CITY OF HOPE NATIONAL MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: CITY OF HOPE NATIONAL MEDICAL CENTER (EIN 95-1683875)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-13
IRS object ID: 202402269349301615
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-13T11:03:25+00:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18101 VON KARMAN AVENUE	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951683875	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF HOPE NATIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CITY	BusinessNameControlTxt
Phone	6262564673	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 EAST DUARTE ROAD	AddressLine1Txt
City	DUARTE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91010	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Marcel van den Brink	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Signature	2024-08-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kara Adams	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9497942300	PhoneNum
Preparation	2024-07-31	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Marcel van den Brink	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 EAST DUARTE ROAD	AddressLine1Txt
City	DUARTE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91010	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,045,415,942	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://www.cityofhope.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1948	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMPASSIONATE MEDICAL CARE TO PEOPLE WITH CANCER AND OTHER LIFE-THREATENING DISEASES AND TO SUPPORT RESEARCH THAT MAY BRING INNOVATIVE TREATMENTS TO PATIENTS.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	7473	TotalEmployeeCnt
Total Volunteers	289	TotalVolunteersCnt
Total Gross UBI	$91,336	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$38,007,967	PYContributionsGrantsAmt
CY Contributions Grants	$54,642,302	CYContributionsGrantsAmt
PY Program Service Revenue	$1,911,563,345	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,442,682,957	CYProgramServiceRevenueAmt
PY Investment Income	$28,316,101	PYInvestmentIncomeAmt
CY Investment Income	$32,726,726	CYInvestmentIncomeAmt
PY Other Revenue	$10,337,054	PYOtherRevenueAmt
CY Other Revenue	$5,032,771	CYOtherRevenueAmt
PY Total Revenue	$1,988,224,467	PYTotalRevenueAmt
CY Total Revenue	$2,535,084,756	CYTotalRevenueAmt
PY Grants And Similar Paid	$9,260,446	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$8,241,071	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$762,593,100	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$862,932,233	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,262,029,562	PYOtherExpensesAmt
CY Other Expenses	$1,520,785,094	CYOtherExpensesAmt
PY Total Expenses	$2,033,883,108	PYTotalExpensesAmt
CY Total Expenses	$2,391,958,398	CYTotalExpensesAmt
PY Revenues Less Expenses	-$45,658,641	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$143,126,358	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,534,752,675	TotalAssetsBOYAmt
Total Assets EOY	$4,391,784,049	TotalAssetsEOYAmt
Total Liabilities BOY	$2,849,169,319	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,524,274,416	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$685,583,356	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$867,509,633	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE CARE AND TREATMENT TO PERSONS AFFECTED BY LIFE-THREATENING DISEASES SUCH AS CANCER, AND TO PROVIDE SCIENTIFIC INVESTIGATION AND RESEARCH OF THESE DISEASES. Please see Schedule O for a continuation of our mission.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,742,966,205	ExpenseAmt
Grant	$8,053,951	GrantAmt
Revenue	$2,357,724,866	RevenueAmt
Desc	PATIENT CARE: THE MEDICAL CENTER PROVIDES ACUTE-CARE MEDICAL SERVICES FOR PATIENTS BEING TREATED FOR SOME FORM OF CANCER, INCLUDING LEUKEMIA AND LYMPHOMA, COLORECTAL, PROSTATE, GYNECOLOGIC AND BREAST CANCERS. ALL PATIENTS TREATED AT THE MEDICAL CENTER BENEFIT FROM THE LATEST TECHNOLOGIES INCLUDING THOSE DERIVED FROM TRANSLATIONAL MEDICINE, ACHIEVED BY COLLABORATION BETWEEN MEMBERS OF THE PATIENT CARE TEAMS AND THE SCIENTIFIC AND BENCH RESEARCH ACTIVITIES PERFORMED THROUGHOUT THE ORGANIZATION. SINCE 1976, MORE THAN 19,000 HEMATOPOIETIC (BLOOD) CELL TRANSPLANTATION PROCEDURES HAVE BEEN PERFORMED AT THE MEDICAL CENTER TO FIGHT LEUKEMIA, LYMPHOMA, MYELOMA AND OTHER CANCERS. TODAY, THE MEDICAL CENTER'S CLINICIANS ARE FURTHERING DEVELOPMENT OF STEM CELL TRANSPLANTATION TO TREAT AUTOIMMUNE DISEASES. AS A PIONEER IN ROBOTIC SURGERY FOR RECTAL AND PROSTATE CANCER, AND AN EMERGING LEADER IN ROBOTIC SURGERY FOR HEAD AND NECK CANCERS, THE MEDICAL CENTER IS A NATIONALLY RECOGNIZED LEADER IN THE FIELD OF MINIMALLY INVASIVE SURGERY. PHYSICIANS AT THE MEDICAL CENTER HAVE ALSO BROKEN NEW GROUND IN EMPLOYING TARGETED RADIATION TREATMENT TECHNIQUES THAT DELIVER DOSES DIRECTLY TO DISEASED TISSUE, MAXIMIZING CANCER-KILLING TREATMENTS WHILE POTENTIALLY MINIMIZING DAMAGE TO PATIENTS' HEALTHY TISSUE. THE SHERI & LES BILLER PATIENT AND FAMILY RESOURCE CENTER SERVES AS THE INFORMATION HUB ABOUT OUR COMPREHENSIVE ASSISTANCE FOR PATIENTS AND FAMILIES, OFFERING PATIENT EDUCATION, SUPPORT GROUPS, SOCIAL WORK RESOURCES, MIND-BODY THERAPIES AND PATIENT NAVIGATORS TO ASSIST PEOPLE THROUGH DIAGNOSIS, TREATMENT AND RECOVERY. ITS HEALTHCARE PROFESSIONALS, INCLUDING PSYCHOLOGISTS, PSYCHIATRISTS AND PALLIATIVE CARE PHYSICIANS, PARTNER WITH PATIENTS AND FAMILIES TO ALLEVIATE PAIN AND DISTRESS RELATED TO DISEASE AND TREATMENT. THE MEDICAL CENTER PROVIDES FOR SERVICES THROUGH CHARITY CARE ASSISTANCE FOR PATIENTS MEETING CERTAIN FINANCIAL ELIGIBILITY AND CLINICAL CRITERIA AND TO PERSONS WITHOUT INSURANCE OR WHO ARE UNDER-INSURED. THE MEDICAL CENTER ALSO SUBSIDIZES CARE FOR PATIENTS COVERED BY MEDI-CAL AND MEDICARE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$242,930,083	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$84,125,896	RevenueAmt
Desc	RESEARCH: THE MEDICAL CENTER FUNDS A VARIETY OF CLINICAL AND LABORATORY RESEARCH ACTIVITIES FOCUSED ON FINDING CURES AND TREATMENTS FOR CANCER AND OTHER LIFE-THREATENING DISEASES FOR WHICH GRANT AND EXTRAMURAL FUNDING IS NOT AVAILABLE. COUPLED WITH THE BECKMAN RESEARCH INSTITUTE, THE MEDICAL CENTER HAS A LONG HISTORY OF SIGNIFICANT RESEARCH CONTRIBUTIONS IN CANCER TREATMENT THERAPIES, DIABETES AND OTHER DISEASES. THE MEDICAL CENTER CONDUCTS MORE THAN 800 CLINICAL TRIALS ANNUALLY, ENROLLING NEARLY 1 IN 4 PATIENTS. MANY OF THESE TRIALS PROVIDE PATIENTS WITH ACCESS TO THE NEWEST TREATMENT APPROACHES, WHICH HELPS DEVELOP THE STANDARD TREATMENTS OF TOMORROW. FOR INSTANCE, THE MEDICAL CENTER WAS THE FIRST INSTITUTION IN THE WORLD TO PERFORM A CLINICAL STUDY USING NEURAL STEM CELLS TO TARGET GLIOMA, A DEADLY FORM OF BRAIN CANCER. THE MEDICAL CENTER HAS BEEN DESIGNATED A NATIONAL CENTER FOR ISLET CELL TRANSPLANTATION. THE MEDICAL CENTER IS ALSO MAKING MAJOR CONTRIBUTIONS TO THE STUDY OF HIV/AIDS THROUGH RESEARCH INTO HOW TO STOP THE VIRUS' INFECTION OF CELLS. THE MEDICAL CENTER PROVIDES INSTITUTIONALLY FUNDED RESEARCH GRANTS TO DEVELOP NOVEL IDEAS THAT HAVE NOT YET REACHED A MATURITY LEVEL NECESSARY TO SECURE EXTRAMURAL FUNDING. MEDICAL CENTER FACULTY AND STAFF SERVE AS CONTRIBUTORY MEMBERS FOR NATIONAL POLICY AND REGULATORY ORGANIZATIONS AND ADVISORY COMMITTEES. THEY ALSO PROVIDE THEIR EXPERTISE TO REVIEW GRANT APPLICATIONS FOR STATE AND FEDERAL AGENCIES AND SERVE AS MEMBERS OF EDITORIAL BOARDS FOR PROFESSIONAL PUBLICATIONS. THE MEDICAL CENTER'S DEPARTMENT OF POPULATION SCIENCES ALSO REACHES OUT AND SEEKS TO REDUCE THE BURDEN OF CANCER ACROSS ALL POPULATIONS THROUGH COLLABORATIVE PROGRAMS IN CARE, RESEARCH AND EDUCATION. SEEKING TO UNDERSTAND THE CAUSES AND RISKS OF CANCER AND DISPARITIES IN CANCER OUTCOMES IN VARIOUS POPULATIONS, POPULATION SCIENCE PERSONNEL EXAMINE AND INVESTIGATE GENETIC MARKERS LINKED TO CANCER RISK, SEEKING TO IMPROVE THE QUALITY OF LIFE FOR CANCER SURVIVORS. THROUGH THE CENTER FOR CANCER SURVIVORSHIP, SPECIALIZED, LONG-TERM FOLLOW-UP CARE IS PROVIDED FOR CANCER SURVIVORS, AND ITS CRITICAL RESEARCH IS SHARED WITH OTHER INSTITUTIONS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$37,128,843	ExpenseAmt
Grant	$187,120	GrantAmt
Revenue	$832,195	RevenueAmt
Desc	PUBLIC INFORMATION AND EDUCATION: THE MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY THROUGH EDUCATION AND SUPPORT SERVICES TO INFORM AND EDUCATE THE PUBLIC THROUGH CANCER AWARENESS PROGRAMS, HEALTH EVENTS AND EDUCATIONAL FORUMS FOR COMMUNITY GROUPS AND BUSINESSES. EDUCATION AND PROFESSIONAL DEVELOPMENT ARE IMPORTANT PROGRAMS AT THE MEDICAL CENTER. THROUGH ROBUST RESIDENCY AND FELLOWSHIP PROGRAMS, THE MEDICAL CENTER PROVIDES CONSIDERABLE TRAINING AND CONTINUING EDUCATION FOR PHYSICIANS, NURSES AND HEALTH PROFESSIONALS EMPLOYED BY THE MEDICAL CENTER. IN MANY INSTANCES THESE SAME PROGRAMS AND TRAINING ARE EXTENDED TO MEDICAL PROFESSIONALS NOT DIRECTLY AFFILIATED WITH THE MEDICAL CENTER.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$2,023,025,131	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	517	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7473	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Yvette Tremonti	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6262564673	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 EAST DUARTE ROAD	AddressLine1Txt
City	DUARTE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91010	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MORGAN CHU Esq
Director & Chair of the Board	2.0	13.0	Yes (X)	Yes (X)	$0	$0	$0
ADRIENNE WHITE-FAINES
Director	2.0	4.0	Yes (X)		$0	$0	$0
Alex Herrera MD
Director	2.0	0	Yes (X)		$0	$0	$0
Anna Pawlowska MD
Director - Beg. 10/28/22	2.0	0	Yes (X)		$0	$0	$0
CLARKE ANDERSON MD
Director	2.0	0	Yes (X)		$0	$0	$0
EDDY HARTENSTEIN
Director	2.0	0	Yes (X)		$0	$0	$0
SHERI BILLER
Director	2.0	0	Yes (X)		$0	$0	$0
STEVEN B FINK
Director	2.0	12.0	Yes (X)		$0	$0	$0
Tanya Dorff MD
Director	2.0	0	Yes (X)		$0	$0	$0
CRISTIN O'CALLAHAN
Corp. Secretary & General Counsel	12.0	52.0		Yes (X)	$198,068	$792,272	$190,870
DONALD J MATTHEWSON
Asst. Treasurer & VP, Treasury & Fin. Strategy	15.0	45.0		Yes (X)	$145,732	$437,196	$19,532
JENNIFER A PARKHURST
Treasurer & CFO - Until 6/30/23	12.0	52.0		Yes (X)	$412,900	$1,651,600	$143,720
Jo Ann Escasa-Haigh
Treasurer & CFO - Beg. 6/30/23	15.0	49.0		Yes (X)	$0	$0	$0
MICHAEL A CALIGIURI MD
President	54.0	6.0		Yes (X)	$1,761,548	$195,666	$149,800
Annette M Walker MHA
President, COH OC Cancer Center	39.0	21.0			$1,309,971	$705,369	$256,463	Yes (X)
Debra Fields
EVP & Chief Transformation Officer	15.0	45.0			$499,648	$1,498,944	$306,420	Yes (X)
Mark Hulse
Chief Digital Officer	15.0	45.0			$457,611	$1,372,833	$229,284	Yes (X)
ROBERT W STONE
COH PRESIDENT & CEO	18.0	44.0			$1,294,929	$3,021,502	$814,563	Yes (X)
Susan J Brown PhD RN
SVP, Patient Care Services & Chief Nursing Officer	60.0	0			$915,993	$0	$96,770	Yes (X)
VIJAY TRISAL MD
Chief Medical Officer	48.0	12.0			$839,833	$209,959	$114,268	Yes (X)
VINCENT JENSEN
Chief Clinical Operating Officer	30.0	30.0			$493,590	$493,590	$121,390	Yes (X)
Edward Kim MD
SVP, Physician in Chief - OC	58.0	2.0			$1,152,607	$0	$175,419		Yes (X)
HARLAN LEVINE MD
President, Health Innovation & policy	18.0	42.0			$858,705	$2,003,644	$307,094		Yes (X)
PHILIP OKALA
COH System President - Until 5/18/23	12.0	48.0			$358,767	$1,435,068	$24,725		Yes (X)
Stephen Gruber MD PhD MPH
Director, Center for Precision Medicine	60.0	0			$1,277,367	$0	$52,474		Yes (X)
Steven T Rosen MD
Chief Scientific Officer	18.0	42.0			$499,880	$1,166,386	$259,191		Yes (X)
GREGORY D SCHETINA
Former Officer	0.0	1.0			$43,544	$140,432	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,520,693	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$15,124,461	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,261,983	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2714	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Hensel Phelps Construction Company
18850 Von Karman Avenue Suite 100	Irvine	CA	92612	Construction Services	$121,818,043
DPR CONSTRUCTION A GENERAL PARTNERSHIP
88 West Colorado Blvd Suite 301	Pasadena	CA	91105	Construction Services	$65,710,881
Accenture LLP
2600 TOWER OAKS BLVD	ROCKVILLE	MN	20852	Consulting Services	$43,587,507
Guidant Global Inc
3475 Lenox Road	Atlanta	GA	30326	Staffing Services	$28,093,094
INFINITE COMPUTER SOLUTIONS INC
2600 Tower Oaks Blvd	Rockville	MN	20852	Outsourced IT Services	$19,219,589

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	268	CntrctRcvdGreaterThan100KCnt
Related Organizations	$42,070,283	RelatedOrganizationsAmt
Government Grants	$12,027,538	GovernmentGrantsAmt
All Other Contributions	$544,481	AllOtherContributionsAmt
Total Contributions	$54,642,302	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue	621110	$2,312,824,320	$2,312,824,320
Research & Clinical Trial Revenue	621110	$84,125,896	$84,125,896
Leased Employee Revenue	900099	$21,721,407	$21,721,407
Other Exempt Function Revenue	621110	$10,218,621	$10,218,621
Other Patient Ancillary Revenue	621110	$8,834,177	$8,834,177

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,958,536	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,958,536	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,442,682,957	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,456,111	TotalRevenueColumnAmt
Exclusion	$14,456,111	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,232,955	TotalRevenueColumnAmt
Exclusion	$3,232,955	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$214,639	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$214,639	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$214,639	TotalRevenueColumnAmt
Exclusion	$214,639	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$525,368,846	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$510,331,186	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$15,037,660	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,037,660	TotalRevenueColumnAmt
Exclusion	$15,037,660	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Cafeteria Sales and hotel	900099	$4,336,336	$91,220	$4,245,116
Other Misc. Revenue	900099	$481,680		$481,680
INVESTMENT INCOME - SCHEDULES K-1	901101	$116	$116

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,818,132	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,535,084,756	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,442,682,957	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$91,336	UnrelatedBusinessRevenueAmt
Exclusion	$37,668,161	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$8,241,071	TotalAmt
Program Services	$8,241,071	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,310,964	TotalAmt
Program Services	$53,737	ProgramServicesAmt
Management And General	$10,257,227	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$700,481,868	TotalAmt
Program Services	$572,922,430	ProgramServicesAmt
Management And General	$127,559,438	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$25,820,439	TotalAmt
Program Services	$21,338,059	ProgramServicesAmt
Management And General	$4,482,380	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$68,975,443	TotalAmt
Program Services	$55,931,220	ProgramServicesAmt
Management And General	$13,044,223	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$57,343,519	TotalAmt
Program Services	$46,285,855	ProgramServicesAmt
Management And General	$11,057,664	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$11,704,355	TotalAmt
Management And General	$11,704,355	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$869,784	TotalAmt
Management And General	$869,784	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$393,405	TotalAmt
Management And General	$393,405	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,289,182	TotalAmt
Management And General	$2,289,182	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$329,065,907	TotalAmt
Program Services	$233,049,706	ProgramServicesAmt
Management And General	$96,016,201	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$23,307,536	TotalAmt
Program Services	$15,077,327	ProgramServicesAmt
Management And General	$8,230,209	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$35,613,490	TotalAmt
Program Services	$33,542,008	ProgramServicesAmt
Management And General	$2,071,482	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$56,922,572	TotalAmt
Program Services	$40,315,120	ProgramServicesAmt
Management And General	$16,607,452	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$27,110	TotalAmt
Program Services	$27,110	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$30,804,982	TotalAmt
Program Services	$19,859,748	ProgramServicesAmt
Management And General	$10,945,234	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,763,082	TotalAmt
Program Services	$6,744,346	ProgramServicesAmt
Management And General	$3,018,736	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,993,423	TotalAmt
Program Services	$1,290,109	ProgramServicesAmt
Management And General	$703,314	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$70,430,129	TotalAmt
Program Services	$61,509,999	ProgramServicesAmt
Management And General	$8,920,130	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$113,314,486	TotalAmt
Program Services	$90,150,402	ProgramServicesAmt
Management And General	$23,164,084	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,043,938	TotalAmt
Program Services	$3,262,855	ProgramServicesAmt
Management And General	$1,781,083	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Pharmaceuticals	$629,031,065	$629,031,065
Medical Supplies & Equipment	$123,863,035	$123,863,035
Hospital Provider Fee	$28,051,953	$28,051,953
Repairs & Maintenance	$23,397,985	$16,033,258	$7,364,727

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,897,675	TotalAmt
Program Services	$16,444,718	ProgramServicesAmt
Management And General	$8,452,957	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,391,958,398	TotalAmt
Program Services	$2,023,025,131	ProgramServicesAmt
Management And General	$368,933,267	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,850,211	BOYAmt
EOY	$250,567,993	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$162,279,839	BOYAmt
EOY	$114,188,435	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$104,816	BOYAmt
EOY	$348,457	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$411,682,747	BOYAmt
EOY	$534,164,458	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,871,288	BOYAmt
EOY	$4,893,406	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$30,465,322	BOYAmt
EOY	$40,220,262	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$26,012,920	BOYAmt
EOY	$28,989,617	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,695,963,569	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,020,622,015	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,351,905,968	BOYAmt
EOY	$1,675,341,554	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$239,128,283	BOYAmt
EOY	$264,731,442	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$215,065,034	BOYAmt
EOY	$143,652,808	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$549,999	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,087,386,247	BOYAmt
EOY	$1,334,135,618	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,534,752,675	BOYAmt
EOY	$4,391,784,049	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$331,102,464	BOYAmt
EOY	$361,993,126	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$28,941	BOYAmt
EOY	$28,941	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$535,703,468	BOYAmt
EOY	$529,281,530	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$600,000,000	BOYAmt
EOY	$1,200,000,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$15,659,272	BOYAmt
EOY	$12,696,511	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,366,675,174	BOYAmt
EOY	$1,420,274,308	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,849,169,319	BOYAmt
EOY	$3,524,274,416	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$685,583,356	BOYAmt
EOY	$867,509,633	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$685,583,356	BOYAmt
EOY	$867,509,633	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,534,752,675	BOYAmt
EOY	$4,391,784,049	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$143,126,358	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$35,617,620	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,182,299	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$19,081	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$3,277	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$565,106	OtherActivitiesAmt
Total Lobbying Expenditures	$587,464	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE MEDICAL CENTER INCURRED LOBBYING EXPENDITURES IN THE AMOUNT OF $587,464 DURING FISCAL YEAR 2023 RELATED TO THE FOLLOWING LOBBYING ACTIVITIES: FEDERAL LEGISLATION: 1. ADVOCATED FOR AN INCREASE IN FEDERAL FUNDING FOR THE NATIONAL INSTITUTES OF HEALTH AND NATIONAL CANCER INSTITUTE 2. ADVOCATED ON EXTENSION OF SEQUESTRATION MORATORIUM 3. Advocated for PPS exception to site neutral provisions STATE LEGISLATION: 1. LOBBIED California GOVERNOR'S Office and California Department of Health Care Services regarding implementation SB 987 2. LOBBIED California LEGISLATURE REGARDING, AB 362, SB 257, SB 344, SB 496, SB 339, SB 421	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$60,478,886	BeginningYearBalanceAmt
Investment Earnings Or Losses	$8,286,999	InvestmentEarningsOrLossesAmt
End Year Balance	$68,765,885	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$73,958,027	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$13,479,141	InvestmentEarningsOrLossesAmt
End Year Balance	$60,478,886	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$63,077,663	BeginningYearBalanceAmt
Investment Earnings Or Losses	$10,880,364	InvestmentEarningsOrLossesAmt
End Year Balance	$73,958,027	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$59,120,180	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,957,483	InvestmentEarningsOrLossesAmt
End Year Balance	$63,077,663	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$58,001,726	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,118,454	InvestmentEarningsOrLossesAmt
End Year Balance	$59,120,180	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$149,221,896	OtherCostOrOtherBasisAmt
Book Value	$149,221,896	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$774,569,063	OtherCostOrOtherBasisAmt
Depreciation	$281,360,303	DepreciationAmt
Book Value	$493,208,760	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,525,649	OtherCostOrOtherBasisAmt
Depreciation	$22,212,922	DepreciationAmt
Book Value	$13,312,727	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$976,982,999	OtherCostOrOtherBasisAmt
Depreciation	$717,048,790	DepreciationAmt
Book Value	$259,934,209	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$759,663,962	OtherCostOrOtherBasisAmt
Book Value	$759,663,962	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,675,341,554	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDesc	Book ValueBookValueAmt
Due from Affiliates	$1,162,392,686
Right-of-Use Operating Lease	$79,060,890
§457(b) Retirement Fund	$50,654,128
Due from Third-Party Payors	$23,402,519
Bond Issuance Costs	$5,130,665
Right-of-Use Finance Lease	$4,973,801
Insurance Recovery	$4,447,575
Bond Issuance Discount	$3,841,248
SB1732 Receivable	$228,307
Other Assets	$3,799

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,334,135,618	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Due to affiliates	$1,219,003,526
Right-of-Use Operating Lease	$77,517,125
Bond Issuance Premium	$52,386,654
§457(b) Retirement Fund Payable	$50,654,128
Self-Insurance Liabilities	$20,712,875

Field	Value	IRS element (for citing)
Total Liability	$1,420,274,308	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

THE MEDICAL CENTER HAS DESIGNATED QUASI-ENDOWMENT FUNDS THAT ARE AVAILABLE TO FUND FUTURE RESEARCH, CAPITAL OR EXPANSION ACTIVITIES AS DETERMINED BY MANAGEMENT AND THE CITY OF HOPE BOARD OF DIRECTORS.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

THE FOLLOWING PARAGRAPH IS FROM THE CITY OF HOPE CONSOLIDATED AUDITED FINANCIAL STATEMENTS AS OF SEPTEMBER 30, 2023 (which includes City of Hope, City of Hope National Medical Center (the "Center"), City of Hope Medical Foundation (the "Foundation"), and Beckman Research Institute of the City of Hope (the "Institute") (collectively, the "Obligated Group"); the Translational Genomics Research Institute and its Affiliates ("TGen"); Southern California Radiation Oncology, LLC ("SCRO"); AccessHope, LLC ("AH"); City of Hope Auxiliaries (the "Auxiliaries"); and COH HoldCo Inc. ("HoldCo"), the parent of Cancer Treatment Centers of America entities ("CTCA Entities") (collectively, the "Affiliated Group"). These entities represent the consolidated City of Hope organization (collectively referred to as "City of Hope")). City of Hope is exempt from federal income tax under Section 501(a) as described in Section 501(c)(3) of the U.S. Internal Revenue Code. City of Hope, the Center, the Foundation, and the Institute are exempt from California state franchise and income tax under Section 23701(d) of the California Revenue and Taxation Code. ASC 740, Income Taxes, clarifies the accounting for income taxes by prescribing a minimum recognition threshold that a tax position is required to meet before being recognized in the consolidated financial statements. ASC 740 also provides guidance on de-recognition, measurement, classification, interest and penalties, disclosure, and transition. The guidance contained in ASC 740 is applicable to pass-through entities and tax-exempt organizations. City of Hope has no significant uncertain tax positions or tax liability for tax benefits, interest, or penalties accrued as of September 30, 2023 or 2022.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (11 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	0	Investments	$8,981,989
East Asia and the Pacific	12	Conference Travel	$55,994
East Asia and the Pacific	0	Program Services	$0	See Schedule O
Europe (Including Iceland and Greenland)	47	Conference Travel	$274,112
Europe (Including Iceland and Greenland)	0	Program Services	$0	See Schedule O
Middle East and North Africa	21	Conference Travel	$55,849
Middle East and North Africa	0	Program Services	$0	See Schedule O
North America (Canada & Mexico only)	0	Program Services	$0	See Schedule O
North America (Canada & Mexico only)	31	Conference Travel	$60,232
South America	6	Conference Travel	$14,810
South Asia	0	Program Services	$0	See Schedule O

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	117	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	117	TotalEmployeeCnt
Subtotal Spent	$9,442,986	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$9,442,986	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	600	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,243,361	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,243,361	NetCommunityBenefitExpnsAmt
Total Expense	0.0160	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$355,670,205	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$349,226,303	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,443,902	NetCommunityBenefitExpnsAmt
Total Expense	0.0027	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$393,913,566	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$349,226,303	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,687,263	NetCommunityBenefitExpnsAmt
Total Expense	0.0187	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,838,813	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,838,813	NetCommunityBenefitExpnsAmt
Total Expense	0.0033	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,739,674	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,739,674	NetCommunityBenefitExpnsAmt
Total Expense	0.0020	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$181,505,040	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,360,492	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,144,548	NetCommunityBenefitExpnsAmt
Total Expense	0.0402	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$143,607	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$143,607	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$194,227,134	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,360,492	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,866,642	NetCommunityBenefitExpnsAmt
Total Expense	0.0455	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$588,140,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$434,586,795	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$153,553,905	NetCommunityBenefitExpnsAmt
Total Expense	0.0642	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$130,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$130,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$179,327	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$179,327	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$309,327	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$309,327	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$492,944,798	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$546,932,087	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$53,987,289	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	City of Hope National Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 East Duarte Road	AddressLine1Txt
City	Duarte	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	910103012	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.cityofhope.org	WebsiteAddressTxt
State License	930000033	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Research Facility	Yes (X)	ResearchFacilityInd
Other	Short-term Specialty Hospital	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	City of Hope National Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.cityofhope.org/sites/www/files/2024-02/2022-2025-CHNA-2.pdf	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.cityofhope.org/sites/www/files/2023-02/implementation-strategy-2022-2025.pdf	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	600.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.cityofhope.org/patients/helping-you-with-insurance-billing-and-legal-information	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.cityofhope.org/patients/helping-you-with-insurance-billing-and-legal-information	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.cityofhope.org/patients/helping-you-with-insurance-billing-and-legal-information	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - City of Hope National Medical Center. OUR 2022 CHNA WAS DONE IN COLLABORATION WITH FIVE NON-PROFIT HOSPITALS IN THE SAN GABRIEL VALLEY: CITY OF HOPE, HUNTINGTON HOSPITAL, METHODIST-ARCADIA, QUEEN OF THE VALLEY AND CITRUS VALLEY - BOTH OF EMANATE HEALTH. THIS COLLABORATION IS OF SIGNIFICANCE BECAUSE IT IS THE FIRST TIME ONE SUCH ASSESSMENT HAS BEEN CONDUCTED IN THE SAN GABRIEL VALLEY. MORE IMPORTANTLY, NOT ONLY WERE THEY ABLE TO REDUCE DUPLICATION OF FOCUS GROUPS, THEY ALSO INCREASED THE DIVERSITY OF THESE GROUPS TO PROVIDE RICHER FEEDBACK FROM THE COMMUNITY REGARDING SIGNIFICANT HEALTH NEEDS. THE HOSPITALS HAVE ALSO COMMITTED TO WORKING TOGETHER ON THREE IMPORTANT ISSUES IMPACTING OUR MOST VULNERABLE COMMUNITIES OVER THE NEXT THREE YEARS: FOOD INSECURITY, HOUSING INSECURITY AND MENTAL HEALTH. MUCH OF THE REPORT PROVIDES DATA ON VARIOUS HEALTH INDICATORS AT THE STATE AND LOS ANGELES COUNTY LEVEL. WHENEVER POSSIBLE, WE GATHERED DATA FOR THE SPECIFIC CITIES LOCATED WITHIN THE SAN GABRIEL VALLEY. FOR EXAMPLE, IF YOU WANT TO LEARN WHICH CITIES HAVE THE HIGHEST PERCENTAGE OF RESIDENTS GRADUATING FROM HIGH SCHOOL, YOU CAN SIMPLY GO TO THE SECTION ON EDUCATIONAL ATTAINMENT AND LOCATE THE TABLE WITH GRADUATION RATES. WE HAVE DONE THE SAME FOR EACH OF THE KEY INDICATORS FOR WHICH THE DATA WAS AVAILABLE. SINCE CITY OF HOPE CONSIDERS LOS ANGELES, ORANGE, SAN BERNARDINO, RIVERSIDE AND VENTURA AS PART OF OUR LARGER SERVICE AREA, WE HAVE INCLUDED DATA ON THOSE COUNTIES. THE CHNA INCLUDED DEVELOPMENT OF A DEMOGRAPHIC AND HEALTH STATUS PROFILE OF THE COMMUNITY AND CONSULTATIONS WITH COMMUNITY REPRESENTATIVES REGARDING HEALTH NEEDS. BOTH PRIMARY DATA VIA COMMUNITY INPUT AND SECONDARY DATA WERE COLLECTED TO INFORM COMMUNITY HEALTH PRIORITIES AND NEEDS, AS WELL AS ASSETS AND GAPS IN RESOURCES. THIS DATA ALSO HELPS DRAW A PICTURE OF WHAT LIFE IS LIKE FOR RESIDENTS OF THAT COMMUNITY. SECONDARY DATA COLLECTION SECONDARY DATA IS A HIGHER LEVEL OF DATA THAT CAN PINPOINT PARTICULAR DISEASES AND CONDITIONS THAT IMPACT CITIZENS AT DIFFERENT GEOGRAPHIC LEVELS SUCH AS CITY, COUNTY, STATE, NATIONAL AND WORLD. KNOWING SECONDARY DATA CAN HELP AN ORGANIZATION TARGET PROGRAMS AND SERVICES DIRECTLY TO COMMUNITIES THAT ARE IMPACTED THE MOST. HOWEVER, SECONDARY DATA CAN OFTEN BE IMPERSONAL - IT WILL NOT NECESSARILY TELL YOU WHY CERTAIN HEALTH OR SOCIAL CONDITIONS EXIST. SECONDARY DATA IS LIKE A BLACK-AND-WHITE PICTURE. IT TELLS YOU A LOT ABOUT A COMMUNITY, BUT IT IS TWO-DIMENSIONAL. PRIMARY DATA FLESHES OUT THE PICTURE WITH COLOR AND DETAIL. SECONDARY DATA IS COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH ACCESS, LEADING CAUSES OF DEATH, CANCER INCIDENCE AND MORTALITY, CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH AND SUBSTANCE ABUSE. THE SOURCES OF DATA WE USED FOR THIS CHNA INCLUDED U.S. CENSUS AMERICAN COMMUNITY SURVEY, COUNTY HEALTH RANKINGS & ROADMAPS, CALIFORNIA HEALTH INTERVIEW SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA DEPARTMENT OF FINANCE, CALIFORNIA'S OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT, CALIFORNIA DEPARTMENT OF JUSTICE, CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT, COMMUNITY COMMONS, CALIFORNIA CANCER REGISTRY, CALIFORNIA DEPARTMENT OF EDUCATION AND LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, AMONG OTHERS. WHEN PERTINENT, THESE DATA SETS ARE PRESENTED IN THE CONTEXT OF THE STATE OF CALIFORNIA, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. SECONDARY DATA FOR THE HOSPITAL SERVICE AREA WAS COLLECTED AND DOCUMENTED IN DATA TABLES WITH NARRATIVE EXPLANATIONS. THE TABLES INCLUDE THE DATA INDICATOR, THE GEOGRAPHIC AREA REPRESENTED, THE DATA MEASUREMENT (E.G., RATE, NUMBER, OR PERCENT), COUNTY AND STATE COMPARISONS (WHEN AVAILABLE), DATA SOURCE, DATA YEAR AND AN ELECTRONIC LINK TO THE DATA SOURCE. THE REPORT INCLUDES BENCHMARK COMPARISON DATA THAT cross references local findings with the data findings of HEALTHY PEOPLE 2030 OBJECTIVES. HEALTHY PEOPLE 2030 IS A NATIONAL INITIATIVE TO IMPROVE PUBLIC HEALTH BY PROVIDING MEASURABLE OBJECTIVES AND GOALS THAT ARE APPLICABLE AT NATIONAL, STATE AND LOCAL LEVELS. PRIMARY DATA COLLECTION IN COLLECTING PRIMARY DATA, YOU ENTER A COMMUNITY AND ASK THE RESIDENTS HOW A PARTICULAR HEALTH OR SOCIAL ISSUE IMPACTS THEM. THIS TYPE OF INFORMATION - WHICH IS OFTEN MORE SIGNIFICANT THAN A "LEADING CAUSE OF DEATH" - CAN HELP YOU DESIGN A PROGRAM OR SERVICES TO ELIMINATE BARRIERS DECREASING QUALITY OF LIFE FOR THAT GROUP. YOU MAY FIND LANGUAGE, LACK OF TRANSPORTATION, POVERTY, CRIME AND/OR LOCATION OF HOUSING ARE THE REASONS WHY A HEALTH ISSUE IS MORE PREVALENT IN A COMMUNITY. PRIMARY DATA CAN BE GATHERED DIRECTLY THROUGH FOCUS GROUPS, INTERVIEWS AND TARGETED SURVEYS. WHEN AN ORGANIZATION IS ABLE TO ADDRESS THE MOST PRESSING ISSUES - THE ROOT CAUSES OF HEALTH INEQUITIES - THE PATH TO PREVENTING OR ELIMINATING A LEADING CAUSE OF DEATH BECOMES CLEARER. THE FOLLOWING SECTIONS WILL INTRODUCE YOU TO THE TYPES OF METHODS USED TO LEARN MORE ABOUT CITY OF HOPE'S COMMUNITY AND ADD COLOR TO YOUR OWN PICTURE OF HEALTH AND WELLNESS IN THE SAN GABRIEL VALLEY. ANALYSIS OF SECONDARY DATA YIELDED A PRELIMINARY LIST OF SIGNIFICANT HEALTH NEEDS, WHICH THEN INFORMED PRIMARY DATA COLLECTION. THE PRIMARY DATA COLLECTION PROCESS WAS DESIGNED TO VALIDATE Primary DATA FINDINGS, IDENTIFY ADDITIONAL COMMUNITY ISSUES, SOLICIT INFORMATION ON DISPARITIES AMONG SUBPOPULATIONS, ASCERTAIN COMMUNITY ASSETS TO ADDRESS NEEDS AND DISCOVER GAPS IN RESOURCES. FOR THIS CHNA, WE OBTAINED INFORMATION THROUGH FOCUS GROUPS; A COMMUNITY SURVEY; AND INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS, PUBLIC HEALTH AND SERVICE PROVIDERS, MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, AND INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. FOCUS GROUPS PRIMARY DATA WAS COLLECTED THROUGH FOUR FOCUS GROUPS THAT REACHED 37 PERSONS. THE FOCUS GROUPS TOOK PLACE FROM JULY TO OCTOBER 2022. CITY OF HOPE PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS TO ASSIST WITH OUTREACH AND RECRUITMENT OF PARTICIPANTS. THE ORGANIZATIONS ENGAGED RESIDENTS TO PARTICIPATE IN THE FOCUS GROUPS BY USING THE METHOD THEY KNEW TO BE MOST EFFECTIVE. ORGANIZATIONS PARTICIPATING IN FOCUS GROUPS ARE BELOW: -AZUSA SENIOR CENTER -EMANATE HEALTH -HERALD CHRISTIAN HEALTH CENTER INTERVIEWS INTERVIEWS WITH KEY STAKEHOLDERS PROVIDED OPPORTUNITIES TO GATHER IN-DEPTH INSIGHTS FROM EXPERTS IN PARTICULAR SUBFIELDS OF PUBLIC HEALTH AND SOCIAL SERVICES IN TARGETED COMMUNITIES. CITY OF HOPE CONDUCTED 38 TELEPHONE INTERVIEWS, WHICH WERE COMPLETED DURING JULY TO OCTOBER 2022. PARTICIPANTS IN THE INTERVIEWS INCLUDED THE FOLLOWING ORGANIZATIONS: -ALHAMBRA POLICE DEPARTMENT -AMERICAN HEART ASSOCIATION -ASIAN YOUTH CENTER -AZUSA PACIFIC UNIVERSITY -AZUSA SENIOR CENTER -CHAPCARE MEDICAL AND DENTAL HEALTH CENTER -CITY OF AZUSA -CITY OF PASADENA HOUSING DEPARTMENT -CITY OF PASADENA OUTREACH RESPONSE TEAM -CITY OF PASADENA, PUBLIC HEALTH DEPARTMENT -CLAREMONT HILLEL -FOOTHILL UNITY CENTER, INC. -FRIENDS IN DEED -HEALTH CONSORTIUM OF GREATER SAN GABRIEL VALLEY -HERALD CHRISTIAN HEALTH CENTER -LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES, SAN GABRIEL VALLEY HEALTH CENTER GROUP -LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH -MAJESTIC REALTY -PACIFIC CLINICS -PALS FOR HEALTH -PASADENA JOB CENTER, NATIONAL DAY LABORER ORGANIZING NETWORK (NDLON) -PASADENA NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP) -PASADENA OUTREACH RESPONSE TEAM -PASADENA UNIFIED SCHOOL DISTRICT -PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY -ROSE CITY HIGH SCHOOL, PASADENA UNIFIED SCHOOL DISTRICT -SAN GABRIEL VALLEY DENTAL SOCIETY -SPIRITT FAMILY SERVICES -UNION STATION HOMELESS SERVICES AND PASADENA POLICE DEPARTMENT, HOMELESS OUTREACH PSYCHIATRIC EVALUATION (HOPE) TEAM -VIETNAMESE AMERICAN CANCER FOUNDATION -WALTER LEE WILMORE FOUNDATION -YOUNG AND HEALTH TINY TEETH PROGRAM -YWCA OF SAN GABRIEL VALLEY DATA LIMITATIONS AND GAPS THE SECONDARY DATA ALLOWS FOR AN EXAMINATION OF THE BROAD HEALTH NEEDS WITHIN A COMMUNITY. HOWEVER, THERE ARE SOME LIMITATIONS WITH REGARD TO THIS DATA: 1. DATA WERE NOT ALWAYS AVAILABLE AT THE ZIP CODE LEVEL, SO COUNTY LEVEL DATA AS WELL AS SPA LEVEL DATA WERE UTILIZED. 2. DISAGGREGATED DATA FOR AGE, ETHNICITY, RACE AND GENDER ARE NOT AVAILABLE FOR ALL DATA INDICATORS, WHICH LIMITED THE EXAMINATION OF DISPARITIES OF HEALTH ISSUES WITHIN THE COMMUNITY. 3. AT TIMES, A STAKEHOLDER-IDENTIFIED HEALTH ISSUE MAY NOT HAVE BEEN REFLECTED BY THE SECONDARY DATA INDICATORS. 4. DATA ARE NOT ALWAYS COLLECTED ON AN ANNUAL BASIS, MEANING THAT SOME DATA IS SEVERAL YEARS OLD.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - City of Hope National Medical Center. HUNTINGTON HOSPITAL, METHODIST - ARCADIA, QUEEN OF THE VALLEY AND CITRUS VALLEY - BOTH OF EMANATE HEALTH.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - City of Hope National Medical Center. OUR COMMUNITY BENEFIT ADVISORY COUNCIL (CBAC) MET ON DECEMBER 7, 2022, TO IDENTIFY THE TOP HEALTH NEEDS THAT NEED TO BE PRIORITIZED OVER THE NEXT THREE YEARS. BASED ON FINDINGS FROM THE PRIMARY AND SECONDARY DATA COLLECTIONS, PARTICIPANTS LEARNED ABOUT THE IDENTIFIED HEALTH NEEDS WITHIN CITY OF HOPE'S COMMUNITY SERVICE AREAS. AFTER THE DATA PRESENTATION, EVERYONE WAS INSTRUCTED TO RATE THESE LEADING INDICATORS IN RELATIONSHIP TO SERIOUSNESS, SIZE OF PROBLEM (NUMBER OF PEOPLE IMPACTED), TRENDS, EQUITY, FEASIBILITY, VALUE, CONSEQUENCE OF INACTION, SOCIAL DETERMINANTS/ROOT CAUSES AND EFFECTIVE STRATEGIES TO ADDRESS PROBLEM. THEN THEY WERE INSTRUCTED TO REPRESENT THEIR PRIORITIES BY PLACING COLORED DOTS ON THE CHARTS. RED #1, BLUE #2, GREEN #3 AND YELLOW #4. PEOPLE WERE ALSO INVITED TO ELABORATE ON THEIR PRIORITIZED ISSUES WITH COMMENTS THAT CAN HELP US SHAPE THE OVERALL STRATEGIES FOR THE 2022 IMPLEMENTATION STRATEGY. RESULTS WERE AS FOLLOWS: 2022 PRIORITIZED HEALTH NEEDS RANK HEALTH NEEDS 1. SOCIAL DETERMINANTS OF HEALTH 2. HEALTH ACCESS 3. MENTAL HEALTH 4. CANCER IT IS IMPORTANT TO KNOW THAT WHILE THERE WERE EIGHT IDENTIFIED AREAS OF NEED, THOSE SCHOOLED IN PUBLIC HEALTH LANGUAGE WILL SEE THAT THE CBAC COMBINED TOPICS BECAUSE THEY FELT THAT THE ROOT CAUSES AND SHARED RISK FACTORS WERE SIMILAR, AND BY ADDRESSING THEM COLLECTIVELY RATHER THAN INDIVIDUALLY WE COULD HAVE A GREATER IMPACT. ACCORDING TO THE HEALTHY PEOPLE 2030 DEFINITION OF SOCIAL DETERMINANTS OF HEALTH (SDOH), THEY "ARE THE CONDITIONS IN THE ENVIRONMENTS WHERE PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP AND AGE THAT AFFECTS A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY-OF-LIFE OUTCOMES AND RISKS." OUR ADVISORY COUNCIL MEMBERS EMPHASIZED THAT WE NEED TO "LOOK AT THE INTERSECTIONS OF THE SDOH RISK FACTORS IN ORDER TO CREATE SOLUTIONS AND MAKE AN IMPACT IN OUR VULNERABLE COMMUNITIES." WITH THIS BEING SAID, WE CANNOT SIMPLY ADDRESS ONE ISSUE. OUR STRATEGY FOR THE NEXT SEVERAL YEARS WILL BE TO FIND THOSE INTERSECTIONS, INTEGRATE THE WORK, WORK MORE DEEPLY WITH CROSS-DISCIPLINARY PARTNERS AND CREATE TANGIBLE DELIVERABLES. WHILE THE READER SEES ONLY FOUR PRIORITY AREAS, WITH OUR WORK THROUGH THE INTERSECTIONS, WE ARE, IN FACT, ADDRESSING ALL EIGHT. AS ONE CBAC MEMBER SUGGESTED, "THE INTERSECTIONS ARE WHERE THE MAGIC HAPPENS." IMPACT EVALUATION OF PRIORITIES IDENTIFIED IN THE LAST ASSESSMENT CITY OF HOPE CONDUCTED ITS PREVIOUS CHNA IN 2019. SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED FROM ISSUES SUPPORTED BY PRIMARY AND SECONDARY DATA SOURCES GATHERED FOR THE CHNA. IN DEVELOPING THE HOSPITAL'S IMPLEMENTATION STRATEGY RESULTING FROM THE 2020-2023 CHNA, CITY OF HOPE CHOSE TO ADDRESS ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE, ECONOMIC AND HOUSING INSECURITY, CHRONIC DISEASE AND CANCER PREVENTION. AN EVALUATION OF THE IMPACT OF THE ACTIONS CITY OF HOPE TOOK TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN APPENDIX D OF THE 2022 CHNA.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
City of Hope Arcadia Radiation Oncology
301 W Huntington Drive Ste 120	Arcadia	CA	91007	Outpatient Radiation Oncology Center
City of Hope Upland
1100 San Bernardino Road Ste 1100	Upland	CA	91786	Outpatient Clinic
City of Hope Corona
320 W 6th Street	Corona	CA	92882	Multispecialty Oncology Treatment Center
City of Hope Orange County Lennar Foundation Cancer Center
1000 FivePoint	Irvine	CA	92618	Comprehensive Oncology Center

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 20a Efforts not made	Neither COH nor any third-party collection vendors it may utilize, will use any extraordinary collection activity (ECA) as a means of collecting unpaid hospital bills from patients who are eligible for any form of financial assistance under the Medical Center's Financial Assistance Policy. All agencies used for collection purposes are advised of COH's policy in writing, and the Medical Center's Financial Assistance Policy is incorporated, by reference, in collection contracts with such agencies. COH receives written assurance from the agency(ies) that they will adhere to COH financial services standards.
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care	An individual will also be considered for financial assistance if that individual or their estate has declared bankruptcy. Additionally, and consistent with COH's mission and the proper stewardship of COH funds, all monetary assets of the patient or patient's legal guardian may be considered in reviewing a financial assistance application, with the exception of the following assets: (a) amounts in patient retirement or deferred compensation plans qualified under the Internal Revenue code; (b) the primary residence where the patient or the patient's family resides; (c) automobile needed to transport working family members to and from work; and (d) savings accounts with less than two months of annual income.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	City of Hope (FEIN 95-3435919)
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Schedule H, Part I, Lines 7a-7d - Financial Assistance and Means-Tested Government Programs THE AMOUNTS REPORTED IN THIS SECTION WERE DETERMINED USING COST ACCOUNTING METHODOLOGY THAT CAPTURES THE TRUE COST OF TREATING PATIENTS. THESE AMOUNTS INCLUDE BOTH DIRECT AND INDIRECT COSTS AND INCLUDES ALL PATIENT AND PAYOR SEGMENTS SUCH AS INPATIENT AND OUTPATIENT, PRIVATE INSURANCE, MANAGED CARE, MEDICARE, MEDI-CAL, OTHER INSURERS, AND THE UNINSURED OR UNDERINSURED. THE CALIFORNIA HOSPITAL FEE PROGRAM (THE PROGRAM) THAT BECAME EFFECTIVE JANUARY 1, 2010 HAS TWO COMPONENTS. THE QUALITY ASSURANCE FEE ACT GOVERNS THE "HOSPITAL FEE "QUALITY ASSURANCE FEE" (QA FEE) PAID BY PARTICIPATING HOSPITALS, AND THE MEDI-CAL HOSPITAL PROVIDER STABILIZATION ACT GOVERNS SUPPLEMENTAL MEDI-CAL PAYMENTS (SUPPLEMENTAL PAYMENTS) MADE TO PROVIDERS FROM THE FUND. HOSPITAL PARTICIPATION IS MANDATORY, WITH LIMITED EXCEPTIONS. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023 THE MEDICAL CENTER MADE PAYMENTS TO THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES (DHCS) FOR THE QA FEE IN THE AMOUNT OF $28,051,953, CHFT IN THE AMOUNT OF $53,951 AND RECORDED AS REVENUE $103,740,073 IN SUPPLEMENTAL PAYMENTS. THE PAYMENTS AND REVENUES PERTAINED TO TWO PROGRAMS WITH ACTIVITY DURING THE FISCAL YEAR, A 12-MONTH HOSPITAL FEE PROGRAM COVERING THE PERIOD FROM January 1, 2022 through December 31, 2022 and a 24-month hospital fee program covering the periods from January 1, 2023 through December 31, 2024. THE QA FEE IN THE AMOUNT OF $28,051,953 HAS BEEN INCLUDED IN SCHEDULE H, PART I, LINE 7B, COLUMN (C), TOTAL COMMUNITY BENEFIT EXPENSE. THE SUPPLEMENTAL PAYMENTS TOTALING $103,740,073 HAVE BEEN INCLUDED IN SCHEDULE H, PART I, LINE 7B, COLUMN (D), DIRECT OFFSETTING REVENUE. EXCLUDING THE EFFECTS OF THE PROGRAM ON FISCAL YEAR 2023 SCHEDULE H, PART I, LINE 7B, COLUMN (E) NET COMMUNITY BENEFIT EXPENSE WOULD HAVE BEEN EQUAL TO $82,132,023 OR 3.43% OF TOTAL EXPENSES. THIS WOULD HAVE INCREASED LINE 7K, COLUMN (F), TO 9.61%. CITY OF HOPE CONTINUES TO MAINTAIN A STRONG COMMITMENT TO CARING FOR ALL MEMBERS OF THE COMMUNITY, ESPECIALLY THE VULNERABLE. Schedule H, Part I, Lines 7e-7f - Community health improvement services, community benefit operations and Health professions education COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, COMMUNITY HEALTH BENEFIT OPERATIONS, AND HEALTH PROFESSIONS EDUCATION WERE BASED ON ACTUAL OR ESTIMATED STAFF HOURS AND SALARIES DEVOTED TO THESE ACTIVITIES DURING FISCAL YEAR 2023. AMOUNTS REPORTED FOR COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE COMMUNITY BENEFIT OPERATIONS AND HEALTH PROFESSIONS EDUCATION, WHICH WAS DETERMINED BASED ON DATA REPORTED BY VARIOUS MEDICAL CENTER DEPARTMENTS. Schedule H, Part I, Line 7h - Research RESEARCH COSTS WERE DETERMINED USING A DIRECT COST METHODOLOGY AND APPLYING A FEDERALLY APPROVED INDIRECT COST RATE. DIRECT COSTS INCLUDE SALARIES, WAGES AND BENEFITS, SUPPLIES, MATERIALS AND SERVICES RENDERED IN THE PERFORMANCE OF RESEARCH ACTIVITIES SPONSORED THROUGH THE MEDICAL CENTER. DIRECT OFFSETTING REVENUES ARE THOSE REVENUES SUPPORTING THE RESEARCH ACTIVITIES. IN ADDITION TO THE MEDICAL CENTER'S COMMUNITY BENEFIT FROM RESEARCH ENDEAVORS, THE BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE AND THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE ALSO CONTRIBUTED TO THE COMMUNITY A COMBINED $293,801,208 OF INTERNALLY FUNDED RESEARCH DURING FISCAL YEAR 2023. THIS AMOUNT HAS NOT BEEN INCLUDED IN THE TOTALS ON SCHEDULE H, PART I, LINE 7. Schedule H, Part I, Line 7I - Cash and in-kind contributions for community benefit The cost of CASH AND IN-KIND CONTRIBUTIONS MADE BY THE MEDICAL CENTER were calculated using actual costs. CHA GUIDELINES FROM 2022 WERE USED TO DETERMINE WHETHER ACTIVITIES ARE QUALIFIED AS COMMUNITY BENEFITS.
Schedule H, Part II Community Building Activities	COMMUNITY BUILDING ACTIVITIES SHOWN ON SCHEDULE H ARE VALUED AT $309,327 AND ARE COMPRISED OF Coalition Building and WORKFORCE DEVELOPMENT ACTIVITIES THAT INCLUDE LEADERSHIP DEVELOPMENT FOR THE PARTICIPANTS IN THE VARIOUS WORKFORCE DEVELOPMENT PROGRAMS. OTHER ACTIVITIES INCLUDE OUR HEALTHY LIVING GRANTS (15 PROGRAMS WERE FUNDED IN 2023, including 3 "Bigger Ask" Healthy Living Grants), OUR COMMUNITY BUILDING GRANTS (3 PROGRAMS WERE FUNDED IN 2023), OUR Health Equity Grants (1 program was funded in 2023) AND SCHOOL WELLNESS PROGRAMS THAT INCLUDED THE FARM LAB AT ARROYO HIGH SCHOOL, THE GARDEN OF HOPE , THE KID'S RUN FARMER'S MARKETS, NURSING BURRITO PROJECT, THREE COMMUNITY ORGANIZATIONS WERE FUNDED TO PROVIDE RESOURCES, REFERRALS AND ACCESS TO FOOD PROGRAMS FOR PATIENTS IDENTIFIED WITH FOOD INSECURITY AND FOR HAVING OTHER SOCIAL HEALTH NEEDS, AND THE CANCER CARE IS DIFFERENT CAMPAIGN/CANCER PATIENTS BILL OF RIGHTS. IN ADDITION TO PREVENTING DISEASE, UPHOLDING SUSTAINABLE ENVIRONMENTAL PRACTICES AND FOSTERING A BROAD RANGE OF PARTNERSHIPS TO COLLABORATIVELY ADVANCE THE HEALTH OF OUR COMMUNITIES, CITY OF HOPE IS COMMITTED TO INCREASING EDUCATIONAL OPPORTUNITIES THAT CAN LEAD TO CAREERS IN HEALTH CARE FOR UNDERREPRESENTED ETHNIC/CULTURAL GROUPS. HEALTH CARE IS DIVERSE AND COMPLEX. A HEALTHCARE DELIVERY SYSTEM NEEDS SUPPORT ACROSS THE INSTITUTION THAT INCLUDES FOOD AND NUTRITION SERVICES. DURING FISCAL YEAR 2023 WE CONTINUED TO EXPLORE INTERNSHIP OPPORTUNITIES FOR STUDENTS IN OUR SURROUNDING COMMUNITIES INCLUDING THE RE-VISTING OF WORK EXPERIENCE PROGRAMS THAT WERE POSTPONED DUE TO THE GLOBAL PANDEMIC. ADDITIONALLY, THROUGH OUR WORK WITH THE FARM LAB AT ARROYO HIGH SCHOOL, WE ARE CONTINUING TO WORK WITH THE DISTRICT TO CREATE A "CAREER TECHNICAL EDUCATION" PATHWAY FOR STUDENTS TO LEARN MORE ABOUT URBAN FARMING AND FARM-TO-TABLE ENDEAVORS AS WELL AS EXPANDING THE PRESENCE OF URBAN GARDENS AT EACH OF THE HIGH SCHOOLS IN THE DISTRICT. AT CITY OF HOPE, WE DO NOT DO POPULATION HEALTH INTERVENTIONS ON A REGULAR BASIS. WE RECOGNIZE THAT THERE ARE ORGANIZATIONS IN OUR COMMUNITY WHO ARE EXPERTS IN THIS AREA. THIS YEAR, WE FUNDED 15 LOCAL NON-PROFIT ORGANIZATIONS TO DELIVER INNOVATIVE PROGRAMS THAT ADDRESS ONE OR MORE OF OUR STRATEGIC PRIORITIES AROUND ACCESS TO CARE, HEALTHY LIVING, MENTAL HEALTH, OR CANCER PREVENTION. OUR COMMUNITY BENEFIT ADVISORY COUNCIL MEMBERS MADE THE SELECTIONS AND GRANTED $5,000 TO EACH GROUP. WE ALSO CONTINUED THE "BIGGER ASK" HEALTHY LIVING GRANT PROGRAM WHERE TWO ORGANIZATIONS WERE FUNDED AT THE $10,000 LEVEL AND THE OTHER AT THE $25,000 LEVEL. THE ADDED BONUS - CITY OF HOPE NOW HAS AN OPPORTUNITY TO LEARN MORE ABOUT OUR LOCAL VULNERABLE POPULATIONS AND CAN HELP SUPPORT OUR LOCAL COMMUNITY EFFORTS TOWARD TACKLING HEALTH DISPARITIES IN THE MOST CULTURALLY APPROPRIATE AND SPECIFIC MANNER. LEARN MORE AT: https://www.cityofhope.org/about-city-of-hope/community-outreach/community-benefit/healthy-living-grant-program BEING A GOOD CITIZEN MEANS BEING SUPPORTIVE OF THE WORK OUR CITIES AND COMMUNITY ORGANIZATIONS DO TO IMPROVE THE LIVES OF THE PEOPLE THEY SERVE. THROUGHOUT the year CITY OF HOPE HAS SUPPORTED VIRTUAL MEET VENUES, VIA ZOOM OR TEAMS. ALLOWING THESE ORGANIZATIONS TO CONTINUE TO CONVENE THEIR STAKEHOLDERS OR PROVIDE EDUCATION. THE KINDNESS GRANTS WERE CREATED TO SUPPORT CITY OF HOPE EMPLOYEES WITH GREAT IDEAS, WHO WANT TO DO GOOD IN THEIR COMMUNITY. THE COMMUNITY BENEFIT ADVISORY COUNCIL APPROVED A BUDGET TO SUPPORT THIS ENDEAVOR. FOR FISCAL YEAR 2023 A TOTAL OF NINE PROGRAMS WERE FUNDED. THE PROJECTS FUNDED INCLUDED: Mental Health Benefits of DIY Gifts, Adopt a Senior Nursing Class, Orange County Jewish Cancer Education Initiative, Empowering Women's Cancer Prevention through Genetic Awareness, Dysphagia Food Bank, Caregiving Support Group in Spanish, Growing Hope Gardens, and Breast Cancer Awareness & Education is Power: Together we can Make a Difference. EACH PROGRAM IS DESCRIBED IN DETAIL WITHIN THE FISCAL YEAR 2023 Community Benefit REPORT AVAILABLE ONLINE: https://www.cityofhope.org/los-angeles/community-outreach/community-benefit
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE ALLOWANCES FOR CONTRACTUAL DISCOUNTS AND UNCOLLECTIBLE ACCOUNTS HAVE BEEN DETERMINED BASED ON HISTORICAL COLLECTION DATA AND OTHER FACTORS, INCLUDING CHANGES TO CONTRACT TERMS. AS A RESULT OF CERTAIN CHANGES REQUIRED BY ASU 2014-09, THE MAJORITY OF CITY OF HOPE'S PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE INSTEAD OF BEING PRESENTED AS A COMPONENT OF EXPENSES ON THE CONSOLIDATED STATEMENTS OF ACTIVITIES FOR THE YEAR ENDED SEPTEMBER 30, 2023.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE ALLOWANCES FOR CONTRACTUAL DISCOUNTS AND UNCOLLECTIBLE ACCOUNTS HAVE BEEN DETERMINED BASED ON HISTORICAL COLLECTION DATA AND OTHER FACTORS, INCLUDING CHANGES TO CONTRACT TERMS. AS A RESULT OF CERTAIN CHANGES REQUIRED BY ASU 2014-09, THE MAJORITY OF CITY OF HOPE'S PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE INSTEAD OF BEING PRESENTED AS A COMPONENT OF EXPENSES ON THE CONSOLIDATED STATEMENTS OF ACTIVITIES FOR THE YEAR ENDED SEPTEMBER 30, 2023. THE TOTAL BAD DEBT EXPENSE INCURRED BY THE MEDICAL CENTER DURING FISCAL YEAR 2023 WAS $4,915,501, WHICH WAS INCLUDED AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	IN ADDITION TO BEING AN NCI-DESIGNATED COMPREHENSIVE CANCER CENTER, CITY OF HOPE IS A FOUNDING MEMBER OF THE NATIONAL COMPREHENSIVE CANCER NETWORK (NCCN), AN ALLIANCE OF 33 OF THE NATION'S LEADING CANCER CENTERS THAT DEFINE AND SET NATIONAL STANDARDS FOR CANCER CARE - STANDARDS THAT ARE MADE AVAILABLE TO PATIENTS AND PHYSICIANS. NCCN MEMBER INSTITUTIONS ADVANCE CANCER PREVENTION, SCREENING, DIAGNOSIS AND TREATMENT THROUGH EXCELLENCE IN BASIC AND CLINICAL RESEARCH. CITY OF HOPE AND OTHER NCCN PARTNERS ENHANCE THE EFFECTIVENESS AND EFFICIENCY OF CANCER CARE DELIVERY THROUGH THE ON-GOING COLLECTION, SYNTHESIS AND ANALYSIS OF OUTCOME DATA. GIVEN THE INSTITUTION'S FOCUS ON CANCER AND THE HIGHER INCIDENCE OF CANCER AMONG ADULTS 65 AND OLDER, THE MEDICAL CENTER TREATS A HIGH PROPORTION OF MEDICARE PATIENTS. THAT FACT, COMBINED WITH THE HIGH COST OF COMPLEX CARE, MEANS THAT THE MEDICAL CENTER BEARS SIGNIFICANT UNREIMBURSED MEDICARE EXPENSES. RECOGNIZING THE MEDICAL CENTER'S EXTRAORDINARY CONTRIBUTIONS TO CANCER CARE, RESEARCH, EDUCATION AND POPULATION HEALTH, THE MEDICAL CENTER'S MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. IN ADDITION TO THE MEDICARE SHORTFALL AMOUNT INCLUDED ON SCHEDULE H, PART III, SECTION B, MEDICARE, LINE 7, THE MEDICAL CENTER INCURS ADDITIONAL COSTS IN THE TREATMENT OF MEDICARE PATIENTS FOR WHICH MEDICARE EXCLUDES FROM THE CALCULATION OF ALLOWABLE COSTS. THIS AMOUNT TOTALED APPROXIMATELY $26,930,140 FOR FISCAL YEAR 2023 AND HAS NOT BEEN INCLUDED IN THE TOTALS ON SCHEDULE H, PART III, LINE 7. INCLUDING THE AMOUNT ON SCHEDULE H, PART III, LINE 7, THE TOTAL SHORTFALL THE MEDICAL CENTER INCURS FOR MEDICARE PATIENTS TOTALED APPROXIMATELY $80,917,429. THE MEDICAL CENTER BELIEVES THAT THESE COSTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT. MEDICARE COST IS BASED ON THE MEDICARE COST REPORT WHICH COMBINES ROUTINE AND ANCILLARY COSTS. THE COST FOR ANCILLARY SERVICES IS BASED ON A RATIO OF COST TO CHARGES. ROUTINE SERVICES ARE BASED ON DIRECT ROUTINE COSTS AND ARE ALLOCATED BASED ON THE MEDICARE PATIENT DAYS AS A PERCENT OF THE MEDICAL CENTER'S TOTAL PATIENT DAYS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	PATIENT ACCOUNTS ARE NOT SENT TO COLLECTION WITHOUT GIVING PATIENTS ADEQUATE TIME TO BE EVALUATED OR RE-EVALUATED FOR FINANCIAL ASSISTANCE OR TO DEVELOP ALTERNATIVE PAYMENT ARRANGEMENTS. PATIENT ACCOUNTS WILL NOT BE SENT TO COLLECTION WHILE PENDING COMPLETION OF FINANCIAL COUNSELING. A PATIENT WILL BE GIVEN AT LEAST SEVEN BUSINESS DAYS NOTICE BEFORE HIS OR HER ACCOUNT IS SENT TO A COLLECTION AGENCY. NEITHER THE MEDICAL CENTER NOR ITS THIRD PARTY COLLECTION VENDORS WILL USE WAGE GARNISHMENT OR LIENS ON PRIMARY RESIDENCES AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FROM PATIENTS WHO ARE ELIGIBLE FOR ANY FORM OF CHARITY CARE UNDER THE CHARITY CARE POLICY. ALL AGENCIES USED FOR COLLECTION ARE ADVISED ON THE MEDICAL CENTER'S POLICY IN WRITING AND THE CHARITY CARE POLICY IS INCORPORATED BY REFERENCE IN COLLECTION CONTRACTS WITH SUCH AGENCIES. THE MEDICAL CENTER RECEIVES WRITTEN ASSURANCES FROM THESE AGENCIES THAT THEY WILL ADHERE TO THE MEDICAL CENTER'S STANDARDS.
Schedule H, Part V, Section B, Line 16a FAP website	- City of Hope National Medical Center: Line 16a URL: https://www.cityofhope.org/patients/helping-you-with-insurance-billing-and-legal-information;
Schedule H, Part V, Section B, Line 16b FAP Application website	- City of Hope National Medical Center: Line 16b URL: https://www.cityofhope.org/patients/helping-you-with-insurance-billing-and-legal-information;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- City of Hope National Medical Center: Line 16c URL: https://www.cityofhope.org/patients/helping-you-with-insurance-billing-and-legal-information;
Schedule H, Part VI, Line 2 Needs assessment	IN ADDITION TO THE TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT, CITY OF HOPE, ON AN ON-GOING BASIS, USES HEALTH STATUS DATA FROM SUCH SOURCES AS THE CALIFORNIA DEPARTMENT OF HEALTH SERVICES, THE LA COUNTY DEPARTMENT OF PUBLIC HEALTH, ECONOMIC DATA FROM THE SAN GABRIEL VALLEY ECONOMIC PARTNERSHIP AND A VARIETY OF PUBLICLY AVAILABLE DATA SETS TO EXPLORE NEED. LAY ADVISORY COUNCILS ARE USED EXTENSIVELY TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS AND GUIDE PROGRAM DEVELOPMENT. OVERSIGHT TO ENSURE CITY OF HOPE'S REPORTABLE COMMUNITY BENEFIT PROGRAMS AND SERVICES ARE TARGETING THE NEEDS IDENTIFIED IN THE 2022 NEEDS ASSESSMENT, THE CBAC WILL MEET AT LEAST FOUR TIMES A YEAR. THE CBAC MEMBERS ARE INDIVIDUALS THAT REPRESENT THE LOCAL COMMUNITY WITH THE FOLLOWING AREAS OF EXPERTISE THAT HELP GUIDE TRANSPARENT COMMUNITY BENEFIT PROGRAMMING. EACH CBAC MEMBER MUST HAVE ONE OF THE FOLLOWING TALENTS AND/OR EXPERIENCES: - RESIDENCE IN A LOCAL COMMUNITY WITH A DISPROPORTIONATE PERCENTAGE OF UNMET HEALTH RELATED NEEDS - KNOWLEDGE AND EXPERTISE IN PRIMARY DISEASE PREVENTION - EXPERIENCE WORKING WITH LOCAL NONPROFIT COMMUNITY-BASED ORGANIZATIONS - KNOWLEDGE AND EXPERTISE IN EPIDEMIOLOGY - EXPERTISE IN THE ANALYSIS OF SERVICE UTILIZATION AND POPULATION HEALTH DATA MEMBERSHIP IN THE CBAC IS MADE UP OF REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: - AMERICAN CANCER SOCIETY - ARCADIA METHODIST HOSPITAL - CENTER FOR NON-PROFIT MANAGEMENT - CITY OF AZUSA - RECREATION AND FAMILY SERVICES - CITY OF DUARTE - SENIOR SERVICES - CITY OF PASADENA HEALTH DEPARTMENT - DUARTE UNIFIED SCHOOL DISTRICT - FOOTHILL UNITY CENTER - LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES - REGION SPA 3 - PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY - SET OF LIFE INC. - YWCA - SAN GABRIEL VALLEY Ms. Miki Carpenter and Ms. Patricia Duff Tucker serve as the co-chairs of CBAC. Throughout FY2023, CBAC met four times (Twice in person and twice virtually). During the course of this year, our CBAC worked toward achieving strategies identified in the 2021-2023 Implementation Strategy. Members reviewed and awarded the Healthy Living Grants and Kindness Grants, conducted virtual and on-site, site visits of the grantees, participated in the in-person Healthy Living Conference and provided guidance as we completed our 2022 Community Health Needs Assessment and shared the findings with our community. THE COMMUNITY BENEFIT DEPARTMENT ALSO ESTABLISHED AN INTERNAL HUB COMPRISED OF CITY OF HOPE STAFF MEMBERS WHO ARE RESPONSIBLE FOR CONTRIBUTING TO COMMUNITY BENEFIT PROGRAMS AND SERVICES. THEY MEET ON A QUARTERLY BASIS TO DISCUSS FEDERAL REPORTING REQUIREMENTS, RECEIVE TECHNICAL ASSISTANCE AND LEARN ABOUT CITY OF HOPE'S PROCESSES FOR ENSURING PROGRAMS ADDRESS PRIORITIES OUTLINED IN THE IMPLEMENTATION STRATEGY. ADDITIONALLY, THIS GROUP HAS AN INTERNAL WEBSITE THAT PROVIDES LINKS TO RESOURCES, COMMUNITY BENEFIT BEST PRACTICES AND INTERNAL TOOLS FOR SHARING AND BUILDING COLLABORATIONS THAT STRENGTHEN THE QUALITY OF STAFF CONTRIBUTIONS. MONITORING AND EVALUATION WE BELIEVE THAT TAKING A BUSINESS APPROACH TO PLANNING AND EVALUATING THE IDENTIFIED INITIATIVES WILL ENSURE THEIR LONG-TERM SUSTAINABILITY. WE REALIZE THAT EVALUATION IS NECESSARY TO MEASURE SUCCESS, AS WELL AS TO IDENTIFY AREAS NEEDING IMPROVEMENT. THE PROCESS CAN RESULT IN MORE EFFECTIVE INITIATIVES. CITY OF HOPE IS WORKING TO IDENTIFY THE BEST METHODS OF MONITORING AND EVALUATING THE IMPACT OF THE INITIATIVES IDENTIFIED IN THIS DOCUMENT. IN ORDER TO EFFICIENTLY DEPLOY RESOURCES AND MAXIMIZE RESULTS, CITY OF HOPE'S ANNUAL BUDGET WILL INCLUDE THE OPERATING FUNDS REQUIRED TO MANAGE, TRACK AND REPORT ON THE OUTCOMES AND IMPACTS OF ALL COMMUNITY BENEFIT PROGRAMS AND INITIATIVES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ARE INFORMED ABOUT THEIR POSSIBLE ELIGIBILITY FOR ASSISTANCE BY THE MEDICAL CENTER'S PATIENT FINANCIAL COUNSELORS PRIOR TO THEIR FIRST APPOINTMENT. IN ADDITION, DURING THE INITIAL MEETING BETWEEN CLINICAL SOCIAL WORKERS AND PATIENTS AND THEIR FAMILIES, ASSESSMENT OF A PATIENT'S NEED FOR ASSISTANCE WITH HOUSING, TRANSPORTATION, OBTAINING MEDICATIONS, AND OTHER FINANCIAL SUPPORT AND ELIGIBILITY FOR STATE AND FEDERAL PROGRAMS IS CONDUCTED. SOCIAL WORKERS AND OTHER MEDICAL CENTER STAFF REFER PATIENTS TO A MEDICAL CENTER RESOURCES COORDINATOR, WHO HELPS PATIENTS AND THEIR FAMILIES APPLY FOR ASSISTANCE AND ACCESS COMMUNITY RESOURCES. IN ADDITION, INFORMATION ABOUT MEDICAL CARE FOR THOSE WHO CANNOT AFFORD TO PAY IS CONTAINED IN A LETTER SENT TO ALL NEW PATIENTS PRIOR TO THEIR FIRST VISIT. THIS INFORMATION IS ALSO POSTED NEAR THE NEW PATIENT CHECK-IN DESK AND IS INCLUDED IN A GUIDE PROVIDED TO EVERY NEW PATIENT. THE MEDICAL CENTER'S PATIENTS AND THEIR FAMILIES CAN ALSO LEARN ABOUT FINANCIAL COUNSELING AND OTHER RESOURCES THROUGH THE INSTITUTION'S PATIENT AND FAMILY ORIENTATION CLASS. THIS CLASS IS OFFERED IN ENGLISH AND SPANISH AND IS AVAILABLE TO EVERY NEW PATIENT. INDIVIDUAL COUNSELING IS OFFERED TO PATIENTS WHO SPEAK OTHER LANGUAGES. IN ADDITION TO THE SUPPORT SERVICES PREVIOUSLY MENTIONED, CITY OF HOPE PROVIDES PATIENTS ACCESS TO ITS INTERNALLY DEVELOPED AND INTERNATIONALLY RECOGNIZED SUPPORTSCREEN PROGRAM. PATIENTS USE SUPPORTSCREEN ON TOUCH SCREEN TABLETS TO IDENTIFY THEIR PSYCHOLOGICAL, EMOTIONAL, PHYSICAL, SOCIAL, FINANCIAL AND PRACTICAL CONCERNS. PATIENTS' RESPONSES ARE IMMEDIATELY AVAILABLE TO CARE PROVIDERS AND REQUESTS FOR ASSISTANCE ARE AUTOMATICALLY ROUTED TO THE APPROPRIATE MEMBER OF THE PATIENT'S CARE TEAM, WHO THEN ADDRESS POTENTIAL PROBLEMS AND BARRIERS TO CARE. THE SUPPORTSCREEN SYSTEM ENABLES STAFF TO PROMPTLY FOLLOW UP WITH PATIENTS WHO ARE SIGNIFICANTLY CONCERNED ABOUT FINANCIAL ISSUES AND ARE SEEKING MORE INFORMATION OR SOMEONE TO TALK TO ABOUT ASSISTANCE AND RESOURCES.
Schedule H, Part VI, Line 4 Community information	City of Hope, Los Angeles, is headquartered in the city of Duarte, situated at the base of the San Gabriel Mountains just 21 miles northeast of Los Angeles. Our services, however, extend far beyond our immediate community and, in fact, impact five major counties (Los Angeles, Orange, Riverside, San Bernardino and Ventura) where City of Hope operates over 30 clinical network locations . The majority of our patients come from Los Angeles County, specifically from communities within Service Planning Area 3 (SPA 3). City of Hope itself is within SPA 3, which includes 34 cities, such as Alhambra, Altadena, Arcadia, Azusa, Baldwin Park, Claremont, Covina, Diamond Bar, El Monte, Glendora, Irwindale, Monrovia, Monterey Park, Pasadena, Pomona, San Dimas, San Gabriel, San Marino, Temple City, Walnut and West Covina. IN SPA 3, THE HIGHEST POPULATION OF LATINOS IS IN POMONA AND EL MONTE. ALTADENA AND PASADENA HAVE THE HIGHEST CONCENTRATION OF BLACK PEOPLE. ALHAMBRA AND MONTEREY PARK HAVE THE HIGHEST POPULATION OF ASIANS IN SPA 3. AND PASADENA AND SIERRA MADRE ARE WHERE THE MOST RESIDENTS IDENTIFYING AS WHITE RESIDE. NATIVE AMERICANS AND HAWAIIAN/PACIFIC ISLANDERS RESIDE IN HIGHER NUMBERS WITHIN PASADENA, POMONA AND WEST COVINA - A SHIFT FROM THE 2013 TO 2017 DATA SHOWING BALDWIN PARK AND EL MONTE AS CITIES WITH THE HIGHEST POPULATIONS OF NATIVE HAWAIIANS/PACIFIC ISLANDERS AND AMERICAN INDIAN/NATIVE AMERICANS WITHIN SPA 3. THE RACE/ETHNIC BREAKDOWN OF SPA 3 POPULATION IS: 44.7% LATINO, 17.6% WHITE, 31.6% ASIAN AND 3.2% BLACK/AFRICAN AMERICAN. FROM 2017 TO 2020, THERE WAS A SLIGHT DECREASE AMONG THE WHITE POPULATION (19.3% IN 2017) AND AN INCREASE AMONG THE ASIAN POPULATION (29.9% IN 2017). IN 2017, IRWINDALE, LA PUENTE AND SOUTH EL MONTE HAD THE HIGHEST CONCENTRATION OF THE LATINO POPULATION, WITH A RATE OF 93.3%, 84.7% AND 82% RESPECTIVELY. IN 2020, THE THREE CITIES REMAINED HOME TO THE HIGHEST CONCENTRATION OF THE LATINO POPULATION WITH 90.8% IN IRWINDALE, 81.7% IN LA PUENTE AND 79.6% IN SOUTH EL MONTE. THE HIGHEST PROPORTION OF THE WHITE POPULATION IS IN SIERRA MADRE AT 62.5%, SIMILAR TO, THOUGH SLIGHTLY LOWER THAN 2017, WHEN THE SAME PROPORTION STOOD AT 66.6%. THIS RATE HAS DROPPED NEARLY 3% FROM 2013-2017 AND CONTINUED TO DROP FROM 2018-2020 BY ANOTHER 4.1%. THE HIGHEST POPULATION OF ASIANS RESIDE IN WALNUT (67.1%) AND MONTEREY PARK (66%). THE 2020 CENSUS ALSO SHOWS ASIAN POPULATIONS COMPRISING OVER 60% OF THE POPULATION IN NUMEROUS OTHER CITIES INCLUDING WALNUT (67.1%), MONTEREY PARK (66%), ARCADIA (64.6%), ROSEMEAD (64%), TEMPLE CITY (63.5%), SAN GABRIEL (63.4%), ROWLAND HEIGHTS (61.3%) AND SAN MARINO (60.6%). ALTADENA HAD THE HIGHEST CONCENTRATION OF BLACK/AFRICAN AMERICANS IN 2017 (21.7%) AND IN 2020 (16.7%) DESPITE A DECLINE OVER THE THREE-YEAR PERIOD. PASADENA ALSO HAD A HIGHER PROPORTION OF BLACK/AFRICAN AMERICANS (7.8%). Apart from Los Angeles County, the remaining counties of interest to City of Hope all have at least half of their respective populations speaking English only in the home. Los Angeles County continues to have the highest rates of foreign-language speakers in Spanish (38.7%) and other Indo-European languages (5.4%). All but Orange County have rates of Spanish speakers in the home greater than the state rate of 24.5%. Los Angeles and Orange counties have the highest proportion of households speaking Asian languages. Their rates, 10.8% and 15.2% respectively, are also greater than the State rate of 10%. When language is examined by city, nearly two-thirds of La Puente and South El Monte households speak Spanish at home, whereas less than 10% of households in Arcadia (6.6%), Sierra Madre (5.1%), San Marino (4.9%) and Bradbury (4.1%) speak Spanish. Over half of households within the cities of Rosemead, Rowland Heights, San Gabriel, Monterey Park (53.9%), and Temple City (51.6%) speak an Asian or Pacific Islander language at home. Altadena, Bradbury and Pasadena have the highest percentage of households who speak some other Indo-European Language. IN SPA 3, EIGHT CITIES HAVE POVERTY LEVELS GREATER THAN OR EQUAL THE STATE RATE OF 12.6%. THEY INCLUDE: AZUSA (14.3%), BALDWIN PARK (12.6%), EL MONTE (17.4%), PASADENA (14.0%), POMONA (17.3%), ROSEMEAD (13.5%) AND SOUTH EL MONTE (21.1%). THE FEDERAL GOVERNMENT MEASURES THE NUMBER OF PEOPLE IN POVERTY WITH THRESHOLDS ESTABLISHED AND UPDATED ANNUALLY BY THE U.S. CENSUS (FEDERAL POVERTY LEVEL). IN 2022, THE FEDERAL POVERTY LEVEL FOR AN INDIVIDUAL STOOD AT ANNUAL INCOME OF $13,590 WHILE FOR A FAMILY OF FOUR IT WAS $27,000. IN CALIFORNIA, WHERE THE COST OF LIVING IS HIGH, RESEARCH INDICATES THAT FAMILIES CAN EARN TWO OR MORE TIMES THE FEDERAL POVERTY LEVEL AND STILL STRUGGLE TO MEET THEIR BASIC NEEDS. ONE OF THE KEY DRIVERS OF HEALTH IS EDUCATIONAL ATTAINMENT - LOW LEVELS OF EDUCATION ARE OFTEN LINKED TO POVERTY AND POOR HEALTH. IN SPA 3, 14 CITIES RATE BELOW THE STATE IN THE RATE OF COLLEGE EDUCATED ADULTS, AGES 25 AND OLDER. SOUTH EL MONTE (7.7%) AND LA PUENTE (9.1%) HAVE THE LOWEST RATES OF COLLEGE GRADUATES IN SPA 3. SOUTH EL MONTE AND EL MONTE HAVE THE HIGHEST PERCENTAGE OF THOSE WITH NO HIGH SCHOOL EDUCATION, 29.1% AND 24.5% RESPECTIVELY. THE HIGHEST PERCENTAGE OF RESIDENTS WITH A HIGH SCHOOL DIPLOMA ARE FOUND IN BALDWIN PARK (29.5%), INDUSTRY, (34.8%), LA PUENTE (30.6%) AND VALINDA (30.4%). WALNUT (38.4%) AND SAN MARINO (40.1%) HAVE THE HIGHEST PERCENTAGE OF COLLEGE-EDUCATED ADULTS OVER THE AGE OF 25. SAN MARINO ALSO HAS THE SECOND-HIGHEST HOUSEHOLD MEDIAN INCOME AT $164,423. THOUGH SOUTH EL MONTE HAS THE LOWEST PERCENTAGE OF COLLEGE GRADUATES AND THE HIGHEST PERCENTAGE OF RESIDENTS WITH NO HIGH SCHOOL EDUCATION, THEY HAVE A HIGHER PERCENTAGE OF HIGH SCHOOL GRADUATES (27.3%) THAN THE STATE (20.4%). WHILE CITY OF HOPE IS A LEADING RESEARCH AND TREATMENT CENTER FOR CANCER, DIABETES, HIV/AIDS AND OTHER LIFE-THREATENING DISEASES, WE DO OUR BEST TO INCORPORATE SOCIAL DETERMINANTS OF HEALTH AND WHAT WE KNOW ABOUT OUR COMMUNITIES, INTO STRATEGIES THAT ADDRESS OTHER ROOT CAUSES OF HEALTH DISPARITY ON A BROADER BASIS.
Schedule H, Part VI, Line 5 Promotion of community health	CITY OF HOPE IS ACTIVELY ENGAGED IN PROMOTING THE HEALTH OF THE COMMUNITY THROUGH THE DELIVERY OF COLLABORATIVE PROGRAMS AND SERVICES FOCUSED ON VULNERABLE POPULATIONS. CITY OF HOPE PROVIDES A VARIETY OF COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BUILDING ACTIVITIES THAT ARE FURTHER DESCRIBED IN OUR 2023 COMMUNITY BENEFIT REPORT. ADDITIONALLY, CITY OF HOPE IS DEDICATED TO PROVIDING EDUCATIONAL OPPORTUNITIES TO COMMUNITY PROVIDERS OF HEALTH SERVICES AND WORK FORCE DEVELOPMENT FOR THOSE INDIVIDUALS REPRESENTING MINORITY AND/OR OTHER UNDER-REPRESENTED POPULATIONS. THE MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPOSED OF CITY OF HOPE PHYSICIANS AND MEMBERS OF THE COMMUNITY WITH EXPERIENCE IN THE BUSINESS AND PHILANTHROPIC WORLD. AS ONE OF THE NATION'S 56 NCI - DESIGNATED COMPREHENSIVE CANCER CENTERS, THE MEDICAL CENTER SERVES A VITAL ROLE IN ITS COMMUNITY. THE MEDICAL CENTER INTEGRATES CLINICAL TREATMENT, PREVENTION, DISEASE CONTROL AND POPULATION RESEARCH IN THE COMMUNITY. AT ANY GIVEN TIME, THE MEDICAL CENTER CONDUCTS MORE THAN 300 CLINICAL TRIALS INVOLVING 25 PERCENT OF ITS PATIENTS (THE NATIONAL AVERAGE IS LESS THAN 5 PERCENT) DEMONSTRATING THE INSTITUTION'S COMMITMENT TO BRINGING NEW, MORE EFFECTIVE TREATMENTS TO INDIVIDUALS WITH CANCER. THE MEDICAL CENTER FUNDED AN ESTIMATED $146,013,081 IN CLINICAL TRIAL RESEARCH AND EDUCATION/TRAINING PROGRAMS DURING FISCAL YEAR 2023. THE MEDICAL CENTER OFFERS AN EXTENSIVE ARRAY OF PROGRAMS AND SERVICES THAT SERVE STUDENTS, POST-DOCTORAL TRAINEES, PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. SUPPORT FROM THE MEDICAL CENTER IS INTEGRAL TO VIRTUALLY ALL OF THESE PROGRAMS. HOSPITAL STAFF CONTRIBUTE THEIR EXPERTISE AS MENTORS AND PRESENTERS AND HOSPITAL FACILITIES SERVE AS VITAL SITES FOR CLINICAL TRAINING AND AS VENUES FOR CONFERENCES. THE MEDICAL CENTER SERVES AS A RESOURCE FOR YOUNG PHYSICIANS SEEKING TO DEVELOP EXPERTISE IN CANCER, DIABETES AND OTHER DISEASES. RECOGNIZED WORLDWIDE FOR ITS INNOVATIVE APPROACHES TO ADVANCING SCIENCE, THE MEDICAL CENTER OFFERS NUMEROUS HANDS-ON INTERNSHIPS, FELLOWSHIPS AND RESIDENCIES FOR HEALTH PROFESSIONALS IN A BROAD ARRAY OF AREAS INCLUDING CANCER GENETICS, BONE MARROW TRANSPLANTATION, MOLECULAR EPIDEMIOLOGY, PHARMACY, CLINICAL NUTRITION, HOSPITAL ADMINISTRATION, SOCIAL WORK, HEALTH EDUCATION, AND REHABILITATION. PROGRAM ALUMNI GO ON TO PROVIDE HEALTH CARE IN OUR COMMUNITIES. THE DEPARTMENT OF CONTINUING MEDICAL EDUCATION (CME), IN COLLABORATION WITH MANY OF THE DIVISIONS AT THE MEDICAL CENTER, OFFERS EXTRAMURAL, LOCAL, REGIONAL AND NATIONAL OUTREACH PROGRAMS. THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) AWARDED CITY OF HOPE'S CME PROGRAM ITS THIRD CONSECUTIVE ACCREDITATION WITH COMMENDATION IN 2023. ACCME CITED COMPLIANCE IN ALL CRITERIA AND ACCREDITATION POLICIES AND CHARACTERIZED OUR CME PROGRAM AS HAVING "...DEMONSTRATED AN ENGAGEMENT WITH YOUR ENVIRONMENT IN SUPPORT OF PHYSICIAN LEARNING AND CHANGE THAT IS PART OF A SYSTEM OF QUALITY IMPROVEMENT." ALTHOUGH CITY OF HOPE PROVIDES SPECIALTY CARE FOR LARGE NUMBERS OF PATIENTS FROM UNDERSERVED POPULATIONS, COMMUNITY PROVIDERS ARE THE FIRST LINE OF CARE FOR DISEASE PREVENTION AND EARLY DETECTION. FAMILY PRACTITIONERS, NURSE PRACTITIONERS AND REGISTERED NURSES ARE CHALLENGED BY THE EXTENT OF KNOWLEDGE THEY MUST HAVE TO TREAT ALL DISEASES IN PATIENTS OF ALL AGES. CITY OF HOPE ASSISTS THESE COMMUNITY CARE PROVIDERS BY PROVIDING THE INFORMATION THEY NEED TO REMAIN CURRENT ON THE DIAGNOSIS, TREATMENT AND PREVENTION OF CANCER AND DIABETES. THIS IS ACCOMPLISHED THROUGH A MULTIPRONGED APPROACH THAT INCLUDES: - ADDRESSING VULNERABLE POPULATIONS IN EVERY CONTINUING MEDICAL EDUCATION LECTURE, EITHER BY PRESENTING RESEARCH OR PROVIDING REFERENCES FOR FOLLOW-UP READING - HOLDING A MONTHLY CME DINNER ON VALUED TOPICS FOR FAMILY PRACTITIONERS RESIDING WITHIN A 30-MILE RADIUS - PROVIDING THE LATEST INFORMATION ON SCREENING GUIDELINES AND CLINICAL TRIALS FREE OF CHARGE ON CITY OF HOPE'S WEBSITE - INVITING AREA PRACTITIONERS TO ATTEND FREE "ASK THE EXPERTS TALKS" HELD AT CITY OF HOPE - GIVING LECTURES AT COMMUNITY PRACTICE SITES WITH A LARGE UNDERSERVED POPULATION, INCLUDING ANTELOPE VALLEY AND SOUTH PASADENA - PROVIDING ACCREDITED TALKS ON SUCH TOPICS AS SUPPORTIVE CARE, PALLIATIVE CARE AND HOW TO TALK WITH PATIENTS IN A CULTURALLY SENSITIVE MANNER FOR PHYSICIANS AND NURSES AT MAJOR MEDICAL MEETINGS. THE MEDICAL CENTER OFFERS COMMUNITY EDUCATION FORUMS ON CONTEMPORARY ISSUES SUCH AS HEALTH CARE REFORM, DIABETES, SICKLE CELL DISEASE AND HIV/AIDS. AT THESE EDUCATION PROGRAMS PHYSICIANS, RESEARCHERS AND STAFF DISCUSS DISEASES, TREATMENTS AND RESEARCH AND RESPOND TO QUESTIONS FROM THE PUBLIC. ACCORDING TO THE CENTERS FOR DISEASE CONTROL (2013) ACHIEVING HEALTH EQUITY, ELIMINATING HEALTH DISPARITIES, AND IMPROVING THE HEALTH OF ALL AMERICANS ARE OVERARCHING GOALS TO IMPROVE AND PROTECT THE NATION'S HEALTH. A SIGNIFICANT BARRIER TO ACCESSING CARE IS PROVIDING A WORKFORCE THAT IS REFLECTIVE OF THE CULTURAL AND LINGUISTIC PRACTICES OF OUR LOCAL COMMUNITY. AT CITY OF HOPE, IN ADDITION TO PREVENTING DISEASE, UPHOLDING SUSTAINABLE ENVIRONMENTAL PRACTICES, AND FOSTERING A BROAD RANGE OF PARTNERSHIPS TO COLLABORATIVELY ADVANCE THE HEALTH OF OUR COMMUNITIES, WE ARE ALSO COMMITTED TO IMPROVING EDUCATION OPPORTUNITIES THAT CAN LEAD TO CAREERS IN HEALTH CARE FOR UNDERREPRESENTED ETHNIC/CULTURAL GROUPS. THROUGH STRONG INTERNAL RELATIONSHIPS AND IMPORTANT COLLABORATIONS WITH OUR LOCAL COMMUNITY, WE HAVE BEEN ABLE TO DELIVER A VARIETY OF PROGRAMS THAT CAN INCREASE INTEREST IN HEALTH CARE FIELDS FROM HIGH SCHOOL STUDENTS TO ADULTS LIVING IN OUR SERVICE AREA. ONE OF THE MOST IMPORTANT THINGS WE CAN DO FOR OUR COMMUNITY IS TO BUILD OUR CAPACITY TO CARE FOR PATIENTS WITH UNIQUE NEEDS. THE JOURNEY TO DEVELOP A SUSTAINABLE SYSTEM TO ADDRESS THE FOOD INSECURITY OF OUR PATIENTS, THAT BEGAN IN FY2021 CONTINUED THROUGHOUT FY2023. WORKING IN A CROSS DISCIPLINE APPROACH NEWLY ADMITTED PATIENTS ARE SCREENED FOR FOOD INSECURITY, USING THE HUNGER VITAL SIGNS TWO VALIDATED FOOD INSECURITY QUESTIONS. PATIENTS IDENTIFIED AS "OFTEN "SOMETIMES" TO THE QUESTIONS ARE PROVIDED A CONSULTATION WITH THE CITY OF HOPE DIETICIANS, A REFERRAL TO LOCAL FOOD AGENCY FOR MEDICALLY TAILORED MEALS OR RESOURCES, AND PROVIDED AN OPPORTUNITY TO ORDER A 25 LB BAG OF FOOD UPON DISCHARGE. ADDITIONALLY, CITY OF HOPE CONTINUED TO OFFER THE QUARTERLY PRODUCE FOR PATIENTS WHERE CITY OF HOPE EMPLOYEES PROVIDE THE VOLUNTEER LABOR TO SORT AND DISTRIBUTE THE PRODUCE TO SELF-IDENTIFYING FOOD INSECURE PATIENTS. DURING FY2023 26,000 POUNDS OF FRESH PRODUCE WERE PROVIDED TO PATIENTS. CITY OF HOPE CONTINUES TO PARTICIPATE AS A LEADER IN THE SPA3 HOSPITAL COLLABORATIVE'S FOOD FOR ALL PROGRAM WITH THE INTENT TO MAKE REGIONAL IMPACT OF FOOD INSECURITY. A FEW ADDITIONAL EXAMPLES OF WAYS IN WHICH THE MEDICAL CENTER PROMOTES THE HEALTH OF ITS COMMUNITY IS THROUGH TECHNICAL ASSISTANCE PROVIDED TO GOVERNMENT AGENCIES AND COMMUNITY ORGANIZATIONS, CONTRIBUTIONS TO RESEARCH LITERATURE AND LEADERSHIP OF COMMUNITY BOARDS.
Schedule H, Part VI, Line 6 Affiliated health care system	Since 2011, THE City of Hope MEDICAL FOUNDATION HAS FOSTERED INCREASED COLLABORATION BETWEEN PHYSICIANS AND THE MEDICAL CENTER IN PROVIDING PATIENT CARE AND SERVICES TO THE COMMUNITY. THE MEDICAL FOUNDATION OPERATES CLINICAL NETWORK LOCATIONS IN ANTELOPE VALLEY, ARCADIA, COLTON, BURBANK, CORONA, GLENDALE, GLENDORA, HUNTINGTON MEMORIAL HOSPITAL, MISSION HILLS, NEWPORT BEACH, ORANGE, PASADENA, RIVERSIDE, SAN BERNARDINO, SANTA CLARITA, SANTA MONICA, SHERMAN OAKS, SIMI VALLEY, SOUTH BAY, SOUTH PASADENA, TEMECULA, THOUSAND OAKS, TORRANCE, UPLAND, WEST COVINA, WEST HILLS, WILDOMAR, AND THE DESERT REGIONAL MEDICAL CENTER. THE MEDICAL FOUNDATION SUPPORTS THE MEDICAL CENTER'S MISSION OF ADVANCING HIGH-QUALITY PATIENT CARE, INNOVATIVE RESEARCH AND EDUCATION PROGRAMS AND HAS ENABLED THE MEDICAL CENTER TO EXPAND SERVICES INTO THE COMMUNITY. As the BECKMAN RESEARCH INSTITUTE of the City of Hope IS A SEPARATE ENTITY, THE MYRIAD OF CONTRIBUTIONS TO COMMUNITY WELL-BEING MADE BY the Institute's DEPARTMENTS ARE NOT REFLECTED IN THE COMMUNITY BENEFIT amounts REPORTED ON SCHEDULE H. THE CENTER OF COMMUNITY ALLIANCE FOR RESEARCH AND EDUCATION (CCARE) WITHIN THE BECKMAN RESEARCH INSTITUTE IS THE FOCAL POINT FOR POPULATION SCIENCES COMMUNITY ENGAGEMENT INITIATIVES. CCARE FOCUSES INITIATIVES IN THREE AREAS: 1. PREVENTION - EDUCATION, SCREENING/EARLY DETECTION AND FOLLOW-UP 2. RESEARCH - THERAPEUTIC, NON-THERAPEUTIC AND OBSERVATIONAL; AND 3. TRAINING - EDUCATION AND MENTORING OF STUDENTS, RESEARCHERS, CLINICIANS AND COMMUNITY ADVOCATES CITY OF HOPE'S DIVISION OF NURSING RESEARCH AND EDUCATION, WHICH IS HOUSED WITHIN THE BECKMAN RESEARCH INSTITUTE, CONDUCTS INTERDISCIPLINARY RESEARCH ORGANIZED AROUND THE QUALITY OF LIFE AND SYMPTOM MANAGEMENT OF ONCOLOGY PATIENTS. STUDIES CONDUCTED IN THE DEPARTMENT EXTEND ACROSS THE TRAJECTORY OF DISEASE, FROM DIAGNOSIS AND TREATMENT TO SURVIVORSHIP AND END-OF-LIFE CARE. FINDINGS FROM THIS RESEARCH ARE DISSEMINATED THROUGH MULTIPLE COURSES OFFERED THROUGHOUT THE YEAR TO HEALTH PROFESSIONALS FROM ACROSS THE COUNTRY. THROUGH THE BECKMAN RESEARCH INSTITUTE, CITY OF HOPE OFFERS A PAID 10-WEEK SUMMER RESEARCH INTERNSHIP FOR 50 TO 70 HIGH SCHOOL STUDENTS FROM ALL OVER THE UNITED STATES, WITH 21 INTERNSHIPS RESERVED FOR STUDENTS FROM LOS ANGELES COUNTY. EACH YEAR, AN AVERAGE OF 1,500 APPLICATIONS ARE RECEIVED. THE SAN GABRIEL VALLEY SCIENCE EDUCATION PARTNERSHIP AWARD COLLABORATIVE (SEPAC) SEPAC WAS A PARTNERSHIP BETWEEN CITY OF HOPE AND THE DUARTE UNIFIED SCHOOL DISTRICT THAT WAS SUPPORTED BY A FIVE-YEAR GRANT FROM THE NATIONAL INSTITUTES OF HEALTH. CITY OF HOPE FACULTY, SCIENTISTS AND PRE-DOCTORAL STUDENTS DONATED THEIR SERVICES TO PROVIDE HANDS ON BIOMEDICAL SCIENCE EDUCATION TO 2ND, 5TH AND 8TH GRADERS THROUGHOUT THE ACADEMIC YEAR. THE GOAL OF SEPAC WAS TO INCREASE UNDERSTANDING OF THE CONNECTION BETWEEN SCIENCE AND HEALTH THROUGH FUN, INTERACTIVE, HANDS-ON ACTIVITIES AND TO INCREASE THE PIPELINE OF UNDERREPRESENTED MINORITY STUDENTS PURSUING COLLEGE MAJORS AND CAREERS IN THE SCIENCES AND TECHNOLOGY. MULTIPLE INTERACTIONS PROVIDED OVER THE COURSE OF K-12 SCHOOLING HELP BUILD AND MAINTAIN INTEREST, WHILE PREPARING STUDENTS TO ENTER COLLEGE WITH REAL-WORLD RESEARCH EXPERIENCE.
Schedule H, Part VI, Line 7 State filing of community benefit report	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
City of Hope Medical Foundation
274803222	§ 501(c)(3)	$8,000,000	Operating Support.
California Health Foundation and Trust
941498697	§ 501(c)(3)	$53,951	See Part IV
Lyte Foundation Inc
920433406	§ 501(c)(3)	$25,000	Healthy Living Grant
Foothill Unity Center Inc
954310817	§ 501(c)(3)	$19,500	Americorps sponsorship
Antelope Valley Partners for Health
470957404	§ 501(c)(3)	$10,400	Community Building Grant
Inland Valley Hope Partners
952674837	§ 501(c)(3)	$10,000	Community Building Grant
Montclair Community Foundation
264180900	§ 501(c)(3)	$10,000	Healthy Living Grant
Public Health Foundation Enterprises Inc
952557063	§ 501(c)(3)	$10,000	Community Benefit Grant; Health Consortium of the San Gabriel Valley
Rainbow Labs Mentoring Inc
863680722	§ 501(c)(3)	$10,000	Healthy Living Grant
Growing Hope Gardens
834524045	§ 501(c)(3)	$8,420	Healthy Living and Kindness Grants

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	AS PART OF THE CALIFORNIA HOSPITAL PROVIDER FEE PROGRAM THAT BECAME LAW ON SEPTEMBER 8, 2010, THE MEDICAL CENTER ENTERED INTO AN ENFORCEABLE PLEDGE AGREEMENT WITH THE CALIFORNIA HEALTH FOUNDATION and TRUST (CHFT). THE PLEDGE WAS TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS INDEPENDENT HOSPITALS AND HOSPITAL/HEALTH SYSTEMS IN CALIFORNIA, INCLUDING MEASURES TO ALLEVIATE LOSSES POTENTIALLY RESULTING FROM THE IMPLEMENTATION OF THE CALIFORNIA HOSPITAL PROVIDER FEE PROGRAM. THE MEDICAL CENTER DOES NOT MONITOR GRANTS MADE TO CHFT ONCE THEY HAVE BEEN MADE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GREGORY D SCHETINA
Former Officer	$0	$9,800	$0	$0	$43,544	$130,632	$0	$0	$0	$0	$43,544	$140,432	$43,544	$130,632
MICHAEL A CALIGIURI MD
President	$1,021,597	$113,475	$657,015	$72,979	$82,936	$9,212	$92,670	$10,293	$42,155	$4,682	$1,896,373	$210,641	$259,829	$28,861
DONALD J MATTHEWSON
Asst. Treasurer & VP, Treasury & Fin. Strategy	$90,901	$272,703	$17,518	$52,554	$37,313	$111,939	$2,315	$6,945	$2,568	$7,704	$150,615	$451,845	$14,300	$42,900
CRISTIN O'CALLAHAN
Corp. Secretary & General Counsel	$115,652	$462,608	$74,646	$298,584	$7,770	$31,080	$28,962	$115,848	$9,212	$36,848	$236,242	$944,968	$8,836	$26,508
JENNIFER A PARKHURST
Treasurer & CFO - Until 6/30/23	$180,458	$721,832	$212,061	$848,244	$20,381	$81,524	$18,492	$73,968	$10,252	$41,008	$441,644	$1,766,576	$54,104	$162,312
Susan J Brown PhD RN
SVP, Patient Care Services & Chief Nursing Officer	$584,459	$0	$238,177	$0	$93,357	$0	$58,084	$0	$38,686	$0	$1,012,763	$0	$45,514	$0
Debra Fields
EVP & Chief Transformation Officer	$203,066	$609,198	$277,133	$831,399	$19,449	$58,347	$62,798	$188,394	$13,807	$41,421	$576,253	$1,728,759	$46,850	$140,550
Mark Hulse
Chief Digital Officer	$193,859	$581,577	$238,735	$716,205	$25,017	$75,051	$49,651	$148,953	$7,670	$23,010	$514,932	$1,544,796	$41,763	$125,289
VINCENT JENSEN
Chief Clinical Operating Officer	$335,699	$335,699	$126,085	$126,085	$31,806	$31,806	$40,400	$40,400	$20,295	$20,295	$554,285	$554,285	$24,594	$24,594
ROBERT W STONE
COH PRESIDENT & CEO	$580,347	$1,354,144	$662,429	$1,545,667	$52,153	$121,691	$232,122	$541,618	$12,247	$28,576	$1,539,298	$3,591,696	$171,486	$400,134
VIJAY TRISAL MD
Chief Medical Officer	$558,276	$139,570	$210,222	$52,556	$71,335	$17,833	$52,665	$13,167	$38,748	$9,688	$931,246	$232,814	$45,156	$11,289
Annette M Walker MHA
President, COH OC Cancer Center	$566,205	$304,881	$652,609	$351,404	$91,157	$49,084	$142,778	$76,881	$23,923	$12,881	$1,476,672	$795,131	$125,032	$67,325
Stephen Gruber MD PhD MPH
Director, Center for Precision Medicine	$782,667	$0	$246,880	$0	$247,820	$0	$9,260	$0	$43,214	$0	$1,329,841	$0	$129,395	$0
Edward Kim MD
SVP, Physician in Chief - OC	$844,063	$0	$283,662	$0	$24,882	$0	$120,911	$0	$54,508	$0	$1,328,026	$0	$0	$0
HARLAN LEVINE MD
President, Health Innovation & policy	$305,612	$713,093	$521,338	$1,216,455	$31,755	$74,096	$79,108	$184,586	$13,020	$30,380	$950,833	$2,218,610	$76,050	$177,450
PHILIP OKALA
COH System President - Until 5/18/23	$76,003	$304,012	$250,000	$1,000,000	$32,764	$131,056	$2,583	$10,332	$2,362	$9,448	$363,712	$1,454,848	$0	$0
Steven T Rosen MD
Chief Scientific Officer	$275,758	$643,436	$187,587	$437,702	$36,535	$85,248	$72,386	$168,901	$5,371	$12,533	$577,637	$1,347,820	$70,148	$163,678

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a First-class or charter travel	THE MEDICAL CENTER PERMITS FIRST CLASS TRAVEL FOR CERTAIN OFFICERS, DIRECTORS, AND KEY EXECUTIVES IN LIMITED CIRCUMSTANCES WHEN SPECIFIED TRAVEL CRITERIA ARE MET.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE MEDICAL CENTER HAS A NON-QUALIFIED SECTION 457(F) EXECUTIVE SUPPLEMENTAL ACCUMULATION PLAN THAT IS DESIGNED AND MAINTAINED TO PROVIDE A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES WITH DEFERRED COMPENSATION. THE PLAN VESTS AFTER THREE (3) FISCAL YEARS OF SERVICE AND THE VESTED TOTALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). PRIOR TO VESTING, THE ANNUAL AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). PURSUANT TO THE PLAN DOCUMENT, VESTED PARTICIPANTS ARE ENTITLED TO WITHDRAW FROM THEIR VESTED ACCOUNT AN AMOUNT EQUAL TO THE FEDERAL, STATE, LOCAL AND FICA TAXES THEY OWE. THESE AMOUNTS ARE REMITTED TO THE APPROPRIATE TAXING AUTHORITIES ON BEHALF OF THE PARTICIPANTS. For CALENDAR YEAR 2022, THE FOLLOWING INDIVIDUALS WITHDREW THE REFERENCED AMOUNTS TO COVER SUCH TAXES: Robert W. Stone - $42,937 Jennifer Parkhurst - $23,879 Annette M. Walker - $39,419 Debra Fields - $22,434 Mark Hulse - $25,046 Steven T. Rosen - $34,782 Stephen Gruber - $61,681 Vijay Trisal - $19,139 Vincent Jensen - $9,126 Susan J. Brown - $17,261 Donald Matthewson - $36,790 Additionally, the following individuals received payments from the plan during the calendar year: GREGORY D. SCHETINA - $174,175
Schedule J, Part I, Line 7 Non-fixed payments	THE MEDICAL CENTER'S EXECUTIVES AND SOME KEY EMPLOYEES ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION UNDER AN ANNUAL INCENTIVE PLAN (AIP) TIED TO THREE (3) KEY PERFORMANCE INDICATORS AND TWO OR MORE INDIVIDUAL OBJECTIVES. THE KEY PERFORMANCE INDICATORS REFLECT KEY AREAS OF STRATEGIC FOCUS AND THE EXEMPT HEALTHCARE MISSION OF THE CITY OF HOPE AND AFFILIATES AND ARE BOTH FINANCIAL AND NON-FINANCIAL. THE POTENTIAL INCENTIVE COMPENSATION IS BASED ON A WEIGHTED AVERAGE AMONG ALL INDICATORS AND IS PAID AS A PERCENTAGE OF EACH INDIVIDUAL PARTICIPANT'S BASE COMPENSATION. THE KEY PERFORMANCE INDICATORS ARE WEIGHTED AT 50 PERCENT AND THE INDIVIDUAL OBJECTIVES ARE WEIGHTED AT 50 PERCENT. THE AIP IS UNDER THE CONTROL OF AND ADMINISTERED BY THE INDEPENDENT DIRECTORS SERVING ON THE EXECUTIVE COMPENSATION AND GOVERNANCE COMMITTEE. TO BE ELIGIBLE, THE PARTICIPANTS IN THE AIP MUST BE EMPLOYED BY THE MEDICAL CENTER AT THE TIME OF THE INCENTIVE PLAN PAYMENT, AND BE MEETING OR EXCEEDING PERFORMANCE EXPECTATIONS. CITY OF HOPE MAY, IN ITS DISCRETION, CANCEL ALL OR A PORTION OF ANY INCENTIVE PLAN PAYMENT OR AWARD TO ANY PARTICIPANT, WHETHER BEFORE OR FOLLOWING PAYMENT OF SUCH AWARD, SUBJECT TO COMPLIANCE WITH APPLICABLE LAW, UNDER THESE CIRCUMSTANCES (CANCELLATION POLICY): (A) AN INCENTIVE PLAN PAYMENT OR AWARD IS MADE FOR A FISCAL PERIOD AND CITY OF HOPE SUBSEQUENTLY RESTATES OR OTHERWISE ADJUSTS THE ANNUAL PERFORMANCE MEASUREMENT CALCULATION IN A MANNER THAT WOULD REDUCE THE SIZE OF THE AWARD OR PAYMENT, OR; (B) AN INCENTIVE PLAN PAYMENT OR AWARD IS MADE FOR A FISCAL PERIOD AND CITY OF HOPE SUBSEQUENTLY DETERMINES THAT ONE OR MORE OF THE ANNUAL PERFORMANCE MEASUREMENT CALCULATIONS ON WHICH THE AWARD IS BASED OR IS PAID ARE MATERIALLY INACCURATE. THE AIP INCENTIVE COMPENSATION EARNED FOR FISCAL YEAR 2022 WAS PAID IN CALENDAR YEAR 2022 AND THESE AMOUNTS HAVE BEEN REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II). THE MEDICAL CENTER HAS AN EXECUTIVE LONG-TERM INCENTIVE PLAN (LTI) FOR CERTAIN EXECUTIVES THAT IS DESIGNED TO DRIVE LONG-TERM ORGANIZATIONAL PERFORMANCE AND TRANSFORMATION BY ALIGNING EXECUTIVES WITH THE MULTI-YEAR STRATEGIC PLAN AND INCENTIVIZING THEM FOR ACHIEVING KEY ORGANIZATIONAL AND STRATEGIC OBJECTIVES AND GOALS. WITH THREE-YEAR VESTING PERIODS, THE LTI ALSO PROVIDES A MEANS FOR RETAINING KEY EXECUTIVE TALENT. THE PERFORMANCE PERIOD OF THE PLAN (CYCLE 8) RUNS FROM OCTOBER 1, 2019 THROUGH SEPTEMBER 30, 2022 WITH A NEW THREE YEAR PERFORMANCE PERIOD BEGINNING EACH OCTOBER 1ST THEREAFTER (E.G., CYCLE 9 RUNS FROM OCTOBER 1, 2020 THROUGH SEPTEMBER 30, 2023). TO BE ELIGIBLE TO PARTICIPATE IN ANY PAYOUT UNDER THE LTI, PARTICIPANTS MUST BE ACTIVELY EMPLOYED BY THE MEDICAL CENTER AT THE TIME OF THE INCENTIVE PLAN PAYMENT, AND BE MEETING OR EXCEEDING PERFORMANCE EXPECTATIONS. WHILE THE LTI DOES MEET THE REQUIREMENTS FOR A SUBSTANTIAL RISK OF FORFEITURE, AS OF THE CALENDAR YEAR ENDING DECEMBER 31, 2022, THE POTENTIAL LTI AMOUNTS HAVE BEEN ESTIMATED AND ACCRUED DURING THE CURRENT TAX YEAR AND ARE REPORTED AS DEFERRED COMPENSATION TO THE PLAN PARTICIPANTS IN SCHEDULE J, PART II, COLUMN (C). THE LTI IS SUBJECT TO THE SAME CANCELLATION POLICY AS THE AIP DESCRIBED ABOVE. PARTICIPANTS WHO MET THE ELIGIBILITY CRITERIA RECEIVED PAYOUT OF PLAN CYCLE 8 LTI INCENTIVES (OCTOBER 1, 2019 THROUGH SEPTEMBER 30, 2022) IN DECEMBER 2022. THESE AMOUNTS HAVE BEEN REFLECTED IN SCHEDULE J, PART II, COLUMN (B)(II).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
California Health Facilities Financing Authority
A	521643828	13033LN37	2012-11-14	$140,805,678	REFUNDED ISSUES DATED 5/26/2006 AND 06/01/2007 AND FINANCED CAPITAL PROJECTS	false	false	false
California Health Facilities Financing Authority
B	521643828	13033LN37	2012-11-14	$130,787,655	REFUND 1999A CERTIFICATES OF PARTICIPATION ISSUED ON APRIL 8, 1999 THROUGH THE CITY OF DUARTE.	false	false	false
California Health Facilities Financing Authority
C	521643828	000000000	2017-02-10	$32,680,000	REFUND Series 2012C ISSUE DATED 11/14/2012	false	false	false
California Health Facilities Financing Authority
D	521643828	13032UUN6	2019-07-31	$384,529,099	Capital Projects	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$81,336,366	$0	$140,811,319	$0	$1,026,220	$0	$1,565,251	$0	$0	$90,708,393	$47,511,455	$0	2015	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$130,787,655	$0	$0	$0	$1,425,066	$0	$0	$0	$129,362,589	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$32,680,000	$0	$0	$0	$180,000	$0	$0	$0	$32,500,000	$0	2017	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$403,503,507	$0	$45,735,959	$0	$3,258,284	$0	$0	$278,987,377	$0	$75,521,887		false	false	false	false

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0036	0.0	0.0036	false	false	Yes (true)
B									0.0
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0057	0.0	0.0057	false	false	Yes (true)
D	false	false	false		false		0.0	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Wells Fargo Bank NA
A	false	false	false	Yes (true)	Yes (true)	Yes (true)	30.0	false	false	false	false	Yes (true)
Wells Fargo Bank NA
B	false	false	Yes (true)	false	Yes (true)	Yes (true)	30.0	false	false	false	false	Yes (true)
Wells Fargo Bank NA
C	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	25.8	false	false	false	false	Yes (true)
(no name)
D	false	Yes (true)	false	false	false	false				false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I LINE A, COLUMN (E)	AN ELECTION WAS MADE UNDER 1.150-1(C)(3) TO TREAT THE BOND ISSUE AS TWO SEPARATE ISSUES AND WAS REPORTED ON TWO SEPARATE FORMS 8038. ONE WAS FOR REFUNDING THE CITY OF HOPE NATIONAL MEDICAL CENTER'S CITY OF DUARTE CERTIFICATES OF PARTICIPATION SERVICES 1999A AND THE OTHER WAS FOR REFUNDING (1) THE CITY OF HOPE NATIONAL MEDICAL CENTER PROJECT SERIES 2006A, B, C ISSUES AND (2) BECKMAN RESEARCH INSTITUTE'S 2007 CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY ISSUE. THIS SECOND FORM 8038 REPORTED AN ISSUE PRICE OF $198,734,018. FOR PURPOSES OF SCHEDULE K REPORTING, THE MEDICAL CENTER IS REPORTING AN ALLOCABLE AMOUNT OF THE ISSUE PRICE OF $140,805,678. BECKMAN RESEARCH INSTITUTE IS REPORTING AN ISSUE PRICE OF $57,928,340. THE DIFFERENCE BETWEEN THE ALLOCABLE ISSUE PRICE OF $140,805,678 AND THE TOTAL PROCEEDS OF THE ISSUE OF $140,811,319 IS DUE TO investment earnings included in Line 3, Total Proceeds of Issue.
Schedule K, Part I LINE D, COLUMN (E)	THE DIFFERENCE BETWEEN THE ISSUE PRICE OF $384,529,099 AND THE TOTAL PROCEEDS OF THE ISSUE OF $403,503,507 IS DUE TO investment earnings included in Line 3, Total Proceeds of Issue.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: California Health Facilities Financing Authority The calculation for computing no rebate due was performed on 11/14/2022
Schedule K, Part IV, Line 2c COLUMN C	Issuer name: California Health Facilities Financing Authority The calculation for computing no rebate due was performed on 02/10/2022

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1 Organization's Mission	CITY OF HOPE NATIONAL MEDICAL CENTER IS PART OF AN INTEGRATED SYSTEM KNOWN AS CITY OF HOPE THAT COLLECTIVELY REFERS TO CITY OF HOPE, CITY OF HOPE AUXILIARIES, CITY OF HOPE NATIONAL MEDICAL CENTER, CITY OF HOPE MEDICAL FOUNDATION, THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE, AND ITS AFFILIATES, THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE FOUNDATION, SOUTHERN CALIFORNIA RADIATION ONCOLOGY, LLC, ACCESSHOPE, LLC, THE BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE, WHICH IS AN INNOVATIVE BIOMEDICAL RESEARCH, TREATMENT AND EDUCATION INSTITUTION COMMITTED TO TRANSFORMING THE FUTURE OF HEALTH BY TURNING SCIENCE INTO PRACTICAL BENEFIT AND HOPE INTO REALITY, COH HoldCo Inc, WESTERN REGIONAL MEDICAL CENTER, INC. (CITY OF HOPE PHOENIX) SOUTHEASTERN REGIONAL MEDICAL CENTER, INC. (CITY OF HOPE ATLANTA) AND MIDWESTERN REGIONAL MEDICAL CENTER, INC. (CITY OF HOPE CHICAGO). WE ACCOMPLISH THIS THROUGH COMPASSIONATE PATIENT CARE, INNOVATIVE RESEARCH, AND MEDICAL AND SCIENTIFIC EDUCATION FOCUSED ON ELIMINATING CANCER AND DIABETES. CITY OF HOPE IS GUIDED BY A COMPASSIONATE, PATIENT-CENTERED PHILOSOPHY THAT IS DEDICATED TO THE PREVENTION AND CURE OF CANCER AND OTHER LIFE-THREATENING DISEASES.
Form 990, Part V, Line 2a Common Paymaster Arrangement	MOST OF CITY OF HOPE'S OFFICERS AND KEY EMPLOYEES, AS WELL AS A FEW OF ITS HIGHEST COMPENSATED EMPLOYEES, PROVIDE SERVICES TO MORE THAN ONE CITY OF HOPE ENTITY, AND MANY OF THEM PROVIDE SERVICES TO ALL OF THE ENTITIES. FOR A NUMBER OF THESE CONCURRENTLY EMPLOYED INDIVIDUALS, THE ENTITIES HAVE DESIGNATED THE MEDICAL CENTER AS A "COMMON PAYMASTER" DEFINED IN SECTION 3121(S) OF THE INTERNAL REVENUE CODE. CITY OF HOPE REPORTS THESE CONCURRENT EMPLOYEES' TIME, EFFORT AND COMPENSATION ON THE INFORMATION RETURNS OF THE CITY OF HOPE ENTITIES BASED ON THE INDIVIDUAL'S ESTIMATE OF THEIR TIME SPENT IN AND FOR EACH ENTITY. AS "COMMON PAYMASTER", THE MEDICAL CENTER ISSUES EACH OF THESE EMPLOYEES A SINGLE COMBINED PAYCHECK AND ONE FORM W-2.
Form 990, Part VI, Line 6 Classes of members or stockholders	CITY OF HOPE (FEIN: 95-3435919) IS THE SOLE CORPORATE MEMBER OF THE CITY OF HOPE NATIONAL MEDICAL CENTER (THE "MEDICAL CENTER").
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	CITY OF HOPE, AS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER, HAS THE POWER TO ELECT THE BOARD OF DIRECTORS OF THE MEDICAL CENTER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CERTAIN ACTIONS MAY NOT BE UNDERTAKEN WITHOUT THE PRIOR WRITTEN APPROVAL OF THE SOLE CORPORATE MEMBER, CITY OF HOPE, AS SPECIFIED IN THE GOVERNING DOCUMENTS OF THE MEDICAL CENTER, INCLUDING: BORROWING MONEY IN THE NAME OF THE MEDICAL CENTER OR UTILIZING PROPERTY OWNED BY THE MEDICAL CENTER AS SECURITY FOR SUCH LOANS; ASSIGN, TRANSFER, PLEDGE, COMPROMISE OR RELEASE ANY OF THE CLAIMS OR DEBTS TO THE MEDICAL CENTER EXCEPT ON PAYMENT IN FULL, OR ARBITRATE OR CONSENT TO THE ARBITRATION OF ANY DISPUTE OR CONTROVERSY OF THE MEDICAL CENTER; MAKE, EXECUTE OR DELIVER ANY ASSIGNMENT FOR THE BENEFIT OF CREDITORS, OR ANY BOND, CONFESSION OF JUDGMENT, CHATTEL MORTGAGE, SECURITY AGREEMENT, DEED, GUARANTY, INDEMNITY BOND, SURETY BOND, OR CONTRACT TO SELL OR BILL OF SALE OF THE PROPERTY OF THE MEDICAL CENTER; ACQUIRE, PURCHASE, DEVELOP, IMPROVE, SELL, LEASE, OR MORTGAGE ANY CORPORATE REAL ESTATE OR ANY INTEREST THEREIN OR ENTER INTO ANY CONTRACT FOR ANY SUCH PURPOSES; OR MAKE ANY LOAN, INVESTMENT, TRANSFER OR DISPOSITION OF ANY ASSETS OF THE MEDICAL CENTER OR ENTER INTO ANY CONTRACT OR INCUR ANY LIABILITIES ON BEHALF OF THE MEDICAL CENTER OTHER THAN FOR FAIR CONSIDERATION AND IN THE ORDINARY COURSE OF BUSINESS RELATING TO ITS NORMAL DAILY OPERATIONS; OR ESTABLISH CAPITAL AND OPERATING BUDGETS OR ADOPT MATERIAL CHANGES THERETO; OR ANY ACTION THAT COULD REASONABLY BE EXPECTED TO HAVE A MATERIAL ADVERSE EFFECT ON THE 501(C)(3) STATUS OF TAX EXEMPT BONDS OF CITY OF HOPE. THE FOLLOWING REQUIRE GOVERNING BODY APPROVAL (AS WELL AS THE APPROVAL OF THE SOLE CORPORATE MEMBER): THE ADOPTION OF, OR MATERIAL CHANGE IN, THE MISSION OF THE MEDICAL CENTER; SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL ASSETS; MERGER AND ITS PRINCIPAL TERMS (AND ANY AMENDMENT TO THOSE TERMS); DISSOLUTION OF THE CORPORATION; ADOPTION OF OPERATING AND CAPITAL BUDGETS; ACQUISITIONS AND CAPITAL EXPENDITURES MEETING A CERTAIN FINANCIAL THRESHOLD; BORROWINGS, GUARANTIES, LOAN, AND BOND ISSUANCE MEETING A CERTAIN FINANCIAL THRESHOLD; CREATION OF A NEW (OR ACQUISITION OF A CONTROLLING INTEREST IN AN EXISTING) CORPORATION, PARTNERSHIP OR LIMITED LIABILITY COMPANY; AND ADOPTION OF OR AMENDMENTS TO INDIVIDUAL CORPORATE INVESTMENT GUIDELINES.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	There are no committees with the authority to act on behalf of the governing body.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A COPY OF THE FORM 990 IS REVIEWED BY THE RISK, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS OF CITY OF HOPE, WHICH ASSISTS THE BOARD IN FULFILLING ITS RESPONSIBILITIES REGARDING FINANCIAL, ACCOUNTING, AND CORPORATE COMPLIANCE MATTERS OF THE MEDICAL CENTER. THE FORM 990 INFORMATION IS COMPILED BY THE TAX TEAM AND PROVIDED TO EY, AN EXTERNAL ACCOUNTING FIRM, FOR THE PREPARATION OF FORM 990, WHICH IS REVIEWED THOROUGHLY WITH INTERNAL LEADERSHIP AND EXTERNAL PARTICIPANTS, INCLUDING EY, AND RETAINED OUTSIDE TAX COUNSEL. PRIOR TO FILING, THE MEDICAL CENTER FORM 990 IS MADE AVAILABLE TO VOTING MEMBERS OF THE CITY OF HOPE BOARD OF DIRECTORS FOR REVIEW.
Form 990, Part VI, Line 12c Conflict of interest policy	ALL EMPLOYEES OF CITY OF HOPE AND AFFILIATES, BOARD OF DIRECTORS MEMBERS, BOARD COMMITTEE MEMBERS AND RESEARCH TEAM MEMBERS ARE COVERED BY CITY OF HOPE'S APPLICABLE CONFLICT OF INTEREST POLICIES. DETERMINATIONS AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND REVIEW OF CONFLICT DISCLOSURES ARE MADE BY CITY OF HOPE'S GENERAL COUNSEL AND CHIEF ETHICS AND COMPLIANCE OFFICER AND, AS APPLICABLE, THE CHAIR OF THE BOARD OR THE CONFLICT OF INTEREST AND COMMITMENT COMMITTEE, BASED UPON THE CLASSIFICATION OF PERSON MAKING THE DISCLOSURE. RESTRICTIONS IMPOSED ON PERSONS WITH A CONFLICT VARY, BASED UPON THE FACTS, AND MAY INCLUDE: PROHIBITION FROM PARTICIPATING IN A GOVERNING BODY'S DELIBERATIONS AND VOTING ON A GIVEN TRANSACTION OR SET OF TRANSACTIONS; RECUSAL FROM THE DECISION-MAKING PROCESS RELATING TO BUSINESS TRANSACTIONS (E.G., PURCHASING DECISIONS); PROHIBITION FROM PARTICIPATING AS A PRINCIPAL INVESTIGATOR IN RESEARCH; AND DISCLOSURE OF FINANCIAL INTEREST IN RESEARCH STUDY INFORMED CONSENT FORMS AND PUBLICATIONS. AS PART OF A CONFLICT MANAGEMENT PLAN, MONITORING TRANSACTIONS FOR CONFLICTS OF INTEREST IS DONE THROUGH REQUIRED DISCLOSURES AND UPDATES BY PERSONS COVERED BY THE ORGANIZATION'S CONFLICT OF INTEREST POLICIES AND A CONCURRENT REVIEW OF SUCH DISCLOSURES AGAINST TRANSACTIONS. CITY OF HOPE'S POLICY PROVIDES FOR DISCIPLINARY ACTION AGAINST PERSONS COVERED BY THE CONFLICT OF INTEREST POLICIES WHO DO NOT COMPLY WITH POLICY REQUIREMENTS.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE EXECUTIVE COMPENSATION AND GOVERNANCE COMMITTEE OF THE CITY OF HOPE BOARD OF DIRECTORS ("COMMITTEE"), PURSUANT TO A DELEGATION OF AUTHORITY FROM THE CITY OF HOPE BOARD OF DIRECTORS AND THE City of Hope National Medical Center BOARD OF DIRECTORS, IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE PRESIDENT AND CEO. THE DIRECTORS ON THIS COMMITTEE ARE INDEPENDENT AND ADHERE TO A STRICT CONFLICT OF INTEREST POLICY. DELIBERATION AND DECISION MAKING ARE SUBSTANTIATED IN THE MINUTES OF THE COMMITTEE'S MEETINGS. THE MINUTES ARE REVIEWED AND APPROVED AT THE NEXT MEETING OF THE COMMITTEE. AS PART OF THE DELIBERATION PROCESS, THE COMMITTEE RECEIVES ADVICE FROM AN INDEPENDENT, THIRD-PARTY COMPENSATION CONSULTANT WITH RESPECT TO EXECUTIVE COMPENSATION, INCLUDING REVIEW OF COMPARABLE AND BENCHMARK DATA, CURRENT COMPENSATION PHILOSOPHY, STRUCTURE, AND ADMINISTRATION OF THE EXECUTIVE COMPENSATION PROGRAMS AT CITY OF HOPE AND AFFILIATES. THE COMMITTEE CARRIES OUT THE BOARD OF DIRECTORS' OVERALL RESPONSIBILITIES RELATING TO EXECUTIVE COMPENSATION. THE EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVE LEADERSHIP REQUIRED TO ENABLE CITY OF HOPE TO ACHIEVE THE HIGHEST LEVELS OF COMMUNITY BENEFIT, IMPACT TO CLINICAL CARE, QUALITY RESEARCH AND EFFICIENT PHILANTHROPIC DEVELOPMENT. UNDER THE AIP AND LTI DESCRIBED IN SCHEDULE J, A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS LINKED DIRECTLY TO PERFORMANCE GOALS APPROVED IN ADVANCE. AS A RESULT, PERFORMANCE COMPENSATION MAY VARY FROM YEAR TO YEAR. GOAL SETTING UNDER THE AIP IS TIED TO ANNUAL PERFORMANCE, INCLUDING THE ATTAINMENT OF SPECIFIC BUSINESS OBJECTIVES FOR STRATEGIC AND FINANCIAL PERFORMANCE AS WELL AS NON-FINANCIAL MEASURES SUCH AS PATIENT SATISFACTION AND QUALITY OF PATIENT CARE. THE LTI IS DESIGNED TO DRIVE LONG-TERM ORGANIZATIONAL PERFORMANCE AND TRANSFORMATION BY ALIGNING EXECUTIVES WITH THE MULTI YEAR STRATEGIC PLAN AND INCENTIVIZING THEM TO ACHIEVE KEY ORGANIZATIONAL AND STRATEGIC OBJECTIVES AND GOALS. WITH THREE-YEAR VESTING PERIODS, THE LTI ALSO PROVIDES A MEANS FOR RETAINING KEY EXECUTIVE TALENT. THE COMMITTEE CONDUCTS ANNUAL COMPENSATION REVIEWS FOR THE PRESIDENT AND CEO IN DECEMBER.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE EXECUTIVE COMPENSATION AND GOVERNANCE COMMITTEE OF THE CITY OF HOPE BOARD OF DIRECTORS ("COMMITTEE") PURSUANT TO A DELEGATION OF AUTHORITY FROM THE CITY OF HOPE BOARD OF DIRECTORS AND THE City of Hope National Medical Center BOARD OF DIRECTORS, IS RESPONSIBLE FOR SETTING THE COMPENSATION OF, OR ESTABLISHING COMPENSATION LEVELS FOR TOTAL COMPENSATION CONSISTENT WITH CITY OF HOPE'S COMPENSATION PHILOSOPHY, FOR SENIOR LEADERS AT THE SENIOR VICE PRESIDENT OR EQUIVALENT LEVEL. THE DIRECTORS ON THIS COMMITTEE ARE INDEPENDENT AND ADHERE TO A STRICT CONFLICT OF INTEREST POLICY. DELIBERATION AND DECISION MAKING ARE SUBSTANTIATED IN THE MINUTES OF THE COMMITTEE'S MEETINGS. THE MINUTES ARE REVIEWED AND APPROVED AT THE NEXT MEETING OF THE COMMITTEE. AS PART OF THE DELIBERATION PROCESS, THE COMMITTEE RECEIVES ADVICE FROM AN INDEPENDENT, THIRD-PARTY COMPENSATION CONSULTANT WITH RESPECT TO EXECUTIVE COMPENSATION, INCLUDING REVIEW OF COMPARABLE AND BENCHMARK DATA, CURRENT COMPENSATION PHILOSOPHY, STRUCTURE, AND ADMINISTRATION OF THE EXECUTIVE COMPENSATION PROGRAMS AT CITY OF HOPE AND AFFILIATES. THE COMMITTEE CARRIES OUT THE BOARD OF DIRECTORS' OVERALL RESPONSIBILITIES RELATING TO EXECUTIVE COMPENSATION. THE EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVE LEADERSHIP REQUIRED TO ENABLE CITY OF HOPE TO ACHIEVE THE HIGHEST LEVELS OF COMMUNITY BENEFIT, IMPACT TO CLINICAL CARE, QUALITY RESEARCH AND EFFICIENT PHILANTHROPIC DEVELOPMENT. UNDER THE AIP AND LTI DESCRIBED IN SCHEDULE J, A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS LINKED DIRECTLY TO PERFORMANCE GOALS APPROVED IN ADVANCE. AS A RESULT, PERFORMANCE COMPENSATION MAY VARY FROM YEAR TO YEAR. GOAL SETTING UNDER THE AIP IS TIED TO ANNUAL PERFORMANCE, INCLUDING THE ATTAINMENT OF SPECIFIC BUSINESS OBJECTIVES FOR STRATEGIC AND FINANCIAL PERFORMANCE AS WELL AS NON-FINANCIAL MEASURES SUCH AS PATIENT SATISFACTION AND QUALITY OF PATIENT CARE. THE LTI IS DESIGNED TO DRIVE LONG-TERM ORGANIZATIONAL PERFORMANCE AND TRANSFORMATION BY ALIGNING EXECUTIVES WITH THE MULTI YEAR STRATEGIC PLAN AND INCENTIVIZING THEM TO ACHIEVE KEY ORGANIZATIONAL AND STRATEGIC OBJECTIVES AND GOALS. WITH THREE-YEAR VESTING PERIODS, THE LTI ALSO PROVIDES A MEANS FOR RETAINING KEY EXECUTIVE TALENT. THE COMMITTEE CONDUCTS ANNUAL COMPENSATION REVIEWS IN DECEMBER TO SET COMPENSATION LEVELS, OR WHERE THE PROPOSED COMPENSATION EXCEEDS COMPENSATION LEVELS ESTABLISHED BY THE COMMITTEE, FOR SENIOR LEADERS AT THE SENIOR VICE PRESIDENT OR EQUIVALENT LEVEL.
Form 990, Part VI, Line 19 Required documents available to the public	THE MEDICAL CENTER'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC FROM THE SECRETARY OF STATE. CITY OF HOPE'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE CITY OF HOPE WEBSITE, AND ITS CONFLICT OF INTEREST POLICIES ARE AVAILABLE BY WRITTEN REQUEST MADE TO THE CONFLICT OF INTEREST MANAGER. THE MEDICAL CENTER'S BYLAWS ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A Average Hours Devoted Reported in Column (B)	FULL TIME EXEMPT EMPLOYEES GENERALLY WORK IN EXCESS OF 40 HOURS PER WEEK, WHICH HAS BEEN REFLECTED ON FORM 990, PART VII, SECTION A, COLUMN (B), BY AN ESTIMATE OF 60 HOURS PER WEEK. THE MEMBERS OF THE BOARD OF DIRECTORS ARE NOT COMPENSATED FOR SERVING ON THE BOARD. THE AVERAGE HOURS REPORTED FOR EACH DIRECTOR IS AN ESTIMATE OF THE TIME SPENT PREPARING FOR AND ATTENDING MEETINGS OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS HELD FOUR REGULARLY SCHEDULED MEETINGS DURING FISCAL YEAR 2023. THE RISK, AUDIT AND COMPLIANCE COMMITTEE HELD Five REGULARLY SCHEDULED MEETINGS IN FISCAL YEAR 2023.
Form 990, Part VII, Section B, Line 1, Column (C) Compensation Paid to Independent Contractors	IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR CONSTRUCTION SERVICES INCLUDE REIMBURSEMENT FOR EXPENSES, IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE FROM ONE ANOTHER.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Specialized Lab Revenue - Total Revenue: 4958536, Related or Exempt Function Revenue: 4958536, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Purchased Services - Total Expense: XXX-XX-XXXX, Program Service Expense: 98962498, Management and General Expenses: 40790640, Fundraising Expenses: ; Clinical Research/Teaching and Administrative - Total Expense: XXX-XX-XXXX, Program Service Expense: 98365221, Management and General Expenses: 40512996, Fundraising Expenses: ; Registry & Staffing Fees - Total Expense: 20872765, Program Service Expense: 14783846, Management and General Expenses: 6088919, Fundraising Expenses: ; Consulting & Management Fees - Total Expense: 29561787, Program Service Expense: 20938141, Management and General Expenses: 8623646, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT - 3182299;
Schedule F, Part I, Line 3(e) Activities In Region(s)	INVESTMENT ACTIVITIES OF THE MEDICAL CENTER INCLUDE INVESTMENTS IN MULTIPLE VEHICLES THAT PROVIDE INVESTMENT INCOME AND RETURNS TO THE INSTITUTION TO FURTHER ITS MISSION AND PROGRAMS. AS A RESULT, THERE ARE INVESTMENTS HELD IN OFFSHORE HEDGE FUNDS, MAINLY REGISTERED AS CAYMAN ISLAND EXEMPTED CORPORATIONS. THESE INVESTMENTS HELP MITIGATE RISK IN THE PORTFOLIO AND REPRESENT APPROXIMATELY 1.75% OF THE MEDICAL CENTER'S OVERALL CASH AND INVESTMENT PORTFOLIO. THE MEDICAL CENTER'S ALTERNATIVE INVESTMENTS CONSIST OF EQUITY COMMINGLED FUNDS THAT INVEST PRIMARILY IN MARKETABLE SECURITIES AND FUND LIMITED PARTNERSHIPS. VARIOUS STRATEGIES SEEK TO ACHIEVE ATTRACTIVE RISK ADJUSTED RETURNS ACROSS PUBLIC AND PRIVATE EQUITY AND DEBT SECURITIES, DERIVATIVES, PRIVATE COMPANIES, VENTURE CAPITAL, REAL ESTATE, ETC. THESE ALTERNATIVE INVESTMENTS MAY INVEST IN BOTH REGISTERED AND NON-REGISTERED SECURITIES IN THE U.S. AND GLOBALLY, WITH EXPOSURE TO BOTH EMERGING AND DEVELOPED MARKETS. THE MEDICAL CENTER'S HEDGE FUND INVESTMENTS CONSIST OF DIRECT AND MULTI-MANAGER "HEDGE FUND OF FUND" INVESTMENTS. STRATEGIES INCLUDE LONG/SHORT EQUITY, LONG/SHORT CREDIT, AND OTHER STRATEGIES. INVESTMENTS IN HEDGE FUNDS HAVE LIMITED LIQUIDITY AND MAY BE SUBJECT TO VARIOUS LOCKUP PERIODS, REDEMPTION FEES, AND NOTICE REQUIREMENTS. HEDGE FUNDS TYPICALLY RESERVE THE RIGHT TO REDUCE OR SUSPEND REDEMPTIONS (GATING EVENT) AND TO SATISFY REDEMPTIONS BY MAKING DISTRIBUTIONS IN KIND, UNDER CERTAIN CIRCUMSTANCES. ADDITIONALLY, HEDGE FUNDS MAY HOLD, DIRECTLY OR INDIRECTLY, SIDE-POCKET INVESTMENTS WHERE NO REDEMPTIONS ARE PERMITTED UNTIL SUCH INVESTMENTS ARE LIQUIDATED OR DEEMED REALIZED. REDEMPTION PERIODS RANGE MONTHLY, QUARTERLY, OR ANNUALLY WITH NOTICE REQUIREMENTS BETWEEN 30 TO 90 DAYS. The Medical Center ALSO INVESTS IN FUND LIMITED PARTNERSHIPS WITH PRIVATE EQUITY LIKE TERMS, INCLUDING CAPITAL CALLS DURING ITS INVESTMENT PERIOD. THESE SELECT FUNDS, WHICH ARE CURRENTLY OPPORTUNISTIC CREDIT STRATEGIES, ARE CLASSIFIED UNDER HEDGE FUNDS. THE MEDICAL CENTER'S PRIVATE EQUITY INVESTMENTS CONSIST OF FUND LIMITED PARTNERSHIPS. STRATEGIES INCLUDE BUYOUT, VENTURE/GROWTH CAPITAL, DEBT, AND SECONDARY PRIVATE EQUITY. FUND TERMS ARE TYPICALLY TEN YEARS OR GREATER. THE MEDICAL CENTER MAY NOT WITHDRAW, SELL, ASSIGN, OR TRANSFER ITS INTERESTS IN THESE FUNDS, EXCEPT IN CERTAIN, VERY LIMITED CIRCUMSTANCES, SUBJECT TO CONSENT BY THE GENERAL PARTNERS OF THE FUNDS. ALL OF THESE INVESTMENTS HAVE BEEN INCLUDED IN FORM 990, PART X, LINE 12. FURTHERMORE, ITS REPUTATION AS A WORLD CLASS RESEARCH AND TREATMENT FACILITY IS INTERNATIONALLY RECOGNIZED. AS A RESULT OF THIS RECOGNITION, THE MEDICAL CENTER RECEIVES DONATIONS AND GRANTS FROM PERSONS AND CORPORATIONS OUTSIDE OF THE UNITED STATES.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Beckman Research Institute of the City of Hope
1450 East Duarte Road	Duarte	CA	91010	953432210	Research	CA	501(c)(3)	4	City of Hope	Yes (true)
City of Hope
1500 East Duarte Road	Duarte	CA	91010	953435919	Fundraising	CA	501(c)(3)	7	NA	false
City of Hope Medical Foundation
1500 East Duarte Road	Duarte	CA	91010	274803222	Healthcare	CA	501(c)(3)	3	City of Hope	Yes (true)
COH HoldCo Inc
1500 East Duarte Road	Duarte	CA	91010	873651176	Support	DE	501(c)(3)	Type III-FI	City of Hope	Yes (true)
Midwestern Regional Medical Center Inc
1500 East Duarte Road	Duarte	CA	91010	362510771	Hospital	IL	501(c)(3)	3	COH HoldCo	Yes (true)
Southeastern Regional Medical Center Inc
1500 East Duarte Road	Duarte	CA	91010	264572436	Hospital	GA	501(c)(3)	3	COH HoldCo	Yes (true)
The Translational Genomics Research Institute
445 N 5th Street Suite 600	Phoenix	AZ	85004	753065445	Research	AZ	501(c)(3)	7	City of Hope	Yes (true)
The Translational Genomics Research Institute Foundation
445 N 5th Street Suite 120	Phoenix	AZ	85004	331092191	Fundraising	AZ	501(c)(3)	7	TGEN	Yes (true)
Western Regional Medical Center Inc
1500 East Duarte Road	Duarte	CA	91010	320197974	Hospital	AZ	501(c)(3)	3	COH HoldCo	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
Southern California Radiation Oncology LLC
1500 East Duarte Road	Duarte	CA	91010	364887584	Radiation Oncology	DE	NA	N/A
AccessHope LLC
1500 East Duarte Road	Duarte	CA	91010	842818450	Oncology Support	DE	NA	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Beckman Research Institute of the City of Hope
L	$60,514,812	BOOK
Beckman Research Institute of the City of Hope
M	$2,122,661	BOOK
Beckman Research Institute of the City of Hope
O	$41,451,616	BOOK
Beckman Research Institute of the City of Hope
P	$10,127,766	BOOK
Beckman Research Institute of the City of Hope
Q	$47,361,103	BOOK
City of Hope Medical Foundation
B	$8,000,000	BOOK
City of Hope Medical Foundation
L	$13,818,264	BOOK
City of Hope Medical Foundation
M	$57,369,028	BOOK
City of Hope Medical Foundation
O	$18,171,338	BOOK
City of Hope Medical Foundation
P	$117,312,817	BOOK
City of Hope Medical Foundation
Q	$7,565,516	BOOK
The Translational Genomics Research Institute
C	$1,802,912	BOOK
The Translational Genomics Research Institute
O	$1,214,649	BOOK
COH HoldCo Inc
P	$245,091	BOOK
COH HoldCo Inc
Q	$527,516	BOOK