2025-08-13T23:23:59+00:00 2024-09-30 346565596 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE IRVINE CA 92612 990 2023-10-01 362510771 MIDWESTERN REGIONAL MEDICAL CENTER INC MIDW 6262564673 1500 East Duarte Road Duarte CA 91010 Anthony Govorchin President 6262564673 2025-08-14 true true Kara Adams P00023315 9497942300 2025-08-01 2023 2025-03-06 01:10:19Z City of Hope Chicago Anthony Govorchin 1500 East Duarte Road Duarte CA 91010 242733337 false X cancercenter.com/locations/chicago X 2022 IL TO PROVIDE COMPASSIONATE MEDICAL CARE TO PEOPLE WITH CANCER, DIABETES AND OTHER LIFE-THREATENING ILLNESSES AND TRANSFORMING THE FUTURE OF CANCER CARE BY UNIFYING THE BRANCHES OF BIOMEDICAL RESEARCH, TREATMENT AND ACADEMIA. 9 9 1605 10 0 0 0 0 243620900 241262835 6230 30412 474619 363946 244101749 241657193 0 8567118 0 0 57531780 91268006 0 0 0 146541331 163073827 204073111 262908951 40028638 -21251758 191432337 174125999 23407069 18757711 168025268 155368288 TO PROVIDE COMPASSIONATE MEDICAL CARE TO PEOPLE WITH CANCER, DIABETES AND OTHER LIFE-THREATENING ILLNESSES AND TRANSFORMING THE FUTURE OF CANCER CARE BY UNIFYING THE BRANCHES OF BIOMEDICAL RESEARCH, TREATMENT AND ACADEMIA. false false 229776334 8567118 241262835 PATIENT CARE: City of Hope Chicago 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 City of Hope Chicago 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. City of Hope Chicago 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. 229776334 true false false false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true X 0 0 1605 true false false false false false false false false false false false false X 9 9 true false false false true true true true false false false true true true true true true true true false IL X Yvette Tremonti 6262564673 1500 E Duarte Road Duarte CA 91010 Glenn D Steele Jr MD PhD Director & Chair of the Board 2.0 6.0 X X 0 0 0 Barbara Bruser CFA Director 2.0 6.0 X 0 0 0 Morgan Chu Esq Director 2.0 11.0 X 0 0 0 Philip Fasano Director 2.0 6.0 X 0 0 0 Ronald L Sargent Director/ Vice Chair 2.0 8.0 X 0 0 0 Selwyn Isakow Director 2.0 10.0 X 0 0 0 Steven B Fink Director 2.0 8.0 X 0 0 0 Suzanne Vautrinot Director 2.0 8.0 X 0 0 0 William J Post Director 2.0 8.0 X 0 0 0 Anthony Pete Govorchin Market President - Chicago 60.0 0 X 701946 0 39660 Cristin J O'Callahan General Counsel & Corp Secretary 3.0 58.0 X 56567 1074772 341125 Yvette Tremonti Treasurer/Chief Financial Officer 3.0 58.0 X 0 0 24162 Angelina Fakhoury-Siverts VP, Patient Care Services 60.0 0 X 277403 0 18800 Bethany Garoutte Chief Operating Officer, Site 60.0 0 X 399573 0 38881 Debra F Fields Exec VP & Chief Transformation Ofc 3.0 57.0 X 85220 1619184 384116 Kevin Manemann EVP & Chief Integration Offcr 6.0 54.0 X 137658 1238921 119131 Mark Hulse Chief Digital Officer 3.0 57.0 X 69168 1314192 42307 Richard Piekarz SVP, Finance 60.0 0 X 455970 0 23746 Robert W Stone President & CEO 3.0 57.0 X 224132 4258518 1667332 Harlan Alcon Levine Pres, Hlth Innovation & Policy 3.0 57.0 X 99459 1889712 403546 Jo Ann Escasa-Haigh Chief Business Officer 2.0 58.0 X 73187 1756492 150513 Kristin Bertell Chief Philanthropy Officer 2.0 58.0 X 41469 1202603 314901 Vijay Trisal MD System Chief Clinical Officer 2.0 58.0 X 37057 1074649 148148 Vincent D Jensen Syst ChfExec-MedFndtn&PhysSvcs 3.0 57.0 X 60391 1147434 151010 Jennifer Parkhurst Former Officer 0.0 60.0 X 0 1564286 64845 2719200 18140763 3932223 128 true true false VAYA WORKFORCE SOLUTIONS LLC 5930 COMERSTONE CRT W SAN DIEGO CA 92121 Clinical Temporary SERVICES 2129064 D3 ONCOLOGY INC 3290 NORTHSIDE PKWY NW STE 400 ATLANTA GA 30327 Clinical Temporary SERVICES 1977083 INSIGHT GLOBAL LLC 3161 Michelson Dr Unit 1000 Irvine CA 92612 Nursing Temporary SERVICES 272160 ALLYON INC 3066 MERCER UNIVERSITY DR STE 300 CHAMBLEE GA 30341 Nursing Temporary SERVICES 179041 4 0 Net Patient Revenue 621110 241025537 241025537 Other Exempt Function Revenue 621110 237298 237298 0 0 0 0 241262835 30412 30412 855148 1076144 -220996 0 -220996 -220996 0 0 Cafeteria Sales 900099 494147 494147 Other Misc. Revenue 900099 90795 90795 0 0 0 0 584942 241657193 241262835 0 394358 8567118 8567118 1964157 1610177 353980 60873065 49902526 10970539 1450493 1189085 261408 23377387 19164316 4213071 3602904 2953589 649315 88328 88328 15032717 11432724 3599993 0 1209938 811277 398661 5299374 4377013 922361 460602 348252 112350 2179343 1461274 718069 6040544 4050252 1990292 113873 76353 37520 2146856 1874149 272707 9711952 7735618 1976334 1962465 1315855 646610 Pharmaceuticals 77944519 77944519 Hospital Provider Fee 15637771 15637771 Medical Supplies & Equipment 12140126 12140126 Repairs & Maintenance 11242313 5935106 5307207 1863106 1249234 613872 0 262908951 229776334 33132617 0 734357 415383 0 0 0 0 35391889 45489683 0 0 0 0 0 0 6140730 7528006 1057472 1028198 115310622 18629586 98252152 96681036 0 0 0 0 0 0 49855737 22983693 191432337 174125999 17425692 15685427 0 0 0 0 0 0 0 0 0 0 0 0 803353 673392 5178024 2398892 23407069 18757711 X 168025268 155368288 0 0 168025268 155368288 191432337 174125999 X -21251758 8675837 -81059 X false true X true false X 3043962 3043962 11650419 1300276 10350143 73990644 5141906 68848738 24450083 12187404 12262679 2175514 0 2175514 96681036 Due from Affiliates 21994343 Right-of-Use OP. Lease 389942 Right-OF-Use Finance Lease 599408 22983693 0 Right-of-Use OP. Lease 400242 Estimated Third-Party Payor Settlements 1998650 2398892 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE FOLLOWING PARAGRAPHS ARE FROM THE CITY OF HOPE CONSOLIDATED AUDITED FINANCIAL STATEMENTS AS OF SEPTEMBER 30, 2024 (which includes City of Hope, City of Hope National Medical Center (the "Center"), City of Hope Medical Foundation (the "Foundation"), and Beckman Research Institute of the City of Hope (the "Institute") (collectively, the "Obligated Group"); The Translational Genomics Research Institute and its Affiliates ("TGen"); Southern California Radiation Oncology, LLC ("SCRO"); AccessHope, LLC ("AH"); STEPHENSON PANCREATIC CANCER RESEARCH, LLC (SPCR); and COH HoldCo Inc. ("HoldCo"), the parent of Cancer Treatment Centers of America entities ("CTCA Entities") (collectively, the "Affiliated Group"). These entities represent the consolidated City of Hope organization (collectively referred to as "City of Hope")). City of Hope is exempt from federal income tax under Section 501(a) as described in Section 501(c)(3) of the U.S. Internal Revenue Code. City of Hope, the Center, the Foundation, and the Institute are exempt from California state franchise and income tax under Section 23701(d) of the California Revenue and Taxation Code. 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 consolidated financial statements. ASC 740 also provides guidance on de-recognition, measurement, classification, interest and penalties, disclosure, and transition. The guidance contained in ASC 740 is applicable to pass-through entities and tax-exempt organizations. City of Hope has no significant uncertain tax positions or tax liability for tax benefits, interest, or penalties accrued as of September 30, 2024 or 2023. true true X true X false true true true false true false 1336710 0 1336710 0.0051 212915771 240209346 0 0.0 0 0 0 0.0 0 0 214252481 240209346 1336710 0.0051 1819777 0 1819777 0.0069 2149634 0 2149634 0.0082 0 0 0 0.0 3565495 425262 3140233 0.0119 30841 0 30841 0.0001 0 0 7565747 425262 7140485 0.0272 0 0 221818228 240634608 8477195 0.0322 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 36100 36100 0.0001 0 0.0 0 0.0 0 0.0 0 0 36100 0 36100 0.0001 false 32992308 50792642 -17800334 X true true 1 1 Midwestern Regional Medical Center Inc 2520 Elisha Ave Zion IL 600992676 https://www.cancercenter.com/locations/chicago 0002956 X X X short-term specialty hospital Midwestern Regional Medical Center Inc 1 false true true X X X X X X X X X 23 true false false true X cityofhope.org/locations/chicago/chicago-cancer-center X true 23 true cityofhope.org/locations/chicago/chicago-cancer-center false true X 200.0 600.0 X X X true true X X X true X https://www.cancercenter.com/locations/chicago/financial-assistance X https://www.cancercenter.com/locations/chicago/financial-assistance X https://www.cancercenter.com/locations/chicago/financial-assistance X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 2 ON FEBRUARY 1, 2022, COH HOLDCO, A NONPROFIT DELAWARE CORPORATION OF WHICH CITY OF HOPE ("COH", EIN 95-3435919)-A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, EXEMPT FROM FEDERAL TAXATION DESCRIBED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CLASSIFIED AS A PUBLIC CHARITY UNDER SECTION 509(A)(1) OF THE INTERNAL REVENUE CODE- IS THE SOLE CORPORATE MEMBER, PURCHASED 100% OF THE OUTSTANDING MEMBERSHIP INTERESTS OF THE CTCA ENTITIES AND CERTAIN INTELLECTUAL PROPERTY RIGHTS USED OR HELD FOR USE IN THEIR RESPECTIVE BUSINESSES, INCLUDING THE HOSPITAL. AT THE TIME OF ACQUISITION, THE HOSPITAL WAS ORGANIZED AS AN ILLINOIS LIMITED LIABILITY COMPANY. THE HOSPITAL FILED A STATEMENT OF CONVERSION EFFECTIVE OCTOBER 1, 2022 INCLUDING ARTICLES OF INCORPORATION REPLACING ITS ARTICLES OF ORGANIZATION, IN ORDER TO BECOME AN ILLINOIS NONPROFIT CORPORATION. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Midwestern Regional Medical Center, Inc. (CITY OF HOPE CHICAGO). Data Collection Methodology The CHNA process is designed to develop a deeper understanding of community health care needs, to inform the hospital's community benefit plan for outreach and services that complement and extend clinical services, and to improve disease prevention and overall health status. Secondary data and primary data were collected to inform community health priorities and needs, as well as assets and gaps in resources. Secondary Data Collection Secondary data was collected from a variety of local, county and state sources to present community demographics, social and economic factors, COVID-19, health access, health behaviors, mental health, chronic diseases, cancer and health status, and mortality. When pertinent, these data sets are presented in the context of the State of Illinois, framing the scope of an issue as it relates to the broader community. Additional data sets can be found in Appendix A. Secondary datasets for the hospital service area were 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 and data year. Primary Data Collection Primary data is the result of conversations with community stakeholders, including residents, service providers and representatives across sectors, regarding how a particular health or social issue impacts them. Primary data can be gathered directly through focus groups, interviews and/or targeted surveys. Interviews City of Hope conducted 27 telephone interviews, which were completed from February to April 2024. Interview participants included a broad range of stakeholders concerned with health and well-being in the service area. The interview participants were asked to describe, from their perspective, some of the major health issues impacting the community, as well as populations who were not regularly accessing health care. During the interviews, participants were asked to share their perspectives on the issues, challenges and barriers relative to the identified health needs. Interviewees were also asked what makes each health need a significant issue in the community, and what are the challenges people face in addressing these needs. People interviewed: Cancer Wellness Center - Nora Barquin - Clinical Associate, Cancer Wellness Center - Savina Chacheva - Program Director, Health Care Foundation of Northern Lake County - Venoncia M. Bate-Ambrus, PhD, MS, MA - Executive Director, Heart of the City - Francisco Martinez, M.Ed. - Director of Youth Development, Heart of the City - Natasha Kopystynsky - Wellness and Community Engagement Coordinator, Hispanic American Community Education and Services (HACES) - Alicia Garcia - Director of Programs, Highland Park Hospital - Hania Fuschetto - Community Relations Manager, Illinois Breast and Cervical Cancer Program - Lake County Health Department and Community Health Center - Vianey Casillas B.S.N., R.N. - IBCCP Coordinator, Lake County Health Department and Community Center - Olivia Livingston, MHA - Continuous Quality Improvement Specialist, Lake County Partners - Bethany Williams - Strategy & Intelligence Director, Lake County Partners - Kevin Considine - President & CEO, Lake County Regional Office of Education - Michael Karner, Ed.D - Lake County Regional Superintendent of Schools, Our Shining Stars Foundation - Latrisha Cole - Chief Executive Officer, Staben House, Waukegan Township - Loretta Pable, MA - Program Director, Our Shining Stars Foundation - Latrisha Cole - Chief Executive Officer, Patricia Jones Center - Waukegan Township - Cheri Pierson-White - Assistant Manager, Staben House, Waukegan Township - Loretta Pable, MA - Program Director, The Inn on Sheridan - Amber Alden - Director of Sales, United Way of Kenosha County - Carolynn Friesch - Chief Executive Officer, University of Illinois Extension - Dale Kehr, MBA - Family Consumer & Sciences Educator, SNAP-Ed, Waukegan Township - Kaneicia Brown, MBA - Health, Wellness, and Work-Life Coordinator PAJC, YouthBuild Lake County - Kashmir Krump - Director of Apprenticeship and Placement, Family First Center - Manny Hernandez - Director of Community, Zion-Benton Public Library - Lindsay Frey, MLIS - Adult Services Coordinator, Zion Fire-Rescue Department - Justin Stried - Fire Chief, Zion Police Department - Eric Barden - Chief of Police, Zion Township - Amy Onan - Client Workforce Coordinator. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Midwestern Regional Medical Center, Inc. (CITY OF HOPE CHICAGO). As a specialty hospital, City of Hope is not equipped to address every need as some issues fall outside our areas of focus. While prioritizing the significant needs in our catchment area, we combined needs as much as possible to encompass social determinants of health and root causes of health disparities that are closely linked to cancer and diabetes risk factors. We will adhere to the Five Core Principles to guide all programs and services, ensuring we remain focused on communities with the greatest unmet health needs. Conclusion City of Hope is committed to being a good steward and offering assistance to make measurable impact within the communities we serve. We view community benefit as an initiative in which the entire organization can engage. As such, our community benefit process is designed to empower each department to manage its own planning and delivery of programs and services. The Community Benefit Department will serve as the central hub for collecting all reportable work, providing structure and guidance throughout the year and ensuring the voice of the community is a key component to the work we do. At the end of the fiscal year, this department, in collaboration with our stakeholders, will compile the yearly report for the community. City of Hope is dedicated to strengthening relationships within the communities where we work and serve. We are particularly focused on meeting the needs of our vulnerable residents. We aim to maximize community collaborations and create sustainable change, making positive contributions alongside other hospitals, organizations, schools, churches, and government entities in our service area. 2 City of Hope Cancer Care North Shore 9631 Gross Point Road Skokie IL 60076 Outpatient Cancer Treatment Center City of Hope Cancer Care Gurnee 202 S Greenleaf St Suite E Gurnee IL 60031 Outpatient Cancer Treatment Center City of Hope Cancer Care Downtown Chicago 160 Upper E Illinois St Chicago IL 60611 Outpatient Cancer Treatment Center Schedule H, Part VI, Line 7 State Filing of Community Benefit Report THE ORGANIZATION RECEIVED TAX EXEMPT STATUS ON 10/1/2022. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY WERE APPROVED BY THE CITY OF HOPE CHICAGO BOARD ON 05/17/24 AND 9/13/24 RESPECTIVELY. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance SCHEDULE H, PART I, LINES 7A-7D - FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS 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, MEDICAID, OTHER INSURERS, AND THE UNINSURED OR UNDERINSURED. EXCLUDING THE EFFECTS OF THE PROGRAM ON YEAR 2024 SCHEDULE H, PART I, LINE 7B, COLUMN (E) NET COMMUNITY BENEFIT EXPENSE WOULD HAVE BEEN EQUAL TO $13,296,893 OR 5.21% OF TOTAL EXPENSE. THIS WOULD HAVE INCREASED LINE 7K, COLUMN (F), TO 3.32%. CITY OF HOPE CHICAGO 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 SERVICES, COMMUNITY BENEFIT OPERATIONS AND HEALTH PROFESSIONS EDUCATION ACCOUNTING FOR COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, COMMUNITY BENEFIT OPERATIONS, AND HEALTH PROFESSIONS EDUCATION WERE BASED ON ACTUAL OR ESTIMATED STAFF HOURS AND SALARIES DEVOTED TO THESE ACTIVITIES DURING YEAR 2024, WHICH WAS DETERMINED BASED ON DATA REPORTED BY VARIOUS CITY OF HOPE CHICAGO DEPARTMENTS. SCHEDULE H, PART I, LINE 7H - RESEARCH - 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 CITY OF HOPE CHICAGO. DIRECT OFFSETTING REVENUES ARE THOSE REVENUES SUPPORTING THE RESEARCH ACTIVITIES. SCHEDULE H, PART I, LINE 7I - CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT CATHOLIC HOSPITAL ASSOCIATION OF UNITED STATES (CHA) GUIDELINES FROM 2022 WERE USED TO DETERMINE WHETHER ACTIVITIES ARE QUALIFIED AS COMMUNITY BENEFITS. Schedule H, Part II Community Building Activities HAVING RECENTLY COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION STRATEGY FOR FY2024, CITY OF HOPE CHICAGO IS ENTERING FY2025 WITH A RENEWED FOCUS ON ESTABLISHING THE COMMUNITY BENEFIT ADVISORY COUNCIL. THIS INCLUDES ENGAGING COMMUNITY MEMBERS TO COLLABORATIVELY IDENTIFY ACTIONABLE SOLUTIONS FOR PRIORITIZED HEALTH NEEDS AND DEEPENING PARTNERSHIPS THAT DRIVE SUSTAINABLE COMMUNITY IMPACT. DURING FY2O24 THE TEAM MADE STRIDES IN PROMOTING COMMUNITY CANCER EDUCATION AND AWARENESS THROUGH THE SUPPORT OF COMMUNITY EDUCATION EVENTS, SUPPORT GROUPS, COMMUNITY VOLUNTEERING TO SUPPORT LOCAL ORGANIZATIONS, AND WORKFORCE DEVELOPMENT PROGRAMMING THAT ENCOURAGED HEALTHCARE CAREERS. AS WE MOVE FORWARD, OUR COMMITMENT REMAINS CLEAR: TO FOSTER INCLUSIVE, COMMUNITY-DRIVEN INITIATIVES THAT PROMOTE HEALTH EQUITY AND LONG-TERM WELL-BEING ACROSS THE REGIONS WE SERVE. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount CITY OF HOPE CHICAGO'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 CHICAGO'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, 2024. THE ADOPTION OF ASU 2014-09 HAD NO MATERIAL IMPACT ON CITY OF HOPE CHICAGO'S PATIENT RECEIVABLES. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote CITY OF HOPE CHICAGO'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 CHICAGO'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, 2024. THE ADOPTION OF ASU 2014-09 HAD NO MATERIAL IMPACT ON CITY OF HOPE CHICAGO'S PATIENT RECEIVABLES. 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, CITY OF HOPE CHICAGO TREATS A HIGH PROPORTION OF MEDICARE PATIENTS. THAT FACT, COMBINED WITH THE HIGH COST OF COMPLEX CARE, MEANS THAT CITY OF HOPE CHICAGO BEARS SIGNIFICANT UNREIMBURSED MEDICARE EXPENSES. RECOGNIZING CITY OF HOPE CHICAGO'S EXTRAORDINARY CONTRIBUTIONS TO CANCER CARE, RESEARCH, EDUCATION AND POPULATION HEALTH, CITY OF HOPE CHICAGO'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, CITY OF HOPE CHICAGO INCURS ADDITIONAL COSTS IN THE TREATMENT OF MEDICARE PATIENTS FOR WHICH MEDICARE EXCLUDES FROM THE CALCULATION OF ALLOWABLE COSTS. THIS AMOUNT TOTALED APPROXIMATELY $4,185,120 FOR FISCAL YEAR 2024 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 CITY OF HOPE CHICAGO INCURS FOR MEDICARE PATIENTS TOTALED APPROXIMATELY $21,985,454. CITY OF HOPE CHICAGO 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 CITY OF HOPE CHICAGO'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 CITY OF HOPE CHICAGO 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 CITY OF HOPE CHICAGO'S POLICY IN WRITING AND THE CHARITY CARE POLICY IS INCORPORATED BY REFERENCE IN COLLECTION CONTRACTS WITH SUCH AGENCIES. CITY OF HOPE CHICAGO RECEIVES WRITTEN ASSURANCES FROM THESE AGENCIES THAT THEY WILL ADHERE TO CITY OF HOPE CHICAGO'S STANDARDS. Schedule H, Part V, Section B, Line 16a FAP website - Midwestern Regional Medical Center, Inc.: Line 16a URL: https://www.cancercenter.com/locations/chicago/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Midwestern Regional Medical Center, Inc.: Line 16b URL: https://www.cancercenter.com/locations/chicago/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Midwestern Regional Medical Center, Inc.: Line 16c URL: https://www.cancercenter.com/locations/chicago/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY WERE APPROVED BY THE CITY OF HOPE CHICAGO BOARD ON 05/17/24 AND 9/13/24 RESPECTIVELY. IN FY2025, CITY OF HOPE CHICAGO WILL CREATE INFRASTRUCTURE, INCLUDING OVERSIGHT, TO MANAGE AND SUSTAIN ALL COMMUNITY BENEFIT PROGRAMMING AND REPORTING THAT ARE ALIGNED WITH THE IMPLEMENTATION STRATEGY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance CITY OF HOPE CHICAGO IS COMMITTED TO BUILDING AWARENESS OF THE FINANCIAL ASSISTANCE POLICY THROUGH A VARIETY OF MECHANISMS INCLUDING BUT NOT LIMITED TO: VISIBLE SIGNAGE WITHIN CITY OF HOPE CHICAGO (SUCH AS POSTERS OR NOTICES IN KEY ADMITTING AND REGISTRATION AREAS, POINT OF SERVICE BROCHURES IN WAITING AREAS); CITY OF HOPE CHICAGO'S WEBSITE; IN ROUTINE, WRITTEN NOTIFICATION GIVEN AT THE TIME OF ADMISSION TO CITY OF HOPE CHICAGO; AND IN BILL STATEMENTS SHOWING OUTSTANDING PATIENT SELF-PAY BALANCES. ALL NOTICES WILL INCLUDE A TOLL-FREE NUMBER AND INFORMATION ON HOW TO ACCESS A CITY OF HOPE CHICAGO FINANCIAL REPRESENTATIVE. CITY OF HOPE CHICAGO WILL ALSO PROVIDE A PAPER OR ELECTRONIC COPY OF THIS FINANCIAL ASSISTANCE POLICY UPON REQUEST. Schedule H, Part VI, Line 4 Community information Population The population of Lake County grew by 1.2% as compared to a drop in the overall population of the state of Illinois (-0.8%). The population of Waukegan grew 4.2% in the same period, and Zion grew by 1.8%. Gender The hospital service area population is 50.2% male and 49.8% female. Children and youth, ages 0-19, make up 31.6% of the population, 58.3% are adults, ages 20-64, and 15.1% of the population are senior adults, ages 65 and older. It is of note to mention that those aged 20- 24 are the lowest percent of the total population at 6.9%. When the service area is examined by county, Lake County has the highest percentage of children and youth (26.8%). McHenry, Lake, and Kenosha Counties have a similar percentage of senior adults (15.5%, 15.0% and 14.8%). Those younger than 19 years live mostly in the cities of Waukegan and Zion (27.9% and 29.6%) respectively. Between the years 2018 and 2022, there was progressive growth across all age groups. Race and Ethnicity Lake County has the highest percentage of Hispanic and Asian residents (22.2%/8.0%). When you take a closer look, in Waukegan, 56.5% of the population are Hispanic or Latino residents and in Zion, 40.7% of the population are Hispanic or Latino residents. Similarly, Zion and Waukegan have a higher percentage of Blacks calling these cities home (21.6%/16.7%). Citizenship According to the United States Census Bureau, "the foreign-born population is composed of anyone who is not a U.S. citizen at birth. This includes persons who have become U.S. citizens through naturalization, lawful permanent residents (immigrants), temporary migrants (such as foreign students), humanitarian migrants (such as refugees and asylees), and unauthorized migrants." In the service area, 14.7% of the population is foreign-born. Of the foreign-born in the service area, 6.9% are not U.S. citizens as compared to the State of Illinois, where 46.8% of the foreign-born are not citizens. In the service area, 76% of the population, 5 years and older, speak only English in the home. 14.3% speak Spanish, 5.3% speak an Indo-European language other than Spanish or English, and 3.4% speak an Asian or Pacific Islander language in the home. The highest percentage of Spanish speakers, reside in Waukegan (44.7%) followed by Zion (28.5%). The highest percentage of non-Spanish Indo-European languages spoken at home live in Lake County (6.7%) and in McHenry County (3.5%). Lake County has the highest percentage of Asian language speakers (4.7%) in the service area, in Waukegan (4.7%) speak an Asian language. Veteran Status In the service area, 5.7% of the civilian population, 18 years and older, are veterans. This is slightly higher than the statewide rate (5.2%). In Zion, 8.8% of the population are veterans. Schedule H, Part VI, Line 5 Promotion of community health CITY OF HOPE CHICAGO ("THE HOSPITAL") MAINTAINS AN EMERGENCY ROOM AND PRIMARILY FOCUSES ON THE PROVISION OF CANCER CARE SERVICES, ALL FOR THE BENEFIT OF THE COMMUNITY. THE HOSPITAL INTENDS TO USE SURPLUS FUNDS FROM ITS ANNUAL INCOME TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND ITS FACILITIES, OR ADVANCE ITS MEDICAL TRAINING, EDUCATION, AND RESEARCH PROGRAMS. CONTROL OF THE HOSPITAL RESTS WITH ITS BOARD OF DIRECTORS, WHICH IS COMPOSED OF INDEPENDENT CIVIC LEADERS WHO ALSO SIT ON THE BOARD OF THE HOSPITAL'S PARENT ORGANIZATION, COH HOLDCO INC.-A SUPPORTING ORGANIZATION THAT MEETS THE REQUIREMENTS OF SECTION 509(A)(3). IN THE FUTURE, THE HOSPITAL MAY RECEIVE DISTRIBUTIONS OF FUNDS FROM COH HOLDCO. Schedule H, Part VI, Line 6 Affiliated health care system CITY OF HOPE CHICAGO IS PART OF THE CITY OF HOPE SYSTEM, WHICH IS A WORLD-RENOWNED PIONEER IN CANCER RESEARCH, TREATMENT AND PREVENTION. THE CITY OF HOPE SYSTEM SERVES CLOSE TO 160,000 PATIENTS EACH YEAR AND INCLUDES A NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER IN LOS ANGELES COUNTY, CALIFORNIA; A NEW STATE-OFTHE-ART CANCER CENTER IN ORANGE COUNTY, CALIFORNIA WHICH OPENED IN 2022; AN EXPANSION IN 2022 WITH THE ACQUISITION OF NEW CANCER CENTERS IN ARIZONA, ILLINOIS AND GEORGIA; AND 35+ CLINICAL NETWORK LOCATIONS. MOREOVER, CITY OF HOPE HAS BEEN RANKED AS ONE OF THE NATION'S BEST HOSPITALS IN CANCER BY U.S. NEWS & WORLD REPORT FOR SEVENTEEN CONSECUTIVE YEARS. THE EXPANSION OF THE CITY OF HOPE SYSTEM ACROSS MULTIPLE STATES HAS MADE ITS LEADING-EDGE RESEARCH AND TREATMENT ACCESSIBLE TO MORE PATIENTS AND COMMUNITIES ACROSS THE COUNTRY. TO FURTHER DELIVER OPTIMAL CARE TO AND ENHANCE THE HEALTH OF THE LOCAL COMMUNITIES IT SERVES, THE CITY OF HOPE SYSTEM HAS FOSTERED UNIQUE RELATIONSHIPS WITH THOSE LOCAL COMMUNITIES, INCLUDING THROUGH PARTNERSHIPS AND OTHER COLLABORATIVE EFFORTS. OVER THE COURSE OF THE NEXT YEAR, THE CITY OF HOPE SYSTEM WILL USE THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGY TO DESIGN INNOVATIVE PROGRAMMING WHICH SEEKS TO FURTHER IMPROVE COMMUNITY HEALTH, ENHANCE WORKFORCE DEVELOPMENT, BUILD COMMUNITY, SUPPORT HEALTH CARE AND RESEARCH, DEVELOP EDUCATIONAL AND TRAINING PROGRAMS, AND PROMOTE EQUITABLE ACCESS TO CANCER CARE. Schedule H, Part VI, Line 7 State filing of community benefit report IL COH HoldCo Inc 1500 East Duarte Road Duarte CA 91010 873651176 501(c)(3) 8567118 Operating Support 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds CITY OF HOPE EXISTS TO FINANCIALLY SUPPORT ITS OPERATING SUBSIDIARY ORGANIZATIONS, CITY OF HOPE NATIONAL MEDICAL CENTER, CITY OF HOPE MEDICAL FOUNDATION, BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE, THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE, COH HOLDCO INC., WESTERN REGIONAL MEDICAL CENTER, INC. (CITY OF HOPE PHOENIX), SOUTHEASTERN REGIONAL MEDICAL CENTER, INC. (CITY OF HOPE ATLANTA), AND MIDWESTERN REGIONAL MEDICAL CENTER, INC. (CITY OF HOPE CHICAGO) IN FURTHERING INNOVATIVE RESEARCH AND CANCER TREATMENT. CITY OF HOPE IS THE SOLE CORPORATE MEMBER OF CITY OF HOPE NATIONAL MEDICAL CENTER, CITY OF HOPE MEDICAL FOUNDATION, BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE, THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE AND COH HOLDCO INC., AND COH HOLDCO INC., IS THE SOLE CORPORATE MEMBER OF WESTERN REGIONAL MEDICAL CENTER, INC. (CITY OF HOPE PHOENIX), SOUTHEASTERN REGIONAL MEDICAL CENTER, INC. (CITY OF HOPE ATLANTA), AND MIDWESTERN REGIONAL MEDICAL CENTER, INC. (CITY OF HOPE CHICAGO). CITY OF HOPE MONITORS THE ACTIVITIES OF THESE SUBSIDIARY ORGANIZATIONS TO ENSURE THEY ARE FULFILLING THEIR PATIENT CARE AND RESEARCH MISSIONS AND TO ENSURE THEY ARE OPERATING IN ACCORDANCE WITH THE FUNDRAISING AND GRANT MAKING ACTIVITIES OF CITY OF HOPE. X true true X X X X X X false true false false false false false true false Jennifer Parkhurst Former Officer 0 681961 0 400034 0 482291 0 25091 0 39754 0 1629131 0 0 Cristin J O'Callahan General Counsel & Corp Secretary 32337 614388 21135 401572 3095 58812 15447 293502 1609 30567 73623 1398841 3646 69266 Anthony Pete Govorchin Market President - Chicago 478885 0 223061 0 0 0 13200 0 26460 0 741606 0 0 0 Kevin Manemann EVP & Chief Integration Offcr 69682 627134 65726 591537 2250 20250 10007 90061 1906 17157 149571 1346139 0 0 Robert W Stone President & CEO 103538 1967236 109934 2088738 10660 202544 81389 1546396 1977 37570 307498 5842484 34459 654724 Debra F Fields Exec VP & Chief Transformation Ofc 46054 875022 34028 646540 5138 97622 17332 329316 1873 35595 104425 1984095 10139 192635 Mark Hulse Chief Digital Officer 39940 758864 25165 478127 4063 77201 1330 25262 786 14929 71284 1354383 0 0 Angelina Fakhoury-Siverts VP, Patient Care Services 202400 0 75003 0 0 0 9842 0 8958 0 296203 0 0 0 Bethany Garoutte Chief Operating Officer, Site 275115 0 124458 0 0 0 13200 0 25681 0 438454 0 0 0 Richard Piekarz SVP, Finance 318195 0 137775 0 0 0 13200 0 10546 0 479716 0 0 0 Kristin Bertell Chief Philanthropy Officer 21849 633610 17257 500460 2363 68533 9214 267194 1283 37210 51966 1507007 4952 143601 Vijay Trisal MD System Chief Clinical Officer 24176 701101 10201 295833 2680 77715 3751 108780 1187 34430 41995 1217859 1826 52961 Harlan Alcon Levine Pres, Hlth Innovation & Policy 53435 1015259 40685 773009 5339 101444 18020 342373 2158 40995 119637 2273080 11723 222739 Jo Ann Escasa-Haigh Chief Business Officer 38419 922060 33868 812832 900 21600 4910 117849 1110 26644 79207 1900985 0 0 Vincent D Jensen Syst ChfExec-MedFndtn&PhysSvcs 35143 667726 21216 403107 4032 76601 5573 105892 1977 37568 67941 1290894 2558 48599 Schedule J, Part I, Line 1a First-class or charter travel CITY OF HOPE CHICAGO PERMITS FIRST CLASS TRAVEL FOR CERTAIN OFFICERS, DIRECTORS, AND KEY EXECUTIVES IN LIMITED CIRCUMSTANCES WHEN SPECIFIED TRAVEL CRITERIA ARE MET. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan CERTAIN INDIVIDUALS PARTICIPATED IN CITY OF HOPE'S NON-QUALIFIED SECTION 457(F) EXECUTIVE SUPPLEMENTAL ACCUMULATION PLAN THAT IS DESIGNED AND MAINTAINED TO PROVIDE A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES WITH DEFERRED COMPENSATION. THE PLAN VESTS AFTER THREE (3) FISCAL YEARS OF SERVICE AND THE VESTED TOTALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). PRIOR TO VESTING, THE ANNUAL AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). PURSUANT TO THE PLAN DOCUMENT, VESTED PARTICIPANTS ARE ENTITLED TO WITHDRAW FROM THEIR VESTED ACCOUNT AN AMOUNT EQUAL TO THE FEDERAL, STATE, LOCAL AND FICA TAXES THEY OWE. THESE AMOUNTS ARE REMITTED TO THE APPROPRIATE TAXING AUTHORITIES ON BEHALF OF THE PARTICIPANTS. For CALENDAR YEAR 2023, THE FOLLOWING INDIVIDUALS WITHDREW THE REFERENCED AMOUNTS TO COVER SUCH TAXES: Debra Fields - $35,501 Mark Hulse - $28,478 Vincent Jensen - $15,127 Robert Stone - $59,965 Vijay Trisal - $17,540 Schedule J, Part I, Line 7 Non-fixed payments CITY OF HOPE CHICAGO'S EXECUTIVES AND CERTAIN KEY EMPLOYEES ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION UNDER AN ANNUAL INCENTIVE PLAN (AIP) TIED TO ORGANIZATIONAL KEY PERFORMANCE INDICATORS AND INDIVIDUAL OBJECTIVES. THE KEY PERFORMANCE INDICATORS REFLECT KEY AREAS OF STRATEGIC FOCUS AND THE EXEMPT HEALTHCARE MISSION OF CITY OF HOPE AND AFFILIATES AND ARE BOTH FINANCIAL AND NON-FINANCIAL. THE POTENTIAL INCENTIVE COMPENSATION IS BASED ON A WEIGHTED AVERAGE AMONG ALL INDICATORS AND IS PAID AS A PERCENTAGE OF EACH INDIVIDUAL PARTICIPANT'S BASE COMPENSATION. THE KEY PERFORMANCE INDICATORS ARE WEIGHTED BASED ON THE PARTICIPANT'S PRIMARY AREA(S) OF RESPONSIBILITY, WITH ORGANIZATIONAL KEY PERFORMANCE INDICATORS WEIGHTED FROM 70 PERCENT TO 90 PERCENT, AND THE INDIVIDUAL OBJECTIVES WEIGHTED FROM 10 PERCENT TO 30 PERCENT. 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 CITY OF HOPE 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 THE FOLLOWING CIRCUMSTANCES (CANCELLATION POLICY): A) AN INCENTIVE PLAN PAYMENT OR AWARD IS MADE FOR A FISCAL PERIOD AND CITY OF HOPE SUBSEQUENTLY RESTATES OR OTHERWISE ADJUSTS THE ANNUAL PERFORMANCE MEASUREMENT CALCULATION IN A MANNER THAT WOULD REDUCE THE SIZE OF THE AWARD OR PAYMENT, OR; B) AN INCENTIVE PLAN PAYMENT OR AWARD IS MADE FOR A FISCAL PERIOD AND CITY OF HOPE SUBSEQUENTLY DETERMINES THAT ONE OF MORE OF THE ANNUAL PERFORMANCE MEASUREMENT CALCULATIONS ON WHICH THE AWARD IS BASED OR IS PAID ARE MATERIALLY INACCURATE. THE AIP INCENTIVE COMPENSATION EARNED FOR FISCAL YEAR 2023 WAS PAID IN CALENDAR YEAR 2023 AND THESE AMOUNTS HAVE BEEN REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II). ADDITIONALLY, CITY OF HOPE HAS AN EXECUTIVE LONG-TERM INCENTIVE (LTI) PLAN FOR CERTAIN EXECUTIVES WHICH 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 PLAN ALSO PROVIDES A MEANS FOR RETAINING KEY EXECUTIVE TALENT. THE PERFORMANCE PERIOD OF THE PLAN (CYCLE 9) RAN FROM OCTOBER 1, 2020 THROUGH SEPTEMBER 30, 2023 WITH A NEW THREE-YEAR PERFORMANCE PERIOD BEGINNING EACH OCTOBER 1ST THEREAFTER (E.G., CYCLE 10 RUNS FROM OCTOBER 1, 2021 THROUGH SEPTEMBER 30, 2024). TO BE ELIGIBLE TO PARTICIPATE IN ANY PAYOUT UNDER THE PLAN, PARTICIPANTS MUST BE ACTIVELY EMPLOYED BY CITY OF HOPE AT THE TIME OF THE INCENTIVE PLAN PAYMENT, AND BE MEETING OR EXCEEDING PERFORMANCE EXPECTATIONS. WHILE THE PLAN DOES MEET THE REQUIREMENTS FOR A SUBSTANTIAL RISK OF FORFEITURE, AS OF THE CALENDAR YEAR ENDING DECEMBER 31, 2023, 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 PLAN IS SUBJECT TO THE SAME CANCELLATION POLICY AS THE AIP DESCRIBED PREVIOUSLY. PARTICIPANTS WHO MET THE ELIGIBILITY CRITERIA RECEIVED A PAYOUT OF PLAN CYCLE 9 LTI INCENTIVES (OCTOBER 1, 2020 THROUGH SEPTEMBER 30, 2023) IN DECEMBER 2023. THESE AMOUNTS HAVE BEEN REFLECTED IN SCHEDULE J, PART II, COLUMN (B)(II). Jacob Govorchin Family member of officer 165861 employee compensation false Form 990, Part III, Line 1 Organization's Mission Midwestern Regional Medical Center, Inc. ("City of Hope Chicago") IS PART OF AN INTEGRATED SYSTEM KNOWN AS CITY OF HOPE THAT COLLECTIVELY REFERS TO CITY OF HOPE, CITY OF HOPE NATIONAL MEDICAL CENTER, CITY OF HOPE MEDICAL FOUNDATION, THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE AND ITS AFFILIATES, THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE FOUNDATION, SOUTHERN CALIFORNIA RADIATION ONCOLOGY, LLC, ACCESSHOPE, LLC, THE BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE, Western Regional Medical Center, Inc. (City of Hope Phoenix) Southeastern Regional Medical Center, Inc. (City of Hope Atlanta) and COH HoldCo Inc. Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096 ALL REQUIRED INFORMATIONAL RETURNS (I.E. FORMS 1099-NEC, FORMS 1099-MISC, ETC.) FOR CALENDAR YEAR 2023 WERE FILED BY CTCA GLOBAL, LLC (FEIN 46-5659341). FOR FEDERAL TAX PURPOSES, CTCA GLOBAL, LLC IS TREATED AS A DISREGARDED ENTITY OF COH HOLDCO INC. (FEIN 87-3651176), MIDWESTERN REGIONAL MEDICAL CENTER, INC.'S (CITY OF HOPE CHICAGO) PARENT ORGANIZATION. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Ronald Sargent and Suzanne Vautrinot - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders COH HOLDCO INC. (FEIN: 87-3651176) IS THE SOLE CORPORATE MEMBER OF MIDWESTERN REGIONAL MEDICAL CENTER, INC. (CITY OF HOPE CHICAGO)(THE "HOSPITAL"). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body COH HoldCo Inc., AS THE SOLE CORPORATE MEMBER OF the hospital, elects the hospital's board of directors. Additionally, COH HoldCo Inc. has the power to appoint directors to the board when vacancies arise and may also remove any director(s) from office, with or without cause. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CERTAIN ACTIONS MAY NOT BE UNDERTAKEN WITHOUT THE PRIOR WRITTEN APPROVAL OF THE SOLE CORPORATE MEMBER, COH HoldCo, AS SPECIFIED IN THE GOVERNING DOCUMENTS OF CITY OF HOPE CHICAGO, INCLUDING: BORROWING MONEY IN THE NAME OF CITY OF HOPE CHICAGO OR UTILIZING PROPERTY OWNED BY CITY OF HOPE CHICAGO AS SECURITY FOR SUCH LOANS; ASSIGN, TRANSFER, PLEDGE, COMPROMISE OR RELEASE ANY OF THE CLAIMS OR DEBTS TO CITY OF HOPE CHICAGO EXCEPT ON PAYMENT IN FULL, OR ARBITRATE OR CONSENT TO THE ARBITRATION OF ANY DISPUTE OR CONTROVERSY OF CITY OF HOPE CHICAGO; 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 CITY OF HOPE CHICAGO; 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 CITY OF HOPE CHICAGO OR ENTER INTO ANY CONTRACT OR INCUR ANY LIABILITIES ON BEHALF OF CITY OF HOPE CHICAGO OTHER THAN FOR FAIR CONSIDERATION AND IN THE ORDINARY COURSE OF BUSINESS RELATING TO ITS NORMAL DAILY OPERATIONS; OR ESTABLISH CAPITAL AND OPERATING BUDGETS OR ADOPT MATERIAL CHANGES THERETO; OR ANY ACTION THAT COULD REASONABLY BE EXPECTED TO HAVE A MATERIAL ADVERSE EFFECT ON THE 501(C)(3) STATUS OF TAX EXEMPT BONDS OF CITY OF HOPE. 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 CITY OF HOPE CHICAGO; 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, LOAN, AND BOND ISSUANCE MEETING A CERTAIN FINANCIAL THRESHOLD; CREATION OF A NEW (OR ACQUISITION OF A CONTROLLING INTEREST IN AN EXISTING) CORPORATION, PARTNERSHIP OR LIMITED LIABILITY COMPANY; AND ADOPTION OF OR AMENDMENTS TO INDIVIDUAL CORPORATE INVESTMENT GUIDELINES. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body A COPY OF THE HOSPITAL'S FORM 990 IS REVIEWED BY THE RISK, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS OF City of Hope Chicago, WHICH ASSISTS THE BOARD IN FULFILLING ITS RESPONSIBILITIES REGARDING FINANCIAL, ACCOUNTING, AND CORPORATE COMPLIANCE MATTERS OF CITY OF HOPE. THE FORM 990 INFORMATION IS COMPILED BY THE TAX TEAM AND PROVIDED TO EY, AN EXTERNAL ACCOUNTING FIRM, FOR THE PREPARATION OF FORM 990, WHICH IS REVIEWED THOROUGHLY WITH INTERNAL LEADERSHIP AND EXTERNAL PARTICIPANTS, INCLUDING EY, AND RETAINED OUTSIDE TAX COUNSEL. PRIOR TO FILING, THE FORM 990 IS MADE AVAILABLE TO VOTING MEMBERS OF THE CITY OF HOPE BOARD OF DIRECTORS FOR THEIR REVIEW. Form 990, Part VI, Line 12c Conflict of interest policy ALL EMPLOYEES OF CITY OF HOPE AND AFFILIATES, BOARD OF DIRECTORS MEMBERS, BOARD COMMITTEE MEMBERS AND RESEARCH TEAM MEMBERS ARE COVERED BY CITY OF HOPE'S APPLICABLE CONFLICT OF INTEREST POLICIES. THE REVIEW OF THE ANNUAL CONFLICT DISCLOSURE FORMS IS PERFORMED BY CITY OF HOPE'S CHIEF COMPLIANCE OFFICER AND CITY OF HOPE'S GENERAL COUNSEL, WHO ARE RESPONSIBLE FOR IDENTIFYING ANY ACTUAL OR PERCEIVED CONFLICTS, FORMULATING A CONFLICT MANAGEMENT PLAN, AND COMMUNICATING THE RESULT TO THE MEMBER AND TO THE BOARD OR COMMITTEE CHAIR, AS APPLICABLE. IF A NEW INTEREST OR ACTIVITY ARISES AFTER AN INDIVIDUAL SUBMITS THE DISCLOSURE FORM, THE MEMBER MUST UPDATE THE DISCLOSURE FORM WITHIN 30 DAYS OF RECEIVING/UNDERTAKING THE NEW INTEREST OR COMMITMENT. THE BOARD AND BOARD COMMITTEE CHAIR(S) ARE RESPONSIBLE FOR THE REVIEW AND MANAGEMENT OF ALL CONFLICTS OF INTEREST DISCLOSED TO THEM, OR OF WHICH THEY ARE AWARE. IF THE BOARD OR BOARD COMMITTEE CHAIR(S) ARE UNSURE OF HOW TO MANAGE A PARTICULAR CONFLICT OF INTEREST, THEY MUST SEEK THE ASSISTANCE OF CITY OF HOPE'S CHIEF COMPLIANCE OFFICER AND CITY OF HOPE'S GENERAL COUNSEL. RESTRICTIONS IMPOSED ON PERSONS WITH 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 DECISIONMAKING 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. 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. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE EXECUTIVE COMPENSATION AND GOVERNANCE COMMITTEE OF THE CITY OF HOPE BOARD OF DIRECTORS ("COMMITTEE"), PURSUANT TO A DELEGATION OF AUTHORITY FROM THE CITY OF HOPE BOARD OF DIRECTORS AND THE CITY OF HOPE CHICAGO BOARD, IS RESPONSIBLE FOR APPROVING COMPENSATION OF THE TOP MANAGEMENT OFFICIAL WHERE THE PROPOSED COMPENSATION EXCEEDS CERTAIN THRESHOLDS ESTABLISHED BY THE COMMITTEE. THE DIRECTORS ON THIS COMMITTEE ARE INDEPENDENT AND ADHERE TO A STRICT CONFLICT OF INTEREST POLICY. DELIBERATION AND DECISION MAKING ARE SUBSTANTIATED IN THE MINUTES OF THE COMMITTEE'S MEETINGS. THE MINUTES ARE REVIEWED AND APPROVED AT THE NEXT MEETING OF THE COMMITTEE. AS PART OF THE DELIBERATION PROCESS, THE COMMITTEE RECEIVES ADVICE FROM AN INDEPENDENT, THIRD-PARTY COMPENSATION CONSULTANT WITH RESPECT TO EXECUTIVE COMPENSATION, INCLUDING REVIEW OF COMPARABLE AND BENCHMARK DATA, CURRENT COMPENSATION PHILOSOPHY, STRUCTURE, AND ADMINISTRATION OF THE EXECUTIVE COMPENSATION PROGRAMS AT CITY OF HOPE AND AFFILIATES. THE COMMITTEE CARRIES OUT THE BOARD OF DIRECTORS' OVERALL RESPONSIBILITIES RELATING TO EXECUTIVE COMPENSATION. THE EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVE LEADERSHIP REQUIRED TO ENABLE CITY OF HOPE TO ACHIEVE THE HIGHEST LEVELS OF COMMUNITY BENEFIT, IMPACT TO CLINICAL CARE, QUALITY RESEARCH AND EFFICIENT PHILANTHROPIC DEVELOPMENT. UNDER THE AIP AND LTI DESCRIBED IN SCHEDULE J, A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS LINKED DIRECTLY TO PERFORMANCE GOALS APPROVED IN ADVANCE. AS A RESULT, PERFORMANCE COMPENSATION MAY VARY FROM YEAR TO YEAR. GOAL SETTING UNDER THE AIP IS TIED TO ANNUAL PERFORMANCE, INCLUDING THE ATTAINMENT OF SPECIFIC BUSINESS OBJECTIVES FOR STRATEGIC AND FINANCIAL PERFORMANCE AS WELL AS NON-FINANCIAL MEASURES SUCH AS PATIENT SATISFACTION AND QUALITY OF PATIENT CARE. THE LTI IS DESIGNED TO DRIVE LONG-TERM ORGANIZATIONAL PERFORMANCE AND TRANSFORMATION BY ALIGNING EXECUTIVES WITH THE MULTI YEAR STRATEGIC PLAN AND INCENTIVIZING THEM TO ACHIEVE KEY ORGANIZATIONAL AND STRATEGIC OBJECTIVES AND GOALS. WITH THREE-YEAR VESTING PERIODS, THE LTI ALSO PROVIDES A MEANS FOR RETAINING KEY EXECUTIVE TALENT. THE COMMITTEE CONDUCTS ANNUAL COMPENSATION REVIEWS FOR THE TOP MANAGEMENT OFFICIAL IN DECEMBER WHERE THE PROPOSED COMPENSATION EXCEEDS COMPENSATION LEVELS ESTABLISHED BY THE COMMITTEE. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE EXECUTIVE COMPENSATION AND GOVERNANCE COMMITTEE OF THE CITY OF HOPE BOARD OF DIRECTORS ("COMMITTEE") PURSUANT TO A DELEGATION OF AUTHORITY FROM THE CITY OF HOPE BOARD OF DIRECTORS AND THE CITY OF HOPE CHICAGO BOARD OF DIRECTORS, IS RESPONSIBLE FOR SETTING THE COMPENSATION OF, OR ESTABLISHING COMPENSATION LEVELS FOR TOTAL COMPENSATION CONSISTENT WITH CITY OF HOPE'S COMPENSATION PHILOSOPHY, FOR SENIOR LEADERS AT THE SENIOR VICE PRESIDENT OR EQUIVALENT LEVEL. THE DIRECTORS ON THIS COMMITTEE ARE INDEPENDENT AND ADHERE TO A STRICT CONFLICT OF INTEREST POLICY. DELIBERATION AND DECISION MAKING ARE SUBSTANTIATED IN THE MINUTES OF THE COMMITTEE'S MEETINGS. THE MINUTES ARE REVIEWED AND APPROVED AT THE NEXT MEETING OF THE COMMITTEE. AS PART OF THE DELIBERATION PROCESS, THE COMMITTEE RECEIVES ADVICE FROM AN INDEPENDENT, THIRD-PARTY COMPENSATION CONSULTANT WITH RESPECT TO EXECUTIVE COMPENSATION, INCLUDING REVIEW OF COMPARABLE AND BENCHMARK DATA, CURRENT COMPENSATION PHILOSOPHY, STRUCTURE, AND ADMINISTRATION OF THE EXECUTIVE COMPENSATION PROGRAMS AT CITY OF HOPE AND AFFILIATES. THE COMMITTEE CARRIES OUT THE BOARD OF DIRECTORS' OVERALL RESPONSIBILITIES RELATING TO EXECUTIVE COMPENSATION. THE EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVE LEADERSHIP REQUIRED TO ENABLE CITY OF HOPE TO ACHIEVE THE HIGHEST LEVELS OF COMMUNITY BENEFIT, IMPACT TO CLINICAL CARE, QUALITY RESEARCH AND EFFICIENT PHILANTHROPIC DEVELOPMENT. UNDER THE AIP AND LTI DESCRIBED IN SCHEDULE J, A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS LINKED DIRECTLY TO PERFORMANCE GOALS APPROVED IN ADVANCE. AS A RESULT, PERFORMANCE COMPENSATION MAY VARY FROM YEAR TO YEAR. GOAL SETTING UNDER THE AIP IS TIED TO ANNUAL PERFORMANCE, INCLUDING THE ATTAINMENT OF SPECIFIC BUSINESS OBJECTIVES FOR STRATEGIC AND FINANCIAL PERFORMANCE AS WELL AS NON-FINANCIAL MEASURES SUCH AS PATIENT SATISFACTION AND QUALITY OF PATIENT CARE. THE LTI IS DESIGNED TO DRIVE LONG-TERM ORGANIZATIONAL PERFORMANCE AND TRANSFORMATION BY ALIGNING EXECUTIVES WITH THE MULTI YEAR STRATEGIC PLAN AND INCENTIVIZING THEM TO ACHIEVE KEY ORGANIZATIONAL AND STRATEGIC OBJECTIVES AND GOALS. WITH THREE-YEAR VESTING PERIODS, THE LTI ALSO PROVIDES A MEANS FOR RETAINING KEY EXECUTIVE TALENT. THE COMMITTEE CONDUCTS ANNUAL COMPENSATION REVIEWS IN DECEMBER TO SET COMPENSATION LEVELS, OR WHERE THE PROPOSED COMPENSATION EXCEEDS COMPENSATION LEVELS ESTABLISHED BY THE COMMITTEE, COMPENSATION FOR SENIOR LEADERS AT THE SENIOR VICE PRESIDENT OR EQUIVALENT LEVEL. Form 990, Part VI, Line 19 Required documents available to the public THE HOSPITAL'S BYLAWS AND ARTICLES OF INCORPORATION ARE NOT MADE AVAILABLE TO THE PUBLIC. THE HOSPITAL IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CITY OF HOPE, WHICH ARE AVAILABLE ON THE CITY OF HOPE WEBSITE, AND THE HOSPITAL'S CONFLICT OF INTEREST POLICIES ARE AVAILABLE BY WRITTEN REQUEST MADE TO THE CONFLICT OF INTEREST MANAGER. Form 990, Part VII, Section A Average Hours Devoted Reported in Column (B) FULL TIME EXEMPT EMPLOYEES GENERALLY WORK IN EXCESS OF 40 HOURS PER WEEK, WHICH HAS BEEN REFLECTED ON FORM 990, PART VII, SECTION A, COLUMN (B), BY AN ESTIMATE OF 60 HOURS PER WEEK. THE MEMBERS OF THE BOARD OF DIRECTORS ARE NOT COMPENSATED FOR SERVING ON THE BOARD. THE AVERAGE HOURS REPORTED FOR EACH DIRECTOR IS AN ESTIMATE OF THE TIME SPENT PREPARING FOR AND ATTENDING MEETINGS OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS HELD FOUR REGULARLY SCHEDULED MEETINGS DURING FISCAL YEAR 2024. THE RISK, AUDIT AND COMPLIANCE COMMITTEE HELD Five REGULARLY SCHEDULED MEETINGS IN FISCAL YEAR 2024. Form 990, Part VII, Section A COMPENSATION AND INDEPENDENT CONTRACTOR DISCLOSURE THE ORGANIZATION CONVERTED FROM A DISREGARDED LIMITED LIABILITY COMPANY (LLC) TO A TAX-EXEMPT CORPORATION ON OCTOBER 1, 2022. PAYMENTS TO EMPLOYEES AND INDEPENDENT CONTRACTORS PAID OR PAYABLE BEFORE OCTOBER 1, 2022 RELATE TO SERVICES THEY PROVIDED TO THE LLC AND WERE DISCLOSED AND DEDUCTED ON THE FORM 1120 OF ITS PARENT ORGANIZATION, COH HOLDCO INC. ACCORDINGLY, THAT COMPENSATION, INCLUDING BONUSES, HAS NOT BEEN REPORTED ON THIS FORM 990. BECAUSE OF THE ORGANIZATION'S CONVERSION TO TAX-EXEMPT STATUS EFFECTIVE OCTOBER 1, 2022, THE ORGANIZATION BELIEVES IT IS APPROPRIATELY TREATED AS TWO SEPARATE LEGAL ENTITIES AND COMPENSATION PAID OR PAYABLE PRIOR TO THE TAX-EXEMPT CONVERSION ARE PROPERLY NOT DISCLOSED ON PART VII OF THIS FORM 990. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Impairment loss - -81059; Heading, Box C Doing Business As Name City of Hope Cancer Center Chicago Beckman Research Institute of the City of Hope 1450 East Duarte Road Duarte CA 91010 953432210 Research CA 501(c)(3) 4 City of Hope true City of Hope 1500 East Duarte Road Duarte CA 91010 953435919 Fundraising CA 501(c)(3) 7 NA false City of Hope Medical Foundation 1500 East Duarte Road Duarte CA 91010 274803222 Healthcare CA 501(c)(3) 3 City of Hope true City of Hope National Medical Center 1500 East Duarte Road Duarte CA 91010 951683875 Hospital CA 501(c)(3) 3 City of Hope true COH HoldCo Inc 1500 East Duarte Road Duarte CA 91010 873651176 Support DE 501(c)(3) Type III-FI City of Hope true Southeastern Regional Medical Center Inc 1500 East Duarte Road Duarte CA 91010 264572436 Hospital GA 501(c)(3) 3 COH HoldCo true The Translational Genomics Research Institute 445 N 5th Street Suite 600 Phoenix AZ 85004 753065445 Research AZ 501(c)(3) 7 City of Hope true The Translational Genomics Research Institute Foundation 445 N 5th Street Suite 120 Phoenix AZ 85004 331092191 Fundraising AZ 501(c)(3) 7 TGEN true Western Regional Medical Center Inc 1500 East Duarte Road Duarte CA 91010 320197974 Hospital AZ 501(c)(3) 3 COH HoldCo true Southern California Radiation Oncology LLC 1500 East Duarte Road Duarte CA 91010 364887584 Radiation Oncology DE NA N/A ACCESSHOPE LLC 1500 EAST DUARTE ROAD DUARTE CA 91010 842818450 ONCOLOGY SUPPORT DE NA N/A false true false false false false false false false false false false true false true false false false true COH HoldCo Inc S 74580193 Book COH HoldCo Inc B 8567118 Book