4A (Expenses $ 1414197539 including grants of $ 9087246) (Revenue $ 1858536429)
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. SINCE 1976, MORE THAN 18,000 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 AND PROSTATE 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 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 MEDI-CAL AND MEDICARE.

4B (Expenses $ 214309068 including grants of $ 0) (Revenue $ 56885630)
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. THE MEDICAL CENTER CONDUCTS MORE THAN 800 CLINICAL TRIALS ANNUALLY, ENROLLING NEARLY 1 IN 4 PATIENTS. 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. THE MEDICAL CENTER IS ALSO MAKING MAJOR CONTRIBUTIONS TO THE STUDY OF HIV/AIDS THROUGH RESEARCH INTO HOW TO STOP THE VIRUS' INFECTION OF CELLS. THE MEDICAL CENTER PROVIDES INSTITUTIONALLY FUNDED RESEARCH GRANTS TO DEVELOP NOVEL IDEAS THAT HAVE NOT YET REACHED A MATURITY LEVEL NECESSARY TO SECURE EXTRAMURAL FUNDING. MEDICAL CENTER FACULTY AND STAFF SERVE AS CONTRIBUTORY MEMBERS FOR NATIONAL POLICY AND REGULATORY ORGANIZATIONS AND ADVISORY COMMITTEES. THEY ALSO PROVIDE THEIR EXPERTISE TO REVIEW GRANT APPLICATIONS FOR STATE AND FEDERAL AGENCIES AND SERVE AS MEMBERS OF EDITORIAL BOARDS FOR PROFESSIONAL PUBLICATIONS. THE MEDICAL CENTER'S DEPARTMENT OF POPULATION SCIENCES ALSO REACHES OUT AND SEEKS TO REDUCE THE BURDEN OF CANCER ACROSS ALL POPULATIONS THROUGH COLLABORATIVE PROGRAMS IN CARE, RESEARCH AND EDUCATION. SEEKING TO UNDERSTAND THE CAUSES AND RISKS OF CANCER AND DISPARITIES IN CANCER OUTCOMES IN VARIOUS POPULATIONS, POPULATION SCIENCE PERSONNEL EXAMINE AND INVESTIGATE GENETIC MARKERS LINKED TO CANCER RISK, SEEKING TO IMPROVE THE QUALITY OF LIFE FOR CANCER SURVIVORS. THROUGH THE CENTER FOR CANCER SURVIVORSHIP, SPECIALIZED, LONG-TERM FOLLOW-UP CARE IS PROVIDED FOR CANCER SURVIVORS, AND ITS CRITICAL RESEARCH IS SHARED WITH OTHER INSTITUTIONS.

4C (Expenses $ 33551423 including grants of $ 173200) (Revenue $ 806652)
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. 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.

Schedule H, Part V, Section B, Line 3E
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

Schedule H, Part V, Section B, Line 5 Facility , 1
"Facility , 1 - City of Hope National Medical Center. OUR 2022 CHNA WAS DONE IN COLLABORATION WITH FIVE NON-PROFIT HOSPITALS IN THE SAN GABRIEL VALLEY: CITY OF HOPE, HUNTINGTON HOSPITAL, METHODIST-ARCADIA, QUEEN OF THE VALLEY AND CITRUS VALLEY - BOTH OF EMANATE HEALTH. THIS COLLABORATION IS OF SIGNIFICANCE BECAUSE IT IS THE FIRST TIME ONE SUCH ASSESSMENT HAS BEEN CONDUCTED IN THE SAN GABRIEL VALLEY. MORE IMPORTANTLY, NOT ONLY WERE THEY ABLE TO REDUCE DUPLICATION OF FOCUS GROUPS, THEY ALSO INCREASED THE DIVERSITY OF THESE GROUPS TO PROVIDE RICHER FEEDBACK FROM THE COMMUNITY REGARDING SIGNIFICANT HEALTH NEEDS. THE HOSPITALS HAVE ALSO COMMITTED TO WORKING TOGETHER ON THREE IMPORTANT ISSUES IMPACTING OUR MOST VULNERABLE COMMUNITIES OVER THE NEXT THREE YEARS: FOOD INSECURITY, HOUSING INSECURITY AND MENTAL HEALTH. MUCH OF THE REPORT PROVIDES DATA ON VARIOUS HEALTH INDICATORS AT THE STATE AND LOS ANGELES COUNTY LEVEL. WHENEVER POSSIBLE, WE GATHERED DATA FOR THE SPECIFIC CITIES LOCATED WITHIN THE SAN GABRIEL VALLEY. FOR EXAMPLE, IF YOU WANT TO LEARN WHICH CITIES HAVE THE HIGHEST PERCENTAGE OF RESIDENTS GRADUATING FROM HIGH SCHOOL, YOU CAN SIMPLY GO TO THE SECTION ON EDUCATIONAL ATTAINMENT AND LOCATE THE TABLE WITH GRADUATION RATES. WE HAVE DONE THE SAME FOR EACH OF THE KEY INDICATORS FOR WHICH THE DATA WAS AVAILABLE. SINCE CITY OF HOPE CONSIDERS LOS ANGELES, ORANGE, SAN BERNARDINO, RIVERSIDE AND VENTURA AS PART OF OUR LARGER SERVICE AREA, WE HAVE INCLUDED DATA ON THOSE COUNTIES. THE CHNA INCLUDED DEVELOPMENT OF A DEMOGRAPHIC AND HEALTH STATUS PROFILE OF THE COMMUNITY AND CONSULTATIONS WITH COMMUNITY REPRESENTATIVES REGARDING HEALTH NEEDS. BOTH PRIMARY DATA VIA COMMUNITY INPUT AND SECONDARY DATA WERE COLLECTED TO INFORM COMMUNITY HEALTH PRIORITIES AND NEEDS, AS WELL AS ASSETS AND GAPS IN RESOURCES. THIS DATA ALSO HELPS DRAW A PICTURE OF WHAT LIFE IS LIKE FOR RESIDENTS OF THAT COMMUNITY. SECONDARY DATA COLLECTION SECONDARY DATA IS A HIGHER LEVEL OF DATA THAT CAN PINPOINT PARTICULAR DISEASES AND CONDITIONS THAT IMPACT CITIZENS AT DIFFERENT GEOGRAPHIC LEVELS SUCH AS CITY, COUNTY, STATE, NATIONAL AND WORLD. KNOWING SECONDARY DATA CAN HELP AN ORGANIZATION TARGET PROGRAMS AND SERVICES DIRECTLY TO COMMUNITIES THAT ARE IMPACTED THE MOST. HOWEVER, SECONDARY DATA CAN OFTEN BE IMPERSONAL - IT WILL NOT NECESSARILY TELL YOU WHY CERTAIN HEALTH OR SOCIAL CONDITIONS EXIST. SECONDARY DATA IS LIKE A BLACK-AND-WHITE PICTURE. IT TELLS YOU A LOT ABOUT A COMMUNITY, BUT IT IS TWO-DIMENSIONAL. PRIMARY DATA FLESHES OUT THE PICTURE WITH COLOR AND DETAIL. SECONDARY DATA IS COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH ACCESS, LEADING CAUSES OF DEATH, CANCER INCIDENCE AND MORTALITY, CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH AND SUBSTANCE ABUSE. THE SOURCES OF DATA WE USED FOR THIS CHNA INCLUDED U.S. CENSUS AMERICAN COMMUNITY SURVEY, COUNTY HEALTH RANKINGS ROADMAPS, CALIFORNIA HEALTH INTERVIEW SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA DEPARTMENT OF FINANCE, CALIFORNIA'S OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT, CALIFORNIA DEPARTMENT OF JUSTICE, CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT, COMMUNITY COMMONS, CALIFORNIA CANCER REGISTRY, CALIFORNIA DEPARTMENT OF EDUCATION AND LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, AMONG OTHERS. WHEN PERTINENT, THESE DATA SETS ARE PRESENTED IN THE CONTEXT OF THE STATE OF CALIFORNIA, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. SECONDARY DATA FOR THE HOSPITAL SERVICE AREA WAS COLLECTED AND DOCUMENTED IN DATA TABLES WITH NARRATIVE EXPLANATIONS. THE TABLES INCLUDE THE DATA INDICATOR, THE GEOGRAPHIC AREA REPRESENTED, THE DATA MEASUREMENT (E.G., RATE, NUMBER, OR PERCENT), COUNTY AND STATE COMPARISONS (WHEN AVAILABLE), DATA SOURCE, DATA YEAR AND AN ELECTRONIC LINK TO THE DATA SOURCE. THE REPORT INCLUDES BENCHMARK COMPARISON DATA THAT MEASURES MERCY DATA FINDINGS WITH HEALTHY PEOPLE 2020 OBJECTIVES. HEALTHY PEOPLE 2020 IS A NATIONAL INITIATIVE TO IMPROVE PUBLIC HEALTH BY PROVIDING MEASURABLE OBJECTIVES AND GOALS THAT ARE APPLICABLE AT NATIONAL, STATE AND LOCAL LEVELS. PRIMARY DATA COLLECTION IN COLLECTING PRIMARY DATA, YOU ENTER A COMMUNITY AND ASK THE RESIDENTS HOW A PARTICULAR HEALTH OR SOCIAL ISSUE IMPACTS THEM. THIS TYPE OF INFORMATION - WHICH IS OFTEN MORE SIGNIFICANT THAN A ""LEADING CAUSE OF DEATH"" - CAN HELP YOU DESIGN A PROGRAM OR SERVICES TO ELIMINATE BARRIERS DECREASING QUALITY OF LIFE FOR THAT GROUP. YOU MAY FIND LANGUAGE, LACK OF TRANSPORTATION, POVERTY, CRIME AND/OR LOCATION OF HOUSING ARE THE REASONS WHY A HEALTH ISSUE IS MORE PREVALENT IN A COMMUNITY. PRIMARY DATA CAN BE GATHERED DIRECTLY THROUGH FOCUS GROUPS, INTERVIEWS AND TARGETED SURVEYS. WHEN AN ORGANIZATION IS ABLE TO ADDRESS THE MOST PRESSING ISSUES - THE ROOT CAUSES OF HEALTH INEQUITIES - THE PATH TO PREVENTING OR ELIMINATING A LEADING CAUSE OF DEATH BECOMES CLEARER. THE FOLLOWING SECTIONS WILL INTRODUCE YOU TO THE TYPES OF METHODS USED TO LEARN MORE ABOUT CITY OF HOPE'S COMMUNITY AND ADD COLOR TO YOUR OWN PICTURE OF HEALTH AND WELLNESS IN THE SAN GABRIEL VALLEY. ANALYSIS OF SECONDARY DATA YIELDED A PRELIMINARY LIST OF SIGNIFICANT HEALTH NEEDS, WHICH THEN INFORMED PRIMARY DATA COLLECTION. THE PRIMARY DATA COLLECTION PROCESS WAS DESIGNED TO VALIDATE SECONDARY DATA FINDINGS, IDENTIFY ADDITIONAL COMMUNITY ISSUES, SOLICIT INFORMATION ON DISPARITIES AMONG SUBPOPULATIONS, ASCERTAIN COMMUNITY ASSETS TO ADDRESS NEEDS AND DISCOVER GAPS IN RESOURCES. FOR THIS CHNA, WE OBTAINED INFORMATION THROUGH FOCUS GROUPS; A COMMUNITY SURVEY; AND INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS, PUBLIC HEALTH AND SERVICE PROVIDERS, MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, AND INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. FOCUS GROUPS PRIMARY DATA WAS COLLECTED THROUGH FOUR FOCUS GROUPS THAT REACHED 37 PERSONS. THE FOCUS GROUPS TOOK PLACE FROM JULY TO OCTOBER 2022. CITY OF HOPE PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS TO ASSIST WITH OUTREACH AND RECRUITMENT OF PARTICIPANTS. THE ORGANIZATIONS ENGAGED RESIDENTS TO PARTICIPATE IN THE FOCUS GROUPS BY USING THE METHOD THEY KNEW TO BE MOST EFFECTIVE. ORGANIZATIONS PARTICIPATING IN FOCUS GROUPS ARE BELOW: -AZUSA SENIOR CENTER -EMANATE HEALTH -HERALD CHRISTIAN HEALTH CENTER INTERVIEWS INTERVIEWS WITH KEY STAKEHOLDERS PROVIDED OPPORTUNITIES TO GATHER IN-DEPTH INSIGHTS FROM EXPERTS IN PARTICULAR SUBFIELDS OF PUBLIC HEALTH AND SOCIAL SERVICES IN TARGETED COMMUNITIES. CITY OF HOPE CONDUCTED 38 TELEPHONE INTERVIEWS, WHICH WERE COMPLETED DURING JULY TO OCTOBER 2022. PARTICIPANTS IN THE INTERVIEWS INCLUDED THE FOLLOWING ORGANIZATIONS: -ALHAMBRA POLICE DEPARTMENT -AMERICAN HEART ASSOCIATION -ASIAN YOUTH CENTER -AZUSA PACIFIC UNIVERSITY -AZUSA SENIOR CENTER -CHAPCARE MEDICAL AND DENTAL HEALTH CENTER -CITY OF AZUSA -CITY OF PASADENA HOUSING DEPARTMENT -CITY OF PASADENA OUTREACH RESPONSE TEAM -CITY OF PASADENA, PUBLIC HEALTH DEPARTMENT -CLAREMONT HILLEL -FOOTHILL UNITY CENTER, INC. -FRIENDS IN DEED -HEALTH CONSORTIUM OF GREATER SAN GABRIEL VALLEY -HERALD CHRISTIAN HEALTH CENTER -LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES, SAN GABRIEL VALLEY HEALTH CENTER GROUP -LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH -MAJESTIC REALTY -PACIFIC CLINICS -PALS FOR HEALTH -PASADENA JOB CENTER, NATIONAL DAY LABORER ORGANIZING NETWORK (NDLON) -PASADENA NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP) -PASADENA OUTREACH RESPONSE TEAM -PASADENA UNIFIED SCHOOL DISTRICT -PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY -ROSE CITY HIGH SCHOOL, PASADENA UNIFIED SCHOOL DISTRICT -SAN GABRIEL VALLEY DENTAL SOCIETY -SPIRITT FAMILY SERVICES -UNION STATION HOMELESS SERVICES AND PASADENA POLICE DEPARTMENT, HOMELESS OUTREACH PSYCHIATRIC EVALUATION (HOPE) TEAM -VIETNAMESE AMERICAN CANCER FOUNDATION -WALTER LEE WILMORE FOUNDATION -YOUNG AND HEALTH TINY TEETH PROGRAM -YWCA OF SAN GABRIEL VALLEY DATA LIMITATIONS AND GAPS THE SECONDARY DATA ALLOWS FOR AN EXAMINATION OF THE BROAD HEALTH NEEDS WITHIN A COMMUNITY. HOWEVER, THERE ARE SOME LIMITATIONS WITH REGARD TO THIS DATA: 1. DATA WERE NOT ALWAYS AVAILABLE AT THE ZIP CODE LEVEL, SO COUNTY LEVEL DATA AS WELL AS SPA LEVEL DATA WERE UTILIZED. 2. DISAGGREGATED DATA FOR AGE, ETHNICITY, RACE AND GENDER ARE NOT AVAILABLE FOR ALL DATA INDICATORS, WHICH LIMITED THE EXAMINATION OF DISPARITIES OF HEALTH ISSUES WITHIN THE COMMUNITY. 3. AT TIMES, A STAKEHOLDER-IDENTIFIED HEALTH ISSUE MAY NOT HAVE BEEN REFLECTED BY THE SECONDARY DATA INDICATORS. 4. DATA ARE NOT ALWAYS COLLECTED ON AN ANNUAL BASIS, MEANING THAT SOME DATA IS SEVERAL YEARS OLD."

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - City of Hope National Medical Center. HUNTINGTON HOSPITAL, METHODIST - ARCADIA, QUEEN OF THE VALLEY AND CITRUS VALLEY - BOTH OF EMANATE HEALTH.

Schedule H, Part V, Section B, Line 11 Facility , 1
"Facility , 1 - City of Hope National Medical Center. OUR COMMUNITY BENEFIT ADVISORY COUNCIL (CBAC) MET ON DECEMBER 7, 2022, TO IDENTIFY THE TOP HEALTH NEEDS THAT NEED TO BE PRIORITIZED OVER THE NEXT THREE YEARS. BASED ON FINDINGS FROM THE PRIMARY AND SECONDARY DATA COLLECTIONS, PARTICIPANTS LEARNED ABOUT THE IDENTIFIED HEALTH NEEDS WITHIN CITY OF HOPE'S COMMUNITY SERVICE AREAS. AFTER THE DATA PRESENTATION, EVERYONE WAS INSTRUCTED TO RATE THESE LEADING INDICATORS IN RELATIONSHIP TO SERIOUSNESS, SIZE OF PROBLEM (NUMBER OF PEOPLE IMPACTED), TRENDS, EQUITY, FEASIBILITY, VALUE, CONSEQUENCE OF INACTION, SOCIAL DETERMINANTS/ROOT CAUSES AND EFFECTIVE STRATEGIES TO ADDRESS PROBLEM. THEN THEY WERE INSTRUCTED TO REPRESENT THEIR PRIORITIES BY PLACING COLORED DOTS ON THE CHARTS. RED #1, BLUE #2, GREEN #3 AND YELLOW #4. PEOPLE WERE ALSO INVITED TO ELABORATE ON THEIR PRIORITIZED ISSUES WITH COMMENTS THAT CAN HELP US SHAPE THE OVERALL STRATEGIES FOR THE 2022 IMPLEMENTATION STRATEGY. RESULTS WERE AS FOLLOWS: 2022 PRIORITIZED HEALTH NEEDS RANK HEALTH NEEDS 1. SOCIAL DETERMINANTS OF HEALTH 2. HEALTH ACCESS 3. MENTAL HEALTH 4. CANCER IT IS IMPORTANT TO KNOW THAT WHILE THERE WERE EIGHT IDENTIFIED AREAS OF NEED, THOSE SCHOOLED IN PUBLIC HEALTH LANGUAGE WILL SEE THAT THE CBAC COMBINED TOPICS BECAUSE THEY FELT THAT THE ROOT CAUSES AND SHARED RISK FACTORS WERE SIMILAR, AND BY ADDRESSING THEM COLLECTIVELY RATHER THAN INDIVIDUALLY WE COULD HAVE A GREATER IMPACT. ACCORDING TO THE HEALTHY PEOPLE 2030 DEFINITION OF SOCIAL DETERMINANTS OF HEALTH (SDOH), THEY ""ARE THE CONDITIONS IN THE ENVIRONMENTS WHERE PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP AND AGE THAT AFFECTS A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY-OF-LIFE OUTCOMES AND RISKS."" OUR ADVISORY COUNCIL MEMBERS EMPHASIZED THAT WE NEED TO ""LOOK AT THE INTERSECTIONS OF THE SDOH RISK FACTORS IN ORDER TO CREATE SOLUTIONS AND MAKE AN IMPACT IN OUR VULNERABLE COMMUNITIES."" WITH THIS BEING SAID, WE CANNOT SIMPLY ADDRESS ONE ISSUE. OUR STRATEGY FOR THE NEXT SEVERAL YEARS WILL BE TO FIND THOSE INTERSECTIONS, INTEGRATE THE WORK, WORK MORE DEEPLY WITH CROSS-DISCIPLINARY PARTNERS AND CREATE TANGIBLE DELIVERABLES. WHILE THE READER SEES ONLY FOUR PRIORITY AREAS, WITH OUR WORK THROUGH THE INTERSECTIONS, WE ARE, IN FACT, ADDRESSING ALL EIGHT. AS ONE CBAC MEMBER SUGGESTED, ""THE INTERSECTIONS ARE WHERE THE MAGIC HAPPENS."" IMPACT EVALUATION OF PRIORITIES IDENTIFIED IN THE LAST ASSESSMENT CITY OF HOPE CONDUCTED ITS PREVIOUS CHNA IN 2019. SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED FROM ISSUES SUPPORTED BY PRIMARY AND SECONDARY DATA SOURCES GATHERED FOR THE CHNA. IN DEVELOPING THE HOSPITAL'S IMPLEMENTATION STRATEGY RESULTING FROM THE 2020-2023 CHNA, CITY OF HOPE CHOSE TO ADDRESS ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE, ECONOMIC AND HOUSING INSECURITY, CHRONIC DISEASE AND CANCER PREVENTION. AN EVALUATION OF THE IMPACT OF THE ACTIONS CITY OF HOPE TOOK TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN APPENDIX D OF THE 2022 CHNA."

Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care
ALL SELF PAY AND UNINSURED 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. THE DISCOUNT IS BASED ON A SET OF SPECIFIC QUALIFICATIONS, REGARDLESS OF THE SERVICES PROVIDED OR THE SETTING WHERE RENDERED TO THE RESPECTIVE PATIENT. SELF-PAY, UNINSURED AND UNDERINSURED PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT THE MEDICAL CENTER FOR CHARITY CARE (FREE CARE). ELIGIBILITY FOR CHARITY CARE IS BASED ON A SET OF SPECIFIC QUALIFICATIONS FOR SERVICES PROVIDED AT THE MEDICAL CENTER. THE MEDICAL CENTER ALSO SUBSIDIZES CARE FOR PATIENTS COVERED BY THE MEDI-CAL AND MEDICARE PROGRAMS.

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
COMMUNITY BENEFIT DATA FOR THE MEDICAL CENTER IS INCLUDED IN CITY OF HOPE'S (95-3435919) COMMUNITY BENEFIT REPORT.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
"Schedule H, Part I, Lines 7a-7d 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 OR ""QUALITY ASSURANCE FEE"" (QA FEE) PAID BY PARTICIPATING HOSPITALS, AND THE MEDI-CAL HOSPITAL PROVIDER STABILIZATION ACT GOVERNS SUPPLEMENTAL MEDI-CAL PAYMENTS (SUPPLEMENTAL PAYMENTS) MADE TO PROVIDERS FROM THE FUND. HOSPITAL PARTICIPATION IS MANDATORY, WITH LIMITED EXCEPTIONS. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2022 THE MEDICAL CENTER MADE PAYMENTS TO THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES (DHCS) FOR THE QA FEE IN THE AMOUNT OF $26,493,440, CHFT IN THE AMOUNT OF $587,246, AND RECORDED AS REVENUE $85,953,787 IN SUPPLEMENTAL PAYMENTS. THE PAYMENTS AND REVENUES PERTAINED TO THE APPROVED PERIODS FROM July 1, 2019 THROUGH December 31, 2021. THE QA FEE IN THE AMOUNT OF $26,493,440 HAS BEEN INCLUDED IN SCHEDULE H, PART I, LINE 7B, COLUMN (C), TOTAL COMMUNITY BENEFIT EXPENSE. THE SUPPLEMENTAL PAYMENTS TOTALING $85,953,787 HAVE BEEN INCLUDED IN SCHEDULE H, PART I, LINE 7B, COLUMN (D), DIRECT OFFSETTING REVENUE. EXCLUDING THE EFFECTS OF THE PROGRAM ON FISCAL YEAR 2022 SCHEDULE H, PART I, LINE 7B, COLUMN (E) NET COMMUNITY BENEFIT EXPENSE WOULD HAVE BEEN EQUAL TO $49,340,608 OR 2.43% OF TOTAL EXPENSE. THIS WOULD HAVE INCREASED LINE 7K, COLUMN (F), TO 9.09%. CITY OF HOPE CONTINUES TO MAINTAIN A STRONG COMMITMENT TO CARING FOR ALL MEMBERS OF THE COMMUNITY, ESPECIALLY THE VULNERABLE. Schedule H, Part I, Lines 7e-7f 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 2022. 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. IN ADDITION TO THE MEDICAL CENTER'S COMMUNITY BENEFIT FROM RESEARCH ENDEAVORS, THE BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE AND THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE ALSO CONTRIBUTED TO THE COMMUNITY A COMBINED $290,988,779 OF INTERNALLY FUNDED RESEARCH DURING FISCAL YEAR 2022. THIS AMOUNT HAS NOT BEEN INCLUDED IN THE TOTALS ON SCHEDULE H, PART I, LINE 7. Schedule H, Part I, Line 7I CASH AND IN-KIND CONTRIBUTIONS MADE BY THE MEDICAL CENTER DURING FISCAL YEAR 2022 ARE AS FOLLOWS: CALIFORNIA HEALTH FOUNDATION AND TRUST - $587,246 MEMBERSHIPS - $49,656 HEALTH CONSORTIUM OF SAN GABRIEL VALLEY - HEALTHY SGV GRANT - $10,000 TOTAL CASH AND IN-KIND DONATIONS - $646,902 CHA GUIDELINES FROM 2022 WERE USED TO DETERMINE WHETHER ACTIVITIES ARE QUALIFIED AS COMMUNITY BENEFITS."

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
CITY OF HOPE'S POLICY INCLUDES THE EVALUATION OF A PATIENT'S ABILITY TO PAY. THE ALLOWANCES FOR CONTRACTUAL DISCOUNTS AND UNCOLLECTIBLE ACCOUNTS HAVE BEEN DETERMINED BASED ON HISTORICAL COLLECTION DATA AND OTHER FACTORS, INCLUDING CHANGES TO CONTRACT TERMS. AS A RESULT OF CERTAIN CHANGES REQUIRED BY ASU 2014-09, THE MAJORITY OF CITY OF HOPE'S PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE INSTEAD OF BEING PRESENTED AS A COMPONENT OF EXPENSES ON THE CONSOLIDATED STATEMENTS OF ACTIVITIES FOR THE YEAR ENDED SEPTEMBER 30, 2022. THE ADOPTION OF ASU 2014-09 HAD NO MATERIAL IMPACT ON CITY OF HOPE'S PATIENT RECEIVABLES. THE TOTAL BAD DEBT EXPENSE INCURRED BY THE MEDICAL CENTER DURING FISCAL YEAR 2022 WAS $1,740,561 WHICH WAS INCLUDED AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUES.

Schedule H, Part V, Section B, Line 16a FAP website
- City of Hope National Medical Center: Line 16a URL: https://www.cityofhope.org/patients/helping-you-with-insurance-billing-and-legal-information;

Schedule H, Part V, Section B, Line 16b FAP Application website
- City of Hope National Medical Center: Line 16b URL: https://www.cityofhope.org/patients/helping-you-with-insurance-billing-and-legal-information;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- City of Hope National Medical Center: Line 16c URL: https://www.cityofhope.org/patients/helping-you-with-insurance-billing-and-legal-information;

Schedule H, Part VI, Line 7 State filing of community benefit report
CA

Schedule H, Part II Community Building Activities
"COMMUNITY BUILDING ACTIVITIES SHOWN ON SCHEDULE H ARE VALUED AT $2,755,958 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 (16 PROGRAMS WERE FUNDED IN 2022 AND INCLUDES TWO CAPACITY BUILDING GRANTS) AND SCHOOL WELLNESS PROGRAMS THAT INCLUDED THE FARM LAB AT ARROYO HIGH SCHOOL, THE GARDEN OF HOPE , THE KID'S RUN FARMER'S MARKETS, NURSING BURRITO PROJECT, THREE COMMUNITY ORGANIZATIONS WERE FUNDED TO PROVIDE RESOURCES, REFERRALS AND ACCESS TO FOOD PROGRAMS FOR PATIENTS IDENTIFIED WITH FOOD INSECURITY AND FOR HAVING OTHER SOCIAL HEALTH NEEDS, AND THE THE CANCER CARE IS DIFFERENT CAMPAIGN/CANCER PATIENTS BILL OF RIGHTS. IN ADDITION TO PREVENTING DISEASE, UPHOLDING SUSTAINABLE ENVIRONMENTAL PRACTICES AND FOSTERING A BROAD RANGE OF PARTNERSHIPS TO COLLABORATIVELY ADVANCE THE HEALTH OF OUR COMMUNITIES, CITY OF HOPE IS COMMITTED TO INCREASING EDUCATIONAL OPPORTUNITIES THAT CAN LEAD TO CAREERS IN HEALTH CARE FOR UNDERREPRESENTED ETHNIC/CULTURAL GROUPS. HEALTH CARE IS DIVERSE AND COMPLEX. A HEALTHCARE DELIVERY SYSTEM NEEDS SUPPORT ACROSS THE INSTITUTION THAT INCLUDES FOOD AND NUTRITION SERVICES. DURING FISCAL YEAR 2022 WE CONTINUED EXPLORE INTERNSHIP OPPORTUNITIES FOR STUDENTS IN OUR SURROUNDING COMMUNITIES INCLUDING THE RE-VISTING OF WORK EXPERIENCE PROGRAMS THAT WERE POSTPONED DUE TO THE GLOBAL PANDEMIC. ADDITIONALLY, THROUGH OUR WORK WITH THE FARM LAB AT ARROYO HIGH SCHOOL, WE ARE CONTINUING TO WORK WITH THE DISTRICT TO CREATE A ""CAREER TECHNICAL EDUCATION"" PATHWAY FOR STUDENTS TO LEARN MORE ABOUT URBAN FARMING AND FARM-TO-TABLE ENDEAVORS AS WELL AS EXPANDING THE PRESENCE OF URBAN GARDENS AT EACH OF THE HIGH SCHOOLS IN THE DISTRICT. 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 12 LOCAL NON-PROFIT ORGANIZATIONS TO DELIVER INNOVATIVE PROGRAMS THAT ADDRESS ONE OR MORE OF OUR STRATEGIC PRIORITIES AROUND ACCESS TO CARE, HEALTHY LIVING, MENTAL HEALTH, OR CANCER PREVENTION. OUR COMMUNITY BENEFIT ADVISORY COUNCIL MEMBERS MADE THE SELECTIONS AND GRANTED $5,000 TO EACH GROUP. WE ALSO ADDED THE BIGGER ASK HEALTHY LIVING GRANT WHERE TWO ORGANIZATIONS WERE FUNDED AT THE $10,000 AND THE OTHER AT THE $25,000 LEVELS. THE ADDED BONUS - CITY OF HOPE NOW HAS AN OPPORTUNITY TO LEARN MORE ABOUT OUR LOCAL VULNERABLE POPULATIONS AND CAN HELP SUPPORT OUR LOCAL COMMUNITY EFFORTS TOWARD TACKLING HEALTH DISPARITIES IN THE MOST CULTURALLY APPROPRIATE AND SPECIFIC MANNER. LEARN MORE AT: HTTPS://WWW.CITYOFHOPE.ORG/ABOUT-CITY-OF-HOPE/COMMUNITY-OUTREACH/COMMUNITY-BENEFIT/HEALTHY-LIVING-GRANT-PROGRAM BEING A GOOD CITIZEN MEANS BEING SUPPORTIVE OF THE WORK OUR CITIES AND COMMUNITY ORGANIZATIONS DO TO IMPROVE THE LIVES OF THE PEOPLE THEY SERVE. THROUGHOUT 2022 CITY OF HOPE HAS SUPPORTED VIRTUAL MEET VENUES, VIA ZOOM OR TEAMS. ALLOWING THESE ORGANIZATIONS TO CONTINUE TO CONVENE THEIR STAKEHOLDERS OR PROVIDE EDUCATION. THE KINDNESS GRANTS WERE CREATED TO SUPPORT CITY OF HOPE EMPLOYEES WITH GREAT IDEAS, WHO WANT TO DO GOOD IN THEIR COMMUNITY. THE COMMUNITY BENEFIT ADVISORY COUNCIL APPROVED A BUDGET TO SUPPORT THIS ENDEAVOR. FOR FISCAL YEAR 2022 A TOTAL OF SEVEN PROGRAMS WERE FUNDED. THE PROJECTS FUNDED INCLUDED: HS2RN VIRTUAL REALITY CAREER DAYS, A GUIDE TO A HEALTHIER YOU: BLACK HAIR AND SKIN CARE FORUM, TRANSGENDER SHARPS SUPPLY FOR HRT PATIENTS AT PLANNED PARENTHOOD OF PASADENA/SAN GABRIEL VALLEY, THROWS FOR OUR ELDERLY IN CONVALESCENT HOMES, ORANGE COUNTY BLACK HISTORY PARADE AND CULTURAL FAIR, MENTAL HEALTH AWARENESS: BLACK MINDS MATTER, AND A CANCER AWARENESS DAY WITH BLACK CHURCHES IN SOUTH LOS ANGELES. EACH PROGRAM IS DESCRIBED IN DETAIL WITHIN THE FISCAL YEAR 2022 CB REPORT AVAILABLE ONLINE: HTTPS://WWW.CITYOFHOPE.ORG/ABOUT-CITY-OF-HOPE/COMMUNITY-OUTREACH/COMMUNITY -BENEFIT"

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
CITY OF HOPE'S POLICY INCLUDES THE EVALUATION OF A PATIENT'S ABILITY TO PAY. THE ALLOWANCES FOR CONTRACTUAL DISCOUNTS AND UNCOLLECTIBLE ACCOUNTS HAVE BEEN DETERMINED BASED ON HISTORICAL COLLECTION DATA AND OTHER FACTORS, INCLUDING CHANGES TO CONTRACT TERMS. AS A RESULT OF CERTAIN CHANGES REQUIRED BY ASU 2014-09, THE MAJORITY OF CITY OF HOPE'S PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE INSTEAD OF BEING PRESENTED AS A COMPONENT OF EXPENSES ON THE CONSOLIDATED STATEMENTS OF ACTIVITIES FOR THE YEAR ENDED SEPTEMBER 30, 2022. THE ADOPTION OF ASU 2014-09 HAD NO MATERIAL IMPACT ON CITY OF HOPE'S PATIENT RECEIVABLES. THE TOTAL BAD DEBT EXPENSE INCURRED BY THE MEDICAL CENTER DURING FISCAL YEAR 2022 WAS $1,740,561 WHICH WAS INCLUDED AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUES.

Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs
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 33 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. IN ADDITION TO THE MEDICARE SHORTFALL AMOUNT INCLUDED ON SCHEDULE H, PART III, SECTION B, MEDICARE, LINE 7, THE MEDICAL CENTER INCURS ADDITIONAL COSTS IN THE TREATMENT OF MEDICARE PATIENTS FOR WHICH MEDICARE EXCLUDES FROM THE CALCULATION OF ALLOWABLE COSTS. THIS AMOUNT TOTALED APPROXIMATELY $51,331,350 FOR FISCAL YEAR 2022 AND HAS NOT BEEN INCLUDED IN THE TOTALS ON SCHEDULE H, PART III, LINE 7. INCLUDING THE AMOUNT ON SCHEDULE H, PART III, LINE 7, THE TOTAL SHORTFALL THE MEDICAL CENTER INCURS FOR MEDICARE PATIENTS TOTALED APPROXIMATELY $91,024,867. THE MEDICAL CENTER BELIEVES THAT THESE COSTS 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 Collection practices for patients eligible for financial assistance
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 3 Patient education of eligibility for assistance
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 2 Needs assessment
IN ADDITION TO THE TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT, CITY OF HOPE, ON AN ON-GOING BASIS, USES HEALTH STATUS DATA FROM SUCH SOURCES AS THE CALIFORNIA DEPARTMENT OF HEALTH SERVICES, THE LA COUNTY DEPARTMENT OF PUBLIC HEALTH, ECONOMIC DATA FROM THE SAN GABRIEL VALLEY ECONOMIC PARTNERSHIP AND A VARIETY OF PUBLICLY AVAILABLE DATA SETS TO EXPLORE NEED. LAY ADVISORY COUNCILS ARE USED EXTENSIVELY TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS AND GUIDE PROGRAM DEVELOPMENT. OVERSIGHT TO ENSURE CITY OF HOPE'S REPORTABLE COMMUNITY BENEFIT PROGRAMS AND SERVICES ARE TARGETING THE NEEDS IDENTIFIED IN THE 2022 NEEDS ASSESSMENT, THE CBAC WILL MEET AT LEAST FOUR TIMES A YEAR. THE CBAC MEMBERS ARE INDIVIDUALS THAT REPRESENT THE LOCAL COMMUNITY WITH THE FOLLOWING AREAS OF EXPERTISE THAT HELP GUIDE TRANSPARENT COMMUNITY BENEFIT PROGRAMMING. EACH CBAC MEMBER MUST HAVE ONE OF THE FOLLOWING TALENTS AND/OR EXPERIENCES: - RESIDENCE IN A LOCAL COMMUNITY WITH A DISPROPORTIONATE PERCENTAGE OF UNMET HEALTH RELATED NEEDS - KNOWLEDGE AND EXPERTISE IN PRIMARY DISEASE PREVENTION - EXPERIENCE WORKING WITH LOCAL NONPROFIT COMMUNITY-BASED ORGANIZATIONS - KNOWLEDGE AND EXPERTISE IN EPIDEMIOLOGY - EXPERTISE IN THE ANALYSIS OF SERVICE UTILIZATION AND POPULATION HEALTH DATA MEMBERSHIP IN THE CBAC IS MADE UP OF REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: - AMERICAN ASSOCIATION FOR RETIRED PEOPLE - AMERICAN CANCER SOCIETY - ARCADIA METHODIST HOSPITAL - CENTER FOR NON-PROFIT MANAGEMENT - CITY OF AZUSA - RECREATION AND FAMILY SERVICES - CITY OF DUARTE - SENIOR SERVICES - CITY OF PASADENA HEALTH DEPARTMENT - DUARTE UNIFIED SCHOOL DISTRICT - FOOTHILL UNITY CENTER - LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES - REGION SPA 3 - PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY - SET OF LIFE INC. YWCA - SAN GABRIEL VALLEY DURING THE 2022 FISCAL YEAR, THE CO-CHAIRS, MIKI CARPENTER AND PATRICIA DUFF TUCKER CONDUCTED 4 QUARTERLY CBAC MEETINGS. ALL MEETINGS WERE CONVENED VIA A VIRTUAL MEETING ONLINE PLATFORM. DURING THE COURSE OF THIS YEAR THE CBAC WORKED TO REVIEW AND REVISE THE HEALTHY LIVING GRANT PROGRAM, REVIEWED THE CHARTER, AND CONDUCTED SITE VISITS TO THE 2021 HEALTHY LIVING GRANTEES THEY CHOSE TO FUND. CBAC MEMBERS WHO MADE SITE VISITS SUBMITTED WRITTEN AND VERBAL REPORTS ON THEIR EXPERIENCES. ADDITIONALLY, THEY REVIEWED AND CHOSE THE 2022 HEALTHY LIVING GRANTEES AND FISCAL YEAR 2022 KINDNESS GRANTEES. AS IN PREVIOUS YEARS, THE CBAC MEMBERS ATTENDED AND EMCEED THE ANNUAL CONFERENCE AND AWARDS LUNCHEON WHERE THEY PERSONALLY SPOKE ABOUT THE PROJECTS THEY VISITED. THE COMMUNITY BENEFIT DEPARTMENT ALSO ESTABLISHED AN INTERNAL HUB COMPRISED OF CITY OF HOPE STAFF MEMBERS WHO ARE RESPONSIBLE FOR CONTRIBUTING TO COMMUNITY BENEFIT PROGRAMS AND SERVICES. THEY MEET ON A QUARTERLY BASIS TO DISCUSS FEDERAL REPORTING REQUIREMENTS, RECEIVE TECHNICAL ASSISTANCE AND LEARN ABOUT CITY OF HOPE'S PROCESSES FOR ENSURING PROGRAMS ADDRESS PRIORITIES OUTLINED IN THE IMPLEMENTATION STRATEGY. ADDITIONALLY, THIS GROUP HAS AN INTERNAL WEBSITE THAT PROVIDES LINKS TO RESOURCES, COMMUNITY BENEFIT BEST PRACTICES AND INTERNAL TOOLS FOR SHARING AND BUILDING COLLABORATIONS THAT STRENGTHEN THE QUALITY OF STAFF CONTRIBUTIONS. MONITORING AND EVALUATION WE BELIEVE THAT TAKING A BUSINESS APPROACH TO PLANNING AND EVALUATING THE IDENTIFIED INITIATIVES WILL ENSURE THEIR LONG-TERM SUSTAINABILITY. WE REALIZE THAT EVALUATION IS NECESSARY TO MEASURE SUCCESS, AS WELL AS TO IDENTIFY AREAS NEEDING IMPROVEMENT. THE PROCESS CAN RESULT IN MORE EFFECTIVE INITIATIVES. CITY OF HOPE IS WORKING TO IDENTIFY THE BEST METHODS OF MONITORING AND EVALUATING THE IMPACT OF THE INITIATIVES IDENTIFIED IN THIS DOCUMENT. IN ORDER TO EFFICIENTLY DEPLOY RESOURCES AND MAXIMIZE RESULTS, CITY OF HOPE'S ANNUAL BUDGET WILL INCLUDE THE OPERATING FUNDS REQUIRED TO MANAGE, TRACK AND REPORT ON THE OUTCOMES AND IMPACTS OF ALL COMMUNITY BENEFIT PROGRAMS AND INITIATIVES.

Schedule H, Part VI, Line 4 Community information
CITY OF HOPE IS LOCATED IN DUARTE, CALIFORNIA WHICH IS A DIVERSE COMMUNITY OF NEARLY 22,000 IN LOS ANGELES COUNTY. THE CITY OF DUARTE IS A LEADER IN COMMUNITY HEALTH IMPROVEMENT AND A VITAL PARTNER WITH CITY OF HOPE FOR MULTIPLE INITIATIVES. THE MEDICAL CENTER'S PRIMARY SERVICE AREA EXTENDS FAR BEYOND DUARTE TO INCLUDE LOS ANGELES, SAN BERNARDINO, RIVERSIDE, VENTURA AND ORANGE COUNTIES. THERE ARE 21 HOSPITALS WITHIN THE MEDICAL CENTER'S SERVICE AREA. PATIENTS FROM THESE COUNTIES COMPRISE 95 PERCENT OF OUR TOTAL DISCHARGES. CITY OF HOPE'S RESEARCH ACTIVITIES HAVE ADVANCED TREATMENT OF CANCER AND OTHER LIFE-THREATENING DISEASES WORLDWIDE. IN SPA 3, THE HIGHEST POPULATION OF LATINOS IS IN POMONA AND EL MONTE. ALTADENA AND PASADENA HAVE THE HIGHEST CONCENTRATION OF BLACK PEOPLE. ALHAMBRA AND MONTEREY PARK HAVE THE HIGHEST POPULATION OF ASIANS IN SPA 3. AND PASADENA AND SIERRA MADRE ARE WHERE THE MOST RESIDENTS IDENTIFYING AS WHITE RESIDE. NATIVE AMERICANS AND HAWAIIAN/PACIFIC ISLANDERS RESIDE IN HIGHER NUMBERS WITHIN PASADENA, POMONA AND WEST COVINA - A SHIFT FROM THE 2013 TO 2017 DATA SHOWING BALDWIN PARK AND EL MONTE AS CITIES WITH THE HIGHEST POPULATIONS OF NATIVE HAWAIIANS/PACIFIC ISLANDERS AND AMERICAN INDIAN/NATIVE AMERICANS WITHIN SPA 3. THE RACE/ETHNIC BREAKDOWN OF SPA 3 POPULATION IS: 44.7% LATINO, 17.6% WHITE, 31.6% ASIAN AND 3.2% BLACK/AFRICAN AMERICAN. FROM 2017 TO 2020, THERE WAS A SLIGHT DECREASE AMONG THE WHITE POPULATION (19.3% IN 2017) AND AN INCREASE AMONG THE ASIAN POPULATION (29.9% IN 2017). IN 2017, IRWINDALE, LA PUENTE AND SOUTH EL MONTE HAD THE HIGHEST CONCENTRATION OF THE LATINO POPULATION, WITH A RATE OF 93.3%, 84.7% AND 82% RESPECTIVELY. IN 2020, THE THREE CITIES REMAINED HOME TO THE HIGHEST CONCENTRATION OF THE LATINO POPULATION WITH 90.8% IN IRWINDALE, 81.7% IN LA PUENTE AND 79.6% IN SOUTH EL MONTE. THE HIGHEST PROPORTION OF THE WHITE POPULATION IS IN SIERRA MADRE AT 62.5%, SIMILAR TO, THOUGH SLIGHTLY LOWER THAN 2017, WHEN THE SAME PROPORTION STOOD AT 66.6%. THIS RATE HAS DROPPED NEARLY 3% FROM 2013-2017 AND CONTINUED TO DROP FROM 2018-2020 BY ANOTHER 4.1%. THE HIGHEST POPULATION OF ASIANS RESIDE IN WALNUT (67.1%) AND MONTEREY PARK (66%). THE 2020 CENSUS ALSO SHOWS ASIAN POPULATIONS COMPRISING OVER 60% OF THE POPULATION IN NUMEROUS OTHER CITIES INCLUDING WALNUT (67.1%), MONTEREY PARK (66%), ARCADIA (64.6%), ROSEMEAD (64%), TEMPLE CITY (63.5%), SAN GABRIEL (63.4%), ROWLAND HEIGHTS (61.3%) AND SAN MARINO (60.6%). ALTADENA HAD THE HIGHEST CONCENTRATION OF BLACK/AFRICAN AMERICANS IN 2017 (21.7%) AND IN 2020 (16.7%) DESPITE A DECLINE OVER THE THREE-YEAR PERIOD. PASADENA ALSO HAD A HIGHER PROPORTION OF BLACK/AFRICAN AMERICANS (7.8%). IN SPA 3, EIGHT CITIES HAVE POVERTY LEVELS GREATER THAN OR EQUAL THE STATE RATE OF 12.6%. THEY INCLUDE: AZUSA (14.3%), BALDWIN PARK (12.6%), EL MONTE (17.4%), PASADENA (14.0%), POMONA (17.3%), ROSEMEAD (13.5%) AND SOUTH EL MONTE (21.1%). THE FEDERAL GOVERNMENT MEASURES THE NUMBER OF PEOPLE IN POVERTY WITH THRESHOLDS ESTABLISHED AND UPDATED ANNUALLY BY THE U.S. CENSUS (FEDERAL POVERTY LEVEL). IN 2022, THE FEDERAL POVERTY LEVEL FOR AN INDIVIDUAL STOOD AT ANNUAL INCOME OF $13,590 WHILE FOR A FAMILY OF FOUR IT WAS $27,000. IN CALIFORNIA, WHERE THE COST OF LIVING IS HIGH, RESEARCH INDICATES THAT FAMILIES CAN EARN TWO OR MORE TIMES THE FEDERAL POVERTY LEVEL AND STILL STRUGGLE TO MEET THEIR BASIC NEEDS. ONE OF THE KEY DRIVERS OF HEALTH IS EDUCATIONAL ATTAINMENT - LOW LEVELS OF EDUCATION ARE OFTEN LINKED TO POVERTY AND POOR HEALTH . IN SPA 3, 14 CITIES RATE BELOW THE STATE IN THE RATE OF COLLEGE EDUCATED ADULTS, AGES 25 AND OLDER. SOUTH EL MONTE (7.7%) AND LA PUENTE (9.1%) HAVE THE LOWEST RATES OF COLLEGE GRADUATES IN SPA 3. SOUTH EL MONTE AND EL MONTE HAVE THE HIGHEST PERCENTAGE OF THOSE WITH NO HIGH SCHOOL EDUCATION, 29.1% AND 24.5% RESPECTIVELY. THE HIGHEST PERCENTAGE OF RESIDENTS WITH A HIGH SCHOOL DIPLOMA ARE FOUND IN BALDWIN PARK (29.5%), INDUSTRY, (34.8%), LA PUENTE (30.6%) AND VALINDA (30.4%). WALNUT (38.4%) AND SAN MARINO (40.1%) HAVE THE HIGHEST PERCENTAGE OF COLLEGE-EDUCATED ADULTS OVER THE AGE OF 25. SAN MARINO ALSO HAS THE SECOND-HIGHEST HOUSEHOLD MEDIAN INCOME AT $164,423. THOUGH SOUTH EL MONTE HAS THE LOWEST PERCENTAGE OF COLLEGE GRADUATES AND THE HIGHEST PERCENTAGE OF RESIDENTS WITH NO HIGH SCHOOL EDUCATION, THEY HAVE A HIGHER PERCENTAGE OF HIGH SCHOOL GRADUATES (27.3%) THAN THE STATE (20.4%). 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 SOCIAL DETERMINANTS OF HEALTH AND 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 Promotion of community health
"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 2022 COMMUNITY BENEFIT REPORT. ADDITIONALLY, CITY OF HOPE IS DEDICATED TO PROVIDING EDUCATIONAL OPPORTUNITIES TO COMMUNITY PROVIDERS OF HEALTH SERVICES AND WORK FORCE DEVELOPMENT FOR THOSE INDIVIDUALS REPRESENTING MINORITY AND/OR OTHER UNDER-REPRESENTED POPULATIONS. THE MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPOSED OF CITY OF HOPE PHYSICIANS AND MEMBERS OF THE COMMUNITY WITH EXPERIENCE IN THE BUSINESS AND PHILANTHROPIC WORLD. AS ONE OF THE NATION'S 53 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 $117,532,113 IN CLINICAL TRIAL RESEARCH AND EDUCATION/TRAINING PROGRAMS DURING FISCAL YEAR 2022. 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. THE MEDICAL CENTER SERVES AS A RESOURCE FOR YOUNG PHYSICIANS SEEKING TO DEVELOP EXPERTISE IN CANCER, DIABETES AND OTHER DISEASES. RECOGNIZED WORLDWIDE FOR ITS INNOVATIVE APPROACHES TO ADVANCING SCIENCE, THE MEDICAL CENTER OFFERS NUMEROUS HANDS-ON INTERNSHIPS, FELLOWSHIPS AND RESIDENCIES FOR HEALTH PROFESSIONALS IN A BROAD ARRAY OF AREAS INCLUDING CANCER GENETICS, BONE MARROW TRANSPLANTATION, MOLECULAR EPIDEMIOLOGY, PHARMACY, CLINICAL NUTRITION, HOSPITAL ADMINISTRATION, SOCIAL WORK, HEALTH EDUCATION, AND REHABILITATION. PROGRAM ALUMNI GO ON TO PROVIDE HEALTH CARE IN OUR COMMUNITIES. THE DEPARTMENT OF CONTINUING MEDICAL EDUCATION (CME), IN COLLABORATION WITH MANY OF THE DIVISIONS AT THE MEDICAL CENTER, OFFERS EXTRAMURAL, LOCAL, REGIONAL AND NATIONAL OUTREACH PROGRAMS. THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) AWARDED CITY OF HOPE'S CME PROGRAM ITS SECOND CONSECUTIVE ACCREDITATION WITH COMMENDATION IN 2011. ACCME CITED COMPLIANCE IN ALL TWENTY-TWO CRITERIA AND ACCREDITATION POLICIES AND CHARACTERIZED OUR CME PROGRAM AS HAVING ""...DEMONSTRATED AN ENGAGEMENT WITH YOUR ENVIRONMENT IN SUPPORT OF PHYSICIAN LEARNING AND CHANGE THAT IS PART OF A SYSTEM OF QUALITY IMPROVEMENT."" ALTHOUGH CITY OF HOPE PROVIDES SPECIALTY CARE FOR LARGE NUMBERS OF PATIENTS FROM UNDERSERVED POPULATIONS, COMMUNITY PROVIDERS ARE THE FIRST LINE OF CARE FOR DISEASE PREVENTION AND EARLY DETECTION. FAMILY PRACTITIONERS, NURSE PRACTITIONERS AND REGISTERED NURSES ARE CHALLENGED BY THE EXTENT OF KNOWLEDGE THEY MUST HAVE TO TREAT ALL DISEASES IN PATIENTS OF ALL AGES. CITY OF HOPE ASSISTS THESE COMMUNITY CARE PROVIDERS BY PROVIDING THE INFORMATION THEY NEED TO REMAIN CURRENT ON THE DIAGNOSIS, TREATMENT AND PREVENTION OF CANCER AND DIABETES. THIS IS ACCOMPLISHED THROUGH A MULTIPRONGED APPROACH THAT INCLUDES: * ADDRESSING VULNERABLE POPULATIONS IN EVERY CONTINUING MEDICAL EDUCATION LECTURE, EITHER BY PRESENTING RESEARCH OR PROVIDING REFERENCES FOR FOLLOW-UP READING * HOLDING A MONTHLY CME DINNER ON VALUED TOPICS FOR FAMILY PRACTITIONERS RESIDING WITHIN A 30-MILE RADIUS * PROVIDING THE LATEST INFORMATION ON SCREENING GUIDELINES AND CLINICAL TRIALS FREE OF CHARGE ON CITY OF HOPE'S WEBSITE * INVITING AREA PRACTITIONERS TO ATTEND FREE ""ASK THE EXPERTS TALKS"" HELD AT CITY OF HOPE * GIVING LECTURES AT COMMUNITY PRACTICE SITES WITH A LARGE UNDERSERVED POPULATION, INCLUDING ANTELOPE VALLEY AND SOUTH PASADENA * PROVIDING ACCREDITED TALKS ON SUCH TOPICS AS SUPPORTIVE CARE, PALLIATIVE CARE AND HOW TO TALK WITH PATIENTS IN A CULTURALLY SENSITIVE MANNER FOR PHYSICIANS AND NURSES AT MAJOR MEDICAL MEETINGS. THE MEDICAL CENTER OFFERS COMMUNITY EDUCATION FORUMS ON CONTEMPORARY ISSUES SUCH AS HEALTH CARE REFORM, DIABETES, SICKLE CELL DISEASE AND HIV/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 IMPORTANT THINGS WE CAN DO FOR OUR COMMUNITY IS TO BUILD OUR CAPACITY TO CARE FOR PATIENTS WITH UNIQUE NEEDS. THE JOURNEY TO DEVELOP A SUSTAINABLE SYSTEM TO ADDRESS THE FOOD INSECURITY OF OUR PATIENTS, THAT BEGAN IN FY2021 CONTINUED THROUGHOUT FY2022. WORKING IN A CROSS DISCIPLINE APPROACH NEWLY ADMITTED PATIENTS ARE SCREENED FOR FOOD INSECURITY, USING THE HUNGER VITAL SIGNS TWO VALIDATED FOOD INSECURITY QUESTIONS. PATIENTS IDENTIFIED AS ""OFTEN OR ""SOMETIMES"" TO THE QUESTIONS ARE PROVIDED A CONSULTATION WITH THE CITY OF HOPE DIETICIANS, A REFERRAL TO LOCAL FOOD AGENCY FOR MEDICALLY TAILORED MEALS OR RESOURCES, AND PROVIDED AN OPPORTUNITY TO ORDER A 25 LB BAG OF FOOD UPON DISCHARGE. ADDITIONALLY, CITY OF HOPE CONTINUED TO OFFER THE QUARTERLY PRODUCE FOR PATIENTS WHERE CITY OF HOPE EMPLOYEES PROVIDE THE VOLUNTEER LABOR TO SORT AND DISTRIBUTE THE PRODUCE TO SELF-IDENTIFYING FOOD INSECURE PATIENTS. DURING FY2022 12,000LBS OF FRESH PRODUCE WERE PROVIDED TO PATIENTS. CITY OF HOPE CONTINUES TO PARTICIPATE AS A LEADER IN THE SPA3 HOSPITAL COLLABORATIVE'S FOOD FOR ALL PROGRAM WITH THE INTENT TO MAKE REGIONAL IMPACT OF FOOD INSECURITY. 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 Affiliated health care system
"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 CLINICAL NETWORK LOCATIONS IN ANTELOPE VALLEY, ARCADIA, COLTON, BURBANK, CORONA, GLENDALE, GLENDORA, HUNTINGTON MEMORIAL HOSPITAL, MISSION HILLS, NEWPORT BEACH, ORANGE, PASADENA, RIVERSIDE, SAN BERNARDINO, SANTA CLARITA, SANTA MONICA, SHERMAN OAKS, SIMI VALLEY, SOUTH BAY, SOUTH PASADENA, TEMECULA, THOUSAND OAKS, TORRANCE, UPLAND , WEST COVINA, WEST HILLS, WILDOMAR, AND 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. COH HOLDCO (""HOLDCO""), A NONPROFIT DELAWARE CORPORATION OF WHICH CITY OF HOPE IS THE SOLE CORPORATE MEMBER, CONSOLIDATES THE CTCA (Cancer Treatment Centers of America) ENTITIES WHICH WERE ACQUIRED ON FEBRUARY 1, 2022. HOLDCO IS THE PARENT ORGANIZATION OF THE CTCA ENTITIES AND SUPPORTS THE ACTIVITIES OF THREE HOSPITALS, LOCATED IN ARIZONA, GEORGIA, AND ILLINOIS, THAT PROVIDE COMPREHENSIVE CANCER CARE TO PATIENTS, TOGETHER WITH THE ASSOCIATED PHYSICIAN GROUPS, AND OUTPATIENT CLINICS. SINCE CITY OF HOPE'S BECKMAN RESEARCH INSTITUTE IS A SEPARATE CORPORATE ENTITY, THE MYRIAD OF CONTRIBUTIONS TO COMMUNITY WELL-BEING MADE BY BECKMAN RESEARCH INSTITUTE DEPARTMENTS ARE NOT REFLECTED IN THE COMMUNITY BENEFIT VALUES REPORTED ON SCHEDULE H. THE CENTER OF COMMUNITY ALLIANCE FOR RESEARCH AND EDUCATION (CCARE) WITHIN THE BECKMAN RESEARCH INSTITUTE IS THE FOCAL POINT FOR POPULATION SCIENCES COMMUNITY ENGAGEMENT INITIATIVES. CCARE FOCUSES INITIATIVES IN THREE AREAS: 1. PREVENTION - EDUCATION, SCREENING/EARLY DETECTION AND FOLLOW-UP 2. RESEARCH - THERAPEUTIC, NON-THERAPEUTIC AND OBSERVATIONAL; AND 3. TRAINING - EDUCATION AND MENTORING OF STUDENTS, RESEARCHERS, CLINICIANS AND COMMUNITY ADVOCATES CITY OF HOPE'S DIVISION OF NURSING RESEARCH AND EDUCATION, WHICH IS HOUSED WITHIN THE BECKMAN RESEARCH INSTITUTE, CONDUCTS INTERDISCIPLINARY RESEARCH ORGANIZED AROUND THE QUALITY OF LIFE AND SYMPTOM MANAGEMENT OF ONCOLOGY PATIENTS. STUDIES CONDUCTED IN THE DEPARTMENT EXTEND ACROSS THE TRAJECTORY OF DISEASE, FROM DIAGNOSIS AND TREATMENT TO SURVIVORSHIP AND END-OF-LIFE CARE. FINDINGS FROM THIS RESEARCH ARE DISSEMINATED THROUGH MULTIPLE COURSES OFFERED THROUGHOUT THE YEAR TO HEALTH PROFESSIONALS FROM ACROSS THE COUNTRY. THROUGH THE BECKMAN RESEARCH INSTITUTE, CITY OF HOPE OFFERS A PAID 10-WEEK SUMMER RESEARCH INTERNSHIP FOR 50 TO 70 HIGH SCHOOL STUDENTS FROM ALL OVER THE UNITED STATES, WITH 21 INTERNSHIPS RESERVED FOR STUDENTS FROM LOS ANGELES COUNTY. EACH YEAR, AN AVERAGE OF 1,500 APPLICATIONS ARE RECEIVED. THE SAN GABRIEL VALLEY SCIENCE EDUCATION PARTNERSHIP AWARD COLLABORATIVE (SEPAC). SEPAC WAS A PARTNERSHIP BETWEEN CITY OF HOPE AND THE DUARTE UNIFIED SCHOOL DISTRICT THAT WAS SUPPORTED BY A FIVE-YEAR GRANT FROM THE NATIONAL INSTITUTES OF HEALTH. CITY OF HOPE FACULTY, SCIENTISTS AND PRE-DOCTORAL STUDENTS DONATED THEIR SERVICES TO PROVIDE HANDS ON BIOMEDICAL SCIENCE EDUCATION TO 2ND, 5TH AND 8TH GRADERS THROUGHOUT THE ACADEMIC YEAR. THE GOAL OF SEPAC WAS TO INCREASE UNDERSTANDING OF THE CONNECTION BETWEEN SCIENCE AND HEALTH THROUGH FUN, INTERACTIVE, HANDS-ON ACTIVITIES AND TO INCREASE THE PIPELINE OF UNDERREPRESENTED MINORITY STUDENTS PURSUING COLLEGE MAJORS AND CAREERS IN THE SCIENCES AND TECHNOLOGY. MULTIPLE INTERACTIONS PROVIDED OVER THE COURSE OF K-12 SCHOOLING HELP BUILD AND MAINTAIN INTEREST, WHILE PREPARING STUDENTS TO ENTER COLLEGE WITH REAL-WORLD RESEARCH EXPERIENCE."