CITY OF HOPE NATIONAL MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CITY OF HOPE NATIONAL MEDICAL CENTER (EIN 95-1683875)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-14
IRS object ID: 201442269349304809
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-14T19:31:04-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	18111 VON KARMAN AVENUE SUITE 1000	AddressLine1
City	IRVINE	City
State	CA	State
ZIP Code	92612	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	951683875	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	City of Hope National Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% RICHARD MAGNUSON/CITY OF HOP	InCareOfName
Name Control	CITY	NameControl
Phone	6269305445	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 East Duarte Road	AddressLine1
Address Line2	Suite	AddressLine2
City	Duarte	City
State	CA	State
ZIP Code	91010	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RICHARD MAGNUSON	Name
Title	CFO	Title
Phone	6263018815	Phone
Date Signed	2014-08-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	9497942300	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ROBERT STONE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1500 EAST DUARTE ROAD	AddressLine1
City	DUARTE	City
State	CA	State
ZIP Code	91010	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	802907002	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.cityofhope.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1948	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE TREATMENT, CURES AND COMPASSIONATE CARE TO THOSE WITH CANCER AND OTHER LIFE-THREATENING DISEASES BY WORKING WITH RESEARCHERS WHOSE BREAKTHROUGH IDEAS MAY BRING INNOVATIVE TREATMENT TO PATIENTS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	3552	TotalNbrEmployees
Total Nbr Volunteers	350	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	21373208	ContributionsGrantsPriorYear
Contributions Grants Current Year	7442452	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	680715098	ProgramServiceRevenuePriorYear
Program Service Revenue CY	720755065	ProgramServiceRevenueCY
Investment Income Prior Year	2830046	InvestmentIncomePriorYear
Investment Income Current Year	6757281	InvestmentIncomeCurrentYear
Other Revenue Prior Year	758568	OtherRevenuePriorYear
Other Revenue Current Year	4974489	OtherRevenueCurrentYear
Total Revenue Prior Year	705676920	TotalRevenuePriorYear
Total Revenue Current Year	739929287	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	504670	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3992984	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	275329794	SalariesEtcPriorYear
Salaries Etc Current Year	291516801	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	610254	TotalFundrsngExpCurrentYear
Other Expense Prior Year	361749884	OtherExpensePriorYear
Other Expenses Current Year	391833308	OtherExpensesCurrentYear
Total Expenses Prior Year	637584348	TotalExpensesPriorYear
Total Expenses Current Year	687343093	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	68092572	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	52586194	RevenuesLessExpensesCY
Total Assets BOY	680666018	TotalAssetsBOY
Total Assets EOY	1121605571	TotalAssetsEOY
Total Liabilities BOY	322983939	TotalLiabilitiesBOY
Total Liabilities EOY	704514051	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	357682079	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	417091520	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	569609566	Expense
Grants	3992984	Grants
Revenue	720755065	Revenue
Description	CITY OF HOPE NATIONAL MEDICAL CENTER PROGRAMS CONSIST OF PATIENT CARE, RESEARCH AND PUBLIC INFORMATION AND EDUCATION. SEE SCHEDULE O - EXEMPT PURPOSES ACHIEVEMENTS.	Description
Total Program Service Expense	569609566	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	464	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3552	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	RICHARD MAGNUSONCITY OF HOP	NamePerson
Telephone Number	6263018815	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1500 EAST DUARTE ROAD	AddressLine1
City	Duarte	City
State	CA	State
ZIP Code	91010	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Claire Rothman
Board Member	2.0	0.0	X	0	0	0
Donald Hoffman
Board Member	2.0	0.0	X	0	0	0
Ernie So
Board Member	2.0	3.0	X	0	0	0
Frederic Grannis MD
Board Member	2.0	0.0	X	0	0	0
Iris Rothstein
Board Member	2.0	3.0	X	0	0	0
Jacqueline Kosecoff
Board Member	2.0	0.0	X	0	0	0
Jody Horowitz Marsh
Board Member	2.0	2.0	X	0	0	0
Leslie Popplewell MD
Board Member	2.0	0.0	X	0	0	0
Richard Myers
Board Member	2.0	0.0	X	0	0	0
Vincent Chung MD
Board Member	2.0	0.0	X	0	0	0
Mark Wakabayashi MD
Board Member	2.0	0.0	X	0	0	0
Randolph Beatty
Board Chair	2.0	2.0	X	0	0	0
William Scott
Board Chair	2.0	2.0	X	0	0	0
Gregory Schetina
General Counsel/Secretary	41.0	19.0		816701	0	61136	X
Michael A Friedman MD
Chief Executive Officer	41.0	19.0		1612965	0	76578	X
Robert W Stone
President	41.0	19.0		1283726	0	69133	X
William Sargeant
Chief Operating Officer	41.0	19.0		872345	0	83294	X
Richard Magnuson
Treasurer/CFO	41.0	19.0		0	0	0	X
Wael Fakhry
Interim Treasurer/SVP Fin Ops	41.0	19.0		392336	0	26007	X
Alexandra Levine MD
Chief Medical Officer	60.0	0.0		609046	0	32141		X
Dale Walter Adams
SVP Operations	60.0	0.0		776226	0	35885		X
Debra F Fields
Chief Risk Officer	60.0	0.0		813421	0	64320		X
Paul Conocenti
SVP and CIO	60.0	0.0		581368	0	56133		X
Stephanie Neuvirth
Chief HR Officer	60.0	0.0		798532	0	72902		X
Shirley Ann Johnson
Chief Nursing & Pt Services	60.0	0.0		600488	0	33353			X
Douglas Stahl
VP, Business Intelligence	60.0	0.0		481761	0	37281			X
Shery Azimi
VP Financial Planning & Anal.	60.0	0.0		464941	0	30996			X
Patricia Kassab
VP Quality & Risk Mgmt.	60.0	0.0		565824	0	40006			X
Michael Rabin
VP Managed Care	60.0	0.0		486901	0	51607			X
Dennis F Rusch
Former Officer	0.0	0.0		180901	0	3999				X
Gary Conner
Former Officer	0.0	0.0		777953	0	27061				X
Valerie Bingham
Former Officer,VP Controller	41.0	19.0		423468	0	43422				X
Theodore G Krontiris PHD
Former Officer	0.0	40.0		0	230925	58157				X
Virginia Opipare
Former Key Employee	41.0	19.0		676986	0	16157				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	13215889	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	230925	TotalReportableCompFrmRltdOrgs
Total Other Compensation	919568	TotalOtherCompensation
Number Individuals GT100 K	784	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
PRICEWATERHOUSECOOPERS LLP
PO BOX 514038	LOS ANGELES	CA	90051	CONSULTING	15831094
Sodexo Affiliates
Dept 880328	LOS ANGELES	CA	90088	Food Svs/Housekpng	5216737
Cannon Building Services Inc
1640 Sierra Madre Circle	PLACENTIA	CA	928706626	Construction	5281788
Accenture LLP
PO Box 70629	CHICAGO	IL	606730629	Consulting	4240223
City of Hope Medical Foundation
1500 East Duarte Road	DUARTE	CA	91010	Professional Srvs.	41496487

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	112	NumberOfContractorsGT100K
Related Organizations	7355077	RelatedOrganizations
Government Grants	87375	GovernmentGrants
Total Contributions	7442452	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	622110	698921020	698921020
CLINICAL TRIAL REVENUE	621110	11040695	11040695
OTHER EXEMPT FUNCTION REVENUES	622110	8012196	8012196
OTHER PATIENT ANCILLARY REVENUES	622110	2060374	2060374
ELECTRONIC HEALTH RECORD REVENUE	622110	472604	472604

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	248176	TotalRevenueColumn
Related Or Exempt Function Income	248176	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	720755065	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4097371	TotalRevenueColumn
Exclusion	$4,097,371	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	2650	TotalRevenueColumn
Exclusion	$2,650	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	76484	TotalRevenueColumn
Exclusion	$76,484	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	26275	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	26275	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	26275	TotalRevenueColumn
Exclusion	$26,275	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	65634975	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	62977715	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2657260	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2657260	TotalRevenueColumn
Exclusion	$2,657,260	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
REBATE PROGRAM	621110	99623	$99,623
INSURANCE RECOVERY	900099	4726640	$4,726,640
MISCELLANEOUS INCOME	900099	45467	$45,467

Field	Value	IRS element (for citing)
Total Other Revenue	4871730	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	739929287	TotalRevenueColumn
Related Or Exempt Function Income	720755065	RelatedOrExemptFunctionIncome
Exclusion	$11,731,770	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	3992984	Total
Program Services	3992984	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	7034547	Total
Program Services	2100196	ProgramServices
Management And General	4544960	ManagementAndGeneral
Fundraising	389391	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	403709	Total
Management And General	403709	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	227507767	Total
Program Services	194356035	ProgramServices
Management And General	33062786	ManagementAndGeneral
Fundraising	88946	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9988296	Total
Program Services	8563821	ProgramServices
Management And General	1400021	ManagementAndGeneral
Fundraising	24454	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	28835049	Total
Program Services	25049386	ProgramServices
Management And General	3732574	ManagementAndGeneral
Fundraising	53089	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	17747433	Total
Program Services	15300289	ProgramServices
Management And General	2415744	ManagementAndGeneral
Fundraising	31400	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	6162498	Total
Management And General	6162498	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	4592950	Total
Program Services	7750	ProgramServices
Management And General	4585200	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	531664	Total
Management And General	531664	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	245460	Total
Management And General	245460	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	426313	Total
Management And General	426313	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	105696197	Total
Program Services	70258917	ProgramServices
Management And General	35435445	ManagementAndGeneral
Fundraising	1835	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	6793643	Total
Program Services	6446701	ProgramServices
Management And General	346942	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	19202076	Total
Program Services	12384380	ProgramServices
Management And General	6816672	ManagementAndGeneral
Fundraising	1024	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8041522	Total
Program Services	4645302	ProgramServices
Management And General	3396096	ManagementAndGeneral
Fundraising	124	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9069061	Total
Program Services	7018570	ProgramServices
Management And General	2047548	ManagementAndGeneral
Fundraising	2943	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1778773	Total
Program Services	1362338	ProgramServices
Management And General	416435	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1225436	Total
Program Services	744816	ProgramServices
Management And General	480620	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	11681960	Total
Program Services	11633834	ProgramServices
Management And General	48126	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	40330701	Total
Program Services	38542794	ProgramServices
Management And General	1771737	ManagementAndGeneral
Fundraising	16170	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2190558	Total
Program Services	2093448	ProgramServices
Management And General	96232	ManagementAndGeneral
Fundraising	878	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL/PHARMACY SUPPLIES	146711096	146711096
HOSPITAL PROVIDER FEE	13848328	13848328
LOSS EARLY EXTING. OF DEBT	6022421		6022421
BAD DEBT	2829849	2829849

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4452802	Total
Program Services	1718732	ProgramServices
Management And General	2734070	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	687343093	Total
Program Services	569609566	ProgramServices
Management And General	117123273	ManagementAndGeneral
Fundraising	610254	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	15138658	BOY
EOY	7317127	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	12090542	BOY
EOY	303036019	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	25954894	BOY
EOY	13817409	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	118188862	BOY
EOY	148989290	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	495826	BOY
EOY	116295	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7693641	BOY
EOY	8685991	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7423218	BOY
EOY	4418208	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	768558232	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	396290799	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	353623881	BOY
EOY	372267433	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	85576057	BOY
EOY	174385902	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	30531476	BOY
EOY	57615067	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	23948963	BOY
EOY	30956830	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	680666018	BOY
EOY	1121605571	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	90933263	BOY
EOY	91052598	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	7956491	BOY
EOY	702478	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	193147991	BOY
EOY	244580713	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	300000000	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	1628619	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	30946194	BOY
EOY	66549643	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	322983939	BOY
EOY	704514051	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	357682079	BOY
EOY	417091520	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	357682079	BOY
EOY	417091520	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	680666018	BOY
EOY	1121605571	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	52586194	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	6264873	ReconciliationUnrealizedInvest
Reconcilation Other Changes	558374	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Org Belongs To Affiliated Group	X	OrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	15000	FilingOrganizationsTotals
Affiliated Group Totals	15000	AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	372460	FilingOrganizationsTotals
Affiliated Group Totals	372460	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	387460	FilingOrganizationsTotals
Affiliated Group Totals	387460	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	686955633	FilingOrganizationsTotals
Affiliated Group Totals	1333384115	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	687343093	FilingOrganizationsTotals
Affiliated Group Totals	1333771575	AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals
Affiliated Group Totals	1000000	AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals
Affiliated Group Totals	250000	AffiliatedGroupTotals

Field	Value	IRS element (for citing)
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Form4720 Filed	false	Form4720Filed

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	543709	CurrentYearMinus3
Current Year Minus2	547607	CurrentYearMinus2
Current Year Minus1	498406	CurrentYearMinus1
Current Year	387460	CurrentYear
Total	1977182	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

Field	Value	IRS element (for citing)
Current Year Minus3	0	CurrentYearMinus3
Current Year Minus2	0	CurrentYearMinus2
Current Year Minus1	0	CurrentYearMinus1
Current Year	15000	CurrentYear
Total	15000	Total

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES:	Identifier
Return Reference	SCHEDULE C, Part II-A	ReturnReference
Explanation	CITY OF HOPE NATIONAL MEDICAL CENTER (MEDICAL CENTER) APPLIED FOR A SECTION 501(H) ELECTION ON FORM 5768 IN THE YEAR ENDED SEPTEMBER 30, 1995. THIS ELECTION HAS NOT BEEN REVOKED SUBSEQUENT TO THIS APPLICATION. THE MEDICAL CENTER INCURRED DIRECT LOBBYING EXPENDITURES IN THE AMOUNT OF $245,460, AND IN-HOUSE EXPENDITURES OF $142,000 (INCLUDING $15,000 IN GRASSROOTS LOBBYING TO INCREASE RESEARCH FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH) DURING FISCAL YEAR 2013 RELATED TO THE FOLLOWING LOBBYING ACTIVITIES: FEDERAL LEGISLATION: H.R. 8: AMERICAN TAXPAYER RELIEF ACT (ADVOCATED ON ISSUES RELATED TO EVALUATION AND MANAGEMENT SERVICES FOR REIMBURSEMENT FOR HOSPITALS). STAFF PROVIDED EXPERTISE, ADVICE AND ADVOCACY ON LEGISLATION. FISCAL YEAR 2014 SENATE AND HOUSE LABOR, HHS, AND EDUCATION APPROPRIATIONS BILL (PROVISIONS RELATING TO NIH FUNDING). STAFF PROVIDED EXPERTISE, ADVICE AND ADVOCACY ON LEGISLATION. PROPOSED MEDICARE LEGISLATION: ISSUES RELATED TO CUTS IN EVALUATION AND MANAGEMENT SERVICES REIMBURSEMENT FOR HOSPITALS. STAFF PROVIDED EXPERTISE, ADVICE AND ADVOCACY ON PROPOSED LEGISLATION. PROPOSED MEDICARE LEGISLATION: MEDICARE OUTPATIENT PAYMENT FOR EXEMPT PROSPECTIVE PAYMENT CANCER CENTERS. STAFF PROVIDED EXPERTISE, ADVICE AND ADVOCACY. GRASS ROOTS LOBBYING: MEDICAL RESEARCH RALLY ON CITY OF HOPE (COH) CAMPUS: STAFF EMAILING AND TWEETING MEMBERS OF CONGRESS FOR A TWO HOUR PERIOD IN APRIL 2013 TO REQUEST INCREASE IN NIH FUNDING. STATE LEGISLATION: SB 853 (STATUTES OF 2010) SECTION 173 ; CALIFORNIA'S MEDICAID WAIVERS. SACRAMENTO LOBBYIST LOBBIED LEGISLATURE AND DHCS ON BEHALF OF CITY OF HOPE. SB 239 (HERNANDEZ): LEGISLATION TO IMPLEMENT A HOSPITAL FEE PROGRAM THAT WOULD BE EFFECTIVE FROM JANUARY 2014 TO DECEMBER 2015. SACRAMENTO LOBBYIST LOBBIED LEGISLATURE ON BEHALF OF CITY OF HOPE. SB 615 (GALGIANI) PUBLIC WORKS: PREVAILING WAGES: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY. SACRAMENTO LOBBYIST LOBBIED LEGISLATURE ON BEHALF OF CITY OF HOPE. AB 1X PEREZ (D-LOS ANGELES)/ SB 1X HERNANDEZ(D-WEST COVINA): LEGISLATION TO IMPLEMENT THE EXPANSION OF MEDI-CAL COVERAGE INCLUDED IN ACA. SACRAMENTO LOBBYIST LOBBIED LEGISLATURE ON BEHALF OF CITY OF HOPE. TARS DENIALS, MEDI-CAL PAYMENT DELAYS, SENIORS AND PERSONS WITH DISABILITIES TRANSITION. SACRAMENTO LOBBYIST LOBBIED LEGISLATURE ON BEHALF OF CITY OF HOPE. MEETING WITH FEDERAL APPOINTEE IN DEPTARTMENT HHS: COH STAFF AND FEDERAL LOBBYIST MET AND COMMUNICATED WITH LEADERS IN HHS REGARDING CANCER QUALITY METRICS. STAFF PROVIDED EXPERTISE, AND ADVICE. MEETING WITH CALIFORNIA SECRETARY OF HEALTH: COH STAFF AND STATE LOBBYIST MET AND COMMUNICATED WITH SECRETARY OF HEALTH REGARDING DIAGNOSIS GROUP-RELATED PAYMENT SYSTEM AND NEW MEDI-CAL PAYMENT SYSTEM-2010 LEGISLATION IMPLEMENTATION. STAFF PROVIDED EXPERTISE, AND ADVICE TO ADVOCATE CHANGE IN POLICY. SCHEDULE C, PART II-A, LINE A THE FOLLOWING ARE THE MEMBERS OF THE AFFILIATED GROUP: CITY OF HOPE (HAS NOT MADE THE 501(H) ELECTION) 1500 EAST DUARTE ROAD, DUARTE, CA 91010 EIN = 95-3435919 GRASSROOTS LOBBYING AMOUNT = NONE TOTAL LOBBYING EXPENDITURES = NONE OTHER EXEMPT PURPOSE EXPENDITURES = $255,044,896 TOTAL EXEMPT PURPOSE EXPENDITURES = $255,044,896 LOBBYING NONTAXABLE AMOUNT = NONE GRASSROOTS NONTAXABLE AMOUNT = NONE TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT = NONE TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT = NONE SHARE OF EXCESS LOBBYING EXPENDITURES = NONE BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE (BECKMAN RESEARCH INSTITUTE) (HAS NOT MADE THE 501(H) ELECTION) 1500 EAST DUARTE ROAD, DUARTE, CA 91010 EIN = 95-3432210 GRASSROOTS LOBBYING AMOUNT = NONE TOTAL LOBBYING EXPENDITURES = NONE OTHER EXEMPT PURPOSE EXPENDITURES = $261,648,917 TOTAL EXEMPT PURPOSE EXPENDITURES = $261,648,917 LOBBYING NONTAXABLE AMOUNT = NONE GRASSROOTS NONTAXABLE AMOUNT = NONE TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT = NONE TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT = NONE SHARE OF EXCESS LOBBYING EXPENDITURES = NONE CITY OF HOPE MEDICAL FOUNDATION (MEDICAL FOUNDATION) (HAS NOT MADE THE 501(H) ELECTION) 1500 EAST DUARTE ROAD, DUARTE, CA 91010 EIN = 27-4803222 GRASSROOTS LOBBYING AMOUNT = NONE TOTAL LOBBYING EXPENDITURES = NONE OTHER EXEMPT PURPOSE EXPENDITURES = $129,734,669 TOTAL EXEMPT PURPOSE EXPENDITURES = $129,734,669 LOBBYING NONTAXABLE AMOUNT = NONE GRASSROOTS NONTAXABLE AMOUNT = NONE TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT = NONE TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT = NONE SHARE OF EXCESS LOBBYING EXPENDITURES = NONE	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	39346779	BeginningOfYearBalance
Investment Earnings Or Losses	4089919	InvestmentEarningsOrLosses
End Of Year Balance	43436698	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	34199446	BeginningOfYearBalance
Investment Earnings Or Losses	5147333	InvestmentEarningsOrLosses
End Of Year Balance	39346779	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	35350725	BeginningOfYearBalance
Investment Earnings Or Losses	-1151279	InvestmentEarningsOrLosses
End Of Year Balance	34199446	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	31900646	BeginningOfYearBalance
Investment Earnings Or Losses	3450079	InvestmentEarningsOrLosses
End Of Year Balance	35350725	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	31123964	BeginningOfYearBalance
Investment Earnings Or Losses	776682	InvestmentEarningsOrLosses
End Of Year Balance	31900646	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	51560297	OtherCostOrOtherBasis
Book Value	51560297	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	290066166	OtherCostOrOtherBasis
Depreciation	154435899	Depreciation
Book Value	135630267	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7359840	OtherCostOrOtherBasis
Depreciation	2082061	Depreciation
Book Value	5277779	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	353075493	OtherCostOrOtherBasis
Depreciation	239772839	Depreciation
Book Value	113302654	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	66496436	OtherCostOrOtherBasis
Book Value	66496436	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	372267433	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	ALTERNATIVE INVESTMENTS	Description
Book Value	57615067	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	57615067	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
OTHER LIABILITIES	$2,907
ACCRUED INTEREST	$6,544,133
INTEREST EXPENSE LIABILITY	$1,268,316
BOND ISSUE PREMIUM	$25,642,259
SELF INSURANCE LIABILITY	$1,044,000
RETIREMENT FUND PAYABLE	$10,393,690
DEFERRED LEASE LIABILITY	$1,949,708
WORKERS COMPENSATION LIABILITY	$14,819,936
THIRD PARTY SETTLEMENTS	$4,884,694

Field	Value	IRS element (for citing)
Total Of Amounts	66549643	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ENDOWMENT FUNDS:	SCHEDULE D, PART V, LINE 4	THE MEDICAL CENTER HAS 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.
FASB ASC 740 DISCLOSURE:	SCHEDULE D, PART X, LINE 2	THE FOLLOWING PARAGRAPH IS FROM THE CONSOLIDATED CITY OF HOPE AND AFFILIATES (CITY OF HOPE, CITY OF HOPE AUXILIARIES (AUXILIARIES), GENBASIX, INC., THE MEDICAL CENTER, ONCOLOGY MANAGEMENT SERVICES, INC., THE MEDICAL FOUNDATION AND THE BECKMAN RESEARCH INSTITUTE) AUDITED FINANCIAL STATEMENTS AS OF SEPTEMBER 30, 2013: FINANCIAL ACCOUNTING STANDARDS BOARD, ACCOUNTING STANDARD CODIFICATION FASB 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. FASB ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND TRANSITION. THE GUIDANCE CONTAINED IN FASB ASC 740 IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. CITY OF HOPE HAS NO SIGNIFICANT UNCERTAIN TAX POSITION OR TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES ACCRUED AT SEPTEMBER 30, 2013 AND 2012.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (9 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures	Number Of EmployeesNumberOfEmployees	Specific Services ProvidedSpecificServicesProvided
Central America and the Caribbean	Investments	15943122
Central America and the Caribbean	Program Services	5022	1	Business and Education
East Asia and the Pacific	Program Services	9103	8	Business and Education
Europe (Including Iceland and Greenland)	Program Services	39301	33	Business and Education
Middle East and North Africa	Program Services	1455	1	Business and Education
North America	Program Services	22469	18	Business and Education
South America	Program Services	767	1	Business and Education
South Asia	Program Services	2633	1	Business and Education
Sub-Saharan Africa	Program Services	2785	1	Business and Education

Field	Value	IRS element (for citing)
Subtotal Number Of Employees	60	SubtotalNumberOfEmployees
Total Number Of Employees	64	TotalNumberOfEmployees
Subtotal Amount Spent	16026656	SubtotalAmountSpent
Total Amount Spent	16026657	TotalAmountSpent
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	true	PassiveForeignInvestCo
Foreign Partnership	true	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	FOREIGN INVESTMENTS:	Identifier
Return Reference	SCHEDULE F, PART I, LINE 3	ReturnReference
Explanation	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 2.9% OF THE MEDICAL CENTER'S OVERALL CASH AND INVESTMENT PORTFOLIO. THE MEDICAL CENTER ALSO HAS HOLDINGS THAT INCLUDE EQUITY CO-MINGLED FUNDS WHICH ARE INVESTMENT FUND VEHICLES THAT INVEST PRIMARILY IN MARKETABLE EQUITY SECURITIES AND CAN BE LIQUIDATED MONTHLY SUBJECT TO NOTICE REQUIREMENTS. ALTERNATIVE INVESTMENTS INCLUDE EQUITY CO-MINGLED ASSETS INVESTED IN OFFSHORE FUNDS. THE MARKET VALUE 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 AND ENHANCING KNOWLEDGE, AND PRESENTING RESEARCH, THOUGHTS AND IDEAS. THE HEALTH CARE FIELD IS INTERNATIONAL IN SCOPE, AND THE CITY OF HOPE NATIONAL MEDICAL CENTER ENJOYS INTERNATIONAL RECOGNITION. ACCORDINGLY, THESE SYMPOSIA ARE CONDUCTED GLOBALLY, INCLUDING IN THE VARIOUS REGIONS IDENTIFIED IN SCHEDULE F. THE MEDICAL CENTER SUPPORTS ATTENDANCE OF OUR MEDICAL STAFF AT THESE SYMPOSIA. EMPLOYEE TRAVELERS MAY MAKE MULTIPLE TRIPS TO THE SAME REGION OR TO MULTIPLE REGIONS DURING A FISCAL YEAR. IN THE CASE WHERE THE SAME EMPLOYEE TRAVELER MADE 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. WE HAD 4 INSTANCES WHERE THE SAME TRAVELER WAS TRAVELING TO MULTIPLE REGIONS DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2013. SCHEDULE F, PART I, LINE 3, COLUMN F THE EXPENDITURES IN COLUMN F ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	400.	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6709000	TotalCommunityBenefitExpense
Net Community Benefit Expense	6709000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00980	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	119988727	TotalCommunityBenefitExpense
Direct Offsetting Revenue	102602966	DirectOffsettingRevenue
Net Community Benefit Expense	17385761	NetCommunityBenefitExpense
Percent Of Total Expense	0.02530	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	126697727	TotalCommunityBenefitExpense
Direct Offsetting Revenue	102602966	DirectOffsettingRevenue
Net Community Benefit Expense	24094761	NetCommunityBenefitExpense
Percent Of Total Expense	0.03510	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	280512	TotalCommunityBenefitExpense
Net Community Benefit Expense	280512	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	732704	TotalCommunityBenefitExpense
Direct Offsetting Revenue	125000	DirectOffsettingRevenue
Net Community Benefit Expense	607704	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	64887800	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8568500	DirectOffsettingRevenue
Net Community Benefit Expense	56319300	NetCommunityBenefitExpense
Percent Of Total Expense	0.08190	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3995084	TotalCommunityBenefitExpense
Net Community Benefit Expense	3995084	NetCommunityBenefitExpense
Percent Of Total Expense	0.00580	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	69896100	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8693500	DirectOffsettingRevenue
Net Community Benefit Expense	61202600	NetCommunityBenefitExpense
Percent Of Total Expense	0.08900	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	196593827	TotalCommunityBenefitExpense
Direct Offsetting Revenue	111296466	DirectOffsettingRevenue
Net Community Benefit Expense	85297361	NetCommunityBenefitExpense
Percent Of Total Expense	0.12410	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	56420	TotalCommunityBuildingExpense
Net Community Building Expense	56420	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	10697	TotalCommunityBuildingExpense
Net Community Building Expense	10697	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	67117	TotalCommunityBuildingExpense
Net Community Building Expense	67117	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$2,829,849	BadDebtExpenseAmount
Amount Reimbursed By Medicare	120962754	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	143647924	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-22685170	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF HOPE NATIONAL MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1500 EAST DUARTE ROAD	AddressLine1
City	DUARTE	City
State	CA	State
ZIP Code	91010	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.CITYOFHOPE.ORG	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Research Facility	X	ResearchFacility
Other	SHORT-TERM SPECIALTY HOSPITAL	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF HOPE NATIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	400.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	false	NondiscrimEmergencyCarePolicy
No Emergency Care	X	NoEmergencyCare
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FINANCIAL ASSISTANCE ELIGIBILITY:	SCHEDULE H, PART I, LINE 3C	ALL SELF PAY, UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE UNDER THE MEDICAL CENTER'S CHARITY CARE PROGRAM ARE OFFERED SERVICES THROUGH THE MEDICAL CENTER AT DISCOUNTED CHARGES. THIS DISCOUNT IS BASED ON A CERTAIN ALGORITHM, REGARDLESS OF THE SERVICES AND SETTING WHERE RENDERED TO THE RESPECTIVE PATIENT. THE DISCOUNT IS ALSO EXTENDED TO PATIENTS THAT QUALIFY FOR THE MEDICAL CENTER'S CHARITY CARE PROGRAM FOR THE OUT OF POCKET PORTIONS OF CARE THAT IS BEYOND THE CHARITY CARE COVERAGE AMOUNT THE PATIENT QUALIFIED FOR. THE CHARGES CAN BE FURTHER DISCOUNTED IN THE FORM OF A PROMPT PAYMENT DISCOUNT, IF THE PAYMENT IS AGREED TO IN ADVANCE AND MADE BY THE PATIENT WITHIN 30 DAYS OF RECEIPT OF THE MEDICAL CENTER'S BILL. 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.
FINANCIAL ASSISTANCE AND MEANS TESTED GOVERNMENT PROGRAMS:	SCHEDULE H, PART I, LINE 7, A-D	THE AMOUNTS REPORTED IN THIS SECTION WERE DETERMINED USING COST ACCOUNTING METHODOLOGY THAT CAPTURES THE TRUE COST OF TREATING PATIENTS. THESE AMOUNTS INCLUDE BOTH DIRECT AND INDIRECT COSTS AND INCLUDES ALL PATIENT SEGMENTS SUCH AS INPATIENT AND OUTPATIENT, PRIVATE INSURANCE, MANAGED CARE, MEDICARE, MEDI-CAL AND 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" OR "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, 2013, THE MEDICAL CENTER MADE PAYMENTS TO THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES (DHCS) FOR THE QA FEE IN THE AMOUNT OF $13,848,328 AND RECORDED $40,961,276 IN SUPPLEMENTAL PAYMENTS. THE PAYMENTS AND REVENUES PERTAINED TO THE APPROVED PERIOD FROM OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013. THE QA FEE OF $13,848,328 HAS BEEN INCLUDED IN SCHEDULE H, PART I, LINE 7B, COLUMN(C), TOTAL COMMUNITY BENEFIT EXPENSE. THE SUPPLEMENTAL PAYMENTS TOTALING $40,961,276 HAVE BEEN INCLUDED IN SCHEDULE H, PART I, LINE 7B, COLUMN(D), DIRECT OFFSETTING REVENUE. 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 2013. SCHEDULE H, PART I, LINE 7H RESEARCH COSTS WERE DETERMINED USING A DIRECT COST METHODOLOGY AND APPLYING A FEDERAL 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 THE MEDICAL CENTER ALSO ENTERED INTO AN ENFORCEABLE PLEDGE AGREEMENT WITH THE CALIFORNIA HEALTH FOUNDATION AND TRUST (CHFT), AGREEING TO MAKE CONTRIBUTIONS TO THE CHFT BASED ON A PRE-DESCRIBED CALCULATION METHODOLOGY. THESE FUNDS WILL BE USED BY CHFT TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS INDEPENDENT HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA, INCLUDING MEASURES TO ALLEVIATE DISTORTIONS, INTERRUPTIONS AND DISPARITIES POTENTIALLY RESULTING FROM SHORT-TERM CHANGES IN GOVERNMENT HEALTH CARE REIMBURSEMENT PROGRAMS, INCLUDING THE HOSPITAL FEE TO BE IMPOSED ON HOSPITALS UNDER THE PROGRAM. DURING 2013, THE MEDICAL CENTER RECORDED EXPENSES TOTALING $3,992,984 UNDER THE CHFT PLEDGE AGREEMENT, WHICH HAVE ALSO BEEN INCLUDED AS A COMPONENT OF PROGRAM SERVICE EXPENSE IN PART IX, LINE 1. THE $3,992,984 IS INCLUDED IN SCHEDULE H, PART I, LINE 7I, COLUMN (C) TOTAL COMMUNITY BENEFIT EXPENSE. CASH AND IN-KIND CONTRIBUTIONS IN THE AMOUNT OF $2,100 WERE THE ACTUAL EXPENSES INCURRED BY THE MEDICAL CENTER DURING FY 2013, THESE ARE INCLUDED IN SCHEDULE H, PART I, LINE 7I, COLUMN (C) TOTAL COMMUNITY BENEFITS EXPENSE. AMOUNTS REPORTED FOR COMMUNITY HEALTH IMPROVEMENT INCLUDE COMMUNITY BENEFIT OPERATIONS AND HEALTH PROFESSIONS EDUCATION, WHICH WAS DETERMINED BASED ON DATA REPORTED BY VARIOUS MEDICAL CENTER DEPARTMENTS. THE AMOUNT SHOWN FOR CASH AND IN-KIND CONTRIBUTIONS REPRESENTS ACTUAL EXPENSE INCURRED BY THE SPONSORING DEPARTMENT. CHA GUIDELINES FROM 2012 WERE USED TO DETERMINE WHETHER ACTIVITIES QUALIFIED AS COMMUNITY BENEFITS. SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE OF $2,829,849 WAS INCLUDED IN FORM 990, PART IX, LINE 24C, BUT IS EXCLUDED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE OF TOTAL COMMUNITY BENEFIT EXPENSE.
COMMUNITY BUILDING ACTIVITIES:	PART II	COMMUNITY BUILDING ACTIVITIES SHOWN ON SCHEDULE H ARE VALUED AT $67,117 AND INCLUDES LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS AND WORKFORCE DEVELOPMENT. CITY OF HOPE PARTNERED WITH THE CENTER FOR HISPANIC LEADERSHIP TO SPONSOR THE HISPANIC LEADERSHIP ACADEMY, THE FIRST ON-LINE, INTERACTIVE VIDEO-BASED TRAINING PLATFORM FOR HISPANIC PROFESSIONALS. CITY OF HOPE ALSO SPONSORED THE FIVE CITY COLLEGE LEADERSHIP TOUR TO PROMOTE AND ENCOURAGE HISPANIC COLLEGE STUDENTS TO ADVANCE INTEREST IN HEALTHCARE POSITIONS AFTER COLLEGE. WORKFORCE DEVELOPMENT PROGRAMS INCLUDE THE HISPANIC BIOMEDICAL AND SCIENTIFIC PIPELINE EVENT. OVER ONE HUNDRED DIVERSE LOCAL LEADERS GATHERED IN 2013 TO DISCUSS WAYS TO STRENGTHEN THE HISPANIC BIOMEDICAL AND SCIENTIFIC PIPELINE BY BUILDING AWARENESS ABOUT THE OPPORTUNITIES IN THE HEALTHCARE AND BIOMEDICAL FIELDS FOR HISPANICS. PARTICIPANTS DISCUSSED MENTORING, CAREER DEVELOPMENT, PARENT PROGRAMS AND K-12 EDUCATIONAL OPPORTUNITIES. WORKFORCE DEVELOPMENT ALSO ENCOMPASSES MENTORSHIP/INTERACTIVE LEARNING PROGRAMS THAT ARE DESIGNED TO HELP LOCAL HIGH SCHOOL STUDENTS EXPLORE CAREER OPTIONS IN HEALTH CARE OR BASIC SCIENCE RESEARCH. THESE PROGRAMS INCLUDE THE REGIONAL OCCUPATIONAL PROGRAM (ROP), THE COMMUNITY SCIENCE FESTIVAL AND GROUNDHOG JOB SHADOW DAY. THE REGIONAL OCCUPATIONAL PROGRAM IS DESIGNED TO EXPOSE HIGH SCHOOL STUDENTS TO THE VARIETY OF PROFESSIONS - MEDICAL AND NONMEDICAL - 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. THE STUDENTS ARE MENTORED TWO DAYS A WEEK, WITH A THIRD DAY OF CLASSES, FOR SIX WEEKS, 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. YEARLY, ADVANCED PLACEMENT BIOLOGY STUDENTS ARE INVITED TO PARTICIPATE IN A COMMUNITY SCIENCE FESTIVAL, IN WHICH THEY TOUR THE LABORATORIES AT BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE, MEET WITH SCIENTISTS AND LEARN ABOUT THE SCIENCE BEHIND DISEASE PREVENTION. HANDS-ON SCIENCE PROJECTS ARE DESIGNED TO INCREASE INTEREST IN SCIENTIFIC RESEARCH. EVERY 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 GROUNDHOG JOB SHADOW DAY ENABLES STUDENTS TO EXPLORE CAREER OPTIONS AND GAIN PRACTICAL INSIGHTS INTO THE WORKPLACE. THE RELATIONSHIP CONTINUES BEYOND THE SINGLE DAY, WITH STUDENTS ENCOURAGED TO CONTACT THEIR MENTOR FOR ENCOURAGEMENT, SUPPORT AND DIRECTION THROUGHOUT THEIR HIGH SCHOOL YEARS.
BAD DEBT EXPENSE:	SCHEDULE H, PART III, LINES 2 AND 4	THE BAD DEBT EXPENSE/WRITE-OFF AMOUNT IS THE FINAL AMOUNT NET OF ANY PAYMENTS ON THE RELATED ACCOUNTS. NO DISCOUNTS ARE GIVEN ON BAD DEBT ACCOUNTS. BAD DEBTS ARE CLASSIFIED AS AN OPERATING EXPENSE IN THE FINANCIAL STATEMENTS, IN ACCORDANCE WITH HFMA STATEMENT 15. 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 BILL. BAD DEBT MUST BE RELATED TO COVERED SERVICES AND DERIVED FROM DEDUCTIBLES AND COINSURANCE AMOUNTS. REASONABLE COLLECTION 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 2013 AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DISCUSSING BAD DEBT EXPENSE, ACCOUNTS RECEIVABLE OR ALLOWANCE FOR DOUBTFUL ACCOUNTS.
MEDICARE SHORTFALL:	SCHEDULE H, PART III, LINE 8	IN ADDITION TO BEING A NCI-DESIGNATED COMPREHENSIVE CANCER CENTER, CITY OF HOPE IS A FOUNDING MEMBER OF THE NATIONAL COMPREHENSIVE CANCER NETWORK (NCCN) AN ALLIANCE OF 25 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. COSTING METHODOLOGY USED: 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, ALLOCATED BASED ON THE MEDICARE PATIENT DAYS AS A PERCENT OF THE TOTAL PATIENT DAYS.
COLLECTION PRACTICES:	SCHEDULE H, PART III, LINE 9B	PATIENT ACCOUNTS ARE NOT SENT TO COLLECTION WITHOUT GIVING PATIENTS ADEQUATE TIME TO BE EVALUATED OR RE-EVALUATED AND 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 FILE IS SENT TO A COLLECTION AGENCY. NEITHER THE MEDICAL CENTER OR 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 ELIBIBLE 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 MEDCIAL CENTER'S STANDARDS. SCHEDULE H, PART V, LINE 20D THE MAXIMUM AMOUNT THAT IS BILLED TO INDIVIDUALS IS THE AMOUNT BILLED TO INDIVIDUALS WHO HAVE INSURANCE.
NEEDS ASSESSMENT:	SCHEDULE H, PART V, SECTION B, LINE 3	TO GUIDE COMMUNITY BENEFIT PLANNING, CITY OF HOPE CONDUCTED A COMMUNITY NEEDS ASSESSMENT DURING FISCAL YEAR 2013. AS A SPECIALTY HOSPITAL WITH A PRIMARY FOCUS ON CANCER, CITY OF HOPE PLACED EMPHASIS ON THE NEEDS OF INDIVIDUALS AFFECTED BY CANCER IN DEFINING ITS COMMUNITY FOR PURPOSES OF THE HEALTH NEEDS ASSESSMENT. THE NEEDS ASSESSMENT INCLUDED DEVELOPMENT OF A DEMOGRAPHIC AND HEALTH STATUS PROFILE OF THE COMMUNITY AND CONSULTATION WITH COMMUNITY REPRESENTATIVES REGARDING HEALTH NEEDS. PRIMARY DATA WAS COLLECTED THROUGH INTERVIEWS WITH KEY INDIVIDUALS WHO WERE KNOWLEDGEABLE ABOUT CANCER-RELATED NEEDS IN THE COMMUNITY. TWO HEALTH EDUCATORS IN THE DEPARTMENT OF SUPPORTIVE CARE MEDICINE IDENTIFIED POTENTIAL PARTICIPANTS IN THE COMMUNITY CONSULTATION. IN DEVELOPING A LIST OF POTENTIAL PARTICIPANTS, A SIGNIFICANT EFFORT WAS MADE TO INCLUDE A CROSS-SECTION OF ORGANIZATIONS THAT ADDRESS CANCER-RELATED NEEDS OF PATIENTS, FAMILIES AND THE COMMUNITY. PARTICULAR EMPHASIS WAS PLACED ON IDENTIFYING ORGANIZATIONS THAT COULD REPRESENT THE NEEDS OF MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS. THE LIST INCLUDED LOCAL HEALTH DEPARTMENTS, ADVOCACY GROUPS, CANCER-RELATED ORGANIZATIONS, COMMUNITY HOSPITALS, MENTAL HEALTH AGENCIES, CULTURALLY FOCUSED ORGANIZATIONS, SCHOOLS, LIBRARIES, LOCAL GOVERNMENTS, RELIGIOUS ORGANIZATIONS AND OTHER COMMUNITY-BASED AGENCIES. A WRITTEN INTERVIEW TOOL AND COVER LETTER WERE MAILED TO EIGHTY ORGANIZATIONS IN FEBRUARY 2013. TO FURTHER OUR COLLABORATION WITH PUBLIC HEALTH AGENCIES IN IDENTIFYING AND ADDRESSING COMMUNITY HEALTH NEEDS, REPRESENTATIVES FROM THE LOS ANGELES COUNTY AND PASADENA HEALTH DEPARTMENTS WERE INCLUDED IN THE SIXTY-THREE INTERVIEWS CONDUCTED BETWEEN FEBRUARY AND APRIL 2013. INTERVIEWS WERE COMPLETED WITH MATTHEW FEASTER, EPIDEMIOLOGIST FROM THE CITY OF PASADENA HEALTH DEPARTMENT, AND ELIZABETH STILLWELL, RN, OFFICE OF WOMEN'S HEALTH, FROM THE LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES. THE SIXTY-SIX COMPLETED INTERVIEWS INCLUDED REPRESENTATIVES FROM ORGANIZATIONS WHO WERE KNOWLEDGEABLE ABOUT THE NEEDS OF MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS. THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: * AMERICAN CANCER SOCIETY * AMERICAN DIABETES ASSOCIATION * ASIAN PACIFIC HEALTHCARE VENTURE * AZUSA HEALTH CENTER * AZUSA PACIFIC UNIVERSITY - SCHOOL OF NURSING * BUDDHIST TZU-CHI FOUNDATION * CALIFORNIA CANCER COLLABORATIVE INITIATIVE * CALIFORNIA CENTER FOR PUBLIC ADVOCACY * CALIFORNIA HEALTH & LONGEVITY INSTITUTE * CALIFORNIA STATE UNIVERSITY, FULLERTON - HEALTH PROMOTION RESEARCH INSTITUTE * CANCER SUPPORT COMMUNITY * CENTER FOR HEALTH CARE RIGHTS * CLAREMONT GRADUATE UNIVERSITY - WEAVING AN ISLANDER NETWORK FOR CANCER AWARENESS AND TRAINING (WINCART) CENTER * CITRUS VALLEY HEALTH PARTNERS * CITY OF DUARTE - PARKS AND RECREATION * CITY OF HOPE CASE MANAGEMENT CENTER OF COMMUNITY ALLIANCE FOR RESEARCH & EDUCATION (CCARE) CLINICAL SOCIAL WORK COMMUNICATIONS LESLIE & SUSAN GONDA (GOLDSCHMIED) DIABETES AND GENETIC RESEARCH CENTER NEW PATIENT SERVICES PATIENT SPECIAL SERVICES PHYSICAL THERAPY POPULATION SCIENCES SUPPORTIVE CARE MEDICINE * CITY OF PASADENA - PUBLIC HEALTH DEPT. * CITY OF POMONA - RECREATION PROGRAMS AND SERVICES: POMONA YOUTH AND FAMILY CENTER * DUARTE CITY COUNCIL * DUARTE UNIFIED SCHOOL DISTRICT * GLENDALE MEMORIAL HOSPITAL * GREATER EL MONTE COMMUNITY HOSPITAL * HERALD CANCER ASSOCIATION * HUNTINGTON MEMORIAL HOSPITAL * KAISER PERMANENTE BALDWIN PARK MEDICAL CENTER * KOMMAH SERAY INFLAMMATORY BREAST CANCER FOUNDATION * LOS ANGELES COUNTY PUBLIC HEALTH DEPARTMENT * LATINO HEALTH ACCESS * LEUKEMIA & LYMPHOMA SOCIETY * LITTLE TOKYO SERVICE CENTER * LOS ANGELES COUNTY PUBLIC LIBRARY * METHODIST HOSPITAL - THE CANCER RESOURCE CENTER * OUR SAVIOR CENTER * PADRES CONTRA EL CANCER * OFFICE OF CALIFORNIA STATE SENATOR,SENATE DISTRICT 24 * PALS FOR HEALTH * PASADENA PUBLIC HEALTH DEPARTMENT * POMONA HEALTH CENTER * PRESBYTERIAN INTERCOMMUNITY HOSPITAL - THE HOSPICE HOUSE * PROVIDENCE CENTER FOR COMMUNITY HEALTH IMPROVEMENT * PROVIDENCE ST. JOSEPH MEDICAL CENTER * SAN GABRIEL MISSION * ST. ANTHONY PARISH * ST. LUKE'S CATHOLIC CHURCH * ST. VINCENT MEDICAL CENTER - MULTICULTURAL HEALTH AWARENESS AND PREVENTION CENTER * THE G.R.E.E.N. FOUNDATION * TRAINING (WINCART) CENTER * UNITED CAMBODIAN COMMUNITY * UNIVERSITY OF SOUTHERN CALIFORNIA COMMUNICATIONS NORRIS COMPREHENSIVE CANCER CENTER SCHOOL OF PHARMACY * WOMEN HELPING WOMEN SERVICES - NATIONAL COUNCIL OF JEWISH WOMEN * YOUNG WOMEN CHRISTIAN ASSOCIATION - SAN GABRIEL VALLEY SCHEDULE H, PART V, LINE 5A THE CHNA REPORT IS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEBSITE: http://www.cityofhope.org/community-health-needs-assessment-report (LINK INCLUDES IMPLEMENTATION STRATEGY DOCUMENT AS WELL AS CHNA DOCUMENT) SCHEDULE H, PART V, LINE 6,A-H, LINE 7 CITY OF HOPE ADDRESSED ALL SIGNIFICANT COMMUNITY HEALTH NEEDS INDENTIFIED IN THE 2010 CHNA. THE MOST RECENT CHNA WAS COMPLETED IN 2013. THIS 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, AVAILABILITY TO THE COMMUNITY. CITY OF HOPE'S 2014 - 2017 IMPLEMENTATION STRATEGY INCLUDES ALL FIVE AREAS OF COMMUNITY CONCERN IDENTIFIED THROUGH THE 2013 CHNA. THE NEEDS WILL BE ADDRESSED AS COH MOVES FORWARD WITH THE IMPLEMENTATION STRATEGY WHICH WAS ADOPTED BY THE ORGANIZATION AND POSTED TO THE COH INTERNET SITE BY FEBRUARY 15, 2014. THE FIVE FOCUS AREAS WERE RANKED BY COMMUNITY MEMBERS AS FOLLOWS: 1. RESEARCH ALLIANCES 2. CANCER PREVENTION AND EARLY DETECTION, SPECIFICALLY AS THEY RELATE TO LUNG, COLORECTAL, PROSTATE AND WOMEN'S CANCERS. 3. HEALTHY LIVING, SPECIFICALLY RELATED TO HOW NUTRITION AND PHYSICAL ACTIVITY IMPACT CANCER AND DIABETES. 4. CULTURALLY RELEVANT COMMUNITY PARTNERSHIPS AND EDUCATION 5. SMOKING CESSATION AND ITS IMPACT ON LUNG CANCER. WITHIN THESE FOCUS AREAS; THE COMMUNITY STAKEHOLDERS IDENTIFIED SPECIFIC ISSUES AS IMPORTANT TO PURSUE OVER THE NEXT THREE YEARS. THESE INCLUDE: * REDUCTION OF OBESITY * INCREASE IN PHYSICAL ACTIVITY * CULTURALLY COMPETENT AND CULTURALLY SPECIFIC HEALTH EDUCATION * CULTURALLY SENSITIVITY SUPPORT * ASSISTANCE IN NAVIGATING HEALTH CARE SYSTEM * CANCER ADVOCACY TRAINING * INCREASE IN COMMUNITY PARTNERSHIPS * BARRIERS THAT PREVENT VULNERABLE POPULATIONS FROM ACCESSING SERVICES, INCLUDING POVERTY, LACK OF TRANSPORTATION, AND CULTURAL/LINGUISTIC ISSUES. PART VI, LINE 2 ON 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 AMERICAN CANCER SOCIETY, CALIFORNIA DIVISION TO HELP ASSESS COMMUNITY HEALTH NEEDS. LAY ADVISORY COUNCILS ARE USED EXTENSIVELY TO INDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS AND GUIDE PROGRAM DEVELOPMENT. AS PART OF ITS IMPLEMENTATION STRATEGY, CITY OF HOPE IS DEVELOPING A COMMUNITY BENEFIT STEERING COMMITTEE THAT WILL FURTHER CONTRIBUTE TO ON-GOING ASSESSMENT OF COMMUNITY HEALTH NEEDS. EVALUATIONS COMPLETED BY PARTICIPANTS IN COMMUNITY EDUCATION AND CME PROGRAMS ARE ALSO USED TO INFORM ASSESSMENT OF COMMUNITY HEALTH NEEDS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:	PART VI, LINE 3	PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ARE INFORMED ABOUT THEIR 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 OUTPATIENT. 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 ALSO OFFERED TO PATIENTS WHO SPEAK OTHER LANGUAGES. THE MEDICAL CENTER IS INTERNATIONALLY RECOGNIZED FOR ITS SUPPORTSCREEN PROGRAM, WHICH WAS DEVELOPED AT CITY OF HOPE. 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 THUS ENABLES STAFF TO PROMPTLY FOLLOW UP WITH PATIENTS WHO ARE SIGNIFICANTLY CONCERNED ABOUT FINANCIAL ISSUES AND WANT INFORMATION OR SOMEONE TO TALK TO ABOUT ASSISTANCE AND RESOURCES.
COMMUNITY INFORMATION:	PART VI, LINE 4	CITY OF HOPE IS LOCATED IN DUARTE, CALIFORNIA 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 IN MULTIPLE INITIATIVES. THE MEDICAL CENTER'S PRIMARY SERVICE AREA EXTENDS FAR BEYOND DUARTE TO INCLUDE LOS ANGELES, SAN BERNARDINO, RIVERSIDE, AND ORANGE COUNTIES. PATIENTS FROM THESE COUNTIES COMPRISE 87 PERCENT OF OUR DISCHARGES. CITY OF HOPE'S RESEARCH ADVANCES 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 2013 USING MULTIPLE DATA SOURCES. TOGETHER, THE COUNTIES OF LOS ANGELES, ORANGE, SAN BERNARDINO AND RIVERSIDE ARE HOME TO: * 46% OF CALIFORNIA'S TOTAL POPULATION * 56% OF CALIFORNIA'S HISPANIC POPULATION (PREDOMINANTLY MEXICAN) * 54% OF THE STATE'S BLACK POPULATION, AND * 44% OF THE STATE'S ASIAN POPULATION (PRIMARILY CHINESE AND FILIPINO, BUT ALSO KOREAN AND VIETNAMESE) THE FOUR COUNTIES IN OUR PRIMARY SERVICE AREA HAVE A UNIQUE COMPOSITION THAT MAKES THEM VULNERABLE ON MANY LEVELS. THESE FACTORS REINFORCE THE NEED FOR COMMUNITY BENEFIT PROGRAMS: LOS ANGELES COUNTY * 47.7% OF RESIDENTS ARE HISPANIC AND 13.7% ARE ASIAN TOGETHER, THESE POPULATIONS GREW 40% BETWEEN 2000 AND 2010 * 57% OF RESIDENTS DO NOT SPEAK ENGLISH AT HOME * 30% OF CALIFORNIA'S POOR LIVE IN LA COUNTY * 18.5% OF RESIDENTS LIVE BELOW THE POVERTY LEVEL * 23.5% OF RESIDENTS ARE UNINSURED SAN BERNARDINO COUNTY * 49.2% OF RESIDENTS ARE HISPANIC AND 6.3% ARE ASIAN * 18.1% OF RESIDENTS LIVE BELOW THE POVERTY LEVEL * 21.6% OF RESIDENTS ARE UNINSURED RIVERSIDE COUNTY * 45.5% OF RESIDENTS ARE HISPANIC AND 6% ARE ASIAN * 16.1% OF RESIDENTS LIVE BELOW THE POVERTY LEVEL * 21.1% OF RESIDENTS ARE UNINSURED ORANGE COUNTY * 33.7% OF RESIDENTS ARE HISPANIC AND 17.9% ARE ASIAN * 13.1% OF RESIDENTS LIVE BELOW THE POVERTY LEVEL * 18% OF RESIDENTS ARE UNINSURED MOREOVER, THE PREVALENCE OF CANCER AND DIABETES, AND BEHAVIORAL RISK FACTORS THAT CONTRIBUTE TO THESE DISEASES, IS HIGH IN THESE FOUR COUNTIES: * 63,765 CANCER CASES WERE EXPECTED IN 2013 AMONG RESIDENTS OF THESE FOUR COUNTIES. * CANCER IS THE NO. 1 CAUSE OF DEATH AMONG HISPANICS IN CALIFORNIA. * 35% OF HISPANICS IN LA COUNTY HAVE DIABETES, AND 30% ARE OBESE. * 30% OF BLACKS IN LA COUNTY HAVE DIABETES, AND 37% ARE OBESE. * 27% OF ASIANS IN LA COUNTY HAVE DIABETES, AND 9% ARE OBESE. * 25.9% OF RESIDENTS IN THE LOS ANGELES METRO AREA ENGAGE IN NO PHYSICAL ACTIVITY. * 21.2% OF ORANGE COUNTY RESIDENTS ENGAGE IN NO PHYSICAL ACTIVITY.
PROMOTION OF COMMUNITY HEALTH:	PART VI, LINE 5	CITY OF HOPE IS ACTIVELY ENGAGED IN PROMOTING THE HEALTH OF THE COMMUNITY THROUGH THE DELIVERY OF COLLABORATIVE PROGRAMS AND SERVICES FOCUSED ON VULNERABLE POPULATIONS. CITY OF HOPE PROVIDES A VARIETY OF COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BUILDING ACTIVITIES THAT ARE FURTHER DESCRIBED IN THE ATTACHED 2014 - 2017 IMPLEMENTATION STRATEGY. ADDITIONALLY, CITY OF HOPE IS DEDICATED TO PROVIDING EDUCATIONAL OPPORTUNITIES TO COMMUNITY PROVIDERS OF HEALTH SERVICES AND WORK FORCE DEVELOPMENT OF THOSE INDIVIDUALS REPRESENTING MINORITY AND/OR OTHER UNDER-REPRESENTED POPULATIONS. THE MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPOSED OF PHYSICIANS, PROMINENT LEADERS IN THE COMMUNITY, BUSINESS ARENA AND PHILANTHROPIC WORLD. AS ONE OF THE NATION'S 41 NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTERS, THE MEDICAL CENTER SERVES A VITAL ROLE IN ITS COMMUNITY. THE MEDICAL CENTER INTEGRATES BASIC CLINICAL, PREVENTION, DISEASE CONTROL AND POPULATION RESEARCH. 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 A NET TOTAL OF $56,319,300 IN CANCER RESEARCH DURING FISCAL YEAR 2013. 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. HOSPITAL FACILITIES SERVE AS VITAL SITES FOR CLINICAL TRAINING AND AS VENUES FOR CONFERENCES. THE MEDICAL CENTER SERVES AS A RESOURCE FOR YOUNG PHYSICIANS SEEKING TO DEVELOP EXPERTISE IN CANCER, DIABETES AND OTHER DISEASES. RECOGNIZED WORLDWIDE FOR ITS INNOVATIVE APPROACHES TO ADVANCING SCIENCE, THE MEDICAL CENTER OFFERS NUMEROUS HANDS-ON INTERNSHIPS, FELLOWSHIPS AND RESIDENCIES FOR HEALTH PROFESSIONALS IN A BROAD ARRAY OF AREAS INCLUDING CANCER GENETICS, BONE MARROW TRANSPLANTATION, MOLECULAR EPIDEMIOLOGY, PHARMACY, CLINICAL NUTRITION AND HOSPITAL ADMINISTRATION. 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 MD'S AND RN'S 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. THE FOOTHILL FITNESS CHALLENGE IS ANOTHER OUTSTANDING EXAMPLE OF HOW CITY OF HOPE PROMOTES THE HEALTH OF ITS COMMUNITY. THROUGH THIS INITIATIVE, COMMUNITY MEMBERS ARE ENCOURAGED TO MAKE AN INVESTMENT IN THEIR OWN HEALTH AND THE CITY OF HOPE CAMPUS IS DESTINATION FOR HEALTH AND WELLNESS INFORMATION AND EDUCATION FOR THE COMMUNITY. A KICKOFF EVENT WAS HELD FOR THE PUBLIC ON OCTOBER 5, 2013 AND INCLUDED FREE HEALTH SCREENINGS, HEALTHY COOKING DEMONSTRATIONS, FITNESS CLASSES AND A ONE-MILE WALK. COMMUNITY BUSINESSES AND ORGANIZATIONS AND THE DUARTE UNIFIED SCHOOL DISTRICT WERE INVITED TO PARTNER IN THE EVENT AND PROVIDE RESOURCES IN THE COMMUNITY TO ACHIEVE PARTICIPANTS' SELF-DEFINED FITNESS GOALS. THAT EVENT WILL BE FOLLOWED BY ADDITIONAL FREE EVENTS, HELD REGULARLY, TO ENCOURAGE ONGOING INVOLVEMENT IN HEALTHY LIFESTYLE CHOICES. PARTICIPANTS WILL BE SURVEYED TO DETERMINE WHAT TYPES OF ACTIVITIES ARE MOST LIKELY TO KEEP THEM ENGAGED, AND TO ASSESS WHETHER KNOWLEDGE AND PRACTICES LEARNED THROUGH THE FOOTHILL FITNESS CHALLENGE CHANGES THEIR EXERCISE, EATING AND PREVENTIVE CARE HABITS. BASED ON SURVEY RESULTS, PARTNERS WILL CONTINUE TO BE RECRUITED AND NEW EVENTS ADDED. 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 THE RESEARCH LITERATURE AND LEADERSHIP OF COMMUNITY BOARDS.
AFFILIATED HEALTH CARE SYSTEM:	PART VI, LINE 6	THE NON-PROFIT MEDICAL FOUNDATION WAS LAUNCHED IN 2011. THE NEW MEDICAL FOUNDATION HAS FOSTERED INCREASED COLLABORATION BETWEEN PHYSICIANS AND THE MEDICAL CENTER IN PROVIDING PATIENT CARE AND SERVING THE COMMUNITY. THE MEDICAL FOUNDATION OPERATES CLINICS IN ARCADIA, SOUTH PASADENA, SANTA CLARITA, ANTELOPE VALLEY, MISSION HILLS, 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 TO EXPAND FARTHER 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 CITY OF HOPE'S 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 STRENGTHENED ITS COMMITMENT TO COMMUNITY COLLABORATION IN 2006 BY ESTABLISHING CCARE. ALL OF CCARE'S ACTIVITIES ARE COMMUNITY COLLABORATIONS. COLLABORATORS INCLUDE THE AMERICAN CANCER SOCIETY, COUNTY AND MUNICIPAL HEALTH AND RECREATION DEPARTMENTS, COMMUNITY HOSPITALS, SCHOOL DISTRICTS, HEALTH CLINICS, SURVIVOR-ADVOCACY ORGANIZATIONS AND THE WELLNESS COMMUNITY. THE EAT, MOVE, LIVE PROGRAM OFFERED TO PARENTS AND CHILDREN IN DUARTE BY CCARE IS ONLY ONE AMONG SCORES OF INITIATIVES THAT CCARE HAS ORGANIZED TO ADVANCE COMMUNITY ENGAGEMENT AND MINORITY INCLUSION. 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 RESEARCH SUMMER INTERNSHIP TO 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. 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. 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.
STATE FILING OF COMMUNITY BENEFIT REPORT:	PART VI, LINE 7	THE MEDICAL CENTER'S COMMUNITY BENEFIT REPORT IS FILED ANNUALLY IN THE STATE OF CALIFORNIA WITH THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CALIFORNIA HEALTH FOUNDATION TRUST	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1215 K STREET SUITE 800	AddressLine1
City	SACRAMENTO	City
State	CA	State
ZIP Code	95814	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	941498697	EINOfRecipient
IRC Section	501 (C) 3	IRCSection
Amount Of Cash Grant	3992984	AmountOfCashGrant
Purpose Of Grant	SEE PART IV.	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PURPOSE OF GRANT OR ASSISTANCE:	Identifier
Return Reference	PART II, LINE 2, COLUMN H	ReturnReference
Explanation	AS PART OF THE CALIFORNIA HOSPITAL PROVIDER FEE PROGRAM THAT BECAME A 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Account	X	DiscretionarySpendingAccount
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	false	WrittenPolicyReTAndEExpenses
Substantiation Required	false	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Alexandra Levine MD
Chief Medical Officer	296614	0	280493	0	31939	0	21548	0	10593	0	641187	0	0	0
Dale Walter Adams
SVP Operations	327650	0	410137	0	38439	0	7798	0	28087	0	812111	0	0	0
Debra F Fields
Chief Risk Officer	319741	0	468597	0	25083	0	28971	0	35349	0	877741	0	0	0
Dennis F Rusch
Former Officer	0	0	0	0	180901	0	0	0	3999	0	184900	0	0	0
Gary Conner
Former Officer	520169	0	196207	0	61577	0	7798	0	19263	0	805014	0	0	0
Gregory Schetina
General Counsel/Secretary	341768	0	444753	0	30180	0	29397	0	31739	0	877837	0	0	0
Michael A Friedman MD
Chief Executive Officer	759704	0	650408	0	202853	0	46234	0	30344	0	1689543	0	0	0
Robert W Stone
President	521756	0	724498	0	37472	0	40596	0	28537	0	1352859	0	0	0
Shirley Ann Johnson
Chief Nursing & Pt Services	278653	0	289291	0	32544	0	7798	0	25555	0	633841	0	0	0
Valerie Bingham
Former Officer,VP Controller	204938	0	205611	0	12919	0	16829	0	26593	0	466890	0	0	0
Virginia Opipare
Former Key Employee	18359	0	102766	0	555861	0	1121	0	15036	0	693143	0	0	0
Theodore G Krontiris PHD
Former Officer	0	228052	0	0	0	2873	0	34832	0	23325	0	289082	0	0
Douglas Stahl
VP, Business Intelligence	233311	0	235738	0	12712	0	19259	0	18022	0	519042	0	0	0
Paul Conocenti
SVP and CIO	365112	0	161508	0	54748	0	24663	0	31470	0	637501	0	0	0
Stephanie Neuvirth
Chief HR Officer	430954	0	355798	0	11780	0	53444	0	19458	0	871434	0	0	0
William Sargeant
Chief Operating Officer	503880	0	260350	0	108115	0	59892	0	23402	0	955639	0	0	0
Shery Azimi
VP Financial Planning & Anal.	223414	0	226091	0	15436	0	18126	0	12870	0	495937	0	0	0
Patricia Kassab
VP Quality & Risk Mgmt.	257295	0	233287	0	75242	0	7798	0	32208	0	605830	0	0	0
Michael Rabin
VP Managed Care	226361	0	249124	0	11416	0	19501	0	32106	0	538508	0	0	0
Wael Fakhry
Interim Treasurer/SVP Fin Ops	180224	0	120548	0	91564	0	12500	0	13507	0	418343	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	QUESTIONS REGARDING COMPENSATION:	Identifier
Return Reference	SCHEDULE J PART 1, LINE 1A	ReturnReference
Explanation	MICHAEL FRIEDMAN, M.D., CHIEF EXECUTIVE OFFICER, IS PROVIDED A HOUSING ALLOWANCE WHICH HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). DR. FRIEDMAN IS ALSO PROVIDED WITH SOCIAL CLUB MEMBERSHIPS NECESSARY FOR VARIOUS BUSINESS RELATIONSHIP ACTIVITIES. DETAILED BUSINESS RECEIPTS MUST BE SUBMITTED INDICATING WHETHER SERVICES WERE FOR BUSINESS OR PERSONAL USE ARE REQUIRED AND TO THE EXTENT THE SERVICES WERE FOR BUSINESS PURPOSES THEY ARE REIMBURSED. THE PERSONAL USE PORTION OF THE SOCIAL CLUB DUES IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS OTHER REPORTABLE INCOME AND TOTALED $301 DURING CALENDAR YEAR 2012. CERTAIN EXECUTIVES AND OTHER EMPLOYEES LISTED IN PART VII ARE PROVIDED WITH AN AUTOMOBILE ALLOWANCE WHICH HAS BEEN INCLUDED IN TAXABLE INCOME IN SCHEDULE J, PART II, COLUMN B(III) TO THE EXTENT THE ALLOWANCE IS NOT SUBSTANTIATED BY ASSOCIATED BUSINESS MILEAGE. SCHEDULE J, PART I, LINE 4A THE MEDICAL CENTER'S OFFICERS AND KEY EMPLOYEES ARE ELIGIBLE TO RECEIVE FAIR COMPENSATION FOR A SPECIFIED PERIOD OF TIME IN THE EVENT OF A POSITION ELIMINATION OR OTHER NOT FOR CAUSE SEPARATION ("SEPARATION PAYMENT"). ANY TAXABLE INCOME RECEIVED BY THE OFFICER OR KEY EMPLOYEE DURING SUCH PERIOD FROM ANY OTHER SOURCE IS COUNTED IN THE AGGREGATE TO REDUCE DIRECTLY, ON A DOLLAR FOR DOLLAR BASIS, THE ORGANIZATION'S SEPARATION PAYMENT. DURING 2012, THE MEDICAL CENTER MADE SEPARATION PAYMENTS TO DENNIS RUSCH TOTALING $154,177 AND A PENSION REPLACEMENT PAYMENT TOTALING $26,724 AND VIRGINIA OPIPARE RECEIVED A SEPARATION PAYMENT TOTALING $364,419 AND A PENSION REPLACEMENT PAYMENT IN THE AMOUNT OF $32,393. THESE PAYMENTS ARE ALL INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). SCHEDULE J, PART I, LINE 4B THE MEDICAL CENTER HAS AN EXECUTIVE SUPPLEMENTAL ACCUMULATION PLAN THAT IS A NON-QUALIFIED SECTION 457(F) PLAN. THE PLAN 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 SERVICES 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, PARTICIPANTS, ONCE VESTED, ARE ENTITLED TO WITHDRAW FROM THEIR 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, 2012, THE FOLLOWING INDIVIDUALS WITHDREW THE REFERENCED AMOUNTS TO COVER SUCH TAXES: DALE ADAMS $ 7,345 SHERY AZIMI $ 1,272 VALERIE BINGHAM $ 1,162 DEBRA FIELDS $ 3,942 MICHAEL FRIEDMAN $22,373 SHIRLEY JOHNSON $ 6,512 ALEXANDRA LEVINE $ 4,550 MICHAEL RABIN $ 1,287 GREGORY SCHETINA $ 4,489 DOUGLAS STAHL $ 1,289 ROBERT STONE $ 8,462 THESE AMOUNTS HAVE BEEN INCLUDED IN THE PARTICIPANT'S INCOME ON SCHEDULE J, PART II, COLUMN B(III). VIRGINIA OPIPARE TERMINATED EMPLOYMENT WITH CITY OF HOPE DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2012 AND RECEIVED DISTRIBUTIONS FROM THE PLAN TOTALING $185,257 WHICH HAS BEEN REPORTED AS TAXABLE COMPENSATION IN EITHER THE CURRENT YEAR OR IN A PRIOR YEAR 990 IN SCHEDULE J, PART II, COLUMN B(III). SCHEDULE J, PART I, LINE 7 THE CITY OF HOPE'S EXECUTIVES AND SOME KEY EMPLOYEES ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION TIED TO FIVE (5) KEY INDICATORS. 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. BASED UPON AN INDIVIDUAL'S GOALS AND PERFORMANCE DURING THE YEAR, THE POTENTIAL PAYOUT FOR ANY PARTICIPANT CAN BE MODIFIED UP OR DOWN BY AS MUCH AS 20%. THE INCENTIVE PLAN IS UNDER THE CONTROL OF AND ADMINISTERED BY THE INDEPENDENT DIRECTORS SERVING ON THE EXECUTIVE COMPENSATION AND ORGANIZATIONAL DEVELOPMENT AND GOVERNANCE COMMITTEE. 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: 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 2012 CITY OF HOPE PAID THE INCENTIVE COMPENSATION EARNED FOR FISCAL YEARS 2011 AND 2012. THE FISCAL YEAR 2011 INCENTIVE WAS PAID IN FEBRUARY 2012, AND THE FISCAL YEAR 2012 INCENTIVE WAS PAID IN DECEMBER 2012. CITY OF HOPE'S INDEPENDENT COMPENSATION CONSULTANT RECOMMENDED THE ACCELERATION OF THE FISCAL YEAR 2012 PAYOUT FROM FEBRUARY 2013 TO CALENDAR YEAR 2012 TO MORE CLOSELY COINCIDE WITH WHEN THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE APPROVED, WHICH IS A COMPENSATION BEST PRACTICE. THIS ALSO MORE CLOSELY COINCIDES WITH THE END OF THE FISCAL YEAR FOR WHICH THE INCENTIVE IS EARNED. THE EXECUTIVE COMPENSATION AND ORGANIZATIONAL DEVELOPMENT AND GOVERNANCE COMMITTEE APPROVED THE ACCELERATION OF THE FISCAL YEAR 2012 PAYOUT TO CALENDAR YEAR 2012, AND APPROVED MAKING THIS TIMING CHANGE APPLICABLE TO FUTURE YEARS AS WELL. INCENTIVE COMPENSATION FOR FISCAL YEARS 2011 AND 2012 HAS BEEN REPORTED IN SCHEDULE J, PART II, COLUMN B(II). THE MEDICAL CENTER IMPLEMENTED AN EXECUTIVE LONG TERM INCENTIVE PLAN (LTI) DURING FISCAL YEAR 2013. THE LTI IS DESIGNED TO PROVIDE A LONG TERM INCENTIVE FOR EXECUTIVES OF THE CITY OF HOPE AND AFFILIATES. IN ORDER TO REALIZE KEY ORGANIZATIONAL OBJECTIVES AND GOALS TO BE ACCOMPLISHED OVER THE NEXT TEN YEAR PERIOD, IT IS CRITICAL THAT KEY EXECUTIVES BE ALIGNED WITH THE STRATEGIC PLAN. THE INITIAL PERFORMANCE PERIOD OF THE PLAN (CYCLE 1) RUNS FROM OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2015, WITH A NEW THREE YEAR PERFORMANCE PERIOD BEGINNING EACH OCTOBER 1 THEREAFTER (E.G., CYCLE 2 RUNS FROM OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2016). THE PARTICIPANTS MUST BE EMPLOYED BY THE MEDICAL CENTER 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, 2012, THREE MONTHS OF THE POTENTIAL THREE YEAR LTI AMOUNT HAS BEEN RECORDED AS DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN B. SCHEDULE J, PART II, COLUMN B(II) DURING CALENDAR YEAR 2012, THE ORGANIZATION MADE RETENTION COMPENSATION PAYMENTS TO CERTAIN INDIVIDUALS UNDER A STRATEGIC LEADERSHIP RETENTION BONUS PLAN PUT IN PLACE DURING CALENDAR YEAR 2010. THE PLAN COVERED THE PERIOD JULY 1,2010 - JANUARY 1,2012. THE PLAN INCLUDED EMPLOYEES CONSIDERED BY EXECUTIVE LEADERSHIP AS CRITICAL TO MEETING CERTAIN STRATEGIC AND BUSINESS OPERATIONAL GOALS, INCLUDING TRANSITION TO A MEDICAL FOUNDATION MODEL. TO RECEIVE PAYOUT OF THE RETENTION BONUS THE EMPLOYEE HAD TO REMAIN EMPLOYED FOR THE PLAN PERIOD AND BE IN GOOD STANDING AND MEETING EXPECTATIONS AS OF JANUARY 1, 2012. THE RETENTION PLAN, PARTICIPANTS AND PAYMENT AMOUNTS WERE PUT IN PLACE AND PAID WITH THE PRIOR APPROVAL OF THE EXECUTIVE COMPENSATION AND ORGANIZATIONAL DEVELOPMENT AND GOVERNANCE COMMITTEE. THE PAYMENT AMOUNTS ARE INCLUDED IN SCHEDULE J,PART II, COLUMN B(II).	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CALIF HLTH FACLTY FIN AUTH (SEE PART VI)
A	521643828	13033LN37	2012-11-14	140805678	REFUNDING ISSUE/CAPITAL PROJECTS	false	false	false
CALIF HLTH FACLTY FIN AUTH (SEE PART VI)
B	521643828	13033LN37	2012-11-14	130787655	REFUNDING ISSUE	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Year Of Subst CompletionYearOfSubstCompletion
A	0	0	140805678	0	1026220	0	1607837	0	0	60907170	47511455	29752996	true	false	false	true
B	0	0	130787655	0	0	0	1425066	0	0	0	129362589	0	true	false	true	true	2005

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	true	true	true	true	0.01000	0.00000	0.01000	false	false	false	true
B							0	0.00000	0.00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
UNION BANKWELLS FAR
A	false	true	true	true	30.	false	false	false	0	false	true
UNION BANKWELLS FAR
B	false	true	true	true	30.	false	false	false	0	false	true

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	TAX EXEMPT BONDS:	Identifier
Return Reference	0	ReturnReference
Explanation	SCHEDULE K, PART III, COLUMN B COLUMN LEFT BLANK AS 2012 ISSUE REFUNDED A PRE 2003 BOND ISSUE AND THERE WAS NO NEW PROCEEDS ISSUED. SCHEDULE K, PART I, LINE A AN ELECTION WAS MADE UNDER REGULATION 1.150-1(C)(3) TO TREAT THE BOND ISSUE AS TWO SEPARATE ISSUES AND WAS REPORTED ON TWO SEPARATE FORMS 8038. ONE WAS FOR REFUNDING THE NATIONAL MEDICAL CENTER'S CITY OF DUARTE CERTIFICATES OF PARTICIPATION SERIES 1999A (SHOWN ON PART SCHEDULE K, PART I, LINE B) AND THE OTHER WAS FOR REFUNDING (1) THE 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 NATIONAL MEDICAL CENTER IS REPORTING AN ALLOCABLE AMOUNT OF THE ISSUE PRICE AND EXPENDITURES. THE NATIONAL MEDICAL CENTER IS REPORTING AN ALLOCABLE ISSUE PRICE OF $140,805,678 AND THE BECKMAN RESEARCH INSTITUTE IS REPORTING $57,928,340. SCHEDULE K, PART I, LINE A AND B COLUMN (F) THE 2012 ISSUE REFUNDED THE FOLLOWING 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.	Explanation

Schedule L IRS990ScheduleL

Field	Value	IRS element (for citing)
Total Balance Due	0	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Lauren Hoffman	NamePerson

Field	Value	IRS element (for citing)
Relationship	Granddaughter of Director	Relationship
Amount Of Transaction	32655	AmountOfTransaction
Description Of Transaction	Summer Student and Employee	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION:	FORM 990, PART III, LINE 1	CITY OF HOPE, COLLECTIVELY REFERRING TO CITY OF HOPE, CITY OF HOPE AUXILIARIES, MEDICAL CENTER, MEDICAL FOUNDATION, AND THE BECKMAN RESEARCH INSTITUTE IS AN INNOVATIVE BIOMEDICAL RESEARCH, TREATMENT AND EDUCATION INSTITUTION COMMITTED TO TRANSFORMING THE FUTURE OF HEALTH. EVERY DAY WE TURN SCIENCE INTO PRACTICAL BENEFIT. WE TURN HOPE INTO REALITY. WE ACCOMPLISH THIS THROUGH EXQUISITE PATIENT CARE, INNOVATIVE RESEARCH, AND VITAL EDUCATION FOCUSED ON ELIMINATING CANCER AND DIABETES. DEDICATED TO THE PREVENTION AND CURE OF CANCER AND OTHER LIFE-THREATENING DISEASES, CITY OF HOPE IS GUIDED BY A COMPASSIONATE, PATIENT-CENTERED PHILOSOPHY AND SUPPORTED BY A NATIONAL FOUNDATION OF HUMANITARIAN PHILANTHROPY.
EXEMPT PURPOSE ACHIEVEMENTS:	FORM 990, PART III, LINE 4A	PATIENT CARE: THE MEDICAL CENTER PROVIDES ACUTE CARE MEDICAL SERVICES. MOST OF THE PATIENTS AT THE MEDICAL CENTER ARE BEING TREATED FOR SOME FORM OF CANCER, INCLUDING LEUKEMIA AND LYMPHOMA, AND COLORECTAL, PROSTATE, GYNECOLOGIC AND BREAST CANCERS. SOME SERVICES ARE PROVIDED THROUGH CHARITY CARE FUNDING FOR PATIENTS MEETING FINANCIAL ELIGIBILITY AND CLINICAL CRITERIA AND TO PERSONS WITHOUT INSURANCE OR WHO ARE UNDERINSURED. THE MEDICAL CENTER ALSO SUBSIDIZES CARE FOR PATIENTS COVERED BY MEDI-CAL AND MEDICARE PROGRAMS. ALL PATIENTS TREATED AT THE MEDICAL CENTER BENEFIT FROM THE LATEST TECHNOLOGIES COMBINED WITH A CULTURE OF COMPASSIONATE CARE. THE MEDICAL CENTER'S FOCUS ON TRANSLATIONAL MEDICINE HEIGHTENS THE COLLABORATION BETWEEN MEMBERS OF THE CARE TEAM AND RESEARCHERS FROM THROUGHOUT THE ORGANIZATION. EDUCATION AND PROFESSIONAL DEVELOPMENT ALSO ARE CORE ACTIVITIES AT THE MEDICAL CENTER. SINCE 1976, MORE THAN 11,000 HEMATOPOIETIC (BLOOD) CELL TRANSPLANTATION PROCEDURES HAVE BEEN PERFORMED AT THE MEDICAL CENTER TO FIGHT LEUKEMIA, LYMPHOMA, MYELOMA AND OTHER CANCERS. TODAY, THE MEDICAL CENTER'S CLINICIANS ARE FURTHERING DEVELOPMENT OF STEM CELL TRANSPLANTATION TO TREAT AUTOIMMUNE DISEASES AND EVEN DIABETES. THE MEDICAL CENTER IS ALSO A NATIONAL LEADER IN THE FIELD OF MINIMALLY INVASIVE SURGERY. PHYSICIANS AT THE MEDICAL CENTER HAVE PERFORMED MORE ROBOTIC UROLOGIC PROCEDURES THAN MOST OTHER CENTERS IN THE COUNTRY. THE MEDICAL CENTER ALSO PIONEERED ROBOTIC SURGERY FOR RECTAL CANCER AND IS AN EMERGING LEADER IN ROBOTIC SURGERY FOR HEAD AND NECK CANCERS. PHYSICIANS AT THE MEDICAL CENTER HAVE ALSO BROKEN NEW GROUND IN EMPLOYING TARGETED RADIATION. THESE TECHNIQUES DELIVER DOSES DIRECTLY TO DISEASED TISSUE, POTENTIALLY MINIMIZING DAMAGE TO PATIENTS' HEALTHY TISSUE WHILE MAXIMIZING CANCER-KILLING TREATMENT. THE SHERI & LES BILLER PATIENT AND FAMILY RESOURCE CENTER SERVES AS THE HUB FOR 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 HEALTH-CARE PROFESSIONALS, INCLUDING PSYCHOLOGISTS, PSYCHIATRISTS AND PALLIATIVE CARE PHYSICIANS, PARTNER WITH PATIENTS AND FAMILIES TO ALLEVIATE PAIN AND DISTRESS RELATED TO DISEASE AND TREATMENT. RESEARCH: THE MEDICAL CENTER FUNDS A VARIETY OF CLINICAL AND LABORATORY RESEARCH ACTIVITIES FOCUSED ON FINDING CURES AND TREATMENTS FOR CANCER AND OTHER LIFE-THREATENING DISEASES FOR WHICH GRANT AND EXTRAMURAL FUNDING IS NOT AVAILABLE. WITH A HISTORY OF SIGNIFICANT CONTRIBUTIONS TO THE FIELD OF DIABETES, THE MEDICAL CENTER IS 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 IN THE FIELDS OF DIABETES AND HIV-AIDS. LAST YEAR, THE MEDICAL CENTER CONDUCTED MORE THAN 300 STUDIES ENROLLING MORE THAN 5,000 PATIENTS. THESE TRIALS PROVIDE PATIENTS WITH ACCESS TO THE NEWEST APPROACHES TO COMBATING DISEASES WHILE HELPING DEVELOP THE TREATMENTS OF TOMORROW. FOR INSTANCE, THE MEDICAL CENTER IS THE FIRST INSTITUTION IN THE WORLD TO PERFORM A CLINICAL STUDY THAT USES NEURAL STEM CELLS TO TARGET GLIOMA, A DEADLY FORM OF BRAIN CANCER THAT IS ALMOST ALWAYS FATAL. THE MEDICAL CENTER PROVIDES INSTITUTIONALLY-SUPPORTED RESEARCH GRANTS, RESIDENCY AND FELLOWSHIP PROGRAMS AND TRAINING AND CONTINUING EDUCATION FOR PHYSICIANS, NURSES AND HEALTH PROFESSIONALS FROM WITHIN AND OUTSIDE OF THE INSTITUTION. FACULTY AND STAFF FROM THE MEDICAL CENTER SERVE ON NATIONAL ORGANIZATIONS AND POLICY AND REGULATORY 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. PUBLIC INFORMATION AND EDUCATION: THE MEDICAL CENTER CONDUCTS MEDICAL EDUCATION PROGRAMS AND PUBLIC FORUMS TO INFORM AND EDUCATE THE PUBLIC. THE MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY THROUGH EDUCATION AND SUPPORT SERVICES, CANCER AWARENESS PROGRAMS, HEALTH FAIRS AND EDUCATIONAL FORUMS FOR COMMUNITY GROUPS AND BUSINESSES. 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. THIS DEPARTMENT EXAMINES THE CAUSES AND RISKS OF CANCER AND DISPARITIES IN CANCER OUTCOMES IN VARIOUS POPULATIONS. IT INVESTIGATES GENETIC MARKERS LINKED TO CANCER RISK AND SEEKS TO IMPROVE THE QUALITY OF LIFE FOR CANCER SURVIVORS. THE CENTER FOR CANCER SURVIVORSHIP PROVIDES SPECIALIZED, LONG-TERM FOLLOW-UP CARE FOR CANCER SURVIVORS AND CONDUCTS CRITICAL RESEARCH SHARED WITH OTHER INSTITUTIONS.
GOVERNANCE, MANAGEMENT AND DISCLOSURES:	FORM 990, PART VI, SECTION A, LINE 4	AT ITS MEETING ON JULY 16, 2012, THE BOARD OF DIRECTORS OF CITY OF HOPE, THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER, BECKMAN RESEARCH INSTITUTE AND MEDICAL FOUNDATION, ADOPTED RESOLUTIONS ESTABLISHING A NEW EXECUTIVE LEADERSHIP STRUCTURE FOR CITY OF HOPE. ON OCTOBER 16, 2012, THE BYLAWS WERE AMENDED TO IMPLEMENT THESE CHANGES. THE PRINCIPAL CHANGES INCLUDED SEPARATING THE ROLE OF PRESIDENT FROM THE ROLE OF CHIEF EXECUTIVE OFFICER ("CEO"), AND CREATING THE NEW POSITION OF PRESIDENT; FORMING THE OFFICE OF THE CHIEF EXECUTIVE, OF WHICH EACH OF THE CEO AND PRESIDENT IS A MEMBER; SPECIFYING THAT THE CEO REPORTS TO THE BOARD, THE PRESIDENT REPORTS TO THE CEO, THE PRESIDENT'S DUTIES ARE BY DELEGATION FROM THE CEO (TO WHOM THE BOARD DELEGATES RESPONSIBILITY FOR DAY-TO-DAY MANAGEMENT), AND THAT THE DUTIES AND RESPONSIBILITIES OF EACH OF THE CEO AND PRESIDENT, AND ANY CHANGES THERETO, ARE SUBJECT TO THE APPROVAL OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 AND 7A CITY OF HOPE (95-3435919) IS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER AND ELECTS DIRECTORS TO THE BOARD OF THE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS MAY NOT BE UNDERTAKEN WITHOUT THE PRIOR WRITTEN APPROVAL OF THE SOLE CORPORATE MEMBER, CITY OF HOPE, AS SPECIFIED IN THE GOVERNING DOCUMENTS OF THE MEDICAL CENTER, INCLUDING: BORROW MONEY IN THE NAME OF THE MEDICAL CENTER OR UTILIZE PROPERTY OWNED BY THE MEDICAL CENTER AS SECURITY FOR SUCH LOANS; ASSIGN, TRANSFER, PLEDGE, COMPROMISE OR RELEASE ANY OF THE CLAIMS OR DEBTS TO THE MEDICAL CENTER EXCEPT ON PAYMENT IN FULL, OR ARBITRATE OR CONSENT TO THE ARBITRATION OF ANY DISPUTE OR CONTROVERSY OF THE MEDICAL CENTER; MAKE, EXECUTE OR DELIVER ANY ASSIGNMENT FOR THE BENEFIT OF CREDITORS, OR ANY BOND, CONFESSION OF JUDGMENT, CHATTEL MORTGAGE, SECURITY AGREEMENT, DEED, GUARANTY, INDEMNITY BOND, SURETY BOND, OR CONTRACT TO SELL OR BILL OF SALE OF THE PROPERTY OF THE MEDICAL CENTER; ACQUIRE, PURCHASE, DEVELOP, IMPROVE, SELL, LEASE, OR MORTGAGE ANY CORPORATE REAL ESTATE OR ANY INTEREST THEREIN OR ENTER INTO ANY CONTRACT FOR ANY SUCH PURPOSES; OR MAKE ANY LOAN, INVESTMENT, TRANSFER OR DISPOSITION OF ANY ASSETS OF THE MEDICAL CENTER OR ENTER INTO ANY CONTRACT OR INCUR ANY LIABILITIES ON BEHALF OF THE MEDICAL CENTER OTHER THAN FOR FAIR CONSIDERATION AND IN THE ORDINARY COURSE OF BUSINESS RELATING TO ITS NORMAL DAILY OPERATION; ESTABLISH CAPITAL AND OPERATING BUDGETS OR ADOPT MATERIAL CHANGES THERETO; OR ANY ACTION THAT COULD REASONABLY BE EXPECTED TO HAVE A MATERIAL ADVERSE EFFECT ON THE 501(C)(3) STATUS AND TAX EXEMPT BONDS OF CITY OF HOPE AND AFFILIATES. 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; AND ADOPTION OF OR AMENDMENTS TO INDIVIDUAL CORPORATE INVESTMENT GUIDELINES.
POLICIES:	FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 IS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS OF CITY OF HOPE, WHICH SERVES AS THE AUDIT COMMITTE OF THE BOARD OF DIRECTORS OF THE MEDICAL CENTER AND WHICH 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 THOROUGHLY WITH INTERNAL LEADERSHIP AND EXTERNAL ADVISORS, INCLUDING EY, AND RETAINED TAX COUNSEL. PRIOR TO FILING, THE MEDICAL CENTER'S FORM 990 IS MADE AVAILABLE TO VOTING MEMBERS OF THE CITY OF HOPE BOARD DIRECTORS FOR REVIEW ELECTRONICALLY. CITY OF HOPE (95-3435919) IS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER. ADDITIONALLY, CERTAIN MEMBERS OF THE CITY OF HOPE BOARD OF DIRECTORS ALSO SERVE AS BOARD MEMBERS OF THE MEDICAL CENTER. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES OF CITY OF HOPE AND AFFILIATES, 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 SUCH CONFLICT DISCLOSURES ARE MADE BY THE CHIEF RISK OFFICER, GENERAL COUNSEL AND, AS APPLICABLE, THE CHAIR OF THE BOARD OR BOARD OF DIRECTORS OR THE CONFLICT OF INTEREST AND COMMITMENT COMMITTEE, BASED UPON THE CATEGORY OF PERSON MAKING THE DISCLOSURE. RESTRICTIONS IMPOSED ON PERSONS WITH A CONFLICT VARY, BASED UPON THE FACTS. RESTRICTIONS MAY INCLUDE: PROHIBITION FROM PARTICIPATING IN THE 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 CONFLICTS AS PART OF A CONFLICT MANAGEMENT PLAN 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 POLICY PROVIDES FOR DISCIPLINARY ACTION AGAINST PERSONS COVERED BY THE CONFLICT OF INTEREST POLICIES WHO DO NOT COMPLY WITH POLICY REQUIREMENTS. FORM 990, PART VI, SECTION B, LINES 15A AND 15B THE EXECUTIVE COMPENSATION AND ORGANIZATIONAL DEVELOPMENT AND GOVERNANCE COMMITTEE OF THE CITY OF HOPE BOARD OF DIRECTORS, PURSUANT TO A DELEGATION OF AUTHORITY FROM THE CITY OF HOPE BOARD OF DIRECTORS, IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE CEO AND CERTAIN OTHER SENIOR EXECUTIVES. 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, OUTSIDE COMPENSATION CONSULTANT WITH RESPECT TO EXECUTIVE COMPENSATION, COMPARABLE AND BENCHMARK DATA, AND CURRENT COMPENSATION PHILOSOPHY, STRUCTURE, AND ADMINISTRATION OF THE EXECUTIVE COMPENSATION PROGRAMS AT CITY OF HOPE AND AFFILIATES. THE COMMITTEE CARRIES OUT THE BOARD OF DIRECTORS' OVERALL RESPONSIBILITIES RELATING TO EXECUTIVE COMPENSATION. THE EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVE LEADERSHIP REQUIRED TO ENABLE CITY OF HOPE TO ACHIEVE THE HIGHEST LEVELS OF COMMUNITY BENEFIT AND IMPACT, 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. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS LINKED DIRECTLY TO PERFORMANCE GOALS APPROVED IN ADVANCE BY THE COMMITTEE. THESE GOALS ARE TIED TO THE PERFORMANCE OF CITY OF HOPE AND AFFILIATES, 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. AS A CONSEQUENCE, PERFORMANCE COMPENSATION MAY VARY FROM YEAR TO YEAR. THE COMMITTEE CONDUCTS COMPENSATION REVIEWS ANNUALLY FOR EXECUTIVES AND CERTAIN KEY EMPLOYEES AND THIS WAS LAST COMPLETED ON SEPTEMBER 20, 2013. THE COMPENSATION PROGRAMS AND RANGES FOR ALL OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A AT THE SENIOR VICE-PRESIDENT OR EQUIVALENT LEVEL AND ABOVE ARE REVIEWED AND APPROVED BY THIS COMMITTEE.
DISCLOSURES:	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'S 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.
HOURS WORKED:	FORM 990, PART VII, COLUMN B	FULL TIME EMPLOYEES GENERALLY WORK IN EXCESS OF 40 HOURS PER WEEK WHICH HAS BEEN REFLECTED IN PART VII OF FORM 990 WHICH REPORTS AN AVERAGE OF 60 HOURS PER WEEK. THE MEMBERS OF THE BOARD OF DIRECTORS ARE NOT COMPENSATED FOR SERVING ON THE BOARD BY THE MEDICAL CENTER OR BY ITS AFFILIATES. THE HOURS WORKED FOR EACH DIRECTOR IS AN ESTIMATE OF THE TIME SPENT PREPARING FOR AND ATTENDING MEETINGS OF THE BOARD OF DIRECTORS AND ITS STANDING COMMITTEES. THE MEDICAL CENTER'S BOARD OF DIRECTORS HELD 5 REGULARLY SCHEDULED MEETINGS DURING THE FISCAL YEAR. THE AUDIT AND COMPLIANCE COMMITTEE HELD 5 REGULARLY SCHEDULED MEETINGS DURING FISCAL YEAR 2013.
STATEMENT OF FUNCTIONAL EXPENSES:	PART IX, LINE 11G	OTHER FEES FOR SERVICES PROGRAM MGMT/GENERAL FUNDRAISING PROFESSIONAL FEES $41,662,235 $ 39,193 $-- COLLECTION AGENCY FEES -- 3,680,825 -- CONSULTING FEES 5,666,228 23,411,409 -- OTHER CONTRACTED SERVICES 864,499 808,211 -- REGISTRY AND STAFFING FEES 3,241,923 1,041,272 -- PURCHASED SERVICES 17,995,115 5,770,196 1,835 RECRUITMENT 828,917 684,339 -- ----------- ----------- ------ TOTAL $70,258,917 $35,435,445 $1,835 RECONCILIATION OF NET ASSETS: PART XI, LINE 9 OTHER CHANGES IN NET ASSETS ARE DETAILED AS FOLLOWS: UNREALIZED GAIN ON INTEREST RATE SWAP $559,174 OMSI LOSSES $ (800) -------- TOTAL LINE 9 CHANGES $558,374

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
CITY OF HOPE
1500 EAST DUARTE ROAD	DUARTE	CA	91010	953435919	FUNDRAISING	CA	501(c)(3)	7	NA	false
BECKMAN RESEARCH INSTITUTE
1450 EAST DUARTE ROAD	DUARTE	CA	91010	953432210	RESEARCH	CA	501(c)(3)	4	CITY OF HOPE	true
CITY OF HOPE MEDICAL FOUNDATION
1500 E DUARTE ROAD	DUARTE	CA	91010	274803222	HEALTHCARE	CA	501(c)(3)	3	City of Hope	true

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
ONCOLOGY MANAGEMENT SERVICES INC
1500 EAST DUARTE ROAD	DUARTE	CA	91010	330557670	LEASING AGENT	CA	COHNMC	C CORP	1.00000	false
GENBASIX INC
1500 EAST DUARTE ROAD	DUARTE	CA	91010	911949357	GENOMICS	DE	NA	C CORP

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE
P	2519290	FMV
CITY OF HOPE MEDICAL FOUNDATION
L	2720022	FMV
BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE
Q	40408189	FMV
BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE
O	7154317	FMV
CITY OF HOPE MEDICAL FOUNDATION
M	48168271	FMV
BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE
L	24574133	FMV
CITY OF HOPE MEDICAL FOUNDATION
O	352416	FMV
CITY OF HOPE MEDICAL FOUNDATION
Q	3889758	FMV
CITY OF HOPE MEDICAL FOUNDATION
R	160961	FMV