2020-11-13T15:08:24-06:00 2019-12-31 330155525 HBLA CERTIFIED PUBLIC ACCOUNTANTS INC 19600 FAIRCHILD 320 IRVINE CA 92612 990 2019-01-01 953493611 EMANATE HEALTH HOSPICE EMAN 6268592263 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 RAJESH K SHARMA PRES./CFO 6269387577 2020-11-03 1 JONATHAN P SCHUBERT CPA P00103314 9498332815 68.225.17.146 2020-11-03 11:12:24 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 448600C024756A51FC5DF0B48DBE6A31F8FEBB36 2019 2021-01-29 14:40:06Z ROBERT H CURRY 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 7285920 0 X WWW.EMANATEHEALTH.ORG X 1979 CA SERVICES PROVIDED TO TERMINALLY ILL PATIENTS AND HOME HEALTH CARE NURSING SERVICES. 22 18 91 48 0 0 55876 14768 8095665 7271152 0 0 0 0 8151541 7285920 0 0 0 0 6152614 6844909 0 0 0 2307552 2242454 8460166 9087363 -308625 -1801443 7646413 8166049 3178629 4179127 4467784 3986922 OUR MISSION IS TO HELP PEOPLE KEEP WELL IN BODY, MIND AND SPIRIT BY PROVIDING QUALITY HEALTH CARE SERVICES IN A SAFE, COMPASSIONATE ENVIRONMENT. 0 0 8091536 7271152 HOME HEALTH CARE - A TOTAL OF 12,434 TOTAL HOME VISITS DURING THE YEAR. HOSPICE CARE - A PROGRAM TO PROVIDE HOSPICE CARE AND IN HOUSE SERVICES TO TERMINALLY ILL PATIENTS IN THE COMMUNITY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. 8091536 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 28 0 1 91 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X RAJESH K SHARMA PRESCFO 6269387577 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 ROBERT H CURRY SEE SCH O PARENT PRESIDENT, CEO, BOD 2.00 38.00 X X 0 1584573 31331 HAROLD BORAK SR BOARD OF DIRECTORS 3.00 X 0 0 0 CLIFFORD CHRIST VICE CHAIR 3.00 X 0 0 0 NAJI KANDALAFT MD BOARD OF DIRECTORS 3.00 X 0 58031 0 OJ RODRIGUEZ BOARD OF DIRECTORS 3.00 X 0 0 0 WALTER ALLEN III BOARD OF DIRECTORS 3.00 X 0 0 0 PATRICIA HANES PHD BOARD OF DIRECTORS 3.00 X 0 0 0 RAYMOND MATTES IHM BOARD OF DIRECTORS 3.00 X 0 0 0 ANNA LEUNG MD BOARD OF DIRECTORS 3.00 X 0 0 0 MARY KIRCHEN IHM BOARD OF DIRECTORS 3.00 X 0 0 0 PHILIP MALDONADO DDS BOARD OF DIRECTORS 3.00 X 0 0 0 SHARON YEE MD BOARD OF DIRECTORS 3.00 X 0 0 0 THOMAS O BRYAN MD BOARD OF DIRECTORS 3.00 X 0 0 0 GARY MATHEWSON CHAIR 3.00 X 0 0 0 BERNARD BOLLINGER JR ESQ SECRETARY 3.00 X 0 0 0 SUBHASH DHAND MD CHIEF OF STAFF BOARD OF DIRECTORS 3.00 X 0 39570 0 GEORGE FERENCZI MD BOARD OF DIRECTORS 3.00 X 0 0 0 ARTHUR LUDWICK BOARD OF DIRECTORS 3.00 X 0 0 0 EUGENE POCOCK MD CHIEF OF STAFF BOARD OF DIRECTORS 3.00 X 0 12000 0 PATSY GORRELL TREASURER 3.00 X 0 0 0 LISA FUERST BOARD OF DIRECTORS 3.00 X 0 0 0 C DUANE DAUNER BOARD OF DIRECTORS 3.00 X 0 0 0 RAJESH SHARMA SEE SCH O EXECUTIVE VP/CFO 2.00 38.00 X 0 933548 23415 LEILANI HERNANDEZ HOSPICE (INPATIENT) RN 36.00 X 0 122359 22732 CHRISTINE SANCHEZ HH NURSE NAVIGATOR 40.00 X 0 129831 22474 ANGELA CHIU HOME HEALTH PHYSICAL THERAPIST 40.00 X 0 121725 17812 MARIANNE MAGANA-BAUTISTA HOME HOSPICE, RN 40.00 X 0 135830 10884 ROBIN ROMES HOSPICE (INPATIENT) RN 40.00 X 0 117161 6160 0 3254628 134808 17 0 1 0 LEUNG JONATHAN K MD 415 W CARROLL AVE 100 GLENDORA CA 91741 MEDICAL P/S 106482 1 14768 14768 PATIENT REV/MEDICARE/M 621610 7270757 7270757 OTHER OPERATING REVENU 621610 395 395 7271152 7285920 7271152 0 0 X 128643 123845 4798 4946853 4413660 533193 85036 42518 42518 1652151 1488388 163763 32226 16113 16113 248506 201366 47140 350766 304879 45887 127833 117470 10363 181434 150590 30844 PURCHASED SERVICES/ PUR 947735 912389 35346 EQUIPMENT RENTAL AND MA 162440 134825 27615 UTILITIES 118864 98657 20207 OTHER EXPENSES 97165 79125 18040 7711 7711 9087363 8091536 995827 0 1496596 819733 22683 14226 6413589 5803090 726124 610499 5401010 6721591 7646413 8166049 860170 762877 2318459 3416250 3178629 4179127 X -530472 -1508338 4998256 5495260 4467784 3986922 7646413 8166049 X -1801443 1320581 X X 0 1 X 1 0 X 536000 13408 67994 55876 14768 688046 7491824 6977844 8785751 8095665 7271152 38622236 8027824 6991252 8853745 8151541 7285920 39310282 0 0 0 39310282 29315 79495 108810 29315 79495 108810 8057139 7070747 8853745 8151541 7285920 39419092 0.99720 0.99690 0.00280 0.00310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4966959 4966959 4966959 4966959 4966229 730 4966959 4940979 25250 4966229 4717997 222982 4940979 1.00000 0 1 1 4003870 3711255 292615 2409719 2091835 317884 610499 BENEFICIAL INTEREST IN EH FOUNDATION 6721591 6721591 PAYABLE TO AFFILIATES 3416250 3416250 X 8099000 0 8099000 -813080 -813080 7285920 9081000 0 9081000 6363 6363 9087363 PART V, LINE 4: PERMANENTLY RESTRICTED ASSETS ARE RESTRICTED INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HOSPICE AND HEALTH CARE SERVICES. 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 4B - OTHER ADJUSTMENTS: ROUNDING DIFFERENCE 734. CHANGE IN BENEFICIAL INTEREST -834,215. PROVISION FOR BAD DEBTS 5,633. TRANSFERS FROM EMANATE HEALTH FOUNDATION 14,768. PART XII, LINE 4B - OTHER ADJUSTMENTS: ROUNDING DIFFERENCE 730. PROVISION FOR BAD DEBTS 5,633. 0 0 0 0 0 0 0 0 0 ROBERT H CURRY SEE SCH O PARENT PRESIDENT, CEO, BOD 0 997403 0 569328 0 17842 0 14000 0 17331 0 1615904 0 0 RAJESH SHARMA SEE SCH O EXECUTIVE VP/CFO 0 668126 0 253933 0 11489 0 11200 0 12215 0 956963 0 0 CHRISTINE SANCHEZ HH NURSE NAVIGATOR 0 129398 0 0 0 433 0 6615 0 15859 0 152305 0 0 PART I, LINE 3 ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT/CEO - EMANATE HEALTH HOSPICE IS AN AFFILIATE OF EMANATE HEALTH (EH). EH 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 PRESIDENT/CEO. PLEASE SEE ADDITIONAL EXPLANATION AT SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THIS ORGANIZATION IS EMANATE HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE 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 7B DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE ORGANIZATION'S SOLE MEMBER, EMANATE HEALTH. FORM 990, PART VI, SECTION B, LINE 11B STAFF 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 12C ALL 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 15 EXECUTIVE 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 19 UPON REQUEST AN AUDIT REPORT IS AVAILABLE AS REQUIRED. NO OTHER DOCUMENTS ARE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 201,366. MANAGEMENT AND GENERAL EXPENSES 47,140. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 248,506. FORM 990, PART IX, LINE 24E PROVISION FOR BAD DEBTS: PROGRAM SERVICE EXPENSES 5,633. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,633. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,078. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,078. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST FOUNDATION 834,215. TRANSFER FROM FOUNDATION -14,768. RESTRICTED FUND ACTIVITIES FOUNDATION 501,134. 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, GLENDORA SURGERY CENTER, AND EMANATE HEALTH MSO WERE AUDITED ON A CONSOLIDATED BASIS. FORM 990, PART XII, LINE 2C AUDIT AND COMPLIANCE COMMITTEE THE BOARD OF DIRECTORS HAS CONSTITUTED AN AUDIT AND COMPLIANCE COMMITTEE AND DELEGATED TO THAT COMMITTEE THE RESPONSIBILITY FOR ENGAGING 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 J REPORTABLE 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 A REPORTABLE 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 (PER WEEK) DEVOTED BY THE CORPORATE OFFICERS TO THE AFFILIATES ARE AS FOLLOWS: ROBERT CURRY DEVOTED 4, 14, 2, 2, AND 18 HOURS TO FPH, EHMC, FOUNDATION, HOSPICE, AND EMANATE HEALTH, RESPECTIVELY. RAJESH SHARMA DEVOTED 4, 14, 2, 2, AND 18 HOURS TO FPH, EHMC, FOUNDATION, HOSPICE, AND EMANATE HEALTH, RESPECTIVELY. 990 PART V LINE 7H FILING OF FORM 1098C THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF AUTOMOBILES, BOATS, AIRPLANES OR OTHER VEHICLES. CONSEQUENTLY NO FORMS 1098C WERE FILED. EMANATE HEALTH 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 953885523 EXEMPT ORGANIZATION SUPPORT & MANAGEMENT CA 501(C)(3) LINE 12B, II N/A 0 EMANATE HEALTH MEDICAL CENTER 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 956006469 ACUTE CARE HOSPITAL CA 501(C)(3) LINE 3 N/A 0 EMANATE HEALTH FOUNDATION 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 952534063 EXEMPT ORGANIZATION PUBLIC SUPPORT CA 501(C)(3) LINE 7 N/A 0 EMANATE HEALTH FOOTHILL PRESBYTERIAN 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 952413054 ACUTE CARE HOSPITAL CA 501(C)(3) LINE 3 N/A 0 GLENDORA SURGERY CENTER 315 E ROUTE 66 101 GLENDORA CA 91740 510492499 OUTPATIENT SURGERY CENTER CA N/A S 0 EMANATE HEALTH MSO 210 W SAN BERNARDINO ROAD COVINA CA 91723 812647150 MANAGEMENT SERVICES CA N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 EMANATE HEALTH MEDICAL CENTER O 125233 EMANATE HEALTH FOUNDATION C 14768 FORM 990, SCHEDULE R, PART V, NUMBER 2, CODE O: THE 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.