STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CITY OF HOPE NATIONAL MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CITY OF HOPE NATIONAL MEDICAL CENTER (EIN 95-1683875)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-15
IRS object ID
201812279349302096
Schema version
2016v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-15T13:23:41-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118101 VON KARMAN AVENUE 1700AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951683875EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1City of Hope National Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JENNIFER PARKHURSTInCareOfNm
Business Name ControlCITYBusinessNameControlTxt
Phone6262564673PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 East Duarte RoadAddressLine1Txt
CityDuarteCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91010ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER PARKHURSTPersonNm
Person TitleCFOPersonTitleTxt
Phone6262564673PhoneNum
Signature2018-07-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKARA ADAMSPreparerPersonNm
PTINP00023315PTIN
Phone9497942300PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT STONEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 EAST DUARTE ROADAddressLine1Txt
CityDUARTECityNm
State AbbreviationCAStateAbbreviationCd
ZIP91010ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,280,255,720GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.cityofhope.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDE COMPASSIONATE MEDICAL CARE TO PEOPLE WITH CANCER AND OTHER LIFE-THREATENING DISEASES. SUPPORT RESEARCH THAT MAY BRING INNOVATIVE TREATMENTS TO PATIENTS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee4160TotalEmployeeCnt
Total Volunteers479TotalVolunteersCnt
Total Gross UBI$1,332,986TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$1,139,942NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,037,178PYContributionsGrantsAmt
CY Contributions Grants$11,425,645CYContributionsGrantsAmt
PY Program Service Revenue$968,609,887PYProgramServiceRevenueAmt
CY Program Service Revenue$1,006,250,703CYProgramServiceRevenueAmt
PY Investment Income$16,850,125PYInvestmentIncomeAmt
CY Investment Income$21,428,315CYInvestmentIncomeAmt
PY Other Revenue$6,947,847PYOtherRevenueAmt
CY Other Revenue$5,903,715CYOtherRevenueAmt
PY Total Revenue$1,002,445,037PYTotalRevenueAmt
CY Total Revenue$1,045,008,378CYTotalRevenueAmt
PY Grants And Similar Paid$562,056PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$339,537CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$350,785,344PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$395,197,980CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$714,025CYTotalFundraisingExpenseAmt
PY Other Expenses$577,663,151PYOtherExpensesAmt
CY Other Expenses$682,863,603CYOtherExpensesAmt
PY Total Expenses$929,010,551PYTotalExpensesAmt
CY Total Expenses$1,078,401,120CYTotalExpensesAmt
PY Revenues Less Expenses$73,434,486PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$33,392,742CYRevenuesLessExpensesAmt
Total Assets BOY$1,468,388,986TotalAssetsBOYAmt
Total Assets EOY$1,501,509,347TotalAssetsEOYAmt
Total Liabilities BOY$777,324,052TotalLiabilitiesBOYAmt
Total Liabilities EOY$786,056,482TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$691,064,934NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$715,452,865NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE CARE AND TREATMENT TO PERSONS AFFECTED BY CATASTROPHIC DISEASES SUCH AS CANCER, AND TO PROVIDE SCIENTIFIC INVESTIGATION AND RESEARCH OF THESE DISEASES. CONTINUED ON SCHEDULE O.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$839,135,093ExpenseAmt
Grant$154,106GrantAmt
Revenue$1,005,449,658RevenueAmt
DescPATIENT 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 4ADesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescRESEARCH: 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 4BDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescPUBLIC 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 4CDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$839,135,093TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document388IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4160EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Foreign CountryBDForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJENNIFER PARKHURSTPersonNm
Phone6262564673PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 EAST DUARTE ROADAddressLine1Txt
CityDuarteCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91010ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Claire Rothman
Board Member2.00.0Yes (X)$0$0$0
Donald Hoffman
Board Member2.00.0Yes (X)$0$0$0
Ernie So
Board Member2.02.0Yes (X)$0$0$0
Jody Horowitz Marsh
Board Member2.03.0Yes (X)$0$0$0
Leslie Popplewell MD
Board Member2.00.0Yes (X)$0$0$0
Mark Wakabayashi MD
Board Member2.00.0Yes (X)$0$0$0
Randolph Beatty
Board Member, Chairman3.02.0Yes (X)$0$0$0Yes (X)
Richard Myers
Board Member2.00.0Yes (X)$0$0$0
Vincent Chung MD
Board Member2.00.0Yes (X)$0$0$0
George Somlo MD
Board Member2.00.0Yes (X)$0$0$0
Gagandeep Singh MD
Board Member2.00.0Yes (X)$0$0$0
Boriana Farias
ASST TREAS/VP TREASURY15.045.0$88,948$266,853$31,915Yes (X)
William Sargeant
ASSISTANT SECRETARY/COO15.045.0$291,491$874,485$158,209Yes (X)
Gregory Schetina
SECRETARY/GENERAL COUNSEL15.045.0$223,309$669,927$156,193Yes (X)
Robert W Stone
PRESIDENT AND CEO18.042.0$644,398$1,503,592$378,916Yes (X)
Cornelis Van Den Berg
INTERIM CFO/TREASURER15.045.0$138,924$416,778$65,061Yes (X)
Alexandra Levine
CHIEF MEDICAL OFFICER48.012.0$921,267$230,317$186,033Yes (X)
Jonathan Reuter
VP FACILITIES & CONSTRUCTION24.036.0$173,355$260,034$38,330Yes (X)
Debra F Fields
EVP Chief Transformation Off.15.045.0$240,420$721,272$163,826Yes (X)
David A Horne
VICE PROVOST3.057.0$36,197$687,759$54,751Yes (X)
Vincent D Jensen
Medical Foundation CAO24.036.0$257,958$386,938$32,977Yes (X)
Harlan Levine
CHIEF EXEC COH MEDICAL FND9.051.0$246,823$1,398,662$183,058Yes (X)
Steven Terry Rosen
CHIEF SCIENTIFIC OFFICER17.043.0$394,296$1,013,903$255,027Yes (X)
Michael A Friedman
FORMER OFFICER6.054.0$19,624$176,625$39,093Yes (X)
Richard Magnuson
FORMER OFFICER15.045.0$30,081$90,246$5,236Yes (X)
Dale Walter Adams
FORMER KEY EMPLOYEE60.00.0$202,335$0$0Yes (X)
Paul J Conocenti
FORMER KEY EMPLOYEE15.045.0$132,139$396,423$35,547Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,041,565TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,093,814TotReportableCompRltdOrgAmt
Total Other Compensation$1,784,172TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1109IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CITY OF HOPE MEDICAL FOUNDATION
1500 EAST DUARTE ROADDUARTECA91010Professional Svs$48,501,586
PHELPS GROUP INC
12121 BLUFF CREEK DRIVE SUITE 200LOS ANGELESCA90094ADVERTISING SERVICES$11,928,539
FASTAFF LLC
5700 South Quebec Street Suite 300GREENWOOD VILLAGECO80111NURSING Services$4,650,407
EPIC SYSTEMS CORPORATION
1979 Milky WayVERONAWA53593IT Services$4,356,060
ALLSCRIPTS HEALTHCARE LLC
222 MERCHANDISE MART PLAZA SUITE 2CHICAGOIL60654IT SERVICES$3,775,529
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K133CntrctRcvdGreaterThan100KCnt
Related Organizations$10,956,665RelatedOrganizationsAmt
Government Grants$429,367GovernmentGrantsAmt
All Other Contributions$39,613AllOtherContributionsAmt
Total Contributions$11,425,645TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621110$977,708,918$977,708,918
CLINICAL TRIAL REVENUE621110$21,978,547$21,978,547
OTHER EXEMPT FUNCTION REVENUES621110$3,606,786$3,606,786
OTHER PATIENT ANCILLARY REVENUES621110$1,944,584$1,944,584
LEASED EMPLOYEES900099$1,011,868$1,011,868
FieldValueIRS element (for citing)
Total Program Service Revenue$1,006,250,703TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,866,478TotalRevenueColumnAmt
Exclusion$15,866,478ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,157TotalRevenueColumnAmt
Exclusion$31,157ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$38,988RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$38,988RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,988TotalRevenueColumnAmt
Exclusion$38,988ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$240,809,179SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$235,247,342SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,561,837SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,561,837TotalRevenueColumnAmt
Exclusion$5,561,837ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA SALES900099$3,995,832$3,995,832
SPECIALIZED LAB TESTING REVENUE621500$2,707,761$2,707,761
INVESTMENT INCOME FROM K-1525990-$1,374,775-$1,374,775

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$504,752TotalRevenueColumnAmt
Exclusion$504,752ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,833,570OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,045,008,378TotalRevenueColumnAmt
Related Or Exempt Func Income$1,006,250,703RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,332,986UnrelatedBusinessRevenueAmt
Exclusion$25,999,044ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$339,537TotalAmt
Program Services$339,537ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,126,196TotalAmt
Program Services$440,701ProgramServicesAmt
Management And General$1,644,057ManagementAndGeneralAmt
Fundraising$41,438FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$80,180TotalAmt
Program Services$23,145ProgramServicesAmt
Management And General$57,035ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$319,313,376TotalAmt
Program Services$259,489,024ProgramServicesAmt
Management And General$59,769,823ManagementAndGeneralAmt
Fundraising$54,529FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,351,298TotalAmt
Program Services$10,862,040ProgramServicesAmt
Management And General$2,484,602ManagementAndGeneralAmt
Fundraising$4,656FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$37,152,556TotalAmt
Program Services$31,384,307ProgramServicesAmt
Management And General$5,754,558ManagementAndGeneralAmt
Fundraising$13,691FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$23,174,374TotalAmt
Program Services$18,890,461ProgramServicesAmt
Management And General$4,276,997ManagementAndGeneralAmt
Fundraising$6,916FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,545,893TotalAmt
Program Services$25,354ProgramServicesAmt
Management And General$5,520,539ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,346,728TotalAmt
Management And General$1,346,728ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$283,012TotalAmt
Management And General$283,012ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,804,768TotalAmt
Management And General$1,804,768ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$201,650,287TotalAmt
Program Services$107,631,475ProgramServicesAmt
Management And General$93,464,664ManagementAndGeneralAmt
Fundraising$554,148FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$20,045,601TotalAmt
Program Services$3,548,173ProgramServicesAmt
Management And General$16,497,428ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$26,305,789TotalAmt
Program Services$14,784,906ProgramServicesAmt
Management And General$11,519,880ManagementAndGeneralAmt
Fundraising$1,003FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$23,213,899TotalAmt
Program Services$7,030,617ProgramServicesAmt
Management And General$16,183,282ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$25,020TotalAmt
Program Services$25,020ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,143,574TotalAmt
Program Services$6,166,200ProgramServicesAmt
Management And General$975,224ManagementAndGeneralAmt
Fundraising$2,150FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,323,287TotalAmt
Program Services$1,495,707ProgramServicesAmt
Management And General$827,575ManagementAndGeneralAmt
Fundraising$5FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,871,869TotalAmt
Program Services$1,152,696ProgramServicesAmt
Management And General$719,171ManagementAndGeneralAmt
Fundraising$2FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$23,267,656TotalAmt
Program Services$20,536,183ProgramServicesAmt
Management And General$2,723,864ManagementAndGeneralAmt
Fundraising$7,609FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$90,245,656TotalAmt
Program Services$83,845,803ProgramServicesAmt
Management And General$6,372,552ManagementAndGeneralAmt
Fundraising$27,301FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,683,141TotalAmt
Program Services$1,557,646ProgramServicesAmt
Management And General$124,918ManagementAndGeneralAmt
Fundraising$577FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL/PHARMACY SUPPLIES$254,413,915$254,413,915
HOSPITAL PROVIDER FEE$7,449,990$7,449,990
BAD DEBT$4,009,204$4,009,204
LEGAL SETTLEMENT$3,760,874$3,760,874

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,473,440TotalAmt
Program Services$4,032,989ProgramServicesAmt
Management And General$2,440,451ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,078,401,120TotalAmt
Program Services$839,135,093ProgramServicesAmt
Management And General$238,552,002ManagementAndGeneralAmt
Fundraising$714,025FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$60,314,528BOYAmt
EOY$70,228,493EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,463,174BOYAmt
EOY$1,449,198EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,659,668BOYAmt
EOY$24,125,217EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$218,410,464BOYAmt
EOY$219,591,111EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$493,750BOYAmt
EOY$812,712EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,892,031BOYAmt
EOY$17,130,680EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,111,438BOYAmt
EOY$10,285,507EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,081,863,983LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$606,097,832LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$425,606,956BOYAmt
EOY$475,766,151EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$439,486,253BOYAmt
EOY$347,447,324EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$220,553,719BOYAmt
EOY$291,174,203EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$40,397,005BOYAmt
EOY$43,498,751EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,468,388,986BOYAmt
EOY$1,501,509,347EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$131,971,544BOYAmt
EOY$151,774,483EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$124,007BOYAmt
EOY$126,249EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$235,504,214BOYAmt
EOY$230,792,714EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$300,000,000BOYAmt
EOY$300,000,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$34,144,402BOYAmt
EOY$31,031,430EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,579,885BOYAmt
EOY$72,331,606EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$777,324,052BOYAmt
EOY$786,056,482EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$691,064,934BOYAmt
EOY$715,452,865EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$691,064,934BOYAmt
EOY$715,452,865EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,468,388,986BOYAmt
EOY$1,501,509,347EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$33,392,742ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$54,438,752NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,341,921OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
Form4720 FiledfalseForm4720FiledInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$2,605DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$283,012OtherActivitiesAmt
Total Lobbying Expenditures$285,617TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-BFormAndLineReferenceDesc
ExplanationDIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: THE MEDICAL CENTER INCURRED LOBBYING EXPENDITURES IN THE AMOUNT OF $285,617 DURING FISCAL YEAR 2017 RELATED TO THE FOLLOWING LOBBYING ACTIVITIES: FEDERAL LEGISLATION: Advocated on issues related to Car-T reimbursements. State Legislation: Lobbied legislature and administration regarding ACR11, SB 23, SB 440, SCR 27, AB 387, SB 481, SB 647, SB 487, SB 538. Lobbied legislature regarding Speakers Select Committee on Health Care Delivery and Universal Coverage; Interim/Oversight Hearing on Cancer Issues. Advocated on issues affecting access to appropriate care for cancer patients.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$48,695,686BeginningYearBalanceAmt
Investment Earnings Or Losses$6,015,549InvestmentEarningsOrLossesAmt
End Year Balance$54,711,235EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$44,815,073BeginningYearBalanceAmt
Investment Earnings Or Losses$3,880,613InvestmentEarningsOrLossesAmt
End Year Balance$48,695,686EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$46,440,982BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,625,909InvestmentEarningsOrLossesAmt
End Year Balance$44,815,073EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$43,436,698BeginningYearBalanceAmt
Investment Earnings Or Losses$3,004,284InvestmentEarningsOrLossesAmt
End Year Balance$46,440,982EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$39,346,779BeginningYearBalanceAmt
Investment Earnings Or Losses$4,089,919InvestmentEarningsOrLossesAmt
End Year Balance$43,436,698EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,159,654OtherCostOrOtherBasisAmt
Book Value$52,159,654BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$304,919,189OtherCostOrOtherBasisAmt
Depreciation$197,730,138DepreciationAmt
Book Value$107,189,051BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,653,780OtherCostOrOtherBasisAmt
Depreciation$16,922,258DepreciationAmt
Book Value$37,731,522BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$525,779,751OtherCostOrOtherBasisAmt
Depreciation$391,445,436DepreciationAmt
Book Value$134,334,315BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$144,351,609OtherCostOrOtherBasisAmt
Book Value$144,351,609BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$475,766,151TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescALTERNATIVE INVESTMENTSDesc
Book Value$291,174,203BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$291,174,203TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
BOND ISSUE PREMIUM$19,297,594
WORKERS COMP & SELF INS LIAB$16,541,587
RETIREMENT FUND PAYABLE$20,715,473
DEFERRED LEASE LIABILITY$5,682,174
INTEREST RATE SWAP$5,120,879
SENATE BILL 1732 PAYABLE$610,883
DUE TO AFFILIATE$3,960,967
SELF INSURANCE LIABILITY$402,049
FieldValueIRS element (for citing)
Total Liability$72,331,606TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS: THE MEDICAL CENTER HAS DESIGNATED QUASI-ENDOWMENT FUNDS THAT ARE AVAILABLE TO FUND FUTURE RESEARCH, AND CAPITAL AND EXPANSION NEEDS AS DETERMINED BY MANAGEMENT AND THE CITY OF HOPE BOARD OF DIRECTORS.
SCHEDULE D, PART X, LINE 2FASB 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, 2017: 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, 2017 AND 2016.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (7 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmtEmployeeEmployeeCntSpecific Services ProvidedSpecificServicesProvidedTxt
Central America and the CaribbeanInvestments$94,270,680
East Asia and the PacificProgram Services$72,40715BUSINESS AND EDUCATION
Europe (Including Iceland and Greenland)Program Services$158,37736BUSINESS AND EDUCATION
Middle East and North AfricaProgram Services$7,6764BUSINESS AND EDUCATION
North AmericaProgram Services$21,93515BUSINESS AND EDUCATION
South AsiaProgram Services$14,2114BUSINESS AND EDUCATION
Sub-Saharan AfricaProgram Services$6,4181BUSINESS AND EDUCATION
FieldValueIRS element (for citing)
Subtotal Employees67SubtotalEmployeesCnt
Total Employee75TotalEmployeeCnt
Subtotal Spent$94,551,704SubtotalSpentAmt
Total Spent$94,551,704TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE F, PART I, LINE 3FormAndLineReferenceDesc
ExplanationFOREIGN 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 13.3% 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, 2017. SCHEDULE F, PART I, LINE 3, COLUMN F THE EXPENDITURES IN COLUMN F ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other600.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,541,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,541,000NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$184,211,571TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$141,328,972DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,882,599NetCommunityBenefitExpnsAmt
Total Expense0.03980TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$190,752,571TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$141,328,972DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,423,599NetCommunityBenefitExpnsAmt
Total Expense0.04590TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,507,812TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,507,812NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,058,953TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$278,516DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,780,437NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$96,011,604TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,447,527DirectOffsettingRevenueAmt
Net Community Benefit Expns$73,564,077NetCommunityBenefitExpnsAmt
Total Expense0.06820TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$339,537TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$339,537NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$99,917,906TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,726,043DirectOffsettingRevenueAmt
Net Community Benefit Expns$77,191,863NetCommunityBenefitExpnsAmt
Total Expense0.07160TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$290,670,477TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$164,055,015DirectOffsettingRevenueAmt
Net Community Benefit Expns$126,615,462NetCommunityBenefitExpnsAmt
Total Expense0.11750TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$141,194TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$141,194NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$141,194TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$141,194NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,009,204BadDebtExpenseAmt
Reimbursed By Medicare$205,424,791ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$261,028,175CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$55,603,384MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CITY OF HOPE NATIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 EAST DUARTE ROADAddressLine1Txt
CityDUARTECityNm
State AbbreviationCAStateAbbreviationCd
ZIP91010ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CITYOFHOPE.ORGWebsiteAddressTxt
State License930000033StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
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Supplemental Information SupplementalInformationGrp

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Form And Line ReferenceSCHEDULE H, PART V, SECTION B, LINE 5FormAndLineReferenceDesc
ExplanationDURING 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 STAKEHOLDERS 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 PARTICIPANT PARTICIPANT NUMBER OF AGENCY LOCATION DESCRIPTION LANGUAGE PARTICIPANTS __________________________________________________________________________ SECOND BAPTIST CHURCH AFRICAN-AMERICAN ADULTS ENGLISH 12 (MONROVIA) SECOND BAPTIST CHURCH TEENS, AGES 14-18 ENGLISH 20 (MONROVIA) DUARTE SENIOR CENTER SENIORS ENGLISH 11 (DUARTE) ASIAN YOUTH CENTER ASIAN-AMERICAN ADULTS ENGLISH 12 (SAN GABRIEL) AND MANDARIN OUR SAVIOUR CENTER HISPANIC/LATINO ADULTS SPANISH 10 (EL MONTE) 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 COMMExplanationTxt

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CALL 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-DTHE 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, 2017, THE MEDICAL CENTER MADE PAYMENTS TO THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES (DHCS) FOR THE QA FEE IN THE AMOUNT OF $7,449,990 AND RECORDED AS REVENUE $21,320,388 IN SUPPLEMENTAL PAYMENTS. THE PAYMENTS AND REVENUES PERTAINED TO THE APROVED PERIOD FROM OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017. DURING 2017, CMS APPROVED THE MANAGED CARE PORTION OF THE 36-MONTH PROGRAM FOR THE PERIOD FROM JANUARY 1, 2015 THROUGH JUNE 30, 2015. THE CENTER RECOGNIZED $2,491,523 IN ADDITIONAL NET PATIENT SERVICE REVENUE FOR THE YEAR ENDED SEPTEMBER 30, 2017. THE QA FEE OF $7,449,990 HAS BEEN INCLUDED IN SCHEDULE H, PART I, LINE 7B, COLUMN(C), TOTAL COMMUNITY BENEFIT EXPENSE. THE SUPPLEMENTAL PAYMENTS TOTALING $21,320,388 HAVE BEEN INCLUDED IN SCHEDULE H, PART I, LINE 7B, COLUMN (D), DIRECT OFFSETTING REVENUE. EXCLUDING THE EFFECTS OF THE PROGRAM ON FISCAL YEAR 2017 SCHEDULE H, PART I, LINE 7B, COLUMN (E) NET COMMUNITY BENEFIT EXPENSE WOULD HAVE BEEN EQUAL TO $56,752,997 OR 5.26% OF TOTAL EXPENSE. THIS WOULD HAVE INCREASED LINE 7K, COLUMN (F), TO 13.72%. 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 2017. 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 2017 ARE AS FOLLOWS: DUARTE SENIOR CENTER FOOD DISTRIBUTION $ 134,503 HEALTH CONSORTIUM OF SAN GABRIEL VALLEY $ 5,000 EDUCATIONAL FOUNDATIONS (DUARTE) $ 9,874 COMMUNITY MEETING SPONSORSHIPS $ 27,931 CALIFORNIA HEALTH CARE FOUNDATION TRUST $ 154,106 YWCA HEALTHY SGV INITIATIVE $ 3,123 TZU CHI MEDICAL FOUNDATION (CANCER SCREENING PROGRAM) $ 5,000 TOTAL CASH CONTRIBUTIONS $ 339,537 CHA GUIDELINES FROM 2015 WERE USED TO DETERMINE WHETHER ACTIVITIES QUALIFIED AS COMMUNITY BENEFITS.
SCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIES SHOWN ON SCHEDULE H ARE VALUED AT $141,194 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 2017 AND INCLUDES TWO CAPACITY BUILDING GRANTS). 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 AND THE SUMMER REGIONAL OCCUPATIONAL PROGRAM (ROP), CITY OF HOPE DELIVERED AN OUTSTANDING COMMUNITY SCIENCE FESTIVAL WHICH WILL BE DESCRIBED IN DETAIL BELOW. THE ROP IS DESIGNED TO EXPOSE HIGH SCHOOL STUDENTS TO A VARIETY OF PROFESSIONS - MEDICAL AND NONMEDICAL - THAT ARE FOUND IN A MEDICAL CENTER. STUDENTS FROM DUARTE HIGH SCHOOL AND SURROUNDING COMMUNITIES ARE MATCHED WITH CITY OF HOPE PROFESSIONALS IN MUTUAL AREAS OF INTEREST THAT MAY INCLUDE HUMAN RESOURCES, FINANCE, INFORMATION TECHNOLOGY, MARKETING, FUNDRAISING, PUBLIC HEALTH, CLINICAL MEDICINE, RESEARCH AND OTHER PROFESSIONS. FOR SIX WEEKS STUDENTS ARE MENTORED TWO DAYS A WEEK, WITH A THIRD DAY OF CLASSES, FOR WHICH THEY RECEIVE FIVE ACADEMIC CREDITS. THE GOAL IS TO 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 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. OUR GROUNDHOG DAY ENABLES STUDENTS TO EXPLORE CAREER OPTIONS AND GAIN PRACTICAL INSIGHTS INTO THE WORKPLACE. EACH YEAR, A GROUP OF STUDENTS FROM DUARTE HIGH SCHOOL ARE MATCHED WITH AN EQUAL NUMBER OF MENTORS, WHOM THEY SHADOW AT CITY OF HOPE FOR A FULL DAY IN FEBRUARY. THE RELATIONSHIP CONTINUES BEYOND THE SINGLE DAY, WITH STUDENTS ENCOURAGED TO CONTACT THEIR MENTOR FOR SUPPORT AND DIRECTION THROUGHOUT THEIR HIGH SCHOOL YEARS. THE TRANSITIONS OF CARE COMMUNITY COALITION (TC3) IS COMPRISED OF VENDORS OR SERVICE PROVIDERS FOR CITY OF HOPE. DURING THE YEAR, THIS HAS BROUGHT UP TWO INTERESTING ISSUES THAT, IF LEFT UNCHECKED, COULD DERAIL THE COALITIONS ABILITY TO RETAIN MEMBERS AND CONTINUE BUILDING A SEAMLESS CONTINUUM OF CARE. THE FIRST ISSUE SURROUNDS THE BUY-IN OF THE VENDORS AND SERVICE PROVIDERS. THERE IS NO PROMISE OF VENDOR REFERRALS FROM CITY OF HOPE TO THESE TC3 MEMBER ORGANIZATIONS. BECAUSE OF THIS REQUIREMENT TO BE ALTRUISTIC AND FOCUSED ON THE DEVELOPMENT OF A SYSTEM OF CARE THAT BENEFITS THE PATIENT, SOME MEMBER ORGANIZATIONS FIND A DECREASED SENSE IN VALUE THAT PARTICIPATION IN THE COALITION CAN BRING TO THEIR BUSINESS. THE LEADERSHIP CONTINUES TO ADDRESS THESE ISSUES AND REMINDS MEMBERS THAT THEIR REASONS FOR ATTENDING THE COALITION IS NOT TO INCREASE THE NUMBER OF REFERRALS THEY GET FROM CITY OF HOPE, BUT FINDING WAYS TO BREAKDOWN THE BARRIERS THAT PATIENTS OFTEN EXPERIENCE WHEN LEAVING THE HOSPITAL AND TRANSITIONING TO HOME. DURING FISCAL YEAR 2017, TC3 MET TWO TIMES WITH THE ADMINISTRATORS AND ONE TIME WITH THE CLINICAL TEAMS FOR THE COALITIONS MEMBER ORGANIZATIONS. DURING THE ADMINISTRATOR MEETINGS, TOPICS RANGED FROM REVISITING THE VISION, MISSION AND GOALS CREATED IN THE PREVIOUS YEAR TO MAJOR EDUCATIONAL PROGRAMS THAT COVERED IMPORTANT ISSUES. 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 (INCLUDING ONE SCHOOL AND ONE UNIVERSITY) TO DELIVER INNOVATIVE PROGRAMS THAT ADDRESS ONE OR MORE OF OUR STRATEGIC PRIORITIES AROUND CANCER PREVENTION, HEALTHY LIVING, OR SMOKING CESSATION. 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: 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 2017 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.
SCHEDULE H, PART III, LINES 2 AND 4BAD DEBT EXPENSE OF $4,009,204 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 2017 AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DISCUSSING BAD DEBT EXPENSE, ACCOUNTS RECEIVABLE OR ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, LINE 8IN 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 9BPATIENT 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 2ON AN ON-GOING BASIS, THE ORGANIZATION USES HEALTH STATUS DATA FROM SUCH SOURCES AS THE CALIFORNIA DEPARTMENT OF HEALTH SERVICES, THE LA COUNTY DEPARTMENT OF PUBLIC HEALTH, AND THE CALIFORNIA DIVISIONS OF THE AMERICAN CANCER SOCIETY TO HELP ASSESS COMMUNITY HEALTH NEEDS. LAY ADVISORY COUNCILS ARE USED EXTENSIVELY TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS AND GUIDE PROGRAM DEVELOPMENT. AS PART OF ITS IMPLEMENTATION STRATEGY, CITY OF HOPE DEVELOPED A COMMUNITY BENEFIT ADVISORY COMMITTEE (CBAC) THAT WILL FURTHER CONTRIBUTE TO OUR ON-GOING ASSESSMENT OF COMMUNITY HEALTH NEEDS. ADDITIONALLY, THE CBAC IS RESPONSIBLE FOR RECOMMENDING AND OVERSEEING COMMUNITY BENEFIT POLICIES AND PROGRAMS DESIGNED TO CARRY OUT THE MISSION AND VALUES OF THE CITY OF HOPE AND ENHANCE THE HEALTH OF LOCAL COMMUNITIES. MOREOVER, THESE CBAC MEMBERS POSSESS A VARIETY OF SKILLS AND KNOWLEDGE THAT WILL KEEP CITY OF HOPE INFORMED OF NEEDS ON A REGULAR BASIS THAT INCLUDE: * RESIDENCY IN LOCAL COMMUNITY WITH DISPROPORTIONATE UN-MET HEALTH-RELATED NEEDS * KNOWLEDGE AND EXPERTISE IN PRIMARY DISEASE PREVENTION * EXPERIENCE WORKING WITH LOCAL NON-PROFIT COMMUNITY-BASED ORGANIZATIONS * KNOWLEDGE AND EXPERTISE IN EPIDEMIOLOGY * EXPERTISE IN THE ANALYSIS OF SERVICE UTILIZATION AND POPULATION HEALTH DATA THE CBAC HELD AN EXPLORATORY RECRUITMENT MEETING IN NOVEMBER 2014. IMPORTANT COMMUNITY STAKEHOLDERS WERE IDENTIFIED AND INVITED TO PARTICIPATE IN THE FIRST OFFICIAL MEETING HELD IN JANUARY OF 2015. DURING THE INITIAL MEETING THE NEW CBAC MEMBERS RECEIVED TRAINING ON COMMUNITY BENEFIT STANDARDS, AND BEST PRACTICES. THEY ALSO ELECTED CO-CHAIRS (VIKI GOTO- AMERICAN CANCER SOCIETY, PASADENA/SAN GABRIEL VALLEY AND PATRICIA DUFF TUCKER - COMMUNITY ADVOCATE), FOR A TWO YEAR TERM. THESE TALENTED WOMEN WILL LEAD THE CBAC EFFORTS BY OVERSEEING ACTIVITIES TO ADDRESS THE OBJECTIVES IDENTIFIED AND PRIORITIZED IN THE 2014-2017 IMPLEMENTATION STRATEGY. OUR CBAC MEMBERS CAME TO US THROUGH A NUMBER OF VERY IMPORTANT COMMUNITY ORGANIZATIONS AND HEALTH CARE PROVIDERS. BELOW IS A LIST OF THE GROUPS REPRESENTED: * AMERICAN CANCER SOCIETY * EL CONCILIO (CITY OF HOPE SPANISH LANGUAGE/CULTURAL PATIENT, FAMILY AND CAREGIVER GROUP) * MEN EDUCATING MEN ABOUT HEALTH * DUARTE UNIFIED SCHOOL DISTRICT * SET FOR LIFE * PLANNED PARENTHOOD PASADENA & SAN GABRIEL VALLEY * METHODIST HOSPITAL * CANCER DETECTION PROGRAM - CECILIA G. DE LA HOYA CANCER CENTER - WHITE MEMORIAL MEDICAL CENTER * WALDEN UNIVERSITY - PUBLIC HEALTH DATA EXPERT * PASADENA CITY HEALTH DEPARTMENT * SOCAL WOMEN'S HEALTH CONFERENCE DURING THE 2017 FISCAL YEAR, THE CO-CHAIRS, VIKI GOTO, AND PATRICIA DUFF TUCKER, HELD FOUR MEETINGS WITH THE CBAC. TWO WERE HELD IN PERSON AND TWO VIA WEBEX. DURING THE COURSE OF THIS YEAR THE CBAC REVIEWED AND REVISED THE HEALTHY LIVING GRANT PROGRAM, REVIEWED THE CHARTER, AND CONDUCTED SITE VISITS TO THE HEALTHY LIVING GRANT PROGRAMS THEY FUNDED. CBAC MEMBERS WHO MADE SITE VISITS SUBMITTED WRITTEN AND VERBAL REPORTS ON THEIR EXPERIENCES. ADDITIONALLY, THEY REVIEWED AND CHOSE THE 2017 HEALTHY LIVING GRANTEES, AND ATTENDED THE CONFERENCE AND AWARD LUNCHEON WHERE THEY SPOKE ABOUT THEIR SITE VISITS. IN A PARTICULARLY BUSY YEAR, THE ADVISORY COUNCIL MEMBERS ALSO PARTICIPATED IN THE DESIGN AND IMPLEMENTATION OF THE TRIANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EITHER BY ATTENDING THE INITIAL DESIGN MEETING AND PARTICIPATING IN DISCUSSIONS WITH OUR CHNA CONSULTANT OR BY TAKING PART IN THE ACTUAL FOCUS GROUPS, PROVIDING LINKAGES TO COMMUNITY GROUPS BEING INTERVIEWED AND ANSWERING THE ONLINE SURVEYS. DURING THE OCTOBER 2017 CBAC MEETING, THE COUNCIL MEMBERS PARTICIPATED IN THE REVIEW OF THE RESULTS AND PRIORITIZATION OF NEW STRATEGIES FOR THE SUBSEQUENT IMPLEMENTATION STRATEGY. THE CBAC MEMBERS ARE NOT A RUBBER STAMP ADVISORY COUNCIL. TAKING THEIR TASKS SERIOUSLY AND INTELLIGENTLY, THEY ENSURE THAT CITY OF HOPE'S COMMUNITY BENEFIT PROGRAMMING IS ALIGNED WITH OUR PRIORITIES AND ADDRESSES THE NEEDS OF OUR LOCAL RESIDENTS. OUR COMMUNITY BENEFIT DEPARTMENT HAS ALSO ESTABLISHED AN INTERNAL HUB, MADE UP OF CITY OF HOPE STAFF 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 THE CITY OF HOPE PROCESSES FOR ENSURING PROGRAMS ARE ADDRESSING THE PRIORITIES IN THE IMPLEMENTATION STRATEGY. ADDITIONALLY, THE HUB HAS AN INTERNAL WEBSITE THAT PROVIDES LINKS AND RESOURCES TO COMMUNITY BENEFIT BEST PRACTICES AND INTERNAL TOOLS FOR SHARING AND BUILDING COLLABORATIONS THAT STRENGTHEN THE QUALITY OF STAFF CONTRIBUTIONS TO OUR COMMUNITY BENEFIT PROGRAMS. WE REALIZE THAT MEASUREMENT AND EVALUATION ARE NECESSARY TO SHOW SUCCESS, AS WELL AS TO HIGHLIGHT AREAS FOR IMPROVEMENT OR GROWTH, WHICH CAN RESULT IN MORE EFFECTIVE INITIATIVES. EVALUATIONS COMPLETED BY PARTICIPANTS IN ALL COMMUNITY EDUCATION, COMMUNITY HEALTH IMPROVEMENT AND CONTINUING MEDICAL EDUCATION PROGRAMS ARE ALSO USED TO INFORM AND ASSESS COMMUNITY HEALTH NEEDS.
SCHEDULE H, PART VI, LINE 3PATIENTS 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 4CITY 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 DEVELOPED IN 2016 USING MULTIPLE DATA SOURCES. TOGETHER, THE COUNTIES OF LOS ANGELES, ORANGE, SAN BERNARDINO, RIVERSIDE, AND VENTURA ARE HOME TO: * 46% OF CALIFORNIA'S TOTAL POPULATION * 57% OF CALIFORNIA'S HISPANIC POPULATION (PREDOMINANTLY MEXICAN) * 55% OF THE STATE'S BLACK POPULATION, AND * 44% OF THE STATE'S ASIAN POPULATION (PRIMARILY CHINESE AND FILIPINO, BUT ALSO KOREAN AND VIETNAMESE) 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 2016, THE FEDERAL POVERTY LEVEL (FPL) WAS $24,600 FOR A FAMILY OF FOUR AND $12,060 FOR AN INDIVIDUAL (U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. 2017 FEDERAL POVERTY LEVELS. HTTPS://WWW.FEDERALREGISTER.GOV/DOCUMENTS/2017/01/31/2017-02076/ANNUAL-UPD ATE-OF-THE-HHS-POVERTY-GUIDELINES. RETRIEVED ON 01/10/18). IN THE SERVICE PLANNING AREA 3 (SPA 3), 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 5CITY 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 2017 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 IN 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 6THE 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 (SEPAC) IS A PARTNERSHIP BETWEEN CITY OF HOPE AND THE DUARTE UNIFIED SCHOOL DISTRICT. A FIVE YEAR NATIONAL INSTITUTES OF HEALTH GRANT UNDERWRITES THE SALARY OF A PH.D. IN SCIENCE EDUCATION WHO DEVELOPS THE CURRICULUM FOR THE PROGRAM AND IMPLEMENTS ALL PROGRAM ACTIVITIES. CITY OF HOPE FACULTY, SCIENTISTS AND PREDOCTORAL STUDENTS DONATE THEIR SERVICES TO PROVIDE HANDS-ON BIOMEDICAL SCIENCE EDUCATION TO SECOND, FIFTH, AND EIGHTH GRADERS THROUGHOUT THE YEAR. ADDITIONALLY, SEPAC CONDUCTS AN IN-DEPTH SUMMER RESEARCH PROGRAM FOR INTERESTED HIGH SCHOOL STUDENTS. THE GOAL OF THE SEPAC PROGRAM IS TO INCREASE UNDERSTANDING OF THE CONNECTION BETWEEN SCIENCE AND HEALTH THROUGH FUN, INTERACTIVE, HANDS-ON ACTIVITIES AND TO GROW THE PIPELINE OF UNDER-REPRESENTED 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 CAPABILITY. THE PROGRAM ENABLES STUDENTS TO LEARN ABOUT THE LATEST ADVANCES IN CANCER, DIABETES AND STEM CELL RESEARCH FROM WORLD-CLASS SCIENTISTS AND EDUCATORS. APPLYING REAL-WORLD RESEARCH CAPABILITY, 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 7THE MEDICAL CENTER'S COMMUNITY BENEFIT REPORT IS FILED ANNUALLY IN THE STATE OF CALIFORNIA WITH THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA HEALTH FOUNDATION TRUSTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11215 K ST STE 800AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95814ZIPCd
FieldValueIRS element (for citing)
Recipient EIN941498697RecipientEIN
IRC Section501 (C) 3IRCSectionDesc
Cash Grant$339,537CashGrantAmt
Purpose Of GrantSEE PART IV.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART II, LINE 1, COLUMN HFormAndLineReferenceDesc
ExplanationAS 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dale Walter Adams
FORMER KEY EMPLOYEE$6,977$0$0$0$195,358$0$0$0$0$0$202,335$0$0$0
Paul J Conocenti
FORMER KEY EMPLOYEE$81,174$243,519$23,151$69,456$27,814$83,448$2,056$6,174$6,830$20,487$141,025$423,084$0$0
Debra F Fields
EVP Chief Transformation Off.$128,945$386,838$106,005$318,021$5,470$16,413$30,985$92,958$9,970$29,913$281,375$844,143$21,527$64,581
Michael A Friedman
FORMER OFFICER$18,879$169,918$0$0$745$6,707$1,487$13,388$2,422$21,796$23,533$211,809$0$0
David A Horne
VICE PROVOST$22,435$426,279$11,764$223,503$1,998$37,977$1,088$20,672$1,649$31,342$38,934$739,773$0$0
Vincent D Jensen
Medical Foundation CAO$169,971$254,957$70,213$105,319$17,774$26,662$3,292$4,938$9,899$14,848$271,149$406,724$0$0
Boriana Farias
ASST TREAS/VP TREASURY$58,874$176,625$14,495$43,491$15,579$46,737$1,848$5,550$6,130$18,387$96,926$290,790$9,275$27,822
Alexandra Levine
CHIEF MEDICAL OFFICER$494,801$123,700$364,014$91,004$62,452$15,613$115,328$28,832$33,498$8,375$1,070,093$267,524$107,902$26,976
Harlan Levine
CHIEF EXEC COH MEDICAL FND$115,361$653,710$93,262$528,482$38,200$216,470$22,664$128,428$4,795$27,171$274,282$1,554,261$49,952$283,062
Richard Magnuson
FORMER OFFICER$21,289$63,864$0$0$8,792$26,382$429$1,284$880$2,643$31,390$94,173$0$0
Jonathan Reuter
VP FACILITIES & CONSTRUCTION$114,439$171,659$29,655$44,484$29,261$43,891$3,292$4,938$12,040$18,060$188,687$283,032$8,086$12,127
Steven Terry Rosen
CHIEF SCIENTIFIC OFFICER$221,823$570,403$164,834$423,858$7,639$19,642$63,017$162,044$8,390$21,576$465,703$1,197,523$37,161$95,555
William Sargeant
ASSISTANT SECRETARY/COO$154,663$463,989$122,377$367,137$14,451$43,359$30,883$92,646$8,670$26,010$331,044$993,141$34,069$102,213
Gregory Schetina
SECRETARY/GENERAL COUNSEL$121,783$365,355$92,891$278,670$8,635$25,902$29,053$87,162$9,993$29,985$262,355$787,074$23,205$69,615
Robert W Stone
PRESIDENT AND CEO$306,651$715,517$311,704$727,310$26,043$60,765$103,183$240,763$10,490$24,480$758,071$1,768,835$84,251$196,586
Cornelis Van Den Berg
INTERIM CFO/TREASURER$113,281$339,846$24,343$73,035$1,300$3,897$10,472$31,413$5,794$17,382$155,190$465,573$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 1AFormAndLineReferenceDesc
ExplanationTHE 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 4A DALE WALTER ADAMS TERMINATED EMPLOYMENT DURING CALENDAR YEAR 2015 AND RECEIVED SALARY CONTINUATION OF $195,358, WHICH HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(iii). 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. THESE AMOUNTS ARE REMITTED TO THE APPROPRIATE TAXING AUTHORITIES ON BEHALF OF THE PARTICIPANTS. DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2016, THE FOLLOWING INDIVIDUALS WITHDREW THE REFERENCED AMOUNTS TO COVER SUCH TAXES: ALEXANDRA LEVINE $ 12,982 DEBRA Fields $ 5,602 GREGORY Schetina $ 6,657 PAUL Conocenti $ 11,179 ROBERT Stone $ 24,525 WILLIAM Sargeant $ 25,663 BORIANA Farias $ 20,816 JONATHAN Reuter $ 24,377 David Horne $ 7,850 THESE AMOUNTS HAVE BEEN INCLUDED IN THE PARTICIPANT'S INCOME ON SCHEDULE J, PART II, COLUMN B(III). SCHEDULE J, PART I, LINE 7 THE MEDICAL CENTER'S 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 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 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 2016 CITY OF HOPE PAID THE INCENTIVE COMPENSATION EARNED FOR FISCAL YEAR 2016 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) THAT IS DESIGNED TO DRIVE A 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 2) RUNS FROM OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2016, WITH A NEW THREE YEAR PERFORMANCE PERIOD BEGINNING EACH OCTOBER 1 THEREAFTER (E.G., CYCLE 3 RUNS FROM OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2017). THE PARTICIPANTS MUST BE EMPLOYED BY THE CITY OF HOPE AT THE END OF THE PERFORMANCE PERIOD IN ORDER TO VEST IN THE PLAN. WHILE THE LTI DOES MEET THE REQUIREMENTS FOR A SUBSTANTIAL RISK OF FORFEITURE, AS OF THE CALENDAR YEAR ENDING DECEMBER 30, 2016, THE POTENTIAL FUTURE LTI AMOUNTS HAVE BEEN ESTIMATED AND ACCRUED DURING THE CURRENT TAX YEAR AND IS 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 IN THE PLAN WHO WERE EMPLOYED AS OF SEPTEMBER 30, 2016 RECEIVED PAYOUT OF PLAN CYCLE 2 LTI INCENTIVES (OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2016) IN DECEMBER 2016. THESE AMOUNTS HAVE BEEN REFLECTED IN SCHEDULE J PART II, COLUMN B(II).ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CALIF HLTH FACLTY FIN AUTH (SEE PART VI)
A52164382813033LN372012-11-14$140,805,678REFUNDING ISSUE/CAPITAL PROJECTSfalsefalsefalse
CALIF HLTH FACLTY FIN AUTH (SEE PART VI)
B52164382813033LN372012-11-14$130,787,655REFUNDING ISSUEfalsefalsefalse
CALIF HLTH FACLTY FIN AUTH (SEE PART VI)
C5216438282017-02-10$32,680,000REFUNDING ISSUEfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$32,500,000$0$140,811,319$0$1,026,220$0$1,565,251$0$0$90,708,393$47,511,455$02015Yes (true)falseYes (true)Yes (true)
B$0$0$130,787,655$0$0$0$1,425,066$0$0$0$129,362,589$02012Yes (true)falseYes (true)Yes (true)
C$0$0$32,680,000$0$0$0$180,000$0$0$0$32,500,000$02017Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.008000.00800falsefalsefalseYes (true)
B0
CfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.018000.01800falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
WELLS FARGO
AfalsefalsefalseYes (true)Yes (true)Yes (true)30.falsefalsefalse0falseYes (true)
WELLS FARGO
BfalsefalseYes (true)falseYes (true)Yes (true)30.falsefalsefalse0falseYes (true)
0
CfalsefalseYes (true)falseYes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART I, LINES A AND B, COLUMN (E)FormAndLineReferenceDesc
ExplanationAN 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 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 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1ORGANIZATION'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, 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 4AEXEMPT PURPOSE ACHIEVEMENTS - CONTINUATION SINCE 1976, MORE THAN 13,500 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 SUPPORTED 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 VI, SECTION A, LINE 6 AND 7ATHE SOLE CORPORATE MEMBER, CITY OF HOPE (95-3435919), ELECTS THE BOARD OF DIRECTORS TO 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 THERE. 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 11BA 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 FOR REVIEW ELECTRONICALLY TO VOTING MEMBERS OF THE CITY OF HOPE BOARD. 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 OF DIRECTORS OR THE CONFLICT OF INTEREST AND COMMITMENT COMMITTEE, BASED UPON THE CLASSIFICATION OF PERSON MAKING THE DISCLOSURE. RESTRICTIONS IMPOSED ON PERSONS TO MANAGE 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. 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. SCHEDULE O, 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 THE 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 ANNUAL INCENTIVE PLAN (AIP) AND LONG TERM INCENTIVE PLAN (LTI) DESCRIBED ABOVE, 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, 2017. 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 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, COLUMN (B)FULL TIME EXEMPT EMPLOYEES GENERALLY WORK IN EXCESS OF 40 HOURS PER WEEK, WHICH HAS BEEN REFLECTED IN PART VII BY AN ESTIMATE OF 60 HOURS PER WEEK. THE MEMBERS OF THE BOARD OF DIRECTORS ARE NOT COMPENSATED FOR SERVING ON THE BOARD. THE HOURS WORKED FOR EACH DIRECTOR IS AN ESTIMATE OF THE TIME SPENT PREPARING FOR AND ATTENDING MEETINGS OF THE BOARD OF DIRECTORS AND VARIOUS COMMITTEES OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS HELD FOUR REGULARLY SCHEDULED MEETINGS DURING FISCAL YEAR 2017. MOST OF THE CITY OF HOPE 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 XI, LINE 9OTHER CHANGES IN NET ASSETS ARE DETAILED AS FOLLOWS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP $ 3,341,921
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING & MGMT FEES TOTAL FEES:98745258
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:75552347
FORM 990 PART IX LINE 11GDESCRIPTION:REGISTRY & STAFFING FEES TOTAL FEES:22019063
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER CONTRACTED SERVICES TOTAL FEES:4329338
FORM 990 PART IX LINE 11GDESCRIPTION:RECRUITMENT TOTAL FEES:613440
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:382068
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION AGENCY FEES TOTAL FEES:8773

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CITY OF HOPE
1500 EAST DUARTE ROADDUARTECA91010953435919FUNDRAISINGCA501(c)(3)7NAfalse
BECKMAN RESEARCH INSTITUTE
1450 EAST DUARTE ROADDUARTECA91010953432210RESEARCHCA501(c)(3)4CITY OF HOPEYes (true)
CITY OF HOPE MEDICAL FOUNDATION
1500 E DUARTE ROADDUARTECA91010274803222HEALTHCARECA501(c)(3)3City of HopeYes (true)
THE TRANSLATIONAL GENOMICS RESEARCH INST
445 N 5TH STREET SUITE 600PHOENIXAZ85004753065445RESEARCHAZ501(C)(3)7CITY OF HOPEYes (true)
TGEN RESEARCH INSTITUTE FOUNDATION
445 N 5TH STREET SUITE 600PHOENIXAZ85004331092191FUNDRAISINGAZ501(C)(3)7CITY OF HOPEYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE
L$37,511,856FMV
BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE
M$1,730,975FMV
BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE
O$27,523,556FMV
BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE
P$10,463,297FMV
BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE
Q$32,439,732FMV
CITY OF HOPE MEDICAL FOUNDATION
L$4,111,465FMV
CITY OF HOPE MEDICAL FOUNDATION
M$67,944,735FMV
CITY OF HOPE MEDICAL FOUNDATION
O$8,165,128FMV
CITY OF HOPE MEDICAL FOUNDATION
P$5,176,633FMV
CITY OF HOPE MEDICAL FOUNDATION
Q$4,077,766FMV
THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE
O$126,822FMV