55,207	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	326,204	WIRE
NORTH AMERICA	HUMAN BIOLOGY	141,271	CHECK
EUROPE (INCLUDING ICELAND AND GREENLAND)	VACCINE AND INFECTIOUS DISEASE	81,679	WIRE
SOUTH AMERICA	VACCINE AND INFECTIOUS DISEASE	1,295,716	WIRE
EUROPE (INCLUDING ICELAND AND GREENLAND)	HUMAN BIOLOGY	390,064	CHECK
NORTH AMERICA	VACCINE AND INFECTIOUS DISEASE	372,029	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	147,219	WIRE
EUROPE (INCLUDING ICELAND AND GREENLAND)	PUBLIC HEALTH SCIENCES	299,255	WIRE
SOUTH AMERICA	VACCINE AND INFECTIOUS DISEASE	27,533	WIRE
SOUTH AMERICA	VACCINE AND INFECTIOUS DISEASE	235,106	WIRE
NORTH AMERICA	VACCINE AND INFECTIOUS DISEASE	294,480	WIRE
NORTH AMERICA	CLINICAL RESEARCH	7,000	CHECK
EUROPE (INCLUDING ICELAND AND GREENLAND)	HUMAN BIOLOGY	283,839	WIRE
EUROPE (INCLUDING ICELAND AND GREENLAND)	PUBLIC HEALTH SCIENCES	8,964	WIRE
CENTRAL AMERICA AND THE CARIBBEAN	PUBLIC HEALTH SCIENCES	451,220	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	688,228	WIRE
SUB-SAHARAN AFRICA	PUBLIC HEALTH SCIENCES	135,776	WIRE
SUB-SAHARAN AFRICA	PUBLIC HEALTH SCIENCES	563,928	WIRE
EUROPE (INCLUDING ICELAND AND GREENLAND)	HUMAN BIOLOGY	185,259	WIRE
CENTRAL AMERICA AND THE CARIBBEAN	PUBLIC HEALTH SCIENCES	332,934	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	33,763	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	46,195	WIRE
EUROPE (INCLUDING ICELAND AND GREENLAND)	TRANSLATIONAL SCIENCE & THERAPY	314,344	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	630,183	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	707,175	WIRE
EAST ASIA AND THE PACIFIC	TRANSLATIONAL SCIENCE & THERAPY	151,198	CHECK
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	554,484	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	346,426	WIRE
NORTH AMERICA	VACCINE AND INFECTIOUS DISEASE	206,052	WIRE
SUB-SAHARAN AFRICA	PUBLIC HEALTH SCIENCES	57,767	WIRE
EAST ASIA AND THE PACIFIC	PUBLIC HEALTH SCIENCES	94,360	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	156,611	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	759,886	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	357,490	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	196,297	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	853,695	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	95,157	WIRE
NORTH AMERICA	VACCINE AND INFECTIOUS DISEASE	87,149	CHECK
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	299,319	WIRE
NORTH AMERICA	VACCINE AND INFECTIOUS DISEASE	6,825	WIRE
EUROPE (INCLUDING ICELAND AND GREENLAND)	VACCINE AND INFECTIOUS DISEASE	70,844	WIRE
EUROPE (INCLUDING ICELAND AND GREENLAND)	PUBLIC HEALTH SCIENCES	102,858	WIRE
NORTH AMERICA	CLINICAL RESEARCH	399,207	CHECK
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	1,870,539	WIRE
MIDDLE EAST AND NORTH AFRICA	PUBLIC HEALTH SCIENCES	123,333	WIRE
EAST ASIA AND THE PACIFIC	PUBLIC HEALTH SCIENCES	50,101	WIRE
EAST ASIA AND THE PACIFIC	PUBLIC HEALTH SCIENCES	65,148	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	10,407	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	86,429	WIRE
SUB-SAHARAN AFRICA	VACCINE AND INFECTIOUS DISEASE	2,149,418	WIRE

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 .......	18
3	Enter total number of other organizations or entities .......................	39

Schedule F (Form 990) 2023

Schedule F (Form 990) 2023Page 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) 2023

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2023

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. THERE ARE TWO DIFFERENT ASPECTS OF SUBRECIPIENT MONITORING INSTITUTIONAL AND PROGRAMMATIC. THE OFFICE OF SPONSORED RESEARCH (OSR) CLOSELY REVIEWS THE PRIME AWARD TO FLOW DOWN APPLICABLE TERMS AND CONDITIONS AND CONFIRMS REGULATORY COMPLIANCE. THE PRINCIPAL INVESTIGATOR (PI) AND RESEARCH ADMINISTRATOR (RA) HOLD PRIMARY RESPONSIBILITY FOR ENSURING THE SUBAWARD IS USED IN LINE WITH ITS INTENDED USE PER THE SCOPE OF WORK (SOW) AND BUDGET. 1) THE PRINCIPAL INVESTIGATOR (PI) OR RESEARCH ADMINISTRATOR (RA), ON BEHALF OF THE PI, SUBMITS A SUBAWARD ACQUISITION FORM AUTHORIZING THE ISSUANCE OF A SUBAWARD AND INCLUDES PERTINENT SUBRECIPIENT INFORMATION. A COPY OF THE PRIME AWARD AND LETTER OF INTENT (LOI), SIGNED BY THE SUBRECIPIENT, ARE OBTAINED. THE LOI SHOWS THAT THE SUBRECIPIENT ORGANIZATION REVIEWED AND APPROVED THE BUDGET AND SCOPE OF WORK. 2) 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, REVIEW OF THE PRIME SPECIAL TERMS AND CONDITIONS TO DETERMINE FLOW-DOWN, CONFIRMATION THAT THE SUBRECIPIENT IS NOT DEBARRED, COMPLETES A RISK ASSESSMENT TO ENSURE THE INSTITUTION IS A GOOD STEWARD OF FUNDS AND OTHER SIMILAR REGULATORY AND ADMINISTRATIVE REQUIREMENTS. THE RA & PI MAY COMPLETE PROGRAMMATIC SITE VISITS AND ASSESSMENTS TO DETERMINE SITE PREPAREDNESS FOR THE ACTIVITY. 3) THE SUBAWARD AGREEMENT IS COMPLETED TO INCLUDE APPLICABLE FLOW-DOWN TERMS, REPORTING AND INVOICING REQUIREMENTS. THE SUBAWARD AGREEMENT IS SENT TO THE SUBRECIPIENT INSTITUTION FOR REVIEW OF THE TERMS AND SIGNATURE; APPLICABLE REGULATORY INFORMATION IS REQUESTED. 4) THE FULLY EXECUTED AGREEMENT INCLUDES THE PRIME AWARD TERMS AND CONDITIONS. NO PAYMENTS ARE MADE TO THE SUBRECIPIENT UNTIL THE FULLY EXECUTED AGREEMENT IS IN PLACE.
PART I, LINE 3:	THE ACCRUAL METHOD WAS USED IN ACCOUNTING FOR EXPENDITURES IN PARTS I AND II.

Schedule F (Form 990) 2023

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

2023

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
	RKD GROUP LLC 3400 WATERVIEW PKWY 250 RICHARDSON, TX75080	DIRECT MAIL, DIGITAL SOLICITATION AND ANALYTICS		No	5,267,131	281,827	4,985,304









Total . . . . . . . . . . . . . . . . . . . .					5,267,131	281,827	4,985,304

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

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

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

Cat. No. 50083H

Schedule G (Form 990) 2023

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 IN FOR THE HUTCH (event type)	(c) Other events 2 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	5,914,269	327,119	211,595	6,452,983
2	Less: Contributions . . . .	5,342,208	177,845	211,595	5,731,648
3	Gross income (line 1 minus line 2) . . . . . .	572,061	149,274		721,335

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	361,849	7,624	4,089	373,562
7	Food and beverages . . .	244,083	85,424	45,814	375,321
8	Entertainment . . . .	46,504	30,900	16,572	93,976
9	Other direct expenses . . .	674,918	108,487	26,795	810,200
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				1,653,059
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-931,724

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) 2023

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, PART I, LINE 2B, COLUMN (V)

FRED HUTCH HAS AN AGREEMENT WITH RKD GROUP WHERE RKD GROUP PROVIDES CERTAIN STRATEGIC SERVICES, SUCH AS DIRECT MAIL AND DIGITAL PROGRAM MANAGEMENT, IN CONNECTION WITH FRED HUTCH'S SOLICITATION EFFORTS. UNDER THE AGREEMENT, AMOUNTS FOR POSTAGE, PRINTING/PRODUCTION, DIGITAL MEDIA PURCHASES, AND OTHER DIRECT COSTS INCURRED BY RKD GROUP ON FRED HUTCH'S BEHALF ARE ITEMIZED WHEN INVOICED. DURING THE TAX YEAR, FRED HUTCH INCURRED THE FOLLOWING EXPENSES RELATED TO ITS AGREEMENT WITH RKD GROUP: POSTAGE: $1,214,892 PRINTING/PRODUCTION: $1,033,370 DIGITAL MEDIA PURCHASES: $645,755

Schedule G (Form 990) 2023

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

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: . . . . . . . .

Yes

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

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

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

Yes

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	13,795,336		13,795,336	0.670 %
b	Medicaid (from Worksheet 3, column a) . . . . .	108,695,044	69,830,753	38,864,291	1.880 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	122,490,380	69,830,753	52,659,627	2.550 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	4,031,205	847,815	3,183,390	0.150 %
f	Health professions education (from Worksheet 5) . . .	12,375,315	16,368	12,358,947	0.600 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	614,487,507	536,278,169	78,209,338	3.790 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	536,247	17,525	518,722	0.030 %
j	Total. Other Benefits . .	631,430,274	537,159,877	94,270,397	4.570 %
k	Total. Add lines 7d and 7j .	753,920,654	606,990,630	146,930,024	7.120 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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			8,694		8,694	0 %
3	Community support			23,151		23,151	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building			38,557		38,557	0 %
7	Community health improvement advocacy			46,576		46,576	0 %
8	Workforce development			34,536		34,536	0 %
9	Other
10	Total			151,514		151,514	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

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).....

264,908,596

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

296,622,856

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

-31,714,260

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) 2023

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 CENTER 1959 NE PACIFIC STREET SEATTLE,WA98195 WWW.FREDHUTCH.ORG HAC.FS.00000204	X	X	ACUTE CARE HOSPITAL

Schedule H (Form 990) 2023

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): SEE PART V, PAGE 8

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 22

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

Yes

If "Yes" (list url): SEE PART V, PAGE 8

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) 2023

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 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

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

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

SEE PART V, PAGE 8

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

SEE PART V, PAGE 8

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, PAGE 8

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) 2023

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) 2023

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) 2023

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, TRIBAL LEADERS AND COMMUNITY-BASED ORGANIZATIONS WORKING ALONGSIDE PEOPLE FROM A WIDE RANGE BACKGROUNDS, INCOME LEVELS, AGE AND OTHER GROUPS WITH LOW ACCESS TO CANCER SERVICES. WE DESIGNED A SEMI-STRUCTURED INTERVIEW PROTOCOL AND INCLUDED QUESTIONS ABOUT THE INTERVIEWEE'S ORGANIZATION AND THE SERVICES THEY PROVIDE, THEIR EXPERIENCE WORKING WITH DIFFERENT POPULATIONS, UNMET HEALTH AND CANCER-RELATED NEEDS IN THE COMMUNITY, SOCIOECONOMIC FACTORS THAT CONTRIBUTE TO DIFFERENCES IN HEALTH OUTCOMES, 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 FACTORS; 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 EQUITY2. 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 EFFORTS ENCOMPASS 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 DIFFERENCES IN OUTCOMES ASSOCIATED WITH RACE, ETHNICITY, LANGUAGE, CULTURAL NORMS AND EDUCATION. 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 AMONG OUR PROVIDERS AND RESEARCH STAFF SO THAT EVERY PATIENT, REGARDLESS OF BACKGROUND, RECEIVES APPROPRIATE SUPPORT. 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 PATIENT-RELATED 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 HLIIL 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' NEEDS 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 HUTCHINSON CANCER CENTER 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 IMPACTS 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. WE PLAN TO ENGAGE IN EXISTING AND UPCOMING CLIMATE RESILIENCE HEALTHCARE ANALYSES AND STRATEGIC FRAMEWORKS 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 13H: 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 HUTCHINSON CANCER CENTER 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 15E: ALTHOUGH THE FINANCIAL ASSISTANCE POLICY DOES NOT HAVE SPECIFIC CONTACT INFORMATION OF NONPROFIT ORGANIZATIONS OR GOVERNMENT AGENCIES THAT MAY BE SOURCES OF ASSISTANCE, THE FRED HUTCHINSON CANCER CENTER DOES HAVE GUIDELINES AND STEPS FOR ASSISTING PATIENTS WITH THIS CONTACT INFORMATION/PROCESS INCLUDED IN THE FINANCIAL ASSISTANCE POLICY AND ON OUR WEBSITE.FRED HUTCH STAFF ALSO WORK WITH PATIENTS/FAMILIES WHO DO NOT HAVE APPLICABLE THIRD-PARTY COVERAGE TO ASSESS WHETHER SUCH PATIENTS/FAMILIES MAY BE ELIGIBLE FOR WASHINGTON MEDICAL ASSISTANCE PROGRAMS (E.G., APPLE HEALTH) AND/OR HEALTH CARE COVERAGE THROUGH WASHINGTON'S HEALTH BENEFIT EXCHANGE (RCW 43.71) OR ANY OTHER STATE MEDICAID PROGRAM.AS A PART OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS FOR DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, FRED HUTCH WILL QUERY AS TO WHETHER A PATIENT OR THEIR GUARANTOR MEETS THE CRITERIA FOR HEALTH CARE COVERAGE UNDER MEDICAL ASSISTANCE PROGRAMS UNDER CHAPTER 74.09 RCW OR THE WASHINGTON HEALTH BENEFIT EXCHANGE. IF INFORMATION IN THE APPLICATION INDICATES THAT THE PATIENT OR THEIR GUARANTOR IS ELIGIBLE FOR COVERAGE, WE WILL ASSIST THE PATIENT OR THEIR GUARANTOR IN APPLYING BY, AMONG OTHER THINGS, PROVIDING THE PATIENT/FAMILY WITH INFORMATION ABOUT THE APPLICATION PROCESS, ASSISTING PATIENTS THROUGH THE APPLICATION PROCESS, PROVIDING NECESSARY FORMS THAT MUST BE COMPLETED, AND/OR CONNECTING THE PATIENT/FAMILY WITH OTHER AGENCIES OR RESOURCES WHO CAN ASSIST THE PATIENT/FAMILY IN COMPLETING SUCH APPLICATIONS.
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 WITH LOWER ACCESS TO CANCER SERVICES. . 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 DIFFERENCES IN ACCESS OR OUTCOMES,, 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.
PART V, SECTION B, LINES 7A, 10A WEBSITE:	HTTPS://WWW.FREDHUTCH.ORG/EN/ABOUT/ABOUT-THE-HUTCH/COMMUNITY-BENEFIT.HTML
PART V, SECTION B, LINES 16A, 16B, 16C FAP WEBSITE:	HTTPS://WWW.FREDHUTCH.ORG/EN/PATIENT-CARE/PATIENT-SERVICES/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE.HTML

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?9
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 HUTCHINSON AT EVERGREEN HEALTH 12040 NE 128TH STREET KIRKLAND,WA98034	HOSPITAL BASED OUTPATIENT CLINIC
3	3 - BEHNKE FAMILY 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,WA98133	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
8	8 - PETE GROSS HOUSE 525 MINOR AVE N SEATTLE,WA98109	TEMPORARY MEDICAL HOUSING FACILITY
9	9 - FRED HUTCH CANCER CENTER PROTON THERAPY 1570 N 115TH STREET SEATTLE,WA98133	HOSPITAL BASED OUTPATIENT CLINIC
10

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
PART I, LINE 3C:	IN ACCORDANCE WITH WAC 246-453-040, THE APPLICANT'S FAMILY INCOME ADJUSTED FOR FAMILY SIZE WILL BE REVIEWED PER THE FEDERAL POVERTY STANDARD, AND FINANCIAL ASSISTANCE APPLIED TO UNPAID BALANCES REMAINING AFTER ALL SOURCES OF THIRD PARTY COVERAGE AND SPONSORSHIP HAVE BEEN EXHAUSTED. FINANCIAL ASSISTANCE WILL BE AWARDED AT THE FOLLOWING RATES RELATIVE TO APPLICANT'S INCOME RELATIVE TO THE FEDERAL POVERTY STANDARD. -ADJUSTED FAMILY INCOME AT OR LESS THAN 300% OF THE FPS WILL HAVE UNPAID BALANCES DISCOUNTED BY 100% -ADJUSTED FAMILY INCOME AT 301% TO 350% OF THE FPS WILL HAVE UNPAID BALANCES DISCOUNTED BY 75% -ADJUSTED FAMILY INCOME AT 351% TO 400% OF THE FPS WILL HAVE UNPAID BALANCES DISCOUNTED BY 50%APPLICANTS WHOSE INCOME EXCEEDS 400% 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, LN 7 COL(F):	BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX IS $1,596,118. THIS AMOUNT DOES NOT PERTAIN TO ANY PATIENT SERVICE RELATED ACTIVITY.
PART III, LINE 4:	REFER TO PAGE 10-11 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 FY24. THE METHODOLOGY USED TO COMPLETE THE MEDICARE COST REPORT WAS BASED ON THE CMS PROVIDER REIMBURSEMENT MANUAL, PUBLICATION 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 COST FEE SCHEDULE. 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 $264,908,596 $1,088,305 $117,174,047 $383,170,948MEDICARE EXPENSE $296,622,856 $3,257,930 $145,340,948 $445,221,734SHORTFALL ($31,714,260) ($2,169,625) ($28,166,901) ($62,050,787)AS THE ONLY NCI-DESIGNATED COMPREHENSIVE CANCER CENTER IN THE STATE OF WASHINGTON, FRED HUTCH BELIEVES THAT THE ENTIRE AMOUNT OF THE SHORTFALL REPORTED ON PART III, LINE 7 SHOULD BE TREATED 100% AS A COMMUNITY BENEFIT, AS IF FRED HUTCH HAD NOT DELIVERED THESE SERVICES, THE SERVICES AND FINANCIAL LOSS WOULD FALL TO ANOTHER COMMUNITY HOSPITAL. IN ADDITION TO THE $31,714,260 SHORTFALL REPORTED ON PART III, LINE 7, FRED HUTCH INCURS ADDITIONAL COSTS IN TREATING MEDICARE PATIENTS, WHICH RESULTS IN AN ADDITIONAL SHORTFALL IN THE AMOUNT OF $30,336,526, WHICH IS NOT REFLECTED IN THE AMOUNT LISTED ON PART III, LINE 7.
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 ENSURE PARTICIPATION REFLECTS ALL OF 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:	FRED HUTCH PROVIDES INFORMATION ON OUR WEBSITE WHICH INCLUDES THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION IN ENGLISH AND 9 OTHER LANGUAGES, AS WELL AS A LIST OF OUTSIDE RESOURCES AVAILABLE TO PATIENTS IN NEED OF ASSISTANCE. SIGNAGE IS POSTED PUBLICLY IN OUR OUTPATIENT CLINICS AND HOSPITAL, INFORMING PATIENTS AND PERSONS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. BROCHURES DESCRIBE THE FINANCIAL ASSISTANCE PROGRAM ALONG WITH CONTACT INFORMATION FOR FRED HUTCH FINANCIAL COUNSELORS WHO ARE AVAILABLE FREE OF CHARGE TO HELP REVIEW THEIR INFORMATION AND TO HELP COMPLETE THE NECESSARY PAPERWORK TO APPLY FOR ASSISTANCE. INTERPRETER SERVICES ARE AVAILABLE IF NEEDED. PATIENT BILLING STATEMENTS INCLUDE A WRITTEN NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND A DIRECT LINK TO THE WEBSITE.
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 BREADTH OF DEMOGRAPHIC CHARACTERISTICS CONTINUE TO SHAPE 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 CHARACTERISTICS. 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 VARIATION 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 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. 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 NECESSARY HEALTH CARE TO INDIVIDUALS WITH TRADITIONALLY LIMITED ACCESS, 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 ACCESS-LIMITED 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 SEVENTEEN (17)-MEMBER BOARD OF DIRECTORS, INCLUDING THIRTEEN (13) COMMUNITY DIRECTORS AND FOUR (4) 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 SERVES AS THE CANCER PROGRAM FOR UW MEDICINE, AN INTEGRATED CLINICAL, RESEARCH AND LEARNING HEALTH SYSTEM. FRED HUTCH AND UW MEDICINE SHARE COMPLEMENTARY GOALS AND EXPERTISE IN DELIVERING CARE, WITH FRED HUTCH FOCUSING ON CARING FOR CANCER AND RELATED BLOOD DISORDERS, WHILE UW MEDICINE OFFERS AN EXTENSIVE RANGE OF SPECIALTY CARE FOR OTHER HEALTH NEEDS. CANCER CARE PROVIDERS ARE DUALLY CREDENTIALED TO TREAT PATIENTS AT FRED HUTCH AND UW MEDICINE LOCATIONS, GIVING PATIENTS GREATER ACCESS TO CANCER TREATMENTS AND SUPPORTIVE CARE.
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) 2023

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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

2023

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) ABRAHAM J AND PHYLLIS KATZ CORD BLOOD FOUNDATION 25001 EMERY RD STE 150 CLEVELAND,OH441285632	20-8376689	501(C)(3)	6,158	RESEARCH SUPPORT/SUBAWARDS
(2) ACCESS TO ADVANCED HEALTH INSTITUTE 1616 EASTLAKE AVE E STE 400 SEATTLE,WA981023797	91-1608978	501(C)(3)	339,477	RESEARCH SUPPORT/SUBAWARDS
(3) ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 4000 AMBASSADOR DR ANCHORAGE,AK995085909	92-0162721	501(C)(3)	237,378	RESEARCH SUPPORT/SUBAWARDS
(4) ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVENUE BRONX,NY104611900	83-0621846	501(C)(3)	108,060	RESEARCH SUPPORT/SUBAWARDS
(5) ALLIANCE FOR REGENERATIVE MEDICINE 1015 18TH ST NW STE 1102 WASHINGTON,DC200365202	27-0486705	501(C)(4)	20,000	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(6) AMERICAN CANCER SOCIETY INC 270 PEACHTREE ST NW STE 1300 ATLANTA,GA303031246	13-1788491	501(C)(3)	53,575	RESEARCH & PROGRAM SUPPORT
(7) ARIZONA STATE UNIVERSITY PO BOX 876011 TEMPE,AZ852876011	86-0196696	GOVERNMENT	106,720	RESEARCH SUPPORT/SUBAWARDS
(8) BARBARA ANN KARMANOS CANCER HOSPITAL 4100 JOHN R ST DETROIT,MI482012013	20-1649466	501(C)(3)	28,764	RESEARCH SUPPORT/SUBAWARDS
(9) BAYLOR COLLEGE OF MEDICINE 1 BAYLOR PLZ HOUSTON,TX770303411	74-1613878	501(C)(3)	44,729	RESEARCH SUPPORT/SUBAWARDS
(10) BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE 1450 DUARTE RD DUARTE,CA910103012	95-3432210	501(C)(3)	291,613	RESEARCH SUPPORT/SUBAWARDS
(11) BETH ISRAEL DEACONESS MEDICAL CENTER INC 330 BROOKLINE AVE BOSTON,MA022155400	04-2103881	501(C)(3)	325,693	RESEARCH SUPPORT/SUBAWARDS
(12) BINAYTARA FOUNDATION 3380 146TH PL SE STE 330 BELLEVUE,WA980076472	26-1603676	501(C)(3)	12,750	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(13) BROAD INSTITUTE INC 415 MAIN ST CAMBRIDGE,MA021421027	26-3428781	501(C)(3)	329,084	RESEARCH SUPPORT/SUBAWARDS
(14) CANCER LIFELINE OF KING COUNTY 6522 FREMONT AVE N SEATTLE,WA981035358	91-6182951	501(C)(3)	22,750	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(15) CANCER PATHWAYS 1400 BROADWAY SEATTLE,WA981223809	91-1742315	501(C)(3)	15,000	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(16) CANCER RESEARCH AND BIOSTATISTICS 1505 WESTLAKE AVENUE NORTH SUI SEATTLE,WA981093050	91-1828539	501(C)(3)	7,589,422	RESEARCH SUPPORT/SUBAWARDS
(17) CASE WESTERN RESERVE UNIVERSITY 10969 CEDAR AVE SUITE 200 CLEVELAND,OH441063004	34-1018992	501(C)(3)	17,270	RESEARCH SUPPORT/SUBAWARDS
(18) CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD W HOLLYWOOD,CA900481804	95-1644600	501(C)(3)	162,988	RESEARCH SUPPORT/SUBAWARDS
(19) CENTER FOR COMMUNITY SERVICE FUND 1301 5TH AVE STE 1500 SEATTLE,WA981012632	91-1648680	501(C)(3)	25,000	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(20) CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION 1201 S MILLER ST WENATCHEE,WA988013201	91-0171250	501(C)(3)	17,208	RESEARCH SUPPORT/SUBAWARDS
(21) CHILDRENS HOSPITAL CORPORATION 300 LONGWOOD AVE BOSTON,MA021155724	04-2774441	501(C)(3)	385,527	RESEARCH SUPPORT/SUBAWARDS
(22) CHRISTUS SANTA ROSA HEALTH CARE CORPORATION 333 N SANTA ROSA SAN ANTONIO,TX782073108	74-1109665	501(C)(3)	61,691	RESEARCH SUPPORT/SUBAWARDS
(23) CITY AND COUNTY OF SAN FRANCISCO 1380 HOWARD ST RM 411 SAN FRANCISCO,CA941032614	94-6000417	GOVERNMENT	140,686	RESEARCH SUPPORT/SUBAWARDS
(24) CITY OF HOPE NATIONAL MEDICAL CENTER 1500 DUARTE RD DUARTE,CA910103012	95-1683875	501(C)(3)	64,550	RESEARCH SUPPORT/SUBAWARDS
(25) COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK 615 W 131 ST MC 8741 NEW YORK,NY100277922	13-5598093	501(C)(3)	1,039,988	RESEARCH SUPPORT/SUBAWARDS
(26) CYTEL INC 1525 11TH AVE SEATTLE,WA98122	04-2955676	OTHER	301,556	RESEARCH SUPPORT/SUBAWARDS
(27) DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVENUE BP418 BOSTON,MA022155418	04-2263040	501(C)(3)	360,233	RESEARCH SUPPORT/SUBAWARDS
(28) DREXEL UNIVERSITY 3201 ARCH STREET SUITE 400 PHILADELPHIA,PA191042875	23-1352630	501(C)(3)	28,424	RESEARCH SUPPORT/SUBAWARDS
(29) DUKE UNIVERSITY 2200 W MAIN ST STE 300 DURHAM,NC277054677	56-0532129	501(C)(3)	6,539,517	RESEARCH SUPPORT/SUBAWARDS
(30) EMMES COMPANY LLC 401 NORTH WASHINGTON STREET SUITE 700 ROCKVILLE,MD20850	54-1058268	OTHER	235,295	RESEARCH SUPPORT/SUBAWARDS
(31) EMORY UNIVERSITY 1599 CLIFTON RD NE 3RD FLR RM 3101 ATLANTA,GA303224250	58-0566256	501(C)(3)	1,001,898	RESEARCH SUPPORT/SUBAWARDS
(32) EMPOWER LEARNING LLC 401 MARKWITH AVE GREENVILLE,OH45331	47-4290056	OTHER	65,520	RESEARCH SUPPORT/SUBAWARDS
(33) EXAMONE WORLD WIDE INC PO BOX 201392 DALLAS,TX753201392	23-2057350	OTHER	1,387,731	RESEARCH SUPPORT/SUBAWARDS
(34) FEAST COLLECTIVE 1321 W 3RD AVE SPOKANE,WA992014621	84-2487545	501(C)(3)	12,750	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(35) FENWAY COMMUNITY HEALTH CENTER INC 1340 BOYLSTON STREET 12TH FLOOR BOSTON,MA022154302	04-2510564	501(C)(3)	62,818	RESEARCH SUPPORT/SUBAWARDS
(36) FISHER BIOSERVICES P O BOX 418395 BOSTON,MA022418395	54-1348241	OTHER	1,017,813	RESEARCH SUPPORT/SUBAWARDS
(37) FRIENDS OF KEXP 472 1ST N AVE SEATTLE,WA981090000	91-2061474	501(C)(3)	27,000	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(38) FRONTIER SCIENCE AND TECHNOLOGY RESEARCH FOUNDATION INC 4033 MAPLE ROAD AMHERST,NY142261056	16-1056814	501(C)(3)	319,597	RESEARCH SUPPORT/SUBAWARDS
(39) GREATER SEATTLE BUSINESS ASSOCIATION 400 E PINE ST STE 322 SEATTLE,WA981222300	91-1171171	501(C)(6)	8,500	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(40) H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL INC 12902 MAGNOLIA DRIVE TAMPA,FL336129416	59-3238634	501(C)(3)	45,425	RESEARCH SUPPORT/SUBAWARDS
(41) H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE INC 12902 MAGNOLIA DRIVE TAMPA,FL336129416	59-2451713	501(C)(3)	858,826	RESEARCH SUPPORT/SUBAWARDS
(42) HARVARD PILGRIM HEALTH CARE INC 1 WELLNESS WAY CANTON,MA020211166	04-2452600	501(C)(3)	11,855	RESEARCH SUPPORT/SUBAWARDS
(43) HEALTH RESEARCH INCORPORATED 150 BROADWAY STE 280 MENANDS,NY122042732	14-1402155	501(C)(3)	425,034	RESEARCH SUPPORT/SUBAWARDS
(44) HENRY FORD HEALTH SYSTEM ONE FORD PLACE - 5F DETROIT,MI482023450	38-1357020	501(C)(3)	48,079	RESEARCH SUPPORT/SUBAWARDS
(45) HENRY M JACKSON FOUNDATION FOR THE ADVANCEMENT OF MILITARY MEDICINE 6720 ROCKLEDGE DR STE 100 BETHESDA,MD208171883	52-1317896	501(C)(3)	263,498	RESEARCH SUPPORT/SUBAWARDS
(46) HISPANIC BUSINESS PROFESSIONAL ASSOCIATION FOUNDATION OF THE INLA 1214 E SPRAGUE AVE SPOKANE,WA99202	74-3200153	501(C)(3)	12,750	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(47) HJF MEDICAL RESEARCH INTERNATIONAL INC 6720A ROCKLEDGE DR STE 100 BETHESDA,MD208171891	52-2322791	501(C)(3)	1,392,398	RESEARCH SUPPORT/SUBAWARDS
(48) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI 1 GUSTAVE L LEVY PL NEW YORK,NY100296504	13-6171197	501(C)(3)	583,723	RESEARCH SUPPORT/SUBAWARDS
(49) IHC HEALTH SERVICES INC 36 S STATE ST STE 2200 SALT LAKE CTY,UT841111470	94-2854057	501(C)(3)	34,520	RESEARCH SUPPORT/SUBAWARDS
(50) INDIANA UNIVERSITY PO BOX 78000 DETROIT,MI482780867	35-6001673	GOVERNMENT	57,326	RESEARCH SUPPORT/SUBAWARDS
(51) INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980573368	91-2003593	501(C)(3)	110,341	RESEARCH SUPPORT/SUBAWARDS
(52) JOHNS HOPKINS UNIVERSITY 1101 E 33RD ST STE C-020 BALTIMORE,MD212183637	52-0595110	501(C)(3)	118,746	RESEARCH SUPPORT/SUBAWARDS
(53) KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND,WA99352	23-7005501	501(C)(3)	12,750	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(54) KAISER FOUNDATION HOSPITALS ONE KAISER PLZ FL 26 OAKLAND,CA946120000	94-1105628	501(C)(3)	251,556	RESEARCH SUPPORT/SUBAWARDS
(55) LAHAI HEALTH 19820 SCRIBER LAKE ROAD STE 2 LYNNWOOD,WA98036	33-1052418	501(C)(3)	8,500	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(56) LAWRENCE BERKELEY NATIONAL LABORATORY PO BOX 884240 LOS ANGELES,CA900884240	94-2951741	GOVERNMENT	310,000	RESEARCH SUPPORT/SUBAWARDS
(57) LEUKEMIA & LYMPHOMA SOCIETY INC 3 INTERNATIONAL DR STE 200 RYE BROOK,NY105737501	13-5644916	501(C)(3)	15,000	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(58) LIFE SCIENCE WASHINGTON 188 EAST BLAINE STREET 150 SEATTLE,WA981023983	91-1453398	501(C)(6)	6,000	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(59) LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL 1124 W CARSON ST BLDG N-14 TORRANCE,CA905022006	95-2138184	501(C)(3)	13,121	RESEARCH SUPPORT/SUBAWARDS
(60) MASSACHUSETTS INSTITUTE OF TECHNOLOGY 77 MASSACHUSETTS AVENUE NE49-3142 CAMBRIDGE,MA021394307	04-2103594	501(C)(3)	25,515	RESEARCH SUPPORT/SUBAWARDS
(61) MEDICAL UNIVERSITY OF SOUTH CAROLINA 1 SOUTH PARK CIR CHARLESTON,SC29407	57-6000722	GOVERNMENT	34,670	RESEARCH SUPPORT/SUBAWARDS
(62) MEMORIAL SLOAN-KETTERING CANCER CENTER 1275 YORK AVE NEW YORK,NY100656007	13-1624182	501(C)(3)	1,581,252	RESEARCH SUPPORT/SUBAWARDS
(63) MESO SCALE DIAGNOSTICS LLC 1601 RESEARCH BLVD ROCKVILLE,MD20850	52-1974952	OTHER	133,472	RESEARCH SUPPORT/SUBAWARDS
(64) NATIONAL MARROW DONOR PROGRAM 500 N 5TH ST MINNEAPOLIS,MN554011206	84-0865803	501(C)(3)	87,261	RESEARCH SUPPORT/SUBAWARDS
(65) NEW LIFE COMMUNITY DEVELOPEMENT CENTER 1023 6TH ST BREMERTON,WA983371443	48-1272428	501(C)(3)	15,000	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(66) NEW YORK BLOOD CENTER INC 310 E 67TH ST NEW YORK,NY100656275	13-1949477	501(C)(3)	651,016	RESEARCH SUPPORT/SUBAWARDS
(67) NEW YORK UNIVERSITY SCHOOL OF MEDICINE PO BOX 415026 BOSTON,MA022415026	13-5562309	GOVERNMENT	50,468	RESEARCH SUPPORT/SUBAWARDS
(68) NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD 2121 SW BROADWAY STE 300 PORTLAND,OR972013182	93-0718154	501(C)(3)	85,553	RESEARCH SUPPORT/SUBAWARDS
(69) NORTHWESTERN UNIVERSITY 633 CLARK ST EVANSTON,IL602080001	36-2167817	501(C)(3)	43,050	RESEARCH SUPPORT/SUBAWARDS
(70) NW SARCOMA FOUNDATION A NON-PROFIT CORPORATION 117 EAST LOUISA ST 443 SEATTLE,WA981023203	91-1717600	501(C)(3)	10,000	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(71) OCHSNER CLINIC FOUNDATION 1514 JEFFERSON HWY NEW ORLEANS,LA701212429	72-0502505	501(C)(3)	190,602	RESEARCH SUPPORT/SUBAWARDS
(72) OREGON HEALTH & SCIENCE UNIVERSITY PO BOX 3003 PORTLAND,OR972083003	93-1176109	GOVERNMENT	178,523	RESEARCH SUPPORT/SUBAWARDS
(73) PALO ALTO VETERANS INSTITUTE FOR RESEARCH PO BOX 38 PALO ALTO,CA943040038	77-0207331	501(C)(3)	25,696	RESEARCH SUPPORT/SUBAWARDS
(74) PANCREATIC CANCER ACTION NETWORK INC 2101 ROSECRANS AVE STE 3200 EL SEGUNDO,CA902457512	33-0841281	501(C)(3)	20,000	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(75) PRESIDENT AND FELLOWS OF HARVARD COLLEGE 1033 MASSACHUSETTS AVE STE 3 CAMBRIDGE,MA021385366	04-2103580	501(C)(3)	65,890	RESEARCH SUPPORT/SUBAWARDS
(76) PUBLIC HEALTH FOUNDATION ENTERPRISES INC 13300 CROSSROADS PKWY NORTH SUITE 4 CITY OF INDUSTRY,CA917463407	95-2557063	501(C)(3)	464,125	RESEARCH SUPPORT/SUBAWARDS
(77) RAND CORPORATION 1776 MAIN ST SANTA MONICA,CA904013208	95-1958142	501(C)(3)	18,688	RESEARCH SUPPORT/SUBAWARDS
(78) RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA 1001 EMMET ST N CHARLOTTESVLE,VA229034833	54-6001796	501(C)(3)	531,048	RESEARCH SUPPORT/SUBAWARDS
(79) REGENTS OF THE UNIVERSITY OF CALIFORNIA 4150 V ST STE G500 SACRAMENTO,CA95817	94-6036494	GOVERNMENT	54,610	RESEARCH SUPPORT/SUBAWARDS
(80) REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELEY 2195 HEARST AVE RM 120 MC 1104 BERKELEY,CA947201083	94-6002123	GOVERNMENT	24,480	RESEARCH SUPPORT/SUBAWARDS
(81) REGENTS OF THE UNIVERSITY OF CALIFORNIA AT SAN DIEGO 9500 GILMAN DRIVE MC 0952 LA JOLLA,CA920930952	95-6006144	GOVERNMENT	172,942	RESEARCH SUPPORT/SUBAWARDS
(82) REGENTS OF THE UNIVERSITY OF COLORADO 1800 N GRANT ST STE 400 DENVER,CO802031125	84-6000555	GOVERNMENT	1,762,953	RESEARCH SUPPORT/SUBAWARDS
(83) REGENTS OF THE UNIVERSITY OF MICHIGAN 3003 S STATE ST 5082 WOLVERINE TWR ANN ARBOR,MI481090000	38-6006309	GOVERNMENT	397,920	RESEARCH SUPPORT/SUBAWARDS
(84) REGENTS OF THE UNIVERSITY OF MINNESOTA NW 5957 P O BOX 1450 MINNEAPOLIS,MN554855957	41-6007513	GOVERNMENT	428,091	RESEARCH SUPPORT/SUBAWARDS
(85) REGENTS UNIV OF CALIFORNIA 10920 WILSHIRE BLVD STE 620 LOS ANGELES,CA900246505	95-6006143	GOVERNMENT	535,265	RESEARCH SUPPORT/SUBAWARDS
(86) RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK PO BOX 9 ALBANY,NY122010009	14-1368361	501(C)(3)	34,774	RESEARCH SUPPORT/SUBAWARDS
(87) RESEARCH FOUNDATION OF THE CITY UNIVERSITY OF NEW YORK 230 WEST 41ST STREET NEW YORK,NY100367207	13-1988190	501(C)(3)	79,528	RESEARCH SUPPORT/SUBAWARDS
(88) RESEARCH TRIANGLE INSTITUTE 3040 CORNWALLIS RD DURHAM,NC277132852	56-0686338	501(C)(3)	82,086	RESEARCH SUPPORT/SUBAWARDS
(89) ROCKEFELLER UNIVERSITY 1230 YORK AVE NEW YORK,NY100656399	13-1624158	501(C)(3)	508,500	RESEARCH SUPPORT/SUBAWARDS
(90) RUTGERS THE STATE UNIVERSITY OF NJ 33 KNIGTSBRIDGE ROAD RM C253 PISCATAWAY,NJ088543987	22-6001086	501(C)(3)	28,687	RESEARCH SUPPORT/SUBAWARDS
(91) SCRIPPS RESEARCH INSTITUTE 10550 N TORREY PINES RD LA JOLLA,CA920371000	33-0435954	501(C)(3)	6,929,355	RESEARCH SUPPORT/SUBAWARDS
(92) SEATTLE CHILDRENS HOSPITAL PO BOX 5371 SEATTLE,WA981455005	91-0564748	501(C)(3)	918,292	RESEARCH & PROGRAM SUPPORT
(93) SEATTLE INSTITUTE FOR BIOMEDICAL AND CLINICAL RESEARCH 1660 S COLUMBIAN WAY S-116-MIRECC SEATTLE,WA981081532	91-1452438	501(C)(3)	67,134	RESEARCH SUPPORT/SUBAWARDS
(94) SOCIALISSSIMA LLC 8911 N CAPITAL OF TEXAS HWY 4200 AUSTIN,TX78759	81-2324678	OTHER	4,628,507	RESEARCH SUPPORT/SUBAWARDS
(95) SOUTH PUGET INTERTRIBAL PLANNING 3104 SE OLD OLYMPIC HIGHWAY SHELTON,WA98584	91-1065249	501(C)(3)	12,750	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(96) SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP PO BOX 741134 LOS ANGELES,CA900741134	95-1750445	501(C)(3)	19,533	RESEARCH SUPPORT/SUBAWARDS
(97) ST JUDE CHILDRENS RESEARCH HOSPITAL INC 262 DANNY THOMAS PL MEMPHIS,TN381053678	62-0646012	501(C)(3)	562,135	RESEARCH SUPPORT/SUBAWARDS
(98) SWIM ACROSS AMERICA INC 8508 PARK ROAD SUITE 389 CHARLOTTE,NC282105803	22-3248256	501(C)(3)	25,000	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(99) TACOMA URBAN LEAGUE 2550 S YAKIMA AVE TACOMA,WA98405	91-0826302	501(C)(3)	10,200	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(100) TEXAS A&M AGRILIFE RESEARCH 400 HARVEY MITCHELL PARKWAY SOUTH SUITE 300 COLLEGE STATION,TX77845	74-6000541	GOVERNMENT	10,534	RESEARCH SUPPORT/SUBAWARDS
(101) THE ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND 6823 ST CHARLES AVENUE NEW ORLEANS,LA701185665	72-0423889	501(C)(3)	279,885	RESEARCH SUPPORT/SUBAWARDS
(102) THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY 450 JANE STANFORD WAY STANFORD,CA943052004	94-1156365	501(C)(3)	1,836,510	RESEARCH SUPPORT/SUBAWARDS
(103) THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS 506 S WRIGHT ST 209 HAB NO MC339 URBANA,IL618013620	37-6000511	GOVERNMENT	188,439	RESEARCH SUPPORT/SUBAWARDS
(104) THE BRIGHAM AND WOMEN'S HOSPITAL INC ATTN MGB TAX DEPT 399 REVOLUTION DR SOMERVILLE,MA021451484	04-2312909	501(C)(3)	1,181,766	RESEARCH SUPPORT/SUBAWARDS
(105) THE CHILDRENS HOSPITAL OF PHILADELPHIA 3401 CIVIC CENTER BLVD PHILADELPHIA,PA191044319	23-1352166	501(C)(3)	39,558	RESEARCH SUPPORT/SUBAWARDS
(106) THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVE RK15 CLEVELAND,OH441950001	34-0714585	501(C)(3)	255,262	RESEARCH SUPPORT/SUBAWARDS
(107) THE GENERAL HOSPITAL CORPORATION 399 REVOLUTION DR STE 645 SOMERVILLE,MA021451574	04-2697983	501(C)(3)	177,042	RESEARCH SUPPORT/SUBAWARDS
(108) THE OHIO STATE UNIVERSITY 2650 KENNY RD RM 120 COLUMBUS,OH432101039	31-6025986	GOVERNMENT	160,416	RESEARCH SUPPORT/SUBAWARDS
(109) THE YOUNG MENS CHRISTIAN ASSOCIATION OF GREATER SEATTLE 909 4TH AVE SEATTKE,WA98104	91-0482710	501(C)(3)	15,000	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(110) TRUSTEES OF DARTMOUTH COLLEGE 7 LEBANON ST STE 302 HANOVER,NH037552112	02-0222111	501(C)(3)	164,252	RESEARCH SUPPORT/SUBAWARDS
(111) TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA 3451 WALNUT ST PHILADELPHIA,PA191046205	23-1352685	501(C)(3)	852,053	RESEARCH SUPPORT/SUBAWARDS
(112) TRUTH INITIATIVE FOUNDATION 900 G STREET NW 4TH FL WASHINGTON,DC200015332	91-1956621	501(C)(3)	20,697	RESEARCH SUPPORT/SUBAWARDS
(113) UNIV OF TEXAS HEALTH SCIENCES CENTER PO BOX 1898 SAN ANTONIO,TX782971898	74-1586031	GOVERNMENT	80,335	RESEARCH SUPPORT/SUBAWARDS
(114) UNIVERSITY OF ALABAMA BIRMINGHAM 1720 SECOND AVE S BIRMINGHAM,AL352940109	63-6005396	GOVERNMENT	563,830	RESEARCH SUPPORT/SUBAWARDS
(115) UNIVERSITY OF ALASKA PO BOX 755140 FAIRBANKS,AK997090000	92-6000147	GOVERNMENT	62,872	RESEARCH SUPPORT/SUBAWARDS
(116) UNIVERSITY OF ARKANSAS 4301 WEST MARKHAM LITTLE ROCK,AR72205	71-6046242	GOVERNMENT	17,958	RESEARCH SUPPORT/SUBAWARDS
(117) UNIVERSITY OF CALIFORNIA SAN FRANCISCO UCSF BOX 0815 SUITE 425 SAN FRANCISCO,CA941430000	94-6036493	501(C)(3)	1,552,284	RESEARCH SUPPORT/SUBAWARDS
(118) UNIVERSITY OF CINCINNATI PO BOX 932641 CLEVELAND,OH44193	31-6000989	GOVERNMENT	53,830	RESEARCH SUPPORT/SUBAWARDS
(119) UNIVERSITY OF FLORIDA SUITE 1250 EAST CAMPUS BUILDIN GAINESVILLE,FL326110001	59-6002052	501(C)(3)	54,973	RESEARCH SUPPORT/SUBAWARDS
(120) UNIVERSITY OF HAWAII 2440 CAMPUS ROAD BOX 368 HONOLULU,HI968222234	99-6000354	GOVERNMENT	7,735	RESEARCH SUPPORT/SUBAWARDS
(121) UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION 301 PETERSON SERVICE BUILDING LEXINGTON,KY405060001	61-6033693	501(C)(3)	136,929	RESEARCH SUPPORT/SUBAWARDS
(122) UNIVERSITY OF MASSACHUSETTS 55 LAKE AVE N WORCESTER,MA01655	04-3167352	GOVERNMENT	31,893	RESEARCH SUPPORT/SUBAWARDS
(123) UNIVERSITY OF NEBRASKA BOARD OF REGENTS 3835 HOLDREGE ST LINCOLN,NE685031435	47-0049123	GOVERNMENT	116,289	RESEARCH SUPPORT/SUBAWARDS
(124) UNIVERSITY OF NO CAROLINA AT CHARLOTTE 9201 UNIVERSITY CITY BOULEVARD CHARLOTTE,NC282230001	56-0791228	GOVERNMENT	175,270	RESEARCH SUPPORT/SUBAWARDS
(125) UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL 104 AIRPORT DR SUITE 3600 CB 1260 CHAPEL HILL,NC275995023	56-6001393	GOVERNMENT	1,559,715	RESEARCH SUPPORT/SUBAWARDS
(126) UNIVERSITY OF PITTSBURGH 116 ATWOOD STREET SUITE 201 PITTSBURGH,PA152133402	25-0965591	501(C)(3)	344,896	RESEARCH SUPPORT/SUBAWARDS
(127) UNIVERSITY OF ROCHESTER BOX 278893 ROCHESTER,NY146270000	16-0743209	501(C)(3)	223,383	RESEARCH SUPPORT/SUBAWARDS
(128) UNIVERSITY OF SOUTHERN CALIFORNIA UNIVERSITY PARK LOS ANGELES,CA900890001	95-1642394	501(C)(3)	309,725	RESEARCH SUPPORT/SUBAWARDS
(129) UNIVERSITY OF TENNESSEE 910 MADISON AVE SUITE 816 MEMPHIS,TN38163	62-6001636	GOVERNMENT	49,664	RESEARCH SUPPORT/SUBAWARDS
(130) UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL PO BOX 841765 DALLAS,TX752841765	75-6002868	GOVERNMENT	1,312,232	RESEARCH SUPPORT/SUBAWARDS
(131) UNIVERSITY OF TEXAS MD ANDERSON PO BOX 4266 HOUSTON,TX772104266	74-6001118	GOVERNMENT	697,152	RESEARCH SUPPORT/SUBAWARDS
(132) UNIVERSITY OF UTAH 201 S PRESIDENTS CIRCLE RM 159 SALT LAKE CITY,UT841129049	87-6000525	GOVERNMENT	31,756	RESEARCH SUPPORT/SUBAWARDS
(133) UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE 85 S PROSPECT ST BURLINGTON,VT054051704	03-0179440	GOVERNMENT	154,658	RESEARCH SUPPORT/SUBAWARDS
(134) UNIVERSITY OF WASHINGTON 1410 NE CAMPUS PKWY SEATTLE,WA98195	91-6001537	GOVERNMENT	29,930,671	RESEARCH & PROGRAM SUPPORT
(135) UNIVERSITY OF WISCONSIN 2100 E KENWOOD BLVD MILWAUKEE,WI53211	39-6006492	GOVERNMENT	236,927	RESEARCH SUPPORT/SUBAWARDS
(136) UROLOGY OF VIRGINIA PLLC 225 CLEARFIELD AVE VIRGINIA BEACH,VA23462	27-4848565	OTHER	18,250	RESEARCH SUPPORT/SUBAWARDS
(137) VANDERBILT UNIVERSITY MEDICAL CENTER 1161 21ST AVE S SUITE D3300 MCN NASHVILLE,TN372320011	35-2528741	501(C)(3)	914,620	RESEARCH SUPPORT/SUBAWARDS
(138) WAKE FOREST UNIVERSITY HEALTH SCIENCES MEDICAL CENTER BLVD WINSTON SALEM,NC271570001	22-3849199	501(C)(3)	47,549	RESEARCH SUPPORT/SUBAWARDS
(139) WALTER REED ARMY INSTITUTE OF RESEARCH 503 ROBERT GRANT DR RM 1W76 SILVER SPRING,MD209107500		GOVERNMENT	3,828,520	RESEARCH SUPPORT/SUBAWARDS
(140) WASHINGTON STATE HOSPITAL ASSOCIATION 999 3RD AVE STE 1400 SEATTLE,WA981044041	91-0584257	501(C)(6)	11,000	CHARITABLE CONTRIBUTION/COMMUNITY SUPPORT
(141) WASHINGTON UNIVERSITY 700 ROSEDALE AVE MS1000-042301 ST LOUIS,MO631121408	43-0653611	501(C)(3)	382,278	RESEARCH SUPPORT/SUBAWARDS
(142) WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY PO BOX 22371 NEW YORK,NY100872371	13-1623978	501(C)(3)	226,301	RESEARCH SUPPORT/SUBAWARDS
(143) YALE UNIVERSITY PO BOX 208239 NEW HAVEN,CT065208239	06-0646973	501(C)(3)	24,606	RESEARCH SUPPORT/SUBAWARDS

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

131

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) 2023

Page 2

Part III

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

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

(1) FOOD	3000	0	47,665	FMV	FOOD FOR PATIENTS
(2) GAS GIFT CARDS	64	0	59,771	FMV	GAS GIFT CARDS
(3) GROCERY GIFT CARDS	205	0	127,965	FMV	GROCERY GIFT CARDS
(4) MEDICAL ACCESSORIES	36	0	24,878	FMV	PROSTHESIS FOR PATIENTS
(5) SHELTER	71	0	162,790	FMV	RENT PAID FOR PATIENTS
(6) SUNDRIES	266	0	1,739	FMV	CLOTHING AND HOUSEHOLD GOODS
(7) TRANSPORTATION	4	0	1,416	FMV	CAB FARE, AIRFARE, AND PARKING FOR PATIENTS
(8) WIGS	26	0	3,900	FMV	WIGS AND HATS FOR PATIENTS
(9) TUITION ASSISTANCE	257	1,760,680	0

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. THERE ARE TWO DIFFERENT ASPECTS OF SUBRECIPIENT MONITORING INSTITUTIONAL AND PROGRAMMATIC. THE OFFICE OF SPONSORED RESEARCH (OSR) CLOSELY REVIEWS THE PRIME AWARD TO FLOW DOWN APPLICABLE TERMS AND CONDITIONS AND CONFIRMS REGULATORY COMPLIANCE. THE PRINCIPAL INVESTIGATOR (PI) AND RESEARCH ADMINISTRATOR (RA) HOLD PRIMARY RESPONSIBILITY FOR ENSURING THE SUBAWARD IS USED IN LINE WITH ITS INTENDED USE PER THE SCOPE OF WORK (SOW) AND BUDGET. 1) THE PRINCIPAL INVESTIGATOR (PI) OR RESEARCH ADMINISTRATOR (RA), ON BEHALF OF THE PI, SUBMITS A SUBAWARD ACQUISITION FORM AUTHORIZING THE ISSUANCE OF A SUBAWARD AND INCLUDES PERTINENT SUBRECIPIENT INFORMATION. A COPY OF THE PRIME AWARD AND LETTER OF INTENT (LOI), SIGNED BY THE SUBRECIPIENT, ARE OBTAINED. THE LOI SHOWS THAT THE SUBRECIPIENT ORGANIZATION REVIEWED AND APPROVED THE BUDGET AND SCOPE OF WORK. 2) 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, REVIEW OF THE PRIME SPECIAL TERMS AND CONDITIONS TO DETERMINE FLOW-DOWN, CONFIRMATION THAT THE SUBRECIPIENT IS NOT DEBARRED, COMPLETES A RISK ASSESSMENT TO ENSURE THE INSTITUTION IS A GOOD STEWARD OF FUNDS AND OTHER SIMILAR REGULATORY AND ADMINISTRATIVE REQUIREMENTS. 3) THE SUBAWARD AGREEMENT IS COMPLETED TO INCLUDE APPLICABLE FLOW-DOWN TERMS, REPORTING AND INVOICING REQUIREMENTS. THE SUBAWARD AGREEMENT IS SENT TO THE SUBRECIPIENT INSTITUTION FOR REVIEW OF THE TERMS AND SIGNATURE; APPLICABLE REGULATORY INFORMATION IS REQUESTED. 4) THE FULLY EXECUTED AGREEMENT INCLUDES THE PRIME AWARD TERMS AND CONDITIONS. NO PAYMENTS ARE MADE TO THE SUBRECIPIENT UNTIL THE FULLY EXECUTED AGREEMENT IS IN PLACE. FRED HUTCH PROVIDES LIMITED ASSISTANCE TO PATIENTS AND FAMILIES WITH CRITICAL FINANCIAL NEEDS BROUGHT ABOUT BY THEIR TREATMENT. THE DONATED FAMILY ASSISTANCE FUND (FAF) IS INTENDED TO IDENTIFY AND ASSIST THOSE PATIENTS WHO CANNOT PROVIDE FOR THE MOST BASIC NEEDS (I.E. SHELTER, FOOD, TRANSPORTATION) THAT HAVE BEEN INCURRED BECAUSE OF THE NEED FOR TREATMENT OR ACCESS TO CARE. TO BE CONSIDERED FOR ASSISTANCE, PATIENTS GENERALLY MUST BE: 1) RECEIVING ACTIVE AND ONGOING TREATMENT AT A FRED HUTCH INPATIENT OR OUTPATIENT SITE MULTIPLE TIMES PER MONTH; 2) HAVE EXHAUSTED ALL OTHER SOURCES OF FINANCIAL ASSISTANCE, OR HAVE DETERMINED TO NOT BE AVAILABLE OR MEET ALL THE NEED; 3) HAVE GROSS HOUSEHOLD INCOME AT OR BELOW THE THRESHOLD MENTIONED IN THE FAF APPLICATION; AND 4) COMPLETE A FAF APPLICATION AND PROVIDE ALL REQUIRED SUPPORTING DOCUMENTATION. IF APPROVED FOR ASSISTANCE, ASSISTANCE MAY BE PROVIDED IN THE FORM OF GROCERY, TRANSPORTATION, OR GAS GIFT CARDS, OR IN THE CASE OF MEDICALLY-NECESSARY LODGING, AMOUNTS ARE PAID DIRECTLY TO THE APPROVED VENDOR.

Schedule I (Form 990) 2023

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
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

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) 2023

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)
1THOMAS J LYNCH MD PRESIDENT & DIRECTOR	(i) (ii)	1,645,146 ------------- 0	352,610 ------------- 0	30,321 ------------- 0	326,445 ------------- 0	37,691 ------------- 0	2,392,213 ------------- 0	0 ------------- 0
2NANCY DAVIDSON MD EVP, CLINICAL AFFAIRS	(i) (ii)	975,136 ------------- 0	209,364 ------------- 0	14,047 ------------- 0	144,427 ------------- 0	15,474 ------------- 0	1,358,448 ------------- 0	0 ------------- 0
3NICOLE C ROBINSON PHD VP & COO	(i) (ii)	831,896 ------------- 0	296,382 ------------- 0	24,749 ------------- 0	134,939 ------------- 0	27,115 ------------- 0	1,315,081 ------------- 0	0 ------------- 0
4DAVID BROWDY VP & CFO	(i) (ii)	832,660 ------------- 0	275,951 ------------- 0	7,211 ------------- 0	133,534 ------------- 0	38,141 ------------- 0	1,287,497 ------------- 0	0 ------------- 0
5SARA HURVITZ MD SVP & DIRECTOR, CLINICAL RESEARCH	(i) (ii)	417,672 ------------- 0	600,000 ------------- 0	40,116 ------------- 0	44,014 ------------- 0	14,142 ------------- 0	1,115,944 ------------- 0	0 ------------- 0
6BRUCE E CLURMAN MD PHD EVP, CHIEF SCI. OFFICER & DEPUTY DIR	(i) (ii)	706,525 ------------- 0	247,321 ------------- 0	7,211 ------------- 0	118,415 ------------- 0	29,088 ------------- 0	1,108,560 ------------- 0	0 ------------- 0
7ERIC C HOLLAND MD PHD SVP & DIRECTOR, HUMAN BIOLOGY	(i) (ii)	695,873 ------------- 0	78,054 ------------- 0	29,689 ------------- 0	119,105 ------------- 0	25,038 ------------- 0	947,759 ------------- 0	0 ------------- 0
8FREDERICK APPELBAUM MD EXECUTIVE VICE PRESIDENT	(i) (ii)	614,229 ------------- 0	146,653 ------------- 0	10,661 ------------- 0	114,405 ------------- 0	27,570 ------------- 0	913,518 ------------- 0	0 ------------- 0
9STEVEN HAYDON VP & GENERAL COUNSEL(THRU 2/24)	(i) (ii)	579,715 ------------- 0	202,709 ------------- 0	30,321 ------------- 0	41,490 ------------- 0	32,038 ------------- 0	886,273 ------------- 0	0 ------------- 0
10GEOFFREY HILL MD SVP & DIRECTOR, TRANSLATIONAL SCI	(i) (ii)	597,921 ------------- 0	58,090 ------------- 0	62,433 ------------- 0	108,124 ------------- 0	29,126 ------------- 0	855,694 ------------- 0	0 ------------- 0
11KELLY PATRICK VP & CIO	(i) (ii)	537,890 ------------- 0	182,048 ------------- 0	41,935 ------------- 0	41,490 ------------- 0	15,137 ------------- 0	818,500 ------------- 0	3,557 ------------- 0
12TOM PURCELL MD VP & CHIEF MEDICAL OFFICER	(i) (ii)	654,721 ------------- 0	0 ------------- 0	7,211 ------------- 0	116,115 ------------- 0	21,855 ------------- 0	799,902 ------------- 0	0 ------------- 0
13JODI BURKE VP, HUMAN RESOURCES	(i) (ii)	455,045 ------------- 0	172,993 ------------- 0	12,783 ------------- 0	93,682 ------------- 0	39,185 ------------- 0	773,688 ------------- 0	0 ------------- 0
14KELLY O'BRIEN VP & CHIEF PHILANTHROPY OFFICER	(i) (ii)	507,978 ------------- 0	108,730 ------------- 0	4,780 ------------- 0	107,020 ------------- 0	29,458 ------------- 0	757,966 ------------- 0	0 ------------- 0
15THERESA MCDONNELL DNP VP & CHIEF NURSING OFFICER(THRU 9/23	(i) (ii)	354,170 ------------- 0	91,333 ------------- 0	163,080 ------------- 0	41,490 ------------- 0	21,603 ------------- 0	671,676 ------------- 0	36,219 ------------- 0
16STEPHANIE MAYS FORMER OFFICER	(i) (ii)	431,766 ------------- 0	76,667 ------------- 0	4,279 ------------- 0	31,590 ------------- 0	36,614 ------------- 0	580,916 ------------- 0	0 ------------- 0
17CINDY GIST MHA FORMER KEY EMPLOYEE	(i) (ii)	251,095 ------------- 0	96,612 ------------- 0	7,096 ------------- 0	68,146 ------------- 0	19,427 ------------- 0	442,376 ------------- 0	0 ------------- 0
18CHAD HOGGARD FORMER KEY EMPLOYEE	(i) (ii)	282,013 ------------- 0	85,333 ------------- 0	1,479 ------------- 0	31,590 ------------- 0	38,797 ------------- 0	439,212 ------------- 0	0 ------------- 0
19GERIANNE SANDS CORP SEC., VP&GEN. COUNSEL(BEG 2/24)	(i) (ii)	355,410 ------------- 0	0 ------------- 0	10,531 ------------- 0	31,590 ------------- 0	31,191 ------------- 0	428,722 ------------- 0	0 ------------- 0
20BRITTANY MCCREERY MD FORMER KEY EMPLOYEE	(i) (ii)	258,661 ------------- 0	61,628 ------------- 0	579 ------------- 0	73,475 ------------- 0	34,234 ------------- 0	428,577 ------------- 0	0 ------------- 0
21NICKI NGUYEN-COLVIN FORMER KEY EMPLOYEE	(i) (ii)	285,091 ------------- 0	41,250 ------------- 0	941 ------------- 0	31,590 ------------- 0	33,253 ------------- 0	392,125 ------------- 0	0 ------------- 0
22RICHARD LAFRANCE FORMER KEY EMPLOYEE	(i) (ii)	268,405 ------------- 0	0 ------------- 0	7,798 ------------- 0	25,583 ------------- 0	40,401 ------------- 0	342,187 ------------- 0	0 ------------- 0
23CHRIS BUNDESMANN CORPORATE CONTROLLER	(i) (ii)	286,646 ------------- 0	822 ------------- 0	1,487 ------------- 0	27,157 ------------- 0	23,087 ------------- 0	339,199 ------------- 0	0 ------------- 0
24HERBERT L BONE III CORPORATE TREASURER	(i) (ii)	254,856 ------------- 0	0 ------------- 0	3,793 ------------- 0	23,493 ------------- 0	33,811 ------------- 0	315,953 ------------- 0	0 ------------- 0
25TIMOTHY EHLING FORMER KEY EMPLOYEE	(i) (ii)	244,957 ------------- 0	0 ------------- 0	7,060 ------------- 0	22,699 ------------- 0	38,150 ------------- 0	312,866 ------------- 0	0 ------------- 0
26MICHELLE HALL FORMER KEY EMPLOYEE	(i) (ii)	247,556 ------------- 0	4,301 ------------- 0	7,018 ------------- 0	22,965 ------------- 0	29,128 ------------- 0	310,968 ------------- 0	0 ------------- 0
27DANIEL MARKUS FORMER KEY EMPLOYEE	(i) (ii)	268,937 ------------- 0	0 ------------- 0	1,805 ------------- 0	25,132 ------------- 0	8,620 ------------- 0	304,494 ------------- 0	0 ------------- 0
28GANSUVD BALGANSUREN FORMER KEY EMPLOYEE	(i) (ii)	230,369 ------------- 0	0 ------------- 0	3,359 ------------- 0	20,386 ------------- 0	29,043 ------------- 0	283,157 ------------- 0	0 ------------- 0
29PAUL HELMUTH FORMER KEY EMPLOYEE	(i) (ii)	238,174 ------------- 0	0 ------------- 0	2,125 ------------- 0	19,610 ------------- 0	14,735 ------------- 0	274,644 ------------- 0	0 ------------- 0
30MATTHEW MCSWEYN FORMER KEY EMPLOYEE	(i) (ii)	226,427 ------------- 0	0 ------------- 0	1,150 ------------- 0	19,917 ------------- 0	25,295 ------------- 0	272,789 ------------- 0	0 ------------- 0
31CARILLA WALLIN FORMER KEY EMPLOYEE	(i) (ii)	215,613 ------------- 0	0 ------------- 0	710 ------------- 0	18,559 ------------- 0	31,177 ------------- 0	266,059 ------------- 0	0 ------------- 0
32TAMI DEEB FORMER KEY EMPLOYEE	(i) (ii)	60,956 ------------- 0	70,000 ------------- 0	74,524 ------------- 0	18,040 ------------- 0	4,774 ------------- 0	228,294 ------------- 0	0 ------------- 0
33ANDREW JACKSON FORMER KEY EMPLOYEE	(i) (ii)	161,754 ------------- 0	0 ------------- 0	1,464 ------------- 0	11,776 ------------- 0	19,225 ------------- 0	194,219 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

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

FRED HUTCH PERMITS FIRST-CLASS AIR TRAVEL IN ACCORDANCE WITH FEDERAL REIMBURSEMENT REGULATIONS, AND GENERALLY ONLY WHEN COACH FARE IS NOT AVAILABLE. FRED HUTCH ALSO PAYS SOCIAL CLUB DUES FOR THE PRESIDENT AND DIRECTOR. NEITHER OF THESE BENEFITS ARE TREATED AS TAXABLE COMPENSATION. WHEN WARRANTED, THE ORGANIZATION OFFERS TEMPORARY HOUSING TO MEMBERS OF ITS LEADERSHIP TEAM AS PART OF A RELOCATION PACKAGE. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL.

PART I, LINE 4B

FRED HUTCH MAINTAINS A NONQUALIFIED 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT WAS DESIGNED TO REPLACE THE BENEFITS THE PARTICIPANTS LOST DUE TO THE COMPENSATION LIMITS IMPOSED BY LAW UPON OUR QUALIFIED RETIREMENT PLAN. EMPLOYER CONTRIBUTIONS MADE TO THE PARTICIPANT'S PLAN HAVE A THREE-YEAR VESTING PERIOD. THESE CONTRIBUTIONS ARE REFLECTED IN THE AMOUNTS REPORTED ON SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING CONTRIBUTIONS WERE MADE TO THE REFERENCED INDIVIDUAL'S ACCOUNT FOR THE 2023 CALENDAR YEAR: THOMAS J. LYNCH, M.D.: $284,955 NANCY DAVIDSON, M.D.: $102,937 NICOLE C. ROBINSON, PH.D.: $93,449 DAVID BROWDY: $92,044 SARA HURVITZ, M.D.: $44,014 BRUCE E. CLURMAN, M.D., PH.D.: $76,925 ERIC C. HOLLAND, M.D., PH.D.: $77,615 FREDERICK APPELBAUM, M.D.: $72,915 GEOFFREY HILL, M.D.: $66,634 TOM PURCELL, M.D.: $74,625 JODI BURKE: $52,192 KELLY O'BRIEN: $65,530 CINDY GIST, M.H.A.: $26,656 BRITTANY MCCREERY, M.D.: $32,400 THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THEIR 457(F) PLAN ACCOUNT FOR THE 2023 CALENDAR YEAR: KELLY PATRICK: $37,033 THERESA MCDONNELL: $117,540

Schedule J (Form 990) 2023

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

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	ADVANCE REFUND OF BONDS ISSUED 2/3/2009		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HXM2	07-08-2020	278,176,101	CONSTRUCT HEALTHCARE FACILITIES AND ADVANCE REFUND OF BONDS ISSUED 7/8/20		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 ..................	24,920,000		690,000		2,140,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	97,921,097		279,510,225		44,555,911		55,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			23,413,658
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 .............			236,952,559
11 Other spent proceeds .............	96,652,346		16,785,696		43,694,377		55,000,000
12 Other unspent proceeds .............
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) 2023

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
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?	X		X				X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0.110 %
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 %		0.110 %
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) 2023

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: 03/01/2024
SCHEDULE K, PART II, LINE 3, COLUMN B:	THE DIFFERENCE BETWEEN THE ISSUE PRICE OF $278,176,101 AND THE TOTAL PROCEEDS OF THE ISSUE OF $279,510,225 IS DUE TO INVESTMENT EARNINGS INCLUDED IN LINE 3, TOTAL PROCEEDS OF ISSUE.

Schedule K (Form 990) 2023

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

OMB No. 1545-0047

2023

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	ADVANCE REFUND OF BONDS ISSUED 2/3/2009		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	93978HXM2	07-08-2020	278,176,101	CONSTRUCT HEALTHCARE FACILITIES AND ADVANCE REFUND OF BONDS ISSUED 7/8/20		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 ..................	24,920,000		690,000		2,140,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	97,921,097		279,510,225		44,555,911		55,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			23,413,658
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 .............			236,952,559
11 Other spent proceeds .............	96,652,346		16,785,696		43,694,377		55,000,000
12 Other unspent proceeds .............
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) 2023

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
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?	X		X				X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0.110 %
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 %		0.110 %
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) 2023

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: 03/01/2024
SCHEDULE K, PART II, LINE 3, COLUMN B:	THE DIFFERENCE BETWEEN THE ISSUE PRICE OF $278,176,101 AND THE TOTAL PROCEEDS OF THE ISSUE OF $279,510,225 IS DUE TO INVESTMENT EARNINGS INCLUDED IN LINE 3, TOTAL PROCEEDS OF ISSUE.

Schedule K (Form 990) 2023

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

2023

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 ..
5 Clothing and household goods .......	X		1,218	FAIR MARKET VALUE
6 Cars and other vehicles ..	X	84	170,745	SELLING PRICE
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	71	61,859,950	AVG. SELLING PRICE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	2,566	12,407	FAIR MARKET VALUE
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( AUCTION ITEMS )	X	44	148,491	FAIR MARKET VALUE
26 Other ( WIGS )	X	26	3,900	FAIR MARKET VALUE
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) (2023)

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):	PUBLICLY TRADED STOCK - FRED HUTCH IS REPORTING THE NUMBER OF CONTRIBUTION'S RECEIVED; FOOD INVENTORY - FRED HUTCH IS REPORTING THE NUMBER OF ITEMS RECEIVED; AUCTION ITEMS - FRED HUTCH IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED; WIGS - FRED HUTCH IS REPORTING THE NUMBER OF ITEMS RECEIVED.
PART I, LINE 32B:	FRED HUTCH HAS AN AGREEMENT WITH A THIRD-PARTY TO SOLICIT, PROCESS, AND SELL CONTRIBUTIONS OF VEHICLES ON BEHALF OF THE ORGANIZATION.

Schedule M (Form 990) (2023)

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

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, DESCRIPTION OF VOLUNTEERS:	HUNDREDS OF VOLUNTEERS PROVIDE FRED HUTCH WITH THE IMPORTANT GIFT OF THEIR TIME. OVER 130 CARING CLINIC VOLUNTEERS GIVE MORE THAN 1,600 HOURS OF SERVICE ALONE ANNUALLY IN OUR CLINICAL AREAS. THESE VOLUNTEERS PROVIDE VITAL PRACTICAL AND SOCIAL SUPPORT FOR PATIENTS AND THEIR FAMILIES AT A CRITICAL TIME IN THEIR LIVES. VOLUNTEERS CONTRIBUTE TO A COMPASSIONATE CARE EXPERIENCE BY PROVIDING AIRPORT TRANSPORTATION, SHARING HEALING MUSICAL TALENTS, AND ASSISTING WITH PATIENT EDUCATION PROJECTS. 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 1 DESCRIPTION OF ORGANIZATION MISSION (CONTINUED):	BREAKTHROUGHS AND HEALTHIER LIVES FOR EVERY PERSON IN EVERY COMMUNITY. THROUGH OUR INDIVIDUALIZED CANCER CARE AND ADVANCED SCIENTIFIC RESEARCH, FRED HUTCH PROVIDES THE LATEST CANCER TREATMENT OPTIONS AND ACCELERATES DISCOVERIES THAT PREVENT, TREAT AND CURE CANCER AND INFECTIOUS DISEASES WORLDWIDE. BASED IN SEATTLE, FRED HUTCH IS THE ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER IN WASHINGTON STATE. OUR CARE IS FOCUSED ON PREVENTING, DIAGNOSING AND TREATING CANCER IN ADULTS. FRED HUTCH PROVIDERS ARE EXPERTS IN A WIDE ARRAY OF CANCERS AND DISEASES, PROVIDING DIAGNOSTIC SERVICES, TREATMENT AND FOLLOW-UP CARE TAILORED TO SPECIFIC NEEDS. FRED HUTCH OPERATES EIGHT CLINICAL CARE SITES THAT PROVIDE MEDICAL ONCOLOGY, INFUSION, RADIATION, PROTON THERAPY AND RELATED SERVICES. IT ALSO OFFERS SERVICES AT MULTIPLE UW MEDICAL CENTER LOCATIONS AND AT TWO COMMUNITY HOSPITAL SITES IN THE PUGET SOUND AREA. WE HAVE EARNED A GLOBAL REPUTATION FOR OUR TRACK RECORD OF DISCOVERIES IN CANCER, INFECTIOUS DISEASE AND BASIC RESEARCH, INCLUDING IMPORTANT ADVANCES IN BONE MARROW TRANSPLANTATION, IMMUNOTHERAPY, HIV/AIDS PREVENTION AND COVID-19 VACCINES. OUR INNOVATION AND DISCOVERY EFFORTS SPAN THE BASIC SCIENCES, FOUNDATIONAL BIOLOGY, AND TRANSLATIONAL AND COMPUTATIONAL SCIENCES, WITH SIGNIFICANT EFFORTS TO IMPROVE POPULATION HEALTH AND REDUCE HEALTH DISPARITIES.
FORM 990, PART VI, SECTION A, LINE 2	BRADLEY SIMMONS AND TIMOTHY DELLIT HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4	THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO FRED HUTCH'S BYLAWS, EFFECTIVE SEPTEMBER 22, 2023: 1) THE CHAIR OF THE BOARD IS NO LONGER REQUIRED TO SIT ON THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO FRED HUTCH'S BYLAWS, EFFECTIVE JANUARY 24, 2024: 1) THE NUMBER OF DIRECTORS ALLOWED TO SERVE ON THE BOARD OF DIRECTORS AT ANY GIVEN TIME WAS INCREASED FROM THIRTEEN (13) TO SEVENTEEN (17).
FORM 990, PART VI, SECTION A, LINE 7A	PER FRED HUTCH'S BYLAWS, THE CHIEF EXECUTIVE OFFICER OF UW MEDICINE, THE HEALTH CARE SYSTEM OF THE UNIVERSITY OF WASHINGTON, AND THE UW MEDICINE PRESIDENT OF HOSPITALS & CLINICS, ARE EX-OFFICIO DIRECTORS ON THE FRED HUTCH BOARD OF DIRECTORS AND HAVE THE SAME VOTING RIGHTS AS OTHER MEMBERS OF THE BOARD OF DIRECTORS. IN THE EVENT OF A VACANCY IN THE POSITION OF CHIEF EXECUTIVE OFFICER OF UW MEDICINE OR UW MEDICINE PRESIDENT OF HOSPITALS & CLINICS, THE INDIVIDUAL SERVING IN THE INTERIM ROLE ON WHICH THE EX-OFFICIO STATUS IS BASED WILL ASSUME THE POSITION'S RESPECTIVE ROLE ON THE FRED HUTCH BOARD OF DIRECTORS UNTIL THAT POSITION IS PERMANENTLY FILLED.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING ACTIONS REQUIRE THE APPROVAL OF THE UNIVERSITY OF WASHINGTON BOARD OF REGENTS: A) AMEND THE ARTICLES OF INCORPORATION; B) AMEND THE SECTIONS OF THE BYLAWS THAT PROVIDE FOR SPECIFIC RIGHTS OR REPRESENTATION TO UNIVERSITY OF WASHINGTON MEDICINE OR ITS PERSONNEL; LIQUIDATE, DISSOLVE OR WIND-UP THE BUSINESS AND AFFAIRS OF FRED HUTCH OR CONSENT TO ANY OF THE FOREGOING; D) ENTER INTO ANY TRANSACTION WHICH WOULD: (I) REVISE THE OUTCOME OF THE FINANCIAL ALIGNMENT TERMS IN SECTION 6 OF THE RESTRUCTURING AND ENHANCED COLLABORATION AGREEMENT ENTERED INTO BY FRED AND THE UNIVERSITY OF WASHINGTON (AS THE PARTIES THERETO MAY AMEND FROM TIME TO TIME) IN A MANNER THAT WOULD BE MATERIALLY FINANCIALLY DETRIMENTAL TO UW MEDICINE ON AN OBJECTIVELY-DETERMINED BASIS; (II) CONSTITUTE THE SALE, LEASE, TRANSFER, EXCLUSIVE LICENSE OR OTHER DISPOSITION, IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS, OF MORE THAN TEN PERCENT (10%) OF THE ASSETS HELD BY FRED HUTCH WITHIN THE WASHINGTON, WYOMING, ALASKA, MONTANA, AND IDAHO REGION; OR (III) CONSTITUTE THE SALE, LEASE, TRANSFER, EXCLUSIVE LICENSE OR OTHER DISPOSITION, IN A SINGLE TRANSACTION OR SERIES OF RELATED TRANSACTIONS, OF MORE THAN TWENTY-FIVE PERCENT (25%) OF THE ASSETS HELD BY FRED HUTCH REGARDLESS OF THE LOCATION OF SUCH ASSETS.
FORM 990, PART VI, SECTION A, LINE 8B	FRED HUTCH HAD NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	THE INFORMATION NEEDED TO PREPARE THE FORM 990 IS GATHERED BY THE FRED HUTCH TAX AND REGULATORY TEAM FROM OTHER INTERNAL DEPARTMENTS AT FRED HUTCH. THE INFORMATION IS THEN PROVIDED TO FRED HUTCH'S OUTSIDE ACCOUNTING FIRM FOR REVIEW AND COMPILATION. A DRAFT OF THE FORM 990 IS THEN PREPARED AND SUBSEQUENTLY REVIEWED INTERNALLY BY FRED HUTCH MANAGEMENT, WITH ANY NECESSARY REVISIONS BEING COMMUNICATED TO THE OUTSIDE ACCOUNTING FIRM. A REVISED DRAFT OF THE FORM 990 IS THEN PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS, IN ACCORDANCE WITH FRED HUTCH'S BYLAWS, FOR THEIR REVIEW OF THE FORM 990. FOLLOWING THE FINANCE COMMITTEE'S REVIEW, THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS, GIVING THEM THE OPPORTUNITY TO REVIEW THE FORM 990 AND ASK QUESTIONS PRIOR TO THE RETURN BEING FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	DIRECTORS OF THE BOARD, OFFICERS, AND KEY EMPLOYEES ("COVERED PERSON(S)") ARE FIDUCIARIES OF FRED HUTCH AND ARE REQUIRED TO ACT IN GOOD FAITH AND IN THE BEST INTERESTS OF FRED HUTCH AT ALL TIMES. COVERED PERSONS ARE REQUIRED TO DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICT OF INTEREST AT THE TIME OF THEIR INITIAL APPOINTMENT TO THEIR POSITION, PRIOR TO PARTICIPATING IN A TRANSACTION IN WHICH A COVERED PERSON HAS A PERCEIVED OR ACTUAL CONFLICT OF INTEREST, AS WELL AS ON AN ANNUAL BASIS BY COMPLETING THE ANNUAL DISCLOSURE FORM, EVEN IF THERE HAVE BEEN NO CHANGES SINCE THE PRIOR DISCLOSURE FORM WAS COMPLETED. COVERED PERSONS DISCLOSURES AND PRIOR APPROVAL REQUESTS ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OR ITS DESIGNEE (THE CHAIR OF THE BOARD). THE CHAIR OF THE BOARD, IN CONSULTATION WITH THE OFFICE OF GENERAL COUNSEL REVIEWS ALL DISCLOSURES AND REQUEST FOR PRIOR APPROVAL FROM THE PRESIDENT & DIRECTOR. CONFLICT MANAGEMENT PLANS AND APPROVED ACTIVITIES AND INTEREST ARE REVIEWED AT LEAST ANNUALLY BY THE BODY OR INDIVIDUAL RESPONSIBLE FOR THE ORIGINAL APPROVAL. COVERED PERSONS MUST RECUSE THEMSELVES FROM ANY TRANSACTION WHERE THEY HAVE A PERCEIVED OR ACTUAL CONFLICT OF INTEREST UNLESS THE TRANSACTION HAS BEEN REVIEWED AND APPROVED IN ACCORDANCE WITH THE POLICY, AND FOLLOWING DISCLOSURE OF ALL RELEVANT FACTS. VIOLATIONS OF THE CONFLICT-OF-INTEREST POLICY BY COVERED PERSONS ARE REPORTED TO THE EXECUTIVE COMMITTEE FOR APPROPRIATE ACTION. INTENTIONAL OR REPEATED VIOLATIONS OF THE POLICY MAY RESULT IN DISMISSAL FROM THE BOARD (IN THE CASE OF DIRECTORS), OR TERMINATION OF EMPLOYMENT (IN THE CASE OF OFFICERS AND KEY EMPLOYEES).
FORM 990, PART VI, SECTION B, LINE 15	FORM 990, PART VI, LINE 15A: THE COMPENSATION FOR THE PRESIDENT & DIRECTOR IS DETERMINED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE HAS DEVELOPED, CONSISTENT WITH FRED HUTCH'S PHILOSOPHY AND PRINCIPLES, GUIDELINES FOR DETERMINING COMPENSATION AND BENEFITS. THE COMPENSATION COMMITTEE ENGAGES 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, INCLUDING THE PRESIDENT & DIRECTOR AND KEY EMPLOYEES. NO PERSON WITH A CONFLICT-OF-INTEREST MAY PARTICIPATE IN DETERMINING OR APPROVING ANY EXECUTIVE COMPENSATION PACKAGE. THE DELIBERATIONS OF THE COMPENSATION COMMITTEE ARE DOCUMENTED IN THE MINUTES OF THE MEETING, WHICH ARE THEN APPROVED AT THE FOLLOWING COMMITTEE MEETING. WITH RESPECT TO THE TAX YEAR, THE ABOVE PROCESS WAS MOST RECENTLY COMPLETED IN OCTOBER 2023. FORM 990, PART VI, LINE 15B: THE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE PRESIDENT & DIRECTOR AND IS SUBJECT TO RATIFICATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE HAS DEVELOPED, CONSISTENT WITH FRED HUTCH'S PHILOSOPHY AND PRINCIPLES, GUIDELINES FOR DETERMINING COMPENSATION AND BENEFITS. THE COMPENSATION COMMITTEE ENGAGES 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. NO PERSON WITH A CONFLICT-OF-INTEREST MAY PARTICIPATE IN DETERMINING OR APPROVING ANY EXECUTIVE COMPENSATION PACKAGE. THE DELIBERATIONS OF THE COMPENSATION COMMITTEE ARE DOCUMENTED IN THE MINUTES OF THE MEETING, WHICH ARE THEN APPROVED AT THE FOLLOWING COMMITTEE MEETING. WITH RESPECT TO THE TAX YEAR, THE ABOVE PROCESS WAS MOST RECENTLY COMPLETED IN APRIL 2024.
FORM 990, PART VI, SECTION C, LINE 19	FRED HUTCH MAKES ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE. FRED HUTCH'S GOVERNING DOCUMENTS, AS WELL AS ITS CONFLICT-OF-INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, FORMER KEY EMPLOYEES:	PRIOR TO FRED HUTCH'S (FORMERLY KNOWN AS SEATTLE CANCER CARE ALLIANCE) MERGER WITH FRED HUTCHINSON CANCER RESEARCH CENTER, A NUMBER OF INDIVIDUALS SATISFIED ALL THREE-PRONGS OF THE KEY EMPLOYEE TEST AND WERE DESIGNATED AS KEY EMPLOYEES ON FORM 990, PART VII, SECTION A. MANY OF THESE INDIVIDUALS REMAIN EMPLOYED AT FRED HUTCH FOLLOWING THE MERGER, BUT DUE TO A VARIETY OF REASONS (E.G. INCREASE IN SIZE OF THE ORGANIZATION, INTERNAL RESTRUCTURING, ETC.), NO LONGER SATISFY ALL THREE-PRONGS OF THE KEY EMPLOYEE TEST AND ARE DESIGNATED AS EITHER A "FORMER KEY EMPLOYEE OR "FORMER OFFICER" ON FORM 990, PART VII, SECTION A. IN ACCORDANCE WITH THE IRS INSTRUCTIONS FOR FORM 990.
FORM 990, PART IX, LINE 11G	ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 32,952,019. MANAGEMENT AND GENERAL EXPENSES 9,247,608. FUNDRAISING EXPENSES 1,388,732. TOTAL EXPENSES 43,588,359. STAFFING AGENCIES: PROGRAM SERVICE EXPENSES 6,771,949. MANAGEMENT AND GENERAL EXPENSES 399,644. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,171,593. CLINICAL SERVICES: PROGRAM SERVICE EXPENSES 149,328,678. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 149,328,678. RESEARCH SERVICES: PROGRAM SERVICE EXPENSES 8,248,384. MANAGEMENT AND GENERAL EXPENSES 91,341. FUNDRAISING EXPENSES 19,184. TOTAL EXPENSES 8,358,909. OTHER CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 5,354,388. MANAGEMENT AND GENERAL EXPENSES 6,681,271. FUNDRAISING EXPENSES 1,315,117. TOTAL EXPENSES 13,350,776.
FORM 990, PART XI, LINE 9:	CHANGE IN VALUE OF SPLIT-INTEREST TRUST 2,051,475.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

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	0	0	FRED HUTCHINSON CANCER CENTER
(2) SEATTLE PROTON CENTER LLC 1100 FAIRVIEW AVENUE NORTH SEATTLE,WA981091024	INACTIVE	DE	0	0	PROCURE SEATTLE HOLDINGS LLC
(3) PROCURE SEATTLE HOLDINGS LLC 1100 FAIRVIEW AVENUE NORTH SEATTLE,WA981091024	INACTIVE	DE	0	0	FRED HUTCHINSON CANCER CENTER

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 SOUTH AFRICA 6TH FLOOR 119 HERTZOG BLVD FORESHORE CAPETOWN 8001 SF	RESEARCH	SF	N/A	N/A	FRED HUTCHINSON CANCER CENTER	Yes
(3)HUTCHINSON CENTRE RESEARCH INSTITUTE OF UGANDA LIMITED POB 3935 MULAGO HOSPITAL UPPER MUL KAMPALA UGANDA UG	RESEARCH AND EDUCATION ON CANCER AND INFECTIOUS DISEASE	UG	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) 2023

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

Schedule R (Form 990) 2023

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	1,435,114	BOOK
(2) HUTCHINSON CENTRE RESEARCH INSTITUTE OF UGANDA LIMITED	P	807,128	BOOK
(3) HUTCHINSON CENTRE RESEARCH INSTITUTE OF SOUTH AFRICA	P	239,785	BOOK
(4) HUTCHINSON CENTRE RESEARCH INSTITUTE OF UGANDA LIMITED	R	3,240,000	BOOK
(5) HUTCHINSON CENTRE RESEARCH INSTITUTE OF SOUTH AFRICA	R	16,056,101	BOOK

Schedule R (Form 990) 2023

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) 2023

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) 2023

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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	6,797
6	Total number of volunteers (estimate if necessary) .............	6	614
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) .........	1,047,209,861	630,655,652
9	Program service revenue (Part VIII, line 2g) .........	1,220,881,238	1,354,597,702
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	40,621,641	24,750,936
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	14,083,231	17,042,381
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,322,795,971	2,027,046,671
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	149,912,745	120,169,153
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)	657,862,084	754,924,414
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	2,279,028	288,327
b	Total fundraising expenses (Part IX, column (D), line 25) 24,861,229
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,141,606,736	1,189,362,059
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,951,660,593	2,064,743,953
19	Revenue less expenses. Subtract line 18 from line 12.......	371,135,378	-37,697,282
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,407,176,412	3,453,149,919
21	Total liabilities (Part X, line 26).............	2,024,301,434	1,995,980,709
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,382,874,978	1,457,169,210

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,068,803,674 including grants of $ 848,015 ) (Revenue $ 1,339,197,609 )
	CLINICAL CARE:FRED HUTCH'S FOCUS IS SPEEDING THE TRANSFER OF NEW DIAGNOSTIC AND TREATMENT TECHNIQUES FROM THE RESEARCH SETTING TO PATIENT CARE. THE HIGHLY INTEGRATED APPROACH TO CANCER RESEARCH AND TREATMENT SUPPORTS THE FLOW OF SCIENTIFIC INFORMATION FROM RESEARCHERS AND THE LAB TO CLINICIANS AND PATIENTS, THEREBY ACCELERATING THE DEVELOPMENT OF NEW KNOWLEDGE AND TREATMENT FOR VARIOUS CANCERS. DURING THE FISCAL YEAR, FRED HUTCH HAD 3,727 PATIENT DAYS, 65,032 OUTPATIENT CLINIC VISITS, 95,774 INFUSION HOURS, 10,917 RADIATION ONCOLOGY TREATMENTS, AND PERFORMED 48,604 IMAGING SCANS. OUR CARE TEAMS SERVED MORE THAN 63,000 PATIENTS IN THE FISCAL YEAR.AS PART OF FRED HUTCH'S COMMITMENT TO ADVANCING THE STANDARD OF CANCER CARE, WE OFFER MANY EDUCATIONAL OPPORTUNITIES FOR HEALTH CARE PROFESSIONALS OF ALL KINDS SEEKING 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 EDUCATION AND TRAINING OPPORTUNITIES ARE AVAILABLE TO PEOPLE LIKE PROVIDERS AND NURSES, PATIENTS AND CAREGIVERS, FACULTY, GRADUATE STUDENTS AND POSTDOCTORAL AND MEDICAL FELLOWS. THERE ARE ALSO INTERNSHIPS AND PROGRAMS FOR SECONDARY SCHOOL TEACHERS, AS WELL AS HIGH SCHOOL AND UNDERGRADUATE STUDENTS. IN FY24, THERE WERE APPROXIMATELY 300 TRAINEES AT FRED HUTCH INCLUDING GRADUATE STUDENTS AND POSTDOCTORAL AND CLINICAL FELLOWS.FRED HUTCH OFFERS TEMPORARY MEDICAL LODGING FACILITIES FOR PATIENTS AND FAMILIES WHILE THEY RECEIVE ACTIVE TREATMENT AT FRED HUTCH. THEIR TWO AVAILABLE FACILITIES ARE THE BEHNKE FAMILY HOUSE AND THE PETE GROSS HOUSE. LODGING OPTIONS CAN ACCOMMODATE EITHER SHORT-TERM OR LONG-TERM (30 NIGHT MINIMUM) STAYS AS MEDICALLY NECESSARY TO KEEP PATIENTS CLOSE DURING THEIR TREATMENT AT FRED HUTCH. FRED HUTCH PROVIDES TRANSPORTATION TO AND FROM BOTH FACILITIES THROUGH THE SOUTH LAKE UNION CLINIC.

4b	(Code: ) (Expenses $ 722,224,574 including grants of $ 119,321,137 ) (Revenue $ 15,400,093 )
	RESEARCH PROGRAM: FRED HUTCH RESEARCHERS HAVE ADVANCED HUMAN UNDERSTANDING ACROSS A WIDE RANGE OF AREAS, REFLECTING THE BREADTH AND DEPTH OF EXPERTISE AT FRED HUTCH THAT ALLOWS US TO DEVELOP POTENTIAL CURES FOR CANCER AND INFECTIOUS DISEASES. OUR TEAMS ALSO APPLIED ARTIFICIAL INTELLIGENCE AND OTHER NOVEL APPROACHES TO MATCH EXISTING TREATMENTS TO DIAGNOSES OR BETTER UNDERSTAND HOW CANCER MAY BE IMPACTING INDIVIDUALS IN DIFFERENT WAYS.FRED HUTCH SCIENTISTS ARE PRODUCING SOME OF THE MOST IMPORTANT BREAKTHROUGHS IN THE PREVENTION, EARLY DETECTION AND TREATMENT OF CANCER, HIV AND OTHER DISEASES. OUR SCIENTISTS STUDY EVERY ASPECT OF THE DISEASE PROCESS TO UNCOVER FACTORS THAT INFLUENCE DISEASE RISK AND PROGRESSION. FRED HUTCH HAS BEEN HOME TO THREE NOBEL LAUREATES, AND OUR FACULTY INCLUDES MORE THAN 400 RENOWNED RESEARCHERS WHO COLLABORATE WITH COLLEAGUES ACROSS THE GLOBE AND MENTOR THE NEXT GENERATION OF SCIENTIFIC INNOVATORS. OUR SCIENTISTS CONDUCT RESEARCH ON AND DEVELOP THERAPIES FOR MANY CANCERS INCLUDING BLOOD CANCERS AND SOLID TUMORS AS WELL AS FOR HIV AND OTHER NONMALIGNANT DISEASES. THEY STUDY THE DISEASE PROCESS FROM EVERY ANGLE, FROM THE MOST BASIC MOLECULAR AND CELLULAR LEVELS TO THE POPULATION LEVEL. THEIR GOALS ARE TO UNCOVER THE FACTORS THAT INFLUENCE A PERSON'S LIKELIHOOD OF DEVELOPING AND SURVIVING A DISEASE AND USE THIS KNOWLEDGE TO REDUCE RISK, SAVE LIVES AND IMPROVE QUALITY OF LIFE. FRED HUTCH RESEARCHERS ARE EXPERTS IN UNDERSTANDING THE DEVELOPMENT OF BLOOD AND SOLID TUMOR CANCERS AS WELL AS IDENTIFYING NEW WAYS TO DIAGNOSE, PREVENT AND TREAT CANCERS. THEIR RESEARCH INCLUDES A WIDE AREA OF TOPICS THAT AFFECT CANCER AND INFECTIOUS DISEASES SUCH AS BEHAVIORAL RESEARCH, CELL AND GENE THERAPY, DATA SCIENCE, DISEASE PREVENTION, HEALTH ECONOMICS, VIROLOGY, AND MORE. IN FY24, FRED HUTCH RESEARCHERS PUBLISHED 1,330 RESEARCH ARTICLES AND 48 PATENTS WERE GRANTED TO FRED HUTCH. 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 THAT BONE MARROW TRANSPLANTATION CAN CURE LEUKEMIAS AND OTHER BLOOD CANCERS, HAVE SAVED MORE THAN A MILLION LIVES WORLDWIDE.

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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,791,028,248

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	19,057,860	0	3,101,616

1a	Federated campaigns..		1a	1,349,268
b	Membership dues..		1b
c	Fundraising events..		1c	5,731,648
d	Related organizations		1d
e	Government grants (contributions)		1e	512,755,532

f	All other contributions, gifts, grants, and similar amounts not included above		1f	110,819,204

g	Noncash contributions included in lines 1a - 1f:$		1g	62,196,711

h Total. Add lines 1a-1f.......		630,655,652

		Business Code
2a	PATIENT SERV. REVENUE	622310	1,301,801,650	1,301,801,650
b	ANCILLARY SERVICES	622310	27,118,482	27,118,482
c	RESEARCH ACTIVITIES	541714	20,539,695	20,539,695
d	PATIENT HOUSING	624221	3,561,064	3,561,064
e	PROGRAMMATIC RENTAL	531120	785,673	785,673
f	All other program service revenue.		791,138	267,490	523,648
g	Total. Add lines 2a–2f .....		1,354,597,702

3 Investment income (including dividends, interest, and othersimilar amounts) ......			48,035,953			48,035,953
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			12,989,967			12,989,967
			(i) Real	(ii) Personal
6a	Gross rents	6a	1,068,765
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	1,068,765
d	Net rental income or (loss).......			1,068,765			1,068,765
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	767,802,977	135,185
b	Less: cost or other basis and sales expenses	7b	780,708,002	10,515,177
c	Gain or (loss)	7c	-12,905,025	-10,379,992
d	Net gain or (loss).........			-23,285,017			-23,285,017
8a	Gross income from fundraising events (not including $ 5,731,648of contributions reported on line 1c). See Part IV, line 18 ....
			8a	721,335
b	Less: direct expenses ...		8b	1,653,059
c	Net income or (loss) from fundraising events..			-931,724			-931,724
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	10,375
b	Less: direct expenses ...		9b	2,700
c	Net income or (loss) from gaming activities..			7,675			7,675
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
11a	PARKING INCOME		531390	3,319,070			3,319,070
b	REBATES AND REFUNDS		900099	583,099			583,099
c
d	All other revenue ....			5,529			5,529
e	Total. Add lines 11a–11d ......			3,907,698
12	Total revenue. See instructions.....			2,027,046,671	1,354,074,054	0	42,316,965

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	97,410,892	97,410,892
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	2,190,804	2,190,804
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	20,567,457	20,567,457
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	11,061,327	5,416,188	4,809,175	835,964
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	4,786,474	1,291,735	3,494,739
7	Other salaries and wages........	582,520,121	480,156,555	90,054,756	12,308,810
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	36,472,503	30,323,252	5,348,984	800,267
9	Other employee benefits .......	72,486,077	55,520,151	15,651,286	1,314,640
10	Payroll taxes ...........	47,597,912	38,882,347	7,749,046	966,519
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,659,762		2,659,762
c	Accounting ...........	1,161,689		1,161,689
d	Lobbying ...........	713,988		713,988
e	Professional fundraising services. See Part IV, line 17	288,327			288,327
f	Investment management fees ......	1,349,900		1,349,900
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	221,798,315	202,655,418	16,419,864	2,723,033
12	Advertising and promotion ....	8,877,630	6,283,834	1,405,630	1,188,166
13	Office expenses .......	11,104,046	10,264,739	96,632	742,675
14	Information technology ......	53,405,919	11,755,278	41,560,252	90,389
15	Royalties ..	2,829,264	2,829,264
16	Occupancy ...........	58,153,190	43,501,281	14,602,783	49,126
17	Travel ............	6,196,885	5,412,264	528,203	256,418
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	7,155,973	6,377,412	724,479	54,082
20	Interest ...........	44,147,222	41,538,465	2,453,547	155,210
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	68,576,412	57,377,328	11,030,489	168,595
23	Insurance ...	7,838,093	71,598	7,766,495
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 & RESEARCH SUPP	595,006,102	588,280,269	6,662,168	63,665
b	COLLAB. ARRANGEMENT	50,056,494	50,056,494
c	EQUIP. RENTAL & MAINT.	16,406,431	15,696,815	708,635	981
d	SAFETY NET	10,014,691	10,014,691
e	All other expenses	21,910,053	7,153,717	11,901,974	2,854,362
25	Total functional expenses. Add lines 1 through 24e	2,064,743,953	1,791,028,248	248,854,476	24,861,229
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 ........			2,300	1	8,578
2	Savings and temporary cash investments .........			240,511,417	2	307,539,626
3	Pledges and grants receivable, net ......			445,428,725	3	433,033,370
4	Accounts receivable, net .............			333,516,960	4	350,835,325
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 ...........			2,276,424	7	2,217,424
8	Inventories for sale or use ............			28,695,243	8	31,223,958
9	Prepaid expenses and deferred charges ......			16,075,840	9	20,380,119
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,533,179,596
b	Less: accumulated depreciation	10b	588,098,629	907,190,874	10c	945,080,967
11	Investments—publicly traded securities .			1,133,912,742	11	955,895,056
12	Investments—other securities. See Part IV, line 11 .....			22,153,223	12	165,257,421
13	Investments—program-related. See Part IV, line 11 ..			11,025	13	0
14	Intangible assets ...............			7,625,195	14	6,514,847
15	Other assets. See Part IV, line 11 ...........			269,776,444	15	235,163,228
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,407,176,412	16	3,453,149,919

17	Accounts payable and accrued expenses .....	225,943,075	17	244,117,636
18	Grants payable ...	959,433	18	3,953,599
19	Deferred revenue .........	38,859,021	19	30,910,960
20	Tax-exempt bond liabilities .........	661,905,084	20	650,273,717
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 ..	421,225,000	23	421,225,000
24	Unsecured notes and loans payable to unrelated third parties ..	10,148,118	24	5,165,790
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	665,261,703	25	640,334,007
26	Total liabilities. Add lines 17 through 25..	2,024,301,434	26	1,995,980,709

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	745,821,978	27	768,552,464
28	Net assets with donor restrictions ...........	637,053,000	28	688,616,746
	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 ...........	1,382,874,978	32	1,457,169,210
33	Total liabilities and net assets/fund balances ........	3,407,176,412	33	3,453,149,919

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