1. The Catchment Area Lucile Adams-Campbell, PhD Associate Director for Minority Health and Health Disparities Research

2. Calculating Lombardi’s Catchment Area (Old Method) All counties, including DC, that comprise at least 3% of Lombardi’s patient population Lombardi patients come from: –District of Columbia (17.7%) –Maryland (44.7%) –Virginia (32.8%) DC, Montgomery, Prince George, Fairfax, Alexandria, Arlington, Talbot, St. Mary

3. US Census Bureau 2005-2007 American Community Survey CountyTotalRaceEthnicity % of region by state Lombardi Patients Washington, DC 585,267WhiteBlackAsian Hispanic 15%18% 34%56%3%8% Maryland49%45% Montgomery925,71961%16%13% 14% Prince George 833,86223%64%4% 11% St. Mary’s98,46880%14%2% 3% Dorchester31,46869%28%1% 2% Virginia35%33% Fairfax1,006,57668%9%16% 13% Arlington201,79871%8%9% 16% Alexandria138,62166%21%6% 13% Total3,821,96152%31%9% 12% 100%

4. US AllDC Arlington County, VA Fairfax County, VA Montgomery County, MD Prince George’s County, MD All WhiteBlack Asia n All Whit e Blac k Asia n All Race Whit e Blac k Asia n All Race Whit e Black Asia n All Race Whit e Blac k Asia n All Race Whit e Blac k Asia n Demographic Information* in the District of Columbia, Arlington County and Fairfax County, Virginia and Montgomery County and Prince George’s County, Maryland from 2005-2009 Annual Number of Cancer Cases, Age-Adjusted Incidence Rate and Age- Adjusted Mortality Rate for Select Cancers by Race and Gender in the District of Columbia from 2005-2009 Rates Estimated from SEER and Applied to Area Population Denominators Cancer siteGender All Race (State Cancer Profile) All Race*White*Black*Asian*Hispanic*

5. District of Columbia & adjacent counties 71% of MGUH patients reside in this area 41% of cancer patients in catchment are underrepresented minorities Lombardi Catchment 40 miles

6. Therapeutic & Nontherapeutic Interventional Trial Accruals by Race Demographics2009–2013† RaceCatchment Area Population, % Catchment Area Cancers, % MGUH Patients, % Therapeutic Trials N (%)* Non- Therapeutic Trials N (%) White54.25957.2772 (74.5)1,099 (31.9) Black31.13126.4211 (20.4)747 (21.7) Asian10.90.20.336 (3.5)1,452 (42.2) Other § 3.59.815.917 (1.6)145 (4.2) Total100 1,036 ‡ 3,443 ‡ † Through 8/31/2013, *MedStar Georgetown University Hospital only, § Other includes American Indian, Alaskan Native, Native Hawaiian, two or more races, unreported, ‡ Only those of known race reported

7. Therapeutic and Nontherapeutic Intervention Trial Accruals by Ethnicity Demographics2009–2013† Ethnicity Catchment Area Population, % Catchment Area Cancers, % MGUH Patients, % Therapeutic Trials N (%)* Nontherapeutic Trials N (%) Hispanic15.1516.839 (3.7)399 (13.0) Non- Hispanic 84.99583.21,002 (96.3)2,664 (87.0) Total100 1,041 ‡ 3,063 ‡ † Through 8/31/2013, *MedStar Georgetown University Hospital only, ‡ Only those of known ethnicity reported

8. At MGUH, 1.4% of patients are children; 2009–2013 † : 2.4% accrued to therapeutic trials; 0.8% to other interventional; 67 children entered into Children’s Oncology Group Registry Accrual of Children Therapeutic and Nontherapeutic Interventional Trial Accruals by Gender and Children Demographics2009–2013† Gender Catchment Area Population, % Catchment Area Cancers, % MGUH Patients, % Therapeutic Trials * N (%) Nontherapeutic Trials N (%) Male48.549.546.6530 (49.6)1,505 (42.0) Female51.550.553.4539 (50.4) 2,081 (58.0) Total100 1,0693,586 ‡ † Through 8/31/2013, *MedStar Georgetown University Hospital only, ‡ Only those of known gender reported.

9. Demographics2009–2013† Accrual RaceCatchment Area Population, % Catchment Area Cancers, % MGUH Patients, % Noninterventional Accrual No. (%) White54.25957.213,775 (72.8%) Black31.13126.43,228 (17.0%) Asian10.90.20.31,633 (8.6%) Other § 3.59.815.9297 (1.6%) Total100 18,933 ‡ Noninterventional Accrual by Race † Through 8/31/2013, § Other includes American Indian, Alaskan Native, Native Hawaiian, two or more races, unreported. ‡ Only those of known race reported Ethnicity: 12.7% Hispanic Gender: 59% female Children: 3%

10. Blacks Accrued to Therapeutic Trials Increase Over Time

11. District of Columbia & adjacent counties 71% of MGUH patients reside in this area 36% of cancer patients in catchment are underrepresented minorities Lombardi Catchment 40 miles