COH AR 2006

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    c o l l a b o r a t i o n s 2006Annual Report

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    1 Introduction

    2 Leadership Message

    4 Guarding Young Lives

    8 Speeding Gene Therapies

    12 Advancing Against Diabetes

    16 Designing Smarter Drugs

    20 Defeating Drug Resistance

    24 Uniting Against Infection 28 Partners in Hope

    32 Financials

    38 Programs and Facilities

    40 Research and Clinical Divisions, Departments and Programs

    42 Administrative Leadership and Board of Directors

    44 Faculty Leadership

    50 Locations

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    C i t y o f H o p e |

    C o l l a b o r a t i o n s

    Great discoveries and improvements invariably involve the

    cooperation of many minds.alexander graham bell

    Ct of Hope s an oranzaton stronl rooted n

    enlhtened compasson. That compasson sexpressed not onl throh the care of patents,

    bt also throh the dal qest for scentc

    breakthrohs. For cancer patents here and

    arond the world, tme s rretreabl precos.

    Or crtcal oal to shorten the tme from ntal

    scentc dea to new practcal treatment

    nspres or researchers to work nselshl wth

    scentc and medcal colleaes arond the

    world. Ths shared son and collaboraton pas

    off n dscoeres n basc scence, translatonal

    research and, ltmatel, lfe-chann and lfe-

    san medcal care.

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    | C i t y o f H o p e

    When we think o historys great scientists, we

    oten imagine them toiling in solitude until a major

    discovery thrusts them into the spotlight.

    Modern-day biomedicine bears little

    resemblance to that o the past. Today, scientic

    researchers must join orces to speedily pursue cures

    or disease.

    So uickly has the worlds body o medical

    knowledge grown that a scientist cannot expect

    to know enough to unction alone. Each must

    develop a niche o specialization an area where

    the scientist reigns as an expert over a uniue and

    complex domain; then, to aggressively advance

    science, researchers must orm teams in which each

    member has critical knowledge to oer. Only then

    can ideas rom the lab move speedily rom cell

    culture to the clinic.

    Phlp L. Enel

    Mchael A. Fredman, M.D.

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    City o Hope symbolizes this collaborative

    movement; and as City o Hope moves ahead with

    its 2007-2013 strategic plan, collaborations take on

    even greater importance. The strategic plan guides

    the institutions expansion through key research,

    clinical and education programs while maintaining

    longstanding attributes, such as compassionate care,

    that are central to its mission.

    The strategic plan will help City o Hope

    develop leading research programs in areas such as

    cancer biology, experimental therapeutics and

    population sciences, as well as strengthen clinical

    areas o excellence, including leukemia and

    lymphoma. It will build robust programs in areas

    such as lung, gynecologic and musculoskeletal

    cancers, among others. These aspirations are

    impossible without collaboration.

    The work o Smita Bhatia, M.D., M.P.H., chair

    o the Division o Population Sciences, serves as just

    one o several examples you will see in the ollowing

    pages o this report. Bhatia studies childhood cancer

    patients to deeply understand what happens later in

    their lives, long ater cancer treatment. But studying

    only City o Hopes patients would provide too

    ew research subjects to statistically discern the

    true eects o childhood cancer therapy. To ully

    understand these long-term eects, Bhatia must pool

    our patients with many others. She must link with

    physicians and researchers across the world.

    Only by combining their experiences and

    unselshly sharing their data can Bhatia and her

    colleagues gauge the long-term eects o cancer

    treatment. As a result, the collaborating researchers

    can better monitor cancer survivors health and

    uality o lie and provide better guidance or

    patients throughout their lives.

    Just like Bhatia, other City o Hope

    researchers are reaching beyond the bounds o

    their oces and labs to cooperate with scientists

    in Caliornia and around the globe. At the heart

    o their mission: uncovering the science behind the

    diseases and discovering better ways to prevent,

    diagnose and treat cancer, diabetes, HIV/AIDS and

    other serious illnesses.

    We invite you to read about their stories, and

    those o their collaborating City o Hope colleagues,

    in this report.

    Philip L. Engel

    Chair, Board o Directors

    City o Hope

    Michael A. Friedman, M.D.

    President and Chie Executive Ofcer

    City o Hope

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    | C i t y o f H o p e

    Upper left:

    Wend Lander, R.N., M.S.N.,

    Ct of Hope

    Center:

    Ct of Hope patents, lke

    the on rl shown here,

    benet from the collaboraton

    between cancer researchers

    and clncal care proders.

    Lower right:

    Smta Bhata, M.D., M.P.H.,

    Ct of Hope

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    guARDiNgyOuNg LivESchildrens oncology group

    The diagnosis o cancer in a child is overwhelming to amilies.

    Even ater successul treatment, ears remain. Will it return?

    Will a dierent cancer arise later in lie? What side eects can be

    expected and can they be avoided?

    Research has dramatically improved survival rates or children

    with cancer, rom less than 25 percent in the 1960s to nearly

    80 percent today. More than 250,000 childhood cancer survivors are

    living in the United States alone. But as they mature, two-thirds will

    suer chronic problems and long-term complications, such as issues

    related to growth and development; one-third will have a problem

    that can be lie threatening. Many will develop secondary cancers,

    either due to cancer treatment or underlying causes.

    Because late eects may not arise until decades ater

    treatment, and because pediatric cancers are ortunately rare,

    researchers and care providers must pool their resources and share

    their experiences to improve long-term outcomes. City o Hope

    researchers are national leaders in this eort.

    Smita Bhatia, M.D., M.P.H., chair o the Division o Population

    Sciences at City o Hope, and medical director, Center or Cancer

    Survivorship, chairs the Late

    Eects Committee o the Childrens

    Oncology Group (COG), a

    consortium unded by the National

    Cancer Institute.

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    | C i t y o f H o p e

    COG brings together pediatric cancer experts

    rom 238 hospitals in the U.S., Canada, Australia,

    New Zealand, the Netherlands and Switzerland. It

    acilitates the organization o large-scale, denitive

    multicenter research studies needed to improve

    treatments, practices and outcomes. Today, more

    than 90 percent o children with cancer in the U.S.

    are treated at COG-aliated cancer centers, and

    about 70 percent participate in clinical trials.

    Bhatia serves as principal investigator or

    a COG research study looking at key adverseevents in childhood cancer survivors. Patients who

    develop a secondary cancer or other problem such

    as congestive heart ailure or stroke are invited to

    participate in the study so that the causes o these

    complications can be investigated, potentially

    improving uture treatments.

    At City o Hope, cancer research is strongly

    integrated with clinical care, and nursing is a central

    ocus o that strategy. Wendy Landier, R.N., M.S.N.,

    serves as clinical director o the Center or Cancer

    Survivorship, and also leads the Nursing Clinical

    Practice/Survivorship Subcommittee o COG, where

    she serves as vice chair o the Nursing Discipline. As

    leaders within both City o Hope and COG, Landier

    and Bhatia have collaborated on landmark projects

    including the establishment o long-term ollow-up

    guidelines or young cancer survivors and a resource

    guide or all COG centers to use in their own

    ollow-up programs.

    Participation in COG encourages alliances.

    Close ties have been established with researchers

    at St. Jude Childrens Research Hospital, The

    Childrens Hospital o Philadelphia, Memorial

    Sloan-Kettering Cancer Center and dozens o

    other institutions. A Web-based version o the

    long-term ollow-up guidelines that can be tailored

    or individual patients will soon be launched inpartnership with Baylor School o Medicine. As a

    pilot test center or the new system, City o Hope

    and its patients will benet rom instant access

    to the cumulative knowledge o pediatric cancer

    experts rom around the world.

    Toda, more than 90 percent

    of chldren wth cancer n the

    unted States are treated at

    Chldrens Oncolo grop-

    aflated cancer centers.

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    C i t y o f H o p e |

    Ct of Hope pedatrc patents

    benet from the collaborate

    efforts of researchers at

    Ct of Hope and dozens of other

    nstttons worldwde.

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    | C i t y o f H o p e

    SPEEDiNggENE

    THERAPiESnational gene vector laboratoryThe most powerul weapons against cancer, diabetes and other

    serious diseases cannot be seen. They are genes bits o DNA that

    can be delivered to wayward cells, xing problems at the source.

    Gene therapy holds huge potential or uture cures. But rening these

    genetic tools, manuacturing them in uantity and getting them into

    clinical trials is a major challenge on all ronts: technical, analytical

    and regulatory.

    The National Gene Vector Laboratory (NGVL) at City o Hope

    is helping make it happen. Located within the Center or Biomedicine

    & Genetics (CBG), the NGVL is the rst large-scale acility or

    manuacturing biological therapeutics at an academic research center

    in the United States. Here, promising new genetic and cellular agents

    created by researchers can move into production rapidly, so that they

    can be entered into clinical trials without delay.

    The two-story, 20,000-suare-oot CBG acility was built

    in 2000 with the purpose o creating an unlimited array o novel

    therapeutics. Led by Larry A. Couture, Ph.D., the CBG currently

    produces islet cells that treat type 1 diabetes, monoclonal antibodies

    that ght cancer, engineered T-cells or immunotherapeutic clinical

    trials, cancer vaccines, viral vectors or gene therapy against HIV,

    and hematopoietic cell products

    to treat blood disorders. Process

    development is also beginning on

    two types o recombinant proteins,

    similar to the way City o Hope

    achieved a breakthrough in the

    development o synthetic human

    insulin nearly 20 years ago.

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    C i t y o f H o p e |

    Lower left:

    Larr A. Cotre, Ph.D., Ct of Hope

    Center:

    Ct of Hope manfactres

    nestatonal noel therapetcs for

    researchers arond the contr.

    Upper Right:

    Mchael C. Jensen, M.D. ,

    Assocate Char,

    Dson of Cancer immnotherapetcs

    and Tmor immnolo, Ct of Hope

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    0 | C i t y o f H o p e

    Ct of Hopes Natonal gene vector

    Laborator rapdl manfactres

    bolocal therapetcs so that thesenew therapes can moe nto clncal

    trals wthot dela.

    1997

    1998

    2000

    1999CBg conceed

    Ma 1998

    CBg fnded

    Jl 1998

    Bean constrcton

    of CBg

    Janar 1999 CBg completed

    Febrar 2000

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    C i t y o f H o p e |

    produced a lentivirus vector and is a designated

    back-up site or the production o adenovirus gene

    therapy vectors.

    With its robust manuacturing capacity and

    ability to uickly produce novel therapeutics at

    a small scale, the CBG provides a ast track or

    scientists seeking to move their research rom bench

    to bedside. It also generates valuable collabora-

    tions between City o Hope and other institutions.

    With material rom the NGVL, Jennier Grandics,

    M.D., at the University o Pittsburgh has made rapid

    progress in antisense gene therapy that can inhibit

    cancer o the head and neck. At the Universityo Wisconsin, Douglas McNeel, M.D., Ph.D., is

    taking a promising DNA plasmid vaccine that ghts

    prostate cancer into phase II clinical trials. In the

    search or better, aster cures, City o Hope is giving

    researchers across the country the genetic tools they

    need today.

    The CBGs prolic output, scientic expertise

    and certication as a Good Manuacturing Practices

    acility led the National Institutes o Health (NIH)

    to commission it as an NGVL, one o only ve

    such acilities in the U.S. today. Specically, the

    laboratory produces clinical-grade DNA plasmid

    vectors or use in phase I and II clinical protocols.

    DNA plasmids, also called naked DNA, are

    circular pieces o DNA carrying genes that can be

    transerred into cells with therapeutic eects.

    Plasmids are in demand by researchers because

    unlike viral vectors, they have the advantage o

    producing little or no immune response. As the

    only NIH-supported plasmid manuacturer in

    the U.S., City o Hopes NGVL produces DNA

    plasmids or all ualied, ederally unded labora-tories nationwide. In addition, the acility also has

    Ct of Hope prodces

    DNA plasmds for all

    qaled, federall fnded

    laboratores natonwde.

    Desnated Sothern Calforna

    islet Cell Resorce Center

    September 2001

    2001

    2002

    Frst prodcton

    December 2000

    Desnated

    Natonal gene vector Lab

    September 2001

    Calforna

    Food and Dr

    Branch Lcense

    March 2002

    CbG ManUFaCtUrED ProDUCts

    MANuFACTuRE PRODuCT PRODuCTDATE NAME TyPE

    12/12/2001 iL-13 Plasmd DNA

    1/14/2002 CE7R Plasmd DNA

    7/22/2002 293 Hman Cell MCB

    8/22/2002 293T Hman Cell MCB

    4/17/2003 TM-LCL Hman Cell MCB

    4/30/2003 L29.19 Plasmd DNA

    5/23/2003 pTvg-hPAP Plasmd DNA

    1/29/2004 EgFRAS Plasmd DNA

    2/25/2004 T84.66 Dabod Monoclonal Antbod

    6/14/2004 Ant-CD19 Plasmd DNA

    1/3/2005 pHiv7-sh-TAR- Plasmd DNACCR5RZ

    1/12/2005 TM-LCL Hman Cell WCB

    1/20/2005 pCp Plasmd DNA

    3/21/2005 pCMv-Re2 Plasmd DNA

    5/12/2005 pCMv-g Plasmd DNA

    6/1/2005 Lentrs vral vector6/20/2005 pHiv7-sh-TAR- Plasmd DNA

    CCR5RZ

    12/14/2005 gene Moded Enneered patent-specc cellsT-cell

    2/15/2006 Ant-CEA hT84.66 Monoclonal AntbodM5A/NHS-DOTA

    3/23/2006 pCB-AT-Zero Plasmd DNA

    4/25/2006 Zenapax Monoclonal Antbod

    5/2006 Lentrs vral vector

    6/2006 pCMv-Re2 Plasmd DNA

    8/2006 gene Moded Enneered patent-specc cellsT-cell

    12/2006 CD19Rop epHiv7 Plasmd DNA

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    Upper left:

    Foad R. Kandeel, M.D., Ph.D.,

    Ct of Hope

    Center:

    genomc analss of slet

    fncton.

    Lower right:

    Donald C. Dafoe, M.D.,

    Drector, Pancreas Transplanton,

    Cedars-Sna Medcal Center

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    ADvANCiNgAgAiNST

    DiABETESislet cell transplantationThe greatest challenge in medical research is to nd a permanent cure

    or a lie-threatening disease. For 5 million people around the world,

    that disease is type 1 diabetes.

    Also called insulin-dependent diabetes, type 1 diabetes is an

    autoimmune reaction that destroys the beta cells o the pancreas.

    The result is a lietime o insulin injections, threats o cardiovas-

    cular, nerve and kidney disease, and dangerous low-blood-sugar

    episodes. While healthy insulin-producing pancreatic islet cells can

    be transplanted rom donor organs, donors are in short supply.

    And transplant procedures reuire special technology, immune-

    suppressing drugs and considerable expertise.

    City o Hope is a leader in diabetes research, having pioneered

    the development o Humulin, the synthetic human insulin that was

    the rst biotechnology product approved by the Food and Drug

    Administration, now used by millions o diabetics worldwide.

    That leadership continues with advancing islet cell transplantation.

    As one o only seven islet cell resource

    (ICR) centers unded by the National

    Institutes o Health, City o Hope

    perormed the most islet transplants in the

    United States in 2004 and 2005 and has

    distributed the largest number o islets to

    basic science programs in the U.S. since

    2004. City o Hope is the only currently

    unded ICR center in the western U.S.

    In 2006, the Juvenile Diabetes Research

    Foundation (JDRF) designated City o Hope

    Cy f Hpe ewed

    dee pgm, cudg

    fevg wk e ce

    p, cezed

    he lee d su Gd(Gdchmed) Dee d

    Geec reech Cee

    Cy f Hpe.

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    | C i t y o f H o p e

    1940

    1950

    1970

    1960Rachmel Lene, M.D., Ct of Hope,

    dscoers pathophsolocal bass

    of tpe 2 dabetes n 1949

    as a JDRF Islet Cell Transplant Center, making it

    one o only 14 in the nation and the only Southern

    Caliornia organization to receive this distinction.

    Three clinical trials involving islet cell

    transplantation are under way at the City o Hope

    Leslie and Susan Gonda (Goldschmied) Diabetes

    and Genetic Research Center led by Fouad R.

    Kandeel, M.D., Ph.D, director, Department o

    Diabetes, Endocrinology & Metabolism. One study

    seeks to improve upon the Edmonton Protocol, a

    widely adopted transplant procedure reuiring two

    to three islet cell inusions. Multiple inusions and

    organ donors are needed because the drugs used toovercome transplant rejection are toxic to islet cells.

    As an alternative, the City o Hope phase I/II trial is

    employing a dierent immune suppression strategy

    together with the use o growth actors to expand

    the number o islet cells beore and ater transplan-

    tation. The goal is to develop a single inusion that

    can ree patients rom insulin dependence.

    Kandeel also directs the Southern Caliornia

    Islet Consortium (SC-IC), a group o institutions

    sharing resources and expertise. Hosted by

    City o Hope, the SC-IC includes Cedars-Sinai

    Medical Center, Harbor-UCLA Medical Center,

    Loma Linda Medical Center, the Southern Caliornia

    Transplantation Institute, St. Vincent Medical Center,

    the Whittier Institute or Diabetes/Scripps Green

    Center or Organ & Cell Transplantation and the

    UCLA Center or Health Sciences. Because kidney

    disease is a complication o diabetes, the SC-ICs

    rst multicenter clinical trial ocuses on islet cell

    transplantation ater kidney transplant. City o Hope

    perorms the majority o transplant procedures or

    the consortium, handles regulatory reuirements

    and trains physicians in islet cell techniues.

    With diabetes on the rise worldwide, the

    absolute shortage o islet cell donors is stimulating

    the search or new islet cell strategies, including

    stem cells. Looking beyond diabetes, progress

    in immune tolerance achieved through islet cell

    research could pave the way or advances in solid

    organ transplants, cellular and gene therapies and

    treatments or autoimmune conditions, Parkinsonsdisease and many other conditions that would

    benet rom cell replacement.

    Ct of Hope hosts the Sothern

    Calforna islet Consortm,whch represents an nterated

    effort of mltple academc and

    transplant nstttons to mere

    resorces and efforts n slet

    transplantaton research.

    Samal Rahbar, M.D., Ph.D.,

    Ct of Hope, dscoers

    HA1c n 1968

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    yoko Fjta-yamach, Ph.D.,

    Ct of Hope, dscoers cell nsln

    receptor n 1982

    1980

    1990

    2000

    2010

    Ct of Hope researchers work on

    slet cell solaton and dstrbton

    for clncal transplantaton trals

    throhot the unted States.

    Arthr Rs, Ph.D., and Kech itakra, Ph.D., both

    from Ct of Hope, prodce snthetc nsln from

    enetcall enneered bactera n1978

    Establshment of the Sothern

    Calforna islet Cell Resorce

    Center n 2001 Stem cell transplantaton w

    mmne sppresson for trea

    of dabetes n the

    Ct of Hope desnated as a Jenle Dabetes Research

    Fondaton islet Cell Transplant Center n 2006

    Lesle and Ssan gonda

    (goldschmed) Dabetes and

    genetc Research Center

    dedcaton n 1997

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    | C i t y o f H o p e

    DESigNiNgSMARTER

    DRugSmodeling g-protein coupled receptorsMany drugs in use today were created by trial and error methods

    that result in a compromise: The drugs work, but carry risks o

    unwanted side eects. Yet clues to designing smarter pharmaceu-

    ticals with ewer side eects are hidden within the three-dimensional

    structures o biomolecules that these drugs turn on or o.

    Among the most important therapeutic drug targets in the

    human body are G-protein coupled receptors (GPCRs) a large,

    diverse group o proteins that play crucial roles in health and disease.

    Woven through cell membranes, GPCRs act as signal posts, sensing

    changes in the environment and directing the cell to respond. By

    binding with neurotransmitters, hormones, immune substances,

    odorants and other molecules, GPCRs infuence growth, metabolism,

    brain response and other central lie processes. GPCRs called

    chemokine receptors are also implicated in the spread and growth o

    many cancers, including those o the lung, breast, prostate and colon.

    With rising rates o age-related and environmental cancers, better-

    targeted magic bullet GPCR drugs would have widespread benets.

    In act, hal the drugs in use

    today target GPCRs, activating

    or inhibiting them. They are used

    to lower blood pressure, combat

    allergies, treat depression, calm

    arthritis, heal stomach ulcers and

    block pain. Yet their actions are oten

    too broad, leading to side eects that

    can be serious, even dangerous.

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    C i t y o f H o p e |

    Upper right:

    Naarajan vadeh, Ph.D.,

    Ct of Hope

    Center:

    3-D compter models of

    protens help researchers

    more qckl nestate

    Wnt snal transdcton

    pathwas noled n

    deelopment and dsease.

    Lower left:

    Randall T. Moon, Ph.D.,

    unerst of Washnton

    P

    hotobyElzabethLowry,2006

    u

    nverstyofWashngtonMedcne

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    | C i t y o f H o p e

    Teams of chemsts, phscsts and

    compter scentsts work to prodce

    rtal gPCR models, then aldate and

    rene them to ltmatel brn mch-

    needed gPCR drs to patents.

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    C i t y o f H o p e |

    o computers. Then, urther experiments are needed

    to validate and rene the model.

    But while the structures may be theoretical,

    the need or progress in GPCR drugs is real.

    Interest in GPCR structures is attracting pharma-

    ceutical companies to work with City o Hope, and

    promotes collaborations with the universities o

    Caliornia, Texas, Pittsburgh and North Carolina,

    Caliornia Institute o Technology, Jet Propulsion

    Laboratory, New York University and Imperial

    College London, among others.

    At the University o Washington, scientistRandall T. Moon, Ph.D., had evidence that a

    certain GPCR was involved in cancer, but needed

    to understand its structure, as well as identiy

    small molecules that could turn the receptor on

    or o. Working together with Moon, Vaidehis

    team predicted the receptors structure and rapidly

    identied 20 possible modulators rom a database o

    hundreds o thousands o molecules one o which

    may be a perect t.

    Designing the next generation o GPCR drugs

    reuires data on the three-dimensional structure

    o each receptor protein. But because membrane-

    bound proteins are hard to crystallize, their

    structures cannot be visualized directly. One solution

    is to construct virtual models o these receptor

    proteins using computational methods based on the

    undamental laws o physics. It is a challenge that

    takes teams o chemists, physicists and computer

    scientists to solve.

    At City o Hopes Division o Immunology,

    Nagarajan Vaidehi, Ph.D., is leading the charge.

    Starting with basic atomic orces, she and her

    colleagues predict the theoretical 3-D structures and

    binding sites o small molecules within GPCRs. Each

    structure reuires months to generate, using dozens

    interest n proten strctress attractn pharmacetcal

    companes and nerstes

    across the lobe to work wth

    Ct of Hope.

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    0 | C i t y o f H o p e

    Upper left:

    Mark E. Das, Ph.D.,

    Warren and Katharne Schlner

    Professor of Chemcal Enneern,

    Calforna insttte of Technolo

    Center:

    Hman dose al of rboncleotde

    redctase nhbtor sed n the rst

    clncal tral.

    Lower right:

    yn yen, M.D., Ph.D., Ct of Hope

    PhotocortesyofCalfornainsttteofTechnology

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    C i t y o f H o p e |

    DEFEATiNgDRug

    RESiSTANCEribonucleotide reductase inhibitorsMany cancer drugs seem to work well at rst. But too oten, the

    disease returns. And when it does, it can hit even harder and aster

    than beore. Many cancers actually develop resistance to chemo-

    therapy. Finding a way to deeat this drug resistance is a signicant

    step toward nding a cure.

    At City o Hope, Yun Yen, M.D., Ph.D., director o Clinical

    and Molecular Pharmacology and co-leader o the Developmental

    Cancer Therapeutics Program, believes the answer may be ound in

    an enzyme that cells use naturally to repair and restore themselves.

    The enzyme ribonucleotide reductase (RR) converts ribonucleotides

    into the building blocks o DNA, an essential part o the normal

    process o cell growth, including the ability to x damaged genes.

    But in cancer cells, RR production can go into overdrive, allowing

    cancers to survive attacks by chemotherapy and promoting the

    spread o new malignant cells that can invade healthy tissues.

    For 17 years, Yens research has ocused on understanding

    the gene that codes or RR and how the enzyme itsel helps cancer

    spread. One well-known chemotherapy drug, hydroxyurea, is

    known to work by inhibiting RR. But i surviving cancer cells learn

    to resist the drug, it can lead to recurrence. Today, Yens group is

    pressing to nd more eective

    anticancer agents, including

    combining newer RR inhibitors

    with gemcitabine, the only drug

    approved or pancreatic cancer.

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    | C i t y o f H o p e

    2004

    2005Branstormn sesson wth Mark E. Das, Ph.D.,

    CalTech, and yn yen, M.D., Ph.D., and

    Stephen J. Forman, M.D., both from Ct of Hope

    Yen discovered the mechanism by which cancer

    cells become resistant to gemcitabine a nding

    that is actively being exploited in the search or new

    cancer drugs.

    Collaborative research is accelerating progress

    in overcoming drug resistance. Within City o Hope,

    David Horne, Ph.D., director o the Synthetic

    Chemistry Core Facility, and Yate-Ching Yuan, Ph.D.,

    manager o the Biomedical Inormatics Core Facility,

    are designing new compounds with the ability to

    inhibit RR. These are tested at City o Hopes High

    Throughput Screening Core, directed by M.L.Richard Yip, Ph.D. The core acility is a resource

    where newly synthesized chemicals and thousands

    more rom a library o molecules can be screened

    rapidly to assess whether they hold potential as

    possible treatments.

    Meanwhile, Yen is also working with John

    Rossi, Ph.D., Lidow Family Research Chair in the

    Division o Molecular Biology, to investigate the

    use o small interering RNA (siRNA) to silence

    the genes that produce RR through a mechanism

    called RNA intererence (RNAi). Rossi is using the

    RNAi approach to ght HIV, and this approach

    is one o the most promising new investigational

    therapies or many diseases. The 2006 Nobel Prize

    in Medicine was awarded or the discovery o the

    RNAi mechanism.

    Taking the siRNA strategy a step urther to

    a level reminiscent o science ction City o Hope

    researchers are pursuing an inter-institutional project

    with Mark E. Davis, Ph.D., Warren and Katharine

    Schlinger Proessor o Chemical Engineering at the

    Caliornia Institute o Technology, and a local start-

    up company called Calando Pharmaceuticals. Davis

    has engineered nanoparticles made o polymers that

    can deliver drugs directly to cancer cells.

    Preclinical studies conducted by Calando

    Pharmaceuticals suggested that nanoparticles

    containing siRNA to inhibit RR can serve as sae,

    eective drug-delivery vehicles. Plans or a clinicaltrial with cancer patients are already under way.

    Scentsts at Ct of Hopeand Caltech are collaboratn

    to deelop nanopartcles that

    can deler drs drectl to

    cancer cells.

    Anmal std

    Jne 2005

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    FDA approal

    en for clncal tral

    March 2006

    2006

    2007

    Ct of Hope researchers prse

    ntra- and nter-nstttonal

    projects to nd more effecte

    antcancer aents.

    Preclncal std

    December 2005

    Frst patent enrolled

    nto clncal tral

    Jl 2006 Three-dose-leel testn

    December 2006

    Abstract sbmtted at Amercan Socet

    of Clncal Oncolo annal meetn

    Janar 2007

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    uNiTiNgAgAiNST

    iNFECTiONcytomegalovirus vaccineStem cell and organ transplants oer hope to patients with cancer

    and other serious illnesses. But or the transplant to succeed, the

    patients own immune system must be suppressed to reduce the

    chance o transplant rejection. And that opens the door to inection.

    Too oten, patients whose immune systems have been weakened

    all victim to cytomegalovirus (CMV), a common herpes virus that

    can be ound in 50 to 80 percent o adults in the United States.

    Normally, inections are mild; aterward, the virus remains dormant,

    held in check by a healthy immune system. But ater a transplant or

    other immune-compromising event, CMV can reactivate, causing

    pneumonia and other deadly diseases. About hal o bone marrow

    transplant patients develop active CMV inections; the virus also is a

    major cause o death in organ transplant patients.

    The list goes on: CMV harms dialysis patients, causes blindness

    in HIV patients and is the leading congenital inection in newborns.

    CMV is responsible or hundreds o inant deaths and thousands o

    serious birth deects in babies annually. The Institute o Medicine has

    called the development o a CMV vaccine a national medical priority.

    While antiviral drugs can be eective

    against CMV, they are undesirably toxic.

    As a much-needed alternative, City o Hope

    scientists have teamed up to develop a CMV

    vaccine, based on years o accumulated

    research. Their eorts took a giant leap

    orward in 2006, when the Food and Drug

    Administration approved the rst human

    clinical trial o a synthetic CMV vaccine.

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    Upper right:

    Don J. Damond, Ph.D.,

    Ct of Hope

    Center:

    Ctomealors and

    red blood cell.

    Lower left:

    John A. Zaa, M.D.,

    Ct of Hope

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    | C i t y o f H o p e

    Scentsts and phscans work toether

    on a phase i clncal tral to ather

    data on safet, metabolsm and other

    parameters of the CMv accne.

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    M.D., chair o the Division o Virology, and

    Stephen J. Forman, M.D., Francis and Kathleen

    McNamara Distinguished Chair in Hematology

    and Hematopoietic Cell Transplantation. Coley

    Pharmaceutical Group is contributing the adjuvant.

    SAIC-Frederick and the NCI sponsored the

    development o early data, and the Pasteur Institute

    urnished preclinical models used in establishing

    the potency o the vaccine.

    In the next phase, transplant donors will

    receive the vaccine to evaluate whether immunity

    to CMV can be transerred along with their bonemarrow or other tissues. Meanwhile, Diamond and

    his colleagues are pressing ahead with a second-

    generation vaccine engineered by Zhongde Wang,

    Ph.D., M.D., assistant research scientist in the

    Division o Virology, to combat congenital CMV,

    with broader applicability in transplant recipients;

    the project has received long-term unding rom

    the NCI. The National Institute o Allergy and

    Inectious Diseases and Bernard Moss, M.D., Ph.D.,

    chie in the Laboratory o Viral Diseases, have

    provided a crucial component to this project, which

    is anticipated to assist in regulatory approval.

    Don J. Diamond, Ph.D., director o the

    Laboratory o Vaccine Research, is heading a

    project in which two ormulations o the vaccine are

    being tested, each with and without a biochemical

    regulator called an adjuvant. At the heart o the

    vaccine is a peptide molecule that originated at

    City o Hope and is now being produced or urther

    studies by the National Cancer Institute (NCI).

    In the phase I clinical trial, currently under

    way, healthy adult volunteers are being given

    the vaccine in one o its orms to gather data on

    saety, metabolism and other parameters. Parties

    collaborating in this groundbreaking project include

    Corinna La Rosa, Ph.D., assistant research scientist,

    and Simon F. Lacey, Ph.D., associate researchscientist in the Division o Virology, John A. Zaia,

    At the heart of the accne

    s a peptde molecle that

    ornated at Ct of Hope and

    s now ben prodced for

    frther stdes b the Natonal

    Cancer insttte.

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    PARTNERS iN HOPE

    A landmark number o endowed chairs, beuests, generous gits

    and grants in 2006 accelerated City o Hopes uest to develop

    treatments and cures or those suering rom devastating diseases.

    The generous giving refected the ongoing condence o supporters in

    the organizations mission.

    The year was one o unprecedented generosity. City o Hope

    supporters gave more than $122 million, the most ever raised in a

    single year. Beuests, or donations made through wills and trusts, also

    surpassed previous levels, totaling nearly $34 million. The dedicated

    eorts o thousands o individuals, oundations, corporations andvolunteer groups and auxiliaries nationwide contributed to this

    remarkable year, ensuring that key City o Hope research, education

    and treatment programs continue to grow and progress.

    Furthering a partnership that began nearly a uarter century

    ago, a $20 million git rom the Arnold and Mabel Beckman

    Foundation established the Arnold and Mabel Beckman Center or

    Cancer Immunotherapeutics and Tumor Immunology. This modern,

    108,000-suare-oot acility will blend basic science with clinical

    studies and ocus on immunotherapy, a treatment that uses the

    immune system to ght cancer and other diseases.

    In making their git, Arnold and Mabel Beckman Foundation

    leaders pledged $15 million to match a $15 million git made by an

    anonymous donor, and another $5 million to spur additional gits.

    Other signicant support or the acility in 2006 included a

    $2 million beuest rom the estate o Diana Chudaco Levin.

    The project also received a commitment rom the National

    Oce Products Council, the executive advisory board o the

    National Oce Products Industry, which pledged $5 million rom

    the industry groups annual undraising campaigns through 2009

    to support the Arnold and Mabel Beckman Center. Conseuently,

    $500,000 o the industry groups 2006 contributions was

    earmarked or the National Oce Products Industry Cellular and

    Tumor Immunotherapies Center, which will be located on the third

    foor o the Arnold and Mabel Beckman Center.

    The Arnold and Mabel Beckman Center also will house

    City o Hopes Center or Graduate and Proessional Studies,

    which beneted rom a $750,000 grant to establish and euip the

    Ralph M. Parsons Foundation Teaching Laboratory.

    Other important oundation support during the year included a

    $511,130 grant rom The UniHealth Foundation to enhance nursing

    training, a $500,000 grant rom the Skirball Foundation to support

    Me d ad beckm

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    T-cell therapy research or lymphoblastic leukemia, a $500,000

    grant rom The Henry L. Guenther Foundation to purchase a 3T

    magnetic resonance imaging machine, and $450,000 rom the W.M.

    Keck Foundation to und research to understand the molecular

    mechanisms underlying cancer and develop new therapies that would

    destroy lymphoma cells without harming normal cells.

    Another critical program, transusion medicine, beneted rom

    the altruism o longtime Home Furnishings Industry group supporter

    Michael Amini, chairman and chie executive ocer o Amini

    Innovation Corporation, who contributed a $6 million git. The three-story Michael Amini Transusion Medicine Center will consolidate

    City o Hopes blood collection and processing programs and provide

    a modern, comortable environment or patients, donors and sta.

    The unding o several new endowed chairs throughout the

    year bolstered research eorts, as well. An unexpected beuest o

    more than $5.8 million rom a Laguna Beach, Cali., couple whose

    amily member was treated at City o Hope in the 1960s established

    the Edward and Estelle Alexander Chair in Inormation Sciences.

    As the rst holder o the new chair, City o Hope Cancer Center

    Associate Director Joyce C. Niland, Ph.D., will continue leading

    City o Hopes collaborations with other cancer centers to create a

    global inormation model to speed uture biomedical research.

    Stephen J. Forman, M.D., was named as the rst holder o the

    Francis and Kathleen McNamara Distinguished Chair in Hematology

    and Hematopoietic Cell Transplantation, established by a $2.5 million

    git rom Kathleen McNamara, a patient o Formans, and her

    husband, Francis Chip McNamara.

    Another $2.5 million git rom the amily o late City o Hope

    patient and prominent Las Vegas builder Martin Collins established

    the Pauline and Martin Collins Family Chair in Urology. The rst

    holder is Timothy Wilson, M.D., director o the Department o

    Urology & Urologic Oncology and the Prostate Cancer Program.

    Furthering years o commitment to City o Hope, Sheri

    Biller, vice chair o the board o directors at City o Hope, and her

    husband, Les, were inspired to enhance the institutions patient

    support services. Aiming to create a single place where patients and

    amilies can turn or help in coping with cancer, the Sheri & Les

    Biller Family Foundation pledged $2 million to establish the Sheri &

    Les Biller Patient and Family Resource Center.

    Continuing their steadast support, more than 30 industry

    groups generated tens o millions o dollars through undraising

    Mche am

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    endeavors such as Spirit o Lie galas and gol tournaments. The

    Home Furnishings Industry raised a record $10 million, including

    the $6 million Amini git, during their annual undraising eort.

    The National Oce Products Industrys Give. Hope. campaign

    yielded more than $6.2 million, while the Hardware/Homebuilding

    Industry raised more than $3 million. Members o the ood and drug

    industries groups in the western United States and Arizona raised

    more than $4.8 million. And, urthering more than three decades o

    support, the Music and Entertainment Industry generated more than

    $3 million through its annual campaign.Additional entertainment industry support came through

    promotional spots recorded by nine-time Grammy-winner and breast

    cancer survivor Sheryl Crow. The spots began running nationwide

    in all 2006 through airtime donated by Premiere Radio Networks

    and Movie Tunes, raising City o Hopes prole across the country.

    The ads reached more than 190 million radio listeners and played in

    16,500 movie theaters in the United States.

    Through alliances with national brands including 3M,

    Hansens, Kelloggs, Oce Depot, OceMax, Mattel, Sanord and

    Unilever, cause-related marketing programs raised a total o nearly

    $4 million or City o Hope. Staples, one o the organizations largest

    cause-marketing participants in 2006, created customer-donated

    programs that garnered nearly $1 million and generated invaluable

    national visibility or City o Hope.

    Epitomizing the commitment o City o Hopes thousands

    o auxiliary members nationwide, decades-long supporter Morris

    (Morrie) Darnov and his daughter, Sharon, generously donated a

    combined git o$2 million in memory o Natalie Darnov, Morries

    wie and Sharons mother. For more than our decades, Natalie and

    Morrie Darnov served as dedicated members o Los Angeles Git o

    Lie Chapter. Morrie remains an active chapter member.

    More than 22,000 participants in nine cities around the

    nation raised more than $2.5 million in an eort to eradicate the

    most prevalent cancer in women through City o Hopes national

    campaign, Walk or Hope to Cure Breast Cancer. Increased

    team participation and support rom national sponsors such as

    Wells Fargo, 3M Post-It Sticky Notes, Hilton HHonors, Good

    Housekeepingmagazine, Orbitz and Sandals/Beaches resorts, as

    well as cash sponsors Bamboo, Anne Michelle and Sebastian Body

    Double, all contributed to a successul Walk season.

    Eee d Edwd aexd

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    FiNANCiALS

    Pe ifm

    (For scal years beginning October 1 and ending September 30)

    (dollar amounts in thousands)

    Chge f Pe sevce 2006 % 2005 %

    Medicare $ 231,246 25.4% $ 178,393 24.3%

    Indemnity insurance 2,975 0.3% 8,266 1.1%

    Managed care contracts 523,300 57.3% 422,939 57.4%

    Subsidized care 155,332 17.0% 126,633 17.2%

    Total $ 912,853 100.0% $ 736,231 100.0%

    Pyme receved f Pe sevce 2006 % 2005 %

    Medicare $ 56,503 17.1% $ 47,212 17.5%

    Indemnity insurance 2,123 0.6% 3,296 1.2%

    Managed care contracts 225,299 67.8% 199,242 73.7%

    Medi-Cal and other 48,270 14.5% 20,463 7.6%

    Total $ 332,195 100.0% $ 270,213 100.0%

    Pe teed (ed dm) 2006 2005

    New patient reerrals 6,419 6,148

    Patients treated during year 17,695 16,894

    Admissions 4,934 4,643

    Patient days 49,330 43,745Clinic and inusion visits 109,603 102,605

    Bone marrow transplants (BMT) 605* 460*

    *includes BMT perormed at City o Hope Banner Good Samaritan

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    | C i t y o f H o p e

    Cy f Hpe d afe Cmed seme f Fc P

    (For scal years beginning October 1 and ending September 30)

    (dollar amounts in thousands)

    assEts

    Cue ae 2006 2005*

    Cash and cash euivalents $ 49,473 $ 51,041

    Investments 71,072 53,437

    Patient accounts receivable, less allowances or uncollectibleaccounts o $3,377 in 2006 and $2,010 in 2005 64,415 52,971

    Grants and other receivables 15,187 9,288

    Donor restricted unconditional promises to give, net 10,588 11,867

    Prepaid and other 28,291 15,322

    Total current assets $ 239,026 $ 193,926

    PROPERTY, PLANT AND EqUIPMENT, net o accumulateddepreciation o $273,123 in 2006 and $242,257 in 2005 $ 371,440 $ 366,246

    ohe ae

    Investments $ 9,133 $ 5,334

    Board-designated investments 161,234 136,002

    Bond trust unds 41,774 12,367

    Escrow unds 1,699

    Donor restricted assets 128,989 94,236

    Other assets 11,870 10,532

    Total other assets 353,000 260,170

    TOTAL ASSETS $ 963,466 $ 820,342

    *Certain reclassications were made to the 2005 nancial statements to conorm to the 2006 presentation.

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    (For scal years beginning October 1 and ending September 30)

    (dollar amounts in thousands)

    liabilitiEs anD nEt assEts

    Cue le 2006 2005*

    Accounts payable and accrued liabilities $ 72,281 $ 98,545

    Long-term debt, current portion and accrued interest 14,015 10,349

    Total current liabilities 86,296 108,894

    LONG-TERM DEBT, net o current portion and unamortizeddiscount o $2,131 and $2,259 as o September 30, 2006and 2005, respectively 241,144 191,613

    ANNUITY AND SPLIT-INTEREST AGREEMENT OBLIGATIONS 19,670 19,037

    Other 7,036 5,608

    Total liabilities $ 354,146 $ 325,152

    CoMMitMEnts anD ContinGEnCiEs

    ne ae

    Unrestricted $ 457,589 $ 382,940

    Restricted 151,731 112,250

    Total net assets 609,320 495,190

    TOTAL LIABILITIES AND NET ASSETS $ 963,466 $ 820,342

    *Certain reclassications were made to the 2005 nancial statements to conorm to the 2006 presentation.

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    Cy f Hpe Cmed seme f acve

    (For scal years beginning October 1 and ending September 30)

    (dollar amounts in thousands)

    reveue 2006 2005

    Net patient service revenues $ 332,195 $270,213

    Contributions and net special event revenues 124,867 85,645

    Royalties and research grants 151,884 123,754

    Other 32,330 23,995

    Total revenues $ 641,276 $503,607

    Expee

    Program services $ 441,862 $370,107

    Supporting services 83,780 82,437

    Total expenses 525,642 452,544

    Operating income 115,634 51,063

    Change in net unrealized (loss) gain on investments (998) 6,755

    Loss on interest rate swap agreement (506)

    FEMA grant used or eligible construction projects 272

    Changes in net assets 114,130 58,090

    Net assets, beginning o year 495,190 437,100

    Net assets, end o year $ 609,320 $495,190

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    Cy f Hpe Cmed seme f Ch Fw

    (For scal years beginning October 1 and ending September 30)

    (dollar amounts in thousands)

    Ch Fw fm opeg acve 2006 2005

    Changes in net assets $114,130 $ 58,090

    Adjustments to reconcile changes in net assets to net cashprovided by operating activities:

    Depreciation and amortization 31,333 24,103

    Unrealized (loss) gain on investments 998 (6,755)

    Other changes in operating assets and liabilities (59,830) (17,321)

    Total adjustments (27,499) 27

    Net cash provided by operating activities $ 86,631 $ 58,117

    Ch Fw fm iveg acve

    Proceeds rom sales o property, plant and euipment $ 416 $ 786

    Additions to property, plant and euipment (36,212) (56,707)

    Change in investments (95,632) (21,560)

    Net cash used in investing activities $(131,428) $ (77,481)

    Ch Fw fm Fcg acve

    Net cash provided by nancing activities $ 43,229 $ 33,066

    Net increase in cash and cash euivalents (1,568) 13,702

    Cash and cash euivalents, beginning o year 51,041 37,339

    Cash and cash euivalents, end o year $ 49,473 $ 51,041

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    | C i t y o f H o p e

    and Tumor Immunology, and the departments o

    Gene Regulation and Drug Discovery, Surgical

    Research and Radiation Biology provide the

    ramework or the institutes work.

    national MEDiCal CEntEr

    The National Medical Center is the place where

    more than 138 physicians representing 25 board-

    certied specialties help bring City o Hopes

    research ull circle. Here, new and promisingtreatment options are made available to patients

    long beore they become available in the community.

    At any given time, City o Hope conducts more

    than 300 clinical studies, involving 40 percent

    o its eligible patients. The national average is less

    than 5 percent.

    Helord Clinical Research Hospital at

    City o Hope, which opened in 2005, began a

    new chapter in City o Hopes mission o bringing

    cures to people battling cancer and other lie-

    threatening illnesses. This state-o-the-art acility isthe culmination o decades o scientic, clinical

    and undraising eorts. It embodies the organiza-

    tions medical and technological expertise and

    treatment approaches.

    CEntEr For bioMEDiCinE & GEnEtiCs anD

    tHE sYlVia r. & isaDor a. DEUtCH CEntEr For

    aPPliED tECHnoloGY DEVEloPMEnt

    Made possible by generous support rom the

    National Oce Products Industry, the Center or

    Biomedicine & Genetics (CBG) is licensedby the state and ederal government to produce

    pharmaceutical-grade therapeutic compounds. This

    provides a cost-eective way to expedite the delivery

    o experimental biological therapies to patients.

    City o Hope established the CBG to ensure that its

    technological innovations are eciently translated

    rom the research lab to the clinical setting, while

    allowing scientic and clinical investigators the

    PROgRAMSAND FACiLiTiES

    CoMPrEHEnsiVE CanCEr CEntEr

    A National Cancer Institute (NCI) Cancer Center

    since 1981, City o Hope received the prestigious

    comprehensive designation rom the NCI in 1998,

    and it was renewed in 2004. This designation makes

    City o Hope one o only a ew such centers in the

    United States that combines all acets o cancer

    research and care with the highest standards o

    excellence. An additional component o the NCI

    designation includes community outreach, educationand population-based research. City o Hopes

    recently created Division o Population Sciences

    addresses this by ocusing on understanding the

    origins o cancer, as well as research to better

    comprehend long-term outcomes o treatment.

    City o Hope also sponsors community outreach

    and education orums targeting both health-care

    proessionals and the public. Through all o these

    activities combined, NCI-designated cancer centers,

    like City o Hope, play an important role in their

    communities, infuencing standards o cancerprevention and treatment.

    bECKMan rEsEarCH institUtE

    With a sta o more than 545, including nearly

    80 principal scientists, City o Hopes Beckman

    Research Institute is one o the nations premier

    centers or groundbreaking biomedical research.

    City o Hope scientists undertake undamental

    investigations in molecular genetics and cellular

    biology; they study normal and abnormal biological

    processes, including mutagenesis and DNA repair,cell dierentiation and early development, inter-

    and intracellular signaling, RNA processing and

    genome structure. These scientists have achieved

    major advances in recombinant DNA technology,

    monoclonal antibodies, gene therapy and radioim-

    munotherapy. The divisions o Biology, Immunology,

    Neurosciences, Molecular Medicine, Molecular

    Biology, Virology and Cancer Immunotherapeutics

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    reedom to test and rene the most promising new

    therapeutics. As a National Gene Vector Laboratory,

    the CBG is also responsible or the production o

    plasmid DNA vectors or ederally unded gene

    therapy research. In recognition o their generous

    git, the rst foor o the CBG acility is named the

    Sylvia R. & Isador A. Deutch Center or Applied

    Technology Development.

    GEnEral CliniCal rEsEarCH CEntErThe General Clinical Research Center (GCRC) at

    City o Hope, a partnership with the University

    o Southern Caliornia, is one o only 59 centers

    nationwide unded by the National Center or

    Research Resources o the National Institutes o

    Health. The GCRC provides an optimal

    setting or medical investigators to conduct sae,

    controlled, state-o-the-art inpatient and

    outpatient studies. GCRC resources include highly

    trained research personnel, a core laboratory, a

    bioinormatics system and a metabolic kitchen.The GCRC research sta includes nurses,

    dietitians, biostatisticians, skilled technicians and

    administrative personnel to help investigators by

    acilitating the day-to-day research process and

    assisting the research patients in a supportive

    and ecient environment.

    GraDUatE sCHool oF bioloGiCal sCiEnCEs

    For 13 years, City o Hopes accredited Graduate

    School o Biological Sciences has provided a

    uniue training ground or tomorrows scientists. Itoers postgraduate training in molecular biology,

    immunology, molecular medicine and neurosciences,

    including academic classes and intensive laboratory

    research. Working toward the completion o their

    doctoral degrees, students have access to state-o-

    the-art acilities and shared resources to acilitate

    their research and are able to collaborate alongside

    aculty who are experts in their elds.

    CitY oF HoPE bannEr GooD saMaritan

    bonE MarroW transPlantation (bMt)

    ProGraM

    In partnership with Banner Health System,

    City o Hope has built a successul satellite BMT

    program in Phoenix, serving area residents. This

    joint program has been designated as a member o

    the Southwest Oncology Group, one o the largest

    o the National Cancer Institute-supported cancer

    clinical trials cooperative groups in the UnitedStates. This provides patients with access to key

    clinical trials and research protocols.

    soUtHErn CaliFornia islEt CEll

    rEsoUrCE CEntEr

    Housed in the Leslie and Susan Gonda (Goldschmied)

    Diabetes and Genetic Research Center, the Southern

    Caliornia Islet Cell Resource (SC-ICR) center

    is one o only seven islet cell resource (ICR) centers

    unded by the National Institutes o Health.

    City o Hope perormed the most islet transplantsin the U.S. in 2004 and 2005 and distributed the

    largest number o islets to basic science programs

    throughout the U.S. since 2004. During the most

    recent unding period o the ICR program,

    City o Hope was the only center unded in the

    western U.S. In May 2004, City o Hope became the

    rst islet transplant center without a whole organ

    transplantation program to become a member o the

    United Network o Organ Sharing. Additionally, in

    2006, City o Hope was designated an islet cell

    transplant center by the Juvenile Diabetes ResearchFoundation, making it one o only 14 institutions

    in the U.S. to receive this distinction and the only

    one in Southern Caliornia. The center also oers a

    total-care diabetes and endocrinology program and

    has helped millions o diabetics worldwide who

    benet rom synthetic human insulin developed

    through research conducted at City o Hope.

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    RESEARCH AND CLiNiCALDiviSiONS, DEPARTMENTSAND PROgRAMS

    CoMPrEHEnsiVE CanCEr CEntEr

    rEsEarCH ProGraMs anD FaCilitiEs

    Cancer Biology

    Cancer Control and Population Sciences

    Cancer Immunotherapeutics

    Developmental Cancer Therapeutics

    Hematologic Malignancies

    bECKMan rEsEarCH institUtE

    DiVisions

    Biology

    Cancer Immunotherapeutics and

    Tumor Immunology

    Immunology

    Molecular Biology

    Molecular Medicine

    Neurosciences

    Virology

    national MEDiCal CEntEr DiVisions/

    DEPartMEnts

    Anesthesiology

    Diagnostic Radiology

    Nuclear Medicine

    Hematology & Hematopoietic Cell TransplantationHematopoietic Stem Cell and

    Leukemia Research

    Inormation Sciences

    Biomedical Inormatics

    Biostatistics

    Clinical Research Inormation Management

    Medical Oncology & Therapeutics Research

    Aging and Cancer Research Program

    Clinical and Molecular Pharmacology

    Medical Specialties

    CardiologyDiabetes, Endocrinology & Metabolism

    Gastroenterology

    Inectious Diseases

    Neurology

    Psychology

    Pulmonary and Critical Care Medicine

    Supportive Care & Palliative Medicine

    Pathology

    Anatomic Pathology

    Clinical Pathology

    Transusion MedicinePediatrics

    Population Sciences

    Behavioral Oncology

    Center or Cancer Survivorship

    Center o Community Alliance or Research

    & Education

    Clinical Cancer Genetics

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    C i t y o f H o p e |

    Etiology

    Nursing Research and Education

    Outcomes Research/Intervention

    Radiation Oncology

    Clinical Radiation Oncology

    Radiation Biology

    Radiation Physics

    Surgery

    General and Oncologic Surgery

    Neurosurgery

    Orthopaedic Surgery

    Plastic and Reconstructive Surgery

    Surgical Research

    Thoracic Surgery

    Urology and Urologic Oncology

    national MEDiCal CEntEr DisEasE-

    sitE ProGraMs

    Brain Tumor Program

    Breast Cancer Program

    Rita Cooper Finkel and J. William Finkel

    Womens Health Center

    Diabetes, Endocrinology & Metabolism

    Gene Regulation and Drug Discovery

    Islet Cell Transplantation Program

    Gastrointestinal Cancer Program

    General Clinical Research Center

    Genitourinary/Prostate Cancer Program

    Gynecologic Cancer ProgramLiver Cancer Program

    Lymphoma SPORE

    Musculoskeletal Tumor Program

    Pediatric Cancer Program

    Thoracic/Lung Cancer Program

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    | C i t y o f H o p e

    ADMiNiSTRATivE LEADERSHiPAND BOARD OF DiRECTORS

    aDMinistration

    Michael A. Friedman, M.D.

    President and

    Chie Executive Ofcer

    Terry W. Blackwood, C.P.A.

    Chie Financial Ofcer and

    Treasurer

    Debra F. Fields, J.D.

    Chie Risk Ofcer

    Kathleen L. Kane, J.D.

    Executive Vice President,

    Development and

    External Aairs

    Theodore G. Krontiris, M.D., Ph.D.

    Executive Vice President,

    Medical and Scientifc Aairs

    Director, NCI-designated

    Comprehensive Cancer Center

    Alexandra M. Levine, M.D.

    Chie Medical Ofcer

    Virginia A. Opipare

    Executive Vice President and

    Chie Operating Ofcer

    Arthur D. Riggs, Ph.D.

    Director, Beckman Research

    Institute

    Chris A. Roederer

    Chie Corporate Services Ofcer

    Robert W. Stone, J.D.

    General Counsel and Secretary

    boarD oF DirECtors

    Chair

    Philip L. Engel

    Immediate Past Chair

    Jack R. Suzar*

    Vice Chairs

    Sheri J. Biller

    Terry R. Peets, Chair-elect

    Chairs Emeritus

    Meyer E. Hersch*

    Gil N. Schwartzberg,* J.D.

    Richard S. Ziman*

    General Vice Chair

    Ben Horowitz

    Members

    Donald Bailey Sr.

    Robert A. Cook

    L. Dale Crandall

    Israel J. Freeman

    Robbin L. Itkin

    Stephen B. Kass

    Jerey G. Katz

    Jacueline B. Koseco, Ph.D.

    Thomas A. Madden

    Robert G. Miller

    Gail K. Naughton, Ph.D.

    John R. Ohanesian

    Norman C. Payson, M.D.

    Claire L. RothmanJoseph P. Sanord

    Laura A. Schulte

    Ernie C. So

    Stephan E. Tow

    Honorary Directors

    Michael B. Kaplan,* J.D.

    Sidney L. Kline*

    Mark B. Levey*

    MEDiCal CEntEr boarD

    oF DirECtors

    Chair

    Jacueline B. Koseco, Ph.D.

    Vice Chair

    Ernie C. So

    Members

    Donald S. David, M.D.

    Mordecai N. Dunst, M.D.Israel J. Freeman

    Donald W. Homan

    Ben Horowitz

    Robbin L. Itkin

    Robert J. Morgan, M.D.

    Richard B. Myers*

    Claire L. Rothman

    Iris Rothstein*

    Andrew Spiegl*

    Esther A. Torrez*

    bECKMan rEsEarCH

    institUtE boarD oF

    DirECtors

    Chair

    Stephen B. Kass

    Members

    Gary E. Freedman

    Ben Horowitz

    Jacueline B. Koseco, Ph.D.

    Harry Levitt

    Elliot Rosman

    John J. Rossi, Ph.D.

    Iris Rothstein*

    Ernie C. So

    *Also on the Board o Regents

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    C i t y o f H o p e |

    CHairs oF tHE boarD

    Barnett Cohen (1913-1920)

    Benjamin Forer (1920-1922)

    Dr. Henry Silverberg (1922-1925)

    J.A. Rosenkranz (1925-1926,

    1933-1936, 1939-1941)

    Dr. Nahum Kavinoky (1926-1927)

    Chaim Shapiro (1927-1929)

    Dr. Moses I. Devorkin

    (1929-1931)

    Lester W. Roth (1931-1933)

    Mark Carter (1936-1939)

    Pinches Karl (1941-1944)

    Ben Solnit (1944-1946)

    Louis Tabak (1946-1949,

    1957-1961)

    Victor M. Carter (1949-1957)

    Seymour Gra(1961-1964)

    Emanuel H. Fineman (1964-1971)

    Percy Solotoy (1971-1975)

    Meyer E. Hersch (1975-1983)

    Abraham S. Bolsky (1983-1989)

    Richard S. Ziman (1989-1995)

    Gil N. Schwartzberg, J.D.

    (1995-1999)

    Jack R. Suzar (1999-2004)

    Philip L. Engel (2004-present)

    boarD oF rEGEnts

    Chair

    Jack R. Suzar

    Chairs Emeritus

    Meyer E. Hersch

    Gil N. Schwartzberg, J.D.

    Richard S. Ziman

    Members

    Rhoda K. EhrlichBonnie L. Fein

    John T. Frankenheimer, J.D.

    Leon Frieden

    Richard D. Gibbs

    Robert N. Goodman

    Michael Greenberg

    Zachary I. Horowitz

    Louise Horvitz, M.S.W., Psy.D.

    Bryan Isaacs

    Michael B. Kaplan, J.D.

    Sidney L. Kline

    Laurie Konheim

    Mark B. Levey

    Rhoda Makadon

    David Z. Marmel

    Jack L. Meyers

    David Morse

    Richard B. Myers

    Mark Oli

    Ricky Paskow

    Iris Rothstein

    Nina Madden Sabban

    Clarence T. Schmitz

    Judge Bernard Selber

    Bernard J. Siegel

    Andrew Spiegl

    Adrienne Ehrlich Stern

    Bobbie M. Stern

    Esther A. Torrez

    Dan E. Young

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    | C i t y o f H o p e

    FACuLTy LEADERSHiP

    CoMPrEHEnsiVE CanCEr CEntEr

    THEODORE G. KRONTIRIS, M.D., Ph.D.

    Director

    Executive Vice President, Medical and Scientifc

    Aairs

    RICHARD JOVE, Ph.D.

    Deputy Director

    MICHAEL BENEDICT, Pharm.D.

    Associate Director or Administration

    SMITA BHATIA, M.D., M.P.H.

    Associate Director or Population Research

    ROBERT A. FIGLIN, M.D.Associate Director or Clinical Research

    JOYCE C. NILAND, Ph.D.

    Associate Director or Inormation Sciences

    JOHN J. ROSSI, Ph.D.

    Associate Director or Laboratory Research

    YUN YEN, M.D., Ph.D.

    Associate Director or Translational Research

    Cce bgy Pgm

    JOHN J. ROSSI, Ph.D.

    Co-leader

    GERD P. PFEIFER, Ph.D.

    Co-leader

    Cce C d Ppu scece

    Pgm

    SMITA BHATIA, M.D., M.P.H.

    Co-leaderMARCIA GRANT, R.N, D.N.Sc.

    Co-leader

    Cce immuhepeuc Pgm

    ANDREW A. RAUBITSCHEK, M.D.

    Co-leader

    MICHAEL C. JENSEN, M.D.

    Co-leader

    Devepme Cce thepeuc Pgm

    RICHARD JOVE, Ph.D.

    Co-leader

    YUN YEN, M.D., Ph.D.

    Co-leader

    Hemgc Mgce Pgm

    STEPHEN J. FORMAN, M.D.

    Co-leader

    RAVI BHATIA, M.D.

    Co-leader

    bECKMan rEsEarCH institUtE

    ARTHUR D. RIGGS, Ph.D.

    Director

    SUSAN E. KANE, Ph.D.

    Associate Director

    Dv f bgy

    GERD P. PFEIFER, Ph.D.

    Chair

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    C i t y o f H o p e |

    Dv f Cce immuhepeuc d

    tum immugy

    ANDREW A. RAUBITSCHEK, M.D.

    Chair

    Director, Department o Radioimmunotherapy

    MICHAEL C. JENSEN, M.D.

    Associate Chair

    STEPHEN J. FORMAN, M.D.

    Clinical DirectorDv f immugy

    JOHN E. SHIVELY, Ph.D.

    Chair

    Dv f Mecu bgy

    JOHN J. ROSSI, Ph.D.

    Chair

    Lidow Family Research Chair

    Dv f Mecu Medce

    RICHARD JOVE, Ph.D.

    Chair

    STEVE S. SOMMER, Ph.D.

    Director, Department o Molecular Genetics

    Director, Department o Molecular Diagnosis

    Dv f neucece

    MICHAEL E. BARISH, Ph.D.

    Chair

    Dv f Vgy

    JOHN A. ZAIA, M.D.

    Chair

    national MEDiCal CEntEr DiVisions/

    DEPartMEnts/ProGraMs

    Dv f aehegy

    MICHAEL LEW, M.D.

    Chair

    Dv f Dgc rdgy

    J. MARTIN HOGAN, M.D.

    Chair

    Depme f nuce Medce

    DAVE YAMAUCHI, M.D.

    Director

    Dv f Hemgy & Hempec Ce

    tp

    STEPHEN J. FORMAN, M.D.Chair

    Francis and Kathleen McNamara Distinguished

    Chair in Hematology and Hematopoietic

    Cell Transplantation

    AUAYPORN NADEMANEE, M.D.

    Associate Clinical Director

    MARGARET ODONNELL, M.D.

    Associate Clinical Director

    DAVID S. SNYDER, M.D.

    Associate Director

    acue Myegeu leukem Pgm

    ANTHONY STEIN, M.D.

    Director

    Cc reech Pgm

    EILEEN SMITH, M.D.

    Associate Director

    Hempec Ce thepe ly

    DAVID DIGIUSTO, Ph.D.

    Director

    Depme f Hempec sem Ce d

    leukem reech

    RAVI BHATIA, M.D.

    Director

    Hcmpy ly

    DAVID SENITZER, Ph.D.

    Director

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    | C i t y o f H o p e

    immugy Ceve sude ly

    MICHAEL KALOS, Ph.D.

    Director

    lg-em Fw-up Pgm

    SMITA BHATIA, M.D., M.P.H.

    Director

    Medc Educ & tg Pgm

    AMRITA KRISHNAN, M.D.

    DirectorMched Ueed D Hempec Ce

    tp Pgm

    AUAYPORN NADEMANEE, M.D.

    Director

    Director, Lymphoma Program

    new Dug Devepme

    MARK KIRSCHBAUM, M.D.

    Director

    Dv f ifm scece/bc

    JOYCE C. NILAND, Ph.D.Chair

    Edward and Estelle Alexander Chair in

    Inormation Sciences

    Depme f bmedc ifmc

    DOUGLAS C. STAHL, Ph.D.

    Director

    Depme f bc

    JEFFREY LONGMATE, Ph.D.

    Director

    Depme f Cc reech ifm

    Mgeme

    DINA JOHNSON

    Director

    Dv f Medc ocgy & thepeuc

    reech

    ROBERT A. FIGLIN, M.D.

    Chair

    Arthur and Rosalie Kaplan Proessor o Medical

    Oncology

    agg d Cce reech Pgm

    ARTI HURRIA, M.D.

    Director

    Depme f Cc d Mecu

    Phmcgy

    YUN YEN, M.D., Ph.D.

    Director

    Dv f Medc spec

    K. VENKATARAMAN, M.D.

    Chair

    Depme f Cdgy

    K. VENKATARAMAN, M.D.

    Director

    Depme f Dee, Edcgy &

    Mem

    FOUAD R. KANDEEL, M.D., Ph.D.

    Director

    Depme f Geegy

    DONALD DAVID, M.D.

    Director

    President, Medical Sta

    Depme f ifecu Dee

    JAMES I. ITO, M.D.Director

    Depme f neugy

    HARRY O. OPENSHAW, M.D.

    Director

    Depme f Pychgy

    MARTIN PEREZ, Ph.D.

    Co-director

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    C i t y o f H o p e |

    ANDREA THORNTON, Ph.D.

    Co-director

    Depme f Pumy d Cc Ce

    Medce

    DAVID A. HORAK, M.D.

    Director

    Depme f suppve Ce &

    Pve Medce

    NEAL SLATKIN, M.D.Director

    Dv f Phgy

    LAWRENCE M. WEISS, M.D.

    Chair

    Depme f amc Phgy/Cygy

    SHARON P. WILCZYNSKI, M.D., Ph.D.

    Director

    Depme f Cc Phgy

    KAREN L. CHANG, M.D.

    Director

    Depme f Cygeec

    MARILYN SLOVAK, Ph.D.

    Director

    Depme f tfu Medce

    JOY FRIDEY, M.D.

    Director

    Dv f Pedc

    JUDITH K. SATO, M.D.

    Acting Chair

    Director, Department o Pediatric Hematology/

    Oncology

    JOSEPH ROSENTHAL, M.D.

    Director, Department o Pediatric Hematopoietic

    Cell Transplantation

    Dv f Ppu scece

    SMITA BHATIA, M.D., M.P.H.

    Chair

    Cee f Cce suvvhp

    SMITA BHATIA, M.D., M.P.H.

    Medical Director

    WENDY LANDIER, R.N., M.S.N.

    Clinical Director

    Cee f Cmmuy ace f reech &Educ

    KIMLIN TAM ASHING-GIWA, Ph.D.

    Director

    Depme f Cc Cce Geec

    JEFFREY N. WEITZEL, M.D.

    Director

    Depme f nug reech d Educ

    MARCIA GRANT, R.N, D.N.Sc.

    Director

    Depme f oucme reech/

    ieve

    SMITA BHATIA, M.D., M.P.H.

    Director

    Dv f rd ocgy

    JEFFREY Y.C. WONG, M.D.

    Chair

    Cc rd ocgy

    JEFFREY Y.C. WONG, M.D.

    Director

    Depme f rd bgy

    BINGHUI SHEN, Ph.D.

    Director

    Depme f rd Phyc

    TIMOTHY E. SCHULTHEISS, Ph.D.

    Director

    Proessor, Division o Radiation Oncology

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    | C i t y o f H o p e

    Dv f sugey

    I. BENJAMIN PAZ, M.D.

    Co-chair

    TIMOTHY G. WILSON, M.D.

    Co-chair

    Depme f Gee ocgc sugey

    I. BENJAMIN PAZ, M.D.

    Director

    Depme f neuugeyBENHAM BADIE, M.D., F.A.C.S.

    Director

    Depme f ohpedc sugey

    J. DOMINIC FEMINO, M.D.

    Director

    Depme f Pc d recucve

    sugey

    JAMES S. ANDERSEN, M.D.

    Director

    Depme f sugc reech

    SHIUAN CHEN, M.D.

    Director

    Depme f thcc sugey

    KEMP H. KERNSTINE, M.D., Ph.D.

    Director

    Depme f Ugy d Ugc ocgy

    TIMOTHY G. WILSON, M.D.

    Director

    Pauline and Martin Collins Family Chair

    in Urology

    DisEasE-sitE ProGraMs

    b tum Pgm

    BENHAM BADIE, M.D.

    Director

    be Cce Pgm

    I. BENJAMIN PAZ, M.D.

    Co-director, Breast Cancer Program

    Director, Rita Cooper Finkel and J. William Finkel

    Womens Health CenterGEORGE SOMLO, M.D.

    Co-director, Breast Cancer Program

    Director, Breast Oncology

    Associate Director, High-dose Chemotherapy,

    Division o Medical Oncology & Therapeutics

    Research

    Director, Multiple Myeloma Program

    Depme f Dee, Edcgy & Mem

    FOUAD R. KANDEEL, M.D., Ph.D.

    DirectorDepme f Gee regu d

    Dug Dcvey

    BARRY M. FORMAN, M.D., Ph.D.

    Ruth B. and Robert K. Lanman Endowed

    Chair in Gene Regulation and Drug

    Discovery Research

    ie Ce tp Pgm

    FOUAD R. KANDEEL, M.D., Ph.D.

    Director

    Ge Cce PgmSTEPHEN SHIBATA, M.D.

    Director

    JOSHUA ELLENHORN, M.D.

    Associate Director

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    C i t y o f H o p e |

    Gee Cc reech Cee

    JOHN A. ZAIA, M.D.

    Director

    Geuy/Pe Cce Pgm

    TIMOTHY G. WILSON, M.D.

    Director

    JEFFREY Y.C. WONG, M.D.

    Associate Director

    Gyecgc Cce PgmMARK WAKABAYASHI, M.D., M.P.H.

    Director

    lve Cce Pgm

    LAWRENCE D. WAGMAN, M.D.

    Director

    lymphm sPorE

    STEPHEN J. FORMAN, M.D.

    Principal Investigator

    ANDREW A. RAUBITSCHEK, M.D.

    Co-principal Investigator

    Pedc/Mucukee Cce Pgm

    JUDITH A. SATO, M.D.

    Co-director

    J. DOMINIC FEMINO, M.D.

    Co-director

    thcc/lug Cce Pgm

    KEMP H. KERNSTINE, M.D., Ph.D.

    Director

    otHEr institUtional rEsoUrCEs

    am reuce Cee

    RICHARD ERMEL, D.V.M., Ph.D.

    Director

    Cee f apped techgy Devepme

    LARRY A. COUTURE, Ph.D.

    Senior Vice President

    Cee f bmedce & Geec

    DAVID HSU, Ph.D.

    Director

    techgy lceg

    BRIAN R. CLARK, Ph.D.

    DirectorCee f Gdue & Pfe sude

    SUSAN E. KANE, Ph.D.

    Senior Vice President, Academics

    STEVEN NOVAK, Ph.D.

    Director, Academics

    Gdue sch f bgc scece

    JOHN J. ROSSI, Ph.D.

    Dean

    Depme f Cug Medc Educ

    ROBERT J. MORGAN JR., M.D.

    Director

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    0 | C i t y o f H o p e

    LOCATiONS

    Cy f Hpe d

    beckm reech iue

    1500 East Duarte Road

    Duarte, Cali. 91010-3000

    800-423-7119

    www.cityohope.org

    Cy f Hpe

    Devepme Hedque

    1055 Wilshire BoulevardLos Angeles, Cali. 90017

    800-544-3541

    Cy f Hpe

    be Gd sm

    be Mw tp

    Pgm

    1111 East McDowell Road,

    Suite 12b

    Phoenix, Ariz. 85006

    reg Devepme ofce

    SOuTHEAST

    Fort Lauderdale, Fla.

    800-584-6709

    MiDWEST

    Chicago

    800-779-5893

    NORTHEAST

    Philadelphia

    800-344-8169

    SOuTHWEST

    San Diego

    888-805-8911

    Phoenix

    800-732-7309

    Palm Desert, Cali.

    800-732-7121

    Orange County, Cali.

    800-235-0579

    NORTHWEST

    San Francisco

    800-732-7140

    Seattle

    800-934-9196

    Prodced b: Ct of Hope Commncatons Department nder the drecton of Senor vce Presdent Brenda Maceo

    Project Manaer: Tana M. Marn

    Wrters: gre voel, Stee Krk, Tana Marn, Alca D Rado

    Art Drecton and Desn:The Jefferes Assocaton

    Prncpal Photoraph: Phl Channn

    Prnted b: Colorgraphcs Los Aneles

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    1500 East Duarte Road

    Duarte, Calif. 91010-3000