2014-08-14T19:31:04-05:00 2013-09-30 ERNST & YOUNG US LLP 18111 VON KARMAN AVENUE SUITE 1000 IRVINE CA 92612 990 2012-10-01 951683875 City of Hope National Medical Center % RICHARD MAGNUSON/CITY OF HOP CITY 6269305445 1500 East Duarte Road Suite Duarte CA 91010 RICHARD MAGNUSON 6263018815 2014-08-11 true 9497942300 2012 2015-11-30 17:44:51Z ROBERT STONE 1500 EAST DUARTE ROAD DUARTE CA 91010 802907002 false X www.cityofhope.org X 1948 CA 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. 13 12 3552 350 0 21373208 7442452 680715098 720755065 2830046 6757281 758568 4974489 705676920 739929287 504670 3992984 0 0 275329794 291516801 0 0 610254 361749884 391833308 637584348 687343093 68092572 52586194 680666018 1121605571 322983939 704514051 357682079 417091520 X SEE SCHEDULE O false false 569609566 3992984 720755065 CITY OF HOPE NATIONAL MEDICAL CENTER PROGRAMS CONSIST OF PATIENT CARE, RESEARCH AND PUBLIC INFORMATION AND EDUCATION. SEE SCHEDULE O - EXEMPT PURPOSES ACHIEVEMENTS. 569609566 true true false true false false false false false true true true false false true true false true false false true false false false false false true true true false true true false false false false false false false false true false false false false false false true true true false false true 464 0 true 3552 true false false false false false false false false false false X 13 12 false false true false true true true true true false false false true true true true true true true false CA X RICHARD MAGNUSONCITY OF HOP 6263018815 1500 EAST DUARTE ROAD Duarte CA 91010 X Claire Rothman 2.0 0.0 X 0 0 0 Donald Hoffman 2.0 0.0 X 0 0 0 Ernie So 2.0 3.0 X 0 0 0 Frederic Grannis MD 2.0 0.0 X 0 0 0 Iris Rothstein 2.0 3.0 X 0 0 0 Jacqueline Kosecoff 2.0 0.0 X 0 0 0 Jody Horowitz Marsh 2.0 2.0 X 0 0 0 Leslie Popplewell MD 2.0 0.0 X 0 0 0 Richard Myers 2.0 0.0 X 0 0 0 Vincent Chung MD 2.0 0.0 X 0 0 0 Mark Wakabayashi MD 2.0 0.0 X 0 0 0 Randolph Beatty 2.0 2.0 X 0 0 0 William Scott 2.0 2.0 X 0 0 0 Gregory Schetina 41.0 19.0 X 816701 0 61136 Michael A Friedman MD 41.0 19.0 X 1612965 0 76578 Robert W Stone 41.0 19.0 X 1283726 0 69133 William Sargeant 41.0 19.0 X 872345 0 83294 Richard Magnuson 41.0 19.0 X 0 0 0 Wael Fakhry 41.0 19.0 X 392336 0 26007 Alexandra Levine MD 60.0 0.0 X 609046 0 32141 Dale Walter Adams 60.0 0.0 X 776226 0 35885 Debra F Fields 60.0 0.0 X 813421 0 64320 Paul Conocenti 60.0 0.0 X 581368 0 56133 Stephanie Neuvirth 60.0 0.0 X 798532 0 72902 Shirley Ann Johnson 60.0 0.0 X 600488 0 33353 Douglas Stahl 60.0 0.0 X 481761 0 37281 Shery Azimi 60.0 0.0 X 464941 0 30996 Patricia Kassab 60.0 0.0 X 565824 0 40006 Michael Rabin 60.0 0.0 X 486901 0 51607 Dennis F Rusch 0.0 0.0 X 180901 0 3999 Gary Conner 0.0 0.0 X 777953 0 27061 Valerie Bingham 41.0 19.0 X 423468 0 43422 Theodore G Krontiris PHD 0.0 40.0 X 0 230925 58157 Virginia Opipare 41.0 19.0 X 676986 0 16157 13215889 230925 919568 784 true true false 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 112 7355077 87375 7442452 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 248176 248176 720755065 4097371 4097371 2650 2650 76484 76484 26275 26275 0 26275 26275 65634975 62977715 2657260 2657260 2657260 0 0 0 REBATE PROGRAM 621110 99623 99623 INSURANCE RECOVERY 900099 4726640 4726640 MISCELLANEOUS INCOME 900099 45467 45467 4871730 739929287 720755065 11731770 X 3992984 3992984 0 0 0 7034547 2100196 4544960 389391 403709 403709 227507767 194356035 33062786 88946 9988296 8563821 1400021 24454 28835049 25049386 3732574 53089 17747433 15300289 2415744 31400 6162498 6162498 4592950 7750 4585200 531664 531664 245460 245460 0 426313 426313 105696197 70258917 35435445 1835 6793643 6446701 346942 19202076 12384380 6816672 1024 8041522 4645302 3396096 124 0 9069061 7018570 2047548 2943 1778773 1362338 416435 0 1225436 744816 480620 11681960 11633834 48126 0 40330701 38542794 1771737 16170 2190558 2093448 96232 878 MEDICAL/PHARMACY SUPPLIES 146711096 146711096 HOSPITAL PROVIDER FEE 13848328 13848328 LOSS EARLY EXTING. OF DEBT 6022421 6022421 BAD DEBT 2829849 2829849 4452802 1718732 2734070 687343093 569609566 117123273 610254 15138658 7317127 12090542 303036019 25954894 13817409 118188862 148989290 0 0 0 0 495826 116295 7693641 8685991 7423218 4418208 768558232 396290799 353623881 372267433 85576057 174385902 30531476 57615067 0 0 0 0 23948963 30956830 680666018 1121605571 90933263 91052598 0 0 7956491 702478 193147991 244580713 0 0 0 0 0 300000000 0 1628619 30946194 66549643 322983939 704514051 X 357682079 417091520 0 0 0 0 357682079 417091520 680666018 1121605571 X 52586194 6264873 558374 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 15000 15000 372460 372460 387460 387460 686955633 1333384115 687343093 1333771575 1000000 1000000 250000 250000 false 1000000 1000000 1000000 1000000 4000000 6000000 543709 547607 498406 387460 1977182 250000 250000 250000 250000 1000000 1500000 0 0 0 15000 15000 DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: SCHEDULE C, Part II-A 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 39346779 4089919 43436698 34199446 5147333 39346779 35350725 -1151279 34199446 31900646 3450079 35350725 31123964 776682 31900646 1.00000 false false 51560297 51560297 290066166 154435899 135630267 7359840 2082061 5277779 353075493 239772839 113302654 66496436 66496436 372267433 ALTERNATIVE INVESTMENTS 57615067 F 57615067 0 OTHER LIABILITIES 2907 ACCRUED INTEREST 6544133 INTEREST EXPENSE LIABILITY 1268316 BOND ISSUE PREMIUM 25642259 SELF INSURANCE LIABILITY 1044000 RETIREMENT FUND PAYABLE 10393690 DEFERRED LEASE LIABILITY 1949708 WORKERS COMPENSATION LIABILITY 14819936 THIRD PARTY SETTLEMENTS 4884694 66549643 X 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. Central America and the Caribbean Investments 15943122 Central America and the Caribbean 1 Program Services Business and Education 5022 East Asia and the Pacific 8 Program Services Business and Education 9103 Europe (Including Iceland and Greenland) 33 Program Services Business and Education 39301 Middle East and North Africa 1 Program Services Business and Education 1455 North America 18 Program Services Business and Education 22469 South America 1 Program Services Business and Education 767 South Asia 1 Program Services Business and Education 2633 Sub-Saharan Africa 1 Program Services Business and Education 2785 60 64 16026656 16026657 true false true true true false FOREIGN INVESTMENTS: SCHEDULE F, PART I, LINE 3 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. true true X true X 400. true X true true true false true true 6709000 6709000 0.00980 119988727 102602966 17385761 0.02530 126697727 102602966 24094761 0.03510 280512 280512 0.00040 732704 125000 607704 0.00090 64887800 8568500 56319300 0.08190 3995084 3995084 0.00580 69896100 8693500 61202600 0.08900 196593827 111296466 85297361 0.12410 56420 56420 0.00010 10697 10697 67117 67117 0.00010 true 2829849 120962754 143647924 -22685170 X true true 1 1 CITY OF HOPE NATIONAL MEDICAL CENTER

1500 EAST DUARTE ROAD DUARTE CA 91010

WWW.CITYOFHOPE.ORG X X X SHORT-TERM SPECIALTY HOSPITAL CITY OF HOPE NATIONAL MEDICAL CENTER 1 true X X X X X X X X X 12 true false true X X X X X X false false true true 400. true 400. true X X X X X X X true true X X X X X X true false false X X false false 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. true CALIFORNIA HEALTH FOUNDATION TRUST 1215 K STREET SUITE 800 SACRAMENTO CA 95814 941498697 501 (C) 3 3992984 SEE PART IV. 1 PURPOSE OF GRANT OR ASSISTANCE: PART II, LINE 2, COLUMN H 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. X X X false false X X X X X X true true false false false false false true false Alexandra Levine MD 296614 0 280493 0 31939 0 21548 0 10593 0 641187 0 0 0 Dale Walter Adams 327650 0 410137 0 38439 0 7798 0 28087 0 812111 0 0 0 Debra F Fields 319741 0 468597 0 25083 0 28971 0 35349 0 877741 0 0 0 Dennis F Rusch 0 0 0 0 180901 0 0 0 3999 0 184900 0 0 0 Gary Conner 520169 0 196207 0 61577 0 7798 0 19263 0 805014 0 0 0 Gregory Schetina 341768 0 444753 0 30180 0 29397 0 31739 0 877837 0 0 0 Michael A Friedman MD 759704 0 650408 0 202853 0 46234 0 30344 0 1689543 0 0 0 Robert W Stone 521756 0 724498 0 37472 0 40596 0 28537 0 1352859 0 0 0 Shirley Ann Johnson 278653 0 289291 0 32544 0 7798 0 25555 0 633841 0 0 0 Valerie Bingham 204938 0 205611 0 12919 0 16829 0 26593 0 466890 0 0 0 Virginia Opipare 18359 0 102766 0 555861 0 1121 0 15036 0 693143 0 0 0 Theodore G Krontiris PHD 0 228052 0 0 0 2873 0 34832 0 23325 0 289082 0 0 Douglas Stahl 233311 0 235738 0 12712 0 19259 0 18022 0 519042 0 0 0 Paul Conocenti 365112 0 161508 0 54748 0 24663 0 31470 0 637501 0 0 0 Stephanie Neuvirth 430954 0 355798 0 11780 0 53444 0 19458 0 871434 0 0 0 William Sargeant 503880 0 260350 0 108115 0 59892 0 23402 0 955639 0 0 0 Shery Azimi 223414 0 226091 0 15436 0 18126 0 12870 0 495937 0 0 0 Patricia Kassab 257295 0 233287 0 75242 0 7798 0 32208 0 605830 0 0 0 Michael Rabin 226361 0 249124 0 11416 0 19501 0 32106 0 538508 0 0 0 Wael Fakhry 180224 0 120548 0 91564 0 12500 0 13507 0 418343 0 0 0 QUESTIONS REGARDING COMPENSATION: SCHEDULE J PART 1, LINE 1A 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). A CALIF HLTH FACLTY FIN AUTH (SEE PART VI) 521643828 13033LN37 2012-11-14 140805678 REFUNDING ISSUE/CAPITAL PROJECTS false false false B CALIF HLTH FACLTY FIN AUTH (SEE PART VI) 521643828 13033LN37 2012-11-14 130787655 REFUNDING ISSUE false false false 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 2005 true false true true A false false true true true true 0.01000 0.00000 0.01000 false false false true B 0 0.00000 0.00000 A false true true true UNION BANKWELLS FAR 30. false false false 0 false true B false true true true UNION BANKWELLS FAR 30. false false false 0 false true A true B true TAX EXEMPT BONDS: 0 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. 0 Lauren Hoffman Granddaughter of Director 32655 Summer Student and Employee false 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 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 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 false false true false false false false false false false true true false true true true true true false 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