TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Claire Rothman...................................................................... Board Member	2.0 ................. 0.0	X		0	0	0
(2) Donald Hoffman...................................................................... Board Member	2.0 ................. 0.0	X		0	0	0
(3) Ernie So...................................................................... Board Member	2.0 ................. 2.0	X		0	0	0
(4) Iris Rothstein...................................................................... Board Member (Part Year)	2.0 ................. 2.0	X		0	0	0
(5) Jody Horowitz Marsh...................................................................... Board Member	2.0 ................. 3.0	X		0	0	0
(6) Leslie Popplewell MD...................................................................... Board Member	2.0 ................. 0.0	X		0	0	0
(7) Richard Myers...................................................................... Board Member	2.0 ................. 0.0	X		0	0	0
(8) Vincent Chung MD...................................................................... Board Member	2.0 ................. 0.0	X		0	0	0
(9) Mark Wakabayashi MD...................................................................... Board Member	2.0 ................. 0.0	X		0	0	0
(10) Randolph Beatty...................................................................... Board Chair	3.0 ................. 2.0	X		0	0	0
(11) George Somlo MD...................................................................... Board Member	2.0 ................. 0.0	X		0	0	0
(12) Boriana Farias...................................................................... ASSISTANT TREASURER	15.0 ................. 45.0		X	71,510	214,531	50,328
(13) Gregory Schetina...................................................................... Secretary/GENERAL COUNSEL	15.0 ................. 45.0		X	203,510	610,530	150,384
(14) William Sargeant...................................................................... ASST SECRETARY/COO	15.0 ................. 45.0		X	333,961	1,001,882	164,896
(15) Richard Magnuson...................................................................... TREASURER/CFO - OUTGOING	15.0 ................. 45.0		X	245,156	735,470	190,539
(16) Robert W Stone...................................................................... President and CEO	18.0 ................. 42.0		X	658,425	1,536,325	344,796
(17) Cornelis van den Berg...................................................................... Interim Chief Financial Ofc.	15.0 ................. 45.0		X	77,451	232,353	9,833

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Alexandra Levine........................................................................ Chief Medical Officer	60.0 .......................0.0	X			1,182,114	0	178,145
(19) Dale Walter Adams........................................................................ SVP Operations - OUTGOING	60.0 .......................0.0	X			485,088	0	43,868
(20) JONATHAN REUTER........................................................................ VP FACILITIES & CONSTRUCTION	24.0 .......................36.0	X			144,911	217,365	34,245
(21) Lisa Stockmon........................................................................ CHIEF MARKETING & COMM OFFICER	15.0 .......................45.0		X		152,014	456,044	67,314
(22) Michael Friedman........................................................................ Emeritus Cancer Ctr. Director	6.0 .......................54.0		X		71,599	644,394	42,411
(23) Debra Fields........................................................................ Chief Risk Officer	15.0 .......................45.0		X		226,726	680,176	143,723
(24) Steven Rosen........................................................................ CHIEF SCIENTIFIC OFFICER	17.0 .......................43.0		X		437,475	1,124,935	266,839
(25) Harlan Levine........................................................................ CHIEF EXEC COH MEDICAL FND	12.0 .......................48.0		X		279,257	1,117,023	272,935
(26) Wael Fakhry........................................................................ Former Officer	41.0 .......................19.0			X	368,114	173,229	38,024
(27) Valerie Bingham........................................................................ Former Officer	24.0 .......................36.0			X	115,162	172,744	46,384
(28) Paul Conocenti........................................................................ SVP and CIO	15.0 .......................45.0			X	158,271	474,811	38,644
(29) Stephanie Neuvirth........................................................................ CHIEF HR OFFICER - OUTGOING	0.0 .......................0.0			X	100,849	302,547	21,860

(A) Name and business address	(B) Description of services	(C) Compensation
CITY OF HOPE MEDICAL FOUNDATION, 1500 EAST DUARTE ROAD DUARTE,CA91010	PROFESSIONAL SVS	41,390,234
ALLSCRIPTS HEALTHCARE LLC, 222 MERCHANDISE MART PLAZA SUITE 2 CHICAGO,IL60654	IT Services	5,364,373
SODEXO INC AFFILIATES, 9801 WASHINGTONIAN BLVD GAITHERSBURG,MD60654	FOOD SERVICES	4,498,223
STRONGHOLD ENGINEERING INC, 2000 Market Street RIVERSIDE,CA92501	Construction Svs	3,794,540
PHELPS GROUP INC, 901 Wilshire Boulevard SANTA MONICA,CA90401	ADVERTISING SERVICES	3,554,837
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 137

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

City of Hope National Medical Center

Employer identification number

95-1683875

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

City of Hope National Medical Center

Employer identification number

95-1683875

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization City of Hope National Medical Center

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization City of Hope National Medical Center		Employer identification number 95-1683875

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization City of Hope National Medical Center			Employer identification number 95-1683875
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

City of Hope National Medical Center

Employer identification number

95-1683875

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

2,372

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

310,456

Total. Add lines 1c through 1i ....................................................................................................

312,828

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, Part II-B	DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: THE MEDICAL CENTER INCURRED LOBBYING EXPENDITURES IN THE AMOUNT OF $312,828 DURING FISCAL YEAR 2016 RELATED TO THE FOLLOWING LOBBYING ACTIVITIES: FEDERAL LEGISLATION: ADVOCATED ON ISSUES RELATED TO MEDICARE OUTPATIENT REIMBURSEMENT, PROPOSED CHANGES TO MEDICARE PART B DRUG REIMBURSEMENT POLICIES, AND FUNDING LEVELS FOR THE NATIONAL INSTITUTE OF HEALTH FOR CANCER RESEARCH. STATE LEGISLATION: LOBBIED CALIFORNIA LEGISLATURE AND ADMINISTRATION REGARDING AB 1060 (BONILLA) WHICH WOULD ESTABLISH THE CANCER CLINICAL TRIALS FOUNDATION IN THE HEALTH AND HUMAN SERVICES AGENCY TO BE GOVERNED BY A BOARD OF TRUSTEES. THE BILL WOULD ALSO CREATE THE CANCER CLINICAL TRIALS FUND TO BE USED TO ADMINISTER A GRANT PROGRAM. LOBBIED CALIFORNIA LEGISLATURE AND ADMINISTRATION LOBBIED REGARDING AB 1823 (BONILLA) REGARDING SUPPORT FOR FAMILIES WITH LOVED ONES IN CANCER CLINICAL TRIALS AND AB 1795 (ATKINS), REGARDING THE BREAST AND CERVICAL CANCER TREATMENT PROGRAM. LOBBIED LEGISLATURE REGARDING CALIFORNIA DEPARTMENT OF PUBLIC HEALTH LICENSURE OF CITY OF HOPE WOMENS CENTER. LOBBIED CALIFORNIA LEGISLATURE AND ADMINISTRATION REGARDING AB 2467, AB 2209, SB 1365, AB 2084, AB 2849, AB 1763, AB 2325, AB 1774, AB 2764, AB 2855, AB 2752, AB 1696.

Return Reference

Explanation

SCHEDULE C, Part II-B

DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: THE MEDICAL CENTER INCURRED LOBBYING EXPENDITURES IN THE AMOUNT OF $312,828 DURING FISCAL YEAR 2016 RELATED TO THE FOLLOWING LOBBYING ACTIVITIES: FEDERAL LEGISLATION: ADVOCATED ON ISSUES RELATED TO MEDICARE OUTPATIENT REIMBURSEMENT, PROPOSED CHANGES TO MEDICARE PART B DRUG REIMBURSEMENT POLICIES, AND FUNDING LEVELS FOR THE NATIONAL INSTITUTE OF HEALTH FOR CANCER RESEARCH. STATE LEGISLATION: LOBBIED CALIFORNIA LEGISLATURE AND ADMINISTRATION REGARDING AB 1060 (BONILLA) WHICH WOULD ESTABLISH THE CANCER CLINICAL TRIALS FOUNDATION IN THE HEALTH AND HUMAN SERVICES AGENCY TO BE GOVERNED BY A BOARD OF TRUSTEES. THE BILL WOULD ALSO CREATE THE CANCER CLINICAL TRIALS FUND TO BE USED TO ADMINISTER A GRANT PROGRAM. LOBBIED CALIFORNIA LEGISLATURE AND ADMINISTRATION LOBBIED REGARDING AB 1823 (BONILLA) REGARDING SUPPORT FOR FAMILIES WITH LOVED ONES IN CANCER CLINICAL TRIALS AND AB 1795 (ATKINS), REGARDING THE BREAST AND CERVICAL CANCER TREATMENT PROGRAM. LOBBIED LEGISLATURE REGARDING CALIFORNIA DEPARTMENT OF PUBLIC HEALTH LICENSURE OF CITY OF HOPE WOMENS CENTER. LOBBIED CALIFORNIA LEGISLATURE AND ADMINISTRATION REGARDING AB 2467, AB 2209, SB 1365, AB 2084, AB 2849, AB 1763, AB 2325, AB 1774, AB 2764, AB 2855, AB 2752, AB 1696.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

City of Hope National Medical Center

Employer identification number

95-1683875

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	44,815,072	46,440,982	43,436,698	39,346,779	34,199,446
b	Contributions ...
c	Net investment earnings, gains, and losses	3,880,613	-1,625,909	3,004,284	4,089,919	5,147,333
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	48,695,685	44,815,073	46,440,982	43,436,698	39,346,779

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

100.000 %

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	52,159,654		52,159,654
b	Buildings	303,989,261	187,870,460	116,118,801
c	Leasehold improvements	54,615,435	11,389,122	43,226,313
d	Equipment ...	514,929,482	353,188,024	161,741,458
e	Other ...	52,360,730		52,360,730
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				425,606,956

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) ALTERNATIVE INVESTMENTS	220,553,719	F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	220,553,719

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
BOND ISSUE PREMIUM	20,826,735
RETIREMENT FUND PAYABLE	17,009,343
WORKERS COMP & SELF INS LIAB	17,001,579
INTEREST RATE SWAP LIABILITY	8,462,800
DEFERRED LEASE LIABILITY	6,503,814
DUE TO AFFILIATES	2,623,401
SELF INSURANCE LIABILITY	2,452,590
SENATE BILL 1732 PAYABLE	699,623
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	75,579,885
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

SCHEDULE D, PART V, LINE 4

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

SCHEDULE D, PART X, LINE 2

FASB ASC 740 DISCLOSURE: THE FOLLOWING PARAGRAPH IS FROM THE CONSOLIDATED CITY OF HOPE AND AFFILIATES (CITY OF HOPE, CITY OF HOPE AUXILIARIES (AUXILIARIES), THE MEDICAL CENTER, THE MEDICAL FOUNDATION AND THE BECKMAN RESEARCH INSTITUTE) AUDITED FINANCIAL STATEMENTS AS OF SEPTEMBER 30, 2016: FINANCIAL ACCOUNTING STANDARDS BOARD (FASB), ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. 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 POSITIONS OR TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES ACCRUED AT SEPTEMBER 30, 2016 AND 2015.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
City of Hope National Medical Center

Employer identification number

95-1683875

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean		Investments		83,626,725
	Central America and the Caribbean	1	Program Services	Business and Education	2,896
	East Asia and the Pacific	10	Program Services	Business and Education	40,596
	Europe (Including Iceland and Greenland)	31	Program Services	Business and Education	102,587
	Middle East and North Africa	5	Program Services	Business and Education	6,652
	North America	15	Program Services	Business and Education	15,675
	South America	4	Program Services	Business and Education	9,244
	South Asia	1	Program Services	Business and Education	1,308









3a	Sub-total .....	59			83,805,683
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	67			83,805,683

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
SCHEDULE F, PART I, LINE 3	FOREIGN INVESTMENTS: INVESTMENT ACTIVITIES OF THE MEDICAL CENTER INCLUDE INVESTMENTS IN MULTIPLE VEHICLES THAT PROVIDE INVESTMENT INCOME AND RETURNS TO THE INSTITUTION TO FURTHER ITS MISSION AND PROGRAMS. AS SUCH, THERE ARE INVESTMENTS HELD IN OFFSHORE HEDGE FUNDS, MAINLY REGISTERED AS CAYMAN EXEMPTED CORPORATIONS. THESE INVESTMENTS HELP MITIGATE RISK IN THE PORTFOLIO AND REPRESENT APPROXIMATELY 11.6% OF THE MEDICAL CENTER'S OVERALL CASH AND INVESTMENT PORTFOLIO. THE MEDICAL CENTER HAS HOLDINGS THAT INCLUDE EQUITY COMINGLED FUNDS THAT INVEST PRIMARILY IN MARKETABLE EQUITY SECURITIES. THESE FUNDS ARE SUBJECT TO CERTAIN NOTICE REQUIREMENTS, BUT CAN BE LIQUIDATED AT LEAST MONTHLY. ALTERNATIVE INVESTMENTS ALSO INCLUDE HEDGE FUNDS AND LIMITED PARTNERSHIP FUNDS INVESTED IN REAL ESTATE AND NATURAL RESOURCES, MASTER LIMITED PARTNERSHIPS, PRIVATE EQUITY AND PRIVATE REAL ASSET FUNDS. ALL OF THESE INVESTMENTS HAVE BEEN INCLUDED IN FORM 990, PART X, LINE 12. BUSINESS AND EDUCATIONAL SYMPOSIA CONSIST OF HEALTH CARE RELATED MEETINGS THAT MEDICAL CENTER PHYSICIANS AND STAFF ATTEND FOR PURPOSES OF CONTINUING MEDICAL EDUCATION, ADVANCING TREATMENT THOUGHTS AND CURES, ENHANCING KNOWLEDGE AND PRESENTING RESEARCH, THOUGHTS AND IDEAS. THE HEALTH CARE FIELD IS INTERNATIONAL IN SCOPE, AND THE MEDICAL CENTER ENJOYS INTERNATIONAL RECOGNITION. ACCORDINGLY, THESE SYMPOSIA ARE CONDUCTED GLOBALLY, INCLUDING THE VARIOUS REGIONS IDENTIFIED IN SCHEDULE F. THE MEDICAL CENTER SUPPORTS ATTENDANCE OF OUR MEDICAL STAFF AT THESE SYMPOSIA. EMPLOYEE TRAVELERS MAY TAKE MULTIPLE TRIPS TO THE SAME REGION OR TO MULTIPLE REGIONS DURING A FISCAL YEAR. IN THE CASE WHERE THE SAME EMPLOYEE TRAVELER TOOK MORE THAN ONE TRIP TO THE SAME REGION, THEY ARE ONLY COUNTED ONE TIME IN THAT REGION. IF THE SAME EMPLOYEE TRAVELER TRAVELS TO MORE THAN ONE REGION, THAT INDIVIDUAL IS COUNTED ONLY ONCE IN EACH REGION VISITED. THE TOTAL TRAVELERS ON LINE 3A, HOWEVER, ONLY COUNTS THE SAME TRAVELER ONCE IN THE GRAND TOTAL. AS A RESULT THE TOTAL TRAVELERS PER REGION WILL NOT ADD UP TO THE TOTAL ON LINE 3A. THERE WERE 12 INSTANCES WHERE THE SAME TRAVELER WAS TRAVELING TO MULTIPLE REGIONS DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2016. SCHEDULE F, PART I, LINE 3, COLUMN F THE EXPENDITURES IN COLUMN F ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.

Schedule F (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

City of Hope National Medical Center

Employer identification number

95-1683875

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 400 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	3,222,660		3,222,660	0.350 %
b	Medicaid (from Worksheet 3, column a) . . . . .	169,599,028	180,155,479
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	172,821,688	180,155,479	3,222,660	0.350 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,680,987		1,680,987	0.180 %
f	Health professions education (from Worksheet 5) . . .	1,579,280	263,500	1,315,780	0.140 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	78,783,000	15,373,000	63,410,000	6.830 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	603,692		603,692	0.060 %
j	Total. Other Benefits . .	82,646,959	15,636,500	67,010,459	7.210 %
k	Total. Add lines 7d and 7j .	255,468,647	195,791,979	70,233,119	7.560 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	105,523	105,523	0.010 %
9	Other
10	Total	105,523	105,523	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

2,870,318

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

185,134,483

Enter Medicare allowable costs of care relating to payments on line 5.....

221,332,209

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-36,197,726

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (Describe)
1	CITY OF HOPE NATIONAL MEDICAL CENTER 1500 EAST DUARTE ROAD DUARTE,CA91010 WWW.CITYOFHOPE.ORG 930000033	X	X	X	SHORT-TERM SPECIALTY HOSPITAL

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CITY OF HOPE NATIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Schedule H, Part V, Supp. Info

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): See Schedule H, Part V, Supp. Info

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CITY OF HOPE NATIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 400.% and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.cityofhope.org

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	CITY OF HOPE NATIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, LINE 5	DURING THE 2016 FISCAL YEAR, A NEW COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED. HOWEVER, THE IMPLEMENTATION OF THE NEW PRIORITIZED NEEDS WILL NOT TAKE PLACE UNTIL OCTOBER 1, 2017. THIS REPORT WILL FOCUS ON THE 2013 CHNA AND ACCOMPANYING IMPLEMENTATION STRATEGY. TO GUIDE COMMUNITY BENEFIT PLANNING BETWEEN 2014-2017 CITY OF HOPE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 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 CHNA. THE CHNA INCLUDED DEVELOPMENT OF A DEMOGRAPHIC AND HEALTH STATUS PROFILE OF THE COMMUNITY AND CONSULTATIONS 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 PARTICIPANTS FOR THE COMMUNITY CONSULTATION. A SIGNIFICANT EFFORT WAS MADE TO INCLUDE PARTICIPANTS FROM A CROSS-SECTION OF ORGANIZATIONS THAT ADDRESS VARIOUS CANCER-RELATED NEEDS OF PATIENTS, FAMILIES AND THE COMMUNITY. PARTICULAR EMPHASIS WAS PLACED ON IDENTIFYING ORGANIZATIONS THAT COULD REPRESENT THE NEEDS OF THE 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 LOS ANGELES COUNTY AND PASADENA HEALTH DEPARTMENTS WERE INCLUDED IN THE SIXTY-TWO 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-TWO COMPLETED INTERVIEWS INCLUDED REPRESENTATIVES FROM ORGANIZATIONS WHO WERE KNOWLEDGEABLE ABOUT THE NEEDS OF THE 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 - 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 DEPARTMENT * 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, SECTION B, LINE 7A & 10A THE COMMUNITY BENEFIT REPORT, THE CHNA REPORT, AND RELATED IMPLEMENTATION STRATEGY ARE AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEBSITE: WWW.CITYOFHOPE.ORG/ABOUT-CITY-OF-HOPE/COMMUNITY/COMMUNITY-BENEFIT SCHEDULE H, PART V, SECTION B, LINE 11 THE CHNA COMPLETED IN 2013 AND THE RELATED DATA-GATHERING PROCESS ENABLED CITY OF HOPE TO IDENTIFY FIVE AREAS OF COMMUNITY CONCERN RELATING TO CANCER AND DIABETES. MEMBERS OF THE LOCAL COMMUNITY WERE SUBSEQUENTLY ASKED TO RANK THESE FIVE AREAS BY TAKING INTO ACCOUNT THE SIZE AND SERIOUSNESS OF THE ISSUE, ECONOMIC FEASIBILITY, POTENTIAL FOR IMPACT, AND AVAILABILITY TO THE COMMUNITY. CITY OF HOPE'S 2014-2017 IMPLEMENTATION STRATEGY INCLUDES ALL FIVE AREAS OF COMMUNITY CONCERN IDENTIFIED THROUGH THE 2013 CHNA. THE NEEDS WILL BE ADDRESSED AS CITY OF HOPE MOVES FORWARD WITH THE IMPLEMENTATION STRATEGY WHICH WAS ADOPTED BY THE ORGANIZATION AND POSTED TO THE CITY OF HOPE INTERNET SITE ON FEBRUARY 15, 2014. THE FIVE FOCUS AREAS WERE RANKED BY COMMUNITY MEMBERS AS FOLLOWS: 1. RESEARCH ALLIANCES (RA) 2. CANCER PREVENTION AND EARLY DETECTION, SPECIFICALLY AS THEY RELATE TO LUNG, COLORECTAL, PROSTATE AND WOMEN'S CANCERS (CP) 3. HEALTHY LIVING SPECIFICALLY RELATED TO HOW NUTRITION AND PHYSICAL ACTIVITY IMPACT CANCER AND DIABETES (HL) 4. CULTURALLY RELEVANT COMMUNITY PARTNERSHIPS AND EDUCATION (CRCP) 5. SMOKING CESSATION AND ITS IMPACT ON LUNG CANCER (SC) WITHIN THESE FOCUS AREAS, THE COMMUNITY STAKEHOLDERS IDENTIFIED SPECIFIC ISSUES AS IMPORTANT TO PURSUE OVER THE NEXT THREE YEARS. THESE INCLUDE: REDUCTION OF OBESITY (HL) INCREASE IN PHYSICAL ACTIVITY (HL) CULTURALLY COMPETENT AND CULTURALLY SPECIFIC HEALTH EDUCATION (CRCP/HL) CULTURALLY SENSITIVE SUPPORT (CRCP) ASSISTANCE IN NAVIGATING HEALTH CARE SYSTEM (CRCP) CANCER ADVOCACY TRAINING (CRCP) INCREASE IN COMMUNITY PARTNERSHIPS (CRCP) BARRIERS THAT PREVENT VULNERABLE POPULATIONS FROM ACCESSING SERVICES, INCLUDING POVERTY, LACK OF TRANSPORTATION AND CULTURAL/LINGUISTIC ISSUES (CRCP) DURING FISCAL YEAR 2016, CITY OF HOPE HAS FOCUSED ON-GOING COMMUNITY BENEFIT INVESTMENTS IN THE TARGETED AREAS PRIORITIZED BY OUR COMMUNITY STAKEHOLDERS. WORKFORCE DEVELOPMENT (5 SCHOOL PROGRAMS), COMMUNITY EDUCATION AND AWARENESS (EDUCATION/SCREENING/LECTURE/SUPPORT GROUPS - ACROSS ALL TOPICS FROM CANCER PREVENTION TO NUTRITION AND PHYSICAL FITNESS), SEAMLESS CONTINUUM OF CARE (PROGRAMS THAT CONNECT CITY OF HOPE BACK IN THE COMMUNITY FOR ON-GOING SUPPORT - TRANSITIONS OF CARE COMMUNITY COALITION AND THE COMMUNITY CANCER BEREAVEMENT SUPPORT GROUP), PATIENT SUPPORT SERVICES (COMMUNITY BLOOD DRIVES, ADOPT A FAMILY, HOTEL STAYS), DIVERSITY INITIATIVES (LATINOS FOR HOPE, COMMUNITY OF PEOPLE WITH AFRICAN AMERICAN DECENT, CHINESE OUTREACH, HEALTHY HISPANIC LIVING, ETC.) THAT HELP US ADDRESS THE SPECIAL LINGUISTIC AND CULTURAL NEEDS OF OUR BROADER COMMUNITY, AND MEDICAL EDUCATION/TRAINING PROGRAMS THAT BUILD A FUTURE FULL OF SKILLFUL HEALTH CARE PROFESSIONALS IN ALLIED/MEDICAL FIELDS, AND OUR HEALTHY LIVING GRANTS HAVE ALLOWED CITY OF HOPE TO MAKE SIGNIFICANT IMPACTS ON THE LIVES OF THE VULNERABLE LIVING IN OUR SERVICE AREA. EACH OF THESE PROGRAMS HAS ALLOWED CITY OF HOPE BUILD AND NURTURE STRATEGIC ALLIANCES WITHIN AND EXTERNAL TO CITY OF HOPE AS A MEANS TO BUILD IN SUSTAINABLE CHANGES FOR THOSE DELIVERING AND AS WELL AS THOSE BENEFITTING FROM THE SERVICES. MORE DETAILS ARE PROVIDED LATER IN THIS DOCUMENT. THE IMPLEMENTATION STRATEGY FOR 2014-2017 AND RELATED CHNA FROM THE 2013 REPORT IS AVAILABLE THROUGH THE FOLLOWING WEBSITE: WWW.CITYOFHOPE.ORG/ABOUT-CITY-OF-HOPE/COMMUNITY/COMMUNITY-BENEFIT SCHEDULE H, PART V, SECTION B, LINE 22 THE MAXIMUM AMOUNT CHARGED TO FAP ELIGIBLE INDIVIDUALS ARE THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SCHEDULE H, PART I, LINE 3C	ALL SELF PAY, UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE UNDER THE MEDICAL CENTER'S CHARITY CARE PROGRAM ARE OFFERED SERVICES THROUGH THE MEDICAL CENTER AT DISCOUNTED CHARGES. THIS DISCOUNT IS BASED ON A CERTAIN ALGORITHM, REGARDLESS OF THE SERVICES OR SETTING WHERE RENDERED TO THE RESPECTIVE PATIENT. THE DISCOUNT IS ALSO EXTENDED TO PATIENTS WHO QUALIFY FOR THE MEDICAL CENTER'S CHARITY CARE PROGRAM FOR THE OUT OF POCKET PORTIONS OF CARE THAT ARE BEYOND THE CHARITY CARE COVERAGE AMOUNT THE PATIENTs QUALIFIED FOR. SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT DATA FOR THE MEDICAL CENTER IS INCLUDED IN CITY OF HOPE'S COMMUNITY BENEFIT REPORT WHICH IS PROVIDED TO THE CALIFORNIA DEPARTMENT OF HEALTH SERVICES, OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT.
SCHEDULE H, PART I, LINE 7, A-D	THE AMOUNTS REPORTED IN THIS SECTION WERE DETERMINED USING COST ACCOUNTING METHODOLOGY THAT CAPTURES THE TRUE COST OF TREATING PATIENTS. THESE AMOUNTS INCLUDE BOTH DIRECT AND INDIRECT COSTS AND INCLUDES ALL PATIENT AND PAYOR SEGMENTS SUCH AS INPATIENT AND OUTPATIENT, PRIVATE INSURANCE, MANAGED CARE, MEDICARE, MEDI-CAL, OTHER INSURERS, AND THE UNINSURED OR UNDERINSURED. THE CALIFORNIA HOSPITAL FEE PROGRAM (THE PROGRAM) THAT BECAME EFFECTIVE JANUARY 1, 2010 HAS TWO COMPONENTS. THE QUALITY ASSURANCE FEE ACT GOVERNS THE "HOSPITAL FEE"QUALITY ASSURANCE FEE" (QA FEE) PAID BY PARTICIPATING HOSPITALS, AND THE MEDI-CAL HOSPITAL PROVIDER STABILIZATION ACT GOVERNS SUPPLEMENTAL MEDI-CAL PAYMENTS (SUPPLEMENTAL PAYMENTS) MADE TO PROVIDERS FROM THE FUND. HOSPITAL PARTICIPATION IS MANDATORY, WITH LIMITED EXCEPTIONS. DURING THE YEAR ENDED SEPTEMBER 30, 2016, THE MEDICAL CENTER MADE PAYMENTS TO THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES (DHCS) FOR THE QA FEE IN THE AMOUNT OF $13,983,940 AND RECORDED $73,819,843 IN SUPPLEMENTAL PAYMENTS. THE PAYMENTS AND REVENUES PERTAINED TO THE APPROVED PERIOD FROM OCTOBER 1, 2015 THROUGH SEPTEMBER 30, 2016. DURING 2016, CMS APPROVED THE MANAGED CARE PORTION OF THE 36-MONTH PROGRAM FOR THE PERIOD FROM JANUARY 1, 2014 THROUGH JUNE 30, 2014. THE CENTER RECOGNIZED $277,581 IN ADDITIONAL NET PATIENT SERVICE REVENUE FOR THE YEAR ENDED SEPTEMBER 30, 2016. THE QA FEE OF $13,983,940 HAS BEEN INCLUDED IN SCHEDULE H, PART I, LINE 7B, COLUMN(C), TOTAL COMMUNITY BENEFIT EXPENSE. THE SUPPLEMENTAL PAYMENTS TOTALING $73,819,843 HAVE BEEN INCLUDED IN SCHEDULE H, PART I, LINE 7B, COLUMN (D), DIRECT OFFSETTING REVENUE. EXCLUDING THE EFFECTS OF THE PROGRAM ON FISCAL YEAR 2016 SCHEDULE H, PART I, LINE 7B, COLUMN (E) NET COMMUNITY BENEFIT EXPENSE WOULD HAVE BEEN EQUAL TO $49,279,452 OR 5.30% OF TOTAL EXPENSE. THIS WOULD HAVE INCREASED LINE 7K, COLUMN (F), TO 12.86%. CITY OF HOPE CONTINUES TO MAINTAIN A STRONG COMMITMENT TO CARING FOR ALL MEMBERS OF THE COMMUNITY, ESPECIALLY THE VULNERABLE. SCHEDULE H, PART I, LINE 7, E-F COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, COMMUNITY HEALTH BENEFIT OPERATIONS, AND HEALTH PROFESSIONS EDUCATION WERE BASED ON ACTUAL OR ESTIMATED STAFF HOURS AND SALARIES DEVOTED TO THESE ACTIVITIES DURING FISCAL YEAR 2016. AMOUNTS REPORTED FOR COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE COMMUNITY BENEFIT OPERATIONS AND HEALTH PROFESSIONS EDUCATION, WHICH WAS DETERMINED BASED ON DATA REPORTED BY VARIOUS MEDICAL CENTER DEPARTMENTS. SCHEDULE H, PART I, LINE 7H RESEARCH COSTS WERE DETERMINED USING A DIRECT COST METHODOLOGY AND APPLYING A FEDERALLY APPROVED INDIRECT COST RATE. DIRECT COSTS INCLUDE SALARIES, WAGES AND BENEFITS, SUPPLIES, MATERIALS AND SERVICES RENDERED IN THE PERFORMANCE OF RESEARCH ACTIVITIES SPONSORED THROUGH THE MEDICAL CENTER. DIRECT OFFSETTING REVENUES ARE THOSE REVENUES SUPPORTING THE RESEARCH ACTIVITIES. SCHEDULE H, PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS CONSIST OF CASH IN THE AMOUNT OF $7,760 AND REPRESENT THE ACTUAL EXPENSES INCURRED BY THE MEDICAL CENTER DURING FY 2016. THE FOLLOWING COMPRISE THE CASH CONTRIBUTIONS: DUARTE SENIOR CENTER FOOD DISTRIBUTION $ 14,389 HEALTH CONSORTIUM OF SAN GABRIEL VALLEY $ 5,000 EDUCATIONAL FOUNDATIONS (DUARTE) $ 7,760 COMMUNITY MEETING SPONSORSHIPS $ 14,487 CALIFORNIA HEALTH CARE FOUNDATION TRUST $ 562,056 TOTAL CASH CONTRIBUTIONS $ 603,692 CHA GUIDELINES FROM 2015 WERE USED TO DETERMINE WHETHER ACTIVITIES QUALIFIED AS COMMUNITY BENEFITS.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES SHOWN ON SCHEDULE H ARE VALUED AT $105,523 AND ARE COMPRISED OF WORKFORCE DEVELOPMENT ACTIVITIES THAT INCLUDE LEADERSHIP DEVELOPMENT FOR THE PARTICIPANTS IN THE VARIOUS WORKFORCE DEVELOPMENT PROGRAMS. OTHER ACTIVITIES INCLUDE OUR HEALTHY LIVING GRANTS (8 PROGRAMS WERE FUNDED IN 2016), TRANSITIONS OF CARE COMMUNITY COALITION, LA COUNTY COLLECTIVE IMPACT (SCHOOL DISTRICT DATA SHARING PROGRAM) AND THE LA DIVERSITY COUNCIL. WORKFORCE DEVELOPMENT ALSO ENCOMPASSES MENTORSHIP AND INTERACTIVE LEARNING PROGRAMS THAT ARE DESIGNED TO HELP LOCAL HIGH SCHOOL STUDENTS EXPLORE CAREER OPTIONS IN HEALTH CARE OR BASIC SCIENTIFIC RESEARCH. THESE PROGRAMS INCLUDE THE REGIONAL OCCUPATIONAL PROGRAM (ROP) AND GROUNDHOG JOB SHADOW DAY. THE ROP IS DESIGNED TO EXPOSE HIGH SCHOOL STUDENTS TO A VARIETY OF PROFESSIONS - MEDICAL AND NONMEDICAL - THAT ARE FOUND IN A MEDICAL CENTER. STUDENTS FROM DUARTE HIGH SCHOOL AND SURROUNDING COMMUNITIES ARE MATCHED WITH CITY OF HOPE PROFESSIONALS IN MUTUAL AREAS OF INTEREST THAT MAY INCLUDE HUMAN RESOURCES, FINANCE, INFORMATION TECHNOLOGY, MARKETING, FUNDRAISING, PUBLIC HEALTH, CLINICAL MEDICINE, RESEARCH AND OTHER PROFESSIONS. 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 WITHIN OUR DEFINED SERVICE AREA. YEARLY UNDER THE JOB SHADOW PROGRAM, LOCAL STUDENTS ARE INVITED TO TOUR LABORATORIES AT BECKMAN RESEARCH INSTITUTE AT CITY OF HOPE. THE STUDENTS MEET WITH SCIENTISTS AND LEARN ABOUT THE SCIENCE BEHIND DISEASE PREVENTION. HANDS-ON SCIENCE PROJECTS ARE DESIGNED TO INCREASE THEIR INTEREST IN SCIENTIFIC RESEARCH. OUR GROUNDHOG DAY ENABLES STUDENTS TO EXPLORE CAREER OPTIONS AND GAIN PRACTICAL INSIGHTS INTO THE WORKPLACE. 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 RELATIONSHIP CONTINUES BEYOND THE SINGLE DAY, WITH STUDENTS ENCOURAGED TO CONTACT THEIR MENTOR FOR SUPPORT AND DIRECTION THROUGHOUT THEIR HIGH SCHOOL YEARS. TRANSITION OF CARE COMMUNITY COALITION (TC3) INCLUDES 35 OF THE LEADING TRANSITIONAL HEALTH CARE ORGANIZATIONS, WITH 90 INDIVIDUAL PARTICIPANTS, FROM THE COUNTIES OF LOS ANGELES, RIVERSIDE, SAN BERNARDINO AND ORANGE. CITY OF HOPE HOSTS FORMAL QUARTERLY MEETINGS OF COALITION MEMBERS AS WELL AS OCCASIONAL INFORMAL SESSIONS. DURING FISCAL YEAR 2016, TC3 MET FOUR TIMES WITH THE ADMINISTRATORS AND ONE TIME WITH THE CLINICAL TEAMS FOR THE ADMINISTRATORS. DURING THE MEETINGS, TOPICS COVERED RANGED FROM REVISION OF THE VISION, MISSION, AND GOALS CREATED IN THE PREVIOUS YEAR TO "HOME HEALTH FACE-TO-FACE" REQUIREMENTS, AND "COMPETITIVE BIDDING AND THE PROCESSES THAT CAN HELP TRANSITION BETWEEN FACILITIES AND COMMUNICATION BETWEEN LEVELS OF CARE." TC3 ALSO CREATED AN EXTERNAL WEBPAGE TO HELP FACILITATE ON-GOING COMMUNICATION AMONG MEMBERS TO SHARE RESOURCES. THE LEADERSHIP TEAM ALSO CONDUCTED AN ANNUAL EVALUATION TO ASSESS CHALLENGES MEMBERS HAVE BECAUSE THEY ARE COMPETITORS OUTSIDE OF TC3. WHILE 83% DID NOT FIND IT A CHALLENGE, 17% DID FIND IT BETWEEN SOMEWHAT CHALLENGING AND CHALLENGING. THE LEADERSHIP TEAM WILL NEED TO DEVELOP FUTURE STRATEGIES TO ADDRESS THIS ISSUE IF THE GROUP WANTS TO CONTINUE TO BE RELEVANT. THE RESULTS OF THE EVALUATION WERE SHARED AT THE 2016 INTERNATIONAL CANCER EDUCATION CONFERENCE. AT CITY OF HOPE, WE DO NOT DO POPULATION HEALTH INTERVENTIONS ON A REGULAR BASIS. WE RECOGNIZE THAT THERE ARE ORGANIZATIONS IN OUR COMMUNITY WHO ARE EXPERTS IN THIS AREA. THIS YEAR, WE FUNDED EIGHT LOCAL NON-PROFIT ORGANIZATIONS (INCLUDING ONE SCHOOL AND ONE UNIVERSITY) TO DELIVER INNOVATIVE PROGRAMS THAT ADDRESS ONE OR MORE OF OUR STRATEGIC PRIORITIES AROUND CANCER PREVENTION, HEALTHY LIVING, OR SMOKING CESSATION. OUR COMMUNITY BENEFIT ADVISORY COUNCIL MEMBERS MADE THE SELECTIONS AND GRANTED $5,000 TO EACH GROUP. THE ADDED BONUS - CITY OF HOPE NOW HAS AN OPPORTUNITY TO LEARN MORE ABOUT OUR LOCAL VULNERABLE POPULATIONS AND CAN HELP SUPPORT OUR LOCAL COMMUNITY EFFORTS TOWARD TACKLING HEALTH DISPARITIES IN THE MOST CULTURALLY APPROPRIATE AND SPECIFIC MANNER. LEARN MORE AT: WWW.CITYOFHOPE.ORG/ABOUT-CITY-OF-HOPE/COMMUNITY/COMMUNITY-BENEFIT/ HEALTHY-LIVING-GRANT-PROGRAM Being a good citizen means being supportive of the work of our cities and community organizations do to improve the lives of the people they serve. Throughout 2016 COH has supported this type of groups by providing conference and meeting facilities for city sponsored conference so they can convene their stakeholders or deliver lifesaving education. In addition to this, COH also began providing volunteers to the Duarte Senior Center to support their capacity to deliver supplemental food to over 200 needy seniors every month.
SCHEDULE H, PART III, LINES 2 AND 4	BAD DEBT EXPENSE OF $2,870,318 WAS INCLUDED IN FORM 990, PART IX, LINE 24C, BUT IS EXCLUDED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE OF TOTAL COMMUNITY BENEFIT EXPENSE. THE BAD DEBT EXPENSE/WRITE-OFF AMOUNT IS THE FINAL AMOUNT DUE NET OF ANY PAYMENTS ON THE RELATED ACCOUNTS. NO DISCOUNTS ARE GIVEN ON BAD DEBT ACCOUNTS. 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 DEBT. BAD DEBT MUST BE RELATED TO COVERED SERVICES AND IS DERIVED FROM DEDUCTIBLES AND COINSURANCE AMOUNTS. REASONABLE EFFORTS ARE MADE TO COLLECT THE DEBT. THE DEBT MUST ACTUALLY BE UNCOLLECTED WHEN CLAIMED AS WORTHLESS AND IT MUST BE ESTABLISHED THAT THERE IS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. NET PATIENT SERVICE REVENUES ARE REPORTED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED. THE ALLOWANCES FOR CONTRACTUAL DISCOUNTS AND UNCOLLECTIBLE ACCOUNTS HAVE BEEN DETERMINED BASED ON HISTORICAL COLLECTION DATA. THE FISCAL YEAR 2016 AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DISCUSSING BAD DEBT EXPENSE, ACCOUNTS RECEIVABLE OR ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, LINE 8	IN ADDITION TO BEING AN NCI-DESIGNATED COMPREHENSIVE CANCER CENTER, CITY OF HOPE IS A FOUNDING MEMBER OF THE NATIONAL COMPREHENSIVE CANCER NETWORK (NCCN), AN ALLIANCE OF 27 OF THE NATION'S LEADING CANCER CENTERS THAT DEFINE AND SET NATIONAL STANDARDS FOR CANCER CARE - STANDARDS THAT ARE MADE AVAILABLE TO PATIENTS AND PHYSICIANS. NCCN MEMBER INSTITUTIONS ADVANCE CANCER PREVENTION, SCREENING, DIAGNOSIS AND TREATMENT THROUGH EXCELLENCE IN BASIC AND CLINICAL RESEARCH. CITY OF HOPE AND OTHER NCCN PARTNERS ENHANCE THE EFFECTIVENESS AND EFFICIENCY OF CANCER CARE DELIVERY THROUGH THE ON-GOING COLLECTION, SYNTHESIS AND ANALYSIS OF OUTCOME DATA. GIVEN THE INSTITUTION'S FOCUS ON CANCER AND THE HIGHER INCIDENCE OF CANCER AMONG ADULTS 65 AND OLDER, THE MEDICAL CENTER TREATS A HIGH PROPORTION OF MEDICARE PATIENTS. THAT FACT, COMBINED WITH THE HIGH COST OF COMPLEX CARE, MEANS THAT THE MEDICAL CENTER BEARS SIGNIFICANT UNREIMBURSED MEDICARE EXPENSES. RECOGNIZING THE MEDICAL CENTER'S EXTRAORDINARY CONTRIBUTIONS TO CANCER CARE, RESEARCH, EDUCATION AND POPULATION HEALTH, THE MEDICAL CENTER'S MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. MEDICARE COST IS BASED ON THE MEDICARE COST REPORT WHICH COMBINES ROUTINE AND ANCILLARY COSTS. THE COST FOR ANCILLARY SERVICES IS BASED ON A RATIO OF COST TO CHARGES. ROUTINE SERVICES ARE BASED ON DIRECT ROUTINE COSTS AND ARE ALLOCATED BASED ON THE MEDICARE PATIENT DAYS AS A PERCENT OF THE MEDICAL CENTER'S TOTAL PATIENT DAYS.
SCHEDULE H, PART III, LINE 9B	PATIENT ACCOUNTS ARE NOT SENT TO COLLECTION WITHOUT GIVING PATIENTS ADEQUATE TIME TO BE EVALUATED OR RE-EVALUATED FOR FINANCIAL ASSISTANCE OR TO DEVELOP ALTERNATIVE PAYMENT ARRANGEMENTS. PATIENT ACCOUNTS WILL NOT BE SENT TO COLLECTION WHILE PENDING COMPLETION OF FINANCIAL COUNSELING. A PATIENT WILL BE GIVEN AT LEAST SEVEN BUSINESS DAYS NOTICE BEFORE HIS OR HER ACCOUNT IS SENT TO A COLLECTION AGENCY. NEITHER THE MEDICAL CENTER NOR ITS THIRD PARTY COLLECTION VENDORS WILL USE WAGE GARNISHMENT OR LIENS ON PRIMARY RESIDENCES AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FROM PATIENTS WHO ARE ELIGIBLE FOR ANY FORM OF CHARITY CARE UNDER THE CHARITY CARE POLICY. ALL AGENCIES USED FOR COLLECTION ARE ADVISED ON THE MEDICAL CENTER'S POLICY IN WRITING AND THE CHARITY CARE POLICY IS INCORPORATED BY REFERENCE IN COLLECTION CONTRACTS WITH SUCH AGENCIES. THE MEDICAL CENTER RECEIVES WRITTEN ASSURANCES FROM THESE AGENCIES THAT THEY WILL ADHERE TO THE MEDICAL CENTER'S STANDARDS.
SCHEDULE H, PART VI, LINE 2	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 CALIFORNIA DIVISIONS OF THE AMERICAN CANCER SOCIETY TO HELP ASSESS COMMUNITY HEALTH NEEDS. LAY ADVISORY COUNCILS ARE USED EXTENSIVELY TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS AND GUIDE PROGRAM DEVELOPMENT. AS PART OF ITS IMPLEMENTATION STRATEGY, CITY OF HOPE DEVELOPED A COMMUNITY BENEFIT ADVISORY COMMITTEE (CBAC) THAT WILL FURTHER CONTRIBUTE TO OUR ON-GOING ASSESSMENT OF COMMUNITY HEALTH NEEDS. ADDITIONALLY, THE CBAC IS RESPONSIBLE FOR RECOMMENDING AND OVERSEEING COMMUNITY BENEFIT POLICIES AND PROGRAMS DESIGNED TO CARRY OUT THE MISSION AND VALUES OF THE CITY OF HOPE AND ENHANCE THE HEALTH OF LOCAL COMMUNITIES. MOREOVER, THESE CBAC MEMBERS POSSESS A VARIETY OF SKILLS AND KNOWLEDGE THAT WILL KEEP CITY OF HOPE INFORMED OF NEEDS ON A REGULAR BASIS THAT INCLUDE: * RESIDENCY IN LOCAL COMMUNITY WITH DISPROPORTIONATE UN-MET HEALTH-RELATED NEEDS * KNOWLEDGE AND EXPERTISE IN PRIMARY DISEASE PREVENTION * EXPERIENCE WORKING WITH LOCAL NON-PROFIT COMMUNITY-BASED ORGANIZATIONS * KNOWLEDGE AND EXPERTISE IN EPIDEMIOLOGY * EXPERTISE IN THE ANALYSIS OF SERVICE UTILIZATION AND POPULATION HEALTH DATA THE CBAC HELD AN EXPLORATORY RECRUITMENT MEETING IN NOVEMBER 2014. IMPORTANT COMMUNITY STAKEHOLDERS WERE IDENTIFIED AND INVITED TO PARTICIPATE IN THE FIRST OFFICIAL MEETING HELD IN JANUARY OF 2015. DURING THE INITIAL MEETING THE NEW CBAC MEMBERS RECEIVED TRAINING ON COMMUNITY BENEFIT STANDARDS, AND BEST PRACTICES. THEY ALSO ELECTED CO-CHAIRS (VIKI GOTO- AMERICAN CANCER SOCIETY, PASADENA/SAN GABRIEL VALLEY AND PATRICIA DUFF TUCKER - COMMUNITY ADVOCATE), FOR A TWO YEAR TERM. THESE TALENTED WOMEN WILL LEAD THE CBAC EFFORTS BY OVERSEEING ACTIVITIES TO ADDRESS THE OBJECTIVES IDENTIFIED AND PRIORITIZED IN THE 2014-2017 IMPLEMENTATION STRATEGY. OUR CBAC MEMBERS CAME TO US THROUGH A NUMBER OF VERY IMPORTANT COMMUNITY ORGANIZATIONS AND HEALTH CARE PROVIDERS. BELOW IS A LIST OF THE GROUPS REPRESENTED: * AMERICAN CANCER SOCIETY * EL CONCILIO (CITY OF HOPE SPANISH LANGUAGE/CULTURAL PATIENT, FAMILY AND CAREGIVER GROUP) * MEN EDUCATING MEN ABOUT HEALTH * DUARTE UNIFIED SCHOOL DISTRICT * SET FOR LIFE * PLANNED PARENTHOOD PASADENA & SAN GABRIEL VALLEY * METHODIST HOSPITAL * CANCER DETECTION PROGRAM - CECILIA G. DE LA HOYA CANCER CENTER - WHITE MEMORIAL MEDICAL CENTER * WALDEN UNIVERSITY - PUBLIC HEALTH DATA EXPERT * PASADENA CITY HEALTH DEPARTMENT * SOCAL WOMEN'S HEALTH CONFERENCE DURING THE 2016 FISCAL YEAR, THE CO-CHAIRS, VIKI GOTO, AND PATRICIA DUFF TUCKER, HELD FOUR MEETINGS WITH THE CBAC. TWO WERE HELD IN PERSON AND TWO VIA WEBEX. DURING THE COURSE OF THIS YEAR THE CBAC REVIEWED AND REVISED THE HEALTHY LIVING GRANT PROGRAM, REVIEWED THE CHARTER, AND CONDUCTED SITE VISITS TO THE HEALTHY LIVING GRANT PROGRAMS THEY FUNDED. CBAC MEMBERS WHO MADE SITE VISITS SUBMITTED WRITTEN AND VERBAL REPORTS ON THEIR EXPERIENCES. ADDITIONALLY, THEY REVIEWED AND CHOSE THE 2016 HEALTHY LIVING GRANTEES, AND ATTENDED THE CONFERENCE AND AWARD LUNCHEON WHERE THEY PERSONALLY SPOKE ABOUT THEIR SITE VISITS. IN A PARTICULARLY BUSY YEAR, THE ADVISORY COUNCIL MEMBERS ALSO PARTICIPATED IN THE DESIGN AND IMPLEMENTATION OF THE TRIANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EITHER BY ATTENDING THE INITIAL DESIGN MEETING AND PARTICIPATING IN DISCUSSIONS WITH OUR CHNA CONSULTANT OR BY TAKING PART IN THE ACTUAL FOCUS GROUPS, PROVIDING LINKAGES TO COMMUNITY GROUPS BEING INTERVIEWED AND ANSWERING THE ONLINE SURVEYS. AFTER THE RELEASE OF THE CHNA IN SEPTEMBER 2016, THE COUNCIL MEMBERS PLAN ON PARTICIPATING IN THE REVIEW OF THE RESULTS AND PRIORITIZATION OF NEW STRATEGIES FOR THE SUBSEQUENT IMPLEMENTATION STRATEGY. THE CBAC MEMBERS ARE NOT A RUBBER STAMP ADVISORY COUNCIL. TAKING THEIR TASKS SERIOUSLY AND INTELLIGENTLY, THEY ENSURE THAT CITY OF HOPES COMMUNITY BENEFIT PROGRAMMING IS ALIGNED WITH OUR PRIORITIES AND ADDRESSES THE NEEDS OF OUR LOCAL RESIDENTS. OUR COMMUNITY BENEFIT DEPARTMENT HAS ALSO ESTABLISHED AN INTERNAL HUB, MADE UP OF CITY OF HOPE STAFF WHO ARE RESPONSIBLE FOR CONTRIBUTING TO COMMUNITY BENEFIT PROGRAMS AND SERVICES. THEY MEET ON A QUARTERLY BASIS TO DISCUSS FEDERAL REPORTING REQUIREMENTS, RECEIVE TECHNICAL ASSISTANCE, AND LEARN ABOUT THE CITY OF HOPE PROCESSES FOR ENSURING PROGRAMS ARE ADDRESSING THE PRIORITIES IN THE IMPLEMENTATION STRATEGY. ADDITIONALLY, THE HUB HAS AN INTERNAL WEBSITE THAT PROVIDES LINKS AND RESOURCES TO COMMUNITY BENEFIT BEST PRACTICES AND INTERNAL TOOLS FOR SHARING AND BUILDING COLLABORATIONS THAT STRENGTHEN THE QUALITY OF STAFF CONTRIBUTIONS TO OUR COMMUNITY BENEFIT PROGRAMS. WE REALIZE THAT MEASUREMENT AND EVALUATION ARE NECESSARY TO SHOW SUCCESS, AS WELL AS TO HIGHLIGHT AREAS FOR IMPROVEMENT OR GROWTH, WHICH CAN RESULT IN MORE EFFECTIVE INITIATIVES. EVALUATIONS COMPLETED BY PARTICIPANTS IN ALL COMMUNITY EDUCATION, COMMUNITY HEALTH IMPROVEMENT AND CONTINUING MEDICAL EDUCATION PROGRAMS ARE ALSO USED TO INFORM AND ASSESS COMMUNITY HEALTH NEEDS.
SCHEDULE H, PART VI, LINE 3	PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ARE INFORMED ABOUT THEIR POSSIBLE ELIGIBILITY FOR ASSISTANCE BY THE MEDICAL CENTER'S PATIENT FINANCIAL COUNSELORS PRIOR TO THEIR FIRST APPOINTMENT. IN ADDITION, DURING THE INITIAL MEETING BETWEEN CLINICAL SOCIAL WORKERS AND PATIENTS AND THEIR FAMILIES, ASSESSMENT OF A PATIENT'S NEED FOR ASSISTANCE WITH HOUSING, TRANSPORTATION, OBTAINING MEDICATIONS, AND OTHER FINANCIAL SUPPORT AND ELIGIBILITY FOR STATE AND FEDERAL PROGRAMS IS CONDUCTED. SOCIAL WORKERS AND OTHER MEDICAL CENTER STAFF REFER PATIENTS TO A MEDICAL CENTER RESOURCES COORDINATOR, WHO HELPS PATIENTS AND THEIR FAMILIES APPLY FOR ASSISTANCE AND ACCESS COMMUNITY RESOURCES. IN ADDITION, INFORMATION ABOUT MEDICAL CARE FOR THOSE WHO CANNOT AFFORD TO PAY IS CONTAINED IN A LETTER SENT TO ALL NEW PATIENTS PRIOR TO THEIR FIRST VISIT. THIS INFORMATION IS ALSO POSTED NEAR THE NEW PATIENT CHECK-IN DESK AND IS INCLUDED IN A GUIDE PROVIDED TO EVERY NEW PATIENT. THE MEDICAL CENTER'S PATIENTS AND THEIR FAMILIES CAN ALSO LEARN ABOUT FINANCIAL COUNSELING AND OTHER RESOURCES THROUGH THE INSTITUTION'S PATIENT AND FAMILY ORIENTATION CLASS. THIS CLASS IS OFFERED IN ENGLISH AND SPANISH AND IS AVAILABLE TO EVERY NEW PATIENT. INDIVIDUAL COUNSELING IS OFFERED TO PATIENTS WHO SPEAK OTHER LANGUAGES. IN ADDITION TO THE SUPPORT SERVICES PREVIOUSLY MENTIONED, CITY OF HOPE PROVIDES PATIENTS ACCESS TO ITS INTERNALLY DEVELOPED AND INTERNATIONALLY RECOGNIZED SUPPORTSCREEN PROGRAM. PATIENTS USE SUPPORTSCREEN ON TOUCH SCREEN TABLETS TO IDENTIFY THEIR PSYCHOLOGICAL, EMOTIONAL, PHYSICAL, SOCIAL, FINANCIAL AND PRACTICAL CONCERNS. PATIENTS' RESPONSES ARE IMMEDIATELY AVAILABLE TO CARE PROVIDERS AND REQUESTS FOR ASSISTANCE ARE AUTOMATICALLY ROUTED TO THE APPROPRIATE MEMBER OF THE PATIENT'S CARE TEAM, WHO THEN ADDRESS POTENTIAL PROBLEMS AND BARRIERS TO CARE. THE SUPPORTSCREEN SYSTEM ENABLES STAFF TO PROMPTLY FOLLOW UP WITH PATIENTS WHO ARE SIGNIFICANTLY CONCERNED ABOUT FINANCIAL ISSUES AND ARE SEEKING MORE INFORMATION OR SOMEONE TO TALK TO ABOUT ASSISTANCE AND RESOURCES.
SCHEDULE H, PART VI, LINE 4	CITY OF HOPE IS LOCATED IN DUARTE, CALIFORNIA WHICH IS A DIVERSE COMMUNITY OF 21,500 IN LOS ANGELES COUNTY. THE CITY OF DUARTE IS A LEADER IN COMMUNITY HEALTH IMPROVEMENT AND A WILLING PARTNER WITH CITY OF HOPE IN MULTIPLE INITIATIVES. THE MEDICAL CENTER'S PRIMARY SERVICE AREA EXTENDS FAR BEYOND DUARTE TO INCLUDE LOS ANGELES, SAN BERNARDINO, RIVERSIDE, VENTURA AND ORANGE COUNTIES. PATIENTS FROM THESE COUNTIES COMPRISE 95 PERCENT OF OUR TOTAL DISCHARGES. CITY OF HOPE'S RESEARCH ACTIVITIES HAVE ADVANCED TREATMENT OF CANCER AND OTHER LIFE-THREATENING DISEASES WORLDWIDE. THE MOST RECENT DEMOGRAPHIC AND HEALTH STATUS PROFILE OF OUR PRIMARY SERVICE AREA WAS DEVELOPED IN 2016 USING MULTIPLE DATA SOURCES. TOGETHER, THE COUNTIES OF LOS ANGELES, ORANGE, SAN BERNARDINO, RIVERSIDE, AND VENTURA ARE HOME TO: * 46% OF CALIFORNIA'S TOTAL POPULATION * 57% OF CALIFORNIA'S HISPANIC POPULATION (PREDOMINANTLY MEXICAN) * 55% OF THE STATE'S BLACK POPULATION, AND * 44% OF THE STATE'S ASIAN POPULATION (PRIMARILY CHINESE AND FILIPINO, BUT ALSO KOREAN AND VIETNAMESE) THE FIVE COUNTIES IN OUR PRIMARY SERVICE AREA HAVE A UNIQUE COMPOSITION THAT MAKES THEM VULNERABLE ON MANY LEVELS. THE DATA BELOW REINFORCES THE NEED FOR COMMUNITY BENEFIT PROGRAMS: (RETRIEVED FROM: "HTTPS://WWW.CENSUS.GOV" QUICKFACTS) * CANCER DEATHS ARE HIGHEST IN SAN BERNARDINO COUNTY, DRIVEN MOSTLY BY LUNG, BREAST, PROSTATE AND COLORECTAL CANCERS. * LOS ANGELES COUNTY HAS THE HIGHEST RATES OF CANCER DEATHS DUE TO LIVER-BILE DUCT AND STOMACH CANCERS. * CANCER RATES AND MORTALITY TEND TO BE LOWEST AMONG ASIANS; RATE OF DEATH FROM CANCER TENDS TO BE HIGHEST AMONG BLACKS. * THE RATE OF CANCER DIAGNOSIS IS HIGHEST AMONG WHITES. * BLACK WOMEN AND MEN IN ALL FIVE COUNTIES ARE DIAGNOSED LATER AND MORE LIKELY TO DIE FROM CANCER, THAN ADULTS OF OTHER RACES. * IN RIVERSIDE COUNTY, 39.2% OF TEENAGERS (AGES 12-17 YEARS) ARE OVERWEIGHT. * THE HEAVIEST ADULTS LIVE IN SAN BERNARDINO COUNTY, WHERE 34% OF ALL ADULTS ARE OBESE. * IN LOS ANGELES COUNTY, ASIAN/PACIFIC ISLANDER WOMEN HAVE THE LOWEST RATE OF RECEIVING A PAP SMEAR IN THE LAST THREE YEARS (65.9%), AS COMPARED WITH WHITES (83.9%), LATINAS(86.3%), AND BLACKS (89.3%). * ALL FIVE COUNTIES IN THE SERVICE AREA EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE FOR COLORECTAL CANCER SCREENING. HOWEVER,ONLY 67.4% GET THE EXAM AT THE RECOMMENDED AGE. IT IS NO SECRET THAT POVERTY IS LINKED TO POOR HEALTH AND SHORTENED LIFE EXPECTANCY. RESIDENTS IN CERTAIN ZIP CODES HAVE HIGHER INCIDENCES OF POVERTY, CRIME, AND VIOLENCE, WHICH NEGATIVELY IMPACT HEALTH. THE NUMBER OF PEOPLE LIVING IN POVERTY IN RIVERSIDE (17.1%) AND SAN BERNARDINO (20.4%) COUNTIES, WHILE RELATIVELY STABLE, IS STILL VERY HIGH WHEN COMPARED TO OTHER COUNTIES. ("https://www.census.gov" quickfacts RETRIEVED 02/11/16). WHILE CITY OF HOPE IS A LEADING RESEARCH AND TREATMENT CENTER FOR CANCER, DIABETES, HIV/AIDS AND OTHER LIFE-THREATENING DISEASES, WE DO OUR BEST TO INCORPORATE WHAT WE KNOW ABOUT OUR COMMUNITIES INTO STRATEGIES THAT ADDRESS OTHER ROOT CAUSES OF HEALTH DISPARITY ON A BROADER BASIS.
SCHEDULE H, PART VI, LINE 5	CITY OF HOPE IS ACTIVELY ENGAGED IN PROMOTING THE HEALTH OF THE COMMUNITY THROUGH THE DELIVERY OF COLLABORATIVE PROGRAMS AND SERVICES FOCUSED ON VULNERABLE POPULATIONS. CITY OF HOPE PROVIDES A VARIETY OF COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BUILDING ACTIVITIES THAT ARE FURTHER DESCRIBED IN OUR 2016 COMMUNITY BENEFIT REPORT. 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 CITY OF HOPE PHYSICIANS AND MEMBERS OF THE COMMUNITY WITH EXPERIENCE IN THE BUSINESS AND PHILANTHROPIC WORLD. AS ONE OF THE NATION'S 45 NCI - DESIGNATED COMPREHENSIVE CANCER CENTERS, THE MEDICAL CENTER SERVES A VITAL ROLE IN ITS COMMUNITY. THE MEDICAL CENTER INTEGRATES CLINICAL TREATMENT, PREVENTION, DISEASE CONTROL AND POPULATION RESEARCH IN THE COMMUNITY. AT ANY GIVEN TIME, THE MEDICAL CENTER CONDUCTS MORE THAN 300 CLINICAL TRIALS INVOLVING 25 PERCENT OF ITS PATIENTS (THE NATIONAL AVERAGE IS LESS THAN 5 PERCENT) DEMONSTRATING THE INSTITUTION'S COMMITMENT TO BRINGING NEW, MORE EFFECTIVE TREATMENTS TO INDIVIDUALS WITH CANCER. THE MEDICAL CENTER FUNDED AN ESTIMATED NET TOTAL OF $63,410,000 RESEARCH THROUGH CLINICAL TRIALS AND OTHER ACTIVITIES DURING FISCAL YEAR 2016. THE MEDICAL CENTER OFFERS AN EXTENSIVE ARRAY OF PROGRAMS AND SERVICES THAT SERVE STUDENTS, POST-DOCTORAL TRAINEES, PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. SUPPORT FROM THE MEDICAL CENTER IS INTEGRAL TO VIRTUALLY ALL OF THESE PROGRAMS. HOSPITAL STAFF CONTRIBUTE THEIR EXPERTISE AS MENTORS AND PRESENTERS AND HOSPITAL FACILITIES SERVE AS VITAL SITES FOR CLINICAL TRAINING AND AS VENUES FOR CONFERENCES. IN 2016 CITY OF HOPE, PROVIDED $1,315,780 IN SUPPORT TO THESE PROGRAMS. THE MEDICAL CENTER SERVES AS A RESOURCE FOR YOUNG PHYSICIANS SEEKING TO DEVELOP EXPERTISE IN CANCER, DIABETES AND OTHER DISEASES. RECOGNIZED WORLDWIDE FOR ITS INNOVATIVE APPROACHES TO ADVANCING SCIENCE, THE MEDICAL CENTER OFFERS NUMEROUS HANDS-ON INTERNSHIPS, FELLOWSHIPS AND RESIDENCIES FOR HEALTH PROFESSIONALS IN A BROAD ARRAY OF AREAS INCLUDING CANCER GENETICS, BONE MARROW TRANSPLANTATION, MOLECULAR EPIDEMIOLOGY, PHARMACY, CLINICAL NUTRITION 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 PHYSICIANS AND NURSES AT MAJOR MEDICAL MEETINGS THE MEDICAL CENTER OFFERS COMMUNITY EDUCATION FORUMS ON CONTEMPORARY ISSUES SUCH AS HEALTH CARE REFORM, DIABETES, AND AIDS. AT THESE EDUCATION PROGRAMS PHYSICIANS, RESEARCHERS AND STAFF DISCUSS DISEASES, TREATMENTS AND RESEARCH AND RESPOND TO QUESTIONS FROM THE PUBLIC. ACCORDING TO THE CENTERS FOR DISEASE CONTROL (2013) ACHIEVING HEALTH EQUITY, ELIMINATING HEALTH DISPARITIES, AND IMPROVING THE HEALTH OF ALL AMERICANS ARE OVERARCHING GOALS TO IMPROVE AND PROTECT THE NATION'S HEALTH. A SIGNIFICANT BARRIER TO ACCESSING CARE IS PROVIDING A WORKFORCE THAT IS REFLECTIVE OF THE CULTURAL AND LINGUISTIC PRACTICES OF OUR LOCAL COMMUNITY. AT CITY OF HOPE, IN ADDITION TO PREVENTING DISEASE, UPHOLDING SUSTAINABLE ENVIRONMENTAL PRACTICES, AND FOSTERING A BROAD RANGE OF PARTNERSHIPS TO COLLABORATIVELY ADVANCE THE HEALTH OF OUR COMMUNITIES WE ARE ALSO COMMITTED TO IMPROVING EDUCATION OPPORTUNITIES THAT CAN LEAD TO CAREERS IN HEALTH CARE FOR UNDERREPRESENTED ETHNIC/CULTURAL GROUPS. THROUGH STRONG INTERNAL RELATIONSHIPS AND IMPORTANT COLLABORATIONS WITH OUR LOCAL COMMUNITY, WE HAVE BEEN ABLE TO DELIVER A VARIETY OF PROGRAMS THAT CAN INCREASE INTEREST IN HEALTH CARE FIELDS FROM HIGH SCHOOL STUDENTS TO ADULTS LIVING IN OUR SERVICE AREA. ONE OF THE MOST AMAZING THINGS WE CAN DO FOR OUR COMMUNITY IS TO BUILD OUR CAPACITY TO CARE FOR PATIENTS WITH UNIQUE NEEDS. WHAT WE HAVE BEEN LEARNING FROM OUR PROVIDERS IN CARE, IN THE COMMUNITY, AND FROM PATIENTS, IS THAT THE TRANSITION IS OFTEN FAR FROM SMOOTH. WE HAVE ALSO LEARNED THAT JUST BECAUSE A PERSON PASSES AWAY FROM CANCER, IT DOES NOT MEAN THAT THE NEED FOR SUPPORT AND CARE TO THEIR LOVED ONES ENDS. IN ORDER TO ADDRESS BOTH ISSUES, CITY OF HOPE IS PROUD TO SUPPORT TWO COMMUNITY PROGRAMS THAT NOT ONLY SEEK TO EASE THOSE TRANSITIONS BUT OFFER SUPPORT TO PATIENTS, LOVED ONES AND PROVIDERS OF CARE: TRANSITIONS OF CARE COMMUNITY COALITION (TC3) AND COH BEREAVEMENT SUPPORT GROUP. THE TC3 WAS DESCRIBED PREVIOUSLY. THE BEREAVEMENT SUPPORT GROUP ADDRESSES THE NEED FOR SUPPORT DURING THE GRIEVING PROCESS, THE CHILD LIFE TEAM THROUGH A 12WEEK BEREAVEMENT SUPPORT GROUP THAT OFFERS A SAFE PLACE TO EXPLORE AND RECONCILE FEELINGS WHILE RETURNING TO A NEW NORMAL LIFE. A FEW ADDITIONAL EXAMPLES OF WAYS IN WHICH THE MEDICAL CENTER PROMOTES THE HEALTH OF ITS COMMUNITY IS THROUGH TECHNICAL ASSISTANCE PROVIDED TO GOVERNMENT AGENCIES AND COMMUNITY ORGANIZATIONS, CONTRIBUTIONS TO RESEARCH LITERATURE AND LEADERSHIP OF COMMUNITY BOARDS.
SCHEDULE H, PART VI, LINE 6	THE CITY OF HOPE MEDICAL FOUNDATION (MEDICAL FOUNDATION) WAS LAUNCHED IN 2011. THE MEDICAL FOUNDATION HAS FOSTERED INCREASED COLLABORATION BETWEEN PHYSICIANS AND THE MEDICAL CENTER IN PROVIDING PATIENT CARE AND SERVICES TO THE COMMUNITY. THE MEDICAL FOUNDATION OPERATES CLINICS IN ARCADIA, SOUTH PASADENA, SANTA CLARITA, ANTELOPE VALLEY, MISSION HILLS, CORONA, GLENDORA, RANCHO CUCAMONGA, SIMI VALLEY, WEST COVINA, AND AT THE DESERT REGIONAL MEDICAL CENTER. THE MEDICAL FOUNDATION SUPPORTS THE MEDICAL CENTER'S MISSION OF ADVANCING HIGH-QUALITY PATIENT CARE, INNOVATIVE RESEARCH AND EDUCATION PROGRAMS AND HAS ENABLED THE MEDICAL CENTER TO EXPAND SERVICES INTO THE COMMUNITY. SINCE CITY OF HOPE'S BECKMAN RESEARCH INSTITUTE IS A SEPARATE CORPORATE ENTITY, THE MYRIAD OF CONTRIBUTIONS TO COMMUNITY WELL-BEING MADE BY BECKMAN RESEARCH INSTITUTE DEPARTMENTS ARE NOT REFLECTED IN THE COMMUNITY BENEFIT VALUES REPORTED ON SCHEDULE H. THE CENTER OF COMMUNITY ALLIANCE FOR RESEARCH AND EDUCATION (CCARE) WITHIN THE BECKMAN RESEARCH INSTITUTE IS THE FOCAL POINT FOR POPULATION SCIENCES COMMUNITY ENGAGEMENT INITIATIVES. CCARE FOCUSES INITIATIVES IN THREE AREAS: 1. PREVENTION - EDUCATION, SCREENING/EARLY DETECTION AND FOLLOW-UP 2. RESEARCH - THERAPEUTIC, NON-THERAPEUTIC AND OBSERVATIONAL; AND 3. TRAINING - EDUCATION AND MENTORING OF STUDENTS, RESEARCHERS, CLINICIANS AND COMMUNITY ADVOCATES CITY OF HOPE'S DIVISION OF NURSING RESEARCH AND EDUCATION, WHICH IS HOUSED WITHIN THE BECKMAN RESEARCH INSTITUTE, CONDUCTS INTERDISCIPLINARY RESEARCH ORGANIZED AROUND THE QUALITY OF LIFE AND SYMPTOM MANAGEMENT OF ONCOLOGY PATIENTS. STUDIES CONDUCTED IN THE DEPARTMENT EXTEND ACROSS THE TRAJECTORY OF DISEASE, FROM DIAGNOSIS AND TREATMENT TO SURVIVORSHIP AND END-OF-LIFE CARE. FINDINGS FROM THIS RESEARCH ARE DISSEMINATED THROUGH MULTIPLE COURSES OFFERED THROUGHOUT THE YEAR TO HEALTH PROFESSIONALS FROM ACROSS THE COUNTRY. THROUGH THE BECKMAN RESEARCH INSTITUTE, CITY OF HOPE OFFERS A PAID 10-WEEK SUMMER RESEARCH INTERNSHIP FOR 50 TO 70 HIGH SCHOOL STUDENTS FROM ALL OVER THE UNITED STATES, WITH 21 INTERNSHIPS RESERVED FOR STUDENTS FROM LOS ANGELES COUNTY. EACH YEAR, AN AVERAGE OF 1,500 APPLICATIONS ARE RECEIVED. THE SAN GABRIEL VALLEY SCIENCE EDUCATION PARTNERSHIP AWARD (SEPAC) IS A PARTNERSHIP BETWEEN CITY OF HOPE AND THE DUARTE UNIFIED SCHOOL DISTRICT. A FIVE YEAR NATIONAL INSTITUTES OF HEALTH GRANT UNDERWRITES THE SALARY OF A PH.D. IN SCIENCE EDUCATION WHO DEVELOPS THE CURRICULUM FOR THE PROGRAM AND IMPLEMENTS ALL PROGRAM ACTIVITIES. CITY OF HOPE FACULTY, SCIENTISTS AND PREDOCTORAL STUDENTS DONATE THEIR SERVICES TO PROVIDE HANDS-ON BIOMEDICAL SCIENCE EDUCATION TO SECOND, FIFTH, AND EIGHTH GRADERS THROUGHOUT THE YEAR. ADDITIONALLY, SEPAC CONDUCTS AN IN-DEPTH SUMMER RESEARCH PROGRAM FOR INTERESTED HIGH SCHOOL STUDENTS. THE GOAL OF THE SEPAC PROGRAM IS TO INCREASE UNDERSTANDING OF THE CONNECTION BETWEEN SCIENCE AND HEALTH THROUGH FUN, INTERACTIVE, HANDS-ON ACTIVITIES AND TO GROW THE PIPELINE OF UNDER-REPRESENTED MINORITY STUDENTS PURSUING COLLEGE MAJORS AND CAREERS IN THE SCIENCES AND TECHNOLOGY. MULTIPLE INTERACTIONS PROVIDED OVER THE COURSE OF K-12 SCHOOLING HELP BUILD AND MAINTAIN INTEREST, WHILE PREPARING STUDENTS TO ENTER COLLEGE WITH REAL-WORLD RESEARCH CAPABILITY. THE PROGRAM ENABLES STUDENTS TO LEARN ABOUT THE LATEST ADVANCES IN CANCER, DIABETES AND STEM CELL RESEARCH FROM WORLD-CLASS SCIENTISTS AND EDUCATORS. APPLYING REAL-WORLD RESEARCH CAPABILITY, THE CITY OF HOPE'S BECKMAN RESEARCH INSTITUTE FUNDED AN ESTIMATED NET TOTAL OF $147,356,000 IN RESEARCH COSTS THAT HAVE NOT BEEN INCLUDED IN THE SCHEDULE H CALCULATION OF COMMUNITY BENEFITS.
SCHEDULE H, PART VI, LINE 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 H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
City of Hope National Medical Center

Employer identification number
95-1683875

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) CALIFORNIA HEALTH FOUNDATION TRUST
1215 K STREET SUITE 800
SACRAMENTO,CA95814

94-1498697

501 (C) 3

562,056

SEE PART IV.

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

SCHEDULE I, PART II, LINE 1, COLUMN H

AS PART OF THE CALIFORNIA HOSPITAL PROVIDER FEE PROGRAM THAT BECAME LAW ON SEPTEMBER 8, 2010, THE MEDICAL CENTER ENTERED INTO AN ENFORCEABLE PLEDGE AGREEMENT WITH THE CALIFORNIA HEALTH FOUNDATION TRUST (CHFT). THE PLEDGE WAS TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS INDEPENDENT HOSPITALS AND HOSPITAL/HEALTH SYSTEMS IN CALIFORNIA, INCLUDING MEASURES TO ALLEVIATE LOSSES POTENTIALLY RESULTING FROM THE IMPLEMENTATION OF THE CALIFORNIA HOSPITAL PROVIDER FEE PROGRAM. THE MEDICAL CENTER DOES NOT MONITOR GRANTS MADE TO CHFT ONCE THEY HAVE BEEN MADE.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

City of Hope National Medical Center

Employer identification number

95-1683875

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Lisa StockmonCHIEF MARKETING & COMM OFFICER	(i) (ii)	96,339 ------------- 289,019	37,500 ------------- 112,500	18,175 ------------- 54,525	12,066 ------------- 36,197	4,763 ------------- 14,288	168,843 ------------- 506,529	0 ------------- 0
2Boriana FariasASSISTANT TREASURER	(i) (ii)	57,695 ------------- 173,086	13,549 ------------- 40,647	266 ------------- 798	6,001 ------------- 18,005	6,581 ------------- 19,741	84,092 ------------- 252,277	0 ------------- 0
3Gregory SchetinaSecretary/GENERAL COUNSEL	(i) (ii)	104,532 ------------- 313,597	84,671 ------------- 254,013	14,307 ------------- 42,920	29,312 ------------- 87,935	8,284 ------------- 24,853	241,106 ------------- 723,318	22,444 ------------- 67,331
4William SargeantASST SECRETARY/COO	(i) (ii)	155,905 ------------- 467,714	125,429 ------------- 376,288	52,627 ------------- 157,880	36,357 ------------- 109,070	4,867 ------------- 14,602	375,185 ------------- 1,125,554	66,402 ------------- 199,206
5Michael FriedmanEmeritus Cancer Ctr. Director	(i) (ii)	25,177 ------------- 226,598	13,804 ------------- 124,237	32,618 ------------- 293,559	2,112 ------------- 19,011	2,129 ------------- 19,159	75,840 ------------- 682,564	0 ------------- 0
6Richard MagnusonTREASURER/CFO - OUTGOING	(i) (ii)	141,137 ------------- 423,413	102,616 ------------- 307,847	1,403 ------------- 4,210	44,029 ------------- 132,086	3,606 ------------- 10,818	292,791 ------------- 878,374	28,863 ------------- 86,588
7Robert W StonePresident and CEO	(i) (ii)	287,624 ------------- 671,124	319,432 ------------- 745,341	51,369 ------------- 119,860	92,534 ------------- 215,911	10,905 ------------- 25,446	761,864 ------------- 1,777,682	77,314 ------------- 180,400
8Wael FakhryFormer Officer	(i) (ii)	264,227 ------------- 124,342	21,750 ------------- 10,235	82,137 ------------- 38,652	5,596 ------------- 2,634	20,260 ------------- 9,534	393,970 ------------- 185,397	41,385 ------------- 19,475
9Alexandra LevineChief Medical Officer	(i) (ii)	617,341 ------------- 0	493,157 ------------- 0	71,616 ------------- 0	157,224 ------------- 0	20,921 ------------- 0	1,360,259 ------------- 0	132,321 ------------- 0
10Dale Walter AdamsSVP Operations - OUTGOING	(i) (ii)	344,634 ------------- 0	0 ------------- 0	140,454 ------------- 0	21,760 ------------- 0	22,108 ------------- 0	528,956 ------------- 0	0 ------------- 0
11Debra FieldsChief Risk Officer	(i) (ii)	97,192 ------------- 291,576	121,316 ------------- 363,947	8,218 ------------- 24,653	27,845 ------------- 83,535	8,085 ------------- 24,258	262,656 ------------- 787,969	20,884 ------------- 62,653
12Paul ConocentiSVP and CIO	(i) (ii)	104,715 ------------- 314,144	15,625 ------------- 46,875	37,931 ------------- 113,792	2,057 ------------- 6,173	7,604 ------------- 22,810	167,932 ------------- 503,794	21,150 ------------- 63,451
13Stephanie NeuvirthCHIEF HR OFFICER - OUTGOING	(i) (ii)	62,589 ------------- 187,766	0 ------------- 0	38,260 ------------- 114,781	1,941 ------------- 5,824	3,524 ------------- 10,571	106,314 ------------- 318,942	0 ------------- 0
14Steven RosenCHIEF SCIENTIFIC OFFICER	(i) (ii)	222,438 ------------- 571,983	186,802 ------------- 480,348	28,235 ------------- 72,604	66,810 ------------- 171,798	7,905 ------------- 20,326	512,190 ------------- 1,317,059	0 ------------- 0
15Valerie BinghamFormer Officer	(i) (ii)	94,829 ------------- 142,244	17,409 ------------- 26,113	2,924 ------------- 4,387	7,829 ------------- 11,744	10,724 ------------- 16,087	133,715 ------------- 200,575	0 ------------- 0
16Harlan LevineCHIEF EXEC COH MEDICAL FND	(i) (ii)	158,131 ------------- 632,524	119,339 ------------- 477,355	1,787 ------------- 7,144	48,941 ------------- 195,763	5,646 ------------- 22,585	333,844 ------------- 1,335,371	32,253 ------------- 129,010
17Cornelis van den BergInterim Chief Financial Ofc.	(i) (ii)	46,695 ------------- 140,083	30,434 ------------- 91,302	322 ------------- 968	0 ------------- 0	2,458 ------------- 7,375	79,909 ------------- 239,728	0 ------------- 0
18JONATHAN REUTERVP FACILITIES & CONSTRUCTION	(i) (ii)	114,979 ------------- 172,468	28,933 ------------- 43,399	999 ------------- 1,498	3,292 ------------- 4,938	10,405 ------------- 15,610	158,608 ------------- 237,913	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

SCHEDULE J PART 1, LINE 1A

The organization permits first class travel for certain officers, directors and key executives in limited circumstances when specified travel criteria are met. MICHAEL FRIEDMAN, M.D., FORMER CHIEF EXECUTIVE OFFICER IS PROVIDED WITH SOCIAL CLUB MEMBERSHIPS DEEMED NECESSARY FOR VARIOUS BUSINESS RELATIONSHIP ACTIVITIES. DETAILED BUSINESS RECEIPTS ARE REQUIRED AND MUST BE SUBMITTED INDICATING WHETHER SERVICES WERE FOR BUSINESS OR PERSONAL USE 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. WHILE DR. FRIEDMAN'S ROLE AS AN OFFICER CEASED DURING FISCAL YEAR 2013, HE IS A CURRENT EMPLOYEE WHOSE ROLE IS TO DEVELOP FUNDRAISING RELATIONSHIPS THAT FOCUS ON RESEARCH AND MEDICAL ADVANCEMENTS. SCHEDULE J, PART I, LINE 4B THE MEDICAL CENTER HAS A NON-QUALIFIED SECTION 457(F) EXECUTIVE SUPPLEMENTAL ACCUMULATION PLAN THAT IS DESIGNED AND MAINTAINED TO PROVIDE A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES WITH DEFERRED COMPENSATION. THE PLAN VESTS AFTER THREE (3) FISCAL YEARS OF 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, VESTED PARTICIPANTS ARE ENTITLED TO WITHDRAW FROM THEIR VESTED ACCOUNT AN AMOUNT EQUAL TO THE FEDERAL, STATE, LOCAL, AND FICA TAXES. THESE AMOUNTS ARE REMITTED TO THE APPROPRIATE TAXING AUTHORITIES ON BEHALF OF THE PARTICIPANTS. DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2015, THE FOLLOWING INDIVIDUALS WITHDREW THE REFERENCED AMOUNTS TO COVER SUCH TAXES: DALE ADAMS $21,663 VALERIE BINGHAM $ 1,754 PAUL CONOCENTI $47,153 WAEL FAKHRY $31,603 DEBRA FIELDS $ 5,602 ALEXANDRA LEVINE $12,372 STEPHANIE NEUVIRTH $14,319 WILLIAM SARGEANT $14,602 GREGORY SCHETINA $ 5,380 ROBERT STONE $28,858 THESE AMOUNTS HAVE BEEN INCLUDED IN THE PARTICIPANT'S INCOME ON SCHEDULE J, PART II, COLUMN B(III). DALE ADAMS, WAEL FAKHRY, AND STEPHANIE NEUVIRTH ENDED EMPLOYMENT WITH THE MEDICAL CENTER DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2015 AND RECEIVED DISTRIBUTIONS FROM THE PLAN TOTALING $123,543, $61,484, AND $137,759, RESPECTIVELY. THESE AMOUNTS HAVE 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 MEDICAL CENTER'S Executives and some key employees are eligible to receive incentive compensation under an Annual Incentive Plan (AIP) tied to two (2) key indicators and two or more individual objectives. The key indicators reflect key areas of strategic focus and the exempt healthcare mission of the City of Hope and affiliates and are both financial and non-financial. The potential incentive compensation is based on a weighted average among all indicators and is paid as a percentage of each individual participants base compensation. The key indicators are weighted at 30%, while the individual objectives are weighted at 70%. The AIP is under the control of and administered by the independent directors serving on the Executive Compensation and Governance Committee. To be eligible, the participants in the AIP must be employed by the Medical Center at the time of the incentive plan payment, and be meeting or exceeding performance expectations. City of Hope may in its discretion cancel all or a portion of any incentive plan payment or award to any participant, whether before or following payment of such award, subject to compliance with applicable law, under these circumstances (Cancellation Policy): A) An incentive plan payment or award is made for a fiscal period and City of Hope subsequently restates or otherwise adjusts the annual performance measurement calculation in a manner that would reduce the size of the award or payment, or; B) An incentive plan payment or award is made for 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 2015 City of Hope paid the incentive compensation earned for fiscal year 2015 and these amounts have been reported in Schedule J, Part II, Column B(II). The Medical Center has an Executive Long Term Incentive Plan (LTI) for certain executives that is designed to drive long-term organizational performance and transformation by aligning executives with the multi-year strategic plan and incentivizing them for achieving key organizational and strategic objectives and goals. With three-year vesting periods, the LTI also provides a means for retaining key executive talent. The 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). To be eligible, the participants in the LTI must be employed by the City of Hope at the time of the incentive plan payment, and be meeting or exceeding performance expectations. While the LTI does meet the requirements for a substantial risk of forfeiture, as of the calendar year ending December 30, 2015, 9 months of year two plan Cycle 2, 3 months of year three plan Cycle 2 and 3 months of year three plan Cycle 2; 9 months of year 1 plan Cycle 4 of the potential LTI amounts have been estimated and accrued during the current tax year and are reported as deferred compensation to the plan participants in Schedule J, Part II, Column C. THE LTI IS SUBJECT TO THE SAME CANCELLATION POLICY AS THE AIP DESCRIBED ABOVE. PARTICIPANTS IN THE PLAN WHO WERE EMPLOYED AS OF SEPTEMBER 30, 2015 RECEIVED PAY OUT OF PLAN CYCLE 1 INCENTIVES (OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2015) IN DECEMBER 2015. THESE AMOUNTS HAVE BEEN REFLECTED IN SCHEDULE J, PART II, COLUMN B(II). ADDITIONALLY, CITY OF HOPE MADE CHANGES TO ITS VACATION AND HOLIDAY ACCRUAL POLICIES DURING CALENDAR YEAR 2015 THAT REDUCED THE NUMBER OF HOURS AN ELIGIBLE EMPLOYEE COULD CARRY AT ANY TIME. THOSE INDIVIDUALS WHOSE ACCUMULATED HOURS EXCEEDED THE NEW MAXIMUM ACCRUAL RECEIVED A ONE-TIME PAYOUT OF THOSE ACCRUED HOURS. THIS PAYOUT HAS BEEN REFLECTED AS REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B(III).

Schedule J (Form 990) 2015

Additional Data

Software ID:
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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
City of Hope National Medical Center

Employer identification number
95-1683875

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CALIF HLTH FACLTY FIN AUTH (SEE PART VI)	52-1643828	13033LN37	11-14-2012	140,805,678	REFUNDING ISSUE/CAPITAL PROJECTS		X		X		X
B	CALIF HLTH FACLTY FIN AUTH (SEE PART VI)	52-1643828	13033LN37	11-14-2012	130,787,655	REFUNDING ISSUE		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		0
2 Amount of bonds legally defeased ..............	0		0
3 Total proceeds of issue ..................	140,811,319		130,787,655
4 Gross proceeds in reserve funds .............	0		0
5 Capitalized interest from proceeds .............	1,026,220		0
6 Proceeds in refunding escrows ...............	0		0
7 Issuance costs from proceeds ...............	1,565,251		1,425,066
8 Credit enhancement from proceeds .............	0		0
9 Working capital expenditures from proceeds .............	0		0
10 Capital expenditures from proceeds .............	90,708,393		0
11 Other spent proceeds .............	47,511,455		129,362,589
12 Other unspent proceeds .............	0		0
13 Year of substantial completion .............	2015		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	1.100 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	1.100 %
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......
b Exception to rebate? ........
c No rebate due? .........	X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X
b Name of provider ..........	UNION BKWELLS FARGO		UNION BKWELLS FARGO
c Term of hedge .........	30 %		30 %
d Was the hedge superintegrated? ......		X		X
e Was the hedge terminated? ........		X		X

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........	0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

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 MEDICAL CENTER'S CITY OF DUARTE CERTIFICATES OF PARTICIPATION SERIES 1999A (SHOWN ON SCHEDULE K, PART I, LINE B) AND THE OTHER WAS FOR REFUNDING (1) THE 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 MEDICAL CENTER IS REPORTING AN ALLOCABLE AMOUNT OF THE ISSUE PRICE AND EXPENDITURES. THE 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. Schedule K, Part II, Line 11, Column A & B The other spent proceeds are the refunding proceeds of the issue which are no longer in escrow. SCHEDULE K, PART III, COLUMN B COLUMN LEFT BLANK AS 2012 ISSUE REFUNDED A PRE-2003 BOND ISSUE AND THERE WERE NO NEW PROCEEDS ISSUED. SCHEDULE K, PART IV CITY OF HOPE COMPLETED THE REBATE COMPUTATION ON SEPTEMBER 3, 2015 WITH NO REBATE LIABILITY DUE.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

City of Hope National Medical Center

Employer identification number

95-1683875

Return Reference	Explanation
FORM 990, PART III, LINE 1	ORGANIZATION'S MISSION - CONTINUATION CITY OF HOPE NATIONAL MEDICAL CENTER IS PART OF AN INTEGRATED SYSTEM KNOWN AS CITY OF HOPE THAT COLLECTIVELY REFERS TO CITY OF HOPE, CITY OF HOPE AUXILIARIES, CITY OF HOPE NATIONAL MEDICAL CENTER, CITY OF HOPE MEDICAL FOUNDATION AND BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE, WHICH IS AN INNOVATIVE BIOMEDICAL RESEARCH, TREATMENT AND EDUCATION INSTITUTION COMMITTED TO TRANSFORMING THE FUTURE OF HEALTH BY TURNING SCIENCE INTO PRACTICAL BENEFIT AND HOPE INTO REALITY. WE ACCOMPLISH THIS THROUGH COMPASSIONATE PATIENT CARE, INNOVATIVE RESEARCH, AND MEDICAL AND SCIENTIFIC EDUCATION FOCUSED ON ELIMINATING CANCER AND DIABETES. CITY OF HOPE IS GUIDED BY A COMPASSIONATE, PATIENT-CENTERED PHILOSOPHY THAT IS DEDICATED TO THE PREVENTION AND CURE OF CANCER AND OTHER LIFE-THREATENING DISEASES.
FORM 990 PART III, LINE 4A	EXEMPT PURPOSE ACHIEVEMENTS - CONTINUATION SINCE 1976, MORE THAN 13,000 HEMATOPOIETIC (BLOOD) CELL TRANSPLANTATION PROCEDURES HAVE BEEN PERFORMED AT THE MEDICAL CENTER TO FIGHT LEUKEMIA, LYMPHOMA, MYELOMA AND OTHER CANCERS. TODAY, THE MEDICAL CENTER'S CLINICIANS ARE FURTHERING DEVELOPMENT OF STEM CELL TRANSPLANTATION TO TREAT AUTOIMMUNE DISEASES. AS A PIONEER IN ROBOTIC SURGERY FOR RECTAL CANCER, AND AN EMERGING LEADER IN ROBOTIC SURGERY FOR HEAD AND NECK CANCERS, THE MEDICAL CENTER IS A NATIONALLY RECOGNIZED LEADER IN THE FIELD OF MINIMALLY INVASIVE SURGERY. PHYSICIANS AT THE MEDICAL CENTER HAVE ALSO BROKEN NEW GROUND IN EMPLOYING TARGETED RADIATION, WHICH ARE TREATMENT TECHNIQUES THAT DELIVER DOSES DIRECTLY TO DISEASED TISSUE, MAXIMIZING CANCER-KILLING TREATMENTS WHILE POTENTIALLY MINIMIZING DAMAGE TO PATIENTS' HEALTHY TISSUE. THE SHERI & LES BILLER PATIENT AND FAMILY RESOURCE CENTER SERVES AS THE INFORMATION HUB ABOUT OUR COMPREHENSIVE ASSISTANCE FOR PATIENTS AND FAMILIES, OFFERING PATIENT EDUCATION, SUPPORT GROUPS, SOCIAL WORK RESOURCES, MIND-BODY THERAPIES AND PATIENT NAVIGATORS TO ASSIST PEOPLE THROUGH DIAGNOSIS, TREATMENT AND RECOVERY. ITS HEALTHCARE PROFESSIONALS, INCLUDING PSYCHOLOGISTS, PSYCHIATRISTS AND PALLIATIVE CARE PHYSICIANS, PARTNER WITH PATIENTS AND FAMILIES TO ALLEVIATE PAIN AND DISTRESS RELATED TO DISEASE AND TREATMENT. THE MEDICAL CENTER PROVIDES FOR SERVICES THROUGH CHARITY CARE ASSISTANCE FOR PATIENTS MEETING CERTAIN FINANCIAL ELIGIBILITY AND CLINICAL CRITERIA AND TO PERSONS WITHOUT INSURANCE OR WHO ARE UNDER-INSURED. THE MEDICAL CENTER ALSO SUBSIDIZES CARE FOR PATIENTS COVERED BY THE MEDI-CAL AND MEDICARE PROGRAMS. FORM 990, PART III, LINE 4B - CONTINUATION LAST YEAR, THE MEDICAL CENTER CONDUCTED MORE THAN 500 CLINICAL TRIALS AND ENROLLED MORE THAN 6,200 PATIENTS IN THESE TRIALS. MANY OF THESE TRIALS PROVIDE PATIENTS WITH ACCESS TO THE NEWEST TREATMENT APPROACHES, WHICH HELPS DEVELOP THE STANDARD TREATMENTS OF TOMORROW. FOR INSTANCE, THE MEDICAL CENTER WAS THE FIRST INSTITUTION IN THE WORLD TO PERFORM A CLINICAL STUDY USING NEURAL STEM CELLS TO TARGET GLIOMA, A DEADLY FORM OF BRAIN CANCER. THE MEDICAL CENTER HAS BEEN DESIGNATED A NATIONAL CENTER FOR ISLET CELL TRANSPLANTATION - AN EMERGING TREATMENT THAT HAS THE POTENTIAL TO REVERSE TYPE 1 DIABETES. THE MEDICAL CENTER IS ALSO MAKING MAJOR CONTRIBUTIONS TO THE STUDY OF HIV/AIDS THROUGH RESEARCH INTO HOW TO STOP THE VIRUS' INFECTION OF CELLS. THE MEDICAL CENTER PROVIDES INSTITUTIONALLY SUPPORTED RESEARCH GRANTS TO DEVELOP NOVEL IDEAS THAT HAVE NOT YET REACHED A MATURITY LEVEL NECESSARY TO SECURE EXTRAMURAL FUNDING. MEDICAL CENTER FACULTY AND STAFF SERVE AS CONTRIBUTORY MEMBERS FOR NATIONAL POLICY AND REGULATORY ORGANIZATIONS AND ADVISORY COMMITTEES. THEY ALSO PROVIDE THEIR EXPERTISE TO REVIEW GRANT APPLICATIONS FOR STATE AND FEDERAL AGENCIES AND SERVE AS MEMBERS OF EDITORIAL BOARDS FOR PROFESSIONAL PUBLICATIONS. THE MEDICAL CENTER'S DEPARTMENT OF POPULATION SCIENCES ALSO REACHES OUT AND SEEKS TO REDUCE THE BURDEN OF CANCER ACROSS ALL POPULATIONS THROUGH COLLABORATIVE PROGRAMS IN CARE, RESEARCH AND EDUCATION. SEEKING TO UNDERSTAND THE CAUSES AND RISKS OF CANCER AND DISPARITIES IN CANCER OUTCOMES IN VARIOUS POPULATIONS, POPULATION SCIENCE PERSONNEL EXAMINE AND INVESTIGATE GENETIC MARKERS LINKED TO CANCER RISK, SEEKING TO IMPROVE THE QUALITY OF LIFE FOR CANCER SURVIVORS. THROUGH THE CENTER FOR CANCER SURVIVORSHIP, SPECIALIZED, LONG-TERM FOLLOW-UP CARE IS PROVIDED FOR CANCER SURVIVORS, AND ITS CRITICAL RESEARCH IS SHARED WITH OTHER INSTITUTIONS. FORM 990, PART III, LINE 4C - CONTINUATION EDUCATION AND PROFESSIONAL DEVELOPMENT ARE IMPORTANT PROGRAMS AT THE MEDICAL CENTER. THROUGH ROBUST RESIDENCY AND FELLOWSHIP PROGRAMS, THE MEDICAL CENTER PROVIDES CONSIDERABLE TRAINING AND CONTINUING EDUCATION FOR PHYSICIANS, NURSES AND HEALTH PROFESSIONALS EMPLOYED BY THE MEDICAL CENTER. IN MANY INSTANCES THESE SAME PROGRAMS AND TRAINING ARE EXTENDED TO MEDICAL PROFESSIONALS NOT DIRECTLY AFFILIATED WITH THE MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 6 AND 7A	THE SOLE CORPORATE MEMBER, CITY OF HOPE (95-3435919), ELECTS THE BOARD OF DIRECTORS TO THE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7B AS SPECIFIED IN THE GOVERNING DOCUMENTS OF THE MEDICAL CENTER, CERTAIN ACTIONS MAY NOT BE UNDERTAKEN WITHOUT THE PRIOR WRITTEN APPROVAL OF THE SOLE CORPORATE MEMBER, CITY OF HOPE. THESE INCLUDE: BORROW MONEY IN THE NAME OF THE MEDICAL CENTER OR UTILIZING PROPERTY OWNED BY THE MEDICAL CENTER AS SECURITY FOR SUCH LOANS; ASSIGN, TRANSFER, PLEDGE, COMPROMISE OR RELEASE ANY OF THE CLAIMS OR DEBTS TO THE MEDICAL CENTER EXCEPT ON PAYMENT IN FULL, OR ARBITRATE OR CONSENT TO THE ARBITRATION OF ANY DISPUTE OR CONTROVERSY OF THE MEDICAL CENTER; MAKE, EXECUTE OR DELIVER ANY ASSIGNMENT FOR THE BENEFIT OF CREDITORS, OR ANY BOND, CONFESSION OF JUDGMENT, CHATTEL MORTGAGE, SECURITY AGREEMENT, DEED, GUARANTY, INDEMNITY BOND, SURETY BOND, OR CONTRACT TO SELL OR BILL OF SALE OF THE PROPERTY OF THE MEDICAL CENTER; ACQUIRE, PURCHASE, DEVELOP, IMPROVE, SELL, LEASE, OR MORTGAGE ANY CORPORATE REAL ESTATE OR ANY INTEREST THEREIN OR ENTER INTO ANY CONTRACT FOR ANY SUCH PURPOSES; OR MAKE ANY LOAN, INVESTMENT, TRANSFER OR DISPOSITION OF ANY ASSETS OF THE MEDICAL CENTER OR ENTER INTO ANY CONTRACT OR INCUR ANY LIABILITIES ON BEHALF OF THE MEDICAL CENTER OTHER THAN FOR FAIR CONSIDERATION AND IN THE ORDINARY COURSE OF BUSINESS RELATING TO ITS NORMAL DAILY OPERATION; ESTABLISH CAPITAL AND OPERATING BUDGETS OR ADOPT MATERIAL CHANGES THERE. THE FOLLOWING REQUIRE GOVERNING BODY APPROVAL (AS WELL AS THE APPROVAL OF THE SOLE CORPORATE MEMBER): THE ADOPTION OF, OR MATERIAL CHANGE IN, THE MISSION OF THE MEDICAL CENTER; SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL ASSETS; MERGER AND ITS PRINCIPAL TERMS (AND ANY AMENDMENT TO THOSE TERMS); DISSOLUTION OF THE CORPORATION; ADOPTION OF OPERATING AND CAPITAL BUDGETS; ACQUISITIONS AND CAPITAL EXPENDITURES MEETING A CERTAIN FINANCIAL THRESHOLD; BORROWINGS, GUARANTIES, LOANS, AND BOND ISSUANCE MEETING A CERTAIN FINANCIAL THRESHOLD; CREATION OF A NEW (OR ACQUISITION OF A CONTROLLING INTEREST IN AN EXISTING) CORPORATION, PARTNERSHIP OR LIMITED LIABILITY COMPANY; ADOPTION OF OR AMENDMENTS TO INDIVIDUAL CORPORATE INVESTMENT GUIDELINES.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF CITY OF HOPE, WHICH ALSO SERVES AS THE AUDIT COMMITTEE OF THE MEDICAL CENTER AND ASSISTS THE MEDICAL CENTER'S BOARD IN FULFILLING ITS RESPONSIBILITIES REGARDING THE FINANCIAL, ACCOUNTING, AND CORPORATE COMPLIANCE MATTERS OF THE MEDICAL CENTER. ADDITIONALLY, THE PREPARATION OF THE FORM 990 IS DONE INTERNALLY AND IS REVIEWED WITH INTERNAL LEADERSHIP, EXTERNAL PARTICIPANTS, INCLUDING EY, WHICH IS THE PREPARER, AND RETAINED TAX COUNSEL. PRIOR TO FILING, THE MEDICAL CENTER FORM 990 IS MADE AVAILABLE FOR REVIEW ELECTRONICALLY TO VOTING MEMBERS OF THE CITY OF HOPE BOARD. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES OF CITY OF HOPE AND AFFILIATES, ITS BOARD OF DIRECTORS, BOARD COMMITTEE MEMBERS AND RESEARCH TEAM MEMBERS ARE COVERED BY CITY OF HOPE'S APPLICABLE CONFLICT OF INTEREST POLICIES. DETERMINATIONS AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND REVIEW OF CONFLICT DISCLOSURES ARE MADE BY THE GENERAL COUNSEL AND CHIEF COMPLIANCE OFFICER AND, AS APPLICABLE, THE CHAIR OF THE BOARD OF DIRECTORS OR THE CONFLICT OF INTEREST AND COMMITMENT COMMITTEE, BASED UPON THE CATEGORY OF PERSON MAKING THE DISCLOSURE. RESTRICTIONS IMPOSED ON PERSONS TO MANAGE A CONFLICT VARY, BASED UPON THE FACTS AND MAY INCLUDE: PROHIBITION FROM PARTICIPATING IN A GOVERNING BODY'S DELIBERATIONS AND VOTING ON A GIVEN TRANSACTION OR SET OF TRANSACTIONS; RECUSAL FROM THE DECISION-MAKING PROCESS RELATING TO BUSINESS TRANSACTIONS (E.G., PURCHASING DECISIONS); PROHIBITION FROM PARTICIPATING AS A PRINCIPAL INVESTIGATOR IN RESEARCH; AND DISCLOSURE OF FINANCIAL INTEREST IN RESEARCH STUDY INFORMED CONSENT FORMS AND PUBLICATIONS. MONITORING TRANSACTIONS FOR CONFLICT OF INTEREST IS DONE THROUGH REQUIRED DISCLOSURES AND UPDATES BY PERSONS COVERED BY THE ORGANIZATION'S CONFLICT OF INTEREST POLICIES AND A CONCURRENT REVIEW OF SUCH DISCLOSURES AGAINST TRANSACTIONS. CITY OF HOPE'S POLICY PROVIDES FOR DISCIPLINARY ACTION AGAINST PERSONS COVERED BY THE CONFLICT OF INTEREST POLICIES WHO DO NOT COMPLY WITH POLICY REQUIREMENTS. SCHEDULE O, FORM 990, PART VI, SECTION B, LINE 15A AND 15B The Executive Compensation and Governance Committee of City of Hopes Board of Directors (Committee), pursuant to a delegation of authority from the Board, is responsible for setting the compensation of the CEO and certain other senior executives. THE COMMITTEE ALSO SERVES AS THE EXECUTIVE COMPENSATION AND GOVERNANCE COMMITTEE OF THE MEDICAL CENTER. The Directors on the Committee are independent and adhere to a strict conflict of interest policy and deliberation and decision making are substantiated in the minutes of the Committees meetings. The minutes are reviewed and approved at the next meeting of the Committee. As part of the deliberation process, the Committee receives advice from an independent, third-party compensation consultant with respect to executive compensation, including review of comparable and benchmark data, current compensation philosophy, structure, and administration of the executive cash compensation programs at City of Hope and affiliates. The Committee carries out the Board of Directors overall responsibilities relating to executive compensation. The executive compensation philosophy is designed to assist in attracting and retaining the caliber of executive leadership required to enable City of Hope to achieve the highest levels of community benefit, impact to clinical care, quality research and efficient philanthropic development. The Committee targets the 50th percentile of base salary and the 75th percentile of total cash compensation of the market in which City of Hope competes for executives. Under an Annual Incentive Plan (AIP) and a Long Term Incentive Plan (LTI), a substantial portion of executive compensation is linked directly to performance goals approved in advance by the Committee. As a result, performance compensation may vary from year to year. Goal setting under the AIP is tied to annual performance, including the attainment of specific business objectives for strategic and financial performance as well as non-financial measures such as patient satisfaction and quality of patient care. The LTI is designed to drive long-term organizational performance and transformation by aligning executives with the multi-year strategic plan and incentivizing them for achieving key organizational and strategic objectives and goals. With three-year vesting periods, the LTI also provides a means for retaining key executive talent. The Committee conducts annual compensation reviews for executives and certain key employees and this was last completed on December 23, 2016. The compensation programs and ranges for all officers and key employees listed on From 990, Part VII at the SVP or equivalent level and above are reviewed by this Committee.
FORM 990, PART VI, SECTION C, LINE 19	THE MEDICAL CENTER'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC FROM THE SECRETARY OF STATE. CITY OF HOPE AND AFFILIATES AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE CITY OF HOPE WEBSITE, AND ITS CONFLICT OF INTEREST POLICIES ARE AVAILABLE BY WRITTEN REQUEST MADE TO THE CONFLICT OF INTEREST MANAGER. THE MEDICAL CENTER'S BYLAWS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART VII, COLUMN (B)	FULL TIME EXEMPT EMPLOYEES GENERALLY WORK IN EXCESS OF 40 HOURS PER WEEK, WHICH HAS BEEN REFLECTED IN PART VII BY AN ESTIMATE OF 60 HOURS PER WEEK. THE MEMBERS OF THE BOARD OF DIRECTORS ARE NOT COMPENSATED FOR SERVING ON THE BOARD. THE HOURS WORKED FOR EACH DIRECTOR IS AN ESTIMATE OF THE TIME SPENT PREPARING FOR AND ATTENDING MEETINGS OF THE BOARD OF DIRECTORS AND VARIOUS COMMITTEES OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS HELD FIVE REGULARLY SCHEDULED MEETINGS DURING FISCAL YEAR 2016. MOST OF THE CITY OF HOPE OFFICERS AND KEY EMPLOYEES, AS WELL AS A FEW OF ITS HIGHEST COMPENSATED EMPLOYEES, PROVIDE SERVICES TO MORE THAN ONE CITY OF HOPE ENTITY, AND MANY OF THEM PROVIDE SERVICES TO ALL OF THE ENTITIES. FOR A NUMBER OF THESE CONCURRENTLY-EMPLOYED INDIVIDUALS, THE ENTITIES HAVE DESIGNATED THE MEDICAL CENTER AS THE "COMMON PAYMASTER," AS THAT IS DEFINED IN SECTION 3121(S) OF THE INTERNAL REVENUE CODE. CITY OF HOPE REPORTS THESE CONCURRENT EMPLOYEES' TIME, EFFORT AND COMPENSATION ON THE INFORMATION RETURNS OF THE CITY OF HOPE ENTITIES BASED ON THE ESTIMATES OF THEIR TIME SPENT IN AND FOR EACH ENTITY. AS "COMMON PAYMASTER," THE MEDICAL CENTER ISSUES EACH OF THESE EMPLOYEES A SINGLE, COMBINED PAYCHECK AND ONE FORM W-2.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP $ (2,957,447)
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:97273249
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:30621951
FORM 990 PART IX LINE 11G	DESCRIPTION:REGISTRY & STAFFING FEES TOTAL FEES:7630395
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CONTRACTED SERVICES TOTAL FEES:3025537
FORM 990 PART IX LINE 11G	DESCRIPTION:RECRUITMENT TOTAL FEES:751295
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:206680
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:180150

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE COMPASSIONATE MEDICAL CARE TO PEOPLE WITH CANCER AND OTHER LIFE-THREATENING DISEASES. SUPPORT RESEARCH THAT MAY BRING INNOVATIVE TREATMENTS TO PATIENTS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	3,799
6	Total number of volunteers (estimate if necessary) .............	6	416
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,876,183
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	51,073,935	10,037,178
9	Program service revenue (Part VIII, line 2g) .........	879,853,487	968,609,887
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	19,881,492	16,850,125
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	5,141,091	6,947,847
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	955,950,005	1,002,445,037
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,162,211	562,056
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	318,421,262	350,785,344
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 903,915
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	489,365,471	577,663,151
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	809,948,944	929,010,551
19	Revenue less expenses. Subtract line 18 from line 12.......	146,001,061	73,434,486
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,324,429,059	1,468,388,986
21	Total liabilities (Part X, line 26).............	737,154,466	777,324,052
22	Net assets or fund balances. Subtract line 21 from line 20.....	587,274,593	691,064,934

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 752,601,503 including grants of $ 562,056 ) (Revenue $ 968,609,887 )
	PATIENT CARE: THE MEDICAL CENTER PROVIDES ACUTE-CARE MEDICAL SERVICES FOR PATIENTS BEING TREATED FOR SOME FORM OF CANCER, INCLUDING LEUKEMIA AND LYMPHOMA, COLORECTAL, PROSTATE, GYNECOLOGIC AND BREAST CANCERS. ALL PATIENTS TREATED AT THE MEDICAL CENTER BENEFIT FROM THE LATEST TECHNOLOGIES INCLUDING THOSE DERIVED FROM TRANSLATIONAL MEDICINE, ACHIEVED BY COLLABORATION BETWEEN MEMBERS OF THE PATIENT CARE TEAMS AND THE SCIENTIFIC AND BENCH RESEARCH ACTIVITIES PERFORMED THROUGHOUT THE ORGANIZATION. CONTINUED ON SCHEDULE O, PART III, LINE 4A

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	RESEARCH: THE MEDICAL CENTER FUNDS A VARIETY OF CLINICAL AND LABORATORY RESEARCH ACTIVITIES FOCUSED ON FINDING CURES AND TREATMENTS FOR CANCER AND OTHER LIFE-THREATENING DISEASES FOR WHICH GRANT AND EXTRAMURAL FUNDING IS NOT AVAILABLE. COUPLED WITH THE BECKMAN RESEARCH INSTITUTE, THE MEDICAL CENTER HAS A LONG HISTORY OF SIGNIFICANT RESEARCH CONTRIBUTIONS IN CANCER TREATMENT THERAPIES, DIABETES AND OTHER DISEASES. CONTINUED ON SCHEDULE O, PART III, LINE 4B

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	PUBLIC INFORMATION AND EDUCATION: THE MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY THROUGH EDUCATION AND SUPPORT SERVICES TO INFORM AND EDUCATE THE PUBLIC THROUGH CANCER AWARENESS PROGRAMS, HEALTH EVENTS AND EDUCATIONAL FORUMS FOR COMMUNITY GROUPS AND BUSINESSES. CONTINUED ON SCHEDULE O, PART III, LINE 4C

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses752,601,503

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	5,311,593	9,694,359	2,105,168

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	9,636,758
e	Government grants (contributions)		1e	133,021

f	All other contributions, gifts, grants, and similar amounts not included above		1f	267,399

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		10,037,178

			Business Code
2a	NET PATIENT REVENUE	621110	947,876,578	947,876,578
b	RESEARCH/CLINICAL TRIAL REVENUE	621110	14,972,467	14,972,467
c	OTHER EXEMPT FUNCTION REVENUES	621110	3,966,911	3,966,911
d	OTHER PATIENT ANCILLARY REVENUES	621110	1,793,931	1,793,931
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			968,609,887

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			18,602,449			18,602,449
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			595,729			595,729
		(ii) Personal	(i) Real
6a	Gross rents		36,000
b	Less: rental expenses
c	Rental income or (loss)	0	36,000
d	Net rental income or (loss)......			36,000			36,000
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		98,378,415
b	Less: cost or other basis and sales expenses		100,130,739
c	Gain or (loss)		-1,752,324
d	Net gain or (loss).....			-1,752,324			-1,752,324
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	CAFETERIA SALES		900099	2,864,268			2,864,268
b	SPECIALIZED LAB TESTING REVENUE		621500	2,736,889		2,736,889
c	INVESTMENT INCOME FROM K-1		525990	-860,706		-860,706
d	All other revenue ....			1,575,667			1,575,667
e	Total. Add lines 11a–11d ......			6,316,118
12	Total revenue. See Instructions......			1,002,445,037	968,609,887	1,876,183	21,921,789

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	562,056	562,056
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	3,193,599	1,234,362	1,869,742	89,495
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	368,090		368,090
7	Other salaries and wages	282,197,065	233,687,175	48,329,343	180,547
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	11,853,808	9,608,523	2,236,208	9,077
9	Other employee benefits .......	33,094,302	26,385,920	6,681,764	26,618
10	Payroll taxes ...........	20,078,480	16,593,657	3,466,071	18,752
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	4,972,382		4,972,382
c	Accounting ...........	870,414		870,414
d	Lobbying ...........	310,456		310,456
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	1,774,710		1,774,710
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	139,689,257	80,973,540	58,245,956	469,761
12	Advertising and promotion ....	17,519,894	1,229,848	16,290,046
13	Office expenses .......	33,250,432	24,421,854	8,823,054	5,524
14	Information technology ......	14,527,439	6,220,086	8,307,353
15	Royalties ..	40,194	40,194
16	Occupancy ...........	5,944,305	5,596,785	341,680	5,840
17	Travel ............	2,150,775	1,384,121	766,649	5
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	1,363,361	841,008	522,353
20	Interest ...........	27,016,840	23,907,452	3,081,487	27,901
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	74,238,746	68,587,643	5,583,257	67,846
23	Insurance ...	1,665,132	1,534,012	129,347	1,773
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL/PHARMACY SUPPLIES	230,021,617	230,021,617
b	HOSPITAL PROVIDER FEE	13,983,940	13,983,940
c	BAD DEBT	2,870,318	2,870,318
d	TAXES AND LICENSES	707,165	345,692	361,278	195
e	All other expenses	4,745,774	2,571,700	2,173,493	581
25	Total functional expenses. Add lines 1 through 24e	929,010,551	752,601,503	175,505,133	903,915
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			67,651,945	1	60,314,528
2	Savings and temporary cash investments .........			6,348,137	2	2,463,174
3	Pledges and grants receivable, net ......			29,388,747	3	39,659,668
4	Accounts receivable, net .............			181,673,466	4	218,410,464
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net ....			34,839	7	493,750
8	Inventories for sale or use ........			10,617,706	8	13,892,031
9	Prepaid expenses and deferred charges ......			6,251,993	9	7,111,438
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	978,054,562
b	Less: accumulated depreciation	10b	552,447,606	426,458,577	10c	425,606,956
11	Investments—publicly traded securities .			369,515,229	11	439,486,253
12	Investments—other securities. See Part IV, line 11 .....			192,961,982	12	220,553,719
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			33,526,438	15	40,397,005
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,324,429,059	16	1,468,388,986

17	Accounts payable and accrued expenses .....	86,798,061	17	131,971,544
18	Grants payable ...	0	18	0
19	Deferred revenue .........	62,353	19	124,007
20	Tax-exempt bond liabilities .........	240,152,715	20	235,504,214
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	300,000,000	23	300,000,000
24	Unsecured notes and loans payable to unrelated third parties ..	35,695,746	24	34,144,402
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	74,445,591	25	75,579,885
26	Total liabilities. Add lines 17 through 25..	737,154,466	26	777,324,052

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	587,274,593	27	691,064,934
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	587,274,593	33	691,064,934
34	Total liabilities and net assets/fund balances ........	1,324,429,059	34	1,468,388,986

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CITY OF HOPE 1500 EAST DUARTE ROAD DUARTE,CA91010 95-3435919	FUNDRAISING	CA	501(c)(3)	7	NA		No
(2)BECKMAN RESEARCH INSTITUTE 1450 EAST DUARTE ROAD DUARTE,CA91010 95-3432210	RESEARCH	CA	501(c)(3)	4	CITY OF HOPE	Yes
(3)CITY OF HOPE MEDICAL FOUNDATION 1500 EAST DUARTE ROAD DUARTE,CA91010 27-4803222	HEALTHCARE	CA	501(c)(3)	3	City of Hope	Yes

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE	L	28,069,068	FMV
(2) BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE	M	1,021,006	FMV
(3) BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE	O	22,196,741	FMV
(4) BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE	P	8,096,977	FMV
(5) BECKMAN RESEARCH INSTITUTE OF CITY OF HOPE	Q	33,958,114	FMV
(6) CITY OF HOPE MEDICAL FOUNDATION	L	3,835,995	FMV
(7) CITY OF HOPE MEDICAL FOUNDATION	M	57,905,338	FMV
(8) CITY OF HOPE MEDICAL FOUNDATION	O	5,864,850	FMV
(9) CITY OF HOPE MEDICAL FOUNDATION	P	2,996,583	FMV
(10) CITY OF HOPE MEDICAL FOUNDATION	Q	6,627,761	FMV

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No