2019-08-15T11:26:22-05:00 2018-09-30 ERNST & YOUNG US LLP 18101 VON KARMAN AVE STE 1700 IRVINE CA 92612 990 2017-10-01 951683875 City of Hope National Medical Center % JENNIFER PARKHURST CITY 6262564673 1500 East Duarte Road Duarte CA 91010 JENNIFER PARKHURST CFO 6262564673 2019-08-14 true KARA ADAMS P00023315 9497942300 164.57.159.253 33577420192275000005 2019-08-15 P 573AC0ADD3137AB9B79B997459AFAE7DD6A513AC 337686BC7CC6EC2662FF9B863E3DABD55E8368B5 2017 2019-02-21 02:37:17Z ROBERT STONE 1500 EAST DUARTE ROAD DUARTE CA 91010 1644039333 false X www.cityofhope.org X 1948 CA PROVIDE COMPASSIONATE MEDICAL CARE TO PEOPLE WITH CANCER AND OTHER LIFE-THREATENING DISEASES. SUPPORT RESEARCH THAT MAY BRING INNOVATIVE TREATMENTS TO PATIENTS. 10 10 4624 391 2369451 0 11425645 35682559 1006250703 1151667420 21428315 68525337 5903715 7142288 1045008378 1263017604 339537 1081225 0 0 395197980 481142660 0 0 0 682863603 745481460 1078401120 1227705345 -33392742 35312259 1501509347 1816121698 786056482 1095171713 715452865 720949985 X 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. CONTINUED ON SCHEDULE O. false false 959400964 1081225 1151667420 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. CONTINUED ON SCHEDULE O, PART III, LINE 4A 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. CONTINUED ON SCHEDULE O, PART III, LINE 4B 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. CONTINUED ON SCHEDULE O, PART III, LINE 4C 959400964 true true false true false false false false false true true true false false true true false true false false true false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 425 0 true 4624 true true true true CJ BD false false false false false false false false X 10 10 false false true false true true true true true false false false true true true true true true true true true CA X JENNIFER PARKHURST 6262564673 1500 EAST DUARTE ROAD Duarte CA 91010 X Claire Rothman Board Member 2.0 0.0 X 0 0 0 Donald Hoffman Board Member 2.0 0.0 X 0 0 0 Ernie So Board Member 2.0 2.0 X 0 0 0 Gagandeep Singh MD Board Member 2.0 0.0 X 0 0 0 George Somlo MD Board Member - Outgoing 2.0 0.0 X 0 0 0 Jody Horowitz Marsh Board Member 2.0 3.0 X 0 0 0 Leslie Popplewell MD Board Member 2.0 0.0 X 0 0 0 Richard Myers Board Member 2.0 0.0 X 0 0 0 Steven Fink Board Member 1.0 3.0 X 0 0 0 Vincent Chung MD Board Member 2.0 0.0 X 0 0 0 Morgan Chu Board Member, Chair 1.0 4.0 X X 0 0 0 William Sargeant ASST. SECRETARY/COO - OUTGOING 15.0 45.0 X 295709 887133 211440 Gregory Schetina GENERAL COUNSEL/SECRETARY 15.0 45.0 X 229454 688356 179708 Robert W Stone PRESIDENT AND CEO - OUTGOING 18.0 42.0 X 684420 1596980 433116 Cornelis Van Den Berg INTERIM CFO-OUTGOING 15.0 45.0 X 195883 587652 66476 Jennifer Parkhurst CFO/TREASURER - INCOMING 15.0 45.0 X 0 0 0 Michael Caligiuri MD President-Med. Ctr. - Incoming 54.0 6.0 X 0 0 0 Jeffrey Walker COO/ASST. SECY. - INCOMING 15.0 45.0 X 0 0 0 Boriana Farias ASST TREAS/VP TREAS - OUTGOING 15.0 45.0 X 80267 240804 34457 Jonathan Reuter VP Facilities & Construction 24.0 36.0 X 159094 238640 39927 Kristin Bertell CHIEF PHIL OFFICER 3.0 57.0 X 34606 657478 208969 Debra Fields EVP Chief Transformation Off 15.0 45.0 X 256835 770508 188157 Harlan Levine MD Pres Strategy & Bus Ventures 12.0 48.0 X 319798 1279202 233250 Steven Terry Rosen MD Provost, Cancer CTr Director 17.0 43.0 X 472837 1215867 227492 LISA STOCKMON SVP COMMUNICATIONS-outgoing 15.0 45.0 X 191159 573483 120837 MICHAEL A FRIEDMAN MD FORMER OFFICER 6.0 54.0 X 19429 174861 36366 2939491 8910964 1980195 1352 true true false ACCENTURE 2141 Rosecrans Avenue Suite 3100 EL SEGUNDO CA 90245 MGMNT. CONSULTING 71527208 EPIC SYSTEMS CORPORATION 1979 Milky Way VERONA WA 53593 IT Services 12333351 PHELPS GROUP INC 12121 BLUFF CREEK DRIVE SUITE 200 LOS ANGELES CA 90094 ADVERTISING SERVICES 10356759 Xanitos Inc 3809 West Chester Pike - Suite 210 NEWTOWN SQUARE PA 19073 Cleaning Services 8311809 Sodexo America LLC 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 60654 FOOD SERVICES 6157797 119 34198468 825707 658384 35682559 NET PATIENT REVENUE 621110 1120425473 1120425473 CLINICAL TRIAL REVENUE 621110 23626589 23626589 OTHER EXEMPT FUNCTION REVENUES 621110 4287231 4287231 OTHER PATIENT ANCILLARY REVENUES 621110 1683040 1683040 LEASED EMPLOYEES 900099 1546619 1546619 98468 98468 1151667420 18734770 18734770 0 49567 49567 48000 48000 0 48000 48000 430812296 381021729 49790567 49790567 49790567 0 0 0 0 0 0 0 0 0 CAFETERIA SALES 900099 4017288 4017288 SPECIALIZED LAB TESTING REVENUE 621500 2591650 2591650 EMPLOYER STRATEGY 900099 50000 50000 385783 -272199 657982 7044721 1263017604 1151667420 2369451 73298174 X 1081225 1081225 0 0 0 3066057 157466 2908591 0 23959 23959 0 382826820 297835753 84991067 0 15490808 11296666 4194142 0 52432101 39959700 12472401 0 27302915 21009302 6293613 0 0 0 6360145 26585 6333560 0 1243901 1243901 0 332318 332318 0 0 0 2294047 2294047 0 202561016 118424178 84136838 15577263 5941431 9635832 0 25971575 15217514 10754061 0 26969520 11114375 15855145 0 15582 15582 0 12001701 10504712 1496989 0 2971873 1767060 1204813 0 0 0 2639489 1444701 1194788 0 28920515 24448979 4471536 0 0 0 89540205 73187173 16353032 0 1802925 1802925 0 MEDICAL/PHARMACY SUPPLIES 279949315 279949315 HOSPITAL PROVIDER FEE 39884843 39884843 BAD DEBT 3511150 3511150 LEGAL SETTLEMENT 9812 9812 2924265 796370 2127895 1227705345 959400964 268304381 0 70228493 133204636 1449198 23163588 24125217 54000776 219591111 214577364 0 0 0 0 812712 784279 17130680 19916205 10285507 10441451 1160922793 681868228 475766151 479054565 347447324 652812165 291174203 179880977 0 0 0 0 43498751 48285692 1501509347 1816121698 151774483 161775516 0 0 126249 9028 230792714 224603118 0 0 0 0 300000000 600000000 31031430 28567689 72331606 80216362 786056482 1095171713 X 715452865 720949985 0 0 0 0 715452865 720949985 1501509347 1816121698 X 35312259 -31668258 1853119 X X false true X true true true X X false false true false false false false true 31919 false true 332318 364237 false SCHEDULE C, PART II-B DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: THE MEDICAL CENTER INCURRED LOBBYING EXPENDITURES IN THE AMOUNT OF $364,237 DURING FISCAL YEAR 2018 RELATED TO THE FOLLOWING LOBBYING ACTIVITIES: Federal Legislation: 1. Advocated on issues related to CAR-T reimbursement. 2. Advocated on the importance of the 340B drug pricing program. 3. Advocated for protecting cancer patients who rely on opioids for critical pain management. 4. Advocated for an increase in federal funding for the National Institutes of Health. State Legislation: 1. Lobbied Legislature/Select Committee on Health Care Delivery and Universal Coverage on comprehensive cancer centers and treatment value. 2. Lobbied Senate Budget Subcommittee on Health and Human Services on access to NCI-designated comprehensive cancer centers and treatment value. 3. Lobbied Legislature on AB 2591, AB 2769, AB 1998, AB 2741, AB 2342, SB 1254, SB 1373, SB 538, SB 945, AB 1860, AB 1627, AB 2741, SB 1152, and AB 3087. 4. Lobbied Legislature, Covered California, and Administration on access to NCI-designated comprehensive cancer centers and treatment value. 5. Lobbied Legislature on request for oversight hearing on developments in cancer care. 54711235 3290491 58001726 48695686 6015549 54711235 44815073 3880613 48695686 46440982 -1625909 44815073 43436698 3004284 46440982 1.00000 false false 59882030 59882030 313366767 209126704 104240063 54627364 22166682 32460682 685052857 450574842 234478015 47993775 47993775 479054565 ALTERNATIVE INVESTMENTS 179880977 F 179880977 0 RETIREMENT FUND PAYABLE 25118616 BOND ISSUE PREMIUM 17810282 WORKERS COMP & SELF INS LIAB 16282295 DUE TO AFFILIATE 12054442 DEFERRED LEASE LIABILITY 4846620 INTEREST RATE SWAP 3267760 SENATE BILL 1732 PAYABLE 512547 SELF INSURANCE LIABILITY 323800 80216362 X SCHEDULE D, PART V, LINE 4 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 FASB ASC 740 DISCLOSURE: THE FOLLOWING PARAGRAPH IS FROM THE CONSOLIDATED CITY OF HOPE AND AFFILIATES (CITY OF HOPE, CITY OF HOPE AUXILIARIES (AUXILIARIES), THE MEDICAL CENTER, THE MEDICAL FOUNDATION AND THE BECKMAN RESEARCH INSTITUTE) AUDITED FINANCIAL STATEMENTS AS OF SEPTEMBER 30, 2018: FINANCIAL ACCOUNTING STANDARDS BOARD, ACCOUNTING STANDARDS CODIFICATION (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 FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, 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 AT SEPTEMBER 30, 2018 AND 2017. Central America and the Caribbean Investments 41564341 East Asia and the Pacific 29 Program Services BUSINESS AND EDUCATION 133199 Europe (Including Iceland and Greenland) 46 Program Services BUSINESS AND EDUCATION 210286 Middle East and North Africa 4 Program Services BUSINESS AND EDUCATION 7413 North America 19 Program Services BUSINESS AND EDUCATION 25361 South America 2 Program Services BUSINESS AND EDUCATION 16288 South Asia 2 Program Services BUSINESS AND EDUCATION 2224 East Asia and the Pacific 1 Fundraising 12312 86 103 41971424 41971424 true false true true true false SCHEDULE F, PART I, LINE 3 FOREIGN INVESTMENTS: 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 SUCH, THERE ARE INVESTMENTS HELD IN OFFSHORE HEDGE FUNDS, MAINLY REGISTERED AS CAYMAN EXEMPTED CORPORATIONS. THESE INVESTMENTS HELP MITIGATE RISK IN THE PORTFOLIO AND REPRESENT APPROXIMATELY 4.2% OF THE MEDICAL CENTER'S OVERALL CASH AND INVESTMENT PORTFOLIO. THE MEDICAL CENTER HAS HOLDINGS THAT INCLUDE EQUITY COMINGLED FUNDS THAT INVEST PRIMARILY IN MARKETABLE EQUITY SECURITIES. THESE FUNDS ARE SUBJECT TO CERTAIN NOTICE REQUIREMENTS, BUT CAN BE LIQUIDATED AT LEAST MONTHLY. ALTERNATIVE INVESTMENTS ALSO INCLUDE HEDGE FUNDS AND LIMITED PARTNERSHIP FUNDS INVESTED IN REAL ESTATE AND NATURAL RESOURCES, MASTER LIMITED PARTNERSHIPS, PRIVATE EQUITY AND PRIVATE REAL ASSET FUNDS. ALL OF THESE INVESTMENTS HAVE BEEN INCLUDED IN FORM 990, PART X, LINE 12. BUSINESS AND EDUCATIONAL SYMPOSIA CONSIST OF HEALTH CARE RELATED MEETINGS THAT MEDICAL CENTER PHYSICIANS AND STAFF ATTEND FOR PURPOSES OF CONTINUING MEDICAL EDUCATION, ADVANCING TREATMENT THOUGHTS AND CURES, ENHANCING KNOWLEDGE AND PRESENTING RESEARCH, THOUGHTS AND IDEAS. THE HEALTH CARE FIELD IS INTERNATIONAL IN SCOPE, AND THE MEDICAL CENTER ENJOYS INTERNATIONAL RECOGNITION. ACCORDINGLY, THESE SYMPOSIA ARE CONDUCTED GLOBALLY, INCLUDING THE VARIOUS REGIONS IDENTIFIED IN SCHEDULE F. THE MEDICAL CENTER SUPPORTS ATTENDANCE OF OUR MEDICAL STAFF AT THESE SYMPOSIA. EMPLOYEE TRAVELERS MAY TAKE MULTIPLE TRIPS TO THE SAME REGION OR TO MULTIPLE REGIONS DURING A FISCAL YEAR. IN THE CASE WHERE THE SAME EMPLOYEE TRAVELER TOOK MORE THAN ONE TRIP TO THE SAME REGION, THEY ARE ONLY COUNTED ONE TIME IN THAT REGION. IF THE SAME EMPLOYEE TRAVELER TRAVELS TO MORE THAN ONE REGION, THAT INDIVIDUAL IS COUNTED ONLY ONCE IN EACH REGION VISITED. THE TOTAL TRAVELERS ON LINE 3A, HOWEVER, ONLY COUNTS THE SAME TRAVELER ONCE IN THE GRAND TOTAL. AS A RESULT THE TOTAL TRAVELERS PER REGION WILL NOT ADD UP TO THE TOTAL ON LINE 3A. THERE WERE 14 INSTANCES WHERE THE SAME TRAVELER WAS TRAVELING TO MULTIPLE REGIONS DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2018. ADDITIONALLY, MEDICAL CENTER EMPLOYEES TRAVELED OUTSIDE THE UNITED STATES TO DISCUSS DONATION OPPORTUNITIES WITH INTERNATIONAL PROSPECTS. SCHEDULE F, PART I, LINE 3, COLUMN F THE EXPENDITURES IN COLUMN F ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING. true true X true X 600. false true true true false true true 3350893 0 3350893 0.00270 156752240 195412194 0 0.00000 160103133 195412194 3350893 0.00270 1310384 0 1310384 0.00110 2100399 0 2100399 0.00170 133661003 25110685 108550318 0.08840 1081225 0 1081225 0.00090 138153011 25110685 113042326 0.09210 298256144 220522879 116393219 0.09480 131829 0 131829 0.00010 131829 0 131829 0.00010 true 3511150 225379518 276976395 -51596877 X true true 1 1 CITY OF HOPE NATIONAL MEDICAL CENTER 1500 EAST DUARTE ROAD DUARTE CA 91010 WWW.CITYOFHOPE.ORG 93000033 X X X SHORT-TERM SPECIALTY HOSPITAL CITY OF HOPE NATIONAL MEDICAL CENTER 1 false false true X X X X X X X X 16 true false false true X Cont. on Sch H Part V Line 7A & 10A X true 17 true Continued on Part V, Section C false true X 600. 0. X X X X X true true X X X true X Cont. on Sch H Part V Line 16 A-C X Cont. on Sch H Part V Line 16 A-C X Cont. Sch H Part V L 16 a-c X X X X X X true X false X true X false false 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 DURING THE 2017 FISCAL YEAR, A NEW COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED. 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. PRIMARY DATA COLLECTION 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 SECONDARY 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 CITY OF HOPE DEVELOPED FOCUS GROUPS THAT INCLUDED MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE COMMUNITY, AND INDIVIDUALS AND ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF THESE POPULATIONS. FIVE FOCUS GROUPS ENGAGING 65 COMMUNITY STAKEHOLDERS WERE CONDUCTED. ONE FOCUS GROUP WAS CONDUCTED IN SPANISH WITH A BILINGUAL FACILITATOR, AND ONE WAS CONDUCTED IN ENGLISH AND MANDARIN WITH A BILINGUAL INTERPRETER. THE OTHER THREE FOCUS GROUPS WERE CONDUCTED IN ENGLISH. FOCUS GROUP PARTICIPANTS WERE SELECTED BECAUSE THEY REPRESENTED SUBPOPULATIONS (RACIAL/ETHNIC, AGE AND GEOGRAPHIC) OF THE SPA 3 SERVICE AREA. THE MEETINGS WERE HOSTED BY TRUSTED COMMUNITY ORGANIZATIONS. AN AGENCY CONTACT WAS MADE AVAILABLE TO ANSWER ANY QUESTIONS AT EACH FOCUS GROUP. REFRESHMENTS WERE OFFERED, AND GIFT CARDS WERE PROVIDED TO PARTICIPANTS. AT THE BEGINNING OF EACH FOCUS GROUP, THE PURPOSE OF THE GROUP AND THE COMMUNITY ASSESSMENT PROCESS WERE EXPLAINED. PARTICIPANTS WERE ASSURED OF ANONYMITY, AS RESPONSES WOULD BE AGGREGATED. THE FOCUS GROUP DISCUSSIONS WERE RECORDED ON AUDIO FOR EASE OF DOCUMENTATION. BEFORE BEGINNING THE DISCUSSION, EACH FACILITATOR ASKED EACH PARTICIPANT TO CONSENT TO PARTICIPATING AND BEING RECORDED. THE FOCUS GROUP PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES RELATED TO TOPICS WITHIN THE FOLLOWING AREAS: * BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY * ISSUES, CHALLENGES AND BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS * SERVICES, PROGRAMS AND COMMUNITY EFFORTS AVAILABLE TO ADDRESS EACH HEALTH NEED * SPECIAL POPULATIONS OR GROUPS THAT ARE MOST AFFECTED BY A HEALTH NEED * HOW CITY OF HOPE MIGHT HELP ADDRESS THE COMMUNITY NEEDS * OTHER COMMENTS OR CONCERNS COMMUNITY SURVEY TO FURTHER ENGAGE COMMUNITY RESIDENTS IN THE ASSESSMENT PROCESS, AN ELECTRONIC SURVEY WAS MADE AVAILABLE FROM NOVEMBER 2015 TO JANUARY 2016 THROUGH SURVEYMONKEY. THE HOSPITAL DISTRIBUTED THE SURVEY LINK TO COMMUNITY PARTNERS. AN INTRODUCTION TO THE SURVEY QUESTIONS EXPLAINED THE PURPOSE OF THE SURVEY AND ASSURED THEM THAT PARTICIPATION WAS VOLUNTARY AND THAT THEY WOULD REMAIN ANONYMOUS. THIRTY-EIGHT PERSONS RETURNED THE SURVEY. THE SURVEY ASKED FOR THE RESPONDENTS' ZIP CODE, AGE, INSURANCE STATUS AND PERCEIVED HEALTH STATUS. SURVEY QUESTIONS FOCUSED ON THE FOLLOWING TOPICS: * BIGGEST HEALTH ISSUES IN THE COMMUNITY * WHERE THEY ACCESSED ROUTINE HEALTH CARE SERVICES * PROBLEMS THEY FACE ACCESSING HEALTH CARE OR SUPPORTIVE SERVICES * WHAT WOULD MAKE IT EASIER TO OBTAIN CARE * TYPES OF SUPPORT OR SERVICES NEEDED IN THE COMMUNITY * HEALTHY CHANGES ADOPTED IN THE PAST YEAR TO IMPROVE HEALTH THE SUMMARY SURVEY REPORT CAN BE FOUND IN APPENDIX 2 OF THE CHNA. INTERVIEWS TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE COMMUNITY SERVED BY THE HOSPITAL. CITY OF HOPE DEVELOPED A LIST OF KEY INFLUENCERS WHO HAVE KNOWLEDGE OF COMMUNITY HEALTH NEEDS. THEY WERE SELECTED TO COVER A WIDE RANGE OF COMMUNITIES WITHIN THE HOSPITAL SERVICE AREA AND TO REPRESENT DIFFERENT AGE GROUPS AND RACIAL/ETHNIC POPULATIONS. FIFTEEN INTERVIEWS WERE COMPLETED IN DECEMBER 2015 AND JANUARY 2016. STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A PHONE INTERVIEW. INTERVIEW APPOINTMENTS WERE SCHEDULED AT THE STAKEHOLDER'S CONVENIENCE. AT THE OUTSET OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE ASSESSMENT WAS EXPLAINED, STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL AND CONSENT TO PROCEED WAS OBTAINED. INTERVIEW PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES ON A NUMBER OF TOPICS RELATED TO THE IDENTIFIED PRELIMINARY HEALTH NEEDS IN THE SERVICE AREA. QUESTIONS FOCUSED ON THE FOLLOWING TOPICS: * MAJOR HEALTH ISSUES FACING THE COMMUNITY * SOCIOECONOMIC, BEHAVIORAL, ENVIRONMENTAL OR CLINICAL FACTORS THAT CONTRIBUTE TO POOR HEALTH IN A COMMUNITY * ISSUES, CHALLENGES AND BARRIERS RELATING TO THE IDENTIFIED HEALTH NEEDS * SERVICES, PROGRAMS, COMMUNITY EFFORTS AND RESOURCES AVAILABLE TO ADDRESS THE HEALTH NEEDS * SPECIAL POPULATIONS OR GROUPS THAT ARE AFFECTED BY A HEALTH NEED * HEALTH OR SOCIAL SERVICES THAT ARE MISSING OR DIFFICULT TO ACCESS * OTHER COMMENTS OR CONCERNS FOCUS GROUP, SURVEY AND INTERVIEW PARTICIPANTS WERE ASKED TO PROVIDE ADDITIONAL COMMENTS TO SHARE WITH THE HOSPITAL. ANALYSIS OF THE PRIMARY DATA WAS PERFORMED THROUGH A PROCESS THAT COMPARED AND COMBINED RESPONSES IN ORDER TO IDENTIFY THEMES. ALL RESPONSES TO EACH QUESTION WERE EXAMINED TOGETHER, AND CONCEPTS AND THEMES WERE THEN SUMMARIZED TO REFLECT THE RESPONDENTS' EXPERIENCES AND OPINIONS. THESE RESULTS WERE REVIEWED IN CONJUNCTION WITH THE SECONDARY DATA. PRIMARY DATA FINDINGS WERE USED TO CORROBORATE SECONDARY DATA-DEFINED HEALTH NEEDS, SERVING AS A CONFIRMATORY DATA SOURCE. RESPONSES ARE INCLUDED IN THE FOLLOWING CHNA CHAPTERS. INFORMATION GAPS INFORMATION GAPS THAT IMPACT THE ABILITY TO ASSESS HEALTH NEEDS WERE IDENTIFIED. SOME OF THE SECONDARY DATA WAS NOT ALWAYS COLLECTED ON A REGULAR BASIS, MEANING THAT SOME DATA WAS SEVERAL YEARS OLD. DISAGGREGATED DATA AROUND AGE, ETHNICITY, RACE AND GENDER WERE NOT AVAILABLE FOR ALL DATA INDICATORS, WHICH LIMITED THE ABILITY TO EXAMINE DISPARITIES OF HEALTH ISSUES WITHIN EVERY COMMUNITY. FOCUS GROUPS AGENCY AND LOCATION, NUMBER OF PARTICIPANTS, LANGUAGE, AND DESCRIPTION: * MONROVIA - SECOND BAPTIST CHURCH, AFRICAN-AMERICAN ADULTS, 12 ENGLISH LANGUAGE PARTICIPANTS * MONROVIA - SECOND BAPTIST CHURCH , TEENS, AGES 14-18, 20 ENGLISH LANGUAGE PARTICIPANTS * DUARTE - DUARTE SENIOR CENTER - SENIORS, 11 ENGLISH LANGUAGE SENIORS PARTICIPANTS * SAN GABRIEL - ASIAN YOUTH CENTER, ASIAN-AMERICAN, 12 ENGLISH AND MANDARIN LANGUAGE ADULTS * EL MONTE - OUR SAVIOUR CENTER, HISPANIC/LATINO ADULTS, 10 SPANISH LANGUAGE ADULTS TOTAL 65 INTERVIEW KEY INFORMANTS 1 - TIM ALDERSON, EXECUTIVE DIRECTOR, SEEDS OF HOPE, EPISCOPAL DIOCESE OF LOS ANGELES 2 - MARY BORJA, HEALTH SERVICES CHAIR, EL MONTE CITY SCHOOL DISTRICT 3 - LISA DOWD, HEALTH SERVICES COORDINATOR, DUARTE UNIFIED SCHOOL DISTRICT 4 - FLORENCE LIN, COMMUNITY RELATIONS MANAGER, ASIAN YOUTH CENTER 5 - JASMINE LOPEZ, VOLUNTEER, EL CONCILIO 6 - MAGGIE LOPEZ, CLINIC ADMINISTRATOR, AZUSA CLINIC, EL PROYECTO DEL BARRIO 7 - JIM MORRIS, EXECUTIVE DIRECTOR, MEN EDUCATING MEN ABOUT HEALTH 8 - JENNIFER RIVERA, COMMUNITY LIAISON PUBLIC HEALTH SUPERVISOR, COMMUNITY HEALTH SERVICES, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, SPAS 3 AND 4 9 - CINDY SARABIA, VOLUNTEER, SCHOOL-AGE DEPARTMENT, ANTELOPE VALLEY PARTNERS FOR HEALTH SCHEDULE H, PART V, SECTION B, LINE 7A & 10A THE COMMUNITY BENEFIT REPORT, THE CHNA REPORT, AND RELATED IMPLEMENTATION STRATEGY ARE AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEBSITE: WWW.CITYOFHOPE.ORG/ABOUT-CITY-OF-HOPE/COMMUNITY/COMMUNITY-BENEFIT SCHEDULE H, PART V, SECTION B, LINE 11 THE CHNA COMPLETED IN 2016 AND THE RELATED DATA-GATHERING PROCESS ENABLED CITY OF HOPE TO IDENTIFY FIVE AREAS OF COMMUNITY CONCERN RELATING TO CANCER AND DIABETES. MEMBERS OF THE LOCAL COMMUNITY WERE SUBSEQUENTLY ASKED TO RANK THESE FIVE AREAS BY TAKING INTO ACCOUNT THE SIZE AND SERIOUSNESS OF THE ISSUE, ECONOMIC FEASIBILITY, POTENTIAL FOR IMPACT, AND AVAILABILITY TO THE COMMUNITY. CITY OF HOPE'S 2018-2021 IMPLEMENTATION STRATEGY INCLUDES THE TOP FOUR AREAS OF COMMUNITY CONCERN IDENTIFIED THROUGH THE 2016 CHNA. THE NEEDS WILL BE ADDRESSED AS CITY OF HOPE MOVES FORWARD WITH THE IMPLEMENTATION STRATEGY WHICH WAS ADOPTED BY THE ORGANIZATION AND POSTED TO THE CITY OF HOPE INTERNET SITE ON JANUARY 2017. IN OCTOBER OF 2017, THE COMMUNITY BENEFIT ADVISORY COUNCIL RECEIVED A PRESENTATION ON THE RESULTS OF THE CHNA AND DECIDED UPON THE PRIORITY FOCUS AREAS FOR THE NEXT THREE YEARS: 1. ACCESS TO CARE - NEED FOR CULTURALLY RELEVANT PARTNERSHIPS THAT DECREASE BARRIERS TO CARE 2. HEALTHY LIVING - NEED FOR INFORMATION ON HEALTHY LIVING, SPECIFICALLY RELATED TO HOW NUTRITION AND PHYSICAL ACTIVITY IMPACT CANCER AND DIABETES 3. MENTAL HEALTH - NEED FOR SUPPORTIVE PARTNERSHIPS THAT INCREASE ACCESS TO MENTAL HEALTH CARE/SERVICES 4. CANCER PREVENTION AND EARLY DETECTION--SPECIFICALLY RELATED TO LUNG, COLORECTAL, PROSTATE AND WOMEN'S CANCERS ALTHOUGH ADDRESSING THESE PRIORITIES IS AMBITIOUS, WE BELIEVE WE HAVE FORMULATED A REALISTIC IMPLEMENTATION STRATEGY THAT ADDRESSES THESE ISSUES IN A WAY THAT MAKES THE MOST SENSE FOR A COMPREHENSIVE CANCER CENTER AND RESEARCH INSTITUTION. WE WILL CONTINUE TO SEEK NEW PATHWAYS TO MEET THE NEEDS OF OUR VULNERABLE RESIDENTS AND EXPLORE INNOVATIVE STRATEGIES THAT MAXIMIZE COLLABORATIONS AS A MEANS TO BUILDING SUSTAINABLE PROGRAMS IN OUR LOCAL COMMUNITIES. ULTIMATELY, WE WILL PROVIDE POSITIVE CONTRIBUTIONS TO THE COLLECTIVE IMPACT OF OTHER HOSPITALS, ORGANIZATIONS, SCHOOLS, CHURCHES, AND GOVERNMENT ENTITIES IN OUR SERVICE AREA. DURING FISCAL YEAR 2018, CITY OF HOPE HAS FOCUSED ON-GOING COMMUNITY BENEFIT INVESTMENTS IN THE TARGETED AREAS PRIORITIZED BY OUR COMMUNITY STAKEHOLDERS. THESE INCLUDE WORKFORCE DEVELOPMENT, SEAMLESS CONTINUUM OF CARE, HEALTHY LIVING COMMUNITY GRANT PROGRAM AND PROSTATE CANCER PREVENTION AND AWARENESS IN THE AFRICAN-AMERICAN COMMUNITY, THESE PRIORITIES WERE ESTABLISHED THROUGH THE 2014-2017 IMPLEMENTATION STRATEGY. MORE DETAILS REGARDING THE PROGRESS ON THOSE EARLIER PRIORITIES ARE PROVIDED LATER IN THIS DOCUMENT AND CAN ALSO BE FOUND ON THE CITY OF HOPE WEBSITE VIA THE FY2018 COMMUNITY BENEFIT REPORT. THE IMPLEMENTATION STRATEGY FOR 2018-2021 AND RELATED CHNA FROM THE 2016 REPORT IS AVAILABLE IN ENGLISH AND SPANISH, THROUGH THE FOLLOWING WEBSITE: WWW.CITYOFHOPE.ORG/ABOUT-CITY-OF-HOPE/COMMUNITY/COMMUNITY-BENEFIT SCHEDULE H, PART V, LINE 16, A-C THE FAP, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE THROUGH THE FOLLOWING WEBSITE: HTTPS://WWW.CITYOFHOPE.ORG/PATIENTS/FOR-PATIENTS-AND-VISITORS/HELPING-YOU- WITH-INSURANCE-BILLING-AND-LEGAL-INFORMATION SCHEDULE H, PART I, LINE 3C ALL SELF PAY, UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE UNDER THE MEDICAL CENTER'S CHARITY CARE PROGRAM ARE OFFERED SERVICES THROUGH THE MEDICAL CENTER AT DISCOUNTED CHARGES. THIS DISCOUNT IS BASED ON A CERTAIN ALGORITHM, REGARDLESS OF THE SERVICES OR SETTING WHERE RENDERED TO THE RESPECTIVE PATIENT. THE DISCOUNT IS ALSO EXTENDED TO PATIENTS WHO QUALIFY FOR THE MEDICAL CENTER'S CHARITY CARE PROGRAM FOR THE OUT OF POCKET PORTIONS OF CARE THAT ARE BEYOND THE CHARITY CARE COVERAGE AMOUNT THE PATIENTS QUALIFIED FOR. SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT DATA FOR THE MEDICAL CENTER IS INCLUDED IN CITY OF HOPE'S COMMUNITY BENEFIT REPORT WHICH IS PROVIDED TO THE CALIFORNIA DEPARTMENT OF HEALTH SERVICES, OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. SCHEDULE H, PART I, LINE 7, A-D 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 YEAR ENDED SEPTEMBER 30, 2018, THE MEDICAL CENTER MADE PAYMENTS TO THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES (DHCS) FOR THE QA FEE IN THE AMOUNT OF $39,884,843 AND RECORDED AS REVENUE $149,980,736 IN SUPPLEMENTAL PAYMENTS. THE PAYMENTS AND REVENUES PERTAINED TO THE APPROVED PERIOD FROM OCTOBER 1, 2017 THROUGH SEPTEMBER 30, 2018. THE QA FEE OF $39,884,843 HAS BEEN INCLUDED IN SCHEDULE H, PART I, LINE 7B, COLUMN(C), TOTAL COMMUNITY BENEFIT EXPENSE. THE SUPPLEMENTAL PAYMENTS TOTALING $149,980,736 HAVE BEEN INCLUDED IN SCHEDULE H, PART I, LINE 7B, COLUMN (D), DIRECT OFFSETTING REVENUE. EXCLUDING THE EFFECTS OF THE PROGRAM ON FISCAL YEAR 2018 SCHEDULE H, PART I, LINE 7B, COLUMN (E) NET COMMUNITY BENEFIT EXPENSE WOULD HAVE BEEN EQUAL TO $71,435,940 OR 5.82% OF TOTAL EXPENSE. THIS WOULD HAVE INCREASED LINE 7K, COLUMN (F), TO 15.30%. CITY OF HOPE CONTINUES TO MAINTAIN A STRONG COMMITMENT TO CARING FOR ALL MEMBERS OF THE COMMUNITY, ESPECIALLY THE VULNERABLE. SCHEDULE H, PART I, LINE 7, E-F 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 2018. 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 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. SCHEDULE H, PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS MADE BY THE MEDICAL CENTER DURING FY 2018 ARE AS FOLLOWS: DUARTE SENIOR CENTER FOOD DISTRIBUTION $ 112,883 HEALTH CONSORTIUM OF SAN GABRIEL VALLEY $ 5,000 COMMUNITY MEETING SPONSORSHIP $ 12,482 CA HEALTH CARE FOUNDATION TRUST $ 950,860 __________ TOTAL CONTRIBUTIONS ARE: $1,081,225 CHA GUIDELINES FROM 2015 WERE USED TO DETERMINE WHETHER ACTIVITIES QUALIFIED AS COMMUNITY BENEFITS. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES SHOWN ON SCHEDULE H ARE VALUED AT $131,829 AND ARE COMPRISED OF WORKFORCE DEVELOPMENT ACTIVITIES THAT INCLUDE LEADERSHIP DEVELOPMENT FOR THE PARTICIPANTS IN THE VARIOUS WORKFORCE DEVELOPMENT PROGRAMS. OTHER ACTIVITIES INCLUDE OUR HEALTHY LIVING GRANTS (10 PROGRAMS WERE FUNDED IN 2018 AND INCLUDES ONE CAPACITY BUILDING GRANTS) AND THE TRANSITIONS OF CARE COMMUNITY COALITION. 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. IN ADDITION TO THE DUARTE HIGH SCHOOL SCIENCE FIELD TRIP CITY OF HOPE DELIVERED AN OUTSTANDING COMMUNITY SCIENCE FESTIVAL WHICH WILL BE DESCRIBED IN DETAIL BELOW. ANCILLARY TO THE WORKFORCE DEVELOPMENT PROGRAMS CITY OF HOPE ALSO PARTICIPATED IN A NUMBER OF ORGANIZATIONS AND PROGRAMS THAT HELP THE STUDENTS IDENTIFY AREAS OF INTEREST AND BUILD A FUTURE WORKFORCE THAT INCLUDES STUDENTS FROM UNDERSERVED POPULATIONS WITHIN OUR DEFINED SERVICE AREA. UNDER THE GROUND HOG/JOB SHADOW PROGRAM, LOCAL STUDENTS ARE INVITED ANNUALLY TO TOUR LABORATORIES AT THE BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE. THE STUDENTS MEET WITH SCIENTISTS AND LEARN ABOUT THE SCIENCE BEHIND DISEASE PREVENTION. HANDS-ON SCIENCE PROJECTS ARE DESIGNED TO INCREASE THEIR INTEREST IN SCIENTIFIC RESEARCH. 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 TEN 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. 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/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 2018 COH HAS SUPPORTED THESE TYPES OF GROUPS BY PROVIDING CONFERENCE AND MEETING FACILITIES FOR CITY SPONSORED ACTIVITIES SO THEY CAN CONVENE THEIR STAKEHOLDERS OR PROVIDE EDUCATION. IN ADDITION TO THIS, COH ALSO BEGAN PROVIDING VOLUNTEERS TO THE DUARTE SENIOR CENTER TO SUPPORT THEIR CAPACITY TO DELIVER SUPPLEMENTAL FOOD TO OVER 200 NEEDY SENIORS EVERY MONTH. FY2018 ALSO HERALDED IN THE START OF THE KINDNESS GRANT PROGRAM. 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 $20,000 BUDGET TO SUPPORT THIS ENDEAVOR. FOR FISCAL YEAR 2018 A TOTAL OF ELEVEN PROGRAMS WERE FUNDED. THE PROJECT FUNDED INCLUDED: ESSENTIAL OILS A PART OF A HEALTHY LIFESTYLE FOR CANCER SURVIVORS, BLACK HAIR CARE AND ITS LINK TO CANCER FORUM, NUTRITION AND FITNESS WORKSHOPS AT THREE NON-PROFITS, THE EFFECT OF THE LIVE WELL AFTER CANCER PROGRAM ON QUALITY OF LIFE AND METABOLIC MEASURES, THANKSGIVING BASKETS FOR THE VULNERABLE, MIXED MATCH MOVIE SCREENING AT CAL TECH, LARYNGECTOMY SUPPORT GROUP, CHINESE AMERICAN COMMUNITY CANCER ANNUAL HEALTH EDUCATION FORUM, DUARTE SENIOR CENTER FOOD DISTRIBUTION WAGONS, EATING HEALTHY WITH THE TEEN NUTRITION COUNCIL, AND STRIVING FOR A HEALTHIER FOOTHILL UNITY. EACH PROGRAM IS DESCRIBED IN DETAIL WITHIN THE FY2018 CB REPORT AVAILABLE ONLINE: HTTPS://WWW.CITYOFHOPE.ORG/ABOUT-CITY-OF-HOPE/COMMUNITY/COMMUNITY-BENEFIT SCHEDULE H, PART III, LINES 2 AND 4 BAD DEBT EXPENSE OF $3,511,150 WAS INCLUDED IN FORM 990, PART IX, LINE 24C, BUT IS EXCLUDED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE OF TOTAL COMMUNITY BENEFIT EXPENSE. THE BAD DEBT EXPENSE/WRITE-OFF AMOUNT IS THE FINAL AMOUNT DUE NET OF ANY PAYMENTS ON THE RELATED ACCOUNTS. NO DISCOUNTS ARE GIVEN ON BAD DEBT ACCOUNTS. IN ACCORDANCE WITH HFMA STATEMENT 15, BAD DEBTS ARE CLASSIFIED AS AN OPERATING EXPENSE IN THE FINANCIAL STATEMENTS. BAD DEBT IS DEFINED AS EXPENSES RESULTING FROM TREATMENT FOR HEALTH CARE SERVICES PROVIDED TO A PATIENT WHEN THE PATIENT OR A GUARANTOR HAS THE REQUISITE FINANCIAL RESOURCES TO PAY FOR HEALTH CARE SERVICES BUT HAS DEMONSTRATED AN UNWILLINGNESS BY HIS OR HER ACTIONS TO COMPLY WITH THE CONTRACTUAL ARRANGEMENTS TO RESOLVE A DEBT. BAD DEBT MUST BE RELATED TO COVERED SERVICES AND IS DERIVED FROM DEDUCTIBLES AND COINSURANCE AMOUNTS. REASONABLE EFFORTS ARE MADE TO COLLECT THE DEBT. THE DEBT MUST ACTUALLY BE UNCOLLECTED WHEN CLAIMED AS WORTHLESS AND IT MUST BE ESTABLISHED THAT THERE IS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. NET PATIENT SERVICE REVENUES ARE REPORTED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED. THE ALLOWANCES FOR CONTRACTUAL DISCOUNTS AND UNCOLLECTIBLE ACCOUNTS HAVE BEEN DETERMINED BASED ON HISTORICAL COLLECTION DATA. THE FISCAL YEAR 2018 AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DISCUSSING BAD DEBT EXPENSE, ACCOUNTS RECEIVABLE OR ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, LINE 8 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 27 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. 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 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 VI, LINE 2 IN ADDITION TO THE TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT, COH,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, 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 HOPES REPORTABLE COMMUNITY BENEFIT PROGRAMS AND SERVICES ARE TARGETING THE NEEDS IDENTIFIED IN THE 2016 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 ASSOCIATION FOR RETIRE PEOPLE * AMERICAN CANCER SOCIETY * ARCADIA METHODIST HOSPITAL * CANCER DETECTION PROGRAM - CECILIA G. DE LA HOYA CANCER CENTER WHITE MEMORIAL MEDICAL CENTER * CITY OF AZUSA RECREATION AND FAMILY SERVICES * CITY OF DUARTE SENIOR SERVICES * CITY OF PASADENA HEALTH DEPARTMENT * DUARTE UNIFIED SCHOOL DISTRICT * EL CONSILIO (CITY OF HOPE SPANISH LANGUAGE/CULTURAL PATIENT, FAMILY AND CAREGIVER GROUP) * FOOTHILL UNITY CENTER * LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES REGION SPA 3 * OUR SAVIOR CENTER * PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY * SET OF LIFE * WALDEN UNIVERSITY - PUBLIC HEALTH DATA EXPERT DURING THE 2018 FISCAL YEAR, THE CO-CHAIRS, CHRISTIAN PORT AND TASHERA TAYLOR HELD FOUR MEETINGS WITH THE CBAC. TWO WERE HELD IN PERSON AND TWO VIA A VIRTUAL MEETING ONLINE PLATFORM. DURING THE COURSE OF THIS YEAR THE CBAC WORKED TO REVIEW AND REVISE THE HEALTHY LIVING GRANT PROGRAM, REVIEWED THE CHARTER AND CONDUCTED SITE VISITS TO THE 2017 HEALTHY LIVING GRANTEES THEY CHOSE TO FUND. CBAC MEMBERS WHO MADE SITE VISITS SUBMITTED WRITTEN AND VERBAL REPORTS ON THEIR EXPERIENCES. ADDITIONALLY, THEY REVIEWED AND CHOSE THE 2018 HEALTHY LIVING GRANTEES AND FISCAL YEAR 2018 KINDNESS GRANTEES. AS IN PREVIOUS YEARS, THE CBAC MEMBERS ATTENDED AND EMCEED THE ANNUAL CONFERENCE AND AWARDS LUNCHEON WHERE THEY PERSONALLY SPOKE ABOUT THE PROJECTS THEY VISITED. CBAC MEMBERS ALSO CHOSE TO FOCUS ON MENTAL HEALTH AS A PRIORITY, IN THE 2018-2021 IMPLEMENTATION STRATEGY. 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 HOPES 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 HOPES 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 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 CITY OF HOPE IS LOCATED IN DUARTE, CALIFORNIA WHICH IS A DIVERSE COMMUNITY OF 21,500 IN LOS ANGELES COUNTY. THE CITY OF DUARTE IS A LEADER IN COMMUNITY HEALTH IMPROVEMENT AND A WILLING PARTNER WITH CITY OF HOPE FOR MULTIPLE INITIATIVES. THE MEDICAL CENTER'S PRIMARY SERVICE AREA EXTENDS FAR BEYOND DUARTE TO INCLUDE LOS ANGELES, SAN BERNARDINO, RIVERSIDE, VENTURA AND ORANGE COUNTIES. THERE ARE 21 HOSPITALS WITHIN THE MEDICAL CENTER'S SERVICE AREA. PATIENTS FROM THESE COUNTIES COMPRISE 95 PERCENT OF OUR TOTAL DISCHARGES. CITY OF HOPE'S RESEARCH ACTIVITIES HAVE ADVANCED TREATMENT OF CANCER AND OTHER LIFE-THREATENING DISEASES WORLDWIDE. THE MOST RECENT DEMOGRAPHIC AND HEALTH STATUS PROFILE OF OUR PRIMARY SERVICE AREA WAS GATHERED IN 2018, USING THE 2012-2016 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES. OUR PRIMARY SERVICE AREA EXTENDS FAR BEYOND DUARTE TO INCLUDE LOS ANGELES, ORANGE, RIVERSIDE, SAN BERNARDINO AND VENTURA COUNTIES - WHERE CITY OF HOPE OPERATES MORE THAN 20 CLINICAL PRACTICE LOCATIONS. TOGETHER, THESE FIVE COUNTIES ARE HOME TO THE MAJORITY OF CALIFORNIAS MULTICULTURAL AND ETHNIC RESIDENTS. AMONG THESE COUNTIES; * SAN BERNARDINO COUNTY HAS THE HIGHEST PERCENTAGE OF HISPANICS (49.9% AND BLACKS (8.3%) * VENTURA COUNTY HAS THE HIGHEST PERCENTAGE OF WHITES (48.1%) * ORANGE COUNTY HAS THE HIGHEST CONCENTRATION OF ASIANS (18.2%) THE FIVE COUNTIES IN OUR PRIMARY SERVICE AREA HAVE A UNIQUE COMPOSITION THAT MAKES THEM VULNERABLE ON MANY LEVELS. THE DATA BELOW REINFORCES THE NEED FOR COMMUNITY BENEFIT PROGRAMS: (RETRIEVED FROM: "HTTPS://WWW.CENSUS.GOV" QUICKFACTS) * LOS ANGELES COUNTY HAS THE HIGHEST RATES OF CANCER DEATHS DUE TO LIVER, BILE DUCT AND STOMACH CANCERS. CANCER DEATHS ARE HIGHEST IN SAN BERNARDINO COUNTY, DRIVEN MOSTLY BY LUNG, BREAST, PROSTATE AND COLORECTAL CANCERS. * CANCER RATES AND MORTALITY TEND TO BE LOWEST AMONG ASIANS. THE RATE OF DEATH FROM CANCER TENDS TO BE HIGHEST AMONG BLACKS. BLACK WOMEN AND MEN IN ALL FIVE COUNTIES ARE DIAGNOSED LATER AND MORE LIKELY TO DIE FROM CANCER, THAN ADULTS OF OTHER RACES. * THE RATE OF CANCER DIAGNOSIS IS HIGHEST AMONG WHITES. * IN RIVERSIDE COUNTY, 39.2% OF TEENAGERS (AGES 12-17 YEARS) ARE OVERWEIGHT. * IN SAN BERNARDINO COUNTY, 34% OF ALL ADULTS ARE OBESE. * IN LOS ANGELES COUNTY, ASIAN/PACIFIC ISLANDER WOMEN HAVE THE LOWEST RATE OF RECEIVING A PAP TEST IN THE LAST THREE YEARS (65.9%), AS COMPARED WITH WHITES (83.9%), LATINAS (86.3%), AND BLACKS (89.3%). * ALL FIVE COUNTIES IN THE SERVICE AREA EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE FOR COLORECTAL CANCER SCREENING. HOWEVER, ONLY 67.4% GET THE EXAM AT THE RECOMMENDED AGE. POVERTY THRESHOLDS ARE USED FOR CALCULATING OFFICIAL POVERTY POPULATION STATISTICS, WHICH ARE UPDATED YEARLY BY THE CENSUS BUREAU. FOR 2018, THE FEDERAL POVERTY LEVEL (FPL) WAS $25,100 FOR A FAMILY OF FOUR AND $12,140 FOR AN INDIVIDUAL (U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. 2017 FEDERAL POVERTY LEVELS. WWW.HEALTHCARE.GOVE/GLOSSARY/FEDERAL-POVERTY-LEVEL-FPL/ RETRIEVED ON 01/26/19). IN SERVICE PLANNING AREA 3 (SPA 3-SAN GABRIEL VALLEY ), THE HIGHEST LEVEL OF POVERTY CAN BE FOUND IN EL MONTE, WHERE ALMOST ONE-QUARTER (23.8%) OF THE POPULATION IS LIVING BELOW THE FPL. FIFTY PERCENT OF THE RESIDENTS OF EL MONTE, POMONA AND SOUTH EL MONTE ARE LOW-INCOME (DEFINED AS < 200% OF FPL). DIAMOND BAR HAS THE LOWEST LEVELS OF POVERTY IN THE SPA, WITH ONLY 5.9% OF THE POPULATION LIVING BELOW THE FPL. (U.S. CENSUS BUREAU, 2012-2016 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES. HTTP://FACTFINDER.CENSUS.GOV/FACES/NAV/JSF/PAGES/COMMUNITY_FACTS.XHTML. RETRIEVED ON 01/1018). IN THE BROADER FIVE-COUNTY REGIONAL SERVICE AREA, ORANGE AND VENTURA COUNTIES HAVE THE LOWEST RATES OF POVERTY (12.5% AND 10.6% RESPECTIVELY). LOS ANGELES AND RIVERSIDE, SAN BERNARDINO COUNTIES EACH HAVE POVERTY RATES HIGHER THAN THE STATE AVERAGE (17.8%, 16.5%, AND 19.1% RESPECTIVELY). 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 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 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 2018 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 49 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 NET TOTAL OF $63,410,000 IN RESEARCH THROUGH CLINICAL TRIALS AND OTHER ACTIVITIES DURING FISCAL YEAR 2017. 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. IN 2017 CITY OF HOPE, PROVIDED $1,780,437 IN SUPPORT TO THESE PROGRAMS. 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 SECOND CONSECUTIVE ACCREDITATION WITH COMMENDATION IN 2011. ACCME CITED COMPLIANCE IN ALL TWENTY-TWO 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, AND 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 AMAZING THINGS WE CAN DO FOR OUR COMMUNITY IS TO BUILD OUR CAPACITY TO CARE FOR PATIENTS WITH UNIQUE NEEDS. WHAT WE HAVE BEEN LEARNING FROM OUR PROVIDERS OF CARE IN THE COMMUNITY AND FROM PATIENTS, IS THAT THE TRANSITION IS OFTEN FAR FROM SMOOTH. WE HAVE ALSO LEARNED THAT JUST BECAUSE A PERSON PASSES AWAY FROM CANCER, IT DOES NOT MEAN THAT THE NEED FOR SUPPORT AND CARE TO THEIR LOVED ONES ENDS. IN ORDER TO ADDRESS BOTH ISSUES, CITY OF HOPE IS PROUD TO SUPPORT TWO COMMUNITY PROGRAMS THAT NOT ONLY SEEK TO EASE THOSE TRANSITIONS BUT OFFER SUPPORT TO PATIENTS, LOVED ONES AND PROVIDERS OF CARE: TRANSITIONS OF CARE COMMUNITY COALITION (TC3) AND COH BEREAVEMENT SUPPORT GROUP. THE TC3 WAS DESCRIBED PREVIOUSLY. THE BEREAVEMENT SUPPORT GROUP ADDRESSES THE NEED FOR SUPPORT DURING THE GRIEVING PROCESS, THE CHILD LIFE TEAM THROUGH A 12-WEEK BEREAVEMENT SUPPORT GROUP THAT OFFERS A SAFE PLACE TO EXPLORE AND RECONCILE FEELINGS WHILE RETURNING TO A "NEW NORMAL" LIFE. 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 THE CITY OF HOPE MEDICAL FOUNDATION (MEDICAL FOUNDATION) WAS LAUNCHED IN 2011. THE 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 CLINICS IN ARCADIA, SOUTH PASADENA, SANTA CLARITA, ANTELOPE VALLEY, MISSION HILLS, CORONA, GLENDORA, RANCHO CUCAMONGA, SIMI VALLEY, WEST COVINA, AND AT 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. SINCE CITY OF HOPE'S BECKMAN RESEARCH INSTITUTE IS A SEPARATE CORPORATE ENTITY, THE MYRIAD OF CONTRIBUTIONS TO COMMUNITY WELL-BEING MADE BY BECKMAN RESEARCH INSTITUTE DEPARTMENTS ARE NOT REFLECTED IN THE COMMUNITY BENEFIT VALUES 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. THE CITY OF HOPE'S BECKMAN RESEARCH INSTITUTE FUNDED AN ESTIMATED NET TOTAL OF $147,356,000 IN RESEARCH COSTS THAT HAVE NOT BEEN INCLUDED IN THE SCHEDULE H CALCULATION OF COMMUNITY BENEFITS. SCHEDULE H, PART VI, LINE 7 THE MEDICAL CENTER'S COMMUNITY BENEFIT REPORT IS FILED ANNUALLY IN THE STATE OF CALIFORNIA WITH THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. true CALIFORNIA HEALTH FOUNDATION TRUST 1215 K ST STE 800 SACRAMENTO CA 95814 941498697 501 (C) 3 950860 SEE PART IV. Duarte Senior Center 1610 Huntington Dr Duarte CA 91010 956005921 GOVT 112883 FMV Food items See Part VI. 2 0 SCHEDULE I, PART II, LINE 1, COLUMN H 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 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. 2 Every month, anywhere from 5 - 18 City of Hope employees and graduate students support the Duarte Senior Center's monthly food distribution through the LA Regional Food Bank. The volunteers transport subsidized food from the distribution site to over 200 needy seniors. X true true X X X X X X false true false false false false false true false William Sargeant ASST. SECRETARY/COO - OUTGOING 158954 476862 125269 375810 11486 34461 42441 127323 10419 31257 348569 1045713 28257 84768 Gregory Schetina GENERAL COUNSEL/SECRETARY 124703 374106 93959 281874 10792 32376 34418 103260 10506 31524 274378 823140 21029 63084 Robert W Stone PRESIDENT AND CEO - OUTGOING 333906 779114 321673 750570 28841 67296 119073 277839 10861 25343 814354 1900162 91045 212440 Cornelis Van Den Berg INTERIM CFO-OUTGOING 120185 360552 74134 222408 1564 4692 10568 31707 6051 18150 212502 637509 0 0 Boriana Farias ASST TREAS/VP TREAS - OUTGOING 62193 186582 13526 40575 4548 13647 1953 5859 6662 19983 88882 266646 0 0 Jonathan Reuter VP Facilities & Construction 117718 176575 32383 48576 8993 13489 3302 4954 12669 19002 175065 262596 0 0 Kristin Bertell CHIEF PHIL OFFICER 20928 397621 13447 255479 231 4378 8702 165368 1745 33154 45053 856000 4075 77425 Debra Fields EVP Chief Transformation Off 136159 408477 110515 331542 10161 30489 37728 113184 9312 27933 303875 911625 21096 63288 Harlan Levine MD Pres Strategy & Bus Ventures 162742 650970 138510 554043 18546 74189 39911 159645 6738 26956 366447 1465803 28434 113741 Steven Terry Rosen MD Provost, Cancer CTr Director 228507 587590 161504 415296 82826 212981 54987 141394 8711 22400 536535 1379661 90696 233218 LISA STOCKMON SVP COMMUNICATIONS-outgoing 94933 284796 66816 200451 29410 88236 23686 71055 6524 19572 221369 664110 16404 49212 MICHAEL A FRIEDMAN MD FORMER OFFICER 18890 170004 539 4857 1461 13143 2176 19586 23066 207590 0 0 SCHEDULE J, PART I, LINE 1A THE ORGANIZATION 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 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. DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2017, THE FOLLOWING INDIVIDUALS WITHDREW THE REFERENCED AMOUNTS TO COVER SUCH TAXES: Steven Rosen $88,868 Lisa Stockmon $37,334 Robert Stone $27,665 William Sargeant $17,272 Debra Fields $10,385 Gregory Schetina $ 9,414 Boriana Kamenova Farias $ 5,776 THESE AMOUNTS HAVE BEEN INCLUDED IN THE PARTICIPANTS INCOME ON SCHEDULE J, PART II COLUMN B(III). SCHEDULE J, PART I, LINE 7 THE MEDICAL CENTER EXECUTIVES AND SOME KEY EMPLOYEES ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION UNDER AN ANNUAL INCENTIVE PLAN (AIP) TIED TO TWO (2) KEY INDICATORS AND TWO OR MORE INDIVIDUAL OBJECTIVES. THE KEY INDICATORS REFLECT KEY AREAS OF STRATEGIC FOCUS AND THE EXEMPT HEALTHCARE MISSION OF 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 INDICATORS ARE WEIGHTED AT 30%, WHILE THE INDIVIDUAL OBJECTIVES ARE WEIGHTED AT 70%. 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. DURING CALENDAR YEAR 2017 CITY OF HOPE PAID THE INCENTIVE COMPENSATION EARNED FOR FISCAL YEAR 2017 AND THESE AMOUNTS HAVE BEEN REPORTED IN SCHEDULE J, PART II, COLUMN B(II). THE MEDICAL CENTER ALSO 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 3) RUNS FROM OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2017, WITH A NEW THREE YEAR PERFORMANCE PERIOD BEGINNING EACH OCTOBER 1 THEREAFTER (E.G., CYCLE 4 RUNS FROM OCTOBER 1, 2015 THROUGH SEPTEMBER 30, 2018). 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 30, 2017, 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 3 LTI INCENTIVES (OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2017) IN DECEMBER 2017. THESE AMOUNTS HAVE BEEN REFLECTED IN SCHEDULE J PART II, COLUMN B(II). A CALIF HLTH FACLTY FIN AUTH (SEE PART VI) 521643828 13033LN37 2012-11-14 140805678 REFUNDING ISSUE/CAPITAL PROJECTS false false false B CALIF HLTH FACLTY FIN AUTH (SEE PART VI) 521643828 13033LN37 2012-11-14 130787655 REFUNDING ISSUE false false false C CALIF HLTH FACLTY FIN AUTH (SEE PART VI) 521643828 2017-02-10 32680000 REFUNDING ISSUE false false false A 32500000 0 140811319 0 1026220 0 1565251 0 0 90708393 47511455 0 2015 true false true true B 0 0 130787655 0 0 0 1425066 0 0 0 129362589 0 2012 true false true true C 0 0 32680000 0 0 0 180000 0 0 0 32500000 0 2017 true false true true A false true true true true true 0.00700 0.00700 false false false true B 0 C false true true true true true 0.01700 0.01700 false false false true A false false false true true true WELLS FARGO 30. false false false 0 false true B false false true false true true WELLS FARGO 30. false false false 0 false true C false false true false true false 0 false 0 false true A true B true C true SCHEDULE K, PART I, LINES A AND B, COLUMN (E) AN ELECTION WAS MADE UNDER REGULATION 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 SERIES 1999A (SHOWN ON SCHEDULE K, PART I, LINE B) AND THE OTHER WAS FOR REFUNDING (1) THE CITY OF HOPE NATIONAL MEDICAL CENTER'S PROJECT SERIES 2006A,B,C AND (2) THE BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE'S 2007 CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY ISSUE. THIS SECOND FORM 8038 REPORTED AN ISSUE PRICE OF $198,734,018. FOR PURPOSES OF THE SCHEDULE K REPORTING, THE CITY OF HOPE NATIONAL MEDICAL CENTER IS REPORTING AN ALLOCABLE AMOUNT OF THE ISSUE PRICE AND EXPENDITURES. THE CITY OF HOPE NATIONAL MEDICAL CENTER IS REPORTING AN ALLOCABLE ISSUE PRICE OF $140,805,678 AND THE BECKMAN RESEARCH INSTITUTE IS REPORTING $57,928,340. THE DIFFERENCE BETWEEN THE ISSUE PRICE OF $140,805,678 AND THE TOTAL PROCEEDS OF THE ISSUE OF $140,811,319 IS DUE TO INVESTMENT INCOME. SCHEDULE K, PART I, LINE C, COLUMN (E) THE 02/10/2017 ISSUE WAS ORIGINALLY REPORTED ON A SINGLE FORM 8038 WITH AN ISSUE PRICE OF $65,360,000. FOR PURPOSES OF THE SCHEDULE K REPORTING, THE CITY OF HOPE NATIONAL MEDICAL CENTER IS REPORTING AN ALLOCABLE AMOUNT OF THE ISSUE PRICE AND EXPENDITURES. THE CITY OF HOPE NATIONAL MEDICAL CENTER IS REPORTING AN ALLOCABLE ISSUE PRICE OF $32,680,000 WHILE THE BECKMAN INSTITUTE IS REPORTING THE REMAINDER ON ITS FORM 990 SCHEDULE K. SCHEDULE K, PART I, LINES A AND B COLUMN (F) THE 2012 ISSUE REFUNDED THE FOLLOWING CITY OF HOPE NATIONAL MEDICAL CENTER TAX EXEMPT ISSUES: (A) PRIVATE PLACEMENT ISSUED ON MAY 26, 2006 THROUGH THE ABAG FINANCE AUTHORITY FOR NON-PROFIT CORPORATIONS. (B) 1999A CERTIFICATES OF PARTICIPATION ISSUED ON APRIL 8, 1999 THROUGH THE CITY OF DUARTE. SCHEDULE K, PART I, LINE C COLUMN (F) THE 2017 ISSUE REFUNDED $32,500,000 OF THE SERIES 2012B ISSUE. SCHEDULE K, PART III, COLUMN B COLUMN LEFT BLANK AS 2012 ISSUE REFUNDED A PRE 2003 BOND ISSUE AND THERE WERE NO NEW PROCEEDS ISSUED. SCHEDULE K, PART IV CITY OF HOPE COMPLETED THE REBATE COMPUTATION FOR THE 2012 ISSUE IN THE AMOUNT OF $140,805,678 ON SEPTEMBER 3, 2015 WITH NO REBATE LIABILITY DUE. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION - CONTINUATION 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, THE TRANSLATIONAL GENOMICS RESEARCH FOUNDATION, THE SOUTHERN CALIFORNIA RADIATION ONCOLOGY, LLC, AND 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. 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 III, LINE 4A EXEMPT PURPOSE ACHIEVEMENTS - CONTINUATION SINCE 1976, MORE THAN 14,500 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 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, WHICH ARE 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 THE MEDI-CAL AND MEDICARE PROGRAMS. FORM 990, PART III, LINE 4B - CONTINUATION LAST YEAR, THE MEDICAL CENTER CONDUCTED MORE THAN 500 CLINICAL TRIALS AND ENROLLED MORE THAN 6,200 PATIENTS IN THESE TRIALS. 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 - AN EMERGING TREATMENT THAT HAS THE POTENTIAL TO REVERSE TYPE 1 DIABETES. 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. FORM 990, PART III, LINE 4C - CONTINUATION 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. FORM 990, PART V, LINE 2A 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 THE "COMMON PAYMASTER," AS IS 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 ESTIMATES 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, SECTION A, LINE 4 AT ITS MEETING ON SEPTEMBER 14, 2018, THE BOARD OF DIRECTORS OF CITY OF HOPE, THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER, APPROVED REVISIONS TO THE MEDICAL CENTER BYLAWS TO CREATE THE ROLE OF PRESIDENT OF THE MEDICAL CENTER AND PHYSICIAN-IN-CHIEF, and to remove THE CHIEF EXECUTIVE OFFICER TITLE AT THE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINES 6 AND 7A THE SOLE CORPORATE MEMBER, CITY OF HOPE (95-3435919), ELECTS THE directors serving on the BOARD OF DIRECTORS of THE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7B AS SPECIFIED IN THE GOVERNING DOCUMENTS OF THE MEDICAL CENTER, CERTAIN ACTIONS MAY NOT BE UNDERTAKEN WITHOUT THE PRIOR WRITTEN APPROVAL OF THE SOLE CORPORATE MEMBER, CITY OF HOPE. THESE INCLUDE: BORROW 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 OPERATION; ESTABLISH CAPITAL AND OPERATING BUDGETS OR ADOPT MATERIAL CHANGES THERETO. 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, LOANS, 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; ADOPTION OF OR AMENDMENTS TO INDIVIDUAL CORPORATE INVESTMENT GUIDELINES. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS REVIEWED BY THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS OF CITY OF HOPE, WHICH ALSO SERVES AS THE AUDIT COMMITTEE OF THE MEDICAL CENTER AND ASSISTS THE MEDICAL CENTER'S BOARD IN FULFILLING ITS RESPONSIBILITIES REGARDING THE FINANCIAL, ACCOUNTING, AND CORPORATE COMPLIANCE MATTERS OF THE MEDICAL CENTER. ADDITIONALLY, THE PREPARATION OF THE FORM 990 IS DONE INTERNALLY AND IS REVIEWED WITH INTERNAL LEADERSHIP, EXTERNAL PARTICIPANTS, INCLUDING EY, AND RETAINED 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, SECTION B, LINE 12C ALL EMPLOYEES OF CITY OF HOPE AND AFFILIATES, ITS BOARD OF DIRECTORS, 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 THE GENERAL COUNSEL AND CHIEF 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 AN ACTUAL OR PERCEIVED 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 AND PRESENTATIONS. MONITORING TRANSACTIONS FOR CONFLICT 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, SECTION B, LINE 15A AND 15B THE EXECUTIVE COMPENSATION AND GOVERNANCE COMMITTEE OF CITY OF HOPE'S BOARD OF DIRECTORS (COMMITTEE), PURSUANT TO A DELEGATION OF AUTHORITY FROM CITY OF HOPE'S BOARD OF DIRECTORS, IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE PRESIDENT AND CEO AND CERTAIN OTHER SENIOR EXECUTIVES. THE COMMITTEE ALSO SERVES AS THE EXECUTIVE COMPENSATION AND GOVERNANCE COMMITTEE OF THE MEDICAL CENTER. 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, REVIEWS COMPARABLE AND BENCHMARK DATA PRESENTED BY THE CONSULTANT, AND REVIEWS CURRENT COMPENSATION PHILOSOPHY, STRUCTURE, AND ADMINISTRATION OF THE EXECUTIVE CASH 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. THE COMMITTEE TARGETS THE 50TH PERCENTILE OF BASE SALARY AND THE 75TH PERCENTILE OF TOTAL CASH COMPENSATION OF THE MARKET IN WHICH CITY OF HOPE COMPETES FOR EXECUTIVES. UNDER THE AIP AND LTI DESCRIBED IN SCHEDULE J, A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS LINKED DIRECTLY TO PERFORMANCE GOALS APPROVED IN ADVANCE BY THE COMMITTEE. 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 EXECUTIVES AND CERTAIN KEY EMPLOYEES AND THIS WAS LAST COMPLETED ON DECEMBER 18, 2018. THE COMPENSATION PROGRAMS AND RANGES FOR ALL OFFICERS AND KEY EMPLOYEES LISTED ON FROM 990, PART VII AT THE SVP OR EQUIVALENT LEVEL AND ABOVE ARE REVIEWED BY THIS COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE MEDICAL CENTER'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC FROM THE SECRETARY OF STATE. CITY OF HOPE AND AFFILIATES AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON CITY OF HOPE'S 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS ARE DETAILED AS FOLLOWS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP $ 1,853,119. FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING & MANAGEMENT FEES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:59506269 FORM 990 PART IX LINE 11G DESCRIPTION:REGISTRY & STAFFING FEES TOTAL FEES:15028438 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACTED SERVICES TOTAL FEES:1918731 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:852176 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITMENT TOTAL FEES:673570 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCY FEES TOTAL FEES:244421 CITY OF HOPE 1500 EAST DUARTE ROAD DUARTE CA 91010 953435919 FUNDRAISING CA 501(c)(3) 7 NA false BECKMAN RESEARCH INSTITUTE 1450 EAST DUARTE ROAD DUARTE CA 91010 953432210 RESEARCH CA 501(c)(3) 4 CITY OF HOPE true CITY OF HOPE MEDICAL FOUNDATION 1500 E DUARTE ROAD DUARTE CA 91010 274803222 HEALTHCARE CA 501(c)(3) 3 City of Hope true THE TRANSLATIONAL GENOMICS RESEARCH INST 445 N 5TH STREET SUITE 600 PHOENIX AZ 85004 753065445 RESEARCH AZ 501(C)(3) 7 CITY OF HOPE true TGEN RESEARCH INSTITUTE FOUNDATION 445 N 5TH STREET SUITE 600 PHOENIX AZ 85004 331092191 FUNDRAISING AZ 501(C)(3) 7 CITY OF HOPE true SOUTHERN CA RADIATION ONCOLOGY PO BOX 819067 DALLAS TX 75381 364887584 MGMT SERVICES CA NA N/A false false true false false false false false false false false true true false true true true false false BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE L 34525183 FMV BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE M 5824700 FMV BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE O 27477401 FMV BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE P 14654331 FMV BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE Q 42529051 FMV CITY OF HOPE MEDICAL FOUNDATION L 5150491 FMV CITY OF HOPE MEDICAL FOUNDATION M 77255602 FMV CITY OF HOPE MEDICAL FOUNDATION O 8217169 FMV CITY OF HOPE MEDICAL FOUNDATION P 6196078 FMV CITY OF HOPE MEDICAL FOUNDATION Q 9854399 FMV THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE O 1079200 FMV