EMANATE HEALTH MEDICAL CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
EMANATE HEALTH MEDICAL CENTER (EIN 95-6006469)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202013189349310136
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-13T15:07:22-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330155525PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HBLA CERTIFIED PUBLIC ACCOUNTANTS INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line119600 FAIRCHILD 320AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN956006469EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMANATE HEALTH MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEMANBusinessNameControlTxt
Phone6263317331PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 W COLLEGE STREETAddressLine1Txt
CityCOVINACityNm
State AbbreviationCAStateAbbreviationCd
ZIP917225108ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRAJESH K SHARMAPersonNm
Person TitlePRES./CFOPersonTitleTxt
Phone6269387595PhoneNum
Signature2020-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJONATHAN P SCHUBERT CPAPreparerPersonNm
PTINP00103314PTIN
Phone9498332815PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address68.225.17.146IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-11IPDt
IP Tm11:41:02IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id9F81153CFB9171CE342382836C5766FB946C5B15AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT H CURRYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 W COLLEGE STREETAddressLine1Txt
CityCOVINACityNm
State AbbreviationCAStateAbbreviationCd
ZIP917225108ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$617,008,886GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressEMANATEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1959FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionOPERATION OF ACUTE CARE FACILITY.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee3015TotalEmployeeCnt
Total Volunteers475TotalVolunteersCnt
Total Gross UBI$61,115TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$59,099NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$910,878PYContributionsGrantsAmt
CY Contributions Grants$1,460,316CYContributionsGrantsAmt
PY Program Service Revenue$481,569,267PYProgramServiceRevenueAmt
CY Program Service Revenue$495,393,738CYProgramServiceRevenueAmt
PY Investment Income$13,392,653PYInvestmentIncomeAmt
CY Investment Income$11,366,790CYInvestmentIncomeAmt
PY Other Revenue$4,688,625PYOtherRevenueAmt
CY Other Revenue$5,319,181CYOtherRevenueAmt
PY Total Revenue$500,561,423PYTotalRevenueAmt
CY Total Revenue$513,540,025CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$211,580,956PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$222,798,042CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$252,150,972PYOtherExpensesAmt
CY Other Expenses$272,252,967CYOtherExpensesAmt
PY Total Expenses$463,731,928PYTotalExpensesAmt
CY Total Expenses$495,051,009CYTotalExpensesAmt
PY Revenues Less Expenses$36,829,495PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,489,016CYRevenuesLessExpensesAmt
Total Assets BOY$498,905,656TotalAssetsBOYAmt
Total Assets EOY$536,006,477TotalAssetsEOYAmt
Total Liabilities BOY$139,971,900TotalLiabilitiesBOYAmt
Total Liabilities EOY$136,298,529TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$358,933,756NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$399,707,948NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO HELP PEOPLE KEEP WELL IN BODY, MIND AND SPIRIT BY PROVIDING QUALITY HEALTH CARE SERVICES IN A SAFE, COMPASSIONATE ENVIRONMENT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$434,377,553ExpenseAmt
Revenue$498,349,973RevenueAmt
DescEMANATE HEALTH MEDICAL CENTER (EHMC) OPERATES TWO ACUTE CARE HOSPITALS, QUEEN OF THE VALLEY HOSPITAL (QVH) AND INTER-COMMUNITY HOSPITAL (ICH), IN THE EAST SAN GABRIEL VALLEY OF LOS ANGELES COUNTY. EHMC PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE FOR THE COMMUNITIES SURROUNDING THE TWO MEDICAL HOSPITALS. QVH AND ICH PROVIDE CARE FOR AN AVERAGE OF 292 PATIENTS PER DAY. COMBINED ADJUSTED PATIENT DAYS WAS 157,534. EMERGENCY ROOM & OUTPATIENT VISITS TOTALED 191,987. EHMC PROVIDED TRADITIONAL CHARITY CARE AT COST TOTALING $1,901,281, UNREIMBURSED MEDI-CAL PROGRAM COST TOTALING $55,880,900 AND OTHER COMMUNITY BENEFIT COST TOTALING $3,601,557. DURING 2019, EHMC RECORDED NET SUPPLEMENTAL PAYMENTS OF $52,174,521 FROM THE CALIFORNIA HOSPITAL FEE PROGRAM (PROGRAM) FOR THE HOSPITAL SERVICES TO MEDI-CAL FEE-FOR-SERVICE PATIENTS COVERED FOR THE PERIOD FROM JANUARY 1, 2019 TO DECEMBER 31, 2019.Desc
Total Program Service Expenses$434,377,553TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document417IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3015EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RAJESH K SHARMA PRESCFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6269387595PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 W COLLEGE STREET PO BOX 6108AddressLine1Txt
CityCOVINACityNm
State AbbreviationCAStateAbbreviationCd
ZIP917225108ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
WALTER ALLEN III
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
GARY MATHEWSON
CHAIR3.00Yes (X)$0$0$0Yes (X)
PATSY GORRELL
TREASURER3.00Yes (X)$0$0$0Yes (X)
PATRICIA HANES PHD
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
BERNARD BOLLINGER JR ESQ
SECRETARY3.00Yes (X)$0$0$0Yes (X)
HAROLD BORAK SR
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
THOMAS BRYAN MD
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
ROBERT H CURRY SEE SCH O
PARENT PRESIDENT, CEO, BOD14.00Yes (X)$0$1,584,573$31,331Yes (X)26.00
SUBHASH DHAND MD
BOARD OF DIRECTORS3.00Yes (X)$39,570$0$0
GEORGE FERENCZI MD
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
NAJI KANDALAFT MD
BOARD OF DIRECTORS3.00Yes (X)$43,654$14,377$0
MARY KIRCHEN IHM
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
ANNA LEUNG MD
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
ARTHUR LUDWICK
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
PHILIP MALDONADO DDS
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
RAYMOND MATTES IHM DMIN
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
OJ RODRIQUEZ
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
SHARON YEE MD
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
EUGENE POCOCK MD CHIEF OF STAFF
BOARD OF DIRECTORS3.00Yes (X)$0$12,000$0
CLIFFORD CHRIST
VICE CHAIR3.00Yes (X)$0$0$0
LISA FUERST
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
C DUANE DAUNER
BOARD OF DIRECTORS3.00Yes (X)$0$0$0
RAJESH SHARMA SEE SCH O
EXECUTIVE VP/CFO14.00$0$933,548$23,414Yes (X)26.00
KEVIN STREETER
CHIEF NURSE & CLINICAL EXE36.00$0$400,861$4,254Yes (X)
MELISSA HOWARD
CHIEF NURSE & CLINICAL EXE40.00$0$419,778$26,823Yes (X)
PAUL MORRIS
DIRECTOR PHARMACY SVC40.00$0$240,394$10,404Yes (X)
CECILIA AGUDO
SUPV. ADMIN NURSING40.00$0$276,711$24,477Yes (X)
GENARO BADILLA
MICN CHARGE RN36.00$0$246,329$26,270Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$83,224TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,128,571TotReportableCompRltdOrgAmt
Total Other Compensation$146,973TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K646IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CITRUS VALLEY ANESTHESIA MEDICAL
457 W ALLEN AVE STE 118SAN DIMASCA91773PURCHASED SERVICE MEDICAL$4,358,595
PORTABLE DIALYSIS SERVICES
1121 E ARROW HWY STE DGLENDORACA91740PURCHASED SERVICE MEDICAL$3,557,917
SOUTHERN CALIFORNIA HOSPITALIST
PO BOX 8206ANAHEIMCA92812PURCHASED SERVICE MEDICAL$1,637,996
PALLICKALMMALLIK POMMEZHAN MEDICAL
1100 WILSHIRE BLVD UNIT 2970LOS ANGELESCA90017PURCHASED SERVICE MEDICAL$1,036,287
HAEMOKINETICS LLC
1981 SCENIC RIDGE RDCHINO HILLSCA91709PURCHASED SERVICE MEDICAL$965,246
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Related Organizations$1,460,316RelatedOrganizationsAmt
Total Contributions$1,460,316TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REV/MEDICARE/MEDICAID PAY900099$371,974,062$371,974,062
HOSPITAL FEE PROGRAM REVENUE900099$95,224,204$95,224,204
PREMIUM REVENUE900099$28,195,472$28,195,472
FieldValueIRS element (for citing)
Total Program Service Revenue$495,393,738TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,760,902TotalRevenueColumnAmt
Exclusion$3,760,902ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,870,467RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,871RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,865,596RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,865,596TotalRevenueColumnAmt
Related Or Exempt Func Income$1,804,481RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$61,115UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$110,998,703SecuritiesAmt
Other$71,175OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$103,462,933SecuritiesAmt
Other$1,057OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,535,770SecuritiesAmt
Other$70,118OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,605,888TotalRevenueColumnAmt
Exclusion$7,605,888ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES722210$1,330,499$1,330,499
REBATES & REFUNDS900099$951,554$951,554
MISCELLANEOUS900099$553,098$553,098

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$618,434TotalRevenueColumnAmt
Related Or Exempt Func Income$598,656RelatedOrExemptFuncIncomeAmt
Exclusion$19,778ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,453,585OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$513,540,025TotalRevenueColumnAmt
Related Or Exempt Func Income$498,349,973RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$61,115UnrelatedBusinessRevenueAmt
Exclusion$13,668,621ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$983,727TotalAmt
Program Services$981,308ProgramServicesAmt
Management And General$2,419ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$162,688,682TotalAmt
Program Services$162,288,551ProgramServicesAmt
Management And General$400,131ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,353,441TotalAmt
Program Services$5,353,441ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$40,555,745TotalAmt
Program Services$40,512,670ProgramServicesAmt
Management And General$43,075ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,216,447TotalAmt
Program Services$13,187,165ProgramServicesAmt
Management And General$29,282ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,016TotalAmt
Program Services$4,761ProgramServicesAmt
Management And General$255ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$773,739TotalAmt
Program Services$773,739ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,549,419TotalAmt
Program Services$11,910,372ProgramServicesAmt
Management And General$639,047ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$67,629,670TotalAmt
Program Services$67,622,080ProgramServicesAmt
Management And General$7,590ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,445,489TotalAmt
Program Services$2,445,489ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,101,241TotalAmt
Program Services$15,100,360ProgramServicesAmt
Management And General$881ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,117,384TotalAmt
Program Services$1,693,907ProgramServicesAmt
Management And General$423,477ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
UNRELATED BUSINESS INCO-$4,871-$4,871
PURCHASED SERVICES$98,521,335$58,410,101$40,111,234
HOSPITAL FEE - PROG EXP$43,049,683$43,049,683
PROVISION FOR BAD DEBT$14,220,981$14,220,981

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,843,881TotalAmt
Program Services$15,121,812ProgramServicesAmt
Management And General$722,069ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$495,051,009TotalAmt
Program Services$434,377,553ProgramServicesAmt
Management And General$60,673,456ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,823BOYAmt
EOY$6,420EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$18,229,325BOYAmt
EOY$10,436,784EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$47,731,492BOYAmt
EOY$58,789,752EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$113,690,027BOYAmt
EOY$114,656,966EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,710,563BOYAmt
EOY$6,618,131EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,657,432BOYAmt
EOY$3,443,586EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$449,546,844LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$322,240,424LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$124,178,745BOYAmt
EOY$127,306,420EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$158,145,253BOYAmt
EOY$195,856,140EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$28,557,996BOYAmt
EOY$18,892,278EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$498,905,656BOYAmt
EOY$536,006,477EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$89,392,467BOYAmt
EOY$90,267,399EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,811,600BOYAmt
EOY$40,932,213EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,767,833BOYAmt
EOY$5,098,917EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$139,971,900BOYAmt
EOY$136,298,529EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$354,491,790BOYAmt
EOY$395,938,383EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,441,966BOYAmt
EOY$3,769,565EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$358,933,756BOYAmt
EOY$399,707,948EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$498,905,656BOYAmt
EOY$536,006,477EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$18,489,016ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$22,685,354NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$400,178OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$203,275,211OtherCostOrOtherBasisAmt
Depreciation$135,036,591DepreciationAmt
Book Value$68,238,620BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$227,059,265OtherCostOrOtherBasisAmt
Depreciation$182,503,776DepreciationAmt
Book Value$44,555,489BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,212,368OtherCostOrOtherBasisAmt
Depreciation$4,700,057DepreciationAmt
Book Value$14,512,311BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$127,306,420TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
FIXED INCOME - RESTRICTED ASSETS - WORKERS COMP FUND$110,323F
FIXED INCOME INVESTMENTS - LIMITED TO USE$63,820,598F
FIXED INCOME - BOND INVESTMENT FUND$11,478,683F
EQUITIES - INVESTMENTS - LIMITED TO USE$120,446,536F
FieldValueIRS element (for citing)
Total Book Value Securities$195,856,140TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescWORKERS COMP RESERVESDesc
Amt$5,098,917Amt
FieldValueIRS element (for citing)
Total Liability$5,098,917TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$521,041,000TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$22,685,354NetUnrealizedGainsInvstAmt
Other Revenue$1,398,954OtherRevenueAmt
Revenue Not Reported$24,084,308RevenueNotReportedAmt
Revenue Subtotal$496,956,692RevenueSubtotalAmt
Other Revenues Not Included$16,583,333OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$16,583,333RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$513,540,025TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$479,998,000TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$479,998,000ExpensesSubtotalAmt
Other Expenses Not Included$15,053,009OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$15,053,009ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$495,051,009TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED AT DECEMBER 31, 2019 OR 2018 .
PART XI, LINE 2D - OTHER ADJUSTMENTS:BENEFICIAL INTEREST IN FOUNDATION'S OPERATING INCOME 1,398,954.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BANK CHARGES 62,303. INVESTMENT FEES 773,739. TEMPORARILY RESTRICTED NET INCOME -13,967. BAD DEBT 14,220,981. TRANSFER FROM EMANATE HEALTH FOUNDATION 1,460,316. PASSTHROUGH INCOME DIFFERENCE 64,970. RENTAL EXPENSES -4,871. ROUNDING 981. CHANGE IN RESTRICTED 18,881.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BANK CHARGES 62,303. INVESTMENT FEES 773,739. BAD DEBT 14,220,981. ROUNDING DIFFERENCE 857. RENTAL EXPENSES -4,871.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other350.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,901,281TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,901,281NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$197,530,201TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$193,823,819DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,706,382NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$199,431,482TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$193,823,819DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,607,663NetCommunityBenefitExpnsAmt
Total Expense0.01130TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,241,865TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,241,865NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,863,243TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,512,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,350,593NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,100NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,114,208TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,512,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,601,558NetCommunityBenefitExpnsAmt
Total Expense0.00720TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$205,545,690TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$196,336,469DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,209,221NetCommunityBenefitExpnsAmt
Total Expense0.01850TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$14,220,981BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$85,135,912ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$80,451,934CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$4,683,978MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EHMC - QVH AND ICHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 W COLLEGE ST PO BOX 6108AddressLine1Txt
CityCOVINACityNm
State AbbreviationCAStateAbbreviationCd
ZIP917225108ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.EMANATEHEALTH.ORGWebsiteAddressTxt
State License930000131StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherIP REHAB UNIT, IP MENTAL HEALTH UNIT, SNF UNITOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1EHMC - QVH AND ICHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYYes (1)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE FOOTNOTE AT PART V PAGE 8OwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE FOOTNOTE AT PART V PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care350.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE FOOTNOTE AT PART V PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE FOOTNOTE AT PART V PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE NOTE AT PART V PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION A:EMANATE HEALTH MEDICAL CENTER (EHMC) OPERATES TWO ACUTE CARE HOSPITALS, QUEEN OF THE VALLEY HOSPITAL (QVH) AND INTER-COMMUNITY HOSPITAL (ICH). QVH IS LOCATED AT 1115 SOUTH SUNSET AVENUE, WEST COVINA, CA 91790. ICH IS LOCATED AT 210 W. SAN BERNARDINO ROAD, COVINA, CA 91723.
EHMC - QVH AND ICHPART V, SECTION B, LINE 5: COMMUNITY INPUT:COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH THE USE OF KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND/OR SURVEYS. INDIVIDUALS WITH KNOWLEDGE, INFORMATION, AND/OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED, INCLUDING REPRESENTATIVES FROM STATE, LOCAL OR OTHER REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENTS (OR EQUIVALENT DEPARTMENT OR AGENCY) AS WELL AS LEADERS; REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS; AND REPRESENTATIVES FROM LOCAL SCHOOLS, PUBLIC SERVICE ORGANIZATIONS AND BUSINESSES. FOCUS GROUPS WERE CONDUCTED IN ENGLISH AND SPANISH AS NEEDED. FOR A COMPLETE LIST OF INDIVIDUALS WHO PROVIDED INPUT DURING THE CHNA PROCESS, SEE APPENDIX C OF THE CHNA REPORT. PRIMARY DATA WERE COLLECTED AS DESCRIBED ABOVE FROM A VARIETY OF STAKEHOLDERS THROUGH PHONE INTERVIEWS AND FOCUS GROUPS TO IDENTIFY THE MOST SEVERE HEALTH NEEDS AND DRIVERS IN THE EMANATE HEALTH (EH) SERVICE AREA AS WELL AS GEOGRAPHIC DISPARITIES, SUB-POPULATION DISPARITIES AND COMMUNITY ASSETS AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS AND DRIVERS. SIX FOCUS GROUPS AND TEN PHONE INTERVIEWS WERE CONDUCTED TO COLLECT PRIMARY DATA FROM OVER 50 STAKEHOLDERS THAT INCLUDED COMMUNITY REPRESENTATIVES, HEALTH EXPERTS, LOCAL GOVERNMENT REPRESENTATIVES, LOCAL BUSINESS OWNERS, AND SOCIAL AND HEALTH SERVICE PROVIDERS. PRIMARY DATA WERE INPUTTED INTO MICROSOFT EXCEL DATABASE TO ASSIST IN ORGANIZING THE DATA, CODING AND IDENTIFYING MAJOR THEMES, AND COLLECTING QUOTES. METHODOLOGY FOR INTERPRETATION AND ANALYSIS OF PRIMARY DATA:THE CENTER FOR NONPROFIT MANAGEMENT (CNM) USED A THREE-STEP PROCESS FOR ANALYZING AND INTERPRETING PRIMARY DATA: 1) ALL INFORMATION GATHERED DURING FOCUS GROUPS AND INTERVIEWS WERE ENTERED INTO MICROSOFT EXCEL, 2) SPREADSHEET DATA WERE REVIEWED MULTIPLE TIMES USING CONTENT ANALYSIS TO BEGIN SORTING AND CODING THE DATA, AND 3) THROUGH THE CODING PROCESS, THEMES, CATEGORIES AND QUOTES WERE IDENTIFIED. STEPS TWO AND THREE ARE REPEATED AS OFTEN AS NECESSARY TO RECOGNIZE AS MANY CONNECTIONS AND PATTERNS WITHIN THE DATA AS POSSIBLE. THIS APPROACH PROVIDES A SYSTEMATIC WAY TO IDENTIFY BROAD THEMES WITHIN A LARGE SET OF QUALITATIVE DATA AND BEGIN CODING AND CATEGORIZING DATA AROUND THOSE THEMES (E.G., ACCESS TO CARE, POVERTY, CULTURAL BARRIERS). RESPONSES WERE REVIEWED AND CODED SO THAT COMMON THEMES PULLED FROM THE DATA CAN BE COMBINED WITH QUANTITATIVE DATA TO FORM CONCLUSIONS.
EHMC - QVH AND ICHPART V, SECTION B, LINE 6A: THE CURRENT CHNA WAS COMPLETED THROUGH COLLABORATION BETWEEN EMANATE HEALTH (WHICH INCLUDES EMANATE HEALTH MEDICAL CENTER AND EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL), CITY OF HOPE, HUNTINGTON HOSPITAL, METHODIST HOSPITAL AND KAISER FOUNDATION HOSPITAL, BALDWIN PARK, CA.
PART V, SECTION B, LINE 7A CHNA REPORT:THE CHNA REPORT IS AVAILABLE ON THE HOSPITAL'S WEBSITE HTTPS://WWW.EMANATEHEALTH.ORG/MEDIA/1616/EMANATE-HEALTH-2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFPLEASE NOTE THAT THE ABOVE LINK IS CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS.
PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY:THE IMPLEMENATION STATEGY IS AVAILABLE ON THE HOSPITAL'S WEBSITE HTTPS://WWW.EMANATEHEALTH.ORG/MEDIA/1782/2019-CHNA-IMPLEMENTATION-PLAN.PDFPLEASE NOTE THAT THE ABOVE LINK IS CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS.
PART V, SECTION B, LINE 11:FOR THE 2019-2020 CHNA CYCLE, A COLLABORATIVE OF NONPROFIT HOSPITALS LOCATED IN THE SAN GABRIEL VALLEY OF LOS ANGELES COUNTY, CALIFORNIA (THE SPA 3 HOSPITAL COLLABORATIVE) COMMITTED TO PARTICIPATE IN A JOINT CHNA DATA COLLECTION PROCESS. THE INTENT WAS TO FACILITATE THE DEVELOPMENT OF A COORDINATED EFFORT TO COLLABORATIVELY ADDRESS PRIORITY HEALTH NEEDS THROUGH THEIR JOINT IMPLEMENTATION STRATEGIES MOVING FORWARD. THE SPA 3 HOSPITAL COLLABORATIVE AGREED TO SHARE AMONG ALL PARTICIPATING HOSPITALS THE PRIMARY DATA COLLECTED THROUGH THE CHNA CYCLE. ADDITIONALLY, THE HOSPITALS IDENTIFIED A LIMITED LIST OF SUBPOPULATIONS THEY WANTED TO TARGET THROUGH QUALITATIVE DATA COLLECTION EFFORTS (BOTH INDIVIDUAL INTERVIEWS AND FOCUS GROUPS). TOGETHER, THE SPA 3 HOSPITAL COLLABORATIVE AGREED ON A CORE SET OF QUESTIONS TO BE ASKED ACROSS ALL INTERVIEWS AND FOCUS GROUPS, AND DEVELOPED A LIST OF TOPICS OF INTEREST SPECIFIC TO EACH INTERVIEW OR FOCUS GROUP THAT WOULD LEAD TO A MORE DETAILED UNDERSTANDING OF THE SPECIFIC HEALTH NEEDS OF THE TARGET GROUP REPRESENTED IN THE ENGAGEMENT. THE NEW FEDERAL CHNA REQUIREMENTS HAVE PROVIDED AN OPPORTUNITY TO REVISIT THE NEEDS ASSESSMENT AND STRATEGIC PLANNING PROCESSES WITH AN EYE TOWARD ENHANCED COMPLIANCE AND TRANSPARENCY AND LEVERAGING EMERGING TECHNOLOGIES. THE INTENTION IS TO DEVELOP AND IMPLEMENT A TRANSPARENT, RIGOROUS, AND WHENEVER POSSIBLE, COLLABORATIVE APPROACH TO UNDERSTANDING THE NEEDS AND ASSETS IN OUR COMMUNITIES. FROM DATA COLLECTION AND ANALYSIS TO THE IDENTIFICATION OF PRIORITIZED NEEDS AND THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY, THE INTENT WAS TO DEVELOP A RIGOROUS PROCESS THAT WOULD YIELD MEANINGFUL RESULTS. REVIEW AND COMPILATION OF SECONDARY DATA WAS CONDUCTED THROUGH MULTIPLE SOURCES THAT PROVIDE ACCESS TO PUBLICLY AVAILABLE INDICATORS INCLUDING SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PHYSICAL ENVIRONMENT, CLINICAL CARE, AND HEALTH OUTCOMES. PRIMARY DATA WERE COLLECTED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND SURVEYS. THIS CONSISTED OF REACHING OUT TO LOCAL PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS AND RESIDENTS TO IDENTIFY ISSUES THAT MOST IMPACTED THE HEALTH OF THE COMMUNITY. THE CHNA PROCESS ALSO INCLUDED AN IDENTIFICATION OF EXISTING COMMUNITY ASSETS AND RESOURCES TO ADDRESS THE HEALTH NEEDS. IN CONJUNCTION WITH THIS REPORT, EMANATE HEALTH HAS DEVELOPED AN IMPLEMENTATION STRATEGY FOR THE PRIORITY HEALTH NEEDS THE HOSPITAL WILL ADDRESS. THESE STRATEGIES ARE BUILD ON EMANATE HEALTH' ASSETS AND RESOURCES, AS WELL AS EVIDENCE-BASED STRATEGIES, WHEREVER POSSIBLE.
PART V, LINE 16A, CHARITY CARE/FAP:HTTPS://WWW.EMANATEHEALTH.ORG/MEDIA/1850/A009-CHARITY-CARE-2020-ENGLISH.PDFHTTPS://WWW.EMANATEHEALTH.ORG/MEDIA/1366/EMANATE-HEALTH-AMOUNTS-GENERALLY-BILLED-AGB-2019-ENGLISH.PDFPLEASE NOTE THAT THE ABOVE LINKS ARE CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS.
PART V, LINE 16B APPLICATION FORM URL:HTTPS://WWW.EMANATEHEALTH.ORG/MEDIA/1380/EMANATE-HEALTH-FINANCIAL-ASSISTANCE-APPLICATION-ENGLISH.PDFPLEASE NOTE THAT THE ABOVE LINK IS CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS.
PART V, LINE 16C PLAIN LANGUAGE SUMMARY PAGE:HTTPS://WWW.EMANATEHEALTH.ORG/MEDIA/1365/EMANATE-HEALTH-FINANCIAL-ASSISTANCE-SUMMARY-2019-ENGLISH.PDFSELF-PAY POLICY:HTTPS://WWW.EMANATEHEALTH.ORG/MEDIA/1372/A010-EH-COLLECTION-OF-SELF-PAY-PATIENT-ACCOUNTS-2019.PDFPLEASE NOTE THAT THE ABOVE LINK IS CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:ELIGIBILITY CRITERIA AND AMOUNTS CHARGED TO PATIENTS.SERVICES ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) WILL BE MADE AVAILABLE TO THE PATIENT ON A SLIDING FEE SCALE, IN ACCORDANCE WITH FINANCIAL NEED, AS DETERMINED IN REFERENCE TO FEDERAL POVERTY LEVELS (FPL) IN EFFECT AT THE TIME OF DETERMINATION.-PATIENTS WITH MONETARY ASSETS OR INCOME LEVEL AT 350% OR LESS OF THE FPL, WILL HAVE THE ENTIRE HOSPITAL BILL WRITTEN OFF REGARDLESS OF NET WORTH OR SIZE OF BILL;-PATIENTS WITH MONETARY ASSETS OR INCOME LEVEL BETWEEN 350% AND 500% OF THE FPL, WILL HAVE A PORTION OF THE HOSPITAL BILL WRITTEN OFF, BASED UPON THE SLIDING SCALE SET FORTH BELOW REGARDLESS OF NET WORTH OR SIZE OF BILL:351% - 400% = 75% WRITE-OFF401% - 450% = 50% WRITE-OFF451% - 500% = 25% WRITE OFF-PATIENTS WITH HOSPITAL BILL THAT EXCEEDS THE PATIENT'S MONETARY ASSETS OR NET WORTH MAY QUALIFY AND BE COVERED UNDER THIS POLICY USING THE GUIDELINES BELOW:- PATIENTS WILL BE INFORMED IN WRITING OF THE FINANCIAL ASSISTANCE DETERMINATION FROM THE PATIENT FINANCIAL SERVICES DEPARTMENT. - PATIENTS WHO ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE OR ARE ELIGIBLE TO RECEIVE PARTIAL ASSISTANCE WHICH LEAVES THEM OWING A BALANCE DUE TO THE HOSPITAL MAY REQUEST A PAYMENT PLAN FROM THE PATIENT FINANCIAL SERVICES DEPARTMENT. IN THE EVENT OF NON-PAYMENT OF A DISCOUNTED AMOUNT DUE UNDER THIS FINANCIAL ASSISTANCE POLICY THE HOSPITAL MAY ENGAGE IN FURTHER COLLECTION ACTIVITY. THE DETAILS OF THE FURTHER COLLECTION ACTIONS CAN BE FOUND IN EMANATE HEALTH BILLING AND COLLECTION POLICY. A COPY OF THIS POLICY CAN BE OBTAINED AT HTTPS://WWW.EMANATEHEALTH.ORG/MEDIA/1372/A010-EH-COLLECTION-OF-SELF-PAY-PATIENT-ACCOUNTS-2019.PDF OR BY CONTACTING THE PATIENT FINANCIAL SERVICES DEPARTMENT. PLEASE NOTE THAT THE ABOVE LINK IS CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS. FOR PURPOSES OF DETERMINING MONETARY ASSETS OR INCOME, THE REVIEW SHALL NOT INCLUDE THE:A. RETIREMENT OR DEFERRED COMPENSATION PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE, OR NON-QUALIFIED DEFERRED COMPENSATION PLANS;B. FIRST TEN THOUSAND DOLLARS ($10,000) OF A PATIENT'S MONETARY ASSETS;C. FIFTY PERCENT (50%) OF A PATIENT'S MONETARY ASSETS OVER THE FIRST $10,000.
PART I, LINE 6A:THE SOLE MEMBER OF THIS ORGANIZATION IS EMANATE HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. EMANATE HEALTH PREPARED AN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT THAT DESCRIBES THE HOSPITAL'S PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL.
PART I, LINE 7:MANY GOVERNMENT PROGRAMS (MEDI-CAL AND MEDICARE) AND OTHER THIRD PARTY COVERAGE PROGRAMS HAVE BEEN ESTABLISHED TO PROVIDE FOR OR DEFRAY THE HEALTHCARE COSTS FOR THE INDIVIDUALS WHO ALSO MAY BE CONSIDERED NEEDY. IN THE CASE WHERE ARRANGEMENTS FOR PAYMENT TO THE HOSPITAL REQUIRE THE HOSPITAL TO ACCEPT THE PAYMENT AMOUNT AS PAYMENT IN FULL, THE BALANCES OF THESE ACCOUNTS WRITTEN OFF ARE ATTRIBUTABLE TO CONTRACTUAL ADJUSTMENTS AND WILL NOT BE CONSIDERED CHARITY CARE. IN CASES WHERE THESE PROGRAMS REQUIRE THE PATIENTS TO PAY CO-PAYMENTS OR DEDUCTIBLES AND THE PATIENTS DO NOT HAVE THE ABILITY TO PAY; THESE AMOUNTS WILL BE CONSIDERED CHARITY CARE.CHARITY DETERMINATION WILL BE GRANTED ON "ALL, PARTIAL, OR NOTHING BASIS". THERE IS A CATEGORY OF PATIENTS WHO QUALIFY FOR MEDI-CAL, BUT DO NOT RECEIVE PAYMENT FOR THEIR ENTIRE STAY. UNDER THE CHARITY POLICY DEFINITION, THESE PATIENTS ARE ELIGIBLE FOR CHARITY CARE WRITE-OFFS. IN ADDITION, THE HOSPITAL SPECIFICALLY INCLUDES AS CHARITY THE CHARGES RELATED TO DENIED STAYS, DENIED DAYS OF CARE, AND NON-COVERED SERVICES. THESE "TREATMENT AUTHORIZATION REQUEST" DENIALS AND ANY LACK OF PAYMENT FOR NON-COVERED SERVICES PROVIDED TO MEDI-CAL PATIENTS ARE TO BE CLASSIFIED AS CHARITY. THESE PATIENTS ARE RECEIVING THE SERVICES AND THEY DO NOT HAVE THE ABILITY TO PAY FOR IT. IN ADDITION, MEDICARE PATIENTS WHO HAVE MEDI-CAL COVERAGE FOR THEIR CO-INSURANCE/DEDUCTIBLES, FOR WHICH MEDI-CAL DOES NOT MAKE PAYMENT AND MEDICARE DOES NOT ULTIMATELY PROVIDE BAD DEBT REIMBURSEMENT WILL ALSO BE INCLUDED AS CHARITY. THESE INDIGENT PATIENTS ARE RECEIVING A SERVICE FOR WHICH A PORTION OF THE RESULTING BILL IS NOT BEING REIMBURSED.THE ABOVE CHARITY WRITE-OFFS ARE CONVERTED INTO CHARITY COST USING THE COST TO CHARGE RATIO WHICH WAS DERIVED FROM WORKSHEET 2 OF THE INSTRUCTIONS TO THE IRS SCHEDULE H, "RATIO OF PATIENT CARE COST-TO-CHARGES."INCLUDED IN PART I, LINE 7B ARE NET SUPPLEMENTAL MEDI-CAL PAYMENTS OF $52,174,521 FROM THE CALIFORNIA HOSPITAL FEE PROGRAM ("PROGRAM"). CALIFORNIA LEGISLATION ESTABLISHED THE PROGRAM TO IMPOSE A QUALITY ASSURANCE FEE ON CERTAIN GENERAL ACUTE CARE HOSPITALS IN ORDER TO MAKE SUPPLEMENTAL AND GRANT PAYMENTS AND INCREASED CAPITATION PAYMENTS (SUPPLEMENTAL PAYMENTS) TO HOSPITALS UP TO THE AGGREGATE UPPER PAYMENT LIMIT FOR VARIOUS PERIODS. SEVERAL PIECES OF LEGISLATION HAVE BEEN ENACTED TO CREATE THE PROGRAM FOR VARIOUS PERIODS OF TIME.THE PROGRAM IS DESIGNED TO MAKE SUPPLEMENTAL INPATIENT AND OUTPATIENT MEDI-CAL PAYMENTS TO PRIVATE HOSPITALS, INCLUDING ADDITIONAL PAYMENTS FOR CERTAIN FACILITIES THAT PROVIDE HIGH-ACUITY CARE AND TRAUMA SERVICES TO THE MEDI-CAL POPULATION. THE PROGRAM PROVIDES A MECHANISM FOR INCREASING PAYMENTS TO HOSPITAL THAT SERVE MEDI-CAL PATIENTS, WITH NO IMPACT ON THE STATE'S GENERAL FUND. SOME OF THESE PAYMENTS ARE MADE DIRECTLY BY THE STATE, WHILE OTHERS ARE MADE BY MEDI-CAL MANAGED CARE PLANS, WHICH WILL RECEIVE INCREASED CAPITATION RATES FROM THE STATE IN AMOUNTS EQUAL TO THE SUPPLEMENTAL PAYMENTS. OUTSIDE OF THE LEGISLATION, THE CALIFORNIA HOSPITAL ASSOCIATION (CHA) HAS CREATED A PRIVATE PROGRAM, OPERATED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST (CHFT), WHICH WAS ESTABLISHED TO ALLEVIATE DISPARITIES POTENTIALLY RESULTING FROM THE IMPLEMENTATION OF THE PROGRAMS.THERE ARE THREE PROGRAMS THAT HAD ACTIVITY IN 2019 AND 2018: A 36-MONTH HOSPITAL FEE PROGRAM COVERING THE PERIOD FROM JANUARY 1, 2014 THROUGH DECEMBER 31, 2016, A 30-MONTH HOSPITAL FEE PROGRAM COVERING THE PERIOD FROM JANUARY 1, 2017 THROUGH JUNE 30, 2019, AND A 30-MONTH HOSPITAL FEE PROGRAM COVERING THE PERIOD FROM JULY 1, 2019 THROUGH DECEMBER 31, 2021. EMANATE HEALTH MEDICAL CENTER (EHMC) PROVIDED APPROXIMATELY 43,000 DAYS OF QUALITY HEALTH CARE SERVICES TO MEDI-CAL BENEFICIARIES ANNUALLY.EHMC IS ONE OF THE LARGEST PROVIDERS OF CARE TO MEDI-CAL ENROLLEES IN SOUTHERN CALIFORNIA. DUE TO DEEP FUNDING CUTS TO THE MEDI-CAL PROGRAM, AS WELL AS HISTORICAL LOW LEVELS OF REIMBURSEMENT AND HIGH RATE OF DENIALS, THE HOSPITAL FEE PROGRAM HAS BEEN CRITICAL IN HELPING EHMC TO CONTINUE PROVIDING QUALITY HEALTH CARE SERVICES TO THE POOREST AND MOST VULNERABLE POPULATION IN THE COMMUNITY. THE PROGRAM REMAINS CRUCIAL IN MAINTAINING MEDI-CAL SERVICES AND CHARITY PROVIDED BY OUR HOSPITAL TO THE COMMUNITY'S LOW INCOME POPULATION, AND IT IS VITAL TO EHMC THAT FUTURE SIMILAR PROGRAMS BE APPROVED AND IMPLEMENTED.PART I, LINE 7F:HEALTH PROFESSION EDUCATION - IN AN EFFORT TO CREATE A HEALTHY COMMUNITY IN THE EAST SAN GABRIEL VALLEY AREA, EMANATE HEALTH HAS OFFERED A NUMBER OF SPECIAL EVENTS, LECTURES AND CLASSES TO HELP EDUCATE THE COMMUNITY TO IMPROVE THEIR HEALTH, SCHOLARSHIPS FOR NURSING STUDENTS AND OTHER HEALTH RELATED PROGRAMS THAT EDUCATE HEALTH PROFESSIONALS IN THE BROADER COMMUNITY. IN NOVEMBER 2016, THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) OFFICIALLY ANNOUNCED ITS APPROVAL TO ACCREDIT A FAMILY MEDICINE RESIDENCY PROGRAM AT EMANATE HEALTH. IN ADDITION, EMANATE HEALTH OFFICIALLY ENTERED INTO AN AFFILIATION WITH USC'S KECK SCHOOL OF MEDICINE AND ITS DEPARTMENT OF FAMILY MEDICINE. THIS AFFILIATION PROVIDES OPPORTUNITIES FOR MEDICAL RESEARCH AND EDUCATIONAL OPPORTUNITIES FOR THE SCHOOL'S STUDENTS, WHILE ALSO ALLOWING EMANATE HEALTH PHYSICIANS WHO FUNCTION AS VOLUNTARY FACULTY TO OUR RESIDENTS TO ALSO BECOME VOLUNTARY FACULTY FOR USC'S DEPARTMENT OF FAMILY MEDICINE. THE TEN FIRST-YEAR RESIDENT POSITIONS IN OUR CHARTER CLASS STARTED TRAINING AT OUR HOSPITALS AND AT EAST VALLEY COMMUNITY HEALTH CENTER IN JULY - 2017, AND THE NUMBER OF RESIDENTS INCREASED TO 30 POSITIONS IN 2019.
PART I, LINE 7G:THE AMOUNT INCLUDED IN THIS LINE IS THE NET COST OF THE SUBSIDIZED HEALTH SERVICES PROGRAM CALLED "NEONATAL SLEEP APNEA" WHICH TREATMENT INCORPORATES STUDIES THAT FURTHER SCIENCE'S UNDERSTANDING OF THE APNEA ILLNESS IN NEWBORNS.
PART III, LINE 2:STATEMENT REGARDING COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 OF PART III - REGARDING CARE OF THE POOR AND COMMUNITY BENEFIT REPORT:EMANATE HEALTH HAS A POLICY TO TREAT EMERGENCY PATIENTS REGARDLESS OF ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT IN ACCORDANCE WITH CERTAIN ESTABLISHED POLICIES OF THE CORPORATION. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED BECAUSE OF INABILITY TO PAY. EMANATE HEALTH PROVIDES PROGRAMS AND ACTIVITIES THAT CONTRIBUTE TO CHARITY CARE, CARE OF THE POOR, AND COMMUNITY BENEFIT. THESE PROGRAMS AND ACTIVITIES SERVE A MAJORITY OF PERSONS WHO ARE BENEFICIARIES OF MEDI-CAL AND COUNTY/STATE PROGRAMS FOR THE MEDICALLY INDIGENT. ALSO INCLUDED ARE ACTIVITIES THAT IMPROVE THE COMMUNITY'S HEALTH STATUS, AND EDUCATE OR PROVIDE SOCIAL SERVICES TO THE ELDERLY AND CHILDREN. EMANATE HEALTH USES 3 CATEGORIES TO CLASSIFY CARE OF THE POOR AND COMMUNITY BENEFIT: CATEGORY 1: TRADITIONAL CHARITY CARE - CARE OF THE POOR INCLUDES SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. THIS WRITE-OFF IS ARRANGED BEFORE THE CARE IS GIVEN WHEN POSSIBLE. IF THERE IS ANY SUBSIDY DONATED FOR THESE SERVICES, THAT AMOUNT IS DEDUCTED FROM THE GROSS AMOUNT. CATEGORY 2: UNPAID COST OF PUBLIC PROGRAMS - THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THE MEDI-CAL PROGRAM AND ENROLLED IN HMO AND PPO PLANS UNDER CONTRACT WITH THE MEDI-CAL PROGRAM. CATEGORY 3: COMMUNITY BENEFIT - SERVICES THAT ARE BENEFICIAL TO THE BROADER COMMUNITY, IE., OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT THAT NEED SPECIAL SERVICES AND SUPPORT. EXAMPLES INCLUDE THE ELDERLY, SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH AIDS. THEY ALSO INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION, AND HEALTH CLINICS AND SCREENINGS. CHARITY AMOUNT IS INCLUDED IN PART I, LINE 7.STATEMENT REGARDING BAD DEBT EXPENSE:THE POLICY OF EMANATE HEALTH IS TO PROVIDE OUR UNINSURED AND UNDERINSURED PATIENTS THE SAME ALLOWANCES PROVIDED TO ITS MANAGED CARE CONTRACTORS. THAT IS, THOSE PATIENTS SHALL HAVE APPLIED TO THEIR ACCOUNTS APPROPRIATE ALLOWANCES AND PER DIEM RATES. EMANATE HEALTH IS TO FOLLOW UP ON AND COLLECT ALL SELF PAY ACCOUNT BALANCES, AS WELL AS, WHERE THIRD PARTY BENEFITS EXIST, ALL PATIENT CO-PAYS AND DEDUCTIBLES, EITHER AT THE TIME OF SERVICE, OR WHEN THEY BECOME DUE. THIS SHALL BE ACCOMPLISHED IN A FAIR, CARING AND COMPASSIONATE MANNER. THE RESULTING NET REALIZABLE BALANCE ON THESE ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER ALL COLLECTION EFFORTS AND FOLLOW UP ATTEMPTS HAVE BEEN MADE. EMANATE HEALTH RECOGNIZES BAD DEBT EXPENSE BASED UPON ITS HISTORICAL EXPERIENCE.
PART III, LINE 4:TEXT OF THE FOOTNOTE TO THE CONSOLIDATED FINANCIAL STATEMENTS REGARDING BAD DEBT EXPENSE:PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION EMANATE EXPECTS TO BE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS IN EXCHANGE FOR PROVIDING PATIENT CARE. PROVIDING PATIENT CARE SERVICES IS CONSIDERED A SINGLE PERFORMANCE OBLIGATION, SATISFIED OVER TIME, IN BOTH THE INPATIENT AND OUTPATIENT SETTING. GENERALLY, EMANATE BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER SERVICES ARE PERFORMED AND/OR WHEN THE PATIENT IS DISCHARGED FROM THE FACILITY. REVENUE FOR INPATIENT ACUTE CARE SERVICES IS RECOGNIZED BASED ON ACTUAL CHARGES INCURRED IN RELATION TO TOTAL EXPECTED, OR ACTUAL, CHARGES. EMANATE MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION INTO THE HOSPITAL TO THE POINT WHEN IT IS NO LONGER REQUIRED TO PROVIDE SERVICES TO THAT PATIENT, WHICH IS GENERALLY AT THE TIME OF DISCHARGE. AS ALL EMANATE'S PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, EMANATE ELECTED TO APPLY THE OPTIONAL EXEMPTION PROVIDED IN ACCOUNTING STANDARDS CODIFICATION (ASC) 606, REVENUE FROM CONTRACTS WITH CUSTOMERS, AND, THEREFORE, IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY SATISFIED AT THE END OF THE REPORTING PERIOD, WHICH ARE PRIMARILY RELATED TO INPATIENT ACUTE CARE SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN THE PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD. FOR PATIENTS COVERED BY THIRD-PARTY PAYORS, EMANATE DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THOSE THIRD-PARTY PAYORS. EMANATE DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE.LAWS AND REGULATIONS CONCERNING GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID, ARE COMPLEX AND SUBJECT TO VARYING INTERPRETATIONS. EMANATE IS SUBJECT TO RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. IN ADDITION, THE CONTRACTS EMANATE HAS WITH COMMERCIAL PAYORS ALSO PROVIDE FOR A RETROACTIVE AUDIT AND REVIEW OF CLAIMS. SETTLEMENTS WITH THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS ARE CONSIDERED VARIABLE CONSIDERATION AND ARE INCLUDED IN THE DETERMINATION OF THE ESTIMATED TRANSACTION PRICE FOR PROVIDING PATIENT CARE. THESE SETTLEMENTS ARE ESTIMATED BASED ON THE TERMS OF THE PAYMENT AGREEMENT WITH THE PAYOR, CORRESPONDENCE WITH THE PAYOR, AND EMANATE'S HISTORICAL SETTLEMENT ACTIVITY, ATTEMPTING TO ENSURE THAT A SIGNIFICANT REVENUE REVERSAL WILL NOT OCCUR WHEN THE FINAL AMOUNTS ARE SUBSEQUENTLY DETERMINED. ESTIMATED SETTLEMENTS ARE ADJUSTED IN FUTURE PERIODS AS NEW INFORMATION BECOMES AVAILABLE, OR AS YEARS ARE SETTLED OR ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. GENERALLY, PATIENTS COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH IS REFERRED TO AS THE PATIENT PORTION. EMANATE ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES IN ACCORDANCE WITH ITS POLICIES. CONSISTENT WITH EMANATE'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, EMANATE HAS DETERMINED THAT IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES, SUCH AS COPAY AND DEDUCTIBLES. THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS EXPECTED TO BE COLLECTED BASED ON EMANATE'S COLLECTION HISTORY WITH THOSE PATIENTS IS RECORDED AS IMPLICIT PRICE CONCESSIONS, OR AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE. SUBSEQUENT ADJUSTMENTS THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT OR PAYOR'S ABILITY TO PAY ARE RECOGNIZED AS BAD DEBT EXPENSE. WITH THE ADOPTION OF ASC 606, BAD DEBT EXPENSE IS INCLUDED WITHIN OTHER EXPENSE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS, RATHER THAN AS A DEDUCTION TO ARRIVE AT REVENUE. BAD DEBT EXPENSE FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018 WAS NOT MATERIAL FOR EMANATE. EMANATE ESTIMATES THE TRANSACTION PRICE FOR THE PATIENT PORTION AND UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS.
PART III, LINE 8:MEDICARE COST REPORT WAS USED TO REPORT THE MEDICARE REVENUE AND MEDICARE ALLOWABLE COSTS. THE MEDICARE RAC (RECOVERY AUDIT CONTRACTORS) AMOUNT RETRACTED BY MEDICARE IN THE CURRENT YEAR FOR THE SERVICES PROVIDED TO THE MEDICARE PATIENTS IN THE PRIOR YEARS WAS NOT OFFSET AGAINST THE MEDICARE REVENUE IN THE CURRENT YEAR. MEDICARE ALLOWABLE COSTS TEND TO UNDERSTATE THE ACTUAL COSTS WHICH INCLUDED CERTAIN COST DISALLOWANCES AND NON-REIMBURSABLE COST CENTERS SUCH AS NON-ALLOWABLE PHYSICIAN FEES, CAFETERIA COSTS, MANAGED CARE OUT-OF-AREA MEDICAL CLAIMS, HOME OFFICE'S MANAGEMENT FEES ADJUSTMENT, MAMMOGRAPHY CLINIC, NON-ALLOWABLE MEALS, HOME OFFICE BUILDING COSTS, AND OTHER NON-ALLOWABLE EXPENSES. IF THE ESTIMATED ADDITIONAL ALLOCATED DISALLOWABLE MEDICARE COSTS OF $12,063,000 WERE INCLUDED IN LINE 5 AND LINE 6 RESPECTIVELY, THE SHORTFALL ON LINE 7 WOULD BE $(7,379,022).
PART III, LINE 9B:EMANATE HEALTH OFFERS THE FOLLOWING COVERAGE OPTIONS WHICH ARE ALWAYS EXPLORED IN ASSESSING PATIENTS' ABILITY TO PAY:A) LINKAGE TO AVAILABLE STATE AID SUCH AS: (I) MEDI-CAL, (II) CALIFORNIA CHILDREN SERVICES, (III) COVERED CALIFORNIA, (IV) OTHERB) PATIENTS UNDER AGE TWENTY ONE YEARS, WHO ARE SELF PAY, SHALL BE REFERRED TO THE ONSITE MEDI-CAL ELIGIBILITY WORKER OR TO EITHER OF OUR CONTRACTED VENDORS FOR COMPLETION OF A MEDI-CAL APPLICATION AND/OR THE ON SITE GEM (GET ELIGIBILITY MOVING) PROGRAM.C) ALL OBSTETRICAL PATIENTS WHO ARE SELF PAY AND UNABLE TO MEET THEIR FINANCIAL OBLIGATION SHALL BE REFERRED TO THE ONSITE MEDI-CAL ELIGIBILITY WORKER OR TO EITHER OF OUR CONTRACTED VENDORS FOR COMPLETION OF A MEDI-CAL APPLICATION AND/OR THE ON SITE GEM PROGRAM.FOR THOSE PATIENTS WHO QUALIFY FOR CHARITY CARE ACCORDING TO EMANATE HEALTH'S CHARITY CARE POLICY, THE PATIENT ACCOUNTS WOULD BE WRITTEN OFF TO CHARITY AND THE PATIENTS WOULD NOT BE BILLED.
PART VI, LINE 2:2019 NEEDS ASSESSMENT THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA) ENACTED ON MARCH 23, 2010, INCLUDED NEW REQUIREMENTS FOR NONPROFIT HOSPITALS IN ORDER TO MAINTAIN TAX EXEMPT STATUS. THE PROVISION WAS THE SUBJECT OF FINAL REGULATIONS PROVIDING GUIDANCE ON THE REQUIREMENTS OF SECTION 501(R) OF THE INTERNAL REVENUE CODE. INCLUDED IN THE NEW REGULATIONS IS A REQUIREMENT THAT ALL NONPROFIT HOSPITALS MUST CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND DEVELOP AN IMPLEMENTATION STRATEGY (IS) EVERY THREE YEARS. WHILE EMANATE HEALTH HAS CONDUCTED CHNAS FOR MANY YEARS TO IDENTIFY NEEDS AND RESOURCES IN OUR COMMUNITIES AND TO GUIDE OUR COMMUNITY BENEFIT PLANS, THESE NEW REQUIREMENTS HAVE PROVIDED AN OPPORTUNITY TO REVISIT OUR NEEDS ASSESSMENT AND STRATEGIC PLANNING PROCESSES WITH AN EYE TOWARD ENHANCING COMPLIANCE AND TRANSPARENCY AND LEVERAGING EMERGING TECHNOLOGIES. THE CHNA PROCESS UNDERTAKEN IN 2019 AND DESCRIBED IN THIS REPORT WAS CONDUCTED IN COMPLIANCE WITH CURRENT FEDERAL REQUIREMENTS. SUMMARY OF COMMUNITY IDENTIFIED NEEDS HEALTH OUTCOMES AND DRIVERS ALSO KNOWN AS SOCIAL DETERMINANTS OF HEALTH ARE INTERCONNECTED AND CAN NEGATIVELY OR POSITIVELY IMPACT INDIVIDUAL HEALTH. THEY INCLUDE SOCIAL AND ECONOMIC FACTORS THAT OFTEN CONTRIBUTE TO THE ABILITY OR INABILITY OF CERTAIN POPULATIONS OR GROUPS TO ACCESS THE NECESSARY CARE NEEDED TO DIAGNOSE, TREAT AND PREVENT POOR HEALTH. THEREFORE, IT IS IMPORTANT THAT THESE FACTORS BE TAKEN INTO CONSIDERATION WHEN DEVELOPING HEALTH STRATEGIES AND PROGRAMS TO ADDRESS HEALTH NEEDS. THE FOLLOWING IS A LIST OF 10 IDENTIFIED COMMUNITY NEEDS (HEALTH OUTCOMES AND SOCIAL DETERMINANTS OF HEALTH) THAT RESULTED FROM THE ANALYSIS OF PRIMARY AND SECONDARY DATA, OBSERVATIONS OF DISPARITIES, AND REVIEW OF THE PREVIOUS 2016 EMANATE HEALTH CHNA FINDINGS. ACCESS TO CARE CANCER CHRONIC DISEASES (HEART DISEASE & STROKE, DIABETES) ECONOMIC AND FOOD INSECURITY EXERCISE, NUTRITION, AND WEIGHT (OBESITY) HOMELESSNESS AND HOUSING INSTABILITY MENTAL HEALTH ORAL HEALTH SENIOR SERVICES SUBSTANCE ABUSE/TOBACCO USE SUMMARY OF NEEDS ASSESSMENT METHODOLOGY AND PROCESS IDENTIFICATION THE 2019 CHNA NEEDS ASSESSMENT METHODOLOGY AND PROCESS INVOLVED A MIXED-METHODS APPROACH THAT INCLUDED THE COLLECTION OF BOTH SECONDARY DATA AND PRIMARY DATA. SECONDARY DATA INDICATORS ON A VARIETY OF HEALTH, SOCIAL, ECONOMIC, AND ENVIRONMENTAL TOPICS WERE COLLECTED BY ZIP CODE, SERVICE PLANNING AREA (SPA)1, COUNTY, AND STATE LEVELS (AS AVAILABLE). IN MOST CASES, VALUES PRESENTED FOR THE EMANATE HEALTH SERVICE AREA WERE CALCULATED BY AGGREGATING VALUES OF SMALLER GEOGRAPHIC UNITS (E.G., ZIP CODES, CENSUS TRACTS) WHICH FALL WITHIN THE SERVICE AREA BOUNDARY. WHEN ONE OR MORE GEOGRAPHIC UNITS ARE NOT ENTIRELY ENCOMPASSED BY A SERVICE AREA, THE MEASURE IS AGGREGATED PROPORTIONALLY. THE OPTIONS FOR WEIGHING "SMALL AREA ESTIMATIONS" ARE BASED ON TOTAL AREA, TOTAL POPULATION, AND DEMOGRAPHIC GROUP POPULATION. PRIMARY DATA COLLECTION CONSISTED OF REACHING OUT TO LOCAL PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND RESIDENTS TO IDENTIFY ISSUES THAT MOST AFFECTED THE HEALTH OF THE COMMUNITY. THE CHNA PROCESS ALSO INCLUDED AN IDENTIFICATION OF EXISTING COMMUNITY ASSETS AND RESOURCES TO ADDRESS THE IDENTIFIED HEALTH NEEDS. IN ORDER TO BE INCLUDED IN THE LIST OF IDENTIFIED HEALTH NEEDS, A HEALTH OUTCOME OR DRIVER HAD TO MEET TWO REQUIREMENTS: IT HAD TO BE MENTIONED IN THE PRIMARY DATA COLLECTION MORE THAN ONCE AND A SECONDARY DATA INDICATOR ASSOCIATED WITH THE HEALTH OUTCOME AND/OR DRIVER NEEDED TO PERFORM POORLY AGAINST A DESIGNATED BENCHMARK (COUNTY AVERAGE, STATE AVERAGE, OR HEALTHY PEOPLE 2020 GOAL). PRIORITIZATION THE PRIORITIZATION THAT IS OUTLINED IN THIS REPORT IS BASED ON THE COMMUNITY KEY INFORMANT INTERVIEWS AND FOCUS GROUP INPUT. IT IS COMPLEMENTED WITH THE SERVICE AREA DATA RESOURCES AND WILL BE UPDATED UPON THE CONDUCT OF A COMMUNITY-INVOLVED PRIORITIZATION PROCESS IN JANUARY 2020. COMMUNITY ASSETS AND RESOURCES COMMUNITY ASSETS AND RESOURCES TO ADDRESS THE EMERGING HEALTH NEEDS WERE IDENTIFIED THROUGH FOCUS GROUPS AND INTERVIEWS IN THE IDENTIFICATION PHASE OF THE PROCESS. STAKEHOLDERS WERE ASKED TO SHARE NAMES OF COMMUNITY ORGANIZATIONS, PROGRAMS, AND OTHER RESOURCES THEY KNEW OF AND/OR HAD EXPERIENCE WITH TO ADDRESS THE SPECIFIC HEALTH NEEDS. THESE INCLUDED HOSPITALS, CLINICS, HEALTH CENTERS, ASSOCIATIONS, COMMUNITY-BASED ORGANIZATIONS, FAITH-BASED ORGANIZATIONS, UNIVERSITIES, PUBLIC INITIATIVES AND HOTLINES. FOLLOWING THE IDENTIFICATION OF ASSETS, INTERNET RESEARCH WAS CONDUCTED TO VALIDATE EACH ASSET AND RESOURCE AND COLLECT UP-TO-DATE INFORMATION FOR EACH.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY ASSISTANCE: THE HOSPITAL EMPLOYS A VARIETY OF METHODS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY POSTING ITS CHARITY CARE POLICIES IN PUBLIC PLACES AND PROVIDING PATIENTS WITH WRITTEN NOTICE ABOUT THEIR FINANCIAL OPTIONS, INCLUDING THE AVAILABILITY OF DISCOUNTS, PAYMENT PLANS AND PUBLIC INSURANCE PROGRAMS SUCH AS MEDI-CAL, HEALTHY KIDS, HEALTHY FAMILIES, ACCESS FOR INFANTS AND MOTHERS PROGRAM AND OTHER OPTIONS. SINCE 1991, EMANATE HEALTH'S GEM (GET ENROLLMENT MOVING PROJECT) HAS BEEN A LEADER IN THE SAN GABRIEL VALLEY IN CONNECTING FAMILIES AND INDIVIDUALS WITH ACCESS TO FREE OR LOW-COST HEALTH INSURANCE, AS WELL AS REFERRALS TO OTHER HEALTH ACCESS PROGRAMS FOR THE UNINSURED. THE GEM PROJECT PARTNERS WITH PROMOTORAS (BILINGUAL HEALTH PROMOTERS), SCHOOLS, CHILD-CARE AGENCIES, CHURCHES, FAMILY RESOURCE CENTERS, CLINICS, COMMUNITY BASED ORGANIZATION, ETC. TO IDENTIFY UNINSURED CHILDREN AND ADULTS, AND PROVIDE INSURANCE ENROLLMENT SERVICES IN THE GEM OFFICE AND AT THE OFF-SITE COMMUNITY LOCATIONS. IN ADDITION, THE HOSPITAL HAS OUTREACH PROGRAMS TO LOW INCOME VULNERABLE POPULATIONS VIA DOOR-TO-DOOR, COMMUNITY SITES AND EVENTS. EMANATE HEALTH ALSO SUPPORTS ECHO (EVERY CHILD'S HEALTH OPTION) PROGRAM WHICH PROVIDES URGENT AND SPECIALTY CARE TO UNINSURED CHILDREN.
PART VI, LINE 4:COMMUNITY INFORMATION: EMANATE HEALTH MEDICAL CENTER (EHMC) SERVES AN URBAN COMMUNITY OF NEARLY ONE MILLION PEOPLE IN THE SAN GABRIEL VALLEY AND HAS TWO HOSPITALS: EHMC - INTER-COMMUNITY HOSPITAL IN COVINA AND EHMC - QUEEN OF THE VALLEY HOSPITAL IN WEST COVINA. FOLLOWING IS A SUMMARY OF THE MAJOR DEMOGRAPHICS OF THE HOSPITAL'S SERVICE AREA -- POPULATION BY AGE: 6.1% AGE 0-4, 16.9% AGE 5-17, 63.8% AGE 18-64 AND 13.2% AGE 65+; MEDIAN HOUSEHOLD INCOME $66,422; POVERTY LEVEL: 47.2% OF THE RESIDENTS IN THE HOSPITAL SERVICE AREA LIVE UNDER 200% OF THE FEDERAL POVERTY LEVEL AND ARE CLASSIFIED AS LOW-INCOME. PAYER MIX BASED ON EHMC'S INPATIENT DAYS SERVED: MEDI-CAL AND MEDI-CAL MANAGED CARE 40%, MEDICARE AND MEDICARE MANAGED CARE 44.3%, MANAGED CARE 13.5%, AND SELF-PAY 2.2%. APPROXIMATELY 11 OTHER HOSPITALS ARE SERVICING THE AREAS.
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL PROVIDES A WIDE RANGE OF PATIENT CARE SERVICES THROUGH ITS TWO CAMPUSES AS FOLLOWS:EHMC - QUEEN OF THE VALLEY HOSPITAL LOCATED IN WEST COVINA IS A 325-BED FULLY ACCREDITED NONPROFIT, CATHOLIC HEALTH CARE FACILITY FOUNDED IN 1962 BY THE IMMACULATE HEART COMMUNITY.KEY SERVICES: -FAMILY BIRTH & NEWBORN CENTER (A 40-BED PERINATAL SERVICES AND A 40-BED NICU) - MORE DELIVERIES ARE MADE AT THIS HOSPITAL THAN ANY HEALTH CARE FACILITY IN THE EAST SAN GABRIEL VALLEY WITH APPROXIMATELY 3,700 DELIVERIES ANNUALLY AND APPROXIMATELY 500 BABIES HAVE BEEN CARED FOR IN THE LEVEL IIIB NEWBORN INTENSIVE CARE UNIT EACH YEAR. -THE GELERIS FAMILY CANCER CENTER - OFFERING COMPLETE EDUCATION, DIAGNOSIS, TREATMENT AND SUPPORT SERVICES. PATIENTS ARE KEPT APPRISED OF ONGOING CLINICAL CANCER TRIALS AND MAY PARTICIPATE, WHEN ELIGIBLE.-QUEEN'S MAMMOGRAPHY CENTER - PROVIDING LOW-COST MAMMOGRAPHY SCREENING AND BREAST HEALTH EDUCATION.-STATE-OF-THE-ART MRI, CAT SCAN AND LITHOTRIPSY SERVICES-12-BED INTENSIVE CARE UNIT.-6-BED CARDIAC CARE UNIT.-37-BED DEFINITIVE OBSERVATION UNIT.-12-BED REHABILITATION UNIT.-40-BED NEONATAL-200-BED MEDICAL/SURGICAL SERVICES.-18-BED PEDIATRICS UNIT - A CERTIFIED CHILD LIFE SPECIALIST IS ON STAFF TO PROVIDE EDUCATION, SUPPORT AND THERAPEUTIC INTERVENTIONS THAT ADDRESS THE PSYCHOSOCIAL AND EMOTIONAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES.-EMANATE HEALTH CENTERS FOR REHABILITATION SERVICES - OFFERING SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY SERVICES FOR CHILDREN AND ADULTS-EMERGENCY DEPARTMENT IS ONE OF THE BUSIEST IN SOUTHERN CALIFORNIA, WITH NEARLY 75,000 VISITS ANNUALLY-ROBOTIC SURGERY PROGRAM FEATURING THE DA VINCI SI SURGICAL SYSTEM.EHMC - INTER-COMMUNITY HOSPITAL HAS BEEN PROVIDING HEALTH CARE SERVICES TO THE COMMUNITY SINCE 1922. THE NONPROFIT 191-BED FACILITY IN COVINA PROVIDES HIGH-QUALITY HEALTH CARE TO THE EAST SAN GABRIEL VALLEY WITH A WIDE RANGE OF MEDICAL, SURGICAL AND SPECIALTY SERVICES. KEY SERVICES: -EMANATE HEALTH HEART CENTER - OFFERING THE ONLY OPEN HEART SURGERY PROGRAM IN THE EAST SAN GABRIEL VALLEY -CARDIAC CATH LAB - PROVIDING THE LATEST TREATMENTS AND ADVANCEMENTS FOR PATIENTS SUFFERING FROM CARDIAC DISEASE -DIAGNOSTIC CARDIOLOGY AND NUCLEAR MEDICINE DEPARTMENTS -CARDIAC REHABILITATION PROGRAM -14-BED CARDIAC CARE UNIT. -8-BED INTENSIVE CARE UNIT. -54-BED DEFINITIVE OBSERVATION UNIT. -24-BED ORTHO/SURG UNIT. -38-BED MEDICAL/SURGICAL SERVICES. -30-BED MENTAL HEALTH UNIT. -23-BED SKILLED NURSING UNIT. -RADIATION ONCOLOGY AND INPATIENT CANCER UNIT. -MAMMOGRAPHY SCREENING CENTER WITH 3D MAMMOGRAPHY TECHNOLOGY. -WOUND CARE - COMPREHENSIVE CARE FOR PATIENTS WITH WOUNDS THAT WON'T HEAL, INCLUDING A STATE-OF-THE-ART HYPERBARIC CHAMBER -EMERGENCY DEPARTMENT WITH NEARLY 41,000 VISITS ANNUALLY.-CHEST PAIN EMERGENCY UNIT -EMANATE HEALTH CENTERS FOR REHABILITATION SERVICES - OFFERING SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY SERVICES FOR CHILDREN AND ADULTS -INFORMATION CENTER FOR PHYSICIAN, HOSPITAL AND COMMUNITY OUTREACH REFERRALS -CANCER RESOURCE CENTER THE HOSPITAL IS GOVERNED BY A 22-MEMBER BOARD OF DIRECTORS COMPRISED OF PHYSICIANS, BUSINESS AND COMMUNITY LEADERS. THE BOARD HAS THE OVERALL RESPONSIBILITY FOR THE MANAGEMENT OF THE HOSPITAL. TO CARRY OUT THIS RESPONSIBILITY, THE GOVERNING BODY PROVIDES FOR THE EFFECTIVE FUNCTIONING OF ACTIVITIES RELATED TO: DELIVERY OF PATIENT CARE, PERFORMANCE IMPROVEMENT, PATIENT SAFETY, RISK MANAGEMENT, MEDICAL STAFF CREDENTIALING, FINANCIAL MANAGEMENT, STRATEGIC PLANNING AND COMMUNITY BENEFIT.THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITIES. THE HOSPITAL'S MEDICAL STAFF CONSISTED OF 822 PHYSICIANS, OF WHICH 393 ARE MEMBERS OF ITS ACTIVE STAFF (DEFINED AS ADMITTING MORE THAN TWELVE PATIENTS PER YEAR). THE TEN MOST ACTIVE ADMITTING PHYSICIANS ACCOUNTED FOR APPROXIMATELY 25% OF TOTAL ADMISSIONS. THESE PHYSICIANS HAD SPECIALTIES IN INTERNAL MEDICINE, PSYCHIATRY, OBSTETRIC/GYNECOLOGY AND CARDIOLOGY - 62.7% OF THE TOTAL MEDICAL STAFF MEMBERS AND 84% OF THE ACTIVE MEDICAL MEMBERS WERE BOARD-CERTIFIED IN THEIR RESPECTIVE SPECIALTIES.THE SURPLUS FUNDS HELD BY THE HOSPITAL ARE USED TO FULFILL ITS MISSION AS AN INTEGRATED HEALTH CARE ORGANIZATION COMMITTED TO PROVIDING QUALITY HEALTH CARE SERVICES IN A COMPASSIONATE ENVIRONMENT FOR THE PEOPLE IN THE SURROUNDING COMMUNITIES BY OFFERING OUTREACH EDUCATION AND CHARITY CARE, INVESTING IN ADVANCED MEDICAL TECHNOLOGY AND MODERNIZING HOSPITAL FACILITIES.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEM: EMANATE HEALTH, THE SOLE CORPORATE MEMBER OF EHMC, EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL (FPH), EMANATE HEALTH HOSPICE (HOSPICE), AND EMANATE HEALTH FOUNDATION (FOUNDATION), PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT DESCRIBES SPECIFIC OUTREACH PROGRAMS AND SERVICES THAT SUPPORT AND PROVIDE CHARITY CARE AND EDUCATION AND PROMOTE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES SERVED BY EHMC AND ITS AFFILIATE ORGANIZATIONS.FPH OPERATES A GENERAL ACUTE CARE HOSPITAL WITH 105 LICENSED BEDS, LOCATED IN GLENDORA, CALIFORNIA, AND PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR THE SURROUNDING COMMUNITIES.HOSPICE, LOCATED IN WEST COVINA, CALIFORNIA, OPERATES A 10 LICENSED BED SKILLED NURSING FACILITY AND IN HOME SERVICES FOR TERMINALLY ILL PATIENTS AND A HOME HEALTH AGENCY DOING BUSINESS AS EMANATE HEALTH HOME CARE. FOUNDATION PERFORMS THE FUND-RAISING AND TRUST ADMINISTRATION ACTIVITIES RELATED TO EMANATE HEALTH AND ITS AFFILIATES.EMANATE HEALTH IS AN ORGANIZATION RECOGNIZED FOR ITS OUTSTANDING COMMUNITY OUTREACH EFFORTS AND ACCOMPLISHMENTS. AN ORGANIZATION DEDICATED TO CREATING INNOVATIVE PARTNERSHIPS AMONG THE NUMEROUS HEALTH AND SOCIAL SERVICE ORGANIZATIONS IN OUR VALLEY, WITH CLOSE TO 100 PARTICIPATING AGENCIES IN DIVERSE COLLABORATIVE RELATIONSHIP DEVOTED TO PROMOTING COMMUNITY HEALTH AND WELL-BEING.SOME HIGHLIGHTS INCLUDE EMANATE HEALTH'S PARTNERSHIP NURSING PROGRAM, WHICH IS BASED ON THE CONCEPT THAT THROUGH WORKING PARTNERSHIPS BETWEEN FAITH COMMUNITIES, COMMUNITY ORGANIZATIONS AND MEDICAL PROFESSIONALS, HEALTH AND WELLNESS ISSUES CAN BE SIGNIFICANTLY IMPROVED. GET ENROLLMENT MOVING PROGRAM (GEM), VOLUNTEERS AND EMANATE HEALTH STAFF MEMBERS WORK TOGETHER TO RECRUIT ELIGIBLE FAMILIES AND ENROLL THEM IN MEDI-CAL, HEALTHY KIDS, COVERED CALIFORNIA, AND OTHER HEALTH ACCESS PROGRAMS. GEM ALSO CALLS ENROLLED INDIVIDUALS THREE SEPARATE TIMES TO ENSURE THAT CONFIRM ENROLLMENT, ENSURE UTILIZATION OF SERVICES AND TROUBLE SHOOT, AND TO PROVIDE ASSISTANCE AT RENEWAL TIME. GEM IS A PROJECT OF EMANATE HEALTH AND IT IS SUPPORTED BY FUNDING FROM THE L.A. COUNTY OF PUBLIC HEALTH DEPARTMENT AND FIRST 5 LA. GEM PROMOTORAS DE SALUD/HEALTH PROMOTERS IS A PEER OUTREACH AND EDUCATION NEIGHBORHOOD-BASED INITIATIVE WITH THE PURPOSE OF TEACHING AND CONNECT COMMUNITY RESIDENTS WITH HEALTH INSURANCE OPTIONS. AS LEADERS IN THEIR COMMUNITY, THEY VISIT HOMES DOOR-TO-DOOR TO IDENTIFY NEEDS FOR INFORMATION AND SERVICES. EMANATE HEALTH'S DIABETES PROGRAM PROVIDES FREE DIABETIC FOOT SCREENINGS FOR PATIENTS AND RESIDENTS EVERY MONTH. FREE DIABETES TEST STRIPS ARE PROVIDED FREE OF CHARGE TO PATIENTS THROUGH A PARTNERSHIP WITH A LOCAL COMMUNITY CLINIC; THIS PRACTICE HAD ALREADY SHOWN POSITIVE RESULTS IN RESIDENTS BETTER MANAGING THEIR DIABETES. FREE SUPPORT GROUPS ARE OFFERED AT FOOTHILL EDUCATION CENTER IN GLENDORA AND EMANATE HEALTH RESOURCE CENTER IN COVINA TO HELP RESIDENTS WITH THEIR CONCERNS, ACHIEVEMENTS AND CHALLENGES IN MANAGING THEIR DIABETES. THE LATINO COMMUNITY HAS ACCESS TO SPANISH LANGUAGE GROUPS LED BY A REGISTERED NURSE AND CERTIFIED DIABETES EDUCATOR. EMANATE HEALTH'S VISION IS TO BE AN INTEGRAL PARTNER IN ELEVATING COMMUNITIES' HEALTH THROUGH PARTNERSHIPS. EMANATE HEALTH HAS FORMED A DIABETES PREVENTION AND MANAGEMENT MULTIDISCIPLINARY GROUP MADE UP OF 18 PUBLIC AND PRIVATE AGENCIES WHO JOIN MINDS TO RESPOND TO THE NEEDS OF THE DIABETIC POPULATION AND DECREASE THE DEVASTATING EFFECTS THAT COME WITH IT. EMANATE HEALTH'S BEST BABIES COLLABORATIVE PROGRAM OFFERS FREE HOME VISITATION SERVICES FOR HIGH RISK TEENS AND WOMEN IN PARTNERSHIP WITH SIX COMMUNITY PARTNERS. THIS PROGRAM IS MADE POSSIBLE THROUGH FUNDING AND PARTNERSHIP WITH FIRST 5 LA. EMANATE HEALTH HAS BEEN PROACTIVE IN OFFERING OUTREACH AND EDUCATION THROUGHOUT THE COMMUNITY IN THE AFFORDABLE CARE ACT/MEDI-CAL EXPANSION AND MARKET PLACE. SINCE CONCEPTION, EVERY CHILD'S HEALTHY OPTION (ECHO) IS A COLLABORATIVE EFFORT INVOLVING EMANATE HEALTH, COORDINATED AND LEAD BY LOCAL SCHOOL DISTRICTS. THE ECHO PROGRAM HAS IN PLACE A CADRE OF VOLUNTEER HEALTH PROVIDERS WHO OFFER FREE URGENT CARE SERVICES IN VARIOUS SPECIALTIES; IT ENSURES THAT EVERY CHILD, REGARDLESS OF INCOME LEVEL, HAVE ACCESS TO URGENT QUALITY HEALTH CARE AND PROVIDES ENROLLMENT FOR THE CHILD IN HEALTH INSURANCE. OTHER IMPORTANT PROGRAMS THAT RECEIVE SUPPORT FROM EMANATE HEALTH ARE THE SAN GABRIEL VALLEY COALITION ON HOMELESSNESS AND THE SAN GABRIEL VALLEY DISABILITIES COLLABORATIVE.AS A TEAM OF THE FOUR FINEST HEALTH CARE INSTITUTIONS IN THE REGION, OUR COLLECTIVE STRENGTHS ENABLE US TO CONTINUE THE COMMITMENT TO EXCELLENCE THE SAN GABRIEL VALLEY HAS COME TO KNOW AND TRUST.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT H CURRY SEE SCH O
PARENT PRESIDENT, CEO, BOD$0$997,403$0$569,328$0$17,842$0$14,000$0$17,331$0$1,615,904$0$0
RAJESH SHARMA SEE SCH O
EXECUTIVE VP/CFO$0$668,126$0$253,933$0$11,489$0$11,200$0$12,214$0$956,962$0$0
KEVIN STREETER
CHIEF NURSE & CLINICAL EXE$0$285,726$0$107,608$0$7,527$0$3,492$0$762$0$405,115$0$0
MELISSA HOWARD
CHIEF NURSE & CLINICAL EXE$0$295,632$0$116,870$0$7,276$0$10,694$0$16,129$0$446,601$0$0
PAUL MORRIS
DIRECTOR PHARMACY SVC$0$235,122$0$5,000$0$272$0$9,573$0$831$0$250,798$0$0
CECILIA AGUDO
SUPV. ADMIN NURSING$0$276,533$0$0$0$178$0$12,914$0$11,563$0$301,188$0$0
GENARO BADILLA
MICN CHARGE RN$0$246,198$0$0$0$131$0$9,681$0$16,589$0$272,599$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR - EMANATE HEALTH MEDICAL CENTER IS AN AFFILIATE OF EMANATE HEALTH. EMANATE HEALTH USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. PLEASE SEE ADDITIONAL EXPLANATION AT SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonROBERT H CURRYPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionOFFICER OF EMANATE HEALTH AND BOARD MEMBER OF OPTIMARelationshipDescriptionTxt
Transaction$2,849,036TransactionAmt
TransactionEMANATE HEALTH PURCHASES INSURANCE FROM OPTIMA. OPTIMA IS A FULL-SERVICE BROKERAGE COMPANY WHICH IS A WHOLLY OWNED SUBSIDIARY OF THE CALIFORNIA HEALTHCARE INSURANCE COMPANY, INC. & CALIFORNIA HEALTHCARE.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 7HFILING OF FORM 1098C THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF AUTOMOBILES, BOATS, AIRPLANES OR OTHER VEHICLES. CONSEQUENTLY NO FORMS 1098C WERE FILED.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THIS ORGANIZATION IS EMANATE HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER OF THIS ORGANIZATION IS EMANATE HEALTH. THE MEMBER THROUGH THE BOARD OF DIRECTORS HAS THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE ORGANIZATION'S SOLE MEMBER, EMANATE HEALTH.
FORM 990, PART VI, SECTION B, LINE 11BSTAFF ACCOUNTANTS, DIRECTOR OF FINANCE AND VICE PRESIDENT OF CORPORATE FINANCE REVIEW FORM 990 FOR ACCURACY AND COMPLETENESS UPON RECEIVING IT FROM THE CPA TAX PREPARER. FORM 990 IS FORWARDED TO RAJESH SHARMA, EVP & CFO, FOR THE FINAL REVIEW. TAX PREPARER PRESENTS FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE FOR APPROVAL. BOARD DELEGATED REVIEW AND APPROVAL TO THE AUDIT AND COMPLIANCE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD MEMBERS, KEY EMPLOYEES, AND MANAGEMENT ARE COVERED BY THE CONFLICT OF INTEREST POLICY. DETERMINATIONS OF CONFLICT AND REVIEW OF CONFLICT ARE PERFORMED AT THESE VARIOUS LEVELS OF THE ORGANIZATION. APPROPRIATE ACTION DEPENDING ON THE CONFLICT IS TAKEN BY MANAGEMENT, KEY EMPLOYEES, AND THE BOARD. DISCLOSURE FORMS ARE REQUIRED ANNUALLY BY EACH MEMBER OF THE BOARD OF DIRECTORS, KEY EMPLOYEES, AND MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE PAY AT EMANATE HEALTH FOLLOWS MARKET-BASED PAY PRACTICES FOR HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND TYPE IN THE SOUTHERN CALIFORNIA AREA. SALARY RANGES FOR EXECUTIVES WORKING AT EMANATE HEALTH FACILITIES FALL WITHIN THE MIDDLE OF THE MARKET, JUST AS THEY DO FOR ALL EMPLOYEES OF OUR ORGANIZATION. EVERY POSITION IN THE ORGANIZATION HAS A SALARY RANGE ATTACHED TO IT THAT REPRESENTS WHAT OTHERS DOING A SIMILAR JOB IN OTHER ORGANIZATIONS ARE LIKELY TO BE PAID. THE LONG-STANDING PAY PHILOSOPHY FOR EMANATE HEALTH HAS BEEN TO POSITION OUR SALARY RANGES IN THE MIDDLE OF OUR LOCAL LABOR MARKET; WE DON'T WANT TO LAG THE LOCAL MARKET, NOR DO WE WANT TO LEAD THE MARKET, SINCE THAT IS NOT A STRATEGY WE CAN AFFORD TO SUSTAIN OVER TIME. WE RELY ON MARKET STUDIES TO DETERMINE WHERE OUR PAY PRACTICES ARE RELATIVE TO OTHER HOSPITALS IN SOUTHERN CALIFORNIA. FOR EXECUTIVE PAY, WE USE THE NATIONALLY-RECOGNIZED AND RESPECTED FIRM, HEWITT ASSOCIATES LLC, AN AON HEWITT COMPANY (AON), TO ANALYZE OUR EXECUTIVE PAY PROGRAM AND DETERMINE WHERE IT FALLS IN OUR MARKET. THIS STUDY IS PERFORMED EVERY OTHER YEAR. THE MOST RECENT EXECUTIVE COMPENSATION DATA IS DATED MAY 2018. AS PART OF THEIR EXECUTIVE COMPENSATION REVIEW, AON ALSO ISSUES AN OPINION LETTER REGARDING THE REASONABLENESS OF THE PAY PROGRAM FOR A NOT-FOR-PROFIT ORGANIZATION LIKE OURS THAT IS SUBJECT TO THE REQUIREMENTS OF SECTION 4958 OF THE INTERNAL REVENUE CODE AND UNITED STATES TREASURY DEPARTMENT REGULATIONS. IN THEIR MAY 4, 2018, OPINION LETTER, AON WROTE, "THIS LETTER IS TO INDICATE THAT WE HAVE REVIEWED THE CURRENT COMPENSATION LEVELS, STRUCTURE, AND ADMINISTRATION OF THE EXECUTIVE COMPENSATION PROGRAM AT EMANATE HEALTH. THE FOLLOWING REVIEW IS BASED UPON OUR COMPREHENSIVE REPORT ENTITLED: ALIGNING EXECUTIVE COMPENSATION AND STRATEGY. THIS REPORT WAS PRESENTED TO THE COMPENSATION COMMITTEE ON MAY 9TH AND DISCUSSED IN DETAIL. BASED UPON THIS REVIEW, WE FIND THEM IN SUBSTANTIAL COMPLIANCE WITH ALL CURRENT RULES, REGULATIONS, AND GUIDELINES GOVERNING EXECUTIVE COMPENSATION IN NOT-FOR-PROFIT (501.C) CORPORATIONS. FURTHER, THE LEVELS OF COMPENSATION AWARDED TO THE VARIOUS EXECUTIVES, BOTH IN TERMS OF OPPORTUNITY AND ACTUAL AMOUNTS, ARE CONSISTENT AND REASONABLE WITH PREVAILING MARKET TRENDS AND PRACTICES. LASTLY, THE GOVERNING PRACTICES OF THE COMPENSATION COMMITTEE ARE CONSISTENT WITH SARBANES-OXLEY GUIDELINES AND SECTION 4958 (INTERMEDIATE SANCTIONS) GUIDELINES FOR INDEPENDENCE." THE EXECUTIVE POSITIONS THAT ARE INCLUDED IN THE EXECUTIVE COMPENSATION REVIEW INCLUDE THE PRESIDENT/CEO, CHIEF MEDICAL OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, CHIEF NURSE & CLINICAL EXECUTIVE (FPH/ICH), CHIEF NURSE & CLINICAL EXECUTIVE (QVH), CHIEF HUMAN RESOURCES OFFICER, CHIEF SUPPORT SERVICES OFFICER, CHIEF MARKETING & COMMUNICATIONS OFFICER AND CEO (EMANATE HEALTH FOUNDATION). EMANATE HEALTH EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST EMANATE HEALTH IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVE REQUIRED TO ENABLE EMANATE HEALTH TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES EMANATE HEALTH SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND EMANATE HEALTH'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE AND REVENUE.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST AN AUDIT REPORT IS AVAILABLE AS REQUIRED. NO OTHER DOCUMENTS ARE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GMEDICAL DOCTOR'S FEE: PROGRAM SERVICE EXPENSES 11,133,757. MANAGEMENT AND GENERAL EXPENSES 597,378. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,731,135. CONSULTING: PROGRAM SERVICE EXPENSES 763,138. MANAGEMENT AND GENERAL EXPENSES 40,946. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 804,084. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 13,477. MANAGEMENT AND GENERAL EXPENSES 723. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,200.
FORM 990, PART IX, LINE 24ECONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,984,932. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,984,932. UTILITIES: PROGRAM SERVICE EXPENSES 4,711,764. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,711,764. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 2,131,485. MANAGEMENT AND GENERAL EXPENSES 722,069. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,853,554. EQUIPMENT RENTAL: PROGRAM SERVICE EXPENSES 1,665,545. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,665,545. DUES: PROGRAM SERVICE EXPENSES 561,349. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 561,349. BANK CHARGES: PROGRAM SERVICE EXPENSES 62,303. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,303. AMORTIZTION OF BOND DISCOUNT: PROGRAM SERVICE EXPENSES 4,434. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,434.
FORM 990, PART XI, LINE 9:UNRESTRICTED REVENUE - BENEFICIAL INTEREST PER BOOKS 1,398,954. UNRESTRICTED FUND ENDING BALANCE - BENEFICIAL INTEREST -1,460,316. RESTRICTED FUND ENDING BALANCE - BENEFICIAL INTEREST -273,845. PASSTHROUGH INCOME DIFFERENCE -64,970. ROUNDING -1.
FORM 990, PART XII, LINES 2B:AUDITED FINANCIAL STATEMENTS THE FINANCIAL STATEMENTS OF EMANATE HEALTH AND ITS AFFILIATES, EMANATE HEALTH MEDICAL CENTER, EMANATE HEALTH HOSPICE, EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL, EMANATE HEALTH FOUNDATION, AND GLENDORA SURGERY CENTER, AND EMANATE HEALTH MSO WERE AUDITED ON A CONSOLIDATED BASIS.
FORM 990, PART XII, LINE 2CAUDIT AND COMPLIANCE COMMITTEE THE BOARD OF DIRECTORS HAS CONSTITUTED AN AUDIT AND COMPLIANCE COMMITTEE AND DELEGATED TO THAT COMMITTEE THE RESPONSIBLITY FOR ENAGING INDEPENDENT AUDITORS AND MONITORING THE AUDIT PROCESS. THIS STRUCTURE HAS BEEN IN EFFECT IN PRIOR YEARS AND WAS NOT CHANGED IN 2019.
FORM 990, PART VII, SECTION A, LINE 1A AND SCHEDULE JREPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS THE OFFICERS REPORTED ON PART VII OF FORM 990 AND SCHEDULE J RECEIVE THEIR ENTIRE COMPENSATION FROM EMANATE HEALTH. THE IRS INSTRUCTIONS TO FORM 990 REQUIRE THAT ALL COMPENSATION PAID BY A RELATED ORGANIZATION MUST BE DISCLOSED IN THE 990 RETURN FOR EACH AFFILIATED ENTITY. THEREFORE, THE OFFICER COMPENSATION REPORTED IN THE 990 RETURNS FOR EMANATE HEALTH MEDICAL CENTER, EMANATE HEALTH HOSPICE, EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL AND EMANATE HEALTH FOUNDATION, ALL ORGANIZATIONS RELATED TO EMANATE HEALTH, CONSTITUTE THE COMPENSATION PAID BY EMANATE HEALTH AND DOES NOT REPRESENT ADDITIONAL COMPENSATION TO SUCH OFFICERS.
PART VII, SECTION AREPORTABLE HOURS FOR RELATED ORGANIZATIONS THE OFFICERS SERVE AS CORPORATE OFFICERS FOR EMANATE HEALTH, EMANATE HEALTH MEDICAL CENTER(EHMC), EMANATE HEALTH HOSPICE (HOSPICE), EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL (FPH) AND EMANATE HEALTH FOUNDATION (FOUNDATION), ALL AFFILIATES OF THE TAXPAYER. THE NUMBER OF HOURS DEVOTED BY THE CORPORATE OFFICERS TO THE AFFILIATES ARE AS FOLLOWS. ROBERT CURRY DEVOTED 4, 2, 2, AND 18 HOURS TO FPH, HOSPICE, FOUNDATION, AND EMANATE HEALTH, RESPECTIVELY. RAJESH SHARMA DEVOTED 4, 2, 2, AND 18 HOURS TO FPH, HOSPICE, FOUNDATION, AND EMANATE HEALTH, RESPECTIVELY.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
EMANATE HEALTH
140 W COLLEGE STREET PO BOX 6108COVINACA917225108953885523EXEMPT ORGANIZATION SUPPORT & MANAGEMENTCA501 (C) (3)LINE 12B, IIN/A0
EMANATE HEALTH FOUNDATION
140 W COLLEGE STREET PO BOX 6108COVINACA917225108952534063EXEMPT ORGANIZATION PUBLIC SUPPORTCA501 (C) (3)LINE 7N/A0
EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL
140 W COLLEGE STREET PO BOX 6108COVINACA917225108952413054ACUTE CARE HOSPITALCA501 (C) (3)LINE 3N/A0
EMANATE HEALTH HOSPICE
140 W COLLEGE STREET PO BOX 6108COVINACA917225108953493611HOME HEALTH & HOSPICE CARECA501 (C) (3)LINE 10N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
GLENDORA SURGERY CENTER
315 E ROUTE 66 101GLENDORACA91740510492499OUTPATIENT SURGERY CENTERCAN/AS0
EMANATE HEALTH MSO
210 W SAN BERNARDINO RDCOVINACA91723812647150MANAGEMENT SERVICESCAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
EMANATE HEALTH FOUNDATION
C$1,460,316FAIR MARKET VALUE
EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL
O-$631,583FAIR MARKET VALUE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE R, PART V, NUMBER 2, CODE O:FormAndLineReferenceDesc
ExplanationTHE EXECUTIVE SALARIES ARE PROCESSED THROUGH EMANATE HEALTH. THE SALARIES REPORTED ON FORM 990 ARE PROCESSED THROUGH EMANATE HEALTH. EMANATE HEALTH ACTS AS A COMMON PAYMASTER FOR AFFILIATED ENTITIES, EMANATE HEALTH MEDICAL CENTER, EMANATE HEALTH FOUNDATION AND EMANATE HEALTH HOSPICE. EMANATE HEALTH FILED ONE FORM W-3 WHICH SHOWS A COMBINED NUMBER OF 3,588 EMPLOYEES. THE NUMBER OF EMPLOYEES FOR EACH ENTITY IS REPORTED SEPARATELY ON ITS OWN FORM 990 PART I LINE 5. EMANATE HEALTH MEDICAL CENTER'S FORM 990 REPORTED A TOTAL OF 3,015 EMPLOYEES, EMANATE HEALTH HOSPICE'S FORM 990 REPORTED 91 EMPLOYEES, EMANATE HEALTH FOUNDATION'S FORM 990 REPORTED 10 EMPLOYEES AND EMANATE HEALTH'S FORM 990 REPORTED 472 EMPLOYEES. THE FILING ORGANIZATION FILES ITS OWN FORM W-3, HOWEVER AMOUNTS REPORTED ON SCHEDULE R, PART V, NUMBER 2, CODE O REPRESENT SHARED EMPLOYEE EXPENSES THAT OCCUR BETWEEN THE AFFILIATES.ExplanationTxt

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