November 16, Erik Lausund VP, Research Seattle Children s Hospital 4800 Sand Point Way NE Seattle, WA Dear Mr.

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DEPARTMENT OF HEALTH & HUMAN SERVICES Program Support Center Financial Management Portfolio Cost Allocation Services November 16, 2015 90 7 th Street, Suite 4-600 San Francisco, CA 94103-6705 PHONE:

1 DEPARTMENT OF HEALTH & HUMAN SERVICES Program Support Center Financial Management Portfolio Cost Allocation Services November 16, th Street, Suite San Francisco, CA PHONE: (415) FAX: (415) CAS-SF@psc.hhs.gov Erik Lausund VP, Research Seattle Children s Hospital 4800 Sand Point Way NE Seattle, WA Dear Mr. Lausund: A copy of the indirect rate cost rate agreement is being sent to you for signature. This agreement reflects an understanding reached between your organization and a member of my staff concerning the rates that may be used to support your claim for indirect and fringe benefit costs on grants and contracts with the Federal Government. In addition, both parties agree to an under-recovery of $9,432,725, which is included in your fixed fringe benefit rate for the fiscal year ending 09/30/16, as stated in the attached rate agreement. Please have the agreement signed by an authorized representative of your organization and return within ten business days of receipt. The signed agreement can be sent to me by or fax, while retaining the copy for your files. Only when the signed agreement is returned, will we then reproduce and distribute the agreement to the appropriate awarding organizations of the Federal Government for their use. An indirect cost and fringe benefit proposal, together with the required supporting information, must be submitted to this office for each fiscal year in which your organization claims indirect costs under grants and contracts awarded by the Federal Government. Therefore, your next indirect cost/fringe benefit rate proposal based on actual costs for the fiscal year ending 09/30/15, is due in our office by 03/31/16. Please submit your next proposal electronically via to CAS-SF@psc.hhs.gov. Sincerely, Enclosure Arif Karim, Director Cost Allocation Services PLEASE SIGN AND RETURN THE NEGOTIATION AGREEMENT BY OR FAX

2 HOSPITALS RATE AGREEMENT EIN: ORGANIZATION: Seattle Children's Hospital 4800 Sand Point Way NE P.O. Box 5371 Seattle, WA DATE:11/16/2015 FILING REF.: The preceding agreement was dated 01/21/2015 The rates approved in this agreement are for use on grants, contracts and other agreements with the Federal Government, subject to the conditions in Section III. SECTION I: INDIRECT COST RATES RATE TYPES: FIXED FINAL PROV. (PROVISIONAL) PRED. (PREDETERMINED) EFFECTIVE PERIOD TYPE FROM TO RATE(%) LOCATION APPLICABLE TO FINAL 10/01/ /30/ All Clinical Res(1) FINAL 10/01/ /30/ All Bench Res(2) FINAL 10/01/ /30/ All Other Spon Act PROV. 10/01/ /30/ All Clinical Res(1) PROV. 10/01/ /30/ All Bench Res(2) PROV. 10/01/ /30/ All Other Spon Act *BASE Total direct costs excluding capital expenditures (buildings, individual items of equipment; alterations and renovations), that portion of each subaward in excess of $25,000; hospitalization and other fees associated with patient care whether the services are obtained from an owned, related or third party hospital or other medical facility; rental/maintenance of off-site activities; student tuition remission and student support costs (e,g., student aid, stipends, dependency allowances, scholarships, fellowships). (1) Clinical research is defined as research that interacts with patient care. (2) Bench research is defined as research that does not interact with patient care. Page 1 of 4 H22149

3 ORGANIZATION: Seattle Children's Hospital AGREEMENT DATE: 11/16/2015 SECTION I: FRINGE BENEFIT RATES** TYPE FROM TO RATE(%) LOCATION APPLICABLE TO FIXED 10/1/2015 9/30/ All All Employees PROV. 10/1/2016 9/30/ All All Employees ** DESCRIPTION OF FRINGE BENEFITS RATE BASE: Salaries and wages. Page 2 of 4

4 ORGANIZATION: Seattle Children's Hospital AGREEMENT DATE: 11/16/2015 SECTION II: SPECIAL REMARKS TREATMENT OF FRINGE BENEFITS: The fringe benefits are charged using the rate(s) listed in the Fringe Benefits Section of this Agreement. The fringe benefits included in the rate(s) are listed below. TREATMENT OF PAID ABSENCES Vacation, holiday, sick leave pay and other paid absences are included in salaries and wages and are claimed on grants, contracts and other agreements as part of the normal cost for salaries and wages. Separate claims are not made for the cost of these paid absences. DEFINITION OF EQUIPMENT Equipment is defined as tangible nonexpendable personal property having a useful life of more than one year and an acquisition cost of $5,000 or more per unit. The following fringe benefits are included in the fringe benefit rate: FICA, WORKERS COMPENSATION, UNEMPLOYMENT COMPENSATION, MEDICAL INSURANCE, LIFE INSURANCE, PENSION (AFTER ONE YEAR), DISABILITY INSURANCE, EMPLOYEE ASSISTANCE PROGRAM, OCCUPATIONAL HEALTH & SAFETY PROGRAM, TRANSPORTATION MANAGEMENT INCENTIVE PROGRAM, AND OTHER BENEFITS. NEXT PROPOSAL DUE DATE A proposal based on actual costs for fiscal year ending 9/30/15, will be due no later than 3/31/16. Page 3 of 4

5 Kelly Wallace Sr. Vice President & Chief Financial Officer 11/25/15

COLLEGES AND UNIVERSITIES RATE AGREEMENT

COLLEGES AND UNIVERSITIES RATE AGREEMENT EIN: 1316000989A1 ORGANIZATION: University of Cincinnati P.O. Box 210225 Cincinnati, OH 45221-0225 DATE:03/15/2017 FILING REF.: The preceding agreement was dated